hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|MD	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."																																																									
TidalHealth Nanticoke	6/28/2024	2.0.0	Nanticoke Memorial  Hospital	"81 Middleford Rd. Seaford, DE 19973"	HSPTL-8|DE	TRUE																																																									
description	code|1	code|1|type	code|2	code|2|type	code|3	code|3|type	modifiers	setting	drug_unit_of_measurement	drug_type_of_measurement	standard_charge|gross	standard_charge|discounted_cash	standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|negotiated_dollar	standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|negotiated_percentage	standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|negotiated_algorithm	estimated_amount|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID	standard_charge|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|methodology	additional_payer_notes|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID|HEALTH_OPTIONS_HIGHMARK_DE_MEDICAID	standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|negotiated_dollar	standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|negotiated_percentage	standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|negotiated_algorithm	estimated_amount|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT	standard_charge|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT|methodology	additional_payer_notes|AETNA_MEDICARE_ADVANTAGE|AETNA_PPO_MC_OPT_OUT	standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|negotiated_dollar	standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|negotiated_percentage	standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|negotiated_algorithm	estimated_amount|CBS_MARYLAND|BCBS_CAREFIRST	standard_charge|CBS_MARYLAND|BCBS_CAREFIRST|methodology	additional_payer_notes|CBS_MARYLAND|BCBS_CAREFIRST	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|negotiated_dollar	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|negotiated_percentage	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|negotiated_algorithm	estimated_amount|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN|methodology	additional_payer_notes|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE_PPO_PLAN	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|negotiated_dollar	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|negotiated_percentage	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|negotiated_algorithm	estimated_amount|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE	standard_charge|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE|methodology	additional_payer_notes|HUMANA_MEDICARE_ADVANTAGE|HUMANA_MEDICARE_ADVANTAGE	standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|negotiated_dollar	standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|negotiated_percentage	standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|negotiated_algorithm	estimated_amount|DELAWARE_MEDICAID|DELAWARE_MEDICAID	standard_charge|DELAWARE_MEDICAID|DELAWARE_MEDICAID|methodology	additional_payer_notes|DELAWARE_MEDICAID|DELAWARE_MEDICAID	standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|negotiated_dollar	standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|negotiated_percentage	standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|negotiated_algorithm	estimated_amount|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS	standard_charge|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS|methodology	additional_payer_notes|AMERIHEALTH_CARITAS_DELAWARE_MCO|AMERIHEALTH_CARITAS	standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|negotiated_dollar	standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|negotiated_percentage	standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|negotiated_algorithm	estimated_amount|MEDICARE|MEDICARE_PART_A_AND_B	standard_charge|MEDICARE|MEDICARE_PART_A_AND_B|methodology	additional_payer_notes|MEDICARE|MEDICARE_PART_A_AND_B	standard_charge|min	standard_charge|max	additional_generic_notes
IPILIMUMAB 200 MG/40 ML (5 MG/ML) SOLUTION 40 ML VIAL	636000000	CDM	0003-2328-22	NDC	J9228	HCPCS		inpatient			102389.6	102389.6																																																			
IPILIMUMAB 200 MG/40 ML (5 MG/ML) SOLUTION 40 ML VIAL	636000000	CDM	0003-2328-22	NDC	J9228	HCPCS		outpatient			102389.6	183.99																																											183.99				other	OPPS APC	183.99	183.99	
CHONDROCYTES AUTOLOGOUS	SUP-CS-1000	CDM			270	RC		outpatient			91629.6	91629.66	24822.46				percent of total billed charges		91629.6				other	OPPS APC	67805.9				percent of total billed charges		91629.6				other	OPPS APC	91629.6				other	OPPS APC	24822.46				percent of total billed charges		25317.26				percent of total billed charges		91629.66				other	OPPS APC	24822.46	91629.66	
CHONDROCYTES AUTOLOGOUS	SUP-CS-1000	CDM			270	RC		inpatient			91629.6	91629.6																																																			
ASSEMBLY LENGTHENING	SUP-4960-3-000	CDM	270010022	LOCAL	270	RC		outpatient			73657.6	73657.66	19953.84				percent of total billed charges		73657.6				other	OPPS APC	54506.62				percent of total billed charges		73657.6				other	OPPS APC	73657.6				other	OPPS APC	19953.84				percent of total billed charges		20351.59				percent of total billed charges		73657.66				other	OPPS APC	19953.84	73657.66	
ASSEMBLY LENGTHENING	SUP-4960-3-000	CDM	270010022	LOCAL	270	RC		inpatient			73657.6	73657.6																																																			
VALVE AORTIC EVOLUT FX 23 MM	SUP-EVOLUTFX-23	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC EVOLUT FX 23 MM	SUP-EVOLUTFX-23	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC EVOLUT FX 26 MM	SUP-EVOLUTFX-26	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC EVOLUT FX 26 MM	SUP-EVOLUTFX-26	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC EVOLUT FX 29 MM	SUP-EVOLUTFX-29	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC EVOLUT FX 29 MM	SUP-EVOLUTFX-29	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC EVOLUT FX 34 MM	SUP-EVOLUTFX-34	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC EVOLUT FX 34 MM	SUP-EVOLUTFX-34	CDM			270	RC		inpatient			60000	60000																																																			
VALVE TRANSCATHETER AORTIC 23	SUP-EVOLUTPRO-23-US	CDM	27000000	LOCAL	270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE TRANSCATHETER AORTIC 23	SUP-EVOLUTPRO-23-US	CDM	27000000	LOCAL	270	RC		inpatient			60000	60000																																																			
VALVE TRANSCATHETER AORTIC 29	SUP-EVOLUTPRO-29-US	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE TRANSCATHETER AORTIC 29	SUP-EVOLUTPRO-29-US	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC TRANSCATHETER  EVOLUTR 23MM	SUP-EVPROPLUS-23US	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC TRANSCATHETER  EVOLUTR 23MM	SUP-EVPROPLUS-23US	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC 20-23MM 0-40MM COREVALVE 26MM HEART PORCINE PERICARDIUM NITINOL FRAME	SUP-MCS-P3-26-AOA-US	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC 20-23MM 0-40MM COREVALVE 26MM HEART PORCINE PERICARDIUM NITINOL FRAME	SUP-MCS-P3-26-AOA-US	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC COREVALVE PORCINE PERICARDIUM 29 MM OD23-26 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS	SUP-MCS-P3-29-AOA-US	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC COREVALVE PORCINE PERICARDIUM 29 MM OD23-26 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS	SUP-MCS-P3-29-AOA-US	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC COREVALVE PORCINE PERICARDIUM 31 MM OD26-29 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS	SUP-MCS-P3-31-AOA-US	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC COREVALVE PORCINE PERICARDIUM 31 MM OD26-29 MM ODSEC0-43 MM HEART NITINOL FRAME BIOPROSTHESIS	SUP-MCS-P3-31-AOA-US	CDM			270	RC		inpatient			60000	60000																																																			
VALVE AORTIC COREVALVE PORCINE PERICARDIUM 26 MM OD20-23 MM ODSEC0-40 MM HEART NITINOL FRAME BIOPROSTHESIS	SUP-MCS-PC-26-AOA-US	CDM			270	RC		outpatient			60000	6	16254				percent of total billed charges		60000				other	OPPS APC	44400				percent of total billed charges		60000				other	OPPS APC	60000				other	OPPS APC	16254				percent of total billed charges		16578				percent of total billed charges		6				other	OPPS APC	6	60000	
VALVE AORTIC COREVALVE PORCINE PERICARDIUM 26 MM OD20-23 MM ODSEC0-40 MM HEART NITINOL FRAME BIOPROSTHESIS	SUP-MCS-PC-26-AOA-US	CDM			270	RC		inpatient			60000	60000																																																			
STEM RADIAL TITANIUM STRAIGHT H26 MM OD7 MM STERILE	SUP-04.402.007S	CDM	270010022	LOCAL	270	RC		outpatient			57034	5734	15450.51				percent of total billed charges		57034				other	OPPS APC	42205.16				percent of total billed charges		57034				other	OPPS APC	57034				other	OPPS APC	15450.51				percent of total billed charges		15758.49				percent of total billed charges		5734				other	OPPS APC	5734	57034	
STEM RADIAL TITANIUM STRAIGHT H26 MM OD7 MM STERILE	SUP-04.402.007S	CDM	270010022	LOCAL	270	RC		inpatient			57034	57034																																																			
ICD QUADRA HF CRT-D SYSTEM	SUP-CD3249-40/40QS	CDM			275	RC		outpatient			53350	5335	26141.5				percent of total billed charges		53350				other	OPPS APC	30409.5				percent of total billed charges		53350				other	OPPS APC	53350				other	OPPS APC	26141.5				percent of total billed charges		27208.5				percent of total billed charges		5335				other	OPPS APC	5335	53350	
ICD QUADRA HF CRT-D SYSTEM	SUP-CD3249-40/40QS	CDM			275	RC		inpatient			53350	53350																																																			
ASPIRE GENERATOR	SUP-106	CDM			270	RC		outpatient			52729.6	52729.6	14284.45				percent of total billed charges		52729.6				other	OPPS APC	39019.9				percent of total billed charges		52729.6				other	OPPS APC	52729.6				other	OPPS APC	14284.45				percent of total billed charges		14569.19				percent of total billed charges		52729.6				other	OPPS APC	14284.45	52729.6	
ASPIRE GENERATOR	SUP-106	CDM			270	RC		inpatient			52729.6	52729.6																																																			
IMPELLA CP WITH SMARTASSIST PLUS IMPELLA 7FR LOW PROFILE COMPANION SHEATH BUNDLE	SUP-4000021	CDM						inpatient			50000	50000																																																			
IMPELLA CP WITH SMARTASSIST PLUS IMPELLA 7FR LOW PROFILE COMPANION SHEATH BUNDLE	SUP-4000021	CDM						outpatient			50000	5	50000				percent of total billed charges		50000				other	OPPS APC	50000				fee schedule		50000				other	OPPS APC	50000				other	OPPS APC	50000				case rate		50000				case rate		5				other	OPPS APC	5	50000	
VALVE AORTIC EDWARDS SAPIEN 3 COMMANDER OD 29MM DELIVERY SYSTEM	SUP-9600CM29A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC EDWARDS SAPIEN 3 COMMANDER OD 29MM DELIVERY SYSTEM	SUP-9600CM29A	CDM			270	RC		inpatient			47500	47500																																																			
SYSTEM DELIVERY SAPIEN 3 OD20 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE	SUP-9750CM20A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
SYSTEM DELIVERY SAPIEN 3 OD20 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE	SUP-9750CM20A	CDM			270	RC		inpatient			47500	47500																																																			
SYSTEM DELIVERY SAPIEN 3 OD23 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE	SUP-9750CM23A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
SYSTEM DELIVERY SAPIEN 3 OD23 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE	SUP-9750CM23A	CDM			270	RC		inpatient			47500	47500																																																			
SYSTEM DELIVERY SAPIEN 3 OD26 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE	SUP-9750CM26A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
SYSTEM DELIVERY SAPIEN 3 OD26 MM COMMANDER DELIVERY SYSTEM STERILE LATEX FREE	SUP-9750CM26A	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET	SUP-BOM23EDGE15ISLEEVE	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET	SUP-BOM23EDGE15ISLEEVE	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET	SUP-BOM25EDGE15ISLEEVE	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET	SUP-BOM25EDGE15ISLEEVE	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET	SUP-BOM27EDGE15ISLEEVE	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER 15 FRENCH ISLEEVE EXPANDABLE INTRODUCER SET	SUP-BOM27EDGE15ISLEEVE	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER PREMOUNT STERILE LATEX FREE	SUP-H749LVSUS230	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC LOTUS EDGE OD 23MM TRANSCATHETER PREMOUNT STERILE LATEX FREE	SUP-H749LVSUS230	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER PREMOUNT STERILE LATEX FREE	SUP-H749LVSUS250	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC LOTUS EDGE OD 25MM TRANSCATHETER PREMOUNT STERILE LATEX FREE	SUP-H749LVSUS250	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER PREMOUNT STERILE LATEX FREE	SUP-H749LVSUS270	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC LOTUS EDGE OD 27MM TRANSCATHETER PREMOUNT STERILE LATEX FREE	SUP-H749LVSUS270	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 20 MM TRANSCATHETER ULTRA LOW PROFILE	SUP-S3UCM220A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 20 MM TRANSCATHETER ULTRA LOW PROFILE	SUP-S3UCM220A	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 23 MM TRANSCATHETER ULTRA LOW PROFILE	SUP-S3UCM223A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 23 MM TRANSCATHETER ULTRA LOW PROFILE	SUP-S3UCM223A	CDM			270	RC		inpatient			47500	47500																																																			
VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 26 MM TRANSCATHETER ULTRA LOW PROFILE	SUP-S3UCM226A	CDM			270	RC		outpatient			47500	475	12867.75				percent of total billed charges		47500				other	OPPS APC	35150				percent of total billed charges		47500				other	OPPS APC	47500				other	OPPS APC	12867.75				percent of total billed charges		13124.25				percent of total billed charges		475				other	OPPS APC	475	47500	
VALVE AORTIC SAPIEN 3 COMMANDER EDWARDS OD 26 MM TRANSCATHETER ULTRA LOW PROFILE	SUP-S3UCM226A	CDM			270	RC		inpatient			47500	47500																																																			
CRTD CLARIA MRI QUAD SYSTEM	SUP-CLARIAMRIQDCRTMMQM	CDM			275	RC		outpatient			47200	472	23128				percent of total billed charges		47200				other	OPPS APC	26904				percent of total billed charges		47200				other	OPPS APC	47200				other	OPPS APC	23128				percent of total billed charges		24072				percent of total billed charges		472				other	OPPS APC	472	47200	
CRTD CLARIA MRI QUAD SYSTEM	SUP-CLARIAMRIQDCRTMMQM	CDM			275	RC		inpatient			47200	47200																																																			
DEFIBRILLATOR CARDIAC MAXIMO II CRT	SUP-MAXIICRTDMMMM	CDM			275	RC		outpatient			45332	45332	22212.68				percent of total billed charges		45332				other	OPPS APC	25839.24				percent of total billed charges		45332				other	OPPS APC	45332				other	OPPS APC	22212.68				percent of total billed charges		23119.32				percent of total billed charges		45332				other	OPPS APC	22212.68	45332	
DEFIBRILLATOR CARDIAC MAXIMO II CRT	SUP-MAXIICRTDMMMM	CDM			275	RC		inpatient			45332	45332																																																			
VALVE TRANSCATHER AORTIC 26	SUP-EVOLUTPRO-26-US	CDM	27000000	LOCAL	270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
VALVE TRANSCATHER AORTIC 26	SUP-EVOLUTPRO-26-US	CDM	27000000	LOCAL	270	RC		inpatient			45000	45000																																																			
VALVE AORTIC TRANSCATHETER  EVOLUTR 23MM	SUP-EVOLUTR-23-US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
VALVE AORTIC TRANSCATHETER  EVOLUTR 23MM	SUP-EVOLUTR-23-US	CDM			270	RC		inpatient			45000	45000																																																			
VALVE AORTIC TRANSCATHETER  EVOLUTR 26MM	SUP-EVOLUTR-26-US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
VALVE AORTIC TRANSCATHETER  EVOLUTR 26MM	SUP-EVOLUTR-26-US	CDM			270	RC		inpatient			45000	45000																																																			
VALVE AORTIC COREVALVE EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM 1 LAYER SELF EXPAND MULTILEVEL TRANSCATHETER STERILE	SUP-EVOLUTR-29-US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
VALVE AORTIC COREVALVE EVOLUT R PORCINE PERICARDIUM 29 MM OD23-26 MM 1 LAYER SELF EXPAND MULTILEVEL TRANSCATHETER STERILE	SUP-EVOLUTR-29-US	CDM			270	RC		inpatient			45000	45000																																																			
VALVE AORTIC TRANSCATHETER  EVOLUTR 34MM	SUP-EVOLUTR-34-US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
VALVE AORTIC TRANSCATHETER  EVOLUTR 34MM	SUP-EVOLUTR-34-US	CDM			270	RC		inpatient			45000	45000																																																			
26MM EVOLUT PRO+ TAVR VALVE	SUP-EVPROPLUS-26US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
26MM EVOLUT PRO+ TAVR VALVE	SUP-EVPROPLUS-26US	CDM			270	RC		inpatient			45000	45000																																																			
EVOLUT PRO+ TAVR VALVE 29MM	SUP-EVPROPLUS-29US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
EVOLUT PRO+ TAVR VALVE 29MM	SUP-EVPROPLUS-29US	CDM			270	RC		inpatient			45000	45000																																																			
EVOLUT PRO+ TAVR VALVE 34MM	SUP-EVPROPLUS-34US	CDM			270	RC		outpatient			45000	45	12190.5				percent of total billed charges		45000				other	OPPS APC	33300				percent of total billed charges		45000				other	OPPS APC	45000				other	OPPS APC	12190.5				percent of total billed charges		12433.5				percent of total billed charges		45				other	OPPS APC	45	45000	
EVOLUT PRO+ TAVR VALVE 34MM	SUP-EVPROPLUS-34US	CDM			270	RC		inpatient			45000	45000																																																			
ICD BIV QUADRA ASSURA CRT-D DF4 CONNECTOR SYSTEM	SUP-CD3265-40QS	CDM			275	RC		outpatient			44974	44974	22037.26				percent of total billed charges		44974				other	OPPS APC	25635.18				percent of total billed charges		44974				other	OPPS APC	44974				other	OPPS APC	22037.26				percent of total billed charges		22936.74				percent of total billed charges		44974				other	OPPS APC	22037.26	44974	
ICD BIV QUADRA ASSURA CRT-D DF4 CONNECTOR SYSTEM	SUP-CD3265-40QS	CDM			275	RC		inpatient			44974	44974																																																			
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D TITANIUM THK14 MM 40 J W41 MM X H83 MM 40 ML 83 GM VENTRICLE 2 CHAMBER 1 IS-1 1 DF-1 1 IS-4 HIGH VOLTAGE	SUP-CD3265-40S	CDM			275	RC		outpatient			44974	44974	22037.26				percent of total billed charges		44974				other	OPPS APC	25635.18				percent of total billed charges		44974				other	OPPS APC	44974				other	OPPS APC	22037.26				percent of total billed charges		22936.74				percent of total billed charges		44974				other	OPPS APC	22037.26	44974	
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D TITANIUM THK14 MM 40 J W41 MM X H83 MM 40 ML 83 GM VENTRICLE 2 CHAMBER 1 IS-1 1 DF-1 1 IS-4 HIGH VOLTAGE	SUP-CD3265-40S	CDM			275	RC		inpatient			44974	44974																																																			
GENERATOR NEUROSTIMULATOR VNS THERAPY .2IN 1.8X1.6X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .63OZ 2	SUP-104	CDM	270010003	LOCAL	270	RC		outpatient			44250	4425	11987.33				percent of total billed charges		44250				other	OPPS APC	32745				percent of total billed charges		44250				other	OPPS APC	44250				other	OPPS APC	11987.33				percent of total billed charges		12226.28				percent of total billed charges		4425				other	OPPS APC	4425	44250	
GENERATOR NEUROSTIMULATOR VNS THERAPY .2IN 1.8X1.6X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .63OZ 2	SUP-104	CDM	270010003	LOCAL	270	RC		inpatient			44250	44250																																																			
GENERATOR ASPIRESR SINGLE PIN	SUP-10-0011-2101	CDM	270010003	LOCAL	270	RC		outpatient			44179.8	44179.83	11968.31				percent of total billed charges		44179.8				other	OPPS APC	32693.05				percent of total billed charges		44179.8				other	OPPS APC	44179.8				other	OPPS APC	11968.31				percent of total billed charges		12206.88				percent of total billed charges		44179.83				other	OPPS APC	11968.31	44179.83	
GENERATOR ASPIRESR SINGLE PIN	SUP-10-0011-2101	CDM	270010003	LOCAL	270	RC		inpatient			44179.8	44179.8																																																			
GENERATOR ASPIRESR SINGLE PIN	SUP-106	CDM	270010003	LOCAL	270	RC		outpatient			44179.8	44179.83	11968.31				percent of total billed charges		44179.8				other	OPPS APC	32693.05				percent of total billed charges		44179.8				other	OPPS APC	44179.8				other	OPPS APC	11968.31				percent of total billed charges		12206.88				percent of total billed charges		44179.83				other	OPPS APC	11968.31	44179.83	
GENERATOR ASPIRESR SINGLE PIN	SUP-106	CDM	270010003	LOCAL	270	RC		inpatient			44179.8	44179.8																																																			
ETERNA 16-CHANNEL IPG PENTA SYSTEM	SUP-222ETPENSY33	CDM			270	RC		outpatient			43000	43	11648.7				percent of total billed charges		43000				other	OPPS APC	31820				percent of total billed charges		43000				other	OPPS APC	43000				other	OPPS APC	11648.7				percent of total billed charges		11880.9				percent of total billed charges		43				other	OPPS APC	43	43000	
ETERNA 16-CHANNEL IPG PENTA SYSTEM	SUP-222ETPENSY33	CDM			270	RC		inpatient			43000	43000																																																			
HC Ivl+Stent With Angioplasty	PX-361C97651	CDM			361	RC		outpatient			42944	1891.79	13561.72				percent of total billed charges		18091.79				other	OPPS APC	8653				fee schedule		18091.79				other	OPPS APC	18091.79				other	OPPS APC	13561.72				percent of total billed charges		13832.26				percent of total billed charges		1891.79				other	OPPS APC	1891.79	18091.79	
HC Ivl+Stent With Angioplasty	PX-361C97651	CDM			361	RC		inpatient			42944	42944																																																			
HC Ivl+Atherectomy With Angioplasty	PX-361C97661	CDM			361	RC		outpatient			42944	42944	13561.72				percent of total billed charges		42944				other	OPPS APC	42944				fee schedule		42944				other	OPPS APC	42944				other	OPPS APC	13561.72				percent of total billed charges		13832.26				percent of total billed charges		42944				other	OPPS APC	13561.72	42944	
HC Ivl+Atherectomy With Angioplasty	PX-361C97661	CDM			361	RC		inpatient			42944	42944																																																			
HC Ivl+Stent+Atherectomy With Angioplasty	PX-361C97671	CDM			361	RC		outpatient			42944	42944	13561.72				percent of total billed charges		42944				other	OPPS APC	42944				fee schedule		42944				other	OPPS APC	42944				other	OPPS APC	13561.72				percent of total billed charges		13832.26				percent of total billed charges		42944				other	OPPS APC	13561.72	42944	
HC Ivl+Stent+Atherectomy With Angioplasty	PX-361C97671	CDM			361	RC		inpatient			42944	42944																																																			
HC Ivl+Stent With Angioplasty	PX-361C97731	CDM			361	RC		outpatient			42944	42944	13561.72				percent of total billed charges		42944				other	OPPS APC	42944				fee schedule		42944				other	OPPS APC	42944				other	OPPS APC	13561.72				percent of total billed charges		13832.26				percent of total billed charges		42944				other	OPPS APC	13561.72	42944	
HC Ivl+Stent With Angioplasty	PX-361C97731	CDM			361	RC		inpatient			42944	42944																																																			
HC Ivl+Atherectomy With Angioplasty	PX-361C97741	CDM			361	RC		inpatient			42944	42944																																																			
HC Ivl+Atherectomy With Angioplasty	PX-361C97741	CDM			361	RC		outpatient			42944	1891.79	13561.72				percent of total billed charges		18091.79				other	OPPS APC					fee schedule		18091.79				other	OPPS APC	18091.79				other	OPPS APC	13561.72				percent of total billed charges		13832.26				percent of total billed charges		1891.79				other	OPPS APC	18091.79	18091.79	
HC Ivl+Stent+Atherectomy With Angioplasty	PX-361C97751	CDM			361	RC		outpatient			42944	42944	13561.72				percent of total billed charges		42944				other	OPPS APC	42944				fee schedule		42944				other	OPPS APC	42944				other	OPPS APC	13561.72				percent of total billed charges		13832.26				percent of total billed charges		42944				other	OPPS APC	13561.72	42944	
HC Ivl+Stent+Atherectomy With Angioplasty	PX-361C97751	CDM			361	RC		inpatient			42944	42944																																																			
GENERATOR NEUROSTIMULATOR VNS THERAPY .126IN 1.8X1.3X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .56OZ 1	SUP-103	CDM	270010003	LOCAL	270	RC		outpatient			42417.52	42417.52	11490.91				percent of total billed charges		42417.52				other	OPPS APC	31388.96				percent of total billed charges		42417.52				other	OPPS APC	42417.52				other	OPPS APC	11490.91				percent of total billed charges		11719.96				percent of total billed charges		42417.52				other	OPPS APC	11490.91	42417.52	
GENERATOR NEUROSTIMULATOR VNS THERAPY .126IN 1.8X1.3X.27IN TECOTHANE SS TITANIUM SILICONE DISPOSABLE STERILE LF .56OZ 1	SUP-103	CDM	270010003	LOCAL	270	RC		inpatient			42417.52	42417.52																																																			
ADO-TRASTUZUMAB 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	50242-088-01	NDC	J9354	HCPCS		inpatient			42030.9	42030.9																																																			
ADO-TRASTUZUMAB 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	50242-088-01	NDC	J9354	HCPCS		outpatient			42030.9	4.95																																											4.95				other	OPPS APC	4.95	4.95	
SPINAL STIMULATOR CAP PRICING	SUP-SPINALSTIMCAP	CDM			270	RC		outpatient			42000	42	11377.8				percent of total billed charges		42000				other	OPPS APC	31080				percent of total billed charges		42000				other	OPPS APC	42000				other	OPPS APC	11377.8				percent of total billed charges		11604.6				percent of total billed charges		42				other	OPPS APC	42	42000	
SPINAL STIMULATOR CAP PRICING	SUP-SPINALSTIMCAP	CDM			270	RC		inpatient			42000	42000																																																			
HC Tib/per Revasc W/Stent	PX-361372301	CDM	37230	CPT	361	RC		outpatient			41005	1891.79	12949.38				percent of total billed charges		18091.79				other	OPPS APC	10337				fee schedule		18091.79				other	OPPS APC	18091.79				other	OPPS APC	12949.38				percent of total billed charges		13207.71				percent of total billed charges		1891.79				other	OPPS APC	1891.79	18091.79	
HC Tib/per Revasc W/Stent	PX-361372301	CDM	37230	CPT	361	RC		inpatient			41005	41005																																																			
CATHETER ABLATION FLEXABILITY 1-4-1 MM SPACE F-J CURVE L115 CM L4 MM OD8 FR 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE	SUP-A701128	CDM			270	RC		outpatient			40028	428	10843.59				percent of total billed charges		40028				other	OPPS APC	29620.72				percent of total billed charges		40028				other	OPPS APC	40028				other	OPPS APC	10843.59				percent of total billed charges		11059.74				percent of total billed charges		428				other	OPPS APC	428	40028	
CATHETER ABLATION FLEXABILITY 1-4-1 MM SPACE F-J CURVE L115 CM L4 MM OD8 FR 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE	SUP-A701128	CDM			270	RC		inpatient			40028	40028																																																			
IMPELLA CP WITH SMARTASSIST	SUP-00813502011876	CDM			481	RC		outpatient			40000	4	19600				percent of total billed charges		40000				other	OPPS APC	29600				percent of total billed charges		40000				other	OPPS APC	40000				other	OPPS APC	19600				percent of total billed charges		20400				percent of total billed charges		4				other	OPPS APC	4	40000	
IMPELLA CP WITH SMARTASSIST	SUP-00813502011876	CDM			481	RC		inpatient			40000	40000																																																			
DEFIBRILLATOR SQ  EMBLEM A219 S-ICD PULSE GENERATOR SYSTEM INCLUDES ELECTRODE	SUP-9B11	CDM			275	RC		outpatient			39940	3994	19570.6				percent of total billed charges		39940				other	OPPS APC	22765.8				percent of total billed charges		39940				other	OPPS APC	39940				other	OPPS APC	19570.6				percent of total billed charges		20369.4				percent of total billed charges		3994				other	OPPS APC	3994	39940	
DEFIBRILLATOR SQ  EMBLEM A219 S-ICD PULSE GENERATOR SYSTEM INCLUDES ELECTRODE	SUP-9B11	CDM			275	RC		inpatient			39940	39940																																																			
SYSTEM CRTD VIGILANT MRI X4 DF1	SUP-8XV1/2	CDM			275	RC		outpatient			39798	39798	19501.02				percent of total billed charges		39798				other	OPPS APC	22684.86				percent of total billed charges		39798				other	OPPS APC	39798				other	OPPS APC	19501.02				percent of total billed charges		20296.98				percent of total billed charges		39798				other	OPPS APC	19501.02	39798	
SYSTEM CRTD VIGILANT MRI X4 DF1	SUP-8XV1/2	CDM			275	RC		inpatient			39798	39798																																																			
MOGAMULIZUMAB-KPKC 4 MG/ML SOLUTION 5 ML VIAL	636000000	CDM	42747-761-01	NDC	J9204	HCPCS		inpatient			39763.8	39763.8																																																			
MOGAMULIZUMAB-KPKC 4 MG/ML SOLUTION 5 ML VIAL	636000000	CDM	42747-761-01	NDC	J9204	HCPCS		outpatient			39763.8	249.46																																											249.46				other	OPPS APC	249.46	249.46	
GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL STRAIGHT L207 MM L200 MM OD38 MM ODSEC24 FR THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER	SUP-VAMF3838C200TU	CDM	270010015	LOCAL	270	RC		outpatient			38990	3899	10562.39				percent of total billed charges		38990				other	OPPS APC	28852.6				percent of total billed charges		38990				other	OPPS APC	38990				other	OPPS APC	10562.39				percent of total billed charges		10772.94				percent of total billed charges		3899				other	OPPS APC	3899	38990	
GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL STRAIGHT L207 MM L200 MM OD38 MM ODSEC24 FR THORACIC PROXIMAL FREEFLO RADIOPAQUE MARKER	SUP-VAMF3838C200TU	CDM	270010015	LOCAL	270	RC		inpatient			38990	38990																																																			
CRT-D DYNAGEN X4 DF4 SYSTEM	SUP-8DBC/D	CDM			275	RC		outpatient			38798	38798	19011.02				percent of total billed charges		38798				other	OPPS APC	22114.86				percent of total billed charges		38798				other	OPPS APC	38798				other	OPPS APC	19011.02				percent of total billed charges		19786.98				percent of total billed charges		38798				other	OPPS APC	19011.02	38798	
CRT-D DYNAGEN X4 DF4 SYSTEM	SUP-8DBC/D	CDM			275	RC		inpatient			38798	38798																																																			
ICD QUADRA ASSURA MP CRT-D DF4 CONNECTOR SYSTEM	SUP-CD3369-40Q SYSTEM	CDM			275	RC		outpatient			38798	38798	19011.02				percent of total billed charges		38798				other	OPPS APC	22114.86				percent of total billed charges		38798				other	OPPS APC	38798				other	OPPS APC	19011.02				percent of total billed charges		19786.98				percent of total billed charges		38798				other	OPPS APC	19011.02	38798	
ICD QUADRA ASSURA MP CRT-D DF4 CONNECTOR SYSTEM	SUP-CD3369-40Q SYSTEM	CDM			275	RC		inpatient			38798	38798																																																			
CRT PROTECTA CRT-D SYSTEM	SUP-PROECTACRTDMMM	CDM			275	RC		outpatient			38666	38666	18946.34				percent of total billed charges		38666				other	OPPS APC	22039.62				percent of total billed charges		38666				other	OPPS APC	38666				other	OPPS APC	18946.34				percent of total billed charges		19719.66				percent of total billed charges		38666				other	OPPS APC	18946.34	38666	
CRT PROTECTA CRT-D SYSTEM	SUP-PROECTACRTDMMM	CDM			275	RC		inpatient			38666	38666																																																			
CRT AMPLIA MRI QUAD SYSTEM	SUP-AMPLIAMRIQDCRTMMQM	CDM						inpatient			38500	38500																																																			
CRT AMPLIA MRI QUAD SYSTEM	SUP-AMPLIAMRIQDCRTMMQM	CDM						outpatient			38500	385	38500				percent of total billed charges		38500				other	OPPS APC	38500				fee schedule		38500				other	OPPS APC	38500				other	OPPS APC	38500				case rate		38500				case rate		385				other	OPPS APC	385	38500	
SYSTEM  CRTD MOMENTUM X4 DF1	SUP-8XM1/2	CDM			275	RC		outpatient			38250	3825	18742.5				percent of total billed charges		38250				other	OPPS APC	21802.5				percent of total billed charges		38250				other	OPPS APC	38250				other	OPPS APC	18742.5				percent of total billed charges		19507.5				percent of total billed charges		3825				other	OPPS APC	3825	38250	
SYSTEM  CRTD MOMENTUM X4 DF1	SUP-8XM1/2	CDM			275	RC		inpatient			38250	38250																																																			
ICD PROTECTA DR SYSTEM	SUP-PROTECTADRMMEM	CDM			270	RC		outpatient			38186	38186	10344.59				percent of total billed charges		38186				other	OPPS APC	28257.64				percent of total billed charges		38186				other	OPPS APC	38186				other	OPPS APC	10344.59				percent of total billed charges		10550.79				percent of total billed charges		38186				other	OPPS APC	10344.59	38186	
ICD PROTECTA DR SYSTEM	SUP-PROTECTADRMMEM	CDM			270	RC		inpatient			38186	38186																																																			
QUADRA ASSURA CRT-D	SUP-CD3265-40	CDM			275	RC		outpatient			38174.5	38174.5	18705.51				percent of total billed charges		38174.5				other	OPPS APC	21759.47				percent of total billed charges		38174.5				other	OPPS APC	38174.5				other	OPPS APC	18705.51				percent of total billed charges		19469				percent of total billed charges		38174.5				other	OPPS APC	18705.51	38174.5	
QUADRA ASSURA CRT-D	SUP-CD3265-40	CDM			275	RC		inpatient			38174.5	38174.5																																																			
DEFIBRILLATOR CARDIAC QUADRA ASSURA TAILOREDTHERAPY SHOCKGUARD DECISIONTX THK14MM 41X76MM 38CC 81GM IS-1 IS4 DF4	SUP-CD3265-40Q	CDM			275	RC		outpatient			38174.5	38174.5	18705.51				percent of total billed charges		38174.5				other	OPPS APC	21759.47				percent of total billed charges		38174.5				other	OPPS APC	38174.5				other	OPPS APC	18705.51				percent of total billed charges		19469				percent of total billed charges		38174.5				other	OPPS APC	18705.51	38174.5	
DEFIBRILLATOR CARDIAC QUADRA ASSURA TAILOREDTHERAPY SHOCKGUARD DECISIONTX THK14MM 41X76MM 38CC 81GM IS-1 IS4 DF4	SUP-CD3265-40Q	CDM			275	RC		inpatient			38174.5	38174.5																																																			
CRT AMPLIA MRI SYSTEM	SUP-AMPLIAMRICRTDMMAM	CDM						inpatient			37500	37500																																																			
CRT AMPLIA MRI SYSTEM	SUP-AMPLIAMRICRTDMMAM	CDM						outpatient			37500	375	37500				percent of total billed charges		37500				other	OPPS APC	37500				fee schedule		37500				other	OPPS APC	37500				other	OPPS APC	37500				case rate		37500				case rate		375				other	OPPS APC	375	37500	
CRT-D DYNAGEN X4 SYSTEM	SUP-8DAC/D	CDM			275	RC		outpatient			37250	3725	18252.5				percent of total billed charges		37250				other	OPPS APC	21232.5				percent of total billed charges		37250				other	OPPS APC	37250				other	OPPS APC	18252.5				percent of total billed charges		18997.5				percent of total billed charges		3725				other	OPPS APC	3725	37250	
CRT-D DYNAGEN X4 SYSTEM	SUP-8DAC/D	CDM			275	RC		inpatient			37250	37250																																																			
ICD QUADRA ASSURA MP CRT-D SYSTEM	SUP-CD3369-40C SYSTEM	CDM			275	RC		outpatient			37250	3725	18252.5				percent of total billed charges		37250				other	OPPS APC	21232.5				percent of total billed charges		37250				other	OPPS APC	37250				other	OPPS APC	18252.5				percent of total billed charges		18997.5				percent of total billed charges		3725				other	OPPS APC	3725	37250	
ICD QUADRA ASSURA MP CRT-D SYSTEM	SUP-CD3369-40C SYSTEM	CDM			275	RC		inpatient			37250	37250																																																			
DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD	SUP-MAXIIDRMMEM	CDM			275	RC		outpatient			37234	37234	18244.66				percent of total billed charges		37234				other	OPPS APC	21223.38				percent of total billed charges		37234				other	OPPS APC	37234				other	OPPS APC	18244.66				percent of total billed charges		18989.34				percent of total billed charges		37234				other	OPPS APC	18244.66	37234	
DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD	SUP-MAXIIDRMMEM	CDM			275	RC		inpatient			37234	37234																																																			
GRAFT THORACIC MEDTRONIC VALIANT	SUP-VAMF3838C150TU	CDM	270010015	LOCAL	270	RC		outpatient			36990	3699	10020.59				percent of total billed charges		36990				other	OPPS APC	27372.6				percent of total billed charges		36990				other	OPPS APC	36990				other	OPPS APC	10020.59				percent of total billed charges		10220.34				percent of total billed charges		3699				other	OPPS APC	3699	36990	
GRAFT THORACIC MEDTRONIC VALIANT	SUP-VAMF3838C150TU	CDM	270010015	LOCAL	270	RC		inpatient			36990	36990																																																			
GRAFT STENT VALIANT STRAIGHT SINUSOIDAL 150MM 40MM 40MM ENDOVASCULAR SYSTEM FREEFLO	SUP-VAMF4040C150TU	CDM	270010015	LOCAL	270	RC		outpatient			36990	3699	10020.59				percent of total billed charges		36990				other	OPPS APC	27372.6				percent of total billed charges		36990				other	OPPS APC	36990				other	OPPS APC	10020.59				percent of total billed charges		10220.34				percent of total billed charges		3699				other	OPPS APC	3699	36990	
GRAFT STENT VALIANT STRAIGHT SINUSOIDAL 150MM 40MM 40MM ENDOVASCULAR SYSTEM FREEFLO	SUP-VAMF4040C150TU	CDM	270010015	LOCAL	270	RC		inpatient			36990	36990																																																			
SYSTEM CRTD MOMENTUM IS1 DF4	SUP-8CM1/2	CDM			275	RC		outpatient			36530	3653	17899.7				percent of total billed charges		36530				other	OPPS APC	20822.1				percent of total billed charges		36530				other	OPPS APC	36530				other	OPPS APC	17899.7				percent of total billed charges		18630.3				percent of total billed charges		3653				other	OPPS APC	3653	36530	
SYSTEM CRTD MOMENTUM IS1 DF4	SUP-8CM1/2	CDM			275	RC		inpatient			36530	36530																																																			
SYSTEM CRTD MOMENTUM IS1 DF1	SUP-8CMA/B	CDM			275	RC		outpatient			36530	3653	17899.7				percent of total billed charges		36530				other	OPPS APC	20822.1				percent of total billed charges		36530				other	OPPS APC	36530				other	OPPS APC	17899.7				percent of total billed charges		18630.3				percent of total billed charges		3653				other	OPPS APC	3653	36530	
SYSTEM CRTD MOMENTUM IS1 DF1	SUP-8CMA/B	CDM			275	RC		inpatient			36530	36530																																																			
IMPLANT OPHTHALMIC RETISERT FLUOCINOLONE ACETONIDE 3 MM X 2 MM X 5 MM .59 MG POSTERIOR SEGMENT ELASTOMER CUP SUTURE TAB STERILE UVEITIS	SUP-24208-416-01	CDM			270	RC		outpatient			36500	365	9887.85				percent of total billed charges		36500				other	OPPS APC	27010				percent of total billed charges		36500				other	OPPS APC	36500				other	OPPS APC	9887.85				percent of total billed charges		10084.95				percent of total billed charges		365				other	OPPS APC	365	36500	
IMPLANT OPHTHALMIC RETISERT FLUOCINOLONE ACETONIDE 3 MM X 2 MM X 5 MM .59 MG POSTERIOR SEGMENT ELASTOMER CUP SUTURE TAB STERILE UVEITIS	SUP-24208-416-01	CDM			270	RC		inpatient			36500	36500																																																			
IMPLANT ORBITAL RETISERT .59 MG INTRAVITREAL EYE	SUP-AB41601	CDM			270	RC		outpatient			36500	365	9887.85				percent of total billed charges		36500				other	OPPS APC	27010				percent of total billed charges		36500				other	OPPS APC	36500				other	OPPS APC	9887.85				percent of total billed charges		10084.95				percent of total billed charges		365				other	OPPS APC	365	36500	
IMPLANT ORBITAL RETISERT .59 MG INTRAVITREAL EYE	SUP-AB41601	CDM			270	RC		inpatient			36500	36500																																																			
DURVALUMAB 50 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0310-4611-50	NDC	J9173	HCPCS		inpatient			36244.95	36244.95																																																			
DURVALUMAB 50 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0310-4611-50	NDC	J9173	HCPCS		outpatient			36244.95	85.77																																											85.77				other	OPPS APC	85.77	85.77	
GENERATOR NEUROSTIMULATOR PRECISION MONTAGE 16 CONTACT MRI	SUP-SC-1200	CDM	270010020	LOCAL	270	RC		outpatient			36000	36	9752.4				percent of total billed charges		36000				other	OPPS APC	26640				percent of total billed charges		36000				other	OPPS APC	36000				other	OPPS APC	9752.4				percent of total billed charges		9946.8				percent of total billed charges		36				other	OPPS APC	36	36000	
GENERATOR NEUROSTIMULATOR PRECISION MONTAGE 16 CONTACT MRI	SUP-SC-1200	CDM	270010020	LOCAL	270	RC		inpatient			36000	36000																																																			
SQ ICD A219 Emblem Device _41836_	SUP-A219	CDM			275	RC		outpatient			35640	3564	17463.6				percent of total billed charges		35640				other	OPPS APC	20314.8				percent of total billed charges		35640				other	OPPS APC	35640				other	OPPS APC	17463.6				percent of total billed charges		18176.4				percent of total billed charges		3564				other	OPPS APC	3564	35640	
SQ ICD A219 Emblem Device _41836_	SUP-A219	CDM			275	RC		inpatient			35640	35640																																																			
QUADRA HF CRT-D	SUP-CD3249-40/40Q	CDM			275	RC		outpatient			35625	35625	17456.25				percent of total billed charges		35625				other	OPPS APC	20306.25				percent of total billed charges		35625				other	OPPS APC	35625				other	OPPS APC	17456.25				percent of total billed charges		18168.75				percent of total billed charges		35625				other	OPPS APC	17456.25	35625	
QUADRA HF CRT-D	SUP-CD3249-40/40Q	CDM			275	RC		inpatient			35625	35625																																																			
DEFIBRILLATOR CARDIAC SECURA VR	SUP-D224VRC S	CDM			275	RC		outpatient			35558	35558	17423.42				percent of total billed charges		35558				other	OPPS APC	20268.06				percent of total billed charges		35558				other	OPPS APC	35558				other	OPPS APC	17423.42				percent of total billed charges		18134.58				percent of total billed charges		35558				other	OPPS APC	17423.42	35558	
DEFIBRILLATOR CARDIAC SECURA VR	SUP-D224VRC S	CDM			275	RC		inpatient			35558	35558																																																			
ICD PROTECTA VR SYSTEM	SUP-PROTECTAVREMEM	CDM			275	RC		outpatient			35558	35558	17423.42				percent of total billed charges		35558				other	OPPS APC	20268.06				percent of total billed charges		35558				other	OPPS APC	35558				other	OPPS APC	17423.42				percent of total billed charges		18134.58				percent of total billed charges		35558				other	OPPS APC	17423.42	35558	
ICD PROTECTA VR SYSTEM	SUP-PROTECTAVREMEM	CDM			275	RC		inpatient			35558	35558																																																			
CRT-D DYNAGEN DF4 SYSTEM	SUP-8D8C/D	CDM			275	RC		outpatient			35530	3553	17409.7				percent of total billed charges		35530				other	OPPS APC	20252.1				percent of total billed charges		35530				other	OPPS APC	35530				other	OPPS APC	17409.7				percent of total billed charges		18120.3				percent of total billed charges		3553				other	OPPS APC	3553	35530	
CRT-D DYNAGEN DF4 SYSTEM	SUP-8D8C/D	CDM			275	RC		inpatient			35530	35530																																																			
CRT-D DYNAGEN SYSTEM	SUP-8D9C/D	CDM			275	RC		outpatient			35530	3553	17409.7				percent of total billed charges		35530				other	OPPS APC	20252.1				percent of total billed charges		35530				other	OPPS APC	35530				other	OPPS APC	17409.7				percent of total billed charges		18120.3				percent of total billed charges		3553				other	OPPS APC	3553	35530	
CRT-D DYNAGEN SYSTEM	SUP-8D9C/D	CDM			275	RC		inpatient			35530	35530																																																			
CRT-D DYNAGEN LV-1 SYSTEM	SUP-8DCC/D	CDM			275	RC		outpatient			35530	3553	17409.7				percent of total billed charges		35530				other	OPPS APC	20252.1				percent of total billed charges		35530				other	OPPS APC	35530				other	OPPS APC	17409.7				percent of total billed charges		18120.3				percent of total billed charges		3553				other	OPPS APC	3553	35530	
CRT-D DYNAGEN LV-1 SYSTEM	SUP-8DCC/D	CDM			275	RC		inpatient			35530	35530																																																			
GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL TAPER L160 MM L150 MM OD36-40 MM ODSEC24 FR THORACIC CLOSED WEB RADIOPAQUE MARKER	SUP-VAMFC4036C150TU	CDM	270010015	LOCAL	270	RC		outpatient			35490	3549	9614.24				percent of total billed charges		35490				other	OPPS APC	26262.6				percent of total billed charges		35490				other	OPPS APC	35490				other	OPPS APC	9614.24				percent of total billed charges		9805.89				percent of total billed charges		3549				other	OPPS APC	3549	35490	
GRAFT STENT VALIANT CAPTIVIA NITINOL PLATINUM IRIDIUM HYDROPHILIC SINUSOIDAL TAPER L160 MM L150 MM OD36-40 MM ODSEC24 FR THORACIC CLOSED WEB RADIOPAQUE MARKER	SUP-VAMFC4036C150TU	CDM	270010015	LOCAL	270	RC		inpatient			35490	35490																																																			
SYSTEM ICD DR FORTIFY	SUP-CD2231-40Q-S	CDM			275	RC		outpatient			35200	352	17248				percent of total billed charges		35200				other	OPPS APC	20064				percent of total billed charges		35200				other	OPPS APC	35200				other	OPPS APC	17248				percent of total billed charges		17952				percent of total billed charges		352				other	OPPS APC	352	35200	
SYSTEM ICD DR FORTIFY	SUP-CD2231-40Q-S	CDM			275	RC		inpatient			35200	35200																																																			
ICD FORTIFY ASSURA DR40 DF4  DUAL CHAMBER SYSTEM	SUP-CD2257-40QS	CDM			275	RC		outpatient			35200	352	17248				percent of total billed charges		35200				other	OPPS APC	20064				percent of total billed charges		35200				other	OPPS APC	35200				other	OPPS APC	17248				percent of total billed charges		17952				percent of total billed charges		352				other	OPPS APC	352	35200	
ICD FORTIFY ASSURA DR40 DF4  DUAL CHAMBER SYSTEM	SUP-CD2257-40QS	CDM			275	RC		inpatient			35200	35200																																																			
ICD FORTIFY DR 40 DUAL CHAMBER SYSTEM	SUP-CD2257-40S	CDM			275	RC		outpatient			35200	352	17248				percent of total billed charges		35200				other	OPPS APC	20064				percent of total billed charges		35200				other	OPPS APC	35200				other	OPPS APC	17248				percent of total billed charges		17952				percent of total billed charges		352				other	OPPS APC	352	35200	
ICD FORTIFY DR 40 DUAL CHAMBER SYSTEM	SUP-CD2257-40S	CDM			275	RC		inpatient			35200	35200																																																			
GRAFT THORACIC ENDOPROSTHESIS 21X10	SUP-TGU212110	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 21X10	SUP-TGU212110	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
GRAFT THORACIC ENDOPROSTHESIS 26X21X10	SUP-TGU262110	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 26X21X10	SUP-TGU262110	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
GRAFT THORACIC ENDOPROSTHESIS 26X26X10	SUP-TGU262610	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 26X26X10	SUP-TGU262610	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
GRAFT THORACIC ENDOPROSTHESIS 28X28X10	SUP-TGU282810	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 28X28X10	SUP-TGU282810	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
GRAFT THORACIC ENDOPROSTHESIS 31X26X10	SUP-TGU312610	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 31X26X10	SUP-TGU312610	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
GRAFT THORACIC ENDOPROSTHESIS 31X31X10	SUP-TGU313110	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 31X31X10	SUP-TGU313110	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
GRAFT THORACIC ENDOPROSTHESIS 34X34X15	SUP-TGU343415	CDM	270010015	LOCAL	270	RC		outpatient			34998	34998	9480.96				percent of total billed charges		34998				other	OPPS APC	25898.52				percent of total billed charges		34998				other	OPPS APC	34998				other	OPPS APC	9480.96				percent of total billed charges		9669.95				percent of total billed charges		34998				other	OPPS APC	9480.96	34998	
GRAFT THORACIC ENDOPROSTHESIS 34X34X15	SUP-TGU343415	CDM	270010015	LOCAL	270	RC		inpatient			34998	34998																																																			
PACEMAKER - AICD - COBALT - DTPA2QQ	SUP-99-04155	CDM			275	RC		outpatient			34954	34954	34954				fee schedule		34954				other	OPPS APC	19923.78				percent of total billed charges		34954				other	OPPS APC	34954				other	OPPS APC	17127.46				percent of total billed charges		17826.54				percent of total billed charges		34954				other	OPPS APC	17127.46	34954	
PACEMAKER - AICD - COBALT - DTPA2QQ	SUP-99-04155	CDM			275	RC		inpatient			34954	34954																																																			
CRTD G247 VIGILANT MRI X4 DF4 _51712_	SUP-G247	CDM			275	RC		outpatient			34512	34512	16910.88				percent of total billed charges		34512				other	OPPS APC	19671.84				percent of total billed charges		34512				other	OPPS APC	34512				other	OPPS APC	16910.88				percent of total billed charges		17601.12				percent of total billed charges		34512				other	OPPS APC	16910.88	34512	
CRTD G247 VIGILANT MRI X4 DF4 _51712_	SUP-G247	CDM			275	RC		inpatient			34512	34512																																																			
DEFIBRILLATOR MAXIMO II CRTD	SUP-D224TRKD	CDM			275	RC		outpatient			34332	34332	16822.68				percent of total billed charges		34332				other	OPPS APC	19569.24				percent of total billed charges		34332				other	OPPS APC	34332				other	OPPS APC	16822.68				percent of total billed charges		17509.32				percent of total billed charges		34332				other	OPPS APC	16822.68	34332	
DEFIBRILLATOR MAXIMO II CRTD	SUP-D224TRKD	CDM			275	RC		inpatient			34332	34332																																																			
PEMBROLIZUMAB 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	0006-3026-01	NDC	J9271	HCPCS		inpatient			34012.1	34012.1																																																			
PEMBROLIZUMAB 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	0006-3026-01	NDC	J9271	HCPCS		outpatient			34012.1	61.49																																											61.49				other	OPPS APC	61.49	61.49	
DOSTARLIMAB-GXLY 50 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0173-0898-03	NDC	J9272	HCPCS		inpatient			34009.18	34009.18																																																			
DOSTARLIMAB-GXLY 50 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0173-0898-03	NDC	J9272	HCPCS		outpatient			34009.18	247.74																																											247.74				other	OPPS APC	247.74	247.74	
GENERATOR SPINAL CORD STIMULATOR EON MINI	SUP-3788-SCSCAP	CDM			270	RC		outpatient			34000	34	9210.6				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	9210.6				percent of total billed charges		9394.2				percent of total billed charges		34				other	OPPS APC	34	34000	
GENERATOR SPINAL CORD STIMULATOR EON MINI	SUP-3788-SCSCAP	CDM			270	RC		inpatient			34000	34000																																																			
GENERATOR SPINAL CORD STIM PROTEGE	SUP-3789-SCCAP	CDM			270	RC		outpatient			34000	34	9210.6				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	9210.6				percent of total billed charges		9394.2				percent of total billed charges		34				other	OPPS APC	34	34000	
GENERATOR SPINAL CORD STIM PROTEGE	SUP-3789-SCCAP	CDM			270	RC		inpatient			34000	34000																																																			
ICD ELLIPSE MRI VR 36 DF4 CONNECTOR SYSTEM	SUP-CD1311-36QS	CDM			275	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	19380				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
ICD ELLIPSE MRI VR 36 DF4 CONNECTOR SYSTEM	SUP-CD1311-36QS	CDM			275	RC		inpatient			34000	34000																																																			
DEVICE CLOSURE WATCHMAN FLX PRO L 20 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60200	CDM			481	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
DEVICE CLOSURE WATCHMAN FLX PRO L 20 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60200	CDM			481	RC		inpatient			34000	34000																																																			
DEVICE CLOSURE WATCHMAN FLX PRO L 24 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60240	CDM			481	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
DEVICE CLOSURE WATCHMAN FLX PRO L 24 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60240	CDM			481	RC		inpatient			34000	34000																																																			
DEVICE CLOSURE WATCHMAN FLX PRO L 27MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60270	CDM			481	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
DEVICE CLOSURE WATCHMAN FLX PRO L 27MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60270	CDM			481	RC		inpatient			34000	34000																																																			
DEVICE CLOSURE WATCHMAN FLX PRO L 31 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60310	CDM			481	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
DEVICE CLOSURE WATCHMAN FLX PRO L 31 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60310	CDM			481	RC		inpatient			34000	34000																																																			
DEVICE CLOSURE WATCHMAN FLX PRO L 35MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60350	CDM			481	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
DEVICE CLOSURE WATCHMAN FLX PRO L 35MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60350	CDM			481	RC		inpatient			34000	34000																																																			
DEVICE CLOSURE WATCHMAN FLX PRO L 40 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60400	CDM			481	RC		outpatient			34000	34	16660				percent of total billed charges		34000				other	OPPS APC	25160				percent of total billed charges		34000				other	OPPS APC	34000				other	OPPS APC	16660				percent of total billed charges		17340				percent of total billed charges		34				other	OPPS APC	34	34000	
DEVICE CLOSURE WATCHMAN FLX PRO L 40 MM LEFT ATRIAL APPENDAGE STERILE LATEX FREE DISPOSABLE DELIVERY SYSTEM	SUP-M635WU60400	CDM			481	RC		inpatient			34000	34000																																																			
UNIFY HF CRT-D	SUP-CD3231-40Q-D	CDM			275	RC		outpatient			33755	33755	16539.95				percent of total billed charges		33755				other	OPPS APC	19240.35				percent of total billed charges		33755				other	OPPS APC	33755				other	OPPS APC	16539.95				percent of total billed charges		17215.05				percent of total billed charges		33755				other	OPPS APC	16539.95	33755	
UNIFY HF CRT-D	SUP-CD3231-40Q-D	CDM			275	RC		inpatient			33755	33755																																																			
CRTD CD3257-40Q ASSURA _35390_	SUP-CD3257-40Q	CDM			275	RC		outpatient			33755	33755	16539.95				percent of total billed charges		33755				other	OPPS APC	19240.35				percent of total billed charges		33755				other	OPPS APC	33755				other	OPPS APC	16539.95				percent of total billed charges		17215.05				percent of total billed charges		33755				other	OPPS APC	16539.95	33755	
CRTD CD3257-40Q ASSURA _35390_	SUP-CD3257-40Q	CDM			275	RC		inpatient			33755	33755																																																			
DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.18 CM 32.5 CC 73.8 GM IS-1 DF-4 IS-4 CONNECTOR STERILE	SUP-G158	CDM			275	RC		outpatient			33512	33512	16420.88				percent of total billed charges		33512				other	OPPS APC	19101.84				percent of total billed charges		33512				other	OPPS APC	33512				other	OPPS APC	16420.88				percent of total billed charges		17091.12				percent of total billed charges		33512				other	OPPS APC	16420.88	33512	
DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.18 CM 32.5 CC 73.8 GM IS-1 DF-4 IS-4 CONNECTOR STERILE	SUP-G158	CDM			275	RC		inpatient			33512	33512																																																			
PACEMAKER - AICD - CLARIA DTMA1Q1	SUP-99-04220	CDM			275	RC		outpatient			33398	33398	33398				fee schedule		33398				other	OPPS APC	19036.86				percent of total billed charges		33398				other	OPPS APC	33398				other	OPPS APC	16365.02				percent of total billed charges		17032.98				percent of total billed charges		33398				other	OPPS APC	16365.02	33398	
PACEMAKER - AICD - CLARIA DTMA1Q1	SUP-99-04220	CDM			275	RC		inpatient			33398	33398																																																			
CRTD CLARIA MRI QUAD DEVICE	SUP-DTMA1Q1	CDM			275	RC		outpatient			33398	33398	16365.02				percent of total billed charges		33398				other	OPPS APC	19036.86				percent of total billed charges		33398				other	OPPS APC	33398				other	OPPS APC	16365.02				percent of total billed charges		17032.98				percent of total billed charges		33398				other	OPPS APC	16365.02	33398	
CRTD CLARIA MRI QUAD DEVICE	SUP-DTMA1Q1	CDM			275	RC		inpatient			33398	33398																																																			
CRTD CALRIA MRI QUAD DEVICE	SUP-DTMA1QQ	CDM			275	RC		outpatient			33398	33398	16365.02				percent of total billed charges		33398				other	OPPS APC	19036.86				percent of total billed charges		33398				other	OPPS APC	33398				other	OPPS APC	16365.02				percent of total billed charges		17032.98				percent of total billed charges		33398				other	OPPS APC	16365.02	33398	
CRTD CALRIA MRI QUAD DEVICE	SUP-DTMA1QQ	CDM			275	RC		inpatient			33398	33398																																																			
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2Q1	CDM			275	RC		outpatient			33398	33398	16365.02				percent of total billed charges		33398				other	OPPS APC	19036.86				percent of total billed charges		33398				other	OPPS APC	33398				other	OPPS APC	16365.02				percent of total billed charges		17032.98				percent of total billed charges		33398				other	OPPS APC	16365.02	33398	
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2Q1	CDM			275	RC		inpatient			33398	33398																																																			
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2QQ	CDM			275	RC		outpatient			33398	33398	16365.02				percent of total billed charges		33398				other	OPPS APC	19036.86				percent of total billed charges		33398				other	OPPS APC	33398				other	OPPS APC	16365.02				percent of total billed charges		17032.98				percent of total billed charges		33398				other	OPPS APC	16365.02	33398	
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR IS4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2QQ	CDM			275	RC		inpatient			33398	33398																																																			
PACEMAKER - AICD - COBALT - DTPA2D1	SUP-99-04151	CDM			275	RC		outpatient			33397	33397	33397				fee schedule		33397				other	OPPS APC	19036.29				percent of total billed charges		33397				other	OPPS APC	33397				other	OPPS APC	16364.53				percent of total billed charges		17032.47				percent of total billed charges		33397				other	OPPS APC	16364.53	33397	
PACEMAKER - AICD - COBALT - DTPA2D1	SUP-99-04151	CDM			275	RC		inpatient			33397	33397																																																			
PACEMAKER - AICD - COBALT - DTPA2D4	SUP-99-04152	CDM			275	RC		outpatient			33397	33397	33397				fee schedule		33397				other	OPPS APC	19036.29				percent of total billed charges		33397				other	OPPS APC	33397				other	OPPS APC	16364.53				percent of total billed charges		17032.47				percent of total billed charges		33397				other	OPPS APC	16364.53	33397	
PACEMAKER - AICD - COBALT - DTPA2D4	SUP-99-04152	CDM			275	RC		inpatient			33397	33397																																																			
PACEMAKER - AICD - COBALT - DTPA2Q1	SUP-99-04154	CDM			275	RC		outpatient			33397	33397	33397				fee schedule		33397				other	OPPS APC	19036.29				percent of total billed charges		33397				other	OPPS APC	33397				other	OPPS APC	16364.53				percent of total billed charges		17032.47				percent of total billed charges		33397				other	OPPS APC	16364.53	33397	
PACEMAKER - AICD - COBALT - DTPA2Q1	SUP-99-04154	CDM			275	RC		inpatient			33397	33397																																																			
DEVICE AMPLIA MRI QUAD DF1	SUP-DTMB1Q1	CDM			275	RC		outpatient			33298	33298	16316.02				percent of total billed charges		33298				other	OPPS APC	18979.86				percent of total billed charges		33298				other	OPPS APC	33298				other	OPPS APC	16316.02				percent of total billed charges		16981.98				percent of total billed charges		33298				other	OPPS APC	16316.02	33298	
DEVICE AMPLIA MRI QUAD DF1	SUP-DTMB1Q1	CDM			275	RC		inpatient			33298	33298																																																			
CRT AMPLIA MRI QUAD DEVICE	SUP-DTMB1QQ	CDM			275	RC		outpatient			33298	33298	16316.02				percent of total billed charges		33298				other	OPPS APC	18979.86				percent of total billed charges		33298				other	OPPS APC	33298				other	OPPS APC	16316.02				percent of total billed charges		16981.98				percent of total billed charges		33298				other	OPPS APC	16316.02	33298	
CRT AMPLIA MRI QUAD DEVICE	SUP-DTMB1QQ	CDM			275	RC		inpatient			33298	33298																																																			
DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D THK15 MM W51 MM X H69 MM 38 ML 68 GM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE	SUP-D334TRG	CDM			275	RC		outpatient			33166	33166	16251.34				percent of total billed charges		33166				other	OPPS APC	18904.62				percent of total billed charges		33166				other	OPPS APC	33166				other	OPPS APC	16251.34				percent of total billed charges		16914.66				percent of total billed charges		33166				other	OPPS APC	16251.34	33166	
DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D THK15 MM W51 MM X H69 MM 38 ML 68 GM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE	SUP-D334TRG	CDM			275	RC		inpatient			33166	33166																																																			
HC Cc Acid Insertion Single or Dual	PX-361332490	CDM	33249	CPT	361	RC		outpatient			33000	33783.43	10421.4				percent of total billed charges		33783.43				other	OPPS APC	12414				fee schedule		33783.43				other	OPPS APC	33783.43				other	OPPS APC	10421.4				percent of total billed charges		10629.3				percent of total billed charges		33783.43				other	OPPS APC	10421.4	33783.43	
HC Cc Acid Insertion Single or Dual	PX-361332490	CDM	33249	CPT	361	RC		inpatient			33000	33000																																																			
HC Cc Aicd Battery Change Multi Lead	PX-361332640	CDM	33264	CPT	361	RC		outpatient			33000	33783.43	10421.4				percent of total billed charges		33783.43				other	OPPS APC	8653				fee schedule		33783.43				other	OPPS APC	33783.43				other	OPPS APC	10421.4				percent of total billed charges		10629.3				percent of total billed charges		33783.43				other	OPPS APC	8653	33783.43	
HC Cc Aicd Battery Change Multi Lead	PX-361332640	CDM	33264	CPT	361	RC		inpatient			33000	33000																																																			
DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM VIA 17	SUP-W5-4.5-2	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM VIA 17	SUP-W5-4.5-2	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD4.5 MM VIA 17	SUP-W5-4.5-3	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H3 MM OD4.5 MM VIA 17	SUP-W5-4.5-3	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H2 MM OD4 MM	SUP-W5-4-2	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H2 MM OD4 MM	SUP-W5-4-2	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD4 MM	SUP-W5-4-3	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H3 MM OD4 MM	SUP-W5-4-3	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SPHERE H2.6 MM OD4 MM 1 LAYER VIA 17 CATHETER	SUP-W5-4-S	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SPHERE H2.6 MM OD4 MM 1 LAYER VIA 17 CATHETER	SUP-W5-4-S	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM	SUP-W5-5-2	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H2 MM OD5 MM	SUP-W5-5-2	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD5 MM	SUP-W5-5-3	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H3 MM OD5 MM	SUP-W5-5-3	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SPHERE H3.6 MM OD5 MM 1 LAYER VIA 17 CATHETER	SUP-W5-5-S	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SPHERE H3.6 MM OD5 MM 1 LAYER VIA 17 CATHETER	SUP-W5-5-S	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM STERILE LATEX FREE DISPOSABLE	SUP-W5-6-2	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM STERILE LATEX FREE DISPOSABLE	SUP-W5-6-2	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM	SUP-W5-6-3	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H3 MM OD6 MM	SUP-W5-6-3	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H4 MM OD6 MM	SUP-W5-6-4	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H4 MM OD6 MM	SUP-W5-6-4	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SPHERE H4.6 MM OD6 MM 1 LAYER VIA 17 CATHETER	SUP-W5-6-S	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SPHERE H4.6 MM OD6 MM 1 LAYER VIA 17 CATHETER	SUP-W5-6-S	CDM			270	RC		inpatient			32990	32990																																																			
SYSTEM EMBOLIZATION WEB 17 SL 7X2 H2 MM OD 7 MM RECOMMENDED VIA 17 STERILE	SUP-W5-7-2	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
SYSTEM EMBOLIZATION WEB 17 SL 7X2 H2 MM OD 7 MM RECOMMENDED VIA 17 STERILE	SUP-W5-7-2	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD7 MM	SUP-W5-7-3	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H3 MM OD7 MM	SUP-W5-7-3	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H4 MM OD7 MM	SUP-W5-7-4	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H4 MM OD7 MM	SUP-W5-7-4	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SL H5 MM OD7 MM	SUP-W5-7-5	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SL H5 MM OD7 MM	SUP-W5-7-5	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE EMBOLIZATION WEB SPHERE H5.6 MM OD7 MM 1 LAYER VIA 17 CATHETER	SUP-W5-7-S	CDM			270	RC		outpatient			32990	3299	8936.99				percent of total billed charges		32990				other	OPPS APC	24412.6				percent of total billed charges		32990				other	OPPS APC	32990				other	OPPS APC	8936.99				percent of total billed charges		9115.14				percent of total billed charges		3299				other	OPPS APC	3299	32990	
DEVICE EMBOLIZATION WEB SPHERE H5.6 MM OD7 MM 1 LAYER VIA 17 CATHETER	SUP-W5-7-S	CDM			270	RC		inpatient			32990	32990																																																			
DEVICE CRTD MOMENTUM X4 DF1	SUP-G138	CDM			275	RC		outpatient			32964	32964	16152.36				percent of total billed charges		32964				other	OPPS APC	18789.48				percent of total billed charges		32964				other	OPPS APC	32964				other	OPPS APC	16152.36				percent of total billed charges		16811.64				percent of total billed charges		32964				other	OPPS APC	16152.36	32964	
DEVICE CRTD MOMENTUM X4 DF1	SUP-G138	CDM			275	RC		inpatient			32964	32964																																																			
DEFIBRILLATOR CARDIAC SECURA DR THK15 MM W51 MM X H64 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE	SUP-D224DRG	CDM			275	RC		outpatient			32808	3288	16075.92				percent of total billed charges		32808				other	OPPS APC	18700.56				percent of total billed charges		32808				other	OPPS APC	32808				other	OPPS APC	16075.92				percent of total billed charges		16732.08				percent of total billed charges		3288				other	OPPS APC	3288	32808	
DEFIBRILLATOR CARDIAC SECURA DR THK15 MM W51 MM X H64 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE	SUP-D224DRG	CDM			275	RC		inpatient			32808	32808																																																			
GENERATOR NEUROSTIMULATOR PRECISION SPECTRA TITANIUM EPOXY SILICONE D10.8 MM W46 MM X H50 MM IMPLANTABLE PULSE RECHARGABLE HANDHELD REMOTE CONTROL	SUP-SC-1132	CDM			270	RC		outpatient			32790	3279	8882.81				percent of total billed charges		32790				other	OPPS APC	24264.6				percent of total billed charges		32790				other	OPPS APC	32790				other	OPPS APC	8882.81				percent of total billed charges		9059.88				percent of total billed charges		3279				other	OPPS APC	3279	32790	
GENERATOR NEUROSTIMULATOR PRECISION SPECTRA TITANIUM EPOXY SILICONE D10.8 MM W46 MM X H50 MM IMPLANTABLE PULSE RECHARGABLE HANDHELD REMOTE CONTROL	SUP-SC-1132	CDM			270	RC		inpatient			32790	32790																																																			
DEBRILLATOR CARDIAC COBALT XT CRT-D DF-1 PIN PLUG RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2D1	CDM			275	RC		outpatient			32537	32537	15943.13				percent of total billed charges		32537				other	OPPS APC	18546.09				percent of total billed charges		32537				other	OPPS APC	32537				other	OPPS APC	15943.13				percent of total billed charges		16593.87				percent of total billed charges		32537				other	OPPS APC	15943.13	32537	
DEBRILLATOR CARDIAC COBALT XT CRT-D DF-1 PIN PLUG RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2D1	CDM			275	RC		inpatient			32537	32537																																																			
DEFIBRILLATOR CARDIAC COBALT XT CRT-D DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2D4	CDM			275	RC		outpatient			32537	32537	15943.13				percent of total billed charges		32537				other	OPPS APC	18546.09				percent of total billed charges		32537				other	OPPS APC	32537				other	OPPS APC	15943.13				percent of total billed charges		16593.87				percent of total billed charges		32537				other	OPPS APC	15943.13	32537	
DEFIBRILLATOR CARDIAC COBALT XT CRT-D DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2D4	CDM			275	RC		inpatient			32537	32537																																																			
CRT-D VIVA QUAD XT SYSTEM	SUP-VIVAQUADXTCRTDMMQM	CDM			275	RC		outpatient			32522	32522	15935.78				percent of total billed charges		32522				other	OPPS APC	18537.54				percent of total billed charges		32522				other	OPPS APC	32522				other	OPPS APC	15935.78				percent of total billed charges		16586.22				percent of total billed charges		32522				other	OPPS APC	15935.78	32522	
CRT-D VIVA QUAD XT SYSTEM	SUP-VIVAQUADXTCRTDMMQM	CDM			275	RC		inpatient			32522	32522																																																			
GRAFT STENT VALIANT STRAIGHT L100 MM OD32 MM PROXIMAL MAIN SECTION FREE FLOW CAPTIVIA DELIVERY SYSTEM THORACIC AORTIC ANEURYSM REPAIR	SUP-VAMC3232C100TU	CDM	270010015	LOCAL	270	RC		outpatient			32490	3249	8801.54				percent of total billed charges		32490				other	OPPS APC	24042.6				percent of total billed charges		32490				other	OPPS APC	32490				other	OPPS APC	8801.54				percent of total billed charges		8976.99				percent of total billed charges		3249				other	OPPS APC	3249	32490	
GRAFT STENT VALIANT STRAIGHT L100 MM OD32 MM PROXIMAL MAIN SECTION FREE FLOW CAPTIVIA DELIVERY SYSTEM THORACIC AORTIC ANEURYSM REPAIR	SUP-VAMC3232C100TU	CDM	270010015	LOCAL	270	RC		inpatient			32490	32490																																																			
DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD 2 DF1 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2Q1	CDM			275	RC		outpatient			32477	32477	15913.73				percent of total billed charges		32477				other	OPPS APC	18511.89				percent of total billed charges		32477				other	OPPS APC	32477				other	OPPS APC	15913.73				percent of total billed charges		16563.27				percent of total billed charges		32477				other	OPPS APC	15913.73	32477	
DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD 2 DF1 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2Q1	CDM			275	RC		inpatient			32477	32477																																																			
DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2QQ	CDM			275	RC		outpatient			32477	32477	15913.73				percent of total billed charges		32477				other	OPPS APC	18511.89				percent of total billed charges		32477				other	OPPS APC	32477				other	OPPS APC	15913.73				percent of total billed charges		16563.27				percent of total billed charges		32477				other	OPPS APC	15913.73	32477	
DEFIBRILLATOR CARDIAC COBALT XT CRT-D QUAD DF4 CONNECTOR RADIOPAQUE STERILE RESYNCHRONIZATION	SUP-DTPA2QQ	CDM			275	RC		inpatient			32477	32477																																																			
PACEMAKER COMPIA DTMC1D1 MRI SYSTEM	SUP-COMPIAMRICRTDMMAM	CDM			275	RC		outpatient			32400	324	15876				percent of total billed charges		32400				other	OPPS APC	18468				percent of total billed charges		32400				other	OPPS APC	32400				other	OPPS APC	15876				percent of total billed charges		16524				percent of total billed charges		324				other	OPPS APC	324	32400	
PACEMAKER COMPIA DTMC1D1 MRI SYSTEM	SUP-COMPIAMRICRTDMMAM	CDM			275	RC		inpatient			32400	32400																																																			
PACEMAKER - AICD - CLARIA DTMA1D1	SUP-99-04217	CDM			275	RC		outpatient			32398	32398	32398				fee schedule		32398				other	OPPS APC	18466.86				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	15875.02				percent of total billed charges		16522.98				percent of total billed charges		32398				other	OPPS APC	15875.02	32398	
PACEMAKER - AICD - CLARIA DTMA1D1	SUP-99-04217	CDM			275	RC		inpatient			32398	32398																																																			
PACEMAKER - AICD - CLARIA DTMA1D4	SUP-99-04218	CDM			275	RC		outpatient			32398	32398	15875.02				percent of total billed charges		32398				other	OPPS APC	18466.86				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	15875.02				percent of total billed charges		16522.98				percent of total billed charges		32398				other	OPPS APC	15875.02	32398	
PACEMAKER - AICD - CLARIA DTMA1D4	SUP-99-04218	CDM			275	RC		inpatient			32398	32398																																																			
PACEMAKER - AICD - CLARIA DTMA1Q1	SUP-99-04219	CDM			272	RC		outpatient			32398	32398	8776.62				percent of total billed charges		32398				other	OPPS APC	23974.52				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	8776.62				percent of total billed charges		8951.57				percent of total billed charges		32398				other	OPPS APC	8776.62	32398	
PACEMAKER - AICD - CLARIA DTMA1Q1	SUP-99-04219	CDM			272	RC		inpatient			32398	32398																																																			
CRTD CLARIA MRI DEVICE	SUP-DTMA1D1	CDM			275	RC		outpatient			32398	32398	15875.02				percent of total billed charges		32398				other	OPPS APC	18466.86				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	15875.02				percent of total billed charges		16522.98				percent of total billed charges		32398				other	OPPS APC	15875.02	32398	
CRTD CLARIA MRI DEVICE	SUP-DTMA1D1	CDM			275	RC		inpatient			32398	32398																																																			
CRTD CLARIA MRI DEVICE	SUP-DTMA1D4	CDM			275	RC		outpatient			32398	32398	15875.02				percent of total billed charges		32398				other	OPPS APC	18466.86				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	15875.02				percent of total billed charges		16522.98				percent of total billed charges		32398				other	OPPS APC	15875.02	32398	
CRTD CLARIA MRI DEVICE	SUP-DTMA1D4	CDM			275	RC		inpatient			32398	32398																																																			
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2D1	CDM			275	RC		outpatient			32398	32398	15875.02				percent of total billed charges		32398				other	OPPS APC	18466.86				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	15875.02				percent of total billed charges		16522.98				percent of total billed charges		32398				other	OPPS APC	15875.02	32398	
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF-1 PIN PLUG RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2D1	CDM			275	RC		inpatient			32398	32398																																																			
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2D4	CDM			275	RC		outpatient			32398	32398	15875.02				percent of total billed charges		32398				other	OPPS APC	18466.86				percent of total billed charges		32398				other	OPPS APC	32398				other	OPPS APC	15875.02				percent of total billed charges		16522.98				percent of total billed charges		32398				other	OPPS APC	15875.02	32398	
PACEMAKER CARDIAC COBALT HF 2 CHAMBER DF4 INLINE CONNECTOR RADIOPAQUE STERILE VENTRICULAR TACHYARRHYTHMIAS	SUP-DTPB2D4	CDM			275	RC		inpatient			32398	32398																																																			
ICD D233 VIGILANT EL DR DF 4 2 LEAD SYSTEM	SUP-8TV1	CDM			275	RC		outpatient			32340	3234	15846.6				percent of total billed charges		32340				other	OPPS APC	18433.8				percent of total billed charges		32340				other	OPPS APC	32340				other	OPPS APC	15846.6				percent of total billed charges		16493.4				percent of total billed charges		3234				other	OPPS APC	3234	32340	
ICD D233 VIGILANT EL DR DF 4 2 LEAD SYSTEM	SUP-8TV1	CDM			275	RC		inpatient			32340	32340																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 4MM	SUP-113USPH	CDM			270	RC		outpatient			32300	323	8750.07				percent of total billed charges		32300				other	OPPS APC	23902				percent of total billed charges		32300				other	OPPS APC	32300				other	OPPS APC	8750.07				percent of total billed charges		8924.49				percent of total billed charges		323				other	OPPS APC	323	32300	
DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 4MM	SUP-113USPH	CDM			270	RC		inpatient			32300	32300																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 4MM	SUP-114USPH	CDM			270	RC		outpatient			32300	323	8750.07				percent of total billed charges		32300				other	OPPS APC	23902				percent of total billed charges		32300				other	OPPS APC	32300				other	OPPS APC	8750.07				percent of total billed charges		8924.49				percent of total billed charges		323				other	OPPS APC	323	32300	
DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 4MM	SUP-114USPH	CDM			270	RC		inpatient			32300	32300																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 5MM	SUP-122USPH	CDM			270	RC		outpatient			32300	323	8750.07				percent of total billed charges		32300				other	OPPS APC	23902				percent of total billed charges		32300				other	OPPS APC	32300				other	OPPS APC	8750.07				percent of total billed charges		8924.49				percent of total billed charges		323				other	OPPS APC	323	32300	
DEVICE EMBOLIZATION SURPASS STREAMLINE L40MM OD 5MM	SUP-122USPH	CDM			270	RC		inpatient			32300	32300																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 5MM	SUP-123USPH	CDM			270	RC		outpatient			32300	323	8750.07				percent of total billed charges		32300				other	OPPS APC	23902				percent of total billed charges		32300				other	OPPS APC	32300				other	OPPS APC	8750.07				percent of total billed charges		8924.49				percent of total billed charges		323				other	OPPS APC	323	32300	
DEVICE EMBOLIZATION SURPASS STREAMLINE L50MM OD 5MM	SUP-123USPH	CDM			270	RC		inpatient			32300	32300																																																			
CRT AMPLIA MRI DEVICE	SUP-DTMB1D1	CDM			275	RC		outpatient			32298	32298	15826.02				percent of total billed charges		32298				other	OPPS APC	18409.86				percent of total billed charges		32298				other	OPPS APC	32298				other	OPPS APC	15826.02				percent of total billed charges		16471.98				percent of total billed charges		32298				other	OPPS APC	15826.02	32298	
CRT AMPLIA MRI DEVICE	SUP-DTMB1D1	CDM			275	RC		inpatient			32298	32298																																																			
CRT AMPLIA MRI DEVICE	SUP-DTMB1D4	CDM			275	RC		outpatient			32298	32298	15826.02				percent of total billed charges		32298				other	OPPS APC	18409.86				percent of total billed charges		32298				other	OPPS APC	32298				other	OPPS APC	15826.02				percent of total billed charges		16471.98				percent of total billed charges		32298				other	OPPS APC	15826.02	32298	
CRT AMPLIA MRI DEVICE	SUP-DTMB1D4	CDM			275	RC		inpatient			32298	32298																																																			
FORTIFY DR ICD	SUP-CD2231-40Q-D	CDM			275	RC		outpatient			32095	3295	15726.55				percent of total billed charges		32095				other	OPPS APC	18294.15				percent of total billed charges		32095				other	OPPS APC	32095				other	OPPS APC	15726.55				percent of total billed charges		16368.45				percent of total billed charges		3295				other	OPPS APC	3295	32095	
FORTIFY DR ICD	SUP-CD2231-40Q-D	CDM			275	RC		inpatient			32095	32095																																																			
ICD CD2257-40 ASSURA _35376_	SUP-CD2257-40	CDM			275	RC		outpatient			32095	3295	15726.55				percent of total billed charges		32095				other	OPPS APC	18294.15				percent of total billed charges		32095				other	OPPS APC	32095				other	OPPS APC	15726.55				percent of total billed charges		16368.45				percent of total billed charges		3295				other	OPPS APC	3295	32095	
ICD CD2257-40 ASSURA _35376_	SUP-CD2257-40	CDM			275	RC		inpatient			32095	32095																																																			
ICD CD 2257-40Q FORTIFY ASSURA DR	SUP-CD2257-40Q	CDM			275	RC		outpatient			32095	3295	15726.55				percent of total billed charges		32095				other	OPPS APC	18294.15				percent of total billed charges		32095				other	OPPS APC	32095				other	OPPS APC	15726.55				percent of total billed charges		16368.45				percent of total billed charges		3295				other	OPPS APC	3295	32095	
ICD CD 2257-40Q FORTIFY ASSURA DR	SUP-CD2257-40Q	CDM			275	RC		inpatient			32095	32095																																																			
ICD PROTECTA DR DEVICE	SUP-D334DRGD334DRM	CDM			275	RC		outpatient			32006	326	15682.94				percent of total billed charges		32006				other	OPPS APC	18243.42				percent of total billed charges		32006				other	OPPS APC	32006				other	OPPS APC	15682.94				percent of total billed charges		16323.06				percent of total billed charges		326				other	OPPS APC	326	32006	
ICD PROTECTA DR DEVICE	SUP-D334DRGD334DRM	CDM			275	RC		inpatient			32006	32006																																																			
CONDUIT VALVE KONECT RESILIA OD21 MM AORTIC	SUP-11060A21	CDM			270	RC		outpatient			32000	32	8668.8				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	8668.8				percent of total billed charges		8841.6				percent of total billed charges		32				other	OPPS APC	32	32000	
CONDUIT VALVE KONECT RESILIA OD21 MM AORTIC	SUP-11060A21	CDM			270	RC		inpatient			32000	32000																																																			
VALVE AORTIC KONECT RESILIA 23 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC	SUP-11060A23	CDM			270	RC		outpatient			32000	32	8668.8				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	8668.8				percent of total billed charges		8841.6				percent of total billed charges		32				other	OPPS APC	32	32000	
VALVE AORTIC KONECT RESILIA 23 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC	SUP-11060A23	CDM			270	RC		inpatient			32000	32000																																																			
CONDUIT VALVE KONECT RESILIA OD25 MM AORTIC	SUP-11060A25	CDM			270	RC		outpatient			32000	32	8668.8				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	8668.8				percent of total billed charges		8841.6				percent of total billed charges		32				other	OPPS APC	32	32000	
CONDUIT VALVE KONECT RESILIA OD25 MM AORTIC	SUP-11060A25	CDM			270	RC		inpatient			32000	32000																																																			
VALVE AORTIC KONECT RESILIA 27 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC	SUP-11060A27	CDM			270	RC		outpatient			32000	32	8668.8				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	8668.8				percent of total billed charges		8841.6				percent of total billed charges		32				other	OPPS APC	32	32000	
VALVE AORTIC KONECT RESILIA 27 MM AORTIC VALVED CONDUIT STERILE PREASSEMBLED BENTALL PROC	SUP-11060A27	CDM			270	RC		inpatient			32000	32000																																																			
CONDUIT VALVE KONECT RESILIA OD29 MM AORTIC	SUP-11060A29	CDM			270	RC		outpatient			32000	32	8668.8				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	8668.8				percent of total billed charges		8841.6				percent of total billed charges		32				other	OPPS APC	32	32000	
CONDUIT VALVE KONECT RESILIA OD29 MM AORTIC	SUP-11060A29	CDM			270	RC		inpatient			32000	32000																																																			
ICD DVBM1D4 EVERA XT MRI VR SYSTEM	SUP-EVERAMRIXTVREMEM	CDM			275	RC		outpatient			32000	32	15680				percent of total billed charges		32000				other	OPPS APC	18240				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	15680				percent of total billed charges		16320				percent of total billed charges		32				other	OPPS APC	32	32000	
ICD DVBM1D4 EVERA XT MRI VR SYSTEM	SUP-EVERAMRIXTVREMEM	CDM			275	RC		inpatient			32000	32000																																																			
Watchman FLX 20MM _62663_	SUP-M635WU50200	CDM			481	RC		outpatient			32000	32	15680				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	15680				percent of total billed charges		16320				percent of total billed charges		32				other	OPPS APC	32	32000	
Watchman FLX 20MM _62663_	SUP-M635WU50200	CDM			481	RC		inpatient			32000	32000																																																			
Watchman FLX 24mm _62665_	SUP-M635WU50240	CDM			481	RC		outpatient			32000	32	15680				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	15680				percent of total billed charges		16320				percent of total billed charges		32				other	OPPS APC	32	32000	
Watchman FLX 24mm _62665_	SUP-M635WU50240	CDM			481	RC		inpatient			32000	32000																																																			
Watchman FLX 27mm _62666_	SUP-M635WU50270	CDM			481	RC		outpatient			32000	32	15680				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	15680				percent of total billed charges		16320				percent of total billed charges		32				other	OPPS APC	32	32000	
Watchman FLX 27mm _62666_	SUP-M635WU50270	CDM			481	RC		inpatient			32000	32000																																																			
Watchman FLX 31 mm _62667_	SUP-M635WU50310	CDM			481	RC		outpatient			32000	32	15680				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	15680				percent of total billed charges		16320				percent of total billed charges		32				other	OPPS APC	32	32000	
Watchman FLX 31 mm _62667_	SUP-M635WU50310	CDM			481	RC		inpatient			32000	32000																																																			
Watchman FLX 35 _62668_	SUP-M635WU50350	CDM			481	RC		outpatient			32000	32	15680				percent of total billed charges		32000				other	OPPS APC	23680				percent of total billed charges		32000				other	OPPS APC	32000				other	OPPS APC	15680				percent of total billed charges		16320				percent of total billed charges		32				other	OPPS APC	32	32000	
Watchman FLX 35 _62668_	SUP-M635WU50350	CDM			481	RC		inpatient			32000	32000																																																			
DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.08 CM 32 CC 73.4 GM IS-1 DF-1 IS-4 CONNECTOR STERILE	SUP-G156	CDM			275	RC		outpatient			31964	31964	15662.36				percent of total billed charges		31964				other	OPPS APC	18219.48				percent of total billed charges		31964				other	OPPS APC	31964				other	OPPS APC	15662.36				percent of total billed charges		16301.64				percent of total billed charges		31964				other	OPPS APC	15662.36	31964	
DEFIBRILLATOR CARDIAC DYNAGEN X4 D.99 IN MINI W5.37 CM X H8.08 CM 32 CC 73.4 GM IS-1 DF-1 IS-4 CONNECTOR STERILE	SUP-G156	CDM			275	RC		inpatient			31964	31964																																																			
GRAFT ENDOVASCULAR ZENITH ALPHA FLEXOR CAPTOR NITINOL POLYPROPYLENE POLYESTER FABRIC HYDROPHILIC OD6 MM CYLINDRICAL L109 MM OD28 MM ODSEC24-25 MM ID16 FR THORACIC 2 PIECE PROXIMAL COMPONENT SELF EXPAND INTRODUCER SHEATH STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-ZTA-P-28-109-W	CDM	270010015	LOCAL	270	RC		outpatient			31930	3193	8649.84				percent of total billed charges		31930				other	OPPS APC	23628.2				percent of total billed charges		31930				other	OPPS APC	31930				other	OPPS APC	8649.84				percent of total billed charges		8822.26				percent of total billed charges		3193				other	OPPS APC	3193	31930	
GRAFT ENDOVASCULAR ZENITH ALPHA FLEXOR CAPTOR NITINOL POLYPROPYLENE POLYESTER FABRIC HYDROPHILIC OD6 MM CYLINDRICAL L109 MM OD28 MM ODSEC24-25 MM ID16 FR THORACIC 2 PIECE PROXIMAL COMPONENT SELF EXPAND INTRODUCER SHEATH STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-ZTA-P-28-109-W	CDM	270010015	LOCAL	270	RC		inpatient			31930	31930																																																			
DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD	SUP-MAXIIVREMEM	CDM			275	RC		outpatient			31802	3182	15582.98				percent of total billed charges		31802				other	OPPS APC	18127.14				percent of total billed charges		31802				other	OPPS APC	31802				other	OPPS APC	15582.98				percent of total billed charges		16219.02				percent of total billed charges		3182				other	OPPS APC	3182	31802	
DEFIBRILLATOR CARDIAC MAXIMO II VR SYSTEM ICD	SUP-MAXIIVREMEM	CDM			275	RC		inpatient			31802	31802																																																			
ICD DVBB1D1 EVERA XT VR SINGLE CHAMBER ICD SYSTEM	SUP-DVBB1D1 S	CDM			275	RC		outpatient			31800	318	15582				percent of total billed charges		31800				other	OPPS APC	18126				percent of total billed charges		31800				other	OPPS APC	31800				other	OPPS APC	15582				percent of total billed charges		16218				percent of total billed charges		318				other	OPPS APC	318	31800	
ICD DVBB1D1 EVERA XT VR SINGLE CHAMBER ICD SYSTEM	SUP-DVBB1D1 S	CDM			275	RC		inpatient			31800	31800																																																			
MOMENTUM CRT-D	SUP-G124	CDM			275	RC		outpatient			31760	3176	15562.4				percent of total billed charges		31760				other	OPPS APC	18103.2				percent of total billed charges		31760				other	OPPS APC	31760				other	OPPS APC	15562.4				percent of total billed charges		16197.6				percent of total billed charges		3176				other	OPPS APC	3176	31760	
MOMENTUM CRT-D	SUP-G124	CDM			275	RC		inpatient			31760	31760																																																			
DEVICE CRTD MOMENTUM IS1 DF1 DEVICE	SUP-G125	CDM			275	RC		outpatient			31760	3176	15562.4				percent of total billed charges		31760				other	OPPS APC	18103.2				percent of total billed charges		31760				other	OPPS APC	31760				other	OPPS APC	15562.4				percent of total billed charges		16197.6				percent of total billed charges		3176				other	OPPS APC	3176	31760	
DEVICE CRTD MOMENTUM IS1 DF1 DEVICE	SUP-G125	CDM			275	RC		inpatient			31760	31760																																																			
DEVICE CRTD MOMENTUM LV1 DF1	SUP-G126	CDM			275	RC		outpatient			31760	3176	15562.4				percent of total billed charges		31760				other	OPPS APC	18103.2				percent of total billed charges		31760				other	OPPS APC	31760				other	OPPS APC	15562.4				percent of total billed charges		16197.6				percent of total billed charges		3176				other	OPPS APC	3176	31760	
DEVICE CRTD MOMENTUM LV1 DF1	SUP-G126	CDM			275	RC		inpatient			31760	31760																																																			
GENERATOR NEUROSTIMULATOR EONC 16 CHANNEL IMPLANTABLE PULSE IPG	SUP-3688 SCS EON	CDM			270	RC		outpatient			31662	31662	8577.24				percent of total billed charges		31662				other	OPPS APC	23429.88				percent of total billed charges		31662				other	OPPS APC	31662				other	OPPS APC	8577.24				percent of total billed charges		8748.21				percent of total billed charges		31662				other	OPPS APC	8577.24	31662	
GENERATOR NEUROSTIMULATOR EONC 16 CHANNEL IMPLANTABLE PULSE IPG	SUP-3688 SCS EON	CDM			270	RC		inpatient			31662	31662																																																			
PACEMAKER - AICD COBALT XT HF QUAD	SUP-99-04890	CDM						inpatient			31603	31603																																																			
PACEMAKER - AICD COBALT XT HF QUAD	SUP-99-04890	CDM						outpatient			31603	3163	31603				percent of total billed charges		31603				other	OPPS APC	31603				fee schedule		31603				other	OPPS APC	31603				other	OPPS APC	31603				case rate		31603				case rate		3163				other	OPPS APC	3163	31603	
DEFIBRILLATOR CARDIAC EVERA MRI XT DR SURESCAN 2 CHAMBER ANTITACHYCARDIA	SUP-EVERAMRIXTDRMMEM	CDM			275	RC		outpatient			31598	31598	15483.02				percent of total billed charges		31598				other	OPPS APC	18010.86				percent of total billed charges		31598				other	OPPS APC	31598				other	OPPS APC	15483.02				percent of total billed charges		16114.98				percent of total billed charges		31598				other	OPPS APC	15483.02	31598	
DEFIBRILLATOR CARDIAC EVERA MRI XT DR SURESCAN 2 CHAMBER ANTITACHYCARDIA	SUP-EVERAMRIXTDRMMEM	CDM			275	RC		inpatient			31598	31598																																																			
ICD ELLIPSE DR 36 DF4 CONNECTOR SYSTEM	SUP-362311-36QS	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD ELLIPSE DR 36 DF4 CONNECTOR SYSTEM	SUP-362311-36QS	CDM			275	RC		inpatient			31504	31504																																																			
ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 2 LEAD	SUP-8D22/A	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 2 LEAD	SUP-8D22/A	CDM			275	RC		inpatient			31504	31504																																																			
ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 1 LEAD	SUP-8D23/B	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD DYNAGEN MINI DR DF4 DUAL CHAMBER SYSTEM 1 LEAD	SUP-8D23/B	CDM			275	RC		inpatient			31504	31504																																																			
ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 2 LEAD	SUP-8D32/A	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 2 LEAD	SUP-8D32/A	CDM			275	RC		inpatient			31504	31504																																																			
ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 1 LEAD	SUP-8D33/B	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD DYNAGEN MINI DR DUAL CHAMBER SYSTEM 1 LEAD	SUP-8D33/B	CDM			275	RC		inpatient			31504	31504																																																			
ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM  1 LEAD	SUP-8D63/B	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM  1 LEAD	SUP-8D63/B	CDM			275	RC		inpatient			31504	31504																																																			
ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 1 LEAD	SUP-8D73/B	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 1 LEAD	SUP-8D73/B	CDM			275	RC		inpatient			31504	31504																																																			
ICD ELLIPSE DR 36 SYSTEM	SUP-CD2311-36S	CDM			275	RC		outpatient			31504	3154	15436.96				percent of total billed charges		31504				other	OPPS APC	17957.28				percent of total billed charges		31504				other	OPPS APC	31504				other	OPPS APC	15436.96				percent of total billed charges		16067.04				percent of total billed charges		3154				other	OPPS APC	3154	31504	
ICD ELLIPSE DR 36 SYSTEM	SUP-CD2311-36S	CDM			275	RC		inpatient			31504	31504																																																			
DEFIBRILLATOR CARDIAC FORTIFY VR TITANIUM THK14 MM 40 J W40 MM X H71 MM 35 ML 75 GM 1 CHAMBER DF-4 RF TELEMETRY	SUP-CD1231-40-S	CDM			275	RC		outpatient			31375	31375	15373.75				percent of total billed charges		31375				other	OPPS APC	17883.75				percent of total billed charges		31375				other	OPPS APC	31375				other	OPPS APC	15373.75				percent of total billed charges		16001.25				percent of total billed charges		31375				other	OPPS APC	15373.75	31375	
DEFIBRILLATOR CARDIAC FORTIFY VR TITANIUM THK14 MM 40 J W40 MM X H71 MM 35 ML 75 GM 1 CHAMBER DF-4 RF TELEMETRY	SUP-CD1231-40-S	CDM			275	RC		inpatient			31375	31375																																																			
ICD FORTIFY ASSURA VR40 DR4 CONNECTOR SINGLE CHAMBER SYSTEM	SUP-CD1257-40QS	CDM			275	RC		outpatient			31375	31375	15373.75				percent of total billed charges		31375				other	OPPS APC	17883.75				percent of total billed charges		31375				other	OPPS APC	31375				other	OPPS APC	15373.75				percent of total billed charges		16001.25				percent of total billed charges		31375				other	OPPS APC	15373.75	31375	
ICD FORTIFY ASSURA VR40 DR4 CONNECTOR SINGLE CHAMBER SYSTEM	SUP-CD1257-40QS	CDM			275	RC		inpatient			31375	31375																																																			
ICD FORTIFY ASSURA VR 40 SINGLE CHAMBER SYSTEM	SUP-CD1257-40S	CDM			275	RC		outpatient			31375	31375	15373.75				percent of total billed charges		31375				other	OPPS APC	17883.75				percent of total billed charges		31375				other	OPPS APC	31375				other	OPPS APC	15373.75				percent of total billed charges		16001.25				percent of total billed charges		31375				other	OPPS APC	15373.75	31375	
ICD FORTIFY ASSURA VR 40 SINGLE CHAMBER SYSTEM	SUP-CD1257-40S	CDM			275	RC		inpatient			31375	31375																																																			
ICD ELLIPSE VR 36 SYSTEM	SUP-CD1311-36S	CDM			275	RC		outpatient			31375	31375	15373.75				percent of total billed charges		31375				other	OPPS APC	17883.75				percent of total billed charges		31375				other	OPPS APC	31375				other	OPPS APC	15373.75				percent of total billed charges		16001.25				percent of total billed charges		31375				other	OPPS APC	15373.75	31375	
ICD ELLIPSE VR 36 SYSTEM	SUP-CD1311-36S	CDM			275	RC		inpatient			31375	31375																																																			
ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM 2 LEADS	SUP-8D62/A	CDM			275	RC		outpatient			31340	3134	15356.6				percent of total billed charges		31340				other	OPPS APC	17863.8				percent of total billed charges		31340				other	OPPS APC	31340				other	OPPS APC	15356.6				percent of total billed charges		15983.4				percent of total billed charges		3134				other	OPPS APC	3134	31340	
ICD DYNAGEN EL DR DF4 DUAL CHAMBER SYSTEM 2 LEADS	SUP-8D62/A	CDM			275	RC		inpatient			31340	31340																																																			
DEFIBRILLATOR CARDIAC GALLANT IS-4 DF4 IS-1 CONNECTOR RESYNCHRONIZATION	SUP-CDHFA500Q	CDM			275	RC		outpatient			31300	313	15337				percent of total billed charges		31300				other	OPPS APC	17841				percent of total billed charges		31300				other	OPPS APC	31300				other	OPPS APC	15337				percent of total billed charges		15963				percent of total billed charges		313				other	OPPS APC	313	31300	
DEFIBRILLATOR CARDIAC GALLANT IS-4 DF4 IS-1 CONNECTOR RESYNCHRONIZATION	SUP-CDHFA500Q	CDM			275	RC		inpatient			31300	31300																																																			
CRTD COMPIA MRI QUAD SYSTEM	SUP-COMPIAMRIQDCRTMMQM	CDM						inpatient			31200	31200																																																			
CRTD COMPIA MRI QUAD SYSTEM	SUP-COMPIAMRIQDCRTMMQM	CDM						outpatient			31200	312	31200				percent of total billed charges		31200				other	OPPS APC	31200				fee schedule		31200				other	OPPS APC	31200				other	OPPS APC	31200				case rate		31200				case rate		312				other	OPPS APC	312	31200	
DEFIBRILLATOR CARDIAC MAXIMO II DR ICD THK15 MM W51 MM X H68 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE	SUP-D284DRG	CDM			275	RC		outpatient			31054	3154	15216.46				percent of total billed charges		31054				other	OPPS APC	17700.78				percent of total billed charges		31054				other	OPPS APC	31054				other	OPPS APC	15216.46				percent of total billed charges		15837.54				percent of total billed charges		3154				other	OPPS APC	3154	31054	
DEFIBRILLATOR CARDIAC MAXIMO II DR ICD THK15 MM W51 MM X H68 MM 37 ML 68 GM ATRIUM VENTRICLE 2 CHAMBER 2 IS-1 2 DF-1 IMPLANTABLE	SUP-D284DRG	CDM			275	RC		inpatient			31054	31054																																																			
DEVICE EMBOLIZATION PIPELINE FLEX L14MM OD 4.5MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE	SUP-PED-450-14	CDM			270	RC		outpatient			30860	386	8359.97				percent of total billed charges		30860				other	OPPS APC	22836.4				percent of total billed charges		30860				other	OPPS APC	30860				other	OPPS APC	8359.97				percent of total billed charges		8526.62				percent of total billed charges		386				other	OPPS APC	386	30860	
DEVICE EMBOLIZATION PIPELINE FLEX L14MM OD 4.5MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE	SUP-PED-450-14	CDM			270	RC		inpatient			30860	30860																																																			
DEVICE EMBOLIZATION PIPELINE FLEX L16 MM OD 4.75 MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE	SUP-PED-475-16	CDM			270	RC		outpatient			30860	386	8359.97				percent of total billed charges		30860				other	OPPS APC	22836.4				percent of total billed charges		30860				other	OPPS APC	30860				other	OPPS APC	8359.97				percent of total billed charges		8526.62				percent of total billed charges		386				other	OPPS APC	386	30860	
DEVICE EMBOLIZATION PIPELINE FLEX L16 MM OD 4.75 MM NEUROVASCULAR 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP STERILE LATEX FREE	SUP-PED-475-16	CDM			270	RC		inpatient			30860	30860																																																			
ICD VISIA AF MRI VR SYSTEM	SUP-VISIAAFMRIEMEM	CDM			275	RC		outpatient			30850	385	15116.5				percent of total billed charges		30850				other	OPPS APC	17584.5				percent of total billed charges		30850				other	OPPS APC	30850				other	OPPS APC	15116.5				percent of total billed charges		15733.5				percent of total billed charges		385				other	OPPS APC	385	30850	
ICD VISIA AF MRI VR SYSTEM	SUP-VISIAAFMRIEMEM	CDM			275	RC		inpatient			30850	30850																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.18 CM 32.5 CC 73.6 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF4 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE	SUP-G150	CDM			275	RC		outpatient			30760	376	15072.4				percent of total billed charges		30760				other	OPPS APC	17533.2				percent of total billed charges		30760				other	OPPS APC	30760				other	OPPS APC	15072.4				percent of total billed charges		15687.6				percent of total billed charges		376				other	OPPS APC	376	30760	
DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.18 CM 32.5 CC 73.6 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF4 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE	SUP-G150	CDM			275	RC		inpatient			30760	30760																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.8 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE	SUP-G151	CDM			275	RC		outpatient			30760	376	15072.4				percent of total billed charges		30760				other	OPPS APC	17533.2				percent of total billed charges		30760				other	OPPS APC	30760				other	OPPS APC	15072.4				percent of total billed charges		15687.6				percent of total billed charges		376				other	OPPS APC	376	30760	
DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.8 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 CONNECTOR HIGH ENERGY TAPER LEAD TIP STERILE	SUP-G151	CDM			275	RC		inpatient			30760	30760																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.9 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 LV-1 CONNECTOR TAPER LEAD TIP STERILE	SUP-G154	CDM			275	RC		outpatient			30760	376	15072.4				percent of total billed charges		30760				other	OPPS APC	17533.2				percent of total billed charges		30760				other	OPPS APC	30760				other	OPPS APC	15072.4				percent of total billed charges		15687.6				percent of total billed charges		376				other	OPPS APC	376	30760	
DEFIBRILLATOR CARDIAC DYNAGEN ACUSHOCK EASYVIEW SAFETYCORE D.99 CM W5.37 CM X H8.08 CM 32 CC 72.9 GM RIGHT ATRIUM RIGHT VENTRICLE LEFT VENTRICLE IS-1 DF-1 LV-1 CONNECTOR TAPER LEAD TIP STERILE	SUP-G154	CDM			275	RC		inpatient			30760	30760																																																			
DEFIBRILLATOR D232 VIGILANT EL VR DF4 1 LEAD SYSTEM	SUP-8TV3	CDM			275	RC		outpatient			30620	362	15003.8				percent of total billed charges		30620				other	OPPS APC	17453.4				percent of total billed charges		30620				other	OPPS APC	30620				other	OPPS APC	15003.8				percent of total billed charges		15616.2				percent of total billed charges		362				other	OPPS APC	362	30620	
DEFIBRILLATOR D232 VIGILANT EL VR DF4 1 LEAD SYSTEM	SUP-8TV3	CDM			275	RC		inpatient			30620	30620																																																			
CRTD DTBA1Q1 VIVA QUAD DF1 DEVICE _40073_	SUP-DTBA1Q1	CDM			275	RC		outpatient			30600	36	14994				percent of total billed charges		30600				other	OPPS APC	17442				percent of total billed charges		30600				other	OPPS APC	30600				other	OPPS APC	14994				percent of total billed charges		15606				percent of total billed charges		36				other	OPPS APC	36	30600	
CRTD DTBA1Q1 VIVA QUAD DF1 DEVICE _40073_	SUP-DTBA1Q1	CDM			275	RC		inpatient			30600	30600																																																			
BATTERY	SUP-99702	CDM			270	RC		outpatient			30480	348	8257.03				percent of total billed charges		30480				other	OPPS APC	22555.2				percent of total billed charges		30480				other	OPPS APC	30480				other	OPPS APC	8257.03				percent of total billed charges		8421.62				percent of total billed charges		348				other	OPPS APC	348	30480	
BATTERY	SUP-99702	CDM			270	RC		inpatient			30480	30480																																																			
DEFIBRILLATOR CARDIAC MRI ELLIPSE VR TITANIUM THK12 MM 36 J W66 MM X H51 MM 31 ML 66 GM VENTRICLE 2 CHAMBER 2 DF-4 HIGH VOLTAGE	SUP-CD1311-36Q	CDM			275	RC		outpatient			30414	3414	14902.86				percent of total billed charges		30414				other	OPPS APC	17335.98				percent of total billed charges		30414				other	OPPS APC	30414				other	OPPS APC	14902.86				percent of total billed charges		15511.14				percent of total billed charges		3414				other	OPPS APC	3414	30414	
DEFIBRILLATOR CARDIAC MRI ELLIPSE VR TITANIUM THK12 MM 36 J W66 MM X H51 MM 31 ML 66 GM VENTRICLE 2 CHAMBER 2 DF-4 HIGH VOLTAGE	SUP-CD1311-36Q	CDM			275	RC		inpatient			30414	30414																																																			
ICD DYNAGEN MINI VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D02/A	CDM			275	RC		outpatient			30400	34	14896				percent of total billed charges		30400				other	OPPS APC	17328				percent of total billed charges		30400				other	OPPS APC	30400				other	OPPS APC	14896				percent of total billed charges		15504				percent of total billed charges		34				other	OPPS APC	34	30400	
ICD DYNAGEN MINI VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D02/A	CDM			275	RC		inpatient			30400	30400																																																			
ICD DYNAGEN MINI VR SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D12/A	CDM			275	RC		outpatient			30400	34	14896				percent of total billed charges		30400				other	OPPS APC	17328				percent of total billed charges		30400				other	OPPS APC	30400				other	OPPS APC	14896				percent of total billed charges		15504				percent of total billed charges		34				other	OPPS APC	34	30400	
ICD DYNAGEN MINI VR SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D12/A	CDM			275	RC		inpatient			30400	30400																																																			
ICD DVBB1D1 EVERA XT VR DF4 SYSTEM	SUP-EVERAXTVREMEM-SYS	CDM			275	RC		outpatient			30400	34	14896				percent of total billed charges		30400				other	OPPS APC	17328				percent of total billed charges		30400				other	OPPS APC	30400				other	OPPS APC	14896				percent of total billed charges		15504				percent of total billed charges		34				other	OPPS APC	34	30400	
ICD DVBB1D1 EVERA XT VR DF4 SYSTEM	SUP-EVERAXTVREMEM-SYS	CDM			275	RC		inpatient			30400	30400																																																			
PACEMAKER- CLARIA AICD MRI	SUP-99-04775	CDM						inpatient			30197	30197																																																			
PACEMAKER- CLARIA AICD MRI	SUP-99-04775	CDM						outpatient			30197	3197	30197				percent of total billed charges		30197				other	OPPS APC	30197				fee schedule		30197				other	OPPS APC	30197				other	OPPS APC	30197				case rate		30197				case rate		3197				other	OPPS APC	3197	30197	
ICD D121 MOMENTUM EL DR DF1 SYSTEM	SUP-8TMA	CDM			275	RC		outpatient			30193	3193	14794.57				percent of total billed charges		30193				other	OPPS APC	17210.01				percent of total billed charges		30193				other	OPPS APC	30193				other	OPPS APC	14794.57				percent of total billed charges		15398.43				percent of total billed charges		3193				other	OPPS APC	3193	30193	
ICD D121 MOMENTUM EL DR DF1 SYSTEM	SUP-8TMA	CDM			275	RC		inpatient			30193	30193																																																			
DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D	SUP-D314TRG	CDM			275	RC		outpatient			30193	3193	14794.57				percent of total billed charges		30193				other	OPPS APC	17210.01				percent of total billed charges		30193				other	OPPS APC	30193				other	OPPS APC	14794.57				percent of total billed charges		15398.43				percent of total billed charges		3193				other	OPPS APC	3193	30193	
DEFIBRILLATOR CARDIAC PROTECTA XT CRT-D	SUP-D314TRG	CDM			275	RC		inpatient			30193	30193																																																			
CEMIPLIMAB-RWLC 50 MG/ML SOLUTION 7 ML VIAL	636000000	CDM	61755-008-01	NDC	J9119	HCPCS		inpatient			29993.65	29993.65																																																			
CEMIPLIMAB-RWLC 50 MG/ML SOLUTION 7 ML VIAL	636000000	CDM	61755-008-01	NDC	J9119	HCPCS		outpatient			29993.65	29.38																																											29.38				other	OPPS APC	29.38	29.38	
DEVICE EMBOLIZATION WEB SL H5 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-5	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H5 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-5	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H6 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-6	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H6 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-6	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H7 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-7	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H7 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-7	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H8 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-8	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H8 MM OD10 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-10-8	CDM			270	RC		inpatient			29900	29900																																																			
SYSTEM EMBOLIZATION WEB SLS H8.6 MM OD10 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM	SUP-W2-10-S	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
SYSTEM EMBOLIZATION WEB SLS H8.6 MM OD10 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM	SUP-W2-10-S	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H6 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-6	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H6 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-6	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H7 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-7	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H7 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-7	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H8 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-8	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H8 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-8	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H9 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-9	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H9 MM OD11 MM ID.033 IN LOW PROFILE STERILE LATEX FREE VIA 33	SUP-W2-11-9	CDM			270	RC		inpatient			29900	29900																																																			
SYSTEM EMBOLIZATION WEB SLS H9.6 MM OD11 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM	SUP-W2-11-S	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
SYSTEM EMBOLIZATION WEB SLS H9.6 MM OD11 MM INTRASACCULAR MICROBRAID ACCEPTS .033 IN CATHETER ANEURYSM	SUP-W2-11-S	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H3 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-3	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H3 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-3	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H4 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-4	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H4 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-4	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H5 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-5	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H5 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-5	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H6 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-6	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H6 MM OD8 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-8-6	CDM			270	RC		inpatient			29900	29900																																																			
SYSTEM EMBOLIZATION WEB SLS H6.6 MM OD8 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM	SUP-W2-8-S	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
SYSTEM EMBOLIZATION WEB SLS H6.6 MM OD8 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM	SUP-W2-8-S	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H4 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-9-4	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H4 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-9-4	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H5 MM OD9 MM ID.027 IN INTRASACCULAR LOW PROFILE VIA 27	SUP-W2-9-5	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H5 MM OD9 MM ID.027 IN INTRASACCULAR LOW PROFILE VIA 27	SUP-W2-9-5	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H6 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-9-6	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H6 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-9-6	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION WEB SL H7 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-9-7	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
DEVICE EMBOLIZATION WEB SL H7 MM OD9 MM ID.027 IN LOW PROFILE STERILE LATEX FREE VIA 27	SUP-W2-9-7	CDM			270	RC		inpatient			29900	29900																																																			
SYSTEM EMBOLIZATION WEB SLS H7.6 MM OD9 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM	SUP-W2-9-S	CDM			270	RC		outpatient			29900	299	8099.91				percent of total billed charges		29900				other	OPPS APC	22126				percent of total billed charges		29900				other	OPPS APC	29900				other	OPPS APC	8099.91				percent of total billed charges		8261.37				percent of total billed charges		299				other	OPPS APC	299	29900	
SYSTEM EMBOLIZATION WEB SLS H7.6 MM OD9 MM INTRASACCULAR MICROBRAID ACCEPTS .027 IN CATHETER ANEURYSM	SUP-W2-9-S	CDM			270	RC		inpatient			29900	29900																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 3MM	SUP-100USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 3MM	SUP-100USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 3MM	SUP-101USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 3MM	SUP-101USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 3MM	SUP-102USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 3MM	SUP-102USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 4MM	SUP-110USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 4MM	SUP-110USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 4MM	SUP-111USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 4MM	SUP-111USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 4MM	SUP-112USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 4MM	SUP-112USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 4MM	SUP-115USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L15MM OD 4MM	SUP-115USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 5MM	SUP-120USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L25MM OD 5MM	SUP-120USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 5MM	SUP-121USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L30MM OD 5MM	SUP-121USPH	CDM			270	RC		inpatient			29700	29700																																																			
DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 5MM	SUP-124USPH	CDM			270	RC		outpatient			29700	297	8045.73				percent of total billed charges		29700				other	OPPS APC	21978				percent of total billed charges		29700				other	OPPS APC	29700				other	OPPS APC	8045.73				percent of total billed charges		8206.11				percent of total billed charges		297				other	OPPS APC	297	29700	
DEVICE EMBOLIZATION SURPASS STREAMLINE L20MM OD 5MM	SUP-124USPH	CDM			270	RC		inpatient			29700	29700																																																			
"DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SOLUTION"	636000000	CDM	57894-503-01	NDC	J9144	HCPCS		inpatient			29079.2	29079.2																																																			
"DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SOLUTION"	636000000	CDM	57894-503-01	NDC	J9144	HCPCS		outpatient			29079.2	51.99																																											51.99				other	OPPS APC	51.99	51.99	
GRAFT STENT AFX2 2 BRANCH L70 MM L30 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA	SUP-BEA22-70/I16-30	CDM			270	RC		outpatient			28998	28998	7855.56				percent of total billed charges		28998				other	OPPS APC	21458.52				percent of total billed charges		28998				other	OPPS APC	28998				other	OPPS APC	7855.56				percent of total billed charges		8012.15				percent of total billed charges		28998				other	OPPS APC	7855.56	28998	
GRAFT STENT AFX2 2 BRANCH L70 MM L30 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA	SUP-BEA22-70/I16-30	CDM			270	RC		inpatient			28998	28998																																																			
GRAFT STENT AFX2 2 BRANCH L80 MM L40 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA	SUP-BEA22-80/I16-40	CDM	270010015	LOCAL	270	RC		outpatient			28998	28998	7855.56				percent of total billed charges		28998				other	OPPS APC	21458.52				percent of total billed charges		28998				other	OPPS APC	28998				other	OPPS APC	7855.56				percent of total billed charges		8012.15				percent of total billed charges		28998				other	OPPS APC	7855.56	28998	
GRAFT STENT AFX2 2 BRANCH L80 MM L40 MM OD22 MM ODSEC16 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE AAA	SUP-BEA22-80/I16-40	CDM	270010015	LOCAL	270	RC		inpatient			28998	28998																																																			
GRAFT ENDOLOGIX AFX MAIN BODY	SUP-BEA25-60/116-40	CDM			270	RC		outpatient			28998	28998	7855.56				percent of total billed charges		28998				other	OPPS APC	21458.52				percent of total billed charges		28998				other	OPPS APC	28998				other	OPPS APC	7855.56				percent of total billed charges		8012.15				percent of total billed charges		28998				other	OPPS APC	7855.56	28998	
GRAFT ENDOLOGIX AFX MAIN BODY	SUP-BEA25-60/116-40	CDM			270	RC		inpatient			28998	28998																																																			
GRAFT ENDOLOBIX AAA AFX2 MAIN BODY	SUP-BEA25-90/116-30	CDM	270010015	LOCAL	270	RC		outpatient			28998	28998	7855.56				percent of total billed charges		28998				other	OPPS APC	21458.52				percent of total billed charges		28998				other	OPPS APC	28998				other	OPPS APC	7855.56				percent of total billed charges		8012.15				percent of total billed charges		28998				other	OPPS APC	7855.56	28998	
GRAFT ENDOLOBIX AAA AFX2 MAIN BODY	SUP-BEA25-90/116-30	CDM	270010015	LOCAL	270	RC		inpatient			28998	28998																																																			
ICD QUADRA ASSURA MP CRT-D DF MERLIN PKG	SUP-CD3369-40Q CELL	CDM			275	RC		outpatient			28600	286	14014				percent of total billed charges		28600				other	OPPS APC	16302				percent of total billed charges		28600				other	OPPS APC	28600				other	OPPS APC	14014				percent of total billed charges		14586				percent of total billed charges		286				other	OPPS APC	286	28600	
ICD QUADRA ASSURA MP CRT-D DF MERLIN PKG	SUP-CD3369-40Q CELL	CDM			275	RC		inpatient			28600	28600																																																			
MESH SURGICAL PHASIX POLY 4-HYDROXYBUTYRATE SQUARE L 12IN X W 12IN MONOFILAMENT SCAFFOLD FULL RESORBABLE HERNIA REPAIR	SUP-1193030	CDM			270	RC		outpatient			28428	28428	7701.15				percent of total billed charges		28428				other	OPPS APC	21036.72				percent of total billed charges		28428				other	OPPS APC	28428				other	OPPS APC	7701.15				percent of total billed charges		7854.66				percent of total billed charges		28428				other	OPPS APC	7701.15	28428	
MESH SURGICAL PHASIX POLY 4-HYDROXYBUTYRATE SQUARE L 12IN X W 12IN MONOFILAMENT SCAFFOLD FULL RESORBABLE HERNIA REPAIR	SUP-1193030	CDM			270	RC		inpatient			28428	28428																																																			
GRAFT ENDOVASCULAR EXCLUDER L12 CM L5.5 CM OD14.5 MM ODSEC23 MM TRUNK IPSILATERAL LEG ACTIVE CONTROL ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA	SUP-CXT231412	CDM			270	RC		outpatient			27950	2795	7571.66				percent of total billed charges		27950				other	OPPS APC	20683				percent of total billed charges		27950				other	OPPS APC	27950				other	OPPS APC	7571.66				percent of total billed charges		7722.59				percent of total billed charges		2795				other	OPPS APC	2795	27950	
GRAFT ENDOVASCULAR EXCLUDER L12 CM L5.5 CM OD14.5 MM ODSEC23 MM TRUNK IPSILATERAL LEG ACTIVE CONTROL ACCEPTS 15 FR INTRODUCER SHEATH ENDOPROSTHESIS AAA	SUP-CXT231412	CDM			270	RC		inpatient			27950	27950																																																			
DEFIBRILLATOR CARDIAC ACTICOR 7 HF-T	SUP-429523_74454	CDM			270	RC		outpatient			27000	27	7314.3				percent of total billed charges		27000				other	OPPS APC	19980				percent of total billed charges		27000				other	OPPS APC	27000				other	OPPS APC	7314.3				percent of total billed charges		7460.1				percent of total billed charges		27				other	OPPS APC	27	27000	
DEFIBRILLATOR CARDIAC ACTICOR 7 HF-T	SUP-429523_74454	CDM			270	RC		inpatient			27000	27000																																																			
HC Ivl With Angioplasty	PX-361C97641	CDM			361	RC		outpatient			26538.27	26538.27	8380.79				percent of total billed charges		26538.27				other	OPPS APC	26538.27				fee schedule		26538.27				other	OPPS APC	26538.27				other	OPPS APC	8380.79				percent of total billed charges		8547.98				percent of total billed charges		26538.27				other	OPPS APC	8380.79	26538.27	
HC Ivl With Angioplasty	PX-361C97641	CDM			361	RC		inpatient			26538.27	26538.27																																																			
HC Ivl With Angioplasty	PX-361C97721	CDM			361	RC		outpatient			26538.27	26538.27	8380.79				percent of total billed charges		26538.27				other	OPPS APC	26538.27				fee schedule		26538.27				other	OPPS APC	26538.27				other	OPPS APC	8380.79				percent of total billed charges		8547.98				percent of total billed charges		26538.27				other	OPPS APC	8380.79	26538.27	
HC Ivl With Angioplasty	PX-361C97721	CDM			361	RC		inpatient			26538.27	26538.27																																																			
PERTUZUMAB-TRASTUZUMAB-HYALURONIDASE-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SOLUTION	636000000	CDM	50242-260-01	NDC	J9316	HCPCS		inpatient			26175.4	26175.4																																																			
PERTUZUMAB-TRASTUZUMAB-HYALURONIDASE-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SOLUTION	636000000	CDM	50242-260-01	NDC	J9316	HCPCS		outpatient			26175.4	69.59																																											69.59				other	OPPS APC	69.59	69.59	
SYSTEM PERFUSION ANGIOVAC OD22 FR VENOUS DRAINAGE CANNULA BALLOON ACTUATE EXPANDABLE FUNNEL DISTAL TIP CIRCUIT DISPOSABLE	SUP-VTX-4000	CDM			270	RC		outpatient			26000	26	7043.4				percent of total billed charges		26000				other	OPPS APC	19240				percent of total billed charges		26000				other	OPPS APC	26000				other	OPPS APC	7043.4				percent of total billed charges		7183.8				percent of total billed charges		26				other	OPPS APC	26	26000	
SYSTEM PERFUSION ANGIOVAC OD22 FR VENOUS DRAINAGE CANNULA BALLOON ACTUATE EXPANDABLE FUNNEL DISTAL TIP CIRCUIT DISPOSABLE	SUP-VTX-4000	CDM			270	RC		inpatient			26000	26000																																																			
VEDOLIZUMAB 300 MG RECON SOLN 1 EACH VIAL	636000000	CDM	64764-300-20	NDC	J3380	HCPCS		inpatient			25999.75	25999.75																																																			
VEDOLIZUMAB 300 MG RECON SOLN 1 EACH VIAL	636000000	CDM	64764-300-20	NDC	J3380	HCPCS		outpatient			25999.75	23.29																																											23.29				other	OPPS APC	23.29	23.29	
IMPLANT CRANIAL PEEK LARGE KIT CUSTOMIZE	SUP-7810030	CDM			270	RC		outpatient			25554	25554	6922.58				percent of total billed charges		25554				other	OPPS APC	18909.96				percent of total billed charges		25554				other	OPPS APC	25554				other	OPPS APC	6922.58				percent of total billed charges		7060.57				percent of total billed charges		25554				other	OPPS APC	6922.58	25554	
IMPLANT CRANIAL PEEK LARGE KIT CUSTOMIZE	SUP-7810030	CDM			270	RC		inpatient			25554	25554																																																			
PUMP CENTRIMAG BLOOD	SUP-102953	CDM			270	RC		outpatient			25200	252	6826.68				percent of total billed charges		25200				other	OPPS APC	18648				percent of total billed charges		25200				other	OPPS APC	25200				other	OPPS APC	6826.68				percent of total billed charges		6962.76				percent of total billed charges		252				other	OPPS APC	252	25200	
PUMP CENTRIMAG BLOOD	SUP-102953	CDM			270	RC		inpatient			25200	25200																																																			
SCREW R3ON 4.2 X 18MM	SUP-97-04605	CDM			278	RC		outpatient			25000	25	25000				fee schedule		25000				other	OPPS APC	14250				percent of total billed charges		25000				other	OPPS APC	25000				other	OPPS APC	12250				percent of total billed charges		12750				percent of total billed charges		25				other	OPPS APC	25	25000	
SCREW R3ON 4.2 X 18MM	SUP-97-04605	CDM			278	RC		inpatient			25000	25000																																																			
FUSION LUMBAR  LEVEL 4 NUVASIVE	SUP-LUMBAR4NUVASIVE	CDM	270010020	LOCAL	270	RC		outpatient			24800	248	6718.32				percent of total billed charges		24800				other	OPPS APC	18352				percent of total billed charges		24800				other	OPPS APC	24800				other	OPPS APC	6718.32				percent of total billed charges		6852.24				percent of total billed charges		248				other	OPPS APC	248	24800	
FUSION LUMBAR  LEVEL 4 NUVASIVE	SUP-LUMBAR4NUVASIVE	CDM	270010020	LOCAL	270	RC		inpatient			24800	24800																																																			
FUSION LUMBAR LEVEL 4	SUP-LUMBARL4	CDM	270010020	LOCAL	270	RC		outpatient			24800	248	6718.32				percent of total billed charges		24800				other	OPPS APC	18352				percent of total billed charges		24800				other	OPPS APC	24800				other	OPPS APC	6718.32				percent of total billed charges		6852.24				percent of total billed charges		248				other	OPPS APC	248	24800	
FUSION LUMBAR LEVEL 4	SUP-LUMBARL4	CDM	270010020	LOCAL	270	RC		inpatient			24800	24800																																																			
PACEMAKER CARDIAC MICRA AV2 LEADLESS BUNDLE	SUP-MICRAAV2SYSTEM	CDM			275	RC		outpatient			24440	2444	11975.6				percent of total billed charges		24440				other	OPPS APC	13930.8				percent of total billed charges		24440				other	OPPS APC	24440				other	OPPS APC	11975.6				percent of total billed charges		12464.4				percent of total billed charges		2444				other	OPPS APC	2444	24440	
PACEMAKER CARDIAC MICRA AV2 LEADLESS BUNDLE	SUP-MICRAAV2SYSTEM	CDM			275	RC		inpatient			24440	24440																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG	SUP-RLT231412	CDM	270010015	LOCAL	270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG	SUP-RLT231412	CDM	270010015	LOCAL	270	RC		inpatient			24284	24284																																																			
EXCLUDER AAA ENDO GRAFT 23MMX14.5MMX14CM	SUP-RLT231414	CDM			270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
EXCLUDER AAA ENDO GRAFT 23MMX14.5MMX14CM	SUP-RLT231414	CDM			270	RC		inpatient			24284	24284																																																			
IMPLANT GORE EXCLUDER 26MM X 14.5MM X 12CM	SUP-RLT261412	CDM	270010015	LOCAL	270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
IMPLANT GORE EXCLUDER 26MM X 14.5MM X 12CM	SUP-RLT261412	CDM	270010015	LOCAL	270	RC		inpatient			24284	24284																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281214	CDM			270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281214	CDM			270	RC		inpatient			24284	24284																																																			
IMPLANT GORE EXCLUDER 28MM X 14.5MM X 12CM	SUP-RLT281412	CDM	270010015	LOCAL	270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
IMPLANT GORE EXCLUDER 28MM X 14.5MM X 12CM	SUP-RLT281412	CDM	270010015	LOCAL	270	RC		inpatient			24284	24284																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281416	CDM	270010015	LOCAL	270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281416	CDM	270010015	LOCAL	270	RC		inpatient			24284	24284																																																			
IMPLANT GORE EXCLUDER 31MM X 14.5MM X 13CM	SUP-RLT311413	CDM	270010015	LOCAL	270	RC		outpatient			24284	24284	6578.54				percent of total billed charges		24284				other	OPPS APC	17970.16				percent of total billed charges		24284				other	OPPS APC	24284				other	OPPS APC	6578.54				percent of total billed charges		6709.67				percent of total billed charges		24284				other	OPPS APC	6578.54	24284	
IMPLANT GORE EXCLUDER 31MM X 14.5MM X 13CM	SUP-RLT311413	CDM	270010015	LOCAL	270	RC		inpatient			24284	24284																																																			
GRAFT ENDOVASCULAR ZENITH TX2 Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD28 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA	SUP-ZTEG-2P-28-120-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR ZENITH TX2 Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD28 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA	SUP-ZTEG-2P-28-120-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD32 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA	SUP-ZTEG-2P-32-120-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L120 MM OD32 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA	SUP-ZTEG-2P-32-120-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
GRAFT ENDOVASCULAR PRO-FORM Z-TRAK PLUS ZENITH TX2 STAINLESS STEEL POLYESTER WOVEN 2 BRANCH CYLINDER L127 MM OD36 MM ODSEC22 FR THORACIC AORTIC ANEURYSM 2 PIECE PROXIMAL COMPONENT SELF EXPANDABLE BARB STENT RADIOPAQUE STERILE	SUP-ZTEG-2P-36-127-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR PRO-FORM Z-TRAK PLUS ZENITH TX2 STAINLESS STEEL POLYESTER WOVEN 2 BRANCH CYLINDER L127 MM OD36 MM ODSEC22 FR THORACIC AORTIC ANEURYSM 2 PIECE PROXIMAL COMPONENT SELF EXPANDABLE BARB STENT RADIOPAQUE STERILE	SUP-ZTEG-2P-36-127-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L152 MM OD36 MM ODSEC22 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA	SUP-ZTEG-2P-36-152-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L152 MM OD36 MM ODSEC22 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA	SUP-ZTEG-2P-36-152-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS L108 MM OD40 MM ODSEC22 FR ID22 FR INTRODUCER SHEATH THORACIC AORTIC ANEURYSM	SUP-ZTEG-2P-40-108-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS L108 MM OD40 MM ODSEC22 FR ID22 FR INTRODUCER SHEATH THORACIC AORTIC ANEURYSM	SUP-ZTEG-2P-40-108-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM STAINLESS STEEL POLYESTER L135 MM OD42 MM ODSEC8.5 MM ID22 FR 2 BRANCH PROXIMAL COMPONENT Z-TRAK PLUS TAA	SUP-ZTEG-2P-42-135-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM STAINLESS STEEL POLYESTER L135 MM OD42 MM ODSEC8.5 MM ID22 FR 2 BRANCH PROXIMAL COMPONENT Z-TRAK PLUS TAA	SUP-ZTEG-2P-42-135-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
GRAFT ENDOVASCULAR ZENITH TX2 L158 MM OD42 MM ODSEC22 FR THORACIC PROXIMAL TAPERED COMPONENT PROFORM INTRODUCTION SYSTEM AA	SUP-ZTEG-2PT-4-158-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			24188	24188	6552.53				percent of total billed charges		24188				other	OPPS APC	17899.12				percent of total billed charges		24188				other	OPPS APC	24188				other	OPPS APC	6552.53				percent of total billed charges		6683.14				percent of total billed charges		24188				other	OPPS APC	6552.53	24188	
GRAFT ENDOVASCULAR ZENITH TX2 L158 MM OD42 MM ODSEC22 FR THORACIC PROXIMAL TAPERED COMPONENT PROFORM INTRODUCTION SYSTEM AA	SUP-ZTEG-2PT-4-158-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			24188	24188																																																			
CATHETER INARI ASPIRATION TRIEVER 20 L 95 CM OD 20 FR	SUP-21-101	CDM			270	RC		outpatient			24000	24	6501.6				percent of total billed charges		24000				other	OPPS APC	17760				percent of total billed charges		24000				other	OPPS APC	24000				other	OPPS APC	6501.6				percent of total billed charges		6631.2				percent of total billed charges		24				other	OPPS APC	24	24000	
CATHETER INARI ASPIRATION TRIEVER 20 L 95 CM OD 20 FR	SUP-21-101	CDM			270	RC		inpatient			24000	24000																																																			
CATHETER THROMBECTOMY TRIEVER 24 OD 24 FR	SUP-22-101	CDM			270	RC		outpatient			24000	24	6501.6				percent of total billed charges		24000				other	OPPS APC	17760				percent of total billed charges		24000				other	OPPS APC	24000				other	OPPS APC	6501.6				percent of total billed charges		6631.2				percent of total billed charges		24				other	OPPS APC	24	24000	
CATHETER THROMBECTOMY TRIEVER 24 OD 24 FR	SUP-22-101	CDM			270	RC		inpatient			24000	24000																																																			
CATHETER ASPIRATION TRIEVER 16 L 113 CM OD 16 FR	SUP-25-101	CDM			270	RC		outpatient			24000	24	6501.6				percent of total billed charges		24000				other	OPPS APC	17760				percent of total billed charges		24000				other	OPPS APC	24000				other	OPPS APC	6501.6				percent of total billed charges		6631.2				percent of total billed charges		24				other	OPPS APC	24	24000	
CATHETER ASPIRATION TRIEVER 16 L 113 CM OD 16 FR	SUP-25-101	CDM			270	RC		inpatient			24000	24000																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD10 MM ILIAC BRANCH COMPONENT AAA	SUP-CEB231010A	CDM			270	RC		outpatient			23730	2373	6428.46				percent of total billed charges		23730				other	OPPS APC	17560.2				percent of total billed charges		23730				other	OPPS APC	23730				other	OPPS APC	6428.46				percent of total billed charges		6556.6				percent of total billed charges		2373				other	OPPS APC	2373	23730	
GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD10 MM ILIAC BRANCH COMPONENT AAA	SUP-CEB231010A	CDM			270	RC		inpatient			23730	23730																																																			
GRAFT GORE EXCLUDER AAA PROSTHESIS 26MM IPSILATERAL LET	SUP-RLT261216	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT GORE EXCLUDER AAA PROSTHESIS 26MM IPSILATERAL LET	SUP-RLT261216	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS	SUP-RLT261218	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS	SUP-RLT261218	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR EXCLUDER AAA TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM	SUP-RLT261414	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR EXCLUDER AAA TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM	SUP-RLT261414	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT261418	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT261418	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281216	CDM			270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD28.5 MM ODSEC12 MM ID24-26 MM IDSEC10-11 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281216	CDM			270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281414	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L14 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281414	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281418	CDM			270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG BOND FILM SEAL CUFF LOW PROFILE SINUSOIDAL STENT ACCEPTS 16 FR SHEATH AAA	SUP-RLT281418	CDM			270	RC		inpatient			23692	23692																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG	SUP-RLT311415	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG	SUP-RLT311415	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG	SUP-RLT311417	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS TRUNK-IPSILATERAL LEG	SUP-RLT311417	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
IMPLANT GORE EXCLUDER 35MM X 14.5MM X 14CM	SUP-RLT351414	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
IMPLANT GORE EXCLUDER 35MM X 14.5MM X 14CM	SUP-RLT351414	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L16 CM OD35 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA	SUP-RLT351416	CDM	270010015	LOCAL	270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L16 CM OD35 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA	SUP-RLT351416	CDM	270010015	LOCAL	270	RC		inpatient			23692	23692																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER C3 GORE-TEX NITINOL FEP L18 CM OD35 MM ODSEC14.5 MM ID30-32 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG DELIVERY SYSTEM LOW PROFILE AAA ACCEPTS 18 FR SHEATH	SUP-RLT351418	CDM			270	RC		outpatient			23692	23692	6418.16				percent of total billed charges		23692				other	OPPS APC	17532.08				percent of total billed charges		23692				other	OPPS APC	23692				other	OPPS APC	6418.16				percent of total billed charges		6546.1				percent of total billed charges		23692				other	OPPS APC	6418.16	23692	
GRAFT ENDOVASCULAR GORE EXCLUDER C3 GORE-TEX NITINOL FEP L18 CM OD35 MM ODSEC14.5 MM ID30-32 MM IDSEC12-13.5 MM TRUNK IPSILATERAL LEG DELIVERY SYSTEM LOW PROFILE AAA ACCEPTS 18 FR SHEATH	SUP-RLT351418	CDM			270	RC		inpatient			23692	23692																																																			
NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ L2 IN X H1.7 IN 14 CC 22 GM SACRAL NERVE 4 ELECTRODE LEAD 1 SCREW NO RECHARGEABLE	SUP-3058	CDM			270	RC		outpatient			23360	2336	6328.22				percent of total billed charges		23360				other	OPPS APC	17286.4				percent of total billed charges		23360				other	OPPS APC	23360				other	OPPS APC	6328.22				percent of total billed charges		6454.37				percent of total billed charges		2336				other	OPPS APC	2336	23360	
NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ L2 IN X H1.7 IN 14 CC 22 GM SACRAL NERVE 4 ELECTRODE LEAD 1 SCREW NO RECHARGEABLE	SUP-3058	CDM			270	RC		inpatient			23360	23360																																																			
NEUROSTIMULATOR IMPLANTABLE INTERSTIM MICRO SURESCAN RECHARGABLE	SUP-97810	CDM			270	RC		outpatient			23360	2336	6328.22				percent of total billed charges		23360				other	OPPS APC	17286.4				percent of total billed charges		23360				other	OPPS APC	23360				other	OPPS APC	6328.22				percent of total billed charges		6454.37				percent of total billed charges		2336				other	OPPS APC	2336	23360	
NEUROSTIMULATOR IMPLANTABLE INTERSTIM MICRO SURESCAN RECHARGABLE	SUP-97810	CDM			270	RC		inpatient			23360	23360																																																			
MEDIAL HEMI CONDYLE LEFT	SUP-32247002	CDM	270010031	LOCAL	270	RC		outpatient			23340	2334	6322.81				percent of total billed charges		23340				other	OPPS APC	17271.6				percent of total billed charges		23340				other	OPPS APC	23340				other	OPPS APC	6322.81				percent of total billed charges		6448.84				percent of total billed charges		2334				other	OPPS APC	2334	23340	
MEDIAL HEMI CONDYLE LEFT	SUP-32247002	CDM	270010031	LOCAL	270	RC		inpatient			23340	23340																																																			
ENDOPROSTHESIS GORE ILIAC BRANCH	SUP-CEB231210A	CDM	270010015	LOCAL	270	RC		outpatient			23152	23152	6271.88				percent of total billed charges		23152				other	OPPS APC	17132.48				percent of total billed charges		23152				other	OPPS APC	23152				other	OPPS APC	6271.88				percent of total billed charges		6396.9				percent of total billed charges		23152				other	OPPS APC	6271.88	23152	
ENDOPROSTHESIS GORE ILIAC BRANCH	SUP-CEB231210A	CDM	270010015	LOCAL	270	RC		inpatient			23152	23152																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD14.5 MM ILIAC BRANCH COMPONENT AAA	SUP-CEB231410A	CDM	270010015	LOCAL	270	RC		outpatient			23152	23152	6271.88				percent of total billed charges		23152				other	OPPS APC	17132.48				percent of total billed charges		23152				other	OPPS APC	23152				other	OPPS APC	6271.88				percent of total billed charges		6396.9				percent of total billed charges		23152				other	OPPS APC	6271.88	23152	
GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD14.5 MM ILIAC BRANCH COMPONENT AAA	SUP-CEB231410A	CDM	270010015	LOCAL	270	RC		inpatient			23152	23152																																																			
HC Cc Aicd Battery Change Single Lead	PX-361332620	CDM	33262	CPT	361	RC		outpatient			23000	23	7263.4				percent of total billed charges		23000				other	OPPS APC	23000				fee schedule		23000				other	OPPS APC	23000				other	OPPS APC	7263.4				percent of total billed charges		7408.3				percent of total billed charges		23				other	OPPS APC	23	23000	
HC Cc Aicd Battery Change Single Lead	PX-361332620	CDM	33262	CPT	361	RC		inpatient			23000	23000																																																			
HC Cc Aicd Battery Change Dual Lead	PX-361332630	CDM	33263	CPT	361	RC		outpatient			23000	23	7263.4				percent of total billed charges		23000				other	OPPS APC	23000				fee schedule		23000				other	OPPS APC	23000				other	OPPS APC	7263.4				percent of total billed charges		7408.3				percent of total billed charges		23				other	OPPS APC	23	23000	
HC Cc Aicd Battery Change Dual Lead	PX-361332630	CDM	33263	CPT	361	RC		inpatient			23000	23000																																																			
DEVICE COAGULATION EPI-SENSE L3 CM GUIDE ELECTRODE IRRIGATION PERFUSION LUMEN SUCTION 6130	SUP-CDP-4330	CDM			270	RC		outpatient			23000	23	6230.7				percent of total billed charges		23000				other	OPPS APC	17020				percent of total billed charges		23000				other	OPPS APC	23000				other	OPPS APC	6230.7				percent of total billed charges		6354.9				percent of total billed charges		23				other	OPPS APC	23	23000	
DEVICE COAGULATION EPI-SENSE L3 CM GUIDE ELECTRODE IRRIGATION PERFUSION LUMEN SUCTION 6130	SUP-CDP-4330	CDM			270	RC		inpatient			23000	23000																																																			
LUMBAR FUSION CAP LEVEL 5	SUP-LUMBSTRY5	CDM	270010020	LOCAL	270	RC		outpatient			22800	228	6176.52				percent of total billed charges		22800				other	OPPS APC	16872				percent of total billed charges		22800				other	OPPS APC	22800				other	OPPS APC	6176.52				percent of total billed charges		6299.64				percent of total billed charges		228				other	OPPS APC	228	22800	
LUMBAR FUSION CAP LEVEL 5	SUP-LUMBSTRY5	CDM	270010020	LOCAL	270	RC		inpatient			22800	22800																																																			
NIVOLUMAB 240 MG/24 ML SOLUTION 24 ML VIAL	636000000	CDM	0003-3734-13	NDC	J9299	HCPCS		inpatient			22454.83	22454.83																																																			
NIVOLUMAB 240 MG/24 ML SOLUTION 24 ML VIAL	636000000	CDM	0003-3734-13	NDC	J9299	HCPCS		outpatient			22454.83	33.12																																											33.12				other	OPPS APC	33.12	33.12	
GRAFT  ENDOLOGIX AFX BIFURCATED ENDOVASCULAR	SUP-BA22-60/113-40	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT  ENDOLOGIX AFX BIFURCATED ENDOVASCULAR	SUP-BA22-60/113-40	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR	SUP-BA22-70/116-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR	SUP-BA22-70/116-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 22-16MM 17FR EPTFE ENDOVASCULAR	SUP-BA22-80/116-40	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 22-16MM 17FR EPTFE ENDOVASCULAR	SUP-BA22-80/116-40	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT STENT AFX 2 BRANCH 90MM 30MM 22MM 16MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA	SUP-BA22-90/116-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT STENT AFX 2 BRANCH 90MM 30MM 22MM 16MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA	SUP-BA22-90/116-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX BIFURCATED ENDO AAA	SUP-BA25-70/116-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX BIFURCATED ENDO AAA	SUP-BA25-70/116-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX AFX MAIN ENDO AAA	SUP-BA-25-80/113-40	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX AFX MAIN ENDO AAA	SUP-BA-25-80/113-40	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT STENT AFX ACTIVESEAL STRATA EPTFE 2 BRANCH L90 MM L30 MM OD25-16 MM ID17 FR ENDOVASCULAR SELF EXPAND MAIN BODY AAA	SUP-BA25-90/116-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT STENT AFX ACTIVESEAL STRATA EPTFE 2 BRANCH L90 MM L30 MM OD25-16 MM ID17 FR ENDOVASCULAR SELF EXPAND MAIN BODY AAA	SUP-BA25-90/116-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR	SUP-BA26-60/116-40	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX AFX BIFURCATED ENDOVASCULAR	SUP-BA26-60/116-40	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX BIFURCATED ENDO AAA	SUP-BA28-70/116-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX BIFURCATED ENDO AAA	SUP-BA28-70/116-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 28-16MM 17FR EPTFE SELF EXPAND	SUP-BA28-80/116-40	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT STENT AFX ACTIVESEAL STRATA 2 BRANCH 80MM 40MM 28-16MM 17FR EPTFE SELF EXPAND	SUP-BA28-80/116-40	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT STENT AFX 2 BRANCH 80MM 40MM 28MM 20MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA	SUP-BA28-80/120-40	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT STENT AFX 2 BRANCH 80MM 40MM 28MM 20MM STRATA STERILE LF MAIN BODY ILIAC LIMB AAA	SUP-BA28-80/120-40	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX BIFURCATED ENDO AAA	SUP-BA28-90/116-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX BIFURCATED ENDO AAA	SUP-BA28-90/116-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
GRAFT ENDOLOGIX MAIN BODY ENDO AAA	SUP-BA28-90/120-30	CDM	270010015	LOCAL	270	RC		outpatient			22420	2242	6073.58				percent of total billed charges		22420				other	OPPS APC	16590.8				percent of total billed charges		22420				other	OPPS APC	22420				other	OPPS APC	6073.58				percent of total billed charges		6194.65				percent of total billed charges		2242				other	OPPS APC	2242	22420	
GRAFT ENDOLOGIX MAIN BODY ENDO AAA	SUP-BA28-90/120-30	CDM	270010015	LOCAL	270	RC		inpatient			22420	22420																																																			
PUMP INTRATHECAL SYNCHROMED II TITANIUM THK.78 IN C20 ML H.78 IN 20 ML RESERVOIR FILTER MESH POUCH PROGRAMMABLE NONSTERILE	SUP-8637-20	CDM			270	RC		outpatient			22400	224	6068.16				percent of total billed charges		22400				other	OPPS APC	16576				percent of total billed charges		22400				other	OPPS APC	22400				other	OPPS APC	6068.16				percent of total billed charges		6189.12				percent of total billed charges		224				other	OPPS APC	224	22400	
PUMP INTRATHECAL SYNCHROMED II TITANIUM THK.78 IN C20 ML H.78 IN 20 ML RESERVOIR FILTER MESH POUCH PROGRAMMABLE NONSTERILE	SUP-8637-20	CDM			270	RC		inpatient			22400	22400																																																			
PUMP INTRATHECAL SYNCHROMED II TITANIUM THK1 IN .22 UM H1 IN OD3.4 IN 40 ML 6.2-7.6 OZ PROGRAMMABLE RADIOPAQUE IDENTIFIER BACTERIAL RETENTIVE FILTER SILICONE SEPTUM STERILE	SUP-8637-40	CDM			270	RC		outpatient			22400	224	6068.16				percent of total billed charges		22400				other	OPPS APC	16576				percent of total billed charges		22400				other	OPPS APC	22400				other	OPPS APC	6068.16				percent of total billed charges		6189.12				percent of total billed charges		224				other	OPPS APC	224	22400	
PUMP INTRATHECAL SYNCHROMED II TITANIUM THK1 IN .22 UM H1 IN OD3.4 IN 40 ML 6.2-7.6 OZ PROGRAMMABLE RADIOPAQUE IDENTIFIER BACTERIAL RETENTIVE FILTER SILICONE SEPTUM STERILE	SUP-8637-40	CDM			270	RC		inpatient			22400	22400																																																			
MATRIX TISSUE STRATTICE PORCINE DERMIS L20 CM X W20 CM RECONSTRUCTIVE STERILE	SUP-2020002	CDM			270	RC		outpatient			22352	22352	6055.16				percent of total billed charges		22352				other	OPPS APC	16540.48				percent of total billed charges		22352				other	OPPS APC	22352				other	OPPS APC	6055.16				percent of total billed charges		6175.86				percent of total billed charges		22352				other	OPPS APC	6055.16	22352	
MATRIX TISSUE STRATTICE PORCINE DERMIS L20 CM X W20 CM RECONSTRUCTIVE STERILE	SUP-2020002	CDM			270	RC		inpatient			22352	22352																																																			
HC IR Fem/Pop Art  Init'l  Pta Stent Arther	PX-361372271	CDM	37227	CPT	361	RC		outpatient			22152	1891.79	6995.6				percent of total billed charges		18091.79				other	OPPS APC	10337				fee schedule		18091.79				other	OPPS APC	18091.79				other	OPPS APC	6995.6				percent of total billed charges		7135.16				percent of total billed charges		1891.79				other	OPPS APC	1891.79	18091.79	
HC IR Fem/Pop Art  Init'l  Pta Stent Arther	PX-361372271	CDM	37227	CPT	361	RC		inpatient			22152	22152																																																			
PACEMAKER - BIVENT - PRECEPTA - W1TR01	SUP-99-04157	CDM						inpatient			22000	22000																																																			
PACEMAKER - BIVENT - PRECEPTA - W1TR01	SUP-99-04157	CDM						outpatient			22000	22	22000				percent of total billed charges		22000				other	OPPS APC	22000				fee schedule		22000				other	OPPS APC	22000				other	OPPS APC	22000				case rate		22000				case rate		22				other	OPPS APC	22	22000	
GRAFT ENDOVASCULAR H&L-B ONE-SHOT ZENITH POLYESTER WOVEN L109 MM OD28 MM 2 PROXIMAL INTERNAL STENT FENESTRATE STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA	SUP-ZFEN-P-2-28-109R	CDM	270010015	LOCAL	270	RC		outpatient			22000	22	5959.8				percent of total billed charges		22000				other	OPPS APC	16280				percent of total billed charges		22000				other	OPPS APC	22000				other	OPPS APC	5959.8				percent of total billed charges		6078.6				percent of total billed charges		22				other	OPPS APC	22	22000	
GRAFT ENDOVASCULAR H&L-B ONE-SHOT ZENITH POLYESTER WOVEN L109 MM OD28 MM 2 PROXIMAL INTERNAL STENT FENESTRATE STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA	SUP-ZFEN-P-2-28-109R	CDM	270010015	LOCAL	270	RC		inpatient			22000	22000																																																			
KIT IMPLANT MED PEEK NS CRANIAL CUSTOM SUTURE DRAINAGE HOLE COMPLEX	SUP-7810020	CDM	270010013	LOCAL	270	RC		outpatient			21500	215	5824.35				percent of total billed charges		21500				other	OPPS APC	15910				percent of total billed charges		21500				other	OPPS APC	21500				other	OPPS APC	5824.35				percent of total billed charges		5940.45				percent of total billed charges		215				other	OPPS APC	215	21500	
KIT IMPLANT MED PEEK NS CRANIAL CUSTOM SUTURE DRAINAGE HOLE COMPLEX	SUP-7810020	CDM	270010013	LOCAL	270	RC		inpatient			21500	21500																																																			
RAMUCIRUMAB 10 MG/ML SOLUTION 50 ML VIAL	636000000	CDM	0002-7678-01	NDC	J9308	HCPCS		inpatient			21423.43	21423.43																																																			
RAMUCIRUMAB 10 MG/ML SOLUTION 50 ML VIAL	636000000	CDM	0002-7678-01	NDC	J9308	HCPCS		outpatient			21423.43	74.21																																											74.21				other	OPPS APC	74.21	74.21	
MATRIX TISSUE ALLODERM ALLOGRAFT PERFORATE	SUP-1518320P	CDM			270	RC		outpatient			21220	2122	5748.5				percent of total billed charges		21220				other	OPPS APC	15702.8				percent of total billed charges		21220				other	OPPS APC	21220				other	OPPS APC	5748.5				percent of total billed charges		5863.09				percent of total billed charges		2122				other	OPPS APC	2122	21220	
MATRIX TISSUE ALLODERM ALLOGRAFT PERFORATE	SUP-1518320P	CDM			270	RC		inpatient			21220	21220																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-439-40	NDC	J1459	HCPCS		inpatient			21112.8	21112.8																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-439-40	NDC	J1459	HCPCS		outpatient			21112.8	5.98																																											5.98				other	OPPS APC	5.98	5.98	
ALLODERM 16CMX20CM (1518320P)	SUP-97-03533	CDM			636	RC		outpatient			20902.68	292.68	20902.68				fee schedule		20902.68				other	OPPS APC	15467.98				percent of total billed charges		20902.68				other	OPPS APC	20902.68				other	OPPS APC	10242.31				percent of total billed charges		5196.41				percent of total billed charges		292.68				other	OPPS APC	292.68	20902.68	
ALLODERM 16CMX20CM (1518320P)	SUP-97-03533	CDM			636	RC		inpatient			20902.68	20902.68																																																			
IPILIMUMAB 50 MG/10 ML (5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0003-2327-11	NDC	J9228	HCPCS		inpatient			20477.98	20477.98																																																			
IPILIMUMAB 50 MG/10 ML (5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0003-2327-11	NDC	J9228	HCPCS		outpatient			20477.98	183.99																																											183.99				other	OPPS APC	183.99	183.99	
"OCTREOTIDE,MICROSPHERES 30 MG SUSPENSION,EXTENDED REL RECON"	636000000	CDM	0078-0825-81	NDC	J2353	HCPCS		inpatient			20331.05	20331.05																																																			
"OCTREOTIDE,MICROSPHERES 30 MG SUSPENSION,EXTENDED REL RECON"	636000000	CDM	0078-0825-81	NDC	J2353	HCPCS		outpatient			20331.05	224.4																																											224.4				other	OPPS APC	224.4	224.4	
DEFIBRILLATOR CARDIAC MRI ELLIPSE DR TITANIUM THK12 MM 36 J W51 MM X H70 MM 31 ML 68 GM VENTRICLE 1 CHAMBER 1 IS-1 2 DF-4 HIGH VOLTAGE	SUP-CD2311-36Q	CDM			275	RC		outpatient			20000	2	9800				percent of total billed charges		20000				other	OPPS APC	11400				percent of total billed charges		20000				other	OPPS APC	20000				other	OPPS APC	9800				percent of total billed charges		10200				percent of total billed charges		2				other	OPPS APC	2	20000	
DEFIBRILLATOR CARDIAC MRI ELLIPSE DR TITANIUM THK12 MM 36 J W51 MM X H70 MM 31 ML 68 GM VENTRICLE 1 CHAMBER 1 IS-1 2 DF-4 HIGH VOLTAGE	SUP-CD2311-36Q	CDM			275	RC		inpatient			20000	20000																																																			
FUSION LUMBAR LEVEL 4-STRYKER	SUP-LUMBAR4STRYKER	CDM	270010020	LOCAL	270	RC		outpatient			20000	2	5418				percent of total billed charges		20000				other	OPPS APC	14800				percent of total billed charges		20000				other	OPPS APC	20000				other	OPPS APC	5418				percent of total billed charges		5526				percent of total billed charges		2				other	OPPS APC	2	20000	
FUSION LUMBAR LEVEL 4-STRYKER	SUP-LUMBAR4STRYKER	CDM	270010020	LOCAL	270	RC		inpatient			20000	20000																																																			
EPIFIX 11MM	SUP-97-02311	CDM			636	RC		outpatient			19991	19991	9795.59				percent of total billed charges		19991				other	OPPS APC	178.33				fee schedule		19991				other	OPPS APC	19991				other	OPPS APC	9795.59				percent of total billed charges		4969.76				percent of total billed charges		19991				other	OPPS APC	178.33	19991	
EPIFIX 11MM	SUP-97-02311	CDM			636	RC		inpatient			19991	19991																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD25-16 MM ID18 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA	SUP-ENBF2516C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD25-16 MM ID18 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA	SUP-ENBF2516C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD28-16 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA	SUP-ENBF2816C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L124 MM OD28-16 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA	SUP-ENBF2816C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L145 MM OD32-20 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA	SUP-ENBF3220C145E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT POLYESTER NITINOL BIFURCATED L145 MM OD32-20 MM ID20 FR ENDOVASCULAR ABDOMEN AORTA SYSTEM SELF EXPANDING C DESIGN RADIOPAQUE AAA	SUP-ENBF3220C145E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER L103 MM OD14-28 MM ODSEC18 FR INFRARENAL CATHETER RADIOPAQUE SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA	SUP-ESBF2814C103E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER L103 MM OD14-28 MM ODSEC18 FR INFRARENAL CATHETER RADIOPAQUE SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA	SUP-ESBF2814C103E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER 2 BRANCH L103 MM OD14-32 MM ODSEC20 FR INFRARENAL CATHETER RADIOPAQUE C DESIGN SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA	SUP-ESBF3214C103E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT IIS NITINOL PLATINUM POLYESTER 2 BRANCH L103 MM OD14-32 MM ODSEC20 FR INFRARENAL CATHETER RADIOPAQUE C DESIGN SELF EXPAND FLEXIBLE STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE AAA	SUP-ESBF3214C103E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2313C145E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2313C145E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2313C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD23-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2313C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD23-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2316C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD23-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2316C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2513C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2513C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2516C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2516C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2516C145E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2516C145E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2516C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD25-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2516C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT L124 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR PROXIMAL DISTAL SYSTEM BIFURCATED C DESIGN AAA	SUP-ETBF2813C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT L124 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR PROXIMAL DISTAL SYSTEM BIFURCATED C DESIGN AAA	SUP-ETBF2813C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2813C145E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2813C145E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2813C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD28-13 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2813C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2816C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2816C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2816C145E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L145 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF2816C145E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER BIFURCATE L166 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR ABDOMEN AORTA ILIUM C AAA	SUP-ETBF2816C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER BIFURCATE L166 MM OD28-16 MM ODSEC18 FR ENDOVASCULAR ABDOMEN AORTA ILIUM C AAA	SUP-ETBF2816C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3216C124E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L124 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3216C124E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3216C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3216C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II 2 BRANCH L145 MM OD32/20 MM ODSEC20 FR ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM C DESIGN	SUP-ETBF3220C145E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II 2 BRANCH L145 MM OD32/20 MM ODSEC20 FR ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM C DESIGN	SUP-ETBF3220C145E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-20 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3220C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD32-20 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3220C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD36-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3616C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC 2 BRANCH L166 MM OD36-16 MM ODSEC20 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL 1 PIECE KINK RESISTANT AAA	SUP-ETBF3616C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
GRAFT STENT ENDURANT II 2 BRANCH AAA	SUP-ETBF3620C166E	CDM	270010015	LOCAL	270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
GRAFT STENT ENDURANT II 2 BRANCH AAA	SUP-ETBF3620C166E	CDM	270010015	LOCAL	270	RC		inpatient			19950	19950																																																			
MESH OVITEX 1S SIX LAYER 25 X 30 CM PERMANENT	SUP-F10246-2530P	CDM			270	RC		outpatient			19950	1995	5404.46				percent of total billed charges		19950				other	OPPS APC	14763				percent of total billed charges		19950				other	OPPS APC	19950				other	OPPS APC	5404.46				percent of total billed charges		5512.19				percent of total billed charges		1995				other	OPPS APC	1995	19950	
MESH OVITEX 1S SIX LAYER 25 X 30 CM PERMANENT	SUP-F10246-2530P	CDM			270	RC		inpatient			19950	19950																																																			
PACEMAKER- QUADRA ASSURA BI-V ICD	SUP-99-04721	CDM						inpatient			19790	19790																																																			
PACEMAKER- QUADRA ASSURA BI-V ICD	SUP-99-04721	CDM						outpatient			19790	1979	19790				percent of total billed charges		19790				other	OPPS APC	19790				fee schedule		19790				other	OPPS APC	19790				other	OPPS APC	19790				case rate		19790				case rate		1979				other	OPPS APC	1979	19790	
DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT 40 J CARDIOVERTER	SUP-CD3357-40C	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT 40 J CARDIOVERTER	SUP-CD3357-40C	CDM			275	RC		inpatient			19790	19790																																																			
DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT CARDIOVERTER NEXT GENERATION	SUP-CD3357-40Q	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
DEFIBRILLATOR CARDIAC UNIFY ASSURA CRT CARDIOVERTER NEXT GENERATION	SUP-CD3357-40Q	CDM			275	RC		inpatient			19790	19790																																																			
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT CARDIOVERTER NEXT GENERATION AICD	SUP-CD3365-40C	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT CARDIOVERTER NEXT GENERATION AICD	SUP-CD3365-40C	CDM			275	RC		inpatient			19790	19790																																																			
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D THK14 MM 40 J W41 MM X H76 MM 38 ML 81 GM 2 CHAMBER RESYNCHRONIZATION THERAPY	SUP-CD3365-40Q	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT-D THK14 MM 40 J W41 MM X H76 MM 38 ML 81 GM 2 CHAMBER RESYNCHRONIZATION THERAPY	SUP-CD3365-40Q	CDM			275	RC		inpatient			19790	19790																																																			
ICD QUADRA ASSURA MP CRT-D	SUP-CD3369-40C	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
ICD QUADRA ASSURA MP CRT-D	SUP-CD3369-40C	CDM			275	RC		inpatient			19790	19790																																																			
ICD QUADRA ASSURA MP CRT-D MERLIN PKG	SUP-CD3369-40C CELL	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
ICD QUADRA ASSURA MP CRT-D MERLIN PKG	SUP-CD3369-40C CELL	CDM			275	RC		inpatient			19790	19790																																																			
ICD QUADRA ASSURA MP CRT-D DR4 CONNECTOR	SUP-CD3369-40Q	CDM			275	RC		outpatient			19790	1979	9697.1				percent of total billed charges		19790				other	OPPS APC	11280.3				percent of total billed charges		19790				other	OPPS APC	19790				other	OPPS APC	9697.1				percent of total billed charges		10092.9				percent of total billed charges		1979				other	OPPS APC	1979	19790	
ICD QUADRA ASSURA MP CRT-D DR4 CONNECTOR	SUP-CD3369-40Q	CDM			275	RC		inpatient			19790	19790																																																			
EVERA XT DR DUAL CHAMBER ICD SYSTEM	SUP-DDBB1D1 S	CDM			275	RC		outpatient			19780	1978	9692.2				percent of total billed charges		19780				other	OPPS APC	11274.6				percent of total billed charges		19780				other	OPPS APC	19780				other	OPPS APC	9692.2				percent of total billed charges		10087.8				percent of total billed charges		1978				other	OPPS APC	1978	19780	
EVERA XT DR DUAL CHAMBER ICD SYSTEM	SUP-DDBB1D1 S	CDM			275	RC		inpatient			19780	19780																																																			
EVERA XT DR DUAL CHAMBER ICD SYSTEM	SUP-DDBB1D4 S	CDM			275	RC		outpatient			19780	1978	9692.2				percent of total billed charges		19780				other	OPPS APC	11274.6				percent of total billed charges		19780				other	OPPS APC	19780				other	OPPS APC	9692.2				percent of total billed charges		10087.8				percent of total billed charges		1978				other	OPPS APC	1978	19780	
EVERA XT DR DUAL CHAMBER ICD SYSTEM	SUP-DDBB1D4 S	CDM			275	RC		inpatient			19780	19780																																																			
DEFIBRILLATOR CARDIAC PROTECTA 35J W51 MM X H64 MM 37 ML 68 GM VENTRICLE IMPLANTABLE CARDIOVERTER BIPHASIC WAVEFORM	SUP-D334VRG	CDM			275	RC		outpatient			19689	19689	9647.61				percent of total billed charges		19689				other	OPPS APC	11222.73				percent of total billed charges		19689				other	OPPS APC	19689				other	OPPS APC	9647.61				percent of total billed charges		10041.39				percent of total billed charges		19689				other	OPPS APC	9647.61	19689	
DEFIBRILLATOR CARDIAC PROTECTA 35J W51 MM X H64 MM 37 ML 68 GM VENTRICLE IMPLANTABLE CARDIOVERTER BIPHASIC WAVEFORM	SUP-D334VRG	CDM			275	RC		inpatient			19689	19689																																																			
OSS 3CM RESURFACING RT	SUP-97-23624	CDM			278	RC		outpatient			19650	1965	19650				fee schedule		19650				other	OPPS APC	11200.5				percent of total billed charges		19650				other	OPPS APC	19650				other	OPPS APC	9628.5				percent of total billed charges		10021.5				percent of total billed charges		1965				other	OPPS APC	1965	19650	
OSS 3CM RESURFACING RT	SUP-97-23624	CDM			278	RC		inpatient			19650	19650																																																			
ICD DYNAGEN EL VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D42/A	CDM			275	RC		outpatient			19620	1962	9613.8				percent of total billed charges		19620				other	OPPS APC	11183.4				percent of total billed charges		19620				other	OPPS APC	19620				other	OPPS APC	9613.8				percent of total billed charges		10006.2				percent of total billed charges		1962				other	OPPS APC	1962	19620	
ICD DYNAGEN EL VR DF4 SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D42/A	CDM			275	RC		inpatient			19620	19620																																																			
ICD NG MRI ELLIPSE VR SYSTEM	SUP-CD1411-36Q SYS	CDM			275	RC		outpatient			19620	1962	9613.8				percent of total billed charges		19620				other	OPPS APC	11183.4				percent of total billed charges		19620				other	OPPS APC	19620				other	OPPS APC	9613.8				percent of total billed charges		10006.2				percent of total billed charges		1962				other	OPPS APC	1962	19620	
ICD NG MRI ELLIPSE VR SYSTEM	SUP-CD1411-36Q SYS	CDM			275	RC		inpatient			19620	19620																																																			
HC Treatment Delivery Srs Linear	PX-333773720	CDM	77372	CPT	333	RC		outpatient			19432	899.86	1063.05				fee schedule		8099.86				other	OPPS APC	2037.83				fee schedule		8099.86				other	OPPS APC	8099.86				other	OPPS APC	967.38				fee schedule		963.04				fee schedule		899.86				other	OPPS APC	899.86	8099.86	
HC Treatment Delivery Srs Linear	PX-333773720	CDM	77372	CPT	333	RC		inpatient			19432	19432																																																			
DEFIBRILLATOR CARDIAC ENTRANT IS-4 DF4 IS-1 CONNECOR RESYNCHRONIZATION	SUP-CDHFA300Q	CDM			275	RC		outpatient			19300	193	9457				percent of total billed charges		19300				other	OPPS APC	11001				percent of total billed charges		19300				other	OPPS APC	19300				other	OPPS APC	9457				percent of total billed charges		9843				percent of total billed charges		193				other	OPPS APC	193	19300	
DEFIBRILLATOR CARDIAC ENTRANT IS-4 DF4 IS-1 CONNECOR RESYNCHRONIZATION	SUP-CDHFA300Q	CDM			275	RC		inpatient			19300	19300																																																			
DEFIBRILLATOR VIGILANT EL DR DF4 DUAL CHAMBER	SUP-D233	CDM			275	RC		outpatient			19256	19256	9435.44				percent of total billed charges		19256				other	OPPS APC	10975.92				percent of total billed charges		19256				other	OPPS APC	19256				other	OPPS APC	9435.44				percent of total billed charges		9820.56				percent of total billed charges		19256				other	OPPS APC	9435.44	19256	
DEFIBRILLATOR VIGILANT EL DR DF4 DUAL CHAMBER	SUP-D233	CDM			275	RC		inpatient			19256	19256																																																			
PEGFILGRASTIM PER 6 MG	636000000	CDM	55513-190-01	NDC	J2506	HCPCS		inpatient			19253.98	19253.98																																																			
PEGFILGRASTIM PER 6 MG	636000000	CDM	55513-190-01	NDC	J2506	HCPCS		outpatient			19253.98	116.93																																											116.93				other	OPPS APC	116.93	116.93	
SYSTEM ICD MOMENTUM EL VR DF1	SUP-8TMC	CDM			275	RC		outpatient			19244	19244	9429.56				percent of total billed charges		19244				other	OPPS APC	10969.08				percent of total billed charges		19244				other	OPPS APC	19244				other	OPPS APC	9429.56				percent of total billed charges		9814.44				percent of total billed charges		19244				other	OPPS APC	9429.56	19244	
SYSTEM ICD MOMENTUM EL VR DF1	SUP-8TMC	CDM			275	RC		inpatient			19244	19244																																																			
ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 2 LEAD	SUP-8D72/A	CDM			275	RC		outpatient			19193	19193	9404.57				percent of total billed charges		19193				other	OPPS APC	10940.01				percent of total billed charges		19193				other	OPPS APC	19193				other	OPPS APC	9404.57				percent of total billed charges		9788.43				percent of total billed charges		19193				other	OPPS APC	9404.57	19193	
ICD DYNAGEN EL DR DUAL CHAMBER SYSTEM 2 LEAD	SUP-8D72/A	CDM			275	RC		inpatient			19193	19193																																																			
ICD NG ASSURA DR DUAL CHAMBER SYSTEM	SUP-CD2357-40C SYS	CDM			275	RC		outpatient			19193	19193	9404.57				percent of total billed charges		19193				other	OPPS APC	10940.01				percent of total billed charges		19193				other	OPPS APC	19193				other	OPPS APC	9404.57				percent of total billed charges		9788.43				percent of total billed charges		19193				other	OPPS APC	9404.57	19193	
ICD NG ASSURA DR DUAL CHAMBER SYSTEM	SUP-CD2357-40C SYS	CDM			275	RC		inpatient			19193	19193																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN	SUP-G48417	CDM	270010015	LOCAL	270	RC		outpatient			19038	1938	5157.39				percent of total billed charges		19038				other	OPPS APC	14088.12				percent of total billed charges		19038				other	OPPS APC	19038				other	OPPS APC	5157.39				percent of total billed charges		5260.2				percent of total billed charges		1938				other	OPPS APC	1938	19038	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN	SUP-G48417	CDM	270010015	LOCAL	270	RC		inpatient			19038	19038																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 96MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN	SUP-G48418	CDM	270010015	LOCAL	270	RC		outpatient			19038	1938	5157.39				percent of total billed charges		19038				other	OPPS APC	14088.12				percent of total billed charges		19038				other	OPPS APC	19038				other	OPPS APC	5157.39				percent of total billed charges		5260.2				percent of total billed charges		1938				other	OPPS APC	1938	19038	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 96MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN	SUP-G48418	CDM	270010015	LOCAL	270	RC		inpatient			19038	19038																																																			
AQUILEX FLUID CONTROL SYSTEM	SUP-97-00850	CDM			272	RC		outpatient			19000	19	5147.1				percent of total billed charges		19000				other	OPPS APC	14060				percent of total billed charges		19000				other	OPPS APC	19000				other	OPPS APC	5147.1				percent of total billed charges		5249.7				percent of total billed charges		19				other	OPPS APC	19	19000	
AQUILEX FLUID CONTROL SYSTEM	SUP-97-00850	CDM			272	RC		inpatient			19000	19000																																																			
PACEMAKER COMPIA DTMC1D1 MRI DEVICE	SUP-DTMC1D1	CDM			275	RC		outpatient			18968	18968	9294.32				percent of total billed charges		18968				other	OPPS APC	10811.76				percent of total billed charges		18968				other	OPPS APC	18968				other	OPPS APC	9294.32				percent of total billed charges		9673.68				percent of total billed charges		18968				other	OPPS APC	9294.32	18968	
PACEMAKER COMPIA DTMC1D1 MRI DEVICE	SUP-DTMC1D1	CDM			275	RC		inpatient			18968	18968																																																			
CRTD COMPIA MRI QUAD DEVICE	SUP-DTMC1QQ	CDM			275	RC		outpatient			18968	18968	9294.32				percent of total billed charges		18968				other	OPPS APC	10811.76				percent of total billed charges		18968				other	OPPS APC	18968				other	OPPS APC	9294.32				percent of total billed charges		9673.68				percent of total billed charges		18968				other	OPPS APC	9294.32	18968	
CRTD COMPIA MRI QUAD DEVICE	SUP-DTMC1QQ	CDM			275	RC		inpatient			18968	18968																																																			
DEFIBRILLATOR VIGILANT EL VR DF4 SINGLE CHAMBER	SUP-D232	CDM			275	RC		outpatient			18900	189	9261				percent of total billed charges		18900				other	OPPS APC	10773				percent of total billed charges		18900				other	OPPS APC	18900				other	OPPS APC	9261				percent of total billed charges		9639				percent of total billed charges		189				other	OPPS APC	189	18900	
DEFIBRILLATOR VIGILANT EL VR DF4 SINGLE CHAMBER	SUP-D232	CDM			275	RC		inpatient			18900	18900																																																			
ICD D022 DYNAGEN MINI DR DF4 DEVICE	SUP-D022	CDM			275	RC		outpatient			18893	18893	9257.57				percent of total billed charges		18893				other	OPPS APC	10769.01				percent of total billed charges		18893				other	OPPS APC	18893				other	OPPS APC	9257.57				percent of total billed charges		9635.43				percent of total billed charges		18893				other	OPPS APC	9257.57	18893	
ICD D022 DYNAGEN MINI DR DF4 DEVICE	SUP-D022	CDM			275	RC		inpatient			18893	18893																																																			
ICD D023 DYNAGEN MINI DR DEVICE	SUP-D023	CDM			275	RC		outpatient			18893	18893	9257.57				percent of total billed charges		18893				other	OPPS APC	10769.01				percent of total billed charges		18893				other	OPPS APC	18893				other	OPPS APC	9257.57				percent of total billed charges		9635.43				percent of total billed charges		18893				other	OPPS APC	9257.57	18893	
ICD D023 DYNAGEN MINI DR DEVICE	SUP-D023	CDM			275	RC		inpatient			18893	18893																																																			
PACEMAKER CARDIAC MICRA VR2 LEADLESS BUNDLE	SUP-MICRAVR2SYSTEM	CDM			275	RC		outpatient			18820	1882	9221.8				percent of total billed charges		18820				other	OPPS APC	10727.4				percent of total billed charges		18820				other	OPPS APC	18820				other	OPPS APC	9221.8				percent of total billed charges		9598.2				percent of total billed charges		1882				other	OPPS APC	1882	18820	
PACEMAKER CARDIAC MICRA VR2 LEADLESS BUNDLE	SUP-MICRAVR2SYSTEM	CDM			275	RC		inpatient			18820	18820																																																			
ICD D224VRC SECURA DEVICE _19261_	SUP-D224VRC	CDM			275	RC		outpatient			18812	18812	9217.88				percent of total billed charges		18812				other	OPPS APC	10722.84				percent of total billed charges		18812				other	OPPS APC	18812				other	OPPS APC	9217.88				percent of total billed charges		9594.12				percent of total billed charges		18812				other	OPPS APC	9217.88	18812	
ICD D224VRC SECURA DEVICE _19261_	SUP-D224VRC	CDM			275	RC		inpatient			18812	18812																																																			
DEFIBRILLATOR D314DRG CARDIAC PROTECTA XT VR IMPLANTABLE	SUP-D314VRG	CDM	275001002	LOCAL	275	RC		outpatient			18812	18812	9217.88				percent of total billed charges		18812				other	OPPS APC	10722.84				percent of total billed charges		18812				other	OPPS APC	18812				other	OPPS APC	9217.88				percent of total billed charges		9594.12				percent of total billed charges		18812				other	OPPS APC	9217.88	18812	
DEFIBRILLATOR D314DRG CARDIAC PROTECTA XT VR IMPLANTABLE	SUP-D314VRG	CDM	275001002	LOCAL	275	RC		inpatient			18812	18812																																																			
FORTIFY VR ICD	SUP-CD1231-40Q-D	CDM			275	RC		outpatient			18625	18625	9126.25				percent of total billed charges		18625				other	OPPS APC	10616.25				percent of total billed charges		18625				other	OPPS APC	18625				other	OPPS APC	9126.25				percent of total billed charges		9498.75				percent of total billed charges		18625				other	OPPS APC	9126.25	18625	
FORTIFY VR ICD	SUP-CD1231-40Q-D	CDM			275	RC		inpatient			18625	18625																																																			
ICD 1257-40 ASSURE VR	SUP-CD1257-40	CDM			275	RC		outpatient			18625	18625	9126.25				percent of total billed charges		18625				other	OPPS APC	10616.25				percent of total billed charges		18625				other	OPPS APC	18625				other	OPPS APC	9126.25				percent of total billed charges		9498.75				percent of total billed charges		18625				other	OPPS APC	9126.25	18625	
ICD 1257-40 ASSURE VR	SUP-CD1257-40	CDM			275	RC		inpatient			18625	18625																																																			
ICD CD1257-40Q ASSURE VR	SUP-CD1257-40Q	CDM			275	RC		outpatient			18625	18625	9126.25				percent of total billed charges		18625				other	OPPS APC	10616.25				percent of total billed charges		18625				other	OPPS APC	18625				other	OPPS APC	9126.25				percent of total billed charges		9498.75				percent of total billed charges		18625				other	OPPS APC	9126.25	18625	
ICD CD1257-40Q ASSURE VR	SUP-CD1257-40Q	CDM			275	RC		inpatient			18625	18625																																																			
PACEMAKER- BI-V ICD RIVACOR CRT-D	SUP-99-04352	CDM						inpatient			18500	18500																																																			
PACEMAKER- BI-V ICD RIVACOR CRT-D	SUP-99-04352	CDM						outpatient			18500	185	18500				percent of total billed charges		18500				other	OPPS APC	18500				fee schedule		18500				other	OPPS APC	18500				other	OPPS APC	18500				case rate		18500				case rate		185				other	OPPS APC	185	18500	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 82MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG	SUP-G48407	CDM	270010015	LOCAL	270	RC		outpatient			18484	18484	5007.32				percent of total billed charges		18484				other	OPPS APC	13678.16				percent of total billed charges		18484				other	OPPS APC	18484				other	OPPS APC	5007.32				percent of total billed charges		5107.13				percent of total billed charges		18484				other	OPPS APC	5007.32	18484	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 82MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG	SUP-G48407	CDM	270010015	LOCAL	270	RC		inpatient			18484	18484																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT	SUP-G48428	CDM	270010015	LOCAL	270	RC		outpatient			18484	18484	5007.32				percent of total billed charges		18484				other	OPPS APC	13678.16				percent of total billed charges		18484				other	OPPS APC	18484				other	OPPS APC	5007.32				percent of total billed charges		5107.13				percent of total billed charges		18484				other	OPPS APC	5007.32	18484	
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT	SUP-G48428	CDM	270010015	LOCAL	270	RC		inpatient			18484	18484																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 96MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG	SUP-TFFB-24-96-ZT	CDM	270010015	LOCAL	270	RC		outpatient			18484	18484	5007.32				percent of total billed charges		18484				other	OPPS APC	13678.16				percent of total billed charges		18484				other	OPPS APC	18484				other	OPPS APC	5007.32				percent of total billed charges		5107.13				percent of total billed charges		18484				other	OPPS APC	5007.32	18484	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK BIFURCATED 96MM 24MM 7.1MM 18FR POLYESTER SS SELF EXPANDING ANCILLARY WOVEN LEG	SUP-TFFB-24-96-ZT	CDM	270010015	LOCAL	270	RC		inpatient			18484	18484																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD30 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA	SUP-TFFB-30-111ZT	CDM	270010015	LOCAL	270	RC		outpatient			18484	18484	5007.32				percent of total billed charges		18484				other	OPPS APC	13678.16				percent of total billed charges		18484				other	OPPS APC	18484				other	OPPS APC	5007.32				percent of total billed charges		5107.13				percent of total billed charges		18484				other	OPPS APC	5007.32	18484	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD30 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA	SUP-TFFB-30-111ZT	CDM	270010015	LOCAL	270	RC		inpatient			18484	18484																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L82 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM	SUP-TFFB-30-82-ZT	CDM	270010015	LOCAL	270	RC		outpatient			18484	18484	5007.32				percent of total billed charges		18484				other	OPPS APC	13678.16				percent of total billed charges		18484				other	OPPS APC	18484				other	OPPS APC	5007.32				percent of total billed charges		5107.13				percent of total billed charges		18484				other	OPPS APC	5007.32	18484	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L82 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM	SUP-TFFB-30-82-ZT	CDM	270010015	LOCAL	270	RC		inpatient			18484	18484																																																			
GRAFT ENDOVASCULAR ZENITH FLEX AAA BIFURCATED MAIN BODY	SUP-TFFB-32-82-ZT	CDM	270010015	LOCAL	270	RC		outpatient			18484	18484	5007.32				percent of total billed charges		18484				other	OPPS APC	13678.16				percent of total billed charges		18484				other	OPPS APC	18484				other	OPPS APC	5007.32				percent of total billed charges		5107.13				percent of total billed charges		18484				other	OPPS APC	5007.32	18484	
GRAFT ENDOVASCULAR ZENITH FLEX AAA BIFURCATED MAIN BODY	SUP-TFFB-32-82-ZT	CDM	270010015	LOCAL	270	RC		inpatient			18484	18484																																																			
STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM LEFT SHOULDER FRACTURE	SUP-304-23-07	CDM	270010030	LOCAL	270	RC		outpatient			18400	184	4984.56				percent of total billed charges		18400				other	OPPS APC	13616				percent of total billed charges		18400				other	OPPS APC	18400				other	OPPS APC	4984.56				percent of total billed charges		5083.92				percent of total billed charges		184				other	OPPS APC	184	18400	
STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM LEFT SHOULDER FRACTURE	SUP-304-23-07	CDM	270010030	LOCAL	270	RC		inpatient			18400	18400																																																			
CAP PRICING  SHOULDER EXACTECH WITH AUG GLENOID ADJ	SUP-SHOULD-REVERSE EXACT	CDM	270010030	LOCAL	270	RC		outpatient			18400	184	4984.56				percent of total billed charges		18400				other	OPPS APC	13616				percent of total billed charges		18400				other	OPPS APC	18400				other	OPPS APC	4984.56				percent of total billed charges		5083.92				percent of total billed charges		184				other	OPPS APC	184	18400	
CAP PRICING  SHOULDER EXACTECH WITH AUG GLENOID ADJ	SUP-SHOULD-REVERSE EXACT	CDM	270010030	LOCAL	270	RC		inpatient			18400	18400																																																			
RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L41 MM OD4 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE	SUP-91314	CDM	27000000	LOCAL	270	RC		outpatient			18394	18394	4982.93				percent of total billed charges		18394				other	OPPS APC	13611.56				percent of total billed charges		18394				other	OPPS APC	18394				other	OPPS APC	4982.93				percent of total billed charges		5082.26				percent of total billed charges		18394				other	OPPS APC	4982.93	18394	
RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L41 MM OD4 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE	SUP-91314	CDM	27000000	LOCAL	270	RC		inpatient			18394	18394																																																			
RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L37 MM OD6 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE	SUP-91315	CDM	27000000	LOCAL	270	RC		outpatient			18394	18394	4982.93				percent of total billed charges		18394				other	OPPS APC	13611.56				percent of total billed charges		18394				other	OPPS APC	18394				other	OPPS APC	4982.93				percent of total billed charges		5082.26				percent of total billed charges		18394				other	OPPS APC	4982.93	18394	
RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L37 MM OD6 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE	SUP-91315	CDM	27000000	LOCAL	270	RC		inpatient			18394	18394																																																			
PACEMAKER SYNCRA SYSTEM CRT-P	SUP-SYNCRASYS	CDM			275	RC		outpatient			18390	1839	9011.1				percent of total billed charges		18390				other	OPPS APC	10482.3				percent of total billed charges		18390				other	OPPS APC	18390				other	OPPS APC	9011.1				percent of total billed charges		9378.9				percent of total billed charges		1839				other	OPPS APC	1839	18390	
PACEMAKER SYNCRA SYSTEM CRT-P	SUP-SYNCRASYS	CDM			275	RC		inpatient			18390	18390																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.68 CM 31 CC 71.4 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF4 CONNECTOR	SUP-D152	CDM			275	RC		outpatient			18256	18256	8945.44				percent of total billed charges		18256				other	OPPS APC	10405.92				percent of total billed charges		18256				other	OPPS APC	18256				other	OPPS APC	8945.44				percent of total billed charges		9310.56				percent of total billed charges		18256				other	OPPS APC	8945.44	18256	
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.68 CM 31 CC 71.4 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF4 CONNECTOR	SUP-D152	CDM			275	RC		inpatient			18256	18256																																																			
ICD DYNAGEN EL VR SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D52/A	CDM			275	RC		outpatient			18244	18244	8939.56				percent of total billed charges		18244				other	OPPS APC	10399.08				percent of total billed charges		18244				other	OPPS APC	18244				other	OPPS APC	8939.56				percent of total billed charges		9304.44				percent of total billed charges		18244				other	OPPS APC	8939.56	18244	
ICD DYNAGEN EL VR SINGLE CHAMBER SYSTEM 1 LEAD	SUP-8D52/A	CDM			275	RC		inpatient			18244	18244																																																			
ICD NG ASSURA VR SYSTEM	SUP-CD1357-40C SYS	CDM			275	RC		outpatient			18244	18244	8939.56				percent of total billed charges		18244				other	OPPS APC	10399.08				percent of total billed charges		18244				other	OPPS APC	18244				other	OPPS APC	8939.56				percent of total billed charges		9304.44				percent of total billed charges		18244				other	OPPS APC	8939.56	18244	
ICD NG ASSURA VR SYSTEM	SUP-CD1357-40C SYS	CDM			275	RC		inpatient			18244	18244																																																			
HC Rad Therapy Head&Neck Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10890	CDM			333	RC		outpatient			18223.47	18223.47	8929.5				percent of total billed charges		18223.47				other	OPPS APC	13485.37				percent of total billed charges		18223.47				other	OPPS APC	18223.47				other	OPPS APC	8929.5				percent of total billed charges		9293.97				percent of total billed charges		18223.47				other	OPPS APC	8929.5	18223.47	
HC Rad Therapy Head&Neck Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10890	CDM			333	RC		inpatient			18223.47	18223.47																																																			
DEFIBRILLATOR CARDIAC ELLIPSE VR TITANIUM THK12 MM 36 J W51 MM X H68 MM 31 ML 66 GM VENTRICLE 1 CHAMBER 1 IS-1 1 DF-1 HIGH VOLTAGE	SUP-CD1311-36	CDM			275	RC		outpatient			18200	182	8918				percent of total billed charges		18200				other	OPPS APC	10374				percent of total billed charges		18200				other	OPPS APC	18200				other	OPPS APC	8918				percent of total billed charges		9282				percent of total billed charges		182				other	OPPS APC	182	18200	
DEFIBRILLATOR CARDIAC ELLIPSE VR TITANIUM THK12 MM 36 J W51 MM X H68 MM 31 ML 66 GM VENTRICLE 1 CHAMBER 1 IS-1 1 DF-1 HIGH VOLTAGE	SUP-CD1311-36	CDM			275	RC		inpatient			18200	18200																																																			
ICD D020 DYNAGEN MINI VR DF4 DEVICE	SUP-D020	CDM			275	RC		outpatient			18200	182	8918				percent of total billed charges		18200				other	OPPS APC	10374				percent of total billed charges		18200				other	OPPS APC	18200				other	OPPS APC	8918				percent of total billed charges		9282				percent of total billed charges		182				other	OPPS APC	182	18200	
ICD D020 DYNAGEN MINI VR DF4 DEVICE	SUP-D020	CDM			275	RC		inpatient			18200	18200																																																			
ICD D021 DYNAGEN MINI DR DEVICE	SUP-D021	CDM			275	RC		outpatient			18200	182	8918				percent of total billed charges		18200				other	OPPS APC	10374				percent of total billed charges		18200				other	OPPS APC	18200				other	OPPS APC	8918				percent of total billed charges		9282				percent of total billed charges		182				other	OPPS APC	182	18200	
ICD D021 DYNAGEN MINI DR DEVICE	SUP-D021	CDM			275	RC		inpatient			18200	18200																																																			
CRT-P SYSTEM CARDIAC VISIONIST X4	SUP-9V6G/J/H	CDM			481	RC		outpatient			18130	1813	8883.7				percent of total billed charges		18130				other	OPPS APC	13416.2				percent of total billed charges		18130				other	OPPS APC	18130				other	OPPS APC	8883.7				percent of total billed charges		9246.3				percent of total billed charges		1813				other	OPPS APC	1813	18130	
CRT-P SYSTEM CARDIAC VISIONIST X4	SUP-9V6G/J/H	CDM			481	RC		inpatient			18130	18130																																																			
ICD DDB1D4 Evera XT DF$	SUP-DDB1D4	CDM			275	RC		outpatient			18000	18	8820				percent of total billed charges		18000				other	OPPS APC	10260				percent of total billed charges		18000				other	OPPS APC	18000				other	OPPS APC	8820				percent of total billed charges		9180				percent of total billed charges		18				other	OPPS APC	18	18000	
ICD DDB1D4 Evera XT DF$	SUP-DDB1D4	CDM			275	RC		inpatient			18000	18000																																																			
PACEMAKER - AICD - MOMENTUM D121	SUP-99-04231	CDM			275	RC		outpatient			17948	17948	17948				fee schedule		17948				other	OPPS APC	10230.36				percent of total billed charges		17948				other	OPPS APC	17948				other	OPPS APC	8794.52				percent of total billed charges		9153.48				percent of total billed charges		17948				other	OPPS APC	8794.52	17948	
PACEMAKER - AICD - MOMENTUM D121	SUP-99-04231	CDM			275	RC		inpatient			17948	17948																																																			
ICD D121 MOMENTUM EL DR DF1 DEVICE ONLY	SUP-D121	CDM			275	RC		outpatient			17948	17948	8794.52				percent of total billed charges		17948				other	OPPS APC	10230.36				percent of total billed charges		17948				other	OPPS APC	17948				other	OPPS APC	8794.52				percent of total billed charges		9153.48				percent of total billed charges		17948				other	OPPS APC	8794.52	17948	
ICD D121 MOMENTUM EL DR DF1 DEVICE ONLY	SUP-D121	CDM			275	RC		inpatient			17948	17948																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT	SUP-G48413	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY COMPONENT	SUP-G48413	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G48414	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD26 MM ODSEC7.1 MM ID18 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G48414	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 111MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN	SUP-G48419	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 111MM 28MM 7.7MM 20FR SS POLYESTER SELF EXPAND ANCILLARY WOVEN	SUP-G48419	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L96 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM	SUP-G48423	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L96 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM	SUP-G48423	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD32 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G48429	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L111 MM OD32 MM ODSEC20 FR SELF EXPANDABLE ANCILLARY EG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G48429	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL 2 BRANCH L95 MM OD36 MM ODSEC8.5 MM ID22 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING MAIN BODY INTRODUCTION SYSTEM TRIGGER WIRE RELEASE RADIOPAQUE BAND STERILE	SUP-G48432	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL 2 BRANCH L95 MM OD36 MM ODSEC8.5 MM ID22 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING MAIN BODY INTRODUCTION SYSTEM TRIGGER WIRE RELEASE RADIOPAQUE BAND STERILE	SUP-G48432	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVACULAR ZENITH FLEX Z TRAK BIFURCATED MAIN BODY TFFB-36-131ZT	SUP-G48434	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVACULAR ZENITH FLEX Z TRAK BIFURCATED MAIN BODY TFFB-36-131ZT	SUP-G48434	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
IMPLANT ENDOVASCULAR ZENITH ENDO GRAFT	SUP-TFB-30-74	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
IMPLANT ENDOVASCULAR ZENITH ENDO GRAFT	SUP-TFB-30-74	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD22 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN MAIN BODY INTRODUCTION SYSTEM AAA	SUP-TFFB-22-111-ZT	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L111 MM OD22 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN MAIN BODY INTRODUCTION SYSTEM AAA	SUP-TFFB-22-111-ZT	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA	SUP-TFFB-22-82-ZT	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA	SUP-TFFB-22-82-ZT	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 26MM 18FR SS POLYESTER SELF EXPAND WOVEN LEG EXTENSION INTRODUCTION	SUP-TFFB-26-82ZT	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK 2 BRANCH 82MM 26MM 18FR SS POLYESTER SELF EXPAND WOVEN LEG EXTENSION INTRODUCTION	SUP-TFFB-26-82ZT	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L113 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY COMPONENT MAIN BODY INTRODUCER SHEATH	SUP-TFFB-36-113-ZT	CDM	270010015	LOCAL	270	RC		outpatient			17946	17946	4861.57				percent of total billed charges		17946				other	OPPS APC	13280.04				percent of total billed charges		17946				other	OPPS APC	17946				other	OPPS APC	4861.57				percent of total billed charges		4958.48				percent of total billed charges		17946				other	OPPS APC	4861.57	17946	
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L113 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY COMPONENT MAIN BODY INTRODUCER SHEATH	SUP-TFFB-36-113-ZT	CDM	270010015	LOCAL	270	RC		inpatient			17946	17946																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.36 CM 29.5 CC 68.9 GM VENTRICULAR 1 CHAMBER EXTEND LONGEVITY DF4 CONNECTOR	SUP-D150	CDM			275	RC		outpatient			17900	179	8771				percent of total billed charges		17900				other	OPPS APC	10203				percent of total billed charges		17900				other	OPPS APC	17900				other	OPPS APC	8771				percent of total billed charges		9129				percent of total billed charges		179				other	OPPS APC	179	17900	
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.36 CM 29.5 CC 68.9 GM VENTRICULAR 1 CHAMBER EXTEND LONGEVITY DF4 CONNECTOR	SUP-D150	CDM			275	RC		inpatient			17900	17900																																																			
INFINITY ADAPTIS TALAR DOME FLAT CUT	SUP-97-04904	CDM			278	RC		outpatient			17810	1781	17810				fee schedule		17810				other	OPPS APC	10151.7				percent of total billed charges		17810				other	OPPS APC	17810				other	OPPS APC	8726.9				percent of total billed charges		9083.1				percent of total billed charges		1781				other	OPPS APC	1781	17810	
INFINITY ADAPTIS TALAR DOME FLAT CUT	SUP-97-04904	CDM			278	RC		inpatient			17810	17810																																																			
PACEMAKER - AICD- DUAL EVERA XT GENERATOR	SUP-99-04551	CDM						inpatient			17598	17598																																																			
PACEMAKER - AICD- DUAL EVERA XT GENERATOR	SUP-99-04551	CDM						outpatient			17598	17598	17598				percent of total billed charges		17598				other	OPPS APC	17598				fee schedule		17598				other	OPPS APC	17598				other	OPPS APC	17598				case rate		17598				case rate		17598				other	OPPS APC	17598	17598	
ICD EVERA MRI XT DR DEVICE	SUP-DDMB1D4	CDM			275	RC		outpatient			17598	17598	8623.02				percent of total billed charges		17598				other	OPPS APC	10030.86				percent of total billed charges		17598				other	OPPS APC	17598				other	OPPS APC	8623.02				percent of total billed charges		8974.98				percent of total billed charges		17598				other	OPPS APC	8623.02	17598	
ICD EVERA MRI XT DR DEVICE	SUP-DDMB1D4	CDM			275	RC		inpatient			17598	17598																																																			
HC Rad Therapy Anal Cancer Rad Onc Model 90 Day Episode  Tc	PX-333M10730	CDM			333	RC		outpatient			17517.57	17517.57	8583.61				percent of total billed charges		17517.57				other	OPPS APC	12963				percent of total billed charges		17517.57				other	OPPS APC	17517.57				other	OPPS APC	8583.61				percent of total billed charges		8933.96				percent of total billed charges		17517.57				other	OPPS APC	8583.61	17517.57	
HC Rad Therapy Anal Cancer Rad Onc Model 90 Day Episode  Tc	PX-333M10730	CDM			333	RC		inpatient			17517.57	17517.57																																																			
DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-1 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY	SUP-DTBA1D1	CDM			275	RC		outpatient			17500	175	8575				percent of total billed charges		17500				other	OPPS APC	9975				percent of total billed charges		17500				other	OPPS APC	17500				other	OPPS APC	8575				percent of total billed charges		8925				percent of total billed charges		175				other	OPPS APC	175	17500	
DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-1 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY	SUP-DTBA1D1	CDM			275	RC		inpatient			17500	17500																																																			
DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-4 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY	SUP-DTBA1D4	CDM			275	RC		outpatient			17500	175	8575				percent of total billed charges		17500				other	OPPS APC	9975				percent of total billed charges		17500				other	OPPS APC	17500				other	OPPS APC	8575				percent of total billed charges		8925				percent of total billed charges		175				other	OPPS APC	175	17500	
DEFIBRILLATOR CARDIAC VIVA XT CRT-D 35 ML 80 GM ICD DF-4 BIPHASIC WAVEFORM RESYNCHRONIZATION THERAPY	SUP-DTBA1D4	CDM			275	RC		inpatient			17500	17500																																																			
DEFIBRILLATOR CARDIAC VIVA QUAD XT RESYNCHRONIZATION THERAPY	SUP-DTBA1QQ	CDM			275	RC		outpatient			17500	175	8575				percent of total billed charges		17500				other	OPPS APC	9975				percent of total billed charges		17500				other	OPPS APC	17500				other	OPPS APC	8575				percent of total billed charges		8925				percent of total billed charges		175				other	OPPS APC	175	17500	
DEFIBRILLATOR CARDIAC VIVA QUAD XT RESYNCHRONIZATION THERAPY	SUP-DTBA1QQ	CDM			275	RC		inpatient			17500	17500																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G48410	CDM	270010015	LOCAL	270	RC		outpatient			17424	17424	4720.16				percent of total billed charges		17424				other	OPPS APC	12893.76				percent of total billed charges		17424				other	OPPS APC	17424				other	OPPS APC	4720.16				percent of total billed charges		4814.25				percent of total billed charges		17424				other	OPPS APC	4720.16	17424	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G48410	CDM	270010015	LOCAL	270	RC		inpatient			17424	17424																																																			
GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA TFFB-26-82-ZT	SUP-G48412	CDM	270010015	LOCAL	270	RC		outpatient			17424	17424	4720.16				percent of total billed charges		17424				other	OPPS APC	12893.76				percent of total billed charges		17424				other	OPPS APC	17424				other	OPPS APC	4720.16				percent of total billed charges		4814.25				percent of total billed charges		17424				other	OPPS APC	4720.16	17424	
GRAFT ENDOVASCULAR BIFURCATED MAIN BODY ZENITH AAA TFFB-26-82-ZT	SUP-G48412	CDM	270010015	LOCAL	270	RC		inpatient			17424	17424																																																			
DEVICE ICD MONENTUM EL VR DF1	SUP-D120	CDM			275	RC		outpatient			17352	17352	8502.48				percent of total billed charges		17352				other	OPPS APC	9890.64				percent of total billed charges		17352				other	OPPS APC	17352				other	OPPS APC	8502.48				percent of total billed charges		8849.52				percent of total billed charges		17352				other	OPPS APC	8502.48	17352	
DEVICE ICD MONENTUM EL VR DF1	SUP-D120	CDM			275	RC		inpatient			17352	17352																																																			
PACEMAKER INVIVE CRTP SYSTEM	SUP-V172/73S	CDM			270	RC		outpatient			17258	17258	4675.19				percent of total billed charges		17258				other	OPPS APC	12770.92				percent of total billed charges		17258				other	OPPS APC	17258				other	OPPS APC	4675.19				percent of total billed charges		4768.39				percent of total billed charges		17258				other	OPPS APC	4675.19	17258	
PACEMAKER INVIVE CRTP SYSTEM	SUP-V172/73S	CDM			270	RC		inpatient			17258	17258																																																			
PACEMAKER QUADRA ALLURE MP CRT-P BIV SYSTEM	SUP-PM3562SYSTEM	CDM			275	RC		outpatient			17220	1722	8437.8				percent of total billed charges		17220				other	OPPS APC	9815.4				percent of total billed charges		17220				other	OPPS APC	17220				other	OPPS APC	8437.8				percent of total billed charges		8782.2				percent of total billed charges		1722				other	OPPS APC	1722	17220	
PACEMAKER QUADRA ALLURE MP CRT-P BIV SYSTEM	SUP-PM3562SYSTEM	CDM			275	RC		inpatient			17220	17220																																																			
GRAFT SAPHENOUS VEING DOUBLE GRAFT	SUP-V010-DP	CDM			270	RC		outpatient			17220	1722	4664.9				percent of total billed charges		17220				other	OPPS APC	12742.8				percent of total billed charges		17220				other	OPPS APC	17220				other	OPPS APC	4664.9				percent of total billed charges		4757.89				percent of total billed charges		1722				other	OPPS APC	1722	17220	
GRAFT SAPHENOUS VEING DOUBLE GRAFT	SUP-V010-DP	CDM			270	RC		inpatient			17220	17220																																																			
MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 20MM	SUP-80052	CDM			270	RC		outpatient			17190	1719	4656.77				percent of total billed charges		17190				other	OPPS APC	12720.6				percent of total billed charges		17190				other	OPPS APC	17190				other	OPPS APC	4656.77				percent of total billed charges		4749.6				percent of total billed charges		1719				other	OPPS APC	1719	17190	
MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 20MM	SUP-80052	CDM			270	RC		inpatient			17190	17190																																																			
MICROCATHETER TREVO XP PROVUE +XT27 6 X 25MM	SUP-93068	CDM			270	RC		outpatient			17190	1719	4656.77				percent of total billed charges		17190				other	OPPS APC	12720.6				percent of total billed charges		17190				other	OPPS APC	17190				other	OPPS APC	4656.77				percent of total billed charges		4749.6				percent of total billed charges		1719				other	OPPS APC	1719	17190	
MICROCATHETER TREVO XP PROVUE +XT27 6 X 25MM	SUP-93068	CDM			270	RC		inpatient			17190	17190																																																			
TOTAL STABLIZER  FEMORAL COMPONENT	SUP-97-01185	CDM			278	RC		outpatient			17142	17142	17142				fee schedule		17142				other	OPPS APC	9770.94				percent of total billed charges		17142				other	OPPS APC	17142				other	OPPS APC	8399.58				percent of total billed charges		8742.42				percent of total billed charges		17142				other	OPPS APC	8399.58	17142	
TOTAL STABLIZER  FEMORAL COMPONENT	SUP-97-01185	CDM			278	RC		inpatient			17142	17142																																																			
SPACER SPINAL ELSA 6 D D20 MM W50 MM X H8-15 MM	SUP-1122.0150	CDM	270010020	LOCAL	270	RC		outpatient			17000	17	4605.3				percent of total billed charges		17000				other	OPPS APC	12580				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	4605.3				percent of total billed charges		4697.1				percent of total billed charges		17				other	OPPS APC	17	17000	
SPACER SPINAL ELSA 6 D D20 MM W50 MM X H8-15 MM	SUP-1122.0150	CDM	270010020	LOCAL	270	RC		inpatient			17000	17000																																																			
DEFIBRILLATOR CARDIAC ACTICOR 7 VR-T DX	SUP-429525_74451	CDM			270	RC		outpatient			17000	17	4605.3				percent of total billed charges		17000				other	OPPS APC	12580				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	4605.3				percent of total billed charges		4697.1				percent of total billed charges		17				other	OPPS APC	17	17000	
DEFIBRILLATOR CARDIAC ACTICOR 7 VR-T DX	SUP-429525_74451	CDM			270	RC		inpatient			17000	17000																																																			
ASCEND REVERSE SHOULDER	SUP-97-04160	CDM			278	RC		outpatient			17000	17	17000				fee schedule		17000				other	OPPS APC	9690				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	8330				percent of total billed charges		8670				percent of total billed charges		17				other	OPPS APC	17	17000	
ASCEND REVERSE SHOULDER	SUP-97-04160	CDM			278	RC		inpatient			17000	17000																																																			
CAP1133 PRIMARY SHOULDER REV/INVERSE	SUP-97-04852	CDM			278	RC		outpatient			17000	17	17000				fee schedule		17000				other	OPPS APC	9690				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	8330				percent of total billed charges		8670				percent of total billed charges		17				other	OPPS APC	17	17000	
CAP1133 PRIMARY SHOULDER REV/INVERSE	SUP-97-04852	CDM			278	RC		inpatient			17000	17000																																																			
GRAFT BONE CARTIFORM OSTEOCHONDRAL DISK OD20 MM ALLOGRAFT CRYOPRESERVE FLEXIBE TRIMMABLE	SUP-ABS-1101	CDM	270010031	LOCAL	270	RC		outpatient			17000	17	4605.3				percent of total billed charges		17000				other	OPPS APC	12580				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	4605.3				percent of total billed charges		4697.1				percent of total billed charges		17				other	OPPS APC	17	17000	
GRAFT BONE CARTIFORM OSTEOCHONDRAL DISK OD20 MM ALLOGRAFT CRYOPRESERVE FLEXIBE TRIMMABLE	SUP-ABS-1101	CDM	270010031	LOCAL	270	RC		inpatient			17000	17000																																																			
CRTP C4TR01CARDIAC CONSULTA CRT-P	SUP-C4TR01-SYS	CDM			270	RC		outpatient			17000	17	4605.3				percent of total billed charges		17000				other	OPPS APC	12580				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	4605.3				percent of total billed charges		4697.1				percent of total billed charges		17				other	OPPS APC	17	17000	
CRTP C4TR01CARDIAC CONSULTA CRT-P	SUP-C4TR01-SYS	CDM			270	RC		inpatient			17000	17000																																																			
PERCEPTA MRI QUAD CRT-P SYSTEM MMQE	SUP-PERCEPTAMRIQDMMQE	CDM			275	RC		outpatient			17000	17	8330				percent of total billed charges		17000				other	OPPS APC	9690				percent of total billed charges		17000				other	OPPS APC	17000				other	OPPS APC	8330				percent of total billed charges		8670				percent of total billed charges		17				other	OPPS APC	17	17000	
PERCEPTA MRI QUAD CRT-P SYSTEM MMQE	SUP-PERCEPTAMRIQDMMQE	CDM			275	RC		inpatient			17000	17000																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.79 CM 31.5 CC 71 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF-1 CONNECTOR	SUP-D153	CDM			275	RC		outpatient			16948	16948	8304.52				percent of total billed charges		16948				other	OPPS APC	9660.36				percent of total billed charges		16948				other	OPPS APC	16948				other	OPPS APC	8304.52				percent of total billed charges		8643.48				percent of total billed charges		16948				other	OPPS APC	8304.52	16948	
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW HF PERSPECTIV D.99 CM W5.37 CM X H7.79 CM 31.5 CC 71 GM VENTRICULAR 2 CHAMBER EXTEND LONGEVITY IS-1 DF-1 CONNECTOR	SUP-D153	CDM			275	RC		inpatient			16948	16948																																																			
IMPLANT NEXGEN ROTATING HINGE FEMUR SIZE E RIGHT	SUP-00-5880-015-02	CDM	270010025	LOCAL	270	RC		outpatient			16910	1691	4580.92				percent of total billed charges		16910				other	OPPS APC	12513.4				percent of total billed charges		16910				other	OPPS APC	16910				other	OPPS APC	4580.92				percent of total billed charges		4672.23				percent of total billed charges		1691				other	OPPS APC	1691	16910	
IMPLANT NEXGEN ROTATING HINGE FEMUR SIZE E RIGHT	SUP-00-5880-015-02	CDM	270010025	LOCAL	270	RC		inpatient			16910	16910																																																			
COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE RIGHT ROTATE HINGE STERILE	SUP-00-5880-016-02	CDM	270010025	LOCAL	270	RC		outpatient			16870	1687	4570.08				percent of total billed charges		16870				other	OPPS APC	12483.8				percent of total billed charges		16870				other	OPPS APC	16870				other	OPPS APC	4570.08				percent of total billed charges		4661.18				percent of total billed charges		1687				other	OPPS APC	1687	16870	
COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE RIGHT ROTATE HINGE STERILE	SUP-00-5880-016-02	CDM	270010025	LOCAL	270	RC		inpatient			16870	16870																																																			
PACEMAKER - AICD - COBALT - DDPA2D4	SUP-99-04150	CDM			275	RC		outpatient			16825	16825	16825				fee schedule		16825				other	OPPS APC	9590.25				percent of total billed charges		16825				other	OPPS APC	16825				other	OPPS APC	8244.25				percent of total billed charges		8580.75				percent of total billed charges		16825				other	OPPS APC	8244.25	16825	
PACEMAKER - AICD - COBALT - DDPA2D4	SUP-99-04150	CDM			275	RC		inpatient			16825	16825																																																			
PACEMAKER - AICD - COBALT - DDPA2D1	SUP-99-04153	CDM			275	RC		outpatient			16825	16825	16825				fee schedule		16825				other	OPPS APC	9590.25				percent of total billed charges		16825				other	OPPS APC	16825				other	OPPS APC	8244.25				percent of total billed charges		8580.75				percent of total billed charges		16825				other	OPPS APC	8244.25	16825	
PACEMAKER - AICD - COBALT - DDPA2D1	SUP-99-04153	CDM			275	RC		inpatient			16825	16825																																																			
PACEMAKER - AICD - EVERA - DDMB1D1	SUP-99-04173	CDM			275	RC		outpatient			16825	16825	16825				fee schedule		16825				other	OPPS APC	9590.25				percent of total billed charges		16825				other	OPPS APC	16825				other	OPPS APC	8244.25				percent of total billed charges		8580.75				percent of total billed charges		16825				other	OPPS APC	8244.25	16825	
PACEMAKER - AICD - EVERA - DDMB1D1	SUP-99-04173	CDM			275	RC		inpatient			16825	16825																																																			
PACEMAKER - AICD - EVERA - DDMB1D4	SUP-99-04174	CDM			275	RC		outpatient			16825	16825	16825				fee schedule		16825				other	OPPS APC	9590.25				percent of total billed charges		16825				other	OPPS APC	16825				other	OPPS APC	8244.25				percent of total billed charges		8580.75				percent of total billed charges		16825				other	OPPS APC	8244.25	16825	
PACEMAKER - AICD - EVERA - DDMB1D4	SUP-99-04174	CDM			275	RC		inpatient			16825	16825																																																			
HC IR Dial Fistulagram Thrombec Pta Periph	PX-361369051	CDM	36905	CPT	361	RC		outpatient			16809	1689	5308.28				percent of total billed charges		16809				other	OPPS APC	16809				fee schedule		16809				other	OPPS APC	16809				other	OPPS APC	5308.28				percent of total billed charges		5414.18				percent of total billed charges		1689				other	OPPS APC	1689	16809	
HC IR Dial Fistulagram Thrombec Pta Periph	PX-361369051	CDM	36905	CPT	361	RC		inpatient			16809	16809																																																			
REVISION STEM CORAIL STD 10	SUP-97-06184	CDM			278	RC		outpatient			16732	16732	16732				fee schedule		16732				other	OPPS APC	9537.24				percent of total billed charges		16732				other	OPPS APC	16732				other	OPPS APC	8198.68				percent of total billed charges		8533.32				percent of total billed charges		16732				other	OPPS APC	8198.68	16732	
REVISION STEM CORAIL STD 10	SUP-97-06184	CDM			278	RC		inpatient			16732	16732																																																			
MICROCATHETER 14 TREVO XP PROVUE +PRO 3 X 20MM	SUP-80051	CDM			270	RC		outpatient			16698	16698	4523.49				percent of total billed charges		16698				other	OPPS APC	12356.52				percent of total billed charges		16698				other	OPPS APC	16698				other	OPPS APC	4523.49				percent of total billed charges		4613.66				percent of total billed charges		16698				other	OPPS APC	4523.49	16698	
MICROCATHETER 14 TREVO XP PROVUE +PRO 3 X 20MM	SUP-80051	CDM			270	RC		inpatient			16698	16698																																																			
MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 30MM	SUP-93067	CDM			270	RC		outpatient			16698	16698	4523.49				percent of total billed charges		16698				other	OPPS APC	12356.52				percent of total billed charges		16698				other	OPPS APC	16698				other	OPPS APC	4523.49				percent of total billed charges		4613.66				percent of total billed charges		16698				other	OPPS APC	4523.49	16698	
MICROCATHETER 18 TREVO XP PROVUE +PRO 4 X 30MM	SUP-93067	CDM			270	RC		inpatient			16698	16698																																																			
REUNION REVERSE TOTAL SHOULDER	SUP-97-02779	CDM			278	RC		outpatient			16600	166	16600				fee schedule		16600				other	OPPS APC	9462				percent of total billed charges		16600				other	OPPS APC	16600				other	OPPS APC	8134				percent of total billed charges		8466				percent of total billed charges		166				other	OPPS APC	166	16600	
REUNION REVERSE TOTAL SHOULDER	SUP-97-02779	CDM			278	RC		inpatient			16600	16600																																																			
AEQUALIS REVERSE 11 THREADED POST	SUP-97-02946	CDM			278	RC		outpatient			16600	166	16600				fee schedule		16600				other	OPPS APC	9462				percent of total billed charges		16600				other	OPPS APC	16600				other	OPPS APC	8134				percent of total billed charges		8466				percent of total billed charges		166				other	OPPS APC	166	16600	
AEQUALIS REVERSE 11 THREADED POST	SUP-97-02946	CDM			278	RC		inpatient			16600	16600																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2414165	CDM	270010015	LOCAL	270	RC		outpatient			16600	166	4496.94				percent of total billed charges		16600				other	OPPS APC	12284				percent of total billed charges		16600				other	OPPS APC	16600				other	OPPS APC	4496.94				percent of total billed charges		4586.58				percent of total billed charges		166				other	OPPS APC	166	16600	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2414165	CDM	270010015	LOCAL	270	RC		inpatient			16600	16600																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2816165	CDM	270010015	LOCAL	270	RC		outpatient			16600	166	4496.94				percent of total billed charges		16600				other	OPPS APC	12284				percent of total billed charges		16600				other	OPPS APC	16600				other	OPPS APC	4496.94				percent of total billed charges		4586.58				percent of total billed charges		166				other	OPPS APC	166	16600	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L16.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2816165	CDM	270010015	LOCAL	270	RC		inpatient			16600	16600																																																			
CAGE SPINAL X-CORE II VBR TITANIUM L18 MM X H28-41 MM EXPANDABLE	SUP-7180041	CDM	270010020	LOCAL	270	RC		outpatient			16552	16552	4483.94				percent of total billed charges		16552				other	OPPS APC	12248.48				percent of total billed charges		16552				other	OPPS APC	16552				other	OPPS APC	4483.94				percent of total billed charges		4573.32				percent of total billed charges		16552				other	OPPS APC	4483.94	16552	
CAGE SPINAL X-CORE II VBR TITANIUM L18 MM X H28-41 MM EXPANDABLE	SUP-7180041	CDM	270010020	LOCAL	270	RC		inpatient			16552	16552																																																			
RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L32 MM OD3 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE	SUP-91312	CDM	27000000	LOCAL	270	RC		outpatient			16500	165	4469.85				percent of total billed charges		16500				other	OPPS APC	12210				percent of total billed charges		16500				other	OPPS APC	16500				other	OPPS APC	4469.85				percent of total billed charges		4558.95				percent of total billed charges		165				other	OPPS APC	165	16500	
RETRIEVER ENDOSCOPIC TREVO NXT PROVUE L32 MM OD3 MM TREVO TRAK 21 MICROCATHETER STERILE LATEX FREE DISPOSABLE	SUP-91312	CDM	27000000	LOCAL	270	RC		inpatient			16500	16500																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-40	NDC	J1561	HCPCS		inpatient			16430.4	16430.4																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-41	NDC	J1561	HCPCS		inpatient			16430.4	16430.4																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-40	NDC	J1561	HCPCS		outpatient			16430.4	52.76																																											52.76				other	OPPS APC	52.76	52.76	
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-41	NDC	J1561	HCPCS		outpatient			16430.4	52.76																																											52.76				other	OPPS APC	52.76	52.76	
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC20 FR MAIN BODY INTRODUCER SHEATH AAA	SUP-G31184	CDM	270010015	LOCAL	270	RC		outpatient			16424	16424	4449.26				percent of total billed charges		16424				other	OPPS APC	12153.76				percent of total billed charges		16424				other	OPPS APC	16424				other	OPPS APC	4449.26				percent of total billed charges		4537.95				percent of total billed charges		16424				other	OPPS APC	4449.26	16424	
GRAFT ENDOVASCULAR ZENITH FLEX 2 BRANCH L96 MM OD32 MM ODSEC20 FR MAIN BODY INTRODUCER SHEATH AAA	SUP-G31184	CDM	270010015	LOCAL	270	RC		inpatient			16424	16424																																																			
REVERSE/INVERSE SHOULDER	SUP-97-23761	CDM			278	RC		outpatient			16400	164	16400				fee schedule		16400				other	OPPS APC	9348				percent of total billed charges		16400				other	OPPS APC	16400				other	OPPS APC	8036				percent of total billed charges		8364				percent of total billed charges		164				other	OPPS APC	164	16400	
REVERSE/INVERSE SHOULDER	SUP-97-23761	CDM			278	RC		inpatient			16400	16400																																																			
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW D.99 CM W5.37 CM X H7.79 CM 31.5 ML RIGHT VENTRICLE 1 CHAMBER IS-1 DF-4 CONNECTOR EXTEND LONGEVITY	SUP-D151	CDM			275	RC		outpatient			16352	16352	8012.48				percent of total billed charges		16352				other	OPPS APC	9320.64				percent of total billed charges		16352				other	OPPS APC	16352				other	OPPS APC	8012.48				percent of total billed charges		8339.52				percent of total billed charges		16352				other	OPPS APC	8012.48	16352	
DEFIBRILLATOR CARDIAC DYNAGEN ENDURALIFE EASYVIEW D.99 CM W5.37 CM X H7.79 CM 31.5 ML RIGHT VENTRICLE 1 CHAMBER IS-1 DF-4 CONNECTOR EXTEND LONGEVITY	SUP-D151	CDM			275	RC		inpatient			16352	16352																																																			
SYSTEM PACING MICRA AV	SUP-MICRAAVTCPSYSTEM	CDM			275	RC		outpatient			16250	1625	7962.5				percent of total billed charges		16250				other	OPPS APC	9262.5				percent of total billed charges		16250				other	OPPS APC	16250				other	OPPS APC	7962.5				percent of total billed charges		8287.5				percent of total billed charges		1625				other	OPPS APC	1625	16250	
SYSTEM PACING MICRA AV	SUP-MICRAAVTCPSYSTEM	CDM			275	RC		inpatient			16250	16250																																																			
TRAY TIBIAL INIFINITY ADAPTIS	SUP-97-04903	CDM			278	RC		outpatient			16246.5	16246.5	16246.5				fee schedule		16246.5				other	OPPS APC	9260.51				percent of total billed charges		16246.5				other	OPPS APC	16246.5				other	OPPS APC	7960.79				percent of total billed charges		8285.72				percent of total billed charges		16246.5				other	OPPS APC	7960.79	16246.5	
TRAY TIBIAL INIFINITY ADAPTIS	SUP-97-04903	CDM			278	RC		inpatient			16246.5	16246.5																																																			
ICD COBALT XT MRI DR DEVICE	SUP-DDPA2D1	CDM			275	RC		outpatient			16234	16234	7954.66				percent of total billed charges		16234				other	OPPS APC	9253.38				percent of total billed charges		16234				other	OPPS APC	16234				other	OPPS APC	7954.66				percent of total billed charges		8279.34				percent of total billed charges		16234				other	OPPS APC	7954.66	16234	
ICD COBALT XT MRI DR DEVICE	SUP-DDPA2D1	CDM			275	RC		inpatient			16234	16234																																																			
ICD COBALT XT MRI DR SURESCAN DEVICE	SUP-DDPA2D4	CDM			275	RC		outpatient			16234	16234	7954.66				percent of total billed charges		16234				other	OPPS APC	9253.38				percent of total billed charges		16234				other	OPPS APC	16234				other	OPPS APC	7954.66				percent of total billed charges		8279.34				percent of total billed charges		16234				other	OPPS APC	7954.66	16234	
ICD COBALT XT MRI DR SURESCAN DEVICE	SUP-DDPA2D4	CDM			275	RC		inpatient			16234	16234																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD20-12 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2012135	CDM	270010015	LOCAL	270	RC		outpatient			16200	162	4388.58				percent of total billed charges		16200				other	OPPS APC	11988				percent of total billed charges		16200				other	OPPS APC	16200				other	OPPS APC	4388.58				percent of total billed charges		4476.06				percent of total billed charges		162				other	OPPS APC	162	16200	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD20-12 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2012135	CDM	270010015	LOCAL	270	RC		inpatient			16200	16200																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2414135	CDM	270010015	LOCAL	270	RC		outpatient			16200	162	4388.58				percent of total billed charges		16200				other	OPPS APC	11988				percent of total billed charges		16200				other	OPPS APC	16200				other	OPPS APC	4388.58				percent of total billed charges		4476.06				percent of total billed charges		162				other	OPPS APC	162	16200	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD24-14 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2414135	CDM	270010015	LOCAL	270	RC		inpatient			16200	16200																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2816135	CDM	270010015	LOCAL	270	RC		outpatient			16200	162	4388.58				percent of total billed charges		16200				other	OPPS APC	11988				percent of total billed charges		16200				other	OPPS APC	16200				other	OPPS APC	4388.58				percent of total billed charges		4476.06				percent of total billed charges		162				other	OPPS APC	162	16200	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL BIFURCATED L13.5 CM OD28-16 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN STENT HYDRO DELIVERY AAA	SUP-BFXCH2816135	CDM	270010015	LOCAL	270	RC		inpatient			16200	16200																																																			
PACEMAKER - AICD - COBALT - DVPA2D1	SUP-99-04148	CDM			275	RC		outpatient			16167	16167	16167				fee schedule		16167				other	OPPS APC	9215.19				percent of total billed charges		16167				other	OPPS APC	16167				other	OPPS APC	7921.83				percent of total billed charges		8245.17				percent of total billed charges		16167				other	OPPS APC	7921.83	16167	
PACEMAKER - AICD - COBALT - DVPA2D1	SUP-99-04148	CDM			275	RC		inpatient			16167	16167																																																			
PACEMAKER - AICD - VISIA - DVFB1D4	SUP-99-04171	CDM			275	RC		outpatient			16167	16167	16167				fee schedule		16167				other	OPPS APC	9215.19				percent of total billed charges		16167				other	OPPS APC	16167				other	OPPS APC	7921.83				percent of total billed charges		8245.17				percent of total billed charges		16167				other	OPPS APC	7921.83	16167	
PACEMAKER - AICD - VISIA - DVFB1D4	SUP-99-04171	CDM			275	RC		inpatient			16167	16167																																																			
PACEMAKER - AICD - VISIA - DVFB1D1	SUP-99-04172	CDM			275	RC		outpatient			16167	16167	16167				fee schedule		16167				other	OPPS APC	9215.19				percent of total billed charges		16167				other	OPPS APC	16167				other	OPPS APC	7921.83				percent of total billed charges		8245.17				percent of total billed charges		16167				other	OPPS APC	7921.83	16167	
PACEMAKER - AICD - VISIA - DVFB1D1	SUP-99-04172	CDM			275	RC		inpatient			16167	16167																																																			
COMPONENT FEMORAL GMK COCR 3 KNEE LEFT CEMENT HINGE NONSTERILE	SUP-02.09.2603L	CDM	270010025	LOCAL	270	RC		outpatient			16128	16128	4369.08				percent of total billed charges		16128				other	OPPS APC	11934.72				percent of total billed charges		16128				other	OPPS APC	16128				other	OPPS APC	4369.08				percent of total billed charges		4456.17				percent of total billed charges		16128				other	OPPS APC	4369.08	16128	
COMPONENT FEMORAL GMK COCR 3 KNEE LEFT CEMENT HINGE NONSTERILE	SUP-02.09.2603L	CDM	270010025	LOCAL	270	RC		inpatient			16128	16128																																																			
COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENT HINGE NONSTERILE	SUP-02.09.2605L	CDM	270010025	LOCAL	270	RC		outpatient			16128	16128	4369.08				percent of total billed charges		16128				other	OPPS APC	11934.72				percent of total billed charges		16128				other	OPPS APC	16128				other	OPPS APC	4369.08				percent of total billed charges		4456.17				percent of total billed charges		16128				other	OPPS APC	4369.08	16128	
COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENT HINGE NONSTERILE	SUP-02.09.2605L	CDM	270010025	LOCAL	270	RC		inpatient			16128	16128																																																			
CAGE SPINAL VLIFT TITANIUM L37 MM OD22 MM LUMBAR INTERBODY FUSION	SUP-48292237	CDM	270010020	LOCAL	270	RC		outpatient			16124.22	16124.22	4368.05				percent of total billed charges		16124.22				other	OPPS APC	11931.92				percent of total billed charges		16124.22				other	OPPS APC	16124.22				other	OPPS APC	4368.05				percent of total billed charges		4455.12				percent of total billed charges		16124.22				other	OPPS APC	4368.05	16124.22	
CAGE SPINAL VLIFT TITANIUM L37 MM OD22 MM LUMBAR INTERBODY FUSION	SUP-48292237	CDM	270010020	LOCAL	270	RC		inpatient			16124.22	16124.22																																																			
HC Pacemaker Other Than Single or Dual Lead	PX-275C26210	CDM			275	RC		outpatient			16095	1695	16095				fee schedule		16095				other	OPPS APC	9174.15				percent of total billed charges		16095				other	OPPS APC	16095				other	OPPS APC	7886.55				percent of total billed charges		8208.45				percent of total billed charges		1695				other	OPPS APC	1695	16095	
HC Pacemaker Other Than Single or Dual Lead	PX-275C26210	CDM			275	RC		inpatient			16095	16095																																																			
CAGE SPINAL VLIFT TITANIUM H32 MM OD18 MM LUMBAR INTERBODY FUSION	SUP-48291832	CDM	270010020	LOCAL	270	RC		outpatient			16072.88	1672.88	4354.14				percent of total billed charges		16072.88				other	OPPS APC	11893.93				percent of total billed charges		16072.88				other	OPPS APC	16072.88				other	OPPS APC	4354.14				percent of total billed charges		4440.94				percent of total billed charges		1672.88				other	OPPS APC	1672.88	16072.88	
CAGE SPINAL VLIFT TITANIUM H32 MM OD18 MM LUMBAR INTERBODY FUSION	SUP-48291832	CDM	270010020	LOCAL	270	RC		inpatient			16072.88	16072.88																																																			
ZIMMER  KNEE PERSONA PS	SUP-97-00767	CDM			278	RC		outpatient			16000	16	16000				fee schedule		16000				other	OPPS APC	9120				percent of total billed charges		16000				other	OPPS APC	16000				other	OPPS APC	7840				percent of total billed charges		8160				percent of total billed charges		16				other	OPPS APC	16	16000	
ZIMMER  KNEE PERSONA PS	SUP-97-00767	CDM			278	RC		inpatient			16000	16000																																																			
PERSONA CEM FEM TIB VE SURF/XLPE PAT	SUP-97-01148	CDM			278	RC		outpatient			16000	16	16000				fee schedule		16000				other	OPPS APC	9120				percent of total billed charges		16000				other	OPPS APC	16000				other	OPPS APC	7840				percent of total billed charges		8160				percent of total billed charges		16				other	OPPS APC	16	16000	
PERSONA CEM FEM TIB VE SURF/XLPE PAT	SUP-97-01148	CDM			278	RC		inpatient			16000	16000																																																			
BILATERAL TOTAL KNEE CAP PRICING-DEPUY	SUP-BILATERALKNEE-DEPUY	CDM	270010025	LOCAL	270	RC		outpatient			16000	16	4334.4				percent of total billed charges		16000				other	OPPS APC	11840				percent of total billed charges		16000				other	OPPS APC	16000				other	OPPS APC	4334.4				percent of total billed charges		4420.8				percent of total billed charges		16				other	OPPS APC	16	16000	
BILATERAL TOTAL KNEE CAP PRICING-DEPUY	SUP-BILATERALKNEE-DEPUY	CDM	270010025	LOCAL	270	RC		inpatient			16000	16000																																																			
FUSION LUMBAR LEVEL 3-STRYKER	SUP-LUMBAR3STRYKER	CDM	270010020	LOCAL	270	RC		outpatient			16000	16	4334.4				percent of total billed charges		16000				other	OPPS APC	11840				percent of total billed charges		16000				other	OPPS APC	16000				other	OPPS APC	4334.4				percent of total billed charges		4420.8				percent of total billed charges		16				other	OPPS APC	16	16000	
FUSION LUMBAR LEVEL 3-STRYKER	SUP-LUMBAR3STRYKER	CDM	270010020	LOCAL	270	RC		inpatient			16000	16000																																																			
PACEMAKER SOLARA  W4TR03 MRI SYSTEM	SUP-SOLARAMRIMMAM	CDM			275	RC		outpatient			16000	16	7840				percent of total billed charges		16000				other	OPPS APC	9120				percent of total billed charges		16000				other	OPPS APC	16000				other	OPPS APC	7840				percent of total billed charges		8160				percent of total billed charges		16				other	OPPS APC	16	16000	
PACEMAKER SOLARA  W4TR03 MRI SYSTEM	SUP-SOLARAMRIMMAM	CDM			275	RC		inpatient			16000	16000																																																			
GRAFT SOFT TISSUE CRYOVEIN SAPHENOUS VEIN L20-80+ CM OD3-6 MM EXCELLENT RESISTANCE	SUP-V010	CDM			270	RC		outpatient			16000	16	4334.4				percent of total billed charges		16000				other	OPPS APC	11840				percent of total billed charges		16000				other	OPPS APC	16000				other	OPPS APC	4334.4				percent of total billed charges		4420.8				percent of total billed charges		16				other	OPPS APC	16	16000	
GRAFT SOFT TISSUE CRYOVEIN SAPHENOUS VEIN L20-80+ CM OD3-6 MM EXCELLENT RESISTANCE	SUP-V010	CDM			270	RC		inpatient			16000	16000																																																			
ICD EVERA MRI XT DR DEVICE	SUP-DDMB1D1	CDM			270	RC		outpatient			15993	15993	4332.5				percent of total billed charges		15993				other	OPPS APC	11834.82				percent of total billed charges		15993				other	OPPS APC	15993				other	OPPS APC	4332.5				percent of total billed charges		4418.87				percent of total billed charges		15993				other	OPPS APC	4332.5	15993	
ICD EVERA MRI XT DR DEVICE	SUP-DDMB1D1	CDM			270	RC		inpatient			15993	15993																																																			
ICD VISIA AF MRI VR DEVICE	SUP-DVFB1D1	CDM			275	RC		outpatient			15993	15993	7836.57				percent of total billed charges		15993				other	OPPS APC	9116.01				percent of total billed charges		15993				other	OPPS APC	15993				other	OPPS APC	7836.57				percent of total billed charges		8156.43				percent of total billed charges		15993				other	OPPS APC	7836.57	15993	
ICD VISIA AF MRI VR DEVICE	SUP-DVFB1D1	CDM			275	RC		inpatient			15993	15993																																																			
ICD VISIA AF MRI SURESCAN VR DEVICE	SUP-DVFB1D4	CDM			275	RC		outpatient			15993	15993	7836.57				percent of total billed charges		15993				other	OPPS APC	9116.01				percent of total billed charges		15993				other	OPPS APC	15993				other	OPPS APC	7836.57				percent of total billed charges		8156.43				percent of total billed charges		15993				other	OPPS APC	7836.57	15993	
ICD VISIA AF MRI SURESCAN VR DEVICE	SUP-DVFB1D4	CDM			275	RC		inpatient			15993	15993																																																			
GRAFT PHASIX 15 X 20 COATED (1201520)	SUP-75-00165	CDM			278	RC		outpatient			15840	1584	15840				fee schedule		15840				other	OPPS APC	9028.8				percent of total billed charges		15840				other	OPPS APC	15840				other	OPPS APC	7761.6				percent of total billed charges		8078.4				percent of total billed charges		1584				other	OPPS APC	1584	15840	
GRAFT PHASIX 15 X 20 COATED (1201520)	SUP-75-00165	CDM			278	RC		inpatient			15840	15840																																																			
"HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN"	636000000	CDM	63833-387-02	NDC	J7168	HCPCS		inpatient			15700	15700																																																			
"HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN"	636000000	CDM	63833-397-01	NDC	J7168	HCPCS		inpatient			15700	15700																																																			
"HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN"	636000000	CDM	63833-387-02	NDC	J7168	HCPCS		outpatient			15700	2.42																																											2.42				other	OPPS APC	2.42	2.42	
"HUM PROTHROMBIN CPLX(PCC)4FACT 1,000 UNIT (800-1240 UNIT) RECON SOLN"	636000000	CDM	63833-397-01	NDC	J7168	HCPCS		outpatient			15700	2.42																																											2.42				other	OPPS APC	2.42	2.42	
VALVE AORTIC INSPIRIS RESILIA 19MM	SUP-11500A19	CDM			270	RC		outpatient			15700	157	4253.13				percent of total billed charges		15700				other	OPPS APC	11618				percent of total billed charges		15700				other	OPPS APC	15700				other	OPPS APC	4253.13				percent of total billed charges		4337.91				percent of total billed charges		157				other	OPPS APC	157	15700	
VALVE AORTIC INSPIRIS RESILIA 19MM	SUP-11500A19	CDM			270	RC		inpatient			15700	15700																																																			
VALVE AORTIC INSPIRIS RESILIA 21MM	SUP-11500A21	CDM			270	RC		outpatient			15700	157	4253.13				percent of total billed charges		15700				other	OPPS APC	11618				percent of total billed charges		15700				other	OPPS APC	15700				other	OPPS APC	4253.13				percent of total billed charges		4337.91				percent of total billed charges		157				other	OPPS APC	157	15700	
VALVE AORTIC INSPIRIS RESILIA 21MM	SUP-11500A21	CDM			270	RC		inpatient			15700	15700																																																			
VALVE AORTIC INSPIRIS RESILIA 23MM	SUP-11500A23	CDM			270	RC		outpatient			15700	157	4253.13				percent of total billed charges		15700				other	OPPS APC	11618				percent of total billed charges		15700				other	OPPS APC	15700				other	OPPS APC	4253.13				percent of total billed charges		4337.91				percent of total billed charges		157				other	OPPS APC	157	15700	
VALVE AORTIC INSPIRIS RESILIA 23MM	SUP-11500A23	CDM			270	RC		inpatient			15700	15700																																																			
VALVE AORTIC INSPIRIS RESILIA 25MM	SUP-11500A25	CDM			270	RC		outpatient			15700	157	4253.13				percent of total billed charges		15700				other	OPPS APC	11618				percent of total billed charges		15700				other	OPPS APC	15700				other	OPPS APC	4253.13				percent of total billed charges		4337.91				percent of total billed charges		157				other	OPPS APC	157	15700	
VALVE AORTIC INSPIRIS RESILIA 25MM	SUP-11500A25	CDM			270	RC		inpatient			15700	15700																																																			
VALVE AORTIC INSPIRIS RESILIA 27MM	SUP-11500A27	CDM			270	RC		outpatient			15700	157	4253.13				percent of total billed charges		15700				other	OPPS APC	11618				percent of total billed charges		15700				other	OPPS APC	15700				other	OPPS APC	4253.13				percent of total billed charges		4337.91				percent of total billed charges		157				other	OPPS APC	157	15700	
VALVE AORTIC INSPIRIS RESILIA 27MM	SUP-11500A27	CDM			270	RC		inpatient			15700	15700																																																			
VALVE AORTIC INSPIRIS RESILIA 29MM	SUP-11500A29	CDM			270	RC		outpatient			15700	157	4253.13				percent of total billed charges		15700				other	OPPS APC	11618				percent of total billed charges		15700				other	OPPS APC	15700				other	OPPS APC	4253.13				percent of total billed charges		4337.91				percent of total billed charges		157				other	OPPS APC	157	15700	
VALVE AORTIC INSPIRIS RESILIA 29MM	SUP-11500A29	CDM			270	RC		inpatient			15700	15700																																																			
GRAFT SOFT TISSUE SURGIMEND FETAL BOVINE DERMIS COLLAGEN MATRIX THK.75-1.54 MM L20 CM X W16 CM SHEET	SUP-606001008	CDM			270	RC		outpatient			15674	15674	4246.09				percent of total billed charges		15674				other	OPPS APC	11598.76				percent of total billed charges		15674				other	OPPS APC	15674				other	OPPS APC	4246.09				percent of total billed charges		4330.73				percent of total billed charges		15674				other	OPPS APC	4246.09	15674	
GRAFT SOFT TISSUE SURGIMEND FETAL BOVINE DERMIS COLLAGEN MATRIX THK.75-1.54 MM L20 CM X W16 CM SHEET	SUP-606001008	CDM			270	RC		inpatient			15674	15674																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-24	NDC	J1561	HCPCS		inpatient			15614.4	15614.4																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-24	NDC	J1561	HCPCS		outpatient			15614.4	52.76																																											52.76				other	OPPS APC	52.76	52.76	
PACEMAKER - AICD - COBALT - DVPA2D4	SUP-99-04149	CDM			275	RC		outpatient			15609	1569	15609				fee schedule		15609				other	OPPS APC	8897.13				percent of total billed charges		15609				other	OPPS APC	15609				other	OPPS APC	7648.41				percent of total billed charges		7960.59				percent of total billed charges		1569				other	OPPS APC	1569	15609	
PACEMAKER - AICD - COBALT - DVPA2D4	SUP-99-04149	CDM			275	RC		inpatient			15609	15609																																																			
ICD COBALT XT MRI VR DEVICE	SUP-DVPA2D1	CDM			275	RC		outpatient			15609	1569	7648.41				percent of total billed charges		15609				other	OPPS APC	8897.13				percent of total billed charges		15609				other	OPPS APC	15609				other	OPPS APC	7648.41				percent of total billed charges		7960.59				percent of total billed charges		1569				other	OPPS APC	1569	15609	
ICD COBALT XT MRI VR DEVICE	SUP-DVPA2D1	CDM			275	RC		inpatient			15609	15609																																																			
ICD COBALT XT MRI DR SURESCAN DEVICE	SUP-DVPA2D4	CDM			275	RC		outpatient			15609	1569	7648.41				percent of total billed charges		15609				other	OPPS APC	8897.13				percent of total billed charges		15609				other	OPPS APC	15609				other	OPPS APC	7648.41				percent of total billed charges		7960.59				percent of total billed charges		1569				other	OPPS APC	1569	15609	
ICD COBALT XT MRI DR SURESCAN DEVICE	SUP-DVPA2D4	CDM			275	RC		inpatient			15609	15609																																																			
HC IR Tib/per  Initial  Pta  Ather	PX-361372291	CDM	37229	CPT	361	RC		outpatient			15600	156	4926.48				percent of total billed charges		15600				other	OPPS APC	15600				fee schedule		15600				other	OPPS APC	15600				other	OPPS APC	4926.48				percent of total billed charges		5024.76				percent of total billed charges		156				other	OPPS APC	156	15600	
HC IR Tib/per  Initial  Pta  Ather	PX-361372291	CDM	37229	CPT	361	RC		inpatient			15600	15600																																																			
HC Cc Coronary Ather/ Stent Major Brnch-Des	PX-481C96021	CDM			481	RC		outpatient			15600	156	683.33				fee schedule		15600				other	OPPS APC	1789.93				fee schedule		15600				other	OPPS APC	15600				other	OPPS APC	636.83				fee schedule		7956				percent of total billed charges		156				other	OPPS APC	156	15600	
HC Cc Coronary Ather/ Stent Major Brnch-Des	PX-481C96021	CDM			481	RC		inpatient			15600	15600																																																			
HC Cc Coronary Pci in Cto Major - Des	PX-481C96071	CDM			481	RC		outpatient			15600	156	684.72				fee schedule		15600				other	OPPS APC	1791.86				fee schedule		15600				other	OPPS APC	15600				other	OPPS APC	638.15				fee schedule		7956				percent of total billed charges		156				other	OPPS APC	156	15600	
HC Cc Coronary Pci in Cto Major - Des	PX-481C96071	CDM			481	RC		inpatient			15600	15600																																																			
FUSION LUMBAR LEVEL 3	SUP-LUMBARL3	CDM	270010007	LOCAL	270	RC		outpatient			15600	156	4226.04				percent of total billed charges		15600				other	OPPS APC	11544				percent of total billed charges		15600				other	OPPS APC	15600				other	OPPS APC	4226.04				percent of total billed charges		4310.28				percent of total billed charges		156				other	OPPS APC	156	15600	
FUSION LUMBAR LEVEL 3	SUP-LUMBARL3	CDM	270010007	LOCAL	270	RC		inpatient			15600	15600																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT231214	CDM	270010015	LOCAL	270	RC		outpatient			15558	15558	4214.66				percent of total billed charges		15558				other	OPPS APC	11512.92				percent of total billed charges		15558				other	OPPS APC	15558				other	OPPS APC	4214.66				percent of total billed charges		4298.68				percent of total billed charges		15558				other	OPPS APC	4214.66	15558	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT231214	CDM	270010015	LOCAL	270	RC		inpatient			15558	15558																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD23 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT231414	CDM	270010015	LOCAL	270	RC		outpatient			15558	15558	4214.66				percent of total billed charges		15558				other	OPPS APC	11512.92				percent of total billed charges		15558				other	OPPS APC	15558				other	OPPS APC	4214.66				percent of total billed charges		4298.68				percent of total billed charges		15558				other	OPPS APC	4214.66	15558	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD23 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT231414	CDM	270010015	LOCAL	270	RC		inpatient			15558	15558																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L16 CM OD26 MM ODSEC14.5 MM ID22-23 MM TRUNK IPSILATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXT261416	CDM	270010015	LOCAL	270	RC		outpatient			15558	15558	4214.66				percent of total billed charges		15558				other	OPPS APC	11512.92				percent of total billed charges		15558				other	OPPS APC	15558				other	OPPS APC	4214.66				percent of total billed charges		4298.68				percent of total billed charges		15558				other	OPPS APC	4214.66	15558	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L16 CM OD26 MM ODSEC14.5 MM ID22-23 MM TRUNK IPSILATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXT261416	CDM	270010015	LOCAL	270	RC		inpatient			15558	15558																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261418	CDM	270010015	LOCAL	270	RC		outpatient			15558	15558	4214.66				percent of total billed charges		15558				other	OPPS APC	11512.92				percent of total billed charges		15558				other	OPPS APC	15558				other	OPPS APC	4214.66				percent of total billed charges		4298.68				percent of total billed charges		15558				other	OPPS APC	4214.66	15558	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261418	CDM	270010015	LOCAL	270	RC		inpatient			15558	15558																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281214	CDM	270010015	LOCAL	270	RC		outpatient			15558	15558	4214.66				percent of total billed charges		15558				other	OPPS APC	11512.92				percent of total billed charges		15558				other	OPPS APC	15558				other	OPPS APC	4214.66				percent of total billed charges		4298.68				percent of total billed charges		15558				other	OPPS APC	4214.66	15558	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281214	CDM	270010015	LOCAL	270	RC		inpatient			15558	15558																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281414	CDM	270010015	LOCAL	270	RC		outpatient			15558	15558	4214.66				percent of total billed charges		15558				other	OPPS APC	11512.92				percent of total billed charges		15558				other	OPPS APC	15558				other	OPPS APC	4214.66				percent of total billed charges		4298.68				percent of total billed charges		15558				other	OPPS APC	4214.66	15558	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281414	CDM	270010015	LOCAL	270	RC		inpatient			15558	15558																																																			
DEVICE THROMBECTOMY SOLITAIRE PARAMETRIC PLATINUM NITINOL L180 CM L40 MM OD4 MM SCAFFOLD RADIOPAQUE ACCEPTS 2-4 MM VESSEL .021 MICRO CATHETER	SUP-SFR344010_51767	CDM			270	RC		outpatient			15556	15556	4214.12				percent of total billed charges		15556				other	OPPS APC	11511.44				percent of total billed charges		15556				other	OPPS APC	15556				other	OPPS APC	4214.12				percent of total billed charges		4298.12				percent of total billed charges		15556				other	OPPS APC	4214.12	15556	
DEVICE THROMBECTOMY SOLITAIRE PARAMETRIC PLATINUM NITINOL L180 CM L40 MM OD4 MM SCAFFOLD RADIOPAQUE ACCEPTS 2-4 MM VESSEL .021 MICRO CATHETER	SUP-SFR344010_51767	CDM			270	RC		inpatient			15556	15556																																																			
DEVICE THROMBECTOMY SOLITAIRE PLATINUM L180 CM L40 MM OD6 MM ID.027 MM INTRACRANIAL VESSEL RESTORE BLOOD FLOW REVASCULARIZATION PUSHWIRE RADIOPAQUE 3-5.5 MM VESSEL	SUP-SFR364010_51768	CDM			270	RC		outpatient			15556	15556	4214.12				percent of total billed charges		15556				other	OPPS APC	11511.44				percent of total billed charges		15556				other	OPPS APC	15556				other	OPPS APC	4214.12				percent of total billed charges		4298.12				percent of total billed charges		15556				other	OPPS APC	4214.12	15556	
DEVICE THROMBECTOMY SOLITAIRE PLATINUM L180 CM L40 MM OD6 MM ID.027 MM INTRACRANIAL VESSEL RESTORE BLOOD FLOW REVASCULARIZATION PUSHWIRE RADIOPAQUE 3-5.5 MM VESSEL	SUP-SFR364010_51768	CDM			270	RC		inpatient			15556	15556																																																			
LEUPROLIDE ACETATE (3 MONTH) PER 3.75 MG	636000000	CDM	0074-3663-03	NDC	J1950	HCPCS		inpatient			15438.2	15438.2																																																			
LEUPROLIDE ACETATE (3 MONTH) PER 3.75 MG	636000000	CDM	0074-3663-03	NDC	J1950	HCPCS		outpatient			15438.2	1679.4																																											1679.4				other	OPPS APC	1679.4	1679.4	
HC Rad Therapy Cns Tumors Rad Onc Model  90 Day Episode Tc	PX-333M10850	CDM			333	RC		outpatient			15434.87	15434.87	7563.09				percent of total billed charges		15434.87				other	OPPS APC	11421.8				percent of total billed charges		15434.87				other	OPPS APC	15434.87				other	OPPS APC	7563.09				percent of total billed charges		7871.78				percent of total billed charges		15434.87				other	OPPS APC	7563.09	15434.87	
HC Rad Therapy Cns Tumors Rad Onc Model  90 Day Episode Tc	PX-333M10850	CDM			333	RC		inpatient			15434.87	15434.87																																																			
NEXGEN LCCK FEMORAL SZ G-RT	SUP-97-01237	CDM			278	RC		outpatient			15375	15375	15375				fee schedule		15375				other	OPPS APC	8763.75				percent of total billed charges		15375				other	OPPS APC	15375				other	OPPS APC	7533.75				percent of total billed charges		7841.25				percent of total billed charges		15375				other	OPPS APC	7533.75	15375	
NEXGEN LCCK FEMORAL SZ G-RT	SUP-97-01237	CDM			278	RC		inpatient			15375	15375																																																			
NEXGEN LCCK FEMORAL SZ E-RT	SUP-97-03234	CDM			278	RC		outpatient			15375	15375	15375				fee schedule		15375				other	OPPS APC	8763.75				percent of total billed charges		15375				other	OPPS APC	15375				other	OPPS APC	7533.75				percent of total billed charges		7841.25				percent of total billed charges		15375				other	OPPS APC	7533.75	15375	
NEXGEN LCCK FEMORAL SZ E-RT	SUP-97-03234	CDM			278	RC		inpatient			15375	15375																																																			
NEXGEN LCCK FEMORAL SZ F-RT	SUP-97-03429	CDM			278	RC		outpatient			15375	15375	15375				fee schedule		15375				other	OPPS APC	8763.75				percent of total billed charges		15375				other	OPPS APC	15375				other	OPPS APC	7533.75				percent of total billed charges		7841.25				percent of total billed charges		15375				other	OPPS APC	7533.75	15375	
NEXGEN LCCK FEMORAL SZ F-RT	SUP-97-03429	CDM			278	RC		inpatient			15375	15375																																																			
NEXGEN LCCK FEMORAL SZ F-LT	SUP-97-03426	CDM			278	RC		outpatient			15335	15335	15335				fee schedule		15335				other	OPPS APC	8740.95				percent of total billed charges		15335				other	OPPS APC	15335				other	OPPS APC	7514.15				percent of total billed charges		7820.85				percent of total billed charges		15335				other	OPPS APC	7514.15	15335	
NEXGEN LCCK FEMORAL SZ F-LT	SUP-97-03426	CDM			278	RC		inpatient			15335	15335																																																			
GRAFT RESTORE FLOW  SAPHENOUS VEIN CRYO PRESERVED	SUP-SV104	CDM			270	RC		outpatient			15300	153	4144.77				percent of total billed charges		15300				other	OPPS APC	11322				percent of total billed charges		15300				other	OPPS APC	15300				other	OPPS APC	4144.77				percent of total billed charges		4227.39				percent of total billed charges		153				other	OPPS APC	153	15300	
GRAFT RESTORE FLOW  SAPHENOUS VEIN CRYO PRESERVED	SUP-SV104	CDM			270	RC		inpatient			15300	15300																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261214	CDM	270010015	LOCAL	270	RC		outpatient			15252	15252	4131.77				percent of total billed charges		15252				other	OPPS APC	11286.48				percent of total billed charges		15252				other	OPPS APC	15252				other	OPPS APC	4131.77				percent of total billed charges		4214.13				percent of total billed charges		15252				other	OPPS APC	4131.77	15252	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261214	CDM	270010015	LOCAL	270	RC		inpatient			15252	15252																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT ACCEPTS 18 FR SHEATH AAA	SUP-PXT261218	CDM	270010015	LOCAL	270	RC		outpatient			15252	15252	4131.77				percent of total billed charges		15252				other	OPPS APC	11286.48				percent of total billed charges		15252				other	OPPS APC	15252				other	OPPS APC	4131.77				percent of total billed charges		4214.13				percent of total billed charges		15252				other	OPPS APC	4131.77	15252	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT ACCEPTS 18 FR SHEATH AAA	SUP-PXT261218	CDM	270010015	LOCAL	270	RC		inpatient			15252	15252																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261412	CDM	270010015	LOCAL	270	RC		outpatient			15252	15252	4131.77				percent of total billed charges		15252				other	OPPS APC	11286.48				percent of total billed charges		15252				other	OPPS APC	15252				other	OPPS APC	4131.77				percent of total billed charges		4214.13				percent of total billed charges		15252				other	OPPS APC	4131.77	15252	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261412	CDM	270010015	LOCAL	270	RC		inpatient			15252	15252																																																			
CATHETER THROMBECTOMY 31CM 4MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .021IN GUIDEWIRE	SUP-SFR2-4-20	CDM			270	RC		outpatient			15250	1525	4131.23				percent of total billed charges		15250				other	OPPS APC	11285				percent of total billed charges		15250				other	OPPS APC	15250				other	OPPS APC	4131.23				percent of total billed charges		4213.58				percent of total billed charges		1525				other	OPPS APC	1525	15250	
CATHETER THROMBECTOMY 31CM 4MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .021IN GUIDEWIRE	SUP-SFR2-4-20	CDM			270	RC		inpatient			15250	15250																																																			
CATHETER THROMBECTOMY 31CM 6MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .027IN GUIDEWIRE	SUP-SFR2620_42566	CDM			270	RC		outpatient			15250	1525	4131.23				percent of total billed charges		15250				other	OPPS APC	11285				percent of total billed charges		15250				other	OPPS APC	15250				other	OPPS APC	4131.23				percent of total billed charges		4213.58				percent of total billed charges		1525				other	OPPS APC	1525	15250	
CATHETER THROMBECTOMY 31CM 6MM SOLITAIRE 2 20MM MICRO 180CM ACCEPTS .027IN GUIDEWIRE	SUP-SFR2620_42566	CDM			270	RC		inpatient			15250	15250																																																			
CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD4 MM ACCEPTS .021 IN GUIDEWIRE REVASCULARIZATION	SUP-SFR342010_42565	CDM			270	RC		outpatient			15250	1525	4131.23				percent of total billed charges		15250				other	OPPS APC	11285				percent of total billed charges		15250				other	OPPS APC	15250				other	OPPS APC	4131.23				percent of total billed charges		4213.58				percent of total billed charges		1525				other	OPPS APC	1525	15250	
CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD4 MM ACCEPTS .021 IN GUIDEWIRE REVASCULARIZATION	SUP-SFR342010_42565	CDM			270	RC		inpatient			15250	15250																																																			
CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD6 MM ACCEPTS .027 IN GUIDEWIRE REVASCULARIZATION	SUP-SFR362010_42566	CDM			270	RC		outpatient			15250	1525	4131.23				percent of total billed charges		15250				other	OPPS APC	11285				percent of total billed charges		15250				other	OPPS APC	15250				other	OPPS APC	4131.23				percent of total billed charges		4213.58				percent of total billed charges		1525				other	OPPS APC	1525	15250	
CATHETER THROMBECTOMY SOLITAIRE 2 20 MM MICRO L31 CM L180 CM OD6 MM ACCEPTS .027 IN GUIDEWIRE REVASCULARIZATION	SUP-SFR362010_42566	CDM			270	RC		inpatient			15250	15250																																																			
ICD VISIA AF VR DEVICE	SUP-DVAB1D4	CDM			275	RC		outpatient			15245	15245	7470.05				percent of total billed charges		15245				other	OPPS APC	8689.65				percent of total billed charges		15245				other	OPPS APC	15245				other	OPPS APC	7470.05				percent of total billed charges		7774.95				percent of total billed charges		15245				other	OPPS APC	7470.05	15245	
ICD VISIA AF VR DEVICE	SUP-DVAB1D4	CDM			275	RC		inpatient			15245	15245																																																			
HC Rad Therapy Upper GI Cancer Rad Onc Model  90 Day Episode Tc	PX-333M11030	CDM			333	RC		outpatient			15233.16	15233.16	7464.25				percent of total billed charges		15233.16				other	OPPS APC	11272.54				percent of total billed charges		15233.16				other	OPPS APC	15233.16				other	OPPS APC	7464.25				percent of total billed charges		7768.91				percent of total billed charges		15233.16				other	OPPS APC	7464.25	15233.16	
HC Rad Therapy Upper GI Cancer Rad Onc Model  90 Day Episode Tc	PX-333M11030	CDM			333	RC		inpatient			15233.16	15233.16																																																			
SPACER INTERSPACE SHOULDER WITH VANCOMYCIN 46MM XXL	SUP-SPSCM4U	CDM			270	RC		outpatient			15200	152	4117.68				percent of total billed charges		15200				other	OPPS APC	11248				percent of total billed charges		15200				other	OPPS APC	15200				other	OPPS APC	4117.68				percent of total billed charges		4199.76				percent of total billed charges		152				other	OPPS APC	152	15200	
SPACER INTERSPACE SHOULDER WITH VANCOMYCIN 46MM XXL	SUP-SPSCM4U	CDM			270	RC		inpatient			15200	15200																																																			
GRAFT STENT ENDURANT II POLYESTER NITINOL L70 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETTF3232C70E	CDM	270010015	LOCAL	270	RC		outpatient			15150	1515	4104.14				percent of total billed charges		15150				other	OPPS APC	11211				percent of total billed charges		15150				other	OPPS APC	15150				other	OPPS APC	4104.14				percent of total billed charges		4185.95				percent of total billed charges		1515				other	OPPS APC	1515	15150	
GRAFT STENT ENDURANT II POLYESTER NITINOL L70 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETTF3232C70E	CDM	270010015	LOCAL	270	RC		inpatient			15150	15150																																																			
ARCOS CON SZ A HI 50MM	SUP-97-04027	CDM			278	RC		outpatient			15087.5	1587.5	15087.5				fee schedule		15087.5				other	OPPS APC	8599.88				percent of total billed charges		15087.5				other	OPPS APC	15087.5				other	OPPS APC	7392.88				percent of total billed charges		7694.63				percent of total billed charges		1587.5				other	OPPS APC	1587.5	15087.5	
ARCOS CON SZ A HI 50MM	SUP-97-04027	CDM			278	RC		inpatient			15087.5	15087.5																																																			
ARCOS CAL SZ B +0 HI 60MM	SUP-97-04286	CDM			278	RC		outpatient			15087.5	1587.5	15087.5				fee schedule		15087.5				other	OPPS APC	8599.88				percent of total billed charges		15087.5				other	OPPS APC	15087.5				other	OPPS APC	7392.88				percent of total billed charges		7694.63				percent of total billed charges		1587.5				other	OPPS APC	1587.5	15087.5	
ARCOS CAL SZ B +0 HI 60MM	SUP-97-04286	CDM			278	RC		inpatient			15087.5	15087.5																																																			
CRT-P PERCEPTA MRI SYSTEM	SUP-PERCEPTAMRIMMAM	CDM			275	RC		outpatient			15065	1565	7381.85				percent of total billed charges		15065				other	OPPS APC	8587.05				percent of total billed charges		15065				other	OPPS APC	15065				other	OPPS APC	7381.85				percent of total billed charges		7683.15				percent of total billed charges		1565				other	OPPS APC	1565	15065	
CRT-P PERCEPTA MRI SYSTEM	SUP-PERCEPTAMRIMMAM	CDM			275	RC		inpatient			15065	15065																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL	SUP-VBJR062502A	CDM			270	RC		outpatient			15056	1556	4078.67				percent of total billed charges		15056				other	OPPS APC	11141.44				percent of total billed charges		15056				other	OPPS APC	15056				other	OPPS APC	4078.67				percent of total billed charges		4159.97				percent of total billed charges		1556				other	OPPS APC	1556	15056	
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL	SUP-VBJR062502A	CDM			270	RC		inpatient			15056	15056																																																			
HC Cc Coronary Pci in Ami (Stemi) - Des	PX-481C96061	CDM			481	RC		outpatient			15035	1535	684.72				fee schedule		15035				other	OPPS APC	1791.86				fee schedule		15035				other	OPPS APC	15035				other	OPPS APC	637.55				fee schedule		7667.85				percent of total billed charges		1535				other	OPPS APC	637.55	15035	
HC Cc Coronary Pci in Ami (Stemi) - Des	PX-481C96061	CDM			481	RC		inpatient			15035	15035																																																			
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L71-80 CM OD3 MM CRYOPRESERVE	SUP-CV71-80	CDM			270	RC		outpatient			14983.5	14983.5	4059.03				percent of total billed charges		14983.5				other	OPPS APC	11087.79				percent of total billed charges		14983.5				other	OPPS APC	14983.5				other	OPPS APC	4059.03				percent of total billed charges		4139.94				percent of total billed charges		14983.5				other	OPPS APC	4059.03	14983.5	
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L71-80 CM OD3 MM CRYOPRESERVE	SUP-CV71-80	CDM			270	RC		inpatient			14983.5	14983.5																																																			
GRAFT EXTENDER SQUARE COUPLING ZENITH AAA MAIN BODY 30 X 88MM	SUP-G279465	CDM	270010015	LOCAL	270	RC		outpatient			14800	148	4009.32				percent of total billed charges		14800				other	OPPS APC	10952				percent of total billed charges		14800				other	OPPS APC	14800				other	OPPS APC	4009.32				percent of total billed charges		4089.24				percent of total billed charges		148				other	OPPS APC	148	14800	
GRAFT EXTENDER SQUARE COUPLING ZENITH AAA MAIN BODY 30 X 88MM	SUP-G279465	CDM	270010015	LOCAL	270	RC		inpatient			14800	14800																																																			
DEFIBRILLATOR CARDIAC GALLANT 2 CHAMBER IS-1 DF4 CONNECTOR	SUP-CDDRA500Q	CDM			275	RC		outpatient			14790	1479	7247.1				percent of total billed charges		14790				other	OPPS APC	8430.3				percent of total billed charges		14790				other	OPPS APC	14790				other	OPPS APC	7247.1				percent of total billed charges		7542.9				percent of total billed charges		1479				other	OPPS APC	1479	14790	
DEFIBRILLATOR CARDIAC GALLANT 2 CHAMBER IS-1 DF4 CONNECTOR	SUP-CDDRA500Q	CDM			275	RC		inpatient			14790	14790																																																			
HC Rad Therapy Uterine Cancer Rad Onc Model  90 Day Episode Tc	PX-333M11050	CDM			333	RC		outpatient			14777.08	14777.8	7240.77				percent of total billed charges		14777.08				other	OPPS APC	10935.04				percent of total billed charges		14777.08				other	OPPS APC	14777.08				other	OPPS APC	7240.77				percent of total billed charges		7536.31				percent of total billed charges		14777.8				other	OPPS APC	7240.77	14777.8	
HC Rad Therapy Uterine Cancer Rad Onc Model  90 Day Episode Tc	PX-333M11050	CDM			333	RC		inpatient			14777.08	14777.08																																																			
COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENT HINGE NONSTERILE	SUP-02.09.2604L	CDM	270010025	LOCAL	270	RC		outpatient			14772	14772	4001.73				percent of total billed charges		14772				other	OPPS APC	10931.28				percent of total billed charges		14772				other	OPPS APC	14772				other	OPPS APC	4001.73				percent of total billed charges		4081.5				percent of total billed charges		14772				other	OPPS APC	4001.73	14772	
COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENT HINGE NONSTERILE	SUP-02.09.2604L	CDM	270010025	LOCAL	270	RC		inpatient			14772	14772																																																			
COMPONENT FEMORAL GMK COCR 4 KNEE RIGHT CEMENT HINGE NONSTERILE	SUP-02.09.2604R	CDM	270010025	LOCAL	270	RC		outpatient			14772	14772	4001.73				percent of total billed charges		14772				other	OPPS APC	10931.28				percent of total billed charges		14772				other	OPPS APC	14772				other	OPPS APC	4001.73				percent of total billed charges		4081.5				percent of total billed charges		14772				other	OPPS APC	4001.73	14772	
COMPONENT FEMORAL GMK COCR 4 KNEE RIGHT CEMENT HINGE NONSTERILE	SUP-02.09.2604R	CDM	270010025	LOCAL	270	RC		inpatient			14772	14772																																																			
COMPONENT FEMORAL GMK COCR 5 KNEE RIGHT CEMENT HINGE NONSTERILE	SUP-02.09.2605R	CDM	270010025	LOCAL	270	RC		outpatient			14772	14772	4001.73				percent of total billed charges		14772				other	OPPS APC	10931.28				percent of total billed charges		14772				other	OPPS APC	14772				other	OPPS APC	4001.73				percent of total billed charges		4081.5				percent of total billed charges		14772				other	OPPS APC	4001.73	14772	
COMPONENT FEMORAL GMK COCR 5 KNEE RIGHT CEMENT HINGE NONSTERILE	SUP-02.09.2605R	CDM	270010025	LOCAL	270	RC		inpatient			14772	14772																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL	SUP-VBJR052502A	CDM			270	RC		outpatient			14760	1476	3998.48				percent of total billed charges		14760				other	OPPS APC	10922.4				percent of total billed charges		14760				other	OPPS APC	14760				other	OPPS APC	3998.48				percent of total billed charges		4078.19				percent of total billed charges		1476				other	OPPS APC	1476	14760	
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL	SUP-VBJR052502A	CDM			270	RC		inpatient			14760	14760																																																			
BEVACIZUMAB-BVZR 25 MG/ML SOLUTION 16 ML VIAL	636000000	CDM	0069-0342-01	NDC	Q5118	HCPCS		inpatient			14721.6	14721.6																																																			
BEVACIZUMAB-BVZR 25 MG/ML SOLUTION 16 ML VIAL	636000000	CDM	0069-0342-01	NDC	Q5118	HCPCS		outpatient			14721.6	22.11																																											22.11				other	OPPS APC	22.11	22.11	
IDARUCIZUMAB 2.5 GRAM/50 ML SOLUTION	636000000	CDM	0597-0197-05	NDC	J3490	HCPCS		inpatient			14718.48	14718.48																																																			
IDARUCIZUMAB 2.5 GRAM/50 ML SOLUTION	636000000	CDM	0597-0197-05	NDC	J3490	HCPCS		outpatient			14718.48	14718.48																																															other	OPPS APC			
DEFIBRILLATOR CARDIAC GALLANT 1 CHAMBER DF4 CONNECTOR	SUP-CDVRA500Q	CDM			275	RC		outpatient			14700	147	7203				percent of total billed charges		14700				other	OPPS APC	8379				percent of total billed charges		14700				other	OPPS APC	14700				other	OPPS APC	7203				percent of total billed charges		7497				percent of total billed charges		147				other	OPPS APC	147	14700	
DEFIBRILLATOR CARDIAC GALLANT 1 CHAMBER DF4 CONNECTOR	SUP-CDVRA500Q	CDM			275	RC		inpatient			14700	14700																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261216	CDM	270010015	LOCAL	270	RC		outpatient			14596	14596	3954.06				percent of total billed charges		14596				other	OPPS APC	10801.04				percent of total billed charges		14596				other	OPPS APC	14596				other	OPPS APC	3954.06				percent of total billed charges		4032.87				percent of total billed charges		14596				other	OPPS APC	3954.06	14596	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD26 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261216	CDM	270010015	LOCAL	270	RC		inpatient			14596	14596																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261414	CDM	270010015	LOCAL	270	RC		outpatient			14596	14596	3954.06				percent of total billed charges		14596				other	OPPS APC	10801.04				percent of total billed charges		14596				other	OPPS APC	14596				other	OPPS APC	3954.06				percent of total billed charges		4032.87				percent of total billed charges		14596				other	OPPS APC	3954.06	14596	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L14 CM OD26 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT261414	CDM	270010015	LOCAL	270	RC		inpatient			14596	14596																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM ACCEPTS 18 FR SHEATH AAA	SUP-PXT281216	CDM	270010015	LOCAL	270	RC		outpatient			14596	14596	3954.06				percent of total billed charges		14596				other	OPPS APC	10801.04				percent of total billed charges		14596				other	OPPS APC	14596				other	OPPS APC	3954.06				percent of total billed charges		4032.87				percent of total billed charges		14596				other	OPPS APC	3954.06	14596	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD28.5 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM ACCEPTS 18 FR SHEATH AAA	SUP-PXT281216	CDM	270010015	LOCAL	270	RC		inpatient			14596	14596																																																			
CAP10102 SHOULDER REVERSE/INVERSE	SUP-97-04973	CDM			278	RC		outpatient			14500	145	14500				fee schedule		14500				other	OPPS APC	8265				percent of total billed charges		14500				other	OPPS APC	14500				other	OPPS APC	7105				percent of total billed charges		7395				percent of total billed charges		145				other	OPPS APC	145	14500	
CAP10102 SHOULDER REVERSE/INVERSE	SUP-97-04973	CDM			278	RC		inpatient			14500	14500																																																			
OCCLUDER CARDIOVASCULAR GORE EPTFE OD 25MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE	SUP-GSX0025A	CDM			275	RC		outpatient			14412	14412	7061.88				percent of total billed charges		14412				other	OPPS APC	8214.84				percent of total billed charges		14412				other	OPPS APC	14412				other	OPPS APC	7061.88				percent of total billed charges		7350.12				percent of total billed charges		14412				other	OPPS APC	7061.88	14412	
OCCLUDER CARDIOVASCULAR GORE EPTFE OD 25MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE	SUP-GSX0025A	CDM			275	RC		inpatient			14412	14412																																																			
OCCLUDER CARDIOVASCULAR GORE EPTFE OD 30MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE	SUP-GSX0030A	CDM			275	RC		outpatient			14412	14412	7061.88				percent of total billed charges		14412				other	OPPS APC	8214.84				percent of total billed charges		14412				other	OPPS APC	14412				other	OPPS APC	7061.88				percent of total billed charges		7350.12				percent of total billed charges		14412				other	OPPS APC	7061.88	14412	
OCCLUDER CARDIOVASCULAR GORE EPTFE OD 30MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE	SUP-GSX0030A	CDM			275	RC		inpatient			14412	14412																																																			
PERSONA CEM FEM TIB VE SURF/XLPE PAT	SUP-97-01021	CDM			278	RC		outpatient			14400	144	14400				fee schedule		14400				other	OPPS APC	8208				percent of total billed charges		14400				other	OPPS APC	14400				other	OPPS APC	7056				percent of total billed charges		7344				percent of total billed charges		144				other	OPPS APC	144	14400	
PERSONA CEM FEM TIB VE SURF/XLPE PAT	SUP-97-01021	CDM			278	RC		inpatient			14400	14400																																																			
PERSONA CEM FEM TB VE SURF/XLPE PAT	SUP-97-01149	CDM			278	RC		outpatient			14400	144	14400				fee schedule		14400				other	OPPS APC	8208				percent of total billed charges		14400				other	OPPS APC	14400				other	OPPS APC	7056				percent of total billed charges		7344				percent of total billed charges		144				other	OPPS APC	144	14400	
PERSONA CEM FEM TB VE SURF/XLPE PAT	SUP-97-01149	CDM			278	RC		inpatient			14400	14400																																																			
DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE	SUP-ET-009-521	CDM			270	RC		outpatient			14400	144	3900.96				percent of total billed charges		14400				other	OPPS APC	10656				percent of total billed charges		14400				other	OPPS APC	14400				other	OPPS APC	3900.96				percent of total billed charges		3978.72				percent of total billed charges		144				other	OPPS APC	144	14400	
DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE	SUP-ET-009-521	CDM			270	RC		inpatient			14400	14400																																																			
DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE	SUP-ET009533	CDM			270	RC		outpatient			14400	144	3900.96				percent of total billed charges		14400				other	OPPS APC	10656				percent of total billed charges		14400				other	OPPS APC	14400				other	OPPS APC	3900.96				percent of total billed charges		3978.72				percent of total billed charges		144				other	OPPS APC	144	14400	
DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE	SUP-ET009533	CDM			270	RC		inpatient			14400	14400																																																			
CRT-P PACEMAKER CARDIAC VISIONIST X4 DEVICE	SUP-U228	CDM			481	RC		outpatient			14330	1433	7021.7				percent of total billed charges		14330				other	OPPS APC	10604.2				percent of total billed charges		14330				other	OPPS APC	14330				other	OPPS APC	7021.7				percent of total billed charges		7308.3				percent of total billed charges		1433				other	OPPS APC	1433	14330	
CRT-P PACEMAKER CARDIAC VISIONIST X4 DEVICE	SUP-U228	CDM			481	RC		inpatient			14330	14330																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT231216	CDM	270010015	LOCAL	270	RC		outpatient			14240	1424	3857.62				percent of total billed charges		14240				other	OPPS APC	10537.6				percent of total billed charges		14240				other	OPPS APC	14240				other	OPPS APC	3857.62				percent of total billed charges		3934.51				percent of total billed charges		1424				other	OPPS APC	1424	14240	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L16 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT231216	CDM	270010015	LOCAL	270	RC		inpatient			14240	14240																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281412	CDM	270010015	LOCAL	270	RC		outpatient			14240	1424	3857.62				percent of total billed charges		14240				other	OPPS APC	10537.6				percent of total billed charges		14240				other	OPPS APC	14240				other	OPPS APC	3857.62				percent of total billed charges		3934.51				percent of total billed charges		1424				other	OPPS APC	1424	14240	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281412	CDM	270010015	LOCAL	270	RC		inpatient			14240	14240																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281418	CDM	270010015	LOCAL	270	RC		outpatient			14240	1424	3857.62				percent of total billed charges		14240				other	OPPS APC	10537.6				percent of total billed charges		14240				other	OPPS APC	14240				other	OPPS APC	3857.62				percent of total billed charges		3934.51				percent of total billed charges		1424				other	OPPS APC	1424	14240	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L18 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG STENT DELIVERY SYSTEM AAA ACCEPTS 18FR SHEATH	SUP-PXT281418	CDM	270010015	LOCAL	270	RC		inpatient			14240	14240																																																			
IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER #AX1-2-28-113	SUP-G55376	CDM	270010015	LOCAL	270	RC		outpatient			14236	14236	3856.53				percent of total billed charges		14236				other	OPPS APC	10534.64				percent of total billed charges		14236				other	OPPS APC	14236				other	OPPS APC	3856.53				percent of total billed charges		3933.41				percent of total billed charges		14236				other	OPPS APC	3856.53	14236	
IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER #AX1-2-28-113	SUP-G55376	CDM	270010015	LOCAL	270	RC		inpatient			14236	14236																																																			
PACEMAKER -  DUAL ICD RIVACOR DR-T	SUP-99-04349	CDM						inpatient			14200	14200																																																			
PACEMAKER -  DUAL ICD RIVACOR DR-T	SUP-99-04349	CDM						outpatient			14200	142	14200				percent of total billed charges		14200				other	OPPS APC	14200				fee schedule		14200				other	OPPS APC	14200				other	OPPS APC	14200				case rate		14200				case rate		142				other	OPPS APC	142	14200	
HC Rad Therapy Pancreatic Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10990	CDM			333	RC		outpatient			14129.15	14129.15	6923.28				percent of total billed charges		14129.15				other	OPPS APC	10455.57				percent of total billed charges		14129.15				other	OPPS APC	14129.15				other	OPPS APC	6923.28				percent of total billed charges		7205.87				percent of total billed charges		14129.15				other	OPPS APC	6923.28	14129.15	
HC Rad Therapy Pancreatic Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10990	CDM			333	RC		inpatient			14129.15	14129.15																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD7 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 7 FR INTRODUCER SHEATH 5.6-6.5 MM VESSEL	SUP-VBJR072502A	CDM			270	RC		outpatient			14118	14118	3824.57				percent of total billed charges		14118				other	OPPS APC	10447.32				percent of total billed charges		14118				other	OPPS APC	14118				other	OPPS APC	3824.57				percent of total billed charges		3900.8				percent of total billed charges		14118				other	OPPS APC	3824.57	14118	
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD7 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 7 FR INTRODUCER SHEATH 5.6-6.5 MM VESSEL	SUP-VBJR072502A	CDM			270	RC		inpatient			14118	14118																																																			
HC Rad Therapy Cervical Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10830	CDM			333	RC		outpatient			14094.75	1494.75	6906.43				percent of total billed charges		14094.75				other	OPPS APC	10430.12				percent of total billed charges		14094.75				other	OPPS APC	14094.75				other	OPPS APC	6906.43				percent of total billed charges		7188.32				percent of total billed charges		1494.75				other	OPPS APC	1494.75	14094.75	
HC Rad Therapy Cervical Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10830	CDM			333	RC		inpatient			14094.75	14094.75																																																			
DEFIBRILLATOR CARDIAC ENTRANT 2 CHAMBER IS-1 DF4 CONNECTOR	SUP-CDDRA300Q	CDM			275	RC		outpatient			14075	1475	6896.75				percent of total billed charges		14075				other	OPPS APC	8022.75				percent of total billed charges		14075				other	OPPS APC	14075				other	OPPS APC	6896.75				percent of total billed charges		7178.25				percent of total billed charges		1475				other	OPPS APC	1475	14075	
DEFIBRILLATOR CARDIAC ENTRANT 2 CHAMBER IS-1 DF4 CONNECTOR	SUP-CDDRA300Q	CDM			275	RC		inpatient			14075	14075																																																			
HC Rad Therapy Bladder Cancer Rad Onc Model 90 Day Episode  Tc	PX-333M10750	CDM			333	RC		outpatient			14069.06	1469.6	6893.84				percent of total billed charges		14069.06				other	OPPS APC	10411.1				percent of total billed charges		14069.06				other	OPPS APC	14069.06				other	OPPS APC	6893.84				percent of total billed charges		7175.22				percent of total billed charges		1469.6				other	OPPS APC	1469.6	14069.06	
HC Rad Therapy Bladder Cancer Rad Onc Model 90 Day Episode  Tc	PX-333M10750	CDM			333	RC		inpatient			14069.06	14069.06																																																			
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L61-70 CM OD3 MM CRYOPRESERVED	SUP-CV61-70	CDM			270	RC		outpatient			14065.38	1465.38	3810.31				percent of total billed charges		14065.38				other	OPPS APC	10408.38				percent of total billed charges		14065.38				other	OPPS APC	14065.38				other	OPPS APC	3810.31				percent of total billed charges		3886.26				percent of total billed charges		1465.38				other	OPPS APC	1465.38	14065.38	
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L61-70 CM OD3 MM CRYOPRESERVED	SUP-CV61-70	CDM			270	RC		inpatient			14065.38	14065.38																																																			
OCCLUDER CARDIOVASCULAR GORE EPTFE OD 20MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE	SUP-GSX0020A	CDM			275	RC		outpatient			14050	145	6884.5				percent of total billed charges		14050				other	OPPS APC	8008.5				percent of total billed charges		14050				other	OPPS APC	14050				other	OPPS APC	6884.5				percent of total billed charges		7165.5				percent of total billed charges		145				other	OPPS APC	145	14050	
OCCLUDER CARDIOVASCULAR GORE EPTFE OD 20MM SEPTAL SOFT WIRE FRAME FLUOROSCOPIC IMAGE	SUP-GSX0020A	CDM			275	RC		inpatient			14050	14050																																																			
ICD DDBB1D1 Evera XT MRI Device _39246_	SUP-DDBB1D1	CDM			275	RC		outpatient			14000	14	6860				percent of total billed charges		14000				other	OPPS APC	7980				percent of total billed charges		14000				other	OPPS APC	14000				other	OPPS APC	6860				percent of total billed charges		7140				percent of total billed charges		14				other	OPPS APC	14	14000	
ICD DDBB1D1 Evera XT MRI Device _39246_	SUP-DDBB1D1	CDM			275	RC		inpatient			14000	14000																																																			
DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN	SUP-DDBB1D4	CDM			275	RC		outpatient			14000	14	6860				percent of total billed charges		14000				other	OPPS APC	7980				percent of total billed charges		14000				other	OPPS APC	14000				other	OPPS APC	6860				percent of total billed charges		7140				percent of total billed charges		14				other	OPPS APC	14	14000	
DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN	SUP-DDBB1D4	CDM			275	RC		inpatient			14000	14000																																																			
CAP PRICING REVERSE SHOULDER EXACTECH	SUP-REVSHOULDER-EXACTECH	CDM	270010030	LOCAL	270	RC		outpatient			14000	14	3792.6				percent of total billed charges		14000				other	OPPS APC	10360				percent of total billed charges		14000				other	OPPS APC	14000				other	OPPS APC	3792.6				percent of total billed charges		3868.2				percent of total billed charges		14				other	OPPS APC	14	14000	
CAP PRICING REVERSE SHOULDER EXACTECH	SUP-REVSHOULDER-EXACTECH	CDM	270010030	LOCAL	270	RC		inpatient			14000	14000																																																			
TOTAL HIP	SUP-97-00406	CDM			278	RC		outpatient			13900	139	13900				fee schedule		13900				other	OPPS APC	7923				percent of total billed charges		13900				other	OPPS APC	13900				other	OPPS APC	6811				percent of total billed charges		7089				percent of total billed charges		139				other	OPPS APC	139	13900	
TOTAL HIP	SUP-97-00406	CDM			278	RC		inpatient			13900	13900																																																			
FEMUR ATTUNE CRS RIGHT SIZE 8 CEMENTED	SUP-1504-40-208	CDM	270010024	LOCAL	270	RC		outpatient			13899	13899	3765.24				percent of total billed charges		13899				other	OPPS APC	10285.26				percent of total billed charges		13899				other	OPPS APC	13899				other	OPPS APC	3765.24				percent of total billed charges		3840.29				percent of total billed charges		13899				other	OPPS APC	3765.24	13899	
FEMUR ATTUNE CRS RIGHT SIZE 8 CEMENTED	SUP-1504-40-208	CDM	270010024	LOCAL	270	RC		inpatient			13899	13899																																																			
GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-1-26-108	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-1-26-108	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD30 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-1-30-108	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD30 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-1-30-108	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD32 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-1-32-108	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU L108 MM OD32 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-1-32-108	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR RENU ZENITH L108 MM L37-71 MM OD32-12 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY CONVERTER	SUP-AX1-1-32-108ZT	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR RENU ZENITH L108 MM L37-71 MM OD32-12 MM ODSEC7.7 MM ID20 FR ABDOMINAL AORTIC ANEURYSM Z-TRAK INTRODUCTION SYSTEM ANCILLARY CONVERTER	SUP-AX1-1-32-108ZT	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER	SUP-AX1-1-36-108	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
IMPLANT ZENITH RENU AAA ANCILLARY GRAFT CONVERTER	SUP-AX1-1-36-108	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-2-26-113	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD26 MM ABDOMINAL AORTIC ANEURYSM CONVERTER ONE-SHOT SYSTEM	SUP-AX1-2-26-113	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU AAA L127 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM	SUP-AX1-2-36-127	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU AAA L127 MM OD36 MM OD22 FR ABDOMINAL AORTIC ANEURYSM	SUP-AX1-2-36-127	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU L127 MM OD36-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER	SUP-AX1-2-36-127-ZT	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU L127 MM OD36-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER	SUP-AX1-2-36-127-ZT	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD24 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER	SUP-G55361	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD24 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER	SUP-G55361	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD28 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER	SUP-G55374	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR RENU ZENITH L108 MM OD28 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER	SUP-G55374	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L113 MM L59-54 MM OD30-12 MM ODSEC7.7 MM ID20 FR ANCILLARY CONVERTER INTRODUCTION SYSTEM INTRODUCER SHEATH STERILE AAA	SUP-G55382	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L113 MM L59-54 MM OD30-12 MM ODSEC7.7 MM ID20 FR ANCILLARY CONVERTER INTRODUCTION SYSTEM INTRODUCER SHEATH STERILE AAA	SUP-G55382	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD32-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER #AX1-2-32-113ZT	SUP-G55388	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR ZENITH RENU L113 MM OD32-12 MM ABDOMINAL AORTIC ANEURYSM ANCILLARY CONVERTER #AX1-2-32-113ZT	SUP-G55388	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
GRAFT ENDOVASCULAR Z-TRAK ZENITH RENU POLYESTER WOVEN L113 MM L54-59 MM OD12-28 MM ANCILLARY CONVERTER STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA	SUP-G55394	CDM	270010015	LOCAL	270	RC		outpatient			13820	1382	3743.84				percent of total billed charges		13820				other	OPPS APC	10226.8				percent of total billed charges		13820				other	OPPS APC	13820				other	OPPS APC	3743.84				percent of total billed charges		3818.47				percent of total billed charges		1382				other	OPPS APC	1382	13820	
GRAFT ENDOVASCULAR Z-TRAK ZENITH RENU POLYESTER WOVEN L113 MM L54-59 MM OD12-28 MM ANCILLARY CONVERTER STERILE ACCEPTS 20 FR INTRODUCER SHEATH AAA	SUP-G55394	CDM	270010015	LOCAL	270	RC		inpatient			13820	13820																																																			
SURGIMEND PRS	SUP-606-007-001	CDM			270	RC		outpatient			13800	138	3738.42				percent of total billed charges		13800				other	OPPS APC	10212				percent of total billed charges		13800				other	OPPS APC	13800				other	OPPS APC	3738.42				percent of total billed charges		3812.94				percent of total billed charges		138				other	OPPS APC	138	13800	
SURGIMEND PRS	SUP-606-007-001	CDM			270	RC		inpatient			13800	13800																																																			
SURGIMEND  PRS	SUP-97-02728	CDM			278	RC		outpatient			13800	138	6762				percent of total billed charges		13800				other	OPPS APC	7866				percent of total billed charges		13800				other	OPPS APC	13800				other	OPPS APC	6762				percent of total billed charges		7038				percent of total billed charges		138				other	OPPS APC	138	13800	
SURGIMEND  PRS	SUP-97-02728	CDM			278	RC		inpatient			13800	13800																																																			
DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE	SUP-ET309522	CDM			270	RC		outpatient			13800	138	3738.42				percent of total billed charges		13800				other	OPPS APC	10212				percent of total billed charges		13800				other	OPPS APC	13800				other	OPPS APC	3738.42				percent of total billed charges		3812.94				percent of total billed charges		138				other	OPPS APC	138	13800	
DEVICE THROMBECTOMY EMBOTRAP OD 5MM X L 21MM RADIOPAQUE	SUP-ET309522	CDM			270	RC		inpatient			13800	13800																																																			
DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE	SUP-ET309537	CDM			270	RC		outpatient			13800	138	3738.42				percent of total billed charges		13800				other	OPPS APC	10212				percent of total billed charges		13800				other	OPPS APC	13800				other	OPPS APC	3738.42				percent of total billed charges		3812.94				percent of total billed charges		138				other	OPPS APC	138	13800	
DEVICE THROMBECTOMY EMBOTRAP OD5MM X L 33MM RADIOPAQUE	SUP-ET309537	CDM			270	RC		inpatient			13800	13800																																																			
PACEMAKER - AICD - DUAL ELLIPSE ICD GENERATOR	SUP-99-04703	CDM						inpatient			13790	13790																																																			
PACEMAKER - AICD - DUAL ELLIPSE ICD GENERATOR	SUP-99-04703	CDM						outpatient			13790	1379	13790				percent of total billed charges		13790				other	OPPS APC	13790				fee schedule		13790				other	OPPS APC	13790				other	OPPS APC	13790				case rate		13790				case rate		1379				other	OPPS APC	1379	13790	
DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 2 CHAMBER CARDIOVERTER	SUP-CD2357-40C	CDM			275	RC		outpatient			13790	1379	6757.1				percent of total billed charges		13790				other	OPPS APC	7860.3				percent of total billed charges		13790				other	OPPS APC	13790				other	OPPS APC	6757.1				percent of total billed charges		7032.9				percent of total billed charges		1379				other	OPPS APC	1379	13790	
DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 2 CHAMBER CARDIOVERTER	SUP-CD2357-40C	CDM			275	RC		inpatient			13790	13790																																																			
DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 40 J 2 CHAMBER CARDIOVERTER SSJ4 CONNECTOR	SUP-CD2357-40Q	CDM			275	RC		outpatient			13790	1379	6757.1				percent of total billed charges		13790				other	OPPS APC	7860.3				percent of total billed charges		13790				other	OPPS APC	13790				other	OPPS APC	6757.1				percent of total billed charges		7032.9				percent of total billed charges		1379				other	OPPS APC	1379	13790	
DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR 40 J 2 CHAMBER CARDIOVERTER SSJ4 CONNECTOR	SUP-CD2357-40Q	CDM			275	RC		inpatient			13790	13790																																																			
ICD NG ELLIPSE DR	SUP-CD2411-36C	CDM			275	RC		outpatient			13790	1379	6757.1				percent of total billed charges		13790				other	OPPS APC	7860.3				percent of total billed charges		13790				other	OPPS APC	13790				other	OPPS APC	6757.1				percent of total billed charges		7032.9				percent of total billed charges		1379				other	OPPS APC	1379	13790	
ICD NG ELLIPSE DR	SUP-CD2411-36C	CDM			275	RC		inpatient			13790	13790																																																			
DEFIBRILLATOR CARDIAC MRI ELLIPSE DR DF-4 CONNECTOR DUAL CHAMBER	SUP-CD2411-36Q	CDM			275	RC		outpatient			13790	1379	6757.1				percent of total billed charges		13790				other	OPPS APC	7860.3				percent of total billed charges		13790				other	OPPS APC	13790				other	OPPS APC	6757.1				percent of total billed charges		7032.9				percent of total billed charges		1379				other	OPPS APC	1379	13790	
DEFIBRILLATOR CARDIAC MRI ELLIPSE DR DF-4 CONNECTOR DUAL CHAMBER	SUP-CD2411-36Q	CDM			275	RC		inpatient			13790	13790																																																			
SYSTEM PACING MICRA TRANSCATHETER	SUP-MICRATCPSYSTEM	CDM			275	RC		outpatient			13750	1375	6737.5				percent of total billed charges		13750				other	OPPS APC	7837.5				percent of total billed charges		13750				other	OPPS APC	13750				other	OPPS APC	6737.5				percent of total billed charges		7012.5				percent of total billed charges		1375				other	OPPS APC	1375	13750	
SYSTEM PACING MICRA TRANSCATHETER	SUP-MICRATCPSYSTEM	CDM			275	RC		inpatient			13750	13750																																																			
ICD DVAB1D1 VISIA AF VR DEVICE _44981_	SUP-DVAB1D1	CDM			275	RC		outpatient			13705	1375	6715.45				percent of total billed charges		13705				other	OPPS APC	7811.85				percent of total billed charges		13705				other	OPPS APC	13705				other	OPPS APC	6715.45				percent of total billed charges		6989.55				percent of total billed charges		1375				other	OPPS APC	1375	13705	
ICD DVAB1D1 VISIA AF VR DEVICE _44981_	SUP-DVAB1D1	CDM			275	RC		inpatient			13705	13705																																																			
SLING SUBURETHRAL ADVANCE POLYPROPYLENE MALE KIT	SUP-720088-01	CDM			270	RC		outpatient			13700	137	3711.33				percent of total billed charges		13700				other	OPPS APC	10138				percent of total billed charges		13700				other	OPPS APC	13700				other	OPPS APC	3711.33				percent of total billed charges		3785.31				percent of total billed charges		137				other	OPPS APC	137	13700	
SLING SUBURETHRAL ADVANCE POLYPROPYLENE MALE KIT	SUP-720088-01	CDM			270	RC		inpatient			13700	13700																																																			
STENT VASCULAR SOLITAIRE PARAMETRIC 10 MM SPACE 3-1 L50 MM L40 MM OD4 MM RADIOPAQUE REVASCULARIZATION OVERLAP DIFFERENTIATE RADIAL OUTWARD FORCE 2-4 MM VESSEL .021-.027 IN MICROCATHETER	SUP-SFR4-4-40-10	CDM			270	RC		outpatient			13700	137	3711.33				percent of total billed charges		13700				other	OPPS APC	10138				percent of total billed charges		13700				other	OPPS APC	13700				other	OPPS APC	3711.33				percent of total billed charges		3785.31				percent of total billed charges		137				other	OPPS APC	137	13700	
STENT VASCULAR SOLITAIRE PARAMETRIC 10 MM SPACE 3-1 L50 MM L40 MM OD4 MM RADIOPAQUE REVASCULARIZATION OVERLAP DIFFERENTIATE RADIAL OUTWARD FORCE 2-4 MM VESSEL .021-.027 IN MICROCATHETER	SUP-SFR4-4-40-10	CDM			270	RC		inpatient			13700	13700																																																			
DEVICE THROMBECTOMY SOLITAIRE X L200 CM L40 CM OD6 MM ID.021-.027 IN REVASCULARIZATION RADIOPAQUE STERILE ACCEPTS 2-5.5 MM VESSEL .021-.027 MM MICROCATHETER	SUP-SFR4-6-40-10	CDM			270	RC		outpatient			13700	137	3711.33				percent of total billed charges		13700				other	OPPS APC	10138				percent of total billed charges		13700				other	OPPS APC	13700				other	OPPS APC	3711.33				percent of total billed charges		3785.31				percent of total billed charges		137				other	OPPS APC	137	13700	
DEVICE THROMBECTOMY SOLITAIRE X L200 CM L40 CM OD6 MM ID.021-.027 IN REVASCULARIZATION RADIOPAQUE STERILE ACCEPTS 2-5.5 MM VESSEL .021-.027 MM MICROCATHETER	SUP-SFR4-6-40-10	CDM			270	RC		inpatient			13700	13700																																																			
PACEMAKER CARDIAC INVIVE IS1 LV1 CONNECTOR CARDIAC RESYNCHRONIZATION THERAPY	SUP-V172/73	CDM			270	RC		outpatient			13648	13648	3697.24				percent of total billed charges		13648				other	OPPS APC	10099.52				percent of total billed charges		13648				other	OPPS APC	13648				other	OPPS APC	3697.24				percent of total billed charges		3770.94				percent of total billed charges		13648				other	OPPS APC	3697.24	13648	
PACEMAKER CARDIAC INVIVE IS1 LV1 CONNECTOR CARDIAC RESYNCHRONIZATION THERAPY	SUP-V172/73	CDM			270	RC		inpatient			13648	13648																																																			
ZIMMER TOTAL KNEE PERSONA CEM	SUP-97-00245	CDM			272	RC		outpatient			13600	136	3684.24				percent of total billed charges		13600				other	OPPS APC	10064				percent of total billed charges		13600				other	OPPS APC	13600				other	OPPS APC	3684.24				percent of total billed charges		3757.68				percent of total billed charges		136				other	OPPS APC	136	13600	
ZIMMER TOTAL KNEE PERSONA CEM	SUP-97-00245	CDM			272	RC		inpatient			13600	13600																																																			
PACEMAKER - AICD - SINGLE ELLIPSE ICD GENERATOR	SUP-99-04553	CDM						inpatient			13600	13600																																																			
PACEMAKER - AICD - SINGLE ELLIPSE ICD GENERATOR	SUP-99-04553	CDM						outpatient			13600	136	13600				percent of total billed charges		13600				other	OPPS APC	13600				fee schedule		13600				other	OPPS APC	13600				other	OPPS APC	13600				case rate		13600				case rate		136				other	OPPS APC	136	13600	
ICD NG ASSURA VR	SUP-CD1357-40C	CDM			275	RC		outpatient			13600	136	6664				percent of total billed charges		13600				other	OPPS APC	7752				percent of total billed charges		13600				other	OPPS APC	13600				other	OPPS APC	6664				percent of total billed charges		6936				percent of total billed charges		136				other	OPPS APC	136	13600	
ICD NG ASSURA VR	SUP-CD1357-40C	CDM			275	RC		inpatient			13600	13600																																																			
DEFIBRILLATOR CARDIAC FORTIFY ASSURA VR THK14 MM 40 J L71 MM X W40 MM 35 CC 75 GM VENTRICLE 1 CHAMBER 2 DF-4 CARDIOVERTER	SUP-CD1357-40Q	CDM			275	RC		outpatient			13600	136	6664				percent of total billed charges		13600				other	OPPS APC	7752				percent of total billed charges		13600				other	OPPS APC	13600				other	OPPS APC	6664				percent of total billed charges		6936				percent of total billed charges		136				other	OPPS APC	136	13600	
DEFIBRILLATOR CARDIAC FORTIFY ASSURA VR THK14 MM 40 J L71 MM X W40 MM 35 CC 75 GM VENTRICLE 1 CHAMBER 2 DF-4 CARDIOVERTER	SUP-CD1357-40Q	CDM			275	RC		inpatient			13600	13600																																																			
DEFIBRILLATOR CARDIAC ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY PARYLENE THK12 MM 36 J ANGLE W51 MM X H68 MM 31 ML 66 GM 1 CHAMBER IS-1 DF-4 CONNECTOR VECTOR SWITCH ALGORITHM IMPLANTABLE CARDIOVERTER DEFIBRILLATOR	SUP-CD1411-36C	CDM			275	RC		outpatient			13600	136	6664				percent of total billed charges		13600				other	OPPS APC	7752				percent of total billed charges		13600				other	OPPS APC	13600				other	OPPS APC	6664				percent of total billed charges		6936				percent of total billed charges		136				other	OPPS APC	136	13600	
DEFIBRILLATOR CARDIAC ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY PARYLENE THK12 MM 36 J ANGLE W51 MM X H68 MM 31 ML 66 GM 1 CHAMBER IS-1 DF-4 CONNECTOR VECTOR SWITCH ALGORITHM IMPLANTABLE CARDIOVERTER DEFIBRILLATOR	SUP-CD1411-36C	CDM			275	RC		inpatient			13600	13600																																																			
DEFIBRILLATOR CARDIAC MRI ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY QHR ANGLE THK12 MM 36 J W51 MM X H66 MM 31 ML 67 GM 1 CHAMBER DF-4 CONNECTOR VECTOR SWITCH ALGORITHM HEADER	SUP-CD1411-36Q	CDM			275	RC		outpatient			13600	136	6664				percent of total billed charges		13600				other	OPPS APC	7752				percent of total billed charges		13600				other	OPPS APC	13600				other	OPPS APC	6664				percent of total billed charges		6936				percent of total billed charges		136				other	OPPS APC	136	13600	
DEFIBRILLATOR CARDIAC MRI ELLIPSE VR DYNAMICTX SHOCKGUARD SENSEABILITY QHR ANGLE THK12 MM 36 J W51 MM X H66 MM 31 ML 67 GM 1 CHAMBER DF-4 CONNECTOR VECTOR SWITCH ALGORITHM HEADER	SUP-CD1411-36Q	CDM			275	RC		inpatient			13600	13600																																																			
"OCTREOTIDE,MICROSPHERES 20 MG SUSPENSION,EXTENDED REL RECON"	636000000	CDM	0078-0818-81	NDC	J2353	HCPCS		inpatient			13577.35	13577.35																																																			
"OCTREOTIDE,MICROSPHERES 20 MG SUSPENSION,EXTENDED REL RECON"	636000000	CDM	0078-0818-81	NDC	J2353	HCPCS		outpatient			13577.35	224.4																																											224.4				other	OPPS APC	224.4	224.4	
INFLIXIMAB-ABDA PER 10 MG	636000000	CDM	78206-162-99	NDC	Q5104	HCPCS		inpatient			13561.05	13561.05																																																			
INFLIXIMAB-ABDA PER 10 MG	636000000	CDM	78206-162-99	NDC	Q5104	HCPCS		outpatient			13561.05	32.58																																											32.58				other	OPPS APC	32.58	32.58	
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-015-91	CDM	270010025	LOCAL	270	RC		outpatient			13516	13516	3661.48				percent of total billed charges		13516				other	OPPS APC	10001.84				percent of total billed charges		13516				other	OPPS APC	13516				other	OPPS APC	3661.48				percent of total billed charges		3734.47				percent of total billed charges		13516				other	OPPS APC	3661.48	13516	
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-015-91	CDM	270010025	LOCAL	270	RC		inpatient			13516	13516																																																			
PACEMAKER VIVA C6TR01 SYSTEM	SUP-VIVACRTPMEAM	CDM			275	RC		outpatient			13508	1358	6618.92				percent of total billed charges		13508				other	OPPS APC	7699.56				percent of total billed charges		13508				other	OPPS APC	13508				other	OPPS APC	6618.92				percent of total billed charges		6889.08				percent of total billed charges		1358				other	OPPS APC	1358	13508	
PACEMAKER VIVA C6TR01 SYSTEM	SUP-VIVACRTPMEAM	CDM			275	RC		inpatient			13508	13508																																																			
PACEMAKER VIVA C6TR01 SYSTEM W STARFIX LEAD	SUP-VIVACRTPMEPM	CDM			275	RC		outpatient			13508	1358	6618.92				percent of total billed charges		13508				other	OPPS APC	7699.56				percent of total billed charges		13508				other	OPPS APC	13508				other	OPPS APC	6618.92				percent of total billed charges		6889.08				percent of total billed charges		1358				other	OPPS APC	1358	13508	
PACEMAKER VIVA C6TR01 SYSTEM W STARFIX LEAD	SUP-VIVACRTPMEPM	CDM			275	RC		inpatient			13508	13508																																																			
PACEMAKER- DX ICD ACTICOR DX	SUP-99-04350	CDM			275	RC		outpatient			13500	135	13500				fee schedule		13500				other	OPPS APC	7695				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	6615				percent of total billed charges		6885				percent of total billed charges		135				other	OPPS APC	135	13500	
PACEMAKER- DX ICD ACTICOR DX	SUP-99-04350	CDM			275	RC		inpatient			13500	13500																																																			
CRT-P C4TR01 CONSULTA SYSTEM WITH ATTAIN LV LEAD	SUP-CONSULTACRTPMEAM	CDM			275	RC		outpatient			13500	135	6615				percent of total billed charges		13500				other	OPPS APC	7695				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	6615				percent of total billed charges		6885				percent of total billed charges		135				other	OPPS APC	135	13500	
CRT-P C4TR01 CONSULTA SYSTEM WITH ATTAIN LV LEAD	SUP-CONSULTACRTPMEAM	CDM			275	RC		inpatient			13500	13500																																																			
CRT-P C4TR01 CONSULTA SYSTEM W/ STARFIX	SUP-CONSULTACRTPMEPM	CDM			275	RC		outpatient			13500	135	6615				percent of total billed charges		13500				other	OPPS APC	7695				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	6615				percent of total billed charges		6885				percent of total billed charges		135				other	OPPS APC	135	13500	
CRT-P C4TR01 CONSULTA SYSTEM W/ STARFIX	SUP-CONSULTACRTPMEPM	CDM			275	RC		inpatient			13500	13500																																																			
SYSTEM PACEMAKER AVEIR 19.5 F LEADLESS PACEMAKER 38.5 MM RV	SUP-LSP112V	CDM			270	RC		outpatient			13500	135	3657.15				percent of total billed charges		13500				other	OPPS APC	9990				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	3657.15				percent of total billed charges		3730.05				percent of total billed charges		135				other	OPPS APC	135	13500	
SYSTEM PACEMAKER AVEIR 19.5 F LEADLESS PACEMAKER 38.5 MM RV	SUP-LSP112V	CDM			270	RC		inpatient			13500	13500																																																			
CRT-P PERCEPTA MRI QUAD SYSTEM	SUP-PERCEPTAMRIQDMMQM	CDM			275	RC		outpatient			13500	135	6615				percent of total billed charges		13500				other	OPPS APC	7695				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	6615				percent of total billed charges		6885				percent of total billed charges		135				other	OPPS APC	135	13500	
CRT-P PERCEPTA MRI QUAD SYSTEM	SUP-PERCEPTAMRIQDMMQM	CDM			275	RC		inpatient			13500	13500																																																			
CRT-P C2TR01 SYNCRA SYSTEM WITH ATTAIN LV LEAD	SUP-SYNCRACRIPTMEAM	CDM			275	RC		outpatient			13500	135	6615				percent of total billed charges		13500				other	OPPS APC	7695				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	6615				percent of total billed charges		6885				percent of total billed charges		135				other	OPPS APC	135	13500	
CRT-P C2TR01 SYNCRA SYSTEM WITH ATTAIN LV LEAD	SUP-SYNCRACRIPTMEAM	CDM			275	RC		inpatient			13500	13500																																																			
CRT-P C2TR01 SYNCRA SYSTEM W/STARFIX LV LEAD	SUP-SYNCRACRTPMEPM	CDM			275	RC		outpatient			13500	135	6615				percent of total billed charges		13500				other	OPPS APC	7695				percent of total billed charges		13500				other	OPPS APC	13500				other	OPPS APC	6615				percent of total billed charges		6885				percent of total billed charges		135				other	OPPS APC	135	13500	
CRT-P C2TR01 SYNCRA SYSTEM W/STARFIX LV LEAD	SUP-SYNCRACRTPMEPM	CDM			275	RC		inpatient			13500	13500																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD8 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.6-7.5 MM VESSEL	SUP-VBJR082502	CDM			270	RC		outpatient			13440	1344	3640.9				percent of total billed charges		13440				other	OPPS APC	9945.6				percent of total billed charges		13440				other	OPPS APC	13440				other	OPPS APC	3640.9				percent of total billed charges		3713.47				percent of total billed charges		1344				other	OPPS APC	1344	13440	
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L25 CM L120 CM OD8 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 6.6-7.5 MM VESSEL	SUP-VBJR082502	CDM			270	RC		inpatient			13440	13440																																																			
RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS	636000000	CDM	76125-150-02	NDC	90377	HCPCS		inpatient			13421.1	13421.1																																																			
RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS	636000000	CDM	76125-150-02	NDC	90377	HCPCS		outpatient			13421.1	13421.1																																															other	OPPS APC			
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD23 MM ID26 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-023	CDM			270	RC		outpatient			13392.8	13392.8	3628.11				percent of total billed charges		13392.8				other	OPPS APC	9910.67				percent of total billed charges		13392.8				other	OPPS APC	13392.8				other	OPPS APC	3628.11				percent of total billed charges		3700.43				percent of total billed charges		13392.8				other	OPPS APC	3628.11	13392.8	
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD23 MM ID26 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-023	CDM			270	RC		inpatient			13392.8	13392.8																																																			
PACEMAKER- ELLIPSE DR	SUP-99-04833	CDM						inpatient			13340	13340																																																			
PACEMAKER- ELLIPSE DR	SUP-99-04833	CDM						outpatient			13340	1334	13340				percent of total billed charges		13340				other	OPPS APC	13340				fee schedule		13340				other	OPPS APC	13340				other	OPPS APC	13340				case rate		13340				case rate		1334				other	OPPS APC	1334	13340	
HC IR Iliac Artery  Initial  Pta  Stent	PX-361372211	CDM	37221	CPT	361	RC		outpatient			13139	1118.26	4149.3				percent of total billed charges		11180.26				other	OPPS APC	8653				fee schedule		11180.26				other	OPPS APC	11180.26				other	OPPS APC	4149.3				percent of total billed charges		4232.07				percent of total billed charges		1118.26				other	OPPS APC	1118.26	11180.26	
HC IR Iliac Artery  Initial  Pta  Stent	PX-361372211	CDM	37221	CPT	361	RC		inpatient			13139	13139																																																			
HC IR Fem/Pop Art  Initial  Pta Ather	PX-361372251	CDM	37225	CPT	361	RC		outpatient			13139	13139	4149.3				percent of total billed charges		13139				other	OPPS APC	13139				fee schedule		13139				other	OPPS APC	13139				other	OPPS APC	4149.3				percent of total billed charges		4232.07				percent of total billed charges		13139				other	OPPS APC	4149.3	13139	
HC IR Fem/Pop Art  Initial  Pta Ather	PX-361372251	CDM	37225	CPT	361	RC		inpatient			13139	13139																																																			
HC IR Fem/Pop Art  Initial  Pta Stent	PX-361372261	CDM	37226	CPT	361	RC		outpatient			13139	1118.26	4149.3				percent of total billed charges		11180.26				other	OPPS APC	6702				fee schedule		11180.26				other	OPPS APC	11180.26				other	OPPS APC	4149.3				percent of total billed charges		4232.07				percent of total billed charges		1118.26				other	OPPS APC	1118.26	11180.26	
HC IR Fem/Pop Art  Initial  Pta Stent	PX-361372261	CDM	37226	CPT	361	RC		inpatient			13139	13139																																																			
HC IR Tib/per  Add'l  Pta Stent	PX-361372331	CDM	37233	CPT	361	RC		inpatient			13139	13139																																																			
HC IR Tib/per  Add'l  Pta Stent	PX-361372331	CDM	37233	CPT	361	RC		outpatient			13139	13139	4149.3				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	4149.3				percent of total billed charges		4232.07				percent of total billed charges						other	OPPS APC	4232.07	4232.07	
GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT 2 BRANCH CYLINDER 116MM 64-52MM 12-36MM 22FR SS POLYESTER INFRARENAL	SUP-G43370	CDM	270010015	LOCAL	270	RC		outpatient			13028	1328	3529.29				percent of total billed charges		13028				other	OPPS APC	9640.72				percent of total billed charges		13028				other	OPPS APC	13028				other	OPPS APC	3529.29				percent of total billed charges		3599.64				percent of total billed charges		1328				other	OPPS APC	1328	13028	
GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT 2 BRANCH CYLINDER 116MM 64-52MM 12-36MM 22FR SS POLYESTER INFRARENAL	SUP-G43370	CDM	270010015	LOCAL	270	RC		inpatient			13028	13028																																																			
GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L108 MM L71-37 MM OD28-12 MM ID20 FR ABDOMINAL AORTIC ANEURYSM CONVERTER H&L-B ONE-SHOT INTRODUCTION SYSTEM ANCILLARY AAA	SUP-G55374	CDM	270010015	LOCAL	270	RC		outpatient			13028	1328	3529.29				percent of total billed charges		13028				other	OPPS APC	9640.72				percent of total billed charges		13028				other	OPPS APC	13028				other	OPPS APC	3529.29				percent of total billed charges		3599.64				percent of total billed charges		1328				other	OPPS APC	1328	13028	
GRAFT ENDOVASCULAR ZENITH RENU H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L108 MM L71-37 MM OD28-12 MM ID20 FR ABDOMINAL AORTIC ANEURYSM CONVERTER H&L-B ONE-SHOT INTRODUCTION SYSTEM ANCILLARY AAA	SUP-G55374	CDM	270010015	LOCAL	270	RC		inpatient			13028	13028																																																			
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD21 MM ID24 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-021	CDM			270	RC		outpatient			13002	132	3522.24				percent of total billed charges		13002				other	OPPS APC	9621.48				percent of total billed charges		13002				other	OPPS APC	13002				other	OPPS APC	3522.24				percent of total billed charges		3592.45				percent of total billed charges		132				other	OPPS APC	132	13002	
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD21 MM ID24 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-021	CDM			270	RC		inpatient			13002	13002																																																			
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD25 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-025	CDM			270	RC		outpatient			13002	132	3522.24				percent of total billed charges		13002				other	OPPS APC	9621.48				percent of total billed charges		13002				other	OPPS APC	13002				other	OPPS APC	3522.24				percent of total billed charges		3592.45				percent of total billed charges		132				other	OPPS APC	132	13002	
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD25 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-025	CDM			270	RC		inpatient			13002	13002																																																			
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD27 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-027	CDM			270	RC		outpatient			13002	132	3522.24				percent of total billed charges		13002				other	OPPS APC	9621.48				percent of total billed charges		13002				other	OPPS APC	13002				other	OPPS APC	3522.24				percent of total billed charges		3592.45				percent of total billed charges		132				other	OPPS APC	132	13002	
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD27 MM ID28 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-027	CDM			270	RC		inpatient			13002	13002																																																			
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD29 MM ID32 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-029	CDM			270	RC		outpatient			13002	132	3522.24				percent of total billed charges		13002				other	OPPS APC	9621.48				percent of total billed charges		13002				other	OPPS APC	13002				other	OPPS APC	3522.24				percent of total billed charges		3592.45				percent of total billed charges		132				other	OPPS APC	132	13002	
VALVE AORTIC CARBO-SEAL GELWEAVE VALSALVA OD29 MM ID32 MM MECHANICAL ROTATABLE CONDUIT LOW PROFILE HOLDER	SUP-CP-029	CDM			270	RC		inpatient			13002	13002																																																			
GRAFT FRESH FROZEN TALUS	SUP-32647002	CDM	270010031	LOCAL	270	RC		outpatient			13000	13	3521.7				percent of total billed charges		13000				other	OPPS APC	9620				percent of total billed charges		13000				other	OPPS APC	13000				other	OPPS APC	3521.7				percent of total billed charges		3591.9				percent of total billed charges		13				other	OPPS APC	13	13000	
GRAFT FRESH FROZEN TALUS	SUP-32647002	CDM	270010031	LOCAL	270	RC		inpatient			13000	13000																																																			
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD31 MM HEART BIOPROSTHESIS EASE	SUP-7300TFX31	CDM			270	RC		outpatient			13000	13	3521.7				percent of total billed charges		13000				other	OPPS APC	9620				percent of total billed charges		13000				other	OPPS APC	13000				other	OPPS APC	3521.7				percent of total billed charges		3591.9				percent of total billed charges		13				other	OPPS APC	13	13000	
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD31 MM HEART BIOPROSTHESIS EASE	SUP-7300TFX31	CDM			270	RC		inpatient			13000	13000																																																			
PACEMAKER- SINGLE ICD RIVACOR VR-T	SUP-99-04351	CDM						inpatient			13000	13000																																																			
PACEMAKER- SINGLE ICD RIVACOR VR-T	SUP-99-04351	CDM						outpatient			13000	13	13000				percent of total billed charges		13000				other	OPPS APC	13000				fee schedule		13000				other	OPPS APC	13000				other	OPPS APC	13000				case rate		13000				case rate		13				other	OPPS APC	13	13000	
PACEMAKER ENPULSE       E2DR01	SUP-E2DR01	CDM			270	RC		outpatient			13000	13	3521.7				percent of total billed charges		13000				other	OPPS APC	9620				percent of total billed charges		13000				other	OPPS APC	13000				other	OPPS APC	3521.7				percent of total billed charges		3591.9				percent of total billed charges		13				other	OPPS APC	13	13000	
PACEMAKER ENPULSE       E2DR01	SUP-E2DR01	CDM			270	RC		inpatient			13000	13000																																																			
SAPHENOUS VEIN GRAFT 45-60CM	SUP-CV45-60	CDM			270	RC		outpatient			12966.24	12966.24	3512.55				percent of total billed charges		12966.24				other	OPPS APC	9595.02				percent of total billed charges		12966.24				other	OPPS APC	12966.24				other	OPPS APC	3512.55				percent of total billed charges		3582.57				percent of total billed charges		12966.24				other	OPPS APC	3512.55	12966.24	
SAPHENOUS VEIN GRAFT 45-60CM	SUP-CV45-60	CDM			270	RC		inpatient			12966.24	12966.24																																																			
MESH SURGICAL OVITEX 1S 20CM X 20CM PERMANENT POLYPROPYLENE POLYMER 6-LAYER TRIMMABLE REINFORCED BIOSCAFFOLD INTRAPERITONEAL FLAT SHEET F/HERNIA REPAIR	SUP-F10246-2020P	CDM			270	RC		outpatient			12960	1296	3510.86				percent of total billed charges		12960				other	OPPS APC	9590.4				percent of total billed charges		12960				other	OPPS APC	12960				other	OPPS APC	3510.86				percent of total billed charges		3580.85				percent of total billed charges		1296				other	OPPS APC	1296	12960	
MESH SURGICAL OVITEX 1S 20CM X 20CM PERMANENT POLYPROPYLENE POLYMER 6-LAYER TRIMMABLE REINFORCED BIOSCAFFOLD INTRAPERITONEAL FLAT SHEET F/HERNIA REPAIR	SUP-F10246-2020P	CDM			270	RC		inpatient			12960	12960																																																			
PACEMAKER - BIVENT - PRECEPTA - W4TR01	SUP-99-04156	CDM			275	RC		outpatient			12920	1292	12920				fee schedule		12920				other	OPPS APC	7364.4				percent of total billed charges		12920				other	OPPS APC	12920				other	OPPS APC	6330.8				percent of total billed charges		6589.2				percent of total billed charges		1292				other	OPPS APC	1292	12920	
PACEMAKER - BIVENT - PRECEPTA - W4TR01	SUP-99-04156	CDM			275	RC		inpatient			12920	12920																																																			
HC Thorascopy Diagnostic	PX-361326010	CDM	32601	CPT	361	RC		outpatient			12919.22	12919.22	4079.89				percent of total billed charges		12919.22				other	OPPS APC	12919.22				fee schedule		12919.22				other	OPPS APC	12919.22				other	OPPS APC	4079.89				percent of total billed charges		4161.28				percent of total billed charges		12919.22				other	OPPS APC	4079.89	12919.22	
HC Thorascopy Diagnostic	PX-361326010	CDM	32601	CPT	361	RC		inpatient			12919.22	12919.22																																																			
HC Thorascopy W/Bx Med Space	PX-361326060	CDM	32606	CPT	361	RC		outpatient			12919.22	12919.22	4079.89				percent of total billed charges		12919.22				other	OPPS APC	12919.22				fee schedule		12919.22				other	OPPS APC	12919.22				other	OPPS APC	4079.89				percent of total billed charges		4161.28				percent of total billed charges		12919.22				other	OPPS APC	4079.89	12919.22	
HC Thorascopy W/Bx Med Space	PX-361326060	CDM	32606	CPT	361	RC		inpatient			12919.22	12919.22																																																			
HC Thorascopy W/Bx Infiltrate	PX-361326070	CDM	32607	CPT	361	RC		outpatient			12919.22	12919.22	4079.89				percent of total billed charges		12919.22				other	OPPS APC	12919.22				fee schedule		12919.22				other	OPPS APC	12919.22				other	OPPS APC	4079.89				percent of total billed charges		4161.28				percent of total billed charges		12919.22				other	OPPS APC	4079.89	12919.22	
HC Thorascopy W/Bx Infiltrate	PX-361326070	CDM	32607	CPT	361	RC		inpatient			12919.22	12919.22																																																			
HC Thorascopy W/Bx Nodule	PX-361326080	CDM	32608	CPT	361	RC		outpatient			12919.22	12919.22	4079.89				percent of total billed charges		12919.22				other	OPPS APC	12919.22				fee schedule		12919.22				other	OPPS APC	12919.22				other	OPPS APC	4079.89				percent of total billed charges		4161.28				percent of total billed charges		12919.22				other	OPPS APC	4079.89	12919.22	
HC Thorascopy W/Bx Nodule	PX-361326080	CDM	32608	CPT	361	RC		inpatient			12919.22	12919.22																																																			
HC Thorascopy W/Bx Pleura	PX-361326090	CDM	32609	CPT	361	RC		outpatient			12919.22	12919.22	4079.89				percent of total billed charges		12919.22				other	OPPS APC	12919.22				fee schedule		12919.22				other	OPPS APC	12919.22				other	OPPS APC	4079.89				percent of total billed charges		4161.28				percent of total billed charges		12919.22				other	OPPS APC	4079.89	12919.22	
HC Thorascopy W/Bx Pleura	PX-361326090	CDM	32609	CPT	361	RC		inpatient			12919.22	12919.22																																																			
ARCOS CON SZ A STD 50MM	SUP-97-04026	CDM			278	RC		outpatient			12880	1288	12880				fee schedule		12880				other	OPPS APC	7341.6				percent of total billed charges		12880				other	OPPS APC	12880				other	OPPS APC	6311.2				percent of total billed charges		6568.8				percent of total billed charges		1288				other	OPPS APC	1288	12880	
ARCOS CON SZ A STD 50MM	SUP-97-04026	CDM			278	RC		inpatient			12880	12880																																																			
STD RT DIST FEM 65MM GMRS	SUP-97-03372	CDM			278	RC		outpatient			12830.4	1283.4	12830.4				fee schedule		12830.4				other	OPPS APC	7313.33				percent of total billed charges		12830.4				other	OPPS APC	12830.4				other	OPPS APC	6286.9				percent of total billed charges		6543.5				percent of total billed charges		1283.4				other	OPPS APC	1283.4	12830.4	
STD RT DIST FEM 65MM GMRS	SUP-97-03372	CDM			278	RC		inpatient			12830.4	12830.4																																																			
PACEMAKER ALLURE QUAD BIV SYSTEM	SUP-PM3242-SYS	CDM			275	RC		outpatient			12810	1281	6276.9				percent of total billed charges		12810				other	OPPS APC	7301.7				percent of total billed charges		12810				other	OPPS APC	12810				other	OPPS APC	6276.9				percent of total billed charges		6533.1				percent of total billed charges		1281				other	OPPS APC	1281	12810	
PACEMAKER ALLURE QUAD BIV SYSTEM	SUP-PM3242-SYS	CDM			275	RC		inpatient			12810	12810																																																			
PACEMAKER QUADRA ALLURE MP RF CRT-P SYSTEM	SUP-PM3262SYSTEM	CDM			275	RC		outpatient			12810	1281	6276.9				percent of total billed charges		12810				other	OPPS APC	7301.7				percent of total billed charges		12810				other	OPPS APC	12810				other	OPPS APC	6276.9				percent of total billed charges		6533.1				percent of total billed charges		1281				other	OPPS APC	1281	12810	
PACEMAKER QUADRA ALLURE MP RF CRT-P SYSTEM	SUP-PM3262SYSTEM	CDM			275	RC		inpatient			12810	12810																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-10 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C156E	CDM	270010015	LOCAL	270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-10 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C156E	CDM	270010015	LOCAL	270	RC		inpatient			12800	12800																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-13 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1613C156E	CDM	270010015	LOCAL	270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-13 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1613C156E	CDM	270010015	LOCAL	270	RC		inpatient			12800	12800																																																			
GRAFT ENDURANT 11 STENT GRAFT LIMB	SUP-ETLW1616C146E	CDM			270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
GRAFT ENDURANT 11 STENT GRAFT LIMB	SUP-ETLW1616C146E	CDM			270	RC		inpatient			12800	12800																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-16 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1616C156E	CDM	270010015	LOCAL	270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-16 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1616C156E	CDM	270010015	LOCAL	270	RC		inpatient			12800	12800																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C156E	CDM	270010015	LOCAL	270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C156E	CDM	270010015	LOCAL	270	RC		inpatient			12800	12800																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1624C156E	CDM	270010015	LOCAL	270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L156 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1624C156E	CDM	270010015	LOCAL	270	RC		inpatient			12800	12800																																																			
FUSION LUMBAR LEVEL 2	SUP-LUMBARL2	CDM	270010006	LOCAL	270	RC		outpatient			12800	128	3467.52				percent of total billed charges		12800				other	OPPS APC	9472				percent of total billed charges		12800				other	OPPS APC	12800				other	OPPS APC	3467.52				percent of total billed charges		3536.64				percent of total billed charges		128				other	OPPS APC	128	12800	
FUSION LUMBAR LEVEL 2	SUP-LUMBARL2	CDM	270010006	LOCAL	270	RC		inpatient			12800	12800																																																			
DEFIBRILLATOR CARDIAC ENTRANT 1 CHAMBER DF4 CONNECTOR	SUP-CDVRA300Q	CDM			275	RC		outpatient			12700	127	6223				percent of total billed charges		12700				other	OPPS APC	7239				percent of total billed charges		12700				other	OPPS APC	12700				other	OPPS APC	6223				percent of total billed charges		6477				percent of total billed charges		127				other	OPPS APC	127	12700	
DEFIBRILLATOR CARDIAC ENTRANT 1 CHAMBER DF4 CONNECTOR	SUP-CDVRA300Q	CDM			275	RC		inpatient			12700	12700																																																			
COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2402L	CDM	270010025	LOCAL	270	RC		outpatient			12654	12654	3427.97				percent of total billed charges		12654				other	OPPS APC	9363.96				percent of total billed charges		12654				other	OPPS APC	12654				other	OPPS APC	3427.97				percent of total billed charges		3496.3				percent of total billed charges		12654				other	OPPS APC	3427.97	12654	
COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2402L	CDM	270010025	LOCAL	270	RC		inpatient			12654	12654																																																			
COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2402R	CDM	270010025	LOCAL	270	RC		outpatient			12654	12654	3427.97				percent of total billed charges		12654				other	OPPS APC	9363.96				percent of total billed charges		12654				other	OPPS APC	12654				other	OPPS APC	3427.97				percent of total billed charges		3496.3				percent of total billed charges		12654				other	OPPS APC	3427.97	12654	
COMPONENT FEMORAL GMK COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2402R	CDM	270010025	LOCAL	270	RC		inpatient			12654	12654																																																			
COMPONENT FEMORAL GMK COCR 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2403R	CDM	270010025	LOCAL	270	RC		outpatient			12654	12654	3427.97				percent of total billed charges		12654				other	OPPS APC	9363.96				percent of total billed charges		12654				other	OPPS APC	12654				other	OPPS APC	3427.97				percent of total billed charges		3496.3				percent of total billed charges		12654				other	OPPS APC	3427.97	12654	
COMPONENT FEMORAL GMK COCR 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2403R	CDM	270010025	LOCAL	270	RC		inpatient			12654	12654																																																			
COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2404L	CDM	270010025	LOCAL	270	RC		outpatient			12654	12654	3427.97				percent of total billed charges		12654				other	OPPS APC	9363.96				percent of total billed charges		12654				other	OPPS APC	12654				other	OPPS APC	3427.97				percent of total billed charges		3496.3				percent of total billed charges		12654				other	OPPS APC	3427.97	12654	
COMPONENT FEMORAL GMK COCR 4 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2404L	CDM	270010025	LOCAL	270	RC		inpatient			12654	12654																																																			
COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2405L	CDM	270010024	LOCAL	270	RC		outpatient			12654	12654	3427.97				percent of total billed charges		12654				other	OPPS APC	9363.96				percent of total billed charges		12654				other	OPPS APC	12654				other	OPPS APC	3427.97				percent of total billed charges		3496.3				percent of total billed charges		12654				other	OPPS APC	3427.97	12654	
COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2405L	CDM	270010024	LOCAL	270	RC		inpatient			12654	12654																																																			
COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2405R	CDM	270010025	LOCAL	270	RC		outpatient			12654	12654	3427.97				percent of total billed charges		12654				other	OPPS APC	9363.96				percent of total billed charges		12654				other	OPPS APC	12654				other	OPPS APC	3427.97				percent of total billed charges		3496.3				percent of total billed charges		12654				other	OPPS APC	3427.97	12654	
COMPONENT FEMORAL GMK COCR 5 KNEE LEFT CEMENTED POSTERIOR STABILIZE REVISION	SUP-02.07.2405R	CDM	270010025	LOCAL	270	RC		inpatient			12654	12654																																																			
GRAFT ENDOVASCULAR RENU H&L-B ONE-SHOT ZENITH STAINLESS STEEL POLYESTER WOVEN 2 BRANCH L108 MM L71-37 MM OD12-24 MM ID18 FR ILIUM INFRARENAL ANCILLARY CONVERTER INTRODUCTION SYSTEM AAA	SUP-G36153	CDM	270010015	LOCAL	270	RC		outpatient			12650	1265	3426.89				percent of total billed charges		12650				other	OPPS APC	9361				percent of total billed charges		12650				other	OPPS APC	12650				other	OPPS APC	3426.89				percent of total billed charges		3495.2				percent of total billed charges		1265				other	OPPS APC	1265	12650	
GRAFT ENDOVASCULAR RENU H&L-B ONE-SHOT ZENITH STAINLESS STEEL POLYESTER WOVEN 2 BRANCH L108 MM L71-37 MM OD12-24 MM ID18 FR ILIUM INFRARENAL ANCILLARY CONVERTER INTRODUCTION SYSTEM AAA	SUP-G36153	CDM	270010015	LOCAL	270	RC		inpatient			12650	12650																																																			
HC Rad Therapy Colorectal Cancer Rad Onc Model 90 Day Episode Tc	PX-333M10870	CDM			333	RC		outpatient			12646.72	12646.72	6196.89				percent of total billed charges		12646.72				other	OPPS APC	9358.57				percent of total billed charges		12646.72				other	OPPS APC	12646.72				other	OPPS APC	6196.89				percent of total billed charges		6449.83				percent of total billed charges		12646.72				other	OPPS APC	6196.89	12646.72	
HC Rad Therapy Colorectal Cancer Rad Onc Model 90 Day Episode Tc	PX-333M10870	CDM			333	RC		inpatient			12646.72	12646.72																																																			
COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE LEFT ROTATE HINGE STERILE	SUP-00588001601	CDM	270010025	LOCAL	270	RC		outpatient			12612	12612	3416.59				percent of total billed charges		12612				other	OPPS APC	9332.88				percent of total billed charges		12612				other	OPPS APC	12612				other	OPPS APC	3416.59				percent of total billed charges		3484.7				percent of total billed charges		12612				other	OPPS APC	3416.59	12612	
COMPONENT FEMORAL NEXGEN ZIMALOY F L76 MM X W66 MM KNEE LEFT ROTATE HINGE STERILE	SUP-00588001601	CDM	270010025	LOCAL	270	RC		inpatient			12612	12612																																																			
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS TRICENTRIX PERICARDIAL OD27 MM BIOPROSTHESIS STENTED THERMAFIX HOLDER	SUP-6900PTFX27MM	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS TRICENTRIX PERICARDIAL OD27 MM BIOPROSTHESIS STENTED THERMAFIX HOLDER	SUP-6900PTFX27MM	CDM			270	RC		inpatient			12600	12600																																																			
VALVE AORTIC 27MM	SUP-7000TFX27	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE AORTIC 27MM	SUP-7000TFX27	CDM			270	RC		inpatient			12600	12600																																																			
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD25 MM HEART BIOPROSTHESIS EASE	SUP-7300TFX25MM	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD25 MM HEART BIOPROSTHESIS EASE	SUP-7300TFX25MM	CDM			270	RC		inpatient			12600	12600																																																			
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD27 MM HEART BIOPROSTHESIS	SUP-7300TFX27	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA OD27 MM HEART BIOPROSTHESIS	SUP-7300TFX27	CDM			270	RC		inpatient			12600	12600																																																			
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM HEART EASE	SUP-7300TFX29	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM HEART EASE	SUP-7300TFX29	CDM			270	RC		inpatient			12600	12600																																																			
VALVE MITRAL 33MM CARPENTIER-EDWARDS PERIMOUNT MAGNA HEART PERICARDIAL EASE	SUP-7300TFX33MM	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE MITRAL 33MM CARPENTIER-EDWARDS PERIMOUNT MAGNA HEART PERICARDIAL EASE	SUP-7300TFX33MM	CDM			270	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SZ E-LT	SUP-97-01060	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SZ E-LT	SUP-97-01060	CDM			278	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SZ F-LT	SUP-97-02042	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SZ F-LT	SUP-97-02042	CDM			278	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SZ F-RT	SUP-97-02201	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SZ F-RT	SUP-97-02201	CDM			278	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SZ E-LT	SUP-97-02327	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SZ E-LT	SUP-97-02327	CDM			278	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SIZE D RT	SUP-97-02583	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SIZE D RT	SUP-97-02583	CDM			278	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SZ D-LT	SUP-97-02627	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SZ D-LT	SUP-97-02627	CDM			278	RC		inpatient			12600	12600																																																			
NEXGEN LCCK FEMORAL SZ F-RT	SUP-97-02643	CDM			278	RC		outpatient			12600	126	12600				fee schedule		12600				other	OPPS APC	7182				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	6174				percent of total billed charges		6426				percent of total billed charges		126				other	OPPS APC	126	12600	
NEXGEN LCCK FEMORAL SZ F-RT	SUP-97-02643	CDM			278	RC		inpatient			12600	12600																																																			
VALVE HEART SIZE 33MM	SUP-TFX730033	CDM			270	RC		outpatient			12600	126	3413.34				percent of total billed charges		12600				other	OPPS APC	9324				percent of total billed charges		12600				other	OPPS APC	12600				other	OPPS APC	3413.34				percent of total billed charges		3481.38				percent of total billed charges		126				other	OPPS APC	126	12600	
VALVE HEART SIZE 33MM	SUP-TFX730033	CDM			270	RC		inpatient			12600	12600																																																			
HC IR Dial Fistulagram Thrombectomy	PX-361369041	CDM	36904	CPT	361	RC		outpatient			12576	12576	3971.5				percent of total billed charges		12576				other	OPPS APC	12576				fee schedule		12576				other	OPPS APC	12576				other	OPPS APC	3971.5				percent of total billed charges		4050.73				percent of total billed charges		12576				other	OPPS APC	3971.5	12576	
HC IR Dial Fistulagram Thrombectomy	PX-361369041	CDM	36904	CPT	361	RC		inpatient			12576	12576																																																			
HC IR Pta Venous Initial	PX-361372481	CDM	37248	CPT	361	RC		outpatient			12576	5492.96	3971.5				percent of total billed charges		5492.96				other	OPPS APC	6702				fee schedule		5492.96				other	OPPS APC	5492.96				other	OPPS APC	3971.5				percent of total billed charges		4050.73				percent of total billed charges		5492.96				other	OPPS APC	3971.5	6702	
HC IR Pta Venous Initial	PX-361372481	CDM	37248	CPT	361	RC		inpatient			12576	12576																																																			
HC Irpta Venous Additional	PX-361372491	CDM	37249	CPT	361	RC		inpatient			12576	12576																																																			
HC Irpta Venous Additional	PX-361372491	CDM	37249	CPT	361	RC		outpatient			12576	12576	3971.5				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	3971.5				percent of total billed charges		4050.73				percent of total billed charges						other	OPPS APC	4050.73	4050.73	
TRI IS FEMUR SZ7 LEFT	SUP-97-02924	CDM			278	RC		outpatient			12570.8	1257.8	12570.8				fee schedule		12570.8				other	OPPS APC	7165.36				percent of total billed charges		12570.8				other	OPPS APC	12570.8				other	OPPS APC	6159.69				percent of total billed charges		6411.11				percent of total billed charges		1257.8				other	OPPS APC	1257.8	12570.8	
TRI IS FEMUR SZ7 LEFT	SUP-97-02924	CDM			278	RC		inpatient			12570.8	12570.8																																																			
TRI IS FEMUR SZ6 LEFT	SUP-97-03243	CDM			278	RC		outpatient			12570.8	1257.8	12570.8				fee schedule		12570.8				other	OPPS APC	7165.36				percent of total billed charges		12570.8				other	OPPS APC	12570.8				other	OPPS APC	6159.69				percent of total billed charges		6411.11				percent of total billed charges		1257.8				other	OPPS APC	1257.8	12570.8	
TRI IS FEMUR SZ6 LEFT	SUP-97-03243	CDM			278	RC		inpatient			12570.8	12570.8																																																			
TRI IS FEMUR SZ7 RIGHT	SUP-97-03250	CDM			278	RC		outpatient			12570.8	1257.8	12570.8				fee schedule		12570.8				other	OPPS APC	7165.36				percent of total billed charges		12570.8				other	OPPS APC	12570.8				other	OPPS APC	6159.69				percent of total billed charges		6411.11				percent of total billed charges		1257.8				other	OPPS APC	1257.8	12570.8	
TRI IS FEMUR SZ7 RIGHT	SUP-97-03250	CDM			278	RC		inpatient			12570.8	12570.8																																																			
TOTAL STABILIZER FEMORAL COMPONENT	SUP-97-03800	CDM			278	RC		outpatient			12570.8	1257.8	12570.8				fee schedule		12570.8				other	OPPS APC	7165.36				percent of total billed charges		12570.8				other	OPPS APC	12570.8				other	OPPS APC	6159.69				percent of total billed charges		6411.11				percent of total billed charges		1257.8				other	OPPS APC	1257.8	12570.8	
TOTAL STABILIZER FEMORAL COMPONENT	SUP-97-03800	CDM			278	RC		inpatient			12570.8	12570.8																																																			
TRI TS FEMUR SZ3 LEFT	SUP-97-04048	CDM			278	RC		outpatient			12570.8	1257.8	12570.8				fee schedule		12570.8				other	OPPS APC	7165.36				percent of total billed charges		12570.8				other	OPPS APC	12570.8				other	OPPS APC	6159.69				percent of total billed charges		6411.11				percent of total billed charges		1257.8				other	OPPS APC	1257.8	12570.8	
TRI TS FEMUR SZ3 LEFT	SUP-97-04048	CDM			278	RC		inpatient			12570.8	12570.8																																																			
TRI IS FEMUR SZ5 RIGHT	SUP-97-04175	CDM			278	RC		outpatient			12570.4	1257.4	12570.4				fee schedule		12570.4				other	OPPS APC	7165.13				percent of total billed charges		12570.4				other	OPPS APC	12570.4				other	OPPS APC	6159.5				percent of total billed charges		6410.9				percent of total billed charges		1257.4				other	OPPS APC	1257.4	12570.4	
TRI IS FEMUR SZ5 RIGHT	SUP-97-04175	CDM			278	RC		inpatient			12570.4	12570.4																																																			
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SYRINGE	636000000	CDM	70114-101-01	NDC	Q5111	HCPCS		inpatient			12525	12525																																																			
PEGFILGRASTIM-CBQV 6 MG/0.6 ML SYRINGE	636000000	CDM	70114-101-01	NDC	Q5111	HCPCS		outpatient			12525	144.33																																											144.33				other	OPPS APC	144.33	144.33	
DEFIBRILLATOR CARDIAC PHYSIOCURVE EVERA XT VR SMARTSHOCK 1 CHAMBER DF-1 ICD	SUP-DVBB1D1	CDM			275	RC		outpatient			12500	125	6125				percent of total billed charges		12500				other	OPPS APC	7125				percent of total billed charges		12500				other	OPPS APC	12500				other	OPPS APC	6125				percent of total billed charges		6375				percent of total billed charges		125				other	OPPS APC	125	12500	
DEFIBRILLATOR CARDIAC PHYSIOCURVE EVERA XT VR SMARTSHOCK 1 CHAMBER DF-1 ICD	SUP-DVBB1D1	CDM			275	RC		inpatient			12500	12500																																																			
DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN	SUP-DVBB1D4	CDM			275	RC		outpatient			12500	125	6125				percent of total billed charges		12500				other	OPPS APC	7125				percent of total billed charges		12500				other	OPPS APC	12500				other	OPPS APC	6125				percent of total billed charges		6375				percent of total billed charges		125				other	OPPS APC	125	12500	
DEFIBRILLATOR CARDIAC EVERA XT 1 CHAMBER ICD DF-4 SMARTSHOCK TECHNOLOGY PHYSIOCURVE DESIGN	SUP-DVBB1D4	CDM			275	RC		inpatient			12500	12500																																																			
ICD EVERA MRI XT VR DEVICE	SUP-DVMB1D4	CDM			275	RC		outpatient			12500	125	6125				percent of total billed charges		12500				other	OPPS APC	7125				percent of total billed charges		12500				other	OPPS APC	12500				other	OPPS APC	6125				percent of total billed charges		6375				percent of total billed charges		125				other	OPPS APC	125	12500	
ICD EVERA MRI XT VR DEVICE	SUP-DVMB1D4	CDM			275	RC		inpatient			12500	12500																																																			
HC Rad Therapy Lung Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10950	CDM			333	RC		outpatient			12477.92	12477.92	6114.18				percent of total billed charges		12477.92				other	OPPS APC	9233.66				percent of total billed charges		12477.92				other	OPPS APC	12477.92				other	OPPS APC	6114.18				percent of total billed charges		6363.74				percent of total billed charges		12477.92				other	OPPS APC	6114.18	12477.92	
HC Rad Therapy Lung Cancer Rad Onc Model  90 Day Episode Tc	PX-333M10950	CDM			333	RC		inpatient			12477.92	12477.92																																																			
LEAD MODEL 304 PERENNIAL FLEX	SUP-304	CDM			270	RC		outpatient			12465	12465	3376.77				percent of total billed charges		12465				other	OPPS APC	9224.1				percent of total billed charges		12465				other	OPPS APC	12465				other	OPPS APC	3376.77				percent of total billed charges		3444.08				percent of total billed charges		12465				other	OPPS APC	3376.77	12465	
LEAD MODEL 304 PERENNIAL FLEX	SUP-304	CDM			270	RC		inpatient			12465	12465																																																			
VALVE SHUNT STRATA II REGULAR CSF PROGRAMMABLE FLOW CONTROL BALL SPRING MECHANISM BIOGLIDE STERILE	SUP-42866	CDM			270	RC		outpatient			12454.62	12454.62	3373.96				percent of total billed charges		12454.62				other	OPPS APC	9216.42				percent of total billed charges		12454.62				other	OPPS APC	12454.62				other	OPPS APC	3373.96				percent of total billed charges		3441.21				percent of total billed charges		12454.62				other	OPPS APC	3373.96	12454.62	
VALVE SHUNT STRATA II REGULAR CSF PROGRAMMABLE FLOW CONTROL BALL SPRING MECHANISM BIOGLIDE STERILE	SUP-42866	CDM			270	RC		inpatient			12454.62	12454.62																																																			
ZIMMER TOTAL HIP	SUP-97-00288	CDM			278	RC		outpatient			12400	124	12400				fee schedule		12400				other	OPPS APC	7068				percent of total billed charges		12400				other	OPPS APC	12400				other	OPPS APC	6076				percent of total billed charges		6324				percent of total billed charges		124				other	OPPS APC	124	12400	
ZIMMER TOTAL HIP	SUP-97-00288	CDM			278	RC		inpatient			12400	12400																																																			
METALON MARATHON POLY	SUP-97-02317	CDM			278	RC		outpatient			12400	124	12400				fee schedule		12400				other	OPPS APC	7068				percent of total billed charges		12400				other	OPPS APC	12400				other	OPPS APC	6076				percent of total billed charges		6324				percent of total billed charges		124				other	OPPS APC	124	12400	
METALON MARATHON POLY	SUP-97-02317	CDM			278	RC		inpatient			12400	12400																																																			
CRT-P VALITUDE X4 SYSTEM	SUP-8V4G/J/H	CDM			275	RC		outpatient			12310	1231	6031.9				percent of total billed charges		12310				other	OPPS APC	7016.7				percent of total billed charges		12310				other	OPPS APC	12310				other	OPPS APC	6031.9				percent of total billed charges		6278.1				percent of total billed charges		1231				other	OPPS APC	1231	12310	
CRT-P VALITUDE X4 SYSTEM	SUP-8V4G/J/H	CDM			275	RC		inpatient			12310	12310																																																			
CRT-P VALITUDE IS-1 SYSTEM	SUP-8V5G/J/H	CDM			275	RC		outpatient			12310	1231	6031.9				percent of total billed charges		12310				other	OPPS APC	7016.7				percent of total billed charges		12310				other	OPPS APC	12310				other	OPPS APC	6031.9				percent of total billed charges		6278.1				percent of total billed charges		1231				other	OPPS APC	1231	12310	
CRT-P VALITUDE IS-1 SYSTEM	SUP-8V5G/J/H	CDM			275	RC		inpatient			12310	12310																																																			
PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1	SUP-PM3222-SYS	CDM			275	RC		outpatient			12310	1231	6031.9				percent of total billed charges		12310				other	OPPS APC	7016.7				percent of total billed charges		12310				other	OPPS APC	12310				other	OPPS APC	6031.9				percent of total billed charges		6278.1				percent of total billed charges		1231				other	OPPS APC	1231	12310	
PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1	SUP-PM3222-SYS	CDM			275	RC		inpatient			12310	12310																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX 21MM BOVINE PERICARDIUM COCR POLYESTER SILICONE RUBBER	SUP-3300TFX21MM	CDM			270	RC		outpatient			12200	122	3304.98				percent of total billed charges		12200				other	OPPS APC	9028				percent of total billed charges		12200				other	OPPS APC	12200				other	OPPS APC	3304.98				percent of total billed charges		3370.86				percent of total billed charges		122				other	OPPS APC	122	12200	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE THERMAFIX 21MM BOVINE PERICARDIUM COCR POLYESTER SILICONE RUBBER	SUP-3300TFX21MM	CDM			270	RC		inpatient			12200	12200																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD23 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX23MM	CDM			270	RC		outpatient			12200	122	3304.98				percent of total billed charges		12200				other	OPPS APC	9028				percent of total billed charges		12200				other	OPPS APC	12200				other	OPPS APC	3304.98				percent of total billed charges		3370.86				percent of total billed charges		122				other	OPPS APC	122	12200	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD23 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX23MM	CDM			270	RC		inpatient			12200	12200																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD25 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX25MM	CDM			270	RC		outpatient			12200	122	3304.98				percent of total billed charges		12200				other	OPPS APC	9028				percent of total billed charges		12200				other	OPPS APC	12200				other	OPPS APC	3304.98				percent of total billed charges		3370.86				percent of total billed charges		122				other	OPPS APC	122	12200	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD25 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX25MM	CDM			270	RC		inpatient			12200	12200																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD27 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX27MM	CDM			270	RC		outpatient			12200	122	3304.98				percent of total billed charges		12200				other	OPPS APC	9028				percent of total billed charges		12200				other	OPPS APC	12200				other	OPPS APC	3304.98				percent of total billed charges		3370.86				percent of total billed charges		122				other	OPPS APC	122	12200	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD27 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX27MM	CDM			270	RC		inpatient			12200	12200																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD29 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX29MM	CDM			270	RC		outpatient			12200	122	3304.98				percent of total billed charges		12200				other	OPPS APC	9028				percent of total billed charges		12200				other	OPPS APC	12200				other	OPPS APC	3304.98				percent of total billed charges		3370.86				percent of total billed charges		122				other	OPPS APC	122	12200	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA EASE PERICARDIAL LOW PROFILE OD29 MM BIOPROSTHESIS THERMAFIX PROCESS STENT BASE AORTOTOMY CLOSURE	SUP-3300TFX29MM	CDM			270	RC		inpatient			12200	12200																																																			
HC Rad Therapy Prostate Cancer Rad Onc Model  90 Day Episode Tc	PX-333M11010	CDM			333	RC		outpatient			12101.22	1211.22	5929.6				percent of total billed charges		12101.22				other	OPPS APC	8954.9				percent of total billed charges		12101.22				other	OPPS APC	12101.22				other	OPPS APC	5929.6				percent of total billed charges		6171.62				percent of total billed charges		1211.22				other	OPPS APC	1211.22	12101.22	
HC Rad Therapy Prostate Cancer Rad Onc Model  90 Day Episode Tc	PX-333M11010	CDM			333	RC		inpatient			12101.22	12101.22																																																			
LCCK 0D SZ5 5MM 36X31 CPL	SUP-97-03468	CDM			278	RC		outpatient			12037.5	1237.5	12037.5				fee schedule		12037.5				other	OPPS APC	6861.38				percent of total billed charges		12037.5				other	OPPS APC	12037.5				other	OPPS APC	5898.38				percent of total billed charges		6139.13				percent of total billed charges		1237.5				other	OPPS APC	1237.5	12037.5	
LCCK 0D SZ5 5MM 36X31 CPL	SUP-97-03468	CDM			278	RC		inpatient			12037.5	12037.5																																																			
IMPLANT ACCULIF TL 6-9MM X 11MM X34MM 0 DEG	SUP-305006	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
IMPLANT ACCULIF TL 6-9MM X 11MM X34MM 0 DEG	SUP-305006	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
IMPLANT ACCULIF TL 8-12MM X 11MM X34MM 0 DEG	SUP-305008	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
IMPLANT ACCULIF TL 8-12MM X 11MM X34MM 0 DEG	SUP-305008	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
IMPLANT ACCULIF TL 10-16MM X 11MM X34MM 0 DEG	SUP-305010	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
IMPLANT ACCULIF TL 10-16MM X 11MM X34MM 0 DEG	SUP-305010	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
CATHETER 16MM 105CM CLOTTRIEVER FIXED LENGTH	SUP-40-102	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
CATHETER 16MM 105CM CLOTTRIEVER FIXED LENGTH	SUP-40-102	CDM			270	RC		inpatient			12000	12000																																																			
CAGE SPINAL TRITANIUM 6 D CURVE L27 MM X W10 MM X H10 MM LUMBAR POSTERIOR STERILE LATEX FREE TLIF	SUP-48930106	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
CAGE SPINAL TRITANIUM 6 D CURVE L27 MM X W10 MM X H10 MM LUMBAR POSTERIOR STERILE LATEX FREE TLIF	SUP-48930106	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
CAGE POSTERIOR LUMBAR 8MM	SUP-48955086	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
CAGE POSTERIOR LUMBAR 8MM	SUP-48955086	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
IMPLANT STRYKER POST LUMBAR CAGE 9MM X 28MMX6 DEG 11MM	SUP-48955096	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
IMPLANT STRYKER POST LUMBAR CAGE 9MM X 28MMX6 DEG 11MM	SUP-48955096	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
IMPLANT STRYKER POST LUMBAR CAGE 11MM X 28MMX6 DEG 11MM	SUP-48955116	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
IMPLANT STRYKER POST LUMBAR CAGE 11MM X 28MMX6 DEG 11MM	SUP-48955116	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
CAGE POSTERIOR LUMBAR TRITANIUM 12X28X6DEG 11MM	SUP-48955126	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
CAGE POSTERIOR LUMBAR TRITANIUM 12X28X6DEG 11MM	SUP-48955126	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
CAGE SPINAL TRITANIUM 6 D LORDOTIC L32 MM X W11 MM X H9 MM STERILE LATEX FREE PLIF	SUP-48956096	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
CAGE SPINAL TRITANIUM 6 D LORDOTIC L32 MM X W11 MM X H9 MM STERILE LATEX FREE PLIF	SUP-48956096	CDM			270	RC		inpatient			12000	12000																																																			
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS ASSORTED PERICARDIAL	SUP-6900P	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
VALVE MITRAL CARPENTIER-EDWARDS PERIMOUNT PLUS ASSORTED PERICARDIAL	SUP-6900P	CDM			270	RC		inpatient			12000	12000																																																			
VALVE HEART MITRAL PERICARDIAL CARPENTER 25MM	SUP-6900-P25	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
VALVE HEART MITRAL PERICARDIAL CARPENTER 25MM	SUP-6900-P25	CDM			270	RC		inpatient			12000	12000																																																			
VALVE HEART MITRAL PERICARDIAL CARPENTER 27MM	SUP-6900-P27	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
VALVE HEART MITRAL PERICARDIAL CARPENTER 27MM	SUP-6900-P27	CDM			270	RC		inpatient			12000	12000																																																			
VALVE HEART MITRAL PERICARDIAL CARPENTER 29MM	SUP-6900-P29	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
VALVE HEART MITRAL PERICARDIAL CARPENTER 29MM	SUP-6900-P29	CDM			270	RC		inpatient			12000	12000																																																			
VALVE HEART MITRAL PERIMOUNT CARPENTER 31MM	SUP-6900-P31	CDM			270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
VALVE HEART MITRAL PERIMOUNT CARPENTER 31MM	SUP-6900-P31	CDM			270	RC		inpatient			12000	12000																																																			
DUAL MOBILITY TOTAL HIP	SUP-97-02778	CDM			278	RC		outpatient			12000	12	12000				fee schedule		12000				other	OPPS APC	6840				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	5880				percent of total billed charges		6120				percent of total billed charges		12				other	OPPS APC	12	12000	
DUAL MOBILITY TOTAL HIP	SUP-97-02778	CDM			278	RC		inpatient			12000	12000																																																			
PACEMAKER - BIVENT - SERENA W1TR02	SUP-99-04216	CDM						inpatient			12000	12000																																																			
PACEMAKER - BIVENT - SERENA W1TR02	SUP-99-04216	CDM						outpatient			12000	12	12000				percent of total billed charges		12000				other	OPPS APC	12000				fee schedule		12000				other	OPPS APC	12000				other	OPPS APC	12000				case rate		12000				case rate		12				other	OPPS APC	12	12000	
PACEMAKER - BIVENT - SERENA W4TR02	SUP-99-04221	CDM						inpatient			12000	12000																																																			
PACEMAKER - BIVENT - SERENA W4TR02	SUP-99-04221	CDM						outpatient			12000	12	12000				percent of total billed charges		12000				other	OPPS APC	12000				fee schedule		12000				other	OPPS APC	12000				other	OPPS APC	12000				case rate		12000				case rate		12				other	OPPS APC	12	12000	
CAGE ULRICH 12-17 EXPANDABLE TITAMIUM	SUP-CS2250-16-12	CDM	270010020	LOCAL	270	RC		outpatient			12000	12	3250.8				percent of total billed charges		12000				other	OPPS APC	8880				percent of total billed charges		12000				other	OPPS APC	12000				other	OPPS APC	3250.8				percent of total billed charges		3315.6				percent of total billed charges		12				other	OPPS APC	12	12000	
CAGE ULRICH 12-17 EXPANDABLE TITAMIUM	SUP-CS2250-16-12	CDM	270010020	LOCAL	270	RC		inpatient			12000	12000																																																			
BENDAMUSTINE 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	10019-079-01	NDC	J9059	HCPCS		inpatient			11934	11934																																																			
BENDAMUSTINE 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	10019-079-01	NDC	J9059	HCPCS		outpatient			11934	25.8																																											25.8				other	OPPS APC	25.8	25.8	
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L31-45 CM OD3 MM ALLOGRAFT	SUP-CV31-45	CDM			270	RC		outpatient			11928.04	11928.41	3231.31				percent of total billed charges		11928.04				other	OPPS APC	8826.75				percent of total billed charges		11928.04				other	OPPS APC	11928.04				other	OPPS APC	3231.31				percent of total billed charges		3295.72				percent of total billed charges		11928.41				other	OPPS APC	3231.31	11928.41	
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L31-45 CM OD3 MM ALLOGRAFT	SUP-CV31-45	CDM			270	RC		inpatient			11928.04	11928.04																																																			
HANDPIECE ENDOSCOPIC SOLOGRIP III DELIVERY SYSTEM	SUP-HP-SG3	CDM			270	RC		outpatient			11910	1191	3226.42				percent of total billed charges		11910				other	OPPS APC	8813.4				percent of total billed charges		11910				other	OPPS APC	11910				other	OPPS APC	3226.42				percent of total billed charges		3290.73				percent of total billed charges		1191				other	OPPS APC	1191	11910	
HANDPIECE ENDOSCOPIC SOLOGRIP III DELIVERY SYSTEM	SUP-HP-SG3	CDM			270	RC		inpatient			11910	11910																																																			
PACEMAKER CARDIAC SYNCRA THK6 MM W57 MM X H59 MM 15 ML 26 GM ATRIUM VENTRICLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR IS 1 CRT	SUP-C2TR01	CDM			275	RC		outpatient			11900	119	5831				percent of total billed charges		11900				other	OPPS APC	6783				percent of total billed charges		11900				other	OPPS APC	11900				other	OPPS APC	5831				percent of total billed charges		6069				percent of total billed charges		119				other	OPPS APC	119	11900	
PACEMAKER CARDIAC SYNCRA THK6 MM W57 MM X H59 MM 15 ML 26 GM ATRIUM VENTRICLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR IS 1 CRT	SUP-C2TR01	CDM			275	RC		inpatient			11900	11900																																																			
CRTP C4TR01 CONSULTA  DEVICE	SUP-C4TR01	CDM			275	RC		outpatient			11900	119	5831				percent of total billed charges		11900				other	OPPS APC	6783				percent of total billed charges		11900				other	OPPS APC	11900				other	OPPS APC	5831				percent of total billed charges		6069				percent of total billed charges		119				other	OPPS APC	119	11900	
CRTP C4TR01 CONSULTA  DEVICE	SUP-C4TR01	CDM			275	RC		inpatient			11900	11900																																																			
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE D12 MM MEDIUM H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.025S	CDM	270010020	LOCAL	270	RC		outpatient			11798	11798	3196.08				percent of total billed charges		11798				other	OPPS APC	8730.52				percent of total billed charges		11798				other	OPPS APC	11798				other	OPPS APC	3196.08				percent of total billed charges		3259.79				percent of total billed charges		11798				other	OPPS APC	3196.08	11798	
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE D12 MM MEDIUM H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.025S	CDM	270010020	LOCAL	270	RC		inpatient			11798	11798																																																			
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.046S	CDM			270	RC		outpatient			11798	11798	3196.08				percent of total billed charges		11798				other	OPPS APC	8730.52				percent of total billed charges		11798				other	OPPS APC	11798				other	OPPS APC	3196.08				percent of total billed charges		3259.79				percent of total billed charges		11798				other	OPPS APC	3196.08	11798	
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.046S	CDM			270	RC		inpatient			11798	11798																																																			
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.055S	CDM	270010020	LOCAL	270	RC		outpatient			11798	11798	3196.08				percent of total billed charges		11798				other	OPPS APC	8730.52				percent of total billed charges		11798				other	OPPS APC	11798				other	OPPS APC	3196.08				percent of total billed charges		3259.79				percent of total billed charges		11798				other	OPPS APC	3196.08	11798	
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.055S	CDM	270010020	LOCAL	270	RC		inpatient			11798	11798																																																			
VALVE AORTIC GRAFT 21MM	SUP-21CAVGJ21MM	CDM			270	RC		outpatient			11740	1174	3180.37				percent of total billed charges		11740				other	OPPS APC	8687.6				percent of total billed charges		11740				other	OPPS APC	11740				other	OPPS APC	3180.37				percent of total billed charges		3243.76				percent of total billed charges		1174				other	OPPS APC	1174	11740	
VALVE AORTIC GRAFT 21MM	SUP-21CAVGJ21MM	CDM			270	RC		inpatient			11740	11740																																																			
VALVE AROTIC GRAFT 25MM	SUP-25CAVGJ25MM	CDM			270	RC		outpatient			11740	1174	3180.37				percent of total billed charges		11740				other	OPPS APC	8687.6				percent of total billed charges		11740				other	OPPS APC	11740				other	OPPS APC	3180.37				percent of total billed charges		3243.76				percent of total billed charges		1174				other	OPPS APC	1174	11740	
VALVE AROTIC GRAFT 25MM	SUP-25CAVGJ25MM	CDM			270	RC		inpatient			11740	11740																																																			
VALVE AORTIC MASTERS HEMASHIELD 12CM 29MM COLLAGEN STERILE LF MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL	SUP-29CAVGJ-514	CDM			270	RC		outpatient			11740	1174	3180.37				percent of total billed charges		11740				other	OPPS APC	8687.6				percent of total billed charges		11740				other	OPPS APC	11740				other	OPPS APC	3180.37				percent of total billed charges		3243.76				percent of total billed charges		1174				other	OPPS APC	1174	11740	
VALVE AORTIC MASTERS HEMASHIELD 12CM 29MM COLLAGEN STERILE LF MECHANICAL LOW POROSITY GRAFT MR CONDITIONAL	SUP-29CAVGJ-514	CDM			270	RC		inpatient			11740	11740																																																			
VALVE AORTIC GRAFT 31 MM	SUP-31CAVGJ31MM	CDM			270	RC		outpatient			11740	1174	3180.37				percent of total billed charges		11740				other	OPPS APC	8687.6				percent of total billed charges		11740				other	OPPS APC	11740				other	OPPS APC	3180.37				percent of total billed charges		3243.76				percent of total billed charges		1174				other	OPPS APC	1174	11740	
VALVE AORTIC GRAFT 31 MM	SUP-31CAVGJ31MM	CDM			270	RC		inpatient			11740	11740																																																			
COMPONENT FEMORAL PERSONA COCR 5 NARROW KNEE RIGHT CEMENTED POSTERIOR STABILIZE	SUP-42-5000-058-02	CDM	270010025	LOCAL	270	RC		outpatient			11721.86	11721.86	3175.45				percent of total billed charges		11721.86				other	OPPS APC	8674.18				percent of total billed charges		11721.86				other	OPPS APC	11721.86				other	OPPS APC	3175.45				percent of total billed charges		3238.75				percent of total billed charges		11721.86				other	OPPS APC	3175.45	11721.86	
COMPONENT FEMORAL PERSONA COCR 5 NARROW KNEE RIGHT CEMENTED POSTERIOR STABILIZE	SUP-42-5000-058-02	CDM	270010025	LOCAL	270	RC		inpatient			11721.86	11721.86																																																			
PACEMAKER INGENIO DR DUAL CHAMBER SYSTEM	SUP-K173S	CDM			270	RC		outpatient			11690	1169	3166.82				percent of total billed charges		11690				other	OPPS APC	8650.6				percent of total billed charges		11690				other	OPPS APC	11690				other	OPPS APC	3166.82				percent of total billed charges		3229.95				percent of total billed charges		1169				other	OPPS APC	1169	11690	
PACEMAKER INGENIO DR DUAL CHAMBER SYSTEM	SUP-K173S	CDM			270	RC		inpatient			11690	11690																																																			
STEM WAGNER REVISION 135NK ANGLE 16MMX225	SUP-01.00102.216	CDM			270	RC		outpatient			11650	1165	3155.99				percent of total billed charges		11650				other	OPPS APC	8621				percent of total billed charges		11650				other	OPPS APC	11650				other	OPPS APC	3155.99				percent of total billed charges		3218.9				percent of total billed charges		1165				other	OPPS APC	1165	11650	
STEM WAGNER REVISION 135NK ANGLE 16MMX225	SUP-01.00102.216	CDM			270	RC		inpatient			11650	11650																																																			
IMPLANT WAGNER SL REVISION STEM 135NECK 19MM	SUP-01.00102.219	CDM	270010024	LOCAL	270	RC		outpatient			11650	1165	3155.99				percent of total billed charges		11650				other	OPPS APC	8621				percent of total billed charges		11650				other	OPPS APC	11650				other	OPPS APC	3155.99				percent of total billed charges		3218.9				percent of total billed charges		1165				other	OPPS APC	1165	11650	
IMPLANT WAGNER SL REVISION STEM 135NECK 19MM	SUP-01.00102.219	CDM	270010024	LOCAL	270	RC		inpatient			11650	11650																																																			
FUSION LUMBAR  LEVEL 2 NUVASIVE	SUP-LUMBAR2NUVASIVE	CDM	270010020	LOCAL	270	RC		outpatient			11600	116	3142.44				percent of total billed charges		11600				other	OPPS APC	8584				percent of total billed charges		11600				other	OPPS APC	11600				other	OPPS APC	3142.44				percent of total billed charges		3205.08				percent of total billed charges		116				other	OPPS APC	116	11600	
FUSION LUMBAR  LEVEL 2 NUVASIVE	SUP-LUMBAR2NUVASIVE	CDM	270010020	LOCAL	270	RC		inpatient			11600	11600																																																			
VALVE AORTIC GRAFT 27MM	SUP-27CAVGJ27MM	CDM			270	RC		outpatient			11560	1156	3131.6				percent of total billed charges		11560				other	OPPS APC	8554.4				percent of total billed charges		11560				other	OPPS APC	11560				other	OPPS APC	3131.6				percent of total billed charges		3194.03				percent of total billed charges		1156				other	OPPS APC	1156	11560	
VALVE AORTIC GRAFT 27MM	SUP-27CAVGJ27MM	CDM			270	RC		inpatient			11560	11560																																																			
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY D L64 MM X W57.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-014-92	CDM	270010025	LOCAL	270	RC		outpatient			11556	11556	3130.52				percent of total billed charges		11556				other	OPPS APC	8551.44				percent of total billed charges		11556				other	OPPS APC	11556				other	OPPS APC	3130.52				percent of total billed charges		3192.92				percent of total billed charges		11556				other	OPPS APC	3130.52	11556	
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY D L64 MM X W57.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-014-92	CDM	270010025	LOCAL	270	RC		inpatient			11556	11556																																																			
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-015-92	CDM	270010025	LOCAL	270	RC		outpatient			11556	11556	3130.52				percent of total billed charges		11556				other	OPPS APC	8551.44				percent of total billed charges		11556				other	OPPS APC	11556				other	OPPS APC	3130.52				percent of total billed charges		3192.92				percent of total billed charges		11556				other	OPPS APC	3130.52	11556	
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY E L68 MM X W61.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-015-92	CDM	270010025	LOCAL	270	RC		inpatient			11556	11556																																																			
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY F L72 MM X W65.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-016-91	CDM	270010025	LOCAL	270	RC		outpatient			11556	11556	3130.52				percent of total billed charges		11556				other	OPPS APC	8551.44				percent of total billed charges		11556				other	OPPS APC	11556				other	OPPS APC	3130.52				percent of total billed charges		3192.92				percent of total billed charges		11556				other	OPPS APC	3130.52	11556	
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY F L72 MM X W65.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-016-91	CDM	270010025	LOCAL	270	RC		inpatient			11556	11556																																																			
COMPONENT FEMORAL NEXGEN LCCK OPTION ZIMALOY F L72 MM X W65.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-016-92	CDM	270010025	LOCAL	270	RC		outpatient			11556	11556	3130.52				percent of total billed charges		11556				other	OPPS APC	8551.44				percent of total billed charges		11556				other	OPPS APC	11556				other	OPPS APC	3130.52				percent of total billed charges		3192.92				percent of total billed charges		11556				other	OPPS APC	3130.52	11556	
COMPONENT FEMORAL NEXGEN LCCK OPTION ZIMALOY F L72 MM X W65.5 MM KNEE RIGHT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-016-92	CDM	270010025	LOCAL	270	RC		inpatient			11556	11556																																																			
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY G L76.5 MM X W70.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-017-91	CDM	270010025	LOCAL	270	RC		outpatient			11556	11556	3130.52				percent of total billed charges		11556				other	OPPS APC	8551.44				percent of total billed charges		11556				other	OPPS APC	11556				other	OPPS APC	3130.52				percent of total billed charges		3192.92				percent of total billed charges		11556				other	OPPS APC	3130.52	11556	
COMPONENT FEMORAL LCCK OPTION NEXGEN ZIMALOY G L76.5 MM X W70.5 MM KNEE LEFT SET SCREW CEMENTED REVISION STERILE	SUP-00-5994-017-91	CDM	270010025	LOCAL	270	RC		inpatient			11556	11556																																																			
HC IR Stent Arterial Placement Initial	PX-361000001	CDM	361000001	LOCAL	361	RC		outpatient			11528	11528	3640.54				percent of total billed charges		11528				other	OPPS APC	11528				fee schedule		11528				other	OPPS APC	11528				other	OPPS APC	3640.54				percent of total billed charges		3713.17				percent of total billed charges		11528				other	OPPS APC	3640.54	11528	
HC IR Stent Arterial Placement Initial	PX-361000001	CDM	361000001	LOCAL	361	RC		inpatient			11528	11528																																																			
HC IR Stent Venous Placement Initial	PX-361372381	CDM	37238	CPT	361	RC		outpatient			11528	1118.26	3640.54				percent of total billed charges		11180.26				other	OPPS APC	6702				fee schedule		11180.26				other	OPPS APC	11180.26				other	OPPS APC	3640.54				percent of total billed charges		3713.17				percent of total billed charges		1118.26				other	OPPS APC	1118.26	11180.26	
HC IR Stent Venous Placement Initial	PX-361372381	CDM	37238	CPT	361	RC		inpatient			11528	11528																																																			
CEMENTED FIXED BEARING TKR SIGMA   (CAP)	SUP-97-01034	CDM			278	RC		outpatient			11500	115	11500				fee schedule		11500				other	OPPS APC	6555				percent of total billed charges		11500				other	OPPS APC	11500				other	OPPS APC	5635				percent of total billed charges		5865				percent of total billed charges		115				other	OPPS APC	115	11500	
CEMENTED FIXED BEARING TKR SIGMA   (CAP)	SUP-97-01034	CDM			278	RC		inpatient			11500	11500																																																			
PLATE BONE EVOS L 333MM FEMUR LEFT DISTAL 16 HOLE 3.5/4.5 MM SCREW PERIPROSTHETIC	SUP-72585116	CDM			270	RC		outpatient			11455	11455	3103.16				percent of total billed charges		11455				other	OPPS APC	8476.7				percent of total billed charges		11455				other	OPPS APC	11455				other	OPPS APC	3103.16				percent of total billed charges		3165.02				percent of total billed charges		11455				other	OPPS APC	3103.16	11455	
PLATE BONE EVOS L 333MM FEMUR LEFT DISTAL 16 HOLE 3.5/4.5 MM SCREW PERIPROSTHETIC	SUP-72585116	CDM			270	RC		inpatient			11455	11455																																																			
PLATE BONE EVOS L 333MM FEMUR RIGHT DISTAL 16 HOLE 3.5/4.5 MM PERIPROSTHETIC	SUP-72585216	CDM			270	RC		outpatient			11455	11455	3103.16				percent of total billed charges		11455				other	OPPS APC	8476.7				percent of total billed charges		11455				other	OPPS APC	11455				other	OPPS APC	3103.16				percent of total billed charges		3165.02				percent of total billed charges		11455				other	OPPS APC	3103.16	11455	
PLATE BONE EVOS L 333MM FEMUR RIGHT DISTAL 16 HOLE 3.5/4.5 MM PERIPROSTHETIC	SUP-72585216	CDM			270	RC		inpatient			11455	11455																																																			
COMPONENT TALAR TRABECULAR METAL 2 LEFT TOTAL ANKLE	SUP-00-4500-012-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
COMPONENT TALAR TRABECULAR METAL 2 LEFT TOTAL ANKLE	SUP-00-4500-012-00	CDM			270	RC		inpatient			11440	11440																																																			
COMPONENT TALAR TRABECULAR METAL 3 LEFT TOTAL ANKLE	SUP-00-4500-013-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
COMPONENT TALAR TRABECULAR METAL 3 LEFT TOTAL ANKLE	SUP-00-4500-013-00	CDM			270	RC		inpatient			11440	11440																																																			
COMPONENT TALAR TRABECULAR METAL 5 LEFT TOTAL ANKLE	SUP-00-4500-015-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
COMPONENT TALAR TRABECULAR METAL 5 LEFT TOTAL ANKLE	SUP-00-4500-015-00	CDM			270	RC		inpatient			11440	11440																																																			
ANKLE TM TOTAL RIGHT TALUS SIZE 2	SUP-00-4500-022-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
ANKLE TM TOTAL RIGHT TALUS SIZE 2	SUP-00-4500-022-00	CDM			270	RC		inpatient			11440	11440																																																			
COMPONENT TALAR TRABECULAR METAL 3 RIGHT TOTAL ANKLE	SUP-00-4500-023-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
COMPONENT TALAR TRABECULAR METAL 3 RIGHT TOTAL ANKLE	SUP-00-4500-023-00	CDM			270	RC		inpatient			11440	11440																																																			
COMPONENT TALAR TRABECULAR METAL 4 RIGHT TOTAL ANKLE	SUP-00-4500-024-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
COMPONENT TALAR TRABECULAR METAL 4 RIGHT TOTAL ANKLE	SUP-00-4500-024-00	CDM			270	RC		inpatient			11440	11440																																																			
TALUS ZIMMER TM TOTAL ANKLE RIGHT SIZE 5	SUP-00-4500-025-00	CDM			270	RC		outpatient			11440	1144	3099.1				percent of total billed charges		11440				other	OPPS APC	8465.6				percent of total billed charges		11440				other	OPPS APC	11440				other	OPPS APC	3099.1				percent of total billed charges		3160.87				percent of total billed charges		1144				other	OPPS APC	1144	11440	
TALUS ZIMMER TM TOTAL ANKLE RIGHT SIZE 5	SUP-00-4500-025-00	CDM			270	RC		inpatient			11440	11440																																																			
SPACER SPINAL ARIA AVS 8D LORDOTIC 55X18X12MM PEEK-OPTIMA	SUP-48751312	CDM	270010020	LOCAL	270	RC		outpatient			11437.16	11437.16	3098.33				percent of total billed charges		11437.16				other	OPPS APC	8463.5				percent of total billed charges		11437.16				other	OPPS APC	11437.16				other	OPPS APC	3098.33				percent of total billed charges		3160.09				percent of total billed charges		11437.16				other	OPPS APC	3098.33	11437.16	
SPACER SPINAL ARIA AVS 8D LORDOTIC 55X18X12MM PEEK-OPTIMA	SUP-48751312	CDM	270010020	LOCAL	270	RC		inpatient			11437.16	11437.16																																																			
SPACER SPINAL ARIA AVS 0D LORDOTIC 50X22X12MM PEEK-OPTIMA	SUP-48752212	CDM	270010020	LOCAL	270	RC		outpatient			11436	11436	3098.01				percent of total billed charges		11436				other	OPPS APC	8462.64				percent of total billed charges		11436				other	OPPS APC	11436				other	OPPS APC	3098.01				percent of total billed charges		3159.77				percent of total billed charges		11436				other	OPPS APC	3098.01	11436	
SPACER SPINAL ARIA AVS 0D LORDOTIC 50X22X12MM PEEK-OPTIMA	SUP-48752212	CDM	270010020	LOCAL	270	RC		inpatient			11436	11436																																																			
VALVE AORTIC FREESTYLE PORCINE H30 MM OD19 MM ROOT BIOPROSTHESIS STENTLESS	SUP-FR995-19	CDM			270	RC		outpatient			11400	114	3088.26				percent of total billed charges		11400				other	OPPS APC	8436				percent of total billed charges		11400				other	OPPS APC	11400				other	OPPS APC	3088.26				percent of total billed charges		3149.82				percent of total billed charges		114				other	OPPS APC	114	11400	
VALVE AORTIC FREESTYLE PORCINE H30 MM OD19 MM ROOT BIOPROSTHESIS STENTLESS	SUP-FR995-19	CDM			270	RC		inpatient			11400	11400																																																			
VALVE AORTIC FREESTYLE PORCINE H32 MM H3 MM OD21 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE	SUP-FR995-21	CDM			270	RC		outpatient			11400	114	3088.26				percent of total billed charges		11400				other	OPPS APC	8436				percent of total billed charges		11400				other	OPPS APC	11400				other	OPPS APC	3088.26				percent of total billed charges		3149.82				percent of total billed charges		114				other	OPPS APC	114	11400	
VALVE AORTIC FREESTYLE PORCINE H32 MM H3 MM OD21 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE	SUP-FR995-21	CDM			270	RC		inpatient			11400	11400																																																			
VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD23 MM ROOT BIOPROSTHESIS STERILE	SUP-FR995-23	CDM			270	RC		outpatient			11400	114	3088.26				percent of total billed charges		11400				other	OPPS APC	8436				percent of total billed charges		11400				other	OPPS APC	11400				other	OPPS APC	3088.26				percent of total billed charges		3149.82				percent of total billed charges		114				other	OPPS APC	114	11400	
VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD23 MM ROOT BIOPROSTHESIS STERILE	SUP-FR995-23	CDM			270	RC		inpatient			11400	11400																																																			
VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD25 MM ROOT BIOPROSTHESIS STERILE	SUP-FR995-25	CDM			270	RC		outpatient			11400	114	3088.26				percent of total billed charges		11400				other	OPPS APC	8436				percent of total billed charges		11400				other	OPPS APC	11400				other	OPPS APC	3088.26				percent of total billed charges		3149.82				percent of total billed charges		114				other	OPPS APC	114	11400	
VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD25 MM ROOT BIOPROSTHESIS STERILE	SUP-FR995-25	CDM			270	RC		inpatient			11400	11400																																																			
VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD27 MM ROOT BIOPROSTHESIS STERILE	SUP-FR995-27	CDM			270	RC		outpatient			11400	114	3088.26				percent of total billed charges		11400				other	OPPS APC	8436				percent of total billed charges		11400				other	OPPS APC	11400				other	OPPS APC	3088.26				percent of total billed charges		3149.82				percent of total billed charges		114				other	OPPS APC	114	11400	
VALVE AORTIC FREESTYLE PORCINE H34 MM H3 MM OD27 MM ROOT BIOPROSTHESIS STERILE	SUP-FR995-27	CDM			270	RC		inpatient			11400	11400																																																			
VALVE AORTIC FREESTYLE PORCINE H3 MM OD29 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE	SUP-FR995-29	CDM			270	RC		outpatient			11400	114	3088.26				percent of total billed charges		11400				other	OPPS APC	8436				percent of total billed charges		11400				other	OPPS APC	11400				other	OPPS APC	3088.26				percent of total billed charges		3149.82				percent of total billed charges		114				other	OPPS APC	114	11400	
VALVE AORTIC FREESTYLE PORCINE H3 MM OD29 MM ROOT PHYSIOLOGIC FIXATION LOW GRADIENT HEMODYNAMICS STERILE	SUP-FR995-29	CDM			270	RC		inpatient			11400	11400																																																			
GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L54 MM OD36 MM ODSEC8.5 MM ID22 FR INTRODUCTION SYSTEM ANCILLARY MAIN BODY EXTENSION INTRODUCER SHEATH AAA	SUP-RX1-36-54-ZT	CDM	270010015	LOCAL	270	RC		outpatient			11396	11396	3087.18				percent of total billed charges		11396				other	OPPS APC	8433.04				percent of total billed charges		11396				other	OPPS APC	11396				other	OPPS APC	3087.18				percent of total billed charges		3148.71				percent of total billed charges		11396				other	OPPS APC	3087.18	11396	
GRAFT ENDOVASCULAR ZENITH RENU Z-TRAK L54 MM OD36 MM ODSEC8.5 MM ID22 FR INTRODUCTION SYSTEM ANCILLARY MAIN BODY EXTENSION INTRODUCER SHEATH AAA	SUP-RX1-36-54-ZT	CDM	270010015	LOCAL	270	RC		inpatient			11396	11396																																																			
COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE LEFT CEMENTED CRUCIATE STABILIZE	SUP-96-0082	CDM	270010025	LOCAL	270	RC		outpatient			11342.4	11342.4	3072.66				percent of total billed charges		11342.4				other	OPPS APC	8393.38				percent of total billed charges		11342.4				other	OPPS APC	11342.4				other	OPPS APC	3072.66				percent of total billed charges		3133.91				percent of total billed charges		11342.4				other	OPPS APC	3072.66	11342.4	
COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE LEFT CEMENTED CRUCIATE STABILIZE	SUP-96-0082	CDM	270010025	LOCAL	270	RC		inpatient			11342.4	11342.4																																																			
COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE LEFT CEMENTED CRUCIATE RETAINING	SUP-96-0083	CDM	270010025	LOCAL	270	RC		outpatient			11342.4	11342.4	3072.66				percent of total billed charges		11342.4				other	OPPS APC	8393.38				percent of total billed charges		11342.4				other	OPPS APC	11342.4				other	OPPS APC	3072.66				percent of total billed charges		3133.91				percent of total billed charges		11342.4				other	OPPS APC	3072.66	11342.4	
COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE LEFT CEMENTED CRUCIATE RETAINING	SUP-96-0083	CDM	270010025	LOCAL	270	RC		inpatient			11342.4	11342.4																																																			
COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE	SUP-96-0088	CDM	270010025	LOCAL	270	RC		outpatient			11342.4	11342.4	3072.66				percent of total billed charges		11342.4				other	OPPS APC	8393.38				percent of total billed charges		11342.4				other	OPPS APC	11342.4				other	OPPS APC	3072.66				percent of total billed charges		3133.91				percent of total billed charges		11342.4				other	OPPS APC	3072.66	11342.4	
COMPONENT FEMORAL PFC SIGMA TC3 3 65X61MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE	SUP-96-0088	CDM	270010025	LOCAL	270	RC		inpatient			11342.4	11342.4																																																			
COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE	SUP-96-0089	CDM	270010025	LOCAL	270	RC		outpatient			11342.4	11342.4	3072.66				percent of total billed charges		11342.4				other	OPPS APC	8393.38				percent of total billed charges		11342.4				other	OPPS APC	11342.4				other	OPPS APC	3072.66				percent of total billed charges		3133.91				percent of total billed charges		11342.4				other	OPPS APC	3072.66	11342.4	
COMPONENT FEMORAL PFC SIGMA TC3 4 71X65MM STERILE KNEE RIGHT CEMENTED CRUCIATE STABILIZE	SUP-96-0089	CDM	270010025	LOCAL	270	RC		inpatient			11342.4	11342.4																																																			
LURBINECTEDIN 4 MG RECON SOLN 1 EACH VIAL	636000000	CDM	68727-712-01	NDC	J9223	HCPCS		inpatient			11328.75	11328.75																																																			
LURBINECTEDIN 4 MG RECON SOLN 1 EACH VIAL	636000000	CDM	68727-712-01	NDC	J9223	HCPCS		outpatient			11328.75	212.55																																											212.55				other	OPPS APC	212.55	212.55	
VERSY CEM/REV/CALCAR  15MMX180MM	SUP-97-03229	CDM			278	RC		outpatient			11312.5	11312.5	11312.5				fee schedule		11312.5				other	OPPS APC	6448.13				percent of total billed charges		11312.5				other	OPPS APC	11312.5				other	OPPS APC	5543.13				percent of total billed charges		5769.38				percent of total billed charges		11312.5				other	OPPS APC	5543.13	11312.5	
VERSY CEM/REV/CALCAR  15MMX180MM	SUP-97-03229	CDM			278	RC		inpatient			11312.5	11312.5																																																			
CRT-P PERCEPTA MRI	SUP-W1TR01	CDM			275	RC		outpatient			11300	113	5537				percent of total billed charges		11300				other	OPPS APC	6441				percent of total billed charges		11300				other	OPPS APC	11300				other	OPPS APC	5537				percent of total billed charges		5763				percent of total billed charges		113				other	OPPS APC	113	11300	
CRT-P PERCEPTA MRI	SUP-W1TR01	CDM			275	RC		inpatient			11300	11300																																																			
CRT-P PERCEPTA MRI QUAD DEVICE	SUP-W4TR01	CDM			275	RC		outpatient			11300	113	5537				percent of total billed charges		11300				other	OPPS APC	6441				percent of total billed charges		11300				other	OPPS APC	11300				other	OPPS APC	5537				percent of total billed charges		5763				percent of total billed charges		113				other	OPPS APC	113	11300	
CRT-P PERCEPTA MRI QUAD DEVICE	SUP-W4TR01	CDM			275	RC		inpatient			11300	11300																																																			
NIVOLUMAB 120 MG/12 ML SOLUTION 12 ML VIAL	636000000	CDM	0003-3756-14	NDC	J9299	HCPCS		inpatient			11227.38	11227.38																																																			
NIVOLUMAB 120 MG/12 ML SOLUTION 12 ML VIAL	636000000	CDM	0003-3756-14	NDC	J9299	HCPCS		outpatient			11227.38	33.12																																											33.12				other	OPPS APC	33.12	33.12	
STEM FEMORAL WAGNER SL REVISION 135KN ANGLE 15MM X 225MM	SUP-01.00102.215	CDM	270010024	LOCAL	270	RC		outpatient			11196	11196	3033				percent of total billed charges		11196				other	OPPS APC	8285.04				percent of total billed charges		11196				other	OPPS APC	11196				other	OPPS APC	3033				percent of total billed charges		3093.45				percent of total billed charges		11196				other	OPPS APC	3033	11196	
STEM FEMORAL WAGNER SL REVISION 135KN ANGLE 15MM X 225MM	SUP-01.00102.215	CDM	270010024	LOCAL	270	RC		inpatient			11196	11196																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD18 MM HIP DISTAL FILL STERILE	SUP-01.00102.618	CDM	270010024	LOCAL	270	RC		outpatient			11196	11196	3033				percent of total billed charges		11196				other	OPPS APC	8285.04				percent of total billed charges		11196				other	OPPS APC	11196				other	OPPS APC	3033				percent of total billed charges		3093.45				percent of total billed charges		11196				other	OPPS APC	3033	11196	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD18 MM HIP DISTAL FILL STERILE	SUP-01.00102.618	CDM	270010024	LOCAL	270	RC		inpatient			11196	11196																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD19 MM HIP DISTAL FILL STERILE	SUP-01.00102.619	CDM	270010024	LOCAL	270	RC		outpatient			11196	11196	3033				percent of total billed charges		11196				other	OPPS APC	8285.04				percent of total billed charges		11196				other	OPPS APC	11196				other	OPPS APC	3033				percent of total billed charges		3093.45				percent of total billed charges		11196				other	OPPS APC	3033	11196	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD19 MM HIP DISTAL FILL STERILE	SUP-01.00102.619	CDM	270010024	LOCAL	270	RC		inpatient			11196	11196																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD22 MM HIP DISTAL FILL STERILE	SUP-01.00102.622	CDM	270010024	LOCAL	270	RC		outpatient			11196	11196	3033				percent of total billed charges		11196				other	OPPS APC	8285.04				percent of total billed charges		11196				other	OPPS APC	11196				other	OPPS APC	3033				percent of total billed charges		3093.45				percent of total billed charges		11196				other	OPPS APC	3033	11196	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD22 MM HIP DISTAL FILL STERILE	SUP-01.00102.622	CDM	270010024	LOCAL	270	RC		inpatient			11196	11196																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L305 MM OD18 MM HIP DISTAL FILL STERILE	SUP-01.00103.018	CDM	270010024	LOCAL	270	RC		outpatient			11196	11196	3033				percent of total billed charges		11196				other	OPPS APC	8285.04				percent of total billed charges		11196				other	OPPS APC	11196				other	OPPS APC	3033				percent of total billed charges		3093.45				percent of total billed charges		11196				other	OPPS APC	3033	11196	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L305 MM OD18 MM HIP DISTAL FILL STERILE	SUP-01.00103.018	CDM	270010024	LOCAL	270	RC		inpatient			11196	11196																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD16 MM HIP DISTAL FILL STERILE	SUP-01.00102.616	CDM	270010025	LOCAL	270	RC		outpatient			11190	1119	3031.37				percent of total billed charges		11190				other	OPPS APC	8280.6				percent of total billed charges		11190				other	OPPS APC	11190				other	OPPS APC	3031.37				percent of total billed charges		3091.8				percent of total billed charges		1119				other	OPPS APC	1119	11190	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD16 MM HIP DISTAL FILL STERILE	SUP-01.00102.616	CDM	270010025	LOCAL	270	RC		inpatient			11190	11190																																																			
HC IR Embolization Venous	PX-361000003	CDM	361000003	LOCAL	361	RC		outpatient			11178	11178	3530.01				percent of total billed charges		11178				other	OPPS APC	11178				fee schedule		11178				other	OPPS APC	11178				other	OPPS APC	3530.01				percent of total billed charges		3600.43				percent of total billed charges		11178				other	OPPS APC	3530.01	11178	
HC IR Embolization Venous	PX-361000003	CDM	361000003	LOCAL	361	RC		inpatient			11178	11178																																																			
HC IR Embolization Arterial	PX-361000004	CDM	361000004	LOCAL	361	RC		outpatient			11178	11178	3530.01				percent of total billed charges		11178				other	OPPS APC	11178				fee schedule		11178				other	OPPS APC	11178				other	OPPS APC	3530.01				percent of total billed charges		3600.43				percent of total billed charges		11178				other	OPPS APC	3530.01	11178	
HC IR Embolization Arterial	PX-361000004	CDM	361000004	LOCAL	361	RC		inpatient			11178	11178																																																			
PLATE BONE EVOS L 297 MM FEMUR LEFT DISTAL 14 HOLE STERILE LATEX FREE 3.5/4.5 MM SCREW PERIPROSTHETIC	SUP-72585114	CDM			270	RC		outpatient			11145	11145	3019.18				percent of total billed charges		11145				other	OPPS APC	8247.3				percent of total billed charges		11145				other	OPPS APC	11145				other	OPPS APC	3019.18				percent of total billed charges		3079.36				percent of total billed charges		11145				other	OPPS APC	3019.18	11145	
PLATE BONE EVOS L 297 MM FEMUR LEFT DISTAL 14 HOLE STERILE LATEX FREE 3.5/4.5 MM SCREW PERIPROSTHETIC	SUP-72585114	CDM			270	RC		inpatient			11145	11145																																																			
EVOS 3.5/4.5 PP DIS FEM PL R 14H 297MM	SUP-72585214	CDM			270	RC		outpatient			11145	11145	3019.18				percent of total billed charges		11145				other	OPPS APC	8247.3				percent of total billed charges		11145				other	OPPS APC	11145				other	OPPS APC	3019.18				percent of total billed charges		3079.36				percent of total billed charges		11145				other	OPPS APC	3019.18	11145	
EVOS 3.5/4.5 PP DIS FEM PL R 14H 297MM	SUP-72585214	CDM			270	RC		inpatient			11145	11145																																																			
PACEMAKER- BI-V ICD PERCEPTA	SUP-99-04777	CDM						inpatient			11137	11137																																																			
PACEMAKER- BI-V ICD PERCEPTA	SUP-99-04777	CDM						outpatient			11137	11137	11137				percent of total billed charges		11137				other	OPPS APC	11137				fee schedule		11137				other	OPPS APC	11137				other	OPPS APC	11137				case rate		11137				case rate		11137				other	OPPS APC	11137	11137	
MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL 1.2 MM SCREW	SUP-5400641	CDM			270	RC		outpatient			11120.4	1112.4	3012.52				percent of total billed charges		11120.4				other	OPPS APC	8229.1				percent of total billed charges		11120.4				other	OPPS APC	11120.4				other	OPPS APC	3012.52				percent of total billed charges		3072.57				percent of total billed charges		1112.4				other	OPPS APC	1112.4	11120.4	
MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL 1.2 MM SCREW	SUP-5400641	CDM			270	RC		inpatient			11120.4	11120.4																																																			
MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL GOLD	SUP-5400647	CDM			270	RC		outpatient			11120.4	1112.4	3012.52				percent of total billed charges		11120.4				other	OPPS APC	8229.1				percent of total billed charges		11120.4				other	OPPS APC	11120.4				other	OPPS APC	3012.52				percent of total billed charges		3072.57				percent of total billed charges		1112.4				other	OPPS APC	1112.4	11120.4	
MESH DYNAMIC TITANIUM STANDARD L200 MM X W200 MM X H.6 MM CRANIOMAXILLOFACIAL GOLD	SUP-5400647	CDM			270	RC		inpatient			11120.4	11120.4																																																			
CONE ZIMMER TM COUPLED LCCK 7D SIZE 5 5MM	SUP-00-5446-055-31	CDM	270010024	LOCAL	270	RC		outpatient			11088	1188	3003.74				percent of total billed charges		11088				other	OPPS APC	8205.12				percent of total billed charges		11088				other	OPPS APC	11088				other	OPPS APC	3003.74				percent of total billed charges		3063.61				percent of total billed charges		1188				other	OPPS APC	1188	11088	
CONE ZIMMER TM COUPLED LCCK 7D SIZE 5 5MM	SUP-00-5446-055-31	CDM	270010024	LOCAL	270	RC		inpatient			11088	11088																																																			
INFINITY ADAPTIS TIB SIZE 4	SUP-97-05966	CDM			278	RC		outpatient			11066	1166	11066				fee schedule		11066				other	OPPS APC	6307.62				percent of total billed charges		11066				other	OPPS APC	11066				other	OPPS APC	5422.34				percent of total billed charges		5643.66				percent of total billed charges		1166				other	OPPS APC	1166	11066	
INFINITY ADAPTIS TIB SIZE 4	SUP-97-05966	CDM			278	RC		inpatient			11066	11066																																																			
INFINITY ADAPTIS TIB SZ 5	SUP-97-06254	CDM			278	RC		outpatient			11066	1166	11066				fee schedule		11066				other	OPPS APC	6307.62				percent of total billed charges		11066				other	OPPS APC	11066				other	OPPS APC	5422.34				percent of total billed charges		5643.66				percent of total billed charges		1166				other	OPPS APC	1166	11066	
INFINITY ADAPTIS TIB SZ 5	SUP-97-06254	CDM			278	RC		inpatient			11066	11066																																																			
GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD38 MM ODSEC22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PROFORM Z TRAK PLUS INTRODUCTION SYSTEM	SUP-G53459	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD38 MM ODSEC22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PROFORM Z TRAK PLUS INTRODUCTION SYSTEM	SUP-G53459	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 L80 MM OD28 MM ODSEC20 FR THORACIC TBE COMPONENT PROXIMAL EXTENSION PROFORM AA	SUP-TBE-28-80-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 L80 MM OD28 MM ODSEC20 FR THORACIC TBE COMPONENT PROXIMAL EXTENSION PROFORM AA	SUP-TBE-28-80-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD30 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA	SUP-TBE-30-80-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD30 MM ID20 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM AAA	SUP-TBE-30-80-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD32 MM ODSEC20 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA	SUP-TBE-32-80-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 PRO-FORM Z-TRAK PLUS POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD32 MM ODSEC20 FR THORAX AORTA SELF EXPANDING WOVEN PROXIMAL INTRODUCTION SYSTEM AAA	SUP-TBE-32-80-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD34 MM ODSEC20 FR THORACIC AORTIC ANEURYSM DISTAL EXTENSION TBE COMPONENT PROFORM	SUP-TBE-34-77-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD34 MM ODSEC20 FR THORACIC AORTIC ANEURYSM DISTAL EXTENSION TBE COMPONENT PROFORM	SUP-TBE-34-77-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD36 MM ODSEC22 FR PROXIMAL EXTENSION Z-TRAK PLUS TAA	SUP-TBE-36-77-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 L77 MM OD36 MM ODSEC22 FR PROXIMAL EXTENSION Z-TRAK PLUS TAA	SUP-TBE-36-77-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 L81 MM OD40 MM ODSEC8.5 MM ID22 FR THORACIC AORTIC ANEURYSM PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM TBE COMPONENT PROXIMAL EXTENSION	SUP-TBE-40-81-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 L81 MM OD40 MM ODSEC8.5 MM ID22 FR THORACIC AORTIC ANEURYSM PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM TBE COMPONENT PROXIMAL EXTENSION	SUP-TBE-40-81-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
GRAFT ENDOVASCULAR ZENITH TX2 POLYESTER L81 MM OD42 MM ID22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM	SUP-TBE-42-81-PF-US	CDM	270010015	LOCAL	270	RC		outpatient			11030	113	2988.03				percent of total billed charges		11030				other	OPPS APC	8162.2				percent of total billed charges		11030				other	OPPS APC	11030				other	OPPS APC	2988.03				percent of total billed charges		3047.59				percent of total billed charges		113				other	OPPS APC	113	11030	
GRAFT ENDOVASCULAR ZENITH TX2 POLYESTER L81 MM OD42 MM ID22 FR THORACIC AORTIC ANEURYSM PROXIMAL EXTENSION PRO-FORM Z-TRAK PLUS INTRODUCTION SYSTEM	SUP-TBE-42-81-PF-US	CDM	270010015	LOCAL	270	RC		inpatient			11030	11030																																																			
PSI KNEE ZUK	SUP-97-00882	CDM			278	RC		outpatient			11011	1111	11011				fee schedule		11011				other	OPPS APC	6276.27				percent of total billed charges		11011				other	OPPS APC	11011				other	OPPS APC	5395.39				percent of total billed charges		5615.61				percent of total billed charges		1111				other	OPPS APC	1111	11011	
PSI KNEE ZUK	SUP-97-00882	CDM			278	RC		inpatient			11011	11011																																																			
SPACER SPINAL FORTIFY D16 MM W16 MM X H24 MM STERILE LATEX FREE	SUP-151.102	CDM	270010020	LOCAL	270	RC		outpatient			11000	11	2979.9				percent of total billed charges		11000				other	OPPS APC	8140				percent of total billed charges		11000				other	OPPS APC	11000				other	OPPS APC	2979.9				percent of total billed charges		3039.3				percent of total billed charges		11				other	OPPS APC	11	11000	
SPACER SPINAL FORTIFY D16 MM W16 MM X H24 MM STERILE LATEX FREE	SUP-151.102	CDM	270010020	LOCAL	270	RC		inpatient			11000	11000																																																			
DEVICE CLOSURE ATRICLIP PROV L50 MM TIP FIRST OPEN END CLIP LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM 12 MM PORT	SUP-PROV50`	CDM			270	RC		outpatient			11000	11	2979.9				percent of total billed charges		11000				other	OPPS APC	8140				percent of total billed charges		11000				other	OPPS APC	11000				other	OPPS APC	2979.9				percent of total billed charges		3039.3				percent of total billed charges		11				other	OPPS APC	11	11000	
DEVICE CLOSURE ATRICLIP PROV L50 MM TIP FIRST OPEN END CLIP LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM 12 MM PORT	SUP-PROV50`	CDM			270	RC		inpatient			11000	11000																																																			
GRAFT STENT AFX ACTIVESEAL STRATA STRAIGHT 55MM 25MM 17FR EPTFE ENDOVASCULAR ABDOMEN	SUP-A25-25/C55	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX ACTIVESEAL STRATA STRAIGHT 55MM 25MM 17FR EPTFE ENDOVASCULAR ABDOMEN	SUP-A25-25/C55	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 75MM 25MM STRATA STERILE LF AORTIC EXTENSION AAA	SUP-A25-25/C75V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 75MM 25MM STRATA STERILE LF AORTIC EXTENSION AAA	SUP-A25-25/C75V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 75MM 20MM 28MM STRATA STERILE LF SUPRARENAL AORTIC EXTENSION AAA	SUP-A28-28/C75-O20V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 75MM 20MM 28MM STRATA STERILE LF SUPRARENAL AORTIC EXTENSION AAA	SUP-A28-28/C75-O20V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 75MM 28MM STRATA STERILE LF AORTIC EXTENSION AAA	SUP-A28-28/C75V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 75MM 28MM STRATA STERILE LF AORTIC EXTENSION AAA	SUP-A28-28/C75V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 95MM 20MM 28MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA	SUP-A28-28/C95-O20V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 95MM 20MM 28MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA	SUP-A28-28/C95-O20V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
IMPLANT ENDOLOGIC VELA  INFRARENAL EXTENSION	SUP-A28-28/C95V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
IMPLANT ENDOLOGIC VELA  INFRARENAL EXTENSION	SUP-A28-28/C95V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 100MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA	SUP-A34-34/C100-O20V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 100MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA	SUP-A34-34/C100-O20V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 80MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA	SUP-A34-34/C80-O20V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 80MM 20MM 34MM STRATA STERILE LF ENDOVASCULAR AORTIC EXTENSION AAA	SUP-A34-34/C80-O20V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
GRAFT STENT AFX VELA 80MM 34MM STRATA STERILE LF AORTIC EXTENSION AAA	SUP-A34-34/C80V	CDM	270010015	LOCAL	270	RC		outpatient			10998	1998	2979.36				percent of total billed charges		10998				other	OPPS APC	8138.52				percent of total billed charges		10998				other	OPPS APC	10998				other	OPPS APC	2979.36				percent of total billed charges		3038.75				percent of total billed charges		1998				other	OPPS APC	1998	10998	
GRAFT STENT AFX VELA 80MM 34MM STRATA STERILE LF AORTIC EXTENSION AAA	SUP-A34-34/C80V	CDM	270010015	LOCAL	270	RC		inpatient			10998	10998																																																			
STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD11 MM HIP	SUP-6012-0711	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD11 MM HIP	SUP-6012-0711	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD13 MM HIP	SUP-6012-0713	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 7 L155 MM OD13 MM HIP	SUP-6012-0713	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD12 MM HIP	SUP-6012-0812	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD12 MM HIP	SUP-6012-0812	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD14 MM HIP	SUP-6012-0814	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 8 L155 MM OD14 MM HIP	SUP-6012-0814	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD13 MM HIP	SUP-6012-0913	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD13 MM HIP	SUP-6012-0913	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD15 MM HIP	SUP-6012-0915	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 9 L155 MM OD15 MM HIP	SUP-6012-0915	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD14 MM HIP	SUP-6012-1014	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD14 MM HIP	SUP-6012-1014	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD16 MM HIP	SUP-6012-1016	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 10 L155 MM OD16 MM HIP	SUP-6012-1016	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD15 MM HIP	SUP-6012-1115	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD15 MM HIP	SUP-6012-1115	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD17 MM HIP	SUP-6012-1117	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 11 L155 MM OD17 MM HIP	SUP-6012-1117	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD16 MM HIP	SUP-6012-1216	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD16 MM HIP	SUP-6012-1216	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD18 MM HIP	SUP-6012-1218	CDM	270010024	LOCAL	270	RC		outpatient			10984	1984	2975.57				percent of total billed charges		10984				other	OPPS APC	8128.16				percent of total billed charges		10984				other	OPPS APC	10984				other	OPPS APC	2975.57				percent of total billed charges		3034.88				percent of total billed charges		1984				other	OPPS APC	1984	10984	
STEM FEMORAL RESTORATION TITANIUM HA 12 L155 MM OD18 MM HIP	SUP-6012-1218	CDM	270010024	LOCAL	270	RC		inpatient			10984	10984																																																			
PACEMAKER VIVA C6TR01 DEVICE	SUP-C6TR01	CDM			275	RC		outpatient			10934	1934	5357.66				percent of total billed charges		10934				other	OPPS APC	6232.38				percent of total billed charges		10934				other	OPPS APC	10934				other	OPPS APC	5357.66				percent of total billed charges		5576.34				percent of total billed charges		1934				other	OPPS APC	1934	10934	
PACEMAKER VIVA C6TR01 DEVICE	SUP-C6TR01	CDM			275	RC		inpatient			10934	10934																																																			
CRTP U125 VALITUDE device only	SUP-U125	CDM			275	RC		outpatient			10934	1934	5357.66				percent of total billed charges		10934				other	OPPS APC	6232.38				percent of total billed charges		10934				other	OPPS APC	10934				other	OPPS APC	5357.66				percent of total billed charges		5576.34				percent of total billed charges		1934				other	OPPS APC	1934	10934	
CRTP U125 VALITUDE device only	SUP-U125	CDM			275	RC		inpatient			10934	10934																																																			
PACEMAKER CARDIAC VALITUDE X4 D.75 CM W4.45 CM X H6.17 CM 17.6 ML 33 GM RIGHT ATRIUM RIGHT VENTRICLE IS-1 CONNECTOR	SUP-U128	CDM			275	RC		outpatient			10934	1934	5357.66				percent of total billed charges		10934				other	OPPS APC	6232.38				percent of total billed charges		10934				other	OPPS APC	10934				other	OPPS APC	5357.66				percent of total billed charges		5576.34				percent of total billed charges		1934				other	OPPS APC	1934	10934	
PACEMAKER CARDIAC VALITUDE X4 D.75 CM W4.45 CM X H6.17 CM 17.6 ML 33 GM RIGHT ATRIUM RIGHT VENTRICLE IS-1 CONNECTOR	SUP-U128	CDM			275	RC		inpatient			10934	10934																																																			
DEVICE CRTP VALTITUDE LV-1	SUP-U226	CDM			275	RC		outpatient			10934	1934	5357.66				percent of total billed charges		10934				other	OPPS APC	6232.38				percent of total billed charges		10934				other	OPPS APC	10934				other	OPPS APC	5357.66				percent of total billed charges		5576.34				percent of total billed charges		1934				other	OPPS APC	1934	10934	
DEVICE CRTP VALTITUDE LV-1	SUP-U226	CDM			275	RC		inpatient			10934	10934																																																			
VALVE SHUNT CODMAN CERTAS PLUS SIPHONGUARD IN-LINE PROGRAMMABLE	SUP-828804PL	CDM			270	RC		outpatient			10873.86	1873.86	2945.73				percent of total billed charges		10873.86				other	OPPS APC	8046.66				percent of total billed charges		10873.86				other	OPPS APC	10873.86				other	OPPS APC	2945.73				percent of total billed charges		3004.45				percent of total billed charges		1873.86				other	OPPS APC	1873.86	10873.86	
VALVE SHUNT CODMAN CERTAS PLUS SIPHONGUARD IN-LINE PROGRAMMABLE	SUP-828804PL	CDM			270	RC		inpatient			10873.86	10873.86																																																			
CODMAN CERTAS PLUS PROGRAMMABLE VALVE	SUP-828814PL	CDM			270	RC		outpatient			10871.36	1871.36	2945.05				percent of total billed charges		10871.36				other	OPPS APC	8044.81				percent of total billed charges		10871.36				other	OPPS APC	10871.36				other	OPPS APC	2945.05				percent of total billed charges		3003.76				percent of total billed charges		1871.36				other	OPPS APC	1871.36	10871.36	
CODMAN CERTAS PLUS PROGRAMMABLE VALVE	SUP-828814PL	CDM			270	RC		inpatient			10871.36	10871.36																																																			
PACEMAKER ADAPTA DUAL CHAMBER SYSTEM	SUP-ADDRSERIES S	CDM			270	RC		outpatient			10857	1857	2941.16				percent of total billed charges		10857				other	OPPS APC	8034.18				percent of total billed charges		10857				other	OPPS APC	10857				other	OPPS APC	2941.16				percent of total billed charges		2999.79				percent of total billed charges		1857				other	OPPS APC	1857	10857	
PACEMAKER ADAPTA DUAL CHAMBER SYSTEM	SUP-ADDRSERIES S	CDM			270	RC		inpatient			10857	10857																																																			
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L21-30 CM OD3 MM CRYOPRESERVED	SUP-CV21-30	CDM			270	RC		outpatient			10828.9	1828.9	2933.55				percent of total billed charges		10828.9				other	OPPS APC	8013.39				percent of total billed charges		10828.9				other	OPPS APC	10828.9				other	OPPS APC	2933.55				percent of total billed charges		2992.03				percent of total billed charges		1828.9				other	OPPS APC	1828.9	10828.9	
GRAFT SOFT TISSUE ANGIOGRAFT SAPHENOUS VEIN L21-30 CM OD3 MM CRYOPRESERVED	SUP-CV21-30	CDM			270	RC		inpatient			10828.9	10828.9																																																			
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE	SUP-7510600	CDM	270010031	LOCAL	270	RC		outpatient			10816	1816	2930.05				percent of total billed charges		10816				other	OPPS APC	8003.84				percent of total billed charges		10816				other	OPPS APC	10816				other	OPPS APC	2930.05				percent of total billed charges		2988.46				percent of total billed charges		1816				other	OPPS APC	1816	10816	
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE	SUP-7510600	CDM	270010031	LOCAL	270	RC		inpatient			10816	10816																																																			
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE II L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE	SUP-7510800	CDM	270010031	LOCAL	270	RC		outpatient			10816	1816	2930.05				percent of total billed charges		10816				other	OPPS APC	8003.84				percent of total billed charges		10816				other	OPPS APC	10816				other	OPPS APC	2930.05				percent of total billed charges		2988.46				percent of total billed charges		1816				other	OPPS APC	1816	10816	
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 LARGE II L26 MM OD18 MM 8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE	SUP-7510800	CDM	270010031	LOCAL	270	RC		inpatient			10816	10816																																																			
VALVE AORTIC MITROFLOW H16 MM W13 MM OD27.3 MM ID22.9 MM PERICARDIUM PHOSPHOLIPID REDUCTION TREATMENT OPTIMIZED HEMODYNAMIC PERFORMANCE UNIFORM MECHANICAL BEHAVIOUR UNIQUE DESIGN	SUP-DLA27	CDM			270	RC		outpatient			10810	181	2928.43				percent of total billed charges		10810				other	OPPS APC	7999.4				percent of total billed charges		10810				other	OPPS APC	10810				other	OPPS APC	2928.43				percent of total billed charges		2986.8				percent of total billed charges		181				other	OPPS APC	181	10810	
VALVE AORTIC MITROFLOW H16 MM W13 MM OD27.3 MM ID22.9 MM PERICARDIUM PHOSPHOLIPID REDUCTION TREATMENT OPTIMIZED HEMODYNAMIC PERFORMANCE UNIFORM MECHANICAL BEHAVIOUR UNIQUE DESIGN	SUP-DLA27	CDM			270	RC		inpatient			10810	10810																																																			
VALVE HEART AORTIC PORCINE MOSAIC 19MM	SUP-30501901	CDM			270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
VALVE HEART AORTIC PORCINE MOSAIC 19MM	SUP-30501901	CDM			270	RC		inpatient			10800	10800																																																			
VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H13.5 MM OD19 MM STENT HOLDER SEW 305	SUP-305U19	CDM			270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H13.5 MM OD19 MM STENT HOLDER SEW 305	SUP-305U19	CDM			270	RC		inpatient			10800	10800																																																			
VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H16 MM OD23 MM STENT HOLDER SEW 305	SUP-305U23	CDM			270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
VALVE AORTIC MOSAIC ULTRA CINCH PORCINE RING H16 MM OD23 MM STENT HOLDER SEW 305	SUP-305U23	CDM			270	RC		inpatient			10800	10800																																																			
VALVE MITRAL MOSAIC ACETAL HOMOPOLYMER POLYESTER H20.5 MM OD29 MM ODSEC35 MM ID24 MM FLEXIBLE SCALLOPED SUTURE RING POLYESTER SEWING GREEN SUTURE RADIOPAQUE EYELET	SUP-31002901	CDM			270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
VALVE MITRAL MOSAIC ACETAL HOMOPOLYMER POLYESTER H20.5 MM OD29 MM ODSEC35 MM ID24 MM FLEXIBLE SCALLOPED SUTURE RING POLYESTER SEWING GREEN SUTURE RADIOPAQUE EYELET	SUP-31002901	CDM			270	RC		inpatient			10800	10800																																																			
VALVE MITRAL MOSAIC CINCH OD27 MM	SUP-310C27	CDM			270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
VALVE MITRAL MOSAIC CINCH OD27 MM	SUP-310C27	CDM			270	RC		inpatient			10800	10800																																																			
GRAFT SOFT TISSUE BIOCLEANSE LEFT MEDIAL MENISCUS BONE BRIDGE FROZEN	SUP-453201	CDM	270010031	LOCAL	270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
GRAFT SOFT TISSUE BIOCLEANSE LEFT MEDIAL MENISCUS BONE BRIDGE FROZEN	SUP-453201	CDM	270010031	LOCAL	270	RC		inpatient			10800	10800																																																			
GRAFT SOFT TISSUE BIOCLEANSE RIGHT MEDIAL MENISCUS RIGHT MEDIAL KNEE BONE BRIDGE FROZEN	SUP-453202	CDM	270010031	LOCAL	270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
GRAFT SOFT TISSUE BIOCLEANSE RIGHT MEDIAL MENISCUS RIGHT MEDIAL KNEE BONE BRIDGE FROZEN	SUP-453202	CDM	270010031	LOCAL	270	RC		inpatient			10800	10800																																																			
TOTAL HIP CERAMIC	SUP-97-02651	CDM			278	RC		outpatient			10800	18	10800				fee schedule		10800				other	OPPS APC	6156				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	5292				percent of total billed charges		5508				percent of total billed charges		18				other	OPPS APC	18	10800	
TOTAL HIP CERAMIC	SUP-97-02651	CDM			278	RC		inpatient			10800	10800																																																			
IMPLANT MOBI-C 13X15	SUP-MB3355	CDM			270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
IMPLANT MOBI-C 13X15	SUP-MB3355	CDM			270	RC		inpatient			10800	10800																																																			
IMPLANT MOBI-C CERVICAL DISC 15X15X5	SUP-MB3555	CDM	270010000	LOCAL	270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
IMPLANT MOBI-C CERVICAL DISC 15X15X5	SUP-MB3555	CDM	270010000	LOCAL	270	RC		inpatient			10800	10800																																																			
IMPLANT MOBI-C CERVICAL DISC 15X17X5	SUP-MB3575	CDM	270010000	LOCAL	270	RC		outpatient			10800	18	2925.72				percent of total billed charges		10800				other	OPPS APC	7992				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	2925.72				percent of total billed charges		2984.04				percent of total billed charges		18				other	OPPS APC	18	10800	
IMPLANT MOBI-C CERVICAL DISC 15X17X5	SUP-MB3575	CDM	270010000	LOCAL	270	RC		inpatient			10800	10800																																																			
PACEMAKER SOLARA W1TR03 MRI DEVICE	SUP-W1TR03	CDM			275	RC		outpatient			10800	18	5292				percent of total billed charges		10800				other	OPPS APC	6156				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	5292				percent of total billed charges		5508				percent of total billed charges		18				other	OPPS APC	18	10800	
PACEMAKER SOLARA W1TR03 MRI DEVICE	SUP-W1TR03	CDM			275	RC		inpatient			10800	10800																																																			
PACEMAKER SOLARA W4TR03 MRI QUAD DEVICE	SUP-W4TR03	CDM			275	RC		outpatient			10800	18	5292				percent of total billed charges		10800				other	OPPS APC	6156				percent of total billed charges		10800				other	OPPS APC	10800				other	OPPS APC	5292				percent of total billed charges		5508				percent of total billed charges		18				other	OPPS APC	18	10800	
PACEMAKER SOLARA W4TR03 MRI QUAD DEVICE	SUP-W4TR03	CDM			275	RC		inpatient			10800	10800																																																			
RITUXIMAB-PVVR 10 MG/ML SOLUTION 50 ML VIAL	636000000	CDM	0069-0249-01	NDC	Q5119	HCPCS		inpatient			10752	10752																																																			
RITUXIMAB-PVVR 10 MG/ML SOLUTION 50 ML VIAL	636000000	CDM	0069-0249-01	NDC	Q5119	HCPCS		outpatient			10752	21.6																																											21.6				other	OPPS APC	21.6	21.6	
PACEMAKER ENRHYTHM DR DUAL CHANBER SYSTEM	SUP-ENRHYTHMDRK2	CDM			270	RC		outpatient			10746	1746	2911.09				percent of total billed charges		10746				other	OPPS APC	7952.04				percent of total billed charges		10746				other	OPPS APC	10746				other	OPPS APC	2911.09				percent of total billed charges		2969.12				percent of total billed charges		1746				other	OPPS APC	1746	10746	
PACEMAKER ENRHYTHM DR DUAL CHANBER SYSTEM	SUP-ENRHYTHMDRK2	CDM			270	RC		inpatient			10746	10746																																																			
VALVE MITRAL MASTERS SERIES PYROLYTIC CARBON 85 D 3.67 SQ CM STANDARD RING OD27 MM ID22.5 MM ANNULUS LEAFLET ORIFICE CONTROL TORQUE ROTATION MECHANISM CUFF	SUP-27MJ-501	CDM			270	RC		outpatient			10686	1686	2894.84				percent of total billed charges		10686				other	OPPS APC	7907.64				percent of total billed charges		10686				other	OPPS APC	10686				other	OPPS APC	2894.84				percent of total billed charges		2952.54				percent of total billed charges		1686				other	OPPS APC	1686	10686	
VALVE MITRAL MASTERS SERIES PYROLYTIC CARBON 85 D 3.67 SQ CM STANDARD RING OD27 MM ID22.5 MM ANNULUS LEAFLET ORIFICE CONTROL TORQUE ROTATION MECHANISM CUFF	SUP-27MJ-501	CDM			270	RC		inpatient			10686	10686																																																			
VALVE AORTIC MASTERS 85 D 4.41 SQ CM OD29 MM ID24.2 MM ANNULUS MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING	SUP-29AJ-501	CDM			270	RC		outpatient			10686	1686	2894.84				percent of total billed charges		10686				other	OPPS APC	7907.64				percent of total billed charges		10686				other	OPPS APC	10686				other	OPPS APC	2894.84				percent of total billed charges		2952.54				percent of total billed charges		1686				other	OPPS APC	1686	10686	
VALVE AORTIC MASTERS 85 D 4.41 SQ CM OD29 MM ID24.2 MM ANNULUS MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING	SUP-29AJ-501	CDM			270	RC		inpatient			10686	10686																																																			
VALVE AORTIC MASTERS 85 D 5.18 SQ CM OD31 MM ID26.1 MM MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING	SUP-31AJ-501	CDM			270	RC		outpatient			10686	1686	2894.84				percent of total billed charges		10686				other	OPPS APC	7907.64				percent of total billed charges		10686				other	OPPS APC	10686				other	OPPS APC	2894.84				percent of total billed charges		2952.54				percent of total billed charges		1686				other	OPPS APC	1686	10686	
VALVE AORTIC MASTERS 85 D 5.18 SQ CM OD31 MM ID26.1 MM MECHANICAL HEART PYROLYTIC CARBON LEAFLET STANDARD CUFF ORIFICE RING	SUP-31AJ-501	CDM			270	RC		inpatient			10686	10686																																																			
GRAFT BONE OPTEFORM DEMINERALIZED BONE MATRIX L90 MM X H5 MM 32 ML FROZEN CHIPS FULL DISC	SUP-600-05-90	CDM	270010031	LOCAL	270	RC		outpatient			10680	168	2893.21				percent of total billed charges		10680				other	OPPS APC	7903.2				percent of total billed charges		10680				other	OPPS APC	10680				other	OPPS APC	2893.21				percent of total billed charges		2950.88				percent of total billed charges		168				other	OPPS APC	168	10680	
GRAFT BONE OPTEFORM DEMINERALIZED BONE MATRIX L90 MM X H5 MM 32 ML FROZEN CHIPS FULL DISC	SUP-600-05-90	CDM	270010031	LOCAL	270	RC		inpatient			10680	10680																																																			
OPTEFORM FROZEN DISC 90CC	SUP-97-01603	CDM			278	RC		outpatient			10680	168	10680				fee schedule		10680				other	OPPS APC	6087.6				percent of total billed charges		10680				other	OPPS APC	10680				other	OPPS APC	5233.2				percent of total billed charges		5446.8				percent of total billed charges		168				other	OPPS APC	168	10680	
OPTEFORM FROZEN DISC 90CC	SUP-97-01603	CDM			278	RC		inpatient			10680	10680																																																			
REVISON CEM TIB TRAYSZ2	SUP-97-03603	CDM			278	RC		outpatient			10659.6	1659.6	10659.6				fee schedule		10659.6				other	OPPS APC	6075.97				percent of total billed charges		10659.6				other	OPPS APC	10659.6				other	OPPS APC	5223.2				percent of total billed charges		5436.4				percent of total billed charges		1659.6				other	OPPS APC	1659.6	10659.6	
REVISON CEM TIB TRAYSZ2	SUP-97-03603	CDM			278	RC		inpatient			10659.6	10659.6																																																			
VALVE STRATA NSC REGULAR	SUP-42365_62190	CDM			270	RC		outpatient			10603.6	163.6	2872.52				percent of total billed charges		10603.6				other	OPPS APC	7846.66				percent of total billed charges		10603.6				other	OPPS APC	10603.6				other	OPPS APC	2872.52				percent of total billed charges		2929.77				percent of total billed charges		163.6				other	OPPS APC	163.6	10603.6	
VALVE STRATA NSC REGULAR	SUP-42365_62190	CDM			270	RC		inpatient			10603.6	10603.6																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT OD19 MM	SUP-3000TFX19MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT OD19 MM	SUP-3000TFX19MM	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD21 MM BIOPROSTHESIS	SUP-3000TFX21MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD21 MM BIOPROSTHESIS	SUP-3000TFX21MM	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD23 MM BIOPROSTHESIS	SUP-3000TFX-23	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD23 MM BIOPROSTHESIS	SUP-3000TFX-23	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA THERMAFIX PERICARDIAL OD23 MM BIOPROSTHESIS	SUP-3000TFX23MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA THERMAFIX PERICARDIAL OD23 MM BIOPROSTHESIS	SUP-3000TFX23MM	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD25 MM BIOPROSTHESIS	SUP-3000TFX25MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD25 MM BIOPROSTHESIS	SUP-3000TFX25MM	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD27 MM BIOPROSTHESES	SUP-3000TFX27MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD27 MM BIOPROSTHESES	SUP-3000TFX27MM	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS	SUP-3000TFX-29	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS	SUP-3000TFX-29	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA BOVINE PERICARDIAL COCR SILICONE RUBBER POLYESTER LOW PROFILE CONTOUR H19 MM OD29 MM ODSEC34 MM ID28 MM SLEEK COMMISSURE POST THERMAFIX SUTURE MARKER LOW STENT BASE LONG TERM DURABILITY	SUP-3000TFX29MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA BOVINE PERICARDIAL COCR SILICONE RUBBER POLYESTER LOW PROFILE CONTOUR H19 MM OD29 MM ODSEC34 MM ID28 MM SLEEK COMMISSURE POST THERMAFIX SUTURE MARKER LOW STENT BASE LONG TERM DURABILITY	SUP-3000TFX29MM	CDM			270	RC		inpatient			10600	10600																																																			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS	SUP-3000TFX29MM	CDM			270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT MAGNA PERICARDIAL OD29 MM BIOPROSTHESIS	SUP-3000TFX29MM	CDM			270	RC		inpatient			10600	10600																																																			
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 MEDIUM L2 IN X W1 IN OD20 GA 5.6 ML 8.4 MG VIAL ABSORBABLE COLLAGEN SPONGE WATER SYRINGE NEEDLE STERILE LUMBAR TAPERED FUSION DEVICE	SUP-7510400	CDM	270010031	LOCAL	270	RC		outpatient			10600	16	2871.54				percent of total billed charges		10600				other	OPPS APC	7844				percent of total billed charges		10600				other	OPPS APC	10600				other	OPPS APC	2871.54				percent of total billed charges		2928.78				percent of total billed charges		16				other	OPPS APC	16	10600	
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 MEDIUM L2 IN X W1 IN OD20 GA 5.6 ML 8.4 MG VIAL ABSORBABLE COLLAGEN SPONGE WATER SYRINGE NEEDLE STERILE LUMBAR TAPERED FUSION DEVICE	SUP-7510400	CDM	270010031	LOCAL	270	RC		inpatient			10600	10600																																																			
STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L6 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS	SUP-PTB8107275	CDM			270	RC		outpatient			10592	1592	2869.37				percent of total billed charges		10592				other	OPPS APC	7838.08				percent of total billed charges		10592				other	OPPS APC	10592				other	OPPS APC	2869.37				percent of total billed charges		2926.57				percent of total billed charges		1592				other	OPPS APC	1592	10592	
STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L6 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS	SUP-PTB8107275	CDM			270	RC		inpatient			10592	10592																																																			
SYSTEM COMPRESSION THERAPY COLD MACHINE	SUP-CRYO	CDM	270010004	LOCAL	270	RC		outpatient			10580	158	2866.12				percent of total billed charges		10580				other	OPPS APC	7829.2				percent of total billed charges		10580				other	OPPS APC	10580				other	OPPS APC	2866.12				percent of total billed charges		2923.25				percent of total billed charges		158				other	OPPS APC	158	10580	
SYSTEM COMPRESSION THERAPY COLD MACHINE	SUP-CRYO	CDM	270010004	LOCAL	270	RC		inpatient			10580	10580																																																			
CRYOTHERAPY RENAL	SUP-CRYO2	CDM	270010004	LOCAL	270	RC		outpatient			10580	158	2866.12				percent of total billed charges		10580				other	OPPS APC	7829.2				percent of total billed charges		10580				other	OPPS APC	10580				other	OPPS APC	2866.12				percent of total billed charges		2923.25				percent of total billed charges		158				other	OPPS APC	158	10580	
CRYOTHERAPY RENAL	SUP-CRYO2	CDM	270010004	LOCAL	270	RC		inpatient			10580	10580																																																			
INSERT TIBIALCCK SIZE 3 5MM	SUP-00-5447-053-31	CDM	270010025	LOCAL	270	RC		outpatient			10578	1578	2865.58				percent of total billed charges		10578				other	OPPS APC	7827.72				percent of total billed charges		10578				other	OPPS APC	10578				other	OPPS APC	2865.58				percent of total billed charges		2922.7				percent of total billed charges		1578				other	OPPS APC	1578	10578	
INSERT TIBIALCCK SIZE 3 5MM	SUP-00-5447-053-31	CDM	270010025	LOCAL	270	RC		inpatient			10578	10578																																																			
INSERT NEXGEN LCCK SIZE 3 5MM	SUP-00-5447-053-36	CDM	270010025	LOCAL	270	RC		outpatient			10578	1578	2865.58				percent of total billed charges		10578				other	OPPS APC	7827.72				percent of total billed charges		10578				other	OPPS APC	10578				other	OPPS APC	2865.58				percent of total billed charges		2922.7				percent of total billed charges		1578				other	OPPS APC	1578	10578	
INSERT NEXGEN LCCK SIZE 3 5MM	SUP-00-5447-053-36	CDM	270010025	LOCAL	270	RC		inpatient			10578	10578																																																			
INSERT ZIMMER LCCK SIZE 4 5MM 41X34 CPL	SUP-00544705441	CDM	270010025	LOCAL	270	RC		outpatient			10578	1578	2865.58				percent of total billed charges		10578				other	OPPS APC	7827.72				percent of total billed charges		10578				other	OPPS APC	10578				other	OPPS APC	2865.58				percent of total billed charges		2922.7				percent of total billed charges		1578				other	OPPS APC	1578	10578	
INSERT ZIMMER LCCK SIZE 4 5MM 41X34 CPL	SUP-00544705441	CDM	270010025	LOCAL	270	RC		inpatient			10578	10578																																																			
WEDGE TIBIAL LCCK TRABECULAR METAL 0 D 5 CONE OD46 MM ODSEC34 MM ANTERIOR POSTERIOR COUPLED	SUP-00544705546	CDM	270010025	LOCAL	270	RC		outpatient			10578	1578	2865.58				percent of total billed charges		10578				other	OPPS APC	7827.72				percent of total billed charges		10578				other	OPPS APC	10578				other	OPPS APC	2865.58				percent of total billed charges		2922.7				percent of total billed charges		1578				other	OPPS APC	1578	10578	
WEDGE TIBIAL LCCK TRABECULAR METAL 0 D 5 CONE OD46 MM ODSEC34 MM ANTERIOR POSTERIOR COUPLED	SUP-00544705546	CDM	270010025	LOCAL	270	RC		inpatient			10578	10578																																																			
SPACER SPINAL T-PAL PEEK TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H9 MM L8.2 MM .5 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE	SUP-08.812.009	CDM	270010012	LOCAL	270	RC		outpatient			10560	156	2860.7				percent of total billed charges		10560				other	OPPS APC	7814.4				percent of total billed charges		10560				other	OPPS APC	10560				other	OPPS APC	2860.7				percent of total billed charges		2917.73				percent of total billed charges		156				other	OPPS APC	156	10560	
SPACER SPINAL T-PAL PEEK TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H9 MM L8.2 MM .5 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE	SUP-08.812.009	CDM	270010012	LOCAL	270	RC		inpatient			10560	10560																																																			
SPACER SPINAL T-PAL PEEK OPTIMA TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H12 MM H11.2 MM .77 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE	SUP-08.812.012	CDM	270010012	LOCAL	270	RC		outpatient			10560	156	2860.7				percent of total billed charges		10560				other	OPPS APC	7814.4				percent of total billed charges		10560				other	OPPS APC	10560				other	OPPS APC	2860.7				percent of total billed charges		2917.73				percent of total billed charges		156				other	OPPS APC	156	10560	
SPACER SPINAL T-PAL PEEK OPTIMA TITANIUM 5 D D14 MM LORDOTIC BULLET NOSE L28 MM X W10 MM X H12 MM H11.2 MM .77 CC AUTOGRAFT 2 ANTERIOR RADIOGRAPHIC MARKER PIN PYRAMIDAL TEETH CONNECTION CYLINDER NONSTERILE	SUP-08.812.012	CDM	270010012	LOCAL	270	RC		inpatient			10560	10560																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-438-20	NDC	J1459	HCPCS		inpatient			10556.4	10556.4																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-438-92	NDC	J1459	HCPCS		inpatient			10556.4	10556.4																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-438-20	NDC	J1459	HCPCS		outpatient			10556.4	5.98																																											5.98				other	OPPS APC	5.98	5.98	
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-438-92	NDC	J1459	HCPCS		outpatient			10556.4	5.98																																											5.98				other	OPPS APC	5.98	5.98	
PACEMAKER QUADRA ALLURE MP CRT-P BIV	SUP-PM3562	CDM			275	RC		outpatient			10550	155	5169.5				percent of total billed charges		10550				other	OPPS APC	6013.5				percent of total billed charges		10550				other	OPPS APC	10550				other	OPPS APC	5169.5				percent of total billed charges		5380.5				percent of total billed charges		155				other	OPPS APC	155	10550	
PACEMAKER QUADRA ALLURE MP CRT-P BIV	SUP-PM3562	CDM			275	RC		inpatient			10550	10550																																																			
ADHESIVE SURGICAL BIOGLUE BOVINE SERUM ALBUMIN GLUTARALDEHYDE L12 MM 10 ML SOFT TISSUE PREFILL SYRINGE PLUNGER 3 SPREADER 4 STANDARD TIP STERILE LATEX FREE DISPOSABLE	SUP-BG3510-5-US	CDM			270	RC		outpatient			10510	151	2847.16				percent of total billed charges		10510				other	OPPS APC	7777.4				percent of total billed charges		10510				other	OPPS APC	10510				other	OPPS APC	2847.16				percent of total billed charges		2903.91				percent of total billed charges		151				other	OPPS APC	151	10510	
ADHESIVE SURGICAL BIOGLUE BOVINE SERUM ALBUMIN GLUTARALDEHYDE L12 MM 10 ML SOFT TISSUE PREFILL SYRINGE PLUNGER 3 SPREADER 4 STANDARD TIP STERILE LATEX FREE DISPOSABLE	SUP-BG3510-5-US	CDM			270	RC		inpatient			10510	10510																																																			
HC Cc Pacemaker Insertion Dual Lead	PX-481332081	CDM	33208	CPT	481	RC		outpatient			10500	1878.47	535.55				fee schedule		10878.47				other	OPPS APC	7770				percent of total billed charges		10878.47				other	OPPS APC	10878.47				other	OPPS APC	507.97				fee schedule		5355				percent of total billed charges		1878.47				other	OPPS APC	507.97	10878.47	
HC Cc Pacemaker Insertion Dual Lead	PX-481332081	CDM	33208	CPT	481	RC		inpatient			10500	10500																																																			
LEAD SCS	SUP-3228 SCSCAPL	CDM			270	RC		outpatient			10500	15	2844.45				percent of total billed charges		10500				other	OPPS APC	7770				percent of total billed charges		10500				other	OPPS APC	10500				other	OPPS APC	2844.45				percent of total billed charges		2901.15				percent of total billed charges		15				other	OPPS APC	15	10500	
LEAD SCS	SUP-3228 SCSCAPL	CDM			270	RC		inpatient			10500	10500																																																			
VALVE AORTIC MITROFLOW OD19 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA 19	CDM			270	RC		outpatient			10496	1496	2843.37				percent of total billed charges		10496				other	OPPS APC	7767.04				percent of total billed charges		10496				other	OPPS APC	10496				other	OPPS APC	2843.37				percent of total billed charges		2900.04				percent of total billed charges		1496				other	OPPS APC	1496	10496	
VALVE AORTIC MITROFLOW OD19 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA 19	CDM			270	RC		inpatient			10496	10496																																																			
VALVE AORTIC MITROFLOW OD21 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA21	CDM			270	RC		outpatient			10496	1496	2843.37				percent of total billed charges		10496				other	OPPS APC	7767.04				percent of total billed charges		10496				other	OPPS APC	10496				other	OPPS APC	2843.37				percent of total billed charges		2900.04				percent of total billed charges		1496				other	OPPS APC	1496	10496	
VALVE AORTIC MITROFLOW OD21 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA21	CDM			270	RC		inpatient			10496	10496																																																			
VALVE AORTIC MITROFLOW OD23 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA23	CDM			270	RC		outpatient			10496	1496	2843.37				percent of total billed charges		10496				other	OPPS APC	7767.04				percent of total billed charges		10496				other	OPPS APC	10496				other	OPPS APC	2843.37				percent of total billed charges		2900.04				percent of total billed charges		1496				other	OPPS APC	1496	10496	
VALVE AORTIC MITROFLOW OD23 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA23	CDM			270	RC		inpatient			10496	10496																																																			
VALVE AORTIC MITROFLOW OD25 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA25	CDM			270	RC		outpatient			10496	1496	2843.37				percent of total billed charges		10496				other	OPPS APC	7767.04				percent of total billed charges		10496				other	OPPS APC	10496				other	OPPS APC	2843.37				percent of total billed charges		2900.04				percent of total billed charges		1496				other	OPPS APC	1496	10496	
VALVE AORTIC MITROFLOW OD25 MM PRT DURABILITY SYNCHRONOUS LEAFLET ACTION MAXIMIZED FLOW AREA STREAMLINED SEWING RING	SUP-DLA25	CDM			270	RC		inpatient			10496	10496																																																			
COMPONENT FEMORAL OPTETRAK 3 CONDYLE CEMENTED CONSTRAIN	SUP-208-01-03	CDM	270010025	LOCAL	270	RC		outpatient			10488	1488	2841.2				percent of total billed charges		10488				other	OPPS APC	7761.12				percent of total billed charges		10488				other	OPPS APC	10488				other	OPPS APC	2841.2				percent of total billed charges		2897.83				percent of total billed charges		1488				other	OPPS APC	1488	10488	
COMPONENT FEMORAL OPTETRAK 3 CONDYLE CEMENTED CONSTRAIN	SUP-208-01-03	CDM	270010025	LOCAL	270	RC		inpatient			10488	10488																																																			
COMPONENT FEMORAL OPTETRAK 4 CONDYLE CEMENTED CONSTRAIN	SUP-208-01-04	CDM	270010025	LOCAL	270	RC		outpatient			10488	1488	2841.2				percent of total billed charges		10488				other	OPPS APC	7761.12				percent of total billed charges		10488				other	OPPS APC	10488				other	OPPS APC	2841.2				percent of total billed charges		2897.83				percent of total billed charges		1488				other	OPPS APC	1488	10488	
COMPONENT FEMORAL OPTETRAK 4 CONDYLE CEMENTED CONSTRAIN	SUP-208-01-04	CDM	270010025	LOCAL	270	RC		inpatient			10488	10488																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD12 MM HIP REDUCE	SUP-S-2652-0812	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD12 MM HIP REDUCE	SUP-S-2652-0812	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE	SUP-S-2652-0814	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE	SUP-S-2652-0814	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE	SUP-S-2652-0913	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE	SUP-S-2652-0913	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE	SUP-S-2652-0915	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE	SUP-S-2652-0915	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE	SUP-S-2652-1014	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD14 MM HIP REDUCE	SUP-S-2652-1014	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE	SUP-S-2652-1016	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE	SUP-S-2652-1016	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE	SUP-S-2652-1115	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L205 MM OD15 MM HIP REDUCE	SUP-S-2652-1115	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
STEM FEMORAL RESTORATION HA TITANIUM 11 -5 MM STRAIGHT L205 MM OD17 MM HIP DISTAL REVISION REDUCE NECK CEMENT	SUP-S-2652-1117	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
STEM FEMORAL RESTORATION HA TITANIUM 11 -5 MM STRAIGHT L205 MM OD17 MM HIP DISTAL REVISION REDUCE NECK CEMENT	SUP-S-2652-1117	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE	SUP-S-2652-1216	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L205 MM OD16 MM HIP REDUCE	SUP-S-2652-1216	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
STEM FEMORAL RESTORATION HA TITANIUM 12 STRAIGHT L205 MM OD18 MM HIP DISTAL REVISION REDUCE NECK CEMENT	SUP-S-2652-1218	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
STEM FEMORAL RESTORATION HA TITANIUM 12 STRAIGHT L205 MM OD18 MM HIP DISTAL REVISION REDUCE NECK CEMENT	SUP-S-2652-1218	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 17 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE	SUP-S-2652-1317	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 17 -5 MM STRAIGHT L205 MM OD13 MM HIP REDUCE	SUP-S-2652-1317	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 13 -5 MM STRAIGHT L205 MM OD19 MM HIP REDUCE	SUP-S-2652-1319	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 13 -5 MM STRAIGHT L205 MM OD19 MM HIP REDUCE	SUP-S-2652-1319	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD18 MM HIP REDUCE	SUP-S-2652-1418	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD18 MM HIP REDUCE	SUP-S-2652-1418	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD20 MM HIP REDUCE	SUP-S-2652-1420	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD20 MM HIP REDUCE	SUP-S-2652-1420	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD22 MM HIP REDUCE	SUP-S-2652-1422	CDM	270010024	LOCAL	270	RC		outpatient			10479	1479	2838.76				percent of total billed charges		10479				other	OPPS APC	7754.46				percent of total billed charges		10479				other	OPPS APC	10479				other	OPPS APC	2838.76				percent of total billed charges		2895.35				percent of total billed charges		1479				other	OPPS APC	1479	10479	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 14 -5 MM STRAIGHT L205 MM OD22 MM HIP REDUCE	SUP-S-2652-1422	CDM	270010024	LOCAL	270	RC		inpatient			10479	10479																																																			
STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD12 MM HIP	SUP-6013-0812	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD12 MM HIP	SUP-6013-0812	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD14 MM HIP	SUP-6013-0814	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 8 L205 MM OD14 MM HIP	SUP-6013-0814	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD13 MM HIP	SUP-6013-0913	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD13 MM HIP	SUP-6013-0913	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD15 MM HIP	SUP-6013-0915	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 9 L205 MM OD15 MM HIP	SUP-6013-0915	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD14 MM HIP	SUP-6013-1014	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD14 MM HIP	SUP-6013-1014	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD16 MM HIP	SUP-6013-1016	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 10 L205 MM OD16 MM HIP	SUP-6013-1016	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD15 MM HIP	SUP-6013-1115	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD15 MM HIP	SUP-6013-1115	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD17 MM HIP	SUP-6013-1117	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 11 L205 MM OD17 MM HIP	SUP-6013-1117	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD16 MM HIP	SUP-6013-1216	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD16 MM HIP	SUP-6013-1216	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD18 MM HIP	SUP-6013-1218	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 12 L205 MM OD18 MM HIP	SUP-6013-1218	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD17 MM HIP	SUP-6013-1317	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD17 MM HIP	SUP-6013-1317	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD19 MM HIP	SUP-6013-1319	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 13 L205 MM OD19 MM HIP	SUP-6013-1319	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD18 MM HIP	SUP-6013-1418	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD18 MM HIP	SUP-6013-1418	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD20 MM HIP	SUP-6013-1420	CDM	270010024	LOCAL	270	RC		outpatient			10400	14	2817.36				percent of total billed charges		10400				other	OPPS APC	7696				percent of total billed charges		10400				other	OPPS APC	10400				other	OPPS APC	2817.36				percent of total billed charges		2873.52				percent of total billed charges		14				other	OPPS APC	14	10400	
STEM FEMORAL RESTORATION TITANIUM HA 14 L205 MM OD20 MM HIP	SUP-6013-1420	CDM	270010024	LOCAL	270	RC		inpatient			10400	10400																																																			
STANDARD PROXIMAL TIBIAL GMRS	SUP-97-05058	CDM			278	RC		outpatient			10368	1368	10368				fee schedule		10368				other	OPPS APC	5909.76				percent of total billed charges		10368				other	OPPS APC	10368				other	OPPS APC	5080.32				percent of total billed charges		5287.68				percent of total billed charges		1368				other	OPPS APC	1368	10368	
STANDARD PROXIMAL TIBIAL GMRS	SUP-97-05058	CDM			278	RC		inpatient			10368	10368																																																			
GRAFT OVITEX 1S 16 X 20CM	SUP-97-05947	CDM			278	RC		outpatient			10368	1368	10368				fee schedule		10368				other	OPPS APC	5909.76				percent of total billed charges		10368				other	OPPS APC	10368				other	OPPS APC	5080.32				percent of total billed charges		5287.68				percent of total billed charges		1368				other	OPPS APC	1368	10368	
GRAFT OVITEX 1S 16 X 20CM	SUP-97-05947	CDM			278	RC		inpatient			10368	10368																																																			
PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1	SUP-PM3222	CDM			275	RC		outpatient			10355	1355	5073.95				percent of total billed charges		10355				other	OPPS APC	5902.35				percent of total billed charges		10355				other	OPPS APC	10355				other	OPPS APC	5073.95				percent of total billed charges		5281.05				percent of total billed charges		1355				other	OPPS APC	1355	10355	
PACEMAKER CARDIAC ALLURE RF INVISILINK THK6 MM W59 MM X H55 MM 14 ML 24 GM VENTRICLE IS-1	SUP-PM3222	CDM			275	RC		inpatient			10355	10355																																																			
PACEMAKER CARDIAC ALLURE QUADRA RF INVISILINK THK6 MM W59 MM X H56 MM 15 ML 27 GM VENTRICLE IS4-LLLL IS-1	SUP-PM3242	CDM			275	RC		outpatient			10355	1355	5073.95				percent of total billed charges		10355				other	OPPS APC	5902.35				percent of total billed charges		10355				other	OPPS APC	10355				other	OPPS APC	5073.95				percent of total billed charges		5281.05				percent of total billed charges		1355				other	OPPS APC	1355	10355	
PACEMAKER CARDIAC ALLURE QUADRA RF INVISILINK THK6 MM W59 MM X H56 MM 15 ML 27 GM VENTRICLE IS4-LLLL IS-1	SUP-PM3242	CDM			275	RC		inpatient			10355	10355																																																			
PACEMAKER QUADRA ALLURE MP RF CRT-P	SUP-PM3262	CDM			275	RC		outpatient			10355	1355	5073.95				percent of total billed charges		10355				other	OPPS APC	5902.35				percent of total billed charges		10355				other	OPPS APC	10355				other	OPPS APC	5073.95				percent of total billed charges		5281.05				percent of total billed charges		1355				other	OPPS APC	1355	10355	
PACEMAKER QUADRA ALLURE MP RF CRT-P	SUP-PM3262	CDM			275	RC		inpatient			10355	10355																																																			
PACEMAKER QUADRA ALLURE MPFR CRT-O MERLIN PKG	SUP-PM3262CELL	CDM			275	RC		outpatient			10355	1355	5073.95				percent of total billed charges		10355				other	OPPS APC	5902.35				percent of total billed charges		10355				other	OPPS APC	10355				other	OPPS APC	5073.95				percent of total billed charges		5281.05				percent of total billed charges		1355				other	OPPS APC	1355	10355	
PACEMAKER QUADRA ALLURE MPFR CRT-O MERLIN PKG	SUP-PM3262CELL	CDM			275	RC		inpatient			10355	10355																																																			
HC Rad Therapy Breast Cancer Rad Onc Model 90 Day Episode  Tc	PX-333M10810	CDM			333	RC		outpatient			10316.98	1316.98	5055.32				percent of total billed charges		10316.98				other	OPPS APC	7634.57				percent of total billed charges		10316.98				other	OPPS APC	10316.98				other	OPPS APC	5055.32				percent of total billed charges		5261.66				percent of total billed charges		1316.98				other	OPPS APC	1316.98	10316.98	
HC Rad Therapy Breast Cancer Rad Onc Model 90 Day Episode  Tc	PX-333M10810	CDM			333	RC		inpatient			10316.98	10316.98																																																			
STD LT DIST FEM 65MM GMRS	SUP-97-05302	CDM			278	RC		outpatient			10295.2	1295.21	10295.2				fee schedule		10295.2				other	OPPS APC	5868.26				percent of total billed charges		10295.2				other	OPPS APC	10295.2				other	OPPS APC	5044.65				percent of total billed charges		5250.55				percent of total billed charges		1295.21				other	OPPS APC	1295.21	10295.2	
STD LT DIST FEM 65MM GMRS	SUP-97-05302	CDM			278	RC		inpatient			10295.2	10295.2																																																			
PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H47 MM 12 ML 24.5 GM ATRIUM VENTRICLE 2 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR DR	SUP-K173	CDM			270	RC		outpatient			10288	1288	2787.02				percent of total billed charges		10288				other	OPPS APC	7613.12				percent of total billed charges		10288				other	OPPS APC	10288				other	OPPS APC	2787.02				percent of total billed charges		2842.57				percent of total billed charges		1288				other	OPPS APC	1288	10288	
PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H47 MM 12 ML 24.5 GM ATRIUM VENTRICLE 2 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR DR	SUP-K173	CDM			270	RC		inpatient			10288	10288																																																			
RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS	636000000	CDM	76125-150-10	NDC	90377	HCPCS		inpatient			10209.73	10209.73																																																			
RABIES IMMUNE GLOBULIN PER 150 INT'L UNITS	636000000	CDM	76125-150-10	NDC	90377	HCPCS		outpatient			10209.73	10209.73																																															other	OPPS APC			
STRUT SPINAL CENTERPIECE L19 MM X W19 MM T2 ALTITUDE 19A	SUP-9391919	CDM	270010020	LOCAL	270	RC		outpatient			10200	12	2763.18				percent of total billed charges		10200				other	OPPS APC	7548				percent of total billed charges		10200				other	OPPS APC	10200				other	OPPS APC	2763.18				percent of total billed charges		2818.26				percent of total billed charges		12				other	OPPS APC	12	10200	
STRUT SPINAL CENTERPIECE L19 MM X W19 MM T2 ALTITUDE 19A	SUP-9391919	CDM	270010020	LOCAL	270	RC		inpatient			10200	10200																																																			
TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0305-01	NDC	Q5116	HCPCS		inpatient			10173.25	10173.25																																																			
TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0306-01	NDC	Q5116	HCPCS		inpatient			10173.25	10173.25																																																			
TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0305-01	NDC	Q5116	HCPCS		outpatient			10173.25	13.6																																											13.6				other	OPPS APC	13.6	13.6	
TRASTUZUMAB-QYYP 420 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0306-01	NDC	Q5116	HCPCS		outpatient			10173.25	13.6																																											13.6				other	OPPS APC	13.6	13.6	
GRAFT CARDIOVASCULAR DISTAFLO 80CM 8MM STERILE ARTERIAL BYPASS CUFF HYPERPLASIA HIGH	SUP-DF8008SC	CDM			270	RC		outpatient			10168	1168	2754.51				percent of total billed charges		10168				other	OPPS APC	7524.32				percent of total billed charges		10168				other	OPPS APC	10168				other	OPPS APC	2754.51				percent of total billed charges		2809.42				percent of total billed charges		1168				other	OPPS APC	1168	10168	
GRAFT CARDIOVASCULAR DISTAFLO 80CM 8MM STERILE ARTERIAL BYPASS CUFF HYPERPLASIA HIGH	SUP-DF8008SC	CDM			270	RC		inpatient			10168	10168																																																			
PARTICLES EMBOLIZATION TRUFILL NBCA 1 GM KIT LIQUID SYSTEM	SUP-631500	CDM			270	RC		outpatient			10166.72	1166.72	2754.16				percent of total billed charges		10166.72				other	OPPS APC	7523.37				percent of total billed charges		10166.72				other	OPPS APC	10166.72				other	OPPS APC	2754.16				percent of total billed charges		2809.06				percent of total billed charges		1166.72				other	OPPS APC	1166.72	10166.72	
PARTICLES EMBOLIZATION TRUFILL NBCA 1 GM KIT LIQUID SYSTEM	SUP-631500	CDM			270	RC		inpatient			10166.72	10166.72																																																			
PACEMAKER - BI V- EDORA CR-T	SUP-99-04355	CDM						inpatient			10165	10165																																																			
PACEMAKER - BI V- EDORA CR-T	SUP-99-04355	CDM						outpatient			10165	1165	10165				percent of total billed charges		10165				other	OPPS APC	10165				fee schedule		10165				other	OPPS APC	10165				other	OPPS APC	10165				case rate		10165				case rate		1165				other	OPPS APC	1165	10165	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L190 MM OD15 MM HIP DISTAL FILL STERILE	SUP-01.00101.915	CDM	270010024	LOCAL	270	RC		outpatient			10152	1152	2750.18				percent of total billed charges		10152				other	OPPS APC	7512.48				percent of total billed charges		10152				other	OPPS APC	10152				other	OPPS APC	2750.18				percent of total billed charges		2805				percent of total billed charges		1152				other	OPPS APC	1152	10152	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L190 MM OD15 MM HIP DISTAL FILL STERILE	SUP-01.00101.915	CDM	270010024	LOCAL	270	RC		inpatient			10152	10152																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L225 MM OD17 MM HIP DISTAL FILL STERILE	SUP-01.00102.217	CDM	270010024	LOCAL	270	RC		outpatient			10152	1152	2750.18				percent of total billed charges		10152				other	OPPS APC	7512.48				percent of total billed charges		10152				other	OPPS APC	10152				other	OPPS APC	2750.18				percent of total billed charges		2805				percent of total billed charges		1152				other	OPPS APC	1152	10152	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L225 MM OD17 MM HIP DISTAL FILL STERILE	SUP-01.00102.217	CDM	270010024	LOCAL	270	RC		inpatient			10152	10152																																																			
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD14 MM HIP DISTAL FILL STERILE	SUP-0100102614	CDM	270010024	LOCAL	270	RC		outpatient			10152	1152	2750.18				percent of total billed charges		10152				other	OPPS APC	7512.48				percent of total billed charges		10152				other	OPPS APC	10152				other	OPPS APC	2750.18				percent of total billed charges		2805				percent of total billed charges		1152				other	OPPS APC	1152	10152	
STEM FEMORAL WAGNER SL REVISION PROTASUL-100 POROUS 135 D 12/14 L265 MM OD14 MM HIP DISTAL FILL STERILE	SUP-0100102614	CDM	270010024	LOCAL	270	RC		inpatient			10152	10152																																																			
HC Rad Therapy Brain Metastases Rad Onc Model 90 Day Episode  Tc	PX-333M10790	CDM			333	RC		outpatient			10127.96	1127.96	4962.7				percent of total billed charges		10127.96				other	OPPS APC	7494.69				percent of total billed charges		10127.96				other	OPPS APC	10127.96				other	OPPS APC	4962.7				percent of total billed charges		5165.26				percent of total billed charges		1127.96				other	OPPS APC	1127.96	10127.96	
HC Rad Therapy Brain Metastases Rad Onc Model 90 Day Episode  Tc	PX-333M10790	CDM			333	RC		inpatient			10127.96	10127.96																																																			
FEMUR SIZE 4 NMC	SUP-97-01176	CDM			278	RC		outpatient			10126	1126	10126				fee schedule		10126				other	OPPS APC	5771.82				percent of total billed charges		10126				other	OPPS APC	10126				other	OPPS APC	4961.74				percent of total billed charges		5164.26				percent of total billed charges		1126				other	OPPS APC	1126	10126	
FEMUR SIZE 4 NMC	SUP-97-01176	CDM			278	RC		inpatient			10126	10126																																																			
FEMUR SIZE 5 NMC	SUP-97-02713	CDM			278	RC		outpatient			10126	1126	10126				fee schedule		10126				other	OPPS APC	5771.82				percent of total billed charges		10126				other	OPPS APC	10126				other	OPPS APC	4961.74				percent of total billed charges		5164.26				percent of total billed charges		1126				other	OPPS APC	1126	10126	
FEMUR SIZE 5 NMC	SUP-97-02713	CDM			278	RC		inpatient			10126	10126																																																			
TIBIAL BASE ATTUNE REVISION SIZE 9 CEMENTED	SUP-1506-60-009	CDM	270010024	LOCAL	270	RC		outpatient			10089	189	2733.11				percent of total billed charges		10089				other	OPPS APC	7465.86				percent of total billed charges		10089				other	OPPS APC	10089				other	OPPS APC	2733.11				percent of total billed charges		2787.59				percent of total billed charges		189				other	OPPS APC	189	10089	
TIBIAL BASE ATTUNE REVISION SIZE 9 CEMENTED	SUP-1506-60-009	CDM	270010024	LOCAL	270	RC		inpatient			10089	10089																																																			
TRI IS FEMUR SZ5 LEFT	SUP-97-05571	CDM			278	RC		outpatient			10086.4	186.4	10086.4				fee schedule		10086.4				other	OPPS APC	5749.25				percent of total billed charges		10086.4				other	OPPS APC	10086.4				other	OPPS APC	4942.34				percent of total billed charges		5144.06				percent of total billed charges		186.4				other	OPPS APC	186.4	10086.4	
TRI IS FEMUR SZ5 LEFT	SUP-97-05571	CDM			278	RC		inpatient			10086.4	10086.4																																																			
FEMORAL COMPONENT TS SIZE 5 RIGHT	SUP-97-05612	CDM			278	RC		outpatient			10086.4	186.4	10086.4				fee schedule		10086.4				other	OPPS APC	5749.25				percent of total billed charges		10086.4				other	OPPS APC	10086.4				other	OPPS APC	4942.34				percent of total billed charges		5144.06				percent of total billed charges		186.4				other	OPPS APC	186.4	10086.4	
FEMORAL COMPONENT TS SIZE 5 RIGHT	SUP-97-05612	CDM			278	RC		inpatient			10086.4	10086.4																																																			
FEMUR TRIATHLON TS SIZE 3 RIGHT	SUP-97-05622	CDM						inpatient			10086.4	10086.4																																																			
FEMUR TRIATHLON TS SIZE 3 RIGHT	SUP-97-05622	CDM						outpatient			10086.4	186.4	10086.4				percent of total billed charges		10086.4				other	OPPS APC	10086.4				fee schedule		10086.4				other	OPPS APC	10086.4				other	OPPS APC	10086.4				case rate		10086.4				case rate		186.4				other	OPPS APC	186.4	10086.4	
TRI TS FEMUR SIZE 4 LEFT	SUP-97-06129	CDM			278	RC		outpatient			10086.4	186.4	10086.4				fee schedule		10086.4				other	OPPS APC	5749.25				percent of total billed charges		10086.4				other	OPPS APC	10086.4				other	OPPS APC	4942.34				percent of total billed charges		5144.06				percent of total billed charges		186.4				other	OPPS APC	186.4	10086.4	
TRI TS FEMUR SIZE 4 LEFT	SUP-97-06129	CDM			278	RC		inpatient			10086.4	10086.4																																																			
VALVE MITRAL MASTERS-SERIES PYROLYTIC CARBON 85 D STANDARD OD25 MM ID20.4 MM MECHANICAL CUFF ROTATABLE	SUP-25MJ-501	CDM			270	RC		outpatient			10074	174	2729.05				percent of total billed charges		10074				other	OPPS APC	7454.76				percent of total billed charges		10074				other	OPPS APC	10074				other	OPPS APC	2729.05				percent of total billed charges		2783.45				percent of total billed charges		174				other	OPPS APC	174	10074	
VALVE MITRAL MASTERS-SERIES PYROLYTIC CARBON 85 D STANDARD OD25 MM ID20.4 MM MECHANICAL CUFF ROTATABLE	SUP-25MJ-501	CDM			270	RC		inpatient			10074	10074																																																			
PACEMAKER ADVISA MRI DUAL CHAMBER SYSTEM	SUP-ADVISAMRIPEEM-SYS	CDM			275	RC		outpatient			10070	17	4934.3				percent of total billed charges		10070				other	OPPS APC	5739.9				percent of total billed charges		10070				other	OPPS APC	10070				other	OPPS APC	4934.3				percent of total billed charges		5135.7				percent of total billed charges		17				other	OPPS APC	17	10070	
PACEMAKER ADVISA MRI DUAL CHAMBER SYSTEM	SUP-ADVISAMRIPEEM-SYS	CDM			275	RC		inpatient			10070	10070																																																			
HC Cc Pacemaker Insert Ventricular Lead	PX-481332071	CDM	33207	CPT	481	RC		outpatient			10030	1878.47	494.78				fee schedule		10878.47				other	OPPS APC	7422.2				percent of total billed charges		10878.47				other	OPPS APC	10878.47				other	OPPS APC	468.9				fee schedule		5115.3				percent of total billed charges		1878.47				other	OPPS APC	468.9	10878.47	
HC Cc Pacemaker Insert Ventricular Lead	PX-481332071	CDM	33207	CPT	481	RC		inpatient			10030	10030																																																			
HC Cc Pacemaker Battery Change Dual	PX-481332281	CDM	33228	CPT	481	RC		outpatient			10030	1878.47	368.63				fee schedule		10878.47				other	OPPS APC	7422.2				percent of total billed charges		10878.47				other	OPPS APC	10878.47				other	OPPS APC	347.69				fee schedule		5115.3				percent of total billed charges		1878.47				other	OPPS APC	347.69	10878.47	
HC Cc Pacemaker Battery Change Dual	PX-481332281	CDM	33228	CPT	481	RC		inpatient			10030	10030																																																			
SPACER SPINAL XPAND 0D SM 74-89X14X12MM TITANIUM CORPECTOMY	SUP-116.114	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL XPAND 0D SM 74-89X14X12MM TITANIUM CORPECTOMY	SUP-116.114	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL XPAND 15-18MM	SUP-116.121	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL XPAND 15-18MM	SUP-116.121	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL XPAND TITANIUM 0 D MEDIUM L24-28 MM X W23 MM X H21 MM SMOOTH SELF DISTRACTING	SUP-116.205	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL XPAND TITANIUM 0 D MEDIUM L24-28 MM X W23 MM X H21 MM SMOOTH SELF DISTRACTING	SUP-116.205	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL FORTIFY 0 D D12 MM W12 MM X H16 MM NONSTERILE LATEX FREE	SUP-151.002	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL FORTIFY 0 D D12 MM W12 MM X H16 MM NONSTERILE LATEX FREE	SUP-151.002	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL FORTIFY D12 MM W12 MM X H21 MM NONSTERILE LATEX FREE	SUP-151.052	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL FORTIFY D12 MM W12 MM X H21 MM NONSTERILE LATEX FREE	SUP-151.052	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL FORTIFY D12 MM W12 MM X H25 MM NONSTERILE LATEX FREE	SUP-151.053	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL FORTIFY D12 MM W12 MM X H25 MM NONSTERILE LATEX FREE	SUP-151.053	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL RISE 10 D LORDOTIC L22 MM X W10 MM X H8 MM NONSTERILE	SUP-193.121	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL RISE 10 D LORDOTIC L22 MM X W10 MM X H8 MM NONSTERILE	SUP-193.121	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL RISE 10 D LORDOTIC L26 MM X W10 MM X H8 MM NONSTERILE	SUP-193.122	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL RISE 10 D LORDOTIC L26 MM X W10 MM X H8 MM NONSTERILE	SUP-193.122	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL CALIBER L26 MM X W10 MM X H8-12 MM	SUP-194.126	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL CALIBER L26 MM X W10 MM X H8-12 MM	SUP-194.126	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL CALIBER 12 D LORDOTIC L22 MM X W10 MM X H9-13 MM	SUP-194.610	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL CALIBER 12 D LORDOTIC L22 MM X W10 MM X H9-13 MM	SUP-194.610	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
CAGE XPAND 20-22 MM	SUP-316.101	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
CAGE XPAND 20-22 MM	SUP-316.101	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL XPAND-R PEEK 3.5/3.5 D SMALL L20-22 MM X W15 MM X H13 MM INTERBODY FUSION RADIOLUCENT SMOOTH SELF DISTRACTING	SUP-316.113	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL XPAND-R PEEK 3.5/3.5 D SMALL L20-22 MM X W15 MM X H13 MM INTERBODY FUSION RADIOLUCENT SMOOTH SELF DISTRACTING	SUP-316.113	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL XPAND-R 3.5/3.5D SM 22-26X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY	SUP-316.114	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL XPAND-R 3.5/3.5D SM 22-26X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY	SUP-316.114	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL XPAND-R 3.5/3.5D SM 38-46X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY	SUP-316.118	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL XPAND-R 3.5/3.5D SM 38-46X15X13MM PEEK RADIOLUCENT SELF DISTRACT CORPECTOMY	SUP-316.118	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
CAGE GLOBUS XPAND R 22-26MM 7 DEG	SUP-316.131	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
CAGE GLOBUS XPAND R 22-26MM 7 DEG	SUP-316.131	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
CAGE GLOBUS XPAND R 22-26MM 7 DEG	SUP-316.132	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
CAGE GLOBUS XPAND R 22-26MM 7 DEG	SUP-316.132	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
CAGE SPINAL TRITANIUM 6 D LORDOTIC L28 MM X W9 MM X H16 MM STERILE LATEX FREE PLIF	SUP-48954106	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
CAGE SPINAL TRITANIUM 6 D LORDOTIC L28 MM X W9 MM X H16 MM STERILE LATEX FREE PLIF	SUP-48954106	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
IMPLANT STRYKER POST LUMBAR CAGE 10MM X 28MMX6 DEG 11MM	SUP-48955106	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
IMPLANT STRYKER POST LUMBAR CAGE 10MM X 28MMX6 DEG 11MM	SUP-48955106	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL PROLIFT TITANIUM 7 D SMALL L28 MM X W12 MM X H8 MM EXPAND POST PACK STERILE LATEX FREE	SUP-58-1228-0708D	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL PROLIFT TITANIUM 7 D SMALL L28 MM X W12 MM X H8 MM EXPAND POST PACK STERILE LATEX FREE	SUP-58-1228-0708D	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
SPACER SPINAL PROLIFT TITANIUM 7 D LARGE L28 MM X W12 MM X H10 MM EXPAND POST PACK STERILE LATEX FREE	SUP-58-1228-0710D	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
SPACER SPINAL PROLIFT TITANIUM 7 D LARGE L28 MM X W12 MM X H10 MM EXPAND POST PACK STERILE LATEX FREE	SUP-58-1228-0710D	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
ZUK CEM UNI TIB & STD POLY	SUP-97-01005	CDM			278	RC		outpatient			10000	1	10000				fee schedule		10000				other	OPPS APC	5700				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	4900				percent of total billed charges		5100				percent of total billed charges		1				other	OPPS APC	1	10000	
ZUK CEM UNI TIB & STD POLY	SUP-97-01005	CDM			278	RC		inpatient			10000	10000																																																			
IMPLANT COFLEX PARADIGM SPINE SIZE 8MM	SUP-UQI00008	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
IMPLANT COFLEX PARADIGM SPINE SIZE 8MM	SUP-UQI00008	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
IMPLANT SPINAL COFLEX TITANIUM 10 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE YELLOW	SUP-UQI00010	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
IMPLANT SPINAL COFLEX TITANIUM 10 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE YELLOW	SUP-UQI00010	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
IMPLANT COFLEX PARADIGM SPINE SIZE 12MM	SUP-UQI00012	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
IMPLANT COFLEX PARADIGM SPINE SIZE 12MM	SUP-UQI00012	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
IMPLANT SPINAL COFLEX TITANIUM 14 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE RED	SUP-UQI00014	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
IMPLANT SPINAL COFLEX TITANIUM 14 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE RED	SUP-UQI00014	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
IMPLANT SPINAL COFLEX TITANIUM 16 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE BLUE	SUP-UQI00016	CDM	270010020	LOCAL	270	RC		outpatient			10000	1	2709				percent of total billed charges		10000				other	OPPS APC	7400				percent of total billed charges		10000				other	OPPS APC	10000				other	OPPS APC	2709				percent of total billed charges		2763				percent of total billed charges		1				other	OPPS APC	1	10000	
IMPLANT SPINAL COFLEX TITANIUM 16 MM 1 PIECE EXCELLENT FATIGUE INTERLAMINAR STABILIZATION XRAY VISIBLE STERILE BLUE	SUP-UQI00016	CDM	270010020	LOCAL	270	RC		inpatient			10000	10000																																																			
HC Cc Temporary Pacemaker Insertion	PX-481332101	CDM	33210	CPT	481	RC		outpatient			9994	9994	180.84				fee schedule		9994				other	OPPS APC	7395.56				percent of total billed charges		9994				other	OPPS APC	9994				other	OPPS APC	157.05				fee schedule		5096.94				percent of total billed charges		9994				other	OPPS APC	157.05	9994	
HC Cc Temporary Pacemaker Insertion	PX-481332101	CDM	33210	CPT	481	RC		inpatient			9994	9994																																																			
TIGHTROPE XP BUTTRESS PLATE	SUP-97-05311	CDM			278	RC		outpatient			9987.5	9987.5	9987.5				fee schedule		9987.5				other	OPPS APC	5692.88				percent of total billed charges		9987.5				other	OPPS APC	9987.5				other	OPPS APC	4893.88				percent of total billed charges		5093.63				percent of total billed charges		9987.5				other	OPPS APC	4893.88	9987.5	
TIGHTROPE XP BUTTRESS PLATE	SUP-97-05311	CDM			278	RC		inpatient			9987.5	9987.5																																																			
ARTHROFLEX 301	SUP-97-03534	CDM			636	RC		inpatient			9965	9965																																																			
ARTHROFLEX 301	SUP-97-03534	CDM			636	RC		outpatient			9965	9965					fee schedule						other	OPPS APC	7374.1				percent of total billed charges						other	OPPS APC					other	OPPS APC	4882.85				percent of total billed charges		2477.3				percent of total billed charges						other	OPPS APC	7374.1	7374.1	
DEVICE CARDIAC ASSERT-IQ THK 4.4MM EL + L 9.4MM X H 49MM ICM	SUP-DM5500	CDM			270	RC		outpatient			9960	996	2698.16				percent of total billed charges		9960				other	OPPS APC	7370.4				percent of total billed charges		9960				other	OPPS APC	9960				other	OPPS APC	2698.16				percent of total billed charges		2751.95				percent of total billed charges		996				other	OPPS APC	996	9960	
DEVICE CARDIAC ASSERT-IQ THK 4.4MM EL + L 9.4MM X H 49MM ICM	SUP-DM5500	CDM			270	RC		inpatient			9960	9960																																																			
GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY	SUP-PLC121000	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY	SUP-PLC121000	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PLC121200	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PLC121200	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PLC14100	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PLC14100	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT ENDOVASCULAR EXCLUDER 14.5MMX10CM	SUP-PLC141000	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT ENDOVASCULAR EXCLUDER 14.5MMX10CM	SUP-PLC141000	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PLC141200	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PLC141200	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
IMPLANT GORE EXCLUDER 16MM X 9.5 CM	SUP-PLC161000	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
IMPLANT GORE EXCLUDER 16MM X 9.5 CM	SUP-PLC161000	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG	SUP-PLC181000	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG	SUP-PLC181000	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG	SUP-PLC181200	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG	SUP-PLC181200	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L11.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA	SUP-PLC201200	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L11.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA	SUP-PLC201200	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG PROSTHESIS	SUP-PLC231000	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG PROSTHESIS	SUP-PLC231000	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
IMPLANT GORE EXCLUDER 27MM X 10 CM	SUP-PLC271000	CDM	270010015	LOCAL	270	RC		outpatient			9956	9956	2697.08				percent of total billed charges		9956				other	OPPS APC	7367.44				percent of total billed charges		9956				other	OPPS APC	9956				other	OPPS APC	2697.08				percent of total billed charges		2750.84				percent of total billed charges		9956				other	OPPS APC	2697.08	9956	
IMPLANT GORE EXCLUDER 27MM X 10 CM	SUP-PLC271000	CDM	270010015	LOCAL	270	RC		inpatient			9956	9956																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL L174 MM L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1610C124E	CDM	270010015	LOCAL	270	RC		outpatient			9950	995	2695.46				percent of total billed charges		9950				other	OPPS APC	7363				percent of total billed charges		9950				other	OPPS APC	9950				other	OPPS APC	2695.46				percent of total billed charges		2749.19				percent of total billed charges		995				other	OPPS APC	995	9950	
GRAFT STENT ENDURANT POLYESTER NITINOL L174 MM L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1610C124E	CDM	270010015	LOCAL	270	RC		inpatient			9950	9950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C124E	CDM	270010015	LOCAL	270	RC		outpatient			9950	995	2695.46				percent of total billed charges		9950				other	OPPS APC	7363				percent of total billed charges		9950				other	OPPS APC	9950				other	OPPS APC	2695.46				percent of total billed charges		2749.19				percent of total billed charges		995				other	OPPS APC	995	9950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C124E	CDM	270010015	LOCAL	270	RC		inpatient			9950	9950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1613C124E	CDM	270010015	LOCAL	270	RC		outpatient			9950	995	2695.46				percent of total billed charges		9950				other	OPPS APC	7363				percent of total billed charges		9950				other	OPPS APC	9950				other	OPPS APC	2695.46				percent of total billed charges		2749.19				percent of total billed charges		995				other	OPPS APC	995	9950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1613C124E	CDM	270010015	LOCAL	270	RC		inpatient			9950	9950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C124E	CDM	270010015	LOCAL	270	RC		outpatient			9950	995	2695.46				percent of total billed charges		9950				other	OPPS APC	7363				percent of total billed charges		9950				other	OPPS APC	9950				other	OPPS APC	2695.46				percent of total billed charges		2749.19				percent of total billed charges		995				other	OPPS APC	995	9950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C124E	CDM	270010015	LOCAL	270	RC		inpatient			9950	9950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1624C124E	CDM	270010015	LOCAL	270	RC		outpatient			9950	995	2695.46				percent of total billed charges		9950				other	OPPS APC	7363				percent of total billed charges		9950				other	OPPS APC	9950				other	OPPS APC	2695.46				percent of total billed charges		2749.19				percent of total billed charges		995				other	OPPS APC	995	9950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1624C124E	CDM	270010015	LOCAL	270	RC		inpatient			9950	9950																																																			
CLEARVISION II LENS IRRIGATION SYS  SET	SUP-97-00912	CDM			272	RC		outpatient			9948.76	9948.76	2695.12				percent of total billed charges		9948.76				other	OPPS APC	7362.08				percent of total billed charges		9948.76				other	OPPS APC	9948.76				other	OPPS APC	2695.12				percent of total billed charges		2748.84				percent of total billed charges		9948.76				other	OPPS APC	2695.12	9948.76	
CLEARVISION II LENS IRRIGATION SYS  SET	SUP-97-00912	CDM			272	RC		inpatient			9948.76	9948.76																																																			
CATHETER- SMARTTOUCH THERMOCOOL STSF D-F (BI)	SUP-99-04754	CDM			278	RC		outpatient			9947.5	9947.5	9947.5				fee schedule		9947.5				other	OPPS APC	5670.08				percent of total billed charges		9947.5				other	OPPS APC	9947.5				other	OPPS APC	4874.28				percent of total billed charges		5073.23				percent of total billed charges		9947.5				other	OPPS APC	4874.28	9947.5	
CATHETER- SMARTTOUCH THERMOCOOL STSF D-F (BI)	SUP-99-04754	CDM			278	RC		inpatient			9947.5	9947.5																																																			
CONSTRAINED ACETABULAR INSERT	SUP-97-01808	CDM			278	RC		outpatient			9924.38	9924.38	9924.38				fee schedule		9924.38				other	OPPS APC	5656.9				percent of total billed charges		9924.38				other	OPPS APC	9924.38				other	OPPS APC	4862.95				percent of total billed charges		5061.43				percent of total billed charges		9924.38				other	OPPS APC	4862.95	9924.38	
CONSTRAINED ACETABULAR INSERT	SUP-97-01808	CDM			278	RC		inpatient			9924.38	9924.38																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD11 MM HIP REDUCE	SUP-S-2651-0711	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD11 MM HIP REDUCE	SUP-S-2651-0711	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE	SUP-S-2651-0713	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 7 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE	SUP-S-2651-0713	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD12 MM HIP REDUCE	SUP-S-2651-0812	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD12 MM HIP REDUCE	SUP-S-2651-0812	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE	SUP-S-2651-0814	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 8 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE	SUP-S-2651-0814	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE	SUP-S-2651-0913	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 9 -5 MM STRAIGHT L155 MM OD13 MM HIP REDUCE	SUP-S-2651-0913	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
STEM FEMORAL RESTORATION HA TITANIUM 9 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE NECK	SUP-S-2651-0915	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
STEM FEMORAL RESTORATION HA TITANIUM 9 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE NECK	SUP-S-2651-0915	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE	SUP-S-2651-1014	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD14 MM HIP REDUCE	SUP-S-2651-1014	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE	SUP-S-2651-1016	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 10 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE	SUP-S-2651-1016	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE	SUP-S-2651-1115	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD15 MM HIP REDUCE	SUP-S-2651-1115	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD17 MM HIP REDUCE	SUP-S-2651-1117	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 11 -5 MM STRAIGHT L155 MM OD17 MM HIP REDUCE	SUP-S-2651-1117	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE	SUP-S-2651-1216	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD16 MM HIP REDUCE	SUP-S-2651-1216	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD18 MM HIP REDUCE	SUP-S-2651-1218	CDM	270010024	LOCAL	270	RC		outpatient			9894	9894	2680.28				percent of total billed charges		9894				other	OPPS APC	7321.56				percent of total billed charges		9894				other	OPPS APC	9894				other	OPPS APC	2680.28				percent of total billed charges		2733.71				percent of total billed charges		9894				other	OPPS APC	2680.28	9894	
NECK FEMORAL RESTORATION TITANIUM HA PLASMA SPRAY 12 -5 MM STRAIGHT L155 MM OD18 MM HIP REDUCE	SUP-S-2651-1218	CDM	270010024	LOCAL	270	RC		inpatient			9894	9894																																																			
ARCOS 12X175MM BRCH BODY STD	SUP-97-04946	CDM			278	RC		outpatient			9890	989	9890				fee schedule		9890				other	OPPS APC	5637.3				percent of total billed charges		9890				other	OPPS APC	9890				other	OPPS APC	4846.1				percent of total billed charges		5043.9				percent of total billed charges		989				other	OPPS APC	989	9890	
ARCOS 12X175MM BRCH BODY STD	SUP-97-04946	CDM			278	RC		inpatient			9890	9890																																																			
FEMORAL COMPONENT POSTERIOR	SUP-97-00696	CDM			278	RC		outpatient			9888.75	9888.75	9888.75				fee schedule		9888.75				other	OPPS APC	5636.59				percent of total billed charges		9888.75				other	OPPS APC	9888.75				other	OPPS APC	4845.49				percent of total billed charges		5043.26				percent of total billed charges		9888.75				other	OPPS APC	4845.49	9888.75	
FEMORAL COMPONENT POSTERIOR	SUP-97-00696	CDM			278	RC		inpatient			9888.75	9888.75																																																			
GRAFT 7X7 EPIXL	SUP-97-02410	CDM			636	RC		outpatient			9870	987	4836.3				percent of total billed charges		9870				other	OPPS APC	178.33				fee schedule		9870				other	OPPS APC	9870				other	OPPS APC	4836.3				percent of total billed charges		2453.68				percent of total billed charges		987				other	OPPS APC	178.33	9870	
GRAFT 7X7 EPIXL	SUP-97-02410	CDM			636	RC		inpatient			9870	9870																																																			
STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM RIGHT SHOULDER FRACTURE	SUP-304-24-07	CDM	270010030	LOCAL	270	RC		outpatient			9860	986	2671.07				percent of total billed charges		9860				other	OPPS APC	7296.4				percent of total billed charges		9860				other	OPPS APC	9860				other	OPPS APC	2671.07				percent of total billed charges		2724.32				percent of total billed charges		986				other	OPPS APC	986	9860	
STEM HUMERAL EQUINOXE LONG L200 MM OD6.5 MM RIGHT SHOULDER FRACTURE	SUP-304-24-07	CDM	270010030	LOCAL	270	RC		inpatient			9860	9860																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C93E	CDM	270010015	LOCAL	270	RC		outpatient			9850	985	2668.37				percent of total billed charges		9850				other	OPPS APC	7289				percent of total billed charges		9850				other	OPPS APC	9850				other	OPPS APC	2668.37				percent of total billed charges		2721.56				percent of total billed charges		985				other	OPPS APC	985	9850	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C93E	CDM	270010015	LOCAL	270	RC		inpatient			9850	9850																																																			
GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16-13MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE	SUP-ETLW1613C93E	CDM	270010015	LOCAL	270	RC		outpatient			9850	985	2668.37				percent of total billed charges		9850				other	OPPS APC	7289				percent of total billed charges		9850				other	OPPS APC	9850				other	OPPS APC	2668.37				percent of total billed charges		2721.56				percent of total billed charges		985				other	OPPS APC	985	9850	
GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16-13MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE	SUP-ETLW1613C93E	CDM	270010015	LOCAL	270	RC		inpatient			9850	9850																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1616C124E	CDM	270010015	LOCAL	270	RC		outpatient			9850	985	2668.37				percent of total billed charges		9850				other	OPPS APC	7289				percent of total billed charges		9850				other	OPPS APC	9850				other	OPPS APC	2668.37				percent of total billed charges		2721.56				percent of total billed charges		985				other	OPPS APC	985	9850	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L124 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1616C124E	CDM	270010015	LOCAL	270	RC		inpatient			9850	9850																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C93E	CDM	270010015	LOCAL	270	RC		outpatient			9850	985	2668.37				percent of total billed charges		9850				other	OPPS APC	7289				percent of total billed charges		9850				other	OPPS APC	9850				other	OPPS APC	2668.37				percent of total billed charges		2721.56				percent of total billed charges		985				other	OPPS APC	985	9850	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C93E	CDM	270010015	LOCAL	270	RC		inpatient			9850	9850																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1624C93E	CDM	270010015	LOCAL	270	RC		outpatient			9850	985	2668.37				percent of total billed charges		9850				other	OPPS APC	7289				percent of total billed charges		9850				other	OPPS APC	9850				other	OPPS APC	2668.37				percent of total billed charges		2721.56				percent of total billed charges		985				other	OPPS APC	985	9850	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L93 MM OD16-24 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1624C93E	CDM	270010015	LOCAL	270	RC		inpatient			9850	9850																																																			
STEM FEMORAL OMNIFIT 5 LONG L250 MM DISTAL NECK CEMENTED REVISION	SUP-6088-0525-250R	CDM	270010024	LOCAL	270	RC		outpatient			9838	9838	2665.11				percent of total billed charges		9838				other	OPPS APC	7280.12				percent of total billed charges		9838				other	OPPS APC	9838				other	OPPS APC	2665.11				percent of total billed charges		2718.24				percent of total billed charges		9838				other	OPPS APC	2665.11	9838	
STEM FEMORAL OMNIFIT 5 LONG L250 MM DISTAL NECK CEMENTED REVISION	SUP-6088-0525-250R	CDM	270010024	LOCAL	270	RC		inpatient			9838	9838																																																			
OXINIUM FEM HD 12/14 36MM+0	SUP-97-01455	CDM			278	RC		outpatient			9825	9825	9825				fee schedule		9825				other	OPPS APC	5600.25				percent of total billed charges		9825				other	OPPS APC	9825				other	OPPS APC	4814.25				percent of total billed charges		5010.75				percent of total billed charges		9825				other	OPPS APC	4814.25	9825	
OXINIUM FEM HD 12/14 36MM+0	SUP-97-01455	CDM			278	RC		inpatient			9825	9825																																																			
CONE COUPLED 7D SZ2 5MM 31X31 LCCK	SUP-00-5446-052-21	CDM	270010024	LOCAL	270	RC		outpatient			9820.8	982.8	2660.45				percent of total billed charges		9820.8				other	OPPS APC	7267.39				percent of total billed charges		9820.8				other	OPPS APC	9820.8				other	OPPS APC	2660.45				percent of total billed charges		2713.49				percent of total billed charges		982.8				other	OPPS APC	982.8	9820.8	
CONE COUPLED 7D SZ2 5MM 31X31 LCCK	SUP-00-5446-052-21	CDM	270010024	LOCAL	270	RC		inpatient			9820.8	9820.8																																																			
IMPLANT LCCK 0D SIZE 4 5MM	SUP-00-5447-054-31	CDM	270010025	LOCAL	270	RC		outpatient			9820	982	2660.24				percent of total billed charges		9820				other	OPPS APC	7266.8				percent of total billed charges		9820				other	OPPS APC	9820				other	OPPS APC	2660.24				percent of total billed charges		2713.27				percent of total billed charges		982				other	OPPS APC	982	9820	
IMPLANT LCCK 0D SIZE 4 5MM	SUP-00-5447-054-31	CDM	270010025	LOCAL	270	RC		inpatient			9820	9820																																																			
NEXGEN LCCK SIZE 4 5MM	SUP-00-5447-054-36	CDM	270010025	LOCAL	270	RC		outpatient			9820	982	2660.24				percent of total billed charges		9820				other	OPPS APC	7266.8				percent of total billed charges		9820				other	OPPS APC	9820				other	OPPS APC	2660.24				percent of total billed charges		2713.27				percent of total billed charges		982				other	OPPS APC	982	9820	
NEXGEN LCCK SIZE 4 5MM	SUP-00-5447-054-36	CDM	270010025	LOCAL	270	RC		inpatient			9820	9820																																																			
INSERT LCCK SIZE 6 5 MM	SUP-00-5447-056-46	CDM	270010025	LOCAL	270	RC		outpatient			9820	982	2660.24				percent of total billed charges		9820				other	OPPS APC	7266.8				percent of total billed charges		9820				other	OPPS APC	9820				other	OPPS APC	2660.24				percent of total billed charges		2713.27				percent of total billed charges		982				other	OPPS APC	982	9820	
INSERT LCCK SIZE 6 5 MM	SUP-00-5447-056-46	CDM	270010025	LOCAL	270	RC		inpatient			9820	9820																																																			
EXCLUDER CONFORM EXTENDER AAA	SUP-CXA2000005	CDM			270	RC		outpatient			9808	988	2656.99				percent of total billed charges		9808				other	OPPS APC	7257.92				percent of total billed charges		9808				other	OPPS APC	9808				other	OPPS APC	2656.99				percent of total billed charges		2709.95				percent of total billed charges		988				other	OPPS APC	988	9808	
EXCLUDER CONFORM EXTENDER AAA	SUP-CXA2000005	CDM			270	RC		inpatient			9808	9808																																																			
TOTAL KNEE	SUP-97-00292	CDM			278	RC		outpatient			9800	98	9800				fee schedule		9800				other	OPPS APC	5586				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	4802				percent of total billed charges		4998				percent of total billed charges		98				other	OPPS APC	98	9800	
TOTAL KNEE	SUP-97-00292	CDM			278	RC		inpatient			9800	9800																																																			
TOTAL KNEE	SUP-97-02649	CDM			278	RC		outpatient			9800	98	9800				fee schedule		9800				other	OPPS APC	5586				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	4802				percent of total billed charges		4998				percent of total billed charges		98				other	OPPS APC	98	9800	
TOTAL KNEE	SUP-97-02649	CDM			278	RC		inpatient			9800	9800																																																			
TOTAL SHOULDER	SUP-97-03598	CDM			278	RC		outpatient			9800	98	9800				fee schedule		9800				other	OPPS APC	5586				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	4802				percent of total billed charges		4998				percent of total billed charges		98				other	OPPS APC	98	9800	
TOTAL SHOULDER	SUP-97-03598	CDM			278	RC		inpatient			9800	9800																																																			
VALVE AORTIC TRIFECTA GLIDE LINX BOVINE PERICARDIUM POLYESTER H15 MM H12 MM OD24 MM ODSEC19 MM FATIGUE RESISTANT LATEX FREE	SUP-TFGT-19A	CDM			270	RC		outpatient			9800	98	2654.82				percent of total billed charges		9800				other	OPPS APC	7252				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	2654.82				percent of total billed charges		2707.74				percent of total billed charges		98				other	OPPS APC	98	9800	
VALVE AORTIC TRIFECTA GLIDE LINX BOVINE PERICARDIUM POLYESTER H15 MM H12 MM OD24 MM ODSEC19 MM FATIGUE RESISTANT LATEX FREE	SUP-TFGT-19A	CDM			270	RC		inpatient			9800	9800																																																			
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H16 MM OD26 MM ODSEC21 MM RADIOPAQUE SEWING CUFF LATEX FREE	SUP-TFGT-21A	CDM			270	RC		outpatient			9800	98	2654.82				percent of total billed charges		9800				other	OPPS APC	7252				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	2654.82				percent of total billed charges		2707.74				percent of total billed charges		98				other	OPPS APC	98	9800	
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H16 MM OD26 MM ODSEC21 MM RADIOPAQUE SEWING CUFF LATEX FREE	SUP-TFGT-21A	CDM			270	RC		inpatient			9800	9800																																																			
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC23 MM RADIOPAQUE SEWING CUFF LATEX FREE	SUP-TFGT-23A	CDM			270	RC		outpatient			9800	98	2654.82				percent of total billed charges		9800				other	OPPS APC	7252				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	2654.82				percent of total billed charges		2707.74				percent of total billed charges		98				other	OPPS APC	98	9800	
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC23 MM RADIOPAQUE SEWING CUFF LATEX FREE	SUP-TFGT-23A	CDM			270	RC		inpatient			9800	9800																																																			
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC25 MM RADIOPAQUE SEWING CUFF LATEX FREE	SUP-TFGT-25A	CDM			270	RC		outpatient			9800	98	2654.82				percent of total billed charges		9800				other	OPPS APC	7252				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	2654.82				percent of total billed charges		2707.74				percent of total billed charges		98				other	OPPS APC	98	9800	
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER PORCINE PERICARDIUM 13 MM H17 MM OD28 MM ODSEC25 MM RADIOPAQUE SEWING CUFF LATEX FREE	SUP-TFGT-25A	CDM			270	RC		inpatient			9800	9800																																																			
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 15 MM H19 MM OD27 MM ODSEC33 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE	SUP-TFGT-27A	CDM			270	RC		outpatient			9800	98	2654.82				percent of total billed charges		9800				other	OPPS APC	7252				percent of total billed charges		9800				other	OPPS APC	9800				other	OPPS APC	2654.82				percent of total billed charges		2707.74				percent of total billed charges		98				other	OPPS APC	98	9800	
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 15 MM H19 MM OD27 MM ODSEC33 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE	SUP-TFGT-27A	CDM			270	RC		inpatient			9800	9800																																																			
TIBIAL SYM CONE AUGMENT SIZE E	SUP-97-05609	CDM			278	RC		outpatient			9795	9795	9795				fee schedule		9795				other	OPPS APC	5583.15				percent of total billed charges		9795				other	OPPS APC	9795				other	OPPS APC	4799.55				percent of total billed charges		4995.45				percent of total billed charges		9795				other	OPPS APC	4799.55	9795	
TIBIAL SYM CONE AUGMENT SIZE E	SUP-97-05609	CDM			278	RC		inpatient			9795	9795																																																			
NEXGEN LCCK FEMORAL SIZE G-LT	SUP-97-05848	CDM			278	RC		outpatient			9770.4	977.4	9770.4				fee schedule		9770.4				other	OPPS APC	5569.13				percent of total billed charges		9770.4				other	OPPS APC	9770.4				other	OPPS APC	4787.5				percent of total billed charges		4982.9				percent of total billed charges		977.4				other	OPPS APC	977.4	9770.4	
NEXGEN LCCK FEMORAL SIZE G-LT	SUP-97-05848	CDM			278	RC		inpatient			9770.4	9770.4																																																			
HC IR Tib/per   Initial  Pta	PX-361372281	CDM	37228	CPT	361	RC		outpatient			9750	975	3079.05				percent of total billed charges		9750				other	OPPS APC	9750				fee schedule		9750				other	OPPS APC	9750				other	OPPS APC	3079.05				percent of total billed charges		3140.48				percent of total billed charges		975				other	OPPS APC	975	9750	
HC IR Tib/per   Initial  Pta	PX-361372281	CDM	37228	CPT	361	RC		inpatient			9750	9750																																																			
HC Cc Coronary Stent Major Branch - Des	PX-481C96001	CDM			481	RC		outpatient			9750	1118.26	610.69				fee schedule		11180.26				other	OPPS APC	1553.9				fee schedule		11180.26				other	OPPS APC	11180.26				other	OPPS APC	568.27				fee schedule		4972.5				percent of total billed charges		1118.26				other	OPPS APC	568.27	11180.26	
HC Cc Coronary Stent Major Branch - Des	PX-481C96001	CDM			481	RC		inpatient			9750	9750																																																			
HC Cc Coronary Bypass Graft Major Brnch-Des	PX-481C96041	CDM			481	RC		outpatient			9750	975	610.33				fee schedule		9750				other	OPPS APC	1553.9				fee schedule		9750				other	OPPS APC	9750				other	OPPS APC	567.61				fee schedule		4972.5				percent of total billed charges		975				other	OPPS APC	567.61	9750	
HC Cc Coronary Bypass Graft Major Brnch-Des	PX-481C96041	CDM			481	RC		inpatient			9750	9750																																																			
PONTO PRO RIGHT	SUP-97-00109	CDM			272	RC		outpatient			9750	975	2641.28				percent of total billed charges		9750				other	OPPS APC	7215				percent of total billed charges		9750				other	OPPS APC	9750				other	OPPS APC	2641.28				percent of total billed charges		2693.93				percent of total billed charges		975				other	OPPS APC	975	9750	
PONTO PRO RIGHT	SUP-97-00109	CDM			272	RC		inpatient			9750	9750																																																			
PONTO PRO LEFT	SUP-97-00110	CDM			272	RC		outpatient			9750	975	2641.28				percent of total billed charges		9750				other	OPPS APC	7215				percent of total billed charges		9750				other	OPPS APC	9750				other	OPPS APC	2641.28				percent of total billed charges		2693.93				percent of total billed charges		975				other	OPPS APC	975	9750	
PONTO PRO LEFT	SUP-97-00110	CDM			272	RC		inpatient			9750	9750																																																			
TOTAL HIP METAL	SUP-97-02650	CDM			278	RC		outpatient			9750	975	9750				fee schedule		9750				other	OPPS APC	5557.5				percent of total billed charges		9750				other	OPPS APC	9750				other	OPPS APC	4777.5				percent of total billed charges		4972.5				percent of total billed charges		975				other	OPPS APC	975	9750	
TOTAL HIP METAL	SUP-97-02650	CDM			278	RC		inpatient			9750	9750																																																			
SPACER OPAL 10MM X 28MM X 10MM	SUP-013210	CDM	270010020	LOCAL	270	RC		outpatient			9747.8	9747.8	2640.68				percent of total billed charges		9747.8				other	OPPS APC	7213.37				percent of total billed charges		9747.8				other	OPPS APC	9747.8				other	OPPS APC	2640.68				percent of total billed charges		2693.32				percent of total billed charges		9747.8				other	OPPS APC	2640.68	9747.8	
SPACER OPAL 10MM X 28MM X 10MM	SUP-013210	CDM	270010020	LOCAL	270	RC		inpatient			9747.8	9747.8																																																			
SPACER OPAL 10MM X 28MM X 11MM	SUP-013211	CDM	270010020	LOCAL	270	RC		outpatient			9747.8	9747.8	2640.68				percent of total billed charges		9747.8				other	OPPS APC	7213.37				percent of total billed charges		9747.8				other	OPPS APC	9747.8				other	OPPS APC	2640.68				percent of total billed charges		2693.32				percent of total billed charges		9747.8				other	OPPS APC	2640.68	9747.8	
SPACER OPAL 10MM X 28MM X 11MM	SUP-013211	CDM	270010020	LOCAL	270	RC		inpatient			9747.8	9747.8																																																			
SPACER OPAL 10MM X 28MM X 9MM	SUP-01329	CDM	270010020	LOCAL	270	RC		outpatient			9747.8	9747.8	2640.68				percent of total billed charges		9747.8				other	OPPS APC	7213.37				percent of total billed charges		9747.8				other	OPPS APC	9747.8				other	OPPS APC	2640.68				percent of total billed charges		2693.32				percent of total billed charges		9747.8				other	OPPS APC	2640.68	9747.8	
SPACER OPAL 10MM X 28MM X 9MM	SUP-01329	CDM	270010020	LOCAL	270	RC		inpatient			9747.8	9747.8																																																			
FERRIC DERISOMALTOSE 100 MG IRON/ML SOLUTION 10 ML VIAL	636000000	CDM	73594-9310-1	NDC	J1437	HCPCS		inpatient			9740.3	9740.3																																																			
FERRIC DERISOMALTOSE 100 MG IRON/ML SOLUTION 10 ML VIAL	636000000	CDM	73594-9310-1	NDC	J1437	HCPCS		outpatient			9740.3	21.24																																											21.24				other	OPPS APC	21.24	21.24	
STIMULAN RAPID CURE	SUP-97-04524	CDM			278	RC		outpatient			9737.5	9737.5	9737.5				fee schedule		9737.5				other	OPPS APC	5550.38				percent of total billed charges		9737.5				other	OPPS APC	9737.5				other	OPPS APC	4771.38				percent of total billed charges		4966.13				percent of total billed charges		9737.5				other	OPPS APC	4771.38	9737.5	
STIMULAN RAPID CURE	SUP-97-04524	CDM			278	RC		inpatient			9737.5	9737.5																																																			
STENT - COVERED - VIABAHN 6 X 150	SUP-99-01506	CDM			278	RC		outpatient			9737.5	9737.5	9737.5				fee schedule		9737.5				other	OPPS APC	5550.38				percent of total billed charges		9737.5				other	OPPS APC	9737.5				other	OPPS APC	4771.38				percent of total billed charges		4966.13				percent of total billed charges		9737.5				other	OPPS APC	4771.38	9737.5	
STENT - COVERED - VIABAHN 6 X 150	SUP-99-01506	CDM			278	RC		inpatient			9737.5	9737.5																																																			
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W9 MM RADIOPAQUE NONSTERILE TLIF	SUP-48392094	CDM	270010020	LOCAL	270	RC		outpatient			9734.28	9734.29	2637.02				percent of total billed charges		9734.28				other	OPPS APC	7203.37				percent of total billed charges		9734.28				other	OPPS APC	9734.28				other	OPPS APC	2637.02				percent of total billed charges		2689.58				percent of total billed charges		9734.29				other	OPPS APC	2637.02	9734.29	
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W9 MM RADIOPAQUE NONSTERILE TLIF	SUP-48392094	CDM	270010020	LOCAL	270	RC		inpatient			9734.28	9734.28																																																			
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W10 MM RADIOPAQUE NONSTERILE TLIF	SUP-48392104	CDM	270010020	LOCAL	270	RC		outpatient			9734.28	9734.29	2637.02				percent of total billed charges		9734.28				other	OPPS APC	7203.37				percent of total billed charges		9734.28				other	OPPS APC	9734.28				other	OPPS APC	2637.02				percent of total billed charges		2689.58				percent of total billed charges		9734.29				other	OPPS APC	2637.02	9734.29	
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W10 MM RADIOPAQUE NONSTERILE TLIF	SUP-48392104	CDM	270010020	LOCAL	270	RC		inpatient			9734.28	9734.28																																																			
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H10 MM RADIOPAQUE NONSTERILE TLIF	SUP-48393104	CDM	270010020	LOCAL	270	RC		outpatient			9734.28	9734.29	2637.02				percent of total billed charges		9734.28				other	OPPS APC	7203.37				percent of total billed charges		9734.28				other	OPPS APC	9734.28				other	OPPS APC	2637.02				percent of total billed charges		2689.58				percent of total billed charges		9734.29				other	OPPS APC	2637.02	9734.29	
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H10 MM RADIOPAQUE NONSTERILE TLIF	SUP-48393104	CDM	270010020	LOCAL	270	RC		inpatient			9734.28	9734.28																																																			
HOW ROT HNG KNEE FEM SM RT	SUP-97-04713	CDM			278	RC		outpatient			9730	973	9730				fee schedule		9730				other	OPPS APC	5546.1				percent of total billed charges		9730				other	OPPS APC	9730				other	OPPS APC	4767.7				percent of total billed charges		4962.3				percent of total billed charges		973				other	OPPS APC	973	9730	
HOW ROT HNG KNEE FEM SM RT	SUP-97-04713	CDM			278	RC		inpatient			9730	9730																																																			
ARCOS 16X150MM SPL TPR DIST	SUP-97-04025	CDM			278	RC		outpatient			9718.75	9718.75	9718.75				fee schedule		9718.75				other	OPPS APC	5539.69				percent of total billed charges		9718.75				other	OPPS APC	9718.75				other	OPPS APC	4762.19				percent of total billed charges		4956.56				percent of total billed charges		9718.75				other	OPPS APC	4762.19	9718.75	
ARCOS 16X150MM SPL TPR DIST	SUP-97-04025	CDM			278	RC		inpatient			9718.75	9718.75																																																			
ARCOS 17X150MM SPL TPR DIST	SUP-97-04287	CDM			278	RC		outpatient			9718.75	9718.75	9718.75				fee schedule		9718.75				other	OPPS APC	5539.69				percent of total billed charges		9718.75				other	OPPS APC	9718.75				other	OPPS APC	4762.19				percent of total billed charges		4956.56				percent of total billed charges		9718.75				other	OPPS APC	4762.19	9718.75	
ARCOS 17X150MM SPL TPR DIST	SUP-97-04287	CDM			278	RC		inpatient			9718.75	9718.75																																																			
ENDOPROSTHESIS AAA	SUP-PLC121400	CDM			270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
ENDOPROSTHESIS AAA	SUP-PLC121400	CDM			270	RC		inpatient			9714	9714																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER L14 CM OD14.5 MM ID12-13.5 MM CONTRALATERAL LEG AAA ACCEPTS 12 FR SHEATH	SUP-PLC141400	CDM			270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
GRAFT ENDOVASCULAR GORE EXCLUDER L14 CM OD14.5 MM ID12-13.5 MM CONTRALATERAL LEG AAA ACCEPTS 12 FR SHEATH	SUP-PLC141400	CDM			270	RC		inpatient			9714	9714																																																			
IMPLANT GORE EXCLUDER 16MM X 11.5 CM	SUP-PLC161200	CDM	270010015	LOCAL	270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
IMPLANT GORE EXCLUDER 16MM X 11.5 CM	SUP-PLC161200	CDM	270010015	LOCAL	270	RC		inpatient			9714	9714																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L13.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA	SUP-PLC161400	CDM	270010015	LOCAL	270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L13.5 CM OD16 MM ID13.5-14.5 MM CONTRALATERAL LEG STENT ABRASION RESISTANT SINUSOIDAL DESIGN SEAL CUFF AAA	SUP-PLC161400	CDM	270010015	LOCAL	270	RC		inpatient			9714	9714																																																			
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG	SUP-PLC181400	CDM	270010015	LOCAL	270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
GRAFT GORE EXCLUDER  AAA ENDOPROSTHESIS-CONTRALATERAL LEG	SUP-PLC181400	CDM	270010015	LOCAL	270	RC		inpatient			9714	9714																																																			
IMPLANT GORE EXCLUDER 20MM X 9.5 CM	SUP-PLC201000	CDM	270010015	LOCAL	270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
IMPLANT GORE EXCLUDER 20MM X 9.5 CM	SUP-PLC201000	CDM	270010015	LOCAL	270	RC		inpatient			9714	9714																																																			
GRAFT ENDOVASCULAR GORE-TEX EXCLUDER NITINOL FEP L13.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG SINUSOIDAL STENT SEAL CUFF ABRASION RESISTANT AAA	SUP-PLC201400	CDM	270010015	LOCAL	270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
GRAFT ENDOVASCULAR GORE-TEX EXCLUDER NITINOL FEP L13.5 CM OD20 MM ID16.5-18.5 MM CONTRALATERAL LEG SINUSOIDAL STENT SEAL CUFF ABRASION RESISTANT AAA	SUP-PLC201400	CDM	270010015	LOCAL	270	RC		inpatient			9714	9714																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD27 MM	SUP-PLC271200	CDM			270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP L12 CM OD27 MM	SUP-PLC271200	CDM			270	RC		inpatient			9714	9714																																																			
GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS	SUP-PLC271400	CDM	270010015	LOCAL	270	RC		outpatient			9714	9714	2631.52				percent of total billed charges		9714				other	OPPS APC	7188.36				percent of total billed charges		9714				other	OPPS APC	9714				other	OPPS APC	2631.52				percent of total billed charges		2683.98				percent of total billed charges		9714				other	OPPS APC	2631.52	9714	
GRAFT GORE EXCLUDER AAA ENDOPROSTHESIS	SUP-PLC271400	CDM	270010015	LOCAL	270	RC		inpatient			9714	9714																																																			
HC IR Thrombectomy Arterial Initial	PX-361371841	CDM	37184	CPT	361	RC		outpatient			9700	97	3063.26				percent of total billed charges		9700				other	OPPS APC	9700				fee schedule		9700				other	OPPS APC	9700				other	OPPS APC	3063.26				percent of total billed charges		3124.37				percent of total billed charges		97				other	OPPS APC	97	9700	
HC IR Thrombectomy Arterial Initial	PX-361371841	CDM	37184	CPT	361	RC		inpatient			9700	9700																																																			
HC Cc Coronary Stent Major Branch	PX-481929281	CDM	92928	CPT	481	RC		outpatient			9700	97	610.69				fee schedule		9700				other	OPPS APC	1553.9				fee schedule		9700				other	OPPS APC	9700				other	OPPS APC	568.27				fee schedule		4947				percent of total billed charges		97				other	OPPS APC	97	9700	
HC Cc Coronary Stent Major Branch	PX-481929281	CDM	92928	CPT	481	RC		inpatient			9700	9700																																																			
GRAFT ENDURANT LIMB SHORT	SUP-ENLW1612C82E	CDM	270010015	LOCAL	270	RC		outpatient			9700	97	2627.73				percent of total billed charges		9700				other	OPPS APC	7178				percent of total billed charges		9700				other	OPPS APC	9700				other	OPPS APC	2627.73				percent of total billed charges		2680.11				percent of total billed charges		97				other	OPPS APC	97	9700	
GRAFT ENDURANT LIMB SHORT	SUP-ENLW1612C82E	CDM	270010015	LOCAL	270	RC		inpatient			9700	9700																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD16/13 MM ODSEC14 FR ENDOVASCULAR SELF EXPAND CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1613C82E	CDM	270010015	LOCAL	270	RC		outpatient			9700	97	2627.73				percent of total billed charges		9700				other	OPPS APC	7178				percent of total billed charges		9700				other	OPPS APC	9700				other	OPPS APC	2627.73				percent of total billed charges		2680.11				percent of total billed charges		97				other	OPPS APC	97	9700	
GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD16/13 MM ODSEC14 FR ENDOVASCULAR SELF EXPAND CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1613C82E	CDM	270010015	LOCAL	270	RC		inpatient			9700	9700																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD28-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1628C82E	CDM	270010015	LOCAL	270	RC		outpatient			9700	97	2627.73				percent of total billed charges		9700				other	OPPS APC	7178				percent of total billed charges		9700				other	OPPS APC	9700				other	OPPS APC	2627.73				percent of total billed charges		2680.11				percent of total billed charges		97				other	OPPS APC	97	9700	
GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD28-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1628C82E	CDM	270010015	LOCAL	270	RC		inpatient			9700	9700																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C82E	CDM	270010015	LOCAL	270	RC		outpatient			9700	97	2627.73				percent of total billed charges		9700				other	OPPS APC	7178				percent of total billed charges		9700				other	OPPS APC	9700				other	OPPS APC	2627.73				percent of total billed charges		2680.11				percent of total billed charges		97				other	OPPS APC	97	9700	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-10 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1610C82E	CDM	270010015	LOCAL	270	RC		inpatient			9700	9700																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1613C82E	CDM	270010015	LOCAL	270	RC		outpatient			9700	97	2627.73				percent of total billed charges		9700				other	OPPS APC	7178				percent of total billed charges		9700				other	OPPS APC	9700				other	OPPS APC	2627.73				percent of total billed charges		2680.11				percent of total billed charges		97				other	OPPS APC	97	9700	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-13 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1613C82E	CDM	270010015	LOCAL	270	RC		inpatient			9700	9700																																																			
FEMUR	SUP-97-00716	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR	SUP-97-00716	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 5/LT	SUP-97-01001	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 5/LT	SUP-97-01001	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 3./RT	SUP-97-01056	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 3./RT	SUP-97-01056	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 4RT	SUP-97-01121	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 4RT	SUP-97-01121	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 2.5RT	SUP-97-01124	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 2.5RT	SUP-97-01124	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 2.5 LT	SUP-97-01239	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 2.5 LT	SUP-97-01239	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 3.5 LT	SUP-97-01242	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 3.5 LT	SUP-97-01242	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 4/LT	SUP-97-01368	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 4/LT	SUP-97-01368	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 6/LT	SUP-97-01441	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 6/LT	SUP-97-01441	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 2/LT	SUP-97-02004	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 2/LT	SUP-97-02004	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 5/LT	SUP-97-02008	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 5/LT	SUP-97-02008	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 5/LT	SUP-97-02123	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 5/LT	SUP-97-02123	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 3/LT	SUP-97-02138	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 3/LT	SUP-97-02138	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 2/RT	SUP-97-02173	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 2/RT	SUP-97-02173	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMUR PS 3.5/RT	SUP-97-02193	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMUR PS 3.5/RT	SUP-97-02193	CDM			278	RC		inpatient			9665.23	9665.23																																																			
FEMORAL COMPONENT POSTERIOR	SUP-97-02610	CDM			278	RC		outpatient			9665.23	9665.23	9665.23				fee schedule		9665.23				other	OPPS APC	5509.18				percent of total billed charges		9665.23				other	OPPS APC	9665.23				other	OPPS APC	4735.96				percent of total billed charges		4929.27				percent of total billed charges		9665.23				other	OPPS APC	4735.96	9665.23	
FEMORAL COMPONENT POSTERIOR	SUP-97-02610	CDM			278	RC		inpatient			9665.23	9665.23																																																			
PROXIMAL BODY 13MM	SUP-97-06275	CDM			278	RC		outpatient			9665	9665	9665				fee schedule		9665				other	OPPS APC	5509.05				percent of total billed charges		9665				other	OPPS APC	9665				other	OPPS APC	4735.85				percent of total billed charges		4929.15				percent of total billed charges		9665				other	OPPS APC	4735.85	9665	
PROXIMAL BODY 13MM	SUP-97-06275	CDM			278	RC		inpatient			9665	9665																																																			
HC Cc Coronary Stent Addl Branch - Des	PX-481C96011	CDM			481	RC		outpatient			9658	9658	9658				fee schedule		9658				other	OPPS APC	62.91				fee schedule		9658				other	OPPS APC	9658				other	OPPS APC	4732.42				percent of total billed charges		4925.58				percent of total billed charges		9658				other	OPPS APC	62.91	9658	
HC Cc Coronary Stent Addl Branch - Des	PX-481C96011	CDM			481	RC		inpatient			9658	9658																																																			
HC Cc Coronary Ather & Stent Addl Brnch-Des	PX-481C96031	CDM			481	RC		outpatient			9658	9658	9658				fee schedule		9658				other	OPPS APC	19.22				fee schedule		9658				other	OPPS APC	9658				other	OPPS APC	4732.42				percent of total billed charges		4925.58				percent of total billed charges		9658				other	OPPS APC	19.22	9658	
HC Cc Coronary Ather & Stent Addl Brnch-Des	PX-481C96031	CDM			481	RC		inpatient			9658	9658																																																			
HC Cc Coronary Bypass Graft Addl Branch-Des	PX-481C96051	CDM			481	RC		outpatient			9658	9658	9658				fee schedule		9658				other	OPPS APC	62.02				fee schedule		9658				other	OPPS APC	9658				other	OPPS APC	4732.42				percent of total billed charges		4925.58				percent of total billed charges		9658				other	OPPS APC	62.02	9658	
HC Cc Coronary Bypass Graft Addl Branch-Des	PX-481C96051	CDM			481	RC		inpatient			9658	9658																																																			
HC Cc Coronary Pci in Cto Addl Branch - Des	PX-481C96081	CDM			481	RC		outpatient			9658	9658	9658				fee schedule		9658				other	OPPS APC	20.97				fee schedule		9658				other	OPPS APC	9658				other	OPPS APC	4732.42				percent of total billed charges		4925.58				percent of total billed charges		9658				other	OPPS APC	20.97	9658	
HC Cc Coronary Pci in Cto Addl Branch - Des	PX-481C96081	CDM			481	RC		inpatient			9658	9658																																																			
CATHETER - THROMBECTOMY ZELANTE DVT	SUP-99-03162	CDM			272	RC		outpatient			9630.5	963.5	2608.9				percent of total billed charges		9630.5				other	OPPS APC	7126.57				percent of total billed charges		9630.5				other	OPPS APC	9630.5				other	OPPS APC	2608.9				percent of total billed charges		2660.91				percent of total billed charges		963.5				other	OPPS APC	963.5	9630.5	
CATHETER - THROMBECTOMY ZELANTE DVT	SUP-99-03162	CDM			272	RC		inpatient			9630.5	9630.5																																																			
IMPLANT 9MM W/ABUTMENT BILATERAL	SUP-97-01824	CDM			278	RC		inpatient			9625	9625																																																			
IMPLANT 9MM W/ABUTMENT BILATERAL	SUP-97-01824	CDM			278	RC		outpatient			9625	9625					fee schedule						other	OPPS APC	5486.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	4716.25				percent of total billed charges		4908.75				percent of total billed charges						other	OPPS APC	5486.25	5486.25	
CAGE SPINEWAVE STAXX 25X9X7	SUP-11-1525	CDM	270010020	LOCAL	270	RC		outpatient			9600	96	2600.64				percent of total billed charges		9600				other	OPPS APC	7104				percent of total billed charges		9600				other	OPPS APC	9600				other	OPPS APC	2600.64				percent of total billed charges		2652.48				percent of total billed charges		96				other	OPPS APC	96	9600	
CAGE SPINEWAVE STAXX 25X9X7	SUP-11-1525	CDM	270010020	LOCAL	270	RC		inpatient			9600	9600																																																			
CAGE SPINEWAVE STAXX 25X9X7	SUP-11-1551	CDM	270010020	LOCAL	270	RC		outpatient			9600	96	2600.64				percent of total billed charges		9600				other	OPPS APC	7104				percent of total billed charges		9600				other	OPPS APC	9600				other	OPPS APC	2600.64				percent of total billed charges		2652.48				percent of total billed charges		96				other	OPPS APC	96	9600	
CAGE SPINEWAVE STAXX 25X9X7	SUP-11-1551	CDM	270010020	LOCAL	270	RC		inpatient			9600	9600																																																			
MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L20 MM X W17 MM L5 MM SPINE KNIT STERILE	SUP-330-2005	CDM			270	RC		outpatient			9600	96	2600.64				percent of total billed charges		9600				other	OPPS APC	7104				percent of total billed charges		9600				other	OPPS APC	9600				other	OPPS APC	2600.64				percent of total billed charges		2652.48				percent of total billed charges		96				other	OPPS APC	96	9600	
MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L20 MM X W17 MM L5 MM SPINE KNIT STERILE	SUP-330-2005	CDM			270	RC		inpatient			9600	9600																																																			
MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L22 MM X W19 MM L5 MM SPINE KNIT STERILE	SUP-330-2205	CDM			270	RC		outpatient			9600	96	2600.64				percent of total billed charges		9600				other	OPPS APC	7104				percent of total billed charges		9600				other	OPPS APC	9600				other	OPPS APC	2600.64				percent of total billed charges		2652.48				percent of total billed charges		96				other	OPPS APC	96	9600	
MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L22 MM X W19 MM L5 MM SPINE KNIT STERILE	SUP-330-2205	CDM			270	RC		inpatient			9600	9600																																																			
MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L25 MM X W20 MM L5 MM SPINE KNIT STERILE	SUP-330-2505	CDM	270010020	LOCAL	270	RC		outpatient			9600	96	2600.64				percent of total billed charges		9600				other	OPPS APC	7104				percent of total billed charges		9600				other	OPPS APC	9600				other	OPPS APC	2600.64				percent of total billed charges		2652.48				percent of total billed charges		96				other	OPPS APC	96	9600	
MESH SURGICAL OPTIMESH POLYETHYLENE TEREPHTHALATE L25 MM X W20 MM L5 MM SPINE KNIT STERILE	SUP-330-2505	CDM	270010020	LOCAL	270	RC		inpatient			9600	9600																																																			
PURAPLYE AM-COM 6X9	SUP-95-02594	CDM			636	RC		outpatient			9600	96	4704				percent of total billed charges		9600				other	OPPS APC	124.93				fee schedule		9600				other	OPPS APC	9600				other	OPPS APC	4704				percent of total billed charges		2386.56				percent of total billed charges		96				other	OPPS APC	96	9600	
PURAPLYE AM-COM 6X9	SUP-95-02594	CDM			636	RC		inpatient			9600	9600																																																			
SPACER SPINAL ENDOSKELETON TT 4 D D11 MM LARGE W30 MM X H12 MM INTERBODY FUSION DEVICE LORDOSIS	SUP-4114-3012	CDM	270010020	LOCAL	270	RC		outpatient			9594	9594	2599.01				percent of total billed charges		9594				other	OPPS APC	7099.56				percent of total billed charges		9594				other	OPPS APC	9594				other	OPPS APC	2599.01				percent of total billed charges		2650.82				percent of total billed charges		9594				other	OPPS APC	2599.01	9594	
SPACER SPINAL ENDOSKELETON TT 4 D D11 MM LARGE W30 MM X H12 MM INTERBODY FUSION DEVICE LORDOSIS	SUP-4114-3012	CDM	270010020	LOCAL	270	RC		inpatient			9594	9594																																																			
GRAFT STENT FLUENCY PLUS EPTFE CARBON L60 MM L80 CM OD8 MM ODSEC9 FR ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE	SUP-FEM08060	CDM			270	RC		outpatient			9590	959	2597.93				percent of total billed charges		9590				other	OPPS APC	7096.6				percent of total billed charges		9590				other	OPPS APC	9590				other	OPPS APC	2597.93				percent of total billed charges		2649.72				percent of total billed charges		959				other	OPPS APC	959	9590	
GRAFT STENT FLUENCY PLUS EPTFE CARBON L60 MM L80 CM OD8 MM ODSEC9 FR ENDOVASCULAR 2 LAYER KINK RESISTANCE INNER CATHETER MULTIBRAID DELIVERY SYSTEM RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE	SUP-FEM08060	CDM			270	RC		inpatient			9590	9590																																																			
STEM FEMORAL M/L TCP HA 40 MM TAPER STRAIGHT EXTENDED OFFSET L107 MM OD4 MM HIP PRIMARY STERILE	SUP-65-7711-004-40	CDM	270010024	LOCAL	270	RC		outpatient			9588	9588	2597.39				percent of total billed charges		9588				other	OPPS APC	7095.12				percent of total billed charges		9588				other	OPPS APC	9588				other	OPPS APC	2597.39				percent of total billed charges		2649.16				percent of total billed charges		9588				other	OPPS APC	2597.39	9588	
STEM FEMORAL M/L TCP HA 40 MM TAPER STRAIGHT EXTENDED OFFSET L107 MM OD4 MM HIP PRIMARY STERILE	SUP-65-7711-004-40	CDM	270010024	LOCAL	270	RC		inpatient			9588	9588																																																			
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SOLUTION	636000000	CDM	55513-730-01	NDC	J0897	HCPCS		inpatient			9583.3	9583.3																																																			
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SOLUTION	636000000	CDM	55513-730-01	NDC	J0897	HCPCS		outpatient			9583.3	26.83																																											26.83				other	OPPS APC	26.83	26.83	
NAIL 10MM/130 DEG TI CANN TFNA340MM RT	SUP-97-03439	CDM			278	RC		outpatient			9570	957	9570				fee schedule		9570				other	OPPS APC	5454.9				percent of total billed charges		9570				other	OPPS APC	9570				other	OPPS APC	4689.3				percent of total billed charges		4880.7				percent of total billed charges		957				other	OPPS APC	957	9570	
NAIL 10MM/130 DEG TI CANN TFNA340MM RT	SUP-97-03439	CDM			278	RC		inpatient			9570	9570																																																			
CAP PRICING EXACTECH TOTAL SHOULDER WTIH REV STEM AT 40%	SUP-REVSHOULD-EXACT	CDM	270010030	LOCAL	270	RC		outpatient			9568	9568	2591.97				percent of total billed charges		9568				other	OPPS APC	7080.32				percent of total billed charges		9568				other	OPPS APC	9568				other	OPPS APC	2591.97				percent of total billed charges		2643.64				percent of total billed charges		9568				other	OPPS APC	2591.97	9568	
CAP PRICING EXACTECH TOTAL SHOULDER WTIH REV STEM AT 40%	SUP-REVSHOULD-EXACT	CDM	270010030	LOCAL	270	RC		inpatient			9568	9568																																																			
DEVICE CARDIAC ASSERT-IQ THK 3.1MM 3+ L9.4 MM X H 46.5MM ICM	SUP-DM5300	CDM			270	RC		outpatient			9560	956	2589.8				percent of total billed charges		9560				other	OPPS APC	7074.4				percent of total billed charges		9560				other	OPPS APC	9560				other	OPPS APC	2589.8				percent of total billed charges		2641.43				percent of total billed charges		956				other	OPPS APC	956	9560	
DEVICE CARDIAC ASSERT-IQ THK 3.1MM 3+ L9.4 MM X H 46.5MM ICM	SUP-DM5300	CDM			270	RC		inpatient			9560	9560																																																			
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD19 MM ID17.8 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-19AGFN-756	CDM			270	RC		outpatient			9548	9548	2586.55				percent of total billed charges		9548				other	OPPS APC	7065.52				percent of total billed charges		9548				other	OPPS APC	9548				other	OPPS APC	2586.55				percent of total billed charges		2638.11				percent of total billed charges		9548				other	OPPS APC	2586.55	9548	
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD19 MM ID17.8 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-19AGFN-756	CDM			270	RC		inpatient			9548	9548																																																			
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD21 MM ID19.6 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-21AGFN-756	CDM			270	RC		outpatient			9548	9548	2586.55				percent of total billed charges		9548				other	OPPS APC	7065.52				percent of total billed charges		9548				other	OPPS APC	9548				other	OPPS APC	2586.55				percent of total billed charges		2638.11				percent of total billed charges		9548				other	OPPS APC	2586.55	9548	
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD21 MM ID19.6 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-21AGFN-756	CDM			270	RC		inpatient			9548	9548																																																			
VALVE AORTIC REGENT FLEXCUFF 85 D OD27 MM ID24.9 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-27AGFN-756	CDM			270	RC		outpatient			9548	9548	2586.55				percent of total billed charges		9548				other	OPPS APC	7065.52				percent of total billed charges		9548				other	OPPS APC	9548				other	OPPS APC	2586.55				percent of total billed charges		2638.11				percent of total billed charges		9548				other	OPPS APC	2586.55	9548	
VALVE AORTIC REGENT FLEXCUFF 85 D OD27 MM ID24.9 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-27AGFN-756	CDM			270	RC		inpatient			9548	9548																																																			
INFINITY ADAPTIS FLATCUT TALDOME SIZE 3	SUP-97-05967	CDM			278	RC		outpatient			9540	954	9540				fee schedule		9540				other	OPPS APC	5437.8				percent of total billed charges		9540				other	OPPS APC	9540				other	OPPS APC	4674.6				percent of total billed charges		4865.4				percent of total billed charges		954				other	OPPS APC	954	9540	
INFINITY ADAPTIS FLATCUT TALDOME SIZE 3	SUP-97-05967	CDM			278	RC		inpatient			9540	9540																																																			
INFINITY ADAPTIS FLATCUT TALAR DOME SIZE 4	SUP-97-06253	CDM			278	RC		outpatient			9540	954	9540				fee schedule		9540				other	OPPS APC	5437.8				percent of total billed charges		9540				other	OPPS APC	9540				other	OPPS APC	4674.6				percent of total billed charges		4865.4				percent of total billed charges		954				other	OPPS APC	954	9540	
INFINITY ADAPTIS FLATCUT TALAR DOME SIZE 4	SUP-97-06253	CDM			278	RC		inpatient			9540	9540																																																			
FEMUR SIZE 2 NMC	SUP-97-01116	CDM			278	RC		outpatient			9518.44	9518.45	9518.44				fee schedule		9518.44				other	OPPS APC	5425.51				percent of total billed charges		9518.44				other	OPPS APC	9518.44				other	OPPS APC	4664.04				percent of total billed charges		4854.4				percent of total billed charges		9518.45				other	OPPS APC	4664.04	9518.45	
FEMUR SIZE 2 NMC	SUP-97-01116	CDM			278	RC		inpatient			9518.44	9518.44																																																			
FEMUR SIZE 3 NMC	SUP-97-01635	CDM			278	RC		outpatient			9518.44	9518.45	9518.44				fee schedule		9518.44				other	OPPS APC	5425.51				percent of total billed charges		9518.44				other	OPPS APC	9518.44				other	OPPS APC	4664.04				percent of total billed charges		4854.4				percent of total billed charges		9518.45				other	OPPS APC	4664.04	9518.45	
FEMUR SIZE 3 NMC	SUP-97-01635	CDM			278	RC		inpatient			9518.44	9518.44																																																			
SURGIMEND  PRS	SUP-97-01995	CDM			278	RC		outpatient			9511.25	9511.25	4660.51				percent of total billed charges		9511.25				other	OPPS APC	5421.41				percent of total billed charges		9511.25				other	OPPS APC	9511.25				other	OPPS APC	4660.51				percent of total billed charges		4850.74				percent of total billed charges		9511.25				other	OPPS APC	4660.51	9511.25	
SURGIMEND  PRS	SUP-97-01995	CDM			278	RC		inpatient			9511.25	9511.25																																																			
STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L5 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS	SUP-PTB8105275	CDM			270	RC		outpatient			9508	958	2575.72				percent of total billed charges		9508				other	OPPS APC	7035.92				percent of total billed charges		9508				other	OPPS APC	9508				other	OPPS APC	2575.72				percent of total billed charges		2627.06				percent of total billed charges		958				other	OPPS APC	958	9508	
STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L5 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS	SUP-PTB8105275	CDM			270	RC		inpatient			9508	9508																																																			
ARTHROFLEX 201	SUP-97-04884	CDM			636	RC		inpatient			9505	9505																																																			
ARTHROFLEX 201	SUP-97-04884	CDM			636	RC		outpatient			9505	9505					fee schedule						other	OPPS APC	7033.7				percent of total billed charges						other	OPPS APC					other	OPPS APC	4657.45				percent of total billed charges		2362.94				percent of total billed charges						other	OPPS APC	7033.7	7033.7	
LEAD PACING ENDOTAK RELIANCE SG STEROID ELUTING SILICONE EPTFE L59 CM ENDOCARDIUM 1 COIL ACTIVE FIXATION CARDIOVERTER DEFIBRILLATOR EXTENDABLE	SUP-180	CDM	275001005	LOCAL	275	RC		outpatient			9500	95	4655				percent of total billed charges		9500				other	OPPS APC	5415				percent of total billed charges		9500				other	OPPS APC	9500				other	OPPS APC	4655				percent of total billed charges		4845				percent of total billed charges		95				other	OPPS APC	95	9500	
LEAD PACING ENDOTAK RELIANCE SG STEROID ELUTING SILICONE EPTFE L59 CM ENDOCARDIUM 1 COIL ACTIVE FIXATION CARDIOVERTER DEFIBRILLATOR EXTENDABLE	SUP-180	CDM	275001005	LOCAL	275	RC		inpatient			9500	9500																																																			
PONTO PRO LEFT BLACK	SUP-97-00108	CDM			272	RC		outpatient			9500	95	2573.55				percent of total billed charges		9500				other	OPPS APC	7030				percent of total billed charges		9500				other	OPPS APC	9500				other	OPPS APC	2573.55				percent of total billed charges		2624.85				percent of total billed charges		95				other	OPPS APC	95	9500	
PONTO PRO LEFT BLACK	SUP-97-00108	CDM			272	RC		inpatient			9500	9500																																																			
UNIPOLAR/ BIPOLAR HIP	SUP-97-02652	CDM			278	RC		outpatient			9500	95	9500				fee schedule		9500				other	OPPS APC	5415				percent of total billed charges		9500				other	OPPS APC	9500				other	OPPS APC	4655				percent of total billed charges		4845				percent of total billed charges		95				other	OPPS APC	95	9500	
UNIPOLAR/ BIPOLAR HIP	SUP-97-02652	CDM			278	RC		inpatient			9500	9500																																																			
ENDOANCHOR HELI-FX	SUP-AS-85	CDM			270	RC		outpatient			9500	95	2573.55				percent of total billed charges		9500				other	OPPS APC	7030				percent of total billed charges		9500				other	OPPS APC	9500				other	OPPS APC	2573.55				percent of total billed charges		2624.85				percent of total billed charges		95				other	OPPS APC	95	9500	
ENDOANCHOR HELI-FX	SUP-AS-85	CDM			270	RC		inpatient			9500	9500																																																			
APPLIER INTERNAL CLIP APTUS ENDOSYSTEMS ENDOANCHORS HELI-FX L86 CM OD12 FR 10 CASSETTE BATTERY OPERATE VISUAL AUDIO FEEDBACK	SUP-SA-85	CDM						inpatient			9500	9500																																																			
APPLIER INTERNAL CLIP APTUS ENDOSYSTEMS ENDOANCHORS HELI-FX L86 CM OD12 FR 10 CASSETTE BATTERY OPERATE VISUAL AUDIO FEEDBACK	SUP-SA-85	CDM						outpatient			9500	95	9500				percent of total billed charges		9500				other	OPPS APC	9500				fee schedule		9500				other	OPPS APC	9500				other	OPPS APC	9500				case rate		9500				case rate		95				other	OPPS APC	95	9500	
STEM FEMORAL M/L TIVANIUM TCP HA 38 MM TAPER STRAIGHT STANDARD OFFSET L117 MM OD9 MM HIP PRIMARY STERILE	SUP-65771100900	CDM	270010024	LOCAL	270	RC		outpatient			9492	9492	2571.38				percent of total billed charges		9492				other	OPPS APC	7024.08				percent of total billed charges		9492				other	OPPS APC	9492				other	OPPS APC	2571.38				percent of total billed charges		2622.64				percent of total billed charges		9492				other	OPPS APC	2571.38	9492	
STEM FEMORAL M/L TIVANIUM TCP HA 38 MM TAPER STRAIGHT STANDARD OFFSET L117 MM OD9 MM HIP PRIMARY STERILE	SUP-65771100900	CDM	270010024	LOCAL	270	RC		inpatient			9492	9492																																																			
ATHERECTOMY - 1.25 CORONARY	SUP-99-01921	CDM			272	RC		outpatient			9487.5	9487.5	2570.16				percent of total billed charges		9487.5				other	OPPS APC	7020.75				percent of total billed charges		9487.5				other	OPPS APC	9487.5				other	OPPS APC	2570.16				percent of total billed charges		2621.4				percent of total billed charges		9487.5				other	OPPS APC	2570.16	9487.5	
ATHERECTOMY - 1.25 CORONARY	SUP-99-01921	CDM			272	RC		inpatient			9487.5	9487.5																																																			
ATHERECTOMY - 1.25 SOLID CROWN 60CM	SUP-99-01975	CDM			272	RC		inpatient			9487.5	9487.5																																																			
ATHERECTOMY - 1.25 SOLID CROWN 60CM	SUP-99-01975	CDM			272	RC		outpatient			9487.5	9487.5	2570.16				percent of total billed charges						other	OPPS APC	7020.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	2570.16				percent of total billed charges		2621.4				percent of total billed charges						other	OPPS APC	7020.75	7020.75	
TRAY TIBIAL MBT 2.5MM 67.1X44.2X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM	SUP-1294-35-125	CDM	270010025	LOCAL	270	RC		outpatient			9483.6	9483.64	2569.11				percent of total billed charges		9483.6				other	OPPS APC	7017.86				percent of total billed charges		9483.6				other	OPPS APC	9483.6				other	OPPS APC	2569.11				percent of total billed charges		2620.32				percent of total billed charges		9483.64				other	OPPS APC	2569.11	9483.64	
TRAY TIBIAL MBT 2.5MM 67.1X44.2X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM	SUP-1294-35-125	CDM	270010025	LOCAL	270	RC		inpatient			9483.6	9483.6																																																			
TRAY TIBIAL MBT 3MM 69.6X45.8X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM	SUP-1294-35-130	CDM	270010025	LOCAL	270	RC		outpatient			9483.6	9483.64	2569.11				percent of total billed charges		9483.6				other	OPPS APC	7017.86				percent of total billed charges		9483.6				other	OPPS APC	9483.6				other	OPPS APC	2569.11				percent of total billed charges		2620.32				percent of total billed charges		9483.64				other	OPPS APC	2569.11	9483.64	
TRAY TIBIAL MBT 3MM 69.6X45.8X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM	SUP-1294-35-130	CDM	270010025	LOCAL	270	RC		inpatient			9483.6	9483.6																																																			
TRAY TIBIAL MBT 4MM 74.9X49.3X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM	SUP-1294-35-140	CDM	270010025	LOCAL	270	RC		outpatient			9483.6	9483.64	2569.11				percent of total billed charges		9483.6				other	OPPS APC	7017.86				percent of total billed charges		9483.6				other	OPPS APC	9483.6				other	OPPS APC	2569.11				percent of total billed charges		2620.32				percent of total billed charges		9483.64				other	OPPS APC	2569.11	9483.64	
TRAY TIBIAL MBT 4MM 74.9X49.3X4.8MM STERILE LF KNEE CEMENTED REVISION ROTATE PLATFORM	SUP-1294-35-140	CDM	270010025	LOCAL	270	RC		inpatient			9483.6	9483.6																																																			
PACEMAKER SINGLE CHAMBER ACCENT FR SR SYSTEM	SUP-PM1210S	CDM			270	RC		outpatient			9442.8	9442.8	2558.05				percent of total billed charges		9442.8				other	OPPS APC	6987.67				percent of total billed charges		9442.8				other	OPPS APC	9442.8				other	OPPS APC	2558.05				percent of total billed charges		2609.05				percent of total billed charges		9442.8				other	OPPS APC	2558.05	9442.8	
PACEMAKER SINGLE CHAMBER ACCENT FR SR SYSTEM	SUP-PM1210S	CDM			270	RC		inpatient			9442.8	9442.8																																																			
STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL	SUP-VBJR061502A	CDM			270	RC		outpatient			9434	9434	2555.67				percent of total billed charges		9434				other	OPPS APC	6981.16				percent of total billed charges		9434				other	OPPS APC	9434				other	OPPS APC	2555.67				percent of total billed charges		2606.61				percent of total billed charges		9434				other	OPPS APC	2555.67	9434	
STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL	SUP-VBJR061502A	CDM			270	RC		inpatient			9434	9434																																																			
STENT TRACHEOBRONCHIAL FLUENCY PLUS PUZZLE 40MM 80CM 8MM 9FR NITINOL EPTFE STERILE GRAFT RADIOPAQUE SELF EXPAND CATHETER	SUP-FTM08040	CDM			270	RC		outpatient			9428	9428	2554.05				percent of total billed charges		9428				other	OPPS APC	6976.72				percent of total billed charges		9428				other	OPPS APC	9428				other	OPPS APC	2554.05				percent of total billed charges		2604.96				percent of total billed charges		9428				other	OPPS APC	2554.05	9428	
STENT TRACHEOBRONCHIAL FLUENCY PLUS PUZZLE 40MM 80CM 8MM 9FR NITINOL EPTFE STERILE GRAFT RADIOPAQUE SELF EXPAND CATHETER	SUP-FTM08040	CDM			270	RC		inpatient			9428	9428																																																			
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD23 MM ID21.4 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-23AGFN-756	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD23 MM ID21.4 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-23AGFN-756	CDM			270	RC		inpatient			9400	9400																																																			
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD25 MM ID23 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-25AGFN-756	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
VALVE AORTIC REGENT FLEXCUFF PTFE PYROLYTIC CARBON 85 D OD25 MM ID23 MM SUPRA ANNULAR 1 DIGIT GRADIENT MECHANICAL LEAFLET OPEN	SUP-25AGFN-756	CDM			270	RC		inpatient			9400	9400																																																			
IMPLANT VALVE HEART MITRAL MECHANICAL MASTER STANDARD CUFF ROTATABLE PTFE 29MM	SUP-29MJ-501	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
IMPLANT VALVE HEART MITRAL MECHANICAL MASTER STANDARD CUFF ROTATABLE PTFE 29MM	SUP-29MJ-501	CDM			270	RC		inpatient			9400	9400																																																			
VALVE MITRAL MASTER-SERIES PYROLYTIC CARBON 85 D 5.18 SQ CM STANDARD OD31 MM ID26.1 MM HEART CUFF LEAFLET OPEN CONTROL TORQUE ROTATION MECHANISM	SUP-31MJ-501	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
VALVE MITRAL MASTER-SERIES PYROLYTIC CARBON 85 D 5.18 SQ CM STANDARD OD31 MM ID26.1 MM HEART CUFF LEAFLET OPEN CONTROL TORQUE ROTATION MECHANISM	SUP-31MJ-501	CDM			270	RC		inpatient			9400	9400																																																			
VALVE MITRAL MASTERS-SERIES 85 D 5.18 SQ CM OD33 MM ID26.1 MM HEART MECHANICAL STANDARD CUFF STYLE PYROLYTIC CARBON LEAFLET OPEN ORIFICE RING CONTROLLED TORQUE ROTATION MECHANISM	SUP-33MJ-501	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
VALVE MITRAL MASTERS-SERIES 85 D 5.18 SQ CM OD33 MM ID26.1 MM HEART MECHANICAL STANDARD CUFF STYLE PYROLYTIC CARBON LEAFLET OPEN ORIFICE RING CONTROLLED TORQUE ROTATION MECHANISM	SUP-33MJ-501	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER - 2.5X12 SHOCKWAVE C2P IVL	SUP-99-04815	CDM			272	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER - 2.5X12 SHOCKWAVE C2P IVL	SUP-99-04815	CDM			272	RC		inpatient			9400	9400																																																			
CATHETER - 3.0X12 SHOCKWAVE C2P IVL	SUP-99-04816	CDM			272	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER - 3.0X12 SHOCKWAVE C2P IVL	SUP-99-04816	CDM			272	RC		inpatient			9400	9400																																																			
CATHETER - 3.5X12 SHOCKWAVE C2P IVL	SUP-99-04817	CDM			272	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER - 3.5X12 SHOCKWAVE C2P IVL	SUP-99-04817	CDM			272	RC		inpatient			9400	9400																																																			
CATHETER - 4.0X12 SHOCKWAVE C2P IVL	SUP-99-04818	CDM			272	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER - 4.0X12 SHOCKWAVE C2P IVL	SUP-99-04818	CDM			272	RC		inpatient			9400	9400																																																			
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 2.5 X 12 MM	SUP-C2IVL2512	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 2.5 X 12 MM	SUP-C2IVL2512	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.0 X 12 MM	SUP-C2IVL3012	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.0 X 12 MM	SUP-C2IVL3012	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.5 X 12 MM	SUP-C2IVL3512	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 3.5 X 12 MM	SUP-C2IVL3512	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 4.0 X 12 MM	SUP-C2IVL4012	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ATHERECTOMY SHOCKWAVE C2 IVL 4.0 X 12 MM	SUP-C2IVL4012	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 2.5MM OD SEC .044 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL2512	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 2.5MM OD SEC .044 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL2512	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL3012	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL3012	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3.5MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL3512	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 3.5MM OD SEC .045 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL3512	CDM			270	RC		inpatient			9400	9400																																																			
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 4MM OD SEC .047 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL4012	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
CATHETER ULTRASOUND SHOCKWAVE C2+ HYDROPHILIC L 138CM L 12 MM OD 4MM OD SEC .047 IN CORONARY ARTERIAL CONNECTOR CABLE GENERATOR SHAFT DEPTH MARKER INTEGRATE EMITTER STERILE LATEX FREE DISPOSABLE ACCEPTS 5 FR GUIDE	SUP-C2PIVL4012	CDM			270	RC		inpatient			9400	9400																																																			
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 16 MM H20 MM OD35 MM ODSEC29 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE	SUP-TFGT-29A	CDM			270	RC		outpatient			9400	94	2546.46				percent of total billed charges		9400				other	OPPS APC	6956				percent of total billed charges		9400				other	OPPS APC	9400				other	OPPS APC	2546.46				percent of total billed charges		2597.22				percent of total billed charges		94				other	OPPS APC	94	9400	
VALVE AORTIC TRIFECTA GLIDE LINX TITANIUM POLYESTER BOVINE PORCINE PERICARDIUM 16 MM H20 MM OD35 MM ODSEC29 MM FATIGUE RESISTANT SEWING CUFF LATEX FREE	SUP-TFGT-29A	CDM			270	RC		inpatient			9400	9400																																																			
CALCITONIN PER 400 UNITS	636000000	CDM	24201-400-02	NDC	J0630	HCPCS		inpatient			9393	9393																																																			
CALCITONIN PER 400 UNITS	636000000	CDM	24201-400-02	NDC	J0630	HCPCS		outpatient			9393	1173.68																																											1173.68				other	OPPS APC	1173.68	1173.68	
STENT - COVERED - VIABAHN 6 X 50	SUP-99-01530	CDM			278	RC		outpatient			9392.5	9392.5	9392.5				fee schedule		9392.5				other	OPPS APC	5353.73				percent of total billed charges		9392.5				other	OPPS APC	9392.5				other	OPPS APC	4602.33				percent of total billed charges		4790.18				percent of total billed charges		9392.5				other	OPPS APC	4602.33	9392.5	
STENT - COVERED - VIABAHN 6 X 50	SUP-99-01530	CDM			278	RC		inpatient			9392.5	9392.5																																																			
STENT- COVERED VIABAHN 8 X 50	SUP-99-04701	CDM			278	RC		outpatient			9392.5	9392.5	9392.5				fee schedule		9392.5				other	OPPS APC	5353.73				percent of total billed charges		9392.5				other	OPPS APC	9392.5				other	OPPS APC	4602.33				percent of total billed charges		4790.18				percent of total billed charges		9392.5				other	OPPS APC	4602.33	9392.5	
STENT- COVERED VIABAHN 8 X 50	SUP-99-04701	CDM			278	RC		inpatient			9392.5	9392.5																																																			
CAGE MEDTRONIC WAVE OBLIQUE 12 X 24MM  12DEG	SUP-WO-11.24.12	CDM	270010020	LOCAL	270	RC		outpatient			9358.8	9358.8	2535.3				percent of total billed charges		9358.8				other	OPPS APC	6925.51				percent of total billed charges		9358.8				other	OPPS APC	9358.8				other	OPPS APC	2535.3				percent of total billed charges		2585.84				percent of total billed charges		9358.8				other	OPPS APC	2535.3	9358.8	
CAGE MEDTRONIC WAVE OBLIQUE 12 X 24MM  12DEG	SUP-WO-11.24.12	CDM	270010020	LOCAL	270	RC		inpatient			9358.8	9358.8																																																			
CAGE MEDTRONIC WAVE OBLIQUE 11 X 24MM  6DEG	SUP-WO-11.24.6	CDM	270010020	LOCAL	270	RC		outpatient			9358.8	9358.8	2535.3				percent of total billed charges		9358.8				other	OPPS APC	6925.51				percent of total billed charges		9358.8				other	OPPS APC	9358.8				other	OPPS APC	2535.3				percent of total billed charges		2585.84				percent of total billed charges		9358.8				other	OPPS APC	2535.3	9358.8	
CAGE MEDTRONIC WAVE OBLIQUE 11 X 24MM  6DEG	SUP-WO-11.24.6	CDM	270010020	LOCAL	270	RC		inpatient			9358.8	9358.8																																																			
CAGE MEDTRONIC WAVE OBLIQUE 12 X 26MM  12DEG	SUP-WO-12.26.12	CDM	270010020	LOCAL	270	RC		outpatient			9358.8	9358.8	2535.3				percent of total billed charges		9358.8				other	OPPS APC	6925.51				percent of total billed charges		9358.8				other	OPPS APC	9358.8				other	OPPS APC	2535.3				percent of total billed charges		2585.84				percent of total billed charges		9358.8				other	OPPS APC	2535.3	9358.8	
CAGE MEDTRONIC WAVE OBLIQUE 12 X 26MM  12DEG	SUP-WO-12.26.12	CDM	270010020	LOCAL	270	RC		inpatient			9358.8	9358.8																																																			
NAIL HUMERAL 7 X 220MM	SUP-97-05946	CDM			278	RC		outpatient			9355	9355	9355				fee schedule		9355				other	OPPS APC	5332.35				percent of total billed charges		9355				other	OPPS APC	9355				other	OPPS APC	4583.95				percent of total billed charges		4771.05				percent of total billed charges		9355				other	OPPS APC	4583.95	9355	
NAIL HUMERAL 7 X 220MM	SUP-97-05946	CDM			278	RC		inpatient			9355	9355																																																			
GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD36 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETCF3636C49E	CDM	270010015	LOCAL	270	RC		outpatient			9350	935	2532.92				percent of total billed charges		9350				other	OPPS APC	6919				percent of total billed charges		9350				other	OPPS APC	9350				other	OPPS APC	2532.92				percent of total billed charges		2583.41				percent of total billed charges		935				other	OPPS APC	935	9350	
GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD36 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETCF3636C49E	CDM	270010015	LOCAL	270	RC		inpatient			9350	9350																																																			
PROCESSOR SOUND PONTO PLUS LEFT DIAMOND BLACK	SUP-M51700	CDM			270	RC		outpatient			9350	935	2532.92				percent of total billed charges		9350				other	OPPS APC	6919				percent of total billed charges		9350				other	OPPS APC	9350				other	OPPS APC	2532.92				percent of total billed charges		2583.41				percent of total billed charges		935				other	OPPS APC	935	9350	
PROCESSOR SOUND PONTO PLUS LEFT DIAMOND BLACK	SUP-M51700	CDM			270	RC		inpatient			9350	9350																																																			
PROCESSOR SOUND  PONTO PLUS POWER  RIGHT  WHITE SILVER	SUP-M51737	CDM			270	RC		outpatient			9350	935	2532.92				percent of total billed charges		9350				other	OPPS APC	6919				percent of total billed charges		9350				other	OPPS APC	9350				other	OPPS APC	2532.92				percent of total billed charges		2583.41				percent of total billed charges		935				other	OPPS APC	935	9350	
PROCESSOR SOUND  PONTO PLUS POWER  RIGHT  WHITE SILVER	SUP-M51737	CDM			270	RC		inpatient			9350	9350																																																			
CAGE SPINAL COROENT XL 50X18X8MM NS LF	SUP-7860850	CDM	270010020	LOCAL	270	RC		outpatient			9348	9348	2532.37				percent of total billed charges		9348				other	OPPS APC	6917.52				percent of total billed charges		9348				other	OPPS APC	9348				other	OPPS APC	2532.37				percent of total billed charges		2582.85				percent of total billed charges		9348				other	OPPS APC	2532.37	9348	
CAGE SPINAL COROENT XL 50X18X8MM NS LF	SUP-7860850	CDM	270010020	LOCAL	270	RC		inpatient			9348	9348																																																			
GRAFT SOFT TISSUE DENOVO CARTILAGE 110 MG ALLOGRAFT NATURAL	SUP-00560600010	CDM			270	RC		outpatient			9340	934	2530.21				percent of total billed charges		9340				other	OPPS APC	6911.6				percent of total billed charges		9340				other	OPPS APC	9340				other	OPPS APC	2530.21				percent of total billed charges		2580.64				percent of total billed charges		934				other	OPPS APC	934	9340	
GRAFT SOFT TISSUE DENOVO CARTILAGE 110 MG ALLOGRAFT NATURAL	SUP-00560600010	CDM			270	RC		inpatient			9340	9340																																																			
GENOSPHERE +3 36MM CANNULATED COCR LATERALIZED	SUP-97-06262	CDM			278	RC		outpatient			9337.5	9337.5	9337.5				fee schedule		9337.5				other	OPPS APC	5322.38				percent of total billed charges		9337.5				other	OPPS APC	9337.5				other	OPPS APC	4575.38				percent of total billed charges		4762.13				percent of total billed charges		9337.5				other	OPPS APC	4575.38	9337.5	
GENOSPHERE +3 36MM CANNULATED COCR LATERALIZED	SUP-97-06262	CDM			278	RC		inpatient			9337.5	9337.5																																																			
TRILOGY LONGEVITY CONSTRAINED 58X30	SUP-97-02964	CDM			278	RC		outpatient			9328.13	9328.13	9328.13				fee schedule		9328.13				other	OPPS APC	5317.03				percent of total billed charges		9328.13				other	OPPS APC	9328.13				other	OPPS APC	4570.78				percent of total billed charges		4757.35				percent of total billed charges		9328.13				other	OPPS APC	4570.78	9328.13	
TRILOGY LONGEVITY CONSTRAINED 58X30	SUP-97-02964	CDM			278	RC		inpatient			9328.13	9328.13																																																			
PACEMAKER - GENERATOR A2DSR01	SUP-99-01701	CDM			275	RC		inpatient			9310	9310																																																			
PACEMAKER - GENERATOR A2DSR01	SUP-99-01701	CDM			275	RC		outpatient			9310	9310					fee schedule						other	OPPS APC	5306.7				percent of total billed charges						other	OPPS APC					other	OPPS APC	4561.9				percent of total billed charges		4748.1				percent of total billed charges						other	OPPS APC	5306.7	5306.7	
PLATE BONE EVOS L 147MM 4 HOLE UTILITY STERILE LATEX FREE 3.5MM/4.5MM SCREW	SUP-72581004	CDM			270	RC		outpatient			9300	93	2519.37				percent of total billed charges		9300				other	OPPS APC	6882				percent of total billed charges		9300				other	OPPS APC	9300				other	OPPS APC	2519.37				percent of total billed charges		2569.59				percent of total billed charges		93				other	OPPS APC	93	9300	
PLATE BONE EVOS L 147MM 4 HOLE UTILITY STERILE LATEX FREE 3.5MM/4.5MM SCREW	SUP-72581004	CDM			270	RC		inpatient			9300	9300																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD10 MM ID14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING EXTENSION C DESIGN RADIOPAQUE AAA	SUP-ENEW1010C82E	CDM	270010015	LOCAL	270	RC		outpatient			9300	93	2519.37				percent of total billed charges		9300				other	OPPS APC	6882				percent of total billed charges		9300				other	OPPS APC	9300				other	OPPS APC	2519.37				percent of total billed charges		2569.59				percent of total billed charges		93				other	OPPS APC	93	9300	
GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD10 MM ID14 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING EXTENSION C DESIGN RADIOPAQUE AAA	SUP-ENEW1010C82E	CDM	270010015	LOCAL	270	RC		inpatient			9300	9300																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD13 MM ID14 FR ENDOVASCULAR SELF EXPAND EXTENSION C DESIGN RADIOPAQUE AAA	SUP-ENEW1313C82E	CDM	270010015	LOCAL	270	RC		outpatient			9300	93	2519.37				percent of total billed charges		9300				other	OPPS APC	6882				percent of total billed charges		9300				other	OPPS APC	9300				other	OPPS APC	2519.37				percent of total billed charges		2569.59				percent of total billed charges		93				other	OPPS APC	93	9300	
GRAFT STENT ENDURANT POLYESTER NITINOL L82 MM OD13 MM ID14 FR ENDOVASCULAR SELF EXPAND EXTENSION C DESIGN RADIOPAQUE AAA	SUP-ENEW1313C82E	CDM	270010015	LOCAL	270	RC		inpatient			9300	9300																																																			
GRAFT STENT ENDURANT II POLYESTER NITINOL L82 MM OD13 MM ODSEC14 FR ENDOVASCULAR ILIAC EXTENSION STERILE AAA	SUP-ETEW1313C82E	CDM	270010015	LOCAL	270	RC		outpatient			9300	93	2519.37				percent of total billed charges		9300				other	OPPS APC	6882				percent of total billed charges		9300				other	OPPS APC	9300				other	OPPS APC	2519.37				percent of total billed charges		2569.59				percent of total billed charges		93				other	OPPS APC	93	9300	
GRAFT STENT ENDURANT II POLYESTER NITINOL L82 MM OD13 MM ODSEC14 FR ENDOVASCULAR ILIAC EXTENSION STERILE AAA	SUP-ETEW1313C82E	CDM	270010015	LOCAL	270	RC		inpatient			9300	9300																																																			
GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE	SUP-ETLW1616C93E	CDM	270010015	LOCAL	270	RC		outpatient			9300	93	2519.37				percent of total billed charges		9300				other	OPPS APC	6882				percent of total billed charges		9300				other	OPPS APC	9300				other	OPPS APC	2519.37				percent of total billed charges		2569.59				percent of total billed charges		93				other	OPPS APC	93	9300	
GRAFT STENT ENDURANT II 2 BRANCH 93MM 143MM 16MM 14FR NITINOL POLYESTER HYDROPHILIC ENDOVASCULAR ILIAC RADIOPAQUE	SUP-ETLW1616C93E	CDM	270010015	LOCAL	270	RC		inpatient			9300	9300																																																			
PACEMAKER - REVEAL LINQ RECORDER	SUP-99-01906	CDM			278	RC		outpatient			9290	929	9290				fee schedule		9290				other	OPPS APC	5295.3				percent of total billed charges		9290				other	OPPS APC	9290				other	OPPS APC	4552.1				percent of total billed charges		4737.9				percent of total billed charges		929				other	OPPS APC	929	9290	
PACEMAKER - REVEAL LINQ RECORDER	SUP-99-01906	CDM			278	RC		inpatient			9290	9290																																																			
PACEMAKER - REVEAL LINQ II  RECORDER	SUP-99-04196	CDM			278	RC		outpatient			9290	929	9290				fee schedule		9290				other	OPPS APC	5295.3				percent of total billed charges		9290				other	OPPS APC	9290				other	OPPS APC	4552.1				percent of total billed charges		4737.9				percent of total billed charges		929				other	OPPS APC	929	9290	
PACEMAKER - REVEAL LINQ II  RECORDER	SUP-99-04196	CDM			278	RC		inpatient			9290	9290																																																			
PACEMAKER - REVEAL LINQ II SYSTEM	SUP-99-04210	CDM			278	RC		outpatient			9290	929	9290				fee schedule		9290				other	OPPS APC	5295.3				percent of total billed charges		9290				other	OPPS APC	9290				other	OPPS APC	4552.1				percent of total billed charges		4737.9				percent of total billed charges		929				other	OPPS APC	929	9290	
PACEMAKER - REVEAL LINQ II SYSTEM	SUP-99-04210	CDM			278	RC		inpatient			9290	9290																																																			
SYSTEM CARDIAC MONITOR LINQ II RECORDER	SUP-LNQ22SYS	CDM			270	RC		outpatient			9290	929	2516.66				percent of total billed charges		9290				other	OPPS APC	6874.6				percent of total billed charges		9290				other	OPPS APC	9290				other	OPPS APC	2516.66				percent of total billed charges		2566.83				percent of total billed charges		929				other	OPPS APC	929	9290	
SYSTEM CARDIAC MONITOR LINQ II RECORDER	SUP-LNQ22SYS	CDM			270	RC		inpatient			9290	9290																																																			
PACEMAKER INGENIO SR SINGLE CBR SYSTEM	SUP-K172S	CDM			270	RC		outpatient			9272	9272	2511.78				percent of total billed charges		9272				other	OPPS APC	6861.28				percent of total billed charges		9272				other	OPPS APC	9272				other	OPPS APC	2511.78				percent of total billed charges		2561.85				percent of total billed charges		9272				other	OPPS APC	2511.78	9272	
PACEMAKER INGENIO SR SINGLE CBR SYSTEM	SUP-K172S	CDM			270	RC		inpatient			9272	9272																																																			
PACEMAKER CARDIAC VERSA DR 2.8V 1.3AH D7.5 MM W44.9 MM X H44.7 MM 12.1 CC 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER UNIPOLAR BIPOLAR	SUP-VEDR01 S	CDM			270	RC		outpatient			9260	926	2508.53				percent of total billed charges		9260				other	OPPS APC	6852.4				percent of total billed charges		9260				other	OPPS APC	9260				other	OPPS APC	2508.53				percent of total billed charges		2558.54				percent of total billed charges		926				other	OPPS APC	926	9260	
PACEMAKER CARDIAC VERSA DR 2.8V 1.3AH D7.5 MM W44.9 MM X H44.7 MM 12.1 CC 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER UNIPOLAR BIPOLAR	SUP-VEDR01 S	CDM			270	RC		inpatient			9260	9260																																																			
GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY	SUP-PXC121000	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR 10CM 12MM EXCLUDER CONTRALATERAL LEG STENT EXTENDER DELIVERY	SUP-PXC121000	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PXC121200	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PXC121200	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L14 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PXC121400	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L14 CM OD12 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PXC121400	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PXC141000	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L10 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PXC141000	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PXC141200	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L12 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID12-13.5 MM ACCEPTS 12FR SHEATH	SUP-PXC141200	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXC141400	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L14 CM OD14.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXC141400	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH	SUP-PXC161200	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH	SUP-PXC161200	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L13.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH	SUP-PXC161400	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L13.5 CM OD16 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID13.5-14.5 MM ACCEPTS 18FR SHEATH	SUP-PXC161400	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH	SUP-PXC181000	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH	SUP-PXC181000	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH	SUP-PXC181200	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD18 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID14.5-16.5 MM ACCEPTS 18FR SHEATH	SUP-PXC181200	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L13.5 CM OD18 MM ODSEC18 FR ID14.5-16.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXC181400	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L13.5 CM OD18 MM ODSEC18 FR ID14.5-16.5 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXC181400	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH	SUP-PXC201000	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L9.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH	SUP-PXC201000	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH	SUP-PXC201200	CDM	270010015	LOCAL	270	RC		outpatient			9246	9246	2504.74				percent of total billed charges		9246				other	OPPS APC	6842.04				percent of total billed charges		9246				other	OPPS APC	9246				other	OPPS APC	2504.74				percent of total billed charges		2554.67				percent of total billed charges		9246				other	OPPS APC	2504.74	9246	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L11.5 CM OD20 MM CONTRALATERAL LEG STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID16.5-18.5 MM ACCEPTS 18FR SHEATH	SUP-PXC201200	CDM	270010015	LOCAL	270	RC		inpatient			9246	9246																																																			
STENT DUODENAL WALLFLEX 22/27MM	SUP-95-00456	CDM			278	RC		outpatient			9240	924	9240				fee schedule		9240				other	OPPS APC	5266.8				percent of total billed charges		9240				other	OPPS APC	9240				other	OPPS APC	4527.6				percent of total billed charges		4712.4				percent of total billed charges		924				other	OPPS APC	924	9240	
STENT DUODENAL WALLFLEX 22/27MM	SUP-95-00456	CDM			278	RC		inpatient			9240	9240																																																			
STENT DUODENAL WALLFLEX	SUP-95-03002	CDM			278	RC		inpatient			9240	9240																																																			
STENT DUODENAL WALLFLEX	SUP-95-03002	CDM			278	RC		outpatient			9240	9240					fee schedule						other	OPPS APC	5266.8				percent of total billed charges						other	OPPS APC					other	OPPS APC	4527.6				percent of total billed charges		4712.4				percent of total billed charges						other	OPPS APC	5266.8	5266.8	
GRAFT 10X4CM EPIXL	SUP-97-01842	CDM			636	RC		outpatient			9237.5	9237.5	9237.5				fee schedule		9237.5				other	OPPS APC	6835.75				percent of total billed charges		9237.5				other	OPPS APC	9237.5				other	OPPS APC	4526.38				percent of total billed charges		2296.44				percent of total billed charges		9237.5				other	OPPS APC	2296.44	9237.5	
GRAFT 10X4CM EPIXL	SUP-97-01842	CDM			636	RC		inpatient			9237.5	9237.5																																																			
STENT - ELUVIA 6MM X 150 X 130	SUP-99-04333	CDM			278	RC		outpatient			9237.5	9237.5	9237.5				fee schedule		9237.5				other	OPPS APC	5265.38				percent of total billed charges		9237.5				other	OPPS APC	9237.5				other	OPPS APC	4526.38				percent of total billed charges		4711.13				percent of total billed charges		9237.5				other	OPPS APC	4526.38	9237.5	
STENT - ELUVIA 6MM X 150 X 130	SUP-99-04333	CDM			278	RC		inpatient			9237.5	9237.5																																																			
STENT - ELUVIA 7MM X 150 X 130	SUP-99-04334	CDM			278	RC		outpatient			9237.5	9237.5	9237.5				fee schedule		9237.5				other	OPPS APC	5265.38				percent of total billed charges		9237.5				other	OPPS APC	9237.5				other	OPPS APC	4526.38				percent of total billed charges		4711.13				percent of total billed charges		9237.5				other	OPPS APC	4526.38	9237.5	
STENT - ELUVIA 7MM X 150 X 130	SUP-99-04334	CDM			278	RC		inpatient			9237.5	9237.5																																																			
MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM CONTOUR L19.3 CM X W9.6 CM ALLOGRAFT REGENERATIVE PERFORATE	SUP-CM1518P	CDM			270	RC		outpatient			9236	9236	2502.03				percent of total billed charges		9236				other	OPPS APC	6834.64				percent of total billed charges		9236				other	OPPS APC	9236				other	OPPS APC	2502.03				percent of total billed charges		2551.91				percent of total billed charges		9236				other	OPPS APC	2502.03	9236	
MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM CONTOUR L19.3 CM X W9.6 CM ALLOGRAFT REGENERATIVE PERFORATE	SUP-CM1518P	CDM			270	RC		inpatient			9236	9236																																																			
MESH SURGICAL DUALMESH GORE-TEX THK2 MM L34 CM X W26 CM SOFT TISSUE BIOMATERIAL STERILE HERNIA REPAIR	SUP-1DLMC204	CDM			270	RC		outpatient			9220	922	2497.7				percent of total billed charges		9220				other	OPPS APC	6822.8				percent of total billed charges		9220				other	OPPS APC	9220				other	OPPS APC	2497.7				percent of total billed charges		2547.49				percent of total billed charges		922				other	OPPS APC	922	9220	
MESH SURGICAL DUALMESH GORE-TEX THK2 MM L34 CM X W26 CM SOFT TISSUE BIOMATERIAL STERILE HERNIA REPAIR	SUP-1DLMC204	CDM			270	RC		inpatient			9220	9220																																																			
PACEMAKER CARDIAC KAPPA L48 MM X H45 MM 9.7 CC 25.5 GM PULSE GENERATOR IMPLANTABLE 700 SERIES	SUP-KSR700SERIES	CDM			270	RC		outpatient			9200	92	2492.28				percent of total billed charges		9200				other	OPPS APC	6808				percent of total billed charges		9200				other	OPPS APC	9200				other	OPPS APC	2492.28				percent of total billed charges		2541.96				percent of total billed charges		92				other	OPPS APC	92	9200	
PACEMAKER CARDIAC KAPPA L48 MM X H45 MM 9.7 CC 25.5 GM PULSE GENERATOR IMPLANTABLE 700 SERIES	SUP-KSR700SERIES	CDM			270	RC		inpatient			9200	9200																																																			
CAP PRICING TOTAL JOINT DEPUY PRESSFIT HIP-4 PIECE	SUP-PRESSFIT HIP-DEPUY	CDM	270010024	LOCAL	270	RC		outpatient			9200	92	2492.28				percent of total billed charges		9200				other	OPPS APC	6808				percent of total billed charges		9200				other	OPPS APC	9200				other	OPPS APC	2492.28				percent of total billed charges		2541.96				percent of total billed charges		92				other	OPPS APC	92	9200	
CAP PRICING TOTAL JOINT DEPUY PRESSFIT HIP-4 PIECE	SUP-PRESSFIT HIP-DEPUY	CDM	270010024	LOCAL	270	RC		inpatient			9200	9200																																																			
GRAFT BONE OSTEOCHONDRAL L16 MM ALLOGRAFT FRESH	SUP-RFP16	CDM			270	RC		outpatient			9200	92	2492.28				percent of total billed charges		9200				other	OPPS APC	6808				percent of total billed charges		9200				other	OPPS APC	9200				other	OPPS APC	2492.28				percent of total billed charges		2541.96				percent of total billed charges		92				other	OPPS APC	92	9200	
GRAFT BONE OSTEOCHONDRAL L16 MM ALLOGRAFT FRESH	SUP-RFP16	CDM			270	RC		inpatient			9200	9200																																																			
PACEMAKER SIGMA         SSR300	SUP-SSR300SERIES	CDM			270	RC		outpatient			9200	92	2492.28				percent of total billed charges		9200				other	OPPS APC	6808				percent of total billed charges		9200				other	OPPS APC	9200				other	OPPS APC	2492.28				percent of total billed charges		2541.96				percent of total billed charges		92				other	OPPS APC	92	9200	
PACEMAKER SIGMA         SSR300	SUP-SSR300SERIES	CDM			270	RC		inpatient			9200	9200																																																			
GRAFT PHASIX 10 X 15 COATED (1201015)	SUP-75-00164	CDM			278	RC		outpatient			9196	9196	9196				fee schedule		9196				other	OPPS APC	5241.72				percent of total billed charges		9196				other	OPPS APC	9196				other	OPPS APC	4506.04				percent of total billed charges		4689.96				percent of total billed charges		9196				other	OPPS APC	4506.04	9196	
GRAFT PHASIX 10 X 15 COATED (1201015)	SUP-75-00164	CDM			278	RC		inpatient			9196	9196																																																			
PONTO SYSTEM STAGE ONE W/9MM	SUP-97-00107	CDM			272	RC		outpatient			9192.5	9192.5	2490.25				percent of total billed charges		9192.5				other	OPPS APC	6802.45				percent of total billed charges		9192.5				other	OPPS APC	9192.5				other	OPPS APC	2490.25				percent of total billed charges		2539.89				percent of total billed charges		9192.5				other	OPPS APC	2490.25	9192.5	
PONTO SYSTEM STAGE ONE W/9MM	SUP-97-00107	CDM			272	RC		inpatient			9192.5	9192.5																																																			
GRAFT 6X10CM EPIXL	SUP-97-03492	CDM			636	RC		outpatient			9190	919	4503.1				percent of total billed charges		9190				other	OPPS APC	178.33				fee schedule		9190				other	OPPS APC	9190				other	OPPS APC	4503.1				percent of total billed charges		2284.63				percent of total billed charges		919				other	OPPS APC	178.33	9190	
GRAFT 6X10CM EPIXL	SUP-97-03492	CDM			636	RC		inpatient			9190	9190																																																			
STEM FEMORAL ENDURANCE 3 12/14 TAPER 190MM STERILE HIP REVISION CEMENTED MODULAR	SUP-1521-22-000	CDM	270010024	LOCAL	270	RC		outpatient			9165.6	9165.64	2482.96				percent of total billed charges		9165.6				other	OPPS APC	6782.54				percent of total billed charges		9165.6				other	OPPS APC	9165.6				other	OPPS APC	2482.96				percent of total billed charges		2532.46				percent of total billed charges		9165.64				other	OPPS APC	2482.96	9165.64	
STEM FEMORAL ENDURANCE 3 12/14 TAPER 190MM STERILE HIP REVISION CEMENTED MODULAR	SUP-1521-22-000	CDM	270010024	LOCAL	270	RC		inpatient			9165.6	9165.6																																																			
STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L230 MM HIP CEMENTED REVISION	SUP-1521-24-000	CDM	270010014	LOCAL	270	RC		outpatient			9165.6	9165.64	2482.96				percent of total billed charges		9165.6				other	OPPS APC	6782.54				percent of total billed charges		9165.6				other	OPPS APC	9165.6				other	OPPS APC	2482.96				percent of total billed charges		2532.46				percent of total billed charges		9165.64				other	OPPS APC	2482.96	9165.64	
STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L230 MM HIP CEMENTED REVISION	SUP-1521-24-000	CDM	270010014	LOCAL	270	RC		inpatient			9165.6	9165.6																																																			
OSS NON-MOD TIB PLATE LONG 67	SUP-97-23627	CDM			278	RC		outpatient			9165	9165	9165				fee schedule		9165				other	OPPS APC	5224.05				percent of total billed charges		9165				other	OPPS APC	9165				other	OPPS APC	4490.85				percent of total billed charges		4674.15				percent of total billed charges		9165				other	OPPS APC	4490.85	9165	
OSS NON-MOD TIB PLATE LONG 67	SUP-97-23627	CDM			278	RC		inpatient			9165	9165																																																			
STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L180 MM HIP CEMENTED REVISION	SUP-1521-21-000	CDM	270010024	LOCAL	270	RC		outpatient			9164	9164	2482.53				percent of total billed charges		9164				other	OPPS APC	6781.36				percent of total billed charges		9164				other	OPPS APC	9164				other	OPPS APC	2482.53				percent of total billed charges		2532.01				percent of total billed charges		9164				other	OPPS APC	2482.53	9164	
STEM FEMORAL ENDURANCE LUSTER 2 12/14 TAPER L180 MM HIP CEMENTED REVISION	SUP-1521-21-000	CDM	270010024	LOCAL	270	RC		inpatient			9164	9164																																																			
CONE AUGMENT TRIATHLON TRITANIUM CENTRAL 1&2 RIGHT	SUP-97-05793	CDM			278	RC		outpatient			9162	9162	9162				fee schedule		9162				other	OPPS APC	5222.34				percent of total billed charges		9162				other	OPPS APC	9162				other	OPPS APC	4489.38				percent of total billed charges		4672.62				percent of total billed charges		9162				other	OPPS APC	4489.38	9162	
CONE AUGMENT TRIATHLON TRITANIUM CENTRAL 1&2 RIGHT	SUP-97-05793	CDM			278	RC		inpatient			9162	9162																																																			
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H16 MM OD25 MM ID23 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-25M-00	CDM			270	RC		outpatient			9160	916	2481.44				percent of total billed charges		9160				other	OPPS APC	6778.4				percent of total billed charges		9160				other	OPPS APC	9160				other	OPPS APC	2481.44				percent of total billed charges		2530.91				percent of total billed charges		916				other	OPPS APC	916	9160	
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H16 MM OD25 MM ID23 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-25M-00	CDM			270	RC		inpatient			9160	9160																																																			
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL H17 MM OD35 MM ID27 MM BIOPROSTHESIS STENT HOLDER LOW PROFILE	SUP-E100-27M-00	CDM			270	RC		outpatient			9160	916	2481.44				percent of total billed charges		9160				other	OPPS APC	6778.4				percent of total billed charges		9160				other	OPPS APC	9160				other	OPPS APC	2481.44				percent of total billed charges		2530.91				percent of total billed charges		916				other	OPPS APC	916	9160	
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL H17 MM OD35 MM ID27 MM BIOPROSTHESIS STENT HOLDER LOW PROFILE	SUP-E100-27M-00	CDM			270	RC		inpatient			9160	9160																																																			
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H19 MM OD29 MM ID27 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-29M-00	CDM			270	RC		outpatient			9160	916	2481.44				percent of total billed charges		9160				other	OPPS APC	6778.4				percent of total billed charges		9160				other	OPPS APC	9160				other	OPPS APC	2481.44				percent of total billed charges		2530.91				percent of total billed charges		916				other	OPPS APC	916	9160	
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H19 MM OD29 MM ID27 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-29M-00	CDM			270	RC		inpatient			9160	9160																																																			
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD31 MM ID29 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-31M-00	CDM			270	RC		outpatient			9160	916	2481.44				percent of total billed charges		9160				other	OPPS APC	6778.4				percent of total billed charges		9160				other	OPPS APC	9160				other	OPPS APC	2481.44				percent of total billed charges		2530.91				percent of total billed charges		916				other	OPPS APC	916	9160	
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD31 MM ID29 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-31M-00	CDM			270	RC		inpatient			9160	9160																																																			
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD33 MM ID31 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-33M-00	CDM			270	RC		outpatient			9160	916	2481.44				percent of total billed charges		9160				other	OPPS APC	6778.4				percent of total billed charges		9160				other	OPPS APC	9160				other	OPPS APC	2481.44				percent of total billed charges		2530.91				percent of total billed charges		916				other	OPPS APC	916	9160	
VALVE MITRAL EPIC FLEXFIT PORCINE PERICARDIAL LOW PROFILE H20 MM OD33 MM ID31 MM BIOPROSTHESIS STENT HOLDER	SUP-E100-33M-00	CDM			270	RC		inpatient			9160	9160																																																			
CATHETER- SMARTTOUCH THERMOCOOL STSF F CURVE (UNI)	SUP-99-04758	CDM			278	RC		outpatient			9155	9155	9155				fee schedule		9155				other	OPPS APC	5218.35				percent of total billed charges		9155				other	OPPS APC	9155				other	OPPS APC	4485.95				percent of total billed charges		4669.05				percent of total billed charges		9155				other	OPPS APC	4485.95	9155	
CATHETER- SMARTTOUCH THERMOCOOL STSF F CURVE (UNI)	SUP-99-04758	CDM			278	RC		inpatient			9155	9155																																																			
GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETCF3232C49E	CDM	270010015	LOCAL	270	RC		outpatient			9150	915	2478.74				percent of total billed charges		9150				other	OPPS APC	6771				percent of total billed charges		9150				other	OPPS APC	9150				other	OPPS APC	2478.74				percent of total billed charges		2528.15				percent of total billed charges		915				other	OPPS APC	915	9150	
GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD32 MM ODSEC20 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETCF3232C49E	CDM	270010015	LOCAL	270	RC		inpatient			9150	9150																																																			
TROCHANTERIC PROXIMAL FEMUR NEUTRAL GMRS	SUP-97-05630	CDM			278	RC		outpatient			9012	912	9012				fee schedule		9012				other	OPPS APC	5136.84				percent of total billed charges		9012				other	OPPS APC	9012				other	OPPS APC	4415.88				percent of total billed charges		4596.12				percent of total billed charges		912				other	OPPS APC	912	9012	
TROCHANTERIC PROXIMAL FEMUR NEUTRAL GMRS	SUP-97-05630	CDM			278	RC		inpatient			9012	9012																																																			
CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L23 CM	SUP-2AF234	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L23 CM	SUP-2AF234	CDM			270	RC		inpatient			9000	9000																																																			
CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L28 CM	SUP-2AF284	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
CATHETER CRYOABLATION ARCTIC FRONT ADVANCE L28 CM	SUP-2AF284	CDM			270	RC		inpatient			9000	9000																																																			
GRAFT BONE OSTEOCHONDRAL CORE OD16 MM ALLOGRAFT	SUP-45647016	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
GRAFT BONE OSTEOCHONDRAL CORE OD16 MM ALLOGRAFT	SUP-45647016	CDM			270	RC		inpatient			9000	9000																																																			
ALLOGRAFT BTB 10/10	SUP-97-01757	CDM			272	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
ALLOGRAFT BTB 10/10	SUP-97-01757	CDM			272	RC		inpatient			9000	9000																																																			
OSC17361- ATTUNE FB CEMENTED	SUP-97-04360	CDM			278	RC		outpatient			9000	9	9000				fee schedule		9000				other	OPPS APC	5130				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	4410				percent of total billed charges		4590				percent of total billed charges		9				other	OPPS APC	9	9000	
OSC17361- ATTUNE FB CEMENTED	SUP-97-04360	CDM			278	RC		inpatient			9000	9000																																																			
CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L23CM	SUP-AFAPRO23	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L23CM	SUP-AFAPRO23	CDM			270	RC		inpatient			9000	9000																																																			
CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L28CM	SUP-AFAPRO28	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
CATHETER CRYOABLATION ARTIC FRONT ADVANCE PRO L28CM	SUP-AFAPRO28	CDM			270	RC		inpatient			9000	9000																																																			
CONNECTOR PERFUSION HANCOCK OD18 MM APICAL LEFT VENTRICLE	SUP-H174A-18	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
CONNECTOR PERFUSION HANCOCK OD18 MM APICAL LEFT VENTRICLE	SUP-H174A-18	CDM			270	RC		inpatient			9000	9000																																																			
SYSTEM CARDIAC MONITOR REVEAL LINQ MYCARELINK LOOP RECORDER MONITOR	SUP-LINQSYS	CDM			270	RC		outpatient			9000	9	2438.1				percent of total billed charges		9000				other	OPPS APC	6660				percent of total billed charges		9000				other	OPPS APC	9000				other	OPPS APC	2438.1				percent of total billed charges		2486.7				percent of total billed charges		9				other	OPPS APC	9	9000	
SYSTEM CARDIAC MONITOR REVEAL LINQ MYCARELINK LOOP RECORDER MONITOR	SUP-LINQSYS	CDM			270	RC		inpatient			9000	9000																																																			
PONTO PLUS POWER	SUP-97-00402	CDM			272	RC		outpatient			8990	899	2435.39				percent of total billed charges		8990				other	OPPS APC	6652.6				percent of total billed charges		8990				other	OPPS APC	8990				other	OPPS APC	2435.39				percent of total billed charges		2483.94				percent of total billed charges		899				other	OPPS APC	899	8990	
PONTO PLUS POWER	SUP-97-00402	CDM			272	RC		inpatient			8990	8990																																																			
PONTO PLUS POWER RIGHT MOCCA	SUP-97-01066	CDM			272	RC		inpatient			8990	8990																																																			
PONTO PLUS POWER RIGHT MOCCA	SUP-97-01066	CDM			272	RC		outpatient			8990	8990	2435.39				percent of total billed charges						other	OPPS APC	6652.6				percent of total billed charges						other	OPPS APC					other	OPPS APC	2435.39				percent of total billed charges		2483.94				percent of total billed charges						other	OPPS APC	6652.6	6652.6	
PONTO PLUS POWER	SUP-97-01267	CDM			272	RC		inpatient			8990	8990																																																			
PONTO PLUS POWER	SUP-97-01267	CDM			272	RC		outpatient			8990	8990	2435.39				percent of total billed charges						other	OPPS APC	6652.6				percent of total billed charges						other	OPPS APC					other	OPPS APC	2435.39				percent of total billed charges		2483.94				percent of total billed charges						other	OPPS APC	6652.6	6652.6	
PONTO PLUS POWER	SUP-97-02145	CDM			272	RC		inpatient			8990	8990																																																			
PONTO PLUS POWER	SUP-97-02145	CDM			272	RC		outpatient			8990	8990	2435.39				percent of total billed charges						other	OPPS APC	6652.6				percent of total billed charges						other	OPPS APC					other	OPPS APC	2435.39				percent of total billed charges		2483.94				percent of total billed charges						other	OPPS APC	6652.6	6652.6	
GRAFT THERASKIN 116CM 3 X 6	SUP-95-04827	CDM						inpatient			8987.5	8987.5																																																			
GRAFT THERASKIN 116CM 3 X 6	SUP-95-04827	CDM						outpatient			8987.5	8987.5	8987.5				percent of total billed charges		8987.5				other	OPPS APC	8987.5				fee schedule		8987.5				other	OPPS APC	8987.5				other	OPPS APC	8987.5				case rate		8987.5				case rate		8987.5				other	OPPS APC	8987.5	8987.5	
ATHERECTOMY - 2.0 CLASSIC CROWN 145CM	SUP-99-01657	CDM			272	RC		outpatient			8987.5	8987.5	2434.71				percent of total billed charges		8987.5				other	OPPS APC	6650.75				percent of total billed charges		8987.5				other	OPPS APC	8987.5				other	OPPS APC	2434.71				percent of total billed charges		2483.25				percent of total billed charges		8987.5				other	OPPS APC	2434.71	8987.5	
ATHERECTOMY - 2.0 CLASSIC CROWN 145CM	SUP-99-01657	CDM			272	RC		inpatient			8987.5	8987.5																																																			
ATHERECTOMY - 2.00 SOLID CROWN 145CM	SUP-99-01660	CDM			272	RC		outpatient			8987.5	8987.5	2434.71				percent of total billed charges		8987.5				other	OPPS APC	6650.75				percent of total billed charges		8987.5				other	OPPS APC	8987.5				other	OPPS APC	2434.71				percent of total billed charges		2483.25				percent of total billed charges		8987.5				other	OPPS APC	2434.71	8987.5	
ATHERECTOMY - 2.00 SOLID CROWN 145CM	SUP-99-01660	CDM			272	RC		inpatient			8987.5	8987.5																																																			
ATHERECTOMY - 1.50 CLASSIC CROWN 145CM	SUP-99-03283	CDM			272	RC		outpatient			8987.5	8987.5	2434.71				percent of total billed charges		8987.5				other	OPPS APC	6650.75				percent of total billed charges		8987.5				other	OPPS APC	8987.5				other	OPPS APC	2434.71				percent of total billed charges		2483.25				percent of total billed charges		8987.5				other	OPPS APC	2434.71	8987.5	
ATHERECTOMY - 1.50 CLASSIC CROWN 145CM	SUP-99-03283	CDM			272	RC		inpatient			8987.5	8987.5																																																			
ATHERECTOMY - 1.25 SOLID CROWN 200CM	SUP-99-03722	CDM			272	RC		outpatient			8987.5	8987.5	2434.71				percent of total billed charges		8987.5				other	OPPS APC	6650.75				percent of total billed charges		8987.5				other	OPPS APC	8987.5				other	OPPS APC	2434.71				percent of total billed charges		2483.25				percent of total billed charges		8987.5				other	OPPS APC	2434.71	8987.5	
ATHERECTOMY - 1.25 SOLID CROWN 200CM	SUP-99-03722	CDM			272	RC		inpatient			8987.5	8987.5																																																			
ATHERECTOMY - 1.50 SOLID CROWN 200CM	SUP-99-03723	CDM			272	RC		outpatient			8987.5	8987.5	2434.71				percent of total billed charges		8987.5				other	OPPS APC	6650.75				percent of total billed charges		8987.5				other	OPPS APC	8987.5				other	OPPS APC	2434.71				percent of total billed charges		2483.25				percent of total billed charges		8987.5				other	OPPS APC	2434.71	8987.5	
ATHERECTOMY - 1.50 SOLID CROWN 200CM	SUP-99-03723	CDM			272	RC		inpatient			8987.5	8987.5																																																			
ATHERECTOMY - 1.75 SOLID CROWN 180CM	SUP-99-03724	CDM			272	RC		outpatient			8987.5	8987.5	2434.71				percent of total billed charges		8987.5				other	OPPS APC	6650.75				percent of total billed charges		8987.5				other	OPPS APC	8987.5				other	OPPS APC	2434.71				percent of total billed charges		2483.25				percent of total billed charges		8987.5				other	OPPS APC	2434.71	8987.5	
ATHERECTOMY - 1.75 SOLID CROWN 180CM	SUP-99-03724	CDM			272	RC		inpatient			8987.5	8987.5																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM	SUP-VBJR071502A	CDM			270	RC		outpatient			8980	898	2432.68				percent of total billed charges		8980				other	OPPS APC	6645.2				percent of total billed charges		8980				other	OPPS APC	8980				other	OPPS APC	2432.68				percent of total billed charges		2481.17				percent of total billed charges		898				other	OPPS APC	898	8980	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM	SUP-VBJR071502A	CDM			270	RC		inpatient			8980	8980																																																			
MESH SURGICAL GORE SYNECOR RECTANGLE L30 CM X W20 CM PREPERITONEAL KNIT WEB	SUP-GKWR2030	CDM			270	RC		outpatient			8972	8972	2430.51				percent of total billed charges		8972				other	OPPS APC	6639.28				percent of total billed charges		8972				other	OPPS APC	8972				other	OPPS APC	2430.51				percent of total billed charges		2478.96				percent of total billed charges		8972				other	OPPS APC	2430.51	8972	
MESH SURGICAL GORE SYNECOR RECTANGLE L30 CM X W20 CM PREPERITONEAL KNIT WEB	SUP-GKWR2030	CDM			270	RC		inpatient			8972	8972																																																			
PACEMAKER ACCOLADE DR MRI SYSTEM DUAL CHAMBER 2 LEADS	SUP-9H32	CDM			270	RC		outpatient			8962.3	8962.3	2427.89				percent of total billed charges		8962.3				other	OPPS APC	6632.1				percent of total billed charges		8962.3				other	OPPS APC	8962.3				other	OPPS APC	2427.89				percent of total billed charges		2476.28				percent of total billed charges		8962.3				other	OPPS APC	2427.89	8962.3	
PACEMAKER ACCOLADE DR MRI SYSTEM DUAL CHAMBER 2 LEADS	SUP-9H32	CDM			270	RC		inpatient			8962.3	8962.3																																																			
PACEMAKER ACCOLADE DR EL MRI SYSTEM _44046_	SUP-9H52	CDM			275	RC		outpatient			8962.3	8962.3	4391.53				percent of total billed charges		8962.3				other	OPPS APC	5108.51				percent of total billed charges		8962.3				other	OPPS APC	8962.3				other	OPPS APC	4391.53				percent of total billed charges		4570.77				percent of total billed charges		8962.3				other	OPPS APC	4391.53	8962.3	
PACEMAKER ACCOLADE DR EL MRI SYSTEM _44046_	SUP-9H52	CDM			275	RC		inpatient			8962.3	8962.3																																																			
GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD20-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1620C82E	CDM	270010015	LOCAL	270	RC		outpatient			8950	895	2424.56				percent of total billed charges		8950				other	OPPS APC	6623				percent of total billed charges		8950				other	OPPS APC	8950				other	OPPS APC	2424.56				percent of total billed charges		2472.89				percent of total billed charges		895				other	OPPS APC	895	8950	
GRAFT STENT ENDURANT POLYESTER NITINOL L132 MM L82 MM OD20-16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM SYSTEM SELF EXPANDING CONTRALATERAL LIMB RADIOPAQUE AAA	SUP-ENLW1620C82E	CDM	270010015	LOCAL	270	RC		inpatient			8950	8950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1616C82E	CDM	270010015	LOCAL	270	RC		outpatient			8950	895	2424.56				percent of total billed charges		8950				other	OPPS APC	6623				percent of total billed charges		8950				other	OPPS APC	8950				other	OPPS APC	2424.56				percent of total billed charges		2472.89				percent of total billed charges		895				other	OPPS APC	895	8950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-16 MM ODSEC14 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1616C82E	CDM	270010015	LOCAL	270	RC		inpatient			8950	8950																																																			
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C82E	CDM	270010015	LOCAL	270	RC		outpatient			8950	895	2424.56				percent of total billed charges		8950				other	OPPS APC	6623				percent of total billed charges		8950				other	OPPS APC	8950				other	OPPS APC	2424.56				percent of total billed charges		2472.89				percent of total billed charges		895				other	OPPS APC	895	8950	
GRAFT STENT ENDURANT II NITINOL POLYESTER HYDROPHILIC L82 MM OD16-20 MM ODSEC16 FR ENDOVASCULAR DELIVERY SYSTEM C DISTAL CONTRALATERAL ILIAC LIMB 1 PIECE AAA	SUP-ETLW1620C82E	CDM	270010015	LOCAL	270	RC		inpatient			8950	8950																																																			
GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL L90 MM L75 MM OD14-10 MM ODSEC18 FR DESCENDING ABDOMEN AORTA ILIUM SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA	SUP-IXW1410C75XH	CDM	270010015	LOCAL	270	RC		outpatient			8950	895	2424.56				percent of total billed charges		8950				other	OPPS APC	6623				percent of total billed charges		8950				other	OPPS APC	8950				other	OPPS APC	2424.56				percent of total billed charges		2472.89				percent of total billed charges		895				other	OPPS APC	895	8950	
GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL L90 MM L75 MM OD14-10 MM ODSEC18 FR DESCENDING ABDOMEN AORTA ILIUM SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA	SUP-IXW1410C75XH	CDM	270010015	LOCAL	270	RC		inpatient			8950	8950																																																			
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H13 MM RADIOPAQUE NONSTERILE TLIF	SUP-4839134	CDM	270010020	LOCAL	270	RC		outpatient			8927.16	8927.16	2418.37				percent of total billed charges		8927.16				other	OPPS APC	6606.1				percent of total billed charges		8927.16				other	OPPS APC	8927.16				other	OPPS APC	2418.37				percent of total billed charges		2466.57				percent of total billed charges		8927.16				other	OPPS APC	2418.37	8927.16	
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H13 MM RADIOPAQUE NONSTERILE TLIF	SUP-4839134	CDM	270010020	LOCAL	270	RC		inpatient			8927.16	8927.16																																																			
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W13 MM RADIOPAQUE NONSTERILE TLIF	SUP-48392134	CDM	270010024	LOCAL	270	RC		outpatient			8927.16	8927.16	2418.37				percent of total billed charges		8927.16				other	OPPS APC	6606.1				percent of total billed charges		8927.16				other	OPPS APC	8927.16				other	OPPS APC	2418.37				percent of total billed charges		2466.57				percent of total billed charges		8927.16				other	OPPS APC	2418.37	8927.16	
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L26 MM X W13 MM RADIOPAQUE NONSTERILE TLIF	SUP-48392134	CDM	270010024	LOCAL	270	RC		inpatient			8927.16	8927.16																																																			
CAGE STRYKER 9X31X4DEG	SUP-48393044	CDM	270010020	LOCAL	270	RC		outpatient			8927.16	8927.16	2418.37				percent of total billed charges		8927.16				other	OPPS APC	6606.1				percent of total billed charges		8927.16				other	OPPS APC	8927.16				other	OPPS APC	2418.37				percent of total billed charges		2466.57				percent of total billed charges		8927.16				other	OPPS APC	2418.37	8927.16	
CAGE STRYKER 9X31X4DEG	SUP-48393044	CDM	270010020	LOCAL	270	RC		inpatient			8927.16	8927.16																																																			
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H8 MM RADIOPAQUE NONSTERILE TLIF	SUP-48393084	CDM	270010020	LOCAL	270	RC		outpatient			8927.16	8927.16	2418.37				percent of total billed charges		8927.16				other	OPPS APC	6606.1				percent of total billed charges		8927.16				other	OPPS APC	8927.16				other	OPPS APC	2418.37				percent of total billed charges		2466.57				percent of total billed charges		8927.16				other	OPPS APC	2418.37	8927.16	
SPACER SPINAL AVS NAVIGATOR PEEK TANTALUM 4 D HOLLOW L31 MM X H8 MM RADIOPAQUE NONSTERILE TLIF	SUP-48393084	CDM	270010020	LOCAL	270	RC		inpatient			8927.16	8927.16																																																			
CAGE STRYKER 9MM	SUP-48393094	CDM	270010020	LOCAL	270	RC		outpatient			8927.16	8927.16	2418.37				percent of total billed charges		8927.16				other	OPPS APC	6606.1				percent of total billed charges		8927.16				other	OPPS APC	8927.16				other	OPPS APC	2418.37				percent of total billed charges		2466.57				percent of total billed charges		8927.16				other	OPPS APC	2418.37	8927.16	
CAGE STRYKER 9MM	SUP-48393094	CDM	270010020	LOCAL	270	RC		inpatient			8927.16	8927.16																																																			
SPACER HUMERAL INTERSPACE CEMEX GENTAMICIN STAINLESS STEEL STANDARD L125 MM X H22 MM OD46 MM ODSEC11 MM .8 GM SHOULDER	SUP-SPS0021K	CDM	270010030	LOCAL	270	RC		outpatient			8900	89	2411.01				percent of total billed charges		8900				other	OPPS APC	6586				percent of total billed charges		8900				other	OPPS APC	8900				other	OPPS APC	2411.01				percent of total billed charges		2459.07				percent of total billed charges		89				other	OPPS APC	89	8900	
SPACER HUMERAL INTERSPACE CEMEX GENTAMICIN STAINLESS STEEL STANDARD L125 MM X H22 MM OD46 MM ODSEC11 MM .8 GM SHOULDER	SUP-SPS0021K	CDM	270010030	LOCAL	270	RC		inpatient			8900	8900																																																			
SHOULDER INNERSPACE 41MM	SUP-SPS0121	CDM			270	RC		outpatient			8900	89	2411.01				percent of total billed charges		8900				other	OPPS APC	6586				percent of total billed charges		8900				other	OPPS APC	8900				other	OPPS APC	2411.01				percent of total billed charges		2459.07				percent of total billed charges		89				other	OPPS APC	89	8900	
SHOULDER INNERSPACE 41MM	SUP-SPS0121	CDM			270	RC		inpatient			8900	8900																																																			
SHOULDER INNERSPACE 41MM	SUP-SPS0121K	CDM			270	RC		outpatient			8900	89	2411.01				percent of total billed charges		8900				other	OPPS APC	6586				percent of total billed charges		8900				other	OPPS APC	8900				other	OPPS APC	2411.01				percent of total billed charges		2459.07				percent of total billed charges		89				other	OPPS APC	89	8900	
SHOULDER INNERSPACE 41MM	SUP-SPS0121K	CDM			270	RC		inpatient			8900	8900																																																			
VALVE MITRAL OPTIFORM SIZE 21MM	SUP-F7-021	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM SIZE 21MM	SUP-F7-021	CDM			270	RC		inpatient			8894	8894																																																			
VALVE MITRAL OPTIFORM TITANIUM OD23 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-023	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM TITANIUM OD23 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-023	CDM			270	RC		inpatient			8894	8894																																																			
VALVE MITRAL OPTIFORM TITANIUM OD25 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-025	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM TITANIUM OD25 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-025	CDM			270	RC		inpatient			8894	8894																																																			
VALVE MITRAL OPTIFORM TITANIUM OD27 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-027	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM TITANIUM OD27 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-027	CDM			270	RC		inpatient			8894	8894																																																			
VALVE MITRAL OPTIFORM TITANIUM OD29 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-029	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM TITANIUM OD29 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-029	CDM			270	RC		inpatient			8894	8894																																																			
VALVE MITRAL OPTIFORM TITANIUM OD31 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-031	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM TITANIUM OD31 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-031	CDM			270	RC		inpatient			8894	8894																																																			
VALVE MITRAL OPTIFORM TITANIUM OD33 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-033	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE MITRAL OPTIFORM TITANIUM OD33 MM MECHANICAL ROTATABLE FLEXIBLE SYMMETRICAL SEW CUFF STIFFENING RING	SUP-F7-033	CDM			270	RC		inpatient			8894	8894																																																			
VALVE AORTIC TOP HAT OD19 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-019	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE AORTIC TOP HAT OD19 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-019	CDM			270	RC		inpatient			8894	8894																																																			
VALVE AORTIC SORIN S5-021	SUP-S5-021	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE AORTIC SORIN S5-021	SUP-S5-021	CDM			270	RC		inpatient			8894	8894																																																			
VALVE AORTIC TOP HAT OD23 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-023	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE AORTIC TOP HAT OD23 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-023	CDM			270	RC		inpatient			8894	8894																																																			
VALVE AORTIC TOP HAT OD25 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-025	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE AORTIC TOP HAT OD25 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-025	CDM			270	RC		inpatient			8894	8894																																																			
VALVE AORTIC TOP HAT OD27 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-027	CDM			270	RC		outpatient			8894	8894	2409.38				percent of total billed charges		8894				other	OPPS APC	6581.56				percent of total billed charges		8894				other	OPPS APC	8894				other	OPPS APC	2409.38				percent of total billed charges		2457.41				percent of total billed charges		8894				other	OPPS APC	2409.38	8894	
VALVE AORTIC TOP HAT OD27 MM SUPRA ANNULAR DESIGN TITANIUM STIFFENING RING EFFORTLESS SUTURING	SUP-S5-027	CDM			270	RC		inpatient			8894	8894																																																			
ZERO PROFILE PLATE SYSTEM	SUP-ZERO PROFILE PLATE	CDM			270	RC		outpatient			8870.8	887.8	2403.1				percent of total billed charges		8870.8				other	OPPS APC	6564.39				percent of total billed charges		8870.8				other	OPPS APC	8870.8				other	OPPS APC	2403.1				percent of total billed charges		2451				percent of total billed charges		887.8				other	OPPS APC	887.8	8870.8	
ZERO PROFILE PLATE SYSTEM	SUP-ZERO PROFILE PLATE	CDM			270	RC		inpatient			8870.8	8870.8																																																			
BEARING MODULAR PLUS SIZE 4	SUP-97-02525	CDM			278	RC		outpatient			8859.2	8859.27	8859.2				fee schedule		8859.2				other	OPPS APC	5049.74				percent of total billed charges		8859.2				other	OPPS APC	8859.2				other	OPPS APC	4341.01				percent of total billed charges		4518.19				percent of total billed charges		8859.27				other	OPPS APC	4341.01	8859.27	
BEARING MODULAR PLUS SIZE 4	SUP-97-02525	CDM			278	RC		inpatient			8859.2	8859.2																																																			
ATTUNE REV TIB BASE FB SZ5 CEM	SUP-97-03343	CDM			278	RC		outpatient			8850	885	8850				fee schedule		8850				other	OPPS APC	5044.5				percent of total billed charges		8850				other	OPPS APC	8850				other	OPPS APC	4336.5				percent of total billed charges		4513.5				percent of total billed charges		885				other	OPPS APC	885	8850	
ATTUNE REV TIB BASE FB SZ5 CEM	SUP-97-03343	CDM			278	RC		inpatient			8850	8850																																																			
PACEMAKER AZURE MRI XT DR DUAL CHAMBER SYSTEM	SUP-AZUREXTDRMRIMEEM	CDM			275	RC		outpatient			8835	8835	4329.15				percent of total billed charges		8835				other	OPPS APC	5035.95				percent of total billed charges		8835				other	OPPS APC	8835				other	OPPS APC	4329.15				percent of total billed charges		4505.85				percent of total billed charges		8835				other	OPPS APC	4329.15	8835	
PACEMAKER AZURE MRI XT DR DUAL CHAMBER SYSTEM	SUP-AZUREXTDRMRIMEEM	CDM			275	RC		inpatient			8835	8835																																																			
NAIL INTRAMEDULLARY T2 TITANIUM L15 CM OD10 MM ANKLE LEFT LOCK STERILE ARTHRODESIS	SUP-1818-1015S	CDM			270	RC		outpatient			8810	881	2386.63				percent of total billed charges		8810				other	OPPS APC	6519.4				percent of total billed charges		8810				other	OPPS APC	8810				other	OPPS APC	2386.63				percent of total billed charges		2434.2				percent of total billed charges		881				other	OPPS APC	881	8810	
NAIL INTRAMEDULLARY T2 TITANIUM L15 CM OD10 MM ANKLE LEFT LOCK STERILE ARTHRODESIS	SUP-1818-1015S	CDM			270	RC		inpatient			8810	8810																																																			
COMPONENT TIBIAL TRABECULAR METAL 2 TOTAL ANKLE	SUP-00-4500-042-00	CDM			270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
COMPONENT TIBIAL TRABECULAR METAL 2 TOTAL ANKLE	SUP-00-4500-042-00	CDM			270	RC		inpatient			8800	8800																																																			
COMPONENT TIBIAL TRABECULAR METAL 3 TOTAL ANKLE	SUP-00-4500-043-00	CDM			270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
COMPONENT TIBIAL TRABECULAR METAL 3 TOTAL ANKLE	SUP-00-4500-043-00	CDM			270	RC		inpatient			8800	8800																																																			
COMPONENT TIBIAL TRABECULAR METAL 4 TOTAL ANKLE	SUP-00-4500-044-00	CDM			270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
COMPONENT TIBIAL TRABECULAR METAL 4 TOTAL ANKLE	SUP-00-4500-044-00	CDM			270	RC		inpatient			8800	8800																																																			
COMPONENT TIBIAL TRABECULAR METAL 5 TOTAL ANKLE	SUP-00-4500-045-00	CDM			270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
COMPONENT TIBIAL TRABECULAR METAL 5 TOTAL ANKLE	SUP-00-4500-045-00	CDM			270	RC		inpatient			8800	8800																																																			
GRAFT SOFT TISSUE DENOVO CARTILAGE 2.5 SQ CM ALLOGRAFT NATURAL	SUP-00560600011	CDM			270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
GRAFT SOFT TISSUE DENOVO CARTILAGE 2.5 SQ CM ALLOGRAFT NATURAL	SUP-00560600011	CDM			270	RC		inpatient			8800	8800																																																			
FUSION LUMBAR  LEVEL 1 NUVASIVE	SUP-LUMBAR1NUVASIVE	CDM	270010020	LOCAL	270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
FUSION LUMBAR  LEVEL 1 NUVASIVE	SUP-LUMBAR1NUVASIVE	CDM	270010020	LOCAL	270	RC		inpatient			8800	8800																																																			
FUSION LUMBAR LEVEL 1	SUP-LUMBARL1	CDM	270010005	LOCAL	270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
FUSION LUMBAR LEVEL 1	SUP-LUMBARL1	CDM	270010005	LOCAL	270	RC		inpatient			8800	8800																																																			
PACEMAKER SIGMA         SDR300	SUP-SDR300SERIES	CDM			270	RC		outpatient			8800	88	2383.92				percent of total billed charges		8800				other	OPPS APC	6512				percent of total billed charges		8800				other	OPPS APC	8800				other	OPPS APC	2383.92				percent of total billed charges		2431.44				percent of total billed charges		88				other	OPPS APC	88	8800	
PACEMAKER SIGMA         SDR300	SUP-SDR300SERIES	CDM			270	RC		inpatient			8800	8800																																																			
TISSUEMEND	SUP-97-00335	CDM						inpatient			8787.5	8787.5																																																			
TISSUEMEND	SUP-97-00335	CDM						outpatient			8787.5	8787.5	8787.5				percent of total billed charges		8787.5				other	OPPS APC	8787.5				fee schedule		8787.5				other	OPPS APC	8787.5				other	OPPS APC	8787.5				case rate		8787.5				case rate		8787.5				other	OPPS APC	8787.5	8787.5	
ARTHROCELL  5.0CC	SUP-97-03503	CDM			278	RC		outpatient			8750	875	8750				fee schedule		8750				other	OPPS APC	4987.5				percent of total billed charges		8750				other	OPPS APC	8750				other	OPPS APC	4287.5				percent of total billed charges		4462.5				percent of total billed charges		875				other	OPPS APC	875	8750	
ARTHROCELL  5.0CC	SUP-97-03503	CDM			278	RC		inpatient			8750	8750																																																			
UNI KNEE	SUP-97-03604	CDM			278	RC		outpatient			8750	875	8750				fee schedule		8750				other	OPPS APC	4987.5				percent of total billed charges		8750				other	OPPS APC	8750				other	OPPS APC	4287.5				percent of total billed charges		4462.5				percent of total billed charges		875				other	OPPS APC	875	8750	
UNI KNEE	SUP-97-03604	CDM			278	RC		inpatient			8750	8750																																																			
PTC PARTIALLY COATED DISTAL STEM 13 X 90MM	SUP-97-06276	CDM			278	RC		outpatient			8700	87	8700				fee schedule		8700				other	OPPS APC	4959				percent of total billed charges		8700				other	OPPS APC	8700				other	OPPS APC	4263				percent of total billed charges		4437				percent of total billed charges		87				other	OPPS APC	87	8700	
PTC PARTIALLY COATED DISTAL STEM 13 X 90MM	SUP-97-06276	CDM			278	RC		inpatient			8700	8700																																																			
TIBIAL TRAY FIXED BEARING	SUP-97-01857	CDM			278	RC		outpatient			8696	8696	8696				fee schedule		8696				other	OPPS APC	4956.72				percent of total billed charges		8696				other	OPPS APC	8696				other	OPPS APC	4261.04				percent of total billed charges		4434.96				percent of total billed charges		8696				other	OPPS APC	4261.04	8696	
TIBIAL TRAY FIXED BEARING	SUP-97-01857	CDM			278	RC		inpatient			8696	8696																																																			
SPACER ALLOGRAFT 9/11MM 26X13MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014913	CDM	270010012	LOCAL	270	RC		outpatient			8637.7	8637.77	2339.95				percent of total billed charges		8637.7				other	OPPS APC	6391.9				percent of total billed charges		8637.7				other	OPPS APC	8637.7				other	OPPS APC	2339.95				percent of total billed charges		2386.6				percent of total billed charges		8637.77				other	OPPS APC	2339.95	8637.77	
SPACER ALLOGRAFT 9/11MM 26X13MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014913	CDM	270010012	LOCAL	270	RC		inpatient			8637.7	8637.7																																																			
SPACER ALLOGRAFT 9/11MM 26X15MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014915	CDM	270010012	LOCAL	270	RC		outpatient			8637.7	8637.77	2339.95				percent of total billed charges		8637.7				other	OPPS APC	6391.9				percent of total billed charges		8637.7				other	OPPS APC	8637.7				other	OPPS APC	2339.95				percent of total billed charges		2386.6				percent of total billed charges		8637.77				other	OPPS APC	2339.95	8637.77	
SPACER ALLOGRAFT 9/11MM 26X15MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014915	CDM	270010012	LOCAL	270	RC		inpatient			8637.7	8637.7																																																			
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD4.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES MAX 300	SUP-99-04448	CDM			272	RC		outpatient			8625	8625	2336.51				percent of total billed charges		8625				other	OPPS APC	6382.5				percent of total billed charges		8625				other	OPPS APC	8625				other	OPPS APC	2336.51				percent of total billed charges		2383.09				percent of total billed charges		8625				other	OPPS APC	2336.51	8625	
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD4.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES MAX 300	SUP-99-04448	CDM			272	RC		inpatient			8625	8625																																																			
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD5.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX	SUP-99-04449	CDM			272	RC		outpatient			8625	8625	2336.51				percent of total billed charges		8625				other	OPPS APC	6382.5				percent of total billed charges		8625				other	OPPS APC	8625				other	OPPS APC	2336.51				percent of total billed charges		2383.09				percent of total billed charges		8625				other	OPPS APC	2336.51	8625	
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD5.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX	SUP-99-04449	CDM			272	RC		inpatient			8625	8625																																																			
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD6.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX	SUP-99-04450	CDM			272	RC		outpatient			8625	8625	2336.51				percent of total billed charges		8625				other	OPPS APC	6382.5				percent of total billed charges		8625				other	OPPS APC	8625				other	OPPS APC	2336.51				percent of total billed charges		2383.09				percent of total billed charges		8625				other	OPPS APC	2336.51	8625	
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD6.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX	SUP-99-04450	CDM			272	RC		inpatient			8625	8625																																																			
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD7.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX	SUP-99-04451	CDM			272	RC		outpatient			8625	8625	2336.51				percent of total billed charges		8625				other	OPPS APC	6382.5				percent of total billed charges		8625				other	OPPS APC	8625				other	OPPS APC	2336.51				percent of total billed charges		2383.09				percent of total billed charges		8625				other	OPPS APC	2336.51	8625	
CATHETER LITHOTRIPSY SHOCKWAVE M5 L60 MM L110 CM OD7.0 MM OD7 MM CROSSING RANGE .054 IN SHEATH 6F PULSES 300 MAX	SUP-99-04451	CDM			272	RC		inpatient			8625	8625																																																			
GRAFT BONE INFUSE RHBMP-2 BOVINE COLLAGEN SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE SYRINGE NEEDLE STERILE LUMBAR TAPER FUSION DEVICE	SUP-7510200_73552	CDM			270	RC		outpatient			8620	862	2335.16				percent of total billed charges		8620				other	OPPS APC	6378.8				percent of total billed charges		8620				other	OPPS APC	8620				other	OPPS APC	2335.16				percent of total billed charges		2381.71				percent of total billed charges		862				other	OPPS APC	862	8620	
GRAFT BONE INFUSE RHBMP-2 BOVINE COLLAGEN SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE SYRINGE NEEDLE STERILE LUMBAR TAPER FUSION DEVICE	SUP-7510200_73552	CDM			270	RC		inpatient			8620	8620																																																			
AUGMENT FEMORAL TRABECULAR METAL LARGE CONE H35 MM METAPHYSIS LEFT	SUP-00545002235	CDM	270010025	LOCAL	270	RC		outpatient			8610	861	2332.45				percent of total billed charges		8610				other	OPPS APC	6371.4				percent of total billed charges		8610				other	OPPS APC	8610				other	OPPS APC	2332.45				percent of total billed charges		2378.94				percent of total billed charges		861				other	OPPS APC	861	8610	
AUGMENT FEMORAL TRABECULAR METAL LARGE CONE H35 MM METAPHYSIS LEFT	SUP-00545002235	CDM	270010025	LOCAL	270	RC		inpatient			8610	8610																																																			
STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L7 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS	SUP-PTB107275	CDM			270	RC		outpatient			8610	861	2332.45				percent of total billed charges		8610				other	OPPS APC	6371.4				percent of total billed charges		8610				other	OPPS APC	8610				other	OPPS APC	2332.45				percent of total billed charges		2378.94				percent of total billed charges		861				other	OPPS APC	861	8610	
STENT ENDOPROSTHESIS GORE VIATORR NITINOL STAINLESS STEEL PLASTIC EPTFE L7 CM L2 CM OD10 MM SELF EXPAND RADIOPAQUE 2 LUMEN CATHETER ACCESS SLEEVE STERILE ACCEPTS .038- IN GUIDEWIRE 10 FR INTRODUCER SHEATH TIPS	SUP-PTB107275	CDM			270	RC		inpatient			8610	8610																																																			
CONE AUGMENT ASYMETRIC SIZE D RM/LL TRIATHLON	SUP-97-05879	CDM			278	RC		outpatient			8604	864	8604				fee schedule		8604				other	OPPS APC	4904.28				percent of total billed charges		8604				other	OPPS APC	8604				other	OPPS APC	4215.96				percent of total billed charges		4388.04				percent of total billed charges		864				other	OPPS APC	864	8604	
CONE AUGMENT ASYMETRIC SIZE D RM/LL TRIATHLON	SUP-97-05879	CDM			278	RC		inpatient			8604	8604																																																			
ATTUNE CRS FB TIBIAL BASE SIZE 7 CEM	SUP-97-06161	CDM			278	RC		outpatient			8598.75	8598.75	8598.75				fee schedule		8598.75				other	OPPS APC	4901.29				percent of total billed charges		8598.75				other	OPPS APC	8598.75				other	OPPS APC	4213.39				percent of total billed charges		4385.36				percent of total billed charges		8598.75				other	OPPS APC	4213.39	8598.75	
ATTUNE CRS FB TIBIAL BASE SIZE 7 CEM	SUP-97-06161	CDM			278	RC		inpatient			8598.75	8598.75																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR081502A	CDM			270	RC		outpatient			8590	859	2327.03				percent of total billed charges		8590				other	OPPS APC	6356.6				percent of total billed charges		8590				other	OPPS APC	8590				other	OPPS APC	2327.03				percent of total billed charges		2373.42				percent of total billed charges		859				other	OPPS APC	859	8590	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR081502A	CDM			270	RC		inpatient			8590	8590																																																			
POSTERIOR STABIZED CEMENTED	SUP-97-02757	CDM			278	RC		outpatient			8580	858	8580				fee schedule		8580				other	OPPS APC	4890.6				percent of total billed charges		8580				other	OPPS APC	8580				other	OPPS APC	4204.2				percent of total billed charges		4375.8				percent of total billed charges		858				other	OPPS APC	858	8580	
POSTERIOR STABIZED CEMENTED	SUP-97-02757	CDM			278	RC		inpatient			8580	8580																																																			
REF XLPE 36 0DEG 58-60 SZ G	SUP-97-01453	CDM			278	RC		outpatient			8570	857	8570				fee schedule		8570				other	OPPS APC	4884.9				percent of total billed charges		8570				other	OPPS APC	8570				other	OPPS APC	4199.3				percent of total billed charges		4370.7				percent of total billed charges		857				other	OPPS APC	857	8570	
REF XLPE 36 0DEG 58-60 SZ G	SUP-97-01453	CDM			278	RC		inpatient			8570	8570																																																			
REF XLPE 36 20DEG 58-60 G	SUP-97-01454	CDM			278	RC		outpatient			8570	857	8570				fee schedule		8570				other	OPPS APC	4884.9				percent of total billed charges		8570				other	OPPS APC	8570				other	OPPS APC	4199.3				percent of total billed charges		4370.7				percent of total billed charges		857				other	OPPS APC	857	8570	
REF XLPE 36 20DEG 58-60 G	SUP-97-01454	CDM			278	RC		inpatient			8570	8570																																																			
RAMUCIRUMAB 10 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0002-7669-01	NDC	J9308	HCPCS		inpatient			8569.4	8569.4																																																			
RAMUCIRUMAB 10 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0002-7669-01	NDC	J9308	HCPCS		outpatient			8569.4	74.21																																											74.21				other	OPPS APC	74.21	74.21	
GRAFT VASCULAR DISTAFLO 2 BRANCH SM 80CM 6MM FLEX	SUP-DFM8006SC	CDM			270	RC		outpatient			8558	8558	2318.36				percent of total billed charges		8558				other	OPPS APC	6332.92				percent of total billed charges		8558				other	OPPS APC	8558				other	OPPS APC	2318.36				percent of total billed charges		2364.58				percent of total billed charges		8558				other	OPPS APC	2318.36	8558	
GRAFT VASCULAR DISTAFLO 2 BRANCH SM 80CM 6MM FLEX	SUP-DFM8006SC	CDM			270	RC		inpatient			8558	8558																																																			
GRAFT STENT 49MM 28MM 20FR ENDURANT ENDOVASCULAR ABDOMEN AORTA POLYESTER NITINOL	SUP-ENCF2828C49E	CDM	270010015	LOCAL	270	RC		outpatient			8550	855	2316.2				percent of total billed charges		8550				other	OPPS APC	6327				percent of total billed charges		8550				other	OPPS APC	8550				other	OPPS APC	2316.2				percent of total billed charges		2362.37				percent of total billed charges		855				other	OPPS APC	855	8550	
GRAFT STENT 49MM 28MM 20FR ENDURANT ENDOVASCULAR ABDOMEN AORTA POLYESTER NITINOL	SUP-ENCF2828C49E	CDM	270010015	LOCAL	270	RC		inpatient			8550	8550																																																			
GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD28 MM ODSEC18 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETCF2828C49E	CDM	270010015	LOCAL	270	RC		outpatient			8550	855	2316.2				percent of total billed charges		8550				other	OPPS APC	6327				percent of total billed charges		8550				other	OPPS APC	8550				other	OPPS APC	2316.2				percent of total billed charges		2362.37				percent of total billed charges		855				other	OPPS APC	855	8550	
GRAFT STENT ENDURANT II POLYESTER NITINOL L49 MM OD28 MM ODSEC18 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETCF2828C49E	CDM	270010015	LOCAL	270	RC		inpatient			8550	8550																																																			
SPACER ALLOGRAFT 9/11MM 26X7MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014907	CDM	270010012	LOCAL	270	RC		outpatient			8542.38	8542.38	2314.13				percent of total billed charges		8542.38				other	OPPS APC	6321.36				percent of total billed charges		8542.38				other	OPPS APC	8542.38				other	OPPS APC	2314.13				percent of total billed charges		2360.26				percent of total billed charges		8542.38				other	OPPS APC	2314.13	8542.38	
SPACER ALLOGRAFT 9/11MM 26X7MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014907	CDM	270010012	LOCAL	270	RC		inpatient			8542.38	8542.38																																																			
SPACER ALLOGRAFT 9/11MM 26X9MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014909	CDM	270010012	LOCAL	270	RC		outpatient			8542.38	8542.38	2314.13				percent of total billed charges		8542.38				other	OPPS APC	6321.36				percent of total billed charges		8542.38				other	OPPS APC	8542.38				other	OPPS APC	2314.13				percent of total billed charges		2360.26				percent of total billed charges		8542.38				other	OPPS APC	2314.13	8542.38	
SPACER ALLOGRAFT 9/11MM 26X9MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014909	CDM	270010012	LOCAL	270	RC		inpatient			8542.38	8542.38																																																			
SPACER ALLOGRAFT 9/11MM 26X11MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014911	CDM	270010012	LOCAL	270	RC		outpatient			8542.38	8542.38	2314.13				percent of total billed charges		8542.38				other	OPPS APC	6321.36				percent of total billed charges		8542.38				other	OPPS APC	8542.38				other	OPPS APC	2314.13				percent of total billed charges		2360.26				percent of total billed charges		8542.38				other	OPPS APC	2314.13	8542.38	
SPACER ALLOGRAFT 9/11MM 26X11MM CORTICAL SPINE FREEZE DRIED DISTAL END BEVEL PYRAMIDAL TEETH TPLIF	SUP-014911	CDM	270010012	LOCAL	270	RC		inpatient			8542.38	8542.38																																																			
PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H45.7 MM 11.5 ML 23.5 GM ATRIUM VENTRICLE 1 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR SR	SUP-K172	CDM			270	RC		outpatient			8508	858	2304.82				percent of total billed charges		8508				other	OPPS APC	6295.92				percent of total billed charges		8508				other	OPPS APC	8508				other	OPPS APC	2304.82				percent of total billed charges		2350.76				percent of total billed charges		858				other	OPPS APC	858	8508	
PACEMAKER CARDIAC INGENIO RYTHMIQ D7.5 MM MODIFIED ELLIPSE W44.5 MM X H45.7 MM 11.5 ML 23.5 GM ATRIUM VENTRICLE 1 CHAMBER IS-1 CONNECTOR RATE RESPONSIVE UNIPOLAR BIPOLAR SR	SUP-K172	CDM			270	RC		inpatient			8508	8508																																																			
INTEGRA MESHED BILAYER WOUND MATRIX 4X5	SUP-97-00481	CDM			636	RC		outpatient			8507.2	857.27	8507.2				fee schedule		8507.2				other	OPPS APC	6295.33				percent of total billed charges		8507.2				other	OPPS APC	8507.2				other	OPPS APC	4168.53				percent of total billed charges		2114.89				percent of total billed charges		857.27				other	OPPS APC	857.27	8507.2	
INTEGRA MESHED BILAYER WOUND MATRIX 4X5	SUP-97-00481	CDM			636	RC		inpatient			8507.2	8507.2																																																			
INTEGRA MESHED BILAYER WOUND MATRIX 4X10	SUP-97-04671	CDM			636	RC		outpatient			8507.2	857.27	8507.2				fee schedule		8507.2				other	OPPS APC	6295.33				percent of total billed charges		8507.2				other	OPPS APC	8507.2				other	OPPS APC	4168.53				percent of total billed charges		2114.89				percent of total billed charges		857.27				other	OPPS APC	857.27	8507.2	
INTEGRA MESHED BILAYER WOUND MATRIX 4X10	SUP-97-04671	CDM			636	RC		inpatient			8507.2	8507.2																																																			
UNI KNEE	SUP-97-02653	CDM			278	RC		outpatient			8500	85	8500				fee schedule		8500				other	OPPS APC	4845				percent of total billed charges		8500				other	OPPS APC	8500				other	OPPS APC	4165				percent of total billed charges		4335				percent of total billed charges		85				other	OPPS APC	85	8500	
UNI KNEE	SUP-97-02653	CDM			278	RC		inpatient			8500	8500																																																			
DRESSING BIOLOGICAL OASIS ULTRA PORCINE SUBMUCOSA L10 CM X W7 CM 3 LAYER MATRIX MESH	SUP-8213-0000-09	CDM			270	RC		outpatient			8487.5	8487.5	2299.26				percent of total billed charges		8487.5				other	OPPS APC	6280.75				percent of total billed charges		8487.5				other	OPPS APC	8487.5				other	OPPS APC	2299.26				percent of total billed charges		2345.1				percent of total billed charges		8487.5				other	OPPS APC	2299.26	8487.5	
DRESSING BIOLOGICAL OASIS ULTRA PORCINE SUBMUCOSA L10 CM X W7 CM 3 LAYER MATRIX MESH	SUP-8213-0000-09	CDM			270	RC		inpatient			8487.5	8487.5																																																			
ATHERECTOMY - 1.25 SOLID CROWN 145CM	SUP-99-01658	CDM			272	RC		outpatient			8487.5	8487.5	2299.26				percent of total billed charges		8487.5				other	OPPS APC	6280.75				percent of total billed charges		8487.5				other	OPPS APC	8487.5				other	OPPS APC	2299.26				percent of total billed charges		2345.1				percent of total billed charges		8487.5				other	OPPS APC	2299.26	8487.5	
ATHERECTOMY - 1.25 SOLID CROWN 145CM	SUP-99-01658	CDM			272	RC		inpatient			8487.5	8487.5																																																			
ATHERECTOMY - 1.50 SOLID CROWN 145CM	SUP-99-01659	CDM			272	RC		outpatient			8487.5	8487.5	2299.26				percent of total billed charges		8487.5				other	OPPS APC	6280.75				percent of total billed charges		8487.5				other	OPPS APC	8487.5				other	OPPS APC	2299.26				percent of total billed charges		2345.1				percent of total billed charges		8487.5				other	OPPS APC	2299.26	8487.5	
ATHERECTOMY - 1.50 SOLID CROWN 145CM	SUP-99-01659	CDM			272	RC		inpatient			8487.5	8487.5																																																			
ATHERECTOMY - 1.25 PEDAL CROWN 145CM	SUP-99-01912	CDM			272	RC		outpatient			8487.5	8487.5	2299.26				percent of total billed charges		8487.5				other	OPPS APC	6280.75				percent of total billed charges		8487.5				other	OPPS APC	8487.5				other	OPPS APC	2299.26				percent of total billed charges		2345.1				percent of total billed charges		8487.5				other	OPPS APC	2299.26	8487.5	
ATHERECTOMY - 1.25 PEDAL CROWN 145CM	SUP-99-01912	CDM			272	RC		inpatient			8487.5	8487.5																																																			
ATHERECTOMY - 1.25 MICRO CROWN 60CM	SUP-99-01974	CDM			272	RC		outpatient			8487.5	8487.5	2299.26				percent of total billed charges		8487.5				other	OPPS APC	6280.75				percent of total billed charges		8487.5				other	OPPS APC	8487.5				other	OPPS APC	2299.26				percent of total billed charges		2345.1				percent of total billed charges		8487.5				other	OPPS APC	2299.26	8487.5	
ATHERECTOMY - 1.25 MICRO CROWN 60CM	SUP-99-01974	CDM			272	RC		inpatient			8487.5	8487.5																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM 0.014-0.018 IN GUIDEWIRE	SUP-VBJ071002	CDM			270	RC		outpatient			8466	8466	2293.44				percent of total billed charges		8466				other	OPPS APC	6264.84				percent of total billed charges		8466				other	OPPS APC	8466				other	OPPS APC	2293.44				percent of total billed charges		2339.16				percent of total billed charges		8466				other	OPPS APC	2293.44	8466	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM 0.014-0.018 IN GUIDEWIRE	SUP-VBJ071002	CDM			270	RC		inpatient			8466	8466																																																			
PACEMAKER ACCOLADE SR MRI SYSTEM SINGLE CHAMBER 1 LEAD	SUP-9H42	CDM			275	RC		outpatient			8455	8455	4142.95				percent of total billed charges		8455				other	OPPS APC	4819.35				percent of total billed charges		8455				other	OPPS APC	8455				other	OPPS APC	4142.95				percent of total billed charges		4312.05				percent of total billed charges		8455				other	OPPS APC	4142.95	8455	
PACEMAKER ACCOLADE SR MRI SYSTEM SINGLE CHAMBER 1 LEAD	SUP-9H42	CDM			275	RC		inpatient			8455	8455																																																			
TRAY TIBIAL GMK HINGE 3 KNEE LEFT FIX NONSTERILE	SUP-02.09.4003L	CDM	270010025	LOCAL	270	RC		outpatient			8440	844	2286.4				percent of total billed charges		8440				other	OPPS APC	6245.6				percent of total billed charges		8440				other	OPPS APC	8440				other	OPPS APC	2286.4				percent of total billed charges		2331.97				percent of total billed charges		844				other	OPPS APC	844	8440	
TRAY TIBIAL GMK HINGE 3 KNEE LEFT FIX NONSTERILE	SUP-02.09.4003L	CDM	270010025	LOCAL	270	RC		inpatient			8440	8440																																																			
TRAY TIBIAL GMK HINGE 5 KNEE LEFT FIX NONSTERILE	SUP-02.09.4005L	CDM	270010025	LOCAL	270	RC		outpatient			8440	844	2286.4				percent of total billed charges		8440				other	OPPS APC	6245.6				percent of total billed charges		8440				other	OPPS APC	8440				other	OPPS APC	2286.4				percent of total billed charges		2331.97				percent of total billed charges		844				other	OPPS APC	844	8440	
TRAY TIBIAL GMK HINGE 5 KNEE LEFT FIX NONSTERILE	SUP-02.09.4005L	CDM	270010025	LOCAL	270	RC		inpatient			8440	8440																																																			
VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP ADJUSTABLE PRESSURE ANTECHAMBER	SUP-SPVA400_72543	CDM			270	RC		outpatient			8430	843	2283.69				percent of total billed charges		8430				other	OPPS APC	6238.2				percent of total billed charges		8430				other	OPPS APC	8430				other	OPPS APC	2283.69				percent of total billed charges		2329.21				percent of total billed charges		843				other	OPPS APC	843	8430	
VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP ADJUSTABLE PRESSURE ANTECHAMBER	SUP-SPVA400_72543	CDM			270	RC		inpatient			8430	8430																																																			
NIVOLUMAB 100 MG/10 ML SOLUTION 10 ML VIAL	636000000	CDM	0003-3774-12	NDC	J9299	HCPCS		inpatient			8420.54	8420.54																																																			
NIVOLUMAB 100 MG/10 ML SOLUTION 10 ML VIAL	636000000	CDM	0003-3774-12	NDC	J9299	HCPCS		outpatient			8420.54	33.12																																											33.12				other	OPPS APC	33.12	33.12	
COMPONENT TIBIAL TRAY OPTETRAK LOGIC 4F/3T KNEE FIT CEMENTED	SUP-02-012-45-4030	CDM	270010025	LOCAL	270	RC		outpatient			8420	842	2280.98				percent of total billed charges		8420				other	OPPS APC	6230.8				percent of total billed charges		8420				other	OPPS APC	8420				other	OPPS APC	2280.98				percent of total billed charges		2326.45				percent of total billed charges		842				other	OPPS APC	842	8420	
COMPONENT TIBIAL TRAY OPTETRAK LOGIC 4F/3T KNEE FIT CEMENTED	SUP-02-012-45-4030	CDM	270010025	LOCAL	270	RC		inpatient			8420	8420																																																			
ZIMMER HIP PARTIAL	SUP-97-00392	CDM			278	RC		outpatient			8400	84	8400				fee schedule		8400				other	OPPS APC	4788				percent of total billed charges		8400				other	OPPS APC	8400				other	OPPS APC	4116				percent of total billed charges		4284				percent of total billed charges		84				other	OPPS APC	84	8400	
ZIMMER HIP PARTIAL	SUP-97-00392	CDM			278	RC		inpatient			8400	8400																																																			
PATELLO FEMORAL PARTIAL KNEE CAP	SUP-97-02711	CDM			278	RC		outpatient			8400	84	8400				fee schedule		8400				other	OPPS APC	4788				percent of total billed charges		8400				other	OPPS APC	8400				other	OPPS APC	4116				percent of total billed charges		4284				percent of total billed charges		84				other	OPPS APC	84	8400	
PATELLO FEMORAL PARTIAL KNEE CAP	SUP-97-02711	CDM			278	RC		inpatient			8400	8400																																																			
SHOULDER HEMI	SUP-97-04221	CDM			278	RC		outpatient			8400	84	8400				fee schedule		8400				other	OPPS APC	4788				percent of total billed charges		8400				other	OPPS APC	8400				other	OPPS APC	4116				percent of total billed charges		4284				percent of total billed charges		84				other	OPPS APC	84	8400	
SHOULDER HEMI	SUP-97-04221	CDM			278	RC		inpatient			8400	8400																																																			
LOOP DM 3500 CONFIRM RX	SUP-DM3500	CDM			275	RC		outpatient			8400	84	4116				percent of total billed charges		8400				other	OPPS APC	4788				percent of total billed charges		8400				other	OPPS APC	8400				other	OPPS APC	4116				percent of total billed charges		4284				percent of total billed charges		84				other	OPPS APC	84	8400	
LOOP DM 3500 CONFIRM RX	SUP-DM3500	CDM			275	RC		inpatient			8400	8400																																																			
IMPLANT NEXGEN ROTATING HINGE STEM TIBIAL PLATE SIZE 4	SUP-00-5880-004-00	CDM	270010025	LOCAL	270	RC		outpatient			8388	8388	2272.31				percent of total billed charges		8388				other	OPPS APC	6207.12				percent of total billed charges		8388				other	OPPS APC	8388				other	OPPS APC	2272.31				percent of total billed charges		2317.6				percent of total billed charges		8388				other	OPPS APC	2272.31	8388	
IMPLANT NEXGEN ROTATING HINGE STEM TIBIAL PLATE SIZE 4	SUP-00-5880-004-00	CDM	270010025	LOCAL	270	RC		inpatient			8388	8388																																																			
DRESSING OASIS ULTRA TRI-LAYER 7 X 10CM	SUP-95-03619	CDM			636	RC		outpatient			8386.76	8386.76	8386.76				fee schedule		8386.76				other	OPPS APC	13.27				fee schedule		8386.76				other	OPPS APC	8386.76				other	OPPS APC	4109.51				percent of total billed charges		2084.95				percent of total billed charges		8386.76				other	OPPS APC	13.27	8386.76	
DRESSING OASIS ULTRA TRI-LAYER 7 X 10CM	SUP-95-03619	CDM			636	RC		inpatient			8386.76	8386.76																																																			
PACEMAKER - GENERATOR ADDRL1	SUP-99-00895	CDM			275	RC		outpatient			8379	8379	8379				fee schedule		8379				other	OPPS APC	4776.03				percent of total billed charges		8379				other	OPPS APC	8379				other	OPPS APC	4105.71				percent of total billed charges		4273.29				percent of total billed charges		8379				other	OPPS APC	4105.71	8379	
PACEMAKER - GENERATOR ADDRL1	SUP-99-00895	CDM			275	RC		inpatient			8379	8379																																																			
PACEMAKER - GENERATOR ADDSR1	SUP-99-00896	CDM			275	RC		inpatient			8379	8379																																																			
PACEMAKER - GENERATOR ADDSR1	SUP-99-00896	CDM			275	RC		outpatient			8379	8379					fee schedule						other	OPPS APC	4776.03				percent of total billed charges						other	OPPS APC					other	OPPS APC	4105.71				percent of total billed charges		4273.29				percent of total billed charges						other	OPPS APC	4776.03	4776.03	
NAIL 10 X 200MM LEFT PHANTOM TTC	SUP-97-06217	CDM			278	RC		outpatient			8375	8375	8375				fee schedule		8375				other	OPPS APC	4773.75				percent of total billed charges		8375				other	OPPS APC	8375				other	OPPS APC	4103.75				percent of total billed charges		4271.25				percent of total billed charges		8375				other	OPPS APC	4103.75	8375	
NAIL 10 X 200MM LEFT PHANTOM TTC	SUP-97-06217	CDM			278	RC		inpatient			8375	8375																																																			
BEVACIZUMAB-AWWB 25 MG/ML SOLUTION 16 ML VIAL	636000000	CDM	55513-207-01	NDC	Q5107	HCPCS		inpatient			8372.68	8372.68																																																			
BEVACIZUMAB-AWWB 25 MG/ML SOLUTION 16 ML VIAL	636000000	CDM	55513-207-01	NDC	Q5107	HCPCS		outpatient			8372.68	28.5																																											28.5				other	OPPS APC	28.5	28.5	
PLATE TIBIAL NEXGEN ZIMALOY PMMA UHMWPE 5 KNEE ROTATE HINGE STEM STERILE	SUP-00-5880-005-00	CDM	270010025	LOCAL	270	RC		outpatient			8372	8372	2267.97				percent of total billed charges		8372				other	OPPS APC	6195.28				percent of total billed charges		8372				other	OPPS APC	8372				other	OPPS APC	2267.97				percent of total billed charges		2313.18				percent of total billed charges		8372				other	OPPS APC	2267.97	8372	
PLATE TIBIAL NEXGEN ZIMALOY PMMA UHMWPE 5 KNEE ROTATE HINGE STEM STERILE	SUP-00-5880-005-00	CDM	270010025	LOCAL	270	RC		inpatient			8372	8372																																																			
PACEMAKER ACCOLADE DR 1 LEAD DUAL CHAMBER SYSTEM	SUP-8H33	CDM			275	RC		outpatient			8360	836	4096.4				percent of total billed charges		8360				other	OPPS APC	4765.2				percent of total billed charges		8360				other	OPPS APC	8360				other	OPPS APC	4096.4				percent of total billed charges		4263.6				percent of total billed charges		836				other	OPPS APC	836	8360	
PACEMAKER ACCOLADE DR 1 LEAD DUAL CHAMBER SYSTEM	SUP-8H33	CDM			275	RC		inpatient			8360	8360																																																			
PACEMAKER L321 ACCOLADE DR EL 1 LEAD SYSTEM DUAL CHAMBER	SUP-8H53	CDM			275	RC		outpatient			8360	836	4096.4				percent of total billed charges		8360				other	OPPS APC	4765.2				percent of total billed charges		8360				other	OPPS APC	8360				other	OPPS APC	4096.4				percent of total billed charges		4263.6				percent of total billed charges		836				other	OPPS APC	836	8360	
PACEMAKER L321 ACCOLADE DR EL 1 LEAD SYSTEM DUAL CHAMBER	SUP-8H53	CDM			275	RC		inpatient			8360	8360																																																			
SOUND PROCESSOR PONTO 5 MINI CHESTNUT BROWN	SUP-95-04678	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges		8352				other	OPPS APC	6180.48				percent of total billed charges		8352				other	OPPS APC	8352				other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges		8352				other	OPPS APC	2262.56	8352	
SOUND PROCESSOR PONTO 5 MINI CHESTNUT BROWN	SUP-95-04678	CDM			272	RC		inpatient			8352	8352																																																			
SOUND PROCESSOR PONTO 4 SG GRAY	SUP-95-04865	CDM			272	RC		inpatient			8352	8352																																																			
SOUND PROCESSOR PONTO 4 SG GRAY	SUP-95-04865	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
SOUND PROCESSOR PONTO 4 SG BROWN	SUP-95-05113	CDM			272	RC		inpatient			8352	8352																																																			
SOUND PROCESSOR PONTO 4 SG BROWN	SUP-95-05113	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
SOUND PROCESSOR PONTO 5 MINI TERRACOTTA	SUP-95-05437	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges		8352				other	OPPS APC	6180.48				percent of total billed charges		8352				other	OPPS APC	8352				other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges		8352				other	OPPS APC	2262.56	8352	
SOUND PROCESSOR PONTO 5 MINI TERRACOTTA	SUP-95-05437	CDM			272	RC		inpatient			8352	8352																																																			
SOUND PROCESSOR PONTO 5 MINI STEEL GREY	SUP-95-05490	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges		8352				other	OPPS APC	6180.48				percent of total billed charges		8352				other	OPPS APC	8352				other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges		8352				other	OPPS APC	2262.56	8352	
SOUND PROCESSOR PONTO 5 MINI STEEL GREY	SUP-95-05490	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER LEFT MOCCA BROWN	SUP-97-02601	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER LEFT MOCCA BROWN	SUP-97-02601	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 SUPER POWER RIGHT DIAMOND BLACK	SUP-97-02603	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 SUPER POWER RIGHT DIAMOND BLACK	SUP-97-02603	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 SUPERPOWER RIGHT WHITE SILVER	SUP-97-02966	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 SUPERPOWER RIGHT WHITE SILVER	SUP-97-02966	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER LEFT LEFT STEEL GREY	SUP-97-03249	CDM			278	RC		inpatient			8352	8352																																																			
PONTO3 POWER LEFT LEFT STEEL GREY	SUP-97-03249	CDM			278	RC		outpatient			8352	8352					fee schedule						other	OPPS APC	4760.64				percent of total billed charges						other	OPPS APC					other	OPPS APC	4092.48				percent of total billed charges		4259.52				percent of total billed charges						other	OPPS APC	4760.64	4760.64	
PONTO3 SUPERPOWER RIGHT STEEL GREY	SUP-97-03475	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 SUPERPOWER RIGHT STEEL GREY	SUP-97-03475	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER DIAMOND BLACK LEFT	SUP-97-03478	CDM			278	RC		inpatient			8352	8352																																																			
PONTO3 POWER DIAMOND BLACK LEFT	SUP-97-03478	CDM			278	RC		outpatient			8352	8352					fee schedule						other	OPPS APC	4760.64				percent of total billed charges						other	OPPS APC					other	OPPS APC	4092.48				percent of total billed charges		4259.52				percent of total billed charges						other	OPPS APC	4760.64	4760.64	
PONTO3 POWER MOCCA BROWN RIGHT	SUP-97-03479	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER MOCCA BROWN RIGHT	SUP-97-03479	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER CHROMA BEIGE LEFT	SUP-97-03480	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER CHROMA BEIGE LEFT	SUP-97-03480	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER CHROMA BEIGE RIGHT	SUP-97-03481	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER CHROMA BEIGE RIGHT	SUP-97-03481	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER WHITE SILVER LEFT	SUP-97-03482	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER WHITE SILVER LEFT	SUP-97-03482	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER PURE WHITE LEFT	SUP-97-03483	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER PURE WHITE LEFT	SUP-97-03483	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO3 POWER PURE WHITE RIGHT	SUP-97-03484	CDM			272	RC		inpatient			8352	8352																																																			
PONTO3 POWER PURE WHITE RIGHT	SUP-97-03484	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PONTO 4 SILVER	SUP-97-04592	CDM			272	RC		inpatient			8352	8352																																																			
PONTO 4 SILVER	SUP-97-04592	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
PROCESSOR PONTO 4 DIAMOND BLACK	SUP-97-04949	CDM			272	RC		inpatient			8352	8352																																																			
PROCESSOR PONTO 4 DIAMOND BLACK	SUP-97-04949	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges						other	OPPS APC	6180.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges						other	OPPS APC	6180.48	6180.48	
SOUND PROCESSOR PONTO 5 MINI SILVER (C044)	SUP-97-05619	CDM			272	RC		outpatient			8352	8352	2262.56				percent of total billed charges		8352				other	OPPS APC	6180.48				percent of total billed charges		8352				other	OPPS APC	8352				other	OPPS APC	2262.56				percent of total billed charges		2307.66				percent of total billed charges		8352				other	OPPS APC	2262.56	8352	
SOUND PROCESSOR PONTO 5 MINI SILVER (C044)	SUP-97-05619	CDM			272	RC		inpatient			8352	8352																																																			
SIGMA FEM SIZE 2.5 LFT	SUP-97-01051	CDM			278	RC		outpatient			8329.5	8329.5	8329.5				fee schedule		8329.5				other	OPPS APC	4747.82				percent of total billed charges		8329.5				other	OPPS APC	8329.5				other	OPPS APC	4081.46				percent of total billed charges		4248.05				percent of total billed charges		8329.5				other	OPPS APC	4081.46	8329.5	
SIGMA FEM SIZE 2.5 LFT	SUP-97-01051	CDM			278	RC		inpatient			8329.5	8329.5																																																			
POSTERIOR STABIZED CEMENTED	SUP-97-01316	CDM			278	RC		outpatient			8329.5	8329.5	8329.5				fee schedule		8329.5				other	OPPS APC	4747.82				percent of total billed charges		8329.5				other	OPPS APC	8329.5				other	OPPS APC	4081.46				percent of total billed charges		4248.05				percent of total billed charges		8329.5				other	OPPS APC	4081.46	8329.5	
POSTERIOR STABIZED CEMENTED	SUP-97-01316	CDM			278	RC		inpatient			8329.5	8329.5																																																			
FEMORAL POSTERIOR STABILIZED CEMMENTED	SUP-97-01858	CDM			278	RC		outpatient			8329.5	8329.5	8329.5				fee schedule		8329.5				other	OPPS APC	4747.82				percent of total billed charges		8329.5				other	OPPS APC	8329.5				other	OPPS APC	4081.46				percent of total billed charges		4248.05				percent of total billed charges		8329.5				other	OPPS APC	4081.46	8329.5	
FEMORAL POSTERIOR STABILIZED CEMMENTED	SUP-97-01858	CDM			278	RC		inpatient			8329.5	8329.5																																																			
SIGMA FEM SIZE 6 RIGHT	SUP-97-02523	CDM			278	RC		outpatient			8329.5	8329.5	8329.5				fee schedule		8329.5				other	OPPS APC	4747.82				percent of total billed charges		8329.5				other	OPPS APC	8329.5				other	OPPS APC	4081.46				percent of total billed charges		4248.05				percent of total billed charges		8329.5				other	OPPS APC	4081.46	8329.5	
SIGMA FEM SIZE 6 RIGHT	SUP-97-02523	CDM			278	RC		inpatient			8329.5	8329.5																																																			
STEM HUMERAL PERFORM 2+ SHOULDER STERILE LATEX FREE	SUP-DWX2PS	CDM	270010030	LOCAL	270	RC		outpatient			8326	8326	2255.51				percent of total billed charges		8326				other	OPPS APC	6161.24				percent of total billed charges		8326				other	OPPS APC	8326				other	OPPS APC	2255.51				percent of total billed charges		2300.47				percent of total billed charges		8326				other	OPPS APC	2255.51	8326	
STEM HUMERAL PERFORM 2+ SHOULDER STERILE LATEX FREE	SUP-DWX2PS	CDM	270010030	LOCAL	270	RC		inpatient			8326	8326																																																			
CAP TOTAL SHOULDER PRICING-DEPUY	SUP-TOTALSHOULDER-DEP	CDM	270010030	LOCAL	270	RC		outpatient			8320	832	2253.89				percent of total billed charges		8320				other	OPPS APC	6156.8				percent of total billed charges		8320				other	OPPS APC	8320				other	OPPS APC	2253.89				percent of total billed charges		2298.82				percent of total billed charges		832				other	OPPS APC	832	8320	
CAP TOTAL SHOULDER PRICING-DEPUY	SUP-TOTALSHOULDER-DEP	CDM	270010030	LOCAL	270	RC		inpatient			8320	8320																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0	SUP-43792	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0	SUP-43792	CDM			278	RC		inpatient			8284	8284																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20	SUP-43794	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20	SUP-43794	CDM			278	RC		inpatient			8284	8284																																																			
REST MOD PROX CONE BODY 19MM + 0MM	SUP-97-03717	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
REST MOD PROX CONE BODY 19MM + 0MM	SUP-97-03717	CDM			278	RC		inpatient			8284	8284																																																			
REST MOD PROX CONE BODY 19MM +20	SUP-97-05293	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
REST MOD PROX CONE BODY 19MM +20	SUP-97-05293	CDM			278	RC		inpatient			8284	8284																																																			
REST MOD PROX CONE BODY 21MM + 0MM	SUP-97-05517	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
REST MOD PROX CONE BODY 21MM + 0MM	SUP-97-05517	CDM			278	RC		inpatient			8284	8284																																																			
REST MOD PROXIMAL CONE BODY 19MM +10	SUP-97-06043	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
REST MOD PROXIMAL CONE BODY 19MM +10	SUP-97-06043	CDM			278	RC		inpatient			8284	8284																																																			
REST MOD PROXIMAL CONE BODY 23MM +0MM STD	SUP-97-06188	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
REST MOD PROXIMAL CONE BODY 23MM +0MM STD	SUP-97-06188	CDM			278	RC		inpatient			8284	8284																																																			
REST MOD PROX CONE BODY 19MM +10	SUP-97-23634	CDM			278	RC		outpatient			8284	8284	8284				fee schedule		8284				other	OPPS APC	4721.88				percent of total billed charges		8284				other	OPPS APC	8284				other	OPPS APC	4059.16				percent of total billed charges		4224.84				percent of total billed charges		8284				other	OPPS APC	4059.16	8284	
REST MOD PROX CONE BODY 19MM +10	SUP-97-23634	CDM			278	RC		inpatient			8284	8284																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H7 MM	SUP-34-5107-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H7 MM	SUP-34-5107-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H8 MM	SUP-34-5108-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H8 MM	SUP-34-5108-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H9 MM	SUP-34-5109-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H9 MM	SUP-34-5109-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H10 MM	SUP-34-5110-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H10 MM	SUP-34-5110-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H11 MM	SUP-34-5111-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H11 MM	SUP-34-5111-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H12 MM	SUP-34-5112-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H12 MM	SUP-34-5112-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H13 MM	SUP-34-5113-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H13 MM	SUP-34-5113-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H14 MM	SUP-34-5114-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H14 MM	SUP-34-5114-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H15 MM	SUP-34-5115-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H15 MM	SUP-34-5115-S	CDM			270	RC		inpatient			8280	8280																																																			
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H16 MM	SUP-34-5116-S	CDM			270	RC		outpatient			8280	828	2243.05				percent of total billed charges		8280				other	OPPS APC	6127.2				percent of total billed charges		8280				other	OPPS APC	8280				other	OPPS APC	2243.05				percent of total billed charges		2287.76				percent of total billed charges		828				other	OPPS APC	828	8280	
SPACER SPINAL HOLLYWOOD NANOMETALENE LORDOTIC L27 MM X W11 MM X H16 MM	SUP-34-5116-S	CDM			270	RC		inpatient			8280	8280																																																			
REST MOD PROX CONE BODY 21MM+10	SUP-97-03668	CDM			278	RC		outpatient			8259.9	8259.9	8259.9				fee schedule		8259.9				other	OPPS APC	4708.14				percent of total billed charges		8259.9				other	OPPS APC	8259.9				other	OPPS APC	4047.35				percent of total billed charges		4212.55				percent of total billed charges		8259.9				other	OPPS APC	4047.35	8259.9	
REST MOD PROX CONE BODY 21MM+10	SUP-97-03668	CDM			278	RC		inpatient			8259.9	8259.9																																																			
PATELLA FEMORAL JOINT	SUP-97-02675	CDM			278	RC		outpatient			8250	825	8250				fee schedule		8250				other	OPPS APC	4702.5				percent of total billed charges		8250				other	OPPS APC	8250				other	OPPS APC	4042.5				percent of total billed charges		4207.5				percent of total billed charges		825				other	OPPS APC	825	8250	
PATELLA FEMORAL JOINT	SUP-97-02675	CDM			278	RC		inpatient			8250	8250																																																			
STENT - COVERED PAPYRUS 4.5 X 20	SUP-99-04537	CDM						inpatient			8250	8250																																																			
STENT - COVERED PAPYRUS 4.5 X 20	SUP-99-04537	CDM						outpatient			8250	825	8250				percent of total billed charges		8250				other	OPPS APC	8250				fee schedule		8250				other	OPPS APC	8250				other	OPPS APC	8250				case rate		8250				case rate		825				other	OPPS APC	825	8250	
STENT - COVERED PAPYRUS 5 X 20	SUP-99-04539	CDM			272	RC		outpatient			8250	825	2234.93				percent of total billed charges		8250				other	OPPS APC	6105				percent of total billed charges		8250				other	OPPS APC	8250				other	OPPS APC	2234.93				percent of total billed charges		2279.48				percent of total billed charges		825				other	OPPS APC	825	8250	
STENT - COVERED PAPYRUS 5 X 20	SUP-99-04539	CDM			272	RC		inpatient			8250	8250																																																			
HC Rad Therapy Lymphoma Rad Onc Model  90 Day Episode Tc	PX-333M10970	CDM			333	RC		outpatient			8239.84	8239.84	4037.52				percent of total billed charges		8239.84				other	OPPS APC	6097.48				percent of total billed charges		8239.84				other	OPPS APC	8239.84				other	OPPS APC	4037.52				percent of total billed charges		4202.32				percent of total billed charges		8239.84				other	OPPS APC	4037.52	8239.84	
HC Rad Therapy Lymphoma Rad Onc Model  90 Day Episode Tc	PX-333M10970	CDM			333	RC		inpatient			8239.84	8239.84																																																			
GRAFT ANKLE TALUS LEFT	SUP-97-03891	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
GRAFT ANKLE TALUS LEFT	SUP-97-03891	CDM			278	RC		inpatient			8220	8220																																																			
GRAFTLINK PRE-SUTURED TENDON	SUP-97-04616	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
GRAFTLINK PRE-SUTURED TENDON	SUP-97-04616	CDM			278	RC		inpatient			8220	8220																																																			
STENT - COVERED - VIABAHN 6MM X 7.5CM	SUP-99-04225	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
STENT - COVERED - VIABAHN 6MM X 7.5CM	SUP-99-04225	CDM			278	RC		inpatient			8220	8220																																																			
STENT - COVERED - VIABAHN 7MM X 7.5CM 7F	SUP-99-04226	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
STENT - COVERED - VIABAHN 7MM X 7.5CM 7F	SUP-99-04226	CDM			278	RC		inpatient			8220	8220																																																			
STENT - COVERED - VIABAHN 7MM X 10CM 7F	SUP-99-04227	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
STENT - COVERED - VIABAHN 7MM X 10CM 7F	SUP-99-04227	CDM			278	RC		inpatient			8220	8220																																																			
STENT - COVERED - VIABAHN 6MM X 10CM	SUP-99-04228	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
STENT - COVERED - VIABAHN 6MM X 10CM	SUP-99-04228	CDM			278	RC		inpatient			8220	8220																																																			
STENT - COVERED - VIABAHN 8 X 10	SUP-99-04702	CDM			278	RC		outpatient			8220	822	8220				fee schedule		8220				other	OPPS APC	4685.4				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	4027.8				percent of total billed charges		4192.2				percent of total billed charges		822				other	OPPS APC	822	8220	
STENT - COVERED - VIABAHN 8 X 10	SUP-99-04702	CDM			278	RC		inpatient			8220	8220																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD8 MM SUPERFICIAL FEMORAL ARTERY ILIAC ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR081002A	CDM			270	RC		outpatient			8220	822	2226.8				percent of total billed charges		8220				other	OPPS APC	6082.8				percent of total billed charges		8220				other	OPPS APC	8220				other	OPPS APC	2226.8				percent of total billed charges		2271.19				percent of total billed charges		822				other	OPPS APC	822	8220	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L10 CM L120 CM OD8 MM SUPERFICIAL FEMORAL ARTERY ILIAC ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR081002A	CDM			270	RC		inpatient			8220	8220																																																			
CAGE SPINAL COROENT XL 50X18X12MM NS LF	SUP-6912850	CDM	270010020	LOCAL	270	RC		outpatient			8206	826	2223.01				percent of total billed charges		8206				other	OPPS APC	6072.44				percent of total billed charges		8206				other	OPPS APC	8206				other	OPPS APC	2223.01				percent of total billed charges		2267.32				percent of total billed charges		826				other	OPPS APC	826	8206	
CAGE SPINAL COROENT XL 50X18X12MM NS LF	SUP-6912850	CDM	270010020	LOCAL	270	RC		inpatient			8206	8206																																																			
CAGE SPINAL COROENT 10D XL 50X18X10MM NS LF	SUP-6981050	CDM	270010020	LOCAL	270	RC		outpatient			8206	826	2223.01				percent of total billed charges		8206				other	OPPS APC	6072.44				percent of total billed charges		8206				other	OPPS APC	8206				other	OPPS APC	2223.01				percent of total billed charges		2267.32				percent of total billed charges		826				other	OPPS APC	826	8206	
CAGE SPINAL COROENT 10D XL 50X18X10MM NS LF	SUP-6981050	CDM	270010020	LOCAL	270	RC		inpatient			8206	8206																																																			
HEMISPHERICAL SHELL	SUP-97-01886	CDM			278	RC		outpatient			8173.5	8173.5	8173.5				fee schedule		8173.5				other	OPPS APC	4658.9				percent of total billed charges		8173.5				other	OPPS APC	8173.5				other	OPPS APC	4005.02				percent of total billed charges		4168.49				percent of total billed charges		8173.5				other	OPPS APC	4005.02	8173.5	
HEMISPHERICAL SHELL	SUP-97-01886	CDM			278	RC		inpatient			8173.5	8173.5																																																			
HEMISPHERICAL SHELL	SUP-97-02532	CDM			278	RC		outpatient			8173.5	8173.5	8173.5				fee schedule		8173.5				other	OPPS APC	4658.9				percent of total billed charges		8173.5				other	OPPS APC	8173.5				other	OPPS APC	4005.02				percent of total billed charges		4168.49				percent of total billed charges		8173.5				other	OPPS APC	4005.02	8173.5	
HEMISPHERICAL SHELL	SUP-97-02532	CDM			278	RC		inpatient			8173.5	8173.5																																																			
HEMISPHERICAL SHELL 62	SUP-97-02534	CDM			278	RC		outpatient			8173.5	8173.5	8173.5				fee schedule		8173.5				other	OPPS APC	4658.9				percent of total billed charges		8173.5				other	OPPS APC	8173.5				other	OPPS APC	4005.02				percent of total billed charges		4168.49				percent of total billed charges		8173.5				other	OPPS APC	4005.02	8173.5	
HEMISPHERICAL SHELL 62	SUP-97-02534	CDM			278	RC		inpatient			8173.5	8173.5																																																			
VERSYS FM MC CLR 12X140MM STD BODY NECK	SUP-97-04399	CDM			278	RC		outpatient			8150	815	8150				fee schedule		8150				other	OPPS APC	4645.5				percent of total billed charges		8150				other	OPPS APC	8150				other	OPPS APC	3993.5				percent of total billed charges		4156.5				percent of total billed charges		815				other	OPPS APC	815	8150	
VERSYS FM MC CLR 12X140MM STD BODY NECK	SUP-97-04399	CDM			278	RC		inpatient			8150	8150																																																			
VERSYS FM MC CLR 15X160MM STD BODY STD N	SUP-97-04748	CDM			278	RC		outpatient			8150	815	8150				fee schedule		8150				other	OPPS APC	4645.5				percent of total billed charges		8150				other	OPPS APC	8150				other	OPPS APC	3993.5				percent of total billed charges		4156.5				percent of total billed charges		815				other	OPPS APC	815	8150	
VERSYS FM MC CLR 15X160MM STD BODY STD N	SUP-97-04748	CDM			278	RC		inpatient			8150	8150																																																			
VERSYS FM MC CLR 18 X 160MM LM BODY STD NECK	SUP-97-06132	CDM			278	RC		outpatient			8150	815	8150				fee schedule		8150				other	OPPS APC	4645.5				percent of total billed charges		8150				other	OPPS APC	8150				other	OPPS APC	3993.5				percent of total billed charges		4156.5				percent of total billed charges		815				other	OPPS APC	815	8150	
VERSYS FM MC CLR 18 X 160MM LM BODY STD NECK	SUP-97-06132	CDM			278	RC		inpatient			8150	8150																																																			
PONTO3 POWER RIGHT MOCCA BROWN	SUP-97-01580	CDM			272	RC		inpatient			8136	8136																																																			
PONTO3 POWER RIGHT MOCCA BROWN	SUP-97-01580	CDM			272	RC		outpatient			8136	8136	2204.04				percent of total billed charges						other	OPPS APC	6020.64				percent of total billed charges						other	OPPS APC					other	OPPS APC	2204.04				percent of total billed charges		2247.98				percent of total billed charges						other	OPPS APC	6020.64	6020.64	
PONTO3 POWER LEFT CHOMA BEIGE	SUP-97-01822	CDM			278	RC		inpatient			8136	8136																																																			
PONTO3 POWER LEFT CHOMA BEIGE	SUP-97-01822	CDM			278	RC		outpatient			8136	8136					fee schedule						other	OPPS APC	4637.52				percent of total billed charges						other	OPPS APC					other	OPPS APC	3986.64				percent of total billed charges		4149.36				percent of total billed charges						other	OPPS APC	4637.52	4637.52	
PONTO3 POWER RIGHT CHOMA BEIGE	SUP-97-01823	CDM			278	RC		inpatient			8136	8136																																																			
PONTO3 POWER RIGHT CHOMA BEIGE	SUP-97-01823	CDM			278	RC		outpatient			8136	8136					fee schedule						other	OPPS APC	4637.52				percent of total billed charges						other	OPPS APC					other	OPPS APC	3986.64				percent of total billed charges		4149.36				percent of total billed charges						other	OPPS APC	4637.52	4637.52	
ALTIPLY 4CMX7CM	SUP-97-03582	CDM			636	RC		outpatient			8125	8125	3981.25				percent of total billed charges		8125				other	OPPS APC	6012.5				percent of total billed charges		8125				other	OPPS APC	8125				other	OPPS APC	3981.25				percent of total billed charges		2019.88				percent of total billed charges		8125				other	OPPS APC	2019.88	8125	
ALTIPLY 4CMX7CM	SUP-97-03582	CDM			636	RC		inpatient			8125	8125																																																			
IS AUGMENT 3CC	SUP-97-23779	CDM			278	RC		outpatient			8125	8125	8125				fee schedule		8125				other	OPPS APC	4631.25				percent of total billed charges		8125				other	OPPS APC	8125				other	OPPS APC	3981.25				percent of total billed charges		4143.75				percent of total billed charges		8125				other	OPPS APC	3981.25	8125	
IS AUGMENT 3CC	SUP-97-23779	CDM			278	RC		inpatient			8125	8125																																																			
HC Incision of Gallbladder	PX-361474900	CDM	47490	CPT	361	RC		outpatient			8123.37	8123.37	2565.36				percent of total billed charges		8123.37				other	OPPS APC	8123.37				fee schedule		8123.37				other	OPPS APC	8123.37				other	OPPS APC	2565.36				percent of total billed charges		2616.54				percent of total billed charges		8123.37				other	OPPS APC	2565.36	8123.37	
HC Incision of Gallbladder	PX-361474900	CDM	47490	CPT	361	RC		inpatient			8123.37	8123.37																																																			
GRAFT OVITEX 1S 10 X 20CM	SUP-97-06234	CDM			278	RC		outpatient			8100	81	8100				fee schedule		8100				other	OPPS APC	4617				percent of total billed charges		8100				other	OPPS APC	8100				other	OPPS APC	3969				percent of total billed charges		4131				percent of total billed charges		81				other	OPPS APC	81	8100	
GRAFT OVITEX 1S 10 X 20CM	SUP-97-06234	CDM			278	RC		inpatient			8100	8100																																																			
COMPONENT GLENOID ARTHREX ECLIPSE OD47 MM SHOULDER TRUNION	SUP-AR-9301-47CPC	CDM	270010030	LOCAL	270	RC		outpatient			8100	81	2194.29				percent of total billed charges		8100				other	OPPS APC	5994				percent of total billed charges		8100				other	OPPS APC	8100				other	OPPS APC	2194.29				percent of total billed charges		2238.03				percent of total billed charges		81				other	OPPS APC	81	8100	
COMPONENT GLENOID ARTHREX ECLIPSE OD47 MM SHOULDER TRUNION	SUP-AR-9301-47CPC	CDM	270010030	LOCAL	270	RC		inpatient			8100	8100																																																			
VENTRIO ST XLG OVAL 27.4 X 34.9	SUP-97-00240	CDM			278	RC		outpatient			8062.5	862.5	8062.5				fee schedule		8062.5				other	OPPS APC	4595.63				percent of total billed charges		8062.5				other	OPPS APC	8062.5				other	OPPS APC	3950.63				percent of total billed charges		4111.88				percent of total billed charges		862.5				other	OPPS APC	862.5	8062.5	
VENTRIO ST XLG OVAL 27.4 X 34.9	SUP-97-00240	CDM			278	RC		inpatient			8062.5	8062.5																																																			
MESH SURGICAL VOITEX LPR 15 X 20 CM ELLIPSE	SUP-F10244-1520L	CDM			270	RC		outpatient			8057.9	857.9	2182.89				percent of total billed charges		8057.9				other	OPPS APC	5962.85				percent of total billed charges		8057.9				other	OPPS APC	8057.9				other	OPPS APC	2182.89				percent of total billed charges		2226.4				percent of total billed charges		857.9				other	OPPS APC	857.9	8057.9	
MESH SURGICAL VOITEX LPR 15 X 20 CM ELLIPSE	SUP-F10244-1520L	CDM			270	RC		inpatient			8057.9	8057.9																																																			
INFINITY ADAPTIS TIB SIZE 1	SUP-97-05868	CDM			278	RC		outpatient			8050	85	8050				fee schedule		8050				other	OPPS APC	4588.5				percent of total billed charges		8050				other	OPPS APC	8050				other	OPPS APC	3944.5				percent of total billed charges		4105.5				percent of total billed charges		85				other	OPPS APC	85	8050	
INFINITY ADAPTIS TIB SIZE 1	SUP-97-05868	CDM			278	RC		inpatient			8050	8050																																																			
TRIATHLON SYM CONE AUGMENT SIZE A	SUP-97-05010	CDM			278	RC		outpatient			8045	845	8045				fee schedule		8045				other	OPPS APC	4585.65				percent of total billed charges		8045				other	OPPS APC	8045				other	OPPS APC	3942.05				percent of total billed charges		4102.95				percent of total billed charges		845				other	OPPS APC	845	8045	
TRIATHLON SYM CONE AUGMENT SIZE A	SUP-97-05010	CDM			278	RC		inpatient			8045	8045																																																			
CONE AUGMENT TRIATHLON SYM SIZE B	SUP-97-05792	CDM			278	RC		outpatient			8045	845	8045				fee schedule		8045				other	OPPS APC	4585.65				percent of total billed charges		8045				other	OPPS APC	8045				other	OPPS APC	3942.05				percent of total billed charges		4102.95				percent of total billed charges		845				other	OPPS APC	845	8045	
CONE AUGMENT TRIATHLON SYM SIZE B	SUP-97-05792	CDM			278	RC		inpatient			8045	8045																																																			
GRAFT BONE RIGHT PROXIMAL HUMERUS ALLOGRAFT FROZEN	SUP-450400	CDM	270010031	LOCAL	270	RC		outpatient			8044.2	844.2	2179.17				percent of total billed charges		8044.2				other	OPPS APC	5952.71				percent of total billed charges		8044.2				other	OPPS APC	8044.2				other	OPPS APC	2179.17				percent of total billed charges		2222.61				percent of total billed charges		844.2				other	OPPS APC	844.2	8044.2	
GRAFT BONE RIGHT PROXIMAL HUMERUS ALLOGRAFT FROZEN	SUP-450400	CDM	270010031	LOCAL	270	RC		inpatient			8044.2	8044.2																																																			
BEARING POSTERIOR STABILIZED 6MM	SUP-97-01544	CDM			278	RC		outpatient			8035	835	8035				fee schedule		8035				other	OPPS APC	4579.95				percent of total billed charges		8035				other	OPPS APC	8035				other	OPPS APC	3937.15				percent of total billed charges		4097.85				percent of total billed charges		835				other	OPPS APC	835	8035	
BEARING POSTERIOR STABILIZED 6MM	SUP-97-01544	CDM			278	RC		inpatient			8035	8035																																																			
GRAFT EPICORD 3CMX5CM	SUP-97-02339	CDM			636	RC		outpatient			8025	825	3932.25				percent of total billed charges		8025				other	OPPS APC	270.62				fee schedule		8025				other	OPPS APC	8025				other	OPPS APC	3932.25				percent of total billed charges		1995.02				percent of total billed charges		825				other	OPPS APC	270.62	8025	
GRAFT EPICORD 3CMX5CM	SUP-97-02339	CDM			636	RC		inpatient			8025	8025																																																			
PONTO BHX IMPLANT 3MM ABUTMENT 9	SUP-97-01576	CDM			278	RC		inpatient			8021.25	8021.25																																																			
PONTO BHX IMPLANT 3MM ABUTMENT 9	SUP-97-01576	CDM			278	RC		outpatient			8021.25	8021.25					fee schedule						other	OPPS APC	4572.11				percent of total billed charges						other	OPPS APC					other	OPPS APC	3930.41				percent of total billed charges		4090.84				percent of total billed charges						other	OPPS APC	4572.11	4572.11	
PONTO BHX IMPLANT 4MM ABUTMENT 9	SUP-97-01577	CDM			278	RC		inpatient			8021.25	8021.25																																																			
PONTO BHX IMPLANT 4MM ABUTMENT 9	SUP-97-01577	CDM			278	RC		outpatient			8021.25	8021.25					fee schedule						other	OPPS APC	4572.11				percent of total billed charges						other	OPPS APC					other	OPPS APC	3930.41				percent of total billed charges		4090.84				percent of total billed charges						other	OPPS APC	4572.11	4572.11	
PONTO BHX IMPLANT 4MM ABUTMENT 12	SUP-97-01578	CDM			278	RC		inpatient			8021.25	8021.25																																																			
PONTO BHX IMPLANT 4MM ABUTMENT 12	SUP-97-01578	CDM			278	RC		outpatient			8021.25	8021.25					fee schedule						other	OPPS APC	4572.11				percent of total billed charges						other	OPPS APC					other	OPPS APC	3930.41				percent of total billed charges		4090.84				percent of total billed charges						other	OPPS APC	4572.11	4572.11	
PONTO BHX IMPLANT 4MM ABUTMENT 1	SUP-97-01680	CDM			278	RC		inpatient			8021.25	8021.25																																																			
PONTO BHX IMPLANT 4MM ABUTMENT 1	SUP-97-01680	CDM			278	RC		outpatient			8021.25	8021.25					fee schedule						other	OPPS APC	4572.11				percent of total billed charges						other	OPPS APC					other	OPPS APC	3930.41				percent of total billed charges		4090.84				percent of total billed charges						other	OPPS APC	4572.11	4572.11	
PONTO BHX IMPLANT 3MM ABUTMENT 6	SUP-97-03127	CDM			278	RC		inpatient			8021.25	8021.25																																																			
PONTO BHX IMPLANT 3MM ABUTMENT 6	SUP-97-03127	CDM			278	RC		outpatient			8021.25	8021.25					fee schedule						other	OPPS APC	4572.11				percent of total billed charges						other	OPPS APC					other	OPPS APC	3930.41				percent of total billed charges		4090.84				percent of total billed charges						other	OPPS APC	4572.11	4572.11	
TRIATHLON SYM CONE AUGMENT SIZE D	SUP-97-03895	CDM			278	RC		outpatient			8021.2	821.2	8021.2				fee schedule		8021.2				other	OPPS APC	4572.08				percent of total billed charges		8021.2				other	OPPS APC	8021.2				other	OPPS APC	3930.39				percent of total billed charges		4090.81				percent of total billed charges		821.2				other	OPPS APC	821.2	8021.2	
TRIATHLON SYM CONE AUGMENT SIZE D	SUP-97-03895	CDM			278	RC		inpatient			8021.2	8021.2																																																			
HC Cc Pacemaker Battery Change Single	PX-481332271	CDM	33227	CPT	481	RC		outpatient			8000	8	353.85				fee schedule		8000				other	OPPS APC	5920				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	333.07				fee schedule		4080				percent of total billed charges		8				other	OPPS APC	8	8000	
HC Cc Pacemaker Battery Change Single	PX-481332271	CDM	33227	CPT	481	RC		inpatient			8000	8000																																																			
HC Cc Loop Recorder Insertion	PX-481332851	CDM	33285	CPT	481	RC		outpatient			8000	8597.2	3920				percent of total billed charges		8597.19				other	OPPS APC	5920				percent of total billed charges		8597.19				other	OPPS APC	8597.19				other	OPPS APC	85.81				fee schedule		4080				percent of total billed charges		8597.2				other	OPPS APC	85.81	8597.2	
HC Cc Loop Recorder Insertion	PX-481332851	CDM	33285	CPT	481	RC		inpatient			8000	8000																																																			
SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN POROUS OD64 MM ID56 MM VOID FILLER FOAM CUP	SUP-2102-1056	CDM	270010024	LOCAL	270	RC		outpatient			8000	8	2167.2				percent of total billed charges		8000				other	OPPS APC	5920				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges		8				other	OPPS APC	8	8000	
SUBSTITUTE BONE GRAFT VITOSS BTCP COLLAGEN POROUS OD64 MM ID56 MM VOID FILLER FOAM CUP	SUP-2102-1056	CDM	270010024	LOCAL	270	RC		inpatient			8000	8000																																																			
ELECTRODE DEFIBRILLATOR EMBLEM S-ICD MP35N POLYURETHANE L45 CM OD9 FR ODSEC7 FR SUBCUTANEOUS 3 POLAR COIL CONNECTOR PIN STERILE DISPOSABLE	SUP-3401	CDM			275	RC		outpatient			8000	8	3920				percent of total billed charges		8000				other	OPPS APC	4560				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	3920				percent of total billed charges		4080				percent of total billed charges		8				other	OPPS APC	8	8000	
ELECTRODE DEFIBRILLATOR EMBLEM S-ICD MP35N POLYURETHANE L45 CM OD9 FR ODSEC7 FR SUBCUTANEOUS 3 POLAR COIL CONNECTOR PIN STERILE DISPOSABLE	SUP-3401	CDM			275	RC		inpatient			8000	8000																																																			
ELECTRODE SQ EMBLEM S-ICD	SUP-3501	CDM			275	RC		outpatient			8000	8	3920				percent of total billed charges		8000				other	OPPS APC	4560				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	3920				percent of total billed charges		4080				percent of total billed charges		8				other	OPPS APC	8	8000	
ELECTRODE SQ EMBLEM S-ICD	SUP-3501	CDM			275	RC		inpatient			8000	8000																																																			
ACHILLES TENDON GRAFT10MM	SUP-97-00841	CDM			278	RC		outpatient			8000	8	8000				fee schedule		8000				other	OPPS APC	4560				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	3920				percent of total billed charges		4080				percent of total billed charges		8				other	OPPS APC	8	8000	
ACHILLES TENDON GRAFT10MM	SUP-97-00841	CDM			278	RC		inpatient			8000	8000																																																			
ACHILLES TENDON GRAFT11MM BONE BLOCK	SUP-97-01884	CDM			278	RC		outpatient			8000	8	8000				fee schedule		8000				other	OPPS APC	4560				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	3920				percent of total billed charges		4080				percent of total billed charges		8				other	OPPS APC	8	8000	
ACHILLES TENDON GRAFT11MM BONE BLOCK	SUP-97-01884	CDM			278	RC		inpatient			8000	8000																																																			
CATHETER - JETSTREAM 2.1/3.0	SUP-99-01216	CDM			272	RC		inpatient			8000	8000																																																			
CATHETER - JETSTREAM 2.1/3.0	SUP-99-01216	CDM			272	RC		outpatient			8000	8000	2167.2				percent of total billed charges						other	OPPS APC	5920				percent of total billed charges						other	OPPS APC					other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges						other	OPPS APC	5920	5920	
CATHETER - JETSTREAM 1.6	SUP-99-01291	CDM			272	RC		inpatient			8000	8000																																																			
CATHETER - JETSTREAM 1.6	SUP-99-01291	CDM			272	RC		outpatient			8000	8000	2167.2				percent of total billed charges						other	OPPS APC	5920				percent of total billed charges						other	OPPS APC					other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges						other	OPPS APC	5920	5920	
CATHETER - JETSTREAM 2.4/3.4	SUP-99-02135	CDM			272	RC		inpatient			8000	8000																																																			
CATHETER - JETSTREAM 2.4/3.4	SUP-99-02135	CDM			272	RC		outpatient			8000	8000	2167.2				percent of total billed charges						other	OPPS APC	5920				percent of total billed charges						other	OPPS APC					other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges						other	OPPS APC	5920	5920	
SYSTEM CEREBRAL PROTECTION SENTINEL	SUP-CMS15-10C-US	CDM			481	RC		outpatient			8000	8	3920				percent of total billed charges		8000				other	OPPS APC	5920				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	3920				percent of total billed charges		4080				percent of total billed charges		8				other	OPPS APC	8	8000	
SYSTEM CEREBRAL PROTECTION SENTINEL	SUP-CMS15-10C-US	CDM			481	RC		inpatient			8000	8000																																																			
FUSION LUMBAR LEVEL 1-SEA SPINE	SUP-LUMBAR1SEASPINE	CDM	270010020	LOCAL	270	RC		outpatient			8000	8	2167.2				percent of total billed charges		8000				other	OPPS APC	5920				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges		8				other	OPPS APC	8	8000	
FUSION LUMBAR LEVEL 1-SEA SPINE	SUP-LUMBAR1SEASPINE	CDM	270010020	LOCAL	270	RC		inpatient			8000	8000																																																			
FUSION LUMBAR LEVEL 1-STRYKER	SUP-LUMBAR1STRYKER	CDM	270010005	LOCAL	270	RC		outpatient			8000	8	2167.2				percent of total billed charges		8000				other	OPPS APC	5920				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges		8				other	OPPS APC	8	8000	
FUSION LUMBAR LEVEL 1-STRYKER	SUP-LUMBAR1STRYKER	CDM	270010005	LOCAL	270	RC		inpatient			8000	8000																																																			
PRIMARY TOTAL KNEE 2 PIECE SYSTEM - CAPITATED PRICING	SUP-PRIMARYKNEEZIM2PC	CDM	270010025	LOCAL	270	RC		outpatient			8000	8	2167.2				percent of total billed charges		8000				other	OPPS APC	5920				percent of total billed charges		8000				other	OPPS APC	8000				other	OPPS APC	2167.2				percent of total billed charges		2210.4				percent of total billed charges		8				other	OPPS APC	8	8000	
PRIMARY TOTAL KNEE 2 PIECE SYSTEM - CAPITATED PRICING	SUP-PRIMARYKNEEZIM2PC	CDM	270010025	LOCAL	270	RC		inpatient			8000	8000																																																			
GRAFT STENT AFX 70MM 20-13MM STRATA STERILE LF ILIAC LIMB AAA	SUP-I20-13/C70F-SA	CDM	270010015	LOCAL	270	RC		outpatient			7998	7998	2166.66				percent of total billed charges		7998				other	OPPS APC	5918.52				percent of total billed charges		7998				other	OPPS APC	7998				other	OPPS APC	2166.66				percent of total billed charges		2209.85				percent of total billed charges		7998				other	OPPS APC	2166.66	7998	
GRAFT STENT AFX 70MM 20-13MM STRATA STERILE LF ILIAC LIMB AAA	SUP-I20-13/C70F-SA	CDM	270010015	LOCAL	270	RC		inpatient			7998	7998																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL	SUP-VBJR050202A	CDM			270	RC		outpatient			7996	7996	2166.12				percent of total billed charges		7996				other	OPPS APC	5917.04				percent of total billed charges		7996				other	OPPS APC	7996				other	OPPS APC	2166.12				percent of total billed charges		2209.29				percent of total billed charges		7996				other	OPPS APC	2166.12	7996	
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD5 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4-4.7 MM VESSEL	SUP-VBJR050202A	CDM			270	RC		inpatient			7996	7996																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL	SUP-VBJR060202A	CDM			270	RC		outpatient			7996	7996	2166.12				percent of total billed charges		7996				other	OPPS APC	5917.04				percent of total billed charges		7996				other	OPPS APC	7996				other	OPPS APC	2166.12				percent of total billed charges		2209.29				percent of total billed charges		7996				other	OPPS APC	2166.12	7996	
STENT ENDOPROSTHESIS VIABAHN HEPARIN NITINOL EPTFE L2.5 CM L120 CM OD6 MM FLEXIBLE SELF EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS .014/.018 IN GUIDEWIRE 6 FR INTRODUCER SHEATH 4.8-5.5 MM VESSEL	SUP-VBJR060202A	CDM			270	RC		inpatient			7996	7996																																																			
OVERSTITCH ENDO SUTURING SYSTEM	SUP-95-04207	CDM			272	RC		outpatient			7992.5	7992.5	2165.17				percent of total billed charges		7992.5				other	OPPS APC	5914.45				percent of total billed charges		7992.5				other	OPPS APC	7992.5				other	OPPS APC	2165.17				percent of total billed charges		2208.33				percent of total billed charges		7992.5				other	OPPS APC	2165.17	7992.5	
OVERSTITCH ENDO SUTURING SYSTEM	SUP-95-04207	CDM			272	RC		inpatient			7992.5	7992.5																																																			
STEM RADIAL EVOLVE PROLINE STANDARD OD9.5 MM ELBOW MODULAR	SUP-496S095	CDM			270	RC		outpatient			7990	799	2164.49				percent of total billed charges		7990				other	OPPS APC	5912.6				percent of total billed charges		7990				other	OPPS APC	7990				other	OPPS APC	2164.49				percent of total billed charges		2207.64				percent of total billed charges		799				other	OPPS APC	799	7990	
STEM RADIAL EVOLVE PROLINE STANDARD OD9.5 MM ELBOW MODULAR	SUP-496S095	CDM			270	RC		inpatient			7990	7990																																																			
STEM RADIAL EVOLVE PROLINE +2 MM OD7.5 MM ELBOW MODULAR	SUP-496S275	CDM			270	RC		outpatient			7990	799	2164.49				percent of total billed charges		7990				other	OPPS APC	5912.6				percent of total billed charges		7990				other	OPPS APC	7990				other	OPPS APC	2164.49				percent of total billed charges		2207.64				percent of total billed charges		799				other	OPPS APC	799	7990	
STEM RADIAL EVOLVE PROLINE +2 MM OD7.5 MM ELBOW MODULAR	SUP-496S275	CDM			270	RC		inpatient			7990	7990																																																			
SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER STANDARD L50 CM 10 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE	SUP-C2360	CDM			270	RC		outpatient			7990	799	2164.49				percent of total billed charges		7990				other	OPPS APC	5912.6				percent of total billed charges		7990				other	OPPS APC	7990				other	OPPS APC	2164.49				percent of total billed charges		2207.64				percent of total billed charges		799				other	OPPS APC	799	7990	
SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER STANDARD L50 CM 10 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE	SUP-C2360	CDM			270	RC		inpatient			7990	7990																																																			
SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER LARGE L50 CM 14 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE	SUP-C-2365	CDM			270	RC		outpatient			7990	799	2164.49				percent of total billed charges		7990				other	OPPS APC	5912.6				percent of total billed charges		7990				other	OPPS APC	7990				other	OPPS APC	2164.49				percent of total billed charges		2207.64				percent of total billed charges		799				other	OPPS APC	799	7990	
SYSTEM GASTRIC BAND LAP-BAND AP RAPIDPORT EZ OMNIFORM STAINLESS STEEL SILICONE ELASTOMER LARGE L50 CM 14 CC ADJUSTABLE CONNECTOR RADIOPAQUE END PLUG STERILE LATEX FREE	SUP-C-2365	CDM			270	RC		inpatient			7990	7990																																																			
VALVE CRYOLIFE ONX MITRAL STANDARD 31/33	SUP-ONXM-31/33	CDM			270	RC		outpatient			7990	799	2164.49				percent of total billed charges		7990				other	OPPS APC	5912.6				percent of total billed charges		7990				other	OPPS APC	7990				other	OPPS APC	2164.49				percent of total billed charges		2207.64				percent of total billed charges		799				other	OPPS APC	799	7990	
VALVE CRYOLIFE ONX MITRAL STANDARD 31/33	SUP-ONXM-31/33	CDM			270	RC		inpatient			7990	7990																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55231	CDM	270010015	LOCAL	270	RC		outpatient			7988.68	7988.68	2164.13				percent of total billed charges		7988.68				other	OPPS APC	5911.62				percent of total billed charges		7988.68				other	OPPS APC	7988.68				other	OPPS APC	2164.13				percent of total billed charges		2207.27				percent of total billed charges		7988.68				other	OPPS APC	2164.13	7988.68	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 56MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55231	CDM	270010015	LOCAL	270	RC		inpatient			7988.68	7988.68																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55232	CDM	270010015	LOCAL	270	RC		outpatient			7988.68	7988.68	2164.13				percent of total billed charges		7988.68				other	OPPS APC	5911.62				percent of total billed charges		7988.68				other	OPPS APC	7988.68				other	OPPS APC	2164.13				percent of total billed charges		2207.27				percent of total billed charges		7988.68				other	OPPS APC	2164.13	7988.68	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 13MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55232	CDM	270010015	LOCAL	270	RC		inpatient			7988.68	7988.68																																																			
STENT - COVERED - VIABAHN 7 X 50	SUP-99-02166	CDM			278	RC		outpatient			7987.5	7987.5	7987.5				fee schedule		7987.5				other	OPPS APC	4552.88				percent of total billed charges		7987.5				other	OPPS APC	7987.5				other	OPPS APC	3913.88				percent of total billed charges		4073.63				percent of total billed charges		7987.5				other	OPPS APC	3913.88	7987.5	
STENT - COVERED - VIABAHN 7 X 50	SUP-99-02166	CDM			278	RC		inpatient			7987.5	7987.5																																																			
STENT - COVERED - VIABAHN 5 X 50	SUP-99-03330	CDM			278	RC		outpatient			7987.5	7987.5	7987.5				fee schedule		7987.5				other	OPPS APC	4552.88				percent of total billed charges		7987.5				other	OPPS APC	7987.5				other	OPPS APC	3913.88				percent of total billed charges		4073.63				percent of total billed charges		7987.5				other	OPPS APC	3913.88	7987.5	
STENT - COVERED - VIABAHN 5 X 50	SUP-99-03330	CDM			278	RC		inpatient			7987.5	7987.5																																																			
PACEMAKER - GENERATOR ADDR01	SUP-99-00001	CDM			275	RC		outpatient			7980	798	7980				fee schedule		7980				other	OPPS APC	4548.6				percent of total billed charges		7980				other	OPPS APC	7980				other	OPPS APC	3910.2				percent of total billed charges		4069.8				percent of total billed charges		798				other	OPPS APC	798	7980	
PACEMAKER - GENERATOR ADDR01	SUP-99-00001	CDM			275	RC		inpatient			7980	7980																																																			
SPACER CEMENT INTERSPACE LG 80MM 74MM GENTAMICIN PMMA DISPOSABLE STERILE KNEE HIGH RELEASE TEMPORARY 2 STAGE REVISION	SUP-SPK0222	CDM			270	RC		outpatient			7980	798	2161.78				percent of total billed charges		7980				other	OPPS APC	5905.2				percent of total billed charges		7980				other	OPPS APC	7980				other	OPPS APC	2161.78				percent of total billed charges		2204.87				percent of total billed charges		798				other	OPPS APC	798	7980	
SPACER CEMENT INTERSPACE LG 80MM 74MM GENTAMICIN PMMA DISPOSABLE STERILE KNEE HIGH RELEASE TEMPORARY 2 STAGE REVISION	SUP-SPK0222	CDM			270	RC		inpatient			7980	7980																																																			
GRAFT 5X6 XL-5560	SUP-97-02477	CDM			636	RC		outpatient			7977.5	7977.5	3908.98				percent of total billed charges		7977.5				other	OPPS APC	178.33				fee schedule		7977.5				other	OPPS APC	7977.5				other	OPPS APC	3908.98				percent of total billed charges		1983.21				percent of total billed charges		7977.5				other	OPPS APC	178.33	7977.5	
GRAFT 5X6 XL-5560	SUP-97-02477	CDM			636	RC		inpatient			7977.5	7977.5																																																			
WIDE IMPLANT 4MM W/ABUTMENT9MM	SUP-97-00395	CDM			278	RC		inpatient			7962.5	7962.5																																																			
WIDE IMPLANT 4MM W/ABUTMENT9MM	SUP-97-00395	CDM			278	RC		outpatient			7962.5	7962.5					fee schedule						other	OPPS APC	4538.63				percent of total billed charges						other	OPPS APC					other	OPPS APC	3901.63				percent of total billed charges		4060.88				percent of total billed charges						other	OPPS APC	4538.63	4538.63	
WIDE IMPLANT 4MM W/ABUTMENT12MM	SUP-97-00858	CDM			278	RC		inpatient			7962.5	7962.5																																																			
WIDE IMPLANT 4MM W/ABUTMENT12MM	SUP-97-00858	CDM			278	RC		outpatient			7962.5	7962.5					fee schedule						other	OPPS APC	4538.63				percent of total billed charges						other	OPPS APC					other	OPPS APC	3901.63				percent of total billed charges		4060.88				percent of total billed charges						other	OPPS APC	4538.63	4538.63	
GOSERELIN ACETATE PER 3.6 MG	636000000	CDM	70720-951-30	NDC	J9202	HCPCS		inpatient			7960.8	7960.8																																																			
GOSERELIN ACETATE PER 3.6 MG	636000000	CDM	70720-951-30	NDC	J9202	HCPCS		outpatient			7960.8	638.48																																											638.48				other	OPPS APC	638.48	638.48	
SPACER SPINAL HOLLYWOOD LORDOTIC 7MM PEEK-OPTIMA INTERBODY FUSION	SUP-34-5007	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 7MM PEEK-OPTIMA INTERBODY FUSION	SUP-34-5007	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
IMPLANT HOLLYWOOD 8MM LORDOTIC	SUP-34-5008	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
IMPLANT HOLLYWOOD 8MM LORDOTIC	SUP-34-5008	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X9MM PEEK-OPTIMA TLIF	SUP-34-5009	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X9MM PEEK-OPTIMA TLIF	SUP-34-5009	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H10 MM TLIF LORDOTIC	SUP-34-5010	CDM	270010012	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H10 MM TLIF LORDOTIC	SUP-34-5010	CDM	270010012	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H11 MM INTERBODY FUSION LORDOTIC	SUP-34-5011	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H11 MM INTERBODY FUSION LORDOTIC	SUP-34-5011	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H12 MM TLIF LORDOTIC	SUP-34-5012	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD PEEK-OPTIMA L27 MM X W11 MM X H12 MM TLIF LORDOTIC	SUP-34-5012	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X13MM PEEK-OPTIMA TLIF	SUP-34-5013	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X13MM PEEK-OPTIMA TLIF	SUP-34-5013	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X14MM PEEK-OPTIMA TLIF	SUP-34-5014	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X14MM PEEK-OPTIMA TLIF	SUP-34-5014	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X15MM PEEK-OPTIMA TLIF	SUP-34-5015	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X15MM PEEK-OPTIMA TLIF	SUP-34-5015	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL VBR L27 MM X W16 MM X H11 MM	SUP-34-5016	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL VBR L27 MM X W16 MM X H11 MM	SUP-34-5016	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X17MM PEEK-OPTIMA TLIF	SUP-34-5017	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X17MM PEEK-OPTIMA TLIF	SUP-34-5017	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X18MM PEEK-OPTIMA TLIF	SUP-34-5018	CDM	270010020	LOCAL	270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
SPACER SPINAL HOLLYWOOD LORDOTIC 27X11X18MM PEEK-OPTIMA TLIF	SUP-34-5018	CDM	270010020	LOCAL	270	RC		inpatient			7956	7956																																																			
RECORDER CARDIAC CONFIRM SENSABILITY 39 MM SPACING L56.3 MM X W18.5 MM X H8 MM 6.5 ML 12 GM ACTIVATED MONITORING IMPLANTABLE	SUP-DM2100	CDM			270	RC		outpatient			7956	7956	2155.28				percent of total billed charges		7956				other	OPPS APC	5887.44				percent of total billed charges		7956				other	OPPS APC	7956				other	OPPS APC	2155.28				percent of total billed charges		2198.24				percent of total billed charges		7956				other	OPPS APC	2155.28	7956	
RECORDER CARDIAC CONFIRM SENSABILITY 39 MM SPACING L56.3 MM X W18.5 MM X H8 MM 6.5 ML 12 GM ACTIVATED MONITORING IMPLANTABLE	SUP-DM2100	CDM			270	RC		inpatient			7956	7956																																																			
HC Cc Cornary W/Lh W/Lv W/Bypass	PX-481934591	CDM	93459	CPT	481	RC		outpatient			7927	3116	1203.53				fee schedule		3115.91				other	OPPS APC	6744.16				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	1117.87				fee schedule		4042.77				percent of total billed charges		3116				other	OPPS APC	1117.87	6744.16	
HC Cc Cornary W/Lh W/Lv W/Bypass	PX-481934591	CDM	93459	CPT	481	RC		inpatient			7927	7927																																																			
HC Cc Cornary W/L&R W/Lv W/Bypass	PX-481934611	CDM	93461	CPT	481	RC		outpatient			7927	7927	1476.53				fee schedule		7927				other	OPPS APC	7755.36				fee schedule		7927				other	OPPS APC	7927				other	OPPS APC	1369.33				fee schedule		4042.77				percent of total billed charges		7927				other	OPPS APC	1369.33	7927	
HC Cc Cornary W/L&R W/Lv W/Bypass	PX-481934611	CDM	93461	CPT	481	RC		inpatient			7927	7927																																																			
BODY CONE RESTORATION +20 MM OD19 MM HIP MODULAR REVISION	SUP-6276-1-216	CDM	270010025	LOCAL	270	RC		outpatient			7898.4	7898.4	2139.68				percent of total billed charges		7898.4				other	OPPS APC	5844.82				percent of total billed charges		7898.4				other	OPPS APC	7898.4				other	OPPS APC	2139.68				percent of total billed charges		2182.33				percent of total billed charges		7898.4				other	OPPS APC	2139.68	7898.4	
BODY CONE RESTORATION +20 MM OD19 MM HIP MODULAR REVISION	SUP-6276-1-216	CDM	270010025	LOCAL	270	RC		inpatient			7898.4	7898.4																																																			
CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F-J CURVE OD 8 FR BIDRECTIONAL THERMOCOUPLE	SUP-D134804	CDM			270	RC		outpatient			7880	788	2134.69				percent of total billed charges		7880				other	OPPS APC	5831.2				percent of total billed charges		7880				other	OPPS APC	7880				other	OPPS APC	2134.69				percent of total billed charges		2177.24				percent of total billed charges		788				other	OPPS APC	788	7880	
CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F-J CURVE OD 8 FR BIDRECTIONAL THERMOCOUPLE	SUP-D134804	CDM			270	RC		inpatient			7880	7880																																																			
CATHETER ABLATION SMARTTOUCH THERMOCOOL SF D-F CURVE OD 8 FR BIODIRECTIONAL THERMOCOUPLE	SUP-D134805	CDM			270	RC		outpatient			7880	788	2134.69				percent of total billed charges		7880				other	OPPS APC	5831.2				percent of total billed charges		7880				other	OPPS APC	7880				other	OPPS APC	2134.69				percent of total billed charges		2177.24				percent of total billed charges		788				other	OPPS APC	788	7880	
CATHETER ABLATION SMARTTOUCH THERMOCOOL SF D-F CURVE OD 8 FR BIODIRECTIONAL THERMOCOUPLE	SUP-D134805	CDM			270	RC		inpatient			7880	7880																																																			
STEM FEMORAL ENDURANCE LUSTER 3 12/14 TAPER L240 MM HIP CEMENTED REVISION	SUP-1521-25-000	CDM	270010014	LOCAL	270	RC		outpatient			7877.44	7877.44	2134				percent of total billed charges		7877.44				other	OPPS APC	5829.31				percent of total billed charges		7877.44				other	OPPS APC	7877.44				other	OPPS APC	2134				percent of total billed charges		2176.54				percent of total billed charges		7877.44				other	OPPS APC	2134	7877.44	
STEM FEMORAL ENDURANCE LUSTER 3 12/14 TAPER L240 MM HIP CEMENTED REVISION	SUP-1521-25-000	CDM	270010014	LOCAL	270	RC		inpatient			7877.44	7877.44																																																			
VIABAHN BX BALLOON 8MMX79MM	SUP-BXAL087902A	CDM			270	RC		outpatient			7848	7848	2126.02				percent of total billed charges		7848				other	OPPS APC	5807.52				percent of total billed charges		7848				other	OPPS APC	7848				other	OPPS APC	2126.02				percent of total billed charges		2168.4				percent of total billed charges		7848				other	OPPS APC	2126.02	7848	
VIABAHN BX BALLOON 8MMX79MM	SUP-BXAL087902A	CDM			270	RC		inpatient			7848	7848																																																			
STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS	SUP-VBH101002A	CDM			270	RC		outpatient			7846	7846	2125.48				percent of total billed charges		7846				other	OPPS APC	5806.04				percent of total billed charges		7846				other	OPPS APC	7846				other	OPPS APC	2125.48				percent of total billed charges		2167.85				percent of total billed charges		7846				other	OPPS APC	2125.48	7846	
STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS	SUP-VBH101002A	CDM			270	RC		inpatient			7846	7846																																																			
STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS	SUP-VBHR101002A	CDM			270	RC		outpatient			7846	7846	2125.48				percent of total billed charges		7846				other	OPPS APC	5806.04				percent of total billed charges		7846				other	OPPS APC	7846				other	OPPS APC	2125.48				percent of total billed charges		2167.85				percent of total billed charges		7846				other	OPPS APC	2125.48	7846	
STENT ENDOPROSTHESIS VIABAHN 10CM 120CM 10MM 11FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS	SUP-VBHR101002A	CDM			270	RC		inpatient			7846	7846																																																			
VIABAHN BX BALLOON ENDO	SUP-BAXL087902A	CDM			270	RC		outpatient			7842	7842	2124.4				percent of total billed charges		7842				other	OPPS APC	5803.08				percent of total billed charges		7842				other	OPPS APC	7842				other	OPPS APC	2124.4				percent of total billed charges		2166.74				percent of total billed charges		7842				other	OPPS APC	2124.4	7842	
VIABAHN BX BALLOON ENDO	SUP-BAXL087902A	CDM			270	RC		inpatient			7842	7842																																																			
STENT- COVERED PAPYRUS 2.5 X 20	SUP-99-04535	CDM			272	RC		outpatient			7837.5	7837.5	2123.18				percent of total billed charges		7837.5				other	OPPS APC	5799.75				percent of total billed charges		7837.5				other	OPPS APC	7837.5				other	OPPS APC	2123.18				percent of total billed charges		2165.5				percent of total billed charges		7837.5				other	OPPS APC	2123.18	7837.5	
STENT- COVERED PAPYRUS 2.5 X 20	SUP-99-04535	CDM			272	RC		inpatient			7837.5	7837.5																																																			
STENT- COVERED PAPYRUS 3.5 X 20	SUP-99-04536	CDM			272	RC		outpatient			7837.5	7837.5	2123.18				percent of total billed charges		7837.5				other	OPPS APC	5799.75				percent of total billed charges		7837.5				other	OPPS APC	7837.5				other	OPPS APC	2123.18				percent of total billed charges		2165.5				percent of total billed charges		7837.5				other	OPPS APC	2123.18	7837.5	
STENT- COVERED PAPYRUS 3.5 X 20	SUP-99-04536	CDM			272	RC		inpatient			7837.5	7837.5																																																			
STENT- COVERED PAPYRUS 3X20	SUP-99-04538	CDM			272	RC		outpatient			7837.5	7837.5	2123.18				percent of total billed charges		7837.5				other	OPPS APC	5799.75				percent of total billed charges		7837.5				other	OPPS APC	7837.5				other	OPPS APC	2123.18				percent of total billed charges		2165.5				percent of total billed charges		7837.5				other	OPPS APC	2123.18	7837.5	
STENT- COVERED PAPYRUS 3X20	SUP-99-04538	CDM			272	RC		inpatient			7837.5	7837.5																																																			
STENT- COVERED PAPYRUS 4.5 X 15	SUP-99-04540	CDM			272	RC		outpatient			7837.5	7837.5	2123.18				percent of total billed charges		7837.5				other	OPPS APC	5799.75				percent of total billed charges		7837.5				other	OPPS APC	7837.5				other	OPPS APC	2123.18				percent of total billed charges		2165.5				percent of total billed charges		7837.5				other	OPPS APC	2123.18	7837.5	
STENT- COVERED PAPYRUS 4.5 X 15	SUP-99-04540	CDM			272	RC		inpatient			7837.5	7837.5																																																			
STENT - COVERED PAPYRUS 5 X 15	SUP-99-04541	CDM			272	RC		outpatient			7837.5	7837.5	2123.18				percent of total billed charges		7837.5				other	OPPS APC	5799.75				percent of total billed charges		7837.5				other	OPPS APC	7837.5				other	OPPS APC	2123.18				percent of total billed charges		2165.5				percent of total billed charges		7837.5				other	OPPS APC	2123.18	7837.5	
STENT - COVERED PAPYRUS 5 X 15	SUP-99-04541	CDM			272	RC		inpatient			7837.5	7837.5																																																			
STENT - COVERED PAPYRUS 4 X 20	SUP-99-04542	CDM			272	RC		outpatient			7837.5	7837.5	2123.18				percent of total billed charges		7837.5				other	OPPS APC	5799.75				percent of total billed charges		7837.5				other	OPPS APC	7837.5				other	OPPS APC	2123.18				percent of total billed charges		2165.5				percent of total billed charges		7837.5				other	OPPS APC	2123.18	7837.5	
STENT - COVERED PAPYRUS 4 X 20	SUP-99-04542	CDM			272	RC		inpatient			7837.5	7837.5																																																			
TOTAL STABILLZER TIBIAL INSERT 3 13MM	SUP-97-02245	CDM			278	RC		outpatient			7835.63	7835.63	7835.63				fee schedule		7835.63				other	OPPS APC	4466.31				percent of total billed charges		7835.63				other	OPPS APC	7835.63				other	OPPS APC	3839.46				percent of total billed charges		3996.17				percent of total billed charges		7835.63				other	OPPS APC	3839.46	7835.63	
TOTAL STABILLZER TIBIAL INSERT 3 13MM	SUP-97-02245	CDM			278	RC		inpatient			7835.63	7835.63																																																			
TOTAL STABILLZER TIBIAL INSERT 4 13MM	SUP-97-02270	CDM			278	RC		outpatient			7835.63	7835.63	7835.63				fee schedule		7835.63				other	OPPS APC	4466.31				percent of total billed charges		7835.63				other	OPPS APC	7835.63				other	OPPS APC	3839.46				percent of total billed charges		3996.17				percent of total billed charges		7835.63				other	OPPS APC	3839.46	7835.63	
TOTAL STABILLZER TIBIAL INSERT 4 13MM	SUP-97-02270	CDM			278	RC		inpatient			7835.63	7835.63																																																			
TOTAL STABILLZER TIBIAL INSERT 3 11MM	SUP-97-02428	CDM			278	RC		outpatient			7835.63	7835.63	7835.63				fee schedule		7835.63				other	OPPS APC	4466.31				percent of total billed charges		7835.63				other	OPPS APC	7835.63				other	OPPS APC	3839.46				percent of total billed charges		3996.17				percent of total billed charges		7835.63				other	OPPS APC	3839.46	7835.63	
TOTAL STABILLZER TIBIAL INSERT 3 11MM	SUP-97-02428	CDM			278	RC		inpatient			7835.63	7835.63																																																			
REST MOD PROX CONE BODY 20MM X 195MM	SUP-97-03718	CDM			278	RC		outpatient			7833.38	7833.38	7833.38				fee schedule		7833.38				other	OPPS APC	4465.03				percent of total billed charges		7833.38				other	OPPS APC	7833.38				other	OPPS APC	3838.36				percent of total billed charges		3995.02				percent of total billed charges		7833.38				other	OPPS APC	3838.36	7833.38	
REST MOD PROX CONE BODY 20MM X 195MM	SUP-97-03718	CDM			278	RC		inpatient			7833.38	7833.38																																																			
CATHETER- U.S. SOUNDSTAR 8F	SUP-99-04759	CDM			278	RC		outpatient			7817.5	7817.5	7817.5				fee schedule		7817.5				other	OPPS APC	4455.98				percent of total billed charges		7817.5				other	OPPS APC	7817.5				other	OPPS APC	3830.58				percent of total billed charges		3986.93				percent of total billed charges		7817.5				other	OPPS APC	3830.58	7817.5	
CATHETER- U.S. SOUNDSTAR 8F	SUP-99-04759	CDM			278	RC		inpatient			7817.5	7817.5																																																			
CATHETER- U.S. SOUNDSTAR 10F	SUP-99-04760	CDM			278	RC		outpatient			7817.5	7817.5	7817.5				fee schedule		7817.5				other	OPPS APC	4455.98				percent of total billed charges		7817.5				other	OPPS APC	7817.5				other	OPPS APC	3830.58				percent of total billed charges		3986.93				percent of total billed charges		7817.5				other	OPPS APC	3830.58	7817.5	
CATHETER- U.S. SOUNDSTAR 10F	SUP-99-04760	CDM			278	RC		inpatient			7817.5	7817.5																																																			
HC Cc Coronary W/Bypass	PX-481934551	CDM	93455	CPT	481	RC		outpatient			7813	3116	1058.1				fee schedule		3115.91				other	OPPS APC	6468.62				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	1007.64				fee schedule		3984.63				percent of total billed charges		3116				other	OPPS APC	1007.64	6468.62	
HC Cc Coronary W/Bypass	PX-481934551	CDM	93455	CPT	481	RC		inpatient			7813	7813																																																			
HC Cc Coronary W/Bypas W/Rh	PX-481934571	CDM	93457	CPT	481	RC		outpatient			7813	7813	1287.1				fee schedule		7813				other	OPPS APC	8140.41				fee schedule		7813				other	OPPS APC	7813				other	OPPS APC	1226.13				fee schedule		3984.63				percent of total billed charges		7813				other	OPPS APC	1226.13	8140.41	
HC Cc Coronary W/Bypas W/Rh	PX-481934571	CDM	93457	CPT	481	RC		inpatient			7813	7813																																																			
BODY CONE RESTORATION +0 MM STANDARD OD19 MM HIP MODULAR REVISION	SUP-6276-1-019	CDM	270010025	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +0 MM STANDARD OD19 MM HIP MODULAR REVISION	SUP-6276-1-019	CDM	270010025	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +0 MM STANDARD OD23 MM HIP MODULAR REVISION	SUP-6276-1-023	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +0 MM STANDARD OD23 MM HIP MODULAR REVISION	SUP-6276-1-023	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +0 MM STANDARD OD25 MM HIP MODULAR REVISION	SUP-6276-1-025	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +0 MM STANDARD OD25 MM HIP MODULAR REVISION	SUP-6276-1-025	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0	SUP-6276-1-027	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +0	SUP-6276-1-027	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +0 #	SUP-6276-1-029	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +0 #	SUP-6276-1-029	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +0	SUP-6276-1-031	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +0	SUP-6276-1-031	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +10 MM OD19 MM HIP MODULAR	SUP-6276-1-119	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +10 MM OD19 MM HIP MODULAR	SUP-6276-1-119	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +10 MM OD21 MM HIP MODULAR REVISION	SUP-6276-1-121	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +10 MM OD21 MM HIP MODULAR REVISION	SUP-6276-1-121	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +10 MM OD23 MM HIP MODULAR REVISION	SUP-6276-1-123	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +10 MM OD23 MM HIP MODULAR REVISION	SUP-6276-1-123	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +10	SUP-6276-1-127	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +10	SUP-6276-1-127	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +10	SUP-6276-1-129	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +10	SUP-6276-1-129	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +10	SUP-6276-1-131	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +10	SUP-6276-1-131	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 20	SUP-6276-1-219	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 20	SUP-6276-1-219	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +20 MM OD21 MM HIP MODULAR REVISION	SUP-6276-1-221	CDM	270010025	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +20 MM OD21 MM HIP MODULAR REVISION	SUP-6276-1-221	CDM	270010025	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 23MM +20	SUP-6276-1-223	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 23MM +20	SUP-6276-1-223	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +20	SUP-6276-1-225	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +20	SUP-6276-1-225	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20	SUP-6276-1-227	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 27MM +20	SUP-6276-1-227	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +20	SUP-6276-1-229	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +20	SUP-6276-1-229	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +20	SUP-6276-1-231	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +20	SUP-6276-1-231	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 30	SUP-6276-1-319	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 19MM + 30	SUP-6276-1-319	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY CONE RESTORATION +30 MM OD21 MM HIP MODULAR REVISION	SUP-6276-1-321	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
BODY CONE RESTORATION +30 MM OD21 MM HIP MODULAR REVISION	SUP-6276-1-321	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +30	SUP-6276-1-325	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +30	SUP-6276-1-325	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +30	SUP-6276-1-329	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 29MM +30	SUP-6276-1-329	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +30	SUP-6276-1-331	CDM	270010024	LOCAL	270	RC		outpatient			7809	789	2115.46				percent of total billed charges		7809				other	OPPS APC	5778.66				percent of total billed charges		7809				other	OPPS APC	7809				other	OPPS APC	2115.46				percent of total billed charges		2157.63				percent of total billed charges		789				other	OPPS APC	789	7809	
IMPLANT STRYKER STEM MODULAR HIP SIZE 31MM +30	SUP-6276-1-331	CDM	270010024	LOCAL	270	RC		inpatient			7809	7809																																																			
BODY HUMERAL COMPREHENSIVE LARGE LATERAL OFFSET L42 MM SHOULDER POLISH FINISH NECK ANGLE SEGMENTAL REVISION SYSTEM	SUP-211218	CDM	270010030	LOCAL	270	RC		outpatient			7800	78	2113.02				percent of total billed charges		7800				other	OPPS APC	5772				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	2113.02				percent of total billed charges		2155.14				percent of total billed charges		78				other	OPPS APC	78	7800	
BODY HUMERAL COMPREHENSIVE LARGE LATERAL OFFSET L42 MM SHOULDER POLISH FINISH NECK ANGLE SEGMENTAL REVISION SYSTEM	SUP-211218	CDM	270010030	LOCAL	270	RC		inpatient			7800	7800																																																			
TIBIAL INSERT SIZE 8	SUP-97-01225	CDM			278	RC		outpatient			7800	78	7800				fee schedule		7800				other	OPPS APC	4446				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	3822				percent of total billed charges		3978				percent of total billed charges		78				other	OPPS APC	78	7800	
TIBIAL INSERT SIZE 8	SUP-97-01225	CDM			278	RC		inpatient			7800	7800																																																			
CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE D SENSOR ENABLED	SUP-A-TFSE-D	CDM			481	RC		outpatient			7800	78	3822				percent of total billed charges		7800				other	OPPS APC	5772				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	3822				percent of total billed charges		3978				percent of total billed charges		78				other	OPPS APC	78	7800	
CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE D SENSOR ENABLED	SUP-A-TFSE-D	CDM			481	RC		inpatient			7800	7800																																																			
CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE D-F SENSOR ENABLED	SUP-A-TFSE-DF	CDM			481	RC		outpatient			7800	78	3822				percent of total billed charges		7800				other	OPPS APC	5772				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	3822				percent of total billed charges		3978				percent of total billed charges		78				other	OPPS APC	78	7800	
CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE D-F SENSOR ENABLED	SUP-A-TFSE-DF	CDM			481	RC		inpatient			7800	7800																																																			
CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE F SENSOR ENABLED	SUP-A-TFSE-F	CDM			481	RC		outpatient			7800	78	3822				percent of total billed charges		7800				other	OPPS APC	5772				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	3822				percent of total billed charges		3978				percent of total billed charges		78				other	OPPS APC	78	7800	
CATHETER ABLATION TACTIFLEX SE UNIDIRECTIONAL CURVE F SENSOR ENABLED	SUP-A-TFSE-F	CDM			481	RC		inpatient			7800	7800																																																			
CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE F-J SENSOR ENABLED	SUP-A-TFSE-FJ	CDM			481	RC		outpatient			7800	78	3822				percent of total billed charges		7800				other	OPPS APC	5772				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	3822				percent of total billed charges		3978				percent of total billed charges		78				other	OPPS APC	78	7800	
CATHETER ABLATION TACTIFLEX SE BIDIRECTIONAL CURVE F-J SENSOR ENABLED	SUP-A-TFSE-FJ	CDM			481	RC		inpatient			7800	7800																																																			
IMPLANT CARTIVA 10MM	SUP-CAR-10-US	CDM			270	RC		outpatient			7800	78	2113.02				percent of total billed charges		7800				other	OPPS APC	5772				percent of total billed charges		7800				other	OPPS APC	7800				other	OPPS APC	2113.02				percent of total billed charges		2155.14				percent of total billed charges		78				other	OPPS APC	78	7800	
IMPLANT CARTIVA 10MM	SUP-CAR-10-US	CDM			270	RC		inpatient			7800	7800																																																			
HC Cc Coronary W/Lh W/Lv	PX-481934581	CDM	93458	CPT	481	RC		outpatient			7793	3116	3818.57				percent of total billed charges		3115.91				other	OPPS APC	12821.06				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	1039.26				fee schedule		3974.43				percent of total billed charges		3116				other	OPPS APC	1039.26	12821.06	
HC Cc Coronary W/Lh W/Lv	PX-481934581	CDM	93458	CPT	481	RC		inpatient			7793	7793																																																			
HC Cc Cornary W/L&R W/Lv	PX-481934601	CDM	93460	CPT	481	RC		outpatient			7793	3116	1290.19				fee schedule		3115.91				other	OPPS APC	7555.12				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	1241.61				fee schedule		3974.43				percent of total billed charges		3116				other	OPPS APC	1241.61	7555.12	
HC Cc Cornary W/L&R W/Lv	PX-481934601	CDM	93460	CPT	481	RC		inpatient			7793	7793																																																			
STENT ENDOPROSTHESIS 25CM 8MM HEPARIN NITINOL EPTFE VIABAHN 120CM FLEXIBLE SELF	SUP-VBJR082502A	CDM			270	RC		outpatient			7790	779	2110.31				percent of total billed charges		7790				other	OPPS APC	5764.6				percent of total billed charges		7790				other	OPPS APC	7790				other	OPPS APC	2110.31				percent of total billed charges		2152.38				percent of total billed charges		779				other	OPPS APC	779	7790	
STENT ENDOPROSTHESIS 25CM 8MM HEPARIN NITINOL EPTFE VIABAHN 120CM FLEXIBLE SELF	SUP-VBJR082502A	CDM			270	RC		inpatient			7790	7790																																																			
IMPLANT SYNTHES PRODISC C 6MM MEDIUM DEEP	SUP-09.820.036S	CDM	270010020	LOCAL	270	RC		outpatient			7784.7	7784.7	2108.88				percent of total billed charges		7784.7				other	OPPS APC	5760.68				percent of total billed charges		7784.7				other	OPPS APC	7784.7				other	OPPS APC	2108.88				percent of total billed charges		2150.91				percent of total billed charges		7784.7				other	OPPS APC	2108.88	7784.7	
IMPLANT SYNTHES PRODISC C 6MM MEDIUM DEEP	SUP-09.820.036S	CDM	270010020	LOCAL	270	RC		inpatient			7784.7	7784.7																																																			
ALLODERM 6X16	SUP-97-00967	CDM			636	RC		outpatient			7775	7775	7775				fee schedule		7775				other	OPPS APC	5753.5				percent of total billed charges		7775				other	OPPS APC	7775				other	OPPS APC	3809.75				percent of total billed charges		1932.87				percent of total billed charges		7775				other	OPPS APC	1932.87	7775	
ALLODERM 6X16	SUP-97-00967	CDM			636	RC		inpatient			7775	7775																																																			
STEM RADIAL EVOLVE PROLINE STANDARD H23 MM OD7.5 MM ELBOW MODULAR HEAD SYSTEM	SUP-496S075	CDM			270	RC		outpatient			7772	7772	2105.43				percent of total billed charges		7772				other	OPPS APC	5751.28				percent of total billed charges		7772				other	OPPS APC	7772				other	OPPS APC	2105.43				percent of total billed charges		2147.4				percent of total billed charges		7772				other	OPPS APC	2105.43	7772	
STEM RADIAL EVOLVE PROLINE STANDARD H23 MM OD7.5 MM ELBOW MODULAR HEAD SYSTEM	SUP-496S075	CDM			270	RC		inpatient			7772	7772																																																			
VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP L32 MM X W4.6 MM OD16 MM ADJUSTABLE PRESSURE CSF STERILE	SUP-SPV400_72545	CDM			270	RC		outpatient			7770	777	2104.89				percent of total billed charges		7770				other	OPPS APC	5749.8				percent of total billed charges		7770				other	OPPS APC	7770				other	OPPS APC	2104.89				percent of total billed charges		2146.85				percent of total billed charges		777				other	OPPS APC	777	7770	
VALVE EXTERNAL DRAINAGE POLARIS 80-400 HP L32 MM X W4.6 MM OD16 MM ADJUSTABLE PRESSURE CSF STERILE	SUP-SPV400_72545	CDM			270	RC		inpatient			7770	7770																																																			
PACEMAKER - LEAD - SPRINT  6935M-55	SUP-99-04175	CDM			275	RC		outpatient			7767.5	7767.5	7767.5				fee schedule		7767.5				other	OPPS APC	4427.48				percent of total billed charges		7767.5				other	OPPS APC	7767.5				other	OPPS APC	3806.08				percent of total billed charges		3961.43				percent of total billed charges		7767.5				other	OPPS APC	3806.08	7767.5	
PACEMAKER - LEAD - SPRINT  6935M-55	SUP-99-04175	CDM			275	RC		inpatient			7767.5	7767.5																																																			
PACEMAKER - AICD - SPRINT QUATTRO RV LEAD 62CM	SUP-99-04552	CDM						inpatient			7767.5	7767.5																																																			
PACEMAKER - AICD - SPRINT QUATTRO RV LEAD 62CM	SUP-99-04552	CDM						outpatient			7767.5	7767.5	7767.5				percent of total billed charges		7767.5				other	OPPS APC	7767.5				fee schedule		7767.5				other	OPPS APC	7767.5				other	OPPS APC	7767.5				case rate		7767.5				case rate		7767.5				other	OPPS APC	7767.5	7767.5	
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 20 ML CHIP JAR	SUP-652-00-20	CDM	270010031	LOCAL	270	RC		outpatient			7760	776	2102.18				percent of total billed charges		7760				other	OPPS APC	5742.4				percent of total billed charges		7760				other	OPPS APC	7760				other	OPPS APC	2102.18				percent of total billed charges		2144.09				percent of total billed charges		776				other	OPPS APC	776	7760	
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 20 ML CHIP JAR	SUP-652-00-20	CDM	270010031	LOCAL	270	RC		inpatient			7760	7760																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA	SUP-G55233	CDM	270010015	LOCAL	270	RC		outpatient			7756	7756	2101.1				percent of total billed charges		7756				other	OPPS APC	5739.44				percent of total billed charges		7756				other	OPPS APC	7756				other	OPPS APC	2101.1				percent of total billed charges		2142.98				percent of total billed charges		7756				other	OPPS APC	2101.1	7756	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA	SUP-G55233	CDM	270010015	LOCAL	270	RC		inpatient			7756	7756																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 90MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55239	CDM	270010015	LOCAL	270	RC		outpatient			7756	7756	2101.1				percent of total billed charges		7756				other	OPPS APC	5739.44				percent of total billed charges		7756				other	OPPS APC	7756				other	OPPS APC	2101.1				percent of total billed charges		2142.98				percent of total billed charges		7756				other	OPPS APC	2101.1	7756	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 90MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55239	CDM	270010015	LOCAL	270	RC		inpatient			7756	7756																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 56MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK	SUP-G55241	CDM	270010015	LOCAL	270	RC		outpatient			7756	7756	2101.1				percent of total billed charges		7756				other	OPPS APC	5739.44				percent of total billed charges		7756				other	OPPS APC	7756				other	OPPS APC	2101.1				percent of total billed charges		2142.98				percent of total billed charges		7756				other	OPPS APC	2101.1	7756	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 56MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK	SUP-G55241	CDM	270010015	LOCAL	270	RC		inpatient			7756	7756																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 74MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK	SUP-G55242	CDM	270010015	LOCAL	270	RC		outpatient			7756	7756	2101.1				percent of total billed charges		7756				other	OPPS APC	5739.44				percent of total billed charges		7756				other	OPPS APC	7756				other	OPPS APC	2101.1				percent of total billed charges		2142.98				percent of total billed charges		7756				other	OPPS APC	2101.1	7756	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z 2 BRANCH 74MM 20MM 6MM 16FR NITINOL SS POLYESTER ILIAC LEG TRANSCEND PRECISION KINK	SUP-G55242	CDM	270010015	LOCAL	270	RC		inpatient			7756	7756																																																			
"ALPHA-1 PROTEINASE INHIBITOR 1,000 MG ()/20 ML SOLUTION"	636000000	CDM	13533-705-01	NDC	J0256	HCPCS		inpatient			7750	7750																																																			
"ALPHA-1 PROTEINASE INHIBITOR 1,000 MG ()/20 ML SOLUTION"	636000000	CDM	13533-705-01	NDC	J0256	HCPCS		outpatient			7750	5.23																																											5.23				other	OPPS APC	5.23	5.23	
KIT NEUROSTIMULATOR INTERSTIM SURESCAN L28 CM 2.16 MM SPACING MRI LEAD KIT	SUP-978A128	CDM			270	RC		outpatient			7750	775	2099.48				percent of total billed charges		7750				other	OPPS APC	5735				percent of total billed charges		7750				other	OPPS APC	7750				other	OPPS APC	2099.48				percent of total billed charges		2141.33				percent of total billed charges		775				other	OPPS APC	775	7750	
KIT NEUROSTIMULATOR INTERSTIM SURESCAN L28 CM 2.16 MM SPACING MRI LEAD KIT	SUP-978A128	CDM			270	RC		inpatient			7750	7750																																																			
LEAD NEUROSTIMULATOR INTERSTIM L28 CM QUADRIPOLAR MRI CAPABILITY	SUP-978B128	CDM			270	RC		outpatient			7750	775	2099.48				percent of total billed charges		7750				other	OPPS APC	5735				percent of total billed charges		7750				other	OPPS APC	7750				other	OPPS APC	2099.48				percent of total billed charges		2141.33				percent of total billed charges		775				other	OPPS APC	775	7750	
LEAD NEUROSTIMULATOR INTERSTIM L28 CM QUADRIPOLAR MRI CAPABILITY	SUP-978B128	CDM			270	RC		inpatient			7750	7750																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR070502A	CDM			270	RC		outpatient			7740	774	2096.77				percent of total billed charges		7740				other	OPPS APC	5727.6				percent of total billed charges		7740				other	OPPS APC	7740				other	OPPS APC	2096.77				percent of total billed charges		2138.56				percent of total billed charges		774				other	OPPS APC	774	7740	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR070502A	CDM			270	RC		inpatient			7740	7740																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR080502A	CDM			270	RC		outpatient			7740	774	2096.77				percent of total billed charges		7740				other	OPPS APC	5727.6				percent of total billed charges		7740				other	OPPS APC	7740				other	OPPS APC	2096.77				percent of total billed charges		2138.56				percent of total billed charges		774				other	OPPS APC	774	7740	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD8 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJR080502A	CDM			270	RC		inpatient			7740	7740																																																			
TRAY TIBIAL GMK HINGE 4 KNEE LEFT FIX NONSTERILE	SUP-02.09.4004L	CDM	270010025	LOCAL	270	RC		outpatient			7732	7732	2094.6				percent of total billed charges		7732				other	OPPS APC	5721.68				percent of total billed charges		7732				other	OPPS APC	7732				other	OPPS APC	2094.6				percent of total billed charges		2136.35				percent of total billed charges		7732				other	OPPS APC	2094.6	7732	
TRAY TIBIAL GMK HINGE 4 KNEE LEFT FIX NONSTERILE	SUP-02.09.4004L	CDM	270010025	LOCAL	270	RC		inpatient			7732	7732																																																			
TRAY TIBIAL GMK HINGE 4 KNEE RIGHT FIX NONSTERILE	SUP-02.09.4004R	CDM	270010025	LOCAL	270	RC		outpatient			7732	7732	2094.6				percent of total billed charges		7732				other	OPPS APC	5721.68				percent of total billed charges		7732				other	OPPS APC	7732				other	OPPS APC	2094.6				percent of total billed charges		2136.35				percent of total billed charges		7732				other	OPPS APC	2094.6	7732	
TRAY TIBIAL GMK HINGE 4 KNEE RIGHT FIX NONSTERILE	SUP-02.09.4004R	CDM	270010025	LOCAL	270	RC		inpatient			7732	7732																																																			
IMPLANT INTEGRA COMPRESSION PLATE U SHAPED	SUP-330023	CDM			270	RC		outpatient			7700	77	2085.93				percent of total billed charges		7700				other	OPPS APC	5698				percent of total billed charges		7700				other	OPPS APC	7700				other	OPPS APC	2085.93				percent of total billed charges		2127.51				percent of total billed charges		77				other	OPPS APC	77	7700	
IMPLANT INTEGRA COMPRESSION PLATE U SHAPED	SUP-330023	CDM			270	RC		inpatient			7700	7700																																																			
IMPLANT INTEGRA COMPRESSION PLATE U SHAPED	SUP-330025	CDM			270	RC		outpatient			7700	77	2085.93				percent of total billed charges		7700				other	OPPS APC	5698				percent of total billed charges		7700				other	OPPS APC	7700				other	OPPS APC	2085.93				percent of total billed charges		2127.51				percent of total billed charges		77				other	OPPS APC	77	7700	
IMPLANT INTEGRA COMPRESSION PLATE U SHAPED	SUP-330025	CDM			270	RC		inpatient			7700	7700																																																			
SYSTEM ABLATION CARDIO FLEXVIEW WITH FLEX10 PROBE	SUP-FLEX 10 XE	CDM			270	RC		outpatient			7700	77	2085.93				percent of total billed charges		7700				other	OPPS APC	5698				percent of total billed charges		7700				other	OPPS APC	7700				other	OPPS APC	2085.93				percent of total billed charges		2127.51				percent of total billed charges		77				other	OPPS APC	77	7700	
SYSTEM ABLATION CARDIO FLEXVIEW WITH FLEX10 PROBE	SUP-FLEX 10 XE	CDM			270	RC		inpatient			7700	7700																																																			
2.4MM VA LCP 2 COL DSTL RAD P6HH/3RT KIT	SUP-97-02539	CDM			278	RC		outpatient			7695	7695	7695				fee schedule		7695				other	OPPS APC	4386.15				percent of total billed charges		7695				other	OPPS APC	7695				other	OPPS APC	3770.55				percent of total billed charges		3924.45				percent of total billed charges		7695				other	OPPS APC	3770.55	7695	
2.4MM VA LCP 2 COL DSTL RAD P6HH/3RT KIT	SUP-97-02539	CDM			278	RC		inpatient			7695	7695																																																			
KIT 2.4MM VA LCP-COL DSTL RAD P6HH/3HS	SUP-97-02760	CDM			272	RC		outpatient			7695	7695	2084.58				percent of total billed charges		7695				other	OPPS APC	5694.3				percent of total billed charges		7695				other	OPPS APC	7695				other	OPPS APC	2084.58				percent of total billed charges		2126.13				percent of total billed charges		7695				other	OPPS APC	2084.58	7695	
KIT 2.4MM VA LCP-COL DSTL RAD P6HH/3HS	SUP-97-02760	CDM			272	RC		inpatient			7695	7695																																																			
MOLD SHOULDER 10 STD 50X21X57	SUP-131410	CDM			270	RC		outpatient			7694	7694	2084.3				percent of total billed charges		7694				other	OPPS APC	5693.56				percent of total billed charges		7694				other	OPPS APC	7694				other	OPPS APC	2084.3				percent of total billed charges		2125.85				percent of total billed charges		7694				other	OPPS APC	2084.3	7694	
MOLD SHOULDER 10 STD 50X21X57	SUP-131410	CDM			270	RC		inpatient			7694	7694																																																			
MOLD SHOULDER 8 STD 46X18X53	SUP-48236053	CDM			270	RC		outpatient			7694	7694	2084.3				percent of total billed charges		7694				other	OPPS APC	5693.56				percent of total billed charges		7694				other	OPPS APC	7694				other	OPPS APC	2084.3				percent of total billed charges		2125.85				percent of total billed charges		7694				other	OPPS APC	2084.3	7694	
MOLD SHOULDER 8 STD 46X18X53	SUP-48236053	CDM			270	RC		inpatient			7694	7694																																																			
HC Cc Coronary Only	PX-481934541	CDM	93454	CPT	481	RC		outpatient			7679	3116	908.81				fee schedule		3115.91				other	OPPS APC	2020.79				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	904.62				fee schedule		3916.29				percent of total billed charges		3116				other	OPPS APC	904.62	3916.29	
HC Cc Coronary Only	PX-481934541	CDM	93454	CPT	481	RC		inpatient			7679	7679																																																			
GRAFT VASCULAR GORE PROPATEN CBAS STANDARD WALL L70 CM L40 CM ID8 MM AXILLOBIFEMORAL REMOVABLE RING	SUP-HAX01A	CDM			270	RC		outpatient			7678	7678	2079.97				percent of total billed charges		7678				other	OPPS APC	5681.72				percent of total billed charges		7678				other	OPPS APC	7678				other	OPPS APC	2079.97				percent of total billed charges		2121.43				percent of total billed charges		7678				other	OPPS APC	2079.97	7678	
GRAFT VASCULAR GORE PROPATEN CBAS STANDARD WALL L70 CM L40 CM ID8 MM AXILLOBIFEMORAL REMOVABLE RING	SUP-HAX01A	CDM			270	RC		inpatient			7678	7678																																																			
GRAFT SOFT TISSUE FLEXIGRAFT MENISCUS TIBIAL LIGAMENT FEMUR LEFT MEDIAL SPACER STABILIZING FUNCTION	SUP-FMN-LM	CDM	270010031	LOCAL	270	RC		outpatient			7675.12	7675.12	2079.19				percent of total billed charges		7675.12				other	OPPS APC	5679.59				percent of total billed charges		7675.12				other	OPPS APC	7675.12				other	OPPS APC	2079.19				percent of total billed charges		2120.64				percent of total billed charges		7675.12				other	OPPS APC	2079.19	7675.12	
GRAFT SOFT TISSUE FLEXIGRAFT MENISCUS TIBIAL LIGAMENT FEMUR LEFT MEDIAL SPACER STABILIZING FUNCTION	SUP-FMN-LM	CDM	270010031	LOCAL	270	RC		inpatient			7675.12	7675.12																																																			
HUMERAL STEM  STANDARD ASCEND 4A PTC	SUP-97-03735	CDM			278	RC		outpatient			7662.5	7662.5	7662.5				fee schedule		7662.5				other	OPPS APC	4367.63				percent of total billed charges		7662.5				other	OPPS APC	7662.5				other	OPPS APC	3754.63				percent of total billed charges		3907.88				percent of total billed charges		7662.5				other	OPPS APC	3754.63	7662.5	
HUMERAL STEM  STANDARD ASCEND 4A PTC	SUP-97-03735	CDM			278	RC		inpatient			7662.5	7662.5																																																			
SPACER FEMORAL INTERSPACE SMALL L150 MM L22 MM OD46 MM HIP SHORT STEM ADVANCE 2 STAGE REVISION ARTHROPLASTY	SUP-SPC0023	CDM			270	RC		outpatient			7640	764	2069.68				percent of total billed charges		7640				other	OPPS APC	5653.6				percent of total billed charges		7640				other	OPPS APC	7640				other	OPPS APC	2069.68				percent of total billed charges		2110.93				percent of total billed charges		764				other	OPPS APC	764	7640	
SPACER FEMORAL INTERSPACE SMALL L150 MM L22 MM OD46 MM HIP SHORT STEM ADVANCE 2 STAGE REVISION ARTHROPLASTY	SUP-SPC0023	CDM			270	RC		inpatient			7640	7640																																																			
STEM FEMORAL INTERSPACE MEDIUM SHORT L156 MM L25 MM OD54 MM HIP ADVANCE 2 STAGE REVISION ARTHROPLASTY	SUP-SPC0123	CDM			270	RC		outpatient			7640	764	2069.68				percent of total billed charges		7640				other	OPPS APC	5653.6				percent of total billed charges		7640				other	OPPS APC	7640				other	OPPS APC	2069.68				percent of total billed charges		2110.93				percent of total billed charges		764				other	OPPS APC	764	7640	
STEM FEMORAL INTERSPACE MEDIUM SHORT L156 MM L25 MM OD54 MM HIP ADVANCE 2 STAGE REVISION ARTHROPLASTY	SUP-SPC0123	CDM			270	RC		inpatient			7640	7640																																																			
STEM FEMORAL INTERSPACE GENTAMICIN STAINLESS STEEL PMMA SHORT LARGE L171 MM OD60 MM ODSEC33 MM HIP HIGH RELEASE	SUP-SPC0223	CDM			270	RC		outpatient			7640	764	2069.68				percent of total billed charges		7640				other	OPPS APC	5653.6				percent of total billed charges		7640				other	OPPS APC	7640				other	OPPS APC	2069.68				percent of total billed charges		2110.93				percent of total billed charges		764				other	OPPS APC	764	7640	
STEM FEMORAL INTERSPACE GENTAMICIN STAINLESS STEEL PMMA SHORT LARGE L171 MM OD60 MM ODSEC33 MM HIP HIGH RELEASE	SUP-SPC0223	CDM			270	RC		inpatient			7640	7640																																																			
SPACER CEMENT INTERSPACE SM LONG CYLINDRICAL 265MM 46MM 22MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION	SUP-SPC0323	CDM			270	RC		outpatient			7640	764	2069.68				percent of total billed charges		7640				other	OPPS APC	5653.6				percent of total billed charges		7640				other	OPPS APC	7640				other	OPPS APC	2069.68				percent of total billed charges		2110.93				percent of total billed charges		764				other	OPPS APC	764	7640	
SPACER CEMENT INTERSPACE SM LONG CYLINDRICAL 265MM 46MM 22MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION	SUP-SPC0323	CDM			270	RC		inpatient			7640	7640																																																			
SPACER CEMENT INTERSPACE MED LONG CYLINDRICAL 271MM 54MM 25MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION	SUP-SPC0423	CDM			270	RC		outpatient			7640	764	2069.68				percent of total billed charges		7640				other	OPPS APC	5653.6				percent of total billed charges		7640				other	OPPS APC	7640				other	OPPS APC	2069.68				percent of total billed charges		2110.93				percent of total billed charges		764				other	OPPS APC	764	7640	
SPACER CEMENT INTERSPACE MED LONG CYLINDRICAL 271MM 54MM 25MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE REVISION	SUP-SPC0423	CDM			270	RC		inpatient			7640	7640																																																			
SPACER CEMENT INTERSPACE LG LONG CYLINDRICAL 283.5MM 60MM 33MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE	SUP-SPC0523	CDM			270	RC		outpatient			7640	764	2069.68				percent of total billed charges		7640				other	OPPS APC	5653.6				percent of total billed charges		7640				other	OPPS APC	7640				other	OPPS APC	2069.68				percent of total billed charges		2110.93				percent of total billed charges		764				other	OPPS APC	764	7640	
SPACER CEMENT INTERSPACE LG LONG CYLINDRICAL 283.5MM 60MM 33MM GENTAMICIN SS PMMA STERILE HIP RADIOPAQUE 2 STAGE	SUP-SPC0523	CDM			270	RC		inpatient			7640	7640																																																			
TIBIAL SLEEVE M/L 37MM	SUP-1511-11-202	CDM	270010024	LOCAL	270	RC		outpatient			7633	7633	2067.78				percent of total billed charges		7633				other	OPPS APC	5648.42				percent of total billed charges		7633				other	OPPS APC	7633				other	OPPS APC	2067.78				percent of total billed charges		2109				percent of total billed charges		7633				other	OPPS APC	2067.78	7633	
TIBIAL SLEEVE M/L 37MM	SUP-1511-11-202	CDM	270010024	LOCAL	270	RC		inpatient			7633	7633																																																			
PACEMAKER - ACCOLADE DR MRI DUAL CHAMBER	SUP-L311	CDM			270	RC		outpatient			7628	7628	2066.43				percent of total billed charges		7628				other	OPPS APC	5644.72				percent of total billed charges		7628				other	OPPS APC	7628				other	OPPS APC	2066.43				percent of total billed charges		2107.62				percent of total billed charges		7628				other	OPPS APC	2066.43	7628	
PACEMAKER - ACCOLADE DR MRI DUAL CHAMBER	SUP-L311	CDM			270	RC		inpatient			7628	7628																																																			
HC Cc Lh W/Lv	PX-481934521	CDM	93452	CPT	481	RC		outpatient			7614	3116	891.72				fee schedule		3115.91				other	OPPS APC	6273.2				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	901				fee schedule		3883.14				percent of total billed charges		3116				other	OPPS APC	891.72	6273.2	
HC Cc Lh W/Lv	PX-481934521	CDM	93452	CPT	481	RC		inpatient			7614	7614																																																			
HC Cc Coronary W/Rh	PX-481934561	CDM	93456	CPT	481	RC		outpatient			7614	3116	1138.54				fee schedule		3115.91				other	OPPS APC	7820.37				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	1125.43				fee schedule		3883.14				percent of total billed charges		3116				other	OPPS APC	1125.43	7820.37	
HC Cc Coronary W/Rh	PX-481934561	CDM	93456	CPT	481	RC		inpatient			7614	7614																																																			
GRAFT SOFT TISSUE ARTHROFLEX THK2.5-3.5MM 70X40MM DECELLULARIZED DERMIS ALLOGRAFT	SUP-AFLEX301	CDM			270	RC		outpatient			7610.78	761.78	2061.76				percent of total billed charges		7610.78				other	OPPS APC	5631.98				percent of total billed charges		7610.78				other	OPPS APC	7610.78				other	OPPS APC	2061.76				percent of total billed charges		2102.86				percent of total billed charges		761.78				other	OPPS APC	761.78	7610.78	
GRAFT SOFT TISSUE ARTHROFLEX THK2.5-3.5MM 70X40MM DECELLULARIZED DERMIS ALLOGRAFT	SUP-AFLEX301	CDM			270	RC		inpatient			7610.78	7610.78																																																			
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE	SUP-7510200	CDM	270010022	LOCAL	270	RC		outpatient			7610	761	2061.55				percent of total billed charges		7610				other	OPPS APC	5631.4				percent of total billed charges		7610				other	OPPS APC	7610				other	OPPS APC	2061.55				percent of total billed charges		2102.64				percent of total billed charges		761				other	OPPS APC	761	7610	
GRAFT BONE INFUSE BOVINE COLLAGEN RHBMP-2 SMALL L23 MM OD14 MM 2.8 ML SPINE ABSORBABLE SPONGE STERILE WATER SYRINGE NEEDLE LUMBAR TAPERED FUSION DEVICE	SUP-7510200	CDM	270010022	LOCAL	270	RC		inpatient			7610	7610																																																			
DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L35 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO235	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L35 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO235	CDM			270	RC		inpatient			7600	7600																																																			
APPLIER INTERNAL CLIP ATRICLIP PRO2 GILLINOV-COSGROVE L40 MM PRELOAD STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO240	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
APPLIER INTERNAL CLIP ATRICLIP PRO2 GILLINOV-COSGROVE L40 MM PRELOAD STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO240	CDM			270	RC		inpatient			7600	7600																																																			
DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L45 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO245	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L45 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO245	CDM			270	RC		inpatient			7600	7600																																																			
DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L50 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO250	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
DEVICE CLOSURE ATRICLIP PRO2 GILLINOV-COSGROVE L50 MM STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-PRO250	CDM			270	RC		inpatient			7600	7600																																																			
VALVE MITRAL HANCOCK II CINCH PORCINE 18 MM OD25 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C25	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
VALVE MITRAL HANCOCK II CINCH PORCINE 18 MM OD25 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C25	CDM			270	RC		inpatient			7600	7600																																																			
VALVE MITRAL HANCOCK II CINCH PORCINE 19 MM OD27 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C27	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
VALVE MITRAL HANCOCK II CINCH PORCINE 19 MM OD27 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C27	CDM			270	RC		inpatient			7600	7600																																																			
VALVE MITRAL HANCOCK II CINCH PORCINE 20.5 MM OD29 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C29	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
VALVE MITRAL HANCOCK II CINCH PORCINE 20.5 MM OD29 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C29	CDM			270	RC		inpatient			7600	7600																																																			
VALVE MITRAL HANCOCK II CINCH PORCINE 22 MM OD31 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C31	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
VALVE MITRAL HANCOCK II CINCH PORCINE 22 MM OD31 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C31	CDM			270	RC		inpatient			7600	7600																																																			
VALVE MITRAL HANCOCK II CINCH PORCINE 23 MM OD33 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C33	CDM			270	RC		outpatient			7600	76	2058.84				percent of total billed charges		7600				other	OPPS APC	5624				percent of total billed charges		7600				other	OPPS APC	7600				other	OPPS APC	2058.84				percent of total billed charges		2099.88				percent of total billed charges		76				other	OPPS APC	76	7600	
VALVE MITRAL HANCOCK II CINCH PORCINE 23 MM OD33 MM BIOPROSTHESIS STENTED HOLDER	SUP-T510C33	CDM			270	RC		inpatient			7600	7600																																																			
CATHETER ATHERECTOMY DIAMONDBACK 360 L135CM OD 1.25 MM CORONARY CLASSIC CROWN STERILE LATEX FREE DISPOSABLE	SUP-DBEC-125	CDM			270	RC		outpatient			7590	759	2056.13				percent of total billed charges		7590				other	OPPS APC	5616.6				percent of total billed charges		7590				other	OPPS APC	7590				other	OPPS APC	2056.13				percent of total billed charges		2097.12				percent of total billed charges		759				other	OPPS APC	759	7590	
CATHETER ATHERECTOMY DIAMONDBACK 360 L135CM OD 1.25 MM CORONARY CLASSIC CROWN STERILE LATEX FREE DISPOSABLE	SUP-DBEC-125	CDM			270	RC		inpatient			7590	7590																																																			
GRAFT JACKET	SUP-97-00851	CDM			636	RC		outpatient			7572	7572	7572				fee schedule		7572				other	OPPS APC	5603.28				percent of total billed charges		7572				other	OPPS APC	7572				other	OPPS APC	3710.28				percent of total billed charges		1882.4				percent of total billed charges		7572				other	OPPS APC	1882.4	7572	
GRAFT JACKET	SUP-97-00851	CDM			636	RC		inpatient			7572	7572																																																			
GRAFT AMNION THIN 4CM X 6CM	SUP-97-04969	CDM			278	RC		outpatient			7562.5	7562.5	7562.5				fee schedule		7562.5				other	OPPS APC	4310.63				percent of total billed charges		7562.5				other	OPPS APC	7562.5				other	OPPS APC	3705.63				percent of total billed charges		3856.88				percent of total billed charges		7562.5				other	OPPS APC	3705.63	7562.5	
GRAFT AMNION THIN 4CM X 6CM	SUP-97-04969	CDM			278	RC		inpatient			7562.5	7562.5																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD5 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJ051502	CDM			270	RC		outpatient			7556	7556	2046.92				percent of total billed charges		7556				other	OPPS APC	5591.44				percent of total billed charges		7556				other	OPPS APC	7556				other	OPPS APC	2046.92				percent of total billed charges		2087.72				percent of total billed charges		7556				other	OPPS APC	2046.92	7556	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD5 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM ACCEPTS .014/.018 IN GUIDEWIRE	SUP-VBJ051502	CDM			270	RC		inpatient			7556	7556																																																			
STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL	SUP-VBJ061502	CDM			270	RC		outpatient			7556	7556	2046.92				percent of total billed charges		7556				other	OPPS APC	5591.44				percent of total billed charges		7556				other	OPPS APC	7556				other	OPPS APC	2046.92				percent of total billed charges		2087.72				percent of total billed charges		7556				other	OPPS APC	2046.92	7556	
STENT ENDOPROSTHESIS GORE VIABAHN HEPARIN L15 CM L120 CM OD6 MM ODSEC6 FR SUPERFICIAL FEMORAL ARTERY ILIAC STERILE LATEX FREE ACCEPTS .014/.018 IN GUIDEWIRE 4.8-5.5 MM VESSEL	SUP-VBJ061502	CDM			270	RC		inpatient			7556	7556																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM	SUP-VBJ071502	CDM			270	RC		outpatient			7556	7556	2046.92				percent of total billed charges		7556				other	OPPS APC	5591.44				percent of total billed charges		7556				other	OPPS APC	7556				other	OPPS APC	2046.92				percent of total billed charges		2087.72				percent of total billed charges		7556				other	OPPS APC	2046.92	7556	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L15 CM L120 CM OD7 MM ODSEC7 FR SUPERFICIAL FEMORAL ARTERY ILIAC DELIVERY SYSTEM	SUP-VBJ071502	CDM			270	RC		inpatient			7556	7556																																																			
GRAFT OVITEX LPR 15CM CIRCLE	SUP-97-05937	CDM			278	RC		outpatient			7554.88	7554.88	7554.88				fee schedule		7554.88				other	OPPS APC	4306.28				percent of total billed charges		7554.88				other	OPPS APC	7554.88				other	OPPS APC	3701.89				percent of total billed charges		3852.99				percent of total billed charges		7554.88				other	OPPS APC	3701.89	7554.88	
GRAFT OVITEX LPR 15CM CIRCLE	SUP-97-05937	CDM			278	RC		inpatient			7554.88	7554.88																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD9 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY KINK RESISTANT DELIVERABILITY	SUP-G55220	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD9 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY KINK RESISTANT DELIVERABILITY	SUP-G55220	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD11 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY	SUP-G55226	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z NITINOL L74 MM OD11 MM ODSEC5.4 MM ID4.7 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG TRANSCEND PRECISION FLEXIBILITY	SUP-G55226	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
GRAFT ENDOVASCULAR AAA ZENITH # ZSLE-13-122-ZT	SUP-G55235	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR AAA ZENITH # ZSLE-13-122-ZT	SUP-G55235	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L56 MM OD16 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA	SUP-G55237	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL BIFURCATED L56 MM OD16 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG AAA	SUP-G55237	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55238	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK 2 BRANCH 74MM 16MM 5.4MM 14FR NITINOL SS POLYESTER STERILE ILIAC LEG TRANSCEND	SUP-G55238	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
GRAFT ENDOVASCULAR SPIRAL-Z ZENITH Z-TRAK POLYESTER STAINLESS STEEL NITINOL 2 BRANCH L90 MM OD20 MM ID16 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING LEG EXTENSION INTRODUCTION SYSTEM	SUP-G55243	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR SPIRAL-Z ZENITH Z-TRAK POLYESTER STAINLESS STEEL NITINOL 2 BRANCH L90 MM OD20 MM ID16 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING LEG EXTENSION INTRODUCTION SYSTEM	SUP-G55243	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z AQ L56 MM L71 CM OD24 MM ODSEC6 MM ID5.3 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG CAPTOR HEMOSTATIC VALVE FLEXOR INTRODUCER SHEATH RADIOPAQUE BAND PRECISION DESIGN	SUP-G55245	CDM	270010015	LOCAL	270	RC		outpatient			7530	753	2039.88				percent of total billed charges		7530				other	OPPS APC	5572.2				percent of total billed charges		7530				other	OPPS APC	7530				other	OPPS APC	2039.88				percent of total billed charges		2080.54				percent of total billed charges		753				other	OPPS APC	753	7530	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z AQ L56 MM L71 CM OD24 MM ODSEC6 MM ID5.3 MM ABDOMINAL AORTIC ANEURYSM ILIAC LEG CAPTOR HEMOSTATIC VALVE FLEXOR INTRODUCER SHEATH RADIOPAQUE BAND PRECISION DESIGN	SUP-G55245	CDM	270010015	LOCAL	270	RC		inpatient			7530	7530																																																			
RITUXIMAB-PVVR 10 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0069-0238-01	NDC	Q5119	HCPCS		inpatient			7526.4	7526.4																																																			
RITUXIMAB-PVVR 10 MG/ML SOLUTION 10 ML VIAL	636000000	CDM	0069-0238-01	NDC	Q5119	HCPCS		outpatient			7526.4	21.6																																											21.6				other	OPPS APC	21.6	21.6	
TIBIAL INSERT TC3 RP S2 15.0	SUP-97-03606	CDM			278	RC		outpatient			7507.5	757.5	7507.5				fee schedule		7507.5				other	OPPS APC	4279.28				percent of total billed charges		7507.5				other	OPPS APC	7507.5				other	OPPS APC	3678.68				percent of total billed charges		3828.83				percent of total billed charges		757.5				other	OPPS APC	757.5	7507.5	
TIBIAL INSERT TC3 RP S2 15.0	SUP-97-03606	CDM			278	RC		inpatient			7507.5	7507.5																																																			
HC Cc Right Heart Cath	PX-481934511	CDM	93451	CPT	481	RC		outpatient			7500	3116	797.35				fee schedule		3115.91				other	OPPS APC	2308.12				fee schedule		3115.91				other	OPPS APC	3115.91				other	OPPS APC	868.42				fee schedule		3825				percent of total billed charges		3116				other	OPPS APC	797.35	3825	
HC Cc Right Heart Cath	PX-481934511	CDM	93451	CPT	481	RC		inpatient			7500	7500																																																			
ANGLE HIP STEM	SUP-97-00694	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
ANGLE HIP STEM	SUP-97-00694	CDM			278	RC		inpatient			7500	7500																																																			
NECK ANGLE HIP STEM	SUP-97-01219	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
NECK ANGLE HIP STEM	SUP-97-01219	CDM			278	RC		inpatient			7500	7500																																																			
NECK ANGLE HIP STEM	SUP-97-01285	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
NECK ANGLE HIP STEM	SUP-97-01285	CDM			278	RC		inpatient			7500	7500																																																			
NECK ANGLE HIP STEM	SUP-97-01366	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
NECK ANGLE HIP STEM	SUP-97-01366	CDM			278	RC		inpatient			7500	7500																																																			
NECK ANGLE HIP STEM	SUP-97-01438	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
NECK ANGLE HIP STEM	SUP-97-01438	CDM			278	RC		inpatient			7500	7500																																																			
IBALANCE UKA FEM CEMENTED SIZ 6R	SUP-97-01461	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
IBALANCE UKA FEM CEMENTED SIZ 6R	SUP-97-01461	CDM			278	RC		inpatient			7500	7500																																																			
IBAL UKA  FEM CEMENTED SZ 4 L MEDIAL	SUP-97-01645	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
IBAL UKA  FEM CEMENTED SZ 4 L MEDIAL	SUP-97-01645	CDM			278	RC		inpatient			7500	7500																																																			
IBAL UKA  FEM CEMENTED SZ 45L MEDIAL	SUP-97-01710	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
IBAL UKA  FEM CEMENTED SZ 45L MEDIAL	SUP-97-01710	CDM			278	RC		inpatient			7500	7500																																																			
MODULAR HUMERAL STEM	SUP-97-01873	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
MODULAR HUMERAL STEM	SUP-97-01873	CDM			278	RC		inpatient			7500	7500																																																			
NECK ANGLE HIP STEM	SUP-97-01968	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
NECK ANGLE HIP STEM	SUP-97-01968	CDM			278	RC		inpatient			7500	7500																																																			
NECK ANGLE HIP STEM	SUP-97-02536	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
NECK ANGLE HIP STEM	SUP-97-02536	CDM			278	RC		inpatient			7500	7500																																																			
UNIPOLAR/ BIPOLAR HIP	SUP-97-02846	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
UNIPOLAR/ BIPOLAR HIP	SUP-97-02846	CDM			278	RC		inpatient			7500	7500																																																			
IBALANCE UKA FEM CEMENTED SIZ 4R	SUP-97-02988	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
IBALANCE UKA FEM CEMENTED SIZ 4R	SUP-97-02988	CDM			278	RC		inpatient			7500	7500																																																			
IBALANCE UKA FEM CEMENTED SIZ 3R	SUP-97-03477	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
IBALANCE UKA FEM CEMENTED SIZ 3R	SUP-97-03477	CDM			278	RC		inpatient			7500	7500																																																			
HUMERAL FRACTURE STEM 10MMX123MM	SUP-97-03947	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
HUMERAL FRACTURE STEM 10MMX123MM	SUP-97-03947	CDM			278	RC		inpatient			7500	7500																																																			
REUNION TSA HUMERAL STEM 12MM	SUP-97-04575	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
REUNION TSA HUMERAL STEM 12MM	SUP-97-04575	CDM			278	RC		inpatient			7500	7500																																																			
MODULAR HUMERAL STEM SZ 13	SUP-97-04705	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
MODULAR HUMERAL STEM SZ 13	SUP-97-04705	CDM			278	RC		inpatient			7500	7500																																																			
REUNION S PRESS-FIT HUMERAL 15MM L99MM	SUP-97-04787	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
REUNION S PRESS-FIT HUMERAL 15MM L99MM	SUP-97-04787	CDM			278	RC		inpatient			7500	7500																																																			
REUNION RFX LONG HUMERAL FRAC.STEM 10MM	SUP-97-04850	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
REUNION RFX LONG HUMERAL FRAC.STEM 10MM	SUP-97-04850	CDM			278	RC		inpatient			7500	7500																																																			
STAPLE 4-LEG EASYFUSE MTP L NITINOL	SUP-97-05744	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
STAPLE 4-LEG EASYFUSE MTP L NITINOL	SUP-97-05744	CDM			278	RC		inpatient			7500	7500																																																			
REUNION TSA HUMERAL STEM 11MM	SUP-97-23790	CDM			278	RC		outpatient			7500	75	7500				fee schedule		7500				other	OPPS APC	4275				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	3675				percent of total billed charges		3825				percent of total billed charges		75				other	OPPS APC	75	7500	
REUNION TSA HUMERAL STEM 11MM	SUP-97-23790	CDM			278	RC		inpatient			7500	7500																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD20-16 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH162085	CDM	270010015	LOCAL	270	RC		outpatient			7500	75	2031.75				percent of total billed charges		7500				other	OPPS APC	5550				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	2031.75				percent of total billed charges		2072.25				percent of total billed charges		75				other	OPPS APC	75	7500	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD20-16 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH162085	CDM	270010015	LOCAL	270	RC		inpatient			7500	7500																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD24-18 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH182485	CDM	270010015	LOCAL	270	RC		outpatient			7500	75	2031.75				percent of total billed charges		7500				other	OPPS APC	5550				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	2031.75				percent of total billed charges		2072.25				percent of total billed charges		75				other	OPPS APC	75	7500	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL FLARED L8.5 CM OD24-18 MM ODSEC19 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH182485	CDM	270010015	LOCAL	270	RC		inpatient			7500	7500																																																			
KIT INTERVENTIONAL ENROUTE TRANSCAROTID NEUROPROTECTION	SUP-SR-200-NPS	CDM			270	RC		outpatient			7500	75	2031.75				percent of total billed charges		7500				other	OPPS APC	5550				percent of total billed charges		7500				other	OPPS APC	7500				other	OPPS APC	2031.75				percent of total billed charges		2072.25				percent of total billed charges		75				other	OPPS APC	75	7500	
KIT INTERVENTIONAL ENROUTE TRANSCAROTID NEUROPROTECTION	SUP-SR-200-NPS	CDM			270	RC		inpatient			7500	7500																																																			
MOTOBAND MAX 4 HOLE 15MM	SUP-97-04120	CDM			278	RC		outpatient			7487.5	7487.5	7487.5				fee schedule		7487.5				other	OPPS APC	4267.88				percent of total billed charges		7487.5				other	OPPS APC	7487.5				other	OPPS APC	3668.88				percent of total billed charges		3818.63				percent of total billed charges		7487.5				other	OPPS APC	3668.88	7487.5	
MOTOBAND MAX 4 HOLE 15MM	SUP-97-04120	CDM			278	RC		inpatient			7487.5	7487.5																																																			
NAIL FIBULA LEFT 3.8 X 130MM	SUP-97-05457	CDM			278	RC		outpatient			7487.5	7487.5	7487.5				fee schedule		7487.5				other	OPPS APC	4267.88				percent of total billed charges		7487.5				other	OPPS APC	7487.5				other	OPPS APC	3668.88				percent of total billed charges		3818.63				percent of total billed charges		7487.5				other	OPPS APC	3668.88	7487.5	
NAIL FIBULA LEFT 3.8 X 130MM	SUP-97-05457	CDM			278	RC		inpatient			7487.5	7487.5																																																			
NAIL FIBULA LEFT 3.0 X 130MM	SUP-97-05618	CDM			278	RC		outpatient			7487.5	7487.5	7487.5				fee schedule		7487.5				other	OPPS APC	4267.88				percent of total billed charges		7487.5				other	OPPS APC	7487.5				other	OPPS APC	3668.88				percent of total billed charges		3818.63				percent of total billed charges		7487.5				other	OPPS APC	3668.88	7487.5	
NAIL FIBULA LEFT 3.0 X 130MM	SUP-97-05618	CDM			278	RC		inpatient			7487.5	7487.5																																																			
NAIL FIBULA RIGHT 3.0 X 130MM	SUP-97-05643	CDM			278	RC		outpatient			7487.5	7487.5	7487.5				fee schedule		7487.5				other	OPPS APC	4267.88				percent of total billed charges		7487.5				other	OPPS APC	7487.5				other	OPPS APC	3668.88				percent of total billed charges		3818.63				percent of total billed charges		7487.5				other	OPPS APC	3668.88	7487.5	
NAIL FIBULA RIGHT 3.0 X 130MM	SUP-97-05643	CDM			278	RC		inpatient			7487.5	7487.5																																																			
NAIL FIBULA RIGHT 3.8 X 130MM	SUP-97-05680	CDM			278	RC		outpatient			7487.5	7487.5	7487.5				fee schedule		7487.5				other	OPPS APC	4267.88				percent of total billed charges		7487.5				other	OPPS APC	7487.5				other	OPPS APC	3668.88				percent of total billed charges		3818.63				percent of total billed charges		7487.5				other	OPPS APC	3668.88	7487.5	
NAIL FIBULA RIGHT 3.8 X 130MM	SUP-97-05680	CDM			278	RC		inpatient			7487.5	7487.5																																																			
NAIL FIBULA LEFT  3.0 X 180MM	SUP-97-05874	CDM			278	RC		outpatient			7487.5	7487.5	7487.5				fee schedule		7487.5				other	OPPS APC	4267.88				percent of total billed charges		7487.5				other	OPPS APC	7487.5				other	OPPS APC	3668.88				percent of total billed charges		3818.63				percent of total billed charges		7487.5				other	OPPS APC	3668.88	7487.5	
NAIL FIBULA LEFT  3.0 X 180MM	SUP-97-05874	CDM			278	RC		inpatient			7487.5	7487.5																																																			
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE MEDIUM H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.026S	CDM	270010020	LOCAL	270	RC		outpatient			7465	7465	2022.27				percent of total billed charges		7465				other	OPPS APC	5524.1				percent of total billed charges		7465				other	OPPS APC	7465				other	OPPS APC	2022.27				percent of total billed charges		2062.58				percent of total billed charges		7465				other	OPPS APC	2022.27	7465	
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE MEDIUM H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.026S	CDM	270010020	LOCAL	270	RC		inpatient			7465	7465																																																			
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.045S	CDM			270	RC		outpatient			7465	7465	2022.27				percent of total billed charges		7465				other	OPPS APC	5524.1				percent of total billed charges		7465				other	OPPS APC	7465				other	OPPS APC	2022.27				percent of total billed charges		2062.58				percent of total billed charges		7465				other	OPPS APC	2022.27	7465	
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE H5 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.045S	CDM			270	RC		inpatient			7465	7465																																																			
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.056S	CDM			270	RC		outpatient			7465	7465	2022.27				percent of total billed charges		7465				other	OPPS APC	5524.1				percent of total billed charges		7465				other	OPPS APC	7465				other	OPPS APC	2022.27				percent of total billed charges		2062.58				percent of total billed charges		7465				other	OPPS APC	2022.27	7465	
DISC INTERVERTEBRAL PRODISC-C COCR TITANIUM UHMWPE LARGE DEEP H6 MM SPINE CERVICAL SEMICONSTRAIN CENTRAL KEEL STERILE	SUP-09.820.056S	CDM			270	RC		inpatient			7465	7465																																																			
SHELL RESTORATION ANATOMIC SIZE 56 LEFT	SUP-97-05628	CDM			278	RC		outpatient			7458	7458	7458				fee schedule		7458				other	OPPS APC	4251.06				percent of total billed charges		7458				other	OPPS APC	7458				other	OPPS APC	3654.42				percent of total billed charges		3803.58				percent of total billed charges		7458				other	OPPS APC	3654.42	7458	
SHELL RESTORATION ANATOMIC SIZE 56 LEFT	SUP-97-05628	CDM			278	RC		inpatient			7458	7458																																																			
BODY CONE RESTORATION +0 MM STANDARD OD21 MM HIP MODULAR REVISION BOLT	SUP-6276-1-021	CDM	270010024	LOCAL	270	RC		outpatient			7455.6	7455.64	2019.72				percent of total billed charges		7455.6				other	OPPS APC	5517.14				percent of total billed charges		7455.6				other	OPPS APC	7455.6				other	OPPS APC	2019.72				percent of total billed charges		2059.98				percent of total billed charges		7455.64				other	OPPS APC	2019.72	7455.64	
BODY CONE RESTORATION +0 MM STANDARD OD21 MM HIP MODULAR REVISION BOLT	SUP-6276-1-021	CDM	270010024	LOCAL	270	RC		inpatient			7455.6	7455.6																																																			
IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +10	SUP-6276-1-125	CDM	270010024	LOCAL	270	RC		outpatient			7455.6	7455.64	2019.72				percent of total billed charges		7455.6				other	OPPS APC	5517.14				percent of total billed charges		7455.6				other	OPPS APC	7455.6				other	OPPS APC	2019.72				percent of total billed charges		2059.98				percent of total billed charges		7455.64				other	OPPS APC	2019.72	7455.64	
IMPLANT STRYKER STEM MODULAR HIP SIZE 25MM +10	SUP-6276-1-125	CDM	270010024	LOCAL	270	RC		inpatient			7455.6	7455.6																																																			
BODY CONE RESTORATION +30 MM OD23 MM HIP MODULAR REVISION	SUP-6276-1-323	CDM	270010024	LOCAL	270	RC		outpatient			7455.6	7455.64	2019.72				percent of total billed charges		7455.6				other	OPPS APC	5517.14				percent of total billed charges		7455.6				other	OPPS APC	7455.6				other	OPPS APC	2019.72				percent of total billed charges		2059.98				percent of total billed charges		7455.64				other	OPPS APC	2019.72	7455.64	
BODY CONE RESTORATION +30 MM OD23 MM HIP MODULAR REVISION	SUP-6276-1-323	CDM	270010024	LOCAL	270	RC		inpatient			7455.6	7455.6																																																			
ALLOWRAP GRAFT DS 4X8	SUP-97-00778	CDM			636	RC		outpatient			7450	745	3650.5				percent of total billed charges		7450				other	OPPS APC	5513				percent of total billed charges		7450				other	OPPS APC	7450				other	OPPS APC	3650.5				percent of total billed charges		1852.07				percent of total billed charges		745				other	OPPS APC	745	7450	
ALLOWRAP GRAFT DS 4X8	SUP-97-00778	CDM			636	RC		inpatient			7450	7450																																																			
PACEMAKER ACCOLADE DR SYSTEM DUAL CHAMBER	SUP-8H32	CDM			275	RC		outpatient			7440.4	744.4	3645.8				percent of total billed charges		7440.4				other	OPPS APC	4241.03				percent of total billed charges		7440.4				other	OPPS APC	7440.4				other	OPPS APC	3645.8				percent of total billed charges		3794.6				percent of total billed charges		744.4				other	OPPS APC	744.4	7440.4	
PACEMAKER ACCOLADE DR SYSTEM DUAL CHAMBER	SUP-8H32	CDM			275	RC		inpatient			7440.4	7440.4																																																			
PACEMAKER ACCOLADE L321 DR EL DUAL CHAMBER 2 LEAD SYSTEM	SUP-8H52	CDM			275	RC		outpatient			7440.4	744.4	3645.8				percent of total billed charges		7440.4				other	OPPS APC	4241.03				percent of total billed charges		7440.4				other	OPPS APC	7440.4				other	OPPS APC	3645.8				percent of total billed charges		3794.6				percent of total billed charges		744.4				other	OPPS APC	744.4	7440.4	
PACEMAKER ACCOLADE L321 DR EL DUAL CHAMBER 2 LEAD SYSTEM	SUP-8H52	CDM			275	RC		inpatient			7440.4	7440.4																																																			
CAGE SPINAL CLYDESDALE PEEK-OPTIMA 6 D L55 MM X W14 MM LUMBAR INTERBODY FUSION	SUP-2968455	CDM			270	RC		outpatient			7440	744	2015.5				percent of total billed charges		7440				other	OPPS APC	5505.6				percent of total billed charges		7440				other	OPPS APC	7440				other	OPPS APC	2015.5				percent of total billed charges		2055.67				percent of total billed charges		744				other	OPPS APC	744	7440	
CAGE SPINAL CLYDESDALE PEEK-OPTIMA 6 D L55 MM X W14 MM LUMBAR INTERBODY FUSION	SUP-2968455	CDM			270	RC		inpatient			7440	7440																																																			
MRH TIBIAL BASEPLATE S1	SUP-97-03369	CDM			278	RC		outpatient			7429.13	7429.13	7429.13				fee schedule		7429.13				other	OPPS APC	4234.6				percent of total billed charges		7429.13				other	OPPS APC	7429.13				other	OPPS APC	3640.27				percent of total billed charges		3788.86				percent of total billed charges		7429.13				other	OPPS APC	3640.27	7429.13	
MRH TIBIAL BASEPLATE S1	SUP-97-03369	CDM			278	RC		inpatient			7429.13	7429.13																																																			
STEM HUMERAL COMPREHENSIVE POROUS MICRO L55 MM OD8 MM SHOULDER REVERSE SYSTEM	SUP-113608	CDM	270010030	LOCAL	270	RC		outpatient			7420	742	2010.08				percent of total billed charges		7420				other	OPPS APC	5490.8				percent of total billed charges		7420				other	OPPS APC	7420				other	OPPS APC	2010.08				percent of total billed charges		2050.15				percent of total billed charges		742				other	OPPS APC	742	7420	
STEM HUMERAL COMPREHENSIVE POROUS MICRO L55 MM OD8 MM SHOULDER REVERSE SYSTEM	SUP-113608	CDM	270010030	LOCAL	270	RC		inpatient			7420	7420																																																			
GRAFT ENDOVASCULAR ZENITH L76 MM L62 MM OD16 FR ABDOMINAL AORTIC ANEURYSM VISCERAL FENESTRATION DISTAL BIFURCATED BODY	SUP-ZFEN-D-16-62-76-C	CDM	270010015	LOCAL	270	RC		outpatient			7416	7416	2008.99				percent of total billed charges		7416				other	OPPS APC	5487.84				percent of total billed charges		7416				other	OPPS APC	7416				other	OPPS APC	2008.99				percent of total billed charges		2049.04				percent of total billed charges		7416				other	OPPS APC	2008.99	7416	
GRAFT ENDOVASCULAR ZENITH L76 MM L62 MM OD16 FR ABDOMINAL AORTIC ANEURYSM VISCERAL FENESTRATION DISTAL BIFURCATED BODY	SUP-ZFEN-D-16-62-76-C	CDM	270010015	LOCAL	270	RC		inpatient			7416	7416																																																			
MAC CORRECTION MOD	SUP-15230	CDM			270	RC		outpatient			7410.1	741.14	2007.4				percent of total billed charges		7410.1				other	OPPS APC	5483.47				percent of total billed charges		7410.1				other	OPPS APC	7410.1				other	OPPS APC	2007.4				percent of total billed charges		2047.41				percent of total billed charges		741.14				other	OPPS APC	741.14	7410.1	
MAC CORRECTION MOD	SUP-15230	CDM			270	RC		inpatient			7410.1	7410.1																																																			
LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304	SUP-10-0011-1304	CDM	270010003	LOCAL	270	RC		outpatient			7408	748	2006.83				percent of total billed charges		7408				other	OPPS APC	5481.92				percent of total billed charges		7408				other	OPPS APC	7408				other	OPPS APC	2006.83				percent of total billed charges		2046.83				percent of total billed charges		748				other	OPPS APC	748	7408	
LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304	SUP-10-0011-1304	CDM	270010003	LOCAL	270	RC		inpatient			7408	7408																																																			
LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304	SUP-304-20	CDM	270010003	LOCAL	270	RC		outpatient			7408	748	2006.83				percent of total billed charges		7408				other	OPPS APC	5481.92				percent of total billed charges		7408				other	OPPS APC	7408				other	OPPS APC	2006.83				percent of total billed charges		2046.83				percent of total billed charges		748				other	OPPS APC	748	7408	
LEAD NEUROSTIMULATOR VNS THERAPY PERENNIAFLEX 2MM STERILE LF MODEL 304	SUP-304-20	CDM	270010003	LOCAL	270	RC		inpatient			7408	7408																																																			
RECORDER CARDIAC BIOMONITOR III STERILE LATEX FREE	SUP-450218_73669	CDM			270	RC		outpatient			7400	74	2004.66				percent of total billed charges		7400				other	OPPS APC	5476				percent of total billed charges		7400				other	OPPS APC	7400				other	OPPS APC	2004.66				percent of total billed charges		2044.62				percent of total billed charges		74				other	OPPS APC	74	7400	
RECORDER CARDIAC BIOMONITOR III STERILE LATEX FREE	SUP-450218_73669	CDM			270	RC		inpatient			7400	7400																																																			
TOTAL KNEE 4 PIECE CAP PRICE	SUP-CAPKNEE4	CDM	270010025	LOCAL	270	RC		outpatient			7400	74	2004.66				percent of total billed charges		7400				other	OPPS APC	5476				percent of total billed charges		7400				other	OPPS APC	7400				other	OPPS APC	2004.66				percent of total billed charges		2044.62				percent of total billed charges		74				other	OPPS APC	74	7400	
TOTAL KNEE 4 PIECE CAP PRICE	SUP-CAPKNEE4	CDM	270010025	LOCAL	270	RC		inpatient			7400	7400																																																			
CATHETER ULTRASOUND NUVISION ICE OD10 FR	SUP-FG10593	CDM			270	RC		outpatient			7400	74	2004.66				percent of total billed charges		7400				other	OPPS APC	5476				percent of total billed charges		7400				other	OPPS APC	7400				other	OPPS APC	2004.66				percent of total billed charges		2044.62				percent of total billed charges		74				other	OPPS APC	74	7400	
CATHETER ULTRASOUND NUVISION ICE OD10 FR	SUP-FG10593	CDM			270	RC		inpatient			7400	7400																																																			
REST MOD CONICAL DISTAL STEM 15MMX155MM	SUP-97-03667	CDM			278	RC		outpatient			7397.5	7397.5	7397.5				fee schedule		7397.5				other	OPPS APC	4216.58				percent of total billed charges		7397.5				other	OPPS APC	7397.5				other	OPPS APC	3624.78				percent of total billed charges		3772.73				percent of total billed charges		7397.5				other	OPPS APC	3624.78	7397.5	
REST MOD CONICAL DISTAL STEM 15MMX155MM	SUP-97-03667	CDM			278	RC		inpatient			7397.5	7397.5																																																			
REST MOD CONICAL DISTAL STEM 18MMX155MM	SUP-97-03957	CDM			278	RC		outpatient			7397.5	7397.5	7397.5				fee schedule		7397.5				other	OPPS APC	4216.58				percent of total billed charges		7397.5				other	OPPS APC	7397.5				other	OPPS APC	3624.78				percent of total billed charges		3772.73				percent of total billed charges		7397.5				other	OPPS APC	3624.78	7397.5	
REST MOD CONICAL DISTAL STEM 18MMX155MM	SUP-97-03957	CDM			278	RC		inpatient			7397.5	7397.5																																																			
RREST MOD CONICAL DISTAL STEM15MMX155MM	SUP-97-03964	CDM			278	RC		outpatient			7397.5	7397.5	7397.5				fee schedule		7397.5				other	OPPS APC	4216.58				percent of total billed charges		7397.5				other	OPPS APC	7397.5				other	OPPS APC	3624.78				percent of total billed charges		3772.73				percent of total billed charges		7397.5				other	OPPS APC	3624.78	7397.5	
RREST MOD CONICAL DISTAL STEM15MMX155MM	SUP-97-03964	CDM			278	RC		inpatient			7397.5	7397.5																																																			
SYSTEM CARDIAC MONITOR REVEAL XT TITANIUM SILICONE POLYURETHANE D8 MM 3.6V 256HZ SMALL W19 MM X H62 MM 9 ML 15 GM INSERTABLE IMPLANTABLE 2 ELECTRODE	SUP-9529	CDM			270	RC		outpatient			7390	739	2001.95				percent of total billed charges		7390				other	OPPS APC	5468.6				percent of total billed charges		7390				other	OPPS APC	7390				other	OPPS APC	2001.95				percent of total billed charges		2041.86				percent of total billed charges		739				other	OPPS APC	739	7390	
SYSTEM CARDIAC MONITOR REVEAL XT TITANIUM SILICONE POLYURETHANE D8 MM 3.6V 256HZ SMALL W19 MM X H62 MM 9 ML 15 GM INSERTABLE IMPLANTABLE 2 ELECTRODE	SUP-9529	CDM			270	RC		inpatient			7390	7390																																																			
FEMORAL ADAPTER SIGMA	SUP-97-01031	CDM			278	RC		outpatient			7382	7382	7382				fee schedule		7382				other	OPPS APC	4207.74				percent of total billed charges		7382				other	OPPS APC	7382				other	OPPS APC	3617.18				percent of total billed charges		3764.82				percent of total billed charges		7382				other	OPPS APC	3617.18	7382	
FEMORAL ADAPTER SIGMA	SUP-97-01031	CDM			278	RC		inpatient			7382	7382																																																			
STENT GORE VIABAHN	SUP-VBH101502	CDM			270	RC		outpatient			7362	7362	1994.37				percent of total billed charges		7362				other	OPPS APC	5447.88				percent of total billed charges		7362				other	OPPS APC	7362				other	OPPS APC	1994.37				percent of total billed charges		2034.12				percent of total billed charges		7362				other	OPPS APC	1994.37	7362	
STENT GORE VIABAHN	SUP-VBH101502	CDM			270	RC		inpatient			7362	7362																																																			
GRAFT BIO 4 10CC (3102-2110)	SUP-97-00971	CDM			278	RC		outpatient			7360	736	7360				fee schedule		7360				other	OPPS APC	4195.2				percent of total billed charges		7360				other	OPPS APC	7360				other	OPPS APC	3606.4				percent of total billed charges		3753.6				percent of total billed charges		736				other	OPPS APC	736	7360	
GRAFT BIO 4 10CC (3102-2110)	SUP-97-00971	CDM			278	RC		inpatient			7360	7360																																																			
GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L26 MM OD36 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA	SUP-AXF3636W26XH	CDM	270010015	LOCAL	270	RC		outpatient			7350	735	1991.12				percent of total billed charges		7350				other	OPPS APC	5439				percent of total billed charges		7350				other	OPPS APC	7350				other	OPPS APC	1991.12				percent of total billed charges		2030.81				percent of total billed charges		735				other	OPPS APC	735	7350	
GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L26 MM OD36 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA	SUP-AXF3636W26XH	CDM	270010015	LOCAL	270	RC		inpatient			7350	7350																																																			
STEM RADIAL EVOLVE PROLINE STANDARD OD5.5 MM ELBOW MODULAR HEAD	SUP-496S055	CDM			270	RC		outpatient			7332	7332	1986.24				percent of total billed charges		7332				other	OPPS APC	5425.68				percent of total billed charges		7332				other	OPPS APC	7332				other	OPPS APC	1986.24				percent of total billed charges		2025.83				percent of total billed charges		7332				other	OPPS APC	1986.24	7332	
STEM RADIAL EVOLVE PROLINE STANDARD OD5.5 MM ELBOW MODULAR HEAD	SUP-496S055	CDM			270	RC		inpatient			7332	7332																																																			
STEM RADIAL EVOLVE PROLINE STANDARD OD6.5 MM ELBOW HEAD SYSTEM	SUP-496S065	CDM			270	RC		outpatient			7332	7332	1986.24				percent of total billed charges		7332				other	OPPS APC	5425.68				percent of total billed charges		7332				other	OPPS APC	7332				other	OPPS APC	1986.24				percent of total billed charges		2025.83				percent of total billed charges		7332				other	OPPS APC	1986.24	7332	
STEM RADIAL EVOLVE PROLINE STANDARD OD6.5 MM ELBOW HEAD SYSTEM	SUP-496S065	CDM			270	RC		inpatient			7332	7332																																																			
STEM RADIAL EVOLVE PROLINE +4 MM OD7.5 MM ELBOW HEAD SYSTEM SMOOTH	SUP-496S475	CDM			270	RC		outpatient			7332	7332	1986.24				percent of total billed charges		7332				other	OPPS APC	5425.68				percent of total billed charges		7332				other	OPPS APC	7332				other	OPPS APC	1986.24				percent of total billed charges		2025.83				percent of total billed charges		7332				other	OPPS APC	1986.24	7332	
STEM RADIAL EVOLVE PROLINE +4 MM OD7.5 MM ELBOW HEAD SYSTEM SMOOTH	SUP-496S475	CDM			270	RC		inpatient			7332	7332																																																			
STEM RADIAL EVOLVE +4 MM OD9.5 MM ELBOW MODULAR STERILE	SUP-496-S495	CDM			270	RC		outpatient			7332	7332	1986.24				percent of total billed charges		7332				other	OPPS APC	5425.68				percent of total billed charges		7332				other	OPPS APC	7332				other	OPPS APC	1986.24				percent of total billed charges		2025.83				percent of total billed charges		7332				other	OPPS APC	1986.24	7332	
STEM RADIAL EVOLVE +4 MM OD9.5 MM ELBOW MODULAR STERILE	SUP-496-S495	CDM			270	RC		inpatient			7332	7332																																																			
ATTUNE PS FEM RT SZ 6 CEM	SUP-97-04798	CDM			278	RC		outpatient			7324	7324	7324				fee schedule		7324				other	OPPS APC	4174.68				percent of total billed charges		7324				other	OPPS APC	7324				other	OPPS APC	3588.76				percent of total billed charges		3735.24				percent of total billed charges		7324				other	OPPS APC	3588.76	7324	
ATTUNE PS FEM RT SZ 6 CEM	SUP-97-04798	CDM			278	RC		inpatient			7324	7324																																																			
ATTUNE CR FEM RT SZ6 CEM	SUP-97-04990	CDM			278	RC		outpatient			7324	7324	7324				fee schedule		7324				other	OPPS APC	4174.68				percent of total billed charges		7324				other	OPPS APC	7324				other	OPPS APC	3588.76				percent of total billed charges		3735.24				percent of total billed charges		7324				other	OPPS APC	3588.76	7324	
ATTUNE CR FEM RT SZ6 CEM	SUP-97-04990	CDM			278	RC		inpatient			7324	7324																																																			
CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F CURVE UNIDIRECTIONAL THERMOCOUPLE	SUP-D134702	CDM			270	RC		outpatient			7324	7324	1984.07				percent of total billed charges		7324				other	OPPS APC	5419.76				percent of total billed charges		7324				other	OPPS APC	7324				other	OPPS APC	1984.07				percent of total billed charges		2023.62				percent of total billed charges		7324				other	OPPS APC	1984.07	7324	
CATHETER ABLATION SMARTTOUCH THERMOCOOL SF F CURVE UNIDIRECTIONAL THERMOCOUPLE	SUP-D134702	CDM			270	RC		inpatient			7324	7324																																																			
SPACER SPINAL CAPSTONE PEEK-OPTIMA L26 MM X H9 MM LUMBAR INTERBODY FUSION	SUP-2990926	CDM	270010020	LOCAL	270	RC		outpatient			7320	732	1982.99				percent of total billed charges		7320				other	OPPS APC	5416.8				percent of total billed charges		7320				other	OPPS APC	7320				other	OPPS APC	1982.99				percent of total billed charges		2022.52				percent of total billed charges		732				other	OPPS APC	732	7320	
SPACER SPINAL CAPSTONE PEEK-OPTIMA L26 MM X H9 MM LUMBAR INTERBODY FUSION	SUP-2990926	CDM	270010020	LOCAL	270	RC		inpatient			7320	7320																																																			
SPACER SPINAL CAPSTONE PEEK-OPTIMA CONVEX L26 MM X H10 MM BULLETED TIP SELF DISTRACTING	SUP-2991026	CDM	270010020	LOCAL	270	RC		outpatient			7320	732	1982.99				percent of total billed charges		7320				other	OPPS APC	5416.8				percent of total billed charges		7320				other	OPPS APC	7320				other	OPPS APC	1982.99				percent of total billed charges		2022.52				percent of total billed charges		732				other	OPPS APC	732	7320	
SPACER SPINAL CAPSTONE PEEK-OPTIMA CONVEX L26 MM X H10 MM BULLETED TIP SELF DISTRACTING	SUP-2991026	CDM	270010020	LOCAL	270	RC		inpatient			7320	7320																																																			
RESTORATION MODULAR HIP SYSTEM 17 X 115MM	SUP-97-06374	CDM			278	RC		outpatient			7313	7313	7313				fee schedule		7313				other	OPPS APC	4168.41				percent of total billed charges		7313				other	OPPS APC	7313				other	OPPS APC	3583.37				percent of total billed charges		3729.63				percent of total billed charges		7313				other	OPPS APC	3583.37	7313	
RESTORATION MODULAR HIP SYSTEM 17 X 115MM	SUP-97-06374	CDM			278	RC		inpatient			7313	7313																																																			
TIBIAL TRAY ROTATING PLATFORM SIZE 4	SUP-1284-35-140	CDM	270010025	LOCAL	270	RC		outpatient			7311.6	7311.64	1980.71				percent of total billed charges		7311.6				other	OPPS APC	5410.58				percent of total billed charges		7311.6				other	OPPS APC	7311.6				other	OPPS APC	1980.71				percent of total billed charges		2020.2				percent of total billed charges		7311.64				other	OPPS APC	1980.71	7311.64	
TIBIAL TRAY ROTATING PLATFORM SIZE 4	SUP-1284-35-140	CDM	270010025	LOCAL	270	RC		inpatient			7311.6	7311.6																																																			
PACEMAKER CARDIAC SENSIA DR 2.8V 1.2AH D7.5 MM W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR IS-1	SUP-SEDR01	CDM			275	RC		outpatient			7307.4	737.4	3580.63				percent of total billed charges		7307.4				other	OPPS APC	4165.22				percent of total billed charges		7307.4				other	OPPS APC	7307.4				other	OPPS APC	3580.63				percent of total billed charges		3726.77				percent of total billed charges		737.4				other	OPPS APC	737.4	7307.4	
PACEMAKER CARDIAC SENSIA DR 2.8V 1.2AH D7.5 MM W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR IS-1	SUP-SEDR01	CDM			275	RC		inpatient			7307.4	7307.4																																																			
PPM SESR01/03 SENSIA DEVICE	SUP-SESR D	CDM			275	RC		outpatient			7307.4	737.4	3580.63				percent of total billed charges		7307.4				other	OPPS APC	4165.22				percent of total billed charges		7307.4				other	OPPS APC	7307.4				other	OPPS APC	3580.63				percent of total billed charges		3726.77				percent of total billed charges		737.4				other	OPPS APC	737.4	7307.4	
PPM SESR01/03 SENSIA DEVICE	SUP-SESR D	CDM			275	RC		inpatient			7307.4	7307.4																																																			
PPM SEDR01 SENSIA DR DEVICE	SUP-SESRSERIES D	CDM			275	RC		outpatient			7307.4	737.4	3580.63				percent of total billed charges		7307.4				other	OPPS APC	4165.22				percent of total billed charges		7307.4				other	OPPS APC	7307.4				other	OPPS APC	3580.63				percent of total billed charges		3726.77				percent of total billed charges		737.4				other	OPPS APC	737.4	7307.4	
PPM SEDR01 SENSIA DR DEVICE	SUP-SESRSERIES D	CDM			275	RC		inpatient			7307.4	7307.4																																																			
PPM VEDR01 VERSA DR DEVICE	SUP-VEDR01 D	CDM			275	RC		outpatient			7307.4	737.4	3580.63				percent of total billed charges		7307.4				other	OPPS APC	4165.22				percent of total billed charges		7307.4				other	OPPS APC	7307.4				other	OPPS APC	3580.63				percent of total billed charges		3726.77				percent of total billed charges		737.4				other	OPPS APC	737.4	7307.4	
PPM VEDR01 VERSA DR DEVICE	SUP-VEDR01 D	CDM			275	RC		inpatient			7307.4	7307.4																																																			
TENECTEPLASE PER 50 MG	636000000	CDM	50242-120-47	NDC	J3101	HCPCS		inpatient			7295.63	7295.63																																																			
TENECTEPLASE PER 50 MG	636000000	CDM	50242-120-47	NDC	J3101	HCPCS		outpatient			7295.63	163.11																																											163.11				other	OPPS APC	163.11	163.11	
KIT ONYX 18  AVM  US	SUP-105-7100-060	CDM			270	RC		outpatient			7294	7294	1975.94				percent of total billed charges		7294				other	OPPS APC	5397.56				percent of total billed charges		7294				other	OPPS APC	7294				other	OPPS APC	1975.94				percent of total billed charges		2015.33				percent of total billed charges		7294				other	OPPS APC	1975.94	7294	
KIT ONYX 18  AVM  US	SUP-105-7100-060	CDM			270	RC		inpatient			7294	7294																																																			
KIT ONYX 34  AVM  US	SUP-105-7100-080	CDM			270	RC		outpatient			7294	7294	1975.94				percent of total billed charges		7294				other	OPPS APC	5397.56				percent of total billed charges		7294				other	OPPS APC	7294				other	OPPS APC	1975.94				percent of total billed charges		2015.33				percent of total billed charges		7294				other	OPPS APC	1975.94	7294	
KIT ONYX 34  AVM  US	SUP-105-7100-080	CDM			270	RC		inpatient			7294	7294																																																			
PACEMAKER- TEMPORARY SINGLE CHAMBER	SUP-99-04783	CDM			272	RC		outpatient			7277.86	7277.86	1971.57				percent of total billed charges		7277.86				other	OPPS APC	5385.62				percent of total billed charges		7277.86				other	OPPS APC	7277.86				other	OPPS APC	1971.57				percent of total billed charges		2010.87				percent of total billed charges		7277.86				other	OPPS APC	1971.57	7277.86	
PACEMAKER- TEMPORARY SINGLE CHAMBER	SUP-99-04783	CDM			272	RC		inpatient			7277.86	7277.86																																																			
GRAFT OVITEX LPR 12 X 18CM	SUP-97-05917	CDM			278	RC		outpatient			7253.25	7253.25	7253.25				fee schedule		7253.25				other	OPPS APC	4134.35				percent of total billed charges		7253.25				other	OPPS APC	7253.25				other	OPPS APC	3554.09				percent of total billed charges		3699.16				percent of total billed charges		7253.25				other	OPPS APC	3554.09	7253.25	
GRAFT OVITEX LPR 12 X 18CM	SUP-97-05917	CDM			278	RC		inpatient			7253.25	7253.25																																																			
FIBULA NAIL 4.5 X 130MM FLEX THREAD	SUP-97-06302	CDM			278	RC		outpatient			7250	725	7250				fee schedule		7250				other	OPPS APC	4132.5				percent of total billed charges		7250				other	OPPS APC	7250				other	OPPS APC	3552.5				percent of total billed charges		3697.5				percent of total billed charges		725				other	OPPS APC	725	7250	
FIBULA NAIL 4.5 X 130MM FLEX THREAD	SUP-97-06302	CDM			278	RC		inpatient			7250	7250																																																			
FIBULA NAIL 5.5 X 130MM FLEX THREAD	SUP-97-06305	CDM			278	RC		outpatient			7250	725	7250				fee schedule		7250				other	OPPS APC	4132.5				percent of total billed charges		7250				other	OPPS APC	7250				other	OPPS APC	3552.5				percent of total billed charges		3697.5				percent of total billed charges		725				other	OPPS APC	725	7250	
FIBULA NAIL 5.5 X 130MM FLEX THREAD	SUP-97-06305	CDM			278	RC		inpatient			7250	7250																																																			
SPEEDPLATE LAPIPLASTY QUAD COMPRESSION IMPLANT	SUP-97-06313	CDM			278	RC		outpatient			7250	725	7250				fee schedule		7250				other	OPPS APC	4132.5				percent of total billed charges		7250				other	OPPS APC	7250				other	OPPS APC	3552.5				percent of total billed charges		3697.5				percent of total billed charges		725				other	OPPS APC	725	7250	
SPEEDPLATE LAPIPLASTY QUAD COMPRESSION IMPLANT	SUP-97-06313	CDM			278	RC		inpatient			7250	7250																																																			
FIBULAR NAIL 4.5 X 180MM	SUP-97-06365	CDM			278	RC		outpatient			7250	725	7250				fee schedule		7250				other	OPPS APC	4132.5				percent of total billed charges		7250				other	OPPS APC	7250				other	OPPS APC	3552.5				percent of total billed charges		3697.5				percent of total billed charges		725				other	OPPS APC	725	7250	
FIBULAR NAIL 4.5 X 180MM	SUP-97-06365	CDM			278	RC		inpatient			7250	7250																																																			
FIBULAR NAIL 5.5 X 180MM	SUP-97-06366	CDM			278	RC		outpatient			7250	725	7250				fee schedule		7250				other	OPPS APC	4132.5				percent of total billed charges		7250				other	OPPS APC	7250				other	OPPS APC	3552.5				percent of total billed charges		3697.5				percent of total billed charges		725				other	OPPS APC	725	7250	
FIBULAR NAIL 5.5 X 180MM	SUP-97-06366	CDM			278	RC		inpatient			7250	7250																																																			
PACEMAKER - AICD - DURATA RV LEAD	SUP-99-04554	CDM						inpatient			7250	7250																																																			
PACEMAKER - AICD - DURATA RV LEAD	SUP-99-04554	CDM						outpatient			7250	725	7250				percent of total billed charges		7250				other	OPPS APC	7250				fee schedule		7250				other	OPPS APC	7250				other	OPPS APC	7250				case rate		7250				case rate		725				other	OPPS APC	725	7250	
PACEMAKER - ACCOLADE MRI EL DR IS-1	SUP-99-04252	CDM			275	RC		outpatient			7246.6	7246.64	7246.6				fee schedule		7246.6				other	OPPS APC	4130.56				percent of total billed charges		7246.6				other	OPPS APC	7246.6				other	OPPS APC	3550.83				percent of total billed charges		3695.77				percent of total billed charges		7246.64				other	OPPS APC	3550.83	7246.64	
PACEMAKER - ACCOLADE MRI EL DR IS-1	SUP-99-04252	CDM			275	RC		inpatient			7246.6	7246.6																																																			
PACEMAKER ACCOLADE DR MRI DUAL CHAMBER	SUP-L311	CDM			270	RC		outpatient			7246.6	7246.64	1963.1				percent of total billed charges		7246.6				other	OPPS APC	5362.48				percent of total billed charges		7246.6				other	OPPS APC	7246.6				other	OPPS APC	1963.1				percent of total billed charges		2002.24				percent of total billed charges		7246.64				other	OPPS APC	1963.1	7246.64	
PACEMAKER ACCOLADE DR MRI DUAL CHAMBER	SUP-L311	CDM			270	RC		inpatient			7246.6	7246.6																																																			
PACEMAKER ACCOLADE DR EL MRI DUAL CHAMBER	SUP-L331	CDM			275	RC		outpatient			7246.6	7246.64	3550.83				percent of total billed charges		7246.6				other	OPPS APC	4130.56				percent of total billed charges		7246.6				other	OPPS APC	7246.6				other	OPPS APC	3550.83				percent of total billed charges		3695.77				percent of total billed charges		7246.64				other	OPPS APC	3550.83	7246.64	
PACEMAKER ACCOLADE DR EL MRI DUAL CHAMBER	SUP-L331	CDM			275	RC		inpatient			7246.6	7246.6																																																			
AUGMENT FEMORAL 3DMETAL XL CONE KNEE DIAPHYSIS STERILE LATEX FREE	SUP-02.07.FCXL30	CDM	270010025	LOCAL	270	RC		outpatient			7240	724	1961.32				percent of total billed charges		7240				other	OPPS APC	5357.6				percent of total billed charges		7240				other	OPPS APC	7240				other	OPPS APC	1961.32				percent of total billed charges		2000.41				percent of total billed charges		724				other	OPPS APC	724	7240	
AUGMENT FEMORAL 3DMETAL XL CONE KNEE DIAPHYSIS STERILE LATEX FREE	SUP-02.07.FCXL30	CDM	270010025	LOCAL	270	RC		inpatient			7240	7240																																																			
STENT - ELUVIA DES 6X120	SUP-99-03580	CDM			278	RC		outpatient			7237.5	7237.5	7237.5				fee schedule		7237.5				other	OPPS APC	4125.38				percent of total billed charges		7237.5				other	OPPS APC	7237.5				other	OPPS APC	3546.38				percent of total billed charges		3691.13				percent of total billed charges		7237.5				other	OPPS APC	3546.38	7237.5	
STENT - ELUVIA DES 6X120	SUP-99-03580	CDM			278	RC		inpatient			7237.5	7237.5																																																			
STENT - ELUVIA DES 7X120	SUP-99-03585	CDM			278	RC		outpatient			7237.5	7237.5	7237.5				fee schedule		7237.5				other	OPPS APC	4125.38				percent of total billed charges		7237.5				other	OPPS APC	7237.5				other	OPPS APC	3546.38				percent of total billed charges		3691.13				percent of total billed charges		7237.5				other	OPPS APC	3546.38	7237.5	
STENT - ELUVIA DES 7X120	SUP-99-03585	CDM			278	RC		inpatient			7237.5	7237.5																																																			
STANDERD HUMERAL HEAD	SUP-97-02542	CDM			278	RC		outpatient			7225	7225	7225				fee schedule		7225				other	OPPS APC	4118.25				percent of total billed charges		7225				other	OPPS APC	7225				other	OPPS APC	3540.25				percent of total billed charges		3684.75				percent of total billed charges		7225				other	OPPS APC	3540.25	7225	
STANDERD HUMERAL HEAD	SUP-97-02542	CDM			278	RC		inpatient			7225	7225																																																			
HC Thyroseq	PX-3000026U0	CDM			300	RC		outpatient			7200	36	3528				percent of total billed charges		3600				fee schedule		5328				percent of total billed charges		3600				fee schedule		3600				fee schedule		3600				fee schedule		3600				fee schedule		36				fee schedule		36	5328	
HC Thyroseq	PX-3000026U0	CDM			300	RC		inpatient			7200	7200																																																			
RE-ENTRY - PIONEER PLUS	SUP-99-03511	CDM			272	RC		outpatient			7200	72	1950.48				percent of total billed charges		7200				other	OPPS APC	5328				percent of total billed charges		7200				other	OPPS APC	7200				other	OPPS APC	1950.48				percent of total billed charges		1989.36				percent of total billed charges		72				other	OPPS APC	72	7200	
RE-ENTRY - PIONEER PLUS	SUP-99-03511	CDM			272	RC		inpatient			7200	7200																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1212135	CDM	270010015	LOCAL	270	RC		outpatient			7200	72	1950.48				percent of total billed charges		7200				other	OPPS APC	5328				percent of total billed charges		7200				other	OPPS APC	7200				other	OPPS APC	1950.48				percent of total billed charges		1989.36				percent of total billed charges		72				other	OPPS APC	72	7200	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1212135	CDM	270010015	LOCAL	270	RC		inpatient			7200	7200																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1414135	CDM	270010015	LOCAL	270	RC		outpatient			7200	72	1950.48				percent of total billed charges		7200				other	OPPS APC	5328				percent of total billed charges		7200				other	OPPS APC	7200				other	OPPS APC	1950.48				percent of total billed charges		1989.36				percent of total billed charges		72				other	OPPS APC	72	7200	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1414135	CDM	270010015	LOCAL	270	RC		inpatient			7200	7200																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1616135	CDM	270010015	LOCAL	270	RC		outpatient			7200	72	1950.48				percent of total billed charges		7200				other	OPPS APC	5328				percent of total billed charges		7200				other	OPPS APC	7200				other	OPPS APC	1950.48				percent of total billed charges		1989.36				percent of total billed charges		72				other	OPPS APC	72	7200	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L13.5 CM OD16 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1616135	CDM	270010015	LOCAL	270	RC		inpatient			7200	7200																																																			
GRAFT SKIN THERASKIN  116 SQ CM XL L6 IN X W3 IN ALLOGRAFT CRYOPRESERVE PREMESH	SUP-103TSXL	CDM						inpatient			7190	7190																																																			
GRAFT SKIN THERASKIN  116 SQ CM XL L6 IN X W3 IN ALLOGRAFT CRYOPRESERVE PREMESH	SUP-103TSXL	CDM						outpatient			7190	719	7190				percent of total billed charges		7190				other	OPPS APC	7190				fee schedule		7190				other	OPPS APC	7190				other	OPPS APC	7190				case rate		7190				case rate		719				other	OPPS APC	719	7190	
TRAY SURGICAL BONE FIRST FRACTURE KYPHOPAK EXPRESS OSTEO INTRODUCER 15 X 2.0MM	SUP-KPE1003	CDM			270	RC		outpatient			7190	719	1947.77				percent of total billed charges		7190				other	OPPS APC	5320.6				percent of total billed charges		7190				other	OPPS APC	7190				other	OPPS APC	1947.77				percent of total billed charges		1986.6				percent of total billed charges		719				other	OPPS APC	719	7190	
TRAY SURGICAL BONE FIRST FRACTURE KYPHOPAK EXPRESS OSTEO INTRODUCER 15 X 2.0MM	SUP-KPE1003	CDM			270	RC		inpatient			7190	7190																																																			
2.7MM3.5MMVA-LCP 2-ANTERDISTAL PL6 HOL	SUP-97-03442	CDM			278	RC		outpatient			7185	7185	7185				fee schedule		7185				other	OPPS APC	4095.45				percent of total billed charges		7185				other	OPPS APC	7185				other	OPPS APC	3520.65				percent of total billed charges		3664.35				percent of total billed charges		7185				other	OPPS APC	3520.65	7185	
2.7MM3.5MMVA-LCP 2-ANTERDISTAL PL6 HOL	SUP-97-03442	CDM			278	RC		inpatient			7185	7185																																																			
STENT BILIARY 10MM 79MM 135CM SELF EXPAND SENTINOL NITINOL ACCEPTS 6FR SHEATH	SUP-H7493894818010	CDM			275	RC		outpatient			7158	7158	3507.42				percent of total billed charges		7158				other	OPPS APC	4080.06				percent of total billed charges		7158				other	OPPS APC	7158				other	OPPS APC	3507.42				percent of total billed charges		3650.58				percent of total billed charges		7158				other	OPPS APC	3507.42	7158	
STENT BILIARY 10MM 79MM 135CM SELF EXPAND SENTINOL NITINOL ACCEPTS 6FR SHEATH	SUP-H7493894818010	CDM			275	RC		inpatient			7158	7158																																																			
LEAD OPTISURE DF4	SUP-LDA SERIES	CDM			275	RC		outpatient			7158	7158	3507.42				percent of total billed charges		7158				other	OPPS APC	4080.06				percent of total billed charges		7158				other	OPPS APC	7158				other	OPPS APC	3507.42				percent of total billed charges		3650.58				percent of total billed charges		7158				other	OPPS APC	3507.42	7158	
LEAD OPTISURE DF4	SUP-LDA SERIES	CDM			275	RC		inpatient			7158	7158																																																			
FORCEPS BIOPSY NEEDLE 160CM 1.8MM RADIAL JAW 3 PEDIATRIC GASTROINTESTINE STERILE	SUP-M00515791	CDM			275	RC		outpatient			7158	7158	3507.42				percent of total billed charges		7158				other	OPPS APC	4080.06				percent of total billed charges		7158				other	OPPS APC	7158				other	OPPS APC	3507.42				percent of total billed charges		3650.58				percent of total billed charges		7158				other	OPPS APC	3507.42	7158	
FORCEPS BIOPSY NEEDLE 160CM 1.8MM RADIAL JAW 3 PEDIATRIC GASTROINTESTINE STERILE	SUP-M00515791	CDM			275	RC		inpatient			7158	7158																																																			
VIABAHN BX BALLOON ENDO	SUP-BAXL085902A	CDM			270	RC		outpatient			7148	7148	1936.39				percent of total billed charges		7148				other	OPPS APC	5289.52				percent of total billed charges		7148				other	OPPS APC	7148				other	OPPS APC	1936.39				percent of total billed charges		1974.99				percent of total billed charges		7148				other	OPPS APC	1936.39	7148	
VIABAHN BX BALLOON ENDO	SUP-BAXL085902A	CDM			270	RC		inpatient			7148	7148																																																			
VIABAHN BX BALLOON 8MMX59MM	SUP-BXAL085902A	CDM			270	RC		outpatient			7148	7148	1936.39				percent of total billed charges		7148				other	OPPS APC	5289.52				percent of total billed charges		7148				other	OPPS APC	7148				other	OPPS APC	1936.39				percent of total billed charges		1974.99				percent of total billed charges		7148				other	OPPS APC	1936.39	7148	
VIABAHN BX BALLOON 8MMX59MM	SUP-BXAL085902A	CDM			270	RC		inpatient			7148	7148																																																			
PLATE 410HOLE	SUP-97-03383	CDM			278	RC		outpatient			7137.5	7137.5	7137.5				fee schedule		7137.5				other	OPPS APC	4068.38				percent of total billed charges		7137.5				other	OPPS APC	7137.5				other	OPPS APC	3497.38				percent of total billed charges		3640.13				percent of total billed charges		7137.5				other	OPPS APC	3497.38	7137.5	
PLATE 410HOLE	SUP-97-03383	CDM			278	RC		inpatient			7137.5	7137.5																																																			
NARROW COMPRESSION 8 HOLE 5.0	SUP-97-03732	CDM			278	RC		outpatient			7137.5	7137.5	7137.5				fee schedule		7137.5				other	OPPS APC	4068.38				percent of total billed charges		7137.5				other	OPPS APC	7137.5				other	OPPS APC	3497.38				percent of total billed charges		3640.13				percent of total billed charges		7137.5				other	OPPS APC	3497.38	7137.5	
NARROW COMPRESSION 8 HOLE 5.0	SUP-97-03732	CDM			278	RC		inpatient			7137.5	7137.5																																																			
SIGMA TIBIAL SIZE 3 12.5MM	SUP-97-01055	CDM			278	RC		outpatient			7132	7132	7132				fee schedule		7132				other	OPPS APC	4065.24				percent of total billed charges		7132				other	OPPS APC	7132				other	OPPS APC	3494.68				percent of total billed charges		3637.32				percent of total billed charges		7132				other	OPPS APC	3494.68	7132	
SIGMA TIBIAL SIZE 3 12.5MM	SUP-97-01055	CDM			278	RC		inpatient			7132	7132																																																			
TIBIAL INSERT FIXED BEADING	SUP-97-01323	CDM			278	RC		outpatient			7132	7132	7132				fee schedule		7132				other	OPPS APC	4065.24				percent of total billed charges		7132				other	OPPS APC	7132				other	OPPS APC	3494.68				percent of total billed charges		3637.32				percent of total billed charges		7132				other	OPPS APC	3494.68	7132	
TIBIAL INSERT FIXED BEADING	SUP-97-01323	CDM			278	RC		inpatient			7132	7132																																																			
TIBIAL INSERT FIXED BEARING	SUP-97-01855	CDM			278	RC		outpatient			7132	7132	7132				fee schedule		7132				other	OPPS APC	4065.24				percent of total billed charges		7132				other	OPPS APC	7132				other	OPPS APC	3494.68				percent of total billed charges		3637.32				percent of total billed charges		7132				other	OPPS APC	3494.68	7132	
TIBIAL INSERT FIXED BEARING	SUP-97-01855	CDM			278	RC		inpatient			7132	7132																																																			
WEDGE AUGMENTATION ALLOPURE EVANS ALLOTRUE BICORTICAL L20 MM X W22 MM X H10 MM H5.5 MM FOOT ANKLE ALLOGRAFT	SUP-86661000	CDM	270010031	LOCAL	270	RC		outpatient			7130	713	1931.52				percent of total billed charges		7130				other	OPPS APC	5276.2				percent of total billed charges		7130				other	OPPS APC	7130				other	OPPS APC	1931.52				percent of total billed charges		1970.02				percent of total billed charges		713				other	OPPS APC	713	7130	
WEDGE AUGMENTATION ALLOPURE EVANS ALLOTRUE BICORTICAL L20 MM X W22 MM X H10 MM H5.5 MM FOOT ANKLE ALLOGRAFT	SUP-86661000	CDM	270010031	LOCAL	270	RC		inpatient			7130	7130																																																			
WEDGE AUGMENTATION EVANS ALLOPURE PLUS L20 MM X W22 MM X H12 MM CORTICOCANCELLOUS BONE ALLOGRAFT STERILE OSTEOTOMY	SUP-86661200	CDM	270010031	LOCAL	270	RC		outpatient			7130	713	1931.52				percent of total billed charges		7130				other	OPPS APC	5276.2				percent of total billed charges		7130				other	OPPS APC	7130				other	OPPS APC	1931.52				percent of total billed charges		1970.02				percent of total billed charges		713				other	OPPS APC	713	7130	
WEDGE AUGMENTATION EVANS ALLOPURE PLUS L20 MM X W22 MM X H12 MM CORTICOCANCELLOUS BONE ALLOGRAFT STERILE OSTEOTOMY	SUP-86661200	CDM	270010031	LOCAL	270	RC		inpatient			7130	7130																																																			
KNEE PRIMARY ATTUNE RP CEMENTED	SUP-97-05006	CDM			278	RC		outpatient			7125	7125	7125				fee schedule		7125				other	OPPS APC	4061.25				percent of total billed charges		7125				other	OPPS APC	7125				other	OPPS APC	3491.25				percent of total billed charges		3633.75				percent of total billed charges		7125				other	OPPS APC	3491.25	7125	
KNEE PRIMARY ATTUNE RP CEMENTED	SUP-97-05006	CDM			278	RC		inpatient			7125	7125																																																			
LEAD NEUROSTIMULATOR INTERSTIM 3 MM SPACE STRAIGHT L33 CM OD1.27 MM INLINE CONNECTOR TINE	SUP-3889-33	CDM			270	RC		outpatient			7110	711	1926.1				percent of total billed charges		7110				other	OPPS APC	5261.4				percent of total billed charges		7110				other	OPPS APC	7110				other	OPPS APC	1926.1				percent of total billed charges		1964.49				percent of total billed charges		711				other	OPPS APC	711	7110	
LEAD NEUROSTIMULATOR INTERSTIM 3 MM SPACE STRAIGHT L33 CM OD1.27 MM INLINE CONNECTOR TINE	SUP-3889-33	CDM			270	RC		inpatient			7110	7110																																																			
TRAY INTRODUCER KYPHOPAK XPANDER 20/3 SPINE FIRST FRACTURE KYPHX ONE STEP OSTEO	SUP-KPT2005	CDM			270	RC		outpatient			7106	716	1925.02				percent of total billed charges		7106				other	OPPS APC	5258.44				percent of total billed charges		7106				other	OPPS APC	7106				other	OPPS APC	1925.02				percent of total billed charges		1963.39				percent of total billed charges		716				other	OPPS APC	716	7106	
TRAY INTRODUCER KYPHOPAK XPANDER 20/3 SPINE FIRST FRACTURE KYPHX ONE STEP OSTEO	SUP-KPT2005	CDM			270	RC		inpatient			7106	7106																																																			
STENT 23 X 105	SUP-95-01834	CDM			272	RC		outpatient			7080.63	78.63	1918.14				percent of total billed charges		7080.63				other	OPPS APC	5239.67				percent of total billed charges		7080.63				other	OPPS APC	7080.63				other	OPPS APC	1918.14				percent of total billed charges		1956.38				percent of total billed charges		78.63				other	OPPS APC	78.63	7080.63	
STENT 23 X 105	SUP-95-01834	CDM			272	RC		inpatient			7080.63	7080.63																																																			
HC Cc Insertion of Bivent Lead	PX-361332250	CDM	33225	CPT	361	RC		outpatient			7075	775	2234.29				percent of total billed charges		7075				other	OPPS APC	612				fee schedule		7075				other	OPPS APC	7075				other	OPPS APC	2234.29				percent of total billed charges		2278.86				percent of total billed charges		775				other	OPPS APC	612	7075	
HC Cc Insertion of Bivent Lead	PX-361332250	CDM	33225	CPT	361	RC		inpatient			7075	7075																																																			
ARTHROFLEX 101	SUP-97-04440	CDM			636	RC		inpatient			7065	7065																																																			
ARTHROFLEX 101	SUP-97-04440	CDM			636	RC		outpatient			7065	7065					fee schedule						other	OPPS APC	5228.1				percent of total billed charges						other	OPPS APC					other	OPPS APC	3461.85				percent of total billed charges		1756.36				percent of total billed charges						other	OPPS APC	5228.1	5228.1	
IMPLANT INTEGRA COMPRESSION PLATE U SHAPED	SUP-330021	CDM			270	RC		outpatient			7055	755	1911.2				percent of total billed charges		7055				other	OPPS APC	5220.7				percent of total billed charges		7055				other	OPPS APC	7055				other	OPPS APC	1911.2				percent of total billed charges		1949.3				percent of total billed charges		755				other	OPPS APC	755	7055	
IMPLANT INTEGRA COMPRESSION PLATE U SHAPED	SUP-330021	CDM			270	RC		inpatient			7055	7055																																																			
PINNACLE GRIPTION ACETABULAR SHELL 48	SUP-97-03793	CDM			278	RC		outpatient			7051.5	751.5	7051.5				fee schedule		7051.5				other	OPPS APC	4019.36				percent of total billed charges		7051.5				other	OPPS APC	7051.5				other	OPPS APC	3455.24				percent of total billed charges		3596.27				percent of total billed charges		751.5				other	OPPS APC	751.5	7051.5	
PINNACLE GRIPTION ACETABULAR SHELL 48	SUP-97-03793	CDM			278	RC		inpatient			7051.5	7051.5																																																			
GRAFT DUAL MESH PLUS 26X34	SUP-97-00188	CDM			278	RC		outpatient			7040	74	7040				fee schedule		7040				other	OPPS APC	4012.8				percent of total billed charges		7040				other	OPPS APC	7040				other	OPPS APC	3449.6				percent of total billed charges		3590.4				percent of total billed charges		74				other	OPPS APC	74	7040	
GRAFT DUAL MESH PLUS 26X34	SUP-97-00188	CDM			278	RC		inpatient			7040	7040																																																			
BIABAHN BALLOON ENDO	SUP-BXAL085901A	CDM			270	RC		outpatient			7008	78	1898.47				percent of total billed charges		7008				other	OPPS APC	5185.92				percent of total billed charges		7008				other	OPPS APC	7008				other	OPPS APC	1898.47				percent of total billed charges		1936.31				percent of total billed charges		78				other	OPPS APC	78	7008	
BIABAHN BALLOON ENDO	SUP-BXAL085901A	CDM			270	RC		inpatient			7008	7008																																																			
IMPLANT GORE EXCLUDER 23MM X 3.3CM	SUP-PLA230300	CDM	270010015	LOCAL	270	RC		outpatient			7006	76	1897.93				percent of total billed charges		7006				other	OPPS APC	5184.44				percent of total billed charges		7006				other	OPPS APC	7006				other	OPPS APC	1897.93				percent of total billed charges		1935.76				percent of total billed charges		76				other	OPPS APC	76	7006	
IMPLANT GORE EXCLUDER 23MM X 3.3CM	SUP-PLA230300	CDM	270010015	LOCAL	270	RC		inpatient			7006	7006																																																			
IMPLANT GORE EXCLUDER 26MM X 3.3CM	SUP-PLA260300	CDM	270010015	LOCAL	270	RC		outpatient			7006	76	1897.93				percent of total billed charges		7006				other	OPPS APC	5184.44				percent of total billed charges		7006				other	OPPS APC	7006				other	OPPS APC	1897.93				percent of total billed charges		1935.76				percent of total billed charges		76				other	OPPS APC	76	7006	
IMPLANT GORE EXCLUDER 26MM X 3.3CM	SUP-PLA260300	CDM	270010015	LOCAL	270	RC		inpatient			7006	7006																																																			
IMPLANT GORE EXCLUDER 28.5MM X 3.3CM	SUP-PLA280300	CDM	270010015	LOCAL	270	RC		outpatient			7006	76	1897.93				percent of total billed charges		7006				other	OPPS APC	5184.44				percent of total billed charges		7006				other	OPPS APC	7006				other	OPPS APC	1897.93				percent of total billed charges		1935.76				percent of total billed charges		76				other	OPPS APC	76	7006	
IMPLANT GORE EXCLUDER 28.5MM X 3.3CM	SUP-PLA280300	CDM	270010015	LOCAL	270	RC		inpatient			7006	7006																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PLL161207	CDM			270	RC		outpatient			7006	76	1897.93				percent of total billed charges		7006				other	OPPS APC	5184.44				percent of total billed charges		7006				other	OPPS APC	7006				other	OPPS APC	1897.93				percent of total billed charges		1935.76				percent of total billed charges		76				other	OPPS APC	76	7006	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PLL161207	CDM			270	RC		inpatient			7006	7006																																																			
CONNECTOR PERFUSION LEFT VENTRICULAR ACCESSORY	SUP-174A-16	CDM			270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
CONNECTOR PERFUSION LEFT VENTRICULAR ACCESSORY	SUP-174A-16	CDM			270	RC		inpatient			7000	7000																																																			
SPACER SPINAL TRANSCONTINENTAL M PEEK L55 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.428	CDM	270010020	LOCAL	270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
SPACER SPINAL TRANSCONTINENTAL M PEEK L55 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.428	CDM	270010020	LOCAL	270	RC		inpatient			7000	7000																																																			
SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L55 MM X W20 MM X H11 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.481	CDM	270010020	LOCAL	270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L55 MM X W20 MM X H11 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.481	CDM	270010020	LOCAL	270	RC		inpatient			7000	7000																																																			
SPACER SPINAL TRANSCONTINENTAL PEEK 6 D MEDIUM L60 MM X W20 MM X H9 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.579	CDM	270010020	LOCAL	270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
SPACER SPINAL TRANSCONTINENTAL PEEK 6 D MEDIUM L60 MM X W20 MM X H9 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.579	CDM	270010020	LOCAL	270	RC		inpatient			7000	7000																																																			
CATHETER ATHERECTOMY TURBO-POWER 2.3MM DISPOSABLE STERILE LF LASER	SUP-420-050	CDM			270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
CATHETER ATHERECTOMY TURBO-POWER 2.3MM DISPOSABLE STERILE LF LASER	SUP-420-050	CDM			270	RC		inpatient			7000	7000																																																			
GRAFT BONE MAGNETOS MATRIX .25-1 MM LARGE ALLOGRAFT FLEX	SUP-703-058-US	CDM			270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
GRAFT BONE MAGNETOS MATRIX .25-1 MM LARGE ALLOGRAFT FLEX	SUP-703-058-US	CDM			270	RC		inpatient			7000	7000																																																			
PURAPLY AM  5X5	SUP-97-01194	CDM			636	RC		outpatient			7000	7	3430				percent of total billed charges		7000				other	OPPS APC	124.93				fee schedule		7000				other	OPPS APC	7000				other	OPPS APC	3430				percent of total billed charges		1740.2				percent of total billed charges		7				other	OPPS APC	7	7000	
PURAPLY AM  5X5	SUP-97-01194	CDM			636	RC		inpatient			7000	7000																																																			
STAPLE 20 X 20 EASYFUSE	SUP-97-05769	CDM			278	RC		outpatient			7000	7	7000				fee schedule		7000				other	OPPS APC	3990				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	3430				percent of total billed charges		3570				percent of total billed charges		7				other	OPPS APC	7	7000	
STAPLE 20 X 20 EASYFUSE	SUP-97-05769	CDM			278	RC		inpatient			7000	7000																																																			
STAPLE 20 X 15 EASYFUSE	SUP-97-05770	CDM			278	RC		outpatient			7000	7	7000				fee schedule		7000				other	OPPS APC	3990				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	3430				percent of total billed charges		3570				percent of total billed charges		7				other	OPPS APC	7	7000	
STAPLE 20 X 15 EASYFUSE	SUP-97-05770	CDM			278	RC		inpatient			7000	7000																																																			
AMNION THIN 3X4	SUP-97-05882	CDM			278	RC		outpatient			7000	7	7000				fee schedule		7000				other	OPPS APC	3990				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	3430				percent of total billed charges		3570				percent of total billed charges		7				other	OPPS APC	7	7000	
AMNION THIN 3X4	SUP-97-05882	CDM			278	RC		inpatient			7000	7000																																																			
CATHETER - PHOENIX ATHERECTOMY 2.2MM	SUP-99-03331	CDM			272	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
CATHETER - PHOENIX ATHERECTOMY 2.2MM	SUP-99-03331	CDM			272	RC		inpatient			7000	7000																																																			
CATHETER - PHOENIX ATHERECTOMY 1.8MM	SUP-99-03415	CDM			272	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
CATHETER - PHOENIX ATHERECTOMY 1.8MM	SUP-99-03415	CDM			272	RC		inpatient			7000	7000																																																			
TOTAL KNEE 3 PIECE CAP PRICE	SUP-CAPKNEE3	CDM	270010025	LOCAL	270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
TOTAL KNEE 3 PIECE CAP PRICE	SUP-CAPKNEE3	CDM	270010025	LOCAL	270	RC		inpatient			7000	7000																																																			
CATHETER ARRAY BALLOON	SUP-EC1000-204	CDM			270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
CATHETER ARRAY BALLOON	SUP-EC1000-204	CDM			270	RC		inpatient			7000	7000																																																			
SPACER FEMORAL INTERSPACE CEMEX GENTAMICIN SMALL L60 MM X W36 MM X H16 MM OD54 MM ID40 MM .9 GM KNEE HIGH RELEASE	SUP-SPK0022	CDM			270	RC		outpatient			7000	7	1896.3				percent of total billed charges		7000				other	OPPS APC	5180				percent of total billed charges		7000				other	OPPS APC	7000				other	OPPS APC	1896.3				percent of total billed charges		1934.1				percent of total billed charges		7				other	OPPS APC	7	7000	
SPACER FEMORAL INTERSPACE CEMEX GENTAMICIN SMALL L60 MM X W36 MM X H16 MM OD54 MM ID40 MM .9 GM KNEE HIGH RELEASE	SUP-SPK0022	CDM			270	RC		inpatient			7000	7000																																																			
TARGET 360 SOFT XL 7MM X 20MM	SUP-612720	CDM			270	RC		outpatient			6998	6998	1895.76				percent of total billed charges		6998				other	OPPS APC	5178.52				percent of total billed charges		6998				other	OPPS APC	6998				other	OPPS APC	1895.76				percent of total billed charges		1933.55				percent of total billed charges		6998				other	OPPS APC	1895.76	6998	
TARGET 360 SOFT XL 7MM X 20MM	SUP-612720	CDM			270	RC		inpatient			6998	6998																																																			
COIL TARGET DETACHABLE 360 SOFT XL 8MM X 30CM	SUP-612830	CDM			270	RC		outpatient			6998	6998	1895.76				percent of total billed charges		6998				other	OPPS APC	5178.52				percent of total billed charges		6998				other	OPPS APC	6998				other	OPPS APC	1895.76				percent of total billed charges		1933.55				percent of total billed charges		6998				other	OPPS APC	1895.76	6998	
COIL TARGET DETACHABLE 360 SOFT XL 8MM X 30CM	SUP-612830	CDM			270	RC		inpatient			6998	6998																																																			
STEM RADIAL EVOLVE PROLINE +2 MM OD5.5 MM ELBOW MODULAR	SUP-496S255	CDM			270	RC		outpatient			6982	6982	1891.42				percent of total billed charges		6982				other	OPPS APC	5166.68				percent of total billed charges		6982				other	OPPS APC	6982				other	OPPS APC	1891.42				percent of total billed charges		1929.13				percent of total billed charges		6982				other	OPPS APC	1891.42	6982	
STEM RADIAL EVOLVE PROLINE +2 MM OD5.5 MM ELBOW MODULAR	SUP-496S255	CDM			270	RC		inpatient			6982	6982																																																			
STEM RADIAL EVOLVE PROLINE +2 MM OD6.5 MM ELBOW MODULAR	SUP-496S265	CDM			270	RC		outpatient			6982	6982	1891.42				percent of total billed charges		6982				other	OPPS APC	5166.68				percent of total billed charges		6982				other	OPPS APC	6982				other	OPPS APC	1891.42				percent of total billed charges		1929.13				percent of total billed charges		6982				other	OPPS APC	1891.42	6982	
STEM RADIAL EVOLVE PROLINE +2 MM OD6.5 MM ELBOW MODULAR	SUP-496S265	CDM			270	RC		inpatient			6982	6982																																																			
STEM RADIAL EVOLVE PROLINE +2 MM OD8.5 MM ELBOW MODULAR	SUP-496S285	CDM			270	RC		outpatient			6982	6982	1891.42				percent of total billed charges		6982				other	OPPS APC	5166.68				percent of total billed charges		6982				other	OPPS APC	6982				other	OPPS APC	1891.42				percent of total billed charges		1929.13				percent of total billed charges		6982				other	OPPS APC	1891.42	6982	
STEM RADIAL EVOLVE PROLINE +2 MM OD8.5 MM ELBOW MODULAR	SUP-496S285	CDM			270	RC		inpatient			6982	6982																																																			
STEM RADIAL EVOLVE PROLINE +2 MM OD9.5 MM ELBOW MODULAR	SUP-496S295	CDM			270	RC		outpatient			6982	6982	1891.42				percent of total billed charges		6982				other	OPPS APC	5166.68				percent of total billed charges		6982				other	OPPS APC	6982				other	OPPS APC	1891.42				percent of total billed charges		1929.13				percent of total billed charges		6982				other	OPPS APC	1891.42	6982	
STEM RADIAL EVOLVE PROLINE +2 MM OD9.5 MM ELBOW MODULAR	SUP-496S295	CDM			270	RC		inpatient			6982	6982																																																			
STEM RADIAL EVOLVE PROLINE 4+ MM OD6.5 MM ELBOW MODULAR HEAD	SUP-496S465	CDM			270	RC		outpatient			6982	6982	1891.42				percent of total billed charges		6982				other	OPPS APC	5166.68				percent of total billed charges		6982				other	OPPS APC	6982				other	OPPS APC	1891.42				percent of total billed charges		1929.13				percent of total billed charges		6982				other	OPPS APC	1891.42	6982	
STEM RADIAL EVOLVE PROLINE 4+ MM OD6.5 MM ELBOW MODULAR HEAD	SUP-496S465	CDM			270	RC		inpatient			6982	6982																																																			
STEM RADIAL EVOLVE PROLINE 4+ MM OD8.5 MM ELBOW MODULAR HEAD	SUP-496S485	CDM			270	RC		outpatient			6982	6982	1891.42				percent of total billed charges		6982				other	OPPS APC	5166.68				percent of total billed charges		6982				other	OPPS APC	6982				other	OPPS APC	1891.42				percent of total billed charges		1929.13				percent of total billed charges		6982				other	OPPS APC	1891.42	6982	
STEM RADIAL EVOLVE PROLINE 4+ MM OD8.5 MM ELBOW MODULAR HEAD	SUP-496S485	CDM			270	RC		inpatient			6982	6982																																																			
PACEMAKER - GENERATOR AZURE DUAL W1DR01	SUP-99-03402	CDM			275	RC		outpatient			6954	6954	6954				fee schedule		6954				other	OPPS APC	3963.78				percent of total billed charges		6954				other	OPPS APC	6954				other	OPPS APC	3407.46				percent of total billed charges		3546.54				percent of total billed charges		6954				other	OPPS APC	3407.46	6954	
PACEMAKER - GENERATOR AZURE DUAL W1DR01	SUP-99-03402	CDM			275	RC		inpatient			6954	6954																																																			
DEVICE AZURE XT DR MRI SURESCAN	SUP-W1DR01	CDM			275	RC		outpatient			6954	6954	3407.46				percent of total billed charges		6954				other	OPPS APC	3963.78				percent of total billed charges		6954				other	OPPS APC	6954				other	OPPS APC	3407.46				percent of total billed charges		3546.54				percent of total billed charges		6954				other	OPPS APC	3407.46	6954	
DEVICE AZURE XT DR MRI SURESCAN	SUP-W1DR01	CDM			275	RC		inpatient			6954	6954																																																			
NRS 13MM X 127MM FEMORAL STEM	SUP-97-05057	CDM			278	RC		outpatient			6943	6943	6943				fee schedule		6943				other	OPPS APC	3957.51				percent of total billed charges		6943				other	OPPS APC	6943				other	OPPS APC	3402.07				percent of total billed charges		3540.93				percent of total billed charges		6943				other	OPPS APC	3402.07	6943	
NRS 13MM X 127MM FEMORAL STEM	SUP-97-05057	CDM			278	RC		inpatient			6943	6943																																																			
STENT - ICAST COVERED 8X59	SUP-99-01316	CDM			278	RC		outpatient			6937.5	6937.5	6937.5				fee schedule		6937.5				other	OPPS APC	3954.38				percent of total billed charges		6937.5				other	OPPS APC	6937.5				other	OPPS APC	3399.38				percent of total billed charges		3538.13				percent of total billed charges		6937.5				other	OPPS APC	3399.38	6937.5	
STENT - ICAST COVERED 8X59	SUP-99-01316	CDM			278	RC		inpatient			6937.5	6937.5																																																			
STENT - ICAST COVERED 9X59	SUP-99-01804	CDM			278	RC		outpatient			6937.5	6937.5	6937.5				fee schedule		6937.5				other	OPPS APC	3954.38				percent of total billed charges		6937.5				other	OPPS APC	6937.5				other	OPPS APC	3399.38				percent of total billed charges		3538.13				percent of total billed charges		6937.5				other	OPPS APC	3399.38	6937.5	
STENT - ICAST COVERED 9X59	SUP-99-01804	CDM			278	RC		inpatient			6937.5	6937.5																																																			
STENT - ICAST COVERED 6X59	SUP-99-01816	CDM			278	RC		outpatient			6937.5	6937.5	6937.5				fee schedule		6937.5				other	OPPS APC	3954.38				percent of total billed charges		6937.5				other	OPPS APC	6937.5				other	OPPS APC	3399.38				percent of total billed charges		3538.13				percent of total billed charges		6937.5				other	OPPS APC	3399.38	6937.5	
STENT - ICAST COVERED 6X59	SUP-99-01816	CDM			278	RC		inpatient			6937.5	6937.5																																																			
STENT - ICAST COVERED 7X59	SUP-99-01819	CDM			278	RC		outpatient			6937.5	6937.5	6937.5				fee schedule		6937.5				other	OPPS APC	3954.38				percent of total billed charges		6937.5				other	OPPS APC	6937.5				other	OPPS APC	3399.38				percent of total billed charges		3538.13				percent of total billed charges		6937.5				other	OPPS APC	3399.38	6937.5	
STENT - ICAST COVERED 7X59	SUP-99-01819	CDM			278	RC		inpatient			6937.5	6937.5																																																			
CATHETER - OCTARAY 3-3-3-3 D CURVE	SUP-99-04788	CDM			278	RC		outpatient			6930	693	6930				fee schedule		6930				other	OPPS APC	3950.1				percent of total billed charges		6930				other	OPPS APC	6930				other	OPPS APC	3395.7				percent of total billed charges		3534.3				percent of total billed charges		693				other	OPPS APC	693	6930	
CATHETER - OCTARAY 3-3-3-3 D CURVE	SUP-99-04788	CDM			278	RC		inpatient			6930	6930																																																			
HYDROSET 10CC	SUP-97-00284	CDM			278	RC		outpatient			6924	6924	6924				fee schedule		6924				other	OPPS APC	3946.68				percent of total billed charges		6924				other	OPPS APC	6924				other	OPPS APC	3392.76				percent of total billed charges		3531.24				percent of total billed charges		6924				other	OPPS APC	3392.76	6924	
HYDROSET 10CC	SUP-97-00284	CDM			278	RC		inpatient			6924	6924																																																			
ARTHROFLEX 40 X 70 X 1.0MM	SUP-97-05724	CDM						inpatient			6902.5	6902.5																																																			
ARTHROFLEX 40 X 70 X 1.0MM	SUP-97-05724	CDM						outpatient			6902.5	692.5	6902.5				percent of total billed charges		6902.5				other	OPPS APC	6902.5				fee schedule		6902.5				other	OPPS APC	6902.5				other	OPPS APC	6902.5				case rate		6902.5				case rate		692.5				other	OPPS APC	692.5	6902.5	
VALVE AIRWAY IBV NITINOL UMBRELLA OD9 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V9	CDM			270	RC		outpatient			6900	69	1869.21				percent of total billed charges		6900				other	OPPS APC	5106				percent of total billed charges		6900				other	OPPS APC	6900				other	OPPS APC	1869.21				percent of total billed charges		1906.47				percent of total billed charges		69				other	OPPS APC	69	6900	
VALVE AIRWAY IBV NITINOL UMBRELLA OD9 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V9	CDM			270	RC		inpatient			6900	6900																																																			
NORIAN DRILLABLE INJECT 10CC-STERILE	SUP-97-04920	CDM			278	RC		outpatient			6880.5	688.5	6880.5				fee schedule		6880.5				other	OPPS APC	3921.89				percent of total billed charges		6880.5				other	OPPS APC	6880.5				other	OPPS APC	3371.45				percent of total billed charges		3509.06				percent of total billed charges		688.5				other	OPPS APC	688.5	6880.5	
NORIAN DRILLABLE INJECT 10CC-STERILE	SUP-97-04920	CDM			278	RC		inpatient			6880.5	6880.5																																																			
ATTUNE CRS FB TIB BASE SZ6 CEM	SUP-97-04795	CDM			278	RC		outpatient			6879	6879	6879				fee schedule		6879				other	OPPS APC	3921.03				percent of total billed charges		6879				other	OPPS APC	6879				other	OPPS APC	3370.71				percent of total billed charges		3508.29				percent of total billed charges		6879				other	OPPS APC	3370.71	6879	
ATTUNE CRS FB TIB BASE SZ6 CEM	SUP-97-04795	CDM			278	RC		inpatient			6879	6879																																																			
HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE	SUP-09.405.580S	CDM			270	RC		outpatient			6875.8	6875.82	1862.65				percent of total billed charges		6875.8				other	OPPS APC	5088.09				percent of total billed charges		6875.8				other	OPPS APC	6875.8				other	OPPS APC	1862.65				percent of total billed charges		1899.78				percent of total billed charges		6875.82				other	OPPS APC	1862.65	6875.82	
HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE	SUP-09.405.580S	CDM			270	RC		inpatient			6875.8	6875.8																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE	SUP-09.405.583S	CDM			270	RC		outpatient			6875.8	6875.82	1862.65				percent of total billed charges		6875.8				other	OPPS APC	5088.09				percent of total billed charges		6875.8				other	OPPS APC	6875.8				other	OPPS APC	1862.65				percent of total billed charges		1899.78				percent of total billed charges		6875.82				other	OPPS APC	1862.65	6875.82	
HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC8.5 MM STERILE	SUP-09.405.583S	CDM			270	RC		inpatient			6875.8	6875.8																																																			
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE	SUP-09.405.250S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE	SUP-09.405.250S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE	SUP-09.405.256S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE	SUP-09.405.256S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE	SUP-09.405.260S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE	SUP-09.405.260S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE	SUP-09.405.266S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM STERILE	SUP-09.405.266S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE	SUP-09.405.270S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE	SUP-09.405.270S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE	SUP-09.405.283S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE	SUP-09.405.283S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE	SUP-09.405.286S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM STERILE	SUP-09.405.286S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE	SUP-09.405.560S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE	SUP-09.405.560S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE	SUP-09.405.563S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE	SUP-09.405.563S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE	SUP-09.405.566S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+6 MM ELLIPTICAL H11 MM OD25 MM ODSEC6.5 MM STERILE	SUP-09.405.566S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE	SUP-09.405.570S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE	SUP-09.405.570S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE	SUP-09.405.950S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE	SUP-09.405.950S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE	SUP-09.405.953S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE	SUP-09.405.953S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE	SUP-09.405.956S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD19 MM ODSEC5.5 MM STERILE	SUP-09.405.956S	CDM			270	RC		inpatient			6875	6875																																																			
HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE	SUP-09.405.970S	CDM			270	RC		outpatient			6875	6875	1862.44				percent of total billed charges		6875				other	OPPS APC	5087.5				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	1862.44				percent of total billed charges		1899.56				percent of total billed charges		6875				other	OPPS APC	1862.44	6875	
HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE	SUP-09.405.970S	CDM			270	RC		inpatient			6875	6875																																																			
NEXGEN A/P WEDGED PRCT TIBIAL PLATE SZ5	SUP-97-03467	CDM			278	RC		outpatient			6875	6875	6875				fee schedule		6875				other	OPPS APC	3918.75				percent of total billed charges		6875				other	OPPS APC	6875				other	OPPS APC	3368.75				percent of total billed charges		3506.25				percent of total billed charges		6875				other	OPPS APC	3368.75	6875	
NEXGEN A/P WEDGED PRCT TIBIAL PLATE SZ5	SUP-97-03467	CDM			278	RC		inpatient			6875	6875																																																			
PACEMAKER ACCOLADE SR SINGLE CHAMBER SYSTEM	SUP-8H42	CDM			275	RC		outpatient			6851.4	6851.4	3357.19				percent of total billed charges		6851.4				other	OPPS APC	3905.3				percent of total billed charges		6851.4				other	OPPS APC	6851.4				other	OPPS APC	3357.19				percent of total billed charges		3494.21				percent of total billed charges		6851.4				other	OPPS APC	3357.19	6851.4	
PACEMAKER ACCOLADE SR SINGLE CHAMBER SYSTEM	SUP-8H42	CDM			275	RC		inpatient			6851.4	6851.4																																																			
WEDGE 12MM	SUP-97-03627	CDM			278	RC		outpatient			6843.75	6843.75	6843.75				fee schedule		6843.75				other	OPPS APC	3900.94				percent of total billed charges		6843.75				other	OPPS APC	6843.75				other	OPPS APC	3353.44				percent of total billed charges		3490.31				percent of total billed charges		6843.75				other	OPPS APC	3353.44	6843.75	
WEDGE 12MM	SUP-97-03627	CDM			278	RC		inpatient			6843.75	6843.75																																																			
STENT ENDOPROSTHESIS VIABAHN 5CM 120CM 9MM 9FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS	SUP-VBH090502A	CDM			270	RC		outpatient			6840	684	1852.96				percent of total billed charges		6840				other	OPPS APC	5061.6				percent of total billed charges		6840				other	OPPS APC	6840				other	OPPS APC	1852.96				percent of total billed charges		1889.89				percent of total billed charges		684				other	OPPS APC	684	6840	
STENT ENDOPROSTHESIS VIABAHN 5CM 120CM 9MM 9FR HEPARIN ILIAC ARTERY DELIVERY SYSTEM TIP TO HUB DEPLOYMENT ACCEPTS	SUP-VBH090502A	CDM			270	RC		inpatient			6840	6840																																																			
IMPLANT GORE AORTIC EXTENDER	SUP-PLA320400	CDM	270010015	LOCAL	270	RC		outpatient			6836	6836	1851.87				percent of total billed charges		6836				other	OPPS APC	5058.64				percent of total billed charges		6836				other	OPPS APC	6836				other	OPPS APC	1851.87				percent of total billed charges		1888.79				percent of total billed charges		6836				other	OPPS APC	1851.87	6836	
IMPLANT GORE AORTIC EXTENDER	SUP-PLA320400	CDM	270010015	LOCAL	270	RC		inpatient			6836	6836																																																			
IMPLANT GORE EXCLUDER 36MM X4.5CM	SUP-PLA360400	CDM	270010015	LOCAL	270	RC		outpatient			6836	6836	1851.87				percent of total billed charges		6836				other	OPPS APC	5058.64				percent of total billed charges		6836				other	OPPS APC	6836				other	OPPS APC	1851.87				percent of total billed charges		1888.79				percent of total billed charges		6836				other	OPPS APC	1851.87	6836	
IMPLANT GORE EXCLUDER 36MM X4.5CM	SUP-PLA360400	CDM	270010015	LOCAL	270	RC		inpatient			6836	6836																																																			
IMPLANT GORE EXCLUDER 16MM X 10MMX 7CM	SUP-PLL161007	CDM	270010015	LOCAL	270	RC		outpatient			6836	6836	1851.87				percent of total billed charges		6836				other	OPPS APC	5058.64				percent of total billed charges		6836				other	OPPS APC	6836				other	OPPS APC	1851.87				percent of total billed charges		1888.79				percent of total billed charges		6836				other	OPPS APC	1851.87	6836	
IMPLANT GORE EXCLUDER 16MM X 10MMX 7CM	SUP-PLL161007	CDM	270010015	LOCAL	270	RC		inpatient			6836	6836																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER EPTFE NITINOL L7 CM OD14.5 MM ID12-13.5 MM ILIAC SINUSOIDAL STENT SEAL CUFF BOND FILM ACCEPTS 15 FR SHEATH AAA	SUP-PLL161407	CDM			270	RC		outpatient			6836	6836	1851.87				percent of total billed charges		6836				other	OPPS APC	5058.64				percent of total billed charges		6836				other	OPPS APC	6836				other	OPPS APC	1851.87				percent of total billed charges		1888.79				percent of total billed charges		6836				other	OPPS APC	1851.87	6836	
GRAFT ENDOVASCULAR GORE EXCLUDER EPTFE NITINOL L7 CM OD14.5 MM ID12-13.5 MM ILIAC SINUSOIDAL STENT SEAL CUFF BOND FILM ACCEPTS 15 FR SHEATH AAA	SUP-PLL161407	CDM			270	RC		inpatient			6836	6836																																																			
NAIL TI CANN TFNA 10MM/130DEG 170MM	SUP-97-03332	CDM			278	RC		outpatient			6832.5	6832.5	6832.5				fee schedule		6832.5				other	OPPS APC	3894.53				percent of total billed charges		6832.5				other	OPPS APC	6832.5				other	OPPS APC	3347.93				percent of total billed charges		3484.58				percent of total billed charges		6832.5				other	OPPS APC	3347.93	6832.5	
NAIL TI CANN TFNA 10MM/130DEG 170MM	SUP-97-03332	CDM			278	RC		inpatient			6832.5	6832.5																																																			
COMPONENT FEMORAL OPTETRAK 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE ASYMMETRIC	SUP-234-03-03	CDM	270010025	LOCAL	270	RC		outpatient			6804	684	1843.2				percent of total billed charges		6804				other	OPPS APC	5034.96				percent of total billed charges		6804				other	OPPS APC	6804				other	OPPS APC	1843.2				percent of total billed charges		1879.95				percent of total billed charges		684				other	OPPS APC	684	6804	
COMPONENT FEMORAL OPTETRAK 3 KNEE RIGHT CEMENTED POSTERIOR STABILIZE ASYMMETRIC	SUP-234-03-03	CDM	270010025	LOCAL	270	RC		inpatient			6804	6804																																																			
IMPLANT COCHLEAR PONTO 9 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE	SUP-M51137	CDM			270	RC		outpatient			6800	68	1842.12				percent of total billed charges		6800				other	OPPS APC	5032				percent of total billed charges		6800				other	OPPS APC	6800				other	OPPS APC	1842.12				percent of total billed charges		1878.84				percent of total billed charges		68				other	OPPS APC	68	6800	
IMPLANT COCHLEAR PONTO 9 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE	SUP-M51137	CDM			270	RC		inpatient			6800	6800																																																			
IMPLANT COCHLEAR PONTO 12 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE	SUP-M51138	CDM			270	RC		outpatient			6800	68	1842.12				percent of total billed charges		6800				other	OPPS APC	5032				percent of total billed charges		6800				other	OPPS APC	6800				other	OPPS APC	1842.12				percent of total billed charges		1878.84				percent of total billed charges		68				other	OPPS APC	68	6800	
IMPLANT COCHLEAR PONTO 12 MM WIDE W4 MM OD4.5 MM 1 STAGE PREMOUNT ABUTMENT CONNECTION SCREW STERILE	SUP-M51138	CDM			270	RC		inpatient			6800	6800																																																			
CATHETER BALLOON OCCLUSION SCEPTER MINI L9 MM OD2.2 MM STERILE LATEX FREE DISPOSABLE	SUP-BC0210M	CDM			270	RC		outpatient			6790	679	1839.41				percent of total billed charges		6790				other	OPPS APC	5024.6				percent of total billed charges		6790				other	OPPS APC	6790				other	OPPS APC	1839.41				percent of total billed charges		1876.08				percent of total billed charges		679				other	OPPS APC	679	6790	
CATHETER BALLOON OCCLUSION SCEPTER MINI L9 MM OD2.2 MM STERILE LATEX FREE DISPOSABLE	SUP-BC0210M	CDM			270	RC		inpatient			6790	6790																																																			
LEAD NEUROSTIMULATOR PRECISION ARTISAN PLATNALOCK L70 CM X W8 CM X H2 CM PADDLE LIM SPINAL CORD STIMULATOR SYSTEM	SUP-M365SC8216700	CDM			270	RC		outpatient			6790	679	1839.41				percent of total billed charges		6790				other	OPPS APC	5024.6				percent of total billed charges		6790				other	OPPS APC	6790				other	OPPS APC	1839.41				percent of total billed charges		1876.08				percent of total billed charges		679				other	OPPS APC	679	6790	
LEAD NEUROSTIMULATOR PRECISION ARTISAN PLATNALOCK L70 CM X W8 CM X H2 CM PADDLE LIM SPINAL CORD STIMULATOR SYSTEM	SUP-M365SC8216700	CDM			270	RC		inpatient			6790	6790																																																			
LEAD NEUROSTIMULATOR ARTISAN L50 CM	SUP-SC-8216-50	CDM	270010020	LOCAL	270	RC		outpatient			6790	679	1839.41				percent of total billed charges		6790				other	OPPS APC	5024.6				percent of total billed charges		6790				other	OPPS APC	6790				other	OPPS APC	1839.41				percent of total billed charges		1876.08				percent of total billed charges		679				other	OPPS APC	679	6790	
LEAD NEUROSTIMULATOR ARTISAN L50 CM	SUP-SC-8216-50	CDM	270010020	LOCAL	270	RC		inpatient			6790	6790																																																			
LEAD ARTISAN SPINAL STIM	SUP-SC-8216-70	CDM			270	RC		outpatient			6790	679	1839.41				percent of total billed charges		6790				other	OPPS APC	5024.6				percent of total billed charges		6790				other	OPPS APC	6790				other	OPPS APC	1839.41				percent of total billed charges		1876.08				percent of total billed charges		679				other	OPPS APC	679	6790	
LEAD ARTISAN SPINAL STIM	SUP-SC-8216-70	CDM			270	RC		inpatient			6790	6790																																																			
3.5MM LCP LOW BEND MED PLATE 14H/LT239	SUP-97-03139	CDM			278	RC		outpatient			6780	678	6780				fee schedule		6780				other	OPPS APC	3864.6				percent of total billed charges		6780				other	OPPS APC	6780				other	OPPS APC	3322.2				percent of total billed charges		3457.8				percent of total billed charges		678				other	OPPS APC	678	6780	
3.5MM LCP LOW BEND MED PLATE 14H/LT239	SUP-97-03139	CDM			278	RC		inpatient			6780	6780																																																			
HYDROSET 10CC	SUP-97-03547	CDM			278	RC		outpatient			6768.5	6768.5	6768.5				fee schedule		6768.5				other	OPPS APC	3858.05				percent of total billed charges		6768.5				other	OPPS APC	6768.5				other	OPPS APC	3316.57				percent of total billed charges		3451.94				percent of total billed charges		6768.5				other	OPPS APC	3316.57	6768.5	
HYDROSET 10CC	SUP-97-03547	CDM			278	RC		inpatient			6768.5	6768.5																																																			
PINN M/H W/GRIPTION 58MM	SUP-97-23765	CDM			278	RC		outpatient			6766	6766	6766				fee schedule		6766				other	OPPS APC	3856.62				percent of total billed charges		6766				other	OPPS APC	6766				other	OPPS APC	3315.34				percent of total billed charges		3450.66				percent of total billed charges		6766				other	OPPS APC	3315.34	6766	
PINN M/H W/GRIPTION 58MM	SUP-97-23765	CDM			278	RC		inpatient			6766	6766																																																			
PACEMAKER ACCOLADE DR MRI SINGLE CHAMBER	SUP-L310	CDM			275	RC		outpatient			6764	6764	3314.36				percent of total billed charges		6764				other	OPPS APC	3855.48				percent of total billed charges		6764				other	OPPS APC	6764				other	OPPS APC	3314.36				percent of total billed charges		3449.64				percent of total billed charges		6764				other	OPPS APC	3314.36	6764	
PACEMAKER ACCOLADE DR MRI SINGLE CHAMBER	SUP-L310	CDM			275	RC		inpatient			6764	6764																																																			
PACEMAKER ASSURITY MRI SR-RF MERILN PKG	SUP-PM1272CELL	CDM			275	RC		outpatient			6764	6764	3314.36				percent of total billed charges		6764				other	OPPS APC	3855.48				percent of total billed charges		6764				other	OPPS APC	6764				other	OPPS APC	3314.36				percent of total billed charges		3449.64				percent of total billed charges		6764				other	OPPS APC	3314.36	6764	
PACEMAKER ASSURITY MRI SR-RF MERILN PKG	SUP-PM1272CELL	CDM			275	RC		inpatient			6764	6764																																																			
HC Cc Coronary Thombectomy	PX-481929731	CDM	92973	CPT	481	RC		outpatient			6763	6763	178.66				fee schedule		6763				other	OPPS APC	5004.62				percent of total billed charges		6763				other	OPPS APC	6763				other	OPPS APC	169.57				fee schedule		3449.13				percent of total billed charges		6763				other	OPPS APC	169.57	6763	
HC Cc Coronary Thombectomy	PX-481929731	CDM	92973	CPT	481	RC		inpatient			6763	6763																																																			
FEMORAL SLEEVE M/L 40MM	SUP-1511-01-204	CDM	270010024	LOCAL	270	RC		outpatient			6762	6762	1831.83				percent of total billed charges		6762				other	OPPS APC	5003.88				percent of total billed charges		6762				other	OPPS APC	6762				other	OPPS APC	1831.83				percent of total billed charges		1868.34				percent of total billed charges		6762				other	OPPS APC	1831.83	6762	
FEMORAL SLEEVE M/L 40MM	SUP-1511-01-204	CDM	270010024	LOCAL	270	RC		inpatient			6762	6762																																																			
SPEEDPLATE 18X14MM RAPID COMPRESSION IMPLANT	SUP-97-06314	CDM			278	RC		outpatient			6750	675	6750				fee schedule		6750				other	OPPS APC	3847.5				percent of total billed charges		6750				other	OPPS APC	6750				other	OPPS APC	3307.5				percent of total billed charges		3442.5				percent of total billed charges		675				other	OPPS APC	675	6750	
SPEEDPLATE 18X14MM RAPID COMPRESSION IMPLANT	SUP-97-06314	CDM			278	RC		inpatient			6750	6750																																																			
SPEEDPLATE 18X17MM RAPID COMPRESSION IMPLANT	SUP-97-06315	CDM			278	RC		outpatient			6750	675	6750				fee schedule		6750				other	OPPS APC	3847.5				percent of total billed charges		6750				other	OPPS APC	6750				other	OPPS APC	3307.5				percent of total billed charges		3442.5				percent of total billed charges		675				other	OPPS APC	675	6750	
SPEEDPLATE 18X17MM RAPID COMPRESSION IMPLANT	SUP-97-06315	CDM			278	RC		inpatient			6750	6750																																																			
GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L28 MM OD32 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA	SUP-AXF3232W28XH	CDM	270010015	LOCAL	270	RC		outpatient			6750	675	1828.58				percent of total billed charges		6750				other	OPPS APC	4995				percent of total billed charges		6750				other	OPPS APC	6750				other	OPPS APC	1828.58				percent of total billed charges		1865.03				percent of total billed charges		675				other	OPPS APC	675	6750	
GRAFT ENDOVASCULAR TALENT XCELERANT POLYESTER NITINOL BIFURCATED L60 MM L28 MM OD32 MM ODSEC22 FR DESCENDING ABDOMEN AORTA SELF EXPANDING EXTENSION STENT RADIOPAQUE HYDRO DELIVERY SYSTEM AAA	SUP-AXF3232W28XH	CDM	270010015	LOCAL	270	RC		inpatient			6750	6750																																																			
HEAD RADIAL EVOLVE PROLINE +4 MM OD26 MM ELBOW MODULAR STERILE	SUP-496H426	CDM			270	RC		outpatient			6724	6724	1821.53				percent of total billed charges		6724				other	OPPS APC	4975.76				percent of total billed charges		6724				other	OPPS APC	6724				other	OPPS APC	1821.53				percent of total billed charges		1857.84				percent of total billed charges		6724				other	OPPS APC	1821.53	6724	
HEAD RADIAL EVOLVE PROLINE +4 MM OD26 MM ELBOW MODULAR STERILE	SUP-496H426	CDM			270	RC		inpatient			6724	6724																																																			
HEAD RADIAL EVOLVE STAINLESS STEEL +4 MM OD28 MM ELBOW MODULAR	SUP-496H428	CDM			270	RC		outpatient			6724	6724	1821.53				percent of total billed charges		6724				other	OPPS APC	4975.76				percent of total billed charges		6724				other	OPPS APC	6724				other	OPPS APC	1821.53				percent of total billed charges		1857.84				percent of total billed charges		6724				other	OPPS APC	1821.53	6724	
HEAD RADIAL EVOLVE STAINLESS STEEL +4 MM OD28 MM ELBOW MODULAR	SUP-496H428	CDM			270	RC		inpatient			6724	6724																																																			
NAIL  TI CANN TFNA 11MM/130DEG 380MM	SUP-97-02580	CDM			278	RC		outpatient			6711.35	6711.35	6711.35				fee schedule		6711.35				other	OPPS APC	3825.47				percent of total billed charges		6711.35				other	OPPS APC	6711.35				other	OPPS APC	3288.56				percent of total billed charges		3422.79				percent of total billed charges		6711.35				other	OPPS APC	3288.56	6711.35	
NAIL  TI CANN TFNA 11MM/130DEG 380MM	SUP-97-02580	CDM			278	RC		inpatient			6711.35	6711.35																																																			
NAIL  TI CANN TFNA 11X 340 X 130	SUP-97-04618	CDM			278	RC		outpatient			6711.35	6711.35	6711.35				fee schedule		6711.35				other	OPPS APC	3825.47				percent of total billed charges		6711.35				other	OPPS APC	6711.35				other	OPPS APC	3288.56				percent of total billed charges		3422.79				percent of total billed charges		6711.35				other	OPPS APC	3288.56	6711.35	
NAIL  TI CANN TFNA 11X 340 X 130	SUP-97-04618	CDM			278	RC		inpatient			6711.35	6711.35																																																			
NAIL TI CANN TFNA 11MM/130DEG 360MM	SUP-97-04906	CDM			278	RC		outpatient			6711.35	6711.35	6711.35				fee schedule		6711.35				other	OPPS APC	3825.47				percent of total billed charges		6711.35				other	OPPS APC	6711.35				other	OPPS APC	3288.56				percent of total billed charges		3422.79				percent of total billed charges		6711.35				other	OPPS APC	3288.56	6711.35	
NAIL TI CANN TFNA 11MM/130DEG 360MM	SUP-97-04906	CDM			278	RC		inpatient			6711.35	6711.35																																																			
PROCESSOR SOUND PONTO PRO RIGHT EAR POWER STERILE CHROMA BEIGE BONE ANCHORED HEARING SYSTEM	SUP-M51735	CDM			270	RC		outpatient			6708.34	678.34	1817.29				percent of total billed charges		6708.34				other	OPPS APC	4964.17				percent of total billed charges		6708.34				other	OPPS APC	6708.34				other	OPPS APC	1817.29				percent of total billed charges		1853.51				percent of total billed charges		678.34				other	OPPS APC	678.34	6708.34	
PROCESSOR SOUND PONTO PRO RIGHT EAR POWER STERILE CHROMA BEIGE BONE ANCHORED HEARING SYSTEM	SUP-M51735	CDM			270	RC		inpatient			6708.34	6708.34																																																			
GRAFT TAPESTRY W/ INSERTION SLEEVE	SUP-97-06359	CDM			278	RC		outpatient			6700	67	6700				fee schedule		6700				other	OPPS APC	3819				percent of total billed charges		6700				other	OPPS APC	6700				other	OPPS APC	3283				percent of total billed charges		3417				percent of total billed charges		67				other	OPPS APC	67	6700	
GRAFT TAPESTRY W/ INSERTION SLEEVE	SUP-97-06359	CDM			278	RC		inpatient			6700	6700																																																			
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H15.0 MM OD21 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U221	CDM			270	RC		outpatient			6700	67	1815.03				percent of total billed charges		6700				other	OPPS APC	4958				percent of total billed charges		6700				other	OPPS APC	6700				other	OPPS APC	1815.03				percent of total billed charges		1851.21				percent of total billed charges		67				other	OPPS APC	67	6700	
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H15.0 MM OD21 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U221	CDM			270	RC		inpatient			6700	6700																																																			
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H16.0 MM OD23 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U223	CDM			270	RC		outpatient			6700	67	1815.03				percent of total billed charges		6700				other	OPPS APC	4958				percent of total billed charges		6700				other	OPPS APC	6700				other	OPPS APC	1815.03				percent of total billed charges		1851.21				percent of total billed charges		67				other	OPPS APC	67	6700	
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H16.0 MM OD23 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U223	CDM			270	RC		inpatient			6700	6700																																																			
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H17.5 MM OD25 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U225	CDM			270	RC		outpatient			6700	67	1815.03				percent of total billed charges		6700				other	OPPS APC	4958				percent of total billed charges		6700				other	OPPS APC	6700				other	OPPS APC	1815.03				percent of total billed charges		1851.21				percent of total billed charges		67				other	OPPS APC	67	6700	
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H17.5 MM OD25 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U225	CDM			270	RC		inpatient			6700	6700																																																			
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H18.5 MM OD27 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U227	CDM			270	RC		outpatient			6700	67	1815.03				percent of total billed charges		6700				other	OPPS APC	4958				percent of total billed charges		6700				other	OPPS APC	6700				other	OPPS APC	1815.03				percent of total billed charges		1851.21				percent of total billed charges		67				other	OPPS APC	67	6700	
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H18.5 MM OD27 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U227	CDM			270	RC		inpatient			6700	6700																																																			
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H20.0 MM OD29 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U229	CDM			270	RC		outpatient			6700	67	1815.03				percent of total billed charges		6700				other	OPPS APC	4958				percent of total billed charges		6700				other	OPPS APC	6700				other	OPPS APC	1815.03				percent of total billed charges		1851.21				percent of total billed charges		67				other	OPPS APC	67	6700	
VALVE AORTIC HANCOCK II ULTRA CINCH PORCINE H20.0 MM OD29 MM BIOPROSTHESIS STENTED HOLDER SEWING RING	SUP-T505U229	CDM			270	RC		inpatient			6700	6700																																																			
GRAFT SKIN FLEXHD STRUCTURAL ACELLULAR DERMAL MATRIX THK.8-1.7 MM THICK L16 CM X W6 CM ALLOGRAFT	SUP-471616	CDM			270	RC		outpatient			6697.86	6697.86	1814.45				percent of total billed charges		6697.86				other	OPPS APC	4956.42				percent of total billed charges		6697.86				other	OPPS APC	6697.86				other	OPPS APC	1814.45				percent of total billed charges		1850.62				percent of total billed charges		6697.86				other	OPPS APC	1814.45	6697.86	
GRAFT SKIN FLEXHD STRUCTURAL ACELLULAR DERMAL MATRIX THK.8-1.7 MM THICK L16 CM X W6 CM ALLOGRAFT	SUP-471616	CDM			270	RC		inpatient			6697.86	6697.86																																																			
NEXGEN LCCK ART SURF G 5-6/ GREEN 12MM	SUP-97-01238	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF G 5-6/ GREEN 12MM	SUP-97-01238	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF G 7-10/ BLUE 12MM	SUP-97-02574	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF G 7-10/ BLUE 12MM	SUP-97-02574	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF G 7-10/ BLUE 10MM	SUP-97-02738	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF G 7-10/ BLUE 10MM	SUP-97-02738	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF EF 3-4 STR YELLOW	SUP-97-03235	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF EF 3-4 STR YELLOW	SUP-97-03235	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF EF 3-4 STR YELLOW	SUP-97-03428	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF EF 3-4 STR YELLOW	SUP-97-03428	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF EF 5/6 GREEN 10MM	SUP-97-03470	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF EF 5/6 GREEN 10MM	SUP-97-03470	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF EF 5/6 GREEN 23MM	SUP-97-03683	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF EF 5/6 GREEN 23MM	SUP-97-03683	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK ART SURF EF 7-10 STR BLUE	SUP-97-03937	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK ART SURF EF 7-10 STR BLUE	SUP-97-03937	CDM			278	RC		inpatient			6687.5	6687.5																																																			
NEXGEN LCCK SURF EF 5-6/GREEN 17MM	SUP-97-04102	CDM			278	RC		outpatient			6687.5	6687.5	6687.5				fee schedule		6687.5				other	OPPS APC	3811.88				percent of total billed charges		6687.5				other	OPPS APC	6687.5				other	OPPS APC	3276.88				percent of total billed charges		3410.63				percent of total billed charges		6687.5				other	OPPS APC	3276.88	6687.5	
NEXGEN LCCK SURF EF 5-6/GREEN 17MM	SUP-97-04102	CDM			278	RC		inpatient			6687.5	6687.5																																																			
CATHETER ELECTROPHYSIOLOGY CARTO 3 THERMOCOOL SF F-J CURVE OD7.5 FR BIDIRECTIONAL STEERABLE MULTIELECTRODE DEFLECTABLE TIP STERILE	SUP-BNI35FJCT	CDM			270	RC		outpatient			6682	6682	1810.15				percent of total billed charges		6682				other	OPPS APC	4944.68				percent of total billed charges		6682				other	OPPS APC	6682				other	OPPS APC	1810.15				percent of total billed charges		1846.24				percent of total billed charges		6682				other	OPPS APC	1810.15	6682	
CATHETER ELECTROPHYSIOLOGY CARTO 3 THERMOCOOL SF F-J CURVE OD7.5 FR BIDIRECTIONAL STEERABLE MULTIELECTRODE DEFLECTABLE TIP STERILE	SUP-BNI35FJCT	CDM			270	RC		inpatient			6682	6682																																																			
PACEMAKER - GENERATOR ADSR01	SUP-99-00002	CDM			275	RC		inpatient			6650	6650																																																			
PACEMAKER - GENERATOR ADSR01	SUP-99-00002	CDM			275	RC		outpatient			6650	6650					fee schedule						other	OPPS APC	3790.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	3258.5				percent of total billed charges		3391.5				percent of total billed charges						other	OPPS APC	3790.5	3790.5	
SYSTEM PACEMAKER CARDIAC ADAPTA DR THK7.5 MM W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR	SUP-ADAPTADRK2	CDM			275	RC		outpatient			6650	665	3258.5				percent of total billed charges		6650				other	OPPS APC	3790.5				percent of total billed charges		6650				other	OPPS APC	6650				other	OPPS APC	3258.5				percent of total billed charges		3391.5				percent of total billed charges		665				other	OPPS APC	665	6650	
SYSTEM PACEMAKER CARDIAC ADAPTA DR THK7.5 MM W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE IMPLANTABLE 2 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR	SUP-ADAPTADRK2	CDM			275	RC		inpatient			6650	6650																																																			
SYSTEM PACEMAKER ADAPTA DR LONGEVITY DUAL CHAMBER SYSTEM	SUP-ADAPTALGDRK2	CDM			275	RC		outpatient			6650	665	3258.5				percent of total billed charges		6650				other	OPPS APC	3790.5				percent of total billed charges		6650				other	OPPS APC	6650				other	OPPS APC	3258.5				percent of total billed charges		3391.5				percent of total billed charges		665				other	OPPS APC	665	6650	
SYSTEM PACEMAKER ADAPTA DR LONGEVITY DUAL CHAMBER SYSTEM	SUP-ADAPTALGDRK2	CDM			275	RC		inpatient			6650	6650																																																			
SYSTEM PACEMAKER CARDIAC ADAPTA DR THK7.5 MM SMALL W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE 2 CHAMBER IMPLANTABLE RATE RESPONSIVE UNIPOLAR BIPOLAR	SUP-ADAPTASMDRK2	CDM			275	RC		outpatient			6650	665	3258.5				percent of total billed charges		6650				other	OPPS APC	3790.5				percent of total billed charges		6650				other	OPPS APC	6650				other	OPPS APC	3258.5				percent of total billed charges		3391.5				percent of total billed charges		665				other	OPPS APC	665	6650	
SYSTEM PACEMAKER CARDIAC ADAPTA DR THK7.5 MM SMALL W47.9 MM X H44.7 MM 12.1 ML 27.1 GM ATRIUM VENTRICLE 2 CHAMBER IMPLANTABLE RATE RESPONSIVE UNIPOLAR BIPOLAR	SUP-ADAPTASMDRK2	CDM			275	RC		inpatient			6650	6650																																																			
SYSTEM PACEMAKER ADVISA DR MRI	SUP-ADVISAMRIPEEM	CDM			275	RC		outpatient			6650	665	3258.5				percent of total billed charges		6650				other	OPPS APC	3790.5				percent of total billed charges		6650				other	OPPS APC	6650				other	OPPS APC	3258.5				percent of total billed charges		3391.5				percent of total billed charges		665				other	OPPS APC	665	6650	
SYSTEM PACEMAKER ADVISA DR MRI	SUP-ADVISAMRIPEEM	CDM			275	RC		inpatient			6650	6650																																																			
HRHK TB ROT COM XS/SM/ MED	SUP-97-03371	CDM			278	RC		outpatient			6648.13	6648.13	6648.13				fee schedule		6648.13				other	OPPS APC	3789.43				percent of total billed charges		6648.13				other	OPPS APC	6648.13				other	OPPS APC	3257.58				percent of total billed charges		3390.55				percent of total billed charges		6648.13				other	OPPS APC	3257.58	6648.13	
HRHK TB ROT COM XS/SM/ MED	SUP-97-03371	CDM			278	RC		inpatient			6648.13	6648.13																																																			
SIGMA FEMORAL SIZE 3 LM/RL	SUP-97-01048	CDM			278	RC		outpatient			6646.5	6646.5	6646.5				fee schedule		6646.5				other	OPPS APC	3788.51				percent of total billed charges		6646.5				other	OPPS APC	6646.5				other	OPPS APC	3256.79				percent of total billed charges		3389.72				percent of total billed charges		6646.5				other	OPPS APC	3256.79	6646.5	
SIGMA FEMORAL SIZE 3 LM/RL	SUP-97-01048	CDM			278	RC		inpatient			6646.5	6646.5																																																			
SIGMA FEMORAL SIZE 2 LM/RL	SUP-97-01293	CDM			278	RC		outpatient			6646.5	6646.5	6646.5				fee schedule		6646.5				other	OPPS APC	3788.51				percent of total billed charges		6646.5				other	OPPS APC	6646.5				other	OPPS APC	3256.79				percent of total billed charges		3389.72				percent of total billed charges		6646.5				other	OPPS APC	3256.79	6646.5	
SIGMA FEMORAL SIZE 2 LM/RL	SUP-97-01293	CDM			278	RC		inpatient			6646.5	6646.5																																																			
SIGMA FEMORAL SIZE 3 LM/RL	SUP-97-01786	CDM			278	RC		outpatient			6646.5	6646.5	6646.5				fee schedule		6646.5				other	OPPS APC	3788.51				percent of total billed charges		6646.5				other	OPPS APC	6646.5				other	OPPS APC	3256.79				percent of total billed charges		3389.72				percent of total billed charges		6646.5				other	OPPS APC	3256.79	6646.5	
SIGMA FEMORAL SIZE 3 LM/RL	SUP-97-01786	CDM			278	RC		inpatient			6646.5	6646.5																																																			
UNICONDYAR METAL BACKED	SUP-97-02299	CDM			278	RC		outpatient			6646.5	6646.5	6646.5				fee schedule		6646.5				other	OPPS APC	3788.51				percent of total billed charges		6646.5				other	OPPS APC	6646.5				other	OPPS APC	3256.79				percent of total billed charges		3389.72				percent of total billed charges		6646.5				other	OPPS APC	3256.79	6646.5	
UNICONDYAR METAL BACKED	SUP-97-02299	CDM			278	RC		inpatient			6646.5	6646.5																																																			
SIGMA FEMORAL SIZE 1 LM/RL	SUP-97-02566	CDM			278	RC		outpatient			6646.5	6646.5	6646.5				fee schedule		6646.5				other	OPPS APC	3788.51				percent of total billed charges		6646.5				other	OPPS APC	6646.5				other	OPPS APC	3256.79				percent of total billed charges		3389.72				percent of total billed charges		6646.5				other	OPPS APC	3256.79	6646.5	
SIGMA FEMORAL SIZE 1 LM/RL	SUP-97-02566	CDM			278	RC		inpatient			6646.5	6646.5																																																			
E1 VNGD PS TIB BRG 71/75X14	SUP-97-04013	CDM			278	RC		outpatient			6640.63	664.63	6640.63				fee schedule		6640.63				other	OPPS APC	3785.16				percent of total billed charges		6640.63				other	OPPS APC	6640.63				other	OPPS APC	3253.91				percent of total billed charges		3386.72				percent of total billed charges		664.63				other	OPPS APC	664.63	6640.63	
E1 VNGD PS TIB BRG 71/75X14	SUP-97-04013	CDM			278	RC		inpatient			6640.63	6640.63																																																			
GRAFT STRAVIX MESHED 3 X 6CM (PS60036)	SUP-97-03019	CDM			636	RC		outpatient			6638.75	6638.75	6638.75				fee schedule		6638.75				other	OPPS APC	154.64				fee schedule		6638.75				other	OPPS APC	6638.75				other	OPPS APC	3252.99				percent of total billed charges		1650.39				percent of total billed charges		6638.75				other	OPPS APC	154.64	6638.75	
GRAFT STRAVIX MESHED 3 X 6CM (PS60036)	SUP-97-03019	CDM			636	RC		inpatient			6638.75	6638.75																																																			
STRAVIX 3X6CM (PS60008)	SUP-97-03339	CDM			636	RC		outpatient			6638.75	6638.75	6638.75				fee schedule		6638.75				other	OPPS APC	154.64				fee schedule		6638.75				other	OPPS APC	6638.75				other	OPPS APC	3252.99				percent of total billed charges		1650.39				percent of total billed charges		6638.75				other	OPPS APC	154.64	6638.75	
STRAVIX 3X6CM (PS60008)	SUP-97-03339	CDM			636	RC		inpatient			6638.75	6638.75																																																			
GRAFIX PRIME CELLULAR MATRIX 5X5	SUP-97-00299	CDM			636	RC		outpatient			6625	6625	6625				fee schedule		6625				other	OPPS APC	154.64				fee schedule		6625				other	OPPS APC	6625				other	OPPS APC	3246.25				percent of total billed charges		1646.98				percent of total billed charges		6625				other	OPPS APC	154.64	6625	
GRAFIX PRIME CELLULAR MATRIX 5X5	SUP-97-00299	CDM			636	RC		inpatient			6625	6625																																																			
GRAFIX CORE CELLULAR MATRIX 5X5	SUP-97-00300	CDM			636	RC		outpatient			6625	6625	6625				fee schedule		6625				other	OPPS APC	154.64				fee schedule		6625				other	OPPS APC	6625				other	OPPS APC	3246.25				percent of total billed charges		1646.98				percent of total billed charges		6625				other	OPPS APC	154.64	6625	
GRAFIX CORE CELLULAR MATRIX 5X5	SUP-97-00300	CDM			636	RC		inpatient			6625	6625																																																			
3.5MM LCP LOW BEND MED PLATE 110H/LT239	SUP-97-03438	CDM			278	RC		outpatient			6622.5	6622.5	6622.5				fee schedule		6622.5				other	OPPS APC	3774.83				percent of total billed charges		6622.5				other	OPPS APC	6622.5				other	OPPS APC	3245.03				percent of total billed charges		3377.48				percent of total billed charges		6622.5				other	OPPS APC	3245.03	6622.5	
3.5MM LCP LOW BEND MED PLATE 110H/LT239	SUP-97-03438	CDM			278	RC		inpatient			6622.5	6622.5																																																			
GRAFT BONE OPTEFORM DEMINERALIZED BONE MATRIX CORTICAL CANCELLOUS L75 MM X H5 MM 14.7 ML CHIP FROZEN PARTIAL DISK	SUP-602-05-75	CDM	270010031	LOCAL	270	RC		outpatient			6614	6614	1791.73				percent of total billed charges		6614				other	OPPS APC	4894.36				percent of total billed charges		6614				other	OPPS APC	6614				other	OPPS APC	1791.73				percent of total billed charges		1827.45				percent of total billed charges		6614				other	OPPS APC	1791.73	6614	
GRAFT BONE OPTEFORM DEMINERALIZED BONE MATRIX CORTICAL CANCELLOUS L75 MM X H5 MM 14.7 ML CHIP FROZEN PARTIAL DISK	SUP-602-05-75	CDM	270010031	LOCAL	270	RC		inpatient			6614	6614																																																			
KIT NEUROSTIMULATOR LAMITRODE S-SERIES L60 CM 8 2 LEAD 8 ELECTRODE	SUP-3286	CDM			270	RC		outpatient			6600	66	1787.94				percent of total billed charges		6600				other	OPPS APC	4884				percent of total billed charges		6600				other	OPPS APC	6600				other	OPPS APC	1787.94				percent of total billed charges		1823.58				percent of total billed charges		66				other	OPPS APC	66	6600	
KIT NEUROSTIMULATOR LAMITRODE S-SERIES L60 CM 8 2 LEAD 8 ELECTRODE	SUP-3286	CDM			270	RC		inpatient			6600	6600																																																			
SUBSTITUTE BONE GRAFT GAMMA-BSM 10CC CALCIUM PHOSPHATE STERILE PUTTY KIT	SUP-76-6010	CDM	270010031	LOCAL	270	RC		outpatient			6600	66	1787.94				percent of total billed charges		6600				other	OPPS APC	4884				percent of total billed charges		6600				other	OPPS APC	6600				other	OPPS APC	1787.94				percent of total billed charges		1823.58				percent of total billed charges		66				other	OPPS APC	66	6600	
SUBSTITUTE BONE GRAFT GAMMA-BSM 10CC CALCIUM PHOSPHATE STERILE PUTTY KIT	SUP-76-6010	CDM	270010031	LOCAL	270	RC		inpatient			6600	6600																																																			
REVEAL DX	SUP-9528	CDM			275	RC		outpatient			6600	66	3234				percent of total billed charges		6600				other	OPPS APC	3762				percent of total billed charges		6600				other	OPPS APC	6600				other	OPPS APC	3234				percent of total billed charges		3366				percent of total billed charges		66				other	OPPS APC	66	6600	
REVEAL DX	SUP-9528	CDM			275	RC		inpatient			6600	6600																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L11.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1212115	CDM	270010015	LOCAL	270	RC		outpatient			6600	66	1787.94				percent of total billed charges		6600				other	OPPS APC	4884				percent of total billed charges		6600				other	OPPS APC	6600				other	OPPS APC	1787.94				percent of total billed charges		1823.58				percent of total billed charges		66				other	OPPS APC	66	6600	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L11.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1212115	CDM	270010015	LOCAL	270	RC		inpatient			6600	6600																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L11.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1414115	CDM	270010015	LOCAL	270	RC		outpatient			6600	66	1787.94				percent of total billed charges		6600				other	OPPS APC	4884				percent of total billed charges		6600				other	OPPS APC	6600				other	OPPS APC	1787.94				percent of total billed charges		1823.58				percent of total billed charges		66				other	OPPS APC	66	6600	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L11.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH1414115	CDM	270010015	LOCAL	270	RC		inpatient			6600	6600																																																			
CATHETER ATHERECTOMY TURBOHAWK MEC 135CM 5.9CM 2-4MM CALCIUM PERIPHERAL ARTERY SM VESSEL EXTEND TIP HIGH EFFICIENCY CUT	SUP-THSSXC_41385	CDM			270	RC		outpatient			6600	66	1787.94				percent of total billed charges		6600				other	OPPS APC	4884				percent of total billed charges		6600				other	OPPS APC	6600				other	OPPS APC	1787.94				percent of total billed charges		1823.58				percent of total billed charges		66				other	OPPS APC	66	6600	
CATHETER ATHERECTOMY TURBOHAWK MEC 135CM 5.9CM 2-4MM CALCIUM PERIPHERAL ARTERY SM VESSEL EXTEND TIP HIGH EFFICIENCY CUT	SUP-THSSXC_41385	CDM			270	RC		inpatient			6600	6600																																																			
IMPLANT TITAN CAGE CERVICAL SMALL 8MM	SUP-5146-1208	CDM	270010020	LOCAL	270	RC		outpatient			6594	6594	1786.31				percent of total billed charges		6594				other	OPPS APC	4879.56				percent of total billed charges		6594				other	OPPS APC	6594				other	OPPS APC	1786.31				percent of total billed charges		1821.92				percent of total billed charges		6594				other	OPPS APC	1786.31	6594	
IMPLANT TITAN CAGE CERVICAL SMALL 8MM	SUP-5146-1208	CDM	270010020	LOCAL	270	RC		inpatient			6594	6594																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE	SUP-09.405.576S	CDM			270	RC		outpatient			6591.8	6591.82	1785.72				percent of total billed charges		6591.8				other	OPPS APC	4877.93				percent of total billed charges		6591.8				other	OPPS APC	6591.8				other	OPPS APC	1785.72				percent of total billed charges		1821.31				percent of total billed charges		6591.82				other	OPPS APC	1785.72	6591.82	
HEAD RADIAL OD+6 MM ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE	SUP-09.405.576S	CDM			270	RC		inpatient			6591.8	6591.8																																																			
SHEATH LASER GUIDELIGHT 25-80 HZ L 50 CM OD 16FR ODSEC11.5 FR ID12.5 FR IDSEC17.2FR KIT	SUP-500-303	CDM			481	RC		outpatient			6590	659	3229.1				percent of total billed charges		6590				other	OPPS APC	4876.6				percent of total billed charges		6590				other	OPPS APC	6590				other	OPPS APC	3229.1				percent of total billed charges		3360.9				percent of total billed charges		659				other	OPPS APC	659	6590	
SHEATH LASER GUIDELIGHT 25-80 HZ L 50 CM OD 16FR ODSEC11.5 FR ID12.5 FR IDSEC17.2FR KIT	SUP-500-303	CDM			481	RC		inpatient			6590	6590																																																			
CATHETER- ABLATION 4MM D-F CURVE (NON-IRRAGATED)	SUP-99-04756	CDM			278	RC		outpatient			6590	659	6590				fee schedule		6590				other	OPPS APC	3756.3				percent of total billed charges		6590				other	OPPS APC	6590				other	OPPS APC	3229.1				percent of total billed charges		3360.9				percent of total billed charges		659				other	OPPS APC	659	6590	
CATHETER- ABLATION 4MM D-F CURVE (NON-IRRAGATED)	SUP-99-04756	CDM			278	RC		inpatient			6590	6590																																																			
NAIL ANKLE ARTHRODESIS RIGHT 12MM X 200MM	SUP-1819-1220S	CDM			270	RC		outpatient			6587.2	6587.2	1784.47				percent of total billed charges		6587.2				other	OPPS APC	4874.53				percent of total billed charges		6587.2				other	OPPS APC	6587.2				other	OPPS APC	1784.47				percent of total billed charges		1820.04				percent of total billed charges		6587.2				other	OPPS APC	1784.47	6587.2	
NAIL ANKLE ARTHRODESIS RIGHT 12MM X 200MM	SUP-1819-1220S	CDM			270	RC		inpatient			6587.2	6587.2																																																			
NAIL TIBIA 8MM CANN EX 300 MM	SUP-97-03329	CDM			278	RC		outpatient			6585	6585	6585				fee schedule		6585				other	OPPS APC	3753.45				percent of total billed charges		6585				other	OPPS APC	6585				other	OPPS APC	3226.65				percent of total billed charges		3358.35				percent of total billed charges		6585				other	OPPS APC	3226.65	6585	
NAIL TIBIA 8MM CANN EX 300 MM	SUP-97-03329	CDM			278	RC		inpatient			6585	6585																																																			
NAIL TIBIA 8MM CANN EX 345 MM	SUP-97-04464	CDM			278	RC		outpatient			6585	6585	6585				fee schedule		6585				other	OPPS APC	3753.45				percent of total billed charges		6585				other	OPPS APC	6585				other	OPPS APC	3226.65				percent of total billed charges		3358.35				percent of total billed charges		6585				other	OPPS APC	3226.65	6585	
NAIL TIBIA 8MM CANN EX 345 MM	SUP-97-04464	CDM			278	RC		inpatient			6585	6585																																																			
STEM FEMORAL RESTORATION BOWED CONICAL L235 MM OD24 MM DISTAL HIP MODULAR	SUP-6276-7-324	CDM	270010024	LOCAL	270	RC		outpatient			6582	6582	1783.06				percent of total billed charges		6582				other	OPPS APC	4870.68				percent of total billed charges		6582				other	OPPS APC	6582				other	OPPS APC	1783.06				percent of total billed charges		1818.61				percent of total billed charges		6582				other	OPPS APC	1783.06	6582	
STEM FEMORAL RESTORATION BOWED CONICAL L235 MM OD24 MM DISTAL HIP MODULAR	SUP-6276-7-324	CDM	270010024	LOCAL	270	RC		inpatient			6582	6582																																																			
PACEMAKER CARDIAC SENSIA SR THK7.5 MM W42.9 MM X H40.2 MM 9.7 ML 21.5 GM ATRIUM VENTRICLE IMPLANTABLE 1 CHAMBER UNIPOLAR BIPOLAR IS-1	SUP-SENSIASRK2	CDM			275	RC		outpatient			6581.6	6581.64	3224.98				percent of total billed charges		6581.6				other	OPPS APC	3751.51				percent of total billed charges		6581.6				other	OPPS APC	6581.6				other	OPPS APC	3224.98				percent of total billed charges		3356.62				percent of total billed charges		6581.64				other	OPPS APC	3224.98	6581.64	
PACEMAKER CARDIAC SENSIA SR THK7.5 MM W42.9 MM X H40.2 MM 9.7 ML 21.5 GM ATRIUM VENTRICLE IMPLANTABLE 1 CHAMBER UNIPOLAR BIPOLAR IS-1	SUP-SENSIASRK2	CDM			275	RC		inpatient			6581.6	6581.6																																																			
HEAD HUMERAL SIMPLICITI H19 MM OD52 MM SHOULDER SOFT TISSUE BALANCE STERILE LATEX FREE	SUP-7122875	CDM	270010030	LOCAL	270	RC		outpatient			6574	6574	1780.9				percent of total billed charges		6574				other	OPPS APC	4864.76				percent of total billed charges		6574				other	OPPS APC	6574				other	OPPS APC	1780.9				percent of total billed charges		1816.4				percent of total billed charges		6574				other	OPPS APC	1780.9	6574	
HEAD HUMERAL SIMPLICITI H19 MM OD52 MM SHOULDER SOFT TISSUE BALANCE STERILE LATEX FREE	SUP-7122875	CDM	270010030	LOCAL	270	RC		inpatient			6574	6574																																																			
HEAD HUMERAL SIMPLICITI H18 MM OD40 MM SHOULDER SOFT TISSUE BALANCE STERILE LATEX FREE	SUP-7122878	CDM	270010020	LOCAL	270	RC		outpatient			6574	6574	1780.9				percent of total billed charges		6574				other	OPPS APC	4864.76				percent of total billed charges		6574				other	OPPS APC	6574				other	OPPS APC	1780.9				percent of total billed charges		1816.4				percent of total billed charges		6574				other	OPPS APC	1780.9	6574	
HEAD HUMERAL SIMPLICITI H18 MM OD40 MM SHOULDER SOFT TISSUE BALANCE STERILE LATEX FREE	SUP-7122878	CDM	270010020	LOCAL	270	RC		inpatient			6574	6574																																																			
TENDON QUADLINK PRESUTURED CONSTRUCT	SUP-97-06099	CDM			278	RC		outpatient			6565	6565	6565				fee schedule		6565				other	OPPS APC	3742.05				percent of total billed charges		6565				other	OPPS APC	6565				other	OPPS APC	3216.85				percent of total billed charges		3348.15				percent of total billed charges		6565				other	OPPS APC	3216.85	6565	
TENDON QUADLINK PRESUTURED CONSTRUCT	SUP-97-06099	CDM			278	RC		inpatient			6565	6565																																																			
STENT COLONIC WALLFLEX 22/27MM	SUP-95-00455	CDM			278	RC		outpatient			6562.5	6562.5	6562.5				fee schedule		6562.5				other	OPPS APC	3740.63				percent of total billed charges		6562.5				other	OPPS APC	6562.5				other	OPPS APC	3215.63				percent of total billed charges		3346.88				percent of total billed charges		6562.5				other	OPPS APC	3215.63	6562.5	
STENT COLONIC WALLFLEX 22/27MM	SUP-95-00455	CDM			278	RC		inpatient			6562.5	6562.5																																																			
STENT ESOPH  WALLFLEX 18/23-25MMX1 0CM	SUP-95-02355	CDM			278	RC		inpatient			6562.5	6562.5																																																			
STENT ESOPH  WALLFLEX 18/23-25MMX1 0CM	SUP-95-02355	CDM			278	RC		outpatient			6562.5	6562.5					fee schedule						other	OPPS APC	3740.63				percent of total billed charges						other	OPPS APC					other	OPPS APC	3215.63				percent of total billed charges		3346.88				percent of total billed charges						other	OPPS APC	3740.63	3740.63	
STENT ESOPH  WALLFLEX 18/23-25MMX1 2CM	SUP-95-02356	CDM			278	RC		inpatient			6562.5	6562.5																																																			
STENT ESOPH  WALLFLEX 18/23-25MMX1 2CM	SUP-95-02356	CDM			278	RC		outpatient			6562.5	6562.5					fee schedule						other	OPPS APC	3740.63				percent of total billed charges						other	OPPS APC					other	OPPS APC	3215.63				percent of total billed charges		3346.88				percent of total billed charges						other	OPPS APC	3740.63	3740.63	
HINGE ELBOW FIXTOR	SUP-97-02977	CDM			278	RC		outpatient			6562.5	6562.5	6562.5				fee schedule		6562.5				other	OPPS APC	3740.63				percent of total billed charges		6562.5				other	OPPS APC	6562.5				other	OPPS APC	3215.63				percent of total billed charges		3346.88				percent of total billed charges		6562.5				other	OPPS APC	3215.63	6562.5	
HINGE ELBOW FIXTOR	SUP-97-02977	CDM			278	RC		inpatient			6562.5	6562.5																																																			
SHELL ACETABULAR MPACT D OD50 MM HIP MULTIHOLE NONSTERILE	SUP-01.32.150MH	CDM	270010024	LOCAL	270	RC		outpatient			6561	6561	1777.37				percent of total billed charges		6561				other	OPPS APC	4855.14				percent of total billed charges		6561				other	OPPS APC	6561				other	OPPS APC	1777.37				percent of total billed charges		1812.8				percent of total billed charges		6561				other	OPPS APC	1777.37	6561	
SHELL ACETABULAR MPACT D OD50 MM HIP MULTIHOLE NONSTERILE	SUP-01.32.150MH	CDM	270010024	LOCAL	270	RC		inpatient			6561	6561																																																			
SHELL ACETABULAR MPACT F OD58 MM HIP MULTIHOLE	SUP-01.32.158MH	CDM	270010024	LOCAL	270	RC		outpatient			6561	6561	1777.37				percent of total billed charges		6561				other	OPPS APC	4855.14				percent of total billed charges		6561				other	OPPS APC	6561				other	OPPS APC	1777.37				percent of total billed charges		1812.8				percent of total billed charges		6561				other	OPPS APC	1777.37	6561	
SHELL ACETABULAR MPACT F OD58 MM HIP MULTIHOLE	SUP-01.32.158MH	CDM	270010024	LOCAL	270	RC		inpatient			6561	6561																																																			
SHELL ACETABULAR MPACT G OD60 MM HIP MULTIHOLE	SUP-01.32.160MH	CDM	270010024	LOCAL	270	RC		outpatient			6561	6561	1777.37				percent of total billed charges		6561				other	OPPS APC	4855.14				percent of total billed charges		6561				other	OPPS APC	6561				other	OPPS APC	1777.37				percent of total billed charges		1812.8				percent of total billed charges		6561				other	OPPS APC	1777.37	6561	
SHELL ACETABULAR MPACT G OD60 MM HIP MULTIHOLE	SUP-01.32.160MH	CDM	270010024	LOCAL	270	RC		inpatient			6561	6561																																																			
GRAFT ENDOLOGIX AFX LIMB EXTENSION	SUP-120-13/C70FSA	CDM	270010015	LOCAL	270	RC		outpatient			6550	655	1774.4				percent of total billed charges		6550				other	OPPS APC	4847				percent of total billed charges		6550				other	OPPS APC	6550				other	OPPS APC	1774.4				percent of total billed charges		1809.77				percent of total billed charges		655				other	OPPS APC	655	6550	
GRAFT ENDOLOGIX AFX LIMB EXTENSION	SUP-120-13/C70FSA	CDM	270010015	LOCAL	270	RC		inpatient			6550	6550																																																			
GRAFT STENT AFX ACTIVESEAL STRATA EPTFE STRAIGHT L88 MM OD20-13 MM ID17 FR ENDOVASCULAR ILIUM SELF EXPANDABLE FLEXIBLE LIMB EXTENSION INTRODUCER AAA	SUP-120-13/C88FSA	CDM	270010015	LOCAL	270	RC		outpatient			6550	655	1774.4				percent of total billed charges		6550				other	OPPS APC	4847				percent of total billed charges		6550				other	OPPS APC	6550				other	OPPS APC	1774.4				percent of total billed charges		1809.77				percent of total billed charges		655				other	OPPS APC	655	6550	
GRAFT STENT AFX ACTIVESEAL STRATA EPTFE STRAIGHT L88 MM OD20-13 MM ID17 FR ENDOVASCULAR ILIUM SELF EXPANDABLE FLEXIBLE LIMB EXTENSION INTRODUCER AAA	SUP-120-13/C88FSA	CDM	270010015	LOCAL	270	RC		inpatient			6550	6550																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD11 MM ID14 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G55227	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD11 MM ID14 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G55227	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR SPIRAL-Z ZENITH L122 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ILIUM STERILE	SUP-G55235	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR SPIRAL-Z ZENITH L122 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ILIUM STERILE	SUP-G55235	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L74 MM OD24 MM ID16 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G55246	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L74 MM OD24 MM ID16 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-G55246	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL L90 MM OD24 MM ODSEC6 MM ID16 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG	SUP-G55247	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z POLYESTER STAINLESS STEEL NITINOL L90 MM OD24 MM ODSEC6 MM ID16 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL/IPSILATERAL ILIAC LEG	SUP-G55247	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR ZENITH FLEX L56 MM OD14 MM ID16 FR ABDOMINAL AORTIC ANEURYSM CONTRALATERAL IPSILATERAL ILIAC LEG	SUP-TFLE-14-56-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH FLEX L56 MM OD14 MM ID16 FR ABDOMINAL AORTIC ANEURYSM CONTRALATERAL IPSILATERAL ILIAC LEG	SUP-TFLE-14-56-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR ZENITH FLEX STAINLESS STEEL POLYESTER L56 MM OD18 MM ID16 FR SELF EXPAND ANCILLARY WOVEN LEG EXTENSION Z-TRAK AAA	SUP-TFLE-18-56-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH FLEX STAINLESS STEEL POLYESTER L56 MM OD18 MM ID16 FR SELF EXPAND ANCILLARY WOVEN LEG EXTENSION Z-TRAK AAA	SUP-TFLE-18-56-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR SPIRAL-Z ZENITH POLYESTER STAINLESS STEEL NITINOL 2 BRANCH L107 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL IPSILATERAL ILIAC LEG	SUP-ZSLE-13-107-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR SPIRAL-Z ZENITH POLYESTER STAINLESS STEEL NITINOL 2 BRANCH L107 MM OD13 MM ODSEC5.4 MM ID14 FR ABDOMINAL AORTIC ANEURYSM ANCILLARY CONTRALATERAL IPSILATERAL ILIAC LEG	SUP-ZSLE-13-107-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L39 MM OD24 MM ID16 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ZSLE-24-39-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L39 MM OD24 MM ID16 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ZSLE-24-39-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD9 MM ODSEC5.4 MM ID14 FR ABDOMEN AORTA AORTOILIAC Z-TRAK INTRODUCTION SYSTEM CONTRALATERAL/IPSILATERAL ILIAC LEG AAA	SUP-ZSLE-9-90-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6546	6546	1773.31				percent of total billed charges		6546				other	OPPS APC	4844.04				percent of total billed charges		6546				other	OPPS APC	6546				other	OPPS APC	1773.31				percent of total billed charges		1808.66				percent of total billed charges		6546				other	OPPS APC	1773.31	6546	
GRAFT ENDOVASCULAR ZENITH SPIRAL-Z Z-TRAK POLYESTER STAINLESS STEEL NITINOL BIFURCATED L90 MM OD9 MM ODSEC5.4 MM ID14 FR ABDOMEN AORTA AORTOILIAC Z-TRAK INTRODUCTION SYSTEM CONTRALATERAL/IPSILATERAL ILIAC LEG AAA	SUP-ZSLE-9-90-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6546	6546																																																			
PLIF FROZEN SPACER 8MM	SUP-004808	CDM	270010012	LOCAL	270	RC		outpatient			6540	654	1771.69				percent of total billed charges		6540				other	OPPS APC	4839.6				percent of total billed charges		6540				other	OPPS APC	6540				other	OPPS APC	1771.69				percent of total billed charges		1807				percent of total billed charges		654				other	OPPS APC	654	6540	
PLIF FROZEN SPACER 8MM	SUP-004808	CDM	270010012	LOCAL	270	RC		inpatient			6540	6540																																																			
PLIF FROZEN SPACER 10MM	SUP-004810	CDM	270010020	LOCAL	270	RC		outpatient			6540	654	1771.69				percent of total billed charges		6540				other	OPPS APC	4839.6				percent of total billed charges		6540				other	OPPS APC	6540				other	OPPS APC	1771.69				percent of total billed charges		1807				percent of total billed charges		654				other	OPPS APC	654	6540	
PLIF FROZEN SPACER 10MM	SUP-004810	CDM	270010020	LOCAL	270	RC		inpatient			6540	6540																																																			
PLIF FROZEN SPACER 12MM	SUP-004812	CDM	270010020	LOCAL	270	RC		outpatient			6540	654	1771.69				percent of total billed charges		6540				other	OPPS APC	4839.6				percent of total billed charges		6540				other	OPPS APC	6540				other	OPPS APC	1771.69				percent of total billed charges		1807				percent of total billed charges		654				other	OPPS APC	654	6540	
PLIF FROZEN SPACER 12MM	SUP-004812	CDM	270010020	LOCAL	270	RC		inpatient			6540	6540																																																			
HEAD RADIAL EVOLVE PROLINE STANDARD OD22 MM ELBOW MODULAR	SUP-496H022	CDM			270	RC		outpatient			6540	654	1771.69				percent of total billed charges		6540				other	OPPS APC	4839.6				percent of total billed charges		6540				other	OPPS APC	6540				other	OPPS APC	1771.69				percent of total billed charges		1807				percent of total billed charges		654				other	OPPS APC	654	6540	
HEAD RADIAL EVOLVE PROLINE STANDARD OD22 MM ELBOW MODULAR	SUP-496H022	CDM			270	RC		inpatient			6540	6540																																																			
HEAD RADIAL EVOLVE PROLINE 2+ MM OD22 MM ELBOW MODULAR STERILE	SUP-496H222	CDM			270	RC		outpatient			6540	654	1771.69				percent of total billed charges		6540				other	OPPS APC	4839.6				percent of total billed charges		6540				other	OPPS APC	6540				other	OPPS APC	1771.69				percent of total billed charges		1807				percent of total billed charges		654				other	OPPS APC	654	6540	
HEAD RADIAL EVOLVE PROLINE 2+ MM OD22 MM ELBOW MODULAR STERILE	SUP-496H222	CDM			270	RC		inpatient			6540	6540																																																			
HEAD RADIAL EVOLVE PROLINE +4 MM OD22 MM ELBOW MODULAR STERILE	SUP-496H422	CDM			270	RC		outpatient			6540	654	1771.69				percent of total billed charges		6540				other	OPPS APC	4839.6				percent of total billed charges		6540				other	OPPS APC	6540				other	OPPS APC	1771.69				percent of total billed charges		1807				percent of total billed charges		654				other	OPPS APC	654	6540	
HEAD RADIAL EVOLVE PROLINE +4 MM OD22 MM ELBOW MODULAR STERILE	SUP-496H422	CDM			270	RC		inpatient			6540	6540																																																			
GII PS INSERT SZ 3-4 9MM	SUP-97-01263	CDM			278	RC		outpatient			6537.5	6537.5	6537.5				fee schedule		6537.5				other	OPPS APC	3726.38				percent of total billed charges		6537.5				other	OPPS APC	6537.5				other	OPPS APC	3203.38				percent of total billed charges		3334.13				percent of total billed charges		6537.5				other	OPPS APC	3203.38	6537.5	
GII PS INSERT SZ 3-4 9MM	SUP-97-01263	CDM			278	RC		inpatient			6537.5	6537.5																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE	SUP-09.405.273S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE	SUP-09.405.273S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE	SUP-09.405.276S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL OD+6 MM ELLIPTICAL H10 MM OD22 MM ODSEC7.5 MM STERILE	SUP-09.405.276S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM ELBOW STERILE	SUP-09.405.280S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL ELLIPTICAL H10 MM OD22 MM ODSEC8.5 MM ELBOW STERILE	SUP-09.405.280S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL +6 H11 MM OD25 MM ODSEC8.5 MM ELBOW STEM STERILE	SUP-09.405.586S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL +6 H11 MM OD25 MM ODSEC8.5 MM ELBOW STEM STERILE	SUP-09.405.586S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC6.5 MM STERILE	SUP-09.405.960S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL ELLIPTICAL H9 MM OD19 MM ODSEC6.5 MM STERILE	SUP-09.405.960S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC6.5 MM ELBOW STERILE	SUP-09.405.963S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC6.5 MM ELBOW STERILE	SUP-09.405.963S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD22 MM ODSEC6.5 MM STERILE	SUP-09.405.966S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD22 MM ODSEC6.5 MM STERILE	SUP-09.405.966S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE	SUP-09.405.976S	CDM			270	RC		outpatient			6531.8	6531.82	1769.46				percent of total billed charges		6531.8				other	OPPS APC	4833.53				percent of total billed charges		6531.8				other	OPPS APC	6531.8				other	OPPS APC	1769.46				percent of total billed charges		1804.74				percent of total billed charges		6531.82				other	OPPS APC	1769.46	6531.82	
HEAD RADIAL OD+6 MM ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE	SUP-09.405.976S	CDM			270	RC		inpatient			6531.8	6531.8																																																			
VENTRIO ST XLG OVAL 22.1 X 27.1	SUP-97-00239	CDM			278	RC		outpatient			6517.2	6517.2	6517.2				fee schedule		6517.2				other	OPPS APC	3714.8				percent of total billed charges		6517.2				other	OPPS APC	6517.2				other	OPPS APC	3193.43				percent of total billed charges		3323.77				percent of total billed charges		6517.2				other	OPPS APC	3193.43	6517.2	
VENTRIO ST XLG OVAL 22.1 X 27.1	SUP-97-00239	CDM			278	RC		inpatient			6517.2	6517.2																																																			
IMPLANT GORE EXCLUDER 16MM X 10MMX 7CM	SUP-PXL161007	CDM	270010015	LOCAL	270	RC		outpatient			6508	658	1763.02				percent of total billed charges		6508				other	OPPS APC	4815.92				percent of total billed charges		6508				other	OPPS APC	6508				other	OPPS APC	1763.02				percent of total billed charges		1798.16				percent of total billed charges		658				other	OPPS APC	658	6508	
IMPLANT GORE EXCLUDER 16MM X 10MMX 7CM	SUP-PXL161007	CDM	270010015	LOCAL	270	RC		inpatient			6508	6508																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PXL161207	CDM	270010015	LOCAL	270	RC		outpatient			6508	658	1763.02				percent of total billed charges		6508				other	OPPS APC	4815.92				percent of total billed charges		6508				other	OPPS APC	6508				other	OPPS APC	1763.02				percent of total billed charges		1798.16				percent of total billed charges		658				other	OPPS APC	658	6508	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L7 CM OD12 MM ILIAC ARTERY STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID10-11 MM ACCEPTS 12FR SHEATH	SUP-PXL161207	CDM	270010015	LOCAL	270	RC		inpatient			6508	6508																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L7 CM OD14.5 MM ODSEC12 FR ID12-13.5 MM ILIUM STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXL161407	CDM	270010015	LOCAL	270	RC		outpatient			6508	658	1763.02				percent of total billed charges		6508				other	OPPS APC	4815.92				percent of total billed charges		6508				other	OPPS APC	6508				other	OPPS APC	1763.02				percent of total billed charges		1798.16				percent of total billed charges		658				other	OPPS APC	658	6508	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L7 CM OD14.5 MM ODSEC12 FR ID12-13.5 MM ILIUM STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXL161407	CDM	270010015	LOCAL	270	RC		inpatient			6508	6508																																																			
MIDLINE 15.5 X 25.7	SUP-97-00237	CDM			278	RC		outpatient			6503.75	653.75	6503.75				fee schedule		6503.75				other	OPPS APC	3707.14				percent of total billed charges		6503.75				other	OPPS APC	6503.75				other	OPPS APC	3186.84				percent of total billed charges		3316.91				percent of total billed charges		653.75				other	OPPS APC	653.75	6503.75	
MIDLINE 15.5 X 25.7	SUP-97-00237	CDM			278	RC		inpatient			6503.75	6503.75																																																			
PACEMAKER CARDIAC ACCOLADE LATITUDE NXT PACESAFE EASYVIEW D.75 CM W4.45 CM X H5.02 CM 13.7 CC 24.8 GM RIGHT ATRIUM RIGHT VENTRICLE 2 CHAMBER IS1 CONNECTOR	SUP-L301	CDM			275	RC		outpatient			6503.7	653.7	3186.81				percent of total billed charges		6503.7				other	OPPS APC	3707.11				percent of total billed charges		6503.7				other	OPPS APC	6503.7				other	OPPS APC	3186.81				percent of total billed charges		3316.89				percent of total billed charges		653.7				other	OPPS APC	653.7	6503.7	
PACEMAKER CARDIAC ACCOLADE LATITUDE NXT PACESAFE EASYVIEW D.75 CM W4.45 CM X H5.02 CM 13.7 CC 24.8 GM RIGHT ATRIUM RIGHT VENTRICLE 2 CHAMBER IS1 CONNECTOR	SUP-L301	CDM			275	RC		inpatient			6503.7	6503.7																																																			
PACEMAKER L321 ACCOLADE EL DEVICE _42916_	SUP-L321	CDM			275	RC		outpatient			6503.7	653.7	3186.81				percent of total billed charges		6503.7				other	OPPS APC	3707.11				percent of total billed charges		6503.7				other	OPPS APC	6503.7				other	OPPS APC	3186.81				percent of total billed charges		3316.89				percent of total billed charges		653.7				other	OPPS APC	653.7	6503.7	
PACEMAKER L321 ACCOLADE EL DEVICE _42916_	SUP-L321	CDM			275	RC		inpatient			6503.7	6503.7																																																			
STENT ENDOMAXX  23X10 ESOPHAGEAL	SUP-95-02801	CDM			278	RC		outpatient			6500	65	6500				fee schedule		6500				other	OPPS APC	3705				percent of total billed charges		6500				other	OPPS APC	6500				other	OPPS APC	3185				percent of total billed charges		3315				percent of total billed charges		65				other	OPPS APC	65	6500	
STENT ENDOMAXX  23X10 ESOPHAGEAL	SUP-95-02801	CDM			278	RC		inpatient			6500	6500																																																			
STENT ENDOMAXX  23X150 ESOPHAGEAL	SUP-95-03093	CDM			278	RC		inpatient			6500	6500																																																			
STENT ENDOMAXX  23X150 ESOPHAGEAL	SUP-95-03093	CDM			278	RC		outpatient			6500	6500					fee schedule						other	OPPS APC	3705				percent of total billed charges						other	OPPS APC					other	OPPS APC	3185				percent of total billed charges		3315				percent of total billed charges						other	OPPS APC	3705	3705	
POSTERIOR TIBIALIS TENDON	SUP-97-02082	CDM			278	RC		outpatient			6500	65	6500				fee schedule		6500				other	OPPS APC	3705				percent of total billed charges		6500				other	OPPS APC	6500				other	OPPS APC	3185				percent of total billed charges		3315				percent of total billed charges		65				other	OPPS APC	65	6500	
POSTERIOR TIBIALIS TENDON	SUP-97-02082	CDM			278	RC		inpatient			6500	6500																																																			
MCK PATELLOFEMORAL L-SZ 3	SUP-97-05027	CDM			278	RC		outpatient			6487.5	6487.5	6487.5				fee schedule		6487.5				other	OPPS APC	3697.88				percent of total billed charges		6487.5				other	OPPS APC	6487.5				other	OPPS APC	3178.88				percent of total billed charges		3308.63				percent of total billed charges		6487.5				other	OPPS APC	3178.88	6487.5	
MCK PATELLOFEMORAL L-SZ 3	SUP-97-05027	CDM			278	RC		inpatient			6487.5	6487.5																																																			
STENT - ELUVIA DES 6X100	SUP-99-03579	CDM			278	RC		outpatient			6487.5	6487.5	6487.5				fee schedule		6487.5				other	OPPS APC	3697.88				percent of total billed charges		6487.5				other	OPPS APC	6487.5				other	OPPS APC	3178.88				percent of total billed charges		3308.63				percent of total billed charges		6487.5				other	OPPS APC	3178.88	6487.5	
STENT - ELUVIA DES 6X100	SUP-99-03579	CDM			278	RC		inpatient			6487.5	6487.5																																																			
STENT - ELUVIA DES 7 X 80	SUP-99-03583	CDM			278	RC		outpatient			6487.5	6487.5	6487.5				fee schedule		6487.5				other	OPPS APC	3697.88				percent of total billed charges		6487.5				other	OPPS APC	6487.5				other	OPPS APC	3178.88				percent of total billed charges		3308.63				percent of total billed charges		6487.5				other	OPPS APC	3178.88	6487.5	
STENT - ELUVIA DES 7 X 80	SUP-99-03583	CDM			278	RC		inpatient			6487.5	6487.5																																																			
STENT - ELUVIA DES 7X100	SUP-99-03584	CDM			278	RC		outpatient			6487.5	6487.5	6487.5				fee schedule		6487.5				other	OPPS APC	3697.88				percent of total billed charges		6487.5				other	OPPS APC	6487.5				other	OPPS APC	3178.88				percent of total billed charges		3308.63				percent of total billed charges		6487.5				other	OPPS APC	3178.88	6487.5	
STENT - ELUVIA DES 7X100	SUP-99-03584	CDM			278	RC		inpatient			6487.5	6487.5																																																			
GRASPER COBRA DAVINCI	SUP-471190	CDM			270	RC		outpatient			6480	648	1755.43				percent of total billed charges		6480				other	OPPS APC	4795.2				percent of total billed charges		6480				other	OPPS APC	6480				other	OPPS APC	1755.43				percent of total billed charges		1790.42				percent of total billed charges		648				other	OPPS APC	648	6480	
GRASPER COBRA DAVINCI	SUP-471190	CDM			270	RC		inpatient			6480	6480																																																			
GRASPER LAPAROSCOPIC COBRA ENDOWRIST DA VINCI XI 60 D L32.51 CM L2 CM OD8 MM 10 USE	SUP-471190	CDM			270	RC		outpatient			6480	648	1755.43				percent of total billed charges		6480				other	OPPS APC	4795.2				percent of total billed charges		6480				other	OPPS APC	6480				other	OPPS APC	1755.43				percent of total billed charges		1790.42				percent of total billed charges		648				other	OPPS APC	648	6480	
GRASPER LAPAROSCOPIC COBRA ENDOWRIST DA VINCI XI 60 D L32.51 CM L2 CM OD8 MM 10 USE	SUP-471190	CDM			270	RC		inpatient			6480	6480																																																			
GRAFT SOFT TISSUE DERMIS L70 MM X W40 MM X H2 MM DECELLULARIZED LATEX FREE	SUP-AFLEX201	CDM	270010031	LOCAL	270	RC		outpatient			6465.56	6465.56	1751.52				percent of total billed charges		6465.56				other	OPPS APC	4784.51				percent of total billed charges		6465.56				other	OPPS APC	6465.56				other	OPPS APC	1751.52				percent of total billed charges		1786.43				percent of total billed charges		6465.56				other	OPPS APC	1751.52	6465.56	
GRAFT SOFT TISSUE DERMIS L70 MM X W40 MM X H2 MM DECELLULARIZED LATEX FREE	SUP-AFLEX201	CDM	270010031	LOCAL	270	RC		inpatient			6465.56	6465.56																																																			
ENDOPROSTHESIS GORE INTERNAL ILIAC ILIAC COMPONENT	SUP-HGB161007A	CDM	270010015	LOCAL	270	RC		outpatient			6462	6462	1750.56				percent of total billed charges		6462				other	OPPS APC	4781.88				percent of total billed charges		6462				other	OPPS APC	6462				other	OPPS APC	1750.56				percent of total billed charges		1785.45				percent of total billed charges		6462				other	OPPS APC	1750.56	6462	
ENDOPROSTHESIS GORE INTERNAL ILIAC ILIAC COMPONENT	SUP-HGB161007A	CDM	270010015	LOCAL	270	RC		inpatient			6462	6462																																																			
GRAFT ENDOVASCULAR GORE EXCLUDER L7 CM OD14.5 MM ILIAC INTERNAL COMPONENT AAA	SUP-HGB161407A	CDM	270010015	LOCAL	270	RC		outpatient			6462	6462	1750.56				percent of total billed charges		6462				other	OPPS APC	4781.88				percent of total billed charges		6462				other	OPPS APC	6462				other	OPPS APC	1750.56				percent of total billed charges		1785.45				percent of total billed charges		6462				other	OPPS APC	1750.56	6462	
GRAFT ENDOVASCULAR GORE EXCLUDER L7 CM OD14.5 MM ILIAC INTERNAL COMPONENT AAA	SUP-HGB161407A	CDM	270010015	LOCAL	270	RC		inpatient			6462	6462																																																			
ESOPHAGEAL STENT TAEWOONG	SUP-95-03578	CDM			272	RC		outpatient			6445	6445	1745.95				percent of total billed charges		6445				other	OPPS APC	4769.3				percent of total billed charges		6445				other	OPPS APC	6445				other	OPPS APC	1745.95				percent of total billed charges		1780.75				percent of total billed charges		6445				other	OPPS APC	1745.95	6445	
ESOPHAGEAL STENT TAEWOONG	SUP-95-03578	CDM			272	RC		inpatient			6445	6445																																																			
TRIDENT II TRIT MULTIHOLE ACETAB. SHELL	SUP-97-05030	CDM			278	RC		outpatient			6445	6445	6445				fee schedule		6445				other	OPPS APC	3673.65				percent of total billed charges		6445				other	OPPS APC	6445				other	OPPS APC	3158.05				percent of total billed charges		3286.95				percent of total billed charges		6445				other	OPPS APC	3158.05	6445	
TRIDENT II TRIT MULTIHOLE ACETAB. SHELL	SUP-97-05030	CDM			278	RC		inpatient			6445	6445																																																			
ACETABULAR SHELL MULTIHOLE TRIDENT II TRITANIUM SIZE 48MM D	SUP-97-05931	CDM			278	RC		outpatient			6445	6445	6445				fee schedule		6445				other	OPPS APC	3673.65				percent of total billed charges		6445				other	OPPS APC	6445				other	OPPS APC	3158.05				percent of total billed charges		3286.95				percent of total billed charges		6445				other	OPPS APC	3158.05	6445	
ACETABULAR SHELL MULTIHOLE TRIDENT II TRITANIUM SIZE 48MM D	SUP-97-05931	CDM			278	RC		inpatient			6445	6445																																																			
ACETABULAR SHELL 54MM E MULTIHOLE TRIDENT II TRITANIUM	SUP-97-05955	CDM			278	RC		outpatient			6445	6445	6445				fee schedule		6445				other	OPPS APC	3673.65				percent of total billed charges		6445				other	OPPS APC	6445				other	OPPS APC	3158.05				percent of total billed charges		3286.95				percent of total billed charges		6445				other	OPPS APC	3158.05	6445	
ACETABULAR SHELL 54MM E MULTIHOLE TRIDENT II TRITANIUM	SUP-97-05955	CDM			278	RC		inpatient			6445	6445																																																			
ACETABULAR SHELL MULTIHOLE TRIDENT II TRITANIUM SIZE 50MM D	SUP-97-06123	CDM			278	RC		outpatient			6445	6445	6445				fee schedule		6445				other	OPPS APC	3673.65				percent of total billed charges		6445				other	OPPS APC	6445				other	OPPS APC	3158.05				percent of total billed charges		3286.95				percent of total billed charges		6445				other	OPPS APC	3158.05	6445	
ACETABULAR SHELL MULTIHOLE TRIDENT II TRITANIUM SIZE 50MM D	SUP-97-06123	CDM			278	RC		inpatient			6445	6445																																																			
STENT - ICAST COVERED 8X38	SUP-99-00856	CDM			278	RC		outpatient			6437.5	6437.5	6437.5				fee schedule		6437.5				other	OPPS APC	3669.38				percent of total billed charges		6437.5				other	OPPS APC	6437.5				other	OPPS APC	3154.38				percent of total billed charges		3283.13				percent of total billed charges		6437.5				other	OPPS APC	3154.38	6437.5	
STENT - ICAST COVERED 8X38	SUP-99-00856	CDM			278	RC		inpatient			6437.5	6437.5																																																			
STENT - ICAST COVERED 7X38	SUP-99-01729	CDM			278	RC		outpatient			6437.5	6437.5	6437.5				fee schedule		6437.5				other	OPPS APC	3669.38				percent of total billed charges		6437.5				other	OPPS APC	6437.5				other	OPPS APC	3154.38				percent of total billed charges		3283.13				percent of total billed charges		6437.5				other	OPPS APC	3154.38	6437.5	
STENT - ICAST COVERED 7X38	SUP-99-01729	CDM			278	RC		inpatient			6437.5	6437.5																																																			
STENT - ICAST COVERED 9X38	SUP-99-01817	CDM			278	RC		outpatient			6437.5	6437.5	6437.5				fee schedule		6437.5				other	OPPS APC	3669.38				percent of total billed charges		6437.5				other	OPPS APC	6437.5				other	OPPS APC	3154.38				percent of total billed charges		3283.13				percent of total billed charges		6437.5				other	OPPS APC	3154.38	6437.5	
STENT - ICAST COVERED 9X38	SUP-99-01817	CDM			278	RC		inpatient			6437.5	6437.5																																																			
STENT - ICAST COVERED 6X38	SUP-99-01818	CDM			278	RC		outpatient			6437.5	6437.5	6437.5				fee schedule		6437.5				other	OPPS APC	3669.38				percent of total billed charges		6437.5				other	OPPS APC	6437.5				other	OPPS APC	3154.38				percent of total billed charges		3283.13				percent of total billed charges		6437.5				other	OPPS APC	3154.38	6437.5	
STENT - ICAST COVERED 6X38	SUP-99-01818	CDM			278	RC		inpatient			6437.5	6437.5																																																			
STENT - ICAST COVERED 10X38	SUP-99-03893	CDM			278	RC		outpatient			6437.5	6437.5	6437.5				fee schedule		6437.5				other	OPPS APC	3669.38				percent of total billed charges		6437.5				other	OPPS APC	6437.5				other	OPPS APC	3154.38				percent of total billed charges		3283.13				percent of total billed charges		6437.5				other	OPPS APC	3154.38	6437.5	
STENT - ICAST COVERED 10X38	SUP-99-03893	CDM			278	RC		inpatient			6437.5	6437.5																																																			
KIT NEUROSTIMULATOR OCTRODE L60 CM PERCUTANEOUS 8 ELECTRODE LEAD	SUP-3186	CDM			270	RC		outpatient			6430	643	1741.89				percent of total billed charges		6430				other	OPPS APC	4758.2				percent of total billed charges		6430				other	OPPS APC	6430				other	OPPS APC	1741.89				percent of total billed charges		1776.61				percent of total billed charges		643				other	OPPS APC	643	6430	
KIT NEUROSTIMULATOR OCTRODE L60 CM PERCUTANEOUS 8 ELECTRODE LEAD	SUP-3186	CDM			270	RC		inpatient			6430	6430																																																			
ARTICUL/EZE BIOLOX DELTA TS HEAD	SUP-97-02971	CDM			278	RC		outpatient			6423	6423	6423				fee schedule		6423				other	OPPS APC	3661.11				percent of total billed charges		6423				other	OPPS APC	6423				other	OPPS APC	3147.27				percent of total billed charges		3275.73				percent of total billed charges		6423				other	OPPS APC	3147.27	6423	
ARTICUL/EZE BIOLOX DELTA TS HEAD	SUP-97-02971	CDM			278	RC		inpatient			6423	6423																																																			
GRAFT BTB HEMI	SUP-443008	CDM	270010031	LOCAL	270	RC		outpatient			6400	64	1733.76				percent of total billed charges		6400				other	OPPS APC	4736				percent of total billed charges		6400				other	OPPS APC	6400				other	OPPS APC	1733.76				percent of total billed charges		1768.32				percent of total billed charges		64				other	OPPS APC	64	6400	
GRAFT BTB HEMI	SUP-443008	CDM	270010031	LOCAL	270	RC		inpatient			6400	6400																																																			
LEAD PACING SPRINT QUATTRO DEFIBRILLATOR	SUP-6944 SERIES	CDM			275	RC		outpatient			6400	64	3136				percent of total billed charges		6400				other	OPPS APC	3648				percent of total billed charges		6400				other	OPPS APC	6400				other	OPPS APC	3136				percent of total billed charges		3264				percent of total billed charges		64				other	OPPS APC	64	6400	
LEAD PACING SPRINT QUATTRO DEFIBRILLATOR	SUP-6944 SERIES	CDM			275	RC		inpatient			6400	6400																																																			
LEAD QUATRO SECURE RV	SUP-6947 SERIES	CDM			275	RC		outpatient			6400	64	3136				percent of total billed charges		6400				other	OPPS APC	3648				percent of total billed charges		6400				other	OPPS APC	6400				other	OPPS APC	3136				percent of total billed charges		3264				percent of total billed charges		64				other	OPPS APC	64	6400	
LEAD QUATRO SECURE RV	SUP-6947 SERIES	CDM			275	RC		inpatient			6400	6400																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L439 MM CONDYLAR RIGHT PERIARTICULAR 22 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.422S	CDM	270010022	LOCAL	270	RC		outpatient			6398.4	6398.4	1733.33				percent of total billed charges		6398.4				other	OPPS APC	4734.82				percent of total billed charges		6398.4				other	OPPS APC	6398.4				other	OPPS APC	1733.33				percent of total billed charges		1767.88				percent of total billed charges		6398.4				other	OPPS APC	1733.33	6398.4	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L439 MM CONDYLAR RIGHT PERIARTICULAR 22 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.422S	CDM	270010022	LOCAL	270	RC		inpatient			6398.4	6398.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L439 MM CONDYLAR LEFT PERIARTICULAR 22 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.423S	CDM	270010022	LOCAL	270	RC		outpatient			6398.4	6398.4	1733.33				percent of total billed charges		6398.4				other	OPPS APC	4734.82				percent of total billed charges		6398.4				other	OPPS APC	6398.4				other	OPPS APC	1733.33				percent of total billed charges		1767.88				percent of total billed charges		6398.4				other	OPPS APC	1733.33	6398.4	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L439 MM CONDYLAR LEFT PERIARTICULAR 22 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.423S	CDM	270010022	LOCAL	270	RC		inpatient			6398.4	6398.4																																																			
CAGE COROENT LG	SUP-6080928	CDM	270010020	LOCAL	270	RC		outpatient			6398	6398	1733.22				percent of total billed charges		6398				other	OPPS APC	4734.52				percent of total billed charges		6398				other	OPPS APC	6398				other	OPPS APC	1733.22				percent of total billed charges		1767.77				percent of total billed charges		6398				other	OPPS APC	1733.22	6398	
CAGE COROENT LG	SUP-6080928	CDM	270010020	LOCAL	270	RC		inpatient			6398	6398																																																			
CAGE SPINAL COROENT 8 D L23 MM X W10 MM X H9 MM MAS PLIF	SUP-6081023	CDM	270010020	LOCAL	270	RC		outpatient			6398	6398	1733.22				percent of total billed charges		6398				other	OPPS APC	4734.52				percent of total billed charges		6398				other	OPPS APC	6398				other	OPPS APC	1733.22				percent of total billed charges		1767.77				percent of total billed charges		6398				other	OPPS APC	1733.22	6398	
CAGE SPINAL COROENT 8 D L23 MM X W10 MM X H9 MM MAS PLIF	SUP-6081023	CDM	270010020	LOCAL	270	RC		inpatient			6398	6398																																																			
STEM RADIAL EVOLVE STANDARD 8.5MM SS STERILE ELBOW	SUP-496S085	CDM			270	RC		outpatient			6394	6394	1732.13				percent of total billed charges		6394				other	OPPS APC	4731.56				percent of total billed charges		6394				other	OPPS APC	6394				other	OPPS APC	1732.13				percent of total billed charges		1766.66				percent of total billed charges		6394				other	OPPS APC	1732.13	6394	
STEM RADIAL EVOLVE STANDARD 8.5MM SS STERILE ELBOW	SUP-496S085	CDM			270	RC		inpatient			6394	6394																																																			
STEM RADIAL EVOLVE PROLINE 4+ MM OD5.5 MM ELBOW MODULAR HEAD STERILE	SUP-496S455	CDM			270	RC		outpatient			6394	6394	1732.13				percent of total billed charges		6394				other	OPPS APC	4731.56				percent of total billed charges		6394				other	OPPS APC	6394				other	OPPS APC	1732.13				percent of total billed charges		1766.66				percent of total billed charges		6394				other	OPPS APC	1732.13	6394	
STEM RADIAL EVOLVE PROLINE 4+ MM OD5.5 MM ELBOW MODULAR HEAD STERILE	SUP-496S455	CDM			270	RC		inpatient			6394	6394																																																			
CATHETER VASCULAR ZOOM L100 CM OD6 FR ODSEC.108 IN ID.088 IN LARGE DISTAL PLATFORM STERILE LATEX FREE	SUP-ICTC088110	CDM			270	RC		outpatient			6390	639	1731.05				percent of total billed charges		6390				other	OPPS APC	4728.6				percent of total billed charges		6390				other	OPPS APC	6390				other	OPPS APC	1731.05				percent of total billed charges		1765.56				percent of total billed charges		639				other	OPPS APC	639	6390	
CATHETER VASCULAR ZOOM L100 CM OD6 FR ODSEC.108 IN ID.088 IN LARGE DISTAL PLATFORM STERILE LATEX FREE	SUP-ICTC088110	CDM			270	RC		inpatient			6390	6390																																																			
FIAGON UNIVERSAL POINTER SHELL	SUP-95-02954	CDM			272	RC		outpatient			6375	6375	1726.99				percent of total billed charges		6375				other	OPPS APC	4717.5				percent of total billed charges		6375				other	OPPS APC	6375				other	OPPS APC	1726.99				percent of total billed charges		1761.41				percent of total billed charges		6375				other	OPPS APC	1726.99	6375	
FIAGON UNIVERSAL POINTER SHELL	SUP-95-02954	CDM			272	RC		inpatient			6375	6375																																																			
FLEXTUBE 4 MM	SUP-95-02955	CDM			272	RC		outpatient			6375	6375	1726.99				percent of total billed charges		6375				other	OPPS APC	4717.5				percent of total billed charges		6375				other	OPPS APC	6375				other	OPPS APC	1726.99				percent of total billed charges		1761.41				percent of total billed charges		6375				other	OPPS APC	1726.99	6375	
FLEXTUBE 4 MM	SUP-95-02955	CDM			272	RC		inpatient			6375	6375																																																			
FLEXPOINTER 1.5MM	SUP-95-03537	CDM			272	RC		outpatient			6375	6375	1726.99				percent of total billed charges		6375				other	OPPS APC	4717.5				percent of total billed charges		6375				other	OPPS APC	6375				other	OPPS APC	1726.99				percent of total billed charges		1761.41				percent of total billed charges		6375				other	OPPS APC	1726.99	6375	
FLEXPOINTER 1.5MM	SUP-95-03537	CDM			272	RC		inpatient			6375	6375																																																			
CATHETER ELECTROPHYSIOLOGY CARTO 3 THERMOCOOL SF D-F CURVE OD 7.5 FR BIDRIECTIONAL DEFLECTABLE TIP STEERABLE MULTIELECTRODE STERILE DISPOSABLE	SUP-BNI35DFCT	CDM			270	RC		outpatient			6362	6362	1723.47				percent of total billed charges		6362				other	OPPS APC	4707.88				percent of total billed charges		6362				other	OPPS APC	6362				other	OPPS APC	1723.47				percent of total billed charges		1757.82				percent of total billed charges		6362				other	OPPS APC	1723.47	6362	
CATHETER ELECTROPHYSIOLOGY CARTO 3 THERMOCOOL SF D-F CURVE OD 7.5 FR BIDRIECTIONAL DEFLECTABLE TIP STEERABLE MULTIELECTRODE STERILE DISPOSABLE	SUP-BNI35DFCT	CDM			270	RC		inpatient			6362	6362																																																			
GRAFT ENDOVASCUALAR AAA VASCULAR ILIAC LEG ZSLE-13-107-ZT	SUP-G55234	CDM	270010015	LOCAL	270	RC		outpatient			6356	6356	1721.84				percent of total billed charges		6356				other	OPPS APC	4703.44				percent of total billed charges		6356				other	OPPS APC	6356				other	OPPS APC	1721.84				percent of total billed charges		1756.16				percent of total billed charges		6356				other	OPPS APC	1721.84	6356	
GRAFT ENDOVASCUALAR AAA VASCULAR ILIAC LEG ZSLE-13-107-ZT	SUP-G55234	CDM	270010015	LOCAL	270	RC		inpatient			6356	6356																																																			
MESH SURGICAL GORE SYNECOR RECTANGLE L25 CM X W20 CM PREPERITONEAL KNIT WEB	SUP-GKWR2025	CDM			270	RC		outpatient			6356	6356	1721.84				percent of total billed charges		6356				other	OPPS APC	4703.44				percent of total billed charges		6356				other	OPPS APC	6356				other	OPPS APC	1721.84				percent of total billed charges		1756.16				percent of total billed charges		6356				other	OPPS APC	1721.84	6356	
MESH SURGICAL GORE SYNECOR RECTANGLE L25 CM X W20 CM PREPERITONEAL KNIT WEB	SUP-GKWR2025	CDM			270	RC		inpatient			6356	6356																																																			
COIL TARGET DETACHABLE 360 SOFT XL 6MM X 20CM	SUP-612620	CDM			270	RC		outpatient			6350	635	1720.22				percent of total billed charges		6350				other	OPPS APC	4699				percent of total billed charges		6350				other	OPPS APC	6350				other	OPPS APC	1720.22				percent of total billed charges		1754.51				percent of total billed charges		635				other	OPPS APC	635	6350	
COIL TARGET DETACHABLE 360 SOFT XL 6MM X 20CM	SUP-612620	CDM			270	RC		inpatient			6350	6350																																																			
COIL TARGET DETACHABLE 360 SOFT XL 7MM X 20CM	SUP-612720	CDM			270	RC		outpatient			6350	635	1720.22				percent of total billed charges		6350				other	OPPS APC	4699				percent of total billed charges		6350				other	OPPS APC	6350				other	OPPS APC	1720.22				percent of total billed charges		1754.51				percent of total billed charges		635				other	OPPS APC	635	6350	
COIL TARGET DETACHABLE 360 SOFT XL 7MM X 20CM	SUP-612720	CDM			270	RC		inpatient			6350	6350																																																			
COIL TARGET DETACHABLE 360 SOFT XL 7MM X 20CM	SUP-M0036127200	CDM			270	RC		outpatient			6350	635	1720.22				percent of total billed charges		6350				other	OPPS APC	4699				percent of total billed charges		6350				other	OPPS APC	6350				other	OPPS APC	1720.22				percent of total billed charges		1754.51				percent of total billed charges		635				other	OPPS APC	635	6350	
COIL TARGET DETACHABLE 360 SOFT XL 7MM X 20CM	SUP-M0036127200	CDM			270	RC		inpatient			6350	6350																																																			
GRAFT SOFT TISSUE TISSUEMEND COLLAGEN MEMBRANE L10 CM X W6 CM PATCH	SUP-6495-9-004	CDM			270	RC		outpatient			6322.96	6322.96	1712.89				percent of total billed charges		6322.96				other	OPPS APC	4678.99				percent of total billed charges		6322.96				other	OPPS APC	6322.96				other	OPPS APC	1712.89				percent of total billed charges		1747.03				percent of total billed charges		6322.96				other	OPPS APC	1712.89	6322.96	
GRAFT SOFT TISSUE TISSUEMEND COLLAGEN MEMBRANE L10 CM X W6 CM PATCH	SUP-6495-9-004	CDM			270	RC		inpatient			6322.96	6322.96																																																			
STENT 23 X 125	SUP-95-01835	CDM			272	RC		outpatient			6312.5	6312.5	1710.06				percent of total billed charges		6312.5				other	OPPS APC	4671.25				percent of total billed charges		6312.5				other	OPPS APC	6312.5				other	OPPS APC	1710.06				percent of total billed charges		1744.14				percent of total billed charges		6312.5				other	OPPS APC	1710.06	6312.5	
STENT 23 X 125	SUP-95-01835	CDM			272	RC		inpatient			6312.5	6312.5																																																			
STENT ESOPH  WALLFLEX 18/23MM X1 03MM	SUP-95-02357	CDM			278	RC		inpatient			6312.5	6312.5																																																			
STENT ESOPH  WALLFLEX 18/23MM X1 03MM	SUP-95-02357	CDM			278	RC		outpatient			6312.5	6312.5					fee schedule						other	OPPS APC	3598.13				percent of total billed charges						other	OPPS APC					other	OPPS APC	3093.13				percent of total billed charges		3219.38				percent of total billed charges						other	OPPS APC	3598.13	3598.13	
STENT ESOPH  WALLFLEX 18/23 X 153MM	SUP-95-02690	CDM			278	RC		outpatient			6312.5	6312.5	6312.5				fee schedule		6312.5				other	OPPS APC	3598.13				percent of total billed charges		6312.5				other	OPPS APC	6312.5				other	OPPS APC	3093.13				percent of total billed charges		3219.38				percent of total billed charges		6312.5				other	OPPS APC	3093.13	6312.5	
STENT ESOPH  WALLFLEX 18/23 X 153MM	SUP-95-02690	CDM			278	RC		inpatient			6312.5	6312.5																																																			
STEM HUMERAL COMPREHENSIVE TITANIUM ALUMINUM VANADIUM POROUS L75 MM OD9 MM INTRAMEDULLARY MODULAR SCREW TAPER ASYMMETRIC PROFILE GRIT BLAST SEGMENTAL REVISION SYSTEM	SUP-211258	CDM	270010030	LOCAL	270	RC		outpatient			6310	631	1709.38				percent of total billed charges		6310				other	OPPS APC	4669.4				percent of total billed charges		6310				other	OPPS APC	6310				other	OPPS APC	1709.38				percent of total billed charges		1743.45				percent of total billed charges		631				other	OPPS APC	631	6310	
STEM HUMERAL COMPREHENSIVE TITANIUM ALUMINUM VANADIUM POROUS L75 MM OD9 MM INTRAMEDULLARY MODULAR SCREW TAPER ASYMMETRIC PROFILE GRIT BLAST SEGMENTAL REVISION SYSTEM	SUP-211258	CDM	270010030	LOCAL	270	RC		inpatient			6310	6310																																																			
SYSTEM GASTRIC BAND LAP-BAND AP OMNIFORM STAINLESS STEEL SILICONE ELASTOMER STANDARD L50 CM 10 CC ACCESS PORT I ADJUSTABLE CONNECTOR RADIOPAQUE STERILE LATEX FREE	SUP-B-2240	CDM			270	RC		outpatient			6310	631	1709.38				percent of total billed charges		6310				other	OPPS APC	4669.4				percent of total billed charges		6310				other	OPPS APC	6310				other	OPPS APC	1709.38				percent of total billed charges		1743.45				percent of total billed charges		631				other	OPPS APC	631	6310	
SYSTEM GASTRIC BAND LAP-BAND AP OMNIFORM STAINLESS STEEL SILICONE ELASTOMER STANDARD L50 CM 10 CC ACCESS PORT I ADJUSTABLE CONNECTOR RADIOPAQUE STERILE LATEX FREE	SUP-B-2240	CDM			270	RC		inpatient			6310	6310																																																			
SYSTEM GASTRIC BAND LAP-BAND AP OMNIFORM STAINLESS STEEL SILICONE ELASTOMER LARGE L50 CM 14 CC ACCESS PORT I ADJUSTABLE CONNECTOR RADIOPAQUE STERILE LATEX FREE	SUP-B-2245	CDM			270	RC		outpatient			6310	631	1709.38				percent of total billed charges		6310				other	OPPS APC	4669.4				percent of total billed charges		6310				other	OPPS APC	6310				other	OPPS APC	1709.38				percent of total billed charges		1743.45				percent of total billed charges		631				other	OPPS APC	631	6310	
SYSTEM GASTRIC BAND LAP-BAND AP OMNIFORM STAINLESS STEEL SILICONE ELASTOMER LARGE L50 CM 14 CC ACCESS PORT I ADJUSTABLE CONNECTOR RADIOPAQUE STERILE LATEX FREE	SUP-B-2245	CDM			270	RC		inpatient			6310	6310																																																			
LINER ACETABULAR TRILOGY LONGEVITY H8.3 MM OD50/52/54 MM ID28 MM HIP CONSTRAIN	SUP-00-6334-050-28	CDM	270010024	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
LINER ACETABULAR TRILOGY LONGEVITY H8.3 MM OD50/52/54 MM ID28 MM HIP CONSTRAIN	SUP-00-6334-050-28	CDM	270010024	LOCAL	270	RC		inpatient			6300	6300																																																			
LINER ACETABULAR TRILOGY LONGEVITY RING H8.4 MM OD60 MM ID36 MM HIP CONSTRAIN	SUP-00-6334-060-36	CDM	270010024	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
LINER ACETABULAR TRILOGY LONGEVITY RING H8.4 MM OD60 MM ID36 MM HIP CONSTRAIN	SUP-00-6334-060-36	CDM	270010024	LOCAL	270	RC		inpatient			6300	6300																																																			
LINER ACETABULAR TRILOGY LONGEVITY H9.4 MM OD62 MM ID36 MM HIP CONSTRAIN	SUP-00-6334-062-36	CDM	270010024	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
LINER ACETABULAR TRILOGY LONGEVITY H9.4 MM OD62 MM ID36 MM HIP CONSTRAIN	SUP-00-6334-062-36	CDM	270010024	LOCAL	270	RC		inpatient			6300	6300																																																			
LINER ACETABULAR LONGEVITY 45 D II OD52 MM ID28 MM HIP CONSTRAINED	SUP-00-8758-010-28	CDM	270010024	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
LINER ACETABULAR LONGEVITY 45 D II OD52 MM ID28 MM HIP CONSTRAINED	SUP-00-8758-010-28	CDM	270010024	LOCAL	270	RC		inpatient			6300	6300																																																			
SPACER SPINAL OPAL PEEK BULLET NOSE L24 MM X W9 MM X H10 MM REVOLVE 2 RADIOGRAPHIC MARKER PIN SELF DISTRACT NONSTERILE	SUP-08.803.050	CDM	270010020	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
SPACER SPINAL OPAL PEEK BULLET NOSE L24 MM X W9 MM X H10 MM REVOLVE 2 RADIOGRAPHIC MARKER PIN SELF DISTRACT NONSTERILE	SUP-08.803.050	CDM	270010020	LOCAL	270	RC		inpatient			6300	6300																																																			
SPACER SPINAL OPAL PEEK-OPTIMA BULLET NOSE L28 MM X W10 MM X H11 MM REVOLVE 2 RADIOGRAPHIC MARKER PIN BEVEL EDGE SELF DISTRACT NONSTERILE	SUP-08.803.131	CDM	270010020	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
SPACER SPINAL OPAL PEEK-OPTIMA BULLET NOSE L28 MM X W10 MM X H11 MM REVOLVE 2 RADIOGRAPHIC MARKER PIN BEVEL EDGE SELF DISTRACT NONSTERILE	SUP-08.803.131	CDM	270010020	LOCAL	270	RC		inpatient			6300	6300																																																			
SOLERO APPLICATOR 29CM	SUP-H787700106003US0	CDM			270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
SOLERO APPLICATOR 29CM	SUP-H787700106003US0	CDM			270	RC		inpatient			6300	6300																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L8.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH121285	CDM	270010015	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L8.5 CM OD12 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN LIMB HYDRO DELIVERY AAA	SUP-ILXCH121285	CDM	270010015	LOCAL	270	RC		inpatient			6300	6300																																																			
GRAFT LEG MEDRONIC ILXCH1414185	SUP-ILXCH1414185	CDM	270010015	LOCAL	270	RC		outpatient			6300	63	1706.67				percent of total billed charges		6300				other	OPPS APC	4662				percent of total billed charges		6300				other	OPPS APC	6300				other	OPPS APC	1706.67				percent of total billed charges		1740.69				percent of total billed charges		63				other	OPPS APC	63	6300	
GRAFT LEG MEDRONIC ILXCH1414185	SUP-ILXCH1414185	CDM	270010015	LOCAL	270	RC		inpatient			6300	6300																																																			
VENTRALIGHT ST 10 X 13  ELLIPSE	SUP-97-00219	CDM			278	RC		outpatient			6288.75	6288.75	6288.75				fee schedule		6288.75				other	OPPS APC	3584.59				percent of total billed charges		6288.75				other	OPPS APC	6288.75				other	OPPS APC	3081.49				percent of total billed charges		3207.26				percent of total billed charges		6288.75				other	OPPS APC	3081.49	6288.75	
VENTRALIGHT ST 10 X 13  ELLIPSE	SUP-97-00219	CDM			278	RC		inpatient			6288.75	6288.75																																																			
CLAW II 3 HOLE T PLATE 25MM	SUP-97-01451	CDM			278	RC		outpatient			6287.5	6287.5	6287.5				fee schedule		6287.5				other	OPPS APC	3583.88				percent of total billed charges		6287.5				other	OPPS APC	6287.5				other	OPPS APC	3080.88				percent of total billed charges		3206.63				percent of total billed charges		6287.5				other	OPPS APC	3080.88	6287.5	
CLAW II 3 HOLE T PLATE 25MM	SUP-97-01451	CDM			278	RC		inpatient			6287.5	6287.5																																																			
STENT - ICAST COVERED 6X22	SUP-99-01181	CDM			278	RC		outpatient			6287.5	6287.5	6287.5				fee schedule		6287.5				other	OPPS APC	3583.88				percent of total billed charges		6287.5				other	OPPS APC	6287.5				other	OPPS APC	3080.88				percent of total billed charges		3206.63				percent of total billed charges		6287.5				other	OPPS APC	3080.88	6287.5	
STENT - ICAST COVERED 6X22	SUP-99-01181	CDM			278	RC		inpatient			6287.5	6287.5																																																			
STENT - ICAST COVERED 7X22	SUP-99-01728	CDM			278	RC		outpatient			6287.5	6287.5	6287.5				fee schedule		6287.5				other	OPPS APC	3583.88				percent of total billed charges		6287.5				other	OPPS APC	6287.5				other	OPPS APC	3080.88				percent of total billed charges		3206.63				percent of total billed charges		6287.5				other	OPPS APC	3080.88	6287.5	
STENT - ICAST COVERED 7X22	SUP-99-01728	CDM			278	RC		inpatient			6287.5	6287.5																																																			
BEVACIZUMAB-AWWB 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	55513-206-01	NDC	Q5107	HCPCS		inpatient			6279.6	6279.6																																																			
BEVACIZUMAB-AWWB 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	55513-206-01	NDC	Q5107	HCPCS		outpatient			6279.6	28.5																																											28.5				other	OPPS APC	28.5	28.5	
PACEMAKER AZURE S XT SR W1SR01 MRI SYSTEM SYSTEMSYSTEM	SUP-AZURESXTMRIMEEM	CDM			275	RC		outpatient			6279.5	6279.5	3076.96				percent of total billed charges		6279.5				other	OPPS APC	3579.32				percent of total billed charges		6279.5				other	OPPS APC	6279.5				other	OPPS APC	3076.96				percent of total billed charges		3202.55				percent of total billed charges		6279.5				other	OPPS APC	3076.96	6279.5	
PACEMAKER AZURE S XT SR W1SR01 MRI SYSTEM SYSTEMSYSTEM	SUP-AZURESXTMRIMEEM	CDM			275	RC		inpatient			6279.5	6279.5																																																			
GRAFT - HYBRID DIALYSIS 6 X 5 X 50	SUP-95-01592	CDM			278	RC		outpatient			6277.5	6277.5	6277.5				fee schedule		6277.5				other	OPPS APC	3578.18				percent of total billed charges		6277.5				other	OPPS APC	6277.5				other	OPPS APC	3075.98				percent of total billed charges		3201.53				percent of total billed charges		6277.5				other	OPPS APC	3075.98	6277.5	
GRAFT - HYBRID DIALYSIS 6 X 5 X 50	SUP-95-01592	CDM			278	RC		inpatient			6277.5	6277.5																																																			
CATHETER ULTRASOUND ACUNAV L90 CM OD10 FR INTRACARDIAC 4 WAY STEERING REAL TIME VISUALIZATION GE	SUP-10043342	CDM			270	RC		outpatient			6276	6276	1700.17				percent of total billed charges		6276				other	OPPS APC	4644.24				percent of total billed charges		6276				other	OPPS APC	6276				other	OPPS APC	1700.17				percent of total billed charges		1734.06				percent of total billed charges		6276				other	OPPS APC	1700.17	6276	
CATHETER ULTRASOUND ACUNAV L90 CM OD10 FR INTRACARDIAC 4 WAY STEERING REAL TIME VISUALIZATION GE	SUP-10043342	CDM			270	RC		inpatient			6276	6276																																																			
CATHETER ULTRASOUND ACUNAV L90 CM OD 8FR INTRACARDIAC 4 WAY STEERING REAL TIME VISUALIZATION DOPPLER IMAGING MODULAR SYSTEM SETUP ECHOCARDIOGRAPHY	SUP-10135910	CDM			270	RC		outpatient			6276	6276	1700.17				percent of total billed charges		6276				other	OPPS APC	4644.24				percent of total billed charges		6276				other	OPPS APC	6276				other	OPPS APC	1700.17				percent of total billed charges		1734.06				percent of total billed charges		6276				other	OPPS APC	1700.17	6276	
CATHETER ULTRASOUND ACUNAV L90 CM OD 8FR INTRACARDIAC 4 WAY STEERING REAL TIME VISUALIZATION DOPPLER IMAGING MODULAR SYSTEM SETUP ECHOCARDIOGRAPHY	SUP-10135910	CDM			270	RC		inpatient			6276	6276																																																			
MRS 13X127 FEM STEM W/O BODY	SUP-97-03368	CDM			278	RC		outpatient			6268.63	6268.63	6268.63				fee schedule		6268.63				other	OPPS APC	3573.12				percent of total billed charges		6268.63				other	OPPS APC	6268.63				other	OPPS APC	3071.63				percent of total billed charges		3197				percent of total billed charges		6268.63				other	OPPS APC	3071.63	6268.63	
MRS 13X127 FEM STEM W/O BODY	SUP-97-03368	CDM			278	RC		inpatient			6268.63	6268.63																																																			
PLATE TIBIAL NEXGEN ZIMALOY PMMA UHMWPE 6 KNEE ROTATE HINGE STEM STERILE	SUP-00588000600	CDM	270010025	LOCAL	270	RC		outpatient			6264	6264	1696.92				percent of total billed charges		6264				other	OPPS APC	4635.36				percent of total billed charges		6264				other	OPPS APC	6264				other	OPPS APC	1696.92				percent of total billed charges		1730.74				percent of total billed charges		6264				other	OPPS APC	1696.92	6264	
PLATE TIBIAL NEXGEN ZIMALOY PMMA UHMWPE 6 KNEE ROTATE HINGE STEM STERILE	SUP-00588000600	CDM	270010025	LOCAL	270	RC		inpatient			6264	6264																																																			
PEGFILGRASTIM-JMDB 6 MG/0.6 ML SYRINGE	636000000	CDM	83257-005-41	NDC	Q5108	HCPCS		inpatient			6262.5	6262.5																																																			
PEGFILGRASTIM-JMDB 6 MG/0.6 ML SYRINGE	636000000	CDM	83257-005-41	NDC	Q5108	HCPCS		outpatient			6262.5	174.75																																											174.75				other	OPPS APC	174.75	174.75	
VIBONE CELLULAR BONE GRAFT 5CC	SUP-97-03410	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
VIBONE CELLULAR BONE GRAFT 5CC	SUP-97-03410	CDM			278	RC		inpatient			6250	6250																																																			
PSN ASF CPS 10MM VE R 6-9 EF	SUP-97-03909	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
PSN ASF CPS 10MM VE R 6-9 EF	SUP-97-03909	CDM			278	RC		inpatient			6250	6250																																																			
PSN ASF CPS 14MM VE L 6-9EF	SUP-97-04030	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
PSN ASF CPS 14MM VE L 6-9EF	SUP-97-04030	CDM			278	RC		inpatient			6250	6250																																																			
PSN ASF CPS 16MM VE R 6-9EF	SUP-97-04246	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
PSN ASF CPS 16MM VE R 6-9EF	SUP-97-04246	CDM			278	RC		inpatient			6250	6250																																																			
PSN ASF CPS 16MM VE L 6-9EF	SUP-97-04247	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
PSN ASF CPS 16MM VE L 6-9EF	SUP-97-04247	CDM			278	RC		inpatient			6250	6250																																																			
PSN ASF CPS 20MM VE L6-9EF	SUP-97-04294	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
PSN ASF CPS 20MM VE L6-9EF	SUP-97-04294	CDM			278	RC		inpatient			6250	6250																																																			
STAPLE 15 X 15 EASYFUSE	SUP-97-05760	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STAPLE 15 X 15 EASYFUSE	SUP-97-05760	CDM			278	RC		inpatient			6250	6250																																																			
STAPLE 18 X 15 EASYFUSE	SUP-97-05768	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STAPLE 18 X 15 EASYFUSE	SUP-97-05768	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 6X58	SUP-99-03319	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 6X58	SUP-99-03319	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 8X58	SUP-99-03320	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 8X58	SUP-99-03320	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 6X37	SUP-99-03323	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 6X37	SUP-99-03323	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 8X37	SUP-99-03324	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 8X37	SUP-99-03324	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 9X38	SUP-99-03337	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 9X38	SUP-99-03337	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 9X58	SUP-99-03338	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 9X58	SUP-99-03338	CDM			278	RC		inpatient			6250	6250																																																			
STENT - LIFESTREAM COVERED 10X38	SUP-99-03344	CDM			278	RC		outpatient			6250	625	6250				fee schedule		6250				other	OPPS APC	3562.5				percent of total billed charges		6250				other	OPPS APC	6250				other	OPPS APC	3062.5				percent of total billed charges		3187.5				percent of total billed charges		625				other	OPPS APC	625	6250	
STENT - LIFESTREAM COVERED 10X38	SUP-99-03344	CDM			278	RC		inpatient			6250	6250																																																			
NAIL  TI CANN TFNA 10MM/130DEG	SUP-97-03563	CDM			278	RC		outpatient			6248.55	6248.55	6248.55				fee schedule		6248.55				other	OPPS APC	3561.67				percent of total billed charges		6248.55				other	OPPS APC	6248.55				other	OPPS APC	3061.79				percent of total billed charges		3186.76				percent of total billed charges		6248.55				other	OPPS APC	3061.79	6248.55	
NAIL  TI CANN TFNA 10MM/130DEG	SUP-97-03563	CDM			278	RC		inpatient			6248.55	6248.55																																																			
SPACER SPINAL CRESCENT PEEK-OPTIMA L30 MM X H11 MM	SUP-9393011	CDM	270010020	LOCAL	270	RC		outpatient			6245.64	6245.64	1691.94				percent of total billed charges		6245.64				other	OPPS APC	4621.77				percent of total billed charges		6245.64				other	OPPS APC	6245.64				other	OPPS APC	1691.94				percent of total billed charges		1725.67				percent of total billed charges		6245.64				other	OPPS APC	1691.94	6245.64	
SPACER SPINAL CRESCENT PEEK-OPTIMA L30 MM X H11 MM	SUP-9393011	CDM	270010020	LOCAL	270	RC		inpatient			6245.64	6245.64																																																			
CATHETER ABLATION TACTICATH 2-2-2MM SPACEDAMATO TYPE FIX CURVE L115CM L3.5MM OD8 FR BIDIRECTIONAL IRRIGATE CONTACT FORCE FIBER OPTIC	SUP-A-TCSE-DF	CDM			270	RC		outpatient			6242	6242	1690.96				percent of total billed charges		6242				other	OPPS APC	4619.08				percent of total billed charges		6242				other	OPPS APC	6242				other	OPPS APC	1690.96				percent of total billed charges		1724.66				percent of total billed charges		6242				other	OPPS APC	1690.96	6242	
CATHETER ABLATION TACTICATH 2-2-2MM SPACEDAMATO TYPE FIX CURVE L115CM L3.5MM OD8 FR BIDIRECTIONAL IRRIGATE CONTACT FORCE FIBER OPTIC	SUP-A-TCSE-DF	CDM			270	RC		inpatient			6242	6242																																																			
CATHETER ABLATION TACTICATH SENSOR ENABLED 2-2-2MM SPACE F-J CURVE L115CM L 3.5MM OD 8 FR IRRIGATE BIDIRECTIONAL	SUP-A-TCSE-FJ	CDM			270	RC		outpatient			6242	6242	1690.96				percent of total billed charges		6242				other	OPPS APC	4619.08				percent of total billed charges		6242				other	OPPS APC	6242				other	OPPS APC	1690.96				percent of total billed charges		1724.66				percent of total billed charges		6242				other	OPPS APC	1690.96	6242	
CATHETER ABLATION TACTICATH SENSOR ENABLED 2-2-2MM SPACE F-J CURVE L115CM L 3.5MM OD 8 FR IRRIGATE BIDIRECTIONAL	SUP-A-TCSE-FJ	CDM			270	RC		inpatient			6242	6242																																																			
SIGMA TIBIAL MOD COCR 3	SUP-97-01053	CDM			278	RC		outpatient			6238.5	6238.5	6238.5				fee schedule		6238.5				other	OPPS APC	3555.95				percent of total billed charges		6238.5				other	OPPS APC	6238.5				other	OPPS APC	3056.87				percent of total billed charges		3181.64				percent of total billed charges		6238.5				other	OPPS APC	3056.87	6238.5	
SIGMA TIBIAL MOD COCR 3	SUP-97-01053	CDM			278	RC		inpatient			6238.5	6238.5																																																			
SUPER NITI STAPLE W/INSTRS 18X18L	SUP-97-04038	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
SUPER NITI STAPLE W/INSTRS 18X18L	SUP-97-04038	CDM			278	RC		inpatient			6237.5	6237.5																																																			
SUPER NITI STAPLE W/INSTRS 20X20L	SUP-97-04039	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
SUPER NITI STAPLE W/INSTRS 20X20L	SUP-97-04039	CDM			278	RC		inpatient			6237.5	6237.5																																																			
GRAFT OSTEOCHONDRAL CORE FRESH	SUP-97-04056	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
GRAFT OSTEOCHONDRAL CORE FRESH	SUP-97-04056	CDM			278	RC		inpatient			6237.5	6237.5																																																			
SUPERMX NITI STAPLE W/INSTRS 18W X 15L	SUP-97-04502	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
SUPERMX NITI STAPLE W/INSTRS 18W X 15L	SUP-97-04502	CDM			278	RC		inpatient			6237.5	6237.5																																																			
SUPERMX NITI STAPLE W/INSTRS 25W X 20L	SUP-97-04503	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
SUPERMX NITI STAPLE W/INSTRS 25W X 20L	SUP-97-04503	CDM			278	RC		inpatient			6237.5	6237.5																																																			
SUPERMX NITI STAPLE W/INSTRS 20W X 15L	SUP-97-04511	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
SUPERMX NITI STAPLE W/INSTRS 20W X 15L	SUP-97-04511	CDM			278	RC		inpatient			6237.5	6237.5																																																			
SUPERMX NITI STAPLE W/INSTRS 15W X 15L	SUP-97-05231	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
SUPERMX NITI STAPLE W/INSTRS 15W X 15L	SUP-97-05231	CDM			278	RC		inpatient			6237.5	6237.5																																																			
IMPLANT SYSTEM SPEEDBRIDGE HIP 4.75MM	SUP-97-06038	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
IMPLANT SYSTEM SPEEDBRIDGE HIP 4.75MM	SUP-97-06038	CDM			278	RC		inpatient			6237.5	6237.5																																																			
PLATE DYNANITE COMPRESSION 2 HOLE STRAIGHT 30MM	SUP-97-06145	CDM			278	RC		outpatient			6237.5	6237.5	6237.5				fee schedule		6237.5				other	OPPS APC	3555.38				percent of total billed charges		6237.5				other	OPPS APC	6237.5				other	OPPS APC	3056.38				percent of total billed charges		3181.13				percent of total billed charges		6237.5				other	OPPS APC	3056.38	6237.5	
PLATE DYNANITE COMPRESSION 2 HOLE STRAIGHT 30MM	SUP-97-06145	CDM			278	RC		inpatient			6237.5	6237.5																																																			
TRAY TIBIAL GMK COCR 1 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0681L	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
TRAY TIBIAL GMK COCR 1 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0681L	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
TRAY TIBIAL REVISION RIGHT S2	SUP-02.07.0682FR	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
TRAY TIBIAL REVISION RIGHT S2	SUP-02.07.0682FR	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
COMPONENT TIBIAL TRAY GMK COCR 3 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0683L	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
COMPONENT TIBIAL TRAY GMK COCR 3 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0683L	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
COMPONENT TIBIAL TRAY GMK COCR 3 RIGHT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0683R	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
COMPONENT TIBIAL TRAY GMK COCR 3 RIGHT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0683R	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
TRAY TIBIAL GMK COCR 4 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0684L	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
TRAY TIBIAL GMK COCR 4 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0684L	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
TRAY TIBIAL GMK COCR 4 RIGHT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0684R	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
TRAY TIBIAL GMK COCR 4 RIGHT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0684R	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
TRAY TIBIAL GMK COCR 5 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0685L	CDM	270010024	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
TRAY TIBIAL GMK COCR 5 LEFT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0685L	CDM	270010024	LOCAL	270	RC		inpatient			6233	6233																																																			
COMPONENT TIBIAL TRAY GMK COCR 5 RIGHT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0685R	CDM	270010025	LOCAL	270	RC		outpatient			6233	6233	1688.52				percent of total billed charges		6233				other	OPPS APC	4612.42				percent of total billed charges		6233				other	OPPS APC	6233				other	OPPS APC	1688.52				percent of total billed charges		1722.18				percent of total billed charges		6233				other	OPPS APC	1688.52	6233	
COMPONENT TIBIAL TRAY GMK COCR 5 RIGHT REVISION CEMENTED FIXED BEARING NONSTERILE	SUP-02.07.0685R	CDM	270010025	LOCAL	270	RC		inpatient			6233	6233																																																			
2.5 IMPLANT STRAIGHT	SUP-97-23819	CDM			278	RC		outpatient			6228.13	6228.13	6228.13				fee schedule		6228.13				other	OPPS APC	3550.03				percent of total billed charges		6228.13				other	OPPS APC	6228.13				other	OPPS APC	3051.78				percent of total billed charges		3176.35				percent of total billed charges		6228.13				other	OPPS APC	3051.78	6228.13	
2.5 IMPLANT STRAIGHT	SUP-97-23819	CDM			278	RC		inpatient			6228.13	6228.13																																																			
2.2 IMPLANT STRAIGHT	SUP-97-23848	CDM			278	RC		outpatient			6228.13	6228.13	6228.13				fee schedule		6228.13				other	OPPS APC	3550.03				percent of total billed charges		6228.13				other	OPPS APC	6228.13				other	OPPS APC	3051.78				percent of total billed charges		3176.35				percent of total billed charges		6228.13				other	OPPS APC	3051.78	6228.13	
2.2 IMPLANT STRAIGHT	SUP-97-23848	CDM			278	RC		inpatient			6228.13	6228.13																																																			
LEAD ICD RELIANCE	SUP-0127-8	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD RELIANCE	SUP-0127-8	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD RELIANCE	SUP-0137-8	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD RELIANCE	SUP-0137-8	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD RELIANCE	SUP-0147-9	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD RELIANCE	SUP-0147-9	CDM			275	RC		inpatient			6226	6226																																																			
FORCEPS BIOPSY RADIAL JAW 3 PEDIATRIC L160 CM OD1.8 MM GASTROINTESTINE NEEDLE STERILE DISPOSABLE YELLOW	SUP-0157-9	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
FORCEPS BIOPSY RADIAL JAW 3 PEDIATRIC L160 CM OD1.8 MM GASTROINTESTINE NEEDLE STERILE DISPOSABLE YELLOW	SUP-0157-9	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD RELIANCE GORE	SUP-0170-1	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD RELIANCE GORE	SUP-0170-1	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD RELIANCE GORE	SUP-0174-7	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD RELIANCE GORE	SUP-0174-7	CDM			275	RC		inpatient			6226	6226																																																			
STENT BILIARY SENTINOL NITINOL L79 MM L135 CM OD10 MM SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-0180-1	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
STENT BILIARY SENTINOL NITINOL L79 MM L135 CM OD10 MM SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-0180-1	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD RELIANCE GORE	SUP-0184-7	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD RELIANCE GORE	SUP-0184-7	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE L59 CM ENDOCARDIUM	SUP-0265	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE L59 CM ENDOCARDIUM	SUP-0265	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE L64 CM ENDOCARDIUM	SUP-0266	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE L64 CM ENDOCARDIUM	SUP-0266	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING 4-SITE ENDOTAK RELIANCE SILICONE IN-FILL STEROID ELUTING SILICONE STANDARD L64 CM ENDOCARDIUM	SUP-0273	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING 4-SITE ENDOTAK RELIANCE SILICONE IN-FILL STEROID ELUTING SILICONE STANDARD L64 CM ENDOCARDIUM	SUP-0273	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE STEROID ELUTING SILICONE L59 CM ENDOCARDIUM	SUP-0275	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE STEROID ELUTING SILICONE L59 CM ENDOCARDIUM	SUP-0275	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE L64 CM ENDOCARDIUM	SUP-0276	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE L64 CM ENDOCARDIUM	SUP-0276	CDM			275	RC		inpatient			6226	6226																																																			
EAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE L59 CM ENDOCARDIUM	SUP-0282	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
EAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE L59 CM ENDOCARDIUM	SUP-0282	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE LUBRICIOUS L64 CM ENDOCARDIAL	SUP-0283	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE LUBRICIOUS L64 CM ENDOCARDIAL	SUP-0283	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE L59 CM ENDOCARDIUM	SUP-0285	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE L59 CM ENDOCARDIUM	SUP-0285	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE GORE STEROID ELUTING SILICONE L64 CM ENDOCARDIUM	SUP-0286	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE GORE STEROID ELUTING SILICONE L64 CM ENDOCARDIUM	SUP-0286	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE LUBRICIOUS L59 CM ENDOCARDIAL	SUP-0295	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE 4-SITE GORE STEROID ELUTING SILICONE LUBRICIOUS L59 CM ENDOCARDIAL	SUP-0295	CDM			275	RC		inpatient			6226	6226																																																			
LEAD PACING ENDOTAK RELIANCE GORE STEROID ELUTING SILICONE L64 CM ENDOCARDIUM	SUP-0296	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD PACING ENDOTAK RELIANCE GORE STEROID ELUTING SILICONE L64 CM ENDOCARDIUM	SUP-0296	CDM			275	RC		inpatient			6226	6226																																																			
LEAD 0672 ICD RELIANCE 4-FRONT single coil	SUP-0672	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD 0672 ICD RELIANCE 4-FRONT single coil	SUP-0672	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD 0673 RELIANCE 4-FRONT 64 CM	SUP-0673	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD 0673 RELIANCE 4-FRONT 64 CM	SUP-0673	CDM			275	RC		inpatient			6226	6226																																																			
LEAD ICD 7122 DURATA DF1	SUP-7122	CDM			275	RC		outpatient			6226	6226	3050.74				percent of total billed charges		6226				other	OPPS APC	3548.82				percent of total billed charges		6226				other	OPPS APC	6226				other	OPPS APC	3050.74				percent of total billed charges		3175.26				percent of total billed charges		6226				other	OPPS APC	3050.74	6226	
LEAD ICD 7122 DURATA DF1	SUP-7122	CDM			275	RC		inpatient			6226	6226																																																			
QUATTRO SINGLE COIL DF1 6935	SUP-693558	CDM						inpatient			6214	6214																																																			
QUATTRO SINGLE COIL DF1 6935	SUP-693558	CDM						outpatient			6214	6214	6214				percent of total billed charges		6214				other	OPPS APC	6214				fee schedule		6214				other	OPPS APC	6214				other	OPPS APC	6214				case rate		6214				case rate		6214				other	OPPS APC	6214	6214	
LEAD PACING SPRINT QUATTRO SECURE STEROID ELUTING SILICONE HELIX L65 CM OD8.6 FR VENTRICLE 1 COIL ACTIVE FIXATION DEFIBRILLATION TRIPOLAR	SUP-693565	CDM			275	RC		outpatient			6214	6214	3044.86				percent of total billed charges		6214				other	OPPS APC	3541.98				percent of total billed charges		6214				other	OPPS APC	6214				other	OPPS APC	3044.86				percent of total billed charges		3169.14				percent of total billed charges		6214				other	OPPS APC	3044.86	6214	
LEAD PACING SPRINT QUATTRO SECURE STEROID ELUTING SILICONE HELIX L65 CM OD8.6 FR VENTRICLE 1 COIL ACTIVE FIXATION DEFIBRILLATION TRIPOLAR	SUP-693565	CDM			275	RC		inpatient			6214	6214																																																			
LEAD PACING SPRINT QUATTRO SECURE STEROID ELUTING  SILICONE HELIX L49 CM OD 8.6 FR VENTRICLE 1 COIL ACTIVE FIXATION DEFIBRILLATION	SUP-6935M49	CDM			275	RC		outpatient			6214	6214	3044.86				percent of total billed charges		6214				other	OPPS APC	3541.98				percent of total billed charges		6214				other	OPPS APC	6214				other	OPPS APC	3044.86				percent of total billed charges		3169.14				percent of total billed charges		6214				other	OPPS APC	3044.86	6214	
LEAD PACING SPRINT QUATTRO SECURE STEROID ELUTING  SILICONE HELIX L49 CM OD 8.6 FR VENTRICLE 1 COIL ACTIVE FIXATION DEFIBRILLATION	SUP-6935M49	CDM			275	RC		inpatient			6214	6214																																																			
LEAD PACING SPRINT QUATTRO SECURE S L55 CM RIGHT VENTRICLE DF-4 TRIPOLAR SCREW DEFIBRILLATOR	SUP-6935M55	CDM			275	RC		outpatient			6214	6214	3044.86				percent of total billed charges		6214				other	OPPS APC	3541.98				percent of total billed charges		6214				other	OPPS APC	6214				other	OPPS APC	3044.86				percent of total billed charges		3169.14				percent of total billed charges		6214				other	OPPS APC	3044.86	6214	
LEAD PACING SPRINT QUATTRO SECURE S L55 CM RIGHT VENTRICLE DF-4 TRIPOLAR SCREW DEFIBRILLATOR	SUP-6935M55	CDM			275	RC		inpatient			6214	6214																																																			
LEAD PACING SPRINT QUATTRO SECURE DEXAMETHASONE SODIUM PHOSPHATE STEROID ELUTING L62 CM	SUP-6935M62	CDM			275	RC		outpatient			6214	6214	3044.86				percent of total billed charges		6214				other	OPPS APC	3541.98				percent of total billed charges		6214				other	OPPS APC	6214				other	OPPS APC	3044.86				percent of total billed charges		3169.14				percent of total billed charges		6214				other	OPPS APC	3044.86	6214	
LEAD PACING SPRINT QUATTRO SECURE DEXAMETHASONE SODIUM PHOSPHATE STEROID ELUTING L62 CM	SUP-6935M62	CDM			275	RC		inpatient			6214	6214																																																			
LEAD PACING SPRINT QUATTRO SECURE S ISOGLIDE STEROID ELUTING SILICONE ETFE L 72 CM OD 8.6 FR VENTRICULAR HELIX ELECTRODE DF-4 CONNECTOR TRIPOLAR DEFIBRILLATION COIL STERILE	SUP-6935M72	CDM			275	RC		outpatient			6214	6214	3044.86				percent of total billed charges		6214				other	OPPS APC	3541.98				percent of total billed charges		6214				other	OPPS APC	6214				other	OPPS APC	3044.86				percent of total billed charges		3169.14				percent of total billed charges		6214				other	OPPS APC	3044.86	6214	
LEAD PACING SPRINT QUATTRO SECURE S ISOGLIDE STEROID ELUTING SILICONE ETFE L 72 CM OD 8.6 FR VENTRICULAR HELIX ELECTRODE DF-4 CONNECTOR TRIPOLAR DEFIBRILLATION COIL STERILE	SUP-6935M72	CDM			275	RC		inpatient			6214	6214																																																			
LEAD PACING SPRINT QUATTRO SECURE S ISOGLIDE STEROID ELUTING SILICONE ETFE L97 CM OD 8.6 FR VENTRICULAR HELIX ELECTRODE DF-4 CONNECTOR TRIPOLAR DEFIBRILLATION COIL STERILE	SUP-6935M97	CDM			275	RC		outpatient			6214	6214	3044.86				percent of total billed charges		6214				other	OPPS APC	3541.98				percent of total billed charges		6214				other	OPPS APC	6214				other	OPPS APC	3044.86				percent of total billed charges		3169.14				percent of total billed charges		6214				other	OPPS APC	3044.86	6214	
LEAD PACING SPRINT QUATTRO SECURE S ISOGLIDE STEROID ELUTING SILICONE ETFE L97 CM OD 8.6 FR VENTRICULAR HELIX ELECTRODE DF-4 CONNECTOR TRIPOLAR DEFIBRILLATION COIL STERILE	SUP-6935M97	CDM			275	RC		inpatient			6214	6214																																																			
IMPLANT STRIP POCKET DBM 20CC	SUP-58100200	CDM	270010031	LOCAL	270	RC		outpatient			6212.96	6212.96	1683.09				percent of total billed charges		6212.96				other	OPPS APC	4597.59				percent of total billed charges		6212.96				other	OPPS APC	6212.96				other	OPPS APC	1683.09				percent of total billed charges		1716.64				percent of total billed charges		6212.96				other	OPPS APC	1683.09	6212.96	
IMPLANT STRIP POCKET DBM 20CC	SUP-58100200	CDM	270010031	LOCAL	270	RC		inpatient			6212.96	6212.96																																																			
STEM HUMERAL UNIVERSAL REVERSE 6MM	SUP-45650	CDM			278	RC		outpatient			6212.5	6212.5	6212.5				fee schedule		6212.5				other	OPPS APC	3541.13				percent of total billed charges		6212.5				other	OPPS APC	6212.5				other	OPPS APC	3044.13				percent of total billed charges		3168.38				percent of total billed charges		6212.5				other	OPPS APC	3044.13	6212.5	
STEM HUMERAL UNIVERSAL REVERSE 6MM	SUP-45650	CDM			278	RC		inpatient			6212.5	6212.5																																																			
HC Rad Therapy Bone Metastases Rad Onc Model 90 Day Episode  Tc	PX-333M10770	CDM			333	RC		outpatient			6209.37	629.37	3042.59				percent of total billed charges		6209.37				other	OPPS APC	4594.93				percent of total billed charges		6209.37				other	OPPS APC	6209.37				other	OPPS APC	3042.59				percent of total billed charges		3166.78				percent of total billed charges		629.37				other	OPPS APC	629.37	6209.37	
HC Rad Therapy Bone Metastases Rad Onc Model 90 Day Episode  Tc	PX-333M10770	CDM			333	RC		inpatient			6209.37	6209.37																																																			
DLT TS CER HD 12/14 32MM +1	SUP-97-04322	CDM			278	RC		outpatient			6196.25	6196.25	6196.25				fee schedule		6196.25				other	OPPS APC	3531.86				percent of total billed charges		6196.25				other	OPPS APC	6196.25				other	OPPS APC	3036.16				percent of total billed charges		3160.09				percent of total billed charges		6196.25				other	OPPS APC	3036.16	6196.25	
DLT TS CER HD 12/14 32MM +1	SUP-97-04322	CDM			278	RC		inpatient			6196.25	6196.25																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE	SUP-09.405.253S	CDM			270	RC		outpatient			6187.5	6187.5	1676.19				percent of total billed charges		6187.5				other	OPPS APC	4578.75				percent of total billed charges		6187.5				other	OPPS APC	6187.5				other	OPPS APC	1676.19				percent of total billed charges		1709.61				percent of total billed charges		6187.5				other	OPPS APC	1676.19	6187.5	
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC5.5 MM STERILE	SUP-09.405.253S	CDM			270	RC		inpatient			6187.5	6187.5																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM ELBOW STERILE	SUP-09.405.263S	CDM			270	RC		outpatient			6187.5	6187.5	1676.19				percent of total billed charges		6187.5				other	OPPS APC	4578.75				percent of total billed charges		6187.5				other	OPPS APC	6187.5				other	OPPS APC	1676.19				percent of total billed charges		1709.61				percent of total billed charges		6187.5				other	OPPS APC	1676.19	6187.5	
HEAD RADIAL OD+3 MM ELLIPTICAL H10 MM OD22 MM ODSEC6.5 MM ELBOW STERILE	SUP-09.405.263S	CDM			270	RC		inpatient			6187.5	6187.5																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE	SUP-09.405.573S	CDM			270	RC		outpatient			6187.5	6187.5	1676.19				percent of total billed charges		6187.5				other	OPPS APC	4578.75				percent of total billed charges		6187.5				other	OPPS APC	6187.5				other	OPPS APC	1676.19				percent of total billed charges		1709.61				percent of total billed charges		6187.5				other	OPPS APC	1676.19	6187.5	
HEAD RADIAL OD+3 MM ELLIPTICAL H11 MM OD25 MM ODSEC7.5 MM STERILE	SUP-09.405.573S	CDM			270	RC		inpatient			6187.5	6187.5																																																			
HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE	SUP-09.405.973S	CDM			270	RC		outpatient			6187.5	6187.5	1676.19				percent of total billed charges		6187.5				other	OPPS APC	4578.75				percent of total billed charges		6187.5				other	OPPS APC	6187.5				other	OPPS APC	1676.19				percent of total billed charges		1709.61				percent of total billed charges		6187.5				other	OPPS APC	1676.19	6187.5	
HEAD RADIAL OD+3 MM ELLIPTICAL H9 MM OD19 MM ODSEC7.5 MM STERILE	SUP-09.405.973S	CDM			270	RC		inpatient			6187.5	6187.5																																																			
MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM L16 CM X W6 CM ALLOGRAFT REGENERATIVE	SUP-1518616	CDM	270010031	LOCAL	270	RC		outpatient			6182	6182	1674.7				percent of total billed charges		6182				other	OPPS APC	4574.68				percent of total billed charges		6182				other	OPPS APC	6182				other	OPPS APC	1674.7				percent of total billed charges		1708.09				percent of total billed charges		6182				other	OPPS APC	1674.7	6182	
MATRIX TISSUE ALLODERM SELECT THK.4-1.6 MM MEDIUM L16 CM X W6 CM ALLOGRAFT REGENERATIVE	SUP-1518616	CDM	270010031	LOCAL	270	RC		inpatient			6182	6182																																																			
MATRIX TISSUE ALLODERM THICK 16X6CM ACELLULAR DERMIS ALLOGRAFT REGENERATIVE READY TO USE	SUP-1520616	CDM	270010031	LOCAL	270	RC		outpatient			6182	6182	1674.7				percent of total billed charges		6182				other	OPPS APC	4574.68				percent of total billed charges		6182				other	OPPS APC	6182				other	OPPS APC	1674.7				percent of total billed charges		1708.09				percent of total billed charges		6182				other	OPPS APC	1674.7	6182	
MATRIX TISSUE ALLODERM THICK 16X6CM ACELLULAR DERMIS ALLOGRAFT REGENERATIVE READY TO USE	SUP-1520616	CDM	270010031	LOCAL	270	RC		inpatient			6182	6182																																																			
PLATE 6 HOLE HEAD 3 HOLE SHAFT	SUP-97-03489	CDM			278	RC		outpatient			6175	6175	6175				fee schedule		6175				other	OPPS APC	3519.75				percent of total billed charges		6175				other	OPPS APC	6175				other	OPPS APC	3025.75				percent of total billed charges		3149.25				percent of total billed charges		6175				other	OPPS APC	3025.75	6175	
PLATE 6 HOLE HEAD 3 HOLE SHAFT	SUP-97-03489	CDM			278	RC		inpatient			6175	6175																																																			
HEAD RADIAL EVOLVE PROLINE STANDARD OD20 MM ELBOW MODULAR	SUP-496H020	CDM			270	RC		outpatient			6170	617	1671.45				percent of total billed charges		6170				other	OPPS APC	4565.8				percent of total billed charges		6170				other	OPPS APC	6170				other	OPPS APC	1671.45				percent of total billed charges		1704.77				percent of total billed charges		617				other	OPPS APC	617	6170	
HEAD RADIAL EVOLVE PROLINE STANDARD OD20 MM ELBOW MODULAR	SUP-496H020	CDM			270	RC		inpatient			6170	6170																																																			
HEAD RADIAL EVOLVE PROLINE STANDARD OD24 MM ELBOW MODULAR	SUP-496H024	CDM			270	RC		outpatient			6170	617	1671.45				percent of total billed charges		6170				other	OPPS APC	4565.8				percent of total billed charges		6170				other	OPPS APC	6170				other	OPPS APC	1671.45				percent of total billed charges		1704.77				percent of total billed charges		617				other	OPPS APC	617	6170	
HEAD RADIAL EVOLVE PROLINE STANDARD OD24 MM ELBOW MODULAR	SUP-496H024	CDM			270	RC		inpatient			6170	6170																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L90 MM OD12 MM ODSEC6 MM ID16 FR SELF EXPANDABLE ANCILLARY LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-TFLE-12-90-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6170	617	1671.45				percent of total billed charges		6170				other	OPPS APC	4565.8				percent of total billed charges		6170				other	OPPS APC	6170				other	OPPS APC	1671.45				percent of total billed charges		1704.77				percent of total billed charges		617				other	OPPS APC	617	6170	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL WOVEN 2 BRANCH L90 MM OD12 MM ODSEC6 MM ID16 FR SELF EXPANDABLE ANCILLARY LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-TFLE-12-90-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6170	6170																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L56 MM OD22 MM ODSEC6 MM ID16 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-TFLE-22-56-ZT	CDM	270010015	LOCAL	270	RC		outpatient			6170	617	1671.45				percent of total billed charges		6170				other	OPPS APC	4565.8				percent of total billed charges		6170				other	OPPS APC	6170				other	OPPS APC	1671.45				percent of total billed charges		1704.77				percent of total billed charges		617				other	OPPS APC	617	6170	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK POLYESTER STAINLESS STEEL BIFURCATED L56 MM OD22 MM ODSEC6 MM ID16 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-TFLE-22-56-ZT	CDM	270010015	LOCAL	270	RC		inpatient			6170	6170																																																			
NAIL STRYKER ANKLE ARTHRODESIS LEFT 11 X 150MM	SUP-1818-1115S	CDM			270	RC		outpatient			6156.8	6156.82	1667.88				percent of total billed charges		6156.8				other	OPPS APC	4556.03				percent of total billed charges		6156.8				other	OPPS APC	6156.8				other	OPPS APC	1667.88				percent of total billed charges		1701.12				percent of total billed charges		6156.82				other	OPPS APC	1667.88	6156.82	
NAIL STRYKER ANKLE ARTHRODESIS LEFT 11 X 150MM	SUP-1818-1115S	CDM			270	RC		inpatient			6156.8	6156.8																																																			
NAIL INTRAMEDULLARY T2 TITANIUM L20 CM OD10 MM ANKLE RIGHT LOCK STERILE ARTHRODESIS	SUP-1819-1020S	CDM			270	RC		outpatient			6156.8	6156.82	1667.88				percent of total billed charges		6156.8				other	OPPS APC	4556.03				percent of total billed charges		6156.8				other	OPPS APC	6156.8				other	OPPS APC	1667.88				percent of total billed charges		1701.12				percent of total billed charges		6156.82				other	OPPS APC	1667.88	6156.82	
NAIL INTRAMEDULLARY T2 TITANIUM L20 CM OD10 MM ANKLE RIGHT LOCK STERILE ARTHRODESIS	SUP-1819-1020S	CDM			270	RC		inpatient			6156.8	6156.8																																																			
SWANSON BASIL THUMB	SUP-97-02439	CDM			278	RC		outpatient			6155	6155	6155				fee schedule		6155				other	OPPS APC	3508.35				percent of total billed charges		6155				other	OPPS APC	6155				other	OPPS APC	3015.95				percent of total billed charges		3139.05				percent of total billed charges		6155				other	OPPS APC	3015.95	6155	
SWANSON BASIL THUMB	SUP-97-02439	CDM			278	RC		inpatient			6155	6155																																																			
HC Cc Coronary Angioplasty Major Branch	PX-481929201	CDM	92920	CPT	481	RC		outpatient			6150	5492.96	550.06				fee schedule		5492.96				other	OPPS APC	1360.37				fee schedule		5492.96				other	OPPS APC	5492.96				other	OPPS APC	509.72				fee schedule		3136.5				percent of total billed charges		5492.96				other	OPPS APC	509.72	5492.96	
HC Cc Coronary Angioplasty Major Branch	PX-481929201	CDM	92920	CPT	481	RC		inpatient			6150	6150																																																			
HC Cc Coronary Angioplasty Addl Branch	PX-481929211	CDM	92921	CPT	481	RC		outpatient			6150	615	6150				fee schedule		6150				other	OPPS APC	96.09				fee schedule		6150				other	OPPS APC	6150				other	OPPS APC	3013.5				percent of total billed charges		3136.5				percent of total billed charges		615				other	OPPS APC	96.09	6150	
HC Cc Coronary Angioplasty Addl Branch	PX-481929211	CDM	92921	CPT	481	RC		inpatient			6150	6150																																																			
STENT - INNOVA 7X200	SUP-99-02288	CDM			278	RC		inpatient			6125	6125																																																			
STENT - INNOVA 7X200	SUP-99-02288	CDM			278	RC		outpatient			6125	6125					fee schedule						other	OPPS APC	3491.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	3001.25				percent of total billed charges		3123.75				percent of total billed charges						other	OPPS APC	3491.25	3491.25	
STENT - INNOVA 6X200	SUP-99-02289	CDM			278	RC		inpatient			6125	6125																																																			
STENT - INNOVA 6X200	SUP-99-02289	CDM			278	RC		outpatient			6125	6125					fee schedule						other	OPPS APC	3491.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	3001.25				percent of total billed charges		3123.75				percent of total billed charges						other	OPPS APC	3491.25	3491.25	
NAIL  TI CANN TFNA 10MM/130DEG	SUP-97-03003	CDM			278	RC		outpatient			6124.8	6124.82	6124.8				fee schedule		6124.8				other	OPPS APC	3491.14				percent of total billed charges		6124.8				other	OPPS APC	6124.8				other	OPPS APC	3001.15				percent of total billed charges		3123.65				percent of total billed charges		6124.82				other	OPPS APC	3001.15	6124.82	
NAIL  TI CANN TFNA 10MM/130DEG	SUP-97-03003	CDM			278	RC		inpatient			6124.8	6124.8																																																			
NAIL 10MM/130 DEG TI CANN TFNA320MM RT	SUP-97-03539	CDM			278	RC		outpatient			6124.8	6124.82	6124.8				fee schedule		6124.8				other	OPPS APC	3491.14				percent of total billed charges		6124.8				other	OPPS APC	6124.8				other	OPPS APC	3001.15				percent of total billed charges		3123.65				percent of total billed charges		6124.82				other	OPPS APC	3001.15	6124.82	
NAIL 10MM/130 DEG TI CANN TFNA320MM RT	SUP-97-03539	CDM			278	RC		inpatient			6124.8	6124.8																																																			
NAIL 10MM/130 DEG TI CANN TFNA420MM LT	SUP-97-03540	CDM			278	RC		outpatient			6124.8	6124.82	6124.8				fee schedule		6124.8				other	OPPS APC	3491.14				percent of total billed charges		6124.8				other	OPPS APC	6124.8				other	OPPS APC	3001.15				percent of total billed charges		3123.65				percent of total billed charges		6124.82				other	OPPS APC	3001.15	6124.82	
NAIL 10MM/130 DEG TI CANN TFNA420MM LT	SUP-97-03540	CDM			278	RC		inpatient			6124.8	6124.8																																																			
NAIL TI CANN TFNA 11MM/130DEG 380MM LT	SUP-97-03841	CDM			278	RC		outpatient			6124.8	6124.82	6124.8				fee schedule		6124.8				other	OPPS APC	3491.14				percent of total billed charges		6124.8				other	OPPS APC	6124.8				other	OPPS APC	3001.15				percent of total billed charges		3123.65				percent of total billed charges		6124.82				other	OPPS APC	3001.15	6124.82	
NAIL TI CANN TFNA 11MM/130DEG 380MM LT	SUP-97-03841	CDM			278	RC		inpatient			6124.8	6124.8																																																			
NAIL TFN LONG 10MM DISTAL STERILE	SUP-97-04760	CDM			278	RC		outpatient			6124.8	6124.82	6124.8				fee schedule		6124.8				other	OPPS APC	3491.14				percent of total billed charges		6124.8				other	OPPS APC	6124.8				other	OPPS APC	3001.15				percent of total billed charges		3123.65				percent of total billed charges		6124.82				other	OPPS APC	3001.15	6124.82	
NAIL TFN LONG 10MM DISTAL STERILE	SUP-97-04760	CDM			278	RC		inpatient			6124.8	6124.8																																																			
10MM X 320MM LEFT TFNA STERILE	SUP-97-05350	CDM			278	RC		outpatient			6124.8	6124.82	6124.8				fee schedule		6124.8				other	OPPS APC	3491.14				percent of total billed charges		6124.8				other	OPPS APC	6124.8				other	OPPS APC	3001.15				percent of total billed charges		3123.65				percent of total billed charges		6124.82				other	OPPS APC	3001.15	6124.82	
10MM X 320MM LEFT TFNA STERILE	SUP-97-05350	CDM			278	RC		inpatient			6124.8	6124.8																																																			
STEM HUMERAL EQUINOXE LONG L175 MM OD8 MM SHOULDER CEMENTED REVISION	SUP-306-01-08	CDM	270010030	LOCAL	270	RC		outpatient			6120	612	1657.91				percent of total billed charges		6120				other	OPPS APC	4528.8				percent of total billed charges		6120				other	OPPS APC	6120				other	OPPS APC	1657.91				percent of total billed charges		1690.96				percent of total billed charges		612				other	OPPS APC	612	6120	
STEM HUMERAL EQUINOXE LONG L175 MM OD8 MM SHOULDER CEMENTED REVISION	SUP-306-01-08	CDM	270010030	LOCAL	270	RC		inpatient			6120	6120																																																			
STEM HUMERAL EQUINOXE LONG L175 MM OD12 MM SHOULDER CEMENTED REVISION	SUP-306-02-12	CDM	270010030	LOCAL	270	RC		outpatient			6120	612	1657.91				percent of total billed charges		6120				other	OPPS APC	4528.8				percent of total billed charges		6120				other	OPPS APC	6120				other	OPPS APC	1657.91				percent of total billed charges		1690.96				percent of total billed charges		612				other	OPPS APC	612	6120	
STEM HUMERAL EQUINOXE LONG L175 MM OD12 MM SHOULDER CEMENTED REVISION	SUP-306-02-12	CDM	270010030	LOCAL	270	RC		inpatient			6120	6120																																																			
GORILLA GRIP? PLATE  2.0MM THICKNESS  RI	SUP-97-04105	CDM			278	RC		outpatient			6116.25	6116.25	6116.25				fee schedule		6116.25				other	OPPS APC	3486.26				percent of total billed charges		6116.25				other	OPPS APC	6116.25				other	OPPS APC	2996.96				percent of total billed charges		3119.29				percent of total billed charges		6116.25				other	OPPS APC	2996.96	6116.25	
GORILLA GRIP? PLATE  2.0MM THICKNESS  RI	SUP-97-04105	CDM			278	RC		inpatient			6116.25	6116.25																																																			
HC IR Dial Fistulagram Pta Central Segment	PX-361369071	CDM	36907	CPT	361	RC		outpatient			6106	616	1928.27				percent of total billed charges		6106				other	OPPS APC	6106				fee schedule		6106				other	OPPS APC	6106				other	OPPS APC	1928.27				percent of total billed charges		1966.74				percent of total billed charges		616				other	OPPS APC	616	6106	
HC IR Dial Fistulagram Pta Central Segment	PX-361369071	CDM	36907	CPT	361	RC		inpatient			6106	6106																																																			
HC IR Iliac Arter  Initial  Pta	PX-361372201	CDM	37220	CPT	361	RC		outpatient			6106	616	1928.27				percent of total billed charges		6106				other	OPPS APC	6106				fee schedule		6106				other	OPPS APC	6106				other	OPPS APC	1928.27				percent of total billed charges		1966.74				percent of total billed charges		616				other	OPPS APC	616	6106	
HC IR Iliac Arter  Initial  Pta	PX-361372201	CDM	37220	CPT	361	RC		inpatient			6106	6106																																																			
HC IR Iliac Artery  Add'l  Pta	PX-361372221	CDM	37222	CPT	361	RC		inpatient			6106	6106																																																			
HC IR Iliac Artery  Add'l  Pta	PX-361372221	CDM	37222	CPT	361	RC		outpatient			6106	6106	1928.27				percent of total billed charges						other	OPPS APC	8653				fee schedule						other	OPPS APC					other	OPPS APC	1928.27				percent of total billed charges		1966.74				percent of total billed charges						other	OPPS APC	8653	8653	
HC IR Fem/Pop Art  Init'l  Pta	PX-361372241	CDM	37224	CPT	361	RC		outpatient			6106	5492.96	1928.27				percent of total billed charges		5492.96				other	OPPS APC	3652				fee schedule		5492.96				other	OPPS APC	5492.96				other	OPPS APC	1928.27				percent of total billed charges		1966.74				percent of total billed charges		5492.96				other	OPPS APC	1928.27	5492.96	
HC IR Fem/Pop Art  Init'l  Pta	PX-361372241	CDM	37224	CPT	361	RC		inpatient			6106	6106																																																			
HC IR Tib/per  Add'l Pta	PX-361372321	CDM	37232	CPT	361	RC		outpatient			6106	616	1928.27				percent of total billed charges		6106				other	OPPS APC	6106				fee schedule		6106				other	OPPS APC	6106				other	OPPS APC	1928.27				percent of total billed charges		1966.74				percent of total billed charges		616				other	OPPS APC	616	6106	
HC IR Tib/per  Add'l Pta	PX-361372321	CDM	37232	CPT	361	RC		inpatient			6106	6106																																																			
ENCORE HYOID & TONGUE SUSPENSION SYS	SUP-97-00573	CDM			278	RC		outpatient			6100	61	6100				fee schedule		6100				other	OPPS APC	3477				percent of total billed charges		6100				other	OPPS APC	6100				other	OPPS APC	2989				percent of total billed charges		3111				percent of total billed charges		61				other	OPPS APC	61	6100	
ENCORE HYOID & TONGUE SUSPENSION SYS	SUP-97-00573	CDM			278	RC		inpatient			6100	6100																																																			
INTEGRA MESHED BILAYER WOUND MATRIX 2X2	SUP-97-03647	CDM			636	RC		outpatient			6098	698	6098				fee schedule		6098				other	OPPS APC	4512.52				percent of total billed charges		6098				other	OPPS APC	6098				other	OPPS APC	2988.02				percent of total billed charges		1515.96				percent of total billed charges		698				other	OPPS APC	698	6098	
INTEGRA MESHED BILAYER WOUND MATRIX 2X2	SUP-97-03647	CDM			636	RC		inpatient			6098	6098																																																			
STANDARD STEM SIZE 10	SUP-97-01161	CDM			278	RC		outpatient			6090	69	6090				fee schedule		6090				other	OPPS APC	3471.3				percent of total billed charges		6090				other	OPPS APC	6090				other	OPPS APC	2984.1				percent of total billed charges		3105.9				percent of total billed charges		69				other	OPPS APC	69	6090	
STANDARD STEM SIZE 10	SUP-97-01161	CDM			278	RC		inpatient			6090	6090																																																			
HUMERAL STEM W/ POROCOAT	SUP-97-01327	CDM			278	RC		outpatient			6090	69	6090				fee schedule		6090				other	OPPS APC	3471.3				percent of total billed charges		6090				other	OPPS APC	6090				other	OPPS APC	2984.1				percent of total billed charges		3105.9				percent of total billed charges		69				other	OPPS APC	69	6090	
HUMERAL STEM W/ POROCOAT	SUP-97-01327	CDM			278	RC		inpatient			6090	6090																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE OD4 MM L30 MM L15 MM OD10 MM ODSEC18 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576530	CDM			270	RC		outpatient			6088.5	688.5	1649.37				percent of total billed charges		6088.5				other	OPPS APC	4505.49				percent of total billed charges		6088.5				other	OPPS APC	6088.5				other	OPPS APC	1649.37				percent of total billed charges		1682.25				percent of total billed charges		688.5				other	OPPS APC	688.5	6088.5	
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE OD4 MM L30 MM L15 MM OD10 MM ODSEC18 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576530	CDM			270	RC		inpatient			6088.5	6088.5																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L40 MM L25 MM OD10 MM ODSEC18 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576540	CDM			270	RC		outpatient			6088.5	688.5	1649.37				percent of total billed charges		6088.5				other	OPPS APC	4505.49				percent of total billed charges		6088.5				other	OPPS APC	6088.5				other	OPPS APC	1649.37				percent of total billed charges		1682.25				percent of total billed charges		688.5				other	OPPS APC	688.5	6088.5	
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L40 MM L25 MM OD10 MM ODSEC18 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576540	CDM			270	RC		inpatient			6088.5	6088.5																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L30 MM L15 MM OD12 MM ODSEC20 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576550	CDM			270	RC		outpatient			6088.5	688.5	1649.37				percent of total billed charges		6088.5				other	OPPS APC	4505.49				percent of total billed charges		6088.5				other	OPPS APC	6088.5				other	OPPS APC	1649.37				percent of total billed charges		1682.25				percent of total billed charges		688.5				other	OPPS APC	688.5	6088.5	
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L30 MM L15 MM OD12 MM ODSEC20 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576550	CDM			270	RC		inpatient			6088.5	6088.5																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L40 MM L25 MM OD12 MM ODSEC20 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576560	CDM			270	RC		outpatient			6088.5	688.5	1649.37				percent of total billed charges		6088.5				other	OPPS APC	4505.49				percent of total billed charges		6088.5				other	OPPS APC	6088.5				other	OPPS APC	1649.37				percent of total billed charges		1682.25				percent of total billed charges		688.5				other	OPPS APC	688.5	6088.5	
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L40 MM L25 MM OD12 MM ODSEC20 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576560	CDM			270	RC		inpatient			6088.5	6088.5																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L40 MM L25 MM OD14 MM ODSEC24 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576580	CDM			270	RC		outpatient			6088.5	688.5	1649.37				percent of total billed charges		6088.5				other	OPPS APC	4505.49				percent of total billed charges		6088.5				other	OPPS APC	6088.5				other	OPPS APC	1649.37				percent of total billed charges		1682.25				percent of total billed charges		688.5				other	OPPS APC	688.5	6088.5	
STENT TRACHEOBRONCHIAL ULTRAFLEX NITINOL SILICONE L95 CM OD4 MM L40 MM L25 MM OD14 MM ODSEC24 FR FLEXIBLE OPEN LOOP RADIOPAQUE LOW PROFILE KNIT STERILE DISPOSABLE ACCEPTS .035 IN PULMONARY JAGWIRE	SUP-M00576580	CDM			270	RC		inpatient			6088.5	6088.5																																																			
HC T-Tube Cholangiogram	PX-320475310	CDM	47531	CPT	361	RC		outpatient			6082	373.43	1920.7				percent of total billed charges		3730.43				other	OPPS APC	612				fee schedule		3730.43				other	OPPS APC	3730.43				other	OPPS APC	1920.7				percent of total billed charges		1959.01				percent of total billed charges		373.43				other	OPPS APC	373.43	3730.43	
HC T-Tube Cholangiogram	PX-320475310	CDM	47531	CPT	361	RC		inpatient			6082	6082																																																			
HC Xr T Tube Cholangiog New Access	PX-320475320	CDM	47532	CPT	361	RC		outpatient			6082	682	1920.7				percent of total billed charges		6082				other	OPPS APC	6082				fee schedule		6082				other	OPPS APC	6082				other	OPPS APC	1920.7				percent of total billed charges		1959.01				percent of total billed charges		682				other	OPPS APC	682	6082	
HC Xr T Tube Cholangiog New Access	PX-320475320	CDM	47532	CPT	361	RC		inpatient			6082	6082																																																			
HC Insertion of Long Term Pleural Cath	PX-361325501	CDM	32550	CPT	361	RC		outpatient			6082	373.43	1920.7				percent of total billed charges		3730.43				other	OPPS APC	3652				fee schedule		3730.43				other	OPPS APC	3730.43				other	OPPS APC	1920.7				percent of total billed charges		1959.01				percent of total billed charges		373.43				other	OPPS APC	373.43	3730.43	
HC Insertion of Long Term Pleural Cath	PX-361325501	CDM	32550	CPT	361	RC		inpatient			6082	6082																																																			
HC Biliary Drain Catheter US Guidance	PX-361475332	CDM	47533	CPT	361	RC		outpatient			6082	682	1920.7				percent of total billed charges		6082				other	OPPS APC	6082				fee schedule		6082				other	OPPS APC	6082				other	OPPS APC	1920.7				percent of total billed charges		1959.01				percent of total billed charges		682				other	OPPS APC	682	6082	
HC Biliary Drain Catheter US Guidance	PX-361475332	CDM	47533	CPT	361	RC		inpatient			6082	6082																																																			
SHEATH LASER L43 CM OD16.4 FR ID13 FR OUTER	SUP-500-001	CDM			481	RC		outpatient			6080	68	2979.2				percent of total billed charges		6080				other	OPPS APC	4499.2				percent of total billed charges		6080				other	OPPS APC	6080				other	OPPS APC	2979.2				percent of total billed charges		3100.8				percent of total billed charges		68				other	OPPS APC	68	6080	
SHEATH LASER L43 CM OD16.4 FR ID13 FR OUTER	SUP-500-001	CDM			481	RC		inpatient			6080	6080																																																			
SHEATH LASER SLS II TEFLON 15 D 25-40HZ BEVEL L50 CM OD14 FR ODSEC9.5 FR FISH TAPE LUBRICIOUS STERILE DISPOSABLE	SUP-500-012	CDM			481	RC		outpatient			6080	68	2979.2				percent of total billed charges		6080				other	OPPS APC	4499.2				percent of total billed charges		6080				other	OPPS APC	6080				other	OPPS APC	2979.2				percent of total billed charges		3100.8				percent of total billed charges		68				other	OPPS APC	68	6080	
SHEATH LASER SLS II TEFLON 15 D 25-40HZ BEVEL L50 CM OD14 FR ODSEC9.5 FR FISH TAPE LUBRICIOUS STERILE DISPOSABLE	SUP-500-012	CDM			481	RC		inpatient			6080	6080																																																			
SHEATH LEAD SLS II TEFLON 25-40HZ L50 CM OD16 FR BELEVED END	SUP-500-013	CDM			481	RC		outpatient			6080	68	2979.2				percent of total billed charges		6080				other	OPPS APC	4499.2				percent of total billed charges		6080				other	OPPS APC	6080				other	OPPS APC	2979.2				percent of total billed charges		3100.8				percent of total billed charges		68				other	OPPS APC	68	6080	
SHEATH LEAD SLS II TEFLON 25-40HZ L50 CM OD16 FR BELEVED END	SUP-500-013	CDM			481	RC		inpatient			6080	6080																																																			
TIBIAL TRAY FIXED BEADING	SUP-97-01321	CDM			278	RC		outpatient			6057	657	6057				fee schedule		6057				other	OPPS APC	3452.49				percent of total billed charges		6057				other	OPPS APC	6057				other	OPPS APC	2967.93				percent of total billed charges		3089.07				percent of total billed charges		657				other	OPPS APC	657	6057	
TIBIAL TRAY FIXED BEADING	SUP-97-01321	CDM			278	RC		inpatient			6057	6057																																																			
ANKLE LOCKING NAIL 11X210MM	SUP-97-03861	CDM			278	RC		outpatient			6050	65	6050				fee schedule		6050				other	OPPS APC	3448.5				percent of total billed charges		6050				other	OPPS APC	6050				other	OPPS APC	2964.5				percent of total billed charges		3085.5				percent of total billed charges		65				other	OPPS APC	65	6050	
ANKLE LOCKING NAIL 11X210MM	SUP-97-03861	CDM			278	RC		inpatient			6050	6050																																																			
MESH SURGICAL 20 x 25 CM 0.5 CM THICK SYNECOR	SUP-GKFR2025	CDM			270	RC		outpatient			6050	65	1638.95				percent of total billed charges		6050				other	OPPS APC	4477				percent of total billed charges		6050				other	OPPS APC	6050				other	OPPS APC	1638.95				percent of total billed charges		1671.62				percent of total billed charges		65				other	OPPS APC	65	6050	
MESH SURGICAL 20 x 25 CM 0.5 CM THICK SYNECOR	SUP-GKFR2025	CDM			270	RC		inpatient			6050	6050																																																			
NAIL  TI CANN TFNA 10MM/130DEG	SUP-97-02461	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
NAIL  TI CANN TFNA 10MM/130DEG	SUP-97-02461	CDM			278	RC		inpatient			6041.6	6041.6																																																			
NAIL 10MM/130 DEG TI CANN TFNA360MM RT	SUP-97-02763	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
NAIL 10MM/130 DEG TI CANN TFNA360MM RT	SUP-97-02763	CDM			278	RC		inpatient			6041.6	6041.6																																																			
NAIL 10MM/130 DEG TI CANN RIGHT STERILE	SUP-97-02828	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
NAIL 10MM/130 DEG TI CANN RIGHT STERILE	SUP-97-02828	CDM			278	RC		inpatient			6041.6	6041.6																																																			
NAIL 10MM/130 DEG TI CANN LEFT STERILE	SUP-97-03140	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
NAIL 10MM/130 DEG TI CANN LEFT STERILE	SUP-97-03140	CDM			278	RC		inpatient			6041.6	6041.6																																																			
NAIL  TI CANN TFNA 10MM/130DEG 420	SUP-97-03464	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
NAIL  TI CANN TFNA 10MM/130DEG 420	SUP-97-03464	CDM			278	RC		inpatient			6041.6	6041.6																																																			
10MM X 340MM RIGHT TFNA STERILE	SUP-97-05351	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
10MM X 340MM RIGHT TFNA STERILE	SUP-97-05351	CDM			278	RC		inpatient			6041.6	6041.6																																																			
NAIL TFNA 11MM/130DEG X 380MM RIGHT	SUP-97-05753	CDM			278	RC		outpatient			6041.6	641.64	6041.6				fee schedule		6041.6				other	OPPS APC	3443.71				percent of total billed charges		6041.6				other	OPPS APC	6041.6				other	OPPS APC	2960.38				percent of total billed charges		3081.22				percent of total billed charges		641.64				other	OPPS APC	641.64	6041.6	
NAIL TFNA 11MM/130DEG X 380MM RIGHT	SUP-97-05753	CDM			278	RC		inpatient			6041.6	6041.6																																																			
INSERT ATTUNE CRS SIZE 8 10MM	SUP-1517-10-810	CDM	270010024	LOCAL	270	RC		outpatient			6022	622	1631.36				percent of total billed charges		6022				other	OPPS APC	4456.28				percent of total billed charges		6022				other	OPPS APC	6022				other	OPPS APC	1631.36				percent of total billed charges		1663.88				percent of total billed charges		622				other	OPPS APC	622	6022	
INSERT ATTUNE CRS SIZE 8 10MM	SUP-1517-10-810	CDM	270010024	LOCAL	270	RC		inpatient			6022	6022																																																			
PPM L300 ACCOLADE SR DEVICE _41833_	SUP-L300	CDM			275	RC		outpatient			6005.9	65.9	2942.89				percent of total billed charges		6005.9				other	OPPS APC	3423.36				percent of total billed charges		6005.9				other	OPPS APC	6005.9				other	OPPS APC	2942.89				percent of total billed charges		3063.01				percent of total billed charges		65.9				other	OPPS APC	65.9	6005.9	
PPM L300 ACCOLADE SR DEVICE _41833_	SUP-L300	CDM			275	RC		inpatient			6005.9	6005.9																																																			
PACEMAKER ASSURITY SR DEVICE	SUP-PM1240	CDM			275	RC		outpatient			6005.9	65.9	2942.89				percent of total billed charges		6005.9				other	OPPS APC	3423.36				percent of total billed charges		6005.9				other	OPPS APC	6005.9				other	OPPS APC	2942.89				percent of total billed charges		3063.01				percent of total billed charges		65.9				other	OPPS APC	65.9	6005.9	
PACEMAKER ASSURITY SR DEVICE	SUP-PM1240	CDM			275	RC		inpatient			6005.9	6005.9																																																			
PACEMAKER CARDIAC SENSIA SR 2.8V .97AH D7.5 MM L42.9 MM X H40.2 MM 9.7 ML 21.5 GM ATRIUM VENTRICLE 1 CHAMBER RATE RESPONSIVE IS-1 UNIPOLAR BIPOLAR	SUP-SESR01	CDM			275	RC		outpatient			6005.9	65.9	2942.89				percent of total billed charges		6005.9				other	OPPS APC	3423.36				percent of total billed charges		6005.9				other	OPPS APC	6005.9				other	OPPS APC	2942.89				percent of total billed charges		3063.01				percent of total billed charges		65.9				other	OPPS APC	65.9	6005.9	
PACEMAKER CARDIAC SENSIA SR 2.8V .97AH D7.5 MM L42.9 MM X H40.2 MM 9.7 ML 21.5 GM ATRIUM VENTRICLE 1 CHAMBER RATE RESPONSIVE IS-1 UNIPOLAR BIPOLAR	SUP-SESR01	CDM			275	RC		inpatient			6005.9	6005.9																																																			
STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD8 MM ODSEC8 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM 0.014-0.018 IN GUIDEWIRE 0.035 IN GUIDEWIRE	SUP-VBH080502	CDM			270	RC		outpatient			6004	64	1626.48				percent of total billed charges		6004				other	OPPS APC	4442.96				percent of total billed charges		6004				other	OPPS APC	6004				other	OPPS APC	1626.48				percent of total billed charges		1658.91				percent of total billed charges		64				other	OPPS APC	64	6004	
STENT ENDOPROSTHESIS VIABAHN HEPARIN L5 CM L120 CM OD8 MM ODSEC8 FR SUPERFICIAL FEMORAL ARTERY ILIUM DELIVERY SYSTEM 0.014-0.018 IN GUIDEWIRE 0.035 IN GUIDEWIRE	SUP-VBH080502	CDM			270	RC		inpatient			6004	6004																																																			
KIT TRAUMA LARGE EXTERNAL FIXATOR STERILE	SUP-03.301.011S	CDM	270010022	LOCAL	270	RC		outpatient			6002.4	62.4	1626.05				percent of total billed charges		6002.4				other	OPPS APC	4441.78				percent of total billed charges		6002.4				other	OPPS APC	6002.4				other	OPPS APC	1626.05				percent of total billed charges		1658.46				percent of total billed charges		62.4				other	OPPS APC	62.4	6002.4	
KIT TRAUMA LARGE EXTERNAL FIXATOR STERILE	SUP-03.301.011S	CDM	270010022	LOCAL	270	RC		inpatient			6002.4	6002.4																																																			
IMPLANT VENTURA NM LORDOTIC PEEL SPACER	SUP-33-7809	CDM	270010020	LOCAL	270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
IMPLANT VENTURA NM LORDOTIC PEEL SPACER	SUP-33-7809	CDM	270010020	LOCAL	270	RC		inpatient			6000	6000																																																			
IMPLANT VENTURA NM LORDOTIC PEEL SPACER	SUP-33-7810	CDM	270010020	LOCAL	270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
IMPLANT VENTURA NM LORDOTIC PEEL SPACER	SUP-33-7810	CDM	270010020	LOCAL	270	RC		inpatient			6000	6000																																																			
IMPLANT VENTURA LORDOTIC PEEK	SUP-33-7811	CDM	270010020	LOCAL	270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
IMPLANT VENTURA LORDOTIC PEEK	SUP-33-7811	CDM	270010020	LOCAL	270	RC		inpatient			6000	6000																																																			
SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L50 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.378	CDM	270010020	LOCAL	270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L50 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.378	CDM	270010020	LOCAL	270	RC		inpatient			6000	6000																																																			
SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L55 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.478	CDM	270010020	LOCAL	270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SPACER SPINAL TRANSCONTINENTAL M PEEK 6 D L55 MM X W20 MM X H8 MM NONSTERILE LATEX FREE LATERAL LUMBAR INTERBODY FUSION	SUP-375.478	CDM	270010020	LOCAL	270	RC		inpatient			6000	6000																																																			
SHEATH CLOTTRIEVER 13 FR 15 CM	SUP-50-101	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SHEATH CLOTTRIEVER 13 FR 15 CM	SUP-50-101	CDM			270	RC		inpatient			6000	6000																																																			
SHEATH CLOTTRIEVER 16 FR 15 CM	SUP-51-101	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SHEATH CLOTTRIEVER 16 FR 15 CM	SUP-51-101	CDM			270	RC		inpatient			6000	6000																																																			
FILLER BONE VOID MAGNETOS EASYPACK 1-2 MM GRANULE 10 CC PUTTY	SUP-703-053-US	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
FILLER BONE VOID MAGNETOS EASYPACK 1-2 MM GRANULE 10 CC PUTTY	SUP-703-053-US	CDM			270	RC		inpatient			6000	6000																																																			
VENTRALIGHT ST 12X14 RECTANGLE	SUP-97-00220	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
VENTRALIGHT ST 12X14 RECTANGLE	SUP-97-00220	CDM			278	RC		inpatient			6000	6000																																																			
FEMORAL COMPONENT SIZE 4	SUP-97-01935	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
FEMORAL COMPONENT SIZE 4	SUP-97-01935	CDM			278	RC		inpatient			6000	6000																																																			
FEMORAL COMPONENT SIZE 4	SUP-97-01938	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
FEMORAL COMPONENT SIZE 4	SUP-97-01938	CDM			278	RC		inpatient			6000	6000																																																			
BENCOX M STEM LATERA OFFSET NUMBER 1	SUP-97-03000	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
BENCOX M STEM LATERA OFFSET NUMBER 1	SUP-97-03000	CDM			278	RC		inpatient			6000	6000																																																			
BENCOX M STEM LATERA OFFSET NUMBER 8	SUP-97-03135	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
BENCOX M STEM LATERA OFFSET NUMBER 8	SUP-97-03135	CDM			278	RC		inpatient			6000	6000																																																			
BENCOX M STEM LATERA OFFSET NUMBER 3	SUP-97-03149	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
BENCOX M STEM LATERA OFFSET NUMBER 3	SUP-97-03149	CDM			278	RC		inpatient			6000	6000																																																			
BENCOX M STEM LATERA OFFSET NUMBER 9	SUP-97-03152	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
BENCOX M STEM LATERA OFFSET NUMBER 9	SUP-97-03152	CDM			278	RC		inpatient			6000	6000																																																			
BENCOX M STEM LATERA OFFSET NUMBER 4	SUP-97-03636	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
BENCOX M STEM LATERA OFFSET NUMBER 4	SUP-97-03636	CDM			278	RC		inpatient			6000	6000																																																			
BENCOX M STEM NUMBER 5	SUP-97-03893	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
BENCOX M STEM NUMBER 5	SUP-97-03893	CDM			278	RC		inpatient			6000	6000																																																			
STENT - LIFESTENT 6X200X135	SUP-99-01684	CDM			278	RC		outpatient			6000	6	6000				fee schedule		6000				other	OPPS APC	3420				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	2940				percent of total billed charges		3060				percent of total billed charges		6				other	OPPS APC	6	6000	
STENT - LIFESTENT 6X200X135	SUP-99-01684	CDM			278	RC		inpatient			6000	6000																																																			
APPLICATOR SOLERO MICROWAVE 14 CM	SUP-H787700106001US0	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
APPLICATOR SOLERO MICROWAVE 14 CM	SUP-H787700106001US0	CDM			270	RC		inpatient			6000	6000																																																			
SOLERO APPLICATOR 19 CM	SUP-H787700106001US0	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SOLERO APPLICATOR 19 CM	SUP-H787700106001US0	CDM			270	RC		inpatient			6000	6000																																																			
SOLERO APPLICATOR 19 CM	SUP-H787700106002US0	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SOLERO APPLICATOR 19 CM	SUP-H787700106002US0	CDM			270	RC		inpatient			6000	6000																																																			
SOLERO APPLICATOR 19 CM	SUP-H787700106002US1	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SOLERO APPLICATOR 19 CM	SUP-H787700106002US1	CDM			270	RC		inpatient			6000	6000																																																			
SOLERO APPLICATOR 29CM	SUP-H787700106003US2	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SOLERO APPLICATOR 29CM	SUP-H787700106003US2	CDM			270	RC		inpatient			6000	6000																																																			
SYSTEM PACEMAKER AVEIR LEADLESS VR RET CATH TRI LOOP	SUP-LSCR111	CDM			270	RC		outpatient			6000	6	1625.4				percent of total billed charges		6000				other	OPPS APC	4440				percent of total billed charges		6000				other	OPPS APC	6000				other	OPPS APC	1625.4				percent of total billed charges		1657.8				percent of total billed charges		6				other	OPPS APC	6	6000	
SYSTEM PACEMAKER AVEIR LEADLESS VR RET CATH TRI LOOP	SUP-LSCR111	CDM			270	RC		inpatient			6000	6000																																																			
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD6 MM TRANSECTION DEVICE REMOTE	SUP-4200-41	CDM			270	RC		outpatient			5998	5998	1624.86				percent of total billed charges		5998				other	OPPS APC	4438.52				percent of total billed charges		5998				other	OPPS APC	5998				other	OPPS APC	1624.86				percent of total billed charges		1657.25				percent of total billed charges		5998				other	OPPS APC	1624.86	5998	
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD6 MM TRANSECTION DEVICE REMOTE	SUP-4200-41	CDM			270	RC		inpatient			5998	5998																																																			
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD7 MM TRANSECTION DEVICE REMOTE	SUP-4200-42	CDM			270	RC		outpatient			5998	5998	1624.86				percent of total billed charges		5998				other	OPPS APC	4438.52				percent of total billed charges		5998				other	OPPS APC	5998				other	OPPS APC	1624.86				percent of total billed charges		1657.25				percent of total billed charges		5998				other	OPPS APC	1624.86	5998	
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD7 MM TRANSECTION DEVICE REMOTE	SUP-4200-42	CDM			270	RC		inpatient			5998	5998																																																			
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD8 MM TRANSECTION DEVICE REMOTE	SUP-4200-43	CDM			270	RC		outpatient			5998	5998	1624.86				percent of total billed charges		5998				other	OPPS APC	4438.52				percent of total billed charges		5998				other	OPPS APC	5998				other	OPPS APC	1624.86				percent of total billed charges		1657.25				percent of total billed charges		5998				other	OPPS APC	1624.86	5998	
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD8 MM TRANSECTION DEVICE REMOTE	SUP-4200-43	CDM			270	RC		inpatient			5998	5998																																																			
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD9 MM TRANSECTION DEVICE REMOTE	SUP-4200-44	CDM			270	RC		outpatient			5998	5998	1624.86				percent of total billed charges		5998				other	OPPS APC	4438.52				percent of total billed charges		5998				other	OPPS APC	5998				other	OPPS APC	1624.86				percent of total billed charges		1657.25				percent of total billed charges		5998				other	OPPS APC	1624.86	5998	
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD9 MM TRANSECTION DEVICE REMOTE	SUP-4200-44	CDM			270	RC		inpatient			5998	5998																																																			
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD10 MM TRANSECTION DEVICE REMOTE	SUP-4200-45	CDM			270	RC		outpatient			5998	5998	1624.86				percent of total billed charges		5998				other	OPPS APC	4438.52				percent of total billed charges		5998				other	OPPS APC	5998				other	OPPS APC	1624.86				percent of total billed charges		1657.25				percent of total billed charges		5998				other	OPPS APC	1624.86	5998	
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD10 MM TRANSECTION DEVICE REMOTE	SUP-4200-45	CDM			270	RC		inpatient			5998	5998																																																			
MATRIX DERMAL ACELLUAR	SUP-97-03741	CDM			636	RC		inpatient			5992	5992																																																			
MATRIX DERMAL ACELLUAR	SUP-97-03741	CDM			636	RC		outpatient			5992	5992					fee schedule						other	OPPS APC	4434.08				percent of total billed charges						other	OPPS APC					other	OPPS APC	2936.08				percent of total billed charges		1489.61				percent of total billed charges						other	OPPS APC	4434.08	4434.08	
GRAFT ENDOVASCULAR ZENITH FLEX L54 MM OD20 MM ODSEC16 FR CONTRALATERAL/IPSILATERAL ILIAC LEGS AAA	SUP-TFLE-20-56-ZT	CDM	270010015	LOCAL	270	RC		outpatient			5992	5992	1623.23				percent of total billed charges		5992				other	OPPS APC	4434.08				percent of total billed charges		5992				other	OPPS APC	5992				other	OPPS APC	1623.23				percent of total billed charges		1655.59				percent of total billed charges		5992				other	OPPS APC	1623.23	5992	
GRAFT ENDOVASCULAR ZENITH FLEX L54 MM OD20 MM ODSEC16 FR CONTRALATERAL/IPSILATERAL ILIAC LEGS AAA	SUP-TFLE-20-56-ZT	CDM	270010015	LOCAL	270	RC		inpatient			5992	5992																																																			
SHEATH LASER GUIDELIGHT 25-80 HZ L 50 CM OD 12 FR ODSEC7.5 FR ID8.3FRIDSEC12.5FR KIT	SUP-500-301	CDM			481	RC		outpatient			5990	599	2935.1				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	2935.1				percent of total billed charges		3054.9				percent of total billed charges		599				other	OPPS APC	599	5990	
SHEATH LASER GUIDELIGHT 25-80 HZ L 50 CM OD 12 FR ODSEC7.5 FR ID8.3FRIDSEC12.5FR KIT	SUP-500-301	CDM			481	RC		inpatient			5990	5990																																																			
SHEATH LASER GUIDELIGHT 25-80 HZ L 50 CM OD 14FR ODSEC9.5 FR ID10.2FR IDSEC14.7FR KIT	SUP-500-302	CDM			481	RC		outpatient			5990	599	2935.1				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	2935.1				percent of total billed charges		3054.9				percent of total billed charges		599				other	OPPS APC	599	5990	
SHEATH LASER GUIDELIGHT 25-80 HZ L 50 CM OD 14FR ODSEC9.5 FR ID10.2FR IDSEC14.7FR KIT	SUP-500-302	CDM			481	RC		inpatient			5990	5990																																																			
DEVICE DRUG DELIVERY EKOSONIC MACH 4 106CM 18CM 5.4FR ENDOVASCULAR INFUSION CATHETER ULTRASONIC CORE TREATMENT ZONE	SUP-500-55118	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
DEVICE DRUG DELIVERY EKOSONIC MACH 4 106CM 18CM 5.4FR ENDOVASCULAR INFUSION CATHETER ULTRASONIC CORE TREATMENT ZONE	SUP-500-55118	CDM			270	RC		inpatient			5990	5990																																																			
DEVICE THROMBECTOMY EKOSONIC L106 CM L24 CM OD5.4 FR ENDOVASCULAR INFUSION CATHETER ULTRASONIC CORE RADIOPAQUE COOLANT ACCEPTS .035 IN GUIDEWIRE	SUP-500-55124	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
DEVICE THROMBECTOMY EKOSONIC L106 CM L24 CM OD5.4 FR ENDOVASCULAR INFUSION CATHETER ULTRASONIC CORE RADIOPAQUE COOLANT ACCEPTS .035 IN GUIDEWIRE	SUP-500-55124	CDM			270	RC		inpatient			5990	5990																																																			
SYSTEM DRUG DELIVERY EKOSONIC .035 IN L106 CM L30 CM OD5.4 FR INTELLIGENT CATHETER MICROSONIC DEVICE	SUP-500-55130	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
SYSTEM DRUG DELIVERY EKOSONIC .035 IN L106 CM L30 CM OD5.4 FR INTELLIGENT CATHETER MICROSONIC DEVICE	SUP-500-55130	CDM			270	RC		inpatient			5990	5990																																																			
SYSTEM DRUG DELIVERY EKOSONIC MACH 4 .035 IN L106 CM L50 CM OD5.4 FR INTELLIGENT CATHETER MICROSONIC DEVICE	SUP-500-55150	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
SYSTEM DRUG DELIVERY EKOSONIC MACH 4 .035 IN L106 CM L50 CM OD5.4 FR INTELLIGENT CATHETER MICROSONIC DEVICE	SUP-500-55150	CDM			270	RC		inpatient			5990	5990																																																			
SYSTEM DRUG DELIVERY EKOSONIC MACH 4 MICROSONIC L135 CM L12 CM OD5.4 FR TREATMENT ZONE INTELLIGENT CATHETER ENDOVASCULAR DEVICE ACCEPTS .035 IN GUIDEWIRE	SUP-500-56112	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
SYSTEM DRUG DELIVERY EKOSONIC MACH 4 MICROSONIC L135 CM L12 CM OD5.4 FR TREATMENT ZONE INTELLIGENT CATHETER ENDOVASCULAR DEVICE ACCEPTS .035 IN GUIDEWIRE	SUP-500-56112	CDM			270	RC		inpatient			5990	5990																																																			
DEVICE DRUG DELIVERY EKOSONIC MACH 4 106CM 40CM 5.4FR ENDOVASCULAR INFUSION CATHETER ULTRASONIC CORE TREATMENT ZONE	SUP-500-56140	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
DEVICE DRUG DELIVERY EKOSONIC MACH 4 106CM 40CM 5.4FR ENDOVASCULAR INFUSION CATHETER ULTRASONIC CORE TREATMENT ZONE	SUP-500-56140	CDM			270	RC		inpatient			5990	5990																																																			
SYSTEM DRUG DELIVERY .035IN EKOSONIC TREATMENT ZONE ENDOVASCULAR DEVICE CATHETER	SUP-500-56150	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
SYSTEM DRUG DELIVERY .035IN EKOSONIC TREATMENT ZONE ENDOVASCULAR DEVICE CATHETER	SUP-500-56150	CDM			270	RC		inpatient			5990	5990																																																			
COIL TARGET DETACHABLE 360 SOFT XL 10MM X 40CM	SUP-612104	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
COIL TARGET DETACHABLE 360 SOFT XL 10MM X 40CM	SUP-612104	CDM			270	RC		inpatient			5990	5990																																																			
COIL TARGET DETACHABLE 360 SOFT XL 12MM X 45CM	SUP-612124	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
COIL TARGET DETACHABLE 360 SOFT XL 12MM X 45CM	SUP-612124	CDM			270	RC		inpatient			5990	5990																																																			
COIL TARGET DETACHABLE 360 SOFT XL 14MM X 50CM	SUP-612145	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
COIL TARGET DETACHABLE 360 SOFT XL 14MM X 50CM	SUP-612145	CDM			270	RC		inpatient			5990	5990																																																			
NAIL INTRAMEDULLARY FIBULOCK L130 MM OD3 MM FIBULAR LEFT	SUP-AR-8973L-30-130	CDM			270	RC		outpatient			5990	599	1622.69				percent of total billed charges		5990				other	OPPS APC	4432.6				percent of total billed charges		5990				other	OPPS APC	5990				other	OPPS APC	1622.69				percent of total billed charges		1655.04				percent of total billed charges		599				other	OPPS APC	599	5990	
NAIL INTRAMEDULLARY FIBULOCK L130 MM OD3 MM FIBULAR LEFT	SUP-AR-8973L-30-130	CDM			270	RC		inpatient			5990	5990																																																			
STENT - GRAFTMASTER (JOSTENT) 2.8X16	SUP-99-01832	CDM			278	RC		outpatient			5987.5	5987.5	5987.5				fee schedule		5987.5				other	OPPS APC	3412.88				percent of total billed charges		5987.5				other	OPPS APC	5987.5				other	OPPS APC	2933.88				percent of total billed charges		3053.63				percent of total billed charges		5987.5				other	OPPS APC	2933.88	5987.5	
STENT - GRAFTMASTER (JOSTENT) 2.8X16	SUP-99-01832	CDM			278	RC		inpatient			5987.5	5987.5																																																			
STENT - GRAFTMASTER (JOSTENT) 2.8X26	SUP-99-01833	CDM			278	RC		outpatient			5987.5	5987.5	5987.5				fee schedule		5987.5				other	OPPS APC	3412.88				percent of total billed charges		5987.5				other	OPPS APC	5987.5				other	OPPS APC	2933.88				percent of total billed charges		3053.63				percent of total billed charges		5987.5				other	OPPS APC	2933.88	5987.5	
STENT - GRAFTMASTER (JOSTENT) 2.8X26	SUP-99-01833	CDM			278	RC		inpatient			5987.5	5987.5																																																			
STENT - GRAFTMASTER (JOSTENT) 3.5X19	SUP-99-01834	CDM			278	RC		outpatient			5987.5	5987.5	5987.5				fee schedule		5987.5				other	OPPS APC	3412.88				percent of total billed charges		5987.5				other	OPPS APC	5987.5				other	OPPS APC	2933.88				percent of total billed charges		3053.63				percent of total billed charges		5987.5				other	OPPS APC	2933.88	5987.5	
STENT - GRAFTMASTER (JOSTENT) 3.5X19	SUP-99-01834	CDM			278	RC		inpatient			5987.5	5987.5																																																			
PACEMAKER SINGLE CHAMBER ZEPHR XL SR SYSTEM	SUP-5626/5620 S	CDM			275	RC		outpatient			5985	5985	2932.65				percent of total billed charges		5985				other	OPPS APC	3411.45				percent of total billed charges		5985				other	OPPS APC	5985				other	OPPS APC	2932.65				percent of total billed charges		3052.35				percent of total billed charges		5985				other	OPPS APC	2932.65	5985	
PACEMAKER SINGLE CHAMBER ZEPHR XL SR SYSTEM	SUP-5626/5620 S	CDM			275	RC		inpatient			5985	5985																																																			
SLEEVE ADAPTER UNIVERSAL 31MM POROUS STERILE LF KNEE FEMORAL SIGMA LCS S-ROM LPS	SUP-1294-53-216	CDM	270010025	LOCAL	270	RC		outpatient			5979.6	5979.64	1619.87				percent of total billed charges		5979.6				other	OPPS APC	4424.9				percent of total billed charges		5979.6				other	OPPS APC	5979.6				other	OPPS APC	1619.87				percent of total billed charges		1652.16				percent of total billed charges		5979.64				other	OPPS APC	1619.87	5979.64	
SLEEVE ADAPTER UNIVERSAL 31MM POROUS STERILE LF KNEE FEMORAL SIGMA LCS S-ROM LPS	SUP-1294-53-216	CDM	270010025	LOCAL	270	RC		inpatient			5979.6	5979.6																																																			
IMPLANT DEPUY SLEEVE UNIV FEMORAL  POROUS 34MM	SUP-1294-53-226	CDM	270010025	LOCAL	270	RC		outpatient			5979.6	5979.64	1619.87				percent of total billed charges		5979.6				other	OPPS APC	4424.9				percent of total billed charges		5979.6				other	OPPS APC	5979.6				other	OPPS APC	1619.87				percent of total billed charges		1652.16				percent of total billed charges		5979.64				other	OPPS APC	1619.87	5979.64	
IMPLANT DEPUY SLEEVE UNIV FEMORAL  POROUS 34MM	SUP-1294-53-226	CDM	270010025	LOCAL	270	RC		inpatient			5979.6	5979.6																																																			
SLEEVE ADAPTER UNIVERSAL 46MM POROUS STERILE LF KNEE FEMORAL SIGMA LCS S-ROM LPS	SUP-1294-53-246	CDM	270010025	LOCAL	270	RC		outpatient			5979.6	5979.64	1619.87				percent of total billed charges		5979.6				other	OPPS APC	4424.9				percent of total billed charges		5979.6				other	OPPS APC	5979.6				other	OPPS APC	1619.87				percent of total billed charges		1652.16				percent of total billed charges		5979.64				other	OPPS APC	1619.87	5979.64	
SLEEVE ADAPTER UNIVERSAL 46MM POROUS STERILE LF KNEE FEMORAL SIGMA LCS S-ROM LPS	SUP-1294-53-246	CDM	270010025	LOCAL	270	RC		inpatient			5979.6	5979.6																																																			
SET EXTERNAL FIXATION MONOTUBE TRIAX L310 MM X W130 MM X H36 MM OD15 MM WRIST T WRENCH PIN CLAMP CARBON FIBER TUBE SOFT TISSUE PROTECTOR PIN DRIVER STERILE YELLOW	SUP-5150-9-960	CDM			270	RC		outpatient			5976	5976	1618.9				percent of total billed charges		5976				other	OPPS APC	4422.24				percent of total billed charges		5976				other	OPPS APC	5976				other	OPPS APC	1618.9				percent of total billed charges		1651.17				percent of total billed charges		5976				other	OPPS APC	1618.9	5976	
SET EXTERNAL FIXATION MONOTUBE TRIAX L310 MM X W130 MM X H36 MM OD15 MM WRIST T WRENCH PIN CLAMP CARBON FIBER TUBE SOFT TISSUE PROTECTOR PIN DRIVER STERILE YELLOW	SUP-5150-9-960	CDM			270	RC		inpatient			5976	5976																																																			
GLENOSPHERE STANDARD 36MM	SUP-97-06280	CDM			278	RC		outpatient			5970	597	5970				fee schedule		5970				other	OPPS APC	3402.9				percent of total billed charges		5970				other	OPPS APC	5970				other	OPPS APC	2925.3				percent of total billed charges		3044.7				percent of total billed charges		597				other	OPPS APC	597	5970	
GLENOSPHERE STANDARD 36MM	SUP-97-06280	CDM			278	RC		inpatient			5970	5970																																																			
FEMORAL COMPONENT UNI SIZE 3 LM/RL	SUP-97-06033	CDM			278	RC		outpatient			5965	5965	5965				fee schedule		5965				other	OPPS APC	3400.05				percent of total billed charges		5965				other	OPPS APC	5965				other	OPPS APC	2922.85				percent of total billed charges		3042.15				percent of total billed charges		5965				other	OPPS APC	2922.85	5965	
FEMORAL COMPONENT UNI SIZE 3 LM/RL	SUP-97-06033	CDM			278	RC		inpatient			5965	5965																																																			
OSS CEMENTED IM STEM 12 X 150	SUP-97-23623	CDM			278	RC		outpatient			5962.5	5962.5	5962.5				fee schedule		5962.5				other	OPPS APC	3398.63				percent of total billed charges		5962.5				other	OPPS APC	5962.5				other	OPPS APC	2921.63				percent of total billed charges		3040.88				percent of total billed charges		5962.5				other	OPPS APC	2921.63	5962.5	
OSS CEMENTED IM STEM 12 X 150	SUP-97-23623	CDM			278	RC		inpatient			5962.5	5962.5																																																			
MRH TIBIAL BASEPLATE L2	SUP-97-04711	CDM			278	RC		outpatient			5960	596	5960				fee schedule		5960				other	OPPS APC	3397.2				percent of total billed charges		5960				other	OPPS APC	5960				other	OPPS APC	2920.4				percent of total billed charges		3039.6				percent of total billed charges		596				other	OPPS APC	596	5960	
MRH TIBIAL BASEPLATE L2	SUP-97-04711	CDM			278	RC		inpatient			5960	5960																																																			
SEPARATOR 054	SUP-PSF054	CDM			270	RC		outpatient			5960	596	1614.56				percent of total billed charges		5960				other	OPPS APC	4410.4				percent of total billed charges		5960				other	OPPS APC	5960				other	OPPS APC	1614.56				percent of total billed charges		1646.75				percent of total billed charges		596				other	OPPS APC	596	5960	
SEPARATOR 054	SUP-PSF054	CDM			270	RC		inpatient			5960	5960																																																			
HUMERAL HEAD STB  OFFSET ASCEND 48X20	SUP-97-03734	CDM			278	RC		outpatient			5955	5955	5955				fee schedule		5955				other	OPPS APC	3394.35				percent of total billed charges		5955				other	OPPS APC	5955				other	OPPS APC	2917.95				percent of total billed charges		3037.05				percent of total billed charges		5955				other	OPPS APC	2917.95	5955	
HUMERAL HEAD STB  OFFSET ASCEND 48X20	SUP-97-03734	CDM			278	RC		inpatient			5955	5955																																																			
EPIFIX 3X4MM	SUP-97-02387	CDM			636	RC		outpatient			5948.75	5948.75	2914.89				percent of total billed charges		5948.75				other	OPPS APC	178.33				fee schedule		5948.75				other	OPPS APC	5948.75				other	OPPS APC	2914.89				percent of total billed charges		1478.86				percent of total billed charges		5948.75				other	OPPS APC	178.33	5948.75	
EPIFIX 3X4MM	SUP-97-02387	CDM			636	RC		inpatient			5948.75	5948.75																																																			
NAIL CANN TROCH FIX 10MM 130	SUP-97-00326	CDM			278	RC		outpatient			5940.8	594.82	5940.8				fee schedule		5940.8				other	OPPS APC	3386.26				percent of total billed charges		5940.8				other	OPPS APC	5940.8				other	OPPS APC	2910.99				percent of total billed charges		3029.81				percent of total billed charges		594.82				other	OPPS APC	594.82	5940.8	
NAIL CANN TROCH FIX 10MM 130	SUP-97-00326	CDM			278	RC		inpatient			5940.8	5940.8																																																			
FIBERTAPE CERCLAGE W/O NEEDLE	SUP-97-05312	CDM			278	RC		outpatient			5937.5	5937.5	5937.5				fee schedule		5937.5				other	OPPS APC	3384.38				percent of total billed charges		5937.5				other	OPPS APC	5937.5				other	OPPS APC	2909.38				percent of total billed charges		3028.13				percent of total billed charges		5937.5				other	OPPS APC	2909.38	5937.5	
FIBERTAPE CERCLAGE W/O NEEDLE	SUP-97-05312	CDM			278	RC		inpatient			5937.5	5937.5																																																			
OATS PLUG 10MM FRESH GRAFT	SUP-97-05632	CDM			278	RC		outpatient			5937.5	5937.5	5937.5				fee schedule		5937.5				other	OPPS APC	3384.38				percent of total billed charges		5937.5				other	OPPS APC	5937.5				other	OPPS APC	2909.38				percent of total billed charges		3028.13				percent of total billed charges		5937.5				other	OPPS APC	2909.38	5937.5	
OATS PLUG 10MM FRESH GRAFT	SUP-97-05632	CDM			278	RC		inpatient			5937.5	5937.5																																																			
CATHETER ULTRASOUND SOUNDSTAR OD10 FR INTRACARDIAC STEERING HANDLE GE	SUP-10439072	CDM			270	RC		outpatient			5936	5936	1608.06				percent of total billed charges		5936				other	OPPS APC	4392.64				percent of total billed charges		5936				other	OPPS APC	5936				other	OPPS APC	1608.06				percent of total billed charges		1640.12				percent of total billed charges		5936				other	OPPS APC	1608.06	5936	
CATHETER ULTRASOUND SOUNDSTAR OD10 FR INTRACARDIAC STEERING HANDLE GE	SUP-10439072	CDM			270	RC		inpatient			5936	5936																																																			
CATHETER ANGIOGRAPHIC SOUNDSTAR OD 8 FR	SUP-10439236	CDM			270	RC		outpatient			5936	5936	1608.06				percent of total billed charges		5936				other	OPPS APC	4392.64				percent of total billed charges		5936				other	OPPS APC	5936				other	OPPS APC	1608.06				percent of total billed charges		1640.12				percent of total billed charges		5936				other	OPPS APC	1608.06	5936	
CATHETER ANGIOGRAPHIC SOUNDSTAR OD 8 FR	SUP-10439236	CDM			270	RC		inpatient			5936	5936																																																			
REST MOD CONICAL DISTAL STEM 19X15MM	SUP-97-03972	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
REST MOD CONICAL DISTAL STEM 19X15MM	SUP-97-03972	CDM			278	RC		inpatient			5935	5935																																																			
REST MOD CONICAL DISTAL STEM 17MMX155MM	SUP-97-04485	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
REST MOD CONICAL DISTAL STEM 17MMX155MM	SUP-97-04485	CDM			278	RC		inpatient			5935	5935																																																			
REST MOD CONICAL DISTAL STEM 22MM X 155M	SUP-97-05209	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
REST MOD CONICAL DISTAL STEM 22MM X 155M	SUP-97-05209	CDM			278	RC		inpatient			5935	5935																																																			
STEM DISTAL CONICAL 21 X 155MM REST MOD	SUP-97-05747	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
STEM DISTAL CONICAL 21 X 155MM REST MOD	SUP-97-05747	CDM			278	RC		inpatient			5935	5935																																																			
STEM 19 X 195MM REST MOD CONICAL DISTAL	SUP-97-05929	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
STEM 19 X 195MM REST MOD CONICAL DISTAL	SUP-97-05929	CDM			278	RC		inpatient			5935	5935																																																			
REST MOD CONICAL DISTAL STEM 20 X 155MM	SUP-97-06047	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
REST MOD CONICAL DISTAL STEM 20 X 155MM	SUP-97-06047	CDM			278	RC		inpatient			5935	5935																																																			
REST MOD CONICAL DISTAL STEM 20MM X 155M	SUP-97-23635	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
REST MOD CONICAL DISTAL STEM 20MM X 155M	SUP-97-23635	CDM			278	RC		inpatient			5935	5935																																																			
REST MON CONICAL DISTAL STEM 16MM X 155M	SUP-97-23715	CDM			278	RC		outpatient			5935	5935	5935				fee schedule		5935				other	OPPS APC	3382.95				percent of total billed charges		5935				other	OPPS APC	5935				other	OPPS APC	2908.15				percent of total billed charges		3026.85				percent of total billed charges		5935				other	OPPS APC	2908.15	5935	
REST MON CONICAL DISTAL STEM 16MM X 155M	SUP-97-23715	CDM			278	RC		inpatient			5935	5935																																																			
INSERT INFINITY EVERLAST VIT-E HXLPE	SUP-97-04901	CDM			278	RC		outpatient			5928.75	5928.75	5928.75				fee schedule		5928.75				other	OPPS APC	3379.39				percent of total billed charges		5928.75				other	OPPS APC	5928.75				other	OPPS APC	2905.09				percent of total billed charges		3023.66				percent of total billed charges		5928.75				other	OPPS APC	2905.09	5928.75	
INSERT INFINITY EVERLAST VIT-E HXLPE	SUP-97-04901	CDM			278	RC		inpatient			5928.75	5928.75																																																			
SPACER SPINAL CAPSTONE CONTROL PEEK 0 D L22 MM X H11 MM STERILE INTERBODY FUSION	SUP-3991122	CDM	270010020	LOCAL	270	RC		outpatient			5925.6	5925.64	1605.25				percent of total billed charges		5925.6				other	OPPS APC	4384.94				percent of total billed charges		5925.6				other	OPPS APC	5925.6				other	OPPS APC	1605.25				percent of total billed charges		1637.24				percent of total billed charges		5925.64				other	OPPS APC	1605.25	5925.64	
SPACER SPINAL CAPSTONE CONTROL PEEK 0 D L22 MM X H11 MM STERILE INTERBODY FUSION	SUP-3991122	CDM	270010020	LOCAL	270	RC		inpatient			5925.6	5925.6																																																			
SPACER SPINAL CAPSTONE CONTROL PEEK 0 D L22 MM X H12 MM STERILE INTERBODY FUSION	SUP-3991222	CDM	270010020	LOCAL	270	RC		outpatient			5925.6	5925.64	1605.25				percent of total billed charges		5925.6				other	OPPS APC	4384.94				percent of total billed charges		5925.6				other	OPPS APC	5925.6				other	OPPS APC	1605.25				percent of total billed charges		1637.24				percent of total billed charges		5925.64				other	OPPS APC	1605.25	5925.64	
SPACER SPINAL CAPSTONE CONTROL PEEK 0 D L22 MM X H12 MM STERILE INTERBODY FUSION	SUP-3991222	CDM	270010020	LOCAL	270	RC		inpatient			5925.6	5925.6																																																			
SPACER SPINAL CAPSTONE CONTROL PEEK 12 D L22 MM X H10 MM STERILE INTERBODY FUSION	SUP-4011022	CDM	270010020	LOCAL	270	RC		outpatient			5925.6	5925.64	1605.25				percent of total billed charges		5925.6				other	OPPS APC	4384.94				percent of total billed charges		5925.6				other	OPPS APC	5925.6				other	OPPS APC	1605.25				percent of total billed charges		1637.24				percent of total billed charges		5925.64				other	OPPS APC	1605.25	5925.64	
SPACER SPINAL CAPSTONE CONTROL PEEK 12 D L22 MM X H10 MM STERILE INTERBODY FUSION	SUP-4011022	CDM	270010020	LOCAL	270	RC		inpatient			5925.6	5925.6																																																			
SPACER SPINAL CAPSTONE CONTROL PEEK 12 D L22 MM X H13 MM STERILE INTERBODY FUSION	SUP-4011322	CDM	270010020	LOCAL	270	RC		outpatient			5925.6	5925.64	1605.25				percent of total billed charges		5925.6				other	OPPS APC	4384.94				percent of total billed charges		5925.6				other	OPPS APC	5925.6				other	OPPS APC	1605.25				percent of total billed charges		1637.24				percent of total billed charges		5925.64				other	OPPS APC	1605.25	5925.64	
SPACER SPINAL CAPSTONE CONTROL PEEK 12 D L22 MM X H13 MM STERILE INTERBODY FUSION	SUP-4011322	CDM	270010020	LOCAL	270	RC		inpatient			5925.6	5925.6																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 15X195MM	SUP-6276-7-115	CDM	270010024	LOCAL	270	RC		outpatient			5925	5925	1605.08				percent of total billed charges		5925				other	OPPS APC	4384.5				percent of total billed charges		5925				other	OPPS APC	5925				other	OPPS APC	1605.08				percent of total billed charges		1637.08				percent of total billed charges		5925				other	OPPS APC	1605.08	5925	
STEM FEMORAL STRYKER RESTORATION MODULAR 15X195MM	SUP-6276-7-115	CDM	270010024	LOCAL	270	RC		inpatient			5925	5925																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L195 MM OD16 MM HIP MODULAR SYSTEM	SUP-6276-7-116	CDM	270010024	LOCAL	270	RC		outpatient			5925	5925	1605.08				percent of total billed charges		5925				other	OPPS APC	4384.5				percent of total billed charges		5925				other	OPPS APC	5925				other	OPPS APC	1605.08				percent of total billed charges		1637.08				percent of total billed charges		5925				other	OPPS APC	1605.08	5925	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L195 MM OD16 MM HIP MODULAR SYSTEM	SUP-6276-7-116	CDM	270010024	LOCAL	270	RC		inpatient			5925	5925																																																			
STEM FEMORAL RESTORATION STRAIGHT CONE L195 MM OD20 MM HIP MODULAR	SUP-6276-7-120	CDM	270010024	LOCAL	270	RC		outpatient			5925	5925	1605.08				percent of total billed charges		5925				other	OPPS APC	4384.5				percent of total billed charges		5925				other	OPPS APC	5925				other	OPPS APC	1605.08				percent of total billed charges		1637.08				percent of total billed charges		5925				other	OPPS APC	1605.08	5925	
STEM FEMORAL RESTORATION STRAIGHT CONE L195 MM OD20 MM HIP MODULAR	SUP-6276-7-120	CDM	270010024	LOCAL	270	RC		inpatient			5925	5925																																																			
STENT - ZILVER PTX 5X140 6F	SUP-99-04505	CDM			278	RC		outpatient			5924.98	5924.98	5924.98				fee schedule		5924.98				other	OPPS APC	3377.24				percent of total billed charges		5924.98				other	OPPS APC	5924.98				other	OPPS APC	2903.24				percent of total billed charges		3021.74				percent of total billed charges		5924.98				other	OPPS APC	2903.24	5924.98	
STENT - ZILVER PTX 5X140 6F	SUP-99-04505	CDM			278	RC		inpatient			5924.98	5924.98																																																			
STENT - ZILVER PTX 6X140 6F	SUP-99-04511	CDM			278	RC		outpatient			5924.98	5924.98	5924.98				fee schedule		5924.98				other	OPPS APC	3377.24				percent of total billed charges		5924.98				other	OPPS APC	5924.98				other	OPPS APC	2903.24				percent of total billed charges		3021.74				percent of total billed charges		5924.98				other	OPPS APC	2903.24	5924.98	
STENT - ZILVER PTX 6X140 6F	SUP-99-04511	CDM			278	RC		inpatient			5924.98	5924.98																																																			
STENT - ZILVER PTX 7X140 6F	SUP-99-04517	CDM			278	RC		outpatient			5924.98	5924.98	5924.98				fee schedule		5924.98				other	OPPS APC	3377.24				percent of total billed charges		5924.98				other	OPPS APC	5924.98				other	OPPS APC	2903.24				percent of total billed charges		3021.74				percent of total billed charges		5924.98				other	OPPS APC	2903.24	5924.98	
STENT - ZILVER PTX 7X140 6F	SUP-99-04517	CDM			278	RC		inpatient			5924.98	5924.98																																																			
CUP ACETABULAR PINNACLE 52MM GRIPTION STERILE LF HIP 10 DOME SCREW MULTIHOLE II REVISION SYSTEM	SUP-1217-30-052	CDM	270010024	LOCAL	270	RC		outpatient			5919.6	5919.64	1603.62				percent of total billed charges		5919.6				other	OPPS APC	4380.5				percent of total billed charges		5919.6				other	OPPS APC	5919.6				other	OPPS APC	1603.62				percent of total billed charges		1635.59				percent of total billed charges		5919.64				other	OPPS APC	1603.62	5919.64	
CUP ACETABULAR PINNACLE 52MM GRIPTION STERILE LF HIP 10 DOME SCREW MULTIHOLE II REVISION SYSTEM	SUP-1217-30-052	CDM	270010024	LOCAL	270	RC		inpatient			5919.6	5919.6																																																			
GRAFT PROPATEN 6X70	SUP-97-00205	CDM			272	RC		outpatient			5907.5	597.5	1600.34				percent of total billed charges		5907.5				other	OPPS APC	4371.55				percent of total billed charges		5907.5				other	OPPS APC	5907.5				other	OPPS APC	1600.34				percent of total billed charges		1632.24				percent of total billed charges		597.5				other	OPPS APC	597.5	5907.5	
GRAFT PROPATEN 6X70	SUP-97-00205	CDM			272	RC		inpatient			5907.5	5907.5																																																			
GRAFT SOFT TISSUE ALLOMAX TUTOPLAST HUMAN DERMAL COLLAGEN 1 MM RECTANGULAR L6.3 IN X W2.4 IN TIGHT TOLERANCE STERILE 2 LATERAL BREAST RECONSTRUCTION	SUP-1180616M	CDM			270	RC		outpatient			5902.29	592.29	1598.93				percent of total billed charges		5902.29				other	OPPS APC	4367.69				percent of total billed charges		5902.29				other	OPPS APC	5902.29				other	OPPS APC	1598.93				percent of total billed charges		1630.8				percent of total billed charges		592.29				other	OPPS APC	592.29	5902.29	
GRAFT SOFT TISSUE ALLOMAX TUTOPLAST HUMAN DERMAL COLLAGEN 1 MM RECTANGULAR L6.3 IN X W2.4 IN TIGHT TOLERANCE STERILE 2 LATERAL BREAST RECONSTRUCTION	SUP-1180616M	CDM			270	RC		inpatient			5902.29	5902.29																																																			
KIT FIRST FRACTURE STABILIT	SUP-2003-01	CDM			270	RC		outpatient			5900.78	59.78	1598.52				percent of total billed charges		5900.78				other	OPPS APC	4366.58				percent of total billed charges		5900.78				other	OPPS APC	5900.78				other	OPPS APC	1598.52				percent of total billed charges		1630.39				percent of total billed charges		59.78				other	OPPS APC	59.78	5900.78	
KIT FIRST FRACTURE STABILIT	SUP-2003-01	CDM			270	RC		inpatient			5900.78	5900.78																																																			
CATHETER THROMBECTOMY INDIGO L100 CM OD8 FR ASPIRATION EXTRA TORQUE TIP	SUP-CAT8XTORQ115	CDM			270	RC		outpatient			5900	59	1598.31				percent of total billed charges		5900				other	OPPS APC	4366				percent of total billed charges		5900				other	OPPS APC	5900				other	OPPS APC	1598.31				percent of total billed charges		1630.17				percent of total billed charges		59				other	OPPS APC	59	5900	
CATHETER THROMBECTOMY INDIGO L100 CM OD8 FR ASPIRATION EXTRA TORQUE TIP	SUP-CAT8XTORQ115	CDM			270	RC		inpatient			5900	5900																																																			
SYSTEM ADVISA SR MRI	SUP-ADVISASRMRIPEEM	CDM			275	RC		outpatient			5893.8	5893.82	2887.96				percent of total billed charges		5893.8				other	OPPS APC	3359.47				percent of total billed charges		5893.8				other	OPPS APC	5893.8				other	OPPS APC	2887.96				percent of total billed charges		3005.84				percent of total billed charges		5893.82				other	OPPS APC	2887.96	5893.82	
SYSTEM ADVISA SR MRI	SUP-ADVISASRMRIPEEM	CDM			275	RC		inpatient			5893.8	5893.8																																																			
HYDROSET 10CC	SUP-397010	CDM			270	RC		outpatient			5885.4	5885.4	1594.35				percent of total billed charges		5885.4				other	OPPS APC	4355.2				percent of total billed charges		5885.4				other	OPPS APC	5885.4				other	OPPS APC	1594.35				percent of total billed charges		1626.14				percent of total billed charges		5885.4				other	OPPS APC	1594.35	5885.4	
HYDROSET 10CC	SUP-397010	CDM			270	RC		inpatient			5885.4	5885.4																																																			
HEAD RADIAL EVOLVE PROLINE STANDARD OD26 MM ELBOW MODULAR	SUP-496H026	CDM			270	RC		outpatient			5876	5876	1591.81				percent of total billed charges		5876				other	OPPS APC	4348.24				percent of total billed charges		5876				other	OPPS APC	5876				other	OPPS APC	1591.81				percent of total billed charges		1623.54				percent of total billed charges		5876				other	OPPS APC	1591.81	5876	
HEAD RADIAL EVOLVE PROLINE STANDARD OD26 MM ELBOW MODULAR	SUP-496H026	CDM			270	RC		inpatient			5876	5876																																																			
HEAD RADIAL EVOLVE PROLINE STANDARD OD28 MM ELBOW MODULAR	SUP-496H028	CDM			270	RC		outpatient			5876	5876	1591.81				percent of total billed charges		5876				other	OPPS APC	4348.24				percent of total billed charges		5876				other	OPPS APC	5876				other	OPPS APC	1591.81				percent of total billed charges		1623.54				percent of total billed charges		5876				other	OPPS APC	1591.81	5876	
HEAD RADIAL EVOLVE PROLINE STANDARD OD28 MM ELBOW MODULAR	SUP-496H028	CDM			270	RC		inpatient			5876	5876																																																			
HEAD RADIAL EVOLVE +2MM 26MM SS STERILE ELBOW	SUP-496H226	CDM			270	RC		outpatient			5876	5876	1591.81				percent of total billed charges		5876				other	OPPS APC	4348.24				percent of total billed charges		5876				other	OPPS APC	5876				other	OPPS APC	1591.81				percent of total billed charges		1623.54				percent of total billed charges		5876				other	OPPS APC	1591.81	5876	
HEAD RADIAL EVOLVE +2MM 26MM SS STERILE ELBOW	SUP-496H226	CDM			270	RC		inpatient			5876	5876																																																			
DUODENOSCOPE FLEXIBLE EXHALT L1240MM OD 15.1MM ODSEC 11.3MM ID 4.2MM STERILE DISPOSABLE MODEL D	SUP-M00542421	CDM			270	RC		outpatient			5860	586	1587.47				percent of total billed charges		5860				other	OPPS APC	4336.4				percent of total billed charges		5860				other	OPPS APC	5860				other	OPPS APC	1587.47				percent of total billed charges		1619.12				percent of total billed charges		586				other	OPPS APC	586	5860	
DUODENOSCOPE FLEXIBLE EXHALT L1240MM OD 15.1MM ODSEC 11.3MM ID 4.2MM STERILE DISPOSABLE MODEL D	SUP-M00542421	CDM			270	RC		inpatient			5860	5860																																																			
CONTROLLER ENDOSCOPIC CAMERA EXALT	SUP-M00542430	CDM			270	RC		outpatient			5860	586	1587.47				percent of total billed charges		5860				other	OPPS APC	4336.4				percent of total billed charges		5860				other	OPPS APC	5860				other	OPPS APC	1587.47				percent of total billed charges		1619.12				percent of total billed charges		586				other	OPPS APC	586	5860	
CONTROLLER ENDOSCOPIC CAMERA EXALT	SUP-M00542430	CDM			270	RC		inpatient			5860	5860																																																			
MAP 3 DBM / 2X5CC	SUP-97-01663	CDM			278	RC		outpatient			5857.5	5857.5	5857.5				fee schedule		5857.5				other	OPPS APC	3338.78				percent of total billed charges		5857.5				other	OPPS APC	5857.5				other	OPPS APC	2870.18				percent of total billed charges		2987.33				percent of total billed charges		5857.5				other	OPPS APC	2870.18	5857.5	
MAP 3 DBM / 2X5CC	SUP-97-01663	CDM			278	RC		inpatient			5857.5	5857.5																																																			
MAP 3 DBM / STEM CELLS 5CC	SUP-97-02210	CDM			278	RC		outpatient			5857.5	5857.5	5857.5				fee schedule		5857.5				other	OPPS APC	3338.78				percent of total billed charges		5857.5				other	OPPS APC	5857.5				other	OPPS APC	2870.18				percent of total billed charges		2987.33				percent of total billed charges		5857.5				other	OPPS APC	2870.18	5857.5	
MAP 3 DBM / STEM CELLS 5CC	SUP-97-02210	CDM			278	RC		inpatient			5857.5	5857.5																																																			
RING ANNULOPLASTY CARPENTIER EDWARDS 30MM	SUP-4450-T30	CDM			270	RC		outpatient			5838	5838	1581.51				percent of total billed charges		5838				other	OPPS APC	4320.12				percent of total billed charges		5838				other	OPPS APC	5838				other	OPPS APC	1581.51				percent of total billed charges		1613.04				percent of total billed charges		5838				other	OPPS APC	1581.51	5838	
RING ANNULOPLASTY CARPENTIER EDWARDS 30MM	SUP-4450-T30	CDM			270	RC		inpatient			5838	5838																																																			
CONTINUUM CLUSTER-HOLE SHELL 52II	SUP-97-04022	CDM			278	RC		outpatient			5828.13	5828.13	5828.13				fee schedule		5828.13				other	OPPS APC	3322.03				percent of total billed charges		5828.13				other	OPPS APC	5828.13				other	OPPS APC	2855.78				percent of total billed charges		2972.35				percent of total billed charges		5828.13				other	OPPS APC	2855.78	5828.13	
CONTINUUM CLUSTER-HOLE SHELL 52II	SUP-97-04022	CDM			278	RC		inpatient			5828.13	5828.13																																																			
CONTINUUM CLUSTER-HOLE SHELL 56KK	SUP-97-04288	CDM			278	RC		outpatient			5828.13	5828.13	5828.13				fee schedule		5828.13				other	OPPS APC	3322.03				percent of total billed charges		5828.13				other	OPPS APC	5828.13				other	OPPS APC	2855.78				percent of total billed charges		2972.35				percent of total billed charges		5828.13				other	OPPS APC	2855.78	5828.13	
CONTINUUM CLUSTER-HOLE SHELL 56KK	SUP-97-04288	CDM			278	RC		inpatient			5828.13	5828.13																																																			
PACEMAKER SINGLE CHAMBER ZEPHR XL SR DEVICE	SUP-5626/5620 D	CDM			275	RC		outpatient			5819.7	5819.7	2851.65				percent of total billed charges		5819.7				other	OPPS APC	3317.23				percent of total billed charges		5819.7				other	OPPS APC	5819.7				other	OPPS APC	2851.65				percent of total billed charges		2968.05				percent of total billed charges		5819.7				other	OPPS APC	2851.65	5819.7	
PACEMAKER SINGLE CHAMBER ZEPHR XL SR DEVICE	SUP-5626/5620 D	CDM			275	RC		inpatient			5819.7	5819.7																																																			
PS ALL POLYETHYLENE TIBA COMPONENT 8X16M	SUP-97-02963	CDM			278	RC		outpatient			5819	5819	5819				fee schedule		5819				other	OPPS APC	3316.83				percent of total billed charges		5819				other	OPPS APC	5819				other	OPPS APC	2851.31				percent of total billed charges		2967.69				percent of total billed charges		5819				other	OPPS APC	2851.31	5819	
PS ALL POLYETHYLENE TIBA COMPONENT 8X16M	SUP-97-02963	CDM			278	RC		inpatient			5819	5819																																																			
TRASTUZUMAB-QYYP 150 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0308-01	NDC	Q5116	HCPCS		inpatient			5813.28	5813.28																																																			
TRASTUZUMAB-QYYP 150 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0308-01	NDC	Q5116	HCPCS		outpatient			5813.28	13.6																																											13.6				other	OPPS APC	13.6	13.6	
SHELL ACETABULAR TRIDENT II TRITANIUM F OD56 MM HIP MULTIHOLE STERILE	SUP-709-04-56F	CDM	270010024	LOCAL	270	RC		outpatient			5800.5	58.5	1571.36				percent of total billed charges		5800.5				other	OPPS APC	4292.37				percent of total billed charges		5800.5				other	OPPS APC	5800.5				other	OPPS APC	1571.36				percent of total billed charges		1602.68				percent of total billed charges		58.5				other	OPPS APC	58.5	5800.5	
SHELL ACETABULAR TRIDENT II TRITANIUM F OD56 MM HIP MULTIHOLE STERILE	SUP-709-04-56F	CDM	270010024	LOCAL	270	RC		inpatient			5800.5	5800.5																																																			
PLATE BONE INTERCONTINENTAL 0 D L20 MM X H8 MM SPINE NONSTERILE	SUP-187.008	CDM	270010020	LOCAL	270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
PLATE BONE INTERCONTINENTAL 0 D L20 MM X H8 MM SPINE NONSTERILE	SUP-187.008	CDM	270010020	LOCAL	270	RC		inpatient			5800	5800																																																			
COIL TARGET DETACHABLE 360 STD XL 22MM X 50CM	SUP-610225	CDM			270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
COIL TARGET DETACHABLE 360 STD XL 22MM X 50CM	SUP-610225	CDM			270	RC		inpatient			5800	5800																																																			
COIL TARGET DETACHABLE 360 STD XL 24MM X 50CM	SUP-610245	CDM			270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
COIL TARGET DETACHABLE 360 STD XL 24MM X 50CM	SUP-610245	CDM			270	RC		inpatient			5800	5800																																																			
COIL TARGET DETACHABLE 360 SOFT XL 16MM X 50CM	SUP-612165	CDM			270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
COIL TARGET DETACHABLE 360 SOFT XL 16MM X 50CM	SUP-612165	CDM			270	RC		inpatient			5800	5800																																																			
COIL TARGET DETACHABLE 360 SOFT XL 18MM X 50CM	SUP-612185	CDM			270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
COIL TARGET DETACHABLE 360 SOFT XL 18MM X 50CM	SUP-612185	CDM			270	RC		inpatient			5800	5800																																																			
COIL TARGET DETACHABLE 360 SOFT XL 20MM X 50CM	SUP-612205	CDM			270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
COIL TARGET DETACHABLE 360 SOFT XL 20MM X 50CM	SUP-612205	CDM			270	RC		inpatient			5800	5800																																																			
COIL TARGET DETACHABLE 360 SOFT XL 9MM X 30CM	SUP-612930	CDM			270	RC		outpatient			5800	58	1571.22				percent of total billed charges		5800				other	OPPS APC	4292				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	1571.22				percent of total billed charges		1602.54				percent of total billed charges		58				other	OPPS APC	58	5800	
COIL TARGET DETACHABLE 360 SOFT XL 9MM X 30CM	SUP-612930	CDM			270	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA STEROID ELUTING L60 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7120/60	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA STEROID ELUTING L60 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7120/60	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA STEROID ELUTING L65 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7120/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA STEROID ELUTING L65 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7120/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR DURATA  L52 CM L17 CM OD7 FR 2 COIL DF-4	SUP-7120Q/52	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR DURATA  L52 CM L17 CM OD7 FR 2 COIL DF-4	SUP-7120Q/52	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA STEROID ELUTING L65 CM OD7 FR ENDOCARDIUM 2 COIL DF-4	SUP-7120Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA STEROID ELUTING L65 CM OD7 FR ENDOCARDIUM 2 COIL DF-4	SUP-7120Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA OPTIM L60 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121/60	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA OPTIM L60 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121/60	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR DURATA 21 CM SPACE L65 CM OD7 FR 2 COIL	SUP-7121/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR DURATA 21 CM SPACE L65 CM OD7 FR 2 COIL	SUP-7121/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 21 CM SPACE L52 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121Q/52	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 21 CM SPACE L52 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121Q/52	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 21 CM SPACE L58 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121Q/58	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 21 CM SPACE L58 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121Q/58	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 21 CM SPACE L65 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 21 CM SPACE L65 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7121Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD ICD DURATA OPTIM L60 CM OD7 FR 1 COIL DF1	SUP-7122/60	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD ICD DURATA OPTIM L60 CM OD7 FR 1 COIL DF1	SUP-7122/60	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA STEROID ELUTING OPTIM L65 CM OD7 FR ENDOCARDIUM 1 COIL	SUP-7122/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA STEROID ELUTING OPTIM L65 CM OD7 FR ENDOCARDIUM 1 COIL	SUP-7122/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 STEROID ELUTING OPTIM L52 CM OD7 FR ENDOCARDIUM 1 COIL	SUP-7122Q/52	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 STEROID ELUTING OPTIM L52 CM OD7 FR ENDOCARDIUM 1 COIL	SUP-7122Q/52	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 STEROID ELUTING SILICONE 11 MM SPACING L58 CM OD6.8 FR ENDOCARDIUM 1 COIL	SUP-7122Q/58	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 STEROID ELUTING SILICONE 11 MM SPACING L58 CM OD6.8 FR ENDOCARDIUM 1 COIL	SUP-7122Q/58	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 STEROID ELUTING SILICONE 11 MM SPACING L65 CM OD6.8 FR ENDOCARDIUM	SUP-7122Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 STEROID ELUTING SILICONE 11 MM SPACING L65 CM OD6.8 FR ENDOCARDIUM	SUP-7122Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA STEROID ELUTING SILICONE 17 MM SPACING L60 CM OD6.8 FR ENDOCARDIUM 2 COIL	SUP-7130/60	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA STEROID ELUTING SILICONE 17 MM SPACING L60 CM OD6.8 FR ENDOCARDIUM 2 COIL	SUP-7130/60	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA STEROID ELUTING SILICONE 21 MM SPACING L65 CM OD6.8 FR ENDOCARDIUM 2 COIL	SUP-7131/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA STEROID ELUTING SILICONE 21 MM SPACING L65 CM OD6.8 FR ENDOCARDIUM 2 COIL	SUP-7131/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR DURATA L65 CM L17 CM OD7 FR 2 COIL DF1	SUP-7170/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR DURATA L65 CM L17 CM OD7 FR 2 COIL DF1	SUP-7170/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 L58 CM L17 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7170Q/58	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 L58 CM L17 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7170Q/58	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 L65 CM L17 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7170Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 L65 CM L17 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7170Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR DURATA L65 CM L21 CM OD7 FR 2 COIL DF1	SUP-7171/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR DURATA L65 CM L21 CM OD7 FR 2 COIL DF1	SUP-7171/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 L58 CM L21 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7171Q/58	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 L58 CM L21 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7171Q/58	CDM			275	RC		inpatient			5800	5800																																																			
LEAD PACING DURATA SJ4 L65 CM L21 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7171Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD PACING DURATA SJ4 L65 CM L21 CM OD7 FR ENDOCARDIUM 2 COIL	SUP-7171Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L65 CM OD8 FR ENDOCARDIUM 1 COIL DF1	SUP-LDA210/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L65 CM OD8 FR ENDOCARDIUM 1 COIL DF1	SUP-LDA210/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L52 CM OD8 FR ENDOCARDIUM 1 COIL DF4	SUP-LDA210Q/52	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L52 CM OD8 FR ENDOCARDIUM 1 COIL DF4	SUP-LDA210Q/52	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L58 CM OD8 FR ENDOCARDIUM 1 COIL DF4	SUP-LDA210Q/58	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L58 CM OD8 FR ENDOCARDIUM 1 COIL DF4	SUP-LDA210Q/58	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L65 CM OD8 FR ENDOCARDIUM 1 COIL DF4	SUP-LDA210Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L65 CM OD8 FR ENDOCARDIUM 1 COIL DF4	SUP-LDA210Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L65 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF1	SUP-LDA220/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L65 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF1	SUP-LDA220/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L52 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA220Q/52	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L52 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA220Q/52	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L58 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA220Q/58	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L58 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA220Q/58	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L65 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA220Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L65 CM L17 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA220Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD DEFIBRILLATOR OPTISURE L65 CM L21 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA230Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD DEFIBRILLATOR OPTISURE L65 CM L21 CM OD8 FR ENDOCARDIUM 2 COIL DF4	SUP-LDA230Q/65	CDM			275	RC		inpatient			5800	5800																																																			
LEAD OPTISURE DF4 PASSIVE DUAL SHOCK L52 X 17	SUP-LDP220Q/65	CDM			275	RC		outpatient			5800	58	2842				percent of total billed charges		5800				other	OPPS APC	3306				percent of total billed charges		5800				other	OPPS APC	5800				other	OPPS APC	2842				percent of total billed charges		2958				percent of total billed charges		58				other	OPPS APC	58	5800	
LEAD OPTISURE DF4 PASSIVE DUAL SHOCK L52 X 17	SUP-LDP220Q/65	CDM			275	RC		inpatient			5800	5800																																																			
STENT BILIARY WALLFLEX PERMALUME L60 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE SELF EXPAND ACCEPTS .035 IN GUIDEWIRE	SUP-M00570370	CDM			270	RC		outpatient			5787.36	5787.36	1567.8				percent of total billed charges		5787.36				other	OPPS APC	4282.65				percent of total billed charges		5787.36				other	OPPS APC	5787.36				other	OPPS APC	1567.8				percent of total billed charges		1599.05				percent of total billed charges		5787.36				other	OPPS APC	1567.8	5787.36	
STENT BILIARY WALLFLEX PERMALUME L60 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE SELF EXPAND ACCEPTS .035 IN GUIDEWIRE	SUP-M00570370	CDM			270	RC		inpatient			5787.36	5787.36																																																			
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L80 CM L70 CM ID8 MM REMOVABLE RING STRETCH	SUP-HT087080A	CDM			270	RC		outpatient			5780	578	1565.8				percent of total billed charges		5780				other	OPPS APC	4277.2				percent of total billed charges		5780				other	OPPS APC	5780				other	OPPS APC	1565.8				percent of total billed charges		1597.01				percent of total billed charges		578				other	OPPS APC	578	5780	
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L80 CM L70 CM ID8 MM REMOVABLE RING STRETCH	SUP-HT087080A	CDM			270	RC		inpatient			5780	5780																																																			
CATHETER ASPIRATION AXS VECTA 71 L125 CM OD.082-.085 IN ID.071 IN SCOUT INTRODUCER STERILE LATEX FREE DISPOSABLE	SUP-INC-11129-125	CDM			270	RC		outpatient			5778	5778	1565.26				percent of total billed charges		5778				other	OPPS APC	4275.72				percent of total billed charges		5778				other	OPPS APC	5778				other	OPPS APC	1565.26				percent of total billed charges		1596.46				percent of total billed charges		5778				other	OPPS APC	1565.26	5778	
CATHETER ASPIRATION AXS VECTA 71 L125 CM OD.082-.085 IN ID.071 IN SCOUT INTRODUCER STERILE LATEX FREE DISPOSABLE	SUP-INC-11129-125	CDM			270	RC		inpatient			5778	5778																																																			
PLATE COMPRESSION HOLE 14	SUP-97-02842	CDM			278	RC		outpatient			5777.5	5777.5	5777.5				fee schedule		5777.5				other	OPPS APC	3293.18				percent of total billed charges		5777.5				other	OPPS APC	5777.5				other	OPPS APC	2830.98				percent of total billed charges		2946.53				percent of total billed charges		5777.5				other	OPPS APC	2830.98	5777.5	
PLATE COMPRESSION HOLE 14	SUP-97-02842	CDM			278	RC		inpatient			5777.5	5777.5																																																			
PERMACOL 10X10X1	SUP-97-00116	CDM			278	RC		outpatient			5764.68	5764.68	5764.68				fee schedule		5764.68				other	OPPS APC	3285.87				percent of total billed charges		5764.68				other	OPPS APC	5764.68				other	OPPS APC	2824.69				percent of total billed charges		2939.99				percent of total billed charges		5764.68				other	OPPS APC	2824.69	5764.68	
PERMACOL 10X10X1	SUP-97-00116	CDM			278	RC		inpatient			5764.68	5764.68																																																			
STENT - EVERFLEX 6X150	SUP-99-03499	CDM			278	RC		inpatient			5762.5	5762.5																																																			
STENT - EVERFLEX 6X150	SUP-99-03499	CDM			278	RC		outpatient			5762.5	5762.5					fee schedule						other	OPPS APC	3284.63				percent of total billed charges						other	OPPS APC					other	OPPS APC	2823.63				percent of total billed charges		2938.88				percent of total billed charges						other	OPPS APC	3284.63	3284.63	
24MM BASEPLATE  20 ° FULL AUGMENT  +2 LAT	SUP-AR-9580-2420-2	CDM	270010030	LOCAL	270	RC		outpatient			5760	576	1560.38				percent of total billed charges		5760				other	OPPS APC	4262.4				percent of total billed charges		5760				other	OPPS APC	5760				other	OPPS APC	1560.38				percent of total billed charges		1591.49				percent of total billed charges		576				other	OPPS APC	576	5760	
24MM BASEPLATE  20 ° FULL AUGMENT  +2 LAT	SUP-AR-9580-2420-2	CDM	270010030	LOCAL	270	RC		inpatient			5760	5760																																																			
PACEMAKER CARDIAC ASSURITY MRI THK6 MM W50 MM X H47 MM 10.4 CC 20 GM IS-1 CONNECTOR	SUP-PM2272	CDM			275	RC		outpatient			5760	576	2822.4				percent of total billed charges		5760				other	OPPS APC	3283.2				percent of total billed charges		5760				other	OPPS APC	5760				other	OPPS APC	2822.4				percent of total billed charges		2937.6				percent of total billed charges		576				other	OPPS APC	576	5760	
PACEMAKER CARDIAC ASSURITY MRI THK6 MM W50 MM X H47 MM 10.4 CC 20 GM IS-1 CONNECTOR	SUP-PM2272	CDM			275	RC		inpatient			5760	5760																																																			
CAGE SPINAL COROENT 8D LG CONTOUR 25X9X8MM NS LF	SUP-6608925	CDM	270010020	LOCAL	270	RC		outpatient			5758	5758	1559.84				percent of total billed charges		5758				other	OPPS APC	4260.92				percent of total billed charges		5758				other	OPPS APC	5758				other	OPPS APC	1559.84				percent of total billed charges		1590.94				percent of total billed charges		5758				other	OPPS APC	1559.84	5758	
CAGE SPINAL COROENT 8D LG CONTOUR 25X9X8MM NS LF	SUP-6608925	CDM	270010020	LOCAL	270	RC		inpatient			5758	5758																																																			
ALIGN RADIAL STEM	SUP-97-03280	CDM			278	RC		outpatient			5750	575	5750				fee schedule		5750				other	OPPS APC	3277.5				percent of total billed charges		5750				other	OPPS APC	5750				other	OPPS APC	2817.5				percent of total billed charges		2932.5				percent of total billed charges		575				other	OPPS APC	575	5750	
ALIGN RADIAL STEM	SUP-97-03280	CDM			278	RC		inpatient			5750	5750																																																			
ANTERIOR TIBIALS TENDON 9MM	SUP-97-03320	CDM			278	RC		outpatient			5750	575	5750				fee schedule		5750				other	OPPS APC	3277.5				percent of total billed charges		5750				other	OPPS APC	5750				other	OPPS APC	2817.5				percent of total billed charges		2932.5				percent of total billed charges		575				other	OPPS APC	575	5750	
ANTERIOR TIBIALS TENDON 9MM	SUP-97-03320	CDM			278	RC		inpatient			5750	5750																																																			
ANTERIOR TIBIALS TENDON 8MM 30CM	SUP-97-03494	CDM			278	RC		outpatient			5750	575	5750				fee schedule		5750				other	OPPS APC	3277.5				percent of total billed charges		5750				other	OPPS APC	5750				other	OPPS APC	2817.5				percent of total billed charges		2932.5				percent of total billed charges		575				other	OPPS APC	575	5750	
ANTERIOR TIBIALS TENDON 8MM 30CM	SUP-97-03494	CDM			278	RC		inpatient			5750	5750																																																			
ANTERIOR TIBIALS TENDON 9MM	SUP-97-03889	CDM			278	RC		outpatient			5750	575	5750				fee schedule		5750				other	OPPS APC	3277.5				percent of total billed charges		5750				other	OPPS APC	5750				other	OPPS APC	2817.5				percent of total billed charges		2932.5				percent of total billed charges		575				other	OPPS APC	575	5750	
ANTERIOR TIBIALS TENDON 9MM	SUP-97-03889	CDM			278	RC		inpatient			5750	5750																																																			
ANTERIOR TIBIALS TENDON 9MM	SUP-97-04239	CDM			278	RC		outpatient			5750	575	5750				fee schedule		5750				other	OPPS APC	3277.5				percent of total billed charges		5750				other	OPPS APC	5750				other	OPPS APC	2817.5				percent of total billed charges		2932.5				percent of total billed charges		575				other	OPPS APC	575	5750	
ANTERIOR TIBIALS TENDON 9MM	SUP-97-04239	CDM			278	RC		inpatient			5750	5750																																																			
TIBIAL BEARING INSERT-PS7 16MM	SUP-97-02516	CDM			278	RC		outpatient			5746.14	5746.14	5746.14				fee schedule		5746.14				other	OPPS APC	3275.3				percent of total billed charges		5746.14				other	OPPS APC	5746.14				other	OPPS APC	2815.61				percent of total billed charges		2930.53				percent of total billed charges		5746.14				other	OPPS APC	2815.61	5746.14	
TIBIAL BEARING INSERT-PS7 16MM	SUP-97-02516	CDM			278	RC		inpatient			5746.14	5746.14																																																			
NO.7 TRIATHLON TS PLUS TIBIAL INSERT 13MM	SUP-97-03248	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.7 TRIATHLON TS PLUS TIBIAL INSERT 13MM	SUP-97-03248	CDM			278	RC		inpatient			5746.13	5746.13																																																			
TOTAL STABILIZER TIBIAL INSERT	SUP-97-03802	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
TOTAL STABILIZER TIBIAL INSERT	SUP-97-03802	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO.6 TRIATHLON TS PLUS TIBIAL INSERT 13MM	SUP-97-03896	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.6 TRIATHLON TS PLUS TIBIAL INSERT 13MM	SUP-97-03896	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO.4 TRIATHLON TS PLUS TIBIAL INSERT X3	SUP-97-04002	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.4 TRIATHLON TS PLUS TIBIAL INSERT X3	SUP-97-04002	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO 2.TRIATHLON TS PLUS TIBIAL X3 POLY11M	SUP-97-04050	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO 2.TRIATHLON TS PLUS TIBIAL X3 POLY11M	SUP-97-04050	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO.4 TRIATHLON TS PLUS TIBAL INSERTX3 9MM	SUP-97-04076	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.4 TRIATHLON TS PLUS TIBAL INSERTX3 9MM	SUP-97-04076	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO.4 TRIATHLON PLUS TIBAL INSERT X3 16MM	SUP-97-04171	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.4 TRIATHLON PLUS TIBAL INSERT X3 16MM	SUP-97-04171	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO.6 TRIATHLON TS PLUS INSERT X3 POLY 22M	SUP-97-04241	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.6 TRIATHLON TS PLUS INSERT X3 POLY 22M	SUP-97-04241	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NO.3 TS PLUS TIBIAL INSERT X3 POLY 9MM	SUP-97-04275	CDM			278	RC		outpatient			5746.13	5746.13	5746.13				fee schedule		5746.13				other	OPPS APC	3275.29				percent of total billed charges		5746.13				other	OPPS APC	5746.13				other	OPPS APC	2815.6				percent of total billed charges		2930.53				percent of total billed charges		5746.13				other	OPPS APC	2815.6	5746.13	
NO.3 TS PLUS TIBIAL INSERT X3 POLY 9MM	SUP-97-04275	CDM			278	RC		inpatient			5746.13	5746.13																																																			
NAIL CANN TROCH FIX 11MM 130 340	SUP-97-00351	CDM			278	RC		outpatient			5745.75	5745.75	5745.75				fee schedule		5745.75				other	OPPS APC	3275.08				percent of total billed charges		5745.75				other	OPPS APC	5745.75				other	OPPS APC	2815.42				percent of total billed charges		2930.33				percent of total billed charges		5745.75				other	OPPS APC	2815.42	5745.75	
NAIL CANN TROCH FIX 11MM 130 340	SUP-97-00351	CDM			278	RC		inpatient			5745.75	5745.75																																																			
STAPLE DYNANITE NITI W/INST 15MM X15MM	SUP-97-03059	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STAPLE DYNANITE NITI W/INST 15MM X15MM	SUP-97-03059	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STAPLE DYNANITE NITI W/INST 18MM X18MM	SUP-97-03173	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STAPLE DYNANITE NITI W/INST 18MM X18MM	SUP-97-03173	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STAPLE DYNANITE NITI W/INST 20MM X 20MM	SUP-97-03174	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STAPLE DYNANITE NITI W/INST 20MM X 20MM	SUP-97-03174	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STAPLE DYNANITE NITI W/INST 18MM X 18MM	SUP-97-03557	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STAPLE DYNANITE NITI W/INST 18MM X 18MM	SUP-97-03557	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STAPLE DYNANITE NITI W/INST 20MM X 15MM	SUP-97-04886	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STAPLE DYNANITE NITI W/INST 20MM X 15MM	SUP-97-04886	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STENT - ELUVIA DES 6X60	SUP-99-03577	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STENT - ELUVIA DES 6X60	SUP-99-03577	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STENT - ELUVIA DES 6X80	SUP-99-03578	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STENT - ELUVIA DES 6X80	SUP-99-03578	CDM			278	RC		inpatient			5737.5	5737.5																																																			
STENT - ELUVIA DES 7X60	SUP-99-03582	CDM			278	RC		outpatient			5737.5	5737.5	5737.5				fee schedule		5737.5				other	OPPS APC	3270.38				percent of total billed charges		5737.5				other	OPPS APC	5737.5				other	OPPS APC	2811.38				percent of total billed charges		2926.13				percent of total billed charges		5737.5				other	OPPS APC	2811.38	5737.5	
STENT - ELUVIA DES 7X60	SUP-99-03582	CDM			278	RC		inpatient			5737.5	5737.5																																																			
GRAFT ENDOVASCULAR ZENITH FLEX L88 MM OD12 MM ODSEC14 FR CONTRALATERAL IPSILATERAL ILIAC LEG AAA	SUP-G12448	CDM	270010015	LOCAL	270	RC		outpatient			5728	5728	1551.72				percent of total billed charges		5728				other	OPPS APC	4238.72				percent of total billed charges		5728				other	OPPS APC	5728				other	OPPS APC	1551.72				percent of total billed charges		1582.65				percent of total billed charges		5728				other	OPPS APC	1551.72	5728	
GRAFT ENDOVASCULAR ZENITH FLEX L88 MM OD12 MM ODSEC14 FR CONTRALATERAL IPSILATERAL ILIAC LEG AAA	SUP-G12448	CDM	270010015	LOCAL	270	RC		inpatient			5728	5728																																																			
GRAFT ENDOVASCULAR ZENITH FLEX L88 MM OD18 MM ODSEC16 FR CONTRALATERAL IPSILATERAL ILIAC LEG ABDOMINAL AORTIC ANEURYSM	SUP-G12462	CDM	270010015	LOCAL	270	RC		outpatient			5728	5728	1551.72				percent of total billed charges		5728				other	OPPS APC	4238.72				percent of total billed charges		5728				other	OPPS APC	5728				other	OPPS APC	1551.72				percent of total billed charges		1582.65				percent of total billed charges		5728				other	OPPS APC	1551.72	5728	
GRAFT ENDOVASCULAR ZENITH FLEX L88 MM OD18 MM ODSEC16 FR CONTRALATERAL IPSILATERAL ILIAC LEG ABDOMINAL AORTIC ANEURYSM	SUP-G12462	CDM	270010015	LOCAL	270	RC		inpatient			5728	5728																																																			
SET EXTERNAL FIXATION LARGE ANKLE FRAME STERILE	SUP-03.301.010S	CDM	270010022	LOCAL	270	RC		outpatient			5727.7	5727.7	1551.63				percent of total billed charges		5727.7				other	OPPS APC	4238.5				percent of total billed charges		5727.7				other	OPPS APC	5727.7				other	OPPS APC	1551.63				percent of total billed charges		1582.56				percent of total billed charges		5727.7				other	OPPS APC	1551.63	5727.7	
SET EXTERNAL FIXATION LARGE ANKLE FRAME STERILE	SUP-03.301.010S	CDM	270010022	LOCAL	270	RC		inpatient			5727.7	5727.7																																																			
AXS CATALYST 7 132CM	SUP-IC068132	CDM			270	RC		outpatient			5724	5724	1550.63				percent of total billed charges		5724				other	OPPS APC	4235.76				percent of total billed charges		5724				other	OPPS APC	5724				other	OPPS APC	1550.63				percent of total billed charges		1581.54				percent of total billed charges		5724				other	OPPS APC	1550.63	5724	
AXS CATALYST 7 132CM	SUP-IC068132	CDM			270	RC		inpatient			5724	5724																																																			
CEMENT BONE HYDROSET CALCIUM PHOSPHATE 10 CC INJECTABLE OSTEOCONDUCTIVE STERILE LATEX FREE VOID FILLER	SUP-79-43910	CDM			270	RC		outpatient			5720.84	572.84	1549.78				percent of total billed charges		5720.84				other	OPPS APC	4233.42				percent of total billed charges		5720.84				other	OPPS APC	5720.84				other	OPPS APC	1549.78				percent of total billed charges		1580.67				percent of total billed charges		572.84				other	OPPS APC	572.84	5720.84	
CEMENT BONE HYDROSET CALCIUM PHOSPHATE 10 CC INJECTABLE OSTEOCONDUCTIVE STERILE LATEX FREE VOID FILLER	SUP-79-43910	CDM			270	RC		inpatient			5720.84	5720.84																																																			
BAND SURGICAL LIGATION REALIZE GASTRIC ENDOSCOPIC DISSECTOR CALIBRATION TUBE	SUP-RLZB22DG1	CDM			270	RC		outpatient			5720	572	1549.55				percent of total billed charges		5720				other	OPPS APC	4232.8				percent of total billed charges		5720				other	OPPS APC	5720				other	OPPS APC	1549.55				percent of total billed charges		1580.44				percent of total billed charges		572				other	OPPS APC	572	5720	
BAND SURGICAL LIGATION REALIZE GASTRIC ENDOSCOPIC DISSECTOR CALIBRATION TUBE	SUP-RLZB22DG1	CDM			270	RC		inpatient			5720	5720																																																			
LINER ACETABULAR DURALOC 50MM 28MM ENDURON STERILE LF HIP CONSTRAIN	SUP-1241-10-527	CDM	270010024	LOCAL	270	RC		outpatient			5703.6	573.64	1545.11				percent of total billed charges		5703.6				other	OPPS APC	4220.66				percent of total billed charges		5703.6				other	OPPS APC	5703.6				other	OPPS APC	1545.11				percent of total billed charges		1575.9				percent of total billed charges		573.64				other	OPPS APC	573.64	5703.6	
LINER ACETABULAR DURALOC 50MM 28MM ENDURON STERILE LF HIP CONSTRAIN	SUP-1241-10-527	CDM	270010024	LOCAL	270	RC		inpatient			5703.6	5703.6																																																			
LINER ACETABULAR DURALOC 56/68MM 32MM ENDURON STERILE LF HIP CONSTRAIN	SUP-1242-16-527	CDM	270010024	LOCAL	270	RC		outpatient			5702.6	572.64	1544.83				percent of total billed charges		5702.6				other	OPPS APC	4219.92				percent of total billed charges		5702.6				other	OPPS APC	5702.6				other	OPPS APC	1544.83				percent of total billed charges		1575.63				percent of total billed charges		572.64				other	OPPS APC	572.64	5702.6	
LINER ACETABULAR DURALOC 56/68MM 32MM ENDURON STERILE LF HIP CONSTRAIN	SUP-1242-16-527	CDM	270010024	LOCAL	270	RC		inpatient			5702.6	5702.6																																																			
LISFRANC  DUAL RAY  2ND & 3RD TMT PLATE	SUP-97-03844	CDM			278	RC		outpatient			5700	57	5700				fee schedule		5700				other	OPPS APC	3249				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	2793				percent of total billed charges		2907				percent of total billed charges		57				other	OPPS APC	57	5700	
LISFRANC  DUAL RAY  2ND & 3RD TMT PLATE	SUP-97-03844	CDM			278	RC		inpatient			5700	5700																																																			
PLATE LISFRAN RIGHT SM 1&2TMT DUAL RAY	SUP-97-03963	CDM			278	RC		outpatient			5700	57	5700				fee schedule		5700				other	OPPS APC	3249				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	2793				percent of total billed charges		2907				percent of total billed charges		57				other	OPPS APC	57	5700	
PLATE LISFRAN RIGHT SM 1&2TMT DUAL RAY	SUP-97-03963	CDM			278	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L20 MM L57 CM OD 6MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .035IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0620-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L20 MM L57 CM OD 6MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .035IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0620-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L30 MM L57 CM OD 6MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0630-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L30 MM L57 CM OD 6MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0630-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 6MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .035 IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0640-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 6MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .035 IN GUIDEWIRE 4-5MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0640-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE L30 MM L57 CM OD7 MM ODSEC.065 IN DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY ACCEPTS .014/.038 IN GUIDEWIRE 5-6 MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0730-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE L30 MM L57 CM OD7 MM ODSEC.065 IN DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER MICROMESH GEOMETRY ACCEPTS .014/.038 IN GUIDEWIRE 5-6 MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0730-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 7MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 5-6 MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0740-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 7MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 5-6 MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0740-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L30 MM L57 CM OD 8MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 6-7MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0830-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L30 MM L57 CM OD 8MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 6-7MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0830-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 8MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 6-7MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0840-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 8MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 6-7MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0840-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L30 MM L57 CM OD 9MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 7-8MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0930-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L30 MM L57 CM OD 9MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 7-8MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0930-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 9MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 7-8MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0940-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX STRAIGHT L40 MM L57 CM OD 9MM DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 7-8MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-0940-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX NITONOL SHORT STRAIGHT L30MM L57CM OD 10 MM OD 6 FR PRELOAD DELIVERY SYSTEM SELFEXPAND CATHETER ACCEPTS .014 IN GUIDEWIRE 8-9MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-1030-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX NITONOL SHORT STRAIGHT L30MM L57CM OD 10 MM OD 6 FR PRELOAD DELIVERY SYSTEM SELFEXPAND CATHETER ACCEPTS .014 IN GUIDEWIRE 8-9MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-1030-CS	CDM			270	RC		inpatient			5700	5700																																																			
STENT VASCULAR ENROUTE UBER FLEX NITINOL L40 MM L57 CM OD 10MM ODSEC .078IN DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 8-9 MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-1040-CS	CDM			270	RC		outpatient			5700	57	1544.13				percent of total billed charges		5700				other	OPPS APC	4218				percent of total billed charges		5700				other	OPPS APC	5700				other	OPPS APC	1544.13				percent of total billed charges		1574.91				percent of total billed charges		57				other	OPPS APC	57	5700	
STENT VASCULAR ENROUTE UBER FLEX NITINOL L40 MM L57 CM OD 10MM ODSEC .078IN DELIVERY SYSTEM ANGLE TIP DYNAMIC FLOW CONTROLLER ACCEPTS .014/.038 IN GUIDEWIRE 8-9 MM VESSEL TRANSCAROTID ARTERY REVASCULARIZATION	SUP-SR-1040-CS	CDM			270	RC		inpatient			5700	5700																																																			
ACHILLES TEN- BONE BLOCK-ZORC	SUP-97-00590	CDM			278	RC		outpatient			5694.73	5694.73	5694.73				fee schedule		5694.73				other	OPPS APC	3246				percent of total billed charges		5694.73				other	OPPS APC	5694.73				other	OPPS APC	2790.42				percent of total billed charges		2904.31				percent of total billed charges		5694.73				other	OPPS APC	2790.42	5694.73	
ACHILLES TEN- BONE BLOCK-ZORC	SUP-97-00590	CDM			278	RC		inpatient			5694.73	5694.73																																																			
ISTENT INJECT	SUP-73-00081	CDM			278	RC		outpatient			5687.5	5687.5	5687.5				fee schedule		5687.5				other	OPPS APC	3241.88				percent of total billed charges		5687.5				other	OPPS APC	5687.5				other	OPPS APC	2786.88				percent of total billed charges		2900.63				percent of total billed charges		5687.5				other	OPPS APC	2786.88	5687.5	
ISTENT INJECT	SUP-73-00081	CDM			278	RC		inpatient			5687.5	5687.5																																																			
KIT THROMBECTOMY ACE 68 L132 CM OD6 FR REPERFUSION CATHETER	SUP-5MAXACE068KIT	CDM			270	RC		outpatient			5670	567	1536				percent of total billed charges		5670				other	OPPS APC	4195.8				percent of total billed charges		5670				other	OPPS APC	5670				other	OPPS APC	1536				percent of total billed charges		1566.62				percent of total billed charges		567				other	OPPS APC	567	5670	
KIT THROMBECTOMY ACE 68 L132 CM OD6 FR REPERFUSION CATHETER	SUP-5MAXACE068KIT	CDM			270	RC		inpatient			5670	5670																																																			
KIT CATHETER THROMBECTOMY RED 62 REPERFUSION 0.076IN 0.062IN LUMEN 138CM LOW-PROFILE W/PENUMBRA ASPIRATION TUBING	SUP-RED62SKIT	CDM			270	RC		outpatient			5670	567	1536				percent of total billed charges		5670				other	OPPS APC	4195.8				percent of total billed charges		5670				other	OPPS APC	5670				other	OPPS APC	1536				percent of total billed charges		1566.62				percent of total billed charges		567				other	OPPS APC	567	5670	
KIT CATHETER THROMBECTOMY RED 62 REPERFUSION 0.076IN 0.062IN LUMEN 138CM LOW-PROFILE W/PENUMBRA ASPIRATION TUBING	SUP-RED62SKIT	CDM			270	RC		inpatient			5670	5670																																																			
CATHETER THROMBECTOMY RED 68 L132 CM REPERFUSION CATHETER PENUMBRA ASPIRATION TUBING NO CE STERILE	SUP-RED68KIT	CDM			270	RC		outpatient			5670	567	1536				percent of total billed charges		5670				other	OPPS APC	4195.8				percent of total billed charges		5670				other	OPPS APC	5670				other	OPPS APC	1536				percent of total billed charges		1566.62				percent of total billed charges		567				other	OPPS APC	567	5670	
CATHETER THROMBECTOMY RED 68 L132 CM REPERFUSION CATHETER PENUMBRA ASPIRATION TUBING NO CE STERILE	SUP-RED68KIT	CDM			270	RC		inpatient			5670	5670																																																			
CATHETER THROMBECTOMY RED 72 L132 CM REPERFUSION CATHETER PENUMBRA ASPIRATION TUBING NO CE STERILE	SUP-RED72KIT	CDM			270	RC		outpatient			5670	567	1536				percent of total billed charges		5670				other	OPPS APC	4195.8				percent of total billed charges		5670				other	OPPS APC	5670				other	OPPS APC	1536				percent of total billed charges		1566.62				percent of total billed charges		567				other	OPPS APC	567	5670	
CATHETER THROMBECTOMY RED 72 L132 CM REPERFUSION CATHETER PENUMBRA ASPIRATION TUBING NO CE STERILE	SUP-RED72KIT	CDM			270	RC		inpatient			5670	5670																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 E HEMISPHERE OD54 MM ODSEC54 MM HIP MULTIHOLE RIM	SUP-509-02-54E	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 E HEMISPHERE OD54 MM ODSEC54 MM HIP MULTIHOLE RIM	SUP-509-02-54E	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 E HEMISPHERE OD56 MM ODSEC56 MM HIP MULTIHOLE RIM	SUP-509-02-56E	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 E HEMISPHERE OD56 MM ODSEC56 MM HIP MULTIHOLE RIM	SUP-509-02-56E	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 F HEMISPHERE OD58 MM ODSEC58 MM HIP MULTIHOLE RIM	SUP-509-02-58F	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 F HEMISPHERE OD58 MM ODSEC58 MM HIP MULTIHOLE RIM	SUP-509-02-58F	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 F HEMISPHERE OD60 MM ODSEC60 MM HIP MULTIHOLE RIM	SUP-509-02-60F	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 F HEMISPHERE OD60 MM ODSEC60 MM HIP MULTIHOLE RIM	SUP-509-02-60F	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 G HEMISPHERE OD62 MM ODSEC62 MM HIP MULTIHOLE RIM	SUP-509-02-62G	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 G HEMISPHERE OD62 MM ODSEC62 MM HIP MULTIHOLE RIM	SUP-509-02-62G	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 G HEMISPHERE OD64 MM HIP MULTIHOLE RIM	SUP-509-02-64G	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 G HEMISPHERE OD64 MM HIP MULTIHOLE RIM	SUP-509-02-64G	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 H HEMISPHERE OD66 MM HIP MULTIHOLE RIM	SUP-509-02-66H	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 H HEMISPHERE OD66 MM HIP MULTIHOLE RIM	SUP-509-02-66H	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 H HEMISPHERE OD68 MM HIP MULTIHOLE RIM	SUP-509-02-68H	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 H HEMISPHERE OD68 MM HIP MULTIHOLE RIM	SUP-509-02-68H	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 I HEMISPHERE OD70 MM HIP MULTIHOLE RIM	SUP-509-02-70I	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 I HEMISPHERE OD70 MM HIP MULTIHOLE RIM	SUP-509-02-70I	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 I HEMISPHERE OD72 MM HIP MULTIHOLE RIM	SUP-509-02-72I	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 I HEMISPHERE OD72 MM HIP MULTIHOLE RIM	SUP-509-02-72I	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 J HEMISPHERE OD74 MM HIP MULTIHOLE RIM	SUP-509-02-74J	CDM	270010024	LOCAL	270	RC		outpatient			5667	5667	1535.19				percent of total billed charges		5667				other	OPPS APC	4193.58				percent of total billed charges		5667				other	OPPS APC	5667				other	OPPS APC	1535.19				percent of total billed charges		1565.79				percent of total billed charges		5667				other	OPPS APC	1535.19	5667	
SHELL ACETABULAR MDM TRIDENT TRITANIUM X3 J HEMISPHERE OD74 MM HIP MULTIHOLE RIM	SUP-509-02-74J	CDM	270010024	LOCAL	270	RC		inpatient			5667	5667																																																			
STEM FEMORAL RESTORATION PUREFIX TITANIUM STRAIGHT CONICAL L195 MM OD18 MM HIP DISTAL REVISION MODULAR	SUP-6276-7-118	CDM	270010024	LOCAL	270	RC		outpatient			5657.4	5657.4	1532.59				percent of total billed charges		5657.4				other	OPPS APC	4186.48				percent of total billed charges		5657.4				other	OPPS APC	5657.4				other	OPPS APC	1532.59				percent of total billed charges		1563.14				percent of total billed charges		5657.4				other	OPPS APC	1532.59	5657.4	
STEM FEMORAL RESTORATION PUREFIX TITANIUM STRAIGHT CONICAL L195 MM OD18 MM HIP DISTAL REVISION MODULAR	SUP-6276-7-118	CDM	270010024	LOCAL	270	RC		inpatient			5657.4	5657.4																																																			
STEM FEMORAL RESTORATION PUREFIX TITANIUM STRAIGHT CONICAL L195 MM OD21 MM HIP DISTAL REVISION MODULAR	SUP-6276-7-121	CDM	270010024	LOCAL	270	RC		outpatient			5657.4	5657.4	1532.59				percent of total billed charges		5657.4				other	OPPS APC	4186.48				percent of total billed charges		5657.4				other	OPPS APC	5657.4				other	OPPS APC	1532.59				percent of total billed charges		1563.14				percent of total billed charges		5657.4				other	OPPS APC	1532.59	5657.4	
STEM FEMORAL RESTORATION PUREFIX TITANIUM STRAIGHT CONICAL L195 MM OD21 MM HIP DISTAL REVISION MODULAR	SUP-6276-7-121	CDM	270010024	LOCAL	270	RC		inpatient			5657.4	5657.4																																																			
BAND SURGICAL LIGATION REALIZE GASTRIC DISSECTOR ADJUSTABLE	SUP-RLZB22D1	CDM			270	RC		outpatient			5649.6	5649.64	1530.48				percent of total billed charges		5649.6				other	OPPS APC	4180.7				percent of total billed charges		5649.6				other	OPPS APC	5649.6				other	OPPS APC	1530.48				percent of total billed charges		1560.98				percent of total billed charges		5649.64				other	OPPS APC	1530.48	5649.64	
BAND SURGICAL LIGATION REALIZE GASTRIC DISSECTOR ADJUSTABLE	SUP-RLZB22D1	CDM			270	RC		inpatient			5649.6	5649.6																																																			
PSN ASF CPS 14MM VE R 6-9 EF	SUP-97-01120	CDM			278	RC		outpatient			5625	5625	5625				fee schedule		5625				other	OPPS APC	3206.25				percent of total billed charges		5625				other	OPPS APC	5625				other	OPPS APC	2756.25				percent of total billed charges		2868.75				percent of total billed charges		5625				other	OPPS APC	2756.25	5625	
PSN ASF CPS 14MM VE R 6-9 EF	SUP-97-01120	CDM			278	RC		inpatient			5625	5625																																																			
AMNIOFILL 1000MG	SUP-97-03493	CDM						inpatient			5625	5625																																																			
AMNIOFILL 1000MG	SUP-97-03493	CDM						outpatient			5625	5625	5625				percent of total billed charges		5625				other	OPPS APC	5625				fee schedule		5625				other	OPPS APC	5625				other	OPPS APC	5625				case rate		5625				case rate		5625				other	OPPS APC	5625	5625	
KNOTLESS FIBERTAK? ANCHOR	SUP-97-04145	CDM			278	RC		outpatient			5625	5625	5625				fee schedule		5625				other	OPPS APC	3206.25				percent of total billed charges		5625				other	OPPS APC	5625				other	OPPS APC	2756.25				percent of total billed charges		2868.75				percent of total billed charges		5625				other	OPPS APC	2756.25	5625	
KNOTLESS FIBERTAK? ANCHOR	SUP-97-04145	CDM			278	RC		inpatient			5625	5625																																																			
CATHETER BALLOON EXPRESS 360 RFA	SUP-64082	CDM			270	RC		outpatient			5616	5616	1521.37				percent of total billed charges		5616				other	OPPS APC	4155.84				percent of total billed charges		5616				other	OPPS APC	5616				other	OPPS APC	1521.37				percent of total billed charges		1551.7				percent of total billed charges		5616				other	OPPS APC	1521.37	5616	
CATHETER BALLOON EXPRESS 360 RFA	SUP-64082	CDM			270	RC		inpatient			5616	5616																																																			
TIBIAL INSERT X3 POLY 31MM TRIATHLON TS	SUP-97-06400	CDM						inpatient			5612.5	5612.5																																																			
TIBIAL INSERT X3 POLY 31MM TRIATHLON TS	SUP-97-06400	CDM						outpatient			5612.5	5612.5	5612.5				percent of total billed charges		5612.5				other	OPPS APC	5612.5				fee schedule		5612.5				other	OPPS APC	5612.5				other	OPPS APC	5612.5				case rate		5612.5				case rate		5612.5				other	OPPS APC	5612.5	5612.5	
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L80 CM L60 CM ID6 MM REMOVABLE RING STRETCH	SUP-HT066080A	CDM			270	RC		outpatient			5610	561	1519.75				percent of total billed charges		5610				other	OPPS APC	4151.4				percent of total billed charges		5610				other	OPPS APC	5610				other	OPPS APC	1519.75				percent of total billed charges		1550.04				percent of total billed charges		561				other	OPPS APC	561	5610	
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L80 CM L60 CM ID6 MM REMOVABLE RING STRETCH	SUP-HT066080A	CDM			270	RC		inpatient			5610	5610																																																			
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L80 CM L60 CM ID7 MM REMOVABLE RING STRETCH	SUP-HT076080A	CDM			270	RC		outpatient			5610	561	1519.75				percent of total billed charges		5610				other	OPPS APC	4151.4				percent of total billed charges		5610				other	OPPS APC	5610				other	OPPS APC	1519.75				percent of total billed charges		1550.04				percent of total billed charges		561				other	OPPS APC	561	5610	
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L80 CM L60 CM ID7 MM REMOVABLE RING STRETCH	SUP-HT076080A	CDM			270	RC		inpatient			5610	5610																																																			
PLATE 6 HOLE RIGHT FEM DIS LAT	SUP-97-05547	CDM			278	RC		outpatient			5607.13	567.13	5607.13				fee schedule		5607.13				other	OPPS APC	3196.06				percent of total billed charges		5607.13				other	OPPS APC	5607.13				other	OPPS APC	2747.49				percent of total billed charges		2859.64				percent of total billed charges		567.13				other	OPPS APC	567.13	5607.13	
PLATE 6 HOLE RIGHT FEM DIS LAT	SUP-97-05547	CDM			278	RC		inpatient			5607.13	5607.13																																																			
PLATE 16 HOLE LEFT FEM DIS LAT	SUP-97-04737	CDM			278	RC		outpatient			5607	567	5607				fee schedule		5607				other	OPPS APC	3195.99				percent of total billed charges		5607				other	OPPS APC	5607				other	OPPS APC	2747.43				percent of total billed charges		2859.57				percent of total billed charges		567				other	OPPS APC	567	5607	
PLATE 16 HOLE LEFT FEM DIS LAT	SUP-97-04737	CDM			278	RC		inpatient			5607	5607																																																			
PLATE 16 HOLE RIGHT FEM DIST LAT	SUP-97-05274	CDM			278	RC		outpatient			5607	567	5607				fee schedule		5607				other	OPPS APC	3195.99				percent of total billed charges		5607				other	OPPS APC	5607				other	OPPS APC	2747.43				percent of total billed charges		2859.57				percent of total billed charges		567				other	OPPS APC	567	5607	
PLATE 16 HOLE RIGHT FEM DIST LAT	SUP-97-05274	CDM			278	RC		inpatient			5607	5607																																																			
PACEMAKER CARDIAC EDORA 2 CHAMBER DR-T	SUP-407145_74447	CDM			270	RC		outpatient			5600	56	1517.04				percent of total billed charges		5600				other	OPPS APC	4144				percent of total billed charges		5600				other	OPPS APC	5600				other	OPPS APC	1517.04				percent of total billed charges		1547.28				percent of total billed charges		56				other	OPPS APC	56	5600	
PACEMAKER CARDIAC EDORA 2 CHAMBER DR-T	SUP-407145_74447	CDM			270	RC		inpatient			5600	5600																																																			
CATHETER ATHERECTOMY TURBO-ELITE OD.047 IN L150 CM OD.9 MM ODSEC.038 IN PERIPHERAL OTW LASER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH	SUP-410-152	CDM			270	RC		outpatient			5600	56	1517.04				percent of total billed charges		5600				other	OPPS APC	4144				percent of total billed charges		5600				other	OPPS APC	5600				other	OPPS APC	1517.04				percent of total billed charges		1547.28				percent of total billed charges		56				other	OPPS APC	56	5600	
CATHETER ATHERECTOMY TURBO-ELITE OD.047 IN L150 CM OD.9 MM ODSEC.038 IN PERIPHERAL OTW LASER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH	SUP-410-152	CDM			270	RC		inpatient			5600	5600																																																			
CATHETER ATHERECTOMY TURBO-ELITE OD.081 IN L150 CM OD2 MM ODSEC.08 IN PERIPHERAL OTW LASER ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH	SUP-420-006	CDM			270	RC		outpatient			5600	56	1517.04				percent of total billed charges		5600				other	OPPS APC	4144				percent of total billed charges		5600				other	OPPS APC	5600				other	OPPS APC	1517.04				percent of total billed charges		1547.28				percent of total billed charges		56				other	OPPS APC	56	5600	
CATHETER ATHERECTOMY TURBO-ELITE OD.081 IN L150 CM OD2 MM ODSEC.08 IN PERIPHERAL OTW LASER ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH	SUP-420-006	CDM			270	RC		inpatient			5600	5600																																																			
CATHETER ABLATION FLEXABILITY SENSOR ENABLED ENSITE PRECISION MEDIGUIDE 1-4-1 SPACE D-F CURVE L 115CM L 4MM OD 8FR BI-DIRECTIONAL HANDLE IRRIGATE	SUP-A-FASE-DF	CDM			481	RC		outpatient			5600	56	2744				percent of total billed charges		5600				other	OPPS APC	4144				percent of total billed charges		5600				other	OPPS APC	5600				other	OPPS APC	2744				percent of total billed charges		2856				percent of total billed charges		56				other	OPPS APC	56	5600	
CATHETER ABLATION FLEXABILITY SENSOR ENABLED ENSITE PRECISION MEDIGUIDE 1-4-1 SPACE D-F CURVE L 115CM L 4MM OD 8FR BI-DIRECTIONAL HANDLE IRRIGATE	SUP-A-FASE-DF	CDM			481	RC		inpatient			5600	5600																																																			
CAP STAND ALONE CERVICAL PLATING-LDR	SUP-CERV-ST ALONE PLATE	CDM	270010020	LOCAL	270	RC		outpatient			5600	56	1517.04				percent of total billed charges		5600				other	OPPS APC	4144				percent of total billed charges		5600				other	OPPS APC	5600				other	OPPS APC	1517.04				percent of total billed charges		1547.28				percent of total billed charges		56				other	OPPS APC	56	5600	
CAP STAND ALONE CERVICAL PLATING-LDR	SUP-CERV-ST ALONE PLATE	CDM	270010020	LOCAL	270	RC		inpatient			5600	5600																																																			
VALVULOTOME ANGIOSCOPIC HYDRO LEMAITRE L98 CM OD1.5 MM IRRIGATION PORT CUT BLADE BULLET HEAD HANDLE STERILE DISPOSABLE GREEN WHITE	SUP-1009-00	CDM			270	RC		outpatient			5598	5598	1516.5				percent of total billed charges		5598				other	OPPS APC	4142.52				percent of total billed charges		5598				other	OPPS APC	5598				other	OPPS APC	1516.5				percent of total billed charges		1546.73				percent of total billed charges		5598				other	OPPS APC	1516.5	5598	
VALVULOTOME ANGIOSCOPIC HYDRO LEMAITRE L98 CM OD1.5 MM IRRIGATION PORT CUT BLADE BULLET HEAD HANDLE STERILE DISPOSABLE GREEN WHITE	SUP-1009-00	CDM			270	RC		inpatient			5598	5598																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD14 MM HIP MODULAR SYSTEM	SUP-6276-7-014	CDM	270010025	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD14 MM HIP MODULAR SYSTEM	SUP-6276-7-014	CDM	270010025	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD15 MM HIP MODULAR SYSTEM	SUP-6276-7-015	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD15 MM HIP MODULAR SYSTEM	SUP-6276-7-015	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD17 MM HIP MODULAR SYSTEM	SUP-6276-7-017	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD17 MM HIP MODULAR SYSTEM	SUP-6276-7-017	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD18 MM HIP MODULAR SYSTEM	SUP-6276-7-018	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD18 MM HIP MODULAR SYSTEM	SUP-6276-7-018	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD20 MM HIP MODULAR SYSTEM	SUP-6276-7-020	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD20 MM HIP MODULAR SYSTEM	SUP-6276-7-020	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 22X155MM	SUP-6276-7-022	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 22X155MM	SUP-6276-7-022	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 23X155MM	SUP-6276-7-023	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 23X155MM	SUP-6276-7-023	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 24X155MM	SUP-6276-7-024	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 24X155MM	SUP-6276-7-024	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 25X155MM	SUP-6276-7-025	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 25X155MM	SUP-6276-7-025	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 26X155MM	SUP-6276-7-026	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 26X155MM	SUP-6276-7-026	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 27X155MM	SUP-6276-7-027	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 27X155MM	SUP-6276-7-027	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
STEM FEMORAL STRYKER RESTORATION MODULAR 28X155MM	SUP-6276-7-028	CDM	270010024	LOCAL	270	RC		outpatient			5595	5595	1515.69				percent of total billed charges		5595				other	OPPS APC	4140.3				percent of total billed charges		5595				other	OPPS APC	5595				other	OPPS APC	1515.69				percent of total billed charges		1545.9				percent of total billed charges		5595				other	OPPS APC	1515.69	5595	
STEM FEMORAL STRYKER RESTORATION MODULAR 28X155MM	SUP-6276-7-028	CDM	270010024	LOCAL	270	RC		inpatient			5595	5595																																																			
PACEMAKER AZURE S  W3DR01 MRI DEVICE	SUP-W3DR01	CDM			275	RC		outpatient			5591.7	5591.7	2739.93				percent of total billed charges		5591.7				other	OPPS APC	3187.27				percent of total billed charges		5591.7				other	OPPS APC	5591.7				other	OPPS APC	2739.93				percent of total billed charges		2851.77				percent of total billed charges		5591.7				other	OPPS APC	2739.93	5591.7	
PACEMAKER AZURE S  W3DR01 MRI DEVICE	SUP-W3DR01	CDM			275	RC		inpatient			5591.7	5591.7																																																			
AUGMENT ACETABULAR TRABECULAR METAL STRAIGHT OD58 MM HIP BUTTRESS REVISION SYSTEM	SUP-00-4894-001-58	CDM	270010024	LOCAL	270	RC		outpatient			5590	559	1514.33				percent of total billed charges		5590				other	OPPS APC	4136.6				percent of total billed charges		5590				other	OPPS APC	5590				other	OPPS APC	1514.33				percent of total billed charges		1544.52				percent of total billed charges		559				other	OPPS APC	559	5590	
AUGMENT ACETABULAR TRABECULAR METAL STRAIGHT OD58 MM HIP BUTTRESS REVISION SYSTEM	SUP-00-4894-001-58	CDM	270010024	LOCAL	270	RC		inpatient			5590	5590																																																			
KIT FUSION BONE GRAFT SUBSTITUTE	SUP-112-SLF	CDM			270	RC		outpatient			5590	559	1514.33				percent of total billed charges		5590				other	OPPS APC	4136.6				percent of total billed charges		5590				other	OPPS APC	5590				other	OPPS APC	1514.33				percent of total billed charges		1544.52				percent of total billed charges		559				other	OPPS APC	559	5590	
KIT FUSION BONE GRAFT SUBSTITUTE	SUP-112-SLF	CDM			270	RC		inpatient			5590	5590																																																			
BONE GRAFT SUBSTITUTE  FUSION KIT	SUP-190-SLF	CDM			270	RC		outpatient			5590	559	1514.33				percent of total billed charges		5590				other	OPPS APC	4136.6				percent of total billed charges		5590				other	OPPS APC	5590				other	OPPS APC	1514.33				percent of total billed charges		1544.52				percent of total billed charges		559				other	OPPS APC	559	5590	
BONE GRAFT SUBSTITUTE  FUSION KIT	SUP-190-SLF	CDM			270	RC		inpatient			5590	5590																																																			
INSTRUMENT SPINESTAR ABLATION	SUP-STR-1015L	CDM			270	RC		outpatient			5582.5	5582.5	1512.3				percent of total billed charges		5582.5				other	OPPS APC	4131.05				percent of total billed charges		5582.5				other	OPPS APC	5582.5				other	OPPS APC	1512.3				percent of total billed charges		1542.44				percent of total billed charges		5582.5				other	OPPS APC	1512.3	5582.5	
INSTRUMENT SPINESTAR ABLATION	SUP-STR-1015L	CDM			270	RC		inpatient			5582.5	5582.5																																																			
LONG NAIL KIT	SUP-97-03390	CDM			278	RC		outpatient			5575.18	5575.18	5575.18				fee schedule		5575.18				other	OPPS APC	3177.85				percent of total billed charges		5575.18				other	OPPS APC	5575.18				other	OPPS APC	2731.84				percent of total billed charges		2843.34				percent of total billed charges		5575.18				other	OPPS APC	2731.84	5575.18	
LONG NAIL KIT	SUP-97-03390	CDM			278	RC		inpatient			5575.18	5575.18																																																			
NAIL GAMMA3 S LEFT 10 X 380MM X125	SUP-97-03361	CDM			278	RC		outpatient			5575.15	5575.15	5575.15				fee schedule		5575.15				other	OPPS APC	3177.84				percent of total billed charges		5575.15				other	OPPS APC	5575.15				other	OPPS APC	2731.82				percent of total billed charges		2843.33				percent of total billed charges		5575.15				other	OPPS APC	2731.82	5575.15	
NAIL GAMMA3 S LEFT 10 X 380MM X125	SUP-97-03361	CDM			278	RC		inpatient			5575.15	5575.15																																																			
HC IR Stent Arterial Placement Additional	PX-361000002	CDM	361000002	LOCAL	361	RC		outpatient			5575	5575	1760.59				percent of total billed charges		5575				other	OPPS APC	5575				fee schedule		5575				other	OPPS APC	5575				other	OPPS APC	1760.59				percent of total billed charges		1795.71				percent of total billed charges		5575				other	OPPS APC	1760.59	5575	
HC IR Stent Arterial Placement Additional	PX-361000002	CDM	361000002	LOCAL	361	RC		inpatient			5575	5575																																																			
HC IR Transcth Intvsc Stnt Opn Prc Vei	PX-361372391	CDM	37239	CPT	361	RC		outpatient			5575	5575	1760.59				percent of total billed charges		5575				other	OPPS APC	5575				fee schedule		5575				other	OPPS APC	5575				other	OPPS APC	1760.59				percent of total billed charges		1795.71				percent of total billed charges		5575				other	OPPS APC	1760.59	5575	
HC IR Transcth Intvsc Stnt Opn Prc Vei	PX-361372391	CDM	37239	CPT	361	RC		inpatient			5575	5575																																																			
GRAFT DUAL MESH PLUS 20X30	SUP-97-00190	CDM			278	RC		outpatient			5570	557	5570				fee schedule		5570				other	OPPS APC	3174.9				percent of total billed charges		5570				other	OPPS APC	5570				other	OPPS APC	2729.3				percent of total billed charges		2840.7				percent of total billed charges		557				other	OPPS APC	557	5570	
GRAFT DUAL MESH PLUS 20X30	SUP-97-00190	CDM			278	RC		inpatient			5570	5570																																																			
TIBIAL INSERT ROTATING PLATFORM	SUP-97-01512	CDM			278	RC		outpatient			5568	5568	5568				fee schedule		5568				other	OPPS APC	3173.76				percent of total billed charges		5568				other	OPPS APC	5568				other	OPPS APC	2728.32				percent of total billed charges		2839.68				percent of total billed charges		5568				other	OPPS APC	2728.32	5568	
TIBIAL INSERT ROTATING PLATFORM	SUP-97-01512	CDM			278	RC		inpatient			5568	5568																																																			
LAPIPLASTY SELECT KIT	SUP-97-06244	CDM			278	RC		outpatient			5562.5	5562.5	5562.5				fee schedule		5562.5				other	OPPS APC	3170.63				percent of total billed charges		5562.5				other	OPPS APC	5562.5				other	OPPS APC	2725.63				percent of total billed charges		2836.88				percent of total billed charges		5562.5				other	OPPS APC	2725.63	5562.5	
LAPIPLASTY SELECT KIT	SUP-97-06244	CDM			278	RC		inpatient			5562.5	5562.5																																																			
GRAFT ENDOVASCULAR ZENITH FLEX L71 MM OD12 MM ODSEC14 FR CONTRALATERAL/IPSILATERAL ILIAC LEGS AAA	SUP-G12447	CDM	270010015	LOCAL	270	RC		outpatient			5562	5562	1506.75				percent of total billed charges		5562				other	OPPS APC	4115.88				percent of total billed charges		5562				other	OPPS APC	5562				other	OPPS APC	1506.75				percent of total billed charges		1536.78				percent of total billed charges		5562				other	OPPS APC	1506.75	5562	
GRAFT ENDOVASCULAR ZENITH FLEX L71 MM OD12 MM ODSEC14 FR CONTRALATERAL/IPSILATERAL ILIAC LEGS AAA	SUP-G12447	CDM	270010015	LOCAL	270	RC		inpatient			5562	5562																																																			
GRAFT ENDOVASCULAR ZENITH FLEX L71 MM OD20 MM ODSEC16 FR CONTRALATERAL IPSILATERAL ILIAC LEG AAA	SUP-G12465	CDM	270010015	LOCAL	270	RC		outpatient			5562	5562	1506.75				percent of total billed charges		5562				other	OPPS APC	4115.88				percent of total billed charges		5562				other	OPPS APC	5562				other	OPPS APC	1506.75				percent of total billed charges		1536.78				percent of total billed charges		5562				other	OPPS APC	1506.75	5562	
GRAFT ENDOVASCULAR ZENITH FLEX L71 MM OD20 MM ODSEC16 FR CONTRALATERAL IPSILATERAL ILIAC LEG AAA	SUP-G12465	CDM	270010015	LOCAL	270	RC		inpatient			5562	5562																																																			
RING ANNULOPLASTY CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX TITANIUM ASYMMETRIC OD24 MM MITRAL 3D REDUCE CURVATURE SEWING MARGIN HEART VALVE REPAIR	SUP-4100-24MM	CDM			270	RC		outpatient			5560	556	1506.2				percent of total billed charges		5560				other	OPPS APC	4114.4				percent of total billed charges		5560				other	OPPS APC	5560				other	OPPS APC	1506.2				percent of total billed charges		1536.23				percent of total billed charges		556				other	OPPS APC	556	5560	
RING ANNULOPLASTY CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX TITANIUM ASYMMETRIC OD24 MM MITRAL 3D REDUCE CURVATURE SEWING MARGIN HEART VALVE REPAIR	SUP-4100-24MM	CDM			270	RC		inpatient			5560	5560																																																			
RING ANNULOPLASTY 26MM	SUP-410026MM	CDM			270	RC		outpatient			5560	556	1506.2				percent of total billed charges		5560				other	OPPS APC	4114.4				percent of total billed charges		5560				other	OPPS APC	5560				other	OPPS APC	1506.2				percent of total billed charges		1536.23				percent of total billed charges		556				other	OPPS APC	556	5560	
RING ANNULOPLASTY 26MM	SUP-410026MM	CDM			270	RC		inpatient			5560	5560																																																			
RING ANNULOPLASTY MITRAL 28MM	SUP-410028MM	CDM			270	RC		outpatient			5560	556	1506.2				percent of total billed charges		5560				other	OPPS APC	4114.4				percent of total billed charges		5560				other	OPPS APC	5560				other	OPPS APC	1506.2				percent of total billed charges		1536.23				percent of total billed charges		556				other	OPPS APC	556	5560	
RING ANNULOPLASTY MITRAL 28MM	SUP-410028MM	CDM			270	RC		inpatient			5560	5560																																																			
RING ANNULOPLASTY CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX ASYMMETRIC OD32 MM MITRAL 3D REDUCE CURVE SEWING MARGIN HEART VALVE REPAIR	SUP-4100-32	CDM			270	RC		outpatient			5560	556	1506.2				percent of total billed charges		5560				other	OPPS APC	4114.4				percent of total billed charges		5560				other	OPPS APC	5560				other	OPPS APC	1506.2				percent of total billed charges		1536.23				percent of total billed charges		556				other	OPPS APC	556	5560	
RING ANNULOPLASTY CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX ASYMMETRIC OD32 MM MITRAL 3D REDUCE CURVE SEWING MARGIN HEART VALVE REPAIR	SUP-4100-32	CDM			270	RC		inpatient			5560	5560																																																			
RING ANNULOPLASTY CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX ASYMMETRIC OD34 MM MITRAL 3D REDUCE CURVE SEWING MARGIN HEART VALVE REPAIR	SUP-4100-34	CDM			270	RC		outpatient			5560	556	1506.2				percent of total billed charges		5560				other	OPPS APC	4114.4				percent of total billed charges		5560				other	OPPS APC	5560				other	OPPS APC	1506.2				percent of total billed charges		1536.23				percent of total billed charges		556				other	OPPS APC	556	5560	
RING ANNULOPLASTY CARPENTIER-MCCARTHY-ADAMS IMR ETLOGIX ASYMMETRIC OD34 MM MITRAL 3D REDUCE CURVE SEWING MARGIN HEART VALVE REPAIR	SUP-4100-34	CDM			270	RC		inpatient			5560	5560																																																			
TAILOR'S BUNION IMPLANT SMALL	SUP-97-05870	CDM			278	RC		outpatient			5552.5	5552.5	5552.5				fee schedule		5552.5				other	OPPS APC	3164.93				percent of total billed charges		5552.5				other	OPPS APC	5552.5				other	OPPS APC	2720.73				percent of total billed charges		2831.78				percent of total billed charges		5552.5				other	OPPS APC	2720.73	5552.5	
TAILOR'S BUNION IMPLANT SMALL	SUP-97-05870	CDM			278	RC		inpatient			5552.5	5552.5																																																			
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L59 MM L120 CM OD7 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85415	CDM			270	RC		outpatient			5550	555	1503.5				percent of total billed charges		5550				other	OPPS APC	4107				percent of total billed charges		5550				other	OPPS APC	5550				other	OPPS APC	1503.5				percent of total billed charges		1533.47				percent of total billed charges		555				other	OPPS APC	555	5550	
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L59 MM L120 CM OD7 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85415	CDM			270	RC		inpatient			5550	5550																																																			
MAPPING CATHETER WITH TRUEREF TECHNOLOGY D-F	SUP-D140901	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
MAPPING CATHETER WITH TRUEREF TECHNOLOGY D-F	SUP-D140901	CDM			270	RC		inpatient			5544	5544																																																			
MAPPING CATHETER WITH TRUEREF TECHNOLOGY F-J	SUP-D140902	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
MAPPING CATHETER WITH TRUEREF TECHNOLOGY F-J	SUP-D140902	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER MAPPING OPTRELL DF CURVE 36 ELECTRODE	SUP-D142901	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER MAPPING OPTRELL DF CURVE 36 ELECTRODE	SUP-D142901	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER MAPPING OPTRELL FJ CURVE 36 ELECTRODE	SUP-D142902	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER MAPPING OPTRELL FJ CURVE 36 ELECTRODE	SUP-D142902	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-2-2-2-2 MM SPACE D CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160901	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-2-2-2-2 MM SPACE D CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160901	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-3-2-3-2 MM SPACE D CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160902	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-3-2-3-2 MM SPACE D CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160902	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER ELECTROPHYSIOLOGY OCTARAY 3-3-3-3-3 MM SPCAE D CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160903	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER ELECTROPHYSIOLOGY OCTARAY 3-3-3-3-3 MM SPCAE D CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160903	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-2-2-2-2 MM SPACE F CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160904	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-2-2-2-2 MM SPACE F CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160904	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-5-2-5-2 MM SPACE F CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160905	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER ELECTROPHYSIOLOGY OCTARAY 2-5-2-5-2 MM SPACE F CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160905	CDM			270	RC		inpatient			5544	5544																																																			
CATHETER ELECTROPHYSIOLOGY OCTARAY 3-3-3-3-3 MM SPCAE F CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160906	CDM			270	RC		outpatient			5544	5544	1501.87				percent of total billed charges		5544				other	OPPS APC	4102.56				percent of total billed charges		5544				other	OPPS APC	5544				other	OPPS APC	1501.87				percent of total billed charges		1531.81				percent of total billed charges		5544				other	OPPS APC	1501.87	5544	
CATHETER ELECTROPHYSIOLOGY OCTARAY 3-3-3-3-3 MM SPCAE F CURVE STERILE LATEX FREE DISPOSABLE	SUP-D160906	CDM			270	RC		inpatient			5544	5544																																																			
10 HOLE R PLT PLATE	SUP-97-02667	CDM			278	RC		outpatient			5542.3	5542.32	5542.3				fee schedule		5542.3				other	OPPS APC	3159.11				percent of total billed charges		5542.3				other	OPPS APC	5542.3				other	OPPS APC	2715.73				percent of total billed charges		2826.57				percent of total billed charges		5542.32				other	OPPS APC	2715.73	5542.32	
10 HOLE R PLT PLATE	SUP-97-02667	CDM			278	RC		inpatient			5542.3	5542.3																																																			
UNIVERSAL STEM  FLUTED 75MM X12MM	SUP-97-03122	CDM			278	RC		outpatient			5536.5	5536.5	5536.5				fee schedule		5536.5				other	OPPS APC	3155.81				percent of total billed charges		5536.5				other	OPPS APC	5536.5				other	OPPS APC	2712.89				percent of total billed charges		2823.62				percent of total billed charges		5536.5				other	OPPS APC	2712.89	5536.5	
UNIVERSAL STEM  FLUTED 75MM X12MM	SUP-97-03122	CDM			278	RC		inpatient			5536.5	5536.5																																																			
MODULAR PLUS TIBIAL HEM WEDGE	SUP-97-02524	CDM			278	RC		outpatient			5536	5536	5536				fee schedule		5536				other	OPPS APC	3155.52				percent of total billed charges		5536				other	OPPS APC	5536				other	OPPS APC	2712.64				percent of total billed charges		2823.36				percent of total billed charges		5536				other	OPPS APC	2712.64	5536	
MODULAR PLUS TIBIAL HEM WEDGE	SUP-97-02524	CDM			278	RC		inpatient			5536	5536																																																			
GRAFT VENTRIO ST HERNIA 27.4 X 34.9	SUP-75-00086	CDM			278	RC		outpatient			5524.75	5524.75	5524.75				fee schedule		5524.75				other	OPPS APC	3149.11				percent of total billed charges		5524.75				other	OPPS APC	5524.75				other	OPPS APC	2707.13				percent of total billed charges		2817.62				percent of total billed charges		5524.75				other	OPPS APC	2707.13	5524.75	
GRAFT VENTRIO ST HERNIA 27.4 X 34.9	SUP-75-00086	CDM			278	RC		inpatient			5524.75	5524.75																																																			
TIBIA FIT 4F/3T	SUP-97-01369	CDM			278	RC		outpatient			5522.5	5522.5	5522.5				fee schedule		5522.5				other	OPPS APC	3147.83				percent of total billed charges		5522.5				other	OPPS APC	5522.5				other	OPPS APC	2706.03				percent of total billed charges		2816.48				percent of total billed charges		5522.5				other	OPPS APC	2706.03	5522.5	
TIBIA FIT 4F/3T	SUP-97-01369	CDM			278	RC		inpatient			5522.5	5522.5																																																			
TIBIAL 2F/IT	SUP-97-02009	CDM			278	RC		outpatient			5522.5	5522.5	5522.5				fee schedule		5522.5				other	OPPS APC	3147.83				percent of total billed charges		5522.5				other	OPPS APC	5522.5				other	OPPS APC	2706.03				percent of total billed charges		2816.48				percent of total billed charges		5522.5				other	OPPS APC	2706.03	5522.5	
TIBIAL 2F/IT	SUP-97-02009	CDM			278	RC		inpatient			5522.5	5522.5																																																			
GRAFT VASCULAR DISTAFLO SM BEAD MINI CUFF 80MM 6MM PTFE PERIPHERAL FLEX	SUP-DFX8006SC	CDM			270	RC		outpatient			5506.98	556.98	1491.84				percent of total billed charges		5506.98				other	OPPS APC	4075.17				percent of total billed charges		5506.98				other	OPPS APC	5506.98				other	OPPS APC	1491.84				percent of total billed charges		1521.58				percent of total billed charges		556.98				other	OPPS APC	556.98	5506.98	
GRAFT VASCULAR DISTAFLO SM BEAD MINI CUFF 80MM 6MM PTFE PERIPHERAL FLEX	SUP-DFX8006SC	CDM			270	RC		inpatient			5506.98	5506.98																																																			
FEMORAL NAIL LEFT	SUP-97-03658	CDM			278	RC		outpatient			5506.43	556.43	5506.43				fee schedule		5506.43				other	OPPS APC	3138.67				percent of total billed charges		5506.43				other	OPPS APC	5506.43				other	OPPS APC	2698.15				percent of total billed charges		2808.28				percent of total billed charges		556.43				other	OPPS APC	556.43	5506.43	
FEMORAL NAIL LEFT	SUP-97-03658	CDM			278	RC		inpatient			5506.43	5506.43																																																			
LINER STRYKER ACETABULAR CONSTRAINED 22MM SIZE D	SUP-690-00-22D	CDM	270010024	LOCAL	270	RC		outpatient			5505	555	1491.3				percent of total billed charges		5505				other	OPPS APC	4073.7				percent of total billed charges		5505				other	OPPS APC	5505				other	OPPS APC	1491.3				percent of total billed charges		1521.03				percent of total billed charges		555				other	OPPS APC	555	5505	
LINER STRYKER ACETABULAR CONSTRAINED 22MM SIZE D	SUP-690-00-22D	CDM	270010024	LOCAL	270	RC		inpatient			5505	5505																																																			
APPLICATOR BRACHYTHERAPY MAMMOSITE SPHERE L5-6 CM BREAST TRAY CATHETER	SUP-2056	CDM			270	RC		outpatient			5500	55	1489.95				percent of total billed charges		5500				other	OPPS APC	4070				percent of total billed charges		5500				other	OPPS APC	5500				other	OPPS APC	1489.95				percent of total billed charges		1519.65				percent of total billed charges		55				other	OPPS APC	55	5500	
APPLICATOR BRACHYTHERAPY MAMMOSITE SPHERE L5-6 CM BREAST TRAY CATHETER	SUP-2056	CDM			270	RC		inpatient			5500	5500																																																			
APPLICATOR BRACHYTHERAPY MAMMOSITE 8 MM L4-5 CM BREAST CATHETER RADIATION	SUP-2456	CDM			270	RC		outpatient			5500	55	1489.95				percent of total billed charges		5500				other	OPPS APC	4070				percent of total billed charges		5500				other	OPPS APC	5500				other	OPPS APC	1489.95				percent of total billed charges		1519.65				percent of total billed charges		55				other	OPPS APC	55	5500	
APPLICATOR BRACHYTHERAPY MAMMOSITE 8 MM L4-5 CM BREAST CATHETER RADIATION	SUP-2456	CDM			270	RC		inpatient			5500	5500																																																			
NECK ANGLE HIP STEM	SUP-97-02089	CDM			278	RC		outpatient			5500	55	5500				fee schedule		5500				other	OPPS APC	3135				percent of total billed charges		5500				other	OPPS APC	5500				other	OPPS APC	2695				percent of total billed charges		2805				percent of total billed charges		55				other	OPPS APC	55	5500	
NECK ANGLE HIP STEM	SUP-97-02089	CDM			278	RC		inpatient			5500	5500																																																			
GRAFT ACHILLIES 23CM	SUP-97-04253	CDM			278	RC		outpatient			5500	55	5500				fee schedule		5500				other	OPPS APC	3135				percent of total billed charges		5500				other	OPPS APC	5500				other	OPPS APC	2695				percent of total billed charges		2805				percent of total billed charges		55				other	OPPS APC	55	5500	
GRAFT ACHILLIES 23CM	SUP-97-04253	CDM			278	RC		inpatient			5500	5500																																																			
PLATE 14 HOLE RIGHT FEM DIS LAT	SUP-97-05273	CDM			278	RC		outpatient			5492.2	5492.2	5492.2				fee schedule		5492.2				other	OPPS APC	3130.55				percent of total billed charges		5492.2				other	OPPS APC	5492.2				other	OPPS APC	2691.18				percent of total billed charges		2801.02				percent of total billed charges		5492.2				other	OPPS APC	2691.18	5492.2	
PLATE 14 HOLE RIGHT FEM DIS LAT	SUP-97-05273	CDM			278	RC		inpatient			5492.2	5492.2																																																			
POLYAXIAL LOCKING PLATE LEFT(T8)	SUP-97-04327	CDM			278	RC		outpatient			5488	5488	5488				fee schedule		5488				other	OPPS APC	3128.16				percent of total billed charges		5488				other	OPPS APC	5488				other	OPPS APC	2689.12				percent of total billed charges		2798.88				percent of total billed charges		5488				other	OPPS APC	2689.12	5488	
POLYAXIAL LOCKING PLATE LEFT(T8)	SUP-97-04327	CDM			278	RC		inpatient			5488	5488																																																			
BIOSYNC EVANS WEDGE18X18X10	SUP-97-03165	CDM			278	RC		outpatient			5487.5	5487.5	5487.5				fee schedule		5487.5				other	OPPS APC	3127.88				percent of total billed charges		5487.5				other	OPPS APC	5487.5				other	OPPS APC	2688.88				percent of total billed charges		2798.63				percent of total billed charges		5487.5				other	OPPS APC	2688.88	5487.5	
BIOSYNC EVANS WEDGE18X18X10	SUP-97-03165	CDM			278	RC		inpatient			5487.5	5487.5																																																			
BIOSYNC EVANS WEDGE18X18X12	SUP-97-03166	CDM			278	RC		outpatient			5487.5	5487.5	5487.5				fee schedule		5487.5				other	OPPS APC	3127.88				percent of total billed charges		5487.5				other	OPPS APC	5487.5				other	OPPS APC	2688.88				percent of total billed charges		2798.63				percent of total billed charges		5487.5				other	OPPS APC	2688.88	5487.5	
BIOSYNC EVANS WEDGE18X18X12	SUP-97-03166	CDM			278	RC		inpatient			5487.5	5487.5																																																			
BIOSYNC EVANS WEDGE20X20X6.5	SUP-97-03600	CDM			278	RC		outpatient			5487.5	5487.5	5487.5				fee schedule		5487.5				other	OPPS APC	3127.88				percent of total billed charges		5487.5				other	OPPS APC	5487.5				other	OPPS APC	2688.88				percent of total billed charges		2798.63				percent of total billed charges		5487.5				other	OPPS APC	2688.88	5487.5	
BIOSYNC EVANS WEDGE20X20X6.5	SUP-97-03600	CDM			278	RC		inpatient			5487.5	5487.5																																																			
BIOSYNC EVANS WEDGE 20X20X10MM	SUP-97-05317	CDM			278	RC		outpatient			5487.5	5487.5	5487.5				fee schedule		5487.5				other	OPPS APC	3127.88				percent of total billed charges		5487.5				other	OPPS APC	5487.5				other	OPPS APC	2688.88				percent of total billed charges		2798.63				percent of total billed charges		5487.5				other	OPPS APC	2688.88	5487.5	
BIOSYNC EVANS WEDGE 20X20X10MM	SUP-97-05317	CDM			278	RC		inpatient			5487.5	5487.5																																																			
WEDGE BIOSYNC EVANS 18 X 18 X 10MM	SUP-97-05751	CDM			278	RC		outpatient			5487.5	5487.5	5487.5				fee schedule		5487.5				other	OPPS APC	3127.88				percent of total billed charges		5487.5				other	OPPS APC	5487.5				other	OPPS APC	2688.88				percent of total billed charges		2798.63				percent of total billed charges		5487.5				other	OPPS APC	2688.88	5487.5	
WEDGE BIOSYNC EVANS 18 X 18 X 10MM	SUP-97-05751	CDM			278	RC		inpatient			5487.5	5487.5																																																			
CATHETER- PENTARAY D CURVE	SUP-99-04746	CDM			278	RC		outpatient			5485	5485	5485				fee schedule		5485				other	OPPS APC	3126.45				percent of total billed charges		5485				other	OPPS APC	5485				other	OPPS APC	2687.65				percent of total billed charges		2797.35				percent of total billed charges		5485				other	OPPS APC	2687.65	5485	
CATHETER- PENTARAY D CURVE	SUP-99-04746	CDM			278	RC		inpatient			5485	5485																																																			
CATHETER - PENTARAY F CURVE	SUP-99-04747	CDM			278	RC		outpatient			5485	5485	5485				fee schedule		5485				other	OPPS APC	3126.45				percent of total billed charges		5485				other	OPPS APC	5485				other	OPPS APC	2687.65				percent of total billed charges		2797.35				percent of total billed charges		5485				other	OPPS APC	2687.65	5485	
CATHETER - PENTARAY F CURVE	SUP-99-04747	CDM			278	RC		inpatient			5485	5485																																																			
SYSTEM DIAGNOSTIC CATHETER IVAS ELITE L10 MM OD10 GA STERILE LATEX FREE	SUP-0808-010-800	CDM			270	RC		outpatient			5482.18	5482.18	1485.12				percent of total billed charges		5482.18				other	OPPS APC	4056.81				percent of total billed charges		5482.18				other	OPPS APC	5482.18				other	OPPS APC	1485.12				percent of total billed charges		1514.73				percent of total billed charges		5482.18				other	OPPS APC	1485.12	5482.18	
SYSTEM DIAGNOSTIC CATHETER IVAS ELITE L10 MM OD10 GA STERILE LATEX FREE	SUP-0808-010-800	CDM			270	RC		inpatient			5482.18	5482.18																																																			
KIT FRACTURE IVAS L15 MM OD10 GA STERILE LATEX FREE DISPOSABLE ELITE	SUP-0808-015-800	CDM			270	RC		outpatient			5482.18	5482.18	1485.12				percent of total billed charges		5482.18				other	OPPS APC	4056.81				percent of total billed charges		5482.18				other	OPPS APC	5482.18				other	OPPS APC	1485.12				percent of total billed charges		1514.73				percent of total billed charges		5482.18				other	OPPS APC	1485.12	5482.18	
KIT FRACTURE IVAS L15 MM OD10 GA STERILE LATEX FREE DISPOSABLE ELITE	SUP-0808-015-800	CDM			270	RC		inpatient			5482.18	5482.18																																																			
STENT BILIARY WALLFLEX PERMALUME .035 IN L60 MM L3.2 MM OD10 MM ODSEC8.5 FR FLUOROSCOPY MARKER RAPID EXCHANGE PARTIAL COVER CATHETER	SUP-M00570730	CDM			270	RC		outpatient			5479.48	5479.48	1484.39				percent of total billed charges		5479.48				other	OPPS APC	4054.82				percent of total billed charges		5479.48				other	OPPS APC	5479.48				other	OPPS APC	1484.39				percent of total billed charges		1513.98				percent of total billed charges		5479.48				other	OPPS APC	1484.39	5479.48	
STENT BILIARY WALLFLEX PERMALUME .035 IN L60 MM L3.2 MM OD10 MM ODSEC8.5 FR FLUOROSCOPY MARKER RAPID EXCHANGE PARTIAL COVER CATHETER	SUP-M00570730	CDM			270	RC		inpatient			5479.48	5479.48																																																			
STENT BILIARY WALLFLEX PERMALUME PLATINOL METAL L80 MM L68 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE PARTIAL COVER DELIVERY SYSTEM ACCEPTS .035 IN DREAMWIRE	SUP-M00570740	CDM			270	RC		outpatient			5479.48	5479.48	1484.39				percent of total billed charges		5479.48				other	OPPS APC	4054.82				percent of total billed charges		5479.48				other	OPPS APC	5479.48				other	OPPS APC	1484.39				percent of total billed charges		1513.98				percent of total billed charges		5479.48				other	OPPS APC	1484.39	5479.48	
STENT BILIARY WALLFLEX PERMALUME PLATINOL METAL L80 MM L68 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE PARTIAL COVER DELIVERY SYSTEM ACCEPTS .035 IN DREAMWIRE	SUP-M00570740	CDM			270	RC		inpatient			5479.48	5479.48																																																			
PACEMAKER CARDIAC FASTPATH VERITY ADX XL DR M/S OMNISENSE THK6 MM 5 MM 6 MM W52 MM X H45 MM 11 ML 23 GM ATRIUM VENTRICLE 2 CHAMBER RATE RESPONSIVE ACCELEROMETER SENSOR CONNECTOR	SUP-5357M/S D	CDM			275	RC		outpatient			5472	5472	2681.28				percent of total billed charges		5472				other	OPPS APC	3119.04				percent of total billed charges		5472				other	OPPS APC	5472				other	OPPS APC	2681.28				percent of total billed charges		2790.72				percent of total billed charges		5472				other	OPPS APC	2681.28	5472	
PACEMAKER CARDIAC FASTPATH VERITY ADX XL DR M/S OMNISENSE THK6 MM 5 MM 6 MM W52 MM X H45 MM 11 ML 23 GM ATRIUM VENTRICLE 2 CHAMBER RATE RESPONSIVE ACCELEROMETER SENSOR CONNECTOR	SUP-5357M/S D	CDM			275	RC		inpatient			5472	5472																																																			
PACEMAKER CARDIAC ENDURITY THK6 MM W50 MM X H46 MM 10.4 ML 19 GM 2 CHAMBER UNIPOLAR BIPOLAR EGM IS-1	SUP-PM2160	CDM			275	RC		outpatient			5472	5472	2681.28				percent of total billed charges		5472				other	OPPS APC	3119.04				percent of total billed charges		5472				other	OPPS APC	5472				other	OPPS APC	2681.28				percent of total billed charges		2790.72				percent of total billed charges		5472				other	OPPS APC	2681.28	5472	
PACEMAKER CARDIAC ENDURITY THK6 MM W50 MM X H46 MM 10.4 ML 19 GM 2 CHAMBER UNIPOLAR BIPOLAR EGM IS-1	SUP-PM2160	CDM			275	RC		inpatient			5472	5472																																																			
PACEMAKER CARDIAC ASSURITY AUTOCAPTURE INVISILINK SENSEABILITY THK6 MM SMALL W50 MM X H47 MM 10.4 CC 20 GM 2 CHAMBER IS-1 CONNECTOR REAL TIME ELECTROGRAM WIRELESS TELEMETRY	SUP-PM2240	CDM			275	RC		outpatient			5472	5472	2681.28				percent of total billed charges		5472				other	OPPS APC	3119.04				percent of total billed charges		5472				other	OPPS APC	5472				other	OPPS APC	2681.28				percent of total billed charges		2790.72				percent of total billed charges		5472				other	OPPS APC	2681.28	5472	
PACEMAKER CARDIAC ASSURITY AUTOCAPTURE INVISILINK SENSEABILITY THK6 MM SMALL W50 MM X H47 MM 10.4 CC 20 GM 2 CHAMBER IS-1 CONNECTOR REAL TIME ELECTROGRAM WIRELESS TELEMETRY	SUP-PM2240	CDM			275	RC		inpatient			5472	5472																																																			
STENT ESOPHAGEAL TAEWOONG NITI-S L10 CM L180 CM OD20 MM ODSEC10.5 MM DELIVERY SYSTEM TTS	SUP-G57347	CDM			270	RC		outpatient			5470	547	1481.82				percent of total billed charges		5470				other	OPPS APC	4047.8				percent of total billed charges		5470				other	OPPS APC	5470				other	OPPS APC	1481.82				percent of total billed charges		1511.36				percent of total billed charges		547				other	OPPS APC	547	5470	
STENT ESOPHAGEAL TAEWOONG NITI-S L10 CM L180 CM OD20 MM ODSEC10.5 MM DELIVERY SYSTEM TTS	SUP-G57347	CDM			270	RC		inpatient			5470	5470																																																			
STENT ESOPHAGEAL TAEWOONG NITI-S L15 CM L180 CM OD20 MM ODSEC10.5 MM DELIVERY SYSTEM THROUGH THE SCOPE	SUP-G57357	CDM			270	RC		outpatient			5470	547	1481.82				percent of total billed charges		5470				other	OPPS APC	4047.8				percent of total billed charges		5470				other	OPPS APC	5470				other	OPPS APC	1481.82				percent of total billed charges		1511.36				percent of total billed charges		547				other	OPPS APC	547	5470	
STENT ESOPHAGEAL TAEWOONG NITI-S L15 CM L180 CM OD20 MM ODSEC10.5 MM DELIVERY SYSTEM THROUGH THE SCOPE	SUP-G57357	CDM			270	RC		inpatient			5470	5470																																																			
NEXGEN PC STEMMED TIBIAL PLATE SZ5	SUP-97-02043	CDM			278	RC		outpatient			5468.75	5468.75	5468.75				fee schedule		5468.75				other	OPPS APC	3117.19				percent of total billed charges		5468.75				other	OPPS APC	5468.75				other	OPPS APC	2679.69				percent of total billed charges		2789.06				percent of total billed charges		5468.75				other	OPPS APC	2679.69	5468.75	
NEXGEN PC STEMMED TIBIAL PLATE SZ5	SUP-97-02043	CDM			278	RC		inpatient			5468.75	5468.75																																																			
INSERT ACETABULAR TRIDENT 10 D E ID22 MM HIP CONSTRAIN	SUP-690-10-22E	CDM	270010024	LOCAL	270	RC		outpatient			5462	5462	1479.66				percent of total billed charges		5462				other	OPPS APC	4041.88				percent of total billed charges		5462				other	OPPS APC	5462				other	OPPS APC	1479.66				percent of total billed charges		1509.15				percent of total billed charges		5462				other	OPPS APC	1479.66	5462	
INSERT ACETABULAR TRIDENT 10 D E ID22 MM HIP CONSTRAIN	SUP-690-10-22E	CDM	270010024	LOCAL	270	RC		inpatient			5462	5462																																																			
STENT BILIARY WALLFLEX PERMALUME L194 CM L40 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE FULL COVER ACCEPTS .035 IN GUIDEWIRE	SUP-M00570360	CDM			270	RC		outpatient			5459.78	5459.78	1479.05				percent of total billed charges		5459.78				other	OPPS APC	4040.24				percent of total billed charges		5459.78				other	OPPS APC	5459.78				other	OPPS APC	1479.05				percent of total billed charges		1508.54				percent of total billed charges		5459.78				other	OPPS APC	1479.05	5459.78	
STENT BILIARY WALLFLEX PERMALUME L194 CM L40 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE FULL COVER ACCEPTS .035 IN GUIDEWIRE	SUP-M00570360	CDM			270	RC		inpatient			5459.78	5459.78																																																			
STENT BILIARY WALLFLEX PERMALUME METAL .035 IN L80 MM L94 CM OD10 MM ODSEC8.5 FR GUIDEWIRE CATHETER FULL COVER TRANSHEPATIC ACCEPTS 9 FR SHEATH	SUP-M00570380	CDM			270	RC		outpatient			5459.78	5459.78	1479.05				percent of total billed charges		5459.78				other	OPPS APC	4040.24				percent of total billed charges		5459.78				other	OPPS APC	5459.78				other	OPPS APC	1479.05				percent of total billed charges		1508.54				percent of total billed charges		5459.78				other	OPPS APC	1479.05	5459.78	
STENT BILIARY WALLFLEX PERMALUME METAL .035 IN L80 MM L94 CM OD10 MM ODSEC8.5 FR GUIDEWIRE CATHETER FULL COVER TRANSHEPATIC ACCEPTS 9 FR SHEATH	SUP-M00570380	CDM			270	RC		inpatient			5459.78	5459.78																																																			
EXTENSION PIECE 60MM GMRS	SUP-97-05629	CDM			278	RC		outpatient			5446	5446	5446				fee schedule		5446				other	OPPS APC	3104.22				percent of total billed charges		5446				other	OPPS APC	5446				other	OPPS APC	2668.54				percent of total billed charges		2777.46				percent of total billed charges		5446				other	OPPS APC	2668.54	5446	
EXTENSION PIECE 60MM GMRS	SUP-97-05629	CDM			278	RC		inpatient			5446	5446																																																			
SPYSCOPE DS II	SUP-M00546610	CDM			270	RC		outpatient			5445	5445	1475.05				percent of total billed charges		5445				other	OPPS APC	4029.3				percent of total billed charges		5445				other	OPPS APC	5445				other	OPPS APC	1475.05				percent of total billed charges		1504.45				percent of total billed charges		5445				other	OPPS APC	1475.05	5445	
SPYSCOPE DS II	SUP-M00546610	CDM			270	RC		inpatient			5445	5445																																																			
VENTRIO ST XLG OVAL 19.6 X 24.6	SUP-97-00238	CDM			278	RC		outpatient			5442.2	5442.2	5442.2				fee schedule		5442.2				other	OPPS APC	3102.05				percent of total billed charges		5442.2				other	OPPS APC	5442.2				other	OPPS APC	2666.68				percent of total billed charges		2775.52				percent of total billed charges		5442.2				other	OPPS APC	2666.68	5442.2	
VENTRIO ST XLG OVAL 19.6 X 24.6	SUP-97-00238	CDM			278	RC		inpatient			5442.2	5442.2																																																			
STENT  EYE	SUP-97-00945	CDM			278	RC		outpatient			5437.5	5437.5	5437.5				fee schedule		5437.5				other	OPPS APC	3099.38				percent of total billed charges		5437.5				other	OPPS APC	5437.5				other	OPPS APC	2664.38				percent of total billed charges		2773.13				percent of total billed charges		5437.5				other	OPPS APC	2664.38	5437.5	
STENT  EYE	SUP-97-00945	CDM			278	RC		inpatient			5437.5	5437.5																																																			
ANKLE FUSION PLATE LATERAL	SUP-97-03719	CDM			278	RC		outpatient			5437.5	5437.5	5437.5				fee schedule		5437.5				other	OPPS APC	3099.38				percent of total billed charges		5437.5				other	OPPS APC	5437.5				other	OPPS APC	2664.38				percent of total billed charges		2773.13				percent of total billed charges		5437.5				other	OPPS APC	2664.38	5437.5	
ANKLE FUSION PLATE LATERAL	SUP-97-03719	CDM			278	RC		inpatient			5437.5	5437.5																																																			
QUADLINK IMPLANT SYSTEM 9MM	SUP-97-05891	CDM			278	RC		outpatient			5437.5	5437.5	5437.5				fee schedule		5437.5				other	OPPS APC	3099.38				percent of total billed charges		5437.5				other	OPPS APC	5437.5				other	OPPS APC	2664.38				percent of total billed charges		2773.13				percent of total billed charges		5437.5				other	OPPS APC	2664.38	5437.5	
QUADLINK IMPLANT SYSTEM 9MM	SUP-97-05891	CDM			278	RC		inpatient			5437.5	5437.5																																																			
QUADLINK IMPLANT SYSTEM 10MM	SUP-97-05892	CDM			278	RC		outpatient			5437.5	5437.5	5437.5				fee schedule		5437.5				other	OPPS APC	3099.38				percent of total billed charges		5437.5				other	OPPS APC	5437.5				other	OPPS APC	2664.38				percent of total billed charges		2773.13				percent of total billed charges		5437.5				other	OPPS APC	2664.38	5437.5	
QUADLINK IMPLANT SYSTEM 10MM	SUP-97-05892	CDM			278	RC		inpatient			5437.5	5437.5																																																			
QUADLINK IMPLANT SYSTEM 11MM	SUP-97-05893	CDM			278	RC		outpatient			5437.5	5437.5	5437.5				fee schedule		5437.5				other	OPPS APC	3099.38				percent of total billed charges		5437.5				other	OPPS APC	5437.5				other	OPPS APC	2664.38				percent of total billed charges		2773.13				percent of total billed charges		5437.5				other	OPPS APC	2664.38	5437.5	
QUADLINK IMPLANT SYSTEM 11MM	SUP-97-05893	CDM			278	RC		inpatient			5437.5	5437.5																																																			
NO.7 TRIATHLON TS PLUS TIBIAL INSERT 13MM POLY	SUP-97-04550	CDM			278	RC		outpatient			5432.5	5432.5	5432.5				fee schedule		5432.5				other	OPPS APC	3096.53				percent of total billed charges		5432.5				other	OPPS APC	5432.5				other	OPPS APC	2661.93				percent of total billed charges		2770.58				percent of total billed charges		5432.5				other	OPPS APC	2661.93	5432.5	
NO.7 TRIATHLON TS PLUS TIBIAL INSERT 13MM POLY	SUP-97-04550	CDM			278	RC		inpatient			5432.5	5432.5																																																			
SPACER SPINAL CAPSTONE PEEK-OPTIMA L22 MM X H9 MM LUMBAR INTERBODY FUSION	SUP-2990922	CDM	270010020	LOCAL	270	RC		outpatient			5432.4	5432.4	1471.64				percent of total billed charges		5432.4				other	OPPS APC	4019.98				percent of total billed charges		5432.4				other	OPPS APC	5432.4				other	OPPS APC	1471.64				percent of total billed charges		1500.97				percent of total billed charges		5432.4				other	OPPS APC	1471.64	5432.4	
SPACER SPINAL CAPSTONE PEEK-OPTIMA L22 MM X H9 MM LUMBAR INTERBODY FUSION	SUP-2990922	CDM	270010020	LOCAL	270	RC		inpatient			5432.4	5432.4																																																			
SPACER SPINAL CAPSTONE PEEK-OPTIMA L22 MM X W11 MM LUMBAR INTERBODY FUSION	SUP-2991122	CDM	270010020	LOCAL	270	RC		outpatient			5432.4	5432.4	1471.64				percent of total billed charges		5432.4				other	OPPS APC	4019.98				percent of total billed charges		5432.4				other	OPPS APC	5432.4				other	OPPS APC	1471.64				percent of total billed charges		1500.97				percent of total billed charges		5432.4				other	OPPS APC	1471.64	5432.4	
SPACER SPINAL CAPSTONE PEEK-OPTIMA L22 MM X W11 MM LUMBAR INTERBODY FUSION	SUP-2991122	CDM	270010020	LOCAL	270	RC		inpatient			5432.4	5432.4																																																			
SPACER SPINAL CAPSTONE PEEK L22 MM X H7 MM	SUP-2990722	CDM	270010020	LOCAL	270	RC		outpatient			5432	5432	1471.53				percent of total billed charges		5432				other	OPPS APC	4019.68				percent of total billed charges		5432				other	OPPS APC	5432				other	OPPS APC	1471.53				percent of total billed charges		1500.86				percent of total billed charges		5432				other	OPPS APC	1471.53	5432	
SPACER SPINAL CAPSTONE PEEK L22 MM X H7 MM	SUP-2990722	CDM	270010020	LOCAL	270	RC		inpatient			5432	5432																																																			
SPACER SPINAL CAPSTONE PEEK-OPTIMA L22 MM X H10 MM LUMBAR INTERBODY FUSION	SUP-2991022	CDM	270010020	LOCAL	270	RC		outpatient			5432	5432	1471.53				percent of total billed charges		5432				other	OPPS APC	4019.68				percent of total billed charges		5432				other	OPPS APC	5432				other	OPPS APC	1471.53				percent of total billed charges		1500.86				percent of total billed charges		5432				other	OPPS APC	1471.53	5432	
SPACER SPINAL CAPSTONE PEEK-OPTIMA L22 MM X H10 MM LUMBAR INTERBODY FUSION	SUP-2991022	CDM	270010020	LOCAL	270	RC		inpatient			5432	5432																																																			
NAIL CANN TROCH FIX 10MM 130	SUP-97-02426	CDM			278	RC		outpatient			5430.95	543.95	5430.95				fee schedule		5430.95				other	OPPS APC	3095.64				percent of total billed charges		5430.95				other	OPPS APC	5430.95				other	OPPS APC	2661.17				percent of total billed charges		2769.78				percent of total billed charges		543.95				other	OPPS APC	543.95	5430.95	
NAIL CANN TROCH FIX 10MM 130	SUP-97-02426	CDM			278	RC		inpatient			5430.95	5430.95																																																			
CATHETER - THROMBECTOMY OMNI	SUP-99-00794	CDM			272	RC		outpatient			5421.03	5421.3	1468.56				percent of total billed charges		5421.03				other	OPPS APC	4011.56				percent of total billed charges		5421.03				other	OPPS APC	5421.03				other	OPPS APC	1468.56				percent of total billed charges		1497.83				percent of total billed charges		5421.3				other	OPPS APC	1468.56	5421.3	
CATHETER - THROMBECTOMY OMNI	SUP-99-00794	CDM			272	RC		inpatient			5421.03	5421.03																																																			
ANTERIOR TIBIALS TENDON	SUP-97-00290	CDM			278	RC		outpatient			5417.5	5417.5	5417.5				fee schedule		5417.5				other	OPPS APC	3087.98				percent of total billed charges		5417.5				other	OPPS APC	5417.5				other	OPPS APC	2654.58				percent of total billed charges		2762.93				percent of total billed charges		5417.5				other	OPPS APC	2654.58	5417.5	
ANTERIOR TIBIALS TENDON	SUP-97-00290	CDM			278	RC		inpatient			5417.5	5417.5																																																			
ANKLE ARTHRODESIS NAIL RIGHT	SUP-97-03336	CDM			278	RC		outpatient			5404.2	544.2	5404.2				fee schedule		5404.2				other	OPPS APC	3080.39				percent of total billed charges		5404.2				other	OPPS APC	5404.2				other	OPPS APC	2648.06				percent of total billed charges		2756.14				percent of total billed charges		544.2				other	OPPS APC	544.2	5404.2	
ANKLE ARTHRODESIS NAIL RIGHT	SUP-97-03336	CDM			278	RC		inpatient			5404.2	5404.2																																																			
PLATE BONE INTERCONTINENTAL 6 D W20 MM X H9 MM SPINE NONSTERILE	SUP-187.059	CDM	270010020	LOCAL	270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
PLATE BONE INTERCONTINENTAL 6 D W20 MM X H9 MM SPINE NONSTERILE	SUP-187.059	CDM	270010020	LOCAL	270	RC		inpatient			5400	5400																																																			
PLATE BONE INTERCONTINENTAL 6 D W20 MM X H11 MM SPINE NONSTERILE	SUP-187.061	CDM	270010020	LOCAL	270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
PLATE BONE INTERCONTINENTAL 6 D W20 MM X H11 MM SPINE NONSTERILE	SUP-187.061	CDM	270010020	LOCAL	270	RC		inpatient			5400	5400																																																			
STENT COVERED CORONARY PAPYRUS PK 2.5 X 20	SUP-434893_64031	CDM			481	RC		outpatient			5400	54	2646				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	2646				percent of total billed charges		2754				percent of total billed charges		54				other	OPPS APC	54	5400	
STENT COVERED CORONARY PAPYRUS PK 2.5 X 20	SUP-434893_64031	CDM			481	RC		inpatient			5400	5400																																																			
STENT CORONARY COVERED PAPYRUS PK 3.5 X 20	SUP-434895_64032	CDM			481	RC		outpatient			5400	54	2646				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	2646				percent of total billed charges		2754				percent of total billed charges		54				other	OPPS APC	54	5400	
STENT CORONARY COVERED PAPYRUS PK 3.5 X 20	SUP-434895_64032	CDM			481	RC		inpatient			5400	5400																																																			
STENT CORNARY COVERED PAPYRUS PK 4.5 X 20	SUP-434897_64033	CDM			481	RC		outpatient			5400	54	2646				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	2646				percent of total billed charges		2754				percent of total billed charges		54				other	OPPS APC	54	5400	
STENT CORNARY COVERED PAPYRUS PK 4.5 X 20	SUP-434897_64033	CDM			481	RC		inpatient			5400	5400																																																			
IMPLANT STAND ALONE INTERBODY CAGE 6DEG	SUP-6626527	CDM	270010020	LOCAL	270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
IMPLANT STAND ALONE INTERBODY CAGE 6DEG	SUP-6626527	CDM	270010020	LOCAL	270	RC		inpatient			5400	5400																																																			
FUSION CERVICAL LEVEL 3	SUP-CERVICALL3	CDM	270010010	LOCAL	270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
FUSION CERVICAL LEVEL 3	SUP-CERVICALL3	CDM	270010010	LOCAL	270	RC		inpatient			5400	5400																																																			
GRAFT ENDOVASCULAR ZENITH FLEX L71 MM OD18 MM OD14 FR ABDOMINAL AORTIC ANEURYSM CONTRALATERAL/IPSILATERAL ILIAC LEGS	SUP-G12461	CDM	270010015	LOCAL	270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
GRAFT ENDOVASCULAR ZENITH FLEX L71 MM OD18 MM OD14 FR ABDOMINAL AORTIC ANEURYSM CONTRALATERAL/IPSILATERAL ILIAC LEGS	SUP-G12461	CDM	270010015	LOCAL	270	RC		inpatient			5400	5400																																																			
CLAMP ELECTROSURGICAL ISOLATOR TRANSPOLAR L6.3 MM ELECTRODE	SUP-OLL2	CDM			270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
CLAMP ELECTROSURGICAL ISOLATOR TRANSPOLAR L6.3 MM ELECTRODE	SUP-OLL2	CDM			270	RC		inpatient			5400	5400																																																			
SYSTEM ATHERECTOMY PHOENIX L149 CM OD1.8 MM CATHETER HANDLE WIRE CLIP OTW STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 2.5 MM VESSEL	SUP-P18149K	CDM			270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
SYSTEM ATHERECTOMY PHOENIX L149 CM OD1.8 MM CATHETER HANDLE WIRE CLIP OTW STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 2.5 MM VESSEL	SUP-P18149K	CDM			270	RC		inpatient			5400	5400																																																			
SYSTEM ATHERECTOMY PHOENIX L130 CM OD2.2 MM ROTATIONAL OTW FRONT CUT LOW PROFILE STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 3 MM VESSEL	SUP-P22130K	CDM			270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
SYSTEM ATHERECTOMY PHOENIX L130 CM OD2.2 MM ROTATIONAL OTW FRONT CUT LOW PROFILE STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 3 MM VESSEL	SUP-P22130K	CDM			270	RC		inpatient			5400	5400																																																			
SYSTEM ATHERECTOMY PHOENIX L149 CM OD2.2 MM ROTATIONAL OTW FRONT CUT LOW PROFILE STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 3 MM VESSEL	SUP-P22149K	CDM			270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
SYSTEM ATHERECTOMY PHOENIX L149 CM OD2.2 MM ROTATIONAL OTW FRONT CUT LOW PROFILE STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 3 MM VESSEL	SUP-P22149K	CDM			270	RC		inpatient			5400	5400																																																			
SYSTEM 7F ATHERECTOMY 2.4	SUP-P24130	CDM			270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
SYSTEM 7F ATHERECTOMY 2.4	SUP-P24130	CDM			270	RC		inpatient			5400	5400																																																			
SYSTEM ATHERECTOMY PHOENIX L127 CM OD2.4 MM OTW FRONT CUT LOW PROFILE NONDEFLECT ACCEPTS .014 IN GUIDEWIRE	SUP-PD24127K	CDM			270	RC		outpatient			5400	54	1462.86				percent of total billed charges		5400				other	OPPS APC	3996				percent of total billed charges		5400				other	OPPS APC	5400				other	OPPS APC	1462.86				percent of total billed charges		1492.02				percent of total billed charges		54				other	OPPS APC	54	5400	
SYSTEM ATHERECTOMY PHOENIX L127 CM OD2.4 MM OTW FRONT CUT LOW PROFILE NONDEFLECT ACCEPTS .014 IN GUIDEWIRE	SUP-PD24127K	CDM			270	RC		inpatient			5400	5400																																																			
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 10 CC DRILLABLE INJECT REINFORCE BIORESORBABLE BIOCOMPATIBLE STERILE	SUP-07.704.010S	CDM	270010022	LOCAL	270	RC		outpatient			5398.8	5398.82	1462.53				percent of total billed charges		5398.8				other	OPPS APC	3995.11				percent of total billed charges		5398.8				other	OPPS APC	5398.8				other	OPPS APC	1462.53				percent of total billed charges		1491.69				percent of total billed charges		5398.82				other	OPPS APC	1462.53	5398.82	
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 10 CC DRILLABLE INJECT REINFORCE BIORESORBABLE BIOCOMPATIBLE STERILE	SUP-07.704.010S	CDM	270010022	LOCAL	270	RC		inpatient			5398.8	5398.8																																																			
FILLER BONE VOID NORIAN 10 ML DRILLABLE FAST SET PUTTY STERILE	SUP-07.704.110S	CDM	270010012	LOCAL	270	RC		outpatient			5398.8	5398.82	1462.53				percent of total billed charges		5398.8				other	OPPS APC	3995.11				percent of total billed charges		5398.8				other	OPPS APC	5398.8				other	OPPS APC	1462.53				percent of total billed charges		1491.69				percent of total billed charges		5398.82				other	OPPS APC	1462.53	5398.82	
FILLER BONE VOID NORIAN 10 ML DRILLABLE FAST SET PUTTY STERILE	SUP-07.704.110S	CDM	270010012	LOCAL	270	RC		inpatient			5398.8	5398.8																																																			
BAND SURGICAL LIGATION REALIZE C DISSECTOR	SUP-RLZB32D1	CDM			270	RC		outpatient			5392.8	5392.82	1460.91				percent of total billed charges		5392.8				other	OPPS APC	3990.67				percent of total billed charges		5392.8				other	OPPS APC	5392.8				other	OPPS APC	1460.91				percent of total billed charges		1490.03				percent of total billed charges		5392.82				other	OPPS APC	1460.91	5392.82	
BAND SURGICAL LIGATION REALIZE C DISSECTOR	SUP-RLZB32D1	CDM			270	RC		inpatient			5392.8	5392.8																																																			
LAPIDUS WEDGE  8MM	SUP-97-03420	CDM			278	RC		outpatient			5390.63	539.63	5390.63				fee schedule		5390.63				other	OPPS APC	3072.66				percent of total billed charges		5390.63				other	OPPS APC	5390.63				other	OPPS APC	2641.41				percent of total billed charges		2749.22				percent of total billed charges		539.63				other	OPPS APC	539.63	5390.63	
LAPIDUS WEDGE  8MM	SUP-97-03420	CDM			278	RC		inpatient			5390.63	5390.63																																																			
LAPIDUS WEDGE  10MM	SUP-97-03458	CDM			278	RC		outpatient			5390.63	539.63	5390.63				fee schedule		5390.63				other	OPPS APC	3072.66				percent of total billed charges		5390.63				other	OPPS APC	5390.63				other	OPPS APC	2641.41				percent of total billed charges		2749.22				percent of total billed charges		539.63				other	OPPS APC	539.63	5390.63	
LAPIDUS WEDGE  10MM	SUP-97-03458	CDM			278	RC		inpatient			5390.63	5390.63																																																			
COIL EMBOLIZATION AXIUM 3D L30 CM OD10 MM FRAME V01	SUP-FC-10-30-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L30 CM OD10 MM FRAME V01	SUP-FC-10-30-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L40 CM OD10 MM NEUROVASCULAR FRAME V01	SUP-FC-10-40-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L40 CM OD10 MM NEUROVASCULAR FRAME V01	SUP-FC-10-40-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L40 CM OD12 MM FRAME V01	SUP-FC-12-40-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L40 CM OD12 MM FRAME V01	SUP-FC-12-40-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L50 CM OD14 MM NEUROVASCULAR FRAME V01	SUP-FC-14-50-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L50 CM OD14 MM NEUROVASCULAR FRAME V01	SUP-FC-14-50-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L50 CM OD16 MM NEUROVASCULAR FRAME V01	SUP-FC-16-50-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L50 CM OD16 MM NEUROVASCULAR FRAME V01	SUP-FC-16-50-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L50 CM OD18 MM NEUROVASCULAR FRAME V01	SUP-FC-18-50-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L50 CM OD18 MM NEUROVASCULAR FRAME V01	SUP-FC-18-50-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L50 CM OD20 MM FRAME V01	SUP-FC-20-50-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L50 CM OD20 MM FRAME V01	SUP-FC-20-50-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L50 CM OD22 MM FRAME V01	SUP-FC-22-50-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L50 CM OD22 MM FRAME V01	SUP-FC-22-50-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L50 CM OD25 MM FRAME V01	SUP-FC-25-50-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L50 CM OD25 MM FRAME V01	SUP-FC-25-50-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L20 CM OD8 MM FRAME V01	SUP-FC-8-20-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L20 CM OD8 MM FRAME V01	SUP-FC-8-20-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L30 CM OD8 MM FRAME V01	SUP-FC-8-30-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L30 CM OD8 MM FRAME V01	SUP-FC-8-30-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM 3D L20 CM OD9 MM FRAME V01	SUP-FC-9-20-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM 3D L20 CM OD9 MM FRAME V01	SUP-FC-9-20-3D	CDM			270	RC		inpatient			5390	5390																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L30 CM OD9 MM FRAME V01	SUP-FC-9-30-3D	CDM			270	RC		outpatient			5390	539	1460.15				percent of total billed charges		5390				other	OPPS APC	3988.6				percent of total billed charges		5390				other	OPPS APC	5390				other	OPPS APC	1460.15				percent of total billed charges		1489.26				percent of total billed charges		539				other	OPPS APC	539	5390	
COIL EMBOLIZATION AXIUM PRIME 3D L30 CM OD9 MM FRAME V01	SUP-FC-9-30-3D	CDM			270	RC		inpatient			5390	5390																																																			
SPACER SPINAL CAPSTONE CONTROL PEEK 0 D L22 MM X H10 MM STERILE INTERBODY FUSION	SUP-3991022	CDM	270010020	LOCAL	270	RC		outpatient			5384	5384	1458.53				percent of total billed charges		5384				other	OPPS APC	3984.16				percent of total billed charges		5384				other	OPPS APC	5384				other	OPPS APC	1458.53				percent of total billed charges		1487.6				percent of total billed charges		5384				other	OPPS APC	1458.53	5384	
SPACER SPINAL CAPSTONE CONTROL PEEK 0 D L22 MM X H10 MM STERILE INTERBODY FUSION	SUP-3991022	CDM	270010020	LOCAL	270	RC		inpatient			5384	5384																																																			
STENT TRACHEOBRONCHIAL ICAST PTFE .035 IN L59 MM L120 CM OD8 MM OD7 FR COVERED CATHETER INTRODUCER	SUP-85417	CDM			270	RC		outpatient			5383.5	5383.5	1458.39				percent of total billed charges		5383.5				other	OPPS APC	3983.79				percent of total billed charges		5383.5				other	OPPS APC	5383.5				other	OPPS APC	1458.39				percent of total billed charges		1487.46				percent of total billed charges		5383.5				other	OPPS APC	1458.39	5383.5	
STENT TRACHEOBRONCHIAL ICAST PTFE .035 IN L59 MM L120 CM OD8 MM OD7 FR COVERED CATHETER INTRODUCER	SUP-85417	CDM			270	RC		inpatient			5383.5	5383.5																																																			
HEAD RADIAL EVOLVE PROLINE +2 OD22 MM ELBOW ELBOW MODULAR	SUP-496H220	CDM			270	RC		outpatient			5380	538	1457.44				percent of total billed charges		5380				other	OPPS APC	3981.2				percent of total billed charges		5380				other	OPPS APC	5380				other	OPPS APC	1457.44				percent of total billed charges		1486.49				percent of total billed charges		538				other	OPPS APC	538	5380	
HEAD RADIAL EVOLVE PROLINE +2 OD22 MM ELBOW ELBOW MODULAR	SUP-496H220	CDM			270	RC		inpatient			5380	5380																																																			
HEAD RADIAL EVOLVE PROLINE 2 MM OD24 MM	SUP-496H224	CDM			270	RC		outpatient			5380	538	1457.44				percent of total billed charges		5380				other	OPPS APC	3981.2				percent of total billed charges		5380				other	OPPS APC	5380				other	OPPS APC	1457.44				percent of total billed charges		1486.49				percent of total billed charges		538				other	OPPS APC	538	5380	
HEAD RADIAL EVOLVE PROLINE 2 MM OD24 MM	SUP-496H224	CDM			270	RC		inpatient			5380	5380																																																			
HEAD RADIAL EVOLVE PROLINE +2 MM OD28 MM ELBOW MODULAR	SUP-496H228	CDM			270	RC		outpatient			5380	538	1457.44				percent of total billed charges		5380				other	OPPS APC	3981.2				percent of total billed charges		5380				other	OPPS APC	5380				other	OPPS APC	1457.44				percent of total billed charges		1486.49				percent of total billed charges		538				other	OPPS APC	538	5380	
HEAD RADIAL EVOLVE PROLINE +2 MM OD28 MM ELBOW MODULAR	SUP-496H228	CDM			270	RC		inpatient			5380	5380																																																			
HEAD RADIAL EVOLVE PROLINE +4 MM OD20 MM ELBOW MODULAR	SUP-496H420	CDM			270	RC		outpatient			5380	538	1457.44				percent of total billed charges		5380				other	OPPS APC	3981.2				percent of total billed charges		5380				other	OPPS APC	5380				other	OPPS APC	1457.44				percent of total billed charges		1486.49				percent of total billed charges		538				other	OPPS APC	538	5380	
HEAD RADIAL EVOLVE PROLINE +4 MM OD20 MM ELBOW MODULAR	SUP-496H420	CDM			270	RC		inpatient			5380	5380																																																			
HEAD RADIAL EVOLVE PROLINE +4 MM OD24 MM ELBOW MODULAR STERILE	SUP-496H424	CDM			270	RC		outpatient			5380	538	1457.44				percent of total billed charges		5380				other	OPPS APC	3981.2				percent of total billed charges		5380				other	OPPS APC	5380				other	OPPS APC	1457.44				percent of total billed charges		1486.49				percent of total billed charges		538				other	OPPS APC	538	5380	
HEAD RADIAL EVOLVE PROLINE +4 MM OD24 MM ELBOW MODULAR STERILE	SUP-496H424	CDM			270	RC		inpatient			5380	5380																																																			
UNIVERSAL STEM FLUTED	SUP-97-01696	CDM			278	RC		outpatient			5376	5376	5376				fee schedule		5376				other	OPPS APC	3064.32				percent of total billed charges		5376				other	OPPS APC	5376				other	OPPS APC	2634.24				percent of total billed charges		2741.76				percent of total billed charges		5376				other	OPPS APC	2634.24	5376	
UNIVERSAL STEM FLUTED	SUP-97-01696	CDM			278	RC		inpatient			5376	5376																																																			
UNIVERSAL STEM FLUTED	SUP-97-01861	CDM			278	RC		outpatient			5376	5376	5376				fee schedule		5376				other	OPPS APC	3064.32				percent of total billed charges		5376				other	OPPS APC	5376				other	OPPS APC	2634.24				percent of total billed charges		2741.76				percent of total billed charges		5376				other	OPPS APC	2634.24	5376	
UNIVERSAL STEM FLUTED	SUP-97-01861	CDM			278	RC		inpatient			5376	5376																																																			
APPLIER BAND REALIZE GASTRIC C ADJUSTABLE ENDOSCOPIC DISSECTOR KIT LAP	SUP-RLZB32	CDM			270	RC		outpatient			5376	5376	1456.36				percent of total billed charges		5376				other	OPPS APC	3978.24				percent of total billed charges		5376				other	OPPS APC	5376				other	OPPS APC	1456.36				percent of total billed charges		1485.39				percent of total billed charges		5376				other	OPPS APC	1456.36	5376	
APPLIER BAND REALIZE GASTRIC C ADJUSTABLE ENDOSCOPIC DISSECTOR KIT LAP	SUP-RLZB32	CDM			270	RC		inpatient			5376	5376																																																			
KNOTLESS SPEEDBRIDGE KIT	SUP-97-05183	CDM			278	RC		outpatient			5375	5375	5375				fee schedule		5375				other	OPPS APC	3063.75				percent of total billed charges		5375				other	OPPS APC	5375				other	OPPS APC	2633.75				percent of total billed charges		2741.25				percent of total billed charges		5375				other	OPPS APC	2633.75	5375	
KNOTLESS SPEEDBRIDGE KIT	SUP-97-05183	CDM			278	RC		inpatient			5375	5375																																																			
CATHETER - THROMBECTOMY SPIROFLEX	SUP-99-00929	CDM			272	RC		outpatient			5375	5375	1456.09				percent of total billed charges		5375				other	OPPS APC	3977.5				percent of total billed charges		5375				other	OPPS APC	5375				other	OPPS APC	1456.09				percent of total billed charges		1485.11				percent of total billed charges		5375				other	OPPS APC	1456.09	5375	
CATHETER - THROMBECTOMY SPIROFLEX	SUP-99-00929	CDM			272	RC		inpatient			5375	5375																																																			
IMPLANT REVERSE APEX STEM SIZE 8	SUP-AR-9501-08S	CDM	270010030	LOCAL	270	RC		outpatient			5373	5373	1455.55				percent of total billed charges		5373				other	OPPS APC	3976.02				percent of total billed charges		5373				other	OPPS APC	5373				other	OPPS APC	1455.55				percent of total billed charges		1484.56				percent of total billed charges		5373				other	OPPS APC	1455.55	5373	
IMPLANT REVERSE APEX STEM SIZE 8	SUP-AR-9501-08S	CDM	270010030	LOCAL	270	RC		inpatient			5373	5373																																																			
IMPLANT UNIVERSAL REVERSE APEX STEM SIZE 11	SUP-AR-9501-11S	CDM	270010030	LOCAL	270	RC		outpatient			5373	5373	1455.55				percent of total billed charges		5373				other	OPPS APC	3976.02				percent of total billed charges		5373				other	OPPS APC	5373				other	OPPS APC	1455.55				percent of total billed charges		1484.56				percent of total billed charges		5373				other	OPPS APC	1455.55	5373	
IMPLANT UNIVERSAL REVERSE APEX STEM SIZE 11	SUP-AR-9501-11S	CDM	270010030	LOCAL	270	RC		inpatient			5373	5373																																																			
MATRIX TISSUE STRATTICE PORCINE DERMIS L16 CM X W6 CM RECONSTRUCTIVE STERILE	SUP-0616002	CDM			270	RC		outpatient			5364	5364	1453.11				percent of total billed charges		5364				other	OPPS APC	3969.36				percent of total billed charges		5364				other	OPPS APC	5364				other	OPPS APC	1453.11				percent of total billed charges		1482.07				percent of total billed charges		5364				other	OPPS APC	1453.11	5364	
MATRIX TISSUE STRATTICE PORCINE DERMIS L16 CM X W6 CM RECONSTRUCTIVE STERILE	SUP-0616002	CDM			270	RC		inpatient			5364	5364																																																			
FEMORAL SZ E RM/LL	SUP-97-01250	CDM			278	RC		outpatient			5360	536	5360				fee schedule		5360				other	OPPS APC	3055.2				percent of total billed charges		5360				other	OPPS APC	5360				other	OPPS APC	2626.4				percent of total billed charges		2733.6				percent of total billed charges		536				other	OPPS APC	536	5360	
FEMORAL SZ E RM/LL	SUP-97-01250	CDM			278	RC		inpatient			5360	5360																																																			
FEMORAL SIZE C RM/LL	SUP-97-01796	CDM			278	RC		outpatient			5360	536	5360				fee schedule		5360				other	OPPS APC	3055.2				percent of total billed charges		5360				other	OPPS APC	5360				other	OPPS APC	2626.4				percent of total billed charges		2733.6				percent of total billed charges		536				other	OPPS APC	536	5360	
FEMORAL SIZE C RM/LL	SUP-97-01796	CDM			278	RC		inpatient			5360	5360																																																			
CONTINUUM VIVACIT-E ELEV.LINER KK 36X56	SUP-97-04289	CDM			278	RC		outpatient			5359.38	5359.38	5359.38				fee schedule		5359.38				other	OPPS APC	3054.85				percent of total billed charges		5359.38				other	OPPS APC	5359.38				other	OPPS APC	2626.1				percent of total billed charges		2733.28				percent of total billed charges		5359.38				other	OPPS APC	2626.1	5359.38	
CONTINUUM VIVACIT-E ELEV.LINER KK 36X56	SUP-97-04289	CDM			278	RC		inpatient			5359.38	5359.38																																																			
KIT FIRST FRACTURE STABILIT	SUP-2003	CDM			270	RC		outpatient			5350	535	1449.32				percent of total billed charges		5350				other	OPPS APC	3959				percent of total billed charges		5350				other	OPPS APC	5350				other	OPPS APC	1449.32				percent of total billed charges		1478.21				percent of total billed charges		535				other	OPPS APC	535	5350	
KIT FIRST FRACTURE STABILIT	SUP-2003	CDM			270	RC		inpatient			5350	5350																																																			
MODULAR RADIAL STEM  W/SCREW 8X28	SUP-97-03069	CDM			278	RC		outpatient			5350	535	5350				fee schedule		5350				other	OPPS APC	3049.5				percent of total billed charges		5350				other	OPPS APC	5350				other	OPPS APC	2621.5				percent of total billed charges		2728.5				percent of total billed charges		535				other	OPPS APC	535	5350	
MODULAR RADIAL STEM  W/SCREW 8X28	SUP-97-03069	CDM			278	RC		inpatient			5350	5350																																																			
MODULAR RADIAL STEM  W/SCREW 18X24	SUP-97-03070	CDM			278	RC		outpatient			5350	535	5350				fee schedule		5350				other	OPPS APC	3049.5				percent of total billed charges		5350				other	OPPS APC	5350				other	OPPS APC	2621.5				percent of total billed charges		2728.5				percent of total billed charges		535				other	OPPS APC	535	5350	
MODULAR RADIAL STEM  W/SCREW 18X24	SUP-97-03070	CDM			278	RC		inpatient			5350	5350																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 135 D 5 L95 MM SHOULDER SET SUPPLEMENTARY MONOBLOCK PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-05-135CPC	CDM	270010030	LOCAL	270	RC		outpatient			5350	535	1449.32				percent of total billed charges		5350				other	OPPS APC	3959				percent of total billed charges		5350				other	OPPS APC	5350				other	OPPS APC	1449.32				percent of total billed charges		1478.21				percent of total billed charges		535				other	OPPS APC	535	5350	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 135 D 5 L95 MM SHOULDER SET SUPPLEMENTARY MONOBLOCK PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-05-135CPC	CDM	270010030	LOCAL	270	RC		inpatient			5350	5350																																																			
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD16 MM HIP MODULAR SYSTEM	SUP-6276-7-016	CDM	270010024	LOCAL	270	RC		outpatient			5341.5	5341.5	1447.01				percent of total billed charges		5341.5				other	OPPS APC	3952.71				percent of total billed charges		5341.5				other	OPPS APC	5341.5				other	OPPS APC	1447.01				percent of total billed charges		1475.86				percent of total billed charges		5341.5				other	OPPS APC	1447.01	5341.5	
STEM FEMORAL RESTORATION HA STRAIGHT CONICAL L155 MM OD16 MM HIP MODULAR SYSTEM	SUP-6276-7-016	CDM	270010024	LOCAL	270	RC		inpatient			5341.5	5341.5																																																			
STEM FEMORAL RESTORATION HA CONICAL L155 MM OD19 MM DISTAL HIP MODULAR	SUP-6276-7-019	CDM	270010024	LOCAL	270	RC		outpatient			5341.5	5341.5	1447.01				percent of total billed charges		5341.5				other	OPPS APC	3952.71				percent of total billed charges		5341.5				other	OPPS APC	5341.5				other	OPPS APC	1447.01				percent of total billed charges		1475.86				percent of total billed charges		5341.5				other	OPPS APC	1447.01	5341.5	
STEM FEMORAL RESTORATION HA CONICAL L155 MM OD19 MM DISTAL HIP MODULAR	SUP-6276-7-019	CDM	270010024	LOCAL	270	RC		inpatient			5341.5	5341.5																																																			
STEM HUMERAL EQUINOXE OD6.5 MM LEFT SHOULDER FRACTURE	SUP-304-21-07	CDM	270010030	LOCAL	270	RC		outpatient			5340	534	1446.61				percent of total billed charges		5340				other	OPPS APC	3951.6				percent of total billed charges		5340				other	OPPS APC	5340				other	OPPS APC	1446.61				percent of total billed charges		1475.44				percent of total billed charges		534				other	OPPS APC	534	5340	
STEM HUMERAL EQUINOXE OD6.5 MM LEFT SHOULDER FRACTURE	SUP-304-21-07	CDM	270010030	LOCAL	270	RC		inpatient			5340	5340																																																			
SLLP MEDIAL COLUMN PLT 3.5 MM SMFT	SUP-97-02878	CDM			278	RC		outpatient			5340	534	5340				fee schedule		5340				other	OPPS APC	3043.8				percent of total billed charges		5340				other	OPPS APC	5340				other	OPPS APC	2616.6				percent of total billed charges		2723.4				percent of total billed charges		534				other	OPPS APC	534	5340	
SLLP MEDIAL COLUMN PLT 3.5 MM SMFT	SUP-97-02878	CDM			278	RC		inpatient			5340	5340																																																			
HRHK TIB ROT COMP XS/SM/MED	SUP-97-04690	CDM			278	RC		outpatient			5334	5334	5334				fee schedule		5334				other	OPPS APC	3040.38				percent of total billed charges		5334				other	OPPS APC	5334				other	OPPS APC	2613.66				percent of total billed charges		2720.34				percent of total billed charges		5334				other	OPPS APC	2613.66	5334	
HRHK TIB ROT COMP XS/SM/MED	SUP-97-04690	CDM			278	RC		inpatient			5334	5334																																																			
NAIL 7MM TI LEFT/CANN/225MM STERILE	SUP-97-04193	CDM			278	RC		outpatient			5332.5	5332.5	5332.5				fee schedule		5332.5				other	OPPS APC	3039.53				percent of total billed charges		5332.5				other	OPPS APC	5332.5				other	OPPS APC	2612.93				percent of total billed charges		2719.58				percent of total billed charges		5332.5				other	OPPS APC	2612.93	5332.5	
NAIL 7MM TI LEFT/CANN/225MM STERILE	SUP-97-04193	CDM			278	RC		inpatient			5332.5	5332.5																																																			
PACEMAKER - GENERATOR AZURE SINGL W1SR01	SUP-99-03403	CDM			275	RC		inpatient			5329.5	5329.5																																																			
PACEMAKER - GENERATOR AZURE SINGL W1SR01	SUP-99-03403	CDM			275	RC		outpatient			5329.5	5329.5					fee schedule						other	OPPS APC	3037.82				percent of total billed charges						other	OPPS APC					other	OPPS APC	2611.46				percent of total billed charges		2718.05				percent of total billed charges						other	OPPS APC	3037.82	3037.82	
PACEMAKER AZURE S XT SR W1SR01 MRI DEVICE	SUP-W1SR01	CDM			275	RC		outpatient			5329.5	5329.5	2611.46				percent of total billed charges		5329.5				other	OPPS APC	3037.82				percent of total billed charges		5329.5				other	OPPS APC	5329.5				other	OPPS APC	2611.46				percent of total billed charges		2718.05				percent of total billed charges		5329.5				other	OPPS APC	2611.46	5329.5	
PACEMAKER AZURE S XT SR W1SR01 MRI DEVICE	SUP-W1SR01	CDM			275	RC		inpatient			5329.5	5329.5																																																			
LISFRANC DUAL RAY 2ND&3RD TMT PLATE R/S	SUP-97-04820	CDM			278	RC		outpatient			5320	532	5320				fee schedule		5320				other	OPPS APC	3032.4				percent of total billed charges		5320				other	OPPS APC	5320				other	OPPS APC	2606.8				percent of total billed charges		2713.2				percent of total billed charges		532				other	OPPS APC	532	5320	
LISFRANC DUAL RAY 2ND&3RD TMT PLATE R/S	SUP-97-04820	CDM			278	RC		inpatient			5320	5320																																																			
PACEMAKER - EDORA DR-T DUAL	SUP-99-04611	CDM						inpatient			5320	5320																																																			
PACEMAKER - EDORA DR-T DUAL	SUP-99-04611	CDM						outpatient			5320	532	5320				percent of total billed charges		5320				other	OPPS APC	5320				fee schedule		5320				other	OPPS APC	5320				other	OPPS APC	5320				case rate		5320				case rate		532				other	OPPS APC	532	5320	
BALLOON- RANGER DCB 5 X 200	SUP-99-04069	CDM			272	RC		outpatient			5312.5	5312.5	1439.16				percent of total billed charges		5312.5				other	OPPS APC	3931.25				percent of total billed charges		5312.5				other	OPPS APC	5312.5				other	OPPS APC	1439.16				percent of total billed charges		1467.84				percent of total billed charges		5312.5				other	OPPS APC	1439.16	5312.5	
BALLOON- RANGER DCB 5 X 200	SUP-99-04069	CDM			272	RC		inpatient			5312.5	5312.5																																																			
BALLOON - RANGER DCB 6X200	SUP-99-04080	CDM			272	RC		outpatient			5312.5	5312.5	1439.16				percent of total billed charges		5312.5				other	OPPS APC	3931.25				percent of total billed charges		5312.5				other	OPPS APC	5312.5				other	OPPS APC	1439.16				percent of total billed charges		1467.84				percent of total billed charges		5312.5				other	OPPS APC	1439.16	5312.5	
BALLOON - RANGER DCB 6X200	SUP-99-04080	CDM			272	RC		inpatient			5312.5	5312.5																																																			
PACEMAKER CARDIAC ADVISA DR MRI SURESCAN 2 CHAMBER DIGITAL ATRIAL TACHYARRHYTHMIA THERAPY	SUP-A2DR01	CDM			275	RC		outpatient			5312.4	5312.4	2603.08				percent of total billed charges		5312.4				other	OPPS APC	3028.07				percent of total billed charges		5312.4				other	OPPS APC	5312.4				other	OPPS APC	2603.08				percent of total billed charges		2709.32				percent of total billed charges		5312.4				other	OPPS APC	2603.08	5312.4	
PACEMAKER CARDIAC ADVISA DR MRI SURESCAN 2 CHAMBER DIGITAL ATRIAL TACHYARRHYTHMIA THERAPY	SUP-A2DR01	CDM			275	RC		inpatient			5312.4	5312.4																																																			
ALLOGRAFT HUMAN TISSUE STRAVIX 18SQCM 3CM X 6CM CRYOPRESERVED PLACENTAL MATRIX UMBILICAL CORD >2YR SHELFLIFE	SUP-PS60008	CDM			270	RC		outpatient			5311	5311	1438.75				percent of total billed charges		5311				other	OPPS APC	3930.14				percent of total billed charges		5311				other	OPPS APC	5311				other	OPPS APC	1438.75				percent of total billed charges		1467.43				percent of total billed charges		5311				other	OPPS APC	1438.75	5311	
ALLOGRAFT HUMAN TISSUE STRAVIX 18SQCM 3CM X 6CM CRYOPRESERVED PLACENTAL MATRIX UMBILICAL CORD >2YR SHELFLIFE	SUP-PS60008	CDM			270	RC		inpatient			5311	5311																																																			
ALLOGRAFT HUMAN TISSUE STRAVIX 18SQCM 3CM X 6 CM MESHED CRYOPRESERVED PLACENTAL MATRIX UMBILICAL CORD >2YR SHELFLIFE	SUP-PS60036	CDM			270	RC		outpatient			5311	5311	1438.75				percent of total billed charges		5311				other	OPPS APC	3930.14				percent of total billed charges		5311				other	OPPS APC	5311				other	OPPS APC	1438.75				percent of total billed charges		1467.43				percent of total billed charges		5311				other	OPPS APC	1438.75	5311	
ALLOGRAFT HUMAN TISSUE STRAVIX 18SQCM 3CM X 6 CM MESHED CRYOPRESERVED PLACENTAL MATRIX UMBILICAL CORD >2YR SHELFLIFE	SUP-PS60036	CDM			270	RC		inpatient			5311	5311																																																			
DERMALGRAFT	SUP-97-03282	CDM			636	RC		inpatient			5305	5305																																																			
DERMALGRAFT	SUP-97-03282	CDM			636	RC		outpatient			5305	5305					fee schedule						other	OPPS APC	3925.7				percent of total billed charges						other	OPPS APC					other	OPPS APC	2599.45				percent of total billed charges		1318.82				percent of total billed charges						other	OPPS APC	3925.7	3925.7	
RING ANNULOPLASTY TITANIUM OD24 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-24	CDM			270	RC		outpatient			5304	534	1436.85				percent of total billed charges		5304				other	OPPS APC	3924.96				percent of total billed charges		5304				other	OPPS APC	5304				other	OPPS APC	1436.85				percent of total billed charges		1465.5				percent of total billed charges		534				other	OPPS APC	534	5304	
RING ANNULOPLASTY TITANIUM OD24 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-24	CDM			270	RC		inpatient			5304	5304																																																			
RING ANNULOPLASTY TITANIUM OD28 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-28	CDM			270	RC		outpatient			5304	534	1436.85				percent of total billed charges		5304				other	OPPS APC	3924.96				percent of total billed charges		5304				other	OPPS APC	5304				other	OPPS APC	1436.85				percent of total billed charges		1465.5				percent of total billed charges		534				other	OPPS APC	534	5304	
RING ANNULOPLASTY TITANIUM OD28 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-28	CDM			270	RC		inpatient			5304	5304																																																			
RING ANNULOPLASTY TITANIUM OD30 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-30	CDM			270	RC		outpatient			5304	534	1436.85				percent of total billed charges		5304				other	OPPS APC	3924.96				percent of total billed charges		5304				other	OPPS APC	5304				other	OPPS APC	1436.85				percent of total billed charges		1465.5				percent of total billed charges		534				other	OPPS APC	534	5304	
RING ANNULOPLASTY TITANIUM OD30 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-30	CDM			270	RC		inpatient			5304	5304																																																			
RING ANNULOPLASTY TITANIUM OD32 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-32	CDM			270	RC		outpatient			5304	534	1436.85				percent of total billed charges		5304				other	OPPS APC	3924.96				percent of total billed charges		5304				other	OPPS APC	5304				other	OPPS APC	1436.85				percent of total billed charges		1465.5				percent of total billed charges		534				other	OPPS APC	534	5304	
RING ANNULOPLASTY TITANIUM OD32 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-32	CDM			270	RC		inpatient			5304	5304																																																			
RING ANNULOPLASTY TITANIUM OD34 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-34	CDM			270	RC		outpatient			5304	534	1436.85				percent of total billed charges		5304				other	OPPS APC	3924.96				percent of total billed charges		5304				other	OPPS APC	5304				other	OPPS APC	1436.85				percent of total billed charges		1465.5				percent of total billed charges		534				other	OPPS APC	534	5304	
RING ANNULOPLASTY TITANIUM OD34 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-34	CDM			270	RC		inpatient			5304	5304																																																			
INSERT ARTICULAR I/B II UHMWPE THK18.5 MM W59 MM X H21 MM KNEE POSTERIOR STABILIZED MACHINE MOLD STERILE	SUP-00522003206	CDM	270010025	LOCAL	270	RC		outpatient			5302.58	532.58	1436.47				percent of total billed charges		5302.58				other	OPPS APC	3923.91				percent of total billed charges		5302.58				other	OPPS APC	5302.58				other	OPPS APC	1436.47				percent of total billed charges		1465.1				percent of total billed charges		532.58				other	OPPS APC	532.58	5302.58	
INSERT ARTICULAR I/B II UHMWPE THK18.5 MM W59 MM X H21 MM KNEE POSTERIOR STABILIZED MACHINE MOLD STERILE	SUP-00522003206	CDM	270010025	LOCAL	270	RC		inpatient			5302.58	5302.58																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L4 CM OD24 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-AEXCH242440	CDM	270010015	LOCAL	270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L4 CM OD24 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-AEXCH242440	CDM	270010015	LOCAL	270	RC		inpatient			5300	5300																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L4 CM OD28 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-AEXCH282840	CDM	270010015	LOCAL	270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L4 CM OD28 MM ODSEC21 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-AEXCH282840	CDM	270010015	LOCAL	270	RC		inpatient			5300	5300																																																			
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L5.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH141455	CDM	270010015	LOCAL	270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
GRAFT STENT ANEURX AAADVANTAGE XCELERANT NITINOL STRAIGHT L5.5 CM OD14 MM ODSEC16 FR ENDOVASCULAR ABDOMEN AORTA ILIUM INFRARENAL SYSTEM SELF EXPANDING WOVEN EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH141455	CDM	270010015	LOCAL	270	RC		inpatient			5300	5300																																																			
GRAFT STENT ANEURX ILIAC EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH161655	CDM	270010015	LOCAL	270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
GRAFT STENT ANEURX ILIAC EXTENDER CUFF HYDRO DELIVERY AAA	SUP-IEXCH161655	CDM	270010015	LOCAL	270	RC		inpatient			5300	5300																																																			
VALVE AIRWAY IBV NITINOL UMBRELLA OD5 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V5	CDM			270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
VALVE AIRWAY IBV NITINOL UMBRELLA OD5 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V5	CDM			270	RC		inpatient			5300	5300																																																			
VALVE AIRWAY IBV NITINOL UMBRELLA OD6 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V6	CDM			270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
VALVE AIRWAY IBV NITINOL UMBRELLA OD6 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V6	CDM			270	RC		inpatient			5300	5300																																																			
VALVE AIRWAY IBV NITINOL UMBRELLA OD7 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V7	CDM			270	RC		outpatient			5300	53	1435.77				percent of total billed charges		5300				other	OPPS APC	3922				percent of total billed charges		5300				other	OPPS APC	5300				other	OPPS APC	1435.77				percent of total billed charges		1464.39				percent of total billed charges		53				other	OPPS APC	53	5300	
VALVE AIRWAY IBV NITINOL UMBRELLA OD7 MM CARTRIDGE FRAME HUMANITARIAN DEVICE	SUP-REF-HUS-V7	CDM			270	RC		inpatient			5300	5300																																																			
MINI RAIL 55MM	SUP-97-03581	CDM			278	RC		outpatient			5298.75	5298.75	5298.75				fee schedule		5298.75				other	OPPS APC	3020.29				percent of total billed charges		5298.75				other	OPPS APC	5298.75				other	OPPS APC	2596.39				percent of total billed charges		2702.36				percent of total billed charges		5298.75				other	OPPS APC	2596.39	5298.75	
MINI RAIL 55MM	SUP-97-03581	CDM			278	RC		inpatient			5298.75	5298.75																																																			
NEXGEN PC STEMMED TIBIAL PLATE SZ6	SUP-97-01236	CDM			278	RC		outpatient			5287.5	5287.5	5287.5				fee schedule		5287.5				other	OPPS APC	3013.88				percent of total billed charges		5287.5				other	OPPS APC	5287.5				other	OPPS APC	2590.88				percent of total billed charges		2696.63				percent of total billed charges		5287.5				other	OPPS APC	2590.88	5287.5	
NEXGEN PC STEMMED TIBIAL PLATE SZ6	SUP-97-01236	CDM			278	RC		inpatient			5287.5	5287.5																																																			
NEXGEN PC STEMMED TIBIAL PLATE SZ 8	SUP-97-01838	CDM			278	RC		outpatient			5287.5	5287.5	5287.5				fee schedule		5287.5				other	OPPS APC	3013.88				percent of total billed charges		5287.5				other	OPPS APC	5287.5				other	OPPS APC	2590.88				percent of total billed charges		2696.63				percent of total billed charges		5287.5				other	OPPS APC	2590.88	5287.5	
NEXGEN PC STEMMED TIBIAL PLATE SZ 8	SUP-97-01838	CDM			278	RC		inpatient			5287.5	5287.5																																																			
NEXGEN PC STEMMED TIBIAL PLATE SZ5	SUP-97-02202	CDM			278	RC		outpatient			5287.5	5287.5	5287.5				fee schedule		5287.5				other	OPPS APC	3013.88				percent of total billed charges		5287.5				other	OPPS APC	5287.5				other	OPPS APC	2590.88				percent of total billed charges		2696.63				percent of total billed charges		5287.5				other	OPPS APC	2590.88	5287.5	
NEXGEN PC STEMMED TIBIAL PLATE SZ5	SUP-97-02202	CDM			278	RC		inpatient			5287.5	5287.5																																																			
NEXGEN PC STEMMED TIBIAL PLATE SZ3	SUP-97-02328	CDM			278	RC		outpatient			5287.5	5287.5	5287.5				fee schedule		5287.5				other	OPPS APC	3013.88				percent of total billed charges		5287.5				other	OPPS APC	5287.5				other	OPPS APC	2590.88				percent of total billed charges		2696.63				percent of total billed charges		5287.5				other	OPPS APC	2590.88	5287.5	
NEXGEN PC STEMMED TIBIAL PLATE SZ3	SUP-97-02328	CDM			278	RC		inpatient			5287.5	5287.5																																																			
TI CANN HUMERAL  FEMORAL EX/200MM STERIL	SUP-97-01172	CDM			278	RC		outpatient			5287.38	5287.38	5287.38				fee schedule		5287.38				other	OPPS APC	3013.81				percent of total billed charges		5287.38				other	OPPS APC	5287.38				other	OPPS APC	2590.82				percent of total billed charges		2696.56				percent of total billed charges		5287.38				other	OPPS APC	2590.82	5287.38	
TI CANN HUMERAL  FEMORAL EX/200MM STERIL	SUP-97-01172	CDM			278	RC		inpatient			5287.38	5287.38																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-437-10	NDC	J1459	HCPCS		inpatient			5278.2	5278.2																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-437-91	NDC	J1459	HCPCS		inpatient			5278.2	5278.2																																																			
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-437-10	NDC	J1459	HCPCS		outpatient			5278.2	5.98																																											5.98				other	OPPS APC	5.98	5.98	
IMMUNE GLOBULIN (HUMAN) 10 % SOLUTION	636000000	CDM	44206-437-91	NDC	J1459	HCPCS		outpatient			5278.2	5.98																																											5.98				other	OPPS APC	5.98	5.98	
INSERT 22.5MM SZ4 PFC SIGMA STAB+	SUP-97-05926	CDM			278	RC		outpatient			5277.5	5277.5	5277.5				fee schedule		5277.5				other	OPPS APC	3008.18				percent of total billed charges		5277.5				other	OPPS APC	5277.5				other	OPPS APC	2585.98				percent of total billed charges		2691.53				percent of total billed charges		5277.5				other	OPPS APC	2585.98	5277.5	
INSERT 22.5MM SZ4 PFC SIGMA STAB+	SUP-97-05926	CDM			278	RC		inpatient			5277.5	5277.5																																																			
NAIL CANN TROCH FIX 10MM 130 400	SUP-97-00332	CDM			278	RC		outpatient			5272.78	5272.78	5272.78				fee schedule		5272.78				other	OPPS APC	3005.48				percent of total billed charges		5272.78				other	OPPS APC	5272.78				other	OPPS APC	2583.66				percent of total billed charges		2689.12				percent of total billed charges		5272.78				other	OPPS APC	2583.66	5272.78	
NAIL CANN TROCH FIX 10MM 130 400	SUP-97-00332	CDM			278	RC		inpatient			5272.78	5272.78																																																			
NAIL CANN  TROCH 10MM/380DEG	SUP-97-01136	CDM			278	RC		outpatient			5272.78	5272.78	5272.78				fee schedule		5272.78				other	OPPS APC	3005.48				percent of total billed charges		5272.78				other	OPPS APC	5272.78				other	OPPS APC	2583.66				percent of total billed charges		2689.12				percent of total billed charges		5272.78				other	OPPS APC	2583.66	5272.78	
NAIL CANN  TROCH 10MM/380DEG	SUP-97-01136	CDM			278	RC		inpatient			5272.78	5272.78																																																			
NAIL 10MM/130DEG TROCH FIXATION LEFT	SUP-97-01181	CDM			278	RC		outpatient			5272.78	5272.78	5272.78				fee schedule		5272.78				other	OPPS APC	3005.48				percent of total billed charges		5272.78				other	OPPS APC	5272.78				other	OPPS APC	2583.66				percent of total billed charges		2689.12				percent of total billed charges		5272.78				other	OPPS APC	2583.66	5272.78	
NAIL 10MM/130DEG TROCH FIXATION LEFT	SUP-97-01181	CDM			278	RC		inpatient			5272.78	5272.78																																																			
NAIL CANN TROCH FIX 10MM 130 360	SUP-97-01472	CDM			278	RC		outpatient			5272.78	5272.78	5272.78				fee schedule		5272.78				other	OPPS APC	3005.48				percent of total billed charges		5272.78				other	OPPS APC	5272.78				other	OPPS APC	2583.66				percent of total billed charges		2689.12				percent of total billed charges		5272.78				other	OPPS APC	2583.66	5272.78	
NAIL CANN TROCH FIX 10MM 130 360	SUP-97-01472	CDM			278	RC		inpatient			5272.78	5272.78																																																			
NAIL CANN TROCH FIX 10MM 130 400	SUP-97-01473	CDM			278	RC		outpatient			5272.78	5272.78	5272.78				fee schedule		5272.78				other	OPPS APC	3005.48				percent of total billed charges		5272.78				other	OPPS APC	5272.78				other	OPPS APC	2583.66				percent of total billed charges		2689.12				percent of total billed charges		5272.78				other	OPPS APC	2583.66	5272.78	
NAIL CANN TROCH FIX 10MM 130 400	SUP-97-01473	CDM			278	RC		inpatient			5272.78	5272.78																																																			
NAIL CANN TROCH FIX 10MM 130 360	SUP-97-01794	CDM			278	RC		outpatient			5272.78	5272.78	5272.78				fee schedule		5272.78				other	OPPS APC	3005.48				percent of total billed charges		5272.78				other	OPPS APC	5272.78				other	OPPS APC	2583.66				percent of total billed charges		2689.12				percent of total billed charges		5272.78				other	OPPS APC	2583.66	5272.78	
NAIL CANN TROCH FIX 10MM 130 360	SUP-97-01794	CDM			278	RC		inpatient			5272.78	5272.78																																																			
NEUROMEND	SUP-97-03792	CDM			278	RC		outpatient			5272.5	5272.5	5272.5				fee schedule		5272.5				other	OPPS APC	3005.33				percent of total billed charges		5272.5				other	OPPS APC	5272.5				other	OPPS APC	2583.53				percent of total billed charges		2688.98				percent of total billed charges		5272.5				other	OPPS APC	2583.53	5272.5	
NEUROMEND	SUP-97-03792	CDM			278	RC		inpatient			5272.5	5272.5																																																			
RING ANNULOPLASTY EDWARDS MC3 26MM TITANIUM POLYESTER SILICONE RUBBER STERILE TRICUSPID SEAM 2 WRAP	SUP-4900T26	CDM			270	RC		outpatient			5250	525	1422.23				percent of total billed charges		5250				other	OPPS APC	3885				percent of total billed charges		5250				other	OPPS APC	5250				other	OPPS APC	1422.23				percent of total billed charges		1450.58				percent of total billed charges		525				other	OPPS APC	525	5250	
RING ANNULOPLASTY EDWARDS MC3 26MM TITANIUM POLYESTER SILICONE RUBBER STERILE TRICUSPID SEAM 2 WRAP	SUP-4900T26	CDM			270	RC		inpatient			5250	5250																																																			
EPOLY 36MMRINGLC LNR HW SZ 24	SUP-97-03885	CDM			278	RC		outpatient			5250	525	5250				fee schedule		5250				other	OPPS APC	2992.5				percent of total billed charges		5250				other	OPPS APC	5250				other	OPPS APC	2572.5				percent of total billed charges		2677.5				percent of total billed charges		525				other	OPPS APC	525	5250	
EPOLY 36MMRINGLC LNR HW SZ 24	SUP-97-03885	CDM			278	RC		inpatient			5250	5250																																																			
MCK PATELLOFEMORAL R SZ2	SUP-97-06440	CDM			278	RC		inpatient			5250	5250																																																			
MCK PATELLOFEMORAL R SZ2	SUP-97-06440	CDM			278	RC		outpatient			5250	5250					fee schedule						other	OPPS APC	2992.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	2572.5				percent of total billed charges		2677.5				percent of total billed charges						other	OPPS APC	2992.5	2992.5	
CATHETER GUIDING SOFIA STRAIGHT L115 CM OD6 FR DISTAL ACCESS SHAPE MANDREL INTRODUCER SHEATH SOFT TORQUEABLE STERILE LATEX FREE	SUP-DA6115ST	CDM			270	RC		outpatient			5250	525	1422.23				percent of total billed charges		5250				other	OPPS APC	3885				percent of total billed charges		5250				other	OPPS APC	5250				other	OPPS APC	1422.23				percent of total billed charges		1450.58				percent of total billed charges		525				other	OPPS APC	525	5250	
CATHETER GUIDING SOFIA STRAIGHT L115 CM OD6 FR DISTAL ACCESS SHAPE MANDREL INTRODUCER SHEATH SOFT TORQUEABLE STERILE LATEX FREE	SUP-DA6115ST	CDM			270	RC		inpatient			5250	5250																																																			
CATHETER ABLATION NAVIGATIONAL BIDIRECTIONAL 4 MM SPACE D-F CURVE L115 CM L4 MM OD7 FR	SUP-BN7TCDF4L	CDM			270	RC		outpatient			5244	5244	1420.6				percent of total billed charges		5244				other	OPPS APC	3880.56				percent of total billed charges		5244				other	OPPS APC	5244				other	OPPS APC	1420.6				percent of total billed charges		1448.92				percent of total billed charges		5244				other	OPPS APC	1420.6	5244	
CATHETER ABLATION NAVIGATIONAL BIDIRECTIONAL 4 MM SPACE D-F CURVE L115 CM L4 MM OD7 FR	SUP-BN7TCDF4L	CDM			270	RC		inpatient			5244	5244																																																			
CATHETER ABLATION NAVIGATIONAL BIDIRECTIONAL 4 MM SPACE F-J CURVE L115 CM L4 MM OD7 FR	SUP-BN7TCFJ4L	CDM			270	RC		outpatient			5244	5244	1420.6				percent of total billed charges		5244				other	OPPS APC	3880.56				percent of total billed charges		5244				other	OPPS APC	5244				other	OPPS APC	1420.6				percent of total billed charges		1448.92				percent of total billed charges		5244				other	OPPS APC	1420.6	5244	
CATHETER ABLATION NAVIGATIONAL BIDIRECTIONAL 4 MM SPACE F-J CURVE L115 CM L4 MM OD7 FR	SUP-BN7TCFJ4L	CDM			270	RC		inpatient			5244	5244																																																			
9.5TI MULTILOC PROX HUMERANAIL T/CANN 16	SUP-97-01987	CDM			278	RC		outpatient			5243.58	5243.58	5243.58				fee schedule		5243.58				other	OPPS APC	2988.84				percent of total billed charges		5243.58				other	OPPS APC	5243.58				other	OPPS APC	2569.35				percent of total billed charges		2674.23				percent of total billed charges		5243.58				other	OPPS APC	2569.35	5243.58	
9.5TI MULTILOC PROX HUMERANAIL T/CANN 16	SUP-97-01987	CDM			278	RC		inpatient			5243.58	5243.58																																																			
SUPERMX COMP STAPLE 20 X 20	SUP-97-05441	CDM			278	RC		outpatient			5237.5	5237.5	5237.5				fee schedule		5237.5				other	OPPS APC	2985.38				percent of total billed charges		5237.5				other	OPPS APC	5237.5				other	OPPS APC	2566.38				percent of total billed charges		2671.13				percent of total billed charges		5237.5				other	OPPS APC	2566.38	5237.5	
SUPERMX COMP STAPLE 20 X 20	SUP-97-05441	CDM			278	RC		inpatient			5237.5	5237.5																																																			
SUPERMX COMP STAPLE 18 X 18	SUP-97-05442	CDM			278	RC		outpatient			5237.5	5237.5	5237.5				fee schedule		5237.5				other	OPPS APC	2985.38				percent of total billed charges		5237.5				other	OPPS APC	5237.5				other	OPPS APC	2566.38				percent of total billed charges		2671.13				percent of total billed charges		5237.5				other	OPPS APC	2566.38	5237.5	
SUPERMX COMP STAPLE 18 X 18	SUP-97-05442	CDM			278	RC		inpatient			5237.5	5237.5																																																			
STAPLE COMPRESSION SUPERMX	SUP-97-06056	CDM			278	RC		outpatient			5237.5	5237.5	5237.5				fee schedule		5237.5				other	OPPS APC	2985.38				percent of total billed charges		5237.5				other	OPPS APC	5237.5				other	OPPS APC	2566.38				percent of total billed charges		2671.13				percent of total billed charges		5237.5				other	OPPS APC	2566.38	5237.5	
STAPLE COMPRESSION SUPERMX	SUP-97-06056	CDM			278	RC		inpatient			5237.5	5237.5																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE L10.3 CM L120 CM OD18 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER DISPOSABLE	SUP-M00516700	CDM			270	RC		outpatient			5230.24	523.24	1416.87				percent of total billed charges		5230.24				other	OPPS APC	3870.38				percent of total billed charges		5230.24				other	OPPS APC	5230.24				other	OPPS APC	1416.87				percent of total billed charges		1445.12				percent of total billed charges		523.24				other	OPPS APC	523.24	5230.24	
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE L10.3 CM L120 CM OD18 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER DISPOSABLE	SUP-M00516700	CDM			270	RC		inpatient			5230.24	5230.24																																																			
INTERFYL 1.5ML FLOWABLE	SUP-97-05750	CDM			278	RC		outpatient			5225	5225	2560.25				percent of total billed charges		5225				other	OPPS APC	2978.25				percent of total billed charges		5225				other	OPPS APC	5225				other	OPPS APC	2560.25				percent of total billed charges		2664.75				percent of total billed charges		5225				other	OPPS APC	2560.25	5225	
INTERFYL 1.5ML FLOWABLE	SUP-97-05750	CDM			278	RC		inpatient			5225	5225																																																			
ENDOCLAMP AORTIC CATHETER 100CM	SUP-M004EC10010	CDM			270	RC		outpatient			5224	5224	1415.18				percent of total billed charges		5224				other	OPPS APC	3865.76				percent of total billed charges		5224				other	OPPS APC	5224				other	OPPS APC	1415.18				percent of total billed charges		1443.39				percent of total billed charges		5224				other	OPPS APC	1415.18	5224	
ENDOCLAMP AORTIC CATHETER 100CM	SUP-M004EC10010	CDM			270	RC		inpatient			5224	5224																																																			
BASEPLATE FULL WEDGE AUGMENT 15DEG 25MM	SUP-97-06282	CDM			278	RC		outpatient			5220	522	5220				fee schedule		5220				other	OPPS APC	2975.4				percent of total billed charges		5220				other	OPPS APC	5220				other	OPPS APC	2557.8				percent of total billed charges		2662.2				percent of total billed charges		522				other	OPPS APC	522	5220	
BASEPLATE FULL WEDGE AUGMENT 15DEG 25MM	SUP-97-06282	CDM			278	RC		inpatient			5220	5220																																																			
23-29 EVOLUTE PRO DELIVERY SYSTEM	SUP-D-EVPROP2329US	CDM			270	RC		outpatient			5220	522	1414.1				percent of total billed charges		5220				other	OPPS APC	3862.8				percent of total billed charges		5220				other	OPPS APC	5220				other	OPPS APC	1414.1				percent of total billed charges		1442.29				percent of total billed charges		522				other	OPPS APC	522	5220	
23-29 EVOLUTE PRO DELIVERY SYSTEM	SUP-D-EVPROP2329US	CDM			270	RC		inpatient			5220	5220																																																			
EVOLUT PRO+ DELIVERY SYSTEM 34MM	SUP-D-EVPROP34US	CDM			270	RC		outpatient			5220	522	1414.1				percent of total billed charges		5220				other	OPPS APC	3862.8				percent of total billed charges		5220				other	OPPS APC	5220				other	OPPS APC	1414.1				percent of total billed charges		1442.29				percent of total billed charges		522				other	OPPS APC	522	5220	
EVOLUT PRO+ DELIVERY SYSTEM 34MM	SUP-D-EVPROP34US	CDM			270	RC		inpatient			5220	5220																																																			
WEDGE MBT STEP SZ 2 10MM	SUP-97-03605	CDM			278	RC		outpatient			5218.5	5218.5	5218.5				fee schedule		5218.5				other	OPPS APC	2974.55				percent of total billed charges		5218.5				other	OPPS APC	5218.5				other	OPPS APC	2557.07				percent of total billed charges		2661.44				percent of total billed charges		5218.5				other	OPPS APC	2557.07	5218.5	
WEDGE MBT STEP SZ 2 10MM	SUP-97-03605	CDM			278	RC		inpatient			5218.5	5218.5																																																			
SLEEVE TIBIAL MBT 37X27X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-51-100	CDM	270010025	LOCAL	270	RC		outpatient			5212.8	5212.82	1412.15				percent of total billed charges		5212.8				other	OPPS APC	3857.47				percent of total billed charges		5212.8				other	OPPS APC	5212.8				other	OPPS APC	1412.15				percent of total billed charges		1440.3				percent of total billed charges		5212.82				other	OPPS APC	1412.15	5212.82	
SLEEVE TIBIAL MBT 37X27X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-51-100	CDM	270010025	LOCAL	270	RC		inpatient			5212.8	5212.8																																																			
SLEEVE TIBIAL MBT 29X26X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-54-000	CDM	270010025	LOCAL	270	RC		outpatient			5212.8	5212.82	1412.15				percent of total billed charges		5212.8				other	OPPS APC	3857.47				percent of total billed charges		5212.8				other	OPPS APC	5212.8				other	OPPS APC	1412.15				percent of total billed charges		1440.3				percent of total billed charges		5212.82				other	OPPS APC	1412.15	5212.82	
SLEEVE TIBIAL MBT 29X26X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-54-000	CDM	270010025	LOCAL	270	RC		inpatient			5212.8	5212.8																																																			
SLEEVE TIBIAL MBT 37X27X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-54-100	CDM	270010025	LOCAL	270	RC		outpatient			5212.8	5212.82	1412.15				percent of total billed charges		5212.8				other	OPPS APC	3857.47				percent of total billed charges		5212.8				other	OPPS APC	5212.8				other	OPPS APC	1412.15				percent of total billed charges		1440.3				percent of total billed charges		5212.82				other	OPPS APC	1412.15	5212.82	
SLEEVE TIBIAL MBT 37X27X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-54-100	CDM	270010025	LOCAL	270	RC		inpatient			5212.8	5212.8																																																			
SLEEVE TIBIAL MBT POROUS L45 MM KNEE REVISION	SUP-1294-54-110	CDM	270010025	LOCAL	270	RC		outpatient			5212.8	5212.82	1412.15				percent of total billed charges		5212.8				other	OPPS APC	3857.47				percent of total billed charges		5212.8				other	OPPS APC	5212.8				other	OPPS APC	1412.15				percent of total billed charges		1440.3				percent of total billed charges		5212.82				other	OPPS APC	1412.15	5212.82	
SLEEVE TIBIAL MBT POROUS L45 MM KNEE REVISION	SUP-1294-54-110	CDM	270010025	LOCAL	270	RC		inpatient			5212.8	5212.8																																																			
SLEEVE TIBIAL MBT 61X34X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-54-130	CDM	270010025	LOCAL	270	RC		outpatient			5212.8	5212.82	1412.15				percent of total billed charges		5212.8				other	OPPS APC	3857.47				percent of total billed charges		5212.8				other	OPPS APC	5212.8				other	OPPS APC	1412.15				percent of total billed charges		1440.3				percent of total billed charges		5212.82				other	OPPS APC	1412.15	5212.82	
SLEEVE TIBIAL MBT 61X34X40MM POROUS STERILE LF KNEE METAPHYSEAL REVISION	SUP-1294-54-130	CDM	270010025	LOCAL	270	RC		inpatient			5212.8	5212.8																																																			
NEXGEN LCCK ART SURF EF 7-10/BLUE 10MM	SUP-97-01058	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 7-10/BLUE 10MM	SUP-97-01058	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 3-4/YELLOW 14MM	SUP-97-01374	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 3-4/YELLOW 14MM	SUP-97-01374	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF G 7-10/BLUE 10MM	SUP-97-01401	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF G 7-10/BLUE 10MM	SUP-97-01401	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 7-10/ BLUE 17MM	SUP-97-01552	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 7-10/ BLUE 17MM	SUP-97-01552	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 5-6/GREEN 12MM	SUP-97-01655	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 5-6/GREEN 12MM	SUP-97-01655	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 5-6/YELLOW 10MM	SUP-97-01952	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 5-6/YELLOW 10MM	SUP-97-01952	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 5-6/GREEN 10MM	SUP-97-02044	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 5-6/GREEN 10MM	SUP-97-02044	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 5-6/YELLOW 10MM	SUP-97-02203	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 5-6/YELLOW 10MM	SUP-97-02203	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 3-4/YELLOW 23MM	SUP-97-02326	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 3-4/YELLOW 23MM	SUP-97-02326	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 3/4/YELLOW 17MM	SUP-97-02582	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 3/4/YELLOW 17MM	SUP-97-02582	CDM			278	RC		inpatient			5212.5	5212.5																																																			
NEXGEN LCCK ART SURF EF 5-6/GREEN 17MM	SUP-97-02626	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
NEXGEN LCCK ART SURF EF 5-6/GREEN 17MM	SUP-97-02626	CDM			278	RC		inpatient			5212.5	5212.5																																																			
LEGACY KNEE-CONSTR 10MM (LCCK) - NEXGEN	SUP-97-02718	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
LEGACY KNEE-CONSTR 10MM (LCCK) - NEXGEN	SUP-97-02718	CDM			278	RC		inpatient			5212.5	5212.5																																																			
LEGACY KNEE-CONSTR 17MM (LCCK) - NEXGEN	SUP-97-02720	CDM			278	RC		outpatient			5212.5	5212.5	5212.5				fee schedule		5212.5				other	OPPS APC	2971.13				percent of total billed charges		5212.5				other	OPPS APC	5212.5				other	OPPS APC	2554.13				percent of total billed charges		2658.38				percent of total billed charges		5212.5				other	OPPS APC	2554.13	5212.5	
LEGACY KNEE-CONSTR 17MM (LCCK) - NEXGEN	SUP-97-02720	CDM			278	RC		inpatient			5212.5	5212.5																																																			
4 HOLE PMT  RIGHT	SUP-97-02657	CDM			278	RC		outpatient			5210.58	521.58	5210.58				fee schedule		5210.58				other	OPPS APC	2970.03				percent of total billed charges		5210.58				other	OPPS APC	5210.58				other	OPPS APC	2553.18				percent of total billed charges		2657.4				percent of total billed charges		521.58				other	OPPS APC	521.58	5210.58	
4 HOLE PMT  RIGHT	SUP-97-02657	CDM			278	RC		inpatient			5210.58	5210.58																																																			
DENOSUMAB 60 MG/ML SYRINGE	636000000	CDM	55513-710-01	NDC	J0897	HCPCS		inpatient			5209.9	5209.9																																																			
DENOSUMAB 60 MG/ML SYRINGE	636000000	CDM	55513-710-01	NDC	J0897	HCPCS		outpatient			5209.9	26.83																																											26.83				other	OPPS APC	26.83	26.83	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD26 MM MITRAL	SUP-5200M26	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD26 MM MITRAL	SUP-5200M26	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD28 MM MITRAL	SUP-5200M28	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD28 MM MITRAL	SUP-5200M28	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD30 MM MITRAL	SUP-5200M30	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD30 MM MITRAL	SUP-5200M30	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD32 MM MITRAL	SUP-5200M32	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD32 MM MITRAL	SUP-5200M32	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD34 MM MITRAL	SUP-5200M34	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD34 MM MITRAL	SUP-5200M34	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II 36MM COCR SILICONE POLYESTER STERILE MITRAL HOLDER	SUP-5200M36	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II 36MM COCR SILICONE POLYESTER STERILE MITRAL HOLDER	SUP-5200M36	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD38 MM MITRAL	SUP-5200M38	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY CARPENTIER-EDWARDS PHYSIO II OD38 MM MITRAL	SUP-5200M38	CDM			270	RC		inpatient			5200	5200																																																			
HANDPIECE BIPOLAR ISOLATOR SYNERGY L5.4 CM OD5 MM CURVE	SUP-OSL2	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
HANDPIECE BIPOLAR ISOLATOR SYNERGY L5.4 CM OD5 MM CURVE	SUP-OSL2	CDM			270	RC		inpatient			5200	5200																																																			
RING ANNULOPLASTY TITANIUM OD26 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-26	CDM			270	RC		outpatient			5200	52	1408.68				percent of total billed charges		5200				other	OPPS APC	3848				percent of total billed charges		5200				other	OPPS APC	5200				other	OPPS APC	1408.68				percent of total billed charges		1436.76				percent of total billed charges		52				other	OPPS APC	52	5200	
RING ANNULOPLASTY TITANIUM OD26 MM RIGID SADDLE SUTURE CUFF	SUP-RSAR-26	CDM			270	RC		inpatient			5200	5200																																																			
DEVICE RETRIEVAL REMOVAL ENDOSCOPIC HELIX	SUP-4200-20	CDM			270	RC		outpatient			5198	5198	1408.14				percent of total billed charges		5198				other	OPPS APC	3846.52				percent of total billed charges		5198				other	OPPS APC	5198				other	OPPS APC	1408.14				percent of total billed charges		1436.21				percent of total billed charges		5198				other	OPPS APC	1408.14	5198	
DEVICE RETRIEVAL REMOVAL ENDOSCOPIC HELIX	SUP-4200-20	CDM			270	RC		inpatient			5198	5198																																																			
NAIL SYNTHES TFNA 9MM 130DEG 320MM RIGHT	SUP-04.037.952S	CDM			270	RC		outpatient			5182.8	5182.82	1404.02				percent of total billed charges		5182.8				other	OPPS APC	3835.27				percent of total billed charges		5182.8				other	OPPS APC	5182.8				other	OPPS APC	1404.02				percent of total billed charges		1432.01				percent of total billed charges		5182.82				other	OPPS APC	1404.02	5182.82	
NAIL SYNTHES TFNA 9MM 130DEG 320MM RIGHT	SUP-04.037.952S	CDM			270	RC		inpatient			5182.8	5182.8																																																			
NAIL SYNTHES TFNA 9MM 130DEG 340MM RIGHT	SUP-04.037.954S	CDM			270	RC		outpatient			5182.8	5182.82	1404.02				percent of total billed charges		5182.8				other	OPPS APC	3835.27				percent of total billed charges		5182.8				other	OPPS APC	5182.8				other	OPPS APC	1404.02				percent of total billed charges		1432.01				percent of total billed charges		5182.82				other	OPPS APC	1404.02	5182.82	
NAIL SYNTHES TFNA 9MM 130DEG 340MM RIGHT	SUP-04.037.954S	CDM			270	RC		inpatient			5182.8	5182.8																																																			
NAIL SYNTHES TFNA 9MM 130DEG 420MM LEFT	SUP-04.037.963S	CDM			270	RC		outpatient			5182.8	5182.82	1404.02				percent of total billed charges		5182.8				other	OPPS APC	3835.27				percent of total billed charges		5182.8				other	OPPS APC	5182.8				other	OPPS APC	1404.02				percent of total billed charges		1432.01				percent of total billed charges		5182.82				other	OPPS APC	1404.02	5182.82	
NAIL SYNTHES TFNA 9MM 130DEG 420MM LEFT	SUP-04.037.963S	CDM			270	RC		inpatient			5182.8	5182.8																																																			
NAIL SYNTHES TFNA 9MM 130DEG 440MM RIGHT	SUP-04.037.964S	CDM			270	RC		outpatient			5182.8	5182.82	1404.02				percent of total billed charges		5182.8				other	OPPS APC	3835.27				percent of total billed charges		5182.8				other	OPPS APC	5182.8				other	OPPS APC	1404.02				percent of total billed charges		1432.01				percent of total billed charges		5182.82				other	OPPS APC	1404.02	5182.82	
NAIL SYNTHES TFNA 9MM 130DEG 440MM RIGHT	SUP-04.037.964S	CDM			270	RC		inpatient			5182.8	5182.8																																																			
NAIL SYNTHES TFNA 9MM 130DEG 440MM LEFT	SUP-04.037.965S	CDM			270	RC		outpatient			5182.8	5182.82	1404.02				percent of total billed charges		5182.8				other	OPPS APC	3835.27				percent of total billed charges		5182.8				other	OPPS APC	5182.8				other	OPPS APC	1404.02				percent of total billed charges		1432.01				percent of total billed charges		5182.82				other	OPPS APC	1404.02	5182.82	
NAIL SYNTHES TFNA 9MM 130DEG 440MM LEFT	SUP-04.037.965S	CDM			270	RC		inpatient			5182.8	5182.8																																																			
PLATE BONE STAINLESS STEEL SMALL PATELLA LATERAL LOCK VARIABLE ANGLE RIM STERILE 2.4/2.7 MM SCREW	SUP-02.137.006S	CDM	27000000	LOCAL	270	RC		outpatient			5168.32	5168.32	1400.1				percent of total billed charges		5168.32				other	OPPS APC	3824.56				percent of total billed charges		5168.32				other	OPPS APC	5168.32				other	OPPS APC	1400.1				percent of total billed charges		1428.01				percent of total billed charges		5168.32				other	OPPS APC	1400.1	5168.32	
PLATE BONE STAINLESS STEEL SMALL PATELLA LATERAL LOCK VARIABLE ANGLE RIM STERILE 2.4/2.7 MM SCREW	SUP-02.137.006S	CDM	27000000	LOCAL	270	RC		inpatient			5168.32	5168.32																																																			
INSERT TIBIAL GMK HINGE 4 H17 MM FIX BEARING STERILE	SUP-02.09.0417H	CDM	270010025	LOCAL	270	RC		outpatient			5168	5168	1400.01				percent of total billed charges		5168				other	OPPS APC	3824.32				percent of total billed charges		5168				other	OPPS APC	5168				other	OPPS APC	1400.01				percent of total billed charges		1427.92				percent of total billed charges		5168				other	OPPS APC	1400.01	5168	
INSERT TIBIAL GMK HINGE 4 H17 MM FIX BEARING STERILE	SUP-02.09.0417H	CDM	270010025	LOCAL	270	RC		inpatient			5168	5168																																																			
INSERT TIBIAL GMK HINGE 5 H17 MM FIX BEARING STERILE	SUP-02.09.0517H	CDM	270010025	LOCAL	270	RC		outpatient			5168	5168	1400.01				percent of total billed charges		5168				other	OPPS APC	3824.32				percent of total billed charges		5168				other	OPPS APC	5168				other	OPPS APC	1400.01				percent of total billed charges		1427.92				percent of total billed charges		5168				other	OPPS APC	1400.01	5168	
INSERT TIBIAL GMK HINGE 5 H17 MM FIX BEARING STERILE	SUP-02.09.0517H	CDM	270010025	LOCAL	270	RC		inpatient			5168	5168																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L405 MM CONDYLAR RIGHT PERIARTICULAR 20 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.420S	CDM	270010022	LOCAL	270	RC		outpatient			5165.68	5165.68	1399.38				percent of total billed charges		5165.68				other	OPPS APC	3822.6				percent of total billed charges		5165.68				other	OPPS APC	5165.68				other	OPPS APC	1399.38				percent of total billed charges		1427.28				percent of total billed charges		5165.68				other	OPPS APC	1399.38	5165.68	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L405 MM CONDYLAR RIGHT PERIARTICULAR 20 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.420S	CDM	270010022	LOCAL	270	RC		inpatient			5165.68	5165.68																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L405 MM CONDYLAR LEFT PERIARTICULAR 20 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.421S	CDM	270010022	LOCAL	270	RC		outpatient			5165.68	5165.68	1399.38				percent of total billed charges		5165.68				other	OPPS APC	3822.6				percent of total billed charges		5165.68				other	OPPS APC	5165.68				other	OPPS APC	1399.38				percent of total billed charges		1427.28				percent of total billed charges		5165.68				other	OPPS APC	1399.38	5165.68	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L405 MM CONDYLAR LEFT PERIARTICULAR 20 HOLE 4 COLUMN THREAD VARIABLE ANGLE STERILE 4.5 MM SCREW	SUP-02.124.421S	CDM	270010022	LOCAL	270	RC		inpatient			5165.68	5165.68																																																			
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L38 MM L120 CM OD6 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85412	CDM			270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L38 MM L120 CM OD6 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85412	CDM			270	RC		inpatient			5150	5150																																																			
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L38 MM L120 CM OD7 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85414	CDM			270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L38 MM L120 CM OD7 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85414	CDM			270	RC		inpatient			5150	5150																																																			
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL08US	CDM	270010015	LOCAL	270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL08US	CDM	270010015	LOCAL	270	RC		inpatient			5150	5150																																																			
OCCLUDER CARDIOVASCULAR TALENT L31 MM OD17.5 FR DELIVERY SYSTEM STENT GARFT CATHETER AAA	SUP-OCL10US	CDM	270010015	LOCAL	270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
OCCLUDER CARDIOVASCULAR TALENT L31 MM OD17.5 FR DELIVERY SYSTEM STENT GARFT CATHETER AAA	SUP-OCL10US	CDM	270010015	LOCAL	270	RC		inpatient			5150	5150																																																			
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL12US	CDM	270010015	LOCAL	270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL12US	CDM	270010015	LOCAL	270	RC		inpatient			5150	5150																																																			
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL16US	CDM	270010015	LOCAL	270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL16US	CDM	270010015	LOCAL	270	RC		inpatient			5150	5150																																																			
OCCLUDER CARDIOVASCULAR TALENT L35 MM OD20 MM OD17.5 FR DELIVERY SYSTEM STENT GRAFT CATHETER	SUP-OCL20US	CDM	270010015	LOCAL	270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
OCCLUDER CARDIOVASCULAR TALENT L35 MM OD20 MM OD17.5 FR DELIVERY SYSTEM STENT GRAFT CATHETER	SUP-OCL20US	CDM	270010015	LOCAL	270	RC		inpatient			5150	5150																																																			
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL24US	CDM	270010015	LOCAL	270	RC		outpatient			5150	515	1395.14				percent of total billed charges		5150				other	OPPS APC	3811				percent of total billed charges		5150				other	OPPS APC	5150				other	OPPS APC	1395.14				percent of total billed charges		1422.95				percent of total billed charges		515				other	OPPS APC	515	5150	
IMPLANT MEDTRONIC TALENT OCCLUDER	SUP-OCL24US	CDM	270010015	LOCAL	270	RC		inpatient			5150	5150																																																			
PACEMAKER CARDIAC ADAPTA DR 2 CHAMBER	SUP-ADDR03	CDM			275	RC		outpatient			5149	5149	2523.01				percent of total billed charges		5149				other	OPPS APC	2934.93				percent of total billed charges		5149				other	OPPS APC	5149				other	OPPS APC	2523.01				percent of total billed charges		2625.99				percent of total billed charges		5149				other	OPPS APC	2523.01	5149	
PACEMAKER CARDIAC ADAPTA DR 2 CHAMBER	SUP-ADDR03	CDM			275	RC		inpatient			5149	5149																																																			
PACEMAKER CARDIAC ADAPTA DR 2 CHAMBER	SUP-ADDR06	CDM			275	RC		outpatient			5149	5149	2523.01				percent of total billed charges		5149				other	OPPS APC	2934.93				percent of total billed charges		5149				other	OPPS APC	5149				other	OPPS APC	2523.01				percent of total billed charges		2625.99				percent of total billed charges		5149				other	OPPS APC	2523.01	5149	
PACEMAKER CARDIAC ADAPTA DR 2 CHAMBER	SUP-ADDR06	CDM			275	RC		inpatient			5149	5149																																																			
PACEMAKER ADAPTA DR LONGEVITY DEVICE	SUP-ADDRS1	CDM			275	RC		outpatient			5149	5149	2523.01				percent of total billed charges		5149				other	OPPS APC	2934.93				percent of total billed charges		5149				other	OPPS APC	5149				other	OPPS APC	2523.01				percent of total billed charges		2625.99				percent of total billed charges		5149				other	OPPS APC	2523.01	5149	
PACEMAKER ADAPTA DR LONGEVITY DEVICE	SUP-ADDRS1	CDM			275	RC		inpatient			5149	5149																																																			
SYSTEM CABLE CABLE-READY LONG L121 MM X W23 MM 4 INTEGRAL GREATER TROCHANTER REATTACHMENT	SUP-00-2232-002-05	CDM			270	RC		outpatient			5146.72	5146.72	1394.25				percent of total billed charges		5146.72				other	OPPS APC	3808.57				percent of total billed charges		5146.72				other	OPPS APC	5146.72				other	OPPS APC	1394.25				percent of total billed charges		1422.04				percent of total billed charges		5146.72				other	OPPS APC	1394.25	5146.72	
SYSTEM CABLE CABLE-READY LONG L121 MM X W23 MM 4 INTEGRAL GREATER TROCHANTER REATTACHMENT	SUP-00-2232-002-05	CDM			270	RC		inpatient			5146.72	5146.72																																																			
LEUPROLIDE PER 3.75 MG	636000000	CDM	0074-3641-03	NDC	J1950	HCPCS		inpatient			5146.03	5146.03																																																			
LEUPROLIDE PER 3.75 MG	636000000	CDM	0074-3641-03	NDC	J1950	HCPCS		outpatient			5146.03	1679.4																																											1679.4				other	OPPS APC	1679.4	1679.4	
ATTUNE TIBIAL BASE RP SZ5 CEM	SUP-97-04989	CDM			278	RC		outpatient			5144	5144	5144				fee schedule		5144				other	OPPS APC	2932.08				percent of total billed charges		5144				other	OPPS APC	5144				other	OPPS APC	2520.56				percent of total billed charges		2623.44				percent of total billed charges		5144				other	OPPS APC	2520.56	5144	
ATTUNE TIBIAL BASE RP SZ5 CEM	SUP-97-04989	CDM			278	RC		inpatient			5144	5144																																																			
PORACTANT ALFA 120 MG/1.5 ML SUSPENSION	250000000	CDM	10122-510-01	NDC				inpatient			5138.86	5138.86																																																			
PORACTANT ALFA 120 MG/1.5 ML SUSPENSION	250000000	CDM	10122-510-01	NDC				outpatient			5138.86	5138.86																																															other	OPPS APC			
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD5 MM TRANSECTION DEVICE REMOTE	SUP-4200-40	CDM			270	RC		outpatient			5138	5138	1391.88				percent of total billed charges		5138				other	OPPS APC	3802.12				percent of total billed charges		5138				other	OPPS APC	5138				other	OPPS APC	1391.88				percent of total billed charges		1419.63				percent of total billed charges		5138				other	OPPS APC	1391.88	5138	
CUTTER ENDARTERECTOMY MOLLRING L44 CM OD5 MM TRANSECTION DEVICE REMOTE	SUP-4200-40	CDM			270	RC		inpatient			5138	5138																																																			
ARTICULAR INSERT SIZE 3-4 LT 13MM JRNY II BCS	SUP-97-05930	CDM			278	RC		outpatient			5137.13	5137.13	5137.13				fee schedule		5137.13				other	OPPS APC	2928.16				percent of total billed charges		5137.13				other	OPPS APC	5137.13				other	OPPS APC	2517.19				percent of total billed charges		2619.94				percent of total billed charges		5137.13				other	OPPS APC	2517.19	5137.13	
ARTICULAR INSERT SIZE 3-4 LT 13MM JRNY II BCS	SUP-97-05930	CDM			278	RC		inpatient			5137.13	5137.13																																																			
CATHETER BALLOON OCCLUSION EMBOGUARD L85 CM	SUP-BG8785U	CDM			270	RC		outpatient			5122.62	5122.62	1387.72				percent of total billed charges		5122.62				other	OPPS APC	3790.74				percent of total billed charges		5122.62				other	OPPS APC	5122.62				other	OPPS APC	1387.72				percent of total billed charges		1415.38				percent of total billed charges		5122.62				other	OPPS APC	1387.72	5122.62	
CATHETER BALLOON OCCLUSION EMBOGUARD L85 CM	SUP-BG8785U	CDM			270	RC		inpatient			5122.62	5122.62																																																			
CATHETER BALLOON OCCLUSION EMBOGUARD L95 CM	SUP-BG8795U	CDM			270	RC		outpatient			5122.62	5122.62	1387.72				percent of total billed charges		5122.62				other	OPPS APC	3790.74				percent of total billed charges		5122.62				other	OPPS APC	5122.62				other	OPPS APC	1387.72				percent of total billed charges		1415.38				percent of total billed charges		5122.62				other	OPPS APC	1387.72	5122.62	
CATHETER BALLOON OCCLUSION EMBOGUARD L95 CM	SUP-BG8795U	CDM			270	RC		inpatient			5122.62	5122.62																																																			
NAIL CANN TROCH FIX 10MM 130 340	SUP-97-01090	CDM			278	RC		outpatient			5121.7	5121.7	5121.7				fee schedule		5121.7				other	OPPS APC	2919.37				percent of total billed charges		5121.7				other	OPPS APC	5121.7				other	OPPS APC	2509.63				percent of total billed charges		2612.07				percent of total billed charges		5121.7				other	OPPS APC	2509.63	5121.7	
NAIL CANN TROCH FIX 10MM 130 340	SUP-97-01090	CDM			278	RC		inpatient			5121.7	5121.7																																																			
UNIVERSAL STEM FLUTED	SUP-97-01033	CDM			278	RC		outpatient			5120	512	5120				fee schedule		5120				other	OPPS APC	2918.4				percent of total billed charges		5120				other	OPPS APC	5120				other	OPPS APC	2508.8				percent of total billed charges		2611.2				percent of total billed charges		512				other	OPPS APC	512	5120	
UNIVERSAL STEM FLUTED	SUP-97-01033	CDM			278	RC		inpatient			5120	5120																																																			
STEM 115MM X 12MM	SUP-97-01052	CDM			278	RC		outpatient			5120	512	5120				fee schedule		5120				other	OPPS APC	2918.4				percent of total billed charges		5120				other	OPPS APC	5120				other	OPPS APC	2508.8				percent of total billed charges		2611.2				percent of total billed charges		512				other	OPPS APC	512	5120	
STEM 115MM X 12MM	SUP-97-01052	CDM			278	RC		inpatient			5120	5120																																																			
UNITE SRD STEM SZ 14	SUP-97-02999	CDM			278	RC		outpatient			5120	512	5120				fee schedule		5120				other	OPPS APC	2918.4				percent of total billed charges		5120				other	OPPS APC	5120				other	OPPS APC	2508.8				percent of total billed charges		2611.2				percent of total billed charges		512				other	OPPS APC	512	5120	
UNITE SRD STEM SZ 14	SUP-97-02999	CDM			278	RC		inpatient			5120	5120																																																			
STENT DUODENAL WALLFLEX NITINOL L270 CM L6 CM L230 CM OD22-27 MM ODSEC10 FR DELIVERY SYSTEM CATHETER FLEXIBLE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565010	CDM			270	RC		outpatient			5119.22	5119.22	1386.8				percent of total billed charges		5119.22				other	OPPS APC	3788.22				percent of total billed charges		5119.22				other	OPPS APC	5119.22				other	OPPS APC	1386.8				percent of total billed charges		1414.44				percent of total billed charges		5119.22				other	OPPS APC	1386.8	5119.22	
STENT DUODENAL WALLFLEX NITINOL L270 CM L6 CM L230 CM OD22-27 MM ODSEC10 FR DELIVERY SYSTEM CATHETER FLEXIBLE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565010	CDM			270	RC		inpatient			5119.22	5119.22																																																			
STENT DUODENAL WALLFLEX NITINOL L9 CM L230 CM OD22-27 MM ODSEC10 FR DELIVERY SYSTEM CATHETER FLEXIBLE STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565020	CDM			270	RC		outpatient			5119.22	5119.22	1386.8				percent of total billed charges		5119.22				other	OPPS APC	3788.22				percent of total billed charges		5119.22				other	OPPS APC	5119.22				other	OPPS APC	1386.8				percent of total billed charges		1414.44				percent of total billed charges		5119.22				other	OPPS APC	1386.8	5119.22	
STENT DUODENAL WALLFLEX NITINOL L9 CM L230 CM OD22-27 MM ODSEC10 FR DELIVERY SYSTEM CATHETER FLEXIBLE STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565020	CDM			270	RC		inpatient			5119.22	5119.22																																																			
STENT COLONIC WALLFLEX NITINOL L230 CM L90 CM L270 CM OD25-30 MM ODSEC10 FR DELIVERY SYSTEM STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565050	CDM			270	RC		outpatient			5119.22	5119.22	1386.8				percent of total billed charges		5119.22				other	OPPS APC	3788.22				percent of total billed charges		5119.22				other	OPPS APC	5119.22				other	OPPS APC	1386.8				percent of total billed charges		1414.44				percent of total billed charges		5119.22				other	OPPS APC	1386.8	5119.22	
STENT COLONIC WALLFLEX NITINOL L230 CM L90 CM L270 CM OD25-30 MM ODSEC10 FR DELIVERY SYSTEM STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565050	CDM			270	RC		inpatient			5119.22	5119.22																																																			
STENT COLONIC WALLFLEX NITINOL L270 CM L12 CM L230 CM OD25-30 MM ODSEC10 FR DELIVERY SYSTEM STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565060	CDM			270	RC		outpatient			5119.22	5119.22	1386.8				percent of total billed charges		5119.22				other	OPPS APC	3788.22				percent of total billed charges		5119.22				other	OPPS APC	5119.22				other	OPPS APC	1386.8				percent of total billed charges		1414.44				percent of total billed charges		5119.22				other	OPPS APC	1386.8	5119.22	
STENT COLONIC WALLFLEX NITINOL L270 CM L12 CM L230 CM OD25-30 MM ODSEC10 FR DELIVERY SYSTEM STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00565060	CDM			270	RC		inpatient			5119.22	5119.22																																																			
9.5MM PROX HUMERAL NAIL 160MM STER	SUP-97-04057	CDM			278	RC		outpatient			5118	5118	5118				fee schedule		5118				other	OPPS APC	2917.26				percent of total billed charges		5118				other	OPPS APC	5118				other	OPPS APC	2507.82				percent of total billed charges		2610.18				percent of total billed charges		5118				other	OPPS APC	2507.82	5118	
9.5MM PROX HUMERAL NAIL 160MM STER	SUP-97-04057	CDM			278	RC		inpatient			5118	5118																																																			
8MM TI HUMERAL NAIL RIGHT CANN 160MM-STE	SUP-97-04081	CDM			278	RC		outpatient			5118	5118	5118				fee schedule		5118				other	OPPS APC	2917.26				percent of total billed charges		5118				other	OPPS APC	5118				other	OPPS APC	2507.82				percent of total billed charges		2610.18				percent of total billed charges		5118				other	OPPS APC	2507.82	5118	
8MM TI HUMERAL NAIL RIGHT CANN 160MM-STE	SUP-97-04081	CDM			278	RC		inpatient			5118	5118																																																			
COIL TARGET DETACHABLE 360 NANO 1.5MM X 3CM	SUP-542153	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 360 NANO 1.5MM X 3CM	SUP-542153	CDM			270	RC		inpatient			5114	5114																																																			
COIL TARGET DETACHABLE 360 ULTRA 2MM X 4CM	SUP-542204	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 360 ULTRA 2MM X 4CM	SUP-542204	CDM			270	RC		inpatient			5114	5114																																																			
COIL TARGET DETACHABLE 360 ULTRA 3MM X 8CM	SUP-542308	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 360 ULTRA 3MM X 8CM	SUP-542308	CDM			270	RC		inpatient			5114	5114																																																			
TARGET 360 NANO 2MM X 3MM	SUP-544203	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
TARGET 360 NANO 2MM X 3MM	SUP-544203	CDM			270	RC		inpatient			5114	5114																																																			
COIL TARGET DETACHABLE 360 NANO 2MM X 4CM	SUP-544204	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 360 NANO 2MM X 4CM	SUP-544204	CDM			270	RC		inpatient			5114	5114																																																			
TARGET 360 NANO 2.5MM X 4MM	SUP-544254	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
TARGET 360 NANO 2.5MM X 4MM	SUP-544254	CDM			270	RC		inpatient			5114	5114																																																			
COIL TARGET DETACHABLE 3D 10 X 30CM	SUP-615103	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 3D 10 X 30CM	SUP-615103	CDM			270	RC		inpatient			5114	5114																																																			
COIL TARGET DETACHABLE 3D 3 X 6CM	SUP-615306	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 3D 3 X 6CM	SUP-615306	CDM			270	RC		inpatient			5114	5114																																																			
TARGET 3D 4MM X 8MM	SUP-615408	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
TARGET 3D 4MM X 8MM	SUP-615408	CDM			270	RC		inpatient			5114	5114																																																			
COIL TARGET DETACHABLE 360 ULTRA 2.5MM X 4CM	SUP-M0035422540	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL TARGET DETACHABLE 360 ULTRA 2.5MM X 4CM	SUP-M0035422540	CDM			270	RC		inpatient			5114	5114																																																			
TARGET 360 ULTRA 4.5MM X 10MM	SUP-M0035424510	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
TARGET 360 ULTRA 4.5MM X 10MM	SUP-M0035424510	CDM			270	RC		inpatient			5114	5114																																																			
TARGET 360 ULTRA 5MM X 15MM	SUP-M0035425150	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
TARGET 360 ULTRA 5MM X 15MM	SUP-M0035425150	CDM			270	RC		inpatient			5114	5114																																																			
TARGET 360 NANO 3MM X 6MM	SUP-M0035443060	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
TARGET 360 NANO 3MM X 6MM	SUP-M0035443060	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L2 CM OD1.5 MM DETACHABLE STERILE	SUP-TG5411520	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L2 CM OD1.5 MM DETACHABLE STERILE	SUP-TG5411520	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L3 CM OD1.5 MM DETACHABLE STERILE	SUP-TG5411530	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L3 CM OD1.5 MM DETACHABLE STERILE	SUP-TG5411530	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L2.5 CM OD2 MM DETACHABLE STERILE	SUP-TG5412025	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L2.5 CM OD2 MM DETACHABLE STERILE	SUP-TG5412025	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L3.5 CM OD2 MM DETACHABLE STERILE	SUP-TG5412035	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L3.5 CM OD2 MM DETACHABLE STERILE	SUP-TG5412035	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L4.5 CM OD2 MM DETACHABLE STERILE	SUP-TG5412045	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L4.5 CM OD2 MM DETACHABLE STERILE	SUP-TG5412045	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L6 CM OD2 MM DETACHABLE STERILE	SUP-TG5412060	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L6 CM OD2 MM DETACHABLE STERILE	SUP-TG5412060	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L3.5 CM OD2.5 MM DETACHABLE STERILE	SUP-TG5412535	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L3.5 CM OD2.5 MM DETACHABLE STERILE	SUP-TG5412535	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L4.5 CM OD2.5 MM DETACHABLE STERILE	SUP-TG5412545	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L4.5 CM OD2.5 MM DETACHABLE STERILE	SUP-TG5412545	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L6 CM OD2.5 MM DETACHABLE STERILE	SUP-TG5412560	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L6 CM OD2.5 MM DETACHABLE STERILE	SUP-TG5412560	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L10 CM OD3 MM DETACHABLE STERILE	SUP-TG5413010	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L10 CM OD3 MM DETACHABLE STERILE	SUP-TG5413010	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L4.5 CM OD3 MM DETACHABLE STERILE	SUP-TG5413045	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L4.5 CM OD3 MM DETACHABLE STERILE	SUP-TG5413045	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L6 CM OD3 MM DETACHABLE STERILE	SUP-TG5413060	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L6 CM OD3 MM DETACHABLE STERILE	SUP-TG5413060	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L8 CM OD3 MM DETACHABLE STERILE	SUP-TG5413080	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L8 CM OD3 MM DETACHABLE STERILE	SUP-TG5413080	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L10 CM OD3.5 MM DETACHABLE STERILE	SUP-TG5413510	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L10 CM OD3.5 MM DETACHABLE STERILE	SUP-TG5413510	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L6 CM OD3.5 MM DETACHABLE STERILE	SUP-TG5413560	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L6 CM OD3.5 MM DETACHABLE STERILE	SUP-TG5413560	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L8 CM OD3.5 MM DETACHABLE STERILE	SUP-TG5413580	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L8 CM OD3.5 MM DETACHABLE STERILE	SUP-TG5413580	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L10 CM OD4 MM DETACHABLE STERILE	SUP-TG5414010	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L10 CM OD4 MM DETACHABLE STERILE	SUP-TG5414010	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L6 CM OD4 MM DETACHABLE STERILE	SUP-TG5414060	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L6 CM OD4 MM DETACHABLE STERILE	SUP-TG5414060	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L8 CM OD4 MM DETACHABLE STERILE	SUP-TG5414080	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L8 CM OD4 MM DETACHABLE STERILE	SUP-TG5414080	CDM			270	RC		inpatient			5114	5114																																																			
COIL EMBOLIZATION TARGET TETRA L10 CM OD4.5 MM DETACHABLE STERILE	SUP-TG5414510	CDM			270	RC		outpatient			5114	5114	1385.38				percent of total billed charges		5114				other	OPPS APC	3784.36				percent of total billed charges		5114				other	OPPS APC	5114				other	OPPS APC	1385.38				percent of total billed charges		1413				percent of total billed charges		5114				other	OPPS APC	1385.38	5114	
COIL EMBOLIZATION TARGET TETRA L10 CM OD4.5 MM DETACHABLE STERILE	SUP-TG5414510	CDM			270	RC		inpatient			5114	5114																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME L12 CM L9 CM OD23 MM ODSEC18.5 FR BRAID LOW PROFILE DISPOSABLE	SUP-M00516940	CDM			270	RC		outpatient			5098.38	598.38	1381.15				percent of total billed charges		5098.38				other	OPPS APC	3772.8				percent of total billed charges		5098.38				other	OPPS APC	5098.38				other	OPPS APC	1381.15				percent of total billed charges		1408.68				percent of total billed charges		598.38				other	OPPS APC	598.38	5098.38	
STENT ESOPHAGEAL WALLFLEX PERMALUME L12 CM L9 CM OD23 MM ODSEC18.5 FR BRAID LOW PROFILE DISPOSABLE	SUP-M00516940	CDM			270	RC		inpatient			5098.38	5098.38																																																			
INSERT TIBIAL SIGMA TC3 3 12.5MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2342	CDM	270010025	LOCAL	270	RC		outpatient			5091.6	591.64	1379.31				percent of total billed charges		5091.6				other	OPPS APC	3767.78				percent of total billed charges		5091.6				other	OPPS APC	5091.6				other	OPPS APC	1379.31				percent of total billed charges		1406.81				percent of total billed charges		591.64				other	OPPS APC	591.64	5091.6	
INSERT TIBIAL SIGMA TC3 3 12.5MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2342	CDM	270010025	LOCAL	270	RC		inpatient			5091.6	5091.6																																																			
INSERT TIBIAL SIGMA TC3 3 15MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2343	CDM	270010025	LOCAL	270	RC		outpatient			5091.6	591.64	1379.31				percent of total billed charges		5091.6				other	OPPS APC	3767.78				percent of total billed charges		5091.6				other	OPPS APC	5091.6				other	OPPS APC	1379.31				percent of total billed charges		1406.81				percent of total billed charges		591.64				other	OPPS APC	591.64	5091.6	
INSERT TIBIAL SIGMA TC3 3 15MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2343	CDM	270010025	LOCAL	270	RC		inpatient			5091.6	5091.6																																																			
INSERT TIBIAL SIGMA TC3 4 20MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2355	CDM	270010025	LOCAL	270	RC		outpatient			5091.6	591.64	1379.31				percent of total billed charges		5091.6				other	OPPS APC	3767.78				percent of total billed charges		5091.6				other	OPPS APC	5091.6				other	OPPS APC	1379.31				percent of total billed charges		1406.81				percent of total billed charges		591.64				other	OPPS APC	591.64	5091.6	
INSERT TIBIAL SIGMA TC3 4 20MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2355	CDM	270010025	LOCAL	270	RC		inpatient			5091.6	5091.6																																																			
INSERT TIBIAL SIGMA TC3 4 25MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2357	CDM	270010025	LOCAL	270	RC		outpatient			5091.6	591.64	1379.31				percent of total billed charges		5091.6				other	OPPS APC	3767.78				percent of total billed charges		5091.6				other	OPPS APC	5091.6				other	OPPS APC	1379.31				percent of total billed charges		1406.81				percent of total billed charges		591.64				other	OPPS APC	591.64	5091.6	
INSERT TIBIAL SIGMA TC3 4 25MM GVF UHMWPE STERILE KNEE ROTATE PLATFORM	SUP-96-2357	CDM	270010025	LOCAL	270	RC		inpatient			5091.6	5091.6																																																			
INVRAD GLIDEPATH DIALYSIS 31CM	SUP-95-02664	CDM			278	RC		outpatient			5087.5	587.5	5087.5				fee schedule		5087.5				other	OPPS APC	2899.88				percent of total billed charges		5087.5				other	OPPS APC	5087.5				other	OPPS APC	2492.88				percent of total billed charges		2594.63				percent of total billed charges		587.5				other	OPPS APC	587.5	5087.5	
INVRAD GLIDEPATH DIALYSIS 31CM	SUP-95-02664	CDM			278	RC		inpatient			5087.5	5087.5																																																			
INVRAD GLIDEPATH DIALYSIS 35CM	SUP-95-02665	CDM			278	RC		outpatient			5087.5	587.5	5087.5				fee schedule		5087.5				other	OPPS APC	2899.88				percent of total billed charges		5087.5				other	OPPS APC	5087.5				other	OPPS APC	2492.88				percent of total billed charges		2594.63				percent of total billed charges		587.5				other	OPPS APC	587.5	5087.5	
INVRAD GLIDEPATH DIALYSIS 35CM	SUP-95-02665	CDM			278	RC		inpatient			5087.5	5087.5																																																			
INVRAD GLIDEPATH DIALYSIS 42CM	SUP-95-02666	CDM			278	RC		outpatient			5087.5	587.5	5087.5				fee schedule		5087.5				other	OPPS APC	2899.88				percent of total billed charges		5087.5				other	OPPS APC	5087.5				other	OPPS APC	2492.88				percent of total billed charges		2594.63				percent of total billed charges		587.5				other	OPPS APC	587.5	5087.5	
INVRAD GLIDEPATH DIALYSIS 42CM	SUP-95-02666	CDM			278	RC		inpatient			5087.5	5087.5																																																			
INVRAD GLIDEPATH DIALYSIS 50CM	SUP-95-02667	CDM			278	RC		outpatient			5087.5	587.5	5087.5				fee schedule		5087.5				other	OPPS APC	2899.88				percent of total billed charges		5087.5				other	OPPS APC	5087.5				other	OPPS APC	2492.88				percent of total billed charges		2594.63				percent of total billed charges		587.5				other	OPPS APC	587.5	5087.5	
INVRAD GLIDEPATH DIALYSIS 50CM	SUP-95-02667	CDM			278	RC		inpatient			5087.5	5087.5																																																			
GII PS HIGH FLEXON INSERT W/JRNY 7-8 9MM	SUP-97-04523	CDM			278	RC		outpatient			5081.25	581.25	5081.25				fee schedule		5081.25				other	OPPS APC	2896.31				percent of total billed charges		5081.25				other	OPPS APC	5081.25				other	OPPS APC	2489.81				percent of total billed charges		2591.44				percent of total billed charges		581.25				other	OPPS APC	581.25	5081.25	
GII PS HIGH FLEXON INSERT W/JRNY 7-8 9MM	SUP-97-04523	CDM			278	RC		inpatient			5081.25	5081.25																																																			
CONTINUUM MULTIHOLE SHELL 54 JJ	SUP-97-04724	CDM			278	RC		outpatient			5080	58	5080				fee schedule		5080				other	OPPS APC	2895.6				percent of total billed charges		5080				other	OPPS APC	5080				other	OPPS APC	2489.2				percent of total billed charges		2590.8				percent of total billed charges		58				other	OPPS APC	58	5080	
CONTINUUM MULTIHOLE SHELL 54 JJ	SUP-97-04724	CDM			278	RC		inpatient			5080	5080																																																			
TITAN 3-D WEDGE 10MM	SUP-97-03143	CDM			278	RC		outpatient			5078.13	578.13	5078.13				fee schedule		5078.13				other	OPPS APC	2894.53				percent of total billed charges		5078.13				other	OPPS APC	5078.13				other	OPPS APC	2488.28				percent of total billed charges		2589.85				percent of total billed charges		578.13				other	OPPS APC	578.13	5078.13	
TITAN 3-D WEDGE 10MM	SUP-97-03143	CDM			278	RC		inpatient			5078.13	5078.13																																																			
TITAN 3-D WEDGE 12MM	SUP-97-03431	CDM			278	RC		outpatient			5078.13	578.13	5078.13				fee schedule		5078.13				other	OPPS APC	2894.53				percent of total billed charges		5078.13				other	OPPS APC	5078.13				other	OPPS APC	2488.28				percent of total billed charges		2589.85				percent of total billed charges		578.13				other	OPPS APC	578.13	5078.13	
TITAN 3-D WEDGE 12MM	SUP-97-03431	CDM			278	RC		inpatient			5078.13	5078.13																																																			
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L70 CM L60 CM ID6 MM REMOVABLE RING STRETCH	SUP-HT066070A	CDM			270	RC		outpatient			5078	578	1375.63				percent of total billed charges		5078				other	OPPS APC	3757.72				percent of total billed charges		5078				other	OPPS APC	5078				other	OPPS APC	1375.63				percent of total billed charges		1403.05				percent of total billed charges		578				other	OPPS APC	578	5078	
GRAFT VASCULAR GORE HEPARIN PROPATEN PTFE THIN WALL L70 CM L60 CM ID6 MM REMOVABLE RING STRETCH	SUP-HT066070A	CDM			270	RC		inpatient			5078	5078																																																			
GRAFT SYNTHETIC TISSUE BIO-A L20 CM X W20 CM TISSUE BIOABSORBABLE REINFORCEMENT SCAFFOLD	SUP-FS2020	CDM			270	RC		outpatient			5076	576	1375.09				percent of total billed charges		5076				other	OPPS APC	3756.24				percent of total billed charges		5076				other	OPPS APC	5076				other	OPPS APC	1375.09				percent of total billed charges		1402.5				percent of total billed charges		576				other	OPPS APC	576	5076	
GRAFT SYNTHETIC TISSUE BIO-A L20 CM X W20 CM TISSUE BIOABSORBABLE REINFORCEMENT SCAFFOLD	SUP-FS2020	CDM			270	RC		inpatient			5076	5076																																																			
SLEEVE ADAPTER UNIVERSAL 31MM POROUS STERILE LF KNEE FEMORAL SIGMA LCS S-ROM LPS	SUP-1294-53-215	CDM	270010025	LOCAL	270	RC		outpatient			5073.6	573.64	1374.44				percent of total billed charges		5073.6				other	OPPS APC	3754.46				percent of total billed charges		5073.6				other	OPPS APC	5073.6				other	OPPS APC	1374.44				percent of total billed charges		1401.84				percent of total billed charges		573.64				other	OPPS APC	573.64	5073.6	
SLEEVE ADAPTER UNIVERSAL 31MM POROUS STERILE LF KNEE FEMORAL SIGMA LCS S-ROM LPS	SUP-1294-53-215	CDM	270010025	LOCAL	270	RC		inpatient			5073.6	5073.6																																																			
STAPLE 25 X 20 EASYFUSE	SUP-97-05798	CDM			278	RC		outpatient			5067.5	567.5	5067.5				fee schedule		5067.5				other	OPPS APC	2888.48				percent of total billed charges		5067.5				other	OPPS APC	5067.5				other	OPPS APC	2483.08				percent of total billed charges		2584.43				percent of total billed charges		567.5				other	OPPS APC	567.5	5067.5	
STAPLE 25 X 20 EASYFUSE	SUP-97-05798	CDM			278	RC		inpatient			5067.5	5067.5																																																			
ALLOWRAP GRAFT DS 4X4	SUP-97-04199	CDM			636	RC		outpatient			5062.5	562.5	2480.63				percent of total billed charges		5062.5				other	OPPS APC	3746.25				percent of total billed charges		5062.5				other	OPPS APC	5062.5				other	OPPS APC	2480.63				percent of total billed charges		1258.54				percent of total billed charges		562.5				other	OPPS APC	562.5	5062.5	
ALLOWRAP GRAFT DS 4X4	SUP-97-04199	CDM			636	RC		inpatient			5062.5	5062.5																																																			
STENT - WALLSTENT 14X90	SUP-99-03369	CDM			278	RC		inpatient			5062.5	5062.5																																																			
STENT - WALLSTENT 14X90	SUP-99-03369	CDM			278	RC		outpatient			5062.5	5062.5					fee schedule						other	OPPS APC	2885.63				percent of total billed charges						other	OPPS APC					other	OPPS APC	2480.63				percent of total billed charges		2581.88				percent of total billed charges						other	OPPS APC	2885.63	2885.63	
CATHETER ASPIRATION AXS VECTA 71 L115 CM OD.082-.085 IN ID.071 IN SCOUT INTRODUCER STERILE LATEX FREE DISPOSABLE	SUP-INC-11129-115	CDM			270	RC		outpatient			5062	562	1371.3				percent of total billed charges		5062				other	OPPS APC	3745.88				percent of total billed charges		5062				other	OPPS APC	5062				other	OPPS APC	1371.3				percent of total billed charges		1398.63				percent of total billed charges		562				other	OPPS APC	562	5062	
CATHETER ASPIRATION AXS VECTA 71 L115 CM OD.082-.085 IN ID.071 IN SCOUT INTRODUCER STERILE LATEX FREE DISPOSABLE	SUP-INC-11129-115	CDM			270	RC		inpatient			5062	5062																																																			
PACEMAKER - LEAD 479888 ATTAIN MRI	SUP-99-04824	CDM			275	RC		outpatient			5050	55	5050				fee schedule		5050				other	OPPS APC	2878.5				percent of total billed charges		5050				other	OPPS APC	5050				other	OPPS APC	2474.5				percent of total billed charges		2575.5				percent of total billed charges		55				other	OPPS APC	55	5050	
PACEMAKER - LEAD 479888 ATTAIN MRI	SUP-99-04824	CDM			275	RC		inpatient			5050	5050																																																			
IMPLANT 9MM W/ABUTMENT	SUP-97-00394	CDM			278	RC		inpatient			5047.5	5047.5																																																			
IMPLANT 9MM W/ABUTMENT	SUP-97-00394	CDM			278	RC		outpatient			5047.5	5047.5					fee schedule						other	OPPS APC	2877.08				percent of total billed charges						other	OPPS APC					other	OPPS APC	2473.28				percent of total billed charges		2574.23				percent of total billed charges						other	OPPS APC	2877.08	2877.08	
PLIF FROZEN SPACER 7MM	SUP-004807	CDM	270010012	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
PLIF FROZEN SPACER 7MM	SUP-004807	CDM	270010012	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
PLIF FROZEN SPACER 9MM	SUP-004809	CDM	270010012	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
PLIF FROZEN SPACER 9MM	SUP-004809	CDM	270010012	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
PLIF FROZEN SPACER 11MM	SUP-004811	CDM	270010012	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
PLIF FROZEN SPACER 11MM	SUP-004811	CDM	270010012	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
PLIF FROZEN SPACER 13MM	SUP-004813	CDM	270010012	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
PLIF FROZEN SPACER 13MM	SUP-004813	CDM	270010012	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
PLIF FROZEN SPACER 15MM	SUP-004815	CDM	270010012	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
PLIF FROZEN SPACER 15MM	SUP-004815	CDM	270010012	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SPACER ALLOGRAFT CONTOUR WEDGE 22X8X17-14.6MM CORTICAL SPINE FROZEN SLOT PYRAMIDAL TEETH PLIF	SUP-004817	CDM	270010012	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
SPACER ALLOGRAFT CONTOUR WEDGE 22X8X17-14.6MM CORTICAL SPINE FROZEN SLOT PYRAMIDAL TEETH PLIF	SUP-004817	CDM	270010012	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H7-4.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014807	CDM	270010020	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H7-4.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014807	CDM	270010020	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H9-6.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014809	CDM	270010020	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H9-6.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014809	CDM	270010020	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H11-8.6 MM SPINE FREEZE DRIED PYRAMIDAL TEETH PLIF	SUP-014811	CDM	270010020	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H11-8.6 MM SPINE FREEZE DRIED PYRAMIDAL TEETH PLIF	SUP-014811	CDM	270010020	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H13-10.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014813	CDM	270010020	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H13-10.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014813	CDM	270010020	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H15-12.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014815	CDM	270010020	LOCAL	270	RC		outpatient			5035.8	535.82	1364.2				percent of total billed charges		5035.8				other	OPPS APC	3726.49				percent of total billed charges		5035.8				other	OPPS APC	5035.8				other	OPPS APC	1364.2				percent of total billed charges		1391.39				percent of total billed charges		535.82				other	OPPS APC	535.82	5035.8	
SPACER ALLOGRAFT CORTICAL CONTOUR WEDGE L22 MM X W8 MM X H15-12.6 MM SPINE FREEZE DRIED SLOT PYRAMIDAL TEETH PLIF	SUP-014815	CDM	270010020	LOCAL	270	RC		inpatient			5035.8	5035.8																																																			
SCREW BONE TITANIUM PARTIAL THREAD L36 MM OD4 MM SPINE ODONTOID CORTICAL	SUP-LB516T	CDM			270	RC		outpatient			5034.72	534.72	1363.91				percent of total billed charges		5034.72				other	OPPS APC	3725.69				percent of total billed charges		5034.72				other	OPPS APC	5034.72				other	OPPS APC	1363.91				percent of total billed charges		1391.09				percent of total billed charges		534.72				other	OPPS APC	534.72	5034.72	
SCREW BONE TITANIUM PARTIAL THREAD L36 MM OD4 MM SPINE ODONTOID CORTICAL	SUP-LB516T	CDM			270	RC		inpatient			5034.72	5034.72																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L3.3 CM OD23 MM AORTA STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID 19-21 MM ACCEPTS 18FR SHEATH	SUP-PXA230300	CDM	270010015	LOCAL	270	RC		outpatient			5034	534	1363.71				percent of total billed charges		5034				other	OPPS APC	3725.16				percent of total billed charges		5034				other	OPPS APC	5034				other	OPPS APC	1363.71				percent of total billed charges		1390.89				percent of total billed charges		534				other	OPPS APC	534	5034	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L3.3 CM OD23 MM AORTA STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID 19-21 MM ACCEPTS 18FR SHEATH	SUP-PXA230300	CDM	270010015	LOCAL	270	RC		inpatient			5034	5034																																																			
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L22 MM L120 CM OD6 MM ODSEC6 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85453	CDM			270	RC		outpatient			5030	53	1362.63				percent of total billed charges		5030				other	OPPS APC	3722.2				percent of total billed charges		5030				other	OPPS APC	5030				other	OPPS APC	1362.63				percent of total billed charges		1389.79				percent of total billed charges		53				other	OPPS APC	53	5030	
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L22 MM L120 CM OD6 MM ODSEC6 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85453	CDM			270	RC		inpatient			5030	5030																																																			
HUMERAL STEM PRESSFIT 7MM	SUP-300-30-07	CDM	270010030	LOCAL	270	RC		outpatient			5016.6	516.64	1359				percent of total billed charges		5016.6				other	OPPS APC	3712.28				percent of total billed charges		5016.6				other	OPPS APC	5016.6				other	OPPS APC	1359				percent of total billed charges		1386.09				percent of total billed charges		516.64				other	OPPS APC	516.64	5016.6	
HUMERAL STEM PRESSFIT 7MM	SUP-300-30-07	CDM	270010030	LOCAL	270	RC		inpatient			5016.6	5016.6																																																			
STIENT EVOLTION COLONIC	SUP-95-03541	CDM			278	RC		outpatient			5005	55	5005				fee schedule		5005				other	OPPS APC	2852.85				percent of total billed charges		5005				other	OPPS APC	5005				other	OPPS APC	2452.45				percent of total billed charges		2552.55				percent of total billed charges		55				other	OPPS APC	55	5005	
STIENT EVOLTION COLONIC	SUP-95-03541	CDM			278	RC		inpatient			5005	5005																																																			
STIENT EVOLTION COLONIC	SUP-95-03861	CDM			278	RC		outpatient			5005	55	5005				fee schedule		5005				other	OPPS APC	2852.85				percent of total billed charges		5005				other	OPPS APC	5005				other	OPPS APC	2452.45				percent of total billed charges		2552.55				percent of total billed charges		55				other	OPPS APC	55	5005	
STIENT EVOLTION COLONIC	SUP-95-03861	CDM			278	RC		inpatient			5005	5005																																																			
PLATE BONE STAINLESS STEEL SMALL PATELLA ANTERIOR 6 HOLE VARIALBE ANGLE LOCK WINDOW STERILE 2.7 MM SCREW	SUP-02.137.002S	CDM	27000000	LOCAL	270	RC		outpatient			5001.6	51.64	1354.93				percent of total billed charges		5001.6				other	OPPS APC	3701.18				percent of total billed charges		5001.6				other	OPPS APC	5001.6				other	OPPS APC	1354.93				percent of total billed charges		1381.94				percent of total billed charges		51.64				other	OPPS APC	51.64	5001.6	
PLATE BONE STAINLESS STEEL SMALL PATELLA ANTERIOR 6 HOLE VARIALBE ANGLE LOCK WINDOW STERILE 2.7 MM SCREW	SUP-02.137.002S	CDM	27000000	LOCAL	270	RC		inpatient			5001.6	5001.6																																																			
PLATE BONE STAINLESS STEEL PATELLA ANTERIOR 6 HOLE VARIABLE ANGLE LOCK STERILE 2.7 MM SCREW	SUP-02.137.005S	CDM	27000000	LOCAL	270	RC		outpatient			5001.6	51.64	1354.93				percent of total billed charges		5001.6				other	OPPS APC	3701.18				percent of total billed charges		5001.6				other	OPPS APC	5001.6				other	OPPS APC	1354.93				percent of total billed charges		1381.94				percent of total billed charges		51.64				other	OPPS APC	51.64	5001.6	
PLATE BONE STAINLESS STEEL PATELLA ANTERIOR 6 HOLE VARIABLE ANGLE LOCK STERILE 2.7 MM SCREW	SUP-02.137.005S	CDM	27000000	LOCAL	270	RC		inpatient			5001.6	5001.6																																																			
PLATE BONE STAINLESS STEEL PATELLA LATERAL LOCK VARIABLE ANGLE RIM STERILE 2.4/2.7 MM SCREW	SUP-02.137.007S	CDM	27000000	LOCAL	270	RC		outpatient			5001.6	51.64	1354.93				percent of total billed charges		5001.6				other	OPPS APC	3701.18				percent of total billed charges		5001.6				other	OPPS APC	5001.6				other	OPPS APC	1354.93				percent of total billed charges		1381.94				percent of total billed charges		51.64				other	OPPS APC	51.64	5001.6	
PLATE BONE STAINLESS STEEL PATELLA LATERAL LOCK VARIABLE ANGLE RIM STERILE 2.4/2.7 MM SCREW	SUP-02.137.007S	CDM	27000000	LOCAL	270	RC		inpatient			5001.6	5001.6																																																			
ONYX 18	SUP-105-7100-060	CDM			270	RC		outpatient			5000	5	1354.5				percent of total billed charges		5000				other	OPPS APC	3700				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	1354.5				percent of total billed charges		1381.5				percent of total billed charges		5				other	OPPS APC	5	5000	
ONYX 18	SUP-105-7100-060	CDM			270	RC		inpatient			5000	5000																																																			
PLATE BONE INTERCONTINENTAL 6 D W20 MM X H8 MM SPINE NONSTERILE	SUP-187.058	CDM	270010020	LOCAL	270	RC		outpatient			5000	5	1354.5				percent of total billed charges		5000				other	OPPS APC	3700				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	1354.5				percent of total billed charges		1381.5				percent of total billed charges		5				other	OPPS APC	5	5000	
PLATE BONE INTERCONTINENTAL 6 D W20 MM X H8 MM SPINE NONSTERILE	SUP-187.058	CDM	270010020	LOCAL	270	RC		inpatient			5000	5000																																																			
LEAD PACING SILICONE L58 CM L33 CM OD7.5 FR ODSEC10.5 FR SUBCUTANEOUS DF-1 CONNECTOR UNIPOLAR FLEXIBLE INTRODUCER DEFIBRILLATION	SUP-6996SQ58	CDM			275	RC		outpatient			5000	5	2450				percent of total billed charges		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
LEAD PACING SILICONE L58 CM L33 CM OD7.5 FR ODSEC10.5 FR SUBCUTANEOUS DF-1 CONNECTOR UNIPOLAR FLEXIBLE INTRODUCER DEFIBRILLATION	SUP-6996SQ58	CDM			275	RC		inpatient			5000	5000																																																			
CEMENTED HIP STEM SIZE4	SUP-97-01511	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
CEMENTED HIP STEM SIZE4	SUP-97-01511	CDM			278	RC		inpatient			5000	5000																																																			
EVANS OSTEOTOMY	SUP-97-02356	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
EVANS OSTEOTOMY	SUP-97-02356	CDM			278	RC		inpatient			5000	5000																																																			
SUMMIT POR TAPER SZ3 STD OFF	SUP-97-04302	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
SUMMIT POR TAPER SZ3 STD OFF	SUP-97-04302	CDM			278	RC		inpatient			5000	5000																																																			
BENCOX M STEM NO.1	SUP-97-04312	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
BENCOX M STEM NO.1	SUP-97-04312	CDM			278	RC		inpatient			5000	5000																																																			
VERSYS FM MC CLR 12X140MM STD BODY EXT	SUP-97-04367	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
VERSYS FM MC CLR 12X140MM STD BODY EXT	SUP-97-04367	CDM			278	RC		inpatient			5000	5000																																																			
BENCOX M STEM LATER OFFSET #6	SUP-97-04495	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
BENCOX M STEM LATER OFFSET #6	SUP-97-04495	CDM			278	RC		inpatient			5000	5000																																																			
SUMMIT POR TAPER SZ7 STD OFF	SUP-97-04521	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
SUMMIT POR TAPER SZ7 STD OFF	SUP-97-04521	CDM			278	RC		inpatient			5000	5000																																																			
VERSYS FM MC CLR 13X140MM STD BODY	SUP-97-04548	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
VERSYS FM MC CLR 13X140MM STD BODY	SUP-97-04548	CDM			278	RC		inpatient			5000	5000																																																			
VERSYS FM MC CLR 16X160MM LM STD NECK	SUP-97-04588	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
VERSYS FM MC CLR 16X160MM LM STD NECK	SUP-97-04588	CDM			278	RC		inpatient			5000	5000																																																			
20 X 16 X16 STAPLE IMPLANT	SUP-97-05009	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
20 X 16 X16 STAPLE IMPLANT	SUP-97-05009	CDM			278	RC		inpatient			5000	5000																																																			
HEMI HIP	SUP-97-05042	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
HEMI HIP	SUP-97-05042	CDM			278	RC		inpatient			5000	5000																																																			
STAPLE 20X16X16	SUP-97-05864	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
STAPLE 20X16X16	SUP-97-05864	CDM			278	RC		inpatient			5000	5000																																																			
BENCOX M STEM NO.5	SUP-97-23654	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
BENCOX M STEM NO.5	SUP-97-23654	CDM			278	RC		inpatient			5000	5000																																																			
BENCOX M STEM NO.6	SUP-97-23837	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
BENCOX M STEM NO.6	SUP-97-23837	CDM			278	RC		inpatient			5000	5000																																																			
BENCOX M STEM 7	SUP-97-23838	CDM			278	RC		outpatient			5000	5	5000				fee schedule		5000				other	OPPS APC	2850				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	2450				percent of total billed charges		2550				percent of total billed charges		5				other	OPPS APC	5	5000	
BENCOX M STEM 7	SUP-97-23838	CDM			278	RC		inpatient			5000	5000																																																			
HEMOSPRAY 7	SUP-G56572	CDM			270	RC		outpatient			5000	5	1354.5				percent of total billed charges		5000				other	OPPS APC	3700				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	1354.5				percent of total billed charges		1381.5				percent of total billed charges		5				other	OPPS APC	5	5000	
HEMOSPRAY 7	SUP-G56572	CDM			270	RC		inpatient			5000	5000																																																			
CATHETER SUCTION 71 L132 CM LARGE BORE	SUP-IC71132UG	CDM			270	RC		outpatient			5000	5	1354.5				percent of total billed charges		5000				other	OPPS APC	3700				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	1354.5				percent of total billed charges		1381.5				percent of total billed charges		5				other	OPPS APC	5	5000	
CATHETER SUCTION 71 L132 CM LARGE BORE	SUP-IC71132UG	CDM			270	RC		inpatient			5000	5000																																																			
CATHETER ENDOSCOPIC ALAIR L5 MM OD1.5 MM BRONCHUS THERMOPLASTY STERILE DISPOSABLE	SUP-M005ATS25010	CDM			270	RC		outpatient			5000	5	1354.5				percent of total billed charges		5000				other	OPPS APC	3700				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	1354.5				percent of total billed charges		1381.5				percent of total billed charges		5				other	OPPS APC	5	5000	
CATHETER ENDOSCOPIC ALAIR L5 MM OD1.5 MM BRONCHUS THERMOPLASTY STERILE DISPOSABLE	SUP-M005ATS25010	CDM			270	RC		inpatient			5000	5000																																																			
SPACER FEMORAL INTERSPACE MEDIUM KNEE	SUP-SPK0121	CDM	270010025	LOCAL	270	RC		outpatient			5000	5	1354.5				percent of total billed charges		5000				other	OPPS APC	3700				percent of total billed charges		5000				other	OPPS APC	5000				other	OPPS APC	1354.5				percent of total billed charges		1381.5				percent of total billed charges		5				other	OPPS APC	5	5000	
SPACER FEMORAL INTERSPACE MEDIUM KNEE	SUP-SPK0121	CDM	270010025	LOCAL	270	RC		inpatient			5000	5000																																																			
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L30 CM X W20 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP07	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L30 CM X W20 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP07	CDM			270	RC		inpatient			4990	4990																																																			
FILLER BONE VOID OSTEOFIL 90MM DEMINERALIZED BONE MATRIX ALLOGRAFT FROZEN STRIP	SUP-2390	CDM	270010012	LOCAL	270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
FILLER BONE VOID OSTEOFIL 90MM DEMINERALIZED BONE MATRIX ALLOGRAFT FROZEN STRIP	SUP-2390	CDM	270010012	LOCAL	270	RC		inpatient			4990	4990																																																			
KIT ZIMMER SUBCHONDROPLASTY SIDE TARGETED ACCUPORT	SUP-402.202	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
KIT ZIMMER SUBCHONDROPLASTY SIDE TARGETED ACCUPORT	SUP-402.202	CDM			270	RC		inpatient			4990	4990																																																			
GRAFT BONE 12MM ALLOGRAFT PRECUT CORE MATURE HYALINE CARTILAGE	SUP-45647010	CDM	270010031	LOCAL	270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
GRAFT BONE 12MM ALLOGRAFT PRECUT CORE MATURE HYALINE CARTILAGE	SUP-45647010	CDM	270010031	LOCAL	270	RC		inpatient			4990	4990																																																			
STENT TRACHEOBRONCHIAL BONASTENT L30 MM L900 MM OD10 MM ODSEC8 FR DELIVERY DEVICE	SUP-BTB-100309	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
STENT TRACHEOBRONCHIAL BONASTENT L30 MM L900 MM OD10 MM ODSEC8 FR DELIVERY DEVICE	SUP-BTB-100309	CDM			270	RC		inpatient			4990	4990																																																			
STENT TRACHEOBRONCHIAL BONASTENT L30 MM L900 MM OD12 MM ODSEC9 FR DELIVERY DEVICE	SUP-BTB-120309	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
STENT TRACHEOBRONCHIAL BONASTENT L30 MM L900 MM OD12 MM ODSEC9 FR DELIVERY DEVICE	SUP-BTB-120309	CDM			270	RC		inpatient			4990	4990																																																			
STENT TRACHEOBRONCHIAL BONASTENT L70 MM L900 MM OD16 MM ODSEC12 FR DELIVERY DEVICE	SUP-BTB-160609	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
STENT TRACHEOBRONCHIAL BONASTENT L70 MM L900 MM OD16 MM ODSEC12 FR DELIVERY DEVICE	SUP-BTB-160609	CDM			270	RC		inpatient			4990	4990																																																			
STENT TRACHEOBRONCHIAL BONASTENT L80 MM L900 MM OD16 MM ODSEC12 FR DELIVERY DEVICE	SUP-BTB-160809	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
STENT TRACHEOBRONCHIAL BONASTENT L80 MM L900 MM OD16 MM ODSEC12 FR DELIVERY DEVICE	SUP-BTB-160809	CDM			270	RC		inpatient			4990	4990																																																			
STENT TRACHEOBRONCHIAL BONASTENT L60 MM L900 MM OD18 MM ODSEC16 FR DELIVERY DEVICE	SUP-BTB-180609	CDM			270	RC		outpatient			4990	499	1351.79				percent of total billed charges		4990				other	OPPS APC	3692.6				percent of total billed charges		4990				other	OPPS APC	4990				other	OPPS APC	1351.79				percent of total billed charges		1378.74				percent of total billed charges		499				other	OPPS APC	499	4990	
STENT TRACHEOBRONCHIAL BONASTENT L60 MM L900 MM OD18 MM ODSEC16 FR DELIVERY DEVICE	SUP-BTB-180609	CDM			270	RC		inpatient			4990	4990																																																			
BIOSYNC ANATOMIC COTTON WEDGE	SUP-97-03167	CDM			278	RC		outpatient			4987.5	4987.5	4987.5				fee schedule		4987.5				other	OPPS APC	2842.88				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	2443.88				percent of total billed charges		2543.63				percent of total billed charges		4987.5				other	OPPS APC	2443.88	4987.5	
BIOSYNC ANATOMIC COTTON WEDGE	SUP-97-03167	CDM			278	RC		inpatient			4987.5	4987.5																																																			
ACHILLES SPEED BRIDGE IMPLANT SYS W/JUMP	SUP-97-03552	CDM			278	RC		outpatient			4987.5	4987.5	4987.5				fee schedule		4987.5				other	OPPS APC	2842.88				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	2443.88				percent of total billed charges		2543.63				percent of total billed charges		4987.5				other	OPPS APC	2443.88	4987.5	
ACHILLES SPEED BRIDGE IMPLANT SYS W/JUMP	SUP-97-03552	CDM			278	RC		inpatient			4987.5	4987.5																																																			
IMPLANT SYSTM MPFL FASTTHREAD	SUP-97-05064	CDM			278	RC		outpatient			4987.5	4987.5	4987.5				fee schedule		4987.5				other	OPPS APC	2842.88				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	2443.88				percent of total billed charges		2543.63				percent of total billed charges		4987.5				other	OPPS APC	2443.88	4987.5	
IMPLANT SYSTM MPFL FASTTHREAD	SUP-97-05064	CDM			278	RC		inpatient			4987.5	4987.5																																																			
PLATE STD 0 - 0 RIGHT MAXFORCE MTP	SUP-97-05952	CDM			278	RC		outpatient			4987.5	4987.5	4987.5				fee schedule		4987.5				other	OPPS APC	2842.88				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	2443.88				percent of total billed charges		2543.63				percent of total billed charges		4987.5				other	OPPS APC	2443.88	4987.5	
PLATE STD 0 - 0 RIGHT MAXFORCE MTP	SUP-97-05952	CDM			278	RC		inpatient			4987.5	4987.5																																																			
GUIDEWIRE - FILTERWIRE SPIDER 6MM	SUP-99-00841	CDM			272	RC		outpatient			4987.5	4987.5	1351.11				percent of total billed charges		4987.5				other	OPPS APC	3690.75				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	1351.11				percent of total billed charges		1378.05				percent of total billed charges		4987.5				other	OPPS APC	1351.11	4987.5	
GUIDEWIRE - FILTERWIRE SPIDER 6MM	SUP-99-00841	CDM			272	RC		inpatient			4987.5	4987.5																																																			
STENT - ELUVIA DES 6X40	SUP-99-03576	CDM			278	RC		outpatient			4987.5	4987.5	4987.5				fee schedule		4987.5				other	OPPS APC	2842.88				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	2443.88				percent of total billed charges		2543.63				percent of total billed charges		4987.5				other	OPPS APC	2443.88	4987.5	
STENT - ELUVIA DES 6X40	SUP-99-03576	CDM			278	RC		inpatient			4987.5	4987.5																																																			
STENT - ELUVIA DES 7X40	SUP-99-03581	CDM			278	RC		outpatient			4987.5	4987.5	4987.5				fee schedule		4987.5				other	OPPS APC	2842.88				percent of total billed charges		4987.5				other	OPPS APC	4987.5				other	OPPS APC	2443.88				percent of total billed charges		2543.63				percent of total billed charges		4987.5				other	OPPS APC	2443.88	4987.5	
STENT - ELUVIA DES 7X40	SUP-99-03581	CDM			278	RC		inpatient			4987.5	4987.5																																																			
FOREFOOT IB IMPLANT	SUP-97-03156	CDM			278	RC		outpatient			4982.5	4982.5	4982.5				fee schedule		4982.5				other	OPPS APC	2840.03				percent of total billed charges		4982.5				other	OPPS APC	4982.5				other	OPPS APC	2441.43				percent of total billed charges		2541.08				percent of total billed charges		4982.5				other	OPPS APC	2441.43	4982.5	
FOREFOOT IB IMPLANT	SUP-97-03156	CDM			278	RC		inpatient			4982.5	4982.5																																																			
MRS 9   TIBIAL STEM W/OUT BODY	SUP-97-05059	CDM			278	RC		outpatient			4981	4981	4981				fee schedule		4981				other	OPPS APC	2839.17				percent of total billed charges		4981				other	OPPS APC	4981				other	OPPS APC	2440.69				percent of total billed charges		2540.31				percent of total billed charges		4981				other	OPPS APC	2440.69	4981	
MRS 9   TIBIAL STEM W/OUT BODY	SUP-97-05059	CDM			278	RC		inpatient			4981	4981																																																			
SHEATH DILATOR TIGHTRAIL 11 FR ROTATE FLEXIBLE BIDIRECTIONAL MECHANISM EXTRACTION DEVICE	SUP-545-511	CDM						inpatient			4970	4970																																																			
SHEATH DILATOR TIGHTRAIL 11 FR ROTATE FLEXIBLE BIDIRECTIONAL MECHANISM EXTRACTION DEVICE	SUP-545-511	CDM						outpatient			4970	497	4970				percent of total billed charges		4970				other	OPPS APC	4970				fee schedule		4970				other	OPPS APC	4970				other	OPPS APC	4970				case rate		4970				case rate		497				other	OPPS APC	497	4970	
SHEATH DILATOR TIGHTRAIL 13 FR ROTATE FLEXIBLE BIDIRECTIONAL MECHANISM EXTRACTION DEVICE	SUP-545-513	CDM						inpatient			4970	4970																																																			
SHEATH DILATOR TIGHTRAIL 13 FR ROTATE FLEXIBLE BIDIRECTIONAL MECHANISM EXTRACTION DEVICE	SUP-545-513	CDM						outpatient			4970	497	4970				percent of total billed charges		4970				other	OPPS APC	4970				fee schedule		4970				other	OPPS APC	4970				other	OPPS APC	4970				case rate		4970				case rate		497				other	OPPS APC	497	4970	
ADAPTER FEMORAL GMK 5 MM OFFSET KNEE REVISION CONNECTOR	SUP-02.07.0005	CDM	270010024	LOCAL	270	RC		outpatient			4961	4961	1343.93				percent of total billed charges		4961				other	OPPS APC	3671.14				percent of total billed charges		4961				other	OPPS APC	4961				other	OPPS APC	1343.93				percent of total billed charges		1370.72				percent of total billed charges		4961				other	OPPS APC	1343.93	4961	
ADAPTER FEMORAL GMK 5 MM OFFSET KNEE REVISION CONNECTOR	SUP-02.07.0005	CDM	270010024	LOCAL	270	RC		inpatient			4961	4961																																																			
VENTRALIGHT ST 8X10 ELLIPSE	SUP-97-00218	CDM			278	RC		outpatient			4958.45	4958.45	4958.45				fee schedule		4958.45				other	OPPS APC	2826.32				percent of total billed charges		4958.45				other	OPPS APC	4958.45				other	OPPS APC	2429.64				percent of total billed charges		2528.81				percent of total billed charges		4958.45				other	OPPS APC	2429.64	4958.45	
VENTRALIGHT ST 8X10 ELLIPSE	SUP-97-00218	CDM			278	RC		inpatient			4958.45	4958.45																																																			
PLATE CLAW SMALL U	SUP-40243010	CDM			270	RC		outpatient			4958	4958	1343.12				percent of total billed charges		4958				other	OPPS APC	3668.92				percent of total billed charges		4958				other	OPPS APC	4958				other	OPPS APC	1343.12				percent of total billed charges		1369.9				percent of total billed charges		4958				other	OPPS APC	1343.12	4958	
PLATE CLAW SMALL U	SUP-40243010	CDM			270	RC		inpatient			4958	4958																																																			
PLATE BONE CLAW II STAINLESS STEEL U MEDIUM UNIVERSAL ANKLE FOOT LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40243020	CDM			270	RC		outpatient			4958	4958	1343.12				percent of total billed charges		4958				other	OPPS APC	3668.92				percent of total billed charges		4958				other	OPPS APC	4958				other	OPPS APC	1343.12				percent of total billed charges		1369.9				percent of total billed charges		4958				other	OPPS APC	1343.12	4958	
PLATE BONE CLAW II STAINLESS STEEL U MEDIUM UNIVERSAL ANKLE FOOT LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40243020	CDM			270	RC		inpatient			4958	4958																																																			
GRAFT BONE ALLOGRAFT DEMINERALIZED BONE MATRIX 20 ML BIO BOAT	SUP-653100	CDM	270010012	LOCAL	270	RC		outpatient			4954	4954	1342.04				percent of total billed charges		4954				other	OPPS APC	3665.96				percent of total billed charges		4954				other	OPPS APC	4954				other	OPPS APC	1342.04				percent of total billed charges		1368.79				percent of total billed charges		4954				other	OPPS APC	1342.04	4954	
GRAFT BONE ALLOGRAFT DEMINERALIZED BONE MATRIX 20 ML BIO BOAT	SUP-653100	CDM	270010012	LOCAL	270	RC		inpatient			4954	4954																																																			
NAIL CANN TROCH FIX 11MM 130 420	SUP-97-01346	CDM			278	RC		outpatient			4949.48	4949.48	4949.48				fee schedule		4949.48				other	OPPS APC	2821.2				percent of total billed charges		4949.48				other	OPPS APC	4949.48				other	OPPS APC	2425.25				percent of total billed charges		2524.23				percent of total billed charges		4949.48				other	OPPS APC	2425.25	4949.48	
NAIL CANN TROCH FIX 11MM 130 420	SUP-97-01346	CDM			278	RC		inpatient			4949.48	4949.48																																																			
NAIL CANN TROCH FIX 11MM RIGHT 130 420	SUP-97-01467	CDM			278	RC		outpatient			4949.48	4949.48	4949.48				fee schedule		4949.48				other	OPPS APC	2821.2				percent of total billed charges		4949.48				other	OPPS APC	4949.48				other	OPPS APC	2425.25				percent of total billed charges		2524.23				percent of total billed charges		4949.48				other	OPPS APC	2425.25	4949.48	
NAIL CANN TROCH FIX 11MM RIGHT 130 420	SUP-97-01467	CDM			278	RC		inpatient			4949.48	4949.48																																																			
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD26 MM MITRAL OPTIMAL ORIFICE AREA RESTORE LEAFLET COAPTATION HEART VALVE REPAIR	SUP-4200 M26	CDM			270	RC		outpatient			4940	494	1338.25				percent of total billed charges		4940				other	OPPS APC	3655.6				percent of total billed charges		4940				other	OPPS APC	4940				other	OPPS APC	1338.25				percent of total billed charges		1364.92				percent of total billed charges		494				other	OPPS APC	494	4940	
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD26 MM MITRAL OPTIMAL ORIFICE AREA RESTORE LEAFLET COAPTATION HEART VALVE REPAIR	SUP-4200 M26	CDM			270	RC		inpatient			4940	4940																																																			
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD28 MM MITRAL RIGID HEART VALVE REPAIR	SUP-4200 M28	CDM			270	RC		outpatient			4940	494	1338.25				percent of total billed charges		4940				other	OPPS APC	3655.6				percent of total billed charges		4940				other	OPPS APC	4940				other	OPPS APC	1338.25				percent of total billed charges		1364.92				percent of total billed charges		494				other	OPPS APC	494	4940	
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD28 MM MITRAL RIGID HEART VALVE REPAIR	SUP-4200 M28	CDM			270	RC		inpatient			4940	4940																																																			
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD32 MM MITRAL RIGID HEART VALVE REPAIR	SUP-4200 M32	CDM			270	RC		outpatient			4940	494	1338.25				percent of total billed charges		4940				other	OPPS APC	3655.6				percent of total billed charges		4940				other	OPPS APC	4940				other	OPPS APC	1338.25				percent of total billed charges		1364.92				percent of total billed charges		494				other	OPPS APC	494	4940	
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD32 MM MITRAL RIGID HEART VALVE REPAIR	SUP-4200 M32	CDM			270	RC		inpatient			4940	4940																																																			
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD30 MM MITRAL OPTIMAL ORIFICE AREA RESTORE LEAFLET COAPTATION HEART VALVE REPAIR	SUP-4200-M30	CDM			270	RC		outpatient			4940	494	1338.25				percent of total billed charges		4940				other	OPPS APC	3655.6				percent of total billed charges		4940				other	OPPS APC	4940				other	OPPS APC	1338.25				percent of total billed charges		1364.92				percent of total billed charges		494				other	OPPS APC	494	4940	
RING ANNULOPLASTY GEOFORM TITANIUM SILICONE RUBBER POLYESTER OD30 MM MITRAL OPTIMAL ORIFICE AREA RESTORE LEAFLET COAPTATION HEART VALVE REPAIR	SUP-4200-M30	CDM			270	RC		inpatient			4940	4940																																																			
PACEMAKER- EDORA SR-T SINGLE	SUP-99-04612	CDM						inpatient			4940	4940																																																			
PACEMAKER- EDORA SR-T SINGLE	SUP-99-04612	CDM						outpatient			4940	494	4940				percent of total billed charges		4940				other	OPPS APC	4940				fee schedule		4940				other	OPPS APC	4940				other	OPPS APC	4940				case rate		4940				case rate		494				other	OPPS APC	494	4940	
CATHETER REPERFUSION RED 43 .043 IN L160 CM OD1.52 MM	SUP-RED43160	CDM			270	RC		outpatient			4940	494	1338.25				percent of total billed charges		4940				other	OPPS APC	3655.6				percent of total billed charges		4940				other	OPPS APC	4940				other	OPPS APC	1338.25				percent of total billed charges		1364.92				percent of total billed charges		494				other	OPPS APC	494	4940	
CATHETER REPERFUSION RED 43 .043 IN L160 CM OD1.52 MM	SUP-RED43160	CDM			270	RC		inpatient			4940	4940																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE LOW PROFILE L12 CM L120 CM OD18 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER COAXIAL DISPOSABLE	SUP-M00516710	CDM			270	RC		outpatient			4939.12	4939.12	1338.01				percent of total billed charges		4939.12				other	OPPS APC	3654.95				percent of total billed charges		4939.12				other	OPPS APC	4939.12				other	OPPS APC	1338.01				percent of total billed charges		1364.68				percent of total billed charges		4939.12				other	OPPS APC	1338.01	4939.12	
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE LOW PROFILE L12 CM L120 CM OD18 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER COAXIAL DISPOSABLE	SUP-M00516710	CDM			270	RC		inpatient			4939.12	4939.12																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME TEFLON NITINOL OD28 MM FLARE L15.5 CM L78 CM OD23 MM ODSEC18.5 FR REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER LOW PROFILE COAXIAL DISPOSABLE JAGWIRE ACCEPTS .038 IN GUIDEWIRE	SUP-M00516750	CDM			270	RC		outpatient			4939.12	4939.12	1338.01				percent of total billed charges		4939.12				other	OPPS APC	3654.95				percent of total billed charges		4939.12				other	OPPS APC	4939.12				other	OPPS APC	1338.01				percent of total billed charges		1364.68				percent of total billed charges		4939.12				other	OPPS APC	1338.01	4939.12	
STENT ESOPHAGEAL WALLFLEX PERMALUME TEFLON NITINOL OD28 MM FLARE L15.5 CM L78 CM OD23 MM ODSEC18.5 FR REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER LOW PROFILE COAXIAL DISPOSABLE JAGWIRE ACCEPTS .038 IN GUIDEWIRE	SUP-M00516750	CDM			270	RC		inpatient			4939.12	4939.12																																																			
ANTERIOR TT PLATE LONG RIGHT	SUP-97-06146	CDM			278	RC		outpatient			4937.5	4937.5	4937.5				fee schedule		4937.5				other	OPPS APC	2814.38				percent of total billed charges		4937.5				other	OPPS APC	4937.5				other	OPPS APC	2419.38				percent of total billed charges		2518.13				percent of total billed charges		4937.5				other	OPPS APC	2419.38	4937.5	
ANTERIOR TT PLATE LONG RIGHT	SUP-97-06146	CDM			278	RC		inpatient			4937.5	4937.5																																																			
CATHETER - CROSSER 14S	SUP-99-01111	CDM			272	RC		inpatient			4937.5	4937.5																																																			
CATHETER - CROSSER 14S	SUP-99-01111	CDM			272	RC		outpatient			4937.5	4937.5	1337.57				percent of total billed charges						other	OPPS APC	3653.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1337.57				percent of total billed charges		1364.23				percent of total billed charges						other	OPPS APC	3653.75	3653.75	
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L22 MM L135 CM OD6 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 5 FR SHEATH 7 FR GUIDE CATHETER	SUP-M001719000	CDM			270	RC		outpatient			4933.7	4933.7	1336.54				percent of total billed charges		4933.7				other	OPPS APC	3650.94				percent of total billed charges		4933.7				other	OPPS APC	4933.7				other	OPPS APC	1336.54				percent of total billed charges		1363.18				percent of total billed charges		4933.7				other	OPPS APC	1336.54	4933.7	
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L22 MM L135 CM OD6 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 5 FR SHEATH 7 FR GUIDE CATHETER	SUP-M001719000	CDM			270	RC		inpatient			4933.7	4933.7																																																			
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L29 MM L135 CM OD8 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 5 FR SHEATH 7 FR GUIDE CATHETER	SUP-M001719020	CDM			270	RC		outpatient			4933.7	4933.7	1336.54				percent of total billed charges		4933.7				other	OPPS APC	3650.94				percent of total billed charges		4933.7				other	OPPS APC	4933.7				other	OPPS APC	1336.54				percent of total billed charges		1363.18				percent of total billed charges		4933.7				other	OPPS APC	1336.54	4933.7	
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L29 MM L135 CM OD8 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 5 FR SHEATH 7 FR GUIDE CATHETER	SUP-M001719020	CDM			270	RC		inpatient			4933.7	4933.7																																																			
PLATE TIBIA AP WEDGED SIZE 3	SUP-00-5988-003-00	CDM	270010025	LOCAL	270	RC		outpatient			4930	493	1335.54				percent of total billed charges		4930				other	OPPS APC	3648.2				percent of total billed charges		4930				other	OPPS APC	4930				other	OPPS APC	1335.54				percent of total billed charges		1362.16				percent of total billed charges		493				other	OPPS APC	493	4930	
PLATE TIBIA AP WEDGED SIZE 3	SUP-00-5988-003-00	CDM	270010025	LOCAL	270	RC		inpatient			4930	4930																																																			
CATHETER ABLATION HALO90 BARRX ULTRA LONG L160 CM L40 MM X W13 MM OD4 MM BIPOLAR ELECTRODE STREAMLINE PROFILE SHAFT DISPOSABLE	SUP-90-9200	CDM			270	RC		outpatient			4926	4926	1334.45				percent of total billed charges		4926				other	OPPS APC	3645.24				percent of total billed charges		4926				other	OPPS APC	4926				other	OPPS APC	1334.45				percent of total billed charges		1361.05				percent of total billed charges		4926				other	OPPS APC	1334.45	4926	
CATHETER ABLATION HALO90 BARRX ULTRA LONG L160 CM L40 MM X W13 MM OD4 MM BIPOLAR ELECTRODE STREAMLINE PROFILE SHAFT DISPOSABLE	SUP-90-9200	CDM			270	RC		inpatient			4926	4926																																																			
STENT - ZILVER PTX 5X120 6F	SUP-99-04504	CDM			278	RC		outpatient			4924.98	4924.98	4924.98				fee schedule		4924.98				other	OPPS APC	2807.24				percent of total billed charges		4924.98				other	OPPS APC	4924.98				other	OPPS APC	2413.24				percent of total billed charges		2511.74				percent of total billed charges		4924.98				other	OPPS APC	2413.24	4924.98	
STENT - ZILVER PTX 5X120 6F	SUP-99-04504	CDM			278	RC		inpatient			4924.98	4924.98																																																			
STENT - ZILVER PTX 6X120 6F	SUP-99-04510	CDM			278	RC		outpatient			4924.98	4924.98	4924.98				fee schedule		4924.98				other	OPPS APC	2807.24				percent of total billed charges		4924.98				other	OPPS APC	4924.98				other	OPPS APC	2413.24				percent of total billed charges		2511.74				percent of total billed charges		4924.98				other	OPPS APC	2413.24	4924.98	
STENT - ZILVER PTX 6X120 6F	SUP-99-04510	CDM			278	RC		inpatient			4924.98	4924.98																																																			
STENT - ZILVER PTX 7X120 6F	SUP-99-04516	CDM			278	RC		outpatient			4924.98	4924.98	4924.98				fee schedule		4924.98				other	OPPS APC	2807.24				percent of total billed charges		4924.98				other	OPPS APC	4924.98				other	OPPS APC	2413.24				percent of total billed charges		2511.74				percent of total billed charges		4924.98				other	OPPS APC	2413.24	4924.98	
STENT - ZILVER PTX 7X120 6F	SUP-99-04516	CDM			278	RC		inpatient			4924.98	4924.98																																																			
STENT - ZILVER PTX 8X120 6F	SUP-99-04522	CDM			278	RC		outpatient			4924.98	4924.98	4924.98				fee schedule		4924.98				other	OPPS APC	2807.24				percent of total billed charges		4924.98				other	OPPS APC	4924.98				other	OPPS APC	2413.24				percent of total billed charges		2511.74				percent of total billed charges		4924.98				other	OPPS APC	2413.24	4924.98	
STENT - ZILVER PTX 8X120 6F	SUP-99-04522	CDM			278	RC		inpatient			4924.98	4924.98																																																			
PLATE BONE TITANIUM RECTANGLE L100 MM X W100 MM X H.3 MM CRANIOFACIAL CONTOURABLE MESH MALLEABLE ANATOMIC REDUCTION NONSTERILE TEAL 1.5 MM SCREW	SUP-446.017	CDM	270010022	LOCAL	270	RC		outpatient			4924.4	4924.4	1334.02				percent of total billed charges		4924.4				other	OPPS APC	3644.06				percent of total billed charges		4924.4				other	OPPS APC	4924.4				other	OPPS APC	1334.02				percent of total billed charges		1360.61				percent of total billed charges		4924.4				other	OPPS APC	1334.02	4924.4	
PLATE BONE TITANIUM RECTANGLE L100 MM X W100 MM X H.3 MM CRANIOFACIAL CONTOURABLE MESH MALLEABLE ANATOMIC REDUCTION NONSTERILE TEAL 1.5 MM SCREW	SUP-446.017	CDM	270010022	LOCAL	270	RC		inpatient			4924.4	4924.4																																																			
PLATE BONE RECTANGLE 100X100X.6MM GOLD TITANIUM NS CRANIOFACIAL CONTOURABLE MESH RIGID ANATOMIC REDUCTION 1.5MM SCREW	SUP-446.018	CDM	270010022	LOCAL	270	RC		outpatient			4924.4	4924.4	1334.02				percent of total billed charges		4924.4				other	OPPS APC	3644.06				percent of total billed charges		4924.4				other	OPPS APC	4924.4				other	OPPS APC	1334.02				percent of total billed charges		1360.61				percent of total billed charges		4924.4				other	OPPS APC	1334.02	4924.4	
PLATE BONE RECTANGLE 100X100X.6MM GOLD TITANIUM NS CRANIOFACIAL CONTOURABLE MESH RIGID ANATOMIC REDUCTION 1.5MM SCREW	SUP-446.018	CDM	270010022	LOCAL	270	RC		inpatient			4924.4	4924.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.053S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.053S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.055S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.055S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.152S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.152S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.153S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.153S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.154S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.154S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.155S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.155S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.163S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.163S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT TI-15MO TI-6AL-7NB COCR 130 D LONG L380 MM OD12 MM FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE LOCK MECHANISM STERILE GREEN	SUP-04.037.259S	CDM	270010022	LOCAL	270	RC		outpatient			4915.2	4915.2	1331.53				percent of total billed charges		4915.2				other	OPPS APC	3637.25				percent of total billed charges		4915.2				other	OPPS APC	4915.2				other	OPPS APC	1331.53				percent of total billed charges		1358.07				percent of total billed charges		4915.2				other	OPPS APC	1331.53	4915.2	
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT TI-15MO TI-6AL-7NB COCR 130 D LONG L380 MM OD12 MM FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE LOCK MECHANISM STERILE GREEN	SUP-04.037.259S	CDM	270010022	LOCAL	270	RC		inpatient			4915.2	4915.2																																																			
HC IR Thrombectomy Venous	PX-361371871	CDM	37187	CPT	361	RC		outpatient			4900	49	1547.42				percent of total billed charges		4900				other	OPPS APC	4900				fee schedule		4900				other	OPPS APC	4900				other	OPPS APC	1547.42				percent of total billed charges		1578.29				percent of total billed charges		49				other	OPPS APC	49	4900	
HC IR Thrombectomy Venous	PX-361371871	CDM	37187	CPT	361	RC		inpatient			4900	4900																																																			
TIBIAL	SUP-97-00697	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIAL	SUP-97-00697	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 5F/4T	SUP-97-01002	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 5F/4T	SUP-97-01002	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 4F/4T	SUP-97-01122	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 4F/4T	SUP-97-01122	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 2.5F/1.5T	SUP-97-01125	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 2.5F/1.5T	SUP-97-01125	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 3F/2T	SUP-97-01223	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 3F/2T	SUP-97-01223	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 2.5F/2T	SUP-97-01240	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 2.5F/2T	SUP-97-01240	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT	SUP-97-01286	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT	SUP-97-01286	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 6F/5T	SUP-97-01442	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 6F/5T	SUP-97-01442	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIAL 2F/IT	SUP-97-02005	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIAL 2F/IT	SUP-97-02005	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 3F/3T	SUP-97-02139	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 3F/3T	SUP-97-02139	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT 2F/2T	SUP-97-02174	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT 2F/2T	SUP-97-02174	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIA FIT3.5/3.5	SUP-97-02194	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIA FIT3.5/3.5	SUP-97-02194	CDM			278	RC		inpatient			4896.4	4896.4																																																			
TIBIAL TRAY 1.5F 1.5T	SUP-97-02609	CDM			278	RC		outpatient			4896.4	4896.4	4896.4				fee schedule		4896.4				other	OPPS APC	2790.95				percent of total billed charges		4896.4				other	OPPS APC	4896.4				other	OPPS APC	2399.24				percent of total billed charges		2497.16				percent of total billed charges		4896.4				other	OPPS APC	2399.24	4896.4	
TIBIAL TRAY 1.5F 1.5T	SUP-97-02609	CDM			278	RC		inpatient			4896.4	4896.4																																																			
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L38 MM L120 CM OD8 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85416	CDM			270	RC		outpatient			4892.5	4892.5	1325.38				percent of total billed charges		4892.5				other	OPPS APC	3620.45				percent of total billed charges		4892.5				other	OPPS APC	4892.5				other	OPPS APC	1325.38				percent of total billed charges		1351.8				percent of total billed charges		4892.5				other	OPPS APC	1325.38	4892.5	
STENT TRACHEOBRONCHIAL ICAST STAINLESS STEEL PTFE L38 MM L120 CM OD8 MM ODSEC7 FR COVER CATHETER INTRODUCER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-85416	CDM			270	RC		inpatient			4892.5	4892.5																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE LOW PROFILE L15 CM L120 CM OD18 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER COAXIAL DISPOSABLE	SUP-M00516720	CDM			270	RC		outpatient			4889.72	4889.72	1324.63				percent of total billed charges		4889.72				other	OPPS APC	3618.39				percent of total billed charges		4889.72				other	OPPS APC	4889.72				other	OPPS APC	1324.63				percent of total billed charges		1351.03				percent of total billed charges		4889.72				other	OPPS APC	1324.63	4889.72	
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE LOW PROFILE L15 CM L120 CM OD18 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER COAXIAL DISPOSABLE	SUP-M00516720	CDM			270	RC		inpatient			4889.72	4889.72																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE LOW PROFILE L10 CM L120 CM OD23 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER COAXIAL DISPOSABLE	SUP-M00516730	CDM			270	RC		outpatient			4889.72	4889.72	1324.63				percent of total billed charges		4889.72				other	OPPS APC	3618.39				percent of total billed charges		4889.72				other	OPPS APC	4889.72				other	OPPS APC	1324.63				percent of total billed charges		1351.03				percent of total billed charges		4889.72				other	OPPS APC	1324.63	4889.72	
STENT ESOPHAGEAL WALLFLEX PERMALUME NITINOL FLARE LOW PROFILE L10 CM L120 CM OD23 MM ODSEC18.5 FR SELF EXPAND WIRE REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER COAXIAL DISPOSABLE	SUP-M00516730	CDM			270	RC		inpatient			4889.72	4889.72																																																			
STENT ESOPHAGEAL WALLFLEX PERMALUME TEFLON NITINOL OD28 MM FLARE L12.5 CM L78 CM OD23 MM ODSEC18.5 FR REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER LOW PROFILE COAXIAL DISPOSABLE JAGWIRE ACCEPTS .038 IN GUIDEWIRE	SUP-M00516740	CDM			270	RC		outpatient			4889.72	4889.72	1324.63				percent of total billed charges		4889.72				other	OPPS APC	3618.39				percent of total billed charges		4889.72				other	OPPS APC	4889.72				other	OPPS APC	1324.63				percent of total billed charges		1351.03				percent of total billed charges		4889.72				other	OPPS APC	1324.63	4889.72	
STENT ESOPHAGEAL WALLFLEX PERMALUME TEFLON NITINOL OD28 MM FLARE L12.5 CM L78 CM OD23 MM ODSEC18.5 FR REMOVAL SUTURE FLEXIBLE DELIVERY CATHETER LOW PROFILE COAXIAL DISPOSABLE JAGWIRE ACCEPTS .038 IN GUIDEWIRE	SUP-M00516740	CDM			270	RC		inpatient			4889.72	4889.72																																																			
CATHETER - THROMBECTOMY DISTA	SUP-99-02157	CDM			272	RC		outpatient			4887.5	4887.5	1324.02				percent of total billed charges		4887.5				other	OPPS APC	3616.75				percent of total billed charges		4887.5				other	OPPS APC	4887.5				other	OPPS APC	1324.02				percent of total billed charges		1350.42				percent of total billed charges		4887.5				other	OPPS APC	1324.02	4887.5	
CATHETER - THROMBECTOMY DISTA	SUP-99-02157	CDM			272	RC		inpatient			4887.5	4887.5																																																			
HC External Cephalic Version	PX-722594121	CDM	59412	CPT	722	RC		outpatient			4886	4886	208.2				case rate		4886				other	OPPS APC	3615.64				percent of total billed charges		4886				other	OPPS APC	4886				other	OPPS APC	208.2				case rate		212.36				case rate		4886				other	OPPS APC	208.2	4886	
HC External Cephalic Version	PX-722594121	CDM	59412	CPT	722	RC		inpatient			4886	4886																																																			
GRAFT ENDOVASCULAR FLAIR FLARE 50MM 80CM 7MM EPTFE STERILE ARTERIOVENOUS 2 LAYER ENCAPSULATION STENT SELF EXPAND ACCEPTS	SUP-FAF07050	CDM			270	RC		outpatient			4880	488	1321.99				percent of total billed charges		4880				other	OPPS APC	3611.2				percent of total billed charges		4880				other	OPPS APC	4880				other	OPPS APC	1321.99				percent of total billed charges		1348.34				percent of total billed charges		488				other	OPPS APC	488	4880	
GRAFT ENDOVASCULAR FLAIR FLARE 50MM 80CM 7MM EPTFE STERILE ARTERIOVENOUS 2 LAYER ENCAPSULATION STENT SELF EXPAND ACCEPTS	SUP-FAF07050	CDM			270	RC		inpatient			4880	4880																																																			
STENT TRACHEOBRONCHIAL ICAST .035IN 22MM 80CM 6MM 6FR SS PTFE DISPOSABLE STERILE COVERED BALLOON EXPANDABLE	SUP-85443	CDM			270	RC		outpatient			4879.1	4879.14	1321.75				percent of total billed charges		4879.1				other	OPPS APC	3610.53				percent of total billed charges		4879.1				other	OPPS APC	4879.1				other	OPPS APC	1321.75				percent of total billed charges		1348.1				percent of total billed charges		4879.14				other	OPPS APC	1321.75	4879.14	
STENT TRACHEOBRONCHIAL ICAST .035IN 22MM 80CM 6MM 6FR SS PTFE DISPOSABLE STERILE COVERED BALLOON EXPANDABLE	SUP-85443	CDM			270	RC		inpatient			4879.1	4879.1																																																			
HC IR Thrombolysis Venous Initial Trt Day	PX-361372121	CDM	37212	CPT	361	RC		outpatient			4877	4877	1540.16				percent of total billed charges		4877				other	OPPS APC	4877				fee schedule		4877				other	OPPS APC	4877				other	OPPS APC	1540.16				percent of total billed charges		1570.88				percent of total billed charges		4877				other	OPPS APC	1540.16	4877	
HC IR Thrombolysis Venous Initial Trt Day	PX-361372121	CDM	37212	CPT	361	RC		inpatient			4877	4877																																																			
HC IR Thrombolysis Subsequent Day	PX-361372131	CDM	37213	CPT	361	RC		outpatient			4877	4877	1540.16				percent of total billed charges		4877				other	OPPS APC	4877				fee schedule		4877				other	OPPS APC	4877				other	OPPS APC	1540.16				percent of total billed charges		1570.88				percent of total billed charges		4877				other	OPPS APC	1540.16	4877	
HC IR Thrombolysis Subsequent Day	PX-361372131	CDM	37213	CPT	361	RC		inpatient			4877	4877																																																			
HC IR Thrombolysis Cath Rmvl Subsequent Day	PX-361372141	CDM	37214	CPT	361	RC		outpatient			4877	4877	1540.16				percent of total billed charges		4877				other	OPPS APC	4877				fee schedule		4877				other	OPPS APC	4877				other	OPPS APC	1540.16				percent of total billed charges		1570.88				percent of total billed charges		4877				other	OPPS APC	1540.16	4877	
HC IR Thrombolysis Cath Rmvl Subsequent Day	PX-361372141	CDM	37214	CPT	361	RC		inpatient			4877	4877																																																			
STAPLER 10X15X13	SUP-95-04533	CDM			278	RC		outpatient			4875	4875	4875				fee schedule		4875				other	OPPS APC	2778.75				percent of total billed charges		4875				other	OPPS APC	4875				other	OPPS APC	2388.75				percent of total billed charges		2486.25				percent of total billed charges		4875				other	OPPS APC	2388.75	4875	
STAPLER 10X15X13	SUP-95-04533	CDM			278	RC		inpatient			4875	4875																																																			
STAPLER 12X15X13	SUP-95-04534	CDM			278	RC		outpatient			4875	4875	4875				fee schedule		4875				other	OPPS APC	2778.75				percent of total billed charges		4875				other	OPPS APC	4875				other	OPPS APC	2388.75				percent of total billed charges		2486.25				percent of total billed charges		4875				other	OPPS APC	2388.75	4875	
STAPLER 12X15X13	SUP-95-04534	CDM			278	RC		inpatient			4875	4875																																																			
STAPLER 10X10X10	SUP-95-04536	CDM			278	RC		outpatient			4875	4875	4875				fee schedule		4875				other	OPPS APC	2778.75				percent of total billed charges		4875				other	OPPS APC	4875				other	OPPS APC	2388.75				percent of total billed charges		2486.25				percent of total billed charges		4875				other	OPPS APC	2388.75	4875	
STAPLER 10X10X10	SUP-95-04536	CDM			278	RC		inpatient			4875	4875																																																			
STAPLE 15X15X15	SUP-97-05863	CDM			278	RC		outpatient			4875	4875	4875				fee schedule		4875				other	OPPS APC	2778.75				percent of total billed charges		4875				other	OPPS APC	4875				other	OPPS APC	2388.75				percent of total billed charges		2486.25				percent of total billed charges		4875				other	OPPS APC	2388.75	4875	
STAPLE 15X15X15	SUP-97-05863	CDM			278	RC		inpatient			4875	4875																																																			
CTO - OFFROAD 100CM	SUP-99-01903	CDM			272	RC		outpatient			4875	4875	1320.64				percent of total billed charges		4875				other	OPPS APC	3607.5				percent of total billed charges		4875				other	OPPS APC	4875				other	OPPS APC	1320.64				percent of total billed charges		1346.96				percent of total billed charges		4875				other	OPPS APC	1320.64	4875	
CTO - OFFROAD 100CM	SUP-99-01903	CDM			272	RC		inpatient			4875	4875																																																			
PLATE PROX LAT HUM 8 HOLE RT X 151MM	SUP-97-03856	CDM			278	RC		outpatient			4870.6	487.64	4870.6				fee schedule		4870.6				other	OPPS APC	2776.24				percent of total billed charges		4870.6				other	OPPS APC	4870.6				other	OPPS APC	2386.59				percent of total billed charges		2484.01				percent of total billed charges		487.64				other	OPPS APC	487.64	4870.6	
PLATE PROX LAT HUM 8 HOLE RT X 151MM	SUP-97-03856	CDM			278	RC		inpatient			4870.6	4870.6																																																			
PLATE PROX LAT HUM 10 HOLE RT X 176MM	SUP-97-04648	CDM			278	RC		outpatient			4870.6	487.64	4870.6				fee schedule		4870.6				other	OPPS APC	2776.24				percent of total billed charges		4870.6				other	OPPS APC	4870.6				other	OPPS APC	2386.59				percent of total billed charges		2484.01				percent of total billed charges		487.64				other	OPPS APC	487.64	4870.6	
PLATE PROX LAT HUM 10 HOLE RT X 176MM	SUP-97-04648	CDM			278	RC		inpatient			4870.6	4870.6																																																			
PLATE PROX LAT HUM 4 HOLE RT X 99MM	SUP-97-05553	CDM			278	RC		outpatient			4870.6	487.64	4870.6				fee schedule		4870.6				other	OPPS APC	2776.24				percent of total billed charges		4870.6				other	OPPS APC	4870.6				other	OPPS APC	2386.59				percent of total billed charges		2484.01				percent of total billed charges		487.64				other	OPPS APC	487.64	4870.6	
PLATE PROX LAT HUM 4 HOLE RT X 99MM	SUP-97-05553	CDM			278	RC		inpatient			4870.6	4870.6																																																			
LONG NAIL GAMMA 11X360MM RIGHT	SUP-97-05358	CDM			278	RC		outpatient			4867.8	4867.82	4867.8				fee schedule		4867.8				other	OPPS APC	2774.65				percent of total billed charges		4867.8				other	OPPS APC	4867.8				other	OPPS APC	2385.22				percent of total billed charges		2482.58				percent of total billed charges		4867.82				other	OPPS APC	2385.22	4867.82	
LONG NAIL GAMMA 11X360MM RIGHT	SUP-97-05358	CDM			278	RC		inpatient			4867.8	4867.8																																																			
NAIL T2 IM TI 11MM 420MM STERILE	SUP-97-02615	CDM			278	RC		outpatient			4866.63	4866.63	4866.63				fee schedule		4866.63				other	OPPS APC	2773.98				percent of total billed charges		4866.63				other	OPPS APC	4866.63				other	OPPS APC	2384.65				percent of total billed charges		2481.98				percent of total billed charges		4866.63				other	OPPS APC	2384.65	4866.63	
NAIL T2 IM TI 11MM 420MM STERILE	SUP-97-02615	CDM			278	RC		inpatient			4866.63	4866.63																																																			
LAPIDUS  GRAFT SPAN MEDIUM  FOR 10-12MM	SUP-97-03781	CDM			278	RC		outpatient			4865.63	4865.63	4865.63				fee schedule		4865.63				other	OPPS APC	2773.41				percent of total billed charges		4865.63				other	OPPS APC	4865.63				other	OPPS APC	2384.16				percent of total billed charges		2481.47				percent of total billed charges		4865.63				other	OPPS APC	2384.16	4865.63	
LAPIDUS  GRAFT SPAN MEDIUM  FOR 10-12MM	SUP-97-03781	CDM			278	RC		inpatient			4865.63	4865.63																																																			
GRAFT OVITEX 1S 10 X 12CM	SUP-97-06268	CDM			278	RC		outpatient			4860	486	4860				fee schedule		4860				other	OPPS APC	2770.2				percent of total billed charges		4860				other	OPPS APC	4860				other	OPPS APC	2381.4				percent of total billed charges		2478.6				percent of total billed charges		486				other	OPPS APC	486	4860	
GRAFT OVITEX 1S 10 X 12CM	SUP-97-06268	CDM			278	RC		inpatient			4860	4860																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD24-12 MM ODSEC6.9 MM ID18 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESC-24-12-80	CDM	270010015	LOCAL	270	RC		outpatient			4852	4852	1314.41				percent of total billed charges		4852				other	OPPS APC	3590.48				percent of total billed charges		4852				other	OPPS APC	4852				other	OPPS APC	1314.41				percent of total billed charges		1340.61				percent of total billed charges		4852				other	OPPS APC	1314.41	4852	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L80 MM OD24-12 MM ODSEC6.9 MM ID18 FR ABDOMINAL AORTIC ANEURYSM SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESC-24-12-80	CDM	270010015	LOCAL	270	RC		inpatient			4852	4852																																																			
GRAFT ENDOVASCULAR ZENITH FLEX OD7.7 MM L80 MM OD28 MM ODSEC12 MM ID20 FR CONVERTER ANCILLARY COMPONENT INTRODUCER SHEATH Z-TRAK AAA	SUP-G55192	CDM	270010015	LOCAL	270	RC		outpatient			4852	4852	1314.41				percent of total billed charges		4852				other	OPPS APC	3590.48				percent of total billed charges		4852				other	OPPS APC	4852				other	OPPS APC	1314.41				percent of total billed charges		1340.61				percent of total billed charges		4852				other	OPPS APC	1314.41	4852	
GRAFT ENDOVASCULAR ZENITH FLEX OD7.7 MM L80 MM OD28 MM ODSEC12 MM ID20 FR CONVERTER ANCILLARY COMPONENT INTRODUCER SHEATH Z-TRAK AAA	SUP-G55192	CDM	270010015	LOCAL	270	RC		inpatient			4852	4852																																																			
GRAFT ENDOVASCULAR ZENITH FLEX OD7.7 MM L80 MM OD32 MM ODSEC12 MM ID20 FR CONVERTER ANCILLARY COMPONENT INTRODUCER SHEATH Z-TRAK AAA	SUP-G55193	CDM	270010015	LOCAL	270	RC		outpatient			4852	4852	1314.41				percent of total billed charges		4852				other	OPPS APC	3590.48				percent of total billed charges		4852				other	OPPS APC	4852				other	OPPS APC	1314.41				percent of total billed charges		1340.61				percent of total billed charges		4852				other	OPPS APC	1314.41	4852	
GRAFT ENDOVASCULAR ZENITH FLEX OD7.7 MM L80 MM OD32 MM ODSEC12 MM ID20 FR CONVERTER ANCILLARY COMPONENT INTRODUCER SHEATH Z-TRAK AAA	SUP-G55193	CDM	270010015	LOCAL	270	RC		inpatient			4852	4852																																																			
GRAFT ENDOVASCULAR ZENITH FLEX OD7.7 MM L82 MM OD36 MM ODSEC12 MM ID20 FR CONVERTER ANCILLARY COMPONENT INTRODUCER SHEATH Z-TRAK AAA	SUP-G55194	CDM	270010015	LOCAL	270	RC		outpatient			4852	4852	1314.41				percent of total billed charges		4852				other	OPPS APC	3590.48				percent of total billed charges		4852				other	OPPS APC	4852				other	OPPS APC	1314.41				percent of total billed charges		1340.61				percent of total billed charges		4852				other	OPPS APC	1314.41	4852	
GRAFT ENDOVASCULAR ZENITH FLEX OD7.7 MM L82 MM OD36 MM ODSEC12 MM ID20 FR CONVERTER ANCILLARY COMPONENT INTRODUCER SHEATH Z-TRAK AAA	SUP-G55194	CDM	270010015	LOCAL	270	RC		inpatient			4852	4852																																																			
ANKLE ARTHRODESIS NAIL RIGHT	SUP-97-03558	CDM			278	RC		outpatient			4845.5	4845.5	4845.5				fee schedule		4845.5				other	OPPS APC	2761.94				percent of total billed charges		4845.5				other	OPPS APC	4845.5				other	OPPS APC	2374.3				percent of total billed charges		2471.21				percent of total billed charges		4845.5				other	OPPS APC	2374.3	4845.5	
ANKLE ARTHRODESIS NAIL RIGHT	SUP-97-03558	CDM			278	RC		inpatient			4845.5	4845.5																																																			
NAIL LT ARTHRODESIS ANKLE	SUP-97-03762	CDM			278	RC		outpatient			4845	4845	4845				fee schedule		4845				other	OPPS APC	2761.65				percent of total billed charges		4845				other	OPPS APC	4845				other	OPPS APC	2374.05				percent of total billed charges		2470.95				percent of total billed charges		4845				other	OPPS APC	2374.05	4845	
NAIL LT ARTHRODESIS ANKLE	SUP-97-03762	CDM			278	RC		inpatient			4845	4845																																																			
HC IR Cvad Insertion Port	PX-361365611	CDM	36561	CPT	361	RC		outpatient			4839	3137.51	1528.16				percent of total billed charges		3137.51				other	OPPS APC	3652				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	1528.16				percent of total billed charges		1558.64				percent of total billed charges		3137.51				other	OPPS APC	1528.16	3652	
HC IR Cvad Insertion Port	PX-361365611	CDM	36561	CPT	361	RC		inpatient			4839	4839																																																			
HC IR Cvad Replace Tunneled Port Comp	PX-361365821	CDM	36582	CPT	361	RC		outpatient			4839	4839	1528.16				percent of total billed charges		4839				other	OPPS APC	4839				fee schedule		4839				other	OPPS APC	4839				other	OPPS APC	1528.16				percent of total billed charges		1558.64				percent of total billed charges		4839				other	OPPS APC	1528.16	4839	
HC IR Cvad Replace Tunneled Port Comp	PX-361365821	CDM	36582	CPT	361	RC		inpatient			4839	4839																																																			
PLATE TIBIAL PROXIMAL LATERAL 8 HOLE LEFT	SUP-97-01362	CDM			278	RC		outpatient			4837.5	4837.5	4837.5				fee schedule		4837.5				other	OPPS APC	2757.38				percent of total billed charges		4837.5				other	OPPS APC	4837.5				other	OPPS APC	2370.38				percent of total billed charges		2467.13				percent of total billed charges		4837.5				other	OPPS APC	2370.38	4837.5	
PLATE TIBIAL PROXIMAL LATERAL 8 HOLE LEFT	SUP-97-01362	CDM			278	RC		inpatient			4837.5	4837.5																																																			
GRAFT OVITEX LPR 12 X 12CM	SUP-95-05269	CDM			278	RC		outpatient			4835.5	4835.5	4835.5				fee schedule		4835.5				other	OPPS APC	2756.24				percent of total billed charges		4835.5				other	OPPS APC	4835.5				other	OPPS APC	2369.4				percent of total billed charges		2466.11				percent of total billed charges		4835.5				other	OPPS APC	2369.4	4835.5	
GRAFT OVITEX LPR 12 X 12CM	SUP-95-05269	CDM			278	RC		inpatient			4835.5	4835.5																																																			
TITAN 3-D WEDGE 8MM	SUP-97-03585	CDM			278	RC		outpatient			4834.38	4834.38	4834.38				fee schedule		4834.38				other	OPPS APC	2755.6				percent of total billed charges		4834.38				other	OPPS APC	4834.38				other	OPPS APC	2368.85				percent of total billed charges		2465.53				percent of total billed charges		4834.38				other	OPPS APC	2368.85	4834.38	
TITAN 3-D WEDGE 8MM	SUP-97-03585	CDM			278	RC		inpatient			4834.38	4834.38																																																			
TITAN 3-D WEDGE 7MM	SUP-97-03703	CDM			278	RC		outpatient			4834.38	4834.38	4834.38				fee schedule		4834.38				other	OPPS APC	2755.6				percent of total billed charges		4834.38				other	OPPS APC	4834.38				other	OPPS APC	2368.85				percent of total billed charges		2465.53				percent of total billed charges		4834.38				other	OPPS APC	2368.85	4834.38	
TITAN 3-D WEDGE 7MM	SUP-97-03703	CDM			278	RC		inpatient			4834.38	4834.38																																																			
HC Gft Skin Sub T/a/L >100cm 1st 100	PX-761152730	CDM	15273	CPT	761	RC		outpatient			4833	4833	195.77				case rate		4833				other	OPPS APC	3576.42				percent of total billed charges		4833				other	OPPS APC	4833				other	OPPS APC	195.77				case rate		2464.83				percent of total billed charges		4833				other	OPPS APC	195.77	4833	
HC Gft Skin Sub T/a/L >100cm 1st 100	PX-761152730	CDM	15273	CPT	761	RC		inpatient			4833	4833																																																			
POROCOAT STANDARD STEM	SUP-97-01308	CDM			278	RC		outpatient			4821.25	4821.25	4821.25				fee schedule		4821.25				other	OPPS APC	2748.11				percent of total billed charges		4821.25				other	OPPS APC	4821.25				other	OPPS APC	2362.41				percent of total billed charges		2458.84				percent of total billed charges		4821.25				other	OPPS APC	2362.41	4821.25	
POROCOAT STANDARD STEM	SUP-97-01308	CDM			278	RC		inpatient			4821.25	4821.25																																																			
ATTUNE PSFB INSRT SZ 8 6MM LEFT	SUP-97-04041	CDM			278	RC		outpatient			4821	4821	4821				fee schedule		4821				other	OPPS APC	2747.97				percent of total billed charges		4821				other	OPPS APC	4821				other	OPPS APC	2362.29				percent of total billed charges		2458.71				percent of total billed charges		4821				other	OPPS APC	2362.29	4821	
ATTUNE PSFB INSRT SZ 8 6MM LEFT	SUP-97-04041	CDM			278	RC		inpatient			4821	4821																																																			
ATTUNE PS FB INSRT SZ510MM	SUP-97-03345	CDM			278	RC		outpatient			4820	482	4820				fee schedule		4820				other	OPPS APC	2747.4				percent of total billed charges		4820				other	OPPS APC	4820				other	OPPS APC	2361.8				percent of total billed charges		2458.2				percent of total billed charges		482				other	OPPS APC	482	4820	
ATTUNE PS FB INSRT SZ510MM	SUP-97-03345	CDM			278	RC		inpatient			4820	4820																																																			
SYSTEM BALLOON DILATATION RELIEVA SPINPLUS L16 MM OD6 MM 3 GUIDE KIT STERILE LATEX FREE	SUP-RSP0616MFSZ	CDM	270010000	LOCAL	270	RC		outpatient			4818.34	4818.34	1305.29				percent of total billed charges		4818.34				other	OPPS APC	3565.57				percent of total billed charges		4818.34				other	OPPS APC	4818.34				other	OPPS APC	1305.29				percent of total billed charges		1331.31				percent of total billed charges		4818.34				other	OPPS APC	1305.29	4818.34	
SYSTEM BALLOON DILATATION RELIEVA SPINPLUS L16 MM OD6 MM 3 GUIDE KIT STERILE LATEX FREE	SUP-RSP0616MFSZ	CDM	270010000	LOCAL	270	RC		inpatient			4818.34	4818.34																																																			
ROTABLATOR - 1.50MM ROTAPRO BURR	SUP-99-00632	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 1.50MM ROTAPRO BURR	SUP-99-00632	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR- 1.25MM ROTAPRO BURR	SUP-99-00813	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR- 1.25MM ROTAPRO BURR	SUP-99-00813	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR - 2.00MM ROTAPRO BURR	SUP-99-02112	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 2.00MM ROTAPRO BURR	SUP-99-02112	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR - 2.50MM ROTAPRO BURR	SUP-99-02113	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 2.50MM ROTAPRO BURR	SUP-99-02113	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR - 1.75MM ROTAPRO BURR	SUP-99-02198	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 1.75MM ROTAPRO BURR	SUP-99-02198	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR - 2.15MM ROTAPRO BURR	SUP-99-04477	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 2.15MM ROTAPRO BURR	SUP-99-04477	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR - 2.25MM ROTAPRO BURR	SUP-99-04478	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 2.25MM ROTAPRO BURR	SUP-99-04478	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROTABLATOR - 2.38MM ROTAPRO BURR	SUP-99-04479	CDM			272	RC		outpatient			4812.5	4812.5	1303.71				percent of total billed charges		4812.5				other	OPPS APC	3561.25				percent of total billed charges		4812.5				other	OPPS APC	4812.5				other	OPPS APC	1303.71				percent of total billed charges		1329.69				percent of total billed charges		4812.5				other	OPPS APC	1303.71	4812.5	
ROTABLATOR - 2.38MM ROTAPRO BURR	SUP-99-04479	CDM			272	RC		inpatient			4812.5	4812.5																																																			
ROMIPLOSTIM PER 10 MCG	636000000	CDM	55513-221-01	NDC	J2796	HCPCS		inpatient			4808.1	4808.1																																																			
ROMIPLOSTIM PER 10 MCG	636000000	CDM	55513-221-01	NDC	J2796	HCPCS		outpatient			4808.1	12.68																																											12.68				other	OPPS APC	12.68	12.68	
NAIL TI CANN RETRO/ANTE FEMORAL 10X360MM	SUP-97-01531	CDM			278	RC		outpatient			4807.03	487.3	4807.03				fee schedule		4807.03				other	OPPS APC	2740.01				percent of total billed charges		4807.03				other	OPPS APC	4807.03				other	OPPS APC	2355.44				percent of total billed charges		2451.59				percent of total billed charges		487.3				other	OPPS APC	487.3	4807.03	
NAIL TI CANN RETRO/ANTE FEMORAL 10X360MM	SUP-97-01531	CDM			278	RC		inpatient			4807.03	4807.03																																																			
CLARIFIX	SUP-95-05587	CDM			272	RC		outpatient			4805.75	485.75	1301.88				percent of total billed charges		4805.75				other	OPPS APC	3556.26				percent of total billed charges		4805.75				other	OPPS APC	4805.75				other	OPPS APC	1301.88				percent of total billed charges		1327.83				percent of total billed charges		485.75				other	OPPS APC	485.75	4805.75	
CLARIFIX	SUP-95-05587	CDM			272	RC		inpatient			4805.75	4805.75																																																			
NAIL CANN TROCH FIX 11MM 130 400	SUP-97-00331	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL CANN TROCH FIX 11MM 130 400	SUP-97-00331	CDM			278	RC		inpatient			4805.33	4805.33																																																			
NAIL CANN TROCH FIX 11MM 130 380 R	SUP-97-00338	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL CANN TROCH FIX 11MM 130 380 R	SUP-97-00338	CDM			278	RC		inpatient			4805.33	4805.33																																																			
NAIL CANN TROCH FIX 11MM 130 360	SUP-97-00387	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL CANN TROCH FIX 11MM 130 360	SUP-97-00387	CDM			278	RC		inpatient			4805.33	4805.33																																																			
NAIL CANN TROCH FIX 11MM LEFT 130 380 R	SUP-97-00414	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL CANN TROCH FIX 11MM LEFT 130 380 R	SUP-97-00414	CDM			278	RC		inpatient			4805.33	4805.33																																																			
NAIL TROCH	SUP-97-00428	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL TROCH	SUP-97-00428	CDM			278	RC		inpatient			4805.33	4805.33																																																			
NAIL TROCH FIXATION 11MM/130	SUP-97-00898	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL TROCH FIXATION 11MM/130	SUP-97-00898	CDM			278	RC		inpatient			4805.33	4805.33																																																			
NAIL CANN TROCH FIX 10MM 130 400	SUP-97-02098	CDM			278	RC		outpatient			4805.33	485.33	4805.33				fee schedule		4805.33				other	OPPS APC	2739.04				percent of total billed charges		4805.33				other	OPPS APC	4805.33				other	OPPS APC	2354.61				percent of total billed charges		2450.72				percent of total billed charges		485.33				other	OPPS APC	485.33	4805.33	
NAIL CANN TROCH FIX 10MM 130 400	SUP-97-02098	CDM			278	RC		inpatient			4805.33	4805.33																																																			
SPACER SPINAL ZERO-P PEEK-OPTIMA TITANIUM STANDARD LORDOTIC H8 MM RADIOPAQUE PREASSEMBLE STERILE ANTERIOR CERVICAL INTERBODY FUSION	SUP-04.617.128S	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL ZERO-P PEEK-OPTIMA TITANIUM STANDARD LORDOTIC H8 MM RADIOPAQUE PREASSEMBLE STERILE ANTERIOR CERVICAL INTERBODY FUSION	SUP-04.617.128S	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
GRAFT BONE	SUP-20004530016	CDM						inpatient			4800	4800																																																			
GRAFT BONE	SUP-20004530016	CDM						outpatient			4800	48	4800				percent of total billed charges		4800				other	OPPS APC	4800				fee schedule		4800				other	OPPS APC	4800				other	OPPS APC	4800				case rate		4800				case rate		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION MIS 7 D D12 MM W14 MM X H6 MM STERILE LATEX FREE	SUP-3136.1106	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION MIS 7 D D12 MM W14 MM X H6 MM STERILE LATEX FREE	SUP-3136.1106	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 0 D L14MM X W12 MM X H5 MM	SUP-384.005	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 0 D L14MM X W12 MM X H5 MM	SUP-384.005	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM STERILE	SUP-384.006	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM STERILE	SUP-384.006	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 0 D W14 MM X H12 MM	SUP-384.007	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 0 D W14 MM X H12 MM	SUP-384.007	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 7 D L14MM X W12 MM X H5 MM	SUP-384.105	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 7 D L14MM X W12 MM X H5 MM	SUP-384.105	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM	SUP-384.106	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM	SUP-384.106	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL  COALITION TITANIUM L14 MM X W12 MM X H7 MM ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM	SUP-384.107	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL  COALITION TITANIUM L14 MM X W12 MM X H7 MM ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM	SUP-384.107	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 7D 12X14X8MM PEEK	SUP-384.108	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 7D 12X14X8MM PEEK	SUP-384.108	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SCREW BONE L14 MM OD3.6 MM SPINE FIX ANGLE SELF DRILL	SUP-384.174	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SCREW BONE L14 MM OD3.6 MM SPINE FIX ANGLE SELF DRILL	SUP-384.174	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 7 D L16 MM X W14 MM X H5 MM	SUP-384.205	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 7 D L16 MM X W14 MM X H5 MM	SUP-384.205	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 0 D L16 MM X W14 MM X H6 MM	SUP-384.206	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 0 D L16 MM X W14 MM X H6 MM	SUP-384.206	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION TITANIUM L16 MM X W14 MM X H7 MM ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM	SUP-384.207	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION TITANIUM L16 MM X W14 MM X H7 MM ANTERIOR CERVICAL DISCECTOMY AND FUSION PLATE SYSTEM	SUP-384.207	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 7D L 14MMX16MMX6MM	SUP-384.306	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 7D L 14MMX16MMX6MM	SUP-384.306	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION 7 D L16 MM X W14 MM X H7 MM	SUP-384.307	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION 7 D L16 MM X W14 MM X H7 MM	SUP-384.307	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
SPACER SPINAL COALITION L16 MM X W14 MM X H8 MM CERVICAL INTERBODY SVN DEGREE	SUP-384.308	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
SPACER SPINAL COALITION L16 MM X W14 MM X H8 MM CERVICAL INTERBODY SVN DEGREE	SUP-384.308	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
CAGE SPINAL COALITION H9 MM GS	SUP-384.309	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
CAGE SPINAL COALITION H9 MM GS	SUP-384.309	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
CAGE SPINAL L16 MM X W14 MM X H10 MM COALITION ACDF	SUP-384.310	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
CAGE SPINAL L16 MM X W14 MM X H10 MM COALITION ACDF	SUP-384.310	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
RELOAD STAPLER SUREFORM 45 D4.3 MM STERILE LATEX FREE DISPOSABLE GREEN	SUP-48345G	CDM			270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
RELOAD STAPLER SUREFORM 45 D4.3 MM STERILE LATEX FREE DISPOSABLE GREEN	SUP-48345G	CDM			270	RC		inpatient			4800	4800																																																			
LEAD DURATA SJ4 SINGLE SHOCK L58	SUP-7120Q/58	CDM			275	RC		outpatient			4800	48	2352				percent of total billed charges		4800				other	OPPS APC	2736				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	2352				percent of total billed charges		2448				percent of total billed charges		48				other	OPPS APC	48	4800	
LEAD DURATA SJ4 SINGLE SHOCK L58	SUP-7120Q/58	CDM			275	RC		inpatient			4800	4800																																																			
GUIDE CATHETER BOBBY L95 CM 8 F BALLOON GUIDE	SUP-BOB-895	CDM			270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
GUIDE CATHETER BOBBY L95 CM 8 F BALLOON GUIDE	SUP-BOB-895	CDM			270	RC		inpatient			4800	4800																																																			
CAGE SPINAL CERVICAL SPINE TRUSS SYSTEM-STAND ALONE STERILE LATEX FREE	SUP-CSTS-SA-SM0706-SP	CDM	270010020	LOCAL	270	RC		outpatient			4800	48	1300.32				percent of total billed charges		4800				other	OPPS APC	3552				percent of total billed charges		4800				other	OPPS APC	4800				other	OPPS APC	1300.32				percent of total billed charges		1326.24				percent of total billed charges		48				other	OPPS APC	48	4800	
CAGE SPINAL CERVICAL SPINE TRUSS SYSTEM-STAND ALONE STERILE LATEX FREE	SUP-CSTS-SA-SM0706-SP	CDM	270010020	LOCAL	270	RC		inpatient			4800	4800																																																			
PLATE PROXIMAL LATERAL 2 HOLE	SUP-97-02397	CDM			278	RC		outpatient			4794.38	4794.38	4794.38				fee schedule		4794.38				other	OPPS APC	2732.8				percent of total billed charges		4794.38				other	OPPS APC	4794.38				other	OPPS APC	2349.25				percent of total billed charges		2445.13				percent of total billed charges		4794.38				other	OPPS APC	2349.25	4794.38	
PLATE PROXIMAL LATERAL 2 HOLE	SUP-97-02397	CDM			278	RC		inpatient			4794.38	4794.38																																																			
GRAFTMASTER STENT 3.5 X 19	SUP-1012581-19	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
GRAFTMASTER STENT 3.5 X 19	SUP-1012581-19	CDM			270	RC		inpatient			4790	4790																																																			
GRAFTMATER STENT 4.0 X 16	SUP-1012582-16	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
GRAFTMATER STENT 4.0 X 16	SUP-1012582-16	CDM			270	RC		inpatient			4790	4790																																																			
LANTERN NAVIGATION UNIT	SUP-406000	CDM	270010025	LOCAL	270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
LANTERN NAVIGATION UNIT	SUP-406000	CDM	270010025	LOCAL	270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD3.5 MM FRAME V01	SUP-FC-3.5-6-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD3.5 MM FRAME V01	SUP-FC-3.5-6-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L6 CM OD3 MM FRAME V01	SUP-FC-3-6-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L6 CM OD3 MM FRAME V01	SUP-FC-3-6-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L8 CM OD3 MM FRAME V01	SUP-FC-3-8-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L8 CM OD3 MM FRAME V01	SUP-FC-3-8-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L10 CM OD4 MM FRAME V01	SUP-FC-4-10-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L10 CM OD4 MM FRAME V01	SUP-FC-4-10-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L12 CM OD4 MM FRAME V01	SUP-FC-4-12-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L12 CM OD4 MM FRAME V01	SUP-FC-4-12-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L6 CM OD4 MM FRAME V01	SUP-FC-4-6-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L6 CM OD4 MM FRAME V01	SUP-FC-4-6-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L10 CM OD5 MM FRAME V01	SUP-FC-5-10-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L10 CM OD5 MM FRAME V01	SUP-FC-5-10-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L15 CM OD5 MM FRAME V01	SUP-FC-5-15-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L15 CM OD5 MM FRAME V01	SUP-FC-5-15-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L10 CM OD6 MM FRAME V01	SUP-FC-6-10-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L10 CM OD6 MM FRAME V01	SUP-FC-6-10-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L15 CM OD6 MM FRAME V01	SUP-FC-6-15-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L15 CM OD6 MM FRAME V01	SUP-FC-6-15-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L20 CM OD6 MM FRAME V01	SUP-FC-6-20-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L20 CM OD6 MM FRAME V01	SUP-FC-6-20-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L15 CM OD7 MM FRAME V01	SUP-FC-7-15-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L15 CM OD7 MM FRAME V01	SUP-FC-7-15-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L20 CM OD7 MM FRAME V01	SUP-FC-7-20-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L20 CM OD7 MM FRAME V01	SUP-FC-7-20-3D	CDM			270	RC		inpatient			4790	4790																																																			
COIL EMBOLIZATION AXIUM 3D L30 CM OD7 MM FRAME V01	SUP-FC-7-30-3D	CDM			270	RC		outpatient			4790	479	1297.61				percent of total billed charges		4790				other	OPPS APC	3544.6				percent of total billed charges		4790				other	OPPS APC	4790				other	OPPS APC	1297.61				percent of total billed charges		1323.48				percent of total billed charges		479				other	OPPS APC	479	4790	
COIL EMBOLIZATION AXIUM 3D L30 CM OD7 MM FRAME V01	SUP-FC-7-30-3D	CDM			270	RC		inpatient			4790	4790																																																			
TIBIAL INSERT FIXED BEADING	SUP-97-02758	CDM			278	RC		outpatient			4786.5	4786.5	4786.5				fee schedule		4786.5				other	OPPS APC	2728.31				percent of total billed charges		4786.5				other	OPPS APC	4786.5				other	OPPS APC	2345.39				percent of total billed charges		2441.12				percent of total billed charges		4786.5				other	OPPS APC	2345.39	4786.5	
TIBIAL INSERT FIXED BEADING	SUP-97-02758	CDM			278	RC		inpatient			4786.5	4786.5																																																			
COIL TARGET DETACHABLE 360 ULTRA 2MM X 3CM	SUP-542203	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
COIL TARGET DETACHABLE 360 ULTRA 2MM X 3CM	SUP-542203	CDM			270	RC		inpatient			4780	4780																																																			
TARGET 360 ULTRA 5MM X 10MM	SUP-542510	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
TARGET 360 ULTRA 5MM X 10MM	SUP-542510	CDM			270	RC		inpatient			4780	4780																																																			
TARGET 360 NANO 3MM X 4MM	SUP-544304	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
TARGET 360 NANO 3MM X 4MM	SUP-544304	CDM			270	RC		inpatient			4780	4780																																																			
TARGET 360 NANO 3MM X 6MM	SUP-544306	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
TARGET 360 NANO 3MM X 6MM	SUP-544306	CDM			270	RC		inpatient			4780	4780																																																			
TARGET 360 NANO 3.5MM X 6MM	SUP-544356	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
TARGET 360 NANO 3.5MM X 6MM	SUP-544356	CDM			270	RC		inpatient			4780	4780																																																			
COIL TARGET DETACHABLE 360 SOFT 5MM X 10CM	SUP-547510	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
COIL TARGET DETACHABLE 360 SOFT 5MM X 10CM	SUP-547510	CDM			270	RC		inpatient			4780	4780																																																			
TARGET 360 NANO 3.5MM X 6MM	SUP-M0035443560	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
TARGET 360 NANO 3.5MM X 6MM	SUP-M0035443560	CDM			270	RC		inpatient			4780	4780																																																			
COIL TARGET DETACHABLE 3D 7 X 15CM	SUP-M0036157150	CDM			270	RC		outpatient			4780	478	1294.9				percent of total billed charges		4780				other	OPPS APC	3537.2				percent of total billed charges		4780				other	OPPS APC	4780				other	OPPS APC	1294.9				percent of total billed charges		1320.71				percent of total billed charges		478				other	OPPS APC	478	4780	
COIL TARGET DETACHABLE 3D 7 X 15CM	SUP-M0036157150	CDM			270	RC		inpatient			4780	4780																																																			
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 10 ML CHIP JAR	SUP-652-00-10	CDM	270010031	LOCAL	270	RC		outpatient			4778	4778	1294.36				percent of total billed charges		4778				other	OPPS APC	3535.72				percent of total billed charges		4778				other	OPPS APC	4778				other	OPPS APC	1294.36				percent of total billed charges		1320.16				percent of total billed charges		4778				other	OPPS APC	1294.36	4778	
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 10 ML CHIP JAR	SUP-652-00-10	CDM	270010031	LOCAL	270	RC		inpatient			4778	4778																																																			
SPEEDBRIDGE KIT WITH SCORPION NEEDLE	SUP-97-04144	CDM			278	RC		outpatient			4775	4775	4775				fee schedule		4775				other	OPPS APC	2721.75				percent of total billed charges		4775				other	OPPS APC	4775				other	OPPS APC	2339.75				percent of total billed charges		2435.25				percent of total billed charges		4775				other	OPPS APC	2339.75	4775	
SPEEDBRIDGE KIT WITH SCORPION NEEDLE	SUP-97-04144	CDM			278	RC		inpatient			4775	4775																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX OD4.1 MM L40 MM OD10 MM ODSEC15 FR PROXIMAL RELEASE AIRWAY STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00576440	CDM			270	RC		outpatient			4774.18	4774.18	1293.33				percent of total billed charges		4774.18				other	OPPS APC	3532.89				percent of total billed charges		4774.18				other	OPPS APC	4774.18				other	OPPS APC	1293.33				percent of total billed charges		1319.11				percent of total billed charges		4774.18				other	OPPS APC	1293.33	4774.18	
STENT TRACHEOBRONCHIAL ULTRAFLEX OD4.1 MM L40 MM OD10 MM ODSEC15 FR PROXIMAL RELEASE AIRWAY STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00576440	CDM			270	RC		inpatient			4774.18	4774.18																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX OD4.1 MM L40 MM OD12 MM ODSEC17 FR PROXIMAL RELEASE AIRWAY STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00576460	CDM			270	RC		outpatient			4774.18	4774.18	1293.33				percent of total billed charges		4774.18				other	OPPS APC	3532.89				percent of total billed charges		4774.18				other	OPPS APC	4774.18				other	OPPS APC	1293.33				percent of total billed charges		1319.11				percent of total billed charges		4774.18				other	OPPS APC	1293.33	4774.18	
STENT TRACHEOBRONCHIAL ULTRAFLEX OD4.1 MM L40 MM OD12 MM ODSEC17 FR PROXIMAL RELEASE AIRWAY STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00576460	CDM			270	RC		inpatient			4774.18	4774.18																																																			
STENT TRACHEOBRONCHIAL ULTRAFLEX OD4.1 MM L40 MM L180 MM OD14 MM ODSEC18 FR UNCOVER PROXIMAL RELEASE AIRWAY STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00576480	CDM			270	RC		outpatient			4774.18	4774.18	1293.33				percent of total billed charges		4774.18				other	OPPS APC	3532.89				percent of total billed charges		4774.18				other	OPPS APC	4774.18				other	OPPS APC	1293.33				percent of total billed charges		1319.11				percent of total billed charges		4774.18				other	OPPS APC	1293.33	4774.18	
STENT TRACHEOBRONCHIAL ULTRAFLEX OD4.1 MM L40 MM L180 MM OD14 MM ODSEC18 FR UNCOVER PROXIMAL RELEASE AIRWAY STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00576480	CDM			270	RC		inpatient			4774.18	4774.18																																																			
MEDIAL PLATE	SUP-97-01583	CDM			278	RC		outpatient			4771.88	4771.88	4771.88				fee schedule		4771.88				other	OPPS APC	2719.97				percent of total billed charges		4771.88				other	OPPS APC	4771.88				other	OPPS APC	2338.22				percent of total billed charges		2433.66				percent of total billed charges		4771.88				other	OPPS APC	2338.22	4771.88	
MEDIAL PLATE	SUP-97-01583	CDM			278	RC		inpatient			4771.88	4771.88																																																			
PLATE TIBIAL 6HOLE LEFT DISTAL MEDIAL	SUP-97-01591	CDM			278	RC		outpatient			4771.88	4771.88	4771.88				fee schedule		4771.88				other	OPPS APC	2719.97				percent of total billed charges		4771.88				other	OPPS APC	4771.88				other	OPPS APC	2338.22				percent of total billed charges		2433.66				percent of total billed charges		4771.88				other	OPPS APC	2338.22	4771.88	
PLATE TIBIAL 6HOLE LEFT DISTAL MEDIAL	SUP-97-01591	CDM			278	RC		inpatient			4771.88	4771.88																																																			
GUIDEWIRE - TRUEPATH CTO	SUP-99-01414	CDM			272	RC		outpatient			4762.5	4762.5	1290.16				percent of total billed charges		4762.5				other	OPPS APC	3524.25				percent of total billed charges		4762.5				other	OPPS APC	4762.5				other	OPPS APC	1290.16				percent of total billed charges		1315.88				percent of total billed charges		4762.5				other	OPPS APC	1290.16	4762.5	
GUIDEWIRE - TRUEPATH CTO	SUP-99-01414	CDM			272	RC		inpatient			4762.5	4762.5																																																			
NAIL TI CANN RETRO/ANT FEM 10MM X 380MM	SUP-97-02500	CDM			278	RC		outpatient			4760.68	476.68	4760.68				fee schedule		4760.68				other	OPPS APC	2713.59				percent of total billed charges		4760.68				other	OPPS APC	4760.68				other	OPPS APC	2332.73				percent of total billed charges		2427.95				percent of total billed charges		476.68				other	OPPS APC	476.68	4760.68	
NAIL TI CANN RETRO/ANT FEM 10MM X 380MM	SUP-97-02500	CDM			278	RC		inpatient			4760.68	4760.68																																																			
NAIL TI CANN RETRO/ANT FEM 10MM X 400MM	SUP-97-02696	CDM			278	RC		outpatient			4760.68	476.68	4760.68				fee schedule		4760.68				other	OPPS APC	2713.59				percent of total billed charges		4760.68				other	OPPS APC	4760.68				other	OPPS APC	2332.73				percent of total billed charges		2427.95				percent of total billed charges		476.68				other	OPPS APC	476.68	4760.68	
NAIL TI CANN RETRO/ANT FEM 10MM X 400MM	SUP-97-02696	CDM			278	RC		inpatient			4760.68	4760.68																																																			
SPEED TITAN IMLANT	SUP-97-01852	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
SPEED TITAN IMLANT	SUP-97-01852	CDM			278	RC		inpatient			4750	4750																																																			
GENFLEX EXP PS INSERT	SUP-97-04188	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
GENFLEX EXP PS INSERT	SUP-97-04188	CDM			278	RC		inpatient			4750	4750																																																			
TRIATHLON PS FEM COMP-BEADED W/PA	SUP-97-04476	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
TRIATHLON PS FEM COMP-BEADED W/PA	SUP-97-04476	CDM			278	RC		inpatient			4750	4750																																																			
TRIATHLON CR FEM COMPONENT BEAD.W/PA	SUP-97-04484	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
TRIATHLON CR FEM COMPONENT BEAD.W/PA	SUP-97-04484	CDM			278	RC		inpatient			4750	4750																																																			
TRIATHLON CR FEM COM.BEADED W/PA	SUP-97-04576	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
TRIATHLON CR FEM COM.BEADED W/PA	SUP-97-04576	CDM			278	RC		inpatient			4750	4750																																																			
HIP STEM 41 X 111MM HIGH OFFSET	SUP-97-05843	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
HIP STEM 41 X 111MM HIGH OFFSET	SUP-97-05843	CDM			278	RC		inpatient			4750	4750																																																			
HIP STEM SIZE 9 INSIGNIA COLLARD	SUP-97-05844	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
HIP STEM SIZE 9 INSIGNIA COLLARD	SUP-97-05844	CDM			278	RC		inpatient			4750	4750																																																			
HIP STEM SIZE 2 NK 36MM STM 99MM HIGH OFFSET INSIGNIA	SUP-97-05932	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
HIP STEM SIZE 2 NK 36MM STM 99MM HIGH OFFSET INSIGNIA	SUP-97-05932	CDM			278	RC		inpatient			4750	4750																																																			
HIP STEM STANDARD OFFSET INSIGNIA SIZE 2	SUP-97-06124	CDM			278	RC		outpatient			4750	475	4750				fee schedule		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
HIP STEM STANDARD OFFSET INSIGNIA SIZE 2	SUP-97-06124	CDM			278	RC		inpatient			4750	4750																																																			
SYSTEM PACEMAKER CARDIAC ADAPTA SR ATRIUM VENTRICLE IMPLANTABLE 1 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR	SUP-ADAPTASRK2	CDM			275	RC		outpatient			4750	475	2327.5				percent of total billed charges		4750				other	OPPS APC	2707.5				percent of total billed charges		4750				other	OPPS APC	4750				other	OPPS APC	2327.5				percent of total billed charges		2422.5				percent of total billed charges		475				other	OPPS APC	475	4750	
SYSTEM PACEMAKER CARDIAC ADAPTA SR ATRIUM VENTRICLE IMPLANTABLE 1 CHAMBER RATE RESPONSIVE UNIPOLAR BIPOLAR	SUP-ADAPTASRK2	CDM			275	RC		inpatient			4750	4750																																																			
LONG NAIL KIT R1/5 TI LFT 11X320MM X125	SUP-97-03643	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
LONG NAIL KIT R1/5 TI LFT 11X320MM X125	SUP-97-03643	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL GAMMA 3 S RT 10 X 420MM X 125	SUP-97-03645	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL GAMMA 3 S RT 10 X 420MM X 125	SUP-97-03645	CDM			278	RC		inpatient			4747.6	4747.6																																																			
LONG NAIL KIT RT 3530-1380S	SUP-97-03766	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
LONG NAIL KIT RT 3530-1380S	SUP-97-03766	CDM			278	RC		inpatient			4747.6	4747.6																																																			
LONG NAIL KIT R1/5 TI LFT 11X340MM X125	SUP-97-03784	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
LONG NAIL KIT R1/5 TI LFT 11X340MM X125	SUP-97-03784	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL LONG GAMMA RIGHT 11 X 400MM X 130DEGREE	SUP-97-03843	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL LONG GAMMA RIGHT 11 X 400MM X 130DEGREE	SUP-97-03843	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL GAMMA 3 S RT 10 X 360MM X 125	SUP-97-03942	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL GAMMA 3 S RT 10 X 360MM X 125	SUP-97-03942	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL LONG KIT R1 5 TI LEFT11X440MMX130	SUP-97-03943	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL LONG KIT R1 5 TI LEFT11X440MMX130	SUP-97-03943	CDM			278	RC		inpatient			4747.6	4747.6																																																			
LONG NAIL KIT R1/5 TI LFT 11X420MM	SUP-97-04317	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
LONG NAIL KIT R1/5 TI LFT 11X420MM	SUP-97-04317	CDM			278	RC		inpatient			4747.6	4747.6																																																			
LONG NAIL KIT 11 X 420MM X 130	SUP-97-04425	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
LONG NAIL KIT 11 X 420MM X 130	SUP-97-04425	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL LONG GAMMA 11 X 360MM RT	SUP-97-04703	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL LONG GAMMA 11 X 360MM RT	SUP-97-04703	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL GAMMA LONG LEFT 11 X 380MM X 125	SUP-97-04934	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL GAMMA LONG LEFT 11 X 380MM X 125	SUP-97-04934	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL LONG GAMMA 11 X 440MM	SUP-97-04968	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL LONG GAMMA 11 X 440MM	SUP-97-04968	CDM			278	RC		inpatient			4747.6	4747.6																																																			
NAIL LONG GAMMA 11 X 420MM 130DEG	SUP-97-05093	CDM			278	RC		outpatient			4747.6	4747.64	4747.6				fee schedule		4747.6				other	OPPS APC	2706.13				percent of total billed charges		4747.6				other	OPPS APC	4747.6				other	OPPS APC	2326.32				percent of total billed charges		2421.28				percent of total billed charges		4747.64				other	OPPS APC	2326.32	4747.64	
NAIL LONG GAMMA 11 X 420MM 130DEG	SUP-97-05093	CDM			278	RC		inpatient			4747.6	4747.6																																																			
ABUTMENT 12 MM	SUP-97-00813	CDM			278	RC		inpatient			4743.75	4743.75																																																			
ABUTMENT 12 MM	SUP-97-00813	CDM			278	RC		outpatient			4743.75	4743.75					fee schedule						other	OPPS APC	2703.94				percent of total billed charges						other	OPPS APC					other	OPPS APC	2324.44				percent of total billed charges		2419.31				percent of total billed charges						other	OPPS APC	2703.94	2703.94	
ABUTMENT 14 MM	SUP-97-02602	CDM			278	RC		inpatient			4743.75	4743.75																																																			
ABUTMENT 14 MM	SUP-97-02602	CDM			278	RC		outpatient			4743.75	4743.75					fee schedule						other	OPPS APC	2703.94				percent of total billed charges						other	OPPS APC					other	OPPS APC	2324.44				percent of total billed charges		2419.31				percent of total billed charges						other	OPPS APC	2703.94	2703.94	
INSERT TIBIAL GMK HINGE 4 H12 MM FIX BEARING STERILE	SUP-02.09.0412H	CDM	270010025	LOCAL	270	RC		outpatient			4740	474	1284.07				percent of total billed charges		4740				other	OPPS APC	3507.6				percent of total billed charges		4740				other	OPPS APC	4740				other	OPPS APC	1284.07				percent of total billed charges		1309.66				percent of total billed charges		474				other	OPPS APC	474	4740	
INSERT TIBIAL GMK HINGE 4 H12 MM FIX BEARING STERILE	SUP-02.09.0412H	CDM	270010025	LOCAL	270	RC		inpatient			4740	4740																																																			
INSERT TIBIAL GMK HINGE 4 H14 MM FIX BEARING STERILE	SUP-02.09.0414H	CDM	270010025	LOCAL	270	RC		outpatient			4740	474	1284.07				percent of total billed charges		4740				other	OPPS APC	3507.6				percent of total billed charges		4740				other	OPPS APC	4740				other	OPPS APC	1284.07				percent of total billed charges		1309.66				percent of total billed charges		474				other	OPPS APC	474	4740	
INSERT TIBIAL GMK HINGE 4 H14 MM FIX BEARING STERILE	SUP-02.09.0414H	CDM	270010025	LOCAL	270	RC		inpatient			4740	4740																																																			
INSERT TIBIAL GMK HINGE 4 H20 MM FIX BEARING STERILE	SUP-02.09.0420H	CDM	270010025	LOCAL	270	RC		outpatient			4740	474	1284.07				percent of total billed charges		4740				other	OPPS APC	3507.6				percent of total billed charges		4740				other	OPPS APC	4740				other	OPPS APC	1284.07				percent of total billed charges		1309.66				percent of total billed charges		474				other	OPPS APC	474	4740	
INSERT TIBIAL GMK HINGE 4 H20 MM FIX BEARING STERILE	SUP-02.09.0420H	CDM	270010025	LOCAL	270	RC		inpatient			4740	4740																																																			
STAPLE DYNANITE NITI W/INST 15MM X 12MM	SUP-97-03318	CDM			278	RC		outpatient			4737.5	4737.5	4737.5				fee schedule		4737.5				other	OPPS APC	2700.38				percent of total billed charges		4737.5				other	OPPS APC	4737.5				other	OPPS APC	2321.38				percent of total billed charges		2416.13				percent of total billed charges		4737.5				other	OPPS APC	2321.38	4737.5	
STAPLE DYNANITE NITI W/INST 15MM X 12MM	SUP-97-03318	CDM			278	RC		inpatient			4737.5	4737.5																																																			
STAPLE DYNANITE NITI 18MM X 18MM	SUP-97-03553	CDM			278	RC		outpatient			4737.5	4737.5	4737.5				fee schedule		4737.5				other	OPPS APC	2700.38				percent of total billed charges		4737.5				other	OPPS APC	4737.5				other	OPPS APC	2321.38				percent of total billed charges		2416.13				percent of total billed charges		4737.5				other	OPPS APC	2321.38	4737.5	
STAPLE DYNANITE NITI 18MM X 18MM	SUP-97-03553	CDM			278	RC		inpatient			4737.5	4737.5																																																			
STAPLE DYNANITE NITI 20MM X 20MM	SUP-97-03556	CDM			278	RC		outpatient			4737.5	4737.5	4737.5				fee schedule		4737.5				other	OPPS APC	2700.38				percent of total billed charges		4737.5				other	OPPS APC	4737.5				other	OPPS APC	2321.38				percent of total billed charges		2416.13				percent of total billed charges		4737.5				other	OPPS APC	2321.38	4737.5	
STAPLE DYNANITE NITI 20MM X 20MM	SUP-97-03556	CDM			278	RC		inpatient			4737.5	4737.5																																																			
STAPLE DYNANITE NITI 15MM X 15MM	SUP-97-03561	CDM			278	RC		outpatient			4737.5	4737.5	4737.5				fee schedule		4737.5				other	OPPS APC	2700.38				percent of total billed charges		4737.5				other	OPPS APC	4737.5				other	OPPS APC	2321.38				percent of total billed charges		2416.13				percent of total billed charges		4737.5				other	OPPS APC	2321.38	4737.5	
STAPLE DYNANITE NITI 15MM X 15MM	SUP-97-03561	CDM			278	RC		inpatient			4737.5	4737.5																																																			
STAPLE DYNAMITE NITI W/INSTRS 13WX15\12L	SUP-97-04942	CDM			278	RC		outpatient			4737.5	4737.5	4737.5				fee schedule		4737.5				other	OPPS APC	2700.38				percent of total billed charges		4737.5				other	OPPS APC	4737.5				other	OPPS APC	2321.38				percent of total billed charges		2416.13				percent of total billed charges		4737.5				other	OPPS APC	2321.38	4737.5	
STAPLE DYNAMITE NITI W/INSTRS 13WX15\12L	SUP-97-04942	CDM			278	RC		inpatient			4737.5	4737.5																																																			
STAPLE DYNANITE NITI W/INST 13MM X 10MM	SUP-97-04967	CDM			278	RC		outpatient			4737.5	4737.5	4737.5				fee schedule		4737.5				other	OPPS APC	2700.38				percent of total billed charges		4737.5				other	OPPS APC	4737.5				other	OPPS APC	2321.38				percent of total billed charges		2416.13				percent of total billed charges		4737.5				other	OPPS APC	2321.38	4737.5	
STAPLE DYNANITE NITI W/INST 13MM X 10MM	SUP-97-04967	CDM			278	RC		inpatient			4737.5	4737.5																																																			
HC Left Ventricular Lead	PX-275C19000	CDM			275	RC		outpatient			4726	4726	4726				fee schedule		4726				other	OPPS APC	2693.82				percent of total billed charges		4726				other	OPPS APC	4726				other	OPPS APC	2315.74				percent of total billed charges		2410.26				percent of total billed charges		4726				other	OPPS APC	2315.74	4726	
HC Left Ventricular Lead	PX-275C19000	CDM			275	RC		inpatient			4726	4726																																																			
FEMORAL TWO POST MIRROR 50MM	SUP-97-01923	CDM			278	RC		outpatient			4725	4725	4725				fee schedule		4725				other	OPPS APC	2693.25				percent of total billed charges		4725				other	OPPS APC	4725				other	OPPS APC	2315.25				percent of total billed charges		2409.75				percent of total billed charges		4725				other	OPPS APC	2315.25	4725	
FEMORAL TWO POST MIRROR 50MM	SUP-97-01923	CDM			278	RC		inpatient			4725	4725																																																			
FEMORAL TWO POST MIRROR 42MM	SUP-97-02575	CDM			278	RC		outpatient			4725	4725	4725				fee schedule		4725				other	OPPS APC	2693.25				percent of total billed charges		4725				other	OPPS APC	4725				other	OPPS APC	2315.25				percent of total billed charges		2409.75				percent of total billed charges		4725				other	OPPS APC	2315.25	4725	
FEMORAL TWO POST MIRROR 42MM	SUP-97-02575	CDM			278	RC		inpatient			4725	4725																																																			
CATHETER - OUTBACK ELITE 6FX120CM RE-ENTRY	SUP-99-04568	CDM			272	RC		outpatient			4725	4725	1280				percent of total billed charges		4725				other	OPPS APC	3496.5				percent of total billed charges		4725				other	OPPS APC	4725				other	OPPS APC	1280				percent of total billed charges		1305.52				percent of total billed charges		4725				other	OPPS APC	1280	4725	
CATHETER - OUTBACK ELITE 6FX120CM RE-ENTRY	SUP-99-04568	CDM			272	RC		inpatient			4725	4725																																																			
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L3.3 CM OD26 MM ODSEC18 FR ID22-23 MM AORTA STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXA260300	CDM	270010015	LOCAL	270	RC		outpatient			4724	4724	1279.73				percent of total billed charges		4724				other	OPPS APC	3495.76				percent of total billed charges		4724				other	OPPS APC	4724				other	OPPS APC	1279.73				percent of total billed charges		1305.24				percent of total billed charges		4724				other	OPPS APC	1279.73	4724	
GRAFT ENDOVASCULAR EXCLUDER GORE-TEX NITINOL FEP LOW PROFILE L3.3 CM OD26 MM ODSEC18 FR ID22-23 MM AORTA STENT EXTENDER DELIVERY SYSTEM SEAL CUFF FLEXIBLE AAA	SUP-PXA260300	CDM	270010015	LOCAL	270	RC		inpatient			4724	4724																																																			
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L3.3 CM OD28.5 MM AORTA STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID 24-26 MM ACCEPTS 18FR SHEATH	SUP-PXA280300	CDM	270010015	LOCAL	270	RC		outpatient			4724	4724	1279.73				percent of total billed charges		4724				other	OPPS APC	3495.76				percent of total billed charges		4724				other	OPPS APC	4724				other	OPPS APC	1279.73				percent of total billed charges		1305.24				percent of total billed charges		4724				other	OPPS APC	1279.73	4724	
GRAFT ENDOVASCULAR EXCLUDER C3 GORE-TEX NITINOL FEP L3.3 CM OD28.5 MM AORTA STENT EXTENDER DELIVERY SYSTEM AAA ACCEPTS ID 24-26 MM ACCEPTS 18FR SHEATH	SUP-PXA280300	CDM	270010015	LOCAL	270	RC		inpatient			4724	4724																																																			
ZEPHYR 4.0 ENDOBRONCHIAL	SUP-EBV-TS-4.0	CDM			270	RC		outpatient			4720	472	1278.65				percent of total billed charges		4720				other	OPPS APC	3492.8				percent of total billed charges		4720				other	OPPS APC	4720				other	OPPS APC	1278.65				percent of total billed charges		1304.14				percent of total billed charges		472				other	OPPS APC	472	4720	
ZEPHYR 4.0 ENDOBRONCHIAL	SUP-EBV-TS-4.0	CDM			270	RC		inpatient			4720	4720																																																			
ZEPHYR 4.0-LP ENDOBRONCHIAL VALVE	SUP-EBV-TS-4.0-LP	CDM			270	RC		outpatient			4720	472	1278.65				percent of total billed charges		4720				other	OPPS APC	3492.8				percent of total billed charges		4720				other	OPPS APC	4720				other	OPPS APC	1278.65				percent of total billed charges		1304.14				percent of total billed charges		472				other	OPPS APC	472	4720	
ZEPHYR 4.0-LP ENDOBRONCHIAL VALVE	SUP-EBV-TS-4.0-LP	CDM			270	RC		inpatient			4720	4720																																																			
ZEPHYR 5.5 ENDOBRONCHIAL VALVE	SUP-EBV-TS-5.5	CDM			270	RC		outpatient			4720	472	1278.65				percent of total billed charges		4720				other	OPPS APC	3492.8				percent of total billed charges		4720				other	OPPS APC	4720				other	OPPS APC	1278.65				percent of total billed charges		1304.14				percent of total billed charges		472				other	OPPS APC	472	4720	
ZEPHYR 5.5 ENDOBRONCHIAL VALVE	SUP-EBV-TS-5.5	CDM			270	RC		inpatient			4720	4720																																																			
ZEPHYR 5.5-LP ENDOBRONCHIAL VALVE	SUP-EBV-TS-5.5-LP	CDM			270	RC		outpatient			4720	472	1278.65				percent of total billed charges		4720				other	OPPS APC	3492.8				percent of total billed charges		4720				other	OPPS APC	4720				other	OPPS APC	1278.65				percent of total billed charges		1304.14				percent of total billed charges		472				other	OPPS APC	472	4720	
ZEPHYR 5.5-LP ENDOBRONCHIAL VALVE	SUP-EBV-TS-5.5-LP	CDM			270	RC		inpatient			4720	4720																																																			
HC IR Thrombectomy Arterial Secondary	PX-361371861	CDM	37186	CPT	361	RC		outpatient			4705	475	1485.84				percent of total billed charges		4705				other	OPPS APC	4705				fee schedule		4705				other	OPPS APC	4705				other	OPPS APC	1485.84				percent of total billed charges		1515.48				percent of total billed charges		475				other	OPPS APC	475	4705	
HC IR Thrombectomy Arterial Secondary	PX-361371861	CDM	37186	CPT	361	RC		inpatient			4705	4705																																																			
HC IR Thrombectomy Venous Subsequent Day	PX-361371881	CDM	37188	CPT	361	RC		outpatient			4705	475	1485.84				percent of total billed charges		4705				other	OPPS APC	4705				fee schedule		4705				other	OPPS APC	4705				other	OPPS APC	1485.84				percent of total billed charges		1515.48				percent of total billed charges		475				other	OPPS APC	475	4705	
HC IR Thrombectomy Venous Subsequent Day	PX-361371881	CDM	37188	CPT	361	RC		inpatient			4705	4705																																																			
PLATE BONE ATLANTIS TITANIUM L67.5 MM SPINE CERVICAL ANTERIOR LOCK LOW PROFILE STERILE	SUP-876-167	CDM	270010020	LOCAL	270	RC		outpatient			4702.04	472.4	1273.78				percent of total billed charges		4702.04				other	OPPS APC	3479.51				percent of total billed charges		4702.04				other	OPPS APC	4702.04				other	OPPS APC	1273.78				percent of total billed charges		1299.17				percent of total billed charges		472.4				other	OPPS APC	472.4	4702.04	
PLATE BONE ATLANTIS TITANIUM L67.5 MM SPINE CERVICAL ANTERIOR LOCK LOW PROFILE STERILE	SUP-876-167	CDM	270010020	LOCAL	270	RC		inpatient			4702.04	4702.04																																																			
INSERT ARTICULAR SURFACE NEXGEN LCCK EF 56 GREEN 10MM	SUP-00-5994-040-10	CDM	270010025	LOCAL	270	RC		outpatient			4702	472	1273.77				percent of total billed charges		4702				other	OPPS APC	3479.48				percent of total billed charges		4702				other	OPPS APC	4702				other	OPPS APC	1273.77				percent of total billed charges		1299.16				percent of total billed charges		472				other	OPPS APC	472	4702	
INSERT ARTICULAR SURFACE NEXGEN LCCK EF 56 GREEN 10MM	SUP-00-5994-040-10	CDM	270010025	LOCAL	270	RC		inpatient			4702	4702																																																			
GRAFT BONE	SUP-20004530084700	CDM						inpatient			4700	4700																																																			
GRAFT BONE	SUP-20004530084700	CDM						outpatient			4700	47	4700				percent of total billed charges		4700				other	OPPS APC	4700				fee schedule		4700				other	OPPS APC	4700				other	OPPS APC	4700				case rate		4700				case rate		47				other	OPPS APC	47	4700	
NAIL TIBIA 10MM CANN EX 375 MM	SUP-97-00425	CDM			278	RC		outpatient			4700	47	4700				fee schedule		4700				other	OPPS APC	2679				percent of total billed charges		4700				other	OPPS APC	4700				other	OPPS APC	2303				percent of total billed charges		2397				percent of total billed charges		47				other	OPPS APC	47	4700	
NAIL TIBIA 10MM CANN EX 375 MM	SUP-97-00425	CDM			278	RC		inpatient			4700	4700																																																			
BEAD PARTICLES EMBOLIZATION LC 70-150UM 2ML VIAL BLACK	SUP-VE020GS	CDM			270	RC		outpatient			4700	47	1273.23				percent of total billed charges		4700				other	OPPS APC	3478				percent of total billed charges		4700				other	OPPS APC	4700				other	OPPS APC	1273.23				percent of total billed charges		1298.61				percent of total billed charges		47				other	OPPS APC	47	4700	
BEAD PARTICLES EMBOLIZATION LC 70-150UM 2ML VIAL BLACK	SUP-VE020GS	CDM			270	RC		inpatient			4700	4700																																																			
ARTEGRAFT 6X40 (AG740)	SUP-75-00147	CDM			278	RC		outpatient			4697.5	4697.5	4697.5				fee schedule		4697.5				other	OPPS APC	2677.58				percent of total billed charges		4697.5				other	OPPS APC	4697.5				other	OPPS APC	2301.78				percent of total billed charges		2395.73				percent of total billed charges		4697.5				other	OPPS APC	2301.78	4697.5	
ARTEGRAFT 6X40 (AG740)	SUP-75-00147	CDM			278	RC		inpatient			4697.5	4697.5																																																			
GENFLEX EXP PS INSERT	SUP-97-02737	CDM			278	RC		outpatient			4695	4695	4695				fee schedule		4695				other	OPPS APC	2676.15				percent of total billed charges		4695				other	OPPS APC	4695				other	OPPS APC	2300.55				percent of total billed charges		2394.45				percent of total billed charges		4695				other	OPPS APC	2300.55	4695	
GENFLEX EXP PS INSERT	SUP-97-02737	CDM			278	RC		inpatient			4695	4695																																																			
TITAN 3-D WEDGE SMALL 8 X 17MM	SUP-97-03129	CDM			278	RC		outpatient			4687.5	4687.5	4687.5				fee schedule		4687.5				other	OPPS APC	2671.88				percent of total billed charges		4687.5				other	OPPS APC	4687.5				other	OPPS APC	2296.88				percent of total billed charges		2390.63				percent of total billed charges		4687.5				other	OPPS APC	2296.88	4687.5	
TITAN 3-D WEDGE SMALL 8 X 17MM	SUP-97-03129	CDM			278	RC		inpatient			4687.5	4687.5																																																			
COMPONENT FEMORAL IBALANCE 2 PATELLOFEMORAL LEFT	SUP-AR-502-2L	CDM			270	RC		outpatient			4685.04	4685.4	1269.18				percent of total billed charges		4685.04				other	OPPS APC	3466.93				percent of total billed charges		4685.04				other	OPPS APC	4685.04				other	OPPS APC	1269.18				percent of total billed charges		1294.48				percent of total billed charges		4685.4				other	OPPS APC	1269.18	4685.4	
COMPONENT FEMORAL IBALANCE 2 PATELLOFEMORAL LEFT	SUP-AR-502-2L	CDM			270	RC		inpatient			4685.04	4685.04																																																			
PACEMAKER AZURE S  W3SR01 MRI DEVICE	SUP-W3SR01	CDM			275	RC		outpatient			4674	4674	2290.26				percent of total billed charges		4674				other	OPPS APC	2664.18				percent of total billed charges		4674				other	OPPS APC	4674				other	OPPS APC	2290.26				percent of total billed charges		2383.74				percent of total billed charges		4674				other	OPPS APC	2290.26	4674	
PACEMAKER AZURE S  W3SR01 MRI DEVICE	SUP-W3SR01	CDM			275	RC		inpatient			4674	4674																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L70 CM L40 CM ID8 MM IDSEC8 MM AXILLOBIFEMORAL STRETCH STERILE LATEX FREE	SUP-SAX01D	CDM			270	RC		outpatient			4660	466	1262.39				percent of total billed charges		4660				other	OPPS APC	3448.4				percent of total billed charges		4660				other	OPPS APC	4660				other	OPPS APC	1262.39				percent of total billed charges		1287.56				percent of total billed charges		466				other	OPPS APC	466	4660	
GRAFT VASCULAR GORE-TEX STANDARD WALL L70 CM L40 CM ID8 MM IDSEC8 MM AXILLOBIFEMORAL STRETCH STERILE LATEX FREE	SUP-SAX01D	CDM			270	RC		inpatient			4660	4660																																																			
PROLAYER XENOGRAFT 5CM X 10CM	SUP-97-05437	CDM			636	RC		inpatient			4659.1	4659.1																																																			
PROLAYER XENOGRAFT 5CM X 10CM	SUP-97-05437	CDM			636	RC		outpatient			4659.1	4659.1					fee schedule						other	OPPS APC	3447.73				percent of total billed charges						other	OPPS APC					other	OPPS APC	2282.96				percent of total billed charges		1158.25				percent of total billed charges						other	OPPS APC	3447.73	3447.73	
CATHETER ICE WITH 4 WAY STEERING	SUP-D087031	CDM			270	RC		outpatient			4658	4658	1261.85				percent of total billed charges		4658				other	OPPS APC	3446.92				percent of total billed charges		4658				other	OPPS APC	4658				other	OPPS APC	1261.85				percent of total billed charges		1287.01				percent of total billed charges		4658				other	OPPS APC	1261.85	4658	
CATHETER ICE WITH 4 WAY STEERING	SUP-D087031	CDM			270	RC		inpatient			4658	4658																																																			
NECK ANGLE HIP STEM	SUP-97-00996	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-00996	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-01258	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-01258	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM SZ 6	SUP-97-01385	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM SZ 6	SUP-97-01385	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-01387	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-01387	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-01612	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-01612	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-02072	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-02072	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-02166	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-02166	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-02169	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-02169	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-02170	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-02170	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-02186	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-02186	CDM			278	RC		inpatient			4650	4650																																																			
NECK ANGLE HIP STEM	SUP-97-02357	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
NECK ANGLE HIP STEM	SUP-97-02357	CDM			278	RC		inpatient			4650	4650																																																			
SIZE 1 ACCOLADE III 132 DEG	SUP-97-23657	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
SIZE 1 ACCOLADE III 132 DEG	SUP-97-23657	CDM			278	RC		inpatient			4650	4650																																																			
SIZE 9 ACCOLADE II 132DEG	SUP-97-23850	CDM			278	RC		outpatient			4650	465	4650				fee schedule		4650				other	OPPS APC	2650.5				percent of total billed charges		4650				other	OPPS APC	4650				other	OPPS APC	2278.5				percent of total billed charges		2371.5				percent of total billed charges		465				other	OPPS APC	465	4650	
SIZE 9 ACCOLADE II 132DEG	SUP-97-23850	CDM			278	RC		inpatient			4650	4650																																																			
TIBIAL INSERT FIXED BEADING	SUP-97-02526	CDM			278	RC		outpatient			4647	4647	4647				fee schedule		4647				other	OPPS APC	2648.79				percent of total billed charges		4647				other	OPPS APC	4647				other	OPPS APC	2277.03				percent of total billed charges		2369.97				percent of total billed charges		4647				other	OPPS APC	2277.03	4647	
TIBIAL INSERT FIXED BEADING	SUP-97-02526	CDM			278	RC		inpatient			4647	4647																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L3 CM OD1.5 MM EXTRA SOFT	SUP-APB-1.5-3-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L3 CM OD1.5 MM EXTRA SOFT	SUP-APB-1.5-3-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L4 CM OD1.5 MM EXTRA SOFT	SUP-APB-1.5-4-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L4 CM OD1.5 MM EXTRA SOFT	SUP-APB-1.5-4-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L2 CM OD1 MM EXTRA SOFT	SUP-APB-1-2-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L2 CM OD1 MM EXTRA SOFT	SUP-APB-1-2-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L3 CM OD1 MM EXTRA SOFT	SUP-APB-1-3-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L3 CM OD1 MM EXTRA SOFT	SUP-APB-1-3-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD2.5 MM EXTRA SOFT	SUP-APB-2.5-6-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD2.5 MM EXTRA SOFT	SUP-APB-2.5-6-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L2 CM OD2 MM EXTRA SOFT	SUP-APB-2-2-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L2 CM OD2 MM EXTRA SOFT	SUP-APB-2-2-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L4 CM OD2 MM EXTRA SOFT	SUP-APB-2-4-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L4 CM OD2 MM EXTRA SOFT	SUP-APB-2-4-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L10 CM OD3.5 MM EXTRA SOFT	SUP-APB-3.5-10-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L10 CM OD3.5 MM EXTRA SOFT	SUP-APB-3.5-10-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD3.5 MM EXTRA SOFT	SUP-APB-3.5-6-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD3.5 MM EXTRA SOFT	SUP-APB-3.5-6-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L4 CM OD3 MM EXTRA SOFT	SUP-APB-3-4-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L4 CM OD3 MM EXTRA SOFT	SUP-APB-3-4-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD3 MM EXTRA SOFT	SUP-APB-3-6-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD3 MM EXTRA SOFT	SUP-APB-3-6-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L8 CM OD3 MM EXTRA SOFT	SUP-APB-3-8-3D-ES	CDM			270	RC		outpatient			4640	464	1256.98				percent of total billed charges		4640				other	OPPS APC	3433.6				percent of total billed charges		4640				other	OPPS APC	4640				other	OPPS APC	1256.98				percent of total billed charges		1282.03				percent of total billed charges		464				other	OPPS APC	464	4640	
COIL EMBOLIZATION AXIUM PRIME 3D L8 CM OD3 MM EXTRA SOFT	SUP-APB-3-8-3D-ES	CDM			270	RC		inpatient			4640	4640																																																			
NAIL INTRAMEDULLARY T2 TITANIUM L20 CM OD11 MM ANKLE LEFT LOCK STERILE ARTHRODESIS	SUP-1818-1120S	CDM			270	RC		outpatient			4631.9	4631.9	1254.78				percent of total billed charges		4631.9				other	OPPS APC	3427.61				percent of total billed charges		4631.9				other	OPPS APC	4631.9				other	OPPS APC	1254.78				percent of total billed charges		1279.79				percent of total billed charges		4631.9				other	OPPS APC	1254.78	4631.9	
NAIL INTRAMEDULLARY T2 TITANIUM L20 CM OD11 MM ANKLE LEFT LOCK STERILE ARTHRODESIS	SUP-1818-1120S	CDM			270	RC		inpatient			4631.9	4631.9																																																			
COIL TARGET DETACHABLE 360 NANO 1MM X 2CM	SUP-542102	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 360 NANO 1MM X 2CM	SUP-542102	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 360 NANO 1MM X 3CM	SUP-542103	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 360 NANO 1MM X 3CM	SUP-542103	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 360 NANO 1.5MM X 2CM	SUP-542152	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 360 NANO 1.5MM X 2CM	SUP-542152	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 360 NANO 1.5MM X 4CM	SUP-542154	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 360 NANO 1.5MM X 4CM	SUP-542154	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 360 SOFT 5MM X 15CM	SUP-547515	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 360 SOFT 5MM X 15CM	SUP-547515	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 3D 6 X 15CM	SUP-615615	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 3D 6 X 15CM	SUP-615615	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 360 NANO 2MM X 3CM	SUP-M0035442030	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 360 NANO 2MM X 3CM	SUP-M0035442030	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 3D 4 X 8CM	SUP-M0036154080	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 3D 4 X 8CM	SUP-M0036154080	CDM			270	RC		inpatient			4630	4630																																																			
COIL TARGET DETACHABLE 3D 8 X 25CM	SUP-M0036158250	CDM			270	RC		outpatient			4630	463	1254.27				percent of total billed charges		4630				other	OPPS APC	3426.2				percent of total billed charges		4630				other	OPPS APC	4630				other	OPPS APC	1254.27				percent of total billed charges		1279.27				percent of total billed charges		463				other	OPPS APC	463	4630	
COIL TARGET DETACHABLE 3D 8 X 25CM	SUP-M0036158250	CDM			270	RC		inpatient			4630	4630																																																			
ESSURE	SUP-77-00031	CDM			272	RC		outpatient			4625	4625	1252.91				percent of total billed charges		4625				other	OPPS APC	3422.5				percent of total billed charges		4625				other	OPPS APC	4625				other	OPPS APC	1252.91				percent of total billed charges		1277.89				percent of total billed charges		4625				other	OPPS APC	1252.91	4625	
ESSURE	SUP-77-00031	CDM			272	RC		inpatient			4625	4625																																																			
THUNDERBEAT TRANSDUCER	SUP-97-00932	CDM						inpatient			4625	4625																																																			
THUNDERBEAT TRANSDUCER	SUP-97-00932	CDM						outpatient			4625	4625	4625				percent of total billed charges		4625				other	OPPS APC	4625				fee schedule		4625				other	OPPS APC	4625				other	OPPS APC	4625				case rate		4625				case rate		4625				other	OPPS APC	4625	4625	
GRAFT SOFT TISSUE ARTHROFLEX MATRACELL THK1.5MM 40X70MM ACELLULAR DERMAL MATRIX STERILE ALLOGRAFT	SUP-AFLEX101	CDM	270010031	LOCAL	270	RC		outpatient			4618.26	4618.26	1251.09				percent of total billed charges		4618.26				other	OPPS APC	3417.51				percent of total billed charges		4618.26				other	OPPS APC	4618.26				other	OPPS APC	1251.09				percent of total billed charges		1276.03				percent of total billed charges		4618.26				other	OPPS APC	1251.09	4618.26	
GRAFT SOFT TISSUE ARTHROFLEX MATRACELL THK1.5MM 40X70MM ACELLULAR DERMAL MATRIX STERILE ALLOGRAFT	SUP-AFLEX101	CDM	270010031	LOCAL	270	RC		inpatient			4618.26	4618.26																																																			
TOTAL STABILIZED TIBIAL INSERT 1 13MM	SUP-97-03640	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TOTAL STABILIZED TIBIAL INSERT 1 13MM	SUP-97-03640	CDM			278	RC		inpatient			4610	4610																																																			
TOTAL STABIZER + TRIBAL INSERT	SUP-97-04579	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TOTAL STABIZER + TRIBAL INSERT	SUP-97-04579	CDM			278	RC		inpatient			4610	4610																																																			
NO.4 TRIATHLON TS PLUS TIBAL X3 POLY 13MM	SUP-97-04632	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.4 TRIATHLON TS PLUS TIBAL X3 POLY 13MM	SUP-97-04632	CDM			278	RC		inpatient			4610	4610																																																			
NO.3 TRIATHLON TS PLUS TIBIAL INSERT 9M	SUP-97-04750	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.3 TRIATHLON TS PLUS TIBIAL INSERT 9M	SUP-97-04750	CDM			278	RC		inpatient			4610	4610																																																			
NO.6 TRIATHLON TS PLUS TIBIAL INSERT X3 POLY11	SUP-97-04823	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.6 TRIATHLON TS PLUS TIBIAL INSERT X3 POLY11	SUP-97-04823	CDM			278	RC		inpatient			4610	4610																																																			
NO.5 TRIATHLON TS PLUS TIBAL INSERT X3 1	SUP-97-04853	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.5 TRIATHLON TS PLUS TIBAL INSERT X3 1	SUP-97-04853	CDM			278	RC		inpatient			4610	4610																																																			
NO.3 TRIATHLON TS PLUS INSERT X3 POLY 16M	SUP-97-05013	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.3 TRIATHLON TS PLUS INSERT X3 POLY 16M	SUP-97-05013	CDM			278	RC		inpatient			4610	4610																																																			
TIBIAL INSERT X3 POLY 11MM TRIATHLON TS	SUP-97-05626	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TIBIAL INSERT X3 POLY 11MM TRIATHLON TS	SUP-97-05626	CDM			278	RC		inpatient			4610	4610																																																			
TIBIAL INSERT X3 POLY 16MM TRIATHLON TS PLUS	SUP-97-05795	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TIBIAL INSERT X3 POLY 16MM TRIATHLON TS PLUS	SUP-97-05795	CDM			278	RC		inpatient			4610	4610																																																			
TIBIAL INSERT TRIATHLON X3 TOTAL STABILIZER #6 9MM	SUP-97-06045	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TIBIAL INSERT TRIATHLON X3 TOTAL STABILIZER #6 9MM	SUP-97-06045	CDM			278	RC		inpatient			4610	4610																																																			
TIBIAL INSERT X3 POLY 25MM TRIATHLON TS PLUS	SUP-97-06352	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TIBIAL INSERT X3 POLY 25MM TRIATHLON TS PLUS	SUP-97-06352	CDM			278	RC		inpatient			4610	4610																																																			
NO.8 TRIATHLON TS PLUS TIB.INSERT X3 9MM	SUP-97-23705	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.8 TRIATHLON TS PLUS TIB.INSERT X3 9MM	SUP-97-23705	CDM			278	RC		inpatient			4610	4610																																																			
NO.6 TRIATHLON TS PLUS TIBIAL INSERT X3 POLY 31M	SUP-97-23731	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
NO.6 TRIATHLON TS PLUS TIBIAL INSERT X3 POLY 31M	SUP-97-23731	CDM			278	RC		inpatient			4610	4610																																																			
TIBIAL INSERT SIZE 4 9MM TOTAL STABILIZER X3	SUP-97-23788	CDM			278	RC		outpatient			4610	461	4610				fee schedule		4610				other	OPPS APC	2627.7				percent of total billed charges		4610				other	OPPS APC	4610				other	OPPS APC	2258.9				percent of total billed charges		2351.1				percent of total billed charges		461				other	OPPS APC	461	4610	
TIBIAL INSERT SIZE 4 9MM TOTAL STABILIZER X3	SUP-97-23788	CDM			278	RC		inpatient			4610	4610																																																			
STEM FEMORAL TRI-LOCK BPS GRIPTION 2 STANDARD OFFSET L99 MM HIP STERILE	SUP-1012-04-020	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL TRI-LOCK BPS GRIPTION 2 STANDARD OFFSET L99 MM HIP STERILE	SUP-1012-04-020	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL TRI-LOCK BPS GRIPTION 7 STANDARD OFFSET L109 MM HIP STERILE	SUP-1012-04-070	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL TRI-LOCK BPS GRIPTION 7 STANDARD OFFSET L109 MM HIP STERILE	SUP-1012-04-070	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL TRI-LOCK BPS GRIPTION 3 HIGH OFFSET L101 MM HIP STERILE	SUP-1012-14-030	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL TRI-LOCK BPS GRIPTION 3 HIGH OFFSET L101 MM HIP STERILE	SUP-1012-14-030	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL TRI-LOCK BPS GRIPTION 5 HIGH OFFSET L105 MM HIP STERILE	SUP-1012-14-050	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL TRI-LOCK BPS GRIPTION 5 HIGH OFFSET L105 MM HIP STERILE	SUP-1012-14-050	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL TRI-LOCK BPS GRIPTION 7 HIGH OFFSET L109 MM HIP STERILE	SUP-1012-14-070	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL TRI-LOCK BPS GRIPTION 7 HIGH OFFSET L109 MM HIP STERILE	SUP-1012-14-070	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
SPACER SPINAL COALITION MIS TITANIUM 7 D D12 MM W14 MM X H6 MM STERILE LATEX FREE	SUP-1136.2476	CDM	270010020	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
SPACER SPINAL COALITION MIS TITANIUM 7 D D12 MM W14 MM X H6 MM STERILE LATEX FREE	SUP-1136.2476	CDM	270010020	LOCAL	270	RC		inpatient			4600	4600																																																			
SPACER SPINAL COALITION MIS TITANIUM 7 D D12 MM W14 MM X H7 MM STERILE LATEX FREE	SUP-1136.2477	CDM	270010020	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
SPACER SPINAL COALITION MIS TITANIUM 7 D D12 MM W14 MM X H7 MM STERILE LATEX FREE	SUP-1136.2477	CDM	270010020	LOCAL	270	RC		inpatient			4600	4600																																																			
SPACER SPINAL COALITION MIS TITANIUM 7 D D12 MM W14 MM X H9 MM STERILE LATEX FREE	SUP-1136.2479	CDM	270010020	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
SPACER SPINAL COALITION MIS TITANIUM 7 D D12 MM W14 MM X H9 MM STERILE LATEX FREE	SUP-1136.2479	CDM	270010020	LOCAL	270	RC		inpatient			4600	4600																																																			
SHELL PINACLE ACETABULAR 100 SERIES 52MM	SUP-1217-01-052	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
SHELL PINACLE ACETABULAR 100 SERIES 52MM	SUP-1217-01-052	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL TAPERLOC MICROPLASTY LATERALIZE OFFSET OD16 MM HIP	SUP-15-103215	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL TAPERLOC MICROPLASTY LATERALIZE OFFSET OD16 MM HIP	SUP-15-103215	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL CORAIL ARTICUL/EZE 135D 41.5MM 12/14 MINI TAPER STANDARD OFFSET 135MM	SUP-3L92513	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL CORAIL ARTICUL/EZE 135D 41.5MM 12/14 MINI TAPER STANDARD OFFSET 135MM	SUP-3L92513	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
IMPLANT STEM DEPUY FEMORAL CORAIL	SUP-3L93709	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
IMPLANT STEM DEPUY FEMORAL CORAIL	SUP-3L93709	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD28 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T28	CDM			270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD28 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T28	CDM			270	RC		inpatient			4600	4600																																																			
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD30 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T30	CDM			270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD30 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T30	CDM			270	RC		inpatient			4600	4600																																																			
RING ANNULOPLASTY EDWARDS MC3 3D ANGLE DOWN OD32 MM TRICUSPID	SUP-4900T32	CDM			270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
RING ANNULOPLASTY EDWARDS MC3 3D ANGLE DOWN OD32 MM TRICUSPID	SUP-4900T32	CDM			270	RC		inpatient			4600	4600																																																			
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD34 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T34	CDM			270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD34 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T34	CDM			270	RC		inpatient			4600	4600																																																			
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD36 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T36	CDM			270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
RING ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER OD36 MM TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900T36	CDM			270	RC		inpatient			4600	4600																																																			
STEM FEMORAL BENCOX 2 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1002	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL BENCOX 2 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1002	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL STANDARD SIZE 3	SUP-HA.F22.1003	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL STANDARD SIZE 3	SUP-HA.F22.1003	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL BENCOX 8 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1008	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL BENCOX 8 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1008	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL LATERALIZED SIZE 3	SUP-HA.F24.1003	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL LATERALIZED SIZE 3	SUP-HA.F24.1003	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL BENCOX LATERALIZED SIZE 5	SUP-HA.F24.1005	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL BENCOX LATERALIZED SIZE 5	SUP-HA.F24.1005	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
FEMUR BENCOX LATERALIZED SIZE 6	SUP-HA.F24.1006	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
FEMUR BENCOX LATERALIZED SIZE 6	SUP-HA.F24.1006	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL LATERALIZED SIZE 7	SUP-HA.F24.1007	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL LATERALIZED SIZE 7	SUP-HA.F24.1007	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM FEMORAL LATERALIZED SIZE 8	SUP-HA.F24.1008	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM FEMORAL LATERALIZED SIZE 8	SUP-HA.F24.1008	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
STEM LATERALIZED SIZE 9	SUP-HA.F24.1009	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
STEM LATERALIZED SIZE 9	SUP-HA.F24.1009	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
FEMUR BENCOX LATERALIZED SIZE 10	SUP-HA.F24.1010	CDM	270010024	LOCAL	270	RC		outpatient			4600	46	1246.14				percent of total billed charges		4600				other	OPPS APC	3404				percent of total billed charges		4600				other	OPPS APC	4600				other	OPPS APC	1246.14				percent of total billed charges		1270.98				percent of total billed charges		46				other	OPPS APC	46	4600	
FEMUR BENCOX LATERALIZED SIZE 10	SUP-HA.F24.1010	CDM	270010024	LOCAL	270	RC		inpatient			4600	4600																																																			
BASEPLATE 24MM MONOBLOCK SCREW	SUP-AR-9560-24S	CDM			270	RC		outpatient			4592.24	4592.24	1244.04				percent of total billed charges		4592.24				other	OPPS APC	3398.26				percent of total billed charges		4592.24				other	OPPS APC	4592.24				other	OPPS APC	1244.04				percent of total billed charges		1268.84				percent of total billed charges		4592.24				other	OPPS APC	1244.04	4592.24	
BASEPLATE 24MM MONOBLOCK SCREW	SUP-AR-9560-24S	CDM			270	RC		inpatient			4592.24	4592.24																																																			
GRAFT VENTRIO ST HERNIA 22.1 X 27.1	SUP-75-00085	CDM			278	RC		outpatient			4591.5	4591.5	4591.5				fee schedule		4591.5				other	OPPS APC	2617.16				percent of total billed charges		4591.5				other	OPPS APC	4591.5				other	OPPS APC	2249.84				percent of total billed charges		2341.67				percent of total billed charges		4591.5				other	OPPS APC	2249.84	4591.5	
GRAFT VENTRIO ST HERNIA 22.1 X 27.1	SUP-75-00085	CDM			278	RC		inpatient			4591.5	4591.5																																																			
HC IR Ivc Filter Insertion	PX-361371911	CDM	37191	CPT	361	RC		outpatient			4591	4591	1449.84				percent of total billed charges		4591				other	OPPS APC	4591				fee schedule		4591				other	OPPS APC	4591				other	OPPS APC	1449.84				percent of total billed charges		1478.76				percent of total billed charges		4591				other	OPPS APC	1449.84	4591	
HC IR Ivc Filter Insertion	PX-361371911	CDM	37191	CPT	361	RC		inpatient			4591	4591																																																			
COIL TARGET DETACHABLE 360 ULTRA 2MM X 6CM	SUP-542206	CDM			270	RC		outpatient			4590	459	1243.43				percent of total billed charges		4590				other	OPPS APC	3396.6				percent of total billed charges		4590				other	OPPS APC	4590				other	OPPS APC	1243.43				percent of total billed charges		1268.22				percent of total billed charges		459				other	OPPS APC	459	4590	
COIL TARGET DETACHABLE 360 ULTRA 2MM X 6CM	SUP-542206	CDM			270	RC		inpatient			4590	4590																																																			
COIL TARGET DETACHABLE 360 ULTRA 2.5MM X 4CM	SUP-542254	CDM			270	RC		outpatient			4590	459	1243.43				percent of total billed charges		4590				other	OPPS APC	3396.6				percent of total billed charges		4590				other	OPPS APC	4590				other	OPPS APC	1243.43				percent of total billed charges		1268.22				percent of total billed charges		459				other	OPPS APC	459	4590	
COIL TARGET DETACHABLE 360 ULTRA 2.5MM X 4CM	SUP-542254	CDM			270	RC		inpatient			4590	4590																																																			
COIL TARGET DETACHABLE 360 ULTRA 3MM X 6CM	SUP-542306	CDM			270	RC		outpatient			4590	459	1243.43				percent of total billed charges		4590				other	OPPS APC	3396.6				percent of total billed charges		4590				other	OPPS APC	4590				other	OPPS APC	1243.43				percent of total billed charges		1268.22				percent of total billed charges		459				other	OPPS APC	459	4590	
COIL TARGET DETACHABLE 360 ULTRA 3MM X 6CM	SUP-542306	CDM			270	RC		inpatient			4590	4590																																																			
STIMULAN PASTE BEADS	SUP-97-01068	CDM			278	RC		outpatient			4587.5	4587.5	4587.5				fee schedule		4587.5				other	OPPS APC	2614.88				percent of total billed charges		4587.5				other	OPPS APC	4587.5				other	OPPS APC	2247.88				percent of total billed charges		2339.63				percent of total billed charges		4587.5				other	OPPS APC	2247.88	4587.5	
STIMULAN PASTE BEADS	SUP-97-01068	CDM			278	RC		inpatient			4587.5	4587.5																																																			
NAIL INTRAMEDULLARY META-TAN L 30CM OD 9MM RIGHT	SUP-71640530	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 30CM OD 9MM RIGHT	SUP-71640530	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 32CM OD 9MM RIGHT	SUP-71640532	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 32CM OD 9MM RIGHT	SUP-71640532	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 34CM OD 9MM RIGHT	SUP-71640534	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 34CM OD 9MM RIGHT	SUP-71640534	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 36CM OD 9MM RIGHT	SUP-71640536	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 36CM OD 9MM RIGHT	SUP-71640536	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 38CM OD 9MM RIGHT	SUP-71640538	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 38CM OD 9MM RIGHT	SUP-71640538	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 40CM OD 9MM RIGHT	SUP-71640540	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 40CM OD 9MM RIGHT	SUP-71640540	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 42CM OD 9MM RIGHT	SUP-71640542	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 42CM OD 9MM RIGHT	SUP-71640542	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 44CM OD 9MM RIGHT	SUP-71640544	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 44CM OD 9MM RIGHT	SUP-71640544	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 30CM OD 10MM RIGHT	SUP-71640630	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 30CM OD 10MM RIGHT	SUP-71640630	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 32CM OD 10MM RIGHT	SUP-71640632	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 32CM OD 10MM RIGHT	SUP-71640632	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 34CM OD 10MM RIGHT	SUP-71640634	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 34CM OD 10MM RIGHT	SUP-71640634	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 36CM OD 10MM RIGHT	SUP-71640636	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 36CM OD 10MM RIGHT	SUP-71640636	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 38CM OD 10MM RIGHT	SUP-71640638	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 38CM OD 10MM RIGHT	SUP-71640638	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 40CM OD 10MM RIGHT	SUP-71640640	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 40CM OD 10MM RIGHT	SUP-71640640	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 42CM OD 10MM RIGHT	SUP-71640642	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 42CM OD 10MM RIGHT	SUP-71640642	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 44CM OD 10MM RIGHT	SUP-71640644	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 44CM OD 10MM RIGHT	SUP-71640644	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 30CM OD 11.5MM RIGHT	SUP-71640730	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 30CM OD 11.5MM RIGHT	SUP-71640730	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 32CM OD 11.5MM RIGHT	SUP-71640732	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 32CM OD 11.5MM RIGHT	SUP-71640732	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 34CM OD 11.5MM RIGHT	SUP-71640734	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 34CM OD 11.5MM RIGHT	SUP-71640734	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 36CM OD 11.5MM RIGHT	SUP-71640736	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 36CM OD 11.5MM RIGHT	SUP-71640736	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 38CM OD 11.5MM RIGHT	SUP-71640738	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 38CM OD 11.5MM RIGHT	SUP-71640738	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 40CM OD 11.5MM RIGHT	SUP-71640740	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 40CM OD 11.5MM RIGHT	SUP-71640740	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 42CM OD 11.5MM RIGHT	SUP-71640742	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 42CM OD 11.5MM RIGHT	SUP-71640742	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 30CM OD 9MM LEFT	SUP-71649530	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 30CM OD 9MM LEFT	SUP-71649530	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 32CM OD 9MM LEFT	SUP-71649532	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 32CM OD 9MM LEFT	SUP-71649532	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 34CM OD 9MM LEFT	SUP-71649534	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 34CM OD 9MM LEFT	SUP-71649534	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 36CM OD 9MM LEFT	SUP-71649536	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 36CM OD 9MM LEFT	SUP-71649536	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 38CM OD 9MM LEFT	SUP-71649538	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 38CM OD 9MM LEFT	SUP-71649538	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 40CM OD 9MM LEFT	SUP-71649540	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 40CM OD 9MM LEFT	SUP-71649540	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 42CM OD 9MM LEFT	SUP-71649542	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 42CM OD 9MM LEFT	SUP-71649542	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 44CM OD 9MM LEFT	SUP-71649544	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 44CM OD 9MM LEFT	SUP-71649544	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 30CM OD 10MM LEFT	SUP-71649630	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 30CM OD 10MM LEFT	SUP-71649630	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 32CM OD 10MM LEFT	SUP-71649632	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 32CM OD 10MM LEFT	SUP-71649632	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 34CM OD 10MM LEFT	SUP-71649634	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 34CM OD 10MM LEFT	SUP-71649634	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 36CM OD 10MM LEFT	SUP-71649636	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 36CM OD 10MM LEFT	SUP-71649636	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 38CM OD 10MM LEFT	SUP-71649638	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 38CM OD 10MM LEFT	SUP-71649638	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 40CM OD 10MM LEFT	SUP-71649640	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 40CM OD 10MM LEFT	SUP-71649640	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 42CM OD 10MM LEFT	SUP-71649642	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 42CM OD 10MM LEFT	SUP-71649642	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 44CM OD 10MM LEFT	SUP-71649644	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 44CM OD 10MM LEFT	SUP-71649644	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 30CM OD 11.5MM LEFT	SUP-71649730	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 30CM OD 11.5MM LEFT	SUP-71649730	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 32CM OD 11.5MM LEFT	SUP-71649732	CDM	27000000	LOCAL	270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 32CM OD 11.5MM LEFT	SUP-71649732	CDM	27000000	LOCAL	270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 34CM OD 11.5MM LEFT	SUP-71649734	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 34CM OD 11.5MM LEFT	SUP-71649734	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 36CM OD 11.5MM LEFT	SUP-71649736	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 36CM OD 11.5MM LEFT	SUP-71649736	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 38CM OD 11.5MM LEFT	SUP-71649738	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 38CM OD 11.5MM LEFT	SUP-71649738	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 40CM OD 11.5MM LEFT	SUP-71649740	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 40CM OD 11.5MM LEFT	SUP-71649740	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 42CM OD 11.5MM LEFT	SUP-71649742	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 42CM OD 11.5MM LEFT	SUP-71649742	CDM			270	RC		inpatient			4584.5	4584.5																																																			
NAIL INTRAMEDULLARY META-TAN L 44CM OD 11.5MM LEFT	SUP-71649744	CDM			270	RC		outpatient			4584.5	4584.5	1241.94				percent of total billed charges		4584.5				other	OPPS APC	3392.53				percent of total billed charges		4584.5				other	OPPS APC	4584.5				other	OPPS APC	1241.94				percent of total billed charges		1266.7				percent of total billed charges		4584.5				other	OPPS APC	1241.94	4584.5	
NAIL INTRAMEDULLARY META-TAN L 44CM OD 11.5MM LEFT	SUP-71649744	CDM			270	RC		inpatient			4584.5	4584.5																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY .012 IN L15 CM OD 5MM COMPLEX FILL DETACHABLE RANDOM LOOP DESIGN STRETCH RESISTANT	SUP-640CF0515	CDM			270	RC		outpatient			4582.06	4582.64	1241.28				percent of total billed charges		4582.06				other	OPPS APC	3390.72				percent of total billed charges		4582.06				other	OPPS APC	4582.06				other	OPPS APC	1241.28				percent of total billed charges		1266.02				percent of total billed charges		4582.64				other	OPPS APC	1241.28	4582.64	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY .012 IN L15 CM OD 5MM COMPLEX FILL DETACHABLE RANDOM LOOP DESIGN STRETCH RESISTANT	SUP-640CF0515	CDM			270	RC		inpatient			4582.06	4582.06																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 6MM COMPLEX FILL	SUP-640CF0615	CDM			270	RC		outpatient			4582.06	4582.64	1241.28				percent of total billed charges		4582.06				other	OPPS APC	3390.72				percent of total billed charges		4582.06				other	OPPS APC	4582.06				other	OPPS APC	1241.28				percent of total billed charges		1266.02				percent of total billed charges		4582.64				other	OPPS APC	1241.28	4582.64	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 6MM COMPLEX FILL	SUP-640CF0615	CDM			270	RC		inpatient			4582.06	4582.06																																																			
COIL EMBOLIZATION XTRASOFT L6 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0306	CDM			270	RC		outpatient			4582.06	4582.64	1241.28				percent of total billed charges		4582.06				other	OPPS APC	3390.72				percent of total billed charges		4582.06				other	OPPS APC	4582.06				other	OPPS APC	1241.28				percent of total billed charges		1266.02				percent of total billed charges		4582.64				other	OPPS APC	1241.28	4582.64	
COIL EMBOLIZATION XTRASOFT L6 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0306	CDM			270	RC		inpatient			4582.06	4582.06																																																			
COIL EMBOLIZATION XTRASOFT L10 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0410	CDM			270	RC		outpatient			4582.06	4582.64	1241.28				percent of total billed charges		4582.06				other	OPPS APC	3390.72				percent of total billed charges		4582.06				other	OPPS APC	4582.06				other	OPPS APC	1241.28				percent of total billed charges		1266.02				percent of total billed charges		4582.64				other	OPPS APC	1241.28	4582.64	
COIL EMBOLIZATION XTRASOFT L10 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0410	CDM			270	RC		inpatient			4582.06	4582.06																																																			
COIL EMBOLIZATION XTRASOFT L5 CM OD 2.5MM COMPLEX OCCLUSION GRADE	SUP-640CX2505	CDM			270	RC		outpatient			4582.06	4582.64	1241.28				percent of total billed charges		4582.06				other	OPPS APC	3390.72				percent of total billed charges		4582.06				other	OPPS APC	4582.06				other	OPPS APC	1241.28				percent of total billed charges		1266.02				percent of total billed charges		4582.64				other	OPPS APC	1241.28	4582.64	
COIL EMBOLIZATION XTRASOFT L5 CM OD 2.5MM COMPLEX OCCLUSION GRADE	SUP-640CX2505	CDM			270	RC		inpatient			4582.06	4582.06																																																			
COIL EMBOLIZATION XTRASOFT L9 CM OD 3.5MM COMPLEX OCCLUSION GRADE	SUP-640CX3509	CDM			270	RC		outpatient			4582.06	4582.64	1241.28				percent of total billed charges		4582.06				other	OPPS APC	3390.72				percent of total billed charges		4582.06				other	OPPS APC	4582.06				other	OPPS APC	1241.28				percent of total billed charges		1266.02				percent of total billed charges		4582.64				other	OPPS APC	1241.28	4582.64	
COIL EMBOLIZATION XTRASOFT L9 CM OD 3.5MM COMPLEX OCCLUSION GRADE	SUP-640CX3509	CDM			270	RC		inpatient			4582.06	4582.06																																																			
NAIL TI TIBIAL CANN EX-PROX 8MM X 300MM	SUP-97-05540	CDM			278	RC		outpatient			4579.25	4579.25	4579.25				fee schedule		4579.25				other	OPPS APC	2610.17				percent of total billed charges		4579.25				other	OPPS APC	4579.25				other	OPPS APC	2243.83				percent of total billed charges		2335.42				percent of total billed charges		4579.25				other	OPPS APC	2243.83	4579.25	
NAIL TI TIBIAL CANN EX-PROX 8MM X 300MM	SUP-97-05540	CDM			278	RC		inpatient			4579.25	4579.25																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L160 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.017S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L160 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.017S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L200 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.021S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L200 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.021S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L240 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.025S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L240 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.025S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 10 D BEND L280 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.029S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED 10 D BEND L280 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.029S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L460 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.047S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L460 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.047S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L480 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.049S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L480 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.049S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L160 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.217S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L160 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.217S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L200 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.221S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L200 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.221S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L240 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.225S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L240 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.225S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L280 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.229S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L280 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.229S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L460 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.247S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L460 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.247S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L480 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.249S	CDM			270	RC		outpatient			4574.9	4574.9	1239.34				percent of total billed charges		4574.9				other	OPPS APC	3385.43				percent of total billed charges		4574.9				other	OPPS APC	4574.9				other	OPPS APC	1239.34				percent of total billed charges		1264.04				percent of total billed charges		4574.9				other	OPPS APC	1239.34	4574.9	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L480 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.249S	CDM			270	RC		inpatient			4574.9	4574.9																																																			
GRAFT BONE PLEXUR M LARGE	SUP-6100-010INT	CDM	270010031	LOCAL	270	RC		outpatient			4574.26	4574.26	1239.17				percent of total billed charges		4574.26				other	OPPS APC	3384.95				percent of total billed charges		4574.26				other	OPPS APC	4574.26				other	OPPS APC	1239.17				percent of total billed charges		1263.87				percent of total billed charges		4574.26				other	OPPS APC	1239.17	4574.26	
GRAFT BONE PLEXUR M LARGE	SUP-6100-010INT	CDM	270010031	LOCAL	270	RC		inpatient			4574.26	4574.26																																																			
HC Nephrostomy Drain Insertion	PX-361504321	CDM	50432	CPT	361	RC		outpatient			4571.62	1953.6	1443.72				percent of total billed charges		1953.6				other	OPPS APC	612				fee schedule		1953.6				other	OPPS APC	1953.6				other	OPPS APC	1443.72				percent of total billed charges		1472.52				percent of total billed charges		1953.6				other	OPPS APC	612	1953.6	
HC Nephrostomy Drain Insertion	PX-361504321	CDM	50432	CPT	361	RC		inpatient			4571.62	4571.62																																																			
NAIL TIBIAL CANN 10MM X 345MM	SUP-97-00317	CDM			278	RC		outpatient			4561.35	4561.35	4561.35				fee schedule		4561.35				other	OPPS APC	2599.97				percent of total billed charges		4561.35				other	OPPS APC	4561.35				other	OPPS APC	2235.06				percent of total billed charges		2326.29				percent of total billed charges		4561.35				other	OPPS APC	2235.06	4561.35	
NAIL TIBIAL CANN 10MM X 345MM	SUP-97-00317	CDM			278	RC		inpatient			4561.35	4561.35																																																			
NAIL TIBIAL CANN 10MM X 390MM	SUP-97-00318	CDM			278	RC		outpatient			4561.35	4561.35	4561.35				fee schedule		4561.35				other	OPPS APC	2599.97				percent of total billed charges		4561.35				other	OPPS APC	4561.35				other	OPPS APC	2235.06				percent of total billed charges		2326.29				percent of total billed charges		4561.35				other	OPPS APC	2235.06	4561.35	
NAIL TIBIAL CANN 10MM X 390MM	SUP-97-00318	CDM			278	RC		inpatient			4561.35	4561.35																																																			
NAIL TIBIAL CANN 9MM X 360MM	SUP-97-00319	CDM			278	RC		outpatient			4561.35	4561.35	4561.35				fee schedule		4561.35				other	OPPS APC	2599.97				percent of total billed charges		4561.35				other	OPPS APC	4561.35				other	OPPS APC	2235.06				percent of total billed charges		2326.29				percent of total billed charges		4561.35				other	OPPS APC	2235.06	4561.35	
NAIL TIBIAL CANN 9MM X 360MM	SUP-97-00319	CDM			278	RC		inpatient			4561.35	4561.35																																																			
NAIL TIVIAL CANN 8MM 285	SUP-97-00320	CDM			278	RC		outpatient			4561.35	4561.35	4561.35				fee schedule		4561.35				other	OPPS APC	2599.97				percent of total billed charges		4561.35				other	OPPS APC	4561.35				other	OPPS APC	2235.06				percent of total billed charges		2326.29				percent of total billed charges		4561.35				other	OPPS APC	2235.06	4561.35	
NAIL TIVIAL CANN 8MM 285	SUP-97-00320	CDM			278	RC		inpatient			4561.35	4561.35																																																			
GRAFT VENTRALIGHT ST MESH (5992533)	SUP-95-03416	CDM			278	RC		outpatient			4550	455	4550				fee schedule		4550				other	OPPS APC	2593.5				percent of total billed charges		4550				other	OPPS APC	4550				other	OPPS APC	2229.5				percent of total billed charges		2320.5				percent of total billed charges		455				other	OPPS APC	455	4550	
GRAFT VENTRALIGHT ST MESH (5992533)	SUP-95-03416	CDM			278	RC		inpatient			4550	4550																																																			
NEXGEN OFFSET STEM EXT 11MM X 145MM	SUP-97-03430	CDM			278	RC		outpatient			4546.88	4546.88	4546.88				fee schedule		4546.88				other	OPPS APC	2591.72				percent of total billed charges		4546.88				other	OPPS APC	4546.88				other	OPPS APC	2227.97				percent of total billed charges		2318.91				percent of total billed charges		4546.88				other	OPPS APC	2227.97	4546.88	
NEXGEN OFFSET STEM EXT 11MM X 145MM	SUP-97-03430	CDM			278	RC		inpatient			4546.88	4546.88																																																			
NEXGEN OFFSET STEM EXT 13MM X 145MM	SUP-97-03936	CDM			278	RC		outpatient			4546.88	4546.88	4546.88				fee schedule		4546.88				other	OPPS APC	2591.72				percent of total billed charges		4546.88				other	OPPS APC	4546.88				other	OPPS APC	2227.97				percent of total billed charges		2318.91				percent of total billed charges		4546.88				other	OPPS APC	2227.97	4546.88	
NEXGEN OFFSET STEM EXT 13MM X 145MM	SUP-97-03936	CDM			278	RC		inpatient			4546.88	4546.88																																																			
PLATE BONE STAINLESS STEEL SMALL PATELLA ANTERIOR LOCK VARIABLE ANGLE CORE STERILE 2.7 MM SCREW	SUP-02.137.000S	CDM	27000000	LOCAL	270	RC		outpatient			4546.8	4546.82	1231.73				percent of total billed charges		4546.8				other	OPPS APC	3364.63				percent of total billed charges		4546.8				other	OPPS APC	4546.8				other	OPPS APC	1231.73				percent of total billed charges		1256.28				percent of total billed charges		4546.82				other	OPPS APC	1231.73	4546.82	
PLATE BONE STAINLESS STEEL SMALL PATELLA ANTERIOR LOCK VARIABLE ANGLE CORE STERILE 2.7 MM SCREW	SUP-02.137.000S	CDM	27000000	LOCAL	270	RC		inpatient			4546.8	4546.8																																																			
PLATE BONE SMALL PATELLA ANTERIOR 3 HOLE VARIABLE ANGLE LOCK STERILE 2.7 MM SCREW	SUP-02.137.001S	CDM	27000000	LOCAL	270	RC		outpatient			4546.8	4546.82	1231.73				percent of total billed charges		4546.8				other	OPPS APC	3364.63				percent of total billed charges		4546.8				other	OPPS APC	4546.8				other	OPPS APC	1231.73				percent of total billed charges		1256.28				percent of total billed charges		4546.82				other	OPPS APC	1231.73	4546.82	
PLATE BONE SMALL PATELLA ANTERIOR 3 HOLE VARIABLE ANGLE LOCK STERILE 2.7 MM SCREW	SUP-02.137.001S	CDM	27000000	LOCAL	270	RC		inpatient			4546.8	4546.8																																																			
PLATE BONE STAINLESS STEEL PATELLA ANTERIOR 3 HOLE LOCK VARIABLE ANGLE CORE STERILE 2.7 MM SCREW	SUP-02.137.003S	CDM	27000000	LOCAL	270	RC		outpatient			4546.8	4546.82	1231.73				percent of total billed charges		4546.8				other	OPPS APC	3364.63				percent of total billed charges		4546.8				other	OPPS APC	4546.8				other	OPPS APC	1231.73				percent of total billed charges		1256.28				percent of total billed charges		4546.82				other	OPPS APC	1231.73	4546.82	
PLATE BONE STAINLESS STEEL PATELLA ANTERIOR 3 HOLE LOCK VARIABLE ANGLE CORE STERILE 2.7 MM SCREW	SUP-02.137.003S	CDM	27000000	LOCAL	270	RC		inpatient			4546.8	4546.8																																																			
PLATE BONE STAINLESS STEEL PATELLA ANTERIOR 3 HOLE LOCK VARIABLE ANGLE STERILE 2.7 MM SCREW	SUP-02.137.004S	CDM	27000000	LOCAL	270	RC		outpatient			4546.8	4546.82	1231.73				percent of total billed charges		4546.8				other	OPPS APC	3364.63				percent of total billed charges		4546.8				other	OPPS APC	4546.8				other	OPPS APC	1231.73				percent of total billed charges		1256.28				percent of total billed charges		4546.82				other	OPPS APC	1231.73	4546.82	
PLATE BONE STAINLESS STEEL PATELLA ANTERIOR 3 HOLE LOCK VARIABLE ANGLE STERILE 2.7 MM SCREW	SUP-02.137.004S	CDM	27000000	LOCAL	270	RC		inpatient			4546.8	4546.8																																																			
ADAPTER FEMORAL GMK 3 MM OFFSET KNEE REVISION CONNECTOR	SUP-02.07.0003	CDM	270010025	LOCAL	270	RC		outpatient			4544	4544	1230.97				percent of total billed charges		4544				other	OPPS APC	3362.56				percent of total billed charges		4544				other	OPPS APC	4544				other	OPPS APC	1230.97				percent of total billed charges		1255.51				percent of total billed charges		4544				other	OPPS APC	1230.97	4544	
ADAPTER FEMORAL GMK 3 MM OFFSET KNEE REVISION CONNECTOR	SUP-02.07.0003	CDM	270010025	LOCAL	270	RC		inpatient			4544	4544																																																			
CATHETER - CROSSBOSS	SUP-99-04346	CDM			272	RC		outpatient			4542.5	4542.5	1230.56				percent of total billed charges		4542.5				other	OPPS APC	3361.45				percent of total billed charges		4542.5				other	OPPS APC	4542.5				other	OPPS APC	1230.56				percent of total billed charges		1255.09				percent of total billed charges		4542.5				other	OPPS APC	1230.56	4542.5	
CATHETER - CROSSBOSS	SUP-99-04346	CDM			272	RC		inpatient			4542.5	4542.5																																																			
3.5MM LCP CLAVICLE PLATE 8/H RIGHT 115MM	SUP-97-03330	CDM			278	RC		outpatient			4537.5	4537.5	4537.5				fee schedule		4537.5				other	OPPS APC	2586.38				percent of total billed charges		4537.5				other	OPPS APC	4537.5				other	OPPS APC	2223.38				percent of total billed charges		2314.13				percent of total billed charges		4537.5				other	OPPS APC	2223.38	4537.5	
3.5MM LCP CLAVICLE PLATE 8/H RIGHT 115MM	SUP-97-03330	CDM			278	RC		inpatient			4537.5	4537.5																																																			
PLATE BONE EVOS L 115 MM FEMUR LEFT DISTAL MEDIAL 5 HOLE STERILE LATEX FREE 3.4 MM SCREW	SUP-72573102	CDM			270	RC		outpatient			4530	453	1227.18				percent of total billed charges		4530				other	OPPS APC	3352.2				percent of total billed charges		4530				other	OPPS APC	4530				other	OPPS APC	1227.18				percent of total billed charges		1251.64				percent of total billed charges		453				other	OPPS APC	453	4530	
PLATE BONE EVOS L 115 MM FEMUR LEFT DISTAL MEDIAL 5 HOLE STERILE LATEX FREE 3.4 MM SCREW	SUP-72573102	CDM			270	RC		inpatient			4530	4530																																																			
PLATE BONE EVOS L 115 MM FEMUR RIGHT DISTAL MEDIAL 5 HOLE STERILE LATEX FREE 3.4 MM SCREW	SUP-72573202	CDM			270	RC		outpatient			4530	453	1227.18				percent of total billed charges		4530				other	OPPS APC	3352.2				percent of total billed charges		4530				other	OPPS APC	4530				other	OPPS APC	1227.18				percent of total billed charges		1251.64				percent of total billed charges		453				other	OPPS APC	453	4530	
PLATE BONE EVOS L 115 MM FEMUR RIGHT DISTAL MEDIAL 5 HOLE STERILE LATEX FREE 3.4 MM SCREW	SUP-72573202	CDM			270	RC		inpatient			4530	4530																																																			
PLATE 3.5 LEFT VA LCP TIBIAL 6H 117MM	SUP-97-05959	CDM			278	RC		outpatient			4519.13	4519.13	4519.13				fee schedule		4519.13				other	OPPS APC	2575.9				percent of total billed charges		4519.13				other	OPPS APC	4519.13				other	OPPS APC	2214.37				percent of total billed charges		2304.76				percent of total billed charges		4519.13				other	OPPS APC	2214.37	4519.13	
PLATE 3.5 LEFT VA LCP TIBIAL 6H 117MM	SUP-97-05959	CDM			278	RC		inpatient			4519.13	4519.13																																																			
HC Pacemaker Leads Repostion Single Ch	PX-481332151	CDM	33215	CPT	481	RC		outpatient			4500	45	311.13				fee schedule		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	304.46				fee schedule		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HC Pacemaker Leads Repostion Single Ch	PX-481332151	CDM	33215	CPT	481	RC		inpatient			4500	4500																																																			
LEAD ICD PLEXA PROMRI S 65	SUP-402266_74453	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
LEAD ICD PLEXA PROMRI S 65	SUP-402266_74453	CDM			270	RC		inpatient			4500	4500																																																			
LEAD DEFIBRILLATOR PLEXA PROMRI L65 CM L15 CM CARDIAC DF4 STERILE LATEX FREE DISPOSABLE S DX	SUP-436909_74452	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
LEAD DEFIBRILLATOR PLEXA PROMRI L65 CM L15 CM CARDIAC DF4 STERILE LATEX FREE DISPOSABLE S DX	SUP-436909_74452	CDM			270	RC		inpatient			4500	4500																																																			
COIL TARGET DETACHABLE 360 SOFT 4MM X 6CM	SUP-547406	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
COIL TARGET DETACHABLE 360 SOFT 4MM X 6CM	SUP-547406	CDM			270	RC		inpatient			4500	4500																																																			
COIL TARGET DETACHABLE 360 SOFT 4MM X 8CM	SUP-547408	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
COIL TARGET DETACHABLE 360 SOFT 4MM X 8CM	SUP-547408	CDM			270	RC		inpatient			4500	4500																																																			
COIL TARGET DETACHABLE 360 SOFT 4MM X 10CM	SUP-547410	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
COIL TARGET DETACHABLE 360 SOFT 4MM X 10CM	SUP-547410	CDM			270	RC		inpatient			4500	4500																																																			
COIL TARGET DETACHABLE 360 SOFT 5MM X 20CM	SUP-547520	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
COIL TARGET DETACHABLE 360 SOFT 5MM X 20CM	SUP-547520	CDM			270	RC		inpatient			4500	4500																																																			
SUBSTITUTE BONE GRAFT GAMMA-BSM 5CC CALCIUM PHOSPHATE STERILE PUTTY KIT	SUP-76-6005	CDM	270010031	LOCAL	270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
SUBSTITUTE BONE GRAFT GAMMA-BSM 5CC CALCIUM PHOSPHATE STERILE PUTTY KIT	SUP-76-6005	CDM	270010031	LOCAL	270	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-00691	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-00691	CDM			278	RC		inpatient			4500	4500																																																			
LARGE TESTICUAR IMPLANT	SUP-97-00928	CDM			272	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
LARGE TESTICUAR IMPLANT	SUP-97-00928	CDM			272	RC		inpatient			4500	4500																																																			
MEDIUM  TESTICUAR IMPLANT	SUP-97-00929	CDM			272	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
MEDIUM  TESTICUAR IMPLANT	SUP-97-00929	CDM			272	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01063	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01063	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01129	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01129	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01212	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01212	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL SOLID BACK SHELL	SUP-97-01330	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL SOLID BACK SHELL	SUP-97-01330	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL SOLID BACK SHELL	SUP-97-01413	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL SOLID BACK SHELL	SUP-97-01413	CDM			278	RC		inpatient			4500	4500																																																			
IBALANCE UKA TIBIAL  TRAY S Z 4RT	SUP-97-01460	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
IBALANCE UKA TIBIAL  TRAY S Z 4RT	SUP-97-01460	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL SOLID BACK SHELL	SUP-97-01642	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL SOLID BACK SHELL	SUP-97-01642	CDM			278	RC		inpatient			4500	4500																																																			
IBAL UKA TIBIAL  TRAY S Z 4LT	SUP-97-01644	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
IBAL UKA TIBIAL  TRAY S Z 4LT	SUP-97-01644	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01928	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01928	CDM			278	RC		inpatient			4500	4500																																																			
TIBIAL BASEPATE  SIZE 3	SUP-97-01936	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
TIBIAL BASEPATE  SIZE 3	SUP-97-01936	CDM			278	RC		inpatient			4500	4500																																																			
TIBIAL BASEPATE  SIZE 3	SUP-97-01939	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
TIBIAL BASEPATE  SIZE 3	SUP-97-01939	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02068	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02068	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02171	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02171	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02172	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02172	CDM			278	RC		inpatient			4500	4500																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02578	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02578	CDM			278	RC		inpatient			4500	4500																																																			
CLUSTER ACETABULAR  SHELL SZ 58MM	SUP-97-02604	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
CLUSTER ACETABULAR  SHELL SZ 58MM	SUP-97-02604	CDM			278	RC		inpatient			4500	4500																																																			
IBALANCE UKA TIBIAL  TRAY S Z 1RT	SUP-97-02987	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
IBALANCE UKA TIBIAL  TRAY S Z 1RT	SUP-97-02987	CDM			278	RC		inpatient			4500	4500																																																			
IBALANCE UKA TIBIAL  TRAY S Z 2RT	SUP-97-03476	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
IBALANCE UKA TIBIAL  TRAY S Z 2RT	SUP-97-03476	CDM			278	RC		inpatient			4500	4500																																																			
IBALANCE UKA TIBIAL  TRAY S Z 2RL	SUP-97-03504	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
IBALANCE UKA TIBIAL  TRAY S Z 2RL	SUP-97-03504	CDM			278	RC		inpatient			4500	4500																																																			
ACHILLES TENDON	SUP-97-03659	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
ACHILLES TENDON	SUP-97-03659	CDM			278	RC		inpatient			4500	4500																																																			
SUMMIT POR TAPER SZ6 STD OFF	SUP-97-04397	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
SUMMIT POR TAPER SZ6 STD OFF	SUP-97-04397	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 0	SUP-97-06316	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 0	SUP-97-06316	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 1	SUP-97-06317	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 1	SUP-97-06317	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 4	SUP-97-06318	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 4	SUP-97-06318	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 5	SUP-97-06319	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 5	SUP-97-06319	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 6	SUP-97-06320	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 6	SUP-97-06320	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 7	SUP-97-06321	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 7	SUP-97-06321	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 8	SUP-97-06322	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 8	SUP-97-06322	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 9	SUP-97-06323	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 9	SUP-97-06323	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 10	SUP-97-06324	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 10	SUP-97-06324	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED STANDARD 11	SUP-97-06325	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED STANDARD 11	SUP-97-06325	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 0	SUP-97-06326	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 0	SUP-97-06326	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 1	SUP-97-06327	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 1	SUP-97-06327	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 3	SUP-97-06328	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 3	SUP-97-06328	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 4	SUP-97-06329	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 4	SUP-97-06329	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 5	SUP-97-06330	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 5	SUP-97-06330	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 6	SUP-97-06331	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 6	SUP-97-06331	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 7	SUP-97-06332	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 7	SUP-97-06332	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 10	SUP-97-06333	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 10	SUP-97-06333	CDM			278	RC		inpatient			4500	4500																																																			
HIP STEM INSIGNIA COLLARED HIGH 11	SUP-97-06334	CDM			278	RC		outpatient			4500	45	4500				fee schedule		4500				other	OPPS APC	2565				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	2205				percent of total billed charges		2295				percent of total billed charges		45				other	OPPS APC	45	4500	
HIP STEM INSIGNIA COLLARED HIGH 11	SUP-97-06334	CDM			278	RC		inpatient			4500	4500																																																			
BALLOON - LUTONIX 035   5X220	SUP-99-03646	CDM			272	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
BALLOON - LUTONIX 035   5X220	SUP-99-03646	CDM			272	RC		inpatient			4500	4500																																																			
BALLOON - LUTONIX 035   4X220	SUP-99-03684	CDM			272	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
BALLOON - LUTONIX 035   4X220	SUP-99-03684	CDM			272	RC		inpatient			4500	4500																																																			
STENT ENDOPROSTHESIS UNISTEP PLUS WALLGRAFT METAL L116 CM L70 MM L90 CM OD8 MM ODSEC9 FR COVER COATED DELIVERY SYSTEM	SUP-M001705870	CDM			270	RC		outpatient			4500	45	1219.05				percent of total billed charges		4500				other	OPPS APC	3330				percent of total billed charges		4500				other	OPPS APC	4500				other	OPPS APC	1219.05				percent of total billed charges		1243.35				percent of total billed charges		45				other	OPPS APC	45	4500	
STENT ENDOPROSTHESIS UNISTEP PLUS WALLGRAFT METAL L116 CM L70 MM L90 CM OD8 MM ODSEC9 FR COVER COATED DELIVERY SYSTEM	SUP-M001705870	CDM			270	RC		inpatient			4500	4500																																																			
ATTUNE PRESSFIT STR STEM 14X110MM	SUP-97-03342	CDM			278	RC		outpatient			4492.5	4492.5	4492.5				fee schedule		4492.5				other	OPPS APC	2560.73				percent of total billed charges		4492.5				other	OPPS APC	4492.5				other	OPPS APC	2201.33				percent of total billed charges		2291.18				percent of total billed charges		4492.5				other	OPPS APC	2201.33	4492.5	
ATTUNE PRESSFIT STR STEM 14X110MM	SUP-97-03342	CDM			278	RC		inpatient			4492.5	4492.5																																																			
NAIL TI CANN RETRO/ANT FEM 11MM X 380MM	SUP-97-00828	CDM			278	RC		outpatient			4487.4	4487.4	4487.4				fee schedule		4487.4				other	OPPS APC	2557.82				percent of total billed charges		4487.4				other	OPPS APC	4487.4				other	OPPS APC	2198.83				percent of total billed charges		2288.57				percent of total billed charges		4487.4				other	OPPS APC	2198.83	4487.4	
NAIL TI CANN RETRO/ANT FEM 11MM X 380MM	SUP-97-00828	CDM			278	RC		inpatient			4487.4	4487.4																																																			
NAIL TI CANN RETRO/ANT FEM 11MM X 200MM	SUP-97-02093	CDM			278	RC		outpatient			4487.4	4487.4	4487.4				fee schedule		4487.4				other	OPPS APC	2557.82				percent of total billed charges		4487.4				other	OPPS APC	4487.4				other	OPPS APC	2198.83				percent of total billed charges		2288.57				percent of total billed charges		4487.4				other	OPPS APC	2198.83	4487.4	
NAIL TI CANN RETRO/ANT FEM 11MM X 200MM	SUP-97-02093	CDM			278	RC		inpatient			4487.4	4487.4																																																			
NAIL TI CANN RETRO/ANT FEM 11MM X 240MM	SUP-97-02094	CDM			278	RC		outpatient			4487.4	4487.4	4487.4				fee schedule		4487.4				other	OPPS APC	2557.82				percent of total billed charges		4487.4				other	OPPS APC	4487.4				other	OPPS APC	2198.83				percent of total billed charges		2288.57				percent of total billed charges		4487.4				other	OPPS APC	2198.83	4487.4	
NAIL TI CANN RETRO/ANT FEM 11MM X 240MM	SUP-97-02094	CDM			278	RC		inpatient			4487.4	4487.4																																																			
NAIL TI CANN RETRO/ANT FEM 12MM X 380MM	SUP-97-04678	CDM			278	RC		outpatient			4487.4	4487.4	4487.4				fee schedule		4487.4				other	OPPS APC	2557.82				percent of total billed charges		4487.4				other	OPPS APC	4487.4				other	OPPS APC	2198.83				percent of total billed charges		2288.57				percent of total billed charges		4487.4				other	OPPS APC	2198.83	4487.4	
NAIL TI CANN RETRO/ANT FEM 12MM X 380MM	SUP-97-04678	CDM			278	RC		inpatient			4487.4	4487.4																																																			
DLT TS CER HD 12/14 40MM +8.5	SUP-97-23768	CDM			278	RC		outpatient			4480	448	4480				fee schedule		4480				other	OPPS APC	2553.6				percent of total billed charges		4480				other	OPPS APC	4480				other	OPPS APC	2195.2				percent of total billed charges		2284.8				percent of total billed charges		448				other	OPPS APC	448	4480	
DLT TS CER HD 12/14 40MM +8.5	SUP-97-23768	CDM			278	RC		inpatient			4480	4480																																																			
DLT TS CER HD 12/14 40MM +12	SUP-97-23769	CDM			278	RC		outpatient			4480	448	4480				fee schedule		4480				other	OPPS APC	2553.6				percent of total billed charges		4480				other	OPPS APC	4480				other	OPPS APC	2195.2				percent of total billed charges		2284.8				percent of total billed charges		448				other	OPPS APC	448	4480	
DLT TS CER HD 12/14 40MM +12	SUP-97-23769	CDM			278	RC		inpatient			4480	4480																																																			
RIGHT 3.5 10H 177MM PLATE	SUP-97-05132	CDM			278	RC		outpatient			4479.05	4479.52	4479.05				fee schedule		4479.05				other	OPPS APC	2553.06				percent of total billed charges		4479.05				other	OPPS APC	4479.05				other	OPPS APC	2194.73				percent of total billed charges		2284.32				percent of total billed charges		4479.52				other	OPPS APC	2194.73	4479.52	
RIGHT 3.5 10H 177MM PLATE	SUP-97-05132	CDM			278	RC		inpatient			4479.05	4479.05																																																			
BALLOON - IN.PACT ADMIRAL 6X150	SUP-99-03556	CDM			272	RC		outpatient			4475	4475	1212.28				percent of total billed charges		4475				other	OPPS APC	3311.5				percent of total billed charges		4475				other	OPPS APC	4475				other	OPPS APC	1212.28				percent of total billed charges		1236.44				percent of total billed charges		4475				other	OPPS APC	1212.28	4475	
BALLOON - IN.PACT ADMIRAL 6X150	SUP-99-03556	CDM			272	RC		inpatient			4475	4475																																																			
PLATE PROXIMAL TIBIA SMALL B END 3.5 X 87MM 4 HOLE	SUP-97-06174	CDM			278	RC		outpatient			4470.38	447.38	4470.38				fee schedule		4470.38				other	OPPS APC	2548.12				percent of total billed charges		4470.38				other	OPPS APC	4470.38				other	OPPS APC	2190.49				percent of total billed charges		2279.89				percent of total billed charges		447.38				other	OPPS APC	447.38	4470.38	
PLATE PROXIMAL TIBIA SMALL B END 3.5 X 87MM 4 HOLE	SUP-97-06174	CDM			278	RC		inpatient			4470.38	4470.38																																																			
CUP UNIVERSAL REVERSE SUTURE 36 NEUTRAL	SUP-45050	CDM			278	RC		outpatient			4462.5	4462.5	4462.5				fee schedule		4462.5				other	OPPS APC	2543.63				percent of total billed charges		4462.5				other	OPPS APC	4462.5				other	OPPS APC	2186.63				percent of total billed charges		2275.88				percent of total billed charges		4462.5				other	OPPS APC	2186.63	4462.5	
CUP UNIVERSAL REVERSE SUTURE 36 NEUTRAL	SUP-45050	CDM			278	RC		inpatient			4462.5	4462.5																																																			
EPOLY 36MMRINGLC LNR HW SZ 24	SUP-97-03884	CDM			278	RC		outpatient			4450	445	4450				fee schedule		4450				other	OPPS APC	2536.5				percent of total billed charges		4450				other	OPPS APC	4450				other	OPPS APC	2180.5				percent of total billed charges		2269.5				percent of total billed charges		445				other	OPPS APC	445	4450	
EPOLY 36MMRINGLC LNR HW SZ 24	SUP-97-03884	CDM			278	RC		inpatient			4450	4450																																																			
STRATTICE BPS CONTOUR 2	SUP-CON2006	CDM			270	RC		outpatient			4444	4444	1203.88				percent of total billed charges		4444				other	OPPS APC	3288.56				percent of total billed charges		4444				other	OPPS APC	4444				other	OPPS APC	1203.88				percent of total billed charges		1227.88				percent of total billed charges		4444				other	OPPS APC	1203.88	4444	
STRATTICE BPS CONTOUR 2	SUP-CON2006	CDM			270	RC		inpatient			4444	4444																																																			
PLATE BONE STAINLESS STEEL L251 MM TIBIA RIGHT DISTAL MEDIAL 18 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.518	CDM	270010022	LOCAL	270	RC		outpatient			4440.7	444.7	1202.99				percent of total billed charges		4440.7				other	OPPS APC	3286.12				percent of total billed charges		4440.7				other	OPPS APC	4440.7				other	OPPS APC	1202.99				percent of total billed charges		1226.97				percent of total billed charges		444.7				other	OPPS APC	444.7	4440.7	
PLATE BONE STAINLESS STEEL L251 MM TIBIA RIGHT DISTAL MEDIAL 18 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.518	CDM	270010022	LOCAL	270	RC		inpatient			4440.7	4440.7																																																			
STENT - ZILVER PTX 5X100 6F	SUP-99-04503	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 5X100 6F	SUP-99-04503	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 5X80 6F	SUP-99-04508	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 5X80 6F	SUP-99-04508	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 6X100 6F	SUP-99-04509	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 6X100 6F	SUP-99-04509	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 6X80 6F	SUP-99-04514	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 6X80 6F	SUP-99-04514	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 7X100 6F	SUP-99-04515	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 7X100 6F	SUP-99-04515	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 7X80 6F	SUP-99-04520	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 7X80 6F	SUP-99-04520	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 8X100 6F	SUP-99-04521	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 8X100 6F	SUP-99-04521	CDM			278	RC		inpatient			4424.98	4424.98																																																			
STENT - ZILVER PTX 8X80 6F	SUP-99-04525	CDM			278	RC		outpatient			4424.98	4424.98	4424.98				fee schedule		4424.98				other	OPPS APC	2522.24				percent of total billed charges		4424.98				other	OPPS APC	4424.98				other	OPPS APC	2168.24				percent of total billed charges		2256.74				percent of total billed charges		4424.98				other	OPPS APC	2168.24	4424.98	
STENT - ZILVER PTX 8X80 6F	SUP-99-04525	CDM			278	RC		inpatient			4424.98	4424.98																																																			
MOLD SHOULDER 612STD 54X21X64	SUP-431412	CDM			270	RC		outpatient			4422	4422	1197.92				percent of total billed charges		4422				other	OPPS APC	3272.28				percent of total billed charges		4422				other	OPPS APC	4422				other	OPPS APC	1197.92				percent of total billed charges		1221.8				percent of total billed charges		4422				other	OPPS APC	1197.92	4422	
MOLD SHOULDER 612STD 54X21X64	SUP-431412	CDM			270	RC		inpatient			4422	4422																																																			
MOLD SHOULDER 14 STD 58X24X64	SUP-431414	CDM			270	RC		outpatient			4422	4422	1197.92				percent of total billed charges		4422				other	OPPS APC	3272.28				percent of total billed charges		4422				other	OPPS APC	4422				other	OPPS APC	1197.92				percent of total billed charges		1221.8				percent of total billed charges		4422				other	OPPS APC	1197.92	4422	
MOLD SHOULDER 14 STD 58X24X64	SUP-431414	CDM			270	RC		inpatient			4422	4422																																																			
CATHETER INFUSION APOLLO ONYX NITINOL STAINLESS STEEL MICRO L165 CM L1.5 CM OD1.5-2.7 FR ID.013 IN DELIVERY DETACHABLE STRAIGHT TIP SUPERIOR NAVIGATION PROXIMAL COIL ACCEPTS .01- IN GUIDEWIRE	SUP-105-5095-000	CDM			270	RC		outpatient			4420	442	1197.38				percent of total billed charges		4420				other	OPPS APC	3270.8				percent of total billed charges		4420				other	OPPS APC	4420				other	OPPS APC	1197.38				percent of total billed charges		1221.25				percent of total billed charges		442				other	OPPS APC	442	4420	
CATHETER INFUSION APOLLO ONYX NITINOL STAINLESS STEEL MICRO L165 CM L1.5 CM OD1.5-2.7 FR ID.013 IN DELIVERY DETACHABLE STRAIGHT TIP SUPERIOR NAVIGATION PROXIMAL COIL ACCEPTS .01- IN GUIDEWIRE	SUP-105-5095-000	CDM			270	RC		inpatient			4420	4420																																																			
CATHETER INFUSION APOLLO ONYX NITINOL STAINLESS STEEL MICRO L165 CM L3 CM OD1.5-2.7 FR ID.013 IN DELIVERY DETACHABLE STRAIGHT TIP SUPERIOR NAVIGATION PROXIMAL COIL ACCEPTS .01- IN GUIDEWIRE	SUP-105-5096-000	CDM			270	RC		outpatient			4420	442	1197.38				percent of total billed charges		4420				other	OPPS APC	3270.8				percent of total billed charges		4420				other	OPPS APC	4420				other	OPPS APC	1197.38				percent of total billed charges		1221.25				percent of total billed charges		442				other	OPPS APC	442	4420	
CATHETER INFUSION APOLLO ONYX NITINOL STAINLESS STEEL MICRO L165 CM L3 CM OD1.5-2.7 FR ID.013 IN DELIVERY DETACHABLE STRAIGHT TIP SUPERIOR NAVIGATION PROXIMAL COIL ACCEPTS .01- IN GUIDEWIRE	SUP-105-5096-000	CDM			270	RC		inpatient			4420	4420																																																			
TRAY HUMERAL ADAPTER EQUINOXE +10 MM SHOULDER REVERSE	SUP-320-10-10	CDM	270010030	LOCAL	270	RC		outpatient			4420	442	1197.38				percent of total billed charges		4420				other	OPPS APC	3270.8				percent of total billed charges		4420				other	OPPS APC	4420				other	OPPS APC	1197.38				percent of total billed charges		1221.25				percent of total billed charges		442				other	OPPS APC	442	4420	
TRAY HUMERAL ADAPTER EQUINOXE +10 MM SHOULDER REVERSE	SUP-320-10-10	CDM	270010030	LOCAL	270	RC		inpatient			4420	4420																																																			
NAIL GAMMA3 S LEFT 10 X 320MM X125	SUP-97-03644	CDM			278	RC		outpatient			4412.65	4412.65	4412.65				fee schedule		4412.65				other	OPPS APC	2515.21				percent of total billed charges		4412.65				other	OPPS APC	4412.65				other	OPPS APC	2162.2				percent of total billed charges		2250.45				percent of total billed charges		4412.65				other	OPPS APC	2162.2	4412.65	
NAIL GAMMA3 S LEFT 10 X 320MM X125	SUP-97-03644	CDM			278	RC		inpatient			4412.65	4412.65																																																			
NAIL GAMMA3 S LEFT 10 X 340MM X125	SUP-97-03825	CDM			278	RC		outpatient			4412.65	4412.65	4412.65				fee schedule		4412.65				other	OPPS APC	2515.21				percent of total billed charges		4412.65				other	OPPS APC	4412.65				other	OPPS APC	2162.2				percent of total billed charges		2250.45				percent of total billed charges		4412.65				other	OPPS APC	2162.2	4412.65	
NAIL GAMMA3 S LEFT 10 X 340MM X125	SUP-97-03825	CDM			278	RC		inpatient			4412.65	4412.65																																																			
NAIL GAMMA3 S LEFT 10 X 400MM X125	SUP-97-03826	CDM			278	RC		outpatient			4412.65	4412.65	4412.65				fee schedule		4412.65				other	OPPS APC	2515.21				percent of total billed charges		4412.65				other	OPPS APC	4412.65				other	OPPS APC	2162.2				percent of total billed charges		2250.45				percent of total billed charges		4412.65				other	OPPS APC	2162.2	4412.65	
NAIL GAMMA3 S LEFT 10 X 400MM X125	SUP-97-03826	CDM			278	RC		inpatient			4412.65	4412.65																																																			
NAIL GAMMA 3 S RT 10 X 340MM X 125	SUP-97-03828	CDM			278	RC		outpatient			4412.65	4412.65	4412.65				fee schedule		4412.65				other	OPPS APC	2515.21				percent of total billed charges		4412.65				other	OPPS APC	4412.65				other	OPPS APC	2162.2				percent of total billed charges		2250.45				percent of total billed charges		4412.65				other	OPPS APC	2162.2	4412.65	
NAIL GAMMA 3 S RT 10 X 340MM X 125	SUP-97-03828	CDM			278	RC		inpatient			4412.65	4412.65																																																			
NAIL GAMMA 3 S RT 10 X 400MM X 125	SUP-97-03829	CDM			278	RC		outpatient			4412.65	4412.65	4412.65				fee schedule		4412.65				other	OPPS APC	2515.21				percent of total billed charges		4412.65				other	OPPS APC	4412.65				other	OPPS APC	2162.2				percent of total billed charges		2250.45				percent of total billed charges		4412.65				other	OPPS APC	2162.2	4412.65	
NAIL GAMMA 3 S RT 10 X 400MM X 125	SUP-97-03829	CDM			278	RC		inpatient			4412.65	4412.65																																																			
2.4MM 2.7MM VA- LOCK MESH PLATE 5/12HOL	SUP-97-01526	CDM			278	RC		outpatient			4409.28	449.28	4409.28				fee schedule		4409.28				other	OPPS APC	2513.29				percent of total billed charges		4409.28				other	OPPS APC	4409.28				other	OPPS APC	2160.55				percent of total billed charges		2248.73				percent of total billed charges		449.28				other	OPPS APC	449.28	4409.28	
2.4MM 2.7MM VA- LOCK MESH PLATE 5/12HOL	SUP-97-01526	CDM			278	RC		inpatient			4409.28	4409.28																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L300 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.031S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L300 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.031S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 10 D BEND L320 MM OD MM STERILE	SUP-04.233.033S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED 10 D BEND L320 MM OD MM STERILE	SUP-04.233.033S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L340 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.035S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L340 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.035S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L380 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.039S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L380 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.039S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L420 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.043S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L420 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.043S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L440 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.045S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L440 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.045S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L300 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.231S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L300 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.231S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L320 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.233S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L320 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.233S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L340 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.235S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L340 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.235S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L360 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.237S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L360 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.237S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L380 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.239S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L380 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.239S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 10 D BEND L400 MM OD12 MM FEMORAL STERILE	SUP-04.233.241S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED 10 D BEND L400 MM OD12 MM FEMORAL STERILE	SUP-04.233.241S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L420 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.243S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L420 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.243S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L440 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.245S	CDM			270	RC		outpatient			4403.3	443.32	1192.85				percent of total billed charges		4403.3				other	OPPS APC	3258.44				percent of total billed charges		4403.3				other	OPPS APC	4403.3				other	OPPS APC	1192.85				percent of total billed charges		1216.63				percent of total billed charges		443.32				other	OPPS APC	443.32	4403.3	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L440 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.245S	CDM			270	RC		inpatient			4403.3	4403.3																																																			
GRAFT VENTRIO ST HERNIA 15.5 X 25.7	SUP-75-00083	CDM			278	RC		outpatient			4402.75	442.75	4402.75				fee schedule		4402.75				other	OPPS APC	2509.57				percent of total billed charges		4402.75				other	OPPS APC	4402.75				other	OPPS APC	2157.35				percent of total billed charges		2245.4				percent of total billed charges		442.75				other	OPPS APC	442.75	4402.75	
GRAFT VENTRIO ST HERNIA 15.5 X 25.7	SUP-75-00083	CDM			278	RC		inpatient			4402.75	4402.75																																																			
PLATE BONE CLAW II STAINLESS STEEL U LARGE UNIVERSAL RIGHT ANKLE FOOT LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-4024303L	CDM			270	RC		outpatient			4402	442	1192.5				percent of total billed charges		4402				other	OPPS APC	3257.48				percent of total billed charges		4402				other	OPPS APC	4402				other	OPPS APC	1192.5				percent of total billed charges		1216.27				percent of total billed charges		442				other	OPPS APC	442	4402	
PLATE BONE CLAW II STAINLESS STEEL U LARGE UNIVERSAL RIGHT ANKLE FOOT LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-4024303L	CDM			270	RC		inpatient			4402	4402																																																			
PLATE BONE CLAW II STAINLESS STEEL U LARGE UNIVERSAL LEFT ANKLE FOOT LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-4024303R	CDM			270	RC		outpatient			4402	442	1192.5				percent of total billed charges		4402				other	OPPS APC	3257.48				percent of total billed charges		4402				other	OPPS APC	4402				other	OPPS APC	1192.5				percent of total billed charges		1216.27				percent of total billed charges		442				other	OPPS APC	442	4402	
PLATE BONE CLAW II STAINLESS STEEL U LARGE UNIVERSAL LEFT ANKLE FOOT LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-4024303R	CDM			270	RC		inpatient			4402	4402																																																			
INSERT TIBIAL PROLONG ANKLE	SUP-00-4500-052-00	CDM	270010025	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
INSERT TIBIAL PROLONG ANKLE	SUP-00-4500-052-00	CDM	270010025	LOCAL	270	RC		inpatient			4400	4400																																																			
INSERT TIBIAL PROLONG +0 3 ANKLE	SUP-00-4500-053-00	CDM	270010025	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
INSERT TIBIAL PROLONG +0 3 ANKLE	SUP-00-4500-053-00	CDM	270010025	LOCAL	270	RC		inpatient			4400	4400																																																			
INSERT TIBIAL PROLONG +0 4 ANKLE	SUP-00-4500-054-00	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
INSERT TIBIAL PROLONG +0 4 ANKLE	SUP-00-4500-054-00	CDM			270	RC		inpatient			4400	4400																																																			
INSERT TIBIAL PROLONG +2 4 ANKLE	SUP-00-4500-054-02	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
INSERT TIBIAL PROLONG +2 4 ANKLE	SUP-00-4500-054-02	CDM			270	RC		inpatient			4400	4400																																																			
INSERT TIBIAL PROLONG +0 5 ANKLE	SUP-00-4500-055-00	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
INSERT TIBIAL PROLONG +0 5 ANKLE	SUP-00-4500-055-00	CDM			270	RC		inpatient			4400	4400																																																			
KIT SECOND FRACTURE STABILITI	SUP-1666-01	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
KIT SECOND FRACTURE STABILITI	SUP-1666-01	CDM			270	RC		inpatient			4400	4400																																																			
GRAFT SOFT TISSUE ANTERIOR TIBIALIS TENDON H200 MM	SUP-453017	CDM	270010031	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
GRAFT SOFT TISSUE ANTERIOR TIBIALIS TENDON H200 MM	SUP-453017	CDM	270010031	LOCAL	270	RC		inpatient			4400	4400																																																			
DRIVER NEEDLE DA VINCI XI ENDOWRIST MEGA 38 D L31.75 CM L1.3 CM OD8 MM REPOSABLE NONSTERILE LATEX FREE 10 USE	SUP-470194	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
DRIVER NEEDLE DA VINCI XI ENDOWRIST MEGA 38 D L31.75 CM L1.3 CM OD8 MM REPOSABLE NONSTERILE LATEX FREE 10 USE	SUP-470194	CDM			270	RC		inpatient			4400	4400																																																			
NEEDLEDRIVER MEGA DAVINCI	SUP-470194	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
NEEDLEDRIVER MEGA DAVINCI	SUP-470194	CDM			270	RC		inpatient			4400	4400																																																			
COIL TARGET DETACHABLE 3D 4 X 8CM	SUP-615408	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
COIL TARGET DETACHABLE 3D 4 X 8CM	SUP-615408	CDM			270	RC		inpatient			4400	4400																																																			
COIL TARGET DETACHABLE 3D 5 X 10CM	SUP-615510	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
COIL TARGET DETACHABLE 3D 5 X 10CM	SUP-615510	CDM			270	RC		inpatient			4400	4400																																																			
COIL TARGET DETACHABLE 3D 7 X 15CM	SUP-615715	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
COIL TARGET DETACHABLE 3D 7 X 15CM	SUP-615715	CDM			270	RC		inpatient			4400	4400																																																			
COIL TARGET DETACHABLE 3D 8 X 25CM	SUP-615825	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
COIL TARGET DETACHABLE 3D 8 X 25CM	SUP-615825	CDM			270	RC		inpatient			4400	4400																																																			
PLATE BONE ATLANTIS TITANIUM L80 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190080	CDM	270010020	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
PLATE BONE ATLANTIS TITANIUM L80 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190080	CDM	270010020	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 0	SUP-6720-0027	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 0	SUP-6720-0027	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 1	SUP-6720-0127	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 1	SUP-6720-0127	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM PLASMA SPRAY 132 D 2 33 MM OFFSET L99 MM L30 MM HIP	SUP-6720-0230	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM PLASMA SPRAY 132 D 2 33 MM OFFSET L99 MM L30 MM HIP	SUP-6720-0230	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 132D 3 TAPER 102MM 30MM STERILE HIP MODULAR	SUP-6720-0330	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 132D 3 TAPER 102MM 30MM STERILE HIP MODULAR	SUP-6720-0330	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 132D 4 TAPER 105MM 35MM STERILE HIP MODULAR	SUP-6720-0435	CDM	270010025	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 132D 4 TAPER 105MM 35MM STERILE HIP MODULAR	SUP-6720-0435	CDM	270010025	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 132D 5 TAPER 108MM 35MM STERILE HIP MODULAR	SUP-6720-0535	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 132D 5 TAPER 108MM 35MM STERILE HIP MODULAR	SUP-6720-0535	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 132D 6 TAPER 111MM 35MM STERILE HIP MODULAR	SUP-6720-0635	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 132D 6 TAPER 111MM 35MM STERILE HIP MODULAR	SUP-6720-0635	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 132D 7 TAPER 114MM 37MM STERILE HIP MODULAR	SUP-6720-0737	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 132D 7 TAPER 114MM 37MM STERILE HIP MODULAR	SUP-6720-0737	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 8	SUP-6720-0837	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 8	SUP-6720-0837	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 9 49MM	SUP-6720-0937	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 9 49MM	SUP-6720-0937	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 10 51MM	SUP-6720-1040	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 10 51MM	SUP-6720-1040	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 11 53MM	SUP-6720-1140	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT FEMORAL STEM ACCOLADE 132 DEG SIZE 11 53MM	SUP-6720-1140	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT STRYKER FEMORAL STEM ACCOLADE 127DEG SIZE 0	SUP-6721-0027	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT STRYKER FEMORAL STEM ACCOLADE 127DEG SIZE 0	SUP-6721-0027	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 127 D 2 37 MM OFFSET L99 MM L30 MM HIP PRESS FIT	SUP-6721-0230	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE II V40 PUREFIX TITANIUM 127 D 2 37 MM OFFSET L99 MM L30 MM HIP PRESS FIT	SUP-6721-0230	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 127D 3 TAPER 102MM 30MM STERILE HIP MODULAR	SUP-6721-0330	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 127D 3 TAPER 102MM 30MM STERILE HIP MODULAR	SUP-6721-0330	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 127D 4 TAPER 105MM 35MM STERILE HIP MODULAR	SUP-6721-0435	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 127D 4 TAPER 105MM 35MM STERILE HIP MODULAR	SUP-6721-0435	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 127D 5 TAPER 108MM 35MM STERILE HIP MODULAR	SUP-6721-0535	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 127D 5 TAPER 108MM 35MM STERILE HIP MODULAR	SUP-6721-0535	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 127D 6 TAPER 111MM 35MM STERILE HIP MODULAR	SUP-6721-0635	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 127D 6 TAPER 111MM 35MM STERILE HIP MODULAR	SUP-6721-0635	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 127D 7 TAPER 114MM 37MM STERILE HIP MODULAR	SUP-6721-0737	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 127D 7 TAPER 114MM 37MM STERILE HIP MODULAR	SUP-6721-0737	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE 127D 8 TAPER 117MM 37MM STERILE HIP MODULAR	SUP-6721-0837	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE 127D 8 TAPER 117MM 37MM STERILE HIP MODULAR	SUP-6721-0837	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT STRYKER FEMORAL STEM ACCOLADE 127DEG SIZE 9	SUP-6721-0937	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT STRYKER FEMORAL STEM ACCOLADE 127DEG SIZE 9	SUP-6721-0937	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
STEM FEMORAL ACCOLADE II 10 127D	SUP-6721-1040	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
STEM FEMORAL ACCOLADE II 10 127D	SUP-6721-1040	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
IMPLANT STRYKER FEMORAL STEM ACCOLADE 127DEG SIZE 11	SUP-6721-1140	CDM	270010024	LOCAL	270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
IMPLANT STRYKER FEMORAL STEM ACCOLADE 127DEG SIZE 11	SUP-6721-1140	CDM	270010024	LOCAL	270	RC		inpatient			4400	4400																																																			
GRAFT SOFT TISSUE GRAFTJACKET ACELLULAR DERMAL MATRIX STANDARD L10 CM X W5 CM X H1 MM REGENERATIVE NONMESHED	SUP-8600	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
GRAFT SOFT TISSUE GRAFTJACKET ACELLULAR DERMAL MATRIX STANDARD L10 CM X W5 CM X H1 MM REGENERATIVE NONMESHED	SUP-8600	CDM			270	RC		inpatient			4400	4400																																																			
CRYOICE CRYOABLATION PROBE 10CM MALLEABLE	SUP-CRY03	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
CRYOICE CRYOABLATION PROBE 10CM MALLEABLE	SUP-CRY03	CDM			270	RC		inpatient			4400	4400																																																			
PROBE OPTIMA CORONARY 2MM	SUP-HQF2FMC	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
PROBE OPTIMA CORONARY 2MM	SUP-HQF2FMC	CDM			270	RC		inpatient			4400	4400																																																			
PROBE OPTIMA CORONARY 3MM	SUP-HQF3FMC	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
PROBE OPTIMA CORONARY 3MM	SUP-HQF3FMC	CDM			270	RC		inpatient			4400	4400																																																			
PROBE OPTIMA CORONARY 4MM	SUP-HQF4FMC	CDM			270	RC		outpatient			4400	44	1191.96				percent of total billed charges		4400				other	OPPS APC	3256				percent of total billed charges		4400				other	OPPS APC	4400				other	OPPS APC	1191.96				percent of total billed charges		1215.72				percent of total billed charges		44				other	OPPS APC	44	4400	
PROBE OPTIMA CORONARY 4MM	SUP-HQF4FMC	CDM			270	RC		inpatient			4400	4400																																																			
COIL TARGET DETACHABLE 360 ULTRA 3MM X 4CM	SUP-542304	CDM			270	RC		outpatient			4390	439	1189.25				percent of total billed charges		4390				other	OPPS APC	3248.6				percent of total billed charges		4390				other	OPPS APC	4390				other	OPPS APC	1189.25				percent of total billed charges		1212.96				percent of total billed charges		439				other	OPPS APC	439	4390	
COIL TARGET DETACHABLE 360 ULTRA 3MM X 4CM	SUP-542304	CDM			270	RC		inpatient			4390	4390																																																			
COIL TARGET DETACHABLE 360 ULTRA 3MM X 10CM	SUP-542310	CDM			270	RC		outpatient			4390	439	1189.25				percent of total billed charges		4390				other	OPPS APC	3248.6				percent of total billed charges		4390				other	OPPS APC	4390				other	OPPS APC	1189.25				percent of total billed charges		1212.96				percent of total billed charges		439				other	OPPS APC	439	4390	
COIL TARGET DETACHABLE 360 ULTRA 3MM X 10CM	SUP-542310	CDM			270	RC		inpatient			4390	4390																																																			
COIL TARGET DETACHABLE 360 NANO 2MM X 3CM	SUP-544203	CDM			270	RC		outpatient			4390	439	1189.25				percent of total billed charges		4390				other	OPPS APC	3248.6				percent of total billed charges		4390				other	OPPS APC	4390				other	OPPS APC	1189.25				percent of total billed charges		1212.96				percent of total billed charges		439				other	OPPS APC	439	4390	
COIL TARGET DETACHABLE 360 NANO 2MM X 3CM	SUP-544203	CDM			270	RC		inpatient			4390	4390																																																			
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L21 MM L135 CM OD8 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 5 FR SHEATH 7 FR GUIDE CATHETER	SUP-M001719010	CDM			270	RC		outpatient			4390	439	1189.25				percent of total billed charges		4390				other	OPPS APC	3248.6				percent of total billed charges		4390				other	OPPS APC	4390				other	OPPS APC	1189.25				percent of total billed charges		1212.96				percent of total billed charges		439				other	OPPS APC	439	4390	
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L21 MM L135 CM OD8 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 5 FR SHEATH 7 FR GUIDE CATHETER	SUP-M001719010	CDM			270	RC		inpatient			4390	4390																																																			
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L24 MM L135 CM OD10 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-M001719040	CDM			270	RC		outpatient			4390	439	1189.25				percent of total billed charges		4390				other	OPPS APC	3248.6				percent of total billed charges		4390				other	OPPS APC	4390				other	OPPS APC	1189.25				percent of total billed charges		1212.96				percent of total billed charges		439				other	OPPS APC	439	4390	
STENT ENDOPROSTHESIS WALLSTENT MONORAIL METAL L24 MM L135 CM OD10 MM CAROTID CLOSED CELL RECONSTRAINABLE FLEXIBLE RADIOPAQUE ACCEPTS 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-M001719040	CDM			270	RC		inpatient			4390	4390																																																			
CATHETER - CROSSER 14P	SUP-99-01281	CDM			272	RC		inpatient			4387.5	4387.5																																																			
CATHETER - CROSSER 14P	SUP-99-01281	CDM			272	RC		outpatient			4387.5	4387.5	1188.57				percent of total billed charges						other	OPPS APC	3246.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1188.57				percent of total billed charges		1212.27				percent of total billed charges						other	OPPS APC	3246.75	3246.75	
CATHETER - CROSSER S6	SUP-99-01282	CDM			272	RC		inpatient			4387.5	4387.5																																																			
CATHETER - CROSSER S6	SUP-99-01282	CDM			272	RC		outpatient			4387.5	4387.5	1188.57				percent of total billed charges						other	OPPS APC	3246.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1188.57				percent of total billed charges		1212.27				percent of total billed charges						other	OPPS APC	3246.75	3246.75	
CATHETER - CROSSER 14SA 106CM	SUP-99-01588	CDM			272	RC		inpatient			4387.5	4387.5																																																			
CATHETER - CROSSER 14SA 106CM	SUP-99-01588	CDM			272	RC		outpatient			4387.5	4387.5	1188.57				percent of total billed charges						other	OPPS APC	3246.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1188.57				percent of total billed charges		1212.27				percent of total billed charges						other	OPPS APC	3246.75	3246.75	
BIOSURGE KIT 5CC	SUP-97-04470	CDM			278	RC		outpatient			4375	4375	4375				fee schedule		4375				other	OPPS APC	2493.75				percent of total billed charges		4375				other	OPPS APC	4375				other	OPPS APC	2143.75				percent of total billed charges		2231.25				percent of total billed charges		4375				other	OPPS APC	2143.75	4375	
BIOSURGE KIT 5CC	SUP-97-04470	CDM			278	RC		inpatient			4375	4375																																																			
STENT - LIFESTENT 6X100X130	SUP-99-01579	CDM			278	RC		outpatient			4375	4375	4375				fee schedule		4375				other	OPPS APC	2493.75				percent of total billed charges		4375				other	OPPS APC	4375				other	OPPS APC	2143.75				percent of total billed charges		2231.25				percent of total billed charges		4375				other	OPPS APC	2143.75	4375	
STENT - LIFESTENT 6X100X130	SUP-99-01579	CDM			278	RC		inpatient			4375	4375																																																			
NAIL TI CANN TFNA 11MM/130DEG 170MM	SUP-97-04263	CDM			278	RC		outpatient			4372.8	4372.82	4372.8				fee schedule		4372.8				other	OPPS APC	2492.5				percent of total billed charges		4372.8				other	OPPS APC	4372.8				other	OPPS APC	2142.67				percent of total billed charges		2230.13				percent of total billed charges		4372.82				other	OPPS APC	2142.67	4372.82	
NAIL TI CANN TFNA 11MM/130DEG 170MM	SUP-97-04263	CDM			278	RC		inpatient			4372.8	4372.8																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L10 CM OD 4MM COMPLEX FILL	SUP-640CF0410	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L10 CM OD 4MM COMPLEX FILL	SUP-640CF0410	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L12 CM OD 4MM COMPLEX FILL	SUP-640CF0412	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L12 CM OD 4MM COMPLEX FILL	SUP-640CF0412	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L20 CM OD 6MM COMPLEX FILL	SUP-640CF0620	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L20 CM OD 6MM COMPLEX FILL	SUP-640CF0620	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L24 CM OD 8MM COMPLEX FILL	SUP-640CF0824	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L24 CM OD 8MM COMPLEX FILL	SUP-640CF0824	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION XTRASOFT L4 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0304	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION XTRASOFT L4 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0304	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION XTRASOFT L3.5 CM OD 2.5MM COMPLEX OCCLUSION GRADE	SUP-640CX2535	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION XTRASOFT L3.5 CM OD 2.5MM COMPLEX OCCLUSION GRADE	SUP-640CX2535	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION XTRASOFT L5 CM OD 3.5MM COMPLEX OCCLUSION GRADE	SUP-640CX3505	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION XTRASOFT L5 CM OD 3.5MM COMPLEX OCCLUSION GRADE	SUP-640CX3505	CDM			270	RC		inpatient			4372.2	4372.2																																																			
COIL EMBOLIZATION XTRASOFT L7.5 CM OD 3.5MM COMPLEX OCCLUSION GRADE	SUP-640CX3575	CDM			270	RC		outpatient			4372.2	4372.2	1184.43				percent of total billed charges		4372.2				other	OPPS APC	3235.43				percent of total billed charges		4372.2				other	OPPS APC	4372.2				other	OPPS APC	1184.43				percent of total billed charges		1208.04				percent of total billed charges		4372.2				other	OPPS APC	1184.43	4372.2	
COIL EMBOLIZATION XTRASOFT L7.5 CM OD 3.5MM COMPLEX OCCLUSION GRADE	SUP-640CX3575	CDM			270	RC		inpatient			4372.2	4372.2																																																			
INSERT TIBIAL GMK 1 H17 MM SEMICONSTRAINED FIXED NONSTERILE	SUP-02.07.0117SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 1 H17 MM SEMICONSTRAINED FIXED NONSTERILE	SUP-02.07.0117SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK 2 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0214SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 2 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0214SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK 3 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0314SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 3 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0314SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK 3 H20 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0320SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 3 H20 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0320SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK 4 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0414SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 4 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0414SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK 4 H23 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0423SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 4 H23 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0423SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK REVISION 5 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0514SCF	CDM	270010024	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK REVISION 5 H14 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0514SCF	CDM	270010024	LOCAL	270	RC		inpatient			4370	4370																																																			
INSERT TIBIAL GMK 5 H20 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0520SCF	CDM	270010025	LOCAL	270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
INSERT TIBIAL GMK 5 H20 MM KNEE FIXED REVISION SEMICONSTRAINED NONSTERILE	SUP-02.07.0520SCF	CDM	270010025	LOCAL	270	RC		inpatient			4370	4370																																																			
STENT TRACHEOBRONCHIAL ICAST PTFE L16 MM L120 CM OD6 MM ID6 FR COVER ULTRA LOW CROSS PROFILE POWER CRIMP ACCEPTS .035 IN GUIDEWIRE	SUP-85452	CDM			270	RC		outpatient			4370	437	1183.83				percent of total billed charges		4370				other	OPPS APC	3233.8				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	1183.83				percent of total billed charges		1207.43				percent of total billed charges		437				other	OPPS APC	437	4370	
STENT TRACHEOBRONCHIAL ICAST PTFE L16 MM L120 CM OD6 MM ID6 FR COVER ULTRA LOW CROSS PROFILE POWER CRIMP ACCEPTS .035 IN GUIDEWIRE	SUP-85452	CDM			270	RC		inpatient			4370	4370																																																			
PSN ASF PS 10MM VE L 6-9 EF	SUP-97-03452	CDM			278	RC		outpatient			4370	437	4370				fee schedule		4370				other	OPPS APC	2490.9				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	2141.3				percent of total billed charges		2228.7				percent of total billed charges		437				other	OPPS APC	437	4370	
PSN ASF PS 10MM VE L 6-9 EF	SUP-97-03452	CDM			278	RC		inpatient			4370	4370																																																			
PSN ASF CPS 12MM VE R 6-9EF	SUP-97-05399	CDM			278	RC		outpatient			4370	437	4370				fee schedule		4370				other	OPPS APC	2490.9				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	2141.3				percent of total billed charges		2228.7				percent of total billed charges		437				other	OPPS APC	437	4370	
PSN ASF CPS 12MM VE R 6-9EF	SUP-97-05399	CDM			278	RC		inpatient			4370	4370																																																			
PSN ASFB CPS 20MM VE L 6-9CD	SUP-97-05519	CDM			278	RC		outpatient			4370	437	4370				fee schedule		4370				other	OPPS APC	2490.9				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	2141.3				percent of total billed charges		2228.7				percent of total billed charges		437				other	OPPS APC	437	4370	
PSN ASFB CPS 20MM VE L 6-9CD	SUP-97-05519	CDM			278	RC		inpatient			4370	4370																																																			
PSN ASF CPS 14MM VE R 6-9GH	SUP-97-05958	CDM			278	RC		outpatient			4370	437	4370				fee schedule		4370				other	OPPS APC	2490.9				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	2141.3				percent of total billed charges		2228.7				percent of total billed charges		437				other	OPPS APC	437	4370	
PSN ASF CPS 14MM VE R 6-9GH	SUP-97-05958	CDM			278	RC		inpatient			4370	4370																																																			
PSN ASF CPS 16MM VE R 10-12 GH	SUP-97-05965	CDM			278	RC		outpatient			4370	437	4370				fee schedule		4370				other	OPPS APC	2490.9				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	2141.3				percent of total billed charges		2228.7				percent of total billed charges		437				other	OPPS APC	437	4370	
PSN ASF CPS 16MM VE R 10-12 GH	SUP-97-05965	CDM			278	RC		inpatient			4370	4370																																																			
PSN ASF CPS 18MM VE R 3-5CD	SUP-97-23706	CDM			278	RC		outpatient			4370	437	4370				fee schedule		4370				other	OPPS APC	2490.9				percent of total billed charges		4370				other	OPPS APC	4370				other	OPPS APC	2141.3				percent of total billed charges		2228.7				percent of total billed charges		437				other	OPPS APC	437	4370	
PSN ASF CPS 18MM VE R 3-5CD	SUP-97-23706	CDM			278	RC		inpatient			4370	4370																																																			
ACETABULAR LINER	SUP-97-01815	CDM			278	RC		outpatient			4369.5	4369.5	4369.5				fee schedule		4369.5				other	OPPS APC	2490.62				percent of total billed charges		4369.5				other	OPPS APC	4369.5				other	OPPS APC	2141.06				percent of total billed charges		2228.45				percent of total billed charges		4369.5				other	OPPS APC	2141.06	4369.5	
ACETABULAR LINER	SUP-97-01815	CDM			278	RC		inpatient			4369.5	4369.5																																																			
INSERT LGN XLPE PS SIZE 3-4 9MM	SUP-97-05743	CDM			278	RC		outpatient			4367.63	4367.63	4367.63				fee schedule		4367.63				other	OPPS APC	2489.55				percent of total billed charges		4367.63				other	OPPS APC	4367.63				other	OPPS APC	2140.14				percent of total billed charges		2227.49				percent of total billed charges		4367.63				other	OPPS APC	2140.14	4367.63	
INSERT LGN XLPE PS SIZE 3-4 9MM	SUP-97-05743	CDM			278	RC		inpatient			4367.63	4367.63																																																			
PLATE LCP PROX HUMERUS 3.5 MM	SUP-97-02336	CDM			278	RC		outpatient			4367.53	4367.53	4367.53				fee schedule		4367.53				other	OPPS APC	2489.49				percent of total billed charges		4367.53				other	OPPS APC	4367.53				other	OPPS APC	2140.09				percent of total billed charges		2227.44				percent of total billed charges		4367.53				other	OPPS APC	2140.09	4367.53	
PLATE LCP PROX HUMERUS 3.5 MM	SUP-97-02336	CDM			278	RC		inpatient			4367.53	4367.53																																																			
LINER ACETABULAR FREEDOM ARCOM 24 +5 MM STANDARD FACE ID36 MM HIP CONSTRAIN	SUP-11-107023	CDM	270010024	LOCAL	270	RC		outpatient			4366.8	4366.82	1182.97				percent of total billed charges		4366.8				other	OPPS APC	3231.43				percent of total billed charges		4366.8				other	OPPS APC	4366.8				other	OPPS APC	1182.97				percent of total billed charges		1206.55				percent of total billed charges		4366.82				other	OPPS APC	1182.97	4366.82	
LINER ACETABULAR FREEDOM ARCOM 24 +5 MM STANDARD FACE ID36 MM HIP CONSTRAIN	SUP-11-107023	CDM	270010024	LOCAL	270	RC		inpatient			4366.8	4366.8																																																			
PLATE BONE CLAW II STAINLESS STEEL SMALL UNIVERSAL L20 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240420	CDM			270	RC		outpatient			4356	4356	1180.04				percent of total billed charges		4356				other	OPPS APC	3223.44				percent of total billed charges		4356				other	OPPS APC	4356				other	OPPS APC	1180.04				percent of total billed charges		1203.56				percent of total billed charges		4356				other	OPPS APC	1180.04	4356	
PLATE BONE CLAW II STAINLESS STEEL SMALL UNIVERSAL L20 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240420	CDM			270	RC		inpatient			4356	4356																																																			
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240425	CDM			270	RC		outpatient			4356	4356	1180.04				percent of total billed charges		4356				other	OPPS APC	3223.44				percent of total billed charges		4356				other	OPPS APC	4356				other	OPPS APC	1180.04				percent of total billed charges		1203.56				percent of total billed charges		4356				other	OPPS APC	1180.04	4356	
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240425	CDM			270	RC		inpatient			4356	4356																																																			
PLATE BONE CLAW II STAINLESS STEEL LARGE UNIVERSAL L30 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240430	CDM			270	RC		outpatient			4356	4356	1180.04				percent of total billed charges		4356				other	OPPS APC	3223.44				percent of total billed charges		4356				other	OPPS APC	4356				other	OPPS APC	1180.04				percent of total billed charges		1203.56				percent of total billed charges		4356				other	OPPS APC	1180.04	4356	
PLATE BONE CLAW II STAINLESS STEEL LARGE UNIVERSAL L30 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240430	CDM			270	RC		inpatient			4356	4356																																																			
PLATE CLAW T 4 HOLE 25MM	SUP-40241420	CDM			270	RC		outpatient			4356	4356	1180.04				percent of total billed charges		4356				other	OPPS APC	3223.44				percent of total billed charges		4356				other	OPPS APC	4356				other	OPPS APC	1180.04				percent of total billed charges		1203.56				percent of total billed charges		4356				other	OPPS APC	1180.04	4356	
PLATE CLAW T 4 HOLE 25MM	SUP-40241420	CDM			270	RC		inpatient			4356	4356																																																			
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40241425	CDM			270	RC		outpatient			4356	4356	1180.04				percent of total billed charges		4356				other	OPPS APC	3223.44				percent of total billed charges		4356				other	OPPS APC	4356				other	OPPS APC	1180.04				percent of total billed charges		1203.56				percent of total billed charges		4356				other	OPPS APC	1180.04	4356	
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 4 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40241425	CDM			270	RC		inpatient			4356	4356																																																			
PLATE BONE CLAW II T L30 MM 4 HOLE	SUP-40241430	CDM			270	RC		outpatient			4356	4356	1180.04				percent of total billed charges		4356				other	OPPS APC	3223.44				percent of total billed charges		4356				other	OPPS APC	4356				other	OPPS APC	1180.04				percent of total billed charges		1203.56				percent of total billed charges		4356				other	OPPS APC	1180.04	4356	
PLATE BONE CLAW II T L30 MM 4 HOLE	SUP-40241430	CDM			270	RC		inpatient			4356	4356																																																			
MOLD SHOULDER 6 STD 42X18X46	SUP-431406	CDM			270	RC		outpatient			4352	4352	1178.96				percent of total billed charges		4352				other	OPPS APC	3220.48				percent of total billed charges		4352				other	OPPS APC	4352				other	OPPS APC	1178.96				percent of total billed charges		1202.46				percent of total billed charges		4352				other	OPPS APC	1178.96	4352	
MOLD SHOULDER 6 STD 42X18X46	SUP-431406	CDM			270	RC		inpatient			4352	4352																																																			
MOLD SHOULDER 8 STD 42X18X53	SUP-431408	CDM			270	RC		outpatient			4352	4352	1178.96				percent of total billed charges		4352				other	OPPS APC	3220.48				percent of total billed charges		4352				other	OPPS APC	4352				other	OPPS APC	1178.96				percent of total billed charges		1202.46				percent of total billed charges		4352				other	OPPS APC	1178.96	4352	
MOLD SHOULDER 8 STD 42X18X53	SUP-431408	CDM			270	RC		inpatient			4352	4352																																																			
MOLD SHOULDER 10 STD 50X21X57	SUP-431410	CDM			270	RC		outpatient			4352	4352	1178.96				percent of total billed charges		4352				other	OPPS APC	3220.48				percent of total billed charges		4352				other	OPPS APC	4352				other	OPPS APC	1178.96				percent of total billed charges		1202.46				percent of total billed charges		4352				other	OPPS APC	1178.96	4352	
MOLD SHOULDER 10 STD 50X21X57	SUP-431410	CDM			270	RC		inpatient			4352	4352																																																			
ACHILLES SPEED BRIDGE	SUP-97-00781	CDM			278	RC		outpatient			4350	435	4350				fee schedule		4350				other	OPPS APC	2479.5				percent of total billed charges		4350				other	OPPS APC	4350				other	OPPS APC	2131.5				percent of total billed charges		2218.5				percent of total billed charges		435				other	OPPS APC	435	4350	
ACHILLES SPEED BRIDGE	SUP-97-00781	CDM			278	RC		inpatient			4350	4350																																																			
*DNO* SPEEDBRIDGE KIT W/SCORPION NEEDLE	SUP-97-04190	CDM			278	RC		outpatient			4350	435	4350				fee schedule		4350				other	OPPS APC	2479.5				percent of total billed charges		4350				other	OPPS APC	4350				other	OPPS APC	2131.5				percent of total billed charges		2218.5				percent of total billed charges		435				other	OPPS APC	435	4350	
*DNO* SPEEDBRIDGE KIT W/SCORPION NEEDLE	SUP-97-04190	CDM			278	RC		inpatient			4350	4350																																																			
CATHETER ELECTROPHYSIOLOGY PENTARRAY 2-6-2 MM SPACE F CURVE L115CM OD 7 FR NAVIGATION 20 ELECTRODE	SUP-D128208	CDM			270	RC		outpatient			4350	435	1178.42				percent of total billed charges		4350				other	OPPS APC	3219				percent of total billed charges		4350				other	OPPS APC	4350				other	OPPS APC	1178.42				percent of total billed charges		1201.91				percent of total billed charges		435				other	OPPS APC	435	4350	
CATHETER ELECTROPHYSIOLOGY PENTARRAY 2-6-2 MM SPACE F CURVE L115CM OD 7 FR NAVIGATION 20 ELECTRODE	SUP-D128208	CDM			270	RC		inpatient			4350	4350																																																			
CATHETER ELECTROPHYSIOLOGY PENTARRAY 2-6-2 MM D CURVE OD 7 FR NAVIGATION ELECTRODE	SUP-D128211	CDM			270	RC		outpatient			4350	435	1178.42				percent of total billed charges		4350				other	OPPS APC	3219				percent of total billed charges		4350				other	OPPS APC	4350				other	OPPS APC	1178.42				percent of total billed charges		1201.91				percent of total billed charges		435				other	OPPS APC	435	4350	
CATHETER ELECTROPHYSIOLOGY PENTARRAY 2-6-2 MM D CURVE OD 7 FR NAVIGATION ELECTRODE	SUP-D128211	CDM			270	RC		inpatient			4350	4350																																																			
GRAFT BONE FLEXIGRAFT GRAFTLINK L60-80 MM OD7.5-10.5 MM FROZEN ALLOGRAFT PRESUTURE PRESIZE STERILE ALL-INSIDE ACL RECONSTRUCTION	SUP-FGL	CDM	270010031	LOCAL	270	RC		outpatient			4346	4346	1177.33				percent of total billed charges		4346				other	OPPS APC	3216.04				percent of total billed charges		4346				other	OPPS APC	4346				other	OPPS APC	1177.33				percent of total billed charges		1200.8				percent of total billed charges		4346				other	OPPS APC	1177.33	4346	
GRAFT BONE FLEXIGRAFT GRAFTLINK L60-80 MM OD7.5-10.5 MM FROZEN ALLOGRAFT PRESUTURE PRESIZE STERILE ALL-INSIDE ACL RECONSTRUCTION	SUP-FGL	CDM	270010031	LOCAL	270	RC		inpatient			4346	4346																																																			
GRAFT BONE INFUSE RHBMP-2 BOVINE COLLAGEN XS 1.4 ML SPINE ALLOGRAPH ABSORBABLE SPONGE SYRINGE NEEDLE STERILE LUMBAR TAPER FUSION DEVICE	SUP-7510100_73551	CDM	270010020	LOCAL	270	RC		outpatient			4340	434	1175.71				percent of total billed charges		4340				other	OPPS APC	3211.6				percent of total billed charges		4340				other	OPPS APC	4340				other	OPPS APC	1175.71				percent of total billed charges		1199.14				percent of total billed charges		434				other	OPPS APC	434	4340	
GRAFT BONE INFUSE RHBMP-2 BOVINE COLLAGEN XS 1.4 ML SPINE ALLOGRAPH ABSORBABLE SPONGE SYRINGE NEEDLE STERILE LUMBAR TAPER FUSION DEVICE	SUP-7510100_73551	CDM	270010020	LOCAL	270	RC		inpatient			4340	4340																																																			
SYSTEM THROMBECTOMY ANGIOJET ULTRA SOLENT OMNI PERIPHERAL CATHETER WASTE BAG PUMP SET SCALABLE	SUP-109681-001	CDM			270	RC		outpatient			4336.82	4336.82	1174.84				percent of total billed charges		4336.82				other	OPPS APC	3209.25				percent of total billed charges		4336.82				other	OPPS APC	4336.82				other	OPPS APC	1174.84				percent of total billed charges		1198.26				percent of total billed charges		4336.82				other	OPPS APC	1174.84	4336.82	
SYSTEM THROMBECTOMY ANGIOJET ULTRA SOLENT OMNI PERIPHERAL CATHETER WASTE BAG PUMP SET SCALABLE	SUP-109681-001	CDM			270	RC		inpatient			4336.82	4336.82																																																			
HC Sbrt Treatment Delivery per Frac	PX-333773730	CDM	77373	CPT	333	RC		outpatient			4334	1861.51	1272.83				fee schedule		1861.51				other	OPPS APC	3772.84				fee schedule		1861.51				other	OPPS APC	1861.51				other	OPPS APC	1005.07				fee schedule		1000.57				fee schedule		1861.51				other	OPPS APC	1000.57	3772.84	
HC Sbrt Treatment Delivery per Frac	PX-333773730	CDM	77373	CPT	333	RC		inpatient			4334	4334																																																			
PLATE 18 HOLE LEFT DISTAL LATERAL FEMUR	SUP-97-05789	CDM			278	RC		outpatient			4332.95	4332.95	4332.95				fee schedule		4332.95				other	OPPS APC	2469.78				percent of total billed charges		4332.95				other	OPPS APC	4332.95				other	OPPS APC	2123.15				percent of total billed charges		2209.8				percent of total billed charges		4332.95				other	OPPS APC	2123.15	4332.95	
PLATE 18 HOLE LEFT DISTAL LATERAL FEMUR	SUP-97-05789	CDM			278	RC		inpatient			4332.95	4332.95																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS 7HD/5H	SUP-97-01758	CDM			272	RC		outpatient			4322.5	4322.5	1170.97				percent of total billed charges		4322.5				other	OPPS APC	3198.65				percent of total billed charges		4322.5				other	OPPS APC	4322.5				other	OPPS APC	1170.97				percent of total billed charges		1194.31				percent of total billed charges		4322.5				other	OPPS APC	1170.97	4322.5	
2.4MM VA-LCP 2-CLMN DSTLRADIUS 7HD/5H	SUP-97-01758	CDM			272	RC		inpatient			4322.5	4322.5																																																			
PLATE BONE LEOS SMALL 0DEG LEFT METATARSOPHALANGEAL	SUP-7622-1000	CDM			270	RC		outpatient			4320	432	1170.29				percent of total billed charges		4320				other	OPPS APC	3196.8				percent of total billed charges		4320				other	OPPS APC	4320				other	OPPS APC	1170.29				percent of total billed charges		1193.62				percent of total billed charges		432				other	OPPS APC	432	4320	
PLATE BONE LEOS SMALL 0DEG LEFT METATARSOPHALANGEAL	SUP-7622-1000	CDM			270	RC		inpatient			4320	4320																																																			
PLATE SM 0 DEGREE RT LEOS MTP	SUP-76221002	CDM			270	RC		outpatient			4320	432	1170.29				percent of total billed charges		4320				other	OPPS APC	3196.8				percent of total billed charges		4320				other	OPPS APC	4320				other	OPPS APC	1170.29				percent of total billed charges		1193.62				percent of total billed charges		432				other	OPPS APC	432	4320	
PLATE SM 0 DEGREE RT LEOS MTP	SUP-76221002	CDM			270	RC		inpatient			4320	4320																																																			
HAMMERTOE IMPLANT SMALL	SUP-97-06363	CDM			278	RC		outpatient			4310.63	431.63	4310.63				fee schedule		4310.63				other	OPPS APC	2457.06				percent of total billed charges		4310.63				other	OPPS APC	4310.63				other	OPPS APC	2112.21				percent of total billed charges		2198.42				percent of total billed charges		431.63				other	OPPS APC	431.63	4310.63	
HAMMERTOE IMPLANT SMALL	SUP-97-06363	CDM			278	RC		inpatient			4310.63	4310.63																																																			
AEQUALIS PERFORM GLENOID KEELED M301	SUP-97-03737	CDM			278	RC		outpatient			4310	431	4310				fee schedule		4310				other	OPPS APC	2456.7				percent of total billed charges		4310				other	OPPS APC	4310				other	OPPS APC	2111.9				percent of total billed charges		2198.1				percent of total billed charges		431				other	OPPS APC	431	4310	
AEQUALIS PERFORM GLENOID KEELED M301	SUP-97-03737	CDM			278	RC		inpatient			4310	4310																																																			
IMPLANT VANGUARD ANT STABILIBED BRD 16X75	SUP-189086	CDM			270	RC		outpatient			4300	43	1164.87				percent of total billed charges		4300				other	OPPS APC	3182				percent of total billed charges		4300				other	OPPS APC	4300				other	OPPS APC	1164.87				percent of total billed charges		1188.09				percent of total billed charges		43				other	OPPS APC	43	4300	
IMPLANT VANGUARD ANT STABILIBED BRD 16X75	SUP-189086	CDM			270	RC		inpatient			4300	4300																																																			
PLATE BONE ATLANTIS TITANIUM L82.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190082	CDM	270010020	LOCAL	270	RC		outpatient			4300	43	1164.87				percent of total billed charges		4300				other	OPPS APC	3182				percent of total billed charges		4300				other	OPPS APC	4300				other	OPPS APC	1164.87				percent of total billed charges		1188.09				percent of total billed charges		43				other	OPPS APC	43	4300	
PLATE BONE ATLANTIS TITANIUM L82.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190082	CDM	270010020	LOCAL	270	RC		inpatient			4300	4300																																																			
CATHETER VASCULAR OFFROAD PLATINUM IRIDIUM OD2.4 FR MICRO LONG L100 CM L109 CM OD5 FR ODSEC5.4 MM POSITION BALLOON LANCET TIP FLEXIBLE NECK RO MARKER ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH	SUP-H74939202100540	CDM			270	RC		outpatient			4300	43	1164.87				percent of total billed charges		4300				other	OPPS APC	3182				percent of total billed charges		4300				other	OPPS APC	4300				other	OPPS APC	1164.87				percent of total billed charges		1188.09				percent of total billed charges		43				other	OPPS APC	43	4300	
CATHETER VASCULAR OFFROAD PLATINUM IRIDIUM OD2.4 FR MICRO LONG L100 CM L109 CM OD5 FR ODSEC5.4 MM POSITION BALLOON LANCET TIP FLEXIBLE NECK RO MARKER ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH	SUP-H74939202100540	CDM			270	RC		inpatient			4300	4300																																																			
LAPIDUS 5MM STEP PLATE LEFT	SUP-97-04601	CDM			278	RC		inpatient			4288.75	4288.75																																																			
LAPIDUS 5MM STEP PLATE LEFT	SUP-97-04601	CDM			278	RC		outpatient			4288.75	4288.75	2101.49				percent of total billed charges						other	OPPS APC	2444.59				percent of total billed charges						other	OPPS APC					other	OPPS APC	2101.49				percent of total billed charges		2187.26				percent of total billed charges						other	OPPS APC	2444.59	2444.59	
LAPIDUS 3-HOLE STANDARD	SUP-97-04603	CDM			278	RC		outpatient			4288.75	4288.75	4288.75				fee schedule		4288.75				other	OPPS APC	2444.59				percent of total billed charges		4288.75				other	OPPS APC	4288.75				other	OPPS APC	2101.49				percent of total billed charges		2187.26				percent of total billed charges		4288.75				other	OPPS APC	2101.49	4288.75	
LAPIDUS 3-HOLE STANDARD	SUP-97-04603	CDM			278	RC		inpatient			4288.75	4288.75																																																			
IMPLANT WRIST RADIAL HEAD COMPONENT MODULAR EVOLVE 22MM	SUP-00434906606	CDM			270	RC		outpatient			4282	4282	1159.99				percent of total billed charges		4282				other	OPPS APC	3168.68				percent of total billed charges		4282				other	OPPS APC	4282				other	OPPS APC	1159.99				percent of total billed charges		1183.12				percent of total billed charges		4282				other	OPPS APC	1159.99	4282	
IMPLANT WRIST RADIAL HEAD COMPONENT MODULAR EVOLVE 22MM	SUP-00434906606	CDM			270	RC		inpatient			4282	4282																																																			
KNOTLESS AC REPAIR SYSTEM	SUP-97-02443	CDM			272	RC		outpatient			4277.5	4277.5	1158.77				percent of total billed charges		4277.5				other	OPPS APC	3165.35				percent of total billed charges		4277.5				other	OPPS APC	4277.5				other	OPPS APC	1158.77				percent of total billed charges		1181.87				percent of total billed charges		4277.5				other	OPPS APC	1158.77	4277.5	
KNOTLESS AC REPAIR SYSTEM	SUP-97-02443	CDM			272	RC		inpatient			4277.5	4277.5																																																			
VERSYS PRESS FIT LD/FX SZ 15X140MM	SUP-97-01203	CDM			278	RC		outpatient			4275	4275	4275				fee schedule		4275				other	OPPS APC	2436.75				percent of total billed charges		4275				other	OPPS APC	4275				other	OPPS APC	2094.75				percent of total billed charges		2180.25				percent of total billed charges		4275				other	OPPS APC	2094.75	4275	
VERSYS PRESS FIT LD/FX SZ 15X140MM	SUP-97-01203	CDM			278	RC		inpatient			4275	4275																																																			
PACEMAKER- SHOCKING LEAD PLEXA PRO MRI LEAD	SUP-99-04353	CDM			275	RC		outpatient			4275	4275	4275				fee schedule		4275				other	OPPS APC	2436.75				percent of total billed charges		4275				other	OPPS APC	4275				other	OPPS APC	2094.75				percent of total billed charges		2180.25				percent of total billed charges		4275				other	OPPS APC	2094.75	4275	
PACEMAKER- SHOCKING LEAD PLEXA PRO MRI LEAD	SUP-99-04353	CDM			275	RC		inpatient			4275	4275																																																			
3 HOLE DLB COMP PLATE 20MM	SUP-97-01141	CDM			278	RC		outpatient			4270	427	4270				fee schedule		4270				other	OPPS APC	2433.9				percent of total billed charges		4270				other	OPPS APC	4270				other	OPPS APC	2092.3				percent of total billed charges		2177.7				percent of total billed charges		427				other	OPPS APC	427	4270	
3 HOLE DLB COMP PLATE 20MM	SUP-97-01141	CDM			278	RC		inpatient			4270	4270																																																			
4 HOLE DLB COMP PLATE 20MM	SUP-97-01142	CDM			278	RC		outpatient			4270	427	4270				fee schedule		4270				other	OPPS APC	2433.9				percent of total billed charges		4270				other	OPPS APC	4270				other	OPPS APC	2092.3				percent of total billed charges		2177.7				percent of total billed charges		427				other	OPPS APC	427	4270	
4 HOLE DLB COMP PLATE 20MM	SUP-97-01142	CDM			278	RC		inpatient			4270	4270																																																			
4 HOLE DLB COMP PLATE	SUP-97-02025	CDM			278	RC		outpatient			4270	427	4270				fee schedule		4270				other	OPPS APC	2433.9				percent of total billed charges		4270				other	OPPS APC	4270				other	OPPS APC	2092.3				percent of total billed charges		2177.7				percent of total billed charges		427				other	OPPS APC	427	4270	
4 HOLE DLB COMP PLATE	SUP-97-02025	CDM			278	RC		inpatient			4270	4270																																																			
GRAFT CARDIOVASCULAR HEMABRIDGE INTERVASCULAR INTERGARD COLLAGEN POLYESTER THK.38 MM OD10/8/8 MM L50 CM L30 CM OD28 MM ODSEC10 MM AORTIC ARCH 4 BRANCH WOVEN	SUP-HEWAA2810080810/1	CDM			270	RC		outpatient			4265.1	4265.14	1155.42				percent of total billed charges		4265.1				other	OPPS APC	3156.17				percent of total billed charges		4265.1				other	OPPS APC	4265.1				other	OPPS APC	1155.42				percent of total billed charges		1178.45				percent of total billed charges		4265.14				other	OPPS APC	1155.42	4265.14	
GRAFT CARDIOVASCULAR HEMABRIDGE INTERVASCULAR INTERGARD COLLAGEN POLYESTER THK.38 MM OD10/8/8 MM L50 CM L30 CM OD28 MM ODSEC10 MM AORTIC ARCH 4 BRANCH WOVEN	SUP-HEWAA2810080810/1	CDM			270	RC		inpatient			4265.1	4265.1																																																			
GRAFT CARDIOVASCULAR HEMABRIDGE INTERVASCULAR INTERGARD THK.38MM 4 BRANCH 10X8X8MM 50	SUP-HEWAA3010080810/1	CDM			270	RC		outpatient			4265.1	4265.14	1155.42				percent of total billed charges		4265.1				other	OPPS APC	3156.17				percent of total billed charges		4265.1				other	OPPS APC	4265.1				other	OPPS APC	1155.42				percent of total billed charges		1178.45				percent of total billed charges		4265.14				other	OPPS APC	1155.42	4265.14	
GRAFT CARDIOVASCULAR HEMABRIDGE INTERVASCULAR INTERGARD THK.38MM 4 BRANCH 10X8X8MM 50	SUP-HEWAA3010080810/1	CDM			270	RC		inpatient			4265.1	4265.1																																																			
MESH COMPOSITE 25X20	SUP-97-03457	CDM			278	RC		outpatient			4264.23	4264.23	4264.23				fee schedule		4264.23				other	OPPS APC	2430.61				percent of total billed charges		4264.23				other	OPPS APC	4264.23				other	OPPS APC	2089.47				percent of total billed charges		2174.76				percent of total billed charges		4264.23				other	OPPS APC	2089.47	4264.23	
MESH COMPOSITE 25X20	SUP-97-03457	CDM			278	RC		inpatient			4264.23	4264.23																																																			
PLATE CONDYLAP CURVED4.5MM6HOLE 159MM	SUP-97-03911	CDM			278	RC		outpatient			4261.55	4261.55	4261.55				fee schedule		4261.55				other	OPPS APC	2429.08				percent of total billed charges		4261.55				other	OPPS APC	4261.55				other	OPPS APC	2088.16				percent of total billed charges		2173.39				percent of total billed charges		4261.55				other	OPPS APC	2088.16	4261.55	
PLATE CONDYLAP CURVED4.5MM6HOLE 159MM	SUP-97-03911	CDM			278	RC		inpatient			4261.55	4261.55																																																			
SPHERE GLENOID EQUINOXE H28.1 MM OD40 MM SHOULDER EXPAND SMALL REVERSE	SUP-320-32-40	CDM	270010030	LOCAL	270	RC		outpatient			4260.6	426.64	1154.2				percent of total billed charges		4260.6				other	OPPS APC	3152.84				percent of total billed charges		4260.6				other	OPPS APC	4260.6				other	OPPS APC	1154.2				percent of total billed charges		1177.2				percent of total billed charges		426.64				other	OPPS APC	426.64	4260.6	
SPHERE GLENOID EQUINOXE H28.1 MM OD40 MM SHOULDER EXPAND SMALL REVERSE	SUP-320-32-40	CDM	270010030	LOCAL	270	RC		inpatient			4260.6	4260.6																																																			
GRAFT VASCULAR ARTEGRAFT 6MM 40CM WOVEN BOVINE COLLAGEN CAROTID ARTERY F/LOWER EXTREMITY BYPASS	SUP-AG740	CDM			270	RC		outpatient			4258	4258	1153.49				percent of total billed charges		4258				other	OPPS APC	3150.92				percent of total billed charges		4258				other	OPPS APC	4258				other	OPPS APC	1153.49				percent of total billed charges		1176.49				percent of total billed charges		4258				other	OPPS APC	1153.49	4258	
GRAFT VASCULAR ARTEGRAFT 6MM 40CM WOVEN BOVINE COLLAGEN CAROTID ARTERY F/LOWER EXTREMITY BYPASS	SUP-AG740	CDM			270	RC		inpatient			4258	4258																																																			
ARTICULAR SURFACE E F 17MM LCCK	SUP-97-00354	CDM			278	RC		outpatient			4257	4257	4257				fee schedule		4257				other	OPPS APC	2426.49				percent of total billed charges		4257				other	OPPS APC	4257				other	OPPS APC	2085.93				percent of total billed charges		2171.07				percent of total billed charges		4257				other	OPPS APC	2085.93	4257	
ARTICULAR SURFACE E F 17MM LCCK	SUP-97-00354	CDM			278	RC		inpatient			4257	4257																																																			
NEXGEN LCCK ART SURF EF 5-6/GREEN 17MM	SUP-97-05805	CDM			278	RC		outpatient			4257	4257	4257				fee schedule		4257				other	OPPS APC	2426.49				percent of total billed charges		4257				other	OPPS APC	4257				other	OPPS APC	2085.93				percent of total billed charges		2171.07				percent of total billed charges		4257				other	OPPS APC	2085.93	4257	
NEXGEN LCCK ART SURF EF 5-6/GREEN 17MM	SUP-97-05805	CDM			278	RC		inpatient			4257	4257																																																			
NEXGEN LCCK ARTICULAR SURFACE G 7-10/BLUE 17MM	SUP-97-05849	CDM			278	RC		outpatient			4257	4257	4257				fee schedule		4257				other	OPPS APC	2426.49				percent of total billed charges		4257				other	OPPS APC	4257				other	OPPS APC	2085.93				percent of total billed charges		2171.07				percent of total billed charges		4257				other	OPPS APC	2085.93	4257	
NEXGEN LCCK ARTICULAR SURFACE G 7-10/BLUE 17MM	SUP-97-05849	CDM			278	RC		inpatient			4257	4257																																																			
ARTICULAR SURFACE G7-10/BLUE 14MM NEXGEN	SUP-97-05920	CDM			278	RC		outpatient			4257	4257	4257				fee schedule		4257				other	OPPS APC	2426.49				percent of total billed charges		4257				other	OPPS APC	4257				other	OPPS APC	2085.93				percent of total billed charges		2171.07				percent of total billed charges		4257				other	OPPS APC	2085.93	4257	
ARTICULAR SURFACE G7-10/BLUE 14MM NEXGEN	SUP-97-05920	CDM			278	RC		inpatient			4257	4257																																																			
GRAFT DUAL MESH PLUS 18X24	SUP-97-00189	CDM			278	RC		outpatient			4255	4255	4255				fee schedule		4255				other	OPPS APC	2425.35				percent of total billed charges		4255				other	OPPS APC	4255				other	OPPS APC	2084.95				percent of total billed charges		2170.05				percent of total billed charges		4255				other	OPPS APC	2084.95	4255	
GRAFT DUAL MESH PLUS 18X24	SUP-97-00189	CDM			278	RC		inpatient			4255	4255																																																			
ELECTRODE ELECTROSURGICAL STARBURST XL C0-90 D TROCAR BEVEL L15 CM L3.5 CM OD6.4 FR ATTACHED CABLE SLIM HANDLE DESIGN MULTIPOINT TEMPERATURE SMALL MINIMALLY INVASIVE DISPOSABLE	SUP-700-103902	CDM			270	RC		outpatient			4254	4254	1152.41				percent of total billed charges		4254				other	OPPS APC	3147.96				percent of total billed charges		4254				other	OPPS APC	4254				other	OPPS APC	1152.41				percent of total billed charges		1175.38				percent of total billed charges		4254				other	OPPS APC	1152.41	4254	
ELECTRODE ELECTROSURGICAL STARBURST XL C0-90 D TROCAR BEVEL L15 CM L3.5 CM OD6.4 FR ATTACHED CABLE SLIM HANDLE DESIGN MULTIPOINT TEMPERATURE SMALL MINIMALLY INVASIVE DISPOSABLE	SUP-700-103902	CDM			270	RC		inpatient			4254	4254																																																			
ELECTRODE ELECTROSURGICAL C0-90D TROCAR BEVEL 15CM 6.4FR STARBURST XL 3.5CM	SUP-H7877001039021	CDM			270	RC		outpatient			4254	4254	1152.41				percent of total billed charges		4254				other	OPPS APC	3147.96				percent of total billed charges		4254				other	OPPS APC	4254				other	OPPS APC	1152.41				percent of total billed charges		1175.38				percent of total billed charges		4254				other	OPPS APC	1152.41	4254	
ELECTRODE ELECTROSURGICAL C0-90D TROCAR BEVEL 15CM 6.4FR STARBURST XL 3.5CM	SUP-H7877001039021	CDM			270	RC		inpatient			4254	4254																																																			
ELECTRODE ELECTROSURGICAL STARBURST XL TROCAR L10 CM L3-5 CM OD14 GA 9 ARRAY SLIM HANDLE DESIGN EXPANDABLE RADIOFREQUENCY ABLATION ATTACHED CABLE STERILE DISPOSABLE	SUP-H7877001039031	CDM			270	RC		outpatient			4254	4254	1152.41				percent of total billed charges		4254				other	OPPS APC	3147.96				percent of total billed charges		4254				other	OPPS APC	4254				other	OPPS APC	1152.41				percent of total billed charges		1175.38				percent of total billed charges		4254				other	OPPS APC	1152.41	4254	
ELECTRODE ELECTROSURGICAL STARBURST XL TROCAR L10 CM L3-5 CM OD14 GA 9 ARRAY SLIM HANDLE DESIGN EXPANDABLE RADIOFREQUENCY ABLATION ATTACHED CABLE STERILE DISPOSABLE	SUP-H7877001039031	CDM			270	RC		inpatient			4254	4254																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L6 CM OD 3MM COMPLEX FILL	SUP-640CF0306	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L6 CM OD 3MM COMPLEX FILL	SUP-640CF0306	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L8 CM OD 3MM COMPLEX FILL	SUP-640CF0308	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L8 CM OD 3MM COMPLEX FILL	SUP-640CF0308	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L5 CM OD 5MM COMPLEX FILL	SUP-640CF0505	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L5 CM OD 5MM COMPLEX FILL	SUP-640CF0505	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L10 CM OD 6MM COMPLEX FILL	SUP-640CF0610	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L10 CM OD 6MM COMPLEX FILL	SUP-640CF0610	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 7MM COMPLEX FILL	SUP-640CF0715	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 7MM COMPLEX FILL	SUP-640CF0715	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 8MM COMPLEX FILL	SUP-640CF0815	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 8MM COMPLEX FILL	SUP-640CF0815	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 9MM COMPLEX FILL	SUP-640CF0915	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L15 CM OD 9MM COMPLEX FILL	SUP-640CF0915	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L25 CM OD 9MM COMPLEX FILL	SUP-640CF0925	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L25 CM OD 9MM COMPLEX FILL	SUP-640CF0925	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 10MM COMPLEX FILL	SUP-640CF1030	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 10MM COMPLEX FILL	SUP-640CF1030	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 12MM COMPLEX FILL	SUP-640CF1230	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 12MM COMPLEX FILL	SUP-640CF1230	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L25 CM OD 7MM COMPLEX FRAME	SUP-640CR0725	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L25 CM OD 7MM COMPLEX FRAME	SUP-640CR0725	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 10MM COMPLEX FRAME	SUP-640CR1030	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 10MM COMPLEX FRAME	SUP-640CR1030	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L20 CM OD 12MM COMPLEX FRAME	SUP-640CR1230	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L20 CM OD 12MM COMPLEX FRAME	SUP-640CR1230	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 14MM COMPLEX FRAME	SUP-640CR1430	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 14MM COMPLEX FRAME	SUP-640CR1430	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 16MM COMPLEX FRAME	SUP-640CR1630	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 16MM COMPLEX FRAME	SUP-640CR1630	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 18MM COMPLEX FRAME	SUP-640CR1830	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 18MM COMPLEX FRAME	SUP-640CR1830	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 20MM COMPLEX FRAME	SUP-640CR2030	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 20MM COMPLEX FRAME	SUP-640CR2030	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION XTRASOFT L1.5 CM OD 2MMCOMPLEX OCCLUSION GRADE	SUP-640CX0201	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION XTRASOFT L1.5 CM OD 2MMCOMPLEX OCCLUSION GRADE	SUP-640CX0201	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION XTRASOFT L4 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0404	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION XTRASOFT L4 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0404	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION XTRASOFT L6 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0406	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION XTRASOFT L6 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0406	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION XTRASOFT L8 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0408	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION XTRASOFT L8 CM OD 4MM COMPLEX OCCLUSION GRADE	SUP-640CX0408	CDM			270	RC		inpatient			4252	4252																																																			
COIL EMBOLIZATION XTRASOFT L2.5 CM OD 2.5MM COMPLEX OCCLUSION GRADE	SUP-640CX2525	CDM			270	RC		outpatient			4252	4252	1151.87				percent of total billed charges		4252				other	OPPS APC	3146.48				percent of total billed charges		4252				other	OPPS APC	4252				other	OPPS APC	1151.87				percent of total billed charges		1174.83				percent of total billed charges		4252				other	OPPS APC	1151.87	4252	
COIL EMBOLIZATION XTRASOFT L2.5 CM OD 2.5MM COMPLEX OCCLUSION GRADE	SUP-640CX2525	CDM			270	RC		inpatient			4252	4252																																																			
REPAIR KIT BIOCOMPOSITE MENISCAL ROOT	SUP-97-05065	CDM			278	RC		outpatient			4250	425	4250				fee schedule		4250				other	OPPS APC	2422.5				percent of total billed charges		4250				other	OPPS APC	4250				other	OPPS APC	2082.5				percent of total billed charges		2167.5				percent of total billed charges		425				other	OPPS APC	425	4250	
REPAIR KIT BIOCOMPOSITE MENISCAL ROOT	SUP-97-05065	CDM			278	RC		inpatient			4250	4250																																																			
PACEMAKER - LEAD - PERFORMA 4298-88	SUP-99-04177	CDM			275	RC		outpatient			4250	425	4250				fee schedule		4250				other	OPPS APC	2422.5				percent of total billed charges		4250				other	OPPS APC	4250				other	OPPS APC	2082.5				percent of total billed charges		2167.5				percent of total billed charges		425				other	OPPS APC	425	4250	
PACEMAKER - LEAD - PERFORMA 4298-88	SUP-99-04177	CDM			275	RC		inpatient			4250	4250																																																			
GRAFT CARDIOVASCULAR DISTAFLO 80CM 7MM STERILE DISTAL PERIPHERAL PERIPHERAL BYPASS	SUP-DF8007SC	CDM			270	RC		outpatient			4246.98	4246.98	1150.51				percent of total billed charges		4246.98				other	OPPS APC	3142.77				percent of total billed charges		4246.98				other	OPPS APC	4246.98				other	OPPS APC	1150.51				percent of total billed charges		1173.44				percent of total billed charges		4246.98				other	OPPS APC	1150.51	4246.98	
GRAFT CARDIOVASCULAR DISTAFLO 80CM 7MM STERILE DISTAL PERIPHERAL PERIPHERAL BYPASS	SUP-DF8007SC	CDM			270	RC		inpatient			4246.98	4246.98																																																			
ATTUNE PRESSFIT STR STEM 12 X 110MM	SUP-97-06164	CDM			278	RC		outpatient			4246.25	4246.25	4246.25				fee schedule		4246.25				other	OPPS APC	2420.36				percent of total billed charges		4246.25				other	OPPS APC	4246.25				other	OPPS APC	2080.66				percent of total billed charges		2165.59				percent of total billed charges		4246.25				other	OPPS APC	2080.66	4246.25	
ATTUNE PRESSFIT STR STEM 12 X 110MM	SUP-97-06164	CDM			278	RC		inpatient			4246.25	4246.25																																																			
STEM HUMERAL UNIVERS II L146 MM OD9 MM SHOULDER STERILE	SUP-AR-9100-09P	CDM	270010030	LOCAL	270	RC		outpatient			4240.5	424.5	1148.75				percent of total billed charges		4240.5				other	OPPS APC	3137.97				percent of total billed charges		4240.5				other	OPPS APC	4240.5				other	OPPS APC	1148.75				percent of total billed charges		1171.65				percent of total billed charges		424.5				other	OPPS APC	424.5	4240.5	
STEM HUMERAL UNIVERS II L146 MM OD9 MM SHOULDER STERILE	SUP-AR-9100-09P	CDM	270010030	LOCAL	270	RC		inpatient			4240.5	4240.5																																																			
STEM HUMERAL UNIVERS II L151 MM OD11 MM SHOULDER STERILE	SUP-AR-9100-11P	CDM	270010030	LOCAL	270	RC		outpatient			4240.5	424.5	1148.75				percent of total billed charges		4240.5				other	OPPS APC	3137.97				percent of total billed charges		4240.5				other	OPPS APC	4240.5				other	OPPS APC	1148.75				percent of total billed charges		1171.65				percent of total billed charges		424.5				other	OPPS APC	424.5	4240.5	
STEM HUMERAL UNIVERS II L151 MM OD11 MM SHOULDER STERILE	SUP-AR-9100-11P	CDM	270010030	LOCAL	270	RC		inpatient			4240.5	4240.5																																																			
STEM HUMERAL L132 MM OD5 MM	SUP-AR-9100-05P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL L132 MM OD5 MM	SUP-AR-9100-05P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX 132.5 D L60 MM OD5 MM	SUP-AR-9100-05S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX 132.5 D L60 MM OD5 MM	SUP-AR-9100-05S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS II L115 MM OD6 MM SHOULDER STERILE	SUP-AR-9100-06P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS II L115 MM OD6 MM SHOULDER STERILE	SUP-AR-9100-06P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD6 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-06S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD6 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-06S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS II L140 MM OD7 MM SHOULDER STERILE	SUP-AR-9100-07P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS II L140 MM OD7 MM SHOULDER STERILE	SUP-AR-9100-07P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD7 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-07S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD7 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-07S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS II L143 MM OD8 MM SHOULDER STERILE	SUP-AR-9100-08P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS II L143 MM OD8 MM SHOULDER STERILE	SUP-AR-9100-08P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD8 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-08S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD8 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-08S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD9 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-09S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD9 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-09S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS II L148 MM OD10 MM SHOULDER STERILE	SUP-AR-9100-10P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS II L148 MM OD10 MM SHOULDER STERILE	SUP-AR-9100-10P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD10 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-10S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD10 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-10S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD11 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-11S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD11 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-11S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS II L151 MM OD12 MM SHOULDER STERILE	SUP-AR-9100-12P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS II L151 MM OD12 MM SHOULDER STERILE	SUP-AR-9100-12P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD12 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-12S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L60 MM OD12 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-12S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS OD13 MM SHOULDER	SUP-AR-9100-13P	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS OD13 MM SHOULDER	SUP-AR-9100-13P	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
STEM HUMERAL UNIVERS APEX RECTANGLE L65 MM OD13 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-13S	CDM	270010030	LOCAL	270	RC		outpatient			4240.48	424.48	1148.75				percent of total billed charges		4240.48				other	OPPS APC	3137.96				percent of total billed charges		4240.48				other	OPPS APC	4240.48				other	OPPS APC	1148.75				percent of total billed charges		1171.64				percent of total billed charges		424.48				other	OPPS APC	424.48	4240.48	
STEM HUMERAL UNIVERS APEX RECTANGLE L65 MM OD13 MM SHOULDER PRESS FIT REMOVABLE TRUNION SUTURE HOLE ARTHROPLASTY	SUP-AR-9100-13S	CDM	270010030	LOCAL	270	RC		inpatient			4240.48	4240.48																																																			
FMT LOWER DELIVERY	SUP-95-04955	CDM			272	RC		outpatient			4237.5	4237.5	1147.94				percent of total billed charges		4237.5				other	OPPS APC	3135.75				percent of total billed charges		4237.5				other	OPPS APC	4237.5				other	OPPS APC	1147.94				percent of total billed charges		1170.82				percent of total billed charges		4237.5				other	OPPS APC	1147.94	4237.5	
FMT LOWER DELIVERY	SUP-95-04955	CDM			272	RC		inpatient			4237.5	4237.5																																																			
STRAVIX 2X4CM	SUP-97-01266	CDM			636	RC		outpatient			4237.5	4237.5	4237.5				fee schedule		4237.5				other	OPPS APC	154.64				fee schedule		4237.5				other	OPPS APC	4237.5				other	OPPS APC	2076.38				percent of total billed charges		1053.44				percent of total billed charges		4237.5				other	OPPS APC	154.64	4237.5	
STRAVIX 2X4CM	SUP-97-01266	CDM			636	RC		inpatient			4237.5	4237.5																																																			
STENT - SUPERA 5.5X150	SUP-99-02009	CDM			278	RC		inpatient			4237.5	4237.5																																																			
STENT - SUPERA 5.5X150	SUP-99-02009	CDM			278	RC		outpatient			4237.5	4237.5					fee schedule						other	OPPS APC	2415.38				percent of total billed charges						other	OPPS APC					other	OPPS APC	2076.38				percent of total billed charges		2161.13				percent of total billed charges						other	OPPS APC	2415.38	2415.38	
STENT - SUPERA 6.5X120	SUP-99-02030	CDM			278	RC		inpatient			4237.5	4237.5																																																			
STENT - SUPERA 6.5X120	SUP-99-02030	CDM			278	RC		outpatient			4237.5	4237.5					fee schedule						other	OPPS APC	2415.38				percent of total billed charges						other	OPPS APC					other	OPPS APC	2076.38				percent of total billed charges		2161.13				percent of total billed charges						other	OPPS APC	2415.38	2415.38	
STENT - SUPERA 5.5X60	SUP-99-02217	CDM			278	RC		inpatient			4237.5	4237.5																																																			
STENT - SUPERA 5.5X60	SUP-99-02217	CDM			278	RC		outpatient			4237.5	4237.5					fee schedule						other	OPPS APC	2415.38				percent of total billed charges						other	OPPS APC					other	OPPS APC	2076.38				percent of total billed charges		2161.13				percent of total billed charges						other	OPPS APC	2415.38	2415.38	
STENT - SUPERA 6.5X40	SUP-99-02274	CDM			278	RC		inpatient			4237.5	4237.5																																																			
STENT - SUPERA 6.5X40	SUP-99-02274	CDM			278	RC		outpatient			4237.5	4237.5					fee schedule						other	OPPS APC	2415.38				percent of total billed charges						other	OPPS APC					other	OPPS APC	2076.38				percent of total billed charges		2161.13				percent of total billed charges						other	OPPS APC	2415.38	2415.38	
BALLOON - RANGER DCB 5X150	SUP-99-04076	CDM			272	RC		outpatient			4237.5	4237.5	1147.94				percent of total billed charges		4237.5				other	OPPS APC	3135.75				percent of total billed charges		4237.5				other	OPPS APC	4237.5				other	OPPS APC	1147.94				percent of total billed charges		1170.82				percent of total billed charges		4237.5				other	OPPS APC	1147.94	4237.5	
BALLOON - RANGER DCB 5X150	SUP-99-04076	CDM			272	RC		inpatient			4237.5	4237.5																																																			
PLATE PROX LAT TIB 6 HOLE RT	SUP-97-05384	CDM			278	RC		outpatient			4235	4235	4235				fee schedule		4235				other	OPPS APC	2413.95				percent of total billed charges		4235				other	OPPS APC	4235				other	OPPS APC	2075.15				percent of total billed charges		2159.85				percent of total billed charges		4235				other	OPPS APC	2075.15	4235	
PLATE PROX LAT TIB 6 HOLE RT	SUP-97-05384	CDM			278	RC		inpatient			4235	4235																																																			
UNIVERSAL STEM FLUTED	SUP-97-01317	CDM			278	RC		outpatient			4233	4233	4233				fee schedule		4233				other	OPPS APC	2412.81				percent of total billed charges		4233				other	OPPS APC	4233				other	OPPS APC	2074.17				percent of total billed charges		2158.83				percent of total billed charges		4233				other	OPPS APC	2074.17	4233	
UNIVERSAL STEM FLUTED	SUP-97-01317	CDM			278	RC		inpatient			4233	4233																																																			
PLATE PROX LAT HUM 3 HOLE LFT X 86MM	SUP-97-03622	CDM			278	RC		outpatient			4221	4221	4221				fee schedule		4221				other	OPPS APC	2405.97				percent of total billed charges		4221				other	OPPS APC	4221				other	OPPS APC	2068.29				percent of total billed charges		2152.71				percent of total billed charges		4221				other	OPPS APC	2068.29	4221	
PLATE PROX LAT HUM 3 HOLE LFT X 86MM	SUP-97-03622	CDM			278	RC		inpatient			4221	4221																																																			
PLATE PROX LAT HUM 4 HOLE LFT X 99MM	SUP-97-03623	CDM			278	RC		outpatient			4221	4221	4221				fee schedule		4221				other	OPPS APC	2405.97				percent of total billed charges		4221				other	OPPS APC	4221				other	OPPS APC	2068.29				percent of total billed charges		2152.71				percent of total billed charges		4221				other	OPPS APC	2068.29	4221	
PLATE PROX LAT HUM 4 HOLE LFT X 99MM	SUP-97-03623	CDM			278	RC		inpatient			4221	4221																																																			
PLATE PROX LAT HUM 5 HOLE LFT X 112MM	SUP-97-05518	CDM			278	RC		outpatient			4221	4221	4221				fee schedule		4221				other	OPPS APC	2405.97				percent of total billed charges		4221				other	OPPS APC	4221				other	OPPS APC	2068.29				percent of total billed charges		2152.71				percent of total billed charges		4221				other	OPPS APC	2068.29	4221	
PLATE PROX LAT HUM 5 HOLE LFT X 112MM	SUP-97-05518	CDM			278	RC		inpatient			4221	4221																																																			
CATHETER DELIVERY SYSTEM COREVALVE OD18 FR ACCEPTS 7.3 CM	SUP-DCS-C4-18F-US	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
CATHETER DELIVERY SYSTEM COREVALVE OD18 FR ACCEPTS 7.3 CM	SUP-DCS-C4-18F-US	CDM			270	RC		inpatient			4220	4220																																																			
EVOLUT FX DELIVERY SYSTEM 23-29MM	SUP-D-EVOLUTFX-2329	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
EVOLUT FX DELIVERY SYSTEM 23-29MM	SUP-D-EVOLUTFX-2329	CDM			270	RC		inpatient			4220	4220																																																			
EVOLUT FX DELIVERY SYSTEM 34MM	SUP-D-EVOLUTFX-34	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
EVOLUT FX DELIVERY SYSTEM 34MM	SUP-D-EVOLUTFX-34	CDM			270	RC		inpatient			4220	4220																																																			
SYSTEM DELIVERY CATHETER ENVEO R WITH INLINE SHEATH	SUP-ENVEOR-N-US	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
SYSTEM DELIVERY CATHETER ENVEO R WITH INLINE SHEATH	SUP-ENVEOR-N-US	CDM			270	RC		inpatient			4220	4220																																																			
SYSTEM DELIVERY CATHETER ENVEO R INFLOW OUTFLOW CONE BACKPLATE CAPSULE GUIDE TUBE STERILE DISPOSABLE	SUP-ENVEOR-US	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
SYSTEM DELIVERY CATHETER ENVEO R INFLOW OUTFLOW CONE BACKPLATE CAPSULE GUIDE TUBE STERILE DISPOSABLE	SUP-ENVEOR-US	CDM			270	RC		inpatient			4220	4220																																																			
EnVEO PRO DELIVERY SYSTEM OD18 FR	SUP-ENVPRO-14-US	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
EnVEO PRO DELIVERY SYSTEM OD18 FR	SUP-ENVPRO-14-US	CDM			270	RC		inpatient			4220	4220																																																			
CATHETER DELIVERY SYSTEM OD20 FR	SUP-ENVPRO-16-US	CDM			270	RC		outpatient			4220	422	1143.2				percent of total billed charges		4220				other	OPPS APC	3122.8				percent of total billed charges		4220				other	OPPS APC	4220				other	OPPS APC	1143.2				percent of total billed charges		1165.99				percent of total billed charges		422				other	OPPS APC	422	4220	
CATHETER DELIVERY SYSTEM OD20 FR	SUP-ENVPRO-16-US	CDM			270	RC		inpatient			4220	4220																																																			
NAIL GAMMA3 S LEFT 10 X 360MM X125	SUP-97-01742	CDM			278	RC		outpatient			4219.2	4219.2	4219.2				fee schedule		4219.2				other	OPPS APC	2404.94				percent of total billed charges		4219.2				other	OPPS APC	4219.2				other	OPPS APC	2067.41				percent of total billed charges		2151.79				percent of total billed charges		4219.2				other	OPPS APC	2067.41	4219.2	
NAIL GAMMA3 S LEFT 10 X 360MM X125	SUP-97-01742	CDM			278	RC		inpatient			4219.2	4219.2																																																			
NAIL GAMMA3 R1.5TI LEFT11X360MMX125	SUP-97-03281	CDM			278	RC		outpatient			4219.2	4219.2	4219.2				fee schedule		4219.2				other	OPPS APC	2404.94				percent of total billed charges		4219.2				other	OPPS APC	4219.2				other	OPPS APC	2067.41				percent of total billed charges		2151.79				percent of total billed charges		4219.2				other	OPPS APC	2067.41	4219.2	
NAIL GAMMA3 R1.5TI LEFT11X360MMX125	SUP-97-03281	CDM			278	RC		inpatient			4219.2	4219.2																																																			
PLATE TIBIAL NEXGEN TIVANIUM PMMA PRECOAT 4 WEDGE L66 MM X W46 MM KNEE CEMENT MODULAR STEM STERILE YELLOW YELLOW STRIPE	SUP-00-5988-004-00	CDM	270010025	LOCAL	270	RC		outpatient			4212	4212	1141.03				percent of total billed charges		4212				other	OPPS APC	3116.88				percent of total billed charges		4212				other	OPPS APC	4212				other	OPPS APC	1141.03				percent of total billed charges		1163.78				percent of total billed charges		4212				other	OPPS APC	1141.03	4212	
PLATE TIBIAL NEXGEN TIVANIUM PMMA PRECOAT 4 WEDGE L66 MM X W46 MM KNEE CEMENT MODULAR STEM STERILE YELLOW YELLOW STRIPE	SUP-00-5988-004-00	CDM	270010025	LOCAL	270	RC		inpatient			4212	4212																																																			
PLATE TIBIAL WEDGED SIZE 6	SUP-00-5988-006-00	CDM	270010025	LOCAL	270	RC		outpatient			4212	4212	1141.03				percent of total billed charges		4212				other	OPPS APC	3116.88				percent of total billed charges		4212				other	OPPS APC	4212				other	OPPS APC	1141.03				percent of total billed charges		1163.78				percent of total billed charges		4212				other	OPPS APC	1141.03	4212	
PLATE TIBIAL WEDGED SIZE 6	SUP-00-5988-006-00	CDM	270010025	LOCAL	270	RC		inpatient			4212	4212																																																			
GRAFT SOFT TISSUE ACHILLES TENDON	SUP-453142	CDM	270010031	LOCAL	270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
GRAFT SOFT TISSUE ACHILLES TENDON	SUP-453142	CDM	270010031	LOCAL	270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L10 CM OD 5MM COMPLEX FILL	SUP-640CF0510	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L10 CM OD 5MM COMPLEX FILL	SUP-640CF0510	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L21 CM OD 7MM COMPLEX FILL	SUP-640CF0721	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L21 CM OD 7MM COMPLEX FILL	SUP-640CF0721	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L20 CM OD 6MM COMPLEX FRAME	SUP-640CR0620	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L20 CM OD 6MM COMPLEX FRAME	SUP-640CR0620	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 8MM COMPLEX FRAME	SUP-640CR0830	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 8MM COMPLEX FRAME	SUP-640CR0830	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 9MM COMPLEX FRAME	SUP-640CR0930	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION TRUFILL DCS ORBIT GALAXY L30 CM OD 9MM COMPLEX FRAME	SUP-640CR0930	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION XTRASOFT GALAXY TRUSEEK TRUFILL DCS ORBIT L2 CM OD 2MM ODSEC .012 IN RANDOM LOOP SOFT	SUP-640CX0202	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION XTRASOFT GALAXY TRUSEEK TRUFILL DCS ORBIT L2 CM OD 2MM ODSEC .012 IN RANDOM LOOP SOFT	SUP-640CX0202	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION XTRASOFT L3 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0303	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION XTRASOFT L3 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0303	CDM			270	RC		inpatient			4200	4200																																																			
COIL EMBOLIZATION XTRASOFT L8 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0308	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
COIL EMBOLIZATION XTRASOFT L8 CM OD 3MM COMPLEX OCCLUSION GRADE	SUP-640CX0308	CDM			270	RC		inpatient			4200	4200																																																			
GRAFT BONE MAGNETOS MATRIX .25-1 MM MEDIUM ALLOGRAFT FLEX	SUP-703-057-US	CDM			270	RC		outpatient			4200	42	1137.78				percent of total billed charges		4200				other	OPPS APC	3108				percent of total billed charges		4200				other	OPPS APC	4200				other	OPPS APC	1137.78				percent of total billed charges		1160.46				percent of total billed charges		42				other	OPPS APC	42	4200	
GRAFT BONE MAGNETOS MATRIX .25-1 MM MEDIUM ALLOGRAFT FLEX	SUP-703-057-US	CDM			270	RC		inpatient			4200	4200																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L370 MM CONDYLAR RIGHT PERIARTICULAR 18 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.418	CDM	270010022	LOCAL	270	RC		outpatient			4199.52	4199.52	1137.65				percent of total billed charges		4199.52				other	OPPS APC	3107.64				percent of total billed charges		4199.52				other	OPPS APC	4199.52				other	OPPS APC	1137.65				percent of total billed charges		1160.33				percent of total billed charges		4199.52				other	OPPS APC	1137.65	4199.52	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L370 MM CONDYLAR RIGHT PERIARTICULAR 18 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.418	CDM	270010022	LOCAL	270	RC		inpatient			4199.52	4199.52																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L370 MM CONDYLAR LEFT PERIARTICULAR 18 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.419	CDM	270010022	LOCAL	270	RC		outpatient			4199.52	4199.52	1137.65				percent of total billed charges		4199.52				other	OPPS APC	3107.64				percent of total billed charges		4199.52				other	OPPS APC	4199.52				other	OPPS APC	1137.65				percent of total billed charges		1160.33				percent of total billed charges		4199.52				other	OPPS APC	1137.65	4199.52	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L370 MM CONDYLAR LEFT PERIARTICULAR 18 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.419	CDM	270010022	LOCAL	270	RC		inpatient			4199.52	4199.52																																																			
KIT BONE GRAFT OSTEOSET 25ML CALCIUM SULFATE RESORBABLE BEAD	SUP-8400-0311	CDM			270	RC		outpatient			4190	419	1135.07				percent of total billed charges		4190				other	OPPS APC	3100.6				percent of total billed charges		4190				other	OPPS APC	4190				other	OPPS APC	1135.07				percent of total billed charges		1157.7				percent of total billed charges		419				other	OPPS APC	419	4190	
KIT BONE GRAFT OSTEOSET 25ML CALCIUM SULFATE RESORBABLE BEAD	SUP-8400-0311	CDM			270	RC		inpatient			4190	4190																																																			
ROTAPRO 2.00MM BURR	SUP-H749394672000	CDM			270	RC		outpatient			4190	419	1135.07				percent of total billed charges		4190				other	OPPS APC	3100.6				percent of total billed charges		4190				other	OPPS APC	4190				other	OPPS APC	1135.07				percent of total billed charges		1157.7				percent of total billed charges		419				other	OPPS APC	419	4190	
ROTAPRO 2.00MM BURR	SUP-H749394672000	CDM			270	RC		inpatient			4190	4190																																																			
BALLOON SPACEMAKER  KIDNEY	SUP-97-00793	CDM						inpatient			4185.93	4185.93																																																			
BALLOON SPACEMAKER  KIDNEY	SUP-97-00793	CDM						outpatient			4185.93	4185.93	4185.93				percent of total billed charges		4185.93				other	OPPS APC	4185.93				fee schedule		4185.93				other	OPPS APC	4185.93				other	OPPS APC	4185.93				case rate		4185.93				case rate		4185.93				other	OPPS APC	4185.93	4185.93	
PPM PM2272 ASSURITY MRI DR-RF DEVICE _45055_	SUP-PMM2272	CDM			275	RC		outpatient			4180	418	2048.2				percent of total billed charges		4180				other	OPPS APC	2382.6				percent of total billed charges		4180				other	OPPS APC	4180				other	OPPS APC	2048.2				percent of total billed charges		2131.8				percent of total billed charges		418				other	OPPS APC	418	4180	
PPM PM2272 ASSURITY MRI DR-RF DEVICE _45055_	SUP-PMM2272	CDM			275	RC		inpatient			4180	4180																																																			
LEAD PACING QUARTET L92 CM	SUP-1458Q-92	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD PACING QUARTET L92 CM	SUP-1458Q-92	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ATTAIN PERFORMA QUADPOLE	SUP-429878/88	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ATTAIN PERFORMA QUADPOLE	SUP-429878/88	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ATTAIN PERFORMA QUADRAPOLE	SUP-439878/88	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ATTAIN PERFORMA QUADRAPOLE	SUP-439878/88	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ACUITY X4 QUADRAPOLAR	SUP-4671	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ACUITY X4 QUADRAPOLAR	SUP-4671	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ACUITY X4 QUADRAPOLAR	SUP-4672	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ACUITY X4 QUADRAPOLAR	SUP-4672	CDM			275	RC		inpatient			4176	4176																																																			
LEAD 4674 ACUITY X4 QUADRAPOLAR _44881_	SUP-4674	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD 4674 ACUITY X4 QUADRAPOLAR _44881_	SUP-4674	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ACUITY X4 QUADRAPOLAR	SUP-4675	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ACUITY X4 QUADRAPOLAR	SUP-4675	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ACUITY X4 QUADRAPOLAR	SUP-4677	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ACUITY X4 QUADRAPOLAR	SUP-4677	CDM			275	RC		inpatient			4176	4176																																																			
LEAD ACUITY X4 QUADRAPOLAR	SUP-4678	CDM			275	RC		outpatient			4176	4176	2046.24				percent of total billed charges		4176				other	OPPS APC	2380.32				percent of total billed charges		4176				other	OPPS APC	4176				other	OPPS APC	2046.24				percent of total billed charges		2129.76				percent of total billed charges		4176				other	OPPS APC	2046.24	4176	
LEAD ACUITY X4 QUADRAPOLAR	SUP-4678	CDM			275	RC		inpatient			4176	4176																																																			
GRAFT POSTERIOR TIBIALIS TENDON 7.5 X 230	SUP-97-04674	CDM			278	RC		outpatient			4174.78	4174.78	4174.78				fee schedule		4174.78				other	OPPS APC	2379.62				percent of total billed charges		4174.78				other	OPPS APC	4174.78				other	OPPS APC	2045.64				percent of total billed charges		2129.14				percent of total billed charges		4174.78				other	OPPS APC	2045.64	4174.78	
GRAFT POSTERIOR TIBIALIS TENDON 7.5 X 230	SUP-97-04674	CDM			278	RC		inpatient			4174.78	4174.78																																																			
SIGMA XKL CVC PLUS INSERT 3 8MM	SUP-97-05815	CDM			278	RC		outpatient			4171.25	4171.25	4171.25				fee schedule		4171.25				other	OPPS APC	2377.61				percent of total billed charges		4171.25				other	OPPS APC	4171.25				other	OPPS APC	2043.91				percent of total billed charges		2127.34				percent of total billed charges		4171.25				other	OPPS APC	2043.91	4171.25	
SIGMA XKL CVC PLUS INSERT 3 8MM	SUP-97-05815	CDM			278	RC		inpatient			4171.25	4171.25																																																			
INSERT 4 22.5MM SIGMA STAB XLK	SUP-97-05927	CDM			278	RC		outpatient			4171.25	4171.25	4171.25				fee schedule		4171.25				other	OPPS APC	2377.61				percent of total billed charges		4171.25				other	OPPS APC	4171.25				other	OPPS APC	2043.91				percent of total billed charges		2127.34				percent of total billed charges		4171.25				other	OPPS APC	2043.91	4171.25	
INSERT 4 22.5MM SIGMA STAB XLK	SUP-97-05927	CDM			278	RC		inpatient			4171.25	4171.25																																																			
INSERT SIZE 2 8MM SIGMA STAB XLK	SUP-97-06229	CDM			278	RC		outpatient			4171.25	4171.25	4171.25				fee schedule		4171.25				other	OPPS APC	2377.61				percent of total billed charges		4171.25				other	OPPS APC	4171.25				other	OPPS APC	2043.91				percent of total billed charges		2127.34				percent of total billed charges		4171.25				other	OPPS APC	2043.91	4171.25	
INSERT SIZE 2 8MM SIGMA STAB XLK	SUP-97-06229	CDM			278	RC		inpatient			4171.25	4171.25																																																			
COIL 1 X 1 MINI G3	SUP-GLM910010	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1 X 1 MINI G3	SUP-GLM910010	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1 X 1.5 MINI G3	SUP-GLM910015	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1 X 1.5 MINI G3	SUP-GLM910015	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1 X 2 MINI G3	SUP-GLM910020	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1 X 2 MINI G3	SUP-GLM910020	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1 X 2.5 MINI G3	SUP-GLM910025	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1 X 2.5 MINI G3	SUP-GLM910025	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1 X 4 MINI G3	SUP-GLM910040	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1 X 4 MINI G3	SUP-GLM910040	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1.5 X 2.5 MINI G3	SUP-GLM915025	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1.5 X 2.5 MINI G3	SUP-GLM915025	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1.5 X 3 MINI G3	SUP-GLM915030	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1.5 X 3 MINI G3	SUP-GLM915030	CDM			270	RC		inpatient			4166	4166																																																			
COIL 1.5 X 4 MINI G3	SUP-GLM915040	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 1.5 X 4 MINI G3	SUP-GLM915040	CDM			270	RC		inpatient			4166	4166																																																			
COIL 2 X 3 MINI G3	SUP-GLM920030	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 2 X 3 MINI G3	SUP-GLM920030	CDM			270	RC		inpatient			4166	4166																																																			
COIL 2.5 X 3.5 MINI G3	SUP-GLM925035	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 2.5 X 3.5 MINI G3	SUP-GLM925035	CDM			270	RC		inpatient			4166	4166																																																			
COIL 2.5 X 4.5 MINI G3	SUP-GLM925045	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 2.5 X 4.5 MINI G3	SUP-GLM925045	CDM			270	RC		inpatient			4166	4166																																																			
COIL 2.5 X 5.5 MINI G3	SUP-GLM925055	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 2.5 X 5.5 MINI G3	SUP-GLM925055	CDM			270	RC		inpatient			4166	4166																																																			
COIL 3 X 4 MINI G3	SUP-GLM930040	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 3 X 4 MINI G3	SUP-GLM930040	CDM			270	RC		inpatient			4166	4166																																																			
COIL 3 X 6 MINI G3	SUP-GLM930060	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 3 X 6 MINI G3	SUP-GLM930060	CDM			270	RC		inpatient			4166	4166																																																			
COIL 3 X 8 MINI G3	SUP-GLM930080	CDM			270	RC		outpatient			4166	4166	1128.57				percent of total billed charges		4166				other	OPPS APC	3082.84				percent of total billed charges		4166				other	OPPS APC	4166				other	OPPS APC	1128.57				percent of total billed charges		1151.07				percent of total billed charges		4166				other	OPPS APC	1128.57	4166	
COIL 3 X 8 MINI G3	SUP-GLM930080	CDM			270	RC		inpatient			4166	4166																																																			
KIT FRACTURE STABILIT COMPLETE SINGLE LEVEL LONG	SUP-3506-01	CDM			270	RC		outpatient			4161.5	4161.5	1127.35				percent of total billed charges		4161.5				other	OPPS APC	3079.51				percent of total billed charges		4161.5				other	OPPS APC	4161.5				other	OPPS APC	1127.35				percent of total billed charges		1149.82				percent of total billed charges		4161.5				other	OPPS APC	1127.35	4161.5	
KIT FRACTURE STABILIT COMPLETE SINGLE LEVEL LONG	SUP-3506-01	CDM			270	RC		inpatient			4161.5	4161.5																																																			
PACEMAKER CARDIAC VERITY ADX XL SR M/S THK6 MM W52 MM X H42 MM 11 ML 23.5 GM ATRIUM VENTRICLE 1 CHAMBER RATE RESPONSIVE UNIPOLAR	SUP-5157M/S D	CDM			275	RC		outpatient			4161	4161	2038.89				percent of total billed charges		4161				other	OPPS APC	2371.77				percent of total billed charges		4161				other	OPPS APC	4161				other	OPPS APC	2038.89				percent of total billed charges		2122.11				percent of total billed charges		4161				other	OPPS APC	2038.89	4161	
PACEMAKER CARDIAC VERITY ADX XL SR M/S THK6 MM W52 MM X H42 MM 11 ML 23.5 GM ATRIUM VENTRICLE 1 CHAMBER RATE RESPONSIVE UNIPOLAR	SUP-5157M/S D	CDM			275	RC		inpatient			4161	4161																																																			
SCREW BONE L90 MM OD9.5 MM ILIOSACRAL REVISION POLYAXIAL	SUP-4823719590	CDM	270010020	LOCAL	270	RC		outpatient			4160	416	1126.94				percent of total billed charges		4160				other	OPPS APC	3078.4				percent of total billed charges		4160				other	OPPS APC	4160				other	OPPS APC	1126.94				percent of total billed charges		1149.41				percent of total billed charges		416				other	OPPS APC	416	4160	
SCREW BONE L90 MM OD9.5 MM ILIOSACRAL REVISION POLYAXIAL	SUP-4823719590	CDM	270010020	LOCAL	270	RC		inpatient			4160	4160																																																			
PLATE PROX LAT TIB 4 HOLE LFT	SUP-97-23809	CDM			278	RC		outpatient			4151	4151	4151				fee schedule		4151				other	OPPS APC	2366.07				percent of total billed charges		4151				other	OPPS APC	4151				other	OPPS APC	2033.99				percent of total billed charges		2117.01				percent of total billed charges		4151				other	OPPS APC	2033.99	4151	
PLATE PROX LAT TIB 4 HOLE LFT	SUP-97-23809	CDM			278	RC		inpatient			4151	4151																																																			
PLATE BONE TITANIUM ANKLE LEFT ANTERIOR FUSION	SUP-AR-8970AL	CDM			270	RC		outpatient			4150	415	1124.24				percent of total billed charges		4150				other	OPPS APC	3071				percent of total billed charges		4150				other	OPPS APC	4150				other	OPPS APC	1124.24				percent of total billed charges		1146.65				percent of total billed charges		415				other	OPPS APC	415	4150	
PLATE BONE TITANIUM ANKLE LEFT ANTERIOR FUSION	SUP-AR-8970AL	CDM			270	RC		inpatient			4150	4150																																																			
PLATE BONE ANKLE TIBIOTALAR LATERAL FUSION	SUP-AR-8970TT	CDM			270	RC		outpatient			4150	415	1124.24				percent of total billed charges		4150				other	OPPS APC	3071				percent of total billed charges		4150				other	OPPS APC	4150				other	OPPS APC	1124.24				percent of total billed charges		1146.65				percent of total billed charges		415				other	OPPS APC	415	4150	
PLATE BONE ANKLE TIBIOTALAR LATERAL FUSION	SUP-AR-8970TT	CDM			270	RC		inpatient			4150	4150																																																			
HC Xr Rep Gastro Jejungo Under Fluo	PX-361494400	CDM	49440	CPT	361	RC		outpatient			4147.02	4147.24	1309.63				percent of total billed charges		4147.02				other	OPPS APC	4147.02				fee schedule		4147.02				other	OPPS APC	4147.02				other	OPPS APC	1309.63				percent of total billed charges		1335.76				percent of total billed charges		4147.24				other	OPPS APC	1309.63	4147.24	
HC Xr Rep Gastro Jejungo Under Fluo	PX-361494400	CDM	49440	CPT	361	RC		inpatient			4147.02	4147.02																																																			
HC US Percut Ndl Core W Imag 1st Les	PX-361190830	CDM	19083	CPT	361	RC		outpatient			4147	1579.36	1309.62				percent of total billed charges		1579.36				other	OPPS APC	1876				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1309.62				percent of total billed charges		1335.75				percent of total billed charges		1579.36				other	OPPS APC	1309.62	1876	
HC US Percut Ndl Core W Imag 1st Les	PX-361190830	CDM	19083	CPT	361	RC		inpatient			4147	4147																																																			
HC Stereotactic Breast Biopsy	PX-401190810	CDM	19081	CPT	361	RC		outpatient			4147	1579.36	1309.62				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1309.62				percent of total billed charges		1335.75				percent of total billed charges		1579.36				other	OPPS APC	1309.62	2528	
HC Stereotactic Breast Biopsy	PX-401190810	CDM	19081	CPT	361	RC		inpatient			4147	4147																																																			
HC Bd US Breast Biopsy 1st Lesion	PX-401190830	CDM	19083	CPT	361	RC		outpatient			4147	1579.36	1309.62				percent of total billed charges		1579.36				other	OPPS APC	1876				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1309.62				percent of total billed charges		1335.75				percent of total billed charges		1579.36				other	OPPS APC	1309.62	1876	
HC Bd US Breast Biopsy 1st Lesion	PX-401190830	CDM	19083	CPT	361	RC		inpatient			4147	4147																																																			
TRILOGY ACET SHELL 58MM	SUP-97-01890	CDM			278	RC		outpatient			4143.75	4143.75	4143.75				fee schedule		4143.75				other	OPPS APC	2361.94				percent of total billed charges		4143.75				other	OPPS APC	4143.75				other	OPPS APC	2030.44				percent of total billed charges		2113.31				percent of total billed charges		4143.75				other	OPPS APC	2030.44	4143.75	
TRILOGY ACET SHELL 58MM	SUP-97-01890	CDM			278	RC		inpatient			4143.75	4143.75																																																			
ALLOGRAFT COTTON WEDGE 6X24X14	SUP-80-00047	CDM			278	RC		outpatient			4125	4125	4125				fee schedule		4125				other	OPPS APC	2351.25				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	2021.25				percent of total billed charges		2103.75				percent of total billed charges		4125				other	OPPS APC	2021.25	4125	
ALLOGRAFT COTTON WEDGE 6X24X14	SUP-80-00047	CDM			278	RC		inpatient			4125	4125																																																			
DRILL BIT COMPLETE OPENING	SUP-95-04252	CDM			272	RC		outpatient			4125	4125	1117.46				percent of total billed charges		4125				other	OPPS APC	3052.5				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	1117.46				percent of total billed charges		1139.74				percent of total billed charges		4125				other	OPPS APC	1117.46	4125	
DRILL BIT COMPLETE OPENING	SUP-95-04252	CDM			272	RC		inpatient			4125	4125																																																			
LATERA SYSTEM 1 PACK	SUP-97-04981	CDM			278	RC		outpatient			4125	4125	4125				fee schedule		4125				other	OPPS APC	2351.25				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	2021.25				percent of total billed charges		2103.75				percent of total billed charges		4125				other	OPPS APC	2021.25	4125	
LATERA SYSTEM 1 PACK	SUP-97-04981	CDM			278	RC		inpatient			4125	4125																																																			
STENT - LIFESTENT 6X120X130	SUP-99-01875	CDM			278	RC		outpatient			4125	4125	4125				fee schedule		4125				other	OPPS APC	2351.25				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	2021.25				percent of total billed charges		2103.75				percent of total billed charges		4125				other	OPPS APC	2021.25	4125	
STENT - LIFESTENT 6X120X130	SUP-99-01875	CDM			278	RC		inpatient			4125	4125																																																			
BALLOON - LUTONIX 035   5X60	SUP-99-02100	CDM			272	RC		outpatient			4125	4125	1117.46				percent of total billed charges		4125				other	OPPS APC	3052.5				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	1117.46				percent of total billed charges		1139.74				percent of total billed charges		4125				other	OPPS APC	1117.46	4125	
BALLOON - LUTONIX 035   5X60	SUP-99-02100	CDM			272	RC		inpatient			4125	4125																																																			
BALLOON - LUTONIX 035   5X80	SUP-99-02101	CDM			272	RC		outpatient			4125	4125	1117.46				percent of total billed charges		4125				other	OPPS APC	3052.5				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	1117.46				percent of total billed charges		1139.74				percent of total billed charges		4125				other	OPPS APC	1117.46	4125	
BALLOON - LUTONIX 035   5X80	SUP-99-02101	CDM			272	RC		inpatient			4125	4125																																																			
BALLOON - LUTONIX 035   6X60	SUP-99-02104	CDM			272	RC		outpatient			4125	4125	1117.46				percent of total billed charges		4125				other	OPPS APC	3052.5				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	1117.46				percent of total billed charges		1139.74				percent of total billed charges		4125				other	OPPS APC	1117.46	4125	
BALLOON - LUTONIX 035   6X60	SUP-99-02104	CDM			272	RC		inpatient			4125	4125																																																			
BALLOON - LUTONIX 035   6X40	SUP-99-03241	CDM			272	RC		outpatient			4125	4125	1117.46				percent of total billed charges		4125				other	OPPS APC	3052.5				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	1117.46				percent of total billed charges		1139.74				percent of total billed charges		4125				other	OPPS APC	1117.46	4125	
BALLOON - LUTONIX 035   6X40	SUP-99-03241	CDM			272	RC		inpatient			4125	4125																																																			
BALLOON - LUTONIX 035   6X60X75	SUP-99-03485	CDM			272	RC		outpatient			4125	4125	1117.46				percent of total billed charges		4125				other	OPPS APC	3052.5				percent of total billed charges		4125				other	OPPS APC	4125				other	OPPS APC	1117.46				percent of total billed charges		1139.74				percent of total billed charges		4125				other	OPPS APC	1117.46	4125	
BALLOON - LUTONIX 035   6X60X75	SUP-99-03485	CDM			272	RC		inpatient			4125	4125																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 228MM X W 11.4MM X H3.4MM W 18.8MM X H 2.7MM TIBIAL LEFT DISTAL MEDIAL 18 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72463918	CDM			270	RC		outpatient			4124	4124	1117.19				percent of total billed charges		4124				other	OPPS APC	3051.76				percent of total billed charges		4124				other	OPPS APC	4124				other	OPPS APC	1117.19				percent of total billed charges		1139.46				percent of total billed charges		4124				other	OPPS APC	1117.19	4124	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 228MM X W 11.4MM X H3.4MM W 18.8MM X H 2.7MM TIBIAL LEFT DISTAL MEDIAL 18 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72463918	CDM			270	RC		inpatient			4124	4124																																																			
ALTRX +4 10D 40IDX58OD	SUP-97-23767	CDM			278	RC		outpatient			4122	4122	4122				fee schedule		4122				other	OPPS APC	2349.54				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	2019.78				percent of total billed charges		2102.22				percent of total billed charges		4122				other	OPPS APC	2019.78	4122	
ALTRX +4 10D 40IDX58OD	SUP-97-23767	CDM			278	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD22 MM ODSEC6.9 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-22-39	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD22 MM ODSEC6.9 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-22-39	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD24 MM ODSEC6.9 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-24-39	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD24 MM ODSEC6.9 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-24-39	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD26 MM ODSEC6.9 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-26-39	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD26 MM ODSEC6.9 MM ID18 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-26-39	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-30-39	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD30 MM ODSEC7.7 MM ID20 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-30-39	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 50MM 36MM Z-TRAK MAIN BODY EXTENSION AAA	SUP-G55210	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX 50MM 36MM Z-TRAK MAIN BODY EXTENSION AAA	SUP-G55210	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 58MM 28MM Z-TRAK MAIN BODY EXTENSION AAA	SUP-G55214	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX 58MM 28MM Z-TRAK MAIN BODY EXTENSION AAA	SUP-G55214	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 58MM 32MM Z-TRAK MAIN BODY EXTENSION AAA	SUP-G55216	CDM	270010015	LOCAL	270	RC		outpatient			4122	4122	1116.65				percent of total billed charges		4122				other	OPPS APC	3050.28				percent of total billed charges		4122				other	OPPS APC	4122				other	OPPS APC	1116.65				percent of total billed charges		1138.91				percent of total billed charges		4122				other	OPPS APC	1116.65	4122	
GRAFT ENDOVASCULAR ZENITH FLEX 58MM 32MM Z-TRAK MAIN BODY EXTENSION AAA	SUP-G55216	CDM	270010015	LOCAL	270	RC		inpatient			4122	4122																																																			
CANNULATED HUMERAL NAIL 7MM EX/260MM	SUP-97-03973	CDM			278	RC		outpatient			4112.63	4112.63	4112.63				fee schedule		4112.63				other	OPPS APC	2344.2				percent of total billed charges		4112.63				other	OPPS APC	4112.63				other	OPPS APC	2015.19				percent of total billed charges		2097.44				percent of total billed charges		4112.63				other	OPPS APC	2015.19	4112.63	
CANNULATED HUMERAL NAIL 7MM EX/260MM	SUP-97-03973	CDM			278	RC		inpatient			4112.63	4112.63																																																			
ALIGN RADIAL HEAD &LOCK SCREW	SUP-97-03279	CDM			278	RC		outpatient			4112.5	4112.5	4112.5				fee schedule		4112.5				other	OPPS APC	2344.13				percent of total billed charges		4112.5				other	OPPS APC	4112.5				other	OPPS APC	2015.13				percent of total billed charges		2097.38				percent of total billed charges		4112.5				other	OPPS APC	2015.13	4112.5	
ALIGN RADIAL HEAD &LOCK SCREW	SUP-97-03279	CDM			278	RC		inpatient			4112.5	4112.5																																																			
STENT VASCULAR XACT NITINOL STRAIGHT L20MM OD 8MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82093-01	CDM			270	RC		outpatient			4110	411	1113.4				percent of total billed charges		4110				other	OPPS APC	3041.4				percent of total billed charges		4110				other	OPPS APC	4110				other	OPPS APC	1113.4				percent of total billed charges		1135.59				percent of total billed charges		411				other	OPPS APC	411	4110	
STENT VASCULAR XACT NITINOL STRAIGHT L20MM OD 8MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82093-01	CDM			270	RC		inpatient			4110	4110																																																			
STENT VASCULAR XACT NITINOL STRAIGHT L20MM OD 7MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82095-01	CDM			270	RC		outpatient			4110	411	1113.4				percent of total billed charges		4110				other	OPPS APC	3041.4				percent of total billed charges		4110				other	OPPS APC	4110				other	OPPS APC	1113.4				percent of total billed charges		1135.59				percent of total billed charges		411				other	OPPS APC	411	4110	
STENT VASCULAR XACT NITINOL STRAIGHT L20MM OD 7MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82095-01	CDM			270	RC		inpatient			4110	4110																																																			
STENT VASCULAR XACT NITINOL TAPER L 40 MM OD 8-10MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END FREESTYLE ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82096-01	CDM			270	RC		outpatient			4110	411	1113.4				percent of total billed charges		4110				other	OPPS APC	3041.4				percent of total billed charges		4110				other	OPPS APC	4110				other	OPPS APC	1113.4				percent of total billed charges		1135.59				percent of total billed charges		411				other	OPPS APC	411	4110	
STENT VASCULAR XACT NITINOL TAPER L 40 MM OD 8-10MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END FREESTYLE ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82096-01	CDM			270	RC		inpatient			4110	4110																																																			
STENT VASCULAR XACT NITINOL TAPER L30 MM OD 8-10 MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END FREESTYLE ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82097-01	CDM			270	RC		outpatient			4110	411	1113.4				percent of total billed charges		4110				other	OPPS APC	3041.4				percent of total billed charges		4110				other	OPPS APC	4110				other	OPPS APC	1113.4				percent of total billed charges		1135.59				percent of total billed charges		411				other	OPPS APC	411	4110	
STENT VASCULAR XACT NITINOL TAPER L30 MM OD 8-10 MM CAROTID ARTERY SELF EXPAND CLOSED CELL FLARE END FREESTYLE ACCEPTS 8 FR GUIDE 6 FR SHEATH	SUP-82097-01	CDM			270	RC		inpatient			4110	4110																																																			
FLUTED STEM	SUP-97-01184	CDM			278	RC		outpatient			4110	411	4110				fee schedule		4110				other	OPPS APC	2342.7				percent of total billed charges		4110				other	OPPS APC	4110				other	OPPS APC	2013.9				percent of total billed charges		2096.1				percent of total billed charges		411				other	OPPS APC	411	4110	
FLUTED STEM	SUP-97-01184	CDM			278	RC		inpatient			4110	4110																																																			
PATELLA ALL POLY VE 38MM	SUP-97-02205	CDM			278	RC		outpatient			4110	411	4110				fee schedule		4110				other	OPPS APC	2342.7				percent of total billed charges		4110				other	OPPS APC	4110				other	OPPS APC	2013.9				percent of total billed charges		2096.1				percent of total billed charges		411				other	OPPS APC	411	4110	
PATELLA ALL POLY VE 38MM	SUP-97-02205	CDM			278	RC		inpatient			4110	4110																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-71	NDC	J1561	HCPCS		inpatient			4107.6	4107.6																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-71	NDC	J1561	HCPCS		outpatient			4107.6	52.76																																											52.76				other	OPPS APC	52.76	52.76	
GRAFT MESH 3X3.5	SUP-97-03543	CDM			278	RC		outpatient			4107.5	417.5	4107.5				fee schedule		4107.5				other	OPPS APC	2341.28				percent of total billed charges		4107.5				other	OPPS APC	4107.5				other	OPPS APC	2012.68				percent of total billed charges		2094.83				percent of total billed charges		417.5				other	OPPS APC	417.5	4107.5	
GRAFT MESH 3X3.5	SUP-97-03543	CDM			278	RC		inpatient			4107.5	4107.5																																																			
NEXGEN LPS FLEX FIXED PROLONG EF3-4 17M	SUP-97-01372	CDM			278	RC		outpatient			4106.25	416.25	4106.25				fee schedule		4106.25				other	OPPS APC	2340.56				percent of total billed charges		4106.25				other	OPPS APC	4106.25				other	OPPS APC	2012.06				percent of total billed charges		2094.19				percent of total billed charges		416.25				other	OPPS APC	416.25	4106.25	
NEXGEN LPS FLEX FIXED PROLONG EF3-4 17M	SUP-97-01372	CDM			278	RC		inpatient			4106.25	4106.25																																																			
NEXGEN LPS FLEX FIXED PROLONG EF1-2 17M	SUP-97-02628	CDM			278	RC		outpatient			4106.25	416.25	4106.25				fee schedule		4106.25				other	OPPS APC	2340.56				percent of total billed charges		4106.25				other	OPPS APC	4106.25				other	OPPS APC	2012.06				percent of total billed charges		2094.19				percent of total billed charges		416.25				other	OPPS APC	416.25	4106.25	
NEXGEN LPS FLEX FIXED PROLONG EF1-2 17M	SUP-97-02628	CDM			278	RC		inpatient			4106.25	4106.25																																																			
TIBIAL INSERT CC 4X13 MM	SUP-97-02712	CDM			278	RC		outpatient			4106.25	416.25	4106.25				fee schedule		4106.25				other	OPPS APC	2340.56				percent of total billed charges		4106.25				other	OPPS APC	4106.25				other	OPPS APC	2012.06				percent of total billed charges		2094.19				percent of total billed charges		416.25				other	OPPS APC	416.25	4106.25	
TIBIAL INSERT CC 4X13 MM	SUP-97-02712	CDM			278	RC		inpatient			4106.25	4106.25																																																			
INSERT CC 5X9 MM	SUP-97-02714	CDM			278	RC		outpatient			4106.25	416.25	4106.25				fee schedule		4106.25				other	OPPS APC	2340.56				percent of total billed charges		4106.25				other	OPPS APC	4106.25				other	OPPS APC	2012.06				percent of total billed charges		2094.19				percent of total billed charges		416.25				other	OPPS APC	416.25	4106.25	
INSERT CC 5X9 MM	SUP-97-02714	CDM			278	RC		inpatient			4106.25	4106.25																																																			
BALLOON - IN.PACT ADMIRAL 4X120	SUP-99-02191	CDM			272	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
BALLOON - IN.PACT ADMIRAL 4X120	SUP-99-02191	CDM			272	RC		inpatient			4100	4100																																																			
BALLOON - IN.PACT ADMIRAL 5X120	SUP-99-02192	CDM			272	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
BALLOON - IN.PACT ADMIRAL 5X120	SUP-99-02192	CDM			272	RC		inpatient			4100	4100																																																			
BALLOON - IN.PACT ADMIRAL 6X120	SUP-99-02193	CDM			272	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
BALLOON - IN.PACT ADMIRAL 6X120	SUP-99-02193	CDM			272	RC		inpatient			4100	4100																																																			
BALLOON - IN.PACT ADMIRAL 5X40	SUP-99-03233	CDM			272	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
BALLOON - IN.PACT ADMIRAL 5X40	SUP-99-03233	CDM			272	RC		inpatient			4100	4100																																																			
BALLOON - IN.PACT ADMIRAL 4X150	SUP-99-03508	CDM			272	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
BALLOON - IN.PACT ADMIRAL 4X150	SUP-99-03508	CDM			272	RC		inpatient			4100	4100																																																			
BALLOON - IN.PACT ADMIRAL 5X150	SUP-99-03509	CDM			272	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
BALLOON - IN.PACT ADMIRAL 5X150	SUP-99-03509	CDM			272	RC		inpatient			4100	4100																																																			
CATHETER INFUSION PHENOM L120 CM OD.061 IN ODSEC.055 IN ID.044 IN ROUND DISTAL TIP	SUP-FG19120-1030-1S	CDM			270	RC		outpatient			4100	41	1110.69				percent of total billed charges		4100				other	OPPS APC	3034				percent of total billed charges		4100				other	OPPS APC	4100				other	OPPS APC	1110.69				percent of total billed charges		1132.83				percent of total billed charges		41				other	OPPS APC	41	4100	
CATHETER INFUSION PHENOM L120 CM OD.061 IN ODSEC.055 IN ID.044 IN ROUND DISTAL TIP	SUP-FG19120-1030-1S	CDM			270	RC		inpatient			4100	4100																																																			
LEAD PACING EASYTRAK 2 STEROID ELUTING SILICONE L80 CM OD5.4 FR	SUP-4517	CDM			275	RC		outpatient			4094	494	2006.06				percent of total billed charges		4094				other	OPPS APC	2333.58				percent of total billed charges		4094				other	OPPS APC	4094				other	OPPS APC	2006.06				percent of total billed charges		2087.94				percent of total billed charges		494				other	OPPS APC	494	4094	
LEAD PACING EASYTRAK 2 STEROID ELUTING SILICONE L80 CM OD5.4 FR	SUP-4517	CDM			275	RC		inpatient			4094	4094																																																			
LEAD PACING EASYTRAK 3 STEROID ELUTING SILICONE POLYURETHANE L80 CM CORONARY VENOUS LEFT VENTRICLE 2 ELECTRODE SPIRAL PASSIVE FIXATION LV-1	SUP-4524	CDM			275	RC		outpatient			4094	494	2006.06				percent of total billed charges		4094				other	OPPS APC	2333.58				percent of total billed charges		4094				other	OPPS APC	4094				other	OPPS APC	2006.06				percent of total billed charges		2087.94				percent of total billed charges		494				other	OPPS APC	494	4094	
LEAD PACING EASYTRAK 3 STEROID ELUTING SILICONE POLYURETHANE L80 CM CORONARY VENOUS LEFT VENTRICLE 2 ELECTRODE SPIRAL PASSIVE FIXATION LV-1	SUP-4524	CDM			275	RC		inpatient			4094	4094																																																			
LEAD PACING EASYTRAK 3 80CM STEROID ELUTING SILICONE POLYURETHANE CORONARY VENOUS	SUP-4548	CDM			275	RC		outpatient			4094	494	2006.06				percent of total billed charges		4094				other	OPPS APC	2333.58				percent of total billed charges		4094				other	OPPS APC	4094				other	OPPS APC	2006.06				percent of total billed charges		2087.94				percent of total billed charges		494				other	OPPS APC	494	4094	
LEAD PACING EASYTRAK 3 80CM STEROID ELUTING SILICONE POLYURETHANE CORONARY VENOUS	SUP-4548	CDM			275	RC		inpatient			4094	4094																																																			
AD PACING ACUITY SILICONE POLYESTER L90 CM CORONARY VENOUS LEFT VENTRICLE IS-1 CONNECTOR STEERABLE	SUP-4555	CDM			275	RC		outpatient			4094	494	2006.06				percent of total billed charges		4094				other	OPPS APC	2333.58				percent of total billed charges		4094				other	OPPS APC	4094				other	OPPS APC	2006.06				percent of total billed charges		2087.94				percent of total billed charges		494				other	OPPS APC	494	4094	
AD PACING ACUITY SILICONE POLYESTER L90 CM CORONARY VENOUS LEFT VENTRICLE IS-1 CONNECTOR STEERABLE	SUP-4555	CDM			275	RC		inpatient			4094	4094																																																			
LEAD PACING ACUITY SPIRAL 80CM 4.1-2.6FR LEFT VENTRICLE CORONARY VENOUS	SUP-4591/92/93	CDM			275	RC		outpatient			4094	494	2006.06				percent of total billed charges		4094				other	OPPS APC	2333.58				percent of total billed charges		4094				other	OPPS APC	4094				other	OPPS APC	2006.06				percent of total billed charges		2087.94				percent of total billed charges		494				other	OPPS APC	494	4094	
LEAD PACING ACUITY SPIRAL 80CM 4.1-2.6FR LEFT VENTRICLE CORONARY VENOUS	SUP-4591/92/93	CDM			275	RC		inpatient			4094	4094																																																			
LONGEVITY ELEVATED LINER II 36X52	SUP-97-03953	CDM			278	RC		outpatient			4093.75	493.75	4093.75				fee schedule		4093.75				other	OPPS APC	2333.44				percent of total billed charges		4093.75				other	OPPS APC	4093.75				other	OPPS APC	2005.94				percent of total billed charges		2087.81				percent of total billed charges		493.75				other	OPPS APC	493.75	4093.75	
LONGEVITY ELEVATED LINER II 36X52	SUP-97-03953	CDM			278	RC		inpatient			4093.75	4093.75																																																			
CATHETER ENDOSCOPIC BARRX L135 CM L15.7 MM X W7.5 MM OD2.8 MM ESOPHAGUS CHANNEL RADIOFREQUENCY ABLATION ACTIVE ELECTRODE TORQUE BREAK DISPOSABLE OLYMPUS PENTAX FUJINON	SUP-TTS-1100	CDM			270	RC		outpatient			4092	492	1108.52				percent of total billed charges		4092				other	OPPS APC	3028.08				percent of total billed charges		4092				other	OPPS APC	4092				other	OPPS APC	1108.52				percent of total billed charges		1130.62				percent of total billed charges		492				other	OPPS APC	492	4092	
CATHETER ENDOSCOPIC BARRX L135 CM L15.7 MM X W7.5 MM OD2.8 MM ESOPHAGUS CHANNEL RADIOFREQUENCY ABLATION ACTIVE ELECTRODE TORQUE BREAK DISPOSABLE OLYMPUS PENTAX FUJINON	SUP-TTS-1100	CDM			270	RC		inpatient			4092	4092																																																			
BROAD PLATE	SUP-97-04284	CDM			278	RC		outpatient			4090.8	49.82	4090.8				fee schedule		4090.8				other	OPPS APC	2331.76				percent of total billed charges		4090.8				other	OPPS APC	4090.8				other	OPPS APC	2004.49				percent of total billed charges		2086.31				percent of total billed charges		49.82				other	OPPS APC	49.82	4090.8	
BROAD PLATE	SUP-97-04284	CDM			278	RC		inpatient			4090.8	4090.8																																																			
PLATE 14HOLE LEFT FEMORAL DISTAL LATERAL	SUP-97-06380	CDM			278	RC		outpatient			4080.25	48.25	4080.25				fee schedule		4080.25				other	OPPS APC	2325.74				percent of total billed charges		4080.25				other	OPPS APC	4080.25				other	OPPS APC	1999.32				percent of total billed charges		2080.93				percent of total billed charges		48.25				other	OPPS APC	48.25	4080.25	
PLATE 14HOLE LEFT FEMORAL DISTAL LATERAL	SUP-97-06380	CDM			278	RC		inpatient			4080.25	4080.25																																																			
FLUTED STEM	SUP-97-01186	CDM			278	RC		outpatient			4080	48	4080				fee schedule		4080				other	OPPS APC	2325.6				percent of total billed charges		4080				other	OPPS APC	4080				other	OPPS APC	1999.2				percent of total billed charges		2080.8				percent of total billed charges		48				other	OPPS APC	48	4080	
FLUTED STEM	SUP-97-01186	CDM			278	RC		inpatient			4080	4080																																																			
DEVICE ATHERECTOMY TRUEPATH .017IN 165CM .018IN DIAMOND PERIPHERAL ROTATIONAL DISTAL TIP MOTOR HOUSING CONTROL UNIT	SUP-H74939208181650	CDM			270	RC		outpatient			4080	48	1105.27				percent of total billed charges		4080				other	OPPS APC	3019.2				percent of total billed charges		4080				other	OPPS APC	4080				other	OPPS APC	1105.27				percent of total billed charges		1127.3				percent of total billed charges		48				other	OPPS APC	48	4080	
DEVICE ATHERECTOMY TRUEPATH .017IN 165CM .018IN DIAMOND PERIPHERAL ROTATIONAL DISTAL TIP MOTOR HOUSING CONTROL UNIT	SUP-H74939208181650	CDM			270	RC		inpatient			4080	4080																																																			
CALCANEAL FRACTURE PLATE  RIGHT  MEDIUM	SUP-97-03709	CDM			278	RC		outpatient			4078.13	478.13	4078.13				fee schedule		4078.13				other	OPPS APC	2324.53				percent of total billed charges		4078.13				other	OPPS APC	4078.13				other	OPPS APC	1998.28				percent of total billed charges		2079.85				percent of total billed charges		478.13				other	OPPS APC	478.13	4078.13	
CALCANEAL FRACTURE PLATE  RIGHT  MEDIUM	SUP-97-03709	CDM			278	RC		inpatient			4078.13	4078.13																																																			
CATHETER - THROMBECTOMY PROXI	SUP-99-00869	CDM			272	RC		outpatient			4075	475	1103.92				percent of total billed charges		4075				other	OPPS APC	3015.5				percent of total billed charges		4075				other	OPPS APC	4075				other	OPPS APC	1103.92				percent of total billed charges		1125.92				percent of total billed charges		475				other	OPPS APC	475	4075	
CATHETER - THROMBECTOMY PROXI	SUP-99-00869	CDM			272	RC		inpatient			4075	4075																																																			
PLATE SHAFT 2.7MM CS2 RIGHT	SUP-97-06155	CDM			278	RC		outpatient			4067.8	467.82	4067.8				fee schedule		4067.8				other	OPPS APC	2318.65				percent of total billed charges		4067.8				other	OPPS APC	4067.8				other	OPPS APC	1993.22				percent of total billed charges		2074.58				percent of total billed charges		467.82				other	OPPS APC	467.82	4067.8	
PLATE SHAFT 2.7MM CS2 RIGHT	SUP-97-06155	CDM			278	RC		inpatient			4067.8	4067.8																																																			
LEUPROLIDE (3 MONTH) 22.5 MG SYRINGE	636000000	CDM	62935-227-10	NDC	J9217	HCPCS		inpatient			4065.2	4065.2																																																			
LEUPROLIDE (3 MONTH) 22.5 MG SYRINGE	636000000	CDM	62935-227-10	NDC	J9217	HCPCS		outpatient			4065.2	197.79																																											197.79				other	OPPS APC	197.79	197.79	
PLATE PROXIMAL LATERAL 2 HOLE RT	SUP-97-02403	CDM			278	RC		outpatient			4064.2	464.2	4064.2				fee schedule		4064.2				other	OPPS APC	2316.59				percent of total billed charges		4064.2				other	OPPS APC	4064.2				other	OPPS APC	1991.46				percent of total billed charges		2072.74				percent of total billed charges		464.2				other	OPPS APC	464.2	4064.2	
PLATE PROXIMAL LATERAL 2 HOLE RT	SUP-97-02403	CDM			278	RC		inpatient			4064.2	4064.2																																																			
NAIL INTRAMEDULLARY 130D LONG 320MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.352S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 320MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.352S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL 10MM 320MM LEFT TROCHANTER INTRAMEDULLARY 130D LONG CANNULATED PREASSEMBLED	SUP-456.353S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL 10MM 320MM LEFT TROCHANTER INTRAMEDULLARY 130D LONG CANNULATED PREASSEMBLED	SUP-456.353S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 340MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.354S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 340MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.354S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 340MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.355S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 340MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.355S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 360MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.356S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 360MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.356S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 360MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.357S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 360MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.357S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 380MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.358S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 380MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.358S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 380MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.359S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 380MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.359S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 400MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.360S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 400MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.360S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 400MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.361S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 400MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC LEFT CANNULATED	SUP-456.361S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 420MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.362S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 420MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.362S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL 10-17MM 420MM TROCHANTERIC LEFT FEMUR INTRAMEDULLARY 130D CANNULATED PREASSEMBLE	SUP-456.363S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL 10-17MM 420MM TROCHANTERIC LEFT FEMUR INTRAMEDULLARY 130D CANNULATED PREASSEMBLE	SUP-456.363S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL INTRAMEDULLARY 130D LONG 440MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.364S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL INTRAMEDULLARY 130D LONG 440MM 10-17MM GREEN TITANIUM STERILE TROCHANTERIC RIGHT CANNULATED	SUP-456.364S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
NAIL 10MM 44CM LEFT TROCHANTERIC INTRAMEDULLARY 130D LONG CANNULATED TITANIUM STERILE	SUP-456.365S	CDM	270010022	LOCAL	270	RC		outpatient			4063.4	463.41	1100.78				percent of total billed charges		4063.4				other	OPPS APC	3006.92				percent of total billed charges		4063.4				other	OPPS APC	4063.4				other	OPPS APC	1100.78				percent of total billed charges		1122.72				percent of total billed charges		463.41				other	OPPS APC	463.41	4063.4	
NAIL 10MM 44CM LEFT TROCHANTERIC INTRAMEDULLARY 130D LONG CANNULATED TITANIUM STERILE	SUP-456.365S	CDM	270010022	LOCAL	270	RC		inpatient			4063.4	4063.4																																																			
FOOT RING LONG 180	SUP-97-03806	CDM			278	RC		outpatient			4060	46	4060				fee schedule		4060				other	OPPS APC	2314.2				percent of total billed charges		4060				other	OPPS APC	4060				other	OPPS APC	1989.4				percent of total billed charges		2070.6				percent of total billed charges		46				other	OPPS APC	46	4060	
FOOT RING LONG 180	SUP-97-03806	CDM			278	RC		inpatient			4060	4060																																																			
FOOT RING LONG 155MM	SUP-97-23638	CDM			278	RC		outpatient			4060	46	4060				fee schedule		4060				other	OPPS APC	2314.2				percent of total billed charges		4060				other	OPPS APC	4060				other	OPPS APC	1989.4				percent of total billed charges		2070.6				percent of total billed charges		46				other	OPPS APC	46	4060	
FOOT RING LONG 155MM	SUP-97-23638	CDM			278	RC		inpatient			4060	4060																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.063S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.063S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.064S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.064S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.065S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.065S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.067S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.067S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.073S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.073S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.075S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.075S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.076S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.076S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.077S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.077S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.162S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.162S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.163S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.163S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.164S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.164S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.165S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.165S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.166S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.166S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.167S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.167S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.168S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.168S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.169S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.169S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.170S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.170S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.171S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.171S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.173S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.173S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.174S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.174S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.175S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.175S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.176S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.176S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.177S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD11 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.177S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.262S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.262S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.263S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L320 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.263S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION STERILE LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.264S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION STERILE LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.264S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.265S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L340 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.265S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.266S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.266S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.267S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.267S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.268S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.268S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.269S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.269S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.270S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.270S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.271S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.271S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.274S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.274S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.275S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.275S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.276S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.276S	CDM			270	RC		inpatient			4056	4056																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.277S	CDM			270	RC		outpatient			4056	456	1098.77				percent of total billed charges		4056				other	OPPS APC	3001.44				percent of total billed charges		4056				other	OPPS APC	4056				other	OPPS APC	1098.77				percent of total billed charges		1120.67				percent of total billed charges		456				other	OPPS APC	456	4056	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L460 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.277S	CDM			270	RC		inpatient			4056	4056																																																			
FIXATOR EXTERNAL FIXATION DISTAL ADJUSTABLE NONSTERILE	SUP-394.050	CDM	270010022	LOCAL	270	RC		outpatient			4051.3	451.32	1097.5				percent of total billed charges		4051.3				other	OPPS APC	2997.96				percent of total billed charges		4051.3				other	OPPS APC	4051.3				other	OPPS APC	1097.5				percent of total billed charges		1119.37				percent of total billed charges		451.32				other	OPPS APC	451.32	4051.3	
FIXATOR EXTERNAL FIXATION DISTAL ADJUSTABLE NONSTERILE	SUP-394.050	CDM	270010022	LOCAL	270	RC		inpatient			4051.3	4051.3																																																			
MIRABO CUP 58MM	SUP-97-02805	CDM			278	RC		outpatient			4050	45	4050				fee schedule		4050				other	OPPS APC	2308.5				percent of total billed charges		4050				other	OPPS APC	4050				other	OPPS APC	1984.5				percent of total billed charges		2065.5				percent of total billed charges		45				other	OPPS APC	45	4050	
MIRABO CUP 58MM	SUP-97-02805	CDM			278	RC		inpatient			4050	4050																																																			
NAIL TIBIA 10MM CANN EX 330 MM	SUP-97-01072	CDM			278	RC		outpatient			4048.45	448.45	4048.45				fee schedule		4048.45				other	OPPS APC	2307.62				percent of total billed charges		4048.45				other	OPPS APC	4048.45				other	OPPS APC	1983.74				percent of total billed charges		2064.71				percent of total billed charges		448.45				other	OPPS APC	448.45	4048.45	
NAIL TIBIA 10MM CANN EX 330 MM	SUP-97-01072	CDM			278	RC		inpatient			4048.45	4048.45																																																			
NAIL TIBIA 8MM CANN EX 315 MM	SUP-97-01305	CDM			278	RC		outpatient			4048.45	448.45	4048.45				fee schedule		4048.45				other	OPPS APC	2307.62				percent of total billed charges		4048.45				other	OPPS APC	4048.45				other	OPPS APC	1983.74				percent of total billed charges		2064.71				percent of total billed charges		448.45				other	OPPS APC	448.45	4048.45	
NAIL TIBIA 8MM CANN EX 315 MM	SUP-97-01305	CDM			278	RC		inpatient			4048.45	4048.45																																																			
NAIL SUPRACONDYLAR 12X170MM	SUP-97-03346	CDM			278	RC		outpatient			4044.7	444.7	4044.7				fee schedule		4044.7				other	OPPS APC	2305.48				percent of total billed charges		4044.7				other	OPPS APC	4044.7				other	OPPS APC	1981.9				percent of total billed charges		2062.8				percent of total billed charges		444.7				other	OPPS APC	444.7	4044.7	
NAIL SUPRACONDYLAR 12X170MM	SUP-97-03346	CDM			278	RC		inpatient			4044.7	4044.7																																																			
SUPRACONDYLAR NAIL T2	SUP-97-04153	CDM			278	RC		outpatient			4044.7	444.7	4044.7				fee schedule		4044.7				other	OPPS APC	2305.48				percent of total billed charges		4044.7				other	OPPS APC	4044.7				other	OPPS APC	1981.9				percent of total billed charges		2062.8				percent of total billed charges		444.7				other	OPPS APC	444.7	4044.7	
SUPRACONDYLAR NAIL T2	SUP-97-04153	CDM			278	RC		inpatient			4044.7	4044.7																																																			
LEAD LV 4798-78 ATTAIN STABILITY QUADPOLE_60813_	SUP-479878	CDM			275	RC		outpatient			4040	44	1979.6				percent of total billed charges		4040				other	OPPS APC	2302.8				percent of total billed charges		4040				other	OPPS APC	4040				other	OPPS APC	1979.6				percent of total billed charges		2060.4				percent of total billed charges		44				other	OPPS APC	44	4040	
LEAD LV 4798-78 ATTAIN STABILITY QUADPOLE_60813_	SUP-479878	CDM			275	RC		inpatient			4040	4040																																																			
LEAD ATTAIN	SUP-479888	CDM			275	RC		outpatient			4040	44	1979.6				percent of total billed charges		4040				other	OPPS APC	2302.8				percent of total billed charges		4040				other	OPPS APC	4040				other	OPPS APC	1979.6				percent of total billed charges		2060.4				percent of total billed charges		44				other	OPPS APC	44	4040	
LEAD ATTAIN	SUP-479888	CDM			275	RC		inpatient			4040	4040																																																			
END CAP SPINAL X-CORE 2 0D 40MM 18MM 18MM TITANIUM NS	SUP-6185000	CDM	270010020	LOCAL	270	RC		outpatient			4040	44	1094.44				percent of total billed charges		4040				other	OPPS APC	2989.6				percent of total billed charges		4040				other	OPPS APC	4040				other	OPPS APC	1094.44				percent of total billed charges		1116.25				percent of total billed charges		44				other	OPPS APC	44	4040	
END CAP SPINAL X-CORE 2 0D 40MM 18MM 18MM TITANIUM NS	SUP-6185000	CDM	270010020	LOCAL	270	RC		inpatient			4040	4040																																																			
ENDCAP NUVASIVE X-CORE11 8DEG 18MM X 50MM	SUP-6185008	CDM	270010020	LOCAL	270	RC		outpatient			4040	44	1094.44				percent of total billed charges		4040				other	OPPS APC	2989.6				percent of total billed charges		4040				other	OPPS APC	4040				other	OPPS APC	1094.44				percent of total billed charges		1116.25				percent of total billed charges		44				other	OPPS APC	44	4040	
ENDCAP NUVASIVE X-CORE11 8DEG 18MM X 50MM	SUP-6185008	CDM	270010020	LOCAL	270	RC		inpatient			4040	4040																																																			
SNARE VASCULAR MICRO ELITE .014 IN L180 CM OD4 MM HELICAL LOOP DESIGN RADIOPAQUE	SUP-8301	CDM			270	RC		outpatient			4040	44	1094.44				percent of total billed charges		4040				other	OPPS APC	2989.6				percent of total billed charges		4040				other	OPPS APC	4040				other	OPPS APC	1094.44				percent of total billed charges		1116.25				percent of total billed charges		44				other	OPPS APC	44	4040	
SNARE VASCULAR MICRO ELITE .014 IN L180 CM OD4 MM HELICAL LOOP DESIGN RADIOPAQUE	SUP-8301	CDM			270	RC		inpatient			4040	4040																																																			
MICRO ELITE SNARE 7MM	SUP-8302	CDM			270	RC		outpatient			4040	44	1094.44				percent of total billed charges		4040				other	OPPS APC	2989.6				percent of total billed charges		4040				other	OPPS APC	4040				other	OPPS APC	1094.44				percent of total billed charges		1116.25				percent of total billed charges		44				other	OPPS APC	44	4040	
MICRO ELITE SNARE 7MM	SUP-8302	CDM			270	RC		inpatient			4040	4040																																																			
SIGMA TIB SIZE 3 UNI-FIXED	SUP-97-01049	CDM			278	RC		outpatient			4035	435	4035				fee schedule		4035				other	OPPS APC	2299.95				percent of total billed charges		4035				other	OPPS APC	4035				other	OPPS APC	1977.15				percent of total billed charges		2057.85				percent of total billed charges		435				other	OPPS APC	435	4035	
SIGMA TIB SIZE 3 UNI-FIXED	SUP-97-01049	CDM			278	RC		inpatient			4035	4035																																																			
SIGMA TIB SIZE 2 UNI-FIXED	SUP-97-01292	CDM			278	RC		outpatient			4035	435	4035				fee schedule		4035				other	OPPS APC	2299.95				percent of total billed charges		4035				other	OPPS APC	4035				other	OPPS APC	1977.15				percent of total billed charges		2057.85				percent of total billed charges		435				other	OPPS APC	435	4035	
SIGMA TIB SIZE 2 UNI-FIXED	SUP-97-01292	CDM			278	RC		inpatient			4035	4035																																																			
SIGMA TIB SIZE 4 UNI-FIXED	SUP-97-01787	CDM			278	RC		outpatient			4035	435	4035				fee schedule		4035				other	OPPS APC	2299.95				percent of total billed charges		4035				other	OPPS APC	4035				other	OPPS APC	1977.15				percent of total billed charges		2057.85				percent of total billed charges		435				other	OPPS APC	435	4035	
SIGMA TIB SIZE 4 UNI-FIXED	SUP-97-01787	CDM			278	RC		inpatient			4035	4035																																																			
TIB SIZE 21UNI-	SUP-97-02565	CDM			278	RC		outpatient			4035	435	4035				fee schedule		4035				other	OPPS APC	2299.95				percent of total billed charges		4035				other	OPPS APC	4035				other	OPPS APC	1977.15				percent of total billed charges		2057.85				percent of total billed charges		435				other	OPPS APC	435	4035	
TIB SIZE 21UNI-	SUP-97-02565	CDM			278	RC		inpatient			4035	4035																																																			
VENTRIO ST LG OVAL	SUP-97-00236	CDM			278	RC		outpatient			4031.25	431.25	4031.25				fee schedule		4031.25				other	OPPS APC	2297.81				percent of total billed charges		4031.25				other	OPPS APC	4031.25				other	OPPS APC	1975.31				percent of total billed charges		2055.94				percent of total billed charges		431.25				other	OPPS APC	431.25	4031.25	
VENTRIO ST LG OVAL	SUP-97-00236	CDM			278	RC		inpatient			4031.25	4031.25																																																			
MODULAR CUP  10 DEGREE LINER 58X36	SUP-97-01892	CDM			278	RC		outpatient			4031.25	431.25	4031.25				fee schedule		4031.25				other	OPPS APC	2297.81				percent of total billed charges		4031.25				other	OPPS APC	4031.25				other	OPPS APC	1975.31				percent of total billed charges		2055.94				percent of total billed charges		431.25				other	OPPS APC	431.25	4031.25	
MODULAR CUP  10 DEGREE LINER 58X36	SUP-97-01892	CDM			278	RC		inpatient			4031.25	4031.25																																																			
NEXGEN  BLOCK TIBIAL AUGMENT 10MM SZ 7	SUP-97-03935	CDM			278	RC		outpatient			4031.25	431.25	4031.25				fee schedule		4031.25				other	OPPS APC	2297.81				percent of total billed charges		4031.25				other	OPPS APC	4031.25				other	OPPS APC	1975.31				percent of total billed charges		2055.94				percent of total billed charges		431.25				other	OPPS APC	431.25	4031.25	
NEXGEN  BLOCK TIBIAL AUGMENT 10MM SZ 7	SUP-97-03935	CDM			278	RC		inpatient			4031.25	4031.25																																																			
CATHETER ABLATION FLEXABILITY 1-4-1 MM SPACE D-F CURVE L115 CM L4 MM OD8 FR 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE	SUP-A701125	CDM			270	RC		outpatient			4028	428	1091.19				percent of total billed charges		4028				other	OPPS APC	2980.72				percent of total billed charges		4028				other	OPPS APC	4028				other	OPPS APC	1091.19				percent of total billed charges		1112.94				percent of total billed charges		428				other	OPPS APC	428	4028	
CATHETER ABLATION FLEXABILITY 1-4-1 MM SPACE D-F CURVE L115 CM L4 MM OD8 FR 4 HOLE IRRIGATE BIDIRECTIONAL HANDLE	SUP-A701125	CDM			270	RC		inpatient			4028	4028																																																			
LCP WRIST FUSION STRAIGHT PLATE	SUP-97-04828	CDM			278	RC		outpatient			4027.05	427.52	4027.05				fee schedule		4027.05				other	OPPS APC	2295.42				percent of total billed charges		4027.05				other	OPPS APC	4027.05				other	OPPS APC	1973.25				percent of total billed charges		2053.8				percent of total billed charges		427.52				other	OPPS APC	427.52	4027.05	
LCP WRIST FUSION STRAIGHT PLATE	SUP-97-04828	CDM			278	RC		inpatient			4027.05	4027.05																																																			
STEM 9MM X 2MM	SUP-97-23677	CDM			278	RC		outpatient			4025	425	4025				fee schedule		4025				other	OPPS APC	2294.25				percent of total billed charges		4025				other	OPPS APC	4025				other	OPPS APC	1972.25				percent of total billed charges		2052.75				percent of total billed charges		425				other	OPPS APC	425	4025	
STEM 9MM X 2MM	SUP-97-23677	CDM			278	RC		inpatient			4025	4025																																																			
SYSTEM INFLATION ACCLARENT AERA BALLOON DILATION STERILE LATEX FREE DISPOSABLE EUSTACHIAN TUBE	SUP-EU061655Z	CDM	270010000	LOCAL	270	RC		outpatient			4020	42	1089.02				percent of total billed charges		4020				other	OPPS APC	2974.8				percent of total billed charges		4020				other	OPPS APC	4020				other	OPPS APC	1089.02				percent of total billed charges		1110.73				percent of total billed charges		42				other	OPPS APC	42	4020	
SYSTEM INFLATION ACCLARENT AERA BALLOON DILATION STERILE LATEX FREE DISPOSABLE EUSTACHIAN TUBE	SUP-EU061655Z	CDM	270010000	LOCAL	270	RC		inpatient			4020	4020																																																			
STENT ENDOPROSTHESIS WALLGRAFT UNISTEP PLUS METAL L90 CM L50 MM L116 CM OD14 MM ODSEC12 FR PERIPHERAL CATHETER	SUP-M001705450	CDM			270	RC		outpatient			4020	42	1089.02				percent of total billed charges		4020				other	OPPS APC	2974.8				percent of total billed charges		4020				other	OPPS APC	4020				other	OPPS APC	1089.02				percent of total billed charges		1110.73				percent of total billed charges		42				other	OPPS APC	42	4020	
STENT ENDOPROSTHESIS WALLGRAFT UNISTEP PLUS METAL L90 CM L50 MM L116 CM OD14 MM ODSEC12 FR PERIPHERAL CATHETER	SUP-M001705450	CDM			270	RC		inpatient			4020	4020																																																			
STENT ENDOPROSTHESIS UNISTEP PLUS WALLGRAFT METAL L116 CM L70 MM L90 CM OD14 MM ODSEC12 FR COVER COATED DELIVERY SYSTEM	SUP-M001705470	CDM			270	RC		outpatient			4020	42	1089.02				percent of total billed charges		4020				other	OPPS APC	2974.8				percent of total billed charges		4020				other	OPPS APC	4020				other	OPPS APC	1089.02				percent of total billed charges		1110.73				percent of total billed charges		42				other	OPPS APC	42	4020	
STENT ENDOPROSTHESIS UNISTEP PLUS WALLGRAFT METAL L116 CM L70 MM L90 CM OD14 MM ODSEC12 FR COVER COATED DELIVERY SYSTEM	SUP-M001705470	CDM			270	RC		inpatient			4020	4020																																																			
GRAFT VENTRALIGHT ST 10 X 13 (5954113)	SUP-75-00088	CDM			278	RC		outpatient			4006.41	46.5	4006.41				fee schedule		4006.41				other	OPPS APC	2283.65				percent of total billed charges		4006.41				other	OPPS APC	4006.41				other	OPPS APC	1963.14				percent of total billed charges		2043.27				percent of total billed charges		46.5				other	OPPS APC	46.5	4006.41	
GRAFT VENTRALIGHT ST 10 X 13 (5954113)	SUP-75-00088	CDM			278	RC		inpatient			4006.41	4006.41																																																			
NAIL INTRAMEDULLARY 10 D BEND L360 MM OD10 MM STERILE RFNA	SUP-04.233.037S	CDM			270	RC		outpatient			4003	43	1084.41				percent of total billed charges		4003				other	OPPS APC	2962.22				percent of total billed charges		4003				other	OPPS APC	4003				other	OPPS APC	1084.41				percent of total billed charges		1106.03				percent of total billed charges		43				other	OPPS APC	43	4003	
NAIL INTRAMEDULLARY 10 D BEND L360 MM OD10 MM STERILE RFNA	SUP-04.233.037S	CDM			270	RC		inpatient			4003	4003																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L400 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.041S	CDM			270	RC		outpatient			4003	43	1084.41				percent of total billed charges		4003				other	OPPS APC	2962.22				percent of total billed charges		4003				other	OPPS APC	4003				other	OPPS APC	1084.41				percent of total billed charges		1106.03				percent of total billed charges		43				other	OPPS APC	43	4003	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 10 D BEND L400 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.041S	CDM			270	RC		inpatient			4003	4003																																																			
CATHETER ABLATION HALO90 BARRX 90 D L160 CM L20 MM X W13 MM OD4 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON FOCAL DISPOSABLE	SUP-90-9100	CDM			270	RC		outpatient			4002	42	1084.14				percent of total billed charges		4002				other	OPPS APC	2961.48				percent of total billed charges		4002				other	OPPS APC	4002				other	OPPS APC	1084.14				percent of total billed charges		1105.75				percent of total billed charges		42				other	OPPS APC	42	4002	
CATHETER ABLATION HALO90 BARRX 90 D L160 CM L20 MM X W13 MM OD4 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON FOCAL DISPOSABLE	SUP-90-9100	CDM			270	RC		inpatient			4002	4002																																																			
GRAFT ENDOVASCULAR ZENITH FLEX 30MM 14MM ANCILLARY ILIAC PLUG AAA	SUP-G18505	CDM	270010015	LOCAL	270	RC		outpatient			4002	42	1084.14				percent of total billed charges		4002				other	OPPS APC	2961.48				percent of total billed charges		4002				other	OPPS APC	4002				other	OPPS APC	1084.14				percent of total billed charges		1105.75				percent of total billed charges		42				other	OPPS APC	42	4002	
GRAFT ENDOVASCULAR ZENITH FLEX 30MM 14MM ANCILLARY ILIAC PLUG AAA	SUP-G18505	CDM	270010015	LOCAL	270	RC		inpatient			4002	4002																																																			
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK L30 MM OD16 MM ODSEC5.4 MM ID14 FR ANCILLARY ILIAC PLUG INTRODUCER SHEATH ABDOMINAL AORTIC ANEURYSM	SUP-G18506	CDM	270010015	LOCAL	270	RC		outpatient			4002	42	1084.14				percent of total billed charges		4002				other	OPPS APC	2961.48				percent of total billed charges		4002				other	OPPS APC	4002				other	OPPS APC	1084.14				percent of total billed charges		1105.75				percent of total billed charges		42				other	OPPS APC	42	4002	
GRAFT ENDOVASCULAR ZENITH FLEX Z-TRAK L30 MM OD16 MM ODSEC5.4 MM ID14 FR ANCILLARY ILIAC PLUG INTRODUCER SHEATH ABDOMINAL AORTIC ANEURYSM	SUP-G18506	CDM	270010015	LOCAL	270	RC		inpatient			4002	4002																																																			
GRAFT ENDOVASCULAR 30MM 24MM 6MM 16FR ZENITH FLEX Z-TRAK ANCILLARY ILIAC PLUG	SUP-G18508	CDM	270010015	LOCAL	270	RC		outpatient			4002	42	1084.14				percent of total billed charges		4002				other	OPPS APC	2961.48				percent of total billed charges		4002				other	OPPS APC	4002				other	OPPS APC	1084.14				percent of total billed charges		1105.75				percent of total billed charges		42				other	OPPS APC	42	4002	
GRAFT ENDOVASCULAR 30MM 24MM 6MM 16FR ZENITH FLEX Z-TRAK ANCILLARY ILIAC PLUG	SUP-G18508	CDM	270010015	LOCAL	270	RC		inpatient			4002	4002																																																			
STEM FEMORAL QUADRA TITANIUM NIOBIUM HA 2 STANDARD HIP SHORT NECK	SUP-01.12.22SN	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL QUADRA TITANIUM NIOBIUM HA 2 STANDARD HIP SHORT NECK	SUP-01.12.22SN	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 2 STANDARD 2 TAPER FLAT HIP	SUP-01.39.002	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 2 STANDARD 2 TAPER FLAT HIP	SUP-01.39.002	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 3 STANDARD 2 TAPER FLAT HIP	SUP-01.39.003	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 3 STANDARD 2 TAPER FLAT HIP	SUP-01.39.003	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 4 STANDARD 2 TAPER FLAT HIP	SUP-01.39.004	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 4 STANDARD 2 TAPER FLAT HIP	SUP-01.39.004	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 5 STANDARD 2 TAPER FLAT HIP	SUP-01.39.005	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 5 STANDARD 2 TAPER FLAT HIP	SUP-01.39.005	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 6 STANDARD 2 TAPER FLAT HIP	SUP-01.39.006	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 6 STANDARD 2 TAPER FLAT HIP	SUP-01.39.006	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 7 STANDARD 2 TAPER FLAT HIP	SUP-01.39.007	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 7 STANDARD 2 TAPER FLAT HIP	SUP-01.39.007	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 9 STANDARD 2 TAPER FLAT HIP	SUP-01.39.009	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 9 STANDARD 2 TAPER FLAT HIP	SUP-01.39.009	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 10 STANDARD 2 TAPER FLAT HIP	SUP-01.39.010	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 10 STANDARD 2 TAPER FLAT HIP	SUP-01.39.010	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 11 STANDARD 2 TAPER FLAT HIP	SUP-01.39.011	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 11 STANDARD 2 TAPER FLAT HIP	SUP-01.39.011	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 3 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.203	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 3 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.203	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 5 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.205	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 5 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.205	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 6 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.206	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 6 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.206	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 7 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.207	CDM	270010025	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 7 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.207	CDM	270010025	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 8 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.208	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 8 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.208	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 9 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.209	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 9 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.209	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 10 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.210	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 10 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.210	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 11 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.211	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 11 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.211	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC STANDARD #4	SUP-01.39.3241HCT	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC STANDARD #4	SUP-01.39.3241HCT	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 4 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.404	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 4 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.404	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 6 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.406	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 6 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.406	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 8 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.408	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 8 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.408	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 9 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.409	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 9 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.409	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 10 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.410	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL MASTERLOC MECTAGRIP 10 2 TAPER FLAT HIP LATERALIZE PLUS	SUP-01.39.410	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL TAPER TRILOCK SIZE 6 STD	SUP-1012-04-060	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL TAPER TRILOCK SIZE 6 STD	SUP-1012-04-060	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
LEAD PACING ATTAIN STARFIX STEROID ELUTING POLYURETHANE L78 CM	SUP-419578	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING ATTAIN STARFIX STEROID ELUTING POLYURETHANE L78 CM	SUP-419578	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 2	SUP-4518	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 2	SUP-4518	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 2	SUP-4520	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 2	SUP-4520	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 3	SUP-4525	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 3	SUP-4525	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 3	SUP-4527	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 3	SUP-4527	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 2	SUP-4543	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 2	SUP-4543	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 2	SUP-4544	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 2	SUP-4544	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 3 80CM STEROID ELUTING SILICONE POLYURETHANE CORONARY VENOUS	SUP-4548/49/50	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 3 80CM STEROID ELUTING SILICONE POLYURETHANE CORONARY VENOUS	SUP-4548/49/50	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 3	SUP-4549	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 3	SUP-4549	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING EASYTRAK 3	SUP-4550	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING EASYTRAK 3	SUP-4550	CDM			275	RC		inpatient			4000	4000																																																			
LEAD PACING ACUITY STEROID ELUTING L80 CM CORONARY VENOUS STEERABLE BIPOLAR	SUP-4554	CDM			275	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
LEAD PACING ACUITY STEROID ELUTING L80 CM CORONARY VENOUS STEERABLE BIPOLAR	SUP-4554	CDM			275	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 0 33 MM OFFSET L86 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-0030	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 0 33 MM OFFSET L86 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-0030	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 1 34 MM OFFSET L110 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-0130	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 1 34 MM OFFSET L110 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-0130	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 130 D 2 35 MM OFFSET L115 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-0230	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 130 D 2 35 MM OFFSET L115 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-0230	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 3 39 MM OFFSET L120 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-0335	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 3 39 MM OFFSET L120 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-0335	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 4 40 MM OFFSET L125 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-0435	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 4 40 MM OFFSET L125 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-0435	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 5 44 MM OFFSET L130 MM L37 MM HIP CEMENTLESS NECK	SUP-6020-0537	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 5 44 MM OFFSET L130 MM L37 MM HIP CEMENTLESS NECK	SUP-6020-0537	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 6 45 MM OFFSET L135 MM L37 MM HIP CEMENTLESS	SUP-6020-0637	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 6 45 MM OFFSET L135 MM L37 MM HIP CEMENTLESS	SUP-6020-0637	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 7 48 MM OFFSET L140 MM L40 MM HIP CEMENTLESS NECK	SUP-6020-0740	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 7 48 MM OFFSET L140 MM L40 MM HIP CEMENTLESS NECK	SUP-6020-0740	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 2.5 36 MM OFFSET L118 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-2530	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 2.5 36 MM OFFSET L118 MM L30 MM HIP CEMENTLESS NECK	SUP-6020-2530	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 3.5 39 MM OFFSET L124 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-3535	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 3.5 39 MM OFFSET L124 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-3535	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 4.5 41 MM OFFSET L129 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-4535	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 4.5 41 MM OFFSET L129 MM L35 MM HIP CEMENTLESS NECK	SUP-6020-4535	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 132 D 5.5 45 MM OFFSET L133 MM L37 MM HIP CEMENTLESS NECK	SUP-6020-5537	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 132 D 5.5 45 MM OFFSET L133 MM L37 MM HIP CEMENTLESS NECK	SUP-6020-5537	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 0 37 MM OFFSET L86 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-0030	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 0 37 MM OFFSET L86 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-0030	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 1 38 MM OFFSET L110 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-0130	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 1 38 MM OFFSET L110 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-0130	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 2 39 MM OFFSET L115 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-0230	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 2 39 MM OFFSET L115 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-0230	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 3 43 MM OFFSET L120 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-0335	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 3 43 MM OFFSET L120 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-0335	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 4 44 MM OFFSET L125 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-0435	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 4 44 MM OFFSET L125 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-0435	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 5 48 MM OFFSET L130 MM L37 MM HIP CEMENTLESS NECK	SUP-6021-0537	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 5 48 MM OFFSET L130 MM L37 MM HIP CEMENTLESS NECK	SUP-6021-0537	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 6 49 MM OFFSET L135 MM L37 MM HIP CEMENTLESS NECK	SUP-6021-0637	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 6 49 MM OFFSET L135 MM L37 MM HIP CEMENTLESS NECK	SUP-6021-0637	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 7 53 MM OFFSET L140 MM L40 MM HIP CEMENTLESS NECK	SUP-6021-0740	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 7 53 MM OFFSET L140 MM L40 MM HIP CEMENTLESS NECK	SUP-6021-0740	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 2.5 40 MM OFFSET L118 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-2530	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 2.5 40 MM OFFSET L118 MM L30 MM HIP CEMENTLESS NECK	SUP-6021-2530	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 3.5 43 MM OFFSET L124 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-3535	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 3.5 43 MM OFFSET L124 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-3535	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 4.5 45 MM OFFSET L129 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-4535	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 4.5 45 MM OFFSET L129 MM L35 MM HIP CEMENTLESS NECK	SUP-6021-4535	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ACCOLADE TMZF 127 D 5.5 49 MM OFFSET L133 MM L37 MM HIP CEMENTLESS NECK	SUP-6021-5537	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ACCOLADE TMZF 127 D 5.5 49 MM OFFSET L133 MM L37 MM HIP CEMENTLESS NECK	SUP-6021-5537	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 5	SUP-6051-0525S	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 5	SUP-6051-0525S	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 6	SUP-6051-0625S	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 6	SUP-6051-0625S	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL SECUR-FIT MAX HA 132 D 9 40.8 MM L15 CM L35 MM OD11.9 MM HIP STERILE	SUP-6051-0935S	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL SECUR-FIT MAX HA 132 D 9 40.8 MM L15 CM L35 MM OD11.9 MM HIP STERILE	SUP-6051-0935S	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 10	SUP-6051-1035S	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 10	SUP-6051-1035S	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 13	SUP-6051-1340S	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL SECURE FIT 132 DEG REDUCED NECK SIZE 13	SUP-6051-1340S	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
GRAFT BONE MAGNETOS 5CC EASYPACK PUTTY	SUP-703-051-US	CDM			270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
GRAFT BONE MAGNETOS 5CC EASYPACK PUTTY	SUP-703-051-US	CDM			270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ANTHOLOGY HA POROUS PLUS 131 D 5 STANDARD OFFSET L108 MM HIP PRIMARY STERILE	SUP-71357005	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ANTHOLOGY HA POROUS PLUS 131 D 5 STANDARD OFFSET L108 MM HIP PRIMARY STERILE	SUP-71357005	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
HEAD FEMORAL HYDROXYAPATITE POROUS PLUS 3 HIGH OFFSET HIP	SUP-71357103	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
HEAD FEMORAL HYDROXYAPATITE POROUS PLUS 3 HIGH OFFSET HIP	SUP-71357103	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ANTHOLOGY HA POROUS PLUS 131 D 7 HIGH OFFSET L112 MM HIP PRIMARY STERILE	SUP-71357107	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ANTHOLOGY HA POROUS PLUS 131 D 7 HIGH OFFSET L112 MM HIP PRIMARY STERILE	SUP-71357107	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL ANTHOLOGY POROUS PLUS HA 9 HIGH OFFSET HIP STERILE	SUP-71935581	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL ANTHOLOGY POROUS PLUS HA 9 HIGH OFFSET HIP STERILE	SUP-71935581	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
GENFLEX2 KNEE FEMUR PS LEFT	SUP-97-04297	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
GENFLEX2 KNEE FEMUR PS LEFT	SUP-97-04297	CDM			278	RC		inpatient			4000	4000																																																			
GENFLEX2 KNEE FEMUR PS RT	SUP-97-04324	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
GENFLEX2 KNEE FEMUR PS RT	SUP-97-04324	CDM			278	RC		inpatient			4000	4000																																																			
GENFLEX KNEE FEMUR PS LEFT	SUP-97-04337	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
GENFLEX KNEE FEMUR PS LEFT	SUP-97-04337	CDM			278	RC		inpatient			4000	4000																																																			
ALLOSYNC EVANS WEDGE20MM X20MM X6.5MM	SUP-97-04563	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
ALLOSYNC EVANS WEDGE20MM X20MM X6.5MM	SUP-97-04563	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-LM-RL-SZ 6	SUP-97-06335	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-LM-RL-SZ 6	SUP-97-06335	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-LM-RL-SZ 7	SUP-97-06336	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-LM-RL-SZ 7	SUP-97-06336	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-LM-RL-SZ 8	SUP-97-06337	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-LM-RL-SZ 8	SUP-97-06337	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-RM-LL-SZ 1	SUP-97-06338	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-RM-LL-SZ 1	SUP-97-06338	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-RM-LL-SZ 2	SUP-97-06339	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-RM-LL-SZ 2	SUP-97-06339	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-RM-LL-SZ 6	SUP-97-06340	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-RM-LL-SZ 6	SUP-97-06340	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-RM-LL-SZ 7	SUP-97-06341	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-RM-LL-SZ 7	SUP-97-06341	CDM			278	RC		inpatient			4000	4000																																																			
MCK FEMORAL-RM-LL-SZ 8	SUP-97-06342	CDM			278	RC		outpatient			4000	4	4000				fee schedule		4000				other	OPPS APC	2280				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
MCK FEMORAL-RM-LL-SZ 8	SUP-97-06342	CDM			278	RC		inpatient			4000	4000																																																			
BALLOON - LUTONIX 035   4X150	SUP-99-02277	CDM			272	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
BALLOON - LUTONIX 035   4X150	SUP-99-02277	CDM			272	RC		inpatient			4000	4000																																																			
CATHETER ABLATION FLEXABILITY SENSOR ENABLED ENSITE PRECISION MEDIGUIDE 1-4-1 SPACE F-J CURVE L 115CM L 4MM OD 8FR BI-DIRECTIONAL HANDLE IRRIGATE	SUP-A-FASE-FJ	CDM			481	RC		outpatient			4000	4	1960				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1960				percent of total billed charges		2040				percent of total billed charges		4				other	OPPS APC	4	4000	
CATHETER ABLATION FLEXABILITY SENSOR ENABLED ENSITE PRECISION MEDIGUIDE 1-4-1 SPACE F-J CURVE L 115CM L 4MM OD 8FR BI-DIRECTIONAL HANDLE IRRIGATE	SUP-A-FASE-FJ	CDM			481	RC		inpatient			4000	4000																																																			
FUSION CERVICAL LEVEL 2	SUP-CERVICALL2	CDM	270010009	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
FUSION CERVICAL LEVEL 2	SUP-CERVICALL2	CDM	270010009	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX 4 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1004	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX 4 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1004	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM BENCOX STANDARD SIZE 5 FEMORAL STEM	SUP-HA.F22.1005	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM BENCOX STANDARD SIZE 5 FEMORAL STEM	SUP-HA.F22.1005	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX 6 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1006	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX 6 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1006	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX 7 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1007	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX 7 STANDARD OFFSET HIP MODULAR STERILE	SUP-HA.F22.1007	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX 132 D 9 STANDARD OFFSET HIP	SUP-HA.F22.1009	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX 132 D 9 STANDARD OFFSET HIP	SUP-HA.F22.1009	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX 132 D 10 STANDARD OFFSET HIP	SUP-HA.F22.1010	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX 132 D 10 STANDARD OFFSET HIP	SUP-HA.F22.1010	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX M LATERALIZED SIZE 1	SUP-HA.F24.1001	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX M LATERALIZED SIZE 1	SUP-HA.F24.1001	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX 132 D 2 LATERALIZE OFFSET HIP	SUP-HA.F24.1002	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX 132 D 2 LATERALIZE OFFSET HIP	SUP-HA.F24.1002	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
STEM FEMORAL BENCOX LATERALIZE OFFSET HIP MODULAR STERILE	SUP-HA.F24.1004	CDM	270010024	LOCAL	270	RC		outpatient			4000	4	1083.6				percent of total billed charges		4000				other	OPPS APC	2960				percent of total billed charges		4000				other	OPPS APC	4000				other	OPPS APC	1083.6				percent of total billed charges		1105.2				percent of total billed charges		4				other	OPPS APC	4	4000	
STEM FEMORAL BENCOX LATERALIZE OFFSET HIP MODULAR STERILE	SUP-HA.F24.1004	CDM	270010024	LOCAL	270	RC		inpatient			4000	4000																																																			
PACEMAKER ADAPTA SINGLE CHAMBER DEVICE	SUP-ADSR03	CDM			275	RC		outpatient			3999.5	3999.5	1959.76				percent of total billed charges		3999.5				other	OPPS APC	2279.72				percent of total billed charges		3999.5				other	OPPS APC	3999.5				other	OPPS APC	1959.76				percent of total billed charges		2039.75				percent of total billed charges		3999.5				other	OPPS APC	1959.76	3999.5	
PACEMAKER ADAPTA SINGLE CHAMBER DEVICE	SUP-ADSR03	CDM			275	RC		inpatient			3999.5	3999.5																																																			
PACEMAKER ADAPTA SINGLE CHAMBER DEVICE	SUP-ADSR06	CDM			275	RC		outpatient			3999.5	3999.5	1959.76				percent of total billed charges		3999.5				other	OPPS APC	2279.72				percent of total billed charges		3999.5				other	OPPS APC	3999.5				other	OPPS APC	1959.76				percent of total billed charges		2039.75				percent of total billed charges		3999.5				other	OPPS APC	1959.76	3999.5	
PACEMAKER ADAPTA SINGLE CHAMBER DEVICE	SUP-ADSR06	CDM			275	RC		inpatient			3999.5	3999.5																																																			
DISSECTOR SURGICAL PERISCOPE	SUP-4200-00	CDM			270	RC		outpatient			3998	3998	1083.06				percent of total billed charges		3998				other	OPPS APC	2958.52				percent of total billed charges		3998				other	OPPS APC	3998				other	OPPS APC	1083.06				percent of total billed charges		1104.65				percent of total billed charges		3998				other	OPPS APC	1083.06	3998	
DISSECTOR SURGICAL PERISCOPE	SUP-4200-00	CDM			270	RC		inpatient			3998	3998																																																			
DISSECTOR SURGICAL MARTIN UNBALLOON MODELING CATHETER	SUP-4200-10	CDM			270	RC		outpatient			3998	3998	1083.06				percent of total billed charges		3998				other	OPPS APC	2958.52				percent of total billed charges		3998				other	OPPS APC	3998				other	OPPS APC	1083.06				percent of total billed charges		1104.65				percent of total billed charges		3998				other	OPPS APC	1083.06	3998	
DISSECTOR SURGICAL MARTIN UNBALLOON MODELING CATHETER	SUP-4200-10	CDM			270	RC		inpatient			3998	3998																																																			
SPACER SPINAL VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA D11 MM W11 MM X H6 MM STRUT STERILE LATEX FREE CERVICAL INTERBODY FUSION	SUP-6276006	CDM	270010020	LOCAL	270	RC		outpatient			3993.6	3993.6	1081.87				percent of total billed charges		3993.6				other	OPPS APC	2955.26				percent of total billed charges		3993.6				other	OPPS APC	3993.6				other	OPPS APC	1081.87				percent of total billed charges		1103.43				percent of total billed charges		3993.6				other	OPPS APC	1081.87	3993.6	
SPACER SPINAL VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA D11 MM W11 MM X H6 MM STRUT STERILE LATEX FREE CERVICAL INTERBODY FUSION	SUP-6276006	CDM	270010020	LOCAL	270	RC		inpatient			3993.6	3993.6																																																			
SPACER SPINAL VERTE-STACK CORNERSTONE PSR 11MMX14MM 6MM STERILE LF STRUT	SUP-6277006	CDM	270010012	LOCAL	270	RC		outpatient			3993.6	3993.6	1081.87				percent of total billed charges		3993.6				other	OPPS APC	2955.26				percent of total billed charges		3993.6				other	OPPS APC	3993.6				other	OPPS APC	1081.87				percent of total billed charges		1103.43				percent of total billed charges		3993.6				other	OPPS APC	1081.87	3993.6	
SPACER SPINAL VERTE-STACK CORNERSTONE PSR 11MMX14MM 6MM STERILE LF STRUT	SUP-6277006	CDM	270010012	LOCAL	270	RC		inpatient			3993.6	3993.6																																																			
STRUT MEDTRONIC CORNERSTON 25X14X11	SUP-6277025	CDM	270010020	LOCAL	270	RC		outpatient			3993.6	3993.6	1081.87				percent of total billed charges		3993.6				other	OPPS APC	2955.26				percent of total billed charges		3993.6				other	OPPS APC	3993.6				other	OPPS APC	1081.87				percent of total billed charges		1103.43				percent of total billed charges		3993.6				other	OPPS APC	1081.87	3993.6	
STRUT MEDTRONIC CORNERSTON 25X14X11	SUP-6277025	CDM	270010020	LOCAL	270	RC		inpatient			3993.6	3993.6																																																			
GRAFT BONE PATELLA LIGAMENT BTB	SUP-453008	CDM	270010031	LOCAL	270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
GRAFT BONE PATELLA LIGAMENT BTB	SUP-453008	CDM	270010031	LOCAL	270	RC		inpatient			3990	3990																																																			
STENT ENDOPROSTHESIS  XACT TAPERED 7-9 FRENCH X 40MM	SUP-82086-01	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
STENT ENDOPROSTHESIS  XACT TAPERED 7-9 FRENCH X 40MM	SUP-82086-01	CDM			270	RC		inpatient			3990	3990																																																			
STENT ENDOPROSTHESIS XACT TAPERED 7-9 FRENCH X 30MM	SUP-82087-01	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
STENT ENDOPROSTHESIS XACT TAPERED 7-9 FRENCH X 30MM	SUP-82087-01	CDM			270	RC		inpatient			3990	3990																																																			
STENT VASCULAR XACT NITINOL TAPER L40 MM OD8-6 MM	SUP-82090-01	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
STENT VASCULAR XACT NITINOL TAPER L40 MM OD8-6 MM	SUP-82090-01	CDM			270	RC		inpatient			3990	3990																																																			
STENT ENDOPROSTHESIS XACT TAPERED 6-8 FRENCH X 30MM	SUP-82091-01	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
STENT ENDOPROSTHESIS XACT TAPERED 6-8 FRENCH X 30MM	SUP-82091-01	CDM			270	RC		inpatient			3990	3990																																																			
STENT ENDOPROSTHESIS XACT STRAIGHT 8.0 X 30MM	SUP-82092-01	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
STENT ENDOPROSTHESIS XACT STRAIGHT 8.0 X 30MM	SUP-82092-01	CDM			270	RC		inpatient			3990	3990																																																			
STENT ENDOPROSTHESIS XACT STRAIGHT 7.0  X 30MM	SUP-82094-01	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
STENT ENDOPROSTHESIS XACT STRAIGHT 7.0  X 30MM	SUP-82094-01	CDM			270	RC		inpatient			3990	3990																																																			
JMF HOOK PLATE COMP.5 HOLE RIGHT	SUP-97-04744	CDM			278	RC		outpatient			3990	399	3990				fee schedule		3990				other	OPPS APC	2274.3				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
JMF HOOK PLATE COMP.5 HOLE RIGHT	SUP-97-04744	CDM			278	RC		inpatient			3990	3990																																																			
JMF HOOKPLATE COMP 5 HOLE LEFT	SUP-97-23671	CDM			278	RC		outpatient			3990	399	3990				fee schedule		3990				other	OPPS APC	2274.3				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
JMF HOOKPLATE COMP 5 HOLE LEFT	SUP-97-23671	CDM			278	RC		inpatient			3990	3990																																																			
JMF HOOK PLATE COMP. 6 HOLE LEFT	SUP-97-23728	CDM			278	RC		outpatient			3990	399	3990				fee schedule		3990				other	OPPS APC	2274.3				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
JMF HOOK PLATE COMP. 6 HOLE LEFT	SUP-97-23728	CDM			278	RC		inpatient			3990	3990																																																			
CEMENT BONE QUICKSET MACROPOROUS 8 ML CLOSED MIX SYSTEM INJECTABLE RESORBABLE	SUP-ABS-3008	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
CEMENT BONE QUICKSET MACROPOROUS 8 ML CLOSED MIX SYSTEM INJECTABLE RESORBABLE	SUP-ABS-3008	CDM			270	RC		inpatient			3990	3990																																																			
PPM ADDR01 ADAPTA DR DEVICE _1999654_	SUP-ADDR01	CDM			275	RC		outpatient			3990	399	1955.1				percent of total billed charges		3990				other	OPPS APC	2274.3				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
PPM ADDR01 ADAPTA DR DEVICE _1999654_	SUP-ADDR01	CDM			275	RC		inpatient			3990	3990																																																			
PPM ADDRL1  ADAPTA DR DEVICE _45786_	SUP-ADDRL1	CDM			275	RC		outpatient			3990	399	1955.1				percent of total billed charges		3990				other	OPPS APC	2274.3				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
PPM ADDRL1  ADAPTA DR DEVICE _45786_	SUP-ADDRL1	CDM			275	RC		inpatient			3990	3990																																																			
KIT QUICKSET 8CC	SUP-AR-3008	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
KIT QUICKSET 8CC	SUP-AR-3008	CDM			270	RC		inpatient			3990	3990																																																			
IMPLANT ACHILLES SPEEDB WITH JUMP	SUP-AR-8928BCJ-CP	CDM			270	RC		outpatient			3990	399	1080.89				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1080.89				percent of total billed charges		1102.44				percent of total billed charges		399				other	OPPS APC	399	3990	
IMPLANT ACHILLES SPEEDB WITH JUMP	SUP-AR-8928BCJ-CP	CDM			270	RC		inpatient			3990	3990																																																			
TRUE FLOW VALVULOPLASTY PERFUSION CATHETER 20MM	SUP-TF0203511	CDM			481	RC		outpatient			3990	399	1955.1				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
TRUE FLOW VALVULOPLASTY PERFUSION CATHETER 20MM	SUP-TF0203511	CDM			481	RC		inpatient			3990	3990																																																			
TRUE FLOW VALVULOPLASTY PERFUSION CATHETER 22MM	SUP-TF0223512	CDM			481	RC		outpatient			3990	399	1955.1				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
TRUE FLOW VALVULOPLASTY PERFUSION CATHETER 22MM	SUP-TF0223512	CDM			481	RC		inpatient			3990	3990																																																			
TRUE FLOW VALVULOPLASTY PERFUSION CATHETER 24MM	SUP-TF0243514	CDM			481	RC		outpatient			3990	399	1955.1				percent of total billed charges		3990				other	OPPS APC	2952.6				percent of total billed charges		3990				other	OPPS APC	3990				other	OPPS APC	1955.1				percent of total billed charges		2034.9				percent of total billed charges		399				other	OPPS APC	399	3990	
TRUE FLOW VALVULOPLASTY PERFUSION CATHETER 24MM	SUP-TF0243514	CDM			481	RC		inpatient			3990	3990																																																			
WEDGE EVANS LARGE 6 X 19MM TITAN 3D	SUP-97-06209	CDM			278	RC		outpatient			3984.38	3984.38	3984.38				fee schedule		3984.38				other	OPPS APC	2271.1				percent of total billed charges		3984.38				other	OPPS APC	3984.38				other	OPPS APC	1952.35				percent of total billed charges		2032.03				percent of total billed charges		3984.38				other	OPPS APC	1952.35	3984.38	
WEDGE EVANS LARGE 6 X 19MM TITAN 3D	SUP-97-06209	CDM			278	RC		inpatient			3984.38	3984.38																																																			
INFINITY EVERLAST SIZE 2 6MM	SUP-97-05869	CDM			278	RC		outpatient			3975	3975	3975				fee schedule		3975				other	OPPS APC	2265.75				percent of total billed charges		3975				other	OPPS APC	3975				other	OPPS APC	1947.75				percent of total billed charges		2027.25				percent of total billed charges		3975				other	OPPS APC	1947.75	3975	
INFINITY EVERLAST SIZE 2 6MM	SUP-97-05869	CDM			278	RC		inpatient			3975	3975																																																			
INFINITY EVERLAST SIZE 3+ 7MM	SUP-97-05968	CDM			278	RC		outpatient			3975	3975	3975				fee schedule		3975				other	OPPS APC	2265.75				percent of total billed charges		3975				other	OPPS APC	3975				other	OPPS APC	1947.75				percent of total billed charges		2027.25				percent of total billed charges		3975				other	OPPS APC	1947.75	3975	
INFINITY EVERLAST SIZE 3+ 7MM	SUP-97-05968	CDM			278	RC		inpatient			3975	3975																																																			
INFINITY EVERLAST SIZE 4+ 9MM	SUP-97-06252	CDM			278	RC		outpatient			3975	3975	3975				fee schedule		3975				other	OPPS APC	2265.75				percent of total billed charges		3975				other	OPPS APC	3975				other	OPPS APC	1947.75				percent of total billed charges		2027.25				percent of total billed charges		3975				other	OPPS APC	1947.75	3975	
INFINITY EVERLAST SIZE 4+ 9MM	SUP-97-06252	CDM			278	RC		inpatient			3975	3975																																																			
FEMORAL NAIL RT 12X440MM	SUP-97-04226	CDM			278	RC		outpatient			3967.7	3967.7	3967.7				fee schedule		3967.7				other	OPPS APC	2261.59				percent of total billed charges		3967.7				other	OPPS APC	3967.7				other	OPPS APC	1944.17				percent of total billed charges		2023.53				percent of total billed charges		3967.7				other	OPPS APC	1944.17	3967.7	
FEMORAL NAIL RT 12X440MM	SUP-97-04226	CDM			278	RC		inpatient			3967.7	3967.7																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L300 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.030S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L300 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.030S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.032S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.032S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L420 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.042S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L420 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.042S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L440 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.044S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L440 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.044S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L300 MM OD11 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.130S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L300 MM OD11 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.130S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD11 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.132S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD11 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.132S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L340 MM OD11 MM FEMUR STERILE	SUP-04.233.134S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L340 MM OD11 MM FEMUR STERILE	SUP-04.233.134S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L380 MM OD11 MM FEMUR STERILE	SUP-04.233.138S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L380 MM OD11 MM FEMUR STERILE	SUP-04.233.138S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L400 MM OD11 MM FEMUR STERILE	SUP-04.233.140S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L400 MM OD11 MM FEMUR STERILE	SUP-04.233.140S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L420 MM OD11 MM FEMUR STERILE	SUP-04.233.142S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L420 MM OD11 MM FEMUR STERILE	SUP-04.233.142S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L440 MM OD11 MM FEMUR STERILE	SUP-04.233.144S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L440 MM OD11 MM FEMUR STERILE	SUP-04.233.144S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.232S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.232S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L340 MM OD12 MM FEMORAL STERILE	SUP-04.233.234S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L340 MM OD12 MM FEMORAL STERILE	SUP-04.233.234S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L360 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.236S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L360 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.236S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L400 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.240S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L400 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.240S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L420 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.242S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L420 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.242S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L440 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.244S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L440 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.244S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L300 MM OD9 MM FEMORAL STERILE	SUP-04.233.930S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L300 MM OD9 MM FEMORAL STERILE	SUP-04.233.930S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L340 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.934S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L340 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.934S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L400 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.940S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L400 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.940S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 9 D BEND L420 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.942S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 9 D BEND L420 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.942S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L440 MM OD9 MM FEMUR RETROGRADE STERILE	SUP-04.233.944S	CDM			270	RC		outpatient			3966.6	3966.6	1074.55				percent of total billed charges		3966.6				other	OPPS APC	2935.28				percent of total billed charges		3966.6				other	OPPS APC	3966.6				other	OPPS APC	1074.55				percent of total billed charges		1095.97				percent of total billed charges		3966.6				other	OPPS APC	1074.55	3966.6	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L440 MM OD9 MM FEMUR RETROGRADE STERILE	SUP-04.233.944S	CDM			270	RC		inpatient			3966.6	3966.6																																																			
PLATE T CLAW 3 HOLE 20MM	SUP-40241320	CDM			270	RC		outpatient			3966	3966	1074.39				percent of total billed charges		3966				other	OPPS APC	2934.84				percent of total billed charges		3966				other	OPPS APC	3966				other	OPPS APC	1074.39				percent of total billed charges		1095.81				percent of total billed charges		3966				other	OPPS APC	1074.39	3966	
PLATE T CLAW 3 HOLE 20MM	SUP-40241320	CDM			270	RC		inpatient			3966	3966																																																			
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 3 HOLE T LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40241325	CDM			270	RC		outpatient			3966	3966	1074.39				percent of total billed charges		3966				other	OPPS APC	2934.84				percent of total billed charges		3966				other	OPPS APC	3966				other	OPPS APC	1074.39				percent of total billed charges		1095.81				percent of total billed charges		3966				other	OPPS APC	1074.39	3966	
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 3 HOLE T LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40241325	CDM			270	RC		inpatient			3966	3966																																																			
PLATE T CLAW 3 HOLE 30MM	SUP-40241330	CDM			270	RC		outpatient			3966	3966	1074.39				percent of total billed charges		3966				other	OPPS APC	2934.84				percent of total billed charges		3966				other	OPPS APC	3966				other	OPPS APC	1074.39				percent of total billed charges		1095.81				percent of total billed charges		3966				other	OPPS APC	1074.39	3966	
PLATE T CLAW 3 HOLE 30MM	SUP-40241330	CDM			270	RC		inpatient			3966	3966																																																			
PLATE BONE CLAW II STAINLESS STEEL SMALL STRAIGHT UNIVERSAL L20 MM L20 MM ANKLE FOOT SERIES LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40242020	CDM			270	RC		outpatient			3966	3966	1074.39				percent of total billed charges		3966				other	OPPS APC	2934.84				percent of total billed charges		3966				other	OPPS APC	3966				other	OPPS APC	1074.39				percent of total billed charges		1095.81				percent of total billed charges		3966				other	OPPS APC	1074.39	3966	
PLATE BONE CLAW II STAINLESS STEEL SMALL STRAIGHT UNIVERSAL L20 MM L20 MM ANKLE FOOT SERIES LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40242020	CDM			270	RC		inpatient			3966	3966																																																			
PLATE BONE CLAW II STAINLESS STEEL MEDIUM STRAIGHT UNIVERSAL L20 MM L25 MM ANKLE FOOT SERIES LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40242025	CDM			270	RC		outpatient			3966	3966	1074.39				percent of total billed charges		3966				other	OPPS APC	2934.84				percent of total billed charges		3966				other	OPPS APC	3966				other	OPPS APC	1074.39				percent of total billed charges		1095.81				percent of total billed charges		3966				other	OPPS APC	1074.39	3966	
PLATE BONE CLAW II STAINLESS STEEL MEDIUM STRAIGHT UNIVERSAL L20 MM L25 MM ANKLE FOOT SERIES LOCKING THREAD POLYAXIAL COMPRESSION 2.7/3.5 MM SCREW	SUP-40242025	CDM			270	RC		inpatient			3966	3966																																																			
PLATE CLAW STRAIGHT 25X25	SUP-40242525	CDM			270	RC		outpatient			3966	3966	1074.39				percent of total billed charges		3966				other	OPPS APC	2934.84				percent of total billed charges		3966				other	OPPS APC	3966				other	OPPS APC	1074.39				percent of total billed charges		1095.81				percent of total billed charges		3966				other	OPPS APC	1074.39	3966	
PLATE CLAW STRAIGHT 25X25	SUP-40242525	CDM			270	RC		inpatient			3966	3966																																																			
TRANSOBTURATOR KIT	SUP-74-00128	CDM			278	RC		outpatient			3962.5	3962.5	3962.5				fee schedule		3962.5				other	OPPS APC	2258.63				percent of total billed charges		3962.5				other	OPPS APC	3962.5				other	OPPS APC	1941.63				percent of total billed charges		2020.88				percent of total billed charges		3962.5				other	OPPS APC	1941.63	3962.5	
TRANSOBTURATOR KIT	SUP-74-00128	CDM			278	RC		inpatient			3962.5	3962.5																																																			
STEM RADIAL TITANIUM STRAIGHT H24 MM OD6 MM STERILE	SUP-04.402.006S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM STRAIGHT H24 MM OD6 MM STERILE	SUP-04.402.006S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM STRAIGHT H28 MM OD8 MM STERILE	SUP-04.402.008S	CDM			270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM STRAIGHT H28 MM OD8 MM STERILE	SUP-04.402.008S	CDM			270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM STRAIGHT H30 MM OD9 MM STERILE	SUP-04.402.009S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM STRAIGHT H30 MM OD9 MM STERILE	SUP-04.402.009S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM STRAIGHT FLUTE BEVEL L32 MM OD10 MM ELBOW THIN COLLAR AID ROUGHENED SURFACE STERILE	SUP-04.402.010S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM STRAIGHT FLUTE BEVEL L32 MM OD10 MM ELBOW THIN COLLAR AID ROUGHENED SURFACE STERILE	SUP-04.402.010S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL 22MM COCR  STD HEIGHT	SUP-04.402.022S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL 22MM COCR  STD HEIGHT	SUP-04.402.022S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM CURVE H40 MM OD6 MM STERILE	SUP-04.402.026	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM CURVE H40 MM OD6 MM STERILE	SUP-04.402.026	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM CURVE FLUTE BEVEL L42 MM OD7 MM ELBOW THIN COLLAR AID ROUGHENED SURFACE STERILE	SUP-04.402.027S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM CURVE FLUTE BEVEL L42 MM OD7 MM ELBOW THIN COLLAR AID ROUGHENED SURFACE STERILE	SUP-04.402.027S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM CURVE L44 MM OD8 MM STERILE	SUP-04.402.028S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM CURVE L44 MM OD8 MM STERILE	SUP-04.402.028S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM CURVE H46 MM OD9 MM STERILE	SUP-04.402.029S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM CURVE H46 MM OD9 MM STERILE	SUP-04.402.029S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
STEM RADIAL TITANIUM CURVE FLUTE BEVEL L48 MM OD10 MM ELBOW THIN COLLAR AID ROUGHENED SURFACE STERILE	SUP-04.402.030S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
STEM RADIAL TITANIUM CURVE FLUTE BEVEL L48 MM OD10 MM ELBOW THIN COLLAR AID ROUGHENED SURFACE STERILE	SUP-04.402.030S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL 22MM COCR  6MM HT EXTENSION	SUP-04.402.622S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL 22MM COCR  6MM HT EXTENSION	SUP-04.402.622S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD SLIGHT TRAPEZOID H11.5 MM OD18 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.018S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD SLIGHT TRAPEZOID H11.5 MM OD18 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.018S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD H12.5 MM OD20 MM ELBOW STERILE	SUP-09.402.020S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD H12.5 MM OD20 MM ELBOW STERILE	SUP-09.402.020S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD H12 MM OD22 MM ELBOW STERILE	SUP-09.402.022S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD H12 MM OD22 MM ELBOW STERILE	SUP-09.402.022S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD H13 MM OD24 MM STERILE	SUP-09.402.024S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD H13 MM OD24 MM STERILE	SUP-09.402.024S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR SLIGHT TRAPEZOID ROUND STANDARD HEIGHT H13.5 MM OD26 MM ELBOW SMOOTH NECK SYMMETRICAL STERILE	SUP-09.402.026S	CDM			270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR SLIGHT TRAPEZOID ROUND STANDARD HEIGHT H13.5 MM OD26 MM ELBOW SMOOTH NECK SYMMETRICAL STERILE	SUP-09.402.026S	CDM			270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD SLIGHT TRAPEZOID H14 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.028S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD SLIGHT TRAPEZOID H14 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.028S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H13.5 MM OD18 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.218S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H13.5 MM OD18 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.218S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD H14 MM OD20 MM ELBOW STERILE	SUP-09.402.220S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD H14 MM OD20 MM ELBOW STERILE	SUP-09.402.220S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR STANDARD H14.5 MM OD22 MM ELBOW STERILE	SUP-09.402.222S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR STANDARD H14.5 MM OD22 MM ELBOW STERILE	SUP-09.402.222S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H15 MM OD24 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.224S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H15 MM OD24 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.224S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H15.5 MM OD26 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.226S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H15.5 MM OD26 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.226S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H16 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.228S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 2 MM SLIGHT TRAPEZOID H16 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.228S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H15.5 MM OD18 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.418S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H15.5 MM OD18 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.418S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H16 MM OD20 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.420S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H16 MM OD20 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.420S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H16.5 MM OD24 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.422S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H16.5 MM OD24 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.422S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR H17 MM OD24 MM STERILE	SUP-09.402.424S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR H17 MM OD24 MM STERILE	SUP-09.402.424S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H17.5 MM OD26 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.426S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H17.5 MM OD26 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.426S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H18 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.428S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 4 MM SLIGHT TRAPEZOID H18 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.428S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL SLIGHT TRAPEZOID 17.5MM 6MM 18MM COCR STERILE ELBOW INTEGRATE CONNECTION SCREW EXTENSION	SUP-09.402.618S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL SLIGHT TRAPEZOID 17.5MM 6MM 18MM COCR STERILE ELBOW INTEGRATE CONNECTION SCREW EXTENSION	SUP-09.402.618S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H18 MM OD20 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.620S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H18 MM OD20 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.620S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H18.5 MM OD22 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.622S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H18.5 MM OD22 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.622S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H19 MM OD24 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.624S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H19 MM OD24 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.624S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H19.5 MM OD26 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.626S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H19.5 MM OD26 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.626S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H20 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.628S	CDM	270010022	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
HEAD RADIAL COCR 6 MM SLIGHT TRAPEZOID H20 MM OD28 MM ELBOW TAPER LOCKING CONNECTION INTEGRATED CONNECTION SCREW STERILE	SUP-09.402.628S	CDM	270010022	LOCAL	270	RC		inpatient			3960	3960																																																			
COMPONENT TIBIAL TRAY OPTETRAK POLYETHYLENE 3F/3T KNEE CEMENTED TRAPEZOID	SUP-204-04-33	CDM	270010025	LOCAL	270	RC		outpatient			3960	396	1072.76				percent of total billed charges		3960				other	OPPS APC	2930.4				percent of total billed charges		3960				other	OPPS APC	3960				other	OPPS APC	1072.76				percent of total billed charges		1094.15				percent of total billed charges		396				other	OPPS APC	396	3960	
COMPONENT TIBIAL TRAY OPTETRAK POLYETHYLENE 3F/3T KNEE CEMENTED TRAPEZOID	SUP-204-04-33	CDM	270010025	LOCAL	270	RC		inpatient			3960	3960																																																			
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L360 MM OD13 MM DISTAL FEMUR CANNULATED FLUTED BARREL STERILE AQUA RETROGRADE INSERTION	SUP-450.848S	CDM	270010022	LOCAL	270	RC		outpatient			3956.4	3956.41	1071.79				percent of total billed charges		3956.4				other	OPPS APC	2927.74				percent of total billed charges		3956.4				other	OPPS APC	3956.4				other	OPPS APC	1071.79				percent of total billed charges		1093.15				percent of total billed charges		3956.41				other	OPPS APC	1071.79	3956.41	
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L360 MM OD13 MM DISTAL FEMUR CANNULATED FLUTED BARREL STERILE AQUA RETROGRADE INSERTION	SUP-450.848S	CDM	270010022	LOCAL	270	RC		inpatient			3956.4	3956.4																																																			
10 TI CANN RETRO/ANTEGRA  FEM NAIL360MM	SUP-97-03660	CDM			278	RC		outpatient			3955.88	3955.88	3955.88				fee schedule		3955.88				other	OPPS APC	2254.85				percent of total billed charges		3955.88				other	OPPS APC	3955.88				other	OPPS APC	1938.38				percent of total billed charges		2017.5				percent of total billed charges		3955.88				other	OPPS APC	1938.38	3955.88	
10 TI CANN RETRO/ANTEGRA  FEM NAIL360MM	SUP-97-03660	CDM			278	RC		inpatient			3955.88	3955.88																																																			
PRIMATRIX FENESTRATED AG 4 X 4	SUP-95-23463	CDM			636	RC		inpatient			3950	3950																																																			
PRIMATRIX FENESTRATED AG 4 X 4	SUP-95-23463	CDM			636	RC		outpatient			3950	3950					fee schedule						other	OPPS APC	47.71				fee schedule						other	OPPS APC					other	OPPS APC	1935.5				percent of total billed charges		981.97				percent of total billed charges						other	OPPS APC	1935.5	1935.5	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L 195 MM X W 11.4 MM X H 3.4 MM W 18.8 MM X H 2.7 TIBIAL RIGHT DISTAL MEDIAL 15 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72464015	CDM			270	RC		outpatient			3944	3944	1068.43				percent of total billed charges		3944				other	OPPS APC	2918.56				percent of total billed charges		3944				other	OPPS APC	3944				other	OPPS APC	1068.43				percent of total billed charges		1089.73				percent of total billed charges		3944				other	OPPS APC	1068.43	3944	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L 195 MM X W 11.4 MM X H 3.4 MM W 18.8 MM X H 2.7 TIBIAL RIGHT DISTAL MEDIAL 15 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72464015	CDM			270	RC		inpatient			3944	3944																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L336 MM CONDYLAR RIGHT PERIARTICULAR 16 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.416	CDM	270010022	LOCAL	270	RC		outpatient			3943.68	3943.68	1068.34				percent of total billed charges		3943.68				other	OPPS APC	2918.32				percent of total billed charges		3943.68				other	OPPS APC	3943.68				other	OPPS APC	1068.34				percent of total billed charges		1089.64				percent of total billed charges		3943.68				other	OPPS APC	1068.34	3943.68	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L336 MM CONDYLAR RIGHT PERIARTICULAR 16 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.416	CDM	270010022	LOCAL	270	RC		inpatient			3943.68	3943.68																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L336 MM CONDYLAR LEFT PERIARTICULAR 16 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.417	CDM	270010022	LOCAL	270	RC		outpatient			3943.68	3943.68	1068.34				percent of total billed charges		3943.68				other	OPPS APC	2918.32				percent of total billed charges		3943.68				other	OPPS APC	3943.68				other	OPPS APC	1068.34				percent of total billed charges		1089.64				percent of total billed charges		3943.68				other	OPPS APC	1068.34	3943.68	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L336 MM CONDYLAR LEFT PERIARTICULAR 16 HOLE 4 COLUMN THREAD VARIABLE ANGLE NONSTERILE 4.5 MM SCREW	SUP-02.124.417	CDM	270010022	LOCAL	270	RC		inpatient			3943.68	3943.68																																																			
COTTON WEDGE 8MM	SUP-97-03132	CDM			278	RC		outpatient			3940.63	394.63	3940.63				fee schedule		3940.63				other	OPPS APC	2246.16				percent of total billed charges		3940.63				other	OPPS APC	3940.63				other	OPPS APC	1930.91				percent of total billed charges		2009.72				percent of total billed charges		394.63				other	OPPS APC	394.63	3940.63	
COTTON WEDGE 8MM	SUP-97-03132	CDM			278	RC		inpatient			3940.63	3940.63																																																			
COTTON WEDGE 7MM	SUP-97-03142	CDM			278	RC		outpatient			3940.63	394.63	3940.63				fee schedule		3940.63				other	OPPS APC	2246.16				percent of total billed charges		3940.63				other	OPPS APC	3940.63				other	OPPS APC	1930.91				percent of total billed charges		2009.72				percent of total billed charges		394.63				other	OPPS APC	394.63	3940.63	
COTTON WEDGE 7MM	SUP-97-03142	CDM			278	RC		inpatient			3940.63	3940.63																																																			
COTTON WEDGE 6MM	SUP-97-03259	CDM			278	RC		outpatient			3940.63	394.63	3940.63				fee schedule		3940.63				other	OPPS APC	2246.16				percent of total billed charges		3940.63				other	OPPS APC	3940.63				other	OPPS APC	1930.91				percent of total billed charges		2009.72				percent of total billed charges		394.63				other	OPPS APC	394.63	3940.63	
COTTON WEDGE 6MM	SUP-97-03259	CDM			278	RC		inpatient			3940.63	3940.63																																																			
T2 FEMORAL NAIL R1500 9MMX380MM	SUP-97-03465	CDM			278	RC		outpatient			3938.23	3938.23	3938.23				fee schedule		3938.23				other	OPPS APC	2244.79				percent of total billed charges		3938.23				other	OPPS APC	3938.23				other	OPPS APC	1929.73				percent of total billed charges		2008.5				percent of total billed charges		3938.23				other	OPPS APC	1929.73	3938.23	
T2 FEMORAL NAIL R1500 9MMX380MM	SUP-97-03465	CDM			278	RC		inpatient			3938.23	3938.23																																																			
GRAFT AMNION THIN 3CM X 3CM	SUP-97-04971	CDM			278	RC		outpatient			3937.5	3937.5	3937.5				fee schedule		3937.5				other	OPPS APC	2244.38				percent of total billed charges		3937.5				other	OPPS APC	3937.5				other	OPPS APC	1929.38				percent of total billed charges		2008.13				percent of total billed charges		3937.5				other	OPPS APC	1929.38	3937.5	
GRAFT AMNION THIN 3CM X 3CM	SUP-97-04971	CDM			278	RC		inpatient			3937.5	3937.5																																																			
BALLOON - LUTONIX 035   5X150	SUP-99-02279	CDM			272	RC		outpatient			3937.5	3937.5	1066.67				percent of total billed charges		3937.5				other	OPPS APC	2913.75				percent of total billed charges		3937.5				other	OPPS APC	3937.5				other	OPPS APC	1066.67				percent of total billed charges		1087.93				percent of total billed charges		3937.5				other	OPPS APC	1066.67	3937.5	
BALLOON - LUTONIX 035   5X150	SUP-99-02279	CDM			272	RC		inpatient			3937.5	3937.5																																																			
BALLOON - LUTONIX 035   6X150	SUP-99-02281	CDM			272	RC		outpatient			3937.5	3937.5	1066.67				percent of total billed charges		3937.5				other	OPPS APC	2913.75				percent of total billed charges		3937.5				other	OPPS APC	3937.5				other	OPPS APC	1066.67				percent of total billed charges		1087.93				percent of total billed charges		3937.5				other	OPPS APC	1066.67	3937.5	
BALLOON - LUTONIX 035   6X150	SUP-99-02281	CDM			272	RC		inpatient			3937.5	3937.5																																																			
PLATE 2.7MM XXL VOLAR DR NARROW RI	SUP-97-03767	CDM			278	RC		outpatient			3931.25	3931.25	3931.25				fee schedule		3931.25				other	OPPS APC	2240.81				percent of total billed charges		3931.25				other	OPPS APC	3931.25				other	OPPS APC	1926.31				percent of total billed charges		2004.94				percent of total billed charges		3931.25				other	OPPS APC	1926.31	3931.25	
PLATE 2.7MM XXL VOLAR DR NARROW RI	SUP-97-03767	CDM			278	RC		inpatient			3931.25	3931.25																																																			
2.7MM XXL VOLAR DR PLATE NARROW LE 11HOL	SUP-97-05140	CDM			278	RC		outpatient			3931.25	3931.25	3931.25				fee schedule		3931.25				other	OPPS APC	2240.81				percent of total billed charges		3931.25				other	OPPS APC	3931.25				other	OPPS APC	1926.31				percent of total billed charges		2004.94				percent of total billed charges		3931.25				other	OPPS APC	1926.31	3931.25	
2.7MM XXL VOLAR DR PLATE NARROW LE 11HOL	SUP-97-05140	CDM			278	RC		inpatient			3931.25	3931.25																																																			
NAIL TIBIA 9MM CANN EX 330 MM	SUP-97-00571	CDM			278	RC		outpatient			3930.53	393.53	3930.53				fee schedule		3930.53				other	OPPS APC	2240.4				percent of total billed charges		3930.53				other	OPPS APC	3930.53				other	OPPS APC	1925.96				percent of total billed charges		2004.57				percent of total billed charges		393.53				other	OPPS APC	393.53	3930.53	
NAIL TIBIA 9MM CANN EX 330 MM	SUP-97-00571	CDM			278	RC		inpatient			3930.53	3930.53																																																			
NAIL TIBIA 8MM CANN EX 360 MM	SUP-97-01071	CDM			278	RC		outpatient			3930.53	393.53	3930.53				fee schedule		3930.53				other	OPPS APC	2240.4				percent of total billed charges		3930.53				other	OPPS APC	3930.53				other	OPPS APC	1925.96				percent of total billed charges		2004.57				percent of total billed charges		393.53				other	OPPS APC	393.53	3930.53	
NAIL TIBIA 8MM CANN EX 360 MM	SUP-97-01071	CDM			278	RC		inpatient			3930.53	3930.53																																																			
NAIL TIBIA 8MM CANN EX 330 MM	SUP-97-04295	CDM			278	RC		outpatient			3930.53	393.53	3930.53				fee schedule		3930.53				other	OPPS APC	2240.4				percent of total billed charges		3930.53				other	OPPS APC	3930.53				other	OPPS APC	1925.96				percent of total billed charges		2004.57				percent of total billed charges		393.53				other	OPPS APC	393.53	3930.53	
NAIL TIBIA 8MM CANN EX 330 MM	SUP-97-04295	CDM			278	RC		inpatient			3930.53	3930.53																																																			
CER BIOLOXD OPTION HD 36MM	SUP-97-04792	CDM			278	RC		outpatient			3928.75	3928.75	3928.75				fee schedule		3928.75				other	OPPS APC	2239.39				percent of total billed charges		3928.75				other	OPPS APC	3928.75				other	OPPS APC	1925.09				percent of total billed charges		2003.66				percent of total billed charges		3928.75				other	OPPS APC	1925.09	3928.75	
CER BIOLOXD OPTION HD 36MM	SUP-97-04792	CDM			278	RC		inpatient			3928.75	3928.75																																																			
INSERT TIBIAL AUGMENT TRABECULAR METAL 100 SIZE 6	SUP-00-5448-006-27	CDM	270010025	LOCAL	270	RC		outpatient			3928	3928	1064.1				percent of total billed charges		3928				other	OPPS APC	2906.72				percent of total billed charges		3928				other	OPPS APC	3928				other	OPPS APC	1064.1				percent of total billed charges		1085.31				percent of total billed charges		3928				other	OPPS APC	1064.1	3928	
INSERT TIBIAL AUGMENT TRABECULAR METAL 100 SIZE 6	SUP-00-5448-006-27	CDM	270010025	LOCAL	270	RC		inpatient			3928	3928																																																			
BLOCK AUGMENTATION NEXGEN TRABECULAR METAL D H5 MM FEMORAL POSTERIOR	SUP-00-5490-034-01	CDM	270010025	LOCAL	270	RC		outpatient			3928	3928	1064.1				percent of total billed charges		3928				other	OPPS APC	2906.72				percent of total billed charges		3928				other	OPPS APC	3928				other	OPPS APC	1064.1				percent of total billed charges		1085.31				percent of total billed charges		3928				other	OPPS APC	1064.1	3928	
BLOCK AUGMENTATION NEXGEN TRABECULAR METAL D H5 MM FEMORAL POSTERIOR	SUP-00-5490-034-01	CDM	270010025	LOCAL	270	RC		inpatient			3928	3928																																																			
AUGMENT NEXGEN POSTERIOR SIZE F 5MM	SUP-00-5490-036-01	CDM	270010025	LOCAL	270	RC		outpatient			3928	3928	1064.1				percent of total billed charges		3928				other	OPPS APC	2906.72				percent of total billed charges		3928				other	OPPS APC	3928				other	OPPS APC	1064.1				percent of total billed charges		1085.31				percent of total billed charges		3928				other	OPPS APC	1064.1	3928	
AUGMENT NEXGEN POSTERIOR SIZE F 5MM	SUP-00-5490-036-01	CDM	270010025	LOCAL	270	RC		inpatient			3928	3928																																																			
AUGMENT NEXGEN DISTAL SIZE F 5MM	SUP-00-5490-036-10	CDM	270010025	LOCAL	270	RC		outpatient			3928	3928	1064.1				percent of total billed charges		3928				other	OPPS APC	2906.72				percent of total billed charges		3928				other	OPPS APC	3928				other	OPPS APC	1064.1				percent of total billed charges		1085.31				percent of total billed charges		3928				other	OPPS APC	1064.1	3928	
AUGMENT NEXGEN DISTAL SIZE F 5MM	SUP-00-5490-036-10	CDM	270010025	LOCAL	270	RC		inpatient			3928	3928																																																			
AUGMENT NEXGEN DISTAL SIZE 10MM	SUP-00-5490-036-20	CDM	270010025	LOCAL	270	RC		outpatient			3928	3928	1064.1				percent of total billed charges		3928				other	OPPS APC	2906.72				percent of total billed charges		3928				other	OPPS APC	3928				other	OPPS APC	1064.1				percent of total billed charges		1085.31				percent of total billed charges		3928				other	OPPS APC	1064.1	3928	
AUGMENT NEXGEN DISTAL SIZE 10MM	SUP-00-5490-036-20	CDM	270010025	LOCAL	270	RC		inpatient			3928	3928																																																			
HUMAN PROTHROMBIN COMPLEX (PCC) 500 UNIT (400-620 UNIT) RECON SOLN	636000000	CDM	63833-386-02	NDC	J7168	HCPCS		inpatient			3925	3925																																																			
HUMAN PROTHROMBIN COMPLEX (PCC) 500 UNIT (400-620 UNIT) RECON SOLN	636000000	CDM	63833-396-01	NDC	J7168	HCPCS		inpatient			3925	3925																																																			
HUMAN PROTHROMBIN COMPLEX (PCC) 500 UNIT (400-620 UNIT) RECON SOLN	636000000	CDM	63833-386-02	NDC	J7168	HCPCS		outpatient			3925	2.42																																											2.42				other	OPPS APC	2.42	2.42	
HUMAN PROTHROMBIN COMPLEX (PCC) 500 UNIT (400-620 UNIT) RECON SOLN	636000000	CDM	63833-396-01	NDC	J7168	HCPCS		outpatient			3925	2.42																																											2.42				other	OPPS APC	2.42	2.42	
PLATE BONE MATRIXNEURO TITANIUM L100 MM X W100 MM X H.4 MM CRANIOMAXILLOFACIAL CONTOURABLE MESH MALLEABLE NONSTERILE SILVER	SUP-04.503.083	CDM	270010013	LOCAL	270	RC		outpatient			3920.7	392.7	1062.12				percent of total billed charges		3920.7				other	OPPS APC	2901.32				percent of total billed charges		3920.7				other	OPPS APC	3920.7				other	OPPS APC	1062.12				percent of total billed charges		1083.29				percent of total billed charges		392.7				other	OPPS APC	392.7	3920.7	
PLATE BONE MATRIXNEURO TITANIUM L100 MM X W100 MM X H.4 MM CRANIOMAXILLOFACIAL CONTOURABLE MESH MALLEABLE NONSTERILE SILVER	SUP-04.503.083	CDM	270010013	LOCAL	270	RC		inpatient			3920.7	3920.7																																																			
PLATE BONE MATRIXNEURO TITANIUM L100 MM X W100 MM X H.4 MM CRANIAL CONTOURABLE MESH RIGID NONSTERILE BLUE	SUP-04.503.084	CDM	270010013	LOCAL	270	RC		outpatient			3920.7	392.7	1062.12				percent of total billed charges		3920.7				other	OPPS APC	2901.32				percent of total billed charges		3920.7				other	OPPS APC	3920.7				other	OPPS APC	1062.12				percent of total billed charges		1083.29				percent of total billed charges		392.7				other	OPPS APC	392.7	3920.7	
PLATE BONE MATRIXNEURO TITANIUM L100 MM X W100 MM X H.4 MM CRANIAL CONTOURABLE MESH RIGID NONSTERILE BLUE	SUP-04.503.084	CDM	270010013	LOCAL	270	RC		inpatient			3920.7	3920.7																																																			
3.5MM LCP CLAVICLE PLATE 6/HLEFT 85MM	SUP-97-03440	CDM			278	RC		outpatient			3920	392	3920				fee schedule		3920				other	OPPS APC	2234.4				percent of total billed charges		3920				other	OPPS APC	3920				other	OPPS APC	1920.8				percent of total billed charges		1999.2				percent of total billed charges		392				other	OPPS APC	392	3920	
3.5MM LCP CLAVICLE PLATE 6/HLEFT 85MM	SUP-97-03440	CDM			278	RC		inpatient			3920	3920																																																			
ATTUNE CR RP INSRT SZ 6 5MM	SUP-97-04993	CDM			278	RC		outpatient			3920	392	3920				fee schedule		3920				other	OPPS APC	2234.4				percent of total billed charges		3920				other	OPPS APC	3920				other	OPPS APC	1920.8				percent of total billed charges		1999.2				percent of total billed charges		392				other	OPPS APC	392	3920	
ATTUNE CR RP INSRT SZ 6 5MM	SUP-97-04993	CDM			278	RC		inpatient			3920	3920																																																			
STEM EXTENSION OFFSET 14MM - NEXGEN	SUP-97-02721	CDM			278	RC		outpatient			3918.75	3918.75	3918.75				fee schedule		3918.75				other	OPPS APC	2233.69				percent of total billed charges		3918.75				other	OPPS APC	3918.75				other	OPPS APC	1920.19				percent of total billed charges		1998.56				percent of total billed charges		3918.75				other	OPPS APC	1920.19	3918.75	
STEM EXTENSION OFFSET 14MM - NEXGEN	SUP-97-02721	CDM			278	RC		inpatient			3918.75	3918.75																																																			
POLYETHYLENE INSERT	SUP-97-01201	CDM			278	RC		outpatient			3916	3916	3916				fee schedule		3916				other	OPPS APC	2232.12				percent of total billed charges		3916				other	OPPS APC	3916				other	OPPS APC	1918.84				percent of total billed charges		1997.16				percent of total billed charges		3916				other	OPPS APC	1918.84	3916	
POLYETHYLENE INSERT	SUP-97-01201	CDM			278	RC		inpatient			3916	3916																																																			
PLATE BONE STAINLESS STEEL L251 MM TIBIA LEFT DISTAL MEDIAL 18 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.519	CDM	270010022	LOCAL	270	RC		outpatient			3915.9	3915.91	1060.82				percent of total billed charges		3915.9				other	OPPS APC	2897.77				percent of total billed charges		3915.9				other	OPPS APC	3915.9				other	OPPS APC	1060.82				percent of total billed charges		1081.96				percent of total billed charges		3915.91				other	OPPS APC	1060.82	3915.91	
PLATE BONE STAINLESS STEEL L251 MM TIBIA LEFT DISTAL MEDIAL 18 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.519	CDM	270010022	LOCAL	270	RC		inpatient			3915.9	3915.9																																																			
HEAD FEMORAL QUADRA-R MECTACER BIOLOX OPTION BALL OD36 MM HIP CERAMIC STERILE	SUP-01.29.232H	CDM	270010024	LOCAL	270	RC		outpatient			3912	3912	1059.76				percent of total billed charges		3912				other	OPPS APC	2894.88				percent of total billed charges		3912				other	OPPS APC	3912				other	OPPS APC	1059.76				percent of total billed charges		1080.89				percent of total billed charges		3912				other	OPPS APC	1059.76	3912	
HEAD FEMORAL QUADRA-R MECTACER BIOLOX OPTION BALL OD36 MM HIP CERAMIC STERILE	SUP-01.29.232H	CDM	270010024	LOCAL	270	RC		inpatient			3912	3912																																																			
CATHETER BALLOON OCCLUSION SCEPTER XC HYDROPHILIC L5 MM L150 CM L11 MM OD2.1-2.8 FR ODSEC4 MM 3 TIP MARKER EXTRA COMPLIANT FLEXIBLE COAXIAL LUMEN SOFT STERILE LATEX FREE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-BC0411XC	CDM			270	RC		outpatient			3910	391	1059.22				percent of total billed charges		3910				other	OPPS APC	2893.4				percent of total billed charges		3910				other	OPPS APC	3910				other	OPPS APC	1059.22				percent of total billed charges		1080.33				percent of total billed charges		391				other	OPPS APC	391	3910	
CATHETER BALLOON OCCLUSION SCEPTER XC HYDROPHILIC L5 MM L150 CM L11 MM OD2.1-2.8 FR ODSEC4 MM 3 TIP MARKER EXTRA COMPLIANT FLEXIBLE COAXIAL LUMEN SOFT STERILE LATEX FREE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-BC0411XC	CDM			270	RC		inpatient			3910	3910																																																			
CATHETER SUPPORT NAVIEN NITINOL STRAIGHT L115 CM L8 CM OD5 FR ID.058 IN INTRACRANIAL	SUP-RFX058-115-08	CDM			270	RC		outpatient			3910	391	1059.22				percent of total billed charges		3910				other	OPPS APC	2893.4				percent of total billed charges		3910				other	OPPS APC	3910				other	OPPS APC	1059.22				percent of total billed charges		1080.33				percent of total billed charges		391				other	OPPS APC	391	3910	
CATHETER SUPPORT NAVIEN NITINOL STRAIGHT L115 CM L8 CM OD5 FR ID.058 IN INTRACRANIAL	SUP-RFX058-115-08	CDM			270	RC		inpatient			3910	3910																																																			
SEPARATOR THROMBECTOMY INDIGO 8	SUP-SEP8	CDM			270	RC		outpatient			3910	391	1059.22				percent of total billed charges		3910				other	OPPS APC	2893.4				percent of total billed charges		3910				other	OPPS APC	3910				other	OPPS APC	1059.22				percent of total billed charges		1080.33				percent of total billed charges		391				other	OPPS APC	391	3910	
SEPARATOR THROMBECTOMY INDIGO 8	SUP-SEP8	CDM			270	RC		inpatient			3910	3910																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-72	NDC	J1561	HCPCS		inpatient			3903.5	3903.5																																																			
IMMUNE GLOBUL G-GLY-IGA AVG 46 40 GRAM/400 ML (10 %) SOLUTION	636000000	CDM	13533-800-72	NDC	J1561	HCPCS		outpatient			3903.5	52.76																																											52.76				other	OPPS APC	52.76	52.76	
CER BIOLOXD OPTION HD 32MM	SUP-97-04866	CDM			278	RC		outpatient			3902.5	392.5	3902.5				fee schedule		3902.5				other	OPPS APC	2224.43				percent of total billed charges		3902.5				other	OPPS APC	3902.5				other	OPPS APC	1912.23				percent of total billed charges		1990.28				percent of total billed charges		392.5				other	OPPS APC	392.5	3902.5	
CER BIOLOXD OPTION HD 32MM	SUP-97-04866	CDM			278	RC		inpatient			3902.5	3902.5																																																			
NAIL CANNULATED TFNA 10MM/130 DEG 235MM LEFT	SUP-04.037.045S	CDM	270010022	LOCAL	270	RC		outpatient			3902.4	392.41	1057.16				percent of total billed charges		3902.4				other	OPPS APC	2887.78				percent of total billed charges		3902.4				other	OPPS APC	3902.4				other	OPPS APC	1057.16				percent of total billed charges		1078.23				percent of total billed charges		392.41				other	OPPS APC	392.41	3902.4	
NAIL CANNULATED TFNA 10MM/130 DEG 235MM LEFT	SUP-04.037.045S	CDM	270010022	LOCAL	270	RC		inpatient			3902.4	3902.4																																																			
NAIL CANNULATED TFNA 11MM/130 DEG 235MM RIGHT	SUP-04.037.144S	CDM	270010022	LOCAL	270	RC		outpatient			3902.4	392.41	1057.16				percent of total billed charges		3902.4				other	OPPS APC	2887.78				percent of total billed charges		3902.4				other	OPPS APC	3902.4				other	OPPS APC	1057.16				percent of total billed charges		1078.23				percent of total billed charges		392.41				other	OPPS APC	392.41	3902.4	
NAIL CANNULATED TFNA 11MM/130 DEG 235MM RIGHT	SUP-04.037.144S	CDM	270010022	LOCAL	270	RC		inpatient			3902.4	3902.4																																																			
NAIL CANNULATED TFNA 11MM/130 DEG 235MM LEFT	SUP-04.037.145S	CDM	270010022	LOCAL	270	RC		outpatient			3902.4	392.41	1057.16				percent of total billed charges		3902.4				other	OPPS APC	2887.78				percent of total billed charges		3902.4				other	OPPS APC	3902.4				other	OPPS APC	1057.16				percent of total billed charges		1078.23				percent of total billed charges		392.41				other	OPPS APC	392.41	3902.4	
NAIL CANNULATED TFNA 11MM/130 DEG 235MM LEFT	SUP-04.037.145S	CDM	270010022	LOCAL	270	RC		inpatient			3902.4	3902.4																																																			
NAIL CANNULATED TFNA 12MM/130 DEG 235MM RIGHT	SUP-04.037.244S	CDM	270010022	LOCAL	270	RC		outpatient			3902.4	392.41	1057.16				percent of total billed charges		3902.4				other	OPPS APC	2887.78				percent of total billed charges		3902.4				other	OPPS APC	3902.4				other	OPPS APC	1057.16				percent of total billed charges		1078.23				percent of total billed charges		392.41				other	OPPS APC	392.41	3902.4	
NAIL CANNULATED TFNA 12MM/130 DEG 235MM RIGHT	SUP-04.037.244S	CDM	270010022	LOCAL	270	RC		inpatient			3902.4	3902.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT TI L235 MM 9 MM 130 DEG FEMORAL LEFT STERILE	SUP-04.037.945S	CDM	270010025	LOCAL	270	RC		outpatient			3902.4	392.41	1057.16				percent of total billed charges		3902.4				other	OPPS APC	2887.78				percent of total billed charges		3902.4				other	OPPS APC	3902.4				other	OPPS APC	1057.16				percent of total billed charges		1078.23				percent of total billed charges		392.41				other	OPPS APC	392.41	3902.4	
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT TI L235 MM 9 MM 130 DEG FEMORAL LEFT STERILE	SUP-04.037.945S	CDM	270010025	LOCAL	270	RC		inpatient			3902.4	3902.4																																																			
CATHETER MAPPING  ADVISOR HD GRID SENSOR ENABLED BI-D	SUP-D-AVHD-DF16	CDM			270	RC		outpatient			3900	39	1056.51				percent of total billed charges		3900				other	OPPS APC	2886				percent of total billed charges		3900				other	OPPS APC	3900				other	OPPS APC	1056.51				percent of total billed charges		1077.57				percent of total billed charges		39				other	OPPS APC	39	3900	
CATHETER MAPPING  ADVISOR HD GRID SENSOR ENABLED BI-D	SUP-D-AVHD-DF16	CDM			270	RC		inpatient			3900	3900																																																			
BMS  TRYTON 2.5-3.0 X19 MM	SUP-T52530191US_52189	CDM			481	RC		outpatient			3900	39	1911				percent of total billed charges		3900				other	OPPS APC	2886				percent of total billed charges		3900				other	OPPS APC	3900				other	OPPS APC	1911				percent of total billed charges		1989				percent of total billed charges		39				other	OPPS APC	39	3900	
BMS  TRYTON 2.5-3.0 X19 MM	SUP-T52530191US_52189	CDM			481	RC		inpatient			3900	3900																																																			
STENT CORONARY TRYTON 2.5/3.5 RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 5FR GUIDE CATHETER 19	SUP-T52535191US_52190	CDM			481	RC		outpatient			3900	39	1911				percent of total billed charges		3900				other	OPPS APC	2886				percent of total billed charges		3900				other	OPPS APC	3900				other	OPPS APC	1911				percent of total billed charges		1989				percent of total billed charges		39				other	OPPS APC	39	3900	
STENT CORONARY TRYTON 2.5/3.5 RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 5FR GUIDE CATHETER 19	SUP-T52535191US_52190	CDM			481	RC		inpatient			3900	3900																																																			
STENT CORONARY TRYTON 30/35 RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 5FR GUIDE CATHETER 15	SUP-T53035151US_52191	CDM			481	RC		outpatient			3900	39	1911				percent of total billed charges		3900				other	OPPS APC	2886				percent of total billed charges		3900				other	OPPS APC	3900				other	OPPS APC	1911				percent of total billed charges		1989				percent of total billed charges		39				other	OPPS APC	39	3900	
STENT CORONARY TRYTON 30/35 RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 5FR GUIDE CATHETER 15	SUP-T53035151US_52191	CDM			481	RC		inpatient			3900	3900																																																			
KIT STIMULATOR PROXIMATE GENITOURINARY HANDSET NONSTERILE LATEX FREE REUSABLE	SUP-TH90G01	CDM			270	RC		outpatient			3900	39	1056.51				percent of total billed charges		3900				other	OPPS APC	2886				percent of total billed charges		3900				other	OPPS APC	3900				other	OPPS APC	1056.51				percent of total billed charges		1077.57				percent of total billed charges		39				other	OPPS APC	39	3900	
KIT STIMULATOR PROXIMATE GENITOURINARY HANDSET NONSTERILE LATEX FREE REUSABLE	SUP-TH90G01	CDM			270	RC		inpatient			3900	3900																																																			
KIT NEUROSTIMULATOR COMMUNICATOR HANDSET NONSTERILE LATEX FREE REUSABLE	SUP-TH90P01	CDM			270	RC		outpatient			3900	39	1056.51				percent of total billed charges		3900				other	OPPS APC	2886				percent of total billed charges		3900				other	OPPS APC	3900				other	OPPS APC	1056.51				percent of total billed charges		1077.57				percent of total billed charges		39				other	OPPS APC	39	3900	
KIT NEUROSTIMULATOR COMMUNICATOR HANDSET NONSTERILE LATEX FREE REUSABLE	SUP-TH90P01	CDM			270	RC		inpatient			3900	3900																																																			
MESH DYNAMIC TITANIUM LOW PROFILE L120 MM X W120 MM X H.3 MM CRANIOMAXILLOFACIAL MALLEABLE BLUE	SUP-5400345	CDM			270	RC		outpatient			3896.4	3896.41	1055.53				percent of total billed charges		3896.4				other	OPPS APC	2883.34				percent of total billed charges		3896.4				other	OPPS APC	3896.4				other	OPPS APC	1055.53				percent of total billed charges		1076.58				percent of total billed charges		3896.41				other	OPPS APC	1055.53	3896.41	
MESH DYNAMIC TITANIUM LOW PROFILE L120 MM X W120 MM X H.3 MM CRANIOMAXILLOFACIAL MALLEABLE BLUE	SUP-5400345	CDM			270	RC		inpatient			3896.4	3896.4																																																			
MESH CRANIAL 120X120X.6MM CRANIOMAXILLOFACIAL DYNAMIC 1/1.2MM SCREWS	SUP-5400643	CDM			270	RC		outpatient			3896.4	3896.41	1055.53				percent of total billed charges		3896.4				other	OPPS APC	2883.34				percent of total billed charges		3896.4				other	OPPS APC	3896.4				other	OPPS APC	1055.53				percent of total billed charges		1076.58				percent of total billed charges		3896.41				other	OPPS APC	1055.53	3896.41	
MESH CRANIAL 120X120X.6MM CRANIOMAXILLOFACIAL DYNAMIC 1/1.2MM SCREWS	SUP-5400643	CDM			270	RC		inpatient			3896.4	3896.4																																																			
MESH DYNAMIC TITANIUM STANDARD L120 MM X W120 MM X H.6 MM CRANIOMAXILLOFACIAL GOLD	SUP-5400645	CDM			270	RC		outpatient			3896.4	3896.41	1055.53				percent of total billed charges		3896.4				other	OPPS APC	2883.34				percent of total billed charges		3896.4				other	OPPS APC	3896.4				other	OPPS APC	1055.53				percent of total billed charges		1076.58				percent of total billed charges		3896.41				other	OPPS APC	1055.53	3896.41	
MESH DYNAMIC TITANIUM STANDARD L120 MM X W120 MM X H.6 MM CRANIOMAXILLOFACIAL GOLD	SUP-5400645	CDM			270	RC		inpatient			3896.4	3896.4																																																			
PLATE BONE STRAIGHT TITANIUM NS STERNAL 20 HOLE LOCK 2.4MM SCREW	SUP-460.023	CDM			270	RC		outpatient			3895.76	3895.76	1055.36				percent of total billed charges		3895.76				other	OPPS APC	2882.86				percent of total billed charges		3895.76				other	OPPS APC	3895.76				other	OPPS APC	1055.36				percent of total billed charges		1076.4				percent of total billed charges		3895.76				other	OPPS APC	1055.36	3895.76	
PLATE BONE STRAIGHT TITANIUM NS STERNAL 20 HOLE LOCK 2.4MM SCREW	SUP-460.023	CDM			270	RC		inpatient			3895.76	3895.76																																																			
GRAFT BONE ARTHROCELL PLUS 2.5CC	SUP-97-06215	CDM			278	RC		outpatient			3895	3895	3895				fee schedule		3895				other	OPPS APC	2220.15				percent of total billed charges		3895				other	OPPS APC	3895				other	OPPS APC	1908.55				percent of total billed charges		1986.45				percent of total billed charges		3895				other	OPPS APC	1908.55	3895	
GRAFT BONE ARTHROCELL PLUS 2.5CC	SUP-97-06215	CDM			278	RC		inpatient			3895	3895																																																			
CATHETER ELECTROPHYSIOLOGY LASSO 2515 NAVISTAR 2-6-2 MM SPACE D CURVE L115 CM OD7 FR 22 ELECTRODE VARIABLE	SUP-D134301	CDM			270	RC		outpatient			3894	3894	1054.88				percent of total billed charges		3894				other	OPPS APC	2881.56				percent of total billed charges		3894				other	OPPS APC	3894				other	OPPS APC	1054.88				percent of total billed charges		1075.91				percent of total billed charges		3894				other	OPPS APC	1054.88	3894	
CATHETER ELECTROPHYSIOLOGY LASSO 2515 NAVISTAR 2-6-2 MM SPACE D CURVE L115 CM OD7 FR 22 ELECTRODE VARIABLE	SUP-D134301	CDM			270	RC		inpatient			3894	3894																																																			
MEDIAL PLATE	SUP-97-04166	CDM			278	RC		outpatient			3890.6	389.6	3890.6				fee schedule		3890.6				other	OPPS APC	2217.64				percent of total billed charges		3890.6				other	OPPS APC	3890.6				other	OPPS APC	1906.39				percent of total billed charges		1984.21				percent of total billed charges		389.6				other	OPPS APC	389.6	3890.6	
MEDIAL PLATE	SUP-97-04166	CDM			278	RC		inpatient			3890.6	3890.6																																																			
GRAFT VENTRIO ST HERNIA 19.6 X 24.6	SUP-75-00084	CDM			278	RC		outpatient			3889	3889	3889				fee schedule		3889				other	OPPS APC	2216.73				percent of total billed charges		3889				other	OPPS APC	3889				other	OPPS APC	1905.61				percent of total billed charges		1983.39				percent of total billed charges		3889				other	OPPS APC	1905.61	3889	
GRAFT VENTRIO ST HERNIA 19.6 X 24.6	SUP-75-00084	CDM			278	RC		inpatient			3889	3889																																																			
NAIL SYNTHES TFNA 9MM 130DEG 320MM LEFT	SUP-04.037.953S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 320MM LEFT	SUP-04.037.953S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 340MM LEFT	SUP-04.037.955S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 340MM LEFT	SUP-04.037.955S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 360MM RIGHT	SUP-04.037.956S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 360MM RIGHT	SUP-04.037.956S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 360MM LEFT	SUP-04.037.957S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 360MM LEFT	SUP-04.037.957S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 380MM RIGHT	SUP-04.037.958S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 380MM RIGHT	SUP-04.037.958S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 380MM LEFT	SUP-04.037.959S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 380MM LEFT	SUP-04.037.959S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 400MM RIGHT	SUP-04.037.960S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 400MM RIGHT	SUP-04.037.960S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 400MM LEFT	SUP-04.037.961S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 400MM LEFT	SUP-04.037.961S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 420MM RIGHT	SUP-04.037.962S	CDM			270	RC		outpatient			3887.1	3888	1053.02				percent of total billed charges		3887.1				other	OPPS APC	2876.45				percent of total billed charges		3887.1				other	OPPS APC	3887.1				other	OPPS APC	1053.02				percent of total billed charges		1074.01				percent of total billed charges		3888				other	OPPS APC	1053.02	3888	
NAIL SYNTHES TFNA 9MM 130DEG 420MM RIGHT	SUP-04.037.962S	CDM			270	RC		inpatient			3887.1	3887.1																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD32 MM ODSEC7.7 MM ID20 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-32-39	CDM	270010015	LOCAL	270	RC		outpatient			3886	3886	1052.72				percent of total billed charges		3886				other	OPPS APC	2875.64				percent of total billed charges		3886				other	OPPS APC	3886				other	OPPS APC	1052.72				percent of total billed charges		1073.7				percent of total billed charges		3886				other	OPPS APC	1052.72	3886	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD32 MM ODSEC7.7 MM ID20 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-32-39	CDM	270010015	LOCAL	270	RC		inpatient			3886	3886																																																			
GRAFT ENDOVASCULAR RENU H&L-B ONE-SHOT ZENITH STAINLESS STEELL POLYESTER WOVEN 2 BRANCH L50 MM OD36 MM ODSEC7.7 MM ID20 FR ANCILLARY CONVERTER LIGHTWEIGHT AAA	SUP-ESBE-36-50	CDM	270010015	LOCAL	270	RC		outpatient			3886	3886	1052.72				percent of total billed charges		3886				other	OPPS APC	2875.64				percent of total billed charges		3886				other	OPPS APC	3886				other	OPPS APC	1052.72				percent of total billed charges		1073.7				percent of total billed charges		3886				other	OPPS APC	1052.72	3886	
GRAFT ENDOVASCULAR RENU H&L-B ONE-SHOT ZENITH STAINLESS STEELL POLYESTER WOVEN 2 BRANCH L50 MM OD36 MM ODSEC7.7 MM ID20 FR ANCILLARY CONVERTER LIGHTWEIGHT AAA	SUP-ESBE-36-50	CDM	270010015	LOCAL	270	RC		inpatient			3886	3886																																																			
GUIDEWIRE - FILTERWIRE SPIDER 3MM	SUP-99-00840	CDM			272	RC		outpatient			3880.8	388.82	1051.31				percent of total billed charges		3880.8				other	OPPS APC	2871.79				percent of total billed charges		3880.8				other	OPPS APC	3880.8				other	OPPS APC	1051.31				percent of total billed charges		1072.27				percent of total billed charges		388.82				other	OPPS APC	388.82	3880.8	
GUIDEWIRE - FILTERWIRE SPIDER 3MM	SUP-99-00840	CDM			272	RC		inpatient			3880.8	3880.8																																																			
36MM X 12MM	SUP-97-05026	CDM			278	RC		outpatient			3880	388	3880				fee schedule		3880				other	OPPS APC	2211.6				percent of total billed charges		3880				other	OPPS APC	3880				other	OPPS APC	1901.2				percent of total billed charges		1978.8				percent of total billed charges		388				other	OPPS APC	388	3880	
36MM X 12MM	SUP-97-05026	CDM			278	RC		inpatient			3880	3880																																																			
SHOULDER INSERT 36 X 9MM	SUP-97-06131	CDM			278	RC		outpatient			3880	388	3880				fee schedule		3880				other	OPPS APC	2211.6				percent of total billed charges		3880				other	OPPS APC	3880				other	OPPS APC	1901.2				percent of total billed charges		1978.8				percent of total billed charges		388				other	OPPS APC	388	3880	
SHOULDER INSERT 36 X 9MM	SUP-97-06131	CDM			278	RC		inpatient			3880	3880																																																			
TISSUE EXPANDERS 400CC	SUP-97-00594	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
TISSUE EXPANDERS 400CC	SUP-97-00594	CDM			278	RC		inpatient			3875	3875																																																			
TISSUE EXPANDERS 500CC	SUP-97-00966	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
TISSUE EXPANDERS 500CC	SUP-97-00966	CDM			278	RC		inpatient			3875	3875																																																			
TISSUE EXPANDERS 600CC	SUP-97-01303	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
TISSUE EXPANDERS 600CC	SUP-97-01303	CDM			278	RC		inpatient			3875	3875																																																			
TISSUE EXPANDERS 700CC	SUP-97-02553	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
TISSUE EXPANDERS 700CC	SUP-97-02553	CDM			278	RC		inpatient			3875	3875																																																			
GRAFT TISSUE EXPANDER 430CC (133FX- 12-T	SUP-97-02864	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
GRAFT TISSUE EXPANDER 430CC (133FX- 12-T	SUP-97-02864	CDM			278	RC		inpatient			3875	3875																																																			
ALLOSYNC EVANS WEDGE 18MMX18MMX8MM	SUP-97-03601	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
ALLOSYNC EVANS WEDGE 18MMX18MMX8MM	SUP-97-03601	CDM			278	RC		inpatient			3875	3875																																																			
ALLOSYNC EVANS WEDGE 18MM X 18MM X10MM	SUP-97-23750	CDM			278	RC		outpatient			3875	3875	3875				fee schedule		3875				other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	1898.75	3875	
ALLOSYNC EVANS WEDGE 18MM X 18MM X10MM	SUP-97-23750	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 5.5X80	SUP-99-02000	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 5.5X80	SUP-99-02000	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 4.5X120	SUP-99-02028	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 4.5X120	SUP-99-02028	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 5.5X120	SUP-99-02029	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 5.5X120	SUP-99-02029	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 6.5X150	SUP-99-02031	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.5X150	SUP-99-02031	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
BALLOON - LUTONIX 035   5X100	SUP-99-02102	CDM			272	RC		outpatient			3875	3875	1049.74				percent of total billed charges		3875				other	OPPS APC	2867.5				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1049.74				percent of total billed charges		1070.66				percent of total billed charges		3875				other	OPPS APC	1049.74	3875	
BALLOON - LUTONIX 035   5X100	SUP-99-02102	CDM			272	RC		inpatient			3875	3875																																																			
BALLOON - LUTONIX 035   6X80	SUP-99-02103	CDM			272	RC		outpatient			3875	3875	1049.74				percent of total billed charges		3875				other	OPPS APC	2867.5				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1049.74				percent of total billed charges		1070.66				percent of total billed charges		3875				other	OPPS APC	1049.74	3875	
BALLOON - LUTONIX 035   6X80	SUP-99-02103	CDM			272	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.5X100	SUP-99-02117	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.5X100	SUP-99-02117	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 5.5X100	SUP-99-02146	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 5.5X100	SUP-99-02146	CDM			278	RC		outpatient			3875	3875	3875				fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges		3875				other	OPPS APC	3875	3875	
STENT - SUPERA 4.5X80	SUP-99-02172	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 4.5X80	SUP-99-02172	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 4.5X60	SUP-99-02187	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 4.5X60	SUP-99-02187	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges		3875				other	OPPS APC	3875				other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	3875	3875	
STENT - SUPERA 4.5X100	SUP-99-02200	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 4.5X100	SUP-99-02200	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 4.5X40	SUP-99-02202	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 4.5X40	SUP-99-02202	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 6.5X60	SUP-99-02264	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.5X60	SUP-99-02264	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 6.5X30	SUP-99-02275	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.5X30	SUP-99-02275	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 6.5X80	SUP-99-03620	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.5X80	SUP-99-03620	CDM			278	RC		outpatient			3875	3875	3875				fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	3875	3875	
STENT - SUPERA 6.0X100	SUP-99-03737	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 6.0X100	SUP-99-03737	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 5.5X30	SUP-99-03989	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 5.5X30	SUP-99-03989	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
STENT - SUPERA 5.5X40	SUP-99-03990	CDM			278	RC		inpatient			3875	3875																																																			
STENT - SUPERA 5.5X40	SUP-99-03990	CDM			278	RC		outpatient			3875	3875					fee schedule						other	OPPS APC	2208.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1898.75				percent of total billed charges		1976.25				percent of total billed charges						other	OPPS APC	2208.75	2208.75	
FEMORAL POSTERIOR AUGMENT SIZE 4 5MM	SUP-97-02243	CDM			278	RC		outpatient			3870	387	3870				fee schedule		3870				other	OPPS APC	2205.9				percent of total billed charges		3870				other	OPPS APC	3870				other	OPPS APC	1896.3				percent of total billed charges		1973.7				percent of total billed charges		387				other	OPPS APC	387	3870	
FEMORAL POSTERIOR AUGMENT SIZE 4 5MM	SUP-97-02243	CDM			278	RC		inpatient			3870	3870																																																			
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L34 CM X W24 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP08	CDM			270	RC		outpatient			3868	3868	1047.84				percent of total billed charges		3868				other	OPPS APC	2862.32				percent of total billed charges		3868				other	OPPS APC	3868				other	OPPS APC	1047.84				percent of total billed charges		1068.73				percent of total billed charges		3868				other	OPPS APC	1047.84	3868	
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L34 CM X W24 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP08	CDM			270	RC		inpatient			3868	3868																																																			
PROLAYER XENOGRAFT 4CM X 7CM	SUP-97-05436	CDM			636	RC		inpatient			3863.63	3863.63																																																			
PROLAYER XENOGRAFT 4CM X 7CM	SUP-97-05436	CDM			636	RC		outpatient			3863.63	3863.63					fee schedule						other	OPPS APC	2859.09				percent of total billed charges						other	OPPS APC					other	OPPS APC	1893.18				percent of total billed charges		960.5				percent of total billed charges						other	OPPS APC	2859.09	2859.09	
GRAFT PROLAYER 4 X 4 THIN	SUP-97-05992	CDM			636	RC		inpatient			3863.63	3863.63																																																			
GRAFT PROLAYER 4 X 4 THIN	SUP-97-05992	CDM			636	RC		outpatient			3863.63	3863.63					fee schedule						other	OPPS APC	2859.09				percent of total billed charges						other	OPPS APC					other	OPPS APC	1893.18				percent of total billed charges		960.5				percent of total billed charges						other	OPPS APC	2859.09	2859.09	
GRAFT PROLAYER 4 X 4 THICK	SUP-97-05993	CDM			636	RC		inpatient			3863.63	3863.63																																																			
GRAFT PROLAYER 4 X 4 THICK	SUP-97-05993	CDM			636	RC		outpatient			3863.63	3863.63					fee schedule						other	OPPS APC	2859.09				percent of total billed charges						other	OPPS APC					other	OPPS APC	1893.18				percent of total billed charges		960.5				percent of total billed charges						other	OPPS APC	2859.09	2859.09	
PLATE BONE LCP STAINLESS STEEL CURVE L458 MM X W17.5 MM X H5.2 MM CONDYLAR RIGHT PERIARTICULAR 22 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.332S	CDM	270010022	LOCAL	270	RC		outpatient			3859.9	3859.91	1045.65				percent of total billed charges		3859.9				other	OPPS APC	2856.33				percent of total billed charges		3859.9				other	OPPS APC	3859.9				other	OPPS APC	1045.65				percent of total billed charges		1066.49				percent of total billed charges		3859.91				other	OPPS APC	1045.65	3859.91	
PLATE BONE LCP STAINLESS STEEL CURVE L458 MM X W17.5 MM X H5.2 MM CONDYLAR RIGHT PERIARTICULAR 22 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.332S	CDM	270010022	LOCAL	270	RC		inpatient			3859.9	3859.9																																																			
INSERT CC 2X9 MM	SUP-97-01117	CDM			278	RC		outpatient			3859.88	3859.88	3859.88				fee schedule		3859.88				other	OPPS APC	2200.13				percent of total billed charges		3859.88				other	OPPS APC	3859.88				other	OPPS APC	1891.34				percent of total billed charges		1968.54				percent of total billed charges		3859.88				other	OPPS APC	1891.34	3859.88	
INSERT CC 2X9 MM	SUP-97-01117	CDM			278	RC		inpatient			3859.88	3859.88																																																			
INSERT CC 4X15 MM	SUP-97-01177	CDM			278	RC		outpatient			3859.88	3859.88	3859.88				fee schedule		3859.88				other	OPPS APC	2200.13				percent of total billed charges		3859.88				other	OPPS APC	3859.88				other	OPPS APC	1891.34				percent of total billed charges		1968.54				percent of total billed charges		3859.88				other	OPPS APC	1891.34	3859.88	
INSERT CC 4X15 MM	SUP-97-01177	CDM			278	RC		inpatient			3859.88	3859.88																																																			
INSERT CC 3X9 MM	SUP-97-01636	CDM			278	RC		outpatient			3859.88	3859.88	3859.88				fee schedule		3859.88				other	OPPS APC	2200.13				percent of total billed charges		3859.88				other	OPPS APC	3859.88				other	OPPS APC	1891.34				percent of total billed charges		1968.54				percent of total billed charges		3859.88				other	OPPS APC	1891.34	3859.88	
INSERT CC 3X9 MM	SUP-97-01636	CDM			278	RC		inpatient			3859.88	3859.88																																																			
TIBIAL INSERT SCW 3X11MM	SUP-97-01926	CDM			278	RC		outpatient			3859.88	3859.88	3859.88				fee schedule		3859.88				other	OPPS APC	2200.13				percent of total billed charges		3859.88				other	OPPS APC	3859.88				other	OPPS APC	1891.34				percent of total billed charges		1968.54				percent of total billed charges		3859.88				other	OPPS APC	1891.34	3859.88	
TIBIAL INSERT SCW 3X11MM	SUP-97-01926	CDM			278	RC		inpatient			3859.88	3859.88																																																			
PSL INSERT 4X13MM	SUP-97-01543	CDM			278	RC		outpatient			3856.25	3856.25	3856.25				fee schedule		3856.25				other	OPPS APC	2198.06				percent of total billed charges		3856.25				other	OPPS APC	3856.25				other	OPPS APC	1889.56				percent of total billed charges		1966.69				percent of total billed charges		3856.25				other	OPPS APC	1889.56	3856.25	
PSL INSERT 4X13MM	SUP-97-01543	CDM			278	RC		inpatient			3856.25	3856.25																																																			
PLATE BONE PERI-LOC L 342 MM FEMUR LEFT DISTAL LATERAL 16 HOLE LOCK STERILE 4.5MM SCREW	SUP-71820016S	CDM			270	RC		outpatient			3855.66	3855.66	1044.5				percent of total billed charges		3855.66				other	OPPS APC	2853.19				percent of total billed charges		3855.66				other	OPPS APC	3855.66				other	OPPS APC	1044.5				percent of total billed charges		1065.32				percent of total billed charges		3855.66				other	OPPS APC	1044.5	3855.66	
PLATE BONE PERI-LOC L 342 MM FEMUR LEFT DISTAL LATERAL 16 HOLE LOCK STERILE 4.5MM SCREW	SUP-71820016S	CDM			270	RC		inpatient			3855.66	3855.66																																																			
GRAFT DISTOFLO 7X80	SUP-DFM8007SC	CDM			270	RC		outpatient			3852.14	3852.14	1043.54				percent of total billed charges		3852.14				other	OPPS APC	2850.58				percent of total billed charges		3852.14				other	OPPS APC	3852.14				other	OPPS APC	1043.54				percent of total billed charges		1064.35				percent of total billed charges		3852.14				other	OPPS APC	1043.54	3852.14	
GRAFT DISTOFLO 7X80	SUP-DFM8007SC	CDM			270	RC		inpatient			3852.14	3852.14																																																			
ROTAPRO 1.25MM BURR	SUP-H749394671250	CDM			270	RC		outpatient			3850	385	1042.97				percent of total billed charges		3850				other	OPPS APC	2849				percent of total billed charges		3850				other	OPPS APC	3850				other	OPPS APC	1042.97				percent of total billed charges		1063.76				percent of total billed charges		385				other	OPPS APC	385	3850	
ROTAPRO 1.25MM BURR	SUP-H749394671250	CDM			270	RC		inpatient			3850	3850																																																			
ROTAPRO 1.50MM BURR	SUP-H749394671500	CDM			270	RC		outpatient			3850	385	1042.97				percent of total billed charges		3850				other	OPPS APC	2849				percent of total billed charges		3850				other	OPPS APC	3850				other	OPPS APC	1042.97				percent of total billed charges		1063.76				percent of total billed charges		385				other	OPPS APC	385	3850	
ROTAPRO 1.50MM BURR	SUP-H749394671500	CDM			270	RC		inpatient			3850	3850																																																			
ROTAPRO 1.75MM BURR	SUP-H749394671750	CDM			270	RC		outpatient			3850	385	1042.97				percent of total billed charges		3850				other	OPPS APC	2849				percent of total billed charges		3850				other	OPPS APC	3850				other	OPPS APC	1042.97				percent of total billed charges		1063.76				percent of total billed charges		385				other	OPPS APC	385	3850	
ROTAPRO 1.75MM BURR	SUP-H749394671750	CDM			270	RC		inpatient			3850	3850																																																			
3.5MM VA-LCP PROX TIBIA PLATE BEND	SUP-97-02978	CDM			278	RC		outpatient			3849.75	3849.75	3849.75				fee schedule		3849.75				other	OPPS APC	2194.36				percent of total billed charges		3849.75				other	OPPS APC	3849.75				other	OPPS APC	1886.38				percent of total billed charges		1963.37				percent of total billed charges		3849.75				other	OPPS APC	1886.38	3849.75	
3.5MM VA-LCP PROX TIBIA PLATE BEND	SUP-97-02978	CDM			278	RC		inpatient			3849.75	3849.75																																																			
HC IR Cvad Insertion Tunneled	PX-361365581	CDM	36558	CPT	361	RC		outpatient			3849	3137.51	1215.51				percent of total billed charges		3137.51				other	OPPS APC	3070				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	1215.51				percent of total billed charges		1239.76				percent of total billed charges		3137.51				other	OPPS APC	1215.51	3137.51	
HC IR Cvad Insertion Tunneled	PX-361365581	CDM	36558	CPT	361	RC		inpatient			3849	3849																																																			
HC IR Cvad Replace Tunnel Comp Non Port	PX-361365811	CDM	36581	CPT	361	RC		outpatient			3849	3137.51	1215.51				percent of total billed charges		3137.51				other	OPPS APC	2528				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	1215.51				percent of total billed charges		1239.76				percent of total billed charges		3137.51				other	OPPS APC	1215.51	3137.51	
HC IR Cvad Replace Tunnel Comp Non Port	PX-361365811	CDM	36581	CPT	361	RC		inpatient			3849	3849																																																			
ARTHRODESIS HINDFOOT TI 10MM CANN NAIL	SUP-97-03904	CDM			278	RC		outpatient			3845.88	3845.88	3845.88				fee schedule		3845.88				other	OPPS APC	2192.15				percent of total billed charges		3845.88				other	OPPS APC	3845.88				other	OPPS APC	1884.48				percent of total billed charges		1961.4				percent of total billed charges		3845.88				other	OPPS APC	1884.48	3845.88	
ARTHRODESIS HINDFOOT TI 10MM CANN NAIL	SUP-97-03904	CDM			278	RC		inpatient			3845.88	3845.88																																																			
HC Delivery of Placenta (as Sep Proced)	PX-722594141	CDM	59414	CPT	722	RC		outpatient			3844.5	3844.5	208.2				case rate		3844.5				other	OPPS APC	2844.93				percent of total billed charges		3844.5				other	OPPS APC	3844.5				other	OPPS APC	208.2				case rate		212.36				case rate		3844.5				other	OPPS APC	208.2	3844.5	
HC Delivery of Placenta (as Sep Proced)	PX-722594141	CDM	59414	CPT	722	RC		inpatient			3844.5	3844.5																																																			
NAIL INTRAMEDULLARY INTERTAN TITANIUM 125 D L 44 CM OD 10 MM RIGHT TROCHANTERIC ROSE	SUP-71675232	CDM			270	RC		outpatient			3842	3842	1040.8				percent of total billed charges		3842				other	OPPS APC	2843.08				percent of total billed charges		3842				other	OPPS APC	3842				other	OPPS APC	1040.8				percent of total billed charges		1061.54				percent of total billed charges		3842				other	OPPS APC	1040.8	3842	
NAIL INTRAMEDULLARY INTERTAN TITANIUM 125 D L 44 CM OD 10 MM RIGHT TROCHANTERIC ROSE	SUP-71675232	CDM			270	RC		inpatient			3842	3842																																																			
ARTICULAR SURFACE LCCK PURPLE C/D SIZE 14MM	SUP-00-5994-022-14	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
ARTICULAR SURFACE LCCK PURPLE C/D SIZE 14MM	SUP-00-5994-022-14	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
ARTICULAR SURFACE LCCK PURPLE C/D SIZE 17MM	SUP-00-5994-022-17	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
ARTICULAR SURFACE LCCK PURPLE C/D SIZE 17MM	SUP-00-5994-022-17	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 1-2 C-D MICRO L58 MM X W40 MM X H33 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-030-10	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 1-2 C-D MICRO L58 MM X W40 MM X H33 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-030-10	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 3-4 C-D L66 MM X W42 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-030-17	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 3-4 C-D L66 MM X W42 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-030-17	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H14 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-14	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H14 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-14	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-17	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-17	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-20	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-20	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H28 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-28	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H28 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-032-28	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H12 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-12	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H12 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-12	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H14 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-14	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H14 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-14	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-17	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-17	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-20	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-20	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H23 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-23	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H23 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-040-23	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 7-10 G-H L82 MM X W50 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-050-17	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR NEXGEN LCCK TIVANIUM UHMWPE 7-10 G-H L82 MM X W50 MM X H17 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-050-17	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 7-10 G-H L82 MM X W50 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-050-20	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 7-10 G-H L82 MM X W50 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-050-20	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 7-10 G-H L82 MM X W50 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-052-20	CDM	270010025	LOCAL	270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 7-10 G-H L82 MM X W50 MM X H20 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-052-20	CDM	270010025	LOCAL	270	RC		inpatient			3840	3840																																																			
GRAFT SOFT TISSUE SURGIMEND FETAL BOVINE COLLAGEN MATRIX L16 CM X W6 CM	SUP-606-001-015	CDM			270	RC		outpatient			3840	384	1040.26				percent of total billed charges		3840				other	OPPS APC	2841.6				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1040.26				percent of total billed charges		1060.99				percent of total billed charges		384				other	OPPS APC	384	3840	
GRAFT SOFT TISSUE SURGIMEND FETAL BOVINE COLLAGEN MATRIX L16 CM X W6 CM	SUP-606-001-015	CDM			270	RC		inpatient			3840	3840																																																			
INTERNALBRACE LIGAMENT	SUP-97-03317	CDM			278	RC		outpatient			3840	384	3840				fee schedule		3840				other	OPPS APC	2188.8				percent of total billed charges		3840				other	OPPS APC	3840				other	OPPS APC	1881.6				percent of total billed charges		1958.4				percent of total billed charges		384				other	OPPS APC	384	3840	
INTERNALBRACE LIGAMENT	SUP-97-03317	CDM			278	RC		inpatient			3840	3840																																																			
CATHETER ABLATION THERMOCOOLSF 2-5-2 SPACE 3.5MM D-F CURVE  L 115 CMOD 8 FR 6 ELECTRODE TIP BI-DIRECTIONAL NON-NAVIGATIONAL	SUP-BDI35DFRT	CDM			481	RC		outpatient			3838	3838	1880.62				percent of total billed charges		3838				other	OPPS APC	2840.12				percent of total billed charges		3838				other	OPPS APC	3838				other	OPPS APC	1880.62				percent of total billed charges		1957.38				percent of total billed charges		3838				other	OPPS APC	1880.62	3838	
CATHETER ABLATION THERMOCOOLSF 2-5-2 SPACE 3.5MM D-F CURVE  L 115 CMOD 8 FR 6 ELECTRODE TIP BI-DIRECTIONAL NON-NAVIGATIONAL	SUP-BDI35DFRT	CDM			481	RC		inpatient			3838	3838																																																			
CATHETER ABLATION THERMOCOOL SF 2-5-2 SPACE 3.5MM F-J CURVE L115 CM OD 8 FR 6 ELECTRODE TIP BI-DIRECTIONAL NON-NAVIGATIONAL	SUP-BDI35FJRT	CDM			481	RC		outpatient			3838	3838	1880.62				percent of total billed charges		3838				other	OPPS APC	2840.12				percent of total billed charges		3838				other	OPPS APC	3838				other	OPPS APC	1880.62				percent of total billed charges		1957.38				percent of total billed charges		3838				other	OPPS APC	1880.62	3838	
CATHETER ABLATION THERMOCOOL SF 2-5-2 SPACE 3.5MM F-J CURVE L115 CM OD 8 FR 6 ELECTRODE TIP BI-DIRECTIONAL NON-NAVIGATIONAL	SUP-BDI35FJRT	CDM			481	RC		inpatient			3838	3838																																																			
TRANSFORM 7X10	SUP-M003SSC07100	CDM			270	RC		outpatient			3830	383	1037.55				percent of total billed charges		3830				other	OPPS APC	2834.2				percent of total billed charges		3830				other	OPPS APC	3830				other	OPPS APC	1037.55				percent of total billed charges		1058.23				percent of total billed charges		383				other	OPPS APC	383	3830	
TRANSFORM 7X10	SUP-M003SSC07100	CDM			270	RC		inpatient			3830	3830																																																			
IMPLANT TIBIAL INSERT FIXED BEARING CURVED PLUS SIZE 2 15MM	SUP-97-0433	CDM	270010024	LOCAL	270	RC		outpatient			3829.2	3829.2	1037.33				percent of total billed charges		3829.2				other	OPPS APC	2833.61				percent of total billed charges		3829.2				other	OPPS APC	3829.2				other	OPPS APC	1037.33				percent of total billed charges		1058.01				percent of total billed charges		3829.2				other	OPPS APC	1037.33	3829.2	
IMPLANT TIBIAL INSERT FIXED BEARING CURVED PLUS SIZE 2 15MM	SUP-97-0433	CDM	270010024	LOCAL	270	RC		inpatient			3829.2	3829.2																																																			
PLATE BONE UNI-CP STAINLESS STEEL L30 MM 4 HOLE UNICOMPRESSION	SUP-330 430 SND	CDM			270	RC		outpatient			3828	3828	1037.01				percent of total billed charges		3828				other	OPPS APC	2832.72				percent of total billed charges		3828				other	OPPS APC	3828				other	OPPS APC	1037.01				percent of total billed charges		1057.68				percent of total billed charges		3828				other	OPPS APC	1037.01	3828	
PLATE BONE UNI-CP STAINLESS STEEL L30 MM 4 HOLE UNICOMPRESSION	SUP-330 430 SND	CDM			270	RC		inpatient			3828	3828																																																			
PLATE BONE T COMPRESSION	SUP-330030	CDM			270	RC		outpatient			3828	3828	1037.01				percent of total billed charges		3828				other	OPPS APC	2832.72				percent of total billed charges		3828				other	OPPS APC	3828				other	OPPS APC	1037.01				percent of total billed charges		1057.68				percent of total billed charges		3828				other	OPPS APC	1037.01	3828	
PLATE BONE T COMPRESSION	SUP-330030	CDM			270	RC		inpatient			3828	3828																																																			
IMPLANT INTEGRA COMPRESSION PLATE  4 HOLE	SUP-330420	CDM			270	RC		outpatient			3828	3828	1037.01				percent of total billed charges		3828				other	OPPS APC	2832.72				percent of total billed charges		3828				other	OPPS APC	3828				other	OPPS APC	1037.01				percent of total billed charges		1057.68				percent of total billed charges		3828				other	OPPS APC	1037.01	3828	
IMPLANT INTEGRA COMPRESSION PLATE  4 HOLE	SUP-330420	CDM			270	RC		inpatient			3828	3828																																																			
PLATE BONE LISS 140MM TITANIUM NS TIBIA RIGHT PROXIMAL 5 HOLE 5MM LOCK SCREW	SUP-422.3	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS 140MM TITANIUM NS TIBIA RIGHT PROXIMAL 5 HOLE 5MM LOCK SCREW	SUP-422.3	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TIBIAL PROXIMAL TITANIUM RIGHT 5 HOLE	SUP-422.3	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TIBIAL PROXIMAL TITANIUM RIGHT 5 HOLE	SUP-422.3	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE 140MM TITANIUM 5MM LOCKING SCREW 5 HOLE LISS BONE RIGHT PROXIMAL TIBIA NS	SUP-422.300	CDM						inpatient			3826.8	3826.8																																																			
PLATE 140MM TITANIUM 5MM LOCKING SCREW 5 HOLE LISS BONE RIGHT PROXIMAL TIBIA NS	SUP-422.300	CDM						outpatient			3826.8	3826.82	3826.8				percent of total billed charges		3826.8				other	OPPS APC	3826.8				fee schedule		3826.8				other	OPPS APC	3826.8				other	OPPS APC	3826.8				case rate		3826.8				case rate		3826.82				other	OPPS APC	3826.8	3826.82	
PLATE BONE LISS 140MM TITANIUM NS TIBIA LEFT PROXIMAL 5 HOLE 5MM LOCK SCREW	SUP-422.301	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS 140MM TITANIUM NS TIBIA LEFT PROXIMAL 5 HOLE 5MM LOCK SCREW	SUP-422.301	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM L220 MM OD3.5 MM RIGHT PROXIMAL TIBIA 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.304	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM L220 MM OD3.5 MM RIGHT PROXIMAL TIBIA 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.304	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM L220 MM LEFT PROXIMAL TIBIA 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.305	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM L220 MM LEFT PROXIMAL TIBIA 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.305	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM L300 MM RIGHT PROXIMAL TIBIA 13 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.308	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM L300 MM RIGHT PROXIMAL TIBIA 13 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.308	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS 300MM TITANIUM NS TIBIA LEFT PROXIMAL 13 HOLE 5MM LOCK SCREW	SUP-422.309	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS 300MM TITANIUM NS TIBIA LEFT PROXIMAL 13 HOLE 5MM LOCK SCREW	SUP-422.309	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM L156 MM LEFT DISTAL FEMUR 5 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.341	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM L156 MM LEFT DISTAL FEMUR 5 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.341	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM L236 MM RIGHT DISTAL FEMUR 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.344	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM L236 MM RIGHT DISTAL FEMUR 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.344	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM LEFT ANGLE L236 MM LEFT DISTAL FEMUR 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.345	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM LEFT ANGLE L236 MM LEFT DISTAL FEMUR 9 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.345	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
PLATE BONE LISS TITANIUM L316 MM RIGHT DISTAL FEMUR 13 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.348	CDM	270010022	LOCAL	270	RC		outpatient			3826.8	3826.82	1036.68				percent of total billed charges		3826.8				other	OPPS APC	2831.83				percent of total billed charges		3826.8				other	OPPS APC	3826.8				other	OPPS APC	1036.68				percent of total billed charges		1057.34				percent of total billed charges		3826.82				other	OPPS APC	1036.68	3826.82	
PLATE BONE LISS TITANIUM L316 MM RIGHT DISTAL FEMUR 13 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.348	CDM	270010022	LOCAL	270	RC		inpatient			3826.8	3826.8																																																			
C- TAPER BIOLOX DELTA HEAD 28MM/+2.5	SUP-97-03753	CDM			278	RC		outpatient			3826.63	3826.63	3826.63				fee schedule		3826.63				other	OPPS APC	2181.18				percent of total billed charges		3826.63				other	OPPS APC	3826.63				other	OPPS APC	1875.05				percent of total billed charges		1951.58				percent of total billed charges		3826.63				other	OPPS APC	1875.05	3826.63	
C- TAPER BIOLOX DELTA HEAD 28MM/+2.5	SUP-97-03753	CDM			278	RC		inpatient			3826.63	3826.63																																																			
PLATE BONE VECTRA-T BENT GROOVE PREBENT 23X19X2.5MM 14MM BLUE TITANIUM NS SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK	SUP-450.551	CDM	270010013	LOCAL	270	RC		outpatient			3822	3822	1035.38				percent of total billed charges		3822				other	OPPS APC	2828.28				percent of total billed charges		3822				other	OPPS APC	3822				other	OPPS APC	1035.38				percent of total billed charges		1056.02				percent of total billed charges		3822				other	OPPS APC	1035.38	3822	
PLATE BONE VECTRA-T BENT GROOVE PREBENT 23X19X2.5MM 14MM BLUE TITANIUM NS SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK	SUP-450.551	CDM	270010013	LOCAL	270	RC		inpatient			3822	3822																																																			
PLATE BONE DYNAMIC MESH TITANIUM L120 MM X W120 MM X H.3 MM CRANIOMAXILLOFACIAL DYNAMIC MESH MALLEABLE 1/1.2 MM SCREWS	SUP-5400343	CDM			270	RC		outpatient			3822	3822	1035.38				percent of total billed charges		3822				other	OPPS APC	2828.28				percent of total billed charges		3822				other	OPPS APC	3822				other	OPPS APC	1035.38				percent of total billed charges		1056.02				percent of total billed charges		3822				other	OPPS APC	1035.38	3822	
PLATE BONE DYNAMIC MESH TITANIUM L120 MM X W120 MM X H.3 MM CRANIOMAXILLOFACIAL DYNAMIC MESH MALLEABLE 1/1.2 MM SCREWS	SUP-5400343	CDM			270	RC		inpatient			3822	3822																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L48 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.676S	CDM	270010022	LOCAL	270	RC		outpatient			3819.2	3819.2	1034.62				percent of total billed charges		3819.2				other	OPPS APC	2826.21				percent of total billed charges		3819.2				other	OPPS APC	3819.2				other	OPPS APC	1034.62				percent of total billed charges		1055.24				percent of total billed charges		3819.2				other	OPPS APC	1034.62	3819.2	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L48 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.676S	CDM	270010022	LOCAL	270	RC		inpatient			3819.2	3819.2																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 480MM	SUP-04.013.776S	CDM	270010022	LOCAL	270	RC		outpatient			3819.2	3819.2	1034.62				percent of total billed charges		3819.2				other	OPPS APC	2826.21				percent of total billed charges		3819.2				other	OPPS APC	3819.2				other	OPPS APC	1034.62				percent of total billed charges		1055.24				percent of total billed charges		3819.2				other	OPPS APC	1034.62	3819.2	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 480MM	SUP-04.013.776S	CDM	270010022	LOCAL	270	RC		inpatient			3819.2	3819.2																																																			
PLATE PROX MED TIB 6 HOLE LEFT	SUP-97-03672	CDM			278	RC		outpatient			3816.4	3816.41	3816.4				fee schedule		3816.4				other	OPPS APC	2175.35				percent of total billed charges		3816.4				other	OPPS APC	3816.4				other	OPPS APC	1870.04				percent of total billed charges		1946.36				percent of total billed charges		3816.41				other	OPPS APC	1870.04	3816.41	
PLATE PROX MED TIB 6 HOLE LEFT	SUP-97-03672	CDM			278	RC		inpatient			3816.4	3816.4																																																			
NAIL 11-17MM 320MM FEMUR TROCHANTERIC RIGHT INTRAMEDULLARY 130D LONG CANNULATED	SUP-456.412S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL 11-17MM 320MM FEMUR TROCHANTERIC RIGHT INTRAMEDULLARY 130D LONG CANNULATED	SUP-456.412S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L320 MM OD11-17 MM FEMUR TROCHANTERIC LEFT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.413S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L320 MM OD11-17 MM FEMUR TROCHANTERIC LEFT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.413S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L340 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.414S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L340 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.414S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL FIXATION GREEN 340MM 11-17MM 130D LONG FEMUR TROCHANTERIC LEFT TITANIUM	SUP-456.415S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL FIXATION GREEN 340MM 11-17MM 130D LONG FEMUR TROCHANTERIC LEFT TITANIUM	SUP-456.415S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L360 MM OD11 MM FEMUR RIGHT TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.416S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L360 MM OD11 MM FEMUR RIGHT TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.416S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL FIXATION TITANIUM 130 D SHORT L360 MM OD11 MM LEFT DISTAL TROCHANTER CANNULATED PREASSEMBLED LOCKING MECHANISM STERILE GREEN	SUP-456.417S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL FIXATION TITANIUM 130 D SHORT L360 MM OD11 MM LEFT DISTAL TROCHANTER CANNULATED PREASSEMBLED LOCKING MECHANISM STERILE GREEN	SUP-456.417S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L380 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.418S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L380 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.418S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L380 MM OD11-17 MM FEMUR TROCHANTERIC LEFT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.419S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L380 MM OD11-17 MM FEMUR TROCHANTERIC LEFT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.419S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL 11-17MM 400MM FEMUR TROCHANTERIC RIGHT INTRAMEDULLARY 130D LONG CANNULATED	SUP-456.420S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL 11-17MM 400MM FEMUR TROCHANTERIC RIGHT INTRAMEDULLARY 130D LONG CANNULATED	SUP-456.420S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L400 MM OD11-17 MM FEMUR TROCHANTERIC LEFT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.421S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L400 MM OD11-17 MM FEMUR TROCHANTERIC LEFT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.421S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL FIXATION TITANIUM 130 D LONG L420 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM STERILE GREEN	SUP-456.422S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL FIXATION TITANIUM 130 D LONG L420 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM STERILE GREEN	SUP-456.422S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL FIXATION TITANIUM 130 D SHORT L420 MM OD11 MM LEFT DISTAL TROCHANTER CANNULATED PREASSEMBLED LOCKING MECHANISM STERILE GREEN	SUP-456.423S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL FIXATION TITANIUM 130 D SHORT L420 MM OD11 MM LEFT DISTAL TROCHANTER CANNULATED PREASSEMBLED LOCKING MECHANISM STERILE GREEN	SUP-456.423S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L440 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.424S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L440 MM OD11-17 MM FEMUR TROCHANTERIC RIGHT CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STERILE GREEN	SUP-456.424S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L440 MM OD11 MM LEFT TROCHANTER FEMUR CANNULATED PREASSEMBLED LOCKING MECHANISM STATIC/DYNAMIC INTERLOCKING ANATOMIC STERILE GREEN	SUP-456.425S	CDM	270010022	LOCAL	270	RC		outpatient			3815.9	3815.91	1033.73				percent of total billed charges		3815.9				other	OPPS APC	2823.77				percent of total billed charges		3815.9				other	OPPS APC	3815.9				other	OPPS APC	1033.73				percent of total billed charges		1054.33				percent of total billed charges		3815.91				other	OPPS APC	1033.73	3815.91	
NAIL INTRAMEDULLARY TITANIUM 130 D LONG L440 MM OD11 MM LEFT TROCHANTER FEMUR CANNULATED PREASSEMBLED LOCKING MECHANISM STATIC/DYNAMIC INTERLOCKING ANATOMIC STERILE GREEN	SUP-456.425S	CDM	270010022	LOCAL	270	RC		inpatient			3815.9	3815.9																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM D OD50 MM HIP SOLID BACK STERILE	SUP-700-04-50D	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM D OD50 MM HIP SOLID BACK STERILE	SUP-700-04-50D	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM E OD52 MM HIP SOLID BACK STERILE	SUP-700-04-52E	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM E OD52 MM HIP SOLID BACK STERILE	SUP-700-04-52E	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM E OD54 MM HIP SOLID BACK STERILE	SUP-700-04-54E	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM E OD54 MM HIP SOLID BACK STERILE	SUP-700-04-54E	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM D OD50 MM HIP CLUSTER HOLE STERILE	SUP-702-04-50D	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM D OD50 MM HIP CLUSTER HOLE STERILE	SUP-702-04-50D	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM F OD56 MM HIP CLUSTER HOLE STERILE	SUP-702-04-56F	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM F OD56 MM HIP CLUSTER HOLE STERILE	SUP-702-04-56F	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM F OD58 MM HIP 5 SCREW HOLE CLUSTER STERILE	SUP-702-04-58F	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM F OD58 MM HIP 5 SCREW HOLE CLUSTER STERILE	SUP-702-04-58F	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM G OD62 MM HIP CLUSTER HOLE STERILE	SUP-702-04-62G	CDM	270010024	LOCAL	270	RC		outpatient			3815.1	3816	1033.51				percent of total billed charges		3815.1				other	OPPS APC	2823.17				percent of total billed charges		3815.1				other	OPPS APC	3815.1				other	OPPS APC	1033.51				percent of total billed charges		1054.11				percent of total billed charges		3816				other	OPPS APC	1033.51	3816	
SHELL ACETABULAR TRIDENT II TRITANIUM G OD62 MM HIP CLUSTER HOLE STERILE	SUP-702-04-62G	CDM	270010024	LOCAL	270	RC		inpatient			3815.1	3815.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L173 MM TIBIA DISTAL MEDIAL 9 HOLE PILON PRECONTOUR ROUND EDGE NONSTERILE 3.5 MM SCREW	SUP-240.083	CDM	270010022	LOCAL	270	RC		outpatient			3814.8	3814.82	1033.43				percent of total billed charges		3814.8				other	OPPS APC	2822.95				percent of total billed charges		3814.8				other	OPPS APC	3814.8				other	OPPS APC	1033.43				percent of total billed charges		1054.03				percent of total billed charges		3814.82				other	OPPS APC	1033.43	3814.82	
PLATE BONE LCP COMBI STAINLESS STEEL L173 MM TIBIA DISTAL MEDIAL 9 HOLE PILON PRECONTOUR ROUND EDGE NONSTERILE 3.5 MM SCREW	SUP-240.083	CDM	270010022	LOCAL	270	RC		inpatient			3814.8	3814.8																																																			
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L24 CM X W18 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP06	CDM			270	RC		outpatient			3810	381	1032.13				percent of total billed charges		3810				other	OPPS APC	2819.4				percent of total billed charges		3810				other	OPPS APC	3810				other	OPPS APC	1032.13				percent of total billed charges		1052.7				percent of total billed charges		381				other	OPPS APC	381	3810	
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L24 CM X W18 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP06	CDM			270	RC		inpatient			3810	3810																																																			
INSERT TIBIAL PFC SIGMA 2 10MM UHMWPE STERILE KNEE FIX BEARING STABILIZE PLUS	SUP-96-2710	CDM	270010025	LOCAL	270	RC		outpatient			3808	388	1031.59				percent of total billed charges		3808				other	OPPS APC	2817.92				percent of total billed charges		3808				other	OPPS APC	3808				other	OPPS APC	1031.59				percent of total billed charges		1052.15				percent of total billed charges		388				other	OPPS APC	388	3808	
INSERT TIBIAL PFC SIGMA 2 10MM UHMWPE STERILE KNEE FIX BEARING STABILIZE PLUS	SUP-96-2710	CDM	270010025	LOCAL	270	RC		inpatient			3808	3808																																																			
SINUS TARSI PLATE LEFT MEDIUM	SUP-97-23717	CDM			278	RC		outpatient			3806.25	386.25	3806.25				fee schedule		3806.25				other	OPPS APC	2169.56				percent of total billed charges		3806.25				other	OPPS APC	3806.25				other	OPPS APC	1865.06				percent of total billed charges		1941.19				percent of total billed charges		386.25				other	OPPS APC	386.25	3806.25	
SINUS TARSI PLATE LEFT MEDIUM	SUP-97-23717	CDM			278	RC		inpatient			3806.25	3806.25																																																			
MESH SURGICAL BIO-A SYNTHETIC L30 CM X W10 CM TISSUE BIOABSORBABLE REINFORCEMENT SCAFFOLD TRIMMABLE	SUP-FS1030	CDM			270	RC		outpatient			3802	382	1029.96				percent of total billed charges		3802				other	OPPS APC	2813.48				percent of total billed charges		3802				other	OPPS APC	3802				other	OPPS APC	1029.96				percent of total billed charges		1050.49				percent of total billed charges		382				other	OPPS APC	382	3802	
MESH SURGICAL BIO-A SYNTHETIC L30 CM X W10 CM TISSUE BIOABSORBABLE REINFORCEMENT SCAFFOLD TRIMMABLE	SUP-FS1030	CDM			270	RC		inpatient			3802	3802																																																			
QUADRA-P STD STEM #3	SUP-01.12.123	CDM	270010024	LOCAL	270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
QUADRA-P STD STEM #3	SUP-01.12.123	CDM	270010024	LOCAL	270	RC		inpatient			3800	3800																																																			
QUADRA-P STD STEM #6	SUP-01.12.126	CDM	270010024	LOCAL	270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
QUADRA-P STD STEM #6	SUP-01.12.126	CDM	270010024	LOCAL	270	RC		inpatient			3800	3800																																																			
QUADRA-P LAT STEM #1	SUP-01.12.141	CDM	270010024	LOCAL	270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
QUADRA-P LAT STEM #1	SUP-01.12.141	CDM	270010024	LOCAL	270	RC		inpatient			3800	3800																																																			
QUADRA-P CEMENTED STANDARD OFFSET SIZE 5	SUP-01.12.215	CDM	270010024	LOCAL	270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
QUADRA-P CEMENTED STANDARD OFFSET SIZE 5	SUP-01.12.215	CDM	270010024	LOCAL	270	RC		inpatient			3800	3800																																																			
QUADRA-P CEMENTED LATERALIZED OFFSET SIZE 2	SUP-01.12.232	CDM	270010024	LOCAL	270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
QUADRA-P CEMENTED LATERALIZED OFFSET SIZE 2	SUP-01.12.232	CDM	270010024	LOCAL	270	RC		inpatient			3800	3800																																																			
STEM FEMORAL MASTERLOC MECTAGRIP 2 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.202	CDM	270010024	LOCAL	270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
STEM FEMORAL MASTERLOC MECTAGRIP 2 2 TAPER FLAT HIP LATERALIZE	SUP-01.39.202	CDM	270010024	LOCAL	270	RC		inpatient			3800	3800																																																			
CATHETER CRYOABLATION FREEZOR MAX 3-5-2 MM SPACE 66 MM LONG L90 CM L8 MM OD9 FR QUADRIPOLAR THERMOCOUPLE VECTOR MAP COOL TIP ELECTROPHYSIOLOGY ORANGE	SUP-239F5	CDM			481	RC		outpatient			3800	38	1862				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1862				percent of total billed charges		1938				percent of total billed charges		38				other	OPPS APC	38	3800	
CATHETER CRYOABLATION FREEZOR MAX 3-5-2 MM SPACE 66 MM LONG L90 CM L8 MM OD9 FR QUADRIPOLAR THERMOCOUPLE VECTOR MAP COOL TIP ELECTROPHYSIOLOGY ORANGE	SUP-239F5	CDM			481	RC		inpatient			3800	3800																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L74.7 MM OD34 MM ODSEC41.6 MM ID34 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460034MM	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L74.7 MM OD34 MM ODSEC41.6 MM ID34 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460034MM	CDM			270	RC		inpatient			3800	3800																																																			
SWANSON FLEXIIBLE HINGE TOE IMPLANT 2S	SUP-97-23776	CDM			278	RC		outpatient			3800	38	3800				fee schedule		3800				other	OPPS APC	2166				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1862				percent of total billed charges		1938				percent of total billed charges		38				other	OPPS APC	38	3800	
SWANSON FLEXIIBLE HINGE TOE IMPLANT 2S	SUP-97-23776	CDM			278	RC		inpatient			3800	3800																																																			
WEDGE TIBIAL IBALANCE 6 D 7 D LARGE XL HIGH TIBIAL OSTEOTOMY	SUP-AR-13400L-06	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
WEDGE TIBIAL IBALANCE 6 D 7 D LARGE XL HIGH TIBIAL OSTEOTOMY	SUP-AR-13400L-06	CDM			270	RC		inpatient			3800	3800																																																			
WEDGE TIBIAL IBALANCE 7 D 8 D LARGE XL KNEE HIGH TIBIAL OSTEOTOMY	SUP-AR-13400L-08	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
WEDGE TIBIAL IBALANCE 7 D 8 D LARGE XL KNEE HIGH TIBIAL OSTEOTOMY	SUP-AR-13400L-08	CDM			270	RC		inpatient			3800	3800																																																			
WEDGE TIBIAL IBALANCE PEEK 9 D 10 D LARGE XL KNEE HIGH OSTEOTOMY PLATE	SUP-AR-13400L-10	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
WEDGE TIBIAL IBALANCE PEEK 9 D 10 D LARGE XL KNEE HIGH OSTEOTOMY PLATE	SUP-AR-13400L-10	CDM			270	RC		inpatient			3800	3800																																																			
WEDGE TIBIAL IBALANCE 5 D 6 D SMALL MEDIUM HIGH TIBIAL OSTEOTOMY	SUP-AR-13400M-05	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
WEDGE TIBIAL IBALANCE 5 D 6 D SMALL MEDIUM HIGH TIBIAL OSTEOTOMY	SUP-AR-13400M-05	CDM			270	RC		inpatient			3800	3800																																																			
IMPLANT HTO SM 11 DEG/MED 10DEG	SUP-AR-13400M-10	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
IMPLANT HTO SM 11 DEG/MED 10DEG	SUP-AR-13400M-10	CDM			270	RC		inpatient			3800	3800																																																			
ELECTRODE ELECTROSURGICAL ISOLATOR TRANSPOLAR PEN L19 CM MULTIFUNCTIONAL LINEAR ABLATION	SUP-MAX1	CDM			270	RC		outpatient			3800	38	1029.42				percent of total billed charges		3800				other	OPPS APC	2812				percent of total billed charges		3800				other	OPPS APC	3800				other	OPPS APC	1029.42				percent of total billed charges		1049.94				percent of total billed charges		38				other	OPPS APC	38	3800	
ELECTRODE ELECTROSURGICAL ISOLATOR TRANSPOLAR PEN L19 CM MULTIFUNCTIONAL LINEAR ABLATION	SUP-MAX1	CDM			270	RC		inpatient			3800	3800																																																			
PLATE BONE LCP STAINLESS STEEL CURVE L422 MM X W17.5 MM X H5.2 MM CONDYLAR LEFT PERIARTICULAR 20 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.310S	CDM	270010022	LOCAL	270	RC		outpatient			3799.4	3799.41	1029.26				percent of total billed charges		3799.4				other	OPPS APC	2811.56				percent of total billed charges		3799.4				other	OPPS APC	3799.4				other	OPPS APC	1029.26				percent of total billed charges		1049.77				percent of total billed charges		3799.41				other	OPPS APC	1029.26	3799.41	
PLATE BONE LCP STAINLESS STEEL CURVE L422 MM X W17.5 MM X H5.2 MM CONDYLAR LEFT PERIARTICULAR 20 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.310S	CDM	270010022	LOCAL	270	RC		inpatient			3799.4	3799.4																																																			
PLATE BONE LCP STAINLESS STEEL CURVE L422 MM X W17.5 MM X H5.2 MM CONDYLAR RIGHT PERIARTICULAR 20 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.330S	CDM	270010022	LOCAL	270	RC		outpatient			3799.4	3799.41	1029.26				percent of total billed charges		3799.4				other	OPPS APC	2811.56				percent of total billed charges		3799.4				other	OPPS APC	3799.4				other	OPPS APC	1029.26				percent of total billed charges		1049.77				percent of total billed charges		3799.41				other	OPPS APC	1029.26	3799.41	
PLATE BONE LCP STAINLESS STEEL CURVE L422 MM X W17.5 MM X H5.2 MM CONDYLAR RIGHT PERIARTICULAR 20 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.330S	CDM	270010022	LOCAL	270	RC		inpatient			3799.4	3799.4																																																			
COIL 1 X 3 MINI G3	SUP-GLM910030	CDM			270	RC		outpatient			3791.06	3791.6	1027				percent of total billed charges		3791.06				other	OPPS APC	2805.38				percent of total billed charges		3791.06				other	OPPS APC	3791.06				other	OPPS APC	1027				percent of total billed charges		1047.47				percent of total billed charges		3791.6				other	OPPS APC	1027	3791.6	
COIL 1 X 3 MINI G3	SUP-GLM910030	CDM			270	RC		inpatient			3791.06	3791.06																																																			
COIL 1.5 X 2 MINI G3	SUP-GLM915020	CDM			270	RC		outpatient			3791.06	3791.6	1027				percent of total billed charges		3791.06				other	OPPS APC	2805.38				percent of total billed charges		3791.06				other	OPPS APC	3791.06				other	OPPS APC	1027				percent of total billed charges		1047.47				percent of total billed charges		3791.6				other	OPPS APC	1027	3791.6	
COIL 1.5 X 2 MINI G3	SUP-GLM915020	CDM			270	RC		inpatient			3791.06	3791.06																																																			
COIL 2 X 4 MINI G3	SUP-GLM920040	CDM			270	RC		outpatient			3791.06	3791.6	1027				percent of total billed charges		3791.06				other	OPPS APC	2805.38				percent of total billed charges		3791.06				other	OPPS APC	3791.06				other	OPPS APC	1027				percent of total billed charges		1047.47				percent of total billed charges		3791.6				other	OPPS APC	1027	3791.6	
COIL 2 X 4 MINI G3	SUP-GLM920040	CDM			270	RC		inpatient			3791.06	3791.06																																																			
COIL 2 X 6 MINI G3	SUP-GLM920060	CDM			270	RC		outpatient			3791.06	3791.6	1027				percent of total billed charges		3791.06				other	OPPS APC	2805.38				percent of total billed charges		3791.06				other	OPPS APC	3791.06				other	OPPS APC	1027				percent of total billed charges		1047.47				percent of total billed charges		3791.6				other	OPPS APC	1027	3791.6	
COIL 2 X 6 MINI G3	SUP-GLM920060	CDM			270	RC		inpatient			3791.06	3791.06																																																			
DISSECTOR BALLOON PREPERITONEAL KIDNEY	SUP-OMSPDBS2	CDM			270	RC		outpatient			3782.1	3783	1024.57				percent of total billed charges		3782.1				other	OPPS APC	2798.75				percent of total billed charges		3782.1				other	OPPS APC	3782.1				other	OPPS APC	1024.57				percent of total billed charges		1044.99				percent of total billed charges		3783				other	OPPS APC	1024.57	3783	
DISSECTOR BALLOON PREPERITONEAL KIDNEY	SUP-OMSPDBS2	CDM			270	RC		inpatient			3782.1	3782.1																																																			
CATHETER ABLATION HALO360+ 360D 4CM 3CM 18MM ESOPHAGUS HALOFLEX ENERGY GENERATOR BIPOLAR ELECTRODE BALLOON	SUP-32041-18	CDM			270	RC		outpatient			3780	378	1024				percent of total billed charges		3780				other	OPPS APC	2797.2				percent of total billed charges		3780				other	OPPS APC	3780				other	OPPS APC	1024				percent of total billed charges		1044.41				percent of total billed charges		378				other	OPPS APC	378	3780	
CATHETER ABLATION HALO360+ 360D 4CM 3CM 18MM ESOPHAGUS HALOFLEX ENERGY GENERATOR BIPOLAR ELECTRODE BALLOON	SUP-32041-18	CDM			270	RC		inpatient			3780	3780																																																			
ZILVER VENA 14MMX100MM	SUP-G57445	CDM			270	RC		outpatient			3777.98	3777.98	1023.45				percent of total billed charges		3777.98				other	OPPS APC	2795.71				percent of total billed charges		3777.98				other	OPPS APC	3777.98				other	OPPS APC	1023.45				percent of total billed charges		1043.86				percent of total billed charges		3777.98				other	OPPS APC	1023.45	3777.98	
ZILVER VENA 14MMX100MM	SUP-G57445	CDM			270	RC		inpatient			3777.98	3777.98																																																			
STENT BILIARY ZILVER VENA L140 MM L80 CM OD14 MM VENOUS DELIVERY SYSTEM SELF EXPAND OTW OPEN CELL ACCEPTS .035 IN GUIDEWIRE	SUP-G57446	CDM			270	RC		outpatient			3777.98	3777.98	1023.45				percent of total billed charges		3777.98				other	OPPS APC	2795.71				percent of total billed charges		3777.98				other	OPPS APC	3777.98				other	OPPS APC	1023.45				percent of total billed charges		1043.86				percent of total billed charges		3777.98				other	OPPS APC	1023.45	3777.98	
STENT BILIARY ZILVER VENA L140 MM L80 CM OD14 MM VENOUS DELIVERY SYSTEM SELF EXPAND OTW OPEN CELL ACCEPTS .035 IN GUIDEWIRE	SUP-G57446	CDM			270	RC		inpatient			3777.98	3777.98																																																			
ZILVER VENA 16MMX100MM	SUP-G57448	CDM			270	RC		outpatient			3777.98	3777.98	1023.45				percent of total billed charges		3777.98				other	OPPS APC	2795.71				percent of total billed charges		3777.98				other	OPPS APC	3777.98				other	OPPS APC	1023.45				percent of total billed charges		1043.86				percent of total billed charges		3777.98				other	OPPS APC	1023.45	3777.98	
ZILVER VENA 16MMX100MM	SUP-G57448	CDM			270	RC		inpatient			3777.98	3777.98																																																			
STENT BILIARY ZILVER VENA L140 MM L80 CM OD16 MM VENOUS DELIVERY SYSTEM SELF EXPAND OTW OPEN CELL ACCEPTS .035 IN GUIDEWIRE	SUP-G57449	CDM			270	RC		outpatient			3777.98	3777.98	1023.45				percent of total billed charges		3777.98				other	OPPS APC	2795.71				percent of total billed charges		3777.98				other	OPPS APC	3777.98				other	OPPS APC	1023.45				percent of total billed charges		1043.86				percent of total billed charges		3777.98				other	OPPS APC	1023.45	3777.98	
STENT BILIARY ZILVER VENA L140 MM L80 CM OD16 MM VENOUS DELIVERY SYSTEM SELF EXPAND OTW OPEN CELL ACCEPTS .035 IN GUIDEWIRE	SUP-G57449	CDM			270	RC		inpatient			3777.98	3777.98																																																			
DRILL AO 4.2X260MM	SUP-97-03890	CDM			272	RC		outpatient			3776.3	3776.32	1023				percent of total billed charges		3776.3				other	OPPS APC	2794.46				percent of total billed charges		3776.3				other	OPPS APC	3776.3				other	OPPS APC	1023				percent of total billed charges		1043.39				percent of total billed charges		3776.32				other	OPPS APC	1023	3776.32	
DRILL AO 4.2X260MM	SUP-97-03890	CDM			272	RC		inpatient			3776.3	3776.3																																																			
T2 LONG PROXIMAL NAIL LEFT 260MM	SUP-97-04018	CDM			278	RC		outpatient			3776.3	3776.32	3776.3				fee schedule		3776.3				other	OPPS APC	2152.49				percent of total billed charges		3776.3				other	OPPS APC	3776.3				other	OPPS APC	1850.39				percent of total billed charges		1925.91				percent of total billed charges		3776.32				other	OPPS APC	1850.39	3776.32	
T2 LONG PROXIMAL NAIL LEFT 260MM	SUP-97-04018	CDM			278	RC		inpatient			3776.3	3776.3																																																			
T2 LONG PROXIMAL NAIL LFT.280MM HUMERAL	SUP-97-04723	CDM			278	RC		outpatient			3776.3	3776.32	3776.3				fee schedule		3776.3				other	OPPS APC	2152.49				percent of total billed charges		3776.3				other	OPPS APC	3776.3				other	OPPS APC	1850.39				percent of total billed charges		1925.91				percent of total billed charges		3776.32				other	OPPS APC	1850.39	3776.32	
T2 LONG PROXIMAL NAIL LFT.280MM HUMERAL	SUP-97-04723	CDM			278	RC		inpatient			3776.3	3776.3																																																			
T2 LONG PROXIMAL HUMERAL NAIL LF.300MM	SUP-97-05078	CDM			278	RC		outpatient			3776.3	3776.32	3776.3				fee schedule		3776.3				other	OPPS APC	2152.49				percent of total billed charges		3776.3				other	OPPS APC	3776.3				other	OPPS APC	1850.39				percent of total billed charges		1925.91				percent of total billed charges		3776.32				other	OPPS APC	1850.39	3776.32	
T2 LONG PROXIMAL HUMERAL NAIL LF.300MM	SUP-97-05078	CDM			278	RC		inpatient			3776.3	3776.3																																																			
VENTRALIGHT ST 7X9	SUP-97-00213	CDM			278	RC		outpatient			3775.95	3775.95	3775.95				fee schedule		3775.95				other	OPPS APC	2152.29				percent of total billed charges		3775.95				other	OPPS APC	3775.95				other	OPPS APC	1850.22				percent of total billed charges		1925.73				percent of total billed charges		3775.95				other	OPPS APC	1850.22	3775.95	
VENTRALIGHT ST 7X9	SUP-97-00213	CDM			278	RC		inpatient			3775.95	3775.95																																																			
3.5MM LCP LOW BEND PLATE RT/187MM-STER	SUP-97-04557	CDM			278	RC		outpatient			3774.83	3774.83	3774.83				fee schedule		3774.83				other	OPPS APC	2151.65				percent of total billed charges		3774.83				other	OPPS APC	3774.83				other	OPPS APC	1849.67				percent of total billed charges		1925.16				percent of total billed charges		3774.83				other	OPPS APC	1849.67	3774.83	
3.5MM LCP LOW BEND PLATE RT/187MM-STER	SUP-97-04557	CDM			278	RC		inpatient			3774.83	3774.83																																																			
PLATE BONE LCP STAINLESS STEEL LONG L268 MM X W12 MM X H3.7 MM PROXIMAL 12 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.925	CDM	270010022	LOCAL	270	RC		outpatient			3770.8	377.82	1021.51				percent of total billed charges		3770.8				other	OPPS APC	2790.39				percent of total billed charges		3770.8				other	OPPS APC	3770.8				other	OPPS APC	1021.51				percent of total billed charges		1041.87				percent of total billed charges		377.82				other	OPPS APC	377.82	3770.8	
PLATE BONE LCP STAINLESS STEEL LONG L268 MM X W12 MM X H3.7 MM PROXIMAL 12 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.925	CDM	270010022	LOCAL	270	RC		inpatient			3770.8	3770.8																																																			
STENT VASCULAR ZILVER PTX 100MM 125CM 6MM 6FR PACLITAXEL ELUTING NITINOL STERILE PERIPHERAL OTW DELIVERY SYSTEM ACCEPTS	SUP-G38481	CDM			270	RC		outpatient			3770	377	1021.29				percent of total billed charges		3770				other	OPPS APC	2789.8				percent of total billed charges		3770				other	OPPS APC	3770				other	OPPS APC	1021.29				percent of total billed charges		1041.65				percent of total billed charges		377				other	OPPS APC	377	3770	
STENT VASCULAR ZILVER PTX 100MM 125CM 6MM 6FR PACLITAXEL ELUTING NITINOL STERILE PERIPHERAL OTW DELIVERY SYSTEM ACCEPTS	SUP-G38481	CDM			270	RC		inpatient			3770	3770																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.344S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.344S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.345S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.345S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.348S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.348S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.349S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.349S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.352S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.352S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.353S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.353S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.356S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.356S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.357S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.357S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.360S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.360S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.361S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.361S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.364S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD10 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.364S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.365S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD10 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.365S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.444S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.444S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.445S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.445S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.448S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.448S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.449S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.449S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.452S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.452S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.453S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.453S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.456S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.456S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.457S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.457S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.460S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.460S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.461S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.461S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.464S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD11 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.464S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.465S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD11 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.465S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.544S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.544S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.545S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.545S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM HELICAL FLUTE L340 MM OD12 MM FEMORAL RIGHT LATERAL ANATOMIC CANNULATED RECONSTRUCTION STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.003.548S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM HELICAL FLUTE L340 MM OD12 MM FEMORAL RIGHT LATERAL ANATOMIC CANNULATED RECONSTRUCTION STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.003.548S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.549S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.549S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.552S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.552S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.553S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.553S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.556S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.556S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM HELICAL FLUTE L380 MM OD12 MM FEMORAL LEFT LATERAL ANATOMIC CANNULATED RECONSTRUCTION STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.003.557S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM HELICAL FLUTE L380 MM OD12 MM FEMORAL LEFT LATERAL ANATOMIC CANNULATED RECONSTRUCTION STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.003.557S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.560S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.560S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.561S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.561S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.564S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD12 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.564S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.565S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD12 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.565S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.644S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.644S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.645S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L320 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.645S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.648S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.648S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.649S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L340 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.649S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM HELICAL FLUTE L360 MM OD13 MM FEMORAL RIGHT RECONSTRUCTION CANNULATED LATERAL ENTRY STERILE GREEN	SUP-04.003.652S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM HELICAL FLUTE L360 MM OD13 MM FEMORAL RIGHT RECONSTRUCTION CANNULATED LATERAL ENTRY STERILE GREEN	SUP-04.003.652S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.653S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L360 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.653S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.656S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.656S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.657S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L380 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.657S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.660S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.660S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.661S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L400 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.661S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.664S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD13 MM RIGHT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.664S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.665S	CDM	270010022	LOCAL	270	RC		outpatient			3769.7	3769.7	1021.21				percent of total billed charges		3769.7				other	OPPS APC	2789.58				percent of total billed charges		3769.7				other	OPPS APC	3769.7				other	OPPS APC	1021.21				percent of total billed charges		1041.57				percent of total billed charges		3769.7				other	OPPS APC	1021.21	3769.7	
NAIL INTRAMEDULLARY EXPERT TITANIUM L420 MM OD13 MM LEFT FEMUR ANATOMIC CANNULATED HELICAL FLUTED LATERAL ENTRY RECONSTRUCTION STERILE LIGHT GREEN	SUP-04.003.665S	CDM	270010022	LOCAL	270	RC		inpatient			3769.7	3769.7																																																			
PLATE BONE TITANIUM STRAIGHT WRIST 9 HOLE FUSION NONSTERILE SMALL FRAGMENT SET	SUP-04.110.152	CDM	270010022	LOCAL	270	RC		outpatient			3760.9	376.91	1018.83				percent of total billed charges		3760.9				other	OPPS APC	2783.07				percent of total billed charges		3760.9				other	OPPS APC	3760.9				other	OPPS APC	1018.83				percent of total billed charges		1039.14				percent of total billed charges		376.91				other	OPPS APC	376.91	3760.9	
PLATE BONE TITANIUM STRAIGHT WRIST 9 HOLE FUSION NONSTERILE SMALL FRAGMENT SET	SUP-04.110.152	CDM	270010022	LOCAL	270	RC		inpatient			3760.9	3760.9																																																			
NAIL CANN  TROCH 10MM/130DEG	SUP-97-00627	CDM			278	RC		outpatient			3760.6	376.6	3760.6				fee schedule		3760.6				other	OPPS APC	2143.54				percent of total billed charges		3760.6				other	OPPS APC	3760.6				other	OPPS APC	1842.69				percent of total billed charges		1917.91				percent of total billed charges		376.6				other	OPPS APC	376.6	3760.6	
NAIL CANN  TROCH 10MM/130DEG	SUP-97-00627	CDM			278	RC		inpatient			3760.6	3760.6																																																			
GRAFT ECHO2 CIRCLE 7 x 9 IN (5991823)	SUP-75-00158	CDM						inpatient			3756.75	3756.75																																																			
GRAFT ECHO2 CIRCLE 7 x 9 IN (5991823)	SUP-75-00158	CDM						outpatient			3756.75	3756.75	3756.75				percent of total billed charges		3756.75				other	OPPS APC	3756.75				fee schedule		3756.75				other	OPPS APC	3756.75				other	OPPS APC	3756.75				case rate		3756.75				case rate		3756.75				other	OPPS APC	3756.75	3756.75	
PLATE BONE LCP STAINLESS STEEL L349 MM FEMUR PROXIMAL 14 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.126	CDM	270010022	LOCAL	270	RC		outpatient			3755.4	3755.41	1017.34				percent of total billed charges		3755.4				other	OPPS APC	2779				percent of total billed charges		3755.4				other	OPPS APC	3755.4				other	OPPS APC	1017.34				percent of total billed charges		1037.62				percent of total billed charges		3755.41				other	OPPS APC	1017.34	3755.41	
PLATE BONE LCP STAINLESS STEEL L349 MM FEMUR PROXIMAL 14 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.126	CDM	270010022	LOCAL	270	RC		inpatient			3755.4	3755.4																																																			
HC Cc Pacemaker Pocket Revision	PX-481332221	CDM	33222	CPT	481	RC		outpatient			3750	1817.71	352.17				fee schedule		1817.71				other	OPPS APC	2775				percent of total billed charges		1817.71				other	OPPS APC	1817.71				other	OPPS APC	337.96				fee schedule		1912.5				percent of total billed charges		1817.71				other	OPPS APC	337.96	2775	
HC Cc Pacemaker Pocket Revision	PX-481332221	CDM	33222	CPT	481	RC		inpatient			3750	3750																																																			
SCOPE LITHOVUE	SUP-77-00057	CDM			272	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
SCOPE LITHOVUE	SUP-77-00057	CDM			272	RC		inpatient			3750	3750																																																			
HEMOSPRAY 7FR	SUP-95-03534	CDM			272	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
HEMOSPRAY 7FR	SUP-95-03534	CDM			272	RC		inpatient			3750	3750																																																			
DILUMEN ENDOLUMENAL INTERVENTIONAL PLATFORM 103CM	SUP-95-04683	CDM			272	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
DILUMEN ENDOLUMENAL INTERVENTIONAL PLATFORM 103CM	SUP-95-04683	CDM			272	RC		inpatient			3750	3750																																																			
DILUMEN ENDOLUMENAL INTERVENTIONAL PLATFORM 130CM LENGTH	SUP-95-05160	CDM			272	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
DILUMEN ENDOLUMENAL INTERVENTIONAL PLATFORM 130CM LENGTH	SUP-95-05160	CDM			272	RC		inpatient			3750	3750																																																			
ENDOCLOT HEMOSTATIC SYSTEM 5GM	SUP-95-05513	CDM			272	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
ENDOCLOT HEMOSTATIC SYSTEM 5GM	SUP-95-05513	CDM			272	RC		inpatient			3750	3750																																																			
GRAFT BIO 4 5CC (3102-2105)	SUP-97-00810	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
GRAFT BIO 4 5CC (3102-2105)	SUP-97-00810	CDM			278	RC		inpatient			3750	3750																																																			
TISSUE EXPANDERS 650CC	SUP-97-01100	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
TISSUE EXPANDERS 650CC	SUP-97-01100	CDM			278	RC		inpatient			3750	3750																																																			
SHAVER FORMULA 180	SUP-97-01898	CDM			272	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
SHAVER FORMULA 180	SUP-97-01898	CDM			272	RC		inpatient			3750	3750																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01927	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01927	CDM			278	RC		inpatient			3750	3750																																																			
HEMI FEMORAL SHAFT166.202MM	SUP-97-02056	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
HEMI FEMORAL SHAFT166.202MM	SUP-97-02056	CDM			278	RC		inpatient			3750	3750																																																			
HEMISPHERICAL SOLID BACK SHELL	SUP-97-02514	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
HEMISPHERICAL SOLID BACK SHELL	SUP-97-02514	CDM			278	RC		inpatient			3750	3750																																																			
ATTUNE REV AUG LM RL SZ5/6 10MM	SUP-97-03344	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
ATTUNE REV AUG LM RL SZ5/6 10MM	SUP-97-03344	CDM			278	RC		inpatient			3750	3750																																																			
STAPLE 18 X 20 EASYFUSE	SUP-97-05797	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
STAPLE 18 X 20 EASYFUSE	SUP-97-05797	CDM			278	RC		inpatient			3750	3750																																																			
ARTICULAR COMPONENT 12MM 1.5 X 2MM MTP	SUP-97-06260	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
ARTICULAR COMPONENT 12MM 1.5 X 2MM MTP	SUP-97-06260	CDM			278	RC		inpatient			3750	3750																																																			
ACCOLADE C CS 127 NK	SUP-97-06395	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
ACCOLADE C CS 127 NK	SUP-97-06395	CDM			278	RC		inpatient			3750	3750																																																			
STAPLE 15 X 12 EASYFUSE	SUP-97-06425	CDM			278	RC		outpatient			3750	375	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges		375				other	OPPS APC	375	3750	
STAPLE 15 X 12 EASYFUSE	SUP-97-06425	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 24X45	SUP-99-01934	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 24X45	SUP-99-01934	CDM			278	RC		outpatient			3750	3750					fee schedule						other	OPPS APC	2137.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	2137.5	2137.5	
STENT - WALLSTENT 20X80	SUP-99-02004	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 20X80	SUP-99-02004	CDM			278	RC		outpatient			3750	3750					fee schedule						other	OPPS APC	2137.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	2137.5	2137.5	
STENT - WALLSTENT 22X70	SUP-99-02005	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 22X70	SUP-99-02005	CDM			278	RC		outpatient			3750	3750					fee schedule						other	OPPS APC	2137.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	2137.5	2137.5	
STENT - WALLSTENT 24X70	SUP-99-02006	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 24X70	SUP-99-02006	CDM			278	RC		outpatient			3750	3750					fee schedule						other	OPPS APC	2137.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	2137.5	2137.5	
STENT - WALLSTENT 18X90	SUP-99-02050	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 18X90	SUP-99-02050	CDM			278	RC		outpatient			3750	3750					fee schedule						other	OPPS APC	2137.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	2137.5	2137.5	
STENT - WALLSTENT 16X90	SUP-99-03368	CDM			278	RC		inpatient			3750	3750																																																			
STENT - WALLSTENT 16X90	SUP-99-03368	CDM			278	RC		outpatient			3750	3750	3750				fee schedule		3750				other	OPPS APC	2137.5				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	3750	3750	
STENT - EVERFLEX 6X200	SUP-99-03458	CDM			278	RC		inpatient			3750	3750																																																			
STENT - EVERFLEX 6X200	SUP-99-03458	CDM			278	RC		outpatient			3750	3750					fee schedule						other	OPPS APC	2137.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1837.5				percent of total billed charges		1912.5				percent of total billed charges						other	OPPS APC	2137.5	2137.5	
VEST HALO AIRFLOW SMALL 28-38	SUP-AF101	CDM			270	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
VEST HALO AIRFLOW SMALL 28-38	SUP-AF101	CDM			270	RC		inpatient			3750	3750																																																			
VEST HALO AIRFLOW TALL 30 TO 44IN	SUP-AF102	CDM			270	RC		outpatient			3750	375	1015.88				percent of total billed charges		3750				other	OPPS APC	2775				percent of total billed charges		3750				other	OPPS APC	3750				other	OPPS APC	1015.88				percent of total billed charges		1036.13				percent of total billed charges		375				other	OPPS APC	375	3750	
VEST HALO AIRFLOW TALL 30 TO 44IN	SUP-AF102	CDM			270	RC		inpatient			3750	3750																																																			
HC Needle Biopsy of Pancreas	PX-361481020	CDM	48102	CPT	361	RC		outpatient			3748.88	3748.88	1183.9				percent of total billed charges		3748.88				other	OPPS APC	3748.88				fee schedule		3748.88				other	OPPS APC	3748.88				other	OPPS APC	1183.9				percent of total billed charges		1207.51				percent of total billed charges		3748.88				other	OPPS APC	1183.9	3748.88	
HC Needle Biopsy of Pancreas	PX-361481020	CDM	48102	CPT	361	RC		inpatient			3748.88	3748.88																																																			
HC Drainage of Finger Abscess  Complicated	PX-450260111	CDM	26011	CPT	450	RC		outpatient			3748.87	3748.87	195.77				case rate		3748.87				other	OPPS APC	2774.16				percent of total billed charges		3748.87				other	OPPS APC	3748.87				other	OPPS APC	195.77				case rate		199.69				case rate		3748.87				other	OPPS APC	195.77	3748.87	
HC Drainage of Finger Abscess  Complicated	PX-450260111	CDM	26011	CPT	450	RC		inpatient			3748.87	3748.87																																																			
AUGMENT TIBIAL MBT 3 5MM STERILE LF KNEE REVISION STEP WEDGE	SUP-1294-56-130	CDM	270010025	LOCAL	270	RC		outpatient			3748.8	3748.82	1015.55				percent of total billed charges		3748.8				other	OPPS APC	2774.11				percent of total billed charges		3748.8				other	OPPS APC	3748.8				other	OPPS APC	1015.55				percent of total billed charges		1035.79				percent of total billed charges		3748.82				other	OPPS APC	1015.55	3748.82	
AUGMENT TIBIAL MBT 3 5MM STERILE LF KNEE REVISION STEP WEDGE	SUP-1294-56-130	CDM	270010025	LOCAL	270	RC		inpatient			3748.8	3748.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L221 MM X W 11.5 MM  X H 3.6MM W32.3 MM X H 1.9 MM TIBIAL LEFT PROXIMAL LATERAL 18 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463118	CDM			270	RC		outpatient			3748	3748	1015.33				percent of total billed charges		3748				other	OPPS APC	2773.52				percent of total billed charges		3748				other	OPPS APC	3748				other	OPPS APC	1015.33				percent of total billed charges		1035.57				percent of total billed charges		3748				other	OPPS APC	1015.33	3748	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L221 MM X W 11.5 MM  X H 3.6MM W32.3 MM X H 1.9 MM TIBIAL LEFT PROXIMAL LATERAL 18 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463118	CDM			270	RC		inpatient			3748	3748																																																			
VALVE DELTA REG PRESS LEVEL 1 IMP	SUP-42822	CDM			270	RC		outpatient			3747.84	3747.84	1015.29				percent of total billed charges		3747.84				other	OPPS APC	2773.4				percent of total billed charges		3747.84				other	OPPS APC	3747.84				other	OPPS APC	1015.29				percent of total billed charges		1035.53				percent of total billed charges		3747.84				other	OPPS APC	1015.29	3747.84	
VALVE DELTA REG PRESS LEVEL 1 IMP	SUP-42822	CDM			270	RC		inpatient			3747.84	3747.84																																																			
TRASTUZUMAB PER 10 MG	636000000	CDM	50242-132-01	NDC	J9355	HCPCS		inpatient			3740.2	3740.2																																																			
TRASTUZUMAB PER 10 MG	636000000	CDM	50242-132-01	NDC	J9355	HCPCS		outpatient			3740.2	85.28																																											85.28				other	OPPS APC	85.28	85.28	
CABLE - OCTARAY CABLE	SUP-99-04789	CDM			278	RC		outpatient			3740	374	3740				fee schedule		3740				other	OPPS APC	2131.8				percent of total billed charges		3740				other	OPPS APC	3740				other	OPPS APC	1832.6				percent of total billed charges		1907.4				percent of total billed charges		374				other	OPPS APC	374	3740	
CABLE - OCTARAY CABLE	SUP-99-04789	CDM			278	RC		inpatient			3740	3740																																																			
GLENOSPHERE 39 +4 LATERAL/24	SUP-54747	CDM			278	RC		outpatient			3737.9	3737.91	3737.9				fee schedule		3737.9				other	OPPS APC	2130.6				percent of total billed charges		3737.9				other	OPPS APC	3737.9				other	OPPS APC	1831.57				percent of total billed charges		1906.33				percent of total billed charges		3737.91				other	OPPS APC	1831.57	3737.91	
GLENOSPHERE 39 +4 LATERAL/24	SUP-54747	CDM			278	RC		inpatient			3737.9	3737.9																																																			
VENSURE TM NAV	SUP-95-23860	CDM			272	RC		outpatient			3737.5	3737.5	1012.49				percent of total billed charges		3737.5				other	OPPS APC	2765.75				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1012.49				percent of total billed charges		1032.67				percent of total billed charges		3737.5				other	OPPS APC	1012.49	3737.5	
VENSURE TM NAV	SUP-95-23860	CDM			272	RC		inpatient			3737.5	3737.5																																																			
AMNIOFIX 4CMX4CM	SUP-97-03018	CDM						inpatient			3737.5	3737.5																																																			
AMNIOFIX 4CMX4CM	SUP-97-03018	CDM						outpatient			3737.5	3737.5	3737.5				percent of total billed charges		3737.5				other	OPPS APC	3737.5				fee schedule		3737.5				other	OPPS APC	3737.5				other	OPPS APC	3737.5				case rate		3737.5				case rate		3737.5				other	OPPS APC	3737.5	3737.5	
KNOTLESS T-ROPE SYN DESMOSIS	SUP-97-03364	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
KNOTLESS T-ROPE SYN DESMOSIS	SUP-97-03364	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE NITINOL COMPRESSION 15WX12L	SUP-97-03471	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE NITINOL COMPRESSION 15WX12L	SUP-97-03471	CDM			278	RC		inpatient			3737.5	3737.5																																																			
DORSAL MIDFOOT FUSION PLATE 3MM LG	SUP-97-03529	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
DORSAL MIDFOOT FUSION PLATE 3MM LG	SUP-97-03529	CDM			278	RC		inpatient			3737.5	3737.5																																																			
K-LESS T ROPE W/DRV SYN REPR SS	SUP-97-03531	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
K-LESS T ROPE W/DRV SYN REPR SS	SUP-97-03531	CDM			278	RC		inpatient			3737.5	3737.5																																																			
PARS SUTURE IMPLANT KIT W/SUTURE TAPE	SUP-97-04252	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
PARS SUTURE IMPLANT KIT W/SUTURE TAPE	SUP-97-04252	CDM			278	RC		inpatient			3737.5	3737.5																																																			
INTERNAL BRACE KIT W/CC FT & JUMP START	SUP-97-04266	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
INTERNAL BRACE KIT W/CC FT & JUMP START	SUP-97-04266	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE DYNANITE NITI W/INST 9MM X 7MM	SUP-97-04636	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE DYNANITE NITI W/INST 9MM X 7MM	SUP-97-04636	CDM			278	RC		inpatient			3737.5	3737.5																																																			
FHL TENDON TRANSFER KIT	SUP-97-04673	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
FHL TENDON TRANSFER KIT	SUP-97-04673	CDM			278	RC		inpatient			3737.5	3737.5																																																			
INTERNALBRACE LISFRANC REPAIR KIT	SUP-97-04727	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
INTERNALBRACE LISFRANC REPAIR KIT	SUP-97-04727	CDM			278	RC		inpatient			3737.5	3737.5																																																			
FHL INPLANT SYSTEM 6.25MM	SUP-97-04756	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
FHL INPLANT SYSTEM 6.25MM	SUP-97-04756	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE DYNANITE NITI W/INST 9MM X 10MM	SUP-97-04964	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE DYNANITE NITI W/INST 9MM X 10MM	SUP-97-04964	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE DYNANITE NIT W/INST 11MM X 15\12M	SUP-97-05046	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE DYNANITE NIT W/INST 11MM X 15\12M	SUP-97-05046	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE DYNANITE NITI W/INST 11MM X 10MM	SUP-97-05073	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE DYNANITE NITI W/INST 11MM X 10MM	SUP-97-05073	CDM			278	RC		inpatient			3737.5	3737.5																																																			
DYNANITE PIP STR 14MM W/INSTR	SUP-97-05168	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
DYNANITE PIP STR 14MM W/INSTR	SUP-97-05168	CDM			278	RC		inpatient			3737.5	3737.5																																																			
DYNANITE PIP - BENT 12MM - W/INSTR	SUP-97-05239	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
DYNANITE PIP - BENT 12MM - W/INSTR	SUP-97-05239	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE DYNANITE NITI 13MM X 10MM	SUP-97-05289	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE DYNANITE NITI 13MM X 10MM	SUP-97-05289	CDM			278	RC		inpatient			3737.5	3737.5																																																			
STAPLE DYNANITE NITI 13MM X 15/12MM	SUP-97-05290	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
STAPLE DYNANITE NITI 13MM X 15/12MM	SUP-97-05290	CDM			278	RC		inpatient			3737.5	3737.5																																																			
DYNANITE PIP-STR 12MM W/INSTR	SUP-97-05310	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
DYNANITE PIP-STR 12MM W/INSTR	SUP-97-05310	CDM			278	RC		inpatient			3737.5	3737.5																																																			
INTERNAL BRACE KIT W/ CC FT AND JUMPSTART	SUP-97-05762	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
INTERNAL BRACE KIT W/ CC FT AND JUMPSTART	SUP-97-05762	CDM			278	RC		inpatient			3737.5	3737.5																																																			
PLATE 3MM SMALL DORSAL MIDFOOT FUSION	SUP-97-05813	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
PLATE 3MM SMALL DORSAL MIDFOOT FUSION	SUP-97-05813	CDM			278	RC		inpatient			3737.5	3737.5																																																			
CELLERATE RX ACTIVATED COLLAGEN 5G	SUP-97-06376	CDM			272	RC		outpatient			3737.5	3737.5	1012.49				percent of total billed charges		3737.5				other	OPPS APC	2765.75				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1012.49				percent of total billed charges		1032.67				percent of total billed charges		3737.5				other	OPPS APC	1012.49	3737.5	
CELLERATE RX ACTIVATED COLLAGEN 5G	SUP-97-06376	CDM			272	RC		inpatient			3737.5	3737.5																																																			
FDL IMPLANT SYSTEM 4.75MM	SUP-97-23738	CDM			278	RC		outpatient			3737.5	3737.5	3737.5				fee schedule		3737.5				other	OPPS APC	2130.38				percent of total billed charges		3737.5				other	OPPS APC	3737.5				other	OPPS APC	1831.38				percent of total billed charges		1906.13				percent of total billed charges		3737.5				other	OPPS APC	1831.38	3737.5	
FDL IMPLANT SYSTEM 4.75MM	SUP-97-23738	CDM			278	RC		inpatient			3737.5	3737.5																																																			
GRAFT VASCULAR GORE-TEX THIN WALL L70 CM L60 CM ID6 MM REMOVABLE RING LINE STERILE	SUP-RRT06060070L	CDM			270	RC		outpatient			3732	3732	1011				percent of total billed charges		3732				other	OPPS APC	2761.68				percent of total billed charges		3732				other	OPPS APC	3732				other	OPPS APC	1011				percent of total billed charges		1031.15				percent of total billed charges		3732				other	OPPS APC	1011	3732	
GRAFT VASCULAR GORE-TEX THIN WALL L70 CM L60 CM ID6 MM REMOVABLE RING LINE STERILE	SUP-RRT06060070L	CDM			270	RC		inpatient			3732	3732																																																			
OSS TIBIAL POLY BEARING 22 MM	SUP-97-23625	CDM			278	RC		outpatient			3731.25	3731.25	3731.25				fee schedule		3731.25				other	OPPS APC	2126.81				percent of total billed charges		3731.25				other	OPPS APC	3731.25				other	OPPS APC	1828.31				percent of total billed charges		1902.94				percent of total billed charges		3731.25				other	OPPS APC	1828.31	3731.25	
OSS TIBIAL POLY BEARING 22 MM	SUP-97-23625	CDM			278	RC		inpatient			3731.25	3731.25																																																			
PSN TIB STM 5 DEG SZ F L	SUP-97-23708	CDM			278	RC		outpatient			3730	373	3730				fee schedule		3730				other	OPPS APC	2126.1				percent of total billed charges		3730				other	OPPS APC	3730				other	OPPS APC	1827.7				percent of total billed charges		1902.3				percent of total billed charges		373				other	OPPS APC	373	3730	
PSN TIB STM 5 DEG SZ F L	SUP-97-23708	CDM			278	RC		inpatient			3730	3730																																																			
BALLOON - IN.PACT ADMIRAL 7X40	SUP-99-02188	CDM			272	RC		outpatient			3725	3725	1009.1				percent of total billed charges		3725				other	OPPS APC	2756.5				percent of total billed charges		3725				other	OPPS APC	3725				other	OPPS APC	1009.1				percent of total billed charges		1029.22				percent of total billed charges		3725				other	OPPS APC	1009.1	3725	
BALLOON - IN.PACT ADMIRAL 7X40	SUP-99-02188	CDM			272	RC		inpatient			3725	3725																																																			
BALLOON - IN.PACT ADMIRAL 7X60	SUP-99-02189	CDM			272	RC		outpatient			3725	3725	1009.1				percent of total billed charges		3725				other	OPPS APC	2756.5				percent of total billed charges		3725				other	OPPS APC	3725				other	OPPS APC	1009.1				percent of total billed charges		1029.22				percent of total billed charges		3725				other	OPPS APC	1009.1	3725	
BALLOON - IN.PACT ADMIRAL 7X60	SUP-99-02189	CDM			272	RC		inpatient			3725	3725																																																			
BALLOON - IN.PACT ADMIRAL 7X80	SUP-99-02190	CDM			272	RC		outpatient			3725	3725	1009.1				percent of total billed charges		3725				other	OPPS APC	2756.5				percent of total billed charges		3725				other	OPPS APC	3725				other	OPPS APC	1009.1				percent of total billed charges		1029.22				percent of total billed charges		3725				other	OPPS APC	1009.1	3725	
BALLOON - IN.PACT ADMIRAL 7X80	SUP-99-02190	CDM			272	RC		inpatient			3725	3725																																																			
BALLOON - IN.PACT ADMIRAL 6X60	SUP-99-03558	CDM			272	RC		outpatient			3725	3725	1009.1				percent of total billed charges		3725				other	OPPS APC	2756.5				percent of total billed charges		3725				other	OPPS APC	3725				other	OPPS APC	1009.1				percent of total billed charges		1029.22				percent of total billed charges		3725				other	OPPS APC	1009.1	3725	
BALLOON - IN.PACT ADMIRAL 6X60	SUP-99-03558	CDM			272	RC		inpatient			3725	3725																																																			
BALLOON - IN.PACT ADMIRAL 6X80	SUP-99-03575	CDM			272	RC		outpatient			3725	3725	1009.1				percent of total billed charges		3725				other	OPPS APC	2756.5				percent of total billed charges		3725				other	OPPS APC	3725				other	OPPS APC	1009.1				percent of total billed charges		1029.22				percent of total billed charges		3725				other	OPPS APC	1009.1	3725	
BALLOON - IN.PACT ADMIRAL 6X80	SUP-99-03575	CDM			272	RC		inpatient			3725	3725																																																			
BALLOON - IN.PACT ADMIRAL 4X60	SUP-99-03632	CDM			272	RC		outpatient			3725	3725	1009.1				percent of total billed charges		3725				other	OPPS APC	2756.5				percent of total billed charges		3725				other	OPPS APC	3725				other	OPPS APC	1009.1				percent of total billed charges		1029.22				percent of total billed charges		3725				other	OPPS APC	1009.1	3725	
BALLOON - IN.PACT ADMIRAL 4X60	SUP-99-03632	CDM			272	RC		inpatient			3725	3725																																																			
TIBIAL NAIL 10 X 345MM T2 STANDARD	SUP-97-02704	CDM			278	RC		outpatient			3724.23	3724.23	3724.23				fee schedule		3724.23				other	OPPS APC	2122.81				percent of total billed charges		3724.23				other	OPPS APC	3724.23				other	OPPS APC	1824.87				percent of total billed charges		1899.36				percent of total billed charges		3724.23				other	OPPS APC	1824.87	3724.23	
TIBIAL NAIL 10 X 345MM T2 STANDARD	SUP-97-02704	CDM			278	RC		inpatient			3724.23	3724.23																																																			
TIBIAL NAIL 9 X 285MM	SUP-97-02933	CDM			278	RC		outpatient			3724.23	3724.23	3724.23				fee schedule		3724.23				other	OPPS APC	2122.81				percent of total billed charges		3724.23				other	OPPS APC	3724.23				other	OPPS APC	1824.87				percent of total billed charges		1899.36				percent of total billed charges		3724.23				other	OPPS APC	1824.87	3724.23	
TIBIAL NAIL 9 X 285MM	SUP-97-02933	CDM			278	RC		inpatient			3724.23	3724.23																																																			
BIOCOMPOSITE IMPLANT SYSTEM MPFL KIT	SUP-97-03382	CDM			278	RC		outpatient			3717.5	3717.5	3717.5				fee schedule		3717.5				other	OPPS APC	2118.98				percent of total billed charges		3717.5				other	OPPS APC	3717.5				other	OPPS APC	1821.58				percent of total billed charges		1895.93				percent of total billed charges		3717.5				other	OPPS APC	1821.58	3717.5	
BIOCOMPOSITE IMPLANT SYSTEM MPFL KIT	SUP-97-03382	CDM			278	RC		inpatient			3717.5	3717.5																																																			
SCREW BONE XIA TITANIUM L30 MM OD4.5 MM SPINE THORACOLUMBAR POLYAXIAL 4.5 MM ROD	SUP-48144530	CDM	270010020	LOCAL	270	RC		outpatient			3716.18	3716.18	1006.71				percent of total billed charges		3716.18				other	OPPS APC	2749.97				percent of total billed charges		3716.18				other	OPPS APC	3716.18				other	OPPS APC	1006.71				percent of total billed charges		1026.78				percent of total billed charges		3716.18				other	OPPS APC	1006.71	3716.18	
SCREW BONE XIA TITANIUM L30 MM OD4.5 MM SPINE THORACOLUMBAR POLYAXIAL 4.5 MM ROD	SUP-48144530	CDM	270010020	LOCAL	270	RC		inpatient			3716.18	3716.18																																																			
IMPLANT NEXGEN ROTATING HINGE ARTICULAR SURGACE SIZE E 23MM	SUP-00-5880-050-23	CDM	270010025	LOCAL	270	RC		outpatient			3714	3714	1006.12				percent of total billed charges		3714				other	OPPS APC	2748.36				percent of total billed charges		3714				other	OPPS APC	3714				other	OPPS APC	1006.12				percent of total billed charges		1026.18				percent of total billed charges		3714				other	OPPS APC	1006.12	3714	
IMPLANT NEXGEN ROTATING HINGE ARTICULAR SURGACE SIZE E 23MM	SUP-00-5880-050-23	CDM	270010025	LOCAL	270	RC		inpatient			3714	3714																																																			
PLATE BONE LCP STAINLESS STEEL L313 MM FEMUR PROXIMAL 12 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.125	CDM	270010022	LOCAL	270	RC		outpatient			3711.4	3711.41	1005.42				percent of total billed charges		3711.4				other	OPPS APC	2746.44				percent of total billed charges		3711.4				other	OPPS APC	3711.4				other	OPPS APC	1005.42				percent of total billed charges		1025.46				percent of total billed charges		3711.41				other	OPPS APC	1005.42	3711.41	
PLATE BONE LCP STAINLESS STEEL L313 MM FEMUR PROXIMAL 12 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.125	CDM	270010022	LOCAL	270	RC		inpatient			3711.4	3711.4																																																			
STENT BILIARY WALLFLEX .035 IN L40 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE	SUP-M00570890	CDM			270	RC		outpatient			3705.86	375.86	1003.92				percent of total billed charges		3705.86				other	OPPS APC	2742.34				percent of total billed charges		3705.86				other	OPPS APC	3705.86				other	OPPS APC	1003.92				percent of total billed charges		1023.93				percent of total billed charges		375.86				other	OPPS APC	375.86	3705.86	
STENT BILIARY WALLFLEX .035 IN L40 MM OD10 MM ODSEC8.5 FR RAPID EXCHANGE	SUP-M00570890	CDM			270	RC		inpatient			3705.86	3705.86																																																			
PLATE PROXIMAL MED TIB 5 HOLE/L84MM LFT	SUP-97-04714	CDM			278	RC		outpatient			3700.2	37.2	3700.2				fee schedule		3700.2				other	OPPS APC	2109.11				percent of total billed charges		3700.2				other	OPPS APC	3700.2				other	OPPS APC	1813.1				percent of total billed charges		1887.1				percent of total billed charges		37.2				other	OPPS APC	37.2	3700.2	
PLATE PROXIMAL MED TIB 5 HOLE/L84MM LFT	SUP-97-04714	CDM			278	RC		inpatient			3700.2	3700.2																																																			
CATHETER BALLOON OCCLUSION HYPERFORM X-PEDION L4 MM L150 CM L20 MM OD2.8-2.2 FR ODSEC5 MM 1 LUMEN	SUP-104-4520	CDM			270	RC		outpatient			3700	37	1002.33				percent of total billed charges		3700				other	OPPS APC	2738				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1002.33				percent of total billed charges		1022.31				percent of total billed charges		37				other	OPPS APC	37	3700	
CATHETER BALLOON OCCLUSION HYPERFORM X-PEDION L4 MM L150 CM L20 MM OD2.8-2.2 FR ODSEC5 MM 1 LUMEN	SUP-104-4520	CDM			270	RC		inpatient			3700	3700																																																			
GRAFT SOFT TISSUE BIOCLEANSE POSTERIOR TIBIALIS TENDON L200 MM FROZEN	SUP-453316	CDM	270010031	LOCAL	270	RC		outpatient			3700	37	1002.33				percent of total billed charges		3700				other	OPPS APC	2738				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1002.33				percent of total billed charges		1022.31				percent of total billed charges		37				other	OPPS APC	37	3700	
GRAFT SOFT TISSUE BIOCLEANSE POSTERIOR TIBIALIS TENDON L200 MM FROZEN	SUP-453316	CDM	270010031	LOCAL	270	RC		inpatient			3700	3700																																																			
BASEPLATE SIZE 5 TRIATHLON TRITANIUM	SUP-97-04158	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
BASEPLATE SIZE 5 TRIATHLON TRITANIUM	SUP-97-04158	CDM			278	RC		inpatient			3700	3700																																																			
TRI.TRITANIUM BASEPLATE SIZE 6	SUP-97-04307	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRI.TRITANIUM BASEPLATE SIZE 6	SUP-97-04307	CDM			278	RC		inpatient			3700	3700																																																			
TRIA TRITANIUM BASEPLATE SIZE 8	SUP-97-04350	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRIA TRITANIUM BASEPLATE SIZE 8	SUP-97-04350	CDM			278	RC		inpatient			3700	3700																																																			
TRIA TRITANIUM BASEPLATE SIZE 3	SUP-97-04351	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRIA TRITANIUM BASEPLATE SIZE 3	SUP-97-04351	CDM			278	RC		inpatient			3700	3700																																																			
TRIATHLON TRITANIUM BASEPLATE SIZE 4	SUP-97-04362	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRIATHLON TRITANIUM BASEPLATE SIZE 4	SUP-97-04362	CDM			278	RC		inpatient			3700	3700																																																			
TRIATHLON TRITANIUM BASEPLATE SIZE 2	SUP-97-04373	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRIATHLON TRITANIUM BASEPLATE SIZE 2	SUP-97-04373	CDM			278	RC		inpatient			3700	3700																																																			
TRIATHLON TRITANIUM BASEPLATE SIZE 7	SUP-97-04376	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRIATHLON TRITANIUM BASEPLATE SIZE 7	SUP-97-04376	CDM			278	RC		inpatient			3700	3700																																																			
TRIATHLON TRTANIUM BASEPLATE SIZE 1	SUP-97-23666	CDM			278	RC		outpatient			3700	37	3700				fee schedule		3700				other	OPPS APC	2109				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1813				percent of total billed charges		1887				percent of total billed charges		37				other	OPPS APC	37	3700	
TRIATHLON TRTANIUM BASEPLATE SIZE 1	SUP-97-23666	CDM			278	RC		inpatient			3700	3700																																																			
DEVICE CLOSURE ATRICLIP FLEXV L35 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV35	CDM			270	RC		outpatient			3700	37	1002.33				percent of total billed charges		3700				other	OPPS APC	2738				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1002.33				percent of total billed charges		1022.31				percent of total billed charges		37				other	OPPS APC	37	3700	
DEVICE CLOSURE ATRICLIP FLEXV L35 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV35	CDM			270	RC		inpatient			3700	3700																																																			
DEVICE CLOSURE ATRICLIP FLEXV L40 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV40	CDM			270	RC		outpatient			3700	37	1002.33				percent of total billed charges		3700				other	OPPS APC	2738				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1002.33				percent of total billed charges		1022.31				percent of total billed charges		37				other	OPPS APC	37	3700	
DEVICE CLOSURE ATRICLIP FLEXV L40 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV40	CDM			270	RC		inpatient			3700	3700																																																			
DEVICE CLOSURE ATRICLIP FLEXV L45 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV45	CDM			270	RC		outpatient			3700	37	1002.33				percent of total billed charges		3700				other	OPPS APC	2738				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1002.33				percent of total billed charges		1022.31				percent of total billed charges		37				other	OPPS APC	37	3700	
DEVICE CLOSURE ATRICLIP FLEXV L45 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV45	CDM			270	RC		inpatient			3700	3700																																																			
DEVICE CLOSURE ATRICLIP FLEXV L50 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV50	CDM			270	RC		outpatient			3700	37	1002.33				percent of total billed charges		3700				other	OPPS APC	2738				percent of total billed charges		3700				other	OPPS APC	3700				other	OPPS APC	1002.33				percent of total billed charges		1022.31				percent of total billed charges		37				other	OPPS APC	37	3700	
DEVICE CLOSURE ATRICLIP FLEXV L50 MM 1 HAND SMALL FOOTPRINT SUTURE LESS CLIP DEPLOYMENT STERILE LATEX FREE DISPOSABLE LEFT ATRIAL APPENDAGE EXCLUSION SYSTEM	SUP-ACHV50	CDM			270	RC		inpatient			3700	3700																																																			
INSERT ARTICULAR NEXGEN ZIMALOY UHMWPE 5-6 F L77 MM X W44 MM X H14 MM KNEE ROTATE HINGE MACHINE MOLD STERILE	SUP-00-5880-060-14	CDM	270010025	LOCAL	270	RC		outpatient			3696	3696	1001.25				percent of total billed charges		3696				other	OPPS APC	2735.04				percent of total billed charges		3696				other	OPPS APC	3696				other	OPPS APC	1001.25				percent of total billed charges		1021.2				percent of total billed charges		3696				other	OPPS APC	1001.25	3696	
INSERT ARTICULAR NEXGEN ZIMALOY UHMWPE 5-6 F L77 MM X W44 MM X H14 MM KNEE ROTATE HINGE MACHINE MOLD STERILE	SUP-00-5880-060-14	CDM	270010025	LOCAL	270	RC		inpatient			3696	3696																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L46 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.672S	CDM	270010022	LOCAL	270	RC		outpatient			3694.9	3694.91	1000.95				percent of total billed charges		3694.9				other	OPPS APC	2734.23				percent of total billed charges		3694.9				other	OPPS APC	3694.9				other	OPPS APC	1000.95				percent of total billed charges		1020.9				percent of total billed charges		3694.91				other	OPPS APC	1000.95	3694.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L46 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.672S	CDM	270010022	LOCAL	270	RC		inpatient			3694.9	3694.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 160MM	SUP-04.013.712S	CDM	270010022	LOCAL	270	RC		outpatient			3694.9	3694.91	1000.95				percent of total billed charges		3694.9				other	OPPS APC	2734.23				percent of total billed charges		3694.9				other	OPPS APC	3694.9				other	OPPS APC	1000.95				percent of total billed charges		1020.9				percent of total billed charges		3694.91				other	OPPS APC	1000.95	3694.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 160MM	SUP-04.013.712S	CDM	270010022	LOCAL	270	RC		inpatient			3694.9	3694.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L46 CM OD13 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.772S	CDM	270010022	LOCAL	270	RC		outpatient			3694.9	3694.91	1000.95				percent of total billed charges		3694.9				other	OPPS APC	2734.23				percent of total billed charges		3694.9				other	OPPS APC	3694.9				other	OPPS APC	1000.95				percent of total billed charges		1020.9				percent of total billed charges		3694.91				other	OPPS APC	1000.95	3694.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L46 CM OD13 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.772S	CDM	270010022	LOCAL	270	RC		inpatient			3694.9	3694.9																																																			
GUIDEWIRE - FILTERWIRE EMBOSHIELD 5MM	SUP-99-01042	CDM			272	RC		outpatient			3687.5	3687.5	998.94				percent of total billed charges		3687.5				other	OPPS APC	2728.75				percent of total billed charges		3687.5				other	OPPS APC	3687.5				other	OPPS APC	998.94				percent of total billed charges		1018.86				percent of total billed charges		3687.5				other	OPPS APC	998.94	3687.5	
GUIDEWIRE - FILTERWIRE EMBOSHIELD 5MM	SUP-99-01042	CDM			272	RC		inpatient			3687.5	3687.5																																																			
GUIDEWIRE - FILTERWIRE EMBOSHIELD 7.2MM	SUP-99-01043	CDM			272	RC		outpatient			3687.5	3687.5	998.94				percent of total billed charges		3687.5				other	OPPS APC	2728.75				percent of total billed charges		3687.5				other	OPPS APC	3687.5				other	OPPS APC	998.94				percent of total billed charges		1018.86				percent of total billed charges		3687.5				other	OPPS APC	998.94	3687.5	
GUIDEWIRE - FILTERWIRE EMBOSHIELD 7.2MM	SUP-99-01043	CDM			272	RC		inpatient			3687.5	3687.5																																																			
BALLOON - ANGIOSCULPT 4.0X200	SUP-99-01968	CDM			272	RC		outpatient			3687.5	3687.5	998.94				percent of total billed charges		3687.5				other	OPPS APC	2728.75				percent of total billed charges		3687.5				other	OPPS APC	3687.5				other	OPPS APC	998.94				percent of total billed charges		1018.86				percent of total billed charges		3687.5				other	OPPS APC	998.94	3687.5	
BALLOON - ANGIOSCULPT 4.0X200	SUP-99-01968	CDM			272	RC		inpatient			3687.5	3687.5																																																			
BALLOON - ANGIOSCULPT 5.0X200	SUP-99-01969	CDM			272	RC		outpatient			3687.5	3687.5	998.94				percent of total billed charges		3687.5				other	OPPS APC	2728.75				percent of total billed charges		3687.5				other	OPPS APC	3687.5				other	OPPS APC	998.94				percent of total billed charges		1018.86				percent of total billed charges		3687.5				other	OPPS APC	998.94	3687.5	
BALLOON - ANGIOSCULPT 5.0X200	SUP-99-01969	CDM			272	RC		inpatient			3687.5	3687.5																																																			
BALLOON - ANGIOSCULPT 6.0X200	SUP-99-01970	CDM			272	RC		outpatient			3687.5	3687.5	998.94				percent of total billed charges		3687.5				other	OPPS APC	2728.75				percent of total billed charges		3687.5				other	OPPS APC	3687.5				other	OPPS APC	998.94				percent of total billed charges		1018.86				percent of total billed charges		3687.5				other	OPPS APC	998.94	3687.5	
BALLOON - ANGIOSCULPT 6.0X200	SUP-99-01970	CDM			272	RC		inpatient			3687.5	3687.5																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.052S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 320MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.052S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.054S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 340MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.054S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 360MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.056S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 360MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.056S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 360MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.057S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 360MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.057S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.058S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.058S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.059S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.059S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.060S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.060S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.061S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.061S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.062S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.062S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.063S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.063S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.064S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 10MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.064S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.065S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 10MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.065S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT 130D LONG 360MM 11MM GREEN TITANIUM COCR STERILE FEMORAL RIGHT	SUP-04.037.156S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT 130D LONG 360MM 11MM GREEN TITANIUM COCR STERILE FEMORAL RIGHT	SUP-04.037.156S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 360MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.157S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 360MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.157S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.158S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.158S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.159S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 380MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.159S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 11MM GREEN TITANIUM COCR STERILE FEMORAL RIGHT PROXIMAL DISTAL	SUP-04.037.160S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 11MM GREEN TITANIUM COCR STERILE FEMORAL RIGHT PROXIMAL DISTAL	SUP-04.037.160S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 11MM TITANIUM STERILE LF FEMORAL LEFT DISTAL	SUP-04.037.161S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 400MM 11MM TITANIUM STERILE LF FEMORAL LEFT DISTAL	SUP-04.037.161S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.162S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 420MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.162S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.164S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 11MM GREEN TI-15MO STERILE FEMORAL RIGHT PROXIMAL CANNULATED	SUP-04.037.164S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.165S	CDM	270010022	LOCAL	270	RC		outpatient			3686.4	3686.41	998.65				percent of total billed charges		3686.4				other	OPPS APC	2727.94				percent of total billed charges		3686.4				other	OPPS APC	3686.4				other	OPPS APC	998.65				percent of total billed charges		1018.55				percent of total billed charges		3686.41				other	OPPS APC	998.65	3686.41	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D LONG 440MM 11MM GREEN TI-15MO STERILE FEMORAL LEFT PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.165S	CDM	270010022	LOCAL	270	RC		inpatient			3686.4	3686.4																																																			
FEMORAL DISTAL AUGMENT LT SIZE4 5MM	SUP-97-01998	CDM			278	RC		outpatient			3684.38	3684.38	3684.38				fee schedule		3684.38				other	OPPS APC	2100.1				percent of total billed charges		3684.38				other	OPPS APC	3684.38				other	OPPS APC	1805.35				percent of total billed charges		1879.03				percent of total billed charges		3684.38				other	OPPS APC	1805.35	3684.38	
FEMORAL DISTAL AUGMENT LT SIZE4 5MM	SUP-97-01998	CDM			278	RC		inpatient			3684.38	3684.38																																																			
FEMORAL DISTAL AUGMENT LT SIZE4 5MM	SUP-97-01999	CDM			278	RC		outpatient			3684.38	3684.38	3684.38				fee schedule		3684.38				other	OPPS APC	2100.1				percent of total billed charges		3684.38				other	OPPS APC	3684.38				other	OPPS APC	1805.35				percent of total billed charges		1879.03				percent of total billed charges		3684.38				other	OPPS APC	1805.35	3684.38	
FEMORAL DISTAL AUGMENT LT SIZE4 5MM	SUP-97-01999	CDM			278	RC		inpatient			3684.38	3684.38																																																			
BEVACIZUMAB-BVZR 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	0069-0315-01	NDC	Q5118	HCPCS		inpatient			3680.4	3680.4																																																			
BEVACIZUMAB-BVZR 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	0069-0315-01	NDC	Q5118	HCPCS		outpatient			3680.4	22.11																																											22.11				other	OPPS APC	22.11	22.11	
PLATE BONE L278 MM TIBIA RIGHT DISTAL MEDIAL 16 HOLE TAPER TIP OBLONG HOLE LOW PROFILE	SUP-AR-8963MR-16	CDM			270	RC		outpatient			3680	368	996.91				percent of total billed charges		3680				other	OPPS APC	2723.2				percent of total billed charges		3680				other	OPPS APC	3680				other	OPPS APC	996.91				percent of total billed charges		1016.78				percent of total billed charges		368				other	OPPS APC	368	3680	
PLATE BONE L278 MM TIBIA RIGHT DISTAL MEDIAL 16 HOLE TAPER TIP OBLONG HOLE LOW PROFILE	SUP-AR-8963MR-16	CDM			270	RC		inpatient			3680	3680																																																			
STENT - ZILVER PTX 5X60 6F	SUP-99-04507	CDM			278	RC		outpatient			3674.98	3674.98	3674.98				fee schedule		3674.98				other	OPPS APC	2094.74				percent of total billed charges		3674.98				other	OPPS APC	3674.98				other	OPPS APC	1800.74				percent of total billed charges		1874.24				percent of total billed charges		3674.98				other	OPPS APC	1800.74	3674.98	
STENT - ZILVER PTX 5X60 6F	SUP-99-04507	CDM			278	RC		inpatient			3674.98	3674.98																																																			
STENT - ZILVER PTX 6X60 6F	SUP-99-04513	CDM			278	RC		outpatient			3674.98	3674.98	3674.98				fee schedule		3674.98				other	OPPS APC	2094.74				percent of total billed charges		3674.98				other	OPPS APC	3674.98				other	OPPS APC	1800.74				percent of total billed charges		1874.24				percent of total billed charges		3674.98				other	OPPS APC	1800.74	3674.98	
STENT - ZILVER PTX 6X60 6F	SUP-99-04513	CDM			278	RC		inpatient			3674.98	3674.98																																																			
STENT - ZILVER PTX 7X60 6F	SUP-99-04519	CDM			278	RC		outpatient			3674.98	3674.98	3674.98				fee schedule		3674.98				other	OPPS APC	2094.74				percent of total billed charges		3674.98				other	OPPS APC	3674.98				other	OPPS APC	1800.74				percent of total billed charges		1874.24				percent of total billed charges		3674.98				other	OPPS APC	1800.74	3674.98	
STENT - ZILVER PTX 7X60 6F	SUP-99-04519	CDM			278	RC		inpatient			3674.98	3674.98																																																			
STENT - ZILVER PTX 8X60 6F	SUP-99-04524	CDM			278	RC		outpatient			3674.98	3674.98	3674.98				fee schedule		3674.98				other	OPPS APC	2094.74				percent of total billed charges		3674.98				other	OPPS APC	3674.98				other	OPPS APC	1800.74				percent of total billed charges		1874.24				percent of total billed charges		3674.98				other	OPPS APC	1800.74	3674.98	
STENT - ZILVER PTX 8X60 6F	SUP-99-04524	CDM			278	RC		inpatient			3674.98	3674.98																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L80 CM L70 CM ID6 MM REMOVABLE RING LINE STERILE	SUP-RR06070080L	CDM			270	RC		outpatient			3674	3674	995.29				percent of total billed charges		3674				other	OPPS APC	2718.76				percent of total billed charges		3674				other	OPPS APC	3674				other	OPPS APC	995.29				percent of total billed charges		1015.13				percent of total billed charges		3674				other	OPPS APC	995.29	3674	
GRAFT VASCULAR GORE-TEX STANDARD WALL L80 CM L70 CM ID6 MM REMOVABLE RING LINE STERILE	SUP-RR06070080L	CDM			270	RC		inpatient			3674	3674																																																			
GRAFT SOFT TISSUE ALLOMAX HUMAN DERMAL COLLAGEN RECTANGULAR L6.3 IN X W1.6 IN REGENERATIVE STERILE HERNIA ABDOMINAL WALL REPAIR	SUP-1180050	CDM			270	RC		outpatient			3670	367	994.2				percent of total billed charges		3670				other	OPPS APC	2715.8				percent of total billed charges		3670				other	OPPS APC	3670				other	OPPS APC	994.2				percent of total billed charges		1014.02				percent of total billed charges		367				other	OPPS APC	367	3670	
GRAFT SOFT TISSUE ALLOMAX HUMAN DERMAL COLLAGEN RECTANGULAR L6.3 IN X W1.6 IN REGENERATIVE STERILE HERNIA ABDOMINAL WALL REPAIR	SUP-1180050	CDM			270	RC		inpatient			3670	3670																																																			
PSN ASF PS 12MM VE L 6-9 EF	SUP-97-04865	CDM			278	RC		outpatient			3670	367	3670				fee schedule		3670				other	OPPS APC	2091.9				percent of total billed charges		3670				other	OPPS APC	3670				other	OPPS APC	1798.3				percent of total billed charges		1871.7				percent of total billed charges		367				other	OPPS APC	367	3670	
PSN ASF PS 12MM VE L 6-9 EF	SUP-97-04865	CDM			278	RC		inpatient			3670	3670																																																			
PSN ASF PS 10MM VE L 10-12-GH	SUP-97-06423	CDM			278	RC		outpatient			3670	367	3670				fee schedule		3670				other	OPPS APC	2091.9				percent of total billed charges		3670				other	OPPS APC	3670				other	OPPS APC	1798.3				percent of total billed charges		1871.7				percent of total billed charges		367				other	OPPS APC	367	3670	
PSN ASF PS 10MM VE L 10-12-GH	SUP-97-06423	CDM			278	RC		inpatient			3670	3670																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 200MM X W 11.5MM X H 3.6MM X W 32.3 MM X H 1.9MM TIBIAL LEFT PROXIMAL LATERAL 16 HOLE CARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463116	CDM			270	RC		outpatient			3664	3664	992.58				percent of total billed charges		3664				other	OPPS APC	2711.36				percent of total billed charges		3664				other	OPPS APC	3664				other	OPPS APC	992.58				percent of total billed charges		1012.36				percent of total billed charges		3664				other	OPPS APC	992.58	3664	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 200MM X W 11.5MM X H 3.6MM X W 32.3 MM X H 1.9MM TIBIAL LEFT PROXIMAL LATERAL 16 HOLE CARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463116	CDM			270	RC		inpatient			3664	3664																																																			
STEM HUMERAL ARTHREX UNIVERS REVERS 11 SHOULDER STERILE	SUP-AR-9501-11P	CDM	270010030	LOCAL	270	RC		outpatient			3658	3658	990.95				percent of total billed charges		3658				other	OPPS APC	2706.92				percent of total billed charges		3658				other	OPPS APC	3658				other	OPPS APC	990.95				percent of total billed charges		1010.71				percent of total billed charges		3658				other	OPPS APC	990.95	3658	
STEM HUMERAL ARTHREX UNIVERS REVERS 11 SHOULDER STERILE	SUP-AR-9501-11P	CDM	270010030	LOCAL	270	RC		inpatient			3658	3658																																																			
PLATE BONE MATRIXRIB 1.5MM LIGHT BLUE TITANIUM NS SIXTH RIB SEVENTH RIB LEFT 17 HOLE PRECONTOUR LOCK LOW PROFILE	SUP-04.501.005	CDM			270	RC		outpatient			3655.86	3655.86	990.37				percent of total billed charges		3655.86				other	OPPS APC	2705.34				percent of total billed charges		3655.86				other	OPPS APC	3655.86				other	OPPS APC	990.37				percent of total billed charges		1010.11				percent of total billed charges		3655.86				other	OPPS APC	990.37	3655.86	
PLATE BONE MATRIXRIB 1.5MM LIGHT BLUE TITANIUM NS SIXTH RIB SEVENTH RIB LEFT 17 HOLE PRECONTOUR LOCK LOW PROFILE	SUP-04.501.005	CDM			270	RC		inpatient			3655.86	3655.86																																																			
PLATE BONE MATRIXRIB 1.5MM LIGHT BLUE TITANIUM NS EIGHTH RIB NINTH RIB LEFT 18 HOLE PRECONTOUR LOCK LOW PROFILE	SUP-04.501.007	CDM			270	RC		outpatient			3655.86	3655.86	990.37				percent of total billed charges		3655.86				other	OPPS APC	2705.34				percent of total billed charges		3655.86				other	OPPS APC	3655.86				other	OPPS APC	990.37				percent of total billed charges		1010.11				percent of total billed charges		3655.86				other	OPPS APC	990.37	3655.86	
PLATE BONE MATRIXRIB 1.5MM LIGHT BLUE TITANIUM NS EIGHTH RIB NINTH RIB LEFT 18 HOLE PRECONTOUR LOCK LOW PROFILE	SUP-04.501.007	CDM			270	RC		inpatient			3655.86	3655.86																																																			
PLATE BONE MATRIXRIB 1.5MM ROSE RED TITANIUM NS EIGHTH RIB NINTH RIB RIGHT 18 HOLE PRECONTOUR LOCK LOW PROFILE	SUP-04.501.008	CDM			270	RC		outpatient			3655.86	3655.86	990.37				percent of total billed charges		3655.86				other	OPPS APC	2705.34				percent of total billed charges		3655.86				other	OPPS APC	3655.86				other	OPPS APC	990.37				percent of total billed charges		1010.11				percent of total billed charges		3655.86				other	OPPS APC	990.37	3655.86	
PLATE BONE MATRIXRIB 1.5MM ROSE RED TITANIUM NS EIGHTH RIB NINTH RIB RIGHT 18 HOLE PRECONTOUR LOCK LOW PROFILE	SUP-04.501.008	CDM			270	RC		inpatient			3655.86	3655.86																																																			
PLATE BONE UNI-CP L25 MM LOWER EXTREMITY 4 HOLE COMPRESSION	SUP-330425SND	CDM			270	RC		outpatient			3655	3655	990.14				percent of total billed charges		3655				other	OPPS APC	2704.7				percent of total billed charges		3655				other	OPPS APC	3655				other	OPPS APC	990.14				percent of total billed charges		1009.88				percent of total billed charges		3655				other	OPPS APC	990.14	3655	
PLATE BONE UNI-CP L25 MM LOWER EXTREMITY 4 HOLE COMPRESSION	SUP-330425SND	CDM			270	RC		inpatient			3655	3655																																																			
NAIL CANN  TROCH 10MM/130DEG	SUP-97-00626	CDM			278	RC		outpatient			3651.08	3651.8	3651.08				fee schedule		3651.08				other	OPPS APC	2081.12				percent of total billed charges		3651.08				other	OPPS APC	3651.08				other	OPPS APC	1789.03				percent of total billed charges		1862.05				percent of total billed charges		3651.8				other	OPPS APC	1789.03	3651.8	
NAIL CANN  TROCH 10MM/130DEG	SUP-97-00626	CDM			278	RC		inpatient			3651.08	3651.08																																																			
PLATE HUMERAL PROXIMAL LATERAL 8 HOLE LEFT	SUP-97-05766	CDM			278	RC		outpatient			3650.85	365.85	3650.85				fee schedule		3650.85				other	OPPS APC	2080.98				percent of total billed charges		3650.85				other	OPPS APC	3650.85				other	OPPS APC	1788.92				percent of total billed charges		1861.93				percent of total billed charges		365.85				other	OPPS APC	365.85	3650.85	
PLATE HUMERAL PROXIMAL LATERAL 8 HOLE LEFT	SUP-97-05766	CDM			278	RC		inpatient			3650.85	3650.85																																																			
NAIL INTRAMEDULLARY TRIGEN INTERTAN 130 D L 34 CM OD 10 MM LEFT TROCHANTER	SUP-71675510	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY TRIGEN INTERTAN 130 D L 34 CM OD 10 MM LEFT TROCHANTER	SUP-71675510	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN TRIGEN 130 D L 36 CM OD 10 MM FEMUR LEFT STERILE LATEX FREE	SUP-71675512	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN TRIGEN 130 D L 36 CM OD 10 MM FEMUR LEFT STERILE LATEX FREE	SUP-71675512	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 38 CM OD 10 MM LEFT TROCHANTER	SUP-71675514	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 38 CM OD 10 MM LEFT TROCHANTER	SUP-71675514	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 125 D L 40 CM OD 10MM LEFT TROCHANTER	SUP-71675515	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 125 D L 40 CM OD 10MM LEFT TROCHANTER	SUP-71675515	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 40 CM OD 10 MM LEFT TROCHANTER	SUP-71675516	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 40 CM OD 10 MM LEFT TROCHANTER	SUP-71675516	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 125D L 42 CM OD 10 MM LEFT TROCHANTER	SUP-71675517	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 125D L 42 CM OD 10 MM LEFT TROCHANTER	SUP-71675517	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY 130 D L 42 CM OD 10 MM LEFT TROCHANTER	SUP-71675518	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY 130 D L 42 CM OD 10 MM LEFT TROCHANTER	SUP-71675518	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY TRIGEN INTERTAN 130 D L 44 CM OD 10 MM LEFT TROCHANTER	SUP-71675520	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY TRIGEN INTERTAN 130 D L 44 CM OD 10 MM LEFT TROCHANTER	SUP-71675520	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 10MM X 32 125DEG	SUP-71675529	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 10MM X 32 125DEG	SUP-71675529	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 10MM X 34 125DEG	SUP-71675531	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 10MM X 34 125DEG	SUP-71675531	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130D L 34 CM OD 10 MM RIGHT TROCHANTER	SUP-71675532	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130D L 34 CM OD 10 MM RIGHT TROCHANTER	SUP-71675532	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 10MM X 36 125DEG	SUP-71675533	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 10MM X 36 125DEG	SUP-71675533	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 36 CM OD 10 MM RIGHT TROCHANTER	SUP-71675534	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 36 CM OD 10 MM RIGHT TROCHANTER	SUP-71675534	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 10MM X 38 125DEG	SUP-71675535	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 10MM X 38 125DEG	SUP-71675535	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 38 CM OD 10 MM TROCHANTER RIGHT	SUP-71675536	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 38 CM OD 10 MM TROCHANTER RIGHT	SUP-71675536	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 10MM X 40 125DEG	SUP-71675537	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 10MM X 40 125DEG	SUP-71675537	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 40 CM OD 10 MM RIGHT TROCHANTER	SUP-71675538	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 40 CM OD 10 MM RIGHT TROCHANTER	SUP-71675538	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 10MM X 42 125DEG	SUP-71675539	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 10MM X 42 125DEG	SUP-71675539	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 42 CM OD 10 MM RIGHT TROCHANTER	SUP-71675540	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 42 CM OD 10 MM RIGHT TROCHANTER	SUP-71675540	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 44 CM OD 10 MM RIGHT TROCHANTER	SUP-71675542	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D L 44 CM OD 10 MM RIGHT TROCHANTER	SUP-71675542	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN 1.5 11.5 MM X 38CM 130 D LT	SUP-71676579	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN 1.5 11.5 MM X 38CM 130 D LT	SUP-71676579	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D 1.5MM L 40 CM OD 11.5 MM LEFT	SUP-71676581	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D 1.5MM L 40 CM OD 11.5 MM LEFT	SUP-71676581	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D 1.5MM L 42CM OD 11.5 MM LEFT	SUP-71676583	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D 1.5MM L 42CM OD 11.5 MM LEFT	SUP-71676583	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130D 1.5MM L 44 CM OD 11.5MM LEFT	SUP-71676585	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130D 1.5MM L 44 CM OD 11.5MM LEFT	SUP-71676585	CDM			270	RC		inpatient			3650	3650																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D 1.5 MM L 44 CM L 11.5 MM RIGHT	SUP-71676586	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
NAIL INTRAMEDULLARY INTERTAN 130 D 1.5 MM L 44 CM L 11.5 MM RIGHT	SUP-71676586	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 13MM X 32 130DEG	SUP-71676618	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 13MM X 32 130DEG	SUP-71676618	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 13MM X 34 130DEG	SUP-71676620	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 13MM X 34 130DEG	SUP-71676620	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 13MM X 36 130DEG	SUP-71676622	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 13MM X 36 130DEG	SUP-71676622	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 13MM X 38 130DEG	SUP-71676624	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 13MM X 38 130DEG	SUP-71676624	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 13MM X 40 130DEG	SUP-71676626	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 13MM X 40 130DEG	SUP-71676626	CDM			270	RC		inpatient			3650	3650																																																			
INTERTAN RIGHT 13MM X 42 130DEG	SUP-71676628	CDM			270	RC		outpatient			3650	365	988.79				percent of total billed charges		3650				other	OPPS APC	2701				percent of total billed charges		3650				other	OPPS APC	3650				other	OPPS APC	988.79				percent of total billed charges		1008.5				percent of total billed charges		365				other	OPPS APC	365	3650	
INTERTAN RIGHT 13MM X 42 130DEG	SUP-71676628	CDM			270	RC		inpatient			3650	3650																																																			
ALTRX NEUT 32IDX48OD	SUP-97-03794	CDM			278	RC		outpatient			3645	3645	3645				fee schedule		3645				other	OPPS APC	2077.65				percent of total billed charges		3645				other	OPPS APC	3645				other	OPPS APC	1786.05				percent of total billed charges		1858.95				percent of total billed charges		3645				other	OPPS APC	1786.05	3645	
ALTRX NEUT 32IDX48OD	SUP-97-03794	CDM			278	RC		inpatient			3645	3645																																																			
POSTERIOR NEXGEN TRAB METAL AUG BLK SIZE C 5MM	SUP-00-5490-033-01	CDM	270010025	LOCAL	270	RC		outpatient			3640	364	986.08				percent of total billed charges		3640				other	OPPS APC	2693.6				percent of total billed charges		3640				other	OPPS APC	3640				other	OPPS APC	986.08				percent of total billed charges		1005.73				percent of total billed charges		364				other	OPPS APC	364	3640	
POSTERIOR NEXGEN TRAB METAL AUG BLK SIZE C 5MM	SUP-00-5490-033-01	CDM	270010025	LOCAL	270	RC		inpatient			3640	3640																																																			
DISTAL NEXGEN TRAB METAL AUG BLK SIZE C 5MM	SUP-00-5490-033-10	CDM	270010025	LOCAL	270	RC		outpatient			3640	364	986.08				percent of total billed charges		3640				other	OPPS APC	2693.6				percent of total billed charges		3640				other	OPPS APC	3640				other	OPPS APC	986.08				percent of total billed charges		1005.73				percent of total billed charges		364				other	OPPS APC	364	3640	
DISTAL NEXGEN TRAB METAL AUG BLK SIZE C 5MM	SUP-00-5490-033-10	CDM	270010025	LOCAL	270	RC		inpatient			3640	3640																																																			
AUGMENT FEMORAL NEXGEN TRABECULAR METAL E H5 MM KNEE	SUP-00-5490-035-01	CDM	270010025	LOCAL	270	RC		outpatient			3640	364	986.08				percent of total billed charges		3640				other	OPPS APC	2693.6				percent of total billed charges		3640				other	OPPS APC	3640				other	OPPS APC	986.08				percent of total billed charges		1005.73				percent of total billed charges		364				other	OPPS APC	364	3640	
AUGMENT FEMORAL NEXGEN TRABECULAR METAL E H5 MM KNEE	SUP-00-5490-035-01	CDM	270010025	LOCAL	270	RC		inpatient			3640	3640																																																			
AUGMENT FEMORAL NEXGEN TRABECULAR METAL E H10 MM POSTERIOR KNEE	SUP-00-5490-035-02	CDM	270010025	LOCAL	270	RC		outpatient			3640	364	986.08				percent of total billed charges		3640				other	OPPS APC	2693.6				percent of total billed charges		3640				other	OPPS APC	3640				other	OPPS APC	986.08				percent of total billed charges		1005.73				percent of total billed charges		364				other	OPPS APC	364	3640	
AUGMENT FEMORAL NEXGEN TRABECULAR METAL E H10 MM POSTERIOR KNEE	SUP-00-5490-035-02	CDM	270010025	LOCAL	270	RC		inpatient			3640	3640																																																			
BLOCK AUGMENTATION NEXGEN TRABECULAR METAL E H5 MM FEMORAL DISTAL	SUP-00-5490-035-10	CDM			270	RC		outpatient			3640	364	986.08				percent of total billed charges		3640				other	OPPS APC	2693.6				percent of total billed charges		3640				other	OPPS APC	3640				other	OPPS APC	986.08				percent of total billed charges		1005.73				percent of total billed charges		364				other	OPPS APC	364	3640	
BLOCK AUGMENTATION NEXGEN TRABECULAR METAL E H5 MM FEMORAL DISTAL	SUP-00-5490-035-10	CDM			270	RC		inpatient			3640	3640																																																			
HC Closure Surgical Wound  Extesive/Complicated	PX-761131600	CDM	13160	CPT	761	RC		outpatient			3639	3639	195.77				case rate		3639				other	OPPS APC	2692.86				percent of total billed charges		3639				other	OPPS APC	3639				other	OPPS APC	195.77				case rate		1855.89				percent of total billed charges		3639				other	OPPS APC	195.77	3639	
HC Closure Surgical Wound  Extesive/Complicated	PX-761131600	CDM	13160	CPT	761	RC		inpatient			3639	3639																																																			
STEM HUMERAL ARTHREX UNIVERS REVERS 10 SHOULDER STERILE	SUP-52733	CDM			278	RC		outpatient			3638.83	3638.83	3638.83				fee schedule		3638.83				other	OPPS APC	2074.13				percent of total billed charges		3638.83				other	OPPS APC	3638.83				other	OPPS APC	1783.03				percent of total billed charges		1855.8				percent of total billed charges		3638.83				other	OPPS APC	1783.03	3638.83	
STEM HUMERAL ARTHREX UNIVERS REVERS 10 SHOULDER STERILE	SUP-52733	CDM			278	RC		inpatient			3638.83	3638.83																																																			
PLATE VARIAZ LOCKING MEDIAL COMUM FUSION LEFT LONG	SUP-626773S	CDM			270	RC		outpatient			3638.4	3638.41	985.64				percent of total billed charges		3638.4				other	OPPS APC	2692.42				percent of total billed charges		3638.4				other	OPPS APC	3638.4				other	OPPS APC	985.64				percent of total billed charges		1005.29				percent of total billed charges		3638.41				other	OPPS APC	985.64	3638.41	
PLATE VARIAZ LOCKING MEDIAL COMUM FUSION LEFT LONG	SUP-626773S	CDM			270	RC		inpatient			3638.4	3638.4																																																			
STEM EXTENSION GMK L105 MM OD10 MM FLUTED REVISION	SUP-02.07.FCL10105	CDM	270010024	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L105 MM OD10 MM FLUTED REVISION	SUP-02.07.FCL10105	CDM	270010024	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK FLUTE L65 MM OD12 MM KNEE CEMENTLESS	SUP-02.07.FCL12065	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK FLUTE L65 MM OD12 MM KNEE CEMENTLESS	SUP-02.07.FCL12065	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L150 MM OD13 MM FLUTED REVISION	SUP-02.07.FCL13150	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L150 MM OD13 MM FLUTED REVISION	SUP-02.07.FCL13150	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L105 MM OD15 MM FLUTED REVISION	SUP-02.07.FCL15105	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L105 MM OD15 MM FLUTED REVISION	SUP-02.07.FCL15105	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L65 MM OD16 MM FLUTED REVISION	SUP-02.07.FCL16065	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L65 MM OD16 MM FLUTED REVISION	SUP-02.07.FCL16065	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L105 MM OD16 MM FLUTED REVISION	SUP-02.07.FCL16105	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L105 MM OD16 MM FLUTED REVISION	SUP-02.07.FCL16105	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L105 MM OD18 MM FLUTED REVISION	SUP-02.07.FCL18105	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L105 MM OD18 MM FLUTED REVISION	SUP-02.07.FCL18105	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L150 MM OD18 MM FLUTED REVISION	SUP-02.07.FCL18150	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L150 MM OD18 MM FLUTED REVISION	SUP-02.07.FCL18150	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK L105 MM OD20 MM FLUTED REVISION	SUP-02.07.FCL20105	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK L105 MM OD20 MM FLUTED REVISION	SUP-02.07.FCL20105	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
STEM EXTENSION GMK FLUTE L150 MM OD20 MM KNEE CEMENTLESS	SUP-02.07.FCL20150	CDM	270010025	LOCAL	270	RC		outpatient			3636	3636	984.99				percent of total billed charges		3636				other	OPPS APC	2690.64				percent of total billed charges		3636				other	OPPS APC	3636				other	OPPS APC	984.99				percent of total billed charges		1004.63				percent of total billed charges		3636				other	OPPS APC	984.99	3636	
STEM EXTENSION GMK FLUTE L150 MM OD20 MM KNEE CEMENTLESS	SUP-02.07.FCL20150	CDM	270010025	LOCAL	270	RC		inpatient			3636	3636																																																			
PLATE 3 HOLE RIGHT DISTAL HUMERUS 3.5MM	SUP-97-03061	CDM			278	RC		outpatient			3635	3635	3635				fee schedule		3635				other	OPPS APC	2071.95				percent of total billed charges		3635				other	OPPS APC	3635				other	OPPS APC	1781.15				percent of total billed charges		1853.85				percent of total billed charges		3635				other	OPPS APC	1781.15	3635	
PLATE 3 HOLE RIGHT DISTAL HUMERUS 3.5MM	SUP-97-03061	CDM			278	RC		inpatient			3635	3635																																																			
NAIL SUPRACONDYLAR	SUP-97-01333	CDM			278	RC		outpatient			3631.2	3631.2	3631.2				fee schedule		3631.2				other	OPPS APC	2069.78				percent of total billed charges		3631.2				other	OPPS APC	3631.2				other	OPPS APC	1779.29				percent of total billed charges		1851.91				percent of total billed charges		3631.2				other	OPPS APC	1779.29	3631.2	
NAIL SUPRACONDYLAR	SUP-97-01333	CDM			278	RC		inpatient			3631.2	3631.2																																																			
PLATE 6 HOLE HEAD 5 HOLE SHAFT	SUP-97-01278	CDM			278	RC		outpatient			3630.9	363.91	3630.9				fee schedule		3630.9				other	OPPS APC	2069.61				percent of total billed charges		3630.9				other	OPPS APC	3630.9				other	OPPS APC	1779.14				percent of total billed charges		1851.76				percent of total billed charges		363.91				other	OPPS APC	363.91	3630.9	
PLATE 6 HOLE HEAD 5 HOLE SHAFT	SUP-97-01278	CDM			278	RC		inpatient			3630.9	3630.9																																																			
CATHETER ABLATION HALO60 BARRX 90 D L160 CM L15 MM X W10 MM OD4 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON FOCAL DISPOSABLE	SUP-90-9300	CDM			270	RC		outpatient			3626	3626	982.28				percent of total billed charges		3626				other	OPPS APC	2683.24				percent of total billed charges		3626				other	OPPS APC	3626				other	OPPS APC	982.28				percent of total billed charges		1001.86				percent of total billed charges		3626				other	OPPS APC	982.28	3626	
CATHETER ABLATION HALO60 BARRX 90 D L160 CM L15 MM X W10 MM OD4 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON FOCAL DISPOSABLE	SUP-90-9300	CDM			270	RC		inpatient			3626	3626																																																			
BIOSURGE KIT 15X40X3MM	SUP-97-04070	CDM			278	RC		outpatient			3625	3625	3625				fee schedule		3625				other	OPPS APC	2066.25				percent of total billed charges		3625				other	OPPS APC	3625				other	OPPS APC	1776.25				percent of total billed charges		1848.75				percent of total billed charges		3625				other	OPPS APC	1776.25	3625	
BIOSURGE KIT 15X40X3MM	SUP-97-04070	CDM			278	RC		inpatient			3625	3625																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L147 MM TIBIA DISTAL MEDIAL 7 HOLE PILON PRECONTOUR ROUND EDGE NONSTERILE 3.5 MM SCREW	SUP-240.082	CDM	270010022	LOCAL	270	RC		outpatient			3623.4	3623.41	981.58				percent of total billed charges		3623.4				other	OPPS APC	2681.32				percent of total billed charges		3623.4				other	OPPS APC	3623.4				other	OPPS APC	981.58				percent of total billed charges		1001.15				percent of total billed charges		3623.41				other	OPPS APC	981.58	3623.41	
PLATE BONE LCP COMBI STAINLESS STEEL L147 MM TIBIA DISTAL MEDIAL 7 HOLE PILON PRECONTOUR ROUND EDGE NONSTERILE 3.5 MM SCREW	SUP-240.082	CDM	270010022	LOCAL	270	RC		inpatient			3623.4	3623.4																																																			
TIBIAL TRAY UNI SIZE 3 LM/RL	SUP-97-06034	CDM			278	RC		outpatient			3622.5	3622.5	3622.5				fee schedule		3622.5				other	OPPS APC	2064.83				percent of total billed charges		3622.5				other	OPPS APC	3622.5				other	OPPS APC	1775.03				percent of total billed charges		1847.48				percent of total billed charges		3622.5				other	OPPS APC	1775.03	3622.5	
TIBIAL TRAY UNI SIZE 3 LM/RL	SUP-97-06034	CDM			278	RC		inpatient			3622.5	3622.5																																																			
04.034.455S	SUP-97-23698	CDM			278	RC		outpatient			3621.75	3621.75	3621.75				fee schedule		3621.75				other	OPPS APC	2064.4				percent of total billed charges		3621.75				other	OPPS APC	3621.75				other	OPPS APC	1774.66				percent of total billed charges		1847.09				percent of total billed charges		3621.75				other	OPPS APC	1774.66	3621.75	
04.034.455S	SUP-97-23698	CDM			278	RC		inpatient			3621.75	3621.75																																																			
NAIL ARTHRODESIS T2 ANKLE RIGHT 12 X 200MM	SUP-97-05639	CDM			278	RC		outpatient			3615.75	3615.75	3615.75				fee schedule		3615.75				other	OPPS APC	2060.98				percent of total billed charges		3615.75				other	OPPS APC	3615.75				other	OPPS APC	1771.72				percent of total billed charges		1844.03				percent of total billed charges		3615.75				other	OPPS APC	1771.72	3615.75	
NAIL ARTHRODESIS T2 ANKLE RIGHT 12 X 200MM	SUP-97-05639	CDM			278	RC		inpatient			3615.75	3615.75																																																			
NAIL T2 ANKLE ATHRODESIS RIGHT 12 X 150MM	SUP-97-06399	CDM			278	RC		outpatient			3615.75	3615.75	3615.75				fee schedule		3615.75				other	OPPS APC	2060.98				percent of total billed charges		3615.75				other	OPPS APC	3615.75				other	OPPS APC	1771.72				percent of total billed charges		1844.03				percent of total billed charges		3615.75				other	OPPS APC	1771.72	3615.75	
NAIL T2 ANKLE ATHRODESIS RIGHT 12 X 150MM	SUP-97-06399	CDM			278	RC		inpatient			3615.75	3615.75																																																			
ATTUNE TIBIAL AUGMENT RM/LL SIZE 7/8 10MM	SUP-97-06163	CDM			278	RC		outpatient			3611.25	3611.25	3611.25				fee schedule		3611.25				other	OPPS APC	2058.41				percent of total billed charges		3611.25				other	OPPS APC	3611.25				other	OPPS APC	1769.51				percent of total billed charges		1841.74				percent of total billed charges		3611.25				other	OPPS APC	1769.51	3611.25	
ATTUNE TIBIAL AUGMENT RM/LL SIZE 7/8 10MM	SUP-97-06163	CDM			278	RC		inpatient			3611.25	3611.25																																																			
NEXGEN PC STEMMED TIBIAL PLATE SZ 7	SUP-97-01059	CDM			278	RC		outpatient			3610	361	3610				fee schedule		3610				other	OPPS APC	2057.7				percent of total billed charges		3610				other	OPPS APC	3610				other	OPPS APC	1768.9				percent of total billed charges		1841.1				percent of total billed charges		361				other	OPPS APC	361	3610	
NEXGEN PC STEMMED TIBIAL PLATE SZ 7	SUP-97-01059	CDM			278	RC		inpatient			3610	3610																																																			
TIBIAL PLATE SIZE 7 NEXGEN PRECOAT STEMMED	SUP-97-05846	CDM			278	RC		outpatient			3610	361	3610				fee schedule		3610				other	OPPS APC	2057.7				percent of total billed charges		3610				other	OPPS APC	3610				other	OPPS APC	1768.9				percent of total billed charges		1841.1				percent of total billed charges		361				other	OPPS APC	361	3610	
TIBIAL PLATE SIZE 7 NEXGEN PRECOAT STEMMED	SUP-97-05846	CDM			278	RC		inpatient			3610	3610																																																			
GRAFT VASCULAR GORE PROPATEN HEPARIN PROPATEN PTFE THIN WALL L50 CM L40 CM ID6 MM REMOVABLE RING STRETCH	SUP-HT064050A	CDM			270	RC		outpatient			3610	361	977.95				percent of total billed charges		3610				other	OPPS APC	2671.4				percent of total billed charges		3610				other	OPPS APC	3610				other	OPPS APC	977.95				percent of total billed charges		997.44				percent of total billed charges		361				other	OPPS APC	361	3610	
GRAFT VASCULAR GORE PROPATEN HEPARIN PROPATEN PTFE THIN WALL L50 CM L40 CM ID6 MM REMOVABLE RING STRETCH	SUP-HT064050A	CDM			270	RC		inpatient			3610	3610																																																			
STAPLE HALLULOCK 10IN	SUP-290155	CDM			270	RC		outpatient			3608	368	977.41				percent of total billed charges		3608				other	OPPS APC	2669.92				percent of total billed charges		3608				other	OPPS APC	3608				other	OPPS APC	977.41				percent of total billed charges		996.89				percent of total billed charges		368				other	OPPS APC	368	3608	
STAPLE HALLULOCK 10IN	SUP-290155	CDM			270	RC		inpatient			3608	3608																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L340 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.034S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L340 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.034S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L360 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.036S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L360 MM OD10 MM FEMORAL RETROGRADE STERILE	SUP-04.233.036S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L380 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.038S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L380 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.038S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L400 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.040S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L400 MM OD10 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.040S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L360 MM OD11 MM FEMUR STERILE	SUP-04.233.136S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED 5 D BEND L360 MM OD11 MM FEMUR STERILE	SUP-04.233.136S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L300 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.230S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L300 MM OD12 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.230S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L380 MM OD12 MM FEMUR DISTAL STERILE	SUP-04.233.238S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L380 MM OD12 MM FEMUR DISTAL STERILE	SUP-04.233.238S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.932S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L320 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.932S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L360 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.936S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED TITANIUM ALUMINUM VANADIUM 5 D BEND L360 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.936S	CDM			270	RC		inpatient			3606	3606																																																			
NAIL INTRAMEDULLARY RFN-ADVANCED POLYETHYLENE TITANIUM ALUMINUM VANADIUM 5 D BEND L380 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.938S	CDM			270	RC		outpatient			3606	366	976.87				percent of total billed charges		3606				other	OPPS APC	2668.44				percent of total billed charges		3606				other	OPPS APC	3606				other	OPPS APC	976.87				percent of total billed charges		996.34				percent of total billed charges		366				other	OPPS APC	366	3606	
NAIL INTRAMEDULLARY RFN-ADVANCED POLYETHYLENE TITANIUM ALUMINUM VANADIUM 5 D BEND L380 MM OD9 MM FEMUR DISTAL RETROGRADE STERILE	SUP-04.233.938S	CDM			270	RC		inpatient			3606	3606																																																			
GRAFT SOFT TISSUE AMNIOFIX PURION 6X4CM AMNIOTIC MEMBRANE SHEET	SUP-AAS-5460	CDM			270	RC		outpatient			3601	361	975.51				percent of total billed charges		3601				other	OPPS APC	2664.74				percent of total billed charges		3601				other	OPPS APC	3601				other	OPPS APC	975.51				percent of total billed charges		994.96				percent of total billed charges		361				other	OPPS APC	361	3601	
GRAFT SOFT TISSUE AMNIOFIX PURION 6X4CM AMNIOTIC MEMBRANE SHEET	SUP-AAS-5460	CDM			270	RC		inpatient			3601	3601																																																			
HC Medical Induced Delivery Nv/Stillbrn	PX-761598551	CDM	59855	CPT	761	RC		outpatient			3600	36	195.77				case rate		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	195.77				case rate		1836				percent of total billed charges		36				other	OPPS APC	36	3600	
HC Medical Induced Delivery Nv/Stillbrn	PX-761598551	CDM	59855	CPT	761	RC		inpatient			3600	3600																																																			
PLATE TIBIAL NEXGEN TIVANIUM PMMA UHMWPE PRECOAT MICRO L62 MM X W41 MM X H2 MM KNEE CEMENT MODULAR STEM STERILE	SUP-00-5980-027-02	CDM	270010025	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE TIBIAL NEXGEN TIVANIUM PMMA UHMWPE PRECOAT MICRO L62 MM X W41 MM X H2 MM KNEE CEMENT MODULAR STEM STERILE	SUP-00-5980-027-02	CDM	270010025	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 3 L66 MM X W42 MM X H3 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-037-01	CDM	270010025	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 3 L66 MM X W42 MM X H3 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-037-01	CDM	270010025	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 4 L66 MM X W46 MM X H4 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-037-02	CDM	270010025	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 4 L66 MM X W46 MM X H4 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-037-02	CDM	270010025	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 5 L74 MM X W46 MM X H5 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-047-01	CDM	270010025	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 5 L74 MM X W46 MM X H5 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-047-01	CDM	270010025	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 6 L74 MM X W50 MM X H6 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-047-02	CDM	270010025	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE TIBIAL NEXGEN TIVANIUM UHMWPE 6 L74 MM X W50 MM X H6 MM KNEE CEMENTED MODULAR STEM PRECOAT STERILE	SUP-00-5980-047-02	CDM	270010025	LOCAL	270	RC		inpatient			3600	3600																																																			
SPACER ALPHATEC INCITE ACI DEVICE 7MM	SUP-22-9222	CDM	270010020	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
SPACER ALPHATEC INCITE ACI DEVICE 7MM	SUP-22-9222	CDM	270010020	LOCAL	270	RC		inpatient			3600	3600																																																			
PERONSUS LONGUS 220-300 9-11 M DIAMETER	SUP-453043	CDM	270010031	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PERONSUS LONGUS 220-300 9-11 M DIAMETER	SUP-453043	CDM	270010031	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE BONE ATLANTIS TITANIUM L62.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190062	CDM	270010020	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE BONE ATLANTIS TITANIUM L62.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190062	CDM	270010020	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L57.5 MM SPINE CERVICAL ANTERIOR	SUP-7200057	CDM	270010020	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L57.5 MM SPINE CERVICAL ANTERIOR	SUP-7200057	CDM	270010020	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L62.5 MM SPINE CERVICAL ANTERIOR	SUP-7200062	CDM	270010020	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L62.5 MM SPINE CERVICAL ANTERIOR	SUP-7200062	CDM	270010020	LOCAL	270	RC		inpatient			3600	3600																																																			
PLATE BONE ATLANTIS VISION ELITE 50MM SPINE CERVICAL ANTERIOR LEVEL 3	SUP-7200150	CDM	270010020	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PLATE BONE ATLANTIS VISION ELITE 50MM SPINE CERVICAL ANTERIOR LEVEL 3	SUP-7200150	CDM	270010020	LOCAL	270	RC		inpatient			3600	3600																																																			
CEMENTED HIP STEM SIZE4	SUP-97-01076	CDM			278	RC		outpatient			3600	36	3600				fee schedule		3600				other	OPPS APC	2052				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	1764				percent of total billed charges		1836				percent of total billed charges		36				other	OPPS APC	36	3600	
CEMENTED HIP STEM SIZE4	SUP-97-01076	CDM			278	RC		inpatient			3600	3600																																																			
ACCOLADE C CS 127 NK	SUP-97-04478	CDM			278	RC		outpatient			3600	36	3600				fee schedule		3600				other	OPPS APC	2052				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	1764				percent of total billed charges		1836				percent of total billed charges		36				other	OPPS APC	36	3600	
ACCOLADE C CS 127 NK	SUP-97-04478	CDM			278	RC		inpatient			3600	3600																																																			
ACCOLADE C CS 132 NK	SUP-97-04480	CDM			278	RC		outpatient			3600	36	3600				fee schedule		3600				other	OPPS APC	2052				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	1764				percent of total billed charges		1836				percent of total billed charges		36				other	OPPS APC	36	3600	
ACCOLADE C CS 132 NK	SUP-97-04480	CDM			278	RC		inpatient			3600	3600																																																			
ACCOLADE CS 127 NK	SUP-97-05269	CDM			278	RC		outpatient			3600	36	3600				fee schedule		3600				other	OPPS APC	2052				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	1764				percent of total billed charges		1836				percent of total billed charges		36				other	OPPS APC	36	3600	
ACCOLADE CS 127 NK	SUP-97-05269	CDM			278	RC		inpatient			3600	3600																																																			
HEAD HUMERAL ECLIPSE H18 MM OD47 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9347-18	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
HEAD HUMERAL ECLIPSE H18 MM OD47 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9347-18	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERSAL REVERSE 5MM	SUP-AR-9501-05P	CDM			270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERSAL REVERSE 5MM	SUP-AR-9501-05P	CDM			270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 6 L111 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-06CPC	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 6 L111 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-06CPC	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERSAL REVERSE 6MM	SUP-AR-9501-06P	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERSAL REVERSE 6MM	SUP-AR-9501-06P	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 7 L115 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-07CPC	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 7 L115 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-07CPC	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL ARTHREX UNIVERS REVERS 7 SHOULDER STERILE	SUP-AR-9501-07P	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL ARTHREX UNIVERS REVERS 7 SHOULDER STERILE	SUP-AR-9501-07P	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 8 L119 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-08CPC	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 8 L119 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-08CPC	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 9 L123 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-09CPC	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 9 L123 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-09CPC	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 10 L127 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-10CPC	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 10 L127 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-10CPC	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL ARTHREX UNIVERS REVERS 10 SHOULDER STERILE	SUP-AR-9501-10P	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL ARTHREX UNIVERS REVERS 10 SHOULDER STERILE	SUP-AR-9501-10P	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 11 L131 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-11CPC	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
STEM HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE 11 L131 MM SHOULDER CORE SET PROXIMAL FILL STERILE ARTHROPLASTY	SUP-AR-9501-11CPC	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
INSERT HUMERAL PERFORM THK+0 MM 1/2 OD36 MM SHOULDER STERILE LATEX FREE	SUP-DWP1360	CDM	270010030	LOCAL	270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
INSERT HUMERAL PERFORM THK+0 MM 1/2 OD36 MM SHOULDER STERILE LATEX FREE	SUP-DWP1360	CDM	270010030	LOCAL	270	RC		inpatient			3600	3600																																																			
ADAPTER CABLE SOUNDSTAR L 5FT	SUP-EM5050040	CDM			270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
ADAPTER CABLE SOUNDSTAR L 5FT	SUP-EM5050040	CDM			270	RC		inpatient			3600	3600																																																			
CATHETER ACCESS AXS CATALYST 5 DISTAL 115 CM	SUP-M003IC0581150	CDM			270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
CATHETER ACCESS AXS CATALYST 5 DISTAL 115 CM	SUP-M003IC0581150	CDM			270	RC		inpatient			3600	3600																																																			
SYSTEM CHARGING BOSTON SCI SPINAL STIM	SUP-SC-6412-3	CDM			270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
SYSTEM CHARGING BOSTON SCI SPINAL STIM	SUP-SC-6412-3	CDM			270	RC		inpatient			3600	3600																																																			
PARTICLES EMBOLIZATION LC BEAD 100-300UM 2ML YELLOW VIAL	SUP-VE220GS	CDM			270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PARTICLES EMBOLIZATION LC BEAD 100-300UM 2ML YELLOW VIAL	SUP-VE220GS	CDM			270	RC		inpatient			3600	3600																																																			
PARTICLES EMBOLIZATION LC BEAD 300-500UM 2ML BLUE VIAL	SUP-VE420GS	CDM			270	RC		outpatient			3600	36	975.24				percent of total billed charges		3600				other	OPPS APC	2664				percent of total billed charges		3600				other	OPPS APC	3600				other	OPPS APC	975.24				percent of total billed charges		994.68				percent of total billed charges		36				other	OPPS APC	36	3600	
PARTICLES EMBOLIZATION LC BEAD 300-500UM 2ML BLUE VIAL	SUP-VE420GS	CDM			270	RC		inpatient			3600	3600																																																			
WAX BONE MONTAGE STERILE	SUP-OS-MON-1001	CDM			270	RC		outpatient			3598	3598	974.7				percent of total billed charges		3598				other	OPPS APC	2662.52				percent of total billed charges		3598				other	OPPS APC	3598				other	OPPS APC	974.7				percent of total billed charges		994.13				percent of total billed charges		3598				other	OPPS APC	974.7	3598	
WAX BONE MONTAGE STERILE	SUP-OS-MON-1001	CDM			270	RC		inpatient			3598	3598																																																			
MESH DYNAMIC TITANIUM L100 MM X W100 MM X H.4 MM CRANIOFACIAL CONTOURABLE MALLEABLE LOW PROFILE BLUE	SUP-421.533	CDM	270010013	LOCAL	270	RC		outpatient			3595.5	3595.5	974.02				percent of total billed charges		3595.5				other	OPPS APC	2660.67				percent of total billed charges		3595.5				other	OPPS APC	3595.5				other	OPPS APC	974.02				percent of total billed charges		993.44				percent of total billed charges		3595.5				other	OPPS APC	974.02	3595.5	
MESH DYNAMIC TITANIUM L100 MM X W100 MM X H.4 MM CRANIOFACIAL CONTOURABLE MALLEABLE LOW PROFILE BLUE	SUP-421.533	CDM	270010013	LOCAL	270	RC		inpatient			3595.5	3595.5																																																			
NAIL FEMORAL RIGHT 12X340	SUP-97-01004	CDM			278	RC		outpatient			3595.2	3595.2	3595.2				fee schedule		3595.2				other	OPPS APC	2049.26				percent of total billed charges		3595.2				other	OPPS APC	3595.2				other	OPPS APC	1761.65				percent of total billed charges		1833.55				percent of total billed charges		3595.2				other	OPPS APC	1761.65	3595.2	
NAIL FEMORAL RIGHT 12X340	SUP-97-01004	CDM			278	RC		inpatient			3595.2	3595.2																																																			
FEMORAL HEAD	SUP-97-01209	CDM			278	RC		outpatient			3595.2	3595.2	3595.2				fee schedule		3595.2				other	OPPS APC	2049.26				percent of total billed charges		3595.2				other	OPPS APC	3595.2				other	OPPS APC	1761.65				percent of total billed charges		1833.55				percent of total billed charges		3595.2				other	OPPS APC	1761.65	3595.2	
FEMORAL HEAD	SUP-97-01209	CDM			278	RC		inpatient			3595.2	3595.2																																																			
GRAFT VASCULAR  WLGORE	SUP-97-00600	CDM			278	RC		outpatient			3595	3595	3595				fee schedule		3595				other	OPPS APC	2049.15				percent of total billed charges		3595				other	OPPS APC	3595				other	OPPS APC	1761.55				percent of total billed charges		1833.45				percent of total billed charges		3595				other	OPPS APC	1761.55	3595	
GRAFT VASCULAR  WLGORE	SUP-97-00600	CDM			278	RC		inpatient			3595	3595																																																			
PLATE BONE LCP STAINLESS STEEL L199 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 14 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.514	CDM	270010022	LOCAL	270	RC		outpatient			3594.8	3594.82	973.83				percent of total billed charges		3594.8				other	OPPS APC	2660.15				percent of total billed charges		3594.8				other	OPPS APC	3594.8				other	OPPS APC	973.83				percent of total billed charges		993.24				percent of total billed charges		3594.82				other	OPPS APC	973.83	3594.82	
PLATE BONE LCP STAINLESS STEEL L199 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 14 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.514	CDM	270010022	LOCAL	270	RC		inpatient			3594.8	3594.8																																																			
PLATE BONE LCP STAINLESS STEEL L199 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 14 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.515	CDM	270010022	LOCAL	270	RC		outpatient			3594.8	3594.82	973.83				percent of total billed charges		3594.8				other	OPPS APC	2660.15				percent of total billed charges		3594.8				other	OPPS APC	3594.8				other	OPPS APC	973.83				percent of total billed charges		993.24				percent of total billed charges		3594.82				other	OPPS APC	973.83	3594.82	
PLATE BONE LCP STAINLESS STEEL L199 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 14 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.515	CDM	270010022	LOCAL	270	RC		inpatient			3594.8	3594.8																																																			
PLATE BONE LCP STAINLESS STEEL L277 MM FEMUR PROXIMAL 10 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.124	CDM	270010022	LOCAL	270	RC		outpatient			3594.8	3594.82	973.83				percent of total billed charges		3594.8				other	OPPS APC	2660.15				percent of total billed charges		3594.8				other	OPPS APC	3594.8				other	OPPS APC	973.83				percent of total billed charges		993.24				percent of total billed charges		3594.82				other	OPPS APC	973.83	3594.82	
PLATE BONE LCP STAINLESS STEEL L277 MM FEMUR PROXIMAL 10 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.124	CDM	270010022	LOCAL	270	RC		inpatient			3594.8	3594.8																																																			
HC Muscle Biopsy	PX-361202000	CDM	20200	CPT	361	RC		outpatient			3592.48	1579.36	1134.51				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1134.51				percent of total billed charges		1157.14				percent of total billed charges		1579.36				other	OPPS APC	1134.51	2528	
HC Muscle Biopsy	PX-361202000	CDM	20200	CPT	361	RC		inpatient			3592.48	3592.48																																																			
HC Bone Biopsy Trocar/Needle	PX-361202200	CDM	20220	CPT	361	RC		outpatient			3592.47	1579.36	1134.5				percent of total billed charges		1579.36				other	OPPS APC	1876				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1134.5				percent of total billed charges		1157.13				percent of total billed charges		1579.36				other	OPPS APC	1134.5	1876	
HC Bone Biopsy Trocar/Needle	PX-361202200	CDM	20220	CPT	361	RC		inpatient			3592.47	3592.47																																																			
HC Biopsy  Soft Tissue Neck or Thorax	PX-361215500	CDM	21550	CPT	361	RC		outpatient			3592.47	3592.47	1134.5				percent of total billed charges		3592.47				other	OPPS APC	3592.47				fee schedule		3592.47				other	OPPS APC	3592.47				other	OPPS APC	1134.5				percent of total billed charges		1157.13				percent of total billed charges		3592.47				other	OPPS APC	1134.5	3592.47	
HC Biopsy  Soft Tissue Neck or Thorax	PX-361215500	CDM	21550	CPT	361	RC		inpatient			3592.47	3592.47																																																			
HC Diagnostic Bone Marrow Aspirations	PX-361382200	CDM	38220	CPT	361	RC		outpatient			3592	3592	1134.35				percent of total billed charges		3592				other	OPPS APC	3592				fee schedule		3592				other	OPPS APC	3592				other	OPPS APC	1134.35				percent of total billed charges		1156.98				percent of total billed charges		3592				other	OPPS APC	1134.35	3592	
HC Diagnostic Bone Marrow Aspirations	PX-361382200	CDM	38220	CPT	361	RC		inpatient			3592	3592																																																			
HC Biopsy Abdominal Mass	PX-361491800	CDM	49180	CPT	361	RC		outpatient			3592	3592	1134.35				percent of total billed charges		3592				other	OPPS APC	3592				fee schedule		3592				other	OPPS APC	3592				other	OPPS APC	1134.35				percent of total billed charges		1156.98				percent of total billed charges		3592				other	OPPS APC	1134.35	3592	
HC Biopsy Abdominal Mass	PX-361491800	CDM	49180	CPT	361	RC		inpatient			3592	3592																																																			
STABILIZER SURGICAL OCTOPUS NUVO	SUP-TSMICS1	CDM			270	RC		outpatient			3590	359	972.53				percent of total billed charges		3590				other	OPPS APC	2656.6				percent of total billed charges		3590				other	OPPS APC	3590				other	OPPS APC	972.53				percent of total billed charges		991.92				percent of total billed charges		359				other	OPPS APC	359	3590	
STABILIZER SURGICAL OCTOPUS NUVO	SUP-TSMICS1	CDM			270	RC		inpatient			3590	3590																																																			
PLATE BONE STAINLESS STEEL L225 MM TIBIA RIGHT DISTAL MEDIAL 16 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.516	CDM	270010022	LOCAL	270	RC		outpatient			3587.06	3587.6	971.73				percent of total billed charges		3587.06				other	OPPS APC	2654.42				percent of total billed charges		3587.06				other	OPPS APC	3587.06				other	OPPS APC	971.73				percent of total billed charges		991.1				percent of total billed charges		3587.6				other	OPPS APC	971.73	3587.6	
PLATE BONE STAINLESS STEEL L225 MM TIBIA RIGHT DISTAL MEDIAL 16 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.516	CDM	270010022	LOCAL	270	RC		inpatient			3587.06	3587.06																																																			
PLATE BONE STAINLESS STEEL L225 MM TIBIA LEFT DISTAL MEDIAL 16 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.517	CDM	270010022	LOCAL	270	RC		outpatient			3587.06	3587.6	971.73				percent of total billed charges		3587.06				other	OPPS APC	2654.42				percent of total billed charges		3587.06				other	OPPS APC	3587.06				other	OPPS APC	971.73				percent of total billed charges		991.1				percent of total billed charges		3587.6				other	OPPS APC	971.73	3587.6	
PLATE BONE STAINLESS STEEL L225 MM TIBIA LEFT DISTAL MEDIAL 16 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.517	CDM	270010022	LOCAL	270	RC		inpatient			3587.06	3587.06																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 160MM	SUP-04.013.412S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 160MM	SUP-04.013.412S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 200MM	SUP-04.013.420S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 200MM	SUP-04.013.420S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 280MM	SUP-04.013.428S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 280MM	SUP-04.013.428S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 280MM	SUP-04.013.436S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 10 X 280MM	SUP-04.013.436S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L300 MM OD10 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.440S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L300 MM OD10 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.440S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND BENT L320 MM OD10 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE LIGHT GREEN	SUP-04.013.444S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND BENT L320 MM OD10 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE LIGHT GREEN	SUP-04.013.444S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L360 MM OD10 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.452S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L360 MM OD10 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.452S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND BENT L380 MM OD10 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE LIGHT GREEN	SUP-04.013.456S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND BENT L380 MM OD10 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE LIGHT GREEN	SUP-04.013.456S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L400 MM OD10 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.460S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L400 MM OD10 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.460S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND L420 MM OD10 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.464S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND L420 MM OD10 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.464S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 160MM	SUP-04.013.512S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 160MM	SUP-04.013.512S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 200MM	SUP-04.013.520S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 200MM	SUP-04.013.520S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 240MM	SUP-04.013.528S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 240MM	SUP-04.013.528S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L28 CM OD11 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.536S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L28 CM OD11 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.536S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 300MM	SUP-04.013.540S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 300MM	SUP-04.013.540S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 320MM	SUP-04.013.544S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 320MM	SUP-04.013.544S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 340MM	SUP-04.013.548S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 340MM	SUP-04.013.548S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L360 MM OD11 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.552S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L360 MM OD11 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.552S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 380MM	SUP-04.013.556S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 11 X 380MM	SUP-04.013.556S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L400 MM OD11 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.560S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L400 MM OD11 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.560S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L42 CM OD11 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.564S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L42 CM OD11 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.564S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 160MM	SUP-04.013.612S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 160MM	SUP-04.013.612S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 200MM	SUP-04.013.620S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 200MM	SUP-04.013.620S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 240MM	SUP-04.013.628S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 240MM	SUP-04.013.628S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 280MM	SUP-04.013.636S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 280MM	SUP-04.013.636S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 300MM	SUP-04.013.640S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 300MM	SUP-04.013.640S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 320MM	SUP-04.013.644S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 12 X 320MM	SUP-04.013.644S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L340 MM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.648S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L340 MM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.648S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM UNIVERSAL L36 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.652S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM UNIVERSAL L36 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.652S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L420 MM OD12 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.664S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L420 MM OD12 MM FEMUR CANNULATED ROUND BARREL RETROGRADE/ANTEGRADE STERILE GREEN	SUP-04.013.664S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L44 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.668S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L44 CM OD12 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.668S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L200 CM OD13 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.720S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM L200 CM OD13 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.720S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 240MM	SUP-04.013.728S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 240MM	SUP-04.013.728S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L26 CM OD13 MM FEMUR CANNULATED RETROGRADE STERILE	SUP-04.013.732S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L26 CM OD13 MM FEMUR CANNULATED RETROGRADE STERILE	SUP-04.013.732S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 280MM	SUP-04.013.736S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 280MM	SUP-04.013.736S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 300MM	SUP-04.013.740S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 300MM	SUP-04.013.740S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL FLUTE BENT L320 MM OD13 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE LIGHT GREEN	SUP-04.013.744S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL FLUTE BENT L320 MM OD13 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE LIGHT GREEN	SUP-04.013.744S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L340 MM OD13 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.748S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L340 MM OD13 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.748S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 360MM	SUP-04.013.752S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 360MM	SUP-04.013.752S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 380MM	SUP-04.013.756S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 380MM	SUP-04.013.756S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 400MM	SUP-04.013.760S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 400MM	SUP-04.013.760S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 420MM	SUP-04.013.764S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL BONE FEMORAL CANNULATED RETRO ANTEGRADE STERILE TITANIUM 13 X 420MM	SUP-04.013.764S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L44 CM OD13 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.768S	CDM	270010022	LOCAL	270	RC		outpatient			3584.9	3584.91	971.15				percent of total billed charges		3584.9				other	OPPS APC	2652.83				percent of total billed charges		3584.9				other	OPPS APC	3584.9				other	OPPS APC	971.15				percent of total billed charges		990.51				percent of total billed charges		3584.91				other	OPPS APC	971.15	3584.91	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L44 CM OD13 MM FEMORAL CANNULATED RETROGRADE ANTEGRADE STERILE GREEN	SUP-04.013.768S	CDM	270010022	LOCAL	270	RC		inpatient			3584.9	3584.9																																																			
HEAD FEMORAL MECTACER BIOLOX OPTION BALL OD40 MM HIP NONSTERILE	SUP-01.29.233H	CDM	270010024	LOCAL	270	RC		outpatient			3584	3584	970.91				percent of total billed charges		3584				other	OPPS APC	2652.16				percent of total billed charges		3584				other	OPPS APC	3584				other	OPPS APC	970.91				percent of total billed charges		990.26				percent of total billed charges		3584				other	OPPS APC	970.91	3584	
HEAD FEMORAL MECTACER BIOLOX OPTION BALL OD40 MM HIP NONSTERILE	SUP-01.29.233H	CDM	270010024	LOCAL	270	RC		inpatient			3584	3584																																																			
UNIT ELECTROSURGICAL GENESYS HTA PROCEDURE SET	SUP-M006580211	CDM			270	RC		outpatient			3580	358	969.82				percent of total billed charges		3580				other	OPPS APC	2649.2				percent of total billed charges		3580				other	OPPS APC	3580				other	OPPS APC	969.82				percent of total billed charges		989.15				percent of total billed charges		358				other	OPPS APC	358	3580	
UNIT ELECTROSURGICAL GENESYS HTA PROCEDURE SET	SUP-M006580211	CDM			270	RC		inpatient			3580	3580																																																			
SCREW BONE LINEUM TITANIUM STANDARD HELIX L16 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC SELF TAP TOP LOAD FRICTION FIT SMOOTH SHANK FLANGE THREAD GOLD	SUP-14-524216	CDM	270010020	LOCAL	270	RC		outpatient			3576	3576	968.74				percent of total billed charges		3576				other	OPPS APC	2646.24				percent of total billed charges		3576				other	OPPS APC	3576				other	OPPS APC	968.74				percent of total billed charges		988.05				percent of total billed charges		3576				other	OPPS APC	968.74	3576	
SCREW BONE LINEUM TITANIUM STANDARD HELIX L16 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC SELF TAP TOP LOAD FRICTION FIT SMOOTH SHANK FLANGE THREAD GOLD	SUP-14-524216	CDM	270010020	LOCAL	270	RC		inpatient			3576	3576																																																			
SCREW BONE LINEUM TITANIUM STANDARD L18 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE SELF TAPPING TOP LOADING FRICTION FIT SMOOTH SHANK HELICAL FLANGE THREAD GOLD	SUP-14-524218	CDM	270010020	LOCAL	270	RC		outpatient			3576	3576	968.74				percent of total billed charges		3576				other	OPPS APC	2646.24				percent of total billed charges		3576				other	OPPS APC	3576				other	OPPS APC	968.74				percent of total billed charges		988.05				percent of total billed charges		3576				other	OPPS APC	968.74	3576	
SCREW BONE LINEUM TITANIUM STANDARD L18 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE SELF TAPPING TOP LOADING FRICTION FIT SMOOTH SHANK HELICAL FLANGE THREAD GOLD	SUP-14-524218	CDM	270010020	LOCAL	270	RC		inpatient			3576	3576																																																			
SCREW BONE TRANSLATION LINEUM TITANIUM L16 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC GREEN	SUP-14-524516	CDM	270010020	LOCAL	270	RC		outpatient			3576	3576	968.74				percent of total billed charges		3576				other	OPPS APC	2646.24				percent of total billed charges		3576				other	OPPS APC	3576				other	OPPS APC	968.74				percent of total billed charges		988.05				percent of total billed charges		3576				other	OPPS APC	968.74	3576	
SCREW BONE TRANSLATION LINEUM TITANIUM L16 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC GREEN	SUP-14-524516	CDM	270010020	LOCAL	270	RC		inpatient			3576	3576																																																			
SCREW BONE LINEUM TITANIUM L34 MM OD4 MM OCCIPITOCERVICOTHORACIC SPINE TRANSLATION TECHNOLOGY GREEN HEAD	SUP-14-524534	CDM	270010020	LOCAL	270	RC		outpatient			3576	3576	968.74				percent of total billed charges		3576				other	OPPS APC	2646.24				percent of total billed charges		3576				other	OPPS APC	3576				other	OPPS APC	968.74				percent of total billed charges		988.05				percent of total billed charges		3576				other	OPPS APC	968.74	3576	
SCREW BONE LINEUM TITANIUM L34 MM OD4 MM OCCIPITOCERVICOTHORACIC SPINE TRANSLATION TECHNOLOGY GREEN HEAD	SUP-14-524534	CDM	270010020	LOCAL	270	RC		inpatient			3576	3576																																																			
BASEPLATE GLENOID ARTHREX L24 MM SHOULDER MODULAR STERILE LATEX FREE	SUP-56008	CDM			278	RC		outpatient			3575.38	3575.38	3575.38				fee schedule		3575.38				other	OPPS APC	2037.97				percent of total billed charges		3575.38				other	OPPS APC	3575.38				other	OPPS APC	1751.94				percent of total billed charges		1823.44				percent of total billed charges		3575.38				other	OPPS APC	1751.94	3575.38	
BASEPLATE GLENOID ARTHREX L24 MM SHOULDER MODULAR STERILE LATEX FREE	SUP-56008	CDM			278	RC		inpatient			3575.38	3575.38																																																			
PLATE BONE CLAW II L15 MM FOOT ANKLE 2 HOLE	SUP-40240215	CDM			270	RC		outpatient			3572	3572	967.65				percent of total billed charges		3572				other	OPPS APC	2643.28				percent of total billed charges		3572				other	OPPS APC	3572				other	OPPS APC	967.65				percent of total billed charges		986.94				percent of total billed charges		3572				other	OPPS APC	967.65	3572	
PLATE BONE CLAW II L15 MM FOOT ANKLE 2 HOLE	SUP-40240215	CDM			270	RC		inpatient			3572	3572																																																			
PLATE BONE CLAW II 20MM SS ANKLE FOOT 2 HOLE POLYAXIAL COMPRESSION	SUP-40240220	CDM			270	RC		outpatient			3572	3572	967.65				percent of total billed charges		3572				other	OPPS APC	2643.28				percent of total billed charges		3572				other	OPPS APC	3572				other	OPPS APC	967.65				percent of total billed charges		986.94				percent of total billed charges		3572				other	OPPS APC	967.65	3572	
PLATE BONE CLAW II 20MM SS ANKLE FOOT 2 HOLE POLYAXIAL COMPRESSION	SUP-40240220	CDM			270	RC		inpatient			3572	3572																																																			
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 2 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240225	CDM			270	RC		outpatient			3572	3572	967.65				percent of total billed charges		3572				other	OPPS APC	2643.28				percent of total billed charges		3572				other	OPPS APC	3572				other	OPPS APC	967.65				percent of total billed charges		986.94				percent of total billed charges		3572				other	OPPS APC	967.65	3572	
PLATE BONE CLAW II STAINLESS STEEL MEDIUM UNIVERSAL L25 MM ANKLE FOOT 2 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240225	CDM			270	RC		inpatient			3572	3572																																																			
PLATE BONE CLAW II STAINLESS STEEL LARGE UNIVERSAL L30 MM ANKLE FOOT 2 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240230	CDM			270	RC		outpatient			3572	3572	967.65				percent of total billed charges		3572				other	OPPS APC	2643.28				percent of total billed charges		3572				other	OPPS APC	3572				other	OPPS APC	967.65				percent of total billed charges		986.94				percent of total billed charges		3572				other	OPPS APC	967.65	3572	
PLATE BONE CLAW II STAINLESS STEEL LARGE UNIVERSAL L30 MM ANKLE FOOT 2 HOLE POLYAXIAL COMPRESSION ORTHOLOC 3DSI LOCKING SCREW TECHNOLOGY 2.7/3.5 MM SCREW	SUP-40240230	CDM			270	RC		inpatient			3572	3572																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L127 MM HUMERUS RIGHT PERIARTICULAR PROXIMAL 4 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.022	CDM	270010022	LOCAL	270	RC		outpatient			3571.7	3571.7	967.57				percent of total billed charges		3571.7				other	OPPS APC	2643.06				percent of total billed charges		3571.7				other	OPPS APC	3571.7				other	OPPS APC	967.57				percent of total billed charges		986.86				percent of total billed charges		3571.7				other	OPPS APC	967.57	3571.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L127 MM HUMERUS RIGHT PERIARTICULAR PROXIMAL 4 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.022	CDM	270010022	LOCAL	270	RC		inpatient			3571.7	3571.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L127 MM HUMERUS LEFT PERIARTICULAR PROXIMAL 4 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.023	CDM	270010022	LOCAL	270	RC		outpatient			3571.7	3571.7	967.57				percent of total billed charges		3571.7				other	OPPS APC	2643.06				percent of total billed charges		3571.7				other	OPPS APC	3571.7				other	OPPS APC	967.57				percent of total billed charges		986.86				percent of total billed charges		3571.7				other	OPPS APC	967.57	3571.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L127 MM HUMERUS LEFT PERIARTICULAR PROXIMAL 4 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.023	CDM	270010022	LOCAL	270	RC		inpatient			3571.7	3571.7																																																			
NAIL INTRAMEDULLARY TRIGEN TITANIUM 130 D L 40 CM OD 10MM LEFT TROCHANTERIC ANTEGRADE	SUP-71647240	CDM			270	RC		outpatient			3571.2	3571.2	967.44				percent of total billed charges		3571.2				other	OPPS APC	2642.69				percent of total billed charges		3571.2				other	OPPS APC	3571.2				other	OPPS APC	967.44				percent of total billed charges		986.72				percent of total billed charges		3571.2				other	OPPS APC	967.44	3571.2	
NAIL INTRAMEDULLARY TRIGEN TITANIUM 130 D L 40 CM OD 10MM LEFT TROCHANTERIC ANTEGRADE	SUP-71647240	CDM			270	RC		inpatient			3571.2	3571.2																																																			
LEAD PACING ATTAIN STEROID ELUTING DISTAL 2 CURVE L78 OD6 FR HEART LEFT IS-1 OTW BIPOLAR	SUP-4194-78	CDM			275	RC		outpatient			3570	357	1749.3				percent of total billed charges		3570				other	OPPS APC	2034.9				percent of total billed charges		3570				other	OPPS APC	3570				other	OPPS APC	1749.3				percent of total billed charges		1820.7				percent of total billed charges		357				other	OPPS APC	357	3570	
LEAD PACING ATTAIN STEROID ELUTING DISTAL 2 CURVE L78 OD6 FR HEART LEFT IS-1 OTW BIPOLAR	SUP-4194-78	CDM			275	RC		inpatient			3570	3570																																																			
LEAD ATTAIN 4194 OTW	SUP-4194-88	CDM			275	RC		outpatient			3570	357	1749.3				percent of total billed charges		3570				other	OPPS APC	2034.9				percent of total billed charges		3570				other	OPPS APC	3570				other	OPPS APC	1749.3				percent of total billed charges		1820.7				percent of total billed charges		357				other	OPPS APC	357	3570	
LEAD ATTAIN 4194 OTW	SUP-4194-88	CDM			275	RC		inpatient			3570	3570																																																			
VALVE DELTA REG PRESS LEVEL 2 IMP	SUP-42824	CDM			270	RC		outpatient			3569.28	3569.28	966.92				percent of total billed charges		3569.28				other	OPPS APC	2641.27				percent of total billed charges		3569.28				other	OPPS APC	3569.28				other	OPPS APC	966.92				percent of total billed charges		986.19				percent of total billed charges		3569.28				other	OPPS APC	966.92	3569.28	
VALVE DELTA REG PRESS LEVEL 2 IMP	SUP-42824	CDM			270	RC		inpatient			3569.28	3569.28																																																			
GRAFT ECHO2 15 X 25 (5991525)	SUP-75-00157	CDM			278	RC		outpatient			3568	3568	3568				fee schedule		3568				other	OPPS APC	2033.76				percent of total billed charges		3568				other	OPPS APC	3568				other	OPPS APC	1748.32				percent of total billed charges		1819.68				percent of total billed charges		3568				other	OPPS APC	1748.32	3568	
GRAFT ECHO2 15 X 25 (5991525)	SUP-75-00157	CDM			278	RC		inpatient			3568	3568																																																			
MCK FEMORAL-LM-RL-SZ 3	SUP-97-04346	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL-LM-RL-SZ 3	SUP-97-04346	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL-LM-RL-SZ 5	SUP-97-04758	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL-LM-RL-SZ 5	SUP-97-04758	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL RM-LL SZ4	SUP-97-04874	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL RM-LL SZ4	SUP-97-04874	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL-RM-LL-SZ 3	SUP-97-23629	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL-RM-LL-SZ 3	SUP-97-23629	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL-RM-LL-SZ 5	SUP-97-23642	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL-RM-LL-SZ 5	SUP-97-23642	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL-LM-RL-SZ 4	SUP-97-23680	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL-LM-RL-SZ 4	SUP-97-23680	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL LM-RL-SZ 1	SUP-97-23793	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL LM-RL-SZ 1	SUP-97-23793	CDM			278	RC		inpatient			3562.5	3562.5																																																			
MCK FEMORAL LM-RL SZ2	SUP-97-23843	CDM			278	RC		outpatient			3562.5	3562.5	3562.5				fee schedule		3562.5				other	OPPS APC	2030.63				percent of total billed charges		3562.5				other	OPPS APC	3562.5				other	OPPS APC	1745.63				percent of total billed charges		1816.88				percent of total billed charges		3562.5				other	OPPS APC	1745.63	3562.5	
MCK FEMORAL LM-RL SZ2	SUP-97-23843	CDM			278	RC		inpatient			3562.5	3562.5																																																			
VALVE DELTA REG LEVEL 1.5	SUP-42823	CDM			270	RC		outpatient			3561.6	3561.6	964.84				percent of total billed charges		3561.6				other	OPPS APC	2635.58				percent of total billed charges		3561.6				other	OPPS APC	3561.6				other	OPPS APC	964.84				percent of total billed charges		984.07				percent of total billed charges		3561.6				other	OPPS APC	964.84	3561.6	
VALVE DELTA REG LEVEL 1.5	SUP-42823	CDM			270	RC		inpatient			3561.6	3561.6																																																			
E-POLY 36MM +3 MAXROM LNR SZ23	SUP-97-04793	CDM			278	RC		outpatient			3560	356	3560				fee schedule		3560				other	OPPS APC	2029.2				percent of total billed charges		3560				other	OPPS APC	3560				other	OPPS APC	1744.4				percent of total billed charges		1815.6				percent of total billed charges		356				other	OPPS APC	356	3560	
E-POLY 36MM +3 MAXROM LNR SZ23	SUP-97-04793	CDM			278	RC		inpatient			3560	3560																																																			
E-POLY 32MM 3 HIWALL LNR SZ22	SUP-97-04867	CDM			278	RC		outpatient			3560	356	3560				fee schedule		3560				other	OPPS APC	2029.2				percent of total billed charges		3560				other	OPPS APC	3560				other	OPPS APC	1744.4				percent of total billed charges		1815.6				percent of total billed charges		356				other	OPPS APC	356	3560	
E-POLY 32MM 3 HIWALL LNR SZ22	SUP-97-04867	CDM			278	RC		inpatient			3560	3560																																																			
LINER G7 VITAMIN E HIGH WALL 40MM G	SUP-97-06187	CDM			278	RC		outpatient			3560	356	3560				fee schedule		3560				other	OPPS APC	2029.2				percent of total billed charges		3560				other	OPPS APC	3560				other	OPPS APC	1744.4				percent of total billed charges		1815.6				percent of total billed charges		356				other	OPPS APC	356	3560	
LINER G7 VITAMIN E HIGH WALL 40MM G	SUP-97-06187	CDM			278	RC		inpatient			3560	3560																																																			
BASEPLATE TIBIAL HIGH FLEX TIVANIUM PRECOAT 5 KNEE LEFT MEDIAL RIGHT LATERAL UNICOMPARTMENTAL MODULAR STERILE	SUP-00-5842-005-01	CDM	270010025	LOCAL	270	RC		outpatient			3559.1	3560	964.16				percent of total billed charges		3559.1				other	OPPS APC	2633.73				percent of total billed charges		3559.1				other	OPPS APC	3559.1				other	OPPS APC	964.16				percent of total billed charges		983.38				percent of total billed charges		3560				other	OPPS APC	964.16	3560	
BASEPLATE TIBIAL HIGH FLEX TIVANIUM PRECOAT 5 KNEE LEFT MEDIAL RIGHT LATERAL UNICOMPARTMENTAL MODULAR STERILE	SUP-00-5842-005-01	CDM	270010025	LOCAL	270	RC		inpatient			3559.1	3559.1																																																			
BASEPLATE TIBIAL HIGH FLEX 6 TIVANIUM PRECOAT STERILE KNEE LEFT MEDIAL RIGHT LATERAL	SUP-00-5842-006-01	CDM	270010025	LOCAL	270	RC		outpatient			3559.1	3560	964.16				percent of total billed charges		3559.1				other	OPPS APC	2633.73				percent of total billed charges		3559.1				other	OPPS APC	3559.1				other	OPPS APC	964.16				percent of total billed charges		983.38				percent of total billed charges		3560				other	OPPS APC	964.16	3560	
BASEPLATE TIBIAL HIGH FLEX 6 TIVANIUM PRECOAT STERILE KNEE LEFT MEDIAL RIGHT LATERAL	SUP-00-5842-006-01	CDM	270010025	LOCAL	270	RC		inpatient			3559.1	3559.1																																																			
SCREW BONE XIA 3 TITANIUM L40 MM OD7.5 MM SPINE THORACOLUMBAR POLYAXIAL	SUP-482317540	CDM	270010020	LOCAL	270	RC		outpatient			3552.32	3552.32	962.32				percent of total billed charges		3552.32				other	OPPS APC	2628.72				percent of total billed charges		3552.32				other	OPPS APC	3552.32				other	OPPS APC	962.32				percent of total billed charges		981.51				percent of total billed charges		3552.32				other	OPPS APC	962.32	3552.32	
SCREW BONE XIA 3 TITANIUM L40 MM OD7.5 MM SPINE THORACOLUMBAR POLYAXIAL	SUP-482317540	CDM	270010020	LOCAL	270	RC		inpatient			3552.32	3552.32																																																			
OSTEOSPAN BONE GRAFT SUBSTITUTE	SUP-100-30G	CDM			270	RC		outpatient			3550	355	961.7				percent of total billed charges		3550				other	OPPS APC	2627				percent of total billed charges		3550				other	OPPS APC	3550				other	OPPS APC	961.7				percent of total billed charges		980.87				percent of total billed charges		355				other	OPPS APC	355	3550	
OSTEOSPAN BONE GRAFT SUBSTITUTE	SUP-100-30G	CDM			270	RC		inpatient			3550	3550																																																			
ADAPTER HEAD ARTHREX OD36 MM REVERSE STERILE CUFF ARTHROPATHY	SUP-AR-9502-36ARCA	CDM	270010030	LOCAL	270	RC		outpatient			3550	355	961.7				percent of total billed charges		3550				other	OPPS APC	2627				percent of total billed charges		3550				other	OPPS APC	3550				other	OPPS APC	961.7				percent of total billed charges		980.87				percent of total billed charges		355				other	OPPS APC	355	3550	
ADAPTER HEAD ARTHREX OD36 MM REVERSE STERILE CUFF ARTHROPATHY	SUP-AR-9502-36ARCA	CDM	270010030	LOCAL	270	RC		inpatient			3550	3550																																																			
ACCESS VERSACROSS STEERABLE 0.035IN 230 PIGTAIL CM RF WIRE 71CM BI-DIRECTIONAL STEERABLE SHEATH SMALL D1 CURVE 8.5 FRENCH	SUP-VSTK35P2308571SD1	CDM			481	RC		outpatient			3550	355	1739.5				percent of total billed charges		3550				other	OPPS APC	2627				percent of total billed charges		3550				other	OPPS APC	3550				other	OPPS APC	1739.5				percent of total billed charges		1810.5				percent of total billed charges		355				other	OPPS APC	355	3550	
ACCESS VERSACROSS STEERABLE 0.035IN 230 PIGTAIL CM RF WIRE 71CM BI-DIRECTIONAL STEERABLE SHEATH SMALL D1 CURVE 8.5 FRENCH	SUP-VSTK35P2308571SD1	CDM			481	RC		inpatient			3550	3550																																																			
ACCESS VERSACROSS STEERABLE 0.035IN 230 PIGTAIL CM RF WIRE 71CM BI-DIRECTIONAL STEERABLE SHEATH LARGE D1 CURVE 8.5 FRENCH	SUP-VSTK35P23085BD71LD1	CDM			481	RC		outpatient			3550	355	1739.5				percent of total billed charges		3550				other	OPPS APC	2627				percent of total billed charges		3550				other	OPPS APC	3550				other	OPPS APC	1739.5				percent of total billed charges		1810.5				percent of total billed charges		355				other	OPPS APC	355	3550	
ACCESS VERSACROSS STEERABLE 0.035IN 230 PIGTAIL CM RF WIRE 71CM BI-DIRECTIONAL STEERABLE SHEATH LARGE D1 CURVE 8.5 FRENCH	SUP-VSTK35P23085BD71LD1	CDM			481	RC		inpatient			3550	3550																																																			
ACCESS VERSACROSS STEERABLE 0.035 IN. 230 PIGTAIL CM RF WIRE 71CM BI-DIRECTIONAL STEERABLE SHEATH MEDIUM D1 CURVE 8.5 FRENCH	SUP-VSTK35P23085BD71MD1	CDM			481	RC		outpatient			3550	355	1739.5				percent of total billed charges		3550				other	OPPS APC	2627				percent of total billed charges		3550				other	OPPS APC	3550				other	OPPS APC	1739.5				percent of total billed charges		1810.5				percent of total billed charges		355				other	OPPS APC	355	3550	
ACCESS VERSACROSS STEERABLE 0.035 IN. 230 PIGTAIL CM RF WIRE 71CM BI-DIRECTIONAL STEERABLE SHEATH MEDIUM D1 CURVE 8.5 FRENCH	SUP-VSTK35P23085BD71MD1	CDM			481	RC		inpatient			3550	3550																																																			
XPRESS LOPROFILE  ENT DILATION SYSTEM	SUP-72-00057	CDM			272	RC		outpatient			3547.5	3547.5	961.02				percent of total billed charges		3547.5				other	OPPS APC	2625.15				percent of total billed charges		3547.5				other	OPPS APC	3547.5				other	OPPS APC	961.02				percent of total billed charges		980.17				percent of total billed charges		3547.5				other	OPPS APC	961.02	3547.5	
XPRESS LOPROFILE  ENT DILATION SYSTEM	SUP-72-00057	CDM			272	RC		inpatient			3547.5	3547.5																																																			
FEMORAL NAIL A/R R1500	SUP-97-04251	CDM			278	RC		outpatient			3544.2	3544.2	3544.2				fee schedule		3544.2				other	OPPS APC	2020.19				percent of total billed charges		3544.2				other	OPPS APC	3544.2				other	OPPS APC	1736.66				percent of total billed charges		1807.54				percent of total billed charges		3544.2				other	OPPS APC	1736.66	3544.2	
FEMORAL NAIL A/R R1500	SUP-97-04251	CDM			278	RC		inpatient			3544.2	3544.2																																																			
12 X 380 FEMORAL NAIL	SUP-97-04539	CDM			278	RC		outpatient			3544.2	3544.2	3544.2				fee schedule		3544.2				other	OPPS APC	2020.19				percent of total billed charges		3544.2				other	OPPS APC	3544.2				other	OPPS APC	1736.66				percent of total billed charges		1807.54				percent of total billed charges		3544.2				other	OPPS APC	1736.66	3544.2	
12 X 380 FEMORAL NAIL	SUP-97-04539	CDM			278	RC		inpatient			3544.2	3544.2																																																			
TIBIAL AUGMENT HALF BLOCK SIZE 3 5MM	SUP-97-01996	CDM			278	RC		outpatient			3532.5	3532.5	3532.5				fee schedule		3532.5				other	OPPS APC	2013.53				percent of total billed charges		3532.5				other	OPPS APC	3532.5				other	OPPS APC	1730.93				percent of total billed charges		1801.58				percent of total billed charges		3532.5				other	OPPS APC	1730.93	3532.5	
TIBIAL AUGMENT HALF BLOCK SIZE 3 5MM	SUP-97-01996	CDM			278	RC		inpatient			3532.5	3532.5																																																			
TIBIAL AUGMENT HALF BLOCK SIZE 3 5MM	SUP-97-01997	CDM			278	RC		outpatient			3532.5	3532.5	3532.5				fee schedule		3532.5				other	OPPS APC	2013.53				percent of total billed charges		3532.5				other	OPPS APC	3532.5				other	OPPS APC	1730.93				percent of total billed charges		1801.58				percent of total billed charges		3532.5				other	OPPS APC	1730.93	3532.5	
TIBIAL AUGMENT HALF BLOCK SIZE 3 5MM	SUP-97-01997	CDM			278	RC		inpatient			3532.5	3532.5																																																			
FOOT ARCH 180	SUP-97-03808	CDM			278	RC		outpatient			3530.8	353.82	3530.8				fee schedule		3530.8				other	OPPS APC	2012.56				percent of total billed charges		3530.8				other	OPPS APC	3530.8				other	OPPS APC	1730.09				percent of total billed charges		1800.71				percent of total billed charges		353.82				other	OPPS APC	353.82	3530.8	
FOOT ARCH 180	SUP-97-03808	CDM			278	RC		inpatient			3530.8	3530.8																																																			
FOOT ARCH 155 MM	SUP-97-23637	CDM			278	RC		outpatient			3530.8	353.82	3530.8				fee schedule		3530.8				other	OPPS APC	2012.56				percent of total billed charges		3530.8				other	OPPS APC	3530.8				other	OPPS APC	1730.09				percent of total billed charges		1800.71				percent of total billed charges		353.82				other	OPPS APC	353.82	3530.8	
FOOT ARCH 155 MM	SUP-97-23637	CDM			278	RC		inpatient			3530.8	3530.8																																																			
SHEATH DILATOR TIGHTRAIL SUB-C ID .145 IN ROTATE STERILE LATEX FREE DISPOSABLE	SUP-560-011	CDM			481	RC		outpatient			3530	353	1729.7				percent of total billed charges		3530				other	OPPS APC	2612.2				percent of total billed charges		3530				other	OPPS APC	3530				other	OPPS APC	1729.7				percent of total billed charges		1800.3				percent of total billed charges		353				other	OPPS APC	353	3530	
SHEATH DILATOR TIGHTRAIL SUB-C ID .145 IN ROTATE STERILE LATEX FREE DISPOSABLE	SUP-560-011	CDM			481	RC		inpatient			3530	3530																																																			
GUIDE HELI-FX 22MM	SUP-AG-64	CDM			270	RC		outpatient			3522	3522	954.11				percent of total billed charges		3522				other	OPPS APC	2606.28				percent of total billed charges		3522				other	OPPS APC	3522				other	OPPS APC	954.11				percent of total billed charges		973.13				percent of total billed charges		3522				other	OPPS APC	954.11	3522	
GUIDE HELI-FX 22MM	SUP-AG-64	CDM			270	RC		inpatient			3522	3522																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 190MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.218S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 190MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.218S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 200MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.220S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 200MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.220S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L210 MM OD7 MM HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE ROUND CROSS SECTION STERILE BLUE	SUP-04.001.222S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L210 MM OD7 MM HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE ROUND CROSS SECTION STERILE BLUE	SUP-04.001.222S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 220MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.224S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 220MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.224S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L23 CM OD7 MM HUMERAL CANNULATED STERILE BLUE	SUP-04.001.226S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L23 CM OD7 MM HUMERAL CANNULATED STERILE BLUE	SUP-04.001.226S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM ROUND BARREL UNIVERSAL L24 CM OD7 MM HUMERUS CANNULATED STERILE BLUE	SUP-04.001.228S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT TITANIUM ROUND BARREL UNIVERSAL L24 CM OD7 MM HUMERUS CANNULATED STERILE BLUE	SUP-04.001.228S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 250MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.230S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 250MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.230S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM ROUND BARREL UNIVERSAL L26 CM OD7 MM HUMERUS CANNULATED STERILE BLUE	SUP-04.001.232S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT TITANIUM ROUND BARREL UNIVERSAL L26 CM OD7 MM HUMERUS CANNULATED STERILE BLUE	SUP-04.001.232S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 270MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.234S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 270MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.234S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 280MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.236S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 280MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.236S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 290MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.238S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 290MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.238S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 300MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.240S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 300MM 7MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.240S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 190MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.418S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 190MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.418S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 200MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.420S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 200MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.420S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 210MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.422S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 210MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.422S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 220MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.424S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 220MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.424S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L230 MM OD9 MM HUMERUS CANNULATED IMPLANT STERILE	SUP-04.001.426S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L230 MM OD9 MM HUMERUS CANNULATED IMPLANT STERILE	SUP-04.001.426S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 240MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.428S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 240MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.428S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 250MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.430S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 250MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.430S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 260MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.432S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 260MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.432S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L270 MM OD9 MM HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE ROUND CROSS SECTION STERILE BLUE	SUP-04.001.434S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L270 MM OD9 MM HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE ROUND CROSS SECTION STERILE BLUE	SUP-04.001.434S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 280MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.436S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 280MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.436S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 300MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.440S	CDM	270010022	LOCAL	270	RC		outpatient			3520	352	953.57				percent of total billed charges		3520				other	OPPS APC	2604.8				percent of total billed charges		3520				other	OPPS APC	3520				other	OPPS APC	953.57				percent of total billed charges		972.58				percent of total billed charges		352				other	OPPS APC	352	3520	
NAIL INTRAMEDULLARY EXPERT ROUND 300MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.440S	CDM	270010022	LOCAL	270	RC		inpatient			3520	3520																																																			
CATHETER BALLOON OCCLUSION HYPERFORM PLATINUM .01 IN L2 MM L150 CM L7 MM OD2.8-2.2 FR ODSEC3 MM 1 LUMEN GUIDEWIRE LINE EXTENSION COIL TIP	SUP-104-4370	CDM			270	RC		outpatient			3516	3516	952.48				percent of total billed charges		3516				other	OPPS APC	2601.84				percent of total billed charges		3516				other	OPPS APC	3516				other	OPPS APC	952.48				percent of total billed charges		971.47				percent of total billed charges		3516				other	OPPS APC	952.48	3516	
CATHETER BALLOON OCCLUSION HYPERFORM PLATINUM .01 IN L2 MM L150 CM L7 MM OD2.8-2.2 FR ODSEC3 MM 1 LUMEN GUIDEWIRE LINE EXTENSION COIL TIP	SUP-104-4370	CDM			270	RC		inpatient			3516	3516																																																			
CATHETER BALLOON OCCLUSION HYPERFORM HYDROPHILIC .01 IN L2 MM L150 CM L7 MM OD2.5-2.8 FR ODSEC4 MM 1 LUMEN GUIDEWIRE COIL TIP LINE EXTENSION	SUP-104-4470	CDM			270	RC		outpatient			3516	3516	952.48				percent of total billed charges		3516				other	OPPS APC	2601.84				percent of total billed charges		3516				other	OPPS APC	3516				other	OPPS APC	952.48				percent of total billed charges		971.47				percent of total billed charges		3516				other	OPPS APC	952.48	3516	
CATHETER BALLOON OCCLUSION HYPERFORM HYDROPHILIC .01 IN L2 MM L150 CM L7 MM OD2.5-2.8 FR ODSEC4 MM 1 LUMEN GUIDEWIRE COIL TIP LINE EXTENSION	SUP-104-4470	CDM			270	RC		inpatient			3516	3516																																																			
CATHETER BALLOON OCCLUSION HYPERFORM L2 MM L150 CM L15 MM OD2.8-3 FR ODSEC7 MM 1 LUMEN MECHANICAL SEAL ACCEPTS .01 IN GUIDEWIRE	SUP-104-4715	CDM			270	RC		outpatient			3516	3516	952.48				percent of total billed charges		3516				other	OPPS APC	2601.84				percent of total billed charges		3516				other	OPPS APC	3516				other	OPPS APC	952.48				percent of total billed charges		971.47				percent of total billed charges		3516				other	OPPS APC	952.48	3516	
CATHETER BALLOON OCCLUSION HYPERFORM L2 MM L150 CM L15 MM OD2.8-3 FR ODSEC7 MM 1 LUMEN MECHANICAL SEAL ACCEPTS .01 IN GUIDEWIRE	SUP-104-4715	CDM			270	RC		inpatient			3516	3516																																																			
CATHETER BALLOON OCCLUSION HYPERFORM X-PEDION PLATINUM HYDROPHILIC .01 IN L4 MM L150 CM L20 MM OD2.8-2.2 FR ODSEC4 MM 1 LUMEN GUIDEWIRE COIL TIP	SUP-104-4127	CDM			270	RC		outpatient			3508	358	950.32				percent of total billed charges		3508				other	OPPS APC	2595.92				percent of total billed charges		3508				other	OPPS APC	3508				other	OPPS APC	950.32				percent of total billed charges		969.26				percent of total billed charges		358				other	OPPS APC	358	3508	
CATHETER BALLOON OCCLUSION HYPERFORM X-PEDION PLATINUM HYDROPHILIC .01 IN L4 MM L150 CM L20 MM OD2.8-2.2 FR ODSEC4 MM 1 LUMEN GUIDEWIRE COIL TIP	SUP-104-4127	CDM			270	RC		inpatient			3508	3508																																																			
PLATE INTEGRA HALLULOCK S SIZE 3 RIGHT	SUP-290560	CDM			270	RC		outpatient			3506.4	356.41	949.88				percent of total billed charges		3506.4				other	OPPS APC	2594.74				percent of total billed charges		3506.4				other	OPPS APC	3506.4				other	OPPS APC	949.88				percent of total billed charges		968.82				percent of total billed charges		356.41				other	OPPS APC	356.41	3506.4	
PLATE INTEGRA HALLULOCK S SIZE 3 RIGHT	SUP-290560	CDM			270	RC		inpatient			3506.4	3506.4																																																			
NORIAN DRILL ABLE INJECT 5CC	SUP-97-03721	CDM			278	RC		outpatient			3501	351	3501				fee schedule		3501				other	OPPS APC	1995.57				percent of total billed charges		3501				other	OPPS APC	3501				other	OPPS APC	1715.49				percent of total billed charges		1785.51				percent of total billed charges		351				other	OPPS APC	351	3501	
NORIAN DRILL ABLE INJECT 5CC	SUP-97-03721	CDM			278	RC		inpatient			3501	3501																																																			
PLATE MEDTRONIC CERVICAL 3 LEVEL 57MM	SUP-3002057	CDM	270010020	LOCAL	270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
PLATE MEDTRONIC CERVICAL 3 LEVEL 57MM	SUP-3002057	CDM	270010020	LOCAL	270	RC		inpatient			3500	3500																																																			
PLATE BONE ZEVO TITANIUM L59 MM SPINE CERVICAL ANTERIOR LEVEL 3	SUP-3303059	CDM	270010020	LOCAL	270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
PLATE BONE ZEVO TITANIUM L59 MM SPINE CERVICAL ANTERIOR LEVEL 3	SUP-3303059	CDM	270010020	LOCAL	270	RC		inpatient			3500	3500																																																			
SUBSTITUTE BONE GRAFT ACTIFUSE ABX SYNTHETIC 1-2 MM 10 ML GRANULE	SUP-506005078052	CDM	270010012	LOCAL	270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
SUBSTITUTE BONE GRAFT ACTIFUSE ABX SYNTHETIC 1-2 MM 10 ML GRANULE	SUP-506005078052	CDM	270010012	LOCAL	270	RC		inpatient			3500	3500																																																			
PLATE BONE ATLANTIS TITANIUM L60 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190060	CDM	270010020	LOCAL	270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
PLATE BONE ATLANTIS TITANIUM L60 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190060	CDM	270010020	LOCAL	270	RC		inpatient			3500	3500																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L60 MM SPINE CERVICAL ANTERIOR	SUP-7200060	CDM	270010020	LOCAL	270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L60 MM SPINE CERVICAL ANTERIOR	SUP-7200060	CDM	270010020	LOCAL	270	RC		inpatient			3500	3500																																																			
PLATE MEDTRONIC ZEPHIR 57.5MM	SUP-8799157	CDM	270010020	LOCAL	270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
PLATE MEDTRONIC ZEPHIR 57.5MM	SUP-8799157	CDM	270010020	LOCAL	270	RC		inpatient			3500	3500																																																			
MIRABO CUP 52MM	SUP-97-02975	CDM			278	RC		outpatient			3500	35	3500				fee schedule		3500				other	OPPS APC	1995				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
MIRABO CUP 52MM	SUP-97-02975	CDM			278	RC		inpatient			3500	3500																																																			
RTS FLEX  1ST MPJ IMPLANT W/GROM SZ2	SUP-97-03311	CDM			278	RC		outpatient			3500	35	3500				fee schedule		3500				other	OPPS APC	1995				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
RTS FLEX  1ST MPJ IMPLANT W/GROM SZ2	SUP-97-03311	CDM			278	RC		inpatient			3500	3500																																																			
PS ALL-POLY TIBIA SIZE 2  11MM	SUP-97-04628	CDM			278	RC		outpatient			3500	35	3500				fee schedule		3500				other	OPPS APC	1995				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
PS ALL-POLY TIBIA SIZE 2  11MM	SUP-97-04628	CDM			278	RC		inpatient			3500	3500																																																			
BIOSURGE KIT 2.5CC	SUP-97-04720	CDM			278	RC		outpatient			3500	35	3500				fee schedule		3500				other	OPPS APC	1995				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
BIOSURGE KIT 2.5CC	SUP-97-04720	CDM			278	RC		inpatient			3500	3500																																																			
FILTER - DENALI JUGULAR	SUP-99-02152	CDM			278	RC		outpatient			3500	35	3500				fee schedule		3500				other	OPPS APC	1995				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
FILTER - DENALI JUGULAR	SUP-99-02152	CDM			278	RC		inpatient			3500	3500																																																			
SYSTEM PACEMAKER AVEIR LEADLESS VR DEL CATH	SUP-LSCD111	CDM			270	RC		outpatient			3500	35	948.15				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	948.15				percent of total billed charges		967.05				percent of total billed charges		35				other	OPPS APC	35	3500	
SYSTEM PACEMAKER AVEIR LEADLESS VR DEL CATH	SUP-LSCD111	CDM			270	RC		inpatient			3500	3500																																																			
WIRE VERSA CROSS STEERABLE BIDIRECTIONAL ACCESS 8.5F SYSTEM W/45 SHEATH AND PIGTAIL	SUP-VSTK0022	CDM			481	RC		outpatient			3500	35	1715				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
WIRE VERSA CROSS STEERABLE BIDIRECTIONAL ACCESS 8.5F SYSTEM W/45 SHEATH AND PIGTAIL	SUP-VSTK0022	CDM			481	RC		inpatient			3500	3500																																																			
Fix This	SUP-VSTK35P23085B7	CDM			481	RC		outpatient			3500	35	1715				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
Fix This	SUP-VSTK35P23085B7	CDM			481	RC		inpatient			3500	3500																																																			
VERSA CROSS TRANSSEPTAL STEERABLE BIDIRECTIONAL ACCESS 8.5F SYSTEM W/45 SHEATH AND PIGTAIL	SUP-VSTK-35P-230-85-BD-7	CDM			481	RC		outpatient			3500	35	1715				percent of total billed charges		3500				other	OPPS APC	2590				percent of total billed charges		3500				other	OPPS APC	3500				other	OPPS APC	1715				percent of total billed charges		1785				percent of total billed charges		35				other	OPPS APC	35	3500	
VERSA CROSS TRANSSEPTAL STEERABLE BIDIRECTIONAL ACCESS 8.5F SYSTEM W/45 SHEATH AND PIGTAIL	SUP-VSTK-35P-230-85-BD-7	CDM			481	RC		inpatient			3500	3500																																																			
STAPLE ASSEMBLE STRAIGHT 20X20X20MM GREAT WHITE	SUP-97-06290	CDM			278	RC		outpatient			3499.88	3499.88	3499.88				fee schedule		3499.88				other	OPPS APC	1994.93				percent of total billed charges		3499.88				other	OPPS APC	3499.88				other	OPPS APC	1714.94				percent of total billed charges		1784.94				percent of total billed charges		3499.88				other	OPPS APC	1714.94	3499.88	
STAPLE ASSEMBLE STRAIGHT 20X20X20MM GREAT WHITE	SUP-97-06290	CDM			278	RC		inpatient			3499.88	3499.88																																																			
PLATE INTEGRA HALLULAH S PLATE SIZE 3	SUP-290660	CDM			270	RC		outpatient			3499.76	3499.76	948.08				percent of total billed charges		3499.76				other	OPPS APC	2589.82				percent of total billed charges		3499.76				other	OPPS APC	3499.76				other	OPPS APC	948.08				percent of total billed charges		966.98				percent of total billed charges		3499.76				other	OPPS APC	948.08	3499.76	
PLATE INTEGRA HALLULAH S PLATE SIZE 3	SUP-290660	CDM			270	RC		inpatient			3499.76	3499.76																																																			
PLATE VARIAX CUBOID LOCKING	SUP-626885S	CDM			270	RC		outpatient			3492	3492	945.98				percent of total billed charges		3492				other	OPPS APC	2584.08				percent of total billed charges		3492				other	OPPS APC	3492				other	OPPS APC	945.98				percent of total billed charges		964.84				percent of total billed charges		3492				other	OPPS APC	945.98	3492	
PLATE VARIAX CUBOID LOCKING	SUP-626885S	CDM			270	RC		inpatient			3492	3492																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L 167 MM X W 11.5 MM X H 3.6MM  W 32.3 MM X H1.9MM TIBIAL RIGHT PROXIMAL LATERAL 13 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72463213	CDM			270	RC		outpatient			3488	3488	944.9				percent of total billed charges		3488				other	OPPS APC	2581.12				percent of total billed charges		3488				other	OPPS APC	3488				other	OPPS APC	944.9				percent of total billed charges		963.73				percent of total billed charges		3488				other	OPPS APC	944.9	3488	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L 167 MM X W 11.5 MM X H 3.6MM  W 32.3 MM X H1.9MM TIBIAL RIGHT PROXIMAL LATERAL 13 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72463213	CDM			270	RC		inpatient			3488	3488																																																			
OSS REINFORCED YOKE	SUP-97-23626	CDM			278	RC		outpatient			3487.5	3487.5	3487.5				fee schedule		3487.5				other	OPPS APC	1987.88				percent of total billed charges		3487.5				other	OPPS APC	3487.5				other	OPPS APC	1708.88				percent of total billed charges		1778.63				percent of total billed charges		3487.5				other	OPPS APC	1708.88	3487.5	
OSS REINFORCED YOKE	SUP-97-23626	CDM			278	RC		inpatient			3487.5	3487.5																																																			
BALLOON - ANGIOSCULPT 8.0X40	SUP-99-02228	CDM			272	RC		outpatient			3487.5	3487.5	944.76				percent of total billed charges		3487.5				other	OPPS APC	2580.75				percent of total billed charges		3487.5				other	OPPS APC	3487.5				other	OPPS APC	944.76				percent of total billed charges		963.6				percent of total billed charges		3487.5				other	OPPS APC	944.76	3487.5	
BALLOON - ANGIOSCULPT 8.0X40	SUP-99-02228	CDM			272	RC		inpatient			3487.5	3487.5																																																			
NEXGEN STRAIGHT STEM EXT 15MM X 30MM	SUP-97-02046	CDM			278	RC		outpatient			3484.38	3484.38	3484.38				fee schedule		3484.38				other	OPPS APC	1986.1				percent of total billed charges		3484.38				other	OPPS APC	3484.38				other	OPPS APC	1707.35				percent of total billed charges		1777.03				percent of total billed charges		3484.38				other	OPPS APC	1707.35	3484.38	
NEXGEN STRAIGHT STEM EXT 15MM X 30MM	SUP-97-02046	CDM			278	RC		inpatient			3484.38	3484.38																																																			
NEXGEN STRAIGHT STEM EXT 16MM X 30MM	SUP-97-03427	CDM			278	RC		outpatient			3484.38	3484.38	3484.38				fee schedule		3484.38				other	OPPS APC	1986.1				percent of total billed charges		3484.38				other	OPPS APC	3484.38				other	OPPS APC	1707.35				percent of total billed charges		1777.03				percent of total billed charges		3484.38				other	OPPS APC	1707.35	3484.38	
NEXGEN STRAIGHT STEM EXT 16MM X 30MM	SUP-97-03427	CDM			278	RC		inpatient			3484.38	3484.38																																																			
NEXGEN STRAIGHT STEM EXT 18MM X 145MM	SUP-97-03745	CDM			278	RC		outpatient			3484.38	3484.38	3484.38				fee schedule		3484.38				other	OPPS APC	1986.1				percent of total billed charges		3484.38				other	OPPS APC	3484.38				other	OPPS APC	1707.35				percent of total billed charges		1777.03				percent of total billed charges		3484.38				other	OPPS APC	1707.35	3484.38	
NEXGEN STRAIGHT STEM EXT 18MM X 145MM	SUP-97-03745	CDM			278	RC		inpatient			3484.38	3484.38																																																			
INTBRACE LGMNT REPR AUGMNT KIT	SUP-97-02936	CDM			278	RC		outpatient			3482.5	3482.5	3482.5				fee schedule		3482.5				other	OPPS APC	1985.03				percent of total billed charges		3482.5				other	OPPS APC	3482.5				other	OPPS APC	1706.43				percent of total billed charges		1776.08				percent of total billed charges		3482.5				other	OPPS APC	1706.43	3482.5	
INTBRACE LGMNT REPR AUGMNT KIT	SUP-97-02936	CDM			278	RC		inpatient			3482.5	3482.5																																																			
TIBIA PLATE LAT 6 HOLE	SUP-97-03516	CDM			278	RC		outpatient			3482.5	3482.5	3482.5				fee schedule		3482.5				other	OPPS APC	1985.03				percent of total billed charges		3482.5				other	OPPS APC	3482.5				other	OPPS APC	1706.43				percent of total billed charges		1776.08				percent of total billed charges		3482.5				other	OPPS APC	1706.43	3482.5	
TIBIA PLATE LAT 6 HOLE	SUP-97-03516	CDM			278	RC		inpatient			3482.5	3482.5																																																			
CONCENTNC GLENOSPHERE 36MMX2	SUP-97-03379	CDM			278	RC		outpatient			3481.25	3481.25	3481.25				fee schedule		3481.25				other	OPPS APC	1984.31				percent of total billed charges		3481.25				other	OPPS APC	3481.25				other	OPPS APC	1705.81				percent of total billed charges		1775.44				percent of total billed charges		3481.25				other	OPPS APC	1705.81	3481.25	
CONCENTNC GLENOSPHERE 36MMX2	SUP-97-03379	CDM			278	RC		inpatient			3481.25	3481.25																																																			
SET IMPLANT SUTUREBRIDGE ANCHOR DRILL GUIDE PUNCH TAP ACHILLES PACK	SUP-AR-8928BC-CP	CDM			270	RC		outpatient			3480	348	942.73				percent of total billed charges		3480				other	OPPS APC	2575.2				percent of total billed charges		3480				other	OPPS APC	3480				other	OPPS APC	942.73				percent of total billed charges		961.52				percent of total billed charges		348				other	OPPS APC	348	3480	
SET IMPLANT SUTUREBRIDGE ANCHOR DRILL GUIDE PUNCH TAP ACHILLES PACK	SUP-AR-8928BC-CP	CDM			270	RC		inpatient			3480	3480																																																			
LONG NAIL KIT R1/5 TI RT 11 X380MM X 125	SUP-97-02995	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT R1/5 TI RT 11 X380MM X 125	SUP-97-02995	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL KIT R1/5 TI RT 11 X440MM X 125	SUP-97-03366	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT R1/5 TI RT 11 X440MM X 125	SUP-97-03366	CDM			278	RC		inpatient			3477	3477																																																			
NAIL 10 X 420MM X 125 LEFT GAMMA LONG	SUP-97-03827	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
NAIL 10 X 420MM X 125 LEFT GAMMA LONG	SUP-97-03827	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL KIT R1/5 TI RT 11 X420MM X 125	SUP-97-04210	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT R1/5 TI RT 11 X420MM X 125	SUP-97-04210	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL 11X 400X125	SUP-97-04617	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL 11X 400X125	SUP-97-04617	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL KIT 11 X 360MM X 130 LEFT	SUP-97-05360	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT 11 X 360MM X 130 LEFT	SUP-97-05360	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL KIT 11 X 400MM X 130	SUP-97-05576	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT 11 X 400MM X 130	SUP-97-05576	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL KIT R1/5 TI LFT 15X420MM X125	SUP-97-05583	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT R1/5 TI LFT 15X420MM X125	SUP-97-05583	CDM			278	RC		inpatient			3477	3477																																																			
LONG NAIL KIT R1/5 TI LFT 13X440MM	SUP-97-05590	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
LONG NAIL KIT R1/5 TI LFT 13X440MM	SUP-97-05590	CDM			278	RC		inpatient			3477	3477																																																			
NAIL LONG GAMMA 10 X 400MM X 125DEG	SUP-97-05653	CDM			278	RC		outpatient			3477	3477	3477				fee schedule		3477				other	OPPS APC	1981.89				percent of total billed charges		3477				other	OPPS APC	3477				other	OPPS APC	1703.73				percent of total billed charges		1773.27				percent of total billed charges		3477				other	OPPS APC	1703.73	3477	
NAIL LONG GAMMA 10 X 400MM X 125DEG	SUP-97-05653	CDM			278	RC		inpatient			3477	3477																																																			
LINER STRYKER CEMENTLESS 36MM SIZE C	SUP-626-00-36C	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER STRYKER CEMENTLESS 36MM SIZE C	SUP-626-00-36C	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER ACETABULAR D ID38 MM HIP MODULAR 2 MOBILITY	SUP-626-00-38D	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER ACETABULAR D ID38 MM HIP MODULAR 2 MOBILITY	SUP-626-00-38D	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER ACETABULAR MDM COCR E OD42 MM HIP 2 MOBILITY MODULAR	SUP-626-00-42E	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER ACETABULAR MDM COCR E OD42 MM HIP 2 MOBILITY MODULAR	SUP-626-00-42E	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER ACETABULAR COCR F OD46 MM HIP MODULAR DUAL MOBILITY PRIMARY	SUP-626-00-46F	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER ACETABULAR COCR F OD46 MM HIP MODULAR DUAL MOBILITY PRIMARY	SUP-626-00-46F	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER ACETABULAR MDM COCR G OD48 MM HIP 28 MM FEMORAL HEAD	SUP-626-00-48G	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER ACETABULAR MDM COCR G OD48 MM HIP 28 MM FEMORAL HEAD	SUP-626-00-48G	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER STRYKER CEMENTLESS 52MM SIZE H	SUP-626-00-52H	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER STRYKER CEMENTLESS 52MM SIZE H	SUP-626-00-52H	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER STRYKER CEMENTLESS 54MM SIZE I	SUP-626-00-54I	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER STRYKER CEMENTLESS 54MM SIZE I	SUP-626-00-54I	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
LINER ACETABULAR MDM J 58MM COCR HIP 28MM FEMORAL HEAD	SUP-626-00-58J	CDM	270010024	LOCAL	270	RC		outpatient			3475	3475	941.38				percent of total billed charges		3475				other	OPPS APC	2571.5				percent of total billed charges		3475				other	OPPS APC	3475				other	OPPS APC	941.38				percent of total billed charges		960.14				percent of total billed charges		3475				other	OPPS APC	941.38	3475	
LINER ACETABULAR MDM J 58MM COCR HIP 28MM FEMORAL HEAD	SUP-626-00-58J	CDM	270010024	LOCAL	270	RC		inpatient			3475	3475																																																			
CATHETER BALLOON OCCLUSION TRANSFORM L5 MM OD3 MM 1 LUMEN SUPER COMPLIANT STERILE LATEX FREE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-M003SSC03050	CDM			270	RC		outpatient			3470	347	940.02				percent of total billed charges		3470				other	OPPS APC	2567.8				percent of total billed charges		3470				other	OPPS APC	3470				other	OPPS APC	940.02				percent of total billed charges		958.76				percent of total billed charges		347				other	OPPS APC	347	3470	
CATHETER BALLOON OCCLUSION TRANSFORM L5 MM OD3 MM 1 LUMEN SUPER COMPLIANT STERILE LATEX FREE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-M003SSC03050	CDM			270	RC		inpatient			3470	3470																																																			
CATHETER BALLOON OCCLUSION TRANSFORM L150CM L7MM OD 2.8 FR ODSEC 4MM 1 LUMEN SUPER COMPLIANT ACCEPTS .014 IN GUIDEWIRE	SUP-M003SSC04070	CDM			270	RC		outpatient			3470	347	940.02				percent of total billed charges		3470				other	OPPS APC	2567.8				percent of total billed charges		3470				other	OPPS APC	3470				other	OPPS APC	940.02				percent of total billed charges		958.76				percent of total billed charges		347				other	OPPS APC	347	3470	
CATHETER BALLOON OCCLUSION TRANSFORM L150CM L7MM OD 2.8 FR ODSEC 4MM 1 LUMEN SUPER COMPLIANT ACCEPTS .014 IN GUIDEWIRE	SUP-M003SSC04070	CDM			270	RC		inpatient			3470	3470																																																			
CATHETER BALLOON OCCLUSION TRANSFORM L7 MM OD7 MM 1 LUMEN SUPER COMPLIANT STERILE LATEX FREE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-M003SSC07070	CDM			270	RC		outpatient			3470	347	940.02				percent of total billed charges		3470				other	OPPS APC	2567.8				percent of total billed charges		3470				other	OPPS APC	3470				other	OPPS APC	940.02				percent of total billed charges		958.76				percent of total billed charges		347				other	OPPS APC	347	3470	
CATHETER BALLOON OCCLUSION TRANSFORM L7 MM OD7 MM 1 LUMEN SUPER COMPLIANT STERILE LATEX FREE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-M003SSC07070	CDM			270	RC		inpatient			3470	3470																																																			
NEXGEN FULL BLOCK TIBIAL AUGMENT 10MM	SUP-97-02625	CDM			278	RC		outpatient			3468.75	3468.75	3468.75				fee schedule		3468.75				other	OPPS APC	1977.19				percent of total billed charges		3468.75				other	OPPS APC	3468.75				other	OPPS APC	1699.69				percent of total billed charges		1769.06				percent of total billed charges		3468.75				other	OPPS APC	1699.69	3468.75	
NEXGEN FULL BLOCK TIBIAL AUGMENT 10MM	SUP-97-02625	CDM			278	RC		inpatient			3468.75	3468.75																																																			
HC Nephhrostomy Drain Replacement	PX-361504351	CDM	50435	CPT	361	RC		outpatient			3466	1953.6	1094.56				percent of total billed charges		1953.6				other	OPPS APC	612				fee schedule		1953.6				other	OPPS APC	1953.6				other	OPPS APC	1094.56				percent of total billed charges		1116.4				percent of total billed charges		1953.6				other	OPPS APC	612	1953.6	
HC Nephhrostomy Drain Replacement	PX-361504351	CDM	50435	CPT	361	RC		inpatient			3466	3466																																																			
PACEMAKER - GENERATOR AZURE SINGL W3SR01	SUP-99-04215	CDM			275	RC		inpatient			3465.6	3465.6																																																			
PACEMAKER - GENERATOR AZURE SINGL W3SR01	SUP-99-04215	CDM			275	RC		outpatient			3465.6	3465.6					fee schedule						other	OPPS APC	1975.39				percent of total billed charges						other	OPPS APC					other	OPPS APC	1698.14				percent of total billed charges		1767.46				percent of total billed charges						other	OPPS APC	1975.39	1975.39	
PACEMAKER CARDIAC ADVISA SR MR SURESCAN 12.7 ML 22 GM 1 CHAMBER UNIPOLAR BIPOLAR IS-1	SUP-A3SR01	CDM			275	RC		outpatient			3465.6	3465.6	1698.14				percent of total billed charges		3465.6				other	OPPS APC	1975.39				percent of total billed charges		3465.6				other	OPPS APC	3465.6				other	OPPS APC	1698.14				percent of total billed charges		1767.46				percent of total billed charges		3465.6				other	OPPS APC	1698.14	3465.6	
PACEMAKER CARDIAC ADVISA SR MR SURESCAN 12.7 ML 22 GM 1 CHAMBER UNIPOLAR BIPOLAR IS-1	SUP-A3SR01	CDM			275	RC		inpatient			3465.6	3465.6																																																			
STENT BILIARY WALLFLEX METAL L60 MM OD10 MM ODSEC8 FR UNCOVER RAPID EXCHANGE DELIVERY SYSTEM SELF EXPAND ACCEPTS .035 IN GUIDEWIRE	SUP-M00570640	CDM			270	RC		outpatient			3464.6	3464.6	938.56				percent of total billed charges		3464.6				other	OPPS APC	2563.8				percent of total billed charges		3464.6				other	OPPS APC	3464.6				other	OPPS APC	938.56				percent of total billed charges		957.27				percent of total billed charges		3464.6				other	OPPS APC	938.56	3464.6	
STENT BILIARY WALLFLEX METAL L60 MM OD10 MM ODSEC8 FR UNCOVER RAPID EXCHANGE DELIVERY SYSTEM SELF EXPAND ACCEPTS .035 IN GUIDEWIRE	SUP-M00570640	CDM			270	RC		inpatient			3464.6	3464.6																																																			
STENT BILIARY WALLFLEX L80 MM OD10 MM ODSEC8 FR RAPID EXCHANGE DELIVERY SYSTEM ACCEPTS .035 IN GUIDEWIRE	SUP-M00570650	CDM			270	RC		outpatient			3464.6	3464.6	938.56				percent of total billed charges		3464.6				other	OPPS APC	2563.8				percent of total billed charges		3464.6				other	OPPS APC	3464.6				other	OPPS APC	938.56				percent of total billed charges		957.27				percent of total billed charges		3464.6				other	OPPS APC	938.56	3464.6	
STENT BILIARY WALLFLEX L80 MM OD10 MM ODSEC8 FR RAPID EXCHANGE DELIVERY SYSTEM ACCEPTS .035 IN GUIDEWIRE	SUP-M00570650	CDM			270	RC		inpatient			3464.6	3464.6																																																			
TIBIAL NAIL 10 X 405MM T2 STANDARD	SUP-97-02968	CDM			278	RC		outpatient			3463.85	3463.85	3463.85				fee schedule		3463.85				other	OPPS APC	1974.39				percent of total billed charges		3463.85				other	OPPS APC	3463.85				other	OPPS APC	1697.29				percent of total billed charges		1766.56				percent of total billed charges		3463.85				other	OPPS APC	1697.29	3463.85	
TIBIAL NAIL 10 X 405MM T2 STANDARD	SUP-97-02968	CDM			278	RC		inpatient			3463.85	3463.85																																																			
TIBIAL NAIL 10 X 375MM T2 STANDARD	SUP-97-03148	CDM			278	RC		outpatient			3463.85	3463.85	3463.85				fee schedule		3463.85				other	OPPS APC	1974.39				percent of total billed charges		3463.85				other	OPPS APC	3463.85				other	OPPS APC	1697.29				percent of total billed charges		1766.56				percent of total billed charges		3463.85				other	OPPS APC	1697.29	3463.85	
TIBIAL NAIL 10 X 375MM T2 STANDARD	SUP-97-03148	CDM			278	RC		inpatient			3463.85	3463.85																																																			
TIBIAL NAIL 10 X 285MM T2 STANDARD	SUP-97-03301	CDM			278	RC		outpatient			3463.83	3463.83	3463.83				fee schedule		3463.83				other	OPPS APC	1974.38				percent of total billed charges		3463.83				other	OPPS APC	3463.83				other	OPPS APC	1697.28				percent of total billed charges		1766.55				percent of total billed charges		3463.83				other	OPPS APC	1697.28	3463.83	
TIBIAL NAIL 10 X 285MM T2 STANDARD	SUP-97-03301	CDM			278	RC		inpatient			3463.83	3463.83																																																			
VENTRALIGHT ST 6X10 MIDLINE	SUP-97-00216	CDM			278	RC		outpatient			3462.5	3462.5	3462.5				fee schedule		3462.5				other	OPPS APC	1973.63				percent of total billed charges		3462.5				other	OPPS APC	3462.5				other	OPPS APC	1696.63				percent of total billed charges		1765.88				percent of total billed charges		3462.5				other	OPPS APC	1696.63	3462.5	
VENTRALIGHT ST 6X10 MIDLINE	SUP-97-00216	CDM			278	RC		inpatient			3462.5	3462.5																																																			
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-01395	CDM			278	RC		outpatient			3460	346	3460				fee schedule		3460				other	OPPS APC	1972.2				percent of total billed charges		3460				other	OPPS APC	3460				other	OPPS APC	1695.4				percent of total billed charges		1764.6				percent of total billed charges		346				other	OPPS APC	346	3460	
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-01395	CDM			278	RC		inpatient			3460	3460																																																			
STRAIGHT PLATE  4 HOLE COMPRESSION	SUP-97-03308	CDM			278	RC		outpatient			3456.25	3456.25	3456.25				fee schedule		3456.25				other	OPPS APC	1970.06				percent of total billed charges		3456.25				other	OPPS APC	3456.25				other	OPPS APC	1693.56				percent of total billed charges		1762.69				percent of total billed charges		3456.25				other	OPPS APC	1693.56	3456.25	
STRAIGHT PLATE  4 HOLE COMPRESSION	SUP-97-03308	CDM			278	RC		inpatient			3456.25	3456.25																																																			
PLATE BONE LCP COMBI CURVE 350X17.5X5.2MM SS NS CONDYLAR LEFT PERIARTICULAR 16 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT	SUP-02.001.306	CDM	270010022	LOCAL	270	RC		outpatient			3456.2	3456.2	936.28				percent of total billed charges		3456.2				other	OPPS APC	2557.59				percent of total billed charges		3456.2				other	OPPS APC	3456.2				other	OPPS APC	936.28				percent of total billed charges		954.95				percent of total billed charges		3456.2				other	OPPS APC	936.28	3456.2	
PLATE BONE LCP COMBI CURVE 350X17.5X5.2MM SS NS CONDYLAR LEFT PERIARTICULAR 16 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT	SUP-02.001.306	CDM	270010022	LOCAL	270	RC		inpatient			3456.2	3456.2																																																			
PLATE BONE LCP COMBI CURVE 350X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 16 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.326	CDM	270010022	LOCAL	270	RC		outpatient			3456.2	3456.2	936.28				percent of total billed charges		3456.2				other	OPPS APC	2557.59				percent of total billed charges		3456.2				other	OPPS APC	3456.2				other	OPPS APC	936.28				percent of total billed charges		954.95				percent of total billed charges		3456.2				other	OPPS APC	936.28	3456.2	
PLATE BONE LCP COMBI CURVE 350X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 16 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.326	CDM	270010022	LOCAL	270	RC		inpatient			3456.2	3456.2																																																			
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L13IN x W 10IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954113	CDM			270	RC		outpatient			3450.2	345.2	934.66				percent of total billed charges		3450.2				other	OPPS APC	2553.15				percent of total billed charges		3450.2				other	OPPS APC	3450.2				other	OPPS APC	934.66				percent of total billed charges		953.29				percent of total billed charges		345.2				other	OPPS APC	345.2	3450.2	
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L13IN x W 10IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954113	CDM			270	RC		inpatient			3450.2	3450.2																																																			
PLATE BONE LCP STAINLESS STEEL LONG L232 MM X W12 MM X H3.7 MM PROXIMAL 10 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.923	CDM	270010022	LOCAL	270	RC		outpatient			3447.6	3447.6	933.95				percent of total billed charges		3447.6				other	OPPS APC	2551.22				percent of total billed charges		3447.6				other	OPPS APC	3447.6				other	OPPS APC	933.95				percent of total billed charges		952.57				percent of total billed charges		3447.6				other	OPPS APC	933.95	3447.6	
PLATE BONE LCP STAINLESS STEEL LONG L232 MM X W12 MM X H3.7 MM PROXIMAL 10 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.923	CDM	270010022	LOCAL	270	RC		inpatient			3447.6	3447.6																																																			
OVERSTITCH TISSUE HELIX	SUP-95-04211	CDM			272	RC		outpatient			3445	3445	933.25				percent of total billed charges		3445				other	OPPS APC	2549.3				percent of total billed charges		3445				other	OPPS APC	3445				other	OPPS APC	933.25				percent of total billed charges		951.85				percent of total billed charges		3445				other	OPPS APC	933.25	3445	
OVERSTITCH TISSUE HELIX	SUP-95-04211	CDM			272	RC		inpatient			3445	3445																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 134 MM X W 11.5MM X H 3.6MM W 32.3 MM X H 1.9MM TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463210	CDM			270	RC		outpatient			3444	3444	932.98				percent of total billed charges		3444				other	OPPS APC	2548.56				percent of total billed charges		3444				other	OPPS APC	3444				other	OPPS APC	932.98				percent of total billed charges		951.58				percent of total billed charges		3444				other	OPPS APC	932.98	3444	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 134 MM X W 11.5MM X H 3.6MM W 32.3 MM X H 1.9MM TIBIAL RIGHT PROXIMAL LATERAL 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463210	CDM			270	RC		inpatient			3444	3444																																																			
HC CT Lung Needle Biopsy	PX-352324080	CDM	32408	CPT	361	RC		outpatient			3438	1579.36	1085.72				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1085.72				percent of total billed charges		1107.38				percent of total billed charges		1579.36				other	OPPS APC	1085.72	2528	
HC CT Lung Needle Biopsy	PX-352324080	CDM	32408	CPT	361	RC		inpatient			3438	3438																																																			
POSTERIOR AUGMENT COMBO	SUP-97-01318	CDM			278	RC		outpatient			3438	3438	3438				fee schedule		3438				other	OPPS APC	1959.66				percent of total billed charges		3438				other	OPPS APC	3438				other	OPPS APC	1684.62				percent of total billed charges		1753.38				percent of total billed charges		3438				other	OPPS APC	1684.62	3438	
POSTERIOR AUGMENT COMBO	SUP-97-01318	CDM			278	RC		inpatient			3438	3438																																																			
DISTAL  AUGMENT	SUP-97-01320	CDM			278	RC		outpatient			3438	3438	3438				fee schedule		3438				other	OPPS APC	1959.66				percent of total billed charges		3438				other	OPPS APC	3438				other	OPPS APC	1684.62				percent of total billed charges		1753.38				percent of total billed charges		3438				other	OPPS APC	1684.62	3438	
DISTAL  AUGMENT	SUP-97-01320	CDM			278	RC		inpatient			3438	3438																																																			
DISTAL  AUGMENT	SUP-97-01324	CDM			278	RC		outpatient			3438	3438	3438				fee schedule		3438				other	OPPS APC	1959.66				percent of total billed charges		3438				other	OPPS APC	3438				other	OPPS APC	1684.62				percent of total billed charges		1753.38				percent of total billed charges		3438				other	OPPS APC	1684.62	3438	
DISTAL  AUGMENT	SUP-97-01324	CDM			278	RC		inpatient			3438	3438																																																			
POSTERIOR  AUGMENT COMBO	SUP-97-01856	CDM			278	RC		outpatient			3438	3438	3438				fee schedule		3438				other	OPPS APC	1959.66				percent of total billed charges		3438				other	OPPS APC	3438				other	OPPS APC	1684.62				percent of total billed charges		1753.38				percent of total billed charges		3438				other	OPPS APC	1684.62	3438	
POSTERIOR  AUGMENT COMBO	SUP-97-01856	CDM			278	RC		inpatient			3438	3438																																																			
DISTAL AUGMENT COMBO	SUP-97-01862	CDM			278	RC		outpatient			3438	3438	3438				fee schedule		3438				other	OPPS APC	1959.66				percent of total billed charges		3438				other	OPPS APC	3438				other	OPPS APC	1684.62				percent of total billed charges		1753.38				percent of total billed charges		3438				other	OPPS APC	1684.62	3438	
DISTAL AUGMENT COMBO	SUP-97-01862	CDM			278	RC		inpatient			3438	3438																																																			
PLATE BONE LCP COMBI PHILOS TITANIUM STANDARD L90 MM X W12 MM X H2.5 MM HUMERUS PROXIMAL 3 HOLE SHAFT LOCK COMPRESSION PRECONTOUR NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-441.901	CDM			270	RC		outpatient			3437.5	3437.5	931.22				percent of total billed charges		3437.5				other	OPPS APC	2543.75				percent of total billed charges		3437.5				other	OPPS APC	3437.5				other	OPPS APC	931.22				percent of total billed charges		949.78				percent of total billed charges		3437.5				other	OPPS APC	931.22	3437.5	
PLATE BONE LCP COMBI PHILOS TITANIUM STANDARD L90 MM X W12 MM X H2.5 MM HUMERUS PROXIMAL 3 HOLE SHAFT LOCK COMPRESSION PRECONTOUR NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-441.901	CDM			270	RC		inpatient			3437.5	3437.5																																																			
IVUS - OPTICROSS 18 PERIPHERAL	SUP-99-03310	CDM			272	RC		outpatient			3437.5	3437.5	931.22				percent of total billed charges		3437.5				other	OPPS APC	2543.75				percent of total billed charges		3437.5				other	OPPS APC	3437.5				other	OPPS APC	931.22				percent of total billed charges		949.78				percent of total billed charges		3437.5				other	OPPS APC	931.22	3437.5	
IVUS - OPTICROSS 18 PERIPHERAL	SUP-99-03310	CDM			272	RC		inpatient			3437.5	3437.5																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS RIGHT DISTAL VOLAR 11 HOLE SHAFT NONSTERILE	SUP-02.110.011	CDM	270010022	LOCAL	270	RC		outpatient			3436.4	3436.41	930.92				percent of total billed charges		3436.4				other	OPPS APC	2542.94				percent of total billed charges		3436.4				other	OPPS APC	3436.4				other	OPPS APC	930.92				percent of total billed charges		949.48				percent of total billed charges		3436.41				other	OPPS APC	930.92	3436.41	
PLATE BONE LCP STAINLESS STEEL RADIUS RIGHT DISTAL VOLAR 11 HOLE SHAFT NONSTERILE	SUP-02.110.011	CDM	270010022	LOCAL	270	RC		inpatient			3436.4	3436.4																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 11 HOLE SHAFT NONSTERILE	SUP-02.110.111	CDM	270010022	LOCAL	270	RC		outpatient			3436.4	3436.41	930.92				percent of total billed charges		3436.4				other	OPPS APC	2542.94				percent of total billed charges		3436.4				other	OPPS APC	3436.4				other	OPPS APC	930.92				percent of total billed charges		949.48				percent of total billed charges		3436.41				other	OPPS APC	930.92	3436.41	
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 11 HOLE SHAFT NONSTERILE	SUP-02.110.111	CDM	270010022	LOCAL	270	RC		inpatient			3436.4	3436.4																																																			
BIOLOX DENTA FEM EAD 36MM 3.5MM	SUP-97-04726	CDM			278	RC		outpatient			3430	343	3430				fee schedule		3430				other	OPPS APC	1955.1				percent of total billed charges		3430				other	OPPS APC	3430				other	OPPS APC	1680.7				percent of total billed charges		1749.3				percent of total billed charges		343				other	OPPS APC	343	3430	
BIOLOX DENTA FEM EAD 36MM 3.5MM	SUP-97-04726	CDM			278	RC		inpatient			3430	3430																																																			
BIOLOX DELTA FEM HEAD 36MM -3.5MM	SUP-97-06133	CDM			278	RC		outpatient			3430	343	3430				fee schedule		3430				other	OPPS APC	1955.1				percent of total billed charges		3430				other	OPPS APC	3430				other	OPPS APC	1680.7				percent of total billed charges		1749.3				percent of total billed charges		343				other	OPPS APC	343	3430	
BIOLOX DELTA FEM HEAD 36MM -3.5MM	SUP-97-06133	CDM			278	RC		inpatient			3430	3430																																																			
PLATE BONE LISS TITANIUM L156 MM FEMUR RIGHT DISTAL 5 HOLE NONSTERILE 5 MM LOCK SCREW	SUP-422.34	CDM	270010022	LOCAL	270	RC		outpatient			3426.72	3426.72	928.3				percent of total billed charges		3426.72				other	OPPS APC	2535.77				percent of total billed charges		3426.72				other	OPPS APC	3426.72				other	OPPS APC	928.3				percent of total billed charges		946.8				percent of total billed charges		3426.72				other	OPPS APC	928.3	3426.72	
PLATE BONE LISS TITANIUM L156 MM FEMUR RIGHT DISTAL 5 HOLE NONSTERILE 5 MM LOCK SCREW	SUP-422.34	CDM	270010022	LOCAL	270	RC		inpatient			3426.72	3426.72																																																			
PLATE 156MM TITANIUM 5MM LOCK SCREW 5 HOLE LISS BONE FEMUR RIGHT DISTAL NS	SUP-422.340	CDM						inpatient			3426.72	3426.72																																																			
PLATE 156MM TITANIUM 5MM LOCK SCREW 5 HOLE LISS BONE FEMUR RIGHT DISTAL NS	SUP-422.340	CDM						outpatient			3426.72	3426.72	3426.72				percent of total billed charges		3426.72				other	OPPS APC	3426.72				fee schedule		3426.72				other	OPPS APC	3426.72				other	OPPS APC	3426.72				case rate		3426.72				case rate		3426.72				other	OPPS APC	3426.72	3426.72	
PLATE BONE LISS TITANIUM L316 MM LEFT DISTAL FEMUR 13 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.349	CDM	270010022	LOCAL	270	RC		outpatient			3426.72	3426.72	928.3				percent of total billed charges		3426.72				other	OPPS APC	2535.77				percent of total billed charges		3426.72				other	OPPS APC	3426.72				other	OPPS APC	928.3				percent of total billed charges		946.8				percent of total billed charges		3426.72				other	OPPS APC	928.3	3426.72	
PLATE BONE LISS TITANIUM L316 MM LEFT DISTAL FEMUR 13 HOLE NONSTERILE 5 MM LOCKING SCREW	SUP-422.349	CDM	270010022	LOCAL	270	RC		inpatient			3426.72	3426.72																																																			
TIBIA ALL POLY STABILIZED SIZE 2.5 15MM	SUP-96-2633	CDM	270010025	LOCAL	270	RC		outpatient			3426	3426	928.1				percent of total billed charges		3426				other	OPPS APC	2535.24				percent of total billed charges		3426				other	OPPS APC	3426				other	OPPS APC	928.1				percent of total billed charges		946.6				percent of total billed charges		3426				other	OPPS APC	928.1	3426	
TIBIA ALL POLY STABILIZED SIZE 2.5 15MM	SUP-96-2633	CDM	270010025	LOCAL	270	RC		inpatient			3426	3426																																																			
LINER ACETABULAR DURALOC +4MM OFFSET NEUTRAL 52MM 32MM MARATHON STERILE LF HIP	SUP-1220-32-452	CDM	270010024	LOCAL	270	RC		outpatient			3424.8	3424.82	927.78				percent of total billed charges		3424.8				other	OPPS APC	2534.35				percent of total billed charges		3424.8				other	OPPS APC	3424.8				other	OPPS APC	927.78				percent of total billed charges		946.27				percent of total billed charges		3424.82				other	OPPS APC	927.78	3424.82	
LINER ACETABULAR DURALOC +4MM OFFSET NEUTRAL 52MM 32MM MARATHON STERILE LF HIP	SUP-1220-32-452	CDM	270010024	LOCAL	270	RC		inpatient			3424.8	3424.8																																																			
KIT ARTHROSCOPIC FIXATION ARTHREX KNOTLESS STERILE LATEX FREE DISPOSABLE REPAIR SYSTEM	SUP-AR-2371	CDM			270	RC		outpatient			3422	3422	927.02				percent of total billed charges		3422				other	OPPS APC	2532.28				percent of total billed charges		3422				other	OPPS APC	3422				other	OPPS APC	927.02				percent of total billed charges		945.5				percent of total billed charges		3422				other	OPPS APC	927.02	3422	
KIT ARTHROSCOPIC FIXATION ARTHREX KNOTLESS STERILE LATEX FREE DISPOSABLE REPAIR SYSTEM	SUP-AR-2371	CDM			270	RC		inpatient			3422	3422																																																			
INSERT	SUP-97-00698	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT	SUP-97-00698	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 5X9MM	SUP-97-01003	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 5X9MM	SUP-97-01003	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 3X9MM	SUP-97-01057	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 3X9MM	SUP-97-01057	CDM			278	RC		inpatient			3419.25	3419.25																																																			
INSERT PSC 3.5X13MIN	SUP-97-01069	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT PSC 3.5X13MIN	SUP-97-01069	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 5X11MM	SUP-97-01178	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 5X11MM	SUP-97-01178	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 2X9MM	SUP-97-01196	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 2X9MM	SUP-97-01196	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 9X2.5MM	SUP-97-01241	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 9X2.5MM	SUP-97-01241	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 3.5X11MM	SUP-97-01243	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 3.5X11MM	SUP-97-01243	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 3.5X9MM	SUP-97-01290	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 3.5X9MM	SUP-97-01290	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 4X9MM	SUP-97-01370	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 4X9MM	SUP-97-01370	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 6X11MM	SUP-97-01443	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 6X11MM	SUP-97-01443	CDM			278	RC		inpatient			3419.25	3419.25																																																			
INSERT PSC 3X15MM TIBIAL	SUP-97-01828	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT PSC 3X15MM TIBIAL	SUP-97-01828	CDM			278	RC		inpatient			3419.25	3419.25																																																			
INSERT PSC 2.5X11MM	SUP-97-01969	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT PSC 2.5X11MM	SUP-97-01969	CDM			278	RC		inpatient			3419.25	3419.25																																																			
INSERT PSC 2X11MM	SUP-97-02006	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT PSC 2X11MM	SUP-97-02006	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 5X9MM	SUP-97-02124	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 5X9MM	SUP-97-02124	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PSL INSERT 3X11MM	SUP-97-02140	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
PSL INSERT 3X11MM	SUP-97-02140	CDM			278	RC		inpatient			3419.25	3419.25																																																			
INSERT PSC 2X13MM	SUP-97-02175	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT PSC 2X13MM	SUP-97-02175	CDM			278	RC		inpatient			3419.25	3419.25																																																			
INSERT PSC 3X13MM	SUP-97-02420	CDM			278	RC		outpatient			3419.25	3419.25	3419.25				fee schedule		3419.25				other	OPPS APC	1948.97				percent of total billed charges		3419.25				other	OPPS APC	3419.25				other	OPPS APC	1675.43				percent of total billed charges		1743.82				percent of total billed charges		3419.25				other	OPPS APC	1675.43	3419.25	
INSERT PSC 3X13MM	SUP-97-02420	CDM			278	RC		inpatient			3419.25	3419.25																																																			
PLATE BONE LCP STAINLESS STEEL L241 MM FEMUR PROXIMAL 8 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.123	CDM	270010022	LOCAL	270	RC		outpatient			3418.8	3418.82	926.15				percent of total billed charges		3418.8				other	OPPS APC	2529.91				percent of total billed charges		3418.8				other	OPPS APC	3418.8				other	OPPS APC	926.15				percent of total billed charges		944.61				percent of total billed charges		3418.82				other	OPPS APC	926.15	3418.82	
PLATE BONE LCP STAINLESS STEEL L241 MM FEMUR PROXIMAL 8 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.123	CDM	270010022	LOCAL	270	RC		inpatient			3418.8	3418.8																																																			
PSC TIBIAL INSERT 3X13MM	SUP-97-02301	CDM			278	RC		outpatient			3417.5	3417.5	3417.5				fee schedule		3417.5				other	OPPS APC	1947.98				percent of total billed charges		3417.5				other	OPPS APC	3417.5				other	OPPS APC	1674.58				percent of total billed charges		1742.93				percent of total billed charges		3417.5				other	OPPS APC	1674.58	3417.5	
PSC TIBIAL INSERT 3X13MM	SUP-97-02301	CDM			278	RC		inpatient			3417.5	3417.5																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L150 MM OD7 MM HUMERAL PROXIMAL CANNULATED TRANSVERSE SLOT LOCK HOLE ROUND CROSS SECTION STERILE BLUE	SUP-04.001.210S	CDM	270010022	LOCAL	270	RC		outpatient			3416.6	3416.6	925.56				percent of total billed charges		3416.6				other	OPPS APC	2528.28				percent of total billed charges		3416.6				other	OPPS APC	3416.6				other	OPPS APC	925.56				percent of total billed charges		944.01				percent of total billed charges		3416.6				other	OPPS APC	925.56	3416.6	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L150 MM OD7 MM HUMERAL PROXIMAL CANNULATED TRANSVERSE SLOT LOCK HOLE ROUND CROSS SECTION STERILE BLUE	SUP-04.001.210S	CDM	270010022	LOCAL	270	RC		inpatient			3416.6	3416.6																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 150MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.410S	CDM	270010022	LOCAL	270	RC		outpatient			3416.6	3416.6	925.56				percent of total billed charges		3416.6				other	OPPS APC	2528.28				percent of total billed charges		3416.6				other	OPPS APC	3416.6				other	OPPS APC	925.56				percent of total billed charges		944.01				percent of total billed charges		3416.6				other	OPPS APC	925.56	3416.6	
NAIL INTRAMEDULLARY EXPERT ROUND 150MM 9MM BLUE TITANIUM STERILE HUMERAL CANNULATED TRANSVERSE SLOT LOCK HOLE	SUP-04.001.410S	CDM	270010022	LOCAL	270	RC		inpatient			3416.6	3416.6																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L 113 MM X W 11.5MM X H 3.6MM W32.3MM X H 1.9MM TIBIAL RIGHT PROXIMAL LATERAL8 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72463208	CDM			270	RC		outpatient			3404	344	922.14				percent of total billed charges		3404				other	OPPS APC	2518.96				percent of total billed charges		3404				other	OPPS APC	3404				other	OPPS APC	922.14				percent of total billed charges		940.53				percent of total billed charges		344				other	OPPS APC	344	3404	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L 113 MM X W 11.5MM X H 3.6MM W32.3MM X H 1.9MM TIBIAL RIGHT PROXIMAL LATERAL8 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72463208	CDM			270	RC		inpatient			3404	3404																																																			
PLATE BONE LCP STAINLESS STEEL CURVE L458 MM X W17.5 MM X H5.2 MM CONDYLAR LEFT PERIARTICULAR 22 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.312S	CDM	270010022	LOCAL	270	RC		outpatient			3403.74	343.74	922.07				percent of total billed charges		3403.74				other	OPPS APC	2518.77				percent of total billed charges		3403.74				other	OPPS APC	3403.74				other	OPPS APC	922.07				percent of total billed charges		940.45				percent of total billed charges		343.74				other	OPPS APC	343.74	3403.74	
PLATE BONE LCP STAINLESS STEEL CURVE L458 MM X W17.5 MM X H5.2 MM CONDYLAR LEFT PERIARTICULAR 22 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT STERILE 4.5/5 MM SCREW	SUP-02.001.312S	CDM	270010022	LOCAL	270	RC		inpatient			3403.74	3403.74																																																			
INSERT TIBIAL OPTETRAK 3 H15 MM KNEE CONDYLE CONSTRAINED SCREW	SUP-208-23-15	CDM	270010025	LOCAL	270	RC		outpatient			3402	342	921.6				percent of total billed charges		3402				other	OPPS APC	2517.48				percent of total billed charges		3402				other	OPPS APC	3402				other	OPPS APC	921.6				percent of total billed charges		939.97				percent of total billed charges		342				other	OPPS APC	342	3402	
INSERT TIBIAL OPTETRAK 3 H15 MM KNEE CONDYLE CONSTRAINED SCREW	SUP-208-23-15	CDM	270010025	LOCAL	270	RC		inpatient			3402	3402																																																			
INSERT TIBIAL OPTETRACK 4 H18 MM KNEE CONDYLE CONSTRAINED SCREW	SUP-208-24-18	CDM	270010025	LOCAL	270	RC		outpatient			3402	342	921.6				percent of total billed charges		3402				other	OPPS APC	2517.48				percent of total billed charges		3402				other	OPPS APC	3402				other	OPPS APC	921.6				percent of total billed charges		939.97				percent of total billed charges		342				other	OPPS APC	342	3402	
INSERT TIBIAL OPTETRACK 4 H18 MM KNEE CONDYLE CONSTRAINED SCREW	SUP-208-24-18	CDM	270010025	LOCAL	270	RC		inpatient			3402	3402																																																			
LEAD PACING ATTAIN PERFORMA STARFIX STEROID ELUTING PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE .014-.018 IN L78 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE DUAL CANT FIXATION LATEX FREE	SUP-429878	CDM			275	RC		outpatient			3400	34	1666				percent of total billed charges		3400				other	OPPS APC	1938				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	1666				percent of total billed charges		1734				percent of total billed charges		34				other	OPPS APC	34	3400	
LEAD PACING ATTAIN PERFORMA STARFIX STEROID ELUTING PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE .014-.018 IN L78 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE DUAL CANT FIXATION LATEX FREE	SUP-429878	CDM			275	RC		inpatient			3400	3400																																																			
LEAD PACING ATTAIN STARFIX LEFT VENTRICLE	SUP-429888	CDM			275	RC		outpatient			3400	34	1666				percent of total billed charges		3400				other	OPPS APC	1938				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	1666				percent of total billed charges		1734				percent of total billed charges		34				other	OPPS APC	34	3400	
LEAD PACING ATTAIN STARFIX LEFT VENTRICLE	SUP-429888	CDM			275	RC		inpatient			3400	3400																																																			
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE OD3.9 FR .36-.46 MM L78 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE TINE FIXATION GUIDEWIRE LATEX FREE	SUP-439878	CDM			275	RC		outpatient			3400	34	1666				percent of total billed charges		3400				other	OPPS APC	1938				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	1666				percent of total billed charges		1734				percent of total billed charges		34				other	OPPS APC	34	3400	
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE OD3.9 FR .36-.46 MM L78 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE TINE FIXATION GUIDEWIRE LATEX FREE	SUP-439878	CDM			275	RC		inpatient			3400	3400																																																			
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE OD3.9 FR .36-.46 MM L88 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE TINE FIXATION GUIDEWIRE LATEX FREE	SUP-439888	CDM			275	RC		outpatient			3400	34	1666				percent of total billed charges		3400				other	OPPS APC	1938				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	1666				percent of total billed charges		1734				percent of total billed charges		34				other	OPPS APC	34	3400	
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE OD3.9 FR .36-.46 MM L88 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE TINE FIXATION GUIDEWIRE LATEX FREE	SUP-439888	CDM			275	RC		inpatient			3400	3400																																																			
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE OD3.9 FR .36-.46 MM L78 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE OFFSET S FIXATION GUIDEWIRE LATEX FREE	SUP-459878	CDM			275	RC		outpatient			3400	34	1666				percent of total billed charges		3400				other	OPPS APC	1938				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	1666				percent of total billed charges		1734				percent of total billed charges		34				other	OPPS APC	34	3400	
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE OD3.9 FR .36-.46 MM L78 CM OD5.3 FR ODSEC5.1 FR LEFT VENTRICLE QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE OFFSET S FIXATION GUIDEWIRE LATEX FREE	SUP-459878	CDM			275	RC		inpatient			3400	3400																																																			
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE .36-.46 MM OD3.9 FR L88 CM OD5.3 FR ODSEC5.1 FR VENTRICLE LEFT QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE OFFSET S FIXATION GUIDEWIRE LATEX FREE	SUP-459888	CDM			275	RC		outpatient			3400	34	1666				percent of total billed charges		3400				other	OPPS APC	1938				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	1666				percent of total billed charges		1734				percent of total billed charges		34				other	OPPS APC	34	3400	
LEAD PACING ATTAIN PERFORMA STARFIX STEROID PLATINUM IRIDIUM SI POLYIMIDE POLYURETHANE .36-.46 MM OD3.9 FR L88 CM OD5.3 FR ODSEC5.1 FR VENTRICLE LEFT QUADRIPOLAR IS4-LLLL CONNECTOR PASSIVE OFFSET S FIXATION GUIDEWIRE LATEX FREE	SUP-459888	CDM			275	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD24 MM	SUP-680R24	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD24 MM	SUP-680R24	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD26 MM	SUP-680R26	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD26 MM	SUP-680R26	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD28 MM	SUP-680R28	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD28 MM	SUP-680R28	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD30 MM	SUP-680R30	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD30 MM	SUP-680R30	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD32 MM	SUP-680R32	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD32 MM	SUP-680R32	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD34 MM	SUP-680R34	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD34 MM	SUP-680R34	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD36 MM	SUP-680R36	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD36 MM	SUP-680R36	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD38 MM	SUP-680R38	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD38 MM	SUP-680R38	CDM			270	RC		inpatient			3400	3400																																																			
RING ANNULOPLASTY PROFILE 3D OD40 MM	SUP-680R40	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
RING ANNULOPLASTY PROFILE 3D OD40 MM	SUP-680R40	CDM			270	RC		inpatient			3400	3400																																																			
ALLOSYNC PURE 10CC	SUP-ABS-2010-10	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
ALLOSYNC PURE 10CC	SUP-ABS-2010-10	CDM			270	RC		inpatient			3400	3400																																																			
SYSTEM FIXATION SPEEDBRIDGE FIBERTAPE SWIVELOCK BIOCOMPOSITE L24 MM OD5.5 MM KIT BIOABSORBABLE HANDLE INSERTER PRELOAD SELF PUNCH STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-2600SBS-5	CDM			270	RC		outpatient			3400	34	921.06				percent of total billed charges		3400				other	OPPS APC	2516				percent of total billed charges		3400				other	OPPS APC	3400				other	OPPS APC	921.06				percent of total billed charges		939.42				percent of total billed charges		34				other	OPPS APC	34	3400	
SYSTEM FIXATION SPEEDBRIDGE FIBERTAPE SWIVELOCK BIOCOMPOSITE L24 MM OD5.5 MM KIT BIOABSORBABLE HANDLE INSERTER PRELOAD SELF PUNCH STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-2600SBS-5	CDM			270	RC		inpatient			3400	3400																																																			
STEM ATTUNE PRESSFIT 20X60MM	SUP-1513-20-060	CDM	270010024	LOCAL	270	RC		outpatient			3397	3397	920.25				percent of total billed charges		3397				other	OPPS APC	2513.78				percent of total billed charges		3397				other	OPPS APC	3397				other	OPPS APC	920.25				percent of total billed charges		938.59				percent of total billed charges		3397				other	OPPS APC	920.25	3397	
STEM ATTUNE PRESSFIT 20X60MM	SUP-1513-20-060	CDM	270010024	LOCAL	270	RC		inpatient			3397	3397																																																			
3.5MM LCP LOW BEND PLATE 8H/RT/161MM	SUP-97-04558	CDM			278	RC		outpatient			3395.78	3395.78	3395.78				fee schedule		3395.78				other	OPPS APC	1935.59				percent of total billed charges		3395.78				other	OPPS APC	3395.78				other	OPPS APC	1663.93				percent of total billed charges		1731.85				percent of total billed charges		3395.78				other	OPPS APC	1663.93	3395.78	
3.5MM LCP LOW BEND PLATE 8H/RT/161MM	SUP-97-04558	CDM			278	RC		inpatient			3395.78	3395.78																																																			
DRESSING BIOLOGICAL OASIS ULTRA PORCINE SUBMUCOSA L20 CM X W7 CM 3 LAYER MATRIX MESH	SUP-8213-0000-11	CDM			270	RC		outpatient			3395	3395	919.71				percent of total billed charges		3395				other	OPPS APC	2512.3				percent of total billed charges		3395				other	OPPS APC	3395				other	OPPS APC	919.71				percent of total billed charges		938.04				percent of total billed charges		3395				other	OPPS APC	919.71	3395	
DRESSING BIOLOGICAL OASIS ULTRA PORCINE SUBMUCOSA L20 CM X W7 CM 3 LAYER MATRIX MESH	SUP-8213-0000-11	CDM			270	RC		inpatient			3395	3395																																																			
INMPLANT SYSTEM CPR MINI SCORPION	SUP-97-02572	CDM			272	RC		outpatient			3395	3395	919.71				percent of total billed charges		3395				other	OPPS APC	2512.3				percent of total billed charges		3395				other	OPPS APC	3395				other	OPPS APC	919.71				percent of total billed charges		938.04				percent of total billed charges		3395				other	OPPS APC	919.71	3395	
INMPLANT SYSTEM CPR MINI SCORPION	SUP-97-02572	CDM			272	RC		inpatient			3395	3395																																																			
PLATE BONE LCP COMBI CURVE 314X17.5X5.2MM SS NS CONDYLAR LEFT PERIARTICULAR 14 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT	SUP-02.001.304	CDM	270010022	LOCAL	270	RC		outpatient			3391.3	3391.32	918.7				percent of total billed charges		3391.3				other	OPPS APC	2509.56				percent of total billed charges		3391.3				other	OPPS APC	3391.3				other	OPPS APC	918.7				percent of total billed charges		937.02				percent of total billed charges		3391.32				other	OPPS APC	918.7	3391.32	
PLATE BONE LCP COMBI CURVE 314X17.5X5.2MM SS NS CONDYLAR LEFT PERIARTICULAR 14 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT	SUP-02.001.304	CDM	270010022	LOCAL	270	RC		inpatient			3391.3	3391.3																																																			
PLATE BONE LCP COMBI CURVE 314X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 14 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.324	CDM	270010022	LOCAL	270	RC		outpatient			3391.3	3391.32	918.7				percent of total billed charges		3391.3				other	OPPS APC	2509.56				percent of total billed charges		3391.3				other	OPPS APC	3391.3				other	OPPS APC	918.7				percent of total billed charges		937.02				percent of total billed charges		3391.32				other	OPPS APC	918.7	3391.32	
PLATE BONE LCP COMBI CURVE 314X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 14 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.324	CDM	270010022	LOCAL	270	RC		inpatient			3391.3	3391.3																																																			
APPLIER/REMOVER 90MM WL MEMORY SHAFT	SUP-45.441	CDM			270	RC		outpatient			3390	339	918.35				percent of total billed charges		3390				other	OPPS APC	2508.6				percent of total billed charges		3390				other	OPPS APC	3390				other	OPPS APC	918.35				percent of total billed charges		936.66				percent of total billed charges		339				other	OPPS APC	339	3390	
APPLIER/REMOVER 90MM WL MEMORY SHAFT	SUP-45.441	CDM			270	RC		inpatient			3390	3390																																																			
ERIBULIN 1 MG/2 ML (0.5 MG/ML) SOLUTION	636000000	CDM	62856-389-01	NDC	J9179	HCPCS		inpatient			3384	3384																																																			
ERIBULIN 1 MG/2 ML (0.5 MG/ML) SOLUTION	636000000	CDM	62856-389-01	NDC	J9179	HCPCS		outpatient			3384	146.65																																											146.65				other	OPPS APC	146.65	146.65	
AXS VECTA 046 CATH 125CM - US	SUP-INC-11814-125	CDM			270	RC		outpatient			3380	338	915.64				percent of total billed charges		3380				other	OPPS APC	2501.2				percent of total billed charges		3380				other	OPPS APC	3380				other	OPPS APC	915.64				percent of total billed charges		933.89				percent of total billed charges		338				other	OPPS APC	338	3380	
AXS VECTA 046 CATH 125CM - US	SUP-INC-11814-125	CDM			270	RC		inpatient			3380	3380																																																			
AXS VECTA 046 CATH 146CM - US	SUP-INC-11814-146	CDM			270	RC		outpatient			3380	338	915.64				percent of total billed charges		3380				other	OPPS APC	2501.2				percent of total billed charges		3380				other	OPPS APC	3380				other	OPPS APC	915.64				percent of total billed charges		933.89				percent of total billed charges		338				other	OPPS APC	338	3380	
AXS VECTA 046 CATH 146CM - US	SUP-INC-11814-146	CDM			270	RC		inpatient			3380	3380																																																			
PLATE BONE NCB TI6AL4V L355 MM FEMUR LEFT DISTAL 18 HOLE SCALLOP MIS INTERFACE NONSTERILE PERIPROSTHETIC	SUP-02.03264.118	CDM			270	RC		outpatient			3378.62	3378.62	915.27				percent of total billed charges		3378.62				other	OPPS APC	2500.18				percent of total billed charges		3378.62				other	OPPS APC	3378.62				other	OPPS APC	915.27				percent of total billed charges		933.51				percent of total billed charges		3378.62				other	OPPS APC	915.27	3378.62	
PLATE BONE NCB TI6AL4V L355 MM FEMUR LEFT DISTAL 18 HOLE SCALLOP MIS INTERFACE NONSTERILE PERIPROSTHETIC	SUP-02.03264.118	CDM			270	RC		inpatient			3378.62	3378.62																																																			
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L80 MM L75 CM OD20 MM TRACHEOBRONCHIAL FLEXIBLE DELIVERY SYSTEM ACCEPTS 11 FR SHEATH	SUP-H965404320	CDM			270	RC		outpatient			3378.42	3378.42	915.21				percent of total billed charges		3378.42				other	OPPS APC	2500.03				percent of total billed charges		3378.42				other	OPPS APC	3378.42				other	OPPS APC	915.21				percent of total billed charges		933.46				percent of total billed charges		3378.42				other	OPPS APC	915.21	3378.42	
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L80 MM L75 CM OD20 MM TRACHEOBRONCHIAL FLEXIBLE DELIVERY SYSTEM ACCEPTS 11 FR SHEATH	SUP-H965404320	CDM			270	RC		inpatient			3378.42	3378.42																																																			
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L70 MM L75 CM OD22 MM TRACHEOBRONCHIAL FLEXIBLE DELIVERY SYSTEM ACCEPTS 11 FR SHEATH	SUP-H965404520	CDM			270	RC		outpatient			3378.42	3378.42	915.21				percent of total billed charges		3378.42				other	OPPS APC	2500.03				percent of total billed charges		3378.42				other	OPPS APC	3378.42				other	OPPS APC	915.21				percent of total billed charges		933.46				percent of total billed charges		3378.42				other	OPPS APC	915.21	3378.42	
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L70 MM L75 CM OD22 MM TRACHEOBRONCHIAL FLEXIBLE DELIVERY SYSTEM ACCEPTS 11 FR SHEATH	SUP-H965404520	CDM			270	RC		inpatient			3378.42	3378.42																																																			
TAILOR'S BUNION IMPLANT SMALL	SUP-97-05577	CDM			278	RC		outpatient			3377.5	3377.5	3377.5				fee schedule		3377.5				other	OPPS APC	1925.18				percent of total billed charges		3377.5				other	OPPS APC	3377.5				other	OPPS APC	1654.98				percent of total billed charges		1722.53				percent of total billed charges		3377.5				other	OPPS APC	1654.98	3377.5	
TAILOR'S BUNION IMPLANT SMALL	SUP-97-05577	CDM			278	RC		inpatient			3377.5	3377.5																																																			
TAILOR'S BUNION IMPLANT MEDIUM	SUP-97-05578	CDM			278	RC		outpatient			3377.5	3377.5	3377.5				fee schedule		3377.5				other	OPPS APC	1925.18				percent of total billed charges		3377.5				other	OPPS APC	3377.5				other	OPPS APC	1654.98				percent of total billed charges		1722.53				percent of total billed charges		3377.5				other	OPPS APC	1654.98	3377.5	
TAILOR'S BUNION IMPLANT MEDIUM	SUP-97-05578	CDM			278	RC		inpatient			3377.5	3377.5																																																			
TAILOR'S BUNION IMPLANT LARGE	SUP-97-05579	CDM			278	RC		outpatient			3377.5	3377.5	3377.5				fee schedule		3377.5				other	OPPS APC	1925.18				percent of total billed charges		3377.5				other	OPPS APC	3377.5				other	OPPS APC	1654.98				percent of total billed charges		1722.53				percent of total billed charges		3377.5				other	OPPS APC	1654.98	3377.5	
TAILOR'S BUNION IMPLANT LARGE	SUP-97-05579	CDM			278	RC		inpatient			3377.5	3377.5																																																			
STENT - LIFESTENT 6X60X130	SUP-99-01445	CDM			278	RC		outpatient			3375	3375	3375				fee schedule		3375				other	OPPS APC	1923.75				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	1653.75				percent of total billed charges		1721.25				percent of total billed charges		3375				other	OPPS APC	1653.75	3375	
STENT - LIFESTENT 6X60X130	SUP-99-01445	CDM			278	RC		inpatient			3375	3375																																																			
STENT - INNOVA 6X150	SUP-99-02286	CDM			278	RC		inpatient			3375	3375																																																			
STENT - INNOVA 6X150	SUP-99-02286	CDM			278	RC		outpatient			3375	3375					fee schedule						other	OPPS APC	1923.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1653.75				percent of total billed charges		1721.25				percent of total billed charges						other	OPPS APC	1923.75	1923.75	
STENT - INNOVA 7X150	SUP-99-02287	CDM			278	RC		inpatient			3375	3375																																																			
STENT - INNOVA 7X150	SUP-99-02287	CDM			278	RC		outpatient			3375	3375					fee schedule						other	OPPS APC	1923.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1653.75				percent of total billed charges		1721.25				percent of total billed charges						other	OPPS APC	1923.75	1923.75	
BALLOON - RANGER DCB 6X40	SUP-99-03783	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 6X40	SUP-99-03783	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 6X100	SUP-99-04070	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 6X100	SUP-99-04070	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 4X200	SUP-99-04071	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 4X200	SUP-99-04071	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 4X200	SUP-99-04072	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 4X200	SUP-99-04072	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 4X150	SUP-99-04073	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 4X150	SUP-99-04073	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON- RANGER DCB 4 X 60 X 135	SUP-99-04074	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON- RANGER DCB 4 X 60 X 135	SUP-99-04074	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 5 X 100	SUP-99-04075	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 5 X 100	SUP-99-04075	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 5 X 40	SUP-99-04077	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 5 X 40	SUP-99-04077	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 5X60	SUP-99-04078	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 5X60	SUP-99-04078	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 6X150	SUP-99-04079	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 6X150	SUP-99-04079	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 6X60	SUP-99-04081	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 6X60	SUP-99-04081	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 7X100	SUP-99-04082	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 7X100	SUP-99-04082	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 7X200	SUP-99-04083	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 7X200	SUP-99-04083	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 7X150	SUP-99-04084	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 7X150	SUP-99-04084	CDM			272	RC		inpatient			3375	3375																																																			
BALLOON - RANGER DCB 4X100	SUP-99-04343	CDM			272	RC		outpatient			3375	3375	914.29				percent of total billed charges		3375				other	OPPS APC	2497.5				percent of total billed charges		3375				other	OPPS APC	3375				other	OPPS APC	914.29				percent of total billed charges		932.51				percent of total billed charges		3375				other	OPPS APC	914.29	3375	
BALLOON - RANGER DCB 4X100	SUP-99-04343	CDM			272	RC		inpatient			3375	3375																																																			
TRAY  INSERT FEMUR PATELLA	SUP-97-03144	CDM			278	RC		outpatient			3372.5	3372.5	3372.5				fee schedule		3372.5				other	OPPS APC	1922.33				percent of total billed charges		3372.5				other	OPPS APC	3372.5				other	OPPS APC	1652.53				percent of total billed charges		1719.98				percent of total billed charges		3372.5				other	OPPS APC	1652.53	3372.5	
TRAY  INSERT FEMUR PATELLA	SUP-97-03144	CDM			278	RC		inpatient			3372.5	3372.5																																																			
VALVE SHUNT HAKIM PRECISION 100 MM HP VENTRICULAR MEDIUM HIGH PRESSURE CYLINDRICAL FIXED STRAIGHT CONNECTOR	SUP-823085	CDM			270	RC		outpatient			3372	3372	913.47				percent of total billed charges		3372				other	OPPS APC	2495.28				percent of total billed charges		3372				other	OPPS APC	3372				other	OPPS APC	913.47				percent of total billed charges		931.68				percent of total billed charges		3372				other	OPPS APC	913.47	3372	
VALVE SHUNT HAKIM PRECISION 100 MM HP VENTRICULAR MEDIUM HIGH PRESSURE CYLINDRICAL FIXED STRAIGHT CONNECTOR	SUP-823085	CDM			270	RC		inpatient			3372	3372																																																			
HC Deep Bone Bx - Femur  Vert. Body	PX-361202252	CDM	20225	CPT	361	RC		outpatient			3370	1579.36	1064.25				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	1064.25				percent of total billed charges		1085.48				percent of total billed charges		1579.36				other	OPPS APC	1064.25	2528	
HC Deep Bone Bx - Femur  Vert. Body	PX-361202252	CDM	20225	CPT	361	RC		inpatient			3370	3370																																																			
HC CT Bone Marrorw Biopsy and Aspiration	PX-361382220	CDM	38222	CPT	361	RC		outpatient			3370	272.73	1064.25				percent of total billed charges		2720.73				other	OPPS APC	2528				fee schedule		2720.73				other	OPPS APC	2720.73				other	OPPS APC	1064.25				percent of total billed charges		1085.48				percent of total billed charges		272.73				other	OPPS APC	272.73	2720.73	
HC CT Bone Marrorw Biopsy and Aspiration	PX-361382220	CDM	38222	CPT	361	RC		inpatient			3370	3370																																																			
HC Ivc	PX-320758251	CDM	75825	CPT	320	RC		outpatient			3369	3137.51	148.59				fee schedule		3137.51				other	OPPS APC	1375.23				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	114.02				fee schedule		61.57				fee schedule		3137.51				other	OPPS APC	61.57	3137.51	
HC Ivc	PX-320758251	CDM	75825	CPT	320	RC		inpatient			3369	3369																																																			
HC Venogram Renal Bil	PX-320758331	CDM	75833	CPT	320	RC		outpatient			3369	3369	182.53				fee schedule		3369				other	OPPS APC	1416.85				fee schedule		3369				other	OPPS APC	3369				other	OPPS APC	146.69				fee schedule		77.86				fee schedule		3369				other	OPPS APC	77.86	3369	
HC Venogram Renal Bil	PX-320758331	CDM	75833	CPT	320	RC		inpatient			3369	3369																																																			
Renal Lt/Rt Uni (W or W/O Flush)	PX-323362511	CDM	36251	CPT	323	RC		outpatient			3369	3369	1450.25				fee schedule		3369				other	OPPS APC	2493.06				percent of total billed charges		3369				other	OPPS APC	3369				other	OPPS APC	248.09				fee schedule		1718.19				percent of total billed charges		3369				other	OPPS APC	248.09	3369	
Renal Lt/Rt Uni (W or W/O Flush)	PX-323362511	CDM	36251	CPT	323	RC		inpatient			3369	3369																																																			
HC Renal Bil (W or W/O Flush)	PX-323362521	CDM	36252	CPT	323	RC		outpatient			3369	3137.51	1574.72				fee schedule		3137.51				other	OPPS APC	2493.06				percent of total billed charges		3137.51				other	OPPS APC	3137.51				other	OPPS APC	344.47				fee schedule		1718.19				percent of total billed charges		3137.51				other	OPPS APC	344.47	3137.51	
HC Renal Bil (W or W/O Flush)	PX-323362521	CDM	36252	CPT	323	RC		inpatient			3369	3369																																																			
HC Abdominal Aortogram	PX-323756251	CDM	75625	CPT	323	RC		outpatient			3369	3137.51	153.94				fee schedule		3137.51				other	OPPS APC	1375.43				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	125.95				fee schedule		59.9				fee schedule		3137.51				other	OPPS APC	59.9	3137.51	
HC Abdominal Aortogram	PX-323756251	CDM	75625	CPT	323	RC		inpatient			3369	3369																																																			
HC Abd Aortogram With Runoff	PX-323756301	CDM	75630	CPT	323	RC		outpatient			3369	3137.51	184.32				fee schedule		3137.51				other	OPPS APC	1507.48				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	156.36				fee schedule		64.23				fee schedule		3137.51				other	OPPS APC	64.23	3137.51	
HC Abd Aortogram With Runoff	PX-323756301	CDM	75630	CPT	323	RC		inpatient			3369	3369																																																			
HC Vas Proc Angiography Ext Rs&I	PX-323757101	CDM	75710	CPT	323	RC		outpatient			3369	3137.51	178.27				fee schedule		3137.51				other	OPPS APC	1377.11				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	149.94				fee schedule		68.87				fee schedule		3137.51				other	OPPS APC	68.87	3137.51	
HC Vas Proc Angiography Ext Rs&I	PX-323757101	CDM	75710	CPT	323	RC		inpatient			3369	3369																																																			
HC Angio Extremity Bil	PX-323757161	CDM	75716	CPT	323	RC		outpatient			3369	3137.51	213.07				fee schedule		3137.51				other	OPPS APC	1394.89				fee schedule		3137.51				other	OPPS APC	3137.51				other	OPPS APC	162.02				fee schedule		71.53				fee schedule		3137.51				other	OPPS APC	71.53	3137.51	
HC Angio Extremity Bil	PX-323757161	CDM	75716	CPT	323	RC		inpatient			3369	3369																																																			
IMPLANT INTEGRA COMPRESSION PLATE 2 HOLE	SUP-330217	CDM			270	RC		outpatient			3368	3368	912.39				percent of total billed charges		3368				other	OPPS APC	2492.32				percent of total billed charges		3368				other	OPPS APC	3368				other	OPPS APC	912.39				percent of total billed charges		930.58				percent of total billed charges		3368				other	OPPS APC	912.39	3368	
IMPLANT INTEGRA COMPRESSION PLATE 2 HOLE	SUP-330217	CDM			270	RC		inpatient			3368	3368																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L91 MM X W11.5 MM X H3.6 MM W32.3 MM X H1.9 MM TIBIAL RIGHT PROXIMAL LATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463206	CDM			270	RC		outpatient			3368	3368	912.39				percent of total billed charges		3368				other	OPPS APC	2492.32				percent of total billed charges		3368				other	OPPS APC	3368				other	OPPS APC	912.39				percent of total billed charges		930.58				percent of total billed charges		3368				other	OPPS APC	912.39	3368	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE STANDARD L91 MM X W11.5 MM X H3.6 MM W32.3 MM X H1.9 MM TIBIAL RIGHT PROXIMAL LATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463206	CDM			270	RC		inpatient			3368	3368																																																			
PLATE PROXIMAL MEDIAL TIBIAL 10 HOLE RIGHT	SUP-239.950	CDM	270010022	LOCAL	270	RC		outpatient			3367.8	3367.82	912.34				percent of total billed charges		3367.8				other	OPPS APC	2492.17				percent of total billed charges		3367.8				other	OPPS APC	3367.8				other	OPPS APC	912.34				percent of total billed charges		930.52				percent of total billed charges		3367.82				other	OPPS APC	912.34	3367.82	
PLATE PROXIMAL MEDIAL TIBIAL 10 HOLE RIGHT	SUP-239.950	CDM	270010022	LOCAL	270	RC		inpatient			3367.8	3367.8																																																			
CANNULA SET 3.0MM FENESTRATED	SUP-95-03123	CDM			272	RC		outpatient			3362.5	3362.5	910.9				percent of total billed charges		3362.5				other	OPPS APC	2488.25				percent of total billed charges		3362.5				other	OPPS APC	3362.5				other	OPPS APC	910.9				percent of total billed charges		929.06				percent of total billed charges		3362.5				other	OPPS APC	910.9	3362.5	
CANNULA SET 3.0MM FENESTRATED	SUP-95-03123	CDM			272	RC		inpatient			3362.5	3362.5																																																			
PLATE R STANDARD LAPIDUS	SUP-97-02384	CDM			278	RC		outpatient			3362.5	3362.5	3362.5				fee schedule		3362.5				other	OPPS APC	1916.63				percent of total billed charges		3362.5				other	OPPS APC	3362.5				other	OPPS APC	1647.63				percent of total billed charges		1714.88				percent of total billed charges		3362.5				other	OPPS APC	1647.63	3362.5	
PLATE R STANDARD LAPIDUS	SUP-97-02384	CDM			278	RC		inpatient			3362.5	3362.5																																																			
ATTUNE PS FB INSERT SZ 7 5MM	SUP-97-04545	CDM			278	RC		outpatient			3361	3361	3361				fee schedule		3361				other	OPPS APC	1915.77				percent of total billed charges		3361				other	OPPS APC	3361				other	OPPS APC	1646.89				percent of total billed charges		1714.11				percent of total billed charges		3361				other	OPPS APC	1646.89	3361	
ATTUNE PS FB INSERT SZ 7 5MM	SUP-97-04545	CDM			278	RC		inpatient			3361	3361																																																			
ATTUNE PS FEM INSRT SZ 6 8MM	SUP-97-04799	CDM			278	RC		outpatient			3361	3361	3361				fee schedule		3361				other	OPPS APC	1915.77				percent of total billed charges		3361				other	OPPS APC	3361				other	OPPS APC	1646.89				percent of total billed charges		1714.11				percent of total billed charges		3361				other	OPPS APC	1646.89	3361	
ATTUNE PS FEM INSRT SZ 6 8MM	SUP-97-04799	CDM			278	RC		inpatient			3361	3361																																																			
ATTUNE PS FB INSRT SZ 6 10MM	SUP-97-05121	CDM			278	RC		outpatient			3361	3361	3361				fee schedule		3361				other	OPPS APC	1915.77				percent of total billed charges		3361				other	OPPS APC	3361				other	OPPS APC	1646.89				percent of total billed charges		1714.11				percent of total billed charges		3361				other	OPPS APC	1646.89	3361	
ATTUNE PS FB INSRT SZ 6 10MM	SUP-97-05121	CDM			278	RC		inpatient			3361	3361																																																			
TRAY TIBIAL IBALANCE 1 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTRA	CDM	270010025	LOCAL	270	RC		outpatient			3360	336	910.22				percent of total billed charges		3360				other	OPPS APC	2486.4				percent of total billed charges		3360				other	OPPS APC	3360				other	OPPS APC	910.22				percent of total billed charges		928.37				percent of total billed charges		336				other	OPPS APC	336	3360	
TRAY TIBIAL IBALANCE 1 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTRA	CDM	270010025	LOCAL	270	RC		inpatient			3360	3360																																																			
COMPONENT FEMORAL IBALANCE 2 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFRB	CDM	270010025	LOCAL	270	RC		outpatient			3360	336	910.22				percent of total billed charges		3360				other	OPPS APC	2486.4				percent of total billed charges		3360				other	OPPS APC	3360				other	OPPS APC	910.22				percent of total billed charges		928.37				percent of total billed charges		336				other	OPPS APC	336	3360	
COMPONENT FEMORAL IBALANCE 2 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFRB	CDM	270010025	LOCAL	270	RC		inpatient			3360	3360																																																			
CATHETER BI-DIRECTIONAL CIRCULAR MAPPING 15MM CURVE DF ADVISOR FL SENSOR ENABLED	SUP-D-AVSE-DF10-F15	CDM			481	RC		outpatient			3360	336	1646.4				percent of total billed charges		3360				other	OPPS APC	2486.4				percent of total billed charges		3360				other	OPPS APC	3360				other	OPPS APC	1646.4				percent of total billed charges		1713.6				percent of total billed charges		336				other	OPPS APC	336	3360	
CATHETER BI-DIRECTIONAL CIRCULAR MAPPING 15MM CURVE DF ADVISOR FL SENSOR ENABLED	SUP-D-AVSE-DF10-F15	CDM			481	RC		inpatient			3360	3360																																																			
CATHETER BI-DIRECTIONAL CIRCULAR MAPPING 20MM CURVE DF ADVISOR FL SENSOR ENABLED	SUP-D-AVSE-DF10-F20	CDM			481	RC		outpatient			3360	336	1646.4				percent of total billed charges		3360				other	OPPS APC	2486.4				percent of total billed charges		3360				other	OPPS APC	3360				other	OPPS APC	1646.4				percent of total billed charges		1713.6				percent of total billed charges		336				other	OPPS APC	336	3360	
CATHETER BI-DIRECTIONAL CIRCULAR MAPPING 20MM CURVE DF ADVISOR FL SENSOR ENABLED	SUP-D-AVSE-DF10-F20	CDM			481	RC		inpatient			3360	3360																																																			
PLATE BONE PERI-LOC STAINLESS STEEL 18 MM SPACE L 342 MM X W 36 MM X H 3.6 MM W 17.6 MM X H4.8 MM FEMUR LEFT DISTAL LATERAL 16 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-71800016	CDM			270	RC		outpatient			3359.2	3359.2	910.01				percent of total billed charges		3359.2				other	OPPS APC	2485.81				percent of total billed charges		3359.2				other	OPPS APC	3359.2				other	OPPS APC	910.01				percent of total billed charges		928.15				percent of total billed charges		3359.2				other	OPPS APC	910.01	3359.2	
PLATE BONE PERI-LOC STAINLESS STEEL 18 MM SPACE L 342 MM X W 36 MM X H 3.6 MM W 17.6 MM X H4.8 MM FEMUR LEFT DISTAL LATERAL 16 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-71800016	CDM			270	RC		inpatient			3359.2	3359.2																																																			
PLATE BONE PERI-LOC STAINLESS STEEL L 18MM SPACE L 342MM X W 36MM X H 3.6MM W 17.6MM X H 4.8MMFEMUR RIGHT DISTAL LATERAL 16 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STERILE	SUP-71800116	CDM			270	RC		outpatient			3359.2	3359.2	910.01				percent of total billed charges		3359.2				other	OPPS APC	2485.81				percent of total billed charges		3359.2				other	OPPS APC	3359.2				other	OPPS APC	910.01				percent of total billed charges		928.15				percent of total billed charges		3359.2				other	OPPS APC	910.01	3359.2	
PLATE BONE PERI-LOC STAINLESS STEEL L 18MM SPACE L 342MM X W 36MM X H 3.6MM W 17.6MM X H 4.8MMFEMUR RIGHT DISTAL LATERAL 16 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STERILE	SUP-71800116	CDM			270	RC		inpatient			3359.2	3359.2																																																			
HEAD HUMERAL ARTHREX H17 MM OD44 MM REVERSE STERILE CUFF ARTHROPATHY	SUP-AR-9544-17RCA	CDM	270010030	LOCAL	270	RC		outpatient			3358	3358	909.68				percent of total billed charges		3358				other	OPPS APC	2484.92				percent of total billed charges		3358				other	OPPS APC	3358				other	OPPS APC	909.68				percent of total billed charges		927.82				percent of total billed charges		3358				other	OPPS APC	909.68	3358	
HEAD HUMERAL ARTHREX H17 MM OD44 MM REVERSE STERILE CUFF ARTHROPATHY	SUP-AR-9544-17RCA	CDM	270010030	LOCAL	270	RC		inpatient			3358	3358																																																			
UNITE HEAD 52X15 ECC	SUP-97-02996	CDM			278	RC		outpatient			3355	3355	3355				fee schedule		3355				other	OPPS APC	1912.35				percent of total billed charges		3355				other	OPPS APC	3355				other	OPPS APC	1643.95				percent of total billed charges		1711.05				percent of total billed charges		3355				other	OPPS APC	1643.95	3355	
UNITE HEAD 52X15 ECC	SUP-97-02996	CDM			278	RC		inpatient			3355	3355																																																			
GLENOSPHERE 36/24	SUP-AR-9564-2436	CDM	270010030	LOCAL	270	RC		outpatient			3353.08	3353.8	908.35				percent of total billed charges		3353.08				other	OPPS APC	2481.28				percent of total billed charges		3353.08				other	OPPS APC	3353.08				other	OPPS APC	908.35				percent of total billed charges		926.46				percent of total billed charges		3353.8				other	OPPS APC	908.35	3353.8	
GLENOSPHERE 36/24	SUP-AR-9564-2436	CDM	270010030	LOCAL	270	RC		inpatient			3353.08	3353.08																																																			
GLENOSPHERE 36MM +2.5 INF	SUP-AR-9564-2436-INF	CDM	270010030	LOCAL	270	RC		outpatient			3353.08	3353.8	908.35				percent of total billed charges		3353.08				other	OPPS APC	2481.28				percent of total billed charges		3353.08				other	OPPS APC	3353.08				other	OPPS APC	908.35				percent of total billed charges		926.46				percent of total billed charges		3353.8				other	OPPS APC	908.35	3353.8	
GLENOSPHERE 36MM +2.5 INF	SUP-AR-9564-2436-INF	CDM	270010030	LOCAL	270	RC		inpatient			3353.08	3353.08																																																			
GLENOSPHERE 39 +4 LATERAL/24	SUP-AR-9564-2439-LAT	CDM			270	RC		outpatient			3353.08	3353.8	908.35				percent of total billed charges		3353.08				other	OPPS APC	2481.28				percent of total billed charges		3353.08				other	OPPS APC	3353.08				other	OPPS APC	908.35				percent of total billed charges		926.46				percent of total billed charges		3353.8				other	OPPS APC	908.35	3353.8	
GLENOSPHERE 39 +4 LATERAL/24	SUP-AR-9564-2439-LAT	CDM			270	RC		inpatient			3353.08	3353.08																																																			
MESH SURGICAL PHASIX POLY-4-HYDROXYBUTYRATE RECTANGLE L4 IN X W3 IN MONOFILAMENT SCAFFOLD RESORBABLE HERNIA REPAIR INTRAABDOMINAL PLACEMENT	SUP-1200710	CDM			270	RC		outpatient			3348.8	3348.82	907.19				percent of total billed charges		3348.8				other	OPPS APC	2478.11				percent of total billed charges		3348.8				other	OPPS APC	3348.8				other	OPPS APC	907.19				percent of total billed charges		925.27				percent of total billed charges		3348.82				other	OPPS APC	907.19	3348.82	
MESH SURGICAL PHASIX POLY-4-HYDROXYBUTYRATE RECTANGLE L4 IN X W3 IN MONOFILAMENT SCAFFOLD RESORBABLE HERNIA REPAIR INTRAABDOMINAL PLACEMENT	SUP-1200710	CDM			270	RC		inpatient			3348.8	3348.8																																																			
V40 COCR LFIT HEAD 36MM	SUP-97-03424	CDM			278	RC		outpatient			3341.25	3341.25	3341.25				fee schedule		3341.25				other	OPPS APC	1904.51				percent of total billed charges		3341.25				other	OPPS APC	3341.25				other	OPPS APC	1637.21				percent of total billed charges		1704.04				percent of total billed charges		3341.25				other	OPPS APC	1637.21	3341.25	
V40 COCR LFIT HEAD 36MM	SUP-97-03424	CDM			278	RC		inpatient			3341.25	3341.25																																																			
STEM EXTENSION GMK L105 MM OD11 MM FLUTED REVISION	SUP-02.07.FCL11105	CDM	270010025	LOCAL	270	RC		outpatient			3340	334	904.81				percent of total billed charges		3340				other	OPPS APC	2471.6				percent of total billed charges		3340				other	OPPS APC	3340				other	OPPS APC	904.81				percent of total billed charges		922.84				percent of total billed charges		334				other	OPPS APC	334	3340	
STEM EXTENSION GMK L105 MM OD11 MM FLUTED REVISION	SUP-02.07.FCL11105	CDM	270010025	LOCAL	270	RC		inpatient			3340	3340																																																			
STEM EXTENSION GMK FLUTE L105 MM OD14 MM KNEE CEMENTLESS	SUP-02.07.FCL14105	CDM	270010025	LOCAL	270	RC		outpatient			3340	334	904.81				percent of total billed charges		3340				other	OPPS APC	2471.6				percent of total billed charges		3340				other	OPPS APC	3340				other	OPPS APC	904.81				percent of total billed charges		922.84				percent of total billed charges		334				other	OPPS APC	334	3340	
STEM EXTENSION GMK FLUTE L105 MM OD14 MM KNEE CEMENTLESS	SUP-02.07.FCL14105	CDM	270010025	LOCAL	270	RC		inpatient			3340	3340																																																			
STEM EXTENSION GMK FLUTE L150 MM OD16 MM KNEE CEMENTLESS	SUP-02.07.FCL16150	CDM	270010025	LOCAL	270	RC		outpatient			3340	334	904.81				percent of total billed charges		3340				other	OPPS APC	2471.6				percent of total billed charges		3340				other	OPPS APC	3340				other	OPPS APC	904.81				percent of total billed charges		922.84				percent of total billed charges		334				other	OPPS APC	334	3340	
STEM EXTENSION GMK FLUTE L150 MM OD16 MM KNEE CEMENTLESS	SUP-02.07.FCL16150	CDM	270010025	LOCAL	270	RC		inpatient			3340	3340																																																			
CATHETER THROMBECTOMY PENUMBRA SYSTEM MAX SEPERATOR FLEX NITINOL L132 CM L136 CM OD6.0-5.0 FR ID.054 IN REPERFUSION MAX TRACKING TECHNOLOGY ACCEPTS .014 IN GUIDEWIRE	SUP-PSC054	CDM			270	RC		outpatient			3340	334	904.81				percent of total billed charges		3340				other	OPPS APC	2471.6				percent of total billed charges		3340				other	OPPS APC	3340				other	OPPS APC	904.81				percent of total billed charges		922.84				percent of total billed charges		334				other	OPPS APC	334	3340	
CATHETER THROMBECTOMY PENUMBRA SYSTEM MAX SEPERATOR FLEX NITINOL L132 CM L136 CM OD6.0-5.0 FR ID.054 IN REPERFUSION MAX TRACKING TECHNOLOGY ACCEPTS .014 IN GUIDEWIRE	SUP-PSC054	CDM			270	RC		inpatient			3340	3340																																																			
FILTERWIRE EZ LARGE VESSEL 3.5MM - 5.5MM	SUP-H749201001900	CDM			481	RC		outpatient			3337.2	3337.2	1635.23				percent of total billed charges		3337.2				other	OPPS APC	2469.53				percent of total billed charges		3337.2				other	OPPS APC	3337.2				other	OPPS APC	1635.23				percent of total billed charges		1701.97				percent of total billed charges		3337.2				other	OPPS APC	1635.23	3337.2	
FILTERWIRE EZ LARGE VESSEL 3.5MM - 5.5MM	SUP-H749201001900	CDM			481	RC		inpatient			3337.2	3337.2																																																			
FILTERWIRE EZ SMALL VESSEL 2.25MM - 3.5MM	SUP-H749390711900	CDM			481	RC		outpatient			3337.2	3337.2	1635.23				percent of total billed charges		3337.2				other	OPPS APC	2469.53				percent of total billed charges		3337.2				other	OPPS APC	3337.2				other	OPPS APC	1635.23				percent of total billed charges		1701.97				percent of total billed charges		3337.2				other	OPPS APC	1635.23	3337.2	
FILTERWIRE EZ SMALL VESSEL 2.25MM - 3.5MM	SUP-H749390711900	CDM			481	RC		inpatient			3337.2	3337.2																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H10 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00599403210	CDM	270010025	LOCAL	270	RC		outpatient			3336	3336	903.72				percent of total billed charges		3336				other	OPPS APC	2468.64				percent of total billed charges		3336				other	OPPS APC	3336				other	OPPS APC	903.72				percent of total billed charges		921.74				percent of total billed charges		3336				other	OPPS APC	903.72	3336	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H10 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00599403210	CDM	270010025	LOCAL	270	RC		inpatient			3336	3336																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H23 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00599403223	CDM	270010025	LOCAL	270	RC		outpatient			3336	3336	903.72				percent of total billed charges		3336				other	OPPS APC	2468.64				percent of total billed charges		3336				other	OPPS APC	3336				other	OPPS APC	903.72				percent of total billed charges		921.74				percent of total billed charges		3336				other	OPPS APC	903.72	3336	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 3-4 E-F L66 MM X W42 MM X H23 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00599403223	CDM	270010025	LOCAL	270	RC		inpatient			3336	3336																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H10 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00599404010	CDM	270010025	LOCAL	270	RC		outpatient			3336	3336	903.72				percent of total billed charges		3336				other	OPPS APC	2468.64				percent of total billed charges		3336				other	OPPS APC	3336				other	OPPS APC	903.72				percent of total billed charges		921.74				percent of total billed charges		3336				other	OPPS APC	903.72	3336	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 5-6 E-F L74 MM X W46 MM X H10 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00599404010	CDM	270010025	LOCAL	270	RC		inpatient			3336	3336																																																			
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 5-6 G L74 MM X W46 MM X H14 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-042-14	CDM	270010025	LOCAL	270	RC		outpatient			3336	3336	903.72				percent of total billed charges		3336				other	OPPS APC	2468.64				percent of total billed charges		3336				other	OPPS APC	3336				other	OPPS APC	903.72				percent of total billed charges		921.74				percent of total billed charges		3336				other	OPPS APC	903.72	3336	
INSERT ARTICULAR LCCK NEXGEN TIVANIUM UHMWPE 5-6 G L74 MM X W46 MM X H14 MM KNEE REVISION MACHINE MOLD STERILE	SUP-00-5994-042-14	CDM	270010025	LOCAL	270	RC		inpatient			3336	3336																																																			
NEXGEN FLUTED STEM EXT 14MM X 175MM	SUP-97-03466	CDM			278	RC		outpatient			3328.13	3328.13	3328.13				fee schedule		3328.13				other	OPPS APC	1897.03				percent of total billed charges		3328.13				other	OPPS APC	3328.13				other	OPPS APC	1630.78				percent of total billed charges		1697.35				percent of total billed charges		3328.13				other	OPPS APC	1630.78	3328.13	
NEXGEN FLUTED STEM EXT 14MM X 175MM	SUP-97-03466	CDM			278	RC		inpatient			3328.13	3328.13																																																			
NEXGEN FLUTED STEM EXT 11MM X 175MM	SUP-97-03469	CDM			278	RC		outpatient			3328.13	3328.13	3328.13				fee schedule		3328.13				other	OPPS APC	1897.03				percent of total billed charges		3328.13				other	OPPS APC	3328.13				other	OPPS APC	1630.78				percent of total billed charges		1697.35				percent of total billed charges		3328.13				other	OPPS APC	1630.78	3328.13	
NEXGEN FLUTED STEM EXT 11MM X 175MM	SUP-97-03469	CDM			278	RC		inpatient			3328.13	3328.13																																																			
GRAFT SEMI T 5.0 230	SUP-97-02831	CDM			278	RC		outpatient			3327.75	3327.75	3327.75				fee schedule		3327.75				other	OPPS APC	1896.82				percent of total billed charges		3327.75				other	OPPS APC	3327.75				other	OPPS APC	1630.6				percent of total billed charges		1697.15				percent of total billed charges		3327.75				other	OPPS APC	1630.6	3327.75	
GRAFT SEMI T 5.0 230	SUP-97-02831	CDM			278	RC		inpatient			3327.75	3327.75																																																			
PLATE HUMERUS 3 HOLE RIGHT	SUP-02.123.040	CDM	270010022	LOCAL	270	RC		outpatient			3326.96	3326.96	901.27				percent of total billed charges		3326.96				other	OPPS APC	2461.95				percent of total billed charges		3326.96				other	OPPS APC	3326.96				other	OPPS APC	901.27				percent of total billed charges		919.24				percent of total billed charges		3326.96				other	OPPS APC	901.27	3326.96	
PLATE HUMERUS 3 HOLE RIGHT	SUP-02.123.040	CDM	270010022	LOCAL	270	RC		inpatient			3326.96	3326.96																																																			
PLATE HUMERUS 3 HOLE LEFT	SUP-02.123.041	CDM	270010022	LOCAL	270	RC		outpatient			3326.96	3326.96	901.27				percent of total billed charges		3326.96				other	OPPS APC	2461.95				percent of total billed charges		3326.96				other	OPPS APC	3326.96				other	OPPS APC	901.27				percent of total billed charges		919.24				percent of total billed charges		3326.96				other	OPPS APC	901.27	3326.96	
PLATE HUMERUS 3 HOLE LEFT	SUP-02.123.041	CDM	270010022	LOCAL	270	RC		inpatient			3326.96	3326.96																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 70 MM X W 11.5 MM X H 3.6MM W32.3 MM X H 1.9 MM TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463204	CDM			270	RC		outpatient			3324	3324	900.47				percent of total billed charges		3324				other	OPPS APC	2459.76				percent of total billed charges		3324				other	OPPS APC	3324				other	OPPS APC	900.47				percent of total billed charges		918.42				percent of total billed charges		3324				other	OPPS APC	900.47	3324	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STANDARD L 70 MM X W 11.5 MM X H 3.6MM W32.3 MM X H 1.9 MM TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463204	CDM			270	RC		inpatient			3324	3324																																																			
PLATE BONE LCP COMBI CURVE 278X17.5X5.2MM SS NS CONDYLAR LEFT PERIARTICULAR 12 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT	SUP-02.001.302	CDM	270010022	LOCAL	270	RC		outpatient			3323.1	3324	900.23				percent of total billed charges		3323.1				other	OPPS APC	2459.09				percent of total billed charges		3323.1				other	OPPS APC	3323.1				other	OPPS APC	900.23				percent of total billed charges		918.17				percent of total billed charges		3324				other	OPPS APC	900.23	3324	
PLATE BONE LCP COMBI CURVE 278X17.5X5.2MM SS NS CONDYLAR LEFT PERIARTICULAR 12 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT	SUP-02.001.302	CDM	270010022	LOCAL	270	RC		inpatient			3323.1	3323.1																																																			
PLATE BONE LCP COMBI CURVE 278X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 12 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.322	CDM	270010022	LOCAL	270	RC		outpatient			3323.1	3324	900.23				percent of total billed charges		3323.1				other	OPPS APC	2459.09				percent of total billed charges		3323.1				other	OPPS APC	3323.1				other	OPPS APC	900.23				percent of total billed charges		918.17				percent of total billed charges		3324				other	OPPS APC	900.23	3324	
PLATE BONE LCP COMBI CURVE 278X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 12 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.322	CDM	270010022	LOCAL	270	RC		inpatient			3323.1	3323.1																																																			
PLATE BONE LCP STAINLESS STEEL LONG L196 MM X W12 MM X H3.7 MM PROXIMAL 8 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.921	CDM	270010022	LOCAL	270	RC		outpatient			3322.8	3322.82	900.15				percent of total billed charges		3322.8				other	OPPS APC	2458.87				percent of total billed charges		3322.8				other	OPPS APC	3322.8				other	OPPS APC	900.15				percent of total billed charges		918.09				percent of total billed charges		3322.82				other	OPPS APC	900.15	3322.82	
PLATE BONE LCP STAINLESS STEEL LONG L196 MM X W12 MM X H3.7 MM PROXIMAL 8 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.921	CDM	270010022	LOCAL	270	RC		inpatient			3322.8	3322.8																																																			
PLATE GLENOID EQUINOXE SHOULDER SMALL REVERSE	SUP-320-35-01	CDM	270010030	LOCAL	270	RC		outpatient			3322.8	3322.82	900.15				percent of total billed charges		3322.8				other	OPPS APC	2458.87				percent of total billed charges		3322.8				other	OPPS APC	3322.8				other	OPPS APC	900.15				percent of total billed charges		918.09				percent of total billed charges		3322.82				other	OPPS APC	900.15	3322.82	
PLATE GLENOID EQUINOXE SHOULDER SMALL REVERSE	SUP-320-35-01	CDM	270010030	LOCAL	270	RC		inpatient			3322.8	3322.8																																																			
GLENOSPHERE LATERAL 33MM +4	SUP-AR-95564-2433-LAT	CDM	270010030	LOCAL	270	RC		outpatient			3322.58	3322.58	900.09				percent of total billed charges		3322.58				other	OPPS APC	2458.71				percent of total billed charges		3322.58				other	OPPS APC	3322.58				other	OPPS APC	900.09				percent of total billed charges		918.03				percent of total billed charges		3322.58				other	OPPS APC	900.09	3322.58	
GLENOSPHERE LATERAL 33MM +4	SUP-AR-95564-2433-LAT	CDM	270010030	LOCAL	270	RC		inpatient			3322.58	3322.58																																																			
SPHERE GLENOID +4 MM OD36 MM ODSEC24 MM SHOULDER LATERALIZE GLENOSPHERE STERILE LATEX FREE DISPOSABLE	SUP-AR-9564-2436-LAT	CDM			270	RC		outpatient			3322.58	3322.58	900.09				percent of total billed charges		3322.58				other	OPPS APC	2458.71				percent of total billed charges		3322.58				other	OPPS APC	3322.58				other	OPPS APC	900.09				percent of total billed charges		918.03				percent of total billed charges		3322.58				other	OPPS APC	900.09	3322.58	
SPHERE GLENOID +4 MM OD36 MM ODSEC24 MM SHOULDER LATERALIZE GLENOSPHERE STERILE LATEX FREE DISPOSABLE	SUP-AR-9564-2436-LAT	CDM			270	RC		inpatient			3322.58	3322.58																																																			
COMPONENT GLENOID UNIVERS REVERS BIOSYNC POROUS OD39 MM ODSEC24 MM SHOULDER GLENOSPHERE TAPER BASEPLATE MODULAR	SUP-AR-9564-2439	CDM	270010030	LOCAL	270	RC		outpatient			3322.58	3322.58	900.09				percent of total billed charges		3322.58				other	OPPS APC	2458.71				percent of total billed charges		3322.58				other	OPPS APC	3322.58				other	OPPS APC	900.09				percent of total billed charges		918.03				percent of total billed charges		3322.58				other	OPPS APC	900.09	3322.58	
COMPONENT GLENOID UNIVERS REVERS BIOSYNC POROUS OD39 MM ODSEC24 MM SHOULDER GLENOSPHERE TAPER BASEPLATE MODULAR	SUP-AR-9564-2439	CDM	270010030	LOCAL	270	RC		inpatient			3322.58	3322.58																																																			
GLENOSPHERE 39MM +2.5INF/24	SUP-AR-9564-2439-INF	CDM	270010030	LOCAL	270	RC		outpatient			3322.58	3322.58	900.09				percent of total billed charges		3322.58				other	OPPS APC	2458.71				percent of total billed charges		3322.58				other	OPPS APC	3322.58				other	OPPS APC	900.09				percent of total billed charges		918.03				percent of total billed charges		3322.58				other	OPPS APC	900.09	3322.58	
GLENOSPHERE 39MM +2.5INF/24	SUP-AR-9564-2439-INF	CDM	270010030	LOCAL	270	RC		inpatient			3322.58	3322.58																																																			
TIBIAL AUGMENT HALF BLOCK	SUP-97-01183	CDM			278	RC		outpatient			3316.88	3316.88	3316.88				fee schedule		3316.88				other	OPPS APC	1890.62				percent of total billed charges		3316.88				other	OPPS APC	3316.88				other	OPPS APC	1625.27				percent of total billed charges		1691.61				percent of total billed charges		3316.88				other	OPPS APC	1625.27	3316.88	
TIBIAL AUGMENT HALF BLOCK	SUP-97-01183	CDM			278	RC		inpatient			3316.88	3316.88																																																			
TIBIAL AUGMENT HALF BLOCK	SUP-97-01187	CDM			278	RC		outpatient			3316.88	3316.88	3316.88				fee schedule		3316.88				other	OPPS APC	1890.62				percent of total billed charges		3316.88				other	OPPS APC	3316.88				other	OPPS APC	1625.27				percent of total billed charges		1691.61				percent of total billed charges		3316.88				other	OPPS APC	1625.27	3316.88	
TIBIAL AUGMENT HALF BLOCK	SUP-97-01187	CDM			278	RC		inpatient			3316.88	3316.88																																																			
STENT - EXPRESS SD 6.0X14	SUP-99-01119	CDM			278	RC		inpatient			3313.13	3313.13																																																			
STENT - EXPRESS SD 6.0X14	SUP-99-01119	CDM			278	RC		outpatient			3313.13	3313.13					fee schedule						other	OPPS APC	1888.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.43				percent of total billed charges		1689.7				percent of total billed charges						other	OPPS APC	1888.48	1888.48	
STENT - EXPRESS SD 5.0X15	SUP-99-01784	CDM			278	RC		inpatient			3313.13	3313.13																																																			
STENT - EXPRESS SD 5.0X15	SUP-99-01784	CDM			278	RC		outpatient			3313.13	3313.13	3313.13				fee schedule		3313.13				other	OPPS APC	1888.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.43				percent of total billed charges		1689.7				percent of total billed charges						other	OPPS APC	3313.13	3313.13	
STENT - EXPRESS SD 6.0X18	SUP-99-01858	CDM			278	RC		inpatient			3313.13	3313.13																																																			
STENT - EXPRESS SD 6.0X18	SUP-99-01858	CDM			278	RC		outpatient			3313.13	3313.13					fee schedule						other	OPPS APC	1888.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.43				percent of total billed charges		1689.7				percent of total billed charges						other	OPPS APC	1888.48	1888.48	
STENT - EXPRESS LD 7.0X57X135	SUP-99-01881	CDM			278	RC		inpatient			3313.13	3313.13																																																			
STENT - EXPRESS LD 7.0X57X135	SUP-99-01881	CDM			278	RC		outpatient			3313.13	3313.13					fee schedule						other	OPPS APC	1888.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.43				percent of total billed charges		1689.7				percent of total billed charges						other	OPPS APC	1888.48	1888.48	
STENT - EXPRESS SD 5.0X19	SUP-99-02059	CDM			278	RC		inpatient			3313.13	3313.13																																																			
STENT - EXPRESS SD 5.0X19	SUP-99-02059	CDM			278	RC		outpatient			3313.13	3313.13					fee schedule						other	OPPS APC	1888.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.43				percent of total billed charges		1689.7				percent of total billed charges						other	OPPS APC	1888.48	1888.48	
STENT - WALLSTENT 18X60	SUP-99-01931	CDM			278	RC		inpatient			3312.5	3312.5																																																			
STENT - WALLSTENT 18X60	SUP-99-01931	CDM			278	RC		outpatient			3312.5	3312.5					fee schedule						other	OPPS APC	1888.13				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.13				percent of total billed charges		1689.38				percent of total billed charges						other	OPPS APC	1888.48	1888.13	
STENT - WALLSTENT 16X60	SUP-99-03126	CDM			278	RC		inpatient			3312.5	3312.5																																																			
STENT - WALLSTENT 16X60	SUP-99-03126	CDM			278	RC		outpatient			3312.5	3312.5					fee schedule						other	OPPS APC	1888.13				percent of total billed charges						other	OPPS APC					other	OPPS APC	1623.13				percent of total billed charges		1689.38				percent of total billed charges						other	OPPS APC	1888.48	1888.13	
BEARING TIBIAL OSS STANDARD 18MM POLY STERILE LF KNEE	SUP-150413	CDM			270	RC		outpatient			3310	331	896.68				percent of total billed charges		3310				other	OPPS APC	2449.4				percent of total billed charges		3310				other	OPPS APC	3310				other	OPPS APC	896.68				percent of total billed charges		914.55				percent of total billed charges		331				other	OPPS APC	331	3310	
BEARING TIBIAL OSS STANDARD 18MM POLY STERILE LF KNEE	SUP-150413	CDM			270	RC		inpatient			3310	3310																																																			
PLATE BONE TITANIUM L45 MM X W38 MM X H.4 MM CRANIOFACIAL CONTOURABLE MESH MALLEABLE NONSTERILE TEAL 1.3 MM CORTICAL SCREW	SUP-421.004	CDM	270010022	LOCAL	270	RC		outpatient			3308.86	338.86	896.37				percent of total billed charges		3308.86				other	OPPS APC	2448.56				percent of total billed charges		3308.86				other	OPPS APC	3308.86				other	OPPS APC	896.37				percent of total billed charges		914.24				percent of total billed charges		338.86				other	OPPS APC	338.86	3308.86	
PLATE BONE TITANIUM L45 MM X W38 MM X H.4 MM CRANIOFACIAL CONTOURABLE MESH MALLEABLE NONSTERILE TEAL 1.3 MM CORTICAL SCREW	SUP-421.004	CDM	270010022	LOCAL	270	RC		inpatient			3308.86	3308.86																																																			
PLATE LAPIDUS LEFT STEP 0MM	SUP-97-05940	CDM			278	RC		outpatient			3308.4	338.41	3308.4				fee schedule		3308.4				other	OPPS APC	1885.79				percent of total billed charges		3308.4				other	OPPS APC	3308.4				other	OPPS APC	1621.12				percent of total billed charges		1687.28				percent of total billed charges		338.41				other	OPPS APC	338.41	3308.4	
PLATE LAPIDUS LEFT STEP 0MM	SUP-97-05940	CDM			278	RC		inpatient			3308.4	3308.4																																																			
TRIDENT X3 ELEVATED RIM 36MM ID	SUP-97-06135	CDM			278	RC		outpatient			3308	338	3308				fee schedule		3308				other	OPPS APC	1885.56				percent of total billed charges		3308				other	OPPS APC	3308				other	OPPS APC	1620.92				percent of total billed charges		1687.08				percent of total billed charges		338				other	OPPS APC	338	3308	
TRIDENT X3 ELEVATED RIM 36MM ID	SUP-97-06135	CDM			278	RC		inpatient			3308	3308																																																			
NAIL INTRAMEDULLARY TRIGEN TITANIUM ADULT 130 D L 30 CM OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE LIME	SUP-71645130	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN TITANIUM ADULT 130 D L 30 CM OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE LIME	SUP-71645130	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN ADULT L 32 CM  OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE STERILE LATEX FREE	SUP-71645132	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN ADULT L 32 CM  OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE STERILE LATEX FREE	SUP-71645132	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN ADULT 130 D L 26 CM OD 8.5MM TROCHANTERIC LEFT ANTEGRADE STERILE LATEX FREE LIME	SUP-71645134	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN ADULT 130 D L 26 CM OD 8.5MM TROCHANTERIC LEFT ANTEGRADE STERILE LATEX FREE LIME	SUP-71645134	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN TITANIUM ADULT 130 D L 36 CM OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE LIME	SUP-71645136	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN TITANIUM ADULT 130 D L 36 CM OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE LIME	SUP-71645136	CDM			270	RC		inpatient			3304.8	3304.8																																																			
8.5 X 38 LEFT	SUP-71645138	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
8.5 X 38 LEFT	SUP-71645138	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN TITANIUM ADULT 130 D L 40 CM OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE LIME	SUP-71645140	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN TITANIUM ADULT 130 D L 40 CM OD 8.5 MM TROCHANTERIC LEFT ANTEGRADE LIME	SUP-71645140	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN 130 D L 26 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE LIME ADOLESCENT	SUP-71646126	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN 130 D L 26 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE LIME ADOLESCENT	SUP-71646126	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN 130 D L 28 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE LIME ADOLESCENT	SUP-71646128	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN 130 D L 28 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE LIME ADOLESCENT	SUP-71646128	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN 130 D L 30 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE ROSE ADOLESCENT	SUP-71646130	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN 130 D L 30 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE ROSE ADOLESCENT	SUP-71646130	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN 130 D L 32 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE ADOLESCENT	SUP-71646132	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN 130 D L 32 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE ADOLESCENT	SUP-71646132	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY TRIGEN 130 D L 34 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE ADOLESCENT	SUP-71646134	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
NAIL INTRAMEDULLARY TRIGEN 130 D L 34 CM OD 8.5 MM TROCHANTERIC RIGHT ANTEGRADE STERILE LATEX FREE ADOLESCENT	SUP-71646134	CDM			270	RC		inpatient			3304.8	3304.8																																																			
8.5 X 36 RIGHT	SUP-71646136	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
8.5 X 36 RIGHT	SUP-71646136	CDM			270	RC		inpatient			3304.8	3304.8																																																			
8.5 X 38 RIGHT	SUP-71646138	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
8.5 X 38 RIGHT	SUP-71646138	CDM			270	RC		inpatient			3304.8	3304.8																																																			
8.5 X 40 RIGHT	SUP-71646140	CDM			270	RC		outpatient			3304.8	334.82	895.27				percent of total billed charges		3304.8				other	OPPS APC	2445.55				percent of total billed charges		3304.8				other	OPPS APC	3304.8				other	OPPS APC	895.27				percent of total billed charges		913.12				percent of total billed charges		334.82				other	OPPS APC	334.82	3304.8	
8.5 X 40 RIGHT	SUP-71646140	CDM			270	RC		inpatient			3304.8	3304.8																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L25.5 CM OD9 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.331S	CDM	270010022	LOCAL	270	RC		outpatient			3303.3	333.32	894.86				percent of total billed charges		3303.3				other	OPPS APC	2444.44				percent of total billed charges		3303.3				other	OPPS APC	3303.3				other	OPPS APC	894.86				percent of total billed charges		912.7				percent of total billed charges		333.32				other	OPPS APC	333.32	3303.3	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L25.5 CM OD9 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.331S	CDM	270010022	LOCAL	270	RC		inpatient			3303.3	3303.3																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L255 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.631S	CDM	270010022	LOCAL	270	RC		outpatient			3303.3	333.32	894.86				percent of total billed charges		3303.3				other	OPPS APC	2444.44				percent of total billed charges		3303.3				other	OPPS APC	3303.3				other	OPPS APC	894.86				percent of total billed charges		912.7				percent of total billed charges		333.32				other	OPPS APC	333.32	3303.3	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L255 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.631S	CDM	270010022	LOCAL	270	RC		inpatient			3303.3	3303.3																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L270 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.634S	CDM	270010022	LOCAL	270	RC		outpatient			3303.3	333.32	894.86				percent of total billed charges		3303.3				other	OPPS APC	2444.44				percent of total billed charges		3303.3				other	OPPS APC	3303.3				other	OPPS APC	894.86				percent of total billed charges		912.7				percent of total billed charges		333.32				other	OPPS APC	333.32	3303.3	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L270 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.634S	CDM	270010022	LOCAL	270	RC		inpatient			3303.3	3303.3																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L420 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.664S	CDM	270010022	LOCAL	270	RC		outpatient			3303.3	333.32	894.86				percent of total billed charges		3303.3				other	OPPS APC	2444.44				percent of total billed charges		3303.3				other	OPPS APC	3303.3				other	OPPS APC	894.86				percent of total billed charges		912.7				percent of total billed charges		333.32				other	OPPS APC	333.32	3303.3	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L420 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.664S	CDM	270010022	LOCAL	270	RC		inpatient			3303.3	3303.3																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L435 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.667S	CDM	270010022	LOCAL	270	RC		outpatient			3303.3	333.32	894.86				percent of total billed charges		3303.3				other	OPPS APC	2444.44				percent of total billed charges		3303.3				other	OPPS APC	3303.3				other	OPPS APC	894.86				percent of total billed charges		912.7				percent of total billed charges		333.32				other	OPPS APC	333.32	3303.3	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L435 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.667S	CDM	270010022	LOCAL	270	RC		inpatient			3303.3	3303.3																																																			
LARGE ROCHER SHOE (LONG)	SUP-97-03824	CDM			272	RC		outpatient			3302.6	332.6	894.67				percent of total billed charges		3302.6				other	OPPS APC	2443.92				percent of total billed charges		3302.6				other	OPPS APC	3302.6				other	OPPS APC	894.67				percent of total billed charges		912.51				percent of total billed charges		332.6				other	OPPS APC	332.6	3302.6	
LARGE ROCHER SHOE (LONG)	SUP-97-03824	CDM			272	RC		inpatient			3302.6	3302.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L236 MM TIBIA DISTAL POSTERIOR 16 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.216	CDM	270010022	LOCAL	270	RC		outpatient			3297.8	3297.82	893.37				percent of total billed charges		3297.8				other	OPPS APC	2440.37				percent of total billed charges		3297.8				other	OPPS APC	3297.8				other	OPPS APC	893.37				percent of total billed charges		911.18				percent of total billed charges		3297.82				other	OPPS APC	893.37	3297.82	
PLATE BONE LCP COMBI STAINLESS STEEL T L236 MM TIBIA DISTAL POSTERIOR 16 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.216	CDM	270010022	LOCAL	270	RC		inpatient			3297.8	3297.8																																																			
PLATE BONE LCP STAINLESS STEEL L205 MM FEMUR PROXIMAL 6 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.122	CDM	270010022	LOCAL	270	RC		outpatient			3297.8	3297.82	893.37				percent of total billed charges		3297.8				other	OPPS APC	2440.37				percent of total billed charges		3297.8				other	OPPS APC	3297.8				other	OPPS APC	893.37				percent of total billed charges		911.18				percent of total billed charges		3297.82				other	OPPS APC	893.37	3297.82	
PLATE BONE LCP STAINLESS STEEL L205 MM FEMUR PROXIMAL 6 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.122	CDM	270010022	LOCAL	270	RC		inpatient			3297.8	3297.8																																																			
PLATE BONE PERI-LOC STAINLESS STEEL 18 MM SPACE L 286 MM X W 36 MM X H3.6MMW17.6 MM X H4.8MM FEMUR LEFT DISTAL LATERAL 13 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STERILE 4.5MM SCREW LARGE FRAGMENT SET	SUP-71800013	CDM			270	RC		outpatient			3296.8	3296.82	893.1				percent of total billed charges		3296.8				other	OPPS APC	2439.63				percent of total billed charges		3296.8				other	OPPS APC	3296.8				other	OPPS APC	893.1				percent of total billed charges		910.91				percent of total billed charges		3296.82				other	OPPS APC	893.1	3296.82	
PLATE BONE PERI-LOC STAINLESS STEEL 18 MM SPACE L 286 MM X W 36 MM X H3.6MMW17.6 MM X H4.8MM FEMUR LEFT DISTAL LATERAL 13 HOLE LOCK BEVEL TIP RADIOLUCENT TARGETER STERILE 4.5MM SCREW LARGE FRAGMENT SET	SUP-71800013	CDM			270	RC		inpatient			3296.8	3296.8																																																			
STEM HUMERAL ARTHREX UNIVERS REVERS 9 SHOULDER STERILE	SUP-AR-9501-09P	CDM	270010030	LOCAL	270	RC		outpatient			3292.44	3292.44	891.92				percent of total billed charges		3292.44				other	OPPS APC	2436.41				percent of total billed charges		3292.44				other	OPPS APC	3292.44				other	OPPS APC	891.92				percent of total billed charges		909.7				percent of total billed charges		3292.44				other	OPPS APC	891.92	3292.44	
STEM HUMERAL ARTHREX UNIVERS REVERS 9 SHOULDER STERILE	SUP-AR-9501-09P	CDM	270010030	LOCAL	270	RC		inpatient			3292.44	3292.44																																																			
SCREW BONE LINEUM TITANIUM L30 MM OD4 MM OCCIPITOCERVICOTHORACIC SPINE TRANSLATION TECHNOLOGY GREEN HEAD	SUP-14-524530	CDM	270010020	LOCAL	270	RC		outpatient			3285.8	3285.82	890.12				percent of total billed charges		3285.8				other	OPPS APC	2431.49				percent of total billed charges		3285.8				other	OPPS APC	3285.8				other	OPPS APC	890.12				percent of total billed charges		907.87				percent of total billed charges		3285.82				other	OPPS APC	890.12	3285.82	
SCREW BONE LINEUM TITANIUM L30 MM OD4 MM OCCIPITOCERVICOTHORACIC SPINE TRANSLATION TECHNOLOGY GREEN HEAD	SUP-14-524530	CDM	270010020	LOCAL	270	RC		inpatient			3285.8	3285.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L91 MM HUMERUS RIGHT PERIARTICULAR PROXIMAL 2 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.020	CDM	270010022	LOCAL	270	RC		outpatient			3279.12	3279.12	888.31				percent of total billed charges		3279.12				other	OPPS APC	2426.55				percent of total billed charges		3279.12				other	OPPS APC	3279.12				other	OPPS APC	888.31				percent of total billed charges		906.02				percent of total billed charges		3279.12				other	OPPS APC	888.31	3279.12	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L91 MM HUMERUS RIGHT PERIARTICULAR PROXIMAL 2 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.020	CDM	270010022	LOCAL	270	RC		inpatient			3279.12	3279.12																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L91 MM HUMERUS LEFT PERIARTICULAR PROXIMAL 2 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.021	CDM	270010022	LOCAL	270	RC		outpatient			3279.12	3279.12	888.31				percent of total billed charges		3279.12				other	OPPS APC	2426.55				percent of total billed charges		3279.12				other	OPPS APC	3279.12				other	OPPS APC	888.31				percent of total billed charges		906.02				percent of total billed charges		3279.12				other	OPPS APC	888.31	3279.12	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L91 MM HUMERUS LEFT PERIARTICULAR PROXIMAL 2 HOLE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.123.021	CDM	270010022	LOCAL	270	RC		inpatient			3279.12	3279.12																																																			
PLATE INTEGRA 4 HOLE RIGHT	SUP-290338	CDM			270	RC		outpatient			3278	3278	888.01				percent of total billed charges		3278				other	OPPS APC	2425.72				percent of total billed charges		3278				other	OPPS APC	3278				other	OPPS APC	888.01				percent of total billed charges		905.71				percent of total billed charges		3278				other	OPPS APC	888.01	3278	
PLATE INTEGRA 4 HOLE RIGHT	SUP-290338	CDM			270	RC		inpatient			3278	3278																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L10 CM OD4 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-4-10-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L10 CM OD4 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-4-10-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD4 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-4-6-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L6 CM OD4 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-4-6-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L8 CM OD4 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-4-8-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L8 CM OD4 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-4-8-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L10 CM OD5 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-5-10-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L10 CM OD5 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-5-10-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L15 CM OD5 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-5-15-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L15 CM OD5 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-5-15-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L8 CM OD5 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-5-8-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L8 CM OD5 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-5-8-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
SYSTEM EMBOLIZATION AXIUM PRIME LATTICEFX 3D L10 CM OD6 MM ODSEC.0115 IN NEUROVASCULAR DETACHABLE COIL	SUP-APB-6-10-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
SYSTEM EMBOLIZATION AXIUM PRIME LATTICEFX 3D L10 CM OD6 MM ODSEC.0115 IN NEUROVASCULAR DETACHABLE COIL	SUP-APB-6-10-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L15 CM OD6 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-6-15-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L15 CM OD6 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-6-15-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
COIL EMBOLIZATION AXIUM PRIME 3D L20 CM OD6 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-6-20-3D-SS	CDM			270	RC		outpatient			3276	3276	887.47				percent of total billed charges		3276				other	OPPS APC	2424.24				percent of total billed charges		3276				other	OPPS APC	3276				other	OPPS APC	887.47				percent of total billed charges		905.16				percent of total billed charges		3276				other	OPPS APC	887.47	3276	
COIL EMBOLIZATION AXIUM PRIME 3D L20 CM OD6 MM ODSEC.0115 IN NEUROVASCULAR SUPER SOFT DETACHABLE	SUP-APB-6-20-3D-SS	CDM			270	RC		inpatient			3276	3276																																																			
GRAFT PROLAYER UNMESHED 4X8CM 3102-2648	SUP-75-00175	CDM			636	RC		inpatient			3272.73	3272.73																																																			
NAIL INTRAMEDULLARY INTERTAN 130 D L 24 MM OD 10 MM STERILE	SUP-71934480	CDM			270	RC		outpatient			3267.4	3267.41	885.14				percent of total billed charges		3267.4				other	OPPS APC	2417.88				percent of total billed charges		3267.4				other	OPPS APC	3267.4				other	OPPS APC	885.14				percent of total billed charges		902.78				percent of total billed charges		3267.41				other	OPPS APC	885.14	3267.41	
NAIL INTRAMEDULLARY INTERTAN 130 D L 24 MM OD 10 MM STERILE	SUP-71934480	CDM			270	RC		inpatient			3267.4	3267.4																																																			
INTERTAN 11.5MM X 24CM 125D	SUP-71934481	CDM			270	RC		outpatient			3267.4	3267.41	885.14				percent of total billed charges		3267.4				other	OPPS APC	2417.88				percent of total billed charges		3267.4				other	OPPS APC	3267.4				other	OPPS APC	885.14				percent of total billed charges		902.78				percent of total billed charges		3267.41				other	OPPS APC	885.14	3267.41	
INTERTAN 11.5MM X 24CM 125D	SUP-71934481	CDM			270	RC		inpatient			3267.4	3267.4																																																			
GRAFT ACUSEAL VASCULAR 6MM X 40CM	SUP-97-00593	CDM			278	RC		outpatient			3265	3265	3265				fee schedule		3265				other	OPPS APC	1861.05				percent of total billed charges		3265				other	OPPS APC	3265				other	OPPS APC	1599.85				percent of total billed charges		1665.15				percent of total billed charges		3265				other	OPPS APC	1599.85	3265	
GRAFT ACUSEAL VASCULAR 6MM X 40CM	SUP-97-00593	CDM			278	RC		inpatient			3265	3265																																																			
INSERT TIBIAL PFC SIGMA 3 10MM GVF STERILE KNEE ROTATE PLATFORM STABILIZE	SUP-96-2131	CDM	270010025	LOCAL	270	RC		outpatient			3264	3264	884.22				percent of total billed charges		3264				other	OPPS APC	2415.36				percent of total billed charges		3264				other	OPPS APC	3264				other	OPPS APC	884.22				percent of total billed charges		901.84				percent of total billed charges		3264				other	OPPS APC	884.22	3264	
INSERT TIBIAL PFC SIGMA 3 10MM GVF STERILE KNEE ROTATE PLATFORM STABILIZE	SUP-96-2131	CDM	270010025	LOCAL	270	RC		inpatient			3264	3264																																																			
INSERT TIBIAL PFC SIGMA 4 12.5MM GVF STERILE KNEE ROTATE PLATFORM STABILIZE	SUP-96-2142	CDM	270010025	LOCAL	270	RC		outpatient			3264	3264	884.22				percent of total billed charges		3264				other	OPPS APC	2415.36				percent of total billed charges		3264				other	OPPS APC	3264				other	OPPS APC	884.22				percent of total billed charges		901.84				percent of total billed charges		3264				other	OPPS APC	884.22	3264	
INSERT TIBIAL PFC SIGMA 4 12.5MM GVF STERILE KNEE ROTATE PLATFORM STABILIZE	SUP-96-2142	CDM	270010025	LOCAL	270	RC		inpatient			3264	3264																																																			
LINER ACETABULAR DURALOC MARATHON 10 D +4 MM NEUTRAL OD56 MM ID36 MM HIP	SUP-1220-36-556	CDM	270010024	LOCAL	270	RC		outpatient			3260.4	326.41	883.24				percent of total billed charges		3260.4				other	OPPS APC	2412.7				percent of total billed charges		3260.4				other	OPPS APC	3260.4				other	OPPS APC	883.24				percent of total billed charges		900.85				percent of total billed charges		326.41				other	OPPS APC	326.41	3260.4	
LINER ACETABULAR DURALOC MARATHON 10 D +4 MM NEUTRAL OD56 MM ID36 MM HIP	SUP-1220-36-556	CDM	270010024	LOCAL	270	RC		inpatient			3260.4	3260.4																																																			
LEAD OCTRODE	SUP-3086	CDM			270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
LEAD OCTRODE	SUP-3086	CDM			270	RC		inpatient			3260	3260																																																			
COMPONENT FEMORAL IBALANCE 2 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFLB	CDM	270010025	LOCAL	270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
COMPONENT FEMORAL IBALANCE 2 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFLB	CDM	270010025	LOCAL	270	RC		inpatient			3260	3260																																																			
COMPONENT FEMORAL IBALANCE 4 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFLD	CDM			270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
COMPONENT FEMORAL IBALANCE 4 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFLD	CDM			270	RC		inpatient			3260	3260																																																			
COMPONENT FEMORAL IBALANCE 5 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC CEMENT RESURFACE	SUP-AR-501-UFLE	CDM	270010025	LOCAL	270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
COMPONENT FEMORAL IBALANCE 5 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC CEMENT RESURFACE	SUP-AR-501-UFLE	CDM	270010025	LOCAL	270	RC		inpatient			3260	3260																																																			
COMPONENT FEMORAL IBALANCE 6 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFLF	CDM			270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
COMPONENT FEMORAL IBALANCE 6 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFLF	CDM			270	RC		inpatient			3260	3260																																																			
COMPONENT FEMORAL IBALANCE 3 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFRC	CDM	270010025	LOCAL	270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
COMPONENT FEMORAL IBALANCE 3 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFRC	CDM	270010025	LOCAL	270	RC		inpatient			3260	3260																																																			
COMPONENT FEMORAL IBALANCE 4 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFRD	CDM	270010025	LOCAL	270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
COMPONENT FEMORAL IBALANCE 4 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-UFRD	CDM	270010025	LOCAL	270	RC		inpatient			3260	3260																																																			
FEMUR ARTHREX IBALANCE UKA CEMENTED SIZE 5 RIGHT MEDIAL	SUP-AR-501-UFRE	CDM	270010025	LOCAL	270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
FEMUR ARTHREX IBALANCE UKA CEMENTED SIZE 5 RIGHT MEDIAL	SUP-AR-501-UFRE	CDM	270010025	LOCAL	270	RC		inpatient			3260	3260																																																			
FEMUR ARTHREX IBALANCE UKA CEMENTED SIZE 6 RIGHT MEDIAL	SUP-AR-501-UFRF	CDM	270010025	LOCAL	270	RC		outpatient			3260	326	883.13				percent of total billed charges		3260				other	OPPS APC	2412.4				percent of total billed charges		3260				other	OPPS APC	3260				other	OPPS APC	883.13				percent of total billed charges		900.74				percent of total billed charges		326				other	OPPS APC	326	3260	
FEMUR ARTHREX IBALANCE UKA CEMENTED SIZE 6 RIGHT MEDIAL	SUP-AR-501-UFRF	CDM	270010025	LOCAL	270	RC		inpatient			3260	3260																																																			
STERILE YELLOW MONOTUBE KIT2	SUP-97-03635	CDM			278	RC		outpatient			3255.65	3255.65	3255.65				fee schedule		3255.65				other	OPPS APC	1855.72				percent of total billed charges		3255.65				other	OPPS APC	3255.65				other	OPPS APC	1595.27				percent of total billed charges		1660.38				percent of total billed charges		3255.65				other	OPPS APC	1595.27	3255.65	
STERILE YELLOW MONOTUBE KIT2	SUP-97-03635	CDM			278	RC		inpatient			3255.65	3255.65																																																			
PLATE BONE LCP COMBI STAINLESS STEEL LONG L142 MM X W12 MM X H3.7 MM PROXIMAL 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.918	CDM	270010022	LOCAL	270	RC		outpatient			3254.9	3254.91	881.75				percent of total billed charges		3254.9				other	OPPS APC	2408.63				percent of total billed charges		3254.9				other	OPPS APC	3254.9				other	OPPS APC	881.75				percent of total billed charges		899.33				percent of total billed charges		3254.91				other	OPPS APC	881.75	3254.91	
PLATE BONE LCP COMBI STAINLESS STEEL LONG L142 MM X W12 MM X H3.7 MM PROXIMAL 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.918	CDM	270010022	LOCAL	270	RC		inpatient			3254.9	3254.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L242 MM X W17.5 MM X H5.2 MM CONDYLAR LEFT PERIARTICULAR 10 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT NONSTERILE 4.5/5 MM SCREW	SUP-02.001.300	CDM	270010022	LOCAL	270	RC		outpatient			3252.7	3252.7	881.16				percent of total billed charges		3252.7				other	OPPS APC	2407				percent of total billed charges		3252.7				other	OPPS APC	3252.7				other	OPPS APC	881.16				percent of total billed charges		898.72				percent of total billed charges		3252.7				other	OPPS APC	881.16	3252.7	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L242 MM X W17.5 MM X H5.2 MM CONDYLAR LEFT PERIARTICULAR 10 HOLE LOW PROFILE PRECONTOUR LIMIT CONTACT NONSTERILE 4.5/5 MM SCREW	SUP-02.001.300	CDM	270010022	LOCAL	270	RC		inpatient			3252.7	3252.7																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L57.9 MM OD26 MM ODSEC33.6 MM ID25.9 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460026MM	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L57.9 MM OD26 MM ODSEC33.6 MM ID25.9 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460026MM	CDM			270	RC		inpatient			3250	3250																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L62 MM OD28 MM ODSEC35.6 MM ID28 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460028MM	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L62 MM OD28 MM ODSEC35.6 MM ID28 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460028MM	CDM			270	RC		inpatient			3250	3250																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L66.3 MM OD30 MM ODSEC37.6 MM ID30 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460030MM	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L66.3 MM OD30 MM ODSEC37.6 MM ID30 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460030MM	CDM			270	RC		inpatient			3250	3250																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L70.4 MM OD32 MM ODSEC39.6 MM ID31.9 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460032MM	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER 3D C CONTOUR L70.4 MM OD32 MM ODSEC39.6 MM ID31.9 MM MITRAL TRICUSPID FLEXIBLE BAND TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460032MM	CDM			270	RC		inpatient			3250	3250																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER POLYESTER L78.7 MM OD36 MM ODSEC43.6 MM ID35.9 MM MITRAL TRICUSPID FLEXIBLE TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460036MM	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER POLYESTER L78.7 MM OD36 MM ODSEC43.6 MM ID35.9 MM MITRAL TRICUSPID FLEXIBLE TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460036MM	CDM			270	RC		inpatient			3250	3250																																																			
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER POLYESTER L83.1 MM OD38 MM ODSEC45.6 MM ID37.9 MM MITRAL TRICUSPID FLEXIBLE TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460038MM	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
RING ANNULOPLASTY COSGROVE-EDWARDS BARIUM SULFATE SILICONE RUBBER POLYESTER L83.1 MM OD38 MM ODSEC45.6 MM ID37.9 MM MITRAL TRICUSPID FLEXIBLE TEMPLATE HANDLE STERILE HEART VALVE REPAIR	SUP-460038MM	CDM			270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD26 MM 10 L	SUP-638BL26	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD26 MM 10 L	SUP-638BL26	CDM			270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD28 MM	SUP-638BL28	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD28 MM	SUP-638BL28	CDM			270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD30 MM 10 L	SUP-638BL30	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD30 MM 10 L	SUP-638BL30	CDM			270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD32 MM	SUP-638BL32	CDM	27000000	LOCAL	270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD32 MM	SUP-638BL32	CDM	27000000	LOCAL	270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD34 MM	SUP-638BL34	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD34 MM	SUP-638BL34	CDM			270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD36 MM	SUP-638BL36	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD36 MM	SUP-638BL36	CDM			270	RC		inpatient			3250	3250																																																			
BAND ANNULOPLASTY CG FUTURE OD38 MM	SUP-638BL38	CDM			270	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BAND ANNULOPLASTY CG FUTURE OD38 MM	SUP-638BL38	CDM			270	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 9MM	SUP-97-00995	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 9MM	SUP-97-00995	CDM			278	RC		inpatient			3250	3250																																																			
TIB BASE SZ 6 RM/LL	SUP-97-01007	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIB BASE SZ 6 RM/LL	SUP-97-01007	CDM			278	RC		inpatient			3250	3250																																																			
TIB BASE SZ 2 RM/LL	SUP-97-01019	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIB BASE SZ 2 RM/LL	SUP-97-01019	CDM			278	RC		inpatient			3250	3250																																																			
MODULAR STEM CEMENTED SIGMA	SUP-97-01030	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
MODULAR STEM CEMENTED SIGMA	SUP-97-01030	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 9MM	SUP-97-01082	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 9MM	SUP-97-01082	CDM			278	RC		inpatient			3250	3250																																																			
BREAST IMPLANTS 470CC(MF-410470)	SUP-97-01098	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
BREAST IMPLANTS 470CC(MF-410470)	SUP-97-01098	CDM			278	RC		inpatient			3250	3250																																																			
BREAST IMPLANTS 525CC (MF-410525)	SUP-97-01099	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
BREAST IMPLANTS 525CC (MF-410525)	SUP-97-01099	CDM			278	RC		inpatient			3250	3250																																																			
BREAST IMPLANTS 390CC (LF-410390)	SUP-97-01268	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
BREAST IMPLANTS 390CC (LF-410390)	SUP-97-01268	CDM			278	RC		inpatient			3250	3250																																																			
BREAST IMPLANTS 440CC (LF-410440)	SUP-97-01269	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
BREAST IMPLANTS 440CC (LF-410440)	SUP-97-01269	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 16MM	SUP-97-01397	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 16MM	SUP-97-01397	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 11MM	SUP-97-01398	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 11MM	SUP-97-01398	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT PS	SUP-97-01571	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT PS	SUP-97-01571	CDM			278	RC		inpatient			3250	3250																																																			
TIB BASE SZ 3 RM/LL	SUP-97-01795	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIB BASE SZ 3 RM/LL	SUP-97-01795	CDM			278	RC		inpatient			3250	3250																																																			
GLENOID BASEPLATE	SUP-97-01867	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
GLENOID BASEPLATE	SUP-97-01867	CDM			278	RC		inpatient			3250	3250																																																			
PUMP IRRIGATION	SUP-97-01876	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
PUMP IRRIGATION	SUP-97-01876	CDM			272	RC		inpatient			3250	3250																																																			
TIBIAL INSERT RMLLLSIZE 3	SUP-97-01937	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL INSERT RMLLLSIZE 3	SUP-97-01937	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL INSERT LM/RLSIZE 3	SUP-97-01940	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL INSERT LM/RLSIZE 3	SUP-97-01940	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 7SZ 11MM	SUP-97-01976	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 7SZ 11MM	SUP-97-01976	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 11MM	SUP-97-02022	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 11MM	SUP-97-02022	CDM			278	RC		inpatient			3250	3250																																																			
TISSUE EXPANDERS	SUP-97-02125	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TISSUE EXPANDERS	SUP-97-02125	CDM			278	RC		inpatient			3250	3250																																																			
TISSUE EXPANDERS	SUP-97-02126	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TISSUE EXPANDERS	SUP-97-02126	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS7 9MM	SUP-97-02332	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS7 9MM	SUP-97-02332	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 6SZ 11MM	SUP-97-02333	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 6SZ 11MM	SUP-97-02333	CDM			278	RC		inpatient			3250	3250																																																			
TISSUE EXPANDERS	SUP-97-02348	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TISSUE EXPANDERS	SUP-97-02348	CDM			278	RC		inpatient			3250	3250																																																			
TISSUE EXPANDERS	SUP-97-02349	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TISSUE EXPANDERS	SUP-97-02349	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 13MM	SUP-97-02409	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 13MM	SUP-97-02409	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 13MM	SUP-97-02545	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 13MM	SUP-97-02545	CDM			278	RC		inpatient			3250	3250																																																			
TIBIAL BEARING INSERT-PS 16MM	SUP-97-02586	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
TIBIAL BEARING INSERT-PS 16MM	SUP-97-02586	CDM			278	RC		inpatient			3250	3250																																																			
VIBONE CELLULAR BONE GRAFT 2CC	SUP-97-03260	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
VIBONE CELLULAR BONE GRAFT 2CC	SUP-97-03260	CDM			278	RC		inpatient			3250	3250																																																			
GLENOID BASEPLATE 28MM REUNION RSA	SUP-97-05790	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
GLENOID BASEPLATE 28MM REUNION RSA	SUP-97-05790	CDM			278	RC		inpatient			3250	3250																																																			
STENT - HERCULINK ELITE 6.0X15	SUP-99-00637	CDM			278	RC		inpatient			3250	3250																																																			
STENT - HERCULINK ELITE 6.0X15	SUP-99-00637	CDM			278	RC		outpatient			3250	3250					fee schedule						other	OPPS APC	1852.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges						other	OPPS APC	1852.5	1852.5	
STENT - LIFESTENT 6X80X130	SUP-99-01647	CDM			278	RC		outpatient			3250	325	3250				fee schedule		3250				other	OPPS APC	1852.5				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	1592.5				percent of total billed charges		1657.5				percent of total billed charges		325				other	OPPS APC	325	3250	
STENT - LIFESTENT 6X80X130	SUP-99-01647	CDM			278	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   6X100	SUP-99-02105	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   6X100	SUP-99-02105	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   4X120	SUP-99-02276	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   4X120	SUP-99-02276	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   5X120	SUP-99-02278	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   5X120	SUP-99-02278	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   6X120	SUP-99-02280	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   6X120	SUP-99-02280	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   4X100	SUP-99-04052	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   4X100	SUP-99-04052	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   4X40	SUP-99-04053	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   4X40	SUP-99-04053	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   4X60	SUP-99-04055	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   4X60	SUP-99-04055	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   4X80	SUP-99-04057	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   4X80	SUP-99-04057	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   5X40	SUP-99-04058	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   5X40	SUP-99-04058	CDM			272	RC		inpatient			3250	3250																																																			
BALLOON - LUTONIX 035   6X220	SUP-99-04061	CDM			272	RC		outpatient			3250	325	880.43				percent of total billed charges		3250				other	OPPS APC	2405				percent of total billed charges		3250				other	OPPS APC	3250				other	OPPS APC	880.43				percent of total billed charges		897.98				percent of total billed charges		325				other	OPPS APC	325	3250	
BALLOON - LUTONIX 035   6X220	SUP-99-04061	CDM			272	RC		inpatient			3250	3250																																																			
PLATE BONE LCP STAINLESS STEEL L169 MM FEMUR PROXIMAL 4 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.121	CDM	270010022	LOCAL	270	RC		outpatient			3246.1	3247	879.37				percent of total billed charges		3246.1				other	OPPS APC	2402.11				percent of total billed charges		3246.1				other	OPPS APC	3246.1				other	OPPS APC	879.37				percent of total billed charges		896.9				percent of total billed charges		3247				other	OPPS APC	879.37	3247	
PLATE BONE LCP STAINLESS STEEL L169 MM FEMUR PROXIMAL 4 HOLE HOOK NONSTERILE 4.5 MM SCREW	SUP-242.121	CDM	270010022	LOCAL	270	RC		inpatient			3246.1	3246.1																																																			
CANNULATED COMPR. SCREW +4.0MM/L38NN	SUP-97-04635	CDM			278	RC		outpatient			3244.5	3244.5	3244.5				fee schedule		3244.5				other	OPPS APC	1849.37				percent of total billed charges		3244.5				other	OPPS APC	3244.5				other	OPPS APC	1589.81				percent of total billed charges		1654.7				percent of total billed charges		3244.5				other	OPPS APC	1589.81	3244.5	
CANNULATED COMPR. SCREW +4.0MM/L38NN	SUP-97-04635	CDM			278	RC		inpatient			3244.5	3244.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L262 MM TIBIA RIGHT PROXIMAL 14 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.046	CDM	270010022	LOCAL	270	RC		outpatient			3243.9	3243.91	878.77				percent of total billed charges		3243.9				other	OPPS APC	2400.49				percent of total billed charges		3243.9				other	OPPS APC	3243.9				other	OPPS APC	878.77				percent of total billed charges		896.29				percent of total billed charges		3243.91				other	OPPS APC	878.77	3243.91	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L262 MM TIBIA RIGHT PROXIMAL 14 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.046	CDM	270010022	LOCAL	270	RC		inpatient			3243.9	3243.9																																																			
PLATE BONE LCP COMBI CONTOUR 262MM SS NS TIBIA LEFT PROXIMAL 14 HOLE LIMIT CONTACT 4.5MM SCREW	SUP-240.047	CDM	270010022	LOCAL	270	RC		outpatient			3243.9	3243.91	878.77				percent of total billed charges		3243.9				other	OPPS APC	2400.49				percent of total billed charges		3243.9				other	OPPS APC	3243.9				other	OPPS APC	878.77				percent of total billed charges		896.29				percent of total billed charges		3243.91				other	OPPS APC	878.77	3243.91	
PLATE BONE LCP COMBI CONTOUR 262MM SS NS TIBIA LEFT PROXIMAL 14 HOLE LIMIT CONTACT 4.5MM SCREW	SUP-240.047	CDM	270010022	LOCAL	270	RC		inpatient			3243.9	3243.9																																																			
PLATE L STANDARD LAPIDUS	SUP-97-03419	CDM			278	RC		outpatient			3243.75	3243.75	3243.75				fee schedule		3243.75				other	OPPS APC	1848.94				percent of total billed charges		3243.75				other	OPPS APC	3243.75				other	OPPS APC	1589.44				percent of total billed charges		1654.31				percent of total billed charges		3243.75				other	OPPS APC	1589.44	3243.75	
PLATE L STANDARD LAPIDUS	SUP-97-03419	CDM			278	RC		inpatient			3243.75	3243.75																																																			
HEVANS? PLATE  MEDIUM  LEFT	SUP-97-03454	CDM			278	RC		outpatient			3243.75	3243.75	3243.75				fee schedule		3243.75				other	OPPS APC	1848.94				percent of total billed charges		3243.75				other	OPPS APC	3243.75				other	OPPS APC	1589.44				percent of total billed charges		1654.31				percent of total billed charges		3243.75				other	OPPS APC	1589.44	3243.75	
HEVANS? PLATE  MEDIUM  LEFT	SUP-97-03454	CDM			278	RC		inpatient			3243.75	3243.75																																																			
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPSE L13.2 IN X W10.2 IN PATCH LOW PROFILE LIGHTWEIGHT BIOCOMPATIBLE HERNIA	SUP-0134113	CDM			270	RC		outpatient			3242	3242	878.26				percent of total billed charges		3242				other	OPPS APC	2399.08				percent of total billed charges		3242				other	OPPS APC	3242				other	OPPS APC	878.26				percent of total billed charges		895.76				percent of total billed charges		3242				other	OPPS APC	878.26	3242	
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPSE L13.2 IN X W10.2 IN PATCH LOW PROFILE LIGHTWEIGHT BIOCOMPATIBLE HERNIA	SUP-0134113	CDM			270	RC		inpatient			3242	3242																																																			
META-NAIL COMPRESSION DRIVER	SUP-71654528	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL COMPRESSION DRIVER	SUP-71654528	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 24CM	SUP-71655024	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 24CM	SUP-71655024	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 26CM	SUP-71655026	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 26CM	SUP-71655026	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 28CM	SUP-71655028	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 28CM	SUP-71655028	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 30CM	SUP-71655030	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 30CM	SUP-71655030	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 32CM	SUP-71655032	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 32CM	SUP-71655032	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 33CM	SUP-71655033	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 33CM	SUP-71655033	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 34CM	SUP-71655034	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 34CM	SUP-71655034	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 35CM	SUP-71655035	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 35CM	SUP-71655035	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 36CM	SUP-71655036	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 36CM	SUP-71655036	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 37CM	SUP-71655037	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 37CM	SUP-71655037	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 8.5MM X 38CM	SUP-71655038	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 8.5MM X 38CM	SUP-71655038	CDM			270	RC		inpatient			3240	3240																																																			
NAIL INTRAMEDULLARY TRIGEN L 39 CM OD 8.5MM TIBIAL	SUP-71655039	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
NAIL INTRAMEDULLARY TRIGEN L 39 CM OD 8.5MM TIBIAL	SUP-71655039	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 28CM	SUP-71655128	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 28CM	SUP-71655128	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 30CM	SUP-71655130	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 30CM	SUP-71655130	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 32CM	SUP-71655132	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 32CM	SUP-71655132	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 34CM	SUP-71655134	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 34CM	SUP-71655134	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 35CM	SUP-71655135	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 35CM	SUP-71655135	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 36CM	SUP-71655136	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 36CM	SUP-71655136	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 37CM	SUP-71655137	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 37CM	SUP-71655137	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 38CM	SUP-71655138	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 38CM	SUP-71655138	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 39CM	SUP-71655139	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 39CM	SUP-71655139	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 10MM X 40CM	SUP-71655140	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 10MM X 40CM	SUP-71655140	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 30CM	SUP-71655230	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 30CM	SUP-71655230	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 32CM	SUP-71655232	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 32CM	SUP-71655232	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 34CM	SUP-71655234	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 34CM	SUP-71655234	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 35CM	SUP-71655235	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 35CM	SUP-71655235	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 36CM	SUP-71655236	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 36CM	SUP-71655236	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 37CM	SUP-71655237	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 37CM	SUP-71655237	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 38CM	SUP-71655238	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 38CM	SUP-71655238	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 39CM	SUP-71655239	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 39CM	SUP-71655239	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL TIBIAL 11.5MM X 40CM	SUP-71655240	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL TIBIAL 11.5MM X 40CM	SUP-71655240	CDM			270	RC		inpatient			3240	3240																																																			
META-NAIL NAIL CAP 0MM	SUP-71656000	CDM			270	RC		outpatient			3240	324	877.72				percent of total billed charges		3240				other	OPPS APC	2397.6				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	877.72				percent of total billed charges		895.21				percent of total billed charges		324				other	OPPS APC	324	3240	
META-NAIL NAIL CAP 0MM	SUP-71656000	CDM			270	RC		inpatient			3240	3240																																																			
ANCHORAGE MTP CP PLATE LEFT	SUP-97-04204	CDM			278	RC		outpatient			3240	324	3240				fee schedule		3240				other	OPPS APC	1846.8				percent of total billed charges		3240				other	OPPS APC	3240				other	OPPS APC	1587.6				percent of total billed charges		1652.4				percent of total billed charges		324				other	OPPS APC	324	3240	
ANCHORAGE MTP CP PLATE LEFT	SUP-97-04204	CDM			278	RC		inpatient			3240	3240																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 9 HOLE SHAFT NONSTERILE	SUP-02.110.109	CDM	270010022	LOCAL	270	RC		outpatient			3239.5	3239.5	877.58				percent of total billed charges		3239.5				other	OPPS APC	2397.23				percent of total billed charges		3239.5				other	OPPS APC	3239.5				other	OPPS APC	877.58				percent of total billed charges		895.07				percent of total billed charges		3239.5				other	OPPS APC	877.58	3239.5	
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 9 HOLE SHAFT NONSTERILE	SUP-02.110.109	CDM	270010022	LOCAL	270	RC		inpatient			3239.5	3239.5																																																			
IMPLANT INTEGRA COMPRESSION PLATE 2 HOLE	SUP-330220	CDM			270	RC		outpatient			3238.5	3238.5	877.31				percent of total billed charges		3238.5				other	OPPS APC	2396.49				percent of total billed charges		3238.5				other	OPPS APC	3238.5				other	OPPS APC	877.31				percent of total billed charges		894.8				percent of total billed charges		3238.5				other	OPPS APC	877.31	3238.5	
IMPLANT INTEGRA COMPRESSION PLATE 2 HOLE	SUP-330220	CDM			270	RC		inpatient			3238.5	3238.5																																																			
PLATE INTEGRA COMPRESSION 2 HOLE	SUP-330225	CDM			270	RC		outpatient			3238.5	3238.5	877.31				percent of total billed charges		3238.5				other	OPPS APC	2396.49				percent of total billed charges		3238.5				other	OPPS APC	3238.5				other	OPPS APC	877.31				percent of total billed charges		894.8				percent of total billed charges		3238.5				other	OPPS APC	877.31	3238.5	
PLATE INTEGRA COMPRESSION 2 HOLE	SUP-330225	CDM			270	RC		inpatient			3238.5	3238.5																																																			
PLATE INTEGRA COMPRESSION 2 HOLE	SUP-330230	CDM			270	RC		outpatient			3238.5	3238.5	877.31				percent of total billed charges		3238.5				other	OPPS APC	2396.49				percent of total billed charges		3238.5				other	OPPS APC	3238.5				other	OPPS APC	877.31				percent of total billed charges		894.8				percent of total billed charges		3238.5				other	OPPS APC	877.31	3238.5	
PLATE INTEGRA COMPRESSION 2 HOLE	SUP-330230	CDM			270	RC		inpatient			3238.5	3238.5																																																			
STRAIGHT PLATE  3 HOLE	SUP-97-03307	CDM			278	RC		outpatient			3237.5	3237.5	3237.5				fee schedule		3237.5				other	OPPS APC	1845.38				percent of total billed charges		3237.5				other	OPPS APC	3237.5				other	OPPS APC	1586.38				percent of total billed charges		1651.13				percent of total billed charges		3237.5				other	OPPS APC	1586.38	3237.5	
STRAIGHT PLATE  3 HOLE	SUP-97-03307	CDM			278	RC		inpatient			3237.5	3237.5																																																			
MTP PLATE 5 DEGREE SHORT RIGHT	SUP-97-05589	CDM			278	RC		outpatient			3237.5	3237.5	3237.5				fee schedule		3237.5				other	OPPS APC	1845.38				percent of total billed charges		3237.5				other	OPPS APC	3237.5				other	OPPS APC	1586.38				percent of total billed charges		1651.13				percent of total billed charges		3237.5				other	OPPS APC	1586.38	3237.5	
MTP PLATE 5 DEGREE SHORT RIGHT	SUP-97-05589	CDM			278	RC		inpatient			3237.5	3237.5																																																			
PLATE MTP 0DEGREE MEDIUM RIGHT	SUP-97-06191	CDM			278	RC		outpatient			3237.5	3237.5	3237.5				fee schedule		3237.5				other	OPPS APC	1845.38				percent of total billed charges		3237.5				other	OPPS APC	3237.5				other	OPPS APC	1586.38				percent of total billed charges		1651.13				percent of total billed charges		3237.5				other	OPPS APC	1586.38	3237.5	
PLATE MTP 0DEGREE MEDIUM RIGHT	SUP-97-06191	CDM			278	RC		inpatient			3237.5	3237.5																																																			
GUIDEWIRE - FILTERWIRE EZ 2.25-3.5	SUP-99-00514	CDM			272	RC		outpatient			3237.5	3237.5	877.04				percent of total billed charges		3237.5				other	OPPS APC	2395.75				percent of total billed charges		3237.5				other	OPPS APC	3237.5				other	OPPS APC	877.04				percent of total billed charges		894.52				percent of total billed charges		3237.5				other	OPPS APC	877.04	3237.5	
GUIDEWIRE - FILTERWIRE EZ 2.25-3.5	SUP-99-00514	CDM			272	RC		inpatient			3237.5	3237.5																																																			
PLATE BONE LCP STAINLESS STEEL L283 MM FEMUR RIGHT PROXIMAL 10 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.810	CDM	270010022	LOCAL	270	RC		outpatient			3230.7	323.7	875.2				percent of total billed charges		3230.7				other	OPPS APC	2390.72				percent of total billed charges		3230.7				other	OPPS APC	3230.7				other	OPPS APC	875.2				percent of total billed charges		892.64				percent of total billed charges		323.7				other	OPPS APC	323.7	3230.7	
PLATE BONE LCP STAINLESS STEEL L283 MM FEMUR RIGHT PROXIMAL 10 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.810	CDM	270010022	LOCAL	270	RC		inpatient			3230.7	3230.7																																																			
GRAFT BONE OPTECURE DEMINERALIZED BONE MATRIX 10 ML POWDER STERILE	SUP-650-00-10	CDM	270010031	LOCAL	270	RC		outpatient			3230	323	875.01				percent of total billed charges		3230				other	OPPS APC	2390.2				percent of total billed charges		3230				other	OPPS APC	3230				other	OPPS APC	875.01				percent of total billed charges		892.45				percent of total billed charges		323				other	OPPS APC	323	3230	
GRAFT BONE OPTECURE DEMINERALIZED BONE MATRIX 10 ML POWDER STERILE	SUP-650-00-10	CDM	270010031	LOCAL	270	RC		inpatient			3230	3230																																																			
PACEMAKER ASSURITY MR SR-RF	SUP-PM1272	CDM			275	RC		outpatient			3230	323	1582.7				percent of total billed charges		3230				other	OPPS APC	1841.1				percent of total billed charges		3230				other	OPPS APC	3230				other	OPPS APC	1582.7				percent of total billed charges		1647.3				percent of total billed charges		323				other	OPPS APC	323	3230	
PACEMAKER ASSURITY MR SR-RF	SUP-PM1272	CDM			275	RC		inpatient			3230	3230																																																			
TEESCOPE MEDIUM	SUP-97-03813	CDM			278	RC		outpatient			3221.4	3221.41	3221.4				fee schedule		3221.4				other	OPPS APC	1836.2				percent of total billed charges		3221.4				other	OPPS APC	3221.4				other	OPPS APC	1578.49				percent of total billed charges		1642.91				percent of total billed charges		3221.41				other	OPPS APC	1578.49	3221.41	
TEESCOPE MEDIUM	SUP-97-03813	CDM			278	RC		inpatient			3221.4	3221.4																																																			
TELESCOPE STRUT SHORT 119.161MM	SUP-97-04183	CDM			278	RC		outpatient			3221.4	3221.41	3221.4				fee schedule		3221.4				other	OPPS APC	1836.2				percent of total billed charges		3221.4				other	OPPS APC	3221.4				other	OPPS APC	1578.49				percent of total billed charges		1642.91				percent of total billed charges		3221.41				other	OPPS APC	1578.49	3221.41	
TELESCOPE STRUT SHORT 119.161MM	SUP-97-04183	CDM			278	RC		inpatient			3221.4	3221.4																																																			
WIRE BOLT ADAPTER SHORT	SUP-97-04184	CDM			278	RC		outpatient			3221.4	3221.41	3221.4				fee schedule		3221.4				other	OPPS APC	1836.2				percent of total billed charges		3221.4				other	OPPS APC	3221.4				other	OPPS APC	1578.49				percent of total billed charges		1642.91				percent of total billed charges		3221.41				other	OPPS APC	1578.49	3221.41	
WIRE BOLT ADAPTER SHORT	SUP-97-04184	CDM			278	RC		inpatient			3221.4	3221.4																																																			
PLATE BONE LCP STAINLESS STEEL L173 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 12 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.512	CDM	270010022	LOCAL	270	RC		outpatient			3219.7	3219.7	872.22				percent of total billed charges		3219.7				other	OPPS APC	2382.58				percent of total billed charges		3219.7				other	OPPS APC	3219.7				other	OPPS APC	872.22				percent of total billed charges		889.6				percent of total billed charges		3219.7				other	OPPS APC	872.22	3219.7	
PLATE BONE LCP STAINLESS STEEL L173 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 12 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.512	CDM	270010022	LOCAL	270	RC		inpatient			3219.7	3219.7																																																			
PLATE BONE LCP STAINLESS STEEL L173 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 12 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.513	CDM	270010022	LOCAL	270	RC		outpatient			3219.7	3219.7	872.22				percent of total billed charges		3219.7				other	OPPS APC	2382.58				percent of total billed charges		3219.7				other	OPPS APC	3219.7				other	OPPS APC	872.22				percent of total billed charges		889.6				percent of total billed charges		3219.7				other	OPPS APC	872.22	3219.7	
PLATE BONE LCP STAINLESS STEEL L173 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 12 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.513	CDM	270010022	LOCAL	270	RC		inpatient			3219.7	3219.7																																																			
PLATE BONE DALL-MILES VITALLIUM 2 MM MEDIUM L200 MM HIP TROCHANTERIC 2 CABLE GRIP STERILE	SUP-6704-3-083	CDM			270	RC		outpatient			3216	3216	871.21				percent of total billed charges		3216				other	OPPS APC	2379.84				percent of total billed charges		3216				other	OPPS APC	3216				other	OPPS APC	871.21				percent of total billed charges		888.58				percent of total billed charges		3216				other	OPPS APC	871.21	3216	
PLATE BONE DALL-MILES VITALLIUM 2 MM MEDIUM L200 MM HIP TROCHANTERIC 2 CABLE GRIP STERILE	SUP-6704-3-083	CDM			270	RC		inpatient			3216	3216																																																			
CEMENT BONE HYDROSET CALCIUM PHOSPHATE 5 CC SELF SET INJECTABLE BIOCOMPATIBLE OSTEOCONDUCTIVE SUBSTITUTE VOID FILLER	SUP-397005	CDM			270	RC		outpatient			3214.7	3214.7	870.86				percent of total billed charges		3214.7				other	OPPS APC	2378.88				percent of total billed charges		3214.7				other	OPPS APC	3214.7				other	OPPS APC	870.86				percent of total billed charges		888.22				percent of total billed charges		3214.7				other	OPPS APC	870.86	3214.7	
CEMENT BONE HYDROSET CALCIUM PHOSPHATE 5 CC SELF SET INJECTABLE BIOCOMPATIBLE OSTEOCONDUCTIVE SUBSTITUTE VOID FILLER	SUP-397005	CDM			270	RC		inpatient			3214.7	3214.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L226 MM TIBIA RIGHT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.044	CDM	270010022	LOCAL	270	RC		outpatient			3210.9	321.91	869.83				percent of total billed charges		3210.9				other	OPPS APC	2376.07				percent of total billed charges		3210.9				other	OPPS APC	3210.9				other	OPPS APC	869.83				percent of total billed charges		887.17				percent of total billed charges		321.91				other	OPPS APC	321.91	3210.9	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L226 MM TIBIA RIGHT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.044	CDM	270010022	LOCAL	270	RC		inpatient			3210.9	3210.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L226 MM TIBIA LEFT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.045	CDM	270010022	LOCAL	270	RC		outpatient			3210.9	321.91	869.83				percent of total billed charges		3210.9				other	OPPS APC	2376.07				percent of total billed charges		3210.9				other	OPPS APC	3210.9				other	OPPS APC	869.83				percent of total billed charges		887.17				percent of total billed charges		321.91				other	OPPS APC	321.91	3210.9	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L226 MM TIBIA LEFT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.045	CDM	270010022	LOCAL	270	RC		inpatient			3210.9	3210.9																																																			
PLATE BONE SYNPOR TITANIUM POROUS H.8 MM ORBITAL SMOOTH REINFORCE FAN EXPOSE FIXATION HOLE RADIOGRAPHIC VISIBLE STERILE PURPLE 1.3 MM SCREW	SUP-08.520.221S	CDM	270010013	LOCAL	270	RC		outpatient			3210.28	321.28	869.66				percent of total billed charges		3210.28				other	OPPS APC	2375.61				percent of total billed charges		3210.28				other	OPPS APC	3210.28				other	OPPS APC	869.66				percent of total billed charges		887				percent of total billed charges		321.28				other	OPPS APC	321.28	3210.28	
PLATE BONE SYNPOR TITANIUM POROUS H.8 MM ORBITAL SMOOTH REINFORCE FAN EXPOSE FIXATION HOLE RADIOGRAPHIC VISIBLE STERILE PURPLE 1.3 MM SCREW	SUP-08.520.221S	CDM	270010013	LOCAL	270	RC		inpatient			3210.28	3210.28																																																			
PLATE BONE SYNPOR TITANIUM POLYETHYLENE POROUS 43.6 MM RADIUS H1.5 MM ORBITAL FLOOR REINFORCE FAN EXPOSE FIXATION HOLE STERILE TEAL	SUP-08.520.231S	CDM	270010013	LOCAL	270	RC		outpatient			3210.28	321.28	869.66				percent of total billed charges		3210.28				other	OPPS APC	2375.61				percent of total billed charges		3210.28				other	OPPS APC	3210.28				other	OPPS APC	869.66				percent of total billed charges		887				percent of total billed charges		321.28				other	OPPS APC	321.28	3210.28	
PLATE BONE SYNPOR TITANIUM POLYETHYLENE POROUS 43.6 MM RADIUS H1.5 MM ORBITAL FLOOR REINFORCE FAN EXPOSE FIXATION HOLE STERILE TEAL	SUP-08.520.231S	CDM	270010013	LOCAL	270	RC		inpatient			3210.28	3210.28																																																			
BASEPLATE MODULAR 24MM +2 LATRAL	SUP-AR-9560-24-2	CDM	270010030	LOCAL	270	RC		outpatient			3207.28	327.28	868.85				percent of total billed charges		3207.28				other	OPPS APC	2373.39				percent of total billed charges		3207.28				other	OPPS APC	3207.28				other	OPPS APC	868.85				percent of total billed charges		886.17				percent of total billed charges		327.28				other	OPPS APC	327.28	3207.28	
BASEPLATE MODULAR 24MM +2 LATRAL	SUP-AR-9560-24-2	CDM	270010030	LOCAL	270	RC		inpatient			3207.28	3207.28																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L255 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.231S	CDM	270010022	LOCAL	270	RC		outpatient			3205.4	325.41	868.34				percent of total billed charges		3205.4				other	OPPS APC	2372				percent of total billed charges		3205.4				other	OPPS APC	3205.4				other	OPPS APC	868.34				percent of total billed charges		885.65				percent of total billed charges		325.41				other	OPPS APC	325.41	3205.4	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L255 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.231S	CDM	270010022	LOCAL	270	RC		inpatient			3205.4	3205.4																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L270 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.434S	CDM	270010022	LOCAL	270	RC		outpatient			3205.4	325.41	868.34				percent of total billed charges		3205.4				other	OPPS APC	2372				percent of total billed charges		3205.4				other	OPPS APC	3205.4				other	OPPS APC	868.34				percent of total billed charges		885.65				percent of total billed charges		325.41				other	OPPS APC	325.41	3205.4	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L270 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.434S	CDM	270010022	LOCAL	270	RC		inpatient			3205.4	3205.4																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L420 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.464S	CDM	270010022	LOCAL	270	RC		outpatient			3205.4	325.41	868.34				percent of total billed charges		3205.4				other	OPPS APC	2372				percent of total billed charges		3205.4				other	OPPS APC	3205.4				other	OPPS APC	868.34				percent of total billed charges		885.65				percent of total billed charges		325.41				other	OPPS APC	325.41	3205.4	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L420 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.464S	CDM	270010022	LOCAL	270	RC		inpatient			3205.4	3205.4																																																			
GUIDEWIRE - FILTERWIRE EZ 3.5-5.5	SUP-99-01002	CDM			272	RC		outpatient			3205.13	325.13	868.27				percent of total billed charges		3205.13				other	OPPS APC	2371.8				percent of total billed charges		3205.13				other	OPPS APC	3205.13				other	OPPS APC	868.27				percent of total billed charges		885.58				percent of total billed charges		325.13				other	OPPS APC	325.13	3205.13	
GUIDEWIRE - FILTERWIRE EZ 3.5-5.5	SUP-99-01002	CDM			272	RC		inpatient			3205.13	3205.13																																																			
ARTHROFLEX 30 X 40 X 0.5MM	SUP-97-05725	CDM						inpatient			3202.5	3202.5																																																			
ARTHROFLEX 30 X 40 X 0.5MM	SUP-97-05725	CDM						outpatient			3202.5	322.5	3202.5				percent of total billed charges		3202.5				other	OPPS APC	3202.5				fee schedule		3202.5				other	OPPS APC	3202.5				other	OPPS APC	3202.5				case rate		3202.5				case rate		322.5				other	OPPS APC	322.5	3202.5	
INSERT ACETABULAR TRIDENT X3 0 D E ECCENTRIC ID36 MM HIP	SUP-663-00-36E	CDM	270010024	LOCAL	270	RC		outpatient			3201	321	867.15				percent of total billed charges		3201				other	OPPS APC	2368.74				percent of total billed charges		3201				other	OPPS APC	3201				other	OPPS APC	867.15				percent of total billed charges		884.44				percent of total billed charges		321				other	OPPS APC	321	3201	
INSERT ACETABULAR TRIDENT X3 0 D E ECCENTRIC ID36 MM HIP	SUP-663-00-36E	CDM	270010024	LOCAL	270	RC		inpatient			3201	3201																																																			
INSERT ACETABULAR TRIDENT X3 0 D F ECCENTRIC ID36 MM HIP	SUP-663-00-36F	CDM	270010024	LOCAL	270	RC		outpatient			3201	321	867.15				percent of total billed charges		3201				other	OPPS APC	2368.74				percent of total billed charges		3201				other	OPPS APC	3201				other	OPPS APC	867.15				percent of total billed charges		884.44				percent of total billed charges		321				other	OPPS APC	321	3201	
INSERT ACETABULAR TRIDENT X3 0 D F ECCENTRIC ID36 MM HIP	SUP-663-00-36F	CDM	270010024	LOCAL	270	RC		inpatient			3201	3201																																																			
INSERT ACETABULAR TRIDENT X3 0 D G ECCENTRIC ID36 MM HIP	SUP-663-00-36G	CDM	270010024	LOCAL	270	RC		outpatient			3201	321	867.15				percent of total billed charges		3201				other	OPPS APC	2368.74				percent of total billed charges		3201				other	OPPS APC	3201				other	OPPS APC	867.15				percent of total billed charges		884.44				percent of total billed charges		321				other	OPPS APC	321	3201	
INSERT ACETABULAR TRIDENT X3 0 D G ECCENTRIC ID36 MM HIP	SUP-663-00-36G	CDM	270010024	LOCAL	270	RC		inpatient			3201	3201																																																			
INSERT ACETABULAR TRIDENT X3 0 D H ECCENTRIC ID36 MM HIP	SUP-663-00-36H	CDM	270010024	LOCAL	270	RC		outpatient			3201	321	867.15				percent of total billed charges		3201				other	OPPS APC	2368.74				percent of total billed charges		3201				other	OPPS APC	3201				other	OPPS APC	867.15				percent of total billed charges		884.44				percent of total billed charges		321				other	OPPS APC	321	3201	
INSERT ACETABULAR TRIDENT X3 0 D H ECCENTRIC ID36 MM HIP	SUP-663-00-36H	CDM	270010024	LOCAL	270	RC		inpatient			3201	3201																																																			
INSERT ACETABULAR TRIDENT X3 0 D I ECCENTRIC ID36 MM HIP	SUP-663-00-36I	CDM	270010024	LOCAL	270	RC		outpatient			3201	321	867.15				percent of total billed charges		3201				other	OPPS APC	2368.74				percent of total billed charges		3201				other	OPPS APC	3201				other	OPPS APC	867.15				percent of total billed charges		884.44				percent of total billed charges		321				other	OPPS APC	321	3201	
INSERT ACETABULAR TRIDENT X3 0 D I ECCENTRIC ID36 MM HIP	SUP-663-00-36I	CDM	270010024	LOCAL	270	RC		inpatient			3201	3201																																																			
INSERT ACETABULAR TRIDENT X3 0 D J ECCENTRIC ID36 MM HIP	SUP-663-00-36J	CDM	270010024	LOCAL	270	RC		outpatient			3201	321	867.15				percent of total billed charges		3201				other	OPPS APC	2368.74				percent of total billed charges		3201				other	OPPS APC	3201				other	OPPS APC	867.15				percent of total billed charges		884.44				percent of total billed charges		321				other	OPPS APC	321	3201	
INSERT ACETABULAR TRIDENT X3 0 D J ECCENTRIC ID36 MM HIP	SUP-663-00-36J	CDM	270010024	LOCAL	270	RC		inpatient			3201	3201																																																			
HC Vl Venous Ablation Laser First Vein	PX-761364781	CDM	36478	CPT	761	RC		outpatient			3200	3137.51	195.77				case rate		3137.51				other	OPPS APC	2368				percent of total billed charges		3137.51				other	OPPS APC	3137.51				other	OPPS APC	195.77				case rate		1632				percent of total billed charges		3137.51				other	OPPS APC	195.77	3137.51	
HC Vl Venous Ablation Laser First Vein	PX-761364781	CDM	36478	CPT	761	RC		inpatient			3200	3200																																																			
STENT CORONARY XIENCE V 18MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1006544-18	CDM			481	RC		outpatient			3200	32	1568				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	1568				percent of total billed charges		1632				percent of total billed charges		32				other	OPPS APC	32	3200	
STENT CORONARY XIENCE V 18MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1006544-18	CDM			481	RC		inpatient			3200	3200																																																			
STENT CORONARY 18MM 2.25MM .032-.026IN .056IN EVEROLIMUS ELUTING XIENCE NANO 143CM 2	SUP-1009544-18	CDM			481	RC		outpatient			3200	32	1568				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	1568				percent of total billed charges		1632				percent of total billed charges		32				other	OPPS APC	32	3200	
STENT CORONARY 18MM 2.25MM .032-.026IN .056IN EVEROLIMUS ELUTING XIENCE NANO 143CM 2	SUP-1009544-18	CDM			481	RC		inpatient			3200	3200																																																			
PERONSUS LONGUS 220-300 6.5-8.5MM DIAMETER	SUP-443043	CDM	270010031	LOCAL	270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
PERONSUS LONGUS 220-300 6.5-8.5MM DIAMETER	SUP-443043	CDM	270010031	LOCAL	270	RC		inpatient			3200	3200																																																			
GRAFT SOFT TISSUE ACHILLES TENDON	SUP-453042	CDM	270010031	LOCAL	270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
GRAFT SOFT TISSUE ACHILLES TENDON	SUP-453042	CDM	270010031	LOCAL	270	RC		inpatient			3200	3200																																																			
PLATE BONE ATLANTIS TITANIUM L55 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190055	CDM	270010020	LOCAL	270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
PLATE BONE ATLANTIS TITANIUM L55 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190055	CDM	270010020	LOCAL	270	RC		inpatient			3200	3200																																																			
PLATE BONE ATLANTIS VISION ELITE 55MM SPINE CERVICAL ANTERIOR LEVEL 3	SUP-7200055	CDM	270010020	LOCAL	270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
PLATE BONE ATLANTIS VISION ELITE 55MM SPINE CERVICAL ANTERIOR LEVEL 3	SUP-7200055	CDM	270010020	LOCAL	270	RC		inpatient			3200	3200																																																			
PLATE MEDTRONIC ELITE 47.5MM	SUP-7208147	CDM	270010020	LOCAL	270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
PLATE MEDTRONIC ELITE 47.5MM	SUP-7208147	CDM	270010020	LOCAL	270	RC		inpatient			3200	3200																																																			
PLATE BONE ZEPHIR TITANIUM L52.5 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM	SUP-8799152	CDM	270010020	LOCAL	270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
PLATE BONE ZEPHIR TITANIUM L52.5 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM	SUP-8799152	CDM	270010020	LOCAL	270	RC		inpatient			3200	3200																																																			
FILTER - CELECT PLATINUM - FEMORAL	SUP-99-03683	CDM			278	RC		outpatient			3200	32	3200				fee schedule		3200				other	OPPS APC	1824				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	1568				percent of total billed charges		1632				percent of total billed charges		32				other	OPPS APC	32	3200	
FILTER - CELECT PLATINUM - FEMORAL	SUP-99-03683	CDM			278	RC		inpatient			3200	3200																																																			
FILTER - CELECT PLATINUM - JUGULAR	SUP-99-03766	CDM			278	RC		outpatient			3200	32	3200				fee schedule		3200				other	OPPS APC	1824				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	1568				percent of total billed charges		1632				percent of total billed charges		32				other	OPPS APC	32	3200	
FILTER - CELECT PLATINUM - JUGULAR	SUP-99-03766	CDM			278	RC		inpatient			3200	3200																																																			
SYSTEM FIXATION SPEEDBRIDGE SWIVELOCK FIBERTAPE PEEK OD4.75 MM 2 PRELOAD LOOP DISPOSABLE PUNCH BLACK BLUE WHITE	SUP-AR-2600SBS-6	CDM			270	RC		outpatient			3200	32	866.88				percent of total billed charges		3200				other	OPPS APC	2368				percent of total billed charges		3200				other	OPPS APC	3200				other	OPPS APC	866.88				percent of total billed charges		884.16				percent of total billed charges		32				other	OPPS APC	32	3200	
SYSTEM FIXATION SPEEDBRIDGE SWIVELOCK FIBERTAPE PEEK OD4.75 MM 2 PRELOAD LOOP DISPOSABLE PUNCH BLACK BLUE WHITE	SUP-AR-2600SBS-6	CDM			270	RC		inpatient			3200	3200																																																			
PLATE SUP MIDSHAFT DECREASED CURVE 8 HOLE LEFT	SUP-97-00142	CDM			278	RC		outpatient			3199.3	3199.32	3199.3				fee schedule		3199.3				other	OPPS APC	1823.6				percent of total billed charges		3199.3				other	OPPS APC	3199.3				other	OPPS APC	1567.66				percent of total billed charges		1631.64				percent of total billed charges		3199.32				other	OPPS APC	1567.66	3199.32	
PLATE SUP MIDSHAFT DECREASED CURVE 8 HOLE LEFT	SUP-97-00142	CDM			278	RC		inpatient			3199.3	3199.3																																																			
PLATE BONE LCP STAINLESS STEEL LONG L160 MM X W12 MM X H3.7 MM PROXIMAL 6 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.919	CDM	270010022	LOCAL	270	RC		outpatient			3199.04	3199.4	866.62				percent of total billed charges		3199.04				other	OPPS APC	2367.29				percent of total billed charges		3199.04				other	OPPS APC	3199.04				other	OPPS APC	866.62				percent of total billed charges		883.89				percent of total billed charges		3199.4				other	OPPS APC	866.62	3199.4	
PLATE BONE LCP STAINLESS STEEL LONG L160 MM X W12 MM X H3.7 MM PROXIMAL 6 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.919	CDM	270010022	LOCAL	270	RC		inpatient			3199.04	3199.04																																																			
SCREW BONE XIA L80 MM OD9.5 MM SPINE POLYAXIAL REDUCED PROFILE REVISION	SUP-482319580	CDM	270010020	LOCAL	270	RC		outpatient			3197.68	3197.68	866.25				percent of total billed charges		3197.68				other	OPPS APC	2366.28				percent of total billed charges		3197.68				other	OPPS APC	3197.68				other	OPPS APC	866.25				percent of total billed charges		883.52				percent of total billed charges		3197.68				other	OPPS APC	866.25	3197.68	
SCREW BONE XIA L80 MM OD9.5 MM SPINE POLYAXIAL REDUCED PROFILE REVISION	SUP-482319580	CDM	270010020	LOCAL	270	RC		inpatient			3197.68	3197.68																																																			
2 HOLE DLB COMP PLATE	SUP-97-02024	CDM			278	RC		outpatient			3197.5	3197.5	3197.5				fee schedule		3197.5				other	OPPS APC	1822.58				percent of total billed charges		3197.5				other	OPPS APC	3197.5				other	OPPS APC	1566.78				percent of total billed charges		1630.73				percent of total billed charges		3197.5				other	OPPS APC	1566.78	3197.5	
2 HOLE DLB COMP PLATE	SUP-97-02024	CDM			278	RC		inpatient			3197.5	3197.5																																																			
NAIL BONE TIBIAL CANNULATED EX STERILE TITANIUM 8 X 405MM	SUP-04.034.261S	CDM	270010022	LOCAL	270	RC		outpatient			3194.4	3194.41	865.36				percent of total billed charges		3194.4				other	OPPS APC	2363.86				percent of total billed charges		3194.4				other	OPPS APC	3194.4				other	OPPS APC	865.36				percent of total billed charges		882.61				percent of total billed charges		3194.41				other	OPPS APC	865.36	3194.41	
NAIL BONE TIBIAL CANNULATED EX STERILE TITANIUM 8 X 405MM	SUP-04.034.261S	CDM	270010022	LOCAL	270	RC		inpatient			3194.4	3194.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L239 MM TIBIA LEFT DISTAL MEDIAL 14 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.531S	CDM	270010022	LOCAL	270	RC		outpatient			3192.2	3192.2	864.77				percent of total billed charges		3192.2				other	OPPS APC	2362.23				percent of total billed charges		3192.2				other	OPPS APC	3192.2				other	OPPS APC	864.77				percent of total billed charges		882				percent of total billed charges		3192.2				other	OPPS APC	864.77	3192.2	
PLATE BONE LCP COMBI STAINLESS STEEL L239 MM TIBIA LEFT DISTAL MEDIAL 14 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.531S	CDM	270010022	LOCAL	270	RC		inpatient			3192.2	3192.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L232 MM TIBIA RIGHT PROXIMAL 16 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.224	CDM	270010022	LOCAL	270	RC		outpatient			3192.2	3192.2	864.77				percent of total billed charges		3192.2				other	OPPS APC	2362.23				percent of total billed charges		3192.2				other	OPPS APC	3192.2				other	OPPS APC	864.77				percent of total billed charges		882				percent of total billed charges		3192.2				other	OPPS APC	864.77	3192.2	
PLATE BONE LCP COMBI STAINLESS STEEL L232 MM TIBIA RIGHT PROXIMAL 16 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.224	CDM	270010022	LOCAL	270	RC		inpatient			3192.2	3192.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L232 MM TIBIA LEFT PROXIMAL 16 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.225	CDM	270010022	LOCAL	270	RC		outpatient			3192.2	3192.2	864.77				percent of total billed charges		3192.2				other	OPPS APC	2362.23				percent of total billed charges		3192.2				other	OPPS APC	3192.2				other	OPPS APC	864.77				percent of total billed charges		882				percent of total billed charges		3192.2				other	OPPS APC	864.77	3192.2	
PLATE BONE LCP COMBI STAINLESS STEEL L232 MM TIBIA LEFT PROXIMAL 16 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.225	CDM	270010022	LOCAL	270	RC		inpatient			3192.2	3192.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L237 MM TIBIA LEFT PROXIMAL 16 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.947	CDM	270010022	LOCAL	270	RC		outpatient			3192.2	3192.2	864.77				percent of total billed charges		3192.2				other	OPPS APC	2362.23				percent of total billed charges		3192.2				other	OPPS APC	3192.2				other	OPPS APC	864.77				percent of total billed charges		882				percent of total billed charges		3192.2				other	OPPS APC	864.77	3192.2	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L237 MM TIBIA LEFT PROXIMAL 16 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.947	CDM	270010022	LOCAL	270	RC		inpatient			3192.2	3192.2																																																			
HC Venogram Extremity Bilat	PX-320758221	CDM	75822	CPT	320	RC		outpatient			3192	1567.3	158.55				fee schedule		1567.03				other	OPPS APC	270.09				fee schedule		1567.03				other	OPPS APC	1567.03				other	OPPS APC	132.8				fee schedule		65.23				fee schedule		1567.3				other	OPPS APC	65.23	1567.3	
HC Venogram Extremity Bilat	PX-320758221	CDM	75822	CPT	320	RC		inpatient			3192	3192																																																			
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPSE L10.2 IN X W8.2 IN VENTRAL 2 LAYER LARGE BORE LIGHTWEIGHT LOW PROFILE STERILE LATEX FREE HERNIA	SUP-0134810	CDM			270	RC		outpatient			3192	3192	864.71				percent of total billed charges		3192				other	OPPS APC	2362.08				percent of total billed charges		3192				other	OPPS APC	3192				other	OPPS APC	864.71				percent of total billed charges		881.95				percent of total billed charges		3192				other	OPPS APC	864.71	3192	
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPSE L10.2 IN X W8.2 IN VENTRAL 2 LAYER LARGE BORE LIGHTWEIGHT LOW PROFILE STERILE LATEX FREE HERNIA	SUP-0134810	CDM			270	RC		inpatient			3192	3192																																																			
HC CT/Thoracentesis  W/Tube	PX-361325572	CDM	32557	CPT	361	RC		outpatient			3190	319	1007.4				percent of total billed charges		3190				other	OPPS APC	3190				fee schedule		3190				other	OPPS APC	3190				other	OPPS APC	1007.4				percent of total billed charges		1027.5				percent of total billed charges		319				other	OPPS APC	319	3190	
HC CT/Thoracentesis  W/Tube	PX-361325572	CDM	32557	CPT	361	RC		inpatient			3190	3190																																																			
HC Central Venous Acces Non-Tunneled	PX-361365560	CDM	36556	CPT	361	RC		outpatient			3190	319	1007.4				percent of total billed charges		3190				other	OPPS APC	3190				fee schedule		3190				other	OPPS APC	3190				other	OPPS APC	1007.4				percent of total billed charges		1027.5				percent of total billed charges		319				other	OPPS APC	319	3190	
HC Central Venous Acces Non-Tunneled	PX-361365560	CDM	36556	CPT	361	RC		inpatient			3190	3190																																																			
HC Central Line Reposition W Fluoro	PX-361365970	CDM	36597	CPT	361	RC		outpatient			3190	319	1007.4				percent of total billed charges		3190				other	OPPS APC	3190				fee schedule		3190				other	OPPS APC	3190				other	OPPS APC	1007.4				percent of total billed charges		1027.5				percent of total billed charges		319				other	OPPS APC	319	3190	
HC Central Line Reposition W Fluoro	PX-361365970	CDM	36597	CPT	361	RC		inpatient			3190	3190																																																			
EXPANDER TISSUE SILTEX CONTOUR PROFILE CPX3 P7 CM MEDIUM HEIGHT W12.7 CM X H10.8 CM 450 CC BREAST STYLE 7200 INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7213	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
EXPANDER TISSUE SILTEX CONTOUR PROFILE CPX3 P7 CM MEDIUM HEIGHT W12.7 CM X H10.8 CM 450 CC BREAST STYLE 7200 INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7213	CDM			270	RC		inpatient			3190	3190																																																			
EXPANDER TISSUE SILTEX CONTOUR PROFILE CPX3 P8 CM MEDIUM HEIGHT W15.6 CM X H13.3 CM 800 CC BREAST STYLE 7200 INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7216	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
EXPANDER TISSUE SILTEX CONTOUR PROFILE CPX3 P8 CM MEDIUM HEIGHT W15.6 CM X H13.3 CM 800 CC BREAST STYLE 7200 INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7216	CDM			270	RC		inpatient			3190	3190																																																			
SUTUREBRIDGE BIOCOMPOSITE ACHILLES	SUP-AR-8927BCNF-CP	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
SUTUREBRIDGE BIOCOMPOSITE ACHILLES	SUP-AR-8927BCNF-CP	CDM			270	RC		inpatient			3190	3190																																																			
SET IMPLANT SUTUREBRIDGE LARGE TAPER ANCHOR DRILL GUIDE NEEDLE PUNCH TAP ACHILLES PACK	SUP-AR-8927BNF-CP	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
SET IMPLANT SUTUREBRIDGE LARGE TAPER ANCHOR DRILL GUIDE NEEDLE PUNCH TAP ACHILLES PACK	SUP-AR-8927BNF-CP	CDM			270	RC		inpatient			3190	3190																																																			
ROTABLATOR BURR CATHETER 1.25MM	SUP-H749236310020	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTABLATOR BURR CATHETER 1.25MM	SUP-H749236310020	CDM			270	RC		inpatient			3190	3190																																																			
ROTABLATOR BURR CATHETER 1.5MM	SUP-H749236310030	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTABLATOR BURR CATHETER 1.5MM	SUP-H749236310030	CDM			270	RC		inpatient			3190	3190																																																			
ROTABLATOR BURR CATHETER 1.75MM	SUP-H749236310040	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTABLATOR BURR CATHETER 1.75MM	SUP-H749236310040	CDM			270	RC		inpatient			3190	3190																																																			
ROTABLATOR BURR CATHETER 2.0MM	SUP-H749236310050	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTABLATOR BURR CATHETER 2.0MM	SUP-H749236310050	CDM			270	RC		inpatient			3190	3190																																																			
ROTA BURR 2.25	SUP-H749236310060	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTA BURR 2.25	SUP-H749236310060	CDM			270	RC		inpatient			3190	3190																																																			
ROTA BURR 2.5	SUP-H749236310070	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTA BURR 2.5	SUP-H749236310070	CDM			270	RC		inpatient			3190	3190																																																			
ROTA BURR 2.15	SUP-H749236310150	CDM			270	RC		outpatient			3190	319	864.17				percent of total billed charges		3190				other	OPPS APC	2360.6				percent of total billed charges		3190				other	OPPS APC	3190				other	OPPS APC	864.17				percent of total billed charges		881.4				percent of total billed charges		319				other	OPPS APC	319	3190	
ROTA BURR 2.15	SUP-H749236310150	CDM			270	RC		inpatient			3190	3190																																																			
KIT ENDOSCOPIC 180 D L1070 MM OD2.7 MM ENDOBRONCHIAL CATHETER STERILE LATEX FREE REUSABLE	SUP-ILS-1800-KT	CDM			270	RC		outpatient			3188	3188	863.63				percent of total billed charges		3188				other	OPPS APC	2359.12				percent of total billed charges		3188				other	OPPS APC	3188				other	OPPS APC	863.63				percent of total billed charges		880.84				percent of total billed charges		3188				other	OPPS APC	863.63	3188	
KIT ENDOSCOPIC 180 D L1070 MM OD2.7 MM ENDOBRONCHIAL CATHETER STERILE LATEX FREE REUSABLE	SUP-ILS-1800-KT	CDM			270	RC		inpatient			3188	3188																																																			
APLIGRAF	SUP-95-02177	CDM			636	RC		inpatient			3187.5	3187.5																																																			
APLIGRAF	SUP-95-02177	CDM			636	RC		outpatient			3187.5	3187.5					fee schedule						other	OPPS APC	34.67				fee schedule						other	OPPS APC					other	OPPS APC	1561.88				percent of total billed charges		792.41				percent of total billed charges						other	OPPS APC	1561.88	1561.88	
GRAFT THERASKIN 39CM 2 X 3	SUP-95-02208	CDM			636	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	49.33				fee schedule		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		792.41				percent of total billed charges		3187.5				other	OPPS APC	49.33	3187.5	
GRAFT THERASKIN 39CM 2 X 3	SUP-95-02208	CDM			636	RC		inpatient			3187.5	3187.5																																																			
GRAFT THERASKIN 26CM 2 X 2	SUP-95-04826	CDM						inpatient			3187.5	3187.5																																																			
GRAFT THERASKIN 26CM 2 X 2	SUP-95-04826	CDM						outpatient			3187.5	3187.5	3187.5				percent of total billed charges		3187.5				other	OPPS APC	3187.5				fee schedule		3187.5				other	OPPS APC	3187.5				other	OPPS APC	3187.5				case rate		3187.5				case rate		3187.5				other	OPPS APC	3187.5	3187.5	
ELASTIC FUSION SYSTEM 18X18X18	SUP-97-02646	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
ELASTIC FUSION SYSTEM 18X18X18	SUP-97-02646	CDM			278	RC		inpatient			3187.5	3187.5																																																			
ELASTIC FUSION SYSTEM 15X15X15	SUP-97-02950	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
ELASTIC FUSION SYSTEM 15X15X15	SUP-97-02950	CDM			278	RC		inpatient			3187.5	3187.5																																																			
ELASTIC FUSION SYSTEM 18MMX14MMX14MM	SUP-97-02957	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
ELASTIC FUSION SYSTEM 18MMX14MMX14MM	SUP-97-02957	CDM			278	RC		inpatient			3187.5	3187.5																																																			
MOTOCLIP IMPLANT KIT	SUP-97-03978	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
MOTOCLIP IMPLANT KIT	SUP-97-03978	CDM			278	RC		inpatient			3187.5	3187.5																																																			
IMPLANT KIT  DYNAFORCE HIMAX  15 X 15 X	SUP-97-04121	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
IMPLANT KIT  DYNAFORCE HIMAX  15 X 15 X	SUP-97-04121	CDM			278	RC		inpatient			3187.5	3187.5																																																			
PLATE LONG RIGHT 5TH METATARSAL HOOK	SUP-97-06249	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
PLATE LONG RIGHT 5TH METATARSAL HOOK	SUP-97-06249	CDM			278	RC		inpatient			3187.5	3187.5																																																			
PLATE LEFT LONG 7 HOLE	SUP-97-06372	CDM			278	RC		outpatient			3187.5	3187.5	3187.5				fee schedule		3187.5				other	OPPS APC	1816.88				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	1561.88				percent of total billed charges		1625.63				percent of total billed charges		3187.5				other	OPPS APC	1561.88	3187.5	
PLATE LEFT LONG 7 HOLE	SUP-97-06372	CDM			278	RC		inpatient			3187.5	3187.5																																																			
BALLOON - ANGIOSCULPT 5.0X100	SUP-99-01270	CDM			272	RC		outpatient			3187.5	3187.5	863.49				percent of total billed charges		3187.5				other	OPPS APC	2358.75				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	863.49				percent of total billed charges		880.71				percent of total billed charges		3187.5				other	OPPS APC	863.49	3187.5	
BALLOON - ANGIOSCULPT 5.0X100	SUP-99-01270	CDM			272	RC		inpatient			3187.5	3187.5																																																			
BALLOON - ANGIOSCULPT 6.0X100	SUP-99-01271	CDM			272	RC		outpatient			3187.5	3187.5	863.49				percent of total billed charges		3187.5				other	OPPS APC	2358.75				percent of total billed charges		3187.5				other	OPPS APC	3187.5				other	OPPS APC	863.49				percent of total billed charges		880.71				percent of total billed charges		3187.5				other	OPPS APC	863.49	3187.5	
BALLOON - ANGIOSCULPT 6.0X100	SUP-99-01271	CDM			272	RC		inpatient			3187.5	3187.5																																																			
NAIL HUMERAL 09X270MM	SUP-97-03948	CDM			278	RC		outpatient			3184.35	3184.35	3184.35				fee schedule		3184.35				other	OPPS APC	1815.08				percent of total billed charges		3184.35				other	OPPS APC	3184.35				other	OPPS APC	1560.33				percent of total billed charges		1624.02				percent of total billed charges		3184.35				other	OPPS APC	1560.33	3184.35	
NAIL HUMERAL 09X270MM	SUP-97-03948	CDM			278	RC		inpatient			3184.35	3184.35																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L184 MM TIBIA DISTAL POSTERIOR 12 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.212	CDM	270010022	LOCAL	270	RC		outpatient			3181.2	3181.2	861.79				percent of total billed charges		3181.2				other	OPPS APC	2354.09				percent of total billed charges		3181.2				other	OPPS APC	3181.2				other	OPPS APC	861.79				percent of total billed charges		878.97				percent of total billed charges		3181.2				other	OPPS APC	861.79	3181.2	
PLATE BONE LCP COMBI STAINLESS STEEL T L184 MM TIBIA DISTAL POSTERIOR 12 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.212	CDM	270010022	LOCAL	270	RC		inpatient			3181.2	3181.2																																																			
PATCH WOUND CLOSURE WITTMANN PATCH 40X20CM 40X10CM STERILE ABDOMINAL HOOK/LOOP SHEET	SUP-WP2040	CDM			270	RC		outpatient			3180	318	861.46				percent of total billed charges		3180				other	OPPS APC	2353.2				percent of total billed charges		3180				other	OPPS APC	3180				other	OPPS APC	861.46				percent of total billed charges		878.63				percent of total billed charges		318				other	OPPS APC	318	3180	
PATCH WOUND CLOSURE WITTMANN PATCH 40X20CM 40X10CM STERILE ABDOMINAL HOOK/LOOP SHEET	SUP-WP2040	CDM			270	RC		inpatient			3180	3180																																																			
PLATE LEFT 2MM LAPIDUS	SUP-97-23757	CDM			278	RC		outpatient			3178.75	3178.75	3178.75				fee schedule		3178.75				other	OPPS APC	1811.89				percent of total billed charges		3178.75				other	OPPS APC	3178.75				other	OPPS APC	1557.59				percent of total billed charges		1621.16				percent of total billed charges		3178.75				other	OPPS APC	1557.59	3178.75	
PLATE LEFT 2MM LAPIDUS	SUP-97-23757	CDM			278	RC		inpatient			3178.75	3178.75																																																			
PLATE ZIGZAG 11 HOLE	SUP-97-03882	CDM			278	RC		outpatient			3178.13	3178.13	3178.13				fee schedule		3178.13				other	OPPS APC	1811.53				percent of total billed charges		3178.13				other	OPPS APC	3178.13				other	OPPS APC	1557.28				percent of total billed charges		1620.85				percent of total billed charges		3178.13				other	OPPS APC	1557.28	3178.13	
PLATE ZIGZAG 11 HOLE	SUP-97-03882	CDM			278	RC		inpatient			3178.13	3178.13																																																			
BASEPLATE GLENOID ARTHREX L24 MM SHOULDER MODULAR STERILE LATEX FREE	SUP-AR-9560-24	CDM			270	RC		outpatient			3178.12	3178.12	860.95				percent of total billed charges		3178.12				other	OPPS APC	2351.81				percent of total billed charges		3178.12				other	OPPS APC	3178.12				other	OPPS APC	860.95				percent of total billed charges		878.11				percent of total billed charges		3178.12				other	OPPS APC	860.95	3178.12	
BASEPLATE GLENOID ARTHREX L24 MM SHOULDER MODULAR STERILE LATEX FREE	SUP-AR-9560-24	CDM			270	RC		inpatient			3178.12	3178.12																																																			
BASEPLATE MODULAR 24MM +4	SUP-AR-9560-24-4	CDM	270010030	LOCAL	270	RC		outpatient			3178.12	3178.12	860.95				percent of total billed charges		3178.12				other	OPPS APC	2351.81				percent of total billed charges		3178.12				other	OPPS APC	3178.12				other	OPPS APC	860.95				percent of total billed charges		878.11				percent of total billed charges		3178.12				other	OPPS APC	860.95	3178.12	
BASEPLATE MODULAR 24MM +4	SUP-AR-9560-24-4	CDM	270010030	LOCAL	270	RC		inpatient			3178.12	3178.12																																																			
CIRCULAR RING 180	SUP-97-03807	CDM			278	RC		outpatient			3178	3178	3178				fee schedule		3178				other	OPPS APC	1811.46				percent of total billed charges		3178				other	OPPS APC	3178				other	OPPS APC	1557.22				percent of total billed charges		1620.78				percent of total billed charges		3178				other	OPPS APC	1557.22	3178	
CIRCULAR RING 180	SUP-97-03807	CDM			278	RC		inpatient			3178	3178																																																			
BASEPLATE STANDARD 25MM	SUP-97-06267	CDM			278	RC		outpatient			3177.5	3177.5	3177.5				fee schedule		3177.5				other	OPPS APC	1811.18				percent of total billed charges		3177.5				other	OPPS APC	3177.5				other	OPPS APC	1556.98				percent of total billed charges		1620.53				percent of total billed charges		3177.5				other	OPPS APC	1556.98	3177.5	
BASEPLATE STANDARD 25MM	SUP-97-06267	CDM			278	RC		inpatient			3177.5	3177.5																																																			
INSERT ACETABULAR TRIDENT X3 10 D E ECCENTRIC ID36 MM HIP	SUP-663-10-36E	CDM	270010024	LOCAL	270	RC		outpatient			3176	3176	860.38				percent of total billed charges		3176				other	OPPS APC	2350.24				percent of total billed charges		3176				other	OPPS APC	3176				other	OPPS APC	860.38				percent of total billed charges		877.53				percent of total billed charges		3176				other	OPPS APC	860.38	3176	
INSERT ACETABULAR TRIDENT X3 10 D E ECCENTRIC ID36 MM HIP	SUP-663-10-36E	CDM	270010024	LOCAL	270	RC		inpatient			3176	3176																																																			
INSERT ACETABULAR TRIDENT X3 10 D F ECCENTRIC ID36 MM HIP	SUP-663-10-36F	CDM	270010024	LOCAL	270	RC		outpatient			3176	3176	860.38				percent of total billed charges		3176				other	OPPS APC	2350.24				percent of total billed charges		3176				other	OPPS APC	3176				other	OPPS APC	860.38				percent of total billed charges		877.53				percent of total billed charges		3176				other	OPPS APC	860.38	3176	
INSERT ACETABULAR TRIDENT X3 10 D F ECCENTRIC ID36 MM HIP	SUP-663-10-36F	CDM	270010024	LOCAL	270	RC		inpatient			3176	3176																																																			
INSERT ACETABULAR TRIDENT X3 10 D G ECCENTRIC ID36 MM HIP	SUP-663-10-36G	CDM	270010024	LOCAL	270	RC		outpatient			3176	3176	860.38				percent of total billed charges		3176				other	OPPS APC	2350.24				percent of total billed charges		3176				other	OPPS APC	3176				other	OPPS APC	860.38				percent of total billed charges		877.53				percent of total billed charges		3176				other	OPPS APC	860.38	3176	
INSERT ACETABULAR TRIDENT X3 10 D G ECCENTRIC ID36 MM HIP	SUP-663-10-36G	CDM	270010024	LOCAL	270	RC		inpatient			3176	3176																																																			
INSERT ACETABULAR TRIDENT X3 10 D H ECCENTRIC ID36 MM HIP	SUP-663-10-36H	CDM	270010024	LOCAL	270	RC		outpatient			3176	3176	860.38				percent of total billed charges		3176				other	OPPS APC	2350.24				percent of total billed charges		3176				other	OPPS APC	3176				other	OPPS APC	860.38				percent of total billed charges		877.53				percent of total billed charges		3176				other	OPPS APC	860.38	3176	
INSERT ACETABULAR TRIDENT X3 10 D H ECCENTRIC ID36 MM HIP	SUP-663-10-36H	CDM	270010024	LOCAL	270	RC		inpatient			3176	3176																																																			
INSERT ACETABULAR TRIDENT X3 10 D I ECCENTRIC ID36 MM HIP	SUP-663-10-36I	CDM	270010024	LOCAL	270	RC		outpatient			3176	3176	860.38				percent of total billed charges		3176				other	OPPS APC	2350.24				percent of total billed charges		3176				other	OPPS APC	3176				other	OPPS APC	860.38				percent of total billed charges		877.53				percent of total billed charges		3176				other	OPPS APC	860.38	3176	
INSERT ACETABULAR TRIDENT X3 10 D I ECCENTRIC ID36 MM HIP	SUP-663-10-36I	CDM	270010024	LOCAL	270	RC		inpatient			3176	3176																																																			
INSERT ACETABULAR TRIDENT X3 10 D J ECCENTRIC ID36 MM HIP	SUP-663-10-36J	CDM	270010024	LOCAL	270	RC		outpatient			3176	3176	860.38				percent of total billed charges		3176				other	OPPS APC	2350.24				percent of total billed charges		3176				other	OPPS APC	3176				other	OPPS APC	860.38				percent of total billed charges		877.53				percent of total billed charges		3176				other	OPPS APC	860.38	3176	
INSERT ACETABULAR TRIDENT X3 10 D J ECCENTRIC ID36 MM HIP	SUP-663-10-36J	CDM	270010024	LOCAL	270	RC		inpatient			3176	3176																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM TIBIA RIGHT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.042	CDM	270010022	LOCAL	270	RC		outpatient			3173.5	3173.5	859.7				percent of total billed charges		3173.5				other	OPPS APC	2348.39				percent of total billed charges		3173.5				other	OPPS APC	3173.5				other	OPPS APC	859.7				percent of total billed charges		876.84				percent of total billed charges		3173.5				other	OPPS APC	859.7	3173.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM TIBIA RIGHT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.042	CDM	270010022	LOCAL	270	RC		inpatient			3173.5	3173.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM TIBIA LEFT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.043	CDM	270010022	LOCAL	270	RC		outpatient			3173.5	3173.5	859.7				percent of total billed charges		3173.5				other	OPPS APC	2348.39				percent of total billed charges		3173.5				other	OPPS APC	3173.5				other	OPPS APC	859.7				percent of total billed charges		876.84				percent of total billed charges		3173.5				other	OPPS APC	859.7	3173.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM TIBIA LEFT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.043	CDM	270010022	LOCAL	270	RC		inpatient			3173.5	3173.5																																																			
PLATE ZIMMER NCB PP PROXIMAL FEMORAL	SUP-02.03263.018	CDM			270	RC		outpatient			3168	3168	858.21				percent of total billed charges		3168				other	OPPS APC	2344.32				percent of total billed charges		3168				other	OPPS APC	3168				other	OPPS APC	858.21				percent of total billed charges		875.32				percent of total billed charges		3168				other	OPPS APC	858.21	3168	
PLATE ZIMMER NCB PP PROXIMAL FEMORAL	SUP-02.03263.018	CDM			270	RC		inpatient			3168	3168																																																			
PLATE PROX LAT HUM 12 HOLE LFT X 202MM	SUP-97-05552	CDM			278	RC		outpatient			3164.45	3164.45	3164.45				fee schedule		3164.45				other	OPPS APC	1803.74				percent of total billed charges		3164.45				other	OPPS APC	3164.45				other	OPPS APC	1550.58				percent of total billed charges		1613.87				percent of total billed charges		3164.45				other	OPPS APC	1550.58	3164.45	
PLATE PROX LAT HUM 12 HOLE LFT X 202MM	SUP-97-05552	CDM			278	RC		inpatient			3164.45	3164.45																																																			
STEM EXTENSION GMK L65 MM OD11 MM KNEE CEMENT	SUP-02.07.FSC11065`	CDM	270010025	LOCAL	270	RC		outpatient			3160	316	856.04				percent of total billed charges		3160				other	OPPS APC	2338.4				percent of total billed charges		3160				other	OPPS APC	3160				other	OPPS APC	856.04				percent of total billed charges		873.11				percent of total billed charges		316				other	OPPS APC	316	3160	
STEM EXTENSION GMK L65 MM OD11 MM KNEE CEMENT	SUP-02.07.FSC11065`	CDM	270010025	LOCAL	270	RC		inpatient			3160	3160																																																			
OSTEOBALLAST 45X17.5MM	SUP-56800095	CDM			270	RC		outpatient			3160	316	856.04				percent of total billed charges		3160				other	OPPS APC	2338.4				percent of total billed charges		3160				other	OPPS APC	3160				other	OPPS APC	856.04				percent of total billed charges		873.11				percent of total billed charges		316				other	OPPS APC	316	3160	
OSTEOBALLAST 45X17.5MM	SUP-56800095	CDM			270	RC		inpatient			3160	3160																																																			
HC Full Gene Sequence(Cystic Fibrosis)	PX-300812230	CDM	81223	CPT	300	RC		outpatient			3158.29	3158.29	3158.29				fee schedule		3158.29				fee schedule		3369.32				fee schedule		3158.29				fee schedule		3158.29				fee schedule		499				fee schedule		499				fee schedule		3158.29				fee schedule		499	3369.32	
HC Full Gene Sequence(Cystic Fibrosis)	PX-300812230	CDM	81223	CPT	300	RC		inpatient			3158.29	3158.29																																																			
GRAFT VASCULAR ACUSEAL L50 CM OD6 CM	SUP-ECH060050A	CDM			270	RC		outpatient			3158	3158	855.5				percent of total billed charges		3158				other	OPPS APC	2336.92				percent of total billed charges		3158				other	OPPS APC	3158				other	OPPS APC	855.5				percent of total billed charges		872.56				percent of total billed charges		3158				other	OPPS APC	855.5	3158	
GRAFT VASCULAR ACUSEAL L50 CM OD6 CM	SUP-ECH060050A	CDM			270	RC		inpatient			3158	3158																																																			
PLATE SUPERIOR LATERAL 7H/LT 122MM	SUP-97-03292	CDM			278	RC		outpatient			3153.75	3153.75	3153.75				fee schedule		3153.75				other	OPPS APC	1797.64				percent of total billed charges		3153.75				other	OPPS APC	3153.75				other	OPPS APC	1545.34				percent of total billed charges		1608.41				percent of total billed charges		3153.75				other	OPPS APC	1545.34	3153.75	
PLATE SUPERIOR LATERAL 7H/LT 122MM	SUP-97-03292	CDM			278	RC		inpatient			3153.75	3153.75																																																			
PLATE SUPERIOR LATERAL 7H/RT122MM	SUP-97-03294	CDM			278	RC		outpatient			3153.75	3153.75	3153.75				fee schedule		3153.75				other	OPPS APC	1797.64				percent of total billed charges		3153.75				other	OPPS APC	3153.75				other	OPPS APC	1545.34				percent of total billed charges		1608.41				percent of total billed charges		3153.75				other	OPPS APC	1545.34	3153.75	
PLATE SUPERIOR LATERAL 7H/RT122MM	SUP-97-03294	CDM			278	RC		inpatient			3153.75	3153.75																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM TIBIA RIGHT DISTAL MEDIAL 12 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.526S	CDM	270010022	LOCAL	270	RC		outpatient			3151.5	3151.5	853.74				percent of total billed charges		3151.5				other	OPPS APC	2332.11				percent of total billed charges		3151.5				other	OPPS APC	3151.5				other	OPPS APC	853.74				percent of total billed charges		870.76				percent of total billed charges		3151.5				other	OPPS APC	853.74	3151.5	
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM TIBIA RIGHT DISTAL MEDIAL 12 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.526S	CDM	270010022	LOCAL	270	RC		inpatient			3151.5	3151.5																																																			
EXPANDER TISSUE SILTEX CPX3 P6.6 CM MEDIUM CONTOUR PROFILE W11.7 CM X H10 CM 350 ML BREAST STYLE 7200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7212	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
EXPANDER TISSUE SILTEX CPX3 P6.6 CM MEDIUM CONTOUR PROFILE W11.7 CM X H10 CM 350 ML BREAST STYLE 7200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7212	CDM			270	RC		inpatient			3150	3150																																																			
STENT - INNOVA 7X120	SUP-99-03128	CDM			278	RC		inpatient			3150	3150																																																			
STENT - INNOVA 7X120	SUP-99-03128	CDM			278	RC		outpatient			3150	3150					fee schedule						other	OPPS APC	1795.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1543.5				percent of total billed charges		1606.5				percent of total billed charges						other	OPPS APC	1795.5	1795.5	
CATHETER PULMONARY ARTERY ENDOVENT OD8.3 FR FLOW DIRECT PLACEMENT	SUP-EV	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
CATHETER PULMONARY ARTERY ENDOVENT OD8.3 FR FLOW DIRECT PLACEMENT	SUP-EV	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD5 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0520RXC_75066	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD5 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0520RXC_75066	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD5 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0530RXC_75067	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD5 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0530RXC_75067	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD5 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0540RXC_75068	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD5 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0540RXC_75068	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD6 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0620RXC_75069	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD6 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0620RXC_75069	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD6 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0630RXC_75070	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD6 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0630RXC_75070	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD6 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0640RXC_75071	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD6 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-PC0640RXC_75071	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD7 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-PC0720RXC_75072	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD7 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-PC0720RXC_75072	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD7 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-PC0730RXC_75073	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD7 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-PC0730RXC_75073	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD7 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-PC0740RXC_75074	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD7 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-PC0740RXC_75074	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD8 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-PC0820RXC_75076	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD8 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-PC0820RXC_75076	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD8 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-PC0830RXC_75077	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD8 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-PC0830RXC_75077	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD8 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-PC0840RXC_75078	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD8 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 5 FR SHEATH 7 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-PC0840RXC_75078	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD9 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL	SUP-PC0920RXC_75079	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD9 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL	SUP-PC0920RXC_75079	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD9 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL	SUP-PC0930RXC_75080	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD9 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL	SUP-PC0930RXC_75080	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD9 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL	SUP-PC0940RXC_75081	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD9 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 7-8 MM VESSEL	SUP-PC0940RXC_75081	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD10 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-PC1020RXC_75082	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L20 MM L135 CM OD10 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-PC1020RXC_75082	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD10 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-PC1030RXC_75083	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L30 MM L135 CM OD10 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-PC1030RXC_75083	CDM			270	RC		inpatient			3150	3150																																																			
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD10 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-PC1040RXC_75084	CDM			270	RC		outpatient			3150	315	853.34				percent of total billed charges		3150				other	OPPS APC	2331				percent of total billed charges		3150				other	OPPS APC	3150				other	OPPS APC	853.34				percent of total billed charges		870.35				percent of total billed charges		315				other	OPPS APC	315	3150	
STENT VASCULAR PRECISE PRO RX NITINOL L40 MM L135 CM OD10 MM CAROTID ARTERY RAPID EXCHANGE SELF EXPAND MICROMESH SEGMENT ACCEPTS .014 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-PC1040RXC_75084	CDM			270	RC		inpatient			3150	3150																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L210 MM TIBIA RIGHT DISTAL ANTEROLATERAL 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.450	CDM	270010022	LOCAL	270	RC		outpatient			3149.3	3149.32	853.15				percent of total billed charges		3149.3				other	OPPS APC	2330.48				percent of total billed charges		3149.3				other	OPPS APC	3149.3				other	OPPS APC	853.15				percent of total billed charges		870.15				percent of total billed charges		3149.32				other	OPPS APC	853.15	3149.32	
PLATE BONE LCP COMBI STAINLESS STEEL L210 MM TIBIA RIGHT DISTAL ANTEROLATERAL 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.450	CDM	270010022	LOCAL	270	RC		inpatient			3149.3	3149.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L210 MM TIBIA LEFT DISTAL ANTEROLATERAL 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.451	CDM	270010022	LOCAL	270	RC		outpatient			3149.3	3149.32	853.15				percent of total billed charges		3149.3				other	OPPS APC	2330.48				percent of total billed charges		3149.3				other	OPPS APC	3149.3				other	OPPS APC	853.15				percent of total billed charges		870.15				percent of total billed charges		3149.32				other	OPPS APC	853.15	3149.32	
PLATE BONE LCP COMBI STAINLESS STEEL L210 MM TIBIA LEFT DISTAL ANTEROLATERAL 15 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.451	CDM	270010022	LOCAL	270	RC		inpatient			3149.3	3149.3																																																			
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L400 MM OD10 MM FEMUR CANNULATED ROUND BARREL STERILE GREEN	SUP-474.041S	CDM	270010022	LOCAL	270	RC		outpatient			3146.4	3146.41	852.36				percent of total billed charges		3146.4				other	OPPS APC	2328.34				percent of total billed charges		3146.4				other	OPPS APC	3146.4				other	OPPS APC	852.36				percent of total billed charges		869.35				percent of total billed charges		3146.41				other	OPPS APC	852.36	3146.41	
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L400 MM OD10 MM FEMUR CANNULATED ROUND BARREL STERILE GREEN	SUP-474.041S	CDM	270010022	LOCAL	270	RC		inpatient			3146.4	3146.4																																																			
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L380 MM OD11 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.138S	CDM	270010022	LOCAL	270	RC		outpatient			3146.4	3146.41	852.36				percent of total billed charges		3146.4				other	OPPS APC	2328.34				percent of total billed charges		3146.4				other	OPPS APC	3146.4				other	OPPS APC	852.36				percent of total billed charges		869.35				percent of total billed charges		3146.41				other	OPPS APC	852.36	3146.41	
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L380 MM OD11 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.138S	CDM	270010022	LOCAL	270	RC		inpatient			3146.4	3146.4																																																			
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L420 MM OD11 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.142S	CDM	270010022	LOCAL	270	RC		outpatient			3146.4	3146.41	852.36				percent of total billed charges		3146.4				other	OPPS APC	2328.34				percent of total billed charges		3146.4				other	OPPS APC	3146.4				other	OPPS APC	852.36				percent of total billed charges		869.35				percent of total billed charges		3146.41				other	OPPS APC	852.36	3146.41	
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L420 MM OD11 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.142S	CDM	270010022	LOCAL	270	RC		inpatient			3146.4	3146.4																																																			
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L440 MM OD11 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.144S	CDM	270010022	LOCAL	270	RC		outpatient			3146.4	3146.41	852.36				percent of total billed charges		3146.4				other	OPPS APC	2328.34				percent of total billed charges		3146.4				other	OPPS APC	3146.4				other	OPPS APC	852.36				percent of total billed charges		869.35				percent of total billed charges		3146.41				other	OPPS APC	852.36	3146.41	
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L440 MM OD11 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.144S	CDM	270010022	LOCAL	270	RC		inpatient			3146.4	3146.4																																																			
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L340 MM OD12 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.234S	CDM	270010022	LOCAL	270	RC		outpatient			3146.4	3146.41	852.36				percent of total billed charges		3146.4				other	OPPS APC	2328.34				percent of total billed charges		3146.4				other	OPPS APC	3146.4				other	OPPS APC	852.36				percent of total billed charges		869.35				percent of total billed charges		3146.41				other	OPPS APC	852.36	3146.41	
NAIL INTRAMEDULLARY TITANIUM UNIVERSAL L340 MM OD12 MM FEMUR CANNULATED FLUTED BARREL STERILE GREEN	SUP-474.234S	CDM	270010022	LOCAL	270	RC		inpatient			3146.4	3146.4																																																			
KNOTLESS T-ROPE SYN DESMOSIS	SUP-97-02619	CDM			278	RC		outpatient			3145	3145	3145				fee schedule		3145				other	OPPS APC	1792.65				percent of total billed charges		3145				other	OPPS APC	3145				other	OPPS APC	1541.05				percent of total billed charges		1603.95				percent of total billed charges		3145				other	OPPS APC	1541.05	3145	
KNOTLESS T-ROPE SYN DESMOSIS	SUP-97-02619	CDM			278	RC		inpatient			3145	3145																																																			
INSERT	SUP-97-00972	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
INSERT	SUP-97-00972	CDM			278	RC		inpatient			3144.3	3144.3																																																			
INSERT PS  4X11MM	SUP-97-01123	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
INSERT PS  4X11MM	SUP-97-01123	CDM			278	RC		inpatient			3144.3	3144.3																																																			
INSERT PS  2.5X9MM	SUP-97-01126	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
INSERT PS  2.5X9MM	SUP-97-01126	CDM			278	RC		inpatient			3144.3	3144.3																																																			
TIBIAL INSERT	SUP-97-01806	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
TIBIAL INSERT	SUP-97-01806	CDM			278	RC		inpatient			3144.3	3144.3																																																			
INSERT PSC 5X9MM	SUP-97-02010	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
INSERT PSC 5X9MM	SUP-97-02010	CDM			278	RC		inpatient			3144.3	3144.3																																																			
PSL INSERT 5X13MM	SUP-97-02143	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
PSL INSERT 5X13MM	SUP-97-02143	CDM			278	RC		inpatient			3144.3	3144.3																																																			
PS INSERT 3.5X9MM	SUP-97-02195	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
PS INSERT 3.5X9MM	SUP-97-02195	CDM			278	RC		inpatient			3144.3	3144.3																																																			
TIBIAL INSERT 1.5 11MM	SUP-97-02608	CDM			278	RC		outpatient			3144.3	3144.32	3144.3				fee schedule		3144.3				other	OPPS APC	1792.25				percent of total billed charges		3144.3				other	OPPS APC	3144.3				other	OPPS APC	1540.71				percent of total billed charges		1603.59				percent of total billed charges		3144.32				other	OPPS APC	1540.71	3144.32	
TIBIAL INSERT 1.5 11MM	SUP-97-02608	CDM			278	RC		inpatient			3144.3	3144.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L154 MM TIBIA RIGHT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.040	CDM	270010022	LOCAL	270	RC		outpatient			3140.5	314.5	850.76				percent of total billed charges		3140.5				other	OPPS APC	2323.97				percent of total billed charges		3140.5				other	OPPS APC	3140.5				other	OPPS APC	850.76				percent of total billed charges		867.72				percent of total billed charges		314.5				other	OPPS APC	314.5	3140.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L154 MM TIBIA RIGHT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.040	CDM	270010022	LOCAL	270	RC		inpatient			3140.5	3140.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L154 MM TIBIA LEFT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.041	CDM	270010022	LOCAL	270	RC		outpatient			3140.5	314.5	850.76				percent of total billed charges		3140.5				other	OPPS APC	2323.97				percent of total billed charges		3140.5				other	OPPS APC	3140.5				other	OPPS APC	850.76				percent of total billed charges		867.72				percent of total billed charges		314.5				other	OPPS APC	314.5	3140.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L154 MM TIBIA LEFT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.041	CDM	270010022	LOCAL	270	RC		inpatient			3140.5	3140.5																																																			
GRAFIX CORE  3X4 CM	SUP-97-02638	CDM			636	RC		outpatient			3137.5	3137.5	3137.5				fee schedule		3137.5				other	OPPS APC	2321.75				percent of total billed charges		3137.5				other	OPPS APC	3137.5				other	OPPS APC	1537.38				percent of total billed charges		779.98				percent of total billed charges		3137.5				other	OPPS APC	779.98	3137.5	
GRAFIX CORE  3X4 CM	SUP-97-02638	CDM			636	RC		inpatient			3137.5	3137.5																																																			
SURFACE ARTICULAR VIVACIT-E 10-12 GH H18 MM KNEE	SUP-42-5124-010-18	CDM	270010025	LOCAL	270	RC		outpatient			3130	313	847.92				percent of total billed charges		3130				other	OPPS APC	2316.2				percent of total billed charges		3130				other	OPPS APC	3130				other	OPPS APC	847.92				percent of total billed charges		864.82				percent of total billed charges		313				other	OPPS APC	313	3130	
SURFACE ARTICULAR VIVACIT-E 10-12 GH H18 MM KNEE	SUP-42-5124-010-18	CDM	270010025	LOCAL	270	RC		inpatient			3130	3130																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L194 MM X W11 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.913	CDM	270010022	LOCAL	270	RC		outpatient			3129.5	3129.5	847.78				percent of total billed charges		3129.5				other	OPPS APC	2315.83				percent of total billed charges		3129.5				other	OPPS APC	3129.5				other	OPPS APC	847.78				percent of total billed charges		864.68				percent of total billed charges		3129.5				other	OPPS APC	847.78	3129.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L194 MM X W11 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.913	CDM	270010022	LOCAL	270	RC		inpatient			3129.5	3129.5																																																			
CATHETER ABLATION BARRX 360 L3 CM L85 CM L4 CM OD22 MM ODSEC33.7 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON RADIOFREQUENCY	SUP-32041-22	CDM			270	RC		outpatient			3125.02	3125.2	846.57				percent of total billed charges		3125.02				other	OPPS APC	2312.51				percent of total billed charges		3125.02				other	OPPS APC	3125.02				other	OPPS APC	846.57				percent of total billed charges		863.44				percent of total billed charges		3125.2				other	OPPS APC	846.57	3125.2	
CATHETER ABLATION BARRX 360 L3 CM L85 CM L4 CM OD22 MM ODSEC33.7 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON RADIOFREQUENCY	SUP-32041-22	CDM			270	RC		inpatient			3125.02	3125.02																																																			
CATHETER ABLATION BARRX 360 L3 CM L85 CM L4 CM OD7 MM ODSEC28 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON RADIOFREQUENCY	SUP-32041-28	CDM			270	RC		outpatient			3125.02	3125.2	846.57				percent of total billed charges		3125.02				other	OPPS APC	2312.51				percent of total billed charges		3125.02				other	OPPS APC	3125.02				other	OPPS APC	846.57				percent of total billed charges		863.44				percent of total billed charges		3125.2				other	OPPS APC	846.57	3125.2	
CATHETER ABLATION BARRX 360 L3 CM L85 CM L4 CM OD7 MM ODSEC28 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON RADIOFREQUENCY	SUP-32041-28	CDM			270	RC		inpatient			3125.02	3125.02																																																			
CATHETER ABLATION BARRX 360 L3 CM L85 CM L4 CM OD7 MM ODSEC31 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON RADIOFREQUENCY	SUP-32041-31	CDM			270	RC		outpatient			3125.02	3125.2	846.57				percent of total billed charges		3125.02				other	OPPS APC	2312.51				percent of total billed charges		3125.02				other	OPPS APC	3125.02				other	OPPS APC	846.57				percent of total billed charges		863.44				percent of total billed charges		3125.2				other	OPPS APC	846.57	3125.2	
CATHETER ABLATION BARRX 360 L3 CM L85 CM L4 CM OD7 MM ODSEC31 MM ESOPHAGEAL BIPOLAR ELECTRODE BALLOON RADIOFREQUENCY	SUP-32041-31	CDM			270	RC		inpatient			3125.02	3125.02																																																			
POLYETHYLENE INSERT	SUP-97-00692	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
POLYETHYLENE INSERT	SUP-97-00692	CDM			278	RC		inpatient			3125	3125																																																			
POLYETHYLENE INSERT	SUP-97-01164	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
POLYETHYLENE INSERT	SUP-97-01164	CDM			278	RC		inpatient			3125	3125																																																			
POLYETHYLENE INSERT	SUP-97-01477	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
POLYETHYLENE INSERT	SUP-97-01477	CDM			278	RC		inpatient			3125	3125																																																			
POLYETHYLENE INSERT	SUP-97-02071	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
POLYETHYLENE INSERT	SUP-97-02071	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMP-BEADED W/PA	SUP-97-04306	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMP-BEADED W/PA	SUP-97-04306	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMPONENT BEADED W/PA	SUP-97-04332	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMPONENT BEADED W/PA	SUP-97-04332	CDM			278	RC		inpatient			3125	3125																																																			
TRIATH PS FEM COMP-BEADED W/PA	SUP-97-04349	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATH PS FEM COMP-BEADED W/PA	SUP-97-04349	CDM			278	RC		inpatient			3125	3125																																																			
TRIA PS FEM COMPONENT BEADED W/PA	SUP-97-04352	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIA PS FEM COMPONENT BEADED W/PA	SUP-97-04352	CDM			278	RC		inpatient			3125	3125																																																			
TRIA CR FEM COMPONENT BEADED W/PA	SUP-97-04353	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIA CR FEM COMPONENT BEADED W/PA	SUP-97-04353	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMPONENET BEAD W/PA	SUP-97-04372	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMPONENET BEAD W/PA	SUP-97-04372	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMPONET BEAD W/PA	SUP-97-04375	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMPONET BEAD W/PA	SUP-97-04375	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMPONENT BEAD W/PA	SUP-97-04377	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMPONENT BEAD W/PA	SUP-97-04377	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMP-BEADED W/PA	SUP-97-04477	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMP-BEADED W/PA	SUP-97-04477	CDM			278	RC		inpatient			3125	3125																																																			
TRI PS FEM COMPONET BEADED W/PA	SUP-97-04517	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRI PS FEM COMPONET BEADED W/PA	SUP-97-04517	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMPONENT BEADED/W PA	SUP-97-04771	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMPONENT BEADED/W PA	SUP-97-04771	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-05339	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-05339	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMPONENT BEADED W/PA	SUP-97-23640	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMPONENT BEADED W/PA	SUP-97-23640	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMPONENT-BEADED W/PA	SUP-97-23645	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMPONENT-BEADED W/PA	SUP-97-23645	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM BEADED W/PA	SUP-97-23650	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM BEADED W/PA	SUP-97-23650	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23663	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23663	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23664	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23664	CDM			278	RC		inpatient			3125	3125																																																			
TRIRTHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23667	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIRTHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23667	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMP. BEADED W/PA	SUP-97-23691	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMP. BEADED W/PA	SUP-97-23691	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23703	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON CR FEM COMPONENT BEADED W/PA	SUP-97-23703	CDM			278	RC		inpatient			3125	3125																																																			
TRIATHLON PS FEM COMPONENT BEADED W/PA	SUP-97-23704	CDM			278	RC		outpatient			3125	3125	3125				fee schedule		3125				other	OPPS APC	1781.25				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges		3125				other	OPPS APC	1531.25	3125	
TRIATHLON PS FEM COMPONENT BEADED W/PA	SUP-97-23704	CDM			278	RC		inpatient			3125	3125																																																			
STENT - ABSOLUTE PRO 5.0X80	SUP-99-00712	CDM			278	RC		inpatient			3125	3125																																																			
STENT - ABSOLUTE PRO 5.0X80	SUP-99-00712	CDM			278	RC		outpatient			3125	3125					fee schedule						other	OPPS APC	1781.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges						other	OPPS APC	1781.25	1781.25	
STENT - ABSOLUTE PRO 5.0X20	SUP-99-00781	CDM			278	RC		inpatient			3125	3125																																																			
STENT - ABSOLUTE PRO 5.0X20	SUP-99-00781	CDM			278	RC		outpatient			3125	3125					fee schedule						other	OPPS APC	1781.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1531.25				percent of total billed charges		1593.75				percent of total billed charges						other	OPPS APC	1781.25	1781.25	
BALLOON - CLEARWAY RX 2.0X50	SUP-99-01188	CDM			272	RC		outpatient			3125	3125	846.56				percent of total billed charges		3125				other	OPPS APC	2312.5				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	846.56				percent of total billed charges		863.44				percent of total billed charges		3125				other	OPPS APC	846.56	3125	
BALLOON - CLEARWAY RX 2.0X50	SUP-99-01188	CDM			272	RC		inpatient			3125	3125																																																			
BALLOON - IN.PACT ADMIRAL 4X40	SUP-99-03642	CDM			272	RC		outpatient			3125	3125	846.56				percent of total billed charges		3125				other	OPPS APC	2312.5				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	846.56				percent of total billed charges		863.44				percent of total billed charges		3125				other	OPPS APC	846.56	3125	
BALLOON - IN.PACT ADMIRAL 4X40	SUP-99-03642	CDM			272	RC		inpatient			3125	3125																																																			
BALLOON - IN.PACT ADMIRAL 6X40	SUP-99-03643	CDM			272	RC		outpatient			3125	3125	846.56				percent of total billed charges		3125				other	OPPS APC	2312.5				percent of total billed charges		3125				other	OPPS APC	3125				other	OPPS APC	846.56				percent of total billed charges		863.44				percent of total billed charges		3125				other	OPPS APC	846.56	3125	
BALLOON - IN.PACT ADMIRAL 6X40	SUP-99-03643	CDM			272	RC		inpatient			3125	3125																																																			
PIN FIXATION ROCKWOOD OD3 MM CLAVICLE	SUP-1129-12-020	CDM			270	RC		outpatient			3120	312	845.21				percent of total billed charges		3120				other	OPPS APC	2308.8				percent of total billed charges		3120				other	OPPS APC	3120				other	OPPS APC	845.21				percent of total billed charges		862.06				percent of total billed charges		312				other	OPPS APC	312	3120	
PIN FIXATION ROCKWOOD OD3 MM CLAVICLE	SUP-1129-12-020	CDM			270	RC		inpatient			3120	3120																																																			
CONNECTOR ROD DOMINO TITANIUM CL5.5 SD6.35 CURVE SPINE OPEN CLOSE SOLID	SUP-779146555	CDM	270010020	LOCAL	270	RC		outpatient			3120	312	845.21				percent of total billed charges		3120				other	OPPS APC	2308.8				percent of total billed charges		3120				other	OPPS APC	3120				other	OPPS APC	845.21				percent of total billed charges		862.06				percent of total billed charges		312				other	OPPS APC	312	3120	
CONNECTOR ROD DOMINO TITANIUM CL5.5 SD6.35 CURVE SPINE OPEN CLOSE SOLID	SUP-779146555	CDM	270010020	LOCAL	270	RC		inpatient			3120	3120																																																			
ACHILLES TENDON	SUP-97-00291	CDM			278	RC		outpatient			3120	312	3120				fee schedule		3120				other	OPPS APC	1778.4				percent of total billed charges		3120				other	OPPS APC	3120				other	OPPS APC	1528.8				percent of total billed charges		1591.2				percent of total billed charges		312				other	OPPS APC	312	3120	
ACHILLES TENDON	SUP-97-00291	CDM			278	RC		inpatient			3120	3120																																																			
CATHETER- DECANAV 2-8-2 F CURVE	SUP-99-04751	CDM			278	RC		outpatient			3117.5	3117.5	3117.5				fee schedule		3117.5				other	OPPS APC	1776.98				percent of total billed charges		3117.5				other	OPPS APC	3117.5				other	OPPS APC	1527.58				percent of total billed charges		1589.93				percent of total billed charges		3117.5				other	OPPS APC	1527.58	3117.5	
CATHETER- DECANAV 2-8-2 F CURVE	SUP-99-04751	CDM			278	RC		inpatient			3117.5	3117.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM TIBIA RIGHT DISTAL MEDIAL 10 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.522S	CDM	270010022	LOCAL	270	RC		outpatient			3117.4	3117.41	844.5				percent of total billed charges		3117.4				other	OPPS APC	2306.88				percent of total billed charges		3117.4				other	OPPS APC	3117.4				other	OPPS APC	844.5				percent of total billed charges		861.34				percent of total billed charges		3117.41				other	OPPS APC	844.5	3117.41	
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM TIBIA RIGHT DISTAL MEDIAL 10 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.522S	CDM	270010022	LOCAL	270	RC		inpatient			3117.4	3117.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.523S	CDM	270010022	LOCAL	270	RC		outpatient			3117.4	3117.41	844.5				percent of total billed charges		3117.4				other	OPPS APC	2306.88				percent of total billed charges		3117.4				other	OPPS APC	3117.4				other	OPPS APC	844.5				percent of total billed charges		861.34				percent of total billed charges		3117.41				other	OPPS APC	844.5	3117.41	
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.523S	CDM	270010022	LOCAL	270	RC		inpatient			3117.4	3117.4																																																			
PLATE 6 HOLE PROXIMAL LATERAL TIBIA LEFT	SUP-97-06383	CDM			278	RC		outpatient			3116.95	3116.95	3116.95				fee schedule		3116.95				other	OPPS APC	1776.66				percent of total billed charges		3116.95				other	OPPS APC	3116.95				other	OPPS APC	1527.31				percent of total billed charges		1589.64				percent of total billed charges		3116.95				other	OPPS APC	1527.31	3116.95	
PLATE 6 HOLE PROXIMAL LATERAL TIBIA LEFT	SUP-97-06383	CDM			278	RC		inpatient			3116.95	3116.95																																																			
KIT PROCEDURE EDGE 180 D LOCATABLE GUIDE FIRM TIP EXTEND WORK CHANNEL CATHETER	SUP-SDK4000-FT	CDM			270	RC		outpatient			3116	3116	844.12				percent of total billed charges		3116				other	OPPS APC	2305.84				percent of total billed charges		3116				other	OPPS APC	3116				other	OPPS APC	844.12				percent of total billed charges		860.95				percent of total billed charges		3116				other	OPPS APC	844.12	3116	
KIT PROCEDURE EDGE 180 D LOCATABLE GUIDE FIRM TIP EXTEND WORK CHANNEL CATHETER	SUP-SDK4000-FT	CDM			270	RC		inpatient			3116	3116																																																			
KIT PROCEDURE EDGE 190	SUP-SDK4190-FT	CDM			270	RC		outpatient			3116	3116	844.12				percent of total billed charges		3116				other	OPPS APC	2305.84				percent of total billed charges		3116				other	OPPS APC	3116				other	OPPS APC	844.12				percent of total billed charges		860.95				percent of total billed charges		3116				other	OPPS APC	844.12	3116	
KIT PROCEDURE EDGE 190	SUP-SDK4190-FT	CDM			270	RC		inpatient			3116	3116																																																			
KIT PROCEDURE EDGE 45	SUP-SDK4450-FT	CDM			270	RC		outpatient			3116	3116	844.12				percent of total billed charges		3116				other	OPPS APC	2305.84				percent of total billed charges		3116				other	OPPS APC	3116				other	OPPS APC	844.12				percent of total billed charges		860.95				percent of total billed charges		3116				other	OPPS APC	844.12	3116	
KIT PROCEDURE EDGE 45	SUP-SDK4450-FT	CDM			270	RC		inpatient			3116	3116																																																			
KIT PROCEDURE EDGE 90D LOCATABLE GUIDE FIRM TIP EXTEND WORK CHANNEL CATHETER	SUP-SDK4900-FT	CDM			270	RC		outpatient			3116	3116	844.12				percent of total billed charges		3116				other	OPPS APC	2305.84				percent of total billed charges		3116				other	OPPS APC	3116				other	OPPS APC	844.12				percent of total billed charges		860.95				percent of total billed charges		3116				other	OPPS APC	844.12	3116	
KIT PROCEDURE EDGE 90D LOCATABLE GUIDE FIRM TIP EXTEND WORK CHANNEL CATHETER	SUP-SDK4900-FT	CDM			270	RC		inpatient			3116	3116																																																			
HC Bone Spect	PX-340783200	CDM	78803	CPT	340	RC		outpatient			3112	1397.91	351.3				fee schedule		1397.91				other	OPPS APC	775.48				fee schedule		1397.91				other	OPPS APC	1397.91				other	OPPS APC	355.31				fee schedule		304.53				fee schedule		1397.91				other	OPPS APC	304.53	1397.91	
HC Bone Spect	PX-340783200	CDM	78803	CPT	340	RC		inpatient			3112	3112																																																			
TRI PRESS FIT STEM 22 X 150MM	SUP-97-02920	CDM			278	RC		outpatient			3111.63	3111.63	3111.63				fee schedule		3111.63				other	OPPS APC	1773.63				percent of total billed charges		3111.63				other	OPPS APC	3111.63				other	OPPS APC	1524.7				percent of total billed charges		1586.93				percent of total billed charges		3111.63				other	OPPS APC	1524.7	3111.63	
TRI PRESS FIT STEM 22 X 150MM	SUP-97-02920	CDM			278	RC		inpatient			3111.63	3111.63																																																			
TRI  PRESS FIT STEM 16X150MM	SUP-97-02923	CDM			278	RC		outpatient			3111.63	3111.63	3111.63				fee schedule		3111.63				other	OPPS APC	1773.63				percent of total billed charges		3111.63				other	OPPS APC	3111.63				other	OPPS APC	1524.7				percent of total billed charges		1586.93				percent of total billed charges		3111.63				other	OPPS APC	1524.7	3111.63	
TRI  PRESS FIT STEM 16X150MM	SUP-97-02923	CDM			278	RC		inpatient			3111.63	3111.63																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.066S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L360 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.066S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
IMPLANT TI CANN FEMORAL RECON NAIL 10MM X 380MM RIGHT	SUP-04.033.068S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
IMPLANT TI CANN FEMORAL RECON NAIL 10MM X 380MM RIGHT	SUP-04.033.068S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.069S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L380 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.069S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.070S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.070S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.071S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L400 MM OD10 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.071S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.072S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.072S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.074S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L440 MM OD10 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.074S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.172S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD11 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.172S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.272S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD12 MM FEMORAL GREATER TROCHANTER RIGHT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.272S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.273S	CDM			270	RC		outpatient			3109.6	319.6	842.39				percent of total billed charges		3109.6				other	OPPS APC	2301.1				percent of total billed charges		3109.6				other	OPPS APC	3109.6				other	OPPS APC	842.39				percent of total billed charges		859.18				percent of total billed charges		319.6				other	OPPS APC	319.6	3109.6	
NAIL INTRAMEDULLARY TITANIUM NIOBIUM ALUMINUM ADULT 140 D L420 MM OD12 MM FEMORAL GREATER TROCHANTER LEFT 8 HOLE CANNULATED RECONSTRUCTION LIGHT GREEN 5/6.5 MM SCREW	SUP-04.033.273S	CDM			270	RC		inpatient			3109.6	3109.6																																																			
NEXGEN DISTAL PRECOAT AGMT SIZE F 5MM	SUP-97-03746	CDM			278	RC		outpatient			3109.38	319.38	3109.38				fee schedule		3109.38				other	OPPS APC	1772.35				percent of total billed charges		3109.38				other	OPPS APC	3109.38				other	OPPS APC	1523.6				percent of total billed charges		1585.78				percent of total billed charges		319.38				other	OPPS APC	319.38	3109.38	
NEXGEN DISTAL PRECOAT AGMT SIZE F 5MM	SUP-97-03746	CDM			278	RC		inpatient			3109.38	3109.38																																																			
NEXGEN  PRECOAT POSTERIOR SIZE F 10MM	SUP-97-03747	CDM			278	RC		outpatient			3109.38	319.38	3109.38				fee schedule		3109.38				other	OPPS APC	1772.35				percent of total billed charges		3109.38				other	OPPS APC	3109.38				other	OPPS APC	1523.6				percent of total billed charges		1585.78				percent of total billed charges		319.38				other	OPPS APC	319.38	3109.38	
NEXGEN  PRECOAT POSTERIOR SIZE F 10MM	SUP-97-03747	CDM			278	RC		inpatient			3109.38	3109.38																																																			
NEXGEN  PRECOAT POSTERIOR SIZE F 5MM	SUP-97-03748	CDM			278	RC		outpatient			3109.38	319.38	3109.38				fee schedule		3109.38				other	OPPS APC	1772.35				percent of total billed charges		3109.38				other	OPPS APC	3109.38				other	OPPS APC	1523.6				percent of total billed charges		1585.78				percent of total billed charges		319.38				other	OPPS APC	319.38	3109.38	
NEXGEN  PRECOAT POSTERIOR SIZE F 5MM	SUP-97-03748	CDM			278	RC		inpatient			3109.38	3109.38																																																			
NEXGEN TIBIAL AUGMENT 10MM  SIZE 5	SUP-97-03908	CDM			278	RC		outpatient			3109.38	319.38	3109.38				fee schedule		3109.38				other	OPPS APC	1772.35				percent of total billed charges		3109.38				other	OPPS APC	3109.38				other	OPPS APC	1523.6				percent of total billed charges		1585.78				percent of total billed charges		319.38				other	OPPS APC	319.38	3109.38	
NEXGEN TIBIAL AUGMENT 10MM  SIZE 5	SUP-97-03908	CDM			278	RC		inpatient			3109.38	3109.38																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 280MM	SUP-04.031.928S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 280MM	SUP-04.031.928S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 280MM	SUP-04.031.929S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 280MM	SUP-04.031.929S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 300MM	SUP-04.031.930S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 300MM	SUP-04.031.930S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 300MM	SUP-04.031.931S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 300MM	SUP-04.031.931S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 320MM	SUP-04.031.932S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 320MM	SUP-04.031.932S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 320MM	SUP-04.031.933S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 320MM	SUP-04.031.933S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 340MM	SUP-04.031.934S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 340MM	SUP-04.031.934S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 360MM	SUP-04.031.937S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 360MM	SUP-04.031.937S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 380MM	SUP-04.031.939S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 380MM	SUP-04.031.939S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 280MM	SUP-04.031.948S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 280MM	SUP-04.031.948S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 280MM	SUP-04.031.949S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 280MM	SUP-04.031.949S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 300MM	SUP-04.031.950S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 300MM	SUP-04.031.950S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 300MM	SUP-04.031.951S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 300MM	SUP-04.031.951S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 320MM	SUP-04.031.952S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 320MM	SUP-04.031.952S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 320MM	SUP-04.031.953S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 320MM	SUP-04.031.953S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 340MM	SUP-04.031.955S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 340MM	SUP-04.031.955S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 360MM	SUP-04.031.956S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 360MM	SUP-04.031.956S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 360MM	SUP-04.031.957S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 360MM	SUP-04.031.957S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 380MM	SUP-04.031.958S	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 9MM X 380MM	SUP-04.031.958S	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L184 MM TIBIA RIGHT DISTAL ANTEROLATERAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.448	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
PLATE BONE LCP COMBI STAINLESS STEEL L184 MM TIBIA RIGHT DISTAL ANTEROLATERAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.448	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L184 MM TIBIA LEFT DISTAL ANTEROLATERAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.449	CDM	270010022	LOCAL	270	RC		outpatient			3107.5	317.5	841.82				percent of total billed charges		3107.5				other	OPPS APC	2299.55				percent of total billed charges		3107.5				other	OPPS APC	3107.5				other	OPPS APC	841.82				percent of total billed charges		858.6				percent of total billed charges		317.5				other	OPPS APC	317.5	3107.5	
PLATE BONE LCP COMBI STAINLESS STEEL L184 MM TIBIA LEFT DISTAL ANTEROLATERAL 13 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.449	CDM	270010022	LOCAL	270	RC		inpatient			3107.5	3107.5																																																			
STENT - EXPRESS LD 8.0X27X75	SUP-99-00957	CDM			278	RC		outpatient			3107.38	317.38	3107.38				fee schedule		3107.38				other	OPPS APC	1771.21				percent of total billed charges		3107.38				other	OPPS APC	3107.38				other	OPPS APC	1522.62				percent of total billed charges		1584.76				percent of total billed charges		317.38				other	OPPS APC	317.38	3107.38	
STENT - EXPRESS LD 8.0X27X75	SUP-99-00957	CDM			278	RC		inpatient			3107.38	3107.38																																																			
STENT - EXPRESS LD 6.0X37X75	SUP-99-01206	CDM			278	RC		inpatient			3107.38	3107.38																																																			
STENT - EXPRESS LD 6.0X37X75	SUP-99-01206	CDM			278	RC		outpatient			3107.38	3107.38					fee schedule						other	OPPS APC	1771.21				percent of total billed charges						other	OPPS APC					other	OPPS APC	1522.62				percent of total billed charges		1584.76				percent of total billed charges						other	OPPS APC	1771.21	1771.21	
STENT - EXPRESS LD 6.0X27X75	SUP-99-01207	CDM			278	RC		inpatient			3107.38	3107.38																																																			
STENT - EXPRESS LD 6.0X27X75	SUP-99-01207	CDM			278	RC		outpatient			3107.38	3107.38					fee schedule						other	OPPS APC	1771.21				percent of total billed charges						other	OPPS APC					other	OPPS APC	1522.62				percent of total billed charges		1584.76				percent of total billed charges						other	OPPS APC	1771.21	1771.21	
STENT - EXPRESS LD 7.0X27X135	SUP-99-01675	CDM			278	RC		inpatient			3107.38	3107.38																																																			
STENT - EXPRESS LD 7.0X27X135	SUP-99-01675	CDM			278	RC		outpatient			3107.38	3107.38					fee schedule						other	OPPS APC	1771.21				percent of total billed charges						other	OPPS APC					other	OPPS APC	1522.62				percent of total billed charges		1584.76				percent of total billed charges						other	OPPS APC	1771.21	1771.21	
STENT - EXPRESS LD 8.0X27X135	SUP-99-01984	CDM			278	RC		inpatient			3107.38	3107.38																																																			
STENT - EXPRESS LD 8.0X27X135	SUP-99-01984	CDM			278	RC		outpatient			3107.38	3107.38					fee schedule						other	OPPS APC	1771.21				percent of total billed charges						other	OPPS APC					other	OPPS APC	1522.62				percent of total billed charges		1584.76				percent of total billed charges						other	OPPS APC	1771.21	1771.21	
IMPLANT STRIP POCKET DBM 10CC	SUP-58050100	CDM	270010031	LOCAL	270	RC		outpatient			3106.48	316.48	841.55				percent of total billed charges		3106.48				other	OPPS APC	2298.8				percent of total billed charges		3106.48				other	OPPS APC	3106.48				other	OPPS APC	841.55				percent of total billed charges		858.32				percent of total billed charges		316.48				other	OPPS APC	316.48	3106.48	
IMPLANT STRIP POCKET DBM 10CC	SUP-58050100	CDM	270010031	LOCAL	270	RC		inpatient			3106.48	3106.48																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L206 MM X W17.5 MM X H5.2 MM FEMUR RIGHT CONDYLAR 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD NONSTERILE 4.5 MM SCREW	SUP-222.658	CDM	270010022	LOCAL	270	RC		outpatient			3106.4	316.41	841.52				percent of total billed charges		3106.4				other	OPPS APC	2298.74				percent of total billed charges		3106.4				other	OPPS APC	3106.4				other	OPPS APC	841.52				percent of total billed charges		858.3				percent of total billed charges		316.41				other	OPPS APC	316.41	3106.4	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L206 MM X W17.5 MM X H5.2 MM FEMUR RIGHT CONDYLAR 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD NONSTERILE 4.5 MM SCREW	SUP-222.658	CDM	270010022	LOCAL	270	RC		inpatient			3106.4	3106.4																																																			
PLATE BONE LCP COMBI 206X17.5X5.2MM SS NS FEMUR LEFT CONDYLAR 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW	SUP-222.659	CDM	270010022	LOCAL	270	RC		outpatient			3106.4	316.41	841.52				percent of total billed charges		3106.4				other	OPPS APC	2298.74				percent of total billed charges		3106.4				other	OPPS APC	3106.4				other	OPPS APC	841.52				percent of total billed charges		858.3				percent of total billed charges		316.41				other	OPPS APC	316.41	3106.4	
PLATE BONE LCP COMBI 206X17.5X5.2MM SS NS FEMUR LEFT CONDYLAR 8 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD 4.5MM SCREW	SUP-222.659	CDM	270010022	LOCAL	270	RC		inpatient			3106.4	3106.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L118 MM TIBIA RIGHT PROXIMAL 6 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.038	CDM	270010022	LOCAL	270	RC		outpatient			3105.3	315.32	841.23				percent of total billed charges		3105.3				other	OPPS APC	2297.92				percent of total billed charges		3105.3				other	OPPS APC	3105.3				other	OPPS APC	841.23				percent of total billed charges		857.99				percent of total billed charges		315.32				other	OPPS APC	315.32	3105.3	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L118 MM TIBIA RIGHT PROXIMAL 6 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.038	CDM	270010022	LOCAL	270	RC		inpatient			3105.3	3105.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L118 MM LEFT PROXIMAL 6 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-240.039	CDM	270010022	LOCAL	270	RC		outpatient			3105.3	315.32	841.23				percent of total billed charges		3105.3				other	OPPS APC	2297.92				percent of total billed charges		3105.3				other	OPPS APC	3105.3				other	OPPS APC	841.23				percent of total billed charges		857.99				percent of total billed charges		315.32				other	OPPS APC	315.32	3105.3	
PLATE BONE LCP COMBI STAINLESS STEEL L118 MM LEFT PROXIMAL 6 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-240.039	CDM	270010022	LOCAL	270	RC		inpatient			3105.3	3105.3																																																			
SYSTEM EMBOLIC PROTECTION SPIDERFX TUNGSTEN NITINOL L320 CM OD5 MM CAROTID RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER GOLD	SUP-SPD2-US-050-320	CDM			270	RC		outpatient			3104.64	314.64	841.05				percent of total billed charges		3104.64				other	OPPS APC	2297.43				percent of total billed charges		3104.64				other	OPPS APC	3104.64				other	OPPS APC	841.05				percent of total billed charges		857.81				percent of total billed charges		314.64				other	OPPS APC	314.64	3104.64	
SYSTEM EMBOLIC PROTECTION SPIDERFX TUNGSTEN NITINOL L320 CM OD5 MM CAROTID RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER GOLD	SUP-SPD2-US-050-320	CDM			270	RC		inpatient			3104.64	3104.64																																																			
SYSTEM EMBOLIC PROTECTION SPIDERFX TUNGSTEN NITINOL L320 CM OD6 MM CAROTID RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER GOLD	SUP-SPD2-US-060-320	CDM			270	RC		outpatient			3104.64	314.64	841.05				percent of total billed charges		3104.64				other	OPPS APC	2297.43				percent of total billed charges		3104.64				other	OPPS APC	3104.64				other	OPPS APC	841.05				percent of total billed charges		857.81				percent of total billed charges		314.64				other	OPPS APC	314.64	3104.64	
SYSTEM EMBOLIC PROTECTION SPIDERFX TUNGSTEN NITINOL L320 CM OD6 MM CAROTID RADIOPAQUE FILTER CAPTURE WIRE GUIDE CATHETER GOLD	SUP-SPD2-US-060-320	CDM			270	RC		inpatient			3104.64	3104.64																																																			
SYSTEM EMBOLIC PROTECTION SPIDERFX NITINOL TUNGSTEN GOLD 7 MM L320 CM OD.014 IN CAROTID RADIOPAQUE FILTER CAPTURE WIRE BRAID ACCEPTS .066 IN GUIDE CATHETER	SUP-SPD2-US-070-320	CDM			270	RC		outpatient			3104.64	314.64	841.05				percent of total billed charges		3104.64				other	OPPS APC	2297.43				percent of total billed charges		3104.64				other	OPPS APC	3104.64				other	OPPS APC	841.05				percent of total billed charges		857.81				percent of total billed charges		314.64				other	OPPS APC	314.64	3104.64	
SYSTEM EMBOLIC PROTECTION SPIDERFX NITINOL TUNGSTEN GOLD 7 MM L320 CM OD.014 IN CAROTID RADIOPAQUE FILTER CAPTURE WIRE BRAID ACCEPTS .066 IN GUIDE CATHETER	SUP-SPD2-US-070-320	CDM			270	RC		inpatient			3104.64	3104.64																																																			
JOINT FINGER SWANSON 3 MCP FLEXIBLE GROMMET STERILE	SUP-G4700003	CDM			270	RC		outpatient			3104	314	840.87				percent of total billed charges		3104				other	OPPS APC	2296.96				percent of total billed charges		3104				other	OPPS APC	3104				other	OPPS APC	840.87				percent of total billed charges		857.64				percent of total billed charges		314				other	OPPS APC	314	3104	
JOINT FINGER SWANSON 3 MCP FLEXIBLE GROMMET STERILE	SUP-G4700003	CDM			270	RC		inpatient			3104	3104																																																			
JOINT FINGER SWANSON 4 MCP FLEXIBLE GROMMET STERILE	SUP-G4700004	CDM			270	RC		outpatient			3104	314	840.87				percent of total billed charges		3104				other	OPPS APC	2296.96				percent of total billed charges		3104				other	OPPS APC	3104				other	OPPS APC	840.87				percent of total billed charges		857.64				percent of total billed charges		314				other	OPPS APC	314	3104	
JOINT FINGER SWANSON 4 MCP FLEXIBLE GROMMET STERILE	SUP-G4700004	CDM			270	RC		inpatient			3104	3104																																																			
JOINT FINGER SWANSON 5 MCP FLEXIBLE GROMMET STERILE	SUP-G4700005	CDM			270	RC		outpatient			3104	314	840.87				percent of total billed charges		3104				other	OPPS APC	2296.96				percent of total billed charges		3104				other	OPPS APC	3104				other	OPPS APC	840.87				percent of total billed charges		857.64				percent of total billed charges		314				other	OPPS APC	314	3104	
JOINT FINGER SWANSON 5 MCP FLEXIBLE GROMMET STERILE	SUP-G4700005	CDM			270	RC		inpatient			3104	3104																																																			
PLATE MTP FUSION 10DG LT ORTHOLOC 3DI	SUP-95-05852	CDM			278	RC		outpatient			3100.5	31.5	3100.5				fee schedule		3100.5				other	OPPS APC	1767.29				percent of total billed charges		3100.5				other	OPPS APC	3100.5				other	OPPS APC	1519.25				percent of total billed charges		1581.26				percent of total billed charges		31.5				other	OPPS APC	31.5	3100.5	
PLATE MTP FUSION 10DG LT ORTHOLOC 3DI	SUP-95-05852	CDM			278	RC		inpatient			3100.5	3100.5																																																			
PLATE MTP FUSION MEDIUM 5DEG LT ORTHOLOC 3DI	SUP-97-06258	CDM			278	RC		outpatient			3100.5	31.5	3100.5				fee schedule		3100.5				other	OPPS APC	1767.29				percent of total billed charges		3100.5				other	OPPS APC	3100.5				other	OPPS APC	1519.25				percent of total billed charges		1581.26				percent of total billed charges		31.5				other	OPPS APC	31.5	3100.5	
PLATE MTP FUSION MEDIUM 5DEG LT ORTHOLOC 3DI	SUP-97-06258	CDM			278	RC		inpatient			3100.5	3100.5																																																			
KIT NOVASURE ADVANCED	SUP-77-00029	CDM			272	RC		outpatient			3100	31	839.79				percent of total billed charges		3100				other	OPPS APC	2294				percent of total billed charges		3100				other	OPPS APC	3100				other	OPPS APC	839.79				percent of total billed charges		856.53				percent of total billed charges		31				other	OPPS APC	31	3100	
KIT NOVASURE ADVANCED	SUP-77-00029	CDM			272	RC		inpatient			3100	3100																																																			
GRAFT DUAL MESH PLUS 15X19	SUP-97-00192	CDM			278	RC		outpatient			3100	31	3100				fee schedule		3100				other	OPPS APC	1767				percent of total billed charges		3100				other	OPPS APC	3100				other	OPPS APC	1519				percent of total billed charges		1581				percent of total billed charges		31				other	OPPS APC	31	3100	
GRAFT DUAL MESH PLUS 15X19	SUP-97-00192	CDM			278	RC		inpatient			3100	3100																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L31.5 CM OD8 MM TIBIAL CANNULATED STERILE BLUE	SUP-04.004.243S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L31.5 CM OD8 MM TIBIAL CANNULATED STERILE BLUE	SUP-04.004.243S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD9 MM TIBIA CANNULATED ROUND BARREL STERILE DARK BLUE	SUP-04.004.343S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD9 MM TIBIA CANNULATED ROUND BARREL STERILE DARK BLUE	SUP-04.004.343S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT ROUND 285MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED UNIVERSAL	SUP-04.004.437S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT ROUND 285MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED UNIVERSAL	SUP-04.004.437S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L375 MM OD10 MM TIBIAL CANNULATED ROUND BARREL STERILE LIGHT GREEN	SUP-04.004.455S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM L375 MM OD10 MM TIBIAL CANNULATED ROUND BARREL STERILE LIGHT GREEN	SUP-04.004.455S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L330 MM OD11 MM TIBIAL CANNULATED STERILE LIGHT GREEN	SUP-04.004.546S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM L330 MM OD11 MM TIBIAL CANNULATED STERILE LIGHT GREEN	SUP-04.004.546S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD12 MM TIBIA CANNULATED FLUTED BARREL STERILE LIGHT GREEN	SUP-04.004.655S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD12 MM TIBIA CANNULATED FLUTED BARREL STERILE LIGHT GREEN	SUP-04.004.655S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L285 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.237S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L285 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.237S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND L345 MM OD8 MM TIBIAL CANNULATED PROXIMAL BEND STERILE DARK BLUE 4 MM LOCK SCREW	SUP-04.034.249S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND L345 MM OD8 MM TIBIAL CANNULATED PROXIMAL BEND STERILE DARK BLUE 4 MM LOCK SCREW	SUP-04.034.249S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.255S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.255S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L390 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.258S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L390 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.258S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L27 CM OD9 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.334S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L27 CM OD9 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.334S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L285 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.337S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L285 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.337S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT ROUND BARREL 300MM 9MM DARK BLUE TITANIUM STERILE TIBIA CANNULATED UNIVERSAL PROXIMAL BEND	SUP-04.034.340S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT ROUND BARREL 300MM 9MM DARK BLUE TITANIUM STERILE TIBIA CANNULATED UNIVERSAL PROXIMAL BEND	SUP-04.034.340S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L39 CM OD9 MM TIBIA PROXIMAL BEND CANNULATED STERILE	SUP-04.034.358S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM L39 CM OD9 MM TIBIA PROXIMAL BEND CANNULATED STERILE	SUP-04.034.358S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL BONE TIBIAL CANNULATED EX STERILE TITANIUM 10X 405MM	SUP-04.034.361S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL BONE TIBIAL CANNULATED EX STERILE TITANIUM 10X 405MM	SUP-04.034.361S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM L285 MM OD11 MM TIBIAL CANNULATED PROXIMAL BEND STERILE	SUP-04.034.537S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM L285 MM OD11 MM TIBIAL CANNULATED PROXIMAL BEND STERILE	SUP-04.034.537S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.543S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.543S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT 330MM 11MM LIGHT GREEN TITANIUM STERILE TIBIA CANNULATED PROXIMAL BEND	SUP-04.034.546S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT 330MM 11MM LIGHT GREEN TITANIUM STERILE TIBIA CANNULATED PROXIMAL BEND	SUP-04.034.546S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L345 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.549S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L345 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.549S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.555S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.555S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L390 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.558S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L390 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.558S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L405 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.561S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L405 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.561S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L420 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.564S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L420 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.564S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L285 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.637S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L285 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.637S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L300 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.640S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L300 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.640S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.643S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.643S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L33 CM OD12 MM TIBIAL CANNULATED PROXIMAL BEND STERILE GREEN	SUP-04.034.646S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L33 CM OD12 MM TIBIAL CANNULATED PROXIMAL BEND STERILE GREEN	SUP-04.034.646S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L345 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.649S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L345 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.649S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL FLUTE L360 MM OD12 MM TIBIAL CANNULATED PROXIMAL BEND STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.034.652S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL FLUTE L360 MM OD12 MM TIBIAL CANNULATED PROXIMAL BEND STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.034.652S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL FLUTE L375 MM OD12 MM TIBIAL CANNULATED PROXIMAL BEND STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.034.655S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL FLUTE L375 MM OD12 MM TIBIAL CANNULATED PROXIMAL BEND STERILE LIGHT GREEN 5 MM LOCK SCREW	SUP-04.034.655S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L390 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.658S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L390 MM OD12 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.658S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L405 MM OD12 MM TIBIAL CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.661S	CDM	270010022	LOCAL	270	RC		outpatient			3099.8	399.82	839.74				percent of total billed charges		3099.8				other	OPPS APC	2293.85				percent of total billed charges		3099.8				other	OPPS APC	3099.8				other	OPPS APC	839.74				percent of total billed charges		856.47				percent of total billed charges		399.82				other	OPPS APC	399.82	3099.8	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L405 MM OD12 MM TIBIAL CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.661S	CDM	270010022	LOCAL	270	RC		inpatient			3099.8	3099.8																																																			
PLATE BONE LCP COMBI TITANIUM CONTOUR L81 MM TIBIA LEFT PROXIMAL 4 HOLE LIMIT CONTACT 3.5 MM SCREW	SUP-439.935	CDM	270010022	LOCAL	270	RC		outpatient			3097.6	397.6	839.14				percent of total billed charges		3097.6				other	OPPS APC	2292.22				percent of total billed charges		3097.6				other	OPPS APC	3097.6				other	OPPS APC	839.14				percent of total billed charges		855.87				percent of total billed charges		397.6				other	OPPS APC	397.6	3097.6	
PLATE BONE LCP COMBI TITANIUM CONTOUR L81 MM TIBIA LEFT PROXIMAL 4 HOLE LIMIT CONTACT 3.5 MM SCREW	SUP-439.935	CDM	270010022	LOCAL	270	RC		inpatient			3097.6	3097.6																																																			
PLATE BONE PERI-LOC L 193 MM FEMUR LEFT DISTAL LATERAL 8 HOLE LOCK 4.5 MM SCREW	SUP-71800008	CDM			270	RC		outpatient			3096.6	396.6	838.87				percent of total billed charges		3096.6				other	OPPS APC	2291.48				percent of total billed charges		3096.6				other	OPPS APC	3096.6				other	OPPS APC	838.87				percent of total billed charges		855.59				percent of total billed charges		396.6				other	OPPS APC	396.6	3096.6	
PLATE BONE PERI-LOC L 193 MM FEMUR LEFT DISTAL LATERAL 8 HOLE LOCK 4.5 MM SCREW	SUP-71800008	CDM			270	RC		inpatient			3096.6	3096.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L168 MM X W11 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.908	CDM	270010022	LOCAL	270	RC		outpatient			3094.3	394.32	838.25				percent of total billed charges		3094.3				other	OPPS APC	2289.78				percent of total billed charges		3094.3				other	OPPS APC	3094.3				other	OPPS APC	838.25				percent of total billed charges		854.96				percent of total billed charges		394.32				other	OPPS APC	394.32	3094.3	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L168 MM X W11 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.908	CDM	270010022	LOCAL	270	RC		inpatient			3094.3	3094.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L168 MM X W11 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.909	CDM	270010022	LOCAL	270	RC		outpatient			3094.3	394.32	838.25				percent of total billed charges		3094.3				other	OPPS APC	2289.78				percent of total billed charges		3094.3				other	OPPS APC	3094.3				other	OPPS APC	838.25				percent of total billed charges		854.96				percent of total billed charges		394.32				other	OPPS APC	394.32	3094.3	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L168 MM X W11 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.909	CDM	270010022	LOCAL	270	RC		inpatient			3094.3	3094.3																																																			
SYSTEM CABLE CABLE-READY SHORT L53 MM X W23 MM 2 INTEGRAL LATEX FREE GREATER TROCHANTER REATTACHMENT	SUP-00-2232-02-04	CDM			270	RC		outpatient			3093.84	393.84	838.12				percent of total billed charges		3093.84				other	OPPS APC	2289.44				percent of total billed charges		3093.84				other	OPPS APC	3093.84				other	OPPS APC	838.12				percent of total billed charges		854.83				percent of total billed charges		393.84				other	OPPS APC	393.84	3093.84	
SYSTEM CABLE CABLE-READY SHORT L53 MM X W23 MM 2 INTEGRAL LATEX FREE GREATER TROCHANTER REATTACHMENT	SUP-00-2232-02-04	CDM			270	RC		inpatient			3093.84	3093.84																																																			
YOKE TIBIAL OSS KNEE REINFORCE	SUP-150493	CDM			270	RC		outpatient			3092	392	837.62				percent of total billed charges		3092				other	OPPS APC	2288.08				percent of total billed charges		3092				other	OPPS APC	3092				other	OPPS APC	837.62				percent of total billed charges		854.32				percent of total billed charges		392				other	OPPS APC	392	3092	
YOKE TIBIAL OSS KNEE REINFORCE	SUP-150493	CDM			270	RC		inpatient			3092	3092																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS RIGHT DISTAL VOLAR 5 HOLE SHAFT NONSTERILE	SUP-02.110.005	CDM	270010022	LOCAL	270	RC		outpatient			3088.8	388.82	836.76				percent of total billed charges		3088.8				other	OPPS APC	2285.71				percent of total billed charges		3088.8				other	OPPS APC	3088.8				other	OPPS APC	836.76				percent of total billed charges		853.44				percent of total billed charges		388.82				other	OPPS APC	388.82	3088.8	
PLATE BONE LCP STAINLESS STEEL RADIUS RIGHT DISTAL VOLAR 5 HOLE SHAFT NONSTERILE	SUP-02.110.005	CDM	270010022	LOCAL	270	RC		inpatient			3088.8	3088.8																																																			
IBALANCE TKA MODULAR TIBIAL TRAY SZ4	SUP-97-23745	CDM			278	RC		outpatient			3087.5	387.5	3087.5				fee schedule		3087.5				other	OPPS APC	1759.88				percent of total billed charges		3087.5				other	OPPS APC	3087.5				other	OPPS APC	1512.88				percent of total billed charges		1574.63				percent of total billed charges		387.5				other	OPPS APC	387.5	3087.5	
IBALANCE TKA MODULAR TIBIAL TRAY SZ4	SUP-97-23745	CDM			278	RC		inpatient			3087.5	3087.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L206 MM TIBIA RIGHT PROXIMAL 14 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.220	CDM	270010022	LOCAL	270	RC		outpatient			3086.6	386.6	836.16				percent of total billed charges		3086.6				other	OPPS APC	2284.08				percent of total billed charges		3086.6				other	OPPS APC	3086.6				other	OPPS APC	836.16				percent of total billed charges		852.83				percent of total billed charges		386.6				other	OPPS APC	386.6	3086.6	
PLATE BONE LCP COMBI STAINLESS STEEL L206 MM TIBIA RIGHT PROXIMAL 14 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.220	CDM	270010022	LOCAL	270	RC		inpatient			3086.6	3086.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.518S	CDM	270010022	LOCAL	270	RC		outpatient			3084.4	384.41	835.56				percent of total billed charges		3084.4				other	OPPS APC	2282.46				percent of total billed charges		3084.4				other	OPPS APC	3084.4				other	OPPS APC	835.56				percent of total billed charges		852.22				percent of total billed charges		384.41				other	OPPS APC	384.41	3084.4	
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.518S	CDM	270010022	LOCAL	270	RC		inpatient			3084.4	3084.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.519S	CDM	270010022	LOCAL	270	RC		outpatient			3084.4	384.41	835.56				percent of total billed charges		3084.4				other	OPPS APC	2282.46				percent of total billed charges		3084.4				other	OPPS APC	3084.4				other	OPPS APC	835.56				percent of total billed charges		852.22				percent of total billed charges		384.41				other	OPPS APC	384.41	3084.4	
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.519S	CDM	270010022	LOCAL	270	RC		inpatient			3084.4	3084.4																																																			
DOUBLE MOBILITY CONVERTER E	SUP-01.32.3844MC	CDM	270010024	LOCAL	270	RC		outpatient			3081.6	381.6	834.81				percent of total billed charges		3081.6				other	OPPS APC	2280.38				percent of total billed charges		3081.6				other	OPPS APC	3081.6				other	OPPS APC	834.81				percent of total billed charges		851.45				percent of total billed charges		381.6				other	OPPS APC	381.6	3081.6	
DOUBLE MOBILITY CONVERTER E	SUP-01.32.3844MC	CDM	270010024	LOCAL	270	RC		inpatient			3081.6	3081.6																																																			
TIBIAL NAIL 11 X 330MM T2 STANDARD	SUP-97-03757	CDM			278	RC		outpatient			3081.1	382	3081.1				fee schedule		3081.1				other	OPPS APC	1756.23				percent of total billed charges		3081.1				other	OPPS APC	3081.1				other	OPPS APC	1509.74				percent of total billed charges		1571.36				percent of total billed charges		382				other	OPPS APC	382	3081.1	
TIBIAL NAIL 11 X 330MM T2 STANDARD	SUP-97-03757	CDM			278	RC		inpatient			3081.1	3081.1																																																			
TIBIAL NAIL 11 X 330MM T2 STANDARD	SUP-97-03758	CDM			278	RC		outpatient			3081.1	382	3081.1				fee schedule		3081.1				other	OPPS APC	1756.23				percent of total billed charges		3081.1				other	OPPS APC	3081.1				other	OPPS APC	1509.74				percent of total billed charges		1571.36				percent of total billed charges		382				other	OPPS APC	382	3081.1	
TIBIAL NAIL 11 X 330MM T2 STANDARD	SUP-97-03758	CDM			278	RC		inpatient			3081.1	3081.1																																																			
TIBIAL NAIL 10 X 330MM T2 STANDARD	SUP-97-04177	CDM			278	RC		outpatient			3081.1	382	3081.1				fee schedule		3081.1				other	OPPS APC	1756.23				percent of total billed charges		3081.1				other	OPPS APC	3081.1				other	OPPS APC	1509.74				percent of total billed charges		1571.36				percent of total billed charges		382				other	OPPS APC	382	3081.1	
TIBIAL NAIL 10 X 330MM T2 STANDARD	SUP-97-04177	CDM			278	RC		inpatient			3081.1	3081.1																																																			
TIBAL NAIL 12 X 375MM T2 STANDARD	SUP-97-04446	CDM			278	RC		outpatient			3081.1	382	3081.1				fee schedule		3081.1				other	OPPS APC	1756.23				percent of total billed charges		3081.1				other	OPPS APC	3081.1				other	OPPS APC	1509.74				percent of total billed charges		1571.36				percent of total billed charges		382				other	OPPS APC	382	3081.1	
TIBAL NAIL 12 X 375MM T2 STANDARD	SUP-97-04446	CDM			278	RC		inpatient			3081.1	3081.1																																																			
TIBIAL NAIL 13 X 345MM T2 STANDARD	SUP-97-04743	CDM			278	RC		outpatient			3081.1	382	3081.1				fee schedule		3081.1				other	OPPS APC	1756.23				percent of total billed charges		3081.1				other	OPPS APC	3081.1				other	OPPS APC	1509.74				percent of total billed charges		1571.36				percent of total billed charges		382				other	OPPS APC	382	3081.1	
TIBIAL NAIL 13 X 345MM T2 STANDARD	SUP-97-04743	CDM			278	RC		inpatient			3081.1	3081.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L80 MM TIBIA LEFT DISTAL ANTEROLATERAL 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.441	CDM	270010022	LOCAL	270	RC		outpatient			3080	38	834.37				percent of total billed charges		3080				other	OPPS APC	2279.2				percent of total billed charges		3080				other	OPPS APC	3080				other	OPPS APC	834.37				percent of total billed charges		851				percent of total billed charges		38				other	OPPS APC	38	3080	
PLATE BONE LCP COMBI STAINLESS STEEL L80 MM TIBIA LEFT DISTAL ANTEROLATERAL 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.441	CDM	270010022	LOCAL	270	RC		inpatient			3080	3080																																																			
KIT QUICKSET 5CC	SUP-ABS-3005	CDM			270	RC		outpatient			3080	38	834.37				percent of total billed charges		3080				other	OPPS APC	2279.2				percent of total billed charges		3080				other	OPPS APC	3080				other	OPPS APC	834.37				percent of total billed charges		851				percent of total billed charges		38				other	OPPS APC	38	3080	
KIT QUICKSET 5CC	SUP-ABS-3005	CDM			270	RC		inpatient			3080	3080																																																			
COMPONENT FEMORAL PFC SIGMA COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE	SUP-1960-50-200	CDM	270010025	LOCAL	270	RC		outpatient			3076	376	833.29				percent of total billed charges		3076				other	OPPS APC	2276.24				percent of total billed charges		3076				other	OPPS APC	3076				other	OPPS APC	833.29				percent of total billed charges		849.9				percent of total billed charges		376				other	OPPS APC	376	3076	
COMPONENT FEMORAL PFC SIGMA COCR 2 KNEE RIGHT CEMENTED POSTERIOR STABILIZE	SUP-1960-50-200	CDM	270010025	LOCAL	270	RC		inpatient			3076	3076																																																			
SCREW LISFRANC 3.7 X 40MM CHARLOTTE F&A	SUP-97-06245	CDM			278	RC		outpatient			3072.5	372.5	3072.5				fee schedule		3072.5				other	OPPS APC	1751.33				percent of total billed charges		3072.5				other	OPPS APC	3072.5				other	OPPS APC	1505.53				percent of total billed charges		1566.98				percent of total billed charges		372.5				other	OPPS APC	372.5	3072.5	
SCREW LISFRANC 3.7 X 40MM CHARLOTTE F&A	SUP-97-06245	CDM			278	RC		inpatient			3072.5	3072.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L158 MM TIBIA RIGHT DISTAL ANTEROLATERAL 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.446	CDM	270010022	LOCAL	270	RC		outpatient			3072.3	372.32	832.29				percent of total billed charges		3072.3				other	OPPS APC	2273.5				percent of total billed charges		3072.3				other	OPPS APC	3072.3				other	OPPS APC	832.29				percent of total billed charges		848.88				percent of total billed charges		372.32				other	OPPS APC	372.32	3072.3	
PLATE BONE LCP COMBI STAINLESS STEEL L158 MM TIBIA RIGHT DISTAL ANTEROLATERAL 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.446	CDM	270010022	LOCAL	270	RC		inpatient			3072.3	3072.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L158 MM TIBIA LEFT DISTAL ANTEROLATERAL 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.447	CDM	270010022	LOCAL	270	RC		outpatient			3072.3	372.32	832.29				percent of total billed charges		3072.3				other	OPPS APC	2273.5				percent of total billed charges		3072.3				other	OPPS APC	3072.3				other	OPPS APC	832.29				percent of total billed charges		848.88				percent of total billed charges		372.32				other	OPPS APC	372.32	3072.3	
PLATE BONE LCP COMBI STAINLESS STEEL L158 MM TIBIA LEFT DISTAL ANTEROLATERAL 11 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.447	CDM	270010022	LOCAL	270	RC		inpatient			3072.3	3072.3																																																			
GRAFT BONE DEMINERALIZED BONE MATRIX SHORT L5 CM X W2.5 CM	SUP-653050	CDM	270010012	LOCAL	270	RC		outpatient			3072	372	832.2				percent of total billed charges		3072				other	OPPS APC	2273.28				percent of total billed charges		3072				other	OPPS APC	3072				other	OPPS APC	832.2				percent of total billed charges		848.79				percent of total billed charges		372				other	OPPS APC	372	3072	
GRAFT BONE DEMINERALIZED BONE MATRIX SHORT L5 CM X W2.5 CM	SUP-653050	CDM	270010012	LOCAL	270	RC		inpatient			3072	3072																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 7 HOLE SHAFT NONSTERILE	SUP-02.110.107	CDM	270010022	LOCAL	270	RC		outpatient			3069.08	369.8	831.41				percent of total billed charges		3069.08				other	OPPS APC	2271.12				percent of total billed charges		3069.08				other	OPPS APC	3069.08				other	OPPS APC	831.41				percent of total billed charges		847.99				percent of total billed charges		369.8				other	OPPS APC	369.8	3069.08	
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 7 HOLE SHAFT NONSTERILE	SUP-02.110.107	CDM	270010022	LOCAL	270	RC		inpatient			3069.08	3069.08																																																			
PACEMAKER CARDIAC ENDURITY THK6 MM W50 MM X H41 MM 9.7 ML 19 GM 1 CHAMBER UNIPOLAR BIPOLAR EGM IS-1	SUP-PM1160	CDM			275	RC		outpatient			3068.5	368.5	1503.57				percent of total billed charges		3068.5				other	OPPS APC	1749.05				percent of total billed charges		3068.5				other	OPPS APC	3068.5				other	OPPS APC	1503.57				percent of total billed charges		1564.94				percent of total billed charges		368.5				other	OPPS APC	368.5	3068.5	
PACEMAKER CARDIAC ENDURITY THK6 MM W50 MM X H41 MM 9.7 ML 19 GM 1 CHAMBER UNIPOLAR BIPOLAR EGM IS-1	SUP-PM1160	CDM			275	RC		inpatient			3068.5	3068.5																																																			
SLING GYNECOLOGICAL GYNECARE TVT EXACT OD3 MM TROCAR SHAFT ERGONOMIC HANDLE STRESS URINARY INCONTINENCE RETROPUBIC	SUP-TVTRL	CDM			270	RC		outpatient			3067.92	367.92	831.1				percent of total billed charges		3067.92				other	OPPS APC	2270.26				percent of total billed charges		3067.92				other	OPPS APC	3067.92				other	OPPS APC	831.1				percent of total billed charges		847.67				percent of total billed charges		367.92				other	OPPS APC	367.92	3067.92	
SLING GYNECOLOGICAL GYNECARE TVT EXACT OD3 MM TROCAR SHAFT ERGONOMIC HANDLE STRESS URINARY INCONTINENCE RETROPUBIC	SUP-TVTRL	CDM			270	RC		inpatient			3067.92	3067.92																																																			
ANCHORAGE LISFRANC PLATING MED.LS	SUP-97-04426	CDM			278	RC		outpatient			3067.5	367.5	3067.5				fee schedule		3067.5				other	OPPS APC	1748.48				percent of total billed charges		3067.5				other	OPPS APC	3067.5				other	OPPS APC	1503.08				percent of total billed charges		1564.43				percent of total billed charges		367.5				other	OPPS APC	367.5	3067.5	
ANCHORAGE LISFRANC PLATING MED.LS	SUP-97-04426	CDM			278	RC		inpatient			3067.5	3067.5																																																			
V2 5 HOLE LEFT PLATE	SUP-97-04840	CDM			278	RC		outpatient			3067.5	367.5	3067.5				fee schedule		3067.5				other	OPPS APC	1748.48				percent of total billed charges		3067.5				other	OPPS APC	3067.5				other	OPPS APC	1503.08				percent of total billed charges		1564.43				percent of total billed charges		367.5				other	OPPS APC	367.5	3067.5	
V2 5 HOLE LEFT PLATE	SUP-97-04840	CDM			278	RC		inpatient			3067.5	3067.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L82 MM RIGHT PROXIMAL 4 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-240.036	CDM	270010022	LOCAL	270	RC		outpatient			3065.7	365.7	830.5				percent of total billed charges		3065.7				other	OPPS APC	2268.62				percent of total billed charges		3065.7				other	OPPS APC	3065.7				other	OPPS APC	830.5				percent of total billed charges		847.05				percent of total billed charges		365.7				other	OPPS APC	365.7	3065.7	
PLATE BONE LCP COMBI STAINLESS STEEL L82 MM RIGHT PROXIMAL 4 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-240.036	CDM	270010022	LOCAL	270	RC		inpatient			3065.7	3065.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L82 MM TIBIA LEFT PROXIMAL 4 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.037	CDM	270010022	LOCAL	270	RC		outpatient			3065.7	365.7	830.5				percent of total billed charges		3065.7				other	OPPS APC	2268.62				percent of total billed charges		3065.7				other	OPPS APC	3065.7				other	OPPS APC	830.5				percent of total billed charges		847.05				percent of total billed charges		365.7				other	OPPS APC	365.7	3065.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L82 MM TIBIA LEFT PROXIMAL 4 HOLE LIMIT CONTACT NONSTERILE 4.5 MM SCREW	SUP-240.037	CDM	270010022	LOCAL	270	RC		inpatient			3065.7	3065.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L142 MM X W11 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.904	CDM	270010022	LOCAL	270	RC		outpatient			3064.6	364.6	830.2				percent of total billed charges		3064.6				other	OPPS APC	2267.8				percent of total billed charges		3064.6				other	OPPS APC	3064.6				other	OPPS APC	830.2				percent of total billed charges		846.75				percent of total billed charges		364.6				other	OPPS APC	364.6	3064.6	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L142 MM X W11 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.904	CDM	270010022	LOCAL	270	RC		inpatient			3064.6	3064.6																																																			
STENT TIGRIS 5MM X 60MM 120 CM CATHETER	SUP-PHA050602A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 5MM X 60MM 120 CM CATHETER	SUP-PHA050602A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 5MM X 100MM 120 CM CATHETER	SUP-PHA051002A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 5MM X 100MM 120 CM CATHETER	SUP-PHA051002A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 6MM X 40MM 120 CM CATHETER	SUP-PHA060402A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 6MM X 40MM 120 CM CATHETER	SUP-PHA060402A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 6MM X 60MM 120 CM CATHETER	SUP-PHA060602A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 6MM X 60MM 120 CM CATHETER	SUP-PHA060602A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 6MM X 80 MM 120 CM CATHETER	SUP-PHA060802A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 6MM X 80 MM 120 CM CATHETER	SUP-PHA060802A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 6MM X 100MM 120 CM CATHETER	SUP-PHA061002A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 6MM X 100MM 120 CM CATHETER	SUP-PHA061002A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 7MM X 40MM 120 CM CATHETER	SUP-PHA070402A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 7MM X 40MM 120 CM CATHETER	SUP-PHA070402A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 7MM X 60MM 120 CM CATHETER	SUP-PHA070602A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 7MM X 60MM 120 CM CATHETER	SUP-PHA070602A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 7MM X 80MM 120 CM CATHETER	SUP-PHA070802A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 7MM X 80MM 120 CM CATHETER	SUP-PHA070802A	CDM			270	RC		inpatient			3064	3064																																																			
STENT TIGRIS 7MM X 100MM 120 CM CATHETER	SUP-PHA071002A	CDM			270	RC		outpatient			3064	364	830.04				percent of total billed charges		3064				other	OPPS APC	2267.36				percent of total billed charges		3064				other	OPPS APC	3064				other	OPPS APC	830.04				percent of total billed charges		846.58				percent of total billed charges		364				other	OPPS APC	364	3064	
STENT TIGRIS 7MM X 100MM 120 CM CATHETER	SUP-PHA071002A	CDM			270	RC		inpatient			3064	3064																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.514S	CDM	270010022	LOCAL	270	RC		outpatient			3055.8	355.82	827.82				percent of total billed charges		3055.8				other	OPPS APC	2261.29				percent of total billed charges		3055.8				other	OPPS APC	3055.8				other	OPPS APC	827.82				percent of total billed charges		844.32				percent of total billed charges		355.82				other	OPPS APC	355.82	3055.8	
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.514S	CDM	270010022	LOCAL	270	RC		inpatient			3055.8	3055.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM TIBIA LEFT DISTAL MEDIAL 6 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.515S	CDM	270010022	LOCAL	270	RC		outpatient			3055.8	355.82	827.82				percent of total billed charges		3055.8				other	OPPS APC	2261.29				percent of total billed charges		3055.8				other	OPPS APC	3055.8				other	OPPS APC	827.82				percent of total billed charges		844.32				percent of total billed charges		355.82				other	OPPS APC	355.82	3055.8	
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM TIBIA LEFT DISTAL MEDIAL 6 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.515S	CDM	270010022	LOCAL	270	RC		inpatient			3055.8	3055.8																																																			
PLATE PROXIMAL LATERAL 14 HOLE RIGHT	SUP-97-04225	CDM			278	RC		outpatient			3054.25	354.25	3054.25				fee schedule		3054.25				other	OPPS APC	1740.92				percent of total billed charges		3054.25				other	OPPS APC	3054.25				other	OPPS APC	1496.58				percent of total billed charges		1557.67				percent of total billed charges		354.25				other	OPPS APC	354.25	3054.25	
PLATE PROXIMAL LATERAL 14 HOLE RIGHT	SUP-97-04225	CDM			278	RC		inpatient			3054.25	3054.25																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L170 MM X W17.5 MM X H5.2 MM RIGHT 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-222.656	CDM	270010022	LOCAL	270	RC		outpatient			3050.3	35.32	826.33				percent of total billed charges		3050.3				other	OPPS APC	2257.22				percent of total billed charges		3050.3				other	OPPS APC	3050.3				other	OPPS APC	826.33				percent of total billed charges		842.8				percent of total billed charges		35.32				other	OPPS APC	35.32	3050.3	
PLATE BONE LCP COMBI STAINLESS STEEL L170 MM X W17.5 MM X H5.2 MM RIGHT 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-222.656	CDM	270010022	LOCAL	270	RC		inpatient			3050.3	3050.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L170 MM X W17.5 MM X H5.2 MM FEMUR LEFT CONDYLAR 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD NONSTERILE 4.5 MM SCREW	SUP-222.657	CDM	270010022	LOCAL	270	RC		outpatient			3050.3	35.32	826.33				percent of total billed charges		3050.3				other	OPPS APC	2257.22				percent of total billed charges		3050.3				other	OPPS APC	3050.3				other	OPPS APC	826.33				percent of total billed charges		842.8				percent of total billed charges		35.32				other	OPPS APC	35.32	3050.3	
PLATE BONE LCP COMBI STAINLESS STEEL CURVE L170 MM X W17.5 MM X H5.2 MM FEMUR LEFT CONDYLAR 6 HOLE LOW PROFILE LIMIT CONTACT CONTOUR HEAD NONSTERILE 4.5 MM SCREW	SUP-222.657	CDM	270010022	LOCAL	270	RC		inpatient			3050.3	3050.3																																																			
ELECTRODE ELECTROSURGICAL STARBURST XL L15 CM L3-5 CM OD6.4 FR 9 ARRAY TROCAR TIP SLIM HANDLE DESIGN EXPANDABLE RADIOFREQUENCY ABLATION STERILE DISPOSABLE	SUP-700-101320	CDM			270	RC		outpatient			3050	35	826.25				percent of total billed charges		3050				other	OPPS APC	2257				percent of total billed charges		3050				other	OPPS APC	3050				other	OPPS APC	826.25				percent of total billed charges		842.72				percent of total billed charges		35				other	OPPS APC	35	3050	
ELECTRODE ELECTROSURGICAL STARBURST XL L15 CM L3-5 CM OD6.4 FR 9 ARRAY TROCAR TIP SLIM HANDLE DESIGN EXPANDABLE RADIOFREQUENCY ABLATION STERILE DISPOSABLE	SUP-700-101320	CDM			270	RC		inpatient			3050	3050																																																			
SD 190 KIT	SUP-95-02562	CDM			272	RC		outpatient			3048.7	348.7	825.89				percent of total billed charges		3048.7				other	OPPS APC	2256.04				percent of total billed charges		3048.7				other	OPPS APC	3048.7				other	OPPS APC	825.89				percent of total billed charges		842.36				percent of total billed charges		348.7				other	OPPS APC	348.7	3048.7	
SD 190 KIT	SUP-95-02562	CDM			272	RC		inpatient			3048.7	3048.7																																																			
90 EDGE KIT	SUP-95-23326	CDM			272	RC		outpatient			3048.7	348.7	825.89				percent of total billed charges		3048.7				other	OPPS APC	2256.04				percent of total billed charges		3048.7				other	OPPS APC	3048.7				other	OPPS APC	825.89				percent of total billed charges		842.36				percent of total billed charges		348.7				other	OPPS APC	348.7	3048.7	
90 EDGE KIT	SUP-95-23326	CDM			272	RC		inpatient			3048.7	3048.7																																																			
PLATE BONE PHILOS STAINLESS STEEL STANDARD L114 MM PROXIMAL HUMERUS 5 HOLE LOCKING COMPRESSION PRECONTOUR NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.903	CDM	270010022	LOCAL	270	RC		outpatient			3047.2	347.2	825.49				percent of total billed charges		3047.2				other	OPPS APC	2254.93				percent of total billed charges		3047.2				other	OPPS APC	3047.2				other	OPPS APC	825.49				percent of total billed charges		841.94				percent of total billed charges		347.2				other	OPPS APC	347.2	3047.2	
PLATE BONE PHILOS STAINLESS STEEL STANDARD L114 MM PROXIMAL HUMERUS 5 HOLE LOCKING COMPRESSION PRECONTOUR NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.903	CDM	270010022	LOCAL	270	RC		inpatient			3047.2	3047.2																																																			
T2 HUMERAL NAIL 8MMX250MM	SUP-97-04071	CDM			278	RC		outpatient			3045.9	345.91	3045.9				fee schedule		3045.9				other	OPPS APC	1736.16				percent of total billed charges		3045.9				other	OPPS APC	3045.9				other	OPPS APC	1492.49				percent of total billed charges		1553.41				percent of total billed charges		345.91				other	OPPS APC	345.91	3045.9	
T2 HUMERAL NAIL 8MMX250MM	SUP-97-04071	CDM			278	RC		inpatient			3045.9	3045.9																																																			
ECCENTRIC HUMERAL HEAD	SUP-97-01309	CDM			278	RC		outpatient			3045	345	3045				fee schedule		3045				other	OPPS APC	1735.65				percent of total billed charges		3045				other	OPPS APC	3045				other	OPPS APC	1492.05				percent of total billed charges		1552.95				percent of total billed charges		345				other	OPPS APC	345	3045	
ECCENTRIC HUMERAL HEAD	SUP-97-01309	CDM			278	RC		inpatient			3045	3045																																																			
GLOBAL UNITE ECC  HEAD 40X15	SUP-97-03599	CDM			278	RC		outpatient			3045	345	3045				fee schedule		3045				other	OPPS APC	1735.65				percent of total billed charges		3045				other	OPPS APC	3045				other	OPPS APC	1492.05				percent of total billed charges		1552.95				percent of total billed charges		345				other	OPPS APC	345	3045	
GLOBAL UNITE ECC  HEAD 40X15	SUP-97-03599	CDM			278	RC		inpatient			3045	3045																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L132 MM TIBIA RIGHT DISTAL ANTEROLATERAL 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.444	CDM	270010022	LOCAL	270	RC		outpatient			3044.8	344.82	824.84				percent of total billed charges		3044.8				other	OPPS APC	2253.15				percent of total billed charges		3044.8				other	OPPS APC	3044.8				other	OPPS APC	824.84				percent of total billed charges		841.28				percent of total billed charges		344.82				other	OPPS APC	344.82	3044.8	
PLATE BONE LCP COMBI STAINLESS STEEL L132 MM TIBIA RIGHT DISTAL ANTEROLATERAL 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.444	CDM	270010022	LOCAL	270	RC		inpatient			3044.8	3044.8																																																			
GRAFT SEMI T 9.5	SUP-97-02832	CDM			278	RC		outpatient			3042	342	3042				fee schedule		3042				other	OPPS APC	1733.94				percent of total billed charges		3042				other	OPPS APC	3042				other	OPPS APC	1490.58				percent of total billed charges		1551.42				percent of total billed charges		342				other	OPPS APC	342	3042	
GRAFT SEMI T 9.5	SUP-97-02832	CDM			278	RC		inpatient			3042	3042																																																			
FLUTED STEM TRIATHLON 17 X 150MM TS	SUP-97-05610	CDM			278	RC		outpatient			3041	341	3041				fee schedule		3041				other	OPPS APC	1733.37				percent of total billed charges		3041				other	OPPS APC	3041				other	OPPS APC	1490.09				percent of total billed charges		1550.91				percent of total billed charges		341				other	OPPS APC	341	3041	
FLUTED STEM TRIATHLON 17 X 150MM TS	SUP-97-05610	CDM			278	RC		inpatient			3041	3041																																																			
FLUTED STEM TRIATHLON 20 X 150MM TS	SUP-97-05611	CDM			278	RC		outpatient			3041	341	3041				fee schedule		3041				other	OPPS APC	1733.37				percent of total billed charges		3041				other	OPPS APC	3041				other	OPPS APC	1490.09				percent of total billed charges		1550.91				percent of total billed charges		341				other	OPPS APC	341	3041	
FLUTED STEM TRIATHLON 20 X 150MM TS	SUP-97-05611	CDM			278	RC		inpatient			3041	3041																																																			
GRAFT BONE	SUP-200045300171520	CDM						inpatient			3040	3040																																																			
GRAFT BONE	SUP-200045300171520	CDM						outpatient			3040	34	3040				percent of total billed charges		3040				other	OPPS APC	3040				fee schedule		3040				other	OPPS APC	3040				other	OPPS APC	3040				case rate		3040				case rate		34				other	OPPS APC	34	3040	
PPM ADSR01 ADAPTA SR DEVICE _1999967_	SUP-ADSR01	CDM			275	RC		outpatient			3040	34	1489.6				percent of total billed charges		3040				other	OPPS APC	1732.8				percent of total billed charges		3040				other	OPPS APC	3040				other	OPPS APC	1489.6				percent of total billed charges		1550.4				percent of total billed charges		34				other	OPPS APC	34	3040	
PPM ADSR01 ADAPTA SR DEVICE _1999967_	SUP-ADSR01	CDM			275	RC		inpatient			3040	3040																																																			
CATHETER ABLATION HALO360+ 360 D L4 CM L3 CM OD25 MM ESOPHAGUS HALOFLEX ENERGY GENERATOR BIPOLAR ELECTRODE BALLOON DISPOSABLE	SUP-32041-25	CDM			270	RC		outpatient			3034	334	821.91				percent of total billed charges		3034				other	OPPS APC	2245.16				percent of total billed charges		3034				other	OPPS APC	3034				other	OPPS APC	821.91				percent of total billed charges		838.29				percent of total billed charges		334				other	OPPS APC	334	3034	
CATHETER ABLATION HALO360+ 360 D L4 CM L3 CM OD25 MM ESOPHAGUS HALOFLEX ENERGY GENERATOR BIPOLAR ELECTRODE BALLOON DISPOSABLE	SUP-32041-25	CDM			270	RC		inpatient			3034	3034																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L116 MM X W11 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 4 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.900	CDM	270010022	LOCAL	270	RC		outpatient			3033.8	333.82	821.86				percent of total billed charges		3033.8				other	OPPS APC	2245.01				percent of total billed charges		3033.8				other	OPPS APC	3033.8				other	OPPS APC	821.86				percent of total billed charges		838.24				percent of total billed charges		333.82				other	OPPS APC	333.82	3033.8	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L116 MM X W11 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 4 HOLE LIMIT CONTACT MALLEOLUS TAB BULLET NOSE TIP NONSTERILE 3.5 MM SCREW	SUP-239.900	CDM	270010022	LOCAL	270	RC		inpatient			3033.8	3033.8																																																			
PLATE BONE LACTOSORB L50 MM X W50 MM X H.25 MM ORBITAL FLOOR	SUP-SP-1966	CDM			270	RC		outpatient			3030	33	820.83				percent of total billed charges		3030				other	OPPS APC	2242.2				percent of total billed charges		3030				other	OPPS APC	3030				other	OPPS APC	820.83				percent of total billed charges		837.19				percent of total billed charges		33				other	OPPS APC	33	3030	
PLATE BONE LACTOSORB L50 MM X W50 MM X H.25 MM ORBITAL FLOOR	SUP-SP-1966	CDM			270	RC		inpatient			3030	3030																																																			
PLATE BONE TITANIUM STERILE 2T TALL STERNUM 18 HOLE LOCKING STERILE	SUP-460.048S	CDM			270	RC		outpatient			3027.78	327.78	820.23				percent of total billed charges		3027.78				other	OPPS APC	2240.56				percent of total billed charges		3027.78				other	OPPS APC	3027.78				other	OPPS APC	820.23				percent of total billed charges		836.58				percent of total billed charges		327.78				other	OPPS APC	327.78	3027.78	
PLATE BONE TITANIUM STERILE 2T TALL STERNUM 18 HOLE LOCKING STERILE	SUP-460.048S	CDM			270	RC		inpatient			3027.78	3027.78																																																			
MESH SURGICAL PROCEED OVAL 10X8IN PROLENE OXIDIZED CELLULOSE STERILE FASCIAL LAPAROSCOPIC VENTRAL HERNIA REPAIR	SUP-PCDH1	CDM			270	RC		outpatient			3025.16	325.16	819.52				percent of total billed charges		3025.16				other	OPPS APC	2238.62				percent of total billed charges		3025.16				other	OPPS APC	3025.16				other	OPPS APC	819.52				percent of total billed charges		835.85				percent of total billed charges		325.16				other	OPPS APC	325.16	3025.16	
MESH SURGICAL PROCEED OVAL 10X8IN PROLENE OXIDIZED CELLULOSE STERILE FASCIAL LAPAROSCOPIC VENTRAL HERNIA REPAIR	SUP-PCDH1	CDM			270	RC		inpatient			3025.16	3025.16																																																			
HEAD FEMORAL TRILOGY IT CONTINUUM BIOLOX DELTA -3.5 MM 12/14 SMALL OD28 MM HIP ACETABULUM STERILE	SUP-00-8775-028-01	CDM	270010024	LOCAL	270	RC		outpatient			3024	324	819.2				percent of total billed charges		3024				other	OPPS APC	2237.76				percent of total billed charges		3024				other	OPPS APC	3024				other	OPPS APC	819.2				percent of total billed charges		835.53				percent of total billed charges		324				other	OPPS APC	324	3024	
HEAD FEMORAL TRILOGY IT CONTINUUM BIOLOX DELTA -3.5 MM 12/14 SMALL OD28 MM HIP ACETABULUM STERILE	SUP-00-8775-028-01	CDM	270010024	LOCAL	270	RC		inpatient			3024	3024																																																			
STENT - EPIC 6X120X120	SUP-99-01547	CDM			278	RC		inpatient			3022.5	3022.5																																																			
STENT - EPIC 6X120X120	SUP-99-01547	CDM			278	RC		outpatient			3022.5	3022.5					fee schedule						other	OPPS APC	1722.83				percent of total billed charges						other	OPPS APC					other	OPPS APC	1481.03				percent of total billed charges		1541.48				percent of total billed charges						other	OPPS APC	1722.83	1722.83	
STENT - EPIC 7X120X120	SUP-99-01554	CDM			278	RC		inpatient			3022.5	3022.5																																																			
STENT - EPIC 7X120X120	SUP-99-01554	CDM			278	RC		outpatient			3022.5	3022.5					fee schedule						other	OPPS APC	1722.83				percent of total billed charges						other	OPPS APC					other	OPPS APC	1481.03				percent of total billed charges		1541.48				percent of total billed charges						other	OPPS APC	1722.83	1722.83	
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM TIBIA RIGHT DISTAL MEDIAL 4 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.510S	CDM	270010022	LOCAL	270	RC		outpatient			3021.7	321.7	818.58				percent of total billed charges		3021.7				other	OPPS APC	2236.06				percent of total billed charges		3021.7				other	OPPS APC	3021.7				other	OPPS APC	818.58				percent of total billed charges		834.9				percent of total billed charges		321.7				other	OPPS APC	321.7	3021.7	
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM TIBIA RIGHT DISTAL MEDIAL 4 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.510S	CDM	270010022	LOCAL	270	RC		inpatient			3021.7	3021.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM TIBIA LEFT DISTAL MEDIAL 4 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.511S	CDM	270010022	LOCAL	270	RC		outpatient			3021.7	321.7	818.58				percent of total billed charges		3021.7				other	OPPS APC	2236.06				percent of total billed charges		3021.7				other	OPPS APC	3021.7				other	OPPS APC	818.58				percent of total billed charges		834.9				percent of total billed charges		321.7				other	OPPS APC	321.7	3021.7	
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM TIBIA LEFT DISTAL MEDIAL 4 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.511S	CDM	270010022	LOCAL	270	RC		inpatient			3021.7	3021.7																																																			
LINER ACETABULAR PINNACLE +4MM NEUTRAL 52MM 32MM ALTRX STERILE LF HIP	SUP-1221-32-452	CDM	270010024	LOCAL	270	RC		outpatient			3020.4	32.41	818.23				percent of total billed charges		3020.4				other	OPPS APC	2235.1				percent of total billed charges		3020.4				other	OPPS APC	3020.4				other	OPPS APC	818.23				percent of total billed charges		834.54				percent of total billed charges		32.41				other	OPPS APC	32.41	3020.4	
LINER ACETABULAR PINNACLE +4MM NEUTRAL 52MM 32MM ALTRX STERILE LF HIP	SUP-1221-32-452	CDM	270010024	LOCAL	270	RC		inpatient			3020.4	3020.4																																																			
CATHETER INFUSION MARKSMAN STAINLESS STEEL MICRO L105 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL CORONARY COIL KINK RESISTANT PIPELINE EMBOLISATION DEVICE	SUP-FA-55105-1015	CDM			270	RC		outpatient			3020	32	818.12				percent of total billed charges		3020				other	OPPS APC	2234.8				percent of total billed charges		3020				other	OPPS APC	3020				other	OPPS APC	818.12				percent of total billed charges		834.43				percent of total billed charges		32				other	OPPS APC	32	3020	
CATHETER INFUSION MARKSMAN STAINLESS STEEL MICRO L105 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL CORONARY COIL KINK RESISTANT PIPELINE EMBOLISATION DEVICE	SUP-FA-55105-1015	CDM			270	RC		inpatient			3020	3020																																																			
CATHETER INFUSION MARKSMAN STAINLESS STEEL HYDROPHILIC MICRO L135 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL CORONARY 1 LUMEN RADIOPAQUE MARKER COIL BRAID PIPELINE EMBOLISATION DEVICE	SUP-FA-55135-1030	CDM			270	RC		outpatient			3020	32	818.12				percent of total billed charges		3020				other	OPPS APC	2234.8				percent of total billed charges		3020				other	OPPS APC	3020				other	OPPS APC	818.12				percent of total billed charges		834.43				percent of total billed charges		32				other	OPPS APC	32	3020	
CATHETER INFUSION MARKSMAN STAINLESS STEEL HYDROPHILIC MICRO L135 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL CORONARY 1 LUMEN RADIOPAQUE MARKER COIL BRAID PIPELINE EMBOLISATION DEVICE	SUP-FA-55135-1030	CDM			270	RC		inpatient			3020	3020																																																			
MICROCATHETER INFUSION MARKSMAN STAINLESS STEE L150 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL ACCEPTS .021 IN GUIDEWIRE	SUP-FA-55150-1030	CDM			270	RC		outpatient			3020	32	818.12				percent of total billed charges		3020				other	OPPS APC	2234.8				percent of total billed charges		3020				other	OPPS APC	3020				other	OPPS APC	818.12				percent of total billed charges		834.43				percent of total billed charges		32				other	OPPS APC	32	3020	
MICROCATHETER INFUSION MARKSMAN STAINLESS STEE L150 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL ACCEPTS .021 IN GUIDEWIRE	SUP-FA-55150-1030	CDM			270	RC		inpatient			3020	3020																																																			
CATHETER INFUSION MARKSMAN MICRO L160 CM L10 CM OD2.8-3.2 FR ID.027 IN ACCEPTS .021 IN GUIDEWIRE	SUP-FA-55160-1030	CDM			270	RC		outpatient			3020	32	818.12				percent of total billed charges		3020				other	OPPS APC	2234.8				percent of total billed charges		3020				other	OPPS APC	3020				other	OPPS APC	818.12				percent of total billed charges		834.43				percent of total billed charges		32				other	OPPS APC	32	3020	
CATHETER INFUSION MARKSMAN MICRO L160 CM L10 CM OD2.8-3.2 FR ID.027 IN ACCEPTS .021 IN GUIDEWIRE	SUP-FA-55160-1030	CDM			270	RC		inpatient			3020	3020																																																			
PLATE BONE EXTREMITIES STRAIGHT 4 HOLE TOTAL FOOT SYSTEM	SUP-2807004	CDM			270	RC		outpatient			3018	318	817.58				percent of total billed charges		3018				other	OPPS APC	2233.32				percent of total billed charges		3018				other	OPPS APC	3018				other	OPPS APC	817.58				percent of total billed charges		833.87				percent of total billed charges		318				other	OPPS APC	318	3018	
PLATE BONE EXTREMITIES STRAIGHT 4 HOLE TOTAL FOOT SYSTEM	SUP-2807004	CDM			270	RC		inpatient			3018	3018																																																			
PLATE WRIST FUSION 8 HOLES	SUP-97-01222	CDM			278	RC		outpatient			3016	316	3016				fee schedule		3016				other	OPPS APC	1719.12				percent of total billed charges		3016				other	OPPS APC	3016				other	OPPS APC	1477.84				percent of total billed charges		1538.16				percent of total billed charges		316				other	OPPS APC	316	3016	
PLATE WRIST FUSION 8 HOLES	SUP-97-01222	CDM			278	RC		inpatient			3016	3016																																																			
GRAFT VENTRALIGHT ST 8X10 (5954810)	SUP-75-00090	CDM			278	RC		outpatient			3015.63	315.63	3015.63				fee schedule		3015.63				other	OPPS APC	1718.91				percent of total billed charges		3015.63				other	OPPS APC	3015.63				other	OPPS APC	1477.66				percent of total billed charges		1537.97				percent of total billed charges		315.63				other	OPPS APC	315.63	3015.63	
GRAFT VENTRALIGHT ST 8X10 (5954810)	SUP-75-00090	CDM			278	RC		inpatient			3015.63	3015.63																																																			
PLATE BONE LCP STAINLESS STEEL L247 MM FEMUR RIGHT PROXIMAL 8 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.808	CDM	270010022	LOCAL	270	RC		outpatient			3015.1	316	816.79				percent of total billed charges		3015.1				other	OPPS APC	2231.17				percent of total billed charges		3015.1				other	OPPS APC	3015.1				other	OPPS APC	816.79				percent of total billed charges		833.07				percent of total billed charges		316				other	OPPS APC	316	3015.1	
PLATE BONE LCP STAINLESS STEEL L247 MM FEMUR RIGHT PROXIMAL 8 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.808	CDM	270010022	LOCAL	270	RC		inpatient			3015.1	3015.1																																																			
ICE SOUNDSTAR 8Fr REPROC _61682_	SUP-R10439236	CDM			270	RC		outpatient			3012	312	815.95				percent of total billed charges		3012				other	OPPS APC	2228.88				percent of total billed charges		3012				other	OPPS APC	3012				other	OPPS APC	815.95				percent of total billed charges		832.22				percent of total billed charges		312				other	OPPS APC	312	3012	
ICE SOUNDSTAR 8Fr REPROC _61682_	SUP-R10439236	CDM			270	RC		inpatient			3012	3012																																																			
SYSTEM THROMBECTOMY ANGIOJET ULTRA SOLENT PROXI PERIPHERAL CATHETER WASTE BAG PUMP SET SCALABLE	SUP-109676-001	CDM			270	RC		outpatient			3010	31	815.41				percent of total billed charges		3010				other	OPPS APC	2227.4				percent of total billed charges		3010				other	OPPS APC	3010				other	OPPS APC	815.41				percent of total billed charges		831.66				percent of total billed charges		31				other	OPPS APC	31	3010	
SYSTEM THROMBECTOMY ANGIOJET ULTRA SOLENT PROXI PERIPHERAL CATHETER WASTE BAG PUMP SET SCALABLE	SUP-109676-001	CDM			270	RC		inpatient			3010	3010																																																			
FLUTED STEM	SUP-97-02242	CDM			278	RC		outpatient			3008.5	38.5	3008.5				fee schedule		3008.5				other	OPPS APC	1714.85				percent of total billed charges		3008.5				other	OPPS APC	3008.5				other	OPPS APC	1474.17				percent of total billed charges		1534.34				percent of total billed charges		38.5				other	OPPS APC	38.5	3008.5	
FLUTED STEM	SUP-97-02242	CDM			278	RC		inpatient			3008.5	3008.5																																																			
TRI  PRESS FIT STEM 20X100MM	SUP-97-03245	CDM			278	RC		outpatient			3008.5	38.5	3008.5				fee schedule		3008.5				other	OPPS APC	1714.85				percent of total billed charges		3008.5				other	OPPS APC	3008.5				other	OPPS APC	1474.17				percent of total billed charges		1534.34				percent of total billed charges		38.5				other	OPPS APC	38.5	3008.5	
TRI  PRESS FIT STEM 20X100MM	SUP-97-03245	CDM			278	RC		inpatient			3008.5	3008.5																																																			
TRI PRESS FIT STEM 16MMX 100MM	SUP-97-03251	CDM			278	RC		outpatient			3008.5	38.5	3008.5				fee schedule		3008.5				other	OPPS APC	1714.85				percent of total billed charges		3008.5				other	OPPS APC	3008.5				other	OPPS APC	1474.17				percent of total billed charges		1534.34				percent of total billed charges		38.5				other	OPPS APC	38.5	3008.5	
TRI PRESS FIT STEM 16MMX 100MM	SUP-97-03251	CDM			278	RC		inpatient			3008.5	3008.5																																																			
TRI PRESS FIT STEM 18MMX 100MM	SUP-97-03850	CDM			278	RC		outpatient			3008.5	38.5	3008.5				fee schedule		3008.5				other	OPPS APC	1714.85				percent of total billed charges		3008.5				other	OPPS APC	3008.5				other	OPPS APC	1474.17				percent of total billed charges		1534.34				percent of total billed charges		38.5				other	OPPS APC	38.5	3008.5	
TRI PRESS FIT STEM 18MMX 100MM	SUP-97-03850	CDM			278	RC		inpatient			3008.5	3008.5																																																			
TRI PRESS FIT STEM 14MMX 100MM	SUP-97-03907	CDM			278	RC		outpatient			3008.5	38.5	3008.5				fee schedule		3008.5				other	OPPS APC	1714.85				percent of total billed charges		3008.5				other	OPPS APC	3008.5				other	OPPS APC	1474.17				percent of total billed charges		1534.34				percent of total billed charges		38.5				other	OPPS APC	38.5	3008.5	
TRI PRESS FIT STEM 14MMX 100MM	SUP-97-03907	CDM			278	RC		inpatient			3008.5	3008.5																																																			
LG EX-FIX COMBINATION CLAMMR -CONDITIONA	SUP-97-03004	CDM			278	RC		outpatient			3005	35	3005				fee schedule		3005				other	OPPS APC	1712.85				percent of total billed charges		3005				other	OPPS APC	3005				other	OPPS APC	1472.45				percent of total billed charges		1532.55				percent of total billed charges		35				other	OPPS APC	35	3005	
LG EX-FIX COMBINATION CLAMMR -CONDITIONA	SUP-97-03004	CDM			278	RC		inpatient			3005	3005																																																			
STEM FEMORAL VERSYS ADVOCATE ZIMALOY 45 MM STANDARD OFFSET L145 MM OD16 MM HIP PRIMARY CEMENT SATIN FINISH STERILE	SUP-00785001600	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL VERSYS ADVOCATE ZIMALOY 45 MM STANDARD OFFSET L145 MM OD16 MM HIP PRIMARY CEMENT SATIN FINISH STERILE	SUP-00785001600	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL QUADRA STAINLESS STEEL 0 STANDARD HIP CEMENT	SUP-01.12.040	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL QUADRA STAINLESS STEEL 0 STANDARD HIP CEMENT	SUP-01.12.040	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
IMPLANT QUADRA C STANDARD #1 FEMORAL STEM	SUP-01.12.041	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
IMPLANT QUADRA C STANDARD #1 FEMORAL STEM	SUP-01.12.041	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL QUADRA STAINLESS STEEL 2 STANDARD HIP CEMENT	SUP-01.12.042	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL QUADRA STAINLESS STEEL 2 STANDARD HIP CEMENT	SUP-01.12.042	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL QUADRA STAINLESS STEEL 3 STANDARD HIP CEMENT	SUP-01.12.043	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL QUADRA STAINLESS STEEL 3 STANDARD HIP CEMENT	SUP-01.12.043	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL QUADRA STAINLESS STEEL 4 STANDARD HIP CEMENT	SUP-01.12.044	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL QUADRA STAINLESS STEEL 4 STANDARD HIP CEMENT	SUP-01.12.044	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
INSERT TIBIAL OPTETRAK LOGIC 2.5 H13 MM KNEE POSTERIOR STABILIZE CONSTRAIN MODULAR NET COMPRESSION MOLD	SUP-02-012-44-2513	CDM	270010025	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
INSERT TIBIAL OPTETRAK LOGIC 2.5 H13 MM KNEE POSTERIOR STABILIZE CONSTRAIN MODULAR NET COMPRESSION MOLD	SUP-02-012-44-2513	CDM	270010025	LOCAL	270	RC		inpatient			3000	3000																																																			
INSERT TIBIAL OPTETRAK LOGIC 3.5 H13 MM KNEE POSTERIOR STABILIZE CONSTRAIN MODULAR NET COMPRESSION MOLD	SUP-02-012-44-3513	CDM	270010025	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
INSERT TIBIAL OPTETRAK LOGIC 3.5 H13 MM KNEE POSTERIOR STABILIZE CONSTRAIN MODULAR NET COMPRESSION MOLD	SUP-02-012-44-3513	CDM	270010025	LOCAL	270	RC		inpatient			3000	3000																																																			
INSERT EXACTECH LOGIC PSC TIBIAL POSTERIOR STAB SIZE 4 11MM	SUP-02-012-44-4011	CDM	270010025	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
INSERT EXACTECH LOGIC PSC TIBIAL POSTERIOR STAB SIZE 4 11MM	SUP-02-012-44-4011	CDM	270010025	LOCAL	270	RC		inpatient			3000	3000																																																			
COMPONENT FEMORAL PFC SIGMA COCR 2 KNEE LEFT CEMENTED POSTERIOR STABILIZE	SUP-1960-40-200	CDM	270010025	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
COMPONENT FEMORAL PFC SIGMA COCR 2 KNEE LEFT CEMENTED POSTERIOR STABILIZE	SUP-1960-40-200	CDM	270010025	LOCAL	270	RC		inpatient			3000	3000																																																			
PROGEL AIR SEALANT	SUP-33001	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
PROGEL AIR SEALANT	SUP-33001	CDM			270	RC		inpatient			3000	3000																																																			
Fix This	SUP-4195103	CDM			275	RC		outpatient			3000	3	1470				percent of total billed charges		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
Fix This	SUP-4195103	CDM			275	RC		inpatient			3000	3000																																																			
Fix This	SUP-419588	CDM			275	RC		outpatient			3000	3	1470				percent of total billed charges		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
Fix This	SUP-419588	CDM			275	RC		inpatient			3000	3000																																																			
GRAFT SOFT TISSUE SEMITENDINOSUS TENDON L220-300 MM FROZEN STERILE	SUP-453015	CDM	270010031	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFT SOFT TISSUE SEMITENDINOSUS TENDON L220-300 MM FROZEN STERILE	SUP-453015	CDM	270010031	LOCAL	270	RC		inpatient			3000	3000																																																			
CUP UNIVERSAL REVERSE NEUTRAL 36MM	SUP-56020	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CUP UNIVERSAL REVERSE NEUTRAL 36MM	SUP-56020	CDM			278	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 127 D 2 39 MM OFFSET L124 MM L30 MM HIP CEMENTED NECK	SUP-6057-0230D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 127 D 2 39 MM OFFSET L124 MM L30 MM HIP CEMENTED NECK	SUP-6057-0230D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 127 D 3 43 MM OFFSET L131 MM L35 MM HIP CEMENTED NECK	SUP-6057-0335D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 127 D 3 43 MM OFFSET L131 MM L35 MM HIP CEMENTED NECK	SUP-6057-0335D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 127 D 4 46 MM OFFSET L137 MM L35 MM HIP CEMENTED	SUP-6057-0435D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 127 D 4 46 MM OFFSET L137 MM L35 MM HIP CEMENTED	SUP-6057-0435D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 127 D 5 48 MM OFFSET L145 MM L37 MM HIP NECK CEMENTED	SUP-6057-0537D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 127 D 5 48 MM OFFSET L145 MM L37 MM HIP NECK CEMENTED	SUP-6057-0537D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 127 D 6 49 MM OFFSET L158 MM L37 MM HIP CEMENTED NECK	SUP-6057-0637D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 127 D 6 49 MM OFFSET L158 MM L37 MM HIP CEMENTED NECK	SUP-6057-0637D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 127 D 7 52 MM OFFSET L158 MM L40 MM HIP CEMENTED NECK	SUP-6057-0740D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 127 D 7 52 MM OFFSET L158 MM L40 MM HIP CEMENTED NECK	SUP-6057-0740D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE C 132 D 2 L30 MM HIP CEMENT	SUP-6058-0230D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE C 132 D 2 L30 MM HIP CEMENT	SUP-6058-0230D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 132 D 3 39 MM OFFSET L131 MM L35 MM HIP CEMENTED NECK	SUP-6058-0335D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 132 D 3 39 MM OFFSET L131 MM L35 MM HIP CEMENTED NECK	SUP-6058-0335D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 132 D 4 42 MM OFFSET L137 MM L35 MM HIP CEMENTED NECK	SUP-6058-0435D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 132 D 4 42 MM OFFSET L137 MM L35 MM HIP CEMENTED NECK	SUP-6058-0435D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE 132DEG CEMENTED SIZE 5	SUP-6058-0537D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE 132DEG CEMENTED SIZE 5	SUP-6058-0537D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE C 132 D 6 L37 MM HIP CEMENT	SUP-6058-0637D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE C 132 D 6 L37 MM HIP CEMENT	SUP-6058-0637D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL ACCOLADE C 7 L40 MM HIP CEMENT	SUP-6058-0740D	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL ACCOLADE C 7 L40 MM HIP CEMENT	SUP-6058-0740D	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 4 33 MM OFFSET L100 MM L25 MM OD8.1 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0425	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 4 33 MM OFFSET L100 MM L25 MM OD8.1 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0425	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 5 39 MM OFFSET L110 MM L30 MM OD8.9 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0530	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 5 39 MM OFFSET L110 MM L30 MM OD8.9 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0530	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 6 40 MM OFFSET L120 MM L30 MM OD9.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0630	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 6 40 MM OFFSET L120 MM L30 MM OD9.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0630	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 7 45 MM OFFSET L130 MM L35 MM OD10.4 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0735	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 7 45 MM OFFSET L130 MM L35 MM OD10.4 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0735	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 8 46 MM OFFSET L135 MM L35 MM OD11.3 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0835	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 8 46 MM OFFSET L135 MM L35 MM OD11.3 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0835	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 9 51 MM OFFSET L140 MM L40 MM OD12.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0940	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 9 51 MM OFFSET L140 MM L40 MM OD12.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-0940	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 127 D 10 52 MM OFFSET L145 MM L40 MM OD13.8 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-1040	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 127 D 10 52 MM OFFSET L145 MM L40 MM OD13.8 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6097-1040	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 4 29 MM OFFSET L100 MM L25 MM OD8.1 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0425	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 4 29 MM OFFSET L100 MM L25 MM OD8.1 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0425	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 5 35 MM OFFSET L110 MM L30 MM OD8.9 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0530	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 5 35 MM OFFSET L110 MM L30 MM OD8.9 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0530	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 6 36 MM OFFSET L120 MM L30 MM OD9.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0630	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 6 36 MM OFFSET L120 MM L30 MM OD9.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0630	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 7 41 MM OFFSET L130 MM L35 MM OD10.4 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0735	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 7 41 MM OFFSET L130 MM L35 MM OD10.4 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0735	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 8 42 MM OFFSET L135 MM L35 MM OD11.3 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0835	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 8 42 MM OFFSET L135 MM L35 MM OD11.3 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0835	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 9 46 MM OFFSET L140 MM L40 MM OD12.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0940	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 9 46 MM OFFSET L140 MM L40 MM OD12.6 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-0940	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
STEM FEMORAL OMNIFIT EON COCR 132 D 10 47 MM OFFSET L145 MM L40 MM OD13.8 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-1040	CDM	270010024	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM FEMORAL OMNIFIT EON COCR 132 D 10 47 MM OFFSET L145 MM L40 MM OD13.8 MM HIP CEMENTED NECK TAPER CONDYLAR STABILIZE	SUP-6098-1040	CDM	270010024	LOCAL	270	RC		inpatient			3000	3000																																																			
CUP HUMERAL UNIVERS REVERS NEUTRAL OD39 MM SHOULDER SUTURE STERILE	SUP-64260	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CUP HUMERAL UNIVERS REVERS NEUTRAL OD39 MM SHOULDER SUTURE STERILE	SUP-64260	CDM			278	RC		inpatient			3000	3000																																																			
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD L201MM X W 10.9MM X H3.4MM W25MMX H2.5MM TIBIAL LEFT PROXIMAL MEDIAL 16 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463716	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD L201MM X W 10.9MM X H3.4MM W25MMX H2.5MM TIBIAL LEFT PROXIMAL MEDIAL 16 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463716	CDM			270	RC		inpatient			3000	3000																																																			
PLATE BONE EVOS STAINlESS STEEL 11 SPACE STANDARD L 201 MM X W 10.9 MM X H 3.4 MM W 25 MM X H 2.5MM TIBIAL RIGHT PROXIMAL MEDIAL 16 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463816	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE BONE EVOS STAINlESS STEEL 11 SPACE STANDARD L 201 MM X W 10.9 MM X H 3.4 MM W 25 MM X H 2.5MM TIBIAL RIGHT PROXIMAL MEDIAL 16 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463816	CDM			270	RC		inpatient			3000	3000																																																			
STAPLER EEA CIRCULAR XLONG	SUP-74-00407	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STAPLER EEA CIRCULAR XLONG	SUP-74-00407	CDM			272	RC		inpatient			3000	3000																																																			
GRAFT VENTRIO ST HERNIA 13.8 X 17.8	SUP-75-00082	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFT VENTRIO ST HERNIA 13.8 X 17.8	SUP-75-00082	CDM			278	RC		inpatient			3000	3000																																																			
GRAFT VENTRALIGHT ST 7X9 (5954790)	SUP-75-00089	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFT VENTRALIGHT ST 7X9 (5954790)	SUP-75-00089	CDM			278	RC		inpatient			3000	3000																																																			
GRAFT VENTRALIGHT 6X10 OVAL (5954610)	SUP-75-00094	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFT VENTRALIGHT 6X10 OVAL (5954610)	SUP-75-00094	CDM			278	RC		inpatient			3000	3000																																																			
FISTULA  PLUG (G53614)	SUP-75-00106	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FISTULA  PLUG (G53614)	SUP-75-00106	CDM			278	RC		inpatient			3000	3000																																																			
GRAFT PROLAYER MESHED 5X5CM 3102-2555	SUP-75-00176	CDM			636	RC		inpatient			3000	3000																																																			
EASY CLIP COMP STAPLE 12X15X13	SUP-78-00417	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
EASY CLIP COMP STAPLE 12X15X13	SUP-78-00417	CDM			278	RC		inpatient			3000	3000																																																			
ADVANTAGE FIT	SUP-81-00015	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ADVANTAGE FIT	SUP-81-00015	CDM			278	RC		inpatient			3000	3000																																																			
OSSTAPLE  18 X18 X 15 X 2MM	SUP-84-00035	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
OSSTAPLE  18 X18 X 15 X 2MM	SUP-84-00035	CDM			278	RC		inpatient			3000	3000																																																			
KIT EDGE 180	SUP-95-01783	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
KIT EDGE 180	SUP-95-01783	CDM			272	RC		inpatient			3000	3000																																																			
15MM OVAL ARGON SNARE PROBE	SUP-95-02007	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
15MM OVAL ARGON SNARE PROBE	SUP-95-02007	CDM			272	RC		inpatient			3000	3000																																																			
PROBE ST 8G 9CM MAMMOTOME REVOLVE	SUP-95-02760	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
PROBE ST 8G 9CM MAMMOTOME REVOLVE	SUP-95-02760	CDM			272	RC		inpatient			3000	3000																																																			
PROBE ST 8G 12CM MAMMOTOME REVOLVE	SUP-95-02761	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
PROBE ST 8G 12CM MAMMOTOME REVOLVE	SUP-95-02761	CDM			272	RC		inpatient			3000	3000																																																			
3.5 UNIVERSAL DRILL GUIDE	SUP-95-02844	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
3.5 UNIVERSAL DRILL GUIDE	SUP-95-02844	CDM			272	RC		inpatient			3000	3000																																																			
IMPLANT SYSTEM PARS SUTURE KIT	SUP-95-03267	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
IMPLANT SYSTEM PARS SUTURE KIT	SUP-95-03267	CDM			278	RC		inpatient			3000	3000																																																			
PRIMATRIX MASHED 5X5CM	SUP-95-04038	CDM			636	RC		inpatient			3000	3000																																																			
PRIMATRIX MASHED 5X5CM	SUP-95-04038	CDM			636	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	47.71				fee schedule						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		745.8				percent of total billed charges						other	OPPS APC	1470	1470	
SLING OBTRYX II HALO	SUP-95-04458	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SLING OBTRYX II HALO	SUP-95-04458	CDM			278	RC		inpatient			3000	3000																																																			
BONE MARROW BIOPSY NEEDLE - 102MM	SUP-95-05070	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BONE MARROW BIOPSY NEEDLE - 102MM	SUP-95-05070	CDM			272	RC		inpatient			3000	3000																																																			
ENDOCLOT HEMOSTATIC SYSTEM 3G	SUP-95-05400	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
ENDOCLOT HEMOSTATIC SYSTEM 3G	SUP-95-05400	CDM			272	RC		inpatient			3000	3000																																																			
PLATE OLECRANON 4 HOLE RIGHT	SUP-95-05421	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE OLECRANON 4 HOLE RIGHT	SUP-95-05421	CDM			278	RC		inpatient			3000	3000																																																			
VENTRALIGHT ST 6X8 ELLIPSE	SUP-97-00217	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
VENTRALIGHT ST 6X8 ELLIPSE	SUP-97-00217	CDM			278	RC		inpatient			3000	3000																																																			
VENTRIO ST MED OVAL 11 X 14	SUP-97-00235	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
VENTRIO ST MED OVAL 11 X 14	SUP-97-00235	CDM			278	RC		inpatient			3000	3000																																																			
PROPATEN GRAFT	SUP-97-00256	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PROPATEN GRAFT	SUP-97-00256	CDM			278	RC		inpatient			3000	3000																																																			
GRAFIX PRIME CELLULAR MATRIX 2X2	SUP-97-00298	CDM			636	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	154.64				fee schedule		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		745.8				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFIX PRIME CELLULAR MATRIX 2X2	SUP-97-00298	CDM			636	RC		inpatient			3000	3000																																																			
GRAFT DBM PUTTY 5CC (3102-1005)	SUP-97-00388	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFT DBM PUTTY 5CC (3102-1005)	SUP-97-00388	CDM			278	RC		inpatient			3000	3000																																																			
DEM GEL	SUP-97-00389	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
DEM GEL	SUP-97-00389	CDM			278	RC		inpatient			3000	3000																																																			
LINER CEMENTLESS	SUP-97-00897	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LINER CEMENTLESS	SUP-97-00897	CDM			278	RC		inpatient			3000	3000																																																			
SWANSON FLEXIBLE HINGE TOE IMPLANT 4S	SUP-97-00904	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SWANSON FLEXIBLE HINGE TOE IMPLANT 4S	SUP-97-00904	CDM			278	RC		inpatient			3000	3000																																																			
SMART TOE II	SUP-97-00980	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SMART TOE II	SUP-97-00980	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-00991	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-00991	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER  FEMORAL RIGHT	SUP-97-00992	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER  FEMORAL RIGHT	SUP-97-00992	CDM			278	RC		inpatient			3000	3000																																																			
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-00993	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-00993	CDM			278	RC		inpatient			3000	3000																																																			
GRAFIX PRIME  2CM X 3CM	SUP-97-01000	CDM			636	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	154.64				fee schedule		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		745.8				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFIX PRIME  2CM X 3CM	SUP-97-01000	CDM			636	RC		inpatient			3000	3000																																																			
ZUK PSI GUIDE	SUP-97-01009	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
ZUK PSI GUIDE	SUP-97-01009	CDM			272	RC		inpatient			3000	3000																																																			
ZUK PSI GUIDE	SUP-97-01010	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
ZUK PSI GUIDE	SUP-97-01010	CDM			272	RC		inpatient			3000	3000																																																			
PATELLANEXGEN PROLONG ALL POLY 32MM	SUP-97-01026	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PATELLANEXGEN PROLONG ALL POLY 32MM	SUP-97-01026	CDM			278	RC		inpatient			3000	3000																																																			
PSN STR HYB ST 14X30+M	SUP-97-01061	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PSN STR HYB ST 14X30+M	SUP-97-01061	CDM			278	RC		inpatient			3000	3000																																																			
SMART TOE ST0-15	SUP-97-01067	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SMART TOE ST0-15	SUP-97-01067	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-01080	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-01080	CDM			278	RC		inpatient			3000	3000																																																			
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-01081	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-01081	CDM			278	RC		inpatient			3000	3000																																																			
KEELED GLENOID PREMIERON SIZE 44	SUP-97-01162	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
KEELED GLENOID PREMIERON SIZE 44	SUP-97-01162	CDM			278	RC		inpatient			3000	3000																																																			
ADANTAGE HUMERAL HEAD	SUP-97-01163	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ADANTAGE HUMERAL HEAD	SUP-97-01163	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL NAIL	SUP-97-01204	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL NAIL	SUP-97-01204	CDM			278	RC		inpatient			3000	3000																																																			
KEELED GLENOID PREMIERON SIZE 40	SUP-97-01218	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
KEELED GLENOID PREMIERON SIZE 40	SUP-97-01218	CDM			278	RC		inpatient			3000	3000																																																			
PATELLA NEXGEN PROLONG ALL POLY 38MM	SUP-97-01235	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PATELLA NEXGEN PROLONG ALL POLY 38MM	SUP-97-01235	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H	SUP-97-01253	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H	SUP-97-01253	CDM			278	RC		inpatient			3000	3000																																																			
SMART TOE	SUP-97-01255	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SMART TOE	SUP-97-01255	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL NAIL 12 X 300MM T2 STANDARD	SUP-97-01297	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL NAIL 12 X 300MM T2 STANDARD	SUP-97-01297	CDM			278	RC		inpatient			3000	3000																																																			
ANATOMIC PROXIMAL BODY	SUP-97-01307	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ANATOMIC PROXIMAL BODY	SUP-97-01307	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H 2H	SUP-97-01311	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H 2H	SUP-97-01311	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H 3H	SUP-97-01312	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H 3H	SUP-97-01312	CDM			278	RC		inpatient			3000	3000																																																			
ADANTAGE HUMERAL HEAD	SUP-97-01328	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ADANTAGE HUMERAL HEAD	SUP-97-01328	CDM			278	RC		inpatient			3000	3000																																																			
KEELED GLENOID PREMIERON SIZE 40	SUP-97-01329	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
KEELED GLENOID PREMIERON SIZE 40	SUP-97-01329	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL NAIL 10 X 360MM T2 STANDARD	SUP-97-01364	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL NAIL 10 X 360MM T2 STANDARD	SUP-97-01364	CDM			278	RC		inpatient			3000	3000																																																			
NEXGEN TIBIAL AUGMENT BLOCK 5MM SIZE 4	SUP-97-01371	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NEXGEN TIBIAL AUGMENT BLOCK 5MM SIZE 4	SUP-97-01371	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-01394	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-01394	CDM			278	RC		inpatient			3000	3000																																																			
SMART TOE	SUP-97-01399	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SMART TOE	SUP-97-01399	CDM			278	RC		inpatient			3000	3000																																																			
SMART TOE	SUP-97-01400	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SMART TOE	SUP-97-01400	CDM			278	RC		inpatient			3000	3000																																																			
LINER CEMENTLESS	SUP-97-01414	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LINER CEMENTLESS	SUP-97-01414	CDM			278	RC		inpatient			3000	3000																																																			
CLAVICAL 7 HOLE / LEFT	SUP-97-01437	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CLAVICAL 7 HOLE / LEFT	SUP-97-01437	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL BEARING INSERT-PS 11MM	SUP-97-01478	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL BEARING INSERT-PS 11MM	SUP-97-01478	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL 6H HD	SUP-97-01525	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL 6H HD	SUP-97-01525	CDM			278	RC		inpatient			3000	3000																																																			
LO- PRO STR MTP PLTSTDTI	SUP-97-01566	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LO- PRO STR MTP PLTSTDTI	SUP-97-01566	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLILZED FEMORAL	SUP-97-01573	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLILZED FEMORAL	SUP-97-01573	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLILZED FEMORAL	SUP-97-01613	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLILZED FEMORAL	SUP-97-01613	CDM			278	RC		inpatient			3000	3000																																																			
SMART TOE II	SUP-97-01640	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SMART TOE II	SUP-97-01640	CDM			278	RC		inpatient			3000	3000																																																			
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE 7	SUP-97-01659	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE 7	SUP-97-01659	CDM			278	RC		inpatient			3000	3000																																																			
3.5MM LCP CLAVICLE PLATE 8/HLEFT 115MM	SUP-97-01697	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
3.5MM LCP CLAVICLE PLATE 8/HLEFT 115MM	SUP-97-01697	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL NAIL 12 X 390MM T2 STANDARD	SUP-97-01712	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL NAIL 12 X 390MM T2 STANDARD	SUP-97-01712	CDM			278	RC		inpatient			3000	3000																																																			
4 HOLE DLB COMP PLATE 20MM	SUP-97-01782	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
4 HOLE DLB COMP PLATE 20MM	SUP-97-01782	CDM			278	RC		inpatient			3000	3000																																																			
FEMORAL HEAD	SUP-97-01816	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FEMORAL HEAD	SUP-97-01816	CDM			278	RC		inpatient			3000	3000																																																			
PATELLA NEXGEN PROLONG ALL POLY 41MM	SUP-97-01837	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PATELLA NEXGEN PROLONG ALL POLY 41MM	SUP-97-01837	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL CUP 32MM  4MM	SUP-97-01860	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL CUP 32MM  4MM	SUP-97-01860	CDM			278	RC		inpatient			3000	3000																																																			
CONCENTRIC GLENOSPHERE 32MM	SUP-97-01872	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CONCENTRIC GLENOSPHERE 32MM	SUP-97-01872	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL INSERT	SUP-97-01874	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL INSERT	SUP-97-01874	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER  FEMORAL RIGHT	SUP-97-01888	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER  FEMORAL RIGHT	SUP-97-01888	CDM			278	RC		inpatient			3000	3000																																																			
EASY CLIP MONCRTCL FIXN DEVICE 10X10X10	SUP-97-01900	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
EASY CLIP MONCRTCL FIXN DEVICE 10X10X10	SUP-97-01900	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL BASEPLATE	SUP-97-01924	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL BASEPLATE	SUP-97-01924	CDM			278	RC		inpatient			3000	3000																																																			
2.7MM VA-LCP 2-LATERAL DISTALFIBULAR	SUP-97-01953	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.7MM VA-LCP 2-LATERAL DISTALFIBULAR	SUP-97-01953	CDM			278	RC		inpatient			3000	3000																																																			
SPEED COMPRESSION IMPLANT KIT 13X12MM	SUP-97-01971	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SPEED COMPRESSION IMPLANT KIT 13X12MM	SUP-97-01971	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL INSERT 3/36	SUP-97-01974	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL INSERT 3/36	SUP-97-01974	CDM			278	RC		inpatient			3000	3000																																																			
LOSPA TIBIAL INSERT CR 5/14MM	SUP-97-01994	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LOSPA TIBIAL INSERT CR 5/14MM	SUP-97-01994	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-02019	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER FEMORAL LEFT	SUP-97-02019	CDM			278	RC		inpatient			3000	3000																																																			
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-02021	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE	SUP-97-02021	CDM			278	RC		inpatient			3000	3000																																																			
NEXGEN PROLONG ALL-POLY PATELLA 35MM	SUP-97-02045	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NEXGEN PROLONG ALL-POLY PATELLA 35MM	SUP-97-02045	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL NAIL 12 x 330MM T2 STANDARD	SUP-97-02053	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL NAIL 12 x 330MM T2 STANDARD	SUP-97-02053	CDM			278	RC		inpatient			3000	3000																																																			
LINER CEMENTLESS	SUP-97-02087	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LINER CEMENTLESS	SUP-97-02087	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL	SUP-97-02130	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL	SUP-97-02130	CDM			278	RC		inpatient			3000	3000																																																			
LINER CEMENTLESS	SUP-97-02135	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LINER CEMENTLESS	SUP-97-02135	CDM			278	RC		inpatient			3000	3000																																																			
OFFSET ADAPTER	SUP-97-02244	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
OFFSET ADAPTER	SUP-97-02244	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER FEMORAL RIGHT	SUP-97-02287	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER FEMORAL RIGHT	SUP-97-02287	CDM			278	RC		inpatient			3000	3000																																																			
NAIL KIT TI TROCHANTERIC 11 X 180 X 125	SUP-97-02313	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NAIL KIT TI TROCHANTERIC 11 X 180 X 125	SUP-97-02313	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER FEMORAL 8 RIGHT	SUP-97-02330	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER FEMORAL 8 RIGHT	SUP-97-02330	CDM			278	RC		inpatient			3000	3000																																																			
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE 8	SUP-97-02331	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
UNIVERSAL TIBUAL BASEPLATE TOTAL KNEE 8	SUP-97-02331	CDM			278	RC		inpatient			3000	3000																																																			
MEDIUM HEANS LEFT PLATE	SUP-97-02352	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
MEDIUM HEANS LEFT PLATE	SUP-97-02352	CDM			278	RC		inpatient			3000	3000																																																			
ACUTE AC REPAIR KIT	SUP-97-02424	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
ACUTE AC REPAIR KIT	SUP-97-02424	CDM			272	RC		inpatient			3000	3000																																																			
PROSTOP SUBTALAR	SUP-97-02441	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
PROSTOP SUBTALAR	SUP-97-02441	CDM			272	RC		inpatient			3000	3000																																																			
HELICAL BLADE 95MM TFNA	SUP-97-02460	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HELICAL BLADE 95MM TFNA	SUP-97-02460	CDM			278	RC		inpatient			3000	3000																																																			
HELICAL BLADE 105MM TFNA	SUP-97-02490	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HELICAL BLADE 105MM TFNA	SUP-97-02490	CDM			278	RC		inpatient			3000	3000																																																			
PLATE 2 HOLE LOCKING 20MM	SUP-97-02492	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE 2 HOLE LOCKING 20MM	SUP-97-02492	CDM			278	RC		inpatient			3000	3000																																																			
COMPRESSIVE STAPLE	SUP-97-02505	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
COMPRESSIVE STAPLE	SUP-97-02505	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR STABLIZER  FEMORAL LEFT	SUP-97-02515	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR STABLIZER  FEMORAL LEFT	SUP-97-02515	CDM			278	RC		inpatient			3000	3000																																																			
LINER CEMENTLESS 36MM C	SUP-97-02579	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LINER CEMENTLESS 36MM C	SUP-97-02579	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL BASEPLATE	SUP-97-02645	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL BASEPLATE	SUP-97-02645	CDM			278	RC		inpatient			3000	3000																																																			
STEM EXTENSION STRAIGHT - NEXGEN	SUP-97-02715	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM EXTENSION STRAIGHT - NEXGEN	SUP-97-02715	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL HALF BLOCK AUGMENT - NEXGEN	SUP-97-02717	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL HALF BLOCK AUGMENT - NEXGEN	SUP-97-02717	CDM			278	RC		inpatient			3000	3000																																																			
STEM EXTENSION	SUP-97-02727	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STEM EXTENSION	SUP-97-02727	CDM			278	RC		inpatient			3000	3000																																																			
PATELLA NEXGEN PROLONG ALL POLY 35MM	SUP-97-02751	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PATELLA NEXGEN PROLONG ALL POLY 35MM	SUP-97-02751	CDM			278	RC		inpatient			3000	3000																																																			
PATELLA NEXGEN PROLONG ALL POLY 32MM	SUP-97-02752	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PATELLA NEXGEN PROLONG ALL POLY 32MM	SUP-97-02752	CDM			278	RC		inpatient			3000	3000																																																			
POSTERIOR AUGMENT COMBO SZ3 4MM	SUP-97-02756	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
POSTERIOR AUGMENT COMBO SZ3 4MM	SUP-97-02756	CDM			278	RC		inpatient			3000	3000																																																			
EPIFIX 2X3MM	SUP-97-02770	CDM			636	RC		outpatient			3000	3	1470				percent of total billed charges		3000				other	OPPS APC	178.33				fee schedule		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		745.8				percent of total billed charges		3				other	OPPS APC	3	3000	
EPIFIX 2X3MM	SUP-97-02770	CDM			636	RC		inpatient			3000	3000																																																			
EPIFIX 2X2MM (GS-5220)	SUP-97-02773	CDM			636	RC		outpatient			3000	3	1470				percent of total billed charges		3000				other	OPPS APC	178.33				fee schedule		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		745.8				percent of total billed charges		3				other	OPPS APC	3	3000	
EPIFIX 2X2MM (GS-5220)	SUP-97-02773	CDM			636	RC		inpatient			3000	3000																																																			
SYSDISTAL BICEPS BC	SUP-97-02804	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SYSDISTAL BICEPS BC	SUP-97-02804	CDM			278	RC		inpatient			3000	3000																																																			
MTP PLATE LEFT 5 DEGREE MED	SUP-97-02819	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
MTP PLATE LEFT 5 DEGREE MED	SUP-97-02819	CDM			278	RC		inpatient			3000	3000																																																			
PLATE 3.5MM LCP SUP CLAVICLE	SUP-97-02827	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE 3.5MM LCP SUP CLAVICLE	SUP-97-02827	CDM			278	RC		inpatient			3000	3000																																																			
ACUTE AC JOINT KIT	SUP-97-02833	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ACUTE AC JOINT KIT	SUP-97-02833	CDM			278	RC		inpatient			3000	3000																																																			
TRIPLE PLAY DEVICE 4.0MM	SUP-97-02870	CDM						inpatient			3000	3000																																																			
TRIPLE PLAY DEVICE 4.0MM	SUP-97-02870	CDM						outpatient			3000	3	3000				percent of total billed charges		3000				other	OPPS APC	3000				fee schedule		3000				other	OPPS APC	3000				other	OPPS APC	3000				case rate		3000				case rate		3				other	OPPS APC	3	3000	
LISFRANC  OBLIQUE L  3-HOLE PLATE  RIGHT	SUP-97-02882	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
LISFRANC  OBLIQUE L  3-HOLE PLATE  RIGHT	SUP-97-02882	CDM			278	RC		inpatient			3000	3000																																																			
TRILOCK OLECRANON PLATE 10 HOLE  R	SUP-97-02901	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRILOCK OLECRANON PLATE 10 HOLE  R	SUP-97-02901	CDM			278	RC		inpatient			3000	3000																																																			
TRILOCK OLECRANON PLATE 10 HOLE  L	SUP-97-02902	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRILOCK OLECRANON PLATE 10 HOLE  L	SUP-97-02902	CDM			278	RC		inpatient			3000	3000																																																			
TRI LM/RL TIB AUG SZ7 5MM	SUP-97-02921	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI LM/RL TIB AUG SZ7 5MM	SUP-97-02921	CDM			278	RC		inpatient			3000	3000																																																			
TRI POST AUGMEMT SZ7 10MM	SUP-97-02925	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI POST AUGMEMT SZ7 10MM	SUP-97-02925	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON  FEM DISTAL AUG15MM SZ7 LEFT	SUP-97-02926	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON  FEM DISTAL AUG15MM SZ7 LEFT	SUP-97-02926	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON  FEM DISTAL AUG15MM SZ7 RIGHT	SUP-97-02927	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON  FEM DISTAL AUG15MM SZ7 RIGHT	SUP-97-02927	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON  FEM DISTAL AUG 5MM SZ7 RIGHT	SUP-97-02928	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON  FEM DISTAL AUG 5MM SZ7 RIGHT	SUP-97-02928	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON  FEM DISTAL AUG 5MM SZ7 LEFT	SUP-97-02929	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON  FEM DISTAL AUG 5MM SZ7 LEFT	SUP-97-02929	CDM			278	RC		inpatient			3000	3000																																																			
TRI LM/RL TIB AUG SZ7 SMM	SUP-97-02931	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI LM/RL TIB AUG SZ7 SMM	SUP-97-02931	CDM			278	RC		inpatient			3000	3000																																																			
MOTOCLIP18MMX14MM	SUP-97-02958	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
MOTOCLIP18MMX14MM	SUP-97-02958	CDM			278	RC		inpatient			3000	3000																																																			
UNITE ANT BODY 135 SZ 14	SUP-97-02997	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
UNITE ANT BODY 135 SZ 14	SUP-97-02997	CDM			278	RC		inpatient			3000	3000																																																			
CROSSLINK FIN GLENOID 52	SUP-97-02998	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CROSSLINK FIN GLENOID 52	SUP-97-02998	CDM			278	RC		inpatient			3000	3000																																																			
PLATE OLECRANON LEFT 4 HOLE	SUP-97-03028	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE OLECRANON LEFT 4 HOLE	SUP-97-03028	CDM			278	RC		inpatient			3000	3000																																																			
TRI LM/RL TIB AUG SZ2 5MM	SUP-97-03138	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI LM/RL TIB AUG SZ2 5MM	SUP-97-03138	CDM			278	RC		inpatient			3000	3000																																																			
HELICAL BLADE 100MM TFNA	SUP-97-03141	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HELICAL BLADE 100MM TFNA	SUP-97-03141	CDM			278	RC		inpatient			3000	3000																																																			
HELICAL FENESTRATED BLADE 90MM TFNA	SUP-97-03180	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HELICAL FENESTRATED BLADE 90MM TFNA	SUP-97-03180	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H	SUP-97-03242	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL7H	SUP-97-03242	CDM			278	RC		inpatient			3000	3000																																																			
TRI POST AUGMENT SZ6.5	SUP-97-03244	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI POST AUGMENT SZ6.5	SUP-97-03244	CDM			278	RC		inpatient			3000	3000																																																			
TRI RM/LL TIB AUG SZ7 5MM	SUP-97-03246	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI RM/LL TIB AUG SZ7 5MM	SUP-97-03246	CDM			278	RC		inpatient			3000	3000																																																			
OFFSET ADAPTER	SUP-97-03247	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
OFFSET ADAPTER	SUP-97-03247	CDM			278	RC		inpatient			3000	3000																																																			
SWANSON FLEXSPAN FLEXIBLE HINGE TOE 3S	SUP-97-03261	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SWANSON FLEXSPAN FLEXIBLE HINGE TOE 3S	SUP-97-03261	CDM			278	RC		inpatient			3000	3000																																																			
PROXIMAL ULIN PLATE	SUP-97-03267	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PROXIMAL ULIN PLATE	SUP-97-03267	CDM			278	RC		inpatient			3000	3000																																																			
PLATE DISTAL PSTER LATERAL 6H/RT	SUP-97-03284	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE DISTAL PSTER LATERAL 6H/RT	SUP-97-03284	CDM			278	RC		inpatient			3000	3000																																																			
PLATE SUPERIOR LATERAL 3 HOLE LEFT 74MM	SUP-97-03293	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE SUPERIOR LATERAL 3 HOLE LEFT 74MM	SUP-97-03293	CDM			278	RC		inpatient			3000	3000																																																			
NEXGEN LPS FLEX FIXED PROLONG EF5-6.20M	SUP-97-03322	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NEXGEN LPS FLEX FIXED PROLONG EF5-6.20M	SUP-97-03322	CDM			278	RC		inpatient			3000	3000																																																			
PLATE INCREASED SUPERIOR 8H/LFT	SUP-97-03363	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE INCREASED SUPERIOR 8H/LFT	SUP-97-03363	CDM			278	RC		inpatient			3000	3000																																																			
HEVANS? PLATE  MEDIUM  LEFT  20MM	SUP-97-03417	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HEVANS? PLATE  MEDIUM  LEFT  20MM	SUP-97-03417	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM 2.7MM VA- LCP MTP FUSION 5 DEG/RT	SUP-97-03567	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM 2.7MM VA- LCP MTP FUSION 5 DEG/RT	SUP-97-03567	CDM			278	RC		inpatient			3000	3000																																																			
AMNIOFILL 500MG	SUP-97-03624	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
AMNIOFILL 500MG	SUP-97-03624	CDM			272	RC		inpatient			3000	3000																																																			
NAIL TROCH FOR THE GAMMA 3	SUP-97-03661	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NAIL TROCH FOR THE GAMMA 3	SUP-97-03661	CDM			278	RC		inpatient			3000	3000																																																			
PATELLA NEXGEN PROLONG ALL POLY 38MM	SUP-97-03682	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PATELLA NEXGEN PROLONG ALL POLY 38MM	SUP-97-03682	CDM			278	RC		inpatient			3000	3000																																																			
TRI LM/RL TIBIAL AUGMENT SIZE 4 5MM	SUP-97-03750	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI LM/RL TIBIAL AUGMENT SIZE 4 5MM	SUP-97-03750	CDM			278	RC		inpatient			3000	3000																																																			
TRI RM/LL TIBIAL AUGMENT SIZE 4  5MM	SUP-97-03751	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI RM/LL TIBIAL AUGMENT SIZE 4  5MM	SUP-97-03751	CDM			278	RC		inpatient			3000	3000																																																			
PLATE SUPERIOR LATERAL 3H/RT	SUP-97-03768	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE SUPERIOR LATERAL 3H/RT	SUP-97-03768	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL AUGMENT HALF BLOCK	SUP-97-03798	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL AUGMENT HALF BLOCK	SUP-97-03798	CDM			278	RC		inpatient			3000	3000																																																			
FEMORAL DISTAL  AUGMENT RT	SUP-97-03799	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FEMORAL DISTAL  AUGMENT RT	SUP-97-03799	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL AUGMENT HALF BLOCK	SUP-97-03801	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL AUGMENT HALF BLOCK	SUP-97-03801	CDM			278	RC		inpatient			3000	3000																																																			
NAIL TROCANTERIC GAMMA 3 10 X 170MM X 130 DEGREE	SUP-97-03941	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NAIL TROCANTERIC GAMMA 3 10 X 170MM X 130 DEGREE	SUP-97-03941	CDM			278	RC		inpatient			3000	3000																																																			
MOTOCLIP SUPER ELASTIC IMPLANT 20MMX20	SUP-97-03979	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
MOTOCLIP SUPER ELASTIC IMPLANT 20MMX20	SUP-97-03979	CDM			278	RC		inpatient			3000	3000																																																			
36MM COCR MOD HD-6MM	SUP-97-04028	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
36MM COCR MOD HD-6MM	SUP-97-04028	CDM			278	RC		inpatient			3000	3000																																																			
TRI TS BASEPLATE SIZE 2	SUP-97-04046	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI TS BASEPLATE SIZE 2	SUP-97-04046	CDM			278	RC		inpatient			3000	3000																																																			
TRI RM/LL TIB AUG SZ2 5MM	SUP-97-04047	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI RM/LL TIB AUG SZ2 5MM	SUP-97-04047	CDM			278	RC		inpatient			3000	3000																																																			
TRI POST AUGMENT SZ3 5MM	SUP-97-04049	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI POST AUGMENT SZ3 5MM	SUP-97-04049	CDM			278	RC		inpatient			3000	3000																																																			
PLATE VOLAR NARROW LEFT LONG	SUP-97-04091	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE VOLAR NARROW LEFT LONG	SUP-97-04091	CDM			278	RC		inpatient			3000	3000																																																			
2.4MM RADIUS PL 7H HD/5H SHAFT/RIGHT	SUP-97-04103	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
2.4MM RADIUS PL 7H HD/5H SHAFT/RIGHT	SUP-97-04103	CDM			278	RC		inpatient			3000	3000																																																			
PLATE DECREASED - 6 HOLE BRIDGE / RIGHT	SUP-97-04216	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE DECREASED - 6 HOLE BRIDGE / RIGHT	SUP-97-04216	CDM			278	RC		inpatient			3000	3000																																																			
CALC FX PERC LONG ANTERIOR PROCESS R	SUP-97-04238	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CALC FX PERC LONG ANTERIOR PROCESS R	SUP-97-04238	CDM			278	RC		inpatient			3000	3000																																																			
P.F.C.*TIB STM EXT 4/5/6 30MM	SUP-97-04245	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
P.F.C.*TIB STM EXT 4/5/6 30MM	SUP-97-04245	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON FEM DISTAL 5MM-SIZE 2 RIGHT	SUP-97-04271	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON FEM DISTAL 5MM-SIZE 2 RIGHT	SUP-97-04271	CDM			278	RC		inpatient			3000	3000																																																			
36MM COCR MOD HD +6MM	SUP-97-04285	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
36MM COCR MOD HD +6MM	SUP-97-04285	CDM			278	RC		inpatient			3000	3000																																																			
CEMENTED TIBAL TRAY SZ4 TIB SZ 4 FEM	SUP-97-04298	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CEMENTED TIBAL TRAY SZ4 TIB SZ 4 FEM	SUP-97-04298	CDM			278	RC		inpatient			3000	3000																																																			
CEMENTED TIBAL SZ3TIB SZ 3 FEM	SUP-97-04325	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CEMENTED TIBAL SZ3TIB SZ 3 FEM	SUP-97-04325	CDM			278	RC		inpatient			3000	3000																																																			
EASYCUP FIXATION DEVICE 15X12X12	SUP-97-04330	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
EASYCUP FIXATION DEVICE 15X12X12	SUP-97-04330	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM CEMENTED	SUP-97-04333	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM CEMENTED	SUP-97-04333	CDM			278	RC		inpatient			3000	3000																																																			
X3 TRIA CS INS SIZE3 11MM	SUP-97-04354	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
X3 TRIA CS INS SIZE3 11MM	SUP-97-04354	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04363	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04363	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04371	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04371	CDM			278	RC		inpatient			3000	3000																																																			
PLATE RIGHT 8 HOLE	SUP-97-04435	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE RIGHT 8 HOLE	SUP-97-04435	CDM			278	RC		inpatient			3000	3000																																																			
DISTAL POSTORIOR PLATE 10 HOLES RT.	SUP-97-04436	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
DISTAL POSTORIOR PLATE 10 HOLES RT.	SUP-97-04436	CDM			278	RC		inpatient			3000	3000																																																			
DISTAL POSTORIOR PLATE 12 HOLES RT.	SUP-97-04437	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
DISTAL POSTORIOR PLATE 12 HOLES RT.	SUP-97-04437	CDM			278	RC		inpatient			3000	3000																																																			
OLECRANON PLATE 10 HOLES LT 161MM	SUP-97-04438	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
OLECRANON PLATE 10 HOLES LT 161MM	SUP-97-04438	CDM			278	RC		inpatient			3000	3000																																																			
OLECRANON PLATE 10 HOLES LT 184MM	SUP-97-04439	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
OLECRANON PLATE 10 HOLES LT 184MM	SUP-97-04439	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-04483	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-04483	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04527	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04527	CDM			278	RC		inpatient			3000	3000																																																			
ALLO SYNC PURE 5.0 CC	SUP-97-04544	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ALLO SYNC PURE 5.0 CC	SUP-97-04544	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON PS FEM CEMENTED	SUP-97-04625	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON PS FEM CEMENTED	SUP-97-04625	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON PS FEM CEMENTED	SUP-97-04626	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON PS FEM CEMENTED	SUP-97-04626	CDM			278	RC		inpatient			3000	3000																																																			
TRILOCK OLECRANON PLATE RT.TI6.7H	SUP-97-04679	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRILOCK OLECRANON PLATE RT.TI6.7H	SUP-97-04679	CDM			278	RC		inpatient			3000	3000																																																			
TRILOCK OLECRANON PLATE LT T1 6.7H	SUP-97-04680	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRILOCK OLECRANON PLATE LT T1 6.7H	SUP-97-04680	CDM			278	RC		inpatient			3000	3000																																																			
TRILOCK OLECRANON PI STRAIGHT TL6.7M	SUP-97-04694	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRILOCK OLECRANON PI STRAIGHT TL6.7M	SUP-97-04694	CDM			278	RC		inpatient			3000	3000																																																			
SELF PRESSURIZING GLENOID SZ 48	SUP-97-04704	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SELF PRESSURIZING GLENOID SZ 48	SUP-97-04704	CDM			278	RC		inpatient			3000	3000																																																			
CONTINUUM LONGEVITY ELEV LINER JJ36X54	SUP-97-04725	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CONTINUUM LONGEVITY ELEV LINER JJ36X54	SUP-97-04725	CDM			278	RC		inpatient			3000	3000																																																			
X3 HUMERAL INSERT 32MM X 6MM STANDARD	SUP-97-04766	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
X3 HUMERAL INSERT 32MM X 6MM STANDARD	SUP-97-04766	CDM			278	RC		inpatient			3000	3000																																																			
REUNION TSA X3 PEGGED GLENOID SIZE 44	SUP-97-04786	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
REUNION TSA X3 PEGGED GLENOID SIZE 44	SUP-97-04786	CDM			278	RC		inpatient			3000	3000																																																			
REUNION TSA SR STD. HUMERAL HEAD44X19	SUP-97-04788	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
REUNION TSA SR STD. HUMERAL HEAD44X19	SUP-97-04788	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON PS FEM COMPOENT CEMENTED	SUP-97-04789	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON PS FEM COMPOENT CEMENTED	SUP-97-04789	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL CUP 32MM DIA X 10MM THK	SUP-97-04851	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL CUP 32MM DIA X 10MM THK	SUP-97-04851	CDM			278	RC		inpatient			3000	3000																																																			
ALIGNMENT GUIDE PROPHECY INIFINITY	SUP-97-04902	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ALIGNMENT GUIDE PROPHECY INIFINITY	SUP-97-04902	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-04933	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-04933	CDM			278	RC		inpatient			3000	3000																																																			
PLATE TRILOCK OLECRANON TENSION 2.8	SUP-97-04950	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE TRILOCK OLECRANON TENSION 2.8	SUP-97-04950	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-04955	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-04955	CDM			278	RC		inpatient			3000	3000																																																			
IMPLANT SYSTEM CPR VIPER	SUP-97-04963	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
IMPLANT SYSTEM CPR VIPER	SUP-97-04963	CDM			278	RC		inpatient			3000	3000																																																			
6HOLE HARD 4 HOLE SHAFT 2 COL.2.4MM	SUP-97-04979	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
6HOLE HARD 4 HOLE SHAFT 2 COL.2.4MM	SUP-97-04979	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-04985	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-04985	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-05015	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-05015	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-05061	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-05061	CDM			278	RC		inpatient			3000	3000																																																			
TRI TS BASEPLATE SIZE 1	SUP-97-05110	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRI TS BASEPLATE SIZE 1	SUP-97-05110	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-05180	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-05180	CDM			278	RC		inpatient			3000	3000																																																			
FLEXIBLE HINGE TOE IMPLANT W/GROMT.#5S	SUP-97-05221	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FLEXIBLE HINGE TOE IMPLANT W/GROMT.#5S	SUP-97-05221	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-05223	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT-CEMENTED	SUP-97-05223	CDM			278	RC		inpatient			3000	3000																																																			
STAPLE DYNANITE NITI 9MM X 10MM	SUP-97-05285	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STAPLE DYNANITE NITI 9MM X 10MM	SUP-97-05285	CDM			278	RC		inpatient			3000	3000																																																			
STAPLE DYNANITE NITI 11MM X 10MM	SUP-97-05286	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STAPLE DYNANITE NITI 11MM X 10MM	SUP-97-05286	CDM			278	RC		inpatient			3000	3000																																																			
STAPLE DYNANITE NITI 11MM X 15/12MM	SUP-97-05287	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STAPLE DYNANITE NITI 11MM X 15/12MM	SUP-97-05287	CDM			278	RC		inpatient			3000	3000																																																			
REUNION TSA SR 4MM OFFSET HUM HEAD44X22	SUP-97-05291	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
REUNION TSA SR 4MM OFFSET HUM HEAD44X22	SUP-97-05291	CDM			278	RC		inpatient			3000	3000																																																			
MRH/GMRS DISTAL FEMUR POLY PACK	SUP-97-05303	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
MRH/GMRS DISTAL FEMUR POLY PACK	SUP-97-05303	CDM			278	RC		inpatient			3000	3000																																																			
MARKER BIOZORB LP 2 X 3 X 1CM	SUP-97-05422	CDM			278	RC		outpatient			3000	1412.2	3000				fee schedule		1412.02				other	OPPS APC	1710				percent of total billed charges		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		1412.2				other	OPPS APC	1412.02	3000	
MARKER BIOZORB LP 2 X 3 X 1CM	SUP-97-05422	CDM			278	RC		inpatient			3000	3000																																																			
MTP PLATE 0 DEGREE SHORT RIGHT	SUP-97-05521	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
MTP PLATE 0 DEGREE SHORT RIGHT	SUP-97-05521	CDM			278	RC		inpatient			3000	3000																																																			
X3 HUMERAL INSERT 36 X 4MM CONSTRAINED	SUP-97-05598	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
X3 HUMERAL INSERT 36 X 4MM CONSTRAINED	SUP-97-05598	CDM			278	RC		inpatient			3000	3000																																																			
PLATE 5 HOLE STRAIGHT COMPRESSION	SUP-97-05636	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE 5 HOLE STRAIGHT COMPRESSION	SUP-97-05636	CDM			278	RC		inpatient			3000	3000																																																			
CARBON ROD MONOTUBE	SUP-97-05644	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CARBON ROD MONOTUBE	SUP-97-05644	CDM			278	RC		inpatient			3000	3000																																																			
GRAFT 15 X 20CM (6 X 8IN) VENTRALIGHT W/ ECHO	SUP-97-05716	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
GRAFT 15 X 20CM (6 X 8IN) VENTRALIGHT W/ ECHO	SUP-97-05716	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL COMPONENT SIZE 7 16MM PS ALL POLY	SUP-97-05722	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL COMPONENT SIZE 7 16MM PS ALL POLY	SUP-97-05722	CDM			278	RC		inpatient			3000	3000																																																			
PLATE SUPERIOR LATERAL 4 HOLE RIGHT 86MM	SUP-97-05767	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE SUPERIOR LATERAL 4 HOLE RIGHT 86MM	SUP-97-05767	CDM			278	RC		inpatient			3000	3000																																																			
ARTICULAR SURFACE GH 7-10 10MM NEXGEN LPS FLEX FIXEX PROLONG	SUP-97-05786	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ARTICULAR SURFACE GH 7-10 10MM NEXGEN LPS FLEX FIXEX PROLONG	SUP-97-05786	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL INSERT 32 X 4MM X3 STANDARD	SUP-97-05791	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL INSERT 32 X 4MM X3 STANDARD	SUP-97-05791	CDM			278	RC		inpatient			3000	3000																																																			
TIBIAL COMPONENT SIZE 6 16MM	SUP-97-05814	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TIBIAL COMPONENT SIZE 6 16MM	SUP-97-05814	CDM			278	RC		inpatient			3000	3000																																																			
FEMORAL NAIL A/R R1500 11 X 320MM	SUP-97-05839	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FEMORAL NAIL A/R R1500 11 X 320MM	SUP-97-05839	CDM			278	RC		inpatient			3000	3000																																																			
SCREW 4 X 50MM CANNULATED COMPRESSION	SUP-97-05876	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SCREW 4 X 50MM CANNULATED COMPRESSION	SUP-97-05876	CDM			278	RC		inpatient			3000	3000																																																			
PLATE 4HOLE RIGHT OLECRANON	SUP-97-05896	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE 4HOLE RIGHT OLECRANON	SUP-97-05896	CDM			278	RC		inpatient			3000	3000																																																			
EASY CLIP MONCRTCL FIXN DEVICE 8X8X8	SUP-97-05918	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
EASY CLIP MONCRTCL FIXN DEVICE 8X8X8	SUP-97-05918	CDM			278	RC		inpatient			3000	3000																																																			
ARTICULAR SURFACE EF 5-6 12MM NEXGEN LPS-FLEX FIXED	SUP-97-05925	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ARTICULAR SURFACE EF 5-6 12MM NEXGEN LPS-FLEX FIXED	SUP-97-05925	CDM			278	RC		inpatient			3000	3000																																																			
PLATE PROXIMAL MEDIAL TIBIA RT 8 HOLE	SUP-97-05941	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE PROXIMAL MEDIAL TIBIA RT 8 HOLE	SUP-97-05941	CDM			278	RC		inpatient			3000	3000																																																			
PLATE 3.5MM 8 HOLE LEFT LCP SUPERIOR CLAVICLE	SUP-97-05957	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE 3.5MM 8 HOLE LEFT LCP SUPERIOR CLAVICLE	SUP-97-05957	CDM			278	RC		inpatient			3000	3000																																																			
PLATE SUP MIDSHAFT DECREASED CURVATURE 10 HOLE RIGHT	SUP-97-06027	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE SUP MIDSHAFT DECREASED CURVATURE 10 HOLE RIGHT	SUP-97-06027	CDM			278	RC		inpatient			3000	3000																																																			
INSERT UNI SIZE 3 10MM LM/RL	SUP-97-06035	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
INSERT UNI SIZE 3 10MM LM/RL	SUP-97-06035	CDM			278	RC		inpatient			3000	3000																																																			
PLATE BROAD Y 4 HOLE	SUP-97-06054	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE BROAD Y 4 HOLE	SUP-97-06054	CDM			278	RC		inpatient			3000	3000																																																			
PLATE PROXIMAL OLECRANON RIGHT 2 HOLE	SUP-97-06098	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE PROXIMAL OLECRANON RIGHT 2 HOLE	SUP-97-06098	CDM			278	RC		inpatient			3000	3000																																																			
PLATE TIBIAL DISTAL MEDIAL 4 HOLE LEFT	SUP-97-06112	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE TIBIAL DISTAL MEDIAL 4 HOLE LEFT	SUP-97-06112	CDM			278	RC		inpatient			3000	3000																																																			
FEMORAL HEAD - ZORC	SUP-97-06143	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FEMORAL HEAD - ZORC	SUP-97-06143	CDM			278	RC		inpatient			3000	3000																																																			
PLATE SINUS TARSI SUPPORT RIGHT LARGE	SUP-97-06168	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE SINUS TARSI SUPPORT RIGHT LARGE	SUP-97-06168	CDM			278	RC		inpatient			3000	3000																																																			
EASY CLIP BICORTICAL FIXATION DEVICE 10X15X13	SUP-97-06186	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
EASY CLIP BICORTICAL FIXATION DEVICE 10X15X13	SUP-97-06186	CDM			278	RC		inpatient			3000	3000																																																			
IMPLANT SYSTEM INTERNALBRACE KNEE LIGAMENT	SUP-97-06203	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
IMPLANT SYSTEM INTERNALBRACE KNEE LIGAMENT	SUP-97-06203	CDM			278	RC		inpatient			3000	3000																																																			
IMPLANT #0S FLEXIBLE HINGE TOE W/ GROMMETS	SUP-97-06206	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
IMPLANT #0S FLEXIBLE HINGE TOE W/ GROMMETS	SUP-97-06206	CDM			278	RC		inpatient			3000	3000																																																			
PLATE 0 DEGREE MEDIUM LEFT MTP	SUP-97-06210	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE 0 DEGREE MEDIUM LEFT MTP	SUP-97-06210	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL CUP 2MM THICKNESS 36MM REUNION RSA	SUP-97-06261	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL CUP 2MM THICKNESS 36MM REUNION RSA	SUP-97-06261	CDM			278	RC		inpatient			3000	3000																																																			
CENTERED REVERSED TRAY +0	SUP-97-06278	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
CENTERED REVERSED TRAY +0	SUP-97-06278	CDM			278	RC		inpatient			3000	3000																																																			
ARCOMXL 36MM RLC LNR MROM SZ24	SUP-97-06283	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
ARCOMXL 36MM RLC LNR MROM SZ24	SUP-97-06283	CDM			278	RC		inpatient			3000	3000																																																			
SCREW SOLID HEADLESS FULL THREAD 7.2 X 115MM JOUST BEAM	SUP-97-06288	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
SCREW SOLID HEADLESS FULL THREAD 7.2 X 115MM JOUST BEAM	SUP-97-06288	CDM			278	RC		inpatient			3000	3000																																																			
PLATE OLECRANON RIGHT 2 HOLE	SUP-97-06381	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE OLECRANON RIGHT 2 HOLE	SUP-97-06381	CDM			278	RC		inpatient			3000	3000																																																			
PLATE CLAVICLE 5H RIGHT SUP ANT W/ LAT EXTN	SUP-97-06398	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
PLATE CLAVICLE 5H RIGHT SUP ANT W/ LAT EXTN	SUP-97-06398	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-23652	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMPONENT CEMENTED	SUP-97-23652	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMP.CEMENTED	SUP-97-23688	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMP.CEMENTED	SUP-97-23688	CDM			278	RC		inpatient			3000	3000																																																			
NEXGEN STR.STEM EXT 14MM DIA X145MM	SUP-97-23709	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
NEXGEN STR.STEM EXT 14MM DIA X145MM	SUP-97-23709	CDM			278	RC		inpatient			3000	3000																																																			
HUMERAL CUP 36MM DIA X 4MM THK	SUP-97-23786	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
HUMERAL CUP 36MM DIA X 4MM THK	SUP-97-23786	CDM			278	RC		inpatient			3000	3000																																																			
X3 HUMERAL INSERT 36MM X 4MM STANDARD	SUP-97-23787	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
X3 HUMERAL INSERT 36MM X 4MM STANDARD	SUP-97-23787	CDM			278	RC		inpatient			3000	3000																																																			
X3 HUMERAL INSERT 36MM X 10MM STANDARD	SUP-97-23791	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
X3 HUMERAL INSERT 36MM X 10MM STANDARD	SUP-97-23791	CDM			278	RC		inpatient			3000	3000																																																			
TRIATHLON CR FEM COMP.CEMENTED	SUP-97-23796	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
TRIATHLON CR FEM COMP.CEMENTED	SUP-97-23796	CDM			278	RC		inpatient			3000	3000																																																			
8.0 X 105 HEADLESS SCREW	SUP-97-23826	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
8.0 X 105 HEADLESS SCREW	SUP-97-23826	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 5X100	SUP-99-00594	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 5X100	SUP-99-00594	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - ABSOLUTE PRO 7.0X20	SUP-99-00700	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 7.0X20	SUP-99-00700	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - ABSOLUTE PRO 6.0X20	SUP-99-00709	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 6.0X20	SUP-99-00709	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
CATHETER - FRONTRUNNER 90CM	SUP-99-00775	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
CATHETER - FRONTRUNNER 90CM	SUP-99-00775	CDM			272	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 6.0X80	SUP-99-00785	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 6.0X80	SUP-99-00785	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - ABSOLUTE PRO 5.0X40	SUP-99-00815	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 5.0X40	SUP-99-00815	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
CATHETER - FRONTRUNNER 140CM	SUP-99-00847	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
CATHETER - FRONTRUNNER 140CM	SUP-99-00847	CDM			272	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 7.0X80	SUP-99-00914	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 7.0X80	SUP-99-00914	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
BALLOON - ANGIOSCULPT 6.0X40	SUP-99-00950	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 6.0X40	SUP-99-00950	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - ANGIOSCULPT 4.0X40	SUP-99-01049	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 4.0X40	SUP-99-01049	CDM			272	RC		inpatient			3000	3000																																																			
STENT - HERCULINK 5.0X18	SUP-99-01123	CDM			278	RC		inpatient			3000	3000																																																			
STENT - HERCULINK 5.0X18	SUP-99-01123	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EXPRESS LD 7.0X27X75	SUP-99-01160	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EXPRESS LD 7.0X27X75	SUP-99-01160	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
BALLOON - ANGIOSCULPT 4.0X100	SUP-99-01269	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 4.0X100	SUP-99-01269	CDM			272	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 8.0X40	SUP-99-01377	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 8.0X40	SUP-99-01377	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EXPRESS LD 8.0X37X135	SUP-99-01473	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EXPRESS LD 8.0X37X135	SUP-99-01473	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EPIC 8X60X75	SUP-99-01476	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 8X60X75	SUP-99-01476	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - HERCULINK 5.0X15	SUP-99-01494	CDM			278	RC		inpatient			3000	3000																																																			
STENT - HERCULINK 5.0X15	SUP-99-01494	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EPIC 7X60X120	SUP-99-01551	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 7X60X120	SUP-99-01551	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - OMNILINK ELITE .035 7.0X39	SUP-99-01611	CDM			278	RC		inpatient			3000	3000																																																			
STENT - OMNILINK ELITE .035 7.0X39	SUP-99-01611	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EPIC 6X80X120	SUP-99-01643	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 6X80X120	SUP-99-01643	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EPIC 6X60X120	SUP-99-01644	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 6X60X120	SUP-99-01644	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - OMNILINK ELITE .035 6.0X39	SUP-99-01669	CDM			278	RC		inpatient			3000	3000																																																			
STENT - OMNILINK ELITE .035 6.0X39	SUP-99-01669	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
BALLOON - ANGIOSCULPT 2.0X100	SUP-99-01676	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 2.0X100	SUP-99-01676	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - ANGIOSCULPT 2.5X100	SUP-99-01677	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 2.5X100	SUP-99-01677	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - ANGIOSCULPT 3.0X100	SUP-99-01678	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 3.0X100	SUP-99-01678	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - ANGIOSCULPT 3.5X100	SUP-99-01679	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 3.5X100	SUP-99-01679	CDM			272	RC		inpatient			3000	3000																																																			
STENT - EPIC 7X80X120	SUP-99-01807	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 7X80X120	SUP-99-01807	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
EMBOLIZATION - 2D 12MMX40CM	SUP-99-01845	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
EMBOLIZATION - 2D 12MMX40CM	SUP-99-01845	CDM			272	RC		inpatient			3000	3000																																																			
STENT - EPIC 7X40X120	SUP-99-01951	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 7X40X120	SUP-99-01951	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EPIC 8X80X120	SUP-99-01965	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 8X80X120	SUP-99-01965	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - EPIC 12X40X75	SUP-99-02016	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 12X40X75	SUP-99-02016	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
BALLOON - CLEARWAY RX 5.0X50	SUP-99-02068	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - CLEARWAY RX 5.0X50	SUP-99-02068	CDM			272	RC		inpatient			3000	3000																																																			
FILTER - DENALI FEMORAL	SUP-99-02151	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
FILTER - DENALI FEMORAL	SUP-99-02151	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 9X40X75	SUP-99-02181	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 9X40X75	SUP-99-02181	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
BALLOON - ANGIOSCULPT 7.0X40	SUP-99-02227	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - ANGIOSCULPT 7.0X40	SUP-99-02227	CDM			272	RC		inpatient			3000	3000																																																			
STENT - EPIC 10X60X75	SUP-99-02263	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 10X60X75	SUP-99-02263	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - MISAGO - 7 X 120	SUP-99-02273	CDM			278	RC		inpatient			3000	3000																																																			
STENT - MISAGO - 7 X 120	SUP-99-02273	CDM			278	RC		outpatient			3000	3	3000				fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - ABSOLUTE PRO 9.0X100	SUP-99-02291	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ABSOLUTE PRO 9.0X100	SUP-99-02291	CDM			278	RC		outpatient			3000	3000					fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	3000	3000	
STENT - EPIC 8X40X120	SUP-99-03001	CDM			278	RC		inpatient			3000	3000																																																			
STENT - EPIC 8X40X120	SUP-99-03001	CDM			278	RC		outpatient			3000	3					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	1710	1710	
STENT - INNOVA 7X60	SUP-99-03142	CDM			278	RC		inpatient			3000	3000																																																			
STENT - INNOVA 7X60	SUP-99-03142	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - INNOVA 7X100	SUP-99-03234	CDM			278	RC		inpatient			3000	3000																																																			
STENT - INNOVA 7X100	SUP-99-03234	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - INNOVA 7X40	SUP-99-03236	CDM			278	RC		inpatient			3000	3000																																																			
STENT - INNOVA 7X40	SUP-99-03236	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - INNOVA 5X150	SUP-99-03348	CDM			278	RC		inpatient			3000	3000																																																			
STENT - INNOVA 5X150	SUP-99-03348	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - INNOVA 8 X 40	SUP-99-03787	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - INNOVA 8 X 40	SUP-99-03787	CDM			278	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   10X40X75	SUP-99-04049	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   10X40X75	SUP-99-04049	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   10X60X75	SUP-99-04050	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   10X60X75	SUP-99-04050	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   12X40X75	SUP-99-04051	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   12X40X75	SUP-99-04051	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   4X40X75	SUP-99-04054	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   4X40X75	SUP-99-04054	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   4X60X75	SUP-99-04056	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   4X60X75	SUP-99-04056	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   5X40X75	SUP-99-04059	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   5X40X75	SUP-99-04059	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   5X60X75	SUP-99-04060	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   5X60X75	SUP-99-04060	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   6X40X75	SUP-99-04062	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   6X40X75	SUP-99-04062	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   7X40X75	SUP-99-04063	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   7X40X75	SUP-99-04063	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   7X60X75	SUP-99-04064	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   7X60X75	SUP-99-04064	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   8X40X75	SUP-99-04065	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   8X40X75	SUP-99-04065	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   8X60X75	SUP-99-04066	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   8X60X75	SUP-99-04066	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   9X40X75	SUP-99-04067	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   9X40X75	SUP-99-04067	CDM			272	RC		inpatient			3000	3000																																																			
BALLOON - LUTONIX 035   9X60X75	SUP-99-04068	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
BALLOON - LUTONIX 035   9X60X75	SUP-99-04068	CDM			272	RC		inpatient			3000	3000																																																			
STENT - INNOVA 8 X 120 X 130	SUP-99-04115	CDM			278	RC		inpatient			3000	3000																																																			
STENT - INNOVA 8 X 120 X 130	SUP-99-04115	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - MISAGO - 6 X 80	SUP-99-04190	CDM			278	RC		inpatient			3000	3000																																																			
STENT - MISAGO - 6 X 80	SUP-99-04190	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - MISAGO - 6 X 100	SUP-99-04191	CDM			278	RC		inpatient			3000	3000																																																			
STENT - MISAGO - 6 X 100	SUP-99-04191	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - MISAGO - 7X60	SUP-99-04192	CDM			278	RC		inpatient			3000	3000																																																			
STENT - MISAGO - 7X60	SUP-99-04192	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - MISAGO - 8 X 80	SUP-99-04193	CDM			278	RC		inpatient			3000	3000																																																			
STENT - MISAGO - 8 X 80	SUP-99-04193	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
STENT - ZILVER PTX 5X40 6F	SUP-99-04506	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - ZILVER PTX 5X40 6F	SUP-99-04506	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ZILVER PTX 6X40 6F	SUP-99-04512	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - ZILVER PTX 6X40 6F	SUP-99-04512	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ZILVER PTX 7X40 6F	SUP-99-04518	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - ZILVER PTX 7X40 6F	SUP-99-04518	CDM			278	RC		inpatient			3000	3000																																																			
STENT - ZILVER PTX 8X40 6F	SUP-99-04523	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - ZILVER PTX 8X40 6F	SUP-99-04523	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 3.5X12	SUP-99-04672	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 3.5X12	SUP-99-04672	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.0X12	SUP-99-04673	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.0X12	SUP-99-04673	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.5X12	SUP-99-04674	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.5X12	SUP-99-04674	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 5.0X12	SUP-99-04675	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 5.0X12	SUP-99-04675	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 3.5X16	SUP-99-04676	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 3.5X16	SUP-99-04676	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.0X16	SUP-99-04677	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.0X16	SUP-99-04677	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.5X16	SUP-99-04678	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.5X16	SUP-99-04678	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 5.0X16	SUP-99-04679	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 5.0X16	SUP-99-04679	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 3.5X20	SUP-99-04680	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 3.5X20	SUP-99-04680	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.0X20	SUP-99-04681	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.0X20	SUP-99-04681	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.5X20	SUP-99-04682	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.5X20	SUP-99-04682	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 5.0X20	SUP-99-04683	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 5.0X20	SUP-99-04683	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 3.5X24	SUP-99-04684	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 3.5X24	SUP-99-04684	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.0X24	SUP-99-04685	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.0X24	SUP-99-04685	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.5X24	SUP-99-04686	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.5X24	SUP-99-04686	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 5.0X24	SUP-99-04687	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 5.0X24	SUP-99-04687	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 3.5X28	SUP-99-04688	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 3.5X28	SUP-99-04688	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.0X28	SUP-99-04689	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.0X28	SUP-99-04689	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.5X28	SUP-99-04690	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.5X28	SUP-99-04690	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 5.0X28	SUP-99-04691	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 5.0X28	SUP-99-04691	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 3.5X32	SUP-99-04692	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 3.5X32	SUP-99-04692	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.0X32	SUP-99-04693	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.0X32	SUP-99-04693	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 4.5X32	SUP-99-04694	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 4.5X32	SUP-99-04694	CDM			278	RC		inpatient			3000	3000																																																			
STENT - SYNERGY MEGATRON 5.0X32	SUP-99-04695	CDM			278	RC		outpatient			3000	3	3000				fee schedule		3000				other	OPPS APC	1710				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT - SYNERGY MEGATRON 5.0X32	SUP-99-04695	CDM			278	RC		inpatient			3000	3000																																																			
SHEATH- VIZIGO MEDIUM CURVE	SUP-99-04749	CDM			278	RC		inpatient			3000	3000																																																			
SHEATH- VIZIGO MEDIUM CURVE	SUP-99-04749	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
SHEATH- AGILIS STEERABLE- SMALL	SUP-99-04766	CDM			278	RC		inpatient			3000	3000																																																			
SHEATH- AGILIS STEERABLE- SMALL	SUP-99-04766	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
SHEATH- AGILIS STEERABLE-MEDIUM	SUP-99-04767	CDM			278	RC		inpatient			3000	3000																																																			
SHEATH- AGILIS STEERABLE-MEDIUM	SUP-99-04767	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
SHEATH- AGILIS STEERABLE- LARGE	SUP-99-04768	CDM			278	RC		inpatient			3000	3000																																																			
SHEATH- AGILIS STEERABLE- LARGE	SUP-99-04768	CDM			278	RC		outpatient			3000	3000					fee schedule						other	OPPS APC	1710				percent of total billed charges						other	OPPS APC					other	OPPS APC	1470				percent of total billed charges		1530				percent of total billed charges						other	OPPS APC	1710	1710	
IABP- SENSATION PLUS 40CC	SUP-99-04846	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
IABP- SENSATION PLUS 40CC	SUP-99-04846	CDM			272	RC		inpatient			3000	3000																																																			
IABP- SENSATION PLUS 50CC	SUP-99-04847	CDM			272	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
IABP- SENSATION PLUS 50CC	SUP-99-04847	CDM			272	RC		inpatient			3000	3000																																																			
ABLATION 15 SAFIRE BLU DUO 4 MM MEDIUM CURL BIDIRECTIONALIRRIGATE TIP	SUP-A088107	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
ABLATION 15 SAFIRE BLU DUO 4 MM MEDIUM CURL BIDIRECTIONALIRRIGATE TIP	SUP-A088107	CDM			270	RC		inpatient			3000	3000																																																			
ABLATION 15 SAFIRE BLU DUO COMFORTGRIP 2-5-2 MM SPACE 2 MM LARGE CURL4 MM BIDIRECTIONAL IRRIGATE TIP	SUP-A088109	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
ABLATION 15 SAFIRE BLU DUO COMFORTGRIP 2-5-2 MM SPACE 2 MM LARGE CURL4 MM BIDIRECTIONAL IRRIGATE TIP	SUP-A088109	CDM			270	RC		inpatient			3000	3000																																																			
FUSION CERVICAL LEVEL 2-BIOMET	SUP-CERVICALL2-BIOMET	CDM	270010020	LOCAL	270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
FUSION CERVICAL LEVEL 2-BIOMET	SUP-CERVICALL2-BIOMET	CDM	270010020	LOCAL	270	RC		inpatient			3000	3000																																																			
CATHETER ELECTROPHYSIOLOGY EP STAR 2FR 5-5-5MM SPACING 130CM 1.5MM TIP CORONARY SINUS OCTAPOLAR FIXED MAPPING W/1.3MM ELECTRODE 10-PIN CABLE	SUP-DCF-2-8-55-130	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
CATHETER ELECTROPHYSIOLOGY EP STAR 2FR 5-5-5MM SPACING 130CM 1.5MM TIP CORONARY SINUS OCTAPOLAR FIXED MAPPING W/1.3MM ELECTRODE 10-PIN CABLE	SUP-DCF-2-8-55-130	CDM			270	RC		inpatient			3000	3000																																																			
STENT VASCULAR ZILVER 635 FLEXOR 80MM 125CM 7MM 6FR NITINOL STERILE ILIAC ARTERY SELF EXPAND SLOT TUBE DELIVERY SYSTEM	SUP-ZIV6-35-125-7-80	CDM			270	RC		outpatient			3000	3	812.7				percent of total billed charges		3000				other	OPPS APC	2220				percent of total billed charges		3000				other	OPPS APC	3000				other	OPPS APC	812.7				percent of total billed charges		828.9				percent of total billed charges		3				other	OPPS APC	3	3000	
STENT VASCULAR ZILVER 635 FLEXOR 80MM 125CM 7MM 6FR NITINOL STERILE ILIAC ARTERY SELF EXPAND SLOT TUBE DELIVERY SYSTEM	SUP-ZIV6-35-125-7-80	CDM			270	RC		inpatient			3000	3000																																																			
DERMACLOSE	SUP-97-00380	CDM			272	RC		outpatient			2997	2997	811.89				percent of total billed charges		2997				other	OPPS APC	2217.78				percent of total billed charges		2997				other	OPPS APC	2997				other	OPPS APC	811.89				percent of total billed charges		828.07				percent of total billed charges		2997				other	OPPS APC	811.89	2997	
DERMACLOSE	SUP-97-00380	CDM			272	RC		inpatient			2997	2997																																																			
TRI PRESS-FIT STEM 12X150MM	SUP-97-05402	CDM			278	RC		outpatient			2996.4	2996.41	2996.4				fee schedule		2996.4				other	OPPS APC	1707.95				percent of total billed charges		2996.4				other	OPPS APC	2996.4				other	OPPS APC	1468.24				percent of total billed charges		1528.16				percent of total billed charges		2996.41				other	OPPS APC	1468.24	2996.41	
TRI PRESS-FIT STEM 12X150MM	SUP-97-05402	CDM			278	RC		inpatient			2996.4	2996.4																																																			
TRI PRESS-FIT STEM 19X150MM	SUP-97-05572	CDM			278	RC		outpatient			2996.4	2996.41	2996.4				fee schedule		2996.4				other	OPPS APC	1707.95				percent of total billed charges		2996.4				other	OPPS APC	2996.4				other	OPPS APC	1468.24				percent of total billed charges		1528.16				percent of total billed charges		2996.41				other	OPPS APC	1468.24	2996.41	
TRI PRESS-FIT STEM 19X150MM	SUP-97-05572	CDM			278	RC		inpatient			2996.4	2996.4																																																			
TRI PRESS-FIT STEM 18X150MM	SUP-97-05573	CDM			278	RC		outpatient			2996.4	2996.41	2996.4				fee schedule		2996.4				other	OPPS APC	1707.95				percent of total billed charges		2996.4				other	OPPS APC	2996.4				other	OPPS APC	1468.24				percent of total billed charges		1528.16				percent of total billed charges		2996.41				other	OPPS APC	1468.24	2996.41	
TRI PRESS-FIT STEM 18X150MM	SUP-97-05573	CDM			278	RC		inpatient			2996.4	2996.4																																																			
TRIATHLON PRESS FIT STEM 15 X 150MM	SUP-97-05620	CDM			278	RC		outpatient			2996.4	2996.41	2996.4				fee schedule		2996.4				other	OPPS APC	1707.95				percent of total billed charges		2996.4				other	OPPS APC	2996.4				other	OPPS APC	1468.24				percent of total billed charges		1528.16				percent of total billed charges		2996.41				other	OPPS APC	1468.24	2996.41	
TRIATHLON PRESS FIT STEM 15 X 150MM	SUP-97-05620	CDM			278	RC		inpatient			2996.4	2996.4																																																			
TRIATHLON PRESS FIT STEM 11 X 150MM	SUP-97-05621	CDM			278	RC		outpatient			2996.4	2996.41	2996.4				fee schedule		2996.4				other	OPPS APC	1707.95				percent of total billed charges		2996.4				other	OPPS APC	2996.4				other	OPPS APC	1468.24				percent of total billed charges		1528.16				percent of total billed charges		2996.41				other	OPPS APC	1468.24	2996.41	
TRIATHLON PRESS FIT STEM 11 X 150MM	SUP-97-05621	CDM			278	RC		inpatient			2996.4	2996.4																																																			
INSERT ACETABULAR TRIDENT X3 0 D D ECCENTRIC ID32 MM HIP	SUP-663-00-32D	CDM	270010024	LOCAL	270	RC		outpatient			2996	2996	811.62				percent of total billed charges		2996				other	OPPS APC	2217.04				percent of total billed charges		2996				other	OPPS APC	2996				other	OPPS APC	811.62				percent of total billed charges		827.79				percent of total billed charges		2996				other	OPPS APC	811.62	2996	
INSERT ACETABULAR TRIDENT X3 0 D D ECCENTRIC ID32 MM HIP	SUP-663-00-32D	CDM	270010024	LOCAL	270	RC		inpatient			2996	2996																																																			
INSERT ACETABULAR TRIDENT X3 0 D E ECCENTRIC ID32 MM HIP	SUP-663-00-32E	CDM	270010024	LOCAL	270	RC		outpatient			2996	2996	811.62				percent of total billed charges		2996				other	OPPS APC	2217.04				percent of total billed charges		2996				other	OPPS APC	2996				other	OPPS APC	811.62				percent of total billed charges		827.79				percent of total billed charges		2996				other	OPPS APC	811.62	2996	
INSERT ACETABULAR TRIDENT X3 0 D E ECCENTRIC ID32 MM HIP	SUP-663-00-32E	CDM	270010024	LOCAL	270	RC		inpatient			2996	2996																																																			
INSERT ACETABULAR TRIDENT X3 0 D F ECCENTRIC ID32 MM HIP	SUP-663-00-32F	CDM	270010024	LOCAL	270	RC		outpatient			2996	2996	811.62				percent of total billed charges		2996				other	OPPS APC	2217.04				percent of total billed charges		2996				other	OPPS APC	2996				other	OPPS APC	811.62				percent of total billed charges		827.79				percent of total billed charges		2996				other	OPPS APC	811.62	2996	
INSERT ACETABULAR TRIDENT X3 0 D F ECCENTRIC ID32 MM HIP	SUP-663-00-32F	CDM	270010024	LOCAL	270	RC		inpatient			2996	2996																																																			
INSERT ACETABULAR TRIDENT X3 0 D G ECCENTRIC ID32 MM HIP	SUP-663-00-32G	CDM	270010024	LOCAL	270	RC		outpatient			2996	2996	811.62				percent of total billed charges		2996				other	OPPS APC	2217.04				percent of total billed charges		2996				other	OPPS APC	2996				other	OPPS APC	811.62				percent of total billed charges		827.79				percent of total billed charges		2996				other	OPPS APC	811.62	2996	
INSERT ACETABULAR TRIDENT X3 0 D G ECCENTRIC ID32 MM HIP	SUP-663-00-32G	CDM	270010024	LOCAL	270	RC		inpatient			2996	2996																																																			
INSERT ACETABULAR TRIDENT X3 0 D H ECCENTRIC ID32 MM HIP	SUP-663-00-32H	CDM	270010024	LOCAL	270	RC		outpatient			2996	2996	811.62				percent of total billed charges		2996				other	OPPS APC	2217.04				percent of total billed charges		2996				other	OPPS APC	2996				other	OPPS APC	811.62				percent of total billed charges		827.79				percent of total billed charges		2996				other	OPPS APC	811.62	2996	
INSERT ACETABULAR TRIDENT X3 0 D H ECCENTRIC ID32 MM HIP	SUP-663-00-32H	CDM	270010024	LOCAL	270	RC		inpatient			2996	2996																																																			
INSERT ACETABULAR TRIDENT X3 0 D I ECCENTRIC ID32 MM HIP	SUP-663-00-32I	CDM	270010024	LOCAL	270	RC		outpatient			2996	2996	811.62				percent of total billed charges		2996				other	OPPS APC	2217.04				percent of total billed charges		2996				other	OPPS APC	2996				other	OPPS APC	811.62				percent of total billed charges		827.79				percent of total billed charges		2996				other	OPPS APC	811.62	2996	
INSERT ACETABULAR TRIDENT X3 0 D I ECCENTRIC ID32 MM HIP	SUP-663-00-32I	CDM	270010024	LOCAL	270	RC		inpatient			2996	2996																																																			
ROTABLATOR - PERI 1.5MM ROTALINK PLUS	SUP-99-02111	CDM			272	RC		outpatient			2994.93	2994.93	811.33				percent of total billed charges		2994.93				other	OPPS APC	2216.25				percent of total billed charges		2994.93				other	OPPS APC	2994.93				other	OPPS APC	811.33				percent of total billed charges		827.5				percent of total billed charges		2994.93				other	OPPS APC	811.33	2994.93	
ROTABLATOR - PERI 1.5MM ROTALINK PLUS	SUP-99-02111	CDM			272	RC		inpatient			2994.93	2994.93																																																			
GUIDE SURGICAL HELI-FX L62 CM L28 MM OD16 FR AAA DEFLECT TIP	SUP-HG-16-62-28	CDM	270010015	LOCAL	270	RC		outpatient			2993.7	2993.7	810.99				percent of total billed charges		2993.7				other	OPPS APC	2215.34				percent of total billed charges		2993.7				other	OPPS APC	2993.7				other	OPPS APC	810.99				percent of total billed charges		827.16				percent of total billed charges		2993.7				other	OPPS APC	810.99	2993.7	
GUIDE SURGICAL HELI-FX L62 CM L28 MM OD16 FR AAA DEFLECT TIP	SUP-HG-16-62-28	CDM	270010015	LOCAL	270	RC		inpatient			2993.7	2993.7																																																			
FEMORAL HEAD 12/14COCR	SUP-97-01891	CDM			278	RC		outpatient			2992.5	2992.5	2992.5				fee schedule		2992.5				other	OPPS APC	1705.73				percent of total billed charges		2992.5				other	OPPS APC	2992.5				other	OPPS APC	1466.33				percent of total billed charges		1526.18				percent of total billed charges		2992.5				other	OPPS APC	1466.33	2992.5	
FEMORAL HEAD 12/14COCR	SUP-97-01891	CDM			278	RC		inpatient			2992.5	2992.5																																																			
CABLE CATHETER CARTO3 L 9 FT 20 ELECTRODES SPLIT HANDLES EXTEND STERILE LATEX FREE DISPOSABLE	SUP-D134402	CDM			270	RC		outpatient			2992	2992	810.53				percent of total billed charges		2992				other	OPPS APC	2214.08				percent of total billed charges		2992				other	OPPS APC	2992				other	OPPS APC	810.53				percent of total billed charges		826.69				percent of total billed charges		2992				other	OPPS APC	810.53	2992	
CABLE CATHETER CARTO3 L 9 FT 20 ELECTRODES SPLIT HANDLES EXTEND STERILE LATEX FREE DISPOSABLE	SUP-D134402	CDM			270	RC		inpatient			2992	2992																																																			
RTS FLEX 1ST MPJ IMPLANT W/GRMTS SZ 2	SUP-97-04883	CDM			278	RC		outpatient			2991	2991	2991				fee schedule		2991				other	OPPS APC	1704.87				percent of total billed charges		2991				other	OPPS APC	2991				other	OPPS APC	1465.59				percent of total billed charges		1525.41				percent of total billed charges		2991				other	OPPS APC	1465.59	2991	
RTS FLEX 1ST MPJ IMPLANT W/GRMTS SZ 2	SUP-97-04883	CDM			278	RC		inpatient			2991	2991																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.3 CM W15 CM X H9 CM 400 ML BREAST STYLE 133LV AND 133LV T LOW HEIGHT VARIABLE PROJECTION TABBED TEXTURED	SUP-133LV-15-T	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.3 CM W15 CM X H9 CM 400 ML BREAST STYLE 133LV AND 133LV T LOW HEIGHT VARIABLE PROJECTION TABBED TEXTURED	SUP-133LV-15-T	CDM			270	RC		inpatient			2990	2990																																																			
EXPANDER TISSUE NATRELLE BIOCELL P5.9CM MODERATE HEIGHT EXTRA PROJECTION 11X10CM 300CC STERILE LF BREAST TEXTURED	SUP-133MX-11-T	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
EXPANDER TISSUE NATRELLE BIOCELL P5.9CM MODERATE HEIGHT EXTRA PROJECTION 11X10CM 300CC STERILE LF BREAST TEXTURED	SUP-133MX-11-T	CDM			270	RC		inpatient			2990	2990																																																			
KIT ARTHROSCOPIC FIXATION INTERNALBRACE SWIVELOCK BIOCOMPOSITE STANDARD OD4.75 MM ODSEC3.5 MM RADIOPAQUE	SUP-AR-1788J-CP	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
KIT ARTHROSCOPIC FIXATION INTERNALBRACE SWIVELOCK BIOCOMPOSITE STANDARD OD4.75 MM ODSEC3.5 MM RADIOPAQUE	SUP-AR-1788J-CP	CDM			270	RC		inpatient			2990	2990																																																			
PACK SUTURE STERILE PERCUTANEOUS ACHILLES REPAIR SYSTEM	SUP-AR-8860DS	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
PACK SUTURE STERILE PERCUTANEOUS ACHILLES REPAIR SYSTEM	SUP-AR-8860DS	CDM			270	RC		inpatient			2990	2990																																																			
PACK SUTURE STERILE PERCUTANEOUS ACHILLES REPAIR SYSTEM	SUP-AR-8862DS	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
PACK SUTURE STERILE PERCUTANEOUS ACHILLES REPAIR SYSTEM	SUP-AR-8862DS	CDM			270	RC		inpatient			2990	2990																																																			
SYSTEM FIXATION TIGHTROPE XP STAINLESS STEEL SYNDESMOSIS REPAIR	SUP-AR-8925SS	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
SYSTEM FIXATION TIGHTROPE XP STAINLESS STEEL SYNDESMOSIS REPAIR	SUP-AR-8925SS	CDM			270	RC		inpatient			2990	2990																																																			
PLATE BONE TITANIUM LEFT LOW PROFILE NONSTERILE PLANTAR LAPIDUS	SUP-AR-8941PL	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
PLATE BONE TITANIUM LEFT LOW PROFILE NONSTERILE PLANTAR LAPIDUS	SUP-AR-8941PL	CDM			270	RC		inpatient			2990	2990																																																			
PLATE BONE RIGHT PLANTAR NONSTERILE LAPIDUS	SUP-AR-8941PR	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
PLATE BONE RIGHT PLANTAR NONSTERILE LAPIDUS	SUP-AR-8941PR	CDM			270	RC		inpatient			2990	2990																																																			
AGENT HEMOSTATIC CELLERATERX COLLAGEN 5 GM POWDER BOTTLE	SUP-WCI-05-SACRXP	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
AGENT HEMOSTATIC CELLERATERX COLLAGEN 5 GM POWDER BOTTLE	SUP-WCI-05-SACRXP	CDM			270	RC		inpatient			2990	2990																																																			
STENT VASCULAR ZILVER PTX L60 MM L125 CM OD6 MM ODSEC6 FR PERIPHERAL DRUG ELUTING OTW DELIVERY SYSTEM ACCEPTS .035 IN GUIDEWIRE	SUP-ZIV6-35-125-6-60-PTX	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
STENT VASCULAR ZILVER PTX L60 MM L125 CM OD6 MM ODSEC6 FR PERIPHERAL DRUG ELUTING OTW DELIVERY SYSTEM ACCEPTS .035 IN GUIDEWIRE	SUP-ZIV6-35-125-6-60-PTX	CDM			270	RC		inpatient			2990	2990																																																			
STENT VASCULAR ZILVER PTX L60 MM L125 CM OD8 MM ODSEC6 FR PERIPHERAL DRUG ELUTING OTW DELIVERY SYSTEM ACCEPTS .035 IN GUIDEWIRE	SUP-ZIV6-35-125-8-60-PTX	CDM			270	RC		outpatient			2990	299	809.99				percent of total billed charges		2990				other	OPPS APC	2212.6				percent of total billed charges		2990				other	OPPS APC	2990				other	OPPS APC	809.99				percent of total billed charges		826.14				percent of total billed charges		299				other	OPPS APC	299	2990	
STENT VASCULAR ZILVER PTX L60 MM L125 CM OD8 MM ODSEC6 FR PERIPHERAL DRUG ELUTING OTW DELIVERY SYSTEM ACCEPTS .035 IN GUIDEWIRE	SUP-ZIV6-35-125-8-60-PTX	CDM			270	RC		inpatient			2990	2990																																																			
STENT - WALLSTENT 20X55	SUP-99-01932	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 20X55	SUP-99-01932	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 22X45	SUP-99-01933	CDM			278	RC		outpatient			2985	2985	2985				fee schedule		2985				other	OPPS APC	1701.45				percent of total billed charges		2985				other	OPPS APC	2985				other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges		2985				other	OPPS APC	1462.65	2985	
STENT - WALLSTENT 22X45	SUP-99-01933	CDM			278	RC		inpatient			2985	2985																																																			
STENT - ASSURANT COBALT 7X40	SUP-99-02043	CDM			278	RC		inpatient			2985	2985																																																			
STENT - ASSURANT COBALT 7X40	SUP-99-02043	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - ASSURANT COBALT 8X40	SUP-99-02088	CDM			278	RC		inpatient			2985	2985																																																			
STENT - ASSURANT COBALT 8X40	SUP-99-02088	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - ASSURANT COBALT 10X60	SUP-99-02121	CDM			278	RC		inpatient			2985	2985																																																			
STENT - ASSURANT COBALT 10X60	SUP-99-02121	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 14X60	SUP-99-03370	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 14X60	SUP-99-03370	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 12X90	SUP-99-03412	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 12X90	SUP-99-03412	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 12X60	SUP-99-03413	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 12X60	SUP-99-03413	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 12X40	SUP-99-03423	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 12X40	SUP-99-03423	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 14X40	SUP-99-03424	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 14X40	SUP-99-03424	CDM			278	RC		outpatient			2985	2985					fee schedule		2985				other	OPPS APC	1701.45				percent of total billed charges		2985				other	OPPS APC	2985				other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	2985	2985	
STENT - WALLSTENT 16X40	SUP-99-03425	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 16X40	SUP-99-03425	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
STENT - WALLSTENT 18X40	SUP-99-03426	CDM			278	RC		inpatient			2985	2985																																																			
STENT - WALLSTENT 18X40	SUP-99-03426	CDM			278	RC		outpatient			2985	2985					fee schedule						other	OPPS APC	1701.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1462.65				percent of total billed charges		1522.35				percent of total billed charges						other	OPPS APC	1701.45	1701.45	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L211 MM TIBIA LEFT PROXIMAL 14 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.945	CDM	270010022	LOCAL	270	RC		outpatient			2983.2	2983.2	808.15				percent of total billed charges		2983.2				other	OPPS APC	2207.57				percent of total billed charges		2983.2				other	OPPS APC	2983.2				other	OPPS APC	808.15				percent of total billed charges		824.26				percent of total billed charges		2983.2				other	OPPS APC	808.15	2983.2	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L211 MM TIBIA LEFT PROXIMAL 14 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.945	CDM	270010022	LOCAL	270	RC		inpatient			2983.2	2983.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L132 MM TIBIA DISTAL POSTERIOR 8 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.208	CDM	270010022	LOCAL	270	RC		outpatient			2982.1	2983	807.85				percent of total billed charges		2982.1				other	OPPS APC	2206.75				percent of total billed charges		2982.1				other	OPPS APC	2982.1				other	OPPS APC	807.85				percent of total billed charges		823.95				percent of total billed charges		2983				other	OPPS APC	807.85	2983	
PLATE BONE LCP COMBI STAINLESS STEEL T L132 MM TIBIA DISTAL POSTERIOR 8 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.208	CDM	270010022	LOCAL	270	RC		inpatient			2982.1	2982.1																																																			
STEM FEMORAL UNIVERSAL FLUTE L75 MM OD12 MM KNEE PRESS FIT	SUP-86-7412	CDM	270010024	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE L75 MM OD12 MM KNEE PRESS FIT	SUP-86-7412	CDM	270010024	LOCAL	270	RC		inpatient			2982	2982																																																			
STEM FEMORAL UNIVERSAL FLUTE L75 MM OD14 MM KNEE PRESS FIT	SUP-86-7414	CDM	270010025	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE L75 MM OD14 MM KNEE PRESS FIT	SUP-86-7414	CDM	270010025	LOCAL	270	RC		inpatient			2982	2982																																																			
STEM FEMORAL UNIVERSAL FLUTE L75 MM OD16 MM KNEE PRESS FIT	SUP-86-7416	CDM	270010025	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE L75 MM OD16 MM KNEE PRESS FIT	SUP-86-7416	CDM	270010025	LOCAL	270	RC		inpatient			2982	2982																																																			
STEM FEMORAL UNIVERSAL FLUTE 75MM 18MM KNEE PRESS FIT	SUP-86-7418	CDM	270010025	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE 75MM 18MM KNEE PRESS FIT	SUP-86-7418	CDM	270010025	LOCAL	270	RC		inpatient			2982	2982																																																			
STEM FEMORAL UNIVERSAL FLUTE L115 MM OD14 MM KNEE PRESS FIT	SUP-86-7428	CDM	270010025	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE L115 MM OD14 MM KNEE PRESS FIT	SUP-86-7428	CDM	270010025	LOCAL	270	RC		inpatient			2982	2982																																																			
STEM FEMORAL UNIVERSAL FLUTE L115 MM OD16 MM KNEE PRESS FIT	SUP-86-7430	CDM	270010025	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE L115 MM OD16 MM KNEE PRESS FIT	SUP-86-7430	CDM	270010025	LOCAL	270	RC		inpatient			2982	2982																																																			
STEM FEMORAL UNIVERSAL FLUTE L150 MM OD20 MM KNEE PRESS FIT	SUP-86-7447	CDM	270010025	LOCAL	270	RC		outpatient			2982	2982	807.82				percent of total billed charges		2982				other	OPPS APC	2206.68				percent of total billed charges		2982				other	OPPS APC	2982				other	OPPS APC	807.82				percent of total billed charges		823.93				percent of total billed charges		2982				other	OPPS APC	807.82	2982	
STEM FEMORAL UNIVERSAL FLUTE L150 MM OD20 MM KNEE PRESS FIT	SUP-86-7447	CDM	270010025	LOCAL	270	RC		inpatient			2982	2982																																																			
TRAY HUMERAL COMPREHENSIVE +3 MM STANDARD SHOULDER REVERSE	SUP-110031402	CDM	270010030	LOCAL	270	RC		outpatient			2980	298	807.28				percent of total billed charges		2980				other	OPPS APC	2205.2				percent of total billed charges		2980				other	OPPS APC	2980				other	OPPS APC	807.28				percent of total billed charges		823.37				percent of total billed charges		298				other	OPPS APC	298	2980	
TRAY HUMERAL COMPREHENSIVE +3 MM STANDARD SHOULDER REVERSE	SUP-110031402	CDM	270010030	LOCAL	270	RC		inpatient			2980	2980																																																			
TRAY HUMERAL COMPREHENSIVE +6 MM +5 MM SHOULDER REVERSE	SUP-110031406	CDM	270010025	LOCAL	270	RC		outpatient			2980	298	807.28				percent of total billed charges		2980				other	OPPS APC	2205.2				percent of total billed charges		2980				other	OPPS APC	2980				other	OPPS APC	807.28				percent of total billed charges		823.37				percent of total billed charges		298				other	OPPS APC	298	2980	
TRAY HUMERAL COMPREHENSIVE +6 MM +5 MM SHOULDER REVERSE	SUP-110031406	CDM	270010025	LOCAL	270	RC		inpatient			2980	2980																																																			
TROCAR BLADELESS VERSAONE 15MM LONG	SUP-95-05158	CDM			272	RC		outpatient			2979.72	2979.72	807.21				percent of total billed charges		2979.72				other	OPPS APC	2204.99				percent of total billed charges		2979.72				other	OPPS APC	2979.72				other	OPPS APC	807.21				percent of total billed charges		823.3				percent of total billed charges		2979.72				other	OPPS APC	807.21	2979.72	
TROCAR BLADELESS VERSAONE 15MM LONG	SUP-95-05158	CDM			272	RC		inpatient			2979.72	2979.72																																																			
LOW PROFILE T-PLATE 2.4MM 5 HOLE	SUP-97-01751	CDM			278	RC		outpatient			2979	2979	2979				fee schedule		2979				other	OPPS APC	1698.03				percent of total billed charges		2979				other	OPPS APC	2979				other	OPPS APC	1459.71				percent of total billed charges		1519.29				percent of total billed charges		2979				other	OPPS APC	1459.71	2979	
LOW PROFILE T-PLATE 2.4MM 5 HOLE	SUP-97-01751	CDM			278	RC		inpatient			2979	2979																																																			
CEMENT BONE HYDROSET CALCIUM PHOSPHATE 5 ML INJECTABLE BIOCOMPATIBLE OSTEOCONDUCTIVE STERILE	SUP-79-43905	CDM			270	RC		outpatient			2977.32	2977.32	806.56				percent of total billed charges		2977.32				other	OPPS APC	2203.22				percent of total billed charges		2977.32				other	OPPS APC	2977.32				other	OPPS APC	806.56				percent of total billed charges		822.63				percent of total billed charges		2977.32				other	OPPS APC	806.56	2977.32	
CEMENT BONE HYDROSET CALCIUM PHOSPHATE 5 ML INJECTABLE BIOCOMPATIBLE OSTEOCONDUCTIVE STERILE	SUP-79-43905	CDM			270	RC		inpatient			2977.32	2977.32																																																			
STEM EXTENSION 12MMX11MM	SUP-97-01118	CDM			278	RC		outpatient			2974.5	2974.5	2974.5				fee schedule		2974.5				other	OPPS APC	1695.47				percent of total billed charges		2974.5				other	OPPS APC	2974.5				other	OPPS APC	1457.51				percent of total billed charges		1517				percent of total billed charges		2974.5				other	OPPS APC	1457.51	2974.5	
STEM EXTENSION 12MMX11MM	SUP-97-01118	CDM			278	RC		inpatient			2974.5	2974.5																																																			
STEM EXTENSION 14MMX40MM	SUP-97-01633	CDM			278	RC		outpatient			2974.5	2974.5	2974.5				fee schedule		2974.5				other	OPPS APC	1695.47				percent of total billed charges		2974.5				other	OPPS APC	2974.5				other	OPPS APC	1457.51				percent of total billed charges		1517				percent of total billed charges		2974.5				other	OPPS APC	1457.51	2974.5	
STEM EXTENSION 14MMX40MM	SUP-97-01633	CDM			278	RC		inpatient			2974.5	2974.5																																																			
INSERT ACETABULAR TRIDENT X3 10 D D ECCENTRIC ID32 MM HIP	SUP-663-10-32D	CDM	270010024	LOCAL	270	RC		outpatient			2973	2973	805.39				percent of total billed charges		2973				other	OPPS APC	2200.02				percent of total billed charges		2973				other	OPPS APC	2973				other	OPPS APC	805.39				percent of total billed charges		821.44				percent of total billed charges		2973				other	OPPS APC	805.39	2973	
INSERT ACETABULAR TRIDENT X3 10 D D ECCENTRIC ID32 MM HIP	SUP-663-10-32D	CDM	270010024	LOCAL	270	RC		inpatient			2973	2973																																																			
INSERT ACETABULAR TRIDENT X3 10 D E ID32 MM HIP ECCENTRIC	SUP-663-10-32E	CDM	270010024	LOCAL	270	RC		outpatient			2973	2973	805.39				percent of total billed charges		2973				other	OPPS APC	2200.02				percent of total billed charges		2973				other	OPPS APC	2973				other	OPPS APC	805.39				percent of total billed charges		821.44				percent of total billed charges		2973				other	OPPS APC	805.39	2973	
INSERT ACETABULAR TRIDENT X3 10 D E ID32 MM HIP ECCENTRIC	SUP-663-10-32E	CDM	270010024	LOCAL	270	RC		inpatient			2973	2973																																																			
INSERT ACETABULAR TRIDENT X3 10 D F ECCENTRIC ID32 MM HIP	SUP-663-10-32F	CDM	270010024	LOCAL	270	RC		outpatient			2973	2973	805.39				percent of total billed charges		2973				other	OPPS APC	2200.02				percent of total billed charges		2973				other	OPPS APC	2973				other	OPPS APC	805.39				percent of total billed charges		821.44				percent of total billed charges		2973				other	OPPS APC	805.39	2973	
INSERT ACETABULAR TRIDENT X3 10 D F ECCENTRIC ID32 MM HIP	SUP-663-10-32F	CDM	270010024	LOCAL	270	RC		inpatient			2973	2973																																																			
INSERT ACETABULAR TRIDENT X3 10 D G ECCENTRIC ID32 MM HIP	SUP-663-10-32G	CDM	270010024	LOCAL	270	RC		outpatient			2973	2973	805.39				percent of total billed charges		2973				other	OPPS APC	2200.02				percent of total billed charges		2973				other	OPPS APC	2973				other	OPPS APC	805.39				percent of total billed charges		821.44				percent of total billed charges		2973				other	OPPS APC	805.39	2973	
INSERT ACETABULAR TRIDENT X3 10 D G ECCENTRIC ID32 MM HIP	SUP-663-10-32G	CDM	270010024	LOCAL	270	RC		inpatient			2973	2973																																																			
INSERT ACETABULAR TRIDENT X3 10 D H ECCENTRIC ID32 MM HIP	SUP-663-10-32H	CDM	270010024	LOCAL	270	RC		outpatient			2973	2973	805.39				percent of total billed charges		2973				other	OPPS APC	2200.02				percent of total billed charges		2973				other	OPPS APC	2973				other	OPPS APC	805.39				percent of total billed charges		821.44				percent of total billed charges		2973				other	OPPS APC	805.39	2973	
INSERT ACETABULAR TRIDENT X3 10 D H ECCENTRIC ID32 MM HIP	SUP-663-10-32H	CDM	270010024	LOCAL	270	RC		inpatient			2973	2973																																																			
INSERT ACETABULAR TRIDENT X3 10 D I ECCENTRIC ID32 MM HIP	SUP-663-10-32I	CDM	270010024	LOCAL	270	RC		outpatient			2973	2973	805.39				percent of total billed charges		2973				other	OPPS APC	2200.02				percent of total billed charges		2973				other	OPPS APC	2973				other	OPPS APC	805.39				percent of total billed charges		821.44				percent of total billed charges		2973				other	OPPS APC	805.39	2973	
INSERT ACETABULAR TRIDENT X3 10 D I ECCENTRIC ID32 MM HIP	SUP-663-10-32I	CDM	270010024	LOCAL	270	RC		inpatient			2973	2973																																																			
POLYETHYLENE INSERT	SUP-97-02070	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
POLYETHYLENE INSERT	SUP-97-02070	CDM			278	RC		inpatient			2970	2970																																																			
POLYETHYLENE INSERT	SUP-97-02535	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
POLYETHYLENE INSERT	SUP-97-02535	CDM			278	RC		inpatient			2970	2970																																																			
TRIDENT 0# X3 INSERT 36MM F	SUP-97-05007	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
TRIDENT 0# X3 INSERT 36MM F	SUP-97-05007	CDM			278	RC		inpatient			2970	2970																																																			
TRIDENT 0 DEG INSERT 36MM D	SUP-97-05020	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
TRIDENT 0 DEG INSERT 36MM D	SUP-97-05020	CDM			278	RC		inpatient			2970	2970																																																			
TRIDENT #0 X3 INSERT 36MM E	SUP-97-05066	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
TRIDENT #0 X3 INSERT 36MM E	SUP-97-05066	CDM			278	RC		inpatient			2970	2970																																																			
TRIDENT 0 DEG X3 INSERT 32MM ID	SUP-97-05173	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
TRIDENT 0 DEG X3 INSERT 32MM ID	SUP-97-05173	CDM			278	RC		inpatient			2970	2970																																																			
TRIDENT 0# X3 INSERT 36MM ID	SUP-97-05305	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
TRIDENT 0# X3 INSERT 36MM ID	SUP-97-05305	CDM			278	RC		inpatient			2970	2970																																																			
Z STAPLE 10/11MM	SUP-97-06240	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
Z STAPLE 10/11MM	SUP-97-06240	CDM			278	RC		inpatient			2970	2970																																																			
TRIDENT 0 X3 INSERT 36MM ID	SUP-97-23764	CDM			278	RC		outpatient			2970	297	2970				fee schedule		2970				other	OPPS APC	1692.9				percent of total billed charges		2970				other	OPPS APC	2970				other	OPPS APC	1455.3				percent of total billed charges		1514.7				percent of total billed charges		297				other	OPPS APC	297	2970	
TRIDENT 0 X3 INSERT 36MM ID	SUP-97-23764	CDM			278	RC		inpatient			2970	2970																																																			
PLATE BONE LCP STAINLESS STEEL FOREFOOT MIDFOOT 5 X 12 HOLE VARIABLE ANGLE LOCK MESH NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.224	CDM	270010022	LOCAL	270	RC		outpatient			2967.24	2967.24	803.83				percent of total billed charges		2967.24				other	OPPS APC	2195.76				percent of total billed charges		2967.24				other	OPPS APC	2967.24				other	OPPS APC	803.83				percent of total billed charges		819.85				percent of total billed charges		2967.24				other	OPPS APC	803.83	2967.24	
PLATE BONE LCP STAINLESS STEEL FOREFOOT MIDFOOT 5 X 12 HOLE VARIABLE ANGLE LOCK MESH NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.224	CDM	270010022	LOCAL	270	RC		inpatient			2967.24	2967.24																																																			
PLATE DR ANATOMICAL VOLAR INTERMEDIATE RIGHT SHORT	SUP-97-05836	CDM			278	RC		outpatient			2965.56	2965.56	2965.56				fee schedule		2965.56				other	OPPS APC	1690.37				percent of total billed charges		2965.56				other	OPPS APC	2965.56				other	OPPS APC	1453.12				percent of total billed charges		1512.44				percent of total billed charges		2965.56				other	OPPS APC	1453.12	2965.56	
PLATE DR ANATOMICAL VOLAR INTERMEDIATE RIGHT SHORT	SUP-97-05836	CDM			278	RC		inpatient			2965.56	2965.56																																																			
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L80 CM L80 CM ID6 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST06080080L	CDM			270	RC		outpatient			2964	2964	802.95				percent of total billed charges		2964				other	OPPS APC	2193.36				percent of total billed charges		2964				other	OPPS APC	2964				other	OPPS APC	802.95				percent of total billed charges		818.95				percent of total billed charges		2964				other	OPPS APC	802.95	2964	
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L80 CM L80 CM ID6 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST06080080L	CDM			270	RC		inpatient			2964	2964																																																			
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L80 CM L80 CM ID8 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST08080080L	CDM			270	RC		outpatient			2964	2964	802.95				percent of total billed charges		2964				other	OPPS APC	2193.36				percent of total billed charges		2964				other	OPPS APC	2964				other	OPPS APC	802.95				percent of total billed charges		818.95				percent of total billed charges		2964				other	OPPS APC	802.95	2964	
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L80 CM L80 CM ID8 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST08080080L	CDM			270	RC		inpatient			2964	2964																																																			
HC Canthotomy	PX-450677151	CDM	67715	CPT	450	RC		outpatient			2963	2963	195.77				case rate		2963				other	OPPS APC	2192.62				percent of total billed charges		2963				other	OPPS APC	2963				other	OPPS APC	195.77				case rate		199.69				case rate		2963				other	OPPS APC	195.77	2963	
HC Canthotomy	PX-450677151	CDM	67715	CPT	450	RC		inpatient			2963	2963																																																			
SMART TOE IMPLANT 15MM ANGLED	SUP-97-05832	CDM			278	RC		outpatient			2960.16	296.16	2960.16				fee schedule		2960.16				other	OPPS APC	1687.29				percent of total billed charges		2960.16				other	OPPS APC	2960.16				other	OPPS APC	1450.48				percent of total billed charges		1509.68				percent of total billed charges		296.16				other	OPPS APC	296.16	2960.16	
SMART TOE IMPLANT 15MM ANGLED	SUP-97-05832	CDM			278	RC		inpatient			2960.16	2960.16																																																			
SMART TOE DIP IMPLANT 13MM	SUP-97-05881	CDM			278	RC		outpatient			2960.16	296.16	2960.16				fee schedule		2960.16				other	OPPS APC	1687.29				percent of total billed charges		2960.16				other	OPPS APC	2960.16				other	OPPS APC	1450.48				percent of total billed charges		1509.68				percent of total billed charges		296.16				other	OPPS APC	296.16	2960.16	
SMART TOE DIP IMPLANT 13MM	SUP-97-05881	CDM			278	RC		inpatient			2960.16	2960.16																																																			
ATTUNE REV OFFSET STM ADAPTER 2MM	SUP-97-06162	CDM			278	RC		outpatient			2956.5	2956.5	2956.5				fee schedule		2956.5				other	OPPS APC	1685.21				percent of total billed charges		2956.5				other	OPPS APC	2956.5				other	OPPS APC	1448.69				percent of total billed charges		1507.82				percent of total billed charges		2956.5				other	OPPS APC	1448.69	2956.5	
ATTUNE REV OFFSET STM ADAPTER 2MM	SUP-97-06162	CDM			278	RC		inpatient			2956.5	2956.5																																																			
SYMFONY ZXT 300LENS  14.0	SUP-278C17801	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
SYMFONY ZXT 300LENS  14.0	SUP-278C17801	CDM			278	RC		inpatient			2955	2955																																																			
ZXT 300 LENS  18.0	SUP-97-01701	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
ZXT 300 LENS  18.0	SUP-97-01701	CDM			278	RC		inpatient			2955	2955																																																			
ZXT 375LENS  22.50	SUP-97-01744	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
ZXT 375LENS  22.50	SUP-97-01744	CDM			278	RC		inpatient			2955	2955																																																			
ZXT 375LENS  22.0	SUP-97-01778	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
ZXT 375LENS  22.0	SUP-97-01778	CDM			278	RC		inpatient			2955	2955																																																			
ZXT 150 LENS 24.5	SUP-97-01849	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
ZXT 150 LENS 24.5	SUP-97-01849	CDM			278	RC		inpatient			2955	2955																																																			
ZXT 150LENS  20.5	SUP-97-01942	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
ZXT 150LENS  20.5	SUP-97-01942	CDM			278	RC		inpatient			2955	2955																																																			
SYMFONY ZXT 300LENS  14.0	SUP-97-01943	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
SYMFONY ZXT 300LENS  14.0	SUP-97-01943	CDM			278	RC		inpatient			2955	2955																																																			
ZXT300 21.0D	SUP-97-01979	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
ZXT300 21.0D	SUP-97-01979	CDM			278	RC		inpatient			2955	2955																																																			
LENS ZXR00 20.5D	SUP-97-01980	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
LENS ZXR00 20.5D	SUP-97-01980	CDM			278	RC		inpatient			2955	2955																																																			
LENS 19.5D	SUP-97-02948	CDM			278	RC		outpatient			2955	2955	2955				fee schedule		2955				other	OPPS APC	1684.35				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	1447.95				percent of total billed charges		1507.05				percent of total billed charges		2955				other	OPPS APC	1447.95	2955	
LENS 19.5D	SUP-97-02948	CDM			278	RC		inpatient			2955	2955																																																			
CATHETER - QUICK CROSS SELECT 135CM	SUP-99-00745	CDM			272	RC		outpatient			2955	2955	800.51				percent of total billed charges		2955				other	OPPS APC	2186.7				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	800.51				percent of total billed charges		816.47				percent of total billed charges		2955				other	OPPS APC	800.51	2955	
CATHETER - QUICK CROSS SELECT 135CM	SUP-99-00745	CDM			272	RC		inpatient			2955	2955																																																			
CATHETER - QUICK CROSS SELECT 65CM	SUP-99-00746	CDM			272	RC		outpatient			2955	2955	800.51				percent of total billed charges		2955				other	OPPS APC	2186.7				percent of total billed charges		2955				other	OPPS APC	2955				other	OPPS APC	800.51				percent of total billed charges		816.47				percent of total billed charges		2955				other	OPPS APC	800.51	2955	
CATHETER - QUICK CROSS SELECT 65CM	SUP-99-00746	CDM			272	RC		inpatient			2955	2955																																																			
PLATE BONE PHILOS STAINLESS STEEL STANDARD L90 MM PROXIMAL HUMERUS 3 HOLE LOCKING COMPRESSION PRECONTOUR NONSTERILE 3.5 MM SCREWS	SUP-241.901	CDM	270010022	LOCAL	270	RC		outpatient			2954.64	2954.64	800.41				percent of total billed charges		2954.64				other	OPPS APC	2186.43				percent of total billed charges		2954.64				other	OPPS APC	2954.64				other	OPPS APC	800.41				percent of total billed charges		816.37				percent of total billed charges		2954.64				other	OPPS APC	800.41	2954.64	
PLATE BONE PHILOS STAINLESS STEEL STANDARD L90 MM PROXIMAL HUMERUS 3 HOLE LOCKING COMPRESSION PRECONTOUR NONSTERILE 3.5 MM SCREWS	SUP-241.901	CDM	270010022	LOCAL	270	RC		inpatient			2954.64	2954.64																																																			
HC Cc Dilation Existnephhrostomy New Access	PX-361504371	CDM	50437	CPT	361	RC		outpatient			2954	2954	932.87				percent of total billed charges		2954				other	OPPS APC	2954				fee schedule		2954				other	OPPS APC	2954				other	OPPS APC	932.87				percent of total billed charges		951.48				percent of total billed charges		2954				other	OPPS APC	932.87	2954	
HC Cc Dilation Existnephhrostomy New Access	PX-361504371	CDM	50437	CPT	361	RC		inpatient			2954	2954																																																			
ZXT 225 LEN 17.5	SUP-97-01693	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT 225 LEN 17.5	SUP-97-01693	CDM			278	RC		inpatient			2953.5	2953.5																																																			
ZXT 225 LEN 14.0	SUP-97-01877	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT 225 LEN 14.0	SUP-97-01877	CDM			278	RC		inpatient			2953.5	2953.5																																																			
ZXT 300 LEN 14.0	SUP-97-01934	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT 300 LEN 14.0	SUP-97-01934	CDM			278	RC		inpatient			2953.5	2953.5																																																			
ZXT 225 LEN 15.5	SUP-97-01983	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT 225 LEN 15.5	SUP-97-01983	CDM			278	RC		inpatient			2953.5	2953.5																																																			
ZXT 225 LEN 19.0	SUP-97-02312	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT 225 LEN 19.0	SUP-97-02312	CDM			278	RC		inpatient			2953.5	2953.5																																																			
ZXT225 LENS 12.5	SUP-97-02530	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT225 LENS 12.5	SUP-97-02530	CDM			278	RC		inpatient			2953.5	2953.5																																																			
ZXT225 22.0D	SUP-97-02617	CDM			278	RC		outpatient			2953.5	2953.5	2953.5				fee schedule		2953.5				other	OPPS APC	1683.5				percent of total billed charges		2953.5				other	OPPS APC	2953.5				other	OPPS APC	1447.22				percent of total billed charges		1506.29				percent of total billed charges		2953.5				other	OPPS APC	1447.22	2953.5	
ZXT225 22.0D	SUP-97-02617	CDM			278	RC		inpatient			2953.5	2953.5																																																			
2.7MM VA-LCP 2-LATERAL DISTALFIBULAR	SUP-97-01929	CDM			278	RC		outpatient			2953.41	2953.5	2953.41				fee schedule		2953.41				other	OPPS APC	1683.44				percent of total billed charges		2953.41				other	OPPS APC	2953.41				other	OPPS APC	1447.17				percent of total billed charges		1506.24				percent of total billed charges		2953.5				other	OPPS APC	1447.17	2953.5	
2.7MM VA-LCP 2-LATERAL DISTALFIBULAR	SUP-97-01929	CDM			278	RC		inpatient			2953.41	2953.41																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 300MM	SUP-04.301.930S	CDM	270010022	LOCAL	270	RC		outpatient			2953.28	2953.28	800.04				percent of total billed charges		2953.28				other	OPPS APC	2185.43				percent of total billed charges		2953.28				other	OPPS APC	2953.28				other	OPPS APC	800.04				percent of total billed charges		815.99				percent of total billed charges		2953.28				other	OPPS APC	800.04	2953.28	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 300MM	SUP-04.301.930S	CDM	270010022	LOCAL	270	RC		inpatient			2953.28	2953.28																																																			
ZXT 150 LENS 21.0	SUP-97-02866	CDM			278	RC		outpatient			2952	2952	2952				fee schedule		2952				other	OPPS APC	1682.64				percent of total billed charges		2952				other	OPPS APC	2952				other	OPPS APC	1446.48				percent of total billed charges		1505.52				percent of total billed charges		2952				other	OPPS APC	1446.48	2952	
ZXT 150 LENS 21.0	SUP-97-02866	CDM			278	RC		inpatient			2952	2952																																																			
CATHETER ABLATION EXTREME .014 IN L135 CM OD2 MM OTW LASER	SUP-120-001	CDM			270	RC		outpatient			2950	295	799.16				percent of total billed charges		2950				other	OPPS APC	2183				percent of total billed charges		2950				other	OPPS APC	2950				other	OPPS APC	799.16				percent of total billed charges		815.09				percent of total billed charges		295				other	OPPS APC	295	2950	
CATHETER ABLATION EXTREME .014 IN L135 CM OD2 MM OTW LASER	SUP-120-001	CDM			270	RC		inpatient			2950	2950																																																			
PLATE BONE LCP COMBI 230MM SS NS HUMERUS RIGHT EXTRAARTICULAR DISTAL 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.010	CDM	270010022	LOCAL	270	RC		outpatient			2944.24	2944.24	797.59				percent of total billed charges		2944.24				other	OPPS APC	2178.74				percent of total billed charges		2944.24				other	OPPS APC	2944.24				other	OPPS APC	797.59				percent of total billed charges		813.49				percent of total billed charges		2944.24				other	OPPS APC	797.59	2944.24	
PLATE BONE LCP COMBI 230MM SS NS HUMERUS RIGHT EXTRAARTICULAR DISTAL 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.010	CDM	270010022	LOCAL	270	RC		inpatient			2944.24	2944.24																																																			
PLATE BONE LCP COMBI 230MM SS NS HUMERUS LEFT EXTRAARTICULAR DISTAL 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.030	CDM	270010022	LOCAL	270	RC		outpatient			2944.24	2944.24	797.59				percent of total billed charges		2944.24				other	OPPS APC	2178.74				percent of total billed charges		2944.24				other	OPPS APC	2944.24				other	OPPS APC	797.59				percent of total billed charges		813.49				percent of total billed charges		2944.24				other	OPPS APC	797.59	2944.24	
PLATE BONE LCP COMBI 230MM SS NS HUMERUS LEFT EXTRAARTICULAR DISTAL 10 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.030	CDM	270010022	LOCAL	270	RC		inpatient			2944.24	2944.24																																																			
SHUNT NEUROSURGICAL SMALL CSF LOW PRESSURE UNITIZED KIT STERILE	SUP-46012	CDM			270	RC		outpatient			2942	2942	796.99				percent of total billed charges		2942				other	OPPS APC	2177.08				percent of total billed charges		2942				other	OPPS APC	2942				other	OPPS APC	796.99				percent of total billed charges		812.87				percent of total billed charges		2942				other	OPPS APC	796.99	2942	
SHUNT NEUROSURGICAL SMALL CSF LOW PRESSURE UNITIZED KIT STERILE	SUP-46012	CDM			270	RC		inpatient			2942	2942																																																			
EXPANDER TISSUE SILTEX CPX2 P7.9 CM CONTOUR PROFILE W15.7 CM X H11.2 CM 650 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6115	CDM			270	RC		outpatient			2940	294	796.45				percent of total billed charges		2940				other	OPPS APC	2175.6				percent of total billed charges		2940				other	OPPS APC	2940				other	OPPS APC	796.45				percent of total billed charges		812.32				percent of total billed charges		294				other	OPPS APC	294	2940	
EXPANDER TISSUE SILTEX CPX2 P7.9 CM CONTOUR PROFILE W15.7 CM X H11.2 CM 650 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6115	CDM			270	RC		inpatient			2940	2940																																																			
BIO CARTILAGE	SUP-97-03461	CDM			278	RC		outpatient			2940	294	2940				fee schedule		2940				other	OPPS APC	1675.8				percent of total billed charges		2940				other	OPPS APC	2940				other	OPPS APC	1440.6				percent of total billed charges		1499.4				percent of total billed charges		294				other	OPPS APC	294	2940	
BIO CARTILAGE	SUP-97-03461	CDM			278	RC		inpatient			2940	2940																																																			
ANGEL SYSTEM W/ ASPIRATION ACDA	SUP-97-04069	CDM			278	RC		outpatient			2940	294	2940				fee schedule		2940				other	OPPS APC	1675.8				percent of total billed charges		2940				other	OPPS APC	2940				other	OPPS APC	1440.6				percent of total billed charges		1499.4				percent of total billed charges		294				other	OPPS APC	294	2940	
ANGEL SYSTEM W/ ASPIRATION ACDA	SUP-97-04069	CDM			278	RC		inpatient			2940	2940																																																			
BEAM FULL 7.0MM X 100	SUP-SB170100	CDM			270	RC		outpatient			2936	2936	795.36				percent of total billed charges		2936				other	OPPS APC	2172.64				percent of total billed charges		2936				other	OPPS APC	2936				other	OPPS APC	795.36				percent of total billed charges		811.22				percent of total billed charges		2936				other	OPPS APC	795.36	2936	
BEAM FULL 7.0MM X 100	SUP-SB170100	CDM			270	RC		inpatient			2936	2936																																																			
BOLT ORTHOPEDIC SALVATION FULL THREAD 125MM 11MM 7MM FOOT ANKLE FUSION BEAM	SUP-SB170125	CDM			270	RC		outpatient			2936	2936	795.36				percent of total billed charges		2936				other	OPPS APC	2172.64				percent of total billed charges		2936				other	OPPS APC	2936				other	OPPS APC	795.36				percent of total billed charges		811.22				percent of total billed charges		2936				other	OPPS APC	795.36	2936	
BOLT ORTHOPEDIC SALVATION FULL THREAD 125MM 11MM 7MM FOOT ANKLE FUSION BEAM	SUP-SB170125	CDM			270	RC		inpatient			2936	2936																																																			
ADAPTER LEAD L10 CM 8 CHANNEL B	SUP-2321	CDM			270	RC		outpatient			2934	2934	794.82				percent of total billed charges		2934				other	OPPS APC	2171.16				percent of total billed charges		2934				other	OPPS APC	2934				other	OPPS APC	794.82				percent of total billed charges		810.66				percent of total billed charges		2934				other	OPPS APC	794.82	2934	
ADAPTER LEAD L10 CM 8 CHANNEL B	SUP-2321	CDM			270	RC		inpatient			2934	2934																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L34 CM OD10 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.448S	CDM	270010022	LOCAL	270	RC		outpatient			2933.1	2934	794.58				percent of total billed charges		2933.1				other	OPPS APC	2170.49				percent of total billed charges		2933.1				other	OPPS APC	2933.1				other	OPPS APC	794.58				percent of total billed charges		810.42				percent of total billed charges		2934				other	OPPS APC	794.58	2934	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L34 CM OD10 MM FEMUR CANNULATED RETROGRADE ANTEGRADE STERILE	SUP-04.013.448S	CDM	270010022	LOCAL	270	RC		inpatient			2933.1	2933.1																																																			
CATHETER INFUSION MARKSMAN L160 CM	SUP-FA-55160-1030	CDM			270	RC		outpatient			2930	293	793.74				percent of total billed charges		2930				other	OPPS APC	2168.2				percent of total billed charges		2930				other	OPPS APC	2930				other	OPPS APC	793.74				percent of total billed charges		809.56				percent of total billed charges		293				other	OPPS APC	293	2930	
CATHETER INFUSION MARKSMAN L160 CM	SUP-FA-55160-1030	CDM			270	RC		inpatient			2930	2930																																																			
NAIL CANNULATED TFNA 10MM/130 DEG 235MM RIGHT	SUP-04.037.044S	CDM	270010022	LOCAL	270	RC		outpatient			2926.8	2926.82	792.87				percent of total billed charges		2926.8				other	OPPS APC	2165.83				percent of total billed charges		2926.8				other	OPPS APC	2926.8				other	OPPS APC	792.87				percent of total billed charges		808.67				percent of total billed charges		2926.82				other	OPPS APC	792.87	2926.82	
NAIL CANNULATED TFNA 10MM/130 DEG 235MM RIGHT	SUP-04.037.044S	CDM	270010022	LOCAL	270	RC		inpatient			2926.8	2926.8																																																			
NAIL CANNULATED TFNA 12MM/130 DEG 235MM LEFT	SUP-04.037.245S	CDM	270010022	LOCAL	270	RC		outpatient			2926.8	2926.82	792.87				percent of total billed charges		2926.8				other	OPPS APC	2165.83				percent of total billed charges		2926.8				other	OPPS APC	2926.8				other	OPPS APC	792.87				percent of total billed charges		808.67				percent of total billed charges		2926.82				other	OPPS APC	792.87	2926.82	
NAIL CANNULATED TFNA 12MM/130 DEG 235MM LEFT	SUP-04.037.245S	CDM	270010022	LOCAL	270	RC		inpatient			2926.8	2926.8																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT TI L235 MM 9 MM 130 DEG FEMORAL RIGHT STERILE	SUP-04.037.944S	CDM	270010025	LOCAL	270	RC		outpatient			2926.8	2926.82	792.87				percent of total billed charges		2926.8				other	OPPS APC	2165.83				percent of total billed charges		2926.8				other	OPPS APC	2926.8				other	OPPS APC	792.87				percent of total billed charges		808.67				percent of total billed charges		2926.82				other	OPPS APC	792.87	2926.82	
NAIL INTRAMEDULLARY TFN-ADVANCED LATERAL RELIEF CUT TI L235 MM 9 MM 130 DEG FEMORAL RIGHT STERILE	SUP-04.037.944S	CDM	270010025	LOCAL	270	RC		inpatient			2926.8	2926.8																																																			
HC MRI Orbit  Face  or Neck W WO	PX-610705430	CDM	70543	CPT	610	RC		outpatient			2925	388.42	516.64				fee schedule		388.04				other	OPPS APC	2670.24				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	354.81				fee schedule		252.26				fee schedule		388.42				other	OPPS APC	252.26	2670.24	
HC MRI Orbit  Face  or Neck W WO	PX-610705430	CDM	70543	CPT	610	RC		inpatient			2925	2925																																																			
HC MRI-Pelvis W/WO Contrast	PX-610721970	CDM	72197	CPT	610	RC		outpatient			2925	388.42	529.29				fee schedule		388.04				other	OPPS APC	2687.96				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	353.13				fee schedule		248.6				fee schedule		388.42				other	OPPS APC	248.6	2687.96	
HC MRI-Pelvis W/WO Contrast	PX-610721970	CDM	72197	CPT	610	RC		inpatient			2925	2925																																																			
HC MRI Abdomen W WO Contrast	PX-610741830	CDM	74183	CPT	610	RC		outpatient			2925	388.42	531.11				fee schedule		388.04				other	OPPS APC	2687.96				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	354.48				fee schedule		249.93				fee schedule		388.42				other	OPPS APC	249.93	2687.96	
HC MRI Abdomen W WO Contrast	PX-610741830	CDM	74183	CPT	610	RC		inpatient			2925	2925																																																			
HC MRI-C Spine W/WO Contrast	PX-612721560	CDM	72156	CPT	612	RC		outpatient			2925	388.42	401.61				fee schedule		388.04				other	OPPS APC	2753.68				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	334.39				fee schedule		225.3				fee schedule		388.42				other	OPPS APC	225.3	2753.68	
HC MRI-C Spine W/WO Contrast	PX-612721560	CDM	72156	CPT	612	RC		inpatient			2925	2925																																																			
HC MRI-T Spine W/WO Contrast	PX-612721570	CDM	72157	CPT	612	RC		outpatient			2925	388.42	401.98				fee schedule		388.04				other	OPPS APC	2752				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	335.05				fee schedule		225.96				fee schedule		388.42				other	OPPS APC	225.96	2752	
HC MRI-T Spine W/WO Contrast	PX-612721570	CDM	72157	CPT	612	RC		inpatient			2925	2925																																																			
HC MRI-L-Spine W/WO Contrast	PX-612721580	CDM	72158	CPT	612	RC		outpatient			2925	388.42	400.41				fee schedule		388.04				other	OPPS APC	2729.03				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	333.72				fee schedule		224.63				fee schedule		388.42				other	OPPS APC	224.63	2729.03	
HC MRI-L-Spine W/WO Contrast	PX-612721580	CDM	72158	CPT	612	RC		inpatient			2925	2925																																																			
MRI Brain W WO Contrast	PX-IMG271B	CDM	70553	CPT	611	RC		outpatient			2925	388.42	401.25				fee schedule		388.04				other	OPPS APC	2729.03				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	332.72				fee schedule		223.3				fee schedule		388.42				other	OPPS APC	223.3	2729.03	
MRI Brain W WO Contrast	PX-IMG271B	CDM	70553	CPT	611	RC		inpatient			2925	2925																																																			
GRAFT THERASKIN 13CM 1 X 2	SUP-95-02207	CDM			636	RC		outpatient			2925	2925	2925				fee schedule		2925				other	OPPS APC	49.33				fee schedule		2925				other	OPPS APC	2925				other	OPPS APC	1433.25				percent of total billed charges		727.16				percent of total billed charges		2925				other	OPPS APC	49.33	2925	
GRAFT THERASKIN 13CM 1 X 2	SUP-95-02207	CDM			636	RC		inpatient			2925	2925																																																			
ACHILLES SPEED BRIDGE	SUP-97-03485	CDM			278	RC		outpatient			2925	2925	2925				fee schedule		2925				other	OPPS APC	1667.25				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	1433.25				percent of total billed charges		1491.75				percent of total billed charges		2925				other	OPPS APC	1433.25	2925	
ACHILLES SPEED BRIDGE	SUP-97-03485	CDM			278	RC		inpatient			2925	2925																																																			
BALLOON - ANGIOSCULPT 5.0X40	SUP-99-00901	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 5.0X40	SUP-99-00901	CDM			272	RC		inpatient			2925	2925																																																			
STENT - ABSOLUTE PRO 8.0X100	SUP-99-01175	CDM			278	RC		inpatient			2925	2925																																																			
STENT - ABSOLUTE PRO 8.0X100	SUP-99-01175	CDM			278	RC		outpatient			2925	2925					fee schedule						other	OPPS APC	1667.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1433.25				percent of total billed charges		1491.75				percent of total billed charges						other	OPPS APC	1667.25	1667.25	
BALLOON - ANGIOSCULPT 2.5X40	SUP-99-01306	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 2.5X40	SUP-99-01306	CDM			272	RC		inpatient			2925	2925																																																			
BALLOON - ANGIOSCULPT 3.0X40	SUP-99-01340	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 3.0X40	SUP-99-01340	CDM			272	RC		inpatient			2925	2925																																																			
BALLOON - ANGIOSCULPT 6.0X40X90	SUP-99-01354	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 6.0X40X90	SUP-99-01354	CDM			272	RC		inpatient			2925	2925																																																			
BALLOON - ANGIOSCULPT 5.0X20	SUP-99-01361	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 5.0X20	SUP-99-01361	CDM			272	RC		inpatient			2925	2925																																																			
STENT - EPIC 12X60X75	SUP-99-01538	CDM			278	RC		inpatient			2925	2925																																																			
STENT - EPIC 12X60X75	SUP-99-01538	CDM			278	RC		outpatient			2925	2925					fee schedule						other	OPPS APC	1667.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1433.25				percent of total billed charges		1491.75				percent of total billed charges						other	OPPS APC	1667.25	1667.25	
STENT - EPIC 6X100X120	SUP-99-01546	CDM			278	RC		inpatient			2925	2925																																																			
STENT - EPIC 6X100X120	SUP-99-01546	CDM			278	RC		outpatient			2925	2925					fee schedule						other	OPPS APC	1667.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1433.25				percent of total billed charges		1491.75				percent of total billed charges						other	OPPS APC	1667.25	1667.25	
STENT - EPIC 7X100X120	SUP-99-01594	CDM			278	RC		inpatient			2925	2925																																																			
STENT - EPIC 7X100X120	SUP-99-01594	CDM			278	RC		outpatient			2925	2925					fee schedule						other	OPPS APC	1667.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1433.25				percent of total billed charges		1491.75				percent of total billed charges						other	OPPS APC	1667.25	1667.25	
BALLOON - ANGIOSCULPT 4.0X20	SUP-99-01736	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 4.0X20	SUP-99-01736	CDM			272	RC		inpatient			2925	2925																																																			
BALLOON - ANGIOSCULPT 3.5X40	SUP-99-01789	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 3.5X40	SUP-99-01789	CDM			272	RC		inpatient			2925	2925																																																			
STENT - EPIC 6X40X120	SUP-99-01883	CDM			278	RC		inpatient			2925	2925																																																			
STENT - EPIC 6X40X120	SUP-99-01883	CDM			278	RC		outpatient			2925	2925					fee schedule						other	OPPS APC	1667.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1433.25				percent of total billed charges		1491.75				percent of total billed charges						other	OPPS APC	1667.25	1667.25	
BALLOON - ANGIOSCULPT 2.0X40	SUP-99-02042	CDM			272	RC		outpatient			2925	2925	792.38				percent of total billed charges		2925				other	OPPS APC	2164.5				percent of total billed charges		2925				other	OPPS APC	2925				other	OPPS APC	792.38				percent of total billed charges		808.18				percent of total billed charges		2925				other	OPPS APC	792.38	2925	
BALLOON - ANGIOSCULPT 2.0X40	SUP-99-02042	CDM			272	RC		inpatient			2925	2925																																																			
STENT - EXPRESS LD 8.0X37X75	SUP-99-01019	CDM			278	RC		inpatient			2918.58	2918.58																																																			
STENT - EXPRESS LD 8.0X37X75	SUP-99-01019	CDM			278	RC		outpatient			2918.58	2918.58					fee schedule						other	OPPS APC	1663.59				percent of total billed charges						other	OPPS APC					other	OPPS APC	1430.1				percent of total billed charges		1488.48				percent of total billed charges						other	OPPS APC	1663.59	1663.59	
PLATE BONE EVOS STAINLESS STEEL L 195MM HUMERUS LEFT DISTAL POSTEROLATERAL 16 HOLE LOW PROFILE VARIABLE ANGLE LOCK EXTRA ARTICULAR 2.7/3.5MM SCREW	SUP-72469116	CDM			270	RC		outpatient			2916	2916	789.94				percent of total billed charges		2916				other	OPPS APC	2157.84				percent of total billed charges		2916				other	OPPS APC	2916				other	OPPS APC	789.94				percent of total billed charges		805.69				percent of total billed charges		2916				other	OPPS APC	789.94	2916	
PLATE BONE EVOS STAINLESS STEEL L 195MM HUMERUS LEFT DISTAL POSTEROLATERAL 16 HOLE LOW PROFILE VARIABLE ANGLE LOCK EXTRA ARTICULAR 2.7/3.5MM SCREW	SUP-72469116	CDM			270	RC		inpatient			2916	2916																																																			
GRAFT OVITEX 1S 6 X 10	SUP-97-05871	CDM			278	RC		outpatient			2916	2916	2916				fee schedule		2916				other	OPPS APC	1662.12				percent of total billed charges		2916				other	OPPS APC	2916				other	OPPS APC	1428.84				percent of total billed charges		1487.16				percent of total billed charges		2916				other	OPPS APC	1428.84	2916	
GRAFT OVITEX 1S 6 X 10	SUP-97-05871	CDM			278	RC		inpatient			2916	2916																																																			
HYDROMARK T1 BIOPSY MARKER - ULTRASOUND	SUP-95-05087	CDM			272	RC		outpatient			2914.62	2914.62	789.57				percent of total billed charges		2914.62				other	OPPS APC	2156.82				percent of total billed charges		2914.62				other	OPPS APC	2914.62				other	OPPS APC	789.57				percent of total billed charges		805.31				percent of total billed charges		2914.62				other	OPPS APC	789.57	2914.62	
HYDROMARK T1 BIOPSY MARKER - ULTRASOUND	SUP-95-05087	CDM			272	RC		inpatient			2914.62	2914.62																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L154 MM TIBIA RIGHT PROXIMAL 10 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.212	CDM	270010022	LOCAL	270	RC		outpatient			2913.9	2913.91	789.38				percent of total billed charges		2913.9				other	OPPS APC	2156.29				percent of total billed charges		2913.9				other	OPPS APC	2913.9				other	OPPS APC	789.38				percent of total billed charges		805.11				percent of total billed charges		2913.91				other	OPPS APC	789.38	2913.91	
PLATE BONE LCP COMBI STAINLESS STEEL L154 MM TIBIA RIGHT PROXIMAL 10 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.212	CDM	270010022	LOCAL	270	RC		inpatient			2913.9	2913.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L154 MM TIBIA LEFT PROXIMAL 10 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.213	CDM	270010022	LOCAL	270	RC		outpatient			2913.9	2913.91	789.38				percent of total billed charges		2913.9				other	OPPS APC	2156.29				percent of total billed charges		2913.9				other	OPPS APC	2913.9				other	OPPS APC	789.38				percent of total billed charges		805.11				percent of total billed charges		2913.91				other	OPPS APC	789.38	2913.91	
PLATE BONE LCP COMBI STAINLESS STEEL L154 MM TIBIA LEFT PROXIMAL 10 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.213	CDM	270010022	LOCAL	270	RC		inpatient			2913.9	2913.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L159 MM TIBIA RIGHT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.940	CDM	270010022	LOCAL	270	RC		outpatient			2913.9	2913.91	789.38				percent of total billed charges		2913.9				other	OPPS APC	2156.29				percent of total billed charges		2913.9				other	OPPS APC	2913.9				other	OPPS APC	789.38				percent of total billed charges		805.11				percent of total billed charges		2913.91				other	OPPS APC	789.38	2913.91	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L159 MM TIBIA RIGHT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.940	CDM	270010022	LOCAL	270	RC		inpatient			2913.9	2913.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L159 MM TIBIA LEFT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.941	CDM	270010022	LOCAL	270	RC		outpatient			2913.9	2913.91	789.38				percent of total billed charges		2913.9				other	OPPS APC	2156.29				percent of total billed charges		2913.9				other	OPPS APC	2913.9				other	OPPS APC	789.38				percent of total billed charges		805.11				percent of total billed charges		2913.91				other	OPPS APC	789.38	2913.91	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L159 MM TIBIA LEFT PROXIMAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.941	CDM	270010022	LOCAL	270	RC		inpatient			2913.9	2913.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L171 MM TIBIA RIGHT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.960	CDM	270010022	LOCAL	270	RC		outpatient			2911.7	2911.7	788.78				percent of total billed charges		2911.7				other	OPPS APC	2154.66				percent of total billed charges		2911.7				other	OPPS APC	2911.7				other	OPPS APC	788.78				percent of total billed charges		804.5				percent of total billed charges		2911.7				other	OPPS APC	788.78	2911.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L171 MM TIBIA RIGHT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.960	CDM	270010022	LOCAL	270	RC		inpatient			2911.7	2911.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L171 MM TIBIA LEFT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.961	CDM	270010022	LOCAL	270	RC		outpatient			2911.7	2911.7	788.78				percent of total billed charges		2911.7				other	OPPS APC	2154.66				percent of total billed charges		2911.7				other	OPPS APC	2911.7				other	OPPS APC	788.78				percent of total billed charges		804.5				percent of total billed charges		2911.7				other	OPPS APC	788.78	2911.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L171 MM TIBIA LEFT PROXIMAL MEDIAL 10 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.961	CDM	270010022	LOCAL	270	RC		inpatient			2911.7	2911.7																																																			
SIGMA TIBIAL SZ 3 9MM	SUP-97-01050	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
SIGMA TIBIAL SZ 3 9MM	SUP-97-01050	CDM			278	RC		inpatient			2907	2907																																																			
SIGMA TIBIAL SZ 2 8MM	SUP-97-01291	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
SIGMA TIBIAL SZ 2 8MM	SUP-97-01291	CDM			278	RC		inpatient			2907	2907																																																			
SIGMA TIBIAL SZ 3 9-7MM	SUP-97-01656	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
SIGMA TIBIAL SZ 3 9-7MM	SUP-97-01656	CDM			278	RC		inpatient			2907	2907																																																			
SIGMA TIBIAL SZ 4RM/LL 8MM	SUP-97-01788	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
SIGMA TIBIAL SZ 4RM/LL 8MM	SUP-97-01788	CDM			278	RC		inpatient			2907	2907																																																			
SIGMA TIBIAL SZ 2RM/LL 7MM	SUP-97-01789	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
SIGMA TIBIAL SZ 2RM/LL 7MM	SUP-97-01789	CDM			278	RC		inpatient			2907	2907																																																			
UNICONDYAR METAL BACKED	SUP-97-02300	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
UNICONDYAR METAL BACKED	SUP-97-02300	CDM			278	RC		inpatient			2907	2907																																																			
TIBIAL INSERT SZ 1RM/LL 7MM	SUP-97-02564	CDM			278	RC		outpatient			2907	297	2907				fee schedule		2907				other	OPPS APC	1656.99				percent of total billed charges		2907				other	OPPS APC	2907				other	OPPS APC	1424.43				percent of total billed charges		1482.57				percent of total billed charges		297				other	OPPS APC	297	2907	
TIBIAL INSERT SZ 1RM/LL 7MM	SUP-97-02564	CDM			278	RC		inpatient			2907	2907																																																			
GRAFT SOFT TISSUE DURAGEN BOVINE COLLAGEN MATRIX L5 IN X W4 IN CRANIUM RESORBABLE SUTURABLE STERILE DURAPLASTY	SUP-ID4501	CDM	270010012	LOCAL	270	RC		outpatient			2904.16	294.16	786.74				percent of total billed charges		2904.16				other	OPPS APC	2149.08				percent of total billed charges		2904.16				other	OPPS APC	2904.16				other	OPPS APC	786.74				percent of total billed charges		802.42				percent of total billed charges		294.16				other	OPPS APC	294.16	2904.16	
GRAFT SOFT TISSUE DURAGEN BOVINE COLLAGEN MATRIX L5 IN X W4 IN CRANIUM RESORBABLE SUTURABLE STERILE DURAPLASTY	SUP-ID4501	CDM	270010012	LOCAL	270	RC		inpatient			2904.16	2904.16																																																			
PLATE BONE TITANIUM L42 MM X W38 MM X H.4 MM CRANIOFACIAL MESH NONSTERILE 1 MM SCREWS	SUP-420.02	CDM	270010022	LOCAL	270	RC		outpatient			2903.98	293.98	786.69				percent of total billed charges		2903.98				other	OPPS APC	2148.95				percent of total billed charges		2903.98				other	OPPS APC	2903.98				other	OPPS APC	786.69				percent of total billed charges		802.37				percent of total billed charges		293.98				other	OPPS APC	293.98	2903.98	
PLATE BONE TITANIUM L42 MM X W38 MM X H.4 MM CRANIOFACIAL MESH NONSTERILE 1 MM SCREWS	SUP-420.02	CDM	270010022	LOCAL	270	RC		inpatient			2903.98	2903.98																																																			
SYSTEM ATHERECTOMY ROTALINK PLUS 1.75 MM 6F	SUP-140-175	CDM			270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
SYSTEM ATHERECTOMY ROTALINK PLUS 1.75 MM 6F	SUP-140-175	CDM			270	RC		inpatient			2900	2900																																																			
BURR CATHETER ROTABLATOR ROTALINK PLUS 135CM 2.5MM DIAMOND PERIPHERAL OTW PROTECTIVE SHEATH ROTATIONAL	SUP-140-250	CDM			270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
BURR CATHETER ROTABLATOR ROTALINK PLUS 135CM 2.5MM DIAMOND PERIPHERAL OTW PROTECTIVE SHEATH ROTATIONAL	SUP-140-250	CDM			270	RC		inpatient			2900	2900																																																			
GRAFT BONE 14 D WEDGE OSTEOTOMY	SUP-181472	CDM	270010031	LOCAL	270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
GRAFT BONE 14 D WEDGE OSTEOTOMY	SUP-181472	CDM	270010031	LOCAL	270	RC		inpatient			2900	2900																																																			
SMART BILLARY STENT 6X150	SUP-C06150MB	CDM			270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
SMART BILLARY STENT 6X150	SUP-C06150MB	CDM			270	RC		inpatient			2900	2900																																																			
BURR CATHETER ROTABLATOR ROTALINK PLUS 135CM 1.5MM DIAMOND PERIPHERAL OTW PROTECTIVE SHEATH ROTATIONAL	SUP-M0011401500	CDM			270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
BURR CATHETER ROTABLATOR ROTALINK PLUS 135CM 1.5MM DIAMOND PERIPHERAL OTW PROTECTIVE SHEATH ROTATIONAL	SUP-M0011401500	CDM			270	RC		inpatient			2900	2900																																																			
BURR CATHETER ROTABLATOR ROTALINK PLUS 135CM 2MM DIAMOND PERIPHERAL OTW PROTECTIVE SHEATH ROTATIONAL	SUP-M0011402000	CDM			270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
BURR CATHETER ROTABLATOR ROTALINK PLUS 135CM 2MM DIAMOND PERIPHERAL OTW PROTECTIVE SHEATH ROTATIONAL	SUP-M0011402000	CDM			270	RC		inpatient			2900	2900																																																			
SYSTEM ATHERECTOMY ROTALINK PLUS 2.5MM PERIPHERAL INTERVENTION	SUP-M0011402500	CDM			270	RC		outpatient			2900	29	785.61				percent of total billed charges		2900				other	OPPS APC	2146				percent of total billed charges		2900				other	OPPS APC	2900				other	OPPS APC	785.61				percent of total billed charges		801.27				percent of total billed charges		29				other	OPPS APC	29	2900	
SYSTEM ATHERECTOMY ROTALINK PLUS 2.5MM PERIPHERAL INTERVENTION	SUP-M0011402500	CDM			270	RC		inpatient			2900	2900																																																			
NAIL INTRAMEDULLARY 130D SHORT 235MM 12-17MM GREEN TITANIUM STERILE TROCHANTERIC CANNULATED	SUP-456.511S	CDM	270010022	LOCAL	270	RC		outpatient			2899.6	2899.6	785.5				percent of total billed charges		2899.6				other	OPPS APC	2145.7				percent of total billed charges		2899.6				other	OPPS APC	2899.6				other	OPPS APC	785.5				percent of total billed charges		801.16				percent of total billed charges		2899.6				other	OPPS APC	785.5	2899.6	
NAIL INTRAMEDULLARY 130D SHORT 235MM 12-17MM GREEN TITANIUM STERILE TROCHANTERIC CANNULATED	SUP-456.511S	CDM	270010022	LOCAL	270	RC		inpatient			2899.6	2899.6																																																			
TRI PRESS-FIT STEM 17MM X 100MM	SUP-97-05092	CDM			278	RC		outpatient			2898	2898	2898				fee schedule		2898				other	OPPS APC	1651.86				percent of total billed charges		2898				other	OPPS APC	2898				other	OPPS APC	1420.02				percent of total billed charges		1477.98				percent of total billed charges		2898				other	OPPS APC	1420.02	2898	
TRI PRESS-FIT STEM 17MM X 100MM	SUP-97-05092	CDM			278	RC		inpatient			2898	2898																																																			
STEM FLUTED TRIATHLON 11MM 100MM TS	SUP-97-05755	CDM			278	RC		outpatient			2898	2898	2898				fee schedule		2898				other	OPPS APC	1651.86				percent of total billed charges		2898				other	OPPS APC	2898				other	OPPS APC	1420.02				percent of total billed charges		1477.98				percent of total billed charges		2898				other	OPPS APC	1420.02	2898	
STEM FLUTED TRIATHLON 11MM 100MM TS	SUP-97-05755	CDM			278	RC		inpatient			2898	2898																																																			
TRI PRESS FIT STEM 12MM X 100MM	SUP-97-05794	CDM			278	RC		outpatient			2898	2898	2898				fee schedule		2898				other	OPPS APC	1651.86				percent of total billed charges		2898				other	OPPS APC	2898				other	OPPS APC	1420.02				percent of total billed charges		1477.98				percent of total billed charges		2898				other	OPPS APC	1420.02	2898	
TRI PRESS FIT STEM 12MM X 100MM	SUP-97-05794	CDM			278	RC		inpatient			2898	2898																																																			
TRI PRESS FIT STEM 19 X 100MM	SUP-97-05807	CDM			278	RC		outpatient			2898	2898	2898				fee schedule		2898				other	OPPS APC	1651.86				percent of total billed charges		2898				other	OPPS APC	2898				other	OPPS APC	1420.02				percent of total billed charges		1477.98				percent of total billed charges		2898				other	OPPS APC	1420.02	2898	
TRI PRESS FIT STEM 19 X 100MM	SUP-97-05807	CDM			278	RC		inpatient			2898	2898																																																			
STEM TRI PRESS-FIT 15 X 100MM	SUP-97-06128	CDM			278	RC		outpatient			2898	2898	2898				fee schedule		2898				other	OPPS APC	1651.86				percent of total billed charges		2898				other	OPPS APC	2898				other	OPPS APC	1420.02				percent of total billed charges		1477.98				percent of total billed charges		2898				other	OPPS APC	1420.02	2898	
STEM TRI PRESS-FIT 15 X 100MM	SUP-97-06128	CDM			278	RC		inpatient			2898	2898																																																			
TRI PRESS-FIT STEM 13MM X 100MM	SUP-97-23722	CDM			278	RC		outpatient			2898	2898	2898				fee schedule		2898				other	OPPS APC	1651.86				percent of total billed charges		2898				other	OPPS APC	2898				other	OPPS APC	1420.02				percent of total billed charges		1477.98				percent of total billed charges		2898				other	OPPS APC	1420.02	2898	
TRI PRESS-FIT STEM 13MM X 100MM	SUP-97-23722	CDM			278	RC		inpatient			2898	2898																																																			
PLATE BONE LCP STAINLESS STEEL 0 D L53 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE REVISION NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.244	CDM	270010022	LOCAL	270	RC		outpatient			2893.2	2893.2	783.77				percent of total billed charges		2893.2				other	OPPS APC	2140.97				percent of total billed charges		2893.2				other	OPPS APC	2893.2				other	OPPS APC	783.77				percent of total billed charges		799.39				percent of total billed charges		2893.2				other	OPPS APC	783.77	2893.2	
PLATE BONE LCP STAINLESS STEEL 0 D L53 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE REVISION NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.244	CDM	270010022	LOCAL	270	RC		inpatient			2893.2	2893.2																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL6H	SUP-97-02178	CDM			278	RC		outpatient			2892.6	2892.6	2892.6				fee schedule		2892.6				other	OPPS APC	1648.78				percent of total billed charges		2892.6				other	OPPS APC	2892.6				other	OPPS APC	1417.37				percent of total billed charges		1475.23				percent of total billed charges		2892.6				other	OPPS APC	1417.37	2892.6	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL6H	SUP-97-02178	CDM			278	RC		inpatient			2892.6	2892.6																																																			
GRAFT HEMASHIELD PATCH (85168)	SUP-97-03663	CDM			278	RC		outpatient			2888.55	2888.55	2888.55				fee schedule		2888.55				other	OPPS APC	1646.47				percent of total billed charges		2888.55				other	OPPS APC	2888.55				other	OPPS APC	1415.39				percent of total billed charges		1473.16				percent of total billed charges		2888.55				other	OPPS APC	1415.39	2888.55	
GRAFT HEMASHIELD PATCH (85168)	SUP-97-03663	CDM			278	RC		inpatient			2888.55	2888.55																																																			
ICE 10F SOUNDSTAR ULTRASOUND reprocessed	SUP-BIO10439072	CDM			270	RC		outpatient			2888	2888	782.36				percent of total billed charges		2888				other	OPPS APC	2137.12				percent of total billed charges		2888				other	OPPS APC	2888				other	OPPS APC	782.36				percent of total billed charges		797.95				percent of total billed charges		2888				other	OPPS APC	782.36	2888	
ICE 10F SOUNDSTAR ULTRASOUND reprocessed	SUP-BIO10439072	CDM			270	RC		inpatient			2888	2888																																																			
BIOPSY SITE INDENTIFIER 8G 'BOWTIE'	SUP-95-02764	CDM						inpatient			2884.29	2884.29																																																			
BIOPSY SITE INDENTIFIER 8G 'BOWTIE'	SUP-95-02764	CDM						outpatient			2884.29	2884.29	2884.29				percent of total billed charges		2884.29				other	OPPS APC	2884.29				fee schedule		2884.29				other	OPPS APC	2884.29				other	OPPS APC	2884.29				case rate		2884.29				case rate		2884.29				other	OPPS APC	2884.29	2884.29	
PLATE BONE LCP STAINLESS STEEL L147 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 10 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.510	CDM	270010022	LOCAL	270	RC		outpatient			2883.1	2884	781.03				percent of total billed charges		2883.1				other	OPPS APC	2133.49				percent of total billed charges		2883.1				other	OPPS APC	2883.1				other	OPPS APC	781.03				percent of total billed charges		796.6				percent of total billed charges		2884				other	OPPS APC	781.03	2884	
PLATE BONE LCP STAINLESS STEEL L147 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 10 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.510	CDM	270010022	LOCAL	270	RC		inpatient			2883.1	2883.1																																																			
PLATE BONE LCP STAINLESS STEEL L147 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.511	CDM	270010022	LOCAL	270	RC		outpatient			2883.1	2884	781.03				percent of total billed charges		2883.1				other	OPPS APC	2133.49				percent of total billed charges		2883.1				other	OPPS APC	2883.1				other	OPPS APC	781.03				percent of total billed charges		796.6				percent of total billed charges		2884				other	OPPS APC	781.03	2884	
PLATE BONE LCP STAINLESS STEEL L147 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.511	CDM	270010022	LOCAL	270	RC		inpatient			2883.1	2883.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L133 MM TIBIA RIGHT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.938	CDM	270010022	LOCAL	270	RC		outpatient			2882	2882	780.73				percent of total billed charges		2882				other	OPPS APC	2132.68				percent of total billed charges		2882				other	OPPS APC	2882				other	OPPS APC	780.73				percent of total billed charges		796.3				percent of total billed charges		2882				other	OPPS APC	780.73	2882	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L133 MM TIBIA RIGHT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.938	CDM	270010022	LOCAL	270	RC		inpatient			2882	2882																																																			
HEAD HUMERAL EQUINOXE SHORT OD41 MM	SUP-310-01-41	CDM	270010030	LOCAL	270	RC		outpatient			2880	288	780.19				percent of total billed charges		2880				other	OPPS APC	2131.2				percent of total billed charges		2880				other	OPPS APC	2880				other	OPPS APC	780.19				percent of total billed charges		795.74				percent of total billed charges		288				other	OPPS APC	288	2880	
HEAD HUMERAL EQUINOXE SHORT OD41 MM	SUP-310-01-41	CDM	270010030	LOCAL	270	RC		inpatient			2880	2880																																																			
SCREW BONE LEGACY CD HORIZON PEEK L30 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897530	CDM	270010020	LOCAL	270	RC		outpatient			2880	288	780.19				percent of total billed charges		2880				other	OPPS APC	2131.2				percent of total billed charges		2880				other	OPPS APC	2880				other	OPPS APC	780.19				percent of total billed charges		795.74				percent of total billed charges		288				other	OPPS APC	288	2880	
SCREW BONE LEGACY CD HORIZON PEEK L30 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897530	CDM	270010020	LOCAL	270	RC		inpatient			2880	2880																																																			
SCREW BONE LEGACY CD HORIZON PEEK L40 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897540	CDM	270010020	LOCAL	270	RC		outpatient			2880	288	780.19				percent of total billed charges		2880				other	OPPS APC	2131.2				percent of total billed charges		2880				other	OPPS APC	2880				other	OPPS APC	780.19				percent of total billed charges		795.74				percent of total billed charges		288				other	OPPS APC	288	2880	
SCREW BONE LEGACY CD HORIZON PEEK L40 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897540	CDM	270010020	LOCAL	270	RC		inpatient			2880	2880																																																			
SCREW BONE LEGACY CD HORIZON PEEK L45 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897545	CDM	270010020	LOCAL	270	RC		outpatient			2880	288	780.19				percent of total billed charges		2880				other	OPPS APC	2131.2				percent of total billed charges		2880				other	OPPS APC	2880				other	OPPS APC	780.19				percent of total billed charges		795.74				percent of total billed charges		288				other	OPPS APC	288	2880	
SCREW BONE LEGACY CD HORIZON PEEK L45 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897545	CDM	270010020	LOCAL	270	RC		inpatient			2880	2880																																																			
SCREW BONE LEGACY CD HORIZON PEEK L55 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897555	CDM	270010020	LOCAL	270	RC		outpatient			2880	288	780.19				percent of total billed charges		2880				other	OPPS APC	2131.2				percent of total billed charges		2880				other	OPPS APC	2880				other	OPPS APC	780.19				percent of total billed charges		795.74				percent of total billed charges		288				other	OPPS APC	288	2880	
SCREW BONE LEGACY CD HORIZON PEEK L55 MM OD7.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7897555	CDM	270010020	LOCAL	270	RC		inpatient			2880	2880																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L145 MM TIBIA RIGHT PROXIMAL MEDIAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.958	CDM	270010022	LOCAL	270	RC		outpatient			2878.7	2878.7	779.84				percent of total billed charges		2878.7				other	OPPS APC	2130.24				percent of total billed charges		2878.7				other	OPPS APC	2878.7				other	OPPS APC	779.84				percent of total billed charges		795.38				percent of total billed charges		2878.7				other	OPPS APC	779.84	2878.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L145 MM TIBIA RIGHT PROXIMAL MEDIAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.958	CDM	270010022	LOCAL	270	RC		inpatient			2878.7	2878.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L145 MM TIBIA LEFT PROXIMAL MEDIAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.959	CDM	270010022	LOCAL	270	RC		outpatient			2878.7	2878.7	779.84				percent of total billed charges		2878.7				other	OPPS APC	2130.24				percent of total billed charges		2878.7				other	OPPS APC	2878.7				other	OPPS APC	779.84				percent of total billed charges		795.38				percent of total billed charges		2878.7				other	OPPS APC	779.84	2878.7	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L145 MM TIBIA LEFT PROXIMAL MEDIAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.959	CDM	270010022	LOCAL	270	RC		inpatient			2878.7	2878.7																																																			
PLATE BONE LCP STAINLESS STEEL L211 MM FEMUR LEFT PROXIMAL 6 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.106	CDM	270010022	LOCAL	270	RC		outpatient			2875.4	2875.41	778.95				percent of total billed charges		2875.4				other	OPPS APC	2127.8				percent of total billed charges		2875.4				other	OPPS APC	2875.4				other	OPPS APC	778.95				percent of total billed charges		794.47				percent of total billed charges		2875.41				other	OPPS APC	778.95	2875.41	
PLATE BONE LCP STAINLESS STEEL L211 MM FEMUR LEFT PROXIMAL 6 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.106	CDM	270010022	LOCAL	270	RC		inpatient			2875.4	2875.4																																																			
PLATE BONE LCP STAINLESS STEEL L211 MM FEMUR RIGHT PROXIMAL 6 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.806	CDM	270010022	LOCAL	270	RC		outpatient			2875.4	2875.41	778.95				percent of total billed charges		2875.4				other	OPPS APC	2127.8				percent of total billed charges		2875.4				other	OPPS APC	2875.4				other	OPPS APC	778.95				percent of total billed charges		794.47				percent of total billed charges		2875.41				other	OPPS APC	778.95	2875.41	
PLATE BONE LCP STAINLESS STEEL L211 MM FEMUR RIGHT PROXIMAL 6 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.806	CDM	270010022	LOCAL	270	RC		inpatient			2875.4	2875.4																																																			
TIBIAL TRIATHLON INSERT-PSX3	SUP-97-03910	CDM			278	RC		outpatient			2872.65	2872.65	2872.65				fee schedule		2872.65				other	OPPS APC	1637.41				percent of total billed charges		2872.65				other	OPPS APC	2872.65				other	OPPS APC	1407.6				percent of total billed charges		1465.05				percent of total billed charges		2872.65				other	OPPS APC	1407.6	2872.65	
TIBIAL TRIATHLON INSERT-PSX3	SUP-97-03910	CDM			278	RC		inpatient			2872.65	2872.65																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04051	CDM			278	RC		outpatient			2872.65	2872.65	2872.65				fee schedule		2872.65				other	OPPS APC	1637.41				percent of total billed charges		2872.65				other	OPPS APC	2872.65				other	OPPS APC	1407.6				percent of total billed charges		1465.05				percent of total billed charges		2872.65				other	OPPS APC	1407.6	2872.65	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04051	CDM			278	RC		inpatient			2872.65	2872.65																																																			
ENSIZOR ENDO SCISSOR 235CM	SUP-95-04213	CDM			272	RC		outpatient			2871	2871	777.75				percent of total billed charges		2871				other	OPPS APC	2124.54				percent of total billed charges		2871				other	OPPS APC	2871				other	OPPS APC	777.75				percent of total billed charges		793.26				percent of total billed charges		2871				other	OPPS APC	777.75	2871	
ENSIZOR ENDO SCISSOR 235CM	SUP-95-04213	CDM			272	RC		inpatient			2871	2871																																																			
DRILL BIT 16MM CANN FLEXIBLE	SUP-97-02829	CDM			272	RC		outpatient			2869.32	2869.32	777.3				percent of total billed charges		2869.32				other	OPPS APC	2123.3				percent of total billed charges		2869.32				other	OPPS APC	2869.32				other	OPPS APC	777.3				percent of total billed charges		792.79				percent of total billed charges		2869.32				other	OPPS APC	777.3	2869.32	
DRILL BIT 16MM CANN FLEXIBLE	SUP-97-02829	CDM			272	RC		inpatient			2869.32	2869.32																																																			
PLATE BONE LCP COMBI CURVE 242X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 10 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.320	CDM	270010022	LOCAL	270	RC		outpatient			2868.3	2868.32	777.02				percent of total billed charges		2868.3				other	OPPS APC	2122.54				percent of total billed charges		2868.3				other	OPPS APC	2868.3				other	OPPS APC	777.02				percent of total billed charges		792.51				percent of total billed charges		2868.32				other	OPPS APC	777.02	2868.32	
PLATE BONE LCP COMBI CURVE 242X17.5X5.2MM SS NS CONDYLAR RIGHT PERIARTICULAR 10 HOLE LOW PROFILE PRECONTOUR LIMIT	SUP-02.001.320	CDM	270010022	LOCAL	270	RC		inpatient			2868.3	2868.3																																																			
PLATE BONE EVOS STAINLESS STEEL L 151MM HUMERUS LEFT DISTAL POSTEROLATERAL 12 HOLE LOW PROFILE VARIABLE ANGLE LOCK EXTRA ARTICULAR 2.7/3.5 MM SCREW	SUP-72469112	CDM			270	RC		outpatient			2864	2864	775.86				percent of total billed charges		2864				other	OPPS APC	2119.36				percent of total billed charges		2864				other	OPPS APC	2864				other	OPPS APC	775.86				percent of total billed charges		791.32				percent of total billed charges		2864				other	OPPS APC	775.86	2864	
PLATE BONE EVOS STAINLESS STEEL L 151MM HUMERUS LEFT DISTAL POSTEROLATERAL 12 HOLE LOW PROFILE VARIABLE ANGLE LOCK EXTRA ARTICULAR 2.7/3.5 MM SCREW	SUP-72469112	CDM			270	RC		inpatient			2864	2864																																																			
PLATE BONE EVOS STAINLESS STEEL L 151 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 12 HOLE LOW PROFILE VARIABLE ANGLE LOCK EXTRA ARTICULAR 2.7/3.5 MM SCREW	SUP-72469212	CDM			270	RC		outpatient			2864	2864	775.86				percent of total billed charges		2864				other	OPPS APC	2119.36				percent of total billed charges		2864				other	OPPS APC	2864				other	OPPS APC	775.86				percent of total billed charges		791.32				percent of total billed charges		2864				other	OPPS APC	775.86	2864	
PLATE BONE EVOS STAINLESS STEEL L 151 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 12 HOLE LOW PROFILE VARIABLE ANGLE LOCK EXTRA ARTICULAR 2.7/3.5 MM SCREW	SUP-72469212	CDM			270	RC		inpatient			2864	2864																																																			
CANGRELOR 50 MG RECON SOLN 1 EACH VIAL	636000000	CDM	10122-620-01	NDC	C9460	HCPCS		inpatient			2863.3	2863.3																																																			
CANGRELOR 50 MG RECON SOLN 1 EACH VIAL	636000000	CDM	10122-620-01	NDC	C9460	HCPCS		outpatient			2863.3	18.79																																											18.79				other	OPPS APC	18.79	18.79	
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 5 ML CHIP JAR	SUP-652-00-05	CDM	270010031	LOCAL	270	RC		outpatient			2860	286	774.77				percent of total billed charges		2860				other	OPPS APC	2116.4				percent of total billed charges		2860				other	OPPS APC	2860				other	OPPS APC	774.77				percent of total billed charges		790.22				percent of total billed charges		286				other	OPPS APC	286	2860	
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 5 ML CHIP JAR	SUP-652-00-05	CDM	270010031	LOCAL	270	RC		inpatient			2860	2860																																																			
HC IR Cvad Insertion Non-Tunneled	PX-361365561	CDM	36556	CPT	361	RC		outpatient			2857.03	2857.32	902.25				percent of total billed charges		2857.03				other	OPPS APC	2857.03				fee schedule		2857.03				other	OPPS APC	2857.03				other	OPPS APC	902.25				percent of total billed charges		920.25				percent of total billed charges		2857.32				other	OPPS APC	902.25	2857.32	
HC IR Cvad Insertion Non-Tunneled	PX-361365561	CDM	36556	CPT	361	RC		inpatient			2857.03	2857.03																																																			
HC Central Line Insert Non Tunnel 5yr&>	PX-450365561	CDM	36556	CPT	450	RC		outpatient			2857.03	2857.32	195.77				case rate		2857.03				other	OPPS APC	2114.2				percent of total billed charges		2857.03				other	OPPS APC	2857.03				other	OPPS APC	195.77				case rate		199.69				case rate		2857.32				other	OPPS APC	195.77	2857.32	
HC Central Line Insert Non Tunnel 5yr&>	PX-450365561	CDM	36556	CPT	450	RC		inpatient			2857.03	2857.03																																																			
AUGMENT TIBIAL SCREWED S2 5MM	SUP-02.07.TA205	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
AUGMENT TIBIAL SCREWED S2 5MM	SUP-02.07.TA205	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
BLOCK AUGMENTATION GMK THK5 MM 2 TIBIA SCREWED	SUP-02.09.TA205	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
BLOCK AUGMENTATION GMK THK5 MM 2 TIBIA SCREWED	SUP-02.09.TA205	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
BLOCK AUGMENTATION GMK THK5 MM 3 TIBIA SCREWED	SUP-02.09.TA305	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
BLOCK AUGMENTATION GMK THK5 MM 3 TIBIA SCREWED	SUP-02.09.TA305	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
BLOCK AUGMENTATION GMK THK10 MM 3 TIBIA SCREWED	SUP-02.09.TA310	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
BLOCK AUGMENTATION GMK THK10 MM 3 TIBIA SCREWED	SUP-02.09.TA310	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
AUGMENT TIBIAL GMK THK15 MM 3 RIGHT MEDIAL LEFT LATERAL SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA315RMLL	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
AUGMENT TIBIAL GMK THK15 MM 3 RIGHT MEDIAL LEFT LATERAL SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA315RMLL	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
AUGMENT TIBIAL GMK THK15 MM 4 RIGHT MEDIAL LEFT LATERAL SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA415RMLL	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
AUGMENT TIBIAL GMK THK15 MM 4 RIGHT MEDIAL LEFT LATERAL SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA415RMLL	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
BLOCK AUGMENTATION GMK 5 H5 MM TIBIA SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA505	CDM	270010025	LOCAL	270	RC		outpatient			2857	2857	773.96				percent of total billed charges		2857				other	OPPS APC	2114.18				percent of total billed charges		2857				other	OPPS APC	2857				other	OPPS APC	773.96				percent of total billed charges		789.39				percent of total billed charges		2857				other	OPPS APC	773.96	2857	
BLOCK AUGMENTATION GMK 5 H5 MM TIBIA SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA505	CDM	270010025	LOCAL	270	RC		inpatient			2857	2857																																																			
PRIMATRIX FENESTRATED 4X4	SUP-95-03970	CDM			636	RC		inpatient			2850.39	2850.39																																																			
PRIMATRIX FENESTRATED 4X4	SUP-95-03970	CDM			636	RC		outpatient			2850.39	2850.39					fee schedule						other	OPPS APC	47.71				fee schedule						other	OPPS APC					other	OPPS APC	1396.69				percent of total billed charges		708.61				percent of total billed charges						other	OPPS APC	1396.69	1396.69	
EXPANDER TISSUE SILTEX CPX2 P6.5 CM LOW HEIGHT CONTOUR PROFILE W12.7 CM X H9.4 CM 350 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6112	CDM			270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
EXPANDER TISSUE SILTEX CPX2 P6.5 CM LOW HEIGHT CONTOUR PROFILE W12.7 CM X H9.4 CM 350 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6112	CDM			270	RC		inpatient			2850	2850																																																			
EXPANDER TISSUE SILTEX CPX2 P7.1 CM CONTOUR PROFILE W14 CM X H10.2 CM 450 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING STERILE DISPOSABLE	SUP-354-6113	CDM			270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
EXPANDER TISSUE SILTEX CPX2 P7.1 CM CONTOUR PROFILE W14 CM X H10.2 CM 450 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING STERILE DISPOSABLE	SUP-354-6113	CDM			270	RC		inpatient			2850	2850																																																			
EXPANDER TISSUE CONTOUR PROFILE SILTEX CPX2 P7 CM MEDIUM W12.7 CM X H10.8 CM 450 ML BREAST STYLE 6200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-6213	CDM			270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
EXPANDER TISSUE CONTOUR PROFILE SILTEX CPX2 P7 CM MEDIUM W12.7 CM X H10.8 CM 450 ML BREAST STYLE 6200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-6213	CDM			270	RC		inpatient			2850	2850																																																			
EXPANDER TISSUE SILTEX CPX2 P7.4 CM CONTOUR PROFILE W13.5 CM X H11.7 CM 550 ML BREAST STYLE 6200 MEDIUM HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING STERILE DISPOSABLE	SUP-354-6214	CDM			270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
EXPANDER TISSUE SILTEX CPX2 P7.4 CM CONTOUR PROFILE W13.5 CM X H11.7 CM 550 ML BREAST STYLE 6200 MEDIUM HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING STERILE DISPOSABLE	SUP-354-6214	CDM			270	RC		inpatient			2850	2850																																																			
EXPANDER TISSUE SILTEX CPX2 P7.6 CM CONTOUR PROFILE W14.6 CM X H12.6 CM 650 ML BREAST STYLE 6200 MEDIUM HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6215	CDM			270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
EXPANDER TISSUE SILTEX CPX2 P7.6 CM CONTOUR PROFILE W14.6 CM X H12.6 CM 650 ML BREAST STYLE 6200 MEDIUM HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6215	CDM			270	RC		inpatient			2850	2850																																																			
EXPANDER TISSUE SILTEX P7.6 CM CONTOUR PROFILE TALL HEIGHT W14.6 CM X H15.3 CM OD21 GA 750 ML BREAST STYLE 6300 TEXTURED NEEDLE CENTERSCOPE REINFORCED	SUP-354-6316	CDM			270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
EXPANDER TISSUE SILTEX P7.6 CM CONTOUR PROFILE TALL HEIGHT W14.6 CM X H15.3 CM OD21 GA 750 ML BREAST STYLE 6300 TEXTURED NEEDLE CENTERSCOPE REINFORCED	SUP-354-6316	CDM			270	RC		inpatient			2850	2850																																																			
CEMENT BONE NORIAN CRS FAST SET 5 ML PUTTY STERILE	SUP-613.05.01S	CDM	270010031	LOCAL	270	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
CEMENT BONE NORIAN CRS FAST SET 5 ML PUTTY STERILE	SUP-613.05.01S	CDM	270010031	LOCAL	270	RC		inpatient			2850	2850																																																			
FIAGON DBL SUPPORT CABLE	SUP-95-03536	CDM			272	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
FIAGON DBL SUPPORT CABLE	SUP-95-03536	CDM			272	RC		inpatient			2850	2850																																																			
ELASTIC FUSION SYSTEM 12X12X12	SUP-97-02624	CDM			278	RC		outpatient			2850	285	2850				fee schedule		2850				other	OPPS APC	1624.5				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		285				other	OPPS APC	285	2850	
ELASTIC FUSION SYSTEM 12X12X12	SUP-97-02624	CDM			278	RC		inpatient			2850	2850																																																			
ELASTIC FUSION SYSTEM 10X10X10	SUP-97-02700	CDM			278	RC		outpatient			2850	285	2850				fee schedule		2850				other	OPPS APC	1624.5				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		285				other	OPPS APC	285	2850	
ELASTIC FUSION SYSTEM 10X10X10	SUP-97-02700	CDM			278	RC		inpatient			2850	2850																																																			
GRAVITY SYNCHFIX	SUP-97-05398	CDM			278	RC		outpatient			2850	285	2850				fee schedule		2850				other	OPPS APC	1624.5				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		285				other	OPPS APC	285	2850	
GRAVITY SYNCHFIX	SUP-97-05398	CDM			278	RC		inpatient			2850	2850																																																			
MARKER BIOZORB 2 X 2CM	SUP-97-05418	CDM			278	RC		outpatient			2850	1412.2	2850				fee schedule		1412.02				other	OPPS APC	1624.5				percent of total billed charges		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		1412.2				other	OPPS APC	1396.5	2850	
MARKER BIOZORB 2 X 2CM	SUP-97-05418	CDM			278	RC		inpatient			2850	2850																																																			
MARKER BIOZORB 2 X 3CM	SUP-97-05419	CDM			278	RC		outpatient			2850	1412.2	2850				fee schedule		1412.02				other	OPPS APC	1624.5				percent of total billed charges		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		1412.2				other	OPPS APC	1396.5	2850	
MARKER BIOZORB 2 X 3CM	SUP-97-05419	CDM			278	RC		inpatient			2850	2850																																																			
MARKER BIOZORB 3 X 3CM	SUP-97-05420	CDM			278	RC		outpatient			2850	1412.2	2850				fee schedule		1412.02				other	OPPS APC	1624.5				percent of total billed charges		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		1412.2				other	OPPS APC	1396.5	2850	
MARKER BIOZORB 3 X 3CM	SUP-97-05420	CDM			278	RC		inpatient			2850	2850																																																			
MARKER BIOZORB LP 2 X 2 X 1CM	SUP-97-05421	CDM			278	RC		outpatient			2850	1412.2	2850				fee schedule		1412.02				other	OPPS APC	1624.5				percent of total billed charges		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		1412.2				other	OPPS APC	1396.5	2850	
MARKER BIOZORB LP 2 X 2 X 1CM	SUP-97-05421	CDM			278	RC		inpatient			2850	2850																																																			
MARKER BIOZORB 3 X 3 X 1CM	SUP-97-05423	CDM			278	RC		outpatient			2850	1412.2	2850				fee schedule		1412.02				other	OPPS APC	1624.5				percent of total billed charges		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		1412.2				other	OPPS APC	1396.5	2850	
MARKER BIOZORB 3 X 3 X 1CM	SUP-97-05423	CDM			278	RC		inpatient			2850	2850																																																			
SYNDESMOSIS REPAIR KIT	SUP-97-06367	CDM			278	RC		outpatient			2850	285	2850				fee schedule		2850				other	OPPS APC	1624.5				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges		285				other	OPPS APC	285	2850	
SYNDESMOSIS REPAIR KIT	SUP-97-06367	CDM			278	RC		inpatient			2850	2850																																																			
STENT - EXPRESS LD 7.0X57X75	SUP-99-00964	CDM			278	RC		inpatient			2850	2850																																																			
STENT - EXPRESS LD 7.0X57X75	SUP-99-00964	CDM			278	RC		outpatient			2850	2850					fee schedule						other	OPPS APC	1624.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges						other	OPPS APC	1624.5	1624.5	
BALLOON - ANGIOSCULPT 6.0X20	SUP-99-01183	CDM			272	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
BALLOON - ANGIOSCULPT 6.0X20	SUP-99-01183	CDM			272	RC		inpatient			2850	2850																																																			
STENT - EXPRESS LD 7.0X37X75	SUP-99-01231	CDM			278	RC		inpatient			2850	2850																																																			
STENT - EXPRESS LD 7.0X37X75	SUP-99-01231	CDM			278	RC		outpatient			2850	2850					fee schedule						other	OPPS APC	1624.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1396.5				percent of total billed charges		1453.5				percent of total billed charges						other	OPPS APC	1624.5	1624.5	
IVUS - VISIONS PV .035	SUP-99-01963	CDM			272	RC		outpatient			2850	285	772.07				percent of total billed charges		2850				other	OPPS APC	2109				percent of total billed charges		2850				other	OPPS APC	2850				other	OPPS APC	772.07				percent of total billed charges		787.46				percent of total billed charges		285				other	OPPS APC	285	2850	
IVUS - VISIONS PV .035	SUP-99-01963	CDM			272	RC		inpatient			2850	2850																																																			
LYNC SIZE M  0 DEGREE	SUP-97-01698	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
LYNC SIZE M  0 DEGREE	SUP-97-01698	CDM			278	RC		inpatient			2849.85	2849.85																																																			
LYNC SIZE M  10 DEGREE	SUP-97-01699	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
LYNC SIZE M  10 DEGREE	SUP-97-01699	CDM			278	RC		inpatient			2849.85	2849.85																																																			
LYNC SIZE S  10 DEGREE	SUP-97-02701	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
LYNC SIZE S  10 DEGREE	SUP-97-02701	CDM			278	RC		inpatient			2849.85	2849.85																																																			
INTRAMEDULLARY   DEGREE	SUP-97-03319	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
INTRAMEDULLARY   DEGREE	SUP-97-03319	CDM			278	RC		inpatient			2849.85	2849.85																																																			
INTRAMEDULLARY IMPLANT	SUP-97-03498	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
INTRAMEDULLARY IMPLANT	SUP-97-03498	CDM			278	RC		inpatient			2849.85	2849.85																																																			
INTRAMEDULLARY IMPLANT SZ RLG	SUP-97-03505	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
INTRAMEDULLARY IMPLANT SZ RLG	SUP-97-03505	CDM			278	RC		inpatient			2849.85	2849.85																																																			
HAMMER TUBE SYSTEM 2.75MM  0? CANNULATED	SUP-97-03675	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
HAMMER TUBE SYSTEM 2.75MM  0? CANNULATED	SUP-97-03675	CDM			278	RC		inpatient			2849.85	2849.85																																																			
INTRAMEDULLARY IMPLANT	SUP-97-03783	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
INTRAMEDULLARY IMPLANT	SUP-97-03783	CDM			278	RC		inpatient			2849.85	2849.85																																																			
HAMMER TUBE IMPLANT 3.50MM 0CANNULATED	SUP-97-23683	CDM			278	RC		outpatient			2849.85	2849.85	2849.85				fee schedule		2849.85				other	OPPS APC	1624.41				percent of total billed charges		2849.85				other	OPPS APC	2849.85				other	OPPS APC	1396.43				percent of total billed charges		1453.42				percent of total billed charges		2849.85				other	OPPS APC	1396.43	2849.85	
HAMMER TUBE IMPLANT 3.50MM 0CANNULATED	SUP-97-23683	CDM			278	RC		inpatient			2849.85	2849.85																																																			
BIPOLAR COMPONENT	SUP-97-03971	CDM			278	RC		outpatient			2847.9	2847.91	2847.9				fee schedule		2847.9				other	OPPS APC	1623.3				percent of total billed charges		2847.9				other	OPPS APC	2847.9				other	OPPS APC	1395.47				percent of total billed charges		1452.43				percent of total billed charges		2847.91				other	OPPS APC	1395.47	2847.91	
BIPOLAR COMPONENT	SUP-97-03971	CDM			278	RC		inpatient			2847.9	2847.9																																																			
SCREW SOLID HEADLESS FULL THREAD 5.5 X 70MM JOUST BEAM	SUP-97-06285	CDM			278	RC		outpatient			2845.8	2845.82	2845.8				fee schedule		2845.8				other	OPPS APC	1622.11				percent of total billed charges		2845.8				other	OPPS APC	2845.8				other	OPPS APC	1394.44				percent of total billed charges		1451.36				percent of total billed charges		2845.82				other	OPPS APC	1394.44	2845.82	
SCREW SOLID HEADLESS FULL THREAD 5.5 X 70MM JOUST BEAM	SUP-97-06285	CDM			278	RC		inpatient			2845.8	2845.8																																																			
SCREW SOLID HEADLESS FULL THREAD 5 X 120MM JOUST BEAM	SUP-97-06286	CDM			278	RC		outpatient			2845.8	2845.82	2845.8				fee schedule		2845.8				other	OPPS APC	1622.11				percent of total billed charges		2845.8				other	OPPS APC	2845.8				other	OPPS APC	1394.44				percent of total billed charges		1451.36				percent of total billed charges		2845.82				other	OPPS APC	1394.44	2845.82	
SCREW SOLID HEADLESS FULL THREAD 5 X 120MM JOUST BEAM	SUP-97-06286	CDM			278	RC		inpatient			2845.8	2845.8																																																			
SCREW SOLID HEADLESS FULL THREAD 5.5 X 120MM JOUST BEAM	SUP-97-06287	CDM			278	RC		outpatient			2845.8	2845.82	2845.8				fee schedule		2845.8				other	OPPS APC	1622.11				percent of total billed charges		2845.8				other	OPPS APC	2845.8				other	OPPS APC	1394.44				percent of total billed charges		1451.36				percent of total billed charges		2845.82				other	OPPS APC	1394.44	2845.82	
SCREW SOLID HEADLESS FULL THREAD 5.5 X 120MM JOUST BEAM	SUP-97-06287	CDM			278	RC		inpatient			2845.8	2845.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L119 MM TIBIA LEFT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.957	CDM	270010022	LOCAL	270	RC		outpatient			2844.6	2844.6	770.6				percent of total billed charges		2844.6				other	OPPS APC	2105				percent of total billed charges		2844.6				other	OPPS APC	2844.6				other	OPPS APC	770.6				percent of total billed charges		785.96				percent of total billed charges		2844.6				other	OPPS APC	770.6	2844.6	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L119 MM TIBIA LEFT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.957	CDM	270010022	LOCAL	270	RC		inpatient			2844.6	2844.6																																																			
HANDLE INSTRUMENT EVOS MODULAR	SUP-71175065	CDM			270	RC		outpatient			2842.1	2843	769.92				percent of total billed charges		2842.1				other	OPPS APC	2103.15				percent of total billed charges		2842.1				other	OPPS APC	2842.1				other	OPPS APC	769.92				percent of total billed charges		785.27				percent of total billed charges		2843				other	OPPS APC	769.92	2843	
HANDLE INSTRUMENT EVOS MODULAR	SUP-71175065	CDM			270	RC		inpatient			2842.1	2842.1																																																			
FILLER BONE VOID 10CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038100	CDM	270010031	LOCAL	270	RC		outpatient			2840.02	284.2	769.36				percent of total billed charges		2840.02				other	OPPS APC	2101.61				percent of total billed charges		2840.02				other	OPPS APC	2840.02				other	OPPS APC	769.36				percent of total billed charges		784.7				percent of total billed charges		284.2				other	OPPS APC	284.2	2840.02	
FILLER BONE VOID 10CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038100	CDM	270010031	LOCAL	270	RC		inpatient			2840.02	2840.02																																																			
INSERT TIBIAL LOGIC HI-FLEX 2.5 H15 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD	SUP-02-012-35-2515	CDM	270010025	LOCAL	270	RC		outpatient			2837	2837	768.54				percent of total billed charges		2837				other	OPPS APC	2099.38				percent of total billed charges		2837				other	OPPS APC	2837				other	OPPS APC	768.54				percent of total billed charges		783.86				percent of total billed charges		2837				other	OPPS APC	768.54	2837	
INSERT TIBIAL LOGIC HI-FLEX 2.5 H15 MM KNEE POSTERIOR STABILIZE MODULAR NET COMPRESSION MOLD	SUP-02-012-35-2515	CDM	270010025	LOCAL	270	RC		inpatient			2837	2837																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 10 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.522	CDM	270010022	LOCAL	270	RC		outpatient			2835.8	2835.82	768.22				percent of total billed charges		2835.8				other	OPPS APC	2098.49				percent of total billed charges		2835.8				other	OPPS APC	2835.8				other	OPPS APC	768.22				percent of total billed charges		783.53				percent of total billed charges		2835.82				other	OPPS APC	768.22	2835.82	
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 10 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.522	CDM	270010022	LOCAL	270	RC		inpatient			2835.8	2835.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.523	CDM	270010022	LOCAL	270	RC		outpatient			2835.8	2835.82	768.22				percent of total billed charges		2835.8				other	OPPS APC	2098.49				percent of total billed charges		2835.8				other	OPPS APC	2835.8				other	OPPS APC	768.22				percent of total billed charges		783.53				percent of total billed charges		2835.82				other	OPPS APC	768.22	2835.82	
PLATE BONE LCP COMBI STAINLESS STEEL L187 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 10 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.523	CDM	270010022	LOCAL	270	RC		inpatient			2835.8	2835.8																																																			
TISSUE EXPANDERS	SUP-97-02517	CDM			278	RC		outpatient			2835	2835	2835				fee schedule		2835				other	OPPS APC	1615.95				percent of total billed charges		2835				other	OPPS APC	2835				other	OPPS APC	1389.15				percent of total billed charges		1445.85				percent of total billed charges		2835				other	OPPS APC	1389.15	2835	
TISSUE EXPANDERS	SUP-97-02517	CDM			278	RC		inpatient			2835	2835																																																			
TISSUE EXPANDERS	SUP-97-02518	CDM			278	RC		outpatient			2835	2835	2835				fee schedule		2835				other	OPPS APC	1615.95				percent of total billed charges		2835				other	OPPS APC	2835				other	OPPS APC	1389.15				percent of total billed charges		1445.85				percent of total billed charges		2835				other	OPPS APC	1389.15	2835	
TISSUE EXPANDERS	SUP-97-02518	CDM			278	RC		inpatient			2835	2835																																																			
BREAST INPLANT (SRM-310CC)	SUP-97-02970	CDM			278	RC		outpatient			2835	2835	2835				fee schedule		2835				other	OPPS APC	1615.95				percent of total billed charges		2835				other	OPPS APC	2835				other	OPPS APC	1389.15				percent of total billed charges		1445.85				percent of total billed charges		2835				other	OPPS APC	1389.15	2835	
BREAST INPLANT (SRM-310CC)	SUP-97-02970	CDM			278	RC		inpatient			2835	2835																																																			
TISSUE EXPANDERS	SUP-97-03304	CDM			278	RC		outpatient			2835	2835	2835				fee schedule		2835				other	OPPS APC	1615.95				percent of total billed charges		2835				other	OPPS APC	2835				other	OPPS APC	1389.15				percent of total billed charges		1445.85				percent of total billed charges		2835				other	OPPS APC	1389.15	2835	
TISSUE EXPANDERS	SUP-97-03304	CDM			278	RC		inpatient			2835	2835																																																			
PROBE ST 10G 9CM MAMMOTOME REVOLVE	SUP-95-02762	CDM			272	RC		outpatient			2833.11	2833.11	767.49				percent of total billed charges		2833.11				other	OPPS APC	2096.5				percent of total billed charges		2833.11				other	OPPS APC	2833.11				other	OPPS APC	767.49				percent of total billed charges		782.79				percent of total billed charges		2833.11				other	OPPS APC	767.49	2833.11	
PROBE ST 10G 9CM MAMMOTOME REVOLVE	SUP-95-02762	CDM			272	RC		inpatient			2833.11	2833.11																																																			
BIO DBM BOAT SINGLE	SUP-65305001	CDM	270010012	LOCAL	270	RC		outpatient			2829.94	2829.94	766.63				percent of total billed charges		2829.94				other	OPPS APC	2094.16				percent of total billed charges		2829.94				other	OPPS APC	2829.94				other	OPPS APC	766.63				percent of total billed charges		781.91				percent of total billed charges		2829.94				other	OPPS APC	766.63	2829.94	
BIO DBM BOAT SINGLE	SUP-65305001	CDM	270010012	LOCAL	270	RC		inpatient			2829.94	2829.94																																																			
PLATE VARIAX COMPRES BRD CRVD 20 HOLES	SUP-97-04914	CDM			278	RC		outpatient			2829	2829	2829				fee schedule		2829				other	OPPS APC	1612.53				percent of total billed charges		2829				other	OPPS APC	2829				other	OPPS APC	1386.21				percent of total billed charges		1442.79				percent of total billed charges		2829				other	OPPS APC	1386.21	2829	
PLATE VARIAX COMPRES BRD CRVD 20 HOLES	SUP-97-04914	CDM			278	RC		inpatient			2829	2829																																																			
GRAFT ILLIAC CREST WEDGE PICWS	SUP-75-00125	CDM			278	RC		outpatient			2828.91	2829	2828.91				fee schedule		2828.91				other	OPPS APC	1612.48				percent of total billed charges		2828.91				other	OPPS APC	2828.91				other	OPPS APC	1386.17				percent of total billed charges		1442.74				percent of total billed charges		2829				other	OPPS APC	1386.17	2829	
GRAFT ILLIAC CREST WEDGE PICWS	SUP-75-00125	CDM			278	RC		inpatient			2828.91	2828.91																																																			
MYOSURE	SUP-77-00055	CDM			272	RC		outpatient			2825	2825	765.29				percent of total billed charges		2825				other	OPPS APC	2090.5				percent of total billed charges		2825				other	OPPS APC	2825				other	OPPS APC	765.29				percent of total billed charges		780.55				percent of total billed charges		2825				other	OPPS APC	765.29	2825	
MYOSURE	SUP-77-00055	CDM			272	RC		inpatient			2825	2825																																																			
PLATE BONE DALL-MILES VITALLIUM 2 MM MEDIUM L150 MM HIP TROCHANTER 2 CABLE GRIP	SUP-6704-3-082	CDM			270	RC		outpatient			2824	2824	765.02				percent of total billed charges		2824				other	OPPS APC	2089.76				percent of total billed charges		2824				other	OPPS APC	2824				other	OPPS APC	765.02				percent of total billed charges		780.27				percent of total billed charges		2824				other	OPPS APC	765.02	2824	
PLATE BONE DALL-MILES VITALLIUM 2 MM MEDIUM L150 MM HIP TROCHANTER 2 CABLE GRIP	SUP-6704-3-082	CDM			270	RC		inpatient			2824	2824																																																			
FORCEPS SURGICAL REDUCTION POINT BROAD	SUP-71173377	CDM			270	RC		outpatient			2822.7	2822.7	764.67				percent of total billed charges		2822.7				other	OPPS APC	2088.8				percent of total billed charges		2822.7				other	OPPS APC	2822.7				other	OPPS APC	764.67				percent of total billed charges		779.91				percent of total billed charges		2822.7				other	OPPS APC	764.67	2822.7	
FORCEPS SURGICAL REDUCTION POINT BROAD	SUP-71173377	CDM			270	RC		inpatient			2822.7	2822.7																																																			
GRAFT VENTRALIGHT W/ ECHO 2 15CM	SUP-97-06130	CDM			278	RC		outpatient			2822.1	2823	2822.1				fee schedule		2822.1				other	OPPS APC	1608.6				percent of total billed charges		2822.1				other	OPPS APC	2822.1				other	OPPS APC	1382.83				percent of total billed charges		1439.27				percent of total billed charges		2823				other	OPPS APC	1382.83	2823	
GRAFT VENTRALIGHT W/ ECHO 2 15CM	SUP-97-06130	CDM			278	RC		inpatient			2822.1	2822.1																																																			
RESTORATION  INSERT	SUP-97-02088	CDM			278	RC		outpatient			2820	282	2820				fee schedule		2820				other	OPPS APC	1607.4				percent of total billed charges		2820				other	OPPS APC	2820				other	OPPS APC	1381.8				percent of total billed charges		1438.2				percent of total billed charges		282				other	OPPS APC	282	2820	
RESTORATION  INSERT	SUP-97-02088	CDM			278	RC		inpatient			2820	2820																																																			
RESTORATION  INSERT	SUP-97-02136	CDM			278	RC		outpatient			2820	282	2820				fee schedule		2820				other	OPPS APC	1607.4				percent of total billed charges		2820				other	OPPS APC	2820				other	OPPS APC	1381.8				percent of total billed charges		1438.2				percent of total billed charges		282				other	OPPS APC	282	2820	
RESTORATION  INSERT	SUP-97-02136	CDM			278	RC		inpatient			2820	2820																																																			
INSERT FOR MDM LINER 36 38C	SUP-97-02577	CDM			278	RC		outpatient			2820	282	2820				fee schedule		2820				other	OPPS APC	1607.4				percent of total billed charges		2820				other	OPPS APC	2820				other	OPPS APC	1381.8				percent of total billed charges		1438.2				percent of total billed charges		282				other	OPPS APC	282	2820	
INSERT FOR MDM LINER 36 38C	SUP-97-02577	CDM			278	RC		inpatient			2820	2820																																																			
PLATE BONE LCP STAINLESS STEEL L175 MM FEMUR LEFT PROXIMAL 4 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.104	CDM	270010022	LOCAL	270	RC		outpatient			2819.3	2819.32	763.75				percent of total billed charges		2819.3				other	OPPS APC	2086.28				percent of total billed charges		2819.3				other	OPPS APC	2819.3				other	OPPS APC	763.75				percent of total billed charges		778.97				percent of total billed charges		2819.32				other	OPPS APC	763.75	2819.32	
PLATE BONE LCP STAINLESS STEEL L175 MM FEMUR LEFT PROXIMAL 4 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.104	CDM	270010022	LOCAL	270	RC		inpatient			2819.3	2819.3																																																			
PLATE BONE LCP STAINLESS STEEL L175 MM FEMUR RIGHT PROXIMAL 4 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.804	CDM	270010022	LOCAL	270	RC		outpatient			2819.3	2819.32	763.75				percent of total billed charges		2819.3				other	OPPS APC	2086.28				percent of total billed charges		2819.3				other	OPPS APC	2819.3				other	OPPS APC	763.75				percent of total billed charges		778.97				percent of total billed charges		2819.32				other	OPPS APC	763.75	2819.32	
PLATE BONE LCP STAINLESS STEEL L175 MM FEMUR RIGHT PROXIMAL 4 HOLE NONSTERILE 4.5 MM SCREW	SUP-242.804	CDM	270010022	LOCAL	270	RC		inpatient			2819.3	2819.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L81 MM TIBIA RIGHT PROXIMAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.934	CDM	270010022	LOCAL	270	RC		outpatient			2817.1	2818	763.15				percent of total billed charges		2817.1				other	OPPS APC	2084.65				percent of total billed charges		2817.1				other	OPPS APC	2817.1				other	OPPS APC	763.15				percent of total billed charges		778.36				percent of total billed charges		2818				other	OPPS APC	763.15	2818	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L81 MM TIBIA RIGHT PROXIMAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.934	CDM	270010022	LOCAL	270	RC		inpatient			2817.1	2817.1																																																			
PLATE VOLAR SMRTLCK STD LEFT LONG	SUP-97-04394	CDM			278	RC		outpatient			2815.5	2815.5	2815.5				fee schedule		2815.5				other	OPPS APC	1604.84				percent of total billed charges		2815.5				other	OPPS APC	2815.5				other	OPPS APC	1379.6				percent of total billed charges		1435.91				percent of total billed charges		2815.5				other	OPPS APC	1379.6	2815.5	
PLATE VOLAR SMRTLCK STD LEFT LONG	SUP-97-04394	CDM			278	RC		inpatient			2815.5	2815.5																																																			
PLATE VOLAR SMRTLCK NARROW RT LONG	SUP-97-23810	CDM			278	RC		outpatient			2815.5	2815.5	2815.5				fee schedule		2815.5				other	OPPS APC	1604.84				percent of total billed charges		2815.5				other	OPPS APC	2815.5				other	OPPS APC	1379.6				percent of total billed charges		1435.91				percent of total billed charges		2815.5				other	OPPS APC	1379.6	2815.5	
PLATE VOLAR SMRTLCK NARROW RT LONG	SUP-97-23810	CDM			278	RC		inpatient			2815.5	2815.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L237 MM TIBIA RIGHT PROXIMAL 16 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.946	CDM	270010022	LOCAL	270	RC		outpatient			2814.94	2814.94	762.57				percent of total billed charges		2814.94				other	OPPS APC	2083.06				percent of total billed charges		2814.94				other	OPPS APC	2814.94				other	OPPS APC	762.57				percent of total billed charges		777.77				percent of total billed charges		2814.94				other	OPPS APC	762.57	2814.94	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L237 MM TIBIA RIGHT PROXIMAL 16 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.946	CDM	270010022	LOCAL	270	RC		inpatient			2814.94	2814.94																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L93 MM TIBIA LEFT PROXIMAL MEDIAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.955	CDM	270010022	LOCAL	270	RC		outpatient			2807.2	287.2	760.47				percent of total billed charges		2807.2				other	OPPS APC	2077.33				percent of total billed charges		2807.2				other	OPPS APC	2807.2				other	OPPS APC	760.47				percent of total billed charges		775.63				percent of total billed charges		287.2				other	OPPS APC	287.2	2807.2	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L93 MM TIBIA LEFT PROXIMAL MEDIAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.955	CDM	270010022	LOCAL	270	RC		inpatient			2807.2	2807.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.519	CDM	270010022	LOCAL	270	RC		outpatient			2805	285	759.87				percent of total billed charges		2805				other	OPPS APC	2075.7				percent of total billed charges		2805				other	OPPS APC	2805				other	OPPS APC	759.87				percent of total billed charges		775.02				percent of total billed charges		285				other	OPPS APC	285	2805	
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.519	CDM	270010022	LOCAL	270	RC		inpatient			2805	2805																																																			
PLATE DISTAL MEDICAL HUMERUS 6H	SUP-97-03285	CDM			278	RC		outpatient			2803.5	283.5	2803.5				fee schedule		2803.5				other	OPPS APC	1598				percent of total billed charges		2803.5				other	OPPS APC	2803.5				other	OPPS APC	1373.72				percent of total billed charges		1429.79				percent of total billed charges		283.5				other	OPPS APC	283.5	2803.5	
PLATE DISTAL MEDICAL HUMERUS 6H	SUP-97-03285	CDM			278	RC		inpatient			2803.5	2803.5																																																			
4HOLE DIST MED HUM PLATE	SUP-97-04893	CDM			278	RC		outpatient			2803.5	283.5	2803.5				fee schedule		2803.5				other	OPPS APC	1598				percent of total billed charges		2803.5				other	OPPS APC	2803.5				other	OPPS APC	1373.72				percent of total billed charges		1429.79				percent of total billed charges		283.5				other	OPPS APC	283.5	2803.5	
4HOLE DIST MED HUM PLATE	SUP-97-04893	CDM			278	RC		inpatient			2803.5	2803.5																																																			
4HOLE DIST MED 4 HOLE PLATE	SUP-97-04917	CDM			278	RC		outpatient			2803.5	283.5	2803.5				fee schedule		2803.5				other	OPPS APC	1598				percent of total billed charges		2803.5				other	OPPS APC	2803.5				other	OPPS APC	1373.72				percent of total billed charges		1429.79				percent of total billed charges		283.5				other	OPPS APC	283.5	2803.5	
4HOLE DIST MED 4 HOLE PLATE	SUP-97-04917	CDM			278	RC		inpatient			2803.5	2803.5																																																			
4 HOLE LT DIS LAT HUM PLATE	SUP-97-04930	CDM			278	RC		outpatient			2803.5	283.5	2803.5				fee schedule		2803.5				other	OPPS APC	1598				percent of total billed charges		2803.5				other	OPPS APC	2803.5				other	OPPS APC	1373.72				percent of total billed charges		1429.79				percent of total billed charges		283.5				other	OPPS APC	283.5	2803.5	
4 HOLE LT DIS LAT HUM PLATE	SUP-97-04930	CDM			278	RC		inpatient			2803.5	2803.5																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L26 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC BIAS ANGLE POLYAXIAL	SUP-48552426	CDM	270010020	LOCAL	270	RC		outpatient			2801.46	281.46	758.92				percent of total billed charges		2801.46				other	OPPS APC	2073.08				percent of total billed charges		2801.46				other	OPPS APC	2801.46				other	OPPS APC	758.92				percent of total billed charges		774.04				percent of total billed charges		281.46				other	OPPS APC	281.46	2801.46	
SCREW BONE OASYS TITANIUM LOW PROFILE L26 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC BIAS ANGLE POLYAXIAL	SUP-48552426	CDM	270010020	LOCAL	270	RC		inpatient			2801.46	2801.46																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L20 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557420	CDM	270010020	LOCAL	270	RC		outpatient			2801.46	281.46	758.92				percent of total billed charges		2801.46				other	OPPS APC	2073.08				percent of total billed charges		2801.46				other	OPPS APC	2801.46				other	OPPS APC	758.92				percent of total billed charges		774.04				percent of total billed charges		281.46				other	OPPS APC	281.46	2801.46	
SCREW BONE OASYS TITANIUM LOW PROFILE L20 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557420	CDM	270010020	LOCAL	270	RC		inpatient			2801.46	2801.46																																																			
TRAY TIBIAL SIGMA COCR 6 KNEE CEMENTED MODULAR	SUP-1581-60-000	CDM	270010025	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
TRAY TIBIAL SIGMA COCR 6 KNEE CEMENTED MODULAR	SUP-1581-60-000	CDM	270010025	LOCAL	270	RC		inpatient			2800	2800																																																			
GRAFT SOFT TISSUE GRACILIS TENDON L200 MM FROZEN	SUP-453014	CDM	270010031	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
GRAFT SOFT TISSUE GRACILIS TENDON L200 MM FROZEN	SUP-453014	CDM	270010031	LOCAL	270	RC		inpatient			2800	2800																																																			
SUBSTITUTE BONE GRAFT ACTIFUSE SYNTHETIC 1-2 MM LARGE GRANULE CYLINDER L45 MM OD15 MM 8 ML RESORBABLE VOID FILLER	SUP-506005078066	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
SUBSTITUTE BONE GRAFT ACTIFUSE SYNTHETIC 1-2 MM LARGE GRANULE CYLINDER L45 MM OD15 MM 8 ML RESORBABLE VOID FILLER	SUP-506005078066	CDM			270	RC		inpatient			2800	2800																																																			
GRAFT BONE FEMUR HEAD WITHOUT CARTILAGE	SUP-620100	CDM	270010031	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
GRAFT BONE FEMUR HEAD WITHOUT CARTILAGE	SUP-620100	CDM	270010031	LOCAL	270	RC		inpatient			2800	2800																																																			
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE NEUTRAL OD36 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9502-36CPC	CDM	270010030	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE NEUTRAL OD36 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9502-36CPC	CDM	270010030	LOCAL	270	RC		inpatient			2800	2800																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM MEDIUM OD39 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503M-03C	CDM	270010030	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
INSERT HUMERAL UNIVERS REVERS +3 MM MEDIUM OD39 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503M-03C	CDM	270010030	LOCAL	270	RC		inpatient			2800	2800																																																			
INSERT HUMERAL M/39 +6 TO FIT IN 39 CUP	SUP-AR-9503M-06	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
INSERT HUMERAL M/39 +6 TO FIT IN 39 CUP	SUP-AR-9503M-06	CDM			270	RC		inpatient			2800	2800																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-03	CDM	270010030	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
INSERT HUMERAL UNIVERS REVERS +3 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-03	CDM	270010030	LOCAL	270	RC		inpatient			2800	2800																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-03C	CDM	270010030	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
INSERT HUMERAL UNIVERS REVERS +3 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-03C	CDM	270010030	LOCAL	270	RC		inpatient			2800	2800																																																			
INSERT HUMERAL UNIVERS REVERS +6 MM SMALL OD36 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9503S-06	CDM	270010030	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
INSERT HUMERAL UNIVERS REVERS +6 MM SMALL OD36 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9503S-06	CDM	270010030	LOCAL	270	RC		inpatient			2800	2800																																																			
INSERT HUMERAL UNIVERS REVERS +6 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-06C	CDM	270010030	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
INSERT HUMERAL UNIVERS REVERS +6 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-06C	CDM	270010030	LOCAL	270	RC		inpatient			2800	2800																																																			
STENT BILIARY 7MM 120MM 120CM .035IN SELF EXPANDABLE MICROMESH SEGMENT GUIDEWIRE	SUP-C07120MB	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
STENT BILIARY 7MM 120MM 120CM .035IN SELF EXPANDABLE MICROMESH SEGMENT GUIDEWIRE	SUP-C07120MB	CDM			270	RC		inpatient			2800	2800																																																			
REFLEXION SPIRAL BIDIRECTIONAL EP CATHETER	SUP-D402865	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
REFLEXION SPIRAL BIDIRECTIONAL EP CATHETER	SUP-D402865	CDM			270	RC		inpatient			2800	2800																																																			
KIT ELECTRODE SURFACE ENSITE X	SUP-ENSITE-SEK-5-01	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
KIT ELECTRODE SURFACE ENSITE X	SUP-ENSITE-SEK-5-01	CDM			270	RC		inpatient			2800	2800																																																			
PLATE BONE ROI-C STANDARD H5-7 MM SPINE LEVEL 2 LOCK	SUP-MC1005T	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
PLATE BONE ROI-C STANDARD H5-7 MM SPINE LEVEL 2 LOCK	SUP-MC1005T	CDM			270	RC		inpatient			2800	2800																																																			
PLATE BONE ROI-C LONG H8-10 MM SPINE LEVEL 2 LOCK	SUP-MC1006T	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
PLATE BONE ROI-C LONG H8-10 MM SPINE LEVEL 2 LOCK	SUP-MC1006T	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL MC+ L15.5 MM X W14 MM X H5 MM	SUP-MC1321P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL MC+ L15.5 MM X W14 MM X H5 MM	SUP-MC1321P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C L15.5 MM X W14 MM X H6 MM	SUP-MC1322P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C L15.5 MM X W14 MM X H6 MM	SUP-MC1322P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C L15.5 MM X W14 MM X H7 MM	SUP-MC1323P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C L15.5 MM X W14 MM X H7 MM	SUP-MC1323P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL MC+ L17 MM X W14 MM X H6 MM	SUP-MC1332P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL MC+ L17 MM X W14 MM X H6 MM	SUP-MC1332P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C L17 MM X W14 MM X H7 MM	SUP-MC1333P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C L17 MM X W14 MM X H7 MM	SUP-MC1333P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C L14 MM X W12 MM X H5 MM	SUP-MC1341P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C L14 MM X W12 MM X H5 MM	SUP-MC1341P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C L14 MM X W12 MM X H6 MM	SUP-MC1342P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C L14 MM X W12 MM X H6 MM	SUP-MC1342P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C L15.5 MM X W12 MM X H5 MM	SUP-MC1351P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C L15.5 MM X W12 MM X H5 MM	SUP-MC1351P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
IMPLANT ROI-C LORDOTIC 6MM 14X15.5MM	SUP-MC1422P	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
IMPLANT ROI-C LORDOTIC 6MM 14X15.5MM	SUP-MC1422P	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
IMPLANT ROI-C LORDOTIC 7MM 14X15.5MM	SUP-MC1423P	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
IMPLANT ROI-C LORDOTIC 7MM 14X15.5MM	SUP-MC1423P	CDM			270	RC		inpatient			2800	2800																																																			
IMPLANT ROI-C LORDOTIC 6MM 12X14MM	SUP-MC1442P	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
IMPLANT ROI-C LORDOTIC 6MM 12X14MM	SUP-MC1442P	CDM			270	RC		inpatient			2800	2800																																																			
CAGE SPINAL ROI-C D12 MM LORDOTIC W14 MM X H7-4.1 MM .38 ML CERVICAL	SUP-MC1443P	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
CAGE SPINAL ROI-C D12 MM LORDOTIC W14 MM X H7-4.1 MM .38 ML CERVICAL	SUP-MC1443P	CDM			270	RC		inpatient			2800	2800																																																			
REMOTE SPECTRA SPINAL STIM	SUP-SC-5532-1	CDM			270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
REMOTE SPECTRA SPINAL STIM	SUP-SC-5532-1	CDM			270	RC		inpatient			2800	2800																																																			
KIT NEUROSTIMULATOR FREELINK REMOTE CONTROL NONSTERILE LATEX FREE	SUP-SC-5562-1	CDM	270010020	LOCAL	270	RC		outpatient			2800	28	758.52				percent of total billed charges		2800				other	OPPS APC	2072				percent of total billed charges		2800				other	OPPS APC	2800				other	OPPS APC	758.52				percent of total billed charges		773.64				percent of total billed charges		28				other	OPPS APC	28	2800	
KIT NEUROSTIMULATOR FREELINK REMOTE CONTROL NONSTERILE LATEX FREE	SUP-SC-5562-1	CDM	270010020	LOCAL	270	RC		inpatient			2800	2800																																																			
INSERT ARTICULAR NEXGEN LPS-FLEX PROLONG 3-4 E-F H23 MM KNEE FIX BEARING STERILE	SUP-00-5962-032-23	CDM	270010025	LOCAL	270	RC		outpatient			2796	2796	757.44				percent of total billed charges		2796				other	OPPS APC	2069.04				percent of total billed charges		2796				other	OPPS APC	2796				other	OPPS APC	757.44				percent of total billed charges		772.53				percent of total billed charges		2796				other	OPPS APC	757.44	2796	
INSERT ARTICULAR NEXGEN LPS-FLEX PROLONG 3-4 E-F H23 MM KNEE FIX BEARING STERILE	SUP-00-5962-032-23	CDM	270010025	LOCAL	270	RC		inpatient			2796	2796																																																			
INSERT ARTICULAR NEXGEN LPS-FLEX PROLONG 5-6 E-F H20 MM KNEE FIX BEARING STERILE	SUP-00-5962-040-20	CDM	270010025	LOCAL	270	RC		outpatient			2796	2796	757.44				percent of total billed charges		2796				other	OPPS APC	2069.04				percent of total billed charges		2796				other	OPPS APC	2796				other	OPPS APC	757.44				percent of total billed charges		772.53				percent of total billed charges		2796				other	OPPS APC	757.44	2796	
INSERT ARTICULAR NEXGEN LPS-FLEX PROLONG 5-6 E-F H20 MM KNEE FIX BEARING STERILE	SUP-00-5962-040-20	CDM	270010025	LOCAL	270	RC		inpatient			2796	2796																																																			
INSERT ARTICULAR LPS-FLEX NEXGEN PROLONG 7-10 G-H H20 MM KNEE FIXED BEARING STERILE	SUP-00-5962-050-20	CDM	270010025	LOCAL	270	RC		outpatient			2796	2796	757.44				percent of total billed charges		2796				other	OPPS APC	2069.04				percent of total billed charges		2796				other	OPPS APC	2796				other	OPPS APC	757.44				percent of total billed charges		772.53				percent of total billed charges		2796				other	OPPS APC	757.44	2796	
INSERT ARTICULAR LPS-FLEX NEXGEN PROLONG 7-10 G-H H20 MM KNEE FIXED BEARING STERILE	SUP-00-5962-050-20	CDM	270010025	LOCAL	270	RC		inpatient			2796	2796																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L179 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 11 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.211S	CDM	270010022	LOCAL	270	RC		outpatient			2796	2796	757.44				percent of total billed charges		2796				other	OPPS APC	2069.04				percent of total billed charges		2796				other	OPPS APC	2796				other	OPPS APC	757.44				percent of total billed charges		772.53				percent of total billed charges		2796				other	OPPS APC	757.44	2796	
PLATE BONE LCP COMBI STAINLESS STEEL L179 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 11 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.211S	CDM	270010022	LOCAL	270	RC		inpatient			2796	2796																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L205 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 13 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.213S	CDM	270010022	LOCAL	270	RC		outpatient			2796	2796	757.44				percent of total billed charges		2796				other	OPPS APC	2069.04				percent of total billed charges		2796				other	OPPS APC	2796				other	OPPS APC	757.44				percent of total billed charges		772.53				percent of total billed charges		2796				other	OPPS APC	757.44	2796	
PLATE BONE LCP COMBI STAINLESS STEEL L205 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 13 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.213S	CDM	270010022	LOCAL	270	RC		inpatient			2796	2796																																																			
IMPLANT PUTTY OSTEOSTRUX 10CC	SUP-56070100	CDM	270010031	LOCAL	270	RC		outpatient			2792.32	2792.32	756.44				percent of total billed charges		2792.32				other	OPPS APC	2066.32				percent of total billed charges		2792.32				other	OPPS APC	2792.32				other	OPPS APC	756.44				percent of total billed charges		771.52				percent of total billed charges		2792.32				other	OPPS APC	756.44	2792.32	
IMPLANT PUTTY OSTEOSTRUX 10CC	SUP-56070100	CDM	270010031	LOCAL	270	RC		inpatient			2792.32	2792.32																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT UNIVERSAL L235 MM OD10 MM TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM STATIC INTERLOCK STERILE GREEN	SUP-456.325S	CDM	270010022	LOCAL	270	RC		outpatient			2791.8	2791.82	756.3				percent of total billed charges		2791.8				other	OPPS APC	2065.93				percent of total billed charges		2791.8				other	OPPS APC	2791.8				other	OPPS APC	756.3				percent of total billed charges		771.37				percent of total billed charges		2791.82				other	OPPS APC	756.3	2791.82	
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT UNIVERSAL L235 MM OD10 MM TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM STATIC INTERLOCK STERILE GREEN	SUP-456.325S	CDM	270010022	LOCAL	270	RC		inpatient			2791.8	2791.8																																																			
OCTOPUS NS  TS102	SUP-TS102	CDM			270	RC		outpatient			2790	279	755.81				percent of total billed charges		2790				other	OPPS APC	2064.6				percent of total billed charges		2790				other	OPPS APC	2790				other	OPPS APC	755.81				percent of total billed charges		770.88				percent of total billed charges		279				other	OPPS APC	279	2790	
OCTOPUS NS  TS102	SUP-TS102	CDM			270	RC		inpatient			2790	2790																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD13 MM KNEE FEMUR STERILE	SUP-00-5988-020-13	CDM	270010025	LOCAL	270	RC		outpatient			2784	2784	754.19				percent of total billed charges		2784				other	OPPS APC	2060.16				percent of total billed charges		2784				other	OPPS APC	2784				other	OPPS APC	754.19				percent of total billed charges		769.22				percent of total billed charges		2784				other	OPPS APC	754.19	2784	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD13 MM KNEE FEMUR STERILE	SUP-00-5988-020-13	CDM	270010025	LOCAL	270	RC		inpatient			2784	2784																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD14 MM KNEE FEMUR STERILE	SUP-00-5988-020-14	CDM	270010025	LOCAL	270	RC		outpatient			2784	2784	754.19				percent of total billed charges		2784				other	OPPS APC	2060.16				percent of total billed charges		2784				other	OPPS APC	2784				other	OPPS APC	754.19				percent of total billed charges		769.22				percent of total billed charges		2784				other	OPPS APC	754.19	2784	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD14 MM KNEE FEMUR STERILE	SUP-00-5988-020-14	CDM	270010025	LOCAL	270	RC		inpatient			2784	2784																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD15 MM KNEE FEMUR STERILE	SUP-00-5988-020-15	CDM	270010025	LOCAL	270	RC		outpatient			2784	2784	754.19				percent of total billed charges		2784				other	OPPS APC	2060.16				percent of total billed charges		2784				other	OPPS APC	2784				other	OPPS APC	754.19				percent of total billed charges		769.22				percent of total billed charges		2784				other	OPPS APC	754.19	2784	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD15 MM KNEE FEMUR STERILE	SUP-00-5988-020-15	CDM	270010025	LOCAL	270	RC		inpatient			2784	2784																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD18 MM KNEE FEMUR STERILE	SUP-00-5988-020-18	CDM	270010025	LOCAL	270	RC		outpatient			2784	2784	754.19				percent of total billed charges		2784				other	OPPS APC	2060.16				percent of total billed charges		2784				other	OPPS APC	2784				other	OPPS APC	754.19				percent of total billed charges		769.22				percent of total billed charges		2784				other	OPPS APC	754.19	2784	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD18 MM KNEE FEMUR STERILE	SUP-00-5988-020-18	CDM	270010025	LOCAL	270	RC		inpatient			2784	2784																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L200 MM L155 MM OD15 MM KNEE FEMUR STERILE	SUP-00-5988-021-15	CDM	270010025	LOCAL	270	RC		outpatient			2784	2784	754.19				percent of total billed charges		2784				other	OPPS APC	2060.16				percent of total billed charges		2784				other	OPPS APC	2784				other	OPPS APC	754.19				percent of total billed charges		769.22				percent of total billed charges		2784				other	OPPS APC	754.19	2784	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L200 MM L155 MM OD15 MM KNEE FEMUR STERILE	SUP-00-5988-021-15	CDM	270010025	LOCAL	270	RC		inpatient			2784	2784																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L155 MM L200 MM OD17 MM KNEE FEMUR STERILE	SUP-00-5988-021-17	CDM	270010025	LOCAL	270	RC		outpatient			2784	2784	754.19				percent of total billed charges		2784				other	OPPS APC	2060.16				percent of total billed charges		2784				other	OPPS APC	2784				other	OPPS APC	754.19				percent of total billed charges		769.22				percent of total billed charges		2784				other	OPPS APC	754.19	2784	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L155 MM L200 MM OD17 MM KNEE FEMUR STERILE	SUP-00-5988-021-17	CDM	270010025	LOCAL	270	RC		inpatient			2784	2784																																																			
PLATE BONE LCP COMBI 194MM SS NS HUMERUS RIGHT EXTRAARTICULAR DISTAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.008	CDM	270010022	LOCAL	270	RC		outpatient			2782	2782	753.64				percent of total billed charges		2782				other	OPPS APC	2058.68				percent of total billed charges		2782				other	OPPS APC	2782				other	OPPS APC	753.64				percent of total billed charges		768.67				percent of total billed charges		2782				other	OPPS APC	753.64	2782	
PLATE BONE LCP COMBI 194MM SS NS HUMERUS RIGHT EXTRAARTICULAR DISTAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.008	CDM	270010022	LOCAL	270	RC		inpatient			2782	2782																																																			
PLATE BONE LCP COMBI 194MM SS NS HUMERUS LEFT EXTRAARTICULAR DISTAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.028	CDM	270010022	LOCAL	270	RC		outpatient			2782	2782	753.64				percent of total billed charges		2782				other	OPPS APC	2058.68				percent of total billed charges		2782				other	OPPS APC	2782				other	OPPS APC	753.64				percent of total billed charges		768.67				percent of total billed charges		2782				other	OPPS APC	753.64	2782	
PLATE BONE LCP COMBI 194MM SS NS HUMERUS LEFT EXTRAARTICULAR DISTAL 8 HOLE PRECONTOUR LIMIT CONTACT TAPER HEAD 3.5MM	SUP-02.104.028	CDM	270010022	LOCAL	270	RC		inpatient			2782	2782																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL6H	SUP-97-01314	CDM			278	RC		outpatient			2781	2781	2781				fee schedule		2781				other	OPPS APC	1585.17				percent of total billed charges		2781				other	OPPS APC	2781				other	OPPS APC	1362.69				percent of total billed charges		1418.31				percent of total billed charges		2781				other	OPPS APC	1362.69	2781	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL6H	SUP-97-01314	CDM			278	RC		inpatient			2781	2781																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM TIBIA LEFT DISTAL MEDIAL 12 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.527S	CDM	270010022	LOCAL	270	RC		outpatient			2779.06	2779.6	752.85				percent of total billed charges		2779.06				other	OPPS APC	2056.5				percent of total billed charges		2779.06				other	OPPS APC	2779.06				other	OPPS APC	752.85				percent of total billed charges		767.85				percent of total billed charges		2779.6				other	OPPS APC	752.85	2779.6	
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM TIBIA LEFT DISTAL MEDIAL 12 HOLE LOW BEND LOW PROFILE ROUND EDGE STERILE 3.5 MM SCREW	SUP-02.112.527S	CDM	270010022	LOCAL	270	RC		inpatient			2779.06	2779.06																																																			
HC CT Abd and Pelvis 1+ Section/Reg	PX-352741780	CDM	74178	CPT	352	RC		outpatient			2779	388.42	385.22				fee schedule		388.04				other	OPPS APC	2643.35				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	356.22				fee schedule		260.63				fee schedule		388.42				other	OPPS APC	260.63	2643.35	
HC CT Abd and Pelvis 1+ Section/Reg	PX-352741780	CDM	74178	CPT	352	RC		inpatient			2779	2779																																																			
HC C/T Abd/Pelvis Urogram W&W/O	PX-352741781	CDM	74178	CPT	350	RC		outpatient			2779	388.42	385.22				fee schedule		388.04				other	OPPS APC	2643.35				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	356.22				fee schedule		260.63				fee schedule		388.42				other	OPPS APC	260.63	2643.35	
HC C/T Abd/Pelvis Urogram W&W/O	PX-352741781	CDM	74178	CPT	350	RC		inpatient			2779	2779																																																			
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L19 CM X W15 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP04	CDM			270	RC		outpatient			2778	2778	752.56				percent of total billed charges		2778				other	OPPS APC	2055.72				percent of total billed charges		2778				other	OPPS APC	2778				other	OPPS APC	752.56				percent of total billed charges		767.56				percent of total billed charges		2778				other	OPPS APC	752.56	2778	
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L19 CM X W15 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP04	CDM			270	RC		inpatient			2778	2778																																																			
PLATE BONE VLP MINI-MOD TITANIUM 12 X 3 HOLE MESH 2.4MM SCREW MINI FRAGMENT	SUP-74442428	CDM			270	RC		outpatient			2778	2778	752.56				percent of total billed charges		2778				other	OPPS APC	2055.72				percent of total billed charges		2778				other	OPPS APC	2778				other	OPPS APC	752.56				percent of total billed charges		767.56				percent of total billed charges		2778				other	OPPS APC	752.56	2778	
PLATE BONE VLP MINI-MOD TITANIUM 12 X 3 HOLE MESH 2.4MM SCREW MINI FRAGMENT	SUP-74442428	CDM			270	RC		inpatient			2778	2778																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.514	CDM	270010022	LOCAL	270	RC		outpatient			2777.5	2777.5	752.42				percent of total billed charges		2777.5				other	OPPS APC	2055.35				percent of total billed charges		2777.5				other	OPPS APC	2777.5				other	OPPS APC	752.42				percent of total billed charges		767.42				percent of total billed charges		2777.5				other	OPPS APC	752.42	2777.5	
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.514	CDM	270010022	LOCAL	270	RC		inpatient			2777.5	2777.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 6 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.515	CDM	270010022	LOCAL	270	RC		outpatient			2777.5	2777.5	752.42				percent of total billed charges		2777.5				other	OPPS APC	2055.35				percent of total billed charges		2777.5				other	OPPS APC	2777.5				other	OPPS APC	752.42				percent of total billed charges		767.42				percent of total billed charges		2777.5				other	OPPS APC	752.42	2777.5	
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 6 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.515	CDM	270010022	LOCAL	270	RC		inpatient			2777.5	2777.5																																																			
HYDROMARK T4 BIOPSY MARKER - ULTRASOUND	SUP-95-04977	CDM			272	RC		outpatient			2775.84	2775.84	751.98				percent of total billed charges		2775.84				other	OPPS APC	2054.12				percent of total billed charges		2775.84				other	OPPS APC	2775.84				other	OPPS APC	751.98				percent of total billed charges		766.96				percent of total billed charges		2775.84				other	OPPS APC	751.98	2775.84	
HYDROMARK T4 BIOPSY MARKER - ULTRASOUND	SUP-95-04977	CDM			272	RC		inpatient			2775.84	2775.84																																																			
HYDROMARK T4 BIOPSY MARKER - STEREO	SUP-95-04978	CDM			272	RC		outpatient			2775.84	2775.84	751.98				percent of total billed charges		2775.84				other	OPPS APC	2054.12				percent of total billed charges		2775.84				other	OPPS APC	2775.84				other	OPPS APC	751.98				percent of total billed charges		766.96				percent of total billed charges		2775.84				other	OPPS APC	751.98	2775.84	
HYDROMARK T4 BIOPSY MARKER - STEREO	SUP-95-04978	CDM			272	RC		inpatient			2775.84	2775.84																																																			
HYDROMARK T3 BIOPSY MARKER - STEREO	SUP-95-04979	CDM			272	RC		outpatient			2775.84	2775.84	751.98				percent of total billed charges		2775.84				other	OPPS APC	2054.12				percent of total billed charges		2775.84				other	OPPS APC	2775.84				other	OPPS APC	751.98				percent of total billed charges		766.96				percent of total billed charges		2775.84				other	OPPS APC	751.98	2775.84	
HYDROMARK T3 BIOPSY MARKER - STEREO	SUP-95-04979	CDM			272	RC		inpatient			2775.84	2775.84																																																			
PLATE NARROW  LEFT 8 HOLES  EXTRA SHORT	SUP-97-03805	CDM			278	RC		outpatient			2775.57	2775.57	2775.57				fee schedule		2775.57				other	OPPS APC	1582.07				percent of total billed charges		2775.57				other	OPPS APC	2775.57				other	OPPS APC	1360.03				percent of total billed charges		1415.54				percent of total billed charges		2775.57				other	OPPS APC	1360.03	2775.57	
PLATE NARROW  LEFT 8 HOLES  EXTRA SHORT	SUP-97-03805	CDM			278	RC		inpatient			2775.57	2775.57																																																			
PLATE VOLAR SMRTLCK STD RIGHT	SUP-97-04092	CDM			278	RC		outpatient			2775.24	2775.24	2775.24				fee schedule		2775.24				other	OPPS APC	1581.89				percent of total billed charges		2775.24				other	OPPS APC	2775.24				other	OPPS APC	1359.87				percent of total billed charges		1415.37				percent of total billed charges		2775.24				other	OPPS APC	1359.87	2775.24	
PLATE VOLAR SMRTLCK STD RIGHT	SUP-97-04092	CDM			278	RC		inpatient			2775.24	2775.24																																																			
PLATE VOLAR SMRTLCK NARROW RT SHORT	SUP-97-04891	CDM			278	RC		outpatient			2775.24	2775.24	2775.24				fee schedule		2775.24				other	OPPS APC	1581.89				percent of total billed charges		2775.24				other	OPPS APC	2775.24				other	OPPS APC	1359.87				percent of total billed charges		1415.37				percent of total billed charges		2775.24				other	OPPS APC	1359.87	2775.24	
PLATE VOLAR SMRTLCK NARROW RT SHORT	SUP-97-04891	CDM			278	RC		inpatient			2775.24	2775.24																																																			
UNIVERSAL 5 TH METARSAL HOOK PLATE	SUP-97-02371	CDM			278	RC		outpatient			2775	2775	2775				fee schedule		2775				other	OPPS APC	1581.75				percent of total billed charges		2775				other	OPPS APC	2775				other	OPPS APC	1359.75				percent of total billed charges		1415.25				percent of total billed charges		2775				other	OPPS APC	1359.75	2775	
UNIVERSAL 5 TH METARSAL HOOK PLATE	SUP-97-02371	CDM			278	RC		inpatient			2775	2775																																																			
PLATE HOOK LATERAL	SUP-97-06311	CDM			278	RC		outpatient			2775	2775	2775				fee schedule		2775				other	OPPS APC	1581.75				percent of total billed charges		2775				other	OPPS APC	2775				other	OPPS APC	1359.75				percent of total billed charges		1415.25				percent of total billed charges		2775				other	OPPS APC	1359.75	2775	
PLATE HOOK LATERAL	SUP-97-06311	CDM			278	RC		inpatient			2775	2775																																																			
STENT - OMNILINK ELITE .035 8.0X29	SUP-99-01558	CDM			278	RC		inpatient			2775	2775																																																			
STENT - OMNILINK ELITE .035 8.0X29	SUP-99-01558	CDM			278	RC		outpatient			2775	2775					fee schedule						other	OPPS APC	1581.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1359.75				percent of total billed charges		1415.25				percent of total billed charges						other	OPPS APC	1581.75	1581.75	
STENT - OMNILINK ELITE .035 6.0X19	SUP-99-01874	CDM			278	RC		inpatient			2775	2775																																																			
STENT - OMNILINK ELITE .035 6.0X19	SUP-99-01874	CDM			278	RC		outpatient			2775	2775					fee schedule						other	OPPS APC	1581.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1359.75				percent of total billed charges		1415.25				percent of total billed charges						other	OPPS APC	1581.75	1581.75	
CEMENTED STEM	SUP-97-01800	CDM			278	RC		outpatient			2766	2766	2766				fee schedule		2766				other	OPPS APC	1576.62				percent of total billed charges		2766				other	OPPS APC	2766				other	OPPS APC	1355.34				percent of total billed charges		1410.66				percent of total billed charges		2766				other	OPPS APC	1355.34	2766	
CEMENTED STEM	SUP-97-01800	CDM			278	RC		inpatient			2766	2766																																																			
CEMENTED STEM 12MM	SUP-97-02543	CDM			278	RC		outpatient			2766	2766	2766				fee schedule		2766				other	OPPS APC	1576.62				percent of total billed charges		2766				other	OPPS APC	2766				other	OPPS APC	1355.34				percent of total billed charges		1410.66				percent of total billed charges		2766				other	OPPS APC	1355.34	2766	
CEMENTED STEM 12MM	SUP-97-02543	CDM			278	RC		inpatient			2766	2766																																																			
TRI CEMENTED STEM 9MM X 100MM	SUP-97-04110	CDM			278	RC		outpatient			2766	2766	2766				fee schedule		2766				other	OPPS APC	1576.62				percent of total billed charges		2766				other	OPPS APC	2766				other	OPPS APC	1355.34				percent of total billed charges		1410.66				percent of total billed charges		2766				other	OPPS APC	1355.34	2766	
TRI CEMENTED STEM 9MM X 100MM	SUP-97-04110	CDM			278	RC		inpatient			2766	2766																																																			
TRI CEMENTED STEM 15MM X 100MM	SUP-97-04176	CDM			278	RC		outpatient			2766	2766	2766				fee schedule		2766				other	OPPS APC	1576.62				percent of total billed charges		2766				other	OPPS APC	2766				other	OPPS APC	1355.34				percent of total billed charges		1410.66				percent of total billed charges		2766				other	OPPS APC	1355.34	2766	
TRI CEMENTED STEM 15MM X 100MM	SUP-97-04176	CDM			278	RC		inpatient			2766	2766																																																			
TRIATHLON CEMENTED STEM 15MM X 50MM	SUP-97-05011	CDM			278	RC		outpatient			2766	2766	2766				fee schedule		2766				other	OPPS APC	1576.62				percent of total billed charges		2766				other	OPPS APC	2766				other	OPPS APC	1355.34				percent of total billed charges		1410.66				percent of total billed charges		2766				other	OPPS APC	1355.34	2766	
TRIATHLON CEMENTED STEM 15MM X 50MM	SUP-97-05011	CDM			278	RC		inpatient			2766	2766																																																			
PLATE BONE STRAIGHT TITANIUM NS STERNUM 12 HOLE LOCK 3MM SCREW	SUP-460.019	CDM			270	RC		outpatient			2764.7	2764.7	748.96				percent of total billed charges		2764.7				other	OPPS APC	2045.88				percent of total billed charges		2764.7				other	OPPS APC	2764.7				other	OPPS APC	748.96				percent of total billed charges		763.89				percent of total billed charges		2764.7				other	OPPS APC	748.96	2764.7	
PLATE BONE STRAIGHT TITANIUM NS STERNUM 12 HOLE LOCK 3MM SCREW	SUP-460.019	CDM			270	RC		inpatient			2764.7	2764.7																																																			
DUAL KNIFE J LOWER LENGTH	SUP-95-04195	CDM			272	RC		outpatient			2763	2763	748.5				percent of total billed charges		2763				other	OPPS APC	2044.62				percent of total billed charges		2763				other	OPPS APC	2763				other	OPPS APC	748.5				percent of total billed charges		763.42				percent of total billed charges		2763				other	OPPS APC	748.5	2763	
DUAL KNIFE J LOWER LENGTH	SUP-95-04195	CDM			272	RC		inpatient			2763	2763																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L255 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.431S	CDM	270010022	LOCAL	270	RC		outpatient			2762.76	2762.76	748.43				percent of total billed charges		2762.76				other	OPPS APC	2044.44				percent of total billed charges		2762.76				other	OPPS APC	2762.76				other	OPPS APC	748.43				percent of total billed charges		763.35				percent of total billed charges		2762.76				other	OPPS APC	748.43	2762.76	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L255 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.431S	CDM	270010022	LOCAL	270	RC		inpatient			2762.76	2762.76																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L435 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.467S	CDM	270010022	LOCAL	270	RC		outpatient			2762.76	2762.76	748.43				percent of total billed charges		2762.76				other	OPPS APC	2044.44				percent of total billed charges		2762.76				other	OPPS APC	2762.76				other	OPPS APC	748.43				percent of total billed charges		763.35				percent of total billed charges		2762.76				other	OPPS APC	748.43	2762.76	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L435 MM OD10 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.467S	CDM	270010022	LOCAL	270	RC		inpatient			2762.76	2762.76																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L255 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.531S	CDM	270010022	LOCAL	270	RC		outpatient			2762.76	2762.76	748.43				percent of total billed charges		2762.76				other	OPPS APC	2044.44				percent of total billed charges		2762.76				other	OPPS APC	2762.76				other	OPPS APC	748.43				percent of total billed charges		763.35				percent of total billed charges		2762.76				other	OPPS APC	748.43	2762.76	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L255 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND STERILE	SUP-04.034.531S	CDM	270010022	LOCAL	270	RC		inpatient			2762.76	2762.76																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L270 MM OD11 MM TIBIA CANNULATED FIXATION PROXIMAL BEND STERILE LIGHT GREEN	SUP-04.034.534S	CDM	270010022	LOCAL	270	RC		outpatient			2762.76	2762.76	748.43				percent of total billed charges		2762.76				other	OPPS APC	2044.44				percent of total billed charges		2762.76				other	OPPS APC	2762.76				other	OPPS APC	748.43				percent of total billed charges		763.35				percent of total billed charges		2762.76				other	OPPS APC	748.43	2762.76	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L270 MM OD11 MM TIBIA CANNULATED FIXATION PROXIMAL BEND STERILE LIGHT GREEN	SUP-04.034.534S	CDM	270010022	LOCAL	270	RC		inpatient			2762.76	2762.76																																																			
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L85 MM HUMERUS RIGHT DISTAL MEDIAL 2 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.602	CDM	270010022	LOCAL	270	RC		outpatient			2762.4	2762.41	748.33				percent of total billed charges		2762.4				other	OPPS APC	2044.18				percent of total billed charges		2762.4				other	OPPS APC	2762.4				other	OPPS APC	748.33				percent of total billed charges		763.25				percent of total billed charges		2762.41				other	OPPS APC	748.33	2762.41	
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L85 MM HUMERUS RIGHT DISTAL MEDIAL 2 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.602	CDM	270010022	LOCAL	270	RC		inpatient			2762.4	2762.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL LONG L111 MM HUMERUS LEFT DISTAL MEDIAL 4 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.704	CDM	270010022	LOCAL	270	RC		outpatient			2762.4	2762.41	748.33				percent of total billed charges		2762.4				other	OPPS APC	2044.18				percent of total billed charges		2762.4				other	OPPS APC	2762.4				other	OPPS APC	748.33				percent of total billed charges		763.25				percent of total billed charges		2762.41				other	OPPS APC	748.33	2762.41	
PLATE BONE LCP COMBI STAINLESS STEEL LONG L111 MM HUMERUS LEFT DISTAL MEDIAL 4 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.704	CDM	270010022	LOCAL	270	RC		inpatient			2762.4	2762.4																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L35 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860135	CDM	270010020	LOCAL	270	RC		outpatient			2762.08	2762.8	748.25				percent of total billed charges		2762.08				other	OPPS APC	2043.94				percent of total billed charges		2762.08				other	OPPS APC	2762.08				other	OPPS APC	748.25				percent of total billed charges		763.16				percent of total billed charges		2762.8				other	OPPS APC	748.25	2762.8	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L35 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860135	CDM	270010020	LOCAL	270	RC		inpatient			2762.08	2762.08																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L45 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860145	CDM	270010020	LOCAL	270	RC		outpatient			2762.08	2762.8	748.25				percent of total billed charges		2762.08				other	OPPS APC	2043.94				percent of total billed charges		2762.08				other	OPPS APC	2762.08				other	OPPS APC	748.25				percent of total billed charges		763.16				percent of total billed charges		2762.8				other	OPPS APC	748.25	2762.8	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L45 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860145	CDM	270010020	LOCAL	270	RC		inpatient			2762.08	2762.08																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L50 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860150	CDM	270010020	LOCAL	270	RC		outpatient			2762.08	2762.8	748.25				percent of total billed charges		2762.08				other	OPPS APC	2043.94				percent of total billed charges		2762.08				other	OPPS APC	2762.08				other	OPPS APC	748.25				percent of total billed charges		763.16				percent of total billed charges		2762.8				other	OPPS APC	748.25	2762.8	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L50 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860150	CDM	270010020	LOCAL	270	RC		inpatient			2762.08	2762.08																																																			
7 HOLE RT 88MM PLATE	SUP-97-04938	CDM			278	RC		outpatient			2761.5	2761.5	2761.5				fee schedule		2761.5				other	OPPS APC	1574.06				percent of total billed charges		2761.5				other	OPPS APC	2761.5				other	OPPS APC	1353.14				percent of total billed charges		1408.37				percent of total billed charges		2761.5				other	OPPS APC	1353.14	2761.5	
7 HOLE RT 88MM PLATE	SUP-97-04938	CDM			278	RC		inpatient			2761.5	2761.5																																																			
INSERT ARTICULAR NEXGEN ZIMALOY UHMWPE 5-6 F L77 MM X W44 MM X H17 MM KNEE ROTATING HINGE MACHINE MOLD STERILE	SUP-00588006017	CDM	270010025	LOCAL	270	RC		outpatient			2760	276	747.68				percent of total billed charges		2760				other	OPPS APC	2042.4				percent of total billed charges		2760				other	OPPS APC	2760				other	OPPS APC	747.68				percent of total billed charges		762.59				percent of total billed charges		276				other	OPPS APC	276	2760	
INSERT ARTICULAR NEXGEN ZIMALOY UHMWPE 5-6 F L77 MM X W44 MM X H17 MM KNEE ROTATING HINGE MACHINE MOLD STERILE	SUP-00588006017	CDM	270010025	LOCAL	270	RC		inpatient			2760	2760																																																			
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD L 138 MM X W 10.9MM X H 3.4MM X W 25 MM X H 2.5 MM TIBIAL LEFT PROXIMAL MEDIAL 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463710	CDM			270	RC		outpatient			2760	276	747.68				percent of total billed charges		2760				other	OPPS APC	2042.4				percent of total billed charges		2760				other	OPPS APC	2760				other	OPPS APC	747.68				percent of total billed charges		762.59				percent of total billed charges		276				other	OPPS APC	276	2760	
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD L 138 MM X W 10.9MM X H 3.4MM X W 25 MM X H 2.5 MM TIBIAL LEFT PROXIMAL MEDIAL 10 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463710	CDM			270	RC		inpatient			2760	2760																																																			
SLING URETHRAL GYNECARE TVT 18X.5IN PROLENE SS PLASTIC STERILE FEMALE MIDURETHRAL SYSTEM TRANSOBTURATOR STRESS URINARY	SUP-810081L	CDM			270	RC		outpatient			2760	276	747.68				percent of total billed charges		2760				other	OPPS APC	2042.4				percent of total billed charges		2760				other	OPPS APC	2760				other	OPPS APC	747.68				percent of total billed charges		762.59				percent of total billed charges		276				other	OPPS APC	276	2760	
SLING URETHRAL GYNECARE TVT 18X.5IN PROLENE SS PLASTIC STERILE FEMALE MIDURETHRAL SYSTEM TRANSOBTURATOR STRESS URINARY	SUP-810081L	CDM			270	RC		inpatient			2760	2760																																																			
INSERT ACETABULAR TRIDENT X3 0 D E ID36 MM STERILE LATEX FREE	SUP-723-00-36E	CDM	270010024	LOCAL	270	RC		outpatient			2754.9	2754.91	746.3				percent of total billed charges		2754.9				other	OPPS APC	2038.63				percent of total billed charges		2754.9				other	OPPS APC	2754.9				other	OPPS APC	746.3				percent of total billed charges		761.18				percent of total billed charges		2754.91				other	OPPS APC	746.3	2754.91	
INSERT ACETABULAR TRIDENT X3 0 D E ID36 MM STERILE LATEX FREE	SUP-723-00-36E	CDM	270010024	LOCAL	270	RC		inpatient			2754.9	2754.9																																																			
TRIDENT 0 X3 INSERT 36MM ID	SUP-723-00-36F	CDM	270010024	LOCAL	270	RC		outpatient			2754.9	2754.91	746.3				percent of total billed charges		2754.9				other	OPPS APC	2038.63				percent of total billed charges		2754.9				other	OPPS APC	2754.9				other	OPPS APC	746.3				percent of total billed charges		761.18				percent of total billed charges		2754.91				other	OPPS APC	746.3	2754.91	
TRIDENT 0 X3 INSERT 36MM ID	SUP-723-00-36F	CDM	270010024	LOCAL	270	RC		inpatient			2754.9	2754.9																																																			
SPACER	SUP-97-05025	CDM			278	RC		outpatient			2754	2754	2754				fee schedule		2754				other	OPPS APC	1569.78				percent of total billed charges		2754				other	OPPS APC	2754				other	OPPS APC	1349.46				percent of total billed charges		1404.54				percent of total billed charges		2754				other	OPPS APC	1349.46	2754	
SPACER	SUP-97-05025	CDM			278	RC		inpatient			2754	2754																																																			
PLATE BONE LCP STAINLESS STEEL L298 MM X W11 MM X H4.2 MM 18 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.763	CDM	270010022	LOCAL	270	RC		outpatient			2752.2	2752.2	745.57				percent of total billed charges		2752.2				other	OPPS APC	2036.63				percent of total billed charges		2752.2				other	OPPS APC	2752.2				other	OPPS APC	745.57				percent of total billed charges		760.43				percent of total billed charges		2752.2				other	OPPS APC	745.57	2752.2	
PLATE BONE LCP STAINLESS STEEL L298 MM X W11 MM X H4.2 MM 18 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.763	CDM	270010022	LOCAL	270	RC		inpatient			2752.2	2752.2																																																			
IMPLANT EAGLE I SPACER 6MM	SUP-08-06	CDM	270010020	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
IMPLANT EAGLE I SPACER 6MM	SUP-08-06	CDM	270010020	LOCAL	270	RC		inpatient			2750	2750																																																			
IMPLANT EAGLEII SPACER 5MM	SUP-09-05	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
IMPLANT EAGLEII SPACER 5MM	SUP-09-05	CDM			270	RC		inpatient			2750	2750																																																			
GRAFT BONE CORTICAL CANCELLOUS H6 MM CERVICAL SPINE SERIES CII	SUP-09-06	CDM	270010012	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
GRAFT BONE CORTICAL CANCELLOUS H6 MM CERVICAL SPINE SERIES CII	SUP-09-06	CDM	270010012	LOCAL	270	RC		inpatient			2750	2750																																																			
GRAFT BONE 7MM CORTICAL CANCELLOUS CERVICAL SPINE SERIES CII	SUP-09-07	CDM	270010012	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
GRAFT BONE 7MM CORTICAL CANCELLOUS CERVICAL SPINE SERIES CII	SUP-09-07	CDM	270010012	LOCAL	270	RC		inpatient			2750	2750																																																			
GRAFT BONE CANCELLOUS CORTICAL H8 MM	SUP-09-08	CDM	270010020	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
GRAFT BONE CANCELLOUS CORTICAL H8 MM	SUP-09-08	CDM	270010020	LOCAL	270	RC		inpatient			2750	2750																																																			
GRAFT BONE CORTICAL CANCELLOUS L14 MM X W12 MM X H10 MM CERVICAL SPINE TEXTURED SURFACE DESIGN CII	SUP-09-10S	CDM	270010020	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
GRAFT BONE CORTICAL CANCELLOUS L14 MM X W12 MM X H10 MM CERVICAL SPINE TEXTURED SURFACE DESIGN CII	SUP-09-10S	CDM	270010020	LOCAL	270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE SILTEX CPX2 P6.5 CM CONTOUR PROFILE W12.3 CM X H12.9 CM 450 ML BREAST STYLE 6300 TALL HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6313	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE SILTEX CPX2 P6.5 CM CONTOUR PROFILE W12.3 CM X H12.9 CM 450 ML BREAST STYLE 6300 TALL HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6313	CDM			270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE CPX2 SILTEX P8 CM TALL HEIGHT W13.2 CM X H13.8 CM 550 ML STYLE 6300 SELF SEALING TECHNOLOGY CENTERSCOPE DACRON PATCH BUFFERZONE STERILE	SUP-3546314	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE CPX2 SILTEX P8 CM TALL HEIGHT W13.2 CM X H13.8 CM 550 ML STYLE 6300 SELF SEALING TECHNOLOGY CENTERSCOPE DACRON PATCH BUFFERZONE STERILE	SUP-3546314	CDM			270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE SILTEX CPX2 P7.3 CM CONTOUR PROFILE W14 CM X H14.6 CM 650 ML BREAST STYLE 6300 TALL HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6315	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE SILTEX CPX2 P7.3 CM CONTOUR PROFILE W14 CM X H14.6 CM 650 ML BREAST STYLE 6300 TALL HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6315	CDM			270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE CPX4 SILTEX P6.5 CM CONTOUR PROFILE LOW HEIGHT W12.7 CM X H9.4 CM 350 ML BREAST STYLE 9100 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9112	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE CPX4 SILTEX P6.5 CM CONTOUR PROFILE LOW HEIGHT W12.7 CM X H9.4 CM 350 ML BREAST STYLE 9100 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9112	CDM			270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE CPX4 SILTEX P7.1 CM CONTOUR PROFILE LOW HEIGHT W14 CM X H7.1 CM 450 ML BREAST STYLE 9100 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9113	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE CPX4 SILTEX P7.1 CM CONTOUR PROFILE LOW HEIGHT W14 CM X H7.1 CM 450 ML BREAST STYLE 9100 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9113	CDM			270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE CPX4 SILTEX P7.4 CM CONTOUR PROFILE MEDIUM HEIGHT W13.5 CM X H11.7 CM 550 ML BREAST STYLE 9200 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9214	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE CPX4 SILTEX P7.4 CM CONTOUR PROFILE MEDIUM HEIGHT W13.5 CM X H11.7 CM 550 ML BREAST STYLE 9200 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9214	CDM			270	RC		inpatient			2750	2750																																																			
EXPANDER TISSUE CPX4 SILTEX P7.6 CM CONTOUR PROFILE MEDIUM HEIGHT W14.6 CM X H12.6 CM 650 ML BREAST STYLE 9200 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9215	CDM			270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
EXPANDER TISSUE CPX4 SILTEX P7.6 CM CONTOUR PROFILE MEDIUM HEIGHT W14.6 CM X H12.6 CM 650 ML BREAST STYLE 9200 TEXTURED SELF SEALING PATCH FLEXIBLE SUTURE TAB	SUP-354-9215	CDM			270	RC		inpatient			2750	2750																																																			
GRAFT BONE CORTICAL CANCELLOUS H7 MM CERVICAL SPINE SERIES CII	SUP-9-07	CDM	270010020	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
GRAFT BONE CORTICAL CANCELLOUS H7 MM CERVICAL SPINE SERIES CII	SUP-9-07	CDM	270010020	LOCAL	270	RC		inpatient			2750	2750																																																			
GRAFT BONE CORTICAL CANCELLOUS H9 MM CERVICAL SPINE SERIES CII	SUP-9-09	CDM	270010020	LOCAL	270	RC		outpatient			2750	275	744.98				percent of total billed charges		2750				other	OPPS APC	2035				percent of total billed charges		2750				other	OPPS APC	2750				other	OPPS APC	744.98				percent of total billed charges		759.83				percent of total billed charges		275				other	OPPS APC	275	2750	
GRAFT BONE CORTICAL CANCELLOUS H9 MM CERVICAL SPINE SERIES CII	SUP-9-09	CDM	270010020	LOCAL	270	RC		inpatient			2750	2750																																																			
3.5MM CLAVICLE PLATE 7H/LT/110MM	SUP-97-04100	CDM			278	RC		outpatient			2749.68	2749.68	2749.68				fee schedule		2749.68				other	OPPS APC	1567.32				percent of total billed charges		2749.68				other	OPPS APC	2749.68				other	OPPS APC	1347.34				percent of total billed charges		1402.34				percent of total billed charges		2749.68				other	OPPS APC	1347.34	2749.68	
3.5MM CLAVICLE PLATE 7H/LT/110MM	SUP-97-04100	CDM			278	RC		inpatient			2749.68	2749.68																																																			
3.5MM LCP CLAVICLE PLATE 7 HOLE LFT 100M	SUP-97-05156	CDM			278	RC		outpatient			2749.68	2749.68	2749.68				fee schedule		2749.68				other	OPPS APC	1567.32				percent of total billed charges		2749.68				other	OPPS APC	2749.68				other	OPPS APC	1347.34				percent of total billed charges		1402.34				percent of total billed charges		2749.68				other	OPPS APC	1347.34	2749.68	
3.5MM LCP CLAVICLE PLATE 7 HOLE LFT 100M	SUP-97-05156	CDM			278	RC		inpatient			2749.68	2749.68																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 4 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.510	CDM	270010022	LOCAL	270	RC		outpatient			2746.7	2746.7	744.08				percent of total billed charges		2746.7				other	OPPS APC	2032.56				percent of total billed charges		2746.7				other	OPPS APC	2746.7				other	OPPS APC	744.08				percent of total billed charges		758.91				percent of total billed charges		2746.7				other	OPPS APC	744.08	2746.7	
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 4 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.510	CDM	270010022	LOCAL	270	RC		inpatient			2746.7	2746.7																																																			
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 5 ML DRILLABLE INJECT REINFORCED BIORESORBABLE BIOCOMPATIBLE ISOTHERMIC STERILE	SUP-07.704.005S	CDM	270010022	LOCAL	270	RC		outpatient			2746.7	2746.7	744.08				percent of total billed charges		2746.7				other	OPPS APC	2032.56				percent of total billed charges		2746.7				other	OPPS APC	2746.7				other	OPPS APC	744.08				percent of total billed charges		758.91				percent of total billed charges		2746.7				other	OPPS APC	744.08	2746.7	
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 5 ML DRILLABLE INJECT REINFORCED BIORESORBABLE BIOCOMPATIBLE ISOTHERMIC STERILE	SUP-07.704.005S	CDM	270010022	LOCAL	270	RC		inpatient			2746.7	2746.7																																																			
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER SODIUM HYALURONATE 5 CC DRILLABLE FAST SET PUTTY STERILE	SUP-07.704.105S	CDM	270010012	LOCAL	270	RC		outpatient			2746.7	2746.7	744.08				percent of total billed charges		2746.7				other	OPPS APC	2032.56				percent of total billed charges		2746.7				other	OPPS APC	2746.7				other	OPPS APC	744.08				percent of total billed charges		758.91				percent of total billed charges		2746.7				other	OPPS APC	744.08	2746.7	
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER SODIUM HYALURONATE 5 CC DRILLABLE FAST SET PUTTY STERILE	SUP-07.704.105S	CDM	270010012	LOCAL	270	RC		inpatient			2746.7	2746.7																																																			
CONNECTOR ROD DOMINO TITANIUM CL5.5 CURVE SPINE CLOSED	SUP-779125555	CDM	270010020	LOCAL	270	RC		outpatient			2745.6	2745.6	743.78				percent of total billed charges		2745.6				other	OPPS APC	2031.74				percent of total billed charges		2745.6				other	OPPS APC	2745.6				other	OPPS APC	743.78				percent of total billed charges		758.61				percent of total billed charges		2745.6				other	OPPS APC	743.78	2745.6	
CONNECTOR ROD DOMINO TITANIUM CL5.5 CURVE SPINE CLOSED	SUP-779125555	CDM	270010020	LOCAL	270	RC		inpatient			2745.6	2745.6																																																			
HELICAL BLADE 90MM TFNA	SUP-97-02581	CDM			278	RC		outpatient			2745.57	2745.57	2745.57				fee schedule		2745.57				other	OPPS APC	1564.97				percent of total billed charges		2745.57				other	OPPS APC	2745.57				other	OPPS APC	1345.33				percent of total billed charges		1400.24				percent of total billed charges		2745.57				other	OPPS APC	1345.33	2745.57	
HELICAL BLADE 90MM TFNA	SUP-97-02581	CDM			278	RC		inpatient			2745.57	2745.57																																																			
TI END CAP FOR TFNA0MM EXTN	SUP-97-02764	CDM			278	RC		outpatient			2745.57	2745.57	2745.57				fee schedule		2745.57				other	OPPS APC	1564.97				percent of total billed charges		2745.57				other	OPPS APC	2745.57				other	OPPS APC	1345.33				percent of total billed charges		1400.24				percent of total billed charges		2745.57				other	OPPS APC	1345.33	2745.57	
TI END CAP FOR TFNA0MM EXTN	SUP-97-02764	CDM			278	RC		inpatient			2745.57	2745.57																																																			
HC 3d Treatment Planning	PX-333772950	CDM	77295	CPT	333	RC		outpatient			2742	1412.2	488.08				fee schedule		1412.02				other	OPPS APC	3285.34				fee schedule		1412.02				other	OPPS APC	1412.02				other	OPPS APC	477.31				fee schedule		252.53				fee schedule		1412.2				other	OPPS APC	252.53	3285.34	
HC 3d Treatment Planning	PX-333772950	CDM	77295	CPT	333	RC		inpatient			2742	2742																																																			
HC Amputation Finger or Thumb  Pri/Sec	PX-450269511	CDM	26951	CPT	450	RC		outpatient			2742	2742	195.77				case rate		2742				other	OPPS APC	2029.08				percent of total billed charges		2742				other	OPPS APC	2742				other	OPPS APC	195.77				case rate		199.69				case rate		2742				other	OPPS APC	195.77	2742	
HC Amputation Finger or Thumb  Pri/Sec	PX-450269511	CDM	26951	CPT	450	RC		inpatient			2742	2742																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 340MM	SUP-04.031.935S	CDM	270010022	LOCAL	270	RC		outpatient			2740.26	274.26	742.34				percent of total billed charges		2740.26				other	OPPS APC	2027.79				percent of total billed charges		2740.26				other	OPPS APC	2740.26				other	OPPS APC	742.34				percent of total billed charges		757.13				percent of total billed charges		274.26				other	OPPS APC	274.26	2740.26	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 8.2MM X 340MM	SUP-04.031.935S	CDM	270010022	LOCAL	270	RC		inpatient			2740.26	2740.26																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 360MM	SUP-04.031.936S	CDM	270010022	LOCAL	270	RC		outpatient			2740.26	274.26	742.34				percent of total billed charges		2740.26				other	OPPS APC	2027.79				percent of total billed charges		2740.26				other	OPPS APC	2740.26				other	OPPS APC	742.34				percent of total billed charges		757.13				percent of total billed charges		274.26				other	OPPS APC	274.26	2740.26	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 360MM	SUP-04.031.936S	CDM	270010022	LOCAL	270	RC		inpatient			2740.26	2740.26																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 380MM	SUP-04.031.938S	CDM	270010022	LOCAL	270	RC		outpatient			2740.26	274.26	742.34				percent of total billed charges		2740.26				other	OPPS APC	2027.79				percent of total billed charges		2740.26				other	OPPS APC	2740.26				other	OPPS APC	742.34				percent of total billed charges		757.13				percent of total billed charges		274.26				other	OPPS APC	274.26	2740.26	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL RIGHT 8.2 MM X 380MM	SUP-04.031.938S	CDM	270010022	LOCAL	270	RC		inpatient			2740.26	2740.26																																																			
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 380MM	SUP-04.031.959S	CDM	270010022	LOCAL	270	RC		outpatient			2740.26	274.26	742.34				percent of total billed charges		2740.26				other	OPPS APC	2027.79				percent of total billed charges		2740.26				other	OPPS APC	2740.26				other	OPPS APC	742.34				percent of total billed charges		757.13				percent of total billed charges		274.26				other	OPPS APC	274.26	2740.26	
NAIL LATERAL ENTRY ADOLESCENT FEMORAL LEFT 9MM X 380MM	SUP-04.031.959S	CDM	270010022	LOCAL	270	RC		inpatient			2740.26	2740.26																																																			
INSERT FOR X3 LINER 22.2MM SIZE36C	SUP-1236-2-242	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT FOR X3 LINER 22.2MM SIZE36C	SUP-1236-2-242	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT ACETABULAR MDM ADM X3 COCR POLYETHYLENE 38 D H22.2 MM HIP	SUP-1236-2-244	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT ACETABULAR MDM ADM X3 COCR POLYETHYLENE 38 D H22.2 MM HIP	SUP-1236-2-244	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 POLYETHYLENE H6.9 MM OD42 MM ODSEC48 MM ID28 MM HIP	SUP-1236-2-848	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 POLYETHYLENE H6.9 MM OD42 MM ODSEC48 MM ID28 MM HIP	SUP-1236-2-848	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 POLYETHYLENE H8.9 MM OD46 MM ODSEC52 MM ID28 MM HIP	SUP-1236-2-852	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 POLYETHYLENE H8.9 MM OD46 MM ODSEC52 MM ID28 MM HIP	SUP-1236-2-852	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 POLYETHYLENE H9.9 MM OD48 MM ODSEC54 MM ID28 MM HIP	SUP-1236-2-854	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 POLYETHYLENE H9.9 MM OD48 MM ODSEC54 MM ID28 MM HIP	SUP-1236-2-854	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT FOR X3 LINER 28MM /58 SIZE 52H	SUP-1236-2-858	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT FOR X3 LINER 28MM /58 SIZE 52H	SUP-1236-2-858	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT FOR X3 LINER 28MM  60 SIZE54I	SUP-1236-2-860	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT FOR X3 LINER 28MM  60 SIZE54I	SUP-1236-2-860	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 0 D H14.9 MM OD64 MM ID28 MM	SUP-1236-2-864	CDM	270010024	LOCAL	270	RC		outpatient			2738	2738	741.72				percent of total billed charges		2738				other	OPPS APC	2026.12				percent of total billed charges		2738				other	OPPS APC	2738				other	OPPS APC	741.72				percent of total billed charges		756.51				percent of total billed charges		2738				other	OPPS APC	741.72	2738	
INSERT ACETABULAR ADM MOBILE BEARING HIP RESTORATION X3 0 D H14.9 MM OD64 MM ID28 MM	SUP-1236-2-864	CDM	270010024	LOCAL	270	RC		inpatient			2738	2738																																																			
TIBIAL NAIL 12 X 345MM T2 STANDARD	SUP-97-03054	CDM			278	RC		outpatient			2734.2	2734.2	2734.2				fee schedule		2734.2				other	OPPS APC	1558.49				percent of total billed charges		2734.2				other	OPPS APC	2734.2				other	OPPS APC	1339.76				percent of total billed charges		1394.44				percent of total billed charges		2734.2				other	OPPS APC	1339.76	2734.2	
TIBIAL NAIL 12 X 345MM T2 STANDARD	SUP-97-03054	CDM			278	RC		inpatient			2734.2	2734.2																																																			
TIBIAL NAIL 10 X 315MM T2 STANDARD	SUP-97-05491	CDM			278	RC		outpatient			2734.2	2734.2	2734.2				fee schedule		2734.2				other	OPPS APC	1558.49				percent of total billed charges		2734.2				other	OPPS APC	2734.2				other	OPPS APC	1339.76				percent of total billed charges		1394.44				percent of total billed charges		2734.2				other	OPPS APC	1339.76	2734.2	
TIBIAL NAIL 10 X 315MM T2 STANDARD	SUP-97-05491	CDM			278	RC		inpatient			2734.2	2734.2																																																			
TIBIAL NAIL 12 X 315MM T2 STANDARD	SUP-97-05865	CDM			278	RC		outpatient			2734.2	2734.2	2734.2				fee schedule		2734.2				other	OPPS APC	1558.49				percent of total billed charges		2734.2				other	OPPS APC	2734.2				other	OPPS APC	1339.76				percent of total billed charges		1394.44				percent of total billed charges		2734.2				other	OPPS APC	1339.76	2734.2	
TIBIAL NAIL 12 X 315MM T2 STANDARD	SUP-97-05865	CDM			278	RC		inpatient			2734.2	2734.2																																																			
TIBIAL NAIL 10 X 390MM T2 STANDARD	SUP-97-05922	CDM			278	RC		outpatient			2734.2	2734.2	2734.2				fee schedule		2734.2				other	OPPS APC	1558.49				percent of total billed charges		2734.2				other	OPPS APC	2734.2				other	OPPS APC	1339.76				percent of total billed charges		1394.44				percent of total billed charges		2734.2				other	OPPS APC	1339.76	2734.2	
TIBIAL NAIL 10 X 390MM T2 STANDARD	SUP-97-05922	CDM			278	RC		inpatient			2734.2	2734.2																																																			
TIBIAL NAIL 12 X 375MM T2 STANDARD	SUP-97-06121	CDM			278	RC		outpatient			2734.2	2734.2	2734.2				fee schedule		2734.2				other	OPPS APC	1558.49				percent of total billed charges		2734.2				other	OPPS APC	2734.2				other	OPPS APC	1339.76				percent of total billed charges		1394.44				percent of total billed charges		2734.2				other	OPPS APC	1339.76	2734.2	
TIBIAL NAIL 12 X 375MM T2 STANDARD	SUP-97-06121	CDM			278	RC		inpatient			2734.2	2734.2																																																			
TIBIAL NAIL 11 X 360MM T2 STANDARD	SUP-97-06246	CDM			278	RC		outpatient			2734.2	2734.2	2734.2				fee schedule		2734.2				other	OPPS APC	1558.49				percent of total billed charges		2734.2				other	OPPS APC	2734.2				other	OPPS APC	1339.76				percent of total billed charges		1394.44				percent of total billed charges		2734.2				other	OPPS APC	1339.76	2734.2	
TIBIAL NAIL 11 X 360MM T2 STANDARD	SUP-97-06246	CDM			278	RC		inpatient			2734.2	2734.2																																																			
AUGMENT TRI POST SIZE 4 10MM	SUP-97-01629	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
AUGMENT TRI POST SIZE 4 10MM	SUP-97-01629	CDM			278	RC		inpatient			2733.6	2733.6																																																			
FEMORAL DISTAL AUGMENT 10MM SIZE 3 RIGHT TRIATHLON	SUP-97-05625	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
FEMORAL DISTAL AUGMENT 10MM SIZE 3 RIGHT TRIATHLON	SUP-97-05625	CDM			278	RC		inpatient			2733.6	2733.6																																																			
POSTERIOR AUGMENT SIZE 3 10MM TRIATHLON	SUP-97-05627	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
POSTERIOR AUGMENT SIZE 3 10MM TRIATHLON	SUP-97-05627	CDM			278	RC		inpatient			2733.6	2733.6																																																			
AUGMENT TRIPOST SIZE 4 5MM	SUP-97-06127	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
AUGMENT TRIPOST SIZE 4 5MM	SUP-97-06127	CDM			278	RC		inpatient			2733.6	2733.6																																																			
AUGMENT FEMORAL DISTAL 10MM SIZE 4 RIGHT TRIATHLON	SUP-97-06227	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
AUGMENT FEMORAL DISTAL 10MM SIZE 4 RIGHT TRIATHLON	SUP-97-06227	CDM			278	RC		inpatient			2733.6	2733.6																																																			
FEMORAL DISTAL AUGMENT 10MM SIZE 5 RIGHT TRIATHLON	SUP-97-06269	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
FEMORAL DISTAL AUGMENT 10MM SIZE 5 RIGHT TRIATHLON	SUP-97-06269	CDM			278	RC		inpatient			2733.6	2733.6																																																			
POST AUGMENT SIZE 5 5MM TRIALTHLON	SUP-97-06270	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
POST AUGMENT SIZE 5 5MM TRIALTHLON	SUP-97-06270	CDM			278	RC		inpatient			2733.6	2733.6																																																			
FEMORAL DISTAL AUGMENT 10MM SIZE 7 RIGHT	SUP-97-06271	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
FEMORAL DISTAL AUGMENT 10MM SIZE 7 RIGHT	SUP-97-06271	CDM			278	RC		inpatient			2733.6	2733.6																																																			
POSTERIOR AUGMENT TRIATHLON SIZE 7 5MM	SUP-97-06272	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
POSTERIOR AUGMENT TRIATHLON SIZE 7 5MM	SUP-97-06272	CDM			278	RC		inpatient			2733.6	2733.6																																																			
AUGMENT SIZE 5 10MM TRI POST	SUP-97-06353	CDM			278	RC		outpatient			2733.6	2733.6	2733.6				fee schedule		2733.6				other	OPPS APC	1558.15				percent of total billed charges		2733.6				other	OPPS APC	2733.6				other	OPPS APC	1339.46				percent of total billed charges		1394.14				percent of total billed charges		2733.6				other	OPPS APC	1339.46	2733.6	
AUGMENT SIZE 5 10MM TRI POST	SUP-97-06353	CDM			278	RC		inpatient			2733.6	2733.6																																																			
SCREW BONE VERTEX MAX TITANIUM PARTIAL THREAD L28 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958728PT	CDM	270010020	LOCAL	270	RC		outpatient			2732.8	2732.82	740.32				percent of total billed charges		2732.8				other	OPPS APC	2022.27				percent of total billed charges		2732.8				other	OPPS APC	2732.8				other	OPPS APC	740.32				percent of total billed charges		755.07				percent of total billed charges		2732.82				other	OPPS APC	740.32	2732.82	
SCREW BONE VERTEX MAX TITANIUM PARTIAL THREAD L28 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958728PT	CDM	270010020	LOCAL	270	RC		inpatient			2732.8	2732.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L216 MM OLECRANON RIGHT 12 HOLE ELONGATE HOLE PROXIMAL TAB STERILE 3.5 MM SCREW	SUP-236.512S	CDM	270010022	LOCAL	270	RC		outpatient			2731.3	2731.32	739.91				percent of total billed charges		2731.3				other	OPPS APC	2021.16				percent of total billed charges		2731.3				other	OPPS APC	2731.3				other	OPPS APC	739.91				percent of total billed charges		754.66				percent of total billed charges		2731.32				other	OPPS APC	739.91	2731.32	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L216 MM OLECRANON RIGHT 12 HOLE ELONGATE HOLE PROXIMAL TAB STERILE 3.5 MM SCREW	SUP-236.512S	CDM	270010022	LOCAL	270	RC		inpatient			2731.3	2731.3																																																			
HC MRI-Chest W/WO Contrast	PX-610715520	CDM	71552	CPT	614	RC		outpatient			2731	388.42	605.82				fee schedule		388.04				other	OPPS APC	2670.53				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	470.5				fee schedule		387.43				fee schedule		388.42				other	OPPS APC	387.43	2670.53	
HC MRI-Chest W/WO Contrast	PX-610715520	CDM	71552	CPT	614	RC		inpatient			2731	2731																																																			
HC MRI Upper Extrem Joint Wwo Cont	PX-610732230	CDM	73223	CPT	610	RC		outpatient			2731	388.42	494.05				fee schedule		388.04				other	OPPS APC	2670.24				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	406.64				fee schedule		303.53				fee schedule		388.42				other	OPPS APC	303.53	2670.24	
HC MRI Upper Extrem Joint Wwo Cont	PX-610732230	CDM	73223	CPT	610	RC		inpatient			2731	2731																																																			
HC MRI Lower Extrem Joint Wwo Cont	PX-610732730	CDM	73723	CPT	610	RC		outpatient			2731	388.42	495.51				fee schedule		388.04				other	OPPS APC	2670.24				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	405.31				fee schedule		302.53				fee schedule		388.42				other	OPPS APC	302.53	2670.24	
HC MRI Lower Extrem Joint Wwo Cont	PX-610732730	CDM	73723	CPT	610	RC		inpatient			2731	2731																																																			
HC MRI Lower Extrem Joint Wwo Cont	PX-610737230	CDM	73723	CPT	610	RC		outpatient			2731	388.42	495.51				fee schedule		388.04				other	OPPS APC	2670.24				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	405.31				fee schedule		302.53				fee schedule		388.42				other	OPPS APC	302.53	2670.24	
HC MRI Lower Extrem Joint Wwo Cont	PX-610737230	CDM	73723	CPT	610	RC		inpatient			2731	2731																																																			
HC Bd MRI Breast Bilateral W/WO Contrast	PX-610770490	CDM	77049	CPT	610	RC		outpatient			2731	388.42	1338.19				percent of total billed charges		249.93				fee schedule		2242.51				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	359.46				fee schedule		249.93				fee schedule		388.42				other	OPPS APC	249.93	2242.51	
HC Bd MRI Breast Bilateral W/WO Contrast	PX-610770490	CDM	77049	CPT	610	RC		inpatient			2731	2731																																																			
INSERT TIBIAL SIGMA GVF 3 H12.5 MM KNEE STABILIZE	SUP-1581-23-012	CDM	270010025	LOCAL	270	RC		outpatient			2730	273	739.56				percent of total billed charges		2730				other	OPPS APC	2020.2				percent of total billed charges		2730				other	OPPS APC	2730				other	OPPS APC	739.56				percent of total billed charges		754.3				percent of total billed charges		273				other	OPPS APC	273	2730	
INSERT TIBIAL SIGMA GVF 3 H12.5 MM KNEE STABILIZE	SUP-1581-23-012	CDM	270010025	LOCAL	270	RC		inpatient			2730	2730																																																			
VENTRIO ST LG CIRCLE 11.4	SUP-97-00233	CDM			278	RC		outpatient			2730	273	2730				fee schedule		2730				other	OPPS APC	1556.1				percent of total billed charges		2730				other	OPPS APC	2730				other	OPPS APC	1337.7				percent of total billed charges		1392.3				percent of total billed charges		273				other	OPPS APC	273	2730	
VENTRIO ST LG CIRCLE 11.4	SUP-97-00233	CDM			278	RC		inpatient			2730	2730																																																			
PLATE VOLAR SMRTLCK STD LEFT	SUP-97-04029	CDM			278	RC		outpatient			2730	273	2730				fee schedule		2730				other	OPPS APC	1556.1				percent of total billed charges		2730				other	OPPS APC	2730				other	OPPS APC	1337.7				percent of total billed charges		1392.3				percent of total billed charges		273				other	OPPS APC	273	2730	
PLATE VOLAR SMRTLCK STD LEFT	SUP-97-04029	CDM			278	RC		inpatient			2730	2730																																																			
CATHETER INFUSION MARKSMAN STAINLESS STEEL HYDROPHILIC MICRO L150 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL CORONARY 1 LUMEN RADIOPAQUE MARKER COIL BRAID PIPELINE EMBOLISATION DEVICE	SUP-FA551501030_41413	CDM			270	RC		outpatient			2730	273	739.56				percent of total billed charges		2730				other	OPPS APC	2020.2				percent of total billed charges		2730				other	OPPS APC	2730				other	OPPS APC	739.56				percent of total billed charges		754.3				percent of total billed charges		273				other	OPPS APC	273	2730	
CATHETER INFUSION MARKSMAN STAINLESS STEEL HYDROPHILIC MICRO L150 CM L10 CM OD2.8-3.2 FR ID.027 IN PERIPHERAL CORONARY 1 LUMEN RADIOPAQUE MARKER COIL BRAID PIPELINE EMBOLISATION DEVICE	SUP-FA551501030_41413	CDM			270	RC		inpatient			2730	2730																																																			
CATHETER INFUSION PHENOM MICRO ID.027 IN	SUP-FG15150-0615-1S	CDM			270	RC		outpatient			2730	273	739.56				percent of total billed charges		2730				other	OPPS APC	2020.2				percent of total billed charges		2730				other	OPPS APC	2730				other	OPPS APC	739.56				percent of total billed charges		754.3				percent of total billed charges		273				other	OPPS APC	273	2730	
CATHETER INFUSION PHENOM MICRO ID.027 IN	SUP-FG15150-0615-1S	CDM			270	RC		inpatient			2730	2730																																																			
FEMUR GENFLEX2 RIGHT PS SIZE 2.5	SUP-SC3750-2.5	CDM	270010025	LOCAL	270	RC		outpatient			2730	273	739.56				percent of total billed charges		2730				other	OPPS APC	2020.2				percent of total billed charges		2730				other	OPPS APC	2730				other	OPPS APC	739.56				percent of total billed charges		754.3				percent of total billed charges		273				other	OPPS APC	273	2730	
FEMUR GENFLEX2 RIGHT PS SIZE 2.5	SUP-SC3750-2.5	CDM	270010025	LOCAL	270	RC		inpatient			2730	2730																																																			
SLING MONARC	SUP-72403830	CDM			270	RC		outpatient			2726	2726	738.47				percent of total billed charges		2726				other	OPPS APC	2017.24				percent of total billed charges		2726				other	OPPS APC	2726				other	OPPS APC	738.47				percent of total billed charges		753.19				percent of total billed charges		2726				other	OPPS APC	738.47	2726	
SLING MONARC	SUP-72403830	CDM			270	RC		inpatient			2726	2726																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 5 HOLE SHAFT NONSTERILE	SUP-02.110.105	CDM			270	RC		outpatient			2723.76	2723.76	737.87				percent of total billed charges		2723.76				other	OPPS APC	2015.58				percent of total billed charges		2723.76				other	OPPS APC	2723.76				other	OPPS APC	737.87				percent of total billed charges		752.57				percent of total billed charges		2723.76				other	OPPS APC	737.87	2723.76	
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 5 HOLE SHAFT NONSTERILE	SUP-02.110.105	CDM			270	RC		inpatient			2723.76	2723.76																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L206 MM TIBIA LEFT PROXIMAL 14 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.221	CDM	270010022	LOCAL	270	RC		outpatient			2721.82	2721.82	737.34				percent of total billed charges		2721.82				other	OPPS APC	2014.15				percent of total billed charges		2721.82				other	OPPS APC	2721.82				other	OPPS APC	737.34				percent of total billed charges		752.04				percent of total billed charges		2721.82				other	OPPS APC	737.34	2721.82	
PLATE BONE LCP COMBI STAINLESS STEEL L206 MM TIBIA LEFT PROXIMAL 14 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.221	CDM	270010022	LOCAL	270	RC		inpatient			2721.82	2721.82																																																			
IMPLANT MEDTRONIC SCREW 5.5MM X 50MM	SUP-7895550	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
IMPLANT MEDTRONIC SCREW 5.5MM X 50MM	SUP-7895550	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW BONE LEGACY CD HORIZON PEEK L35 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896535	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW BONE LEGACY CD HORIZON PEEK L35 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896535	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW BONE LEGACY CD HORIZON PEEK L40 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896540	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW BONE LEGACY CD HORIZON PEEK L40 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896540	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW BONE LEGACY CD HORIZON PEEK L45 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896545	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW BONE LEGACY CD HORIZON PEEK L45 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896545	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW BONE LEGACY CD HORIZON PEEK L50 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896550	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW BONE LEGACY CD HORIZON PEEK L50 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896550	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW BONE LEGACY CD HORIZON PEEK L55 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896555	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW BONE LEGACY CD HORIZON PEEK L55 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896555	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW BONE LEGACY CD HORIZON PEEK L60 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896560	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW BONE LEGACY CD HORIZON PEEK L60 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL STERILE 5.5 MM ROD	SUP-7896560	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
IMPLANT MEDTRONIC SCREW 7.5MM X 60MM	SUP-7897560	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
IMPLANT MEDTRONIC SCREW 7.5MM X 60MM	SUP-7897560	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
SCREW MEDTRONIC 8.5MM X 45MM	SUP-7898545	CDM	270010020	LOCAL	270	RC		outpatient			2720	272	736.85				percent of total billed charges		2720				other	OPPS APC	2012.8				percent of total billed charges		2720				other	OPPS APC	2720				other	OPPS APC	736.85				percent of total billed charges		751.54				percent of total billed charges		272				other	OPPS APC	272	2720	
SCREW MEDTRONIC 8.5MM X 45MM	SUP-7898545	CDM	270010020	LOCAL	270	RC		inpatient			2720	2720																																																			
LINER ACETABULAR DURALOC MARATHON +4 MM NEUTRAL OD56 MM ID36 MM HIP	SUP-1220-36-456	CDM	270010024	LOCAL	270	RC		outpatient			2717	2717	736.04				percent of total billed charges		2717				other	OPPS APC	2010.58				percent of total billed charges		2717				other	OPPS APC	2717				other	OPPS APC	736.04				percent of total billed charges		750.71				percent of total billed charges		2717				other	OPPS APC	736.04	2717	
LINER ACETABULAR DURALOC MARATHON +4 MM NEUTRAL OD56 MM ID36 MM HIP	SUP-1220-36-456	CDM	270010024	LOCAL	270	RC		inpatient			2717	2717																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L80 MM TIBIA RIGHT DISTAL ANTEROLATERAL 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.440	CDM	270010022	LOCAL	270	RC		outpatient			2716	2716	735.76				percent of total billed charges		2716				other	OPPS APC	2009.84				percent of total billed charges		2716				other	OPPS APC	2716				other	OPPS APC	735.76				percent of total billed charges		750.43				percent of total billed charges		2716				other	OPPS APC	735.76	2716	
PLATE BONE LCP COMBI STAINLESS STEEL L80 MM TIBIA RIGHT DISTAL ANTEROLATERAL 5 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.440	CDM	270010022	LOCAL	270	RC		inpatient			2716	2716																																																			
PLATE 2.7 X 108MM 12 HOLES BROAD LOCK	SUP-97-06390	CDM			278	RC		outpatient			2714.4	2714.41	2714.4				fee schedule		2714.4				other	OPPS APC	1547.21				percent of total billed charges		2714.4				other	OPPS APC	2714.4				other	OPPS APC	1330.06				percent of total billed charges		1384.34				percent of total billed charges		2714.41				other	OPPS APC	1330.06	2714.41	
PLATE 2.7 X 108MM 12 HOLES BROAD LOCK	SUP-97-06390	CDM			278	RC		inpatient			2714.4	2714.4																																																			
SCREW BONE POLARIS TITANIUM L50 MM OD6.5 MM SPINE MULTIAXIAL	SUP-2000-2450	CDM	270010020	LOCAL	270	RC		outpatient			2709.6	279.6	734.03				percent of total billed charges		2709.6				other	OPPS APC	2005.1				percent of total billed charges		2709.6				other	OPPS APC	2709.6				other	OPPS APC	734.03				percent of total billed charges		748.66				percent of total billed charges		279.6				other	OPPS APC	279.6	2709.6	
SCREW BONE POLARIS TITANIUM L50 MM OD6.5 MM SPINE MULTIAXIAL	SUP-2000-2450	CDM	270010020	LOCAL	270	RC		inpatient			2709.6	2709.6																																																			
SCREW BONE POLARIS TITANIUM L35 MM OD7.5 MM SPINE MULTIAXIAL	SUP-2000-2535	CDM	270010020	LOCAL	270	RC		outpatient			2709.6	279.6	734.03				percent of total billed charges		2709.6				other	OPPS APC	2005.1				percent of total billed charges		2709.6				other	OPPS APC	2709.6				other	OPPS APC	734.03				percent of total billed charges		748.66				percent of total billed charges		279.6				other	OPPS APC	279.6	2709.6	
SCREW BONE POLARIS TITANIUM L35 MM OD7.5 MM SPINE MULTIAXIAL	SUP-2000-2535	CDM	270010020	LOCAL	270	RC		inpatient			2709.6	2709.6																																																			
GRAFT VENTRIO ST MED OVAL 11X14 5950040	SUP-75-00095	CDM			278	RC		outpatient			2709.6	279.6	2709.6				fee schedule		2709.6				other	OPPS APC	1544.47				percent of total billed charges		2709.6				other	OPPS APC	2709.6				other	OPPS APC	1327.7				percent of total billed charges		1381.9				percent of total billed charges		279.6				other	OPPS APC	279.6	2709.6	
GRAFT VENTRIO ST MED OVAL 11X14 5950040	SUP-75-00095	CDM			278	RC		inpatient			2709.6	2709.6																																																			
PATCH CARDIOVASCULAR ECM PORCINE SMALL INTESTINE SUBMUCOSA L15 CM X W7 CM PERICARDIUM 1 PIECE CLOSURE	SUP-CMCV-003-402	CDM			270	RC		outpatient			2706.4	276.41	733.16				percent of total billed charges		2706.4				other	OPPS APC	2002.74				percent of total billed charges		2706.4				other	OPPS APC	2706.4				other	OPPS APC	733.16				percent of total billed charges		747.78				percent of total billed charges		276.41				other	OPPS APC	276.41	2706.4	
PATCH CARDIOVASCULAR ECM PORCINE SMALL INTESTINE SUBMUCOSA L15 CM X W7 CM PERICARDIUM 1 PIECE CLOSURE	SUP-CMCV-003-402	CDM			270	RC		inpatient			2706.4	2706.4																																																			
PATCH CARDIOVASCULAR ECM PORCINE SMALL INTESTINE SUBMUCOSA L15 CM X W7 CM PERICARDIUM 1 PIECE CLOSURE	SUP-CMCV-060-402	CDM			270	RC		outpatient			2706.4	276.41	733.16				percent of total billed charges		2706.4				other	OPPS APC	2002.74				percent of total billed charges		2706.4				other	OPPS APC	2706.4				other	OPPS APC	733.16				percent of total billed charges		747.78				percent of total billed charges		276.41				other	OPPS APC	276.41	2706.4	
PATCH CARDIOVASCULAR ECM PORCINE SMALL INTESTINE SUBMUCOSA L15 CM X W7 CM PERICARDIUM 1 PIECE CLOSURE	SUP-CMCV-060-402	CDM			270	RC		inpatient			2706.4	2706.4																																																			
INSERT TIBIAL OPTETRAK 2 H13 MM KNEE POSTERIOR STABILIZE	SUP-204-22-13	CDM	270010025	LOCAL	270	RC		outpatient			2706	276	733.06				percent of total billed charges		2706				other	OPPS APC	2002.44				percent of total billed charges		2706				other	OPPS APC	2706				other	OPPS APC	733.06				percent of total billed charges		747.67				percent of total billed charges		276				other	OPPS APC	276	2706	
INSERT TIBIAL OPTETRAK 2 H13 MM KNEE POSTERIOR STABILIZE	SUP-204-22-13	CDM	270010025	LOCAL	270	RC		inpatient			2706	2706																																																			
INSERT TIBIAL OPTETRACK 3 H18 MM KNEE POSTERIOR STABILIZE	SUP-204-23-18	CDM	270010025	LOCAL	270	RC		outpatient			2706	276	733.06				percent of total billed charges		2706				other	OPPS APC	2002.44				percent of total billed charges		2706				other	OPPS APC	2706				other	OPPS APC	733.06				percent of total billed charges		747.67				percent of total billed charges		276				other	OPPS APC	276	2706	
INSERT TIBIAL OPTETRACK 3 H18 MM KNEE POSTERIOR STABILIZE	SUP-204-23-18	CDM	270010025	LOCAL	270	RC		inpatient			2706	2706																																																			
STENT - INNOVA 7X80	SUP-99-03143	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 7X80	SUP-99-03143	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 6X80	SUP-99-03151	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 6X80	SUP-99-03151	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT-INNOVA 6X100	SUP-99-03209	CDM			278	RC		inpatient			2706	2706																																																			
STENT-INNOVA 6X100	SUP-99-03209	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 5X80	SUP-99-03243	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 5X80	SUP-99-03243	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 6X40	SUP-99-03274	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 6X40	SUP-99-03274	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 5X40	SUP-99-03326	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 5X40	SUP-99-03326	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 5X100	SUP-99-03347	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 5X100	SUP-99-03347	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 6X60	SUP-99-03365	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 6X60	SUP-99-03365	CDM			278	RC		outpatient			2706	2706	2706				fee schedule		2706				other	OPPS APC	1542.42				percent of total billed charges		2706				other	OPPS APC	2706				other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	2706	2706	
STENT - INNOVA 6X120	SUP-99-03709	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 6X120	SUP-99-03709	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 5X60	SUP-99-03716	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 5X60	SUP-99-03716	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT - INNOVA 8X100	SUP-99-04229	CDM			278	RC		inpatient			2706	2706																																																			
STENT - INNOVA 8X100	SUP-99-04229	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT- INNOVA 8 X 60 X 130	SUP-99-04810	CDM			278	RC		inpatient			2706	2706																																																			
STENT- INNOVA 8 X 60 X 130	SUP-99-04810	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
STENT- INNOVA 8 X 80 X 130	SUP-99-04811	CDM			278	RC		inpatient			2706	2706																																																			
STENT- INNOVA 8 X 80 X 130	SUP-99-04811	CDM			278	RC		outpatient			2706	2706					fee schedule						other	OPPS APC	1542.42				percent of total billed charges						other	OPPS APC					other	OPPS APC	1325.94				percent of total billed charges		1380.06				percent of total billed charges						other	OPPS APC	1542.42	1542.42	
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT L170 MM OD10-17 MM FEMUR TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STATIC INTERLOCK STERILE GREEN	SUP-456.315S	CDM	270010022	LOCAL	270	RC		outpatient			2703.8	273.82	732.46				percent of total billed charges		2703.8				other	OPPS APC	2000.81				percent of total billed charges		2703.8				other	OPPS APC	2703.8				other	OPPS APC	732.46				percent of total billed charges		747.06				percent of total billed charges		273.82				other	OPPS APC	273.82	2703.8	
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT L170 MM OD10-17 MM FEMUR TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STATIC INTERLOCK STERILE GREEN	SUP-456.315S	CDM	270010022	LOCAL	270	RC		inpatient			2703.8	2703.8																																																			
NAIL FIXATION TITANIUM 130 D SHORT L170 MM OD11-17 MM FEMUR TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM STERILE GREEN	SUP-456.318S	CDM	270010022	LOCAL	270	RC		outpatient			2703.8	273.82	732.46				percent of total billed charges		2703.8				other	OPPS APC	2000.81				percent of total billed charges		2703.8				other	OPPS APC	2703.8				other	OPPS APC	732.46				percent of total billed charges		747.06				percent of total billed charges		273.82				other	OPPS APC	273.82	2703.8	
NAIL FIXATION TITANIUM 130 D SHORT L170 MM OD11-17 MM FEMUR TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM STERILE GREEN	SUP-456.318S	CDM	270010022	LOCAL	270	RC		inpatient			2703.8	2703.8																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT L170 MM OD12-17 MM FEMUR TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STATIC INTERLOCK STERILE GREEN	SUP-456.322S	CDM	270010022	LOCAL	270	RC		outpatient			2703.8	273.82	732.46				percent of total billed charges		2703.8				other	OPPS APC	2000.81				percent of total billed charges		2703.8				other	OPPS APC	2703.8				other	OPPS APC	732.46				percent of total billed charges		747.06				percent of total billed charges		273.82				other	OPPS APC	273.82	2703.8	
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT L170 MM OD12-17 MM FEMUR TROCHANTERIC CANNULATED PREASSEMBLE LOCK MECHANISM FIXATION STATIC INTERLOCK STERILE GREEN	SUP-456.322S	CDM	270010022	LOCAL	270	RC		inpatient			2703.8	2703.8																																																			
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT UNIVERSAL L235 MM OD11 MM TROCHANTERIC CANNULATED PREASSEMBLED LOCKING MECHANISM STATIC INTERLOCKING ANATOMIC STERILE GREEN	SUP-456.328S	CDM	270010022	LOCAL	270	RC		outpatient			2703.8	273.82	732.46				percent of total billed charges		2703.8				other	OPPS APC	2000.81				percent of total billed charges		2703.8				other	OPPS APC	2703.8				other	OPPS APC	732.46				percent of total billed charges		747.06				percent of total billed charges		273.82				other	OPPS APC	273.82	2703.8	
NAIL INTRAMEDULLARY TITANIUM 130 D SHORT UNIVERSAL L235 MM OD11 MM TROCHANTERIC CANNULATED PREASSEMBLED LOCKING MECHANISM STATIC INTERLOCKING ANATOMIC STERILE GREEN	SUP-456.328S	CDM	270010022	LOCAL	270	RC		inpatient			2703.8	2703.8																																																			
T2 HUMERAL NAIL 8MMX300MM	SUP-97-05591	CDM			278	RC		outpatient			2702.7	272.7	2702.7				fee schedule		2702.7				other	OPPS APC	1540.54				percent of total billed charges		2702.7				other	OPPS APC	2702.7				other	OPPS APC	1324.32				percent of total billed charges		1378.38				percent of total billed charges		272.7				other	OPPS APC	272.7	2702.7	
T2 HUMERAL NAIL 8MMX300MM	SUP-97-05591	CDM			278	RC		inpatient			2702.7	2702.7																																																			
T2 HUMERAL NAIL 8MMX280MM	SUP-97-05592	CDM			278	RC		outpatient			2702.7	272.7	2702.7				fee schedule		2702.7				other	OPPS APC	1540.54				percent of total billed charges		2702.7				other	OPPS APC	2702.7				other	OPPS APC	1324.32				percent of total billed charges		1378.38				percent of total billed charges		272.7				other	OPPS APC	272.7	2702.7	
T2 HUMERAL NAIL 8MMX280MM	SUP-97-05592	CDM			278	RC		inpatient			2702.7	2702.7																																																			
PLATE BONE LCP STAINLESS STEEL L262 MM X W11 MM X H4.2 MM 16 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.761	CDM	270010022	LOCAL	270	RC		outpatient			2701.6	271.6	731.86				percent of total billed charges		2701.6				other	OPPS APC	1999.18				percent of total billed charges		2701.6				other	OPPS APC	2701.6				other	OPPS APC	731.86				percent of total billed charges		746.45				percent of total billed charges		271.6				other	OPPS APC	271.6	2701.6	
PLATE BONE LCP STAINLESS STEEL L262 MM X W11 MM X H4.2 MM 16 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.761	CDM	270010022	LOCAL	270	RC		inpatient			2701.6	2701.6																																																			
EXPANDER TISSUE NATRELLE BIOCELL SALINE P5.7 CM FULL HEIGHT VARIABLE PROJECTION W13.5 CM X H13 CM 500 ML BREAST STYLE 133 TEXTURED MAGNA-SITE INJECTION SITE TAB	SUP-133FV-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL SALINE P5.7 CM FULL HEIGHT VARIABLE PROJECTION W13.5 CM X H13 CM 500 ML BREAST STYLE 133 TEXTURED MAGNA-SITE INJECTION SITE TAB	SUP-133FV-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER FULL HEIGHT VARIABLE PROJECTION WITH TABS	SUP-133FV-15T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER FULL HEIGHT VARIABLE PROJECTION WITH TABS	SUP-133FV-15T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER FULL HEIGHT VARIABLE PROJECTION WITH TABS	SUP-133FV-16T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER FULL HEIGHT VARIABLE PROJECTION WITH TABS	SUP-133FV-16T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL SALINE P6.3 CM FULL HEIGHT EXTRA PROJECTION W12 CM X H12.5 CM 450 ML BREAST STYLE 133FX 133FX-T TEXTURED TAB STERILE	SUP-133FX-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL SALINE P6.3 CM FULL HEIGHT EXTRA PROJECTION W12 CM X H12.5 CM 450 ML BREAST STYLE 133FX 133FX-T TEXTURED TAB STERILE	SUP-133FX-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL SALINE P6.7 CM FULL HEIGHT EXTRA PROJECTION W13 CM X H13.5 CM 550 ML BREAST STYLE 133FX 133FX-T TEXTURED TAB STERILE	SUP-133FX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL SALINE P6.7 CM FULL HEIGHT EXTRA PROJECTION W13 CM X H13.5 CM 550 ML BREAST STYLE 133FX 133FX-T TEXTURED TAB STERILE	SUP-133FX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE ALLODERM NATRELLE MODERATE HEIGHT 300 CC	SUP-133MV-11-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE ALLODERM NATRELLE MODERATE HEIGHT 300 CC	SUP-133MV-11-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P5.2 CM MODERATE HEIGHT VARIABLE PROJECTION W12 CM X H11 CM 300 ML BREAST STYLE 133MV-T TEXTURE STERILE LATEX FREE	SUP-133MV-12T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P5.2 CM MODERATE HEIGHT VARIABLE PROJECTION W12 CM X H11 CM 300 ML BREAST STYLE 133MV-T TEXTURE STERILE LATEX FREE	SUP-133MV-12T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P5.6CM MODERATE HEIGHT VARIABLE PROJECTION 13X12CM 400ML SALINE STERILE LF	SUP-133MV-13T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P5.6CM MODERATE HEIGHT VARIABLE PROJECTION 13X12CM 400ML SALINE STERILE LF	SUP-133MV-13T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6 CM MODERATE HEIGHT VARIABLE PROJECTION W14 CM X H13 CM 500 ML BREAST STYLE 133MV-T TEXTURE STERILE LATEX FREE	SUP-133MV-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6 CM MODERATE HEIGHT VARIABLE PROJECTION W14 CM X H13 CM 500 ML BREAST STYLE 133MV-T TEXTURE STERILE LATEX FREE	SUP-133MV-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE 600CC WITH TABS	SUP-133MV-15-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE 600CC WITH TABS	SUP-133MV-15-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.3 CM MODERATE HEIGHT EXTRA PROJECTION W12 CM X H11 CM 400 ML BREAST STYLE 133MX-T TEXTURED TAB STERILE	SUP-133MX-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.3 CM MODERATE HEIGHT EXTRA PROJECTION W12 CM X H11 CM 400 ML BREAST STYLE 133MX-T TEXTURED TAB STERILE	SUP-133MX-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.7 CM MODERATE HEIGHT XPROJECTION W13 CM X H12 CM 500 ML BREAST STYLE 133MX-T SUTURE TAB STERILE	SUP-133MX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.7 CM MODERATE HEIGHT XPROJECTION W13 CM X H12 CM 500 ML BREAST STYLE 133MX-T SUTURE TAB STERILE	SUP-133MX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P7.1 CM MODERATE HEIGHT EXTRA PROJECTION W14 CM X H13 CM 600 ML BREAST STYLE 133MX TEXTURED TAB STERILE	SUP-133MX-14T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P7.1 CM MODERATE HEIGHT EXTRA PROJECTION W14 CM X H13 CM 600 ML BREAST STYLE 133MX TEXTURED TAB STERILE	SUP-133MX-14T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P7.6CM MODERATE HEIGHT EXTRA PROJECTION 15X14CM 700ML SALINE STERILE LF	SUP-133MX-15T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P7.6CM MODERATE HEIGHT EXTRA PROJECTION 15X14CM 700ML SALINE STERILE LF	SUP-133MX-15T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE ALLERGAN 850CC WITH TABS	SUP-133MX-16T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE ALLERGAN 850CC WITH TABS	SUP-133MX-16T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE SALINE P8.1 CM MODERATE HEIGHT EXTRA PROJECTION W15.5 CM X H14.5 CM 850 ML BREAST STYLE 133MX-T TEXTURED TAB STERILE	SUP-133MX-16T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE SALINE P8.1 CM MODERATE HEIGHT EXTRA PROJECTION W15.5 CM X H14.5 CM 850 ML BREAST STYLE 133MX-T TEXTURED TAB STERILE	SUP-133MX-16T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 12CM X 12.5CM 5.3CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFVT MRI-UNSAFE FULL HEIGHT VARIABLE PROJECTION	SUP-133S-FV-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 12CM X 12.5CM 5.3CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFVT MRI-UNSAFE FULL HEIGHT VARIABLE PROJECTION	SUP-133S-FV-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 13CM X 13.5CM 5.7CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFVT MRI-UNSAFE FULL HEIGHT VARIABLE PROJECTION	SUP-133S-FV-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 13CM X 13.5CM 5.7CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFVT MRI-UNSAFE FULL HEIGHT VARIABLE PROJECTION	SUP-133S-FV-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 14CM X 14.5CM 6.2CM 600ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFVT MRI-UNSAFE FULL HEIGHT VARIABLE PROJECTION	SUP-133S-FV-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 14CM X 14.5CM 6.2CM 600ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFVT MRI-UNSAFE FULL HEIGHT VARIABLE PROJECTION	SUP-133S-FV-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 12CM X 12.5CM 6.3CM 450ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 12CM X 12.5CM 6.3CM 450ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 13CM X 13.5CM 6.7CM 550ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 13CM X 13.5CM 6.7CM 550ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 14CM X 14.5CM 7.1CM 650ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 14CM X 14.5CM 7.1CM 650ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 15CM X 15.5CM 7.6CM 800ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-15-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 15CM X 15.5CM 7.6CM 800ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SFXT MRI-UNSAFE FULL HEIGHT EXTRA PROJECTION	SUP-133S-FX-15-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 12CM X 11CM 5.2CM 300ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMVT MRI-UNSAFE MODERATE HEIGHT VARIABLE PROJECTION	SUP-133S-MV-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 12CM X 11CM 5.2CM 300ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMVT MRI-UNSAFE MODERATE HEIGHT VARIABLE PROJECTION	SUP-133S-MV-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 13CM X 12CM 7.6CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMVT MRI-UNSAFE MODERATE HEIGHT VARIABLE PROJECTION	SUP-133S-MV-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 13CM X 12CM 7.6CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMVT MRI-UNSAFE MODERATE HEIGHT VARIABLE PROJECTION	SUP-133S-MV-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 14CM X 13CM 6CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMVT MRI-UNSAFE MODERATE HEIGHT VARIABLE PROJECTION	SUP-133S-MV-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 14CM X 13CM 6CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMVT MRI-UNSAFE MODERATE HEIGHT VARIABLE PROJECTION	SUP-133S-MV-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 12CM X 11CM 6.3CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 12CM X 11CM 6.3CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 13CM X 12CM 6.7CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 13CM X 12CM 6.7CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE MAGNA-FINDER P6.7 CM MODERATE HEIGHT EXTRA PROJECTION W13 CM X H12 CM 500 CC STYLE 133S SMOOTH SUTURE TAB	SUP-133S-MX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE MAGNA-FINDER P6.7 CM MODERATE HEIGHT EXTRA PROJECTION W13 CM X H12 CM 500 CC STYLE 133S SMOOTH SUTURE TAB	SUP-133S-MX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 14CM X 13CM 7.1CM 600ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 14CM X 13CM 7.1CM 600ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 15CM X 14CM 7.6CM 700ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-15-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 15CM X 14CM 7.6CM 700ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SMXT MRI-UNSAFE MODERATE HEIGHT EXTRA PROJECTION	SUP-133S-MX-15-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 12CM X 8.4CM 5.3CM 250ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 12CM X 8.4CM 5.3CM 250ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 13CM X 9.1CM 5.7CM 300ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 13CM X 9.1CM 5.7CM 300ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 14CM X 9.7CM 6CM 375ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 14CM X 9.7CM 6CM 375ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 15CM X 10.5CM 6.3CM 450ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-15-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 15CM X 10.5CM 6.3CM 450ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSVT MRI-UNSAFE SHORT HEIGHT VARIABLE PROJECTION	SUP-133S-SV-15-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 12CM X 10CM 6.3CM 350ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 12CM X 10CM 6.3CM 350ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 13CM X 11CM 11CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 13CM X 11CM 11CM 400ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 14CM X 12CM 7.1CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 14CM X 12CM 7.1CM 500ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 15CM X 13CM 7.6CM 650ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-15-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 15CM X 13CM 7.6CM 650ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-15-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE 15.5CM X 13.5CM 8.1CM 800ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-16-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE 15.5CM X 13.5CM 8.1CM 800ML SALINE-FILLED SMOOTH BREAST W/SUTURE TAB FOURTE FILL SYSTEM STYLE 133SSXT MRI-UNSAFE SHORT HEIGHT EXTRA PROJECTION	SUP-133S-SX-16-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE  WITH TABS	SUP-133SV-12T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE  WITH TABS	SUP-133SV-12T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL P5.7CM SHORT HEIGHT EXTRA PROJECTION 13X9.1CM 300CC STERILE LF BREAST TEXTURED	SUP-133SV-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL P5.7CM SHORT HEIGHT EXTRA PROJECTION 13X9.1CM 300CC STERILE LF BREAST TEXTURED	SUP-133SV-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL P6CM SHORT HEIGHT VARIABLE PROJECTION 14X9.7CM 375CC STERILE LF BREAST TEXTURED	SUP-133SV-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL P6CM SHORT HEIGHT VARIABLE PROJECTION 14X9.7CM 375CC STERILE LF BREAST TEXTURED	SUP-133SV-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.3 CM W15 CM X H10.5 CM 450 ML BREAST STYLE 133SV AND 133SV T SHORT HEIGHT VARIABLE PROJECTION TABBED TEXTURED	SUP-133SV-15-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.3 CM W15 CM X H10.5 CM 450 ML BREAST STYLE 133SV AND 133SV T SHORT HEIGHT VARIABLE PROJECTION TABBED TEXTURED	SUP-133SV-15-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.3 CM SHORT HEIGHT EXTRA PROJECTION W12 CM X H10 CM 350 ML BREAST STYLE 133SX-T TEXTURED TAB MAGNASITE INJECTION SITE STERILE	SUP-133SX-12-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.3 CM SHORT HEIGHT EXTRA PROJECTION W12 CM X H10 CM 350 ML BREAST STYLE 133SX-T TEXTURED TAB MAGNASITE INJECTION SITE STERILE	SUP-133SX-12-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.7CM SHORT HEIGHT EXTRA PROJECTION 13X11CM 400ML SALINE STERILE LF BREAST	SUP-133SX-13-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.7CM SHORT HEIGHT EXTRA PROJECTION 13X11CM 400ML SALINE STERILE LF BREAST	SUP-133SX-13-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P7.1CM SHORT HEIGHT EXTRA PROJECTION 14X12CM 500ML SALINE STERILE LF BREAST	SUP-133SX-14-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P7.1CM SHORT HEIGHT EXTRA PROJECTION 14X12CM 500ML SALINE STERILE LF BREAST	SUP-133SX-14-T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL SALINE P7.6 CM SHORT HEIGHT EXTRA PROJECTION W15 CM X H13 CM 650 ML BREAST STYLE 133SX-T TEXTURED TAB STERILE	SUP-133SX-15T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL SALINE P7.6 CM SHORT HEIGHT EXTRA PROJECTION W15 CM X H13 CM 650 ML BREAST STYLE 133SX-T TEXTURED TAB STERILE	SUP-133SX-15T	CDM			270	RC		inpatient			2700	2700																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P8.1CM SHORT HEIGHT EXTRA PROJECTION 15.5X13.5CM 800ML SALINE STERILE LF	SUP-133SX-16-T	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P8.1CM SHORT HEIGHT EXTRA PROJECTION 15.5X13.5CM 800ML SALINE STERILE LF	SUP-133SX-16-T	CDM			270	RC		inpatient			2700	2700																																																			
RECHARGER NEUROSTIMULATOR EON MINI CHARGE SYSTEM	SUP-3722 SCSCAP	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
RECHARGER NEUROSTIMULATOR EON MINI CHARGE SYSTEM	SUP-3722 SCSCAP	CDM			270	RC		inpatient			2700	2700																																																			
CHARGING SYSTEM SJM PRODIGY	SUP-3730-SCSCAPC	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
CHARGING SYSTEM SJM PRODIGY	SUP-3730-SCSCAPC	CDM			270	RC		inpatient			2700	2700																																																			
CHARGER SPINAL CORD STIMULATOR	SUP-3788 SCSCAPC	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
CHARGER SPINAL CORD STIMULATOR	SUP-3788 SCSCAPC	CDM			270	RC		inpatient			2700	2700																																																			
SHEATH INTRODUCER FLEXCATH PEBAX BARIUM SULFATE 135 D L65 CM L81 CM OD15 FR ID12 FR STERRABLE ARCTIC FRONT ADVANCE CRYOBALLOON ACHIEVE MAPPING CATHETER DILATOR RADIOPAQUE MARKER STERILE REUSABLE	SUP-4FC12	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
SHEATH INTRODUCER FLEXCATH PEBAX BARIUM SULFATE 135 D L65 CM L81 CM OD15 FR ID12 FR STERRABLE ARCTIC FRONT ADVANCE CRYOBALLOON ACHIEVE MAPPING CATHETER DILATOR RADIOPAQUE MARKER STERILE REUSABLE	SUP-4FC12	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 11.5MM X 18CM 125DEG	SUP-71675202	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 11.5MM X 18CM 125DEG	SUP-71675202	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 13MM X 18CM 125DEG	SUP-71675203	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 13MM X 18CM 125DEG	SUP-71675203	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 11.5MM X 20CM 125DEG	SUP-71675205	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 11.5MM X 20CM 125DEG	SUP-71675205	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 13MM X 20CM 125DEG	SUP-71675206	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 13MM X 20CM 125DEG	SUP-71675206	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 11.5MM X 18CM 130DEG	SUP-71675208	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 11.5MM X 18CM 130DEG	SUP-71675208	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 13MM X 18CM 130DEG	SUP-71675209	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 13MM X 18CM 130DEG	SUP-71675209	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 11.5MM X 20CM 130DEG	SUP-71675211	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 11.5MM X 20CM 130DEG	SUP-71675211	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 13MM X 20CM 130DEG	SUP-71675212	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 13MM X 20CM 130DEG	SUP-71675212	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 10MM X 18CM 125DEG	SUP-71675383	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 10MM X 18CM 125DEG	SUP-71675383	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 10MM X 18CM 130DEG	SUP-71675384	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 10MM X 18CM 130DEG	SUP-71675384	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 10MM X 20CM 125DEG	SUP-71675385	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 10MM X 20CM 125DEG	SUP-71675385	CDM			270	RC		inpatient			2700	2700																																																			
INTERTAN 10MM X 20CM 130DEG	SUP-71675386	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
INTERTAN 10MM X 20CM 130DEG	SUP-71675386	CDM			270	RC		inpatient			2700	2700																																																			
INSERT FOR MDM LINER	SUP-97-01416	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
INSERT FOR MDM LINER	SUP-97-01416	CDM			278	RC		inpatient			2700	2700																																																			
MIRABO PE LINER 33NN HEAD	SUP-97-02807	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
MIRABO PE LINER 33NN HEAD	SUP-97-02807	CDM			278	RC		inpatient			2700	2700																																																			
MIRABO PE LINER 38NN HEAD	SUP-97-02956	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
MIRABO PE LINER 38NN HEAD	SUP-97-02956	CDM			278	RC		inpatient			2700	2700																																																			
MIRABO PE LINER 33MM HEAD	SUP-97-02976	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
MIRABO PE LINER 33MM HEAD	SUP-97-02976	CDM			278	RC		inpatient			2700	2700																																																			
MIRABO PE LINER 32MM HEAD	SUP-97-02985	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
MIRABO PE LINER 32MM HEAD	SUP-97-02985	CDM			278	RC		inpatient			2700	2700																																																			
INSERT 32MM 0 DEGREE TRIDENT X3	SUP-97-05877	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
INSERT 32MM 0 DEGREE TRIDENT X3	SUP-97-05877	CDM			278	RC		inpatient			2700	2700																																																			
RESTORATION ADM X3 INS	SUP-97-06044	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
RESTORATION ADM X3 INS	SUP-97-06044	CDM			278	RC		inpatient			2700	2700																																																			
RESTORATION ADM X3 INS 28/52	SUP-97-06048	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
RESTORATION ADM X3 INS 28/52	SUP-97-06048	CDM			278	RC		inpatient			2700	2700																																																			
RESTORATION ADM X3 INS 28/48	SUP-97-06055	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
RESTORATION ADM X3 INS 28/48	SUP-97-06055	CDM			278	RC		inpatient			2700	2700																																																			
RESTORATION ADM X3 INS 28/54	SUP-97-06225	CDM			278	RC		outpatient			2700	27	2700				fee schedule		2700				other	OPPS APC	1539				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges		27				other	OPPS APC	27	2700	
RESTORATION ADM X3 INS 28/54	SUP-97-06225	CDM			278	RC		inpatient			2700	2700																																																			
STENT - VERIFLEX 4.5X20	SUP-99-00653	CDM			278	RC		inpatient			2700	2700																																																			
STENT - VERIFLEX 4.5X20	SUP-99-00653	CDM			278	RC		outpatient			2700	2700					fee schedule						other	OPPS APC	1539				percent of total billed charges						other	OPPS APC					other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges						other	OPPS APC	1539	1539	
STENT - VERIFLEX 3.0X32	SUP-99-00770	CDM			278	RC		inpatient			2700	2700																																																			
STENT - VERIFLEX 3.0X32	SUP-99-00770	CDM			278	RC		outpatient			2700	2700					fee schedule						other	OPPS APC	1539				percent of total billed charges						other	OPPS APC					other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges						other	OPPS APC	1539	1539	
STENT - MISAGO 6 X 40	SUP-99-03239	CDM			278	RC		inpatient			2700	2700																																																			
STENT - MISAGO 6 X 40	SUP-99-03239	CDM			278	RC		outpatient			2700	2700					fee schedule						other	OPPS APC	1539				percent of total billed charges						other	OPPS APC					other	OPPS APC	1323				percent of total billed charges		1377				percent of total billed charges						other	OPPS APC	1539	1539	
GUIDEWIRE- GAIA PV .018 X 300CM	SUP-99-04882	CDM			272	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
GUIDEWIRE- GAIA PV .018 X 300CM	SUP-99-04882	CDM			272	RC		inpatient			2700	2700																																																			
IMPLANT BREAST NATRELLE SILICONE MATRIX P5 CM FULL HEIGHT MODERATE PROJECTION W13.5 CM X H14 CM 440 ML STYLE FM HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-FM410-440	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
IMPLANT BREAST NATRELLE SILICONE MATRIX P5 CM FULL HEIGHT MODERATE PROJECTION W13.5 CM X H14 CM 440 ML STYLE FM HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-FM410-440	CDM			270	RC		inpatient			2700	2700																																																			
RECHARGER NEUROSTIMULATOR MEDTRONIC RECHARGER	SUP-RS5200	CDM			270	RC		outpatient			2700	27	731.43				percent of total billed charges		2700				other	OPPS APC	1998				percent of total billed charges		2700				other	OPPS APC	2700				other	OPPS APC	731.43				percent of total billed charges		746.01				percent of total billed charges		27				other	OPPS APC	27	2700	
RECHARGER NEUROSTIMULATOR MEDTRONIC RECHARGER	SUP-RS5200	CDM			270	RC		inpatient			2700	2700																																																			
PLATE BONE DALL-MILES VITALLIUM 2 MM MEDIUM L100 MM HIP TROCHANTERIC 2 CABLE GRIP STERILE	SUP-6704-3-081	CDM			270	RC		outpatient			2695.5	2695.5	730.21				percent of total billed charges		2695.5				other	OPPS APC	1994.67				percent of total billed charges		2695.5				other	OPPS APC	2695.5				other	OPPS APC	730.21				percent of total billed charges		744.77				percent of total billed charges		2695.5				other	OPPS APC	730.21	2695.5	
PLATE BONE DALL-MILES VITALLIUM 2 MM MEDIUM L100 MM HIP TROCHANTERIC 2 CABLE GRIP STERILE	SUP-6704-3-081	CDM			270	RC		inpatient			2695.5	2695.5																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L80 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860180	CDM	270010020	LOCAL	270	RC		outpatient			2694.72	2694.72	730				percent of total billed charges		2694.72				other	OPPS APC	1994.09				percent of total billed charges		2694.72				other	OPPS APC	2694.72				other	OPPS APC	730				percent of total billed charges		744.55				percent of total billed charges		2694.72				other	OPPS APC	730	2694.72	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L80 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860180	CDM	270010020	LOCAL	270	RC		inpatient			2694.72	2694.72																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L180 MM TIBIA RIGHT PROXIMAL 12 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.216	CDM	270010022	LOCAL	270	RC		outpatient			2692.72	2692.72	729.46				percent of total billed charges		2692.72				other	OPPS APC	1992.61				percent of total billed charges		2692.72				other	OPPS APC	2692.72				other	OPPS APC	729.46				percent of total billed charges		744				percent of total billed charges		2692.72				other	OPPS APC	729.46	2692.72	
PLATE BONE LCP COMBI STAINLESS STEEL L180 MM TIBIA RIGHT PROXIMAL 12 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.216	CDM	270010022	LOCAL	270	RC		inpatient			2692.72	2692.72																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L180 MM TIBIA LEFT PROXIMAL 12 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.217	CDM	270010022	LOCAL	270	RC		outpatient			2692.72	2692.72	729.46				percent of total billed charges		2692.72				other	OPPS APC	1992.61				percent of total billed charges		2692.72				other	OPPS APC	2692.72				other	OPPS APC	729.46				percent of total billed charges		744				percent of total billed charges		2692.72				other	OPPS APC	729.46	2692.72	
PLATE BONE LCP COMBI STAINLESS STEEL L180 MM TIBIA LEFT PROXIMAL 12 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.217	CDM	270010022	LOCAL	270	RC		inpatient			2692.72	2692.72																																																			
HEAD FEMORAL V40 BIOLOX DELTA +4 MM OFFSET TAPER OD28 MM HIP	SUP-6570-0-228	CDM	270010024	LOCAL	270	RC		outpatient			2691	2691	728.99				percent of total billed charges		2691				other	OPPS APC	1991.34				percent of total billed charges		2691				other	OPPS APC	2691				other	OPPS APC	728.99				percent of total billed charges		743.52				percent of total billed charges		2691				other	OPPS APC	728.99	2691	
HEAD FEMORAL V40 BIOLOX DELTA +4 MM OFFSET TAPER OD28 MM HIP	SUP-6570-0-228	CDM	270010024	LOCAL	270	RC		inpatient			2691	2691																																																			
HEAD FEMORAL V40 BIOLOX DELTA -2.7 MM OFFSET TAPER OD28 MM HIP STERILE	SUP-6570-0-328	CDM	270010024	LOCAL	270	RC		outpatient			2691	2691	728.99				percent of total billed charges		2691				other	OPPS APC	1991.34				percent of total billed charges		2691				other	OPPS APC	2691				other	OPPS APC	728.99				percent of total billed charges		743.52				percent of total billed charges		2691				other	OPPS APC	728.99	2691	
HEAD FEMORAL V40 BIOLOX DELTA -2.7 MM OFFSET TAPER OD28 MM HIP STERILE	SUP-6570-0-328	CDM	270010024	LOCAL	270	RC		inpatient			2691	2691																																																			
GRAFT SKIN THERASKIN EXTRACELLULAR MATRIX 39 SQ CM L3 IN X W2 IN ALLOGRAFT	SUP-102TSL	CDM						inpatient			2690	2690																																																			
GRAFT SKIN THERASKIN EXTRACELLULAR MATRIX 39 SQ CM L3 IN X W2 IN ALLOGRAFT	SUP-102TSL	CDM						outpatient			2690	269	2690				percent of total billed charges		2690				other	OPPS APC	2690				fee schedule		2690				other	OPPS APC	2690				other	OPPS APC	2690				case rate		2690				case rate		269				other	OPPS APC	269	2690	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L119 MM TIBIA RIGHT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.956	CDM	270010022	LOCAL	270	RC		outpatient			2689.44	2689.44	728.57				percent of total billed charges		2689.44				other	OPPS APC	1990.19				percent of total billed charges		2689.44				other	OPPS APC	2689.44				other	OPPS APC	728.57				percent of total billed charges		743.09				percent of total billed charges		2689.44				other	OPPS APC	728.57	2689.44	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L119 MM TIBIA RIGHT PROXIMAL MEDIAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.956	CDM	270010022	LOCAL	270	RC		inpatient			2689.44	2689.44																																																			
PURAPLY AM  2X4	SUP-97-01193	CDM			636	RC		outpatient			2688	2688	1317.12				percent of total billed charges		2688				other	OPPS APC	124.93				fee schedule		2688				other	OPPS APC	2688				other	OPPS APC	1317.12				percent of total billed charges		668.24				percent of total billed charges		2688				other	OPPS APC	124.93	2688	
PURAPLY AM  2X4	SUP-97-01193	CDM			636	RC		inpatient			2688	2688																																																			
LEN 12.5 (SND1T4)	SUP-97-03764	CDM			278	RC		outpatient			2687.85	2687.85	2687.85				fee schedule		2687.85				other	OPPS APC	1532.07				percent of total billed charges		2687.85				other	OPPS APC	2687.85				other	OPPS APC	1317.05				percent of total billed charges		1370.8				percent of total billed charges		2687.85				other	OPPS APC	1317.05	2687.85	
LEN 12.5 (SND1T4)	SUP-97-03764	CDM			278	RC		inpatient			2687.85	2687.85																																																			
GRAFT THERASKIN 3CM .50 X .50	SUP-95-04825	CDM						inpatient			2685	2685																																																			
GRAFT THERASKIN 3CM .50 X .50	SUP-95-04825	CDM						outpatient			2685	2685	2685				percent of total billed charges		2685				other	OPPS APC	2685				fee schedule		2685				other	OPPS APC	2685				other	OPPS APC	2685				case rate		2685				case rate		2685				other	OPPS APC	2685	2685	
SCALPEL HARMONIC 36CM HANDPIECE	SUP-97-00745	CDM			272	RC		outpatient			2685	2685	727.37				percent of total billed charges		2685				other	OPPS APC	1986.9				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	727.37				percent of total billed charges		741.87				percent of total billed charges		2685				other	OPPS APC	727.37	2685	
SCALPEL HARMONIC 36CM HANDPIECE	SUP-97-00745	CDM			272	RC		inpatient			2685	2685																																																			
LENS 24.0D TECNIS EYHANCE	SUP-97-01246	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS 24.0D TECNIS EYHANCE	SUP-97-01246	CDM			278	RC		inpatient			2685	2685																																																			
LENS ZKBOO 22.0D	SUP-97-01523	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS ZKBOO 22.0D	SUP-97-01523	CDM			278	RC		inpatient			2685	2685																																																			
LENS ZKBOO 21.0D	SUP-97-01549	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS ZKBOO 21.0D	SUP-97-01549	CDM			278	RC		inpatient			2685	2685																																																			
ZXR00 LENS  24.5	SUP-97-01818	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
ZXR00 LENS  24.5	SUP-97-01818	CDM			278	RC		inpatient			2685	2685																																																			
ZXR00 LENS  19.0D	SUP-97-02277	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
ZXR00 LENS  19.0D	SUP-97-02277	CDM			278	RC		inpatient			2685	2685																																																			
LENS ZXR00 22.0D	SUP-97-02316	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS ZXR00 22.0D	SUP-97-02316	CDM			278	RC		inpatient			2685	2685																																																			
LENS ZXR00 22.5D	SUP-97-02361	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS ZXR00 22.5D	SUP-97-02361	CDM			278	RC		inpatient			2685	2685																																																			
ZXR00 LENS  23.0	SUP-97-02376	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
ZXR00 LENS  23.0	SUP-97-02376	CDM			278	RC		inpatient			2685	2685																																																			
ZXR00 LENS  22.5	SUP-97-02993	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
ZXR00 LENS  22.5	SUP-97-02993	CDM			278	RC		inpatient			2685	2685																																																			
2 HOLE DLB COMP PLATE 20MM	SUP-97-03168	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
2 HOLE DLB COMP PLATE 20MM	SUP-97-03168	CDM			278	RC		inpatient			2685	2685																																																			
LENS ZKBOO 22.5D	SUP-97-03200	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS ZKBOO 22.5D	SUP-97-03200	CDM			278	RC		inpatient			2685	2685																																																			
LENS SNDIT3 12.5	SUP-97-03778	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
LENS SNDIT3 12.5	SUP-97-03778	CDM			278	RC		inpatient			2685	2685																																																			
IMPL SYS CMC MINI T-ROPE 1.1MM	SUP-97-04728	CDM			278	RC		outpatient			2685	2685	2685				fee schedule		2685				other	OPPS APC	1530.45				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	1315.65				percent of total billed charges		1369.35				percent of total billed charges		2685				other	OPPS APC	1315.65	2685	
IMPL SYS CMC MINI T-ROPE 1.1MM	SUP-97-04728	CDM			278	RC		inpatient			2685	2685																																																			
BALLOON - CHOCOLATE 3.5X80	SUP-99-01458	CDM			272	RC		outpatient			2685	2685	727.37				percent of total billed charges		2685				other	OPPS APC	1986.9				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	727.37				percent of total billed charges		741.87				percent of total billed charges		2685				other	OPPS APC	727.37	2685	
BALLOON - CHOCOLATE 3.5X80	SUP-99-01458	CDM			272	RC		inpatient			2685	2685																																																			
BALLOON - CHOCOLATE 5.0X120	SUP-99-01811	CDM			272	RC		outpatient			2685	2685	727.37				percent of total billed charges		2685				other	OPPS APC	1986.9				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	727.37				percent of total billed charges		741.87				percent of total billed charges		2685				other	OPPS APC	727.37	2685	
BALLOON - CHOCOLATE 5.0X120	SUP-99-01811	CDM			272	RC		inpatient			2685	2685																																																			
BALLOON - CHOCOLATE 4.5X80	SUP-99-01850	CDM			272	RC		outpatient			2685	2685	727.37				percent of total billed charges		2685				other	OPPS APC	1986.9				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	727.37				percent of total billed charges		741.87				percent of total billed charges		2685				other	OPPS APC	727.37	2685	
BALLOON - CHOCOLATE 4.5X80	SUP-99-01850	CDM			272	RC		inpatient			2685	2685																																																			
TYRX -MEDIUM	SUP-99-03785	CDM			272	RC		outpatient			2685	2685	727.37				percent of total billed charges		2685				other	OPPS APC	1986.9				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	727.37				percent of total billed charges		741.87				percent of total billed charges		2685				other	OPPS APC	727.37	2685	
TYRX -MEDIUM	SUP-99-03785	CDM			272	RC		inpatient			2685	2685																																																			
TYRX -LARGE	SUP-99-03786	CDM			272	RC		outpatient			2685	2685	727.37				percent of total billed charges		2685				other	OPPS APC	1986.9				percent of total billed charges		2685				other	OPPS APC	2685				other	OPPS APC	727.37				percent of total billed charges		741.87				percent of total billed charges		2685				other	OPPS APC	727.37	2685	
TYRX -LARGE	SUP-99-03786	CDM			272	RC		inpatient			2685	2685																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L132 MM TIBIA LEFT DISTAL ANTEROLATERAL 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.445	CDM	270010022	LOCAL	270	RC		outpatient			2684.96	2684.96	727.36				percent of total billed charges		2684.96				other	OPPS APC	1986.87				percent of total billed charges		2684.96				other	OPPS APC	2684.96				other	OPPS APC	727.36				percent of total billed charges		741.85				percent of total billed charges		2684.96				other	OPPS APC	727.36	2684.96	
PLATE BONE LCP COMBI STAINLESS STEEL L132 MM TIBIA LEFT DISTAL ANTEROLATERAL 9 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.445	CDM	270010022	LOCAL	270	RC		inpatient			2684.96	2684.96																																																			
HC Biopsy Muscle Percutaneous Needle	PX-361202061	CDM	20206	CPT	361	RC		outpatient			2684	1579.36	847.61				percent of total billed charges		1579.36				other	OPPS APC	1876				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	847.61				percent of total billed charges		864.52				percent of total billed charges		1579.36				other	OPPS APC	847.61	1876	
HC Biopsy Muscle Percutaneous Needle	PX-361202061	CDM	20206	CPT	361	RC		inpatient			2684	2684																																																			
HC Biopsy Lymph Node Super(Axil Ing Cer	PX-361385051	CDM	38505	CPT	361	RC		outpatient			2684	1579.36	847.61				percent of total billed charges		1579.36				other	OPPS APC	1876				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	847.61				percent of total billed charges		864.52				percent of total billed charges		1579.36				other	OPPS APC	847.61	1876	
HC Biopsy Lymph Node Super(Axil Ing Cer	PX-361385051	CDM	38505	CPT	361	RC		inpatient			2684	2684																																																			
HC CT Biopsy Renal Percut	PX-361502001	CDM	50200	CPT	361	RC		outpatient			2684	1579.36	847.61				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	847.61				percent of total billed charges		864.52				percent of total billed charges		1579.36				other	OPPS APC	847.61	2528	
HC CT Biopsy Renal Percut	PX-361502001	CDM	50200	CPT	361	RC		inpatient			2684	2684																																																			
HC US Renal Bx Percut Trocar/Needle	PX-361502002	CDM	50200	CPT	361	RC		outpatient			2684	1579.36	847.61				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	847.61				percent of total billed charges		864.52				percent of total billed charges		1579.36				other	OPPS APC	847.61	2528	
HC US Renal Bx Percut Trocar/Needle	PX-361502002	CDM	50200	CPT	361	RC		inpatient			2684	2684																																																			
HC Cc Perc Ins of Balloon Pump	PX-481339671	CDM	33967	CPT	481	RC		outpatient			2684	2684	263.1				fee schedule		2684				other	OPPS APC	1986.16				percent of total billed charges		2684				other	OPPS APC	2684				other	OPPS APC	249.39				fee schedule		1368.84				percent of total billed charges		2684				other	OPPS APC	249.39	2684	
HC Cc Perc Ins of Balloon Pump	PX-481339671	CDM	33967	CPT	481	RC		inpatient			2684	2684																																																			
MATRIX TISSUE STRATTICE PORCINE DERMIS L8 CM X W6 CM RECONSTRUCTIVE STERILE	SUP-0608001	CDM			270	RC		outpatient			2682	2682	726.55				percent of total billed charges		2682				other	OPPS APC	1984.68				percent of total billed charges		2682				other	OPPS APC	2682				other	OPPS APC	726.55				percent of total billed charges		741.04				percent of total billed charges		2682				other	OPPS APC	726.55	2682	
MATRIX TISSUE STRATTICE PORCINE DERMIS L8 CM X W6 CM RECONSTRUCTIVE STERILE	SUP-0608001	CDM			270	RC		inpatient			2682	2682																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L27 CM OD8 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.234S	CDM	270010022	LOCAL	270	RC		outpatient			2680.88	268.88	726.25				percent of total billed charges		2680.88				other	OPPS APC	1983.85				percent of total billed charges		2680.88				other	OPPS APC	2680.88				other	OPPS APC	726.25				percent of total billed charges		740.73				percent of total billed charges		268.88				other	OPPS APC	268.88	2680.88	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L27 CM OD8 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.234S	CDM	270010022	LOCAL	270	RC		inpatient			2680.88	2680.88																																																			
STENT - SMART FLEX 5X120	SUP-99-04592	CDM						inpatient			2677.5	2677.5																																																			
STENT - SMART FLEX 5X120	SUP-99-04592	CDM						outpatient			2677.5	2677.5	2677.5				percent of total billed charges		2677.5				other	OPPS APC	2677.5				fee schedule		2677.5				other	OPPS APC	2677.5				other	OPPS APC	2677.5				case rate		2677.5				case rate		2677.5				other	OPPS APC	2677.5	2677.5	
STENT - SMART FLEX 6X120	SUP-99-04597	CDM						inpatient			2677.5	2677.5																																																			
STENT - SMART FLEX 6X120	SUP-99-04597	CDM						outpatient			2677.5	2677.5	2677.5				percent of total billed charges		2677.5				other	OPPS APC	2677.5				fee schedule		2677.5				other	OPPS APC	2677.5				other	OPPS APC	2677.5				case rate		2677.5				case rate		2677.5				other	OPPS APC	2677.5	2677.5	
STENT - SMART FLEX 6X150	SUP-99-04598	CDM						inpatient			2677.5	2677.5																																																			
STENT - SMART FLEX 6X150	SUP-99-04598	CDM						outpatient			2677.5	2677.5	2677.5				percent of total billed charges		2677.5				other	OPPS APC	2677.5				fee schedule		2677.5				other	OPPS APC	2677.5				other	OPPS APC	2677.5				case rate		2677.5				case rate		2677.5				other	OPPS APC	2677.5	2677.5	
STENT - SMART FLEX 7X120	SUP-99-04603	CDM						inpatient			2677.5	2677.5																																																			
STENT - SMART FLEX 7X120	SUP-99-04603	CDM						outpatient			2677.5	2677.5	2677.5				percent of total billed charges		2677.5				other	OPPS APC	2677.5				fee schedule		2677.5				other	OPPS APC	2677.5				other	OPPS APC	2677.5				case rate		2677.5				case rate		2677.5				other	OPPS APC	2677.5	2677.5	
STENT - SMART FLEX 7X150	SUP-99-04604	CDM						inpatient			2677.5	2677.5																																																			
STENT - SMART FLEX 7X150	SUP-99-04604	CDM						outpatient			2677.5	2677.5	2677.5				percent of total billed charges		2677.5				other	OPPS APC	2677.5				fee schedule		2677.5				other	OPPS APC	2677.5				other	OPPS APC	2677.5				case rate		2677.5				case rate		2677.5				other	OPPS APC	2677.5	2677.5	
PLATE 2.7/3.5MM VA LCP POSTLAT DISTAL HUMERAL 9 HOLE	SUP-02.117.209	CDM	270010022	LOCAL	270	RC		outpatient			2677.2	2677.2	725.25				percent of total billed charges		2677.2				other	OPPS APC	1981.13				percent of total billed charges		2677.2				other	OPPS APC	2677.2				other	OPPS APC	725.25				percent of total billed charges		739.71				percent of total billed charges		2677.2				other	OPPS APC	725.25	2677.2	
PLATE 2.7/3.5MM VA LCP POSTLAT DISTAL HUMERAL 9 HOLE	SUP-02.117.209	CDM	270010022	LOCAL	270	RC		inpatient			2677.2	2677.2																																																			
PLATE DISTAL HUMERAL 2.7MM 2 HOLE	SUP-02.117.802	CDM	270010022	LOCAL	270	RC		outpatient			2677.2	2677.2	725.25				percent of total billed charges		2677.2				other	OPPS APC	1981.13				percent of total billed charges		2677.2				other	OPPS APC	2677.2				other	OPPS APC	725.25				percent of total billed charges		739.71				percent of total billed charges		2677.2				other	OPPS APC	725.25	2677.2	
PLATE DISTAL HUMERAL 2.7MM 2 HOLE	SUP-02.117.802	CDM	270010022	LOCAL	270	RC		inpatient			2677.2	2677.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL LONG L121 MM HUMERUS RIGHT DISTAL LATERAL 5 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.805	CDM	270010022	LOCAL	270	RC		outpatient			2677.2	2677.2	725.25				percent of total billed charges		2677.2				other	OPPS APC	1981.13				percent of total billed charges		2677.2				other	OPPS APC	2677.2				other	OPPS APC	725.25				percent of total billed charges		739.71				percent of total billed charges		2677.2				other	OPPS APC	725.25	2677.2	
PLATE BONE LCP COMBI STAINLESS STEEL LONG L121 MM HUMERUS RIGHT DISTAL LATERAL 5 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.805	CDM	270010022	LOCAL	270	RC		inpatient			2677.2	2677.2																																																			
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD L 117MM X W 10.9MM X H 3.4MM W 25MM TIBIAL RIGHT PROXIMAL MEDIAL 8 HOLE VARAIBLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72463808	CDM			270	RC		outpatient			2676	2676	724.93				percent of total billed charges		2676				other	OPPS APC	1980.24				percent of total billed charges		2676				other	OPPS APC	2676				other	OPPS APC	724.93				percent of total billed charges		739.38				percent of total billed charges		2676				other	OPPS APC	724.93	2676	
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD L 117MM X W 10.9MM X H 3.4MM W 25MM TIBIAL RIGHT PROXIMAL MEDIAL 8 HOLE VARAIBLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72463808	CDM			270	RC		inpatient			2676	2676																																																			
HEAD FEMORAL G7 FREEDOM COCR +6 MM OFFSET OD36 MM HIP TYPE 1 MODULAR	SUP-11-107020	CDM	270010024	LOCAL	270	RC		outpatient			2673.6	2673.6	724.28				percent of total billed charges		2673.6				other	OPPS APC	1978.46				percent of total billed charges		2673.6				other	OPPS APC	2673.6				other	OPPS APC	724.28				percent of total billed charges		738.72				percent of total billed charges		2673.6				other	OPPS APC	724.28	2673.6	
HEAD FEMORAL G7 FREEDOM COCR +6 MM OFFSET OD36 MM HIP TYPE 1 MODULAR	SUP-11-107020	CDM	270010024	LOCAL	270	RC		inpatient			2673.6	2673.6																																																			
CLAMP BIOMET XS-T/ARC	SUP-04475	CDM			270	RC		outpatient			2672.4	2672.41	723.95				percent of total billed charges		2672.4				other	OPPS APC	1977.58				percent of total billed charges		2672.4				other	OPPS APC	2672.4				other	OPPS APC	723.95				percent of total billed charges		738.38				percent of total billed charges		2672.41				other	OPPS APC	723.95	2672.41	
CLAMP BIOMET XS-T/ARC	SUP-04475	CDM			270	RC		inpatient			2672.4	2672.4																																																			
LINER SHOULDER 36MM 7D +6MM OFFSET STANDARD HUMERUS TRABECULAR METAL POLYETHYLENE	SUP-00434903606	CDM	270010030	LOCAL	270	RC		outpatient			2670.02	267.2	723.31				percent of total billed charges		2670.02				other	OPPS APC	1975.81				percent of total billed charges		2670.02				other	OPPS APC	2670.02				other	OPPS APC	723.31				percent of total billed charges		737.73				percent of total billed charges		267.2				other	OPPS APC	267.2	2670.02	
LINER SHOULDER 36MM 7D +6MM OFFSET STANDARD HUMERUS TRABECULAR METAL POLYETHYLENE	SUP-00434903606	CDM	270010030	LOCAL	270	RC		inpatient			2670.02	2670.02																																																			
LINER SHOULDER TRABECULAR METAL POLYETHYLENE 7 D STANDARD H+6 MM OD40 MM HUMERUS REVERSE STERILE	SUP-00-4349-040-06	CDM	270010024	LOCAL	270	RC		outpatient			2670.02	267.2	723.31				percent of total billed charges		2670.02				other	OPPS APC	1975.81				percent of total billed charges		2670.02				other	OPPS APC	2670.02				other	OPPS APC	723.31				percent of total billed charges		737.73				percent of total billed charges		267.2				other	OPPS APC	267.2	2670.02	
LINER SHOULDER TRABECULAR METAL POLYETHYLENE 7 D STANDARD H+6 MM OD40 MM HUMERUS REVERSE STERILE	SUP-00-4349-040-06	CDM	270010024	LOCAL	270	RC		inpatient			2670.02	2670.02																																																			
LINER SHOULDER TRABECULAR METAL POLYETHYLENE 12 D 65 D H6+ MM OD40 MM HUMERUS REVERSE RETENTIVE STERILE	SUP-00434906606	CDM	270010024	LOCAL	270	RC		outpatient			2670.02	267.2	723.31				percent of total billed charges		2670.02				other	OPPS APC	1975.81				percent of total billed charges		2670.02				other	OPPS APC	2670.02				other	OPPS APC	723.31				percent of total billed charges		737.73				percent of total billed charges		267.2				other	OPPS APC	267.2	2670.02	
LINER SHOULDER TRABECULAR METAL POLYETHYLENE 12 D 65 D H6+ MM OD40 MM HUMERUS REVERSE RETENTIVE STERILE	SUP-00434906606	CDM	270010024	LOCAL	270	RC		inpatient			2670.02	2670.02																																																			
HC Imrt Plan	PX-333773010	CDM	77301	CPT	333	RC		outpatient			2669	1412.2	1982.99				fee schedule		1412.02				other	OPPS APC	3683.46				fee schedule		1412.02				other	OPPS APC	1412.02				other	OPPS APC	1835.81				fee schedule		1412.54				fee schedule		1412.2				other	OPPS APC	1412.02	3683.46	
HC Imrt Plan	PX-333773010	CDM	77301	CPT	333	RC		inpatient			2669	2669																																																			
PLATE BONE TITANIUM H.2 MM ORBITAL FLOOR MESH NONSTERILE PURPLE 1 MM SCREW	SUP-420.302	CDM	270010022	LOCAL	270	RC		outpatient			2666.62	2666.62	722.39				percent of total billed charges		2666.62				other	OPPS APC	1973.3				percent of total billed charges		2666.62				other	OPPS APC	2666.62				other	OPPS APC	722.39				percent of total billed charges		736.79				percent of total billed charges		2666.62				other	OPPS APC	722.39	2666.62	
PLATE BONE TITANIUM H.2 MM ORBITAL FLOOR MESH NONSTERILE PURPLE 1 MM SCREW	SUP-420.302	CDM	270010022	LOCAL	270	RC		inpatient			2666.62	2666.62																																																			
PLATE BONE .3MM TEAL TITANIUM NS CRANIOMAXILLOFACIAL ORBITAL MESH 1MM CORTEX SCREW	SUP-420.303	CDM	270010022	LOCAL	270	RC		outpatient			2666.62	2666.62	722.39				percent of total billed charges		2666.62				other	OPPS APC	1973.3				percent of total billed charges		2666.62				other	OPPS APC	2666.62				other	OPPS APC	722.39				percent of total billed charges		736.79				percent of total billed charges		2666.62				other	OPPS APC	722.39	2666.62	
PLATE BONE .3MM TEAL TITANIUM NS CRANIOMAXILLOFACIAL ORBITAL MESH 1MM CORTEX SCREW	SUP-420.303	CDM	270010022	LOCAL	270	RC		inpatient			2666.62	2666.62																																																			
PLATE BONE TITANIUM H.4 MM ORBITAL FLOOR MESH NONSTERILE GOLD 1 MM SCREW	SUP-420.304	CDM	270010022	LOCAL	270	RC		outpatient			2666.62	2666.62	722.39				percent of total billed charges		2666.62				other	OPPS APC	1973.3				percent of total billed charges		2666.62				other	OPPS APC	2666.62				other	OPPS APC	722.39				percent of total billed charges		736.79				percent of total billed charges		2666.62				other	OPPS APC	722.39	2666.62	
PLATE BONE TITANIUM H.4 MM ORBITAL FLOOR MESH NONSTERILE GOLD 1 MM SCREW	SUP-420.304	CDM	270010022	LOCAL	270	RC		inpatient			2666.62	2666.62																																																			
SCREW BONE REVERE L35 MM OD6.5 MM SPINE REDUCTION	SUP-524.463	CDM	270010020	LOCAL	270	RC		outpatient			2666	2666	722.22				percent of total billed charges		2666				other	OPPS APC	1972.84				percent of total billed charges		2666				other	OPPS APC	2666				other	OPPS APC	722.22				percent of total billed charges		736.62				percent of total billed charges		2666				other	OPPS APC	722.22	2666	
SCREW BONE REVERE L35 MM OD6.5 MM SPINE REDUCTION	SUP-524.463	CDM	270010020	LOCAL	270	RC		inpatient			2666	2666																																																			
SCREW BONE REVERE L40 MM OD6.5 MM SPINE REDUCTION	SUP-524.464	CDM	270010020	LOCAL	270	RC		outpatient			2666	2666	722.22				percent of total billed charges		2666				other	OPPS APC	1972.84				percent of total billed charges		2666				other	OPPS APC	2666				other	OPPS APC	722.22				percent of total billed charges		736.62				percent of total billed charges		2666				other	OPPS APC	722.22	2666	
SCREW BONE REVERE L40 MM OD6.5 MM SPINE REDUCTION	SUP-524.464	CDM	270010020	LOCAL	270	RC		inpatient			2666	2666																																																			
HC Removal of Support Implant	PX-450206701	CDM	20670	CPT	450	RC		outpatient			2664	2664	195.77				case rate		2664				other	OPPS APC	1971.36				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	195.77				case rate		199.69				case rate		2664				other	OPPS APC	195.77	2664	
HC Removal of Support Implant	PX-450206701	CDM	20670	CPT	450	RC		inpatient			2664	2664																																																			
LEAD PACING ATTAIN ABILITY L78 CM VEIN 2 ELECTRODE OTW	SUP-419678	CDM			275	RC		outpatient			2664	2664	1305.36				percent of total billed charges		2664				other	OPPS APC	1518.48				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	1305.36				percent of total billed charges		1358.64				percent of total billed charges		2664				other	OPPS APC	1305.36	2664	
LEAD PACING ATTAIN ABILITY L78 CM VEIN 2 ELECTRODE OTW	SUP-419678	CDM			275	RC		inpatient			2664	2664																																																			
LEAD PACING L88 CM VEIN 2 ELECTRODE OTW	SUP-419688	CDM			275	RC		outpatient			2664	2664	1305.36				percent of total billed charges		2664				other	OPPS APC	1518.48				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	1305.36				percent of total billed charges		1358.64				percent of total billed charges		2664				other	OPPS APC	1305.36	2664	
LEAD PACING L88 CM VEIN 2 ELECTRODE OTW	SUP-419688	CDM			275	RC		inpatient			2664	2664																																																			
LEAD PACING ATTAIN ABILITY PLUS L78 CM OD5.3 FR LEFT HEART 2 ELECTRODE OTW	SUP-429678	CDM			275	RC		outpatient			2664	2664	1305.36				percent of total billed charges		2664				other	OPPS APC	1518.48				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	1305.36				percent of total billed charges		1358.64				percent of total billed charges		2664				other	OPPS APC	1305.36	2664	
LEAD PACING ATTAIN ABILITY PLUS L78 CM OD5.3 FR LEFT HEART 2 ELECTRODE OTW	SUP-429678	CDM			275	RC		inpatient			2664	2664																																																			
LEAD PACING ATTAIN ABILITY PLUS STEROID ELUTING POLYURETHANE 2 CURVE L88 CM	SUP-429688	CDM			275	RC		outpatient			2664	2664	1305.36				percent of total billed charges		2664				other	OPPS APC	1518.48				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	1305.36				percent of total billed charges		1358.64				percent of total billed charges		2664				other	OPPS APC	1305.36	2664	
LEAD PACING ATTAIN ABILITY PLUS STEROID ELUTING POLYURETHANE 2 CURVE L88 CM	SUP-429688	CDM			275	RC		inpatient			2664	2664																																																			
LEAD PACING ATTAIN ABILITY STRAIGHT L78 CM CORONARY VEIN 2 ELECTRODE TINED OTW	SUP-439678	CDM			275	RC		outpatient			2664	2664	1305.36				percent of total billed charges		2664				other	OPPS APC	1518.48				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	1305.36				percent of total billed charges		1358.64				percent of total billed charges		2664				other	OPPS APC	1305.36	2664	
LEAD PACING ATTAIN ABILITY STRAIGHT L78 CM CORONARY VEIN 2 ELECTRODE TINED OTW	SUP-439678	CDM			275	RC		inpatient			2664	2664																																																			
LEAD PACING ATTAIN ABILITY STRAIGHT L88 CM CORONARY VEIN 2 ELECTRODE TINED OTW	SUP-439688	CDM			275	RC		outpatient			2664	2664	1305.36				percent of total billed charges		2664				other	OPPS APC	1518.48				percent of total billed charges		2664				other	OPPS APC	2664				other	OPPS APC	1305.36				percent of total billed charges		1358.64				percent of total billed charges		2664				other	OPPS APC	1305.36	2664	
LEAD PACING ATTAIN ABILITY STRAIGHT L88 CM CORONARY VEIN 2 ELECTRODE TINED OTW	SUP-439688	CDM			275	RC		inpatient			2664	2664																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L22 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557422	CDM			270	RC		outpatient			2660.02	266.2	720.6				percent of total billed charges		2660.02				other	OPPS APC	1968.41				percent of total billed charges		2660.02				other	OPPS APC	2660.02				other	OPPS APC	720.6				percent of total billed charges		734.96				percent of total billed charges		266.2				other	OPPS APC	266.2	2660.02	
SCREW BONE OASYS TITANIUM LOW PROFILE L22 MM OD4 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557422	CDM			270	RC		inpatient			2660.02	2660.02																																																			
SENSOR ENDOSCOPIC CAMERA RIWO D-URS L600 MM OD9 FR ODSEC3 MM FLEXIBLE URETERORENOSCOPE STERILE LATEX FREE DISPOSABLE 1.65 FR 3.6 FR WORK CHANNEL	SUP-473572076	CDM			270	RC		outpatient			2660	266	720.59				percent of total billed charges		2660				other	OPPS APC	1968.4				percent of total billed charges		2660				other	OPPS APC	2660				other	OPPS APC	720.59				percent of total billed charges		734.96				percent of total billed charges		266				other	OPPS APC	266	2660	
SENSOR ENDOSCOPIC CAMERA RIWO D-URS L600 MM OD9 FR ODSEC3 MM FLEXIBLE URETERORENOSCOPE STERILE LATEX FREE DISPOSABLE 1.65 FR 3.6 FR WORK CHANNEL	SUP-473572076	CDM			270	RC		inpatient			2660	2660																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L106 MM TIBIA RIGHT DISTAL ANTEROLATERAL 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.442	CDM	270010022	LOCAL	270	RC		outpatient			2657.8	2657.82	720				percent of total billed charges		2657.8				other	OPPS APC	1966.77				percent of total billed charges		2657.8				other	OPPS APC	2657.8				other	OPPS APC	720				percent of total billed charges		734.35				percent of total billed charges		2657.82				other	OPPS APC	720	2657.82	
PLATE BONE LCP COMBI STAINLESS STEEL L106 MM TIBIA RIGHT DISTAL ANTEROLATERAL 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.442	CDM	270010022	LOCAL	270	RC		inpatient			2657.8	2657.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L106 MM TIBIA LEFT DISTAL ANTEROLATERAL 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.443	CDM	270010022	LOCAL	270	RC		outpatient			2657.8	2657.82	720				percent of total billed charges		2657.8				other	OPPS APC	1966.77				percent of total billed charges		2657.8				other	OPPS APC	2657.8				other	OPPS APC	720				percent of total billed charges		734.35				percent of total billed charges		2657.82				other	OPPS APC	720	2657.82	
PLATE BONE LCP COMBI STAINLESS STEEL L106 MM TIBIA LEFT DISTAL ANTEROLATERAL 7 HOLE LOW PROFILE LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-241.443	CDM	270010022	LOCAL	270	RC		inpatient			2657.8	2657.8																																																			
STRAVIX 2 X 2 CM	SUP-97-05385	CDM			636	RC		outpatient			2656.5	2656.5	2656.5				fee schedule		2656.5				other	OPPS APC	154.64				fee schedule		2656.5				other	OPPS APC	2656.5				other	OPPS APC	1301.69				percent of total billed charges		660.41				percent of total billed charges		2656.5				other	OPPS APC	154.64	2656.5	
STRAVIX 2 X 2 CM	SUP-97-05385	CDM			636	RC		inpatient			2656.5	2656.5																																																			
KIT DISPOSABLE 3X8 TENODESIS	SUP-97-05474	CDM			272	RC		outpatient			2655	2655	719.24				percent of total billed charges		2655				other	OPPS APC	1964.7				percent of total billed charges		2655				other	OPPS APC	2655				other	OPPS APC	719.24				percent of total billed charges		733.58				percent of total billed charges		2655				other	OPPS APC	719.24	2655	
KIT DISPOSABLE 3X8 TENODESIS	SUP-97-05474	CDM			272	RC		inpatient			2655	2655																																																			
BALLOON PUMP - CATHETER 40CC	SUP-99-00771	CDM			272	RC		outpatient			2655	2655	719.24				percent of total billed charges		2655				other	OPPS APC	1964.7				percent of total billed charges		2655				other	OPPS APC	2655				other	OPPS APC	719.24				percent of total billed charges		733.58				percent of total billed charges		2655				other	OPPS APC	719.24	2655	
BALLOON PUMP - CATHETER 40CC	SUP-99-00771	CDM			272	RC		inpatient			2655	2655																																																			
BALLOON PUMP - CATHETER 40CC ULTRA	SUP-99-04197	CDM			272	RC		outpatient			2655	2655	719.24				percent of total billed charges		2655				other	OPPS APC	1964.7				percent of total billed charges		2655				other	OPPS APC	2655				other	OPPS APC	719.24				percent of total billed charges		733.58				percent of total billed charges		2655				other	OPPS APC	719.24	2655	
BALLOON PUMP - CATHETER 40CC ULTRA	SUP-99-04197	CDM			272	RC		inpatient			2655	2655																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L93 MM TIBIA RIGHT PROXIMAL MEDIAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.954	CDM	270010022	LOCAL	270	RC		outpatient			2654.08	2654.8	718.99				percent of total billed charges		2654.08				other	OPPS APC	1964.02				percent of total billed charges		2654.08				other	OPPS APC	2654.08				other	OPPS APC	718.99				percent of total billed charges		733.32				percent of total billed charges		2654.8				other	OPPS APC	718.99	2654.8	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L93 MM TIBIA RIGHT PROXIMAL MEDIAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.954	CDM	270010022	LOCAL	270	RC		inpatient			2654.08	2654.08																																																			
SB-KNIFE JR 2.30	SUP-95-04205	CDM			272	RC		outpatient			2652	2652	718.43				percent of total billed charges		2652				other	OPPS APC	1962.48				percent of total billed charges		2652				other	OPPS APC	2652				other	OPPS APC	718.43				percent of total billed charges		732.75				percent of total billed charges		2652				other	OPPS APC	718.43	2652	
SB-KNIFE JR 2.30	SUP-95-04205	CDM			272	RC		inpatient			2652	2652																																																			
EXPANDER TISSUE CPX2 P8.1 CM CONTOUR PROFILE W16.5 CM X H11.9 CM 750 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6116	CDM			270	RC		outpatient			2650	265	717.89				percent of total billed charges		2650				other	OPPS APC	1961				percent of total billed charges		2650				other	OPPS APC	2650				other	OPPS APC	717.89				percent of total billed charges		732.2				percent of total billed charges		265				other	OPPS APC	265	2650	
EXPANDER TISSUE CPX2 P8.1 CM CONTOUR PROFILE W16.5 CM X H11.9 CM 750 ML BREAST STYLE 6100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING	SUP-354-6116	CDM			270	RC		inpatient			2650	2650																																																			
EMBOLIZATION - CUBE 10MMX25CM	SUP-99-01823	CDM			272	RC		outpatient			2646	2646	716.8				percent of total billed charges		2646				other	OPPS APC	1958.04				percent of total billed charges		2646				other	OPPS APC	2646				other	OPPS APC	716.8				percent of total billed charges		731.09				percent of total billed charges		2646				other	OPPS APC	716.8	2646	
EMBOLIZATION - CUBE 10MMX25CM	SUP-99-01823	CDM			272	RC		inpatient			2646	2646																																																			
EMBOLIZATION - CUBE 15MMX25CM	SUP-99-01824	CDM			272	RC		outpatient			2646	2646	716.8				percent of total billed charges		2646				other	OPPS APC	1958.04				percent of total billed charges		2646				other	OPPS APC	2646				other	OPPS APC	716.8				percent of total billed charges		731.09				percent of total billed charges		2646				other	OPPS APC	716.8	2646	
EMBOLIZATION - CUBE 15MMX25CM	SUP-99-01824	CDM			272	RC		inpatient			2646	2646																																																			
EMBOLIZATION - 2D 8MMX20CM	SUP-99-01844	CDM			272	RC		outpatient			2646	2646	716.8				percent of total billed charges		2646				other	OPPS APC	1958.04				percent of total billed charges		2646				other	OPPS APC	2646				other	OPPS APC	716.8				percent of total billed charges		731.09				percent of total billed charges		2646				other	OPPS APC	716.8	2646	
EMBOLIZATION - 2D 8MMX20CM	SUP-99-01844	CDM			272	RC		inpatient			2646	2646																																																			
INSERT HUMERAL 36 DIA REVISION REVERSED 6/12.5	SUP-97-06277	CDM			278	RC		outpatient			2643	2643	2643				fee schedule		2643				other	OPPS APC	1506.51				percent of total billed charges		2643				other	OPPS APC	2643				other	OPPS APC	1295.07				percent of total billed charges		1347.93				percent of total billed charges		2643				other	OPPS APC	1295.07	2643	
INSERT HUMERAL 36 DIA REVISION REVERSED 6/12.5	SUP-97-06277	CDM			278	RC		inpatient			2643	2643																																																			
GRAFT VASCULAR ACUSEAL PTFE L40 CM OD6 CM 3 LAYER	SUP-ECH060040A	CDM			270	RC		outpatient			2642	2642	715.72				percent of total billed charges		2642				other	OPPS APC	1955.08				percent of total billed charges		2642				other	OPPS APC	2642				other	OPPS APC	715.72				percent of total billed charges		729.98				percent of total billed charges		2642				other	OPPS APC	715.72	2642	
GRAFT VASCULAR ACUSEAL PTFE L40 CM OD6 CM 3 LAYER	SUP-ECH060040A	CDM			270	RC		inpatient			2642	2642																																																			
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L10IN x W 8IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954810	CDM			270	RC		outpatient			2641.6	2641.6	715.61				percent of total billed charges		2641.6				other	OPPS APC	1954.78				percent of total billed charges		2641.6				other	OPPS APC	2641.6				other	OPPS APC	715.61				percent of total billed charges		729.87				percent of total billed charges		2641.6				other	OPPS APC	715.61	2641.6	
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L10IN x W 8IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954810	CDM			270	RC		inpatient			2641.6	2641.6																																																			
BEARING HUMERAL COMPREHENSIVE VIVACIT-E STANDARD OD36 MM SHOULDER REVERSE	SUP-110031424	CDM	270010030	LOCAL	270	RC		outpatient			2640	264	715.18				percent of total billed charges		2640				other	OPPS APC	1953.6				percent of total billed charges		2640				other	OPPS APC	2640				other	OPPS APC	715.18				percent of total billed charges		729.43				percent of total billed charges		264				other	OPPS APC	264	2640	
BEARING HUMERAL COMPREHENSIVE VIVACIT-E STANDARD OD36 MM SHOULDER REVERSE	SUP-110031424	CDM	270010030	LOCAL	270	RC		inpatient			2640	2640																																																			
BEARING HUMERAL COMPREHENSIVE VIVACIT-E +3 MM OD36 MM SHOULDER REVERSE	SUP-110031425	CDM	270010030	LOCAL	270	RC		outpatient			2640	264	715.18				percent of total billed charges		2640				other	OPPS APC	1953.6				percent of total billed charges		2640				other	OPPS APC	2640				other	OPPS APC	715.18				percent of total billed charges		729.43				percent of total billed charges		264				other	OPPS APC	264	2640	
BEARING HUMERAL COMPREHENSIVE VIVACIT-E +3 MM OD36 MM SHOULDER REVERSE	SUP-110031425	CDM	270010030	LOCAL	270	RC		inpatient			2640	2640																																																			
INTRODUCER CATHETER AIRGUARD L15 CM OD6.5 FR LONG TERM VALVE HEMODIALYSIS	SUP-5515160	CDM			270	RC		outpatient			2640	264	715.18				percent of total billed charges		2640				other	OPPS APC	1953.6				percent of total billed charges		2640				other	OPPS APC	2640				other	OPPS APC	715.18				percent of total billed charges		729.43				percent of total billed charges		264				other	OPPS APC	264	2640	
INTRODUCER CATHETER AIRGUARD L15 CM OD6.5 FR LONG TERM VALVE HEMODIALYSIS	SUP-5515160	CDM			270	RC		inpatient			2640	2640																																																			
GRAFT BONE MATRIGRAFT 200MM FEMORAL SHAFT BISECTED FROZEN	SUP-639120	CDM	270010031	LOCAL	270	RC		outpatient			2640	264	715.18				percent of total billed charges		2640				other	OPPS APC	1953.6				percent of total billed charges		2640				other	OPPS APC	2640				other	OPPS APC	715.18				percent of total billed charges		729.43				percent of total billed charges		264				other	OPPS APC	264	2640	
GRAFT BONE MATRIGRAFT 200MM FEMORAL SHAFT BISECTED FROZEN	SUP-639120	CDM	270010031	LOCAL	270	RC		inpatient			2640	2640																																																			
TROCAR SPACEMAKER PROACCESS DISSECTOR	SUP-95-05108	CDM			272	RC		outpatient			2637.62	2637.62	714.53				percent of total billed charges		2637.62				other	OPPS APC	1951.84				percent of total billed charges		2637.62				other	OPPS APC	2637.62				other	OPPS APC	714.53				percent of total billed charges		728.77				percent of total billed charges		2637.62				other	OPPS APC	714.53	2637.62	
TROCAR SPACEMAKER PROACCESS DISSECTOR	SUP-95-05108	CDM			272	RC		inpatient			2637.62	2637.62																																																			
SEALANT TISSUE CLOSURE DURASEAL EXACT 5ML DISPOSABLE STERILE LF SPINE	SUP-206520	CDM			270	RC		outpatient			2634.32	2634.32	713.64				percent of total billed charges		2634.32				other	OPPS APC	1949.4				percent of total billed charges		2634.32				other	OPPS APC	2634.32				other	OPPS APC	713.64				percent of total billed charges		727.86				percent of total billed charges		2634.32				other	OPPS APC	713.64	2634.32	
SEALANT TISSUE CLOSURE DURASEAL EXACT 5ML DISPOSABLE STERILE LF SPINE	SUP-206520	CDM			270	RC		inpatient			2634.32	2634.32																																																			
GRAFT BONE ALLOMATRIX C CANCELLOUS SMALL 10 ML PUTTY MOLDABLE	SUP-860C-1000	CDM	270010031	LOCAL	270	RC		outpatient			2634	2634	713.55				percent of total billed charges		2634				other	OPPS APC	1949.16				percent of total billed charges		2634				other	OPPS APC	2634				other	OPPS APC	713.55				percent of total billed charges		727.77				percent of total billed charges		2634				other	OPPS APC	713.55	2634	
GRAFT BONE ALLOMATRIX C CANCELLOUS SMALL 10 ML PUTTY MOLDABLE	SUP-860C-1000	CDM	270010031	LOCAL	270	RC		inpatient			2634	2634																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L211 MM TIBIA RIGHT PROXIMAL 14 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.944	CDM	270010022	LOCAL	270	RC		outpatient			2630.64	263.64	712.64				percent of total billed charges		2630.64				other	OPPS APC	1946.67				percent of total billed charges		2630.64				other	OPPS APC	2630.64				other	OPPS APC	712.64				percent of total billed charges		726.85				percent of total billed charges		263.64				other	OPPS APC	263.64	2630.64	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L211 MM TIBIA RIGHT PROXIMAL 14 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.944	CDM	270010022	LOCAL	270	RC		inpatient			2630.64	2630.64																																																			
NEXGEN LPS FIXED PROLONG ART SUR EF 3-4 20MM	SUP-00-5962-032-20	CDM	270010025	LOCAL	270	RC		outpatient			2628	2628	711.93				percent of total billed charges		2628				other	OPPS APC	1944.72				percent of total billed charges		2628				other	OPPS APC	2628				other	OPPS APC	711.93				percent of total billed charges		726.12				percent of total billed charges		2628				other	OPPS APC	711.93	2628	
NEXGEN LPS FIXED PROLONG ART SUR EF 3-4 20MM	SUP-00-5962-032-20	CDM	270010025	LOCAL	270	RC		inpatient			2628	2628																																																			
INSERT ARTICULAR LPS-FLEX NEXGEN PROLONG 5-6 G-H H14 MM KNEE FIX BEARING STERILE	SUP-00-5962-042-14	CDM	270010025	LOCAL	270	RC		outpatient			2628	2628	711.93				percent of total billed charges		2628				other	OPPS APC	1944.72				percent of total billed charges		2628				other	OPPS APC	2628				other	OPPS APC	711.93				percent of total billed charges		726.12				percent of total billed charges		2628				other	OPPS APC	711.93	2628	
INSERT ARTICULAR LPS-FLEX NEXGEN PROLONG 5-6 G-H H14 MM KNEE FIX BEARING STERILE	SUP-00-5962-042-14	CDM	270010025	LOCAL	270	RC		inpatient			2628	2628																																																			
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD T L104 MM X W11.4 MM X H3.4 MM W32.5 MM X H2 MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463407	CDM			270	RC		outpatient			2628	2628	711.93				percent of total billed charges		2628				other	OPPS APC	1944.72				percent of total billed charges		2628				other	OPPS APC	2628				other	OPPS APC	711.93				percent of total billed charges		726.12				percent of total billed charges		2628				other	OPPS APC	711.93	2628	
PLATE BONE EVOS STAINLESS STEEL 11 SPACE STANDARD T L104 MM X W11.4 MM X H3.4 MM W32.5 MM X H2 MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72463407	CDM			270	RC		inpatient			2628	2628																																																			
CUP UNIVERSAL REVERSE NEUTRAL 36MM	SUP-AR-9503-3633-3	CDM	270010030	LOCAL	270	RC		outpatient			2627.76	2627.76	711.86				percent of total billed charges		2627.76				other	OPPS APC	1944.54				percent of total billed charges		2627.76				other	OPPS APC	2627.76				other	OPPS APC	711.86				percent of total billed charges		726.05				percent of total billed charges		2627.76				other	OPPS APC	711.86	2627.76	
CUP UNIVERSAL REVERSE NEUTRAL 36MM	SUP-AR-9503-3633-3	CDM	270010030	LOCAL	270	RC		inpatient			2627.76	2627.76																																																			
GRAFT VITOSS 10CC	SUP-75-00138	CDM			278	RC		outpatient			2625	2625	2625				fee schedule		2625				other	OPPS APC	1496.25				percent of total billed charges		2625				other	OPPS APC	2625				other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges		2625				other	OPPS APC	1286.25	2625	
GRAFT VITOSS 10CC	SUP-75-00138	CDM			278	RC		inpatient			2625	2625																																																			
GRAFT THERASKIN 6CM 1 X 1	SUP-95-00345	CDM			636	RC		outpatient			2625	2625	2625				fee schedule		2625				other	OPPS APC	49.33				fee schedule		2625				other	OPPS APC	2625				other	OPPS APC	1286.25				percent of total billed charges		652.58				percent of total billed charges		2625				other	OPPS APC	49.33	2625	
GRAFT THERASKIN 6CM 1 X 1	SUP-95-00345	CDM			636	RC		inpatient			2625	2625																																																			
VENTRALIGHT ST 4.5 CIRCLE	SUP-97-00215	CDM			278	RC		outpatient			2625	2625	2625				fee schedule		2625				other	OPPS APC	1496.25				percent of total billed charges		2625				other	OPPS APC	2625				other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges		2625				other	OPPS APC	1286.25	2625	
VENTRALIGHT ST 4.5 CIRCLE	SUP-97-00215	CDM			278	RC		inpatient			2625	2625																																																			
VITOSS 10CC	SUP-97-00285	CDM			278	RC		outpatient			2625	2625	2625				fee schedule		2625				other	OPPS APC	1496.25				percent of total billed charges		2625				other	OPPS APC	2625				other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges		2625				other	OPPS APC	1286.25	2625	
VITOSS 10CC	SUP-97-00285	CDM			278	RC		inpatient			2625	2625																																																			
LENS SENSAR ACRYLIC AR40M -4.0D	SUP-97-01706	CDM			278	RC		outpatient			2625	2625	2625				fee schedule		2625				other	OPPS APC	1496.25				percent of total billed charges		2625				other	OPPS APC	2625				other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges		2625				other	OPPS APC	1286.25	2625	
LENS SENSAR ACRYLIC AR40M -4.0D	SUP-97-01706	CDM			278	RC		inpatient			2625	2625																																																			
STENT - ULTRA 5.0X18	SUP-99-00816	CDM			278	RC		inpatient			2625	2625																																																			
STENT - ULTRA 5.0X18	SUP-99-00816	CDM			278	RC		outpatient			2625	2625					fee schedule						other	OPPS APC	1496.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges						other	OPPS APC	1496.25	1496.25	
BALLOON - ANGIOSCULPT RX 3.5X10	SUP-99-01493	CDM			272	RC		outpatient			2625	2625	711.11				percent of total billed charges		2625				other	OPPS APC	1942.5				percent of total billed charges		2625				other	OPPS APC	2625				other	OPPS APC	711.11				percent of total billed charges		725.29				percent of total billed charges		2625				other	OPPS APC	711.11	2625	
BALLOON - ANGIOSCULPT RX 3.5X10	SUP-99-01493	CDM			272	RC		inpatient			2625	2625																																																			
STENT - OMNILINK ELITE .035 7.0X29	SUP-99-01540	CDM			278	RC		inpatient			2625	2625																																																			
STENT - OMNILINK ELITE .035 7.0X29	SUP-99-01540	CDM			278	RC		outpatient			2625	2625					fee schedule						other	OPPS APC	1496.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges						other	OPPS APC	1496.25	1496.25	
STENT - OMNILINK ELITE .035 7.0X19	SUP-99-01695	CDM			278	RC		inpatient			2625	2625																																																			
STENT - OMNILINK ELITE .035 7.0X19	SUP-99-01695	CDM			278	RC		outpatient			2625	2625					fee schedule						other	OPPS APC	1496.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1286.25				percent of total billed charges		1338.75				percent of total billed charges						other	OPPS APC	1496.25	1496.25	
BALLOON - ANGIOSCULPT RX 3.5X15	SUP-99-01795	CDM			272	RC		outpatient			2625	2625	711.11				percent of total billed charges		2625				other	OPPS APC	1942.5				percent of total billed charges		2625				other	OPPS APC	2625				other	OPPS APC	711.11				percent of total billed charges		725.29				percent of total billed charges		2625				other	OPPS APC	711.11	2625	
BALLOON - ANGIOSCULPT RX 3.5X15	SUP-99-01795	CDM			272	RC		inpatient			2625	2625																																																			
PLATE 3.5MM LCP EXTRA ARTICULAR DISTAL HUMERUS 6 HOLE RIGHT	SUP-02.104.006	CDM	270010022	LOCAL	270	RC		outpatient			2620.8	262.82	709.97				percent of total billed charges		2620.8				other	OPPS APC	1939.39				percent of total billed charges		2620.8				other	OPPS APC	2620.8				other	OPPS APC	709.97				percent of total billed charges		724.13				percent of total billed charges		262.82				other	OPPS APC	262.82	2620.8	
PLATE 3.5MM LCP EXTRA ARTICULAR DISTAL HUMERUS 6 HOLE RIGHT	SUP-02.104.006	CDM	270010022	LOCAL	270	RC		inpatient			2620.8	2620.8																																																			
PLATE 3.5   LCP EXTRA-ARTICULAR DISTAL HUMBERUS LEFT 6 HOLE	SUP-02.104.026	CDM	270010022	LOCAL	270	RC		outpatient			2620.8	262.82	709.97				percent of total billed charges		2620.8				other	OPPS APC	1939.39				percent of total billed charges		2620.8				other	OPPS APC	2620.8				other	OPPS APC	709.97				percent of total billed charges		724.13				percent of total billed charges		262.82				other	OPPS APC	262.82	2620.8	
PLATE 3.5   LCP EXTRA-ARTICULAR DISTAL HUMBERUS LEFT 6 HOLE	SUP-02.104.026	CDM	270010022	LOCAL	270	RC		inpatient			2620.8	2620.8																																																			
BLOCK AUGMENTATION GMK 4 H5 MM TIBIA SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA405	CDM	270010025	LOCAL	270	RC		outpatient			2620	262	709.76				percent of total billed charges		2620				other	OPPS APC	1938.8				percent of total billed charges		2620				other	OPPS APC	2620				other	OPPS APC	709.76				percent of total billed charges		723.91				percent of total billed charges		262				other	OPPS APC	262	2620	
BLOCK AUGMENTATION GMK 4 H5 MM TIBIA SCREW STERILE LATEX FREE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.09.TA405	CDM	270010025	LOCAL	270	RC		inpatient			2620	2620																																																			
BLOCK AUGMENTATION GMK THK10 MM 4 TIBIA SCREWED	SUP-02.09.TA410	CDM	270010025	LOCAL	270	RC		outpatient			2620	262	709.76				percent of total billed charges		2620				other	OPPS APC	1938.8				percent of total billed charges		2620				other	OPPS APC	2620				other	OPPS APC	709.76				percent of total billed charges		723.91				percent of total billed charges		262				other	OPPS APC	262	2620	
BLOCK AUGMENTATION GMK THK10 MM 4 TIBIA SCREWED	SUP-02.09.TA410	CDM	270010025	LOCAL	270	RC		inpatient			2620	2620																																																			
NAIL KIT TI TROCHANTERIC 11 X 180 X 130	SUP-97-03064	CDM			278	RC		outpatient			2618.1	2619	2618.1				fee schedule		2618.1				other	OPPS APC	1492.32				percent of total billed charges		2618.1				other	OPPS APC	2618.1				other	OPPS APC	1282.87				percent of total billed charges		1335.23				percent of total billed charges		2619				other	OPPS APC	1282.87	2619	
NAIL KIT TI TROCHANTERIC 11 X 180 X 130	SUP-97-03064	CDM			278	RC		inpatient			2618.1	2618.1																																																			
PATCH SOFT TISSUE GORE-TEX THK2 MM L15 CM X W10 CM SOFT CONFORMABLE TRIM STRONG STERILE HERNIA REPAIR	SUP-1310015020	CDM			270	RC		outpatient			2616	2616	708.67				percent of total billed charges		2616				other	OPPS APC	1935.84				percent of total billed charges		2616				other	OPPS APC	2616				other	OPPS APC	708.67				percent of total billed charges		722.8				percent of total billed charges		2616				other	OPPS APC	708.67	2616	
PATCH SOFT TISSUE GORE-TEX THK2 MM L15 CM X W10 CM SOFT CONFORMABLE TRIM STRONG STERILE HERNIA REPAIR	SUP-1310015020	CDM			270	RC		inpatient			2616	2616																																																			
COMPONENT GLENOID UNIVERS REVERS POROUS OD30 MM MODULAR POST	SUP-AR-9582-30	CDM	270010030	LOCAL	270	RC		outpatient			2610	261	707.05				percent of total billed charges		2610				other	OPPS APC	1931.4				percent of total billed charges		2610				other	OPPS APC	2610				other	OPPS APC	707.05				percent of total billed charges		721.14				percent of total billed charges		261				other	OPPS APC	261	2610	
COMPONENT GLENOID UNIVERS REVERS POROUS OD30 MM MODULAR POST	SUP-AR-9582-30	CDM	270010030	LOCAL	270	RC		inpatient			2610	2610																																																			
SMART TOE II	SUP-97-02061	CDM			278	RC		outpatient			2608.2	268.2	2608.2				fee schedule		2608.2				other	OPPS APC	1486.67				percent of total billed charges		2608.2				other	OPPS APC	2608.2				other	OPPS APC	1278.02				percent of total billed charges		1330.18				percent of total billed charges		268.2				other	OPPS APC	268.2	2608.2	
SMART TOE II	SUP-97-02061	CDM			278	RC		inpatient			2608.2	2608.2																																																			
SMART TOE II	SUP-97-02107	CDM			278	RC		outpatient			2608.2	268.2	2608.2				fee schedule		2608.2				other	OPPS APC	1486.67				percent of total billed charges		2608.2				other	OPPS APC	2608.2				other	OPPS APC	1278.02				percent of total billed charges		1330.18				percent of total billed charges		268.2				other	OPPS APC	268.2	2608.2	
SMART TOE II	SUP-97-02107	CDM			278	RC		inpatient			2608.2	2608.2																																																			
PLATE 2.4/2.7MM VA LOCKING CUBOID LEFT	SUP-02.211.221	CDM	270010022	LOCAL	270	RC		outpatient			2607.6	267.6	706.4				percent of total billed charges		2607.6				other	OPPS APC	1929.62				percent of total billed charges		2607.6				other	OPPS APC	2607.6				other	OPPS APC	706.4				percent of total billed charges		720.48				percent of total billed charges		267.6				other	OPPS APC	267.6	2607.6	
PLATE 2.4/2.7MM VA LOCKING CUBOID LEFT	SUP-02.211.221	CDM	270010022	LOCAL	270	RC		inpatient			2607.6	2607.6																																																			
PLATE 2.4/2.7MM VA LOCKING CUBOID RIGHT	SUP-02.211.222	CDM	270010022	LOCAL	270	RC		outpatient			2607.6	267.6	706.4				percent of total billed charges		2607.6				other	OPPS APC	1929.62				percent of total billed charges		2607.6				other	OPPS APC	2607.6				other	OPPS APC	706.4				percent of total billed charges		720.48				percent of total billed charges		267.6				other	OPPS APC	267.6	2607.6	
PLATE 2.4/2.7MM VA LOCKING CUBOID RIGHT	SUP-02.211.222	CDM	270010022	LOCAL	270	RC		inpatient			2607.6	2607.6																																																			
PLATE BONE LCP STAINLESS STEEL 5 D LARGE L57 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.243	CDM	270010022	LOCAL	270	RC		outpatient			2607.6	267.6	706.4				percent of total billed charges		2607.6				other	OPPS APC	1929.62				percent of total billed charges		2607.6				other	OPPS APC	2607.6				other	OPPS APC	706.4				percent of total billed charges		720.48				percent of total billed charges		267.6				other	OPPS APC	267.6	2607.6	
PLATE BONE LCP STAINLESS STEEL 5 D LARGE L57 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.243	CDM	270010022	LOCAL	270	RC		inpatient			2607.6	2607.6																																																			
PLATE BONE LCP STAINLESS STEEL XLONG T L92 MM FOREFOOT MIDFOOT 3 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.265	CDM	270010022	LOCAL	270	RC		outpatient			2607.6	267.6	706.4				percent of total billed charges		2607.6				other	OPPS APC	1929.62				percent of total billed charges		2607.6				other	OPPS APC	2607.6				other	OPPS APC	706.4				percent of total billed charges		720.48				percent of total billed charges		267.6				other	OPPS APC	267.6	2607.6	
PLATE BONE LCP STAINLESS STEEL XLONG T L92 MM FOREFOOT MIDFOOT 3 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.265	CDM	270010022	LOCAL	270	RC		inpatient			2607.6	2607.6																																																			
FIBER GREENLIGHT LASER XPS-FORTEC MEDICAL	SUP-10486	CDM			270	RC		outpatient			2606	266	705.97				percent of total billed charges		2606				other	OPPS APC	1928.44				percent of total billed charges		2606				other	OPPS APC	2606				other	OPPS APC	705.97				percent of total billed charges		720.04				percent of total billed charges		266				other	OPPS APC	266	2606	
FIBER GREENLIGHT LASER XPS-FORTEC MEDICAL	SUP-10486	CDM			270	RC		inpatient			2606	2606																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L185 MM TIBIA RIGHT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.942	CDM	270010022	LOCAL	270	RC		outpatient			2604.46	264.46	705.55				percent of total billed charges		2604.46				other	OPPS APC	1927.3				percent of total billed charges		2604.46				other	OPPS APC	2604.46				other	OPPS APC	705.55				percent of total billed charges		719.61				percent of total billed charges		264.46				other	OPPS APC	264.46	2604.46	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L185 MM TIBIA RIGHT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.942	CDM	270010022	LOCAL	270	RC		inpatient			2604.46	2604.46																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L185 MM TIBIA LEFT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.943	CDM	270010022	LOCAL	270	RC		outpatient			2604.46	264.46	705.55				percent of total billed charges		2604.46				other	OPPS APC	1927.3				percent of total billed charges		2604.46				other	OPPS APC	2604.46				other	OPPS APC	705.55				percent of total billed charges		719.61				percent of total billed charges		264.46				other	OPPS APC	264.46	2604.46	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L185 MM TIBIA LEFT PROXIMAL 12 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.943	CDM	270010022	LOCAL	270	RC		inpatient			2604.46	2604.46																																																			
INSERT TIBIAL OPTETRACK 2 H22 MM KNEE POSTERIOR STABILIZE	SUP-204-22-22	CDM	270010025	LOCAL	270	RC		outpatient			2604	264	705.42				percent of total billed charges		2604				other	OPPS APC	1926.96				percent of total billed charges		2604				other	OPPS APC	2604				other	OPPS APC	705.42				percent of total billed charges		719.49				percent of total billed charges		264				other	OPPS APC	264	2604	
INSERT TIBIAL OPTETRACK 2 H22 MM KNEE POSTERIOR STABILIZE	SUP-204-22-22	CDM	270010025	LOCAL	270	RC		inpatient			2604	2604																																																			
INSERT TIBIAL OPTETRACK 4 H22 MM KNEE POSTERIOR STABILIZE	SUP-204-24-22	CDM	270010025	LOCAL	270	RC		outpatient			2604	264	705.42				percent of total billed charges		2604				other	OPPS APC	1926.96				percent of total billed charges		2604				other	OPPS APC	2604				other	OPPS APC	705.42				percent of total billed charges		719.49				percent of total billed charges		264				other	OPPS APC	264	2604	
INSERT TIBIAL OPTETRACK 4 H22 MM KNEE POSTERIOR STABILIZE	SUP-204-24-22	CDM	270010025	LOCAL	270	RC		inpatient			2604	2604																																																			
RT.NARROW EXTRA SHORT VOLAR PLATE	SUP-95-23468	CDM			278	RC		outpatient			2604	264	2604				fee schedule		2604				other	OPPS APC	1484.28				percent of total billed charges		2604				other	OPPS APC	2604				other	OPPS APC	1275.96				percent of total billed charges		1328.04				percent of total billed charges		264				other	OPPS APC	264	2604	
RT.NARROW EXTRA SHORT VOLAR PLATE	SUP-95-23468	CDM			278	RC		inpatient			2604	2604																																																			
TRIATHLON FEM. DISTAL AUG.5MM SZ3 LEFT	SUP-97-05012	CDM			278	RC		outpatient			2601.6	261.6	2601.6				fee schedule		2601.6				other	OPPS APC	1482.91				percent of total billed charges		2601.6				other	OPPS APC	2601.6				other	OPPS APC	1274.78				percent of total billed charges		1326.82				percent of total billed charges		261.6				other	OPPS APC	261.6	2601.6	
TRIATHLON FEM. DISTAL AUG.5MM SZ3 LEFT	SUP-97-05012	CDM			278	RC		inpatient			2601.6	2601.6																																																			
AUGMENT FEMORAL DISTAL 5MM SIZE 4 LEFT	SUP-97-06126	CDM			278	RC		outpatient			2601.6	261.6	2601.6				fee schedule		2601.6				other	OPPS APC	1482.91				percent of total billed charges		2601.6				other	OPPS APC	2601.6				other	OPPS APC	1274.78				percent of total billed charges		1326.82				percent of total billed charges		261.6				other	OPPS APC	261.6	2601.6	
AUGMENT FEMORAL DISTAL 5MM SIZE 4 LEFT	SUP-97-06126	CDM			278	RC		inpatient			2601.6	2601.6																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L22 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC MEDIAL BIAS ANGLE POLYAXIAL	SUP-48555322	CDM	270010020	LOCAL	270	RC		outpatient			2600.38	26.38	704.44				percent of total billed charges		2600.38				other	OPPS APC	1924.28				percent of total billed charges		2600.38				other	OPPS APC	2600.38				other	OPPS APC	704.44				percent of total billed charges		718.48				percent of total billed charges		26.38				other	OPPS APC	26.38	2600.38	
SCREW BONE OASYS TITANIUM LOW PROFILE L22 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC MEDIAL BIAS ANGLE POLYAXIAL	SUP-48555322	CDM	270010020	LOCAL	270	RC		inpatient			2600.38	2600.38																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L10 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557310	CDM			270	RC		outpatient			2600.38	26.38	704.44				percent of total billed charges		2600.38				other	OPPS APC	1924.28				percent of total billed charges		2600.38				other	OPPS APC	2600.38				other	OPPS APC	704.44				percent of total billed charges		718.48				percent of total billed charges		26.38				other	OPPS APC	26.38	2600.38	
SCREW BONE OASYS TITANIUM LOW PROFILE L10 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557310	CDM			270	RC		inpatient			2600.38	2600.38																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L12 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557312	CDM	270010020	LOCAL	270	RC		outpatient			2600.38	26.38	704.44				percent of total billed charges		2600.38				other	OPPS APC	1924.28				percent of total billed charges		2600.38				other	OPPS APC	2600.38				other	OPPS APC	704.44				percent of total billed charges		718.48				percent of total billed charges		26.38				other	OPPS APC	26.38	2600.38	
SCREW BONE OASYS TITANIUM LOW PROFILE L12 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557312	CDM	270010020	LOCAL	270	RC		inpatient			2600.38	2600.38																																																			
SCREW BONE OASYS TITANIUM LOW PROFILE L22 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557322	CDM			270	RC		outpatient			2600.38	26.38	704.44				percent of total billed charges		2600.38				other	OPPS APC	1924.28				percent of total billed charges		2600.38				other	OPPS APC	2600.38				other	OPPS APC	704.44				percent of total billed charges		718.48				percent of total billed charges		26.38				other	OPPS APC	26.38	2600.38	
SCREW BONE OASYS TITANIUM LOW PROFILE L22 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANCELLOUS BIAS ANGLE POLYAXIAL	SUP-48557322	CDM			270	RC		inpatient			2600.38	2600.38																																																			
CATHETER GUIDING RIST L100 CM STERILE LATEX FREE	SUP-106F-071-100	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
CATHETER GUIDING RIST L100 CM STERILE LATEX FREE	SUP-106F-071-100	CDM			270	RC		inpatient			2600	2600																																																			
CATHETER GUIDING RIST L105 CM STERILE LATEX FREE	SUP-106F-071-105	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
CATHETER GUIDING RIST L105 CM STERILE LATEX FREE	SUP-106F-071-105	CDM			270	RC		inpatient			2600	2600																																																			
CATHETER GUIDING RIST L95 CM STERILE LATEX FREE	SUP-106F-071-95	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
CATHETER GUIDING RIST L95 CM STERILE LATEX FREE	SUP-106F-071-95	CDM			270	RC		inpatient			2600	2600																																																			
SHEATH INTRODUCER LONG L100 CM OD.079 IN ODSEC10.7 FR RADIAL	SUP-107F-079-100	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SHEATH INTRODUCER LONG L100 CM OD.079 IN ODSEC10.7 FR RADIAL	SUP-107F-079-100	CDM			270	RC		inpatient			2600	2600																																																			
SHEATH INTRODUCER LONG L95 CM OD.079 IN ODSEC10.7 FR RADIAL	SUP-107F-079-95	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SHEATH INTRODUCER LONG L95 CM OD.079 IN ODSEC10.7 FR RADIAL	SUP-107F-079-95	CDM			270	RC		inpatient			2600	2600																																																			
STEM FEMORAL SUMMIT 4 12/14 HIGH OFFSET TAPER L114 MM HIP CEMENT STERILE	SUP-157013100	CDM	270010024	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
STEM FEMORAL SUMMIT 4 12/14 HIGH OFFSET TAPER L114 MM HIP CEMENT STERILE	SUP-157013100	CDM	270010024	LOCAL	270	RC		inpatient			2600	2600																																																			
SYSTEM EMBOLIC PROTECTION EMBOSHEILD NAV6 STAINLESS STEEL PTFE SMALL L190CM OD 2.5-4.8MM	SUP-22437-19	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SYSTEM EMBOLIC PROTECTION EMBOSHEILD NAV6 STAINLESS STEEL PTFE SMALL L190CM OD 2.5-4.8MM	SUP-22437-19	CDM			270	RC		inpatient			2600	2600																																																			
SYSTEM EMBOLIC PROTECTION EMBOSHIELD NAV6 STAINLESS STEEL PTFE .014 IN LARGE L190 CM OD4-7 MM	SUP-22438-19	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SYSTEM EMBOLIC PROTECTION EMBOSHIELD NAV6 STAINLESS STEEL PTFE .014 IN LARGE L190 CM OD4-7 MM	SUP-22438-19	CDM			270	RC		inpatient			2600	2600																																																			
SCREW BONE ES2 LITE XIA 3 SHORT BLADE LOW PROFILE L50 MM L15 MM OD6.5 MM SPINE 6 POINT STAR CANNULATED SECURE RING NOTCH ACCEPTS 1.3 MM KIRSCHNER WIRE	SUP-482802650	CDM	270010020	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SCREW BONE ES2 LITE XIA 3 SHORT BLADE LOW PROFILE L50 MM L15 MM OD6.5 MM SPINE 6 POINT STAR CANNULATED SECURE RING NOTCH ACCEPTS 1.3 MM KIRSCHNER WIRE	SUP-482802650	CDM	270010020	LOCAL	270	RC		inpatient			2600	2600																																																			
SCREW BONE ES2 LITE XIA 3 LONG BLADE LOW PROFILE L50 MM L15 MM OD6.5 MM SPINE 6 POINT STAR CANNULATED SECURE RING NOTCH ACCEPTS 1.3 MM KIRSCHNER WIRE	SUP-482804650	CDM	270010020	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SCREW BONE ES2 LITE XIA 3 LONG BLADE LOW PROFILE L50 MM L15 MM OD6.5 MM SPINE 6 POINT STAR CANNULATED SECURE RING NOTCH ACCEPTS 1.3 MM KIRSCHNER WIRE	SUP-482804650	CDM	270010020	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD UNIPOLAR UNITRAX OD38 MM HIP FEMORAL MODULAR EXETER V40 STEM	SUP-6942-5-038	CDM	270010024	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD UNIPOLAR UNITRAX OD38 MM HIP FEMORAL MODULAR EXETER V40 STEM	SUP-6942-5-038	CDM	270010024	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD UNIPOLAR UNITRAX OD40 MM HIP FEMORAL MODULAR EXETER V40 STEM	SUP-6942-5-040	CDM	270010024	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD UNIPOLAR UNITRAX OD40 MM HIP FEMORAL MODULAR EXETER V40 STEM	SUP-6942-5-040	CDM	270010024	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD UNIPOLAR UNITRAX OD48 MM HIP FEMORAL MODULAR EXETER V40 STEM	SUP-6942-5-048	CDM	270010023	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD UNIPOLAR UNITRAX OD48 MM HIP FEMORAL MODULAR EXETER V40 STEM	SUP-6942-5-048	CDM	270010023	LOCAL	270	RC		inpatient			2600	2600																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM E OD52 MM HIP CLUSTER HOLE STERILE	SUP-702-04-52E	CDM	270010024	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SHELL ACETABULAR TRIDENT II TRITANIUM E OD52 MM HIP CLUSTER HOLE STERILE	SUP-702-04-52E	CDM	270010024	LOCAL	270	RC		inpatient			2600	2600																																																			
ALLOSYNC EXPAND 10CC	SUP-ABS-2017-10	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
ALLOSYNC EXPAND 10CC	SUP-ABS-2017-10	CDM			270	RC		inpatient			2600	2600																																																			
CAGE SPINAL 14MM X 13MM X 5MM 3D 7DEG	SUP-AC4-243057	CDM	270010020	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
CAGE SPINAL 14MM X 13MM X 5MM 3D 7DEG	SUP-AC4-243057	CDM	270010020	LOCAL	270	RC		inpatient			2600	2600																																																			
SPACER SPINAL INTERBODY 14X13X7MM  7 DEGREE  3D	SUP-AC4-243077	CDM	270010020	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SPACER SPINAL INTERBODY 14X13X7MM  7 DEGREE  3D	SUP-AC4-243077	CDM	270010020	LOCAL	270	RC		inpatient			2600	2600																																																			
SPACER SPINAL INTERBODY 14X13X8MM  7 DEGREE  3D	SUP-AC4-243087	CDM	270010020	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SPACER SPINAL INTERBODY 14X13X8MM  7 DEGREE  3D	SUP-AC4-243087	CDM	270010020	LOCAL	270	RC		inpatient			2600	2600																																																			
SPACER SPINAL INTERBODY 16X14X7MM  7 DEGREE  3D	SUP-AC4-264077	CDM	270010020	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SPACER SPINAL INTERBODY 16X14X7MM  7 DEGREE  3D	SUP-AC4-264077	CDM	270010020	LOCAL	270	RC		inpatient			2600	2600																																																			
SCREW INTERFERENCE BIO-INTERFERENCE POLY L LACTIC ACID L23 MM OD10 MM ACL PCL CANNULATED SHEATH STERILE	SUP-AR-1400B	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SCREW INTERFERENCE BIO-INTERFERENCE POLY L LACTIC ACID L23 MM OD10 MM ACL PCL CANNULATED SHEATH STERILE	SUP-AR-1400B	CDM			270	RC		inpatient			2600	2600																																																			
BASEPLATE GLENOID SMALL UNIVERSAL SHOULDER	SUP-AR-9120-01	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
BASEPLATE GLENOID SMALL UNIVERSAL SHOULDER	SUP-AR-9120-01	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
BASEPLATE GLENOID MEDIUM UNIVERSAL SHOULDER	SUP-AR-9120-02	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
BASEPLATE GLENOID MEDIUM UNIVERSAL SHOULDER	SUP-AR-9120-02	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
BASEPLATE GLENOID LARGE UNIVERSAL SHOULDER	SUP-AR-9120-03	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
BASEPLATE GLENOID LARGE UNIVERSAL SHOULDER	SUP-AR-9120-03	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +4 MM LARGE UNIVERSAL LATERAL OFFSET OD42 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504L-04	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +4 MM LARGE UNIVERSAL LATERAL OFFSET OD42 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504L-04	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE MEDIUM UNIVERSAL OD39 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504M	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE MEDIUM UNIVERSAL OD39 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504M	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +2.5 MM MEDIUM UNIVERSAL INFERIOR OFFSET OD42 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504M-02	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +2.5 MM MEDIUM UNIVERSAL INFERIOR OFFSET OD42 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504M-02	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +4 MM MEDIUM UNIVERSAL LATERAL OFFSET OD39 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504M-04	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +4 MM MEDIUM UNIVERSAL LATERAL OFFSET OD39 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504M-04	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE SMALL UNIVERSAL OD36 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE SMALL UNIVERSAL OD36 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +2.5 MM SMALL UNIVERSAL INFERIOR OFFSET OD39 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S-02	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +2.5 MM SMALL UNIVERSAL INFERIOR OFFSET OD39 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S-02	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +4 MM SMALL UNIVERSAL LATERAL OFFSET OD36 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S-04	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +4 MM SMALL UNIVERSAL LATERAL OFFSET OD36 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S-04	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +2.5 MM INFERIOR OFFSET OD36 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S-INF	CDM	270010030	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
HEAD GLENOID UNIVERS REVERS CALCIUM PHOSPHATE +2.5 MM INFERIOR OFFSET OD36 MM SHOULDER GLENOSPHERE VARIABLE ANGLE STERILE ARTHROPLASTY	SUP-AR-9504S-INF	CDM	270010030	LOCAL	270	RC		inpatient			2600	2600																																																			
FUSION CERVICAL LEVEL 1	SUP-CERVICALL1-SYNTHES	CDM	270010008	LOCAL	270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
FUSION CERVICAL LEVEL 1	SUP-CERVICALL1-SYNTHES	CDM	270010008	LOCAL	270	RC		inpatient			2600	2600																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40026UX	CDM			270	RC		outpatient			2600	26	704.34				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	704.34				percent of total billed charges		718.38				percent of total billed charges		26				other	OPPS APC	26	2600	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40026UX	CDM			270	RC		inpatient			2600	2600																																																			
STENT CORONARY TRYTON 2.5/2.5 RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 5FR GUIDE CATHETER 19MM	SUP-T52525191US_52188	CDM			481	RC		outpatient			2600	26	1274				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	1274				percent of total billed charges		1326				percent of total billed charges		26				other	OPPS APC	26	2600	
STENT CORONARY TRYTON 2.5/2.5 RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 5FR GUIDE CATHETER 19MM	SUP-T52525191US_52188	CDM			481	RC		inpatient			2600	2600																																																			
STENT CORONARY TRYTON COCR NYLON THK85 UM .02 IN L15MM L140CM OD 3.5-4  MM ODSEC.035IN RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 6FR GUIDE CATHETER	SUP-T53540151US_52192	CDM			481	RC		outpatient			2600	26	1274				percent of total billed charges		2600				other	OPPS APC	1924				percent of total billed charges		2600				other	OPPS APC	2600				other	OPPS APC	1274				percent of total billed charges		1326				percent of total billed charges		26				other	OPPS APC	26	2600	
STENT CORONARY TRYTON COCR NYLON THK85 UM .02 IN L15MM L140CM OD 3.5-4  MM ODSEC.035IN RAPID EXCHANGE RADIOPAQUE SIDE BRANCH CATHETER ACCEPTS .014 IN GUIDEWIRE 6FR GUIDE CATHETER	SUP-T53540151US_52192	CDM			481	RC		inpatient			2600	2600																																																			
HC US Guid Cth per Periton Retro	PX-402494070	CDM	49407	CPT	402	RC		outpatient			2599	2599	755.25				fee schedule		2599				other	OPPS APC	1923.26				percent of total billed charges		2599				other	OPPS APC	2599				other	OPPS APC	200.31				fee schedule		1325.49				percent of total billed charges		2599				other	OPPS APC	200.31	2599	
HC US Guid Cth per Periton Retro	PX-402494070	CDM	49407	CPT	402	RC		inpatient			2599	2599																																																			
PROBE 8G	SUP-95-00530	CDM			272	RC		outpatient			2597.07	2597.72	703.55				percent of total billed charges		2597.07				other	OPPS APC	1921.83				percent of total billed charges		2597.07				other	OPPS APC	2597.07				other	OPPS APC	703.55				percent of total billed charges		717.57				percent of total billed charges		2597.72				other	OPPS APC	703.55	2597.72	
PROBE 8G	SUP-95-00530	CDM			272	RC		inpatient			2597.07	2597.07																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L18 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.018	CDM	270010020	LOCAL	270	RC		outpatient			2596.8	2596.82	703.47				percent of total billed charges		2596.8				other	OPPS APC	1921.63				percent of total billed charges		2596.8				other	OPPS APC	2596.8				other	OPPS APC	703.47				percent of total billed charges		717.5				percent of total billed charges		2596.82				other	OPPS APC	703.47	2596.82	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L18 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.018	CDM	270010020	LOCAL	270	RC		inpatient			2596.8	2596.8																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L26 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.026	CDM	270010020	LOCAL	270	RC		outpatient			2596.8	2596.82	703.47				percent of total billed charges		2596.8				other	OPPS APC	1921.63				percent of total billed charges		2596.8				other	OPPS APC	2596.8				other	OPPS APC	703.47				percent of total billed charges		717.5				percent of total billed charges		2596.82				other	OPPS APC	703.47	2596.82	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L26 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.026	CDM	270010020	LOCAL	270	RC		inpatient			2596.8	2596.8																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L12 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.112	CDM	270010020	LOCAL	270	RC		outpatient			2596.8	2596.82	703.47				percent of total billed charges		2596.8				other	OPPS APC	1921.63				percent of total billed charges		2596.8				other	OPPS APC	2596.8				other	OPPS APC	703.47				percent of total billed charges		717.5				percent of total billed charges		2596.82				other	OPPS APC	703.47	2596.82	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L12 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.112	CDM	270010020	LOCAL	270	RC		inpatient			2596.8	2596.8																																																			
STENT - ASSURANT COBALT 9X30	SUP-99-02023	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 9X30	SUP-99-02023	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
STENT - ASSURANT COBALT 7X60	SUP-99-02044	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 7X60	SUP-99-02044	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
STENT - ASSURANT COBALT 9X40	SUP-99-02163	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 9X40	SUP-99-02163	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
STENT - ASSURANT COBALT 7X30	SUP-99-02195	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 7X30	SUP-99-02195	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
STENT - ASSURANT COBALT 8X30	SUP-99-02218	CDM			278	RC		outpatient			2595	2595	2595				fee schedule		2595				other	OPPS APC	1479.15				percent of total billed charges		2595				other	OPPS APC	2595				other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges		2595				other	OPPS APC	1271.55	2595	
STENT - ASSURANT COBALT 8X30	SUP-99-02218	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 9X60	SUP-99-02282	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 9X60	SUP-99-02282	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
STENT - ASSURANT COBALT 6X20	SUP-99-03245	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 6X20	SUP-99-03245	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
STENT - ASSURANT COBALT 8X20	SUP-99-03275	CDM			278	RC		inpatient			2595	2595																																																			
STENT - ASSURANT COBALT 8X20	SUP-99-03275	CDM			278	RC		outpatient			2595	2595					fee schedule						other	OPPS APC	1479.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	1271.55				percent of total billed charges		1323.45				percent of total billed charges						other	OPPS APC	1479.15	1479.15	
NAIL INTRAMEDULLARY EXPERT TITANIUM ROUND L300 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND UNIVERSAL STERILE DARK BLUE 4 MM LOCK SCREW	SUP-04.034.240S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM ROUND L300 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND UNIVERSAL STERILE DARK BLUE 4 MM LOCK SCREW	SUP-04.034.240S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.243S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD8 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.243S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND L330 MM OD8 MM TIBIAL CANNULATED PROXIMAL BEND STERILE DARK BLUE 4 MM LOCK SCREW	SUP-04.034.246S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND L330 MM OD8 MM TIBIAL CANNULATED PROXIMAL BEND STERILE DARK BLUE 4 MM LOCK SCREW	SUP-04.034.246S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND BARREL L36 CM OD8 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.252S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL ROUND BARREL L36 CM OD8 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.252S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.343S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L315 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.343S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L330 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.346S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L330 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.346S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT ROUND BARREL 345MM 9MM DARK BLUE TITANIUM STERILE TIBIA CANNULATED PROXIMAL BEND UNIVERSAL	SUP-04.034.349S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT ROUND BARREL 345MM 9MM DARK BLUE TITANIUM STERILE TIBIA CANNULATED PROXIMAL BEND UNIVERSAL	SUP-04.034.349S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM UNIVERSAL ROUND L36 CM OD9 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.352S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM UNIVERSAL ROUND L36 CM OD9 MM TIBIA CANNULATED PROXIMAL BEND STERILE DARK BLUE	SUP-04.034.352S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.355S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L375 MM OD9 MM TIBIA CANNULATED PROXIMAL BEND ROUND BARREL STERILE DARK BLUE	SUP-04.034.355S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX 300MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.440S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX 300MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.440S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L315 MM OD10 MM CANNULATED PROXIMAL BEND STERILE	SUP-04.034.443S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L315 MM OD10 MM CANNULATED PROXIMAL BEND STERILE	SUP-04.034.443S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX 330MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.446S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX 330MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.446S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX 345CM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.449S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX 345CM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.449S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX 360MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.452S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX 360MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.452S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX 375MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.455S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX 375MM 10MM LIGHT GREEN TITANIUM STERILE TIBIAL CANNULATED PROXIMAL BEND	SUP-04.034.455S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL 10MM 390MM TIBIA NAIL-EX INTRAMEDULLARY CANNULATED PROXIMAL BEND TITANIUM	SUP-04.034.458S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL 10MM 390MM TIBIA NAIL-EX INTRAMEDULLARY CANNULATED PROXIMAL BEND TITANIUM	SUP-04.034.458S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L405 MM OD10 MM TIBIAL CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.461S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L405 MM OD10 MM TIBIAL CANNULATED PROXIMAL BEND ROUND BARREL STERILE LIGHT GREEN	SUP-04.034.461S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L300 MM OD11 MM TIBIA CANNULATED FIXATION PROXIMAL BEND STERILE LIGHT GREEN	SUP-04.034.540S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY NAIL-EX TITANIUM L300 MM OD11 MM TIBIA CANNULATED FIXATION PROXIMAL BEND STERILE LIGHT GREEN	SUP-04.034.540S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L360 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.552S	CDM	270010022	LOCAL	270	RC		outpatient			2592.56	2592.56	702.32				percent of total billed charges		2592.56				other	OPPS APC	1918.49				percent of total billed charges		2592.56				other	OPPS APC	2592.56				other	OPPS APC	702.32				percent of total billed charges		716.32				percent of total billed charges		2592.56				other	OPPS APC	702.32	2592.56	
NAIL INTRAMEDULLARY EXPERT TITANIUM UNIVERSAL L360 MM OD11 MM TIBIA CANNULATED PROXIMAL BEND FLUTED BARREL STERILE LIGHT GREEN	SUP-04.034.552S	CDM	270010022	LOCAL	270	RC		inpatient			2592.56	2592.56																																																			
PLATE BONE EVOS STAINLESS STEEL L 129 MM HUMERUS LEFT DISTAL POSTEROLATERAL 10 HOLE LOW PROFILE VARIABLE ANGLE LOCK 2.7/3.5 MM SCREW	SUP-72466110	CDM			270	RC		outpatient			2592	2592	702.17				percent of total billed charges		2592				other	OPPS APC	1918.08				percent of total billed charges		2592				other	OPPS APC	2592				other	OPPS APC	702.17				percent of total billed charges		716.17				percent of total billed charges		2592				other	OPPS APC	702.17	2592	
PLATE BONE EVOS STAINLESS STEEL L 129 MM HUMERUS LEFT DISTAL POSTEROLATERAL 10 HOLE LOW PROFILE VARIABLE ANGLE LOCK 2.7/3.5 MM SCREW	SUP-72466110	CDM			270	RC		inpatient			2592	2592																																																			
FILLER BONE VOID STIMUBLAST CANCELLOUS DEMINERALIZED BONE MATRIX 10 ML PUTTY REVERSE PHASE MEDIUM	SUP-80338010	CDM	270010031	LOCAL	270	RC		outpatient			2590	259	701.63				percent of total billed charges		2590				other	OPPS APC	1916.6				percent of total billed charges		2590				other	OPPS APC	2590				other	OPPS APC	701.63				percent of total billed charges		715.62				percent of total billed charges		259				other	OPPS APC	259	2590	
FILLER BONE VOID STIMUBLAST CANCELLOUS DEMINERALIZED BONE MATRIX 10 ML PUTTY REVERSE PHASE MEDIUM	SUP-80338010	CDM	270010031	LOCAL	270	RC		inpatient			2590	2590																																																			
MICROCATHETER 165 CM L .008 IN GUIDEWIRE 1.2 FR .009 IN FLOW-DEPENDENT MAGIC	SUP-MAGIC1.2F	CDM			270	RC		outpatient			2590	259	701.63				percent of total billed charges		2590				other	OPPS APC	1916.6				percent of total billed charges		2590				other	OPPS APC	2590				other	OPPS APC	701.63				percent of total billed charges		715.62				percent of total billed charges		259				other	OPPS APC	259	2590	
MICROCATHETER 165 CM L .008 IN GUIDEWIRE 1.2 FR .009 IN FLOW-DEPENDENT MAGIC	SUP-MAGIC1.2F	CDM			270	RC		inpatient			2590	2590																																																			
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L55 MM L75 CM OD20 MM TRACHEOBRONCHIAL FLEXIBLE DELIVERY SYSTEM ACCEPTS 11 FR SHEATH	SUP-40431	CDM			270	RC		outpatient			2588.92	2588.92	701.34				percent of total billed charges		2588.92				other	OPPS APC	1915.8				percent of total billed charges		2588.92				other	OPPS APC	2588.92				other	OPPS APC	701.34				percent of total billed charges		715.32				percent of total billed charges		2588.92				other	OPPS APC	701.34	2588.92	
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L55 MM L75 CM OD20 MM TRACHEOBRONCHIAL FLEXIBLE DELIVERY SYSTEM ACCEPTS 11 FR SHEATH	SUP-40431	CDM			270	RC		inpatient			2588.92	2588.92																																																			
STENT WALL 18X60	SUP-H965404120	CDM			270	RC		outpatient			2588.92	2588.92	701.34				percent of total billed charges		2588.92				other	OPPS APC	1915.8				percent of total billed charges		2588.92				other	OPPS APC	2588.92				other	OPPS APC	701.34				percent of total billed charges		715.32				percent of total billed charges		2588.92				other	OPPS APC	701.34	2588.92	
STENT WALL 18X60	SUP-H965404120	CDM			270	RC		inpatient			2588.92	2588.92																																																			
NAIL INTRAMEDULLARY TRIGEN META-NAIL TITANIUM L 32 CM OD 10 MM FEMORAL RETROGRADE GOLD	SUP-71653032	CDM			270	RC		outpatient			2581.6	2581.6	699.36				percent of total billed charges		2581.6				other	OPPS APC	1910.38				percent of total billed charges		2581.6				other	OPPS APC	2581.6				other	OPPS APC	699.36				percent of total billed charges		713.3				percent of total billed charges		2581.6				other	OPPS APC	699.36	2581.6	
NAIL INTRAMEDULLARY TRIGEN META-NAIL TITANIUM L 32 CM OD 10 MM FEMORAL RETROGRADE GOLD	SUP-71653032	CDM			270	RC		inpatient			2581.6	2581.6																																																			
NAIL FEMORAL RETRO 10 X 36	SUP-71653036	CDM			270	RC		outpatient			2581.6	2581.6	699.36				percent of total billed charges		2581.6				other	OPPS APC	1910.38				percent of total billed charges		2581.6				other	OPPS APC	2581.6				other	OPPS APC	699.36				percent of total billed charges		713.3				percent of total billed charges		2581.6				other	OPPS APC	699.36	2581.6	
NAIL FEMORAL RETRO 10 X 36	SUP-71653036	CDM			270	RC		inpatient			2581.6	2581.6																																																			
NAIL INTRAMEDULLARY TRIGEN META-NAIL  TITANIUM L 36 CM OD 11.5 MM FEMUR RETROGRADE ROUND CROSS SECTION GOLD	SUP-71653236	CDM			270	RC		outpatient			2581.6	2581.6	699.36				percent of total billed charges		2581.6				other	OPPS APC	1910.38				percent of total billed charges		2581.6				other	OPPS APC	2581.6				other	OPPS APC	699.36				percent of total billed charges		713.3				percent of total billed charges		2581.6				other	OPPS APC	699.36	2581.6	
NAIL INTRAMEDULLARY TRIGEN META-NAIL  TITANIUM L 36 CM OD 11.5 MM FEMUR RETROGRADE ROUND CROSS SECTION GOLD	SUP-71653236	CDM			270	RC		inpatient			2581.6	2581.6																																																			
NAIL INTRAMEDULLARY TRIGEN META-NAIL TITANIUM L 38 CM OD 13 MM FEMORAL RETROGRADE GOLD	SUP-71653438	CDM			270	RC		outpatient			2581.6	2581.6	699.36				percent of total billed charges		2581.6				other	OPPS APC	1910.38				percent of total billed charges		2581.6				other	OPPS APC	2581.6				other	OPPS APC	699.36				percent of total billed charges		713.3				percent of total billed charges		2581.6				other	OPPS APC	699.36	2581.6	
NAIL INTRAMEDULLARY TRIGEN META-NAIL TITANIUM L 38 CM OD 13 MM FEMORAL RETROGRADE GOLD	SUP-71653438	CDM			270	RC		inpatient			2581.6	2581.6																																																			
ATTUNE REV CEM STEM 14 X 50MM	SUP-97-04796	CDM			278	RC		outpatient			2580	258	2580				fee schedule		2580				other	OPPS APC	1470.6				percent of total billed charges		2580				other	OPPS APC	2580				other	OPPS APC	1264.2				percent of total billed charges		1315.8				percent of total billed charges		258				other	OPPS APC	258	2580	
ATTUNE REV CEM STEM 14 X 50MM	SUP-97-04796	CDM			278	RC		inpatient			2580	2580																																																			
MICROCATHETER XT27 X 150	SUP-XT275081	CDM			270	RC		outpatient			2580	258	698.92				percent of total billed charges		2580				other	OPPS APC	1909.2				percent of total billed charges		2580				other	OPPS APC	2580				other	OPPS APC	698.92				percent of total billed charges		712.85				percent of total billed charges		258				other	OPPS APC	258	2580	
MICROCATHETER XT27 X 150	SUP-XT275081	CDM			270	RC		inpatient			2580	2580																																																			
PLATE BONE LCP STAINLESS STEEL L226 MM X W11 MM X H4.2 MM 14 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.759	CDM	270010022	LOCAL	270	RC		outpatient			2571.8	2571.82	696.7				percent of total billed charges		2571.8				other	OPPS APC	1903.13				percent of total billed charges		2571.8				other	OPPS APC	2571.8				other	OPPS APC	696.7				percent of total billed charges		710.59				percent of total billed charges		2571.82				other	OPPS APC	696.7	2571.82	
PLATE BONE LCP STAINLESS STEEL L226 MM X W11 MM X H4.2 MM 14 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.759	CDM	270010022	LOCAL	270	RC		inpatient			2571.8	2571.8																																																			
STEM EXTENSION 20 DIA X 145MM NEXTGEN STRAIGHT	SUP-97-05847	CDM			278	RC		outpatient			2570.4	257.41	2570.4				fee schedule		2570.4				other	OPPS APC	1465.13				percent of total billed charges		2570.4				other	OPPS APC	2570.4				other	OPPS APC	1259.5				percent of total billed charges		1310.9				percent of total billed charges		257.41				other	OPPS APC	257.41	2570.4	
STEM EXTENSION 20 DIA X 145MM NEXTGEN STRAIGHT	SUP-97-05847	CDM			278	RC		inpatient			2570.4	2570.4																																																			
STEM EXT 12 X 145MM NEXGEN	SUP-97-05919	CDM			278	RC		outpatient			2570.4	257.41	2570.4				fee schedule		2570.4				other	OPPS APC	1465.13				percent of total billed charges		2570.4				other	OPPS APC	2570.4				other	OPPS APC	1259.5				percent of total billed charges		1310.9				percent of total billed charges		257.41				other	OPPS APC	257.41	2570.4	
STEM EXT 12 X 145MM NEXGEN	SUP-97-05919	CDM			278	RC		inpatient			2570.4	2570.4																																																			
GRAFT SOFT TISSUE DERMACELL DERMIS L7 CM X W6 CM X H.2-.75 MM DECELLULARIZED MESHED	SUP-DCELL153	CDM			270	RC		outpatient			2570	257	696.21				percent of total billed charges		2570				other	OPPS APC	1901.8				percent of total billed charges		2570				other	OPPS APC	2570				other	OPPS APC	696.21				percent of total billed charges		710.09				percent of total billed charges		257				other	OPPS APC	257	2570	
GRAFT SOFT TISSUE DERMACELL DERMIS L7 CM X W6 CM X H.2-.75 MM DECELLULARIZED MESHED	SUP-DCELL153	CDM			270	RC		inpatient			2570	2570																																																			
ARTICULAR SURFACE 7-10/BLUE 12MM NEXGEN	SUP-97-05873	CDM			278	RC		outpatient			2568	2568	2568				fee schedule		2568				other	OPPS APC	1463.76				percent of total billed charges		2568				other	OPPS APC	2568				other	OPPS APC	1258.32				percent of total billed charges		1309.68				percent of total billed charges		2568				other	OPPS APC	1258.32	2568	
ARTICULAR SURFACE 7-10/BLUE 12MM NEXGEN	SUP-97-05873	CDM			278	RC		inpatient			2568	2568																																																			
RELTACK 3 X 10	SUP-76-00164	CDM			272	RC		outpatient			2564.34	2564.34	694.68				percent of total billed charges		2564.34				other	OPPS APC	1897.61				percent of total billed charges		2564.34				other	OPPS APC	2564.34				other	OPPS APC	694.68				percent of total billed charges		708.53				percent of total billed charges		2564.34				other	OPPS APC	694.68	2564.34	
RELTACK 3 X 10	SUP-76-00164	CDM			272	RC		inpatient			2564.34	2564.34																																																			
FILTER EMBOLIZATION CELECT NAVALIGN 65CM 49MM 71CM 30MM 7FR PLATINUM HYDROPHILIC DISPOSABLE STERILE VENA CAVA JUGULAR	SUP-G34309	CDM			270	RC		outpatient			2560	256	693.5				percent of total billed charges		2560				other	OPPS APC	1894.4				percent of total billed charges		2560				other	OPPS APC	2560				other	OPPS APC	693.5				percent of total billed charges		707.33				percent of total billed charges		256				other	OPPS APC	256	2560	
FILTER EMBOLIZATION CELECT NAVALIGN 65CM 49MM 71CM 30MM 7FR PLATINUM HYDROPHILIC DISPOSABLE STERILE VENA CAVA JUGULAR	SUP-G34309	CDM			270	RC		inpatient			2560	2560																																																			
NORIAN DRILL ABLE INJECT 3CC	SUP-97-03720	CDM			278	RC		outpatient			2559.6	2559.6	2559.6				fee schedule		2559.6				other	OPPS APC	1458.97				percent of total billed charges		2559.6				other	OPPS APC	2559.6				other	OPPS APC	1254.2				percent of total billed charges		1305.4				percent of total billed charges		2559.6				other	OPPS APC	1254.2	2559.6	
NORIAN DRILL ABLE INJECT 3CC	SUP-97-03720	CDM			278	RC		inpatient			2559.6	2559.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L239 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 14 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.530	CDM	270010022	LOCAL	270	RC		outpatient			2558.86	2558.86	693.2				percent of total billed charges		2558.86				other	OPPS APC	1893.56				percent of total billed charges		2558.86				other	OPPS APC	2558.86				other	OPPS APC	693.2				percent of total billed charges		707.01				percent of total billed charges		2558.86				other	OPPS APC	693.2	2558.86	
PLATE BONE LCP COMBI STAINLESS STEEL L239 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 14 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.530	CDM	270010022	LOCAL	270	RC		inpatient			2558.86	2558.86																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L239 MM TIBIA LEFT DISTAL MEDIAL 14 HOLE LOW BEND LOW PROFILE ROUND EDGE NONSTERILE 3.5 MM SCREW	SUP-02.112.531	CDM	270010022	LOCAL	270	RC		outpatient			2558.86	2558.86	693.2				percent of total billed charges		2558.86				other	OPPS APC	1893.56				percent of total billed charges		2558.86				other	OPPS APC	2558.86				other	OPPS APC	693.2				percent of total billed charges		707.01				percent of total billed charges		2558.86				other	OPPS APC	693.2	2558.86	
PLATE BONE LCP COMBI STAINLESS STEEL L239 MM TIBIA LEFT DISTAL MEDIAL 14 HOLE LOW BEND LOW PROFILE ROUND EDGE NONSTERILE 3.5 MM SCREW	SUP-02.112.531	CDM	270010022	LOCAL	270	RC		inpatient			2558.86	2558.86																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L30 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860130	CDM	270010020	LOCAL	270	RC		outpatient			2558.38	2558.38	693.07				percent of total billed charges		2558.38				other	OPPS APC	1893.2				percent of total billed charges		2558.38				other	OPPS APC	2558.38				other	OPPS APC	693.07				percent of total billed charges		706.88				percent of total billed charges		2558.38				other	OPPS APC	693.07	2558.38	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L30 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860130	CDM	270010020	LOCAL	270	RC		inpatient			2558.38	2558.38																																																			
HC Si Joint Inject W Anesth	PX-320270960	CDM	27096	CPT	361	RC		outpatient			2556	2556	807.18				percent of total billed charges		2556				other	OPPS APC	2556				fee schedule		2556				other	OPPS APC	2556				other	OPPS APC	807.18				percent of total billed charges		823.29				percent of total billed charges		2556				other	OPPS APC	807.18	2556	
HC Si Joint Inject W Anesth	PX-320270960	CDM	27096	CPT	361	RC		inpatient			2556	2556																																																			
GRAFT VASCULAR GORE-TEX THIN WALL L70 CM ID6 MM LINE STERILE LATEX FREE	SUP-VT06070L	CDM			270	RC		outpatient			2556	2556	692.42				percent of total billed charges		2556				other	OPPS APC	1891.44				percent of total billed charges		2556				other	OPPS APC	2556				other	OPPS APC	692.42				percent of total billed charges		706.22				percent of total billed charges		2556				other	OPPS APC	692.42	2556	
GRAFT VASCULAR GORE-TEX THIN WALL L70 CM ID6 MM LINE STERILE LATEX FREE	SUP-VT06070L	CDM			270	RC		inpatient			2556	2556																																																			
GRAFT BONE 12 D WEDGE OSTEOTOMY	SUP-181272	CDM	270010031	LOCAL	270	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
GRAFT BONE 12 D WEDGE OSTEOTOMY	SUP-181272	CDM	270010031	LOCAL	270	RC		inpatient			2550	2550																																																			
EXPANDER TISSUE SILTEX CPX3 P7.4 CM CONTOUR PROFILE W15 CM X H10.9 CM 550 ML BREAST STYLE 7100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING STERILE DISPOSABLE	SUP-354-7114	CDM			270	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
EXPANDER TISSUE SILTEX CPX3 P7.4 CM CONTOUR PROFILE W15 CM X H10.9 CM 550 ML BREAST STYLE 7100 LOW HEIGHT CENTERSCOPE INJECTION DOME SELF SEALING STERILE DISPOSABLE	SUP-354-7114	CDM			270	RC		inpatient			2550	2550																																																			
EXPANDER TISSUE SILTEX CPX3 P7.4 CM MEDIUM CONTOUR PROFILE W13.5 CM X H11.7 CM 550 ML BREAST STYLE 7200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7214	CDM			270	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
EXPANDER TISSUE SILTEX CPX3 P7.4 CM MEDIUM CONTOUR PROFILE W13.5 CM X H11.7 CM 550 ML BREAST STYLE 7200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7214	CDM			270	RC		inpatient			2550	2550																																																			
EXPANDER TISSUE SILTEX CONTOUR PROFILE CPX3 P7.6 CM MEDIUM HEIGHT W14.6 CM X H12.6 CM 650 CC BREAST STYLE 7200 INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7215	CDM			270	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
EXPANDER TISSUE SILTEX CONTOUR PROFILE CPX3 P7.6 CM MEDIUM HEIGHT W14.6 CM X H12.6 CM 650 CC BREAST STYLE 7200 INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-7215	CDM			270	RC		inpatient			2550	2550																																																			
CONTINUUM VIVACIT-E ELE.LINER HH32X50	SUP-97-04365	CDM			278	RC		outpatient			2550	255	2550				fee schedule		2550				other	OPPS APC	1453.5				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	1249.5				percent of total billed charges		1300.5				percent of total billed charges		255				other	OPPS APC	255	2550	
CONTINUUM VIVACIT-E ELE.LINER HH32X50	SUP-97-04365	CDM			278	RC		inpatient			2550	2550																																																			
AIRLOCK PLATE 6 HOLES	SUP-97-04665	CDM			278	RC		outpatient			2550	255	2550				fee schedule		2550				other	OPPS APC	1453.5				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	1249.5				percent of total billed charges		1300.5				percent of total billed charges		255				other	OPPS APC	255	2550	
AIRLOCK PLATE 6 HOLES	SUP-97-04665	CDM			278	RC		inpatient			2550	2550																																																			
PLATE CLAVICLE FRACTURE CENTRAL THIRD LEFT	SUP-97-06104	CDM			278	RC		outpatient			2550	255	2550				fee schedule		2550				other	OPPS APC	1453.5				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	1249.5				percent of total billed charges		1300.5				percent of total billed charges		255				other	OPPS APC	255	2550	
PLATE CLAVICLE FRACTURE CENTRAL THIRD LEFT	SUP-97-06104	CDM			278	RC		inpatient			2550	2550																																																			
EPOLY 36MM RLC LNR MROM SZ24	SUP-97-23711	CDM			278	RC		outpatient			2550	255	2550				fee schedule		2550				other	OPPS APC	1453.5				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	1249.5				percent of total billed charges		1300.5				percent of total billed charges		255				other	OPPS APC	255	2550	
EPOLY 36MM RLC LNR MROM SZ24	SUP-97-23711	CDM			278	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT 3.5X20	SUP-99-01058	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT 3.5X20	SUP-99-01058	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT 3.0X20	SUP-99-01140	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT 3.0X20	SUP-99-01140	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT 2.5X20	SUP-99-01215	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT 2.5X20	SUP-99-01215	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT RX 2.0X10	SUP-99-01382	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT RX 2.0X10	SUP-99-01382	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT RX 2.0X6	SUP-99-01686	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT RX 2.0X6	SUP-99-01686	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT RX 2.5X6	SUP-99-01687	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT RX 2.5X6	SUP-99-01687	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT RX 3.0X6	SUP-99-01688	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT RX 3.0X6	SUP-99-01688	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON - ANGIOSCULPT RX 3.5X6	SUP-99-01689	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON - ANGIOSCULPT RX 3.5X6	SUP-99-01689	CDM			272	RC		inpatient			2550	2550																																																			
OCT - DRAGONFLY OPTIS KITS	SUP-99-02179	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
OCT - DRAGONFLY OPTIS KITS	SUP-99-02179	CDM			272	RC		inpatient			2550	2550																																																			
IVUS - OPTICROSS 35 PERIPHERAL	SUP-99-03770	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
IVUS - OPTICROSS 35 PERIPHERAL	SUP-99-03770	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON-ANGIOSCULPT EVO RX 2.0 X 10	SUP-99-04241	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON-ANGIOSCULPT EVO RX 2.0 X 10	SUP-99-04241	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON-ANGIOSCULPT EVO RX 2.0 X 15	SUP-99-04242	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON-ANGIOSCULPT EVO RX 2.0 X 15	SUP-99-04242	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON-ANGIOSCULPT EVO RX 2.5 X 10	SUP-99-04243	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON-ANGIOSCULPT EVO RX 2.5 X 10	SUP-99-04243	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON-ANGIOSCULPT EVO RX 3.0 X 10	SUP-99-04245	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON-ANGIOSCULPT EVO RX 3.0 X 10	SUP-99-04245	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON-ANGIOSCULPT EVO RX 3.0 X 15	SUP-99-04246	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON-ANGIOSCULPT EVO RX 3.0 X 15	SUP-99-04246	CDM			272	RC		inpatient			2550	2550																																																			
BALLOON-ANGIOSCULPT EVO RX 3.5 X 15	SUP-99-04247	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
BALLOON-ANGIOSCULPT EVO RX 3.5 X 15	SUP-99-04247	CDM			272	RC		inpatient			2550	2550																																																			
GUIDEWIRE - GLADIUS .018 X 200	SUP-99-04545	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
GUIDEWIRE - GLADIUS .018 X 200	SUP-99-04545	CDM			272	RC		inpatient			2550	2550																																																			
GUIDEWIRE -  GLADIUS .018 X 300	SUP-99-04546	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
GUIDEWIRE -  GLADIUS .018 X 300	SUP-99-04546	CDM			272	RC		inpatient			2550	2550																																																			
CATHETER - CORSAIR PRO XS 135CM	SUP-99-04605	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
CATHETER - CORSAIR PRO XS 135CM	SUP-99-04605	CDM			272	RC		inpatient			2550	2550																																																			
CATHETER - CORSAIR PRO XS 150CM	SUP-99-04606	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
CATHETER - CORSAIR PRO XS 150CM	SUP-99-04606	CDM			272	RC		inpatient			2550	2550																																																			
STENT - SYNERGY MEGATRON 3.5X8	SUP-99-04837	CDM			272	RC		outpatient			2550	255	690.8				percent of total billed charges		2550				other	OPPS APC	1887				percent of total billed charges		2550				other	OPPS APC	2550				other	OPPS APC	690.8				percent of total billed charges		704.57				percent of total billed charges		255				other	OPPS APC	255	2550	
STENT - SYNERGY MEGATRON 3.5X8	SUP-99-04837	CDM			272	RC		inpatient			2550	2550																																																			
SCREW BONE VERTEX MAX TITANIUM L30 MM OD4 MM SPINE THORACIC MULTIAXIAL GOLD	SUP-6958830	CDM	270010020	LOCAL	270	RC		outpatient			2547.2	2547.2	690.04				percent of total billed charges		2547.2				other	OPPS APC	1884.93				percent of total billed charges		2547.2				other	OPPS APC	2547.2				other	OPPS APC	690.04				percent of total billed charges		703.79				percent of total billed charges		2547.2				other	OPPS APC	690.04	2547.2	
SCREW BONE VERTEX MAX TITANIUM L30 MM OD4 MM SPINE THORACIC MULTIAXIAL GOLD	SUP-6958830	CDM	270010020	LOCAL	270	RC		inpatient			2547.2	2547.2																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D SHORT 170MM 10MM GOLD GREEN TAN TI-15MO STERILE FEMORAL PROXIMAL CANNULATED	SUP-04.037.042S	CDM	270010022	LOCAL	270	RC		outpatient			2546.1	2547	689.74				percent of total billed charges		2546.1				other	OPPS APC	1884.11				percent of total billed charges		2546.1				other	OPPS APC	2546.1				other	OPPS APC	689.74				percent of total billed charges		703.49				percent of total billed charges		2547				other	OPPS APC	689.74	2547	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D SHORT 170MM 10MM GOLD GREEN TAN TI-15MO STERILE FEMORAL PROXIMAL CANNULATED	SUP-04.037.042S	CDM	270010022	LOCAL	270	RC		inpatient			2546.1	2546.1																																																			
NAIL INTRAMEDULLARY TFN-ADVANCED 130D SHORT 170MM 11MM GREEN TI-15MO STERILE FEMORAL PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.142S	CDM	270010022	LOCAL	270	RC		outpatient			2546.1	2547	689.74				percent of total billed charges		2546.1				other	OPPS APC	1884.11				percent of total billed charges		2546.1				other	OPPS APC	2546.1				other	OPPS APC	689.74				percent of total billed charges		703.49				percent of total billed charges		2547				other	OPPS APC	689.74	2547	
NAIL INTRAMEDULLARY TFN-ADVANCED 130D SHORT 170MM 11MM GREEN TI-15MO STERILE FEMORAL PROXIMAL CANNULATED PREASSEMBLE	SUP-04.037.142S	CDM	270010022	LOCAL	270	RC		inpatient			2546.1	2546.1																																																			
NAIL SYNTHES TFNA 9MM 130DEG 170MM	SUP-04.037.942S	CDM			270	RC		outpatient			2546.1	2547	689.74				percent of total billed charges		2546.1				other	OPPS APC	1884.11				percent of total billed charges		2546.1				other	OPPS APC	2546.1				other	OPPS APC	689.74				percent of total billed charges		703.49				percent of total billed charges		2547				other	OPPS APC	689.74	2547	
NAIL SYNTHES TFNA 9MM 130DEG 170MM	SUP-04.037.942S	CDM			270	RC		inpatient			2546.1	2546.1																																																			
HC Closed Trmt Shldr Disloc W/Man &Anes	PX-450236551	CDM	23655	CPT	450	RC		outpatient			2546	2546	195.77				case rate		2546				other	OPPS APC	1884.04				percent of total billed charges		2546				other	OPPS APC	2546				other	OPPS APC	195.77				case rate		199.69				case rate		2546				other	OPPS APC	195.77	2546	
HC Closed Trmt Shldr Disloc W/Man &Anes	PX-450236551	CDM	23655	CPT	450	RC		inpatient			2546	2546																																																			
HC Elbow Dislocation Closed Tx W Sedate	PX-450246051	CDM	24605	CPT	450	RC		outpatient			2546	2546	195.77				case rate		2546				other	OPPS APC	1884.04				percent of total billed charges		2546				other	OPPS APC	2546				other	OPPS APC	195.77				case rate		199.69				case rate		2546				other	OPPS APC	195.77	2546	
HC Elbow Dislocation Closed Tx W Sedate	PX-450246051	CDM	24605	CPT	450	RC		inpatient			2546	2546																																																			
HC Clsed Red Dislocat Post Hip Arthrop	PX-450272661	CDM	27266	CPT	450	RC		outpatient			2546	2546	195.77				case rate		2546				other	OPPS APC	1884.04				percent of total billed charges		2546				other	OPPS APC	2546				other	OPPS APC	195.77				case rate		199.69				case rate		2546				other	OPPS APC	195.77	2546	
HC Clsed Red Dislocat Post Hip Arthrop	PX-450272661	CDM	27266	CPT	450	RC		inpatient			2546	2546																																																			
CLAMP SWIVEL MAVERICK 11MM TO 5-6MM	SUP-71094020	CDM			270	RC		outpatient			2545	2545	689.44				percent of total billed charges		2545				other	OPPS APC	1883.3				percent of total billed charges		2545				other	OPPS APC	2545				other	OPPS APC	689.44				percent of total billed charges		703.18				percent of total billed charges		2545				other	OPPS APC	689.44	2545	
CLAMP SWIVEL MAVERICK 11MM TO 5-6MM	SUP-71094020	CDM			270	RC		inpatient			2545	2545																																																			
3HOLE LT LAT DIST POS PLATER	SUP-97-04892	CDM			278	RC		outpatient			2542.5	2542.5	2542.5				fee schedule		2542.5				other	OPPS APC	1449.23				percent of total billed charges		2542.5				other	OPPS APC	2542.5				other	OPPS APC	1245.83				percent of total billed charges		1296.68				percent of total billed charges		2542.5				other	OPPS APC	1245.83	2542.5	
3HOLE LT LAT DIST POS PLATER	SUP-97-04892	CDM			278	RC		inpatient			2542.5	2542.5																																																			
3HOLE LT OLECRANON PLATE	SUP-97-04894	CDM			278	RC		outpatient			2542.5	2542.5	2542.5				fee schedule		2542.5				other	OPPS APC	1449.23				percent of total billed charges		2542.5				other	OPPS APC	2542.5				other	OPPS APC	1245.83				percent of total billed charges		1296.68				percent of total billed charges		2542.5				other	OPPS APC	1245.83	2542.5	
3HOLE LT OLECRANON PLATE	SUP-97-04894	CDM			278	RC		inpatient			2542.5	2542.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L128 MM TIBIA RIGHT PROXIMAL 8 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.208	CDM	270010022	LOCAL	270	RC		outpatient			2541.4	2541.41	688.47				percent of total billed charges		2541.4				other	OPPS APC	1880.64				percent of total billed charges		2541.4				other	OPPS APC	2541.4				other	OPPS APC	688.47				percent of total billed charges		702.19				percent of total billed charges		2541.41				other	OPPS APC	688.47	2541.41	
PLATE BONE LCP COMBI STAINLESS STEEL L128 MM TIBIA RIGHT PROXIMAL 8 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.208	CDM	270010022	LOCAL	270	RC		inpatient			2541.4	2541.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L128 MM TIBIA LEFT PROXIMAL 8 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.209	CDM	270010022	LOCAL	270	RC		outpatient			2541.4	2541.41	688.47				percent of total billed charges		2541.4				other	OPPS APC	1880.64				percent of total billed charges		2541.4				other	OPPS APC	2541.4				other	OPPS APC	688.47				percent of total billed charges		702.19				percent of total billed charges		2541.41				other	OPPS APC	688.47	2541.41	
PLATE BONE LCP COMBI STAINLESS STEEL L128 MM TIBIA LEFT PROXIMAL 8 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.209	CDM	270010022	LOCAL	270	RC		inpatient			2541.4	2541.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L133 MM TIBIA LEFT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.939	CDM	270010022	LOCAL	270	RC		outpatient			2541.4	2541.41	688.47				percent of total billed charges		2541.4				other	OPPS APC	1880.64				percent of total billed charges		2541.4				other	OPPS APC	2541.4				other	OPPS APC	688.47				percent of total billed charges		702.19				percent of total billed charges		2541.41				other	OPPS APC	688.47	2541.41	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L133 MM TIBIA LEFT PROXIMAL 8 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.939	CDM	270010022	LOCAL	270	RC		inpatient			2541.4	2541.4																																																			
STENT - EVERFLEX 6X150X150	SUP-99-03593	CDM			278	RC		inpatient			2535	2535																																																			
STENT - EVERFLEX 6X150X150	SUP-99-03593	CDM			278	RC		outpatient			2535	2535					fee schedule						other	OPPS APC	1444.95				percent of total billed charges						other	OPPS APC					other	OPPS APC	1242.15				percent of total billed charges		1292.85				percent of total billed charges						other	OPPS APC	1444.95	1444.95	
STENT - EVERFLEX 8X150X150	SUP-99-03685	CDM			278	RC		inpatient			2535	2535																																																			
STENT - EVERFLEX 8X150X150	SUP-99-03685	CDM			278	RC		outpatient			2535	2535					fee schedule						other	OPPS APC	1444.95				percent of total billed charges						other	OPPS APC					other	OPPS APC	1242.15				percent of total billed charges		1292.85				percent of total billed charges						other	OPPS APC	1444.95	1444.95	
HC Clsd Reductn Ipjt Disloc W/Manp/Anes	PX-450267751	CDM	26775	CPT	450	RC		outpatient			2533	2533	195.77				case rate		2533				other	OPPS APC	1874.42				percent of total billed charges		2533				other	OPPS APC	2533				other	OPPS APC	195.77				case rate		199.69				case rate		2533				other	OPPS APC	195.77	2533	
HC Clsd Reductn Ipjt Disloc W/Manp/Anes	PX-450267751	CDM	26775	CPT	450	RC		inpatient			2533	2533																																																			
PLATE BONE LCP STAINLESS STEEL L121 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.509	CDM	270010022	LOCAL	270	RC		outpatient			2527.8	2527.82	684.78				percent of total billed charges		2527.8				other	OPPS APC	1870.57				percent of total billed charges		2527.8				other	OPPS APC	2527.8				other	OPPS APC	684.78				percent of total billed charges		698.43				percent of total billed charges		2527.82				other	OPPS APC	684.78	2527.82	
PLATE BONE LCP STAINLESS STEEL L121 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA LEFT DISTAL MEDIAL 8 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.509	CDM	270010022	LOCAL	270	RC		inpatient			2527.8	2527.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 12 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.526	CDM	270010022	LOCAL	270	RC		outpatient			2525.88	2525.88	684.26				percent of total billed charges		2525.88				other	OPPS APC	1869.15				percent of total billed charges		2525.88				other	OPPS APC	2525.88				other	OPPS APC	684.26				percent of total billed charges		697.9				percent of total billed charges		2525.88				other	OPPS APC	684.26	2525.88	
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 12 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.526	CDM	270010022	LOCAL	270	RC		inpatient			2525.88	2525.88																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 12 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.527	CDM	270010022	LOCAL	270	RC		outpatient			2525.88	2525.88	684.26				percent of total billed charges		2525.88				other	OPPS APC	1869.15				percent of total billed charges		2525.88				other	OPPS APC	2525.88				other	OPPS APC	684.26				percent of total billed charges		697.9				percent of total billed charges		2525.88				other	OPPS APC	684.26	2525.88	
PLATE BONE LCP COMBI STAINLESS STEEL L213 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 12 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.527	CDM	270010022	LOCAL	270	RC		inpatient			2525.88	2525.88																																																			
SCREW 7 X 55MM CANNULATED MEDIUM THREAD HEADLESS MONSTER	SUP-97-03583	CDM			278	RC		outpatient			2525.25	2525.25	2525.25				fee schedule		2525.25				other	OPPS APC	1439.39				percent of total billed charges		2525.25				other	OPPS APC	2525.25				other	OPPS APC	1237.37				percent of total billed charges		1287.88				percent of total billed charges		2525.25				other	OPPS APC	1237.37	2525.25	
SCREW 7 X 55MM CANNULATED MEDIUM THREAD HEADLESS MONSTER	SUP-97-03583	CDM			278	RC		inpatient			2525.25	2525.25																																																			
SCREW SHORT THRED 7.0X76	SUP-97-03626	CDM			278	RC		outpatient			2525.25	2525.25	2525.25				fee schedule		2525.25				other	OPPS APC	1439.39				percent of total billed charges		2525.25				other	OPPS APC	2525.25				other	OPPS APC	1237.37				percent of total billed charges		1287.88				percent of total billed charges		2525.25				other	OPPS APC	1237.37	2525.25	
SCREW SHORT THRED 7.0X76	SUP-97-03626	CDM			278	RC		inpatient			2525.25	2525.25																																																			
GRAFT CARDIOVASCULAR 100/55CMX.49MM 8MM 60/30CM AXILLOBIFEMORAL KNIT CROSS LINK	SUP-HGKAX0808RS60/30	CDM			270	RC		outpatient			2523.02	2523.2	683.49				percent of total billed charges		2523.02				other	OPPS APC	1867.03				percent of total billed charges		2523.02				other	OPPS APC	2523.02				other	OPPS APC	683.49				percent of total billed charges		697.11				percent of total billed charges		2523.2				other	OPPS APC	683.49	2523.2	
GRAFT CARDIOVASCULAR 100/55CMX.49MM 8MM 60/30CM AXILLOBIFEMORAL KNIT CROSS LINK	SUP-HGKAX0808RS60/30	CDM			270	RC		inpatient			2523.02	2523.02																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER L60 CM L30 MM OD8 MM AXILLO BIFEMORAL KNIT RADIAL SUPPORT	SUP-IGKAX0808RS60/30	CDM			270	RC		outpatient			2523.02	2523.2	683.49				percent of total billed charges		2523.02				other	OPPS APC	1867.03				percent of total billed charges		2523.02				other	OPPS APC	2523.02				other	OPPS APC	683.49				percent of total billed charges		697.11				percent of total billed charges		2523.2				other	OPPS APC	683.49	2523.2	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER L60 CM L30 MM OD8 MM AXILLO BIFEMORAL KNIT RADIAL SUPPORT	SUP-IGKAX0808RS60/30	CDM			270	RC		inpatient			2523.02	2523.02																																																			
STENT BILIARY 6MM 14MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE RENAL	SUP-H74937911614150	CDM			270	RC		outpatient			2520.08	252.8	682.69				percent of total billed charges		2520.08				other	OPPS APC	1864.86				percent of total billed charges		2520.08				other	OPPS APC	2520.08				other	OPPS APC	682.69				percent of total billed charges		696.3				percent of total billed charges		252.8				other	OPPS APC	252.8	2520.08	
STENT BILIARY 6MM 14MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE RENAL	SUP-H74937911614150	CDM			270	RC		inpatient			2520.08	2520.08																																																			
STENT BILIARY 5MM 19MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE RENAL	SUP-H74937912519150	CDM			270	RC		outpatient			2520.08	252.8	682.69				percent of total billed charges		2520.08				other	OPPS APC	1864.86				percent of total billed charges		2520.08				other	OPPS APC	2520.08				other	OPPS APC	682.69				percent of total billed charges		696.3				percent of total billed charges		252.8				other	OPPS APC	252.8	2520.08	
STENT BILIARY 5MM 19MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE RENAL	SUP-H74937912519150	CDM			270	RC		inpatient			2520.08	2520.08																																																			
PLATE 3.5MM CLP POSTEROLATERAL DISTAL HUMERUS RIGHT 9 HOLE	SUP-241.278	CDM	270010022	LOCAL	270	RC		outpatient			2516.8	2516.82	681.8				percent of total billed charges		2516.8				other	OPPS APC	1862.43				percent of total billed charges		2516.8				other	OPPS APC	2516.8				other	OPPS APC	681.8				percent of total billed charges		695.39				percent of total billed charges		2516.82				other	OPPS APC	681.8	2516.82	
PLATE 3.5MM CLP POSTEROLATERAL DISTAL HUMERUS RIGHT 9 HOLE	SUP-241.278	CDM	270010022	LOCAL	270	RC		inpatient			2516.8	2516.8																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L65 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860165	CDM	270010020	LOCAL	270	RC		outpatient			2514.4	2514.41	681.15				percent of total billed charges		2514.4				other	OPPS APC	1860.66				percent of total billed charges		2514.4				other	OPPS APC	2514.4				other	OPPS APC	681.15				percent of total billed charges		694.73				percent of total billed charges		2514.41				other	OPPS APC	681.15	2514.41	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L65 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860165	CDM	270010020	LOCAL	270	RC		inpatient			2514.4	2514.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L102 MM TIBIA RIGHT PROXIMAL 6 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.204	CDM	270010022	LOCAL	270	RC		outpatient			2514.24	2514.24	681.11				percent of total billed charges		2514.24				other	OPPS APC	1860.54				percent of total billed charges		2514.24				other	OPPS APC	2514.24				other	OPPS APC	681.11				percent of total billed charges		694.68				percent of total billed charges		2514.24				other	OPPS APC	681.11	2514.24	
PLATE BONE LCP COMBI STAINLESS STEEL L102 MM TIBIA RIGHT PROXIMAL 6 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.204	CDM	270010022	LOCAL	270	RC		inpatient			2514.24	2514.24																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L102 MM TIBIA LEFT PROXIMAL 6 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.205	CDM	270010022	LOCAL	270	RC		outpatient			2514.24	2514.24	681.11				percent of total billed charges		2514.24				other	OPPS APC	1860.54				percent of total billed charges		2514.24				other	OPPS APC	2514.24				other	OPPS APC	681.11				percent of total billed charges		694.68				percent of total billed charges		2514.24				other	OPPS APC	681.11	2514.24	
PLATE BONE LCP COMBI STAINLESS STEEL L102 MM TIBIA LEFT PROXIMAL 6 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.205	CDM	270010022	LOCAL	270	RC		inpatient			2514.24	2514.24																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L107 MM TIBIA RIGHT PROXIMAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.936	CDM	270010022	LOCAL	270	RC		outpatient			2514.24	2514.24	681.11				percent of total billed charges		2514.24				other	OPPS APC	1860.54				percent of total billed charges		2514.24				other	OPPS APC	2514.24				other	OPPS APC	681.11				percent of total billed charges		694.68				percent of total billed charges		2514.24				other	OPPS APC	681.11	2514.24	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L107 MM TIBIA RIGHT PROXIMAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.936	CDM	270010022	LOCAL	270	RC		inpatient			2514.24	2514.24																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L107 MM TIBIA LEFT PROXIMAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.937	CDM	270010022	LOCAL	270	RC		outpatient			2514.24	2514.24	681.11				percent of total billed charges		2514.24				other	OPPS APC	1860.54				percent of total billed charges		2514.24				other	OPPS APC	2514.24				other	OPPS APC	681.11				percent of total billed charges		694.68				percent of total billed charges		2514.24				other	OPPS APC	681.11	2514.24	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L107 MM TIBIA LEFT PROXIMAL 6 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.937	CDM	270010022	LOCAL	270	RC		inpatient			2514.24	2514.24																																																			
HC Gft Skin Sub F/S/E >100cm 1st 100	PX-761152770	CDM	15277	CPT	761	RC		outpatient			2514	1817.71	195.77				case rate		1817.71				other	OPPS APC	1860.36				percent of total billed charges		1817.71				other	OPPS APC	1817.71				other	OPPS APC	195.77				case rate		1282.14				percent of total billed charges		1817.71				other	OPPS APC	195.77	1860.36	
HC Gft Skin Sub F/S/E >100cm 1st 100	PX-761152770	CDM	15277	CPT	761	RC		inpatient			2514	2514																																																			
MICROCATHETER VASCULAR EXCELSIOR SL-10 2.4/1.7FR P/D 0.0165IN ID 150CM STR 6CM NON-BRAIDED LOW-PROFILE 2-TIP MARKER HYDROLENE 0.014/0.038IN GW	SUP-168189	CDM			270	RC		outpatient			2514	2514	681.04				percent of total billed charges		2514				other	OPPS APC	1860.36				percent of total billed charges		2514				other	OPPS APC	2514				other	OPPS APC	681.04				percent of total billed charges		694.62				percent of total billed charges		2514				other	OPPS APC	681.04	2514	
MICROCATHETER VASCULAR EXCELSIOR SL-10 2.4/1.7FR P/D 0.0165IN ID 150CM STR 6CM NON-BRAIDED LOW-PROFILE 2-TIP MARKER HYDROLENE 0.014/0.038IN GW	SUP-168189	CDM			270	RC		inpatient			2514	2514																																																			
MICROCATHETER CEREBROVASCULAR EXCELSIOR SL-10 HYDROPHILIC .014 IN 45 D C CURVE L150CM L6CM OD2.4-1.7 FR 2 TIP MARKER PRESHAPED PEEL AWAY INTRODUCER STERILE DISPOSABLE	SUP-M0031681930	CDM			270	RC		outpatient			2514	2514	681.04				percent of total billed charges		2514				other	OPPS APC	1860.36				percent of total billed charges		2514				other	OPPS APC	2514				other	OPPS APC	681.04				percent of total billed charges		694.62				percent of total billed charges		2514				other	OPPS APC	681.04	2514	
MICROCATHETER CEREBROVASCULAR EXCELSIOR SL-10 HYDROPHILIC .014 IN 45 D C CURVE L150CM L6CM OD2.4-1.7 FR 2 TIP MARKER PRESHAPED PEEL AWAY INTRODUCER STERILE DISPOSABLE	SUP-M0031681930	CDM			270	RC		inpatient			2514	2514																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L57.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860157	CDM	270010020	LOCAL	270	RC		outpatient			2513.44	2513.44	680.89				percent of total billed charges		2513.44				other	OPPS APC	1859.95				percent of total billed charges		2513.44				other	OPPS APC	2513.44				other	OPPS APC	680.89				percent of total billed charges		694.46				percent of total billed charges		2513.44				other	OPPS APC	680.89	2513.44	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L57.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860157	CDM	270010020	LOCAL	270	RC		inpatient			2513.44	2513.44																																																			
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD12 MM KNEE FEMUR STERILE	SUP-00-5988-020-12	CDM	270010025	LOCAL	270	RC		outpatient			2508	258	679.42				percent of total billed charges		2508				other	OPPS APC	1855.92				percent of total billed charges		2508				other	OPPS APC	2508				other	OPPS APC	679.42				percent of total billed charges		692.96				percent of total billed charges		258				other	OPPS APC	258	2508	
EXTENSION STEM NEXGEN TIVANIUM OFFSET L100 MM L145 MM OD12 MM KNEE FEMUR STERILE	SUP-00-5988-020-12	CDM	270010025	LOCAL	270	RC		inpatient			2508	2508																																																			
PATCH PERI-GUARD 10 X 16CM BOVINE PERICARDIUM	SUP-97-05648	CDM			278	RC		outpatient			2505.99	255.99	2505.99				fee schedule		2505.99				other	OPPS APC	1428.41				percent of total billed charges		2505.99				other	OPPS APC	2505.99				other	OPPS APC	1227.94				percent of total billed charges		1278.05				percent of total billed charges		255.99				other	OPPS APC	255.99	2505.99	
PATCH PERI-GUARD 10 X 16CM BOVINE PERICARDIUM	SUP-97-05648	CDM			278	RC		inpatient			2505.99	2505.99																																																			
CATHETER - QUICK CROSS 135CM	SUP-99-00747	CDM			272	RC		outpatient			2505	255	678.6				percent of total billed charges		2505				other	OPPS APC	1853.7				percent of total billed charges		2505				other	OPPS APC	2505				other	OPPS APC	678.6				percent of total billed charges		692.13				percent of total billed charges		255				other	OPPS APC	255	2505	
CATHETER - QUICK CROSS 135CM	SUP-99-00747	CDM			272	RC		inpatient			2505	2505																																																			
CATHETER - QUICK CROSS 65CM	SUP-99-00748	CDM			272	RC		outpatient			2505	255	678.6				percent of total billed charges		2505				other	OPPS APC	1853.7				percent of total billed charges		2505				other	OPPS APC	2505				other	OPPS APC	678.6				percent of total billed charges		692.13				percent of total billed charges		255				other	OPPS APC	255	2505	
CATHETER - QUICK CROSS 65CM	SUP-99-00748	CDM			272	RC		inpatient			2505	2505																																																			
BALLOON - CHOCOLATE 5.0X80	SUP-99-01749	CDM			272	RC		outpatient			2505	255	678.6				percent of total billed charges		2505				other	OPPS APC	1853.7				percent of total billed charges		2505				other	OPPS APC	2505				other	OPPS APC	678.6				percent of total billed charges		692.13				percent of total billed charges		255				other	OPPS APC	255	2505	
BALLOON - CHOCOLATE 5.0X80	SUP-99-01749	CDM			272	RC		inpatient			2505	2505																																																			
BALLOON - CHOCOLATE 6.0X80	SUP-99-01750	CDM			272	RC		outpatient			2505	255	678.6				percent of total billed charges		2505				other	OPPS APC	1853.7				percent of total billed charges		2505				other	OPPS APC	2505				other	OPPS APC	678.6				percent of total billed charges		692.13				percent of total billed charges		255				other	OPPS APC	255	2505	
BALLOON - CHOCOLATE 6.0X80	SUP-99-01750	CDM			272	RC		inpatient			2505	2505																																																			
BLADE 11MM HELICAL 80MM	SUP-97-00643	CDM			278	RC		outpatient			2504.16	254.16	2504.16				fee schedule		2504.16				other	OPPS APC	1427.37				percent of total billed charges		2504.16				other	OPPS APC	2504.16				other	OPPS APC	1227.04				percent of total billed charges		1277.12				percent of total billed charges		254.16				other	OPPS APC	254.16	2504.16	
BLADE 11MM HELICAL 80MM	SUP-97-00643	CDM			278	RC		inpatient			2504.16	2504.16																																																			
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L82 MM HUMERUS RIGHT DISTAL LATERAL 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117-802	CDM	270010022	LOCAL	270	RC		outpatient			2500.96	25.96	677.51				percent of total billed charges		2500.96				other	OPPS APC	1850.71				percent of total billed charges		2500.96				other	OPPS APC	2500.96				other	OPPS APC	677.51				percent of total billed charges		691.02				percent of total billed charges		25.96				other	OPPS APC	25.96	2500.96	
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L82 MM HUMERUS RIGHT DISTAL LATERAL 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117-802	CDM	270010022	LOCAL	270	RC		inpatient			2500.96	2500.96																																																			
PLATE BONE ZEVO TITANIUM L37 MM SPINE CERVICAL ANTERIOR LEVEL 2	SUP-3002037	CDM	270010020	LOCAL	270	RC		outpatient			2500	25	677.25				percent of total billed charges		2500				other	OPPS APC	1850				percent of total billed charges		2500				other	OPPS APC	2500				other	OPPS APC	677.25				percent of total billed charges		690.75				percent of total billed charges		25				other	OPPS APC	25	2500	
PLATE BONE ZEVO TITANIUM L37 MM SPINE CERVICAL ANTERIOR LEVEL 2	SUP-3002037	CDM	270010020	LOCAL	270	RC		inpatient			2500	2500																																																			
PLATE BONE ZEVO TITANIUM L39 MM SPINE CERVICAL ANTERIOR LEVEL 2	SUP-3002039	CDM	270010020	LOCAL	270	RC		outpatient			2500	25	677.25				percent of total billed charges		2500				other	OPPS APC	1850				percent of total billed charges		2500				other	OPPS APC	2500				other	OPPS APC	677.25				percent of total billed charges		690.75				percent of total billed charges		25				other	OPPS APC	25	2500	
PLATE BONE ZEVO TITANIUM L39 MM SPINE CERVICAL ANTERIOR LEVEL 2	SUP-3002039	CDM	270010020	LOCAL	270	RC		inpatient			2500	2500																																																			
PLATE BONE ZEVO TITANIUM L41 MM SPINE CERVICAL ANTERIOR LEVEL 2	SUP-3002041	CDM	270010020	LOCAL	270	RC		outpatient			2500	25	677.25				percent of total billed charges		2500				other	OPPS APC	1850				percent of total billed charges		2500				other	OPPS APC	2500				other	OPPS APC	677.25				percent of total billed charges		690.75				percent of total billed charges		25				other	OPPS APC	25	2500	
PLATE BONE ZEVO TITANIUM L41 MM SPINE CERVICAL ANTERIOR LEVEL 2	SUP-3002041	CDM	270010020	LOCAL	270	RC		inpatient			2500	2500																																																			
PLATE BONE ATLANTIS TITANIUM L47.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190047	CDM	270010020	LOCAL	270	RC		outpatient			2500	25	677.25				percent of total billed charges		2500				other	OPPS APC	1850				percent of total billed charges		2500				other	OPPS APC	2500				other	OPPS APC	677.25				percent of total billed charges		690.75				percent of total billed charges		25				other	OPPS APC	25	2500	
PLATE BONE ATLANTIS TITANIUM L47.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190047	CDM	270010020	LOCAL	270	RC		inpatient			2500	2500																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L40 MM SPINE CERVICAL ANTERIOR	SUP-7200040	CDM	270010020	LOCAL	270	RC		outpatient			2500	25	677.25				percent of total billed charges		2500				other	OPPS APC	1850				percent of total billed charges		2500				other	OPPS APC	2500				other	OPPS APC	677.25				percent of total billed charges		690.75				percent of total billed charges		25				other	OPPS APC	25	2500	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L40 MM SPINE CERVICAL ANTERIOR	SUP-7200040	CDM	270010020	LOCAL	270	RC		inpatient			2500	2500																																																			
PLATE  CERVICAL ANTERIOR ATLANTIS 30MM	SUP-876-130	CDM	270010020	LOCAL	270	RC		outpatient			2500	25	677.25				percent of total billed charges		2500				other	OPPS APC	1850				percent of total billed charges		2500				other	OPPS APC	2500				other	OPPS APC	677.25				percent of total billed charges		690.75				percent of total billed charges		25				other	OPPS APC	25	2500	
PLATE  CERVICAL ANTERIOR ATLANTIS 30MM	SUP-876-130	CDM	270010020	LOCAL	270	RC		inpatient			2500	2500																																																			
VENTRALEX ST LG CIRCLE W/STRAP	SUP-97-00223	CDM			278	RC		outpatient			2499.39	2499.39	2499.39				fee schedule		2499.39				other	OPPS APC	1424.65				percent of total billed charges		2499.39				other	OPPS APC	2499.39				other	OPPS APC	1224.7				percent of total billed charges		1274.69				percent of total billed charges		2499.39				other	OPPS APC	1224.7	2499.39	
VENTRALEX ST LG CIRCLE W/STRAP	SUP-97-00223	CDM			278	RC		inpatient			2499.39	2499.39																																																			
EXTENSION STEM NEXGEN STRAIGHT L30 MM L75 MM OD15 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-012-15	CDM	270010025	LOCAL	270	RC		outpatient			2498	2498	676.71				percent of total billed charges		2498				other	OPPS APC	1848.52				percent of total billed charges		2498				other	OPPS APC	2498				other	OPPS APC	676.71				percent of total billed charges		690.2				percent of total billed charges		2498				other	OPPS APC	676.71	2498	
EXTENSION STEM NEXGEN STRAIGHT L30 MM L75 MM OD15 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-012-15	CDM	270010025	LOCAL	270	RC		inpatient			2498	2498																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L100 MM L120 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-C06100ML	CDM			270	RC		outpatient			2498	2498	676.71				percent of total billed charges		2498				other	OPPS APC	1848.52				percent of total billed charges		2498				other	OPPS APC	2498				other	OPPS APC	676.71				percent of total billed charges		690.2				percent of total billed charges		2498				other	OPPS APC	676.71	2498	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L100 MM L120 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-C06100ML	CDM			270	RC		inpatient			2498	2498																																																			
TIBIAL INSERT 9MM POLY TRIATHLON TS PLUS	SUP-97-06213	CDM			278	RC		outpatient			2495.85	2495.85	2495.85				fee schedule		2495.85				other	OPPS APC	1422.63				percent of total billed charges		2495.85				other	OPPS APC	2495.85				other	OPPS APC	1222.97				percent of total billed charges		1272.88				percent of total billed charges		2495.85				other	OPPS APC	1222.97	2495.85	
TIBIAL INSERT 9MM POLY TRIATHLON TS PLUS	SUP-97-06213	CDM			278	RC		inpatient			2495.85	2495.85																																																			
DISTAL AUGMENT ATTUNE SIZE 8 4MM	SUP-1547-08-001	CDM	270010024	LOCAL	270	RC		outpatient			2495	2495	675.9				percent of total billed charges		2495				other	OPPS APC	1846.3				percent of total billed charges		2495				other	OPPS APC	2495				other	OPPS APC	675.9				percent of total billed charges		689.37				percent of total billed charges		2495				other	OPPS APC	675.9	2495	
DISTAL AUGMENT ATTUNE SIZE 8 4MM	SUP-1547-08-001	CDM	270010024	LOCAL	270	RC		inpatient			2495	2495																																																			
HEAD FEMORAL METAL +11 MM 14/16 LARGE TAPER OD36 MM HIP	SUP-1018-36-511	CDM	270010024	LOCAL	270	RC		outpatient			2494.8	2494.82	675.84				percent of total billed charges		2494.8				other	OPPS APC	1846.15				percent of total billed charges		2494.8				other	OPPS APC	2494.8				other	OPPS APC	675.84				percent of total billed charges		689.31				percent of total billed charges		2494.82				other	OPPS APC	675.84	2494.82	
HEAD FEMORAL METAL +11 MM 14/16 LARGE TAPER OD36 MM HIP	SUP-1018-36-511	CDM	270010024	LOCAL	270	RC		inpatient			2494.8	2494.8																																																			
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL 6H HD	SUP-97-01168	CDM			278	RC		outpatient			2494.5	2494.5	2494.5				fee schedule		2494.5				other	OPPS APC	1421.87				percent of total billed charges		2494.5				other	OPPS APC	2494.5				other	OPPS APC	1222.31				percent of total billed charges		1272.2				percent of total billed charges		2494.5				other	OPPS APC	1222.31	2494.5	
2.4MM VA-LCP 2-CLMN DSTLRADIUS PL 6H HD	SUP-97-01168	CDM			278	RC		inpatient			2494.5	2494.5																																																			
HRHK TIB INS 200MM M/L M2/L2	SUP-97-04712	CDM			278	RC		outpatient			2493.6	2493.6	2493.6				fee schedule		2493.6				other	OPPS APC	1421.35				percent of total billed charges		2493.6				other	OPPS APC	2493.6				other	OPPS APC	1221.86				percent of total billed charges		1271.74				percent of total billed charges		2493.6				other	OPPS APC	1221.86	2493.6	
HRHK TIB INS 200MM M/L M2/L2	SUP-97-04712	CDM			278	RC		inpatient			2493.6	2493.6																																																			
COCR PRESSFIT STEM 13MMX80MM	SUP-97-03370	CDM			278	RC		outpatient			2493.15	2493.15	2493.15				fee schedule		2493.15				other	OPPS APC	1421.1				percent of total billed charges		2493.15				other	OPPS APC	2493.15				other	OPPS APC	1221.64				percent of total billed charges		1271.51				percent of total billed charges		2493.15				other	OPPS APC	1221.64	2493.15	
COCR PRESSFIT STEM 13MMX80MM	SUP-97-03370	CDM			278	RC		inpatient			2493.15	2493.15																																																			
DRILL BIT	SUP-97-02480	CDM			272	RC		outpatient			2493	2493	675.35				percent of total billed charges		2493				other	OPPS APC	1844.82				percent of total billed charges		2493				other	OPPS APC	2493				other	OPPS APC	675.35				percent of total billed charges		688.82				percent of total billed charges		2493				other	OPPS APC	675.35	2493	
DRILL BIT	SUP-97-02480	CDM			272	RC		inpatient			2493	2493																																																			
PLATE BONE MATRIXRIB TITANIUM UNIVERSAL 8 HOLE NONSTERILE	SUP-04.501.009	CDM			270	RC		outpatient			2491	2491	674.81				percent of total billed charges		2491				other	OPPS APC	1843.34				percent of total billed charges		2491				other	OPPS APC	2491				other	OPPS APC	674.81				percent of total billed charges		688.26				percent of total billed charges		2491				other	OPPS APC	674.81	2491	
PLATE BONE MATRIXRIB TITANIUM UNIVERSAL 8 HOLE NONSTERILE	SUP-04.501.009	CDM			270	RC		inpatient			2491	2491																																																			
PLATE BONE L 18X12X.5MM TITANIUM NS CRANIOFACIAL LEFT 9 HOLE 1MM CORTEX SCREW	SUP-420.540	CDM	270010022	LOCAL	270	RC		outpatient			2484.4	2484.41	673.02				percent of total billed charges		2484.4				other	OPPS APC	1838.46				percent of total billed charges		2484.4				other	OPPS APC	2484.4				other	OPPS APC	673.02				percent of total billed charges		686.44				percent of total billed charges		2484.41				other	OPPS APC	673.02	2484.41	
PLATE BONE L 18X12X.5MM TITANIUM NS CRANIOFACIAL LEFT 9 HOLE 1MM CORTEX SCREW	SUP-420.540	CDM	270010022	LOCAL	270	RC		inpatient			2484.4	2484.4																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L76 MM TIBIA RIGHT PROXIMAL 4 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.200	CDM	270010022	LOCAL	270	RC		outpatient			2484.18	2484.18	672.96				percent of total billed charges		2484.18				other	OPPS APC	1838.29				percent of total billed charges		2484.18				other	OPPS APC	2484.18				other	OPPS APC	672.96				percent of total billed charges		686.38				percent of total billed charges		2484.18				other	OPPS APC	672.96	2484.18	
PLATE BONE LCP COMBI STAINLESS STEEL L76 MM TIBIA RIGHT PROXIMAL 4 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.200	CDM	270010022	LOCAL	270	RC		inpatient			2484.18	2484.18																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L76 MM TIBIA LEFT PROXIMAL 4 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.201	CDM	270010022	LOCAL	270	RC		outpatient			2484.18	2484.18	672.96				percent of total billed charges		2484.18				other	OPPS APC	1838.29				percent of total billed charges		2484.18				other	OPPS APC	2484.18				other	OPPS APC	672.96				percent of total billed charges		686.38				percent of total billed charges		2484.18				other	OPPS APC	672.96	2484.18	
PLATE BONE LCP COMBI STAINLESS STEEL L76 MM TIBIA LEFT PROXIMAL 4 HOLE LOW BEND LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.124.201	CDM	270010022	LOCAL	270	RC		inpatient			2484.18	2484.18																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L81 MM TIBIA LEFT PROXIMAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.935	CDM	270010022	LOCAL	270	RC		outpatient			2484.18	2484.18	672.96				percent of total billed charges		2484.18				other	OPPS APC	1838.29				percent of total billed charges		2484.18				other	OPPS APC	2484.18				other	OPPS APC	672.96				percent of total billed charges		686.38				percent of total billed charges		2484.18				other	OPPS APC	672.96	2484.18	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L81 MM TIBIA LEFT PROXIMAL 4 HOLE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-239.935	CDM	270010022	LOCAL	270	RC		inpatient			2484.18	2484.18																																																			
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPSE L9.2 IN X W7.2 IN VENTRAL 2 LAYER LARGE BORE LIGHTWEIGHT LOW PROFILE STERILE LATEX FREE HERNIA	SUP-0134790	CDM			270	RC		outpatient			2484	2484	672.92				percent of total billed charges		2484				other	OPPS APC	1838.16				percent of total billed charges		2484				other	OPPS APC	2484				other	OPPS APC	672.92				percent of total billed charges		686.33				percent of total billed charges		2484				other	OPPS APC	672.92	2484	
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPSE L9.2 IN X W7.2 IN VENTRAL 2 LAYER LARGE BORE LIGHTWEIGHT LOW PROFILE STERILE LATEX FREE HERNIA	SUP-0134790	CDM			270	RC		inpatient			2484	2484																																																			
PLATE 3.5MM LCP OLECRANON LEFT 12 HOLE	SUP-236.513	CDM	270010022	LOCAL	270	RC		outpatient			2482.7	2482.7	672.56				percent of total billed charges		2482.7				other	OPPS APC	1837.2				percent of total billed charges		2482.7				other	OPPS APC	2482.7				other	OPPS APC	672.56				percent of total billed charges		685.97				percent of total billed charges		2482.7				other	OPPS APC	672.56	2482.7	
PLATE 3.5MM LCP OLECRANON LEFT 12 HOLE	SUP-236.513	CDM	270010022	LOCAL	270	RC		inpatient			2482.7	2482.7																																																			
HC Ankle Dislocate Closed Tx W Anes	PX-450278421	CDM	27842	CPT	450	RC		outpatient			2479	2479	195.77				case rate		2479				other	OPPS APC	1834.46				percent of total billed charges		2479				other	OPPS APC	2479				other	OPPS APC	195.77				case rate		199.69				case rate		2479				other	OPPS APC	195.77	2479	
HC Ankle Dislocate Closed Tx W Anes	PX-450278421	CDM	27842	CPT	450	RC		inpatient			2479	2479																																																			
BREAST IMPLANTS 650CC (45-650)	SUP-97-02735	CDM			278	RC		outpatient			2475	2475	2475				fee schedule		2475				other	OPPS APC	1410.75				percent of total billed charges		2475				other	OPPS APC	2475				other	OPPS APC	1212.75				percent of total billed charges		1262.25				percent of total billed charges		2475				other	OPPS APC	1212.75	2475	
BREAST IMPLANTS 650CC (45-650)	SUP-97-02735	CDM			278	RC		inpatient			2475	2475																																																			
LOCKING MEDIAL HOOK PLATE SS 5H	SUP-97-04753	CDM			278	RC		outpatient			2475	2475	2475				fee schedule		2475				other	OPPS APC	1410.75				percent of total billed charges		2475				other	OPPS APC	2475				other	OPPS APC	1212.75				percent of total billed charges		1262.25				percent of total billed charges		2475				other	OPPS APC	1212.75	2475	
LOCKING MEDIAL HOOK PLATE SS 5H	SUP-97-04753	CDM			278	RC		inpatient			2475	2475																																																			
STENT - MINI VISION 2.5X18	SUP-99-00832	CDM			278	RC		inpatient			2475	2475																																																			
STENT - MINI VISION 2.5X18	SUP-99-00832	CDM			278	RC		outpatient			2475	2475					fee schedule						other	OPPS APC	1410.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1212.75				percent of total billed charges		1262.25				percent of total billed charges						other	OPPS APC	1410.75	1410.75	
CATHETER - LANGSTON DUAL LUMEN PIGTAIL	SUP-99-01796	CDM			272	RC		outpatient			2475	2475	670.48				percent of total billed charges		2475				other	OPPS APC	1831.5				percent of total billed charges		2475				other	OPPS APC	2475				other	OPPS APC	670.48				percent of total billed charges		683.84				percent of total billed charges		2475				other	OPPS APC	670.48	2475	
CATHETER - LANGSTON DUAL LUMEN PIGTAIL	SUP-99-01796	CDM			272	RC		inpatient			2475	2475																																																			
STENT - MINI VISION 2.5X8	SUP-99-02057	CDM			278	RC		inpatient			2475	2475																																																			
STENT - MINI VISION 2.5X8	SUP-99-02057	CDM			278	RC		outpatient			2475	2475					fee schedule						other	OPPS APC	1410.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1212.75				percent of total billed charges		1262.25				percent of total billed charges						other	OPPS APC	1410.75	1410.75	
STENT - MISAGO - 7 X 150	SUP-99-03139	CDM			278	RC		inpatient			2475	2475																																																			
STENT - MISAGO - 7 X 150	SUP-99-03139	CDM			278	RC		outpatient			2475	2475					fee schedule						other	OPPS APC	1410.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	1212.75				percent of total billed charges		1262.25				percent of total billed charges						other	OPPS APC	1410.75	1410.75	
PLATE CALCANEUS MESH SMALL	SUP-97-06204	CDM			278	RC		outpatient			2474.16	2474.16	2474.16				fee schedule		2474.16				other	OPPS APC	1410.27				percent of total billed charges		2474.16				other	OPPS APC	2474.16				other	OPPS APC	1212.34				percent of total billed charges		1261.82				percent of total billed charges		2474.16				other	OPPS APC	1212.34	2474.16	
PLATE CALCANEUS MESH SMALL	SUP-97-06204	CDM			278	RC		inpatient			2474.16	2474.16																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.518	CDM	270010022	LOCAL	270	RC		outpatient			2473.5	2473.5	670.07				percent of total billed charges		2473.5				other	OPPS APC	1830.39				percent of total billed charges		2473.5				other	OPPS APC	2473.5				other	OPPS APC	670.07				percent of total billed charges		683.43				percent of total billed charges		2473.5				other	OPPS APC	670.07	2473.5	
PLATE BONE LCP COMBI STAINLESS STEEL L161 MM X W13.5 MM X H3.7 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.518	CDM	270010022	LOCAL	270	RC		inpatient			2473.5	2473.5																																																			
HRHK TIB INS 10MM XS/S S1/S2	SUP-97-03375	CDM			278	RC		outpatient			2473.2	2473.2	2473.2				fee schedule		2473.2				other	OPPS APC	1409.72				percent of total billed charges		2473.2				other	OPPS APC	2473.2				other	OPPS APC	1211.87				percent of total billed charges		1261.33				percent of total billed charges		2473.2				other	OPPS APC	1211.87	2473.2	
HRHK TIB INS 10MM XS/S S1/S2	SUP-97-03375	CDM			278	RC		inpatient			2473.2	2473.2																																																			
HRHK TIB INS 20MM XS/S S1/S2	SUP-97-05060	CDM			278	RC		outpatient			2473.2	2473.2	2473.2				fee schedule		2473.2				other	OPPS APC	1409.72				percent of total billed charges		2473.2				other	OPPS APC	2473.2				other	OPPS APC	1211.87				percent of total billed charges		1261.33				percent of total billed charges		2473.2				other	OPPS APC	1211.87	2473.2	
HRHK TIB INS 20MM XS/S S1/S2	SUP-97-05060	CDM			278	RC		inpatient			2473.2	2473.2																																																			
CATHETER ABLATION DECANAV CARTO 3 2 MM 2-8-2 MM D CURVE L115CM OD 7 FR 10 PLE	SUP-R7D282CT	CDM			270	RC		outpatient			2472	2472	669.66				percent of total billed charges		2472				other	OPPS APC	1829.28				percent of total billed charges		2472				other	OPPS APC	2472				other	OPPS APC	669.66				percent of total billed charges		683.01				percent of total billed charges		2472				other	OPPS APC	669.66	2472	
CATHETER ABLATION DECANAV CARTO 3 2 MM 2-8-2 MM D CURVE L115CM OD 7 FR 10 PLE	SUP-R7D282CT	CDM			270	RC		inpatient			2472	2472																																																			
CATHETER ABLATION DECANAV 2MM 2-8-2 MM F CURVE L115CM OD 7 FR 10 POLE TIP	SUP-R7F282CT	CDM			270	RC		outpatient			2472	2472	669.66				percent of total billed charges		2472				other	OPPS APC	1829.28				percent of total billed charges		2472				other	OPPS APC	2472				other	OPPS APC	669.66				percent of total billed charges		683.01				percent of total billed charges		2472				other	OPPS APC	669.66	2472	
CATHETER ABLATION DECANAV 2MM 2-8-2 MM F CURVE L115CM OD 7 FR 10 POLE TIP	SUP-R7F282CT	CDM			270	RC		inpatient			2472	2472																																																			
MICROCATHETER CEREBROVASCULAR PROWLER 14 TRUELUMEN NYLON PFTE HYDROPHILIC 45 D L150CM L50CM OD 1.9-2.3FR ID .015IN CORONARY PERIPHERAL MARKER BRAID REINFORCE COIL ACCEPTS .014IN GUIDEWIRE	SUP-606151FX	CDM			270	RC		outpatient			2465.58	2465.58	667.93				percent of total billed charges		2465.58				other	OPPS APC	1824.53				percent of total billed charges		2465.58				other	OPPS APC	2465.58				other	OPPS APC	667.93				percent of total billed charges		681.24				percent of total billed charges		2465.58				other	OPPS APC	667.93	2465.58	
MICROCATHETER CEREBROVASCULAR PROWLER 14 TRUELUMEN NYLON PFTE HYDROPHILIC 45 D L150CM L50CM OD 1.9-2.3FR ID .015IN CORONARY PERIPHERAL MARKER BRAID REINFORCE COIL ACCEPTS .014IN GUIDEWIRE	SUP-606151FX	CDM			270	RC		inpatient			2465.58	2465.58																																																			
GRAFT BONE FEMUR HEAD WITHOUT CARTILAGE	SUP-620100	CDM	270010031	LOCAL	270	RC		outpatient			2464	2464	667.5				percent of total billed charges		2464				other	OPPS APC	1823.36				percent of total billed charges		2464				other	OPPS APC	2464				other	OPPS APC	667.5				percent of total billed charges		680.8				percent of total billed charges		2464				other	OPPS APC	667.5	2464	
GRAFT BONE FEMUR HEAD WITHOUT CARTILAGE	SUP-620100	CDM	270010031	LOCAL	270	RC		inpatient			2464	2464																																																			
EASY CLIP MONCRTCL FIXN DEVICE 12X10X10	SUP-97-01643	CDM			278	RC		outpatient			2463.24	2463.24	2463.24				fee schedule		2463.24				other	OPPS APC	1404.05				percent of total billed charges		2463.24				other	OPPS APC	2463.24				other	OPPS APC	1206.99				percent of total billed charges		1256.25				percent of total billed charges		2463.24				other	OPPS APC	1206.99	2463.24	
EASY CLIP MONCRTCL FIXN DEVICE 12X10X10	SUP-97-01643	CDM			278	RC		inpatient			2463.24	2463.24																																																			
MRI Brain W Contrast	PX-611705520	CDM	70552	CPT	611	RC		outpatient			2463	388.42	340.24				fee schedule		388.04				other	OPPS APC	1532.69				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	282.6				fee schedule		197.33				fee schedule		388.42				other	OPPS APC	197.33	1532.69	
MRI Brain W Contrast	PX-611705520	CDM	70552	CPT	611	RC		inpatient			2463	2463																																																			
MESH GYNECOLOGICAL GYNECARE TVT MECHANICAL CUT RETROPUBIC SYSTEM	SUP-810041B	CDM			270	RC		outpatient			2462	2462	666.96				percent of total billed charges		2462				other	OPPS APC	1821.88				percent of total billed charges		2462				other	OPPS APC	2462				other	OPPS APC	666.96				percent of total billed charges		680.25				percent of total billed charges		2462				other	OPPS APC	666.96	2462	
MESH GYNECOLOGICAL GYNECARE TVT MECHANICAL CUT RETROPUBIC SYSTEM	SUP-810041B	CDM			270	RC		inpatient			2462	2462																																																			
PACEMAKER- LV LEAD SENTUS QP PRO MRI LEAD	SUP-99-04354	CDM			275	RC		outpatient			2460.5	246.5	2460.5				fee schedule		2460.5				other	OPPS APC	1402.49				percent of total billed charges		2460.5				other	OPPS APC	2460.5				other	OPPS APC	1205.65				percent of total billed charges		1254.86				percent of total billed charges		246.5				other	OPPS APC	246.5	2460.5	
PACEMAKER- LV LEAD SENTUS QP PRO MRI LEAD	SUP-99-04354	CDM			275	RC		inpatient			2460.5	2460.5																																																			
IMPLANT NEXGEN CR ALL POLY TIB SIZE5 GRN	SUP-00-5966-005-17	CDM	270010025	LOCAL	270	RC		outpatient			2460	246	666.41				percent of total billed charges		2460				other	OPPS APC	1820.4				percent of total billed charges		2460				other	OPPS APC	2460				other	OPPS APC	666.41				percent of total billed charges		679.7				percent of total billed charges		246				other	OPPS APC	246	2460	
IMPLANT NEXGEN CR ALL POLY TIB SIZE5 GRN	SUP-00-5966-005-17	CDM	270010025	LOCAL	270	RC		inpatient			2460	2460																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA PRECOAT 3 FULL H10 MM KNEE TIBIA STERILE	SUP-00-5988-003-10	CDM	270010025	LOCAL	270	RC		outpatient			2460	246	666.41				percent of total billed charges		2460				other	OPPS APC	1820.4				percent of total billed charges		2460				other	OPPS APC	2460				other	OPPS APC	666.41				percent of total billed charges		679.7				percent of total billed charges		246				other	OPPS APC	246	2460	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA PRECOAT 3 FULL H10 MM KNEE TIBIA STERILE	SUP-00-5988-003-10	CDM	270010025	LOCAL	270	RC		inpatient			2460	2460																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 5 FULL H10 MM KNEE TIBIAL STERILE	SUP-00-5988-005-10	CDM	270010025	LOCAL	270	RC		outpatient			2460	246	666.41				percent of total billed charges		2460				other	OPPS APC	1820.4				percent of total billed charges		2460				other	OPPS APC	2460				other	OPPS APC	666.41				percent of total billed charges		679.7				percent of total billed charges		246				other	OPPS APC	246	2460	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 5 FULL H10 MM KNEE TIBIAL STERILE	SUP-00-5988-005-10	CDM	270010025	LOCAL	270	RC		inpatient			2460	2460																																																			
SINGLE RADIUS HUMERAL HEAD SZ48	SUP-97-04706	CDM			278	RC		outpatient			2460	246	2460				fee schedule		2460				other	OPPS APC	1402.2				percent of total billed charges		2460				other	OPPS APC	2460				other	OPPS APC	1205.4				percent of total billed charges		1254.6				percent of total billed charges		246				other	OPPS APC	246	2460	
SINGLE RADIUS HUMERAL HEAD SZ48	SUP-97-04706	CDM			278	RC		inpatient			2460	2460																																																			
DYNANITE PIP-BENT 14MM W/INSTR	SUP-97-05072	CDM			278	RC		outpatient			2460	246	2460				fee schedule		2460				other	OPPS APC	1402.2				percent of total billed charges		2460				other	OPPS APC	2460				other	OPPS APC	1205.4				percent of total billed charges		1254.6				percent of total billed charges		246				other	OPPS APC	246	2460	
DYNANITE PIP-BENT 14MM W/INSTR	SUP-97-05072	CDM			278	RC		inpatient			2460	2460																																																			
BASEPLATE PRIMARY TIBIAL TRIATHLON SIZE 7	SUP-97-06236	CDM			278	RC		outpatient			2460	246	2460				fee schedule		2460				other	OPPS APC	1402.2				percent of total billed charges		2460				other	OPPS APC	2460				other	OPPS APC	1205.4				percent of total billed charges		1254.6				percent of total billed charges		246				other	OPPS APC	246	2460	
BASEPLATE PRIMARY TIBIAL TRIATHLON SIZE 7	SUP-97-06236	CDM			278	RC		inpatient			2460	2460																																																			
WEDGE FEMORAL GMK 3 H8 MM KNEE REVISION	SUP-02.05.03DW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 3 H8 MM KNEE REVISION	SUP-02.05.03DW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE FEMORAL GMK 3 H5 MM KNEE POSTERIOR REVISION	SUP-02.05.03PW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 3 H5 MM KNEE POSTERIOR REVISION	SUP-02.05.03PW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE FEMORAL GMK 5 H5 MM KNEE POSTERIOR REVISION	SUP-02.05.05PW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 5 H5 MM KNEE POSTERIOR REVISION	SUP-02.05.05PW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE FEMORAL GMK 2 H4 MM KNEE HINGE	SUP-02.07.204FDW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 2 H4 MM KNEE HINGE	SUP-02.07.204FDW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE FEMORAL GMK 3 H4 MM KNEE REVISION	SUP-02.07.304FDW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 3 H4 MM KNEE REVISION	SUP-02.07.304FDW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE FEMORAL GMK 3 H10 MM KNEE POSTERIOR REVISION	SUP-02.07.310FPW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 3 H10 MM KNEE POSTERIOR REVISION	SUP-02.07.310FPW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE AUGMENTATION GMK 3/12 MM FEMUR DISTAL STERILE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.07.312FDA	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE AUGMENTATION GMK 3/12 MM FEMUR DISTAL STERILE REVISION HINGE TOTAL KNEE SYSTEM	SUP-02.07.312FDA	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
WEDGE FEMORAL GMK 5 H4 MM KNEE REVISION	SUP-02.07.504FDW	CDM	270010025	LOCAL	270	RC		outpatient			2455	2455	665.06				percent of total billed charges		2455				other	OPPS APC	1816.7				percent of total billed charges		2455				other	OPPS APC	2455				other	OPPS APC	665.06				percent of total billed charges		678.32				percent of total billed charges		2455				other	OPPS APC	665.06	2455	
WEDGE FEMORAL GMK 5 H4 MM KNEE REVISION	SUP-02.07.504FDW	CDM	270010025	LOCAL	270	RC		inpatient			2455	2455																																																			
CLAMP EXTERNAL FIXATION OD1.6 MM HOLD NONSTERILE 1.6 MM K WIRE MINI EXTERNAL FIXATOR	SUP-31294	CDM			278	RC		outpatient			2454.99	2454.99	2454.99				fee schedule		2454.99				other	OPPS APC	1399.34				percent of total billed charges		2454.99				other	OPPS APC	2454.99				other	OPPS APC	1202.95				percent of total billed charges		1252.04				percent of total billed charges		2454.99				other	OPPS APC	1202.95	2454.99	
CLAMP EXTERNAL FIXATION OD1.6 MM HOLD NONSTERILE 1.6 MM K WIRE MINI EXTERNAL FIXATOR	SUP-31294	CDM			278	RC		inpatient			2454.99	2454.99																																																			
PLATE 3.5MM CLP POSTEROLATERAL DISTAL HUMERUS RIGHT 14 HOLE	SUP-241.302	CDM	270010022	LOCAL	270	RC		outpatient			2451.9	2451.91	664.22				percent of total billed charges		2451.9				other	OPPS APC	1814.41				percent of total billed charges		2451.9				other	OPPS APC	2451.9				other	OPPS APC	664.22				percent of total billed charges		677.46				percent of total billed charges		2451.91				other	OPPS APC	664.22	2451.91	
PLATE 3.5MM CLP POSTEROLATERAL DISTAL HUMERUS RIGHT 14 HOLE	SUP-241.302	CDM	270010022	LOCAL	270	RC		inpatient			2451.9	2451.9																																																			
SPACER OSPREY EAGLE I	SUP-8-07	CDM	270010020	LOCAL	270	RC		outpatient			2450	245	663.71				percent of total billed charges		2450				other	OPPS APC	1813				percent of total billed charges		2450				other	OPPS APC	2450				other	OPPS APC	663.71				percent of total billed charges		676.94				percent of total billed charges		245				other	OPPS APC	245	2450	
SPACER OSPREY EAGLE I	SUP-8-07	CDM	270010020	LOCAL	270	RC		inpatient			2450	2450																																																			
ANCHOR SUTURE BIO-FASTAK FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID 2 L14 MM OD3 MM SHOULDER BRAID EYELET HANDLE INSERTER THREAD STERILE	SUP-AR-1324BF	CDM			270	RC		outpatient			2450	245	663.71				percent of total billed charges		2450				other	OPPS APC	1813				percent of total billed charges		2450				other	OPPS APC	2450				other	OPPS APC	663.71				percent of total billed charges		676.94				percent of total billed charges		245				other	OPPS APC	245	2450	
ANCHOR SUTURE BIO-FASTAK FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID 2 L14 MM OD3 MM SHOULDER BRAID EYELET HANDLE INSERTER THREAD STERILE	SUP-AR-1324BF	CDM			270	RC		inpatient			2450	2450																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L120 CM OD8 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-C08080ML	CDM			270	RC		outpatient			2450	245	663.71				percent of total billed charges		2450				other	OPPS APC	1813				percent of total billed charges		2450				other	OPPS APC	2450				other	OPPS APC	663.71				percent of total billed charges		676.94				percent of total billed charges		245				other	OPPS APC	245	2450	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L120 CM OD8 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-C08080ML	CDM			270	RC		inpatient			2450	2450																																																			
CATHETER SUPPORT NAVIEN NITINOL STRAIGHT L115 CM L8 CM OD6 FR ID.072 IN INTRACRANIAL STERILE	SUP-RFX072-115-08	CDM			270	RC		outpatient			2450	245	663.71				percent of total billed charges		2450				other	OPPS APC	1813				percent of total billed charges		2450				other	OPPS APC	2450				other	OPPS APC	663.71				percent of total billed charges		676.94				percent of total billed charges		245				other	OPPS APC	245	2450	
CATHETER SUPPORT NAVIEN NITINOL STRAIGHT L115 CM L8 CM OD6 FR ID.072 IN INTRACRANIAL STERILE	SUP-RFX072-115-08	CDM			270	RC		inpatient			2450	2450																																																			
PLATE BONE LCP COMBI STAINLESS STEEL D12 MM L85 MM CLAVICLE RIGHT 5 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STERILE 3.5 MM SCREW	SUP-241.082S	CDM	270010022	LOCAL	270	RC		outpatient			2446.4	2446.41	662.73				percent of total billed charges		2446.4				other	OPPS APC	1810.34				percent of total billed charges		2446.4				other	OPPS APC	2446.4				other	OPPS APC	662.73				percent of total billed charges		675.94				percent of total billed charges		2446.41				other	OPPS APC	662.73	2446.41	
PLATE BONE LCP COMBI STAINLESS STEEL D12 MM L85 MM CLAVICLE RIGHT 5 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STERILE 3.5 MM SCREW	SUP-241.082S	CDM	270010022	LOCAL	270	RC		inpatient			2446.4	2446.4																																																			
REGULAR FLUTED STEM 15X80 MM	SUP-97-04709	CDM			278	RC		outpatient			2445.6	2445.6	2445.6				fee schedule		2445.6				other	OPPS APC	1393.99				percent of total billed charges		2445.6				other	OPPS APC	2445.6				other	OPPS APC	1198.34				percent of total billed charges		1247.26				percent of total billed charges		2445.6				other	OPPS APC	1198.34	2445.6	
REGULAR FLUTED STEM 15X80 MM	SUP-97-04709	CDM			278	RC		inpatient			2445.6	2445.6																																																			
REGULAR FLUTED STEM 13X80 MM	SUP-97-04710	CDM			278	RC		outpatient			2445.6	2445.6	2445.6				fee schedule		2445.6				other	OPPS APC	1393.99				percent of total billed charges		2445.6				other	OPPS APC	2445.6				other	OPPS APC	1198.34				percent of total billed charges		1247.26				percent of total billed charges		2445.6				other	OPPS APC	1198.34	2445.6	
REGULAR FLUTED STEM 13X80 MM	SUP-97-04710	CDM			278	RC		inpatient			2445.6	2445.6																																																			
MESH CONTOURABLE 38MM X 35MM	SUP-04.503.081	CDM	270010013	LOCAL	270	RC		outpatient			2445.26	2445.26	662.42				percent of total billed charges		2445.26				other	OPPS APC	1809.49				percent of total billed charges		2445.26				other	OPPS APC	2445.26				other	OPPS APC	662.42				percent of total billed charges		675.63				percent of total billed charges		2445.26				other	OPPS APC	662.42	2445.26	
MESH CONTOURABLE 38MM X 35MM	SUP-04.503.081	CDM	270010013	LOCAL	270	RC		inpatient			2445.26	2445.26																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM OLECRANON RIGHT 10 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.510	CDM	270010022	LOCAL	270	RC		outpatient			2443.1	2444	661.84				percent of total billed charges		2443.1				other	OPPS APC	1807.89				percent of total billed charges		2443.1				other	OPPS APC	2443.1				other	OPPS APC	661.84				percent of total billed charges		675.03				percent of total billed charges		2444				other	OPPS APC	661.84	2444	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM OLECRANON RIGHT 10 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.510	CDM	270010022	LOCAL	270	RC		inpatient			2443.1	2443.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM OLECRANON LEFT 10 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.511	CDM	270010022	LOCAL	270	RC		outpatient			2443.1	2444	661.84				percent of total billed charges		2443.1				other	OPPS APC	1807.89				percent of total billed charges		2443.1				other	OPPS APC	2443.1				other	OPPS APC	661.84				percent of total billed charges		675.03				percent of total billed charges		2444				other	OPPS APC	661.84	2444	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L190 MM OLECRANON LEFT 10 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.511	CDM	270010022	LOCAL	270	RC		inpatient			2443.1	2443.1																																																			
PLATE VOLAR SMRTLCK NARROW LEFT SHORT	SUP-97-04540	CDM			278	RC		inpatient			2437.5	2437.5																																																			
PLATE VOLAR SMRTLCK NARROW LEFT SHORT	SUP-97-04540	CDM			278	RC		outpatient			2437.5	2437.5					fee schedule						other	OPPS APC	1389.38				percent of total billed charges						other	OPPS APC					other	OPPS APC	1194.38				percent of total billed charges		1243.13				percent of total billed charges						other	OPPS APC	1389.38	1389.38	
TIBIAL AUGMENT SIZE 2 10MM LM/RL TRIATHLON	SUP-97-05623	CDM			278	RC		outpatient			2436	2436	2436				fee schedule		2436				other	OPPS APC	1388.52				percent of total billed charges		2436				other	OPPS APC	2436				other	OPPS APC	1193.64				percent of total billed charges		1242.36				percent of total billed charges		2436				other	OPPS APC	1193.64	2436	
TIBIAL AUGMENT SIZE 2 10MM LM/RL TRIATHLON	SUP-97-05623	CDM			278	RC		inpatient			2436	2436																																																			
TIBIAL AUGMENT SIZE 2 10MM RM/LL TRIATHLON	SUP-97-05624	CDM			278	RC		outpatient			2436	2436	2436				fee schedule		2436				other	OPPS APC	1388.52				percent of total billed charges		2436				other	OPPS APC	2436				other	OPPS APC	1193.64				percent of total billed charges		1242.36				percent of total billed charges		2436				other	OPPS APC	1193.64	2436	
TIBIAL AUGMENT SIZE 2 10MM RM/LL TRIATHLON	SUP-97-05624	CDM			278	RC		inpatient			2436	2436																																																			
TIBIAL AUGMENT SIZE 7 10MM RM/LL TRIATHLON	SUP-97-05880	CDM			278	RC		outpatient			2436	2436	2436				fee schedule		2436				other	OPPS APC	1388.52				percent of total billed charges		2436				other	OPPS APC	2436				other	OPPS APC	1193.64				percent of total billed charges		1242.36				percent of total billed charges		2436				other	OPPS APC	1193.64	2436	
TIBIAL AUGMENT SIZE 7 10MM RM/LL TRIATHLON	SUP-97-05880	CDM			278	RC		inpatient			2436	2436																																																			
PLATE BONE STANDARD BEND TITANIUM WRIST 8 HOLE FUSION 2.7/3.5MM CORTEX SCREW	SUP-442.51	CDM	270010022	LOCAL	270	RC		outpatient			2431.8	2431.82	658.77				percent of total billed charges		2431.8				other	OPPS APC	1799.53				percent of total billed charges		2431.8				other	OPPS APC	2431.8				other	OPPS APC	658.77				percent of total billed charges		671.91				percent of total billed charges		2431.82				other	OPPS APC	658.77	2431.82	
PLATE BONE STANDARD BEND TITANIUM WRIST 8 HOLE FUSION 2.7/3.5MM CORTEX SCREW	SUP-442.51	CDM	270010022	LOCAL	270	RC		inpatient			2431.8	2431.8																																																			
PLATE BONE SHORT BEND TITANIUM WRIST 8 HOLE FUSION 2.7/3.5MM CORTEX SCREW	SUP-442.52	CDM	270010022	LOCAL	270	RC		outpatient			2431.8	2431.82	658.77				percent of total billed charges		2431.8				other	OPPS APC	1799.53				percent of total billed charges		2431.8				other	OPPS APC	2431.8				other	OPPS APC	658.77				percent of total billed charges		671.91				percent of total billed charges		2431.82				other	OPPS APC	658.77	2431.82	
PLATE BONE SHORT BEND TITANIUM WRIST 8 HOLE FUSION 2.7/3.5MM CORTEX SCREW	SUP-442.52	CDM	270010022	LOCAL	270	RC		inpatient			2431.8	2431.8																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P5.9CM MODERATE HEIGHT EXTRA FULL PROJECTION 11X10CM 300CC SALINE STERILE LF	SUP-133MX-11	CDM			270	RC		outpatient			2430	243	658.29				percent of total billed charges		2430				other	OPPS APC	1798.2				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	658.29				percent of total billed charges		671.41				percent of total billed charges		243				other	OPPS APC	243	2430	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P5.9CM MODERATE HEIGHT EXTRA FULL PROJECTION 11X10CM 300CC SALINE STERILE LF	SUP-133MX-11	CDM			270	RC		inpatient			2430	2430																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.3 CM MODERATE HEIGHT EXTRA PROJECTION W12 CM X H11 CM 400 ML BREAST STYLE 133MX TEXTURED STERILE	SUP-133MX-12	CDM			270	RC		outpatient			2430	243	658.29				percent of total billed charges		2430				other	OPPS APC	1798.2				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	658.29				percent of total billed charges		671.41				percent of total billed charges		243				other	OPPS APC	243	2430	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P6.3 CM MODERATE HEIGHT EXTRA PROJECTION W12 CM X H11 CM 400 ML BREAST STYLE 133MX TEXTURED STERILE	SUP-133MX-12	CDM			270	RC		inpatient			2430	2430																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.7CM MODERATE HEIGHT EXTRA PROJECTION 13X12CM 500ML SALINE STERILE LF	SUP-133MX-13	CDM			270	RC		outpatient			2430	243	658.29				percent of total billed charges		2430				other	OPPS APC	1798.2				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	658.29				percent of total billed charges		671.41				percent of total billed charges		243				other	OPPS APC	243	2430	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P6.7CM MODERATE HEIGHT EXTRA PROJECTION 13X12CM 500ML SALINE STERILE LF	SUP-133MX-13	CDM			270	RC		inpatient			2430	2430																																																			
STIMULAN RAPID CURE 10CC	SUP-620-010	CDM			270	RC		outpatient			2430	243	658.29				percent of total billed charges		2430				other	OPPS APC	1798.2				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	658.29				percent of total billed charges		671.41				percent of total billed charges		243				other	OPPS APC	243	2430	
STIMULAN RAPID CURE 10CC	SUP-620-010	CDM			270	RC		inpatient			2430	2430																																																			
TIBIAL BEARING INSERT-PS7 9MM	SUP-97-01660	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TIBIAL BEARING INSERT-PS7 9MM	SUP-97-01660	CDM			278	RC		inpatient			2430	2430																																																			
TIBIAL BEARING INSERT-PS 13MM	SUP-97-01918	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TIBIAL BEARING INSERT-PS 13MM	SUP-97-01918	CDM			278	RC		inpatient			2430	2430																																																			
TIBIAL BEARING INSERT-PS 9MMX5	SUP-97-02199	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TIBIAL BEARING INSERT-PS 9MMX5	SUP-97-02199	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON CS INSERT SZ6 9MM	SUP-97-03854	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON CS INSERT SZ6 9MM	SUP-97-03854	CDM			278	RC		inpatient			2430	2430																																																			
PS X3 TIBIAL INSERT	SUP-97-04273	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
PS X3 TIBIAL INSERT	SUP-97-04273	CDM			278	RC		inpatient			2430	2430																																																			
TIBIAL X3 BEARING INSERT PS SZ4 11MM	SUP-97-04274	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TIBIAL X3 BEARING INSERT PS SZ4 11MM	SUP-97-04274	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 2 9MM	SUP-97-04293	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 2 9MM	SUP-97-04293	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04308	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04308	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04315	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04315	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04339	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04339	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04361	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04361	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04369	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04369	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE3 9MM	SUP-97-04374	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE3 9MM	SUP-97-04374	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04379	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04379	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04536	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04536	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04537	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04537	CDM			278	RC		inpatient			2430	2430																																																			
TRIA. PS X3 TIBIAL INSERT	SUP-97-04551	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIA. PS X3 TIBIAL INSERT	SUP-97-04551	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIA. CS INSERT #2 11MM	SUP-97-04552	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIA. CS INSERT #2 11MM	SUP-97-04552	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 3 11MM	SUP-97-04577	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 3 11MM	SUP-97-04577	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04631	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-04631	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SZ 2 16MM	SUP-97-04708	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SZ 2 16MM	SUP-97-04708	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04749	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04749	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04790	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-04790	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS #5 10MM	SUP-97-04907	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS #5 10MM	SUP-97-04907	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS#4 12MM	SUP-97-04915	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS#4 12MM	SUP-97-04915	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS#8 10MM	SUP-97-04918	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS#8 10MM	SUP-97-04918	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRISTHLON CS INS SIZE 7 9MM	SUP-97-04956	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRISTHLON CS INS SIZE 7 9MM	SUP-97-04956	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE6 11MM	SUP-97-04957	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE6 11MM	SUP-97-04957	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS#6 10MM	SUP-97-05077	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS#6 10MM	SUP-97-05077	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS#3 10MM	SUP-97-05109	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS#3 10MM	SUP-97-05109	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS #6 14MM	SUP-97-05122	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS #6 14MM	SUP-97-05122	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE2 13MM	SUP-97-05125	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE2 13MM	SUP-97-05125	CDM			278	RC		inpatient			2430	2430																																																			
TIBIAL BEARING INSERT CS TRIATHLON	SUP-97-05181	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TIBIAL BEARING INSERT CS TRIATHLON	SUP-97-05181	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON INSERT PS #4 10MM	SUP-97-05195	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON INSERT PS #4 10MM	SUP-97-05195	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-05198	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-05198	CDM			278	RC		inpatient			2430	2430																																																			
3X10 CS INSERT	SUP-97-05202	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
3X10 CS INSERT	SUP-97-05202	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-05206	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-05206	CDM			278	RC		inpatient			2430	2430																																																			
4 X 12MM CS POLY	SUP-97-05224	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
4 X 12MM CS POLY	SUP-97-05224	CDM			278	RC		inpatient			2430	2430																																																			
2 X 10MM CS LINER	SUP-97-05230	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
2 X 10MM CS LINER	SUP-97-05230	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIAATHLON INSERT PS#6 12MM	SUP-97-05275	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIAATHLON INSERT PS#6 12MM	SUP-97-05275	CDM			278	RC		inpatient			2430	2430																																																			
SIZE 5 X 10MM CS TIBIAL BEARING INSERT	SUP-97-05306	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
SIZE 5 X 10MM CS TIBIAL BEARING INSERT	SUP-97-05306	CDM			278	RC		inpatient			2430	2430																																																			
3 X 14MM CS POLY	SUP-97-05401	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
3 X 14MM CS POLY	SUP-97-05401	CDM			278	RC		inpatient			2430	2430																																																			
INSERT SIZE 8 8MM ATTUNE PS FB	SUP-97-05748	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
INSERT SIZE 8 8MM ATTUNE PS FB	SUP-97-05748	CDM			278	RC		inpatient			2430	2430																																																			
TIBIAL INSERT X3 SIZE 3X12	SUP-97-05756	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TIBIAL INSERT X3 SIZE 3X12	SUP-97-05756	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-05758	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBIAL INSERT	SUP-97-05758	CDM			278	RC		inpatient			2430	2430																																																			
ATTUNE PS FB INSRT SZ 6 5MM	SUP-97-05970	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
ATTUNE PS FB INSRT SZ 6 5MM	SUP-97-05970	CDM			278	RC		inpatient			2430	2430																																																			
INSERT X3 TRIATHLON CA #3 16MM	SUP-97-06125	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
INSERT X3 TRIATHLON CA #3 16MM	SUP-97-06125	CDM			278	RC		inpatient			2430	2430																																																			
ATTUNE PS FB INSERT SIZE 6 7MM	SUP-97-06165	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
ATTUNE PS FB INSERT SIZE 6 7MM	SUP-97-06165	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON PS X3 TIBAL INSERT	SUP-97-23639	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON PS X3 TIBAL INSERT	SUP-97-23639	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE5 9MM	SUP-97-23651	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE5 9MM	SUP-97-23651	CDM			278	RC		inpatient			2430	2430																																																			
TRIATHLON X3 TIBAL BEARING PS SZ2 11MM	SUP-97-23655	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
TRIATHLON X3 TIBAL BEARING PS SZ2 11MM	SUP-97-23655	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE5 11MM	SUP-97-23661	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE5 11MM	SUP-97-23661	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE5 9MM	SUP-97-23662	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE5 9MM	SUP-97-23662	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE4 11MM	SUP-97-23665	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE4 11MM	SUP-97-23665	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIRTHLON CS INSERT #1 9MM	SUP-97-23668	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIRTHLON CS INSERT #1 9MM	SUP-97-23668	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 4 11MM	SUP-97-23689	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 4 11MM	SUP-97-23689	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 4 9MM	SUP-97-23690	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 4 9MM	SUP-97-23690	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 6 9MM	SUP-97-23692	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 6 9MM	SUP-97-23692	CDM			278	RC		inpatient			2430	2430																																																			
NO.7 TRIATHLON TS PLUS TIBIAL INSERT X3 9M	SUP-97-23730	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
NO.7 TRIATHLON TS PLUS TIBIAL INSERT X3 9M	SUP-97-23730	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 4 13MM	SUP-97-23734	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 4 13MM	SUP-97-23734	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SZ 6 13MM	SUP-97-23747	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SZ 6 13MM	SUP-97-23747	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SZ3 13MM	SUP-97-23756	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SZ3 13MM	SUP-97-23756	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 5 11MM	SUP-97-23792	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 5 11MM	SUP-97-23792	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SZ 4 9MM	SUP-97-23797	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SZ 4 9MM	SUP-97-23797	CDM			278	RC		inpatient			2430	2430																																																			
X3 TRIATHLON CS INS SIZE 7 3MM	SUP-97-23836	CDM			278	RC		outpatient			2430	243	2430				fee schedule		2430				other	OPPS APC	1385.1				percent of total billed charges		2430				other	OPPS APC	2430				other	OPPS APC	1190.7				percent of total billed charges		1239.3				percent of total billed charges		243				other	OPPS APC	243	2430	
X3 TRIATHLON CS INS SIZE 7 3MM	SUP-97-23836	CDM			278	RC		inpatient			2430	2430																																																			
PLATE T LCP 4.5 MM 8 HOLES 147	SUP-97-03650	CDM			278	RC		outpatient			2428.02	2428.2	2428.02				fee schedule		2428.02				other	OPPS APC	1383.97				percent of total billed charges		2428.02				other	OPPS APC	2428.02				other	OPPS APC	1189.73				percent of total billed charges		1238.29				percent of total billed charges		2428.2				other	OPPS APC	1189.73	2428.2	
PLATE T LCP 4.5 MM 8 HOLES 147	SUP-97-03650	CDM			278	RC		inpatient			2428.02	2428.02																																																			
MESH CRANIAL LORENZ L85 MM X W53 MM X H.3 MM NEURO PANEL 1.5 MM SCREW	SUP-01-7185	CDM			270	RC		outpatient			2426	2426	657.2				percent of total billed charges		2426				other	OPPS APC	1795.24				percent of total billed charges		2426				other	OPPS APC	2426				other	OPPS APC	657.2				percent of total billed charges		670.3				percent of total billed charges		2426				other	OPPS APC	657.2	2426	
MESH CRANIAL LORENZ L85 MM X W53 MM X H.3 MM NEURO PANEL 1.5 MM SCREW	SUP-01-7185	CDM			270	RC		inpatient			2426	2426																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 4 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.511	CDM	270010022	LOCAL	270	RC		outpatient			2422.1	2423	656.15				percent of total billed charges		2422.1				other	OPPS APC	1792.35				percent of total billed charges		2422.1				other	OPPS APC	2422.1				other	OPPS APC	656.15				percent of total billed charges		669.23				percent of total billed charges		2423				other	OPPS APC	656.15	2423	
PLATE BONE LCP COMBI STAINLESS STEEL L109 MM X W13.5 MM X H3.7 MM TIBIA LEFT DISTAL MEDIAL 4 HOLE WITHOUT TAB ROUND EDGE LOW PROFILE HEAD NONSTERILE 3.5 MM SCREW	SUP-02.112.511	CDM	270010022	LOCAL	270	RC		inpatient			2422.1	2422.1																																																			
MESH CRANIAL LEIBINGER UNIVERSAL 2 GSP 90X90X.3MM BLUE TITANIUM MIDFACE DYNAMIC 1.7MM SCREW	SUP-5400346	CDM			270	RC		outpatient			2420.4	242.41	655.69				percent of total billed charges		2420.4				other	OPPS APC	1791.1				percent of total billed charges		2420.4				other	OPPS APC	2420.4				other	OPPS APC	655.69				percent of total billed charges		668.76				percent of total billed charges		242.41				other	OPPS APC	242.41	2420.4	
MESH CRANIAL LEIBINGER UNIVERSAL 2 GSP 90X90X.3MM BLUE TITANIUM MIDFACE DYNAMIC 1.7MM SCREW	SUP-5400346	CDM			270	RC		inpatient			2420.4	2420.4																																																			
MESH DYNAMIC TITANIUM STANDARD L90 MM X W90 MM X H.6 MM CRANIOMAXILLOFACIAL 1.2 MM SCREW	SUP-5400642	CDM			270	RC		outpatient			2420.4	242.41	655.69				percent of total billed charges		2420.4				other	OPPS APC	1791.1				percent of total billed charges		2420.4				other	OPPS APC	2420.4				other	OPPS APC	655.69				percent of total billed charges		668.76				percent of total billed charges		242.41				other	OPPS APC	242.41	2420.4	
MESH DYNAMIC TITANIUM STANDARD L90 MM X W90 MM X H.6 MM CRANIOMAXILLOFACIAL 1.2 MM SCREW	SUP-5400642	CDM			270	RC		inpatient			2420.4	2420.4																																																			
MESH CRANIAL GSP STANDARD 90X90X.6MM GOLD TITANIUM MIDFACE DYNAMIC 1.7MM SCREW	SUP-5400646	CDM			270	RC		outpatient			2420.4	242.41	655.69				percent of total billed charges		2420.4				other	OPPS APC	1791.1				percent of total billed charges		2420.4				other	OPPS APC	2420.4				other	OPPS APC	655.69				percent of total billed charges		668.76				percent of total billed charges		242.41				other	OPPS APC	242.41	2420.4	
MESH CRANIAL GSP STANDARD 90X90X.6MM GOLD TITANIUM MIDFACE DYNAMIC 1.7MM SCREW	SUP-5400646	CDM			270	RC		inpatient			2420.4	2420.4																																																			
CLAMP EXTERNAL FIXATION HOFFMANN II MICRO MULTIPIN LENGTHENER COMPONENT	SUP-4960-3-020	CDM	270010022	LOCAL	270	RC		outpatient			2414.4	2414.41	654.06				percent of total billed charges		2414.4				other	OPPS APC	1786.66				percent of total billed charges		2414.4				other	OPPS APC	2414.4				other	OPPS APC	654.06				percent of total billed charges		667.1				percent of total billed charges		2414.41				other	OPPS APC	654.06	2414.41	
CLAMP EXTERNAL FIXATION HOFFMANN II MICRO MULTIPIN LENGTHENER COMPONENT	SUP-4960-3-020	CDM	270010022	LOCAL	270	RC		inpatient			2414.4	2414.4																																																			
DRILL BIT 13MM FLEXIBLE CANNULATED LG	SUP-97-02697	CDM			272	RC		outpatient			2412.99	2412.99	653.68				percent of total billed charges		2412.99				other	OPPS APC	1785.61				percent of total billed charges		2412.99				other	OPPS APC	2412.99				other	OPPS APC	653.68				percent of total billed charges		666.71				percent of total billed charges		2412.99				other	OPPS APC	653.68	2412.99	
DRILL BIT 13MM FLEXIBLE CANNULATED LG	SUP-97-02697	CDM			272	RC		inpatient			2412.99	2412.99																																																			
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L60 CM L60 CM ID6 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST06060060L	CDM			270	RC		outpatient			2412	2412	653.41				percent of total billed charges		2412				other	OPPS APC	1784.88				percent of total billed charges		2412				other	OPPS APC	2412				other	OPPS APC	653.41				percent of total billed charges		666.44				percent of total billed charges		2412				other	OPPS APC	653.41	2412	
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L60 CM L60 CM ID6 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST06060060L	CDM			270	RC		inpatient			2412	2412																																																			
CATHETER  THERMOCHOICE III  (T	SUP-76-00079	CDM			272	RC		outpatient			2411.89	2411.89	653.38				percent of total billed charges		2411.89				other	OPPS APC	1784.8				percent of total billed charges		2411.89				other	OPPS APC	2411.89				other	OPPS APC	653.38				percent of total billed charges		666.41				percent of total billed charges		2411.89				other	OPPS APC	653.38	2411.89	
CATHETER  THERMOCHOICE III  (T	SUP-76-00079	CDM			272	RC		inpatient			2411.89	2411.89																																																			
GRAFT SOFT TISSUE FLEXIGRAFT 230MM 4+ MM GRACILIS TENDON ALLOGRAFT FROZEN	SUP-FGRACILIS	CDM	270010031	LOCAL	270	RC		outpatient			2410.14	241.14	652.91				percent of total billed charges		2410.14				other	OPPS APC	1783.5				percent of total billed charges		2410.14				other	OPPS APC	2410.14				other	OPPS APC	652.91				percent of total billed charges		665.92				percent of total billed charges		241.14				other	OPPS APC	241.14	2410.14	
GRAFT SOFT TISSUE FLEXIGRAFT 230MM 4+ MM GRACILIS TENDON ALLOGRAFT FROZEN	SUP-FGRACILIS	CDM	270010031	LOCAL	270	RC		inpatient			2410.14	2410.14																																																			
PLATE FEMORAL NECK SYSTEMS 2 HOLE	SUP-97-04256	CDM			278	RC		outpatient			2403	243	2403				fee schedule		2403				other	OPPS APC	1369.71				percent of total billed charges		2403				other	OPPS APC	2403				other	OPPS APC	1177.47				percent of total billed charges		1225.53				percent of total billed charges		243				other	OPPS APC	243	2403	
PLATE FEMORAL NECK SYSTEMS 2 HOLE	SUP-97-04256	CDM			278	RC		inpatient			2403	2403																																																			
PLATE FEMORAL NECK SYSTEM 1 HOLE	SUP-97-04260	CDM			278	RC		outpatient			2403	243	2403				fee schedule		2403				other	OPPS APC	1369.71				percent of total billed charges		2403				other	OPPS APC	2403				other	OPPS APC	1177.47				percent of total billed charges		1225.53				percent of total billed charges		243				other	OPPS APC	243	2403	
PLATE FEMORAL NECK SYSTEM 1 HOLE	SUP-97-04260	CDM			278	RC		inpatient			2403	2403																																																			
HC Daily Care CICU	PX-200000002	CDM	200000002	LOCAL	200	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 18MM X 4.5CM	SUP-0184511	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 18MM X 4.5CM	SUP-0184511	CDM			481	RC		inpatient			2400	2400																																																			
CATHETER BALLOON DILATATION TRUE DILATATION 110CM 4.5CM 10FR 20MM 2 LUMEN OTW RADIOPAQUE COAXIAL ACCEPTS .035IN	SUP-0204511	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHETER BALLOON DILATATION TRUE DILATATION 110CM 4.5CM 10FR 20MM 2 LUMEN OTW RADIOPAQUE COAXIAL ACCEPTS .035IN	SUP-0204511	CDM			481	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 21MM X 4.5CM	SUP-0214512	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 21MM X 4.5CM	SUP-0214512	CDM			481	RC		inpatient			2400	2400																																																			
CATHETER BALLOON DILATATION TRUE L110 CM L4.5 CM OD12 FR ODSEC22 MM AORTA 2 LUMEN 2 RADIOPAQUE OTW COAXIAL STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE VALVULOPLASTY	SUP-0224512	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHETER BALLOON DILATATION TRUE L110 CM L4.5 CM OD12 FR ODSEC22 MM AORTA 2 LUMEN 2 RADIOPAQUE OTW COAXIAL STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE VALVULOPLASTY	SUP-0224512	CDM			481	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 23MM X 4.5CM	SUP-0234512	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 23MM X 4.5CM	SUP-0234512	CDM			481	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 24MM X 4.5CM	SUP-0244512	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 24MM X 4.5CM	SUP-0244512	CDM			481	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 25MM X 4.5CM	SUP-0254513	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 25MM X 4.5CM	SUP-0254513	CDM			481	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 26MM X 4.5CM	SUP-0264513	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 26MM X 4.5CM	SUP-0264513	CDM			481	RC		inpatient			2400	2400																																																			
TRUE DILATATION BALLOON 28MM X 4.5CM	SUP-0284514	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRUE DILATATION BALLOON 28MM X 4.5CM	SUP-0284514	CDM			481	RC		inpatient			2400	2400																																																			
LEAD PACING QUICKFLEX STEROID ELUTING MICRO S CURVE L75 CM OD4.3 FR VENTRICLE LEFT BIPOLAR STEERABLE TIP OPTIM INSULATION IS-1	SUP-1258T/75	CDM			275	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
LEAD PACING QUICKFLEX STEROID ELUTING MICRO S CURVE L75 CM OD4.3 FR VENTRICLE LEFT BIPOLAR STEERABLE TIP OPTIM INSULATION IS-1	SUP-1258T/75	CDM			275	RC		inpatient			2400	2400																																																			
LEAD PACING QUICKFLEX STEROID ELUTING MICRO S CURVE L86 CM OD4.3 FR VENTRICLE LEFT BIPOLAR STEERABLE TIP OPTIM INSULATION IS-1	SUP-1258T/86	CDM			275	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
LEAD PACING QUICKFLEX STEROID ELUTING MICRO S CURVE L86 CM OD4.3 FR VENTRICLE LEFT BIPOLAR STEERABLE TIP OPTIM INSULATION IS-1	SUP-1258T/86	CDM			275	RC		inpatient			2400	2400																																																			
QUADRIPOLAR QUARTET LV LEAD 86CM	SUP-1456Q/58	CDM			275	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
QUADRIPOLAR QUARTET LV LEAD 86CM	SUP-1456Q/58	CDM			275	RC		inpatient			2400	2400																																																			
LEAD PACING QUARTET OPTIM LOW PROFILE S CURVE NARROW L75 CM X H16 MM OD5 FR LEFT HEART 4 ELECTRODE IS4 CONNECTOR	SUP-1458Q/75	CDM			275	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
LEAD PACING QUARTET OPTIM LOW PROFILE S CURVE NARROW L75 CM X H16 MM OD5 FR LEFT HEART 4 ELECTRODE IS4 CONNECTOR	SUP-1458Q/75	CDM			275	RC		inpatient			2400	2400																																																			
LEAD PACING QUARTET OPTIM LOW PROFILE S CURVE NARROW L86 CM X H16 MM OD5 FR LEFT HEART 4 ELECTRODE IS-4 CONNECTOR	SUP-1458Q/86	CDM			275	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
LEAD PACING QUARTET OPTIM LOW PROFILE S CURVE NARROW L86 CM X H16 MM OD5 FR LEFT HEART 4 ELECTRODE IS-4 CONNECTOR	SUP-1458Q/86	CDM			275	RC		inpatient			2400	2400																																																			
EXPANDER TISSUE RADOVAN P4.3CM 14.6X7.5CM 200ML SALINE BREAST SMOOTH CRESCENT	SUP-350-4314M	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
EXPANDER TISSUE RADOVAN P4.3CM 14.6X7.5CM 200ML SALINE BREAST SMOOTH CRESCENT	SUP-350-4314M	CDM			270	RC		inpatient			2400	2400																																																			
EXPANDER TISSUE INTEGRA P6CM CURVE 9.25X2.5CM 170CL STERILE LF 2 STAGE SMOOTH	SUP-3614-10-2	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
EXPANDER TISSUE INTEGRA P6CM CURVE 9.25X2.5CM 170CL STERILE LF 2 STAGE SMOOTH	SUP-3614-10-2	CDM			270	RC		inpatient			2400	2400																																																			
SHELL ACETABULAR PINNACLE 58MM POROCOAT STERILE LF HIP MULTIHOLE	SUP-42395	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
SHELL ACETABULAR PINNACLE 58MM POROCOAT STERILE LF HIP MULTIHOLE	SUP-42395	CDM			278	RC		inpatient			2400	2400																																																			
FILTER EMBOLIZATION OPTEASE L55 CM VENA CAVA INTRODUCTION KIT RETRIEVABLE DISPOSABLE	SUP-466F220A	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
FILTER EMBOLIZATION OPTEASE L55 CM VENA CAVA INTRODUCTION KIT RETRIEVABLE DISPOSABLE	SUP-466F220A	CDM			270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA CD HORIZON TITANIUM COCR L45 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840015545	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA CD HORIZON TITANIUM COCR L45 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840015545	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA CD HORIZON TITANIUM COCR L50 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840015550	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA CD HORIZON TITANIUM COCR L50 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840015550	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA CD HORIZON COCR L40 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840016540	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA CD HORIZON COCR L40 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840016540	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP COCR TITANIUM LOW PROFILE L45 MM OD6.5 MM SPINE 2 LEAD THREAD FORM CANNULATED MULTIAXIAL COLOR CODED HIGH STRENGTH 4.75 MM ROD	SUP-54840016545	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP COCR TITANIUM LOW PROFILE L45 MM OD6.5 MM SPINE 2 LEAD THREAD FORM CANNULATED MULTIAXIAL COLOR CODED HIGH STRENGTH 4.75 MM ROD	SUP-54840016545	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA COCR L50 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840016550	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA COCR L50 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840016550	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA COCR L45 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-55840016545	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA COCR L45 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-55840016545	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE SOLERA COCR L50 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-55840016550	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE SOLERA COCR L50 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-55840016550	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE COCR L55 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED 5.5 ROD	SUP-55840016555	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE COCR L55 MM OD6.5 MM SPINE MULTIAXIAL CANNULATED 5.5 ROD	SUP-55840016555	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
PLATE BONE ATLANTIS TITANIUM L30 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190030	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
PLATE BONE ATLANTIS TITANIUM L30 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190030	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
LEAD PACING TRANSVENE SILICONE POLYURETHANE L58 CM OD7.5 FR VENTRICLE CS SVC COIL	SUP-6937A-58	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
LEAD PACING TRANSVENE SILICONE POLYURETHANE L58 CM OD7.5 FR VENTRICLE CS SVC COIL	SUP-6937A-58	CDM			270	RC		inpatient			2400	2400																																																			
LEAD PACING TRANSVENE SILICONE POLYURETHANE L65 CM OD7.5 FR VENTRICULAR UNIPOLAR DF-1 CS OR SVC PLACEMENT	SUP-6937A-65	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
LEAD PACING TRANSVENE SILICONE POLYURETHANE L65 CM OD7.5 FR VENTRICULAR UNIPOLAR DF-1 CS OR SVC PLACEMENT	SUP-6937A-65	CDM			270	RC		inpatient			2400	2400																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L19 MM SPINE CERVICAL ANTERIOR	SUP-7200019	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L19 MM SPINE CERVICAL ANTERIOR	SUP-7200019	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
DEVICE TISSUE REMOVAL AVETA OD3.9 MM RESECT STERILE DISPOSABLE	SUP-72513	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
DEVICE TISSUE REMOVAL AVETA OD3.9 MM RESECT STERILE DISPOSABLE	SUP-72513	CDM			270	RC		inpatient			2400	2400																																																			
SCREW BONE LEGACY CD HORIZON TITANIUM L50 MM OD5.5 MM SPINE PEDICLE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-7575550	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE LEGACY CD HORIZON TITANIUM L50 MM OD5.5 MM SPINE PEDICLE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-7575550	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
SCREW BONE LEGACY CD HORIZON TITANIUM L50 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-7576550	CDM	270010020	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
SCREW BONE LEGACY CD HORIZON TITANIUM L50 MM OD6.5 MM SPINE PEDICLE MULTIAXIAL CANNULATED 5.5 MM ROD	SUP-7576550	CDM	270010020	LOCAL	270	RC		inpatient			2400	2400																																																			
PUTTY STIMUBLAST DBM 10CC	SUP-80038010	CDM	270010031	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
PUTTY STIMUBLAST DBM 10CC	SUP-80038010	CDM	270010031	LOCAL	270	RC		inpatient			2400	2400																																																			
RESECTING DEVICE 3.9MM AVETA WAVE+ DISPOSABLE	SUP-95-05249	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
RESECTING DEVICE 3.9MM AVETA WAVE+ DISPOSABLE	SUP-95-05249	CDM			272	RC		inpatient			2400	2400																																																			
BIPOLAR COMPOENT	SUP-97-00879	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPOENT	SUP-97-00879	CDM			278	RC		inpatient			2400	2400																																																			
BIPOLAR COMPONENT	SUP-97-01412	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPONENT	SUP-97-01412	CDM			278	RC		inpatient			2400	2400																																																			
IBALANCE UKA TIBIAL BEARING SZ 4 8MM	SUP-97-01459	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
IBALANCE UKA TIBIAL BEARING SZ 4 8MM	SUP-97-01459	CDM			278	RC		inpatient			2400	2400																																																			
BIPOLAR COMPONENT	SUP-97-01658	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPONENT	SUP-97-01658	CDM			278	RC		inpatient			2400	2400																																																			
BIPOLAR COMPONENT	SUP-97-01730	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPONENT	SUP-97-01730	CDM			278	RC		inpatient			2400	2400																																																			
BIPOLAR COMPONENT	SUP-97-01885	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPONENT	SUP-97-01885	CDM			278	RC		inpatient			2400	2400																																																			
ASYMMETRIC PATELLA 10MM	SUP-97-02020	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
ASYMMETRIC PATELLA 10MM	SUP-97-02020	CDM			278	RC		inpatient			2400	2400																																																			
BIPOLAR COMPONENT	SUP-97-02168	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPONENT	SUP-97-02168	CDM			278	RC		inpatient			2400	2400																																																			
STIMUBLAST	SUP-97-02338	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
STIMUBLAST	SUP-97-02338	CDM			278	RC		inpatient			2400	2400																																																			
BIPOLAR COMPONENT	SUP-97-02487	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIPOLAR COMPONENT	SUP-97-02487	CDM			278	RC		inpatient			2400	2400																																																			
SYMMETRIC  PATELLA 11MM XA38	SUP-97-02544	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
SYMMETRIC  PATELLA 11MM XA38	SUP-97-02544	CDM			278	RC		inpatient			2400	2400																																																			
UKA TIBIAL BEARING SIZE 2 8MM VIT -E	SUP-97-02796	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
UKA TIBIAL BEARING SIZE 2 8MM VIT -E	SUP-97-02796	CDM			278	RC		inpatient			2400	2400																																																			
UKA TIBIAL BEARING SIZE 1 8MM VIT -E	SUP-97-02989	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
UKA TIBIAL BEARING SIZE 1 8MM VIT -E	SUP-97-02989	CDM			278	RC		inpatient			2400	2400																																																			
PLATE LISFRANC MEDIUM LEFT TI	SUP-97-03877	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PLATE LISFRANC MEDIUM LEFT TI	SUP-97-03877	CDM			278	RC		inpatient			2400	2400																																																			
PINNACLE 300 ACET CUP 48 MM	SUP-97-04301	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PINNACLE 300 ACET CUP 48 MM	SUP-97-04301	CDM			278	RC		inpatient			2400	2400																																																			
DELTA CER HEAD 12/14 32MM +9	SUP-97-04303	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
DELTA CER HEAD 12/14 32MM +9	SUP-97-04303	CDM			278	RC		inpatient			2400	2400																																																			
BENCOX MIRABO CUP 50MM-B	SUP-97-04309	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BENCOX MIRABO CUP 50MM-B	SUP-97-04309	CDM			278	RC		inpatient			2400	2400																																																			
MCK TIBAL BASEPLATE-LM/RL-SZ 3	SUP-97-04347	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
MCK TIBAL BASEPLATE-LM/RL-SZ 3	SUP-97-04347	CDM			278	RC		inpatient			2400	2400																																																			
CONTINUUM CLUSTER-HOLE SHELL 50 HH	SUP-97-04364	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CONTINUUM CLUSTER-HOLE SHELL 50 HH	SUP-97-04364	CDM			278	RC		inpatient			2400	2400																																																			
BIOLOX DELTA FEM HEAD 32MM +7MM	SUP-97-04366	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BIOLOX DELTA FEM HEAD 32MM +7MM	SUP-97-04366	CDM			278	RC		inpatient			2400	2400																																																			
DELTA CER HEAD 12/14 36MM+5	SUP-97-04395	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
DELTA CER HEAD 12/14 36MM+5	SUP-97-04395	CDM			278	RC		inpatient			2400	2400																																																			
PINNACLE 300 ACET CUP 52MM	SUP-97-04398	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PINNACLE 300 ACET CUP 52MM	SUP-97-04398	CDM			278	RC		inpatient			2400	2400																																																			
12/14 COCR FEMORAL HEAD 22MM+0	SUP-97-04400	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
12/14 COCR FEMORAL HEAD 22MM+0	SUP-97-04400	CDM			278	RC		inpatient			2400	2400																																																			
H1.A11.1056 MIRABO CUP 54MM	SUP-97-04486	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
H1.A11.1056 MIRABO CUP 54MM	SUP-97-04486	CDM			278	RC		inpatient			2400	2400																																																			
12/14 COCR FEMORAL HEAD 22MM +3	SUP-97-04487	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
12/14 COCR FEMORAL HEAD 22MM +3	SUP-97-04487	CDM			278	RC		inpatient			2400	2400																																																			
LISFRANC PLATE LARGE RIGHT TI	SUP-97-04520	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
LISFRANC PLATE LARGE RIGHT TI	SUP-97-04520	CDM			278	RC		inpatient			2400	2400																																																			
BENCOX MIRABO CUP 56MM-D	SUP-97-04580	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
BENCOX MIRABO CUP 56MM-D	SUP-97-04580	CDM			278	RC		inpatient			2400	2400																																																			
PINNACLE 300 ACET CUP 54MM	SUP-97-04581	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PINNACLE 300 ACET CUP 54MM	SUP-97-04581	CDM			278	RC		inpatient			2400	2400																																																			
PINNACLE 300 ACET CUP 56MM	SUP-97-04583	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PINNACLE 300 ACET CUP 56MM	SUP-97-04583	CDM			278	RC		inpatient			2400	2400																																																			
TRIDENT II CLUSTERHOLE HA 46C	SUP-97-06375	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TRIDENT II CLUSTERHOLE HA 46C	SUP-97-06375	CDM			278	RC		inpatient			2400	2400																																																			
PINNACLE SECTOR II CUP 52MM	SUP-97-06384	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PINNACLE SECTOR II CUP 52MM	SUP-97-06384	CDM			278	RC		inpatient			2400	2400																																																			
TIBIAL COMPONENT SIZE 3 9MM PS ALL POLY TRIATHLON	SUP-97-06396	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
TIBIAL COMPONENT SIZE 3 9MM PS ALL POLY TRIATHLON	SUP-97-06396	CDM			278	RC		inpatient			2400	2400																																																			
V40 COCR LFIT HEAD 28MM/+12	SUP-97-23632	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
V40 COCR LFIT HEAD 28MM/+12	SUP-97-23632	CDM			278	RC		inpatient			2400	2400																																																			
LISFRANC PLATE LARGE LEFT TI	SUP-97-23648	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
LISFRANC PLATE LARGE LEFT TI	SUP-97-23648	CDM			278	RC		inpatient			2400	2400																																																			
36MM COCR MOD HD +3MM	SUP-97-23710	CDM			278	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
36MM COCR MOD HD +3MM	SUP-97-23710	CDM			278	RC		inpatient			2400	2400																																																			
BALLOON - ANGIOSCULPT RX 2.5X15	SUP-99-00851	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
BALLOON - ANGIOSCULPT RX 2.5X15	SUP-99-00851	CDM			272	RC		inpatient			2400	2400																																																			
BALLOON - ANGIOSCULPT RX EVO 2.5X10	SUP-99-00881	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
BALLOON - ANGIOSCULPT RX EVO 2.5X10	SUP-99-00881	CDM			272	RC		inpatient			2400	2400																																																			
BALLOON - ANGIOSCULPT RX 2.0X15	SUP-99-01069	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
BALLOON - ANGIOSCULPT RX 2.0X15	SUP-99-01069	CDM			272	RC		inpatient			2400	2400																																																			
BALLOON - ANGIOSCULPT RX 3.0X15	SUP-99-01084	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
BALLOON - ANGIOSCULPT RX 3.0X15	SUP-99-01084	CDM			272	RC		inpatient			2400	2400																																																			
BALLOON - ANGIOSCULPT RX 3.0X10	SUP-99-01117	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
BALLOON - ANGIOSCULPT RX 3.0X10	SUP-99-01117	CDM			272	RC		inpatient			2400	2400																																																			
PACEMAKER - LEAD - SELECTSECURE 3830-69	SUP-99-04158	CDM			275	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PACEMAKER - LEAD - SELECTSECURE 3830-69	SUP-99-04158	CDM			275	RC		inpatient			2400	2400																																																			
PACEMAKER - LEAD - SPRINT  6935M-62	SUP-99-04176	CDM			275	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PACEMAKER - LEAD - SPRINT  6935M-62	SUP-99-04176	CDM			275	RC		inpatient			2400	2400																																																			
PACEMAKER - LEAD ATTAIN 4798-88	SUP-99-04178	CDM			275	RC		outpatient			2400	24	2400				fee schedule		2400				other	OPPS APC	1368				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
PACEMAKER - LEAD ATTAIN 4798-88	SUP-99-04178	CDM			275	RC		inpatient			2400	2400																																																			
BALLOON-ANGIOSCULPT EVO RX 2.5 X 15	SUP-99-04244	CDM			272	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
BALLOON-ANGIOSCULPT EVO RX 2.5 X 15	SUP-99-04244	CDM			272	RC		inpatient			2400	2400																																																			
GRAFT BONE STIMUBLAST 10 CC PUTTY	SUP-ABS-2001-10	CDM	270010031	LOCAL	270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
GRAFT BONE STIMUBLAST 10 CC PUTTY	SUP-ABS-2001-10	CDM	270010031	LOCAL	270	RC		inpatient			2400	2400																																																			
FILLER BONE VOID ALLOSYNC DEMINERALIZED BONE MATRIX 10 CC GEL	SUP-ABS-2013-10	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
FILLER BONE VOID ALLOSYNC DEMINERALIZED BONE MATRIX 10 CC GEL	SUP-ABS-2013-10	CDM			270	RC		inpatient			2400	2400																																																			
DEVICE CLOSURE ATRICLIP 45D 35MM 6CM NITINOL POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE EXCLUSION	SUP-ACH 235	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
DEVICE CLOSURE ATRICLIP 45D 35MM 6CM NITINOL POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE EXCLUSION	SUP-ACH 235	CDM			270	RC		inpatient			2400	2400																																																			
DEVICE CLOSURE ATRICLIP 45D 40MM 6CM NITINOL POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE EXCLUSION	SUP-ACH 240	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
DEVICE CLOSURE ATRICLIP 45D 40MM 6CM NITINOL POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE EXCLUSION	SUP-ACH 240	CDM			270	RC		inpatient			2400	2400																																																			
DEVICE CLOSURE ATRICLIP 45D 45MM 6CM NITINOL TITANIUM POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE	SUP-ACH 245	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
DEVICE CLOSURE ATRICLIP 45D 45MM 6CM NITINOL TITANIUM POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE	SUP-ACH 245	CDM			270	RC		inpatient			2400	2400																																																			
DEVICE CLOSURE ATRICLIP 45D 50MM 6CM NITINOL TITANIUM POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE	SUP-ACH 250	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
DEVICE CLOSURE ATRICLIP 45D 50MM 6CM NITINOL TITANIUM POLYESTER FLEXIBLE SHAFT PLUNGER GRIP LEFT ATRIAL APPENDAGE	SUP-ACH 250	CDM			270	RC		inpatient			2400	2400																																																			
PLATE BONE TITANIUM L 100MM FIBULA RIGHT DISTAL POSTEROLATERAL 6 HOLE	SUP-AR-9963APLR-06	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
PLATE BONE TITANIUM L 100MM FIBULA RIGHT DISTAL POSTEROLATERAL 6 HOLE	SUP-AR-9963APLR-06	CDM			270	RC		inpatient			2400	2400																																																			
HARVESTER BONE AVITUS	SUP-BH8	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
HARVESTER BONE AVITUS	SUP-BH8	CDM			270	RC		inpatient			2400	2400																																																			
KIT ELECTRODE ENSITE PRECISION SURFACE	SUP-EN0020-P	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
KIT ELECTRODE ENSITE PRECISION SURFACE	SUP-EN0020-P	CDM			481	RC		inpatient			2400	2400																																																			
NEXTRA HAMMER TOE	SUP-NX-3532K	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
NEXTRA HAMMER TOE	SUP-NX-3532K	CDM			270	RC		inpatient			2400	2400																																																			
KIT PROCEDURE NEXTRA STEP DRILL PROXIMAL IMPLANT BONE HOLDER IMPLANT DRIVER IMPLANT HANDLE STERILE HAMMERTOE CORRECTION SYSTEM	SUP-NX-4532K	CDM			270	RC		outpatient			2400	24	650.16				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	650.16				percent of total billed charges		663.12				percent of total billed charges		24				other	OPPS APC	24	2400	
KIT PROCEDURE NEXTRA STEP DRILL PROXIMAL IMPLANT BONE HOLDER IMPLANT DRIVER IMPLANT HANDLE STERILE HAMMERTOE CORRECTION SYSTEM	SUP-NX-4532K	CDM			270	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 12 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100124	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 12 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100124	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 14 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100144	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 14 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100144	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 16 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 8 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100164	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 16 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 8 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100164	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 18 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 8 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100184	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 18 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 8 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100184	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 20 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 9 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100204	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 20 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 9 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100204	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 22 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 10 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100224	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 22 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 10 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100224	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 24 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 10 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100244	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 24 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 10 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100244	CDM			481	RC		inpatient			2400	2400																																																			
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 26 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 12 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100264	CDM			481	RC		outpatient			2400	24	1176				percent of total billed charges		2400				other	OPPS APC	1776				percent of total billed charges		2400				other	OPPS APC	2400				other	OPPS APC	1176				percent of total billed charges		1224				percent of total billed charges		24				other	OPPS APC	24	2400	
CATHER BALLOON DILATATION VIDA L100 CM L 4 CM ODSEC 26 MM PERIPHERAL LOW PROFILE PREDICTABLE SIZE RUPTURE RESISTANT STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 12 FR SHEATH PERCUTANEOUS TRANSLUMINAL VALVULOPLASTY	SUP-VDA100264	CDM			481	RC		inpatient			2400	2400																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L50 MM CONDYLE 12 HOLE ANGLED BLADE NONSTERILE	SUP-237.20	CDM	270010022	LOCAL	270	RC		outpatient			2399.1	2400	649.92				percent of total billed charges		2399.1				other	OPPS APC	1775.33				percent of total billed charges		2399.1				other	OPPS APC	2399.1				other	OPPS APC	649.92				percent of total billed charges		662.87				percent of total billed charges		2400				other	OPPS APC	649.92	2400	
PLATE BONE DCP STAINLESS STEEL 95 D L50 MM CONDYLE 12 HOLE ANGLED BLADE NONSTERILE	SUP-237.20	CDM	270010022	LOCAL	270	RC		inpatient			2399.1	2399.1																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L204 MM L60 MM CONDYLE 12  HOLE NONSTERILE	SUP-237.22	CDM	270010022	LOCAL	270	RC		outpatient			2399.1	2400	649.92				percent of total billed charges		2399.1				other	OPPS APC	1775.33				percent of total billed charges		2399.1				other	OPPS APC	2399.1				other	OPPS APC	649.92				percent of total billed charges		662.87				percent of total billed charges		2400				other	OPPS APC	649.92	2400	
PLATE BONE DCP STAINLESS STEEL 95 D L204 MM L60 MM CONDYLE 12  HOLE NONSTERILE	SUP-237.22	CDM	270010022	LOCAL	270	RC		inpatient			2399.1	2399.1																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L70 MM L240 MM CONDYLE 12 HOLE NONSTERILE	SUP-237.24	CDM	270010022	LOCAL	270	RC		outpatient			2399.1	2400	649.92				percent of total billed charges		2399.1				other	OPPS APC	1775.33				percent of total billed charges		2399.1				other	OPPS APC	2399.1				other	OPPS APC	649.92				percent of total billed charges		662.87				percent of total billed charges		2400				other	OPPS APC	649.92	2400	
PLATE BONE DCP STAINLESS STEEL 95 D L70 MM L240 MM CONDYLE 12 HOLE NONSTERILE	SUP-237.24	CDM	270010022	LOCAL	270	RC		inpatient			2399.1	2399.1																																																			
PLATE BONE DCP STAINLESS STEEL L204 MM L80 MM CONDYLE 12 HOLE NONSTERILE 3.5 MM SCREW	SUP-237.26	CDM	270010022	LOCAL	270	RC		outpatient			2399.1	2400	649.92				percent of total billed charges		2399.1				other	OPPS APC	1775.33				percent of total billed charges		2399.1				other	OPPS APC	2399.1				other	OPPS APC	649.92				percent of total billed charges		662.87				percent of total billed charges		2400				other	OPPS APC	649.92	2400	
PLATE BONE DCP STAINLESS STEEL L204 MM L80 MM CONDYLE 12 HOLE NONSTERILE 3.5 MM SCREW	SUP-237.26	CDM	270010022	LOCAL	270	RC		inpatient			2399.1	2399.1																																																			
SCREW 6.5 X 55MM HEADLESS THD	SUP-95-23922	CDM			278	RC		outpatient			2398.5	2398.5	2398.5				fee schedule		2398.5				other	OPPS APC	1367.15				percent of total billed charges		2398.5				other	OPPS APC	2398.5				other	OPPS APC	1175.27				percent of total billed charges		1223.24				percent of total billed charges		2398.5				other	OPPS APC	1175.27	2398.5	
SCREW 6.5 X 55MM HEADLESS THD	SUP-95-23922	CDM			278	RC		inpatient			2398.5	2398.5																																																			
SCREW 6.5 X 60MM HEADLESS THD	SUP-95-23923	CDM			278	RC		outpatient			2398.5	2398.5	2398.5				fee schedule		2398.5				other	OPPS APC	1367.15				percent of total billed charges		2398.5				other	OPPS APC	2398.5				other	OPPS APC	1175.27				percent of total billed charges		1223.24				percent of total billed charges		2398.5				other	OPPS APC	1175.27	2398.5	
SCREW 6.5 X 60MM HEADLESS THD	SUP-95-23923	CDM			278	RC		inpatient			2398.5	2398.5																																																			
SCREW 6.5 X 60MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05830	CDM			278	RC		outpatient			2398.5	2398.5	2398.5				fee schedule		2398.5				other	OPPS APC	1367.15				percent of total billed charges		2398.5				other	OPPS APC	2398.5				other	OPPS APC	1175.27				percent of total billed charges		1223.24				percent of total billed charges		2398.5				other	OPPS APC	1175.27	2398.5	
SCREW 6.5 X 60MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05830	CDM			278	RC		inpatient			2398.5	2398.5																																																			
SCREW 6.5 X 70MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05831	CDM			278	RC		outpatient			2398.5	2398.5	2398.5				fee schedule		2398.5				other	OPPS APC	1367.15				percent of total billed charges		2398.5				other	OPPS APC	2398.5				other	OPPS APC	1175.27				percent of total billed charges		1223.24				percent of total billed charges		2398.5				other	OPPS APC	1175.27	2398.5	
SCREW 6.5 X 70MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05831	CDM			278	RC		inpatient			2398.5	2398.5																																																			
SCREW 5.5 X 55MM TI CANNULATED COMPRESSION	SUP-97-06182	CDM			278	RC		outpatient			2398.5	2398.5	2398.5				fee schedule		2398.5				other	OPPS APC	1367.15				percent of total billed charges		2398.5				other	OPPS APC	2398.5				other	OPPS APC	1175.27				percent of total billed charges		1223.24				percent of total billed charges		2398.5				other	OPPS APC	1175.27	2398.5	
SCREW 5.5 X 55MM TI CANNULATED COMPRESSION	SUP-97-06182	CDM			278	RC		inpatient			2398.5	2398.5																																																			
SCREW 5.5 X 65MM TI CANNULATED COMPRESSION	SUP-97-06183	CDM						inpatient			2398.5	2398.5																																																			
SCREW 5.5 X 65MM TI CANNULATED COMPRESSION	SUP-97-06183	CDM						outpatient			2398.5	2398.5	2398.5				percent of total billed charges		2398.5				other	OPPS APC	2398.5				fee schedule		2398.5				other	OPPS APC	2398.5				other	OPPS APC	2398.5				case rate		2398.5				case rate		2398.5				other	OPPS APC	2398.5	2398.5	
3D PLATE LFT	SUP-97-03348	CDM			278	RC		outpatient			2397.27	2397.27	2397.27				fee schedule		2397.27				other	OPPS APC	1366.44				percent of total billed charges		2397.27				other	OPPS APC	2397.27				other	OPPS APC	1174.66				percent of total billed charges		1222.61				percent of total billed charges		2397.27				other	OPPS APC	1174.66	2397.27	
3D PLATE LFT	SUP-97-03348	CDM			278	RC		inpatient			2397.27	2397.27																																																			
3D PLATE RT	SUP-97-03349	CDM			278	RC		outpatient			2397.27	2397.27	2397.27				fee schedule		2397.27				other	OPPS APC	1366.44				percent of total billed charges		2397.27				other	OPPS APC	2397.27				other	OPPS APC	1174.66				percent of total billed charges		1222.61				percent of total billed charges		2397.27				other	OPPS APC	1174.66	2397.27	
3D PLATE RT	SUP-97-03349	CDM			278	RC		inpatient			2397.27	2397.27																																																			
SCREW BONE ALTIUS M-INI TITANIUM L14 MM OD3.5 MM SPINE CERVICOTHORACIC MULTIAXIAL	SUP-1200-2714	CDM	270010020	LOCAL	270	RC		outpatient			2396.8	2396.82	649.29				percent of total billed charges		2396.8				other	OPPS APC	1773.63				percent of total billed charges		2396.8				other	OPPS APC	2396.8				other	OPPS APC	649.29				percent of total billed charges		662.24				percent of total billed charges		2396.82				other	OPPS APC	649.29	2396.82	
SCREW BONE ALTIUS M-INI TITANIUM L14 MM OD3.5 MM SPINE CERVICOTHORACIC MULTIAXIAL	SUP-1200-2714	CDM	270010020	LOCAL	270	RC		inpatient			2396.8	2396.8																																																			
SCREW BONE ALTIUS M-INI TITANIUM L16 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE MULTIAXIAL	SUP-1200-2716	CDM	270010020	LOCAL	270	RC		outpatient			2396.8	2396.82	649.29				percent of total billed charges		2396.8				other	OPPS APC	1773.63				percent of total billed charges		2396.8				other	OPPS APC	2396.8				other	OPPS APC	649.29				percent of total billed charges		662.24				percent of total billed charges		2396.82				other	OPPS APC	649.29	2396.82	
SCREW BONE ALTIUS M-INI TITANIUM L16 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE MULTIAXIAL	SUP-1200-2716	CDM	270010020	LOCAL	270	RC		inpatient			2396.8	2396.8																																																			
SCREW BONE ALTIUS M-INI TITANIUM L18 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE MULTIAXIAL	SUP-1200-2718	CDM	270010020	LOCAL	270	RC		outpatient			2396.8	2396.82	649.29				percent of total billed charges		2396.8				other	OPPS APC	1773.63				percent of total billed charges		2396.8				other	OPPS APC	2396.8				other	OPPS APC	649.29				percent of total billed charges		662.24				percent of total billed charges		2396.82				other	OPPS APC	649.29	2396.82	
SCREW BONE ALTIUS M-INI TITANIUM L18 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE MULTIAXIAL	SUP-1200-2718	CDM	270010020	LOCAL	270	RC		inpatient			2396.8	2396.8																																																			
PORT POWER INFUSION CLEARVUE SLIM 6FR	SUP-5676300	CDM			270	RC		outpatient			2394	2394	648.53				percent of total billed charges		2394				other	OPPS APC	1771.56				percent of total billed charges		2394				other	OPPS APC	2394				other	OPPS APC	648.53				percent of total billed charges		661.46				percent of total billed charges		2394				other	OPPS APC	648.53	2394	
PORT POWER INFUSION CLEARVUE SLIM 6FR	SUP-5676300	CDM			270	RC		inpatient			2394	2394																																																			
PLATE BONE WAVE LG NS LEFT TENDON	SUP-WPTLL	CDM			270	RC		outpatient			2394	2394	648.53				percent of total billed charges		2394				other	OPPS APC	1771.56				percent of total billed charges		2394				other	OPPS APC	2394				other	OPPS APC	648.53				percent of total billed charges		661.46				percent of total billed charges		2394				other	OPPS APC	648.53	2394	
PLATE BONE WAVE LG NS LEFT TENDON	SUP-WPTLL	CDM			270	RC		inpatient			2394	2394																																																			
PLATE BONE WAVE SM NS RIGHT	SUP-WPTSR	CDM			270	RC		outpatient			2394	2394	648.53				percent of total billed charges		2394				other	OPPS APC	1771.56				percent of total billed charges		2394				other	OPPS APC	2394				other	OPPS APC	648.53				percent of total billed charges		661.46				percent of total billed charges		2394				other	OPPS APC	648.53	2394	
PLATE BONE WAVE SM NS RIGHT	SUP-WPTSR	CDM			270	RC		inpatient			2394	2394																																																			
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD12 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00-5988-016-12	CDM	270010025	LOCAL	270	RC		outpatient			2392	2392	647.99				percent of total billed charges		2392				other	OPPS APC	1770.08				percent of total billed charges		2392				other	OPPS APC	2392				other	OPPS APC	647.99				percent of total billed charges		660.91				percent of total billed charges		2392				other	OPPS APC	647.99	2392	
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD12 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00-5988-016-12	CDM	270010025	LOCAL	270	RC		inpatient			2392	2392																																																			
STEM NEX GEN FLUTED 19`MM X 175MM	SUP-00-5988-016-19	CDM	270010025	LOCAL	270	RC		outpatient			2392	2392	647.99				percent of total billed charges		2392				other	OPPS APC	1770.08				percent of total billed charges		2392				other	OPPS APC	2392				other	OPPS APC	647.99				percent of total billed charges		660.91				percent of total billed charges		2392				other	OPPS APC	647.99	2392	
STEM NEX GEN FLUTED 19`MM X 175MM	SUP-00-5988-016-19	CDM	270010025	LOCAL	270	RC		inpatient			2392	2392																																																			
STEM NEX GEN FLUTED 20MM X 175MM	SUP-00-5988-016-20	CDM	270010025	LOCAL	270	RC		outpatient			2392	2392	647.99				percent of total billed charges		2392				other	OPPS APC	1770.08				percent of total billed charges		2392				other	OPPS APC	2392				other	OPPS APC	647.99				percent of total billed charges		660.91				percent of total billed charges		2392				other	OPPS APC	647.99	2392	
STEM NEX GEN FLUTED 20MM X 175MM	SUP-00-5988-016-20	CDM	270010025	LOCAL	270	RC		inpatient			2392	2392																																																			
STEM NEX GEN FLUTED 22MM X 175MM	SUP-00-5988-016-22	CDM	270010025	LOCAL	270	RC		outpatient			2392	2392	647.99				percent of total billed charges		2392				other	OPPS APC	1770.08				percent of total billed charges		2392				other	OPPS APC	2392				other	OPPS APC	647.99				percent of total billed charges		660.91				percent of total billed charges		2392				other	OPPS APC	647.99	2392	
STEM NEX GEN FLUTED 22MM X 175MM	SUP-00-5988-016-22	CDM	270010025	LOCAL	270	RC		inpatient			2392	2392																																																			
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD24 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00598801624	CDM	270010025	LOCAL	270	RC		outpatient			2392	2392	647.99				percent of total billed charges		2392				other	OPPS APC	1770.08				percent of total billed charges		2392				other	OPPS APC	2392				other	OPPS APC	647.99				percent of total billed charges		660.91				percent of total billed charges		2392				other	OPPS APC	647.99	2392	
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD24 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00598801624	CDM	270010025	LOCAL	270	RC		inpatient			2392	2392																																																			
SCREW BONE VERTEX MAX TITANIUM PARTIAL THREAD L30 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958730PT	CDM	270010020	LOCAL	270	RC		outpatient			2391.2	2391.2	647.78				percent of total billed charges		2391.2				other	OPPS APC	1769.49				percent of total billed charges		2391.2				other	OPPS APC	2391.2				other	OPPS APC	647.78				percent of total billed charges		660.69				percent of total billed charges		2391.2				other	OPPS APC	647.78	2391.2	
SCREW BONE VERTEX MAX TITANIUM PARTIAL THREAD L30 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958730PT	CDM	270010020	LOCAL	270	RC		inpatient			2391.2	2391.2																																																			
PLATE ARTHREX 4 HOLE DBL COMPRESSION 25MM	SUP-AR-8008-25	CDM			270	RC		outpatient			2390	239	647.45				percent of total billed charges		2390				other	OPPS APC	1768.6				percent of total billed charges		2390				other	OPPS APC	2390				other	OPPS APC	647.45				percent of total billed charges		660.36				percent of total billed charges		239				other	OPPS APC	239	2390	
PLATE ARTHREX 4 HOLE DBL COMPRESSION 25MM	SUP-AR-8008-25	CDM			270	RC		inpatient			2390	2390																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L30 MM FOOT ANKLE 2 COMPRESSION 4 HOLE	SUP-AR-8008-30	CDM			270	RC		outpatient			2390	239	647.45				percent of total billed charges		2390				other	OPPS APC	1768.6				percent of total billed charges		2390				other	OPPS APC	2390				other	OPPS APC	647.45				percent of total billed charges		660.36				percent of total billed charges		239				other	OPPS APC	239	2390	
PLATE BONE STAINLESS STEEL STRAIGHT L30 MM FOOT ANKLE 2 COMPRESSION 4 HOLE	SUP-AR-8008-30	CDM			270	RC		inpatient			2390	2390																																																			
PLATE BONE STAINLESS STEEL SQUARE L20 MM FOOT ANKLE 2 COMPRESSION 4 HOLE	SUP-AR-8009-20	CDM			270	RC		outpatient			2390	239	647.45				percent of total billed charges		2390				other	OPPS APC	1768.6				percent of total billed charges		2390				other	OPPS APC	2390				other	OPPS APC	647.45				percent of total billed charges		660.36				percent of total billed charges		239				other	OPPS APC	239	2390	
PLATE BONE STAINLESS STEEL SQUARE L20 MM FOOT ANKLE 2 COMPRESSION 4 HOLE	SUP-AR-8009-20	CDM			270	RC		inpatient			2390	2390																																																			
PLATE ARTHREX 4 HOLE DBL COMPRESSION SQUARE 20MM	SUP-AR-8009-25	CDM			270	RC		outpatient			2390	239	647.45				percent of total billed charges		2390				other	OPPS APC	1768.6				percent of total billed charges		2390				other	OPPS APC	2390				other	OPPS APC	647.45				percent of total billed charges		660.36				percent of total billed charges		239				other	OPPS APC	239	2390	
PLATE ARTHREX 4 HOLE DBL COMPRESSION SQUARE 20MM	SUP-AR-8009-25	CDM			270	RC		inpatient			2390	2390																																																			
POSITIONER SURGICAL STARFISH HEART NON STERNOTOMY DISPOSABLE	SUP-HP102	CDM			270	RC		outpatient			2390	239	647.45				percent of total billed charges		2390				other	OPPS APC	1768.6				percent of total billed charges		2390				other	OPPS APC	2390				other	OPPS APC	647.45				percent of total billed charges		660.36				percent of total billed charges		239				other	OPPS APC	239	2390	
POSITIONER SURGICAL STARFISH HEART NON STERNOTOMY DISPOSABLE	SUP-HP102	CDM			270	RC		inpatient			2390	2390																																																			
STABILIZER SURGICAL OCTOPUS TISSUE EVOLUTION	SUP-TS2000	CDM			270	RC		outpatient			2390	239	647.45				percent of total billed charges		2390				other	OPPS APC	1768.6				percent of total billed charges		2390				other	OPPS APC	2390				other	OPPS APC	647.45				percent of total billed charges		660.36				percent of total billed charges		239				other	OPPS APC	239	2390	
STABILIZER SURGICAL OCTOPUS TISSUE EVOLUTION	SUP-TS2000	CDM			270	RC		inpatient			2390	2390																																																			
JOINT TOE SMART TOE TITANIUM ALLOY NITINOL 10 D THK1.2 MM L16 MM X W2-5.5 MM L10 MM X W3-6 MM INTRAMEDULLARY 1 PIECE NONUNION RESISTS ROTATION WITHOUT POSTOPERATIVE NO HEALTHY JOINT DISRUPTION	SUP-ST0A-16	CDM			270	RC		outpatient			2388	2388	646.91				percent of total billed charges		2388				other	OPPS APC	1767.12				percent of total billed charges		2388				other	OPPS APC	2388				other	OPPS APC	646.91				percent of total billed charges		659.8				percent of total billed charges		2388				other	OPPS APC	646.91	2388	
JOINT TOE SMART TOE TITANIUM ALLOY NITINOL 10 D THK1.2 MM L16 MM X W2-5.5 MM L10 MM X W3-6 MM INTRAMEDULLARY 1 PIECE NONUNION RESISTS ROTATION WITHOUT POSTOPERATIVE NO HEALTHY JOINT DISRUPTION	SUP-ST0A-16	CDM			270	RC		inpatient			2388	2388																																																			
JOINT TOE SMART TOE II NITINOL 10 D L6 MM L19 MM X W2-5.5 MM X H1.2 MM L13 MM X W3-6 MM SMALL BONE 1 PIECE HOLE STERILE	SUP-ST0A-19	CDM			270	RC		outpatient			2388	2388	646.91				percent of total billed charges		2388				other	OPPS APC	1767.12				percent of total billed charges		2388				other	OPPS APC	2388				other	OPPS APC	646.91				percent of total billed charges		659.8				percent of total billed charges		2388				other	OPPS APC	646.91	2388	
JOINT TOE SMART TOE II NITINOL 10 D L6 MM L19 MM X W2-5.5 MM X H1.2 MM L13 MM X W3-6 MM SMALL BONE 1 PIECE HOLE STERILE	SUP-ST0A-19	CDM			270	RC		inpatient			2388	2388																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L10 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD 3.5 MM ROD	SUP-04.614.010	CDM	270010013	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L10 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD 3.5 MM ROD	SUP-04.614.010	CDM	270010013	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L12 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD 3.5 MM ROD	SUP-04.614.012	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L12 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD 3.5 MM ROD	SUP-04.614.012	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L14 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD 3.5 MM ROD	SUP-04.614.014	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L14 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD 3.5 MM ROD	SUP-04.614.014	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L16 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.016	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L16 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.016	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L20 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.020	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L20 MM OD3.5 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GOLD	SUP-04.614.020	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L14 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.114	CDM	270010013	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L14 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.114	CDM	270010013	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L16 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.116	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L16 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.116	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L18 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.118	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L18 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.118	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
SCREW BONE SYNAPSE TITANIUM 50- D T15 L26 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.126	CDM	270010020	LOCAL	270	RC		outpatient			2387	2387	646.64				percent of total billed charges		2387				other	OPPS APC	1766.38				percent of total billed charges		2387				other	OPPS APC	2387				other	OPPS APC	646.64				percent of total billed charges		659.53				percent of total billed charges		2387				other	OPPS APC	646.64	2387	
SCREW BONE SYNAPSE TITANIUM 50- D T15 L26 MM OD4 MM ODSEC2.4 MM SPINE CANCELLOUS STARDRIVE POLYAXIAL SELF TAP SQUARE THREAD LOCK CAP NONSTERILE GREEN GRAY	SUP-04.614.126	CDM	270010020	LOCAL	270	RC		inpatient			2387	2387																																																			
ROD SPINAL OASYS VITALLIUM LARGE L240 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48553240	CDM	270010020	LOCAL	270	RC		outpatient			2386.96	2386.96	646.63				percent of total billed charges		2386.96				other	OPPS APC	1766.35				percent of total billed charges		2386.96				other	OPPS APC	2386.96				other	OPPS APC	646.63				percent of total billed charges		659.52				percent of total billed charges		2386.96				other	OPPS APC	646.63	2386.96	
ROD SPINAL OASYS VITALLIUM LARGE L240 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48553240	CDM	270010020	LOCAL	270	RC		inpatient			2386.96	2386.96																																																			
SCREW HEADESS COMPRESSION 2.5X20MM	SUP-97-03263	CDM			278	RC		outpatient			2385	2385	2385				fee schedule		2385				other	OPPS APC	1359.45				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	1168.65				percent of total billed charges		1216.35				percent of total billed charges		2385				other	OPPS APC	1168.65	2385	
SCREW HEADESS COMPRESSION 2.5X20MM	SUP-97-03263	CDM			278	RC		inpatient			2385	2385																																																			
LO PRO SCRW PT THD 5.5NNX 55MM	SUP-97-03870	CDM			278	RC		outpatient			2385	2385	2385				fee schedule		2385				other	OPPS APC	1359.45				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	1168.65				percent of total billed charges		1216.35				percent of total billed charges		2385				other	OPPS APC	1168.65	2385	
LO PRO SCRW PT THD 5.5NNX 55MM	SUP-97-03870	CDM			278	RC		inpatient			2385	2385																																																			
PLATE LEFT 3HOLE VOLAR DISTAL RADIUS	SUP-97-06201	CDM			278	RC		outpatient			2385	2385	2385				fee schedule		2385				other	OPPS APC	1359.45				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	1168.65				percent of total billed charges		1216.35				percent of total billed charges		2385				other	OPPS APC	1168.65	2385	
PLATE LEFT 3HOLE VOLAR DISTAL RADIUS	SUP-97-06201	CDM			278	RC		inpatient			2385	2385																																																			
PLATE NARROW RIGHT 3 HOLE VOLAR DISTAL RADIUS TI	SUP-97-06432	CDM			278	RC		outpatient			2385	2385	2385				fee schedule		2385				other	OPPS APC	1359.45				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	1168.65				percent of total billed charges		1216.35				percent of total billed charges		2385				other	OPPS APC	1168.65	2385	
PLATE NARROW RIGHT 3 HOLE VOLAR DISTAL RADIUS TI	SUP-97-06432	CDM			278	RC		inpatient			2385	2385																																																			
LOW PROFILE SCREW TI 4.5MM X 55MM	SUP-97-23740	CDM			278	RC		outpatient			2385	2385	2385				fee schedule		2385				other	OPPS APC	1359.45				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	1168.65				percent of total billed charges		1216.35				percent of total billed charges		2385				other	OPPS APC	1168.65	2385	
LOW PROFILE SCREW TI 4.5MM X 55MM	SUP-97-23740	CDM			278	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 3.5X40	SUP-99-01440	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 3.5X40	SUP-99-01440	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 4.0X80	SUP-99-01503	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 4.0X80	SUP-99-01503	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 2.5X40	SUP-99-01601	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 2.5X40	SUP-99-01601	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 2.5X80	SUP-99-01605	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 2.5X80	SUP-99-01605	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 6.0 X 4.0	SUP-99-01770	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 6.0 X 4.0	SUP-99-01770	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 4 X 40	SUP-99-01786	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 4 X 40	SUP-99-01786	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 3.0X80	SUP-99-01788	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 3.0X80	SUP-99-01788	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 6.0X120	SUP-99-01810	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 6.0X120	SUP-99-01810	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 2.5X120	SUP-99-01812	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 2.5X120	SUP-99-01812	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 3.5X120	SUP-99-01869	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 3.5X120	SUP-99-01869	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 3.0X120	SUP-99-01873	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 3.0X120	SUP-99-01873	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 3.0X40	SUP-99-01944	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 3.0X40	SUP-99-01944	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 5.0X40	SUP-99-01956	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 5.0X40	SUP-99-01956	CDM			272	RC		inpatient			2385	2385																																																			
BALLOON - CHOCOLATE 4.0X120	SUP-99-02069	CDM			272	RC		outpatient			2385	2385	646.1				percent of total billed charges		2385				other	OPPS APC	1764.9				percent of total billed charges		2385				other	OPPS APC	2385				other	OPPS APC	646.1				percent of total billed charges		658.98				percent of total billed charges		2385				other	OPPS APC	646.1	2385	
BALLOON - CHOCOLATE 4.0X120	SUP-99-02069	CDM			272	RC		inpatient			2385	2385																																																			
DRESSING OASIS TRI-LAYER 3 X 3.5CM	SUP-95-03520	CDM			278	RC		outpatient			2382.39	2382.39	2382.39				fee schedule		2382.39				other	OPPS APC	1357.96				percent of total billed charges		2382.39				other	OPPS APC	2382.39				other	OPPS APC	1167.37				percent of total billed charges		1215.02				percent of total billed charges		2382.39				other	OPPS APC	1167.37	2382.39	
DRESSING OASIS TRI-LAYER 3 X 3.5CM	SUP-95-03520	CDM			278	RC		inpatient			2382.39	2382.39																																																			
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L60 CM L60 CM ID8 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST08060060L	CDM			270	RC		outpatient			2382	2382	645.28				percent of total billed charges		2382				other	OPPS APC	1762.68				percent of total billed charges		2382				other	OPPS APC	2382				other	OPPS APC	645.28				percent of total billed charges		658.15				percent of total billed charges		2382				other	OPPS APC	645.28	2382	
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L60 CM L60 CM ID8 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST08060060L	CDM			270	RC		inpatient			2382	2382																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P7.1 CM MODERATE HEIGHT EXTRA PROJECTION W14 CM X H13 CM 600 ML BREAST STYLE 133MX TEXTURED STERILE	SUP-133MX-14	CDM			270	RC		outpatient			2380	238	644.74				percent of total billed charges		2380				other	OPPS APC	1761.2				percent of total billed charges		2380				other	OPPS APC	2380				other	OPPS APC	644.74				percent of total billed charges		657.59				percent of total billed charges		238				other	OPPS APC	238	2380	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE SALINE P7.1 CM MODERATE HEIGHT EXTRA PROJECTION W14 CM X H13 CM 600 ML BREAST STYLE 133MX TEXTURED STERILE	SUP-133MX-14	CDM			270	RC		inpatient			2380	2380																																																			
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P7.1CM SHORT HEIGHT EXTRA PROJECTION 14X12CM 500ML SALINE STERILE LF BREAST	SUP-133SX-14	CDM			270	RC		outpatient			2380	238	644.74				percent of total billed charges		2380				other	OPPS APC	1761.2				percent of total billed charges		2380				other	OPPS APC	2380				other	OPPS APC	644.74				percent of total billed charges		657.59				percent of total billed charges		238				other	OPPS APC	238	2380	
EXPANDER TISSUE NATRELLE BIOCELL MAGNA-SITE P7.1CM SHORT HEIGHT EXTRA PROJECTION 14X12CM 500ML SALINE STERILE LF BREAST	SUP-133SX-14	CDM			270	RC		inpatient			2380	2380																																																			
PROGRAMMER NEUROSTIMULATOR INTERSTIM THERMOPLASTIC RESIN MAGNESIUM 5 L L22 CM X W10 CM X H4 CM 680 GM SACRAL 240 X 640 PIXELS PATIENT SLIM	SUP-3037	CDM			270	RC		outpatient			2380	238	644.74				percent of total billed charges		2380				other	OPPS APC	1761.2				percent of total billed charges		2380				other	OPPS APC	2380				other	OPPS APC	644.74				percent of total billed charges		657.59				percent of total billed charges		238				other	OPPS APC	238	2380	
PROGRAMMER NEUROSTIMULATOR INTERSTIM THERMOPLASTIC RESIN MAGNESIUM 5 L L22 CM X W10 CM X H4 CM 680 GM SACRAL 240 X 640 PIXELS PATIENT SLIM	SUP-3037	CDM			270	RC		inpatient			2380	2380																																																			
PEMETREXED PER 10 MG	636000000	CDM	43598-387-11	NDC	J9305	HCPCS		inpatient			2379	2379																																																			
PEMETREXED PER 10 MG	636000000	CDM	43598-387-11	NDC	J9305	HCPCS		outpatient			2379	4.23																																											4.23				other	OPPS APC	4.23	4.23	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L164 MM OLECRANON RIGHT 8 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.508	CDM	270010022	LOCAL	270	RC		outpatient			2373.8	2373.82	643.06				percent of total billed charges		2373.8				other	OPPS APC	1756.61				percent of total billed charges		2373.8				other	OPPS APC	2373.8				other	OPPS APC	643.06				percent of total billed charges		655.88				percent of total billed charges		2373.82				other	OPPS APC	643.06	2373.82	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L164 MM OLECRANON RIGHT 8 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.508	CDM	270010022	LOCAL	270	RC		inpatient			2373.8	2373.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L164 MM OLECRANON LEFT 8 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.509	CDM	270010022	LOCAL	270	RC		outpatient			2373.8	2373.82	643.06				percent of total billed charges		2373.8				other	OPPS APC	1756.61				percent of total billed charges		2373.8				other	OPPS APC	2373.8				other	OPPS APC	643.06				percent of total billed charges		655.88				percent of total billed charges		2373.82				other	OPPS APC	643.06	2373.82	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L164 MM OLECRANON LEFT 8 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.509	CDM	270010022	LOCAL	270	RC		inpatient			2373.8	2373.8																																																			
CLAMP HII MRI 10 HOLE PIN	SUP-97-03401	CDM			278	RC		outpatient			2373.72	2373.72	2373.72				fee schedule		2373.72				other	OPPS APC	1353.02				percent of total billed charges		2373.72				other	OPPS APC	2373.72				other	OPPS APC	1163.12				percent of total billed charges		1210.6				percent of total billed charges		2373.72				other	OPPS APC	1163.12	2373.72	
CLAMP HII MRI 10 HOLE PIN	SUP-97-03401	CDM			278	RC		inpatient			2373.72	2373.72																																																			
ILLIAC CREST WEDGE 20MM	SUP-97-00806	CDM			278	RC		outpatient			2373	2373	2373				fee schedule		2373				other	OPPS APC	1352.61				percent of total billed charges		2373				other	OPPS APC	2373				other	OPPS APC	1162.77				percent of total billed charges		1210.23				percent of total billed charges		2373				other	OPPS APC	1162.77	2373	
ILLIAC CREST WEDGE 20MM	SUP-97-00806	CDM			278	RC		inpatient			2373	2373																																																			
KIT STEREOTACTIC NAVIGUS BRAIN EXTERNAL TRAJECTORY	SUP-9733065	CDM			270	RC		outpatient			2371.2	2371.2	642.36				percent of total billed charges		2371.2				other	OPPS APC	1754.69				percent of total billed charges		2371.2				other	OPPS APC	2371.2				other	OPPS APC	642.36				percent of total billed charges		655.16				percent of total billed charges		2371.2				other	OPPS APC	642.36	2371.2	
KIT STEREOTACTIC NAVIGUS BRAIN EXTERNAL TRAJECTORY	SUP-9733065	CDM			270	RC		inpatient			2371.2	2371.2																																																			
GRAFT SOFT TISSUE SURGISIS BIODESIGN PORCINE ACELLULAR COLLAGEN MATRIX L20 CM X W7 CM 4 LAYER	SUP-C-SLH-4S-7X20	CDM			270	RC		outpatient			2371.2	2371.2	642.36				percent of total billed charges		2371.2				other	OPPS APC	1754.69				percent of total billed charges		2371.2				other	OPPS APC	2371.2				other	OPPS APC	642.36				percent of total billed charges		655.16				percent of total billed charges		2371.2				other	OPPS APC	642.36	2371.2	
GRAFT SOFT TISSUE SURGISIS BIODESIGN PORCINE ACELLULAR COLLAGEN MATRIX L20 CM X W7 CM 4 LAYER	SUP-C-SLH-4S-7X20	CDM			270	RC		inpatient			2371.2	2371.2																																																			
MESH CRANIAL LORENZ L85 MM X W53 MM X H.6 MM NEURO PANEL 1.5 MM SCREW	SUP-01-7182	CDM			270	RC		outpatient			2370	237	642.03				percent of total billed charges		2370				other	OPPS APC	1753.8				percent of total billed charges		2370				other	OPPS APC	2370				other	OPPS APC	642.03				percent of total billed charges		654.83				percent of total billed charges		237				other	OPPS APC	237	2370	
MESH CRANIAL LORENZ L85 MM X W53 MM X H.6 MM NEURO PANEL 1.5 MM SCREW	SUP-01-7182	CDM			270	RC		inpatient			2370	2370																																																			
CATHETER - TURNPIKE LP 135CM	SUP-99-04200	CDM			272	RC		outpatient			2370	237	642.03				percent of total billed charges		2370				other	OPPS APC	1753.8				percent of total billed charges		2370				other	OPPS APC	2370				other	OPPS APC	642.03				percent of total billed charges		654.83				percent of total billed charges		237				other	OPPS APC	237	2370	
CATHETER - TURNPIKE LP 135CM	SUP-99-04200	CDM			272	RC		inpatient			2370	2370																																																			
GUIDE WIRE HOLDER	SUP-97-01365	CDM			272	RC		outpatient			2367	2367	641.22				percent of total billed charges		2367				other	OPPS APC	1751.58				percent of total billed charges		2367				other	OPPS APC	2367				other	OPPS APC	641.22				percent of total billed charges		654				percent of total billed charges		2367				other	OPPS APC	641.22	2367	
GUIDE WIRE HOLDER	SUP-97-01365	CDM			272	RC		inpatient			2367	2367																																																			
IMPLANT SYSTEM FIBERTAK BUTTON	SUP-97-06208	CDM			278	RC		outpatient			2367	2367	2367				fee schedule		2367				other	OPPS APC	1349.19				percent of total billed charges		2367				other	OPPS APC	2367				other	OPPS APC	1159.83				percent of total billed charges		1207.17				percent of total billed charges		2367				other	OPPS APC	1159.83	2367	
IMPLANT SYSTEM FIBERTAK BUTTON	SUP-97-06208	CDM			278	RC		inpatient			2367	2367																																																			
CUP HUMERAL UNIVERS REVERS NEUTRAL OD39 MM SHOULDER SUTURE STERILE	SUP-AR-9502F-39CPC	CDM	270010030	LOCAL	270	RC		outpatient			2364.98	2364.98	640.67				percent of total billed charges		2364.98				other	OPPS APC	1750.09				percent of total billed charges		2364.98				other	OPPS APC	2364.98				other	OPPS APC	640.67				percent of total billed charges		653.44				percent of total billed charges		2364.98				other	OPPS APC	640.67	2364.98	
CUP HUMERAL UNIVERS REVERS NEUTRAL OD39 MM SHOULDER SUTURE STERILE	SUP-AR-9502F-39CPC	CDM	270010030	LOCAL	270	RC		inpatient			2364.98	2364.98																																																			
CUP HUMERAL UNIVERS REVERS +2 OD39 MM SHOULDER LEFT SUTURE	SUP-AR-9502F-39LCPC	CDM	270010030	LOCAL	270	RC		outpatient			2364.98	2364.98	640.67				percent of total billed charges		2364.98				other	OPPS APC	1750.09				percent of total billed charges		2364.98				other	OPPS APC	2364.98				other	OPPS APC	640.67				percent of total billed charges		653.44				percent of total billed charges		2364.98				other	OPPS APC	640.67	2364.98	
CUP HUMERAL UNIVERS REVERS +2 OD39 MM SHOULDER LEFT SUTURE	SUP-AR-9502F-39LCPC	CDM	270010030	LOCAL	270	RC		inpatient			2364.98	2364.98																																																			
UNIVERS REVERS SUTURE CUP 42 (NEUTRAL)	SUP-AR-9502F-42CPC	CDM	270010030	LOCAL	270	RC		outpatient			2364.98	2364.98	640.67				percent of total billed charges		2364.98				other	OPPS APC	1750.09				percent of total billed charges		2364.98				other	OPPS APC	2364.98				other	OPPS APC	640.67				percent of total billed charges		653.44				percent of total billed charges		2364.98				other	OPPS APC	640.67	2364.98	
UNIVERS REVERS SUTURE CUP 42 (NEUTRAL)	SUP-AR-9502F-42CPC	CDM	270010030	LOCAL	270	RC		inpatient			2364.98	2364.98																																																			
CUP HUMERAL UNIVERS REVERS 2 OD42 MM SHOULDER LEFT SUTURE	SUP-AR-9502F-42LCPC	CDM	270010030	LOCAL	270	RC		outpatient			2364.98	2364.98	640.67				percent of total billed charges		2364.98				other	OPPS APC	1750.09				percent of total billed charges		2364.98				other	OPPS APC	2364.98				other	OPPS APC	640.67				percent of total billed charges		653.44				percent of total billed charges		2364.98				other	OPPS APC	640.67	2364.98	
CUP HUMERAL UNIVERS REVERS 2 OD42 MM SHOULDER LEFT SUTURE	SUP-AR-9502F-42LCPC	CDM	270010030	LOCAL	270	RC		inpatient			2364.98	2364.98																																																			
REAMER STRAIGHT HANDLE	SUP-95-04143	CDM						inpatient			2364.45	2364.45																																																			
REAMER STRAIGHT HANDLE	SUP-95-04143	CDM						outpatient			2364.45	2364.45	2364.45				percent of total billed charges		2364.45				other	OPPS APC	2364.45				fee schedule		2364.45				other	OPPS APC	2364.45				other	OPPS APC	2364.45				case rate		2364.45				case rate		2364.45				other	OPPS APC	2364.45	2364.45	
GRAFT PCO VENTRAL PATCH 8C ( PCO8VP )	SUP-75-00173	CDM			278	RC		outpatient			2360.34	236.34	2360.34				fee schedule		2360.34				other	OPPS APC	1345.39				percent of total billed charges		2360.34				other	OPPS APC	2360.34				other	OPPS APC	1156.57				percent of total billed charges		1203.77				percent of total billed charges		236.34				other	OPPS APC	236.34	2360.34	
GRAFT PCO VENTRAL PATCH 8C ( PCO8VP )	SUP-75-00173	CDM			278	RC		inpatient			2360.34	2360.34																																																			
12 HOLE OMEGA 10 PLATE	SUP-97-02102	CDM			278	RC		outpatient			2360.16	236.16	2360.16				fee schedule		2360.16				other	OPPS APC	1345.29				percent of total billed charges		2360.16				other	OPPS APC	2360.16				other	OPPS APC	1156.48				percent of total billed charges		1203.68				percent of total billed charges		236.16				other	OPPS APC	236.16	2360.16	
12 HOLE OMEGA 10 PLATE	SUP-97-02102	CDM			278	RC		inpatient			2360.16	2360.16																																																			
PLATE BONE EVOS STAINLESS STEEL L 130 MM HUMERUS LEFT DISTAL MEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE EXTEND 2.7/3.5 MM SCREW	SUP-72465707	CDM			270	RC		outpatient			2360	236	639.32				percent of total billed charges		2360				other	OPPS APC	1746.4				percent of total billed charges		2360				other	OPPS APC	2360				other	OPPS APC	639.32				percent of total billed charges		652.07				percent of total billed charges		236				other	OPPS APC	236	2360	
PLATE BONE EVOS STAINLESS STEEL L 130 MM HUMERUS LEFT DISTAL MEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE EXTEND 2.7/3.5 MM SCREW	SUP-72465707	CDM			270	RC		inpatient			2360	2360																																																			
IABP - 30CC CATHETER	SUP-99-03300	CDM			272	RC		outpatient			2359.8	2359.82	639.27				percent of total billed charges		2359.8				other	OPPS APC	1746.25				percent of total billed charges		2359.8				other	OPPS APC	2359.8				other	OPPS APC	639.27				percent of total billed charges		652.01				percent of total billed charges		2359.82				other	OPPS APC	639.27	2359.82	
IABP - 30CC CATHETER	SUP-99-03300	CDM			272	RC		inpatient			2359.8	2359.8																																																			
PATELLA ROUND DOME 35MM	SUP-97-02527	CDM			278	RC		outpatient			2358	2358	2358				fee schedule		2358				other	OPPS APC	1344.06				percent of total billed charges		2358				other	OPPS APC	2358				other	OPPS APC	1155.42				percent of total billed charges		1202.58				percent of total billed charges		2358				other	OPPS APC	1155.42	2358	
PATELLA ROUND DOME 35MM	SUP-97-02527	CDM			278	RC		inpatient			2358	2358																																																			
GRAFT VASCULAR GORE-TEX THIN WALL RING L70 CM L70 CM ID8 MM	SUP-RRT08070070L	CDM			270	RC		outpatient			2358	2358	638.78				percent of total billed charges		2358				other	OPPS APC	1744.92				percent of total billed charges		2358				other	OPPS APC	2358				other	OPPS APC	638.78				percent of total billed charges		651.52				percent of total billed charges		2358				other	OPPS APC	638.78	2358	
GRAFT VASCULAR GORE-TEX THIN WALL RING L70 CM L70 CM ID8 MM	SUP-RRT08070070L	CDM			270	RC		inpatient			2358	2358																																																			
STENT - MISAGO - 6 X 150	SUP-99-03140	CDM			278	RC		inpatient			2355	2355																																																			
STENT - MISAGO - 6 X 150	SUP-99-03140	CDM			278	RC		outpatient			2355	2355					fee schedule						other	OPPS APC	1342.35				percent of total billed charges						other	OPPS APC					other	OPPS APC	1153.95				percent of total billed charges		1201.05				percent of total billed charges						other	OPPS APC	1342.35	1342.35	
MICROCATHETER VASCULAR EXCELSIOR SL-10 2.4/1.7FR P/D 0.0165IN ID 150CM 45DEG PRESHAPED 6CM NON-BRAIDED LOW-PROFILE 2-TIP MARKER HYDROLENE 0.014/0.038IN GW	SUP-168190	CDM			270	RC		outpatient			2350	235	636.62				percent of total billed charges		2350				other	OPPS APC	1739				percent of total billed charges		2350				other	OPPS APC	2350				other	OPPS APC	636.62				percent of total billed charges		649.31				percent of total billed charges		235				other	OPPS APC	235	2350	
MICROCATHETER VASCULAR EXCELSIOR SL-10 2.4/1.7FR P/D 0.0165IN ID 150CM 45DEG PRESHAPED 6CM NON-BRAIDED LOW-PROFILE 2-TIP MARKER HYDROLENE 0.014/0.038IN GW	SUP-168190	CDM			270	RC		inpatient			2350	2350																																																			
ANGIOSCULPT OTW US PTA 4.0 X 100MM 137CM	SUP-2237-40100	CDM			481	RC		outpatient			2350	235	1151.5				percent of total billed charges		2350				other	OPPS APC	1739				percent of total billed charges		2350				other	OPPS APC	2350				other	OPPS APC	1151.5				percent of total billed charges		1198.5				percent of total billed charges		235				other	OPPS APC	235	2350	
ANGIOSCULPT OTW US PTA 4.0 X 100MM 137CM	SUP-2237-40100	CDM			481	RC		inpatient			2350	2350																																																			
BLADE SCREWDRIVER CRUCIFORM HOLDING SLEEVE MINI QUICK COUPLING 1.3 MM SCREWS	SUP-314.411	CDM	270010022	LOCAL	270	RC		outpatient			2349.52	2349.52	636.48				percent of total billed charges		2349.52				other	OPPS APC	1738.64				percent of total billed charges		2349.52				other	OPPS APC	2349.52				other	OPPS APC	636.48				percent of total billed charges		649.17				percent of total billed charges		2349.52				other	OPPS APC	636.48	2349.52	
BLADE SCREWDRIVER CRUCIFORM HOLDING SLEEVE MINI QUICK COUPLING 1.3 MM SCREWS	SUP-314.411	CDM	270010022	LOCAL	270	RC		inpatient			2349.52	2349.52																																																			
STENT ENDOPROSTHESIS WALLSTENT RP METAL L75 CM L68 MM L100 CM OD10 MM BILIARY TRACHEOBRONCHIAL VENOUS CATHETER ACCEPTS 7 FR SHEATH TIPS TRANSHEPATIC	SUP-M001711360	CDM			270	RC		outpatient			2348	2348	636.07				percent of total billed charges		2348				other	OPPS APC	1737.52				percent of total billed charges		2348				other	OPPS APC	2348				other	OPPS APC	636.07				percent of total billed charges		648.75				percent of total billed charges		2348				other	OPPS APC	636.07	2348	
STENT ENDOPROSTHESIS WALLSTENT RP METAL L75 CM L68 MM L100 CM OD10 MM BILIARY TRACHEOBRONCHIAL VENOUS CATHETER ACCEPTS 7 FR SHEATH TIPS TRANSHEPATIC	SUP-M001711360	CDM			270	RC		inpatient			2348	2348																																																			
GRAFT DBM PUTTY 10CC (3102-1010)	SUP-97-03340	CDM			278	RC		outpatient			2340	234	2340				fee schedule		2340				other	OPPS APC	1333.8				percent of total billed charges		2340				other	OPPS APC	2340				other	OPPS APC	1146.6				percent of total billed charges		1193.4				percent of total billed charges		234				other	OPPS APC	234	2340	
GRAFT DBM PUTTY 10CC (3102-1010)	SUP-97-03340	CDM			278	RC		inpatient			2340	2340																																																			
TAMP SURGICAL EXACT L15 MM OD3 MM INFLATABLE BONE	SUP-K17B	CDM			270	RC		outpatient			2340	234	633.91				percent of total billed charges		2340				other	OPPS APC	1731.6				percent of total billed charges		2340				other	OPPS APC	2340				other	OPPS APC	633.91				percent of total billed charges		646.54				percent of total billed charges		234				other	OPPS APC	234	2340	
TAMP SURGICAL EXACT L15 MM OD3 MM INFLATABLE BONE	SUP-K17B	CDM			270	RC		inpatient			2340	2340																																																			
PLATE BONE LCP STAINLESS STEEL 0 D L53 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE REVISION NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.245	CDM	270010022	LOCAL	270	RC		outpatient			2338.68	2338.68	633.55				percent of total billed charges		2338.68				other	OPPS APC	1730.62				percent of total billed charges		2338.68				other	OPPS APC	2338.68				other	OPPS APC	633.55				percent of total billed charges		646.18				percent of total billed charges		2338.68				other	OPPS APC	633.55	2338.68	
PLATE BONE LCP STAINLESS STEEL 0 D L53 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE REVISION NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.245	CDM	270010022	LOCAL	270	RC		inpatient			2338.68	2338.68																																																			
PLATE BONE LCP COMBI STAINLESS STEEL D12 MM L70 MM CLAVICLE LEFT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STERILE 3.5 MM SCREW	SUP-241.073S	CDM			270	RC		outpatient			2338.6	2338.6	633.53				percent of total billed charges		2338.6				other	OPPS APC	1730.56				percent of total billed charges		2338.6				other	OPPS APC	2338.6				other	OPPS APC	633.53				percent of total billed charges		646.16				percent of total billed charges		2338.6				other	OPPS APC	633.53	2338.6	
PLATE BONE LCP COMBI STAINLESS STEEL D12 MM L70 MM CLAVICLE LEFT 4 HOLE HOOK PRECONTOUR ROUND SHAFT PROFILE STERILE 3.5 MM SCREW	SUP-241.073S	CDM			270	RC		inpatient			2338.6	2338.6																																																			
PIN FIXATION ROCKWOOD OD2.5 MM CLAVICLE ASSEMBLY	SUP-1129-10-020	CDM			270	RC		outpatient			2331	2331	631.47				percent of total billed charges		2331				other	OPPS APC	1724.94				percent of total billed charges		2331				other	OPPS APC	2331				other	OPPS APC	631.47				percent of total billed charges		644.06				percent of total billed charges		2331				other	OPPS APC	631.47	2331	
PIN FIXATION ROCKWOOD OD2.5 MM CLAVICLE ASSEMBLY	SUP-1129-10-020	CDM			270	RC		inpatient			2331	2331																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L131 MM TIBIA PROXIMAL POSTEROMEDIAL 6 HOLE LOW PROFILE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.120.706	CDM	270010022	LOCAL	270	RC		outpatient			2330.9	233.91	631.44				percent of total billed charges		2330.9				other	OPPS APC	1724.87				percent of total billed charges		2330.9				other	OPPS APC	2330.9				other	OPPS APC	631.44				percent of total billed charges		644.03				percent of total billed charges		233.91				other	OPPS APC	233.91	2330.9	
PLATE BONE LCP COMBI STAINLESS STEEL L131 MM TIBIA PROXIMAL POSTEROMEDIAL 6 HOLE LOW PROFILE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.120.706	CDM	270010022	LOCAL	270	RC		inpatient			2330.9	2330.9																																																			
CLIP ANEURYSM SUNDT-KEES SLIM-LINE L3 MM OD3 MM GRAFT ENCIRCLING	SUP-201765	CDM			270	RC		outpatient			2330	233	631.2				percent of total billed charges		2330				other	OPPS APC	1724.2				percent of total billed charges		2330				other	OPPS APC	2330				other	OPPS APC	631.2				percent of total billed charges		643.78				percent of total billed charges		233				other	OPPS APC	233	2330	
CLIP ANEURYSM SUNDT-KEES SLIM-LINE L3 MM OD3 MM GRAFT ENCIRCLING	SUP-201765	CDM			270	RC		inpatient			2330	2330																																																			
CLIP ANEURYSM FABRIC W5 MM OD3 MM GRAFT	SUP-201766	CDM			270	RC		outpatient			2330	233	631.2				percent of total billed charges		2330				other	OPPS APC	1724.2				percent of total billed charges		2330				other	OPPS APC	2330				other	OPPS APC	631.2				percent of total billed charges		643.78				percent of total billed charges		233				other	OPPS APC	233	2330	
CLIP ANEURYSM FABRIC W5 MM OD3 MM GRAFT	SUP-201766	CDM			270	RC		inpatient			2330	2330																																																			
CLIP ANEURYSM FABRIC W5 MM OD5 MM GRAFT	SUP-201772	CDM			270	RC		outpatient			2330	233	631.2				percent of total billed charges		2330				other	OPPS APC	1724.2				percent of total billed charges		2330				other	OPPS APC	2330				other	OPPS APC	631.2				percent of total billed charges		643.78				percent of total billed charges		233				other	OPPS APC	233	2330	
CLIP ANEURYSM FABRIC W5 MM OD5 MM GRAFT	SUP-201772	CDM			270	RC		inpatient			2330	2330																																																			
PLATE LCP 4.5 MM PROX TIBIA 4	SUP-97-03651	CDM			278	RC		outpatient			2325.6	2325.6	2325.6				fee schedule		2325.6				other	OPPS APC	1325.59				percent of total billed charges		2325.6				other	OPPS APC	2325.6				other	OPPS APC	1139.54				percent of total billed charges		1186.06				percent of total billed charges		2325.6				other	OPPS APC	1139.54	2325.6	
PLATE LCP 4.5 MM PROX TIBIA 4	SUP-97-03651	CDM			278	RC		inpatient			2325.6	2325.6																																																			
SORBAFIX 30-SHOT TACKER	SUP-76-00127	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
SORBAFIX 30-SHOT TACKER	SUP-76-00127	CDM			272	RC		inpatient			2325	2325																																																			
EVARREST PATCH 4 X 2	SUP-97-01375	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
EVARREST PATCH 4 X 2	SUP-97-01375	CDM			272	RC		inpatient			2325	2325																																																			
BROACH	SUP-97-23822	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BROACH	SUP-97-23822	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - FLEXTOME CUTTING 2.5X10	SUP-99-00521	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - FLEXTOME CUTTING 2.5X10	SUP-99-00521	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - FLEXTOME CUTTING 2.5X15	SUP-99-00587	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - FLEXTOME CUTTING 2.5X15	SUP-99-00587	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - FLEXTOME CUTTING 2.0 X 15	SUP-99-00595	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - FLEXTOME CUTTING 2.0 X 15	SUP-99-00595	CDM			272	RC		inpatient			2325	2325																																																			
STENT - MINI VISION 2.5X28	SUP-99-00645	CDM			278	RC		inpatient			2325	2325																																																			
STENT - MINI VISION 2.5X28	SUP-99-00645	CDM			278	RC		outpatient			2325	2325					fee schedule						other	OPPS APC	1325.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1139.25				percent of total billed charges		1185.75				percent of total billed charges						other	OPPS APC	1325.25	1325.25	
STENT - MINI VISION 2.5X15	SUP-99-00663	CDM			278	RC		inpatient			2325	2325																																																			
STENT - MINI VISION 2.5X15	SUP-99-00663	CDM			278	RC		outpatient			2325	2325					fee schedule						other	OPPS APC	1325.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1139.25				percent of total billed charges		1185.75				percent of total billed charges						other	OPPS APC	1325.25	1325.25	
BALLOON - FLEXTOME CUTTING 2.0X10	SUP-99-00683	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - FLEXTOME CUTTING 2.0X10	SUP-99-00683	CDM			272	RC		inpatient			2325	2325																																																			
STENT - VISION 2.75X18	SUP-99-01625	CDM			278	RC		inpatient			2325	2325																																																			
STENT - VISION 2.75X18	SUP-99-01625	CDM			278	RC		outpatient			2325	2325					fee schedule						other	OPPS APC	1325.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1139.25				percent of total billed charges		1185.75				percent of total billed charges						other	OPPS APC	1325.25	1325.25	
BALLOON - PERIPHERAL CUTTING 7.0X20X90	SUP-99-02034	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - PERIPHERAL CUTTING 7.0X20X90	SUP-99-02034	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - PERIPHERAL CUTTING 8.0X20X90	SUP-99-02035	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - PERIPHERAL CUTTING 8.0X20X90	SUP-99-02035	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - PERIPHERAL CUTTING 5.0X20X135	SUP-99-02036	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - PERIPHERAL CUTTING 5.0X20X135	SUP-99-02036	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - PERIPHERAL CUTTING 6.0X20X135	SUP-99-02037	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - PERIPHERAL CUTTING 6.0X20X135	SUP-99-02037	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - PERIPHERAL CUTTING 3.0X15X140	SUP-99-02038	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - PERIPHERAL CUTTING 3.0X15X140	SUP-99-02038	CDM			272	RC		inpatient			2325	2325																																																			
BALLOON - PERIPHERAL CUTTING 4.0X15X140	SUP-99-02039	CDM			272	RC		outpatient			2325	2325	629.84				percent of total billed charges		2325				other	OPPS APC	1720.5				percent of total billed charges		2325				other	OPPS APC	2325				other	OPPS APC	629.84				percent of total billed charges		642.4				percent of total billed charges		2325				other	OPPS APC	629.84	2325	
BALLOON - PERIPHERAL CUTTING 4.0X15X140	SUP-99-02039	CDM			272	RC		inpatient			2325	2325																																																			
STENT - ULTRA 4.5X38	SUP-99-02270	CDM			278	RC		inpatient			2325	2325																																																			
STENT - ULTRA 4.5X38	SUP-99-02270	CDM			278	RC		outpatient			2325	2325					fee schedule						other	OPPS APC	1325.25				percent of total billed charges						other	OPPS APC					other	OPPS APC	1139.25				percent of total billed charges		1185.75				percent of total billed charges						other	OPPS APC	1325.25	1325.25	
FORCEP STONE GRASPING 5FR X 60CM	SUP-95-04162	CDM			272	RC		outpatient			2324.79	2324.79	629.79				percent of total billed charges		2324.79				other	OPPS APC	1720.34				percent of total billed charges		2324.79				other	OPPS APC	2324.79				other	OPPS APC	629.79				percent of total billed charges		642.34				percent of total billed charges		2324.79				other	OPPS APC	629.79	2324.79	
FORCEP STONE GRASPING 5FR X 60CM	SUP-95-04162	CDM			272	RC		inpatient			2324.79	2324.79																																																			
INSERT TIBIAL OPTETRAK 3 H15 MM KNEE POSTERIOR STABILIZE	SUP-204-23-15	CDM	270010025	LOCAL	270	RC		outpatient			2322	2322	629.03				percent of total billed charges		2322				other	OPPS APC	1718.28				percent of total billed charges		2322				other	OPPS APC	2322				other	OPPS APC	629.03				percent of total billed charges		641.57				percent of total billed charges		2322				other	OPPS APC	629.03	2322	
INSERT TIBIAL OPTETRAK 3 H15 MM KNEE POSTERIOR STABILIZE	SUP-204-23-15	CDM	270010025	LOCAL	270	RC		inpatient			2322	2322																																																			
HC I&D Post-OP Wound	PX-761101800	CDM	10180	CPT	761	RC		outpatient			2320	232	195.77				case rate		2320				other	OPPS APC	1716.8				percent of total billed charges		2320				other	OPPS APC	2320				other	OPPS APC	195.77				case rate		1183.2				percent of total billed charges		232				other	OPPS APC	195.77	2320	
HC I&D Post-OP Wound	PX-761101800	CDM	10180	CPT	761	RC		inpatient			2320	2320																																																			
HC Bone Biospy-Superficial Ribs  Ilium  Sternum Spinous	PX-761202400	CDM	20240	CPT	761	RC		outpatient			2320	272.73	195.77				case rate		2720.73				other	OPPS APC	1716.8				percent of total billed charges		2720.73				other	OPPS APC	2720.73				other	OPPS APC	195.77				case rate		1183.2				percent of total billed charges		272.73				other	OPPS APC	195.77	2720.73	
HC Bone Biospy-Superficial Ribs  Ilium  Sternum Spinous	PX-761202400	CDM	20240	CPT	761	RC		inpatient			2320	2320																																																			
PLATE BONE LCP COMBI 116X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 7 HOLE LATERAL SUPPORT PRECONTOUR LIMIT	SUP-241.276	CDM	270010022	LOCAL	270	RC		outpatient			2319.9	2319.91	628.46				percent of total billed charges		2319.9				other	OPPS APC	1716.73				percent of total billed charges		2319.9				other	OPPS APC	2319.9				other	OPPS APC	628.46				percent of total billed charges		640.99				percent of total billed charges		2319.91				other	OPPS APC	628.46	2319.91	
PLATE BONE LCP COMBI 116X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 7 HOLE LATERAL SUPPORT PRECONTOUR LIMIT	SUP-241.276	CDM	270010022	LOCAL	270	RC		inpatient			2319.9	2319.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L116 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 7 HOLE LATERAL SUPPORT PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.277	CDM	270010022	LOCAL	270	RC		outpatient			2319.9	2319.91	628.46				percent of total billed charges		2319.9				other	OPPS APC	1716.73				percent of total billed charges		2319.9				other	OPPS APC	2319.9				other	OPPS APC	628.46				percent of total billed charges		640.99				percent of total billed charges		2319.91				other	OPPS APC	628.46	2319.91	
PLATE BONE LCP COMBI STAINLESS STEEL L116 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 7 HOLE LATERAL SUPPORT PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.277	CDM	270010022	LOCAL	270	RC		inpatient			2319.9	2319.9																																																			
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 14 HOLE PRECONTOUR FIX ANGLE LIMIT CONTACT	SUP-241.300	CDM	270010022	LOCAL	270	RC		outpatient			2319.9	2319.91	628.46				percent of total billed charges		2319.9				other	OPPS APC	1716.73				percent of total billed charges		2319.9				other	OPPS APC	2319.9				other	OPPS APC	628.46				percent of total billed charges		640.99				percent of total billed charges		2319.91				other	OPPS APC	628.46	2319.91	
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 14 HOLE PRECONTOUR FIX ANGLE LIMIT CONTACT	SUP-241.300	CDM	270010022	LOCAL	270	RC		inpatient			2319.9	2319.9																																																			
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 14 HOLE PRECONTOUR FIX ANGLE LIMIT CONTACT	SUP-241.301	CDM	270010022	LOCAL	270	RC		outpatient			2319.9	2319.91	628.46				percent of total billed charges		2319.9				other	OPPS APC	1716.73				percent of total billed charges		2319.9				other	OPPS APC	2319.9				other	OPPS APC	628.46				percent of total billed charges		640.99				percent of total billed charges		2319.91				other	OPPS APC	628.46	2319.91	
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 14 HOLE PRECONTOUR FIX ANGLE LIMIT CONTACT	SUP-241.301	CDM	270010022	LOCAL	270	RC		inpatient			2319.9	2319.9																																																			
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS RIGHT DISTAL MEDIAL 14 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.304	CDM	270010022	LOCAL	270	RC		outpatient			2319.9	2319.91	628.46				percent of total billed charges		2319.9				other	OPPS APC	1716.73				percent of total billed charges		2319.9				other	OPPS APC	2319.9				other	OPPS APC	628.46				percent of total billed charges		640.99				percent of total billed charges		2319.91				other	OPPS APC	628.46	2319.91	
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS RIGHT DISTAL MEDIAL 14 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.304	CDM	270010022	LOCAL	270	RC		inpatient			2319.9	2319.9																																																			
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS LEFT DISTAL MEDIAL 14 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.305	CDM	270010022	LOCAL	270	RC		outpatient			2319.9	2319.91	628.46				percent of total billed charges		2319.9				other	OPPS APC	1716.73				percent of total billed charges		2319.9				other	OPPS APC	2319.9				other	OPPS APC	628.46				percent of total billed charges		640.99				percent of total billed charges		2319.91				other	OPPS APC	628.46	2319.91	
PLATE BONE LCP COMBI 208X11X2.5MM SS NS HUMERUS LEFT DISTAL MEDIAL 14 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.305	CDM	270010022	LOCAL	270	RC		inpatient			2319.9	2319.9																																																			
ASSEMBLY SCREW 0MM	SUP-97-06273	CDM			278	RC		outpatient			2319	2319	2319				fee schedule		2319				other	OPPS APC	1321.83				percent of total billed charges		2319				other	OPPS APC	2319				other	OPPS APC	1136.31				percent of total billed charges		1182.69				percent of total billed charges		2319				other	OPPS APC	1136.31	2319	
ASSEMBLY SCREW 0MM	SUP-97-06273	CDM			278	RC		inpatient			2319	2319																																																			
PLATE LCP 4.5 MM CRVD BROAD 12	SUP-97-00951	CDM			278	RC		outpatient			2315.79	2315.79	2315.79				fee schedule		2315.79				other	OPPS APC	1320				percent of total billed charges		2315.79				other	OPPS APC	2315.79				other	OPPS APC	1134.74				percent of total billed charges		1181.05				percent of total billed charges		2315.79				other	OPPS APC	1134.74	2315.79	
PLATE LCP 4.5 MM CRVD BROAD 12	SUP-97-00951	CDM			278	RC		inpatient			2315.79	2315.79																																																			
PLATE BONE TITANIUM THK.6 MM L45 MM X W38 MM CONTOURABLE MESH RIGID SILVER	SUP-421.532	CDM	270010013	LOCAL	270	RC		outpatient			2311.48	2311.48	626.18				percent of total billed charges		2311.48				other	OPPS APC	1710.5				percent of total billed charges		2311.48				other	OPPS APC	2311.48				other	OPPS APC	626.18				percent of total billed charges		638.66				percent of total billed charges		2311.48				other	OPPS APC	626.18	2311.48	
PLATE BONE TITANIUM THK.6 MM L45 MM X W38 MM CONTOURABLE MESH RIGID SILVER	SUP-421.532	CDM	270010013	LOCAL	270	RC		inpatient			2311.48	2311.48																																																			
KIT PRESSURE MONITOR CODMAN MICROSENSOR METAL SKULL	SUP-626638US	CDM			270	RC		outpatient			2308.64	238.64	625.41				percent of total billed charges		2308.64				other	OPPS APC	1708.39				percent of total billed charges		2308.64				other	OPPS APC	2308.64				other	OPPS APC	625.41				percent of total billed charges		637.88				percent of total billed charges		238.64				other	OPPS APC	238.64	2308.64	
KIT PRESSURE MONITOR CODMAN MICROSENSOR METAL SKULL	SUP-626638US	CDM			270	RC		inpatient			2308.64	2308.64																																																			
TAMP BONE INFLATABLE KYPHX ELEVATE 15 X 3.0MM	SUP-K16A	CDM			270	RC		outpatient			2308	238	625.24				percent of total billed charges		2308				other	OPPS APC	1707.92				percent of total billed charges		2308				other	OPPS APC	2308				other	OPPS APC	625.24				percent of total billed charges		637.7				percent of total billed charges		238				other	OPPS APC	238	2308	
TAMP BONE INFLATABLE KYPHX ELEVATE 15 X 3.0MM	SUP-K16A	CDM			270	RC		inpatient			2308	2308																																																			
PROGEL AIR SEALANT	SUP-PGPS002	CDM			270	RC		outpatient			2307.2	237.2	625.02				percent of total billed charges		2307.2				other	OPPS APC	1707.33				percent of total billed charges		2307.2				other	OPPS APC	2307.2				other	OPPS APC	625.02				percent of total billed charges		637.48				percent of total billed charges		237.2				other	OPPS APC	237.2	2307.2	
PROGEL AIR SEALANT	SUP-PGPS002	CDM			270	RC		inpatient			2307.2	2307.2																																																			
HC MRI Orbit  Face  or Neck W	PX-610705420	CDM	70542	CPT	610	RC		outpatient			2307	237	422.07				fee schedule		2307				other	OPPS APC	1496.4				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	281.02				fee schedule		203.37				fee schedule		237				other	OPPS APC	203.37	2307	
HC MRI Orbit  Face  or Neck W	PX-610705420	CDM	70542	CPT	610	RC		inpatient			2307	2307																																																			
HC MRI-Chest W Contrast	PX-610715510	CDM	71551	CPT	614	RC		outpatient			2307	237	481.37				fee schedule		2307				other	OPPS APC	1513.6				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	392.62				fee schedule		309.53				fee schedule		237				other	OPPS APC	237	2307	
HC MRI-Chest W Contrast	PX-610715510	CDM	71551	CPT	614	RC		inpatient			2307	2307																																																			
HC MRI Upper Extrem W Contrast	PX-610732190	CDM	73219	CPT	610	RC		outpatient			2307	237	427.17				fee schedule		2307				other	OPPS APC	1497.36				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	348.53				fee schedule		270.91				fee schedule		237				other	OPPS APC	237	2307	
HC MRI Upper Extrem W Contrast	PX-610732190	CDM	73219	CPT	610	RC		inpatient			2307	2307																																																			
HC MRI Upper Extrem Joint W Cont	PX-610732220	CDM	73222	CPT	610	RC		outpatient			2307	78.17	398.75				fee schedule		780.17				other	OPPS APC	1496.4				fee schedule		780.17				other	OPPS APC	780.17				other	OPPS APC	328.51				fee schedule		250.64				fee schedule		78.17				other	OPPS APC	78.17	1496.4	
HC MRI Upper Extrem Joint W Cont	PX-610732220	CDM	73222	CPT	610	RC		inpatient			2307	2307																																																			
HC MRI Lower Extrem W Contrast	PX-610737190	CDM	73719	CPT	610	RC		outpatient			2307	237	428.63				fee schedule		2307				other	OPPS APC	1496.4				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	274.66				fee schedule		197.04				fee schedule		237				other	OPPS APC	197.04	2307	
HC MRI Lower Extrem W Contrast	PX-610737190	CDM	73719	CPT	610	RC		inpatient			2307	2307																																																			
HC MRI Lower Extrem Joint W Cont	PX-610737220	CDM	73722	CPT	610	RC		outpatient			2307	78.17	404.16				fee schedule		780.17				other	OPPS APC	1496.4				fee schedule		780.17				other	OPPS APC	780.17				other	OPPS APC	328.84				fee schedule		250.98				fee schedule		78.17				other	OPPS APC	78.17	1496.4	
HC MRI Lower Extrem Joint W Cont	PX-610737220	CDM	73722	CPT	610	RC		inpatient			2307	2307																																																			
HC MRI Abdomen W Contrast	PX-610741820	CDM	74182	CPT	610	RC		outpatient			2307	237	474.81				fee schedule		2307				other	OPPS APC	1513.6				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	317.37				fee schedule		234.62				fee schedule		237				other	OPPS APC	234.62	2307	
HC MRI Abdomen W Contrast	PX-610741820	CDM	74182	CPT	610	RC		inpatient			2307	2307																																																			
HC MRI-C Spine W Contrast	PX-612721420	CDM	72142	CPT	612	RC		outpatient			2307	237	341.39				fee schedule		2307				other	OPPS APC	1549.68				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	287.66				fee schedule		202.04				fee schedule		237				other	OPPS APC	202.04	2307	
HC MRI-C Spine W Contrast	PX-612721420	CDM	72142	CPT	612	RC		inpatient			2307	2307																																																			
HC MRI-T-Spine W Contrast	PX-612721470	CDM	72147	CPT	612	RC		outpatient			2307	237	338.11				fee schedule		2307				other	OPPS APC	1548.73				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	285.32				fee schedule		200.04				fee schedule		237				other	OPPS APC	200.04	2307	
HC MRI-T-Spine W Contrast	PX-612721470	CDM	72147	CPT	612	RC		inpatient			2307	2307																																																			
HC MRI-L-Spine W Contrast	PX-612721490	CDM	72149	CPT	612	RC		outpatient			2307	237	336.96				fee schedule		2307				other	OPPS APC	1533.64				fee schedule		2307				other	OPPS APC	2307				other	OPPS APC	282.64				fee schedule		197.38				fee schedule		237				other	OPPS APC	197.38	2307	
HC MRI-L-Spine W Contrast	PX-612721490	CDM	72149	CPT	612	RC		inpatient			2307	2307																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L47.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860147	CDM	270010020	LOCAL	270	RC		outpatient			2306	236	624.7				percent of total billed charges		2306				other	OPPS APC	1706.44				percent of total billed charges		2306				other	OPPS APC	2306				other	OPPS APC	624.7				percent of total billed charges		637.15				percent of total billed charges		236				other	OPPS APC	236	2306	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L47.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860147	CDM	270010020	LOCAL	270	RC		inpatient			2306	2306																																																			
PLATE 11 HOLE 139MM VARIAX COMPRESSION CURVED BROAD	SUP-97-06417	CDM			278	RC		outpatient			2305.68	235.68	2305.68				fee schedule		2305.68				other	OPPS APC	1314.24				percent of total billed charges		2305.68				other	OPPS APC	2305.68				other	OPPS APC	1129.78				percent of total billed charges		1175.9				percent of total billed charges		235.68				other	OPPS APC	235.68	2305.68	
PLATE 11 HOLE 139MM VARIAX COMPRESSION CURVED BROAD	SUP-97-06417	CDM			278	RC		inpatient			2305.68	2305.68																																																			
PLATE 14 HOLE 175MM VARIAX COMPRESSION CURVED BROAD	SUP-97-06418	CDM			278	RC		outpatient			2305.68	235.68	2305.68				fee schedule		2305.68				other	OPPS APC	1314.24				percent of total billed charges		2305.68				other	OPPS APC	2305.68				other	OPPS APC	1129.78				percent of total billed charges		1175.9				percent of total billed charges		235.68				other	OPPS APC	235.68	2305.68	
PLATE 14 HOLE 175MM VARIAX COMPRESSION CURVED BROAD	SUP-97-06418	CDM			278	RC		inpatient			2305.68	2305.68																																																			
PLATE 12 HOLE 151MM VARIAX COMPRESSION CURVED BROAD	SUP-97-06419	CDM			278	RC		outpatient			2305.68	235.68	2305.68				fee schedule		2305.68				other	OPPS APC	1314.24				percent of total billed charges		2305.68				other	OPPS APC	2305.68				other	OPPS APC	1129.78				percent of total billed charges		1175.9				percent of total billed charges		235.68				other	OPPS APC	235.68	2305.68	
PLATE 12 HOLE 151MM VARIAX COMPRESSION CURVED BROAD	SUP-97-06419	CDM			278	RC		inpatient			2305.68	2305.68																																																			
HELICAL FENESTRATED BLADE 105MM TFNA	SUP-97-03331	CDM			278	RC		outpatient			2304	234	2304				fee schedule		2304				other	OPPS APC	1313.28				percent of total billed charges		2304				other	OPPS APC	2304				other	OPPS APC	1128.96				percent of total billed charges		1175.04				percent of total billed charges		234				other	OPPS APC	234	2304	
HELICAL FENESTRATED BLADE 105MM TFNA	SUP-97-03331	CDM			278	RC		inpatient			2304	2304																																																			
BLADE TFNA FENESTRATED HELICAL 120MM	SUP-97-04101	CDM			278	RC		outpatient			2304	234	2304				fee schedule		2304				other	OPPS APC	1313.28				percent of total billed charges		2304				other	OPPS APC	2304				other	OPPS APC	1128.96				percent of total billed charges		1175.04				percent of total billed charges		234				other	OPPS APC	234	2304	
BLADE TFNA FENESTRATED HELICAL 120MM	SUP-97-04101	CDM			278	RC		inpatient			2304	2304																																																			
HELICAL FENESTRATED BLADE 75MM TFNA	SUP-97-04405	CDM			278	RC		outpatient			2304	234	2304				fee schedule		2304				other	OPPS APC	1313.28				percent of total billed charges		2304				other	OPPS APC	2304				other	OPPS APC	1128.96				percent of total billed charges		1175.04				percent of total billed charges		234				other	OPPS APC	234	2304	
HELICAL FENESTRATED BLADE 75MM TFNA	SUP-97-04405	CDM			278	RC		inpatient			2304	2304																																																			
04.038.415S	SUP-97-23699	CDM			278	RC		outpatient			2304	234	2304				fee schedule		2304				other	OPPS APC	1313.28				percent of total billed charges		2304				other	OPPS APC	2304				other	OPPS APC	1128.96				percent of total billed charges		1175.04				percent of total billed charges		234				other	OPPS APC	234	2304	
04.038.415S	SUP-97-23699	CDM			278	RC		inpatient			2304	2304																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L138 MM OLECRANON RIGHT 6 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.506	CDM	270010022	LOCAL	270	RC		outpatient			2302.3	232.32	623.69				percent of total billed charges		2302.3				other	OPPS APC	1703.7				percent of total billed charges		2302.3				other	OPPS APC	2302.3				other	OPPS APC	623.69				percent of total billed charges		636.13				percent of total billed charges		232.32				other	OPPS APC	232.32	2302.3	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L138 MM OLECRANON RIGHT 6 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.506	CDM	270010022	LOCAL	270	RC		inpatient			2302.3	2302.3																																																			
PLATE BONE ACU-LOC 2 STANDARD L49 MM X W24 MM RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0350	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 STANDARD L49 MM X W24 MM RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0350	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 STANDARD L51 MM RADIUS LEFT VOLAR DISTAL VARIABLE ANGLE NONSTERILE 2.3 MM	SUP-70-0356	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 STANDARD L51 MM RADIUS LEFT VOLAR DISTAL VARIABLE ANGLE NONSTERILE 2.3 MM	SUP-70-0356	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 STANDARD L51 MM X W25 MM RADIUS RIGHT VOLAR DISTAL VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0357	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 STANDARD L51 MM X W25 MM RADIUS RIGHT VOLAR DISTAL VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0357	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 NARROW L51 MM X W22 MM RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0359	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 NARROW L51 MM X W22 MM RADIAL RIGHT DISTAL VOLAR VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0359	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 WIDE L59 MM X W29 MM RADIUS LEFT VOLAR DISTAL VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0360	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 WIDE L59 MM X W29 MM RADIUS LEFT VOLAR DISTAL VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0360	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 LONG STANDARD L65 MM RADIAL RIGHT VOLAR DISTAL EXTENSION LOW PROFILE NONSTERILE	SUP-70-0369	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 LONG STANDARD L65 MM RADIAL RIGHT VOLAR DISTAL EXTENSION LOW PROFILE NONSTERILE	SUP-70-0369	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 LONG NARROW L65 MM LEFT DISTAL VOLAR RADIAL EXTENSION LOW PROFILE STERILE SILVER	SUP-70-0370	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 LONG NARROW L65 MM LEFT DISTAL VOLAR RADIAL EXTENSION LOW PROFILE STERILE SILVER	SUP-70-0370	CDM			270	RC		inpatient			2302	2302																																																			
PLATE BONE ACU-LOC 2 LONG NARROW L65 MM X W21 MM RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0382	CDM			270	RC		outpatient			2302	232	623.61				percent of total billed charges		2302				other	OPPS APC	1703.48				percent of total billed charges		2302				other	OPPS APC	2302				other	OPPS APC	623.61				percent of total billed charges		636.04				percent of total billed charges		232				other	OPPS APC	232	2302	
PLATE BONE ACU-LOC 2 LONG NARROW L65 MM X W21 MM RADIAL LEFT DISTAL VOLAR VARIABLE ANGLE NONSTERILE 2.3 MM SCREW	SUP-70-0382	CDM			270	RC		inpatient			2302	2302																																																			
PLATE 2.7MM/3 5MM DIST AFIBULA 6H/LEFT	SUP-97-01692	CDM			278	RC		outpatient			2300.16	23.16	2300.16				fee schedule		2300.16				other	OPPS APC	1311.09				percent of total billed charges		2300.16				other	OPPS APC	2300.16				other	OPPS APC	1127.08				percent of total billed charges		1173.08				percent of total billed charges		23.16				other	OPPS APC	23.16	2300.16	
PLATE 2.7MM/3 5MM DIST AFIBULA 6H/LEFT	SUP-97-01692	CDM			278	RC		inpatient			2300.16	2300.16																																																			
PLATE BONE ZEVO TITANIUM L21 MM SPINE CERVICAL ANTERIOR LEVEL 1	SUP-3001021	CDM	270010020	LOCAL	270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
PLATE BONE ZEVO TITANIUM L21 MM SPINE CERVICAL ANTERIOR LEVEL 1	SUP-3001021	CDM	270010020	LOCAL	270	RC		inpatient			2300	2300																																																			
IMPLANT MAMMARY GEL LUMERA 225CC	SUP-324-1051	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
IMPLANT MAMMARY GEL LUMERA 225CC	SUP-324-1051	CDM			270	RC		inpatient			2300	2300																																																			
IMPLANT MAMMARY GEL LUMERA 265CC	SUP-324-1101	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
IMPLANT MAMMARY GEL LUMERA 265CC	SUP-324-1101	CDM			270	RC		inpatient			2300	2300																																																			
IMPLANT BREAST SILICONE GEL LUMERA HIGH PROFILE 395CC	SUP-324-1251	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
IMPLANT BREAST SILICONE GEL LUMERA HIGH PROFILE 395CC	SUP-324-1251	CDM			270	RC		inpatient			2300	2300																																																			
IMPLANT BREAST SILICONE GEL LUMERA MODERATE PROFILE 375CC	SUP-324-1307	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
IMPLANT BREAST SILICONE GEL LUMERA MODERATE PROFILE 375CC	SUP-324-1307	CDM			270	RC		inpatient			2300	2300																																																			
IMPLANT MAMMARY GEL LUMERA PROFILE 610CC	SUP-324-1451	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
IMPLANT MAMMARY GEL LUMERA PROFILE 610CC	SUP-324-1451	CDM			270	RC		inpatient			2300	2300																																																			
IMPLANT BREAST SILTEX SPECTRUM SALINE P6.1-7.5 CM ROUND CONTOUR PROFILE W12.7-13.2 CM X H11 CM 380-540 ML POSTERIOR VALVE PREPLACE FILL TUBE REMOTE INJECTION DOME POSTOPERATIVE ADJUSTABLE STERILE	SUP-354-2513	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
IMPLANT BREAST SILTEX SPECTRUM SALINE P6.1-7.5 CM ROUND CONTOUR PROFILE W12.7-13.2 CM X H11 CM 380-540 ML POSTERIOR VALVE PREPLACE FILL TUBE REMOTE INJECTION DOME POSTOPERATIVE ADJUSTABLE STERILE	SUP-354-2513	CDM			270	RC		inpatient			2300	2300																																																			
PLATE BONE ATLANTIS TITANIUM L50 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190050	CDM	270010020	LOCAL	270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
PLATE BONE ATLANTIS TITANIUM L50 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190050	CDM	270010020	LOCAL	270	RC		inpatient			2300	2300																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L35 MM SPINE CERVICAL ANTERIOR	SUP-7200035	CDM	270010020	LOCAL	270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L35 MM SPINE CERVICAL ANTERIOR	SUP-7200035	CDM	270010020	LOCAL	270	RC		inpatient			2300	2300																																																			
PLATE BONE ATLANTIS VISION ELITE TITANIUM L37.5 MM SPINE CERVICAL ANTERIOR	SUP-7200037	CDM	270010020	LOCAL	270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
PLATE BONE ATLANTIS VISION ELITE TITANIUM L37.5 MM SPINE CERVICAL ANTERIOR	SUP-7200037	CDM	270010020	LOCAL	270	RC		inpatient			2300	2300																																																			
PLATE BONE ZEPHIR TITANIUM L40 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM	SUP-8799140	CDM	270010020	LOCAL	270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
PLATE BONE ZEPHIR TITANIUM L40 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM	SUP-8799140	CDM	270010020	LOCAL	270	RC		inpatient			2300	2300																																																			
FUSION CERVICAL LEVEL 1-BIOMET	SUP-CERVICALL1-BIOMET	CDM	270010020	LOCAL	270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
FUSION CERVICAL LEVEL 1-BIOMET	SUP-CERVICALL1-BIOMET	CDM	270010020	LOCAL	270	RC		inpatient			2300	2300																																																			
CATHETER DELIVERY AXS OFFSET ASSIST .050 IN X 150CM L	SUP-M003DC050150A0Q	CDM			270	RC		outpatient			2300	23	623.07				percent of total billed charges		2300				other	OPPS APC	1702				percent of total billed charges		2300				other	OPPS APC	2300				other	OPPS APC	623.07				percent of total billed charges		635.49				percent of total billed charges		23				other	OPPS APC	23	2300	
CATHETER DELIVERY AXS OFFSET ASSIST .050 IN X 150CM L	SUP-M003DC050150A0Q	CDM			270	RC		inpatient			2300	2300																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 130 MM X W 12.2 MM X H 2MM W 17.4 MM X H 1.7 MM TIBIAL RIGHT DISTAL MEDIAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454009	CDM			270	RC		outpatient			2296	2296	621.99				percent of total billed charges		2296				other	OPPS APC	1699.04				percent of total billed charges		2296				other	OPPS APC	2296				other	OPPS APC	621.99				percent of total billed charges		634.38				percent of total billed charges		2296				other	OPPS APC	621.99	2296	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 130 MM X W 12.2 MM X H 2MM W 17.4 MM X H 1.7 MM TIBIAL RIGHT DISTAL MEDIAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454009	CDM			270	RC		inpatient			2296	2296																																																			
SCREW BONE MATRIXRIB TITANIUM L8 MM OD2.9 MM RIB SELF TAP LOCK NONSTERILE	SUP-04.501.018.05	CDM			270	RC		outpatient			2295.78	2295.78	621.93				percent of total billed charges		2295.78				other	OPPS APC	1698.88				percent of total billed charges		2295.78				other	OPPS APC	2295.78				other	OPPS APC	621.93				percent of total billed charges		634.32				percent of total billed charges		2295.78				other	OPPS APC	621.93	2295.78	
SCREW BONE MATRIXRIB TITANIUM L8 MM OD2.9 MM RIB SELF TAP LOCK NONSTERILE	SUP-04.501.018.05	CDM			270	RC		inpatient			2295.78	2295.78																																																			
PLATE BONE LCP STAINLESS STEEL 0 D SMALL L42 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.231	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 0 D SMALL L42 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.231	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 5 D SMALL L42 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.232	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 5 D SMALL L42 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.232	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 5 D SMALL L42 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.233	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 5 D SMALL L42 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.233	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 10 D SMALL L42 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.234	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 10 D SMALL L42 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.234	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 10 D SMALL L42 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.235	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 10 D SMALL L42 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.235	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 0 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.236	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 0 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.236	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 0 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.237	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 0 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.237	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 5 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.238	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 5 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.238	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 5 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.239	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 5 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.239	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 10 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.240	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 10 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.240	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
PLATE BONE LCP STAINLESS STEEL 10 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.241	CDM	270010022	LOCAL	270	RC		outpatient			2293.2	2293.2	621.23				percent of total billed charges		2293.2				other	OPPS APC	1696.97				percent of total billed charges		2293.2				other	OPPS APC	2293.2				other	OPPS APC	621.23				percent of total billed charges		633.61				percent of total billed charges		2293.2				other	OPPS APC	621.23	2293.2	
PLATE BONE LCP STAINLESS STEEL 10 D MEDIUM L52 MM FIRST METATARSOPHALANGEAL LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.241	CDM	270010022	LOCAL	270	RC		inpatient			2293.2	2293.2																																																			
ARTICUL/EZE BALL 32+5 BR	SUP-97-03796	CDM			278	RC		outpatient			2291.4	2291.41	2291.4				fee schedule		2291.4				other	OPPS APC	1306.1				percent of total billed charges		2291.4				other	OPPS APC	2291.4				other	OPPS APC	1122.79				percent of total billed charges		1168.61				percent of total billed charges		2291.41				other	OPPS APC	1122.79	2291.41	
ARTICUL/EZE BALL 32+5 BR	SUP-97-03796	CDM			278	RC		inpatient			2291.4	2291.4																																																			
MICROCATHETER CEREBROVASCULAR PROWLER 10 NYLON PTFE HYDROPHILIC 45 D L150CM OD1.7-2.3 FR ID .015IN CORONARY PERIPHERAL 2 MARKER BRAID REINFORCE COIL ACCEPTS .012 IN GUIDEWIRE	SUP-606051FX	CDM			270	RC		outpatient			2290	229	620.36				percent of total billed charges		2290				other	OPPS APC	1694.6				percent of total billed charges		2290				other	OPPS APC	2290				other	OPPS APC	620.36				percent of total billed charges		632.73				percent of total billed charges		229				other	OPPS APC	229	2290	
MICROCATHETER CEREBROVASCULAR PROWLER 10 NYLON PTFE HYDROPHILIC 45 D L150CM OD1.7-2.3 FR ID .015IN CORONARY PERIPHERAL 2 MARKER BRAID REINFORCE COIL ACCEPTS .012 IN GUIDEWIRE	SUP-606051FX	CDM			270	RC		inpatient			2290	2290																																																			
TIBIAL AUGMENT BLOCK 5MM SIZE 5 NEXGEN	SUP-97-06358	CDM			278	RC		outpatient			2289.6	2289.6	2289.6				fee schedule		2289.6				other	OPPS APC	1305.07				percent of total billed charges		2289.6				other	OPPS APC	2289.6				other	OPPS APC	1121.9				percent of total billed charges		1167.7				percent of total billed charges		2289.6				other	OPPS APC	1121.9	2289.6	
TIBIAL AUGMENT BLOCK 5MM SIZE 5 NEXGEN	SUP-97-06358	CDM			278	RC		inpatient			2289.6	2289.6																																																			
IABP - 40CC CATHETER	SUP-99-03285	CDM			272	RC		outpatient			2289	2289	620.09				percent of total billed charges		2289				other	OPPS APC	1693.86				percent of total billed charges		2289				other	OPPS APC	2289				other	OPPS APC	620.09				percent of total billed charges		632.45				percent of total billed charges		2289				other	OPPS APC	620.09	2289	
IABP - 40CC CATHETER	SUP-99-03285	CDM			272	RC		inpatient			2289	2289																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L80 CM L70 CM ID8 MM REMOVABLE RING LINE STERILE	SUP-RR08070080L	CDM			270	RC		outpatient			2282	2282	618.19				percent of total billed charges		2282				other	OPPS APC	1688.68				percent of total billed charges		2282				other	OPPS APC	2282				other	OPPS APC	618.19				percent of total billed charges		630.52				percent of total billed charges		2282				other	OPPS APC	618.19	2282	
GRAFT VASCULAR GORE-TEX STANDARD WALL L80 CM L70 CM ID8 MM REMOVABLE RING LINE STERILE	SUP-RR08070080L	CDM			270	RC		inpatient			2282	2282																																																			
TIBIA ALL POLY SIZE 6 GREEN 17MM	SUP-00-5996-006-17	CDM	270010025	LOCAL	270	RC		outpatient			2280	228	617.65				percent of total billed charges		2280				other	OPPS APC	1687.2				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	617.65				percent of total billed charges		629.96				percent of total billed charges		228				other	OPPS APC	228	2280	
TIBIA ALL POLY SIZE 6 GREEN 17MM	SUP-00-5996-006-17	CDM	270010025	LOCAL	270	RC		inpatient			2280	2280																																																			
INSERT TIBIAL LPS NEXGEN UHMWPE 3 A-B L66 MM X W42 MM X H14 MM KNEE CEMENT STERILE	SUP-00599602314	CDM	270010025	LOCAL	270	RC		outpatient			2280	228	617.65				percent of total billed charges		2280				other	OPPS APC	1687.2				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	617.65				percent of total billed charges		629.96				percent of total billed charges		228				other	OPPS APC	228	2280	
INSERT TIBIAL LPS NEXGEN UHMWPE 3 A-B L66 MM X W42 MM X H14 MM KNEE CEMENT STERILE	SUP-00599602314	CDM	270010025	LOCAL	270	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT SZ 5-9MM	SUP-97-04757	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT SZ 5-9MM	SUP-97-04757	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE-LM/RL-SZ 5	SUP-97-04759	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE-LM/RL-SZ 5	SUP-97-04759	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE RM/LL SZ4	SUP-97-04872	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE RM/LL SZ4	SUP-97-04872	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT SZ4-8MM	SUP-97-04873	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT SZ4-8MM	SUP-97-04873	CDM			278	RC		inpatient			2280	2280																																																			
INSERT MCK TIBIAL ONLAY SZ2-8MM	SUP-97-04953	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
INSERT MCK TIBIAL ONLAY SZ2-8MM	SUP-97-04953	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE LM/RL-SZ 4	SUP-97-04983	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE LM/RL-SZ 4	SUP-97-04983	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT SZ 4-8 MM	SUP-97-04984	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT SZ 4-8 MM	SUP-97-04984	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBAL BASEPLATE-LM/RL SZ6	SUP-97-05014	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBAL BASEPLATE-LM/RL SZ6	SUP-97-05014	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE-RM/LL-SZ 3	SUP-97-23630	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE-RM/LL-SZ 3	SUP-97-23630	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBAL BASEPLATE-RM/LL-SZ 6	SUP-97-23643	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBAL BASEPLATE-RM/LL-SZ 6	SUP-97-23643	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBAL ONLAY INSERT-SZ 6-9MM	SUP-97-23644	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBAL ONLAY INSERT-SZ 6-9MM	SUP-97-23644	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT-SZ 3-9MM	SUP-97-23681	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT-SZ 3-9MM	SUP-97-23681	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT-SZ6-8MM	SUP-97-23746	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT-SZ6-8MM	SUP-97-23746	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT-SZ 5-8MM	SUP-97-23758	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT-SZ 5-8MM	SUP-97-23758	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE-RM/LL-SZ 5	SUP-97-23759	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE-RM/LL-SZ 5	SUP-97-23759	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE LM/RL- SZ1	SUP-97-23794	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE LM/RL- SZ1	SUP-97-23794	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY ONSRT SZ 1-10MM	SUP-97-23795	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY ONSRT SZ 1-10MM	SUP-97-23795	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL BASEPLATE LM/RL SZ2	SUP-97-23842	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL BASEPLATE LM/RL SZ2	SUP-97-23842	CDM			278	RC		inpatient			2280	2280																																																			
MCK TIBIAL ONLAY INSERT SZ2-8MM	SUP-97-23844	CDM			278	RC		outpatient			2280	228	2280				fee schedule		2280				other	OPPS APC	1299.6				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	1117.2				percent of total billed charges		1162.8				percent of total billed charges		228				other	OPPS APC	228	2280	
MCK TIBIAL ONLAY INSERT SZ2-8MM	SUP-97-23844	CDM			278	RC		inpatient			2280	2280																																																			
PLATE BONE WAVE LG NS RIGHT	SUP-WPTLR	CDM			270	RC		outpatient			2280	228	617.65				percent of total billed charges		2280				other	OPPS APC	1687.2				percent of total billed charges		2280				other	OPPS APC	2280				other	OPPS APC	617.65				percent of total billed charges		629.96				percent of total billed charges		228				other	OPPS APC	228	2280	
PLATE BONE WAVE LG NS RIGHT	SUP-WPTLR	CDM			270	RC		inpatient			2280	2280																																																			
INSUFFLATION TUBING TRI LUMEN FILTERED AIRSEAL TUBE SET	SUP-95-04758	CDM			272	RC		outpatient			2279.25	2279.25	617.45				percent of total billed charges		2279.25				other	OPPS APC	1686.65				percent of total billed charges		2279.25				other	OPPS APC	2279.25				other	OPPS APC	617.45				percent of total billed charges		629.76				percent of total billed charges		2279.25				other	OPPS APC	617.45	2279.25	
INSUFFLATION TUBING TRI LUMEN FILTERED AIRSEAL TUBE SET	SUP-95-04758	CDM			272	RC		inpatient			2279.25	2279.25																																																			
HELICAL BLADE 90MM TFNA	SUP-97-03002	CDM			278	RC		outpatient			2272.68	2272.68	2272.68				fee schedule		2272.68				other	OPPS APC	1295.43				percent of total billed charges		2272.68				other	OPPS APC	2272.68				other	OPPS APC	1113.61				percent of total billed charges		1159.07				percent of total billed charges		2272.68				other	OPPS APC	1113.61	2272.68	
HELICAL BLADE 90MM TFNA	SUP-97-03002	CDM			278	RC		inpatient			2272.68	2272.68																																																			
HELICAL FENESTRATED BLADE 100MM TFNA	SUP-97-03333	CDM			278	RC		outpatient			2272.68	2272.68	2272.68				fee schedule		2272.68				other	OPPS APC	1295.43				percent of total billed charges		2272.68				other	OPPS APC	2272.68				other	OPPS APC	1113.61				percent of total billed charges		1159.07				percent of total billed charges		2272.68				other	OPPS APC	1113.61	2272.68	
HELICAL FENESTRATED BLADE 100MM TFNA	SUP-97-03333	CDM			278	RC		inpatient			2272.68	2272.68																																																			
HELICAL BLADE 95MM TFNA	SUP-97-03437	CDM			278	RC		outpatient			2272.68	2272.68	2272.68				fee schedule		2272.68				other	OPPS APC	1295.43				percent of total billed charges		2272.68				other	OPPS APC	2272.68				other	OPPS APC	1113.61				percent of total billed charges		1159.07				percent of total billed charges		2272.68				other	OPPS APC	1113.61	2272.68	
HELICAL BLADE 95MM TFNA	SUP-97-03437	CDM			278	RC		inpatient			2272.68	2272.68																																																			
HELICAL BLADE 80MM TFNA	SUP-97-03677	CDM			278	RC		outpatient			2272.68	2272.68	2272.68				fee schedule		2272.68				other	OPPS APC	1295.43				percent of total billed charges		2272.68				other	OPPS APC	2272.68				other	OPPS APC	1113.61				percent of total billed charges		1159.07				percent of total billed charges		2272.68				other	OPPS APC	1113.61	2272.68	
HELICAL BLADE 80MM TFNA	SUP-97-03677	CDM			278	RC		inpatient			2272.68	2272.68																																																			
HELICAL BLADE 85MM TFNA	SUP-97-03939	CDM			278	RC		outpatient			2272.68	2272.68	2272.68				fee schedule		2272.68				other	OPPS APC	1295.43				percent of total billed charges		2272.68				other	OPPS APC	2272.68				other	OPPS APC	1113.61				percent of total billed charges		1159.07				percent of total billed charges		2272.68				other	OPPS APC	1113.61	2272.68	
HELICAL BLADE 85MM TFNA	SUP-97-03939	CDM			278	RC		inpatient			2272.68	2272.68																																																			
AIMING ARM LOCKING DEVICE	SUP-97-03694	CDM			272	RC		outpatient			2269.44	2269.44	614.79				percent of total billed charges		2269.44				other	OPPS APC	1679.39				percent of total billed charges		2269.44				other	OPPS APC	2269.44				other	OPPS APC	614.79				percent of total billed charges		627.05				percent of total billed charges		2269.44				other	OPPS APC	614.79	2269.44	
AIMING ARM LOCKING DEVICE	SUP-97-03694	CDM			272	RC		inpatient			2269.44	2269.44																																																			
PLATE BONE THINFLAP TITANIUM L85 MM X W53 MM X H.5 MM CRANIOMAXILLOFACIAL GRID PANEL	SUP-19-1030	CDM			270	RC		outpatient			2266	2266	613.86				percent of total billed charges		2266				other	OPPS APC	1676.84				percent of total billed charges		2266				other	OPPS APC	2266				other	OPPS APC	613.86				percent of total billed charges		626.1				percent of total billed charges		2266				other	OPPS APC	613.86	2266	
PLATE BONE THINFLAP TITANIUM L85 MM X W53 MM X H.5 MM CRANIOMAXILLOFACIAL GRID PANEL	SUP-19-1030	CDM			270	RC		inpatient			2266	2266																																																			
HD SCORPION LNT SYSTEM 4.75 BC SWIVELOCK	SUP-97-06439	CDM			278	RC		outpatient			2265	2265	2265				fee schedule		2265				other	OPPS APC	1291.05				percent of total billed charges		2265				other	OPPS APC	2265				other	OPPS APC	1109.85				percent of total billed charges		1155.15				percent of total billed charges		2265				other	OPPS APC	1109.85	2265	
HD SCORPION LNT SYSTEM 4.75 BC SWIVELOCK	SUP-97-06439	CDM			278	RC		inpatient			2265	2265																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L179 MM HUMERUS LEFT DISTAL POSTEROLATERAL 11 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.311S	CDM	270010022	LOCAL	270	RC		outpatient			2260.1	227	612.26				percent of total billed charges		2260.1				other	OPPS APC	1672.47				percent of total billed charges		2260.1				other	OPPS APC	2260.1				other	OPPS APC	612.26				percent of total billed charges		624.47				percent of total billed charges		227				other	OPPS APC	227	2260.1	
PLATE BONE LCP COMBI STAINLESS STEEL L179 MM HUMERUS LEFT DISTAL POSTEROLATERAL 11 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.311S	CDM	270010022	LOCAL	270	RC		inpatient			2260.1	2260.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L205 MM HUMERUS LEFT DISTAL POSTEROLATERAL 13 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.313S	CDM	270010022	LOCAL	270	RC		outpatient			2260.1	227	612.26				percent of total billed charges		2260.1				other	OPPS APC	1672.47				percent of total billed charges		2260.1				other	OPPS APC	2260.1				other	OPPS APC	612.26				percent of total billed charges		624.47				percent of total billed charges		227				other	OPPS APC	227	2260.1	
PLATE BONE LCP COMBI STAINLESS STEEL L205 MM HUMERUS LEFT DISTAL POSTEROLATERAL 13 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE STERILE 2.7/3.5 MM SCREW	SUP-02.117.313S	CDM	270010022	LOCAL	270	RC		inpatient			2260.1	2260.1																																																			
EXPANDER TISSUE ALLERGAN LOW HEIGHT VARIABLE PROJECTION 350CC WITH TABS	SUP-133LV-14-T	CDM			270	RC		outpatient			2260	226	612.23				percent of total billed charges		2260				other	OPPS APC	1672.4				percent of total billed charges		2260				other	OPPS APC	2260				other	OPPS APC	612.23				percent of total billed charges		624.44				percent of total billed charges		226				other	OPPS APC	226	2260	
EXPANDER TISSUE ALLERGAN LOW HEIGHT VARIABLE PROJECTION 350CC WITH TABS	SUP-133LV-14-T	CDM			270	RC		inpatient			2260	2260																																																			
EXPANDER TISSUE NATRELLE 850CC 133 STYLE	SUP-133MX-16	CDM			270	RC		outpatient			2260	226	612.23				percent of total billed charges		2260				other	OPPS APC	1672.4				percent of total billed charges		2260				other	OPPS APC	2260				other	OPPS APC	612.23				percent of total billed charges		624.44				percent of total billed charges		226				other	OPPS APC	226	2260	
EXPANDER TISSUE NATRELLE 850CC 133 STYLE	SUP-133MX-16	CDM			270	RC		inpatient			2260	2260																																																			
MICROCATHETER CEREBROVASCULAR PROWLER 14 TRUELUMEN NYLON PFTE HYDROPHILIC 90 D L150CM L50CM OD 1.9-2.3FR ID .015IN CORONARY PERIPHERAL 2 MARKER BRAID REINFORCE COIL ACCEPTS .014IN GUIDEWIRE	SUP-606151MX	CDM			270	RC		outpatient			2260	226	612.23				percent of total billed charges		2260				other	OPPS APC	1672.4				percent of total billed charges		2260				other	OPPS APC	2260				other	OPPS APC	612.23				percent of total billed charges		624.44				percent of total billed charges		226				other	OPPS APC	226	2260	
MICROCATHETER CEREBROVASCULAR PROWLER 14 TRUELUMEN NYLON PFTE HYDROPHILIC 90 D L150CM L50CM OD 1.9-2.3FR ID .015IN CORONARY PERIPHERAL 2 MARKER BRAID REINFORCE COIL ACCEPTS .014IN GUIDEWIRE	SUP-606151MX	CDM			270	RC		inpatient			2260	2260																																																			
GRAFT VENTRALIGHT 6X8 ELIPSE (5954680)	SUP-75-00087	CDM			278	RC		outpatient			2259.4	2259.41	2259.4				fee schedule		2259.4				other	OPPS APC	1287.86				percent of total billed charges		2259.4				other	OPPS APC	2259.4				other	OPPS APC	1107.11				percent of total billed charges		1152.29				percent of total billed charges		2259.41				other	OPPS APC	1107.11	2259.41	
GRAFT VENTRALIGHT 6X8 ELIPSE (5954680)	SUP-75-00087	CDM			278	RC		inpatient			2259.4	2259.4																																																			
CLIP ANEURYSM SUNDT-KEYS SLIM-LINE MP35N STAINLESS STEEL 4 MM OPENING L4 CM X W3 CM OD4 MM GRAFT ENCIRCLING STERILE LATEX FREE DISPOSABLE	SUP-201715	CDM			270	RC		outpatient			2258	2258	611.69				percent of total billed charges		2258				other	OPPS APC	1670.92				percent of total billed charges		2258				other	OPPS APC	2258				other	OPPS APC	611.69				percent of total billed charges		623.89				percent of total billed charges		2258				other	OPPS APC	611.69	2258	
CLIP ANEURYSM SUNDT-KEYS SLIM-LINE MP35N STAINLESS STEEL 4 MM OPENING L4 CM X W3 CM OD4 MM GRAFT ENCIRCLING STERILE LATEX FREE DISPOSABLE	SUP-201715	CDM			270	RC		inpatient			2258	2258																																																			
CLIP ANEURYSM SUNDT-KEES SLIM-LINE MP35N STAINLESS STEEL 90 D 5 MM OPENING L5 MM X W1.5 MM GRAFT ENCIRCLING STERILE LATEX FREE DISPOSABLE	SUP-201716	CDM			270	RC		outpatient			2258	2258	611.69				percent of total billed charges		2258				other	OPPS APC	1670.92				percent of total billed charges		2258				other	OPPS APC	2258				other	OPPS APC	611.69				percent of total billed charges		623.89				percent of total billed charges		2258				other	OPPS APC	611.69	2258	
CLIP ANEURYSM SUNDT-KEES SLIM-LINE MP35N STAINLESS STEEL 90 D 5 MM OPENING L5 MM X W1.5 MM GRAFT ENCIRCLING STERILE LATEX FREE DISPOSABLE	SUP-201716	CDM			270	RC		inpatient			2258	2258																																																			
INSERT ACETABULAR CROSSFIRE 10 D OD50-52 MM ID32 MM HIP SERIES II	SUP-2041C-3250	CDM	270010024	LOCAL	270	RC		outpatient			2255	2255	610.88				percent of total billed charges		2255				other	OPPS APC	1668.7				percent of total billed charges		2255				other	OPPS APC	2255				other	OPPS APC	610.88				percent of total billed charges		623.06				percent of total billed charges		2255				other	OPPS APC	610.88	2255	
INSERT ACETABULAR CROSSFIRE 10 D OD50-52 MM ID32 MM HIP SERIES II	SUP-2041C-3250	CDM	270010024	LOCAL	270	RC		inpatient			2255	2255																																																			
PLATE BONE LCP COMBI 143X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.268	CDM	270010022	LOCAL	270	RC		outpatient			2255	2255	610.88				percent of total billed charges		2255				other	OPPS APC	1668.7				percent of total billed charges		2255				other	OPPS APC	2255				other	OPPS APC	610.88				percent of total billed charges		623.06				percent of total billed charges		2255				other	OPPS APC	610.88	2255	
PLATE BONE LCP COMBI 143X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.268	CDM	270010022	LOCAL	270	RC		inpatient			2255	2255																																																			
PLATE BONE LCP COMBI 143X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.269	CDM	270010022	LOCAL	270	RC		outpatient			2255	2255	610.88				percent of total billed charges		2255				other	OPPS APC	1668.7				percent of total billed charges		2255				other	OPPS APC	2255				other	OPPS APC	610.88				percent of total billed charges		623.06				percent of total billed charges		2255				other	OPPS APC	610.88	2255	
PLATE BONE LCP COMBI 143X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.269	CDM	270010022	LOCAL	270	RC		inpatient			2255	2255																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L149 MM X W11 MM X H2.5 MM ELBOW RIGHT HUMERUS 9 HOLE PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.288	CDM	270010022	LOCAL	270	RC		outpatient			2255	2255	610.88				percent of total billed charges		2255				other	OPPS APC	1668.7				percent of total billed charges		2255				other	OPPS APC	2255				other	OPPS APC	610.88				percent of total billed charges		623.06				percent of total billed charges		2255				other	OPPS APC	610.88	2255	
PLATE BONE LCP COMBI STAINLESS STEEL L149 MM X W11 MM X H2.5 MM ELBOW RIGHT HUMERUS 9 HOLE PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.288	CDM	270010022	LOCAL	270	RC		inpatient			2255	2255																																																			
PLATE BONE LCP COMBI 149X11X2.5MM SS NS HUMERUS LEFT MEDIAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.289	CDM	270010022	LOCAL	270	RC		outpatient			2255	2255	610.88				percent of total billed charges		2255				other	OPPS APC	1668.7				percent of total billed charges		2255				other	OPPS APC	2255				other	OPPS APC	610.88				percent of total billed charges		623.06				percent of total billed charges		2255				other	OPPS APC	610.88	2255	
PLATE BONE LCP COMBI 149X11X2.5MM SS NS HUMERUS LEFT MEDIAL POSTEROLATERAL 9 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.289	CDM	270010022	LOCAL	270	RC		inpatient			2255	2255																																																			
STENT BILIARY PALMAZ BLUE SLALOM FLEXSEGMENT COCR L17 MM L14 MM L80 CM OD6 MM OTW BALLOON EXPANDABLE CLOSED CELL ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6 FR GUIDE CATHETER TRANSHEPATIC	SUP-PB1560BSS	CDM			270	RC		outpatient			2254.2	2254.2	610.66				percent of total billed charges		2254.2				other	OPPS APC	1668.11				percent of total billed charges		2254.2				other	OPPS APC	2254.2				other	OPPS APC	610.66				percent of total billed charges		622.84				percent of total billed charges		2254.2				other	OPPS APC	610.66	2254.2	
STENT BILIARY PALMAZ BLUE SLALOM FLEXSEGMENT COCR L17 MM L14 MM L80 CM OD6 MM OTW BALLOON EXPANDABLE CLOSED CELL ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6 FR GUIDE CATHETER TRANSHEPATIC	SUP-PB1560BSS	CDM			270	RC		inpatient			2254.2	2254.2																																																			
STENT BILIARY 18MM 5MM 5FR FLEXSEGMENT PALMAZ BLUE SLALOM .018IN COCR OTW BALLOON	SUP-PB1850BSS	CDM			270	RC		outpatient			2254.2	2254.2	610.66				percent of total billed charges		2254.2				other	OPPS APC	1668.11				percent of total billed charges		2254.2				other	OPPS APC	2254.2				other	OPPS APC	610.66				percent of total billed charges		622.84				percent of total billed charges		2254.2				other	OPPS APC	610.66	2254.2	
STENT BILIARY 18MM 5MM 5FR FLEXSEGMENT PALMAZ BLUE SLALOM .018IN COCR OTW BALLOON	SUP-PB1850BSS	CDM			270	RC		inpatient			2254.2	2254.2																																																			
PLATE BONE LCP STAINLESS STEEL LARGE X L36 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.204	CDM	270010022	LOCAL	270	RC		outpatient			2252.4	2252.41	610.18				percent of total billed charges		2252.4				other	OPPS APC	1666.78				percent of total billed charges		2252.4				other	OPPS APC	2252.4				other	OPPS APC	610.18				percent of total billed charges		622.34				percent of total billed charges		2252.41				other	OPPS APC	610.18	2252.41	
PLATE BONE LCP STAINLESS STEEL LARGE X L36 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.204	CDM	270010022	LOCAL	270	RC		inpatient			2252.4	2252.4																																																			
SEALER/DIVIDER BIPOLAR LIGASURE IMPACT 180 D L34 MM LARGE L7.1 IN L36 MM OD13.5 MM HAND ACTIVATION CURVE JAW THERMAL SPREAD LIGHTWEIGHT STERILE DISPOSABLE FORCETRIAD	SUP-LF4418	CDM			270	RC		outpatient			2250.54	225.54	609.67				percent of total billed charges		2250.54				other	OPPS APC	1665.4				percent of total billed charges		2250.54				other	OPPS APC	2250.54				other	OPPS APC	609.67				percent of total billed charges		621.82				percent of total billed charges		225.54				other	OPPS APC	225.54	2250.54	
SEALER/DIVIDER BIPOLAR LIGASURE IMPACT 180 D L34 MM LARGE L7.1 IN L36 MM OD13.5 MM HAND ACTIVATION CURVE JAW THERMAL SPREAD LIGHTWEIGHT STERILE DISPOSABLE FORCETRIAD	SUP-LF4418	CDM			270	RC		inpatient			2250.54	2250.54																																																			
HC Pet CT Standard Body Scan	PX-404788151	CDM	78815	CPT	404	RC		outpatient			2250	1568.7	390.48				fee schedule		1568.61				other	OPPS APC	2176.5				fee schedule		1568.61				other	OPPS APC	1568.61				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		1568.7				other	OPPS APC	390.48	2176.5	
HC Pet CT Standard Body Scan	PX-404788151	CDM	78815	CPT	404	RC		inpatient			2250	2250																																																			
HC Pet CT Whole Body Scan	PX-404788161	CDM	78816	CPT	404	RC		outpatient			2250	1568.7	2250				fee schedule		1568.61				other	OPPS APC	2248.48				fee schedule		1568.61				other	OPPS APC	1568.61				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		1568.7				other	OPPS APC	1102.5	2250	
HC Pet CT Whole Body Scan	PX-404788161	CDM	78816	CPT	404	RC		inpatient			2250	2250																																																			
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT FLEX STERILE LATEX FREE DISPOSABLE	SUP-72512	CDM			270	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT FLEX STERILE LATEX FREE DISPOSABLE	SUP-72512	CDM			270	RC		inpatient			2250	2250																																																			
PRIMATRIX MASHED 3X3CM	SUP-95-00562	CDM			636	RC		inpatient			2250	2250																																																			
GELPOINT MINI	SUP-95-05062	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
GELPOINT MINI	SUP-95-05062	CDM			272	RC		inpatient			2250	2250																																																			
RESECTING DEVICE 2.9MM AVETA FLEX DISPOSABLE	SUP-95-05248	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
RESECTING DEVICE 2.9MM AVETA FLEX DISPOSABLE	SUP-95-05248	CDM			272	RC		inpatient			2250	2250																																																			
FEMORAL HEAD	SUP-97-00695	CDM			278	RC		outpatient			2250	225	2250				fee schedule		2250				other	OPPS APC	1282.5				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		225				other	OPPS APC	225	2250	
FEMORAL HEAD	SUP-97-00695	CDM			278	RC		inpatient			2250	2250																																																			
FEMORAL HEAD	SUP-97-01102	CDM			278	RC		outpatient			2250	225	2250				fee schedule		2250				other	OPPS APC	1282.5				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		225				other	OPPS APC	225	2250	
FEMORAL HEAD	SUP-97-01102	CDM			278	RC		inpatient			2250	2250																																																			
FEMORAL HEAD	SUP-97-01411	CDM			278	RC		outpatient			2250	225	2250				fee schedule		2250				other	OPPS APC	1282.5				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		225				other	OPPS APC	225	2250	
FEMORAL HEAD	SUP-97-01411	CDM			278	RC		inpatient			2250	2250																																																			
BIOCARTILAGE 0.75CC	SUP-97-06237	CDM			278	RC		outpatient			2250	225	2250				fee schedule		2250				other	OPPS APC	1282.5				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		225				other	OPPS APC	225	2250	
BIOCARTILAGE 0.75CC	SUP-97-06237	CDM			278	RC		inpatient			2250	2250																																																			
IBAL TKA BEARING IMP PS SZ4 16MM	SUP-97-23742	CDM			278	RC		outpatient			2250	225	2250				fee schedule		2250				other	OPPS APC	1282.5				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges		225				other	OPPS APC	225	2250	
IBAL TKA BEARING IMP PS SZ4 16MM	SUP-97-23742	CDM			278	RC		inpatient			2250	2250																																																			
BALLOON - VASCUTRACK CUTTING 2.5X80	SUP-99-00621	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - VASCUTRACK CUTTING 2.5X80	SUP-99-00621	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - VASCUTRACK CUTTING 3.0X60	SUP-99-00622	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - VASCUTRACK CUTTING 3.0X60	SUP-99-00622	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - VASCUTRACK CUTTING 3.0X80	SUP-99-00623	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - VASCUTRACK CUTTING 3.0X80	SUP-99-00623	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - VASCUTRACK CUTTING 4.0X60	SUP-99-00624	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - VASCUTRACK CUTTING 4.0X60	SUP-99-00624	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - VASCUTRACK CUTTING 4.0X80	SUP-99-00625	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - VASCUTRACK CUTTING 4.0X80	SUP-99-00625	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - VASCUTRACK CUTTING 5.0X60	SUP-99-00626	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - VASCUTRACK CUTTING 5.0X60	SUP-99-00626	CDM			272	RC		inpatient			2250	2250																																																			
STENT - MINI VISION 2.5X23	SUP-99-00662	CDM			278	RC		inpatient			2250	2250																																																			
STENT - MINI VISION 2.5X23	SUP-99-00662	CDM			278	RC		outpatient			2250	2250					fee schedule						other	OPPS APC	1282.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges						other	OPPS APC	1282.5	1282.5	
STENT - MINI VISION 2.25X28	SUP-99-01130	CDM			278	RC		inpatient			2250	2250																																																			
STENT - MINI VISION 2.25X28	SUP-99-01130	CDM			278	RC		outpatient			2250	2250					fee schedule						other	OPPS APC	1282.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges						other	OPPS APC	1282.5	1282.5	
BALLOON - CHOCOLATE RX 2.0X10	SUP-99-02051	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 2.0X10	SUP-99-02051	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - CHOCOLATE RX 2.5X10	SUP-99-02052	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 2.5X10	SUP-99-02052	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - CHOCOLATE RX 3.0X20	SUP-99-02053	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 3.0X20	SUP-99-02053	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - CHOCOLATE RX 2.0X20	SUP-99-03220	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 2.0X20	SUP-99-03220	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - CHOCOLATE RX 2.5X20	SUP-99-03221	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 2.5X20	SUP-99-03221	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - CHOCOLATE RX 3.0X10	SUP-99-03222	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 3.0X10	SUP-99-03222	CDM			272	RC		inpatient			2250	2250																																																			
BALLOON - CHOCOLATE RX 3.5X20	SUP-99-03223	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
BALLOON - CHOCOLATE RX 3.5X20	SUP-99-03223	CDM			272	RC		inpatient			2250	2250																																																			
STENT - MISAGO - 8 X 40	SUP-99-03240	CDM			278	RC		inpatient			2250	2250																																																			
STENT - MISAGO - 8 X 40	SUP-99-03240	CDM			278	RC		outpatient			2250	2250					fee schedule						other	OPPS APC	1282.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges						other	OPPS APC	1282.5	1282.5	
STENT - ABSOLUTE PRO 10.0X40	SUP-99-03374	CDM			278	RC		inpatient			2250	2250																																																			
STENT - ABSOLUTE PRO 10.0X40	SUP-99-03374	CDM			278	RC		outpatient			2250	2250					fee schedule						other	OPPS APC	1282.5				percent of total billed charges						other	OPPS APC					other	OPPS APC	1102.5				percent of total billed charges		1147.5				percent of total billed charges						other	OPPS APC	1282.5	1282.5	
CATHETER - TURNPIKE LP 150CM	SUP-99-04202	CDM			272	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
CATHETER - TURNPIKE LP 150CM	SUP-99-04202	CDM			272	RC		inpatient			2250	2250																																																			
PLATE CONTOURLOCK FEMORAL OSTEOTOMY RIGHT S/M	SUP-AR-13110R-01	CDM			270	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
PLATE CONTOURLOCK FEMORAL OSTEOTOMY RIGHT S/M	SUP-AR-13110R-01	CDM			270	RC		inpatient			2250	2250																																																			
KIT ARTHROSCOPIC FIXATION TIGERTAPE SUTURELASSO 2 MM OD3 MM 2 DOG BONE BUTTON CANNULATED DRILL LOOP SD WIRE	SUP-AR-2271	CDM			270	RC		outpatient			2250	225	609.53				percent of total billed charges		2250				other	OPPS APC	1665				percent of total billed charges		2250				other	OPPS APC	2250				other	OPPS APC	609.53				percent of total billed charges		621.68				percent of total billed charges		225				other	OPPS APC	225	2250	
KIT ARTHROSCOPIC FIXATION TIGERTAPE SUTURELASSO 2 MM OD3 MM 2 DOG BONE BUTTON CANNULATED DRILL LOOP SD WIRE	SUP-AR-2271	CDM			270	RC		inpatient			2250	2250																																																			
WEDGE FEMORAL GMK 4 H5 MM KNEE POSTERIOR REVISION HINGE	SUP-02.05.04PW	CDM	270010025	LOCAL	270	RC		outpatient			2248	2248	608.98				percent of total billed charges		2248				other	OPPS APC	1663.52				percent of total billed charges		2248				other	OPPS APC	2248				other	OPPS APC	608.98				percent of total billed charges		621.12				percent of total billed charges		2248				other	OPPS APC	608.98	2248	
WEDGE FEMORAL GMK 4 H5 MM KNEE POSTERIOR REVISION HINGE	SUP-02.05.04PW	CDM	270010025	LOCAL	270	RC		inpatient			2248	2248																																																			
WEDGE FEMORAL GMK 4 H4 MM KNEE DISTAL REVISION HINGE	SUP-02.07.404FDW	CDM	270010025	LOCAL	270	RC		outpatient			2248	2248	608.98				percent of total billed charges		2248				other	OPPS APC	1663.52				percent of total billed charges		2248				other	OPPS APC	2248				other	OPPS APC	608.98				percent of total billed charges		621.12				percent of total billed charges		2248				other	OPPS APC	608.98	2248	
WEDGE FEMORAL GMK 4 H4 MM KNEE DISTAL REVISION HINGE	SUP-02.07.404FDW	CDM	270010025	LOCAL	270	RC		inpatient			2248	2248																																																			
H-PLATE MED	SUP-97-03350	CDM			278	RC		outpatient			2246.55	2246.55	2246.55				fee schedule		2246.55				other	OPPS APC	1280.53				percent of total billed charges		2246.55				other	OPPS APC	2246.55				other	OPPS APC	1100.81				percent of total billed charges		1145.74				percent of total billed charges		2246.55				other	OPPS APC	1100.81	2246.55	
H-PLATE MED	SUP-97-03350	CDM			278	RC		inpatient			2246.55	2246.55																																																			
CONNECTOR ROD DOMINO TITANIUM SD5.5 CURVE SPINE SOLID	SUP-779145555	CDM	270010020	LOCAL	270	RC		outpatient			2246.4	2246.41	608.55				percent of total billed charges		2246.4				other	OPPS APC	1662.34				percent of total billed charges		2246.4				other	OPPS APC	2246.4				other	OPPS APC	608.55				percent of total billed charges		620.68				percent of total billed charges		2246.41				other	OPPS APC	608.55	2246.41	
CONNECTOR ROD DOMINO TITANIUM SD5.5 CURVE SPINE SOLID	SUP-779145555	CDM	270010020	LOCAL	270	RC		inpatient			2246.4	2246.4																																																			
SHEATH INTRODUCER VIZIGO CURVE ID8.5 FR SMC	SUP-D138501	CDM			270	RC		outpatient			2246	2246	608.44				percent of total billed charges		2246				other	OPPS APC	1662.04				percent of total billed charges		2246				other	OPPS APC	2246				other	OPPS APC	608.44				percent of total billed charges		620.57				percent of total billed charges		2246				other	OPPS APC	608.44	2246	
SHEATH INTRODUCER VIZIGO CURVE ID8.5 FR SMC	SUP-D138501	CDM			270	RC		inpatient			2246	2246																																																			
SHEATH INTRODUCER VIZIGO CURVE ID8.5 FR MDC	SUP-D138502	CDM			270	RC		outpatient			2246	2246	608.44				percent of total billed charges		2246				other	OPPS APC	1662.04				percent of total billed charges		2246				other	OPPS APC	2246				other	OPPS APC	608.44				percent of total billed charges		620.57				percent of total billed charges		2246				other	OPPS APC	608.44	2246	
SHEATH INTRODUCER VIZIGO CURVE ID8.5 FR MDC	SUP-D138502	CDM			270	RC		inpatient			2246	2246																																																			
SHEATH INTRODUCER VIZIGO CURVE ID8.5 FR LGC	SUP-D138503	CDM			270	RC		outpatient			2246	2246	608.44				percent of total billed charges		2246				other	OPPS APC	1662.04				percent of total billed charges		2246				other	OPPS APC	2246				other	OPPS APC	608.44				percent of total billed charges		620.57				percent of total billed charges		2246				other	OPPS APC	608.44	2246	
SHEATH INTRODUCER VIZIGO CURVE ID8.5 FR LGC	SUP-D138503	CDM			270	RC		inpatient			2246	2246																																																			
PLATE 6 HOLE STRAIGHT	SUP-97-02726	CDM			278	RC		outpatient			2242.5	2242.5	2242.5				fee schedule		2242.5				other	OPPS APC	1278.23				percent of total billed charges		2242.5				other	OPPS APC	2242.5				other	OPPS APC	1098.83				percent of total billed charges		1143.68				percent of total billed charges		2242.5				other	OPPS APC	1098.83	2242.5	
PLATE 6 HOLE STRAIGHT	SUP-97-02726	CDM			278	RC		inpatient			2242.5	2242.5																																																			
STRAIGHT PLATE  8 HOLE	SUP-97-02892	CDM			278	RC		outpatient			2242.5	2242.5	2242.5				fee schedule		2242.5				other	OPPS APC	1278.23				percent of total billed charges		2242.5				other	OPPS APC	2242.5				other	OPPS APC	1098.83				percent of total billed charges		1143.68				percent of total billed charges		2242.5				other	OPPS APC	1098.83	2242.5	
STRAIGHT PLATE  8 HOLE	SUP-97-02892	CDM			278	RC		inpatient			2242.5	2242.5																																																			
HC Trauma Code	PX-683G03901	CDM			683	RC		outpatient			2239	2239	2239				fee schedule		2239				other	OPPS APC	1656.86				percent of total billed charges		2239				other	OPPS APC	2239				other	OPPS APC	1097.11				percent of total billed charges		1141.89				percent of total billed charges		2239				other	OPPS APC	1097.11	2239	
HC Trauma Code	PX-683G03901	CDM			683	RC		inpatient			2239	2239																																																			
GRAFT GRAFIX PRIME 1.5CM X 2CM	SUP-95-02183	CDM			636	RC		outpatient			2235	2235	2235				fee schedule		2235				other	OPPS APC	154.64				fee schedule		2235				other	OPPS APC	2235				other	OPPS APC	1095.15				percent of total billed charges		555.62				percent of total billed charges		2235				other	OPPS APC	154.64	2235	
GRAFT GRAFIX PRIME 1.5CM X 2CM	SUP-95-02183	CDM			636	RC		inpatient			2235	2235																																																			
EPIFIX 18MM DISK SHEET	SUP-95-02235	CDM			636	RC		outpatient			2235	2235	1095.15				percent of total billed charges		2235				other	OPPS APC	178.33				fee schedule		2235				other	OPPS APC	2235				other	OPPS APC	1095.15				percent of total billed charges		555.62				percent of total billed charges		2235				other	OPPS APC	178.33	2235	
EPIFIX 18MM DISK SHEET	SUP-95-02235	CDM			636	RC		inpatient			2235	2235																																																			
STENT - EVERFLEX 7X40 150CM	SUP-99-03571	CDM			278	RC		inpatient			2235	2235																																																			
STENT - EVERFLEX 7X40 150CM	SUP-99-03571	CDM			278	RC		outpatient			2235	2235					fee schedule						other	OPPS APC	1273.95				percent of total billed charges						other	OPPS APC					other	OPPS APC	1095.15				percent of total billed charges		1139.85				percent of total billed charges						other	OPPS APC	1273.95	1273.95	
STENT - EVERFLEX 7X20 150CM	SUP-99-03572	CDM			278	RC		inpatient			2235	2235																																																			
STENT - EVERFLEX 7X20 150CM	SUP-99-03572	CDM			278	RC		outpatient			2235	2235					fee schedule						other	OPPS APC	1273.95				percent of total billed charges						other	OPPS APC					other	OPPS APC	1095.15				percent of total billed charges		1139.85				percent of total billed charges						other	OPPS APC	1273.95	1273.95	
STENT - EVERFLEX 6X60 150CM	SUP-99-03573	CDM			278	RC		inpatient			2235	2235																																																			
STENT - EVERFLEX 6X60 150CM	SUP-99-03573	CDM			278	RC		outpatient			2235	2235					fee schedule						other	OPPS APC	1273.95				percent of total billed charges						other	OPPS APC					other	OPPS APC	1095.15				percent of total billed charges		1139.85				percent of total billed charges						other	OPPS APC	1273.95	1273.95	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM OLECRANON RIGHT 4 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.504	CDM	270010022	LOCAL	270	RC		outpatient			2234.1	2235	605.22				percent of total billed charges		2234.1				other	OPPS APC	1653.23				percent of total billed charges		2234.1				other	OPPS APC	2234.1				other	OPPS APC	605.22				percent of total billed charges		617.28				percent of total billed charges		2235				other	OPPS APC	605.22	2235	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM OLECRANON RIGHT 4 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.504	CDM	270010022	LOCAL	270	RC		inpatient			2234.1	2234.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM OLECRANON LEFT 4 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.505	CDM	270010022	LOCAL	270	RC		outpatient			2234.1	2235	605.22				percent of total billed charges		2234.1				other	OPPS APC	1653.23				percent of total billed charges		2234.1				other	OPPS APC	2234.1				other	OPPS APC	605.22				percent of total billed charges		617.28				percent of total billed charges		2235				other	OPPS APC	605.22	2235	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM OLECRANON LEFT 4 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.505	CDM	270010022	LOCAL	270	RC		inpatient			2234.1	2234.1																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STRAIGHT L 92 MM X W 12 MM X H 3MM HUMERUS PROXIMAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72466903	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STRAIGHT L 92 MM X W 12 MM X H 3MM HUMERUS PROXIMAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72466903	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STRAIGHT L 114 MM X W 12MMX H 3 MM HUMERUS PROXIMAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72466905	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE STRAIGHT L 114 MM X W 12MMX H 3 MM HUMERUS PROXIMAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72466905	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 92 MM X W 12 MM X H 3MM HUMERUS LEFT PROXIMAL 4 HOLE VARIBALE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467104	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 92 MM X W 12 MM X H 3MM HUMERUS LEFT PROXIMAL 4 HOLE VARIBALE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467104	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 147 MM X W 12 MM X H 3MM HUMERUS LEFT PROXIMAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467109	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 147 MM X W 12 MM X H 3MM HUMERUS LEFT PROXIMAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467109	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM  SPACE CURVE L 180 MM X W 12 MM X H 3 MM HUMERUS LEFT PROXIMAL 12 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467112	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11MM  SPACE CURVE L 180 MM X W 12 MM X H 3 MM HUMERUS LEFT PROXIMAL 12 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467112	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE CURVE L 213MM X W 12MM X H 3MM HUMERUS LEFT PROXIMAL 15 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72467115	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE CURVE L 213MM X W 12MM X H 3MM HUMERUS LEFT PROXIMAL 15 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72467115	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE CURVE L 92 MM X W 12MM X H 3MM HUMERUS RIGHT PROXIMAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72467204	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE CURVE L 92 MM X W 12MM X H 3MM HUMERUS RIGHT PROXIMAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72467204	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L114 MM X W12 MM X H3 MM HUMERUS RIGHT PROXIMAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467206	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L114 MM X W12 MM X H3 MM HUMERUS RIGHT PROXIMAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467206	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 147 MM X W 12MM X H 3MM HUMERUS RIGHT PROXIMAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72467209	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 147 MM X W 12MM X H 3MM HUMERUS RIGHT PROXIMAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72467209	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 180 MM X W 12 MM X H 3 MM HUMERUS RIGHT PROXIMAL 12 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467212	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE CURVE L 180 MM X W 12 MM X H 3 MM HUMERUS RIGHT PROXIMAL 12 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467212	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE STAINLESS STEEL 11 MM SPACE CURVE L 213 MM X W 12 MM X H 3MM HUMERUS RIGHT PROXIMAL 15 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467215	CDM			270	RC		outpatient			2233.8	2233.82	605.14				percent of total billed charges		2233.8				other	OPPS APC	1653.01				percent of total billed charges		2233.8				other	OPPS APC	2233.8				other	OPPS APC	605.14				percent of total billed charges		617.2				percent of total billed charges		2233.82				other	OPPS APC	605.14	2233.82	
PLATE BONE STAINLESS STEEL 11 MM SPACE CURVE L 213 MM X W 12 MM X H 3MM HUMERUS RIGHT PROXIMAL 15 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72467215	CDM			270	RC		inpatient			2233.8	2233.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL SHORT L72 MM HUMERUS RIGHT DISTAL MEDIAL 1 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.601	CDM	270010022	LOCAL	270	RC		outpatient			2232.94	2232.94	604.9				percent of total billed charges		2232.94				other	OPPS APC	1652.38				percent of total billed charges		2232.94				other	OPPS APC	2232.94				other	OPPS APC	604.9				percent of total billed charges		616.96				percent of total billed charges		2232.94				other	OPPS APC	604.9	2232.94	
PLATE BONE LCP COMBI STAINLESS STEEL SHORT L72 MM HUMERUS RIGHT DISTAL MEDIAL 1 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.601	CDM	270010022	LOCAL	270	RC		inpatient			2232.94	2232.94																																																			
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L85 MM HUMERUS LEFT DISTAL MEDIAL 2 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.702	CDM	270010022	LOCAL	270	RC		outpatient			2232.94	2232.94	604.9				percent of total billed charges		2232.94				other	OPPS APC	1652.38				percent of total billed charges		2232.94				other	OPPS APC	2232.94				other	OPPS APC	604.9				percent of total billed charges		616.96				percent of total billed charges		2232.94				other	OPPS APC	604.9	2232.94	
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L85 MM HUMERUS LEFT DISTAL MEDIAL 2 HOLE VARIABLE ANGLE TAPER TIP EXTEND NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.702	CDM	270010022	LOCAL	270	RC		inpatient			2232.94	2232.94																																																			
SET URETERAL RESONANCE 26CM 6FR METAL DISPOSABLE STERILE ADULT URETER RADIOPAQUE POSITIONER EXTRINSIC OBSTRUCTION	SUP-G34111	CDM			270	RC		outpatient			2232.76	2232.76	604.85				percent of total billed charges		2232.76				other	OPPS APC	1652.24				percent of total billed charges		2232.76				other	OPPS APC	2232.76				other	OPPS APC	604.85				percent of total billed charges		616.91				percent of total billed charges		2232.76				other	OPPS APC	604.85	2232.76	
SET URETERAL RESONANCE 26CM 6FR METAL DISPOSABLE STERILE ADULT URETER RADIOPAQUE POSITIONER EXTRINSIC OBSTRUCTION	SUP-G34111	CDM			270	RC		inpatient			2232.76	2232.76																																																			
PATELLA 35MM	SUP-97-02196	CDM			278	RC		outpatient			2232	2232	2232				fee schedule		2232				other	OPPS APC	1272.24				percent of total billed charges		2232				other	OPPS APC	2232				other	OPPS APC	1093.68				percent of total billed charges		1138.32				percent of total billed charges		2232				other	OPPS APC	1093.68	2232	
PATELLA 35MM	SUP-97-02196	CDM			278	RC		inpatient			2232	2232																																																			
INSERT TIBIAL PFC 2 CURVE H17.5 MM KNEE CRUCIATE RETAINING	SUP-98-4146	CDM	270010025	LOCAL	270	RC		outpatient			2232	2232	604.65				percent of total billed charges		2232				other	OPPS APC	1651.68				percent of total billed charges		2232				other	OPPS APC	2232				other	OPPS APC	604.65				percent of total billed charges		616.7				percent of total billed charges		2232				other	OPPS APC	604.65	2232	
INSERT TIBIAL PFC 2 CURVE H17.5 MM KNEE CRUCIATE RETAINING	SUP-98-4146	CDM	270010025	LOCAL	270	RC		inpatient			2232	2232																																																			
GRAFT BIO 4 2.5CC (3102-2102)	SUP-97-00811	CDM			278	RC		outpatient			2231.25	2231.25	2231.25				fee schedule		2231.25				other	OPPS APC	1271.81				percent of total billed charges		2231.25				other	OPPS APC	2231.25				other	OPPS APC	1093.31				percent of total billed charges		1137.94				percent of total billed charges		2231.25				other	OPPS APC	1093.31	2231.25	
GRAFT BIO 4 2.5CC (3102-2102)	SUP-97-00811	CDM			278	RC		inpatient			2231.25	2231.25																																																			
ACCESS PORT GASTRIC BAND REALIZE SUTURELESS APPLIER	SUP-RLZPT2	CDM			270	RC		outpatient			2230.72	223.72	604.3				percent of total billed charges		2230.72				other	OPPS APC	1650.73				percent of total billed charges		2230.72				other	OPPS APC	2230.72				other	OPPS APC	604.3				percent of total billed charges		616.35				percent of total billed charges		223.72				other	OPPS APC	223.72	2230.72	
ACCESS PORT GASTRIC BAND REALIZE SUTURELESS APPLIER	SUP-RLZPT2	CDM			270	RC		inpatient			2230.72	2230.72																																																			
PLATE BONE LCP STAINLESS STEEL L121 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.508	CDM	270010022	LOCAL	270	RC		outpatient			2229.06	2229.6	603.85				percent of total billed charges		2229.06				other	OPPS APC	1649.5				percent of total billed charges		2229.06				other	OPPS APC	2229.06				other	OPPS APC	603.85				percent of total billed charges		615.89				percent of total billed charges		2229.6				other	OPPS APC	603.85	2229.6	
PLATE BONE LCP STAINLESS STEEL L121 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 8 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.508	CDM	270010022	LOCAL	270	RC		inpatient			2229.06	2229.06																																																			
SCREW BONE VERTEX MAX TITANIUM L10 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958710	CDM	270010020	LOCAL	270	RC		outpatient			2228.8	2228.82	603.78				percent of total billed charges		2228.8				other	OPPS APC	1649.31				percent of total billed charges		2228.8				other	OPPS APC	2228.8				other	OPPS APC	603.78				percent of total billed charges		615.82				percent of total billed charges		2228.82				other	OPPS APC	603.78	2228.82	
SCREW BONE VERTEX MAX TITANIUM L10 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958710	CDM	270010020	LOCAL	270	RC		inpatient			2228.8	2228.8																																																			
SCREW BONE VERTEX MAX TITANIUM L24 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958724	CDM	270010020	LOCAL	270	RC		outpatient			2228.8	2228.82	603.78				percent of total billed charges		2228.8				other	OPPS APC	1649.31				percent of total billed charges		2228.8				other	OPPS APC	2228.8				other	OPPS APC	603.78				percent of total billed charges		615.82				percent of total billed charges		2228.82				other	OPPS APC	603.78	2228.82	
SCREW BONE VERTEX MAX TITANIUM L24 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958724	CDM	270010020	LOCAL	270	RC		inpatient			2228.8	2228.8																																																			
SCREW BONE VERTEX MAX TITANIUM L30 MM OD3.5 MM SPINE THORACIC MULTIAXIALGREEN	SUP-6958730	CDM	270010020	LOCAL	270	RC		outpatient			2228.8	2228.82	603.78				percent of total billed charges		2228.8				other	OPPS APC	1649.31				percent of total billed charges		2228.8				other	OPPS APC	2228.8				other	OPPS APC	603.78				percent of total billed charges		615.82				percent of total billed charges		2228.82				other	OPPS APC	603.78	2228.82	
SCREW BONE VERTEX MAX TITANIUM L30 MM OD3.5 MM SPINE THORACIC MULTIAXIALGREEN	SUP-6958730	CDM	270010020	LOCAL	270	RC		inpatient			2228.8	2228.8																																																			
SCREW BONE VERTEX MAX TITANIUM L12 MM OD4 MM SPINE MULTIAXIAL	SUP-6958812	CDM	270010020	LOCAL	270	RC		outpatient			2228.8	2228.82	603.78				percent of total billed charges		2228.8				other	OPPS APC	1649.31				percent of total billed charges		2228.8				other	OPPS APC	2228.8				other	OPPS APC	603.78				percent of total billed charges		615.82				percent of total billed charges		2228.82				other	OPPS APC	603.78	2228.82	
SCREW BONE VERTEX MAX TITANIUM L12 MM OD4 MM SPINE MULTIAXIAL	SUP-6958812	CDM	270010020	LOCAL	270	RC		inpatient			2228.8	2228.8																																																			
SCREW BONE VERTEX MAX TITANIUM L14 MM OD4 MM SPINE THORACIC MULTIAXIAL BLUE	SUP-6958814	CDM	270010020	LOCAL	270	RC		outpatient			2228.8	2228.82	603.78				percent of total billed charges		2228.8				other	OPPS APC	1649.31				percent of total billed charges		2228.8				other	OPPS APC	2228.8				other	OPPS APC	603.78				percent of total billed charges		615.82				percent of total billed charges		2228.82				other	OPPS APC	603.78	2228.82	
SCREW BONE VERTEX MAX TITANIUM L14 MM OD4 MM SPINE THORACIC MULTIAXIAL BLUE	SUP-6958814	CDM	270010020	LOCAL	270	RC		inpatient			2228.8	2228.8																																																			
SCREW BONE VERTEX MAX TITANIUM L16 MM OD4 MM SPINE THORACIC MULTIAXIAL BLUE	SUP-6958816	CDM	270010020	LOCAL	270	RC		outpatient			2228.8	2228.82	603.78				percent of total billed charges		2228.8				other	OPPS APC	1649.31				percent of total billed charges		2228.8				other	OPPS APC	2228.8				other	OPPS APC	603.78				percent of total billed charges		615.82				percent of total billed charges		2228.82				other	OPPS APC	603.78	2228.82	
SCREW BONE VERTEX MAX TITANIUM L16 MM OD4 MM SPINE THORACIC MULTIAXIAL BLUE	SUP-6958816	CDM	270010020	LOCAL	270	RC		inpatient			2228.8	2228.8																																																			
BLADE 11MM HELICAL 110MM	SUP-97-00872	CDM			278	RC		outpatient			2222.25	2222.25	2222.25				fee schedule		2222.25				other	OPPS APC	1266.68				percent of total billed charges		2222.25				other	OPPS APC	2222.25				other	OPPS APC	1088.9				percent of total billed charges		1133.35				percent of total billed charges		2222.25				other	OPPS APC	1088.9	2222.25	
BLADE 11MM HELICAL 110MM	SUP-97-00872	CDM			278	RC		inpatient			2222.25	2222.25																																																			
PLATE BONE VLP MINI MOD Y H 1.25MM 8 HOLE 2.4 MM SCREW MINI FRAGMENT	SUP-74442412	CDM			270	RC		outpatient			2220	222	601.4				percent of total billed charges		2220				other	OPPS APC	1642.8				percent of total billed charges		2220				other	OPPS APC	2220				other	OPPS APC	601.4				percent of total billed charges		613.39				percent of total billed charges		222				other	OPPS APC	222	2220	
PLATE BONE VLP MINI MOD Y H 1.25MM 8 HOLE 2.4 MM SCREW MINI FRAGMENT	SUP-74442412	CDM			270	RC		inpatient			2220	2220																																																			
SLIM STRAIGHT PLATE 7 HOLES (T8)	SUP-97-04878	CDM			278	RC		outpatient			2218.05	2218.52	2218.05				fee schedule		2218.05				other	OPPS APC	1264.29				percent of total billed charges		2218.05				other	OPPS APC	2218.05				other	OPPS APC	1086.84				percent of total billed charges		1131.21				percent of total billed charges		2218.52				other	OPPS APC	1086.84	2218.52	
SLIM STRAIGHT PLATE 7 HOLES (T8)	SUP-97-04878	CDM			278	RC		inpatient			2218.05	2218.05																																																			
HRHK AXLE	SUP-97-03373	CDM			278	RC		outpatient			2216.4	2216.41	2216.4				fee schedule		2216.4				other	OPPS APC	1263.35				percent of total billed charges		2216.4				other	OPPS APC	2216.4				other	OPPS APC	1086.04				percent of total billed charges		1130.36				percent of total billed charges		2216.41				other	OPPS APC	1086.04	2216.41	
HRHK AXLE	SUP-97-03373	CDM			278	RC		inpatient			2216.4	2216.4																																																			
SUPER D 21G ASPIRATION NEEDLE	SUP-95-23364	CDM			272	RC		outpatient			2214	2214	599.77				percent of total billed charges		2214				other	OPPS APC	1638.36				percent of total billed charges		2214				other	OPPS APC	2214				other	OPPS APC	599.77				percent of total billed charges		611.73				percent of total billed charges		2214				other	OPPS APC	599.77	2214	
SUPER D 21G ASPIRATION NEEDLE	SUP-95-23364	CDM			272	RC		inpatient			2214	2214																																																			
STENT ENDOPROSTHESIS TRACHEOBRONCHIAL 55MM 20MM METAL WALLSTENT UNISTEP PLUS 75CM	SUP-H965404310	CDM			270	RC		outpatient			2212.76	2212.76	599.44				percent of total billed charges		2212.76				other	OPPS APC	1637.44				percent of total billed charges		2212.76				other	OPPS APC	2212.76				other	OPPS APC	599.44				percent of total billed charges		611.39				percent of total billed charges		2212.76				other	OPPS APC	599.44	2212.76	
STENT ENDOPROSTHESIS TRACHEOBRONCHIAL 55MM 20MM METAL WALLSTENT UNISTEP PLUS 75CM	SUP-H965404310	CDM			270	RC		inpatient			2212.76	2212.76																																																			
2.7MM VA-LCP LAT.DIS FIBULA PLATE3H LEFT	SUP-97-04885	CDM			278	RC		outpatient			2209.8	229.82	2209.8				fee schedule		2209.8				other	OPPS APC	1259.59				percent of total billed charges		2209.8				other	OPPS APC	2209.8				other	OPPS APC	1082.8				percent of total billed charges		1127				percent of total billed charges		229.82				other	OPPS APC	229.82	2209.8	
2.7MM VA-LCP LAT.DIS FIBULA PLATE3H LEFT	SUP-97-04885	CDM			278	RC		inpatient			2209.8	2209.8																																																			
RIGHT 2.7MM 3 HOLE PLATE	SUP-97-05356	CDM			278	RC		outpatient			2209.8	229.82	2209.8				fee schedule		2209.8				other	OPPS APC	1259.59				percent of total billed charges		2209.8				other	OPPS APC	2209.8				other	OPPS APC	1082.8				percent of total billed charges		1127				percent of total billed charges		229.82				other	OPPS APC	229.82	2209.8	
RIGHT 2.7MM 3 HOLE PLATE	SUP-97-05356	CDM			278	RC		inpatient			2209.8	2209.8																																																			
VENTRALIGHT ST 4X6	SUP-97-00212	CDM			278	RC		outpatient			2209.14	229.14	2209.14				fee schedule		2209.14				other	OPPS APC	1259.21				percent of total billed charges		2209.14				other	OPPS APC	2209.14				other	OPPS APC	1082.48				percent of total billed charges		1126.66				percent of total billed charges		229.14				other	OPPS APC	229.14	2209.14	
VENTRALIGHT ST 4X6	SUP-97-00212	CDM			278	RC		inpatient			2209.14	2209.14																																																			
PLATE BONE MANDIBULAR UNIVERSAL FRACTURE ANGLED TITANIUM 3 X 3 HOLE 2.4 X 25MM	SUP-449.82	CDM	270010014	LOCAL	270	RC		outpatient			2205.9	225.91	597.58				percent of total billed charges		2205.9				other	OPPS APC	1632.37				percent of total billed charges		2205.9				other	OPPS APC	2205.9				other	OPPS APC	597.58				percent of total billed charges		609.49				percent of total billed charges		225.91				other	OPPS APC	225.91	2205.9	
PLATE BONE MANDIBULAR UNIVERSAL FRACTURE ANGLED TITANIUM 3 X 3 HOLE 2.4 X 25MM	SUP-449.82	CDM	270010014	LOCAL	270	RC		inpatient			2205.9	2205.9																																																			
PLATE BONE DCP 95D 156X16X4.8MM 50MM SS NS CONDYLAR 9 HOLE BLADE	SUP-237.90	CDM	270010022	LOCAL	270	RC		outpatient			2203.3	223.32	596.87				percent of total billed charges		2203.3				other	OPPS APC	1630.44				percent of total billed charges		2203.3				other	OPPS APC	2203.3				other	OPPS APC	596.87				percent of total billed charges		608.77				percent of total billed charges		223.32				other	OPPS APC	223.32	2203.3	
PLATE BONE DCP 95D 156X16X4.8MM 50MM SS NS CONDYLAR 9 HOLE BLADE	SUP-237.90	CDM	270010022	LOCAL	270	RC		inpatient			2203.3	2203.3																																																			
PLATE BONE DCP 95D 156X16X4.8MM 60MM SS NS CONDYLAR 9 HOLE BLADE	SUP-237.92	CDM	270010022	LOCAL	270	RC		outpatient			2203.3	223.32	596.87				percent of total billed charges		2203.3				other	OPPS APC	1630.44				percent of total billed charges		2203.3				other	OPPS APC	2203.3				other	OPPS APC	596.87				percent of total billed charges		608.77				percent of total billed charges		223.32				other	OPPS APC	223.32	2203.3	
PLATE BONE DCP 95D 156X16X4.8MM 60MM SS NS CONDYLAR 9 HOLE BLADE	SUP-237.92	CDM	270010022	LOCAL	270	RC		inpatient			2203.3	2203.3																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L156 MM X W16 MM X H4.8 MM L70 MM CONDYLAR 9 HOLE U PROFILE BLADE NONSTERILE 4.5 MM CORTICAL SCREW	SUP-237.94	CDM	270010022	LOCAL	270	RC		outpatient			2203.3	223.32	596.87				percent of total billed charges		2203.3				other	OPPS APC	1630.44				percent of total billed charges		2203.3				other	OPPS APC	2203.3				other	OPPS APC	596.87				percent of total billed charges		608.77				percent of total billed charges		223.32				other	OPPS APC	223.32	2203.3	
PLATE BONE DCP STAINLESS STEEL 95 D L156 MM X W16 MM X H4.8 MM L70 MM CONDYLAR 9 HOLE U PROFILE BLADE NONSTERILE 4.5 MM CORTICAL SCREW	SUP-237.94	CDM	270010022	LOCAL	270	RC		inpatient			2203.3	2203.3																																																			
PLATE BONE DCP STAINLESS STEEL 90 D L80 MM CONDYLE 9 HOLE ANGLED BLADE NONSTERILE	SUP-237.96	CDM	270010022	LOCAL	270	RC		outpatient			2203.3	223.32	596.87				percent of total billed charges		2203.3				other	OPPS APC	1630.44				percent of total billed charges		2203.3				other	OPPS APC	2203.3				other	OPPS APC	596.87				percent of total billed charges		608.77				percent of total billed charges		223.32				other	OPPS APC	223.32	2203.3	
PLATE BONE DCP STAINLESS STEEL 90 D L80 MM CONDYLE 9 HOLE ANGLED BLADE NONSTERILE	SUP-237.96	CDM	270010022	LOCAL	270	RC		inpatient			2203.3	2203.3																																																			
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 MEDIUM OD40 MM STERILE	SUP-01.29.213	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 MEDIUM OD40 MM STERILE	SUP-01.29.213	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
IMPLANT BIOLOX DELTA FEMORAL HEAD L 40MM	SUP-01.29.214	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
IMPLANT BIOLOX DELTA FEMORAL HEAD L 40MM	SUP-01.29.214	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
WASHER ORTHOPEDIC 5 D RIGHT LOCK ATTACHMENT STERILE RFNA	SUP-02.233.100S	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
WASHER ORTHOPEDIC 5 D RIGHT LOCK ATTACHMENT STERILE RFNA	SUP-02.233.100S	CDM			270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR +0 MM OD40 MM HIP C TAPER	SUP-06-4000	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR +0 MM OD40 MM HIP C TAPER	SUP-06-4000	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR +5 OD40 MM HIP C TAPER	SUP-06-4005	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR +5 OD40 MM HIP C TAPER	SUP-06-4005	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR +10 OD40 MM HIP C TAPER ANATOMIC OFFSET	SUP-06-4010	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR +10 OD40 MM HIP C TAPER ANATOMIC OFFSET	SUP-06-4010	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR +7.5 MM OD40 MM HIP C TAPER ANATOMIC	SUP-06-4075	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR +7.5 MM OD40 MM HIP C TAPER ANATOMIC	SUP-06-4075	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR -2.5 MM OD40 MM HIP C TAPER ANATOMIC	SUP-06-4097	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR -2.5 MM OD40 MM HIP C TAPER ANATOMIC	SUP-06-4097	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR -5 MM OD40 MM HIP C TAPER ANATOMIC	SUP-06-4099	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR -5 MM OD40 MM HIP C TAPER ANATOMIC	SUP-06-4099	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR +0 MM OD44 MM HIP C TAPER ANATOMIC	SUP-06-4400	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR +0 MM OD44 MM HIP C TAPER ANATOMIC	SUP-06-4400	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT COCR +5 MM OD44 MM HIP C TAPER ANATOMIC PRIMARY	SUP-06-4405	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT COCR +5 MM OD44 MM HIP C TAPER ANATOMIC PRIMARY	SUP-06-4405	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL LFIT V40 COCR -5 MM OD44 MM C TAPER ANATOMIC	SUP-06-4499	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL LFIT V40 COCR -5 MM OD44 MM C TAPER ANATOMIC	SUP-06-4499	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
SHEARS SURGICAL DA VINCI S/SI ENDOWRIST HARMONIC ACE CURVE OD8 MM	SUP-420275	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
SHEARS SURGICAL DA VINCI S/SI ENDOWRIST HARMONIC ACE CURVE OD8 MM	SUP-420275	CDM			270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL V40 LFIT COCR -4 MM OFFSET TAPER OD40 MM HIP PRIMARY ANATOMIC	SUP-6260-9-040	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL V40 LFIT COCR -4 MM OFFSET TAPER OD40 MM HIP PRIMARY ANATOMIC	SUP-6260-9-040	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD40 MM HIP PRIMARY ANATOMIC	SUP-6260-9-140	CDM	270010025	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD40 MM HIP PRIMARY ANATOMIC	SUP-6260-9-140	CDM	270010025	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD44 MM HIP PRIMARY ANATOMIC	SUP-6260-9-344	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD44 MM HIP PRIMARY ANATOMIC	SUP-6260-9-344	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD40 MM HIP PRIMARY ANATOMIC	SUP-6260-9-440	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD40 MM HIP PRIMARY ANATOMIC	SUP-6260-9-440	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD44 MM HIP PRIMARY ANATOMIC	SUP-6260-9-444	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD44 MM HIP PRIMARY ANATOMIC	SUP-6260-9-444	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
DEVICE FIXATION BIOCOMPOSITE DISTAL BICEPS REPAIR	SUP-AR-2260BC	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
DEVICE FIXATION BIOCOMPOSITE DISTAL BICEPS REPAIR	SUP-AR-2260BC	CDM			270	RC		inpatient			2200	2200																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L20 MM L120 CM OD7 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-C07020ML	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L20 MM L120 CM OD7 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-C07020ML	CDM			270	RC		inpatient			2200	2200																																																			
CABLE CATHETER CARTO 3 L6 MR 20 POLE NONSTERILE REUSABLE PENTARRAY ECO LASSO CATHETER	SUP-EM5050060	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
CABLE CATHETER CARTO 3 L6 MR 20 POLE NONSTERILE REUSABLE PENTARRAY ECO LASSO CATHETER	SUP-EM5050060	CDM			270	RC		inpatient			2200	2200																																																			
HEAD FEMORAL SELEX M2A-MAGNUM COCR +3 MM OD40 MM HIP SOLID MODULAR	SUP-S331140	CDM	270010024	LOCAL	270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
HEAD FEMORAL SELEX M2A-MAGNUM COCR +3 MM OD40 MM HIP SOLID MODULAR	SUP-S331140	CDM	270010024	LOCAL	270	RC		inpatient			2200	2200																																																			
CABLE ABLATION TACTISYS QUARTZ RF TACTIFLEX SE	SUP-TSQ-RF-TFSE-CBL	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
CABLE ABLATION TACTISYS QUARTZ RF TACTIFLEX SE	SUP-TSQ-RF-TFSE-CBL	CDM			270	RC		inpatient			2200	2200																																																			
KIT VESSEL HARVESTING VASOVIEW HEMOPRO 2 ENDOSCOPIC	SUP-VH-4000	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
KIT VESSEL HARVESTING VASOVIEW HEMOPRO 2 ENDOSCOPIC	SUP-VH-4000	CDM			270	RC		inpatient			2200	2200																																																			
STENT VASCULAR ZILVER 635 FLEXOR 40MM 80CM 7MM 6FR NITINOL STERILE ILIAC ARTERY SELF EXPAND SLOT TUBE DELIVERY SYSTEM	SUP-ZIV6-35-80-7-40	CDM			270	RC		outpatient			2200	22	595.98				percent of total billed charges		2200				other	OPPS APC	1628				percent of total billed charges		2200				other	OPPS APC	2200				other	OPPS APC	595.98				percent of total billed charges		607.86				percent of total billed charges		22				other	OPPS APC	22	2200	
STENT VASCULAR ZILVER 635 FLEXOR 40MM 80CM 7MM 6FR NITINOL STERILE ILIAC ARTERY SELF EXPAND SLOT TUBE DELIVERY SYSTEM	SUP-ZIV6-35-80-7-40	CDM			270	RC		inpatient			2200	2200																																																			
VENTRALEX ST MED CIRCLE W/STRAP	SUP-97-00222	CDM			278	RC		outpatient			2199.45	2199.45	2199.45				fee schedule		2199.45				other	OPPS APC	1253.69				percent of total billed charges		2199.45				other	OPPS APC	2199.45				other	OPPS APC	1077.73				percent of total billed charges		1121.72				percent of total billed charges		2199.45				other	OPPS APC	1077.73	2199.45	
VENTRALEX ST MED CIRCLE W/STRAP	SUP-97-00222	CDM			278	RC		inpatient			2199.45	2199.45																																																			
PLATE BONE LCP NARROW 190X11X4.2MM SS NS 12 HOLE 4.5/3.5MM SCREW LG FRAGMENT	SUP-224.757	CDM	270010022	LOCAL	270	RC		outpatient			2198.02	2198.2	595.44				percent of total billed charges		2198.02				other	OPPS APC	1626.53				percent of total billed charges		2198.02				other	OPPS APC	2198.02				other	OPPS APC	595.44				percent of total billed charges		607.31				percent of total billed charges		2198.2				other	OPPS APC	595.44	2198.2	
PLATE BONE LCP NARROW 190X11X4.2MM SS NS 12 HOLE 4.5/3.5MM SCREW LG FRAGMENT	SUP-224.757	CDM	270010022	LOCAL	270	RC		inpatient			2198.02	2198.02																																																			
PLATE BONE LCP COMBI BROAD CURVE 336X17.5X5.2MM SS NS 18 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LG FRAGMENT	SUP-226.682	CDM	270010022	LOCAL	270	RC		outpatient			2197.8	2197.82	595.38				percent of total billed charges		2197.8				other	OPPS APC	1626.37				percent of total billed charges		2197.8				other	OPPS APC	2197.8				other	OPPS APC	595.38				percent of total billed charges		607.25				percent of total billed charges		2197.82				other	OPPS APC	595.38	2197.82	
PLATE BONE LCP COMBI BROAD CURVE 336X17.5X5.2MM SS NS 18 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LG FRAGMENT	SUP-226.682	CDM	270010022	LOCAL	270	RC		inpatient			2197.8	2197.8																																																			
PLATE 2.4/2.7MM VA LOCKING OPENING WEDGE	SUP-02.211.210	CDM	270010022	LOCAL	270	RC		outpatient			2197.2	2197.2	595.22				percent of total billed charges		2197.2				other	OPPS APC	1625.93				percent of total billed charges		2197.2				other	OPPS APC	2197.2				other	OPPS APC	595.22				percent of total billed charges		607.09				percent of total billed charges		2197.2				other	OPPS APC	595.22	2197.2	
PLATE 2.4/2.7MM VA LOCKING OPENING WEDGE	SUP-02.211.210	CDM	270010022	LOCAL	270	RC		inpatient			2197.2	2197.2																																																			
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 6MM	SUP-02.211.214	CDM	270010022	LOCAL	270	RC		outpatient			2197.2	2197.2	595.22				percent of total billed charges		2197.2				other	OPPS APC	1625.93				percent of total billed charges		2197.2				other	OPPS APC	2197.2				other	OPPS APC	595.22				percent of total billed charges		607.09				percent of total billed charges		2197.2				other	OPPS APC	595.22	2197.2	
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 6MM	SUP-02.211.214	CDM	270010022	LOCAL	270	RC		inpatient			2197.2	2197.2																																																			
ALLOGRAFT TRINITY ELITE SM	SUP-97-02843	CDM			278	RC		outpatient			2196	2196	2196				fee schedule		2196				other	OPPS APC	1251.72				percent of total billed charges		2196				other	OPPS APC	2196				other	OPPS APC	1076.04				percent of total billed charges		1119.96				percent of total billed charges		2196				other	OPPS APC	1076.04	2196	
ALLOGRAFT TRINITY ELITE SM	SUP-97-02843	CDM			278	RC		inpatient			2196	2196																																																			
CATHETER IAB SENSATION PLUS STATLOCK L6 IN L229 MM OD7.5 FR ODSEC16 MM 40 CC CARDIOVASCULAR 2 STATLOCK FIBER OPTIC INSERTION KIT INTRODUCER .025 IN GUIDE WIRE DATASCOPE SYSTEM	SUP-0684-00-0568-01U	CDM			270	RC		outpatient			2195.96	2195.96	594.89				percent of total billed charges		2195.96				other	OPPS APC	1625.01				percent of total billed charges		2195.96				other	OPPS APC	2195.96				other	OPPS APC	594.89				percent of total billed charges		606.74				percent of total billed charges		2195.96				other	OPPS APC	594.89	2195.96	
CATHETER IAB SENSATION PLUS STATLOCK L6 IN L229 MM OD7.5 FR ODSEC16 MM 40 CC CARDIOVASCULAR 2 STATLOCK FIBER OPTIC INSERTION KIT INTRODUCER .025 IN GUIDE WIRE DATASCOPE SYSTEM	SUP-0684-00-0568-01U	CDM			270	RC		inpatient			2195.96	2195.96																																																			
CATHETER IAB SENSATION PLUS L6 IN OD8 FR 50 ML CARDIOVASCULAR 2 STATLOCK DEVICE FIBER OPTIC INSERTION KIT INTRODUCER EXTENDER DATASCOPE SYSTEM	SUP-0684-00-0576-01U	CDM			270	RC		outpatient			2195.96	2195.96	594.89				percent of total billed charges		2195.96				other	OPPS APC	1625.01				percent of total billed charges		2195.96				other	OPPS APC	2195.96				other	OPPS APC	594.89				percent of total billed charges		606.74				percent of total billed charges		2195.96				other	OPPS APC	594.89	2195.96	
CATHETER IAB SENSATION PLUS L6 IN OD8 FR 50 ML CARDIOVASCULAR 2 STATLOCK DEVICE FIBER OPTIC INSERTION KIT INTRODUCER EXTENDER DATASCOPE SYSTEM	SUP-0684-00-0576-01U	CDM			270	RC		inpatient			2195.96	2195.96																																																			
PLATE BONE LCP COMBI TITANIUM L54 MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE NONSTERILE 2.4 MM SCREW	SUP-04.111.630	CDM	270010022	LOCAL	270	RC		outpatient			2194.8	2194.82	594.57				percent of total billed charges		2194.8				other	OPPS APC	1624.15				percent of total billed charges		2194.8				other	OPPS APC	2194.8				other	OPPS APC	594.57				percent of total billed charges		606.42				percent of total billed charges		2194.82				other	OPPS APC	594.57	2194.82	
PLATE BONE LCP COMBI TITANIUM L54 MM RADIUS RIGHT DISTAL VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 COLUMN VARIABLE ANGLE NONSTERILE 2.4 MM SCREW	SUP-04.111.630	CDM	270010022	LOCAL	270	RC		inpatient			2194.8	2194.8																																																			
BIPOLARD SHELL 49MM	SUP-97-03233	CDM			278	RC		outpatient			2193.75	2193.75	2193.75				fee schedule		2193.75				other	OPPS APC	1250.44				percent of total billed charges		2193.75				other	OPPS APC	2193.75				other	OPPS APC	1074.94				percent of total billed charges		1118.81				percent of total billed charges		2193.75				other	OPPS APC	1074.94	2193.75	
BIPOLARD SHELL 49MM	SUP-97-03233	CDM			278	RC		inpatient			2193.75	2193.75																																																			
LARYNGECTOMY PULMONARY KIT 9/55	SUP-2010-07E1	CDM			270	RC		outpatient			2192	2192	593.81				percent of total billed charges		2192				other	OPPS APC	1622.08				percent of total billed charges		2192				other	OPPS APC	2192				other	OPPS APC	593.81				percent of total billed charges		605.65				percent of total billed charges		2192				other	OPPS APC	593.81	2192	
LARYNGECTOMY PULMONARY KIT 9/55	SUP-2010-07E1	CDM			270	RC		inpatient			2192	2192																																																			
PLATE BONE LCP STAINLESS STEEL XS X L24 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.201	CDM	270010022	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE BONE LCP STAINLESS STEEL XS X L24 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.201	CDM	270010022	LOCAL	270	RC		inpatient			2190	2190																																																			
PLATE BONE LCP STAINLESS STEEL SMALL X L27 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.202	CDM	270010022	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE BONE LCP STAINLESS STEEL SMALL X L27 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.202	CDM	270010022	LOCAL	270	RC		inpatient			2190	2190																																																			
PLATE BONE LCP STAINLESS STEEL MEDIUM X L32 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.203	CDM	270010022	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE BONE LCP STAINLESS STEEL MEDIUM X L32 MM FOREFOOT MIDFOOT VARIABLE ANGLE LOCK LOW PROFILE COMPRESSION WIRE WHOLE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.203	CDM	270010022	LOCAL	270	RC		inpatient			2190	2190																																																			
GRAFT BONE CORTICAL WEDGE L3-6 CM X H8 MM 2 PIECE ALLOGRAFT FREEZE DRIED HIGH TIBIAL OSTEOTOMY	SUP-400539	CDM	270010031	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
GRAFT BONE CORTICAL WEDGE L3-6 CM X H8 MM 2 PIECE ALLOGRAFT FREEZE DRIED HIGH TIBIAL OSTEOTOMY	SUP-400539	CDM	270010031	LOCAL	270	RC		inpatient			2190	2190																																																			
GRAFT BONE CORTICAL WEDGE L5.5 CM X H12 MM 2 PIECE ALLOGRAFT FREEZE DRIED HIGH TIBIAL OSTEOTOMY	SUP-400541	CDM	270010031	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
GRAFT BONE CORTICAL WEDGE L5.5 CM X H12 MM 2 PIECE ALLOGRAFT FREEZE DRIED HIGH TIBIAL OSTEOTOMY	SUP-400541	CDM	270010031	LOCAL	270	RC		inpatient			2190	2190																																																			
SYSTEM FIXATION CPR MINI SCORPION DX	SUP-AR-8690DS	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
SYSTEM FIXATION CPR MINI SCORPION DX	SUP-AR-8690DS	CDM			270	RC		inpatient			2190	2190																																																			
PLATE ARTHREX CALC FX PERC NR PROC/POST TUBER LEFT	SUP-AR-8954YL-L	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE ARTHREX CALC FX PERC NR PROC/POST TUBER LEFT	SUP-AR-8954YL-L	CDM			270	RC		inpatient			2190	2190																																																			
PLATE BONE LONG LOW PROFILE TAPER CALCANEUS LEFT ANTERIOR POSTERIOR LOCK ATTACHABLE GUIDE PERCUTANEOUS	SUP-AR-8954YL-S	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE BONE LONG LOW PROFILE TAPER CALCANEUS LEFT ANTERIOR POSTERIOR LOCK ATTACHABLE GUIDE PERCUTANEOUS	SUP-AR-8954YL-S	CDM			270	RC		inpatient			2190	2190																																																			
PLATE BONE LONG LOW PROFILE TAPER CALCANEUS RIGHT ANTERIOR POSTERIOR LOCK ATTACHABLE GUIDE PERCUTANEOUS	SUP-AR-8954YR-L	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE BONE LONG LOW PROFILE TAPER CALCANEUS RIGHT ANTERIOR POSTERIOR LOCK ATTACHABLE GUIDE PERCUTANEOUS	SUP-AR-8954YR-L	CDM			270	RC		inpatient			2190	2190																																																			
PLATE BONE STANDARD LOW PROFILE TAPER CALCANEUS RIGHT ANTERIOR POSTERIOR LOCK ATTACHABLE GUIDE PERCUTANEOUS	SUP-AR-8954YR-S	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
PLATE BONE STANDARD LOW PROFILE TAPER CALCANEUS RIGHT ANTERIOR POSTERIOR LOCK ATTACHABLE GUIDE PERCUTANEOUS	SUP-AR-8954YR-S	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT ALLERGAN MODERATE HEIGHT FULL PROJECTION SILICONE 425CC	SUP-FF-410425	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT ALLERGAN MODERATE HEIGHT FULL PROJECTION SILICONE 425CC	SUP-FF-410425	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT ALLERGAN MODERATE HEIGHT FULL PROJECTION SILICONE 425CC	SUP-FF-410425	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT ALLERGAN MODERATE HEIGHT FULL PROJECTION SILICONE 425CC	SUP-FF-410425	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE MATRIX P5.8 CM FULL HEIGHT FULL PROJECTION W14.5 CM X H15 CM 595 ML STYLE FF HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-FF-410595	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE MATRIX P5.8 CM FULL HEIGHT FULL PROJECTION W14.5 CM X H15 CM 595 ML STYLE FF HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-FF-410595	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE P6.1 CM FULL HEIGHT EXTRA FULL PROJECTION W13 CM X H13.5 CM 450 GM STYLE 410 STERILE	SUP-FX-410-450	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE P6.1 CM FULL HEIGHT EXTRA FULL PROJECTION W13 CM X H13.5 CM 450 GM STYLE 410 STERILE	SUP-FX-410-450	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.4 CM LOW HEIGHT FULL PROJECTION W11 CM X H9.1 CM 205	SUP-LF-410205	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.4 CM LOW HEIGHT FULL PROJECTION W11 CM X H9.1 CM 205	SUP-LF-410205	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE P5.3 CM LOW HEIGHT FULL PROJECTION W13.5 CM X H11.4 CM 390 ML 390 GM STYLE 410 GEL TEXTURED	SUP-LF-410390	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE P5.3 CM LOW HEIGHT FULL PROJECTION W13.5 CM X H11.4 CM 390 ML 390 GM STYLE 410 GEL TEXTURED	SUP-LF-410390	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT STYKE 410 LX LOW HEIGHT  EXTRA FULL PROJECTION 570CC	SUP-LX-410570	CDM	270010025	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT STYKE 410 LX LOW HEIGHT  EXTRA FULL PROJECTION 570CC	SUP-LX-410570	CDM	270010025	LOCAL	270	RC		inpatient			2190	2190																																																			
IMPLANT STYKE 410 LX LOW HEIGHT  EXTRA FULL PROJECTION 625CC	SUP-LX-410625	CDM	270010025	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT STYKE 410 LX LOW HEIGHT  EXTRA FULL PROJECTION 625CC	SUP-LX-410625	CDM	270010025	LOCAL	270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.2 CM MODERATE HEIGHT FULL PROJECTION W10.5 CM X H9.6 CM 195	SUP-MF-410195	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.2 CM MODERATE HEIGHT FULL PROJECTION W10.5 CM X H9.6 CM 195	SUP-MF-410195	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.4 CM MODERATE HEIGHT FULL PROJECTION W11 CM X H10.1 CM 225	SUP-MF-410225	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.4 CM MODERATE HEIGHT FULL PROJECTION W11 CM X H10.1 CM 225	SUP-MF-410225	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.8 CM MODERATE HEIGHT FULL PROJECTION W12 CM X H11.1 CM 295 GM STYLE 410MF GEL TEXTURE HIGHLY COHESIVE STERILE LATEX FREE	SUP-MF-410295	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST TRUFORM 2 NATRELLE BIOCELL MATRIX SILICONE P4.8 CM MODERATE HEIGHT FULL PROJECTION W12 CM X H11.1 CM 295 GM STYLE 410MF GEL TEXTURE HIGHLY COHESIVE STERILE LATEX FREE	SUP-MF-410295	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT MODERATE HEIGHT FULL PROJECTION 470CC	SUP-MF-410470	CDM	270010032	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT MODERATE HEIGHT FULL PROJECTION 470CC	SUP-MF-410470	CDM	270010032	LOCAL	270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE MATRIX P6.2 CM MODERATE HEIGHT FULL PROJECTION W15.5 CM X H13.9 CM 640 ML STYLE MF HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-MF-410640	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE MATRIX P6.2 CM MODERATE HEIGHT FULL PROJECTION W15.5 CM X H13.9 CM 640 ML STYLE MF HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-MF-410640	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE BIOCELL SILICONE MATRIX P4.8 CM MODERATE HEIGHT MODERATE PROJECTION W13 CM X H12.1 CM 360 ML STYLE 410MM HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-MM-410360	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE BIOCELL SILICONE MATRIX P4.8 CM MODERATE HEIGHT MODERATE PROJECTION W13 CM X H12.1 CM 360 ML STYLE 410MM HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-MM-410360	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE BIOCELL SILICONE MATRIX P6.1 CM MODERATE HEIGHT FULL PROJECTION W15 CM X H13.6 CM 580 ML STYLE 410MF HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-MR-410580	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE BIOCELL SILICONE MATRIX P6.1 CM MODERATE HEIGHT FULL PROJECTION W15 CM X H13.6 CM 580 ML STYLE 410MF HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-MR-410580	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT MODERATE HIEGHT EXTRA FILL SHAPED GEL 225CC	SUP-MX-410255	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT MODERATE HIEGHT EXTRA FILL SHAPED GEL 225CC	SUP-MX-410255	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE P6.2 CM MODERATE HEIGHT EXTRA FULL PROJECTION W13.5 CM X H12.5 CM 445 ML 445 GM STYLE 410 GEL TEXTURED	SUP-MX-410445	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE P6.2 CM MODERATE HEIGHT EXTRA FULL PROJECTION W13.5 CM X H12.5 CM 445 ML 445 GM STYLE 410 GEL TEXTURED	SUP-MX-410445	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE P6.5 CM MODERATE HEIGHT EXTRA FULL PROJECTION W14 CM X H12.9 CM 520 ML 520 GM STYLE 410	SUP-MX-410520	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE P6.5 CM MODERATE HEIGHT EXTRA FULL PROJECTION W14 CM X H12.9 CM 520 ML 520 GM STYLE 410	SUP-MX-410520	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST MODERATE HEIGHT EXTRA FILL PROJECTION 620CC	SUP-MX-410620	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST MODERATE HEIGHT EXTRA FILL PROJECTION 620CC	SUP-MX-410620	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE SILICONE P7.1 CM H13.9 CM OD15.5 CM 685 GM MODERATE HEIGHT EXTRA FULL PROJECTION STYLE 410MX	SUP-MX-410685	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE SILICONE P7.1 CM H13.9 CM OD15.5 CM 685 GM MODERATE HEIGHT EXTRA FULL PROJECTION STYLE 410MX	SUP-MX-410685	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 295 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-295	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 295 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-295	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 325 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-325	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 325 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-325	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 365 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-365	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 365 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-365	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 385 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-385	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 385 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-385	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 415 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-415	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 415 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCF-415	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA 605 CC COHESIVE STERILE LATEX FREE	SUP-SCF-605	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA 605 CC COHESIVE STERILE LATEX FREE	SUP-SCF-605	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 650 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-SCF-650	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE FULL PROFILE 650 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-SCF-650	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE LOW PLUS PROFILE 250 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCLP-250	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE LOW PLUS PROFILE 250 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCLP-250	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE LOW PLUS PROFILE 300 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCLP-300	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE LOW PLUS PROFILE 300 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE	SUP-SCLP-300	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 310 CC SMOOTH SHELL SURFACE COHESIVE STERILE LATEX FREE	SUP-SCM-310	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 310 CC SMOOTH SHELL SURFACE COHESIVE STERILE LATEX FREE	SUP-SCM-310	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 330 CC SMOOTH SHELL SURFACE COHESIVE STERILE LATEX FREE	SUP-SCM-330	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 330 CC SMOOTH SHELL SURFACE COHESIVE STERILE LATEX FREE	SUP-SCM-330	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT SMOOTH ROUND GEL EXTRA FULL 420CC	SUP-SCX-420	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT SMOOTH ROUND GEL EXTRA FULL 420CC	SUP-SCX-420	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT SMOOTH ROUND GEL EXTRA FULL 470CC	SUP-SCX-470	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT SMOOTH ROUND GEL EXTRA FULL 470CC	SUP-SCX-470	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT SMOOTH ROUND GEL EXTRA FULL 495CC	SUP-SCX-495	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT SMOOTH ROUND GEL EXTRA FULL 495CC	SUP-SCX-495	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA COHESIVE 525 CC STERILE	SUP-SCX-525	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA COHESIVE 525 CC STERILE	SUP-SCX-525	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT SMOOTH ROUND GEL EXTRA FULL 545CC	SUP-SCX-545	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT SMOOTH ROUND GEL EXTRA FULL 545CC	SUP-SCX-545	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT INSPIRA COHESIVE SMOOTH ROUND EXTRA FULL 560CC	SUP-SCX-560	CDM	27000000	LOCAL	270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT INSPIRA COHESIVE SMOOTH ROUND EXTRA FULL 560CC	SUP-SCX-560	CDM	27000000	LOCAL	270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA COHESIVE 615 CC STERILE	SUP-SCX-615	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA COHESIVE 615 CC STERILE	SUP-SCX-615	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA SILICONE EXTRA FULL PROFILE 650 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-SCX-650	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA SILICONE EXTRA FULL PROFILE 650 CC SMOOTH SHELL SURFACE HIGHLY COHESIVE GEL STERILE LATEX FREE	SUP-SCX-650	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST NATRELLE INSPIRA 700 CC COHESIVE STERILE	SUP-SCX-700	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST NATRELLE INSPIRA 700 CC COHESIVE STERILE	SUP-SCX-700	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST SMALL ROUND GEL 750CC	SUP-SCX-750	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST SMALL ROUND GEL 750CC	SUP-SCX-750	CDM			270	RC		inpatient			2190	2190																																																			
IMPLANT BREAST SMALL ROUND GEL 800CC	SUP-SCX-800	CDM			270	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
IMPLANT BREAST SMALL ROUND GEL 800CC	SUP-SCX-800	CDM			270	RC		inpatient			2190	2190																																																			
VERACROSS ZERO EXCHANGE WATCHMAN SHEATH DELIVERY	SUP-VXAK0007	CDM			272	RC		outpatient			2190	219	593.27				percent of total billed charges		2190				other	OPPS APC	1620.6				percent of total billed charges		2190				other	OPPS APC	2190				other	OPPS APC	593.27				percent of total billed charges		605.1				percent of total billed charges		219				other	OPPS APC	219	2190	
VERACROSS ZERO EXCHANGE WATCHMAN SHEATH DELIVERY	SUP-VXAK0007	CDM			272	RC		inpatient			2190	2190																																																			
PLATE BONE LCP STAINLESS STEEL LARGE L70 MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.404	CDM			270	RC		outpatient			2181.6	2181.6	591				percent of total billed charges		2181.6				other	OPPS APC	1614.38				percent of total billed charges		2181.6				other	OPPS APC	2181.6				other	OPPS APC	591				percent of total billed charges		602.78				percent of total billed charges		2181.6				other	OPPS APC	591	2181.6	
PLATE BONE LCP STAINLESS STEEL LARGE L70 MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.404	CDM			270	RC		inpatient			2181.6	2181.6																																																			
PLATE BONE EVOS STAINLESS STEEL L 85 MM HUMERUS LEFT DISTAL POSTEROLATERAL 6 HOLE LOW PROFILE VARIABLE ANGLE LOCK 2.7/3.5 MM SCREW	SUP-72466106	CDM			270	RC		outpatient			2180	218	590.56				percent of total billed charges		2180				other	OPPS APC	1613.2				percent of total billed charges		2180				other	OPPS APC	2180				other	OPPS APC	590.56				percent of total billed charges		602.33				percent of total billed charges		218				other	OPPS APC	218	2180	
PLATE BONE EVOS STAINLESS STEEL L 85 MM HUMERUS LEFT DISTAL POSTEROLATERAL 6 HOLE LOW PROFILE VARIABLE ANGLE LOCK 2.7/3.5 MM SCREW	SUP-72466106	CDM			270	RC		inpatient			2180	2180																																																			
PLATE BONE EVOS STAINLESS STEEL L 85 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 6 HOLE LOW PROFILE VARIABLE ANGLE LOCK 2.7/3.5 MM SCREW	SUP-72466206	CDM			270	RC		outpatient			2180	218	590.56				percent of total billed charges		2180				other	OPPS APC	1613.2				percent of total billed charges		2180				other	OPPS APC	2180				other	OPPS APC	590.56				percent of total billed charges		602.33				percent of total billed charges		218				other	OPPS APC	218	2180	
PLATE BONE EVOS STAINLESS STEEL L 85 MM HUMERUS RIGHT DISTAL POSTEROLATERAL 6 HOLE LOW PROFILE VARIABLE ANGLE LOCK 2.7/3.5 MM SCREW	SUP-72466206	CDM			270	RC		inpatient			2180	2180																																																			
MESH GYNECARE Y	SUP-ARTY	CDM			270	RC		outpatient			2176.38	2176.38	589.58				percent of total billed charges		2176.38				other	OPPS APC	1610.52				percent of total billed charges		2176.38				other	OPPS APC	2176.38				other	OPPS APC	589.58				percent of total billed charges		601.33				percent of total billed charges		2176.38				other	OPPS APC	589.58	2176.38	
MESH GYNECARE Y	SUP-ARTY	CDM			270	RC		inpatient			2176.38	2176.38																																																			
ACL BACKUP	SUP-97-04615	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
ACL BACKUP	SUP-97-04615	CDM			278	RC		inpatient			2175	2175																																																			
IVUS - EAGLE EYE - PLATINUM SHORT TIP	SUP-99-01699	CDM			272	RC		outpatient			2175	2175	589.21				percent of total billed charges		2175				other	OPPS APC	1609.5				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	589.21				percent of total billed charges		600.95				percent of total billed charges		2175				other	OPPS APC	589.21	2175	
IVUS - EAGLE EYE - PLATINUM SHORT TIP	SUP-99-01699	CDM			272	RC		inpatient			2175	2175																																																			
BALLOON - VASCUTRACK CUTTING 2.0X200	SUP-99-01711	CDM			272	RC		outpatient			2175	2175	589.21				percent of total billed charges		2175				other	OPPS APC	1609.5				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	589.21				percent of total billed charges		600.95				percent of total billed charges		2175				other	OPPS APC	589.21	2175	
BALLOON - VASCUTRACK CUTTING 2.0X200	SUP-99-01711	CDM			272	RC		inpatient			2175	2175																																																			
BALLOON - VASCUTRACK CUTTING 3.0X200	SUP-99-01721	CDM			272	RC		outpatient			2175	2175	589.21				percent of total billed charges		2175				other	OPPS APC	1609.5				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	589.21				percent of total billed charges		600.95				percent of total billed charges		2175				other	OPPS APC	589.21	2175	
BALLOON - VASCUTRACK CUTTING 3.0X200	SUP-99-01721	CDM			272	RC		inpatient			2175	2175																																																			
BALLOON - VASCUTRACK CUTTING 3.0X150	SUP-99-01865	CDM			272	RC		outpatient			2175	2175	589.21				percent of total billed charges		2175				other	OPPS APC	1609.5				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	589.21				percent of total billed charges		600.95				percent of total billed charges		2175				other	OPPS APC	589.21	2175	
BALLOON - VASCUTRACK CUTTING 3.0X150	SUP-99-01865	CDM			272	RC		inpatient			2175	2175																																																			
IVUS - VISIONS PV .014P	SUP-99-03345	CDM			272	RC		outpatient			2175	2175	589.21				percent of total billed charges		2175				other	OPPS APC	1609.5				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	589.21				percent of total billed charges		600.95				percent of total billed charges		2175				other	OPPS APC	589.21	2175	
IVUS - VISIONS PV .014P	SUP-99-03345	CDM			272	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.5X22	SUP-99-03433	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.5X22	SUP-99-03433	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 3.5X30	SUP-99-03450	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 3.5X30	SUP-99-03450	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 3.5X8	SUP-99-03462	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 3.5X8	SUP-99-03462	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 2.75X8	SUP-99-03476	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 2.75X8	SUP-99-03476	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X26	SUP-99-03478	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X26	SUP-99-03478	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X18	SUP-99-03502	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X18	SUP-99-03502	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 5.0X26	SUP-99-03517	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 5.0X26	SUP-99-03517	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X15	SUP-99-03519	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X15	SUP-99-03519	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 3.0X8	SUP-99-03546	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 3.0X8	SUP-99-03546	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 2.75X12	SUP-99-03550	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 2.75X12	SUP-99-03550	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X38	SUP-99-03592	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X38	SUP-99-03592	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X8	SUP-99-03630	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X8	SUP-99-03630	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 2.25X8	SUP-99-03636	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 2.25X8	SUP-99-03636	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 3.5X34	SUP-99-03663	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 3.5X34	SUP-99-03663	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.5X12	SUP-99-03665	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.5X12	SUP-99-03665	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.5X18	SUP-99-03686	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.5X18	SUP-99-03686	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X34	SUP-99-03740	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X34	SUP-99-03740	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 2.25X12	SUP-99-03744	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 2.25X12	SUP-99-03744	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 2.25X18	SUP-99-03758	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 2.25X18	SUP-99-03758	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.5X26	SUP-99-03762	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.5X26	SUP-99-03762	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.0X30	SUP-99-03776	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.0X30	SUP-99-03776	CDM			278	RC		inpatient			2175	2175																																																			
FFR - COMET II	SUP-99-03784	CDM			272	RC		outpatient			2175	2175	589.21				percent of total billed charges		2175				other	OPPS APC	1609.5				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	589.21				percent of total billed charges		600.95				percent of total billed charges		2175				other	OPPS APC	589.21	2175	
FFR - COMET II	SUP-99-03784	CDM			272	RC		inpatient			2175	2175																																																			
STENT - ONYX 2.25X30	SUP-99-03894	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 2.25X30	SUP-99-03894	CDM			278	RC		inpatient			2175	2175																																																			
STENT - RESOLUTE ONYX 4.5X15	SUP-99-03897	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - RESOLUTE ONYX 4.5X15	SUP-99-03897	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 4.5X30	SUP-99-03898	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 4.5X30	SUP-99-03898	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 5.0X12	SUP-99-03899	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 5.0X12	SUP-99-03899	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 5.0X15	SUP-99-03900	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 5.0X15	SUP-99-03900	CDM			278	RC		inpatient			2175	2175																																																			
STENT - ONYX 5.0X18	SUP-99-03901	CDM			278	RC		outpatient			2175	2175	2175				fee schedule		2175				other	OPPS APC	1239.75				percent of total billed charges		2175				other	OPPS APC	2175				other	OPPS APC	1065.75				percent of total billed charges		1109.25				percent of total billed charges		2175				other	OPPS APC	1065.75	2175	
STENT - ONYX 5.0X18	SUP-99-03901	CDM			278	RC		inpatient			2175	2175																																																			
PLATE BONE STAINLESS STEEL L95 MM TIBIA LEFT DISTAL MEDIAL 6 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.507	CDM	270010022	LOCAL	270	RC		outpatient			2174.7	2174.7	589.13				percent of total billed charges		2174.7				other	OPPS APC	1609.28				percent of total billed charges		2174.7				other	OPPS APC	2174.7				other	OPPS APC	589.13				percent of total billed charges		600.87				percent of total billed charges		2174.7				other	OPPS APC	589.13	2174.7	
PLATE BONE STAINLESS STEEL L95 MM TIBIA LEFT DISTAL MEDIAL 6 HOLE NONSTERILE 3.5 MM SCREWS	SUP-223.507	CDM	270010022	LOCAL	270	RC		inpatient			2174.7	2174.7																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE T L 103 MM X W 10.9 MMX H 2MM W32.5MM X H 2 MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5MM SCREW	SUP-72453407	CDM			270	RC		outpatient			2172	2172	588.39				percent of total billed charges		2172				other	OPPS APC	1607.28				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	588.39				percent of total billed charges		600.12				percent of total billed charges		2172				other	OPPS APC	588.39	2172	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE T L 103 MM X W 10.9 MMX H 2MM W32.5MM X H 2 MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5MM SCREW	SUP-72453407	CDM			270	RC		inpatient			2172	2172																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE I L 111MM X W 10.9MM X H 2 MM W 21.8MM X H 1.8MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 8 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5 MM SCREW	SUP-72453608	CDM			270	RC		outpatient			2172	2172	588.39				percent of total billed charges		2172				other	OPPS APC	1607.28				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	588.39				percent of total billed charges		600.12				percent of total billed charges		2172				other	OPPS APC	588.39	2172	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE I L 111MM X W 10.9MM X H 2 MM W 21.8MM X H 1.8MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 8 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5 MM SCREW	SUP-72453608	CDM			270	RC		inpatient			2172	2172																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 120 MM X W 11.2 MM X H 2 MM W 34.4 MM X H 1.7MM TIBIAL LEFT DISTAL ANTEROLATERAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454309	CDM			270	RC		outpatient			2172	2172	588.39				percent of total billed charges		2172				other	OPPS APC	1607.28				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	588.39				percent of total billed charges		600.12				percent of total billed charges		2172				other	OPPS APC	588.39	2172	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 120 MM X W 11.2 MM X H 2 MM W 34.4 MM X H 1.7MM TIBIAL LEFT DISTAL ANTEROLATERAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454309	CDM			270	RC		inpatient			2172	2172																																																			
PATELLA ALL POLY VE 32MM	SUP-97-05537	CDM			278	RC		outpatient			2172	2172	2172				fee schedule		2172				other	OPPS APC	1238.04				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	1064.28				percent of total billed charges		1107.72				percent of total billed charges		2172				other	OPPS APC	1064.28	2172	
PATELLA ALL POLY VE 32MM	SUP-97-05537	CDM			278	RC		inpatient			2172	2172																																																			
PATELLA ALL POLY VE 32MM	SUP-97-05537A	CDM			278	RC		outpatient			2172	2172	2172				fee schedule		2172				other	OPPS APC	1238.04				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	1064.28				percent of total billed charges		1107.72				percent of total billed charges		2172				other	OPPS APC	1064.28	2172	
PATELLA ALL POLY VE 32MM	SUP-97-05537A	CDM			278	RC		inpatient			2172	2172																																																			
PATELLA ALL POLY VE 41MM DIA	SUP-97-05850	CDM			278	RC		outpatient			2172	2172	2172				fee schedule		2172				other	OPPS APC	1238.04				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	1064.28				percent of total billed charges		1107.72				percent of total billed charges		2172				other	OPPS APC	1064.28	2172	
PATELLA ALL POLY VE 41MM DIA	SUP-97-05850	CDM			278	RC		inpatient			2172	2172																																																			
PATELLA ALL POLY VE 29MM	SUP-97-06373	CDM			278	RC		outpatient			2172	2172	2172				fee schedule		2172				other	OPPS APC	1238.04				percent of total billed charges		2172				other	OPPS APC	2172				other	OPPS APC	1064.28				percent of total billed charges		1107.72				percent of total billed charges		2172				other	OPPS APC	1064.28	2172	
PATELLA ALL POLY VE 29MM	SUP-97-06373	CDM			278	RC		inpatient			2172	2172																																																			
GENFLEX2 KNEE THREE PEG PATELLA	SUP-97-04264	CDM			278	RC		outpatient			2170.5	217.5	2170.5				fee schedule		2170.5				other	OPPS APC	1237.19				percent of total billed charges		2170.5				other	OPPS APC	2170.5				other	OPPS APC	1063.55				percent of total billed charges		1106.96				percent of total billed charges		217.5				other	OPPS APC	217.5	2170.5	
GENFLEX2 KNEE THREE PEG PATELLA	SUP-97-04264	CDM			278	RC		inpatient			2170.5	2170.5																																																			
GENFLEX2 KNEE THREE PEG PATELLA	SUP-97-04272	CDM			278	RC		outpatient			2170.5	217.5	2170.5				fee schedule		2170.5				other	OPPS APC	1237.19				percent of total billed charges		2170.5				other	OPPS APC	2170.5				other	OPPS APC	1063.55				percent of total billed charges		1106.96				percent of total billed charges		217.5				other	OPPS APC	217.5	2170.5	
GENFLEX2 KNEE THREE PEG PATELLA	SUP-97-04272	CDM			278	RC		inpatient			2170.5	2170.5																																																			
HC Polysom Age <6 W/Param 4or>	PX-740957820	CDM	95782	CPT	740	RC		outpatient			2169	984.11	1040.07				fee schedule		984.11				other	OPPS APC	1878.28				fee schedule		984.11				other	OPPS APC	984.11				other	OPPS APC	948.99				fee schedule		1106.19				percent of total billed charges		984.11				other	OPPS APC	948.99	1878.28	
HC Polysom Age <6 W/Param 4or>	PX-740957820	CDM	95782	CPT	740	RC		inpatient			2169	2169																																																			
HC Mult Sleep Latency Test	PX-740958050	CDM	95805	CPT	740	RC		outpatient			2169	59.16	428.82				fee schedule		509.16				other	OPPS APC	2050.38				fee schedule		509.16				other	OPPS APC	509.16				other	OPPS APC	417.34				fee schedule		1106.19				percent of total billed charges		59.16				other	OPPS APC	59.16	2050.38	
HC Mult Sleep Latency Test	PX-740958050	CDM	95805	CPT	740	RC		inpatient			2169	2169																																																			
HC Polysom Age 6>W/Param 4>&6hrs	PX-740958100	CDM	95810	CPT	740	RC		outpatient			2169	984.11	628.42				fee schedule		984.11				other	OPPS APC	2239.92				fee schedule		984.11				other	OPPS APC	984.11				other	OPPS APC	606.42				fee schedule		1106.19				percent of total billed charges		984.11				other	OPPS APC	606.42	2239.92	
HC Polysom Age 6>W/Param 4>&6hrs	PX-740958100	CDM	95810	CPT	740	RC		inpatient			2169	2169																																																			
HC Polysom Age 6> Split/Cpap	PX-740958110	CDM	95811	CPT	740	RC		outpatient			2169	984.11	659.25				fee schedule		984.11				other	OPPS APC	2447.9				fee schedule		984.11				other	OPPS APC	984.11				other	OPPS APC	634.44				fee schedule		1106.19				percent of total billed charges		984.11				other	OPPS APC	634.44	2447.9	
HC Polysom Age 6> Split/Cpap	PX-740958110	CDM	95811	CPT	740	RC		inpatient			2169	2169																																																			
HC Polysomnography 4 Parameters W/Cpap	PX-920958111	CDM	95811	CPT	920	RC		outpatient			2169	984.11	659.25				fee schedule		984.11				other	OPPS APC	2447.9				fee schedule		984.11				other	OPPS APC	984.11				other	OPPS APC	634.44				fee schedule		1106.19				percent of total billed charges		984.11				other	OPPS APC	634.44	2447.9	
HC Polysomnography 4 Parameters W/Cpap	PX-920958111	CDM	95811	CPT	920	RC		inpatient			2169	2169																																																			
PLATE BONE LCP STAINLESS STEEL MEDIUM L64 MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.402	CDM			270	RC		outpatient			2166	2166	586.77				percent of total billed charges		2166				other	OPPS APC	1602.84				percent of total billed charges		2166				other	OPPS APC	2166				other	OPPS APC	586.77				percent of total billed charges		598.47				percent of total billed charges		2166				other	OPPS APC	586.77	2166	
PLATE BONE LCP STAINLESS STEEL MEDIUM L64 MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.402	CDM			270	RC		inpatient			2166	2166																																																			
PLATE BONE LCP STAINLESS STEEL MEDIUM L64 MM CALCANEAL LEFT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.403	CDM			270	RC		outpatient			2166	2166	586.77				percent of total billed charges		2166				other	OPPS APC	1602.84				percent of total billed charges		2166				other	OPPS APC	2166				other	OPPS APC	586.77				percent of total billed charges		598.47				percent of total billed charges		2166				other	OPPS APC	586.77	2166	
PLATE BONE LCP STAINLESS STEEL MEDIUM L64 MM CALCANEAL LEFT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.403	CDM			270	RC		inpatient			2166	2166																																																			
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L88 MM HUMERUS LEFT DISTAL POSTEROLATERAL 4 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.304	CDM	270010022	LOCAL	270	RC		outpatient			2164.08	2164.8	586.25				percent of total billed charges		2164.08				other	OPPS APC	1601.42				percent of total billed charges		2164.08				other	OPPS APC	2164.08				other	OPPS APC	586.25				percent of total billed charges		597.94				percent of total billed charges		2164.8				other	OPPS APC	586.25	2164.8	
PLATE BONE LCP COMBI STAINLESS STEEL MEDIUM L88 MM HUMERUS LEFT DISTAL POSTEROLATERAL 4 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.304	CDM	270010022	LOCAL	270	RC		inpatient			2164.08	2164.08																																																			
PLATE 2.7/3.5MM VA LCP POSTLAT DISTAL HUMERAL 7 HOLE	SUP-02.117.307	CDM	270010022	LOCAL	270	RC		outpatient			2164.08	2164.8	586.25				percent of total billed charges		2164.08				other	OPPS APC	1601.42				percent of total billed charges		2164.08				other	OPPS APC	2164.08				other	OPPS APC	586.25				percent of total billed charges		597.94				percent of total billed charges		2164.8				other	OPPS APC	586.25	2164.8	
PLATE 2.7/3.5MM VA LCP POSTLAT DISTAL HUMERAL 7 HOLE	SUP-02.117.307	CDM	270010022	LOCAL	270	RC		inpatient			2164.08	2164.08																																																			
PLATE BONE LCP COMBI STAINLESS STEEL XLONG L153 MM HUMERUS LEFT DISTAL POSTEROLATERAL 9 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.309	CDM	270010022	LOCAL	270	RC		outpatient			2164.08	2164.8	586.25				percent of total billed charges		2164.08				other	OPPS APC	1601.42				percent of total billed charges		2164.08				other	OPPS APC	2164.08				other	OPPS APC	586.25				percent of total billed charges		597.94				percent of total billed charges		2164.8				other	OPPS APC	586.25	2164.8	
PLATE BONE LCP COMBI STAINLESS STEEL XLONG L153 MM HUMERUS LEFT DISTAL POSTEROLATERAL 9 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.117.309	CDM	270010022	LOCAL	270	RC		inpatient			2164.08	2164.08																																																			
PLATE BONE LC-DCP Y 87MMX2MM SS NS CALCANEAL 3.5MM CORTEX 3.5MM CANNULATED 4MM CANCELLOUS SCREW SM FRAGMENT SET	SUP-241.65	CDM	270010022	LOCAL	270	RC		outpatient			2161.5	2161.5	585.55				percent of total billed charges		2161.5				other	OPPS APC	1599.51				percent of total billed charges		2161.5				other	OPPS APC	2161.5				other	OPPS APC	585.55				percent of total billed charges		597.22				percent of total billed charges		2161.5				other	OPPS APC	585.55	2161.5	
PLATE BONE LC-DCP Y 87MMX2MM SS NS CALCANEAL 3.5MM CORTEX 3.5MM CANNULATED 4MM CANCELLOUS SCREW SM FRAGMENT SET	SUP-241.65	CDM	270010022	LOCAL	270	RC		inpatient			2161.5	2161.5																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01439	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-01439	CDM			278	RC		inpatient			2160	2160																																																			
CLUSTER ACETABULAR  SHELL	SUP-97-01985	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
CLUSTER ACETABULAR  SHELL	SUP-97-01985	CDM			278	RC		inpatient			2160	2160																																																			
CLUSTER ACETABULAR  SHELL	SUP-97-02465	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
CLUSTER ACETABULAR  SHELL	SUP-97-02465	CDM			278	RC		inpatient			2160	2160																																																			
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02537	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
HEMISPHERICAL CLUSTER HOLE SHELL	SUP-97-02537	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSTERHOLE 60G	SUP-97-04355	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSTERHOLE 60G	SUP-97-04355	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSERHOLE 52E	SUP-97-04357	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSERHOLE 52E	SUP-97-04357	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSTERHOLE 54E	SUP-97-04358	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSTERHOLE 54E	SUP-97-04358	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II CLUSTERHOLE 56F	SUP-97-04473	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II CLUSTERHOLE 56F	SUP-97-04473	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II CLUSTERHOLE 58F	SUP-97-04474	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II CLUSTERHOLE 58F	SUP-97-04474	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II CLUSTERHOLE 50D	SUP-97-04475	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II CLUSTERHOLE 50D	SUP-97-04475	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRIT.CLUSTERHOLE 48D	SUP-97-04567	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRIT.CLUSTERHOLE 48D	SUP-97-04567	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT HEMISPHERICAL MULTI	SUP-97-04785	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT HEMISPHERICAL MULTI	SUP-97-04785	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSTERHOLE 44B	SUP-97-05172	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSTERHOLE 44B	SUP-97-05172	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II PSL CLUSTERHOLE HA 50D	SUP-97-23628	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II PSL CLUSTERHOLE HA 50D	SUP-97-23628	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT PSL HA CLUSTER 46MM	SUP-97-23656	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT PSL HA CLUSTER 46MM	SUP-97-23656	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSTERHOLE 62G	SUP-97-23702	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSTERHOLE 62G	SUP-97-23702	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSTERHOLE 64H	SUP-97-23763	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSTERHOLE 64H	SUP-97-23763	CDM			278	RC		inpatient			2160	2160																																																			
TRIDENT II TRITANIUM CLUSTERHOLE 46C	SUP-97-23798	CDM			278	RC		outpatient			2160	216	2160				fee schedule		2160				other	OPPS APC	1231.2				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	1058.4				percent of total billed charges		1101.6				percent of total billed charges		216				other	OPPS APC	216	2160	
TRIDENT II TRITANIUM CLUSTERHOLE 46C	SUP-97-23798	CDM			278	RC		inpatient			2160	2160																																																			
CHANNEL WORKING SPIN ACCESS CATHETER 180 D OLYMPUS SCOPE	SUP-INS-5905	CDM			270	RC		outpatient			2160	216	585.14				percent of total billed charges		2160				other	OPPS APC	1598.4				percent of total billed charges		2160				other	OPPS APC	2160				other	OPPS APC	585.14				percent of total billed charges		596.81				percent of total billed charges		216				other	OPPS APC	216	2160	
CHANNEL WORKING SPIN ACCESS CATHETER 180 D OLYMPUS SCOPE	SUP-INS-5905	CDM			270	RC		inpatient			2160	2160																																																			
UNITRAX MODULAR  ENDO HEAD	SUP-97-02937	CDM			278	RC		outpatient			2159.85	2159.85	2159.85				fee schedule		2159.85				other	OPPS APC	1231.11				percent of total billed charges		2159.85				other	OPPS APC	2159.85				other	OPPS APC	1058.33				percent of total billed charges		1101.52				percent of total billed charges		2159.85				other	OPPS APC	1058.33	2159.85	
UNITRAX MODULAR  ENDO HEAD	SUP-97-02937	CDM			278	RC		inpatient			2159.85	2159.85																																																			
PATCH DURAL DURAMATRIX-ONLAY PLUS COLLAGEN L5 IN X W4 IN REGENERATION MEMBRANE STERILE	SUP-DMOP45	CDM			270	RC		outpatient			2158.16	2158.16	584.65				percent of total billed charges		2158.16				other	OPPS APC	1597.04				percent of total billed charges		2158.16				other	OPPS APC	2158.16				other	OPPS APC	584.65				percent of total billed charges		596.3				percent of total billed charges		2158.16				other	OPPS APC	584.65	2158.16	
PATCH DURAL DURAMATRIX-ONLAY PLUS COLLAGEN L5 IN X W4 IN REGENERATION MEMBRANE STERILE	SUP-DMOP45	CDM			270	RC		inpatient			2158.16	2158.16																																																			
GRAFT SOFT TISSUE DURAMATRIX L5 IN X W4 IN SUTURABLE	SUP-DMS45	CDM			270	RC		outpatient			2158.16	2158.16	584.65				percent of total billed charges		2158.16				other	OPPS APC	1597.04				percent of total billed charges		2158.16				other	OPPS APC	2158.16				other	OPPS APC	584.65				percent of total billed charges		596.3				percent of total billed charges		2158.16				other	OPPS APC	584.65	2158.16	
GRAFT SOFT TISSUE DURAMATRIX L5 IN X W4 IN SUTURABLE	SUP-DMS45	CDM			270	RC		inpatient			2158.16	2158.16																																																			
BLADE 11 MM HELICAL 120 MM	SUP-97-00316	CDM			278	RC		outpatient			2157.51	2157.51	2157.51				fee schedule		2157.51				other	OPPS APC	1229.78				percent of total billed charges		2157.51				other	OPPS APC	2157.51				other	OPPS APC	1057.18				percent of total billed charges		1100.33				percent of total billed charges		2157.51				other	OPPS APC	1057.18	2157.51	
BLADE 11 MM HELICAL 120 MM	SUP-97-00316	CDM			278	RC		inpatient			2157.51	2157.51																																																			
BLADE 11MM HELICAL 105MM	SUP-97-00323	CDM			278	RC		outpatient			2157.51	2157.51	2157.51				fee schedule		2157.51				other	OPPS APC	1229.78				percent of total billed charges		2157.51				other	OPPS APC	2157.51				other	OPPS APC	1057.18				percent of total billed charges		1100.33				percent of total billed charges		2157.51				other	OPPS APC	1057.18	2157.51	
BLADE 11MM HELICAL 105MM	SUP-97-00323	CDM			278	RC		inpatient			2157.51	2157.51																																																			
BLADE 11MM HELICAL 90MM	SUP-97-00329	CDM			278	RC		outpatient			2157.51	2157.51	2157.51				fee schedule		2157.51				other	OPPS APC	1229.78				percent of total billed charges		2157.51				other	OPPS APC	2157.51				other	OPPS APC	1057.18				percent of total billed charges		1100.33				percent of total billed charges		2157.51				other	OPPS APC	1057.18	2157.51	
BLADE 11MM HELICAL 90MM	SUP-97-00329	CDM			278	RC		inpatient			2157.51	2157.51																																																			
BLADE 11MM HELICAL 95MM	SUP-97-00333	CDM			278	RC		outpatient			2157.51	2157.51	2157.51				fee schedule		2157.51				other	OPPS APC	1229.78				percent of total billed charges		2157.51				other	OPPS APC	2157.51				other	OPPS APC	1057.18				percent of total billed charges		1100.33				percent of total billed charges		2157.51				other	OPPS APC	1057.18	2157.51	
BLADE 11MM HELICAL 95MM	SUP-97-00333	CDM			278	RC		inpatient			2157.51	2157.51																																																			
HELICAL BLADE	SUP-97-00426	CDM			278	RC		outpatient			2157.51	2157.51	2157.51				fee schedule		2157.51				other	OPPS APC	1229.78				percent of total billed charges		2157.51				other	OPPS APC	2157.51				other	OPPS APC	1057.18				percent of total billed charges		1100.33				percent of total billed charges		2157.51				other	OPPS APC	1057.18	2157.51	
HELICAL BLADE	SUP-97-00426	CDM			278	RC		inpatient			2157.51	2157.51																																																			
SCREW 4.0 FULLY THREADED LAPIPLASTY	SUP-97-06243	CDM			278	RC		outpatient			2157	2157	2157				fee schedule		2157				other	OPPS APC	1229.49				percent of total billed charges		2157				other	OPPS APC	2157				other	OPPS APC	1056.93				percent of total billed charges		1100.07				percent of total billed charges		2157				other	OPPS APC	1056.93	2157	
SCREW 4.0 FULLY THREADED LAPIPLASTY	SUP-97-06243	CDM			278	RC		inpatient			2157	2157																																																			
SENSATION 40CC IAB W KIT	SUP-D684-00-0470-01U	CDM			270	RC		outpatient			2153.32	2153.32	583.33				percent of total billed charges		2153.32				other	OPPS APC	1593.46				percent of total billed charges		2153.32				other	OPPS APC	2153.32				other	OPPS APC	583.33				percent of total billed charges		594.96				percent of total billed charges		2153.32				other	OPPS APC	583.33	2153.32	
SENSATION 40CC IAB W KIT	SUP-D684-00-0470-01U	CDM			270	RC		inpatient			2153.32	2153.32																																																			
PLATE BONE LCP STAINLESS STEEL SMALL L58 MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.400	CDM			270	RC		outpatient			2150.5	215.5	582.57				percent of total billed charges		2150.5				other	OPPS APC	1591.37				percent of total billed charges		2150.5				other	OPPS APC	2150.5				other	OPPS APC	582.57				percent of total billed charges		594.18				percent of total billed charges		215.5				other	OPPS APC	215.5	2150.5	
PLATE BONE LCP STAINLESS STEEL SMALL L58 MM CALCANEAL RIGHT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.400	CDM			270	RC		inpatient			2150.5	2150.5																																																			
PLATE BONE LCP STAINLESS STEEL SMALL L58 MM CALCANEAL LEFT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.401	CDM			270	RC		outpatient			2150.5	215.5	582.57				percent of total billed charges		2150.5				other	OPPS APC	1591.37				percent of total billed charges		2150.5				other	OPPS APC	2150.5				other	OPPS APC	582.57				percent of total billed charges		594.18				percent of total billed charges		215.5				other	OPPS APC	215.5	2150.5	
PLATE BONE LCP STAINLESS STEEL SMALL L58 MM CALCANEAL LEFT LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.401	CDM			270	RC		inpatient			2150.5	2150.5																																																			
PLATE 2.4 X 69MM 10 HOLES NARROW LOCK	SUP-97-06391	CDM			278	RC		outpatient			2150.4	215.41	2150.4				fee schedule		2150.4				other	OPPS APC	1225.73				percent of total billed charges		2150.4				other	OPPS APC	2150.4				other	OPPS APC	1053.7				percent of total billed charges		1096.7				percent of total billed charges		215.41				other	OPPS APC	215.41	2150.4	
PLATE 2.4 X 69MM 10 HOLES NARROW LOCK	SUP-97-06391	CDM			278	RC		inpatient			2150.4	2150.4																																																			
MICROCATHETER CEREBROVASCULAR EXCELSIOR SL-10 HYDROPHILIC .014 IN 45 D S CURVE L150CM L6CM OD2.4-1.7 FR 2 TIP MARKER PRESHAPED PEEL AWAY INTRODUCER STERILE DISPOSABLE	SUP-M0031691940	CDM			270	RC		outpatient			2150	215	582.44				percent of total billed charges		2150				other	OPPS APC	1591				percent of total billed charges		2150				other	OPPS APC	2150				other	OPPS APC	582.44				percent of total billed charges		594.05				percent of total billed charges		215				other	OPPS APC	215	2150	
MICROCATHETER CEREBROVASCULAR EXCELSIOR SL-10 HYDROPHILIC .014 IN 45 D S CURVE L150CM L6CM OD2.4-1.7 FR 2 TIP MARKER PRESHAPED PEEL AWAY INTRODUCER STERILE DISPOSABLE	SUP-M0031691940	CDM			270	RC		inpatient			2150	2150																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT VARIABLE ANGLE NONSTERILE 2.4 MM SCREW	SUP-02.110.207	CDM	270010022	LOCAL	270	RC		outpatient			2148	2148	581.89				percent of total billed charges		2148				other	OPPS APC	1589.52				percent of total billed charges		2148				other	OPPS APC	2148				other	OPPS APC	581.89				percent of total billed charges		593.49				percent of total billed charges		2148				other	OPPS APC	581.89	2148	
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT VARIABLE ANGLE NONSTERILE 2.4 MM SCREW	SUP-02.110.207	CDM	270010022	LOCAL	270	RC		inpatient			2148	2148																																																			
DISTAL RADIUS PLATE 6HOLE HEAD4  HOLE SHAFT RIGHT	SUP-02.111.650	CDM			270	RC		outpatient			2148	2148	581.89				percent of total billed charges		2148				other	OPPS APC	1589.52				percent of total billed charges		2148				other	OPPS APC	2148				other	OPPS APC	581.89				percent of total billed charges		593.49				percent of total billed charges		2148				other	OPPS APC	581.89	2148	
DISTAL RADIUS PLATE 6HOLE HEAD4  HOLE SHAFT RIGHT	SUP-02.111.650	CDM			270	RC		inpatient			2148	2148																																																			
DISTAL RADIUS PLATE 6HOLE HEAD4  HOLE SHAFT LEFT	SUP-02.111.651	CDM			270	RC		outpatient			2148	2148	581.89				percent of total billed charges		2148				other	OPPS APC	1589.52				percent of total billed charges		2148				other	OPPS APC	2148				other	OPPS APC	581.89				percent of total billed charges		593.49				percent of total billed charges		2148				other	OPPS APC	581.89	2148	
DISTAL RADIUS PLATE 6HOLE HEAD4  HOLE SHAFT LEFT	SUP-02.111.651	CDM			270	RC		inpatient			2148	2148																																																			
DISTAL RADIUS PLATE 7 HOLE HEAD 4 HOLE SHAFT RIGHT	SUP-02.111.750	CDM			270	RC		outpatient			2148	2148	581.89				percent of total billed charges		2148				other	OPPS APC	1589.52				percent of total billed charges		2148				other	OPPS APC	2148				other	OPPS APC	581.89				percent of total billed charges		593.49				percent of total billed charges		2148				other	OPPS APC	581.89	2148	
DISTAL RADIUS PLATE 7 HOLE HEAD 4 HOLE SHAFT RIGHT	SUP-02.111.750	CDM			270	RC		inpatient			2148	2148																																																			
DISTAL RADIUS PLATE 7HOLE HEAD4  HOLE SHAFT LEFT	SUP-02.111.751	CDM			270	RC		outpatient			2148	2148	581.89				percent of total billed charges		2148				other	OPPS APC	1589.52				percent of total billed charges		2148				other	OPPS APC	2148				other	OPPS APC	581.89				percent of total billed charges		593.49				percent of total billed charges		2148				other	OPPS APC	581.89	2148	
DISTAL RADIUS PLATE 7HOLE HEAD4  HOLE SHAFT LEFT	SUP-02.111.751	CDM			270	RC		inpatient			2148	2148																																																			
FORCEP DISP 6.5 HARTMANN ALLIGATOR	SUP-95-00397	CDM			272	RC		outpatient			2147.4	2147.41	581.73				percent of total billed charges		2147.4				other	OPPS APC	1589.08				percent of total billed charges		2147.4				other	OPPS APC	2147.4				other	OPPS APC	581.73				percent of total billed charges		593.33				percent of total billed charges		2147.41				other	OPPS APC	581.73	2147.41	
FORCEP DISP 6.5 HARTMANN ALLIGATOR	SUP-95-00397	CDM			272	RC		inpatient			2147.4	2147.4																																																			
SCREW BEVELED 4.0X28MM	SUP-97-05524	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0X28MM	SUP-97-05524	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0X40MM	SUP-97-05525	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0X40MM	SUP-97-05525	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0X50MM	SUP-97-05528	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0X50MM	SUP-97-05528	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0X36MM	SUP-97-05533	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0X36MM	SUP-97-05533	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0X42MM	SUP-97-05534	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0X42MM	SUP-97-05534	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 3.5X32MM	SUP-97-05535	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 3.5X32MM	SUP-97-05535	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0 X 38MM	SUP-97-05548	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0 X 38MM	SUP-97-05548	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0 X 48MM	SUP-97-05549	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0 X 48MM	SUP-97-05549	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4.0X32MM	SUP-97-05557	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4.0X32MM	SUP-97-05557	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4 X 30MM	SUP-97-05635	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4 X 30MM	SUP-97-05635	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 30MM BEVELED FULL THREAD	SUP-97-05649	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 30MM BEVELED FULL THREAD	SUP-97-05649	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 3.5 X 36MM	SUP-97-05651	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 3.5 X 36MM	SUP-97-05651	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED 4 X 44MM	SUP-97-05652	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED 4 X 44MM	SUP-97-05652	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 20MM BEVELED FT	SUP-97-05654	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 20MM BEVELED FT	SUP-97-05654	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 22MM BEVELED FT	SUP-97-05655	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 22MM BEVELED FT	SUP-97-05655	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 24MM BEVELED FT	SUP-97-05656	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 24MM BEVELED FT	SUP-97-05656	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 26MM BEVELED FT	SUP-97-05657	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 26MM BEVELED FT	SUP-97-05657	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 28MM BEVELED FT	SUP-97-05658	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 28MM BEVELED FT	SUP-97-05658	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 34MM BEVELED FT	SUP-97-05659	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 34MM BEVELED FT	SUP-97-05659	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 38MM BEVELED FT	SUP-97-05660	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 38MM BEVELED FT	SUP-97-05660	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 40MM BEVELED FT	SUP-97-05661	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 40MM BEVELED FT	SUP-97-05661	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 44MM BEVELED FT	SUP-97-05663	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 44MM BEVELED FT	SUP-97-05663	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 46MM BEVELED FT	SUP-97-05664	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 46MM BEVELED FT	SUP-97-05664	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 48MM BEVELED FT	SUP-97-05665	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 48MM BEVELED FT	SUP-97-05665	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 50MM BEVELED FT	SUP-97-05666	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 50MM BEVELED FT	SUP-97-05666	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 52MM BEVELED FT	SUP-97-05667	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 52MM BEVELED FT	SUP-97-05667	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 54MM BEVELED FT	SUP-97-05668	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 54MM BEVELED FT	SUP-97-05668	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 56MM BEVELED FT	SUP-97-05669	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 56MM BEVELED FT	SUP-97-05669	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 58MM BEVELED FT	SUP-97-05670	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 58MM BEVELED FT	SUP-97-05670	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 3.5 X 60MM BEVELED FT	SUP-97-05671	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 3.5 X 60MM BEVELED FT	SUP-97-05671	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 20MM BELVELED FT	SUP-97-05679	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 20MM BELVELED FT	SUP-97-05679	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 22MM BEVELED FT	SUP-97-05681	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 22MM BEVELED FT	SUP-97-05681	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 24MM BEVELED FT	SUP-97-05682	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 24MM BEVELED FT	SUP-97-05682	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 26MM BEVELED FT	SUP-97-05683	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 26MM BEVELED FT	SUP-97-05683	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 54MM BEVELED FT	SUP-97-05684	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 54MM BEVELED FT	SUP-97-05684	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 56MM BEVELED FT	SUP-97-05685	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 56MM BEVELED FT	SUP-97-05685	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 58MM BEVELED FT	SUP-97-05686	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 58MM BEVELED FT	SUP-97-05686	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW 4 X 60MM BEVELED FT	SUP-97-05687	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW 4 X 60MM BEVELED FT	SUP-97-05687	CDM			278	RC		inpatient			2146.5	2146.5																																																			
SCREW BEVELED FT 4.0 X 52MM	SUP-97-06140	CDM			278	RC		outpatient			2146.5	2146.5	2146.5				fee schedule		2146.5				other	OPPS APC	1223.51				percent of total billed charges		2146.5				other	OPPS APC	2146.5				other	OPPS APC	1051.79				percent of total billed charges		1094.72				percent of total billed charges		2146.5				other	OPPS APC	1051.79	2146.5	
SCREW BEVELED FT 4.0 X 52MM	SUP-97-06140	CDM			278	RC		inpatient			2146.5	2146.5																																																			
PLATE BONE LCP STAINLESS STEEL LONG L L62 MM FOREFOOT MIDFOOT RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.260	CDM	270010022	LOCAL	270	RC		outpatient			2145.6	2145.6	581.24				percent of total billed charges		2145.6				other	OPPS APC	1587.74				percent of total billed charges		2145.6				other	OPPS APC	2145.6				other	OPPS APC	581.24				percent of total billed charges		592.83				percent of total billed charges		2145.6				other	OPPS APC	581.24	2145.6	
PLATE BONE LCP STAINLESS STEEL LONG L L62 MM FOREFOOT MIDFOOT RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.260	CDM	270010022	LOCAL	270	RC		inpatient			2145.6	2145.6																																																			
PLATE BONE LCP STAINLESS STEEL LONG L L62 MM FOREFOOT MIDFOOT LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.261	CDM	270010022	LOCAL	270	RC		outpatient			2145.6	2145.6	581.24				percent of total billed charges		2145.6				other	OPPS APC	1587.74				percent of total billed charges		2145.6				other	OPPS APC	2145.6				other	OPPS APC	581.24				percent of total billed charges		592.83				percent of total billed charges		2145.6				other	OPPS APC	581.24	2145.6	
PLATE BONE LCP STAINLESS STEEL LONG L L62 MM FOREFOOT MIDFOOT LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.261	CDM	270010022	LOCAL	270	RC		inpatient			2145.6	2145.6																																																			
HC 3 Phase Bone Scan	PX-340783150	CDM	78315	CPT	340	RC		outpatient			2145	49.37	360.47				fee schedule		409.37				other	OPPS APC	590.2				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	322.86				fee schedule		274.24				fee schedule		49.37				other	OPPS APC	49.37	590.2	
HC 3 Phase Bone Scan	PX-340783150	CDM	78315	CPT	340	RC		inpatient			2145	2145																																																			
HC MRI Orbit  Face  or Neck W/O	PX-610705400	CDM	70540	CPT	610	RC		outpatient			2145	245.95	368.14				fee schedule		245.95				other	OPPS APC	1246.84				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	236.56				fee schedule		172.41				fee schedule		245.95				other	OPPS APC	172.41	1246.84	
HC MRI Orbit  Face  or Neck W/O	PX-610705400	CDM	70540	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI-Pelvis	PX-610721950	CDM	72195	CPT	610	RC		outpatient			2145	245.95	374.48				fee schedule		245.95				other	OPPS APC	1264.77				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	239.55				fee schedule		169.74				fee schedule		245.95				other	OPPS APC	169.74	1264.77	
HC MRI-Pelvis	PX-610721950	CDM	72195	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Upper Extrem WO Contrast	PX-610732180	CDM	73218	CPT	610	RC		outpatient			2145	245.95	368.19				fee schedule		245.95				other	OPPS APC	1246.84				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	294.71				fee schedule		253.93				fee schedule		245.95				other	OPPS APC	245.95	1246.84	
HC MRI Upper Extrem WO Contrast	PX-610732180	CDM	73218	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Upper Extrem Joint WO Cont	PX-610732210	CDM	73221	CPT	610	RC		outpatient			2145	245.95	259.79				fee schedule		245.95				other	OPPS APC	1246.84				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	211.15				fee schedule		146.11				fee schedule		245.95				other	OPPS APC	146.11	1246.84	
HC MRI Upper Extrem Joint WO Cont	PX-610732210	CDM	73221	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Lower Extrem WO Contrast	PX-610737180	CDM	73718	CPT	610	RC		outpatient			2145	245.95	368.14				fee schedule		245.95				other	OPPS APC	1246.84				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	233.89				fee schedule		169.41				fee schedule		245.95				other	OPPS APC	169.41	1246.84	
HC MRI Lower Extrem WO Contrast	PX-610737180	CDM	73718	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Lower Extrem Wwo Contrast	PX-610737200	CDM	73720	CPT	610	RC		outpatient			2145	388.42	526.84				fee schedule		388.04				other	OPPS APC	2669.31				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	353.48				fee schedule		250.93				fee schedule		388.42				other	OPPS APC	250.93	2669.31	
HC MRI Lower Extrem Wwo Contrast	PX-610737200	CDM	73720	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Lower Extrem Joint WO Cont	PX-610737210	CDM	73721	CPT	610	RC		outpatient			2145	245.95	260.16				fee schedule		245.95				other	OPPS APC	1246.84				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	210.81				fee schedule		146.11				fee schedule		245.95				other	OPPS APC	146.11	1246.84	
HC MRI Lower Extrem Joint WO Cont	PX-610737210	CDM	73721	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Abdomen WO Contrast	PX-610741810	CDM	74181	CPT	610	RC		outpatient			2145	245.95	344.34				fee schedule		245.95				other	OPPS APC	1264.05				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	204.77				fee schedule		134.79				fee schedule		245.95				other	OPPS APC	134.79	1264.05	
HC MRI Abdomen WO Contrast	PX-610741810	CDM	74181	CPT	610	RC		inpatient			2145	2145																																																			
HC Bd MRI Breast Bilateral No Contrast	PX-610770590	CDM	77047	CPT	610	RC		outpatient			2145	245.95	1051.05				percent of total billed charges		245.95				other	OPPS APC	2242.51				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	229.52				fee schedule		153.1				fee schedule		245.95				other	OPPS APC	153.1	2242.51	
HC Bd MRI Breast Bilateral No Contrast	PX-610770590	CDM	77047	CPT	610	RC		inpatient			2145	2145																																																			
HC MRI Brain WO Contrast	PX-611705510	CDM	70551	CPT	611	RC		outpatient			2145	245.95	249.95				fee schedule		245.95				other	OPPS APC	1277.54				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	204.1				fee schedule		133.46				fee schedule		245.95				other	OPPS APC	133.46	1277.54	
HC MRI Brain WO Contrast	PX-611705510	CDM	70551	CPT	611	RC		inpatient			2145	2145																																																			
HC MRI-C-Spine	PX-612721410	CDM	72141	CPT	612	RC		outpatient			2145	245.95	248.07				fee schedule		245.95				other	OPPS APC	1291.2				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	198.42				fee schedule		127.8				fee schedule		245.95				other	OPPS APC	127.8	1291.2	
HC MRI-C-Spine	PX-612721410	CDM	72141	CPT	612	RC		inpatient			2145	2145																																																			
HC MRI-T-Spine	PX-612721460	CDM	72146	CPT	612	RC		outpatient			2145	245.95	248.07				fee schedule		245.95				other	OPPS APC	1412.34				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	198.42				fee schedule		127.8				fee schedule		245.95				other	OPPS APC	127.8	1412.34	
HC MRI-T-Spine	PX-612721460	CDM	72146	CPT	612	RC		inpatient			2145	2145																																																			
HC MRI-L-Spine	PX-612721480	CDM	72148	CPT	612	RC		outpatient			2145	245.95	248.38				fee schedule		245.95				other	OPPS APC	1398.68				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	199.09				fee schedule		128.13				fee schedule		245.95				other	OPPS APC	128.13	1398.68	
HC MRI-L-Spine	PX-612721480	CDM	72148	CPT	612	RC		inpatient			2145	2145																																																			
PLATE BONE LC-DCP STAINLESS STEEL L70 MM X H1.2 MM NONSTERILE 3.5 MM CORTEX 3.5 MM CANNULATED 4 MM CANCELLOUS SCREW SMALL FRAGMENT SET	SUP-241.62	CDM	270010022	LOCAL	270	RC		outpatient			2145	2145	581.08				percent of total billed charges		2145				other	OPPS APC	1587.3				percent of total billed charges		2145				other	OPPS APC	2145				other	OPPS APC	581.08				percent of total billed charges		592.66				percent of total billed charges		2145				other	OPPS APC	581.08	2145	
PLATE BONE LC-DCP STAINLESS STEEL L70 MM X H1.2 MM NONSTERILE 3.5 MM CORTEX 3.5 MM CANNULATED 4 MM CANCELLOUS SCREW SMALL FRAGMENT SET	SUP-241.62	CDM	270010022	LOCAL	270	RC		inpatient			2145	2145																																																			
PLATE TORNIER CALCANEAL MEDIUM LEFT	SUP-WPTML	CDM			270	RC		outpatient			2144	2144	580.81				percent of total billed charges		2144				other	OPPS APC	1586.56				percent of total billed charges		2144				other	OPPS APC	2144				other	OPPS APC	580.81				percent of total billed charges		592.39				percent of total billed charges		2144				other	OPPS APC	580.81	2144	
PLATE TORNIER CALCANEAL MEDIUM LEFT	SUP-WPTML	CDM			270	RC		inpatient			2144	2144																																																			
PLATE BONE WAVE MED NS RIGHT	SUP-WPTMR	CDM			270	RC		outpatient			2144	2144	580.81				percent of total billed charges		2144				other	OPPS APC	1586.56				percent of total billed charges		2144				other	OPPS APC	2144				other	OPPS APC	580.81				percent of total billed charges		592.39				percent of total billed charges		2144				other	OPPS APC	580.81	2144	
PLATE BONE WAVE MED NS RIGHT	SUP-WPTMR	CDM			270	RC		inpatient			2144	2144																																																			
PLATE BONE WAVE SM NS LEFT	SUP-WPTSL	CDM			270	RC		outpatient			2144	2144	580.81				percent of total billed charges		2144				other	OPPS APC	1586.56				percent of total billed charges		2144				other	OPPS APC	2144				other	OPPS APC	580.81				percent of total billed charges		592.39				percent of total billed charges		2144				other	OPPS APC	580.81	2144	
PLATE BONE WAVE SM NS LEFT	SUP-WPTSL	CDM			270	RC		inpatient			2144	2144																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM OLECRANON RIGHT 2 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.502	CDM	270010022	LOCAL	270	RC		outpatient			2140.6	214.6	579.89				percent of total billed charges		2140.6				other	OPPS APC	1584.04				percent of total billed charges		2140.6				other	OPPS APC	2140.6				other	OPPS APC	579.89				percent of total billed charges		591.45				percent of total billed charges		214.6				other	OPPS APC	214.6	2140.6	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM OLECRANON RIGHT 2 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.502	CDM	270010022	LOCAL	270	RC		inpatient			2140.6	2140.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM OLECRANON LEFT 2 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.503	CDM	270010022	LOCAL	270	RC		outpatient			2140.6	214.6	579.89				percent of total billed charges		2140.6				other	OPPS APC	1584.04				percent of total billed charges		2140.6				other	OPPS APC	2140.6				other	OPPS APC	579.89				percent of total billed charges		591.45				percent of total billed charges		214.6				other	OPPS APC	214.6	2140.6	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM OLECRANON LEFT 2 HOLE ELONGATE HOLE PROXIMAL TAB NONSTERILE 3.5 MM SCREW	SUP-236.503	CDM	270010022	LOCAL	270	RC		inpatient			2140.6	2140.6																																																			
PLATE BONE LCP COMBI 90X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 5 HOLE LATERAL SUPPORT PRECONTOUR LIMIT	SUP-241.274	CDM	270010022	LOCAL	270	RC		outpatient			2140.6	214.6	579.89				percent of total billed charges		2140.6				other	OPPS APC	1584.04				percent of total billed charges		2140.6				other	OPPS APC	2140.6				other	OPPS APC	579.89				percent of total billed charges		591.45				percent of total billed charges		214.6				other	OPPS APC	214.6	2140.6	
PLATE BONE LCP COMBI 90X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 5 HOLE LATERAL SUPPORT PRECONTOUR LIMIT	SUP-241.274	CDM	270010022	LOCAL	270	RC		inpatient			2140.6	2140.6																																																			
PLATE 90X11X2.5MM SS 3.5MM SCREW 5 HOLE LATERAL SUPPORT LCP BONE LEFT DISTAL	SUP-241.275	CDM	270010022	LOCAL	270	RC		outpatient			2140.6	214.6	579.89				percent of total billed charges		2140.6				other	OPPS APC	1584.04				percent of total billed charges		2140.6				other	OPPS APC	2140.6				other	OPPS APC	579.89				percent of total billed charges		591.45				percent of total billed charges		214.6				other	OPPS APC	214.6	2140.6	
PLATE 90X11X2.5MM SS 3.5MM SCREW 5 HOLE LATERAL SUPPORT LCP BONE LEFT DISTAL	SUP-241.275	CDM	270010022	LOCAL	270	RC		inpatient			2140.6	2140.6																																																			
XCISE MORECELLATOR	SUP-77-00037	CDM			272	RC		outpatient			2139	2139	579.46				percent of total billed charges		2139				other	OPPS APC	1582.86				percent of total billed charges		2139				other	OPPS APC	2139				other	OPPS APC	579.46				percent of total billed charges		591.01				percent of total billed charges		2139				other	OPPS APC	579.46	2139	
XCISE MORECELLATOR	SUP-77-00037	CDM			272	RC		inpatient			2139	2139																																																			
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 3MM	SUP-02.211.211	CDM	270010022	LOCAL	270	RC		outpatient			2137.2	2137.2	578.97				percent of total billed charges		2137.2				other	OPPS APC	1581.53				percent of total billed charges		2137.2				other	OPPS APC	2137.2				other	OPPS APC	578.97				percent of total billed charges		590.51				percent of total billed charges		2137.2				other	OPPS APC	578.97	2137.2	
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 3MM	SUP-02.211.211	CDM	270010022	LOCAL	270	RC		inpatient			2137.2	2137.2																																																			
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 4MM	SUP-02.211.212	CDM	270010022	LOCAL	270	RC		outpatient			2137.2	2137.2	578.97				percent of total billed charges		2137.2				other	OPPS APC	1581.53				percent of total billed charges		2137.2				other	OPPS APC	2137.2				other	OPPS APC	578.97				percent of total billed charges		590.51				percent of total billed charges		2137.2				other	OPPS APC	578.97	2137.2	
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 4MM	SUP-02.211.212	CDM	270010022	LOCAL	270	RC		inpatient			2137.2	2137.2																																																			
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 5MM	SUP-02.211.213	CDM	270010022	LOCAL	270	RC		outpatient			2137.2	2137.2	578.97				percent of total billed charges		2137.2				other	OPPS APC	1581.53				percent of total billed charges		2137.2				other	OPPS APC	2137.2				other	OPPS APC	578.97				percent of total billed charges		590.51				percent of total billed charges		2137.2				other	OPPS APC	578.97	2137.2	
PLATE 2.4/2.7MM VA LOCKING OPEINING WEDGE 5MM	SUP-02.211.213	CDM	270010022	LOCAL	270	RC		inpatient			2137.2	2137.2																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD10 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-10	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD10 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-10	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
STEM NEXGEN STRAIGHT 11MM X 100MM	SUP-00-5988-010-11	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
STEM NEXGEN STRAIGHT 11MM X 100MM	SUP-00-5988-010-11	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD12 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-12	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD12 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-12	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD13 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-13	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD13 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-13	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD14 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-14	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD14 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-14	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD15 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-15	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD15 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-15	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD16 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-16	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD16 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-16	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD17 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-17	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD17 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-17	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD18 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-18	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD18 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-010-18	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD22 MM KNEE TIBIA ROTATING HINGE STERILE	SUP-00-5988-010-22	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L100 MM L145 MM OD22 MM KNEE TIBIA ROTATING HINGE STERILE	SUP-00-5988-010-22	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L155 MM L200 MM OD13 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-011-13	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L155 MM L200 MM OD13 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-011-13	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L155 MM L200 MM OD14 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-011-14	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L155 MM L200 MM OD14 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-011-14	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM NEXGEN STRAIGHT L155 MM L200 MM OD18 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-011-18	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM NEXGEN STRAIGHT L155 MM L200 MM OD18 MM KNEE TIBIA ROTATE HINGE STERILE	SUP-00-5988-011-18	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
EXTENSION STEM PERSONA TAPER L30+ MM OD14 MM KNEE TIBIA	SUP-42-5570-001-14	CDM	270010025	LOCAL	270	RC		outpatient			2136	2136	578.64				percent of total billed charges		2136				other	OPPS APC	1580.64				percent of total billed charges		2136				other	OPPS APC	2136				other	OPPS APC	578.64				percent of total billed charges		590.18				percent of total billed charges		2136				other	OPPS APC	578.64	2136	
EXTENSION STEM PERSONA TAPER L30+ MM OD14 MM KNEE TIBIA	SUP-42-5570-001-14	CDM	270010025	LOCAL	270	RC		inpatient			2136	2136																																																			
PLATE BONE LC-DCP 60MMX1.2MM SS NS CALCANEAL 3.5MM CORTEX 3.5MM CANNULATED 4MM CANCELLOUS SCREW SM FRAGMENT SET	SUP-241.61	CDM	270010022	LOCAL	270	RC		outpatient			2130.7	213.7	577.21				percent of total billed charges		2130.7				other	OPPS APC	1576.72				percent of total billed charges		2130.7				other	OPPS APC	2130.7				other	OPPS APC	577.21				percent of total billed charges		588.71				percent of total billed charges		213.7				other	OPPS APC	213.7	2130.7	
PLATE BONE LC-DCP 60MMX1.2MM SS NS CALCANEAL 3.5MM CORTEX 3.5MM CANNULATED 4MM CANCELLOUS SCREW SM FRAGMENT SET	SUP-241.61	CDM	270010022	LOCAL	270	RC		inpatient			2130.7	2130.7																																																			
FIBER FLEXIVA  PULSE ID910 MICRON	SUP-70-00250	CDM			272	RC		outpatient			2124.53	2124.53	575.54				percent of total billed charges		2124.53				other	OPPS APC	1572.15				percent of total billed charges		2124.53				other	OPPS APC	2124.53				other	OPPS APC	575.54				percent of total billed charges		587.01				percent of total billed charges		2124.53				other	OPPS APC	575.54	2124.53	
FIBER FLEXIVA  PULSE ID910 MICRON	SUP-70-00250	CDM			272	RC		inpatient			2124.53	2124.53																																																			
MYOSURE LITE	SUP-77-00054	CDM			272	RC		outpatient			2124	2124	575.39				percent of total billed charges		2124				other	OPPS APC	1571.76				percent of total billed charges		2124				other	OPPS APC	2124				other	OPPS APC	575.39				percent of total billed charges		586.86				percent of total billed charges		2124				other	OPPS APC	575.39	2124	
MYOSURE LITE	SUP-77-00054	CDM			272	RC		inpatient			2124	2124																																																			
PLATE BONE STAINLESS STEEL 88 MM RADIUS L208 MM PELVIC 16 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.916	CDM	270010022	LOCAL	270	RC		outpatient			2120.8	212.82	574.52				percent of total billed charges		2120.8				other	OPPS APC	1569.39				percent of total billed charges		2120.8				other	OPPS APC	2120.8				other	OPPS APC	574.52				percent of total billed charges		585.98				percent of total billed charges		212.82				other	OPPS APC	212.82	2120.8	
PLATE BONE STAINLESS STEEL 88 MM RADIUS L208 MM PELVIC 16 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.916	CDM	270010022	LOCAL	270	RC		inpatient			2120.8	2120.8																																																			
TRUNION ARTHREX ECLIPSE TPS CAP COATED 41MM	SUP-IDE-AR-9300-41CPC	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
TRUNION ARTHREX ECLIPSE TPS CAP COATED 41MM	SUP-IDE-AR-9300-41CPC	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
TRUNION ARTHREX ECLIPSE TPS CAP COATED 43MM	SUP-IDE-AR-9300-43CPC	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
TRUNION ARTHREX ECLIPSE TPS CAP COATED 43MM	SUP-IDE-AR-9300-43CPC	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
TRUNION ARTHREX ECLIPSE TPS CAP COATED 45MM	SUP-IDE-AR-9300-45CPC	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
TRUNION ARTHREX ECLIPSE TPS CAP COATED 45MM	SUP-IDE-AR-9300-45CPC	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
TRUNION ARTHREX ECLIPSE TPS CAP COATED 47MM	SUP-IDE-AR-9300-47CPC	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
TRUNION ARTHREX ECLIPSE TPS CAP COATED 47MM	SUP-IDE-AR-9300-47CPC	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
TRUNION ARTHREX ECLIPSE TPS CAP COATED 49MM	SUP-IDE-AR-9300-49CPC	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
TRUNION ARTHREX ECLIPSE TPS CAP COATED 49MM	SUP-IDE-AR-9300-49CPC	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
TRUNION ARTHREX ECLIPSE TPS CAP COATED 53MM	SUP-IDE-AR-9300-53CPC	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
TRUNION ARTHREX ECLIPSE TPS CAP COATED 53MM	SUP-IDE-AR-9300-53CPC	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
SCREW ARTHREX ECLIPLSE HOLLOW 30MM SM	SUP-IDE-AR-9301-01	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
SCREW ARTHREX ECLIPLSE HOLLOW 30MM SM	SUP-IDE-AR-9301-01	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
SCREW ARTHREX ECLIPLSE HOLLOW 35MM MED	SUP-IDE-AR-9301-02	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
SCREW ARTHREX ECLIPLSE HOLLOW 35MM MED	SUP-IDE-AR-9301-02	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
SCREW ARTHREX ECLIPLSE HOLLOW 40MM LG	SUP-IDE-AR-9301-03	CDM	270010030	LOCAL	270	RC		outpatient			2120.24	212.24	574.37				percent of total billed charges		2120.24				other	OPPS APC	1568.98				percent of total billed charges		2120.24				other	OPPS APC	2120.24				other	OPPS APC	574.37				percent of total billed charges		585.82				percent of total billed charges		212.24				other	OPPS APC	212.24	2120.24	
SCREW ARTHREX ECLIPLSE HOLLOW 40MM LG	SUP-IDE-AR-9301-03	CDM	270010030	LOCAL	270	RC		inpatient			2120.24	2120.24																																																			
PLATE BONE EVOS STAINLESS STEEL L 80 MM HUMERUS LEFT DISTAL MEDIAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5MM SCREW	SUP-72465503	CDM			270	RC		outpatient			2120	212	574.31				percent of total billed charges		2120				other	OPPS APC	1568.8				percent of total billed charges		2120				other	OPPS APC	2120				other	OPPS APC	574.31				percent of total billed charges		585.76				percent of total billed charges		212				other	OPPS APC	212	2120	
PLATE BONE EVOS STAINLESS STEEL L 80 MM HUMERUS LEFT DISTAL MEDIAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5MM SCREW	SUP-72465503	CDM			270	RC		inpatient			2120	2120																																																			
PLATE BONE EVOS STAINLESS STEEL L 80 MM HUMERUS RIGHT DISTAL MEDIAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5 MM SCREW	SUP-72465603	CDM			270	RC		outpatient			2120	212	574.31				percent of total billed charges		2120				other	OPPS APC	1568.8				percent of total billed charges		2120				other	OPPS APC	2120				other	OPPS APC	574.31				percent of total billed charges		585.76				percent of total billed charges		212				other	OPPS APC	212	2120	
PLATE BONE EVOS STAINLESS STEEL L 80 MM HUMERUS RIGHT DISTAL MEDIAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE 2.7/3.5 MM SCREW	SUP-72465603	CDM			270	RC		inpatient			2120	2120																																																			
PLATE BONE VLP LARGE L62 MM X W33.5 MM X H1.27 MM FOOT RIGHT CALCANEUS STERILE 2.7 MM SCREW PERCUTANEOUS	SUP-72821021S	CDM			270	RC		outpatient			2120	212	574.31				percent of total billed charges		2120				other	OPPS APC	1568.8				percent of total billed charges		2120				other	OPPS APC	2120				other	OPPS APC	574.31				percent of total billed charges		585.76				percent of total billed charges		212				other	OPPS APC	212	2120	
PLATE BONE VLP LARGE L62 MM X W33.5 MM X H1.27 MM FOOT RIGHT CALCANEUS STERILE 2.7 MM SCREW PERCUTANEOUS	SUP-72821021S	CDM			270	RC		inpatient			2120	2120																																																			
NEUROMEND 6MM ID X 5.0CM LENGTH	SUP-97-23682	CDM			278	RC		outpatient			2118.75	2118.75	2118.75				fee schedule		2118.75				other	OPPS APC	1207.69				percent of total billed charges		2118.75				other	OPPS APC	2118.75				other	OPPS APC	1038.19				percent of total billed charges		1080.56				percent of total billed charges		2118.75				other	OPPS APC	1038.19	2118.75	
NEUROMEND 6MM ID X 5.0CM LENGTH	SUP-97-23682	CDM			278	RC		inpatient			2118.75	2118.75																																																			
SCREW EXTERNAL FIXATION COUPLING HELICAL BLADE NONSTERILE	SUP-357.377	CDM			270	RC		outpatient			2114.2	2114.2	572.74				percent of total billed charges		2114.2				other	OPPS APC	1564.51				percent of total billed charges		2114.2				other	OPPS APC	2114.2				other	OPPS APC	572.74				percent of total billed charges		584.15				percent of total billed charges		2114.2				other	OPPS APC	572.74	2114.2	
SCREW EXTERNAL FIXATION COUPLING HELICAL BLADE NONSTERILE	SUP-357.377	CDM			270	RC		inpatient			2114.2	2114.2																																																			
PLATE STRIKE 8.0X250MM	SUP-97-03063	CDM			278	RC		outpatient			2111.91	2112	2111.91				fee schedule		2111.91				other	OPPS APC	1203.79				percent of total billed charges		2111.91				other	OPPS APC	2111.91				other	OPPS APC	1034.84				percent of total billed charges		1077.07				percent of total billed charges		2112				other	OPPS APC	1034.84	2112	
PLATE STRIKE 8.0X250MM	SUP-97-03063	CDM			278	RC		inpatient			2111.91	2111.91																																																			
40CC SENSATION PLUS IABP CATHETER	SUP-0684-00-0568-01U	CDM			270	RC		outpatient			2111.5	2111.5	572.01				percent of total billed charges		2111.5				other	OPPS APC	1562.51				percent of total billed charges		2111.5				other	OPPS APC	2111.5				other	OPPS APC	572.01				percent of total billed charges		583.41				percent of total billed charges		2111.5				other	OPPS APC	572.01	2111.5	
40CC SENSATION PLUS IABP CATHETER	SUP-0684-00-0568-01U	CDM			270	RC		inpatient			2111.5	2111.5																																																			
GRAFT BONE CORNERSTONE SR CERVICAL SPINE CORTICAL L14 MM X W11 MM X H9 MM BLOCK FREEZE DRIED	SUP-200941	CDM	270010020	LOCAL	270	RC		outpatient			2110	211	571.6				percent of total billed charges		2110				other	OPPS APC	1561.4				percent of total billed charges		2110				other	OPPS APC	2110				other	OPPS APC	571.6				percent of total billed charges		582.99				percent of total billed charges		211				other	OPPS APC	211	2110	
GRAFT BONE CORNERSTONE SR CERVICAL SPINE CORTICAL L14 MM X W11 MM X H9 MM BLOCK FREEZE DRIED	SUP-200941	CDM	270010020	LOCAL	270	RC		inpatient			2110	2110																																																			
INTRODUCER CATHETER RESPONSE AGILIS NXT L 40 CM L 11.4 CM OD 8.5 FR ODSEC 17 GA EPICARDIUM STEERABLE ATRAUMATIC TIP INTEGRATE HEMOSTASIS VALVE ACCEPTS .032 IN GUIDEWIRE	SUP-G402047	CDM			270	RC		outpatient			2110	211	571.6				percent of total billed charges		2110				other	OPPS APC	1561.4				percent of total billed charges		2110				other	OPPS APC	2110				other	OPPS APC	571.6				percent of total billed charges		582.99				percent of total billed charges		211				other	OPPS APC	211	2110	
INTRODUCER CATHETER RESPONSE AGILIS NXT L 40 CM L 11.4 CM OD 8.5 FR ODSEC 17 GA EPICARDIUM STEERABLE ATRAUMATIC TIP INTEGRATE HEMOSTASIS VALVE ACCEPTS .032 IN GUIDEWIRE	SUP-G402047	CDM			270	RC		inpatient			2110	2110																																																			
SCALPEL HARMONIC LONG	SUP-76-00118	CDM			272	RC		outpatient			2109.84	219.84	571.56				percent of total billed charges		2109.84				other	OPPS APC	1561.28				percent of total billed charges		2109.84				other	OPPS APC	2109.84				other	OPPS APC	571.56				percent of total billed charges		582.95				percent of total billed charges		219.84				other	OPPS APC	219.84	2109.84	
SCALPEL HARMONIC LONG	SUP-76-00118	CDM			272	RC		inpatient			2109.84	2109.84																																																			
PLATE 2.4/2.7MM VA LOCKING NAVICULAR	SUP-02.211.220	CDM	270010022	LOCAL	270	RC		outpatient			2107.82	217.82	571.01				percent of total billed charges		2107.82				other	OPPS APC	1559.79				percent of total billed charges		2107.82				other	OPPS APC	2107.82				other	OPPS APC	571.01				percent of total billed charges		582.39				percent of total billed charges		217.82				other	OPPS APC	217.82	2107.82	
PLATE 2.4/2.7MM VA LOCKING NAVICULAR	SUP-02.211.220	CDM	270010022	LOCAL	270	RC		inpatient			2107.82	2107.82																																																			
PLATE BONE LCP STAINLESS STEEL 5 D LARGE L57 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.242	CDM	270010022	LOCAL	270	RC		outpatient			2107.82	217.82	571.01				percent of total billed charges		2107.82				other	OPPS APC	1559.79				percent of total billed charges		2107.82				other	OPPS APC	2107.82				other	OPPS APC	571.01				percent of total billed charges		582.39				percent of total billed charges		217.82				other	OPPS APC	217.82	2107.82	
PLATE BONE LCP STAINLESS STEEL 5 D LARGE L57 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.242	CDM	270010022	LOCAL	270	RC		inpatient			2107.82	2107.82																																																			
SNARE VASCULAR NEEDLES EYE CHECK-FLO OD12 FR L94 CM L145 CM OD20 MM ODSEC16 FR	SUP-G26515	CDM			481	RC		outpatient			2106	216	1031.94				percent of total billed charges		2106				other	OPPS APC	1558.44				percent of total billed charges		2106				other	OPPS APC	2106				other	OPPS APC	1031.94				percent of total billed charges		1074.06				percent of total billed charges		216				other	OPPS APC	216	2106	
SNARE VASCULAR NEEDLES EYE CHECK-FLO OD12 FR L94 CM L145 CM OD20 MM ODSEC16 FR	SUP-G26515	CDM			481	RC		inpatient			2106	2106																																																			
2.7MM/35MM DIST AFIBULA PLATE 5H/LEFT	SUP-97-01687	CDM			278	RC		outpatient			2104.95	214.95	2104.95				fee schedule		2104.95				other	OPPS APC	1199.82				percent of total billed charges		2104.95				other	OPPS APC	2104.95				other	OPPS APC	1031.43				percent of total billed charges		1073.52				percent of total billed charges		214.95				other	OPPS APC	214.95	2104.95	
2.7MM/35MM DIST AFIBULA PLATE 5H/LEFT	SUP-97-01687	CDM			278	RC		inpatient			2104.95	2104.95																																																			
MESH STRYKER CALCANEAL SMALL	SUP-40-10102	CDM			270	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
MESH STRYKER CALCANEAL SMALL	SUP-40-10102	CDM			270	RC		inpatient			2102.4	2102.4																																																			
MESH STRYKER CALCANEAL MEDIUM	SUP-40-10104	CDM			270	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
MESH STRYKER CALCANEAL MEDIUM	SUP-40-10104	CDM			270	RC		inpatient			2102.4	2102.4																																																			
MESH STRYKER CALCANEAL LARGE	SUP-40-10106	CDM			270	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
MESH STRYKER CALCANEAL LARGE	SUP-40-10106	CDM			270	RC		inpatient			2102.4	2102.4																																																			
PLATE CALCANEUS STANDARD SMALL	SUP-40-10112	CDM			270	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
PLATE CALCANEUS STANDARD SMALL	SUP-40-10112	CDM			270	RC		inpatient			2102.4	2102.4																																																			
PLATE CALCANEUS STANDARD MEDIUM	SUP-40-10114	CDM			270	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
PLATE CALCANEUS STANDARD MEDIUM	SUP-40-10114	CDM			270	RC		inpatient			2102.4	2102.4																																																			
PLATE CALCANEUS STANDARD LARGE	SUP-40-10116	CDM			270	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
PLATE CALCANEUS STANDARD LARGE	SUP-40-10116	CDM			270	RC		inpatient			2102.4	2102.4																																																			
BALLOON - 2.00X10 WOLVERINE CUTTING	SUP-99-04813	CDM			272	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
BALLOON - 2.00X10 WOLVERINE CUTTING	SUP-99-04813	CDM			272	RC		inpatient			2102.4	2102.4																																																			
BALLOON - 3.00X10 WOLVERINE CUTTING	SUP-99-04814	CDM			272	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
BALLOON - 3.00X10 WOLVERINE CUTTING	SUP-99-04814	CDM			272	RC		inpatient			2102.4	2102.4																																																			
BALLOON - 2.0X6.0 WOLVERINE CUTTING	SUP-99-04825	CDM			272	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
BALLOON - 2.0X6.0 WOLVERINE CUTTING	SUP-99-04825	CDM			272	RC		inpatient			2102.4	2102.4																																																			
BALLOON - 3.0X6.0 WOLVERINE CUTTING	SUP-99-04826	CDM			272	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
BALLOON - 3.0X6.0 WOLVERINE CUTTING	SUP-99-04826	CDM			272	RC		inpatient			2102.4	2102.4																																																			
BALLOON - 2.5X6.0 WOLVERINE CUTTING	SUP-99-04861	CDM			272	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
BALLOON - 2.5X6.0 WOLVERINE CUTTING	SUP-99-04861	CDM			272	RC		inpatient			2102.4	2102.4																																																			
BALLOON - 3.5X6.0 WOLVERINE CUTTING	SUP-99-04862	CDM			272	RC		outpatient			2102.4	212.41	569.54				percent of total billed charges		2102.4				other	OPPS APC	1555.78				percent of total billed charges		2102.4				other	OPPS APC	2102.4				other	OPPS APC	569.54				percent of total billed charges		580.89				percent of total billed charges		212.41				other	OPPS APC	212.41	2102.4	
BALLOON - 3.5X6.0 WOLVERINE CUTTING	SUP-99-04862	CDM			272	RC		inpatient			2102.4	2102.4																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L124 MM L50 MM CONDYLE 7 HOLE BLADE NONSTERILE	SUP-237.70	CDM	270010022	LOCAL	270	RC		outpatient			2102.1	213	569.46				percent of total billed charges		2102.1				other	OPPS APC	1555.55				percent of total billed charges		2102.1				other	OPPS APC	2102.1				other	OPPS APC	569.46				percent of total billed charges		580.81				percent of total billed charges		213				other	OPPS APC	213	2102.1	
PLATE BONE DCP STAINLESS STEEL 95 D L124 MM L50 MM CONDYLE 7 HOLE BLADE NONSTERILE	SUP-237.70	CDM	270010022	LOCAL	270	RC		inpatient			2102.1	2102.1																																																			
PLATE BONE DCP 95D 124X16X4.8MM 60MM SS NS CONDYLAR 7 HOLE BLADE	SUP-237.72	CDM	270010022	LOCAL	270	RC		outpatient			2102.1	213	569.46				percent of total billed charges		2102.1				other	OPPS APC	1555.55				percent of total billed charges		2102.1				other	OPPS APC	2102.1				other	OPPS APC	569.46				percent of total billed charges		580.81				percent of total billed charges		213				other	OPPS APC	213	2102.1	
PLATE BONE DCP 95D 124X16X4.8MM 60MM SS NS CONDYLAR 7 HOLE BLADE	SUP-237.72	CDM	270010022	LOCAL	270	RC		inpatient			2102.1	2102.1																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L70 MM L124 MM CONDYLE 7 HOLE NONSTERILE	SUP-237.74	CDM	270010022	LOCAL	270	RC		outpatient			2102.1	213	569.46				percent of total billed charges		2102.1				other	OPPS APC	1555.55				percent of total billed charges		2102.1				other	OPPS APC	2102.1				other	OPPS APC	569.46				percent of total billed charges		580.81				percent of total billed charges		213				other	OPPS APC	213	2102.1	
PLATE BONE DCP STAINLESS STEEL 95 D L70 MM L124 MM CONDYLE 7 HOLE NONSTERILE	SUP-237.74	CDM	270010022	LOCAL	270	RC		inpatient			2102.1	2102.1																																																			
PLATE BONE DCP STAINLESS STEEL L124 MM L80 MM CONDYLE 7 HOLE NONSTERILE 3.5 MM SCREW	SUP-237.76	CDM	270010022	LOCAL	270	RC		outpatient			2102.1	213	569.46				percent of total billed charges		2102.1				other	OPPS APC	1555.55				percent of total billed charges		2102.1				other	OPPS APC	2102.1				other	OPPS APC	569.46				percent of total billed charges		580.81				percent of total billed charges		213				other	OPPS APC	213	2102.1	
PLATE BONE DCP STAINLESS STEEL L124 MM L80 MM CONDYLE 7 HOLE NONSTERILE 3.5 MM SCREW	SUP-237.76	CDM	270010022	LOCAL	270	RC		inpatient			2102.1	2102.1																																																			
SCREW SYNTHES MATRIXRIB 2.9MM X 10MM PK/5	SUP-03.501.020.05	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
SCREW SYNTHES MATRIXRIB 2.9MM X 10MM PK/5	SUP-03.501.020.05	CDM			270	RC		inpatient			2100	2100																																																			
EXPANDER TISSUE ACX SILICONE P5.7 CM MODERATE HEIGHT W12 CM X H11 CM 340 CC BREAST TEXTURE SURFACE INTEGRATE MAGNETIC INJECTION PORT	SUP-20719-340ACX	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
EXPANDER TISSUE ACX SILICONE P5.7 CM MODERATE HEIGHT W12 CM X H11 CM 340 CC BREAST TEXTURE SURFACE INTEGRATE MAGNETIC INJECTION PORT	SUP-20719-340ACX	CDM			270	RC		inpatient			2100	2100																																																			
EXPANDER TISSUE ACX P6.1 CM W13 CM X H12 CM 430 ML BREAST TEXTURED SURFACE INTEGRATED VALVE	SUP-20719-430ACX	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
EXPANDER TISSUE ACX P6.1 CM W13 CM X H12 CM 430 ML BREAST TEXTURED SURFACE INTEGRATED VALVE	SUP-20719-430ACX	CDM			270	RC		inpatient			2100	2100																																																			
EXPANDER TISSUE LOW HEIGHT TEXTURED 470CC	SUP-20789-470ACX	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
EXPANDER TISSUE LOW HEIGHT TEXTURED 470CC	SUP-20789-470ACX	CDM			270	RC		inpatient			2100	2100																																																			
CATHETER CRYOABLATION FREEZOR XTRA 5 2-5-2 MM SPACE 60 MM REACH LONG L108 CM L6 MM OD7 FR CARDIAC UNIDIRECTIONAL STEERABLE FLEXIBLE ORANGE	SUP-227F5	CDM			481	RC		outpatient			2100	21	1029				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
CATHETER CRYOABLATION FREEZOR XTRA 5 2-5-2 MM SPACE 60 MM REACH LONG L108 CM L6 MM OD7 FR CARDIAC UNIDIRECTIONAL STEERABLE FLEXIBLE ORANGE	SUP-227F5	CDM			481	RC		inpatient			2100	2100																																																			
IMPLANT MAMMARY GEL LUMERA 180CC	SUP-324-1057	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
IMPLANT MAMMARY GEL LUMERA 180CC	SUP-324-1057	CDM			270	RC		inpatient			2100	2100																																																			
IMPLANT MAMMARY GEL LUMERA PROFILE 220CC	SUP-324-1107	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
IMPLANT MAMMARY GEL LUMERA PROFILE 220CC	SUP-324-1107	CDM			270	RC		inpatient			2100	2100																																																			
IMPLANT MAMMARY GEL LUMERA SILTEX CONTOUR 485CC	SUP-324-1351	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
IMPLANT MAMMARY GEL LUMERA SILTEX CONTOUR 485CC	SUP-324-1351	CDM			270	RC		inpatient			2100	2100																																																			
IMPLANT MAMMARY GEL LUMERA SILTEX CONTOUR 535CC	SUP-324-1401	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
IMPLANT MAMMARY GEL LUMERA SILTEX CONTOUR 535CC	SUP-324-1401	CDM			270	RC		inpatient			2100	2100																																																			
BULKAMID URETHRAL BULKING SYSTEM	SUP-50050	CDM						inpatient			2100	2100																																																			
BULKAMID URETHRAL BULKING SYSTEM	SUP-50050	CDM						outpatient			2100	21	2100				percent of total billed charges		2100				other	OPPS APC	2100				fee schedule		2100				other	OPPS APC	2100				other	OPPS APC	2100				case rate		2100				case rate		21				other	OPPS APC	21	2100	
IMPLANT SYSTEM FIBULOCK	SUP-95-05186	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
IMPLANT SYSTEM FIBULOCK	SUP-95-05186	CDM			272	RC		inpatient			2100	2100																																																			
OATS DISPOSABLE KIT 12MM SINGLE USE	SUP-95-05276	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
OATS DISPOSABLE KIT 12MM SINGLE USE	SUP-95-05276	CDM			272	RC		inpatient			2100	2100																																																			
BENCOX DELTA HEAD 36MM-SHORT	SUP-97-03001	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
BENCOX DELTA HEAD 36MM-SHORT	SUP-97-03001	CDM			278	RC		inpatient			2100	2100																																																			
BENCOX DELTA HEAD 36MM-LONG	SUP-97-03136	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
BENCOX DELTA HEAD 36MM-LONG	SUP-97-03136	CDM			278	RC		inpatient			2100	2100																																																			
BENCOX DELTA HEAD 36MM	SUP-97-03150	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
BENCOX DELTA HEAD 36MM	SUP-97-03150	CDM			278	RC		inpatient			2100	2100																																																			
BENCOX DELTA HEAD 36MM	SUP-97-03151	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
BENCOX DELTA HEAD 36MM	SUP-97-03151	CDM			278	RC		inpatient			2100	2100																																																			
GENFLEX2 KNEE EXP PS INSERT	SUP-97-04299	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
GENFLEX2 KNEE EXP PS INSERT	SUP-97-04299	CDM			278	RC		inpatient			2100	2100																																																			
BENCOX DELTA HEAD 32MM MEDIUM	SUP-97-04313	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
BENCOX DELTA HEAD 32MM MEDIUM	SUP-97-04313	CDM			278	RC		inpatient			2100	2100																																																			
GENFLEX2 KNEE EXP PS INSERT	SUP-97-04326	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
GENFLEX2 KNEE EXP PS INSERT	SUP-97-04326	CDM			278	RC		inpatient			2100	2100																																																			
LOCKING DISTAL FIBULA PLATE TI RIGHT 5H	SUP-97-04587	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
LOCKING DISTAL FIBULA PLATE TI RIGHT 5H	SUP-97-04587	CDM			278	RC		inpatient			2100	2100																																																			
LOCKING DISTAL FIBULA PLATE TI LEFT 5H	SUP-97-05327	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
LOCKING DISTAL FIBULA PLATE TI LEFT 5H	SUP-97-05327	CDM			278	RC		inpatient			2100	2100																																																			
SUTURE LASSO MICRO	SUP-97-05475	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
SUTURE LASSO MICRO	SUP-97-05475	CDM			272	RC		inpatient			2100	2100																																																			
INSERT X3 TRIATHLON PS #5 12MM	SUP-97-06421	CDM			278	RC		outpatient			2100	21	2100				fee schedule		2100				other	OPPS APC	1197				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
INSERT X3 TRIATHLON PS #5 12MM	SUP-97-06421	CDM			278	RC		inpatient			2100	2100																																																			
BALLOON - VASCUTRACK CUTTING 2.5X60	SUP-99-00620	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - VASCUTRACK CUTTING 2.5X60	SUP-99-00620	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - VASCUTRACK CUTTING 2.5X60	SUP-99-01443	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - VASCUTRACK CUTTING 2.5X60	SUP-99-01443	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - VASCUTRACK CUTTING 3.0X40	SUP-99-01500	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - VASCUTRACK CUTTING 3.0X40	SUP-99-01500	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - VASCUTRACK CUTTING 5.0X150	SUP-99-01682	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - VASCUTRACK CUTTING 5.0X150	SUP-99-01682	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - VASCUTRACK CUTTING 5.0X200	SUP-99-01697	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - VASCUTRACK CUTTING 5.0X200	SUP-99-01697	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - VASCUTRACK CUTTING 3.5X60	SUP-99-01864	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - VASCUTRACK CUTTING 3.5X60	SUP-99-01864	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.0 X 10	SUP-99-04235	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.0 X 10	SUP-99-04235	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC  2.5X10	SUP-99-04345	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC  2.5X10	SUP-99-04345	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.5 X 20	SUP-99-04347	CDM			278	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.5 X 20	SUP-99-04347	CDM			278	RC		outpatient			2100	2100					fee schedule						other	OPPS APC	1197				percent of total billed charges						other	OPPS APC					other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges						other	OPPS APC	1197	1197	
BALLOON - SCOREFLEX NC 1.75X10	SUP-99-04356	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 1.75X10	SUP-99-04356	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 1.75X15	SUP-99-04357	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 1.75X15	SUP-99-04357	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 1.75X20	SUP-99-04358	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 1.75X20	SUP-99-04358	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.0X15	SUP-99-04359	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.0X15	SUP-99-04359	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.0X20	SUP-99-04360	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.0X20	SUP-99-04360	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.25X10	SUP-99-04361	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.25X10	SUP-99-04361	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.25X15	SUP-99-04362	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.25X15	SUP-99-04362	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.25X20	SUP-99-04363	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.25X20	SUP-99-04363	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.5X15	SUP-99-04364	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.5X15	SUP-99-04364	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.75X10	SUP-99-04365	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.75X10	SUP-99-04365	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.75X15	SUP-99-04366	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.75X15	SUP-99-04366	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 2.75X20	SUP-99-04367	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 2.75X20	SUP-99-04367	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 3.0X10	SUP-99-04368	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 3.0X10	SUP-99-04368	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 3.0X15	SUP-99-04369	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 3.0X15	SUP-99-04369	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 3.0X20	SUP-99-04370	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 3.0X20	SUP-99-04370	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 3.5X10	SUP-99-04371	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 3.5X10	SUP-99-04371	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 3.5X15	SUP-99-04372	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 3.5X15	SUP-99-04372	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 3.5X20	SUP-99-04373	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 3.5X20	SUP-99-04373	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 4.0X10	SUP-99-04374	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 4.0X10	SUP-99-04374	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 4.0X15	SUP-99-04375	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 4.0X15	SUP-99-04375	CDM			272	RC		inpatient			2100	2100																																																			
BALLOON - SCOREFLEX NC 4.0X20	SUP-99-04376	CDM			272	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
BALLOON - SCOREFLEX NC 4.0X20	SUP-99-04376	CDM			272	RC		inpatient			2100	2100																																																			
SYSTEM STENT VASCULAR FORMULA 418 5MM 16MM 135CM RENAL ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED STAINLESS STEEL MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GW 5FR SHEATH 6FR GUIDE CATH	SUP-FOR418-18-135-5-16	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
SYSTEM STENT VASCULAR FORMULA 418 5MM 16MM 135CM RENAL ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED STAINLESS STEEL MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GW 5FR SHEATH 6FR GUIDE CATH	SUP-FOR418-18-135-5-16	CDM			270	RC		inpatient			2100	2100																																																			
SYSTEM STENT VASCULAR FORMULA 418 5MM 20MM 135CM RENAL ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED STAINLESS STEEL MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GW 5FR SHEATH 6FR GUIDE CATH	SUP-FOR418-18-135-5-20	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
SYSTEM STENT VASCULAR FORMULA 418 5MM 20MM 135CM RENAL ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED STAINLESS STEEL MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GW 5FR SHEATH 6FR GUIDE CATH	SUP-FOR418-18-135-5-20	CDM			270	RC		inpatient			2100	2100																																																			
SYSTEM STENT VASCULAR FORMULA 418 6MM 16MM 135CM RENAL ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED STAINLESS STEEL MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GW 5FR SHEATH 6FR GUIDE CATH	SUP-FOR418-18-135-6-16	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
SYSTEM STENT VASCULAR FORMULA 418 6MM 16MM 135CM RENAL ARTERY OTW BALLOON-EXPANDING PRE-MOUNTED STAINLESS STEEL MRI-CONDITIONAL NON-RADIOLUCENT 0.018IN GW 5FR SHEATH 6FR GUIDE CATH	SUP-FOR418-18-135-6-16	CDM			270	RC		inpatient			2100	2100																																																			
STENT BILIARY FORMULA 414 STAINLESS STEEL .014 IN L20 MM L135 CM OD5 MM ODSEC6 FR RENAL RAPID EXCHANGE BALLOON EXPANDABLE SLOTTED TUBE CONFIGURATION GUIDEWIRE STERILE DISPOSABLE	SUP-G56969	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
STENT BILIARY FORMULA 414 STAINLESS STEEL .014 IN L20 MM L135 CM OD5 MM ODSEC6 FR RENAL RAPID EXCHANGE BALLOON EXPANDABLE SLOTTED TUBE CONFIGURATION GUIDEWIRE STERILE DISPOSABLE	SUP-G56969	CDM			270	RC		inpatient			2100	2100																																																			
STENT BILIARY FORMULA 414 STAINLESS STEEL .014 IN L16 MM L135 CM OD6 MM ODSEC6 FR RENAL RAPID EXCHANGE BALLOON EXPANDABLE SLOTTED TUBE CONFIGURATION GUIDEWIRE STERILE DISPOSABLE	SUP-G56971	CDM			270	RC		outpatient			2100	21	568.89				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	568.89				percent of total billed charges		580.23				percent of total billed charges		21				other	OPPS APC	21	2100	
STENT BILIARY FORMULA 414 STAINLESS STEEL .014 IN L16 MM L135 CM OD6 MM ODSEC6 FR RENAL RAPID EXCHANGE BALLOON EXPANDABLE SLOTTED TUBE CONFIGURATION GUIDEWIRE STERILE DISPOSABLE	SUP-G56971	CDM			270	RC		inpatient			2100	2100																																																			
SHEATH VERSA CROSS STEERABLE 8.5F LARGE BIDIRECTIONAL	SUP-VST85-35-BD-71L-D1	CDM			481	RC		outpatient			2100	21	1029				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
SHEATH VERSA CROSS STEERABLE 8.5F LARGE BIDIRECTIONAL	SUP-VST85-35-BD-71L-D1	CDM			481	RC		inpatient			2100	2100																																																			
SHEATH VERSA CROSS STEERABLE 8.5F MEDIUM BIDIRECTIONAL	SUP-VST85-35-BD-71M-D1	CDM			481	RC		outpatient			2100	21	1029				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
SHEATH VERSA CROSS STEERABLE 8.5F MEDIUM BIDIRECTIONAL	SUP-VST85-35-BD-71M-D1	CDM			481	RC		inpatient			2100	2100																																																			
SHEATH VERSA CORSS STEERABLE 8.5F SMALL BIDIRECTIONAL	SUP-VST85-35-BD-71S-D1	CDM			481	RC		outpatient			2100	21	1029				percent of total billed charges		2100				other	OPPS APC	1554				percent of total billed charges		2100				other	OPPS APC	2100				other	OPPS APC	1029				percent of total billed charges		1071				percent of total billed charges		21				other	OPPS APC	21	2100	
SHEATH VERSA CORSS STEERABLE 8.5F SMALL BIDIRECTIONAL	SUP-VST85-35-BD-71S-D1	CDM			481	RC		inpatient			2100	2100																																																			
STENT BILIARY PALMAZ GENESIS OPTA PRO FLEXSEGMENT STAINLESS STEEL L30 MM LARGE L26 MM L80 CM OD7 MM ID6-7 FR BALLOON EXPANDABLE DILATATION CATHETER CLOSED CELL STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 8-9 FR GUIDE CATHETER PTA TRANSHEPATIC	SUP-PG2970BPS	CDM			270	RC		outpatient			2098.2	298.2	568.4				percent of total billed charges		2098.2				other	OPPS APC	1552.67				percent of total billed charges		2098.2				other	OPPS APC	2098.2				other	OPPS APC	568.4				percent of total billed charges		579.73				percent of total billed charges		298.2				other	OPPS APC	298.2	2098.2	
STENT BILIARY PALMAZ GENESIS OPTA PRO FLEXSEGMENT STAINLESS STEEL L30 MM LARGE L26 MM L80 CM OD7 MM ID6-7 FR BALLOON EXPANDABLE DILATATION CATHETER CLOSED CELL STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 8-9 FR GUIDE CATHETER PTA TRANSHEPATIC	SUP-PG2970BPS	CDM			270	RC		inpatient			2098.2	2098.2																																																			
PIN FIXATION ROCKWOOD OD3.8 MM CLAVICLE ASSEMBLY	SUP-1129-14-020	CDM			270	RC		outpatient			2097.9	297.91	568.32				percent of total billed charges		2097.9				other	OPPS APC	1552.45				percent of total billed charges		2097.9				other	OPPS APC	2097.9				other	OPPS APC	568.32				percent of total billed charges		579.65				percent of total billed charges		297.91				other	OPPS APC	297.91	2097.9	
PIN FIXATION ROCKWOOD OD3.8 MM CLAVICLE ASSEMBLY	SUP-1129-14-020	CDM			270	RC		inpatient			2097.9	2097.9																																																			
GUIDE DRILL EVOS OD 2.5 MM FIX VARIABLE ANGLE	SUP-71175042	CDM			270	RC		outpatient			2095.2	295.2	567.59				percent of total billed charges		2095.2				other	OPPS APC	1550.45				percent of total billed charges		2095.2				other	OPPS APC	2095.2				other	OPPS APC	567.59				percent of total billed charges		578.9				percent of total billed charges		295.2				other	OPPS APC	295.2	2095.2	
GUIDE DRILL EVOS OD 2.5 MM FIX VARIABLE ANGLE	SUP-71175042	CDM			270	RC		inpatient			2095.2	2095.2																																																			
HELICAL FENESTRATED BLADE 100MM TFNA	SUP-97-04441	CDM			278	RC		outpatient			2094.72	294.72	2094.72				fee schedule		2094.72				other	OPPS APC	1193.99				percent of total billed charges		2094.72				other	OPPS APC	2094.72				other	OPPS APC	1026.41				percent of total billed charges		1068.31				percent of total billed charges		294.72				other	OPPS APC	294.72	2094.72	
HELICAL FENESTRATED BLADE 100MM TFNA	SUP-97-04441	CDM			278	RC		inpatient			2094.72	2094.72																																																			
HELICAL BLADE	SUP-97-00783	CDM			278	RC		outpatient			2094.66	294.66	2094.66				fee schedule		2094.66				other	OPPS APC	1193.96				percent of total billed charges		2094.66				other	OPPS APC	2094.66				other	OPPS APC	1026.38				percent of total billed charges		1068.28				percent of total billed charges		294.66				other	OPPS APC	294.66	2094.66	
HELICAL BLADE	SUP-97-00783	CDM			278	RC		inpatient			2094.66	2094.66																																																			
BLADE 11MM HELICAL 115MM	SUP-97-00873	CDM			278	RC		outpatient			2094.66	294.66	2094.66				fee schedule		2094.66				other	OPPS APC	1193.96				percent of total billed charges		2094.66				other	OPPS APC	2094.66				other	OPPS APC	1026.38				percent of total billed charges		1068.28				percent of total billed charges		294.66				other	OPPS APC	294.66	2094.66	
BLADE 11MM HELICAL 115MM	SUP-97-00873	CDM			278	RC		inpatient			2094.66	2094.66																																																			
PRIMATRIX MASHED 2X2CM	SUP-95-02652	CDM			636	RC		inpatient			2094	2094																																																			
PRIMATRIX MASHED 2X2CM	SUP-95-02652	CDM			636	RC		outpatient			2094	2094					fee schedule						other	OPPS APC	47.71				fee schedule						other	OPPS APC					other	OPPS APC	1026.06				percent of total billed charges		520.57				percent of total billed charges						other	OPPS APC	1026.06	1026.06	
PLATE BONE EVOS L 70 MM LEFT PROXIMAL LATERAL 4 HOLE PARTIAL ARTICULAR 3.5 MM SCREW	SUP-72453104	CDM			270	RC		outpatient			2092	292	566.72				percent of total billed charges		2092				other	OPPS APC	1548.08				percent of total billed charges		2092				other	OPPS APC	2092				other	OPPS APC	566.72				percent of total billed charges		578.02				percent of total billed charges		292				other	OPPS APC	292	2092	
PLATE BONE EVOS L 70 MM LEFT PROXIMAL LATERAL 4 HOLE PARTIAL ARTICULAR 3.5 MM SCREW	SUP-72453104	CDM			270	RC		inpatient			2092	2092																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L &) MM X W 11.2 MM X H 2 MM W 31.9 MM X H 1.8MM TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72453204	CDM			270	RC		outpatient			2092	292	566.72				percent of total billed charges		2092				other	OPPS APC	1548.08				percent of total billed charges		2092				other	OPPS APC	2092				other	OPPS APC	566.72				percent of total billed charges		578.02				percent of total billed charges		292				other	OPPS APC	292	2092	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L &) MM X W 11.2 MM X H 2 MM W 31.9 MM X H 1.8MM TIBIAL RIGHT PROXIMAL LATERAL 4 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5MM SCREW	SUP-72453204	CDM			270	RC		inpatient			2092	2092																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE T L71MM X H 2 MM  W 32.5 MM X H 2 MM TIIAL RIGHT PROXIMAL POSTEROMEDIAL $ HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE	SUP-72453404	CDM			270	RC		outpatient			2092	292	566.72				percent of total billed charges		2092				other	OPPS APC	1548.08				percent of total billed charges		2092				other	OPPS APC	2092				other	OPPS APC	566.72				percent of total billed charges		578.02				percent of total billed charges		292				other	OPPS APC	292	2092	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE T L71MM X H 2 MM  W 32.5 MM X H 2 MM TIIAL RIGHT PROXIMAL POSTEROMEDIAL $ HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE	SUP-72453404	CDM			270	RC		inpatient			2092	2092																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE I L 78 MM X W 10.9MM X H 2MM W 21.8 MM X H 1.8MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5 MM SCREW	SUP-72453605	CDM			270	RC		outpatient			2092	292	566.72				percent of total billed charges		2092				other	OPPS APC	1548.08				percent of total billed charges		2092				other	OPPS APC	2092				other	OPPS APC	566.72				percent of total billed charges		578.02				percent of total billed charges		292				other	OPPS APC	292	2092	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE I L 78 MM X W 10.9MM X H 2MM W 21.8 MM X H 1.8MM TIBIAL RIGHT PROXIMAL POSTEROMEDIAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5 MM SCREW	SUP-72453605	CDM			270	RC		inpatient			2092	2092																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 64MM X W 12.2MM X H 2MM W17.4MM X H1.7MM TIBIAL RIGHT DISTAL MEDIAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454003	CDM			270	RC		outpatient			2092	292	566.72				percent of total billed charges		2092				other	OPPS APC	1548.08				percent of total billed charges		2092				other	OPPS APC	2092				other	OPPS APC	566.72				percent of total billed charges		578.02				percent of total billed charges		292				other	OPPS APC	292	2092	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 64MM X W 12.2MM X H 2MM W17.4MM X H1.7MM TIBIAL RIGHT DISTAL MEDIAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454003	CDM			270	RC		inpatient			2092	2092																																																			
PLATE BONE EVOS STAINLESS STEEL !! MM SPACE L 87 MM X W 11.2 MM X H 2 MM W 34.4 MM X H1.7 MM TIBIAL RIGHT DISTAL ANTEROLATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454406	CDM			270	RC		outpatient			2092	292	566.72				percent of total billed charges		2092				other	OPPS APC	1548.08				percent of total billed charges		2092				other	OPPS APC	2092				other	OPPS APC	566.72				percent of total billed charges		578.02				percent of total billed charges		292				other	OPPS APC	292	2092	
PLATE BONE EVOS STAINLESS STEEL !! MM SPACE L 87 MM X W 11.2 MM X H 2 MM W 34.4 MM X H1.7 MM TIBIAL RIGHT DISTAL ANTEROLATERAL 6 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 2.7/3.5 MM SCREW	SUP-72454406	CDM			270	RC		inpatient			2092	2092																																																			
PLATE BONE LCP STAINLESS STEEL STANDARD L L44 MM FOREFOOT MIDFOOT RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.258	CDM	270010022	LOCAL	270	RC		outpatient			2090.4	29.41	566.29				percent of total billed charges		2090.4				other	OPPS APC	1546.9				percent of total billed charges		2090.4				other	OPPS APC	2090.4				other	OPPS APC	566.29				percent of total billed charges		577.58				percent of total billed charges		29.41				other	OPPS APC	29.41	2090.4	
PLATE BONE LCP STAINLESS STEEL STANDARD L L44 MM FOREFOOT MIDFOOT RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.258	CDM	270010022	LOCAL	270	RC		inpatient			2090.4	2090.4																																																			
FLOWPROBE OPTIMA 3.0MM	SUP-HQG3MB	CDM			270	RC		outpatient			2090	29	566.18				percent of total billed charges		2090				other	OPPS APC	1546.6				percent of total billed charges		2090				other	OPPS APC	2090				other	OPPS APC	566.18				percent of total billed charges		577.47				percent of total billed charges		29				other	OPPS APC	29	2090	
FLOWPROBE OPTIMA 3.0MM	SUP-HQG3MB	CDM			270	RC		inpatient			2090	2090																																																			
BAYONET OPTIMA 3.0MM SHORT	SUP-HQG3MB-S	CDM			270	RC		outpatient			2090	29	566.18				percent of total billed charges		2090				other	OPPS APC	1546.6				percent of total billed charges		2090				other	OPPS APC	2090				other	OPPS APC	566.18				percent of total billed charges		577.47				percent of total billed charges		29				other	OPPS APC	29	2090	
BAYONET OPTIMA 3.0MM SHORT	SUP-HQG3MB-S	CDM			270	RC		inpatient			2090	2090																																																			
BAYONET OPTIMA 4.0MM SHORT	SUP-HQG4MB-S	CDM			270	RC		outpatient			2090	29	566.18				percent of total billed charges		2090				other	OPPS APC	1546.6				percent of total billed charges		2090				other	OPPS APC	2090				other	OPPS APC	566.18				percent of total billed charges		577.47				percent of total billed charges		29				other	OPPS APC	29	2090	
BAYONET OPTIMA 4.0MM SHORT	SUP-HQG4MB-S	CDM			270	RC		inpatient			2090	2090																																																			
BAYONET OPTIMA 6.0MM SHORT	SUP-HQG6MB-S	CDM			270	RC		outpatient			2090	29	566.18				percent of total billed charges		2090				other	OPPS APC	1546.6				percent of total billed charges		2090				other	OPPS APC	2090				other	OPPS APC	566.18				percent of total billed charges		577.47				percent of total billed charges		29				other	OPPS APC	29	2090	
BAYONET OPTIMA 6.0MM SHORT	SUP-HQG6MB-S	CDM			270	RC		inpatient			2090	2090																																																			
PLATE BONE LCP COMBI 116X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.266	CDM	270010022	LOCAL	270	RC		outpatient			2088.9	288.91	565.88				percent of total billed charges		2088.9				other	OPPS APC	1545.79				percent of total billed charges		2088.9				other	OPPS APC	2088.9				other	OPPS APC	565.88				percent of total billed charges		577.16				percent of total billed charges		288.91				other	OPPS APC	288.91	2088.9	
PLATE BONE LCP COMBI 116X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.266	CDM	270010022	LOCAL	270	RC		inpatient			2088.9	2088.9																																																			
PLATE BONE LCP COMBI 116X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.267	CDM	270010022	LOCAL	270	RC		outpatient			2088.9	288.91	565.88				percent of total billed charges		2088.9				other	OPPS APC	1545.79				percent of total billed charges		2088.9				other	OPPS APC	2088.9				other	OPPS APC	565.88				percent of total billed charges		577.16				percent of total billed charges		288.91				other	OPPS APC	288.91	2088.9	
PLATE BONE LCP COMBI 116X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.267	CDM	270010022	LOCAL	270	RC		inpatient			2088.9	2088.9																																																			
PLATE BONE LCP COMBI 110X11X2.5MM SS NS HUMERUS RIGHT MEDIAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.286	CDM	270010022	LOCAL	270	RC		outpatient			2088.9	288.91	565.88				percent of total billed charges		2088.9				other	OPPS APC	1545.79				percent of total billed charges		2088.9				other	OPPS APC	2088.9				other	OPPS APC	565.88				percent of total billed charges		577.16				percent of total billed charges		288.91				other	OPPS APC	288.91	2088.9	
PLATE BONE LCP COMBI 110X11X2.5MM SS NS HUMERUS RIGHT MEDIAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.286	CDM	270010022	LOCAL	270	RC		inpatient			2088.9	2088.9																																																			
PLATE BONE LCP COMBI 110X11X2.5MM SS NS HUMERUS LEFT MEDIAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.287	CDM	270010022	LOCAL	270	RC		outpatient			2088.9	288.91	565.88				percent of total billed charges		2088.9				other	OPPS APC	1545.79				percent of total billed charges		2088.9				other	OPPS APC	2088.9				other	OPPS APC	565.88				percent of total billed charges		577.16				percent of total billed charges		288.91				other	OPPS APC	288.91	2088.9	
PLATE BONE LCP COMBI 110X11X2.5MM SS NS HUMERUS LEFT MEDIAL POSTEROLATERAL 7 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.287	CDM	270010022	LOCAL	270	RC		inpatient			2088.9	2088.9																																																			
INSERT ARTICULAR NEXGEN UHMWPE 3-4 C-H L66 MM X W42 MM X H17 MM KNEE ANTERIOR CONSTRAIN CRUCIATE RETAINING MACHINE MOLD STERILE	SUP-00-5976-030-17	CDM	270010025	LOCAL	270	RC		outpatient			2088	288	565.64				percent of total billed charges		2088				other	OPPS APC	1545.12				percent of total billed charges		2088				other	OPPS APC	2088				other	OPPS APC	565.64				percent of total billed charges		576.91				percent of total billed charges		288				other	OPPS APC	288	2088	
INSERT ARTICULAR NEXGEN UHMWPE 3-4 C-H L66 MM X W42 MM X H17 MM KNEE ANTERIOR CONSTRAIN CRUCIATE RETAINING MACHINE MOLD STERILE	SUP-00-5976-030-17	CDM	270010025	LOCAL	270	RC		inpatient			2088	2088																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.020	CDM	270010022	LOCAL	270	RC		outpatient			2087.8	287.82	565.59				percent of total billed charges		2087.8				other	OPPS APC	1544.97				percent of total billed charges		2087.8				other	OPPS APC	2087.8				other	OPPS APC	565.59				percent of total billed charges		576.86				percent of total billed charges		287.82				other	OPPS APC	287.82	2087.8	
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.020	CDM	270010022	LOCAL	270	RC		inpatient			2087.8	2087.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.021	CDM	270010022	LOCAL	270	RC		outpatient			2087.8	287.82	565.59				percent of total billed charges		2087.8				other	OPPS APC	1544.97				percent of total billed charges		2087.8				other	OPPS APC	2087.8				other	OPPS APC	565.59				percent of total billed charges		576.86				percent of total billed charges		287.82				other	OPPS APC	287.82	2087.8	
PLATE BONE LCP COMBI STAINLESS STEEL L135 MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.021	CDM	270010022	LOCAL	270	RC		inpatient			2087.8	2087.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L120 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.030	CDM	270010022	LOCAL	270	RC		outpatient			2087.8	287.82	565.59				percent of total billed charges		2087.8				other	OPPS APC	1544.97				percent of total billed charges		2087.8				other	OPPS APC	2087.8				other	OPPS APC	565.59				percent of total billed charges		576.86				percent of total billed charges		287.82				other	OPPS APC	287.82	2087.8	
PLATE BONE LCP COMBI STAINLESS STEEL L120 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.030	CDM	270010022	LOCAL	270	RC		inpatient			2087.8	2087.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L120 MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.031	CDM	270010022	LOCAL	270	RC		outpatient			2087.8	287.82	565.59				percent of total billed charges		2087.8				other	OPPS APC	1544.97				percent of total billed charges		2087.8				other	OPPS APC	2087.8				other	OPPS APC	565.59				percent of total billed charges		576.86				percent of total billed charges		287.82				other	OPPS APC	287.82	2087.8	
PLATE BONE LCP COMBI STAINLESS STEEL L120 MM CLAVICLE LEFT ANTERIOR SUPERIOR 8 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.031	CDM	270010022	LOCAL	270	RC		inpatient			2087.8	2087.8																																																			
HEADLESS COMPRES SCRW 4.3X70MM	SUP-97-04037	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
HEADLESS COMPRES SCRW 4.3X70MM	SUP-97-04037	CDM			278	RC		inpatient			2085	2085																																																			
COMPR FT SCREW 7.0 XL 65MM LGTH	SUP-97-05033	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
COMPR FT SCREW 7.0 XL 65MM LGTH	SUP-97-05033	CDM			278	RC		inpatient			2085	2085																																																			
COMPR FT SCREW 7.0 XL 80MM LGTH	SUP-97-05139	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
COMPR FT SCREW 7.0 XL 80MM LGTH	SUP-97-05139	CDM			278	RC		inpatient			2085	2085																																																			
COMPR FT SCREW 7.0XL 50MM LGTH	SUP-97-05178	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
COMPR FT SCREW 7.0XL 50MM LGTH	SUP-97-05178	CDM			278	RC		inpatient			2085	2085																																																			
COMPR FT SCRW 7.0 XL 90MM LGTH	SUP-97-05264	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
COMPR FT SCRW 7.0 XL 90MM LGTH	SUP-97-05264	CDM			278	RC		inpatient			2085	2085																																																			
COMPR FT SCRW 7.0 XL 95MM LGTH	SUP-97-05265	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
COMPR FT SCRW 7.0 XL 95MM LGTH	SUP-97-05265	CDM			278	RC		inpatient			2085	2085																																																			
COMPR FT SCRW 7.0 XL 75MM LGTH	SUP-97-05410	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
COMPR FT SCRW 7.0 XL 75MM LGTH	SUP-97-05410	CDM			278	RC		inpatient			2085	2085																																																			
SCREW COMPRE FT 7.0 X 55MM	SUP-97-05752	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
SCREW COMPRE FT 7.0 X 55MM	SUP-97-05752	CDM			278	RC		inpatient			2085	2085																																																			
SCREW COMPR FT 7.0 X 40MM	SUP-97-06058	CDM			278	RC		outpatient			2085	285	2085				fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	285	2085	
SCREW COMPR FT 7.0 X 40MM	SUP-97-06058	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 5X120	SUP-99-03493	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 5X120	SUP-99-03493	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 6X120	SUP-99-03514	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X120	SUP-99-03514	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 6X20 150CM	SUP-99-0391	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X20 150CM	SUP-99-0391	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 6X100 150CM	SUP-99-03929	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X100 150CM	SUP-99-03929	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 6X120 150CM	SUP-99-03930	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X120 150CM	SUP-99-03930	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 6X20 150CM	SUP-99-03931	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X20 150CM	SUP-99-03931	CDM			278	RC		outpatient			2085	285					fee schedule		2085				other	OPPS APC	1188.45				percent of total billed charges		2085				other	OPPS APC	2085				other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges		285				other	OPPS APC	2085	2085	
STENT - EVERFLEX 6X40 150CM	SUP-99-03932	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X40 150CM	SUP-99-03932	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 6X80 150CM	SUP-99-03933	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 6X80 150CM	SUP-99-03933	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 7X100 150CM	SUP-99-03934	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 7X100 150CM	SUP-99-03934	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 7X120 150CM	SUP-99-03935	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 7X120 150CM	SUP-99-03935	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 7X150 150CM	SUP-99-03936	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 7X150 150CM	SUP-99-03936	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 7X60 150CM	SUP-99-03937	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 7X60 150CM	SUP-99-03937	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 7X80 150CM	SUP-99-03938	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 7X80 150CM	SUP-99-03938	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 8X100 150CM	SUP-99-03939	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 8X100 150CM	SUP-99-03939	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 8X120 150CM	SUP-99-03940	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 8X120 150CM	SUP-99-03940	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 8X20 150CM	SUP-99-03941	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 8X20 150CM	SUP-99-03941	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 8X40 150CM	SUP-99-03942	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 8X40 150CM	SUP-99-03942	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 8X60 150CM	SUP-99-03943	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 8X60 150CM	SUP-99-03943	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
STENT - EVERFLEX 8X80 150CM	SUP-99-03944	CDM			278	RC		inpatient			2085	2085																																																			
STENT - EVERFLEX 8X80 150CM	SUP-99-03944	CDM			278	RC		outpatient			2085	2085					fee schedule						other	OPPS APC	1188.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	1021.65				percent of total billed charges		1063.35				percent of total billed charges						other	OPPS APC	1188.45	1188.45	
PLATE BONE LCP STAINLESS STEEL LONG CLOVERLEAF L64 MM FOREFOOT MIDFOOT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.252	CDM	270010022	LOCAL	270	RC		outpatient			2083.2	283.2	564.34				percent of total billed charges		2083.2				other	OPPS APC	1541.57				percent of total billed charges		2083.2				other	OPPS APC	2083.2				other	OPPS APC	564.34				percent of total billed charges		575.59				percent of total billed charges		283.2				other	OPPS APC	283.2	2083.2	
PLATE BONE LCP STAINLESS STEEL LONG CLOVERLEAF L64 MM FOREFOOT MIDFOOT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.252	CDM	270010022	LOCAL	270	RC		inpatient			2083.2	2083.2																																																			
KIT BONE CEMENT AUTOPLEX VERTAPLEX WITHOUT NEEDLE STERILE LATEX FREE DISPOSABLE	SUP-0607-687-000	CDM			270	RC		outpatient			2081.84	281.84	563.97				percent of total billed charges		2081.84				other	OPPS APC	1540.56				percent of total billed charges		2081.84				other	OPPS APC	2081.84				other	OPPS APC	563.97				percent of total billed charges		575.21				percent of total billed charges		281.84				other	OPPS APC	281.84	2081.84	
KIT BONE CEMENT AUTOPLEX VERTAPLEX WITHOUT NEEDLE STERILE LATEX FREE DISPOSABLE	SUP-0607-687-000	CDM			270	RC		inpatient			2081.84	2081.84																																																			
GRAFT SOFT TISSUE SURGISIS BIODESIGN 10X7CM PORCINE ACELLULAR COLLAGEN MATRIX LF 4 LAYER MESH HIATAL HERNIA REPAIR	SUP-G12580	CDM			270	RC		outpatient			2080.6	28.6	563.63				percent of total billed charges		2080.6				other	OPPS APC	1539.64				percent of total billed charges		2080.6				other	OPPS APC	2080.6				other	OPPS APC	563.63				percent of total billed charges		574.87				percent of total billed charges		28.6				other	OPPS APC	28.6	2080.6	
GRAFT SOFT TISSUE SURGISIS BIODESIGN 10X7CM PORCINE ACELLULAR COLLAGEN MATRIX LF 4 LAYER MESH HIATAL HERNIA REPAIR	SUP-G12580	CDM			270	RC		inpatient			2080.6	2080.6																																																			
PROBE OPTIMA NEURO 1.5MM	SUP-HQG1.5MB	CDM			270	RC		outpatient			2080	28	563.47				percent of total billed charges		2080				other	OPPS APC	1539.2				percent of total billed charges		2080				other	OPPS APC	2080				other	OPPS APC	563.47				percent of total billed charges		574.7				percent of total billed charges		28				other	OPPS APC	28	2080	
PROBE OPTIMA NEURO 1.5MM	SUP-HQG1.5MB	CDM			270	RC		inpatient			2080	2080																																																			
PROBE OPTIMA NEURO 2.0MM	SUP-HQG2MB	CDM			270	RC		outpatient			2080	28	563.47				percent of total billed charges		2080				other	OPPS APC	1539.2				percent of total billed charges		2080				other	OPPS APC	2080				other	OPPS APC	563.47				percent of total billed charges		574.7				percent of total billed charges		28				other	OPPS APC	28	2080	
PROBE OPTIMA NEURO 2.0MM	SUP-HQG2MB	CDM			270	RC		inpatient			2080	2080																																																			
COMPONENT GLENOID UNIVERS II POLYETHYLENE MEDIUM SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-02	CDM	270010030	LOCAL	270	RC		outpatient			2079.86	279.86	563.43				percent of total billed charges		2079.86				other	OPPS APC	1539.1				percent of total billed charges		2079.86				other	OPPS APC	2079.86				other	OPPS APC	563.43				percent of total billed charges		574.67				percent of total billed charges		279.86				other	OPPS APC	279.86	2079.86	
COMPONENT GLENOID UNIVERS II POLYETHYLENE MEDIUM SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-02	CDM	270010030	LOCAL	270	RC		inpatient			2079.86	2079.86																																																			
COMPONENT GLENOID ARTHREX UNIVERS MEDIUM VAULTLOCK STERILE	SUP-AR-9106-02	CDM	270010030	LOCAL	270	RC		outpatient			2079.86	279.86	563.43				percent of total billed charges		2079.86				other	OPPS APC	1539.1				percent of total billed charges		2079.86				other	OPPS APC	2079.86				other	OPPS APC	563.43				percent of total billed charges		574.67				percent of total billed charges		279.86				other	OPPS APC	279.86	2079.86	
COMPONENT GLENOID ARTHREX UNIVERS MEDIUM VAULTLOCK STERILE	SUP-AR-9106-02	CDM	270010030	LOCAL	270	RC		inpatient			2079.86	2079.86																																																			
COMPONENT GLENOID UNIVERS II POLYETHYLENE SMALL SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-01	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
COMPONENT GLENOID UNIVERS II POLYETHYLENE SMALL SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-01	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
COMPONENT GLENOID UNIVERS II POLYETHYLENE LARGE SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-03	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
COMPONENT GLENOID UNIVERS II POLYETHYLENE LARGE SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-03	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
COMPONENT GLENOID UNIVERS II POLYETHYLENE XL SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-04	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
COMPONENT GLENOID UNIVERS II POLYETHYLENE XL SHOULDER CEMENTED PEG STERILE	SUP-AR-9105-04	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
COMPONENT GLENOID UNIVERS VAULTLOCK SMALL STERILE LATEX FREE DISPOSABLE	SUP-AR-9106-01	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
COMPONENT GLENOID UNIVERS VAULTLOCK SMALL STERILE LATEX FREE DISPOSABLE	SUP-AR-9106-01	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
GLENOID WITH CLEAT LARGE	SUP-AR-9106-03	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
GLENOID WITH CLEAT LARGE	SUP-AR-9106-03	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
HUMERAL HEAD ARTHREX ECLIPSE 41/16	SUP-IDE-AR-9341-16	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
HUMERAL HEAD ARTHREX ECLIPSE 41/16	SUP-IDE-AR-9341-16	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
HUMERAL HEAD ARTHREX ECLIPSE 47/20	SUP-IDE-AR-9347-20	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
HUMERAL HEAD ARTHREX ECLIPSE 47/20	SUP-IDE-AR-9347-20	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
HUMERAL HEAD ARTHREX ECLIPSE 53/22	SUP-IDE-AR-9353-22	CDM	270010030	LOCAL	270	RC		outpatient			2079.84	279.84	563.43				percent of total billed charges		2079.84				other	OPPS APC	1539.08				percent of total billed charges		2079.84				other	OPPS APC	2079.84				other	OPPS APC	563.43				percent of total billed charges		574.66				percent of total billed charges		279.84				other	OPPS APC	279.84	2079.84	
HUMERAL HEAD ARTHREX ECLIPSE 53/22	SUP-IDE-AR-9353-22	CDM	270010030	LOCAL	270	RC		inpatient			2079.84	2079.84																																																			
STOP DRILL	SUP-97-04864	CDM			272	RC		outpatient			2079	279	563.2				percent of total billed charges		2079				other	OPPS APC	1538.46				percent of total billed charges		2079				other	OPPS APC	2079				other	OPPS APC	563.2				percent of total billed charges		574.43				percent of total billed charges		279				other	OPPS APC	279	2079	
STOP DRILL	SUP-97-04864	CDM			272	RC		inpatient			2079	2079																																																			
2.0 DRILL	SUP-97-23821	CDM			272	RC		outpatient			2079	279	563.2				percent of total billed charges		2079				other	OPPS APC	1538.46				percent of total billed charges		2079				other	OPPS APC	2079				other	OPPS APC	563.2				percent of total billed charges		574.43				percent of total billed charges		279				other	OPPS APC	279	2079	
2.0 DRILL	SUP-97-23821	CDM			272	RC		inpatient			2079	2079																																																			
SPACER ALLOGRAFT CORTICAL PARALLEL OVAL PYRAMIDAL TEETH L12 MM X W14 MM X H5 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN ACF	SUP-017105	CDM	270010031	LOCAL	270	RC		outpatient			2078.44	278.44	563.05				percent of total billed charges		2078.44				other	OPPS APC	1538.05				percent of total billed charges		2078.44				other	OPPS APC	2078.44				other	OPPS APC	563.05				percent of total billed charges		574.27				percent of total billed charges		278.44				other	OPPS APC	278.44	2078.44	
SPACER ALLOGRAFT CORTICAL PARALLEL OVAL PYRAMIDAL TEETH L12 MM X W14 MM X H5 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN ACF	SUP-017105	CDM	270010031	LOCAL	270	RC		inpatient			2078.44	2078.44																																																			
SPACER ALLOGRAFT OVAL PARALLEL 12X14X7MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017107	CDM	270010012	LOCAL	270	RC		outpatient			2078.44	278.44	563.05				percent of total billed charges		2078.44				other	OPPS APC	1538.05				percent of total billed charges		2078.44				other	OPPS APC	2078.44				other	OPPS APC	563.05				percent of total billed charges		574.27				percent of total billed charges		278.44				other	OPPS APC	278.44	2078.44	
SPACER ALLOGRAFT OVAL PARALLEL 12X14X7MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017107	CDM	270010012	LOCAL	270	RC		inpatient			2078.44	2078.44																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H10 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017210	CDM	270010012	LOCAL	270	RC		outpatient			2078	278	562.93				percent of total billed charges		2078				other	OPPS APC	1537.72				percent of total billed charges		2078				other	OPPS APC	2078				other	OPPS APC	562.93				percent of total billed charges		574.15				percent of total billed charges		278				other	OPPS APC	278	2078	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H10 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017210	CDM	270010012	LOCAL	270	RC		inpatient			2078	2078																																																			
SCREW F/T LOCKING 5MM X 25MM	SUP-97-03201	CDM			278	RC		outpatient			2077.29	277.29	2077.29				fee schedule		2077.29				other	OPPS APC	1184.06				percent of total billed charges		2077.29				other	OPPS APC	2077.29				other	OPPS APC	1017.87				percent of total billed charges		1059.42				percent of total billed charges		277.29				other	OPPS APC	277.29	2077.29	
SCREW F/T LOCKING 5MM X 25MM	SUP-97-03201	CDM			278	RC		inpatient			2077.29	2077.29																																																			
SUPER D CYTOLOGY BRUSH NEEDLE TIPPED	SUP-95-23396	CDM			272	RC		outpatient			2077.11	277.11	562.69				percent of total billed charges		2077.11				other	OPPS APC	1537.06				percent of total billed charges		2077.11				other	OPPS APC	2077.11				other	OPPS APC	562.69				percent of total billed charges		573.91				percent of total billed charges		277.11				other	OPPS APC	277.11	2077.11	
SUPER D CYTOLOGY BRUSH NEEDLE TIPPED	SUP-95-23396	CDM			272	RC		inpatient			2077.11	2077.11																																																			
SPACER ALLOGRAFT OVAL PARALLEL 12X14X6MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017106	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT OVAL PARALLEL 12X14X6MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017106	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT OVAL PARALLEL 12X14X8MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017108	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT OVAL PARALLEL 12X14X8MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017108	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT OVAL PARALLEL 12X14X9MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017109	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT OVAL PARALLEL 12X14X9MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017109	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT OVAL PARALLEL 12X14X10MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017110	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT OVAL PARALLEL 12X14X10MM CORTICAL SPINE FREEZE DRIED MONOLITHIC LG CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017110	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H5 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017205	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H5 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017205	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H6 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017206	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H6 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017206	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H7 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017207	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H7 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017207	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H8 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017208	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H8 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017208	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H9 MM SPINE CERVICAL ANTERIOR FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017209	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H9 MM SPINE CERVICAL ANTERIOR FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017209	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H11 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017211	CDM	270010012	LOCAL	270	RC		outpatient			2075.92	275.92	562.37				percent of total billed charges		2075.92				other	OPPS APC	1536.18				percent of total billed charges		2075.92				other	OPPS APC	2075.92				other	OPPS APC	562.37				percent of total billed charges		573.58				percent of total billed charges		275.92				other	OPPS APC	275.92	2075.92	
SPACER ALLOGRAFT CORTICAL 5 D LORDOTIC OVAL L12 MM X W14 MM X H11 MM SPINE FREEZE DRIED MONOLITHIC LARGE CENTRAL LUMEN PYRAMIDAL TEETH ACF	SUP-017211	CDM	270010012	LOCAL	270	RC		inpatient			2075.92	2075.92																																																			
DISTAL RADIUS PLATE 6HOLE HEAD 5 HOLE SHAFT RIGHT	SUP-02.111.640	CDM			270	RC		outpatient			2070	27	560.76				percent of total billed charges		2070				other	OPPS APC	1531.8				percent of total billed charges		2070				other	OPPS APC	2070				other	OPPS APC	560.76				percent of total billed charges		571.94				percent of total billed charges		27				other	OPPS APC	27	2070	
DISTAL RADIUS PLATE 6HOLE HEAD 5 HOLE SHAFT RIGHT	SUP-02.111.640	CDM			270	RC		inpatient			2070	2070																																																			
DISTAL RADIUS PLATE 6HOLE HEAD 5 HOLE SHAFT LEFT	SUP-02.111.641	CDM			270	RC		outpatient			2070	27	560.76				percent of total billed charges		2070				other	OPPS APC	1531.8				percent of total billed charges		2070				other	OPPS APC	2070				other	OPPS APC	560.76				percent of total billed charges		571.94				percent of total billed charges		27				other	OPPS APC	27	2070	
DISTAL RADIUS PLATE 6HOLE HEAD 5 HOLE SHAFT LEFT	SUP-02.111.641	CDM			270	RC		inpatient			2070	2070																																																			
DISTAL RADIUS PLATE 7HOLE HEAD 5 HOLE SHAFT RIGHT	SUP-02.111.740	CDM			270	RC		outpatient			2070	27	560.76				percent of total billed charges		2070				other	OPPS APC	1531.8				percent of total billed charges		2070				other	OPPS APC	2070				other	OPPS APC	560.76				percent of total billed charges		571.94				percent of total billed charges		27				other	OPPS APC	27	2070	
DISTAL RADIUS PLATE 7HOLE HEAD 5 HOLE SHAFT RIGHT	SUP-02.111.740	CDM			270	RC		inpatient			2070	2070																																																			
PLATE STANDARD HEADS 7 HOLE SHAFT LEFT	SUP-97-06051	CDM			278	RC		outpatient			2070	27	2070				fee schedule		2070				other	OPPS APC	1179.9				percent of total billed charges		2070				other	OPPS APC	2070				other	OPPS APC	1014.3				percent of total billed charges		1055.7				percent of total billed charges		27				other	OPPS APC	27	2070	
PLATE STANDARD HEADS 7 HOLE SHAFT LEFT	SUP-97-06051	CDM			278	RC		inpatient			2070	2070																																																			
GRIP CABLE DALL-MILES VITALLIUM 2 MM MEDIUM OD2 MM HIP TROCHANTER	SUP-6704-3-080	CDM			270	RC		outpatient			2068.2	268.2	560.28				percent of total billed charges		2068.2				other	OPPS APC	1530.47				percent of total billed charges		2068.2				other	OPPS APC	2068.2				other	OPPS APC	560.28				percent of total billed charges		571.44				percent of total billed charges		268.2				other	OPPS APC	268.2	2068.2	
GRIP CABLE DALL-MILES VITALLIUM 2 MM MEDIUM OD2 MM HIP TROCHANTER	SUP-6704-3-080	CDM			270	RC		inpatient			2068.2	2068.2																																																			
STENT - ULTRA 5.0X13	SUP-99-01514	CDM			278	RC		inpatient			2064	2064																																																			
STENT - ULTRA 5.0X13	SUP-99-01514	CDM			278	RC		outpatient			2064	2064					fee schedule						other	OPPS APC	1176.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	1011.36				percent of total billed charges		1052.64				percent of total billed charges						other	OPPS APC	1176.48	1176.48	
GRAFT BONE THK3-12MM HALVED 200MMX10+ MM FEMORAL CORTICAL ALLOGRAFT STRUT FROZEN	SUP-450495	CDM	270010031	LOCAL	270	RC		outpatient			2063.16	263.16	558.91				percent of total billed charges		2063.16				other	OPPS APC	1526.74				percent of total billed charges		2063.16				other	OPPS APC	2063.16				other	OPPS APC	558.91				percent of total billed charges		570.05				percent of total billed charges		263.16				other	OPPS APC	263.16	2063.16	
GRAFT BONE THK3-12MM HALVED 200MMX10+ MM FEMORAL CORTICAL ALLOGRAFT STRUT FROZEN	SUP-450495	CDM	270010031	LOCAL	270	RC		inpatient			2063.16	2063.16																																																			
HC Drainage of Hematoma/Fluid	PX-450101401	CDM	10140	CPT	450	RC		outpatient			2063	1579.36	195.77				case rate		1579.36				other	OPPS APC	1526.62				percent of total billed charges		1579.36				other	OPPS APC	1579.36				other	OPPS APC	195.77				case rate		199.69				case rate		1579.36				other	OPPS APC	195.77	1579.36	
HC Drainage of Hematoma/Fluid	PX-450101401	CDM	10140	CPT	450	RC		inpatient			2063	2063																																																			
HC Hematoma Fluid Seroma Drainage	PX-761101402	CDM	10140	CPT	761	RC		outpatient			2063	1579.36	195.77				case rate		1579.36				other	OPPS APC	1526.62				percent of total billed charges		1579.36				other	OPPS APC	1579.36				other	OPPS APC	195.77				case rate		1052.13				percent of total billed charges		1579.36				other	OPPS APC	195.77	1579.36	
HC Hematoma Fluid Seroma Drainage	PX-761101402	CDM	10140	CPT	761	RC		inpatient			2063	2063																																																			
HC Debride Bone W/Mod	PX-761110440	CDM	11044	CPT	761	RC		outpatient			2063	1579.36	195.77				case rate		1579.36				other	OPPS APC	1526.62				percent of total billed charges		1579.36				other	OPPS APC	1579.36				other	OPPS APC	195.77				case rate		1052.13				percent of total billed charges		1579.36				other	OPPS APC	195.77	1579.36	
HC Debride Bone W/Mod	PX-761110440	CDM	11044	CPT	761	RC		inpatient			2063	2063																																																			
HC Foreign Body Remvl Tendon Muscle Sim	PX-450205201	CDM	20520	CPT	450	RC		outpatient			2062.5	262.5	195.77				case rate		2062.5				other	OPPS APC	1526.25				percent of total billed charges		2062.5				other	OPPS APC	2062.5				other	OPPS APC	195.77				case rate		199.69				case rate		262.5				other	OPPS APC	195.77	2062.5	
HC Foreign Body Remvl Tendon Muscle Sim	PX-450205201	CDM	20520	CPT	450	RC		inpatient			2062.5	2062.5																																																			
BLOCK AUGMENTATION OPTETRAK 4 H5 MM KNEE FEMUR	SUP-208-05-04	CDM	270010025	LOCAL	270	RC		outpatient			2060	26	558.05				percent of total billed charges		2060				other	OPPS APC	1524.4				percent of total billed charges		2060				other	OPPS APC	2060				other	OPPS APC	558.05				percent of total billed charges		569.18				percent of total billed charges		26				other	OPPS APC	26	2060	
BLOCK AUGMENTATION OPTETRAK 4 H5 MM KNEE FEMUR	SUP-208-05-04	CDM	270010025	LOCAL	270	RC		inpatient			2060	2060																																																			
INTRODUCER SHEATH AGILIS NXT .032 IN SMALL CURL L71 CM OD8.5 FR TRANSSEPTAL 2 REACH STEERABLE BIDIRECTIONAL ERGONOMIC HANDLE GUIDEWIRE	SUP-408309	CDM			270	RC		outpatient			2060	26	558.05				percent of total billed charges		2060				other	OPPS APC	1524.4				percent of total billed charges		2060				other	OPPS APC	2060				other	OPPS APC	558.05				percent of total billed charges		569.18				percent of total billed charges		26				other	OPPS APC	26	2060	
INTRODUCER SHEATH AGILIS NXT .032 IN SMALL CURL L71 CM OD8.5 FR TRANSSEPTAL 2 REACH STEERABLE BIDIRECTIONAL ERGONOMIC HANDLE GUIDEWIRE	SUP-408309	CDM			270	RC		inpatient			2060	2060																																																			
INTRODUCER SHEATH AGILIS NXT .032 IN 22.4 MM MEDIUM CURL CURVE L71 CM L91 CM OD8.5 FR TRANSSEPTAL 2 REACH BIDIRECTIONAL ATRAUMATIC ERGONOMIC HANDLE GUIDEWIRE RADIOPAQUE	SUP-408310	CDM			270	RC		outpatient			2060	26	558.05				percent of total billed charges		2060				other	OPPS APC	1524.4				percent of total billed charges		2060				other	OPPS APC	2060				other	OPPS APC	558.05				percent of total billed charges		569.18				percent of total billed charges		26				other	OPPS APC	26	2060	
INTRODUCER SHEATH AGILIS NXT .032 IN 22.4 MM MEDIUM CURL CURVE L71 CM L91 CM OD8.5 FR TRANSSEPTAL 2 REACH BIDIRECTIONAL ATRAUMATIC ERGONOMIC HANDLE GUIDEWIRE RADIOPAQUE	SUP-408310	CDM			270	RC		inpatient			2060	2060																																																			
INTRODUCER SHEATH AGILIS NXT DUAL REACH .032 IN LARGE CURL CURVE L50 MM L71 CM OD8.5 FR STEERABLE ERGONOMIC HANDLE ATRAUMATIC TIP INTEGRATE HEMOSTASIS VALVE RADIOPAQUE TIP MARKER	SUP-G408324	CDM			270	RC		outpatient			2060	26	558.05				percent of total billed charges		2060				other	OPPS APC	1524.4				percent of total billed charges		2060				other	OPPS APC	2060				other	OPPS APC	558.05				percent of total billed charges		569.18				percent of total billed charges		26				other	OPPS APC	26	2060	
INTRODUCER SHEATH AGILIS NXT DUAL REACH .032 IN LARGE CURL CURVE L50 MM L71 CM OD8.5 FR STEERABLE ERGONOMIC HANDLE ATRAUMATIC TIP INTEGRATE HEMOSTASIS VALVE RADIOPAQUE TIP MARKER	SUP-G408324	CDM			270	RC		inpatient			2060	2060																																																			
EXTENSION STEM OPTETRAK L12 MM OD11 MM TIBIAL KNEE FLUTED	SUP-204-32-01	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L12 MM OD11 MM TIBIAL KNEE FLUTED	SUP-204-32-01	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L80 MM OD12 MM TIBIAL KNEE FLUTED	SUP-204-32-08	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L80 MM OD12 MM TIBIAL KNEE FLUTED	SUP-204-32-08	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L25 MM OD14 MM TIBIAL KNEE FLUTED	SUP-204-34-02	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L25 MM OD14 MM TIBIAL KNEE FLUTED	SUP-204-34-02	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L40 MM OD14 MM TIBIAL KNEE FLUTED	SUP-204-34-04	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L40 MM OD14 MM TIBIAL KNEE FLUTED	SUP-204-34-04	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L80 MM OD16 MM TIBIAL KNEE FLUTED	SUP-204-36-08	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L80 MM OD16 MM TIBIAL KNEE FLUTED	SUP-204-36-08	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L120 MM OD16 MM TIBIAL KNEE FLUTED SLOTTED	SUP-204-36-12	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L120 MM OD16 MM TIBIAL KNEE FLUTED SLOTTED	SUP-204-36-12	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L80 MM OD18 MM TIBIAL KNEE FLUTED	SUP-204-38-08	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L80 MM OD18 MM TIBIAL KNEE FLUTED	SUP-204-38-08	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L120 MM OD18 MM TIBIAL KNEE FLUTED SLOTTED	SUP-204-38-12	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L120 MM OD18 MM TIBIAL KNEE FLUTED SLOTTED	SUP-204-38-12	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
EXTENSION STEM OPTETRAK L120 MM OD20 MM KNEE FLUTED SLOTTED	SUP-204-40-12	CDM	270010025	LOCAL	270	RC		outpatient			2052	252	555.89				percent of total billed charges		2052				other	OPPS APC	1518.48				percent of total billed charges		2052				other	OPPS APC	2052				other	OPPS APC	555.89				percent of total billed charges		566.97				percent of total billed charges		252				other	OPPS APC	252	2052	
EXTENSION STEM OPTETRAK L120 MM OD20 MM KNEE FLUTED SLOTTED	SUP-204-40-12	CDM	270010025	LOCAL	270	RC		inpatient			2052	2052																																																			
SUBSTITUTE BONE GRAFT ACTIFUSE ABX SILICATED CALCIUM PHOSPHATE 1-2 MM 5 ML RESORBABLE SCAFFOLD OSTEOSTIMULATIVE GRANULE STERILE	SUP-506005078051	CDM	270010012	LOCAL	270	RC		outpatient			2050	25	555.35				percent of total billed charges		2050				other	OPPS APC	1517				percent of total billed charges		2050				other	OPPS APC	2050				other	OPPS APC	555.35				percent of total billed charges		566.42				percent of total billed charges		25				other	OPPS APC	25	2050	
SUBSTITUTE BONE GRAFT ACTIFUSE ABX SILICATED CALCIUM PHOSPHATE 1-2 MM 5 ML RESORBABLE SCAFFOLD OSTEOSTIMULATIVE GRANULE STERILE	SUP-506005078051	CDM	270010012	LOCAL	270	RC		inpatient			2050	2050																																																			
IMPLANT NASAL PROPEL MOMETASONE FUROATE CONTOUR 370 MCG MINI L16 MM	SUP-60011	CDM						inpatient			2050	2050																																																			
IMPLANT NASAL PROPEL MOMETASONE FUROATE CONTOUR 370 MCG MINI L16 MM	SUP-60011	CDM						outpatient			2050	25	2050				percent of total billed charges		2050				other	OPPS APC	2050				fee schedule		2050				other	OPPS APC	2050				other	OPPS APC	2050				case rate		2050				case rate		25				other	OPPS APC	25	2050	
DEPT GAUGE EXTENTION	SUP-97-03628	CDM			278	RC		outpatient			2049.03	249.32	2049.03				fee schedule		2049.03				other	OPPS APC	1167.95				percent of total billed charges		2049.03				other	OPPS APC	2049.03				other	OPPS APC	1004.02				percent of total billed charges		1045.01				percent of total billed charges		249.32				other	OPPS APC	249.32	2049.03	
DEPT GAUGE EXTENTION	SUP-97-03628	CDM			278	RC		inpatient			2049.03	2049.03																																																			
PLATE BONE ATLANTIS VISION TITANIUM L21 MM SPINE CERVICAL ANTERIOR LOCK STERILE	SUP-976-121	CDM	270010020	LOCAL	270	RC		outpatient			2048.56	248.56	554.95				percent of total billed charges		2048.56				other	OPPS APC	1515.93				percent of total billed charges		2048.56				other	OPPS APC	2048.56				other	OPPS APC	554.95				percent of total billed charges		566.02				percent of total billed charges		248.56				other	OPPS APC	248.56	2048.56	
PLATE BONE ATLANTIS VISION TITANIUM L21 MM SPINE CERVICAL ANTERIOR LOCK STERILE	SUP-976-121	CDM	270010020	LOCAL	270	RC		inpatient			2048.56	2048.56																																																			
HC CT Abd and Pelvis W Contrast	PX-352741770	CDM	74177	CPT	352	RC		outpatient			2048	388.42	330.79				fee schedule		388.04				other	OPPS APC	2361.33				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	318.09				fee schedule		231				fee schedule		388.42				other	OPPS APC	231	2361.33	
HC CT Abd and Pelvis W Contrast	PX-352741770	CDM	74177	CPT	352	RC		inpatient			2048	2048																																																			
CLAMP 5 HOLE PIN	SUP-95-04006	CDM			278	RC		outpatient			2047.92	247.92	2047.92				fee schedule		2047.92				other	OPPS APC	1167.31				percent of total billed charges		2047.92				other	OPPS APC	2047.92				other	OPPS APC	1003.48				percent of total billed charges		1044.44				percent of total billed charges		247.92				other	OPPS APC	247.92	2047.92	
CLAMP 5 HOLE PIN	SUP-95-04006	CDM			278	RC		inpatient			2047.92	2047.92																																																			
CATHETER ANGIOGRAPHIC FRONTRUNNER XP HYDROPHILIC L90 CM L2.3 MM PERIPHERAL LOW PROFILE ACCEPTS 6 FR SHEATH CHRONIC TOTAL OCCLUSION	SUP-FBS3990	CDM			270	RC		outpatient			2046	246	554.26				percent of total billed charges		2046				other	OPPS APC	1514.04				percent of total billed charges		2046				other	OPPS APC	2046				other	OPPS APC	554.26				percent of total billed charges		565.31				percent of total billed charges		246				other	OPPS APC	246	2046	
CATHETER ANGIOGRAPHIC FRONTRUNNER XP HYDROPHILIC L90 CM L2.3 MM PERIPHERAL LOW PROFILE ACCEPTS 6 FR SHEATH CHRONIC TOTAL OCCLUSION	SUP-FBS3990	CDM			270	RC		inpatient			2046	2046																																																			
HC Ivus Non Coronary Initial Vessel	PX-361372521	CDM	37252	CPT	361	RC		outpatient			2044	244	645.5				percent of total billed charges		2044				other	OPPS APC	612				fee schedule		2044				other	OPPS APC	2044				other	OPPS APC	645.5				percent of total billed charges		658.37				percent of total billed charges		244				other	OPPS APC	244	2044	
HC Ivus Non Coronary Initial Vessel	PX-361372521	CDM	37252	CPT	361	RC		inpatient			2044	2044																																																			
CANNULATED CONNECTING SCREW	SUP-97-04189	CDM			278	RC		outpatient			2042.88	242.88	2042.88				fee schedule		2042.88				other	OPPS APC	1164.44				percent of total billed charges		2042.88				other	OPPS APC	2042.88				other	OPPS APC	1001.01				percent of total billed charges		1041.87				percent of total billed charges		242.88				other	OPPS APC	242.88	2042.88	
CANNULATED CONNECTING SCREW	SUP-97-04189	CDM			278	RC		inpatient			2042.88	2042.88																																																			
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD13 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00-5988-016-13	CDM	270010025	LOCAL	270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD13 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00-5988-016-13	CDM	270010025	LOCAL	270	RC		inpatient			2040	2040																																																			
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD14 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00-5988-016-14	CDM	270010025	LOCAL	270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
EXTENSION STEM NEXGEN TIVANIUM FLUTE L130 MM L175 MM OD14 MM KNEE FEMUR SHARP REPLACEMENT SCREW STERILE	SUP-00-5988-016-14	CDM	270010025	LOCAL	270	RC		inpatient			2040	2040																																																			
STEM EXTENSION NEXGEN TIVANIUM L130 MM L175 MM OD15 MM KNEE FEMUR SHARP FLUTED REPLACEMENT SCREW STERILE	SUP-00-5988-016-15	CDM	270010025	LOCAL	270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
STEM EXTENSION NEXGEN TIVANIUM L130 MM L175 MM OD15 MM KNEE FEMUR SHARP FLUTED REPLACEMENT SCREW STERILE	SUP-00-5988-016-15	CDM	270010025	LOCAL	270	RC		inpatient			2040	2040																																																			
STEM NEXGEN FLUTED 16MM DIA X 175MM	SUP-00-5988-016-16	CDM	270010025	LOCAL	270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
STEM NEXGEN FLUTED 16MM DIA X 175MM	SUP-00-5988-016-16	CDM	270010025	LOCAL	270	RC		inpatient			2040	2040																																																			
EXTENSION STEM NEXGEN FLUTE L130 MM L175 MM OD17 MM FEMUR KNEE	SUP-00-5988-016-17	CDM	270010025	LOCAL	270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
EXTENSION STEM NEXGEN FLUTE L130 MM L175 MM OD17 MM FEMUR KNEE	SUP-00-5988-016-17	CDM	270010025	LOCAL	270	RC		inpatient			2040	2040																																																			
PLATE BONE VLP MINI-MOD TITANIUM STOUT H 1.6 MM 12 HOLE  2.4 MM SCREW MINI FRAGMENT	SUP-74442434	CDM			270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
PLATE BONE VLP MINI-MOD TITANIUM STOUT H 1.6 MM 12 HOLE  2.4 MM SCREW MINI FRAGMENT	SUP-74442434	CDM			270	RC		inpatient			2040	2040																																																			
CHARTIS CATHETER	SUP-CHR-CA-12.0	CDM			270	RC		outpatient			2040	24	552.64				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	552.64				percent of total billed charges		563.65				percent of total billed charges		24				other	OPPS APC	24	2040	
CHARTIS CATHETER	SUP-CHR-CA-12.0	CDM			270	RC		inpatient			2040	2040																																																			
WIRE VERSA CROSS ACCESS 8.5F FIXED SYSTEM W/45 SHEATH AND PIGTAIL	SUP-VXSK0032	CDM			481	RC		outpatient			2040	24	999.6				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	999.6				percent of total billed charges		1040.4				percent of total billed charges		24				other	OPPS APC	24	2040	
WIRE VERSA CROSS ACCESS 8.5F FIXED SYSTEM W/45 SHEATH AND PIGTAIL	SUP-VXSK0032	CDM			481	RC		inpatient			2040	2040																																																			
KIT INTRODUCER CATHETER VERSACROSS SHEATH 8.5FR 63CM 55DEG CURVED TRANSSEPTAL W/0.035IN 230CM PIGTAIL TIP RF GW D1 CURVE DIL CONNECTOR CABLE	SUP-VXSK0034	CDM			481	RC		outpatient			2040	24	999.6				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	999.6				percent of total billed charges		1040.4				percent of total billed charges		24				other	OPPS APC	24	2040	
KIT INTRODUCER CATHETER VERSACROSS SHEATH 8.5FR 63CM 55DEG CURVED TRANSSEPTAL W/0.035IN 230CM PIGTAIL TIP RF GW D1 CURVE DIL CONNECTOR CABLE	SUP-VXSK0034	CDM			481	RC		inpatient			2040	2040																																																			
VERSA CROSS TRANSSEPTAL ACCESS 8.5F FIXED SYSTEM W/45 SHEATH AND PIGTAIL_62301_	SUP-VXSK35P2306345D	CDM			481	RC		outpatient			2040	24	999.6				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	999.6				percent of total billed charges		1040.4				percent of total billed charges		24				other	OPPS APC	24	2040	
VERSA CROSS TRANSSEPTAL ACCESS 8.5F FIXED SYSTEM W/45 SHEATH AND PIGTAIL_62301_	SUP-VXSK35P2306345D	CDM			481	RC		inpatient			2040	2040																																																			
Fix This	SUP-VXSK35P2306345D1	CDM			481	RC		outpatient			2040	24	999.6				percent of total billed charges		2040				other	OPPS APC	1509.6				percent of total billed charges		2040				other	OPPS APC	2040				other	OPPS APC	999.6				percent of total billed charges		1040.4				percent of total billed charges		24				other	OPPS APC	24	2040	
Fix This	SUP-VXSK35P2306345D1	CDM			481	RC		inpatient			2040	2040																																																			
PLATE BONE LCP STAINLESS STEEL SHORT L L37 MM FOREFOOT MIDFOOT RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.256	CDM	270010022	LOCAL	270	RC		outpatient			2038.8	238.8	552.31				percent of total billed charges		2038.8				other	OPPS APC	1508.71				percent of total billed charges		2038.8				other	OPPS APC	2038.8				other	OPPS APC	552.31				percent of total billed charges		563.32				percent of total billed charges		238.8				other	OPPS APC	238.8	2038.8	
PLATE BONE LCP STAINLESS STEEL SHORT L L37 MM FOREFOOT MIDFOOT RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.256	CDM	270010022	LOCAL	270	RC		inpatient			2038.8	2038.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L105 MM TIBIA PROXIMAL POSTEROMEDIAL 4 HOLE LOW PROFILE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.120.704	CDM	270010022	LOCAL	270	RC		outpatient			2036.04	236.4	551.56				percent of total billed charges		2036.04				other	OPPS APC	1506.67				percent of total billed charges		2036.04				other	OPPS APC	2036.04				other	OPPS APC	551.56				percent of total billed charges		562.56				percent of total billed charges		236.4				other	OPPS APC	236.4	2036.04	
PLATE BONE LCP COMBI STAINLESS STEEL L105 MM TIBIA PROXIMAL POSTEROMEDIAL 4 HOLE LOW PROFILE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.120.704	CDM	270010022	LOCAL	270	RC		inpatient			2036.04	2036.04																																																			
PLATE BONE LCP STAINLESS STEEL STANDARD CLOVERLEAF L45 MM FOREFOOT MIDFOOT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.251	CDM	270010022	LOCAL	270	RC		outpatient			2035.2	235.2	551.34				percent of total billed charges		2035.2				other	OPPS APC	1506.05				percent of total billed charges		2035.2				other	OPPS APC	2035.2				other	OPPS APC	551.34				percent of total billed charges		562.33				percent of total billed charges		235.2				other	OPPS APC	235.2	2035.2	
PLATE BONE LCP STAINLESS STEEL STANDARD CLOVERLEAF L45 MM FOREFOOT MIDFOOT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.251	CDM	270010022	LOCAL	270	RC		inpatient			2035.2	2035.2																																																			
PLATE BONE LCP STAINLESS STEEL STANDARD T L42 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.254	CDM	270010022	LOCAL	270	RC		outpatient			2035.2	235.2	551.34				percent of total billed charges		2035.2				other	OPPS APC	1506.05				percent of total billed charges		2035.2				other	OPPS APC	2035.2				other	OPPS APC	551.34				percent of total billed charges		562.33				percent of total billed charges		235.2				other	OPPS APC	235.2	2035.2	
PLATE BONE LCP STAINLESS STEEL STANDARD T L42 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.254	CDM	270010022	LOCAL	270	RC		inpatient			2035.2	2035.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L123 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.018	CDM	270010022	LOCAL	270	RC		outpatient			2033.9	233.91	550.98				percent of total billed charges		2033.9				other	OPPS APC	1505.09				percent of total billed charges		2033.9				other	OPPS APC	2033.9				other	OPPS APC	550.98				percent of total billed charges		561.97				percent of total billed charges		233.91				other	OPPS APC	233.91	2033.9	
PLATE BONE LCP COMBI STAINLESS STEEL L123 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.018	CDM	270010022	LOCAL	270	RC		inpatient			2033.9	2033.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L123 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.019	CDM	270010022	LOCAL	270	RC		outpatient			2033.9	233.91	550.98				percent of total billed charges		2033.9				other	OPPS APC	1505.09				percent of total billed charges		2033.9				other	OPPS APC	2033.9				other	OPPS APC	550.98				percent of total billed charges		561.97				percent of total billed charges		233.91				other	OPPS APC	233.91	2033.9	
PLATE BONE LCP COMBI STAINLESS STEEL L123 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.019	CDM	270010022	LOCAL	270	RC		inpatient			2033.9	2033.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L110 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.029	CDM	270010022	LOCAL	270	RC		outpatient			2033.9	233.91	550.98				percent of total billed charges		2033.9				other	OPPS APC	1505.09				percent of total billed charges		2033.9				other	OPPS APC	2033.9				other	OPPS APC	550.98				percent of total billed charges		561.97				percent of total billed charges		233.91				other	OPPS APC	233.91	2033.9	
PLATE BONE LCP COMBI STAINLESS STEEL L110 MM CLAVICLE LEFT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.029	CDM	270010022	LOCAL	270	RC		inpatient			2033.9	2033.9																																																			
PLATE BONE TITANIUM STRAIGHT STERNAL 13 HOLE LOCK WITHOUT RELEASE PIN NONSTERILE 2.4 MM SCREW	SUP-460.046	CDM			270	RC		outpatient			2033.5	233.5	550.88				percent of total billed charges		2033.5				other	OPPS APC	1504.79				percent of total billed charges		2033.5				other	OPPS APC	2033.5				other	OPPS APC	550.88				percent of total billed charges		561.86				percent of total billed charges		233.5				other	OPPS APC	233.5	2033.5	
PLATE BONE TITANIUM STRAIGHT STERNAL 13 HOLE LOCK WITHOUT RELEASE PIN NONSTERILE 2.4 MM SCREW	SUP-460.046	CDM			270	RC		inpatient			2033.5	2033.5																																																			
SEALANT ADHESIVE COSEAL 8ML PEG DISPOSABLE STERILE LF	SUP-934072	CDM			270	RC		outpatient			2031.8	231.8	550.41				percent of total billed charges		2031.8				other	OPPS APC	1503.53				percent of total billed charges		2031.8				other	OPPS APC	2031.8				other	OPPS APC	550.41				percent of total billed charges		561.39				percent of total billed charges		231.8				other	OPPS APC	231.8	2031.8	
SEALANT ADHESIVE COSEAL 8ML PEG DISPOSABLE STERILE LF	SUP-934072	CDM			270	RC		inpatient			2031.8	2031.8																																																			
TACKER	SUP-76-00035	CDM			272	RC		outpatient			2030.91	23.91	550.17				percent of total billed charges		2030.91				other	OPPS APC	1502.87				percent of total billed charges		2030.91				other	OPPS APC	2030.91				other	OPPS APC	550.17				percent of total billed charges		561.14				percent of total billed charges		23.91				other	OPPS APC	23.91	2030.91	
TACKER	SUP-76-00035	CDM			272	RC		inpatient			2030.91	2030.91																																																			
LINER SHOULDER TRABECULAR METAL POLYETHYLENE 12 D 65 D H+6 MM OD36 MM HUMERUS REVERSE RETENTIVE STERILE	SUP-00-4349-065-06	CDM	270010024	LOCAL	270	RC		outpatient			2030	23	549.93				percent of total billed charges		2030				other	OPPS APC	1502.2				percent of total billed charges		2030				other	OPPS APC	2030				other	OPPS APC	549.93				percent of total billed charges		560.89				percent of total billed charges		23				other	OPPS APC	23	2030	
LINER SHOULDER TRABECULAR METAL POLYETHYLENE 12 D 65 D H+6 MM OD36 MM HUMERUS REVERSE RETENTIVE STERILE	SUP-00-4349-065-06	CDM	270010024	LOCAL	270	RC		inpatient			2030	2030																																																			
GRAFT BONE OPTECURE DEMINERALIZED BONE MATRIX 5 ML POWDER STERILE	SUP-650-00-05	CDM	270010031	LOCAL	270	RC		outpatient			2030	23	549.93				percent of total billed charges		2030				other	OPPS APC	1502.2				percent of total billed charges		2030				other	OPPS APC	2030				other	OPPS APC	549.93				percent of total billed charges		560.89				percent of total billed charges		23				other	OPPS APC	23	2030	
GRAFT BONE OPTECURE DEMINERALIZED BONE MATRIX 5 ML POWDER STERILE	SUP-650-00-05	CDM	270010031	LOCAL	270	RC		inpatient			2030	2030																																																			
ABSORBATACK SHORT 20	SUP-76-00126	CDM			272	RC		outpatient			2029.77	229.77	549.86				percent of total billed charges		2029.77				other	OPPS APC	1502.03				percent of total billed charges		2029.77				other	OPPS APC	2029.77				other	OPPS APC	549.86				percent of total billed charges		560.83				percent of total billed charges		229.77				other	OPPS APC	229.77	2029.77	
ABSORBATACK SHORT 20	SUP-76-00126	CDM			272	RC		inpatient			2029.77	2029.77																																																			
GRAFT VENTRIO ST LG CIRCLE 11.4 (5950020	SUP-75-00096	CDM			278	RC		outpatient			2026.5	226.5	2026.5				fee schedule		2026.5				other	OPPS APC	1155.11				percent of total billed charges		2026.5				other	OPPS APC	2026.5				other	OPPS APC	992.99				percent of total billed charges		1033.52				percent of total billed charges		226.5				other	OPPS APC	226.5	2026.5	
GRAFT VENTRIO ST LG CIRCLE 11.4 (5950020	SUP-75-00096	CDM			278	RC		inpatient			2026.5	2026.5																																																			
MESH SURGICAL C-QUR POLYPROPYLENE L12 IN X W8 IN HERNIA BIORESORBABLE	SUP-31537	CDM			270	RC		outpatient			2025.5	225.5	548.71				percent of total billed charges		2025.5				other	OPPS APC	1498.87				percent of total billed charges		2025.5				other	OPPS APC	2025.5				other	OPPS APC	548.71				percent of total billed charges		559.65				percent of total billed charges		225.5				other	OPPS APC	225.5	2025.5	
MESH SURGICAL C-QUR POLYPROPYLENE L12 IN X W8 IN HERNIA BIORESORBABLE	SUP-31537	CDM			270	RC		inpatient			2025.5	2025.5																																																			
GRAFT  AMBIO 5	SUP-97-02949	CDM			278	RC		outpatient			2025	225	2025				fee schedule		2025				other	OPPS APC	1154.25				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	992.25				percent of total billed charges		1032.75				percent of total billed charges		225				other	OPPS APC	225	2025	
GRAFT  AMBIO 5	SUP-97-02949	CDM			278	RC		inpatient			2025	2025																																																			
FFR - COMET	SUP-99-03270	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
FFR - COMET	SUP-99-03270	CDM			272	RC		inpatient			2025	2025																																																			
FFR - PRESSUREWIRE X  - 175CM	SUP-99-03271	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
FFR - PRESSUREWIRE X  - 175CM	SUP-99-03271	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  6X100	SUP-99-03618	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  6X100	SUP-99-03618	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  5X100	SUP-99-03619	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  5X100	SUP-99-03619	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  6X150	SUP-99-03629	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  6X150	SUP-99-03629	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  6X200	SUP-99-03639	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  6X200	SUP-99-03639	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  6X20	SUP-99-03690	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  6X20	SUP-99-03690	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  5X150	SUP-99-03700	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  5X150	SUP-99-03700	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  4X20	SUP-99-03717	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  4X20	SUP-99-03717	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  4X40	SUP-99-03749	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  4X40	SUP-99-03749	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  6X40	SUP-99-03756	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  6X40	SUP-99-03756	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  5X200	SUP-99-03876	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  5X200	SUP-99-03876	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  5X20	SUP-99-03877	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  5X20	SUP-99-03877	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  5X40	SUP-99-03878	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  5X40	SUP-99-03878	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - ULTRASCORE  7X40	SUP-99-03879	CDM			272	RC		outpatient			2025	225	548.57				percent of total billed charges		2025				other	OPPS APC	1498.5				percent of total billed charges		2025				other	OPPS APC	2025				other	OPPS APC	548.57				percent of total billed charges		559.51				percent of total billed charges		225				other	OPPS APC	225	2025	
BALLOON - ULTRASCORE  7X40	SUP-99-03879	CDM			272	RC		inpatient			2025	2025																																																			
BALLOON - PERIPHERAL CUTTING BALLOON 7X2.0X135	SUP-99-04868	CDM						inpatient			2025	2025																																																			
BALLOON - PERIPHERAL CUTTING BALLOON 7X2.0X135	SUP-99-04868	CDM						outpatient			2025	225	2025				percent of total billed charges		2025				other	OPPS APC	2025				fee schedule		2025				other	OPPS APC	2025				other	OPPS APC	2025				case rate		2025				case rate		225				other	OPPS APC	225	2025	
PLATE BONE VLP MEDIUM L 57.7 MM X W 33.5MM X H 1.27 MM FOOT LEFT CALCANEUS STERILE 2.7MM  SCREW PERCUTANEOUS	SUP-72821036S	CDM			270	RC		outpatient			2024	224	548.3				percent of total billed charges		2024				other	OPPS APC	1497.76				percent of total billed charges		2024				other	OPPS APC	2024				other	OPPS APC	548.3				percent of total billed charges		559.23				percent of total billed charges		224				other	OPPS APC	224	2024	
PLATE BONE VLP MEDIUM L 57.7 MM X W 33.5MM X H 1.27 MM FOOT LEFT CALCANEUS STERILE 2.7MM  SCREW PERCUTANEOUS	SUP-72821036S	CDM			270	RC		inpatient			2024	2024																																																			
HC C/T-Abdomen W/WO Contrast	PX-352741700	CDM	74170	CPT	352	RC		outpatient			2023	189.94	283.18				fee schedule		189.94				other	OPPS APC	998.94				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	243.92				fee schedule		207.7				fee schedule		189.94				other	OPPS APC	189.94	998.94	
HC C/T-Abdomen W/WO Contrast	PX-352741700	CDM	74170	CPT	352	RC		inpatient			2023	2023																																																			
GRAFT HEMASHIELD PATCH (95224)	SUP-97-03662	CDM			278	RC		outpatient			2021.22	221.22	2021.22				fee schedule		2021.22				other	OPPS APC	1152.1				percent of total billed charges		2021.22				other	OPPS APC	2021.22				other	OPPS APC	990.4				percent of total billed charges		1030.82				percent of total billed charges		221.22				other	OPPS APC	221.22	2021.22	
GRAFT HEMASHIELD PATCH (95224)	SUP-97-03662	CDM			278	RC		inpatient			2021.22	2021.22																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM MEDIUM OD39 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-38455	CDM			278	RC		outpatient			2017.17	217.17	2017.17				fee schedule		2017.17				other	OPPS APC	1149.79				percent of total billed charges		2017.17				other	OPPS APC	2017.17				other	OPPS APC	988.41				percent of total billed charges		1028.76				percent of total billed charges		217.17				other	OPPS APC	217.17	2017.17	
INSERT HUMERAL UNIVERS REVERS +3 MM MEDIUM OD39 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-38455	CDM			278	RC		inpatient			2017.17	2017.17																																																			
HEAD BIPOLAR SELF CENTERING 28MM X 45MM	SUP-1035-45-00	CDM	270010023	LOCAL	270	RC		outpatient			2014.8	214.8	545.81				percent of total billed charges		2014.8				other	OPPS APC	1490.95				percent of total billed charges		2014.8				other	OPPS APC	2014.8				other	OPPS APC	545.81				percent of total billed charges		556.69				percent of total billed charges		214.8				other	OPPS APC	214.8	2014.8	
HEAD BIPOLAR SELF CENTERING 28MM X 45MM	SUP-1035-45-00	CDM	270010023	LOCAL	270	RC		inpatient			2014.8	2014.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L79 MM TIBIA PROXIMAL POSTEROMEDIAL 2 HOLE LOW PROFILE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.120.702	CDM	270010022	LOCAL	270	RC		outpatient			2014.7	214.7	545.78				percent of total billed charges		2014.7				other	OPPS APC	1490.88				percent of total billed charges		2014.7				other	OPPS APC	2014.7				other	OPPS APC	545.78				percent of total billed charges		556.66				percent of total billed charges		214.7				other	OPPS APC	214.7	2014.7	
PLATE BONE LCP COMBI STAINLESS STEEL L79 MM TIBIA PROXIMAL POSTEROMEDIAL 2 HOLE LOW PROFILE LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.120.702	CDM	270010022	LOCAL	270	RC		inpatient			2014.7	2014.7																																																			
MIS STERILE BUMP PACK	SUP-95-04677	CDM			272	RC		outpatient			2013	213	545.32				percent of total billed charges		2013				other	OPPS APC	1489.62				percent of total billed charges		2013				other	OPPS APC	2013				other	OPPS APC	545.32				percent of total billed charges		556.19				percent of total billed charges		213				other	OPPS APC	213	2013	
MIS STERILE BUMP PACK	SUP-95-04677	CDM			272	RC		inpatient			2013	2013																																																			
CATHETER ABLATION SAFIRE TX COMFORTGRIP QUADRIPOLAR 2-5-2 MM SPACE 1 MM UNIVERSAL LARGE CURVE L110 CM L8 MM OD7 FR BIDIRECTIONAL TEMPERATURE MONITOR STEER LOCK	SUP-402840	CDM			270	RC		outpatient			2012	212	545.05				percent of total billed charges		2012				other	OPPS APC	1488.88				percent of total billed charges		2012				other	OPPS APC	2012				other	OPPS APC	545.05				percent of total billed charges		555.92				percent of total billed charges		212				other	OPPS APC	212	2012	
CATHETER ABLATION SAFIRE TX COMFORTGRIP QUADRIPOLAR 2-5-2 MM SPACE 1 MM UNIVERSAL LARGE CURVE L110 CM L8 MM OD7 FR BIDIRECTIONAL TEMPERATURE MONITOR STEER LOCK	SUP-402840	CDM			270	RC		inpatient			2012	2012																																																			
GRAFT SKIN MEMODERM DERMIS ACELLULAR L4 CM X W4 CM X H.4-.8 MM MESHED STERILE	SUP-HTM0400404M	CDM			270	RC		outpatient			2012	212	545.05				percent of total billed charges		2012				other	OPPS APC	1488.88				percent of total billed charges		2012				other	OPPS APC	2012				other	OPPS APC	545.05				percent of total billed charges		555.92				percent of total billed charges		212				other	OPPS APC	212	2012	
GRAFT SKIN MEMODERM DERMIS ACELLULAR L4 CM X W4 CM X H.4-.8 MM MESHED STERILE	SUP-HTM0400404M	CDM			270	RC		inpatient			2012	2012																																																			
INSERT TIBIAL AGILITY POLYETHYLENE 2 ANKLE LOW PROFILE	SUP-1404-32-000	CDM	270010025	LOCAL	270	RC		outpatient			2010	21	544.51				percent of total billed charges		2010				other	OPPS APC	1487.4				percent of total billed charges		2010				other	OPPS APC	2010				other	OPPS APC	544.51				percent of total billed charges		555.36				percent of total billed charges		21				other	OPPS APC	21	2010	
INSERT TIBIAL AGILITY POLYETHYLENE 2 ANKLE LOW PROFILE	SUP-1404-32-000	CDM	270010025	LOCAL	270	RC		inpatient			2010	2010																																																			
CATHETER - THROMBECTOMY AVX	SUP-99-02219	CDM			272	RC		outpatient			2010	21	544.51				percent of total billed charges		2010				other	OPPS APC	1487.4				percent of total billed charges		2010				other	OPPS APC	2010				other	OPPS APC	544.51				percent of total billed charges		555.36				percent of total billed charges		21				other	OPPS APC	21	2010	
CATHETER - THROMBECTOMY AVX	SUP-99-02219	CDM			272	RC		inpatient			2010	2010																																																			
PREVENA CUSTOMIZABLE SYSTEM KIT	SUP-95-05426	CDM						inpatient			2008.5	2008.5																																																			
PREVENA CUSTOMIZABLE SYSTEM KIT	SUP-95-05426	CDM						outpatient			2008.5	28.5	2008.5				percent of total billed charges		2008.5				other	OPPS APC	2008.5				fee schedule		2008.5				other	OPPS APC	2008.5				other	OPPS APC	2008.5				case rate		2008.5				case rate		28.5				other	OPPS APC	28.5	2008.5	
PLATE 5 HOLES LEFT CURVED	SUP-97-05739	CDM			278	RC		outpatient			2006.16	26.16	2006.16				fee schedule		2006.16				other	OPPS APC	1143.51				percent of total billed charges		2006.16				other	OPPS APC	2006.16				other	OPPS APC	983.02				percent of total billed charges		1023.14				percent of total billed charges		26.16				other	OPPS APC	26.16	2006.16	
PLATE 5 HOLES LEFT CURVED	SUP-97-05739	CDM			278	RC		inpatient			2006.16	2006.16																																																			
RAIL BIOMET 15MM	SUP-04416	CDM			270	RC		outpatient			2006	26	543.43				percent of total billed charges		2006				other	OPPS APC	1484.44				percent of total billed charges		2006				other	OPPS APC	2006				other	OPPS APC	543.43				percent of total billed charges		554.26				percent of total billed charges		26				other	OPPS APC	26	2006	
RAIL BIOMET 15MM	SUP-04416	CDM			270	RC		inpatient			2006	2006																																																			
CATHETER ABLATION SAFIRE TX COMFORTGRIP QUADRIPOLAR 2-5-2 MM SPACE 1 MM UNIVERSAL MEDIUM CURVE L110 CM L8 MM OD7 FR BIDIRECTIONAL TEMPERATURE MONITOR STEER LOCK	SUP-402839	CDM			270	RC		outpatient			2006	26	543.43				percent of total billed charges		2006				other	OPPS APC	1484.44				percent of total billed charges		2006				other	OPPS APC	2006				other	OPPS APC	543.43				percent of total billed charges		554.26				percent of total billed charges		26				other	OPPS APC	26	2006	
CATHETER ABLATION SAFIRE TX COMFORTGRIP QUADRIPOLAR 2-5-2 MM SPACE 1 MM UNIVERSAL MEDIUM CURVE L110 CM L8 MM OD7 FR BIDIRECTIONAL TEMPERATURE MONITOR STEER LOCK	SUP-402839	CDM			270	RC		inpatient			2006	2006																																																			
HC Eeg 24 Hour Recording for Seizure	PX-740959501	CDM	95950	CPT	740	RC		outpatient			2004	24	339.14				fee schedule		2004				other	OPPS APC	600.77				fee schedule		2004				other	OPPS APC	2004				other	OPPS APC	981.96				percent of total billed charges		1022.04				percent of total billed charges		24				other	OPPS APC	24	2004	
HC Eeg 24 Hour Recording for Seizure	PX-740959501	CDM	95950	CPT	740	RC		inpatient			2004	2004																																																			
GRAFT DUAL MESH PLUS 10X15	SUP-97-00193	CDM			278	RC		outpatient			2004	24	2004				fee schedule		2004				other	OPPS APC	1142.28				percent of total billed charges		2004				other	OPPS APC	2004				other	OPPS APC	981.96				percent of total billed charges		1022.04				percent of total billed charges		24				other	OPPS APC	24	2004	
GRAFT DUAL MESH PLUS 10X15	SUP-97-00193	CDM			278	RC		inpatient			2004	2004																																																			
HC MRI-Chest	PX-610715500	CDM	71550	CPT	614	RC		outpatient			2001	245.95	373.5				fee schedule		245.95				other	OPPS APC	1264.05				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	299.39				fee schedule		284.89				fee schedule		245.95				other	OPPS APC	245.95	1264.05	
HC MRI-Chest	PX-610715500	CDM	71550	CPT	614	RC		inpatient			2001	2001																																																			
HC MRI-Pelvis W Contrast	PX-610721960	CDM	72196	CPT	610	RC		outpatient			2001	21	433.63				fee schedule		2001				other	OPPS APC	1513.6				fee schedule		2001				other	OPPS APC	2001				other	OPPS APC	281.31				fee schedule		198.38				fee schedule		21				other	OPPS APC	21	2001	
HC MRI-Pelvis W Contrast	PX-610721960	CDM	72196	CPT	610	RC		inpatient			2001	2001																																																			
HC MRI Upper Extrem W WO Contrast	PX-610732200	CDM	73220	CPT	610	RC		outpatient			2001	388.42	523.93				fee schedule		388.04				other	OPPS APC	2670.24				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	430.72				fee schedule		327.84				fee schedule		388.42				other	OPPS APC	327.84	2670.24	
HC MRI Upper Extrem W WO Contrast	PX-610732200	CDM	73220	CPT	610	RC		inpatient			2001	2001																																																			
HC Cta Abd/Pel W Contrast	PX-352741740	CDM	74174	CPT	352	RC		outpatient			2000	388.42	507.74				fee schedule		388.04				other	OPPS APC	2769.25				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	396.25				fee schedule		291.88				fee schedule		388.42				other	OPPS APC	291.88	2769.25	
HC Cta Abd/Pel W Contrast	PX-352741740	CDM	74174	CPT	352	RC		inpatient			2000	2000																																																			
HC Operating Room (Minutes)	PX-360000005	CDM	360000005	LOCAL	360	RC		outpatient			2000	2	631.6				percent of total billed charges		2000				other	OPPS APC	2000				fee schedule		2000				other	OPPS APC	2000				other	OPPS APC	631.6				percent of total billed charges		644.2				percent of total billed charges		2				other	OPPS APC	2	2000	
HC Operating Room (Minutes)	PX-360000005	CDM	360000005	LOCAL	360	RC		inpatient			2000	2000																																																			
HC Cc Loop Recorder Removal	PX-481332861	CDM	33286	CPT	481	RC		outpatient			2000	683.6	980				percent of total billed charges		683.51				other	OPPS APC	1480				percent of total billed charges		683.51				other	OPPS APC	683.51				other	OPPS APC	84.5				fee schedule		1020				percent of total billed charges		683.6				other	OPPS APC	84.5	1480	
HC Cc Loop Recorder Removal	PX-481332861	CDM	33286	CPT	481	RC		inpatient			2000	2000																																																			
STEM EXTENSION L30 MM OD11 MM KNEE	SUP-02.07.F11030	CDM	270010025	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
STEM EXTENSION L30 MM OD11 MM KNEE	SUP-02.07.F11030	CDM	270010025	LOCAL	270	RC		inpatient			2000	2000																																																			
STEM EXTENSION L65 MM OD11 MM	SUP-02.07.F11066	CDM	270010025	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
STEM EXTENSION L65 MM OD11 MM	SUP-02.07.F11066	CDM	270010025	LOCAL	270	RC		inpatient			2000	2000																																																			
WASHER ORTHOPEDIC 5 D RIGHT LOCK ATTACHMENT STERILE RFNA	SUP-02.233.100S	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
WASHER ORTHOPEDIC 5 D RIGHT LOCK ATTACHMENT STERILE RFNA	SUP-02.233.100S	CDM			270	RC		inpatient			2000	2000																																																			
WASHER ORTHOPEDIC 5 D LEFT LOCK STERILE RFNA	SUP-02.233.101S	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
WASHER ORTHOPEDIC 5 D LEFT LOCK STERILE RFNA	SUP-02.233.101S	CDM			270	RC		inpatient			2000	2000																																																			
WASHER ORTHOPEDIC 10 D RIGHT LOCK ATTACHMENT STERILE RFNA	SUP-02.233.104S	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
WASHER ORTHOPEDIC 10 D RIGHT LOCK ATTACHMENT STERILE RFNA	SUP-02.233.104S	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE VECTRA BENT GROOVE PREBENT 25X16.5X2.5MM 16MM TITANIUM NS SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK	SUP-04.613.016	CDM	270010013	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE VECTRA BENT GROOVE PREBENT 25X16.5X2.5MM 16MM TITANIUM NS SPINE CERVICAL ANTERIOR 1 LEVEL 1 STEP LOCK	SUP-04.613.016	CDM	270010013	LOCAL	270	RC		inpatient			2000	2000																																																			
STENT CORONARY XIENCE V 8MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER BALLOON	SUP-1009544-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT CORONARY XIENCE V 8MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER BALLOON	SUP-1009544-08	CDM			481	RC		inpatient			2000	2000																																																			
STENT CORONARY XIENCE V 12MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT CORONARY XIENCE V 12MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-12	CDM			481	RC		inpatient			2000	2000																																																			
STENT CORONARY XIENCE V 15MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT CORONARY XIENCE V 15MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-15	CDM			481	RC		inpatient			2000	2000																																																			
STENT CORONARY XIENCE V 23MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT CORONARY XIENCE V 23MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-23	CDM			481	RC		inpatient			2000	2000																																																			
STENT CORONARY XIENCE V 28MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT CORONARY XIENCE V 28MM 143CM 2.25MM EVEROLIMUS ELUTING COCR DELIVERY SYSTEM RAPID EXCHANGE RADIOPAQUE TAPER	SUP-1009544-28	CDM			481	RC		inpatient			2000	2000																																																			
STENT CORONARY XIENCE PRIME LL EVEROLIMUS ELUTING COCR L38 MM OD4 MM RAPID EXCHANGE	SUP-1011735-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT CORONARY XIENCE PRIME LL EVEROLIMUS ELUTING COCR L38 MM OD4 MM RAPID EXCHANGE	SUP-1011735-38	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.25X8	SUP-1074225-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.25X8	SUP-1074225-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.25X12	SUP-1074225-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.25X12	SUP-1074225-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.25X15	SUP-1074225-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.25X15	SUP-1074225-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.25X18	SUP-1074225-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.25X18	SUP-1074225-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.25X23	SUP-1074225-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.25X23	SUP-1074225-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.25X28	SUP-1074225-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.25X28	SUP-1074225-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X8	SUP-1074250-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X8	SUP-1074250-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X12	SUP-1074250-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X12	SUP-1074250-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X15	SUP-1074250-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X15	SUP-1074250-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X18	SUP-1074250-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X18	SUP-1074250-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X23	SUP-1074250-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X23	SUP-1074250-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X28	SUP-1074250-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X28	SUP-1074250-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X33	SUP-1074250-33	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X33	SUP-1074250-33	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.5X38	SUP-1074250-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.5X38	SUP-1074250-38	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X8	SUP-1074275-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X8	SUP-1074275-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X12	SUP-1074275-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X12	SUP-1074275-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X15	SUP-1074275-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X15	SUP-1074275-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X18	SUP-1074275-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X18	SUP-1074275-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X23	SUP-1074275-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X23	SUP-1074275-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X28	SUP-1074275-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X28	SUP-1074275-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X33	SUP-1074275-33	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X33	SUP-1074275-33	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 2.75X38	SUP-1074275-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 2.75X38	SUP-1074275-38	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X8	SUP-1074300-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X8	SUP-1074300-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X12	SUP-1074300-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X12	SUP-1074300-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X15	SUP-1074300-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X15	SUP-1074300-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X18	SUP-1074300-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X18	SUP-1074300-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X23	SUP-1074300-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X23	SUP-1074300-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X28	SUP-1074300-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X28	SUP-1074300-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X33	SUP-1074300-33	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X33	SUP-1074300-33	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.0X38	SUP-1074300-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.0X38	SUP-1074300-38	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25 X 8	SUP-1074325-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25 X 8	SUP-1074325-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X12	SUP-1074325-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X12	SUP-1074325-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X15	SUP-1074325-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X15	SUP-1074325-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X18	SUP-1074325-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X18	SUP-1074325-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X23	SUP-1074325-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X23	SUP-1074325-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X28	SUP-1074325-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X28	SUP-1074325-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X33	SUP-1074325-33	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X33	SUP-1074325-33	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.25X38	SUP-1074325-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.25X38	SUP-1074325-38	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X8	SUP-1074350-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X8	SUP-1074350-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X12	SUP-1074350-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X12	SUP-1074350-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X15	SUP-1074350-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X15	SUP-1074350-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X18	SUP-1074350-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X18	SUP-1074350-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X23	SUP-1074350-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X23	SUP-1074350-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X28	SUP-1074350-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X28	SUP-1074350-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X33	SUP-1074350-33	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X33	SUP-1074350-33	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 3.5X38	SUP-1074350-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 3.5X38	SUP-1074350-38	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X8	SUP-1074400-08	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X8	SUP-1074400-08	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X12	SUP-1074400-12	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X12	SUP-1074400-12	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X15	SUP-1074400-15	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X15	SUP-1074400-15	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X18	SUP-1074400-18	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X18	SUP-1074400-18	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X23	SUP-1074400-23	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X23	SUP-1074400-23	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X28	SUP-1074400-28	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X28	SUP-1074400-28	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X33	SUP-1074400-33	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X33	SUP-1074400-33	CDM			481	RC		inpatient			2000	2000																																																			
XIENCE 4.0X38	SUP-1074400-38	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
XIENCE 4.0X38	SUP-1074400-38	CDM			481	RC		inpatient			2000	2000																																																			
ANCHOR ALPHATEC SHORT PEGASUS ACI DEVICE	SUP-22-9211SHORT	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
ANCHOR ALPHATEC SHORT PEGASUS ACI DEVICE	SUP-22-9211SHORT	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 8	SUP-39528-0822	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 8	SUP-39528-0822	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 8	SUP-39528-0825	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 8	SUP-39528-0825	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 8	SUP-39528-0827	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 8	SUP-39528-0827	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 8	SUP-39528-0830	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 8	SUP-39528-0830	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 8	SUP-39528-0835	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 8	SUP-39528-0835	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 8	SUP-39528-0840	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 8	SUP-39528-0840	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 12	SUP-39528-1222	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 12	SUP-39528-1222	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 12	SUP-39528-1225	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 12	SUP-39528-1225	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 12	SUP-39528-1227	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 12	SUP-39528-1227	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 12	SUP-39528-1230	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 12	SUP-39528-1230	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 12	SUP-39528-1235	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 12	SUP-39528-1235	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 12	SUP-39528-1240	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 12	SUP-39528-1240	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 16	SUP-39528-1622	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 16	SUP-39528-1622	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 16	SUP-39528-1625	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 16	SUP-39528-1625	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 16	SUP-39528-1627	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 16	SUP-39528-1627	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 16	SUP-39528-1630	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 16	SUP-39528-1630	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 16	SUP-39528-1635	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 16	SUP-39528-1635	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 16	SUP-39528-1640	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 16	SUP-39528-1640	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 20	SUP-39528-2022	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 20	SUP-39528-2022	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 20	SUP-39528-2025	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 20	SUP-39528-2025	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 20	SUP-39528-2027	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 20	SUP-39528-2027	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 20	SUP-39528-2030	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 20	SUP-39528-2030	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 20	SUP-39528-2035	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 20	SUP-39528-2035	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 20	SUP-39528-2040	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 20	SUP-39528-2040	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 24	SUP-39528-2422	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 24	SUP-39528-2422	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 24	SUP-39528-2425	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 24	SUP-39528-2425	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 24	SUP-39528-2427	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 24	SUP-39528-2427	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 24	SUP-39528-2430	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 24	SUP-39528-2430	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 24	SUP-39528-2435	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 24	SUP-39528-2435	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 24	SUP-39528-2440	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 24	SUP-39528-2440	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 28	SUP-39528-2822	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 28	SUP-39528-2822	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 28	SUP-39528-2825	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 28	SUP-39528-2825	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 28	SUP-39528-2827	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 28	SUP-39528-2827	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 28	SUP-39528-2830	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 28	SUP-39528-2830	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 28	SUP-39528-2835	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 28	SUP-39528-2835	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 28	SUP-39528-2840	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 28	SUP-39528-2840	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.25 X 32	SUP-39528-3222	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.25 X 32	SUP-39528-3222	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 32	SUP-39528-3225	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 32	SUP-39528-3225	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 32	SUP-39528-3227	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 32	SUP-39528-3227	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 32	SUP-39528-3230	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 32	SUP-39528-3230	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 32	SUP-39528-3235	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 32	SUP-39528-3235	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 32	SUP-39528-3240	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 32	SUP-39528-3240	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.5 X 38	SUP-39528-3825	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.5 X 38	SUP-39528-3825	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 2.75 X 38	SUP-39528-3827	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 2.75 X 38	SUP-39528-3827	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.0 X 38	SUP-39528-3830	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.0 X 38	SUP-39528-3830	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 3.5 X 38	SUP-39528-3835	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 3.5 X 38	SUP-39528-3835	CDM			270	RC		inpatient			2000	2000																																																			
PROMUS PREMIER STENT 4.0 X 38	SUP-39528-3840	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PROMUS PREMIER STENT 4.0 X 38	SUP-39528-3840	CDM			270	RC		inpatient			2000	2000																																																			
TOOL LEAD DELIVERY EMBLEM STERILE LATEX FREE DISPOSABLE ELECTRODE	SUP-4712	CDM			275	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1140				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
TOOL LEAD DELIVERY EMBLEM STERILE LATEX FREE DISPOSABLE ELECTRODE	SUP-4712	CDM			275	RC		inpatient			2000	2000																																																			
PLATE BONE SOLERA MULTI-SPAN X10 CROSSLINK CD HORIZON TITANIUM L38-42 MM SPINE 4.75 MM SCREW	SUP-5442138	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE SOLERA MULTI-SPAN X10 CROSSLINK CD HORIZON TITANIUM L38-42 MM SPINE 4.75 MM SCREW	SUP-5442138	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE SOLERA MULTI-SPAN X10 CROSSLINK CD HORIZON TITANIUM L41-48 MM SPINE 4.75 MM SCREW	SUP-5442141	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE SOLERA MULTI-SPAN X10 CROSSLINK CD HORIZON TITANIUM L41-48 MM SPINE 4.75 MM SCREW	SUP-5442141	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE SOLERA MULTI-SPAN X10 CROSSLINK CD HORIZON TITANIUM L47-60 MM SPINE 4.75 MM SCREW	SUP-5442147	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE SOLERA MULTI-SPAN X10 CROSSLINK CD HORIZON TITANIUM L47-60 MM SPINE 4.75 MM SCREW	SUP-5442147	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE ATLANTIS TITANIUM L27.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190027	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE ATLANTIS TITANIUM L27.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190027	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE ATLANTIS TITANIUM L52.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190052	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE ATLANTIS TITANIUM L52.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190052	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE ATLANTIS TITANIUM L57.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190057	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE ATLANTIS TITANIUM L57.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190057	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE ATLANTIS TITANIUM L65 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190065	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE ATLANTIS TITANIUM L65 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190065	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PATCH EPICARDIAL DF-1	SUP-6721M S L	CDM			275	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1140				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
PATCH EPICARDIAL DF-1	SUP-6721M S L	CDM			275	RC		inpatient			2000	2000																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L27.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860127	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L27.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860127	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
PLATE BONE ZEPHIR TITANIUM L22.5 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM NONSTERILE	SUP-8799022	CDM	270010020	LOCAL	270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE ZEPHIR TITANIUM L22.5 MM SPINE CERVICAL ANTERIOR INTEGRATE LOCK MECHANISM NONSTERILE	SUP-8799022	CDM	270010020	LOCAL	270	RC		inpatient			2000	2000																																																			
ALLOSYNC PURE 5CC	SUP-ABS-2010-05	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
ALLOSYNC PURE 5CC	SUP-ABS-2010-05	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L7.5 MM TIBIA LEFT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13720-07.5	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L7.5 MM TIBIA LEFT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13720-07.5	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L9 MM TIBIA LEFT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13720-09.0	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L9 MM TIBIA LEFT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13720-09.0	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L12.5 MM TIBIA LEFT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13720-12.5	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L12.5 MM TIBIA LEFT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13720-12.5	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L5 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-05.0	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L5 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-05.0	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L7.5 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-07.5	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L7.5 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-07.5	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L9 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-09.0	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L9 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-09.0	CDM			270	RC		inpatient			2000	2000																																																			
PLATE ARTHREX CONTOURLOCK HTO SLOPED W SD-R	SUP-AR-13725-12.5	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE ARTHREX CONTOURLOCK HTO SLOPED W SD-R	SUP-AR-13725-12.5	CDM			270	RC		inpatient			2000	2000																																																			
PLATE BONE CONTOURLOCK HTO PLATE L15 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-15.0	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
PLATE BONE CONTOURLOCK HTO PLATE L15 MM TIBIA RIGHT ANTEROPOSTERIOR SLOPE STERILE OPENING WEDGE OSTEOTOMY	SUP-AR-13725-15.0	CDM			270	RC		inpatient			2000	2000																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L15 MM L90 CM OD4 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA FG	SUP-H74937911415900	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L15 MM L90 CM OD4 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA FG	SUP-H74937911415900	CDM			270	RC		inpatient			2000	2000																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L15 MM L90 CM OD5 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA FG	SUP-H74937911515900	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L15 MM L90 CM OD5 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA FG	SUP-H74937911515900	CDM			270	RC		inpatient			2000	2000																																																			
STENT BILIARY 6MM 18MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE RENAL	SUP-H74937912618150	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
STENT BILIARY 6MM 18MM 150CM PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE RENAL	SUP-H74937912618150	CDM			270	RC		inpatient			2000	2000																																																			
DEVICE SPECIMEN RETRIEVAL EXTRACTOR PRO XL 7-6FR 12-15MM 200CM BILIARY 3 LUMEN RAPID	SUP-M00547110	CDM			275	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1140				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
DEVICE SPECIMEN RETRIEVAL EXTRACTOR PRO XL 7-6FR 12-15MM 200CM BILIARY 3 LUMEN RAPID	SUP-M00547110	CDM			275	RC		inpatient			2000	2000																																																			
WATCHMAN TRUSEAL SHEATH SINGLE CURVE _62669_	SUP-M635TU70010	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
WATCHMAN TRUSEAL SHEATH SINGLE CURVE _62669_	SUP-M635TU70010	CDM			481	RC		inpatient			2000	2000																																																			
WATCHMAN TRUSEAL SHEATH DOUBLE CURVE_62670_	SUP-M635TU70020	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
WATCHMAN TRUSEAL SHEATH DOUBLE CURVE_62670_	SUP-M635TU70020	CDM			481	RC		inpatient			2000	2000																																																			
WATCHMAN TRUSEAL SHEATH ANTERIOR CURVE _62671_	SUP-M635TU70040	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
WATCHMAN TRUSEAL SHEATH ANTERIOR CURVE _62671_	SUP-M635TU70040	CDM			481	RC		inpatient			2000	2000																																																			
DEVICE CLOSURE WATCHMAN FXD CURVE OD 15 FR 2 CURVE ACCESS SYSTEM LEFT ARTRIAL APPENDAGE	SUP-M635TU80010	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
DEVICE CLOSURE WATCHMAN FXD CURVE OD 15 FR 2 CURVE ACCESS SYSTEM LEFT ARTRIAL APPENDAGE	SUP-M635TU80010	CDM			481	RC		inpatient			2000	2000																																																			
DEVICE CLOSURE WATCHMAN FXD CURVE OD 15 FR ID 12 FR 2 CURVE ACCESS SYSTEM LEFT ATRIAL APPENDAGE	SUP-M635TU80020	CDM			481	RC		outpatient			2000	2	980				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	980				percent of total billed charges		1020				percent of total billed charges		2				other	OPPS APC	2	2000	
DEVICE CLOSURE WATCHMAN FXD CURVE OD 15 FR ID 12 FR 2 CURVE ACCESS SYSTEM LEFT ATRIAL APPENDAGE	SUP-M635TU80020	CDM			481	RC		inpatient			2000	2000																																																			
DEPLOYMENT CATHETER AND LOADER HUD	SUP-REF-HUS-C26N	CDM			270	RC		outpatient			2000	2	541.8				percent of total billed charges		2000				other	OPPS APC	1480				percent of total billed charges		2000				other	OPPS APC	2000				other	OPPS APC	541.8				percent of total billed charges		552.6				percent of total billed charges		2				other	OPPS APC	2	2000	
DEPLOYMENT CATHETER AND LOADER HUD	SUP-REF-HUS-C26N	CDM			270	RC		inpatient			2000	2000																																																			
HEAD HUMERAL UNIVERS II H17 MM OD40 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9140-17P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H17 MM OD40 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9140-17P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H17 MM OD42 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9142-17P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H17 MM OD42 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9142-17P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H17 MM OD44 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9144-17P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H17 MM OD44 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9144-17P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H19 MM OD44 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9144-19P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H19 MM OD44 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9144-19P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H18 MM OD46 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9146-18P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H18 MM OD46 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9146-18P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERSAL CA 48/19	SUP-AR-9148-19CA	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERSAL CA 48/19	SUP-AR-9148-19CA	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H19 MM OD48 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9148-19P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H19 MM OD48 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9148-19P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H21 MM OD48 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9148-21P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H21 MM OD48 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9148-21P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H19 MM OD50 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9150-19P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H19 MM OD50 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9150-19P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H21 MM OD50 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9150-21P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H21 MM OD50 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9150-21P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H20 MM OD52 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9152-20P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H20 MM OD52 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9152-20P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H22 MM OD52 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9152-22P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H22 MM OD52 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9152-22P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H21 MM OD54 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9154-21P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H21 MM OD54 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9154-21P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H23 MM OD54 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9154-23P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H23 MM OD54 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9154-23P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HEAD HUMERAL UNIVERS II H22 MM OD56 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9156-22P	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HEAD HUMERAL UNIVERS II H22 MM OD56 MM SHOULDER ANATOMIC RESTORATION VARIABLE ADJUSTMENT STERILE	SUP-AR-9156-22P	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HUMERAL HEAD ARTHREX ECLIPSE 43/16	SUP-IDE-AR-9343-16	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HUMERAL HEAD ARTHREX ECLIPSE 43/16	SUP-IDE-AR-9343-16	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HUMERAL HEAD ARTHREX ECLIPSE 43/18	SUP-IDE-AR-9343-18	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HUMERAL HEAD ARTHREX ECLIPSE 43/18	SUP-IDE-AR-9343-18	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HUMERAL HEAD ARTHREX ECLIPSE 45/17	SUP-IDE-AR-9345-17	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HUMERAL HEAD ARTHREX ECLIPSE 45/17	SUP-IDE-AR-9345-17	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HUMERAL HEAD ARTHREX ECLIPSE 47/18	SUP-IDE-AR-9347-18	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HUMERAL HEAD ARTHREX ECLIPSE 47/18	SUP-IDE-AR-9347-18	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
HUMERAL HEAD ARTHREX ECLIPSE 49/18	SUP-IDE-AR-9349-18	CDM	270010030	LOCAL	270	RC		outpatient			1999.52	1999.52	541.67				percent of total billed charges		1999.52				other	OPPS APC	1479.64				percent of total billed charges		1999.52				other	OPPS APC	1999.52				other	OPPS APC	541.67				percent of total billed charges		552.47				percent of total billed charges		1999.52				other	OPPS APC	541.67	1999.52	
HUMERAL HEAD ARTHREX ECLIPSE 49/18	SUP-IDE-AR-9349-18	CDM	270010030	LOCAL	270	RC		inpatient			1999.52	1999.52																																																			
PLATE BONE EVOS L 114 MM OLECRANON LEFT 7 HOLE TINE 2.7/3.5 MM SCREW	SUP-72466307	CDM			270	RC		outpatient			1999.2	1999.2	541.58				percent of total billed charges		1999.2				other	OPPS APC	1479.41				percent of total billed charges		1999.2				other	OPPS APC	1999.2				other	OPPS APC	541.58				percent of total billed charges		552.38				percent of total billed charges		1999.2				other	OPPS APC	541.58	1999.2	
PLATE BONE EVOS L 114 MM OLECRANON LEFT 7 HOLE TINE 2.7/3.5 MM SCREW	SUP-72466307	CDM			270	RC		inpatient			1999.2	1999.2																																																			
PLATE BONE EVOS STAINLESS STEEL L 61 MM OLECRANON LEFT 3 HOLE LOW PROFILE VARIABLE ANGLE LOCK STERILE 2.7/3.5 MM SCREW	SUP-72466503	CDM			270	RC		outpatient			1999.2	1999.2	541.58				percent of total billed charges		1999.2				other	OPPS APC	1479.41				percent of total billed charges		1999.2				other	OPPS APC	1999.2				other	OPPS APC	541.58				percent of total billed charges		552.38				percent of total billed charges		1999.2				other	OPPS APC	541.58	1999.2	
PLATE BONE EVOS STAINLESS STEEL L 61 MM OLECRANON LEFT 3 HOLE LOW PROFILE VARIABLE ANGLE LOCK STERILE 2.7/3.5 MM SCREW	SUP-72466503	CDM			270	RC		inpatient			1999.2	1999.2																																																			
PLATE BONE EVOS STAINLESS STEEL L 83 MM OLECRANON LEFT 5 HOLE LOW PROFILE VARIABLE ANGLE LOCK STERILE 2.7/3.5 MM SCREW	SUP-72466505	CDM			270	RC		outpatient			1999.2	1999.2	541.58				percent of total billed charges		1999.2				other	OPPS APC	1479.41				percent of total billed charges		1999.2				other	OPPS APC	1999.2				other	OPPS APC	541.58				percent of total billed charges		552.38				percent of total billed charges		1999.2				other	OPPS APC	541.58	1999.2	
PLATE BONE EVOS STAINLESS STEEL L 83 MM OLECRANON LEFT 5 HOLE LOW PROFILE VARIABLE ANGLE LOCK STERILE 2.7/3.5 MM SCREW	SUP-72466505	CDM			270	RC		inpatient			1999.2	1999.2																																																			
PLATE BONE EVOS STAINLESS STEEL L 83 MM OLECRANON RIGHT 5 HOLE LOW PROFILE VARIABLE ANGLE LOCK STERILE 2.7/3.5 MM SCREW	SUP-72466605	CDM			270	RC		outpatient			1999.2	1999.2	541.58				percent of total billed charges		1999.2				other	OPPS APC	1479.41				percent of total billed charges		1999.2				other	OPPS APC	1999.2				other	OPPS APC	541.58				percent of total billed charges		552.38				percent of total billed charges		1999.2				other	OPPS APC	541.58	1999.2	
PLATE BONE EVOS STAINLESS STEEL L 83 MM OLECRANON RIGHT 5 HOLE LOW PROFILE VARIABLE ANGLE LOCK STERILE 2.7/3.5 MM SCREW	SUP-72466605	CDM			270	RC		inpatient			1999.2	1999.2																																																			
GRAFT BLOCK BONE CORTICAL 9 X 14 X 11MM	SUP-200911	CDM	270010012	LOCAL	270	RC		outpatient			1998	1998	541.26				percent of total billed charges		1998				other	OPPS APC	1478.52				percent of total billed charges		1998				other	OPPS APC	1998				other	OPPS APC	541.26				percent of total billed charges		552.05				percent of total billed charges		1998				other	OPPS APC	541.26	1998	
GRAFT BLOCK BONE CORTICAL 9 X 14 X 11MM	SUP-200911	CDM	270010012	LOCAL	270	RC		inpatient			1998	1998																																																			
DISTAL RADIUS PLATE 6HOLE HEAD 3 HOLE SHAFT RIGHT	SUP-02.111.630	CDM			270	RC		outpatient			1995.6	1995.6	540.61				percent of total billed charges		1995.6				other	OPPS APC	1476.74				percent of total billed charges		1995.6				other	OPPS APC	1995.6				other	OPPS APC	540.61				percent of total billed charges		551.38				percent of total billed charges		1995.6				other	OPPS APC	540.61	1995.6	
DISTAL RADIUS PLATE 6HOLE HEAD 3 HOLE SHAFT RIGHT	SUP-02.111.630	CDM			270	RC		inpatient			1995.6	1995.6																																																			
DISTAL RADIUS PLATE 7HOLE HEAD 3 HOLE SHAFT RIGHT	SUP-02.111.730	CDM			270	RC		outpatient			1995.6	1995.6	540.61				percent of total billed charges		1995.6				other	OPPS APC	1476.74				percent of total billed charges		1995.6				other	OPPS APC	1995.6				other	OPPS APC	540.61				percent of total billed charges		551.38				percent of total billed charges		1995.6				other	OPPS APC	540.61	1995.6	
DISTAL RADIUS PLATE 7HOLE HEAD 3 HOLE SHAFT RIGHT	SUP-02.111.730	CDM			270	RC		inpatient			1995.6	1995.6																																																			
GRAFT SOFT TISSUE ARTHROFLEX FLEXIGRAFT DERMIS THK.3-.7 MM L40 MM X W30 MM PATCH MATRACELL TECHNOLOGY DECELLULARIZED STERILE	SUP-AFLEX500	CDM	270010031	LOCAL	270	RC		outpatient			1995.08	1995.8	540.47				percent of total billed charges		1995.08				other	OPPS APC	1476.36				percent of total billed charges		1995.08				other	OPPS APC	1995.08				other	OPPS APC	540.47				percent of total billed charges		551.24				percent of total billed charges		1995.8				other	OPPS APC	540.47	1995.8	
GRAFT SOFT TISSUE ARTHROFLEX FLEXIGRAFT DERMIS THK.3-.7 MM L40 MM X W30 MM PATCH MATRACELL TECHNOLOGY DECELLULARIZED STERILE	SUP-AFLEX500	CDM	270010031	LOCAL	270	RC		inpatient			1995.08	1995.08																																																			
STENT - INTEGRITY 2.75X18	SUP-99-00986	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.75X18	SUP-99-00986	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.5X18	SUP-99-00987	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.5X18	SUP-99-00987	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 4.0X18	SUP-99-01107	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.0X18	SUP-99-01202	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.0X18	SUP-99-01202	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.5X18	SUP-99-01218	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.5X18	SUP-99-01218	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.25X18	SUP-99-01244	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.25X18	SUP-99-01244	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.0X26	SUP-99-01250	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.0X26	SUP-99-01250	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.0X30	SUP-99-01251	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.0X30	SUP-99-01251	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.5X22	SUP-99-01378	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.5X22	SUP-99-01378	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.0X9	SUP-99-01400	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.0X9	SUP-99-01400	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.5X26	SUP-99-01411	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.5X26	SUP-99-01411	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.5X14	SUP-99-01470	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.5X14	SUP-99-01470	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 4.0X22	SUP-99-01511	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 4.0X22	SUP-99-01511	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 4.0X30	SUP-99-01512	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 4.0X30	SUP-99-01512	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.75X22	SUP-99-01553	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.75X22	SUP-99-01553	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 2.75X26	SUP-99-01718	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.75X26	SUP-99-01718	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.5X12	SUP-99-01821	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.5X12	SUP-99-01821	CDM			278	RC		outpatient			1995	1995					fee schedule		1995				other	OPPS APC	1137.15				percent of total billed charges		1995				other	OPPS APC	1995				other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1995	1995	
STENT - INTEGRITY 2.25X12	SUP-99-01942	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 2.25X12	SUP-99-01942	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.5X26	SUP-99-02074	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.5X26	SUP-99-02074	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 3.5X15	SUP-99-02136	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 3.5X15	SUP-99-02136	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
STENT - INTEGRITY 4.0X26	SUP-99-03165	CDM			278	RC		inpatient			1995	1995																																																			
STENT - INTEGRITY 4.0X26	SUP-99-03165	CDM			278	RC		outpatient			1995	1995					fee schedule						other	OPPS APC	1137.15				percent of total billed charges						other	OPPS APC					other	OPPS APC	977.55				percent of total billed charges		1017.45				percent of total billed charges						other	OPPS APC	1137.15	1137.15	
PLATE BONE DCP STAINLESS STEEL 95 D L50 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.50	CDM	270010022	LOCAL	270	RC		outpatient			1994.3	1994.3	540.26				percent of total billed charges		1994.3				other	OPPS APC	1475.78				percent of total billed charges		1994.3				other	OPPS APC	1994.3				other	OPPS APC	540.26				percent of total billed charges		551.03				percent of total billed charges		1994.3				other	OPPS APC	540.26	1994.3	
PLATE BONE DCP STAINLESS STEEL 95 D L50 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.50	CDM	270010022	LOCAL	270	RC		inpatient			1994.3	1994.3																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L60 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.52	CDM	270010022	LOCAL	270	RC		outpatient			1994.3	1994.3	540.26				percent of total billed charges		1994.3				other	OPPS APC	1475.78				percent of total billed charges		1994.3				other	OPPS APC	1994.3				other	OPPS APC	540.26				percent of total billed charges		551.03				percent of total billed charges		1994.3				other	OPPS APC	540.26	1994.3	
PLATE BONE DCP STAINLESS STEEL 95 D L60 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.52	CDM	270010022	LOCAL	270	RC		inpatient			1994.3	1994.3																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L70 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.54	CDM	270010022	LOCAL	270	RC		outpatient			1994.3	1994.3	540.26				percent of total billed charges		1994.3				other	OPPS APC	1475.78				percent of total billed charges		1994.3				other	OPPS APC	1994.3				other	OPPS APC	540.26				percent of total billed charges		551.03				percent of total billed charges		1994.3				other	OPPS APC	540.26	1994.3	
PLATE BONE DCP STAINLESS STEEL 95 D L70 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.54	CDM	270010022	LOCAL	270	RC		inpatient			1994.3	1994.3																																																			
PLATE BONE DCP STAINLESS STEEL 95 D L80 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.56	CDM	270010022	LOCAL	270	RC		outpatient			1994.3	1994.3	540.26				percent of total billed charges		1994.3				other	OPPS APC	1475.78				percent of total billed charges		1994.3				other	OPPS APC	1994.3				other	OPPS APC	540.26				percent of total billed charges		551.03				percent of total billed charges		1994.3				other	OPPS APC	540.26	1994.3	
PLATE BONE DCP STAINLESS STEEL 95 D L80 MM L92 MM CONDYLE 5 HOLE NONSTERILE	SUP-237.56	CDM	270010022	LOCAL	270	RC		inpatient			1994.3	1994.3																																																			
INSUFFLATION TUBING SMOKE EVAC FILTERED	SUP-95-04760	CDM			272	RC		outpatient			1993.86	1993.86	540.14				percent of total billed charges		1993.86				other	OPPS APC	1475.46				percent of total billed charges		1993.86				other	OPPS APC	1993.86				other	OPPS APC	540.14				percent of total billed charges		550.9				percent of total billed charges		1993.86				other	OPPS APC	540.14	1993.86	
INSUFFLATION TUBING SMOKE EVAC FILTERED	SUP-95-04760	CDM			272	RC		inpatient			1993.86	1993.86																																																			
28MM DIA COCR MOD HD +3MM NK	SUP-97-04945	CDM			278	RC		outpatient			1992	1992	1992				fee schedule		1992				other	OPPS APC	1135.44				percent of total billed charges		1992				other	OPPS APC	1992				other	OPPS APC	976.08				percent of total billed charges		1015.92				percent of total billed charges		1992				other	OPPS APC	976.08	1992	
28MM DIA COCR MOD HD +3MM NK	SUP-97-04945	CDM			278	RC		inpatient			1992	1992																																																			
28MM COCR MOD HD +6MM NO SKIRT	SUP-97-05035	CDM			278	RC		outpatient			1992	1992	1992				fee schedule		1992				other	OPPS APC	1135.44				percent of total billed charges		1992				other	OPPS APC	1992				other	OPPS APC	976.08				percent of total billed charges		1015.92				percent of total billed charges		1992				other	OPPS APC	976.08	1992	
28MM COCR MOD HD +6MM NO SKIRT	SUP-97-05035	CDM			278	RC		inpatient			1992	1992																																																			
HOFFMANN3 5 HOLE PIN CLAMP 1 POST STRAIG	SUP-97-03407	CDM			278	RC		outpatient			1991.04	1991.4	1991.04				fee schedule		1991.04				other	OPPS APC	1134.89				percent of total billed charges		1991.04				other	OPPS APC	1991.04				other	OPPS APC	975.61				percent of total billed charges		1015.43				percent of total billed charges		1991.4				other	OPPS APC	975.61	1991.4	
HOFFMANN3 5 HOLE PIN CLAMP 1 POST STRAIG	SUP-97-03407	CDM			278	RC		inpatient			1991.04	1991.04																																																			
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS 75CM 40MM 100CM 16MM METAL TRACHEOBRONCHIAL CATHETER UNCONSTRAIN FLEXIBLE	SUP-H965403310	CDM			270	RC		outpatient			1990.5	199.5	539.23				percent of total billed charges		1990.5				other	OPPS APC	1472.97				percent of total billed charges		1990.5				other	OPPS APC	1990.5				other	OPPS APC	539.23				percent of total billed charges		549.98				percent of total billed charges		199.5				other	OPPS APC	199.5	1990.5	
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS 75CM 40MM 100CM 16MM METAL TRACHEOBRONCHIAL CATHETER UNCONSTRAIN FLEXIBLE	SUP-H965403310	CDM			270	RC		inpatient			1990.5	1990.5																																																			
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L60 MM L75 CM OD16 MM ODSEC9 FR TRACHEOBRONCHIAL CATHETER UNCONSTRAIN FLEXIBLE ACCEPTS 10 FR SHEATH	SUP-H965403320	CDM			270	RC		outpatient			1990.5	199.5	539.23				percent of total billed charges		1990.5				other	OPPS APC	1472.97				percent of total billed charges		1990.5				other	OPPS APC	1990.5				other	OPPS APC	539.23				percent of total billed charges		549.98				percent of total billed charges		199.5				other	OPPS APC	199.5	1990.5	
STENT ENDOPROSTHESIS WALLSTENT UNISTEP PLUS METAL L100 CM L60 MM L75 CM OD16 MM ODSEC9 FR TRACHEOBRONCHIAL CATHETER UNCONSTRAIN FLEXIBLE ACCEPTS 10 FR SHEATH	SUP-H965403320	CDM			270	RC		inpatient			1990.5	1990.5																																																			
MESH SURGICAL C-QUR POLYPROPYLENE L10 IN X W8 IN HERNIA BIORESORBABLE	SUP-31536	CDM			270	RC		outpatient			1990.26	199.26	539.16				percent of total billed charges		1990.26				other	OPPS APC	1472.79				percent of total billed charges		1990.26				other	OPPS APC	1990.26				other	OPPS APC	539.16				percent of total billed charges		549.91				percent of total billed charges		199.26				other	OPPS APC	199.26	1990.26	
MESH SURGICAL C-QUR POLYPROPYLENE L10 IN X W8 IN HERNIA BIORESORBABLE	SUP-31536	CDM			270	RC		inpatient			1990.26	1990.26																																																			
IMPLANT BREAST SILICONE P4.5 CM MODERATE PROJECTION OVAL BASE W12.3 CM X H10.7 CM 290 ML COHESIVE GEL TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-290MP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P4.5 CM MODERATE PROJECTION OVAL BASE W12.3 CM X H10.7 CM 290 ML COHESIVE GEL TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-290MP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P4.5 CM MODERATE PROJECTION OVAL BASE W13 CM X H11.2 CM 330 ML COHESIVE GEL TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-330MP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P4.5 CM MODERATE PROJECTION OVAL BASE W13 CM X H11.2 CM 330 ML COHESIVE GEL TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-330MP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.1 CM OVAL BASE W14.1 CM X H12.2 CM 450 ML COHESIVE GEL SILIMED TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-450MP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.1 CM OVAL BASE W14.1 CM X H12.2 CM 450 ML COHESIVE GEL SILIMED TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-450MP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.7 CM HIGH PROJECTION OVAL BASE 480 ML TEXTURED COHESIVE GEL	SUP-20645-480HP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.7 CM HIGH PROJECTION OVAL BASE 480 ML TEXTURED COHESIVE GEL	SUP-20645-480HP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.3 CM MODERATE PROJECTION OVAL BASE W14.7 CM X H12.8 CM 500 ML COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-500MP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.3 CM MODERATE PROJECTION OVAL BASE W14.7 CM X H12.8 CM 500 ML COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-500MP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.8 CM OVAL BASE HIGH PROJECTION W14.6 CM X H12.4 CM 550 ML TEXTURED GEL	SUP-20645-550HP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.8 CM OVAL BASE HIGH PROJECTION W14.6 CM X H12.4 CM 550 ML TEXTURED GEL	SUP-20645-550HP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.5 CM MODERATE PROJECTION OVAL BASE W16 CM X H13.8 CM 600 ML COHESIVE GEL SILIM TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-600MP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.5 CM MODERATE PROJECTION OVAL BASE W16 CM X H13.8 CM 600 ML COHESIVE GEL SILIM TEXTURE HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-600MP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.9 CM MODERATE PROJECTION OVAL BASE W16.9 CM X H14.5 CM 700 ML COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-700MP	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.9 CM MODERATE PROJECTION OVAL BASE W16.9 CM X H14.5 CM 700 ML COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20645-700MP	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.7 CM HIGH PROJECTION ROUND W11.9 CM 370 ML SMOOTH COHESIVE GEL	SUP-20646-370RB	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.7 CM HIGH PROJECTION ROUND W11.9 CM 370 ML SMOOTH COHESIVE GEL	SUP-20646-370RB	CDM			270	RC		inpatient			1990	1990																																																			
IMPLANT BREAST SILICONE P5.8 CM HIGH PROJECTION ROUND W12.5 CM 425 ML GEL SMOOTH TEXTURED	SUP-20646-425RB	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
IMPLANT BREAST SILICONE P5.8 CM HIGH PROJECTION ROUND W12.5 CM 425 ML GEL SMOOTH TEXTURED	SUP-20646-425RB	CDM			270	RC		inpatient			1990	1990																																																			
PLATE BONE STAINLESS STEEL L25 MM FOOT ANKLE 2 COMPRESSION 3 HOLE	SUP-AR-8007-25	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
PLATE BONE STAINLESS STEEL L25 MM FOOT ANKLE 2 COMPRESSION 3 HOLE	SUP-AR-8007-25	CDM			270	RC		inpatient			1990	1990																																																			
MICROCATHETER 165 CM L 1.2 FR .009 IN .03 IN OLIVE TIP FLOW-DEPENDENT MAGIC	SUP-MAGIC1.2OLIVE	CDM			270	RC		outpatient			1990	199	539.09				percent of total billed charges		1990				other	OPPS APC	1472.6				percent of total billed charges		1990				other	OPPS APC	1990				other	OPPS APC	539.09				percent of total billed charges		549.84				percent of total billed charges		199				other	OPPS APC	199	1990	
MICROCATHETER 165 CM L 1.2 FR .009 IN .03 IN OLIVE TIP FLOW-DEPENDENT MAGIC	SUP-MAGIC1.2OLIVE	CDM			270	RC		inpatient			1990	1990																																																			
CATHETER INFUSION DIREXION FATHOM NITINOL .016 IN MICRO BERN L130 CM L180 CM OD2.4 FR TORQUEABLE FLEXIBLE GUIDEWIRE	SUP-19-564	CDM			270	RC		outpatient			1989.2	1989.2	538.87				percent of total billed charges		1989.2				other	OPPS APC	1472.01				percent of total billed charges		1989.2				other	OPPS APC	1989.2				other	OPPS APC	538.87				percent of total billed charges		549.62				percent of total billed charges		1989.2				other	OPPS APC	538.87	1989.2	
CATHETER INFUSION DIREXION FATHOM NITINOL .016 IN MICRO BERN L130 CM L180 CM OD2.4 FR TORQUEABLE FLEXIBLE GUIDEWIRE	SUP-19-564	CDM			270	RC		inpatient			1989.2	1989.2																																																			
CATHETER INFUSION DIREXION HI-FLO FATHOM NITINOL .027 IN MICRO BERN L130 CM L180 CM OD2.4 FR TORQUEABLE FLEXIBLE GUIDEWIRE PRELOAD	SUP-19-574	CDM			270	RC		outpatient			1989.2	1989.2	538.87				percent of total billed charges		1989.2				other	OPPS APC	1472.01				percent of total billed charges		1989.2				other	OPPS APC	1989.2				other	OPPS APC	538.87				percent of total billed charges		549.62				percent of total billed charges		1989.2				other	OPPS APC	538.87	1989.2	
CATHETER INFUSION DIREXION HI-FLO FATHOM NITINOL .027 IN MICRO BERN L130 CM L180 CM OD2.4 FR TORQUEABLE FLEXIBLE GUIDEWIRE PRELOAD	SUP-19-574	CDM			270	RC		inpatient			1989.2	1989.2																																																			
RELOAD RADIAL MED THICK	SUP-74-00412	CDM			272	RC		outpatient			1988.72	1988.72	538.74				percent of total billed charges		1988.72				other	OPPS APC	1471.65				percent of total billed charges		1988.72				other	OPPS APC	1988.72				other	OPPS APC	538.74				percent of total billed charges		549.48				percent of total billed charges		1988.72				other	OPPS APC	538.74	1988.72	
RELOAD RADIAL MED THICK	SUP-74-00412	CDM			272	RC		inpatient			1988.72	1988.72																																																			
PLATE BONE STAINLESS STEEL 108 MM RADIUS L182 MM X W10.2 MM X H2.7 MM PELVIC 14 HOLE LOW PROFILE CURVE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.884	CDM	270010022	LOCAL	270	RC		outpatient			1984.4	1984.41	537.57				percent of total billed charges		1984.4				other	OPPS APC	1468.46				percent of total billed charges		1984.4				other	OPPS APC	1984.4				other	OPPS APC	537.57				percent of total billed charges		548.29				percent of total billed charges		1984.41				other	OPPS APC	537.57	1984.41	
PLATE BONE STAINLESS STEEL 108 MM RADIUS L182 MM X W10.2 MM X H2.7 MM PELVIC 14 HOLE LOW PROFILE CURVE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.884	CDM	270010022	LOCAL	270	RC		inpatient			1984.4	1984.4																																																			
PLATE BONE STAINLESS STEEL 88 MM RADIUS L182 MM PELVIC 14 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.914	CDM	270010022	LOCAL	270	RC		outpatient			1984.4	1984.41	537.57				percent of total billed charges		1984.4				other	OPPS APC	1468.46				percent of total billed charges		1984.4				other	OPPS APC	1984.4				other	OPPS APC	537.57				percent of total billed charges		548.29				percent of total billed charges		1984.41				other	OPPS APC	537.57	1984.41	
PLATE BONE STAINLESS STEEL 88 MM RADIUS L182 MM PELVIC 14 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.914	CDM	270010022	LOCAL	270	RC		inpatient			1984.4	1984.4																																																			
PLATE BONE LCP STAINLESS STEEL SHORT CLOVERLEAF L38 MM FOREFOOT MIDFOOT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.250	CDM	270010022	LOCAL	270	RC		outpatient			1983.6	1983.6	537.36				percent of total billed charges		1983.6				other	OPPS APC	1467.86				percent of total billed charges		1983.6				other	OPPS APC	1983.6				other	OPPS APC	537.36				percent of total billed charges		548.07				percent of total billed charges		1983.6				other	OPPS APC	537.36	1983.6	
PLATE BONE LCP STAINLESS STEEL SHORT CLOVERLEAF L38 MM FOREFOOT MIDFOOT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.250	CDM	270010022	LOCAL	270	RC		inpatient			1983.6	1983.6																																																			
PLATE BONE LCP STAINLESS STEEL SHORT T L35 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.253	CDM	270010022	LOCAL	270	RC		outpatient			1983.6	1983.6	537.36				percent of total billed charges		1983.6				other	OPPS APC	1467.86				percent of total billed charges		1983.6				other	OPPS APC	1983.6				other	OPPS APC	537.36				percent of total billed charges		548.07				percent of total billed charges		1983.6				other	OPPS APC	537.36	1983.6	
PLATE BONE LCP STAINLESS STEEL SHORT T L35 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.253	CDM	270010022	LOCAL	270	RC		inpatient			1983.6	1983.6																																																			
PLATE BONE LCP STAINLESS STEEL SHORT L L37 MM FOREFOOT MIDFOOT LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.257	CDM	270010022	LOCAL	270	RC		outpatient			1983.6	1983.6	537.36				percent of total billed charges		1983.6				other	OPPS APC	1467.86				percent of total billed charges		1983.6				other	OPPS APC	1983.6				other	OPPS APC	537.36				percent of total billed charges		548.07				percent of total billed charges		1983.6				other	OPPS APC	537.36	1983.6	
PLATE BONE LCP STAINLESS STEEL SHORT L L37 MM FOREFOOT MIDFOOT LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.257	CDM	270010022	LOCAL	270	RC		inpatient			1983.6	1983.6																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L52.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860152	CDM	270010020	LOCAL	270	RC		outpatient			1983.52	1983.52	537.34				percent of total billed charges		1983.52				other	OPPS APC	1467.8				percent of total billed charges		1983.52				other	OPPS APC	1983.52				other	OPPS APC	537.34				percent of total billed charges		548.05				percent of total billed charges		1983.52				other	OPPS APC	537.34	1983.52	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L52.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860152	CDM	270010020	LOCAL	270	RC		inpatient			1983.52	1983.52																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L55 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860155	CDM	270010020	LOCAL	270	RC		outpatient			1983.52	1983.52	537.34				percent of total billed charges		1983.52				other	OPPS APC	1467.8				percent of total billed charges		1983.52				other	OPPS APC	1983.52				other	OPPS APC	537.34				percent of total billed charges		548.05				percent of total billed charges		1983.52				other	OPPS APC	537.34	1983.52	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L55 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860155	CDM	270010020	LOCAL	270	RC		inpatient			1983.52	1983.52																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L60 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860160	CDM	270010020	LOCAL	270	RC		outpatient			1983.52	1983.52	537.34				percent of total billed charges		1983.52				other	OPPS APC	1467.8				percent of total billed charges		1983.52				other	OPPS APC	1983.52				other	OPPS APC	537.34				percent of total billed charges		548.05				percent of total billed charges		1983.52				other	OPPS APC	537.34	1983.52	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L60 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860160	CDM	270010020	LOCAL	270	RC		inpatient			1983.52	1983.52																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L62.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860162	CDM	270010020	LOCAL	270	RC		outpatient			1983.52	1983.52	537.34				percent of total billed charges		1983.52				other	OPPS APC	1467.8				percent of total billed charges		1983.52				other	OPPS APC	1983.52				other	OPPS APC	537.34				percent of total billed charges		548.05				percent of total billed charges		1983.52				other	OPPS APC	537.34	1983.52	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L62.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860162	CDM	270010020	LOCAL	270	RC		inpatient			1983.52	1983.52																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L108 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.008	CDM	270010022	LOCAL	270	RC		outpatient			1983.3	1983.3	537.28				percent of total billed charges		1983.3				other	OPPS APC	1467.64				percent of total billed charges		1983.3				other	OPPS APC	1983.3				other	OPPS APC	537.28				percent of total billed charges		547.99				percent of total billed charges		1983.3				other	OPPS APC	537.28	1983.3	
PLATE BONE LCP COMBI STAINLESS STEEL L108 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.008	CDM	270010022	LOCAL	270	RC		inpatient			1983.3	1983.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L108 MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.009	CDM	270010022	LOCAL	270	RC		outpatient			1983.3	1983.3	537.28				percent of total billed charges		1983.3				other	OPPS APC	1467.64				percent of total billed charges		1983.3				other	OPPS APC	1983.3				other	OPPS APC	537.28				percent of total billed charges		547.99				percent of total billed charges		1983.3				other	OPPS APC	537.28	1983.3	
PLATE BONE LCP COMBI STAINLESS STEEL L108 MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.009	CDM	270010022	LOCAL	270	RC		inpatient			1983.3	1983.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L94 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.026	CDM	270010022	LOCAL	270	RC		outpatient			1983.3	1983.3	537.28				percent of total billed charges		1983.3				other	OPPS APC	1467.64				percent of total billed charges		1983.3				other	OPPS APC	1983.3				other	OPPS APC	537.28				percent of total billed charges		547.99				percent of total billed charges		1983.3				other	OPPS APC	537.28	1983.3	
PLATE BONE LCP COMBI STAINLESS STEEL L94 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.026	CDM	270010022	LOCAL	270	RC		inpatient			1983.3	1983.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L94 MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.027	CDM	270010022	LOCAL	270	RC		outpatient			1983.3	1983.3	537.28				percent of total billed charges		1983.3				other	OPPS APC	1467.64				percent of total billed charges		1983.3				other	OPPS APC	1983.3				other	OPPS APC	537.28				percent of total billed charges		547.99				percent of total billed charges		1983.3				other	OPPS APC	537.28	1983.3	
PLATE BONE LCP COMBI STAINLESS STEEL L94 MM CLAVICLE LEFT ANTERIOR SUPERIOR 6 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.027	CDM	270010022	LOCAL	270	RC		inpatient			1983.3	1983.3																																																			
GRAFT BONE CORNERSTONE CORTICAL L72 MM X H10 MM FREEZE DRIED SPACER WEDGE ANTERIOR CERVICAL INTERBODY FUSION	SUP-181072	CDM	270010031	LOCAL	270	RC		outpatient			1980	198	536.38				percent of total billed charges		1980				other	OPPS APC	1465.2				percent of total billed charges		1980				other	OPPS APC	1980				other	OPPS APC	536.38				percent of total billed charges		547.07				percent of total billed charges		198				other	OPPS APC	198	1980	
GRAFT BONE CORNERSTONE CORTICAL L72 MM X H10 MM FREEZE DRIED SPACER WEDGE ANTERIOR CERVICAL INTERBODY FUSION	SUP-181072	CDM	270010031	LOCAL	270	RC		inpatient			1980	1980																																																			
ATTACHMENT SWIVEL MAVERICK	SUP-71094111	CDM			270	RC		outpatient			1980	198	536.38				percent of total billed charges		1980				other	OPPS APC	1465.2				percent of total billed charges		1980				other	OPPS APC	1980				other	OPPS APC	536.38				percent of total billed charges		547.07				percent of total billed charges		198				other	OPPS APC	198	1980	
ATTACHMENT SWIVEL MAVERICK	SUP-71094111	CDM			270	RC		inpatient			1980	1980																																																			
FFR - VERRATA	SUP-99-01955	CDM			272	RC		outpatient			1980	198	536.38				percent of total billed charges		1980				other	OPPS APC	1465.2				percent of total billed charges		1980				other	OPPS APC	1980				other	OPPS APC	536.38				percent of total billed charges		547.07				percent of total billed charges		198				other	OPPS APC	198	1980	
FFR - VERRATA	SUP-99-01955	CDM			272	RC		inpatient			1980	1980																																																			
FFR - OMNIWIRE	SUP-99-04201	CDM			272	RC		outpatient			1980	198	536.38				percent of total billed charges		1980				other	OPPS APC	1465.2				percent of total billed charges		1980				other	OPPS APC	1980				other	OPPS APC	536.38				percent of total billed charges		547.07				percent of total billed charges		198				other	OPPS APC	198	1980	
FFR - OMNIWIRE	SUP-99-04201	CDM			272	RC		inpatient			1980	1980																																																			
PATELLA	SUP-97-00699	CDM			278	RC		outpatient			1979.64	1979.64	1979.64				fee schedule		1979.64				other	OPPS APC	1128.39				percent of total billed charges		1979.64				other	OPPS APC	1979.64				other	OPPS APC	970.02				percent of total billed charges		1009.62				percent of total billed charges		1979.64				other	OPPS APC	970.02	1979.64	
PATELLA	SUP-97-00699	CDM			278	RC		inpatient			1979.64	1979.64																																																			
PATELLA 29MM	SUP-97-02007	CDM			278	RC		outpatient			1979.64	1979.64	1979.64				fee schedule		1979.64				other	OPPS APC	1128.39				percent of total billed charges		1979.64				other	OPPS APC	1979.64				other	OPPS APC	970.02				percent of total billed charges		1009.62				percent of total billed charges		1979.64				other	OPPS APC	970.02	1979.64	
PATELLA 29MM	SUP-97-02007	CDM			278	RC		inpatient			1979.64	1979.64																																																			
PATELLA 38MM	SUP-97-02011	CDM			278	RC		outpatient			1979.64	1979.64	1979.64				fee schedule		1979.64				other	OPPS APC	1128.39				percent of total billed charges		1979.64				other	OPPS APC	1979.64				other	OPPS APC	970.02				percent of total billed charges		1009.62				percent of total billed charges		1979.64				other	OPPS APC	970.02	1979.64	
PATELLA 38MM	SUP-97-02011	CDM			278	RC		inpatient			1979.64	1979.64																																																			
PATELLA 32MM	SUP-97-02141	CDM			278	RC		outpatient			1979.64	1979.64	1979.64				fee schedule		1979.64				other	OPPS APC	1128.39				percent of total billed charges		1979.64				other	OPPS APC	1979.64				other	OPPS APC	970.02				percent of total billed charges		1009.62				percent of total billed charges		1979.64				other	OPPS APC	970.02	1979.64	
PATELLA 32MM	SUP-97-02141	CDM			278	RC		inpatient			1979.64	1979.64																																																			
HC Egd Transoral Control Bleeding Any Method	PX-750432350	CDM	43235	CPT	750	RC		outpatient			1978	1978	319.39				fee schedule		1978				other	OPPS APC	1978				fee schedule		1978				other	OPPS APC	1978				other	OPPS APC	119.8				fee schedule		1008.78				percent of total billed charges		1978				other	OPPS APC	119.8	1978	
HC Egd Transoral Control Bleeding Any Method	PX-750432350	CDM	43235	CPT	750	RC		inpatient			1978	1978																																																			
PLATE BONE LCP STAINLESS STEEL SHORT L40 MM CALCANEAL RIGHT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.410	CDM			270	RC		outpatient			1976.8	1976.8	535.52				percent of total billed charges		1976.8				other	OPPS APC	1462.83				percent of total billed charges		1976.8				other	OPPS APC	1976.8				other	OPPS APC	535.52				percent of total billed charges		546.19				percent of total billed charges		1976.8				other	OPPS APC	535.52	1976.8	
PLATE BONE LCP STAINLESS STEEL SHORT L40 MM CALCANEAL RIGHT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.410	CDM			270	RC		inpatient			1976.8	1976.8																																																			
PLATE BONE LCP STAINLESS STEEL SHORT L40 MM CALCANEAL LEFT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.411	CDM			270	RC		outpatient			1976.8	1976.8	535.52				percent of total billed charges		1976.8				other	OPPS APC	1462.83				percent of total billed charges		1976.8				other	OPPS APC	1976.8				other	OPPS APC	535.52				percent of total billed charges		546.19				percent of total billed charges		1976.8				other	OPPS APC	535.52	1976.8	
PLATE BONE LCP STAINLESS STEEL SHORT L40 MM CALCANEAL LEFT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.411	CDM			270	RC		inpatient			1976.8	1976.8																																																			
DRILL BIT 300MM  CANNULATED 13.0MM	SUP-97-02501	CDM			278	RC		outpatient			1974.72	1974.72	1974.72				fee schedule		1974.72				other	OPPS APC	1125.59				percent of total billed charges		1974.72				other	OPPS APC	1974.72				other	OPPS APC	967.61				percent of total billed charges		1007.11				percent of total billed charges		1974.72				other	OPPS APC	967.61	1974.72	
DRILL BIT 300MM  CANNULATED 13.0MM	SUP-97-02501	CDM			278	RC		inpatient			1974.72	1974.72																																																			
PLATE GEMINUS VOLAR DISTAL 3 HOLE RT	SUP-97-01617	CDM			278	RC		outpatient			1974	1974	1974				fee schedule		1974				other	OPPS APC	1125.18				percent of total billed charges		1974				other	OPPS APC	1974				other	OPPS APC	967.26				percent of total billed charges		1006.74				percent of total billed charges		1974				other	OPPS APC	967.26	1974	
PLATE GEMINUS VOLAR DISTAL 3 HOLE RT	SUP-97-01617	CDM			278	RC		inpatient			1974	1974																																																			
PLATE 3 HOLE SHAFT LEFT	SUP-97-05763	CDM			278	RC		outpatient			1974	1974	1974				fee schedule		1974				other	OPPS APC	1125.18				percent of total billed charges		1974				other	OPPS APC	1974				other	OPPS APC	967.26				percent of total billed charges		1006.74				percent of total billed charges		1974				other	OPPS APC	967.26	1974	
PLATE 3 HOLE SHAFT LEFT	SUP-97-05763	CDM			278	RC		inpatient			1974	1974																																																			
PLATE WIDE HEAD 4 HOLE SHAFT LEFT	SUP-97-05945	CDM			278	RC		outpatient			1974	1974	1974				fee schedule		1974				other	OPPS APC	1125.18				percent of total billed charges		1974				other	OPPS APC	1974				other	OPPS APC	967.26				percent of total billed charges		1006.74				percent of total billed charges		1974				other	OPPS APC	967.26	1974	
PLATE WIDE HEAD 4 HOLE SHAFT LEFT	SUP-97-05945	CDM			278	RC		inpatient			1974	1974																																																			
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL DORSAL NONSTERILE 2.4/2.7 MM CORTEX SCREW 1.8 MM BUTTRESS PIN	SUP-242.482	CDM	270010022	LOCAL	270	RC		outpatient			1971	1971	533.94				percent of total billed charges		1971				other	OPPS APC	1458.54				percent of total billed charges		1971				other	OPPS APC	1971				other	OPPS APC	533.94				percent of total billed charges		544.59				percent of total billed charges		1971				other	OPPS APC	533.94	1971	
PLATE BONE LCP STAINLESS STEEL RADIUS LEFT DISTAL DORSAL NONSTERILE 2.4/2.7 MM CORTEX SCREW 1.8 MM BUTTRESS PIN	SUP-242.482	CDM	270010022	LOCAL	270	RC		inpatient			1971	1971																																																			
SCREW 7 X 65MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05741	CDM			278	RC		outpatient			1970.64	197.64	1970.64				fee schedule		1970.64				other	OPPS APC	1123.26				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	965.61				percent of total billed charges		1005.03				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7 X 65MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05741	CDM			278	RC		inpatient			1970.64	1970.64																																																			
SCREW 7 X 60MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05742	CDM			272	RC		outpatient			1970.64	197.64	533.85				percent of total billed charges		1970.64				other	OPPS APC	1458.27				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	533.85				percent of total billed charges		544.49				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7 X 60MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05742	CDM			272	RC		inpatient			1970.64	1970.64																																																			
SCREW 7.0 X 70MM HEADLESS COMPRESSION	SUP-97-05771	CDM			278	RC		outpatient			1970.64	197.64	1970.64				fee schedule		1970.64				other	OPPS APC	1123.26				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	965.61				percent of total billed charges		1005.03				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7.0 X 70MM HEADLESS COMPRESSION	SUP-97-05771	CDM			278	RC		inpatient			1970.64	1970.64																																																			
SCREW 7.0 X 75MM HEADLESS COMPRESSION	SUP-97-05772	CDM			278	RC		outpatient			1970.64	197.64	1970.64				fee schedule		1970.64				other	OPPS APC	1123.26				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	965.61				percent of total billed charges		1005.03				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7.0 X 75MM HEADLESS COMPRESSION	SUP-97-05772	CDM			278	RC		inpatient			1970.64	1970.64																																																			
SCREW 7 X 80MM HEADLESS COMPRESSION ST	SUP-97-05799	CDM			278	RC		outpatient			1970.64	197.64	1970.64				fee schedule		1970.64				other	OPPS APC	1123.26				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	965.61				percent of total billed charges		1005.03				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7 X 80MM HEADLESS COMPRESSION ST	SUP-97-05799	CDM			278	RC		inpatient			1970.64	1970.64																																																			
SCREW 7 X 85MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05800	CDM			278	RC		outpatient			1970.64	197.64	1970.64				fee schedule		1970.64				other	OPPS APC	1123.26				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	965.61				percent of total billed charges		1005.03				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7 X 85MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-05800	CDM			278	RC		inpatient			1970.64	1970.64																																																			
SCREW 7 X 90MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-06422	CDM			278	RC		outpatient			1970.64	197.64	1970.64				fee schedule		1970.64				other	OPPS APC	1123.26				percent of total billed charges		1970.64				other	OPPS APC	1970.64				other	OPPS APC	965.61				percent of total billed charges		1005.03				percent of total billed charges		197.64				other	OPPS APC	197.64	1970.64	
SCREW 7 X 90MM HEADLESS COMPRESSION SHORT THREAD	SUP-97-06422	CDM			278	RC		inpatient			1970.64	1970.64																																																			
CATHETER DELIVERY SYSTEM BENCHMARK STRAIGHT L105 CM ID.07 IN LATEX FREE	SUP-BMK6F105	CDM			270	RC		outpatient			1970	197	533.67				percent of total billed charges		1970				other	OPPS APC	1457.8				percent of total billed charges		1970				other	OPPS APC	1970				other	OPPS APC	533.67				percent of total billed charges		544.31				percent of total billed charges		197				other	OPPS APC	197	1970	
CATHETER DELIVERY SYSTEM BENCHMARK STRAIGHT L105 CM ID.07 IN LATEX FREE	SUP-BMK6F105	CDM			270	RC		inpatient			1970	1970																																																			
CATHETER DELIVERY SYSTEM BENCHMARK STRAIGHT L95 CM ID.07 IN LATEX FREE	SUP-BMK6F95	CDM			270	RC		outpatient			1970	197	533.67				percent of total billed charges		1970				other	OPPS APC	1457.8				percent of total billed charges		1970				other	OPPS APC	1970				other	OPPS APC	533.67				percent of total billed charges		544.31				percent of total billed charges		197				other	OPPS APC	197	1970	
CATHETER DELIVERY SYSTEM BENCHMARK STRAIGHT L95 CM ID.07 IN LATEX FREE	SUP-BMK6F95	CDM			270	RC		inpatient			1970	1970																																																			
DRIVER CANNULATED T8	SUP-95-05379	CDM			272	RC		outpatient			1963.65	1963.65	531.95				percent of total billed charges		1963.65				other	OPPS APC	1453.1				percent of total billed charges		1963.65				other	OPPS APC	1963.65				other	OPPS APC	531.95				percent of total billed charges		542.56				percent of total billed charges		1963.65				other	OPPS APC	531.95	1963.65	
DRIVER CANNULATED T8	SUP-95-05379	CDM			272	RC		inpatient			1963.65	1963.65																																																			
PLATE BONE LCP COMBI 55X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 3 HOLE LATERAL SUPPORT PRECONTOUR LIMIT	SUP-241.272	CDM	270010022	LOCAL	270	RC		outpatient			1963.5	1963.5	531.91				percent of total billed charges		1963.5				other	OPPS APC	1452.99				percent of total billed charges		1963.5				other	OPPS APC	1963.5				other	OPPS APC	531.91				percent of total billed charges		542.52				percent of total billed charges		1963.5				other	OPPS APC	531.91	1963.5	
PLATE BONE LCP COMBI 55X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 3 HOLE LATERAL SUPPORT PRECONTOUR LIMIT	SUP-241.272	CDM	270010022	LOCAL	270	RC		inpatient			1963.5	1963.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L55 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 3 HOLE LATERAL SUPPORT PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.273	CDM	270010022	LOCAL	270	RC		outpatient			1963.5	1963.5	531.91				percent of total billed charges		1963.5				other	OPPS APC	1452.99				percent of total billed charges		1963.5				other	OPPS APC	1963.5				other	OPPS APC	531.91				percent of total billed charges		542.52				percent of total billed charges		1963.5				other	OPPS APC	531.91	1963.5	
PLATE BONE LCP COMBI STAINLESS STEEL L55 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 3 HOLE LATERAL SUPPORT PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.273	CDM	270010022	LOCAL	270	RC		inpatient			1963.5	1963.5																																																			
HC CT Abd and Pelvis W/O Contrast	PX-352741760	CDM	74176	CPT	352	RC		outpatient			1962	245.95	220.44				fee schedule		245.95				other	OPPS APC	1728.12				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	189.68				fee schedule		106.82				fee schedule		245.95				other	OPPS APC	106.82	1728.12	
HC CT Abd and Pelvis W/O Contrast	PX-352741760	CDM	74176	CPT	352	RC		inpatient			1962	1962																																																			
POST LATERAL LEFT 6HOLE 2.7/3.5 PLATE	SUP-97-04423	CDM			278	RC		outpatient			1961.37	1961.37	1961.37				fee schedule		1961.37				other	OPPS APC	1117.98				percent of total billed charges		1961.37				other	OPPS APC	1961.37				other	OPPS APC	961.07				percent of total billed charges		1000.3				percent of total billed charges		1961.37				other	OPPS APC	961.07	1961.37	
POST LATERAL LEFT 6HOLE 2.7/3.5 PLATE	SUP-97-04423	CDM			278	RC		inpatient			1961.37	1961.37																																																			
IMPLANT BREAST MEMORYGEL SILICONE P4.8 CM HIGH PROFILE ROUND NARROW BASE OD11.7 CM 350 ML GEL SMOOTH STERILE	SUP-350-3504 BC	CDM			270	RC		outpatient			1960	196	530.96				percent of total billed charges		1960				other	OPPS APC	1450.4				percent of total billed charges		1960				other	OPPS APC	1960				other	OPPS APC	530.96				percent of total billed charges		541.55				percent of total billed charges		196				other	OPPS APC	196	1960	
IMPLANT BREAST MEMORYGEL SILICONE P4.8 CM HIGH PROFILE ROUND NARROW BASE OD11.7 CM 350 ML GEL SMOOTH STERILE	SUP-350-3504 BC	CDM			270	RC		inpatient			1960	1960																																																			
IMPLANT BREAST COHESIVE I MEMORYGEL SILICONE P4.8 CM HIGH PROFILE ROUND OD12 CM 375 ML GEL SMOOTH SURFACE SHELL BARRIER LAYER STERILE	SUP-3503754 BC	CDM			270	RC		outpatient			1960	196	530.96				percent of total billed charges		1960				other	OPPS APC	1450.4				percent of total billed charges		1960				other	OPPS APC	1960				other	OPPS APC	530.96				percent of total billed charges		541.55				percent of total billed charges		196				other	OPPS APC	196	1960	
IMPLANT BREAST COHESIVE I MEMORYGEL SILICONE P4.8 CM HIGH PROFILE ROUND OD12 CM 375 ML GEL SMOOTH SURFACE SHELL BARRIER LAYER STERILE	SUP-3503754 BC	CDM			270	RC		inpatient			1960	1960																																																			
IMPLANT BREAST MEMORYGEL SILICONE P5 CM HIGH PROFILE ROUND NARROW BASE OD12.2 CM 400 ML GEL SMOOTH	SUP-350-4004 BC	CDM			270	RC		outpatient			1960	196	530.96				percent of total billed charges		1960				other	OPPS APC	1450.4				percent of total billed charges		1960				other	OPPS APC	1960				other	OPPS APC	530.96				percent of total billed charges		541.55				percent of total billed charges		196				other	OPPS APC	196	1960	
IMPLANT BREAST MEMORYGEL SILICONE P5 CM HIGH PROFILE ROUND NARROW BASE OD12.2 CM 400 ML GEL SMOOTH	SUP-350-4004 BC	CDM			270	RC		inpatient			1960	1960																																																			
FILLER BONE VOID BIOCARTILAGE 1 CC	SUP-ABS-1010-BC	CDM			270	RC		outpatient			1960	196	530.96				percent of total billed charges		1960				other	OPPS APC	1450.4				percent of total billed charges		1960				other	OPPS APC	1960				other	OPPS APC	530.96				percent of total billed charges		541.55				percent of total billed charges		196				other	OPPS APC	196	1960	
FILLER BONE VOID BIOCARTILAGE 1 CC	SUP-ABS-1010-BC	CDM			270	RC		inpatient			1960	1960																																																			
CORCR FEMORAL HEAD 28MM +3.5	SUP-97-03231	CDM			278	RC		outpatient			1956	1956	1956				fee schedule		1956				other	OPPS APC	1114.92				percent of total billed charges		1956				other	OPPS APC	1956				other	OPPS APC	958.44				percent of total billed charges		997.56				percent of total billed charges		1956				other	OPPS APC	958.44	1956	
CORCR FEMORAL HEAD 28MM +3.5	SUP-97-03231	CDM			278	RC		inpatient			1956	1956																																																			
12/14 COCR FEMORAL HEAD 28MM -3.5	SUP-97-04747	CDM			278	RC		outpatient			1956	1956	1956				fee schedule		1956				other	OPPS APC	1114.92				percent of total billed charges		1956				other	OPPS APC	1956				other	OPPS APC	958.44				percent of total billed charges		997.56				percent of total billed charges		1956				other	OPPS APC	958.44	1956	
12/14 COCR FEMORAL HEAD 28MM -3.5	SUP-97-04747	CDM			278	RC		inpatient			1956	1956																																																			
FEMORAL HEAD 12/14 TAPER 28MM DIA +10.5 MM NECK LENGTH	SUP-97-05954	CDM			278	RC		outpatient			1956	1956	1956				fee schedule		1956				other	OPPS APC	1114.92				percent of total billed charges		1956				other	OPPS APC	1956				other	OPPS APC	958.44				percent of total billed charges		997.56				percent of total billed charges		1956				other	OPPS APC	958.44	1956	
FEMORAL HEAD 12/14 TAPER 28MM DIA +10.5 MM NECK LENGTH	SUP-97-05954	CDM			278	RC		inpatient			1956	1956																																																			
ICE 10F ACUNAV ULTRASOUND reprocessed	SUP-ACU10043342	CDM			270	RC		outpatient			1956	1956	529.88				percent of total billed charges		1956				other	OPPS APC	1447.44				percent of total billed charges		1956				other	OPPS APC	1956				other	OPPS APC	529.88				percent of total billed charges		540.44				percent of total billed charges		1956				other	OPPS APC	529.88	1956	
ICE 10F ACUNAV ULTRASOUND reprocessed	SUP-ACU10043342	CDM			270	RC		inpatient			1956	1956																																																			
ACUNAV 8FR ICE reprocessed	SUP-ACU10135910	CDM			270	RC		outpatient			1956	1956	529.88				percent of total billed charges		1956				other	OPPS APC	1447.44				percent of total billed charges		1956				other	OPPS APC	1956				other	OPPS APC	529.88				percent of total billed charges		540.44				percent of total billed charges		1956				other	OPPS APC	529.88	1956	
ACUNAV 8FR ICE reprocessed	SUP-ACU10135910	CDM			270	RC		inpatient			1956	1956																																																			
GRAFT HEMAGARD KNITTED VAS (HGK0018-40)	SUP-97-03674	CDM			278	RC		outpatient			1953	1953	1953				fee schedule		1953				other	OPPS APC	1113.21				percent of total billed charges		1953				other	OPPS APC	1953				other	OPPS APC	956.97				percent of total billed charges		996.03				percent of total billed charges		1953				other	OPPS APC	956.97	1953	
GRAFT HEMAGARD KNITTED VAS (HGK0018-40)	SUP-97-03674	CDM			278	RC		inpatient			1953	1953																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L40 MM ODSEC4 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-4040	CDM			481	RC		outpatient			1950	195	955.5				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L40 MM ODSEC4 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-4040	CDM			481	RC		inpatient			1950	1950																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L40 MM ODSEC5 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-5040	CDM			481	RC		outpatient			1950	195	955.5				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L40 MM ODSEC5 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-5040	CDM			481	RC		inpatient			1950	1950																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L40 MM ODSEC6 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-6040	CDM			481	RC		outpatient			1950	195	955.5				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L40 MM ODSEC6 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-6040	CDM			481	RC		inpatient			1950	1950																																																			
BALLOON ANGIOSCULPT OTW US PTA 2.5 X 40MM 137MM	SUP-2155-2540	CDM			481	RC		outpatient			1950	195	955.5				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON ANGIOSCULPT OTW US PTA 2.5 X 40MM 137MM	SUP-2155-2540	CDM			481	RC		inpatient			1950	1950																																																			
IMPLANT BREASTSILICONE GEL MODERATE PROFILE SMOOTH ROUND 500CC	SUP-350-7500BC	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
IMPLANT BREASTSILICONE GEL MODERATE PROFILE SMOOTH ROUND 500CC	SUP-350-7500BC	CDM			270	RC		inpatient			1950	1950																																																			
IMPLANT BREAST MEMORYGEL SILTEX P5.7 CM HIGH PROFILE ROUND OD14 CM 600 ML GEL SHELL BARRIER LAYER STERILE	SUP-354-4600	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
IMPLANT BREAST MEMORYGEL SILTEX P5.7 CM HIGH PROFILE ROUND OD14 CM 600 ML GEL SHELL BARRIER LAYER STERILE	SUP-354-4600	CDM			270	RC		inpatient			1950	1950																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L14 MM L150 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-37911-61415	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L14 MM L150 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-37911-61415	CDM			270	RC		inpatient			1950	1950																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L19 MM L150 CM OD5 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-37912-51915	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L19 MM L150 CM OD5 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-37912-51915	CDM			270	RC		inpatient			1950	1950																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L18 MM L150 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-37912-61815	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L18 MM L150 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-37912-61815	CDM			270	RC		inpatient			1950	1950																																																			
SPACER SPINAL VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA D11 MM W11 MM X H6 MM STERILE LATEX FREE CERVICAL INTERBODY FUSION	SUP-6276611	CDM	270010020	LOCAL	270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
SPACER SPINAL VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA D11 MM W11 MM X H6 MM STERILE LATEX FREE CERVICAL INTERBODY FUSION	SUP-6276611	CDM	270010020	LOCAL	270	RC		inpatient			1950	1950																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H10 MM LIF LATERAL PORT	SUP-6287041	CDM	270010020	LOCAL	270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H10 MM LIF LATERAL PORT	SUP-6287041	CDM	270010020	LOCAL	270	RC		inpatient			1950	1950																																																			
OATS KIT 6MM	SUP-95-04416	CDM			278	RC		outpatient			1950	195	1950				fee schedule		1950				other	OPPS APC	1111.5				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
OATS KIT 6MM	SUP-95-04416	CDM			278	RC		inpatient			1950	1950																																																			
VENTRIO ST SM CIRCLE 7.6	SUP-97-00232	CDM			278	RC		outpatient			1950	195	1950				fee schedule		1950				other	OPPS APC	1111.5				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
VENTRIO ST SM CIRCLE 7.6	SUP-97-00232	CDM			278	RC		inpatient			1950	1950																																																			
UHR BIPOLAR 28 X 56MM	SUP-97-04553	CDM			278	RC		outpatient			1950	195	1950				fee schedule		1950				other	OPPS APC	1111.5				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
UHR BIPOLAR 28 X 56MM	SUP-97-04553	CDM			278	RC		inpatient			1950	1950																																																			
SCREW BEVELED 4.0 X 34MM	SUP-97-05541	CDM			278	RC		outpatient			1950	195	1950				fee schedule		1950				other	OPPS APC	1111.5				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
SCREW BEVELED 4.0 X 34MM	SUP-97-05541	CDM			278	RC		inpatient			1950	1950																																																			
10MM SINGLE USE OATS DISPOSABLE KIT	SUP-97-05631	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
10MM SINGLE USE OATS DISPOSABLE KIT	SUP-97-05631	CDM			272	RC		inpatient			1950	1950																																																			
SCREW BEVELED 4 X 46MM	SUP-97-05650	CDM			278	RC		outpatient			1950	195	1950				fee schedule		1950				other	OPPS APC	1111.5				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
SCREW BEVELED 4 X 46MM	SUP-97-05650	CDM			278	RC		inpatient			1950	1950																																																			
SCREW MONSTER CANNULATED LONG THREAD HEADLESS 7.0 X 86MM	SUP-97-06152	CDM			278	RC		outpatient			1950	195	1950				fee schedule		1950				other	OPPS APC	1111.5				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	955.5				percent of total billed charges		994.5				percent of total billed charges		195				other	OPPS APC	195	1950	
SCREW MONSTER CANNULATED LONG THREAD HEADLESS 7.0 X 86MM	SUP-97-06152	CDM			278	RC		inpatient			1950	1950																																																			
BALLOON - VASCUTRACK CUTTING 5.0X80	SUP-99-00627	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - VASCUTRACK CUTTING 5.0X80	SUP-99-00627	CDM			272	RC		inpatient			1950	1950																																																			
BALLOON - VASCUTRACK CUTTING 5.0X40	SUP-99-01730	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - VASCUTRACK CUTTING 5.0X40	SUP-99-01730	CDM			272	RC		inpatient			1950	1950																																																			
BALLOON - VASCUTRACK CUTTING 6.0X40	SUP-99-01751	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - VASCUTRACK CUTTING 6.0X40	SUP-99-01751	CDM			272	RC		inpatient			1950	1950																																																			
BALLOON - VASCUTRACK CUTTING 4.0X40	SUP-99-01765	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - VASCUTRACK CUTTING 4.0X40	SUP-99-01765	CDM			272	RC		inpatient			1950	1950																																																			
BALLOON - NANOCROSS ELITE 3.0X210	SUP-99-03340	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - NANOCROSS ELITE 3.0X210	SUP-99-03340	CDM			272	RC		inpatient			1950	1950																																																			
BALLOON - NANOCROSS ELITE 5.0X200	SUP-99-03510	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - NANOCROSS ELITE 5.0X200	SUP-99-03510	CDM			272	RC		inpatient			1950	1950																																																			
BALLOON - ULTRASCORE  4X100	SUP-99-03741	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
BALLOON - ULTRASCORE  4X100	SUP-99-03741	CDM			272	RC		inpatient			1950	1950																																																			
IVUS - VISIONS PV 0.018	SUP-99-04697	CDM			272	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
IVUS - VISIONS PV 0.018	SUP-99-04697	CDM			272	RC		inpatient			1950	1950																																																			
SYSTEM FIXATION SPEEDBRIDGE ACHILLES MIDSUBSTANCE	SUP-AR-8929BC-CP	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
SYSTEM FIXATION SPEEDBRIDGE ACHILLES MIDSUBSTANCE	SUP-AR-8929BC-CP	CDM			270	RC		inpatient			1950	1950																																																			
PATCH CARDIOVASCULAR ECM PORCINE SMALL INTESTINE SUBMUCOSA L10 CM X W7 CM PERICARDIUM EXTRACELLULAR MATRIX 4 PLY CLOSURE STERILE	SUP-CMCV-003-401	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
PATCH CARDIOVASCULAR ECM PORCINE SMALL INTESTINE SUBMUCOSA L10 CM X W7 CM PERICARDIUM EXTRACELLULAR MATRIX 4 PLY CLOSURE STERILE	SUP-CMCV-003-401	CDM			270	RC		inpatient			1950	1950																																																			
STENT VASCULAR ZILVER 518 NITINOL .018 IN L40 MM L125 CM OD6 MM ODSEC5 FR ILIAC ARTERY SELF EXPANDABLE	SUP-G43771	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT VASCULAR ZILVER 518 NITINOL .018 IN L40 MM L125 CM OD6 MM ODSEC5 FR ILIAC ARTERY SELF EXPANDABLE	SUP-G43771	CDM			270	RC		inpatient			1950	1950																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L14 MM L90 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-H74937911614900	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L14 MM L90 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA	SUP-H74937911614900	CDM			270	RC		inpatient			1950	1950																																																			
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L19 MM L90 CM OD5 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA FG	SUP-H74937912519900	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT BILIARY EXPRESS SD MONORAIL STAINLESS STEEL L19 MM L90 CM OD5 MM RENAL PREMOUNT BALLOON EXPAND CATHETER RADIOPAQUE STERILE DISPOSABLE ACCEPTS 5 FR SHEATH 6 FR GUIDE PTRA FG	SUP-H74937912519900	CDM			270	RC		inpatient			1950	1950																																																			
STENT BILIARY EXPRESS SD MONORAIL METAL SMALL L18 MM L90 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND	SUP-H74937912618900	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
STENT BILIARY EXPRESS SD MONORAIL METAL SMALL L18 MM L90 CM OD6 MM RENAL PREMOUNT BALLOON EXPAND	SUP-H74937912618900	CDM			270	RC		inpatient			1950	1950																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H11 MM LIF LATERAL PORT	SUP-SA-85	CDM	270010020	LOCAL	270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H11 MM LIF LATERAL PORT	SUP-SA-85	CDM	270010020	LOCAL	270	RC		inpatient			1950	1950																																																			
IMPLANT UROLOGICAL UROLIFT	SUP-UL400-4	CDM			270	RC		outpatient			1950	195	528.26				percent of total billed charges		1950				other	OPPS APC	1443				percent of total billed charges		1950				other	OPPS APC	1950				other	OPPS APC	528.26				percent of total billed charges		538.79				percent of total billed charges		195				other	OPPS APC	195	1950	
IMPLANT UROLOGICAL UROLIFT	SUP-UL400-4	CDM			270	RC		inpatient			1950	1950																																																			
PLATED BROAD STRAIGHT MEDIUM	SUP-97-05740	CDM			278	RC		outpatient			1946.88	1946.88	1946.88				fee schedule		1946.88				other	OPPS APC	1109.72				percent of total billed charges		1946.88				other	OPPS APC	1946.88				other	OPPS APC	953.97				percent of total billed charges		992.91				percent of total billed charges		1946.88				other	OPPS APC	953.97	1946.88	
PLATED BROAD STRAIGHT MEDIUM	SUP-97-05740	CDM			278	RC		inpatient			1946.88	1946.88																																																			
AUGMENT FEMORAL PFC SIGMA TC3 3 4MM TITANIUM STERILE KNEE LEFT CEMENTED	SUP-96-0860	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 3 4MM TITANIUM STERILE KNEE LEFT CEMENTED	SUP-96-0860	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 3 4MM TITANIUM STERILE KNEE RIGHT CEMENTED	SUP-96-0861	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 3 4MM TITANIUM STERILE KNEE RIGHT CEMENTED	SUP-96-0861	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 3 8MM TITANIUM STERILE KNEE RIGHT CEMENTED	SUP-96-0863	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 3 8MM TITANIUM STERILE KNEE RIGHT CEMENTED	SUP-96-0863	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 3 4MM TITANIUM STERILE KNEE POSTERIOR COMBO CEMENTED	SUP-96-0866	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 3 4MM TITANIUM STERILE KNEE POSTERIOR COMBO CEMENTED	SUP-96-0866	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 3 8MM TITANIUM STERILE KNEE POSTERIOR COMBO CEMENTED	SUP-96-0868	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 3 8MM TITANIUM STERILE KNEE POSTERIOR COMBO CEMENTED	SUP-96-0868	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 4 4MM TITANIUM STERILE KNEE LEFT CEMENTED	SUP-96-0880	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 4 4MM TITANIUM STERILE KNEE LEFT CEMENTED	SUP-96-0880	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 4 8MM TITANIUM STERILE KNEE RIGHT CEMENTED	SUP-96-0883	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 4 8MM TITANIUM STERILE KNEE RIGHT CEMENTED	SUP-96-0883	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 4 8MM TITANIUM STERILE KNEE POSTERIOR COMBO CEMENTED	SUP-96-0888	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 4 8MM TITANIUM STERILE KNEE POSTERIOR COMBO CEMENTED	SUP-96-0888	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
AUGMENT FEMORAL PFC SIGMA TC3 TITANIUM 6 H16 MM KNEE RIGHT COMBO STERILE	SUP-96-0892	CDM	270010025	LOCAL	270	RC		outpatient			1945.2	1945.2	526.95				percent of total billed charges		1945.2				other	OPPS APC	1439.45				percent of total billed charges		1945.2				other	OPPS APC	1945.2				other	OPPS APC	526.95				percent of total billed charges		537.46				percent of total billed charges		1945.2				other	OPPS APC	526.95	1945.2	
AUGMENT FEMORAL PFC SIGMA TC3 TITANIUM 6 H16 MM KNEE RIGHT COMBO STERILE	SUP-96-0892	CDM	270010025	LOCAL	270	RC		inpatient			1945.2	1945.2																																																			
MESH HERNIA OVITEX POLYGLYCOLIC ACID THK 1.1MM 6MM L 10CM X W 6CM RESORBABLE GRID 1 SMOOTH SIDE VISCERA CONTACT	SUP-F10256-0610G	CDM			270	RC		outpatient			1944	1944	526.63				percent of total billed charges		1944				other	OPPS APC	1438.56				percent of total billed charges		1944				other	OPPS APC	1944				other	OPPS APC	526.63				percent of total billed charges		537.13				percent of total billed charges		1944				other	OPPS APC	526.63	1944	
MESH HERNIA OVITEX POLYGLYCOLIC ACID THK 1.1MM 6MM L 10CM X W 6CM RESORBABLE GRID 1 SMOOTH SIDE VISCERA CONTACT	SUP-F10256-0610G	CDM			270	RC		inpatient			1944	1944																																																			
SCREW SHORT THREAD HEADLESS 7.0X84	SUP-97-03985	CDM			278	RC		outpatient			1942.5	1942.5	1942.5				fee schedule		1942.5				other	OPPS APC	1107.23				percent of total billed charges		1942.5				other	OPPS APC	1942.5				other	OPPS APC	951.83				percent of total billed charges		990.68				percent of total billed charges		1942.5				other	OPPS APC	951.83	1942.5	
SCREW SHORT THREAD HEADLESS 7.0X84	SUP-97-03985	CDM			278	RC		inpatient			1942.5	1942.5																																																			
SCREW SHORT THREAD HEADLESS 7.0X84	SUP-97-03986	CDM			278	RC		outpatient			1942.5	1942.5	1942.5				fee schedule		1942.5				other	OPPS APC	1107.23				percent of total billed charges		1942.5				other	OPPS APC	1942.5				other	OPPS APC	951.83				percent of total billed charges		990.68				percent of total billed charges		1942.5				other	OPPS APC	951.83	1942.5	
SCREW SHORT THREAD HEADLESS 7.0X84	SUP-97-03986	CDM			278	RC		inpatient			1942.5	1942.5																																																			
CANNU  SHORT THREAD SCREW  HEADLES 7X70	SUP-97-04107	CDM			278	RC		outpatient			1942.5	1942.5	1942.5				fee schedule		1942.5				other	OPPS APC	1107.23				percent of total billed charges		1942.5				other	OPPS APC	1942.5				other	OPPS APC	951.83				percent of total billed charges		990.68				percent of total billed charges		1942.5				other	OPPS APC	951.83	1942.5	
CANNU  SHORT THREAD SCREW  HEADLES 7X70	SUP-97-04107	CDM			278	RC		inpatient			1942.5	1942.5																																																			
CANN  SHORT THREAD SCREW  HEADLES 7X72	SUP-97-04108	CDM			278	RC		outpatient			1942.5	1942.5	1942.5				fee schedule		1942.5				other	OPPS APC	1107.23				percent of total billed charges		1942.5				other	OPPS APC	1942.5				other	OPPS APC	951.83				percent of total billed charges		990.68				percent of total billed charges		1942.5				other	OPPS APC	951.83	1942.5	
CANN  SHORT THREAD SCREW  HEADLES 7X72	SUP-97-04108	CDM			278	RC		inpatient			1942.5	1942.5																																																			
7.0X44MM HEADLESS CANN SHORT THREAD	SUP-97-04782	CDM			278	RC		outpatient			1942.5	1942.5	1942.5				fee schedule		1942.5				other	OPPS APC	1107.23				percent of total billed charges		1942.5				other	OPPS APC	1942.5				other	OPPS APC	951.83				percent of total billed charges		990.68				percent of total billed charges		1942.5				other	OPPS APC	951.83	1942.5	
7.0X44MM HEADLESS CANN SHORT THREAD	SUP-97-04782	CDM			278	RC		inpatient			1942.5	1942.5																																																			
EXPANDER TISSUE INTEGRA ENHANCED P4CM CURVE 11X3CM 115CL STERILE LF TEXTURE SURFACE	SUP-3614ES-05	CDM			270	RC		outpatient			1940	194	525.55				percent of total billed charges		1940				other	OPPS APC	1435.6				percent of total billed charges		1940				other	OPPS APC	1940				other	OPPS APC	525.55				percent of total billed charges		536.02				percent of total billed charges		194				other	OPPS APC	194	1940	
EXPANDER TISSUE INTEGRA ENHANCED P4CM CURVE 11X3CM 115CL STERILE LF TEXTURE SURFACE	SUP-3614ES-05	CDM			270	RC		inpatient			1940	1940																																																			
HEAD FEMORAL G7 BIOLOX DELTA BIOLOX OPTION OD44 MM HIP SKIRT	SUP-650-1059	CDM	270010024	LOCAL	270	RC		outpatient			1940	194	525.55				percent of total billed charges		1940				other	OPPS APC	1435.6				percent of total billed charges		1940				other	OPPS APC	1940				other	OPPS APC	525.55				percent of total billed charges		536.02				percent of total billed charges		194				other	OPPS APC	194	1940	
HEAD FEMORAL G7 BIOLOX DELTA BIOLOX OPTION OD44 MM HIP SKIRT	SUP-650-1059	CDM	270010024	LOCAL	270	RC		inpatient			1940	1940																																																			
STENT VASCULAR SMART MICROMARKER NITINOL L150 MM L120 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C06150ML	CDM			270	RC		outpatient			1940	194	525.55				percent of total billed charges		1940				other	OPPS APC	1435.6				percent of total billed charges		1940				other	OPPS APC	1940				other	OPPS APC	525.55				percent of total billed charges		536.02				percent of total billed charges		194				other	OPPS APC	194	1940	
STENT VASCULAR SMART MICROMARKER NITINOL L150 MM L120 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C06150ML	CDM			270	RC		inpatient			1940	1940																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L150 MM L120 CM OD7 MM ILIAC SELF EXPANDABLE MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH	SUP-C07150ML	CDM			270	RC		outpatient			1940	194	525.55				percent of total billed charges		1940				other	OPPS APC	1435.6				percent of total billed charges		1940				other	OPPS APC	1940				other	OPPS APC	525.55				percent of total billed charges		536.02				percent of total billed charges		194				other	OPPS APC	194	1940	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L150 MM L120 CM OD7 MM ILIAC SELF EXPANDABLE MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH	SUP-C07150ML	CDM			270	RC		inpatient			1940	1940																																																			
STENT VASCULAR EPIC NITINOL L120 CM L120 MM L163 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200071220	CDM			270	RC		outpatient			1940	194	525.55				percent of total billed charges		1940				other	OPPS APC	1435.6				percent of total billed charges		1940				other	OPPS APC	1940				other	OPPS APC	525.55				percent of total billed charges		536.02				percent of total billed charges		194				other	OPPS APC	194	1940	
STENT VASCULAR EPIC NITINOL L120 CM L120 MM L163 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200071220	CDM			270	RC		inpatient			1940	1940																																																			
ATTUNE MEDIAL DOME PAT 32MM	SUP-97-04991	CDM			278	RC		outpatient			1939.2	1939.2	1939.2				fee schedule		1939.2				other	OPPS APC	1105.34				percent of total billed charges		1939.2				other	OPPS APC	1939.2				other	OPPS APC	950.21				percent of total billed charges		988.99				percent of total billed charges		1939.2				other	OPPS APC	950.21	1939.2	
ATTUNE MEDIAL DOME PAT 32MM	SUP-97-04991	CDM			278	RC		inpatient			1939.2	1939.2																																																			
PLATE VARIAX COMPRES NARROW STRT 8H X102	SUP-97-03067	CDM			278	RC		outpatient			1939.08	1939.8	1939.08				fee schedule		1939.08				other	OPPS APC	1105.28				percent of total billed charges		1939.08				other	OPPS APC	1939.08				other	OPPS APC	950.15				percent of total billed charges		988.93				percent of total billed charges		1939.8				other	OPPS APC	950.15	1939.8	
PLATE VARIAX COMPRES NARROW STRT 8H X102	SUP-97-03067	CDM			278	RC		inpatient			1939.08	1939.08																																																			
PLATE 9 HOLE COMPRESSION VARIAX BROAD CURVED	SUP-97-05961	CDM			278	RC		outpatient			1939.08	1939.8	1939.08				fee schedule		1939.08				other	OPPS APC	1105.28				percent of total billed charges		1939.08				other	OPPS APC	1939.08				other	OPPS APC	950.15				percent of total billed charges		988.93				percent of total billed charges		1939.8				other	OPPS APC	950.15	1939.8	
PLATE 9 HOLE COMPRESSION VARIAX BROAD CURVED	SUP-97-05961	CDM			278	RC		inpatient			1939.08	1939.08																																																			
PLATE VARIAX COMPRESSION STRAIGHT BROAD 8 HOLE 103MM	SUP-97-06181	CDM			278	RC		outpatient			1939.08	1939.8	1939.08				fee schedule		1939.08				other	OPPS APC	1105.28				percent of total billed charges		1939.08				other	OPPS APC	1939.08				other	OPPS APC	950.15				percent of total billed charges		988.93				percent of total billed charges		1939.8				other	OPPS APC	950.15	1939.8	
PLATE VARIAX COMPRESSION STRAIGHT BROAD 8 HOLE 103MM	SUP-97-06181	CDM			278	RC		inpatient			1939.08	1939.08																																																			
PLATE 10 HOLE 127MM VARIAX COMPRESSION BROAD	SUP-97-06416	CDM			278	RC		outpatient			1939.08	1939.8	1939.08				fee schedule		1939.08				other	OPPS APC	1105.28				percent of total billed charges		1939.08				other	OPPS APC	1939.08				other	OPPS APC	950.15				percent of total billed charges		988.93				percent of total billed charges		1939.8				other	OPPS APC	950.15	1939.8	
PLATE 10 HOLE 127MM VARIAX COMPRESSION BROAD	SUP-97-06416	CDM			278	RC		inpatient			1939.08	1939.08																																																			
IMPLANT ROD SYNTHES CURVED TI 3.5MM 50MM LENGTH	SUP-04.614.750	CDM	270010020	LOCAL	270	RC		outpatient			1936	1936	524.46				percent of total billed charges		1936				other	OPPS APC	1432.64				percent of total billed charges		1936				other	OPPS APC	1936				other	OPPS APC	524.46				percent of total billed charges		534.92				percent of total billed charges		1936				other	OPPS APC	524.46	1936	
IMPLANT ROD SYNTHES CURVED TI 3.5MM 50MM LENGTH	SUP-04.614.750	CDM	270010020	LOCAL	270	RC		inpatient			1936	1936																																																			
SYSTEM URETHRAL SUPPORT OBTRYX FEMALE MIDURETHRAL TRANSOBTURATOR SLING HALO NEEDLE STRESS URINARY INCONTINENCE	SUP-M0068505000	CDM			270	RC		outpatient			1934.16	1934.16	523.96				percent of total billed charges		1934.16				other	OPPS APC	1431.28				percent of total billed charges		1934.16				other	OPPS APC	1934.16				other	OPPS APC	523.96				percent of total billed charges		534.41				percent of total billed charges		1934.16				other	OPPS APC	523.96	1934.16	
SYSTEM URETHRAL SUPPORT OBTRYX FEMALE MIDURETHRAL TRANSOBTURATOR SLING HALO NEEDLE STRESS URINARY INCONTINENCE	SUP-M0068505000	CDM			270	RC		inpatient			1934.16	1934.16																																																			
PLATE BONE L24 MM X W24 MM X H.5 MM ORBITAL FLOOR RAPID REABSORBABLE STERILE TRANSPARENT 1.5 MM SCREW	SUP-851.540.01S	CDM	270010014	LOCAL	270	RC		outpatient			1932.96	1932.96	523.64				percent of total billed charges		1932.96				other	OPPS APC	1430.39				percent of total billed charges		1932.96				other	OPPS APC	1932.96				other	OPPS APC	523.64				percent of total billed charges		534.08				percent of total billed charges		1932.96				other	OPPS APC	523.64	1932.96	
PLATE BONE L24 MM X W24 MM X H.5 MM ORBITAL FLOOR RAPID REABSORBABLE STERILE TRANSPARENT 1.5 MM SCREW	SUP-851.540.01S	CDM	270010014	LOCAL	270	RC		inpatient			1932.96	1932.96																																																			
LCP POSTLAT DISTAL FIBULA PLATE 5H/	SUP-97-03997	CDM			278	RC		outpatient			1932.3	1932.3	1932.3				fee schedule		1932.3				other	OPPS APC	1101.41				percent of total billed charges		1932.3				other	OPPS APC	1932.3				other	OPPS APC	946.83				percent of total billed charges		985.47				percent of total billed charges		1932.3				other	OPPS APC	946.83	1932.3	
LCP POSTLAT DISTAL FIBULA PLATE 5H/	SUP-97-03997	CDM			278	RC		inpatient			1932.3	1932.3																																																			
PLEURX CATHETER KIT	SUP-95-01747	CDM			278	RC		outpatient			1931.25	1931.25	1931.25				fee schedule		1931.25				other	OPPS APC	1100.81				percent of total billed charges		1931.25				other	OPPS APC	1931.25				other	OPPS APC	946.31				percent of total billed charges		984.94				percent of total billed charges		1931.25				other	OPPS APC	946.31	1931.25	
PLEURX CATHETER KIT	SUP-95-01747	CDM			278	RC		inpatient			1931.25	1931.25																																																			
EXTENSION STEM PFC SIGMA 4 5 6 L30 MM OD15 MM KNEE TIBIA CEMENTED	SUP-86-6403	CDM	270010025	LOCAL	270	RC		outpatient			1930.8	193.8	523.05				percent of total billed charges		1930.8				other	OPPS APC	1428.79				percent of total billed charges		1930.8				other	OPPS APC	1930.8				other	OPPS APC	523.05				percent of total billed charges		533.48				percent of total billed charges		193.8				other	OPPS APC	193.8	1930.8	
EXTENSION STEM PFC SIGMA 4 5 6 L30 MM OD15 MM KNEE TIBIA CEMENTED	SUP-86-6403	CDM	270010025	LOCAL	270	RC		inpatient			1930.8	1930.8																																																			
PLATE BONE LEVEL ONE TITANIUM STRAIGHT T H2 MM STERNAL 20 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-07-09	CDM			270	RC		outpatient			1930.5	193.5	522.97				percent of total billed charges		1930.5				other	OPPS APC	1428.57				percent of total billed charges		1930.5				other	OPPS APC	1930.5				other	OPPS APC	522.97				percent of total billed charges		533.4				percent of total billed charges		193.5				other	OPPS APC	193.5	1930.5	
PLATE BONE LEVEL ONE TITANIUM STRAIGHT T H2 MM STERNAL 20 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-07-09	CDM			270	RC		inpatient			1930.5	1930.5																																																			
ENVELOPE DEFIBRILLATOR AIGISRX R MINOCYCLINE RIFAMPIN POLYMER MEDIUM L2.5 IN X W2.7 IN ANTIBACTERIAL PACEMAKER FULLY RESORBABLE MULTIFILAMENT KNITTED STERILE DISPOSABLE	SUP-CMRM-6122-B	CDM			270	RC		outpatient			1930	193	522.84				percent of total billed charges		1930				other	OPPS APC	1428.2				percent of total billed charges		1930				other	OPPS APC	1930				other	OPPS APC	522.84				percent of total billed charges		533.26				percent of total billed charges		193				other	OPPS APC	193	1930	
ENVELOPE DEFIBRILLATOR AIGISRX R MINOCYCLINE RIFAMPIN POLYMER MEDIUM L2.5 IN X W2.7 IN ANTIBACTERIAL PACEMAKER FULLY RESORBABLE MULTIFILAMENT KNITTED STERILE DISPOSABLE	SUP-CMRM-6122-B	CDM			270	RC		inpatient			1930	1930																																																			
SEALER BIPOLAR DS30 TRANSCOLLATION 10 D CYLINDER L.438 IN L4.33 IN OD.118 IN DISSECT ELECTRODE DISPOSABLE	SUP-13-101-1	CDM			270	RC		outpatient			1929.84	1929.84	522.79				percent of total billed charges		1929.84				other	OPPS APC	1428.08				percent of total billed charges		1929.84				other	OPPS APC	1929.84				other	OPPS APC	522.79				percent of total billed charges		533.21				percent of total billed charges		1929.84				other	OPPS APC	522.79	1929.84	
SEALER BIPOLAR DS30 TRANSCOLLATION 10 D CYLINDER L.438 IN L4.33 IN OD.118 IN DISSECT ELECTRODE DISPOSABLE	SUP-13-101-1	CDM			270	RC		inpatient			1929.84	1929.84																																																			
TISSUELINK ENDO SH 2.0 SEALING HOOK	SUP-13-201-1	CDM			270	RC		outpatient			1929.84	1929.84	522.79				percent of total billed charges		1929.84				other	OPPS APC	1428.08				percent of total billed charges		1929.84				other	OPPS APC	1929.84				other	OPPS APC	522.79				percent of total billed charges		533.21				percent of total billed charges		1929.84				other	OPPS APC	522.79	1929.84	
TISSUELINK ENDO SH 2.0 SEALING HOOK	SUP-13-201-1	CDM			270	RC		inpatient			1929.84	1929.84																																																			
CLAMP EXTERNAL FIXATION NS RING TO ROD	SUP-393.436	CDM	270010022	LOCAL	270	RC		outpatient			1928.3	1928.3	522.38				percent of total billed charges		1928.3				other	OPPS APC	1426.94				percent of total billed charges		1928.3				other	OPPS APC	1928.3				other	OPPS APC	522.38				percent of total billed charges		532.79				percent of total billed charges		1928.3				other	OPPS APC	522.38	1928.3	
CLAMP EXTERNAL FIXATION NS RING TO ROD	SUP-393.436	CDM	270010022	LOCAL	270	RC		inpatient			1928.3	1928.3																																																			
LINED GRAFT 6X70X80  EA	SUP-RR6070080L	CDM			270	RC		outpatient			1928	1928	522.3				percent of total billed charges		1928				other	OPPS APC	1426.72				percent of total billed charges		1928				other	OPPS APC	1928				other	OPPS APC	522.3				percent of total billed charges		532.71				percent of total billed charges		1928				other	OPPS APC	522.3	1928	
LINED GRAFT 6X70X80  EA	SUP-RR6070080L	CDM			270	RC		inpatient			1928	1928																																																			
STENT BILIARY FORMULA 414 STAINLESS STEEL .014 IN L16 MM L135 CM OD5 MM ODSEC6 FR RENAL RAPID EXCHANGE BALLOON EXPANDABLE SLOTTED TUBE CONFIGURATION GUIDEWIRE STERILE DISPOSABLE	SUP-G56968	CDM			270	RC		outpatient			1924.96	1924.96	521.47				percent of total billed charges		1924.96				other	OPPS APC	1424.47				percent of total billed charges		1924.96				other	OPPS APC	1924.96				other	OPPS APC	521.47				percent of total billed charges		531.87				percent of total billed charges		1924.96				other	OPPS APC	521.47	1924.96	
STENT BILIARY FORMULA 414 STAINLESS STEEL .014 IN L16 MM L135 CM OD5 MM ODSEC6 FR RENAL RAPID EXCHANGE BALLOON EXPANDABLE SLOTTED TUBE CONFIGURATION GUIDEWIRE STERILE DISPOSABLE	SUP-G56968	CDM			270	RC		inpatient			1924.96	1924.96																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L300 MM X W17.5 MM X H5.2 MM 16 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.662	CDM	270010022	LOCAL	270	RC		outpatient			1923.9	1923.91	521.18				percent of total billed charges		1923.9				other	OPPS APC	1423.69				percent of total billed charges		1923.9				other	OPPS APC	1923.9				other	OPPS APC	521.18				percent of total billed charges		531.57				percent of total billed charges		1923.91				other	OPPS APC	521.18	1923.91	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L300 MM X W17.5 MM X H5.2 MM 16 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.662	CDM	270010022	LOCAL	270	RC		inpatient			1923.9	1923.9																																																			
DRILL BIT 6MM/9MM CANN STEPPED	SUP-97-02830	CDM			272	RC		outpatient			1923.18	1923.18	520.99				percent of total billed charges		1923.18				other	OPPS APC	1423.15				percent of total billed charges		1923.18				other	OPPS APC	1923.18				other	OPPS APC	520.99				percent of total billed charges		531.37				percent of total billed charges		1923.18				other	OPPS APC	520.99	1923.18	
DRILL BIT 6MM/9MM CANN STEPPED	SUP-97-02830	CDM			272	RC		inpatient			1923.18	1923.18																																																			
DISTAL RADIUS PLATE 6HOLE HEAD 2 HOLE SHAFT RIGHT	SUP-02.111.620	CDM			270	RC		outpatient			1918.8	1918.8	519.8				percent of total billed charges		1918.8				other	OPPS APC	1419.91				percent of total billed charges		1918.8				other	OPPS APC	1918.8				other	OPPS APC	519.8				percent of total billed charges		530.16				percent of total billed charges		1918.8				other	OPPS APC	519.8	1918.8	
DISTAL RADIUS PLATE 6HOLE HEAD 2 HOLE SHAFT RIGHT	SUP-02.111.620	CDM			270	RC		inpatient			1918.8	1918.8																																																			
DISTAL RADIUS PLATE 6HOLE HEAD 2 HOLE SHAFT LEFT	SUP-02.111.621	CDM			270	RC		outpatient			1918.8	1918.8	519.8				percent of total billed charges		1918.8				other	OPPS APC	1419.91				percent of total billed charges		1918.8				other	OPPS APC	1918.8				other	OPPS APC	519.8				percent of total billed charges		530.16				percent of total billed charges		1918.8				other	OPPS APC	519.8	1918.8	
DISTAL RADIUS PLATE 6HOLE HEAD 2 HOLE SHAFT LEFT	SUP-02.111.621	CDM			270	RC		inpatient			1918.8	1918.8																																																			
DISTAL RADIUS PLATE 7HOLE HEAD 2 HOLE SHAFT RIGHT	SUP-02.111.720	CDM			270	RC		outpatient			1918.8	1918.8	519.8				percent of total billed charges		1918.8				other	OPPS APC	1419.91				percent of total billed charges		1918.8				other	OPPS APC	1918.8				other	OPPS APC	519.8				percent of total billed charges		530.16				percent of total billed charges		1918.8				other	OPPS APC	519.8	1918.8	
DISTAL RADIUS PLATE 7HOLE HEAD 2 HOLE SHAFT RIGHT	SUP-02.111.720	CDM			270	RC		inpatient			1918.8	1918.8																																																			
DISTAL RADIUS PLATE 7HOLE HEAD 2 HOLE SHAFT LEFT	SUP-02.111.721	CDM			270	RC		outpatient			1918.8	1918.8	519.8				percent of total billed charges		1918.8				other	OPPS APC	1419.91				percent of total billed charges		1918.8				other	OPPS APC	1918.8				other	OPPS APC	519.8				percent of total billed charges		530.16				percent of total billed charges		1918.8				other	OPPS APC	519.8	1918.8	
DISTAL RADIUS PLATE 7HOLE HEAD 2 HOLE SHAFT LEFT	SUP-02.111.721	CDM			270	RC		inpatient			1918.8	1918.8																																																			
MICROCATHETER CEREBROVASCULAR PROWLER 14 TRUELUMEN NYLON PTFEHYDROPHILIC J L150CM L50CM OD 1.9-2.3FR ID .015IN CORONARY PERIPHERAL 2 MARKER BRAID REINFORCE COIL ACCEPTS .014IN GUIDEWIRE	SUP-606151JX	CDM			270	RC		outpatient			1918.8	1918.8	519.8				percent of total billed charges		1918.8				other	OPPS APC	1419.91				percent of total billed charges		1918.8				other	OPPS APC	1918.8				other	OPPS APC	519.8				percent of total billed charges		530.16				percent of total billed charges		1918.8				other	OPPS APC	519.8	1918.8	
MICROCATHETER CEREBROVASCULAR PROWLER 14 TRUELUMEN NYLON PTFEHYDROPHILIC J L150CM L50CM OD 1.9-2.3FR ID .015IN CORONARY PERIPHERAL 2 MARKER BRAID REINFORCE COIL ACCEPTS .014IN GUIDEWIRE	SUP-606151JX	CDM			270	RC		inpatient			1918.8	1918.8																																																			
PLATE BONE LCP STAINLESS STEEL L95 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.506	CDM	270010022	LOCAL	270	RC		outpatient			1917.7	1917.7	519.5				percent of total billed charges		1917.7				other	OPPS APC	1419.1				percent of total billed charges		1917.7				other	OPPS APC	1917.7				other	OPPS APC	519.5				percent of total billed charges		529.86				percent of total billed charges		1917.7				other	OPPS APC	519.5	1917.7	
PLATE BONE LCP STAINLESS STEEL L95 MM X W10.2 MM X H2.2 MM W11 MM X H3.3 MM TIBIA RIGHT DISTAL MEDIAL 6 HOLE NONSTERILE 3.5 MM SCREW	SUP-223.506	CDM	270010022	LOCAL	270	RC		inpatient			1917.7	1917.7																																																			
PLATE VARIAX  3-D LEFT	SUP-40-15061	CDM			270	RC		outpatient			1916.8	1916.8	519.26				percent of total billed charges		1916.8				other	OPPS APC	1418.43				percent of total billed charges		1916.8				other	OPPS APC	1916.8				other	OPPS APC	519.26				percent of total billed charges		529.61				percent of total billed charges		1916.8				other	OPPS APC	519.26	1916.8	
PLATE VARIAX  3-D LEFT	SUP-40-15061	CDM			270	RC		inpatient			1916.8	1916.8																																																			
PLATE VARIAX  3-D RIGHT	SUP-40-15062	CDM			270	RC		outpatient			1916.8	1916.8	519.26				percent of total billed charges		1916.8				other	OPPS APC	1418.43				percent of total billed charges		1916.8				other	OPPS APC	1916.8				other	OPPS APC	519.26				percent of total billed charges		529.61				percent of total billed charges		1916.8				other	OPPS APC	519.26	1916.8	
PLATE VARIAX  3-D RIGHT	SUP-40-15062	CDM			270	RC		inpatient			1916.8	1916.8																																																			
BIOPSY SITE IDENTIFIER 8G 'V' SHAPE	SUP-95-02765	CDM						inpatient			1916.46	1916.46																																																			
BIOPSY SITE IDENTIFIER 8G 'V' SHAPE	SUP-95-02765	CDM						outpatient			1916.46	1916.46	1916.46				percent of total billed charges		1916.46				other	OPPS APC	1916.46				fee schedule		1916.46				other	OPPS APC	1916.46				other	OPPS APC	1916.46				case rate		1916.46				case rate		1916.46				other	OPPS APC	1916.46	1916.46	
MAMMOMARK 8G 'TRIPLE TWIST' SHAPE	SUP-95-02766	CDM						inpatient			1916.46	1916.46																																																			
MAMMOMARK 8G 'TRIPLE TWIST' SHAPE	SUP-95-02766	CDM						outpatient			1916.46	1916.46	1916.46				percent of total billed charges		1916.46				other	OPPS APC	1916.46				fee schedule		1916.46				other	OPPS APC	1916.46				other	OPPS APC	1916.46				case rate		1916.46				case rate		1916.46				other	OPPS APC	1916.46	1916.46	
BIOPSY SITE INDENTIFIER 10G 'BOWTIE'	SUP-95-02767	CDM						inpatient			1916.46	1916.46																																																			
BIOPSY SITE INDENTIFIER 10G 'BOWTIE'	SUP-95-02767	CDM						outpatient			1916.46	1916.46	1916.46				percent of total billed charges		1916.46				other	OPPS APC	1916.46				fee schedule		1916.46				other	OPPS APC	1916.46				other	OPPS APC	1916.46				case rate		1916.46				case rate		1916.46				other	OPPS APC	1916.46	1916.46	
BIOPSY SITE INDENTIFIER 10G 'V' SHAPE	SUP-95-02768	CDM						inpatient			1916.46	1916.46																																																			
BIOPSY SITE INDENTIFIER 10G 'V' SHAPE	SUP-95-02768	CDM						outpatient			1916.46	1916.46	1916.46				percent of total billed charges		1916.46				other	OPPS APC	1916.46				fee schedule		1916.46				other	OPPS APC	1916.46				other	OPPS APC	1916.46				case rate		1916.46				case rate		1916.46				other	OPPS APC	1916.46	1916.46	
MAMMOMARK 10G 'TRIPLE TWIST' SHAPE	SUP-95-02769	CDM						inpatient			1916.46	1916.46																																																			
MAMMOMARK 10G 'TRIPLE TWIST' SHAPE	SUP-95-02769	CDM						outpatient			1916.46	1916.46	1916.46				percent of total billed charges		1916.46				other	OPPS APC	1916.46				fee schedule		1916.46				other	OPPS APC	1916.46				other	OPPS APC	1916.46				case rate		1916.46				case rate		1916.46				other	OPPS APC	1916.46	1916.46	
GRAFT BONE ALLOMATRIX C 5CC CANCELLOUS ALLOGRAFT PUTTY MOLDABLE	SUP-860C0500	CDM	270010031	LOCAL	270	RC		outpatient			1916	1916	519.04				percent of total billed charges		1916				other	OPPS APC	1417.84				percent of total billed charges		1916				other	OPPS APC	1916				other	OPPS APC	519.04				percent of total billed charges		529.39				percent of total billed charges		1916				other	OPPS APC	519.04	1916	
GRAFT BONE ALLOMATRIX C 5CC CANCELLOUS ALLOGRAFT PUTTY MOLDABLE	SUP-860C0500	CDM	270010031	LOCAL	270	RC		inpatient			1916	1916																																																			
VOLAR PLATE LEFT	SUP-02.115.750	CDM			270	RC		outpatient			1915.2	1915.2	518.83				percent of total billed charges		1915.2				other	OPPS APC	1417.25				percent of total billed charges		1915.2				other	OPPS APC	1915.2				other	OPPS APC	518.83				percent of total billed charges		529.17				percent of total billed charges		1915.2				other	OPPS APC	518.83	1915.2	
VOLAR PLATE LEFT	SUP-02.115.750	CDM			270	RC		inpatient			1915.2	1915.2																																																			
VOLAR PLATE RIGHT	SUP-02.115.850	CDM			270	RC		outpatient			1915.2	1915.2	518.83				percent of total billed charges		1915.2				other	OPPS APC	1417.25				percent of total billed charges		1915.2				other	OPPS APC	1915.2				other	OPPS APC	518.83				percent of total billed charges		529.17				percent of total billed charges		1915.2				other	OPPS APC	518.83	1915.2	
VOLAR PLATE RIGHT	SUP-02.115.850	CDM			270	RC		inpatient			1915.2	1915.2																																																			
VOLAR PLATE LEFT	SUP-02.115.851	CDM			270	RC		outpatient			1915.2	1915.2	518.83				percent of total billed charges		1915.2				other	OPPS APC	1417.25				percent of total billed charges		1915.2				other	OPPS APC	1915.2				other	OPPS APC	518.83				percent of total billed charges		529.17				percent of total billed charges		1915.2				other	OPPS APC	518.83	1915.2	
VOLAR PLATE LEFT	SUP-02.115.851	CDM			270	RC		inpatient			1915.2	1915.2																																																			
HC Brca1/Brca2 Gene Analysis	PX-300811620	CDM	81162	CPT	300	RC		outpatient			1913	1824.88	937.37				percent of total billed charges		1824.88				fee schedule		5792.05				fee schedule		1824.88				fee schedule		1824.88				fee schedule		1824.88				fee schedule		1824.88				fee schedule		1824.88				fee schedule		937.37	5792.05	
HC Brca1/Brca2 Gene Analysis	PX-300811620	CDM	81162	CPT	300	RC		inpatient			1913	1913																																																			
ILLIAC CREST WEDGE 18MM	SUP-97-05040	CDM						inpatient			1912.29	1912.29																																																			
ILLIAC CREST WEDGE 18MM	SUP-97-05040	CDM						outpatient			1912.29	1912.29	1912.29				percent of total billed charges		1912.29				other	OPPS APC	1912.29				fee schedule		1912.29				other	OPPS APC	1912.29				other	OPPS APC	1912.29				case rate		1912.29				case rate		1912.29				other	OPPS APC	1912.29	1912.29	
MESH SURGICAL COMPOSIX L/P POLYPROPYLENE EPTFE OVAL L10.2 IN X W6.2 IN VENTRAL HERNIA PATCH SOFT LIGHTWEIGHT INTRODUCER TOOL OVAL STERILE LATEX FREE	SUP-0134610	CDM			270	RC		outpatient			1910	191	517.42				percent of total billed charges		1910				other	OPPS APC	1413.4				percent of total billed charges		1910				other	OPPS APC	1910				other	OPPS APC	517.42				percent of total billed charges		527.73				percent of total billed charges		191				other	OPPS APC	191	1910	
MESH SURGICAL COMPOSIX L/P POLYPROPYLENE EPTFE OVAL L10.2 IN X W6.2 IN VENTRAL HERNIA PATCH SOFT LIGHTWEIGHT INTRODUCER TOOL OVAL STERILE LATEX FREE	SUP-0134610	CDM			270	RC		inpatient			1910	1910																																																			
IMPLANT BREAST MEMORYGEL COHESIVE I SILICONE P3.5 CM ROUND MODERATE PLUS PROFILE MODERATE BASE OD11.7 CM 275 ML GEL SMOOTH	SUP-350-2751 BC	CDM			270	RC		outpatient			1910	191	517.42				percent of total billed charges		1910				other	OPPS APC	1413.4				percent of total billed charges		1910				other	OPPS APC	1910				other	OPPS APC	517.42				percent of total billed charges		527.73				percent of total billed charges		191				other	OPPS APC	191	1910	
IMPLANT BREAST MEMORYGEL COHESIVE I SILICONE P3.5 CM ROUND MODERATE PLUS PROFILE MODERATE BASE OD11.7 CM 275 ML GEL SMOOTH	SUP-350-2751 BC	CDM			270	RC		inpatient			1910	1910																																																			
IMPLANT BREAST GEL SMOOTH ROUND SILICONE MODERATE PROFILE PLUS 300CC	SUP-350-3001BC	CDM			270	RC		outpatient			1910	191	517.42				percent of total billed charges		1910				other	OPPS APC	1413.4				percent of total billed charges		1910				other	OPPS APC	1910				other	OPPS APC	517.42				percent of total billed charges		527.73				percent of total billed charges		191				other	OPPS APC	191	1910	
IMPLANT BREAST GEL SMOOTH ROUND SILICONE MODERATE PROFILE PLUS 300CC	SUP-350-3001BC	CDM			270	RC		inpatient			1910	1910																																																			
PLATE BONE MULTI-SPAN CROSSLINK CD HORIZON TITANIUM LOW PROFILE L1.75-2.15 IN SPINE STERILE 6.35 MM ROD	SUP-811-422	CDM	270010020	LOCAL	270	RC		outpatient			1909.36	199.36	517.25				percent of total billed charges		1909.36				other	OPPS APC	1412.93				percent of total billed charges		1909.36				other	OPPS APC	1909.36				other	OPPS APC	517.25				percent of total billed charges		527.56				percent of total billed charges		199.36				other	OPPS APC	199.36	1909.36	
PLATE BONE MULTI-SPAN CROSSLINK CD HORIZON TITANIUM LOW PROFILE L1.75-2.15 IN SPINE STERILE 6.35 MM ROD	SUP-811-422	CDM	270010020	LOCAL	270	RC		inpatient			1909.36	1909.36																																																			
PIN FIXATION EVOS LARGE L 40 MM OD 3.5 MM PROVISIONAL TARGETER STERILE LATEX DISPOSABLE	SUP-71177726	CDM			270	RC		outpatient			1908	198	516.88				percent of total billed charges		1908				other	OPPS APC	1411.92				percent of total billed charges		1908				other	OPPS APC	1908				other	OPPS APC	516.88				percent of total billed charges		527.18				percent of total billed charges		198				other	OPPS APC	198	1908	
PIN FIXATION EVOS LARGE L 40 MM OD 3.5 MM PROVISIONAL TARGETER STERILE LATEX DISPOSABLE	SUP-71177726	CDM			270	RC		inpatient			1908	1908																																																			
SCREW 4 X 38MM MICA PROSTEP	SUP-97-05759	CDM			278	RC		outpatient			1908	198	1908				fee schedule		1908				other	OPPS APC	1087.56				percent of total billed charges		1908				other	OPPS APC	1908				other	OPPS APC	934.92				percent of total billed charges		973.08				percent of total billed charges		198				other	OPPS APC	198	1908	
SCREW 4 X 38MM MICA PROSTEP	SUP-97-05759	CDM			278	RC		inpatient			1908	1908																																																			
SCREW 4 X 36MM MICA	SUP-97-05872	CDM			278	RC		outpatient			1908	198	1908				fee schedule		1908				other	OPPS APC	1087.56				percent of total billed charges		1908				other	OPPS APC	1908				other	OPPS APC	934.92				percent of total billed charges		973.08				percent of total billed charges		198				other	OPPS APC	198	1908	
SCREW 4 X 36MM MICA	SUP-97-05872	CDM			278	RC		inpatient			1908	1908																																																			
SHUNT NEUROSURGICAL REGULAR CSF HIGH PRESSURE UNITIZED KIT STERILE	SUP-46026	CDM			270	RC		outpatient			1907.08	197.8	516.63				percent of total billed charges		1907.08				other	OPPS APC	1411.24				percent of total billed charges		1907.08				other	OPPS APC	1907.08				other	OPPS APC	516.63				percent of total billed charges		526.93				percent of total billed charges		197.8				other	OPPS APC	197.8	1907.08	
SHUNT NEUROSURGICAL REGULAR CSF HIGH PRESSURE UNITIZED KIT STERILE	SUP-46026	CDM			270	RC		inpatient			1907.08	1907.08																																																			
FILTER - RETREIVAL - CLOVERSNARE	SUP-99-03771	CDM			272	RC		outpatient			1905	195	516.06				percent of total billed charges		1905				other	OPPS APC	1409.7				percent of total billed charges		1905				other	OPPS APC	1905				other	OPPS APC	516.06				percent of total billed charges		526.35				percent of total billed charges		195				other	OPPS APC	195	1905	
FILTER - RETREIVAL - CLOVERSNARE	SUP-99-03771	CDM			272	RC		inpatient			1905	1905																																																			
2.7MM/3.5MM LCP POSTLAT DISTAL FIBULA PL	SUP-97-04099	CDM			278	RC		outpatient			1904.94	194.94	1904.94				fee schedule		1904.94				other	OPPS APC	1085.82				percent of total billed charges		1904.94				other	OPPS APC	1904.94				other	OPPS APC	933.42				percent of total billed charges		971.52				percent of total billed charges		194.94				other	OPPS APC	194.94	1904.94	
2.7MM/3.5MM LCP POSTLAT DISTAL FIBULA PL	SUP-97-04099	CDM			278	RC		inpatient			1904.94	1904.94																																																			
ONABOTULINUMTOXINA PER 1 UNIT	636000000	CDM	0023-1145-01	NDC	J0585	HCPCS		inpatient			1902	1902																																																			
ONABOTULINUMTOXINA PER 1 UNIT	636000000	CDM	0023-1145-01	NDC	J0585	HCPCS		outpatient			1902	6.73																																											6.73				other	OPPS APC	6.73	6.73	
PLATE BONE LCP STAINLESS STEEL L154 MM X W11 MM X H4.2 MM 10 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.755	CDM	270010022	LOCAL	270	RC		outpatient			1900.8	19.8	514.93				percent of total billed charges		1900.8				other	OPPS APC	1406.59				percent of total billed charges		1900.8				other	OPPS APC	1900.8				other	OPPS APC	514.93				percent of total billed charges		525.19				percent of total billed charges		19.8				other	OPPS APC	19.8	1900.8	
PLATE BONE LCP STAINLESS STEEL L154 MM X W11 MM X H4.2 MM 10 HOLE NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT	SUP-224.755	CDM	270010022	LOCAL	270	RC		inpatient			1900.8	1900.8																																																			
1.7MM CABLEW/ CRIMP	SUP-97-00404	CDM			278	RC		outpatient			1900.68	19.68	1900.68				fee schedule		1900.68				other	OPPS APC	1083.39				percent of total billed charges		1900.68				other	OPPS APC	1900.68				other	OPPS APC	931.33				percent of total billed charges		969.35				percent of total billed charges		19.68				other	OPPS APC	19.68	1900.68	
1.7MM CABLEW/ CRIMP	SUP-97-00404	CDM			278	RC		inpatient			1900.68	1900.68																																																			
HC C/T-L Spine W/WO Contrast	PX-352721330	CDM	72133	CPT	352	RC		outpatient			1900	19	291.37				fee schedule		1900				other	OPPS APC	1020.76				fee schedule		1900				other	OPPS APC	1900				other	OPPS APC	205.8				fee schedule		145.11				fee schedule		19				other	OPPS APC	19	1900	
HC C/T-L Spine W/WO Contrast	PX-352721330	CDM	72133	CPT	352	RC		inpatient			1900	1900																																																			
HC Circumcision	PX-720000029	CDM	720000029	LOCAL	723	RC		outpatient			1900	19	931				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	931				percent of total billed charges		969				percent of total billed charges		19				other	OPPS APC	19	1900	
HC Circumcision	PX-720000029	CDM	720000029	LOCAL	723	RC		inpatient			1900	1900																																																			
HC Circumcision Using Clamp W Reg Block	PX-723541501	CDM	54150	CPT	723	RC		outpatient			1900	19	99.43				fee schedule		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	94.74				fee schedule		969				percent of total billed charges		19				other	OPPS APC	19	1900	
HC Circumcision Using Clamp W Reg Block	PX-723541501	CDM	54150	CPT	723	RC		inpatient			1900	1900																																																			
SCREW SPINEWAVE 6.5MM X 45 MM	SUP-11-4645	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW SPINEWAVE 6.5MM X 45 MM	SUP-11-4645	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW SPINEWAVE 6.5MM X 50 MM	SUP-11-4650	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW SPINEWAVE 6.5MM X 50 MM	SUP-11-4650	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORTICAL CORNERSTONE SM PURPLE 5X11X11	SUP-200511	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORTICAL CORNERSTONE SM PURPLE 5X11X11	SUP-200511	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT CORNERSTONE CORTICAL MED GREEN 5X14X11MM	SUP-200541	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT CORNERSTONE CORTICAL MED GREEN 5X14X11MM	SUP-200541	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE-SR CORTICAL LORDOTIC L11 MM X W11 MM X H6 MM CERVICAL SPINE	SUP-200611	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE-SR CORTICAL LORDOTIC L11 MM X W11 MM X H6 MM CERVICAL SPINE	SUP-200611	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE SR CORTICAL L14 MM X W11 MM X H6 MM BLOCK FREEZE DRIED	SUP-200641	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE SR CORTICAL L14 MM X W11 MM X H6 MM BLOCK FREEZE DRIED	SUP-200641	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE SR CORTICAL L11 MM X W11 MM X H7 MM BLOCK	SUP-200711	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE SR CORTICAL L11 MM X W11 MM X H7 MM BLOCK	SUP-200711	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BLOCK BONE CORTICAL FD 7 X 14 X 11	SUP-200741	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BLOCK BONE CORTICAL FD 7 X 14 X 11	SUP-200741	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE SR CORTICAL L11 MM X W11 MM X H8 MM BLOCK	SUP-200811	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE SR CORTICAL L11 MM X W11 MM X H8 MM BLOCK	SUP-200811	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BLOCK BONE CORTICAL CORNERSTONE 8MM X 11 X 14	SUP-200841	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BLOCK BONE CORTICAL CORNERSTONE 8MM X 11 X 14	SUP-200841	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
IMPLANT TEXTURED HIGH PROJECTION SIENTRA 370CC	SUP-20645-370HP	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT TEXTURED HIGH PROJECTION SIENTRA 370CC	SUP-20645-370HP	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT TEXTURED HIGH PROJECTION SIENTRA 400CC	SUP-20645-400MP	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT TEXTURED HIGH PROJECTION SIENTRA 400CC	SUP-20645-400MP	CDM			270	RC		inpatient			1900	1900																																																			
DEVICE CLOSURE VASCULAR MANTA 18 FR	SUP-2115	CDM			481	RC		outpatient			1900	19	931				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	931				percent of total billed charges		969				percent of total billed charges		19				other	OPPS APC	19	1900	
DEVICE CLOSURE VASCULAR MANTA 18 FR	SUP-2115	CDM			481	RC		inpatient			1900	1900																																																			
DEVICE CLOSURE VASCULAR MANTA 14 FR	SUP-2156	CDM			481	RC		outpatient			1900	19	931				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	931				percent of total billed charges		969				percent of total billed charges		19				other	OPPS APC	19	1900	
DEVICE CLOSURE VASCULAR MANTA 14 FR	SUP-2156	CDM			481	RC		inpatient			1900	1900																																																			
CATHETER CRYOABLATION FREEZOR 2-5-2 MM SPACE 47 MM CURVE L108 CM L4 MM OD7 FR CARDIAC 1 THERMOCOUPLE FLEXIBLE STEERABLE STERILE DISPOSABLE	SUP-307F1	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
CATHETER CRYOABLATION FREEZOR 2-5-2 MM SPACE 47 MM CURVE L108 CM L4 MM OD7 FR CARDIAC 1 THERMOCOUPLE FLEXIBLE STEERABLE STERILE DISPOSABLE	SUP-307F1	CDM			270	RC		inpatient			1900	1900																																																			
CATHETER CRYOABLATION FREEZOR 2-5-2 MM SPACE 58 MM L108 CM L4 MM OD7 FR 4 TIP ELECTRODE THERMOCOUPLE FLEXIBLE STEERABLE STERILE DISPOSABLE	SUP-307F5	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
CATHETER CRYOABLATION FREEZOR 2-5-2 MM SPACE 58 MM L108 CM L4 MM OD7 FR 4 TIP ELECTRODE THERMOCOUPLE FLEXIBLE STEERABLE STERILE DISPOSABLE	SUP-307F5	CDM			270	RC		inpatient			1900	1900																																																			
EXTENSION SPINAL CORD STIM	SUP-3383	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
EXTENSION SPINAL CORD STIM	SUP-3383	CDM			270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORTICAL L11 MM X W11 MM X H5 SPINE BLOCK	SUP-345511	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORTICAL L11 MM X W11 MM X H5 SPINE BLOCK	SUP-345511	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE LASR CANCELLOUS CORTICAL LORDOTIC L11 MM X W11 MM X H6 MM BLOCK	SUP-345611	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE LASR CANCELLOUS CORTICAL LORDOTIC L11 MM X W11 MM X H6 MM BLOCK	SUP-345611	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT CORNERSTONE LASER CANCELLOUS CORTICAL LORDOTIC 7 X 11 X 11MM	SUP-345711_57533	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT CORNERSTONE LASER CANCELLOUS CORTICAL LORDOTIC 7 X 11 X 11MM	SUP-345711_57533	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE LASR CANCELLOUS CORTICAL LORDOTIC L11 MM X W11 MM X H8 MM SPINE CERVICAL ALLOGRAFT	SUP-345811	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE LASR CANCELLOUS CORTICAL LORDOTIC L11 MM X W11 MM X H8 MM SPINE CERVICAL ALLOGRAFT	SUP-345811	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST MEMORYGEL SILICONE P5.3 CM HIGH PROFILE ROUND NARROW BASE OD13.2 CM 500 ML GEL SMOOTH	SUP-350-5004 BC	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST MEMORYGEL SILICONE P5.3 CM HIGH PROFILE ROUND NARROW BASE OD13.2 CM 500 ML GEL SMOOTH	SUP-350-5004 BC	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST MEMORYGEL SILICONE P5.6 CM HIGH PROFILE ROUND NARROW BASE OD14 CM 600 ML GEL SMOOTH	SUP-350-6004 BC	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST MEMORYGEL SILICONE P5.6 CM HIGH PROFILE ROUND NARROW BASE OD14 CM 600 ML GEL SMOOTH	SUP-350-6004 BC	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST COHESIVE I MEMORYGEL SILICONE P5.7 CM MODERATE PLUS HIGH PROFILE ROUND OD14.4 CM 650 ML SHELL BARRIER LAYER GEL STERILE	SUP-3506504 BC	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST COHESIVE I MEMORYGEL SILICONE P5.7 CM MODERATE PLUS HIGH PROFILE ROUND OD14.4 CM 650 ML SHELL BARRIER LAYER GEL STERILE	SUP-3506504 BC	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST GEL HIGH PROFILE SMOOTH ROUND 700CC	SUP-350-7004 BC	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST GEL HIGH PROFILE SMOOTH ROUND 700CC	SUP-350-7004 BC	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST SILTEX SILICONE P5.2 CM HIGH PROFILE ROUND OD12.7 CM 450 ML GEL TEXTURED	SUP-354-4450	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST SILTEX SILICONE P5.2 CM HIGH PROFILE ROUND OD12.7 CM 450 ML GEL TEXTURED	SUP-354-4450	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST MEMORYGEL SILTEX P5.4 CM HIGH PROFILE ROUND OD13.2 CM 500 ML GEL SHELL BARRIER LAYER STERILE	SUP-3544500	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST MEMORYGEL SILTEX P5.4 CM HIGH PROFILE ROUND OD13.2 CM 500 ML GEL SHELL BARRIER LAYER STERILE	SUP-3544500	CDM			270	RC		inpatient			1900	1900																																																			
IMPLANT BREAST SILTEX SILICONE P6 CM HIGH PROFILE ROUND OD14.7 CM 700 ML GEL TEXTURED	SUP-354-4700	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT BREAST SILTEX SILICONE P6 CM HIGH PROFILE ROUND OD14.7 CM 700 ML GEL TEXTURED	SUP-354-4700	CDM			270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORTICAL LORDOTIC H7 MM CERVICAL	SUP-38-1107	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORTICAL LORDOTIC H7 MM CERVICAL	SUP-38-1107	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CERVICAL LORDOTIC H8 MM ALLOGRAFT SPACER	SUP-38-1108	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CERVICAL LORDOTIC H8 MM ALLOGRAFT SPACER	SUP-38-1108	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE ALLOQUENT CORTICAL 5 D H7 MM ALLOGRAFT LATEX FREE	SUP-3W3007	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE ALLOQUENT CORTICAL 5 D H7 MM ALLOGRAFT LATEX FREE	SUP-3W3007	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE ALLOQUENT CORTICAL 5 D H8 MM ALLOGRAFT LATEX FREE	SUP-3W3008	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE ALLOQUENT CORTICAL 5 D H8 MM ALLOGRAFT LATEX FREE	SUP-3W3008	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT CORNERSTONE 5 X 14MM	SUP-400541	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT CORNERSTONE 5 X 14MM	SUP-400541	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
GRAFT BONE CORNERSTONE L14 MM X W11 MM X H6 MM LASER	SUP-400641	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
GRAFT BONE CORNERSTONE L14 MM X W11 MM X H6 MM LASER	SUP-400641	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
IMPLANT CORNERSTONE L-SR 7X14X11	SUP-400741	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
IMPLANT CORNERSTONE L-SR 7X14X11	SUP-400741	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
BLOCK LORDOTIC SR CORTICAL 8X14X11MM	SUP-400841	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
BLOCK LORDOTIC SR CORTICAL 8X14X11MM	SUP-400841	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
SPACER ALLOGRAFT CORNERSTONE-SR LORDOTIC 14X11X9MM CORTICAL	SUP-400941	CDM	270010012	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SPACER ALLOGRAFT CORNERSTONE-SR LORDOTIC 14X11X9MM CORTICAL	SUP-400941	CDM	270010012	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE CD HORIZON HA L45 MM OD5.5 MM SPINAL PEDICLE MULTIAXIAL 4.75 MM ROD	SUP-54740105545	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE CD HORIZON HA L45 MM OD5.5 MM SPINAL PEDICLE MULTIAXIAL 4.75 MM ROD	SUP-54740105545	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA HA COCR L50 MM OD5.5 MM SPINE MULTIAXIAL 5.5/6 MM ROD	SUP-54740105550	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA HA COCR L50 MM OD5.5 MM SPINE MULTIAXIAL 5.5/6 MM ROD	SUP-54740105550	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L25 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004525	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L25 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004525	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004545	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004545	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD5 MM SPINAL 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED CANNULATED 4.75 MM ROD	SUP-54840005030	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD5 MM SPINAL 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED CANNULATED 4.75 MM ROD	SUP-54840005030	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005045	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005045	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA COCR L45 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840005545	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA COCR L45 MM OD5.5 MM SPINE MULTIAXIAL CANNULATED	SUP-54840005545	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006530	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006530	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD7.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840007540	CDM	270010024	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD7.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840007540	CDM	270010024	LOCAL	270	RC		inpatient			1900	1900																																																			
SCREW MEDTRONIC 5.5MM X 40MM	SUP-54860005540	CDM	270010020	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
SCREW MEDTRONIC 5.5MM X 40MM	SUP-54860005540	CDM	270010020	LOCAL	270	RC		inpatient			1900	1900																																																			
CATHETER ULTRASOUND VISIONS PV GLYDX .035 IN L90 CM L100 CM OD8.5 FR INTRAVASCULAR LARGE VESSEL OTW RADIOPAQUE MARKER DIGITAL IMAGING GUIDEWIRE STERILE DISPOSABLE	SUP-88901	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
CATHETER ULTRASOUND VISIONS PV GLYDX .035 IN L90 CM L100 CM OD8.5 FR INTRAVASCULAR LARGE VESSEL OTW RADIOPAQUE MARKER DIGITAL IMAGING GUIDEWIRE STERILE DISPOSABLE	SUP-88901	CDM			270	RC		inpatient			1900	1900																																																			
CATHETER ELECTROPHYSIOLOGY ACHIEVE 3D L20 MM MAPPING LOOP	SUP-990063-020	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
CATHETER ELECTROPHYSIOLOGY ACHIEVE 3D L20 MM MAPPING LOOP	SUP-990063-020	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY SMART CONTROL MICROMARKER NITINOL L80 MM L80 CM OD14 MM SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER TRANSHEPATIC	SUP-C14080SB	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY SMART CONTROL MICROMARKER NITINOL L80 MM L80 CM OD14 MM SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER TRANSHEPATIC	SUP-C14080SB	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE STAINLESS STEEL L30 MM L25 MM L75 CM OD10 MM ILIAC OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE STERILE DISPOSABLE	SUP-H74938046102070	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE STAINLESS STEEL L30 MM L25 MM L75 CM OD10 MM ILIAC OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE STERILE DISPOSABLE	SUP-H74938046102070	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD L40 MM L37 MM L75 CM OD10 MM ILIAC OTW PREMOUNT CATHETER ACCEPTS 7 FR SHEATH	SUP-H74938046104070	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD L40 MM L37 MM L75 CM OD10 MM ILIAC OTW PREMOUNT CATHETER ACCEPTS 7 FR SHEATH	SUP-H74938046104070	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY 6MM 27MM 75CM 30MM OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE ILIAC	SUP-H74938046630750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY 6MM 27MM 75CM 30MM OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE ILIAC	SUP-H74938046630750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L40 MM L37 MM L75 CM OD6 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046640750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L40 MM L37 MM L75 CM OD6 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046640750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L75 CM OD7 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046730750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L75 CM OD7 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046730750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L40 MM L37 MM L75 CM OD7 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046740750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L40 MM L37 MM L75 CM OD7 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046740750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE STAINLESS STEEL L60 MM L57 MM L75 CM OD7 MM ILIAC OTW PREMOUNT BALLOON EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS 6 FR SHEATH	SUP-H74938046760750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE STAINLESS STEEL L60 MM L57 MM L75 CM OD7 MM ILIAC OTW PREMOUNT BALLOON EXPAND RADIOPAQUE STERILE DISPOSABLE ACCEPTS 6 FR SHEATH	SUP-H74938046760750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE STAINLESS STEEL L30 MM L27 MM L75 CM OD8 MM ILIAC OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE STERILE DISPOSABLE	SUP-H74938046830750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE STAINLESS STEEL L30 MM L27 MM L75 CM OD8 MM ILIAC OTW PREMOUNT NONCOMPLIANT BALLOON RADIOPAQUE STERILE DISPOSABLE	SUP-H74938046830750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L40 MM L37 MM L75 CM OD8 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046840750	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L40 MM L37 MM L75 CM OD8 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938046840750	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L135 CM OD6 MM ILIAC OTW PREMOUNT BALLOON EXPAND CATHETER STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938047630130	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L135 CM OD6 MM ILIAC OTW PREMOUNT BALLOON EXPAND CATHETER STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938047630130	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L135 CM OD7 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938047730130	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L135 CM OD7 MM OTW PREMOUNT BALLOON EXPAND STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938047730130	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L135 CM OD8 MM ILIAC OTW PREMOUNT BALLOON EXPAND CATHETER STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938047830130	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY EXPRESS LD TANDEM ARCHITECTURE METAL L30 MM L27 MM L135 CM OD8 MM ILIAC OTW PREMOUNT BALLOON EXPAND CATHETER STERILE DISPOSABLE ACCEPTS 6 FR INTRODUCER SHEATH	SUP-H74938047830130	CDM			270	RC		inpatient			1900	1900																																																			
STENT VASCULAR EPIC NITINOL .035 IN L100 MM L120 CM OD6 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE ACCEPTS 6 FR SHEATH	SUP-H74939200061020	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT VASCULAR EPIC NITINOL .035 IN L100 MM L120 CM OD6 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE ACCEPTS 6 FR SHEATH	SUP-H74939200061020	CDM			270	RC		inpatient			1900	1900																																																			
STENT VASCULAR EPIC NITINOL L100 MM L75 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200081070	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT VASCULAR EPIC NITINOL L100 MM L75 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200081070	CDM			270	RC		inpatient			1900	1900																																																			
STENT BILIARY PALMAZ STAINLESS STEEL XL L40 MM OD10 MM BALLOON EXPANDABLE CLOSED CELL UNMOUNT SHEATH INTRODUCER STERILE LATEX FREE DISPOSABLE POWERFLEX PLUS CATHETER TRANSHEPATIC	SUP-P4010	CDM			270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
STENT BILIARY PALMAZ STAINLESS STEEL XL L40 MM OD10 MM BALLOON EXPANDABLE CLOSED CELL UNMOUNT SHEATH INTRODUCER STERILE LATEX FREE DISPOSABLE POWERFLEX PLUS CATHETER TRANSHEPATIC	SUP-P4010	CDM			270	RC		inpatient			1900	1900																																																			
PERFUSION OPEN HEART SUPPLIES	SUP-PERFSUPP	CDM	270010026	LOCAL	270	RC		outpatient			1900	19	514.71				percent of total billed charges		1900				other	OPPS APC	1406				percent of total billed charges		1900				other	OPPS APC	1900				other	OPPS APC	514.71				percent of total billed charges		524.97				percent of total billed charges		19				other	OPPS APC	19	1900	
PERFUSION OPEN HEART SUPPLIES	SUP-PERFSUPP	CDM	270010026	LOCAL	270	RC		inpatient			1900	1900																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L90 MM X W11 MM X H2.5 MM ELBOW RIGHT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.264	CDM	270010022	LOCAL	270	RC		outpatient			1899.7	1899.7	514.63				percent of total billed charges		1899.7				other	OPPS APC	1405.78				percent of total billed charges		1899.7				other	OPPS APC	1899.7				other	OPPS APC	514.63				percent of total billed charges		524.89				percent of total billed charges		1899.7				other	OPPS APC	514.63	1899.7	
PLATE BONE LCP COMBI STAINLESS STEEL L90 MM X W11 MM X H2.5 MM ELBOW RIGHT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.264	CDM	270010022	LOCAL	270	RC		inpatient			1899.7	1899.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L90 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.265	CDM	270010022	LOCAL	270	RC		outpatient			1899.7	1899.7	514.63				percent of total billed charges		1899.7				other	OPPS APC	1405.78				percent of total billed charges		1899.7				other	OPPS APC	1899.7				other	OPPS APC	514.63				percent of total billed charges		524.89				percent of total billed charges		1899.7				other	OPPS APC	514.63	1899.7	
PLATE BONE LCP COMBI STAINLESS STEEL L90 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-241.265	CDM	270010022	LOCAL	270	RC		inpatient			1899.7	1899.7																																																			
PLATE BONE LCP COMBI 83X11X2.5MM SS NS HUMERUS RIGHT MEDIAL POSTEROLATERAL 5 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.284	CDM	270010022	LOCAL	270	RC		outpatient			1899.7	1899.7	514.63				percent of total billed charges		1899.7				other	OPPS APC	1405.78				percent of total billed charges		1899.7				other	OPPS APC	1899.7				other	OPPS APC	514.63				percent of total billed charges		524.89				percent of total billed charges		1899.7				other	OPPS APC	514.63	1899.7	
PLATE BONE LCP COMBI 83X11X2.5MM SS NS HUMERUS RIGHT MEDIAL POSTEROLATERAL 5 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.284	CDM	270010022	LOCAL	270	RC		inpatient			1899.7	1899.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L83 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT 3.5 MM SCREW	SUP-241.285	CDM	270010022	LOCAL	270	RC		outpatient			1899.7	1899.7	514.63				percent of total billed charges		1899.7				other	OPPS APC	1405.78				percent of total billed charges		1899.7				other	OPPS APC	1899.7				other	OPPS APC	514.63				percent of total billed charges		524.89				percent of total billed charges		1899.7				other	OPPS APC	514.63	1899.7	
PLATE BONE LCP COMBI STAINLESS STEEL L83 MM X W11 MM X H2.5 MM ELBOW LEFT HUMERUS 5 HOLE PRECONTOUR LIMIT CONTACT 3.5 MM SCREW	SUP-241.285	CDM	270010022	LOCAL	270	RC		inpatient			1899.7	1899.7																																																			
CATHETER INFUSION DIREXION HI-FLO FATHOM-16 NITINOL PTFE MICRO STRAIGHT L130 CM L180 CM OD2.8-3 FR ID.027 IN PRELOAD TORQUEABLE GUIDEWIRE INNER LUMEN	SUP-19-571	CDM			270	RC		outpatient			1899.24	1899.24	514.5				percent of total billed charges		1899.24				other	OPPS APC	1405.44				percent of total billed charges		1899.24				other	OPPS APC	1899.24				other	OPPS APC	514.5				percent of total billed charges		524.76				percent of total billed charges		1899.24				other	OPPS APC	514.5	1899.24	
CATHETER INFUSION DIREXION HI-FLO FATHOM-16 NITINOL PTFE MICRO STRAIGHT L130 CM L180 CM OD2.8-3 FR ID.027 IN PRELOAD TORQUEABLE GUIDEWIRE INNER LUMEN	SUP-19-571	CDM			270	RC		inpatient			1899.24	1899.24																																																			
PLATE BONE DCS DCP STAINLESS STEEL 95 D SHORT BARREL L178 MM L25 MM HIP CONDYLE 10 HOLE STERILE	SUP-281.90S	CDM	270010022	LOCAL	270	RC		outpatient			1899	1899	514.44				percent of total billed charges		1899				other	OPPS APC	1405.26				percent of total billed charges		1899				other	OPPS APC	1899				other	OPPS APC	514.44				percent of total billed charges		524.69				percent of total billed charges		1899				other	OPPS APC	514.44	1899	
PLATE BONE DCS DCP STAINLESS STEEL 95 D SHORT BARREL L178 MM L25 MM HIP CONDYLE 10 HOLE STERILE	SUP-281.90S	CDM	270010022	LOCAL	270	RC		inpatient			1899	1899																																																			
MITOMYCIN PER 5 MG	636000000	CDM	0143-9279-01	NDC	J9280	HCPCS		inpatient			1896	1896																																																			
MITOMYCIN PER 5 MG	636000000	CDM	0143-9279-01	NDC	J9280	HCPCS		outpatient			1896	71.48																																											71.48				other	OPPS APC	71.48	71.48	
COMPONENT PATELLAR NEXGEN PROLONG OD38 MM KNEE LATEX FREE	SUP-00-5972-066-38	CDM	270010025	LOCAL	270	RC		outpatient			1896	1896	513.63				percent of total billed charges		1896				other	OPPS APC	1403.04				percent of total billed charges		1896				other	OPPS APC	1896				other	OPPS APC	513.63				percent of total billed charges		523.86				percent of total billed charges		1896				other	OPPS APC	513.63	1896	
COMPONENT PATELLAR NEXGEN PROLONG OD38 MM KNEE LATEX FREE	SUP-00-5972-066-38	CDM	270010025	LOCAL	270	RC		inpatient			1896	1896																																																			
FILLER BONE VOID NORIAN SRS 3 CC ROTATORY MIX STERILE	SUP-SRS-003-RMS	CDM	270010031	LOCAL	270	RC		outpatient			1893.6	1893.6	512.98				percent of total billed charges		1893.6				other	OPPS APC	1401.26				percent of total billed charges		1893.6				other	OPPS APC	1893.6				other	OPPS APC	512.98				percent of total billed charges		523.2				percent of total billed charges		1893.6				other	OPPS APC	512.98	1893.6	
FILLER BONE VOID NORIAN SRS 3 CC ROTATORY MIX STERILE	SUP-SRS-003-RMS	CDM	270010031	LOCAL	270	RC		inpatient			1893.6	1893.6																																																			
SPACER TIBIAL OPTETRAK LOGIC 4 H8 MM KNEE PROXIMAL	SUP-02-012-42-4008	CDM	270010025	LOCAL	270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
SPACER TIBIAL OPTETRAK LOGIC 4 H8 MM KNEE PROXIMAL	SUP-02-012-42-4008	CDM	270010025	LOCAL	270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-39200-06807	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-39200-06807	CDM			270	RC		inpatient			1890	1890																																																			
PLATE SIDE BY SIDE4MMX12MM	SUP-520112	CDM	270010020	LOCAL	270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
PLATE SIDE BY SIDE4MMX12MM	SUP-520112	CDM	270010020	LOCAL	270	RC		inpatient			1890	1890																																																			
PLATE SIDE BY SIDE6MMX10MM	SUP-521110	CDM	270010020	LOCAL	270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
PLATE SIDE BY SIDE6MMX10MM	SUP-521110	CDM	270010020	LOCAL	270	RC		inpatient			1890	1890																																																			
PLATE SIDE BY SIDE6MMX12MM	SUP-521112	CDM	270010020	LOCAL	270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
PLATE SIDE BY SIDE6MMX12MM	SUP-521112	CDM	270010020	LOCAL	270	RC		inpatient			1890	1890																																																			
EXTENSION STEM SIGMA 1.5/2/2.5/3 L30 MM OD13 MM KNEE TIBIAL CEMENTED	SUP-86-6401	CDM	270010025	LOCAL	270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
EXTENSION STEM SIGMA 1.5/2/2.5/3 L30 MM OD13 MM KNEE TIBIAL CEMENTED	SUP-86-6401	CDM	270010025	LOCAL	270	RC		inpatient			1890	1890																																																			
VENTRALIGHT ST W/ECHO 4.5 CIRCLE	SUP-97-05449	CDM			278	RC		outpatient			1890	189	1890				fee schedule		1890				other	OPPS APC	1077.3				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	926.1				percent of total billed charges		963.9				percent of total billed charges		189				other	OPPS APC	189	1890	
VENTRALIGHT ST W/ECHO 4.5 CIRCLE	SUP-97-05449	CDM			278	RC		inpatient			1890	1890																																																			
STENT - SMART CONTROL 7X40	SUP-99-04569	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 7X40	SUP-99-04569	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 7X60	SUP-99-04570	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 7X60	SUP-99-04570	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 7X80	SUP-99-04571	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 7X80	SUP-99-04571	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 7X100	SUP-99-04572	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 7X100	SUP-99-04572	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 8X40	SUP-99-04573	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 8X40	SUP-99-04573	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 8X60	SUP-99-04574	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 8X60	SUP-99-04574	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 8X80	SUP-99-04575	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 8X80	SUP-99-04575	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 8X100	SUP-99-04576	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 8X100	SUP-99-04576	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 9X40	SUP-99-04577	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 9X40	SUP-99-04577	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 9X60	SUP-99-04578	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 9X60	SUP-99-04578	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 9X80	SUP-99-04579	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 9X80	SUP-99-04579	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 10X40	SUP-99-04580	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 10X40	SUP-99-04580	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 10X60	SUP-99-04581	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 10X60	SUP-99-04581	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 10X80	SUP-99-04582	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 10X80	SUP-99-04582	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 12X30	SUP-99-04583	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 12X30	SUP-99-04583	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 12X40	SUP-99-04584	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 12X40	SUP-99-04584	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 12X60	SUP-99-04585	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 12X60	SUP-99-04585	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 14X30	SUP-99-04586	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 14X30	SUP-99-04586	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 14X40	SUP-99-04587	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 14X40	SUP-99-04587	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 14X60	SUP-99-04588	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 14X60	SUP-99-04588	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 5X40	SUP-99-04589	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 5X40	SUP-99-04589	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 5X60	SUP-99-04590	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 5X60	SUP-99-04590	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 5X80	SUP-99-04591	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 5X80	SUP-99-04591	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 6X40	SUP-99-04593	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 6X40	SUP-99-04593	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 6X60	SUP-99-04594	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 6X60	SUP-99-04594	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 6X80	SUP-99-04595	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 6X80	SUP-99-04595	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 6X100	SUP-99-04596	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 6X100	SUP-99-04596	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 7X40	SUP-99-04599	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 7X40	SUP-99-04599	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 7X60	SUP-99-04600	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 7X60	SUP-99-04600	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 7X80	SUP-99-04601	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 7X80	SUP-99-04601	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART FLEX 7X100	SUP-99-04602	CDM						inpatient			1890	1890																																																			
STENT - SMART FLEX 7X100	SUP-99-04602	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT - SMART CONTROL 9X80	SUP-99-04894	CDM						inpatient			1890	1890																																																			
STENT - SMART CONTROL 9X80	SUP-99-04894	CDM						outpatient			1890	189	1890				percent of total billed charges		1890				other	OPPS APC	1890				fee schedule		1890				other	OPPS APC	1890				other	OPPS APC	1890				case rate		1890				case rate		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L30 MM L154 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200063020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L30 MM L154 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200063020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L70 MM L120 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200067020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L70 MM L120 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200067020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR 6MM 80MM 114CM 75CM SELF EXPAND ILIAC ARTERY EPIC NITINOL ACCEPTS 6FR	SUP-H74939200068070	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR 6MM 80MM 114CM 75CM SELF EXPAND ILIAC ARTERY EPIC NITINOL ACCEPTS 6FR	SUP-H74939200068070	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL .035 IN L100 MM L120 CM OD7 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE ACCEPTS 6 FR SHEATH	SUP-H74939200071020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL .035 IN L100 MM L120 CM OD7 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE ACCEPTS 6 FR SHEATH	SUP-H74939200071020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L20 MM L120 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200072020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L20 MM L120 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200072020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L120 CM L30 MM L154 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200073020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L30 MM L154 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200073020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L120 CM L60 MM L157 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200076020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L60 MM L157 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200076020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L75 CM L60 MM L112 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200076070	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L75 CM L60 MM L112 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200076070	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L120 CM L80 MM L159 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200078020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L80 MM L159 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200078020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200078070	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD7 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200078070	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL .035 IN L120 MM L120 CM OD8 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE ACCEPTS 6 FR SHEATH	SUP-H74939200081220	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL .035 IN L120 MM L120 CM OD8 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE ACCEPTS 6 FR SHEATH	SUP-H74939200081220	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L120 CM L40 MM L155 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200084020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L40 MM L155 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200084020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L120 CM L60 MM L157 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200086020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L60 MM L157 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200086020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L120 CM L80 MM L159 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200088020	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L120 CM L80 MM L159 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200088020	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L75 CM L20 MM L109 CM OD10 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200102070	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L75 CM L20 MM L109 CM OD10 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200102070	CDM			270	RC		inpatient			1890	1890																																																			
STENT VASCULAR EPIC NITINOL L110 CM L40 MM L75 CM OD12 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200124070	CDM			270	RC		outpatient			1890	189	512				percent of total billed charges		1890				other	OPPS APC	1398.6				percent of total billed charges		1890				other	OPPS APC	1890				other	OPPS APC	512				percent of total billed charges		522.21				percent of total billed charges		189				other	OPPS APC	189	1890	
STENT VASCULAR EPIC NITINOL L110 CM L40 MM L75 CM OD12 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200124070	CDM			270	RC		inpatient			1890	1890																																																			
DENSE TISSUE PLUS BLADE	SUP-72203012	CDM			270	RC		outpatient			1887.9	1887.91	511.43				percent of total billed charges		1887.9				other	OPPS APC	1397.05				percent of total billed charges		1887.9				other	OPPS APC	1887.9				other	OPPS APC	511.43				percent of total billed charges		521.63				percent of total billed charges		1887.91				other	OPPS APC	511.43	1887.91	
DENSE TISSUE PLUS BLADE	SUP-72203012	CDM			270	RC		inpatient			1887.9	1887.9																																																			
DRILL GUIDE OVAL COMP HOLES	SUP-95-03417	CDM						inpatient			1887.84	1887.84																																																			
DRILL GUIDE OVAL COMP HOLES	SUP-95-03417	CDM						outpatient			1887.84	1887.84	1887.84				percent of total billed charges		1887.84				other	OPPS APC	1887.84				fee schedule		1887.84				other	OPPS APC	1887.84				other	OPPS APC	1887.84				case rate		1887.84				case rate		1887.84				other	OPPS APC	1887.84	1887.84	
SCREW T7 2.7 X 8MM NON LOCKING	SUP-97-03616	CDM			278	RC		outpatient			1887.84	1887.84	1887.84				fee schedule		1887.84				other	OPPS APC	1076.07				percent of total billed charges		1887.84				other	OPPS APC	1887.84				other	OPPS APC	925.04				percent of total billed charges		962.8				percent of total billed charges		1887.84				other	OPPS APC	925.04	1887.84	
SCREW T7 2.7 X 8MM NON LOCKING	SUP-97-03616	CDM			278	RC		inpatient			1887.84	1887.84																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L37.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860137	CDM	270010020	LOCAL	270	RC		outpatient			1885.08	1885.8	510.67				percent of total billed charges		1885.08				other	OPPS APC	1394.96				percent of total billed charges		1885.08				other	OPPS APC	1885.08				other	OPPS APC	510.67				percent of total billed charges		520.85				percent of total billed charges		1885.8				other	OPPS APC	510.67	1885.8	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L37.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860137	CDM	270010020	LOCAL	270	RC		inpatient			1885.08	1885.08																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L40 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860140	CDM	270010020	LOCAL	270	RC		outpatient			1885.08	1885.8	510.67				percent of total billed charges		1885.08				other	OPPS APC	1394.96				percent of total billed charges		1885.08				other	OPPS APC	1885.08				other	OPPS APC	510.67				percent of total billed charges		520.85				percent of total billed charges		1885.8				other	OPPS APC	510.67	1885.8	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L40 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860140	CDM	270010020	LOCAL	270	RC		inpatient			1885.08	1885.08																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L42.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860142	CDM	270010020	LOCAL	270	RC		outpatient			1885.08	1885.8	510.67				percent of total billed charges		1885.08				other	OPPS APC	1394.96				percent of total billed charges		1885.08				other	OPPS APC	1885.08				other	OPPS APC	510.67				percent of total billed charges		520.85				percent of total billed charges		1885.8				other	OPPS APC	510.67	1885.8	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L42.5 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860142	CDM	270010020	LOCAL	270	RC		inpatient			1885.08	1885.08																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 3 HALF H5 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-003-26	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 3 HALF H5 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-003-26	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 3 HALF H10 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-003-27	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 3 HALF H10 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-003-27	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 4 HALF H10 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-004-27	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 4 HALF H10 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-004-27	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 5 HALF H10 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-005-27	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 5 HALF H10 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-005-27	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 8-9 HALF H5 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-008-26	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 8-9 HALF H5 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-008-26	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT D H5 MM POSTERIOR	SUP-00-5990-034-01	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT D H5 MM POSTERIOR	SUP-00-5990-034-01	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT D H5 MM DISTAL	SUP-00-5990-034-10	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT D H5 MM DISTAL	SUP-00-5990-034-10	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT E H5 MM POSTERIOR	SUP-00-5990-035-01	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT E H5 MM POSTERIOR	SUP-00-5990-035-01	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT E H10 MM KNEE POSTERIOR ROTATE HINGE STERILE	SUP-00-5990-035-02	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT E H10 MM KNEE POSTERIOR ROTATE HINGE STERILE	SUP-00-5990-035-02	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT E H5 MM DISTAL	SUP-00-5990-035-10	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT E H5 MM DISTAL	SUP-00-5990-035-10	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT E H10 MM DISTAL	SUP-00-5990-035-20	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT E H10 MM DISTAL	SUP-00-5990-035-20	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT F H5 MM POSTERIOR	SUP-00-5990-036-01	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT F H5 MM POSTERIOR	SUP-00-5990-036-01	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT F H10 MM POSTERIOR	SUP-00-5990-036-02	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT F H10 MM POSTERIOR	SUP-00-5990-036-02	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT F H5 MM DISTAL	SUP-00-5990-036-10	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT F H5 MM DISTAL	SUP-00-5990-036-10	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT F H10 MM DISTAL	SUP-00-5990-036-20	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT F H10 MM DISTAL	SUP-00-5990-036-20	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN F H10 MM DISTAL	SUP-00-5990-036-21	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN F H10 MM DISTAL	SUP-00-5990-036-21	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
BLOCK AUGMENTATION NEXGEN PRECOAT G H5 MM DISTAL	SUP-00-5990-037-10	CDM	270010025	LOCAL	270	RC		outpatient			1884	1884	510.38				percent of total billed charges		1884				other	OPPS APC	1394.16				percent of total billed charges		1884				other	OPPS APC	1884				other	OPPS APC	510.38				percent of total billed charges		520.55				percent of total billed charges		1884				other	OPPS APC	510.38	1884	
BLOCK AUGMENTATION NEXGEN PRECOAT G H5 MM DISTAL	SUP-00-5990-037-10	CDM	270010025	LOCAL	270	RC		inpatient			1884	1884																																																			
SCREW SYNTHES EXPEDIUM 7MM X 45MM	SUP-179712745	CDM	270010020	LOCAL	270	RC		outpatient			1881	1881	509.56				percent of total billed charges		1881				other	OPPS APC	1391.94				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	509.56				percent of total billed charges		519.72				percent of total billed charges		1881				other	OPPS APC	509.56	1881	
SCREW SYNTHES EXPEDIUM 7MM X 45MM	SUP-179712745	CDM	270010020	LOCAL	270	RC		inpatient			1881	1881																																																			
PLATE GEMINUS VOLAR DISTAL 3 HOLE LT	SUP-97-02246	CDM			278	RC		outpatient			1881	1881	1881				fee schedule		1881				other	OPPS APC	1072.17				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	921.69				percent of total billed charges		959.31				percent of total billed charges		1881				other	OPPS APC	921.69	1881	
PLATE GEMINUS VOLAR DISTAL 3 HOLE LT	SUP-97-02246	CDM			278	RC		inpatient			1881	1881																																																			
PLATE GEMINUS DISTAL RAD 3 HOLE RT	SUP-97-03065	CDM			278	RC		outpatient			1881	1881	1881				fee schedule		1881				other	OPPS APC	1072.17				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	921.69				percent of total billed charges		959.31				percent of total billed charges		1881				other	OPPS APC	921.69	1881	
PLATE GEMINUS DISTAL RAD 3 HOLE RT	SUP-97-03065	CDM			278	RC		inpatient			1881	1881																																																			
NARROW HEADS 4 HOLE SHAFT LEFT	SUP-97-04935	CDM			278	RC		outpatient			1881	1881	1881				fee schedule		1881				other	OPPS APC	1072.17				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	921.69				percent of total billed charges		959.31				percent of total billed charges		1881				other	OPPS APC	921.69	1881	
NARROW HEADS 4 HOLE SHAFT LEFT	SUP-97-04935	CDM			278	RC		inpatient			1881	1881																																																			
PLATE VOLAR DISTAL RADIUS STD 4 HOLE RIGHT	SUP-97-06028	CDM			278	RC		outpatient			1881	1881	1881				fee schedule		1881				other	OPPS APC	1072.17				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	921.69				percent of total billed charges		959.31				percent of total billed charges		1881				other	OPPS APC	921.69	1881	
PLATE VOLAR DISTAL RADIUS STD 4 HOLE RIGHT	SUP-97-06028	CDM			278	RC		inpatient			1881	1881																																																			
PLATE FRAGMENT DISTAL ULNA	SUP-97-06205	CDM			278	RC		outpatient			1881	1881	1881				fee schedule		1881				other	OPPS APC	1072.17				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	921.69				percent of total billed charges		959.31				percent of total billed charges		1881				other	OPPS APC	921.69	1881	
PLATE FRAGMENT DISTAL ULNA	SUP-97-06205	CDM			278	RC		inpatient			1881	1881																																																			
NARROW HEADS 4 HOLE SHAFT RIGHT	SUP-97-23641	CDM			278	RC		outpatient			1881	1881	1881				fee schedule		1881				other	OPPS APC	1072.17				percent of total billed charges		1881				other	OPPS APC	1881				other	OPPS APC	921.69				percent of total billed charges		959.31				percent of total billed charges		1881				other	OPPS APC	921.69	1881	
NARROW HEADS 4 HOLE SHAFT RIGHT	SUP-97-23641	CDM			278	RC		inpatient			1881	1881																																																			
RELOAD SUTURE ENDO STITCH SURGIDAC LACTOMER 2-0 ES-9 L7 IN 1 STITCH DISPOSABLE GREEN	SUP-173021	CDM			270	RC		outpatient			1880.38	188.38	509.39				percent of total billed charges		1880.38				other	OPPS APC	1391.48				percent of total billed charges		1880.38				other	OPPS APC	1880.38				other	OPPS APC	509.39				percent of total billed charges		519.55				percent of total billed charges		188.38				other	OPPS APC	188.38	1880.38	
RELOAD SUTURE ENDO STITCH SURGIDAC LACTOMER 2-0 ES-9 L7 IN 1 STITCH DISPOSABLE GREEN	SUP-173021	CDM			270	RC		inpatient			1880.38	1880.38																																																			
PLATE BONE ATLANTIS TITANIUM LOW PROFILE L23 MM SPINE CERVICAL ANTERIOR LOCK STERILE	SUP-876-123	CDM	270010020	LOCAL	270	RC		outpatient			1880.36	188.36	509.39				percent of total billed charges		1880.36				other	OPPS APC	1391.47				percent of total billed charges		1880.36				other	OPPS APC	1880.36				other	OPPS APC	509.39				percent of total billed charges		519.54				percent of total billed charges		188.36				other	OPPS APC	188.36	1880.36	
PLATE BONE ATLANTIS TITANIUM LOW PROFILE L23 MM SPINE CERVICAL ANTERIOR LOCK STERILE	SUP-876-123	CDM	270010020	LOCAL	270	RC		inpatient			1880.36	1880.36																																																			
PLATE STRYKER 5 HOLE BOWED	SUP-40-15012	CDM			270	RC		outpatient			1880	188	509.29				percent of total billed charges		1880				other	OPPS APC	1391.2				percent of total billed charges		1880				other	OPPS APC	1880				other	OPPS APC	509.29				percent of total billed charges		519.44				percent of total billed charges		188				other	OPPS APC	188	1880	
PLATE STRYKER 5 HOLE BOWED	SUP-40-15012	CDM			270	RC		inpatient			1880	1880																																																			
CATHETER ANGIOGRAPHIC CORDIS FRONTRUNNER XP CTO 140CM 2.3MM 4.5FR PERIPHERAL BRAID LOW PROFILE ACCEPTS 6FR SHEATH	SUP-FBP39140	CDM			270	RC		outpatient			1880	188	509.29				percent of total billed charges		1880				other	OPPS APC	1391.2				percent of total billed charges		1880				other	OPPS APC	1880				other	OPPS APC	509.29				percent of total billed charges		519.44				percent of total billed charges		188				other	OPPS APC	188	1880	
CATHETER ANGIOGRAPHIC CORDIS FRONTRUNNER XP CTO 140CM 2.3MM 4.5FR PERIPHERAL BRAID LOW PROFILE ACCEPTS 6FR SHEATH	SUP-FBP39140	CDM			270	RC		inpatient			1880	1880																																																			
GRAFT BONE VERTIGRAFT 42MM HUMERUS HEAD FROZEN	SUP-FHH	CDM	270010031	LOCAL	270	RC		outpatient			1878.82	1878.82	508.97				percent of total billed charges		1878.82				other	OPPS APC	1390.33				percent of total billed charges		1878.82				other	OPPS APC	1878.82				other	OPPS APC	508.97				percent of total billed charges		519.12				percent of total billed charges		1878.82				other	OPPS APC	508.97	1878.82	
GRAFT BONE VERTIGRAFT 42MM HUMERUS HEAD FROZEN	SUP-FHH	CDM	270010031	LOCAL	270	RC		inpatient			1878.82	1878.82																																																			
KIT PROBE SWISS LITHOCLAST TRILOGY L350 MM X W3.9 MM DISPOSABLE BLUE	SUP-M0068403540	CDM			270	RC		outpatient			1878	1878	508.75				percent of total billed charges		1878				other	OPPS APC	1389.72				percent of total billed charges		1878				other	OPPS APC	1878				other	OPPS APC	508.75				percent of total billed charges		518.89				percent of total billed charges		1878				other	OPPS APC	508.75	1878	
KIT PROBE SWISS LITHOCLAST TRILOGY L350 MM X W3.9 MM DISPOSABLE BLUE	SUP-M0068403540	CDM			270	RC		inpatient			1878	1878																																																			
KIT PROBE SWISS LITHOCLAST TRILOGY L440 MM X W3.9 MM DISPOSABLE BLUE	SUP-M0068403550	CDM			270	RC		outpatient			1878	1878	508.75				percent of total billed charges		1878				other	OPPS APC	1389.72				percent of total billed charges		1878				other	OPPS APC	1878				other	OPPS APC	508.75				percent of total billed charges		518.89				percent of total billed charges		1878				other	OPPS APC	508.75	1878	
KIT PROBE SWISS LITHOCLAST TRILOGY L440 MM X W3.9 MM DISPOSABLE BLUE	SUP-M0068403550	CDM			270	RC		inpatient			1878	1878																																																			
PLATE BONE LCP STAINLESS STEEL STRAIGHT L40 MM FOREFOOT MIDFOOT 4 HOLE VARIABLE ANGLE FUSION LOCK NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.263	CDM	270010022	LOCAL	270	RC		outpatient			1875.6	1875.6	508.1				percent of total billed charges		1875.6				other	OPPS APC	1387.94				percent of total billed charges		1875.6				other	OPPS APC	1875.6				other	OPPS APC	508.1				percent of total billed charges		518.23				percent of total billed charges		1875.6				other	OPPS APC	508.1	1875.6	
PLATE BONE LCP STAINLESS STEEL STRAIGHT L40 MM FOREFOOT MIDFOOT 4 HOLE VARIABLE ANGLE FUSION LOCK NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.263	CDM	270010022	LOCAL	270	RC		inpatient			1875.6	1875.6																																																			
VESSEL SEALER EXTEND DAVINCI	SUP-95-04942	CDM			272	RC		outpatient			1875	1875	507.94				percent of total billed charges		1875				other	OPPS APC	1387.5				percent of total billed charges		1875				other	OPPS APC	1875				other	OPPS APC	507.94				percent of total billed charges		518.06				percent of total billed charges		1875				other	OPPS APC	507.94	1875	
VESSEL SEALER EXTEND DAVINCI	SUP-95-04942	CDM			272	RC		inpatient			1875	1875																																																			
PROLARYN + PLUS VOICE INJECTABLE IMPLANT	SUP-97-00306	CDM			278	RC		inpatient			1875	1875																																																			
PROLARYN + PLUS VOICE INJECTABLE IMPLANT	SUP-97-00306	CDM			278	RC		outpatient			1875	1875					fee schedule						other	OPPS APC	1068.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	918.75				percent of total billed charges		956.25				percent of total billed charges						other	OPPS APC	1068.75	1068.75	
SCREW 5.5 X 48MM PRECISION CANNULATED SHORT THREAD BLUNT TIP	SUP-97-06207	CDM			278	RC		outpatient			1875	1875	1875				fee schedule		1875				other	OPPS APC	1068.75				percent of total billed charges		1875				other	OPPS APC	1875				other	OPPS APC	918.75				percent of total billed charges		956.25				percent of total billed charges		1875				other	OPPS APC	918.75	1875	
SCREW 5.5 X 48MM PRECISION CANNULATED SHORT THREAD BLUNT TIP	SUP-97-06207	CDM			278	RC		inpatient			1875	1875																																																			
SCREW LOCKING 2.7MM LAPIPLASTY	SUP-97-06241	CDM			278	RC		outpatient			1875	1875	1875				fee schedule		1875				other	OPPS APC	1068.75				percent of total billed charges		1875				other	OPPS APC	1875				other	OPPS APC	918.75				percent of total billed charges		956.25				percent of total billed charges		1875				other	OPPS APC	918.75	1875	
SCREW LOCKING 2.7MM LAPIPLASTY	SUP-97-06241	CDM			278	RC		inpatient			1875	1875																																																			
SCREW LOCKING 2.7MM LAPIPLASTY	SUP-97-06242	CDM			278	RC		outpatient			1875	1875	1875				fee schedule		1875				other	OPPS APC	1068.75				percent of total billed charges		1875				other	OPPS APC	1875				other	OPPS APC	918.75				percent of total billed charges		956.25				percent of total billed charges		1875				other	OPPS APC	918.75	1875	
SCREW LOCKING 2.7MM LAPIPLASTY	SUP-97-06242	CDM			278	RC		inpatient			1875	1875																																																			
BALLOON PUMP - CATHETER 40CC NARROWFLEX	SUP-99-02165	CDM			272	RC		outpatient			1875	1875	507.94				percent of total billed charges		1875				other	OPPS APC	1387.5				percent of total billed charges		1875				other	OPPS APC	1875				other	OPPS APC	507.94				percent of total billed charges		518.06				percent of total billed charges		1875				other	OPPS APC	507.94	1875	
BALLOON PUMP - CATHETER 40CC NARROWFLEX	SUP-99-02165	CDM			272	RC		inpatient			1875	1875																																																			
PLATE 3 HOLE HOOK LCP 3.5MM	SUP-97-03901	CDM			278	RC		outpatient			1874.16	1874.16	1874.16				fee schedule		1874.16				other	OPPS APC	1068.27				percent of total billed charges		1874.16				other	OPPS APC	1874.16				other	OPPS APC	918.34				percent of total billed charges		955.82				percent of total billed charges		1874.16				other	OPPS APC	918.34	1874.16	
PLATE 3 HOLE HOOK LCP 3.5MM	SUP-97-03901	CDM			278	RC		inpatient			1874.16	1874.16																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 10 HOLE	SUP-40-20907	CDM			270	RC		outpatient			1870.4	187.41	506.69				percent of total billed charges		1870.4				other	OPPS APC	1384.1				percent of total billed charges		1870.4				other	OPPS APC	1870.4				other	OPPS APC	506.69				percent of total billed charges		516.79				percent of total billed charges		187.41				other	OPPS APC	187.41	1870.4	
PLATE VARIAX DISTAL LATERAL FIBULA 10 HOLE	SUP-40-20907	CDM			270	RC		inpatient			1870.4	1870.4																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 11 HOLE	SUP-40-20908	CDM			270	RC		outpatient			1870.4	187.41	506.69				percent of total billed charges		1870.4				other	OPPS APC	1384.1				percent of total billed charges		1870.4				other	OPPS APC	1870.4				other	OPPS APC	506.69				percent of total billed charges		516.79				percent of total billed charges		187.41				other	OPPS APC	187.41	1870.4	
PLATE VARIAX DISTAL LATERAL FIBULA 11 HOLE	SUP-40-20908	CDM			270	RC		inpatient			1870.4	1870.4																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 12 HOLE	SUP-40-20909	CDM			270	RC		outpatient			1870.4	187.41	506.69				percent of total billed charges		1870.4				other	OPPS APC	1384.1				percent of total billed charges		1870.4				other	OPPS APC	1870.4				other	OPPS APC	506.69				percent of total billed charges		516.79				percent of total billed charges		187.41				other	OPPS APC	187.41	1870.4	
PLATE VARIAX DISTAL LATERAL FIBULA 12 HOLE	SUP-40-20909	CDM			270	RC		inpatient			1870.4	1870.4																																																			
PLATE BONE STAINLESS STEEL 108 MM RADIUS L208 MM PELVIC 16 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.886	CDM	270010022	LOCAL	270	RC		outpatient			1870.16	187.16	506.63				percent of total billed charges		1870.16				other	OPPS APC	1383.92				percent of total billed charges		1870.16				other	OPPS APC	1870.16				other	OPPS APC	506.63				percent of total billed charges		516.73				percent of total billed charges		187.16				other	OPPS APC	187.16	1870.16	
PLATE BONE STAINLESS STEEL 108 MM RADIUS L208 MM PELVIC 16 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.886	CDM	270010022	LOCAL	270	RC		inpatient			1870.16	1870.16																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L116 MM OLECRANON RIGHT 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.204	CDM	270010022	LOCAL	270	RC		outpatient			1868.22	1868.22	506.1				percent of total billed charges		1868.22				other	OPPS APC	1382.48				percent of total billed charges		1868.22				other	OPPS APC	1868.22				other	OPPS APC	506.1				percent of total billed charges		516.19				percent of total billed charges		1868.22				other	OPPS APC	506.1	1868.22	
PLATE BONE LCP COMBI STAINLESS STEEL L116 MM OLECRANON RIGHT 4 HOLE ROUND PROFILE VARIABLE ANGLE TAPER TIP NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.204	CDM	270010022	LOCAL	270	RC		inpatient			1868.22	1868.22																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L90 MM OLECRANON LEFT 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.302	CDM	270010022	LOCAL	270	RC		outpatient			1868.22	1868.22	506.1				percent of total billed charges		1868.22				other	OPPS APC	1382.48				percent of total billed charges		1868.22				other	OPPS APC	1868.22				other	OPPS APC	506.1				percent of total billed charges		516.19				percent of total billed charges		1868.22				other	OPPS APC	506.1	1868.22	
PLATE BONE LCP COMBI STAINLESS STEEL L90 MM OLECRANON LEFT 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.302	CDM	270010022	LOCAL	270	RC		inpatient			1868.22	1868.22																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L116 MM OLECRANON LEFT 4 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.304	CDM	270010020	LOCAL	270	RC		outpatient			1868.22	1868.22	506.1				percent of total billed charges		1868.22				other	OPPS APC	1382.48				percent of total billed charges		1868.22				other	OPPS APC	1868.22				other	OPPS APC	506.1				percent of total billed charges		516.19				percent of total billed charges		1868.22				other	OPPS APC	506.1	1868.22	
PLATE BONE LCP COMBI STAINLESS STEEL L116 MM OLECRANON LEFT 4 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.304	CDM	270010020	LOCAL	270	RC		inpatient			1868.22	1868.22																																																			
TEMNO EVOLUT COAX 20GX11 CTSUP USSUP	SUP-95-01336	CDM			272	RC		outpatient			1866.9	1866.91	505.74				percent of total billed charges		1866.9				other	OPPS APC	1381.51				percent of total billed charges		1866.9				other	OPPS APC	1866.9				other	OPPS APC	505.74				percent of total billed charges		515.82				percent of total billed charges		1866.91				other	OPPS APC	505.74	1866.91	
TEMNO EVOLUT COAX 20GX11 CTSUP USSUP	SUP-95-01336	CDM			272	RC		inpatient			1866.9	1866.9																																																			
SWVLK TENE BIO COMP 7X19.5 MM	SUP-97-03980	CDM			278	RC		outpatient			1866	1866	1866				fee schedule		1866				other	OPPS APC	1063.62				percent of total billed charges		1866				other	OPPS APC	1866				other	OPPS APC	914.34				percent of total billed charges		951.66				percent of total billed charges		1866				other	OPPS APC	914.34	1866	
SWVLK TENE BIO COMP 7X19.5 MM	SUP-97-03980	CDM			278	RC		inpatient			1866	1866																																																			
HC Xr Picc Lne Insertion	PX-361365731	CDM	36573	CPT	361	RC		outpatient			1864	1567.3	588.65				percent of total billed charges		1567.03				other	OPPS APC	1876				fee schedule		1567.03				other	OPPS APC	1567.03				other	OPPS APC	588.65				percent of total billed charges		600.39				percent of total billed charges		1567.3				other	OPPS APC	588.65	1876	
HC Xr Picc Lne Insertion	PX-361365731	CDM	36573	CPT	361	RC		inpatient			1864	1864																																																			
HC IR Cvad Replacement Picc	PX-361365841	CDM	36584	CPT	361	RC		outpatient			1864	1864	588.65				percent of total billed charges		1864				other	OPPS APC	1864				fee schedule		1864				other	OPPS APC	1864				other	OPPS APC	588.65				percent of total billed charges		600.39				percent of total billed charges		1864				other	OPPS APC	588.65	1864	
HC IR Cvad Replacement Picc	PX-361365841	CDM	36584	CPT	361	RC		inpatient			1864	1864																																																			
GUIDEWIRE VASC WALLSTENT 500CM X 035	SUP-95-00483	CDM			272	RC		outpatient			1860	186	503.87				percent of total billed charges		1860				other	OPPS APC	1376.4				percent of total billed charges		1860				other	OPPS APC	1860				other	OPPS APC	503.87				percent of total billed charges		513.92				percent of total billed charges		186				other	OPPS APC	186	1860	
GUIDEWIRE VASC WALLSTENT 500CM X 035	SUP-95-00483	CDM			272	RC		inpatient			1860	1860																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L23 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860123	CDM	270010020	LOCAL	270	RC		outpatient			1856.72	1856.72	502.99				percent of total billed charges		1856.72				other	OPPS APC	1373.97				percent of total billed charges		1856.72				other	OPPS APC	1856.72				other	OPPS APC	502.99				percent of total billed charges		513.01				percent of total billed charges		1856.72				other	OPPS APC	502.99	1856.72	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L23 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860123	CDM	270010020	LOCAL	270	RC		inpatient			1856.72	1856.72																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L25 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860125	CDM	270010020	LOCAL	270	RC		outpatient			1856.72	1856.72	502.99				percent of total billed charges		1856.72				other	OPPS APC	1373.97				percent of total billed charges		1856.72				other	OPPS APC	1856.72				other	OPPS APC	502.99				percent of total billed charges		513.01				percent of total billed charges		1856.72				other	OPPS APC	502.99	1856.72	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L25 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860125	CDM	270010020	LOCAL	270	RC		inpatient			1856.72	1856.72																																																			
GRAFT VENTRALIGHT ST 6 CIRCLE (5954600)	SUP-75-00149	CDM			278	RC		outpatient			1856.7	1856.7	1856.7				fee schedule		1856.7				other	OPPS APC	1058.32				percent of total billed charges		1856.7				other	OPPS APC	1856.7				other	OPPS APC	909.78				percent of total billed charges		946.92				percent of total billed charges		1856.7				other	OPPS APC	909.78	1856.7	
GRAFT VENTRALIGHT ST 6 CIRCLE (5954600)	SUP-75-00149	CDM			278	RC		inpatient			1856.7	1856.7																																																			
GRAFT VENTRALEX ST HERNIA PATCH 8/3.2 LG	SUP-75-00093	CDM			278	RC		outpatient			1856.4	1856.41	1856.4				fee schedule		1856.4				other	OPPS APC	1058.15				percent of total billed charges		1856.4				other	OPPS APC	1856.4				other	OPPS APC	909.64				percent of total billed charges		946.76				percent of total billed charges		1856.41				other	OPPS APC	909.64	1856.41	
GRAFT VENTRALEX ST HERNIA PATCH 8/3.2 LG	SUP-75-00093	CDM			278	RC		inpatient			1856.4	1856.4																																																			
PLATE BONE LCP STAINLESS STEEL 0 D SMALL L42 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.230	CDM	270010022	LOCAL	270	RC		outpatient			1853.68	1853.68	502.16				percent of total billed charges		1853.68				other	OPPS APC	1371.72				percent of total billed charges		1853.68				other	OPPS APC	1853.68				other	OPPS APC	502.16				percent of total billed charges		512.17				percent of total billed charges		1853.68				other	OPPS APC	502.16	1853.68	
PLATE BONE LCP STAINLESS STEEL 0 D SMALL L42 MM FIRST METATARSOPHALANGEAL RIGHT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.230	CDM	270010022	LOCAL	270	RC		inpatient			1853.68	1853.68																																																			
PLATE FIRST TMT FUSION STANDARD	SUP-02.211.246	CDM	270010022	LOCAL	270	RC		outpatient			1853.68	1853.68	502.16				percent of total billed charges		1853.68				other	OPPS APC	1371.72				percent of total billed charges		1853.68				other	OPPS APC	1853.68				other	OPPS APC	502.16				percent of total billed charges		512.17				percent of total billed charges		1853.68				other	OPPS APC	502.16	1853.68	
PLATE FIRST TMT FUSION STANDARD	SUP-02.211.246	CDM	270010022	LOCAL	270	RC		inpatient			1853.68	1853.68																																																			
PLATE BONE LCP STAINLESS STEEL LONG L48 MM FIRST TARSOMETATARSAL VARIABLE ANGLE FUSION PRECONTOUR LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.247	CDM	270010022	LOCAL	270	RC		outpatient			1853.68	1853.68	502.16				percent of total billed charges		1853.68				other	OPPS APC	1371.72				percent of total billed charges		1853.68				other	OPPS APC	1853.68				other	OPPS APC	502.16				percent of total billed charges		512.17				percent of total billed charges		1853.68				other	OPPS APC	502.16	1853.68	
PLATE BONE LCP STAINLESS STEEL LONG L48 MM FIRST TARSOMETATARSAL VARIABLE ANGLE FUSION PRECONTOUR LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.247	CDM	270010022	LOCAL	270	RC		inpatient			1853.68	1853.68																																																			
SCREW CENTRAL MODULAR 25MM	SUP-54853	CDM			278	RC		outpatient			1852.68	1852.68	1852.68				fee schedule		1852.68				other	OPPS APC	1056.03				percent of total billed charges		1852.68				other	OPPS APC	1852.68				other	OPPS APC	907.81				percent of total billed charges		944.87				percent of total billed charges		1852.68				other	OPPS APC	907.81	1852.68	
SCREW CENTRAL MODULAR 25MM	SUP-54853	CDM			278	RC		inpatient			1852.68	1852.68																																																			
CORCR FEMORAL HEAD 28MM 12/14	SUP-97-03460	CDM			278	RC		outpatient			1852.5	1852.5	1852.5				fee schedule		1852.5				other	OPPS APC	1055.93				percent of total billed charges		1852.5				other	OPPS APC	1852.5				other	OPPS APC	907.73				percent of total billed charges		944.78				percent of total billed charges		1852.5				other	OPPS APC	907.73	1852.5	
CORCR FEMORAL HEAD 28MM 12/14	SUP-97-03460	CDM			278	RC		inpatient			1852.5	1852.5																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.351	CDM	270010022	LOCAL	270	RC		outpatient			1850.2	185.2	501.22				percent of total billed charges		1850.2				other	OPPS APC	1369.15				percent of total billed charges		1850.2				other	OPPS APC	1850.2				other	OPPS APC	501.22				percent of total billed charges		511.21				percent of total billed charges		185.2				other	OPPS APC	185.2	1850.2	
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.351	CDM	270010022	LOCAL	270	RC		inpatient			1850.2	1850.2																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.450	CDM	270010022	LOCAL	270	RC		outpatient			1850.2	185.2	501.22				percent of total billed charges		1850.2				other	OPPS APC	1369.15				percent of total billed charges		1850.2				other	OPPS APC	1850.2				other	OPPS APC	501.22				percent of total billed charges		511.21				percent of total billed charges		185.2				other	OPPS APC	185.2	1850.2	
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.450	CDM	270010022	LOCAL	270	RC		inpatient			1850.2	1850.2																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.451	CDM	270010022	LOCAL	270	RC		outpatient			1850.2	185.2	501.22				percent of total billed charges		1850.2				other	OPPS APC	1369.15				percent of total billed charges		1850.2				other	OPPS APC	1850.2				other	OPPS APC	501.22				percent of total billed charges		511.21				percent of total billed charges		185.2				other	OPPS APC	185.2	1850.2	
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.451	CDM	270010022	LOCAL	270	RC		inpatient			1850.2	1850.2																																																			
GRAFT BONE 8 D L72 MM ALLOGRAFT WEDGE STERILE HIGH TIBIAL OSTEOTOMY	SUP-180872	CDM	270010031	LOCAL	270	RC		outpatient			1850	185	501.17				percent of total billed charges		1850				other	OPPS APC	1369				percent of total billed charges		1850				other	OPPS APC	1850				other	OPPS APC	501.17				percent of total billed charges		511.16				percent of total billed charges		185				other	OPPS APC	185	1850	
GRAFT BONE 8 D L72 MM ALLOGRAFT WEDGE STERILE HIGH TIBIAL OSTEOTOMY	SUP-180872	CDM	270010031	LOCAL	270	RC		inpatient			1850	1850																																																			
IMPLANT BREAST P3.8 CM MODERATE PLUS PROFILE OD12.3 CM 325 ML SMOOTH	SUP-350-3251	CDM			270	RC		outpatient			1850	185	501.17				percent of total billed charges		1850				other	OPPS APC	1369				percent of total billed charges		1850				other	OPPS APC	1850				other	OPPS APC	501.17				percent of total billed charges		511.16				percent of total billed charges		185				other	OPPS APC	185	1850	
IMPLANT BREAST P3.8 CM MODERATE PLUS PROFILE OD12.3 CM 325 ML SMOOTH	SUP-350-3251	CDM			270	RC		inpatient			1850	1850																																																			
IMPLANT BREAST SILTEX SILICONE P6.3 CM ROUND HIGH PROFILE OD15.4 CM 800 CC GEL TEXTURE	SUP-354-4800	CDM			270	RC		outpatient			1850	185	501.17				percent of total billed charges		1850				other	OPPS APC	1369				percent of total billed charges		1850				other	OPPS APC	1850				other	OPPS APC	501.17				percent of total billed charges		511.16				percent of total billed charges		185				other	OPPS APC	185	1850	
IMPLANT BREAST SILTEX SILICONE P6.3 CM ROUND HIGH PROFILE OD15.4 CM 800 CC GEL TEXTURE	SUP-354-4800	CDM			270	RC		inpatient			1850	1850																																																			
PLATE SPINAL SHORELINE ASC 6MM HOLEX2 ANTERIOR	SUP-85-0506	CDM	270010020	LOCAL	270	RC		outpatient			1850	185	501.17				percent of total billed charges		1850				other	OPPS APC	1369				percent of total billed charges		1850				other	OPPS APC	1850				other	OPPS APC	501.17				percent of total billed charges		511.16				percent of total billed charges		185				other	OPPS APC	185	1850	
PLATE SPINAL SHORELINE ASC 6MM HOLEX2 ANTERIOR	SUP-85-0506	CDM	270010020	LOCAL	270	RC		inpatient			1850	1850																																																			
FILTER EMBOLIZATION CELECT NAVALIGN 65CM 49MM 79CM 30MM 7FR PLATINUM HYDROPHILIC DISPOSABLE STERILE VENA CAVA RADIOPAQUE	SUP-G34502	CDM			270	RC		outpatient			1850	185	501.17				percent of total billed charges		1850				other	OPPS APC	1369				percent of total billed charges		1850				other	OPPS APC	1850				other	OPPS APC	501.17				percent of total billed charges		511.16				percent of total billed charges		185				other	OPPS APC	185	1850	
FILTER EMBOLIZATION CELECT NAVALIGN 65CM 49MM 79CM 30MM 7FR PLATINUM HYDROPHILIC DISPOSABLE STERILE VENA CAVA RADIOPAQUE	SUP-G34502	CDM			270	RC		inpatient			1850	1850																																																			
REAMER AO CANNULATED 3.7 X 1	SUP-97-04649	CDM			278	RC		outpatient			1848.96	1848.96	1848.96				fee schedule		1848.96				other	OPPS APC	1053.91				percent of total billed charges		1848.96				other	OPPS APC	1848.96				other	OPPS APC	905.99				percent of total billed charges		942.97				percent of total billed charges		1848.96				other	OPPS APC	905.99	1848.96	
REAMER AO CANNULATED 3.7 X 1	SUP-97-04649	CDM			278	RC		inpatient			1848.96	1848.96																																																			
SEALER/DIVIDER LAPAROSCOPIC LIGASURE 350 D L18.5 MM L44 CM L20.3 MM MARYLAND CURVE JAW NANO COAT VALLEYLAB FT10 LS10 FORCETRIAD ENERGY PLATFORM	SUP-LF1944	CDM			270	RC		outpatient			1847.53	1847.53	500.5				percent of total billed charges		1847.53				other	OPPS APC	1367.17				percent of total billed charges		1847.53				other	OPPS APC	1847.53				other	OPPS APC	500.5				percent of total billed charges		510.47				percent of total billed charges		1847.53				other	OPPS APC	500.5	1847.53	
SEALER/DIVIDER LAPAROSCOPIC LIGASURE 350 D L18.5 MM L44 CM L20.3 MM MARYLAND CURVE JAW NANO COAT VALLEYLAB FT10 LS10 FORCETRIAD ENERGY PLATFORM	SUP-LF1944	CDM			270	RC		inpatient			1847.53	1847.53																																																			
PLATE BONE LCP COMBI 78X10X3.4MM SS NS PUBIC SYMPHYSIS 6 HOLE LOW PROFILE COAXIAL PRECONTOUR 3.5MM SCREW	SUP-02.100.006	CDM	270010022	LOCAL	270	RC		outpatient			1843.6	1843.6	499.43				percent of total billed charges		1843.6				other	OPPS APC	1364.26				percent of total billed charges		1843.6				other	OPPS APC	1843.6				other	OPPS APC	499.43				percent of total billed charges		509.39				percent of total billed charges		1843.6				other	OPPS APC	499.43	1843.6	
PLATE BONE LCP COMBI 78X10X3.4MM SS NS PUBIC SYMPHYSIS 6 HOLE LOW PROFILE COAXIAL PRECONTOUR 3.5MM SCREW	SUP-02.100.006	CDM	270010022	LOCAL	270	RC		inpatient			1843.6	1843.6																																																			
LAT DISTAL FIBULA PLATE 4H/ RT 2.7X3.5MM	SUP-97-03996	CDM			278	RC		outpatient			1843.38	1843.38	1843.38				fee schedule		1843.38				other	OPPS APC	1050.73				percent of total billed charges		1843.38				other	OPPS APC	1843.38				other	OPPS APC	903.26				percent of total billed charges		940.12				percent of total billed charges		1843.38				other	OPPS APC	903.26	1843.38	
LAT DISTAL FIBULA PLATE 4H/ RT 2.7X3.5MM	SUP-97-03996	CDM			278	RC		inpatient			1843.38	1843.38																																																			
EXPANDER TISSUE INTEGRA P4CM CURVE 9.25X2.5CM 100CL STERILE LF SMOOTH	SUP-3614-10	CDM			270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
EXPANDER TISSUE INTEGRA P4CM CURVE 9.25X2.5CM 100CL STERILE LF SMOOTH	SUP-3614-10	CDM			270	RC		inpatient			1840	1840																																																			
APPLIER CLIP MINI & STANDARD L-CLIP APPLIER 210 MM BAJONET RIGID TITANIUM JAW DOUBLE ACTION	SUP-45.411	CDM			270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
APPLIER CLIP MINI & STANDARD L-CLIP APPLIER 210 MM BAJONET RIGID TITANIUM JAW DOUBLE ACTION	SUP-45.411	CDM			270	RC		inpatient			1840	1840																																																			
APPLIER ANEURYSM CLIP L-ANEURYSM-CLIP LAZIC TITANIUM MINI STANDARD BAYONET L70 MM L210 MM JAW VARIABLE 2 ACTION REMOVER FORCEPS	SUP-45.421	CDM			270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
APPLIER ANEURYSM CLIP L-ANEURYSM-CLIP LAZIC TITANIUM MINI STANDARD BAYONET L70 MM L210 MM JAW VARIABLE 2 ACTION REMOVER FORCEPS	SUP-45.421	CDM			270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL IBALANCE 2 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTLB	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL IBALANCE 2 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTLB	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL IBALANCE 3 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTLC	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL IBALANCE 3 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTLC	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL IBALANCE 4 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC CEMENT RESURFACE	SUP-AR-501-TTLD	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL IBALANCE 4 KNEE UNICONDYLAR LEFT MEDIAL ANATOMIC CEMENT RESURFACE	SUP-AR-501-TTLD	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY IBALANCE TIBIAL SIZ 5 LEFT MEDIAL RL	SUP-AR-501-TTLE	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY IBALANCE TIBIAL SIZ 5 LEFT MEDIAL RL	SUP-AR-501-TTLE	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL IBALANCE 2 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTRB	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL IBALANCE 2 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTRB	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL IBALANCE 3 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTRC	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL IBALANCE 3 KNEE UNICONDYLAR RIGHT MEDIAL ANATOMIC DESIGN CEMENTED RESURFACE	SUP-AR-501-TTRC	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL ARTHREX IBALANCE UKA SIZE 4 RIGHT MEDIAL	SUP-AR-501-TTRD	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL ARTHREX IBALANCE UKA SIZE 4 RIGHT MEDIAL	SUP-AR-501-TTRD	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL ARTHREX IBALANCE UKA SIZE 5 RIGHT MEDIAL	SUP-AR-501-TTRE	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL ARTHREX IBALANCE UKA SIZE 5 RIGHT MEDIAL	SUP-AR-501-TTRE	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
TRAY TIBIAL ARTHREX IBALANCE UKA SIZE 6 RIGHT MEDIAL	SUP-AR-501-TTRF	CDM	270010025	LOCAL	270	RC		outpatient			1840	184	498.46				percent of total billed charges		1840				other	OPPS APC	1361.6				percent of total billed charges		1840				other	OPPS APC	1840				other	OPPS APC	498.46				percent of total billed charges		508.39				percent of total billed charges		184				other	OPPS APC	184	1840	
TRAY TIBIAL ARTHREX IBALANCE UKA SIZE 6 RIGHT MEDIAL	SUP-AR-501-TTRF	CDM	270010025	LOCAL	270	RC		inpatient			1840	1840																																																			
VENTRALEX ST SM CIRCLE W/STRAP	SUP-97-00221	CDM			278	RC		outpatient			1838.25	1838.25	1838.25				fee schedule		1838.25				other	OPPS APC	1047.8				percent of total billed charges		1838.25				other	OPPS APC	1838.25				other	OPPS APC	900.74				percent of total billed charges		937.51				percent of total billed charges		1838.25				other	OPPS APC	900.74	1838.25	
VENTRALEX ST SM CIRCLE W/STRAP	SUP-97-00221	CDM			278	RC		inpatient			1838.25	1838.25																																																			
GRAFT PCO VENTRAL PATCH 6C ( PCO6VP )	SUP-75-00172	CDM			278	RC		outpatient			1837.59	1837.59	1837.59				fee schedule		1837.59				other	OPPS APC	1047.43				percent of total billed charges		1837.59				other	OPPS APC	1837.59				other	OPPS APC	900.42				percent of total billed charges		937.17				percent of total billed charges		1837.59				other	OPPS APC	900.42	1837.59	
GRAFT PCO VENTRAL PATCH 6C ( PCO6VP )	SUP-75-00172	CDM			278	RC		inpatient			1837.59	1837.59																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L118 MM X W11 MM X H4.2 MM 8 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT SET	SUP-224.753	CDM	270010022	LOCAL	270	RC		outpatient			1837	1837	497.64				percent of total billed charges		1837				other	OPPS APC	1359.38				percent of total billed charges		1837				other	OPPS APC	1837				other	OPPS APC	497.64				percent of total billed charges		507.56				percent of total billed charges		1837				other	OPPS APC	497.64	1837	
PLATE BONE LCP COMBI STAINLESS STEEL L118 MM X W11 MM X H4.2 MM 8 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5/3.5 MM SCREW LARGE FRAGMENT SET	SUP-224.753	CDM	270010022	LOCAL	270	RC		inpatient			1837	1837																																																			
GRAFT VENTRIO SM OVAL (5950030)	SUP-75-00169	CDM			278	RC		outpatient			1836.6	1836.6	1836.6				fee schedule		1836.6				other	OPPS APC	1046.86				percent of total billed charges		1836.6				other	OPPS APC	1836.6				other	OPPS APC	899.93				percent of total billed charges		936.67				percent of total billed charges		1836.6				other	OPPS APC	899.93	1836.6	
GRAFT VENTRIO SM OVAL (5950030)	SUP-75-00169	CDM			278	RC		inpatient			1836.6	1836.6																																																			
EXTENSION STEM NEXGEN TIVANIUM FLUTE L75 MM L120 MM OD15 MM KNEE TIBIA SHARP REPLACEMENT SCREW STERILE	SUP-00598801515	CDM	270010025	LOCAL	270	RC		outpatient			1836	1836	497.37				percent of total billed charges		1836				other	OPPS APC	1358.64				percent of total billed charges		1836				other	OPPS APC	1836				other	OPPS APC	497.37				percent of total billed charges		507.29				percent of total billed charges		1836				other	OPPS APC	497.37	1836	
EXTENSION STEM NEXGEN TIVANIUM FLUTE L75 MM L120 MM OD15 MM KNEE TIBIA SHARP REPLACEMENT SCREW STERILE	SUP-00598801515	CDM	270010025	LOCAL	270	RC		inpatient			1836	1836																																																			
AUGMENT ACETABULAR TRABECULAR METAL 15 D HIP SHIM REVISION SYSTEM	SUP-00-4894-001-15	CDM			270	RC		outpatient			1833	1833	496.56				percent of total billed charges		1833				other	OPPS APC	1356.42				percent of total billed charges		1833				other	OPPS APC	1833				other	OPPS APC	496.56				percent of total billed charges		506.46				percent of total billed charges		1833				other	OPPS APC	496.56	1833	
AUGMENT ACETABULAR TRABECULAR METAL 15 D HIP SHIM REVISION SYSTEM	SUP-00-4894-001-15	CDM			270	RC		inpatient			1833	1833																																																			
HOOK KNIFE J LOWER LENGTH	SUP-95-23732	CDM			272	RC		outpatient			1833	1833	496.56				percent of total billed charges		1833				other	OPPS APC	1356.42				percent of total billed charges		1833				other	OPPS APC	1833				other	OPPS APC	496.56				percent of total billed charges		506.46				percent of total billed charges		1833				other	OPPS APC	496.56	1833	
HOOK KNIFE J LOWER LENGTH	SUP-95-23732	CDM			272	RC		inpatient			1833	1833																																																			
CATHETER - SUPERCROSS 90 DEG. 130CM	SUP-99-01205	CDM			272	RC		outpatient			1830	183	495.75				percent of total billed charges		1830				other	OPPS APC	1354.2				percent of total billed charges		1830				other	OPPS APC	1830				other	OPPS APC	495.75				percent of total billed charges		505.63				percent of total billed charges		183				other	OPPS APC	183	1830	
CATHETER - SUPERCROSS 90 DEG. 130CM	SUP-99-01205	CDM			272	RC		inpatient			1830	1830																																																			
STENT - INTEGRITY 3.0X22	SUP-99-01249	CDM			278	RC		inpatient			1830	1830																																																			
STENT - INTEGRITY 3.0X22	SUP-99-01249	CDM			278	RC		outpatient			1830	1830					fee schedule						other	OPPS APC	1043.1				percent of total billed charges						other	OPPS APC					other	OPPS APC	896.7				percent of total billed charges		933.3				percent of total billed charges						other	OPPS APC	1043.1	1043.1	
CATHETER - SUPERCROSS 120 DEG. 130CM	SUP-99-04698	CDM			272	RC		outpatient			1830	183	495.75				percent of total billed charges		1830				other	OPPS APC	1354.2				percent of total billed charges		1830				other	OPPS APC	1830				other	OPPS APC	495.75				percent of total billed charges		505.63				percent of total billed charges		183				other	OPPS APC	183	1830	
CATHETER - SUPERCROSS 120 DEG. 130CM	SUP-99-04698	CDM			272	RC		inpatient			1830	1830																																																			
HC Myocardial Perf-Spect/Multi	PX-340784520	CDM	78452	CPT	341	RC		outpatient			1829	1397.91	492.87				fee schedule		1397.91				other	OPPS APC	1336.1				fee schedule		1397.91				other	OPPS APC	1397.91				other	OPPS APC	438.13				fee schedule		361.73				fee schedule		1397.91				other	OPPS APC	361.73	1397.91	
HC Myocardial Perf-Spect/Multi	PX-340784520	CDM	78452	CPT	341	RC		inpatient			1829	1829																																																			
GRAFT ECHO2 10 X 15CM (4 X 6IN) (5991015)	SUP-75-00154	CDM			278	RC		outpatient			1827.6	1827.6	1827.6				fee schedule		1827.6				other	OPPS APC	1041.73				percent of total billed charges		1827.6				other	OPPS APC	1827.6				other	OPPS APC	895.52				percent of total billed charges		932.08				percent of total billed charges		1827.6				other	OPPS APC	895.52	1827.6	
GRAFT ECHO2 10 X 15CM (4 X 6IN) (5991015)	SUP-75-00154	CDM			278	RC		inpatient			1827.6	1827.6																																																			
CANNNULAD DRILL 5.0	SUP-95-03343	CDM			272	RC		outpatient			1827	1827	494.93				percent of total billed charges		1827				other	OPPS APC	1351.98				percent of total billed charges		1827				other	OPPS APC	1827				other	OPPS APC	494.93				percent of total billed charges		504.8				percent of total billed charges		1827				other	OPPS APC	494.93	1827	
CANNNULAD DRILL 5.0	SUP-95-03343	CDM			272	RC		inpatient			1827	1827																																																			
SCREW 3MM X 12MM HEADLESS SHORT THREAD	SUP-97-03060	CDM			278	RC		outpatient			1827	1827	1827				fee schedule		1827				other	OPPS APC	1041.39				percent of total billed charges		1827				other	OPPS APC	1827				other	OPPS APC	895.23				percent of total billed charges		931.77				percent of total billed charges		1827				other	OPPS APC	895.23	1827	
SCREW 3MM X 12MM HEADLESS SHORT THREAD	SUP-97-03060	CDM			278	RC		inpatient			1827	1827																																																			
INSERT HUMERAL H+6 MM OD36 MM ODSEC42 MM SHOULDER CONSTRAIN COMBINATION	SUP-AR-9503-3942-6	CDM	270010030	LOCAL	270	RC		outpatient			1827	1827	494.93				percent of total billed charges		1827				other	OPPS APC	1351.98				percent of total billed charges		1827				other	OPPS APC	1827				other	OPPS APC	494.93				percent of total billed charges		504.8				percent of total billed charges		1827				other	OPPS APC	494.93	1827	
INSERT HUMERAL H+6 MM OD36 MM ODSEC42 MM SHOULDER CONSTRAIN COMBINATION	SUP-AR-9503-3942-6	CDM	270010030	LOCAL	270	RC		inpatient			1827	1827																																																			
LEAD PACING L110 CM ATRIUM BIPOLAR SCREW IN IS-1	SUP-4058	CDM			275	RC		outpatient			1824	1824	893.76				percent of total billed charges		1824				other	OPPS APC	1039.68				percent of total billed charges		1824				other	OPPS APC	1824				other	OPPS APC	893.76				percent of total billed charges		930.24				percent of total billed charges		1824				other	OPPS APC	893.76	1824	
LEAD PACING L110 CM ATRIUM BIPOLAR SCREW IN IS-1	SUP-4058	CDM			275	RC		inpatient			1824	1824																																																			
18 MM DISC MESHED	SUP-95-23476	CDM			636	RC		inpatient			1824	1824																																																			
18 MM DISC MESHED	SUP-95-23476	CDM			636	RC		outpatient			1824	1824					fee schedule						other	OPPS APC	47.71				fee schedule						other	OPPS APC					other	OPPS APC	893.76				percent of total billed charges		453.45				percent of total billed charges						other	OPPS APC	893.76	893.76	
MESH INTERPRO Y	SUP-72404000	CDM			270	RC		outpatient			1820	182	493.04				percent of total billed charges		1820				other	OPPS APC	1346.8				percent of total billed charges		1820				other	OPPS APC	1820				other	OPPS APC	493.04				percent of total billed charges		502.87				percent of total billed charges		182				other	OPPS APC	182	1820	
MESH INTERPRO Y	SUP-72404000	CDM			270	RC		inpatient			1820	1820																																																			
COUPLING HOFMAN3 PIN TO ROD 4/5/6 5/8/11	SUP-97-03405	CDM			278	RC		outpatient			1819.44	1819.44	1819.44				fee schedule		1819.44				other	OPPS APC	1037.08				percent of total billed charges		1819.44				other	OPPS APC	1819.44				other	OPPS APC	891.53				percent of total billed charges		927.91				percent of total billed charges		1819.44				other	OPPS APC	891.53	1819.44	
COUPLING HOFMAN3 PIN TO ROD 4/5/6 5/8/11	SUP-97-03405	CDM			278	RC		inpatient			1819.44	1819.44																																																			
6.5 X 70 HEADLESS SCREW	SUP-97-23828	CDM			278	RC		outpatient			1817.55	1817.55	1817.55				fee schedule		1817.55				other	OPPS APC	1036				percent of total billed charges		1817.55				other	OPPS APC	1817.55				other	OPPS APC	890.6				percent of total billed charges		926.95				percent of total billed charges		1817.55				other	OPPS APC	890.6	1817.55	
6.5 X 70 HEADLESS SCREW	SUP-97-23828	CDM			278	RC		inpatient			1817.55	1817.55																																																			
6.5 X 80 HEADLESS SCREW	SUP-97-23829	CDM			278	RC		outpatient			1817.55	1817.55	1817.55				fee schedule		1817.55				other	OPPS APC	1036				percent of total billed charges		1817.55				other	OPPS APC	1817.55				other	OPPS APC	890.6				percent of total billed charges		926.95				percent of total billed charges		1817.55				other	OPPS APC	890.6	1817.55	
6.5 X 80 HEADLESS SCREW	SUP-97-23829	CDM			278	RC		inpatient			1817.55	1817.55																																																			
6.5 X 85 HEADLESS SCREW	SUP-97-23830	CDM			278	RC		outpatient			1817.55	1817.55	1817.55				fee schedule		1817.55				other	OPPS APC	1036				percent of total billed charges		1817.55				other	OPPS APC	1817.55				other	OPPS APC	890.6				percent of total billed charges		926.95				percent of total billed charges		1817.55				other	OPPS APC	890.6	1817.55	
6.5 X 85 HEADLESS SCREW	SUP-97-23830	CDM			278	RC		inpatient			1817.55	1817.55																																																			
6.5 X 95 HEADLESS SCREW	SUP-97-23832	CDM			278	RC		outpatient			1816.65	1816.65	1816.65				fee schedule		1816.65				other	OPPS APC	1035.49				percent of total billed charges		1816.65				other	OPPS APC	1816.65				other	OPPS APC	890.16				percent of total billed charges		926.49				percent of total billed charges		1816.65				other	OPPS APC	890.16	1816.65	
6.5 X 95 HEADLESS SCREW	SUP-97-23832	CDM			278	RC		inpatient			1816.65	1816.65																																																			
OPSENS PRESSURE WIRE	SUP-99-03789	CDM			272	RC		outpatient			1815	1815	491.68				percent of total billed charges		1815				other	OPPS APC	1343.1				percent of total billed charges		1815				other	OPPS APC	1815				other	OPPS APC	491.68				percent of total billed charges		501.48				percent of total billed charges		1815				other	OPPS APC	491.68	1815	
OPSENS PRESSURE WIRE	SUP-99-03789	CDM			272	RC		inpatient			1815	1815																																																			
CANN  DRILL BIT 60.MM	SUP-97-00853	CDM			272	RC		outpatient			1812.84	1812.84	491.1				percent of total billed charges		1812.84				other	OPPS APC	1341.5				percent of total billed charges		1812.84				other	OPPS APC	1812.84				other	OPPS APC	491.1				percent of total billed charges		500.89				percent of total billed charges		1812.84				other	OPPS APC	491.1	1812.84	
CANN  DRILL BIT 60.MM	SUP-97-00853	CDM			272	RC		inpatient			1812.84	1812.84																																																			
HC Ivus Non Coronary Additional Vessel	PX-361372531	CDM	37253	CPT	361	RC		outpatient			1812	1812	572.23				percent of total billed charges		1812				other	OPPS APC	612				fee schedule		1812				other	OPPS APC	1812				other	OPPS APC	572.23				percent of total billed charges		583.65				percent of total billed charges		1812				other	OPPS APC	572.23	1812	
HC Ivus Non Coronary Additional Vessel	PX-361372531	CDM	37253	CPT	361	RC		inpatient			1812	1812																																																			
CATHETER GUIDING ENVOY BRITE TIP HYDROPHILIC MULTIPURPOSE D CURVE L105CM L8CM OD 6FR ID .071IN DISTAL ACCESS SOFT TIP LARGE LUMEN EXTRA BACKUP SUPPORT	SUP-67125805DB	CDM			270	RC		outpatient			1811	1811	490.6				percent of total billed charges		1811				other	OPPS APC	1340.14				percent of total billed charges		1811				other	OPPS APC	1811				other	OPPS APC	490.6				percent of total billed charges		500.38				percent of total billed charges		1811				other	OPPS APC	490.6	1811	
CATHETER GUIDING ENVOY BRITE TIP HYDROPHILIC MULTIPURPOSE D CURVE L105CM L8CM OD 6FR ID .071IN DISTAL ACCESS SOFT TIP LARGE LUMEN EXTRA BACKUP SUPPORT	SUP-67125805DB	CDM			270	RC		inpatient			1811	1811																																																			
PLATE BONE LCP STAINLESS STEEL L66 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.462	CDM	270010022	LOCAL	270	RC		outpatient			1806.2	186.2	489.3				percent of total billed charges		1806.2				other	OPPS APC	1336.59				percent of total billed charges		1806.2				other	OPPS APC	1806.2				other	OPPS APC	489.3				percent of total billed charges		499.05				percent of total billed charges		186.2				other	OPPS APC	186.2	1806.2	
PLATE BONE LCP STAINLESS STEEL L66 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.462	CDM	270010022	LOCAL	270	RC		inpatient			1806.2	1806.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L61 MM X W7.5 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.492	CDM	270010022	LOCAL	270	RC		outpatient			1806.2	186.2	489.3				percent of total billed charges		1806.2				other	OPPS APC	1336.59				percent of total billed charges		1806.2				other	OPPS APC	1806.2				other	OPPS APC	489.3				percent of total billed charges		499.05				percent of total billed charges		186.2				other	OPPS APC	186.2	1806.2	
PLATE BONE LCP COMBI STAINLESS STEEL L61 MM X W7.5 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.492	CDM	270010022	LOCAL	270	RC		inpatient			1806.2	1806.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L61 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.494	CDM	270010022	LOCAL	270	RC		outpatient			1806.2	186.2	489.3				percent of total billed charges		1806.2				other	OPPS APC	1336.59				percent of total billed charges		1806.2				other	OPPS APC	1806.2				other	OPPS APC	489.3				percent of total billed charges		499.05				percent of total billed charges		186.2				other	OPPS APC	186.2	1806.2	
PLATE BONE LCP COMBI STAINLESS STEEL L61 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.494	CDM	270010022	LOCAL	270	RC		inpatient			1806.2	1806.2																																																			
KIT MICROSENSOR VENTRICULAR	SUP-62-6653US	CDM			270	RC		outpatient			1805	185	488.97				percent of total billed charges		1805				other	OPPS APC	1335.7				percent of total billed charges		1805				other	OPPS APC	1805				other	OPPS APC	488.97				percent of total billed charges		498.72				percent of total billed charges		185				other	OPPS APC	185	1805	
KIT MICROSENSOR VENTRICULAR	SUP-62-6653US	CDM			270	RC		inpatient			1805	1805																																																			
PLATE UPPERFACE/MIDFACE BENDER /CUTTER RIGHT	SUP-6212175	CDM			270	RC		outpatient			1802.4	182.41	488.27				percent of total billed charges		1802.4				other	OPPS APC	1333.78				percent of total billed charges		1802.4				other	OPPS APC	1802.4				other	OPPS APC	488.27				percent of total billed charges		498				percent of total billed charges		182.41				other	OPPS APC	182.41	1802.4	
PLATE UPPERFACE/MIDFACE BENDER /CUTTER RIGHT	SUP-6212175	CDM			270	RC		inpatient			1802.4	1802.4																																																			
PLATE LCP RECON 3.5 MM 7 HOLES	SUP-95-02617	CDM			278	RC		outpatient			1802.04	182.4	1802.04				fee schedule		1802.04				other	OPPS APC	1027.16				percent of total billed charges		1802.04				other	OPPS APC	1802.04				other	OPPS APC	883				percent of total billed charges		919.04				percent of total billed charges		182.4				other	OPPS APC	182.4	1802.04	
PLATE LCP RECON 3.5 MM 7 HOLES	SUP-95-02617	CDM			278	RC		inpatient			1802.04	1802.04																																																			
GAUGE DEPTH EVOS SMALL LONG 3.5 MM SCREW	SUP-71175068	CDM			270	RC		outpatient			1800.32	18.32	487.71				percent of total billed charges		1800.32				other	OPPS APC	1332.24				percent of total billed charges		1800.32				other	OPPS APC	1800.32				other	OPPS APC	487.71				percent of total billed charges		497.43				percent of total billed charges		18.32				other	OPPS APC	18.32	1800.32	
GAUGE DEPTH EVOS SMALL LONG 3.5 MM SCREW	SUP-71175068	CDM			270	RC		inpatient			1800.32	1800.32																																																			
HC Sleep Study Unattended	PX-920958061	CDM	95806	CPT	920	RC		outpatient			1800	153.17	1800				fee schedule		153.17				other	OPPS APC	540.05				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	91.49				fee schedule		918				percent of total billed charges		153.17				other	OPPS APC	91.49	1800	
HC Sleep Study Unattended	PX-920958061	CDM	95806	CPT	920	RC		inpatient			1800	1800																																																			
SHELL ACETABULAR CONTINUUM TRABECULAR METAL TIVANIUM KK HEMISPHERICAL TAPER OD56 MM HIP MULTIHOLE SNAP FIT INTEGRATE LOCK MECHANISM	SUP-00-8757-056-02	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL ACETABULAR CONTINUUM TRABECULAR METAL TIVANIUM KK HEMISPHERICAL TAPER OD56 MM HIP MULTIHOLE SNAP FIT INTEGRATE LOCK MECHANISM	SUP-00-8757-056-02	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
TRAY TIBIAL GMK T3I4 KNEE RIGHT CEMENT FIX	SUP-02.12.T3I4R	CDM	270010025	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
TRAY TIBIAL GMK T3I4 KNEE RIGHT CEMENT FIX	SUP-02.12.T3I4R	CDM	270010025	LOCAL	270	RC		inpatient			1800	1800																																																			
SHELL ACETABULAR PINNACLE POROCOAT OD50 MM HIP 100 SERIES	SUP-1217-01-050	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL ACETABULAR PINNACLE POROCOAT OD50 MM HIP 100 SERIES	SUP-1217-01-050	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
IMPLANT ACETABULAR SHELL MULTI HOLE 60MM	SUP-1217-20-050	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
IMPLANT ACETABULAR SHELL MULTI HOLE 60MM	SUP-1217-20-050	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
IMPLANT ACETABULAR SHELL DEPUY PINNACLE MUTLI HOLE 52MM	SUP-1217-20-052	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
IMPLANT ACETABULAR SHELL DEPUY PINNACLE MUTLI HOLE 52MM	SUP-1217-20-052	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
SHELL ACETABULAR PINNACLE POROCOAT OD48 MM HIP SECTOR	SUP-1217-22-048	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL ACETABULAR PINNACLE POROCOAT OD48 MM HIP SECTOR	SUP-1217-22-048	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
SHELL ACETABULAR PINNACLE 52MM POROCOAT STERILE LF HIP SECTOR	SUP-1217-22-052	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL ACETABULAR PINNACLE 52MM POROCOAT STERILE LF HIP SECTOR	SUP-1217-22-052	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
SHELL ACETABULAR PINNACLE POROCOAT OD56 MM HIP SECTOR	SUP-1217-22-056	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL ACETABULAR PINNACLE POROCOAT OD56 MM HIP SECTOR	SUP-1217-22-056	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
SPACER SPINAL FORTIFY I 0 D D14 MM W16 MM X H12 MM FOOTPRINT LOWER ENDPLATE NO SPIKE NONSTERILE LATEX FREE	SUP-137.360	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SPACER SPINAL FORTIFY I 0 D D14 MM W16 MM X H12 MM FOOTPRINT LOWER ENDPLATE NO SPIKE NONSTERILE LATEX FREE	SUP-137.360	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
SPACER SPINAL FORTIFY I 7 D D14 MM W16 MM X H12 MM FOOTPRINT LOWER ENDPLATE NO SPIKE NONSTERILE LATEX FREE	SUP-137.362	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SPACER SPINAL FORTIFY I 7 D D14 MM W16 MM X H12 MM FOOTPRINT LOWER ENDPLATE NO SPIKE NONSTERILE LATEX FREE	SUP-137.362	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L20 MM ODSEC5 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-5020	CDM			481	RC		outpatient			1800	18	882				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
CATHETER BALLOON DILATATION ANGIOSCULPT XL NITINOL RECTANGLE HELIX L137 CM L20 MM ODSEC5 MM FEMOROPOPLITEAL ARTERY RADIOPAQUE OTW FLEXIBLE ELECTROPOLISH ACCEPTS .018 IN GUIDEWIRE 6 FR SHEATH PTA	SUP-2076-5020	CDM			481	RC		inpatient			1800	1800																																																			
PLATE BONE ZEVO TITANIUM L19 MM SPINE CERVICAL ANTERIOR 1 LEVEL	SUP-3001019	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ZEVO TITANIUM L19 MM SPINE CERVICAL ANTERIOR 1 LEVEL	SUP-3001019	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE ZEVO 23MM	SUP-3001023	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE ZEVO 23MM	SUP-3001023	CDM			270	RC		inpatient			1800	1800																																																			
PLATE BONE ZEVO TITANIUM L35 MM SPINE CERVICAL ANTERIOR 2 LEVEL	SUP-3002035	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ZEVO TITANIUM L35 MM SPINE CERVICAL ANTERIOR 2 LEVEL	SUP-3002035	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
IMPLANT BREAST MEMORYGEL COHESIVE I SILICONE P4 CM ROUND MODERATE PLUS PROFILE MODERATE BASE OD12.8 CM 375 ML GEL SMOOTH	SUP-350-3751 BC	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
IMPLANT BREAST MEMORYGEL COHESIVE I SILICONE P4 CM ROUND MODERATE PLUS PROFILE MODERATE BASE OD12.8 CM 375 ML GEL SMOOTH	SUP-350-3751 BC	CDM			270	RC		inpatient			1800	1800																																																			
IMPLANT BREAST MEMORYGEL SILICONE P3.6 CM MODERATE PROFILE OD15.9 CM 550 ML GEL ROUND SMOOTH	SUP-3507550 BC	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
IMPLANT BREAST MEMORYGEL SILICONE P3.6 CM MODERATE PROFILE OD15.9 CM 550 ML GEL ROUND SMOOTH	SUP-3507550 BC	CDM			270	RC		inpatient			1800	1800																																																			
PROGRAMMER PT SJM  EON	SUP-3851 SCS	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PROGRAMMER PT SJM  EON	SUP-3851 SCS	CDM			270	RC		inpatient			1800	1800																																																			
PROGRAMMER SJM	SUP-3852 SCSCAP	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PROGRAMMER SJM	SUP-3852 SCSCAP	CDM			270	RC		inpatient			1800	1800																																																			
SHELL ACETABULAR TRITANIUM G OD62 MM PRIMARY HEMISPHERICAL CLUSTER HOLE	SUP-5020362G	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL ACETABULAR TRITANIUM G OD62 MM PRIMARY HEMISPHERICAL CLUSTER HOLE	SUP-5020362G	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
IMPLANT SHELL SOLID SIZE 48 D	SUP-504-11-48D	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
IMPLANT SHELL SOLID SIZE 48 D	SUP-504-11-48D	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
IMPLANT SHELL SOLID SIZE 54 F	SUP-504-11-54F	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
IMPLANT SHELL SOLID SIZE 54 F	SUP-504-11-54F	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
SCREW BONE COROENT 40MM 5.5MM NS SPINE VARIABLE ANGLE XLF SYSTEM	SUP-5485540	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SCREW BONE COROENT 40MM 5.5MM NS SPINE VARIABLE ANGLE XLF SYSTEM	SUP-5485540	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE BONE ATLANTIS TITANIUM L21 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190021	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ATLANTIS TITANIUM L21 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190021	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE BONE ATLANTIS TITANIUM L25 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190025	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ATLANTIS TITANIUM L25 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190025	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE BONE ATLANTIS TITANIUM L37.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190037	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ATLANTIS TITANIUM L37.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190037	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE BONE ATLANTIS TITANIUM L40 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190040	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ATLANTIS TITANIUM L40 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190040	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE BONE ATLANTIS TITANIUM L42.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190042	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ATLANTIS TITANIUM L42.5 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190042	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
PLATE BONE ATLANTIS TITANIUM L45 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190045	CDM	270010020	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE ATLANTIS TITANIUM L45 MM SPINE CERVICAL ANTERIOR LOCK TRANSLATIONAL	SUP-6190045	CDM	270010020	LOCAL	270	RC		inpatient			1800	1800																																																			
CATHETER INTRATHECAL ASCENDA SILICONE L114 CM L86 CM OD4 FR ID.5 MM 2 PIECE CONNECTOR PIN FLEXIBLE CLOSE TIP STERILE DISPOSABLE	SUP-8780	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
CATHETER INTRATHECAL ASCENDA SILICONE L114 CM L86 CM OD4 FR ID.5 MM 2 PIECE CONNECTOR PIN FLEXIBLE CLOSE TIP STERILE DISPOSABLE	SUP-8780	CDM			270	RC		inpatient			1800	1800																																																			
INSERT TIBIAL PFC SIGMA GVF 4 H17.5 MM KNEE ROTATE PLATFORM STABILIZE	SUP-96-2144	CDM	270010025	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
INSERT TIBIAL PFC SIGMA GVF 4 H17.5 MM KNEE ROTATE PLATFORM STABILIZE	SUP-96-2144	CDM	270010025	LOCAL	270	RC		inpatient			1800	1800																																																			
LOW PROFILE LAPIDUS PLATE	SUP-97-03172	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
LOW PROFILE LAPIDUS PLATE	SUP-97-03172	CDM			278	RC		inpatient			1800	1800																																																			
COCR MOD HEAD STD 36MM	SUP-97-03883	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
COCR MOD HEAD STD 36MM	SUP-97-03883	CDM			278	RC		inpatient			1800	1800																																																			
MIRABO PE LINER 32/39 STANDARD C	SUP-97-04311	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
MIRABO PE LINER 32/39 STANDARD C	SUP-97-04311	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEUT 36IDX52OD	SUP-97-04396	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEUT 36IDX52OD	SUP-97-04396	CDM			278	RC		inpatient			1800	1800																																																			
ALLOSYNC PURE	SUP-97-04455	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALLOSYNC PURE	SUP-97-04455	CDM			278	RC		inpatient			1800	1800																																																			
DELTA CER HEAD 12/14 36MM +8.5	SUP-97-04522	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
DELTA CER HEAD 12/14 36MM +8.5	SUP-97-04522	CDM			278	RC		inpatient			1800	1800																																																			
CONT.LONGEVITY ELEV.LINER HH 32 X 50	SUP-97-04547	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
CONT.LONGEVITY ELEV.LINER HH 32 X 50	SUP-97-04547	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEUT 36IDX64OD	SUP-97-04582	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEUT 36IDX64OD	SUP-97-04582	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEUT 36IDX58OD	SUP-97-04584	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEUT 36IDX58OD	SUP-97-04584	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEUT 36IDX54OD	SUP-97-05542	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEUT 36IDX54OD	SUP-97-05542	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEUT 36IDX56OD	SUP-97-05757	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEUT 36IDX56OD	SUP-97-05757	CDM			278	RC		inpatient			1800	1800																																																			
12/14 ARTICUL 40MM M SPEC+8.5	SUP-97-05916	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
12/14 ARTICUL 40MM M SPEC+8.5	SUP-97-05916	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEUT 32IDX50OD	SUP-97-05953	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEUT 32IDX50OD	SUP-97-05953	CDM			278	RC		inpatient			1800	1800																																																			
FEMORAL HEAD DELTA CERAMIC 12/14 32MM +1	SUP-97-06185	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
FEMORAL HEAD DELTA CERAMIC 12/14 32MM +1	SUP-97-06185	CDM			278	RC		inpatient			1800	1800																																																			
PEG 7.2 X 70MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06218	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
PEG 7.2 X 70MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06218	CDM			278	RC		inpatient			1800	1800																																																			
PEG 7.2 X 80MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06219	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
PEG 7.2 X 80MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06219	CDM			278	RC		inpatient			1800	1800																																																			
ALTRX NEW 36ID X 52OD	SUP-97-06386	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
ALTRX NEW 36ID X 52OD	SUP-97-06386	CDM			278	RC		inpatient			1800	1800																																																			
DELTA CER HEAD 12/14 36MM +5	SUP-97-06387	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
DELTA CER HEAD 12/14 36MM +5	SUP-97-06387	CDM			278	RC		inpatient			1800	1800																																																			
PLATE RIGHT 4 HOLE LOCKING DISTAL FIBULA TI	SUP-97-06397	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE RIGHT 4 HOLE LOCKING DISTAL FIBULA TI	SUP-97-06397	CDM			278	RC		inpatient			1800	1800																																																			
OSS AXLE	SUP-97-23621	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
OSS AXLE	SUP-97-23621	CDM			278	RC		inpatient			1800	1800																																																			
MIRABO PE LINER 36MM HEAD	SUP-97-23804	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
MIRABO PE LINER 36MM HEAD	SUP-97-23804	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ULTRA 5.0X28	SUP-99-00760	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ULTRA 5.0X28	SUP-99-00760	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 6X100	SUP-99-00907	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 6X100	SUP-99-00907	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 7.0X40	SUP-99-01020	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 7.0X40	SUP-99-01020	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 6.0X40	SUP-99-01124	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 6.0X40	SUP-99-01124	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - INTEGRITY 3.0X15	SUP-99-01200	CDM			278	RC		inpatient			1800	1800																																																			
STENT - INTEGRITY 3.0X15	SUP-99-01200	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 7.0X59	SUP-99-01552	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 7.0X59	SUP-99-01552	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 6.0X59	SUP-99-01556	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 6.0X59	SUP-99-01556	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 8.0X39	SUP-99-01557	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 8.0X39	SUP-99-01557	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 6.0X29	SUP-99-01610	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 6.0X29	SUP-99-01610	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 9.0X39	SUP-99-01614	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 9.0X39	SUP-99-01614	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 10.0X29	SUP-99-01627	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 10.0X29	SUP-99-01627	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 8.0X59	SUP-99-01645	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 8.0X59	SUP-99-01645	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 9.0X59	SUP-99-01798	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 9.0X59	SUP-99-01798	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ULTRA 4.5X28	SUP-99-01808	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ULTRA 4.5X28	SUP-99-01808	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 9.0X29	SUP-99-01895	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 9.0X29	SUP-99-01895	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ULTRA 4.5X18	SUP-99-03396	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ULTRA 4.5X18	SUP-99-03396	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - INTEGRITY 3.0X12	SUP-99-03470	CDM			278	RC		inpatient			1800	1800																																																			
STENT - INTEGRITY 3.0X12	SUP-99-03470	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 8.0X80	SUP-99-03587	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 8.0X80	SUP-99-03587	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
BALLOON - ATLAS 24X40	SUP-99-03612	CDM			272	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
BALLOON - ATLAS 24X40	SUP-99-03612	CDM			272	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 8.0X60	SUP-99-03621	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 8.0X60	SUP-99-03621	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 9.0X60	SUP-99-03622	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 9.0X60	SUP-99-03622	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - OMNILINK ELITE .035 10.0X59	SUP-99-03626	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - OMNILINK ELITE .035 10.0X59	SUP-99-03626	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 10.0X39	SUP-99-03641	CDM			278	RC		inpatient			1800	1800																																																			
STENT - OMNILINK ELITE .035 10.0X39	SUP-99-03641	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - INTEGRITY 3.5X22	SUP-99-03697	CDM			278	RC		inpatient			1800	1800																																																			
STENT - INTEGRITY 3.5X22	SUP-99-03697	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - INTEGRITY 4.0X15	SUP-99-03698	CDM			278	RC		inpatient			1800	1800																																																			
STENT - INTEGRITY 4.0X15	SUP-99-03698	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 10.0X100	SUP-99-03919	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 10.0X100	SUP-99-03919	CDM			278	RC		outpatient			1800	1800					fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1800	1800	
STENT - ABSOLUTE PRO 10.0X60	SUP-99-03920	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 10.0X60	SUP-99-03920	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 10.0X80	SUP-99-03921	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 10.0X80	SUP-99-03921	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 6.0X60	SUP-99-03922	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 6.0X60	SUP-99-03922	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 7.0X100	SUP-99-03923	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 7.0X100	SUP-99-03923	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 7.0X30	SUP-99-03924	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 7.0X30	SUP-99-03924	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 7.0X60	SUP-99-03925	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 7.0X60	SUP-99-03925	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 8.0X20	SUP-99-03926	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 8.0X20	SUP-99-03926	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 9.0X40	SUP-99-03927	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 9.0X40	SUP-99-03927	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ABSOLUTE PRO 9.0X80	SUP-99-03928	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ABSOLUTE PRO 9.0X80	SUP-99-03928	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ULTRA 4.5X13	SUP-99-03967	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ULTRA 4.5X13	SUP-99-03967	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - ULTRA 5.0X38	SUP-99-03968	CDM			278	RC		inpatient			1800	1800																																																			
STENT - ULTRA 5.0X38	SUP-99-03968	CDM			278	RC		outpatient			1800	1800					fee schedule						other	OPPS APC	1026				percent of total billed charges						other	OPPS APC					other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges						other	OPPS APC	1026	1026	
STENT - XIENCE SKYPOINT 2.25X8	SUP-99-04091	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.25X8	SUP-99-04091	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.25X15	SUP-99-04093	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.25X15	SUP-99-04093	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.25X18	SUP-99-04094	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.25X18	SUP-99-04094	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.25X28	SUP-99-04096	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.25X28	SUP-99-04096	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.25X38	SUP-99-04098	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.25X38	SUP-99-04098	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X8	SUP-99-04099	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X8	SUP-99-04099	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X12	SUP-99-04100	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X12	SUP-99-04100	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X15	SUP-99-04101	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X15	SUP-99-04101	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X18	SUP-99-04102	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X18	SUP-99-04102	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X23	SUP-99-04103	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X23	SUP-99-04103	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X28	SUP-99-04104	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X28	SUP-99-04104	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.5X38	SUP-99-04106	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.5X38	SUP-99-04106	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.75X8	SUP-99-04107	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.75X8	SUP-99-04107	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.75X12	SUP-99-04108	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.75X12	SUP-99-04108	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.75X15	SUP-99-04109	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.75X15	SUP-99-04109	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.75X18	SUP-99-04110	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.75X18	SUP-99-04110	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.75X23	SUP-99-04111	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.75X23	SUP-99-04111	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 2.75X28	SUP-99-04112	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 2.75X28	SUP-99-04112	CDM			278	RC		inpatient			1800	1800																																																			
STENT- XIENCE SKYPOINT 2.75 X 33	SUP-99-04113	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT- XIENCE SKYPOINT 2.75 X 33	SUP-99-04113	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X12	SUP-99-04116	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X12	SUP-99-04116	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X15	SUP-99-04117	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X15	SUP-99-04117	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X18	SUP-99-04118	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X18	SUP-99-04118	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X23	SUP-99-04119	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X23	SUP-99-04119	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X28	SUP-99-04120	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X28	SUP-99-04120	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0 X 33	SUP-99-04121	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0 X 33	SUP-99-04121	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X38	SUP-99-04122	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X38	SUP-99-04122	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X8	SUP-99-04123	CDM			272	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X8	SUP-99-04123	CDM			272	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X12	SUP-99-04124	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X12	SUP-99-04124	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X15	SUP-99-04125	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X15	SUP-99-04125	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X18	SUP-99-04126	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X18	SUP-99-04126	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X28	SUP-99-04128	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X28	SUP-99-04128	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X33	SUP-99-04129	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X33	SUP-99-04129	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X38	SUP-99-04130	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X38	SUP-99-04130	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X8	SUP-99-04131	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X8	SUP-99-04131	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X12	SUP-99-04132	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X12	SUP-99-04132	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X15	SUP-99-04133	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X15	SUP-99-04133	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X18	SUP-99-04134	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X18	SUP-99-04134	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X23	SUP-99-04135	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X23	SUP-99-04135	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X28	SUP-99-04136	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X28	SUP-99-04136	CDM			278	RC		inpatient			1800	1800																																																			
STENT-XIENCE SKYPOINT 3.5 X 33	SUP-99-04137	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT-XIENCE SKYPOINT 3.5 X 33	SUP-99-04137	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X38	SUP-99-04138	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X38	SUP-99-04138	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X8	SUP-99-04139	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X8	SUP-99-04139	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X12	SUP-99-04140	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X12	SUP-99-04140	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X15	SUP-99-04141	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X15	SUP-99-04141	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X18	SUP-99-04142	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X18	SUP-99-04142	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X23	SUP-99-04143	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X23	SUP-99-04143	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X28	SUP-99-04144	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X28	SUP-99-04144	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X33	SUP-99-04145	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X33	SUP-99-04145	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 4.0X38	SUP-99-04146	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 4.0X38	SUP-99-04146	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.0X8	SUP-99-04147	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.0X8	SUP-99-04147	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.25X8	SUP-99-04335	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.25X8	SUP-99-04335	CDM			278	RC		inpatient			1800	1800																																																			
STENT - XIENCE SKYPOINT 3.5X28	SUP-99-04338	CDM			278	RC		outpatient			1800	18	1800				fee schedule		1800				other	OPPS APC	1026				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	882				percent of total billed charges		918				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT - XIENCE SKYPOINT 3.5X28	SUP-99-04338	CDM			278	RC		inpatient			1800	1800																																																			
BANDAGE - 6X6 COMPOSITE DRESSING	SUP-99-04560	CDM			272	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
BANDAGE - 6X6 COMPOSITE DRESSING	SUP-99-04560	CDM			272	RC		inpatient			1800	1800																																																			
SHEATH - VERSACROSS TRANS-SEPTAL SHEATH W/230CM WIRE	SUP-99-04561	CDM			272	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHEATH - VERSACROSS TRANS-SEPTAL SHEATH W/230CM WIRE	SUP-99-04561	CDM			272	RC		inpatient			1800	1800																																																			
CATHETER - INFINITI RADIAL 5F RBL-TG 100CM	SUP-99-04610	CDM			272	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
CATHETER - INFINITI RADIAL 5F RBL-TG 100CM	SUP-99-04610	CDM			272	RC		inpatient			1800	1800																																																			
PLATE BONE STAINLESS STEEL L97 MM FOOT ANKLE MEDIAL 7 HOLE HOOK LOCK	SUP-AR-8943H-07	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
PLATE BONE STAINLESS STEEL L97 MM FOOT ANKLE MEDIAL 7 HOLE HOOK LOCK	SUP-AR-8943H-07	CDM			270	RC		inpatient			1800	1800																																																			
SHELL 3HOLE 54MM	SUP-H1.A11.1054	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
SHELL 3HOLE 54MM	SUP-H1.A11.1054	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
CUP MIRABO 3 HOLE 58MM	SUP-H1.A11.1058	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
CUP MIRABO 3 HOLE 58MM	SUP-H1.A11.1058	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
CUP ACETABULAR BENCOX MIRABO OD56 MM HIP STERILE	SUP-H1.A11.2056	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
CUP ACETABULAR BENCOX MIRABO OD56 MM HIP STERILE	SUP-H1.A11.2056	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
CUP MIRABO 3 HOLE 56MM	SUP-H1.A11.2058	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
CUP MIRABO 3 HOLE 56MM	SUP-H1.A11.2058	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
CUP BENCOX 3HOLE 56MM	SUP-HA.A11.2056	CDM	270010024	LOCAL	270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
CUP BENCOX 3HOLE 56MM	SUP-HA.A11.2056	CDM	270010024	LOCAL	270	RC		inpatient			1800	1800																																																			
GRAFT SKIN MEMODERM ACELLULAR DERMAL MATRIX L4 CM X W2 CM X H.33-.61 MM NONMESHED ROOM TEMPERATURE STORAGE STERILE	SUP-HTM0330204	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
GRAFT SKIN MEMODERM ACELLULAR DERMAL MATRIX L4 CM X W2 CM X H.33-.61 MM NONMESHED ROOM TEMPERATURE STORAGE STERILE	SUP-HTM0330204	CDM			270	RC		inpatient			1800	1800																																																			
STENT BILIARY PALMAZ BLUE SLALOM FLEXSEGMENT COCR L17 MM L14 MM L80 CM OD5 MM OTW BALLOON EXPANDABLE CLOSED CELL SHEATH INTRODUCER STERILE LATEX FREE DISPOSABLE ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6 FR GUIDE CATHETER TRANSHEPATIC	SUP-PB1550BSS	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
STENT BILIARY PALMAZ BLUE SLALOM FLEXSEGMENT COCR L17 MM L14 MM L80 CM OD5 MM OTW BALLOON EXPANDABLE CLOSED CELL SHEATH INTRODUCER STERILE LATEX FREE DISPOSABLE ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6 FR GUIDE CATHETER TRANSHEPATIC	SUP-PB1550BSS	CDM			270	RC		inpatient			1800	1800																																																			
WAND SCS CAP	SUP-SCSCAPW	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
WAND SCS CAP	SUP-SCSCAPW	CDM			270	RC		inpatient			1800	1800																																																			
WAND SPINAL CORD STIMULATOR	SUP-SCSCAPW	CDM			270	RC		outpatient			1800	18	487.62				percent of total billed charges		1800				other	OPPS APC	1332				percent of total billed charges		1800				other	OPPS APC	1800				other	OPPS APC	487.62				percent of total billed charges		497.34				percent of total billed charges		18				other	OPPS APC	18	1800	
WAND SPINAL CORD STIMULATOR	SUP-SCSCAPW	CDM			270	RC		inpatient			1800	1800																																																			
KIT EMBOLIC PROTECTION CORDIS TRAPEASE 55CM 30- MM 6FR NITINOL DISPOSABLE STERILE LF VENA CAVA FEMORAL JUGULAR 2 BASKET	SUP-466P306AU	CDM			270	RC		outpatient			1799.98	1799.98	487.61				percent of total billed charges		1799.98				other	OPPS APC	1331.99				percent of total billed charges		1799.98				other	OPPS APC	1799.98				other	OPPS APC	487.61				percent of total billed charges		497.33				percent of total billed charges		1799.98				other	OPPS APC	487.61	1799.98	
KIT EMBOLIC PROTECTION CORDIS TRAPEASE 55CM 30- MM 6FR NITINOL DISPOSABLE STERILE LF VENA CAVA FEMORAL JUGULAR 2 BASKET	SUP-466P306AU	CDM			270	RC		inpatient			1799.98	1799.98																																																			
PLATE BONE STAINLESS STEEL L260 MM PELVIC 20 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.039	CDM	270010022	LOCAL	270	RC		outpatient			1798.5	1798.5	487.21				percent of total billed charges		1798.5				other	OPPS APC	1330.89				percent of total billed charges		1798.5				other	OPPS APC	1798.5				other	OPPS APC	487.21				percent of total billed charges		496.93				percent of total billed charges		1798.5				other	OPPS APC	487.21	1798.5	
PLATE BONE STAINLESS STEEL L260 MM PELVIC 20 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.039	CDM	270010022	LOCAL	270	RC		inpatient			1798.5	1798.5																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.340	CDM	270010022	LOCAL	270	RC		outpatient			1797.4	1797.41	486.92				percent of total billed charges		1797.4				other	OPPS APC	1330.08				percent of total billed charges		1797.4				other	OPPS APC	1797.4				other	OPPS APC	486.92				percent of total billed charges		496.62				percent of total billed charges		1797.41				other	OPPS APC	486.92	1797.41	
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.340	CDM	270010022	LOCAL	270	RC		inpatient			1797.4	1797.4																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.341	CDM	270010022	LOCAL	270	RC		outpatient			1797.4	1797.41	486.92				percent of total billed charges		1797.4				other	OPPS APC	1330.08				percent of total billed charges		1797.4				other	OPPS APC	1797.4				other	OPPS APC	486.92				percent of total billed charges		496.62				percent of total billed charges		1797.41				other	OPPS APC	486.92	1797.41	
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.341	CDM	270010022	LOCAL	270	RC		inpatient			1797.4	1797.4																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.441	CDM	270010022	LOCAL	270	RC		outpatient			1797.4	1797.41	486.92				percent of total billed charges		1797.4				other	OPPS APC	1330.08				percent of total billed charges		1797.4				other	OPPS APC	1797.4				other	OPPS APC	486.92				percent of total billed charges		496.62				percent of total billed charges		1797.41				other	OPPS APC	486.92	1797.41	
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.441	CDM	270010022	LOCAL	270	RC		inpatient			1797.4	1797.4																																																			
SCREW BONE LEGACY CD HORIZON TITANIUM FLUTE L40 MM OD6.5 MM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM STERILE 6.35 MM ROD	SUP-76446540	CDM	270010020	LOCAL	270	RC		outpatient			1796.84	1796.84	486.76				percent of total billed charges		1796.84				other	OPPS APC	1329.66				percent of total billed charges		1796.84				other	OPPS APC	1796.84				other	OPPS APC	486.76				percent of total billed charges		496.47				percent of total billed charges		1796.84				other	OPPS APC	486.76	1796.84	
SCREW BONE LEGACY CD HORIZON TITANIUM FLUTE L40 MM OD6.5 MM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM STERILE 6.35 MM ROD	SUP-76446540	CDM	270010020	LOCAL	270	RC		inpatient			1796.84	1796.84																																																			
SCREW BONE LEGACY CD HORIZON TITANIUM FLUTE L45 MM OD6.5 MM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM STERILE 6.35 MM ROD	SUP-76446545	CDM	270010020	LOCAL	270	RC		outpatient			1796.84	1796.84	486.76				percent of total billed charges		1796.84				other	OPPS APC	1329.66				percent of total billed charges		1796.84				other	OPPS APC	1796.84				other	OPPS APC	486.76				percent of total billed charges		496.47				percent of total billed charges		1796.84				other	OPPS APC	486.76	1796.84	
SCREW BONE LEGACY CD HORIZON TITANIUM FLUTE L45 MM OD6.5 MM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM STERILE 6.35 MM ROD	SUP-76446545	CDM	270010020	LOCAL	270	RC		inpatient			1796.84	1796.84																																																			
SCREW BONE LEGACY CD HORIZON TITANIUM FLUTE L50 MM OD6.5 MM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM STERILE 6.35 MM ROD	SUP-76446550	CDM	270010020	LOCAL	270	RC		outpatient			1796.84	1796.84	486.76				percent of total billed charges		1796.84				other	OPPS APC	1329.66				percent of total billed charges		1796.84				other	OPPS APC	1796.84				other	OPPS APC	486.76				percent of total billed charges		496.47				percent of total billed charges		1796.84				other	OPPS APC	486.76	1796.84	
SCREW BONE LEGACY CD HORIZON TITANIUM FLUTE L50 MM OD6.5 MM SPINE G4 TECHNOLOGY MULTIAXIAL SELF TAP LOCK MECHANISM STERILE 6.35 MM ROD	SUP-76446550	CDM	270010020	LOCAL	270	RC		inpatient			1796.84	1796.84																																																			
LASSO ECO CATHETER 2515 D CURVE reproc	SUP-RD134301	CDM			270	RC		outpatient			1796	1796	486.54				percent of total billed charges		1796				other	OPPS APC	1329.04				percent of total billed charges		1796				other	OPPS APC	1796				other	OPPS APC	486.54				percent of total billed charges		496.23				percent of total billed charges		1796				other	OPPS APC	486.54	1796	
LASSO ECO CATHETER 2515 D CURVE reproc	SUP-RD134301	CDM			270	RC		inpatient			1796	1796																																																			
ENSEAL LAP 5MM TISSUE SEALER	SUP-97-00824	CDM			272	RC		outpatient			1795.62	1795.62	486.43				percent of total billed charges		1795.62				other	OPPS APC	1328.76				percent of total billed charges		1795.62				other	OPPS APC	1795.62				other	OPPS APC	486.43				percent of total billed charges		496.13				percent of total billed charges		1795.62				other	OPPS APC	486.43	1795.62	
ENSEAL LAP 5MM TISSUE SEALER	SUP-97-00824	CDM			272	RC		inpatient			1795.62	1795.62																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L110 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.028	CDM	270010022	LOCAL	270	RC		outpatient			1793.54	1793.54	485.87				percent of total billed charges		1793.54				other	OPPS APC	1327.22				percent of total billed charges		1793.54				other	OPPS APC	1793.54				other	OPPS APC	485.87				percent of total billed charges		495.56				percent of total billed charges		1793.54				other	OPPS APC	485.87	1793.54	
PLATE BONE LCP COMBI STAINLESS STEEL L110 MM CLAVICLE RIGHT ANTERIOR SUPERIOR 7 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 3.5 MM SCREW	SUP-02.112.028	CDM	270010022	LOCAL	270	RC		inpatient			1793.54	1793.54																																																			
JOINT TOE SMART TOE II NITINOL 10 D FLAT L16 MM FOOT ANKLE INTRAMEDULLARY 1 PIECE HOLE STERILE	SUP-STOA-16P	CDM			270	RC		outpatient			1790.6	179.6	485.07				percent of total billed charges		1790.6				other	OPPS APC	1325.04				percent of total billed charges		1790.6				other	OPPS APC	1790.6				other	OPPS APC	485.07				percent of total billed charges		494.74				percent of total billed charges		179.6				other	OPPS APC	179.6	1790.6	
JOINT TOE SMART TOE II NITINOL 10 D FLAT L16 MM FOOT ANKLE INTRAMEDULLARY 1 PIECE HOLE STERILE	SUP-STOA-16P	CDM			270	RC		inpatient			1790.6	1790.6																																																			
PLATE BONE TITANIUM L7.5 MM KNEE FEMUR STERILE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPENING WEDGE OSTEOTOMY	SUP-AR-13100T-07.5	CDM			270	RC		outpatient			1790	179	484.91				percent of total billed charges		1790				other	OPPS APC	1324.6				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	484.91				percent of total billed charges		494.58				percent of total billed charges		179				other	OPPS APC	179	1790	
PLATE BONE TITANIUM L7.5 MM KNEE FEMUR STERILE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OPENING WEDGE OSTEOTOMY	SUP-AR-13100T-07.5	CDM			270	RC		inpatient			1790	1790																																																			
PLATE BONE STAINLESS STEEL L25 MM FOOT ANKLE 2 COMPRESSION 2 HOLE	SUP-AR-8006-25	CDM			270	RC		outpatient			1790	179	484.91				percent of total billed charges		1790				other	OPPS APC	1324.6				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	484.91				percent of total billed charges		494.58				percent of total billed charges		179				other	OPPS APC	179	1790	
PLATE BONE STAINLESS STEEL L25 MM FOOT ANKLE 2 COMPRESSION 2 HOLE	SUP-AR-8006-25	CDM			270	RC		inpatient			1790	1790																																																			
PLATE BONE STAINLESS STEEL L30 MM FOOT ANKLE 2 COMPRESSION 2 HOLE	SUP-AR-8006-30	CDM			270	RC		outpatient			1790	179	484.91				percent of total billed charges		1790				other	OPPS APC	1324.6				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	484.91				percent of total billed charges		494.58				percent of total billed charges		179				other	OPPS APC	179	1790	
PLATE BONE STAINLESS STEEL L30 MM FOOT ANKLE 2 COMPRESSION 2 HOLE	SUP-AR-8006-30	CDM			270	RC		inpatient			1790	1790																																																			
PLATE BONE TITANIUM LOW PROFILE NONSTERILE LAPIDUS	SUP-AR-8941	CDM			270	RC		outpatient			1790	179	484.91				percent of total billed charges		1790				other	OPPS APC	1324.6				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	484.91				percent of total billed charges		494.58				percent of total billed charges		179				other	OPPS APC	179	1790	
PLATE BONE TITANIUM LOW PROFILE NONSTERILE LAPIDUS	SUP-AR-8941	CDM			270	RC		inpatient			1790	1790																																																			
ENVELOPE ABSORBABLE TYRX LG 3.3X2.9IN POLYARYLATE MINOCYCLINE RIFAMPIN STERILE ICD	SUP-CMRM6133	CDM			270	RC		outpatient			1790	179	484.91				percent of total billed charges		1790				other	OPPS APC	1324.6				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	484.91				percent of total billed charges		494.58				percent of total billed charges		179				other	OPPS APC	179	1790	
ENVELOPE ABSORBABLE TYRX LG 3.3X2.9IN POLYARYLATE MINOCYCLINE RIFAMPIN STERILE ICD	SUP-CMRM6133	CDM			270	RC		inpatient			1790	1790																																																			
LENS INTRAOCULAR ANTERIOR CHAMBER ACRYSOF RESTORE 6.0MM	SUP-SA60D3	CDM			276	RC		outpatient			1790	179	1790				fee schedule		1790				other	OPPS APC	1020.3				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	877.1				percent of total billed charges		912.9				percent of total billed charges		179				other	OPPS APC	179	1790	
LENS INTRAOCULAR ANTERIOR CHAMBER ACRYSOF RESTORE 6.0MM	SUP-SA60D3	CDM			276	RC		inpatient			1790	1790																																																			
LENS IOL ACRYSOF NATURAL IQ RESTOR STABLEFORCE 0 D +3 DIOPTER +3 ADD BICONVEX 13MM 6MM YELLOW HYDROPHOBIC ACRYLIC	SUP-SN6AD1	CDM			270	RC		outpatient			1790	179	484.91				percent of total billed charges		1790				other	OPPS APC	1324.6				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	484.91				percent of total billed charges		494.58				percent of total billed charges		179				other	OPPS APC	179	1790	
LENS IOL ACRYSOF NATURAL IQ RESTOR STABLEFORCE 0 D +3 DIOPTER +3 ADD BICONVEX 13MM 6MM YELLOW HYDROPHOBIC ACRYLIC	SUP-SN6AD1	CDM			270	RC		inpatient			1790	1790																																																			
LENS INTRAOCULAR RESTORE ASPHERIC	SUP-SN6AD3U	CDM			276	RC		outpatient			1790	179	1790				fee schedule		1790				other	OPPS APC	1020.3				percent of total billed charges		1790				other	OPPS APC	1790				other	OPPS APC	877.1				percent of total billed charges		912.9				percent of total billed charges		179				other	OPPS APC	179	1790	
LENS INTRAOCULAR RESTORE ASPHERIC	SUP-SN6AD3U	CDM			276	RC		inpatient			1790	1790																																																			
CPLING INV HFMN3 PIN TO ROD 4/5/6 5/8/11	SUP-97-03404	CDM			278	RC		outpatient			1785.75	1785.75	1785.75				fee schedule		1785.75				other	OPPS APC	1017.88				percent of total billed charges		1785.75				other	OPPS APC	1785.75				other	OPPS APC	875.02				percent of total billed charges		910.73				percent of total billed charges		1785.75				other	OPPS APC	875.02	1785.75	
CPLING INV HFMN3 PIN TO ROD 4/5/6 5/8/11	SUP-97-03404	CDM			278	RC		inpatient			1785.75	1785.75																																																			
HOFFMANN3 5 HOLE PIN CLAMP 2 POSTS 30	SUP-97-03593	CDM			278	RC		outpatient			1785.6	1785.6	1785.6				fee schedule		1785.6				other	OPPS APC	1017.79				percent of total billed charges		1785.6				other	OPPS APC	1785.6				other	OPPS APC	874.94				percent of total billed charges		910.66				percent of total billed charges		1785.6				other	OPPS APC	874.94	1785.6	
HOFFMANN3 5 HOLE PIN CLAMP 2 POSTS 30	SUP-97-03593	CDM			278	RC		inpatient			1785.6	1785.6																																																			
OVERTUBE ENDO ACCESS SYSTEM	SUP-95-04212	CDM			272	RC		outpatient			1785	1785	483.56				percent of total billed charges		1785				other	OPPS APC	1320.9				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	483.56				percent of total billed charges		493.2				percent of total billed charges		1785				other	OPPS APC	483.56	1785	
OVERTUBE ENDO ACCESS SYSTEM	SUP-95-04212	CDM			272	RC		inpatient			1785	1785																																																			
CORE/HUMMER DISP CASSETTE PK/10	SUP-97-00257	CDM			272	RC		outpatient			1785	1785	483.56				percent of total billed charges		1785				other	OPPS APC	1320.9				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	483.56				percent of total billed charges		493.2				percent of total billed charges		1785				other	OPPS APC	483.56	1785	
CORE/HUMMER DISP CASSETTE PK/10	SUP-97-00257	CDM			272	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU150 25.0D	SUP-97-03024	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU150 25.0D	SUP-97-03024	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU225 16.0D	SUP-97-03025	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU225 16.0D	SUP-97-03025	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU300 18.0D	SUP-97-03031	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU300 18.0D	SUP-97-03031	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU150 22D	SUP-97-03033	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU150 22D	SUP-97-03033	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU375 16.5D	SUP-97-03083	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU375 16.5D	SUP-97-03083	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU375 15.5D	SUP-97-03084	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU375 15.5D	SUP-97-03084	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU150 21.0D	SUP-97-03085	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU150 21.0D	SUP-97-03085	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU150 19.5D	SUP-97-03086	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU150 19.5D	SUP-97-03086	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU375 19.0D	SUP-97-03089	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU375 19.0D	SUP-97-03089	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU300 15.5D	SUP-97-03091	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU300 15.5D	SUP-97-03091	CDM			278	RC		inpatient			1785	1785																																																			
DX FIBERTAK SUTURE ANCHOR #2 MIS W/ NEEDLE	SUP-97-05761	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
DX FIBERTAK SUTURE ANCHOR #2 MIS W/ NEEDLE	SUP-97-05761	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU150 24.5D	SUP-97-06296	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU150 24.5D	SUP-97-06296	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU225 17.5D	SUP-97-0639	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU225 17.5D	SUP-97-0639	CDM			278	RC		inpatient			1785	1785																																																			
LENS EYHANCE TORIC II DIU450 19.0D	SUP-97-06434	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
LENS EYHANCE TORIC II DIU450 19.0D	SUP-97-06434	CDM			278	RC		inpatient			1785	1785																																																			
COUNTERSINK 8.0	SUP-97-23825	CDM			272	RC		outpatient			1785	1785	483.56				percent of total billed charges		1785				other	OPPS APC	1320.9				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	483.56				percent of total billed charges		493.2				percent of total billed charges		1785				other	OPPS APC	483.56	1785	
COUNTERSINK 8.0	SUP-97-23825	CDM			272	RC		inpatient			1785	1785																																																			
COUNTERSINK 6.5	SUP-97-23827	CDM			272	RC		outpatient			1785	1785	483.56				percent of total billed charges		1785				other	OPPS APC	1320.9				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	483.56				percent of total billed charges		493.2				percent of total billed charges		1785				other	OPPS APC	483.56	1785	
COUNTERSINK 6.5	SUP-97-23827	CDM			272	RC		inpatient			1785	1785																																																			
COUNTER SINK	SUP-97-23833	CDM			272	RC		outpatient			1785	1785	483.56				percent of total billed charges		1785				other	OPPS APC	1320.9				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	483.56				percent of total billed charges		493.2				percent of total billed charges		1785				other	OPPS APC	483.56	1785	
COUNTER SINK	SUP-97-23833	CDM			272	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X100	SUP-99-03492	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X100	SUP-99-03492	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X40	SUP-99-03522	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
STENT - EVERFLEX 7X40	SUP-99-03522	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 6X37	SUP-99-03541	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 6X37	SUP-99-03541	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X30	SUP-99-03559	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X30	SUP-99-03559	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 6X100	SUP-99-03565	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 6X100	SUP-99-03565	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 6X80	SUP-99-03570	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 6X80	SUP-99-03570	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 6X27	SUP-99-03597	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 6X27	SUP-99-03597	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 8X37X80	SUP-99-03598	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 8X37X80	SUP-99-03598	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 6X60	SUP-99-03647	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 6X60	SUP-99-03647	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X120	SUP-99-03655	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X120	SUP-99-03655	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X20	SUP-99-03689	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X20	SUP-99-03689	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 10X37	SUP-99-03695	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 10X37	SUP-99-03695	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 7X37	SUP-99-03712	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 7X37	SUP-99-03712	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 10X27	SUP-99-03713	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 10X27	SUP-99-03713	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X60	SUP-99-03714	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X60	SUP-99-03714	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 5X20	SUP-99-03751	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X20	SUP-99-03751	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 9X17X80	SUP-99-03788	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 9X17X80	SUP-99-03788	CDM			278	RC		outpatient			1785	1785					fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	1785	1785	
STENT - EVERFLEX 5X30	SUP-99-03969	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X30	SUP-99-03969	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 5X40	SUP-99-03970	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X40	SUP-99-03970	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 5X60	SUP-99-03971	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X60	SUP-99-03971	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 5X80	SUP-99-03972	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 5X80	SUP-99-03972	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 6X20	SUP-99-03973	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 6X20	SUP-99-03973	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 6X30	SUP-99-03974	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 6X30	SUP-99-03974	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 6X40	SUP-99-03975	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 6X40	SUP-99-03975	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X100	SUP-99-03976	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X100	SUP-99-03976	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X150	SUP-99-03977	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X150	SUP-99-03977	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X200	SUP-99-03978	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X200	SUP-99-03978	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 7X80	SUP-99-03979	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 7X80	SUP-99-03979	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X100	SUP-99-03980	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X100	SUP-99-03980	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X120	SUP-99-03981	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
STENT - EVERFLEX 8X120	SUP-99-03981	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X150	SUP-99-03982	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X150	SUP-99-03982	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	1785	1785	
STENT - EVERFLEX 8X200	SUP-99-03983	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X200	SUP-99-03983	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X20	SUP-99-03984	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X20	SUP-99-03984	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X30	SUP-99-03985	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X30	SUP-99-03985	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X40	SUP-99-03986	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X40	SUP-99-03986	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X60	SUP-99-03987	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X60	SUP-99-03987	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - EVERFLEX 8X80	SUP-99-03988	CDM			278	RC		inpatient			1785	1785																																																			
STENT - EVERFLEX 8X80	SUP-99-03988	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 10X17X80	SUP-99-04000	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 10X17X80	SUP-99-04000	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 10X57X80	SUP-99-04001	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 10X57X80	SUP-99-04001	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 6X17X135	SUP-99-04002	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	874.65	1785	
STENT - VISI-PRO 6X17X135	SUP-99-04002	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 6X57X135	SUP-99-04003	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 6X57X135	SUP-99-04003	CDM			278	RC		outpatient			1785	1785	1785				fee schedule						other	OPPS APC	1017.45				percent of total billed charges		1785				other	OPPS APC	1785				other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	1785	1785	
STENT - VISI-PRO 7X17X135	SUP-99-04004	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 7X17X135	SUP-99-04004	CDM			278	RC		outpatient			1785	1785	1785				fee schedule		1785				other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges		1785				other	OPPS APC	1785	1785	
STENT - VISI-PRO 7X27X135	SUP-99-04005	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 7X27X135	SUP-99-04005	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 7X57X135	SUP-99-04006	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 7X57X135	SUP-99-04006	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 8X17X135	SUP-99-04007	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 8X17X135	SUP-99-04007	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 8X27X135	SUP-99-04008	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 8X27X135	SUP-99-04008	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 8X37X135	SUP-99-04009	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 8X37X135	SUP-99-04009	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 8X57X135	SUP-99-04010	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 8X57X135	SUP-99-04010	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 8X57X80	SUP-99-04011	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 8X57X80	SUP-99-04011	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 9X27X80	SUP-99-04012	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 9X27X80	SUP-99-04012	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 9X37X80	SUP-99-04013	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 9X37X80	SUP-99-04013	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
STENT - VISI-PRO 9X57X80	SUP-99-04014	CDM			278	RC		inpatient			1785	1785																																																			
STENT - VISI-PRO 9X57X80	SUP-99-04014	CDM			278	RC		outpatient			1785	1785					fee schedule						other	OPPS APC	1017.45				percent of total billed charges						other	OPPS APC					other	OPPS APC	874.65				percent of total billed charges		910.35				percent of total billed charges						other	OPPS APC	1017.45	1017.45	
HC IR Dial Fistulagram	PX-361369011	CDM	36901	CPT	361	RC		outpatient			1783	1783	563.07				percent of total billed charges		1783				other	OPPS APC	1783				fee schedule		1783				other	OPPS APC	1783				other	OPPS APC	563.07				percent of total billed charges		574.3				percent of total billed charges		1783				other	OPPS APC	563.07	1783	
HC IR Dial Fistulagram	PX-361369011	CDM	36901	CPT	361	RC		inpatient			1783	1783																																																			
CANCELLOUS CHIPS 30	SUP-97-00644	CDM			278	RC		outpatient			1782	1782	1782				fee schedule		1782				other	OPPS APC	1015.74				percent of total billed charges		1782				other	OPPS APC	1782				other	OPPS APC	873.18				percent of total billed charges		908.82				percent of total billed charges		1782				other	OPPS APC	873.18	1782	
CANCELLOUS CHIPS 30	SUP-97-00644	CDM			278	RC		inpatient			1782	1782																																																			
SHUNT NEUROSURGICAL SMALL CSF MEDIUM PRESSURE UNITIZED KIT STERILE	SUP-46014	CDM			270	RC		outpatient			1781.64	1781.64	482.65				percent of total billed charges		1781.64				other	OPPS APC	1318.41				percent of total billed charges		1781.64				other	OPPS APC	1781.64				other	OPPS APC	482.65				percent of total billed charges		492.27				percent of total billed charges		1781.64				other	OPPS APC	482.65	1781.64	
SHUNT NEUROSURGICAL SMALL CSF MEDIUM PRESSURE UNITIZED KIT STERILE	SUP-46014	CDM			270	RC		inpatient			1781.64	1781.64																																																			
PLUG CARDIOVASCULAR AMPLATZER NITINOL L7MM L100CM OD8MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPANDABLE MULTILAYER MESH LOBE STERILE LATEX FREE DISPOSABLE	SUP-9-AVP2-008	CDM			270	RC		outpatient			1780	178	482.2				percent of total billed charges		1780				other	OPPS APC	1317.2				percent of total billed charges		1780				other	OPPS APC	1780				other	OPPS APC	482.2				percent of total billed charges		491.81				percent of total billed charges		178				other	OPPS APC	178	1780	
PLUG CARDIOVASCULAR AMPLATZER NITINOL L7MM L100CM OD8MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPANDABLE MULTILAYER MESH LOBE STERILE LATEX FREE DISPOSABLE	SUP-9-AVP2-008	CDM			270	RC		inpatient			1780	1780																																																			
PLUG CARDIOVASCULAR AMPLATZER NITINOL L7MM L100CM OD10MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPANDABLE MULTILAYER MESH LOBE STERILE LATEX FREE DISPOSABLE	SUP-9-AVP2-010	CDM			270	RC		outpatient			1780	178	482.2				percent of total billed charges		1780				other	OPPS APC	1317.2				percent of total billed charges		1780				other	OPPS APC	1780				other	OPPS APC	482.2				percent of total billed charges		491.81				percent of total billed charges		178				other	OPPS APC	178	1780	
PLUG CARDIOVASCULAR AMPLATZER NITINOL L7MM L100CM OD10MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPANDABLE MULTILAYER MESH LOBE STERILE LATEX FREE DISPOSABLE	SUP-9-AVP2-010	CDM			270	RC		inpatient			1780	1780																																																			
PLUG CARDIOVASCULAR AMPLATZER NITINOL L9MM L100CM OD12MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPANDABLE MULTILAYER MESH LOBE STERILE LATEX FREE DISPOSABLE	SUP-9-AVP2-012	CDM			270	RC		outpatient			1780	178	482.2				percent of total billed charges		1780				other	OPPS APC	1317.2				percent of total billed charges		1780				other	OPPS APC	1780				other	OPPS APC	482.2				percent of total billed charges		491.81				percent of total billed charges		178				other	OPPS APC	178	1780	
PLUG CARDIOVASCULAR AMPLATZER NITINOL L9MM L100CM OD12MM TYPE II DELIVERY SYSTEM OPTIMAL EMBOLIZATION SELF EXPANDABLE MULTILAYER MESH LOBE STERILE LATEX FREE DISPOSABLE	SUP-9-AVP2-012	CDM			270	RC		inpatient			1780	1780																																																			
MESH PARIETX 15 X 15 50MM	SUP-75-00114	CDM			278	RC		outpatient			1776.78	1776.78	1776.78				fee schedule		1776.78				other	OPPS APC	1012.76				percent of total billed charges		1776.78				other	OPPS APC	1776.78				other	OPPS APC	870.62				percent of total billed charges		906.16				percent of total billed charges		1776.78				other	OPPS APC	870.62	1776.78	
MESH PARIETX 15 X 15 50MM	SUP-75-00114	CDM			278	RC		inpatient			1776.78	1776.78																																																			
PURAPLY AM COM 2X2	SUP-95-02569	CDM			636	RC		outpatient			1776	1776	870.24				percent of total billed charges		1776				other	OPPS APC	124.93				fee schedule		1776				other	OPPS APC	1776				other	OPPS APC	870.24				percent of total billed charges		441.51				percent of total billed charges		1776				other	OPPS APC	124.93	1776	
PURAPLY AM COM 2X2	SUP-95-02569	CDM			636	RC		inpatient			1776	1776																																																			
BIOWASHER 10 X 14X 2.0MM	SUP-97-04316	CDM			636	RC		inpatient			1776	1776																																																			
BIOWASHER 10 X 14X 2.0MM	SUP-97-04316	CDM			636	RC		outpatient			1776	1776					fee schedule						other	OPPS APC	1314.24				percent of total billed charges						other	OPPS APC					other	OPPS APC	870.24				percent of total billed charges		441.51				percent of total billed charges						other	OPPS APC	1314.24	1314.24	
PLATE BONE LCP STAINLESS STEEL STRAIGHT L27 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOCK NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.262	CDM	270010022	LOCAL	270	RC		outpatient			1773.6	1773.6	480.47				percent of total billed charges		1773.6				other	OPPS APC	1312.46				percent of total billed charges		1773.6				other	OPPS APC	1773.6				other	OPPS APC	480.47				percent of total billed charges		490.05				percent of total billed charges		1773.6				other	OPPS APC	480.47	1773.6	
PLATE BONE LCP STAINLESS STEEL STRAIGHT L27 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOCK NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.262	CDM	270010022	LOCAL	270	RC		inpatient			1773.6	1773.6																																																			
CATHETER - WITTOCH STONE BASKET	SUP-99-00953	CDM			272	RC		outpatient			1773	1773	480.31				percent of total billed charges		1773				other	OPPS APC	1312.02				percent of total billed charges		1773				other	OPPS APC	1773				other	OPPS APC	480.31				percent of total billed charges		489.88				percent of total billed charges		1773				other	OPPS APC	480.31	1773	
CATHETER - WITTOCH STONE BASKET	SUP-99-00953	CDM			272	RC		inpatient			1773	1773																																																			
SYSTEM CATHETER PS MEDICAL BARIUM C14-24 CM H2O L84 CM OD20 GA ODSEC14 GA LUMBOPERITONEAL CONNECTOR 3 FIXATION TAB 2 NEEDLE	SUP-44410	CDM			270	RC		outpatient			1772.16	1772.16	480.08				percent of total billed charges		1772.16				other	OPPS APC	1311.4				percent of total billed charges		1772.16				other	OPPS APC	1772.16				other	OPPS APC	480.08				percent of total billed charges		489.65				percent of total billed charges		1772.16				other	OPPS APC	480.08	1772.16	
SYSTEM CATHETER PS MEDICAL BARIUM C14-24 CM H2O L84 CM OD20 GA ODSEC14 GA LUMBOPERITONEAL CONNECTOR 3 FIXATION TAB 2 NEEDLE	SUP-44410	CDM			270	RC		inpatient			1772.16	1772.16																																																			
CATHETER INFUSION MARATHON .010 IN MICRO L165 CM L25 CM OD2.7-1.5 FR ID.015-.013 FR FLOW DIRECT GUIDEWIRE	SUP-105-5056	CDM			270	RC		outpatient			1772	1772	480.03				percent of total billed charges		1772				other	OPPS APC	1311.28				percent of total billed charges		1772				other	OPPS APC	1772				other	OPPS APC	480.03				percent of total billed charges		489.6				percent of total billed charges		1772				other	OPPS APC	480.03	1772	
CATHETER INFUSION MARATHON .010 IN MICRO L165 CM L25 CM OD2.7-1.5 FR ID.015-.013 FR FLOW DIRECT GUIDEWIRE	SUP-105-5056	CDM			270	RC		inpatient			1772	1772																																																			
CATHETER VENTRICULAR ANTIMOCROBIAL	SUP-95001	CDM			270	RC		outpatient			1770.08	177.8	479.51				percent of total billed charges		1770.08				other	OPPS APC	1309.86				percent of total billed charges		1770.08				other	OPPS APC	1770.08				other	OPPS APC	479.51				percent of total billed charges		489.07				percent of total billed charges		177.8				other	OPPS APC	177.8	1770.08	
CATHETER VENTRICULAR ANTIMOCROBIAL	SUP-95001	CDM			270	RC		inpatient			1770.08	1770.08																																																			
PATELLA ALL POLY 32MM	SUP-42-5402-000-32	CDM	270010025	LOCAL	270	RC		outpatient			1770	177	479.49				percent of total billed charges		1770				other	OPPS APC	1309.8				percent of total billed charges		1770				other	OPPS APC	1770				other	OPPS APC	479.49				percent of total billed charges		489.05				percent of total billed charges		177				other	OPPS APC	177	1770	
PATELLA ALL POLY 32MM	SUP-42-5402-000-32	CDM	270010025	LOCAL	270	RC		inpatient			1770	1770																																																			
GRAFT DUAL MESH PLUS 8 X 12	SUP-97-00191	CDM			278	RC		outpatient			1770	177	1770				fee schedule		1770				other	OPPS APC	1008.9				percent of total billed charges		1770				other	OPPS APC	1770				other	OPPS APC	867.3				percent of total billed charges		902.7				percent of total billed charges		177				other	OPPS APC	177	1770	
GRAFT DUAL MESH PLUS 8 X 12	SUP-97-00191	CDM			278	RC		inpatient			1770	1770																																																			
PLATE BONE EVOS Y 7 HOLE SHAFT TINE STERILE LATEX FREE 2.7MM SCREW	SUP-72442784	CDM			270	RC		outpatient			1768	1768	478.95				percent of total billed charges		1768				other	OPPS APC	1308.32				percent of total billed charges		1768				other	OPPS APC	1768				other	OPPS APC	478.95				percent of total billed charges		488.5				percent of total billed charges		1768				other	OPPS APC	478.95	1768	
PLATE BONE EVOS Y 7 HOLE SHAFT TINE STERILE LATEX FREE 2.7MM SCREW	SUP-72442784	CDM			270	RC		inpatient			1768	1768																																																			
PLATE BONE STAINLESS STEEL 108 MM RADIUS L156 MM PELVIC 12 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.882	CDM	270010022	LOCAL	270	RC		outpatient			1767.7	1767.7	478.87				percent of total billed charges		1767.7				other	OPPS APC	1308.1				percent of total billed charges		1767.7				other	OPPS APC	1767.7				other	OPPS APC	478.87				percent of total billed charges		488.42				percent of total billed charges		1767.7				other	OPPS APC	478.87	1767.7	
PLATE BONE STAINLESS STEEL 108 MM RADIUS L156 MM PELVIC 12 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.882	CDM	270010022	LOCAL	270	RC		inpatient			1767.7	1767.7																																																			
PLATE BONE STAINLESS STEEL 88 MM RADIUS L156 MM PELVIC 12 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.912	CDM	270010022	LOCAL	270	RC		outpatient			1767.7	1767.7	478.87				percent of total billed charges		1767.7				other	OPPS APC	1308.1				percent of total billed charges		1767.7				other	OPPS APC	1767.7				other	OPPS APC	478.87				percent of total billed charges		488.42				percent of total billed charges		1767.7				other	OPPS APC	478.87	1767.7	
PLATE BONE STAINLESS STEEL 88 MM RADIUS L156 MM PELVIC 12 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.912	CDM	270010022	LOCAL	270	RC		inpatient			1767.7	1767.7																																																			
MACROPLASTIQUE IMPLANT	SUP-77-00049	CDM			278	RC		inpatient			1767	1767																																																			
PLATE BONE VLP STAINLESS STEEL LARGE L 67.7 MM X W 36.2 MM X H 1.27 MM FOOT L CALCANEOUS STERILE 3.5MM SCREW	SUP-72824030S	CDM			270	RC		outpatient			1764	1764	477.87				percent of total billed charges		1764				other	OPPS APC	1305.36				percent of total billed charges		1764				other	OPPS APC	1764				other	OPPS APC	477.87				percent of total billed charges		487.39				percent of total billed charges		1764				other	OPPS APC	477.87	1764	
PLATE BONE VLP STAINLESS STEEL LARGE L 67.7 MM X W 36.2 MM X H 1.27 MM FOOT L CALCANEOUS STERILE 3.5MM SCREW	SUP-72824030S	CDM			270	RC		inpatient			1764	1764																																																			
PROBES EHL 9FR	SUP-2280.0915	CDM			270	RC		outpatient			1763.84	1763.84	477.82				percent of total billed charges		1763.84				other	OPPS APC	1305.24				percent of total billed charges		1763.84				other	OPPS APC	1763.84				other	OPPS APC	477.82				percent of total billed charges		487.35				percent of total billed charges		1763.84				other	OPPS APC	477.82	1763.84	
PROBES EHL 9FR	SUP-2280.0915	CDM			270	RC		inpatient			1763.84	1763.84																																																			
2.7MM VA LOCKING CALCANEAL PLATE LARGE RIGHT	SUP-02.211.405	CDM			270	RC		outpatient			1763.46	1763.46	477.72				percent of total billed charges		1763.46				other	OPPS APC	1304.96				percent of total billed charges		1763.46				other	OPPS APC	1763.46				other	OPPS APC	477.72				percent of total billed charges		487.24				percent of total billed charges		1763.46				other	OPPS APC	477.72	1763.46	
2.7MM VA LOCKING CALCANEAL PLATE LARGE RIGHT	SUP-02.211.405	CDM			270	RC		inpatient			1763.46	1763.46																																																			
HC Vascular Abdominal 3rd Order	PX-361362471	CDM	36247	CPT	361	RC		inpatient			1763	1763																																																			
HC Vascular Abdominal 3rd Order	PX-361362471	CDM	36247	CPT	361	RC		outpatient			1763	1763	556.76				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	556.76				percent of total billed charges		567.86				percent of total billed charges						other	OPPS APC	612	612	
CANNULATED SCREW 4.5X48	SUP-97-02816	CDM			278	RC		outpatient			1762.5	1762.5	1762.5				fee schedule		1762.5				other	OPPS APC	1004.63				percent of total billed charges		1762.5				other	OPPS APC	1762.5				other	OPPS APC	863.63				percent of total billed charges		898.88				percent of total billed charges		1762.5				other	OPPS APC	863.63	1762.5	
CANNULATED SCREW 4.5X48	SUP-97-02816	CDM			278	RC		inpatient			1762.5	1762.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L282 MM X W17.5 MM X H5.2 MM 15 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.652	CDM	270010022	LOCAL	270	RC		outpatient			1758.9	1758.91	476.49				percent of total billed charges		1758.9				other	OPPS APC	1301.59				percent of total billed charges		1758.9				other	OPPS APC	1758.9				other	OPPS APC	476.49				percent of total billed charges		485.98				percent of total billed charges		1758.91				other	OPPS APC	476.49	1758.91	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L282 MM X W17.5 MM X H5.2 MM 15 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.652	CDM	270010022	LOCAL	270	RC		inpatient			1758.9	1758.9																																																			
BALLOON DISSECTOR LAPAROSCOPIC SPACEMAKER PLUS BTT ENDO LUBE FOAM OVAL PREPERITONEAL 3 VALVE RIGID SPRING GRIP LOCK COLLAR BLUNT TIP TROCAR LATEX DISPOSABLE HERNIA	SUP-SMBTTOVLX	CDM			270	RC		outpatient			1758.41	1758.41	476.35				percent of total billed charges		1758.41				other	OPPS APC	1301.22				percent of total billed charges		1758.41				other	OPPS APC	1758.41				other	OPPS APC	476.35				percent of total billed charges		485.85				percent of total billed charges		1758.41				other	OPPS APC	476.35	1758.41	
BALLOON DISSECTOR LAPAROSCOPIC SPACEMAKER PLUS BTT ENDO LUBE FOAM OVAL PREPERITONEAL 3 VALVE RIGID SPRING GRIP LOCK COLLAR BLUNT TIP TROCAR LATEX DISPOSABLE HERNIA	SUP-SMBTTOVLX	CDM			270	RC		inpatient			1758.41	1758.41																																																			
1.6MM DIA MAX 168MM LENGTH	SUP-95-23679	CDM			272	RC		outpatient			1757.61	1757.7	476.14				percent of total billed charges		1757.61				other	OPPS APC	1300.63				percent of total billed charges		1757.61				other	OPPS APC	1757.61				other	OPPS APC	476.14				percent of total billed charges		485.63				percent of total billed charges		1757.7				other	OPPS APC	476.14	1757.7	
1.6MM DIA MAX 168MM LENGTH	SUP-95-23679	CDM			272	RC		inpatient			1757.61	1757.61																																																			
HC C/T-Head Scan W/WO Contrast	PX-351704700	CDM	70470	CPT	351	RC		outpatient			1755	189.94	207.19				fee schedule		189.94				other	OPPS APC	845.53				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	180.38				fee schedule		119.47				fee schedule		189.94				other	OPPS APC	119.47	845.53	
HC C/T-Head Scan W/WO Contrast	PX-351704700	CDM	70470	CPT	351	RC		inpatient			1755	1755																																																			
CLAMP MULTI-PIN MAVERICK 45MM	SUP-71094045	CDM			270	RC		outpatient			1755	1755	475.43				percent of total billed charges		1755				other	OPPS APC	1298.7				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	475.43				percent of total billed charges		484.91				percent of total billed charges		1755				other	OPPS APC	475.43	1755	
CLAMP MULTI-PIN MAVERICK 45MM	SUP-71094045	CDM			270	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X18	SUP-99-03430	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X18	SUP-99-03430	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X22	SUP-99-03431	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X22	SUP-99-03431	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 5.0X22	SUP-99-03434	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 5.0X22	SUP-99-03434	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.5X18	SUP-99-03435	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.5X18	SUP-99-03435	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X15	SUP-99-03439	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X15	SUP-99-03439	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X8	SUP-99-03440	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X8	SUP-99-03440	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X18	SUP-99-03441	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X18	SUP-99-03441	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.5X26	SUP-99-03448	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.5X26	SUP-99-03448	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X22	SUP-99-03449	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X22	SUP-99-03449	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.5X15	SUP-99-03456	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.5X15	SUP-99-03456	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X26	SUP-99-03463	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X26	SUP-99-03463	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X15	SUP-99-03468	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X15	SUP-99-03468	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X12	SUP-99-03469	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X12	SUP-99-03469	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.5X22	SUP-99-03472	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.5X22	SUP-99-03472	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 4.0X22	SUP-99-03473	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 4.0X22	SUP-99-03473	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X18	SUP-99-03477	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X18	SUP-99-03477	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 4.0X12	SUP-99-03479	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 4.0X12	SUP-99-03479	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X26	SUP-99-03480	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X26	SUP-99-03480	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X34	SUP-99-03487	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X34	SUP-99-03487	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X38	SUP-99-03488	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X38	SUP-99-03488	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X30	SUP-99-03490	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X30	SUP-99-03490	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.5X12	SUP-99-03491	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.5X12	SUP-99-03491	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.0X30	SUP-99-03529	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.0X30	SUP-99-03529	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X15	SUP-99-03530	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X15	SUP-99-03530	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X38	SUP-99-03537	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X38	SUP-99-03537	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X12	SUP-99-03543	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X12	SUP-99-03543	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X22	SUP-99-03545	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X22	SUP-99-03545	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X26	SUP-99-03611	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X26	SUP-99-03611	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X38	SUP-99-03658	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X38	SUP-99-03658	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X34	SUP-99-03742	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X34	SUP-99-03742	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.5X30	SUP-99-03743	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.5X30	SUP-99-03743	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.25X15	SUP-99-03745	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.25X15	SUP-99-03745	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 3.5X38	SUP-99-03746	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 3.5X38	SUP-99-03746	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.75X34	SUP-99-03778	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.75X34	SUP-99-03778	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.25X22	SUP-99-03790	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.25X22	SUP-99-03790	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.25X26	SUP-99-03895	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.25X26	SUP-99-03895	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 2.25X34	SUP-99-03896	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 2.25X34	SUP-99-03896	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX 5.0X30	SUP-99-04207	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX 5.0X30	SUP-99-04207	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X8	SUP-99-04260	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.00X8	SUP-99-04260	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X12	SUP-99-04261	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.00X12	SUP-99-04261	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X15	SUP-99-04262	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.00X15	SUP-99-04262	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X18	SUP-99-04263	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.00X18	SUP-99-04263	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X22	SUP-99-04264	CDM						inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X22	SUP-99-04264	CDM						outpatient			1755	1755	1755				percent of total billed charges		1755				other	OPPS APC	1755				fee schedule		1755				other	OPPS APC	1755				other	OPPS APC	1755				case rate		1755				case rate		1755				other	OPPS APC	1755	1755	
STENT - ONYX FRONTIER 2.00X26	SUP-99-04265	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.00X26	SUP-99-04265	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.00X30	SUP-99-04266	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.00X30	SUP-99-04266	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X8	SUP-99-04267	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X8	SUP-99-04267	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X12	SUP-99-04268	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X12	SUP-99-04268	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X15	SUP-99-04269	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X15	SUP-99-04269	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X18	SUP-99-04270	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X18	SUP-99-04270	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X22	SUP-99-04271	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X22	SUP-99-04271	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X26	SUP-99-04272	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X26	SUP-99-04272	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X30	SUP-99-04273	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X30	SUP-99-04273	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X34	SUP-99-04274	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X34	SUP-99-04274	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.25X38	SUP-99-04275	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.25X38	SUP-99-04275	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X8	SUP-99-04276	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X8	SUP-99-04276	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X12	SUP-99-04277	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X12	SUP-99-04277	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X15	SUP-99-04278	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X15	SUP-99-04278	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X18	SUP-99-04279	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X18	SUP-99-04279	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X22	SUP-99-04280	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X22	SUP-99-04280	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X26	SUP-99-04281	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X26	SUP-99-04281	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X30	SUP-99-04282	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X30	SUP-99-04282	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X34	SUP-99-04283	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X34	SUP-99-04283	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.5X38	SUP-99-04284	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.5X38	SUP-99-04284	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X8	SUP-99-04285	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X8	SUP-99-04285	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X12	SUP-99-04286	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X12	SUP-99-04286	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X15	SUP-99-04287	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X15	SUP-99-04287	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X18	SUP-99-04288	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X18	SUP-99-04288	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X22	SUP-99-04289	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X22	SUP-99-04289	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X26	SUP-99-04290	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X26	SUP-99-04290	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X30	SUP-99-04291	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X30	SUP-99-04291	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X34	SUP-99-04292	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X34	SUP-99-04292	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 2.75X38	SUP-99-04293	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 2.75X38	SUP-99-04293	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X8	SUP-99-04294	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X8	SUP-99-04294	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X12	SUP-99-04295	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X12	SUP-99-04295	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X15	SUP-99-04296	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X15	SUP-99-04296	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X18	SUP-99-04297	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X18	SUP-99-04297	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X22	SUP-99-04298	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X22	SUP-99-04298	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X26	SUP-99-04299	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X26	SUP-99-04299	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X30	SUP-99-04300	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X30	SUP-99-04300	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X34	SUP-99-04301	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X34	SUP-99-04301	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.00X38	SUP-99-04302	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.00X38	SUP-99-04302	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X8	SUP-99-04303	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X8	SUP-99-04303	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X12	SUP-99-04304	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X12	SUP-99-04304	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X15	SUP-99-04305	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X15	SUP-99-04305	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X18	SUP-99-04306	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X18	SUP-99-04306	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X22	SUP-99-04307	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X22	SUP-99-04307	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X26	SUP-99-04308	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X26	SUP-99-04308	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X30	SUP-99-04309	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X30	SUP-99-04309	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.50X34	SUP-99-04310	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.50X34	SUP-99-04310	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 3.5X38	SUP-99-04311	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 3.5X38	SUP-99-04311	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X8	SUP-99-04312	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X8	SUP-99-04312	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X12	SUP-99-04313	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X12	SUP-99-04313	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X15	SUP-99-04314	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X15	SUP-99-04314	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X18	SUP-99-04315	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X18	SUP-99-04315	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X22	SUP-99-04316	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X22	SUP-99-04316	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X26	SUP-99-04317	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X26	SUP-99-04317	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X30	SUP-99-04318	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X30	SUP-99-04318	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X34	SUP-99-04319	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X34	SUP-99-04319	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.00X38	SUP-99-04320	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.00X38	SUP-99-04320	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.50X12	SUP-99-04321	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.50X12	SUP-99-04321	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.50X15	SUP-99-04322	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.50X15	SUP-99-04322	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.50X18	SUP-99-04323	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.50X18	SUP-99-04323	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.50X22	SUP-99-04324	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.50X22	SUP-99-04324	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.50X26	SUP-99-04325	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.50X26	SUP-99-04325	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 4.50X30	SUP-99-04326	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 4.50X30	SUP-99-04326	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 5.00X12	SUP-99-04327	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 5.00X12	SUP-99-04327	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 5.00X15	SUP-99-04328	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 5.00X15	SUP-99-04328	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 5.00X18	SUP-99-04329	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 5.00X18	SUP-99-04329	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 5.00X22	SUP-99-04330	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 5.00X22	SUP-99-04330	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 5.00X26	SUP-99-04331	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 5.00X26	SUP-99-04331	CDM			278	RC		inpatient			1755	1755																																																			
STENT - ONYX FRONTIER 5.00X30	SUP-99-04332	CDM			278	RC		outpatient			1755	1755	1755				fee schedule		1755				other	OPPS APC	1000.35				percent of total billed charges		1755				other	OPPS APC	1755				other	OPPS APC	859.95				percent of total billed charges		895.05				percent of total billed charges		1755				other	OPPS APC	859.95	1755	
STENT - ONYX FRONTIER 5.00X30	SUP-99-04332	CDM			278	RC		inpatient			1755	1755																																																			
PLATE 14 HOLE 3.5 X 189 MM	SUP-97-04531	CDM			278	RC		outpatient			1754.46	1754.46	1754.46				fee schedule		1754.46				other	OPPS APC	1000.04				percent of total billed charges		1754.46				other	OPPS APC	1754.46				other	OPPS APC	859.69				percent of total billed charges		894.77				percent of total billed charges		1754.46				other	OPPS APC	859.69	1754.46	
PLATE 14 HOLE 3.5 X 189 MM	SUP-97-04531	CDM			278	RC		inpatient			1754.46	1754.46																																																			
PATCH CARDIOVASCULAR SUPPLE PERI-GUARD APEX PROCESSING BOVINE PERICARDIAL L16 CM X W10 CM NONPYROGENIC STERILE	SUP-PG1016	CDM			270	RC		outpatient			1754.2	1754.2	475.21				percent of total billed charges		1754.2				other	OPPS APC	1298.11				percent of total billed charges		1754.2				other	OPPS APC	1754.2				other	OPPS APC	475.21				percent of total billed charges		484.69				percent of total billed charges		1754.2				other	OPPS APC	475.21	1754.2	
PATCH CARDIOVASCULAR SUPPLE PERI-GUARD APEX PROCESSING BOVINE PERICARDIAL L16 CM X W10 CM NONPYROGENIC STERILE	SUP-PG1016	CDM			270	RC		inpatient			1754.2	1754.2																																																			
SUTURE GORETEX MONOFILAMENT ABSORBABLE DOUBLE ARMED NEEDLE:TTC-13 SIZE:CV-5 LENGTH:36IN	SUP-5N02B	CDM			270	RC		outpatient			1752	1752	474.62				percent of total billed charges		1752				other	OPPS APC	1296.48				percent of total billed charges		1752				other	OPPS APC	1752				other	OPPS APC	474.62				percent of total billed charges		484.08				percent of total billed charges		1752				other	OPPS APC	474.62	1752	
SUTURE GORETEX MONOFILAMENT ABSORBABLE DOUBLE ARMED NEEDLE:TTC-13 SIZE:CV-5 LENGTH:36IN	SUP-5N02B	CDM			270	RC		inpatient			1752	1752																																																			
4.5 DRILL	SUP-97-23824	CDM			272	RC		outpatient			1752	1752	474.62				percent of total billed charges		1752				other	OPPS APC	1296.48				percent of total billed charges		1752				other	OPPS APC	1752				other	OPPS APC	474.62				percent of total billed charges		484.08				percent of total billed charges		1752				other	OPPS APC	474.62	1752	
4.5 DRILL	SUP-97-23824	CDM			272	RC		inpatient			1752	1752																																																			
3.2 DRILL	SUP-97-23834	CDM			272	RC		outpatient			1752	1752	474.62				percent of total billed charges		1752				other	OPPS APC	1296.48				percent of total billed charges		1752				other	OPPS APC	1752				other	OPPS APC	474.62				percent of total billed charges		484.08				percent of total billed charges		1752				other	OPPS APC	474.62	1752	
3.2 DRILL	SUP-97-23834	CDM			272	RC		inpatient			1752	1752																																																			
GRAFT SOFT TISSUE TENDON L27.5 CM OD4.5 MM FRESH FROZEN	SUP-239404	CDM	270010031	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
GRAFT SOFT TISSUE TENDON L27.5 CM OD4.5 MM FRESH FROZEN	SUP-239404	CDM	270010031	LOCAL	270	RC		inpatient			1750	1750																																																			
PLATE BONE ACU-LOC 2 LUNATE DISTAL VOLAR SUTURE NONSTERILE	SUP-70-0334	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PLATE BONE ACU-LOC 2 LUNATE DISTAL VOLAR SUTURE NONSTERILE	SUP-70-0334	CDM			270	RC		inpatient			1750	1750																																																			
A11B-5 8MM CURRETTE BX/5	SUP-A11B-5	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
A11B-5 8MM CURRETTE BX/5	SUP-A11B-5	CDM			270	RC		inpatient			1750	1750																																																			
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE +2 MM OFFSET OD36 MM SHOULDER RIGHT STERILE ARTHROPLASTY	SUP-AR-9502-36RCPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE +2 MM OFFSET OD36 MM SHOULDER RIGHT STERILE ARTHROPLASTY	SUP-AR-9502-36RCPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE NEUTRAL OD39 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9502-39CPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE NEUTRAL OD39 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9502-39CPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
CUP ARTHREX UNIV REVERSE 39MM +2MM LEFT OFFSET	SUP-AR-9502-39LCPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP ARTHREX UNIV REVERSE 39MM +2MM LEFT OFFSET	SUP-AR-9502-39LCPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE +2 MM OFFSET OD39 MM SHOULDER RIGHT STERILE ARTHROPLASTY	SUP-AR-9502-39RCPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE +2 MM OFFSET OD39 MM SHOULDER RIGHT STERILE ARTHROPLASTY	SUP-AR-9502-39RCPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE NEUTRAL OD42 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9502-42CPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP HUMERAL UNIVERS REVERS CALCIUM PHOSPHATE NEUTRAL OD42 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9502-42CPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
NC QUANTUM APEX BALLOON 2.5 X 30	SUP-AR-9502-42LCPC	CDM			481	RC		outpatient			1750	175	857.5				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	857.5				percent of total billed charges		892.5				percent of total billed charges		175				other	OPPS APC	175	1750	
NC QUANTUM APEX BALLOON 2.5 X 30	SUP-AR-9502-42LCPC	CDM			481	RC		inpatient			1750	1750																																																			
CUP UNIVERSAL REVERSE SUTURE 36 NEUTRAL	SUP-AR-9502F-36CPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP UNIVERSAL REVERSE SUTURE 36 NEUTRAL	SUP-AR-9502F-36CPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
CUP UNIVERSAL REVERSE SUTURE 36	SUP-AR-9502F-36LCPC	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP UNIVERSAL REVERSE SUTURE 36	SUP-AR-9502F-36LCPC	CDM			270	RC		inpatient			1750	1750																																																			
CUP ARTHREX REVERSE SUTURE CUP SIZE 39	SUP-AR9502F-39LCPC	CDM	270010030	LOCAL	270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP ARTHREX REVERSE SUTURE CUP SIZE 39	SUP-AR9502F-39LCPC	CDM	270010030	LOCAL	270	RC		inpatient			1750	1750																																																			
CUP ARTHREX UNIVERSAL REVERSE SUTURE 39 +2 RIGHT	SUP-AR-9502F-39RCPC	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
CUP ARTHREX UNIVERSAL REVERSE SUTURE 39 +2 RIGHT	SUP-AR-9502F-39RCPC	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 8MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926008400	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 12MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926012400	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 4.50X12MM	SUP-H7493926012450	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 4.50X12MM	SUP-H7493926012450	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 5.00X12MM	SUP-H7493926012500	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 5.00X12MM	SUP-H7493926012500	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 16MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926016400	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 4.50X16MM	SUP-H7493926016450	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 4.50X16MM	SUP-H7493926016450	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 5.00X16MM	SUP-H7493926016500	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 5.00X16MM	SUP-H7493926016500	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 20MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926020400	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 4.50X20MM	SUP-H7493926020450	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 4.50X20MM	SUP-H7493926020450	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 5.00X20MM	SUP-H749392602050	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 5.00X20MM	SUP-H749392602050	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 24MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926024350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY MONORAIL 24MM 144CM 4MM 2.7-2.1FR SYNCHRONY EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1	SUP-H7493926024400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY MONORAIL 24MM 144CM 4MM 2.7-2.1FR SYNCHRONY EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1	SUP-H7493926024400	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 4.50X24MM	SUP-H7493926024450	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 4.50X24MM	SUP-H7493926024450	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 5.00X24MM	SUP-H7493926024500	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 5.00X24MM	SUP-H7493926024500	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 28MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926028350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY MONORAIL 28MM 144CM 4MM 2.7-2.1FR SYNCHRONY EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1	SUP-H7493926028400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY MONORAIL 28MM 144CM 4MM 2.7-2.1FR SYNCHRONY EVEROLIMUS PLATINUM CHROMIUM RADIOPAQUE 1	SUP-H7493926028400	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 4.50X28MM	SUP-H7493926028450	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 4.50X28MM	SUP-H7493926028450	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 5.00X28MM	SUP-H7493926028500	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 5.00X28MM	SUP-H7493926028500	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032300	CDM			481	RC		outpatient			1750	175	857.5				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	857.5				percent of total billed charges		892.5				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032300	CDM			481	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032350	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 32MM 144CM 4MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926032400	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 4.50X32MM	SUP-H7493926032450	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 4.50X32MM	SUP-H7493926032450	CDM			270	RC		inpatient			1750	1750																																																			
SYNERGY II US MR 5.00X32MM	SUP-H7493926032500	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYNERGY II US MR 5.00X32MM	SUP-H7493926032500	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 2.25MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038220	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 2.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038250	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 2.75MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038270	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 3MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038300	CDM			270	RC		inpatient			1750	1750																																																			
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
SYSTEM CORONARY STENT SYNERGY 38MM 144CM 3.5MM PEBAX EVEROLIMUS ELUTING PLATINUM CHROMIUM PLGA RADIOPAQUE 1 ACCESS PORT	SUP-H7493926038350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 8MM	SUP-H7493941208220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 8MM	SUP-H7493941208220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 8MM	SUP-H7493941208250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 8MM	SUP-H7493941208250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 8MM	SUP-H7493941208270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 8MM	SUP-H7493941208270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 8MM	SUP-H7493941208300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 8MM	SUP-H7493941208300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 8MM	SUP-H7493941208350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 8MM	SUP-H7493941208350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 8MM	SUP-H7493941208400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 8MM	SUP-H7493941208400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 12MM	SUP-H7493941212220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 12MM	SUP-H7493941212220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 12MM	SUP-H7493941212250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 12MM	SUP-H7493941212250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 12MM	SUP-H7493941212270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 12MM	SUP-H7493941212270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 12MM	SUP-H7493941212300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 12MM	SUP-H7493941212300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 12MM	SUP-H7493941212350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 12MM	SUP-H7493941212350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 12MM	SUP-H7493941212400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 12MM	SUP-H7493941212400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 16MM	SUP-H7493941216220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 16MM	SUP-H7493941216220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 16MM	SUP-H7493941216250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 16MM	SUP-H7493941216250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 16MM	SUP-H7493941216270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 16MM	SUP-H7493941216270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 16MM	SUP-H7493941216300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 16MM	SUP-H7493941216300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 16MM	SUP-H7493941216350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 16MM	SUP-H7493941216350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 16MM	SUP-H7493941216400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 16MM	SUP-H7493941216400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 20MM	SUP-H7493941220220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 20MM	SUP-H7493941220220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 20MM	SUP-H7493941220250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 20MM	SUP-H7493941220250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 20MM	SUP-H7493941220270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 20MM	SUP-H7493941220270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 20MM	SUP-H7493941220300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 20MM	SUP-H7493941220300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 20MM	SUP-H7493941220350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 20MM	SUP-H7493941220350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 20MM	SUP-H7493941220400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 20MM	SUP-H7493941220400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 24MM	SUP-H7493941224220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 24MM	SUP-H7493941224220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 24MM	SUP-H7493941224250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 24MM	SUP-H7493941224250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 24MM	SUP-H7493941224270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 24MM	SUP-H7493941224270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 24MM	SUP-H7493941224300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 24MM	SUP-H7493941224300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 24MM	SUP-H7493941224350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 24MM	SUP-H7493941224350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 24MM	SUP-H7493941224400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 24MM	SUP-H7493941224400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 28MM	SUP-H7493941228220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 28MM	SUP-H7493941228220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 28MM	SUP-H7493941228250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 28MM	SUP-H7493941228250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 28MM	SUP-H7493941228270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 28MM	SUP-H7493941228270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 28MM	SUP-H7493941228300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 28MM	SUP-H7493941228300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 28MM	SUP-H7493941228350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 28MM	SUP-H7493941228350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 28MM	SUP-H7493941228400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 28MM	SUP-H7493941228400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.25 X 32MM	SUP-H7493941232220	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.25 X 32MM	SUP-H7493941232220	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 32MM	SUP-H7493941232250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 32MM	SUP-H7493941232250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 32MM	SUP-H7493941232270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 32MM	SUP-H7493941232270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 32MM	SUP-H7493941232300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 32MM	SUP-H7493941232300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 32MM	SUP-H7493941232350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 32MM	SUP-H7493941232350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 32MM	SUP-H7493941232400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 32MM	SUP-H7493941232400	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.5 X 38MM	SUP-H7493941238250	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.5 X 38MM	SUP-H7493941238250	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 2.75 X 38MM	SUP-H7493941238270	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 2.75 X 38MM	SUP-H7493941238270	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.0 X 38MM	SUP-H7493941238300	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.0 X 38MM	SUP-H7493941238300	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 3.5 X 38MM	SUP-H7493941238350	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 3.5 X 38MM	SUP-H7493941238350	CDM			270	RC		inpatient			1750	1750																																																			
PROMUS ELITE STENT 4.0 X 38MM	SUP-H7493941238400	CDM			270	RC		outpatient			1750	175	474.08				percent of total billed charges		1750				other	OPPS APC	1295				percent of total billed charges		1750				other	OPPS APC	1750				other	OPPS APC	474.08				percent of total billed charges		483.53				percent of total billed charges		175				other	OPPS APC	175	1750	
PROMUS ELITE STENT 4.0 X 38MM	SUP-H7493941238400	CDM			270	RC		inpatient			1750	1750																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.331	CDM	270010022	LOCAL	270	RC		outpatient			1743.5	1743.5	472.31				percent of total billed charges		1743.5				other	OPPS APC	1290.19				percent of total billed charges		1743.5				other	OPPS APC	1743.5				other	OPPS APC	472.31				percent of total billed charges		481.73				percent of total billed charges		1743.5				other	OPPS APC	472.31	1743.5	
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS LEFT DISTAL VOLAR 9 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.331	CDM	270010022	LOCAL	270	RC		inpatient			1743.5	1743.5																																																			
LINER HUMERAL EQUINOXE +0 MM OD40 MM SHOULDER SMALL REVERSE	SUP-320-40-00	CDM	270010030	LOCAL	270	RC		outpatient			1743.3	1743.3	472.26				percent of total billed charges		1743.3				other	OPPS APC	1290.04				percent of total billed charges		1743.3				other	OPPS APC	1743.3				other	OPPS APC	472.26				percent of total billed charges		481.67				percent of total billed charges		1743.3				other	OPPS APC	472.26	1743.3	
LINER HUMERAL EQUINOXE +0 MM OD40 MM SHOULDER SMALL REVERSE	SUP-320-40-00	CDM	270010030	LOCAL	270	RC		inpatient			1743.3	1743.3																																																			
HC CT Guide Cath Drain Visceral	PX-352494050	CDM	49405	CPT	352	RC		outpatient			1743	1579.36	895.57				fee schedule		1579.36				other	OPPS APC	1289.82				percent of total billed charges		1579.36				other	OPPS APC	1579.36				other	OPPS APC	189.08				fee schedule		888.93				percent of total billed charges		1579.36				other	OPPS APC	189.08	1579.36	
HC CT Guide Cath Drain Visceral	PX-352494050	CDM	49405	CPT	352	RC		inpatient			1743	1743																																																			
HC CT/Appendiceal Abscess  Percut	PX-361449012	CDM	44901	CPT	361	RC		outpatient			1743	1743	550.44				percent of total billed charges		1743				other	OPPS APC	1743				fee schedule		1743				other	OPPS APC	1743				other	OPPS APC	550.44				percent of total billed charges		561.42				percent of total billed charges		1743				other	OPPS APC	550.44	1743	
HC CT/Appendiceal Abscess  Percut	PX-361449012	CDM	44901	CPT	361	RC		inpatient			1743	1743																																																			
HC Abscess Drain Liver - CT Percut	PX-361470113	CDM	47011	CPT	361	RC		outpatient			1743	1743	550.44				percent of total billed charges		1743				other	OPPS APC	1743				fee schedule		1743				other	OPPS APC	1743				other	OPPS APC	550.44				percent of total billed charges		561.42				percent of total billed charges		1743				other	OPPS APC	550.44	1743	
HC Abscess Drain Liver - CT Percut	PX-361470113	CDM	47011	CPT	361	RC		inpatient			1743	1743																																																			
HC CT Abscess Drain Perirenal W Con Sed	PX-361494053	CDM	49405	CPT	361	RC		outpatient			1743	1579.36	550.44				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	550.44				percent of total billed charges		561.42				percent of total billed charges		1579.36				other	OPPS APC	550.44	2528	
HC CT Abscess Drain Perirenal W Con Sed	PX-361494053	CDM	49405	CPT	361	RC		inpatient			1743	1743																																																			
HC US Guid Pleural Drain Tube	PX-402494050	CDM	49405	CPT	361	RC		outpatient			1743	1579.36	550.44				percent of total billed charges		1579.36				other	OPPS APC	2528				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	550.44				percent of total billed charges		561.42				percent of total billed charges		1579.36				other	OPPS APC	550.44	2528	
HC US Guid Pleural Drain Tube	PX-402494050	CDM	49405	CPT	361	RC		inpatient			1743	1743																																																			
HC US Guid Perit Retro Drain Tube	PX-402494060	CDM	49406	CPT	361	RC		outpatient			1743	1743	550.44				percent of total billed charges		1743				other	OPPS APC	1743				fee schedule		1743				other	OPPS APC	1743				other	OPPS APC	550.44				percent of total billed charges		561.42				percent of total billed charges		1743				other	OPPS APC	550.44	1743	
HC US Guid Perit Retro Drain Tube	PX-402494060	CDM	49406	CPT	361	RC		inpatient			1743	1743																																																			
GRAFT BONE FIBULA SHAFT L8 CM X W14-18 MM ALLOGRAFT FREEZE DRIED PRETREATE	SUP-800740	CDM	270010031	LOCAL	270	RC		outpatient			1742	1742	471.91				percent of total billed charges		1742				other	OPPS APC	1289.08				percent of total billed charges		1742				other	OPPS APC	1742				other	OPPS APC	471.91				percent of total billed charges		481.31				percent of total billed charges		1742				other	OPPS APC	471.91	1742	
GRAFT BONE FIBULA SHAFT L8 CM X W14-18 MM ALLOGRAFT FREEZE DRIED PRETREATE	SUP-800740	CDM	270010031	LOCAL	270	RC		inpatient			1742	1742																																																			
LINER APR HOODED STANDARD POLY 55MM X 32MM	SUP-4338-32-055	CDM	270010024	LOCAL	270	RC		outpatient			1740	174	471.37				percent of total billed charges		1740				other	OPPS APC	1287.6				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	471.37				percent of total billed charges		480.76				percent of total billed charges		174				other	OPPS APC	174	1740	
LINER APR HOODED STANDARD POLY 55MM X 32MM	SUP-4338-32-055	CDM	270010024	LOCAL	270	RC		inpatient			1740	1740																																																			
TIBIAL INSERT MIRROR 48X9MM	SUP-97-01922	CDM			278	RC		outpatient			1740	174	1740				fee schedule		1740				other	OPPS APC	991.8				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	852.6				percent of total billed charges		887.4				percent of total billed charges		174				other	OPPS APC	174	1740	
TIBIAL INSERT MIRROR 48X9MM	SUP-97-01922	CDM			278	RC		inpatient			1740	1740																																																			
TIBIAL INSERT MIRROR 48X8MM	SUP-97-02576	CDM			278	RC		outpatient			1740	174	1740				fee schedule		1740				other	OPPS APC	991.8				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	852.6				percent of total billed charges		887.4				percent of total billed charges		174				other	OPPS APC	174	1740	
TIBIAL INSERT MIRROR 48X8MM	SUP-97-02576	CDM			278	RC		inpatient			1740	1740																																																			
TIBIAL INSERT MIRROR 48X	SUP-97-02644	CDM			278	RC		outpatient			1740	174	1740				fee schedule		1740				other	OPPS APC	991.8				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	852.6				percent of total billed charges		887.4				percent of total billed charges		174				other	OPPS APC	174	1740	
TIBIAL INSERT MIRROR 48X	SUP-97-02644	CDM			278	RC		inpatient			1740	1740																																																			
BALLOON PUMP - CATHETER 30CC	SUP-99-00029	CDM			272	RC		outpatient			1740	174	471.37				percent of total billed charges		1740				other	OPPS APC	1287.6				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	471.37				percent of total billed charges		480.76				percent of total billed charges		174				other	OPPS APC	174	1740	
BALLOON PUMP - CATHETER 30CC	SUP-99-00029	CDM			272	RC		inpatient			1740	1740																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 14 HOLE	SUP-AR-8943BL-14	CDM			270	RC		outpatient			1740	174	471.37				percent of total billed charges		1740				other	OPPS APC	1287.6				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	471.37				percent of total billed charges		480.76				percent of total billed charges		174				other	OPPS APC	174	1740	
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 14 HOLE	SUP-AR-8943BL-14	CDM			270	RC		inpatient			1740	1740																																																			
KIT TRANSSEPTAL NRG  RADIOFREQUENCY PTW-25-230	SUP-NTK-711-8545	CDM			481	RC		outpatient			1740	174	852.6				percent of total billed charges		1740				other	OPPS APC	1287.6				percent of total billed charges		1740				other	OPPS APC	1740				other	OPPS APC	852.6				percent of total billed charges		887.4				percent of total billed charges		174				other	OPPS APC	174	1740	
KIT TRANSSEPTAL NRG  RADIOFREQUENCY PTW-25-230	SUP-NTK-711-8545	CDM			481	RC		inpatient			1740	1740																																																			
BARRIER ADHESION SEPRAFILM SODIUM HYALURONATE CARBOXYMETHYLCELLULOSE L3 IN X W5 IN ABDOMEN PELVIS PROCEDURE PACK BIORESORBABLE MEMBRANE STERILE TRANSLUCENT	SUP-5086-02	CDM			270	RC		outpatient			1739.09	1739.9	471.12				percent of total billed charges		1739.09				other	OPPS APC	1286.93				percent of total billed charges		1739.09				other	OPPS APC	1739.09				other	OPPS APC	471.12				percent of total billed charges		480.51				percent of total billed charges		1739.9				other	OPPS APC	471.12	1739.9	
BARRIER ADHESION SEPRAFILM SODIUM HYALURONATE CARBOXYMETHYLCELLULOSE L3 IN X W5 IN ABDOMEN PELVIS PROCEDURE PACK BIORESORBABLE MEMBRANE STERILE TRANSLUCENT	SUP-5086-02	CDM			270	RC		inpatient			1739.09	1739.09																																																			
PLATE VARIAX  6 HOLE STRAIGHT LONG	SUP-40-15043	CDM			270	RC		outpatient			1737.6	1737.6	470.72				percent of total billed charges		1737.6				other	OPPS APC	1285.82				percent of total billed charges		1737.6				other	OPPS APC	1737.6				other	OPPS APC	470.72				percent of total billed charges		480.1				percent of total billed charges		1737.6				other	OPPS APC	470.72	1737.6	
PLATE VARIAX  6 HOLE STRAIGHT LONG	SUP-40-15043	CDM			270	RC		inpatient			1737.6	1737.6																																																			
KNIFE NANO  230CM	SUP-95-04197	CDM			272	RC		outpatient			1736.43	1736.43	470.4				percent of total billed charges		1736.43				other	OPPS APC	1284.96				percent of total billed charges		1736.43				other	OPPS APC	1736.43				other	OPPS APC	470.4				percent of total billed charges		479.78				percent of total billed charges		1736.43				other	OPPS APC	470.4	1736.43	
KNIFE NANO  230CM	SUP-95-04197	CDM			272	RC		inpatient			1736.43	1736.43																																																			
HC Pill Cam Procedure	PX-750911101	CDM	91110	CPT	750	RC		outpatient			1732	869.45	911.16				fee schedule		869.44				other	OPPS APC	1732				fee schedule		869.44				other	OPPS APC	869.44				other	OPPS APC	746.57				fee schedule		883.32				percent of total billed charges		869.45				other	OPPS APC	746.57	1732	
HC Pill Cam Procedure	PX-750911101	CDM	91110	CPT	750	RC		inpatient			1732	1732																																																			
PLATE BONE VARIAX SMARTLOCK TITANIUM CURVE FOOT 4 HOLE LOW PROFILE NONSTERILE	SUP-40-15011	CDM			270	RC		outpatient			1731.2	1731.2	468.98				percent of total billed charges		1731.2				other	OPPS APC	1281.09				percent of total billed charges		1731.2				other	OPPS APC	1731.2				other	OPPS APC	468.98				percent of total billed charges		478.33				percent of total billed charges		1731.2				other	OPPS APC	468.98	1731.2	
PLATE BONE VARIAX SMARTLOCK TITANIUM CURVE FOOT 4 HOLE LOW PROFILE NONSTERILE	SUP-40-15011	CDM			270	RC		inpatient			1731.2	1731.2																																																			
CATHETER INFUSION ECHELON 10 NITINOL MICRO L155 CM L150 CM OD2.1-1.7 FR ODSEC5 FR ID.017 IN .34 ML STRAIGHT TIP GUIDEWIRE FLEXIBLE STEAM SHAPEABLE ACCEPTS .014 IN	SUP-105-5091-150	CDM			270	RC		outpatient			1730	173	468.66				percent of total billed charges		1730				other	OPPS APC	1280.2				percent of total billed charges		1730				other	OPPS APC	1730				other	OPPS APC	468.66				percent of total billed charges		478				percent of total billed charges		173				other	OPPS APC	173	1730	
CATHETER INFUSION ECHELON 10 NITINOL MICRO L155 CM L150 CM OD2.1-1.7 FR ODSEC5 FR ID.017 IN .34 ML STRAIGHT TIP GUIDEWIRE FLEXIBLE STEAM SHAPEABLE ACCEPTS .014 IN	SUP-105-5091-150	CDM			270	RC		inpatient			1730	1730																																																			
GUIDEWIRE VASCULAR NITINOL STAINLESS STEEL L300 CM L45 CM OD.014 IN SOFT EXCHANGE PRESHAPE	SUP-SSFT300PRE	CDM			270	RC		outpatient			1730	173	468.66				percent of total billed charges		1730				other	OPPS APC	1280.2				percent of total billed charges		1730				other	OPPS APC	1730				other	OPPS APC	468.66				percent of total billed charges		478				percent of total billed charges		173				other	OPPS APC	173	1730	
GUIDEWIRE VASCULAR NITINOL STAINLESS STEEL L300 CM L45 CM OD.014 IN SOFT EXCHANGE PRESHAPE	SUP-SSFT300PRE	CDM			270	RC		inpatient			1730	1730																																																			
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STRAIGHT L300 CM L35 CM OD.014 IN SOFT EXCHANGE LENGTH	SUP-SSFT300STR	CDM			270	RC		outpatient			1730	173	468.66				percent of total billed charges		1730				other	OPPS APC	1280.2				percent of total billed charges		1730				other	OPPS APC	1730				other	OPPS APC	468.66				percent of total billed charges		478				percent of total billed charges		173				other	OPPS APC	173	1730	
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STRAIGHT L300 CM L35 CM OD.014 IN SOFT EXCHANGE LENGTH	SUP-SSFT300STR	CDM			270	RC		inpatient			1730	1730																																																			
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STANDARD L300 CM L35 CM OD.014 IN EXCHANGE PRESHAPE	SUP-SSTD300PRE	CDM			270	RC		outpatient			1730	173	468.66				percent of total billed charges		1730				other	OPPS APC	1280.2				percent of total billed charges		1730				other	OPPS APC	1730				other	OPPS APC	468.66				percent of total billed charges		478				percent of total billed charges		173				other	OPPS APC	173	1730	
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STANDARD L300 CM L35 CM OD.014 IN EXCHANGE PRESHAPE	SUP-SSTD300PRE	CDM			270	RC		inpatient			1730	1730																																																			
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STANDARD L300 CM L35 CM OD.014 IN EXCHANGE	SUP-SSTD300STR	CDM			270	RC		outpatient			1730	173	468.66				percent of total billed charges		1730				other	OPPS APC	1280.2				percent of total billed charges		1730				other	OPPS APC	1730				other	OPPS APC	468.66				percent of total billed charges		478				percent of total billed charges		173				other	OPPS APC	173	1730	
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STANDARD L300 CM L35 CM OD.014 IN EXCHANGE	SUP-SSTD300STR	CDM			270	RC		inpatient			1730	1730																																																			
KIT MICROSENSOR METAL BOLT	SUP-62-6638US	CDM			270	RC		outpatient			1729	1729	468.39				percent of total billed charges		1729				other	OPPS APC	1279.46				percent of total billed charges		1729				other	OPPS APC	1729				other	OPPS APC	468.39				percent of total billed charges		477.72				percent of total billed charges		1729				other	OPPS APC	468.39	1729	
KIT MICROSENSOR METAL BOLT	SUP-62-6638US	CDM			270	RC		inpatient			1729	1729																																																			
GAUGE DEPTH EVOS SMALL SHORT 3.5 MM SCREW	SUP-71175069	CDM			270	RC		outpatient			1728.54	1728.54	468.26				percent of total billed charges		1728.54				other	OPPS APC	1279.12				percent of total billed charges		1728.54				other	OPPS APC	1728.54				other	OPPS APC	468.26				percent of total billed charges		477.6				percent of total billed charges		1728.54				other	OPPS APC	468.26	1728.54	
GAUGE DEPTH EVOS SMALL SHORT 3.5 MM SCREW	SUP-71175069	CDM			270	RC		inpatient			1728.54	1728.54																																																			
PLATE 16 HOLE VARIAX STRAIGHT	SUP-97-06420	CDM			278	RC		outpatient			1726.92	1726.92	1726.92				fee schedule		1726.92				other	OPPS APC	984.34				percent of total billed charges		1726.92				other	OPPS APC	1726.92				other	OPPS APC	846.19				percent of total billed charges		880.73				percent of total billed charges		1726.92				other	OPPS APC	846.19	1726.92	
PLATE 16 HOLE VARIAX STRAIGHT	SUP-97-06420	CDM			278	RC		inpatient			1726.92	1726.92																																																			
PLATE VARIAX  RECTANGULAR COMPRESSION SIZE 2	SUP-40-15033	CDM			270	RC		outpatient			1726.4	1726.41	467.68				percent of total billed charges		1726.4				other	OPPS APC	1277.54				percent of total billed charges		1726.4				other	OPPS APC	1726.4				other	OPPS APC	467.68				percent of total billed charges		477				percent of total billed charges		1726.41				other	OPPS APC	467.68	1726.41	
PLATE VARIAX  RECTANGULAR COMPRESSION SIZE 2	SUP-40-15033	CDM			270	RC		inpatient			1726.4	1726.4																																																			
FORCEP HALO CUTTING	SUP-76-00135	CDM			272	RC		outpatient			1725.02	1725.2	467.31				percent of total billed charges		1725.02				other	OPPS APC	1276.51				percent of total billed charges		1725.02				other	OPPS APC	1725.02				other	OPPS APC	467.31				percent of total billed charges		476.62				percent of total billed charges		1725.2				other	OPPS APC	467.31	1725.2	
FORCEP HALO CUTTING	SUP-76-00135	CDM			272	RC		inpatient			1725.02	1725.02																																																			
AHMED GLAUCOMA VALVE	SUP-73-00069	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
AHMED GLAUCOMA VALVE	SUP-73-00069	CDM			278	RC		inpatient			1725	1725																																																			
AMNIOFILL 250CC	SUP-97-02797	CDM						inpatient			1725	1725																																																			
AMNIOFILL 250CC	SUP-97-02797	CDM						outpatient			1725	1725	1725				percent of total billed charges		1725				other	OPPS APC	1725				fee schedule		1725				other	OPPS APC	1725				other	OPPS APC	1725				case rate		1725				case rate		1725				other	OPPS APC	1725	1725	
K-WIRE 2.4MMX170MM	SUP-97-03787	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
K-WIRE 2.4MMX170MM	SUP-97-03787	CDM			278	RC		inpatient			1725	1725																																																			
HEADLESS COMP SCREW 6.5XX100MM CANN	SUP-97-03930	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
HEADLESS COMP SCREW 6.5XX100MM CANN	SUP-97-03930	CDM			278	RC		inpatient			1725	1725																																																			
HEADLESS COMPRES SCREW 6.5X45MM SHT THD	SUP-97-04822	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
HEADLESS COMPRES SCREW 6.5X45MM SHT THD	SUP-97-04822	CDM			278	RC		inpatient			1725	1725																																																			
HEADLESS COMPRES SCREW 6.5X80MM SHT THD	SUP-97-04856	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
HEADLESS COMPRES SCREW 6.5X80MM SHT THD	SUP-97-04856	CDM			278	RC		inpatient			1725	1725																																																			
HEADLESS COMPRES SCREW 6.5X85MM SHT THD	SUP-97-04857	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
HEADLESS COMPRES SCREW 6.5X85MM SHT THD	SUP-97-04857	CDM			278	RC		inpatient			1725	1725																																																			
SCREW 4.0 FULLY THREADED LAPIPLASTY	SUP-97-06412	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
SCREW 4.0 FULLY THREADED LAPIPLASTY	SUP-97-06412	CDM			278	RC		inpatient			1725	1725																																																			
IBAL TKA TIB STEM CM 12MMDX 100MM L	SUP-97-23741	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
IBAL TKA TIB STEM CM 12MMDX 100MM L	SUP-97-23741	CDM			278	RC		inpatient			1725	1725																																																			
HEADLESS COMPRES SCREW 6.5X40MM SHT THD	SUP-97-23748	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
HEADLESS COMPRES SCREW 6.5X40MM SHT THD	SUP-97-23748	CDM			278	RC		inpatient			1725	1725																																																			
HEADLESS COMPRES SCREW 6.5X50MM SHT THD	SUP-97-23749	CDM			278	RC		outpatient			1725	1725	1725				fee schedule		1725				other	OPPS APC	983.25				percent of total billed charges		1725				other	OPPS APC	1725				other	OPPS APC	845.25				percent of total billed charges		879.75				percent of total billed charges		1725				other	OPPS APC	845.25	1725	
HEADLESS COMPRES SCREW 6.5X50MM SHT THD	SUP-97-23749	CDM			278	RC		inpatient			1725	1725																																																			
HC C/T-L Spine W Contrast	PX-352721320	CDM	72132	CPT	352	RC		outpatient			1722	388.42	243.68				fee schedule		388.04				other	OPPS APC	838.81				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	175.39				fee schedule		117.48				fee schedule		388.42				other	OPPS APC	117.48	838.81	
HC C/T-L Spine W Contrast	PX-352721320	CDM	72132	CPT	352	RC		inpatient			1722	1722																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 9 HOLE	SUP-40-20906	CDM			270	RC		outpatient			1721.6	1721.6	466.38				percent of total billed charges		1721.6				other	OPPS APC	1273.98				percent of total billed charges		1721.6				other	OPPS APC	1721.6				other	OPPS APC	466.38				percent of total billed charges		475.68				percent of total billed charges		1721.6				other	OPPS APC	466.38	1721.6	
PLATE VARIAX DISTAL LATERAL FIBULA 9 HOLE	SUP-40-20906	CDM			270	RC		inpatient			1721.6	1721.6																																																			
CLAMP EXTERNAL FIXATION NS ADJUSTABLE WIRE PIN	SUP-393.464	CDM	270010022	LOCAL	270	RC		outpatient			1721.5	1721.5	466.35				percent of total billed charges		1721.5				other	OPPS APC	1273.91				percent of total billed charges		1721.5				other	OPPS APC	1721.5				other	OPPS APC	466.35				percent of total billed charges		475.65				percent of total billed charges		1721.5				other	OPPS APC	466.35	1721.5	
CLAMP EXTERNAL FIXATION NS ADJUSTABLE WIRE PIN	SUP-393.464	CDM	270010022	LOCAL	270	RC		inpatient			1721.5	1721.5																																																			
KIT AMS 700 ACCESSORY	SUP-72401850	CDM	270010002	LOCAL	270	RC		outpatient			1720	172	465.95				percent of total billed charges		1720				other	OPPS APC	1272.8				percent of total billed charges		1720				other	OPPS APC	1720				other	OPPS APC	465.95				percent of total billed charges		475.24				percent of total billed charges		172				other	OPPS APC	172	1720	
KIT AMS 700 ACCESSORY	SUP-72401850	CDM	270010002	LOCAL	270	RC		inpatient			1720	1720																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 12 HOLE	SUP-AR-8943BL-12	CDM			270	RC		outpatient			1720	172	465.95				percent of total billed charges		1720				other	OPPS APC	1272.8				percent of total billed charges		1720				other	OPPS APC	1720				other	OPPS APC	465.95				percent of total billed charges		475.24				percent of total billed charges		172				other	OPPS APC	172	1720	
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 12 HOLE	SUP-AR-8943BL-12	CDM			270	RC		inpatient			1720	1720																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA RIGHT 12 HOLE	SUP-AR-8943BR-12	CDM			270	RC		outpatient			1720	172	465.95				percent of total billed charges		1720				other	OPPS APC	1272.8				percent of total billed charges		1720				other	OPPS APC	1720				other	OPPS APC	465.95				percent of total billed charges		475.24				percent of total billed charges		172				other	OPPS APC	172	1720	
PLATE ARTHREX LOCKING DISTAL FIBULA RIGHT 12 HOLE	SUP-AR-8943BR-12	CDM			270	RC		inpatient			1720	1720																																																			
TUBING LEVEL 1 INFUSER	SUP-95-01730	CDM			272	RC		outpatient			1719.24	1719.24	465.74				percent of total billed charges		1719.24				other	OPPS APC	1272.24				percent of total billed charges		1719.24				other	OPPS APC	1719.24				other	OPPS APC	465.74				percent of total billed charges		475.03				percent of total billed charges		1719.24				other	OPPS APC	465.74	1719.24	
TUBING LEVEL 1 INFUSER	SUP-95-01730	CDM			272	RC		inpatient			1719.24	1719.24																																																			
HC Mra Neck W & W/O Contrast	PX-615705491	CDM	70549	CPT	615	RC		outpatient			1719	388.42	592.45				fee schedule		388.04				other	OPPS APC	2376.38				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	360.52				fee schedule		274.24				fee schedule		388.42				other	OPPS APC	274.24	2376.38	
HC Mra Neck W & W/O Contrast	PX-615705491	CDM	70549	CPT	615	RC		inpatient			1719	1719																																																			
HC Myocardial Perf-Spect/Single	PX-340784510	CDM	78451	CPT	341	RC		outpatient			1718	1718	355.04				fee schedule		1718				other	OPPS APC	825.47				fee schedule		1718				other	OPPS APC	1718				other	OPPS APC	315.84				fee schedule		251.6				fee schedule		1718				other	OPPS APC	251.6	1718	
HC Myocardial Perf-Spect/Single	PX-340784510	CDM	78451	CPT	341	RC		inpatient			1718	1718																																																			
BIO COMPOSITE SWIVEL CLD 5.5X19.1MM	SUP-97-03984	CDM			278	RC		outpatient			1716	1716	1716				fee schedule		1716				other	OPPS APC	978.12				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	840.84				percent of total billed charges		875.16				percent of total billed charges		1716				other	OPPS APC	840.84	1716	
BIO COMPOSITE SWIVEL CLD 5.5X19.1MM	SUP-97-03984	CDM			278	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L120 CM L120 MM L163 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200061220	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L120 CM L120 MM L163 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200061220	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L120 CM L20 MM L154 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200062020	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L120 CM L20 MM L154 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200062020	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L120 CM L40 MM L155 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200064020	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L120 CM L40 MM L155 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200064020	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL .035 IN L40 MM L75 CM OD6 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200064070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL .035 IN L40 MM L75 CM OD6 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200064070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL .035 IN L60 MM L120 CM OD6 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200066020	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL .035 IN L60 MM L120 CM OD6 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200066020	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L120 CM L80 MM L159 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200068020	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L120 CM L80 MM L159 CM OD6 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200068020	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL .035 IN L40 MM L75 CM OD7 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200074070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL .035 IN L40 MM L75 CM OD7 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200074070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L20 MM L75 CM OD8 MM ILIUM SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200082070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L20 MM L75 CM OD8 MM ILIUM SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200082070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL .035 IN L40 MM L75 CM OD8 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200084070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL .035 IN L40 MM L75 CM OD8 MM ILIAC ARTERY SELF EXPAND OTW GUIDEWIRE RADIOPAQUE MARKER ACCEPTS 6 FR SHEATH	SUP-H74939200084070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC METALLIC L60 MM L75 CM OD8 MM ODSEC6 FR ILIAC ARTERY SELF EXPAND SHEATH	SUP-H74939200086070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC METALLIC L60 MM L75 CM OD8 MM ODSEC6 FR ILIAC ARTERY SELF EXPAND SHEATH	SUP-H74939200086070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200088070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD8 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200088070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L75 CM L60 MM L112 CM OD9 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200096070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L75 CM L60 MM L112 CM OD9 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200096070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC 110CM 40MM 75CM 10MM NITINOL ILIAC ARTERY OTW RADIOPAQUE SELF EXPAND ACCEPTS .035IN GUIDEWIRE 6FR	SUP-H74939200104070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC 110CM 40MM 75CM 10MM NITINOL ILIAC ARTERY OTW RADIOPAQUE SELF EXPAND ACCEPTS .035IN GUIDEWIRE 6FR	SUP-H74939200104070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC 75CM 60MM 112CM 10MM NITINOL ILIAC ARTERY OTW RADIOPAQUE SELF EXPAND ACCEPTS .035IN GUIDEWIRE 6FR	SUP-H74939200106070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC 75CM 60MM 112CM 10MM NITINOL ILIAC ARTERY OTW RADIOPAQUE SELF EXPAND ACCEPTS .035IN GUIDEWIRE 6FR	SUP-H74939200106070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD10 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200108070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L75 CM L80 MM L114 CM OD10 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200108070	CDM			270	RC		inpatient			1716	1716																																																			
STENT VASCULAR EPIC NITINOL L75 CM L60 MM L112 CM OD12 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200126070	CDM			270	RC		outpatient			1716	1716	464.86				percent of total billed charges		1716				other	OPPS APC	1269.84				percent of total billed charges		1716				other	OPPS APC	1716				other	OPPS APC	464.86				percent of total billed charges		474.13				percent of total billed charges		1716				other	OPPS APC	464.86	1716	
STENT VASCULAR EPIC NITINOL L75 CM L60 MM L112 CM OD12 MM ILIAC ARTERY SELF EXPAND ACCEPTS 6 FR SHEATH	SUP-H74939200126070	CDM			270	RC		inpatient			1716	1716																																																			
PLATE BONE LCP COMBI 55X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.262	CDM	270010022	LOCAL	270	RC		outpatient			1711.6	1711.6	463.67				percent of total billed charges		1711.6				other	OPPS APC	1266.58				percent of total billed charges		1711.6				other	OPPS APC	1711.6				other	OPPS APC	463.67				percent of total billed charges		472.92				percent of total billed charges		1711.6				other	OPPS APC	463.67	1711.6	
PLATE BONE LCP COMBI 55X11X2.5MM SS NS HUMERUS RIGHT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.262	CDM	270010022	LOCAL	270	RC		inpatient			1711.6	1711.6																																																			
PLATE BONE LCP COMBI 55X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.263	CDM	270010022	LOCAL	270	RC		outpatient			1711.6	1711.6	463.67				percent of total billed charges		1711.6				other	OPPS APC	1266.58				percent of total billed charges		1711.6				other	OPPS APC	1711.6				other	OPPS APC	463.67				percent of total billed charges		472.92				percent of total billed charges		1711.6				other	OPPS APC	463.67	1711.6	
PLATE BONE LCP COMBI 55X11X2.5MM SS NS HUMERUS LEFT DISTAL POSTEROLATERAL 3 HOLE PRECONTOUR LIMIT CONTACT 3.5MM SCREW	SUP-241.263	CDM	270010022	LOCAL	270	RC		inpatient			1711.6	1711.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L58 MM X W11 MM X H2.5 MM ELBOW RIGHT HUMERUS 3 HOLE PRECONTOUR LIMIT CONTACT 3.5 MM SCREW	SUP-241.282	CDM	270010022	LOCAL	270	RC		outpatient			1711.6	1711.6	463.67				percent of total billed charges		1711.6				other	OPPS APC	1266.58				percent of total billed charges		1711.6				other	OPPS APC	1711.6				other	OPPS APC	463.67				percent of total billed charges		472.92				percent of total billed charges		1711.6				other	OPPS APC	463.67	1711.6	
PLATE BONE LCP COMBI STAINLESS STEEL L58 MM X W11 MM X H2.5 MM ELBOW RIGHT HUMERUS 3 HOLE PRECONTOUR LIMIT CONTACT 3.5 MM SCREW	SUP-241.282	CDM	270010022	LOCAL	270	RC		inpatient			1711.6	1711.6																																																			
PLATE 58X11X2.5MM SS 3.5MM SCREW 3 HOLE FIX ANGLE PRECONTOUR LIMIT CONTACT LCP BONE	SUP-241.283	CDM	270010022	LOCAL	270	RC		outpatient			1711.6	1711.6	463.67				percent of total billed charges		1711.6				other	OPPS APC	1266.58				percent of total billed charges		1711.6				other	OPPS APC	1711.6				other	OPPS APC	463.67				percent of total billed charges		472.92				percent of total billed charges		1711.6				other	OPPS APC	463.67	1711.6	
PLATE 58X11X2.5MM SS 3.5MM SCREW 3 HOLE FIX ANGLE PRECONTOUR LIMIT CONTACT LCP BONE	SUP-241.283	CDM	270010022	LOCAL	270	RC		inpatient			1711.6	1711.6																																																			
T2 10MM RIGID REAMER	SUP-97-04055	CDM			278	RC		outpatient			1709.28	179.28	1709.28				fee schedule		1709.28				other	OPPS APC	974.29				percent of total billed charges		1709.28				other	OPPS APC	1709.28				other	OPPS APC	837.55				percent of total billed charges		871.73				percent of total billed charges		179.28				other	OPPS APC	179.28	1709.28	
T2 10MM RIGID REAMER	SUP-97-04055	CDM			278	RC		inpatient			1709.28	1709.28																																																			
PLATE VARIAX  5 HOLE CURVED LEFT	SUP-40-15013	CDM			270	RC		outpatient			1705.6	175.6	462.05				percent of total billed charges		1705.6				other	OPPS APC	1262.14				percent of total billed charges		1705.6				other	OPPS APC	1705.6				other	OPPS APC	462.05				percent of total billed charges		471.26				percent of total billed charges		175.6				other	OPPS APC	175.6	1705.6	
PLATE VARIAX  5 HOLE CURVED LEFT	SUP-40-15013	CDM			270	RC		inpatient			1705.6	1705.6																																																			
IMPLANT MEDTRONIC TRANSLATIONAL PLATE ONE LEVEL 32.5MM	SUP-6190032	CDM	270010020	LOCAL	270	RC		outpatient			1705.6	175.6	462.05				percent of total billed charges		1705.6				other	OPPS APC	1262.14				percent of total billed charges		1705.6				other	OPPS APC	1705.6				other	OPPS APC	462.05				percent of total billed charges		471.26				percent of total billed charges		175.6				other	OPPS APC	175.6	1705.6	
IMPLANT MEDTRONIC TRANSLATIONAL PLATE ONE LEVEL 32.5MM	SUP-6190032	CDM	270010020	LOCAL	270	RC		inpatient			1705.6	1705.6																																																			
FLEXTOME CUTTING BALLOON 2.0 X 6	SUP-H749CBM3200060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.0 X 6	SUP-H749CBM3200060	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.0 X 10	SUP-H749CBM3200100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.0 X 10	SUP-H749CBM3200100	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.0 X 15	SUP-H749CBM3200150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.0 X 15	SUP-H749CBM3200150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.25 X 6	SUP-H749CBM3225060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.25 X 6	SUP-H749CBM3225060	CDM			481	RC		inpatient			1705	1705																																																			
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L10 MM ODSEC2.25 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3225100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L10 MM ODSEC2.25 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3225100	CDM			481	RC		inpatient			1705	1705																																																			
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L15 MM ODSEC2.25 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3225150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L15 MM ODSEC2.25 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3225150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.5 X 6	SUP-H749CBM3250060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.5 X 6	SUP-H749CBM3250060	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.5 X 10	SUP-H749CBM3250100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.5 X 10	SUP-H749CBM3250100	CDM			481	RC		inpatient			1705	1705																																																			
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L15 MM ODSEC2.5 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3250150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L15 MM ODSEC2.5 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3250150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.75 X 6	SUP-H749CBM3275060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.75 X 6	SUP-H749CBM3275060	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.75 X 10	SUP-H749CBM3275100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.75 X 10	SUP-H749CBM3275100	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 2.75 X 15	SUP-H749CBM3275150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 2.75 X 15	SUP-H749CBM3275150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.0 X 6	SUP-H749CBM3300060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.0 X 6	SUP-H749CBM3300060	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.0 X 10	SUP-H749CBM3300100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.0 X 10	SUP-H749CBM3300100	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.0 X 15	SUP-H749CBM3300150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.0 X 15	SUP-H749CBM3300150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.25 X 6	SUP-H749CBM3325060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.25 X 6	SUP-H749CBM3325060	CDM			481	RC		inpatient			1705	1705																																																			
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L10 MM ODSEC3.25 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3325100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L10 MM ODSEC3.25 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3325100	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.25 X 15	SUP-H749CBM3325150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.25 X 15	SUP-H749CBM3325150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.5 X 6	SUP-H749CBM3350060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.5 X 6	SUP-H749CBM3350060	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.5 X 10	SUP-H749CBM3350100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.5 X 10	SUP-H749CBM3350100	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.5 X 15	SUP-H749CBM3350150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.5 X 15	SUP-H749CBM3350150	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.75 X 6	SUP-H749CBM3375060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.75 X 6	SUP-H749CBM3375060	CDM			481	RC		inpatient			1705	1705																																																			
BALLOON FLEXTOME CUTTING 3.75 X 10 MM	SUP-H749CBM3375100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
BALLOON FLEXTOME CUTTING 3.75 X 10 MM	SUP-H749CBM3375100	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 3.75 X 15	SUP-H749CBM3375150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 3.75 X 15	SUP-H749CBM3375150	CDM			481	RC		inpatient			1705	1705																																																			
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L6 MM ODSEC4 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3400060	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L6 MM ODSEC4 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3400060	CDM			481	RC		inpatient			1705	1705																																																			
FLEXTOME CUTTING BALLOON 4.0 X 10	SUP-H749CBM3400100	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
FLEXTOME CUTTING BALLOON 4.0 X 10	SUP-H749CBM3400100	CDM			481	RC		inpatient			1705	1705																																																			
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L15 MM ODSEC4 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3400150	CDM			481	RC		outpatient			1705	175	835.45				percent of total billed charges		1705				other	OPPS APC	1261.7				percent of total billed charges		1705				other	OPPS APC	1705				other	OPPS APC	835.45				percent of total billed charges		869.55				percent of total billed charges		175				other	OPPS APC	175	1705	
CATHETER BALLOON DILATATION FLEXTOME NYLON L142 CM L15 MM ODSEC4 MM MONORAIL CUTTING BALLOON	SUP-H749CBM3400150	CDM			481	RC		inpatient			1705	1705																																																			
PENICILLIN G BENZATHINE PER 2400000 UNITS	636000000	CDM	60793-702-04	NDC	J0561	HCPCS		inpatient			1704.47	1704.47																																																			
PENICILLIN G BENZATHINE PER 2400000 UNITS	636000000	CDM	60793-702-10	NDC	J0561	HCPCS		inpatient			1704.47	1704.47																																																			
PENICILLIN G BENZATHINE PER 2400000 UNITS	636000000	CDM	60793-702-04	NDC	J0561	HCPCS		outpatient			1704.47	23.43																																											23.43				other	OPPS APC	23.43	23.43	
PENICILLIN G BENZATHINE PER 2400000 UNITS	636000000	CDM	60793-702-10	NDC	J0561	HCPCS		outpatient			1704.47	23.43																																											23.43				other	OPPS APC	23.43	23.43	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 2 HALF H5 MM KNEE TIBIAL STERILE	SUP-00-5988-002-26	CDM	270010025	LOCAL	270	RC		outpatient			1704	174	461.61				percent of total billed charges		1704				other	OPPS APC	1260.96				percent of total billed charges		1704				other	OPPS APC	1704				other	OPPS APC	461.61				percent of total billed charges		470.82				percent of total billed charges		174				other	OPPS APC	174	1704	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 2 HALF H5 MM KNEE TIBIAL STERILE	SUP-00-5988-002-26	CDM	270010025	LOCAL	270	RC		inpatient			1704	1704																																																			
WEDGE TIBIAL NEXGEN TIVANIUM PMMA 22 D 5 THIRD H10 MM KNEE STERILE	SUP-00-5988-005-22	CDM	270010025	LOCAL	270	RC		outpatient			1704	174	461.61				percent of total billed charges		1704				other	OPPS APC	1260.96				percent of total billed charges		1704				other	OPPS APC	1704				other	OPPS APC	461.61				percent of total billed charges		470.82				percent of total billed charges		174				other	OPPS APC	174	1704	
WEDGE TIBIAL NEXGEN TIVANIUM PMMA 22 D 5 THIRD H10 MM KNEE STERILE	SUP-00-5988-005-22	CDM	270010025	LOCAL	270	RC		inpatient			1704	1704																																																			
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 5 HALF H5 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-005-26	CDM	270010025	LOCAL	270	RC		outpatient			1704	174	461.61				percent of total billed charges		1704				other	OPPS APC	1260.96				percent of total billed charges		1704				other	OPPS APC	1704				other	OPPS APC	461.61				percent of total billed charges		470.82				percent of total billed charges		174				other	OPPS APC	174	1704	
BLOCK AUGMENTATION NEXGEN TIVANIUM PMMA 5 HALF H5 MM KNEE TIBIAL PRECOAT STERILE	SUP-00-5988-005-26	CDM	270010025	LOCAL	270	RC		inpatient			1704	1704																																																			
PLATE MIDFACE/UPPER FACE  BENDER LEFT	SUP-6212176	CDM			270	RC		outpatient			1701.6	171.6	460.96				percent of total billed charges		1701.6				other	OPPS APC	1259.18				percent of total billed charges		1701.6				other	OPPS APC	1701.6				other	OPPS APC	460.96				percent of total billed charges		470.15				percent of total billed charges		171.6				other	OPPS APC	171.6	1701.6	
PLATE MIDFACE/UPPER FACE  BENDER LEFT	SUP-6212176	CDM			270	RC		inpatient			1701.6	1701.6																																																			
SUTURE OVERSTITCH CINCH	SUP-95-04210	CDM			272	RC		outpatient			1701	171	460.8				percent of total billed charges		1701				other	OPPS APC	1258.74				percent of total billed charges		1701				other	OPPS APC	1701				other	OPPS APC	460.8				percent of total billed charges		469.99				percent of total billed charges		171				other	OPPS APC	171	1701	
SUTURE OVERSTITCH CINCH	SUP-95-04210	CDM			272	RC		inpatient			1701	1701																																																			
VERAN SPIN FLEX NEEDLE 22G	SUP-INS-5410	CDM			270	RC		outpatient			1701	171	460.8				percent of total billed charges		1701				other	OPPS APC	1258.74				percent of total billed charges		1701				other	OPPS APC	1701				other	OPPS APC	460.8				percent of total billed charges		469.99				percent of total billed charges		171				other	OPPS APC	171	1701	
VERAN SPIN FLEX NEEDLE 22G	SUP-INS-5410	CDM			270	RC		inpatient			1701	1701																																																			
VERAN SPIN XTEND NEEDLE 21G	SUP-INS-5450	CDM			270	RC		outpatient			1701	171	460.8				percent of total billed charges		1701				other	OPPS APC	1258.74				percent of total billed charges		1701				other	OPPS APC	1701				other	OPPS APC	460.8				percent of total billed charges		469.99				percent of total billed charges		171				other	OPPS APC	171	1701	
VERAN SPIN XTEND NEEDLE 21G	SUP-INS-5450	CDM			270	RC		inpatient			1701	1701																																																			
RELOAD GIA 45MM VASC XTRA THIN	SUP-74-00411	CDM			272	RC		outpatient			1700.27	17.27	460.6				percent of total billed charges		1700.27				other	OPPS APC	1258.2				percent of total billed charges		1700.27				other	OPPS APC	1700.27				other	OPPS APC	460.6				percent of total billed charges		469.78				percent of total billed charges		17.27				other	OPPS APC	17.27	1700.27	
RELOAD GIA 45MM VASC XTRA THIN	SUP-74-00411	CDM			272	RC		inpatient			1700.27	1700.27																																																			
DVR ANATOMIC STD HEAD LEFT	SUP-DVRAL	CDM			270	RC		outpatient			1700.02	17.2	460.54				percent of total billed charges		1700.02				other	OPPS APC	1258.01				percent of total billed charges		1700.02				other	OPPS APC	1700.02				other	OPPS APC	460.54				percent of total billed charges		469.72				percent of total billed charges		17.2				other	OPPS APC	17.2	1700.02	
DVR ANATOMIC STD HEAD LEFT	SUP-DVRAL	CDM			270	RC		inpatient			1700.02	1700.02																																																			
PLATE BONE DVR FAST GUIDE KIRSCHNER TITANIUM NARROW STANDARD L57.2 MM X W21.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE LOW PROFILE FIX ANGLE WIRE	SUP-DVRANL	CDM			270	RC		outpatient			1700.02	17.2	460.54				percent of total billed charges		1700.02				other	OPPS APC	1258.01				percent of total billed charges		1700.02				other	OPPS APC	1700.02				other	OPPS APC	460.54				percent of total billed charges		469.72				percent of total billed charges		17.2				other	OPPS APC	17.2	1700.02	
PLATE BONE DVR FAST GUIDE KIRSCHNER TITANIUM NARROW STANDARD L57.2 MM X W21.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE LOW PROFILE FIX ANGLE WIRE	SUP-DVRANL	CDM			270	RC		inpatient			1700.02	1700.02																																																			
PLATE BONE DVR FAST GUIDE TITANIUM NARROW L57.2 MM X W21.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE	SUP-DVRAN-R	CDM			270	RC		outpatient			1700.02	17.2	460.54				percent of total billed charges		1700.02				other	OPPS APC	1258.01				percent of total billed charges		1700.02				other	OPPS APC	1700.02				other	OPPS APC	460.54				percent of total billed charges		469.72				percent of total billed charges		17.2				other	OPPS APC	17.2	1700.02	
PLATE BONE DVR FAST GUIDE TITANIUM NARROW L57.2 MM X W21.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE	SUP-DVRAN-R	CDM			270	RC		inpatient			1700.02	1700.02																																																			
PLATE BONE DVR FAST GUIDE TITANIUM SHORT NARROW L48.9 MM X W21.6 MM RADIUS LEFT DISTAL VOLAR 3 HOLE LOW PROFILE	SUP-DVRANS-L	CDM			270	RC		outpatient			1700.02	17.2	460.54				percent of total billed charges		1700.02				other	OPPS APC	1258.01				percent of total billed charges		1700.02				other	OPPS APC	1700.02				other	OPPS APC	460.54				percent of total billed charges		469.72				percent of total billed charges		17.2				other	OPPS APC	17.2	1700.02	
PLATE BONE DVR FAST GUIDE TITANIUM SHORT NARROW L48.9 MM X W21.6 MM RADIUS LEFT DISTAL VOLAR 3 HOLE LOW PROFILE	SUP-DVRANS-L	CDM			270	RC		inpatient			1700.02	1700.02																																																			
PLATE BONE DVR FAST GUIDE TITANIUM SHORT NARROW L48.9 MM X W21.6 MM RADIUS RIGHT DISTAL VOLAR 3 HOLE LOW PROFILE	SUP-DVRANS-R	CDM			270	RC		outpatient			1700.02	17.2	460.54				percent of total billed charges		1700.02				other	OPPS APC	1258.01				percent of total billed charges		1700.02				other	OPPS APC	1700.02				other	OPPS APC	460.54				percent of total billed charges		469.72				percent of total billed charges		17.2				other	OPPS APC	17.2	1700.02	
PLATE BONE DVR FAST GUIDE TITANIUM SHORT NARROW L48.9 MM X W21.6 MM RADIUS RIGHT DISTAL VOLAR 3 HOLE LOW PROFILE	SUP-DVRANS-R	CDM			270	RC		inpatient			1700.02	1700.02																																																			
PLATE BONE DVR FAST GUIDE TITANIUM L62.6 MM X W28.2 MM RADIUS LEFT DISTAL VOLAR 4 HOLE 2 TIER WIDE HEAD NONSTERILE	SUP-DVRAWL	CDM			270	RC		outpatient			1700.02	17.2	460.54				percent of total billed charges		1700.02				other	OPPS APC	1258.01				percent of total billed charges		1700.02				other	OPPS APC	1700.02				other	OPPS APC	460.54				percent of total billed charges		469.72				percent of total billed charges		17.2				other	OPPS APC	17.2	1700.02	
PLATE BONE DVR FAST GUIDE TITANIUM L62.6 MM X W28.2 MM RADIUS LEFT DISTAL VOLAR 4 HOLE 2 TIER WIDE HEAD NONSTERILE	SUP-DVRAWL	CDM			270	RC		inpatient			1700.02	1700.02																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-08	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 2.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125225-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-08	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-33	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 2.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125250-38	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-08	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-33	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 2.75MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125275-38	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-08	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-33	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 3MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125300-38	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-08	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-33	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 3.25MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125325-38	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 8MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-08	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 12MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 3.5MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS	SUP-1125350-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE ALPINE EVEROLIMUS ELUTING COCR TAPER L38 MM L145 CM OD3.5 MM ODSEC.034-.029 IN ID5 FR 2 RADIOPAQUE 1 ACCESS PORT RAPID EXCHANGE BALLOON	SUP-1125350-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE ALPINE EVEROLIMUS ELUTING COCR TAPER L38 MM L145 CM OD3.5 MM ODSEC.034-.029 IN ID5 FR 2 RADIOPAQUE 1 ACCESS PORT RAPID EXCHANGE BALLOON	SUP-1125350-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE ALPINE EVEROLIMUS ELUTING COCR TAPER L8 MM L145 CM OD4 MM ODSEC.034-.029 IN ID5 FR 2 RADIOPAQUE 1 ACCESS PORT RAPID EXCHANGE BALLOON EXPAND STERILE ACCEPTS .014 IN GUIDEWIRE	SUP-1125400-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE ALPINE EVEROLIMUS ELUTING COCR TAPER L8 MM L145 CM OD4 MM ODSEC.034-.029 IN ID5 FR 2 RADIOPAQUE 1 ACCESS PORT RAPID EXCHANGE BALLOON EXPAND STERILE ACCEPTS .014 IN GUIDEWIRE	SUP-1125400-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE ALPINE EVEROLIMUS ELUTING COCR TAPER L12 MM L145 CM OD4 MM ODSEC.034-.029 IN ID5 FR 2 RADIOPAQUE 1 ACCESS PORT RAPID EXCHANGE BALLOON EXPAND STERILE ACCEPTS .014 IN GUIDEWIRE	SUP-1125400-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE ALPINE EVEROLIMUS ELUTING COCR TAPER L12 MM L145 CM OD4 MM ODSEC.034-.029 IN ID5 FR 2 RADIOPAQUE 1 ACCESS PORT RAPID EXCHANGE BALLOON EXPAND STERILE ACCEPTS .014 IN GUIDEWIRE	SUP-1125400-12	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 15MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-15	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 18MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-18	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 23MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-23	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 28MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-28	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 33MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-33	CDM			481	RC		inpatient			1700	1700																																																			
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
SYSTEM CORONARY STENT XIENCE ALPINE 38MM 145CM 4MM EVEROLIMUS COCR RAPID EXCHANGE RADIOPAQUE 1 ACCESS PORT ACCEPTS .014-	SUP-1125400-38	CDM			481	RC		inpatient			1700	1700																																																			
STEM HUMERAL COMPREHENSIVE STANDARD 122MM 7MM POROUS SHOULDER REVERSE SYSTEM	SUP-11-3647	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
STEM HUMERAL COMPREHENSIVE STANDARD 122MM 7MM POROUS SHOULDER REVERSE SYSTEM	SUP-11-3647	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
STEM HUMERAL COMPREHENSIVE STANDARD 122MM 12MM POROUS SHOULDER REVERSE SYSTEM	SUP-11-3652	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
STEM HUMERAL COMPREHENSIVE STANDARD 122MM 12MM POROUS SHOULDER REVERSE SYSTEM	SUP-11-3652	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
STEM HUMERAL COMPREHENSIVE STANDARD 122MM 17MM POROUS SHOULDER REVERSE SYSTEM	SUP-11-3657	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
STEM HUMERAL COMPREHENSIVE STANDARD 122MM 17MM POROUS SHOULDER REVERSE SYSTEM	SUP-11-3657	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 2.25MM	SUP-1804225-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 2.25MM	SUP-1804225-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 2.25MM	SUP-1804225-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 2.25MM	SUP-1804225-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 2.25MM	SUP-1804225-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 2.25MM	SUP-1804225-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 2.25MM	SUP-1804225-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 2.25MM	SUP-1804225-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 2.25MM	SUP-1804225-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 2.25MM	SUP-1804225-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 2.25MM	SUP-1804225-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 2.25MM	SUP-1804225-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 2.25MM	SUP-1804225-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 2.25MM	SUP-1804225-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 2.25MM	SUP-1804225-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 2.25MM	SUP-1804225-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 2.50MM	SUP-1804250-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 2.50MM	SUP-1804250-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 2.50MM	SUP-1804250-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 2.50MM	SUP-1804250-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 2.50MM	SUP-1804250-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 2.50MM	SUP-1804250-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 2.50MM	SUP-1804250-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 2.50MM	SUP-1804250-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 2.50MM	SUP-1804250-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 2.50MM	SUP-1804250-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 2.50MM	SUP-1804250-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 2.50MM	SUP-1804250-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 2.50MM	SUP-1804250-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 2.50MM	SUP-1804250-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 2.50MM	SUP-1804250-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 2.50MM	SUP-1804250-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 2.75MM	SUP-1804275-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 2.75MM	SUP-1804275-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 2.75MM	SUP-1804275-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 2.75MM	SUP-1804275-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 2.75MM	SUP-1804275-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 2.75MM	SUP-1804275-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 2.75MM	SUP-1804275-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 2.75MM	SUP-1804275-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 2.75MM	SUP-1804275-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 2.75MM	SUP-1804275-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 2.75MM	SUP-1804275-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 2.75MM	SUP-1804275-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 2.75MM	SUP-1804275-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 2.75MM	SUP-1804275-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 2.75MM	SUP-1804275-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 2.75MM	SUP-1804275-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 3.0MM	SUP-1804300-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 3.0MM	SUP-1804300-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 3.0MM	SUP-1804300-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 3.0MM	SUP-1804300-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 3.0MM	SUP-1804300-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 3.0MM	SUP-1804300-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 3.0MM	SUP-1804300-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 3.0MM	SUP-1804300-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 3.0MM	SUP-1804300-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 3.0MM	SUP-1804300-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 3.0MM	SUP-1804300-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 3.0MM	SUP-1804300-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 3.0MM	SUP-1804300-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 3.0MM	SUP-1804300-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 3.0MM	SUP-1804300-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 3.0MM	SUP-1804300-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 3.25MM	SUP-1804325-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 3.25MM	SUP-1804325-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 3.25MM	SUP-1804325-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 3.25MM	SUP-1804325-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 3.25MM	SUP-1804325-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 3.25MM	SUP-1804325-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 3.25MM	SUP-1804325-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 3.25MM	SUP-1804325-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 3.25MM	SUP-1804325-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 3.25MM	SUP-1804325-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 3.25MM	SUP-1804325-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 3.25MM	SUP-1804325-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 3.25MM	SUP-1804325-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 3.25MM	SUP-1804325-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 3.25MM	SUP-1804325-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 3.25MM	SUP-1804325-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 3.50MM	SUP-1804350-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 3.50MM	SUP-1804350-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 3.50MM	SUP-1804350-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 3.50MM	SUP-1804350-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 3.50MM	SUP-1804350-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 3.50MM	SUP-1804350-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 3.50MM	SUP-1804350-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 3.50MM	SUP-1804350-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 3.50MM	SUP-1804350-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 3.50MM	SUP-1804350-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 3.50MM	SUP-1804350-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 3.50MM	SUP-1804350-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 3.50MM	SUP-1804350-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 3.50MM	SUP-1804350-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 3.50MM	SUP-1804350-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 3.50MM	SUP-1804350-38	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 8MM OD 4.0MM	SUP-1804400-08	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 8MM OD 4.0MM	SUP-1804400-08	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 12MM OD 4.0MM	SUP-1804400-12	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 12MM OD 4.0MM	SUP-1804400-12	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 15MM OD 4.0MM	SUP-1804400-15	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 15MM OD 4.0MM	SUP-1804400-15	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 18MM OD 4.0MM	SUP-1804400-18	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 18MM OD 4.0MM	SUP-1804400-18	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 23MM OD 4.0MM	SUP-1804400-23	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 23MM OD 4.0MM	SUP-1804400-23	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 28MM OD 4.0MM	SUP-1804400-28	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 28MM OD 4.0MM	SUP-1804400-28	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 33MM OD 4.0MM	SUP-1804400-33	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 33MM OD 4.0MM	SUP-1804400-33	CDM			481	RC		inpatient			1700	1700																																																			
STENT CORONARY XIENCE SKYPOINT L 38MM OD 4.0MM	SUP-1804400-38	CDM			481	RC		outpatient			1700	17	833				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	833				percent of total billed charges		867				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT CORONARY XIENCE SKYPOINT L 38MM OD 4.0MM	SUP-1804400-38	CDM			481	RC		inpatient			1700	1700																																																			
IMPLANT BREAST MAMMARY SILICONE GEL ROUND SMOOTH MODERATE PROFILE 300CC	SUP-350-7300 BC	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
IMPLANT BREAST MAMMARY SILICONE GEL ROUND SMOOTH MODERATE PROFILE 300CC	SUP-350-7300 BC	CDM			270	RC		inpatient			1700	1700																																																			
IMPLANT BREAST SILICONE GEL MODERATE PROFILE SMOOTH ROUND 400CC	SUP-350-7400BC	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
IMPLANT BREAST SILICONE GEL MODERATE PROFILE SMOOTH ROUND 400CC	SUP-350-7400BC	CDM			270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004530	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004530	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004535	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004535	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004540	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD4.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840004540	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD5 MM SPINAL 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED CANNULATED 4.75 MM ROD	SUP-54840005035	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD5 MM SPINAL 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED CANNULATED 4.75 MM ROD	SUP-54840005035	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR L40 MM OD5 MM SPINE 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED NONSTERILE 4.75 MM ROD	SUP-54840005040	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR L40 MM OD5 MM SPINE 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED NONSTERILE 4.75 MM ROD	SUP-54840005040	CDM			270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L25 MM OD5.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005525	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L25 MM OD5.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005525	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD5.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005550	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD5.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005550	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L55 MM OD5.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005555	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L55 MM OD5.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840005555	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006030	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L30 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006030	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006035	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006035	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006045	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006045	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006050	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD6 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006050	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006535	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006535	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006540	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006540	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006545	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L45 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006545	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006550	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006550	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L55 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006555	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L55 MM OD6.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840006555	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD7.5 MM SPINAL 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED SELF RETAIN BREAK OFF DRIVER 4.75 MM ROD	SUP-54840007535	CDM	270010022	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L35 MM OD7.5 MM SPINAL 2 LEAD THREAD FORM MULTIAXIAL COLOR CODED SELF RETAIN BREAK OFF DRIVER 4.75 MM ROD	SUP-54840007535	CDM	270010022	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD8.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840008540	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L40 MM OD8.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840008540	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD8.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840008550	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA CD HORIZON OSTEOGRIP TITANIUM COCR LOW PROFILE L50 MM OD8.5 MM SPINE 2 LEAD MULTIAXIAL COLOR CODED 4.75 MM ROD	SUP-54840008550	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE SOLERA COCR L50 MM OD6.5 MM SPINE MULTIAXIAL	SUP-55840006550	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE SOLERA COCR L50 MM OD6.5 MM SPINE MULTIAXIAL	SUP-55840006550	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
SCREW BONE COCR L55 MM OD6.5 MM SPINE MULTIAXIAL 5.5 MM ROD	SUP-55840006555	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
SCREW BONE COCR L55 MM OD6.5 MM SPINE MULTIAXIAL 5.5 MM ROD	SUP-55840006555	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
PLATE SPINAL SHORELINE 5MM 3-HOLE STANDALONE ANTERIOR CERVICAL	SUP-85-0605	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
PLATE SPINAL SHORELINE 5MM 3-HOLE STANDALONE ANTERIOR CERVICAL	SUP-85-0605	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
PLATE SPINAL SHORELINE 6MM 3-HOLE STANDALONE ANTERIOR CERVICAL	SUP-85-0606	CDM	270010020	LOCAL	270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
PLATE SPINAL SHORELINE 6MM 3-HOLE STANDALONE ANTERIOR CERVICAL	SUP-85-0606	CDM	270010020	LOCAL	270	RC		inpatient			1700	1700																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 10 HOLE	SUP-AR-8943BL-10	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 10 HOLE	SUP-AR-8943BL-10	CDM			270	RC		inpatient			1700	1700																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA RIGHT 10 HOLE	SUP-AR-8943BR-10	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
PLATE ARTHREX LOCKING DISTAL FIBULA RIGHT 10 HOLE	SUP-AR-8943BR-10	CDM			270	RC		inpatient			1700	1700																																																			
STENT VASCULAR CORDIS SMART CONTROL 100MM 120CM 7MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C07100ML	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
STENT VASCULAR CORDIS SMART CONTROL 100MM 120CM 7MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C07100ML	CDM			270	RC		inpatient			1700	1700																																																			
PROGEL	SUP-GSP002	CDM			270	RC		outpatient			1700	17	460.53				percent of total billed charges		1700				other	OPPS APC	1258				percent of total billed charges		1700				other	OPPS APC	1700				other	OPPS APC	460.53				percent of total billed charges		469.71				percent of total billed charges		17				other	OPPS APC	17	1700	
PROGEL	SUP-GSP002	CDM			270	RC		inpatient			1700	1700																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L296 MM X W17.5 MM X H5.2 MM 16 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.661	CDM	270010022	LOCAL	270	RC		outpatient			1696.54	1696.54	459.59				percent of total billed charges		1696.54				other	OPPS APC	1255.44				percent of total billed charges		1696.54				other	OPPS APC	1696.54				other	OPPS APC	459.59				percent of total billed charges		468.75				percent of total billed charges		1696.54				other	OPPS APC	459.59	1696.54	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L296 MM X W17.5 MM X H5.2 MM 16 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.661	CDM	270010022	LOCAL	270	RC		inpatient			1696.54	1696.54																																																			
CATHETER INFUSION ECHELON 10 NITINOL 45 D .014 IN MICRO L155 CM L150 CM OD2.1-1.7 FR ID.017 IN 2 RADIOPAQUE 1 LUMEN GUIDEWIRE OTW	SUP-145-5091-150	CDM			270	RC		outpatient			1694	1694	458.9				percent of total billed charges		1694				other	OPPS APC	1253.56				percent of total billed charges		1694				other	OPPS APC	1694				other	OPPS APC	458.9				percent of total billed charges		468.05				percent of total billed charges		1694				other	OPPS APC	458.9	1694	
CATHETER INFUSION ECHELON 10 NITINOL 45 D .014 IN MICRO L155 CM L150 CM OD2.1-1.7 FR ID.017 IN 2 RADIOPAQUE 1 LUMEN GUIDEWIRE OTW	SUP-145-5091-150	CDM			270	RC		inpatient			1694	1694																																																			
CATHETER INFUSION ECHELON 10 NITINOL 90 D L5 MM MICRO L155 CM L150 CM OD2.1-1.7 FR ID.017 IN .34 ML 1 LUMEN 2 RADIOPAQUE REINFORCE ENDHOLE ACCEPTS .014 IN GUIDEWIRE	SUP-190-5091-150	CDM			270	RC		outpatient			1694	1694	458.9				percent of total billed charges		1694				other	OPPS APC	1253.56				percent of total billed charges		1694				other	OPPS APC	1694				other	OPPS APC	458.9				percent of total billed charges		468.05				percent of total billed charges		1694				other	OPPS APC	458.9	1694	
CATHETER INFUSION ECHELON 10 NITINOL 90 D L5 MM MICRO L155 CM L150 CM OD2.1-1.7 FR ID.017 IN .34 ML 1 LUMEN 2 RADIOPAQUE REINFORCE ENDHOLE ACCEPTS .014 IN GUIDEWIRE	SUP-190-5091-150	CDM			270	RC		inpatient			1694	1694																																																			
VENTRALIGHT ST W/ECHO 4X6	SUP-97-05450	CDM			278	RC		outpatient			1693.5	1693.5	1693.5				fee schedule		1693.5				other	OPPS APC	965.3				percent of total billed charges		1693.5				other	OPPS APC	1693.5				other	OPPS APC	829.82				percent of total billed charges		863.69				percent of total billed charges		1693.5				other	OPPS APC	829.82	1693.5	
VENTRALIGHT ST W/ECHO 4X6	SUP-97-05450	CDM			278	RC		inpatient			1693.5	1693.5																																																			
PATELLA ROUND DOME 35MM	SUP-97-01054	CDM			278	RC		outpatient			1693.2	1693.2	1693.2				fee schedule		1693.2				other	OPPS APC	965.12				percent of total billed charges		1693.2				other	OPPS APC	1693.2				other	OPPS APC	829.67				percent of total billed charges		863.53				percent of total billed charges		1693.2				other	OPPS APC	829.67	1693.2	
PATELLA ROUND DOME 35MM	SUP-97-01054	CDM			278	RC		inpatient			1693.2	1693.2																																																			
BIOPSY SITE ID   11G	SUP-95-00532	CDM						inpatient			1692.9	1692.9																																																			
BIOPSY SITE ID   11G	SUP-95-00532	CDM						outpatient			1692.9	1692.91	1692.9				percent of total billed charges		1692.9				other	OPPS APC	1692.9				fee schedule		1692.9				other	OPPS APC	1692.9				other	OPPS APC	1692.9				case rate		1692.9				case rate		1692.91				other	OPPS APC	1692.9	1692.91	
BIOPSY SITE ID  2 BREAST	SUP-95-01219	CDM						inpatient			1692.9	1692.9																																																			
BIOPSY SITE ID  2 BREAST	SUP-95-01219	CDM						outpatient			1692.9	1692.91	1692.9				percent of total billed charges		1692.9				other	OPPS APC	1692.9				fee schedule		1692.9				other	OPPS APC	1692.9				other	OPPS APC	1692.9				case rate		1692.9				case rate		1692.91				other	OPPS APC	1692.9	1692.91	
PLATE BONE 39X5X1.2MM TITANIUM NS HAND LEFT CONDYLE 7 HOLE MODULAR 2MM SCREW MINI FRAGMENT	SUP-443.61.96	CDM	270010022	LOCAL	270	RC		outpatient			1691.8	1691.8	458.31				percent of total billed charges		1691.8				other	OPPS APC	1251.93				percent of total billed charges		1691.8				other	OPPS APC	1691.8				other	OPPS APC	458.31				percent of total billed charges		467.44				percent of total billed charges		1691.8				other	OPPS APC	458.31	1691.8	
PLATE BONE 39X5X1.2MM TITANIUM NS HAND LEFT CONDYLE 7 HOLE MODULAR 2MM SCREW MINI FRAGMENT	SUP-443.61.96	CDM	270010022	LOCAL	270	RC		inpatient			1691.8	1691.8																																																			
PLATE BONE 39X5X1.2MM TITANIUM NS HAND RIGHT CONDYLE 7 HOLE MODULAR 2MM SCREW MINI FRAGMENT	SUP-443.62.96	CDM	270010022	LOCAL	270	RC		outpatient			1691.8	1691.8	458.31				percent of total billed charges		1691.8				other	OPPS APC	1251.93				percent of total billed charges		1691.8				other	OPPS APC	1691.8				other	OPPS APC	458.31				percent of total billed charges		467.44				percent of total billed charges		1691.8				other	OPPS APC	458.31	1691.8	
PLATE BONE 39X5X1.2MM TITANIUM NS HAND RIGHT CONDYLE 7 HOLE MODULAR 2MM SCREW MINI FRAGMENT	SUP-443.62.96	CDM	270010022	LOCAL	270	RC		inpatient			1691.8	1691.8																																																			
PLATE BONE LCP TITANIUM L54 MM 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.349	CDM	270010022	LOCAL	270	RC		outpatient			1691.8	1691.8	458.31				percent of total billed charges		1691.8				other	OPPS APC	1251.93				percent of total billed charges		1691.8				other	OPPS APC	1691.8				other	OPPS APC	458.31				percent of total billed charges		467.44				percent of total billed charges		1691.8				other	OPPS APC	458.31	1691.8	
PLATE BONE LCP TITANIUM L54 MM 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.349	CDM	270010022	LOCAL	270	RC		inpatient			1691.8	1691.8																																																			
PLATE SYNTHES 2.0MM 7 HOLE LCP CONDYLAR	SUP-447.349	CDM	270010022	LOCAL	270	RC		outpatient			1691.8	1691.8	458.31				percent of total billed charges		1691.8				other	OPPS APC	1251.93				percent of total billed charges		1691.8				other	OPPS APC	1691.8				other	OPPS APC	458.31				percent of total billed charges		467.44				percent of total billed charges		1691.8				other	OPPS APC	458.31	1691.8	
PLATE SYNTHES 2.0MM 7 HOLE LCP CONDYLAR	SUP-447.349	CDM	270010022	LOCAL	270	RC		inpatient			1691.8	1691.8																																																			
PLATE BONE LCP STAINLESS STEEL STANDARD L L44 MM FOREFOOT MIDFOOT LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.259	CDM	270010022	LOCAL	270	RC		outpatient			1689.74	1689.74	457.75				percent of total billed charges		1689.74				other	OPPS APC	1250.41				percent of total billed charges		1689.74				other	OPPS APC	1689.74				other	OPPS APC	457.75				percent of total billed charges		466.88				percent of total billed charges		1689.74				other	OPPS APC	457.75	1689.74	
PLATE BONE LCP STAINLESS STEEL STANDARD L L44 MM FOREFOOT MIDFOOT LEFT VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.259	CDM	270010022	LOCAL	270	RC		inpatient			1689.74	1689.74																																																			
1.7MM COCR CABLEW/ TI CRIMP	SUP-97-00405	CDM			278	RC		outpatient			1688.58	1688.58	1688.58				fee schedule		1688.58				other	OPPS APC	962.49				percent of total billed charges		1688.58				other	OPPS APC	1688.58				other	OPPS APC	827.4				percent of total billed charges		861.18				percent of total billed charges		1688.58				other	OPPS APC	827.4	1688.58	
1.7MM COCR CABLEW/ TI CRIMP	SUP-97-00405	CDM			278	RC		inpatient			1688.58	1688.58																																																			
PLATE BONE 108MM RADIUS CURVED 130MM SS NS PELVIS 10 HOLE LOW PROFILE RECONSTRUCTION 3.5MM SCREW	SUP-245.880	CDM	270010022	LOCAL	270	RC		outpatient			1687.4	1687.41	457.12				percent of total billed charges		1687.4				other	OPPS APC	1248.68				percent of total billed charges		1687.4				other	OPPS APC	1687.4				other	OPPS APC	457.12				percent of total billed charges		466.23				percent of total billed charges		1687.41				other	OPPS APC	457.12	1687.41	
PLATE BONE 108MM RADIUS CURVED 130MM SS NS PELVIS 10 HOLE LOW PROFILE RECONSTRUCTION 3.5MM SCREW	SUP-245.880	CDM	270010022	LOCAL	270	RC		inpatient			1687.4	1687.4																																																			
PLATE BONE STAINLESS STEEL 88 MM RADIUS LOW PROFILE CURVE L130 MM PELVIS 10 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.910	CDM	270010022	LOCAL	270	RC		outpatient			1687.4	1687.41	457.12				percent of total billed charges		1687.4				other	OPPS APC	1248.68				percent of total billed charges		1687.4				other	OPPS APC	1687.4				other	OPPS APC	457.12				percent of total billed charges		466.23				percent of total billed charges		1687.41				other	OPPS APC	457.12	1687.41	
PLATE BONE STAINLESS STEEL 88 MM RADIUS LOW PROFILE CURVE L130 MM PELVIS 10 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.910	CDM	270010022	LOCAL	270	RC		inpatient			1687.4	1687.4																																																			
PLATE HAND LOCKING T WIDE 8 HOLE PROFYLE	SUP-97-00138	CDM						inpatient			1686.36	1686.36																																																			
PLATE HAND LOCKING T WIDE 8 HOLE PROFYLE	SUP-97-00138	CDM						outpatient			1686.36	1686.36	1686.36				percent of total billed charges		1686.36				other	OPPS APC	1686.36				fee schedule		1686.36				other	OPPS APC	1686.36				other	OPPS APC	1686.36				case rate		1686.36				case rate		1686.36				other	OPPS APC	1686.36	1686.36	
PLATE PROFYLE HAND LOCK 3D 4X2 HOLE	SUP-97-00147	CDM			278	RC		outpatient			1686.36	1686.36	1686.36				fee schedule		1686.36				other	OPPS APC	961.23				percent of total billed charges		1686.36				other	OPPS APC	1686.36				other	OPPS APC	826.32				percent of total billed charges		860.04				percent of total billed charges		1686.36				other	OPPS APC	826.32	1686.36	
PLATE PROFYLE HAND LOCK 3D 4X2 HOLE	SUP-97-00147	CDM			278	RC		inpatient			1686.36	1686.36																																																			
PLATE VARIAX MC5 LOCKING 5 HOLE RIGHT 2.3MM	SUP-97-03993	CDM			278	RC		outpatient			1686.36	1686.36	1686.36				fee schedule		1686.36				other	OPPS APC	961.23				percent of total billed charges		1686.36				other	OPPS APC	1686.36				other	OPPS APC	826.32				percent of total billed charges		860.04				percent of total billed charges		1686.36				other	OPPS APC	826.32	1686.36	
PLATE VARIAX MC5 LOCKING 5 HOLE RIGHT 2.3MM	SUP-97-03993	CDM			278	RC		inpatient			1686.36	1686.36																																																			
PLATE 5 HOLE 2.3MM M VARIAX LOCKING ROTATION	SUP-97-05746	CDM			278	RC		outpatient			1686.36	1686.36	1686.36				fee schedule		1686.36				other	OPPS APC	961.23				percent of total billed charges		1686.36				other	OPPS APC	1686.36				other	OPPS APC	826.32				percent of total billed charges		860.04				percent of total billed charges		1686.36				other	OPPS APC	826.32	1686.36	
PLATE 5 HOLE 2.3MM M VARIAX LOCKING ROTATION	SUP-97-05746	CDM			278	RC		inpatient			1686.36	1686.36																																																			
PLATE PROFYLE HAND LOCK 3-D 1.7 S 3 X 2 HOLE	SUP-97-06177	CDM			278	RC		outpatient			1686.36	1686.36	1686.36				fee schedule		1686.36				other	OPPS APC	961.23				percent of total billed charges		1686.36				other	OPPS APC	1686.36				other	OPPS APC	826.32				percent of total billed charges		860.04				percent of total billed charges		1686.36				other	OPPS APC	826.32	1686.36	
PLATE PROFYLE HAND LOCK 3-D 1.7 S 3 X 2 HOLE	SUP-97-06177	CDM			278	RC		inpatient			1686.36	1686.36																																																			
GRAFT SYNTHETIC TISSUE BIO-A L9 CM OD16 MM FISTULA PLUG DISK BIOABSORBABLE REINFORCEMENT SCAFFOLD	SUP-FP0616	CDM			270	RC		outpatient			1684	1684	456.2				percent of total billed charges		1684				other	OPPS APC	1246.16				percent of total billed charges		1684				other	OPPS APC	1684				other	OPPS APC	456.2				percent of total billed charges		465.29				percent of total billed charges		1684				other	OPPS APC	456.2	1684	
GRAFT SYNTHETIC TISSUE BIO-A L9 CM OD16 MM FISTULA PLUG DISK BIOABSORBABLE REINFORCEMENT SCAFFOLD	SUP-FP0616	CDM			270	RC		inpatient			1684	1684																																																			
PLATE BONE LCP STAINLESS STEEL LONG T L61 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.255	CDM	270010022	LOCAL	270	RC		outpatient			1683.92	1683.92	456.17				percent of total billed charges		1683.92				other	OPPS APC	1246.1				percent of total billed charges		1683.92				other	OPPS APC	1683.92				other	OPPS APC	456.17				percent of total billed charges		465.27				percent of total billed charges		1683.92				other	OPPS APC	456.17	1683.92	
PLATE BONE LCP STAINLESS STEEL LONG T L61 MM FOREFOOT MIDFOOT 2 HOLE VARIABLE ANGLE FUSION LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.255	CDM	270010022	LOCAL	270	RC		inpatient			1683.92	1683.92																																																			
PLATE BONE LCP STAINLESS STEEL L43 MM TARSOMETATARSAL VARIABLE ANGLE FUSION PRECONTOUR LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.266	CDM	270010022	LOCAL	270	RC		outpatient			1683.92	1683.92	456.17				percent of total billed charges		1683.92				other	OPPS APC	1246.1				percent of total billed charges		1683.92				other	OPPS APC	1683.92				other	OPPS APC	456.17				percent of total billed charges		465.27				percent of total billed charges		1683.92				other	OPPS APC	456.17	1683.92	
PLATE BONE LCP STAINLESS STEEL L43 MM TARSOMETATARSAL VARIABLE ANGLE FUSION PRECONTOUR LOW PROFILE NONSTERILE 2.4/2.7 MM SCREW	SUP-02.211.266	CDM	270010022	LOCAL	270	RC		inpatient			1683.92	1683.92																																																			
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L8IN x W 6IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954680	CDM			270	RC		outpatient			1683.4	1683.41	456.03				percent of total billed charges		1683.4				other	OPPS APC	1245.72				percent of total billed charges		1683.4				other	OPPS APC	1683.4				other	OPPS APC	456.03				percent of total billed charges		465.12				percent of total billed charges		1683.41				other	OPPS APC	456.03	1683.41	
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L8IN x W 6IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954680	CDM			270	RC		inpatient			1683.4	1683.4																																																			
HC Gft Skin Sub T/a/L >100cm 1st 25	PX-761152710	CDM	15271	CPT	761	RC		outpatient			1682	1817.71	195.77				case rate		1817.71				other	OPPS APC	1244.68				percent of total billed charges		1817.71				other	OPPS APC	1817.71				other	OPPS APC	195.77				case rate		857.82				percent of total billed charges		1817.71				other	OPPS APC	195.77	1817.71	
HC Gft Skin Sub T/a/L >100cm 1st 25	PX-761152710	CDM	15271	CPT	761	RC		inpatient			1682	1682																																																			
HC Gft Skin Sub F/S/E <100cm 1st 25	PX-761152750	CDM	15275	CPT	761	RC		outpatient			1682	1817.71	195.77				case rate		1817.71				other	OPPS APC	1244.68				percent of total billed charges		1817.71				other	OPPS APC	1817.71				other	OPPS APC	195.77				case rate		857.82				percent of total billed charges		1817.71				other	OPPS APC	195.77	1817.71	
HC Gft Skin Sub F/S/E <100cm 1st 25	PX-761152750	CDM	15275	CPT	761	RC		inpatient			1682	1682																																																			
PLATE BONE LCP STAINLESS STEEL LONG L56 MM CALCANEAL RIGHT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.412	CDM			270	RC		outpatient			1677.14	1677.14	454.34				percent of total billed charges		1677.14				other	OPPS APC	1241.08				percent of total billed charges		1677.14				other	OPPS APC	1677.14				other	OPPS APC	454.34				percent of total billed charges		463.39				percent of total billed charges		1677.14				other	OPPS APC	454.34	1677.14	
PLATE BONE LCP STAINLESS STEEL LONG L56 MM CALCANEAL RIGHT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.412	CDM			270	RC		inpatient			1677.14	1677.14																																																			
PLATE BONE LCP STAINLESS STEEL LONG L56 MM CALCANEAL LEFT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.413	CDM			270	RC		outpatient			1677.14	1677.14	454.34				percent of total billed charges		1677.14				other	OPPS APC	1241.08				percent of total billed charges		1677.14				other	OPPS APC	1677.14				other	OPPS APC	454.34				percent of total billed charges		463.39				percent of total billed charges		1677.14				other	OPPS APC	454.34	1677.14	
PLATE BONE LCP STAINLESS STEEL LONG L56 MM CALCANEAL LEFT ANTEROLATERAL LOCK LOW PROFILE VARIABLE ANGLE NONSTERILE 2.7 MM SCREW	SUP-02.211.413	CDM			270	RC		inpatient			1677.14	1677.14																																																			
HEAD. COMPRESS SCREW 7.0/L50MM SHORT THR	SUP-97-04165	CDM			278	RC		outpatient			1675.08	1675.8	1675.08				fee schedule		1675.08				other	OPPS APC	954.8				percent of total billed charges		1675.08				other	OPPS APC	1675.08				other	OPPS APC	820.79				percent of total billed charges		854.29				percent of total billed charges		1675.8				other	OPPS APC	820.79	1675.8	
HEAD. COMPRESS SCREW 7.0/L50MM SHORT THR	SUP-97-04165	CDM			278	RC		inpatient			1675.08	1675.08																																																			
HEADLESS COMPRESSION SCREW 7.0/L85MM	SUP-97-04250	CDM			278	RC		outpatient			1675.08	1675.8	1675.08				fee schedule		1675.08				other	OPPS APC	954.8				percent of total billed charges		1675.08				other	OPPS APC	1675.08				other	OPPS APC	820.79				percent of total billed charges		854.29				percent of total billed charges		1675.8				other	OPPS APC	820.79	1675.8	
HEADLESS COMPRESSION SCREW 7.0/L85MM	SUP-97-04250	CDM			278	RC		inpatient			1675.08	1675.08																																																			
SCREW NEXIS COMP 4MM X 46MM	SUP-97-04660	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
SCREW NEXIS COMP 4MM X 46MM	SUP-97-04660	CDM			278	RC		inpatient			1674.75	1674.75																																																			
SCREW NEXIS COMP 4MM X 30MM	SUP-97-04661	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
SCREW NEXIS COMP 4MM X 30MM	SUP-97-04661	CDM			278	RC		inpatient			1674.75	1674.75																																																			
SCREW NEXIS COMP 4MM X 34MM	SUP-97-04667	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
SCREW NEXIS COMP 4MM X 34MM	SUP-97-04667	CDM			278	RC		inpatient			1674.75	1674.75																																																			
SCREW NEXIS COMP 4MM X 48MM	SUP-97-04668	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
SCREW NEXIS COMP 4MM X 48MM	SUP-97-04668	CDM			278	RC		inpatient			1674.75	1674.75																																																			
NEXIS SCREW PECA 4MM  LENGTH 46	SUP-97-23714	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
NEXIS SCREW PECA 4MM  LENGTH 46	SUP-97-23714	CDM			278	RC		inpatient			1674.75	1674.75																																																			
NEXIS SCREW PECA 04 LENGTH 42	SUP-97-23735	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
NEXIS SCREW PECA 04 LENGTH 42	SUP-97-23735	CDM			278	RC		inpatient			1674.75	1674.75																																																			
NEXIS SCREW PECA 04 LENGTH 40	SUP-97-23736	CDM			278	RC		outpatient			1674.75	1674.75	1674.75				fee schedule		1674.75				other	OPPS APC	954.61				percent of total billed charges		1674.75				other	OPPS APC	1674.75				other	OPPS APC	820.63				percent of total billed charges		854.12				percent of total billed charges		1674.75				other	OPPS APC	820.63	1674.75	
NEXIS SCREW PECA 04 LENGTH 40	SUP-97-23736	CDM			278	RC		inpatient			1674.75	1674.75																																																			
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 3 ML DRILLABLE INJECT REINFORCED BIORESORBABLE BIOCOMPATIBLE ISOTHERMIC STERILE	SUP-07.704.003S	CDM	270010022	LOCAL	270	RC		outpatient			1674.2	1674.2	453.54				percent of total billed charges		1674.2				other	OPPS APC	1238.91				percent of total billed charges		1674.2				other	OPPS APC	1674.2				other	OPPS APC	453.54				percent of total billed charges		462.58				percent of total billed charges		1674.2				other	OPPS APC	453.54	1674.2	
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 3 ML DRILLABLE INJECT REINFORCED BIORESORBABLE BIOCOMPATIBLE ISOTHERMIC STERILE	SUP-07.704.003S	CDM	270010022	LOCAL	270	RC		inpatient			1674.2	1674.2																																																			
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 3 ML DRILLABLE FAST SET PUTTY STERILE	SUP-07.704.103S	CDM	270010012	LOCAL	270	RC		outpatient			1674.2	1674.2	453.54				percent of total billed charges		1674.2				other	OPPS APC	1238.91				percent of total billed charges		1674.2				other	OPPS APC	1674.2				other	OPPS APC	453.54				percent of total billed charges		462.58				percent of total billed charges		1674.2				other	OPPS APC	453.54	1674.2	
FILLER BONE VOID NORIAN CALCIUM PHOSPHATE FIBER 3 ML DRILLABLE FAST SET PUTTY STERILE	SUP-07.704.103S	CDM	270010012	LOCAL	270	RC		inpatient			1674.2	1674.2																																																			
GRAFT VASCULAR STRAIGHT WALL	SUP-97-00204	CDM			272	RC		outpatient			1674	1674	453.49				percent of total billed charges		1674				other	OPPS APC	1238.76				percent of total billed charges		1674				other	OPPS APC	1674				other	OPPS APC	453.49				percent of total billed charges		462.53				percent of total billed charges		1674				other	OPPS APC	453.49	1674	
GRAFT VASCULAR STRAIGHT WALL	SUP-97-00204	CDM			272	RC		inpatient			1674	1674																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L69 MM CLAVICLE LEFT ANTERIOR SUPERIOR 3 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.007	CDM	270010022	LOCAL	270	RC		outpatient			1673.26	1673.26	453.29				percent of total billed charges		1673.26				other	OPPS APC	1238.21				percent of total billed charges		1673.26				other	OPPS APC	1673.26				other	OPPS APC	453.29				percent of total billed charges		462.32				percent of total billed charges		1673.26				other	OPPS APC	453.29	1673.26	
PLATE BONE LCP COMBI STAINLESS STEEL L69 MM CLAVICLE LEFT ANTERIOR SUPERIOR 3 HOLE LATERAL EXTENSION PRECONTOUR LIMIT CONTACT NONSTERILE 3.5 MM SCREW	SUP-02.112.007	CDM	270010022	LOCAL	270	RC		inpatient			1673.26	1673.26																																																			
RAIL BIOMET 10MM	SUP-04411	CDM			270	RC		outpatient			1671.1	1672	452.7				percent of total billed charges		1671.1				other	OPPS APC	1236.61				percent of total billed charges		1671.1				other	OPPS APC	1671.1				other	OPPS APC	452.7				percent of total billed charges		461.72				percent of total billed charges		1672				other	OPPS APC	452.7	1672	
RAIL BIOMET 10MM	SUP-04411	CDM			270	RC		inpatient			1671.1	1671.1																																																			
PATCH CARDIOVASCULAR SUPPLE PERI-GUARD APEX PROCESSING BOVINE PERICARDIAL L16 CM X W10 CM NONPYROGENIC STERILE	SUP-PC1016NBIO	CDM			270	RC		outpatient			1670.66	167.66	452.58				percent of total billed charges		1670.66				other	OPPS APC	1236.29				percent of total billed charges		1670.66				other	OPPS APC	1670.66				other	OPPS APC	452.58				percent of total billed charges		461.6				percent of total billed charges		167.66				other	OPPS APC	167.66	1670.66	
PATCH CARDIOVASCULAR SUPPLE PERI-GUARD APEX PROCESSING BOVINE PERICARDIAL L16 CM X W10 CM NONPYROGENIC STERILE	SUP-PC1016NBIO	CDM			270	RC		inpatient			1670.66	1670.66																																																			
HC C/T Diagnostic-Thorax W/WO Contrast	PX-352712700	CDM	71270	CPT	352	RC		outpatient			1670	189.94	294.91				fee schedule		189.94				other	OPPS APC	1032.66				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	204.14				fee schedule		144.78				fee schedule		189.94				other	OPPS APC	144.78	1032.66	
HC C/T Diagnostic-Thorax W/WO Contrast	PX-352712700	CDM	71270	CPT	352	RC		inpatient			1670	1670																																																			
HC C/T-L Spine W/O Contrast	PX-352721310	CDM	72131	CPT	352	RC		outpatient			1670	112.57	179.13				fee schedule		112.57				other	OPPS APC	717.69				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	133.65				fee schedule		86.54				fee schedule		112.57				other	OPPS APC	86.54	717.69	
HC C/T-L Spine W/O Contrast	PX-352721310	CDM	72131	CPT	352	RC		inpatient			1670	1670																																																			
SCREW MONSTER 5.5X44MMHEDLESS SHRT THRED	SUP-97-04781	CDM			278	RC		outpatient			1669.5	1669.5	1669.5				fee schedule		1669.5				other	OPPS APC	951.62				percent of total billed charges		1669.5				other	OPPS APC	1669.5				other	OPPS APC	818.06				percent of total billed charges		851.45				percent of total billed charges		1669.5				other	OPPS APC	818.06	1669.5	
SCREW MONSTER 5.5X44MMHEDLESS SHRT THRED	SUP-97-04781	CDM			278	RC		inpatient			1669.5	1669.5																																																			
STAPLER INTERNAL ROTICULATOR 55 POLY LACTOMER TITANIUM L55 MM X W.2 MM VASCULAR LINEAR CUTTER RADIOTRANSPARENT STERILE LATEX FREE DISPOSABLE BROWN ENDOSCOPIC	SUP-13601	CDM			270	RC		outpatient			1668.08	1668.8	451.88				percent of total billed charges		1668.08				other	OPPS APC	1234.38				percent of total billed charges		1668.08				other	OPPS APC	1668.08				other	OPPS APC	451.88				percent of total billed charges		460.89				percent of total billed charges		1668.8				other	OPPS APC	451.88	1668.8	
STAPLER INTERNAL ROTICULATOR 55 POLY LACTOMER TITANIUM L55 MM X W.2 MM VASCULAR LINEAR CUTTER RADIOTRANSPARENT STERILE LATEX FREE DISPOSABLE BROWN ENDOSCOPIC	SUP-13601	CDM			270	RC		inpatient			1668.08	1668.08																																																			
BLOCK AUGMENTATION OPTETRAK 3 OD11 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL	SUP-204-43-88	CDM	270010025	LOCAL	270	RC		outpatient			1668	1668	451.86				percent of total billed charges		1668				other	OPPS APC	1234.32				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	451.86				percent of total billed charges		460.87				percent of total billed charges		1668				other	OPPS APC	451.86	1668	
BLOCK AUGMENTATION OPTETRAK 3 OD11 MM KNEE TIBIA LEFT MEDIAL RIGHT LATERAL	SUP-204-43-88	CDM	270010025	LOCAL	270	RC		inpatient			1668	1668																																																			
BLOCK AUGMENTATION OPTETRAK 3 1/3 H11 MM RIGHT MEDIAL LEFT LATERAL KNEE ONE THIRD	SUP-204-43-89	CDM	270010025	LOCAL	270	RC		outpatient			1668	1668	451.86				percent of total billed charges		1668				other	OPPS APC	1234.32				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	451.86				percent of total billed charges		460.87				percent of total billed charges		1668				other	OPPS APC	451.86	1668	
BLOCK AUGMENTATION OPTETRAK 3 1/3 H11 MM RIGHT MEDIAL LEFT LATERAL KNEE ONE THIRD	SUP-204-43-89	CDM	270010025	LOCAL	270	RC		inpatient			1668	1668																																																			
BLOCK AUGMENTATION OPTETRAK 4 H5 MM KNEE FEMUR POSTERIOR	SUP-208-07-04	CDM	270010025	LOCAL	270	RC		outpatient			1668	1668	451.86				percent of total billed charges		1668				other	OPPS APC	1234.32				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	451.86				percent of total billed charges		460.87				percent of total billed charges		1668				other	OPPS APC	451.86	1668	
BLOCK AUGMENTATION OPTETRAK 4 H5 MM KNEE FEMUR POSTERIOR	SUP-208-07-04	CDM	270010025	LOCAL	270	RC		inpatient			1668	1668																																																			
PLATE BONE VLP MINI-MOD TITANIUM STOUT H 1.6 MM 8 HOLE 2.4 MM SCREW MINI FRAGMENT	SUP-74442432	CDM			270	RC		outpatient			1668	1668	451.86				percent of total billed charges		1668				other	OPPS APC	1234.32				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	451.86				percent of total billed charges		460.87				percent of total billed charges		1668				other	OPPS APC	451.86	1668	
PLATE BONE VLP MINI-MOD TITANIUM STOUT H 1.6 MM 8 HOLE 2.4 MM SCREW MINI FRAGMENT	SUP-74442432	CDM			270	RC		inpatient			1668	1668																																																			
ARTICULAR SURFACE SZ 6 8MM	SUP-97-01008	CDM			278	RC		outpatient			1668	1668	1668				fee schedule		1668				other	OPPS APC	950.76				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	817.32				percent of total billed charges		850.68				percent of total billed charges		1668				other	OPPS APC	817.32	1668	
ARTICULAR SURFACE SZ 6 8MM	SUP-97-01008	CDM			278	RC		inpatient			1668	1668																																																			
ARTICULAR SURFACE SZ 3 8MM	SUP-97-01016	CDM			278	RC		outpatient			1668	1668	1668				fee schedule		1668				other	OPPS APC	950.76				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	817.32				percent of total billed charges		850.68				percent of total billed charges		1668				other	OPPS APC	817.32	1668	
ARTICULAR SURFACE SZ 3 8MM	SUP-97-01016	CDM			278	RC		inpatient			1668	1668																																																			
ARTICULAR SURFACE SZ 2 8MM	SUP-97-01018	CDM			278	RC		outpatient			1668	1668	1668				fee schedule		1668				other	OPPS APC	950.76				percent of total billed charges		1668				other	OPPS APC	1668				other	OPPS APC	817.32				percent of total billed charges		850.68				percent of total billed charges		1668				other	OPPS APC	817.32	1668	
ARTICULAR SURFACE SZ 2 8MM	SUP-97-01018	CDM			278	RC		inpatient			1668	1668																																																			
OSS POLY FEMORAL BUSHING 2PK	SUP-97-23620	CDM			278	RC		outpatient			1665	1665	1665				fee schedule		1665				other	OPPS APC	949.05				percent of total billed charges		1665				other	OPPS APC	1665				other	OPPS APC	815.85				percent of total billed charges		849.15				percent of total billed charges		1665				other	OPPS APC	815.85	1665	
OSS POLY FEMORAL BUSHING 2PK	SUP-97-23620	CDM			278	RC		inpatient			1665	1665																																																			
HEAD FEMORAL COCR +5 MM 14/16 LARGE TAPER OD28 MM HIP NECK	SUP-1018-13-000	CDM	270010024	LOCAL	270	RC		outpatient			1663.2	1663.2	450.56				percent of total billed charges		1663.2				other	OPPS APC	1230.77				percent of total billed charges		1663.2				other	OPPS APC	1663.2				other	OPPS APC	450.56				percent of total billed charges		459.54				percent of total billed charges		1663.2				other	OPPS APC	450.56	1663.2	
HEAD FEMORAL COCR +5 MM 14/16 LARGE TAPER OD28 MM HIP NECK	SUP-1018-13-000	CDM	270010024	LOCAL	270	RC		inpatient			1663.2	1663.2																																																			
HEAD FEMORAL COCR +8 MM 14/16 BALL TAPER OD28 MM HIP STERILE	SUP-1018-14-000	CDM	270010024	LOCAL	270	RC		outpatient			1663.2	1663.2	450.56				percent of total billed charges		1663.2				other	OPPS APC	1230.77				percent of total billed charges		1663.2				other	OPPS APC	1663.2				other	OPPS APC	450.56				percent of total billed charges		459.54				percent of total billed charges		1663.2				other	OPPS APC	450.56	1663.2	
HEAD FEMORAL COCR +8 MM 14/16 BALL TAPER OD28 MM HIP STERILE	SUP-1018-14-000	CDM	270010024	LOCAL	270	RC		inpatient			1663.2	1663.2																																																			
IMPLANT EXACTECH HUMERAL LINER CONSTRAINED +2.5MM	SUP-320-38-13	CDM	270010030	LOCAL	270	RC		outpatient			1662	1662	450.24				percent of total billed charges		1662				other	OPPS APC	1229.88				percent of total billed charges		1662				other	OPPS APC	1662				other	OPPS APC	450.24				percent of total billed charges		459.21				percent of total billed charges		1662				other	OPPS APC	450.24	1662	
IMPLANT EXACTECH HUMERAL LINER CONSTRAINED +2.5MM	SUP-320-38-13	CDM	270010030	LOCAL	270	RC		inpatient			1662	1662																																																			
LINER HUMERAL EXACTECH CONSTRAINED 42MM  +2.5MM	SUP-320-42-13	CDM	270010030	LOCAL	270	RC		outpatient			1662	1662	450.24				percent of total billed charges		1662				other	OPPS APC	1229.88				percent of total billed charges		1662				other	OPPS APC	1662				other	OPPS APC	450.24				percent of total billed charges		459.21				percent of total billed charges		1662				other	OPPS APC	450.24	1662	
LINER HUMERAL EXACTECH CONSTRAINED 42MM  +2.5MM	SUP-320-42-13	CDM	270010030	LOCAL	270	RC		inpatient			1662	1662																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L73 MM OLECRANON RIGHT PROXIMAL 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.002	CDM	270010022	LOCAL	270	RC		outpatient			1661.62	1661.62	450.13				percent of total billed charges		1661.62				other	OPPS APC	1229.6				percent of total billed charges		1661.62				other	OPPS APC	1661.62				other	OPPS APC	450.13				percent of total billed charges		459.11				percent of total billed charges		1661.62				other	OPPS APC	450.13	1661.62	
PLATE BONE LCP COMBI STAINLESS STEEL L73 MM OLECRANON RIGHT PROXIMAL 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.002	CDM	270010022	LOCAL	270	RC		inpatient			1661.62	1661.62																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L73 MM OLECRANON LEFT PROXIMAL 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.102	CDM	270010022	LOCAL	270	RC		outpatient			1661.62	1661.62	450.13				percent of total billed charges		1661.62				other	OPPS APC	1229.6				percent of total billed charges		1661.62				other	OPPS APC	1661.62				other	OPPS APC	450.13				percent of total billed charges		459.11				percent of total billed charges		1661.62				other	OPPS APC	450.13	1661.62	
PLATE BONE LCP COMBI STAINLESS STEEL L73 MM OLECRANON LEFT PROXIMAL 2 HOLE VARIABLE ANGLE TAPER TIP ROUND PROFILE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.107.102	CDM	270010022	LOCAL	270	RC		inpatient			1661.62	1661.62																																																			
CORMATRIX ECM 4X7	SUP-CMCV-004-404	CDM			270	RC		outpatient			1661.6	1661.6	450.13				percent of total billed charges		1661.6				other	OPPS APC	1229.58				percent of total billed charges		1661.6				other	OPPS APC	1661.6				other	OPPS APC	450.13				percent of total billed charges		459.1				percent of total billed charges		1661.6				other	OPPS APC	450.13	1661.6	
CORMATRIX ECM 4X7	SUP-CMCV-004-404	CDM			270	RC		inpatient			1661.6	1661.6																																																			
CORMATRIX ECM 4X7	SUP-CMCV-067-404	CDM			270	RC		outpatient			1661.6	1661.6	450.13				percent of total billed charges		1661.6				other	OPPS APC	1229.58				percent of total billed charges		1661.6				other	OPPS APC	1661.6				other	OPPS APC	450.13				percent of total billed charges		459.1				percent of total billed charges		1661.6				other	OPPS APC	450.13	1661.6	
CORMATRIX ECM 4X7	SUP-CMCV-067-404	CDM			270	RC		inpatient			1661.6	1661.6																																																			
INSERT ACETABULAR OMNIFIT 20D 52MM 32MM HIP SERIES I	SUP-2006-3252	CDM	270010024	LOCAL	270	RC		outpatient			1661	1661	449.96				percent of total billed charges		1661				other	OPPS APC	1229.14				percent of total billed charges		1661				other	OPPS APC	1661				other	OPPS APC	449.96				percent of total billed charges		458.93				percent of total billed charges		1661				other	OPPS APC	449.96	1661	
INSERT ACETABULAR OMNIFIT 20D 52MM 32MM HIP SERIES I	SUP-2006-3252	CDM	270010024	LOCAL	270	RC		inpatient			1661	1661																																																			
STENT BILIARY SMART 60MM 80CM 12MM 7FR SHEATH	SUP-C12060SB	CDM			270	RC		outpatient			1660	166	449.69				percent of total billed charges		1660				other	OPPS APC	1228.4				percent of total billed charges		1660				other	OPPS APC	1660				other	OPPS APC	449.69				percent of total billed charges		458.66				percent of total billed charges		166				other	OPPS APC	166	1660	
STENT BILIARY SMART 60MM 80CM 12MM 7FR SHEATH	SUP-C12060SB	CDM			270	RC		inpatient			1660	1660																																																			
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 375 CC SMOOTH SHELL SURFACE	SUP-SRM-375	CDM			270	RC		outpatient			1660	166	449.69				percent of total billed charges		1660				other	OPPS APC	1228.4				percent of total billed charges		1660				other	OPPS APC	1660				other	OPPS APC	449.69				percent of total billed charges		458.66				percent of total billed charges		166				other	OPPS APC	166	1660	
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 375 CC SMOOTH SHELL SURFACE	SUP-SRM-375	CDM			270	RC		inpatient			1660	1660																																																			
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 405 CC SMOOTH SHELL SURFACE	SUP-SRM-405	CDM			270	RC		outpatient			1660	166	449.69				percent of total billed charges		1660				other	OPPS APC	1228.4				percent of total billed charges		1660				other	OPPS APC	1660				other	OPPS APC	449.69				percent of total billed charges		458.66				percent of total billed charges		166				other	OPPS APC	166	1660	
IMPLANT BREAST NATRELLE INSPIRA MODERATE PROFILE 405 CC SMOOTH SHELL SURFACE	SUP-SRM-405	CDM			270	RC		inpatient			1660	1660																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 6 HOLE	SUP-40-20903	CDM			270	RC		outpatient			1659.2	1659.2	449.48				percent of total billed charges		1659.2				other	OPPS APC	1227.81				percent of total billed charges		1659.2				other	OPPS APC	1659.2				other	OPPS APC	449.48				percent of total billed charges		458.44				percent of total billed charges		1659.2				other	OPPS APC	449.48	1659.2	
PLATE VARIAX DISTAL LATERAL FIBULA 6 HOLE	SUP-40-20903	CDM			270	RC		inpatient			1659.2	1659.2																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 7 HOLE	SUP-40-20904	CDM			270	RC		outpatient			1659.2	1659.2	449.48				percent of total billed charges		1659.2				other	OPPS APC	1227.81				percent of total billed charges		1659.2				other	OPPS APC	1659.2				other	OPPS APC	449.48				percent of total billed charges		458.44				percent of total billed charges		1659.2				other	OPPS APC	449.48	1659.2	
PLATE VARIAX DISTAL LATERAL FIBULA 7 HOLE	SUP-40-20904	CDM			270	RC		inpatient			1659.2	1659.2																																																			
PLATE VARIAX DISTAL LATERAL FIBULA 8 HOLE	SUP-40-20905	CDM			270	RC		outpatient			1659.2	1659.2	449.48				percent of total billed charges		1659.2				other	OPPS APC	1227.81				percent of total billed charges		1659.2				other	OPPS APC	1659.2				other	OPPS APC	449.48				percent of total billed charges		458.44				percent of total billed charges		1659.2				other	OPPS APC	449.48	1659.2	
PLATE VARIAX DISTAL LATERAL FIBULA 8 HOLE	SUP-40-20905	CDM			270	RC		inpatient			1659.2	1659.2																																																			
CATHETER CHOLANGIOGRAM SPYSCOPE OD10 FR ACCESS DELIVERY DISPOSABLE	SUP-M00546230	CDM			270	RC		outpatient			1659	1659	449.42				percent of total billed charges		1659				other	OPPS APC	1227.66				percent of total billed charges		1659				other	OPPS APC	1659				other	OPPS APC	449.42				percent of total billed charges		458.38				percent of total billed charges		1659				other	OPPS APC	449.42	1659	
CATHETER CHOLANGIOGRAM SPYSCOPE OD10 FR ACCESS DELIVERY DISPOSABLE	SUP-M00546230	CDM			270	RC		inpatient			1659	1659																																																			
HRHK BUMPER INSERT	SUP-97-03377	CDM			278	RC		outpatient			1658.25	1658.25	1658.25				fee schedule		1658.25				other	OPPS APC	945.2				percent of total billed charges		1658.25				other	OPPS APC	1658.25				other	OPPS APC	812.54				percent of total billed charges		845.71				percent of total billed charges		1658.25				other	OPPS APC	812.54	1658.25	
HRHK BUMPER INSERT	SUP-97-03377	CDM			278	RC		inpatient			1658.25	1658.25																																																			
KIT PRESSURE MONITOR CODMAN MICROSENSOR VENTRICULAR	SUP-626653US	CDM			270	RC		outpatient			1656.58	1656.58	448.77				percent of total billed charges		1656.58				other	OPPS APC	1225.87				percent of total billed charges		1656.58				other	OPPS APC	1656.58				other	OPPS APC	448.77				percent of total billed charges		457.71				percent of total billed charges		1656.58				other	OPPS APC	448.77	1656.58	
KIT PRESSURE MONITOR CODMAN MICROSENSOR VENTRICULAR	SUP-626653US	CDM			270	RC		inpatient			1656.58	1656.58																																																			
KTI TRAUMA FIXATION META-TAN L 80MM L 75MMINTEGRATE LAG COMPRESSION SCREW TROCHANTERIC ANTEGRADE NAIL	SUP-71642680	CDM			270	RC		outpatient			1653.6	1653.6	447.96				percent of total billed charges		1653.6				other	OPPS APC	1223.66				percent of total billed charges		1653.6				other	OPPS APC	1653.6				other	OPPS APC	447.96				percent of total billed charges		456.89				percent of total billed charges		1653.6				other	OPPS APC	447.96	1653.6	
KTI TRAUMA FIXATION META-TAN L 80MM L 75MMINTEGRATE LAG COMPRESSION SCREW TROCHANTERIC ANTEGRADE NAIL	SUP-71642680	CDM			270	RC		inpatient			1653.6	1653.6																																																			
DVR ANATOMIC NARW SHORT LEFT	SUP-97-01151	CDM			278	RC		outpatient			1650.57	165.57	1650.57				fee schedule		1650.57				other	OPPS APC	940.82				percent of total billed charges		1650.57				other	OPPS APC	1650.57				other	OPPS APC	808.78				percent of total billed charges		841.79				percent of total billed charges		165.57				other	OPPS APC	165.57	1650.57	
DVR ANATOMIC NARW SHORT LEFT	SUP-97-01151	CDM			278	RC		inpatient			1650.57	1650.57																																																			
SCREW BONE ELLIPSE L28 MM OD3.5 MM SPINAL SHOULDER POLYAXIAL	SUP-182.228	CDM	270010020	LOCAL	270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
SCREW BONE ELLIPSE L28 MM OD3.5 MM SPINAL SHOULDER POLYAXIAL	SUP-182.228	CDM	270010020	LOCAL	270	RC		inpatient			1650	1650																																																			
SCREW BONE ELLIPSE L30 MM OD3.5 MM SPINE POLYAXIAL SHOULDER	SUP-182.230	CDM	270010020	LOCAL	270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
SCREW BONE ELLIPSE L30 MM OD3.5 MM SPINE POLYAXIAL SHOULDER	SUP-182.230	CDM	270010020	LOCAL	270	RC		inpatient			1650	1650																																																			
SCREW BONE ELLIPSE TITANIUM L16 MM OD3.5 MM SPINE POLYAXIAL	SUP-182.316	CDM	270010020	LOCAL	270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
SCREW BONE ELLIPSE TITANIUM L16 MM OD3.5 MM SPINE POLYAXIAL	SUP-182.316	CDM	270010020	LOCAL	270	RC		inpatient			1650	1650																																																			
SCREW BONE ELLIPSE TITANIUM L18 MM OD3.5 MM SPINE POLYAXIAL	SUP-182.318	CDM	270010020	LOCAL	270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
SCREW BONE ELLIPSE TITANIUM L18 MM OD3.5 MM SPINE POLYAXIAL	SUP-182.318	CDM	270010020	LOCAL	270	RC		inpatient			1650	1650																																																			
IMPLANT BREAST SILTEX P6.1 CM CONTOUR PROFILE HIGH PROFILE W13.2 CM X H11 CM 450-500 ML STYLE 2700 TEXTURED ANTERIOR DIAPHRAGM VALVE POSTERIOR ORIENTATION TAB SELF SEALING STERILE	SUP-354-2713	CDM			270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
IMPLANT BREAST SILTEX P6.1 CM CONTOUR PROFILE HIGH PROFILE W13.2 CM X H11 CM 450-500 ML STYLE 2700 TEXTURED ANTERIOR DIAPHRAGM VALVE POSTERIOR ORIENTATION TAB SELF SEALING STERILE	SUP-354-2713	CDM			270	RC		inpatient			1650	1650																																																			
IMPLANT BREAST SILTEX SALINE P6.6 CM CONTOUR PROFILE HIGH PROJECTION W15 CM X H12.7 CM 650-725 ML TEXTURED SELF SEALING DIAPHRAGM VALVE	SUP-354-2715	CDM			270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
IMPLANT BREAST SILTEX SALINE P6.6 CM CONTOUR PROFILE HIGH PROJECTION W15 CM X H12.7 CM 650-725 ML TEXTURED SELF SEALING DIAPHRAGM VALVE	SUP-354-2715	CDM			270	RC		inpatient			1650	1650																																																			
SINGLE USE ASPIRATION NEEDLE 21G	SUP-95-04086	CDM			272	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
SINGLE USE ASPIRATION NEEDLE 21G	SUP-95-04086	CDM			272	RC		inpatient			1650	1650																																																			
AUTOLOGOUS TISSUE COLLECTOR	SUP-95-04114	CDM			272	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
AUTOLOGOUS TISSUE COLLECTOR	SUP-95-04114	CDM			272	RC		inpatient			1650	1650																																																			
ATTACHMENT 45DEG X 20G SILCONE SLV TIP	SUP-97-00415	CDM			272	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
ATTACHMENT 45DEG X 20G SILCONE SLV TIP	SUP-97-00415	CDM			272	RC		inpatient			1650	1650																																																			
DBX PUTTY 2.5CC	SUP-97-00477	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
DBX PUTTY 2.5CC	SUP-97-00477	CDM			278	RC		inpatient			1650	1650																																																			
TENO SWIVELOCK BIOCOMP 4.75X15	SUP-97-03408	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
TENO SWIVELOCK BIOCOMP 4.75X15	SUP-97-03408	CDM			278	RC		inpatient			1650	1650																																																			
3.9MM KNOTLESS CORKSCREW PEEK	SUP-97-03982	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
3.9MM KNOTLESS CORKSCREW PEEK	SUP-97-03982	CDM			278	RC		inpatient			1650	1650																																																			
ACTIVAPIN 2.0 X 70MM	SUP-97-04658	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
ACTIVAPIN 2.0 X 70MM	SUP-97-04658	CDM			278	RC		inpatient			1650	1650																																																			
ACTIVAPIN 1.5 X 70MM	SUP-97-23653	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
ACTIVAPIN 1.5 X 70MM	SUP-97-23653	CDM			278	RC		inpatient			1650	1650																																																			
CATHETER - TRANSIT 135 CCM	SUP-99-00517	CDM			272	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
CATHETER - TRANSIT 135 CCM	SUP-99-00517	CDM			272	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X12	SUP-99-04613	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X12	SUP-99-04613	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X12	SUP-99-04614	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X12	SUP-99-04614	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X12	SUP-99-04615	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X12	SUP-99-04615	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X12	SUP-99-04616	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X12	SUP-99-04616	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X12	SUP-99-04617	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X12	SUP-99-04617	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X12	SUP-99-04618	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X12	SUP-99-04618	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X12	SUP-99-04619	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.5X12	SUP-99-04619	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 5.0X12	SUP-99-04620	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X12	SUP-99-04620	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X16	SUP-99-04621	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X16	SUP-99-04621	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X16	SUP-99-04622	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X16	SUP-99-04622	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X16	SUP-99-04623	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X16	SUP-99-04623	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X16	SUP-99-04624	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X16	SUP-99-04624	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X16	SUP-99-04625	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X16	SUP-99-04625	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X16	SUP-99-04626	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X16	SUP-99-04626	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X16	SUP-99-04627	CDM						inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X16	SUP-99-04627	CDM						outpatient			1650	165	1650				percent of total billed charges		1650				other	OPPS APC	1650				fee schedule		1650				other	OPPS APC	1650				other	OPPS APC	1650				case rate		1650				case rate		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X16	SUP-99-04628	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X16	SUP-99-04628	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X20	SUP-99-04629	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X20	SUP-99-04629	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X20	SUP-99-04630	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X20	SUP-99-04630	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X20	SUP-99-04631	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X20	SUP-99-04631	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X20	SUP-99-04632	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X20	SUP-99-04632	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X20	SUP-99-04633	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X20	SUP-99-04633	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X20	SUP-99-04634	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X20	SUP-99-04634	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X20	SUP-99-04635	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.5X20	SUP-99-04635	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 5.0X20	SUP-99-04636	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X20	SUP-99-04636	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X24	SUP-99-04637	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X24	SUP-99-04637	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X24	SUP-99-04638	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X24	SUP-99-04638	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X24	SUP-99-04639	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X24	SUP-99-04639	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X24	SUP-99-04640	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X24	SUP-99-04640	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X24	SUP-99-04641	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X24	SUP-99-04641	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X24	SUP-99-04642	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X24	SUP-99-04642	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X24	SUP-99-04643	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.5X24	SUP-99-04643	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 5.0X24	SUP-99-04644	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X24	SUP-99-04644	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X28	SUP-99-04645	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X28	SUP-99-04645	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X28	SUP-99-04646	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X28	SUP-99-04646	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X28	SUP-99-04647	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X28	SUP-99-04647	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X28	SUP-99-04648	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X28	SUP-99-04648	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X28	SUP-99-04649	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X28	SUP-99-04649	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X28	SUP-99-04650	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X28	SUP-99-04650	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X28	SUP-99-04651	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.5X28	SUP-99-04651	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 5.0X28	SUP-99-04652	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X28	SUP-99-04652	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X32	SUP-99-04653	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X32	SUP-99-04653	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X32	SUP-99-04654	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X32	SUP-99-04654	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X32	SUP-99-04655	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X32	SUP-99-04655	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X32	SUP-99-04656	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X32	SUP-99-04656	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X32	SUP-99-04657	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X32	SUP-99-04657	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X32	SUP-99-04658	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X32	SUP-99-04658	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.5X32	SUP-99-04659	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.5X32	SUP-99-04659	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 5.0X32	SUP-99-04660	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 5.0X32	SUP-99-04660	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.25X38	SUP-99-04661	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.25X38	SUP-99-04661	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X38	SUP-99-04662	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X38	SUP-99-04662	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X38	SUP-99-04663	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X38	SUP-99-04663	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X38	SUP-99-04664	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X38	SUP-99-04664	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X38	SUP-99-04665	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X38	SUP-99-04665	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X38	SUP-99-04666	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X38	SUP-99-04666	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.5X48	SUP-99-04667	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.5X48	SUP-99-04667	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 2.75X48	SUP-99-04668	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 2.75X48	SUP-99-04668	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.0X48	SUP-99-04669	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.0X48	SUP-99-04669	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 3.5X48	SUP-99-04670	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 3.5X48	SUP-99-04670	CDM			278	RC		inpatient			1650	1650																																																			
STENT - SYNERGY XD 4.0X48	SUP-99-04671	CDM			278	RC		outpatient			1650	165	1650				fee schedule		1650				other	OPPS APC	940.5				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	808.5				percent of total billed charges		841.5				percent of total billed charges		165				other	OPPS APC	165	1650	
STENT - SYNERGY XD 4.0X48	SUP-99-04671	CDM			278	RC		inpatient			1650	1650																																																			
PLATE BONE STAINLESS STEEL L79 MM FOOT ANKLE MEDIAL 5 HOLE HOOK LOCK	SUP-AR-8943H-05	CDM			270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
PLATE BONE STAINLESS STEEL L79 MM FOOT ANKLE MEDIAL 5 HOLE HOOK LOCK	SUP-AR-8943H-05	CDM			270	RC		inpatient			1650	1650																																																			
ACCESS PORT GASTRIC BAND LAP-BAND TITANIUM KIT HIGH COMPRESSION SEPTUM RESERVOIR RADIOPAQUE STERILE LATEX FREE VG AP STANDARD BAND	SUP-B-2104	CDM			270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
ACCESS PORT GASTRIC BAND LAP-BAND TITANIUM KIT HIGH COMPRESSION SEPTUM RESERVOIR RADIOPAQUE STERILE LATEX FREE VG AP STANDARD BAND	SUP-B-2104	CDM			270	RC		inpatient			1650	1650																																																			
GUIDEWIRE VASCULAR SYNCHRO2 NITINOL STAINLESS STEEL HYDROPHILIC L300 CM L35 CM OD.014 IN STANDARD TIP RADIOPAQUE EXCHANGE LENGTH STERILE LATEX FREE DISPOSABLE	SUP-M00326510	CDM			270	RC		outpatient			1650	165	446.99				percent of total billed charges		1650				other	OPPS APC	1221				percent of total billed charges		1650				other	OPPS APC	1650				other	OPPS APC	446.99				percent of total billed charges		455.9				percent of total billed charges		165				other	OPPS APC	165	1650	
GUIDEWIRE VASCULAR SYNCHRO2 NITINOL STAINLESS STEEL HYDROPHILIC L300 CM L35 CM OD.014 IN STANDARD TIP RADIOPAQUE EXCHANGE LENGTH STERILE LATEX FREE DISPOSABLE	SUP-M00326510	CDM			270	RC		inpatient			1650	1650																																																			
CANNULATED LARGE DRILL BIT 11MM	SUP-97-01133	CDM			272	RC		outpatient			1646.91	1646.91	446.15				percent of total billed charges		1646.91				other	OPPS APC	1218.71				percent of total billed charges		1646.91				other	OPPS APC	1646.91				other	OPPS APC	446.15				percent of total billed charges		455.04				percent of total billed charges		1646.91				other	OPPS APC	446.15	1646.91	
CANNULATED LARGE DRILL BIT 11MM	SUP-97-01133	CDM			272	RC		inpatient			1646.91	1646.91																																																			
DEVICE ELECTROSURGICAL LIGASURE MARYLAND 350 D L23 CM OPEN SEALER DIVIDER 1 STEP SEAL FORCETRIAD	SUP-LF1923	CDM			270	RC		outpatient			1645.23	1645.23	445.69				percent of total billed charges		1645.23				other	OPPS APC	1217.47				percent of total billed charges		1645.23				other	OPPS APC	1645.23				other	OPPS APC	445.69				percent of total billed charges		454.58				percent of total billed charges		1645.23				other	OPPS APC	445.69	1645.23	
DEVICE ELECTROSURGICAL LIGASURE MARYLAND 350 D L23 CM OPEN SEALER DIVIDER 1 STEP SEAL FORCETRIAD	SUP-LF1923	CDM			270	RC		inpatient			1645.23	1645.23																																																			
MESH SURGICAL PROCEED PROLENE OXIDIZED CELLULOSE L8 IN X W6 IN FASCIA FLEXIBLE TISSUE SEPARATE BIORESORBABLE STERILE HERNIA REPAIR	SUP-PCDG1	CDM			270	RC		outpatient			1642.16	1642.16	444.86				percent of total billed charges		1642.16				other	OPPS APC	1215.2				percent of total billed charges		1642.16				other	OPPS APC	1642.16				other	OPPS APC	444.86				percent of total billed charges		453.73				percent of total billed charges		1642.16				other	OPPS APC	444.86	1642.16	
MESH SURGICAL PROCEED PROLENE OXIDIZED CELLULOSE L8 IN X W6 IN FASCIA FLEXIBLE TISSUE SEPARATE BIORESORBABLE STERILE HERNIA REPAIR	SUP-PCDG1	CDM			270	RC		inpatient			1642.16	1642.16																																																			
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L40 CM L40 CM ID8 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST08040040L	CDM			270	RC		outpatient			1642	1642	444.82				percent of total billed charges		1642				other	OPPS APC	1215.08				percent of total billed charges		1642				other	OPPS APC	1642				other	OPPS APC	444.82				percent of total billed charges		453.68				percent of total billed charges		1642				other	OPPS APC	444.82	1642	
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L40 CM L40 CM ID8 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST08040040L	CDM			270	RC		inpatient			1642	1642																																																			
PLATE LCP RECON 3.5 MM 10 HOLES	SUP-97-04001	CDM			278	RC		outpatient			1641.6	1641.6	1641.6				fee schedule		1641.6				other	OPPS APC	935.71				percent of total billed charges		1641.6				other	OPPS APC	1641.6				other	OPPS APC	804.38				percent of total billed charges		837.22				percent of total billed charges		1641.6				other	OPPS APC	804.38	1641.6	
PLATE LCP RECON 3.5 MM 10 HOLES	SUP-97-04001	CDM			278	RC		inpatient			1641.6	1641.6																																																			
SCISSORS MONOPOLAR METZENBAUM L310 MM OD5 MM INSERT	SUP-PM697R	CDM						inpatient			1640.14	1640.14																																																			
SCISSORS MONOPOLAR METZENBAUM L310 MM OD5 MM INSERT	SUP-PM697R	CDM						outpatient			1640.14	164.14	1640.14				percent of total billed charges		1640.14				other	OPPS APC	1640.14				fee schedule		1640.14				other	OPPS APC	1640.14				other	OPPS APC	1640.14				case rate		1640.14				case rate		164.14				other	OPPS APC	164.14	1640.14	
PROBE PEDICLE	SUP-48562118	CDM			270	RC		outpatient			1635.02	1635.2	442.93				percent of total billed charges		1635.02				other	OPPS APC	1209.91				percent of total billed charges		1635.02				other	OPPS APC	1635.02				other	OPPS APC	442.93				percent of total billed charges		451.76				percent of total billed charges		1635.2				other	OPPS APC	442.93	1635.2	
PROBE PEDICLE	SUP-48562118	CDM			270	RC		inpatient			1635.02	1635.02																																																			
GRAFT VASCULAR STD 6MMX40CM	SUP-75-00139	CDM			278	RC		outpatient			1635	1635	1635				fee schedule		1635				other	OPPS APC	931.95				percent of total billed charges		1635				other	OPPS APC	1635				other	OPPS APC	801.15				percent of total billed charges		833.85				percent of total billed charges		1635				other	OPPS APC	801.15	1635	
GRAFT VASCULAR STD 6MMX40CM	SUP-75-00139	CDM			278	RC		inpatient			1635	1635																																																			
TIGHTROPE II BTB WITH DEPLOYING SUTURE	SUP-97-06433	CDM			278	RC		outpatient			1635	1635	1635				fee schedule		1635				other	OPPS APC	931.95				percent of total billed charges		1635				other	OPPS APC	1635				other	OPPS APC	801.15				percent of total billed charges		833.85				percent of total billed charges		1635				other	OPPS APC	801.15	1635	
TIGHTROPE II BTB WITH DEPLOYING SUTURE	SUP-97-06433	CDM			278	RC		inpatient			1635	1635																																																			
RACK SUPPLEMENTAL SCREW W/LID 3.5 AND 4.5MM	SUP-304.380	CDM	270010025	LOCAL	270	RC		outpatient			1634.6	1634.6	442.81				percent of total billed charges		1634.6				other	OPPS APC	1209.6				percent of total billed charges		1634.6				other	OPPS APC	1634.6				other	OPPS APC	442.81				percent of total billed charges		451.64				percent of total billed charges		1634.6				other	OPPS APC	442.81	1634.6	
RACK SUPPLEMENTAL SCREW W/LID 3.5 AND 4.5MM	SUP-304.380	CDM	270010025	LOCAL	270	RC		inpatient			1634.6	1634.6																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.350	CDM	270010022	LOCAL	270	RC		outpatient			1631.54	1631.54	441.98				percent of total billed charges		1631.54				other	OPPS APC	1207.34				percent of total billed charges		1631.54				other	OPPS APC	1631.54				other	OPPS APC	441.98				percent of total billed charges		450.79				percent of total billed charges		1631.54				other	OPPS APC	441.98	1631.54	
PLATE BONE LCP STAINLESS STEEL CONTOUR L68.5 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE HEAD 5 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.350	CDM	270010022	LOCAL	270	RC		inpatient			1631.54	1631.54																																																			
STENT BILIARY SMART CONTROL NITINOL L60 MM L120 CM OD14 MM SELF EXPAND MICROMESH GEOMETRY DELIVERY HANDLE SEGMENT ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH 12-13 MM DUCT TRANSHEPATIC	SUP-C14060MB	CDM			270	RC		outpatient			1630	163	441.57				percent of total billed charges		1630				other	OPPS APC	1206.2				percent of total billed charges		1630				other	OPPS APC	1630				other	OPPS APC	441.57				percent of total billed charges		450.37				percent of total billed charges		163				other	OPPS APC	163	1630	
STENT BILIARY SMART CONTROL NITINOL L60 MM L120 CM OD14 MM SELF EXPAND MICROMESH GEOMETRY DELIVERY HANDLE SEGMENT ACCEPTS .035 IN GUIDEWIRE 7 FR SHEATH 12-13 MM DUCT TRANSHEPATIC	SUP-C14060MB	CDM			270	RC		inpatient			1630	1630																																																			
HC Sl Breast Biopsy Localization Each Addit	PX-361190821	CDM	19082	CPT	361	RC		outpatient			1629	1629	514.44				percent of total billed charges		1629				other	OPPS APC	612				fee schedule		1629				other	OPPS APC	1629				other	OPPS APC	514.44				percent of total billed charges		524.7				percent of total billed charges		1629				other	OPPS APC	514.44	1629	
HC Sl Breast Biopsy Localization Each Addit	PX-361190821	CDM	19082	CPT	361	RC		inpatient			1629	1629																																																			
PLATE BONE STAINLESS STEEL L57 MM PUBIC SYMPHYSIS 4 HOLE LOW PROFILE NONSTERILE 3.5 MM SCREWS	SUP-02.100.014	CDM	270010022	LOCAL	270	RC		outpatient			1628.64	1628.64	441.2				percent of total billed charges		1628.64				other	OPPS APC	1205.19				percent of total billed charges		1628.64				other	OPPS APC	1628.64				other	OPPS APC	441.2				percent of total billed charges		449.99				percent of total billed charges		1628.64				other	OPPS APC	441.2	1628.64	
PLATE BONE STAINLESS STEEL L57 MM PUBIC SYMPHYSIS 4 HOLE LOW PROFILE NONSTERILE 3.5 MM SCREWS	SUP-02.100.014	CDM	270010022	LOCAL	270	RC		inpatient			1628.64	1628.64																																																			
HC Ins Cath Abd/L-Ext Art 2nd	PX-361362461	CDM	36246	CPT	361	RC		inpatient			1623	1623																																																			
HC Ins Cath Abd/L-Ext Art 2nd	PX-361362461	CDM	36246	CPT	361	RC		outpatient			1623	1623	512.54				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	512.54				percent of total billed charges		522.77				percent of total billed charges						other	OPPS APC	612	612	
HC C/T Diagnostic -Thorax Scan W Contrast	PX-352712600	CDM	71260	CPT	352	RC		outpatient			1621	189.94	244.39				fee schedule		189.94				other	OPPS APC	842.12				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	173.05				fee schedule		117.48				fee schedule		189.94				other	OPPS APC	117.48	842.12	
HC C/T Diagnostic -Thorax Scan W Contrast	PX-352712600	CDM	71260	CPT	352	RC		inpatient			1621	1621																																																			
PLATE BONE TITANIUM ANGLE STERNAL 12 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.039	CDM			270	RC		outpatient			1620.08	162.8	438.88				percent of total billed charges		1620.08				other	OPPS APC	1198.86				percent of total billed charges		1620.08				other	OPPS APC	1620.08				other	OPPS APC	438.88				percent of total billed charges		447.63				percent of total billed charges		162.8				other	OPPS APC	162.8	1620.08	
PLATE BONE TITANIUM ANGLE STERNAL 12 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.039	CDM			270	RC		inpatient			1620.08	1620.08																																																			
HALO BREMER CROWN SMALL	SUP-HT035	CDM			270	RC		outpatient			1620	162	438.86				percent of total billed charges		1620				other	OPPS APC	1198.8				percent of total billed charges		1620				other	OPPS APC	1620				other	OPPS APC	438.86				percent of total billed charges		447.61				percent of total billed charges		162				other	OPPS APC	162	1620	
HALO BREMER CROWN SMALL	SUP-HT035	CDM			270	RC		inpatient			1620	1620																																																			
CROWN HALO LARGE 23 TO 26	SUP-HT036	CDM			270	RC		outpatient			1620	162	438.86				percent of total billed charges		1620				other	OPPS APC	1198.8				percent of total billed charges		1620				other	OPPS APC	1620				other	OPPS APC	438.86				percent of total billed charges		447.61				percent of total billed charges		162				other	OPPS APC	162	1620	
CROWN HALO LARGE 23 TO 26	SUP-HT036	CDM			270	RC		inpatient			1620	1620																																																			
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L40 CM L40 CM ID6 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST06040040L	CDM			270	RC		outpatient			1620	162	438.86				percent of total billed charges		1620				other	OPPS APC	1198.8				percent of total billed charges		1620				other	OPPS APC	1620				other	OPPS APC	438.86				percent of total billed charges		447.61				percent of total billed charges		162				other	OPPS APC	162	1620	
GRAFT VASCULAR GORE INTERING PTFE THIN WALL L40 CM L40 CM ID6 MM RADIAL SUPPORT STRETCH LINE	SUP-IRST06040040L	CDM			270	RC		inpatient			1620	1620																																																			
PLATE BONE LEVEL ONE TITANIUM LADDER H1.8 MM STERNAL 18 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-47-09	CDM			270	RC		outpatient			1618.5	1618.5	438.45				percent of total billed charges		1618.5				other	OPPS APC	1197.69				percent of total billed charges		1618.5				other	OPPS APC	1618.5				other	OPPS APC	438.45				percent of total billed charges		447.19				percent of total billed charges		1618.5				other	OPPS APC	438.45	1618.5	
PLATE BONE LEVEL ONE TITANIUM LADDER H1.8 MM STERNAL 18 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-47-09	CDM			270	RC		inpatient			1618.5	1618.5																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD18 MM ODSEC9 MM KNIT	SUP-IGK1809	CDM			270	RC		outpatient			1617.42	1617.42	438.16				percent of total billed charges		1617.42				other	OPPS APC	1196.89				percent of total billed charges		1617.42				other	OPPS APC	1617.42				other	OPPS APC	438.16				percent of total billed charges		446.89				percent of total billed charges		1617.42				other	OPPS APC	438.16	1617.42	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD18 MM ODSEC9 MM KNIT	SUP-IGK1809	CDM			270	RC		inpatient			1617.42	1617.42																																																			
SUPER D 19G ASPIRATION NEEDLE	SUP-95-23365	CDM			272	RC		outpatient			1617.36	1617.36	438.14				percent of total billed charges		1617.36				other	OPPS APC	1196.85				percent of total billed charges		1617.36				other	OPPS APC	1617.36				other	OPPS APC	438.14				percent of total billed charges		446.88				percent of total billed charges		1617.36				other	OPPS APC	438.14	1617.36	
SUPER D 19G ASPIRATION NEEDLE	SUP-95-23365	CDM			272	RC		inpatient			1617.36	1617.36																																																			
PLATE BONE EVOS TITANIUM STANDARD L 56 MM RADIUS LEFT DISTAL VOLAR 4 HOLE STERILE LATEX FREE	SUP-71158104	CDM			270	RC		outpatient			1616	1616	437.77				percent of total billed charges		1616				other	OPPS APC	1195.84				percent of total billed charges		1616				other	OPPS APC	1616				other	OPPS APC	437.77				percent of total billed charges		446.5				percent of total billed charges		1616				other	OPPS APC	437.77	1616	
PLATE BONE EVOS TITANIUM STANDARD L 56 MM RADIUS LEFT DISTAL VOLAR 4 HOLE STERILE LATEX FREE	SUP-71158104	CDM			270	RC		inpatient			1616	1616																																																			
SPACER SPINAL VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA D4 MM W11 MM X H14 MM LIF	SUP-6277441	CDM	270010012	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL VERTE-STACK CORNERSTONE PSR PEEK-OPTIMA D4 MM W11 MM X H14 MM LIF	SUP-6277441	CDM	270010012	LOCAL	270	RC		inpatient			1614	1614																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA L14 MM X W11 MM X H12 MM LUMBAR INTERBODY FUSION LATERAL PORT	SUP-6287241	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA L14 MM X W11 MM X H12 MM LUMBAR INTERBODY FUSION LATERAL PORT	SUP-6287241	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H13 MM LIF LATERAL PORT	SUP-6287341	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H13 MM LIF LATERAL PORT	SUP-6287341	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H5 MM LIF LATERAL PORT	SUP-6287541	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H5 MM LIF LATERAL PORT	SUP-6287541	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H6 MM LIF LATERAL PORT	SUP-6287641	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA D11 MM W14 MM X H6 MM LIF LATERAL PORT	SUP-6287641	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA L14 MM X W11 MM X H7 MM LATERAL PORT LUMBAR INTERBODY FUSION	SUP-6287741	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA L14 MM X W11 MM X H7 MM LATERAL PORT LUMBAR INTERBODY FUSION	SUP-6287741	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA L14 MM X W11 MM X H8 MM LATERAL PORT LUMBAR INTERBODY FUSION	SUP-6287841	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
SPACER SPINAL CORNERSTONE PSR PEEK-OPTIMA L14 MM X W11 MM X H8 MM LATERAL PORT LUMBAR INTERBODY FUSION	SUP-6287841	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
IMPLANT MEDTRONIC CORNERSTONE PSR END CAP 9X14X11MM	SUP-6287941	CDM	270010020	LOCAL	270	RC		outpatient			1614	1614	437.23				percent of total billed charges		1614				other	OPPS APC	1194.36				percent of total billed charges		1614				other	OPPS APC	1614				other	OPPS APC	437.23				percent of total billed charges		445.95				percent of total billed charges		1614				other	OPPS APC	437.23	1614	
IMPLANT MEDTRONIC CORNERSTONE PSR END CAP 9X14X11MM	SUP-6287941	CDM	270010020	LOCAL	270	RC		inpatient			1614	1614																																																			
INVRAD LOW PROFILE POWER MEDIPORT	SUP-95-05012	CDM			278	RC		outpatient			1613.46	1613.46	1613.46				fee schedule		1613.46				other	OPPS APC	919.67				percent of total billed charges		1613.46				other	OPPS APC	1613.46				other	OPPS APC	790.6				percent of total billed charges		445.8				percent of total billed charges		1613.46				other	OPPS APC	445.8	1613.46	
INVRAD LOW PROFILE POWER MEDIPORT	SUP-95-05012	CDM			278	RC		inpatient			1613.46	1613.46																																																			
PLATE BONE STAINLESS STEEL 88 MM RADIUS L104 MM PELVIC 8 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.908	CDM	270010022	LOCAL	270	RC		outpatient			1612.6	1612.6	436.85				percent of total billed charges		1612.6				other	OPPS APC	1193.32				percent of total billed charges		1612.6				other	OPPS APC	1612.6				other	OPPS APC	436.85				percent of total billed charges		445.56				percent of total billed charges		1612.6				other	OPPS APC	436.85	1612.6	
PLATE BONE STAINLESS STEEL 88 MM RADIUS L104 MM PELVIC 8 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.908	CDM	270010022	LOCAL	270	RC		inpatient			1612.6	1612.6																																																			
DISTAL RADIUS PLATE WIDE GEMI 4 HOLE LT	SUP-97-01733	CDM			278	RC		outpatient			1611	1611	1611				fee schedule		1611				other	OPPS APC	918.27				percent of total billed charges		1611				other	OPPS APC	1611				other	OPPS APC	789.39				percent of total billed charges		821.61				percent of total billed charges		1611				other	OPPS APC	789.39	1611	
DISTAL RADIUS PLATE WIDE GEMI 4 HOLE LT	SUP-97-01733	CDM			278	RC		inpatient			1611	1611																																																			
PLATE GEMINUS VOLAR DISTAL RADI3 HOLE LT	SUP-97-02464	CDM			278	RC		outpatient			1611	1611	1611				fee schedule		1611				other	OPPS APC	918.27				percent of total billed charges		1611				other	OPPS APC	1611				other	OPPS APC	789.39				percent of total billed charges		821.61				percent of total billed charges		1611				other	OPPS APC	789.39	1611	
PLATE GEMINUS VOLAR DISTAL RADI3 HOLE LT	SUP-97-02464	CDM			278	RC		inpatient			1611	1611																																																			
GEMNUS VOLAR DISTALRADIUS PLATE	SUP-97-02506	CDM			278	RC		outpatient			1611	1611	1611				fee schedule		1611				other	OPPS APC	918.27				percent of total billed charges		1611				other	OPPS APC	1611				other	OPPS APC	789.39				percent of total billed charges		821.61				percent of total billed charges		1611				other	OPPS APC	789.39	1611	
GEMNUS VOLAR DISTALRADIUS PLATE	SUP-97-02506	CDM			278	RC		inpatient			1611	1611																																																			
CATHETER PRESTERNAL PERITONEAL  DIALYSIS	SUP-76-00153	CDM			278	RC		outpatient			1610.25	161.25	1610.25				fee schedule		1610.25				other	OPPS APC	917.84				percent of total billed charges		1610.25				other	OPPS APC	1610.25				other	OPPS APC	789.02				percent of total billed charges		821.23				percent of total billed charges		161.25				other	OPPS APC	161.25	1610.25	
CATHETER PRESTERNAL PERITONEAL  DIALYSIS	SUP-76-00153	CDM			278	RC		inpatient			1610.25	1610.25																																																			
RONGEUR SURGICAL KERRISON 130D 9INX2MM UPWARD CUTTING DETACHABLE THIN FOOTPLATE	SUP-FK925B	CDM						inpatient			1609.56	1609.56																																																			
RONGEUR SURGICAL KERRISON 130D 9INX2MM UPWARD CUTTING DETACHABLE THIN FOOTPLATE	SUP-FK925B	CDM						outpatient			1609.56	169.56	1609.56				percent of total billed charges		1609.56				other	OPPS APC	1609.56				fee schedule		1609.56				other	OPPS APC	1609.56				other	OPPS APC	1609.56				case rate		1609.56				case rate		169.56				other	OPPS APC	169.56	1609.56	
ENSEALX1 LARGE JAW TISSUE	SUP-76-00171	CDM			272	RC		outpatient			1609.24	169.24	435.94				percent of total billed charges		1609.24				other	OPPS APC	1190.84				percent of total billed charges		1609.24				other	OPPS APC	1609.24				other	OPPS APC	435.94				percent of total billed charges		444.63				percent of total billed charges		169.24				other	OPPS APC	169.24	1609.24	
ENSEALX1 LARGE JAW TISSUE	SUP-76-00171	CDM			272	RC		inpatient			1609.24	1609.24																																																			
TUBE HOLLOW REAMER SPARE	SUP-97-03146	CDM			278	RC		outpatient			1605	165	1605				fee schedule		1605				other	OPPS APC	914.85				percent of total billed charges		1605				other	OPPS APC	1605				other	OPPS APC	786.45				percent of total billed charges		818.55				percent of total billed charges		165				other	OPPS APC	165	1605	
TUBE HOLLOW REAMER SPARE	SUP-97-03146	CDM			278	RC		inpatient			1605	1605																																																			
LG PIN CLAMP 4 POSITION	SUP-97-03236	CDM			278	RC		outpatient			1604.58	164.58	1604.58				fee schedule		1604.58				other	OPPS APC	914.61				percent of total billed charges		1604.58				other	OPPS APC	1604.58				other	OPPS APC	786.24				percent of total billed charges		818.34				percent of total billed charges		164.58				other	OPPS APC	164.58	1604.58	
LG PIN CLAMP 4 POSITION	SUP-97-03236	CDM			278	RC		inpatient			1604.58	1604.58																																																			
PLATE BONE DVR TITANIUM STANDARD L89.5 MM X W24.4 MM RADIUS LEFT VOLAR 7 HOLE EXTEND FAST GUIDE ANATOMIC	SUP-DVRAX-L	CDM			270	RC		outpatient			1603.8	163.8	434.47				percent of total billed charges		1603.8				other	OPPS APC	1186.81				percent of total billed charges		1603.8				other	OPPS APC	1603.8				other	OPPS APC	434.47				percent of total billed charges		443.13				percent of total billed charges		163.8				other	OPPS APC	163.8	1603.8	
PLATE BONE DVR TITANIUM STANDARD L89.5 MM X W24.4 MM RADIUS LEFT VOLAR 7 HOLE EXTEND FAST GUIDE ANATOMIC	SUP-DVRAX-L	CDM			270	RC		inpatient			1603.8	1603.8																																																			
PLATE BONE DVR TITANIUM STANDARD L89.5 MM X W24.4 MM RIGHT DISTAL VOLAR RADIUS 7 HOLE EXTENDED FAST GUIDE ANATOMIC	SUP-DVRAX-R	CDM			270	RC		outpatient			1603.8	163.8	434.47				percent of total billed charges		1603.8				other	OPPS APC	1186.81				percent of total billed charges		1603.8				other	OPPS APC	1603.8				other	OPPS APC	434.47				percent of total billed charges		443.13				percent of total billed charges		163.8				other	OPPS APC	163.8	1603.8	
PLATE BONE DVR TITANIUM STANDARD L89.5 MM X W24.4 MM RIGHT DISTAL VOLAR RADIUS 7 HOLE EXTENDED FAST GUIDE ANATOMIC	SUP-DVRAX-R	CDM			270	RC		inpatient			1603.8	1603.8																																																			
EPOETIN ALFA PER 1000 UNITS	636000000	CDM	59676-310-00	NDC	J0885	HCPCS		inpatient			1603.5	1603.5																																																			
EPOETIN ALFA PER 1000 UNITS	636000000	CDM	59676-310-00	NDC	J0885	HCPCS		outpatient			1603.5	8.81																																											8.81				other	OPPS APC	8.81	8.81	
STAPLER EEA CIRCULAR	SUP-74-00406	CDM			272	RC		outpatient			1603.13	163.13	434.29				percent of total billed charges		1603.13				other	OPPS APC	1186.32				percent of total billed charges		1603.13				other	OPPS APC	1603.13				other	OPPS APC	434.29				percent of total billed charges		442.94				percent of total billed charges		163.13				other	OPPS APC	163.13	1603.13	
STAPLER EEA CIRCULAR	SUP-74-00406	CDM			272	RC		inpatient			1603.13	1603.13																																																			
HC Venogram Extremity Uni	PX-320758201	CDM	75820	CPT	320	RC		outpatient			1603	1567.3	127.35				fee schedule		1567.03				other	OPPS APC	176.7				fee schedule		1567.03				other	OPPS APC	1567.03				other	OPPS APC	109.15				fee schedule		60.24				fee schedule		1567.3				other	OPPS APC	60.24	1567.3	
HC Venogram Extremity Uni	PX-320758201	CDM	75820	CPT	320	RC		inpatient			1603	1603																																																			
PLATE BONE TITANIUM FEMUR NECK 1 HOLE STERILE	SUP-04.168.000S	CDM			270	RC		outpatient			1602	162	433.98				percent of total billed charges		1602				other	OPPS APC	1185.48				percent of total billed charges		1602				other	OPPS APC	1602				other	OPPS APC	433.98				percent of total billed charges		442.63				percent of total billed charges		162				other	OPPS APC	162	1602	
PLATE BONE TITANIUM FEMUR NECK 1 HOLE STERILE	SUP-04.168.000S	CDM			270	RC		inpatient			1602	1602																																																			
NEEDLE ACUVANCE PLUS 18G	SUP-97-00166	CDM			272	RC		outpatient			1601.34	161.34	433.8				percent of total billed charges		1601.34				other	OPPS APC	1184.99				percent of total billed charges		1601.34				other	OPPS APC	1601.34				other	OPPS APC	433.8				percent of total billed charges		442.45				percent of total billed charges		161.34				other	OPPS APC	161.34	1601.34	
NEEDLE ACUVANCE PLUS 18G	SUP-97-00166	CDM			272	RC		inpatient			1601.34	1601.34																																																			
LINER LONGEVITY 7MM OFFSET 50/52/54	SUP-00-6341-050-32	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
LINER LONGEVITY 7MM OFFSET 50/52/54	SUP-00-6341-050-32	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY -2 MM 12/14 OD22 MM HIP STERILE	SUP-00-8018-022-20	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL VERSYS LEGACY ZIMALOY -2 MM 12/14 OD22 MM HIP STERILE	SUP-00-8018-022-20	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY -3.5 MM 12/14 TAPER OD32 MM HIP STERILE	SUP-00-8018-032-01	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL VERSYS LEGACY ZIMALOY -3.5 MM 12/14 TAPER OD32 MM HIP STERILE	SUP-00-8018-032-01	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY -3.5 MM 12/14 TAPER OD36 MM HIP STERILE	SUP-00-8018-036-01	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL VERSYS LEGACY ZIMALOY -3.5 MM 12/14 TAPER OD36 MM HIP STERILE	SUP-00-8018-036-01	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY 0 MM 12/14 OD36 MM HIP STERILE	SUP-00-8018-036-02	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL VERSYS LEGACY ZIMALOY 0 MM 12/14 OD36 MM HIP STERILE	SUP-00-8018-036-02	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
LINER ACETABULAR LONGEVITY JJ NEUTRAL OD54 MM ID36 MM HIP CONTINUUM	SUP-00-8751-011-36	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
LINER ACETABULAR LONGEVITY JJ NEUTRAL OD54 MM ID36 MM HIP CONTINUUM	SUP-00-8751-011-36	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL TRILOGY IT CONTINUUM BIOLOX DELTA +0 MM 12/14 MEDIUM OD28 MM HIP ACETABULUM STERILE	SUP-00-8775-028-02	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL TRILOGY IT CONTINUUM BIOLOX DELTA +0 MM 12/14 MEDIUM OD28 MM HIP ACETABULUM STERILE	SUP-00-8775-028-02	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL TRILOGY IT BIOLOX DELTA +0 MM 12/14 MEDIUM OD36 MM HIP ACETABULAR STERILE	SUP-00-8775-036-02	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL TRILOGY IT BIOLOX DELTA +0 MM 12/14 MEDIUM OD36 MM HIP ACETABULAR STERILE	SUP-00-8775-036-02	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL OPTION BIOLOX DELTA +7 MM 12/14 XL OD28 MM HIP STERILE	SUP-00-8777-028-04	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL OPTION BIOLOX DELTA +7 MM 12/14 XL OD28 MM HIP STERILE	SUP-00-8777-028-04	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BENCOX DELTA -4 MM SHORT OD36 MM HIP	SUP-01.01.287	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BENCOX DELTA -4 MM SHORT OD36 MM HIP	SUP-01.01.287	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BENCOX DELTA 0 MM MEDIUM OD36 MM HIP	SUP-01.01.288	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BENCOX DELTA 0 MM MEDIUM OD36 MM HIP	SUP-01.01.288	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BENCOX DELTA +4 MM LONG OD36 MM HIP	SUP-01.01.289	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BENCOX DELTA +4 MM LONG OD36 MM HIP	SUP-01.01.289	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BENCOX DELTA OD36 MM HIP STERILE	SUP-01.01.295	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BENCOX DELTA OD36 MM HIP STERILE	SUP-01.01.295	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL COCR MEDIUM OD28 MM HIP	SUP-01.25.012	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL COCR MEDIUM OD28 MM HIP	SUP-01.25.012	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL QUADRA-R BIOLOX DELTA -4 MM SMALL OD32 MM	SUP-01.29.204	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL QUADRA-R BIOLOX DELTA -4 MM SMALL OD32 MM	SUP-01.29.204	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL QUADRA-R BIOLOX DELTA 0 MM MEDIUM OD32 MM	SUP-01.29.205	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL QUADRA-R BIOLOX DELTA 0 MM MEDIUM OD32 MM	SUP-01.29.205	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL QUADRA-R BIOLOX DELTA +4 MM LARGE OD32 MM	SUP-01.29.206	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL QUADRA-R BIOLOX DELTA +4 MM LARGE OD32 MM	SUP-01.29.206	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 SMALL OD36 MM STERILE	SUP-01.29.208	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 SMALL OD36 MM STERILE	SUP-01.29.208	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 MEDIUM OD36 MM STERILE	SUP-01.29.209	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 MEDIUM OD36 MM STERILE	SUP-01.29.209	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 LARGE OD36 MM STERIL	SUP-01.29.210	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 LARGE OD36 MM STERIL	SUP-01.29.210	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 XL OD36 MM STERILE	SUP-01.29.211	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL AMIS MECTACER BIOLOX DELTA 12/1 XL OD36 MM STERILE	SUP-01.29.211	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT C HEMISPHERICAL OD48 MM HIP CEMENTLESS NO HOLE	SUP-01.32.148SH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT C HEMISPHERICAL OD48 MM HIP CEMENTLESS NO HOLE	SUP-01.32.148SH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT D OD50 MM HIP CEMENTLESS 2 HOLE	SUP-01.32.150DH	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT D OD50 MM HIP CEMENTLESS 2 HOLE	SUP-01.32.150DH	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT D HEMISPHERICAL OD50 MM HIP MODULAR CUP	SUP-01.32.150SH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT D HEMISPHERICAL OD50 MM HIP MODULAR CUP	SUP-01.32.150SH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT E OD52 MM HIP 2 HOLE	SUP-01.32.152DH	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT E OD52 MM HIP 2 HOLE	SUP-01.32.152DH	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT E HEMISPHERICAL OD52 MM HIP MODULAR CUP	SUP-01.32.152SH	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT E HEMISPHERICAL OD52 MM HIP MODULAR CUP	SUP-01.32.152SH	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT E HEMISPHERICAL OD54 MM HIP CEMENTLESS 2 HOLE MODULAR	SUP-01.32.154DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT E HEMISPHERICAL OD54 MM HIP CEMENTLESS 2 HOLE MODULAR	SUP-01.32.154DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT E HEMISPHERICAL OD54 MM HIP CEMENTLESS NO HOLE	SUP-01.32.154SH	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT E HEMISPHERICAL OD54 MM HIP CEMENTLESS NO HOLE	SUP-01.32.154SH	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT F HEMISPHERICAL OD56 MM HIP CEMENTLESS 2 HOLE MODULAR	SUP-01.32.156DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT F HEMISPHERICAL OD56 MM HIP CEMENTLESS 2 HOLE MODULAR	SUP-01.32.156DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT F HEMISPHERICAL OD56 MM HIP MODULAR CUP	SUP-01.32.156SH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT F HEMISPHERICAL OD56 MM HIP MODULAR CUP	SUP-01.32.156SH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT F OD58 MM HIP 2 HOLE	SUP-01.32.158DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT F OD58 MM HIP 2 HOLE	SUP-01.32.158DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT F HEMISPHERICAL OD58 MM HIP MODULAR CUP	SUP-01.32.158SH	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT F HEMISPHERICAL OD58 MM HIP MODULAR CUP	SUP-01.32.158SH	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT G OD60 MM HIP 2 HOLE	SUP-01.32.160DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT G OD60 MM HIP 2 HOLE	SUP-01.32.160DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT G HEMISPHERICAL OD60 MM HIP MODULAR CUP	SUP-01.32.160SH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT G HEMISPHERICAL OD60 MM HIP MODULAR CUP	SUP-01.32.160SH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT G HEMISPHERICAL OD62 MM HIP MODULAR CUP	SUP-01.32.162SH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT G HEMISPHERICAL OD62 MM HIP MODULAR CUP	SUP-01.32.162SH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT G OD64 MM HIP MULTIHOLE	SUP-01.32.164MH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT G OD64 MM HIP MULTIHOLE	SUP-01.32.164MH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT J OD68 MM HIP MULTIHOLE	SUP-01.32.168MH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT J OD68 MM HIP MULTIHOLE	SUP-01.32.168MH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
LINER ACETABULAR MPACT HIGHCROSS 4 MM C OFFSET OD32 MM HIP HEAD	SUP-01.32.3239HC4	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
LINER ACETABULAR MPACT HIGHCROSS 4 MM C OFFSET OD32 MM HIP HEAD	SUP-01.32.3239HC4	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
LINER ACETABULAR MPACT HIGHCROSS 4 MM F OFFSET OD36 MM HIP HEAD	SUP-01.32.3648HC4	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
LINER ACETABULAR MPACT HIGHCROSS 4 MM F OFFSET OD36 MM HIP HEAD	SUP-01.32.3648HC4	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
LINER ACETABULAR MPACT HIGHCROSS 4 MM G OFFSET OD40 MM HIP HEAD	SUP-01.32.4052HC4	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
LINER ACETABULAR MPACT HIGHCROSS 4 MM G OFFSET OD40 MM HIP HEAD	SUP-01.32.4052HC4	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CUP ACETABULAR MPACT 3D TWO HOLE 54MM	SUP-01.36.054DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CUP ACETABULAR MPACT 3D TWO HOLE 54MM	SUP-01.36.054DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CUP ACETABULAR MPACCT 3D TWO HOLE 50MM	SUP-01.38.050DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CUP ACETABULAR MPACCT 3D TWO HOLE 50MM	SUP-01.38.050DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT 3D OD52 MM HIP 2 HOLE	SUP-01.38.052DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT 3D OD52 MM HIP 2 HOLE	SUP-01.38.052DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR MPACT TWO HOLE 56MM	SUP-01.38.056DH	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR MPACT TWO HOLE 56MM	SUP-01.38.056DH	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
DEVICE SUTURING COR-KNOT STERILE	SUP-030800	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
DEVICE SUTURING COR-KNOT STERILE	SUP-030800	CDM			270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL STRYKER CTAPER 22 +0	SUP-06-2200	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL STRYKER CTAPER 22 +0	SUP-06-2200	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL STRYKER CTAPER 22 +5	SUP-06-2205	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL STRYKER CTAPER 22 +5	SUP-06-2205	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL STRYKER CTAPER 22 +10	SUP-06-2210	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL STRYKER CTAPER 22 +10	SUP-06-2210	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR 0 OD26 MM HIP C TAPER	SUP-06-2600	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR 0 OD26 MM HIP C TAPER	SUP-06-2600	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR +5 MM OD26 MM HIP C TAPER OFFSET	SUP-06-2605	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR +5 MM OD26 MM HIP C TAPER OFFSET	SUP-06-2605	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR +10 MM OD26 MM HIP C TAPER	SUP-06-2610	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR +10 MM OD26 MM HIP C TAPER	SUP-06-2610	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT TRITANIUM COCR +0 MM OFFSET C TAPER OD28 MM HIP	SUP-06-2800	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRITANIUM COCR +0 MM OFFSET C TAPER OD28 MM HIP	SUP-06-2800	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR +5 OD28 MM HIP C TAPER	SUP-06-2805	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR +5 OD28 MM HIP C TAPER	SUP-06-2805	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT TRITANIUM COCR +10 MM OFFSET C TAPER OD28 MM HIP	SUP-06-2810	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRITANIUM COCR +10 MM OFFSET C TAPER OD28 MM HIP	SUP-06-2810	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT C TAPER COCR -3 MM OD28 MM HIP	SUP-06-2898	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT C TAPER COCR -3 MM OD28 MM HIP	SUP-06-2898	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR 0 OD32 MM HIP C TAPER	SUP-06-3200	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR 0 OD32 MM HIP C TAPER	SUP-06-3200	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR +5 MM OFFSET C TAPER L5+ MM OD32 MM HIP	SUP-06-3205	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR +5 MM OFFSET C TAPER L5+ MM OD32 MM HIP	SUP-06-3205	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR +10 MM OFFSET C TAPER OD32 MM HIP	SUP-06-3210	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR +10 MM OFFSET C TAPER OD32 MM HIP	SUP-06-3210	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
C-TAPER COCR LFIT HEAD 32MM -5	SUP-06-3299	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
C-TAPER COCR LFIT HEAD 32MM -5	SUP-06-3299	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT TRITANIUM +5 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3605	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRITANIUM +5 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3605	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT TRITANIUM +10 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3610	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRITANIUM +10 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3610	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT TRITANIUM +2.5 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3625	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRITANIUM +2.5 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3625	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
C-TAPER COCR LFIT HEAD 36MM -2.5	SUP-06-3697	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
C-TAPER COCR LFIT HEAD 36MM -2.5	SUP-06-3697	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT TRITANIUM -5 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3699	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRITANIUM -5 MM OFFSET C TAPER OD36 MM HIP	SUP-06-3699	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW BONE VIRAGE L12 MM OD3.5 MM SPINE SELF TAP POLYAXIAL DARK BLUE	SUP-07-01702-005	CDM	270010022	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE VIRAGE L12 MM OD3.5 MM SPINE SELF TAP POLYAXIAL DARK BLUE	SUP-07-01702-005	CDM	270010022	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW BONE VIRAGE L12 MM OD4 MM SPINE POLYAXIAL NONSTERILE	SUP-0701702048	CDM	270010022	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE VIRAGE L12 MM OD4 MM SPINE POLYAXIAL NONSTERILE	SUP-0701702048	CDM	270010022	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL G7 COCR +3 MM OFFSET OD36 MM HIP TYPE 1	SUP-11-363663	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL G7 COCR +3 MM OFFSET OD36 MM HIP TYPE 1	SUP-11-363663	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL G7 COCR +12 MM OFFSET OD36 MM HIP TYPE 1 SKIRT	SUP-11-363666	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL G7 COCR +12 MM OFFSET OD36 MM HIP TYPE 1 SKIRT	SUP-11-363666	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW BONE MALIBU L45 MM OD5.5 MM SPINE PEDICLE POLYAXIAL	SUP-12-5545	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE MALIBU L45 MM OD5.5 MM SPINE PEDICLE POLYAXIAL	SUP-12-5545	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW MALIBU POLYAXIAL 6.5MM X 45MM	SUP-12-6545	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW MALIBU POLYAXIAL 6.5MM X 45MM	SUP-12-6545	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +1.5MM 12/14 TAPER 28MM COCR STERILE LF HIP	SUP-1365-11-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +1.5MM 12/14 TAPER 28MM COCR STERILE LF HIP	SUP-1365-11-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +9MM 12/14 STANDARD 32MM COCR STERILE LF HIP CEMENTLESS	SUP-1365-23-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +9MM 12/14 STANDARD 32MM COCR STERILE LF HIP CEMENTLESS	SUP-1365-23-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD BIOLOX DELTA CERAMIC 28MM	SUP-1365-28-330	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD BIOLOX DELTA CERAMIC 28MM	SUP-1365-28-330	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +9MM 12/14 TAPER 32MM BIOLOX DELTA HIP	SUP-1365-32-330	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +9MM 12/14 TAPER 32MM BIOLOX DELTA HIP	SUP-1365-32-330	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +1.5MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-51-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +1.5MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-51-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +5MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-52-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +5MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-52-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +8.5MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-53-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +8.5MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-53-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ARTICUL/EZE +12MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-54-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ARTICUL/EZE +12MM 12/14 TAPER 36MM COCR STERILE LF HIP CEMENTLESS M SPECIFICATION NO SKIRT POLISH NECK	SUP-1365-54-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
IMPLANT DEPUY FEMORAL HEAD ARTICULEZE 35MM	SUP-1365-55-000	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT DEPUY FEMORAL HEAD ARTICULEZE 35MM	SUP-1365-55-000	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW 3.5 X 12MM	SUP-14-524212	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW 3.5 X 12MM	SUP-14-524212	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
IMPLANT BREAST NATRELLE SILICONE P4.1 CM MODERATE PLUS PROFILE ROUND OD12.9 CM 371 ML STYLE 15 SMOOTH STERILE	SUP-15-371	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT BREAST NATRELLE SILICONE P4.1 CM MODERATE PLUS PROFILE ROUND OD12.9 CM 371 ML STYLE 15 SMOOTH STERILE	SUP-15-371	CDM			270	RC		inpatient			1600	1600																																																			
IMPLANT BREAST NATRELLE SILICONE P4.9 CM MODERATE PLUS PROFILE ROUND OD15.2 CM 616 ML STYLE 15 SMOOTH STERILE	SUP-15-616	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT BREAST NATRELLE SILICONE P4.9 CM MODERATE PLUS PROFILE ROUND OD15.2 CM 616 ML STYLE 15 SMOOTH STERILE	SUP-15-616	CDM			270	RC		inpatient			1600	1600																																																			
IMPLANT BREAST NATRELLE SILICONE P5 CM MODERATE PLUS PROFILE ROUND OD15.4 CM 659 ML STYLE 15 GEL SMOOTH STERILE	SUP-15-659	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT BREAST NATRELLE SILICONE P5 CM MODERATE PLUS PROFILE ROUND OD15.4 CM 659 ML STYLE 15 GEL SMOOTH STERILE	SUP-15-659	CDM			270	RC		inpatient			1600	1600																																																			
IMPLANT BREAST NATRELLE SILICONE P5.1 CM MIDRANGE PROFILE ROUND OD15.8 CM 700 ML STYLE 15 GEL SMOOTH STERILE LATEX FREE	SUP-15-700	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT BREAST NATRELLE SILICONE P5.1 CM MIDRANGE PROFILE ROUND OD15.8 CM 700 ML STYLE 15 GEL SMOOTH STERILE LATEX FREE	SUP-15-700	CDM			270	RC		inpatient			1600	1600																																																			
INSERT TIBIAL SIGMA GVF 2 H8 MM KNEE STABILIZE	SUP-1581-21-008	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
INSERT TIBIAL SIGMA GVF 2 H8 MM KNEE STABILIZE	SUP-1581-21-008	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
INSERT TIBIAL SIGMA GVF 2.5 H10 MM KNEE STABILIZE	SUP-1581-22-010	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
INSERT TIBIAL SIGMA GVF 2.5 H10 MM KNEE STABILIZE	SUP-1581-22-010	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
INSERT TIBIAL SIGMA GVF 5 H10 MM KNEE STABILIZE	SUP-1581-25-010	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
INSERT TIBIAL SIGMA GVF 5 H10 MM KNEE STABILIZE	SUP-1581-25-010	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
INSERT TIBIAL SIGMA GVF 6 H8 MM KNEE STABILIZE STERILE	SUP-1581-26-008	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
INSERT TIBIAL SIGMA GVF 6 H8 MM KNEE STABILIZE STERILE	SUP-1581-26-008	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL G7 COCR -3 MM OFFSET OD32 MM HIP TYPE 1	SUP-163668	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL G7 COCR -3 MM OFFSET OD32 MM HIP TYPE 1	SUP-163668	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL G7 COCR STANDARD OFFSET OD32 MM HIP TYPE 1	SUP-163669	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL G7 COCR STANDARD OFFSET OD32 MM HIP TYPE 1	SUP-163669	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW SYNTHES EXPEDIUM 7MM X 55MM	SUP-179712755	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW SYNTHES EXPEDIUM 7MM X 55MM	SUP-179712755	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA +0 MM OFFSET C TAPER OD32 MM HIP HIGH PERFORMANCE	SUP-18-3200	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA +0 MM OFFSET C TAPER OD32 MM HIP HIGH PERFORMANCE	SUP-18-3200	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CTAPER BIOLOX DELTA HEAD 32MM +5	SUP-18-3205	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CTAPER BIOLOX DELTA HEAD 32MM +5	SUP-18-3205	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CTAPER BIOLOX DELTA HEAD 32MM +2.5	SUP-18-3225	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CTAPER BIOLOX DELTA HEAD 32MM +2.5	SUP-18-3225	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CTAPER BIOLOX DELTA HEAD 32MM -2.5	SUP-18-32-3	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CTAPER BIOLOX DELTA HEAD 32MM -2.5	SUP-18-32-3	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA 0 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-3600	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA 0 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-3600	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA +5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-3605	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA +5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-3605	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA +2.5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-3625	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA +2.5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-3625	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA -2.5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-36-3	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA -2.5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-36-3	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA -5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-36-5	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA -5 MM OFFSET C TAPER OD36 MM HIP HIGH PERFORMANCE	SUP-18-36-5	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA +7.5 MM OD36 MM HIP C TAPER	SUP-183675	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA +7.5 MM OD36 MM HIP C TAPER	SUP-183675	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2010	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2010	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L15 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2015	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L15 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2015	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2510	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2510	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L15 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2515	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L15 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-2515	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-3010	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-3010	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC3.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-3510	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL RECTANGLE HELIX L137 CM L10 MM ODSEC3.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2001-3510	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EX NITINOL LONG RECTANGLE HELIX TAPER L139 CM L15 MM ODSEC3 MM RADIOPAQUE EASY EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2034-3015	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EX NITINOL LONG RECTANGLE HELIX TAPER L139 CM L15 MM ODSEC3 MM RADIOPAQUE EASY EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2034-3015	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EX NITINOL LONG RECTANGLE HELIX TAPER L139 CM L15 MM ODSEC3.5 MM RADIOPAQUE EASY EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2034-3515	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EX NITINOL LONG RECTANGLE HELIX TAPER L139 CM L15 MM ODSEC3.5 MM RADIOPAQUE EASY EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2034-3515	CDM			481	RC		inpatient			1600	1600																																																			
DEVICE TISSUE REMOVAL AVETA OD3.9 MM RESECT STERILE DISPOSABLE	SUP-210-2005	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
DEVICE TISSUE REMOVAL AVETA OD3.9 MM RESECT STERILE DISPOSABLE	SUP-210-2005	CDM			270	RC		inpatient			1600	1600																																																			
ANGIOSCULPT SCORING BALLOON 2.0 X 6	SUP-2200-2006	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
ANGIOSCULPT SCORING BALLOON 2.0 X 6	SUP-2200-2006	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2006-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2006-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION RECTANGLE HELIX TAPER 2MM 137CM 10MM RADIOPAQUE RAPID	SUP-2200-2010	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION RECTANGLE HELIX TAPER 2MM 137CM 10MM RADIOPAQUE RAPID	SUP-2200-2010	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2010-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2010-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-2015	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-2015	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2015-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2015-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2020-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC2 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2020-B	CDM			481	RC		inpatient			1600	1600																																																			
ANGIOSCULPT SCORING BALLOON 2.5 X 6	SUP-2200-2506	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
ANGIOSCULPT SCORING BALLOON 2.5 X 6	SUP-2200-2506	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2506-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2506-B	CDM			481	RC		inpatient			1600	1600																																																			
ANGIOSCULPT SCORING BALLOON 2.5 X 10 MM	SUP-2200-2510	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
ANGIOSCULPT SCORING BALLOON 2.5 X 10 MM	SUP-2200-2510	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2510-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2510-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-2515	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-2515	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2515-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2515-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2520-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC2.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-2520-B	CDM			481	RC		inpatient			1600	1600																																																			
ANGIOSCULPT SCORING BALLOON 3.0 X 6	SUP-2200-3006	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
ANGIOSCULPT SCORING BALLOON 3.0 X 6	SUP-2200-3006	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3006-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3006-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L10 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-3010	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L10 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-3010	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3010-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3010-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-3015	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-3015	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3015-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3015-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3020-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC3 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3020-B	CDM			481	RC		inpatient			1600	1600																																																			
ANGIOSCULPT SCORING BALLOON 3.5 X 6	SUP-2200-3506	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
ANGIOSCULPT SCORING BALLOON 3.5 X 6	SUP-2200-3506	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3506-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L6 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3506-B	CDM			481	RC		inpatient			1600	1600																																																			
ANGIOSCULPT SCORING BALLOON 3.5 X 10	SUP-2200-3510	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
ANGIOSCULPT SCORING BALLOON 3.5 X 10	SUP-2200-3510	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3510-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L10 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3510-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC3.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-3515	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L15 MM ODSEC3.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-2200-3515	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3515-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L15 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3515-B	CDM			481	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3520-B	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT EVO HYDROPHILIC L20 MM ODSEC3.5 MM RAPID EXCHANGE STERILE LATEX FREE PTCA	SUP-2200-3520-B	CDM			481	RC		inpatient			1600	1600																																																			
IMPLANT SHELL STRYKER TRITANIUM SOLID 48MM	SUP-500-03-48C	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT SHELL STRYKER TRITANIUM SOLID 48MM	SUP-500-03-48C	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD50 MM HIP SOLID BACK	SUP-500-03-50D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD50 MM HIP SOLID BACK	SUP-500-03-50D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD52 MM HIP SOLID BACK	SUP-500-03-52D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD52 MM HIP SOLID BACK	SUP-500-03-52D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD54 MM SOLID BACK PRIMARY	SUP-500-03-54E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD54 MM SOLID BACK PRIMARY	SUP-500-03-54E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD56 MM SOLID BACK PRIMARY	SUP-500-03-56E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD56 MM SOLID BACK PRIMARY	SUP-500-03-56E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM F HEMISPHERICAL OD58 MM SOLID BACK PRIMARY	SUP-500-03-58F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM F HEMISPHERICAL OD58 MM SOLID BACK PRIMARY	SUP-500-03-58F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
IMPLANT SHELL STRYKER TRITANIUM SOLID 60MM	SUP-500-03-60F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT SHELL STRYKER TRITANIUM SOLID 60MM	SUP-500-03-60F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
IMPLANT SHELL STRYKER TRITANIUM SOLID 62MM	SUP-500-03-62G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
IMPLANT SHELL STRYKER TRITANIUM SOLID 62MM	SUP-500-03-62G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT METAL HA D HEMISPHERICAL OD50 MM HIP SOLID BACK	SUP-500-11-50D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT METAL HA D HEMISPHERICAL OD50 MM HIP SOLID BACK	SUP-500-11-50D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT METAL HA E HEMISPHERICAL OD52 MM HIP SOLID BACK	SUP-500-11-52E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT METAL HA E HEMISPHERICAL OD52 MM HIP SOLID BACK	SUP-500-11-52E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT METAL HA E HEMISPHERICAL OD54 MM HIP SOLID BACK	SUP-500-11-54E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT METAL HA E HEMISPHERICAL OD54 MM HIP SOLID BACK	SUP-500-11-54E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT METAL HA F HEMISPHERICAL OD56 MM HIP SOLID BACK	SUP-500-11-56F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT METAL HA F HEMISPHERICAL OD56 MM HIP SOLID BACK	SUP-500-11-56F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT METAL HA F HEMISPHERICAL OD58 MM HIP SOLID BACK	SUP-500-11-58F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT METAL HA F HEMISPHERICAL OD58 MM HIP SOLID BACK	SUP-500-11-58F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT METAL HA G HEMISPHERICAL OD60 MM HIP SOLID BACK	SUP-500-11-60G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT METAL HA G HEMISPHERICAL OD60 MM HIP SOLID BACK	SUP-500-11-60G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM B HEMISPHERICAL OD46 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-46B	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM B HEMISPHERICAL OD46 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-46B	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM C HEMISPHERICAL OD48 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-48C	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM C HEMISPHERICAL OD48 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-48C	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD50 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-50D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD50 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-50D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD52 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-52D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM D HEMISPHERICAL OD52 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-52D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD54 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-54E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD54 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-54E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD56 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-56E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM E HEMISPHERICAL OD56 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-56E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM F HEMISPHERICAL OD58 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-58F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM F HEMISPHERICAL OD58 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-58F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM F HEMISPHERICAL OD60 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-60F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM F HEMISPHERICAL OD60 MM HIP PRIMARY RIM CLUSTER HOLE	SUP-502-03-60F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR H HEMISPHERICAL 66MM TRITANIUM PRIMARY RIM CLUSTER HOLE	SUP-502-03-62G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR H HEMISPHERICAL 66MM TRITANIUM PRIMARY RIM CLUSTER HOLE	SUP-502-03-62G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM G HEMISPHERICAL OD64 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-64G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM G HEMISPHERICAL OD64 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-64G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRITANIUM H HEMISPHERICAL OD66 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-66H	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRITANIUM H HEMISPHERICAL OD66 MM PRIMARY RIM CLUSTER HOLE	SUP-502-03-66H	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 44MM	SUP-502-11-44B	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 44MM	SUP-502-11-44B	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 46MM	SUP-502-11-46C	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 46MM	SUP-502-11-46C	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 48MM	SUP-502-11-48D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 48MM	SUP-502-11-48D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 50MM	SUP-502-11-50D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 50MM	SUP-502-11-50D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 52MM	SUP-502-11-52E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 52MM	SUP-502-11-52E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 54MM	SUP-502-11-54E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 54MM	SUP-502-11-54E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 56MM	SUP-502-11-56F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 56MM	SUP-502-11-56F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 58MM	SUP-502-11-58F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 58MM	SUP-502-11-58F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 60MM	SUP-502-11-60G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 60MM	SUP-502-11-60G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR HEMISPHERICAL 62MM	SUP-502-11-62G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR HEMISPHERICAL 62MM	SUP-502-11-62G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 64MM	SUP-502-11-64H	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 64MM	SUP-502-11-64H	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 66MM	SUP-502-11-66H	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 66MM	SUP-502-11-66H	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL TRIDENT HEMISPHERICAL 68MM	SUP-502-11-68I	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL TRIDENT HEMISPHERICAL 68MM	SUP-502-11-68I	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW BONE SIERRA L12 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANNULATED LATEX FREE	SUP-50-3512	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE SIERRA L12 MM OD3.5 MM SPINE OCCIPITOCERVICOTHORACIC CANNULATED LATEX FREE	SUP-50-3512	CDM			270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT D HEMISPHERE OD48 MM HIP MULTIHOLE	SUP-508-11-48D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT D HEMISPHERE OD48 MM HIP MULTIHOLE	SUP-508-11-48D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT D HEMISPHERE OD50 MM HIP MULTIHOLE	SUP-508-11-50D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT D HEMISPHERE OD50 MM HIP MULTIHOLE	SUP-508-11-50D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT E HEMISPHERE OD52 MM HIP MULTIHOLE	SUP-508-11-52E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT E HEMISPHERE OD52 MM HIP MULTIHOLE	SUP-508-11-52E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT E HEMISPHERE OD54 MM HIP MULTIHOLE	SUP-508-11-54E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT E HEMISPHERE OD54 MM HIP MULTIHOLE	SUP-508-11-54E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT F HEMISPHERE OD56 MM HIP MULTIHOLE	SUP-508-11-56F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT F HEMISPHERE OD56 MM HIP MULTIHOLE	SUP-508-11-56F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT F HEMISPHERE OD58 MM HIP MULTIHOLE	SUP-508-11-58F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT F HEMISPHERE OD58 MM HIP MULTIHOLE	SUP-508-11-58F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT G HEMISPHERE OD60 MM HIP MULTIHOLE	SUP-508-11-60G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT G HEMISPHERE OD60 MM HIP MULTIHOLE	SUP-508-11-60G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT G HEMISPHERE OD62 MM HIP MULTIHOLE	SUP-508-11-62G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT G HEMISPHERE OD62 MM HIP MULTIHOLE	SUP-508-11-62G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT H HEMISPHERE OD64 MM HIP MULTIHOLE	SUP-508-11-64H	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT H HEMISPHERE OD64 MM HIP MULTIHOLE	SUP-508-11-64H	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT H HEMISPHERE OD66 MM HIP MULTIHOLE	SUP-508-11-66H	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT H HEMISPHERE OD66 MM HIP MULTIHOLE	SUP-508-11-66H	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA D OD48 MM ODSEC49.8 MM HIP SOLID BACK RIM	SUP-540-11-48D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA D OD48 MM ODSEC49.8 MM HIP SOLID BACK RIM	SUP-540-11-48D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR 50MM 51.8MM HIP SOLID BACK RIM HA TRIDENT PSL E	SUP-540-11-50E	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR 50MM 51.8MM HIP SOLID BACK RIM HA TRIDENT PSL E	SUP-540-11-50E	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA E OD52 MM HIP SOLID BACK DOME HOLE PLUG	SUP-540-11-52E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA E OD52 MM HIP SOLID BACK DOME HOLE PLUG	SUP-540-11-52E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA F OD54 MM ODSEC55.8 MM HIP SOLID BACK RIM	SUP-540-11-54F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA F OD54 MM ODSEC55.8 MM HIP SOLID BACK RIM	SUP-540-11-54F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA F OD56 MM ODSEC57.8 MM HIP SOLID BACK RIM	SUP-540-11-56F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA F OD56 MM ODSEC57.8 MM HIP SOLID BACK RIM	SUP-540-11-56F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA C OD44 MM ODSEC45.8 MM HIP 3 SCREW HOLE CLUSTER RIM	SUP-542-11-44C	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA C OD44 MM ODSEC45.8 MM HIP 3 SCREW HOLE CLUSTER RIM	SUP-542-11-44C	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA D OD46 MM ODSEC47.8 MM HIP 3 SCREW HOLE CLUSTER RIM	SUP-542-11-46D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA D OD46 MM ODSEC47.8 MM HIP 3 SCREW HOLE CLUSTER RIM	SUP-542-11-46D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA D OD48 MM ODSEC49.8 MM HIP 3 SCREW HOLE CLUSTER RIM	SUP-542-11-48D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA D OD48 MM ODSEC49.8 MM HIP 3 SCREW HOLE CLUSTER RIM	SUP-542-11-48D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA E OD50 MM ODSEC51.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-50E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA E OD50 MM ODSEC51.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-50E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA E OD52 MM ODSEC53.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-52E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA E OD52 MM ODSEC53.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-52E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA F OD54 MM ODSEC55.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-54F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA F OD54 MM ODSEC55.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-54F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA F OD56 MM ODSEC57.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-56F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA F OD56 MM ODSEC57.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-56F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA G OD58 MM ODSEC59.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-58G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA G OD58 MM ODSEC59.8 MM HIP 5 SCREW HOLE CLUSTER RIM	SUP-542-11-58G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT PSL HA G OD60 MM ODSEC61.8 MM HIP 5 SCREW HOLE CLUSTER RIM STERILE	SUP-542-11-60G	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT PSL HA G OD60 MM ODSEC61.8 MM HIP 5 SCREW HOLE CLUSTER RIM STERILE	SUP-542-11-60G	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CATHETER GUIDING VENTURE .014 IN L145 CM OD6 FR RAPID EXCHANGE WIRE CONTROL RADIOPAQUE STEERABLE MULTILAYER COIL TORQUE SHAFT	SUP-5820	CDM			481	RC		outpatient			1600	16	784				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	784				percent of total billed charges		816				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER GUIDING VENTURE .014 IN L145 CM OD6 FR RAPID EXCHANGE WIRE CONTROL RADIOPAQUE STEERABLE MULTILAYER COIL TORQUE SHAFT	SUP-5820	CDM			481	RC		inpatient			1600	1600																																																			
HEAD FEMORAL COCR +0 MM C TAPER OD36 MM HIP NECK	SUP-621066	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL COCR +0 MM C TAPER OD36 MM HIP NECK	SUP-621066	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR -3 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-026	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR -3 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-026	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR -4 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-028	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR -4 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-028	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR -4 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-032	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR -4 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-032	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT TRITANIUM COCR -5 MM OFFSET TAPER OD36 MM HIP PRIMARY	SUP-6260-9-036	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT TRITANIUM COCR -5 MM OFFSET TAPER OD36 MM HIP PRIMARY	SUP-6260-9-036	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-126	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-126	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT TRITANIUM COCR +0 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-128	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT TRITANIUM COCR +0 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-128	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-132	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-132	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD36 MM HIP PRIMARY ANATOMIC	SUP-6260-9-136	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +0 MM OFFSET TAPER OD36 MM HIP PRIMARY ANATOMIC	SUP-6260-9-136	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +3 MM OFFSET TAPER OD22 MM HIP PRIMARY	SUP-6260-9-222	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +3 MM OFFSET TAPER OD22 MM HIP PRIMARY	SUP-6260-9-222	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +4 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-226	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +4 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-226	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT TRITANIUM COCR +4 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-228	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT TRITANIUM COCR +4 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-228	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +4 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-232	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +4 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-232	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT TRITANIUM COCR +5 MM OFFSET TAPER OD36 MM HIP PRIMARY	SUP-6260-9-236	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT TRITANIUM COCR +5 MM OFFSET TAPER OD36 MM HIP PRIMARY	SUP-6260-9-236	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD22 MM HIP PRIMARY	SUP-6260-9-322	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD22 MM HIP PRIMARY	SUP-6260-9-322	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-326	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-326	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-328	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD28 MM HIP PRIMARY	SUP-6260-9-328	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-332	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +8 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-332	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT TRITANIUM COCR +10 MM OFFSET TAPER OD36 MM HIP PRIMARY	SUP-6260-9-336	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT TRITANIUM COCR +10 MM OFFSET TAPER OD36 MM HIP PRIMARY	SUP-6260-9-336	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-426	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD26 MM HIP PRIMARY	SUP-6260-9-426	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET OD28 MM HIP	SUP-6260-9-428	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET OD28 MM HIP	SUP-6260-9-428	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-432	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 LFIT COCR +12 MM OFFSET TAPER OD32 MM HIP PRIMARY	SUP-6260-9-432	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX OD28 MM HIP TAPERED	SUP-6519-1-028	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX OD28 MM HIP TAPERED	SUP-6519-1-028	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA UNIVERSAL OD32 MM HIP TAPERED	SUP-6519-1-032	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA UNIVERSAL OD32 MM HIP TAPERED	SUP-6519-1-032	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL UNIVERSAL OD36 MM HIP ANATOMIC	SUP-6519-1-036	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL UNIVERSAL OD36 MM HIP ANATOMIC	SUP-6519-1-036	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX DELTA CERAMIC +0 UNIVERSAL TAPER OD40 MM HIP	SUP-6519-1-040	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX DELTA CERAMIC +0 UNIVERSAL TAPER OD40 MM HIP	SUP-6519-1-040	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL BIOLOX UNIVERSAL OD44 MM HIP TAPERED NONSTERILE	SUP-6519-1-044	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL BIOLOX UNIVERSAL OD44 MM HIP TAPERED NONSTERILE	SUP-6519-1-044	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL -4MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40	SUP-6570-0-028	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL -4MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40	SUP-6570-0-028	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA -4 MM OFFSET TAPER OD32 MM HIP	SUP-6570-0-032	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA -4 MM OFFSET TAPER OD32 MM HIP	SUP-6570-0-032	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA -5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-036	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA -5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-036	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL 0MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40	SUP-6570-0-128	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL 0MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40	SUP-6570-0-128	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA 0 MM OFFSET TAPER OD32 MM HIP	SUP-6570-0-132	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA 0 MM OFFSET TAPER OD32 MM HIP	SUP-6570-0-132	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA 0 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-136	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA 0 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-136	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA +4 MM OFFSET TAPER OD32 MM HIP	SUP-6570-0-232	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA +4 MM OFFSET TAPER OD32 MM HIP	SUP-6570-0-232	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA +5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-236	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA +5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-236	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA -2.5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-436	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA -2.5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-436	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA +2.5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-536	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA +2.5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-536	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL V40 BIOLOX DELTA +7.5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-736	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL V40 BIOLOX DELTA +7.5 MM OFFSET TAPER OD36 MM HIP	SUP-6570-0-736	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW BONE VERTEX MAX TITANIUM L12 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958712	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE VERTEX MAX TITANIUM L12 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958712	CDM			270	RC		inpatient			1600	1600																																																			
SCREW BONE VERTEX MAX TITANIUM L14 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958714	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE VERTEX MAX TITANIUM L14 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958714	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW BONE VERTEX MAX TITANIUM L16 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958716	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW BONE VERTEX MAX TITANIUM L16 MM OD3.5 MM SPINE THORACIC MULTIAXIAL GREEN	SUP-6958716	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW MEDTRONIC 3.5MM X 20MM	SUP-6958720	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW MEDTRONIC 3.5MM X 20MM	SUP-6958720	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW MEDTRONIC 3.5MM X 22MM	SUP-6958722	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW MEDTRONIC 3.5MM X 22MM	SUP-6958722	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW MEDTRONIC 4.0MM X 20MM	SUP-6958820	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW MEDTRONIC 4.0MM X 20MM	SUP-6958820	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREW MEDTRONIC 4.0MM X 22MM	SUP-6958822	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SCREW MEDTRONIC 4.0MM X 22MM	SUP-6958822	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM E OD54 MM HIP 5 SCREW HOLE CLUSTER STERILE	SUP-702-04-54E	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT II TRITANIUM E OD54 MM HIP 5 SCREW HOLE CLUSTER STERILE	SUP-702-04-54E	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT II TRITANIUM F OD58 MM HIP 13 HOLE STERILE	SUP-709-04-58F	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT II TRITANIUM F OD58 MM HIP 13 HOLE STERILE	SUP-709-04-58F	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ECHELON COCR +4 MM 12/14 OD28 MM HIP TAPER NECK PRIMARY ASTM F799	SUP-71302804	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ECHELON COCR +4 MM 12/14 OD28 MM HIP TAPER NECK PRIMARY ASTM F799	SUP-71302804	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ECHELON COCR -3 MM 12/14 OD36 MM HIP	SUP-71303603	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ECHELON COCR -3 MM 12/14 OD36 MM HIP	SUP-71303603	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ECHELON COCR +8 MM 12/14 OD36 MM HIP	SUP-71303608	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ECHELON COCR +8 MM 12/14 OD36 MM HIP	SUP-71303608	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR R3 POLY STANDARD OD52 MM HIP 3 HOLE	SUP-71335552	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR R3 POLY STANDARD OD52 MM HIP 3 HOLE	SUP-71335552	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR R3 STANDARD OD56 MM HIP 3 HOLE	SUP-71335556	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR R3 STANDARD OD56 MM HIP 3 HOLE	SUP-71335556	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL OXINIUM +0 MM 12/14 TAPER OD36 MM HIP	SUP-71343600	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL OXINIUM +0 MM 12/14 TAPER OD36 MM HIP	SUP-71343600	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL ECHELON OXINIUM -3 MM 12/14 TAPER OD36 MM HIP REVISION	SUP-71343603	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL ECHELON OXINIUM -3 MM 12/14 TAPER OD36 MM HIP REVISION	SUP-71343603	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL OXINIUM +4 MM 12/14 TAPER OD36 MM HIP	SUP-71343604	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL OXINIUM +4 MM 12/14 TAPER OD36 MM HIP	SUP-71343604	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR 56MM 3 HOLE	SUP-7135556	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR 56MM 3 HOLE	SUP-7135556	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SHELL ACETABULAR TRIDENT II PSL HA D OD48 MM HIP CLUSTER HOLE STERILE	SUP-742-11-48D	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
SHELL ACETABULAR TRIDENT II PSL HA D OD48 MM HIP CLUSTER HOLE STERILE	SUP-742-11-48D	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CLEARWAY INFUSION CATHETER 1.5 X 20	SUP-80208	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CLEARWAY INFUSION CATHETER 1.5 X 20	SUP-80208	CDM			270	RC		inpatient			1600	1600																																																			
PLATE CERVICAL ONE LEVEL 12MM	SUP-810112	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE CERVICAL ONE LEVEL 12MM	SUP-810112	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
PLATE SEAPINE CERVICAL 3 LEVEL 45MM	SUP-810345	CDM	270010020	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE SEAPINE CERVICAL 3 LEVEL 45MM	SUP-810345	CDM	270010020	LOCAL	270	RC		inpatient			1600	1600																																																			
PUTTY ALLOSYNC DBM 5.0CC	SUP-ABS-2012-05	CDM	270010031	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PUTTY ALLOSYNC DBM 5.0CC	SUP-ABS-2012-05	CDM	270010031	LOCAL	270	RC		inpatient			1600	1600																																																			
FILLER BONE VOID ALLOSYNC DEMINERALIZED BONE MATRIX 5 CC GEL	SUP-ABS-2013-05	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
FILLER BONE VOID ALLOSYNC DEMINERALIZED BONE MATRIX 5 CC GEL	SUP-ABS-2013-05	CDM			270	RC		inpatient			1600	1600																																																			
PLATE ARTHREX LO PRO MTP PLT CONTRD LNG LTI	SUP-AR-8944CL-L	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE ARTHREX LO PRO MTP PLT CONTRD LNG LTI	SUP-AR-8944CL-L	CDM			270	RC		inpatient			1600	1600																																																			
PLATE BONE LOW PROFILE MTP PLATE TITANIUM LONG CONTOUR METATARSOPHALANGEAL LEFT FUSION MODULE	SUP-AR-8944CL-P	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE BONE LOW PROFILE MTP PLATE TITANIUM LONG CONTOUR METATARSOPHALANGEAL LEFT FUSION MODULE	SUP-AR-8944CL-P	CDM			270	RC		inpatient			1600	1600																																																			
PLATE ARTHREX LO PRO MTP PLT CONTRD LNG RTI	SUP-AR-8944CR-L	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE ARTHREX LO PRO MTP PLT CONTRD LNG RTI	SUP-AR-8944CR-L	CDM			270	RC		inpatient			1600	1600																																																			
PLATE BONE LOW PROFILE MTP PLATE TITANIUM SHORT STRAIGHT FOREFOOT FUSION MODULE	SUP-AR-8944-SP	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE BONE LOW PROFILE MTP PLATE TITANIUM SHORT STRAIGHT FOREFOOT FUSION MODULE	SUP-AR-8944-SP	CDM			270	RC		inpatient			1600	1600																																																			
PLATE BONE STRAIGHT TITANIUM FOOT TARSOMETATARSAL 4 HOLE LOW PROFILE 3MM SCREW	SUP-AR-8952TS-04	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE BONE STRAIGHT TITANIUM FOOT TARSOMETATARSAL 4 HOLE LOW PROFILE 3MM SCREW	SUP-AR-8952TS-04	CDM			270	RC		inpatient			1600	1600																																																			
PLATE BONE TITANIUM STRAIGHT 5 HOLE LOW PROFILE 3 MM SCREW	SUP-AR-8952TS-05	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE BONE TITANIUM STRAIGHT 5 HOLE LOW PROFILE 3 MM SCREW	SUP-AR-8952TS-05	CDM			270	RC		inpatient			1600	1600																																																			
PLATE BONE TITANIUM T LOW PROFILE L3 MM FOOT 3 HOLE	SUP-AR-8952TT-03	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE BONE TITANIUM T LOW PROFILE L3 MM FOOT 3 HOLE	SUP-AR-8952TT-03	CDM			270	RC		inpatient			1600	1600																																																			
PLATE BONE T TITANIUM FOOT TARSOMETATARSAL 4 HOLE LOW PROFILE 3MM SCREW	SUP-AR-8952TT-04	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
PLATE BONE T TITANIUM FOOT TARSOMETATARSAL 4 HOLE LOW PROFILE 3MM SCREW	SUP-AR-8952TT-04	CDM			270	RC		inpatient			1600	1600																																																			
CUP FEMORAL 3 HOLE 52MM	SUP-H1.A11.1052	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CUP FEMORAL 3 HOLE 52MM	SUP-H1.A11.1052	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
CUP ACETABULAR BENCOX MIRABO TITANIUM DOME OD64 MM HIP	SUP-H1.A11.1064	CDM	270010025	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CUP ACETABULAR BENCOX MIRABO TITANIUM DOME OD64 MM HIP	SUP-H1.A11.1064	CDM	270010025	LOCAL	270	RC		inpatient			1600	1600																																																			
CATHETER INFUSION .016IN MICRO BERN 2.4FR 130CM 180CM TORQUEABLE FLEXIBLE GUIDEWIRE	SUP-M001195640	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER INFUSION .016IN MICRO BERN 2.4FR 130CM 180CM TORQUEABLE FLEXIBLE GUIDEWIRE	SUP-M001195640	CDM			270	RC		inpatient			1600	1600																																																			
CATHETER INFUSION .027IN MICRO BERN 2.4FR 130CM 180CM TORQUEABLE FLEXIBLE GUIDEWIRE	SUP-M001195740	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER INFUSION .027IN MICRO BERN 2.4FR 130CM 180CM TORQUEABLE FLEXIBLE GUIDEWIRE	SUP-M001195740	CDM			270	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION SM 3MM 140CM 1.5CM OTW PLAQUE MODIFICATION PERIPHERAL	SUP-M001PCBO3015140F0	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION SM 3MM 140CM 1.5CM OTW PLAQUE MODIFICATION PERIPHERAL	SUP-M001PCBO3015140F0	CDM			270	RC		inpatient			1600	1600																																																			
STENT BILIARY PALMAZ BLUE SLALOM FLEXSEGMENT COCR L20 MM L17 MM L80 CM OD6 MM OTW BALLOON EXPANDABLE CLOSED CELL STERILE LATEX FREE DISPOSABLE ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6 FR GUIDE CATHETER TRANSHEPATIC	SUP-PB1860BSS	CDM			270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
STENT BILIARY PALMAZ BLUE SLALOM FLEXSEGMENT COCR L20 MM L17 MM L80 CM OD6 MM OTW BALLOON EXPANDABLE CLOSED CELL STERILE LATEX FREE DISPOSABLE ACCEPTS .018 IN GUIDEWIRE 5 FR INTRODUCER SHEATH 6 FR GUIDE CATHETER TRANSHEPATIC	SUP-PB1860BSS	CDM			270	RC		inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-2006-B	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC2 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-2006-B	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-2506-B	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-2506-B	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L10 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-2510-B	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L10 MM ODSEC2.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-2510-B	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-3006-B	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC3 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-3006-B	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC3.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-3506-B	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION ANGIOSCULPT NITINOL NYLON RECTANGLE HELIX TAPER L137 CM L6 MM ODSEC3.5 MM RADIOPAQUE RAPID EXCHANGE FLEXIBLE ELECTROPOLISH ACCEPTS .014 IN GUIDEWIRE 6 FR GUIDE CATHETER PTCA	SUP-PN-2200-3506-B	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
CATHETER BALLOON DILATATION RECTANGLE HELIX TAPER 3.5MM 137CM 10MM RADIOPAQUE RAPID	SUP-PN-2200-3510-B	CDM						inpatient			1600	1600																																																			
CATHETER BALLOON DILATATION RECTANGLE HELIX TAPER 3.5MM 137CM 10MM RADIOPAQUE RAPID	SUP-PN-2200-3510-B	CDM						outpatient			1600	16	1600				percent of total billed charges		1600				other	OPPS APC	1600				fee schedule		1600				other	OPPS APC	1600				other	OPPS APC	1600				case rate		1600				case rate		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRIDENT COCR +2.5 MM OFFSET C TAPER OD28 MM HIP	SUP-S-1400-HH82	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT TRIDENT COCR +2.5 MM OFFSET C TAPER OD28 MM HIP	SUP-S-1400-HH82	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
HEAD FEMORAL LFIT COCR C TAPER HIP INTERLOCK	SUP-S-1400-HH84	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
HEAD FEMORAL LFIT COCR C TAPER HIP INTERLOCK	SUP-S-1400-HH84	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
LINER ACETABULAR RINGLOC MAX-ROM ARCOMXL 25 ID36 MM HIP	SUP-XL-105995	CDM	270010024	LOCAL	270	RC		outpatient			1600	16	433.44				percent of total billed charges		1600				other	OPPS APC	1184				percent of total billed charges		1600				other	OPPS APC	1600				other	OPPS APC	433.44				percent of total billed charges		442.08				percent of total billed charges		16				other	OPPS APC	16	1600	
LINER ACETABULAR RINGLOC MAX-ROM ARCOMXL 25 ID36 MM HIP	SUP-XL-105995	CDM	270010024	LOCAL	270	RC		inpatient			1600	1600																																																			
SCREWDRIVER HEX HEAD ATTACHMENT	SUP-95-03544	CDM						inpatient			1596.96	1596.96																																																			
SCREWDRIVER HEX HEAD ATTACHMENT	SUP-95-03544	CDM						outpatient			1596.96	1596.96	1596.96				percent of total billed charges		1596.96				other	OPPS APC	1596.96				fee schedule		1596.96				other	OPPS APC	1596.96				other	OPPS APC	1596.96				case rate		1596.96				case rate		1596.96				other	OPPS APC	1596.96	1596.96	
HC IR Chest Tube Insertion Thoracostomy	PX-361325511	CDM	32551	CPT	361	RC		outpatient			1596	1596	504.02				percent of total billed charges		1596				other	OPPS APC	1596				fee schedule		1596				other	OPPS APC	1596				other	OPPS APC	504.02				percent of total billed charges		514.07				percent of total billed charges		1596				other	OPPS APC	504.02	1596	
HC IR Chest Tube Insertion Thoracostomy	PX-361325511	CDM	32551	CPT	361	RC		inpatient			1596	1596																																																			
HC Chest Tube Insertion W Thoracostomy	PX-450325511	CDM	32551	CPT	450	RC		outpatient			1596	1596	195.77				case rate		1596				other	OPPS APC	1181.04				percent of total billed charges		1596				other	OPPS APC	1596				other	OPPS APC	195.77				case rate		199.69				case rate		1596				other	OPPS APC	195.77	1596	
HC Chest Tube Insertion W Thoracostomy	PX-450325511	CDM	32551	CPT	450	RC		inpatient			1596	1596																																																			
FILLER BONE VOID 5CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038050	CDM	270010031	LOCAL	270	RC		outpatient			1595.52	1595.52	432.23				percent of total billed charges		1595.52				other	OPPS APC	1180.68				percent of total billed charges		1595.52				other	OPPS APC	1595.52				other	OPPS APC	432.23				percent of total billed charges		440.84				percent of total billed charges		1595.52				other	OPPS APC	432.23	1595.52	
FILLER BONE VOID 5CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038050	CDM	270010031	LOCAL	270	RC		inpatient			1595.52	1595.52																																																			
PLATE BONE LCP STAINLESS STEEL L66 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.459	CDM	270010022	LOCAL	270	RC		outpatient			1592.74	1592.74	431.47				percent of total billed charges		1592.74				other	OPPS APC	1178.63				percent of total billed charges		1592.74				other	OPPS APC	1592.74				other	OPPS APC	431.47				percent of total billed charges		440.07				percent of total billed charges		1592.74				other	OPPS APC	431.47	1592.74	
PLATE BONE LCP STAINLESS STEEL L66 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.459	CDM	270010022	LOCAL	270	RC		inpatient			1592.74	1592.74																																																			
PLATE BONE LCP STAINLESS STEEL L65 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.465	CDM	270010022	LOCAL	270	RC		outpatient			1592.74	1592.74	431.47				percent of total billed charges		1592.74				other	OPPS APC	1178.63				percent of total billed charges		1592.74				other	OPPS APC	1592.74				other	OPPS APC	431.47				percent of total billed charges		440.07				percent of total billed charges		1592.74				other	OPPS APC	431.47	1592.74	
PLATE BONE LCP STAINLESS STEEL L65 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.465	CDM	270010022	LOCAL	270	RC		inpatient			1592.74	1592.74																																																			
PLATE BONE LCP STAINLESS STEEL L65 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.468	CDM	270010022	LOCAL	270	RC		outpatient			1592.74	1592.74	431.47				percent of total billed charges		1592.74				other	OPPS APC	1178.63				percent of total billed charges		1592.74				other	OPPS APC	1592.74				other	OPPS APC	431.47				percent of total billed charges		440.07				percent of total billed charges		1592.74				other	OPPS APC	431.47	1592.74	
PLATE BONE LCP STAINLESS STEEL L65 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 5 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.468	CDM	270010022	LOCAL	270	RC		inpatient			1592.74	1592.74																																																			
PLATE VARIAX  H LARGE	SUP-40-15023	CDM			270	RC		outpatient			1592	1592	431.27				percent of total billed charges		1592				other	OPPS APC	1178.08				percent of total billed charges		1592				other	OPPS APC	1592				other	OPPS APC	431.27				percent of total billed charges		439.87				percent of total billed charges		1592				other	OPPS APC	431.27	1592	
PLATE VARIAX  H LARGE	SUP-40-15023	CDM			270	RC		inpatient			1592	1592																																																			
PLATE VARIAX  RECTANGULAR LOCKING SIZE 2	SUP-40-15032	CDM			270	RC		outpatient			1592	1592	431.27				percent of total billed charges		1592				other	OPPS APC	1178.08				percent of total billed charges		1592				other	OPPS APC	1592				other	OPPS APC	431.27				percent of total billed charges		439.87				percent of total billed charges		1592				other	OPPS APC	431.27	1592	
PLATE VARIAX  RECTANGULAR LOCKING SIZE 2	SUP-40-15032	CDM			270	RC		inpatient			1592	1592																																																			
CAPTIVATOR EMR DEVICE	SUP-95-02792	CDM			272	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
CAPTIVATOR EMR DEVICE	SUP-95-02792	CDM			272	RC		inpatient			1590	1590																																																			
STAPLER SUREFORM 60	SUP-95-04883	CDM			272	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
STAPLER SUREFORM 60	SUP-95-04883	CDM			272	RC		inpatient			1590	1590																																																			
KNOTLESS FIBERTAK ANCHOR 2.6 BLUE/BLACK	SUP-97-05539	CDM			278	RC		outpatient			1590	159	1590				fee schedule		1590				other	OPPS APC	906.3				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	779.1				percent of total billed charges		810.9				percent of total billed charges		159				other	OPPS APC	159	1590	
KNOTLESS FIBERTAK ANCHOR 2.6 BLUE/BLACK	SUP-97-05539	CDM			278	RC		inpatient			1590	1590																																																			
ANCHOR KNOTLESS FIBERTAK RC WH/BLK FT & BLUE #2	SUP-97-05943	CDM			278	RC		outpatient			1590	159	1590				fee schedule		1590				other	OPPS APC	906.3				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	779.1				percent of total billed charges		810.9				percent of total billed charges		159				other	OPPS APC	159	1590	
ANCHOR KNOTLESS FIBERTAK RC WH/BLK FT & BLUE #2	SUP-97-05943	CDM			278	RC		inpatient			1590	1590																																																			
4.75MM BC KNOTLESS SWIVELOCK W/TAPE	SUP-97-23849	CDM			278	RC		outpatient			1590	159	1590				fee schedule		1590				other	OPPS APC	906.3				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	779.1				percent of total billed charges		810.9				percent of total billed charges		159				other	OPPS APC	159	1590	
4.75MM BC KNOTLESS SWIVELOCK W/TAPE	SUP-97-23849	CDM			278	RC		inpatient			1590	1590																																																			
PLATE BONE TITANIUM L FLAT LOW PROFILE METATARSUS 2.4 MM SCREW	SUP-AR-13200M	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE TITANIUM L FLAT LOW PROFILE METATARSUS 2.4 MM SCREW	SUP-AR-13200M	CDM			270	RC		inpatient			1590	1590																																																			
PLATE BONE 130MM SS FIBULA LEFT DISTAL 8 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BL-08	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE 130MM SS FIBULA LEFT DISTAL 8 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BL-08	CDM			270	RC		inpatient			1590	1590																																																			
PLATE BONE STAINLESS STEEL LOW PROFILE ANKLE RIGHT FIBULA 8 HOLE LOCK MODULAR	SUP-AR-8943BR-08	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE STAINLESS STEEL LOW PROFILE ANKLE RIGHT FIBULA 8 HOLE LOCK MODULAR	SUP-AR-8943BR-08	CDM			270	RC		inpatient			1590	1590																																																			
PLATE BONE TITANIUM COTTON LOW PROFILE L2 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-02	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE TITANIUM COTTON LOW PROFILE L2 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-02	CDM			270	RC		inpatient			1590	1590																																																			
PLATE BONE TITANIUM COTTON LOW PROFILE L4 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-04	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE TITANIUM COTTON LOW PROFILE L4 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-04	CDM			270	RC		inpatient			1590	1590																																																			
PLATE BONE TITANIUM COTTON LOW PROFILE L6 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-06	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE TITANIUM COTTON LOW PROFILE L6 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-06	CDM			270	RC		inpatient			1590	1590																																																			
PLATE BONE TITANIUM COTTON LOW PROFILE L8 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-08	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
PLATE BONE TITANIUM COTTON LOW PROFILE L8 MM FOOT ANKLE 2.4 MM SCREW	SUP-AR-8948-08	CDM			270	RC		inpatient			1590	1590																																																			
SCREW LO-PRO 5MM X 45MM	SUP-AR-9045-45PT	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
SCREW LO-PRO 5MM X 45MM	SUP-AR-9045-45PT	CDM			270	RC		inpatient			1590	1590																																																			
SCREW BONE LOW PROFILE SCREWS PARTIAL THREAD 50MM 4.5MM TITANIUM METATARSUS SOLID SELF TAP JONES FRACTURE	SUP-AR-9045-50PT	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
SCREW BONE LOW PROFILE SCREWS PARTIAL THREAD 50MM 4.5MM TITANIUM METATARSUS SOLID SELF TAP JONES FRACTURE	SUP-AR-9045-50PT	CDM			270	RC		inpatient			1590	1590																																																			
SCREW BONE TITANIUM PARTIAL THREAD LOW PROFILE L50 MM OD5.5 MM METATARSUS SOLID JONES FRACTURE	SUP-AR-9055-50PT	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
SCREW BONE TITANIUM PARTIAL THREAD LOW PROFILE L50 MM OD5.5 MM METATARSUS SOLID JONES FRACTURE	SUP-AR-9055-50PT	CDM			270	RC		inpatient			1590	1590																																																			
POSITIONER SURGICAL STARFISH EVO HEART MULTIAPPENDAGE SILICONE SUCTION CUP LOW PROFILE	SUP-HP3000	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
POSITIONER SURGICAL STARFISH EVO HEART MULTIAPPENDAGE SILICONE SUCTION CUP LOW PROFILE	SUP-HP3000	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 415CC	SUP-SRF-415	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 415CC	SUP-SRF-415	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE ROUND 450CC SILICONE STERILE SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH	SUP-SRF-450	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE ROUND 450CC SILICONE STERILE SMOOTH SHELL COHESIVE GEL 1 LUMEN PATCH	SUP-SRF-450	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 485 CC SMOOTH SHELL SURFACE	SUP-SRF-485	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 485 CC SMOOTH SHELL SURFACE	SUP-SRF-485	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 520CC SMOOTH SHELL SURFACE	SUP-SRF-520	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 520CC SMOOTH SHELL SURFACE	SUP-SRF-520	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 560CC SMOOTH SHELL SURFACE	SUP-SRF-560	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 560CC SMOOTH SHELL SURFACE	SUP-SRF-560	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 605CC SMOOTH SHELL SURFACE	SUP-SRF-605	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 605CC SMOOTH SHELL SURFACE	SUP-SRF-605	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 650CC SMOOTH SHELL SURFACE	SUP-SRF-650	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA FULL PROFILE 650CC SMOOTH SHELL SURFACE	SUP-SRF-650	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA LOW PLUS PROFILE 250 CC SMOOTH SHELL SURFACE	SUP-SRLP-250	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA LOW PLUS PROFILE 250 CC SMOOTH SHELL SURFACE	SUP-SRLP-250	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT NATRELE STYLE SRM SMOOTH RESPONSIVE GEL MODERATE PROFILE	SUP-SRM-310	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT NATRELE STYLE SRM SMOOTH RESPONSIVE GEL MODERATE PROFILE	SUP-SRM-310	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA XFULL PROFILE 445 CC SMOOTH SHELL SURFACE	SUP-SRX-445	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA XFULL PROFILE 445 CC SMOOTH SHELL SURFACE	SUP-SRX-445	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA XFULL PROFILE 495 CC SMOOTH SHELL SURFACE	SUP-SRX-495	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA XFULL PROFILE 495 CC SMOOTH SHELL SURFACE	SUP-SRX-495	CDM			270	RC		inpatient			1590	1590																																																			
IMPLANT BREAST NATRELLE INSPIRA XFULL PROFILE 650 CC SMOOTH SHELL SURFACE	SUP-SRX-650	CDM			270	RC		outpatient			1590	159	430.73				percent of total billed charges		1590				other	OPPS APC	1176.6				percent of total billed charges		1590				other	OPPS APC	1590				other	OPPS APC	430.73				percent of total billed charges		439.32				percent of total billed charges		159				other	OPPS APC	159	1590	
IMPLANT BREAST NATRELLE INSPIRA XFULL PROFILE 650 CC SMOOTH SHELL SURFACE	SUP-SRX-650	CDM			270	RC		inpatient			1590	1590																																																			
DRILL BIT 5.0MM CANNULATED	SUP-03.333.104	CDM			272	RC		outpatient			1587.3	1587.3	430				percent of total billed charges		1587.3				other	OPPS APC	1174.6				percent of total billed charges		1587.3				other	OPPS APC	1587.3				other	OPPS APC	430				percent of total billed charges		438.57				percent of total billed charges		1587.3				other	OPPS APC	430	1587.3	
DRILL BIT 5.0MM CANNULATED	SUP-03.333.104	CDM			272	RC		inpatient			1587.3	1587.3																																																			
DRILL BIT 5.0MM CANNULATED	SUP-95-04767	CDM			272	RC		outpatient			1587.3	1587.3	430				percent of total billed charges		1587.3				other	OPPS APC	1174.6				percent of total billed charges		1587.3				other	OPPS APC	1587.3				other	OPPS APC	430				percent of total billed charges		438.57				percent of total billed charges		1587.3				other	OPPS APC	430	1587.3	
DRILL BIT 5.0MM CANNULATED	SUP-95-04767	CDM			272	RC		inpatient			1587.3	1587.3																																																			
INSERT TIBIAL SIGMA GVF 2.5 H12.5 MM KNEE STABILIZE	SUP-1581-22-012	CDM	270010025	LOCAL	270	RC		outpatient			1586	1586	429.65				percent of total billed charges		1586				other	OPPS APC	1173.64				percent of total billed charges		1586				other	OPPS APC	1586				other	OPPS APC	429.65				percent of total billed charges		438.21				percent of total billed charges		1586				other	OPPS APC	429.65	1586	
INSERT TIBIAL SIGMA GVF 2.5 H12.5 MM KNEE STABILIZE	SUP-1581-22-012	CDM	270010025	LOCAL	270	RC		inpatient			1586	1586																																																			
INSERT TIBIAL SIGMA GVF 3 H15 MM KNEE STABILIZE	SUP-1581-23-015	CDM	270010025	LOCAL	270	RC		outpatient			1586	1586	429.65				percent of total billed charges		1586				other	OPPS APC	1173.64				percent of total billed charges		1586				other	OPPS APC	1586				other	OPPS APC	429.65				percent of total billed charges		438.21				percent of total billed charges		1586				other	OPPS APC	429.65	1586	
INSERT TIBIAL SIGMA GVF 3 H15 MM KNEE STABILIZE	SUP-1581-23-015	CDM	270010025	LOCAL	270	RC		inpatient			1586	1586																																																			
INSERT TIBIAL SIGMA GVF 4 H15 MM KNEE STABILIZE STERILE	SUP-1581-24-015	CDM	270010025	LOCAL	270	RC		outpatient			1586	1586	429.65				percent of total billed charges		1586				other	OPPS APC	1173.64				percent of total billed charges		1586				other	OPPS APC	1586				other	OPPS APC	429.65				percent of total billed charges		438.21				percent of total billed charges		1586				other	OPPS APC	429.65	1586	
INSERT TIBIAL SIGMA GVF 4 H15 MM KNEE STABILIZE STERILE	SUP-1581-24-015	CDM	270010025	LOCAL	270	RC		inpatient			1586	1586																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.440	CDM	270010022	LOCAL	270	RC		outpatient			1584.98	1584.98	429.37				percent of total billed charges		1584.98				other	OPPS APC	1172.89				percent of total billed charges		1584.98				other	OPPS APC	1584.98				other	OPPS APC	429.37				percent of total billed charges		437.93				percent of total billed charges		1584.98				other	OPPS APC	429.37	1584.98	
PLATE BONE LCP STAINLESS STEEL CONTOUR L59.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 4 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.440	CDM	270010022	LOCAL	270	RC		inpatient			1584.98	1584.98																																																			
HC CT Diagnostic Thorax W/O Contrast	PX-352712500	CDM	71250	CPT	352	RC		outpatient			1584	112.57	179.84				fee schedule		112.57				other	OPPS APC	717.69				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	137.95				fee schedule		86.54				fee schedule		112.57				other	OPPS APC	86.54	717.69	
HC CT Diagnostic Thorax W/O Contrast	PX-352712500	CDM	71250	CPT	352	RC		inpatient			1584	1584																																																			
PLUG STEM NEXGEN TIVANIUM TAPER KNEE FLEX STERILE	SUP-00-5960-099-00	CDM	270010025	LOCAL	270	RC		outpatient			1584	1584	429.11				percent of total billed charges		1584				other	OPPS APC	1172.16				percent of total billed charges		1584				other	OPPS APC	1584				other	OPPS APC	429.11				percent of total billed charges		437.66				percent of total billed charges		1584				other	OPPS APC	429.11	1584	
PLUG STEM NEXGEN TIVANIUM TAPER KNEE FLEX STERILE	SUP-00-5960-099-00	CDM	270010025	LOCAL	270	RC		inpatient			1584	1584																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L260 MM X W17.5 MM X H5.2 MM 14 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.641	CDM	270010022	LOCAL	270	RC		outpatient			1584	1584	429.11				percent of total billed charges		1584				other	OPPS APC	1172.16				percent of total billed charges		1584				other	OPPS APC	1584				other	OPPS APC	429.11				percent of total billed charges		437.66				percent of total billed charges		1584				other	OPPS APC	429.11	1584	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L260 MM X W17.5 MM X H5.2 MM 14 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.641	CDM	270010022	LOCAL	270	RC		inpatient			1584	1584																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L265 MM X W17.5 MM X H5.2 MM 14 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.642	CDM	270010022	LOCAL	270	RC		outpatient			1584	1584	429.11				percent of total billed charges		1584				other	OPPS APC	1172.16				percent of total billed charges		1584				other	OPPS APC	1584				other	OPPS APC	429.11				percent of total billed charges		437.66				percent of total billed charges		1584				other	OPPS APC	429.11	1584	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L265 MM X W17.5 MM X H5.2 MM 14 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.642	CDM	270010022	LOCAL	270	RC		inpatient			1584	1584																																																			
PLATE LCP RECON 3.5 MM 8 HOLES	SUP-97-04000	CDM			278	RC		outpatient			1583.46	1583.46	1583.46				fee schedule		1583.46				other	OPPS APC	902.57				percent of total billed charges		1583.46				other	OPPS APC	1583.46				other	OPPS APC	775.9				percent of total billed charges		807.56				percent of total billed charges		1583.46				other	OPPS APC	775.9	1583.46	
PLATE LCP RECON 3.5 MM 8 HOLES	SUP-97-04000	CDM			278	RC		inpatient			1583.46	1583.46																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD HEPARIN VELOUR COLLAGEN POLYESTER STRAIGHT L70 CM L20 CM OD6 MM KNIT REVERSE LOCKNIT RADIAL SUPPORT	SUP-IGK0006RS20H	CDM			270	RC		outpatient			1582.4	1582.41	428.67				percent of total billed charges		1582.4				other	OPPS APC	1170.98				percent of total billed charges		1582.4				other	OPPS APC	1582.4				other	OPPS APC	428.67				percent of total billed charges		437.22				percent of total billed charges		1582.41				other	OPPS APC	428.67	1582.41	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD HEPARIN VELOUR COLLAGEN POLYESTER STRAIGHT L70 CM L20 CM OD6 MM KNIT REVERSE LOCKNIT RADIAL SUPPORT	SUP-IGK0006RS20H	CDM			270	RC		inpatient			1582.4	1582.4																																																			
HC Ins Cath Abdominal Art 1st	PX-361362452	CDM	36245	CPT	361	RC		inpatient			1582	1582																																																			
HC Ins Cath Abdominal Art 1st	PX-361362452	CDM	36245	CPT	361	RC		outpatient			1582	1582	499.6				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	499.6				percent of total billed charges		509.56				percent of total billed charges						other	OPPS APC	612	612	
PLATE VARIAX  5 HOLE STRAIGHT MEDIUM	SUP-40-15042	CDM			270	RC		outpatient			1579.2	1579.2	427.81				percent of total billed charges		1579.2				other	OPPS APC	1168.61				percent of total billed charges		1579.2				other	OPPS APC	1579.2				other	OPPS APC	427.81				percent of total billed charges		436.33				percent of total billed charges		1579.2				other	OPPS APC	427.81	1579.2	
PLATE VARIAX  5 HOLE STRAIGHT MEDIUM	SUP-40-15042	CDM			270	RC		inpatient			1579.2	1579.2																																																			
CATHETER BALLOON DILATATION RIGIFLEX II L90 CM L10 CM OD14 FR ODSEC30 MM RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-M00554500	CDM			270	RC		outpatient			1578	1578	427.48				percent of total billed charges		1578				other	OPPS APC	1167.72				percent of total billed charges		1578				other	OPPS APC	1578				other	OPPS APC	427.48				percent of total billed charges		436				percent of total billed charges		1578				other	OPPS APC	427.48	1578	
CATHETER BALLOON DILATATION RIGIFLEX II L90 CM L10 CM OD14 FR ODSEC30 MM RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-M00554500	CDM			270	RC		inpatient			1578	1578																																																			
CATHETER BALLOON DILATATION RIGIFLEX II L90 CM L10 CM OD14 FR ODSEC35 MM RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE ACHALASIA	SUP-M00554510	CDM			270	RC		outpatient			1578	1578	427.48				percent of total billed charges		1578				other	OPPS APC	1167.72				percent of total billed charges		1578				other	OPPS APC	1578				other	OPPS APC	427.48				percent of total billed charges		436				percent of total billed charges		1578				other	OPPS APC	427.48	1578	
CATHETER BALLOON DILATATION RIGIFLEX II L90 CM L10 CM OD14 FR ODSEC35 MM RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE ACHALASIA	SUP-M00554510	CDM			270	RC		inpatient			1578	1578																																																			
CATHETER BALLOON DILATATION RIGIFLEX II L90 CM L10 CM OD14 FR ODSEC40 MM RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE ACHALASIA	SUP-M00554520	CDM			270	RC		outpatient			1578	1578	427.48				percent of total billed charges		1578				other	OPPS APC	1167.72				percent of total billed charges		1578				other	OPPS APC	1578				other	OPPS APC	427.48				percent of total billed charges		436				percent of total billed charges		1578				other	OPPS APC	427.48	1578	
CATHETER BALLOON DILATATION RIGIFLEX II L90 CM L10 CM OD14 FR ODSEC40 MM RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE ACHALASIA	SUP-M00554520	CDM			270	RC		inpatient			1578	1578																																																			
ACL TIGHTROPE W/FIBERTAG	SUP-97-04507	CDM			278	RC		outpatient			1575	1575	1575				fee schedule		1575				other	OPPS APC	897.75				percent of total billed charges		1575				other	OPPS APC	1575				other	OPPS APC	771.75				percent of total billed charges		803.25				percent of total billed charges		1575				other	OPPS APC	771.75	1575	
ACL TIGHTROPE W/FIBERTAG	SUP-97-04507	CDM			278	RC		inpatient			1575	1575																																																			
FIBERTAK DX SUTURE ANCHOR W/0.9MM ST	SUP-97-05522	CDM			278	RC		outpatient			1575	1575	1575				fee schedule		1575				other	OPPS APC	897.75				percent of total billed charges		1575				other	OPPS APC	1575				other	OPPS APC	771.75				percent of total billed charges		803.25				percent of total billed charges		1575				other	OPPS APC	771.75	1575	
FIBERTAK DX SUTURE ANCHOR W/0.9MM ST	SUP-97-05522	CDM			278	RC		inpatient			1575	1575																																																			
FIBERTAK WITH NEEDLES HYBRID KNEE	SUP-97-06231	CDM			278	RC		outpatient			1575	1575	1575				fee schedule		1575				other	OPPS APC	897.75				percent of total billed charges		1575				other	OPPS APC	1575				other	OPPS APC	771.75				percent of total billed charges		803.25				percent of total billed charges		1575				other	OPPS APC	771.75	1575	
FIBERTAK WITH NEEDLES HYBRID KNEE	SUP-97-06231	CDM			278	RC		inpatient			1575	1575																																																			
IBAL TKA TIB AUG-MENT SZE4 10MMRL/LM	SUP-97-23743	CDM			278	RC		outpatient			1575	1575	1575				fee schedule		1575				other	OPPS APC	897.75				percent of total billed charges		1575				other	OPPS APC	1575				other	OPPS APC	771.75				percent of total billed charges		803.25				percent of total billed charges		1575				other	OPPS APC	771.75	1575	
IBAL TKA TIB AUG-MENT SZE4 10MMRL/LM	SUP-97-23743	CDM			278	RC		inpatient			1575	1575																																																			
IBAL TKA TIB AUG-MENT SZE 4 10MMRM/LL	SUP-97-23744	CDM			278	RC		outpatient			1575	1575	1575				fee schedule		1575				other	OPPS APC	897.75				percent of total billed charges		1575				other	OPPS APC	1575				other	OPPS APC	771.75				percent of total billed charges		803.25				percent of total billed charges		1575				other	OPPS APC	771.75	1575	
IBAL TKA TIB AUG-MENT SZE 4 10MMRM/LL	SUP-97-23744	CDM			278	RC		inpatient			1575	1575																																																			
EXTENSION STEM SIGMA 2/2.5/3 L60 MM OD13 MM KNEE TIBIA CEMENTED	SUP-86-6402	CDM	270010025	LOCAL	270	RC		outpatient			1573.2	1573.2	426.18				percent of total billed charges		1573.2				other	OPPS APC	1164.17				percent of total billed charges		1573.2				other	OPPS APC	1573.2				other	OPPS APC	426.18				percent of total billed charges		434.68				percent of total billed charges		1573.2				other	OPPS APC	426.18	1573.2	
EXTENSION STEM SIGMA 2/2.5/3 L60 MM OD13 MM KNEE TIBIA CEMENTED	SUP-86-6402	CDM	270010025	LOCAL	270	RC		inpatient			1573.2	1573.2																																																			
"DINOPROSTONE 10 MG INSERT, EXTENDED RELEASE"	250000000	CDM	55566-2800-0	NDC				inpatient			1571.95	1571.95																																																			
"DINOPROSTONE 10 MG INSERT, EXTENDED RELEASE"	250000000	CDM	55566-2800-1	NDC				inpatient			1571.95	1571.95																																																			
"DINOPROSTONE 10 MG INSERT, EXTENDED RELEASE"	250000000	CDM	55566-2800-0	NDC				outpatient			1571.95	1571.95																																															other	OPPS APC			
"DINOPROSTONE 10 MG INSERT, EXTENDED RELEASE"	250000000	CDM	55566-2800-1	NDC				outpatient			1571.95	1571.95																																															other	OPPS APC			
PLATE VARIAX  RECTANGULAR COMPRESSION SIZE 1	SUP-40-15031	CDM			270	RC		outpatient			1569.6	1569.6	425.2				percent of total billed charges		1569.6				other	OPPS APC	1161.5				percent of total billed charges		1569.6				other	OPPS APC	1569.6				other	OPPS APC	425.2				percent of total billed charges		433.68				percent of total billed charges		1569.6				other	OPPS APC	425.2	1569.6	
PLATE VARIAX  RECTANGULAR COMPRESSION SIZE 1	SUP-40-15031	CDM			270	RC		inpatient			1569.6	1569.6																																																			
COUPLING HOFMAN3 ROD TO ROD DIA 5/8/11MM	SUP-97-03406	CDM			278	RC		outpatient			1568.4	1568.41	1568.4				fee schedule		1568.4				other	OPPS APC	893.99				percent of total billed charges		1568.4				other	OPPS APC	1568.4				other	OPPS APC	768.52				percent of total billed charges		799.88				percent of total billed charges		1568.41				other	OPPS APC	768.52	1568.41	
COUPLING HOFMAN3 ROD TO ROD DIA 5/8/11MM	SUP-97-03406	CDM			278	RC		inpatient			1568.4	1568.4																																																			
HOFFMANN3 PIN TO ROD COUPLING INVERTED 4/5/6MM 5/8/11MM	SUP-97-06115	CDM			278	RC		outpatient			1568.4	1568.41	1568.4				fee schedule		1568.4				other	OPPS APC	893.99				percent of total billed charges		1568.4				other	OPPS APC	1568.4				other	OPPS APC	768.52				percent of total billed charges		799.88				percent of total billed charges		1568.41				other	OPPS APC	768.52	1568.41	
HOFFMANN3 PIN TO ROD COUPLING INVERTED 4/5/6MM 5/8/11MM	SUP-97-06115	CDM			278	RC		inpatient			1568.4	1568.4																																																			
SEALER/DIVIDER BIPOLAR LIGASURE 180D STRAIGHT 37CM 19.5MM 5MM DISPOSABLE STERILE LF HANDSWITCH 2 ACTION CONTOUR BLUNT	SUP-LF1837	CDM			270	RC		outpatient			1567.58	1567.58	424.66				percent of total billed charges		1567.58				other	OPPS APC	1160.01				percent of total billed charges		1567.58				other	OPPS APC	1567.58				other	OPPS APC	424.66				percent of total billed charges		433.12				percent of total billed charges		1567.58				other	OPPS APC	424.66	1567.58	
SEALER/DIVIDER BIPOLAR LIGASURE 180D STRAIGHT 37CM 19.5MM 5MM DISPOSABLE STERILE LF HANDSWITCH 2 ACTION CONTOUR BLUNT	SUP-LF1837	CDM			270	RC		inpatient			1567.58	1567.58																																																			
BIPOLAR SHELL 43MM OD	SUP-97-04402	CDM			278	RC		outpatient			1567.5	1567.5	1567.5				fee schedule		1567.5				other	OPPS APC	893.48				percent of total billed charges		1567.5				other	OPPS APC	1567.5				other	OPPS APC	768.08				percent of total billed charges		799.43				percent of total billed charges		1567.5				other	OPPS APC	768.08	1567.5	
BIPOLAR SHELL 43MM OD	SUP-97-04402	CDM			278	RC		inpatient			1567.5	1567.5																																																			
BIPOLAR SHELL 42MM OD	SUP-97-04488	CDM			278	RC		outpatient			1567.5	1567.5	1567.5				fee schedule		1567.5				other	OPPS APC	893.48				percent of total billed charges		1567.5				other	OPPS APC	1567.5				other	OPPS APC	768.08				percent of total billed charges		799.43				percent of total billed charges		1567.5				other	OPPS APC	768.08	1567.5	
BIPOLAR SHELL 42MM OD	SUP-97-04488	CDM			278	RC		inpatient			1567.5	1567.5																																																			
BIPOLAR SHELL 51MM OD	SUP-97-04589	CDM			278	RC		outpatient			1567.5	1567.5	1567.5				fee schedule		1567.5				other	OPPS APC	893.48				percent of total billed charges		1567.5				other	OPPS APC	1567.5				other	OPPS APC	768.08				percent of total billed charges		799.43				percent of total billed charges		1567.5				other	OPPS APC	768.08	1567.5	
BIPOLAR SHELL 51MM OD	SUP-97-04589	CDM			278	RC		inpatient			1567.5	1567.5																																																			
BIPOLAR SHELL 50MM OD	SUP-97-04591	CDM			278	RC		outpatient			1567.5	1567.5	1567.5				fee schedule		1567.5				other	OPPS APC	893.48				percent of total billed charges		1567.5				other	OPPS APC	1567.5				other	OPPS APC	768.08				percent of total billed charges		799.43				percent of total billed charges		1567.5				other	OPPS APC	768.08	1567.5	
BIPOLAR SHELL 50MM OD	SUP-97-04591	CDM			278	RC		inpatient			1567.5	1567.5																																																			
PLATE BONE LCP LONG 76MMX2MM SS NS CALCANEAL RIGHT LOCK 2.7/3.5MM CORTEX SCREW	SUP-241.624	CDM	270010022	LOCAL	270	RC		outpatient			1566.4	1566.41	424.34				percent of total billed charges		1566.4				other	OPPS APC	1159.14				percent of total billed charges		1566.4				other	OPPS APC	1566.4				other	OPPS APC	424.34				percent of total billed charges		432.8				percent of total billed charges		1566.41				other	OPPS APC	424.34	1566.41	
PLATE BONE LCP LONG 76MMX2MM SS NS CALCANEAL RIGHT LOCK 2.7/3.5MM CORTEX SCREW	SUP-241.624	CDM	270010022	LOCAL	270	RC		inpatient			1566.4	1566.4																																																			
PLATE BONE LCP LONG 76MMX2MM SS NS CALCANEAL LEFT LOCK 2.7/3.5MM CORTEX SCREW	SUP-241.625	CDM	270010022	LOCAL	270	RC		outpatient			1566.4	1566.41	424.34				percent of total billed charges		1566.4				other	OPPS APC	1159.14				percent of total billed charges		1566.4				other	OPPS APC	1566.4				other	OPPS APC	424.34				percent of total billed charges		432.8				percent of total billed charges		1566.41				other	OPPS APC	424.34	1566.41	
PLATE BONE LCP LONG 76MMX2MM SS NS CALCANEAL LEFT LOCK 2.7/3.5MM CORTEX SCREW	SUP-241.625	CDM	270010022	LOCAL	270	RC		inpatient			1566.4	1566.4																																																			
PLATE BONE VARIAX SMARTLOCK TITANIUM MEDIUM H FOOT LOW PROFILE	SUP-40-15022	CDM			270	RC		outpatient			1566.4	1566.41	424.34				percent of total billed charges		1566.4				other	OPPS APC	1159.14				percent of total billed charges		1566.4				other	OPPS APC	1566.4				other	OPPS APC	424.34				percent of total billed charges		432.8				percent of total billed charges		1566.41				other	OPPS APC	424.34	1566.41	
PLATE BONE VARIAX SMARTLOCK TITANIUM MEDIUM H FOOT LOW PROFILE	SUP-40-15022	CDM			270	RC		inpatient			1566.4	1566.4																																																			
BIPOLARD SHELL 49MM	SUP-97-03459	CDM			278	RC		outpatient			1566	1566	1566				fee schedule		1566				other	OPPS APC	892.62				percent of total billed charges		1566				other	OPPS APC	1566				other	OPPS APC	767.34				percent of total billed charges		798.66				percent of total billed charges		1566				other	OPPS APC	767.34	1566	
BIPOLARD SHELL 49MM	SUP-97-03459	CDM			278	RC		inpatient			1566	1566																																																			
MESH C-QUR 7X9	SUP-31535	CDM			270	RC		outpatient			1565.8	1565.8	424.18				percent of total billed charges		1565.8				other	OPPS APC	1158.69				percent of total billed charges		1565.8				other	OPPS APC	1565.8				other	OPPS APC	424.18				percent of total billed charges		432.63				percent of total billed charges		1565.8				other	OPPS APC	424.18	1565.8	
MESH C-QUR 7X9	SUP-31535	CDM			270	RC		inpatient			1565.8	1565.8																																																			
TUBE VENTILATION ARMSTRONG FLUOROPLASTIC BEVEL GROMMET ID1.14 MM EAR	SUP-14-5700	CDM			270	RC		outpatient			1565.4	1565.41	424.07				percent of total billed charges		1565.4				other	OPPS APC	1158.4				percent of total billed charges		1565.4				other	OPPS APC	1565.4				other	OPPS APC	424.07				percent of total billed charges		432.52				percent of total billed charges		1565.41				other	OPPS APC	424.07	1565.41	
TUBE VENTILATION ARMSTRONG FLUOROPLASTIC BEVEL GROMMET ID1.14 MM EAR	SUP-14-5700	CDM			270	RC		inpatient			1565.4	1565.4																																																			
GLIDESCOPE COVER LOPRO S1	SUP-95-04163	CDM			272	RC		outpatient			1560	156	422.6				percent of total billed charges		1560				other	OPPS APC	1154.4				percent of total billed charges		1560				other	OPPS APC	1560				other	OPPS APC	422.6				percent of total billed charges		431.03				percent of total billed charges		156				other	OPPS APC	156	1560	
GLIDESCOPE COVER LOPRO S1	SUP-95-04163	CDM			272	RC		inpatient			1560	1560																																																			
GLIDESCOPE COVER LOPRO S2	SUP-95-04164	CDM			272	RC		outpatient			1560	156	422.6				percent of total billed charges		1560				other	OPPS APC	1154.4				percent of total billed charges		1560				other	OPPS APC	1560				other	OPPS APC	422.6				percent of total billed charges		431.03				percent of total billed charges		156				other	OPPS APC	156	1560	
GLIDESCOPE COVER LOPRO S2	SUP-95-04164	CDM			272	RC		inpatient			1560	1560																																																			
OATS OSTEOCHONDRAL AUTOGRAFT10MM	SUP-97-04067	CDM			278	RC		outpatient			1560	156	1560				fee schedule		1560				other	OPPS APC	889.2				percent of total billed charges		1560				other	OPPS APC	1560				other	OPPS APC	764.4				percent of total billed charges		795.6				percent of total billed charges		156				other	OPPS APC	156	1560	
OATS OSTEOCHONDRAL AUTOGRAFT10MM	SUP-97-04067	CDM			278	RC		inpatient			1560	1560																																																			
GRAFT AXILLARY CANNULA	SUP-CGS2008S	CDM			270	RC		outpatient			1560	156	422.6				percent of total billed charges		1560				other	OPPS APC	1154.4				percent of total billed charges		1560				other	OPPS APC	1560				other	OPPS APC	422.6				percent of total billed charges		431.03				percent of total billed charges		156				other	OPPS APC	156	1560	
GRAFT AXILLARY CANNULA	SUP-CGS2008S	CDM			270	RC		inpatient			1560	1560																																																			
GRAFT BONE VERTIGRAFT ILIAC CREST H18 MM FREEZE DRIED WEDGE	SUP-ICW8	CDM	270010031	LOCAL	270	RC		outpatient			1558.24	1558.24	422.13				percent of total billed charges		1558.24				other	OPPS APC	1153.1				percent of total billed charges		1558.24				other	OPPS APC	1558.24				other	OPPS APC	422.13				percent of total billed charges		430.54				percent of total billed charges		1558.24				other	OPPS APC	422.13	1558.24	
GRAFT BONE VERTIGRAFT ILIAC CREST H18 MM FREEZE DRIED WEDGE	SUP-ICW8	CDM	270010031	LOCAL	270	RC		inpatient			1558.24	1558.24																																																			
PLATE BONE EVOS Y 5 HOLE 2.7 MM SCREW	SUP-72442778	CDM			270	RC		outpatient			1556	1556	421.52				percent of total billed charges		1556				other	OPPS APC	1151.44				percent of total billed charges		1556				other	OPPS APC	1556				other	OPPS APC	421.52				percent of total billed charges		429.92				percent of total billed charges		1556				other	OPPS APC	421.52	1556	
PLATE BONE EVOS Y 5 HOLE 2.7 MM SCREW	SUP-72442778	CDM			270	RC		inpatient			1556	1556																																																			
PLATE BONE EVOS Y 7 HOLE 2.7 MM SCREW	SUP-72442780	CDM			270	RC		outpatient			1556	1556	421.52				percent of total billed charges		1556				other	OPPS APC	1151.44				percent of total billed charges		1556				other	OPPS APC	1556				other	OPPS APC	421.52				percent of total billed charges		429.92				percent of total billed charges		1556				other	OPPS APC	421.52	1556	
PLATE BONE EVOS Y 7 HOLE 2.7 MM SCREW	SUP-72442780	CDM			270	RC		inpatient			1556	1556																																																			
PLATE BONE EVOS 6 HOLE TRIANGLE 2.7MM SCREW	SUP-72442786	CDM			270	RC		outpatient			1556	1556	421.52				percent of total billed charges		1556				other	OPPS APC	1151.44				percent of total billed charges		1556				other	OPPS APC	1556				other	OPPS APC	421.52				percent of total billed charges		429.92				percent of total billed charges		1556				other	OPPS APC	421.52	1556	
PLATE BONE EVOS 6 HOLE TRIANGLE 2.7MM SCREW	SUP-72442786	CDM			270	RC		inpatient			1556	1556																																																			
PLATE BONE EVOS 8 HOLE TRIANGLE 2.7 MM SCREW	SUP-72442788	CDM			270	RC		outpatient			1556	1556	421.52				percent of total billed charges		1556				other	OPPS APC	1151.44				percent of total billed charges		1556				other	OPPS APC	1556				other	OPPS APC	421.52				percent of total billed charges		429.92				percent of total billed charges		1556				other	OPPS APC	421.52	1556	
PLATE BONE EVOS 8 HOLE TRIANGLE 2.7 MM SCREW	SUP-72442788	CDM			270	RC		inpatient			1556	1556																																																			
PIN NAVIGATION PRECISION NAVIGATION SYSTEM L150 MM OD3 MM KNEE	SUP-60007003150	CDM			270	RC		outpatient			1553.5	1553.5	420.84				percent of total billed charges		1553.5				other	OPPS APC	1149.59				percent of total billed charges		1553.5				other	OPPS APC	1553.5				other	OPPS APC	420.84				percent of total billed charges		429.23				percent of total billed charges		1553.5				other	OPPS APC	420.84	1553.5	
PIN NAVIGATION PRECISION NAVIGATION SYSTEM L150 MM OD3 MM KNEE	SUP-60007003150	CDM			270	RC		inpatient			1553.5	1553.5																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L55 CM ID4-7 MM LINE PERIPHERAL STRETCH STERILE	SUP-S47055	CDM			270	RC		outpatient			1552	1552	420.44				percent of total billed charges		1552				other	OPPS APC	1148.48				percent of total billed charges		1552				other	OPPS APC	1552				other	OPPS APC	420.44				percent of total billed charges		428.82				percent of total billed charges		1552				other	OPPS APC	420.44	1552	
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L55 CM ID4-7 MM LINE PERIPHERAL STRETCH STERILE	SUP-S47055	CDM			270	RC		inpatient			1552	1552																																																			
IMPLANT ALLERGAN MIDRANGE PROFILE 265CC	SUP-15-265	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
IMPLANT ALLERGAN MIDRANGE PROFILE 265CC	SUP-15-265	CDM			270	RC		inpatient			1550	1550																																																			
IMPLANT BREAST NATRELLE SILICONE P3.8 CM MODERATE PLUS PROFILE ROUND OD11.7 CM 286 ML STYLE 15 SMOOTH STERILE	SUP-15-286	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
IMPLANT BREAST NATRELLE SILICONE P3.8 CM MODERATE PLUS PROFILE ROUND OD11.7 CM 286 ML STYLE 15 SMOOTH STERILE	SUP-15-286	CDM			270	RC		inpatient			1550	1550																																																			
IMPLANT BREAST NATRELLE SILICONE MATRIX P4.2 CM MIDRANGE PROJECTION ROUND OD13.1 CM 397 ML STYLE 15 SMOOTH SHELL GEL STERILE LATEX FREE	SUP-15-397	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
IMPLANT BREAST NATRELLE SILICONE MATRIX P4.2 CM MIDRANGE PROJECTION ROUND OD13.1 CM 397 ML STYLE 15 SMOOTH SHELL GEL STERILE LATEX FREE	SUP-15-397	CDM			270	RC		inpatient			1550	1550																																																			
IMPLANT BREAST NATRELLE SILICONE P4.3 CM MODERATE PLUS PROFILE ROUND OD13.3 CM 421 ML STYLE 15 SMOOTH STERILE	SUP-15-421	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
IMPLANT BREAST NATRELLE SILICONE P4.3 CM MODERATE PLUS PROFILE ROUND OD13.3 CM 421 ML STYLE 15 SMOOTH STERILE	SUP-15-421	CDM			270	RC		inpatient			1550	1550																																																			
IMPLANT BREAST SILTEX SALINE P4.5 CM CONTOUR PROFILE MODERATE PROJECTION WIDE BASE W12.2 CM X H10.3 CM 275-300 ML	SUP-354-2912	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
IMPLANT BREAST SILTEX SALINE P4.5 CM CONTOUR PROFILE MODERATE PROJECTION WIDE BASE W12.2 CM X H10.3 CM 275-300 ML	SUP-354-2912	CDM			270	RC		inpatient			1550	1550																																																			
ALLOGRAFT OATS SET 16MM	SUP-ABS-1981-16S	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
ALLOGRAFT OATS SET 16MM	SUP-ABS-1981-16S	CDM			270	RC		inpatient			1550	1550																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 40CM 12MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM	SUP-M001363630	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 40CM 12MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM	SUP-M001363630	CDM			270	RC		inpatient			1550	1550																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE L40 CM OD10 MM 35 COIL DETACHABLE OCCLUSION	SUP-M001363800	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE L40 CM OD10 MM 35 COIL DETACHABLE OCCLUSION	SUP-M001363800	CDM			270	RC		inpatient			1550	1550																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE L40 CM OD15 MM 35 COIL DETACHABLE OCCLUSION	SUP-M001363820	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE L40 CM OD15 MM 35 COIL DETACHABLE OCCLUSION	SUP-M001363820	CDM			270	RC		inpatient			1550	1550																																																			
CATHETER BALLOON DILATATION 5MM 135CM 20MM OTW INFLATION PORT TAPER TIP PLAQUE	SUP-M001PCB50201350	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
CATHETER BALLOON DILATATION 5MM 135CM 20MM OTW INFLATION PORT TAPER TIP PLAQUE	SUP-M001PCB50201350	CDM			270	RC		inpatient			1550	1550																																																			
CATHETER BALLOON DILATATION 7MM 135CM 20MM OTW INFLATION PORT TAPER TIP PLAQUE	SUP-M001PCB70201350	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
CATHETER BALLOON DILATATION 7MM 135CM 20MM OTW INFLATION PORT TAPER TIP PLAQUE	SUP-M001PCB70201350	CDM			270	RC		inpatient			1550	1550																																																			
CATHETER BALLOON DILATATION 4MM 140CM 1.5CM OTW PLAQUE MODIFICATION PERIPHERAL	SUP-M001PCBO4015140F0	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
CATHETER BALLOON DILATATION 4MM 140CM 1.5CM OTW PLAQUE MODIFICATION PERIPHERAL	SUP-M001PCBO4015140F0	CDM			270	RC		inpatient			1550	1550																																																			
CATHETER BALLOON DILATATION PERIPHERAL CUTTING BALLOON 135CM 20MM 5MM OTW TAPER TIP INFLATE PORT PLAQUE MODIFICATION	SUP-PCB5020135	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
CATHETER BALLOON DILATATION PERIPHERAL CUTTING BALLOON 135CM 20MM 5MM OTW TAPER TIP INFLATE PORT PLAQUE MODIFICATION	SUP-PCB5020135	CDM			270	RC		inpatient			1550	1550																																																			
CATHETER BALLOON DILATATION SMALL PERIPHERAL CUTTING BALLOON L142 CM L1.5 CM ODSEC4 MM OTW ATHEROTOME TAPER TIP ACCEPTS .014 IN GUIDEWIRE	SUP-PCBO4015140F	CDM			270	RC		outpatient			1550	155	419.9				percent of total billed charges		1550				other	OPPS APC	1147				percent of total billed charges		1550				other	OPPS APC	1550				other	OPPS APC	419.9				percent of total billed charges		428.27				percent of total billed charges		155				other	OPPS APC	155	1550	
CATHETER BALLOON DILATATION SMALL PERIPHERAL CUTTING BALLOON L142 CM L1.5 CM ODSEC4 MM OTW ATHEROTOME TAPER TIP ACCEPTS .014 IN GUIDEWIRE	SUP-PCBO4015140F	CDM			270	RC		inpatient			1550	1550																																																			
VOLAR PLATE RIGHT	SUP-02.115.751	CDM			270	RC		outpatient			1548.12	1548.12	419.39				percent of total billed charges		1548.12				other	OPPS APC	1145.61				percent of total billed charges		1548.12				other	OPPS APC	1548.12				other	OPPS APC	419.39				percent of total billed charges		427.75				percent of total billed charges		1548.12				other	OPPS APC	419.39	1548.12	
VOLAR PLATE RIGHT	SUP-02.115.751	CDM			270	RC		inpatient			1548.12	1548.12																																																			
HEAD FEMORAL ORTRON 90 ELITE PLUS +3MM 9/10 TAPER 32MM STERILE HIP MODULAR	SUP-9627-35-000	CDM	270010024	LOCAL	270	RC		outpatient			1542	1542	417.73				percent of total billed charges		1542				other	OPPS APC	1141.08				percent of total billed charges		1542				other	OPPS APC	1542				other	OPPS APC	417.73				percent of total billed charges		426.05				percent of total billed charges		1542				other	OPPS APC	417.73	1542	
HEAD FEMORAL ORTRON 90 ELITE PLUS +3MM 9/10 TAPER 32MM STERILE HIP MODULAR	SUP-9627-35-000	CDM	270010024	LOCAL	270	RC		inpatient			1542	1542																																																			
HP STRL THREADED PINS HEADED	SUP-97-04249	CDM			278	RC		outpatient			1542	1542	1542				fee schedule		1542				other	OPPS APC	878.94				percent of total billed charges		1542				other	OPPS APC	1542				other	OPPS APC	755.58				percent of total billed charges		786.42				percent of total billed charges		1542				other	OPPS APC	755.58	1542	
HP STRL THREADED PINS HEADED	SUP-97-04249	CDM			278	RC		inpatient			1542	1542																																																			
FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION HFA AEROSOL INHALER 12 G CANISTER	637000000	CDM	66993-087-96	NDC	A9270	HCPCS		inpatient			1541.87	1541.87																																																			
FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION HFA AEROSOL INHALER 12 G CANISTER	637000000	CDM	66993-087-96	NDC	A9270	HCPCS		outpatient			1541.87	1541.87																																															other	OPPS APC			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L75 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.275S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L75 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.275S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELICAL L80 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.280S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELICAL L80 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.280S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L85 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.285S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L85 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.285S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELICAL L90 MM FEMORAL PROXIMAL CANNULATED STERILE	SUP-04.038.290S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELICAL L90 MM FEMORAL PROXIMAL CANNULATED STERILE	SUP-04.038.290S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L95 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.295S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L95 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.295S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L100 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.300S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L100 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.300S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L105 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.305S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L105 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.305S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L110 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.310S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L110 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.310S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED HELICAL 115MM 10.35MM GOLD TITANIUM STERILE LF CANNULATED	SUP-04.038.315S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED HELICAL 115MM 10.35MM GOLD TITANIUM STERILE LF CANNULATED	SUP-04.038.315S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY FIXATION TFN-ADVANCED TITANIUM HELIX L120 MM OD10.35 MM CANNULATED STERILE GOLD PROXIMAL FEMORAL NAIL SYSTEM	SUP-04.038.320S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY FIXATION TFN-ADVANCED TITANIUM HELIX L120 MM OD10.35 MM CANNULATED STERILE GOLD PROXIMAL FEMORAL NAIL SYSTEM	SUP-04.038.320S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L125 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.325S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L125 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.325S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L130 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.330S	CDM	270010022	LOCAL	270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TITANIUM HELIX L130 MM OD10.35 MM FEMUR PROXIMAL CANNULATED STERILE GOLD	SUP-04.038.330S	CDM	270010022	LOCAL	270	RC		inpatient			1540.8	1540.8																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L120 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.420S	CDM			270	RC		outpatient			1540.8	154.8	417.4				percent of total billed charges		1540.8				other	OPPS APC	1140.19				percent of total billed charges		1540.8				other	OPPS APC	1540.8				other	OPPS APC	417.4				percent of total billed charges		425.72				percent of total billed charges		154.8				other	OPPS APC	154.8	1540.8	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L120 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.420S	CDM			270	RC		inpatient			1540.8	1540.8																																																			
BALLOON ONSET SOLOPATH 19F/23F X 35CM ONSET	SUP-SR-1935	CDM			481	RC		outpatient			1540	154	754.6				percent of total billed charges		1540				other	OPPS APC	1139.6				percent of total billed charges		1540				other	OPPS APC	1540				other	OPPS APC	754.6				percent of total billed charges		785.4				percent of total billed charges		154				other	OPPS APC	154	1540	
BALLOON ONSET SOLOPATH 19F/23F X 35CM ONSET	SUP-SR-1935	CDM			481	RC		inpatient			1540	1540																																																			
FIBER LASER SLIMLINE EZ DUOTOME SIDELITE HOLMIUM 100W 550 UM OD7.2 FR SIDE FIRING COHERENT DISPOSABLE CONTINUOUS FLOW CYSTOSCOPE	SUP-M0068408460	CDM			270	RC		outpatient			1539	1539	416.92				percent of total billed charges		1539				other	OPPS APC	1138.86				percent of total billed charges		1539				other	OPPS APC	1539				other	OPPS APC	416.92				percent of total billed charges		425.23				percent of total billed charges		1539				other	OPPS APC	416.92	1539	
FIBER LASER SLIMLINE EZ DUOTOME SIDELITE HOLMIUM 100W 550 UM OD7.2 FR SIDE FIRING COHERENT DISPOSABLE CONTINUOUS FLOW CYSTOSCOPE	SUP-M0068408460	CDM			270	RC		inpatient			1539	1539																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.330	CDM	270010022	LOCAL	270	RC		outpatient			1537.46	1537.46	416.5				percent of total billed charges		1537.46				other	OPPS APC	1137.72				percent of total billed charges		1537.46				other	OPPS APC	1537.46				other	OPPS APC	416.5				percent of total billed charges		424.8				percent of total billed charges		1537.46				other	OPPS APC	416.5	1537.46	
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS RIGHT DISTAL VOLAR 9 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.330	CDM	270010022	LOCAL	270	RC		inpatient			1537.46	1537.46																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.430	CDM	270010022	LOCAL	270	RC		outpatient			1537.46	1537.46	416.5				percent of total billed charges		1537.46				other	OPPS APC	1137.72				percent of total billed charges		1537.46				other	OPPS APC	1537.46				other	OPPS APC	416.5				percent of total billed charges		424.8				percent of total billed charges		1537.46				other	OPPS APC	416.5	1537.46	
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS RIGHT DISTAL VOLAR 8 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.430	CDM	270010022	LOCAL	270	RC		inpatient			1537.46	1537.46																																																			
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.431	CDM	270010022	LOCAL	270	RC		outpatient			1537.46	1537.46	416.5				percent of total billed charges		1537.46				other	OPPS APC	1137.72				percent of total billed charges		1537.46				other	OPPS APC	1537.46				other	OPPS APC	416.5				percent of total billed charges		424.8				percent of total billed charges		1537.46				other	OPPS APC	416.5	1537.46	
PLATE BONE LCP STAINLESS STEEL CONTOUR L50.5 MM RADIUS LEFT DISTAL VOLAR 8 HOLE HEAD 3 HOLE SHAFT COLUMN ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-02.110.431	CDM	270010022	LOCAL	270	RC		inpatient			1537.46	1537.46																																																			
TUBE MOSS GASTRO 18FR	SUP-95-02101	CDM			278	RC		outpatient			1536.87	1536.87	1536.87				fee schedule		1536.87				other	OPPS APC	876.02				percent of total billed charges		1536.87				other	OPPS APC	1536.87				other	OPPS APC	753.07				percent of total billed charges		783.8				percent of total billed charges		1536.87				other	OPPS APC	753.07	1536.87	
TUBE MOSS GASTRO 18FR	SUP-95-02101	CDM			278	RC		inpatient			1536.87	1536.87																																																			
SUTURE NONABSORBABLE ETHIBOND EXCEL TAPERCUT THK1.5 MM 2-0 V-4 L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX22	CDM			270	RC		outpatient			1536.16	1536.16	416.15				percent of total billed charges		1536.16				other	OPPS APC	1136.76				percent of total billed charges		1536.16				other	OPPS APC	1536.16				other	OPPS APC	416.15				percent of total billed charges		424.44				percent of total billed charges		1536.16				other	OPPS APC	416.15	1536.16	
SUTURE NONABSORBABLE ETHIBOND EXCEL TAPERCUT THK1.5 MM 2-0 V-4 L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX22	CDM			270	RC		inpatient			1536.16	1536.16																																																			
HC US Paracentesis Initial	PX-361490831	CDM	49083	CPT	361	RC		outpatient			1536	869.45	485.07				percent of total billed charges		869.44				other	OPPS APC	1876				fee schedule		869.44				other	OPPS APC	869.44				other	OPPS APC	485.07				percent of total billed charges		494.75				percent of total billed charges		869.45				other	OPPS APC	485.07	1876	
HC US Paracentesis Initial	PX-361490831	CDM	49083	CPT	361	RC		inpatient			1536	1536																																																			
HC US Guide Abd Paracentesis	PX-402490830	CDM	49083	CPT	402	RC		outpatient			1536	869.45	302.22				fee schedule		869.44				other	OPPS APC	1136.64				percent of total billed charges		869.44				other	OPPS APC	869.44				other	OPPS APC	103.9				fee schedule		783.36				percent of total billed charges		869.45				other	OPPS APC	103.9	1136.64	
HC US Guide Abd Paracentesis	PX-402490830	CDM	49083	CPT	402	RC		inpatient			1536	1536																																																			
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPTICAL L8.2 IN X W6.2 IN PATCH LOW PROFILE LIGHTWEIGHT SOFT HERNIA REPAIR	SUP-0134680	CDM			270	RC		outpatient			1532	1532	415.02				percent of total billed charges		1532				other	OPPS APC	1133.68				percent of total billed charges		1532				other	OPPS APC	1532				other	OPPS APC	415.02				percent of total billed charges		423.29				percent of total billed charges		1532				other	OPPS APC	415.02	1532	
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE ELLIPTICAL L8.2 IN X W6.2 IN PATCH LOW PROFILE LIGHTWEIGHT SOFT HERNIA REPAIR	SUP-0134680	CDM			270	RC		inpatient			1532	1532																																																			
MPS SURGERY KIT	SUP-97-01575	CDM			272	RC		outpatient			1531.8	1531.8	414.96				percent of total billed charges		1531.8				other	OPPS APC	1133.53				percent of total billed charges		1531.8				other	OPPS APC	1531.8				other	OPPS APC	414.96				percent of total billed charges		423.24				percent of total billed charges		1531.8				other	OPPS APC	414.96	1531.8	
MPS SURGERY KIT	SUP-97-01575	CDM			272	RC		inpatient			1531.8	1531.8																																																			
COUNTERSINK CANNULATED HEADLESS	SUP-95-05378	CDM			272	RC		outpatient			1530.75	153.75	414.68				percent of total billed charges		1530.75				other	OPPS APC	1132.76				percent of total billed charges		1530.75				other	OPPS APC	1530.75				other	OPPS APC	414.68				percent of total billed charges		422.95				percent of total billed charges		153.75				other	OPPS APC	153.75	1530.75	
COUNTERSINK CANNULATED HEADLESS	SUP-95-05378	CDM			272	RC		inpatient			1530.75	1530.75																																																			
PACK ASPIRATOR TX1 TISSUE REMOVAL TX SYSTEM CONSOLE	SUP-554-1003-001	CDM			270	RC		outpatient			1530	153	414.48				percent of total billed charges		1530				other	OPPS APC	1132.2				percent of total billed charges		1530				other	OPPS APC	1530				other	OPPS APC	414.48				percent of total billed charges		422.74				percent of total billed charges		153				other	OPPS APC	153	1530	
PACK ASPIRATOR TX1 TISSUE REMOVAL TX SYSTEM CONSOLE	SUP-554-1003-001	CDM			270	RC		inpatient			1530	1530																																																			
GRAFT HIATAL HERNIA GORE BIO-A	SUP-97-06424	CDM			278	RC		outpatient			1530	153	1530				fee schedule		1530				other	OPPS APC	872.1				percent of total billed charges		1530				other	OPPS APC	1530				other	OPPS APC	749.7				percent of total billed charges		780.3				percent of total billed charges		153				other	OPPS APC	153	1530	
GRAFT HIATAL HERNIA GORE BIO-A	SUP-97-06424	CDM			278	RC		inpatient			1530	1530																																																			
INTRODUCER SHEATH CPS DIRECT 135 D UNIVERSAL OD10.06 FR STERILE LATEX FREE DISPOSABLE	SUP-DS2C020	CDM			270	RC		outpatient			1530	153	414.48				percent of total billed charges		1530				other	OPPS APC	1132.2				percent of total billed charges		1530				other	OPPS APC	1530				other	OPPS APC	414.48				percent of total billed charges		422.74				percent of total billed charges		153				other	OPPS APC	153	1530	
INTRODUCER SHEATH CPS DIRECT 135 D UNIVERSAL OD10.06 FR STERILE LATEX FREE DISPOSABLE	SUP-DS2C020	CDM			270	RC		inpatient			1530	1530																																																			
CATHETER INFUSION MICRO STRAIGHT 2.8-3FR .027IN 130CM 180CM PRELOAD TORQUEABLE	SUP-M001195710	CDM			270	RC		outpatient			1530	153	414.48				percent of total billed charges		1530				other	OPPS APC	1132.2				percent of total billed charges		1530				other	OPPS APC	1530				other	OPPS APC	414.48				percent of total billed charges		422.74				percent of total billed charges		153				other	OPPS APC	153	1530	
CATHETER INFUSION MICRO STRAIGHT 2.8-3FR .027IN 130CM 180CM PRELOAD TORQUEABLE	SUP-M001195710	CDM			270	RC		inpatient			1530	1530																																																			
IMPLANT PUTTY OSTESTRUX 5CC	SUP-56070050	CDM	270010031	LOCAL	270	RC		outpatient			1529.74	1529.74	414.41				percent of total billed charges		1529.74				other	OPPS APC	1132.01				percent of total billed charges		1529.74				other	OPPS APC	1529.74				other	OPPS APC	414.41				percent of total billed charges		422.67				percent of total billed charges		1529.74				other	OPPS APC	414.41	1529.74	
IMPLANT PUTTY OSTESTRUX 5CC	SUP-56070050	CDM	270010031	LOCAL	270	RC		inpatient			1529.74	1529.74																																																			
PREVENA 20CM PEEL AND PLACE KIT	SUP-95-05424	CDM			272	RC		outpatient			1529.55	1529.55	414.36				percent of total billed charges		1529.55				other	OPPS APC	1131.87				percent of total billed charges		1529.55				other	OPPS APC	1529.55				other	OPPS APC	414.36				percent of total billed charges		422.61				percent of total billed charges		1529.55				other	OPPS APC	414.36	1529.55	
PREVENA 20CM PEEL AND PLACE KIT	SUP-95-05424	CDM			272	RC		inpatient			1529.55	1529.55																																																			
PREVENA 13CM PEEL AND PLACE KIT	SUP-95-05425	CDM			272	RC		outpatient			1529.55	1529.55	414.36				percent of total billed charges		1529.55				other	OPPS APC	1131.87				percent of total billed charges		1529.55				other	OPPS APC	1529.55				other	OPPS APC	414.36				percent of total billed charges		422.61				percent of total billed charges		1529.55				other	OPPS APC	414.36	1529.55	
PREVENA 13CM PEEL AND PLACE KIT	SUP-95-05425	CDM			272	RC		inpatient			1529.55	1529.55																																																			
CLAMP EXTERNAL FIXATION NS HOLD 1.25 MM K WIRE	SUP-395.125	CDM	270010022	LOCAL	270	RC		outpatient			1525.7	1525.7	413.31				percent of total billed charges		1525.7				other	OPPS APC	1129.02				percent of total billed charges		1525.7				other	OPPS APC	1525.7				other	OPPS APC	413.31				percent of total billed charges		421.55				percent of total billed charges		1525.7				other	OPPS APC	413.31	1525.7	
CLAMP EXTERNAL FIXATION NS HOLD 1.25 MM K WIRE	SUP-395.125	CDM	270010022	LOCAL	270	RC		inpatient			1525.7	1525.7																																																			
CLAMP EXTERNAL FIXATION OD1.6 MM HOLD NONSTERILE 1.6 MM K WIRE MINI EXTERNAL FIXATOR	SUP-395.126	CDM	270010022	LOCAL	270	RC		outpatient			1525.7	1525.7	413.31				percent of total billed charges		1525.7				other	OPPS APC	1129.02				percent of total billed charges		1525.7				other	OPPS APC	1525.7				other	OPPS APC	413.31				percent of total billed charges		421.55				percent of total billed charges		1525.7				other	OPPS APC	413.31	1525.7	
CLAMP EXTERNAL FIXATION OD1.6 MM HOLD NONSTERILE 1.6 MM K WIRE MINI EXTERNAL FIXATOR	SUP-395.126	CDM	270010022	LOCAL	270	RC		inpatient			1525.7	1525.7																																																			
2.0 X 15MM TWIST OFF SCREW	SUP-97-23812	CDM			278	RC		outpatient			1524	1524	1524				fee schedule		1524				other	OPPS APC	868.68				percent of total billed charges		1524				other	OPPS APC	1524				other	OPPS APC	746.76				percent of total billed charges		777.24				percent of total billed charges		1524				other	OPPS APC	746.76	1524	
2.0 X 15MM TWIST OFF SCREW	SUP-97-23812	CDM			278	RC		inpatient			1524	1524																																																			
PLATE BONE LC-DCP STAINLESS STEEL L190 MM 16 HOLE RECONSTRUCTION 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.06	CDM	270010022	LOCAL	270	RC		outpatient			1523.5	1523.5	412.72				percent of total billed charges		1523.5				other	OPPS APC	1127.39				percent of total billed charges		1523.5				other	OPPS APC	1523.5				other	OPPS APC	412.72				percent of total billed charges		420.94				percent of total billed charges		1523.5				other	OPPS APC	412.72	1523.5	
PLATE BONE LC-DCP STAINLESS STEEL L190 MM 16 HOLE RECONSTRUCTION 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.06	CDM	270010022	LOCAL	270	RC		inpatient			1523.5	1523.5																																																			
BLADE SPIRAL TI 60MM RETRO FEMORAL NAIL	SUP-97-03902	CDM			278	RC		outpatient			1522.95	1522.95	1522.95				fee schedule		1522.95				other	OPPS APC	868.08				percent of total billed charges		1522.95				other	OPPS APC	1522.95				other	OPPS APC	746.25				percent of total billed charges		776.7				percent of total billed charges		1522.95				other	OPPS APC	746.25	1522.95	
BLADE SPIRAL TI 60MM RETRO FEMORAL NAIL	SUP-97-03902	CDM			278	RC		inpatient			1522.95	1522.95																																																			
IM ROD  5/16	SUP-97-02415	CDM			278	RC		outpatient			1521	1521	1521				fee schedule		1521				other	OPPS APC	866.97				percent of total billed charges		1521				other	OPPS APC	1521				other	OPPS APC	745.29				percent of total billed charges		775.71				percent of total billed charges		1521				other	OPPS APC	745.29	1521	
IM ROD  5/16	SUP-97-02415	CDM			278	RC		inpatient			1521	1521																																																			
CLAMP EXTERNAL FIXATION MEDIUM 6 POSISTION MULTIPIN MR SAFE NONSTERILE	SUP-390.036	CDM	270010022	LOCAL	270	RC		outpatient			1515.8	1515.8	410.63				percent of total billed charges		1515.8				other	OPPS APC	1121.69				percent of total billed charges		1515.8				other	OPPS APC	1515.8				other	OPPS APC	410.63				percent of total billed charges		418.82				percent of total billed charges		1515.8				other	OPPS APC	410.63	1515.8	
CLAMP EXTERNAL FIXATION MEDIUM 6 POSISTION MULTIPIN MR SAFE NONSTERILE	SUP-390.036	CDM	270010022	LOCAL	270	RC		inpatient			1515.8	1515.8																																																			
ROD CARBON FIBER 11MM X 190MM	SUP-394.797	CDM	270010022	LOCAL	270	RC		outpatient			1514.24	1514.24	410.21				percent of total billed charges		1514.24				other	OPPS APC	1120.54				percent of total billed charges		1514.24				other	OPPS APC	1514.24				other	OPPS APC	410.21				percent of total billed charges		418.38				percent of total billed charges		1514.24				other	OPPS APC	410.21	1514.24	
ROD CARBON FIBER 11MM X 190MM	SUP-394.797	CDM	270010022	LOCAL	270	RC		inpatient			1514.24	1514.24																																																			
HC Critical Care 30-74 Mins	PX-450992911	CDM	99291	CPT	450	RC		outpatient			1514	1514	195.77				case rate		1514				other	OPPS APC	1822				case rate		1514				other	OPPS APC	1514				other	OPPS APC	195.77				case rate		199.69				case rate		1514				other	OPPS APC	195.77	1822	
HC Critical Care 30-74 Mins	PX-450992911	CDM	99291	CPT	450	RC		inpatient			1514	1514																																																			
PLATE VARIAX  5 HOLE STRAIGHT SHORT	SUP-40-15041	CDM			270	RC		outpatient			1513.6	1513.6	410.03				percent of total billed charges		1513.6				other	OPPS APC	1120.06				percent of total billed charges		1513.6				other	OPPS APC	1513.6				other	OPPS APC	410.03				percent of total billed charges		418.21				percent of total billed charges		1513.6				other	OPPS APC	410.03	1513.6	
PLATE VARIAX  5 HOLE STRAIGHT SHORT	SUP-40-15041	CDM			270	RC		inpatient			1513.6	1513.6																																																			
GRAFT TENDON ROPE	SUP-FROPE	CDM	270010031	LOCAL	270	RC		outpatient			1512.88	1512.88	409.84				percent of total billed charges		1512.88				other	OPPS APC	1119.53				percent of total billed charges		1512.88				other	OPPS APC	1512.88				other	OPPS APC	409.84				percent of total billed charges		418.01				percent of total billed charges		1512.88				other	OPPS APC	409.84	1512.88	
GRAFT TENDON ROPE	SUP-FROPE	CDM	270010031	LOCAL	270	RC		inpatient			1512.88	1512.88																																																			
STAPLER CONTOUR	SUP-74-00118	CDM			272	RC		outpatient			1511.5	1511.5	409.47				percent of total billed charges		1511.5				other	OPPS APC	1118.51				percent of total billed charges		1511.5				other	OPPS APC	1511.5				other	OPPS APC	409.47				percent of total billed charges		417.63				percent of total billed charges		1511.5				other	OPPS APC	409.47	1511.5	
STAPLER CONTOUR	SUP-74-00118	CDM			272	RC		inpatient			1511.5	1511.5																																																			
HC C/T-Pelvis Scan W/WO Contrast	PX-352721940	CDM	72194	CPT	352	RC		outpatient			1511	189.94	281.58				fee schedule		189.94				other	OPPS APC	977.72				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	235.58				fee schedule		206.37				fee schedule		189.94				other	OPPS APC	189.94	977.72	
HC C/T-Pelvis Scan W/WO Contrast	PX-352721940	CDM	72194	CPT	352	RC		inpatient			1511	1511																																																			
HC Mra-Chest	PX-618715550	CDM	71555	CPT	618	RC		outpatient			1510	262.92	424.45				fee schedule		262.92				fee schedule		1315.84				fee schedule		262.92				fee schedule		262.92				fee schedule		348.81				fee schedule		262.92				fee schedule		262.92				fee schedule		262.92	1315.84	
HC Mra-Chest	PX-618715550	CDM	71555	CPT	618	RC		inpatient			1510	1510																																																			
HC Mra-Pelvis	PX-618721980	CDM	72198	CPT	618	RC		outpatient			1510	151	429.55				fee schedule		1510				other	OPPS APC	1314.08				fee schedule		1510				other	OPPS APC	1510				other	OPPS APC	353.16				fee schedule		267.24				fee schedule		151				other	OPPS APC	151	1510	
HC Mra-Pelvis	PX-618721980	CDM	72198	CPT	618	RC		inpatient			1510	1510																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L247 MM X W17.5 MM X H5.2 MM 13 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.632	CDM	270010022	LOCAL	270	RC		outpatient			1508.1	159	408.54				percent of total billed charges		1508.1				other	OPPS APC	1115.99				percent of total billed charges		1508.1				other	OPPS APC	1508.1				other	OPPS APC	408.54				percent of total billed charges		416.69				percent of total billed charges		159				other	OPPS APC	159	1508.1	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD CURVE L247 MM X W17.5 MM X H5.2 MM 13 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.632	CDM	270010022	LOCAL	270	RC		inpatient			1508.1	1508.1																																																			
HANDLE SCREWDRIVER PERI-LOC LARGE FRAGMENT	SUP-71173547	CDM			270	RC		outpatient			1507.38	157.38	408.35				percent of total billed charges		1507.38				other	OPPS APC	1115.46				percent of total billed charges		1507.38				other	OPPS APC	1507.38				other	OPPS APC	408.35				percent of total billed charges		416.49				percent of total billed charges		157.38				other	OPPS APC	157.38	1507.38	
HANDLE SCREWDRIVER PERI-LOC LARGE FRAGMENT	SUP-71173547	CDM			270	RC		inpatient			1507.38	1507.38																																																			
DRILL GUIDE 1.8	SUP-95-04063	CDM			272	RC		outpatient			1506.84	156.84	408.2				percent of total billed charges		1506.84				other	OPPS APC	1115.06				percent of total billed charges		1506.84				other	OPPS APC	1506.84				other	OPPS APC	408.2				percent of total billed charges		416.34				percent of total billed charges		156.84				other	OPPS APC	156.84	1506.84	
DRILL GUIDE 1.8	SUP-95-04063	CDM			272	RC		inpatient			1506.84	1506.84																																																			
NEXIS PECA 3MM X 20MM	SUP-97-04662	CDM			278	RC		outpatient			1506.6	156.6	1506.6				fee schedule		1506.6				other	OPPS APC	858.76				percent of total billed charges		1506.6				other	OPPS APC	1506.6				other	OPPS APC	738.23				percent of total billed charges		768.37				percent of total billed charges		156.6				other	OPPS APC	156.6	1506.6	
NEXIS PECA 3MM X 20MM	SUP-97-04662	CDM			278	RC		inpatient			1506.6	1506.6																																																			
NEXIS PECA 3MM X 22MM	SUP-97-04669	CDM			278	RC		outpatient			1506.6	156.6	1506.6				fee schedule		1506.6				other	OPPS APC	858.76				percent of total billed charges		1506.6				other	OPPS APC	1506.6				other	OPPS APC	738.23				percent of total billed charges		768.37				percent of total billed charges		156.6				other	OPPS APC	156.6	1506.6	
NEXIS PECA 3MM X 22MM	SUP-97-04669	CDM			278	RC		inpatient			1506.6	1506.6																																																			
NEXIS SCREW PECA 3MM X 34	SUP-97-23721	CDM			278	RC		outpatient			1506.6	156.6	1506.6				fee schedule		1506.6				other	OPPS APC	858.76				percent of total billed charges		1506.6				other	OPPS APC	1506.6				other	OPPS APC	738.23				percent of total billed charges		768.37				percent of total billed charges		156.6				other	OPPS APC	156.6	1506.6	
NEXIS SCREW PECA 3MM X 34	SUP-97-23721	CDM			278	RC		inpatient			1506.6	1506.6																																																			
PLATE BONE LCP STAINLESS STEEL L48 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.458	CDM	270010022	LOCAL	270	RC		outpatient			1503.5	153.5	407.3				percent of total billed charges		1503.5				other	OPPS APC	1112.59				percent of total billed charges		1503.5				other	OPPS APC	1503.5				other	OPPS APC	407.3				percent of total billed charges		415.42				percent of total billed charges		153.5				other	OPPS APC	153.5	1503.5	
PLATE BONE LCP STAINLESS STEEL L48 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.458	CDM	270010022	LOCAL	270	RC		inpatient			1503.5	1503.5																																																			
PLATE BONE LCP STAINLESS STEEL L48 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.461	CDM	270010022	LOCAL	270	RC		outpatient			1503.5	153.5	407.3				percent of total billed charges		1503.5				other	OPPS APC	1112.59				percent of total billed charges		1503.5				other	OPPS APC	1503.5				other	OPPS APC	407.3				percent of total billed charges		415.42				percent of total billed charges		153.5				other	OPPS APC	153.5	1503.5	
PLATE BONE LCP STAINLESS STEEL L48 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.461	CDM	270010022	LOCAL	270	RC		inpatient			1503.5	1503.5																																																			
PLATE BONE LCP STAINLESS STEEL L47 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.464	CDM	270010022	LOCAL	270	RC		outpatient			1503.5	153.5	407.3				percent of total billed charges		1503.5				other	OPPS APC	1112.59				percent of total billed charges		1503.5				other	OPPS APC	1503.5				other	OPPS APC	407.3				percent of total billed charges		415.42				percent of total billed charges		153.5				other	OPPS APC	153.5	1503.5	
PLATE BONE LCP STAINLESS STEEL L47 MM X W6.3 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.464	CDM	270010022	LOCAL	270	RC		inpatient			1503.5	1503.5																																																			
PLATE BONE LCP STAINLESS STEEL L47 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.467	CDM	270010022	LOCAL	270	RC		outpatient			1503.5	153.5	407.3				percent of total billed charges		1503.5				other	OPPS APC	1112.59				percent of total billed charges		1503.5				other	OPPS APC	1503.5				other	OPPS APC	407.3				percent of total billed charges		415.42				percent of total billed charges		153.5				other	OPPS APC	153.5	1503.5	
PLATE BONE LCP STAINLESS STEEL L47 MM X W6.3 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 4 HOLE HEAD 3 HOLE SHAFT NONSTERILE 2.4 MM SCREW	SUP-242.467	CDM	270010022	LOCAL	270	RC		inpatient			1503.5	1503.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L43 MM X W7.5 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.491	CDM	270010022	LOCAL	270	RC		outpatient			1503.5	153.5	407.3				percent of total billed charges		1503.5				other	OPPS APC	1112.59				percent of total billed charges		1503.5				other	OPPS APC	1503.5				other	OPPS APC	407.3				percent of total billed charges		415.42				percent of total billed charges		153.5				other	OPPS APC	153.5	1503.5	
PLATE BONE LCP COMBI STAINLESS STEEL L43 MM X W7.5 MM X H1.6 MM RADIUS LEFT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.491	CDM	270010022	LOCAL	270	RC		inpatient			1503.5	1503.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L43 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.493	CDM	270010022	LOCAL	270	RC		outpatient			1503.5	153.5	407.3				percent of total billed charges		1503.5				other	OPPS APC	1112.59				percent of total billed charges		1503.5				other	OPPS APC	1503.5				other	OPPS APC	407.3				percent of total billed charges		415.42				percent of total billed charges		153.5				other	OPPS APC	153.5	1503.5	
PLATE BONE LCP COMBI STAINLESS STEEL L43 MM X W7.5 MM X H1.6 MM RADIUS RIGHT DISTAL VOLAR 5 HOLE HEAD 3 HOLE SHAFT PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-242.493	CDM	270010022	LOCAL	270	RC		inpatient			1503.5	1503.5																																																			
RELOAD GIA 60MM VASC MED THICK	SUP-74-00410	CDM			272	RC		outpatient			1503.38	153.38	407.27				percent of total billed charges		1503.38				other	OPPS APC	1112.5				percent of total billed charges		1503.38				other	OPPS APC	1503.38				other	OPPS APC	407.27				percent of total billed charges		415.38				percent of total billed charges		153.38				other	OPPS APC	153.38	1503.38	
RELOAD GIA 60MM VASC MED THICK	SUP-74-00410	CDM			272	RC		inpatient			1503.38	1503.38																																																			
ROMIPLOSTIM PER 10 MCG	636000000	CDM	55513-223-01	NDC	J2796	HCPCS		inpatient			1502.56	1502.56																																																			
ROMIPLOSTIM PER 10 MCG	636000000	CDM	55513-223-01	NDC	J2796	HCPCS		outpatient			1502.56	12.68																																											12.68				other	OPPS APC	12.68	12.68	
VERAN SPIN PERC LOCALIZATION NEEDLE 19 GA 1CM MARKING ZONE	SUP-INS-5610	CDM			270	RC		outpatient			1502.4	152.41	407				percent of total billed charges		1502.4				other	OPPS APC	1111.78				percent of total billed charges		1502.4				other	OPPS APC	1502.4				other	OPPS APC	407				percent of total billed charges		415.11				percent of total billed charges		152.41				other	OPPS APC	152.41	1502.4	
VERAN SPIN PERC LOCALIZATION NEEDLE 19 GA 1CM MARKING ZONE	SUP-INS-5610	CDM			270	RC		inpatient			1502.4	1502.4																																																			
HC Headband Eeg Pediatric	PX-270200001	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
HC Headband Eeg Pediatric	PX-270200001	CDM			270	RC		inpatient			1500	1500																																																			
HC Headband Eeg Adult Medium/Large	PX-270200002	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
HC Headband Eeg Adult Medium/Large	PX-270200002	CDM			270	RC		inpatient			1500	1500																																																			
HC Treat Tibia Fx  W/Manipulation	PX-450277521	CDM	27752	CPT	450	RC		outpatient			1500	15	195.77				case rate		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	195.77				case rate		199.69				case rate		15				other	OPPS APC	15	1500	
HC Treat Tibia Fx  W/Manipulation	PX-450277521	CDM	27752	CPT	450	RC		inpatient			1500	1500																																																			
INSERT ARTICULAR HIGH FLEX 6 H8 MM KNEE UNICOMPARTMENTAL	SUP-00-5842-026-08	CDM	270010025	LOCAL	270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
INSERT ARTICULAR HIGH FLEX 6 H8 MM KNEE UNICOMPARTMENTAL	SUP-00-5842-026-08	CDM	270010025	LOCAL	270	RC		inpatient			1500	1500																																																			
MICROCATHETER PRESSURE NAVVUS II L150 CM STERILE LATEX FREE DISPOSABLE	SUP-016675	CDM			481	RC		outpatient			1500	15	735				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges		15				other	OPPS APC	15	1500	
MICROCATHETER PRESSURE NAVVUS II L150 CM STERILE LATEX FREE DISPOSABLE	SUP-016675	CDM			481	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE SILICONE P2.9 CM MODERATE PROFILE ROUND OD10.7 CM 180 ML STYLE 10 SMOOTH STERILE	SUP-10-180	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE SILICONE P2.9 CM MODERATE PROFILE ROUND OD10.7 CM 180 ML STYLE 10 SMOOTH STERILE	SUP-10-180	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE SILICONE P3 CM MODERATE PROFILE ROUND OD11.2 CM 210 ML STYLE 10 SMOOTH STERILE	SUP-10-210	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE SILICONE P3 CM MODERATE PROFILE ROUND OD11.2 CM 210 ML STYLE 10 SMOOTH STERILE	SUP-10-210	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT ALLERGAN SMOOTH ROUND MODERATE PROFILE 390CC	SUP-10-390	CDM	270010032	LOCAL	270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT ALLERGAN SMOOTH ROUND MODERATE PROFILE 390CC	SUP-10-390	CDM	270010032	LOCAL	270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE BIOCELL SILICONE P2.8 CM MODERATE PROFILE ROUND OD11.1 CM 210 ML STYLE 110 TEXTURED STERILE	SUP-110-210	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE BIOCELL SILICONE P2.8 CM MODERATE PROFILE ROUND OD11.1 CM 210 ML STYLE 110 TEXTURED STERILE	SUP-110-210	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT STYLE 110 MODERATE PROFILE TEXTURED 420CC	SUP-110-420	CDM	270010032	LOCAL	270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT STYLE 110 MODERATE PROFILE TEXTURED 420CC	SUP-110-420	CDM	270010032	LOCAL	270	RC		inpatient			1500	1500																																																			
SCREW BONE QUARTEX L12 MM OD3.5 MM SPINE POLYAXIAL	SUP-1149.3512	CDM	270010020	LOCAL	270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
SCREW BONE QUARTEX L12 MM OD3.5 MM SPINE POLYAXIAL	SUP-1149.3512	CDM	270010020	LOCAL	270	RC		inpatient			1500	1500																																																			
SCREW BONE QUARTEX L24 MM OD4.5 MM SPINE POLYAXIAL	SUP-1149.4524	CDM	270010020	LOCAL	270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
SCREW BONE QUARTEX L24 MM OD4.5 MM SPINE POLYAXIAL	SUP-1149.4524	CDM	270010020	LOCAL	270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE BIOCELL SILICONE P4.5 CM HIGH PROFILE ROUND OD12.1 CM 4000 ML STYLE 120 TEXTURE STERILE	SUP-120-400	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE BIOCELL SILICONE P4.5 CM HIGH PROFILE ROUND OD12.1 CM 4000 ML STYLE 120 TEXTURE STERILE	SUP-120-400	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE BIOCELL SILICONE P4.7 CM HIGH PROFILE ROUND OD13.5 CM 500 ML STYLE 115 TEXTURE STERILE LATEX FREE	SUP-120-500	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE BIOCELL SILICONE P4.7 CM HIGH PROFILE ROUND OD13.5 CM 500 ML STYLE 115 TEXTURE STERILE LATEX FREE	SUP-120-500	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE SILICONE P3.6 CM MODERATE PLUS PROFILE ROUND OD10.9 CM 234 ML STYLE 15 SMOOTH STERILE LATEX FREE	SUP-15-234	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE SILICONE P3.6 CM MODERATE PLUS PROFILE ROUND OD10.9 CM 234 ML STYLE 15 SMOOTH STERILE LATEX FREE	SUP-15-234	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE SILICONE P4.5 CM MODERATE PLUS PROFILE ROUND OD13.7 CM 457 ML STYLE 15 SMOOTH STERILE	SUP-15-457	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE SILICONE P4.5 CM MODERATE PLUS PROFILE ROUND OD13.7 CM 457 ML STYLE 15 SMOOTH STERILE	SUP-15-457	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE SILICONE P4.6 CM MODERATE PLUS PROFILE ROUND OD14 CM 492 ML STYLE 15 SMOOTH STERILE	SUP-15-492	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE SILICONE P4.6 CM MODERATE PLUS PROFILE ROUND OD14 CM 492 ML STYLE 15 SMOOTH STERILE	SUP-15-492	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE SILICONE P4.7 CM MODERATE PLUS PROFILE ROUND OD14.4 CM 533 ML STYLE 15 SMOOTH STERILE	SUP-15-533	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE SILICONE P4.7 CM MODERATE PLUS PROFILE ROUND OD14.4 CM 533 ML STYLE 15 SMOOTH STERILE	SUP-15-533	CDM			270	RC		inpatient			1500	1500																																																			
GRAFT ALLOGRAFT HTO WEDGE 6 DEGREE X 12M	SUP-180672	CDM	270010031	LOCAL	270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
GRAFT ALLOGRAFT HTO WEDGE 6 DEGREE X 12M	SUP-180672	CDM	270010031	LOCAL	270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST NATRELLE HIGH PROFILE STYLE 20 325CC	SUP-20-325	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST NATRELLE HIGH PROFILE STYLE 20 325CC	SUP-20-325	CDM			270	RC		inpatient			1500	1500																																																			
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT FLEX STERILE LATEX FREE DISPOSABLE	SUP-210-080	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT FLEX STERILE LATEX FREE DISPOSABLE	SUP-210-080	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST COHESIVE I MEMORYGEL SILICONE P5 CM MODERATE PLUS HIGH PROFILE ROUND OD12.5 CM 425 ML SHELL BARRIER LAYER GEL STERILE	SUP-350-4254BC	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST COHESIVE I MEMORYGEL SILICONE P5 CM MODERATE PLUS HIGH PROFILE ROUND OD12.5 CM 425 ML SHELL BARRIER LAYER GEL STERILE	SUP-350-4254BC	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT HIGH PROFILE GEL 450CC	SUP-350-4504 BC	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT HIGH PROFILE GEL 450CC	SUP-350-4504 BC	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST MEMORYGEL SILICONE P5.3 CM HIGH PROFILE ROUND OD13 CM 475 ML GEL SMOOTH SURFACE SHELL BARRIER LAYER STERILE	SUP-350-4754	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST MEMORYGEL SILICONE P5.3 CM HIGH PROFILE ROUND OD13 CM 475 ML GEL SMOOTH SURFACE SHELL BARRIER LAYER STERILE	SUP-350-4754	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST MEMORYGEL COHESIVE I SILICONE P5.5 CM HIGH PROFILE ROUND OD13.6 CM 550 ML SMOOTH	SUP-350-5504 BC	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST MEMORYGEL COHESIVE I SILICONE P5.5 CM HIGH PROFILE ROUND OD13.6 CM 550 ML SMOOTH	SUP-350-5504 BC	CDM			270	RC		inpatient			1500	1500																																																			
IMPLANT BREAST GEL ULTRA HIGH PROFILE 535CC	SUP-350-5535	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
IMPLANT BREAST GEL ULTRA HIGH PROFILE 535CC	SUP-350-5535	CDM			270	RC		inpatient			1500	1500																																																			
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT SMOL STERILE LATEX FREE DISPOSABLE	SUP-72511	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT SMOL STERILE LATEX FREE DISPOSABLE	SUP-72511	CDM			270	RC		inpatient			1500	1500																																																			
SORBAFIX 15-SHOT TACKER	SUP-76-00148	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
SORBAFIX 15-SHOT TACKER	SUP-76-00148	CDM			272	RC		inpatient			1500	1500																																																			
BLADE MCGRATH BLADE SIZE 1	SUP-95-03687	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
BLADE MCGRATH BLADE SIZE 1	SUP-95-03687	CDM			272	RC		inpatient			1500	1500																																																			
BLADE MCGRATH BLADE SIZE 2	SUP-95-03688	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
BLADE MCGRATH BLADE SIZE 2	SUP-95-03688	CDM			272	RC		inpatient			1500	1500																																																			
RESECTING DEVICE 2.9MM AVETA SMOL DISPOSABLE	SUP-95-05247	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
RESECTING DEVICE 2.9MM AVETA SMOL DISPOSABLE	SUP-95-05247	CDM			272	RC		inpatient			1500	1500																																																			
FLEXIBLE REAMER 10MM	SUP-97-03491	CDM						inpatient			1500	1500																																																			
FLEXIBLE REAMER 10MM	SUP-97-03491	CDM						outpatient			1500	15	1500				percent of total billed charges		1500				other	OPPS APC	1500				fee schedule		1500				other	OPPS APC	1500				other	OPPS APC	1500				case rate		1500				case rate		15				other	OPPS APC	15	1500	
TIBIA PIN GUIDE SET USE W/ RT HYBRID	SUP-97-04992	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
TIBIA PIN GUIDE SET USE W/ RT HYBRID	SUP-97-04992	CDM			272	RC		inpatient			1500	1500																																																			
PEEK INTERFERENCE SCREW	SUP-97-05574	CDM			278	RC		outpatient			1500	15	1500				fee schedule		1500				other	OPPS APC	855				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges		15				other	OPPS APC	15	1500	
PEEK INTERFERENCE SCREW	SUP-97-05574	CDM			278	RC		inpatient			1500	1500																																																			
GRAFT VITOSS 5CC	SUP-97-05596	CDM			278	RC		outpatient			1500	15	1500				fee schedule		1500				other	OPPS APC	855				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges		15				other	OPPS APC	15	1500	
GRAFT VITOSS 5CC	SUP-97-05596	CDM			278	RC		inpatient			1500	1500																																																			
FEMORAL HEAD LFIT V40	SUP-97-06364	CDM			278	RC		outpatient			1500	15	1500				fee schedule		1500				other	OPPS APC	855				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges		15				other	OPPS APC	15	1500	
FEMORAL HEAD LFIT V40	SUP-97-06364	CDM			278	RC		inpatient			1500	1500																																																			
GUIDEWIRE - RUNTHROUGH 180CM	SUP-99-03180	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
GUIDEWIRE - RUNTHROUGH 180CM	SUP-99-03180	CDM			272	RC		inpatient			1500	1500																																																			
GUIDEWIRE - RUNTHROUGH 300CM	SUP-99-03181	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
GUIDEWIRE - RUNTHROUGH 300CM	SUP-99-03181	CDM			272	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.25X14	SUP-99-03945	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.25X14	SUP-99-03945	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 2.25X8	SUP-99-03946	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.25X8	SUP-99-03946	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 2.5X12	SUP-99-03947	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.5X12	SUP-99-03947	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 2.5X8	SUP-99-03948	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.5X8	SUP-99-03948	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 2.75X12	SUP-99-03949	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.75X12	SUP-99-03949	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 2.75X14	SUP-99-03950	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 2.75X14	SUP-99-03950	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 3.5X30	SUP-99-03951	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 3.5X30	SUP-99-03951	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 3.5X9	SUP-99-03952	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 3.5X9	SUP-99-03952	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 4.0X12	SUP-99-03953	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 4.0X12	SUP-99-03953	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
STENT - INTEGRITY 4.0X9	SUP-99-03954	CDM			278	RC		inpatient			1500	1500																																																			
STENT - INTEGRITY 4.0X9	SUP-99-03954	CDM			278	RC		outpatient			1500	1500					fee schedule						other	OPPS APC	855				percent of total billed charges						other	OPPS APC					other	OPPS APC	735				percent of total billed charges		765				percent of total billed charges						other	OPPS APC	855	855	
CATHETER - ACUITY PRO CS-EH 9FX45CM EXTENDED HOOK	SUP-99-04715	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
CATHETER - ACUITY PRO CS-EH 9FX45CM EXTENDED HOOK	SUP-99-04715	CDM			272	RC		inpatient			1500	1500																																																			
CATHETER - ACUITY PRO CS 9FX45CM EXTENDED HOOK RIGHT	SUP-99-04716	CDM			272	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
CATHETER - ACUITY PRO CS 9FX45CM EXTENDED HOOK RIGHT	SUP-99-04716	CDM			272	RC		inpatient			1500	1500																																																			
ALLOSYNC EXPAND 5CC	SUP-ABS-2017-05	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
ALLOSYNC EXPAND 5CC	SUP-ABS-2017-05	CDM			270	RC		inpatient			1500	1500																																																			
DEVICE MEASURING QUICKFIX TRIPLEPLAY CANNULATED 3 MM SCREW	SUP-AR-8737-13	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
DEVICE MEASURING QUICKFIX TRIPLEPLAY CANNULATED 3 MM SCREW	SUP-AR-8737-13	CDM			270	RC		inpatient			1500	1500																																																			
PLATFORM ACCESS GELPOINT GELSEAL ALEXIS MINI OD10 MM ODSEC12 MM CAP PROTECTOR 4 SLEEVE INTRODUCER	SUP-CNGL3	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
PLATFORM ACCESS GELPOINT GELSEAL ALEXIS MINI OD10 MM ODSEC12 MM CAP PROTECTOR 4 SLEEVE INTRODUCER	SUP-CNGL3	CDM			270	RC		inpatient			1500	1500																																																			
SOFTWARE MEDICAL FFRANGIO NONINVASIVE FRACTIONAL FLOW RESERVE ACTIVATION KEY DISPOSABLE	SUP-LAB0000379-BX	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
SOFTWARE MEDICAL FFRANGIO NONINVASIVE FRACTIONAL FLOW RESERVE ACTIVATION KEY DISPOSABLE	SUP-LAB0000379-BX	CDM			270	RC		inpatient			1500	1500																																																			
PACK PHACOEMULSIFICATION RING INJECTOR	SUP-MAL-0001-1	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
PACK PHACOEMULSIFICATION RING INJECTOR	SUP-MAL-0001-1	CDM			270	RC		inpatient			1500	1500																																																			
SHEATH ZURPAZ 8.5FR MED CURL STEERABLE	SUP-USMCA8520	CDM			270	RC		outpatient			1500	15	406.35				percent of total billed charges		1500				other	OPPS APC	1110				percent of total billed charges		1500				other	OPPS APC	1500				other	OPPS APC	406.35				percent of total billed charges		414.45				percent of total billed charges		15				other	OPPS APC	15	1500	
SHEATH ZURPAZ 8.5FR MED CURL STEERABLE	SUP-USMCA8520	CDM			270	RC		inpatient			1500	1500																																																			
5.0 X 90 HEADLESS SCREW	SUP-97-23831	CDM			278	RC		outpatient			1498.5	1498.5	1498.5				fee schedule		1498.5				other	OPPS APC	854.15				percent of total billed charges		1498.5				other	OPPS APC	1498.5				other	OPPS APC	734.27				percent of total billed charges		764.24				percent of total billed charges		1498.5				other	OPPS APC	734.27	1498.5	
5.0 X 90 HEADLESS SCREW	SUP-97-23831	CDM			278	RC		inpatient			1498.5	1498.5																																																			
GUIDEWIRE VASCULAR ASAHI CHIKAI ACTONE SLIP-COAT STAINLESS STEEL L 200CM L 9CM OD .2MM ODSEC .26MM 2 SPRING COIL RADIOPAQUE OPTIMUM BALANCE STRAIGHT TIP	SUP-WAIN-CKI-008-200	CDM			270	RC		outpatient			1498	1498	405.81				percent of total billed charges		1498				other	OPPS APC	1108.52				percent of total billed charges		1498				other	OPPS APC	1498				other	OPPS APC	405.81				percent of total billed charges		413.9				percent of total billed charges		1498				other	OPPS APC	405.81	1498	
GUIDEWIRE VASCULAR ASAHI CHIKAI ACTONE SLIP-COAT STAINLESS STEEL L 200CM L 9CM OD .2MM ODSEC .26MM 2 SPRING COIL RADIOPAQUE OPTIMUM BALANCE STRAIGHT TIP	SUP-WAIN-CKI-008-200	CDM			270	RC		inpatient			1498	1498																																																			
PLATE BONE STAINLESS STEEL L234 MM PELVIC 18 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.038	CDM	270010022	LOCAL	270	RC		outpatient			1497.1	1498	405.56				percent of total billed charges		1497.1				other	OPPS APC	1107.85				percent of total billed charges		1497.1				other	OPPS APC	1497.1				other	OPPS APC	405.56				percent of total billed charges		413.65				percent of total billed charges		1498				other	OPPS APC	405.56	1498	
PLATE BONE STAINLESS STEEL L234 MM PELVIC 18 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.038	CDM	270010022	LOCAL	270	RC		inpatient			1497.1	1497.1																																																			
STAPLER INTERNAL 55X.2MM LACTOMER TITANIUM VASCULAR LINEAR CUTTER RADIOTRANSPARENT	SUP-013601	CDM			270	RC		outpatient			1496.59	1496.59	405.43				percent of total billed charges		1496.59				other	OPPS APC	1107.48				percent of total billed charges		1496.59				other	OPPS APC	1496.59				other	OPPS APC	405.43				percent of total billed charges		413.51				percent of total billed charges		1496.59				other	OPPS APC	405.43	1496.59	
STAPLER INTERNAL 55X.2MM LACTOMER TITANIUM VASCULAR LINEAR CUTTER RADIOTRANSPARENT	SUP-013601	CDM			270	RC		inpatient			1496.59	1496.59																																																			
BALLOON DISSECTOR LAPAROSCOPIC SPACEMAKER PLUS BTT ENDO LUBE FOAM OVAL PREPERITONEAL 3 VALVE RIGID SPRING GRIP LOCK COLLAR BLUNT TIP TROCAR LATEX DISPOSABLE HERNIA	SUP-SMBTTOVL	CDM			270	RC		outpatient			1495.25	1495.25	405.06				percent of total billed charges		1495.25				other	OPPS APC	1106.49				percent of total billed charges		1495.25				other	OPPS APC	1495.25				other	OPPS APC	405.06				percent of total billed charges		413.14				percent of total billed charges		1495.25				other	OPPS APC	405.06	1495.25	
BALLOON DISSECTOR LAPAROSCOPIC SPACEMAKER PLUS BTT ENDO LUBE FOAM OVAL PREPERITONEAL 3 VALVE RIGID SPRING GRIP LOCK COLLAR BLUNT TIP TROCAR LATEX DISPOSABLE HERNIA	SUP-SMBTTOVL	CDM			270	RC		inpatient			1495.25	1495.25																																																			
HC Target Genomic Sequ Analysis Panel  Solid Organ Neopl 5-50 Genes	PX-310814451	CDM	81445	CPT	310	RC		outpatient			1495	598	1495				percent of total billed charges		597.91				fee schedule		1136.03				fee schedule		597.91				fee schedule		597.91				fee schedule		597.91				fee schedule		597.91				fee schedule		598				fee schedule		597.91	1495	
HC Target Genomic Sequ Analysis Panel  Solid Organ Neopl 5-50 Genes	PX-310814451	CDM	81445	CPT	310	RC		inpatient			1495	1495																																																			
HC Solid Tumor Panel	PX-310814453	CDM	81445	CPT	310	RC		outpatient			1495	598	1495				percent of total billed charges		597.91				fee schedule		1136.03				fee schedule		597.91				fee schedule		597.91				fee schedule		597.91				fee schedule		597.91				fee schedule		598				fee schedule		597.91	1495	
HC Solid Tumor Panel	PX-310814453	CDM	81445	CPT	310	RC		inpatient			1495	1495																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM MEDIUM OD39 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9503M-03	CDM	270010030	LOCAL	270	RC		outpatient			1494.2	1494.2	404.78				percent of total billed charges		1494.2				other	OPPS APC	1105.71				percent of total billed charges		1494.2				other	OPPS APC	1494.2				other	OPPS APC	404.78				percent of total billed charges		412.85				percent of total billed charges		1494.2				other	OPPS APC	404.78	1494.2	
INSERT HUMERAL UNIVERS REVERS +3 MM MEDIUM OD39 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9503M-03	CDM	270010030	LOCAL	270	RC		inpatient			1494.2	1494.2																																																			
INSTRUMENT SPEEDRELEASE GUIDED RELEASE	SUP-95-05395	CDM			272	RC		outpatient			1494	1494	404.72				percent of total billed charges		1494				other	OPPS APC	1105.56				percent of total billed charges		1494				other	OPPS APC	1494				other	OPPS APC	404.72				percent of total billed charges		412.79				percent of total billed charges		1494				other	OPPS APC	404.72	1494	
INSTRUMENT SPEEDRELEASE GUIDED RELEASE	SUP-95-05395	CDM			272	RC		inpatient			1494	1494																																																			
KIT LIVER ACCESS BIOPSY	SUP-TL-19	CDM			270	RC		outpatient			1494	1494	404.72				percent of total billed charges		1494				other	OPPS APC	1105.56				percent of total billed charges		1494				other	OPPS APC	1494				other	OPPS APC	404.72				percent of total billed charges		412.79				percent of total billed charges		1494				other	OPPS APC	404.72	1494	
KIT LIVER ACCESS BIOPSY	SUP-TL-19	CDM			270	RC		inpatient			1494	1494																																																			
KIT VESSEL HARVESTING SM #21 ULTRA RETRACTOR OPTICAL DISSECTOR PRECISION BIPOLAR VEIN	SUP-VC21	CDM			270	RC		outpatient			1494	1494	404.72				percent of total billed charges		1494				other	OPPS APC	1105.56				percent of total billed charges		1494				other	OPPS APC	1494				other	OPPS APC	404.72				percent of total billed charges		412.79				percent of total billed charges		1494				other	OPPS APC	404.72	1494	
KIT VESSEL HARVESTING SM #21 ULTRA RETRACTOR OPTICAL DISSECTOR PRECISION BIPOLAR VEIN	SUP-VC21	CDM			270	RC		inpatient			1494	1494																																																			
THUNDERBEAT OPEN FINE JAW	SUP-76-00172	CDM			272	RC		outpatient			1493.57	1493.57	404.61				percent of total billed charges		1493.57				other	OPPS APC	1105.24				percent of total billed charges		1493.57				other	OPPS APC	1493.57				other	OPPS APC	404.61				percent of total billed charges		412.67				percent of total billed charges		1493.57				other	OPPS APC	404.61	1493.57	
THUNDERBEAT OPEN FINE JAW	SUP-76-00172	CDM			272	RC		inpatient			1493.57	1493.57																																																			
HC Excisional Biopsy Malignant Lesion .5cm or Less	PX-761116000	CDM	11600	CPT	761	RC		outpatient			1493	1493	195.77				case rate		1493				other	OPPS APC	1104.82				percent of total billed charges		1493				other	OPPS APC	1493				other	OPPS APC	195.77				case rate		761.43				percent of total billed charges		1493				other	OPPS APC	195.77	1493	
HC Excisional Biopsy Malignant Lesion .5cm or Less	PX-761116000	CDM	11600	CPT	761	RC		inpatient			1493	1493																																																			
HC Excisional Biopsy Malignant Lesion .6-1.0 Cm	PX-761116010	CDM	11601	CPT	761	RC		outpatient			1493	1493	195.77				case rate		1493				other	OPPS APC	1104.82				percent of total billed charges		1493				other	OPPS APC	1493				other	OPPS APC	195.77				case rate		761.43				percent of total billed charges		1493				other	OPPS APC	195.77	1493	
HC Excisional Biopsy Malignant Lesion .6-1.0 Cm	PX-761116010	CDM	11601	CPT	761	RC		inpatient			1493	1493																																																			
HC Removal of Tunneled Cv Cath W/ Pump	PX-361365901	CDM	36590	CPT	361	RC		outpatient			1492	1567.3	471.17				percent of total billed charges		1567.03				other	OPPS APC	1876				fee schedule		1567.03				other	OPPS APC	1567.03				other	OPPS APC	471.17				percent of total billed charges		480.57				percent of total billed charges		1567.3				other	OPPS APC	471.17	1876	
HC Removal of Tunneled Cv Cath W/ Pump	PX-361365901	CDM	36590	CPT	361	RC		inpatient			1492	1492																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 89 MM X W 10.5 MM X H 3 MM H 2.5 MM CLAVICALE RIGHT DISTAL SUPERIOR 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72467405	CDM			270	RC		outpatient			1492	1492	404.18				percent of total billed charges		1492				other	OPPS APC	1104.08				percent of total billed charges		1492				other	OPPS APC	1492				other	OPPS APC	404.18				percent of total billed charges		412.24				percent of total billed charges		1492				other	OPPS APC	404.18	1492	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 89 MM X W 10.5 MM X H 3 MM H 2.5 MM CLAVICALE RIGHT DISTAL SUPERIOR 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72467405	CDM			270	RC		inpatient			1492	1492																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 86 MM X W10.5MM X H 3MM CLAVICLE LEFT DISTAL INFERIOR 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72467703	CDM			270	RC		outpatient			1492	1492	404.18				percent of total billed charges		1492				other	OPPS APC	1104.08				percent of total billed charges		1492				other	OPPS APC	1492				other	OPPS APC	404.18				percent of total billed charges		412.24				percent of total billed charges		1492				other	OPPS APC	404.18	1492	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 86 MM X W10.5MM X H 3MM CLAVICLE LEFT DISTAL INFERIOR 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72467703	CDM			270	RC		inpatient			1492	1492																																																			
GUIDEWIRE VASCULAR NITINOL STAINLESS STEEL L215 CM L45 CM OD.014 IN SOFT ACCESS PRESHAPE	SUP-SSFT215PRE	CDM			270	RC		outpatient			1488	1488	403.1				percent of total billed charges		1488				other	OPPS APC	1101.12				percent of total billed charges		1488				other	OPPS APC	1488				other	OPPS APC	403.1				percent of total billed charges		411.13				percent of total billed charges		1488				other	OPPS APC	403.1	1488	
GUIDEWIRE VASCULAR NITINOL STAINLESS STEEL L215 CM L45 CM OD.014 IN SOFT ACCESS PRESHAPE	SUP-SSFT215PRE	CDM			270	RC		inpatient			1488	1488																																																			
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STRAIGHT L215 CM L35 CM OD.014 IN SOFT ACCESS LENGTH	SUP-SSFT215STR	CDM			270	RC		outpatient			1488	1488	403.1				percent of total billed charges		1488				other	OPPS APC	1101.12				percent of total billed charges		1488				other	OPPS APC	1488				other	OPPS APC	403.1				percent of total billed charges		411.13				percent of total billed charges		1488				other	OPPS APC	403.1	1488	
GUIDEWIRE VASCULAR SYNCHRO SELECT NITINOL STAINLESS STEEL STRAIGHT L215 CM L35 CM OD.014 IN SOFT ACCESS LENGTH	SUP-SSFT215STR	CDM			270	RC		inpatient			1488	1488																																																			
SYNCHRO SELECT STANDARD STRAIGHT 0.014IN X 215CM	SUP-SSTD215STR	CDM			270	RC		outpatient			1488	1488	403.1				percent of total billed charges		1488				other	OPPS APC	1101.12				percent of total billed charges		1488				other	OPPS APC	1488				other	OPPS APC	403.1				percent of total billed charges		411.13				percent of total billed charges		1488				other	OPPS APC	403.1	1488	
SYNCHRO SELECT STANDARD STRAIGHT 0.014IN X 215CM	SUP-SSTD215STR	CDM			270	RC		inpatient			1488	1488																																																			
HC C/T-Pelvis Scan W Contrast	PX-352721930	CDM	72193	CPT	352	RC		outpatient			1487	189.94	240.45				fee schedule		189.94				other	OPPS APC	809.45				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	232.57				fee schedule		184.73				fee schedule		189.94				other	OPPS APC	184.73	809.45	
HC C/T-Pelvis Scan W Contrast	PX-352721930	CDM	72193	CPT	352	RC		inpatient			1487	1487																																																			
RELOAD GIA 45	SUP-74-00413	CDM			272	RC		outpatient			1486.84	1486.84	402.78				percent of total billed charges		1486.84				other	OPPS APC	1100.26				percent of total billed charges		1486.84				other	OPPS APC	1486.84				other	OPPS APC	402.78				percent of total billed charges		410.81				percent of total billed charges		1486.84				other	OPPS APC	402.78	1486.84	
RELOAD GIA 45	SUP-74-00413	CDM			272	RC		inpatient			1486.84	1486.84																																																			
HC Molecular Pathology Procedure  Level 9	PX-300814080	CDM	81408	CPT	300	RC		inpatient			1486.25	1486.25																																																			
HC Molecular Pathology Procedure  Level 9	PX-300814080	CDM	81408	CPT	300	RC		outpatient			1486.25	2					fee schedule		2000				fee schedule		5777.79				fee schedule		2000				fee schedule		2000				fee schedule		2000				fee schedule		2000				fee schedule		2				fee schedule		5777.79	5777.79	
PLATE BONE STAINLESS STEEL 108 MM RADIUS L78 MM PELVIC 6 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.876	CDM	270010022	LOCAL	270	RC		outpatient			1485	1485	402.29				percent of total billed charges		1485				other	OPPS APC	1098.9				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	402.29				percent of total billed charges		410.31				percent of total billed charges		1485				other	OPPS APC	402.29	1485	
PLATE BONE STAINLESS STEEL 108 MM RADIUS L78 MM PELVIC 6 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.876	CDM	270010022	LOCAL	270	RC		inpatient			1485	1485																																																			
GRAFT GRAFIX PRIME 1.6CM X 2CM	SUP-95-03213	CDM			636	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	154.64				fee schedule		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		369.17				percent of total billed charges		1485				other	OPPS APC	154.64	1485	
GRAFT GRAFIX PRIME 1.6CM X 2CM	SUP-95-03213	CDM			636	RC		inpatient			1485	1485																																																			
MACROPLASTIQUE ASC TRAINING KIT	SUP-97-00259	CDM			272	RC		outpatient			1485	1485	402.29				percent of total billed charges		1485				other	OPPS APC	1098.9				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	402.29				percent of total billed charges		410.31				percent of total billed charges		1485				other	OPPS APC	402.29	1485	
MACROPLASTIQUE ASC TRAINING KIT	SUP-97-00259	CDM			272	RC		inpatient			1485	1485																																																			
LENS AR40E 2.0D	SUP-97-01101	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS AR40E 2.0D	SUP-97-01101	CDM			278	RC		inpatient			1485	1485																																																			
LENS ZCT400	SUP-97-01139	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS ZCT400	SUP-97-01139	CDM			278	RC		inpatient			1485	1485																																																			
LENS 26.0D TECNIS EYHANCE	SUP-97-01167	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS 26.0D TECNIS EYHANCE	SUP-97-01167	CDM			278	RC		inpatient			1485	1485																																																			
LENS ZCT 150 19.0D	SUP-97-01188	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS ZCT 150 19.0D	SUP-97-01188	CDM			278	RC		inpatient			1485	1485																																																			
LENS ZCT 225 19.5D	SUP-97-01248	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS ZCT 225 19.5D	SUP-97-01248	CDM			278	RC		inpatient			1485	1485																																																			
LENS EYHANCE TORIC II DIU150 17.0D	SUP-97-01261	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS EYHANCE TORIC II DIU150 17.0D	SUP-97-01261	CDM			278	RC		inpatient			1485	1485																																																			
TECNIS LENS 450 19..5D	SUP-97-01289	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
TECNIS LENS 450 19..5D	SUP-97-01289	CDM			278	RC		inpatient			1485	1485																																																			
ZCT400 LENS 32.0D	SUP-97-01300	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT400 LENS 32.0D	SUP-97-01300	CDM			278	RC		inpatient			1485	1485																																																			
ZCT400 LENS 32.5D	SUP-97-01367	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT400 LENS 32.5D	SUP-97-01367	CDM			278	RC		inpatient			1485	1485																																																			
TECNIS LENS 17.5D	SUP-97-01475	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
TECNIS LENS 17.5D	SUP-97-01475	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 225 22..0D	SUP-97-01510	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 225 22..0D	SUP-97-01510	CDM			278	RC		inpatient			1485	1485																																																			
ZCT300 LENS 17.0D	SUP-97-01517	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT300 LENS 17.0D	SUP-97-01517	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 600 9.5D	SUP-97-01536	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 600 9.5D	SUP-97-01536	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 225 24.00	SUP-97-01537	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 225 24.00	SUP-97-01537	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 600 11.5D	SUP-97-01582	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 600 11.5D	SUP-97-01582	CDM			278	RC		inpatient			1485	1485																																																			
ZCT300 LENS 23.0D	SUP-97-01637	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT300 LENS 23.0D	SUP-97-01637	CDM			278	RC		inpatient			1485	1485																																																			
LENS 21.5D TECNIS	SUP-97-02185	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
LENS 21.5D TECNIS	SUP-97-02185	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 150 21.5	SUP-97-02394	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 150 21.5	SUP-97-02394	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 225 23.00	SUP-97-02427	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 225 23.00	SUP-97-02427	CDM			278	RC		inpatient			1485	1485																																																			
ZCT300 LENS 22.5D	SUP-97-02452	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT300 LENS 22.5D	SUP-97-02452	CDM			278	RC		inpatient			1485	1485																																																			
ZCT525 LENS 19.5	SUP-97-02529	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT525 LENS 19.5	SUP-97-02529	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 600 21.5D	SUP-97-02570	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 600 21.5D	SUP-97-02570	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 600 20.0D	SUP-97-02611	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 600 20.0D	SUP-97-02611	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 225 18.5	SUP-97-02809	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 225 18.5	SUP-97-02809	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 600 23.0D	SUP-97-02992	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 600 23.0D	SUP-97-02992	CDM			278	RC		inpatient			1485	1485																																																			
ZCT 300 11.5D	SUP-97-03181	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
ZCT 300 11.5D	SUP-97-03181	CDM			278	RC		inpatient			1485	1485																																																			
OATS OSTEOCHONDRAL SM JOINT 10MM	SUP-97-04068	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
OATS OSTEOCHONDRAL SM JOINT 10MM	SUP-97-04068	CDM			278	RC		inpatient			1485	1485																																																			
FIBERSTITCH IMPLANT CURVED	SUP-97-04510	CDM			278	RC		outpatient			1485	1485	1485				fee schedule		1485				other	OPPS APC	846.45				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	727.65				percent of total billed charges		757.35				percent of total billed charges		1485				other	OPPS APC	727.65	1485	
FIBERSTITCH IMPLANT CURVED	SUP-97-04510	CDM			278	RC		inpatient			1485	1485																																																			
DRILL BIT 2.7MM CANN	SUP-97-04560	CDM			272	RC		outpatient			1485	1485	402.29				percent of total billed charges		1485				other	OPPS APC	1098.9				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	402.29				percent of total billed charges		410.31				percent of total billed charges		1485				other	OPPS APC	402.29	1485	
DRILL BIT 2.7MM CANN	SUP-97-04560	CDM			272	RC		inpatient			1485	1485																																																			
FIBERSTITCH IMPLANT REVERSE CURVE	SUP-97-05047	CDM						inpatient			1485	1485																																																			
FIBERSTITCH IMPLANT REVERSE CURVE	SUP-97-05047	CDM						outpatient			1485	1485	1485				percent of total billed charges		1485				other	OPPS APC	1485				fee schedule		1485				other	OPPS APC	1485				other	OPPS APC	1485				case rate		1485				case rate		1485				other	OPPS APC	1485	1485	
FIBERSTITCH IMPLANT 24DEG CURVE	SUP-97-05048	CDM						inpatient			1485	1485																																																			
FIBERSTITCH IMPLANT 24DEG CURVE	SUP-97-05048	CDM						outpatient			1485	1485	1485				percent of total billed charges		1485				other	OPPS APC	1485				fee schedule		1485				other	OPPS APC	1485				other	OPPS APC	1485				case rate		1485				case rate		1485				other	OPPS APC	1485	1485	
FIBERSTITCH IMPLANT STRAIGHT	SUP-97-05049	CDM						inpatient			1485	1485																																																			
FIBERSTITCH IMPLANT STRAIGHT	SUP-97-05049	CDM						outpatient			1485	1485	1485				percent of total billed charges		1485				other	OPPS APC	1485				fee schedule		1485				other	OPPS APC	1485				other	OPPS APC	1485				case rate		1485				case rate		1485				other	OPPS APC	1485	1485	
CELLERATE RX ACTIVATED COLLAGEN 1G	SUP-97-06377	CDM			272	RC		outpatient			1485	1485	402.29				percent of total billed charges		1485				other	OPPS APC	1098.9				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	402.29				percent of total billed charges		410.31				percent of total billed charges		1485				other	OPPS APC	402.29	1485	
CELLERATE RX ACTIVATED COLLAGEN 1G	SUP-97-06377	CDM			272	RC		inpatient			1485	1485																																																			
CATHETER - EXPORT AP	SUP-99-01673	CDM			272	RC		outpatient			1485	1485	402.29				percent of total billed charges		1485				other	OPPS APC	1098.9				percent of total billed charges		1485				other	OPPS APC	1485				other	OPPS APC	402.29				percent of total billed charges		410.31				percent of total billed charges		1485				other	OPPS APC	402.29	1485	
CATHETER - EXPORT AP	SUP-99-01673	CDM			272	RC		inpatient			1485	1485																																																			
SEALER BIPOLAR AQUAMANTYS 2.3	SUP-95-05439	CDM			272	RC		outpatient			1484.1	1485	402.04				percent of total billed charges		1484.1				other	OPPS APC	1098.23				percent of total billed charges		1484.1				other	OPPS APC	1484.1				other	OPPS APC	402.04				percent of total billed charges		410.06				percent of total billed charges		1485				other	OPPS APC	402.04	1485	
SEALER BIPOLAR AQUAMANTYS 2.3	SUP-95-05439	CDM			272	RC		inpatient			1484.1	1484.1																																																			
PLATE BONE LC-DCP TITANIUM L67 MM X H1.7 MM 8 HOLE NONSTERILE 2.4 MM SCREW MODULAR HAND SYSTEM	SUP-449.928	CDM	270010022	LOCAL	270	RC		outpatient			1483.9	1483.91	401.99				percent of total billed charges		1483.9				other	OPPS APC	1098.09				percent of total billed charges		1483.9				other	OPPS APC	1483.9				other	OPPS APC	401.99				percent of total billed charges		410				percent of total billed charges		1483.91				other	OPPS APC	401.99	1483.91	
PLATE BONE LC-DCP TITANIUM L67 MM X H1.7 MM 8 HOLE NONSTERILE 2.4 MM SCREW MODULAR HAND SYSTEM	SUP-449.928	CDM	270010022	LOCAL	270	RC		inpatient			1483.9	1483.9																																																			
SCREW TI LAG 10.5 X 80MM	SUP-97-03855	CDM			278	RC		outpatient			1482.57	1482.57	1482.57				fee schedule		1482.57				other	OPPS APC	845.06				percent of total billed charges		1482.57				other	OPPS APC	1482.57				other	OPPS APC	726.46				percent of total billed charges		756.11				percent of total billed charges		1482.57				other	OPPS APC	726.46	1482.57	
SCREW TI LAG 10.5 X 80MM	SUP-97-03855	CDM			278	RC		inpatient			1482.57	1482.57																																																			
PLATE BONE STAINLESS STEEL LOW PROFILE L57 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS PELVIS 4 HOLE COAXIAL COMBI NONSTERILE 3.5 MM SCREW	SUP-02.100.004	CDM	270010022	LOCAL	270	RC		outpatient			1482.16	1482.16	401.52				percent of total billed charges		1482.16				other	OPPS APC	1096.8				percent of total billed charges		1482.16				other	OPPS APC	1482.16				other	OPPS APC	401.52				percent of total billed charges		409.52				percent of total billed charges		1482.16				other	OPPS APC	401.52	1482.16	
PLATE BONE STAINLESS STEEL LOW PROFILE L57 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS PELVIS 4 HOLE COAXIAL COMBI NONSTERILE 3.5 MM SCREW	SUP-02.100.004	CDM	270010022	LOCAL	270	RC		inpatient			1482.16	1482.16																																																			
RELOAD GIA 60MM MED THICK	SUP-74-00409	CDM			272	RC		outpatient			1480.77	148.77	401.14				percent of total billed charges		1480.77				other	OPPS APC	1095.77				percent of total billed charges		1480.77				other	OPPS APC	1480.77				other	OPPS APC	401.14				percent of total billed charges		409.14				percent of total billed charges		148.77				other	OPPS APC	148.77	1480.77	
RELOAD GIA 60MM MED THICK	SUP-74-00409	CDM			272	RC		inpatient			1480.77	1480.77																																																			
GUIDEWIRE VASCULAR ARISTOTLE NITINOL HYDROPHILIC L46 CM L35 CM L200 CM L10 CM OD.024 IN SOFT PROFILE RADIOPAQUE FLATTEN CORE TUBE	SUP-A24-200-001	CDM			270	RC		outpatient			1480	148	400.93				percent of total billed charges		1480				other	OPPS APC	1095.2				percent of total billed charges		1480				other	OPPS APC	1480				other	OPPS APC	400.93				percent of total billed charges		408.92				percent of total billed charges		148				other	OPPS APC	148	1480	
GUIDEWIRE VASCULAR ARISTOTLE NITINOL HYDROPHILIC L46 CM L35 CM L200 CM L10 CM OD.024 IN SOFT PROFILE RADIOPAQUE FLATTEN CORE TUBE	SUP-A24-200-001	CDM			270	RC		inpatient			1480	1480																																																			
GUIDEWIRE VASCULAR ARISTOTLE NITINOL HYDROPHILIC L46 CM L35 CM L200 CM L10 CM OD.024 IN STANDARD PROFILE RADIOPAQUE FLATTEN CORE TUBE	SUP-A24-200-002	CDM			270	RC		outpatient			1480	148	400.93				percent of total billed charges		1480				other	OPPS APC	1095.2				percent of total billed charges		1480				other	OPPS APC	1480				other	OPPS APC	400.93				percent of total billed charges		408.92				percent of total billed charges		148				other	OPPS APC	148	1480	
GUIDEWIRE VASCULAR ARISTOTLE NITINOL HYDROPHILIC L46 CM L35 CM L200 CM L10 CM OD.024 IN STANDARD PROFILE RADIOPAQUE FLATTEN CORE TUBE	SUP-A24-200-002	CDM			270	RC		inpatient			1480	1480																																																			
GUIDEWIRE VASCULAR ARISTOTLE L200CM L10 CM RADIOPAQUE OD 0.024 IN 24 GUIDEWIRE SUPPORT PROFILE WIRE HYCROPHILIC COATING L46CM	SUP-A24-200-003	CDM			270	RC		outpatient			1480	148	400.93				percent of total billed charges		1480				other	OPPS APC	1095.2				percent of total billed charges		1480				other	OPPS APC	1480				other	OPPS APC	400.93				percent of total billed charges		408.92				percent of total billed charges		148				other	OPPS APC	148	1480	
GUIDEWIRE VASCULAR ARISTOTLE L200CM L10 CM RADIOPAQUE OD 0.024 IN 24 GUIDEWIRE SUPPORT PROFILE WIRE HYCROPHILIC COATING L46CM	SUP-A24-200-003	CDM			270	RC		inpatient			1480	1480																																																			
PLATE LCP ADAPTION 2.7MM 12 HOLE	SUP-97-02146	CDM			278	RC		outpatient			1479.87	1479.87	1479.87				fee schedule		1479.87				other	OPPS APC	843.53				percent of total billed charges		1479.87				other	OPPS APC	1479.87				other	OPPS APC	725.14				percent of total billed charges		754.73				percent of total billed charges		1479.87				other	OPPS APC	725.14	1479.87	
PLATE LCP ADAPTION 2.7MM 12 HOLE	SUP-97-02146	CDM			278	RC		inpatient			1479.87	1479.87																																																			
PIN FIXATION ORTHOSORB L40 MM OD1.3 MM 1 KIT	SUP-84-1052	CDM			270	RC		outpatient			1478	1478	400.39				percent of total billed charges		1478				other	OPPS APC	1093.72				percent of total billed charges		1478				other	OPPS APC	1478				other	OPPS APC	400.39				percent of total billed charges		408.37				percent of total billed charges		1478				other	OPPS APC	400.39	1478	
PIN FIXATION ORTHOSORB L40 MM OD1.3 MM 1 KIT	SUP-84-1052	CDM			270	RC		inpatient			1478	1478																																																			
HC CT Orbit  Sella Post Fossa W/O Contrast	PX-351704800	CDM	70480	CPT	351	RC		outpatient			1476	112.57	193.33				fee schedule		112.57				other	OPPS APC	614.93				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	164.36				fee schedule		103.18				fee schedule		112.57				other	OPPS APC	103.18	614.93	
HC CT Orbit  Sella Post Fossa W/O Contrast	PX-351704800	CDM	70480	CPT	351	RC		inpatient			1476	1476																																																			
HC CT Tmj (Also for Sella)	PX-352704800	CDM	70480	CPT	351	RC		outpatient			1476	112.57	193.33				fee schedule		112.57				other	OPPS APC	614.93				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	164.36				fee schedule		103.18				fee schedule		112.57				other	OPPS APC	103.18	614.93	
HC CT Tmj (Also for Sella)	PX-352704800	CDM	70480	CPT	351	RC		inpatient			1476	1476																																																			
KIT SUTURE COR-KNOT MINI STERILE COMBO	SUP-031350	CDM			270	RC		outpatient			1476	1476	399.85				percent of total billed charges		1476				other	OPPS APC	1092.24				percent of total billed charges		1476				other	OPPS APC	1476				other	OPPS APC	399.85				percent of total billed charges		407.82				percent of total billed charges		1476				other	OPPS APC	399.85	1476	
KIT SUTURE COR-KNOT MINI STERILE COMBO	SUP-031350	CDM			270	RC		inpatient			1476	1476																																																			
SCREW BONE TITANIUM L50 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.650	CDM	270010022	LOCAL	270	RC		outpatient			1476	1476	399.85				percent of total billed charges		1476				other	OPPS APC	1092.24				percent of total billed charges		1476				other	OPPS APC	1476				other	OPPS APC	399.85				percent of total billed charges		407.82				percent of total billed charges		1476				other	OPPS APC	399.85	1476	
SCREW BONE TITANIUM L50 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.650	CDM	270010022	LOCAL	270	RC		inpatient			1476	1476																																																			
SCREW BONE TITANIUM L55 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.655	CDM	270010022	LOCAL	270	RC		outpatient			1476	1476	399.85				percent of total billed charges		1476				other	OPPS APC	1092.24				percent of total billed charges		1476				other	OPPS APC	1476				other	OPPS APC	399.85				percent of total billed charges		407.82				percent of total billed charges		1476				other	OPPS APC	399.85	1476	
SCREW BONE TITANIUM L55 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.655	CDM	270010022	LOCAL	270	RC		inpatient			1476	1476																																																			
SUBSTITUTE BONE GRAFT PROGENIX DEMINERALIZED BONE MATRIX BOVINE COLLAGEN 5 ML PUTTY	SUP-005005	CDM	270010031	LOCAL	270	RC		outpatient			1470	147	398.22				percent of total billed charges		1470				other	OPPS APC	1087.8				percent of total billed charges		1470				other	OPPS APC	1470				other	OPPS APC	398.22				percent of total billed charges		406.16				percent of total billed charges		147				other	OPPS APC	147	1470	
SUBSTITUTE BONE GRAFT PROGENIX DEMINERALIZED BONE MATRIX BOVINE COLLAGEN 5 ML PUTTY	SUP-005005	CDM	270010031	LOCAL	270	RC		inpatient			1470	1470																																																			
GRAFT BIODESIGN 4 X 7 ENT	SUP-75-00098	CDM			278	RC		outpatient			1470	147	1470				fee schedule		1470				other	OPPS APC	837.9				percent of total billed charges		1470				other	OPPS APC	1470				other	OPPS APC	720.3				percent of total billed charges		749.7				percent of total billed charges		147				other	OPPS APC	147	1470	
GRAFT BIODESIGN 4 X 7 ENT	SUP-75-00098	CDM			278	RC		inpatient			1470	1470																																																			
UNIVERS REVERS SPACER 36+15MM	SUP-97-01975	CDM			278	RC		outpatient			1470	147	1470				fee schedule		1470				other	OPPS APC	837.9				percent of total billed charges		1470				other	OPPS APC	1470				other	OPPS APC	720.3				percent of total billed charges		749.7				percent of total billed charges		147				other	OPPS APC	147	1470	
UNIVERS REVERS SPACER 36+15MM	SUP-97-01975	CDM			278	RC		inpatient			1470	1470																																																			
IV CATHETER DIFFUSICS - 20G	SUP-95-01679	CDM			272	RC		outpatient			1469.4	1469.41	398.06				percent of total billed charges		1469.4				other	OPPS APC	1087.36				percent of total billed charges		1469.4				other	OPPS APC	1469.4				other	OPPS APC	398.06				percent of total billed charges		406				percent of total billed charges		1469.41				other	OPPS APC	398.06	1469.41	
IV CATHETER DIFFUSICS - 20G	SUP-95-01679	CDM			272	RC		inpatient			1469.4	1469.4																																																			
PLATE BONE LOCKING CALCANEAL SHORT RIGHT 69MM	SUP-241.622	CDM	270010022	LOCAL	270	RC		outpatient			1468.5	1468.5	397.82				percent of total billed charges		1468.5				other	OPPS APC	1086.69				percent of total billed charges		1468.5				other	OPPS APC	1468.5				other	OPPS APC	397.82				percent of total billed charges		405.75				percent of total billed charges		1468.5				other	OPPS APC	397.82	1468.5	
PLATE BONE LOCKING CALCANEAL SHORT RIGHT 69MM	SUP-241.622	CDM	270010022	LOCAL	270	RC		inpatient			1468.5	1468.5																																																			
PLATE BONE LCP SHORT 69MMX2MM SS NS CALCANEAL LEFT LOCK 2.7/3.5MM CORTEX SCREW	SUP-241.623	CDM	270010022	LOCAL	270	RC		outpatient			1468.5	1468.5	397.82				percent of total billed charges		1468.5				other	OPPS APC	1086.69				percent of total billed charges		1468.5				other	OPPS APC	1468.5				other	OPPS APC	397.82				percent of total billed charges		405.75				percent of total billed charges		1468.5				other	OPPS APC	397.82	1468.5	
PLATE BONE LCP SHORT 69MMX2MM SS NS CALCANEAL LEFT LOCK 2.7/3.5MM CORTEX SCREW	SUP-241.623	CDM	270010022	LOCAL	270	RC		inpatient			1468.5	1468.5																																																			
Y-PLATE PROFYL/M 2.3M HAND LCK NRW 7H	SUP-97-04151	CDM			278	RC		outpatient			1468.5	1468.5	1468.5				fee schedule		1468.5				other	OPPS APC	837.05				percent of total billed charges		1468.5				other	OPPS APC	1468.5				other	OPPS APC	719.57				percent of total billed charges		748.94				percent of total billed charges		1468.5				other	OPPS APC	719.57	1468.5	
Y-PLATE PROFYL/M 2.3M HAND LCK NRW 7H	SUP-97-04151	CDM			278	RC		inpatient			1468.5	1468.5																																																			
NEEDLE DELIVERY SYSTM FAST-FIX 360 STRT	SUP-79-00082	CDM			272	RC		outpatient			1466.52	1466.52	397.28				percent of total billed charges		1466.52				other	OPPS APC	1085.22				percent of total billed charges		1466.52				other	OPPS APC	1466.52				other	OPPS APC	397.28				percent of total billed charges		405.2				percent of total billed charges		1466.52				other	OPPS APC	397.28	1466.52	
NEEDLE DELIVERY SYSTM FAST-FIX 360 STRT	SUP-79-00082	CDM			272	RC		inpatient			1466.52	1466.52																																																			
NEEDLE DELIVERY SYSTM FAST-FIX 360 CURVD	SUP-79-00083	CDM			272	RC		outpatient			1466.52	1466.52	397.28				percent of total billed charges		1466.52				other	OPPS APC	1085.22				percent of total billed charges		1466.52				other	OPPS APC	1466.52				other	OPPS APC	397.28				percent of total billed charges		405.2				percent of total billed charges		1466.52				other	OPPS APC	397.28	1466.52	
NEEDLE DELIVERY SYSTM FAST-FIX 360 CURVD	SUP-79-00083	CDM			272	RC		inpatient			1466.52	1466.52																																																			
FIBULA SEGMENT 101-150MM	SUP-97-03797	CDM			278	RC		outpatient			1466.25	1466.25	1466.25				fee schedule		1466.25				other	OPPS APC	835.76				percent of total billed charges		1466.25				other	OPPS APC	1466.25				other	OPPS APC	718.46				percent of total billed charges		747.79				percent of total billed charges		1466.25				other	OPPS APC	718.46	1466.25	
FIBULA SEGMENT 101-150MM	SUP-97-03797	CDM			278	RC		inpatient			1466.25	1466.25																																																			
NECK TRIAL 35MM 127DEG	SUP-97-02709	CDM			278	RC		outpatient			1465.2	1465.2	1465.2				fee schedule		1465.2				other	OPPS APC	835.16				percent of total billed charges		1465.2				other	OPPS APC	1465.2				other	OPPS APC	717.95				percent of total billed charges		747.25				percent of total billed charges		1465.2				other	OPPS APC	717.95	1465.2	
NECK TRIAL 35MM 127DEG	SUP-97-02709	CDM			278	RC		inpatient			1465.2	1465.2																																																			
TOLVAPTAN 30 MG TABLET	637000000	CDM	60505-4318-0	NDC	A9270	HCPCS		inpatient			1464.75	1464.75																																																			
TOLVAPTAN 30 MG TABLET	637000000	CDM	60505-4318-0	NDC	A9270	HCPCS		outpatient			1464.75	1464.75																																															other	OPPS APC			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L70 MM OD10.35 MM CANNULATED STERILE	SUP-04.038.170S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L70 MM OD10.35 MM CANNULATED STERILE	SUP-04.038.170S	CDM			270	RC		inpatient			1464	1464																																																			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L75 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.175S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L75 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.175S	CDM			270	RC		inpatient			1464	1464																																																			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L80 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.180S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L80 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.180S	CDM			270	RC		inpatient			1464	1464																																																			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L90 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.190S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L90 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.190S	CDM			270	RC		inpatient			1464	1464																																																			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L110 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.210S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L110 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.210S	CDM			270	RC		inpatient			1464	1464																																																			
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L115 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.215S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L115 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.215S	CDM			270	RC		inpatient			1464	1464																																																			
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L120 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.220S	CDM			270	RC		outpatient			1464	1464	396.6				percent of total billed charges		1464				other	OPPS APC	1083.36				percent of total billed charges		1464				other	OPPS APC	1464				other	OPPS APC	396.6				percent of total billed charges		404.5				percent of total billed charges		1464				other	OPPS APC	396.6	1464	
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L120 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.220S	CDM			270	RC		inpatient			1464	1464																																																			
OPTICROSS 6 CORONARY IMAGING CATHETER	SUP-H7495181160	CDM			481	RC		outpatient			1463	1463	716.87				percent of total billed charges		1463				other	OPPS APC	1082.62				percent of total billed charges		1463				other	OPPS APC	1463				other	OPPS APC	716.87				percent of total billed charges		746.13				percent of total billed charges		1463				other	OPPS APC	716.87	1463	
OPTICROSS 6 CORONARY IMAGING CATHETER	SUP-H7495181160	CDM			481	RC		inpatient			1463	1463																																																			
COMET PRESSURE GUIDEWIRE	SUP-H7495551110	CDM			481	RC		outpatient			1463	1463	716.87				percent of total billed charges		1463				other	OPPS APC	1082.62				percent of total billed charges		1463				other	OPPS APC	1463				other	OPPS APC	716.87				percent of total billed charges		746.13				percent of total billed charges		1463				other	OPPS APC	716.87	1463	
COMET PRESSURE GUIDEWIRE	SUP-H7495551110	CDM			481	RC		inpatient			1463	1463																																																			
CATHETER- ESOPHASTAR MAPPING	SUP-99-04764	CDM			278	RC		outpatient			1461	1461	1461				fee schedule		1461				other	OPPS APC	832.77				percent of total billed charges		1461				other	OPPS APC	1461				other	OPPS APC	715.89				percent of total billed charges		745.11				percent of total billed charges		1461				other	OPPS APC	715.89	1461	
CATHETER- ESOPHASTAR MAPPING	SUP-99-04764	CDM			278	RC		inpatient			1461	1461																																																			
CABLE SPINAL SOFWIRE TITANIUM 1 CINCH TIGHTENER CENTRAL LEADER STERILE	SUP-46-4040	CDM			270	RC		outpatient			1460	146	395.51				percent of total billed charges		1460				other	OPPS APC	1080.4				percent of total billed charges		1460				other	OPPS APC	1460				other	OPPS APC	395.51				percent of total billed charges		403.4				percent of total billed charges		146				other	OPPS APC	146	1460	
CABLE SPINAL SOFWIRE TITANIUM 1 CINCH TIGHTENER CENTRAL LEADER STERILE	SUP-46-4040	CDM			270	RC		inpatient			1460	1460																																																			
PLATE BONE TITANIUM LOW PROFILE L9 MM TIBIA ANTEROPOSTERIOR SLOPE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OSTEOTOMY	SUP-AR-13200ST-09.0	CDM			270	RC		outpatient			1460	146	395.51				percent of total billed charges		1460				other	OPPS APC	1080.4				percent of total billed charges		1460				other	OPPS APC	1460				other	OPPS APC	395.51				percent of total billed charges		403.4				percent of total billed charges		146				other	OPPS APC	146	1460	
PLATE BONE TITANIUM LOW PROFILE L9 MM TIBIA ANTEROPOSTERIOR SLOPE 6.5 MM CANCELLOUS 4.5 MM CORTICAL SCREW OSTEOTOMY	SUP-AR-13200ST-09.0	CDM			270	RC		inpatient			1460	1460																																																			
TOLVAPTAN 30 MG TABLET	637000000	CDM	31722-869-31	NDC	A9270	HCPCS		inpatient			1456.88	1456.88																																																			
TOLVAPTAN 30 MG TABLET	637000000	CDM	31722-869-31	NDC	A9270	HCPCS		outpatient			1456.88	1456.88																																															other	OPPS APC			
PLATE BONE LCP NARROW 296X13.5X4.2MM SS NS 16 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-224.661	CDM	270010022	LOCAL	270	RC		outpatient			1455.98	1455.98	394.42				percent of total billed charges		1455.98				other	OPPS APC	1077.43				percent of total billed charges		1455.98				other	OPPS APC	1455.98				other	OPPS APC	394.42				percent of total billed charges		402.29				percent of total billed charges		1455.98				other	OPPS APC	394.42	1455.98	
PLATE BONE LCP NARROW 296X13.5X4.2MM SS NS 16 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-224.661	CDM	270010022	LOCAL	270	RC		inpatient			1455.98	1455.98																																																			
INSTRUMENT ELECTROSURGICAL LIGASURE FORCETRIAD TISSUEFECT 28D 3.4V 14.7MM CURVE 18.8CM 16.5X1-4MM DISPOSABLE STERILE LF	SUP-LF1212A	CDM			270	RC		outpatient			1455.01	1455.1	394.16				percent of total billed charges		1455.01				other	OPPS APC	1076.71				percent of total billed charges		1455.01				other	OPPS APC	1455.01				other	OPPS APC	394.16				percent of total billed charges		402.02				percent of total billed charges		1455.1				other	OPPS APC	394.16	1455.1	
INSTRUMENT ELECTROSURGICAL LIGASURE FORCETRIAD TISSUEFECT 28D 3.4V 14.7MM CURVE 18.8CM 16.5X1-4MM DISPOSABLE STERILE LF	SUP-LF1212A	CDM			270	RC		inpatient			1455.01	1455.01																																																			
CATHETER - SWAN GANZ MONITORING	SUP-99-00149	CDM			272	RC		outpatient			1455	1455	394.16				percent of total billed charges		1455				other	OPPS APC	1076.7				percent of total billed charges		1455				other	OPPS APC	1455				other	OPPS APC	394.16				percent of total billed charges		402.02				percent of total billed charges		1455				other	OPPS APC	394.16	1455	
CATHETER - SWAN GANZ MONITORING	SUP-99-00149	CDM			272	RC		inpatient			1455	1455																																																			
GRAFT SYMBOTEX SKIRT 15 X 10CM	SUP-97-02759	CDM			278	RC		outpatient			1452.21	1452.21	1452.21				fee schedule		1452.21				other	OPPS APC	827.76				percent of total billed charges		1452.21				other	OPPS APC	1452.21				other	OPPS APC	711.58				percent of total billed charges		740.63				percent of total billed charges		1452.21				other	OPPS APC	711.58	1452.21	
GRAFT SYMBOTEX SKIRT 15 X 10CM	SUP-97-02759	CDM			278	RC		inpatient			1452.21	1452.21																																																			
SCREW BONE REVERE TITANIUM L45 MM OD5.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.455	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L45 MM OD5.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.455	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L40 MM OD6.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.464	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L40 MM OD6.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.464	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE 6.5MM 45MM REVERE TITANIUM SPINE PEDICLE POLYAXIAL	SUP-124.465	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE 6.5MM 45MM REVERE TITANIUM SPINE PEDICLE POLYAXIAL	SUP-124.465	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L50 MM OD6.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.466	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L50 MM OD6.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.466	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE 6.5MM 55MM REVERE TITANIUM SPINE PEDICLE POLYAXIAL	SUP-124.467	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE 6.5MM 55MM REVERE TITANIUM SPINE PEDICLE POLYAXIAL	SUP-124.467	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE 6.5MM 60MM REVERE TITANIUM SPINE PEDICLE POLYAXIAL	SUP-124.468	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE 6.5MM 60MM REVERE TITANIUM SPINE PEDICLE POLYAXIAL	SUP-124.468	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L35 MM OD7.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.473	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L35 MM OD7.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.473	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE 40MM 7.5MM TITANIUM NS SPINE PEDICLE	SUP-124.474	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE 40MM 7.5MM TITANIUM NS SPINE PEDICLE	SUP-124.474	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L45 MM OD7.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.475	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L45 MM OD7.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.475	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L50 MM OD7.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.476	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L50 MM OD7.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.476	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE L55 MM OD7.5 MM SPINE PEDICLE	SUP-124.477	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE L55 MM OD7.5 MM SPINE PEDICLE	SUP-124.477	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L30 MM OD8.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.482	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L30 MM OD8.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.482	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE REVERE TITANIUM L50 MM OD8.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.486	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE REVERE TITANIUM L50 MM OD8.5 MM SPINE PEDICLE POLYAXIAL	SUP-124.486	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
Fix This	SUP-300005127551	CDM			481	RC		outpatient			1450	145	710.5				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	710.5				percent of total billed charges		739.5				percent of total billed charges		145				other	OPPS APC	145	1450	
Fix This	SUP-300005127551	CDM			481	RC		inpatient			1450	1450																																																			
SCREW GLOBUS CREO 6.5MM X 40MM	SUP-5119.1640	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW GLOBUS CREO 6.5MM X 40MM	SUP-5119.1640	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L40 MM OD6.5 MM SPINE PREASSEMBLE THREAD	SUP-5119.1642	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L40 MM OD6.5 MM SPINE PREASSEMBLE THREAD	SUP-5119.1642	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L45 MM OD6.5 MM SPINE MULTIAXIAL	SUP-5119.1645	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L45 MM OD6.5 MM SPINE MULTIAXIAL	SUP-5119.1645	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO 6.5 45MM	SUP-5119.1647	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO 6.5 45MM	SUP-5119.1647	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L50 MM OD6.5 MM SPINE PREASSEMBLE 5.5 MM ROD	SUP-5119.1650	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L50 MM OD6.5 MM SPINE PREASSEMBLE 5.5 MM ROD	SUP-5119.1650	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L50 MM OD6.5 MM SPINE PREASSEMBLE THREAD	SUP-5119.1652	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L50 MM OD6.5 MM SPINE PREASSEMBLE THREAD	SUP-5119.1652	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L55 MM OD6.5 MM SPINE PREASSEMBLE 5.5 MM ROD	SUP-5119.1655	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L55 MM OD6.5 MM SPINE PREASSEMBLE 5.5 MM ROD	SUP-5119.1655	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L55 MM OD6.5 MM SPINE PREASSEMBLE THREAD	SUP-5119.1657	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L55 MM OD6.5 MM SPINE PREASSEMBLE THREAD	SUP-5119.1657	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L60 MM OD6.5 MM SPINE PREASSEMBLE 5.5 MM ROD	SUP-5119.1660	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L60 MM OD6.5 MM SPINE PREASSEMBLE 5.5 MM ROD	SUP-5119.1660	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW CREO 7.5 40MM	SUP-5119.1742	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW CREO 7.5 40MM	SUP-5119.1742	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L35 MM OD6-5 MM SPINE CORTICAL PREASSEMBLE 5.5 MM ROD	SUP-5119.3437	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L35 MM OD6-5 MM SPINE CORTICAL PREASSEMBLE 5.5 MM ROD	SUP-5119.3437	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L40 MM OD6-5 MM SPINE CORTICAL PREASSEMBLE 5.5 MM ROD	SUP-5119.3442	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L40 MM OD6-5 MM SPINE CORTICAL PREASSEMBLE 5.5 MM ROD	SUP-5119.3442	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L45 MM OD6.5 MM SPINE REDUCTION PREASSEMBLE STERILE 5.5 MM ROD	SUP-5119.6645	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L45 MM OD6.5 MM SPINE REDUCTION PREASSEMBLE STERILE 5.5 MM ROD	SUP-5119.6645	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
SCREW BONE CREO L50 MM OD6.5 MM SPINE REDUCTION PREASSEMBLE STERILE 5.5 MM ROD	SUP-5119.6650	CDM	270010020	LOCAL	270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
SCREW BONE CREO L50 MM OD6.5 MM SPINE REDUCTION PREASSEMBLE STERILE 5.5 MM ROD	SUP-5119.6650	CDM	270010020	LOCAL	270	RC		inpatient			1450	1450																																																			
VOLCANO EAGLE EYE PLATINUM IVUS CATHETER	SUP-85900P	CDM			481	RC		outpatient			1450	145	710.5				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	710.5				percent of total billed charges		739.5				percent of total billed charges		145				other	OPPS APC	145	1450	
VOLCANO EAGLE EYE PLATINUM IVUS CATHETER	SUP-85900P	CDM			481	RC		inpatient			1450	1450																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 6 HOLE	SUP-AR-8943BL-06	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
PLATE ARTHREX LOCKING DISTAL FIBULA LEFT 6 HOLE	SUP-AR-8943BL-06	CDM			270	RC		inpatient			1450	1450																																																			
PLATE BONE 104MM SS FIBULA RIGHT DISTAL 6 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BR-06	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
PLATE BONE 104MM SS FIBULA RIGHT DISTAL 6 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BR-06	CDM			270	RC		inpatient			1450	1450																																																			
PLATE BONE 104MM SS FIBULA LEFT DISTAL 6 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-894BL-06	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
PLATE BONE 104MM SS FIBULA LEFT DISTAL 6 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-894BL-06	CDM			270	RC		inpatient			1450	1450																																																			
ADHESIVE SKIN CLOSURE BIOGLUE 5 ML CARTRIDGES TWIST RING TOOLS STERILE LATEX FREE DISPOSABLE	SUP-BG3010-5-G	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
ADHESIVE SKIN CLOSURE BIOGLUE 5 ML CARTRIDGES TWIST RING TOOLS STERILE LATEX FREE DISPOSABLE	SUP-BG3010-5-G	CDM			270	RC		inpatient			1450	1450																																																			
STENT VASCULAR ZILVER 635 NITINOL .035 IN L60 MM L125 CM	SUP-G43832	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
STENT VASCULAR ZILVER 635 NITINOL .035 IN L60 MM L125 CM	SUP-G43832	CDM			270	RC		inpatient			1450	1450																																																			
STENT ZILVER 8MM X 40MM	SUP-G43856	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
STENT ZILVER 8MM X 40MM	SUP-G43856	CDM			270	RC		inpatient			1450	1450																																																			
STENT VASCULAR ZILVER 635 FLEXOR 40MM 80CM 10MM 6FR NITINOL STERILE ILIAC ARTERY SELF EXPAND SLOT TUBE DELIVERY SYSTEM	SUP-G43866	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
STENT VASCULAR ZILVER 635 FLEXOR 40MM 80CM 10MM 6FR NITINOL STERILE ILIAC ARTERY SELF EXPAND SLOT TUBE DELIVERY SYSTEM	SUP-G43866	CDM			270	RC		inpatient			1450	1450																																																			
STENT VASCULAR ZILVER 635 NITINOL .035 IN L80 MM L80 CM OD10 MM ODSEC6 FR ILIAC ARTERY SELF EXPANDING FLEXIBLE SLOTTED TUBE FLEXOR INTRODUCER GUIDEWIRE STERILE	SUP-G43868	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
STENT VASCULAR ZILVER 635 NITINOL .035 IN L80 MM L80 CM OD10 MM ODSEC6 FR ILIAC ARTERY SELF EXPANDING FLEXIBLE SLOTTED TUBE FLEXOR INTRODUCER GUIDEWIRE STERILE	SUP-G43868	CDM			270	RC		inpatient			1450	1450																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25026UX	CDM			270	RC		outpatient			1450	145	392.81				percent of total billed charges		1450				other	OPPS APC	1073				percent of total billed charges		1450				other	OPPS APC	1450				other	OPPS APC	392.81				percent of total billed charges		400.64				percent of total billed charges		145				other	OPPS APC	145	1450	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25026UX	CDM			270	RC		inpatient			1450	1450																																																			
MESH CRANIAL MATRIXNEURO TITANIUM CONTOUR H.4 MM TEMPORAL NONSTERILE SILVER	SUP-04.503.057	CDM	270010013	LOCAL	270	RC		outpatient			1448.96	1448.96	392.52				percent of total billed charges		1448.96				other	OPPS APC	1072.23				percent of total billed charges		1448.96				other	OPPS APC	1448.96				other	OPPS APC	392.52				percent of total billed charges		400.35				percent of total billed charges		1448.96				other	OPPS APC	392.52	1448.96	
MESH CRANIAL MATRIXNEURO TITANIUM CONTOUR H.4 MM TEMPORAL NONSTERILE SILVER	SUP-04.503.057	CDM	270010013	LOCAL	270	RC		outpatient			1448.96	1448.96	392.52				percent of total billed charges		1448.96				other	OPPS APC	1072.23				percent of total billed charges		1448.96				other	OPPS APC	1448.96				other	OPPS APC	392.52				percent of total billed charges		400.35				percent of total billed charges		1448.96				other	OPPS APC	392.52	1448.96	
MESH CRANIAL MATRIXNEURO TITANIUM CONTOUR H.4 MM TEMPORAL NONSTERILE SILVER	SUP-04.503.057	CDM	270010013	LOCAL	270	RC		inpatient			1448.96	1448.96																																																			
MESH CRANIAL MATRIXNEURO TITANIUM CONTOUR H.4 MM TEMPORAL NONSTERILE SILVER	SUP-04.503.057	CDM	270010013	LOCAL	270	RC		inpatient			1448.96	1448.96																																																			
HC Treat Disloc/Fx Shoulder W/Surg W/Mn	PX-450236751	CDM	23675	CPT	450	RC		outpatient			1448	1448	195.77				case rate		1448				other	OPPS APC	1071.52				percent of total billed charges		1448				other	OPPS APC	1448				other	OPPS APC	195.77				case rate		199.69				case rate		1448				other	OPPS APC	195.77	1448	
HC Treat Disloc/Fx Shoulder W/Surg W/Mn	PX-450236751	CDM	23675	CPT	450	RC		inpatient			1448	1448																																																			
HC Treat Fx Radius W&W/O Ulna W/Manipul	PX-450256051	CDM	25605	CPT	450	RC		outpatient			1448	1448	195.77				case rate		1448				other	OPPS APC	1071.52				percent of total billed charges		1448				other	OPPS APC	1448				other	OPPS APC	195.77				case rate		199.69				case rate		1448				other	OPPS APC	195.77	1448	
HC Treat Fx Radius W&W/O Ulna W/Manipul	PX-450256051	CDM	25605	CPT	450	RC		inpatient			1448	1448																																																			
HC Closed Tx Bimalleolar Ankle Fracture W/Man	PX-450278100	CDM	27810	CPT	450	RC		outpatient			1448	1448	195.77				case rate		1448				other	OPPS APC	1071.52				percent of total billed charges		1448				other	OPPS APC	1448				other	OPPS APC	195.77				case rate		199.69				case rate		1448				other	OPPS APC	195.77	1448	
HC Closed Tx Bimalleolar Ankle Fracture W/Man	PX-450278100	CDM	27810	CPT	450	RC		inpatient			1448	1448																																																			
KIT VAC VIA 7-DAY THERAPY SYSTEM	SUP-VIAKIT077D01	CDM			270	RC		outpatient			1448	1448	392.26				percent of total billed charges		1448				other	OPPS APC	1071.52				percent of total billed charges		1448				other	OPPS APC	1448				other	OPPS APC	392.26				percent of total billed charges		400.08				percent of total billed charges		1448				other	OPPS APC	392.26	1448	
KIT VAC VIA 7-DAY THERAPY SYSTEM	SUP-VIAKIT077D01	CDM			270	RC		inpatient			1448	1448																																																			
PLATE LCP RECON 3.5 MM 6 HOLES	SUP-97-04004	CDM			278	RC		outpatient			1446.66	1446.66	1446.66				fee schedule		1446.66				other	OPPS APC	824.6				percent of total billed charges		1446.66				other	OPPS APC	1446.66				other	OPPS APC	708.86				percent of total billed charges		737.8				percent of total billed charges		1446.66				other	OPPS APC	708.86	1446.66	
PLATE LCP RECON 3.5 MM 6 HOLES	SUP-97-04004	CDM			278	RC		inpatient			1446.66	1446.66																																																			
BIT DRILL 2.0 150MM MINI FRAG CANN	SUP-97-02235	CDM			272	RC		outpatient			1446.24	1446.24	391.79				percent of total billed charges		1446.24				other	OPPS APC	1070.22				percent of total billed charges		1446.24				other	OPPS APC	1446.24				other	OPPS APC	391.79				percent of total billed charges		399.6				percent of total billed charges		1446.24				other	OPPS APC	391.79	1446.24	
BIT DRILL 2.0 150MM MINI FRAG CANN	SUP-97-02235	CDM			272	RC		inpatient			1446.24	1446.24																																																			
HC US Liver Bx Percut Needle	PX-361470001	CDM	47000	CPT	361	RC		outpatient			1446	1579.36	456.65				percent of total billed charges		1579.36				other	OPPS APC	1876				fee schedule		1579.36				other	OPPS APC	1579.36				other	OPPS APC	456.65				percent of total billed charges		465.76				percent of total billed charges		1579.36				other	OPPS APC	456.65	1876	
HC US Liver Bx Percut Needle	PX-361470001	CDM	47000	CPT	361	RC		inpatient			1446	1446																																																			
SPEED HAND & WRIST DRILL KIT	SUP-97-01970	CDM			272	RC		outpatient			1445.85	1445.85	391.68				percent of total billed charges		1445.85				other	OPPS APC	1069.93				percent of total billed charges		1445.85				other	OPPS APC	1445.85				other	OPPS APC	391.68				percent of total billed charges		399.49				percent of total billed charges		1445.85				other	OPPS APC	391.68	1445.85	
SPEED HAND & WRIST DRILL KIT	SUP-97-01970	CDM			272	RC		inpatient			1445.85	1445.85																																																			
THUNDERBEAT 5MM	SUP-76-00163	CDM			272	RC		outpatient			1445.71	1445.71	391.64				percent of total billed charges		1445.71				other	OPPS APC	1069.83				percent of total billed charges		1445.71				other	OPPS APC	1445.71				other	OPPS APC	391.64				percent of total billed charges		399.45				percent of total billed charges		1445.71				other	OPPS APC	391.64	1445.71	
THUNDERBEAT 5MM	SUP-76-00163	CDM			272	RC		inpatient			1445.71	1445.71																																																			
VERSY CEM/REV/CALCAR  BUILD UP 13/15X20	SUP-97-03230	CDM			278	RC		outpatient			1443.75	1443.75	1443.75				fee schedule		1443.75				other	OPPS APC	822.94				percent of total billed charges		1443.75				other	OPPS APC	1443.75				other	OPPS APC	707.44				percent of total billed charges		736.31				percent of total billed charges		1443.75				other	OPPS APC	707.44	1443.75	
VERSY CEM/REV/CALCAR  BUILD UP 13/15X20	SUP-97-03230	CDM			278	RC		inpatient			1443.75	1443.75																																																			
HC Muga-Single Study	PX-340784720	CDM	78472	CPT	340	RC		outpatient			1443	49.37	237.4				fee schedule		409.37				other	OPPS APC	659.73				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	212.85				fee schedule		167.04				fee schedule		49.37				other	OPPS APC	49.37	659.73	
HC Muga-Single Study	PX-340784720	CDM	78472	CPT	340	RC		inpatient			1443	1443																																																			
PLATE BONE STAINLESS STEEL L106 MM FIBULAR RIGHT DISTAL LATERAL 6 HOLE LOCK NONSTERILE 2.7-3.5 MM SCREW	SUP-00-2357-017-06	CDM			270	RC		outpatient			1440	144	390.1				percent of total billed charges		1440				other	OPPS APC	1065.6				percent of total billed charges		1440				other	OPPS APC	1440				other	OPPS APC	390.1				percent of total billed charges		397.87				percent of total billed charges		144				other	OPPS APC	144	1440	
PLATE BONE STAINLESS STEEL L106 MM FIBULAR RIGHT DISTAL LATERAL 6 HOLE LOCK NONSTERILE 2.7-3.5 MM SCREW	SUP-00-2357-017-06	CDM			270	RC		inpatient			1440	1440																																																			
PLATE BONE STAINLESS STEEL L106 MM FIBULA LEFT DISTAL LATERAL 6 HOLE LOCK NONSTERILE 2.7-3.5 MM SCREW	SUP-00-2357-018-06	CDM			270	RC		outpatient			1440	144	390.1				percent of total billed charges		1440				other	OPPS APC	1065.6				percent of total billed charges		1440				other	OPPS APC	1440				other	OPPS APC	390.1				percent of total billed charges		397.87				percent of total billed charges		144				other	OPPS APC	144	1440	
PLATE BONE STAINLESS STEEL L106 MM FIBULA LEFT DISTAL LATERAL 6 HOLE LOCK NONSTERILE 2.7-3.5 MM SCREW	SUP-00-2357-018-06	CDM			270	RC		inpatient			1440	1440																																																			
SHELL ACETABULAR MPACT F OD56 MM HIP MULTIHOLE NONSTERILE	SUP-01.32.156MH	CDM	270010024	LOCAL	270	RC		outpatient			1440	144	390.1				percent of total billed charges		1440				other	OPPS APC	1065.6				percent of total billed charges		1440				other	OPPS APC	1440				other	OPPS APC	390.1				percent of total billed charges		397.87				percent of total billed charges		144				other	OPPS APC	144	1440	
SHELL ACETABULAR MPACT F OD56 MM HIP MULTIHOLE NONSTERILE	SUP-01.32.156MH	CDM	270010024	LOCAL	270	RC		inpatient			1440	1440																																																			
BIPOLAR SHELL 54MM OD	SUP-97-04943	CDM			278	RC		outpatient			1440	144	1440				fee schedule		1440				other	OPPS APC	820.8				percent of total billed charges		1440				other	OPPS APC	1440				other	OPPS APC	705.6				percent of total billed charges		734.4				percent of total billed charges		144				other	OPPS APC	144	1440	
BIPOLAR SHELL 54MM OD	SUP-97-04943	CDM			278	RC		inpatient			1440	1440																																																			
DISTAL LATERAL FIBULA PLATE 9 HOLE	SUP-97-04011	CDM			278	RC		outpatient			1439.7	1439.7	1439.7				fee schedule		1439.7				other	OPPS APC	820.63				percent of total billed charges		1439.7				other	OPPS APC	1439.7				other	OPPS APC	705.45				percent of total billed charges		734.25				percent of total billed charges		1439.7				other	OPPS APC	705.45	1439.7	
DISTAL LATERAL FIBULA PLATE 9 HOLE	SUP-97-04011	CDM			278	RC		inpatient			1439.7	1439.7																																																			
MESH PARIETX 14.5 X 11 35MM	SUP-75-00113	CDM			278	RC		outpatient			1439.28	1439.28	1439.28				fee schedule		1439.28				other	OPPS APC	820.39				percent of total billed charges		1439.28				other	OPPS APC	1439.28				other	OPPS APC	705.25				percent of total billed charges		734.03				percent of total billed charges		1439.28				other	OPPS APC	705.25	1439.28	
MESH PARIETX 14.5 X 11 35MM	SUP-75-00113	CDM			278	RC		inpatient			1439.28	1439.28																																																			
PLATE DISTAL LATERAL FIBULA 8 HOLE	SUP-97-04442	CDM			278	RC		outpatient			1438.2	1438.2	1438.2				fee schedule		1438.2				other	OPPS APC	819.77				percent of total billed charges		1438.2				other	OPPS APC	1438.2				other	OPPS APC	704.72				percent of total billed charges		733.48				percent of total billed charges		1438.2				other	OPPS APC	704.72	1438.2	
PLATE DISTAL LATERAL FIBULA 8 HOLE	SUP-97-04442	CDM			278	RC		inpatient			1438.2	1438.2																																																			
7 HOLE DIST FIB PLATE	SUP-97-04849	CDM			278	RC		outpatient			1438.2	1438.2	1438.2				fee schedule		1438.2				other	OPPS APC	819.77				percent of total billed charges		1438.2				other	OPPS APC	1438.2				other	OPPS APC	704.72				percent of total billed charges		733.48				percent of total billed charges		1438.2				other	OPPS APC	704.72	1438.2	
7 HOLE DIST FIB PLATE	SUP-97-04849	CDM			278	RC		inpatient			1438.2	1438.2																																																			
PLATE BONE STAINLESS STEEL L208 MM PELVIC 16 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.036	CDM	270010022	LOCAL	270	RC		outpatient			1436.6	1436.6	389.17				percent of total billed charges		1436.6				other	OPPS APC	1063.08				percent of total billed charges		1436.6				other	OPPS APC	1436.6				other	OPPS APC	389.17				percent of total billed charges		396.93				percent of total billed charges		1436.6				other	OPPS APC	389.17	1436.6	
PLATE BONE STAINLESS STEEL L208 MM PELVIC 16 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.036	CDM	270010022	LOCAL	270	RC		inpatient			1436.6	1436.6																																																			
GRAFT VASCULAR GORE-TEX THIN WALL RING L40 CM L30 CM ID6 MM	SUP-RRT06030040L	CDM			270	RC		outpatient			1436	1436	389.01				percent of total billed charges		1436				other	OPPS APC	1062.64				percent of total billed charges		1436				other	OPPS APC	1436				other	OPPS APC	389.01				percent of total billed charges		396.77				percent of total billed charges		1436				other	OPPS APC	389.01	1436	
GRAFT VASCULAR GORE-TEX THIN WALL RING L40 CM L30 CM ID6 MM	SUP-RRT06030040L	CDM			270	RC		inpatient			1436	1436																																																			
PLATE BONE LCP STAINLESS STEEL T L58 MM 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.670	CDM	270010022	LOCAL	270	RC		outpatient			1435.5	1435.5	388.88				percent of total billed charges		1435.5				other	OPPS APC	1062.27				percent of total billed charges		1435.5				other	OPPS APC	1435.5				other	OPPS APC	388.88				percent of total billed charges		396.63				percent of total billed charges		1435.5				other	OPPS APC	388.88	1435.5	
PLATE BONE LCP STAINLESS STEEL T L58 MM 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.670	CDM	270010022	LOCAL	270	RC		inpatient			1435.5	1435.5																																																			
GRAFT VENTRALEX ST HERNIA PATCH 6.4/2.5	SUP-75-00092	CDM			278	RC		outpatient			1435.2	1435.2	1435.2				fee schedule		1435.2				other	OPPS APC	818.06				percent of total billed charges		1435.2				other	OPPS APC	1435.2				other	OPPS APC	703.25				percent of total billed charges		731.95				percent of total billed charges		1435.2				other	OPPS APC	703.25	1435.2	
GRAFT VENTRALEX ST HERNIA PATCH 6.4/2.5	SUP-75-00092	CDM			278	RC		inpatient			1435.2	1435.2																																																			
CHUCK FOR PINS HOFFMANN	SUP-95-04031	CDM			272	RC		outpatient			1434.24	1434.24	388.54				percent of total billed charges		1434.24				other	OPPS APC	1061.34				percent of total billed charges		1434.24				other	OPPS APC	1434.24				other	OPPS APC	388.54				percent of total billed charges		396.28				percent of total billed charges		1434.24				other	OPPS APC	388.54	1434.24	
CHUCK FOR PINS HOFFMANN	SUP-95-04031	CDM			272	RC		inpatient			1434.24	1434.24																																																			
HC Cardioversion Electric  Ext	PX-450929601	CDM	92960	CPT	450	RC		outpatient			1434	619.45	195.77				case rate		619.44				other	OPPS APC	888.03				fee schedule		619.44				other	OPPS APC	619.44				other	OPPS APC	195.77				case rate		199.69				case rate		619.45				other	OPPS APC	195.77	888.03	
HC Cardioversion Electric  Ext	PX-450929601	CDM	92960	CPT	450	RC		inpatient			1434	1434																																																			
COUNTERSINKS 2.7	SUP-95-02875	CDM			272	RC		outpatient			1434	1434	388.47				percent of total billed charges		1434				other	OPPS APC	1061.16				percent of total billed charges		1434				other	OPPS APC	1434				other	OPPS APC	388.47				percent of total billed charges		396.21				percent of total billed charges		1434				other	OPPS APC	388.47	1434	
COUNTERSINKS 2.7	SUP-95-02875	CDM			272	RC		inpatient			1434	1434																																																			
PLATE BONE LC-DCP STAINLESS STEEL STRAIGHT L141 MM X W12 MM X H3 MM 9 HOLE RECONSTRUCTION NONSTERILE 4.5 MM CORTICAL SCREW LARGE FRAGMENT	SUP-229.39	CDM	270010022	LOCAL	270	RC		outpatient			1433.3	1433.3	388.28				percent of total billed charges		1433.3				other	OPPS APC	1060.64				percent of total billed charges		1433.3				other	OPPS APC	1433.3				other	OPPS APC	388.28				percent of total billed charges		396.02				percent of total billed charges		1433.3				other	OPPS APC	388.28	1433.3	
PLATE BONE LC-DCP STAINLESS STEEL STRAIGHT L141 MM X W12 MM X H3 MM 9 HOLE RECONSTRUCTION NONSTERILE 4.5 MM CORTICAL SCREW LARGE FRAGMENT	SUP-229.39	CDM	270010022	LOCAL	270	RC		inpatient			1433.3	1433.3																																																			
PROGRIP MESH 16X12	SUP-97-02571	CDM			278	RC		outpatient			1433.04	1433.4	1433.04				fee schedule		1433.04				other	OPPS APC	816.83				percent of total billed charges		1433.04				other	OPPS APC	1433.04				other	OPPS APC	702.19				percent of total billed charges		730.85				percent of total billed charges		1433.4				other	OPPS APC	702.19	1433.4	
PROGRIP MESH 16X12	SUP-97-02571	CDM			278	RC		inpatient			1433.04	1433.04																																																			
ROD SPINAL OASYS VITALLIUM LARGE L80 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48553080	CDM	270010020	LOCAL	270	RC		outpatient			1431.56	1431.56	387.81				percent of total billed charges		1431.56				other	OPPS APC	1059.35				percent of total billed charges		1431.56				other	OPPS APC	1431.56				other	OPPS APC	387.81				percent of total billed charges		395.54				percent of total billed charges		1431.56				other	OPPS APC	387.81	1431.56	
ROD SPINAL OASYS VITALLIUM LARGE L80 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48553080	CDM	270010020	LOCAL	270	RC		inpatient			1431.56	1431.56																																																			
TBO-FILGRASTIM PER 1 MCG	636000000	CDM	63459-912-36	NDC	J1447	HCPCS		inpatient			1431.3	1431.3																																																			
TBO-FILGRASTIM PER 1 MCG	636000000	CDM	63459-912-36	NDC	J1447	HCPCS		outpatient			1431.3	0.43																																											0.43				other	OPPS APC	0.43	0.43	
PEMETREXED DISODIUM 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	43598-386-62	NDC	J9305	HCPCS		inpatient			1431	1431																																																			
PEMETREXED DISODIUM 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	43598-386-62	NDC	J9305	HCPCS		outpatient			1431	4.23																																											4.23				other	OPPS APC	4.23	4.23	
IMPLANT BREAST NATRELLE SILICONE P3.2 CM MODERATE PROFILE ROUND OD11.7 CM 240 ML STYLE 10 SMOOTH STERILE	SUP-10-240	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P3.2 CM MODERATE PROFILE ROUND OD11.7 CM 240 ML STYLE 10 SMOOTH STERILE	SUP-10-240	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P3.3 CM MODERATE PROFILE ROUND OD12.2 CM 270 ML STYLE 10 GEL SMOOTH STERILE	SUP-10-270	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P3.3 CM MODERATE PROFILE ROUND OD12.2 CM 270 ML STYLE 10 GEL SMOOTH STERILE	SUP-10-270	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P3.5 CM MODERATE PROFILE ROUND OD12.6 CM 300 ML STYLE 10 SMOOTH STERILE	SUP-10-300	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P3.5 CM MODERATE PROFILE ROUND OD12.6 CM 300 ML STYLE 10 SMOOTH STERILE	SUP-10-300	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P3.6 CM MODERATE PROFILE ROUND OD13 CM 330 ML STYLE 10 SMOOTH STERILE	SUP-10-330	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P3.6 CM MODERATE PROFILE ROUND OD13 CM 330 ML STYLE 10 SMOOTH STERILE	SUP-10-330	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P3.6 CM MODERATE PROFILE ROUND OD13 CM 360 ML STYLE 10 SMOOTH STERILE	SUP-10-360	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P3.6 CM MODERATE PROFILE ROUND OD13 CM 360 ML STYLE 10 SMOOTH STERILE	SUP-10-360	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P4 CM MODERATE PLUS PROFILE ROUND OD11.9 CM 304 ML STYLE 15 SMOOTH STERILE	SUP-15-304	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P4 CM MODERATE PLUS PROFILE ROUND OD11.9 CM 304 ML STYLE 15 SMOOTH STERILE	SUP-15-304	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P4 CM MIDRANGE PROFILE ROUND OD12.4 CM 339 ML STYLE 15 SMOOTH STERILE	SUP-15-339	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P4 CM MIDRANGE PROFILE ROUND OD12.4 CM 339 ML STYLE 15 SMOOTH STERILE	SUP-15-339	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P4.3 CM HIGH PROFILE ROUND OD10.4 CM 260 ML STYLE 20 SMOOTH STERILE LATEX FREE	SUP-20-260	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P4.3 CM HIGH PROFILE ROUND OD10.4 CM 260 ML STYLE 20 SMOOTH STERILE LATEX FREE	SUP-20-260	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P4.5 CM HIGH PROFILE ROUND OD10.6 CM 280 ML STYLE 20 SMOOTH STERILE	SUP-20-280	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P4.5 CM HIGH PROFILE ROUND OD10.6 CM 280 ML STYLE 20 SMOOTH STERILE	SUP-20-280	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P4.5 CM HIGH PROFILE ROUND OD10.9 CM 300 ML STYLE 20 SMOOTH STERILE	SUP-20-300	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P4.5 CM HIGH PROFILE ROUND OD10.9 CM 300 ML STYLE 20 SMOOTH STERILE	SUP-20-300	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P4.9CM HIGH PROFILE ROUND 11.4CM 350ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-350	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P4.9CM HIGH PROFILE ROUND 11.4CM 350ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-350	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P4.9 CM HIGH PROFILE ROUND OD11.7 CM 375 ML STYLE 20 GEL SMOOTH STERILE LATEX FREE	SUP-20-375	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P4.9 CM HIGH PROFILE ROUND OD11.7 CM 375 ML STYLE 20 GEL SMOOTH STERILE LATEX FREE	SUP-20-375	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P5CM HIGH PROFILE ROUND 11.9CM 400ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-400	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P5CM HIGH PROFILE ROUND 11.9CM 400ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-400	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P5.2CM HIGH PROFILE ROUND 12CM 425ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-425	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P5.2CM HIGH PROFILE ROUND 12CM 425ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-425	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE MATRIX SILICONE P5.2 CM HIGH PROFILE ROUND OD12.4 CM 450 ML STYLE 20 GEL SMOOTH STERILE LATEX FREE	SUP-20-450	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE MATRIX SILICONE P5.2 CM HIGH PROFILE ROUND OD12.4 CM 450 ML STYLE 20 GEL SMOOTH STERILE LATEX FREE	SUP-20-450	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P5.5 CM HIGH PROFILE ROUND OD12.6 CM 475 ML STYLE 20 SMOOTH STERILE	SUP-20-475	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P5.5 CM HIGH PROFILE ROUND OD12.6 CM 475 ML STYLE 20 SMOOTH STERILE	SUP-20-475	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P5.2CM HIGH PROFILE ROUND 13CM 500ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-500	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P5.2CM HIGH PROFILE ROUND 13CM 500ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-500	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P5.6CM HIGH PROFILE ROUND 13.5CM 550ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-550	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P5.6CM HIGH PROFILE ROUND 13.5CM 550ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-20-550	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P5.7 CM HIGH PROFILE ROUND OD13.8 CM 600 ML STYLE 20 SMOOTH STERILE	SUP-20-600	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P5.7 CM HIGH PROFILE ROUND OD13.8 CM 600 ML STYLE 20 SMOOTH STERILE	SUP-20-600	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P5.9 CM HIGH PROFILE ROUND OD14.2 CM 650 ML STYLE 20 GEL SMOOTH STERILE LATEX FREE	SUP-20-650	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P5.9 CM HIGH PROFILE ROUND OD14.2 CM 650 ML STYLE 20 GEL SMOOTH STERILE LATEX FREE	SUP-20-650	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P6.2 CM HIGH PROFILE ROUND OD14.5 CM 700 ML STYLE 20 GEL SMOOTH STERILE	SUP-20-700	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P6.2 CM HIGH PROFILE ROUND OD14.5 CM 700 ML STYLE 20 GEL SMOOTH STERILE	SUP-20-700	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE MATRIX P6 CM FULL PROJECTION ROUND OD15 CM 750 ML STYLE 20 SMOOTH SHELL GEL STERILE LATEX FREE	SUP-20-750	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE MATRIX P6 CM FULL PROJECTION ROUND OD15 CM 750 ML STYLE 20 SMOOTH SHELL GEL STERILE LATEX FREE	SUP-20-750	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P6.1 CM HIGH PROFILE ROUND OD15.3 CM 800 ML STYLE 20 SMOOTH STERILE LATEX FREE	SUP-20-800	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P6.1 CM HIGH PROFILE ROUND OD15.3 CM 800 ML STYLE 20 SMOOTH STERILE LATEX FREE	SUP-20-800	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P5.1 CM XHIGH PROFILE ROUND OD10.8 CM 360 ML STYLE 45 SMOOTH STERILE	SUP-45-360	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P5.1 CM XHIGH PROFILE ROUND OD10.8 CM 360 ML STYLE 45 SMOOTH STERILE	SUP-45-360	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST 400ML STYLE 45 SMOOTH NATRELLE SILICONE P5.1CM EXTRA HIGH PROFILE	SUP-45-400	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST 400ML STYLE 45 SMOOTH NATRELLE SILICONE P5.1CM EXTRA HIGH PROFILE	SUP-45-400	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P5.9CM EXTRA HIGH PROFILE ROUND 11.4CM 460ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-460	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P5.9CM EXTRA HIGH PROFILE ROUND 11.4CM 460ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-460	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P5.7CM EXTRA HIGH PROFILE ROUND 11.9CM 500ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-500	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P5.7CM EXTRA HIGH PROFILE ROUND 11.9CM 500ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-500	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P6 CM XHIGH PROFILE ROUND OD12.4 CM 550 ML STYLE 45 SMOOTH STERILE LATEX FREE	SUP-45-550	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P6 CM XHIGH PROFILE ROUND OD12.4 CM 550 ML STYLE 45 SMOOTH STERILE LATEX FREE	SUP-45-550	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P6.1CM EXTRA HIGH PROFILE ROUND 12.8CM 600ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-600	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P6.1CM EXTRA HIGH PROFILE ROUND 12.8CM 600ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-600	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P6.2CM EXTRA HIGH PROFILE ROUND 13.2CM 650ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-650	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P6.2CM EXTRA HIGH PROFILE ROUND 13.2CM 650ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-650	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE P6.4CM EXTRA HIGH PROFILE ROUND 13.5CM 700ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-700	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE P6.4CM EXTRA HIGH PROFILE ROUND 13.5CM 700ML SILICONE STERILE LF STYLE 20 GEL SMOOTH	SUP-45-700	CDM			270	RC		inpatient			1430	1430																																																			
IMPLANT BREAST NATRELLE SILICONE P6.7 CM EXTRA HIGH PROFILE ROUND OD14.2 CM 800 ML STYLE 45 SMOOTH STERILE	SUP-45-800	CDM			270	RC		outpatient			1430	143	387.39				percent of total billed charges		1430				other	OPPS APC	1058.2				percent of total billed charges		1430				other	OPPS APC	1430				other	OPPS APC	387.39				percent of total billed charges		395.11				percent of total billed charges		143				other	OPPS APC	143	1430	
IMPLANT BREAST NATRELLE SILICONE P6.7 CM EXTRA HIGH PROFILE ROUND OD14.2 CM 800 ML STYLE 45 SMOOTH STERILE	SUP-45-800	CDM			270	RC		inpatient			1430	1430																																																			
SCREW 4.0 X 50MM MICA PROSTEP	SUP-97-03062	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 4.0 X 50MM MICA PROSTEP	SUP-97-03062	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 28MM MICA PROSTEP	SUP-97-05580	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 28MM MICA PROSTEP	SUP-97-05580	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 38MM MICA PROSTEP	SUP-97-05581	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 38MM MICA PROSTEP	SUP-97-05581	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 44MM MICA PROSTEP	SUP-97-05582	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 44MM MICA PROSTEP	SUP-97-05582	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 50MM MICA PROSTEP	SUP-97-05584	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 50MM MICA PROSTEP	SUP-97-05584	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 34MM MICA PROSTEP	SUP-97-05585	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 34MM MICA PROSTEP	SUP-97-05585	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 32MM MICA PROSTEP	SUP-97-05586	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 32MM MICA PROSTEP	SUP-97-05586	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 4 X 52MM MICA PROSTEP	SUP-97-05641	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 4 X 52MM MICA PROSTEP	SUP-97-05641	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3 X 30MM MICA PROSTEP	SUP-97-05642	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3 X 30MM MICA PROSTEP	SUP-97-05642	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 4.0 X 46MM PROSTEP MICA	SUP-97-05712	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 4.0 X 46MM PROSTEP MICA	SUP-97-05712	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 42MM MICA PROSTEP	SUP-97-06031	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 42MM MICA PROSTEP	SUP-97-06031	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 3.0 X 26MM PROSTEP MICA	SUP-97-06032	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 3.0 X 26MM PROSTEP MICA	SUP-97-06032	CDM			278	RC		inpatient			1428	1428																																																			
SCREW 4.0 X 40MM MICA PROSTEP	SUP-97-06049	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW 4.0 X 40MM MICA PROSTEP	SUP-97-06049	CDM			278	RC		inpatient			1428	1428																																																			
SCREW MICA PROSTEP 3 X 32MM	SUP-97-06102	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW MICA PROSTEP 3 X 32MM	SUP-97-06102	CDM			278	RC		inpatient			1428	1428																																																			
SCREW MICA PROSTEP 3 X 34MM	SUP-97-06103	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW MICA PROSTEP 3 X 34MM	SUP-97-06103	CDM			278	RC		inpatient			1428	1428																																																			
SCREW MICA PROSTEP 4.0 X 48MM	SUP-97-06137	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW MICA PROSTEP 4.0 X 48MM	SUP-97-06137	CDM			278	RC		inpatient			1428	1428																																																			
SCREW HV PROSTEP 3.0 X 24MM	SUP-97-06138	CDM			278	RC		outpatient			1428	1428	1428				fee schedule		1428				other	OPPS APC	813.96				percent of total billed charges		1428				other	OPPS APC	1428				other	OPPS APC	699.72				percent of total billed charges		728.28				percent of total billed charges		1428				other	OPPS APC	699.72	1428	
SCREW HV PROSTEP 3.0 X 24MM	SUP-97-06138	CDM			278	RC		inpatient			1428	1428																																																			
HC Thyroid Ca Mets-Whole Body	PX-340780180	CDM	78018	CPT	340	RC		outpatient			1426	531.35	323.87				fee schedule		531.35				other	OPPS APC	636.79				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	290.77				fee schedule		250.93				fee schedule		531.35				other	OPPS APC	250.93	636.79	
HC Thyroid Ca Mets-Whole Body	PX-340780180	CDM	78018	CPT	340	RC		inpatient			1426	1426																																																			
HC Inflammation Imaging-Wb	PX-340788060	CDM	78306	CPT	340	RC		outpatient			1426	49.37	259.74				fee schedule		409.37				other	OPPS APC	521.78				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	275.71				fee schedule		234.95				fee schedule		49.37				other	OPPS APC	49.37	521.78	
HC Inflammation Imaging-Wb	PX-340788060	CDM	78306	CPT	340	RC		inpatient			1426	1426																																																			
HC Mra Head WO Contrast	PX-615705440	CDM	70544	CPT	615	RC		outpatient			1426	245.95	360.67				fee schedule		245.95				other	OPPS APC	1244.53				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	224.55				fee schedule		167.08				fee schedule		245.95				other	OPPS APC	167.08	1244.53	
HC Mra Head WO Contrast	PX-615705440	CDM	70544	CPT	615	RC		inpatient			1426	1426																																																			
HC Mra Lower Extremity	PX-616737250	CDM	73725	CPT	616	RC		outpatient			1426	264.58	430.63				fee schedule		264.58				fee schedule		1316.66				fee schedule		264.58				fee schedule		264.58				fee schedule		350.49				fee schedule		264.58				fee schedule		264.58				fee schedule		264.58	1316.66	
HC Mra Lower Extremity	PX-616737250	CDM	73725	CPT	616	RC		inpatient			1426	1426																																																			
HC Mra Abdomen W WO Contrast	PX-618741850	CDM	74185	CPT	618	RC		outpatient			1426	266.58	430.65				fee schedule		266.58				fee schedule		1314.08				fee schedule		266.58				fee schedule		266.58				fee schedule		352.5				fee schedule		266.58				fee schedule		266.58				fee schedule		266.58	1314.08	
HC Mra Abdomen W WO Contrast	PX-618741850	CDM	74185	CPT	618	RC		inpatient			1426	1426																																																			
COMPR FT SCRW 5.0LGX40MM	SUP-97-03473	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
COMPR FT SCRW 5.0LGX40MM	SUP-97-03473	CDM			278	RC		inpatient			1425	1425																																																			
SP FBRTAK DR LBRLTPE WH/BLK TT W/G/BLK	SUP-97-04504	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
SP FBRTAK DR LBRLTPE WH/BLK TT W/G/BLK	SUP-97-04504	CDM			278	RC		inpatient			1425	1425																																																			
SP FIBERTAK DR LBRLTPE WHITE & TT BL/BLK	SUP-97-04597	CDM			278	RC		inpatient			1425	1425																																																			
SP FIBERTAK DR LBRLTPE WHITE & TT BL/BLK	SUP-97-04597	CDM			278	RC		outpatient			1425	23.75					fee schedule		230.75				other	OPPS APC	812.25				percent of total billed charges		230.75				other	OPPS APC	230.75				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		23.75				other	OPPS APC	812.25	812.25	
COMPR FT SCRW 5.0 LG 44MM LGTH	SUP-97-04826	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
COMPR FT SCRW 5.0 LG 44MM LGTH	SUP-97-04826	CDM			278	RC		inpatient			1425	1425																																																			
COMPR FT SCRW 5.0LG 46MM LGTH	SUP-97-04827	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
COMPR FT SCRW 5.0LG 46MM LGTH	SUP-97-04827	CDM			278	RC		inpatient			1425	1425																																																			
COMOR FT SCRW 5.0 LG 75MM LGTH	SUP-97-05016	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
COMOR FT SCRW 5.0 LG 75MM LGTH	SUP-97-05016	CDM			278	RC		inpatient			1425	1425																																																			
COMPR FT SCRW 5.0 LG 80MM LGTH	SUP-97-05017	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
COMPR FT SCRW 5.0 LG 80MM LGTH	SUP-97-05017	CDM			278	RC		inpatient			1425	1425																																																			
SCREW 5 X 32MM COMPRESSION FT	SUP-97-05785	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
SCREW 5 X 32MM COMPRESSION FT	SUP-97-05785	CDM			278	RC		inpatient			1425	1425																																																			
FIBERTAK 1.8 SELF BUNCHING KL HIP	SUP-97-05935	CDM			278	RC		outpatient			1425	1425	1425				fee schedule		1425				other	OPPS APC	812.25				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	698.25				percent of total billed charges		726.75				percent of total billed charges		1425				other	OPPS APC	698.25	1425	
FIBERTAK 1.8 SELF BUNCHING KL HIP	SUP-97-05935	CDM			278	RC		inpatient			1425	1425																																																			
GUIDEWIRE - KENETIX 185CM	SUP-99-00842	CDM			272	RC		outpatient			1425	1425	386.03				percent of total billed charges		1425				other	OPPS APC	1054.5				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	386.03				percent of total billed charges		393.73				percent of total billed charges		1425				other	OPPS APC	386.03	1425	
GUIDEWIRE - KENETIX 185CM	SUP-99-00842	CDM			272	RC		inpatient			1425	1425																																																			
GUIDEWIRE - SION BLUE 190CM	SUP-99-04475	CDM			272	RC		outpatient			1425	1425	386.03				percent of total billed charges		1425				other	OPPS APC	1054.5				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	386.03				percent of total billed charges		393.73				percent of total billed charges		1425				other	OPPS APC	386.03	1425	
GUIDEWIRE - SION BLUE 190CM	SUP-99-04475	CDM			272	RC		inpatient			1425	1425																																																			
GUIDEWIRE - SION BLUE 190 J TIP	SUP-99-04548	CDM			272	RC		outpatient			1425	1425	386.03				percent of total billed charges		1425				other	OPPS APC	1054.5				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	386.03				percent of total billed charges		393.73				percent of total billed charges		1425				other	OPPS APC	386.03	1425	
GUIDEWIRE - SION BLUE 190 J TIP	SUP-99-04548	CDM			272	RC		inpatient			1425	1425																																																			
GUIDEWIRE - SION BLUE 300 J TIP	SUP-99-04549	CDM			272	RC		outpatient			1425	1425	386.03				percent of total billed charges		1425				other	OPPS APC	1054.5				percent of total billed charges		1425				other	OPPS APC	1425				other	OPPS APC	386.03				percent of total billed charges		393.73				percent of total billed charges		1425				other	OPPS APC	386.03	1425	
GUIDEWIRE - SION BLUE 300 J TIP	SUP-99-04549	CDM			272	RC		inpatient			1425	1425																																																			
CATHETER BALLOOD GORE TRI-LOBE	SUP-BCM1634	CDM	270010015	LOCAL	270	RC		outpatient			1424	1424	385.76				percent of total billed charges		1424				other	OPPS APC	1053.76				percent of total billed charges		1424				other	OPPS APC	1424				other	OPPS APC	385.76				percent of total billed charges		393.45				percent of total billed charges		1424				other	OPPS APC	385.76	1424	
CATHETER BALLOOD GORE TRI-LOBE	SUP-BCM1634	CDM	270010015	LOCAL	270	RC		inpatient			1424	1424																																																			
UNIVERSAL HEAD BIPOLAR COMPONENT	SUP-97-03423	CDM			278	RC		outpatient			1423.95	1423.95	1423.95				fee schedule		1423.95				other	OPPS APC	811.65				percent of total billed charges		1423.95				other	OPPS APC	1423.95				other	OPPS APC	697.74				percent of total billed charges		726.21				percent of total billed charges		1423.95				other	OPPS APC	697.74	1423.95	
UNIVERSAL HEAD BIPOLAR COMPONENT	SUP-97-03423	CDM			278	RC		inpatient			1423.95	1423.95																																																			
SCREW TI CANN COMP HEADLESS 3.5MM X 26MM	SUP-97-03026	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW TI CANN COMP HEADLESS 3.5MM X 26MM	SUP-97-03026	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW TI CANN COMP HEADLESS 3.5MM X 38MM	SUP-97-03027	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW TI CANN COMP HEADLESS 3.5MM X 38MM	SUP-97-03027	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW CANN COMP HEADLESS 3.0MM  X 26MM	SUP-97-03088	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW CANN COMP HEADLESS 3.0MM  X 26MM	SUP-97-03088	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW CANN COMP HEADLESS 3.0MM  X 34MM	SUP-97-05558	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW CANN COMP HEADLESS 3.0MM  X 34MM	SUP-97-05558	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW CANN COMP HEADLESS 3.0MM  X 40MM	SUP-97-05559	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW CANN COMP HEADLESS 3.0MM  X 40MM	SUP-97-05559	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW LT CANN COMP HEADLESS 3.0MM X 30MM	SUP-97-05560	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW LT CANN COMP HEADLESS 3.0MM X 30MM	SUP-97-05560	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW LT CANN COMP HEADLESS 4.0MM X 30MM	SUP-97-05561	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW LT CANN COMP HEADLESS 4.0MM X 30MM	SUP-97-05561	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW LT CANN COMP HEADLESS 4.0MM X 40MM	SUP-97-05562	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW LT CANN COMP HEADLESS 4.0MM X 40MM	SUP-97-05562	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW LT CANN COMP HEADLESS 3.5MM X 42MM	SUP-97-05563	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW LT CANN COMP HEADLESS 3.5MM X 42MM	SUP-97-05563	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW LT CANN COMP HEADLESS 3.5MM X 46MM	SUP-97-05565	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW LT CANN COMP HEADLESS 3.5MM X 46MM	SUP-97-05565	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW LT CANN COMP HEADLESS 3.5MM X 50MM	SUP-97-05566	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW LT CANN COMP HEADLESS 3.5MM X 50MM	SUP-97-05566	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 3.5 X 44MM TI CANNULATED COMPRESSION HEADLESS	SUP-97-05720	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 3.5 X 44MM TI CANNULATED COMPRESSION HEADLESS	SUP-97-05720	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 4 X 50MM CANNULATED COMPRESSION HEADLESS LONG THREAD	SUP-97-05859	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 4 X 50MM CANNULATED COMPRESSION HEADLESS LONG THREAD	SUP-97-05859	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW CANNULATED  COMPRESSION HEADLESS 4 X 46MM	SUP-97-06100	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW CANNULATED  COMPRESSION HEADLESS 4 X 46MM	SUP-97-06100	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW CANNULATED COMPRESSION 4.0 X 54MM	SUP-97-06144	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW CANNULATED COMPRESSION 4.0 X 54MM	SUP-97-06144	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 2.5 X 22MM CANNULATED COMPRESSION HEADLESS	SUP-97-06291	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 2.5 X 22MM CANNULATED COMPRESSION HEADLESS	SUP-97-06291	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 2.5 X 26MM CANNULATED COMPRESSION HEADLESS	SUP-97-06292	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 2.5 X 26MM CANNULATED COMPRESSION HEADLESS	SUP-97-06292	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 3.5 X 50MM CANNULATED COMPRESSION HEADLESS SHORT THREAD	SUP-97-06293	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 3.5 X 50MM CANNULATED COMPRESSION HEADLESS SHORT THREAD	SUP-97-06293	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 3.5 X 36MM CANNULATED COMPRESSION HEADLESS	SUP-97-06294	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 3.5 X 36MM CANNULATED COMPRESSION HEADLESS	SUP-97-06294	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 2.5 X 32MM CANNULATED COMPRESSION HEADLESS	SUP-97-06295	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 2.5 X 32MM CANNULATED COMPRESSION HEADLESS	SUP-97-06295	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 2.5 X 32MM HEADLESS CANNULATED COMPRESSION LT	SUP-97-06360	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 2.5 X 32MM HEADLESS CANNULATED COMPRESSION LT	SUP-97-06360	CDM			278	RC		inpatient			1423.5	1423.5																																																			
SCREW 2.5 X 34MM HEADLESS CANNULATED COMPRESSION LT	SUP-97-06361	CDM			278	RC		outpatient			1423.5	1423.5	1423.5				fee schedule		1423.5				other	OPPS APC	811.4				percent of total billed charges		1423.5				other	OPPS APC	1423.5				other	OPPS APC	697.52				percent of total billed charges		725.99				percent of total billed charges		1423.5				other	OPPS APC	697.52	1423.5	
SCREW 2.5 X 34MM HEADLESS CANNULATED COMPRESSION LT	SUP-97-06361	CDM			278	RC		inpatient			1423.5	1423.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L224 MM X W17.5 MM X H5.2 MM 12 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.621	CDM	270010022	LOCAL	270	RC		outpatient			1423.4	1423.41	385.6				percent of total billed charges		1423.4				other	OPPS APC	1053.32				percent of total billed charges		1423.4				other	OPPS APC	1423.4				other	OPPS APC	385.6				percent of total billed charges		393.29				percent of total billed charges		1423.41				other	OPPS APC	385.6	1423.41	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L224 MM X W17.5 MM X H5.2 MM 12 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.621	CDM	270010022	LOCAL	270	RC		inpatient			1423.4	1423.4																																																			
PLATE BONE LCP COMBI BROAD CURVE 229X17.5X5.2MM SS NS 12 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LG FRAGMENT	SUP-226.622	CDM	270010022	LOCAL	270	RC		outpatient			1423.4	1423.41	385.6				percent of total billed charges		1423.4				other	OPPS APC	1053.32				percent of total billed charges		1423.4				other	OPPS APC	1423.4				other	OPPS APC	385.6				percent of total billed charges		393.29				percent of total billed charges		1423.41				other	OPPS APC	385.6	1423.41	
PLATE BONE LCP COMBI BROAD CURVE 229X17.5X5.2MM SS NS 12 HOLE PRECONTOUR LIMIT CONTACT TAPER TIP 4.5MM SCREW LG FRAGMENT	SUP-226.622	CDM	270010022	LOCAL	270	RC		inpatient			1423.4	1423.4																																																			
PLATE BONE STAINLESS STEEL 108 MM RADIUS CURVE L104 MM X W10.2 MM X H2.7 MM PELVIC 8 HOLE LOW PROFILE NONSTERILE 3.5 MM SCREW	SUP-245.878	CDM	270010022	LOCAL	270	RC		outpatient			1422.02	1422.2	385.23				percent of total billed charges		1422.02				other	OPPS APC	1052.29				percent of total billed charges		1422.02				other	OPPS APC	1422.02				other	OPPS APC	385.23				percent of total billed charges		392.9				percent of total billed charges		1422.2				other	OPPS APC	385.23	1422.2	
PLATE BONE STAINLESS STEEL 108 MM RADIUS CURVE L104 MM X W10.2 MM X H2.7 MM PELVIC 8 HOLE LOW PROFILE NONSTERILE 3.5 MM SCREW	SUP-245.878	CDM	270010022	LOCAL	270	RC		inpatient			1422.02	1422.02																																																			
PLATE BONE TITANIUM T L54 MM X W6.3 MM X H1.25 MM HAND 2 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.913	CDM	270010022	LOCAL	270	RC		outpatient			1421.2	1421.2	385				percent of total billed charges		1421.2				other	OPPS APC	1051.69				percent of total billed charges		1421.2				other	OPPS APC	1421.2				other	OPPS APC	385				percent of total billed charges		392.68				percent of total billed charges		1421.2				other	OPPS APC	385	1421.2	
PLATE BONE TITANIUM T L54 MM X W6.3 MM X H1.25 MM HAND 2 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.913	CDM	270010022	LOCAL	270	RC		inpatient			1421.2	1421.2																																																			
PLATE BONE TITANIUM T L54 MM X W6.3 MM X H1.25 MM HAND 3 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.914	CDM	270010022	LOCAL	270	RC		outpatient			1421.2	1421.2	385				percent of total billed charges		1421.2				other	OPPS APC	1051.69				percent of total billed charges		1421.2				other	OPPS APC	1421.2				other	OPPS APC	385				percent of total billed charges		392.68				percent of total billed charges		1421.2				other	OPPS APC	385	1421.2	
PLATE BONE TITANIUM T L54 MM X W6.3 MM X H1.25 MM HAND 3 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.914	CDM	270010022	LOCAL	270	RC		inpatient			1421.2	1421.2																																																			
PLATE BONE TITANIUM Y L56 MM X W6.3 MM X H1.25 MM HAND 3 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.915	CDM	270010022	LOCAL	270	RC		outpatient			1421.2	1421.2	385				percent of total billed charges		1421.2				other	OPPS APC	1051.69				percent of total billed charges		1421.2				other	OPPS APC	1421.2				other	OPPS APC	385				percent of total billed charges		392.68				percent of total billed charges		1421.2				other	OPPS APC	385	1421.2	
PLATE BONE TITANIUM Y L56 MM X W6.3 MM X H1.25 MM HAND 3 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.915	CDM	270010022	LOCAL	270	RC		inpatient			1421.2	1421.2																																																			
DRESSING  ABTHERA	SUP-97-02271	CDM			272	RC		outpatient			1420.56	142.56	384.83				percent of total billed charges		1420.56				other	OPPS APC	1051.21				percent of total billed charges		1420.56				other	OPPS APC	1420.56				other	OPPS APC	384.83				percent of total billed charges		392.5				percent of total billed charges		142.56				other	OPPS APC	142.56	1420.56	
DRESSING  ABTHERA	SUP-97-02271	CDM			272	RC		inpatient			1420.56	1420.56																																																			
CLAMP EXTERNAL FIXATION OD3 MM CONNECTING NONSTERILE MINI EXTERNAL FIXATOR	SUP-395.133	CDM	270010022	LOCAL	270	RC		outpatient			1417.9	1417.91	384.11				percent of total billed charges		1417.9				other	OPPS APC	1049.25				percent of total billed charges		1417.9				other	OPPS APC	1417.9				other	OPPS APC	384.11				percent of total billed charges		391.77				percent of total billed charges		1417.91				other	OPPS APC	384.11	1417.91	
CLAMP EXTERNAL FIXATION OD3 MM CONNECTING NONSTERILE MINI EXTERNAL FIXATOR	SUP-395.133	CDM	270010022	LOCAL	270	RC		inpatient			1417.9	1417.9																																																			
CLIP ANEURYSM SUNDT-KEES SLIM-LINE MP35N STAINLESS STEEL 8 MM OPENING L9 MM X W1.88 MM STRAIGHT FENESTRATED STERILE LATEX FREE DISPOSABLE	SUP-201722	CDM			270	RC		outpatient			1416	1416	383.59				percent of total billed charges		1416				other	OPPS APC	1047.84				percent of total billed charges		1416				other	OPPS APC	1416				other	OPPS APC	383.59				percent of total billed charges		391.24				percent of total billed charges		1416				other	OPPS APC	383.59	1416	
CLIP ANEURYSM SUNDT-KEES SLIM-LINE MP35N STAINLESS STEEL 8 MM OPENING L9 MM X W1.88 MM STRAIGHT FENESTRATED STERILE LATEX FREE DISPOSABLE	SUP-201722	CDM			270	RC		inpatient			1416	1416																																																			
LENS 18.5D ACRYSOF	SUP-97-01298	CDM			278	RC		outpatient			1416	1416	1416				fee schedule		1416				other	OPPS APC	807.12				percent of total billed charges		1416				other	OPPS APC	1416				other	OPPS APC	693.84				percent of total billed charges		722.16				percent of total billed charges		1416				other	OPPS APC	693.84	1416	
LENS 18.5D ACRYSOF	SUP-97-01298	CDM			278	RC		inpatient			1416	1416																																																			
ELECTRODE 24FR BIPOLAR COAGULATION BALL	SUP-70-00220	CDM			272	RC		outpatient			1414.98	1414.98	383.32				percent of total billed charges		1414.98				other	OPPS APC	1047.09				percent of total billed charges		1414.98				other	OPPS APC	1414.98				other	OPPS APC	383.32				percent of total billed charges		390.96				percent of total billed charges		1414.98				other	OPPS APC	383.32	1414.98	
ELECTRODE 24FR BIPOLAR COAGULATION BALL	SUP-70-00220	CDM			272	RC		inpatient			1414.98	1414.98																																																			
MORCELLATOR BIPOLAR PKS PLASMASORD	SUP-962000PK	CDM			270	RC		outpatient			1414	1414	383.05				percent of total billed charges		1414				other	OPPS APC	1046.36				percent of total billed charges		1414				other	OPPS APC	1414				other	OPPS APC	383.05				percent of total billed charges		390.69				percent of total billed charges		1414				other	OPPS APC	383.05	1414	
MORCELLATOR BIPOLAR PKS PLASMASORD	SUP-962000PK	CDM			270	RC		inpatient			1414	1414																																																			
PLATE BONE STAINLESS STEEL LONG PELVIS QUADRILATERAL SURFACE STERILE 3.5 MM SCREW	SUP-02.100.326S	CDM	270010022	LOCAL	270	RC		outpatient			1413.6	1413.6	382.94				percent of total billed charges		1413.6				other	OPPS APC	1046.06				percent of total billed charges		1413.6				other	OPPS APC	1413.6				other	OPPS APC	382.94				percent of total billed charges		390.58				percent of total billed charges		1413.6				other	OPPS APC	382.94	1413.6	
PLATE BONE STAINLESS STEEL LONG PELVIS QUADRILATERAL SURFACE STERILE 3.5 MM SCREW	SUP-02.100.326S	CDM	270010022	LOCAL	270	RC		inpatient			1413.6	1413.6																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L80 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.301S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L80 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.301S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L85 MM OD11 MM TROCHANTER CANNULATED STERILE GOLD	SUP-456.302S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L85 MM OD11 MM TROCHANTER CANNULATED STERILE GOLD	SUP-456.302S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L90 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.303S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L90 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.303S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L95 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.304S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L95 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.304S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L100 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.305S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L100 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.305S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L105 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.306S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELICAL L105 MM OD11 MM TROCHANTERIC CANNULATED STERILE GOLD	SUP-456.306S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L110 MM OD11 MM TROCHANTER CANNULATED STERILE GOLD	SUP-456.307S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L110 MM OD11 MM TROCHANTER CANNULATED STERILE GOLD	SUP-456.307S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L115 MM OD11 MM TROCHANTER STERILE GOLD	SUP-456.308S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L115 MM OD11 MM TROCHANTER STERILE GOLD	SUP-456.308S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
BLADE INTRAMEDULLARY FIXATION GOLD 120MM 11MM HELIX TROCHANTER TITANIUM STERILE	SUP-456.309S	CDM	270010022	LOCAL	270	RC		outpatient			1412.4	1412.41	382.62				percent of total billed charges		1412.4				other	OPPS APC	1045.18				percent of total billed charges		1412.4				other	OPPS APC	1412.4				other	OPPS APC	382.62				percent of total billed charges		390.25				percent of total billed charges		1412.41				other	OPPS APC	382.62	1412.41	
BLADE INTRAMEDULLARY FIXATION GOLD 120MM 11MM HELIX TROCHANTER TITANIUM STERILE	SUP-456.309S	CDM	270010022	LOCAL	270	RC		inpatient			1412.4	1412.4																																																			
PLATE BONE EVOS 10 HOLE FLEX 2.7 MM SCREW	SUP-72442760	CDM			270	RC		outpatient			1412	1412	382.51				percent of total billed charges		1412				other	OPPS APC	1044.88				percent of total billed charges		1412				other	OPPS APC	1412				other	OPPS APC	382.51				percent of total billed charges		390.14				percent of total billed charges		1412				other	OPPS APC	382.51	1412	
PLATE BONE EVOS 10 HOLE FLEX 2.7 MM SCREW	SUP-72442760	CDM			270	RC		inpatient			1412	1412																																																			
PLATE BONE EVOS 20 HOLE FLEX 2.7MM SCREW	SUP-72442762	CDM			270	RC		outpatient			1412	1412	382.51				percent of total billed charges		1412				other	OPPS APC	1044.88				percent of total billed charges		1412				other	OPPS APC	1412				other	OPPS APC	382.51				percent of total billed charges		390.14				percent of total billed charges		1412				other	OPPS APC	382.51	1412	
PLATE BONE EVOS 20 HOLE FLEX 2.7MM SCREW	SUP-72442762	CDM			270	RC		inpatient			1412	1412																																																			
PLATE BONE EVOS 8 HOLE STRENGTH 2.7MM SCREW	SUP-72442768	CDM			270	RC		outpatient			1412	1412	382.51				percent of total billed charges		1412				other	OPPS APC	1044.88				percent of total billed charges		1412				other	OPPS APC	1412				other	OPPS APC	382.51				percent of total billed charges		390.14				percent of total billed charges		1412				other	OPPS APC	382.51	1412	
PLATE BONE EVOS 8 HOLE STRENGTH 2.7MM SCREW	SUP-72442768	CDM			270	RC		inpatient			1412	1412																																																			
PLATE BONE EVOS 10 HOLE STRENGTH 2.7 MM SCREW	SUP-72442770	CDM			270	RC		outpatient			1412	1412	382.51				percent of total billed charges		1412				other	OPPS APC	1044.88				percent of total billed charges		1412				other	OPPS APC	1412				other	OPPS APC	382.51				percent of total billed charges		390.14				percent of total billed charges		1412				other	OPPS APC	382.51	1412	
PLATE BONE EVOS 10 HOLE STRENGTH 2.7 MM SCREW	SUP-72442770	CDM			270	RC		inpatient			1412	1412																																																			
GRAFT VENTRALIGHT ST 4X5 (5954450)	SUP-75-00148	CDM			278	RC		outpatient			1410.9	141.91	1410.9				fee schedule		1410.9				other	OPPS APC	804.21				percent of total billed charges		1410.9				other	OPPS APC	1410.9				other	OPPS APC	691.34				percent of total billed charges		719.56				percent of total billed charges		141.91				other	OPPS APC	141.91	1410.9	
GRAFT VENTRALIGHT ST 4X5 (5954450)	SUP-75-00148	CDM			278	RC		inpatient			1410.9	1410.9																																																			
FEMORAL HEAD	SUP-97-01386	CDM			278	RC		outpatient			1410	141	1410				fee schedule		1410				other	OPPS APC	803.7				percent of total billed charges		1410				other	OPPS APC	1410				other	OPPS APC	690.9				percent of total billed charges		719.1				percent of total billed charges		141				other	OPPS APC	141	1410	
FEMORAL HEAD	SUP-97-01386	CDM			278	RC		inpatient			1410	1410																																																			
FEMORAL HEAD 32MM/+4 V40 BIOLOX	SUP-97-05948	CDM			278	RC		outpatient			1410	141	1410				fee schedule		1410				other	OPPS APC	803.7				percent of total billed charges		1410				other	OPPS APC	1410				other	OPPS APC	690.9				percent of total billed charges		719.1				percent of total billed charges		141				other	OPPS APC	141	1410	
FEMORAL HEAD 32MM/+4 V40 BIOLOX	SUP-97-05948	CDM			278	RC		inpatient			1410	1410																																																			
FEMORAL HEAD BIOLOX DELTA UNIVERSAL TAPER ANATOMIC SIZE 40 +0MM	SUP-97-06189	CDM			278	RC		outpatient			1410	141	1410				fee schedule		1410				other	OPPS APC	803.7				percent of total billed charges		1410				other	OPPS APC	1410				other	OPPS APC	690.9				percent of total billed charges		719.1				percent of total billed charges		141				other	OPPS APC	141	1410	
FEMORAL HEAD BIOLOX DELTA UNIVERSAL TAPER ANATOMIC SIZE 40 +0MM	SUP-97-06189	CDM			278	RC		inpatient			1410	1410																																																			
CATHETER GUIDING ENVOY STRAIGHT L 95CM OD 6FR DISTAL ACCESS	SUP-67126095D	CDM			270	RC		outpatient			1407.6	147.6	381.32				percent of total billed charges		1407.6				other	OPPS APC	1041.62				percent of total billed charges		1407.6				other	OPPS APC	1407.6				other	OPPS APC	381.32				percent of total billed charges		388.92				percent of total billed charges		147.6				other	OPPS APC	147.6	1407.6	
CATHETER GUIDING ENVOY STRAIGHT L 95CM OD 6FR DISTAL ACCESS	SUP-67126095D	CDM			270	RC		inpatient			1407.6	1407.6																																																			
PRECISION BLADE 19.5	SUP-78-00342	CDM			272	RC		outpatient			1407	147	381.16				percent of total billed charges		1407				other	OPPS APC	1041.18				percent of total billed charges		1407				other	OPPS APC	1407				other	OPPS APC	381.16				percent of total billed charges		388.75				percent of total billed charges		147				other	OPPS APC	147	1407	
PRECISION BLADE 19.5	SUP-78-00342	CDM			272	RC		inpatient			1407	1407																																																			
SYMBOTEX 15*10	SUP-97-01047	CDM			278	RC		outpatient			1406.43	146.43	1406.43				fee schedule		1406.43				other	OPPS APC	801.67				percent of total billed charges		1406.43				other	OPPS APC	1406.43				other	OPPS APC	689.15				percent of total billed charges		717.28				percent of total billed charges		146.43				other	OPPS APC	146.43	1406.43	
SYMBOTEX 15*10	SUP-97-01047	CDM			278	RC		inpatient			1406.43	1406.43																																																			
KIT TENOLOK TENODESIS 50MM	SUP-97-01899	CDM			272	RC		outpatient			1406.16	146.16	380.93				percent of total billed charges		1406.16				other	OPPS APC	1040.56				percent of total billed charges		1406.16				other	OPPS APC	1406.16				other	OPPS APC	380.93				percent of total billed charges		388.52				percent of total billed charges		146.16				other	OPPS APC	146.16	1406.16	
KIT TENOLOK TENODESIS 50MM	SUP-97-01899	CDM			272	RC		inpatient			1406.16	1406.16																																																			
MIRENA	SUP-50419-421-01	CDM						inpatient			1406.1	1406.1																																																			
MIRENA	SUP-50419-421-01	CDM						outpatient			1406.1	147	1406.1				percent of total billed charges		1406.1				other	OPPS APC	1406.1				fee schedule		1406.1				other	OPPS APC	1406.1				other	OPPS APC	1406.1				case rate		1406.1				case rate		147				other	OPPS APC	147	1406.1	
PLATE BONE LC-DCP STAINLESS STEEL L166 MM 14 HOLE RECONSTRUCTION 3.5 MM SCREW SMALL FRAGMENT	SUP-245.04	CDM	270010022	LOCAL	270	RC		outpatient			1405.8	145.8	380.83				percent of total billed charges		1405.8				other	OPPS APC	1040.29				percent of total billed charges		1405.8				other	OPPS APC	1405.8				other	OPPS APC	380.83				percent of total billed charges		388.42				percent of total billed charges		145.8				other	OPPS APC	145.8	1405.8	
PLATE BONE LC-DCP STAINLESS STEEL L166 MM 14 HOLE RECONSTRUCTION 3.5 MM SCREW SMALL FRAGMENT	SUP-245.04	CDM	270010022	LOCAL	270	RC		inpatient			1405.8	1405.8																																																			
SHEATH LAPAROSCOPIC SONASTAR PLASTIC OD10 MM RIGID REUSABLE	SUP-CFSM6-H190	CDM			270	RC		outpatient			1404	144	380.34				percent of total billed charges		1404				other	OPPS APC	1038.96				percent of total billed charges		1404				other	OPPS APC	1404				other	OPPS APC	380.34				percent of total billed charges		387.93				percent of total billed charges		144				other	OPPS APC	144	1404	
SHEATH LAPAROSCOPIC SONASTAR PLASTIC OD10 MM RIGID REUSABLE	SUP-CFSM6-H190	CDM			270	RC		inpatient			1404	1404																																																			
PREVENA 13CM DUAL KIT	SUP-PRE1121US	CDM			270	RC		outpatient			1403.62	143.62	380.24				percent of total billed charges		1403.62				other	OPPS APC	1038.68				percent of total billed charges		1403.62				other	OPPS APC	1403.62				other	OPPS APC	380.24				percent of total billed charges		387.82				percent of total billed charges		143.62				other	OPPS APC	143.62	1403.62	
PREVENA 13CM DUAL KIT	SUP-PRE1121US	CDM			270	RC		inpatient			1403.62	1403.62																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2.25 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062250	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2.25 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062250	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062500	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062500	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062750	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 2.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401062750	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3.25 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063250	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3.25 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063250	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063500	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063500	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063750	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 6CM OD 3.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401063750	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 2 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401102000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 2 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401102000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 2.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401102500	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 2.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401102500	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 2.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401102750	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 2.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401102750	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 3 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401103000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 3 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401103000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 3.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401103500	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 3.5 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401103500	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 4 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401104000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 10CM OD 4 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401104000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 2 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401152000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 2 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401152000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 2.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401152750	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 2.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401152750	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 3 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401153000	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 3 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401153000	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 3.25 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401153250	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 3.25 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401153250	CDM			270	RC		inpatient			1401.6	1401.6																																																			
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 3.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401153750	CDM			270	RC		outpatient			1401.6	141.6	379.69				percent of total billed charges		1401.6				other	OPPS APC	1037.18				percent of total billed charges		1401.6				other	OPPS APC	1401.6				other	OPPS APC	379.69				percent of total billed charges		387.26				percent of total billed charges		141.6				other	OPPS APC	141.6	1401.6	
CATHETER BALLOON DILATATION WOLVERINE CUTTING BALLOON MONORAIL Z-GLIDE L 15CM OD 3.75 MM BUMPER TIP ATHEROTOME RADIOPAQUE MIDSHAFT	SUP-H74939401153750	CDM			270	RC		inpatient			1401.6	1401.6																																																			
PORT IMPLANTABLE INFUSION POWERFLOW AIRGUARD CHRONOFLEX TITANIUM SILICONE OD 9.6 FR HIGH FLOW POWER INJECTABLE FUNNEL LIGHTWEIGHT	SUP-A710962	CDM			270	RC		outpatient			1401.34	141.34	379.62				percent of total billed charges		1401.34				other	OPPS APC	1036.99				percent of total billed charges		1401.34				other	OPPS APC	1401.34				other	OPPS APC	379.62				percent of total billed charges		387.19				percent of total billed charges		141.34				other	OPPS APC	141.34	1401.34	
PORT IMPLANTABLE INFUSION POWERFLOW AIRGUARD CHRONOFLEX TITANIUM SILICONE OD 9.6 FR HIGH FLOW POWER INJECTABLE FUNNEL LIGHTWEIGHT	SUP-A710962	CDM			270	RC		inpatient			1401.34	1401.34																																																			
SHELL ACETABULAR MPACT G OD62 MM HIP 2 HOLE STERILE	SUP-01.32.162DH	CDM	270010024	LOCAL	270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
SHELL ACETABULAR MPACT G OD62 MM HIP 2 HOLE STERILE	SUP-01.32.162DH	CDM	270010024	LOCAL	270	RC		inpatient			1400	1400																																																			
MPACT 3D TWO HOLE CUP 60 MM	SUP-01.38.060DH	CDM	270010024	LOCAL	270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
MPACT 3D TWO HOLE CUP 60 MM	SUP-01.38.060DH	CDM	270010024	LOCAL	270	RC		inpatient			1400	1400																																																			
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE CIRCLE OD4.5 IN PATCH LOW PROFILE LIGHTWEIGHT BIOCOMPATIBLE HERNIA	SUP-0134450	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
MESH SURGICAL COMPOSIX POLYPROPYLENE EPTFE CIRCLE OD4.5 IN PATCH LOW PROFILE LIGHTWEIGHT BIOCOMPATIBLE HERNIA	SUP-0134450	CDM			270	RC		inpatient			1400	1400																																																			
KIT ANGIOGRAPHY ACIST CVI ANGIOTOUCH 65IN DISPOSABLE 3 WAY HIGH PRESSURE STOPCOCK PREMIUM HIGH PRESSURE CONTRAST TUBE	SUP-014667	CDM			481	RC		outpatient			1400	14	686				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	686				percent of total billed charges		714				percent of total billed charges		14				other	OPPS APC	14	1400	
KIT ANGIOGRAPHY ACIST CVI ANGIOTOUCH 65IN DISPOSABLE 3 WAY HIGH PRESSURE STOPCOCK PREMIUM HIGH PRESSURE CONTRAST TUBE	SUP-014667	CDM			481	RC		inpatient			1400	1400																																																			
PARTICLES EMBOLIZATION ONYX MIXER	SUP-103-1205-001	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
PARTICLES EMBOLIZATION ONYX MIXER	SUP-103-1205-001	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT BREAST SILICONE P3.2 CM MODERATE PROJECTION ROUND W11.1 CM 230 ML COHESIVE GEL SMOOTH SILIMED LOW BLEED BARRIER TECHNOLOGY	SUP-10512-230MP	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT BREAST SILICONE P3.2 CM MODERATE PROJECTION ROUND W11.1 CM 230 ML COHESIVE GEL SMOOTH SILIMED LOW BLEED BARRIER TECHNOLOGY	SUP-10512-230MP	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT BREAST SILICONE P3.3 CM MODERATE PROJECTION ROUND W11.4 CM 250 ML COHESIVE GEL SMOOTH LOW BLEED BARRIER TECHNOLOGY	SUP-10512-250MP	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT BREAST SILICONE P3.3 CM MODERATE PROJECTION ROUND W11.4 CM 250 ML COHESIVE GEL SMOOTH LOW BLEED BARRIER TECHNOLOGY	SUP-10512-250MP	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT SIENTRA SMOOTH ROUND MODERATE PROJ 300CC	SUP-10512-300MP	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT SIENTRA SMOOTH ROUND MODERATE PROJ 300CC	SUP-10512-300MP	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT BREAST P3.9 CM MODERATE PLUS PROJECTION ROUND W10.5 CM 235 CC HIGH STRENGTH COHESIVE SMOOTH	SUP-10621-235MP	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT BREAST P3.9 CM MODERATE PLUS PROJECTION ROUND W10.5 CM 235 CC HIGH STRENGTH COHESIVE SMOOTH	SUP-10621-235MP	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT BREAST SILICONE P3.9 CM MODERATE PROJECTION ROUND W11 CM 255 ML COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20621-255MP	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT BREAST SILICONE P3.9 CM MODERATE PROJECTION ROUND W11 CM 255 ML COHESIVE GEL SILIMED TEXTURED HIGH STRENGTH LOW BLEED BARRIER TECHNOLOGY	SUP-20621-255MP	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT TEXTURED MODERATE PROJECTION SIENTRA 435CC	SUP-20621-435MD	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT TEXTURED MODERATE PROJECTION SIENTRA 435CC	SUP-20621-435MD	CDM			270	RC		inpatient			1400	1400																																																			
GUIDE CUTTING KNEE	SUP-98850000000	CDM	270010025	LOCAL	270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
GUIDE CUTTING KNEE	SUP-98850000000	CDM	270010025	LOCAL	270	RC		inpatient			1400	1400																																																			
PLATE BONE STAINLESS STEEL L72 MM ANKLE LATERAL 3 HOLE AVULSION HOOK LOCK	SUP-AR-8943TH-03	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
PLATE BONE STAINLESS STEEL L72 MM ANKLE LATERAL 3 HOLE AVULSION HOOK LOCK	SUP-AR-8943TH-03	CDM			270	RC		inpatient			1400	1400																																																			
PLATE BONE STAINLESS STEEL L98 MM ANKLE LATERAL 5 HOLE AVULSION HOOK LOCK	SUP-AR-8943TH-05	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
PLATE BONE STAINLESS STEEL L98 MM ANKLE LATERAL 5 HOLE AVULSION HOOK LOCK	SUP-AR-8943TH-05	CDM			270	RC		inpatient			1400	1400																																																			
PLATE BONE STAINLESS STEEL L97 MM FOOT ANKLE MEDIAL 7 HOLE HOOK LOCK	SUP-AR-8943TH-07	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
PLATE BONE STAINLESS STEEL L97 MM FOOT ANKLE MEDIAL 7 HOLE HOOK LOCK	SUP-AR-8943TH-07	CDM			270	RC		inpatient			1400	1400																																																			
KIT INSTRUMENT FIBULOCK STERILE DISPOSABLE	SUP-AR-8973DS	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
KIT INSTRUMENT FIBULOCK STERILE DISPOSABLE	SUP-AR-8973DS	CDM			270	RC		inpatient			1400	1400																																																			
IMPLANT OPHTHALMIC BAERVELDT 350SQ MM SILICONE ANTERIOR CHAMBER QUADRANT INSERTION FIXATION SUTURE HOLE RECESS KNOT	SUP-BG102-350	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
IMPLANT OPHTHALMIC BAERVELDT 350SQ MM SILICONE ANTERIOR CHAMBER QUADRANT INSERTION FIXATION SUTURE HOLE RECESS KNOT	SUP-BG102-350	CDM			270	RC		inpatient			1400	1400																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE 40CM 20MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM ARM ACCEPTS 5	SUP-M001363830	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE 40CM 20MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM ARM ACCEPTS 5	SUP-M001363830	CDM			270	RC		inpatient			1400	1400																																																			
SYSTEM ENDOSCOPIC VEIN HARVESTING VIRTUOSAPH PLUS WITH RADIAL	SUP-VSP550EX	CDM			270	RC		outpatient			1400	14	379.26				percent of total billed charges		1400				other	OPPS APC	1036				percent of total billed charges		1400				other	OPPS APC	1400				other	OPPS APC	379.26				percent of total billed charges		386.82				percent of total billed charges		14				other	OPPS APC	14	1400	
SYSTEM ENDOSCOPIC VEIN HARVESTING VIRTUOSAPH PLUS WITH RADIAL	SUP-VSP550EX	CDM			270	RC		inpatient			1400	1400																																																			
BLADE LARYNGOSCOPE MCGRATH MACINTOSH POLYMER 4 SLIM FOG FREE STERILE DISPOSABLE	SUP-350013000_68714	CDM			270	RC		outpatient			1396.8	1396.8	378.39				percent of total billed charges		1396.8				other	OPPS APC	1033.63				percent of total billed charges		1396.8				other	OPPS APC	1396.8				other	OPPS APC	378.39				percent of total billed charges		385.94				percent of total billed charges		1396.8				other	OPPS APC	378.39	1396.8	
BLADE LARYNGOSCOPE MCGRATH MACINTOSH POLYMER 4 SLIM FOG FREE STERILE DISPOSABLE	SUP-350013000_68714	CDM			270	RC		inpatient			1396.8	1396.8																																																			
GRAFT DBM PUTTY 5CC (3102-1005)	SUP-75-00146	CDM			278	RC		outpatient			1395	1395	1395				fee schedule		1395				other	OPPS APC	795.15				percent of total billed charges		1395				other	OPPS APC	1395				other	OPPS APC	683.55				percent of total billed charges		711.45				percent of total billed charges		1395				other	OPPS APC	683.55	1395	
GRAFT DBM PUTTY 5CC (3102-1005)	SUP-75-00146	CDM			278	RC		inpatient			1395	1395																																																			
SUTR ANCH MINI BC S-TAK 2.4X8.5MM	SUP-97-01463	CDM			278	RC		outpatient			1395	1395	1395				fee schedule		1395				other	OPPS APC	795.15				percent of total billed charges		1395				other	OPPS APC	1395				other	OPPS APC	683.55				percent of total billed charges		711.45				percent of total billed charges		1395				other	OPPS APC	683.55	1395	
SUTR ANCH MINI BC S-TAK 2.4X8.5MM	SUP-97-01463	CDM			278	RC		inpatient			1395	1395																																																			
FIBERTAK DX SUTURE ANCHOR W/1.3MM FIBER	SUP-97-04276	CDM			278	RC		outpatient			1395	1395	1395				fee schedule		1395				other	OPPS APC	795.15				percent of total billed charges		1395				other	OPPS APC	1395				other	OPPS APC	683.55				percent of total billed charges		711.45				percent of total billed charges		1395				other	OPPS APC	683.55	1395	
FIBERTAK DX SUTURE ANCHOR W/1.3MM FIBER	SUP-97-04276	CDM			278	RC		inpatient			1395	1395																																																			
SUPER QUICKANCHOR   (MITEK)	SUP-84-00006	CDM			278	RC		outpatient			1394.57	1394.57	1394.57				fee schedule		1394.57				other	OPPS APC	794.9				percent of total billed charges		1394.57				other	OPPS APC	1394.57				other	OPPS APC	683.34				percent of total billed charges		711.23				percent of total billed charges		1394.57				other	OPPS APC	683.34	1394.57	
SUPER QUICKANCHOR   (MITEK)	SUP-84-00006	CDM			278	RC		inpatient			1394.57	1394.57																																																			
DARBEPOETIN ALFA-POLYSORBATE 60 MCG/0.3 ML SYRINGE	636000000	CDM	55513-023-01	NDC	J0881	HCPCS		inpatient			1393.2	1393.2																																																			
DARBEPOETIN ALFA-POLYSORBATE 60 MCG/0.3 ML SYRINGE	636000000	CDM	55513-023-01	NDC	J0881	HCPCS		outpatient			1393.2	3.94																																											3.94				other	OPPS APC	3.94	3.94	
PLATE BONE LCP TITANIUM 2.4 MM	SUP-449.615	CDM	270010022	LOCAL	270	RC		outpatient			1392.92	1392.92	377.34				percent of total billed charges		1392.92				other	OPPS APC	1030.76				percent of total billed charges		1392.92				other	OPPS APC	1392.92				other	OPPS APC	377.34				percent of total billed charges		384.86				percent of total billed charges		1392.92				other	OPPS APC	377.34	1392.92	
PLATE BONE LCP TITANIUM 2.4 MM	SUP-449.615	CDM	270010022	LOCAL	270	RC		inpatient			1392.92	1392.92																																																			
CLAMP EXTERNAL FIXATION MEDIUM 4 POSISTION MULTIPIN MR SAFE NONSTERILE	SUP-390.033	CDM	270010022	LOCAL	270	RC		outpatient			1392.6	1392.6	377.26				percent of total billed charges		1392.6				other	OPPS APC	1030.52				percent of total billed charges		1392.6				other	OPPS APC	1392.6				other	OPPS APC	377.26				percent of total billed charges		384.78				percent of total billed charges		1392.6				other	OPPS APC	377.26	1392.6	
CLAMP EXTERNAL FIXATION MEDIUM 4 POSISTION MULTIPIN MR SAFE NONSTERILE	SUP-390.033	CDM	270010022	LOCAL	270	RC		inpatient			1392.6	1392.6																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY -3.5 MM 12/14 TAPER OD28 MM HIP STERILE	SUP-00-8018-028-01	CDM	270010024	LOCAL	270	RC		outpatient			1392	1392	377.09				percent of total billed charges		1392				other	OPPS APC	1030.08				percent of total billed charges		1392				other	OPPS APC	1392				other	OPPS APC	377.09				percent of total billed charges		384.61				percent of total billed charges		1392				other	OPPS APC	377.09	1392	
HEAD FEMORAL VERSYS LEGACY ZIMALOY -3.5 MM 12/14 TAPER OD28 MM HIP STERILE	SUP-00-8018-028-01	CDM	270010024	LOCAL	270	RC		inpatient			1392	1392																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY 0 MM 12/14 TAPER OD28 MM HIP STERILE	SUP-00-8018-028-02	CDM	270010024	LOCAL	270	RC		outpatient			1392	1392	377.09				percent of total billed charges		1392				other	OPPS APC	1030.08				percent of total billed charges		1392				other	OPPS APC	1392				other	OPPS APC	377.09				percent of total billed charges		384.61				percent of total billed charges		1392				other	OPPS APC	377.09	1392	
HEAD FEMORAL VERSYS LEGACY ZIMALOY 0 MM 12/14 TAPER OD28 MM HIP STERILE	SUP-00-8018-028-02	CDM	270010024	LOCAL	270	RC		inpatient			1392	1392																																																			
HEAD FEMORAL VERSYS LEGACY ZIMALOY +3.5 MM 12/14 TAPER OD28 MM HIP STERILE	SUP-00-8018-028-03	CDM	270010024	LOCAL	270	RC		outpatient			1392	1392	377.09				percent of total billed charges		1392				other	OPPS APC	1030.08				percent of total billed charges		1392				other	OPPS APC	1392				other	OPPS APC	377.09				percent of total billed charges		384.61				percent of total billed charges		1392				other	OPPS APC	377.09	1392	
HEAD FEMORAL VERSYS LEGACY ZIMALOY +3.5 MM 12/14 TAPER OD28 MM HIP STERILE	SUP-00-8018-028-03	CDM	270010024	LOCAL	270	RC		inpatient			1392	1392																																																			
HEAD FEMORAL LEGACY RINGLOC ZIMALOY COCR 6 D +7 MM MEDIUM OD28 MM HIP STERILE	SUP-00-90260-029-00	CDM	270010024	LOCAL	270	RC		outpatient			1392	1392	377.09				percent of total billed charges		1392				other	OPPS APC	1030.08				percent of total billed charges		1392				other	OPPS APC	1392				other	OPPS APC	377.09				percent of total billed charges		384.61				percent of total billed charges		1392				other	OPPS APC	377.09	1392	
HEAD FEMORAL LEGACY RINGLOC ZIMALOY COCR 6 D +7 MM MEDIUM OD28 MM HIP STERILE	SUP-00-90260-029-00	CDM	270010024	LOCAL	270	RC		inpatient			1392	1392																																																			
8 HOLE NARROW 4.5 X 152 PLATE	SUP-97-23775	CDM			278	RC		outpatient			1391.94	1391.94	1391.94				fee schedule		1391.94				other	OPPS APC	793.41				percent of total billed charges		1391.94				other	OPPS APC	1391.94				other	OPPS APC	682.05				percent of total billed charges		709.89				percent of total billed charges		1391.94				other	OPPS APC	682.05	1391.94	
8 HOLE NARROW 4.5 X 152 PLATE	SUP-97-23775	CDM			278	RC		inpatient			1391.94	1391.94																																																			
PLATE BONE LCP STAINLESS STEEL L46 MM ULNA DISTAL 7 HOLE HOOK POINT PRECONTOUR STERILE 2 MM SCREW	SUP-242.531S	CDM	270010022	LOCAL	270	RC		outpatient			1390.98	139.98	376.82				percent of total billed charges		1390.98				other	OPPS APC	1029.33				percent of total billed charges		1390.98				other	OPPS APC	1390.98				other	OPPS APC	376.82				percent of total billed charges		384.33				percent of total billed charges		139.98				other	OPPS APC	139.98	1390.98	
PLATE BONE LCP STAINLESS STEEL L46 MM ULNA DISTAL 7 HOLE HOOK POINT PRECONTOUR STERILE 2 MM SCREW	SUP-242.531S	CDM	270010022	LOCAL	270	RC		inpatient			1390.98	1390.98																																																			
DEVICE FIXATION AC GRAFTROPE STERILE SHOULDER ARTHROSCOPY	SUP-AR-2258	CDM	270010031	LOCAL	270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
DEVICE FIXATION AC GRAFTROPE STERILE SHOULDER ARTHROSCOPY	SUP-AR-2258	CDM	270010031	LOCAL	270	RC		inpatient			1390	1390																																																			
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L50 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-50H	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L50 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-50H	CDM			270	RC		inpatient			1390	1390																																																			
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L80 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-80H	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L80 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-80H	CDM			270	RC		inpatient			1390	1390																																																			
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L90 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-90H	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L90 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-90H	CDM			270	RC		inpatient			1390	1390																																																			
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L95 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-95H	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
SCREW BONE ARTHREX TITANIUM T25 XL FULL THREAD L95 MM OD7 MM COMPRESSION CANNULATION HEADLESS HEXALOBE	SUP-AR-8770-95H	CDM			270	RC		inpatient			1390	1390																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L156 MM ANKLE 12 HOLE LOCK	SUP-AR-8943C-12	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
PLATE BONE STAINLESS STEEL STRAIGHT L156 MM ANKLE 12 HOLE LOCK	SUP-AR-8943C-12	CDM			270	RC		inpatient			1390	1390																																																			
PLATE BONE T LOW PROFILE 2.4MM FOOT 7 HOLE	SUP-AR-8952MS-07	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
PLATE BONE T LOW PROFILE 2.4MM FOOT 7 HOLE	SUP-AR-8952MS-07	CDM			270	RC		inpatient			1390	1390																																																			
PLATE BONE T TITANIUM FOOT METATARSAL 5 HOLE LOW PROFILE 2.4MM SCREW	SUP-AR-8952MT-05	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
PLATE BONE T TITANIUM FOOT METATARSAL 5 HOLE LOW PROFILE 2.4MM SCREW	SUP-AR-8952MT-05	CDM			270	RC		inpatient			1390	1390																																																			
JOINT TOE ANATOEMIC COCR L17 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-170	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
JOINT TOE ANATOEMIC COCR L17 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-170	CDM			270	RC		inpatient			1390	1390																																																			
JOINT TOE ANATOEMIC COCR L20 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-200	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
JOINT TOE ANATOEMIC COCR L20 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-200	CDM			270	RC		inpatient			1390	1390																																																			
JOINT TOE ANATOEMIC COCR L21.5 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-215	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
JOINT TOE ANATOEMIC COCR L21.5 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-215	CDM			270	RC		inpatient			1390	1390																																																			
JOINT TOE ANATOEMIC COCR L23 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-230	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
JOINT TOE ANATOEMIC COCR L23 MM PHALANX PILOT PUNCH STERILE	SUP-AR-9500-230	CDM			270	RC		inpatient			1390	1390																																																			
BALLOON TRILOBE SIZE LARGE	SUP-BCL2645	CDM	270010019	LOCAL	270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
BALLOON TRILOBE SIZE LARGE	SUP-BCL2645	CDM	270010019	LOCAL	270	RC		inpatient			1390	1390																																																			
SYNCHRO 010 WIRE	SUP-M00316310	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
SYNCHRO 010 WIRE	SUP-M00316310	CDM			270	RC		inpatient			1390	1390																																																			
GUIDEWIRE VASCULAR NITINOL STAINLESS STEEL STANDARD L215 CM L45 CM OD.014 IN PRESHAPE ACCESS	SUP-SSTD215PRE	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
GUIDEWIRE VASCULAR NITINOL STAINLESS STEEL STANDARD L215 CM L45 CM OD.014 IN PRESHAPE ACCESS	SUP-SSTD215PRE	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 6MM X 7CM X 4MM BRAIN SELF-RETAINING	SUP-TC060407	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 6MM X 7CM X 4MM BRAIN SELF-RETAINING	SUP-TC060407	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 12MM X 3CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC120803	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 12MM X 3CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC120803	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 12MM X 5CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC120805.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 12MM X 5CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC120805.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE OD27 MM L5 CM OD12 MM ODSEC8 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC120805AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE OD27 MM L5 CM OD12 MM ODSEC8 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC120805AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 12MM X 7CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC120807.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 12MM X 7CM X 8MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC120807.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE OD27 MM L7 CM OD12 MM ODSEC8 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC120807AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE OD27 MM L7 CM OD12 MM ODSEC8 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC120807AC	CDM			270	RC		inpatient			1390	1390																																																			
SET RETRACTOR SURGICAL VIEWSITE 3CM 17MM X 11MM W/INTRODUCER WORKING CHANNEL PORT	SUP-TC171103	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
SET RETRACTOR SURGICAL VIEWSITE 3CM 17MM X 11MM W/INTRODUCER WORKING CHANNEL PORT	SUP-TC171103	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 17MM X 5CM X 11MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC171105.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 17MM X 5CM X 11MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC171105.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE OD32 MM L5 CM OD17 MM ODSEC11 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC171105AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE OD32 MM L5 CM OD17 MM ODSEC11 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC171105AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 17MM X 7CM X 11MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC171107.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 17MM X 7CM X 11MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC171107.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE OD32 MM L7 CM OD17 MM ODSEC11 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC171107AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE OD32 MM L7 CM OD17 MM ODSEC11 MM ALIGNMENT CLIP SELF RETAIN	SUP-TC171107AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 21MM X 3CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC211503	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 21MM X 3CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC211503	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 21MM X 5CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC211505.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 21MM X 5CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC211505.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 21MM X 7CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC211507.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 21MM X 7CM X 15MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC211507.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 28MM X 3CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC282003	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 28MM X 3CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC282003	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 28MM X 5CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC282005.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 28MM X 5CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC282005.AC	CDM			270	RC		inpatient			1390	1390																																																			
RETRACTOR SURGICAL VIEWSITE 28MM X 7CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC282007.AC	CDM			270	RC		outpatient			1390	139	376.55				percent of total billed charges		1390				other	OPPS APC	1028.6				percent of total billed charges		1390				other	OPPS APC	1390				other	OPPS APC	376.55				percent of total billed charges		384.06				percent of total billed charges		139				other	OPPS APC	139	1390	
RETRACTOR SURGICAL VIEWSITE 28MM X 7CM X 20MM CYLINDRICAL STABLE INTRODUCER CHANNEL CLEAR STERILE SINGLE-USE F/BRAIN ACCESS SYSTEM	SUP-TC282007.AC	CDM			270	RC		inpatient			1390	1390																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD12 MM ODSEC6 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK1206	CDM			270	RC		outpatient			1389.08	1389.8	376.3				percent of total billed charges		1389.08				other	OPPS APC	1027.92				percent of total billed charges		1389.08				other	OPPS APC	1389.08				other	OPPS APC	376.3				percent of total billed charges		383.8				percent of total billed charges		1389.8				other	OPPS APC	376.3	1389.8	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD12 MM ODSEC6 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK1206	CDM			270	RC		inpatient			1389.08	1389.08																																																			
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC 2 BRANCH L50 CM X H.49 MM OD22/11 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK2211	CDM			270	RC		outpatient			1389.08	1389.8	376.3				percent of total billed charges		1389.08				other	OPPS APC	1027.92				percent of total billed charges		1389.08				other	OPPS APC	1389.08				other	OPPS APC	376.3				percent of total billed charges		383.8				percent of total billed charges		1389.8				other	OPPS APC	376.3	1389.8	
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC 2 BRANCH L50 CM X H.49 MM OD22/11 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK2211	CDM			270	RC		inpatient			1389.08	1389.08																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER 2 BRANCH L50 CM X H.49 MM OD22/12 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK2412	CDM			270	RC		outpatient			1389.08	1389.8	376.3				percent of total billed charges		1389.08				other	OPPS APC	1027.92				percent of total billed charges		1389.08				other	OPPS APC	1389.08				other	OPPS APC	376.3				percent of total billed charges		383.8				percent of total billed charges		1389.8				other	OPPS APC	376.3	1389.8	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER 2 BRANCH L50 CM X H.49 MM OD22/12 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK2412	CDM			270	RC		inpatient			1389.08	1389.08																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD24 MM ODSEC12 MM KNIT	SUP-IGK2412	CDM			270	RC		outpatient			1389.08	1389.8	376.3				percent of total billed charges		1389.08				other	OPPS APC	1027.92				percent of total billed charges		1389.08				other	OPPS APC	1389.08				other	OPPS APC	376.3				percent of total billed charges		383.8				percent of total billed charges		1389.8				other	OPPS APC	376.3	1389.8	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD24 MM ODSEC12 MM KNIT	SUP-IGK2412	CDM			270	RC		inpatient			1389.08	1389.08																																																			
PLATE TWO HOLE FEMORAL NECK	SUP-04.268.000S	CDM			270	RC		outpatient			1388.4	1388.41	376.12				percent of total billed charges		1388.4				other	OPPS APC	1027.42				percent of total billed charges		1388.4				other	OPPS APC	1388.4				other	OPPS APC	376.12				percent of total billed charges		383.61				percent of total billed charges		1388.41				other	OPPS APC	376.12	1388.41	
PLATE TWO HOLE FEMORAL NECK	SUP-04.268.000S	CDM			270	RC		inpatient			1388.4	1388.4																																																			
PLATE BONE STAINLESS STEEL L80 MM FIBULAR LEFT DISTAL LATERAL 4 HOLE LOCK LOW PROFILE COMPRESSION NONSTERILE 2.7-3.5 MM SCREW	SUP-00-2357-018-04	CDM			270	RC		outpatient			1386.8	1386.8	375.68				percent of total billed charges		1386.8				other	OPPS APC	1026.23				percent of total billed charges		1386.8				other	OPPS APC	1386.8				other	OPPS APC	375.68				percent of total billed charges		383.17				percent of total billed charges		1386.8				other	OPPS APC	375.68	1386.8	
PLATE BONE STAINLESS STEEL L80 MM FIBULAR LEFT DISTAL LATERAL 4 HOLE LOCK LOW PROFILE COMPRESSION NONSTERILE 2.7-3.5 MM SCREW	SUP-00-2357-018-04	CDM			270	RC		inpatient			1386.8	1386.8																																																			
ENDO LOOP	SUP-95-02503	CDM			272	RC		outpatient			1386.75	1386.75	375.67				percent of total billed charges		1386.75				other	OPPS APC	1026.2				percent of total billed charges		1386.75				other	OPPS APC	1386.75				other	OPPS APC	375.67				percent of total billed charges		383.16				percent of total billed charges		1386.75				other	OPPS APC	375.67	1386.75	
ENDO LOOP	SUP-95-02503	CDM			272	RC		inpatient			1386.75	1386.75																																																			
HRHK TIBIAL SLEEVE	SUP-97-03376	CDM			278	RC		outpatient			1386	1386	1386				fee schedule		1386				other	OPPS APC	790.02				percent of total billed charges		1386				other	OPPS APC	1386				other	OPPS APC	679.14				percent of total billed charges		706.86				percent of total billed charges		1386				other	OPPS APC	679.14	1386	
HRHK TIBIAL SLEEVE	SUP-97-03376	CDM			278	RC		inpatient			1386	1386																																																			
SCREW CENTRAL MODULAR 20MM	SUP-AR-9561-20S	CDM	270010030	LOCAL	270	RC		outpatient			1384.98	1384.98	375.19				percent of total billed charges		1384.98				other	OPPS APC	1024.89				percent of total billed charges		1384.98				other	OPPS APC	1384.98				other	OPPS APC	375.19				percent of total billed charges		382.67				percent of total billed charges		1384.98				other	OPPS APC	375.19	1384.98	
SCREW CENTRAL MODULAR 20MM	SUP-AR-9561-20S	CDM	270010030	LOCAL	270	RC		inpatient			1384.98	1384.98																																																			
TRAUMACEM INJECTABLEBONE CEMENT	SUP-97-03578	CDM			278	RC		outpatient			1382.4	1382.41	1382.4				fee schedule		1382.4				other	OPPS APC	787.97				percent of total billed charges		1382.4				other	OPPS APC	1382.4				other	OPPS APC	677.38				percent of total billed charges		705.02				percent of total billed charges		1382.41				other	OPPS APC	677.38	1382.41	
TRAUMACEM INJECTABLEBONE CEMENT	SUP-97-03578	CDM			278	RC		inpatient			1382.4	1382.4																																																			
PLATE BONE LEVEL ONE TITANIUM H1.8 MM STERNAL 10 HOLE LOCK BODY NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-43-09	CDM			270	RC		outpatient			1381.5	1381.5	374.25				percent of total billed charges		1381.5				other	OPPS APC	1022.31				percent of total billed charges		1381.5				other	OPPS APC	1381.5				other	OPPS APC	374.25				percent of total billed charges		381.71				percent of total billed charges		1381.5				other	OPPS APC	374.25	1381.5	
PLATE BONE LEVEL ONE TITANIUM H1.8 MM STERNAL 10 HOLE LOCK BODY NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-43-09	CDM			270	RC		inpatient			1381.5	1381.5																																																			
PLATE BONE LEVEL ONE TITANIUM X H1.8 MM STERNAL 8 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-44-09	CDM			270	RC		outpatient			1381.5	1381.5	374.25				percent of total billed charges		1381.5				other	OPPS APC	1022.31				percent of total billed charges		1381.5				other	OPPS APC	1381.5				other	OPPS APC	374.25				percent of total billed charges		381.71				percent of total billed charges		1381.5				other	OPPS APC	374.25	1381.5	
PLATE BONE LEVEL ONE TITANIUM X H1.8 MM STERNAL 8 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-44-09	CDM			270	RC		inpatient			1381.5	1381.5																																																			
PLATE BONE LEVEL ONE TITANIUM J L T H1.8 MM STERNAL 7 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-46-09	CDM			270	RC		outpatient			1381.5	1381.5	374.25				percent of total billed charges		1381.5				other	OPPS APC	1022.31				percent of total billed charges		1381.5				other	OPPS APC	1381.5				other	OPPS APC	374.25				percent of total billed charges		381.71				percent of total billed charges		1381.5				other	OPPS APC	374.25	1381.5	
PLATE BONE LEVEL ONE TITANIUM J L T H1.8 MM STERNAL 7 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-46-09	CDM			270	RC		inpatient			1381.5	1381.5																																																			
HC Removal Indwelling Tunneled Catheter	PX-361325520	CDM	32552	CPT	361	RC		outpatient			1380.1	69.29	435.84				percent of total billed charges		609.29				other	OPPS APC	1876				fee schedule		609.29				other	OPPS APC	609.29				other	OPPS APC	435.84				percent of total billed charges		444.53				percent of total billed charges		69.29				other	OPPS APC	69.29	1876	
HC Removal Indwelling Tunneled Catheter	PX-361325520	CDM	32552	CPT	361	RC		inpatient			1380.1	1380.1																																																			
HC Removal Tunneled Central Venous Cathw/O Subcu Port/Pump	PX-361365891	CDM	36589	CPT	361	RC		outpatient			1380.1	69.29	435.84				percent of total billed charges		609.29				other	OPPS APC	1876				fee schedule		609.29				other	OPPS APC	609.29				other	OPPS APC	435.84				percent of total billed charges		444.53				percent of total billed charges		69.29				other	OPPS APC	69.29	1876	
HC Removal Tunneled Central Venous Cathw/O Subcu Port/Pump	PX-361365891	CDM	36589	CPT	361	RC		inpatient			1380.1	1380.1																																																			
SEALER TISSUE SYNCHROSEAL DA VINCI L8MM	SUP-480440	CDM			270	RC		outpatient			1380	138	373.84				percent of total billed charges		1380				other	OPPS APC	1021.2				percent of total billed charges		1380				other	OPPS APC	1380				other	OPPS APC	373.84				percent of total billed charges		381.29				percent of total billed charges		138				other	OPPS APC	138	1380	
SEALER TISSUE SYNCHROSEAL DA VINCI L8MM	SUP-480440	CDM			270	RC		inpatient			1380	1380																																																			
PLATE BONE EVOS T 3 HOLE HEAD 9 HOLE SHAFT  2.7 MM SCREW	SUP-72442722	CDM			270	RC		outpatient			1380	138	373.84				percent of total billed charges		1380				other	OPPS APC	1021.2				percent of total billed charges		1380				other	OPPS APC	1380				other	OPPS APC	373.84				percent of total billed charges		381.29				percent of total billed charges		138				other	OPPS APC	138	1380	
PLATE BONE EVOS T 3 HOLE HEAD 9 HOLE SHAFT  2.7 MM SCREW	SUP-72442722	CDM			270	RC		inpatient			1380	1380																																																			
STAPLER SUREFORM 45	SUP-95-04935	CDM			272	RC		outpatient			1380	138	373.84				percent of total billed charges		1380				other	OPPS APC	1021.2				percent of total billed charges		1380				other	OPPS APC	1380				other	OPPS APC	373.84				percent of total billed charges		381.29				percent of total billed charges		138				other	OPPS APC	138	1380	
STAPLER SUREFORM 45	SUP-95-04935	CDM			272	RC		inpatient			1380	1380																																																			
4.75MM BC KNOTLESS SWIVELOCK	SUP-97-04684	CDM			278	RC		outpatient			1380	138	1380				fee schedule		1380				other	OPPS APC	786.6				percent of total billed charges		1380				other	OPPS APC	1380				other	OPPS APC	676.2				percent of total billed charges		703.8				percent of total billed charges		138				other	OPPS APC	138	1380	
4.75MM BC KNOTLESS SWIVELOCK	SUP-97-04684	CDM			278	RC		inpatient			1380	1380																																																			
SHEATH INTRODUCER GORE DRYSEAL L45 CM OD12 FR ODSEC4 MM ID4.7 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1245	CDM			270	RC		outpatient			1380	138	373.84				percent of total billed charges		1380				other	OPPS APC	1021.2				percent of total billed charges		1380				other	OPPS APC	1380				other	OPPS APC	373.84				percent of total billed charges		381.29				percent of total billed charges		138				other	OPPS APC	138	1380	
SHEATH INTRODUCER GORE DRYSEAL L45 CM OD12 FR ODSEC4 MM ID4.7 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1245	CDM			270	RC		inpatient			1380	1380																																																			
SLOTTED CANNULA	SUP-95-03425	CDM						inpatient			1379.1	1379.1																																																			
SLOTTED CANNULA	SUP-95-03425	CDM						outpatient			1379.1	1380	1379.1				percent of total billed charges		1379.1				other	OPPS APC	1379.1				fee schedule		1379.1				other	OPPS APC	1379.1				other	OPPS APC	1379.1				case rate		1379.1				case rate		1380				other	OPPS APC	1379.1	1380	
PLATE BONE STAINLESS STEEL L195 MM PELVIC 15 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.035	CDM	270010022	LOCAL	270	RC		outpatient			1376.1	1377	372.79				percent of total billed charges		1376.1				other	OPPS APC	1018.31				percent of total billed charges		1376.1				other	OPPS APC	1376.1				other	OPPS APC	372.79				percent of total billed charges		380.22				percent of total billed charges		1377				other	OPPS APC	372.79	1377	
PLATE BONE STAINLESS STEEL L195 MM PELVIC 15 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.035	CDM	270010022	LOCAL	270	RC		inpatient			1376.1	1376.1																																																			
CATHETER ABLATION SAFIRE COMFORTGRIP 2-5-2 MM SPACE 1 MM MEDIUM CURL L115 CM L4 MM OD7 FR QUADRIPOLAR BIDIRECTIONAL	SUP-402810	CDM			270	RC		outpatient			1376	1376	372.76				percent of total billed charges		1376				other	OPPS APC	1018.24				percent of total billed charges		1376				other	OPPS APC	1376				other	OPPS APC	372.76				percent of total billed charges		380.19				percent of total billed charges		1376				other	OPPS APC	372.76	1376	
CATHETER ABLATION SAFIRE COMFORTGRIP 2-5-2 MM SPACE 1 MM MEDIUM CURL L115 CM L4 MM OD7 FR QUADRIPOLAR BIDIRECTIONAL	SUP-402810	CDM			270	RC		inpatient			1376	1376																																																			
CATHETER ABLATION SAFIRE COMFORTGRIP 2-5-2 MM SPACING 1 MM MEDIUM CURL L115 CM L5 MM OD7 FR QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITORING STEERING LOCK	SUP-402816	CDM			270	RC		outpatient			1376	1376	372.76				percent of total billed charges		1376				other	OPPS APC	1018.24				percent of total billed charges		1376				other	OPPS APC	1376				other	OPPS APC	372.76				percent of total billed charges		380.19				percent of total billed charges		1376				other	OPPS APC	372.76	1376	
CATHETER ABLATION SAFIRE COMFORTGRIP 2-5-2 MM SPACING 1 MM MEDIUM CURL L115 CM L5 MM OD7 FR QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITORING STEERING LOCK	SUP-402816	CDM			270	RC		inpatient			1376	1376																																																			
CATHETER ABLATION SAFIRE COMFORTGRIP 2-5-2 MM SPACING 1 MM LARGE CURL L115 CM L5 MM OD7 FR QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITORING STEERING LOCK	SUP-402817	CDM			270	RC		outpatient			1376	1376	372.76				percent of total billed charges		1376				other	OPPS APC	1018.24				percent of total billed charges		1376				other	OPPS APC	1376				other	OPPS APC	372.76				percent of total billed charges		380.19				percent of total billed charges		1376				other	OPPS APC	372.76	1376	
CATHETER ABLATION SAFIRE COMFORTGRIP 2-5-2 MM SPACING 1 MM LARGE CURL L115 CM L5 MM OD7 FR QUADRIPOLAR BIDIRECTIONAL UNIVERSAL TEMPERATURE MONITORING STEERING LOCK	SUP-402817	CDM			270	RC		inpatient			1376	1376																																																			
GRAFT PROGRIP RT 14X9 ( TEM1409GR)	SUP-75-00067	CDM			278	RC		outpatient			1375.2	1375.2	1375.2				fee schedule		1375.2				other	OPPS APC	783.86				percent of total billed charges		1375.2				other	OPPS APC	1375.2				other	OPPS APC	673.85				percent of total billed charges		701.35				percent of total billed charges		1375.2				other	OPPS APC	673.85	1375.2	
GRAFT PROGRIP RT 14X9 ( TEM1409GR)	SUP-75-00067	CDM			278	RC		inpatient			1375.2	1375.2																																																			
HC Sl Breast Localization Initial	PX-361192831	CDM	19283	CPT	361	RC		outpatient			1374	683.6	433.91				percent of total billed charges		683.51				other	OPPS APC	1876				fee schedule		683.51				other	OPPS APC	683.51				other	OPPS APC	433.91				percent of total billed charges		442.57				percent of total billed charges		683.6				other	OPPS APC	433.91	1876	
HC Sl Breast Localization Initial	PX-361192831	CDM	19283	CPT	361	RC		inpatient			1374	1374																																																			
SUTURE ANCH BIO COM S TAK	SUP-97-03486	CDM			278	RC		outpatient			1374	1374	1374				fee schedule		1374				other	OPPS APC	783.18				percent of total billed charges		1374				other	OPPS APC	1374				other	OPPS APC	673.26				percent of total billed charges		700.74				percent of total billed charges		1374				other	OPPS APC	673.26	1374	
SUTURE ANCH BIO COM S TAK	SUP-97-03486	CDM			278	RC		inpatient			1374	1374																																																			
CANN COUNTERSINK 3.5MM/4.0MM	SUP-97-04561	CDM			272	RC		outpatient			1374	1374	372.22				percent of total billed charges		1374				other	OPPS APC	1016.76				percent of total billed charges		1374				other	OPPS APC	1374				other	OPPS APC	372.22				percent of total billed charges		379.64				percent of total billed charges		1374				other	OPPS APC	372.22	1374	
CANN COUNTERSINK 3.5MM/4.0MM	SUP-97-04561	CDM			272	RC		inpatient			1374	1374																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L52 MM X W10.1 MM X H3.7 MM PELVIC 4 HOLE LOCK LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-02.100.104	CDM	270010022	LOCAL	270	RC		outpatient			1373.9	1373.91	372.19				percent of total billed charges		1373.9				other	OPPS APC	1016.69				percent of total billed charges		1373.9				other	OPPS APC	1373.9				other	OPPS APC	372.19				percent of total billed charges		379.61				percent of total billed charges		1373.91				other	OPPS APC	372.19	1373.91	
PLATE BONE LCP COMBI STAINLESS STEEL L52 MM X W10.1 MM X H3.7 MM PELVIC 4 HOLE LOCK LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-02.100.104	CDM	270010022	LOCAL	270	RC		inpatient			1373.9	1373.9																																																			
PLATE BONE EVOS STANDARD L 48 MM RADIAL LEFT DISTAL VOLAR 3 HOLE STERILE	SUP-72468103	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 48 MM RADIAL LEFT DISTAL VOLAR 3 HOLE STERILE	SUP-72468103	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS STANDARD L 56 MM RADIAL LEFT DISTAL VOLAR 4 HOLE STERILE	SUP-72468104	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 56 MM RADIAL LEFT DISTAL VOLAR 4 HOLE STERILE	SUP-72468104	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS STANDARD L 100 MM RADIAL LEFT DISTAL VOLAR 7 HOLE STERILE	SUP-72468107	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 100 MM RADIAL LEFT DISTAL VOLAR 7 HOLE STERILE	SUP-72468107	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS STANDARD L 48 MM RADIAL RIGHT DISTAL VOLAR 3 HOLE STERILE	SUP-72468203	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 48 MM RADIAL RIGHT DISTAL VOLAR 3 HOLE STERILE	SUP-72468203	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS STANDARD L 56 MM RADIAL RIGHT DISTAL VOLAR 4 HOLE STERILE	SUP-72468204	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 56 MM RADIAL RIGHT DISTAL VOLAR 4 HOLE STERILE	SUP-72468204	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS STANDARD L 76 MM RADIAL RIGHT DISTAL VOLAR 5 HOLE STERILE	SUP-72468205	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 76 MM RADIAL RIGHT DISTAL VOLAR 5 HOLE STERILE	SUP-72468205	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS STANDARD L 100MM RADIAL RIGHT DISTAL VOLAR 7 HOLE STERILE	SUP-72468207	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS STANDARD L 100MM RADIAL RIGHT DISTAL VOLAR 7 HOLE STERILE	SUP-72468207	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS WIDE L 48 MM RADIAL LEFT DISTAL VOLAR 3 HOLE STERILE	SUP-72468303	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS WIDE L 48 MM RADIAL LEFT DISTAL VOLAR 3 HOLE STERILE	SUP-72468303	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS WIDE L 56 MM RADIAL LEFT DISTAL VOLAR 4 HOLE STERILE	SUP-72468304	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS WIDE L 56 MM RADIAL LEFT DISTAL VOLAR 4 HOLE STERILE	SUP-72468304	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS WIDE L 48 MM RADIAL RIGHT DISTAL VOLAR 3 HOLE STERILE	SUP-72468403	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS WIDE L 48 MM RADIAL RIGHT DISTAL VOLAR 3 HOLE STERILE	SUP-72468403	CDM			270	RC		inpatient			1373.6	1373.6																																																			
PLATE BONE EVOS WIDE L 56MM RADIAL RIGHT DISTAL VOLAR 4 HOLE STERILE	SUP-72468404	CDM			270	RC		outpatient			1373.6	1373.6	372.11				percent of total billed charges		1373.6				other	OPPS APC	1016.46				percent of total billed charges		1373.6				other	OPPS APC	1373.6				other	OPPS APC	372.11				percent of total billed charges		379.53				percent of total billed charges		1373.6				other	OPPS APC	372.11	1373.6	
PLATE BONE EVOS WIDE L 56MM RADIAL RIGHT DISTAL VOLAR 4 HOLE STERILE	SUP-72468404	CDM			270	RC		inpatient			1373.6	1373.6																																																			
HC Bone Marrow/Aspiration	PX-761382210	CDM	38221	CPT	761	RC		outpatient			1373	1373	195.77				case rate		1373				other	OPPS APC	1016.02				percent of total billed charges		1373				other	OPPS APC	1373				other	OPPS APC	195.77				case rate		700.23				percent of total billed charges		1373				other	OPPS APC	195.77	1373	
HC Bone Marrow/Aspiration	PX-761382210	CDM	38221	CPT	761	RC		inpatient			1373	1373																																																			
PLATE BONE LC-DCP TITANIUM L51 MM X H1.7 MM 6 HOLE NONSTERILE 2.4 MM SCREW MODULAR HAND SYSTEM	SUP-449.926	CDM	270010022	LOCAL	270	RC		outpatient			1372.8	1372.8	371.89				percent of total billed charges		1372.8				other	OPPS APC	1015.87				percent of total billed charges		1372.8				other	OPPS APC	1372.8				other	OPPS APC	371.89				percent of total billed charges		379.3				percent of total billed charges		1372.8				other	OPPS APC	371.89	1372.8	
PLATE BONE LC-DCP TITANIUM L51 MM X H1.7 MM 6 HOLE NONSTERILE 2.4 MM SCREW MODULAR HAND SYSTEM	SUP-449.926	CDM	270010022	LOCAL	270	RC		inpatient			1372.8	1372.8																																																			
SCREW CENTRAL MODULAR 25MM	SUP-AR-9561-25S	CDM	270010030	LOCAL	270	RC		outpatient			1372.36	1372.36	371.77				percent of total billed charges		1372.36				other	OPPS APC	1015.55				percent of total billed charges		1372.36				other	OPPS APC	1372.36				other	OPPS APC	371.77				percent of total billed charges		379.18				percent of total billed charges		1372.36				other	OPPS APC	371.77	1372.36	
SCREW CENTRAL MODULAR 25MM	SUP-AR-9561-25S	CDM	270010030	LOCAL	270	RC		inpatient			1372.36	1372.36																																																			
SCREW BONE L28 MM OD4.5 MM PERIPHERAL STERILE	SUP-AR-9561-30S	CDM			270	RC		outpatient			1372.32	1372.32	371.76				percent of total billed charges		1372.32				other	OPPS APC	1015.52				percent of total billed charges		1372.32				other	OPPS APC	1372.32				other	OPPS APC	371.76				percent of total billed charges		379.17				percent of total billed charges		1372.32				other	OPPS APC	371.76	1372.32	
SCREW BONE L28 MM OD4.5 MM PERIPHERAL STERILE	SUP-AR-9561-30S	CDM			270	RC		inpatient			1372.32	1372.32																																																			
CLAMP EXTERNAL FIXATION JET-X MINI 2 PIN BALL JOINT	SUP-71062016	CDM			270	RC		outpatient			1371.6	1371.6	371.57				percent of total billed charges		1371.6				other	OPPS APC	1014.98				percent of total billed charges		1371.6				other	OPPS APC	1371.6				other	OPPS APC	371.57				percent of total billed charges		378.97				percent of total billed charges		1371.6				other	OPPS APC	371.57	1371.6	
CLAMP EXTERNAL FIXATION JET-X MINI 2 PIN BALL JOINT	SUP-71062016	CDM			270	RC		inpatient			1371.6	1371.6																																																			
7.3MM CANNULATED 16MM THEAD 65MM	SUP-97-03321	CDM			278	RC		outpatient			1371	1371	1371				fee schedule		1371				other	OPPS APC	781.47				percent of total billed charges		1371				other	OPPS APC	1371				other	OPPS APC	671.79				percent of total billed charges		699.21				percent of total billed charges		1371				other	OPPS APC	671.79	1371	
7.3MM CANNULATED 16MM THEAD 65MM	SUP-97-03321	CDM			278	RC		inpatient			1371	1371																																																			
SCREW THREADED 7.3MM X 32MM X 75MM	SUP-97-03328	CDM			278	RC		outpatient			1371	1371	1371				fee schedule		1371				other	OPPS APC	781.47				percent of total billed charges		1371				other	OPPS APC	1371				other	OPPS APC	671.79				percent of total billed charges		699.21				percent of total billed charges		1371				other	OPPS APC	671.79	1371	
SCREW THREADED 7.3MM X 32MM X 75MM	SUP-97-03328	CDM			278	RC		inpatient			1371	1371																																																			
SCREW THREADED 7.3MM X 32MM X 55MM	SUP-97-03495	CDM			278	RC		outpatient			1371	1371	1371				fee schedule		1371				other	OPPS APC	781.47				percent of total billed charges		1371				other	OPPS APC	1371				other	OPPS APC	671.79				percent of total billed charges		699.21				percent of total billed charges		1371				other	OPPS APC	671.79	1371	
SCREW THREADED 7.3MM X 32MM X 55MM	SUP-97-03495	CDM			278	RC		inpatient			1371	1371																																																			
SEALER/DIVIDER MONOPOLAR LIGASURE ADVANCE VALLEYLAB L17.3 IN OD5 MM CURVE BILATERAL JAW ELECTRODE TIP HAND SWITCH DISPOSABLE FORCETRIAD ENERGY PLATFORM LAPAROSCOPIC	SUP-LF5544	CDM			270	RC		outpatient			1370	137	371.13				percent of total billed charges		1370				other	OPPS APC	1013.8				percent of total billed charges		1370				other	OPPS APC	1370				other	OPPS APC	371.13				percent of total billed charges		378.53				percent of total billed charges		137				other	OPPS APC	137	1370	
SEALER/DIVIDER MONOPOLAR LIGASURE ADVANCE VALLEYLAB L17.3 IN OD5 MM CURVE BILATERAL JAW ELECTRODE TIP HAND SWITCH DISPOSABLE FORCETRIAD ENERGY PLATFORM LAPAROSCOPIC	SUP-LF5544	CDM			270	RC		inpatient			1370	1370																																																			
ROD SPINAL ES2 RADIUS TITANIUM HEXAGON L50 MM OD5.5 MM	SUP-482806050	CDM	270010020	LOCAL	270	RC		outpatient			1368	1368	370.59				percent of total billed charges		1368				other	OPPS APC	1012.32				percent of total billed charges		1368				other	OPPS APC	1368				other	OPPS APC	370.59				percent of total billed charges		377.98				percent of total billed charges		1368				other	OPPS APC	370.59	1368	
ROD SPINAL ES2 RADIUS TITANIUM HEXAGON L50 MM OD5.5 MM	SUP-482806050	CDM	270010020	LOCAL	270	RC		inpatient			1368	1368																																																			
STAPLER INTERNAL PROTACK TITANIUM L35.5 MM X W5 MM VASCULAR 30 HELICAL FASTENER STERILE LATEX FREE DISPOSABLE HERNIA MESH	SUP-174006	CDM			270	RC		outpatient			1367.48	1367.48	370.45				percent of total billed charges		1367.48				other	OPPS APC	1011.94				percent of total billed charges		1367.48				other	OPPS APC	1367.48				other	OPPS APC	370.45				percent of total billed charges		377.83				percent of total billed charges		1367.48				other	OPPS APC	370.45	1367.48	
STAPLER INTERNAL PROTACK TITANIUM L35.5 MM X W5 MM VASCULAR 30 HELICAL FASTENER STERILE LATEX FREE DISPOSABLE HERNIA MESH	SUP-174006	CDM			270	RC		inpatient			1367.48	1367.48																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L90 MM TIBIA DISTAL 5 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.205	CDM	270010022	LOCAL	270	RC		outpatient			1366.74	1366.74	370.25				percent of total billed charges		1366.74				other	OPPS APC	1011.39				percent of total billed charges		1366.74				other	OPPS APC	1366.74				other	OPPS APC	370.25				percent of total billed charges		377.63				percent of total billed charges		1366.74				other	OPPS APC	370.25	1366.74	
PLATE BONE LCP COMBI STAINLESS STEEL T L90 MM TIBIA DISTAL 5 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.205	CDM	270010022	LOCAL	270	RC		inpatient			1366.74	1366.74																																																			
Needle Set Ez Io Yellow 15g	PX-272000030	CDM			272	RC		outpatient			1366	1366	370.05				percent of total billed charges		1366				other	OPPS APC	1366				fee schedule		1366				other	OPPS APC	1366				other	OPPS APC	370.05				percent of total billed charges		377.43				percent of total billed charges		1366				other	OPPS APC	370.05	1366	
Needle Set Ez Io Yellow 15g	PX-272000030	CDM			272	RC		inpatient			1366	1366																																																			
CATHETER - TWIN-PASS TORQUE	SUP-99-04199	CDM			272	RC		inpatient			1365	1365																																																			
CATHETER - TWIN-PASS TORQUE	SUP-99-04199	CDM			272	RC		outpatient			1365	1365	369.78				percent of total billed charges						other	OPPS APC	1010.1				percent of total billed charges						other	OPPS APC					other	OPPS APC	369.78				percent of total billed charges		377.15				percent of total billed charges						other	OPPS APC	1010.1	1010.1	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L181 MM FIBULA LEFT DISTAL POSTEROLATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.123	CDM	270010022	LOCAL	270	RC		outpatient			1364	1364	369.51				percent of total billed charges		1364				other	OPPS APC	1009.36				percent of total billed charges		1364				other	OPPS APC	1364				other	OPPS APC	369.51				percent of total billed charges		376.87				percent of total billed charges		1364				other	OPPS APC	369.51	1364	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L181 MM FIBULA LEFT DISTAL POSTEROLATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.123	CDM	270010022	LOCAL	270	RC		inpatient			1364	1364																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L177 MM FIBULA RIGHT DISTAL LATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.152	CDM	270010022	LOCAL	270	RC		outpatient			1364	1364	369.51				percent of total billed charges		1364				other	OPPS APC	1009.36				percent of total billed charges		1364				other	OPPS APC	1364				other	OPPS APC	369.51				percent of total billed charges		376.87				percent of total billed charges		1364				other	OPPS APC	369.51	1364	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L177 MM FIBULA RIGHT DISTAL LATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.152	CDM	270010022	LOCAL	270	RC		inpatient			1364	1364																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L177 MM FIBULA LEFT DISTAL LATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.153	CDM	270010022	LOCAL	270	RC		outpatient			1364	1364	369.51				percent of total billed charges		1364				other	OPPS APC	1009.36				percent of total billed charges		1364				other	OPPS APC	1364				other	OPPS APC	369.51				percent of total billed charges		376.87				percent of total billed charges		1364				other	OPPS APC	369.51	1364	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L177 MM FIBULA LEFT DISTAL LATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.153	CDM	270010022	LOCAL	270	RC		inpatient			1364	1364																																																			
PLATE BONE LCP STAINLESS STEEL L50 MM RADIAL HEAD PROXIMAL 4 HOLE NECK PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.692	CDM	270010022	LOCAL	270	RC		outpatient			1364	1364	369.51				percent of total billed charges		1364				other	OPPS APC	1009.36				percent of total billed charges		1364				other	OPPS APC	1364				other	OPPS APC	369.51				percent of total billed charges		376.87				percent of total billed charges		1364				other	OPPS APC	369.51	1364	
PLATE BONE LCP STAINLESS STEEL L50 MM RADIAL HEAD PROXIMAL 4 HOLE NECK PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.692	CDM	270010022	LOCAL	270	RC		inpatient			1364	1364																																																			
PLATE BONE LCP STAINLESS STEEL L56 MM RADIAL HEAD RIGHT PROXIMAL 4 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.684	CDM	270010022	LOCAL	270	RC		outpatient			1362.9	1362.91	369.21				percent of total billed charges		1362.9				other	OPPS APC	1008.55				percent of total billed charges		1362.9				other	OPPS APC	1362.9				other	OPPS APC	369.21				percent of total billed charges		376.57				percent of total billed charges		1362.91				other	OPPS APC	369.21	1362.91	
PLATE BONE LCP STAINLESS STEEL L56 MM RADIAL HEAD RIGHT PROXIMAL 4 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.684	CDM	270010022	LOCAL	270	RC		inpatient			1362.9	1362.9																																																			
PLATE BONE LCP STAINLESS STEEL L56 MM RADIAL HEAD LEFT PROXIMAL 4 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.685	CDM	270010022	LOCAL	270	RC		outpatient			1362.9	1362.91	369.21				percent of total billed charges		1362.9				other	OPPS APC	1008.55				percent of total billed charges		1362.9				other	OPPS APC	1362.9				other	OPPS APC	369.21				percent of total billed charges		376.57				percent of total billed charges		1362.91				other	OPPS APC	369.21	1362.91	
PLATE BONE LCP STAINLESS STEEL L56 MM RADIAL HEAD LEFT PROXIMAL 4 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.685	CDM	270010022	LOCAL	270	RC		inpatient			1362.9	1362.9																																																			
SCREW  CONICAL EXTRACTION	SUP-97-06142	CDM			278	RC		outpatient			1362	1362	1362				fee schedule		1362				other	OPPS APC	776.34				percent of total billed charges		1362				other	OPPS APC	1362				other	OPPS APC	667.38				percent of total billed charges		694.62				percent of total billed charges		1362				other	OPPS APC	667.38	1362	
SCREW  CONICAL EXTRACTION	SUP-97-06142	CDM			278	RC		inpatient			1362	1362																																																			
GUIDE DRILL LCP OD2 MM THREAD DEPTH GAUGE NONSTERILE SMALL FRAGMENT SET	SUP-323.061	CDM	270010022	LOCAL	270	RC		outpatient			1357.4	1357.41	367.72				percent of total billed charges		1357.4				other	OPPS APC	1004.48				percent of total billed charges		1357.4				other	OPPS APC	1357.4				other	OPPS APC	367.72				percent of total billed charges		375.05				percent of total billed charges		1357.41				other	OPPS APC	367.72	1357.41	
GUIDE DRILL LCP OD2 MM THREAD DEPTH GAUGE NONSTERILE SMALL FRAGMENT SET	SUP-323.061	CDM	270010022	LOCAL	270	RC		inpatient			1357.4	1357.4																																																			
PLATE BONE LCP STAINLESS STEEL L54 MM 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.349	CDM	270010022	LOCAL	270	RC		outpatient			1355.1	1356	367.1				percent of total billed charges		1355.1				other	OPPS APC	1002.77				percent of total billed charges		1355.1				other	OPPS APC	1355.1				other	OPPS APC	367.1				percent of total billed charges		374.41				percent of total billed charges		1356				other	OPPS APC	367.1	1356	
PLATE BONE LCP STAINLESS STEEL L54 MM 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.349	CDM	270010022	LOCAL	270	RC		inpatient			1355.1	1355.1																																																			
LEUPROLIDE 7.5 MG (1 MONTH) SYRINGE	636000000	CDM	62935-756-80	NDC	J9217	HCPCS		inpatient			1355.08	1355.08																																																			
LEUPROLIDE 7.5 MG (1 MONTH) SYRINGE	636000000	CDM	62935-756-80	NDC	J9217	HCPCS		outpatient			1355.08	197.79																																											197.79				other	OPPS APC	197.79	197.79	
SCREW TI LAG 10.5 X 110MM	SUP-97-03421	CDM			278	RC		outpatient			1354.32	1354.32	1354.32				fee schedule		1354.32				other	OPPS APC	771.96				percent of total billed charges		1354.32				other	OPPS APC	1354.32				other	OPPS APC	663.62				percent of total billed charges		690.7				percent of total billed charges		1354.32				other	OPPS APC	663.62	1354.32	
SCREW TI LAG 10.5 X 110MM	SUP-97-03421	CDM			278	RC		inpatient			1354.32	1354.32																																																			
SCREW TI LAG 10.5 X 75MM	SUP-97-03698	CDM			278	RC		outpatient			1354.32	1354.32	1354.32				fee schedule		1354.32				other	OPPS APC	771.96				percent of total billed charges		1354.32				other	OPPS APC	1354.32				other	OPPS APC	663.62				percent of total billed charges		690.7				percent of total billed charges		1354.32				other	OPPS APC	663.62	1354.32	
SCREW TI LAG 10.5 X 75MM	SUP-97-03698	CDM			278	RC		inpatient			1354.32	1354.32																																																			
SCREW TI LAG 10.5 X 115MM	SUP-97-03951	CDM			278	RC		outpatient			1354.32	1354.32	1354.32				fee schedule		1354.32				other	OPPS APC	771.96				percent of total billed charges		1354.32				other	OPPS APC	1354.32				other	OPPS APC	663.62				percent of total billed charges		690.7				percent of total billed charges		1354.32				other	OPPS APC	663.62	1354.32	
SCREW TI LAG 10.5 X 115MM	SUP-97-03951	CDM			278	RC		inpatient			1354.32	1354.32																																																			
CANNULATED DRILL 6.5MM LG AO FITTING	SUP-95-04076	CDM			272	RC		outpatient			1352.16	1352.16	366.3				percent of total billed charges		1352.16				other	OPPS APC	1000.6				percent of total billed charges		1352.16				other	OPPS APC	1352.16				other	OPPS APC	366.3				percent of total billed charges		373.6				percent of total billed charges		1352.16				other	OPPS APC	366.3	1352.16	
CANNULATED DRILL 6.5MM LG AO FITTING	SUP-95-04076	CDM			272	RC		inpatient			1352.16	1352.16																																																			
SCALPEL HARMONIC SHORT	SUP-76-00053	CDM			272	RC		outpatient			1350.98	135.98	365.98				percent of total billed charges		1350.98				other	OPPS APC	999.73				percent of total billed charges		1350.98				other	OPPS APC	1350.98				other	OPPS APC	365.98				percent of total billed charges		373.28				percent of total billed charges		135.98				other	OPPS APC	135.98	1350.98	
SCALPEL HARMONIC SHORT	SUP-76-00053	CDM			272	RC		inpatient			1350.98	1350.98																																																			
VOLCANO VERRATA PRESSURE GUIDEWIRE	SUP-10185	CDM			481	RC		outpatient			1350	135	661.5				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
VOLCANO VERRATA PRESSURE GUIDEWIRE	SUP-10185	CDM			481	RC		inpatient			1350	1350																																																			
CO-SETS	SUP-12-00042	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
CO-SETS	SUP-12-00042	CDM			272	RC		inpatient			1350	1350																																																			
PLIF NUVASIVE MAS TULIP MODULAR	SUP-707000	CDM	270010020	LOCAL	270	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
PLIF NUVASIVE MAS TULIP MODULAR	SUP-707000	CDM	270010020	LOCAL	270	RC		inpatient			1350	1350																																																			
SCREW BONE TULIP SPINE 5.5 MM ROD	SUP-7782004	CDM	270010020	LOCAL	270	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
SCREW BONE TULIP SPINE 5.5 MM ROD	SUP-7782004	CDM	270010020	LOCAL	270	RC		inpatient			1350	1350																																																			
GPS KIT	SUP-78-00373	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
GPS KIT	SUP-78-00373	CDM			272	RC		inpatient			1350	1350																																																			
GUIDEWIRE VASCULAR OMNIWIRE NITINOL STRAIGHT L185 CM PRESSURE	SUP-89185	CDM			481	RC		outpatient			1350	135	661.5				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
GUIDEWIRE VASCULAR OMNIWIRE NITINOL STRAIGHT L185 CM PRESSURE	SUP-89185	CDM			481	RC		inpatient			1350	1350																																																			
GUIDEWIRE GUIDING OMNIWIRE NITINOL J L185 CM PRESSURE SOLID PROXIMAL CORE WORKSHORE CONDUCTIVE BAND IFR IFR COREGISTRATION	SUP-89185J	CDM			481	RC		outpatient			1350	135	661.5				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
GUIDEWIRE GUIDING OMNIWIRE NITINOL J L185 CM PRESSURE SOLID PROXIMAL CORE WORKSHORE CONDUCTIVE BAND IFR IFR COREGISTRATION	SUP-89185J	CDM			481	RC		inpatient			1350	1350																																																			
DRIVER SURGICAL ARROW ONCONTROL POWER	SUP-9401	CDM			270	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
DRIVER SURGICAL ARROW ONCONTROL POWER	SUP-9401	CDM			270	RC		inpatient			1350	1350																																																			
PRIMATRIX 14MM DISC	SUP-95-02700	CDM			636	RC		inpatient			1350	1350																																																			
PRIMATRIX 14MM DISC	SUP-95-02700	CDM			636	RC		outpatient			1350	1350					fee schedule						other	OPPS APC	47.71				fee schedule						other	OPPS APC					other	OPPS APC	661.5				percent of total billed charges		335.61				percent of total billed charges						other	OPPS APC	661.5	661.5	
KIT DISPOSABLE W/ BLADE HIP ARTHROSCOPY	SUP-95-05285	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
KIT DISPOSABLE W/ BLADE HIP ARTHROSCOPY	SUP-95-05285	CDM			272	RC		inpatient			1350	1350																																																			
DRILL KIT CONLLNUOUS COMPESSION IMPLANT	SUP-97-01853	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
DRILL KIT CONLLNUOUS COMPESSION IMPLANT	SUP-97-01853	CDM			278	RC		inpatient			1350	1350																																																			
PURAPLY AM -COM 1.6	SUP-97-03887	CDM			636	RC		outpatient			1350	135	661.5				percent of total billed charges		1350				other	OPPS APC	81.31				fee schedule		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		335.61				percent of total billed charges		135				other	OPPS APC	81.31	1350	
PURAPLY AM -COM 1.6	SUP-97-03887	CDM			636	RC		inpatient			1350	1350																																																			
FIBERTAX RC DR LBRLTAPE WHITE TT/BL/BLK	SUP-97-04154	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
FIBERTAX RC DR LBRLTAPE WHITE TT/BL/BLK	SUP-97-04154	CDM			278	RC		inpatient			1350	1350																																																			
2.6MM KNOTLESS FIBERTAK ANCHOR	SUP-97-04501	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
2.6MM KNOTLESS FIBERTAK ANCHOR	SUP-97-04501	CDM			278	RC		inpatient			1350	1350																																																			
LENS EYHANCE TORIC II DIU150 19.0D	SUP-97-06298	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
LENS EYHANCE TORIC II DIU150 19.0D	SUP-97-06298	CDM			278	RC		inpatient			1350	1350																																																			
LENS EYHANCE TORIC II DIU150 21.5D	SUP-97-06299	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
LENS EYHANCE TORIC II DIU150 21.5D	SUP-97-06299	CDM			278	RC		inpatient			1350	1350																																																			
LENS EYHANCE TORIC II DIU300 21.0D	SUP-97-06300	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
LENS EYHANCE TORIC II DIU300 21.0D	SUP-97-06300	CDM			278	RC		inpatient			1350	1350																																																			
LENS EYHANCE TORIC II DIU225 24.0D	SUP-97-06301	CDM			278	RC		outpatient			1350	135	1350				fee schedule		1350				other	OPPS APC	769.5				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
LENS EYHANCE TORIC II DIU225 24.0D	SUP-97-06301	CDM			278	RC		inpatient			1350	1350																																																			
CATHETER - LATEX FREE SWAN KIT	SUP-99-01068	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
CATHETER - LATEX FREE SWAN KIT	SUP-99-01068	CDM			272	RC		inpatient			1350	1350																																																			
CATHETER - 2.0FX135CM TELEPORT MICROCATHETER	SUP-99-04341	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
CATHETER - 2.0FX135CM TELEPORT MICROCATHETER	SUP-99-04341	CDM			272	RC		inpatient			1350	1350																																																			
CATHETER - FINECROSS MICRO CATHETER 130CM	SUP-99-04891	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
CATHETER - FINECROSS MICRO CATHETER 130CM	SUP-99-04891	CDM			272	RC		inpatient			1350	1350																																																			
CATHETER - FINECROSS MICRO CATHETER 150CM	SUP-99-04892	CDM			272	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
CATHETER - FINECROSS MICRO CATHETER 150CM	SUP-99-04892	CDM			272	RC		inpatient			1350	1350																																																			
BALLOON CUTTING 6 X 2 X 135	SUP-PCB6020135	CDM			270	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
BALLOON CUTTING 6 X 2 X 135	SUP-PCB6020135	CDM			270	RC		inpatient			1350	1350																																																			
CATHETER BALLOON DILATATION PERIPHERAL CUTTING BALLOON L135 CM L20 MM ODSEC7 MM OTW INFLATION PORT TAPER TIP PLAQUE MODIFICATION ACCEPTS .018 IN GUIDEWIRE 7 FR SHEATH ANGIOPLASTY ATHERECTOMY	SUP-PCB7020135	CDM			270	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
CATHETER BALLOON DILATATION PERIPHERAL CUTTING BALLOON L135 CM L20 MM ODSEC7 MM OTW INFLATION PORT TAPER TIP PLAQUE MODIFICATION ACCEPTS .018 IN GUIDEWIRE 7 FR SHEATH ANGIOPLASTY ATHERECTOMY	SUP-PCB7020135	CDM			270	RC		inpatient			1350	1350																																																			
RESOLUTE ONYX STENT 2.0 X 26 MM	SUP-RONYX20026UX	CDM			481	RC		outpatient			1350	135	661.5				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	661.5				percent of total billed charges		688.5				percent of total billed charges		135				other	OPPS APC	135	1350	
RESOLUTE ONYX STENT 2.0 X 26 MM	SUP-RONYX20026UX	CDM			481	RC		inpatient			1350	1350																																																			
KIT SNARE AMPLATZ GOOSENECK NITINOL 90 D MICRO L175 CM L150 CM OD7 MM ODSEC2.3-3 FR LOOP CATHETER KINK RESISTANCE	SUP-SK700	CDM			270	RC		outpatient			1350	135	365.72				percent of total billed charges		1350				other	OPPS APC	999				percent of total billed charges		1350				other	OPPS APC	1350				other	OPPS APC	365.72				percent of total billed charges		373.01				percent of total billed charges		135				other	OPPS APC	135	1350	
KIT SNARE AMPLATZ GOOSENECK NITINOL 90 D MICRO L175 CM L150 CM OD7 MM ODSEC2.3-3 FR LOOP CATHETER KINK RESISTANCE	SUP-SK700	CDM			270	RC		inpatient			1350	1350																																																			
CATHETER INFUSION DIREXION HI-FLO NITINOL .027 IN MICRO BERN L155 CM OD2.8 FR 1 RADIOPAQUE TORQUEABLE FLEXIBLE	SUP-19-545	CDM			270	RC		outpatient			1349.46	1349.46	365.57				percent of total billed charges		1349.46				other	OPPS APC	998.6				percent of total billed charges		1349.46				other	OPPS APC	1349.46				other	OPPS APC	365.57				percent of total billed charges		372.86				percent of total billed charges		1349.46				other	OPPS APC	365.57	1349.46	
CATHETER INFUSION DIREXION HI-FLO NITINOL .027 IN MICRO BERN L155 CM OD2.8 FR 1 RADIOPAQUE TORQUEABLE FLEXIBLE	SUP-19-545	CDM			270	RC		inpatient			1349.46	1349.46																																																			
BIOPSY DRAPE  NON STERILE DISP	SUP-95-01222	CDM			272	RC		outpatient			1346.64	1346.64	364.8				percent of total billed charges		1346.64				other	OPPS APC	996.51				percent of total billed charges		1346.64				other	OPPS APC	1346.64				other	OPPS APC	364.8				percent of total billed charges		372.08				percent of total billed charges		1346.64				other	OPPS APC	364.8	1346.64	
BIOPSY DRAPE  NON STERILE DISP	SUP-95-01222	CDM			272	RC		inpatient			1346.64	1346.64																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM LARGE OD42 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503L-03C	CDM	270010030	LOCAL	270	RC		outpatient			1344.78	1344.78	364.3				percent of total billed charges		1344.78				other	OPPS APC	995.14				percent of total billed charges		1344.78				other	OPPS APC	1344.78				other	OPPS APC	364.3				percent of total billed charges		371.56				percent of total billed charges		1344.78				other	OPPS APC	364.3	1344.78	
INSERT HUMERAL UNIVERS REVERS +3 MM LARGE OD42 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503L-03C	CDM	270010030	LOCAL	270	RC		inpatient			1344.78	1344.78																																																			
INSERT HUMERAL UNIVERS REVERS +6 MM LARGE OD42 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9503L-06C	CDM	270010030	LOCAL	270	RC		outpatient			1344.78	1344.78	364.3				percent of total billed charges		1344.78				other	OPPS APC	995.14				percent of total billed charges		1344.78				other	OPPS APC	1344.78				other	OPPS APC	364.3				percent of total billed charges		371.56				percent of total billed charges		1344.78				other	OPPS APC	364.3	1344.78	
INSERT HUMERAL UNIVERS REVERS +6 MM LARGE OD42 MM SHOULDER STERILE ARTHROPLASTY	SUP-AR-9503L-06C	CDM	270010030	LOCAL	270	RC		inpatient			1344.78	1344.78																																																			
INSERT ARTHREX HUMERAL M/39 +6	SUP-AR-9503M-06C	CDM	270010030	LOCAL	270	RC		outpatient			1344.78	1344.78	364.3				percent of total billed charges		1344.78				other	OPPS APC	995.14				percent of total billed charges		1344.78				other	OPPS APC	1344.78				other	OPPS APC	364.3				percent of total billed charges		371.56				percent of total billed charges		1344.78				other	OPPS APC	364.3	1344.78	
INSERT ARTHREX HUMERAL M/39 +6	SUP-AR-9503M-06C	CDM	270010030	LOCAL	270	RC		inpatient			1344.78	1344.78																																																			
INSERT HUMERAL UNIVERS REVERS +3 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-03C	CDM	270010030	LOCAL	270	RC		outpatient			1344.78	1344.78	364.3				percent of total billed charges		1344.78				other	OPPS APC	995.14				percent of total billed charges		1344.78				other	OPPS APC	1344.78				other	OPPS APC	364.3				percent of total billed charges		371.56				percent of total billed charges		1344.78				other	OPPS APC	364.3	1344.78	
INSERT HUMERAL UNIVERS REVERS +3 MM SMALL OD36 MM SHOULDER CONSTRAIN STERILE ARTHROPLASTY	SUP-AR-9503S-03C	CDM	270010030	LOCAL	270	RC		inpatient			1344.78	1344.78																																																			
PLATE BONE STAINLESS STEEL 11.5 MM SPACE L 162 MM X W 10.7 MM X H 3.4 MM 14 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440714	CDM			270	RC		outpatient			1344	1344	364.09				percent of total billed charges		1344				other	OPPS APC	994.56				percent of total billed charges		1344				other	OPPS APC	1344				other	OPPS APC	364.09				percent of total billed charges		371.35				percent of total billed charges		1344				other	OPPS APC	364.09	1344	
PLATE BONE STAINLESS STEEL 11.5 MM SPACE L 162 MM X W 10.7 MM X H 3.4 MM 14 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440714	CDM			270	RC		inpatient			1344	1344																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L151 MM FIBULA RIGHT DISTAL LATERAL 9 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.148	CDM	270010022	LOCAL	270	RC		outpatient			1343.1	1344	363.85				percent of total billed charges		1343.1				other	OPPS APC	993.89				percent of total billed charges		1343.1				other	OPPS APC	1343.1				other	OPPS APC	363.85				percent of total billed charges		371.1				percent of total billed charges		1344				other	OPPS APC	363.85	1344	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L151 MM FIBULA RIGHT DISTAL LATERAL 9 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.148	CDM	270010022	LOCAL	270	RC		inpatient			1343.1	1343.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L151 MM FIBULA LEFT DISTAL LATERAL 9 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.149	CDM	270010022	LOCAL	270	RC		outpatient			1343.1	1344	363.85				percent of total billed charges		1343.1				other	OPPS APC	993.89				percent of total billed charges		1343.1				other	OPPS APC	1343.1				other	OPPS APC	363.85				percent of total billed charges		371.1				percent of total billed charges		1344				other	OPPS APC	363.85	1344	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L151 MM FIBULA LEFT DISTAL LATERAL 9 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.149	CDM	270010022	LOCAL	270	RC		inpatient			1343.1	1343.1																																																			
SCREW BONE TITANIUM THREAD L70 MM X W130 MM OD11 MM PROXIMAL TROCHANTER FEMUR FIXATION SELFTAPPING INVERSE ANGLE STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.032.070S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM THREAD L70 MM X W130 MM OD11 MM PROXIMAL TROCHANTER FEMUR FIXATION SELFTAPPING INVERSE ANGLE STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.032.070S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L75 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.075S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L75 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.075S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L80 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.080S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L80 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.080S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L85 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.085S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L85 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.085S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L90 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.090S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L90 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.090S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L95 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.095S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L95 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.095S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L100 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.100S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L100 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.100S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L105 MM OD11 MM TROCHANTERIC CANNULATED FEMORAL NECK STERILE GOLD FIXATION NAIL	SUP-04.032.105S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L105 MM OD11 MM TROCHANTERIC CANNULATED FEMORAL NECK STERILE GOLD FIXATION NAIL	SUP-04.032.105S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L110 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.110S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L110 MM OD11 MM FEMUR TROCHANTERIC PROXIMAL STERILE INTRAMEDULLARY NAIL FIXATION	SUP-04.032.110S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L115 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.115S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L115 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.115S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
SCREW BONE TITANIUM L120 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.120S	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
SCREW BONE TITANIUM L120 MM OD11 MM FEMUR TROCHANTER PROXIMAL FIXATION STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-04.032.120S	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
PLATE BONE LCP BROAD 206X17.5X5.2MM SS NS 11 HOLE 4.5MM SCREW LG FRAGMENT	SUP-226.611	CDM	270010022	LOCAL	270	RC		outpatient			1342	1342	363.55				percent of total billed charges		1342				other	OPPS APC	993.08				percent of total billed charges		1342				other	OPPS APC	1342				other	OPPS APC	363.55				percent of total billed charges		370.79				percent of total billed charges		1342				other	OPPS APC	363.55	1342	
PLATE BONE LCP BROAD 206X17.5X5.2MM SS NS 11 HOLE 4.5MM SCREW LG FRAGMENT	SUP-226.611	CDM	270010022	LOCAL	270	RC		inpatient			1342	1342																																																			
PLATE BONE LCP STAINLESS STEEL L46 MM RADIAL HEAD RIGHT PROXIMAL 3 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.682	CDM	270010022	LOCAL	270	RC		outpatient			1340.9	134.91	363.25				percent of total billed charges		1340.9				other	OPPS APC	992.27				percent of total billed charges		1340.9				other	OPPS APC	1340.9				other	OPPS APC	363.25				percent of total billed charges		370.49				percent of total billed charges		134.91				other	OPPS APC	134.91	1340.9	
PLATE BONE LCP STAINLESS STEEL L46 MM RADIAL HEAD RIGHT PROXIMAL 3 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.682	CDM	270010022	LOCAL	270	RC		inpatient			1340.9	1340.9																																																			
PLATE BONE LCP STAINLESS STEEL L46 MM RADIAL HEAD LEFT PROXIMAL 3 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.683	CDM	270010022	LOCAL	270	RC		outpatient			1340.9	134.91	363.25				percent of total billed charges		1340.9				other	OPPS APC	992.27				percent of total billed charges		1340.9				other	OPPS APC	1340.9				other	OPPS APC	363.25				percent of total billed charges		370.49				percent of total billed charges		134.91				other	OPPS APC	134.91	1340.9	
PLATE BONE LCP STAINLESS STEEL L46 MM RADIAL HEAD LEFT PROXIMAL 3 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.683	CDM	270010022	LOCAL	270	RC		inpatient			1340.9	1340.9																																																			
PLATE BONE LCP STAINLESS STEEL L40 MM RADIAL HEAD PROXIMAL 3 HOLE NECK PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.691	CDM	270010022	LOCAL	270	RC		outpatient			1340.9	134.91	363.25				percent of total billed charges		1340.9				other	OPPS APC	992.27				percent of total billed charges		1340.9				other	OPPS APC	1340.9				other	OPPS APC	363.25				percent of total billed charges		370.49				percent of total billed charges		134.91				other	OPPS APC	134.91	1340.9	
PLATE BONE LCP STAINLESS STEEL L40 MM RADIAL HEAD PROXIMAL 3 HOLE NECK PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.691	CDM	270010022	LOCAL	270	RC		inpatient			1340.9	1340.9																																																			
12X20CATH KIT LG BORE MULTI-LUMEN X1A	SUP-95-04144	CDM			272	RC		outpatient			1340.19	134.19	363.06				percent of total billed charges		1340.19				other	OPPS APC	991.74				percent of total billed charges		1340.19				other	OPPS APC	1340.19				other	OPPS APC	363.06				percent of total billed charges		370.29				percent of total billed charges		134.19				other	OPPS APC	134.19	1340.19	
12X20CATH KIT LG BORE MULTI-LUMEN X1A	SUP-95-04144	CDM			272	RC		inpatient			1340.19	1340.19																																																			
PLATE BONE STAINLESS STEEL 11MM SPACE L 63MM X W 10.9MM X H 1.5MM W 19MM X H 1.5MM TIBIAL RIGHT DISTAL POSTERIOR 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5MM SCREW	SUP-72454603	CDM			270	RC		outpatient			1340	134	363.01				percent of total billed charges		1340				other	OPPS APC	991.6				percent of total billed charges		1340				other	OPPS APC	1340				other	OPPS APC	363.01				percent of total billed charges		370.24				percent of total billed charges		134				other	OPPS APC	134	1340	
PLATE BONE STAINLESS STEEL 11MM SPACE L 63MM X W 10.9MM X H 1.5MM W 19MM X H 1.5MM TIBIAL RIGHT DISTAL POSTERIOR 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE PARTIAL ARTICULAR STERILE 3.5MM SCREW	SUP-72454603	CDM			270	RC		inpatient			1340	1340																																																			
SCREW BONE STAINLESS STEEL L12 MM OD2 MM MANDIBLE SELF DRILL NONSTERILE INTERMAXILLARY FIXATION	SUP-201.932	CDM	270010022	LOCAL	270	RC		outpatient			1336.3	1336.3	362				percent of total billed charges		1336.3				other	OPPS APC	988.86				percent of total billed charges		1336.3				other	OPPS APC	1336.3				other	OPPS APC	362				percent of total billed charges		369.22				percent of total billed charges		1336.3				other	OPPS APC	362	1336.3	
SCREW BONE STAINLESS STEEL L12 MM OD2 MM MANDIBLE SELF DRILL NONSTERILE INTERMAXILLARY FIXATION	SUP-201.932	CDM	270010022	LOCAL	270	RC		inpatient			1336.3	1336.3																																																			
PLATE BONE 95X3.3X.5MM TITANIUM NS CRANIOFACIAL 24 HOLE ADAPTION 1.3MM CORTEX SCREW	SUP-421.010	CDM	270010022	LOCAL	270	RC		outpatient			1336.3	1336.3	362				percent of total billed charges		1336.3				other	OPPS APC	988.86				percent of total billed charges		1336.3				other	OPPS APC	1336.3				other	OPPS APC	362				percent of total billed charges		369.22				percent of total billed charges		1336.3				other	OPPS APC	362	1336.3	
PLATE BONE 95X3.3X.5MM TITANIUM NS CRANIOFACIAL 24 HOLE ADAPTION 1.3MM CORTEX SCREW	SUP-421.010	CDM	270010022	LOCAL	270	RC		inpatient			1336.3	1336.3																																																			
BTB TIGHTROPE	SUP-97-04613	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
BTB TIGHTROPE	SUP-97-04613	CDM			278	RC		inpatient			1335	1335																																																			
PIN CLAMP 4 POSITION LARGE	SUP-97-06095	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
PIN CLAMP 4 POSITION LARGE	SUP-97-06095	CDM			278	RC		inpatient			1335	1335																																																			
CABLE- CARTO PENTARAY	SUP-99-04748	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE- CARTO PENTARAY	SUP-99-04748	CDM			278	RC		inpatient			1335	1335																																																			
CABLE- DECANAV	SUP-99-04752	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE- DECANAV	SUP-99-04752	CDM			278	RC		inpatient			1335	1335																																																			
CABLE- NON NAV	SUP-99-04753	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE- NON NAV	SUP-99-04753	CDM			278	RC		inpatient			1335	1335																																																			
CABLE- CARTO 34 PIN RED CONNECTOR	SUP-99-04755	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE- CARTO 34 PIN RED CONNECTOR	SUP-99-04755	CDM			278	RC		inpatient			1335	1335																																																			
CABLE- CARTO 3 L10 FT RED	SUP-99-04757	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE- CARTO 3 L10 FT RED	SUP-99-04757	CDM			278	RC		inpatient			1335	1335																																																			
CABLE - REVERSE PIN CABLE (FOR EP STUDY)	SUP-99-04790	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE - REVERSE PIN CABLE (FOR EP STUDY)	SUP-99-04790	CDM			278	RC		inpatient			1335	1335																																																			
CABLE - REVERSE PIN CABLE (FOR EP STUDY/DECANAV)	SUP-99-04791	CDM			278	RC		outpatient			1335	1335	1335				fee schedule		1335				other	OPPS APC	760.95				percent of total billed charges		1335				other	OPPS APC	1335				other	OPPS APC	654.15				percent of total billed charges		680.85				percent of total billed charges		1335				other	OPPS APC	654.15	1335	
CABLE - REVERSE PIN CABLE (FOR EP STUDY/DECANAV)	SUP-99-04791	CDM			278	RC		inpatient			1335	1335																																																			
CLAMP PIN TO ROD	SUP-4960-1-020	CDM	270010022	LOCAL	270	RC		outpatient			1334.4	1334.41	361.49				percent of total billed charges		1334.4				other	OPPS APC	987.46				percent of total billed charges		1334.4				other	OPPS APC	1334.4				other	OPPS APC	361.49				percent of total billed charges		368.69				percent of total billed charges		1334.41				other	OPPS APC	361.49	1334.41	
CLAMP PIN TO ROD	SUP-4960-1-020	CDM	270010022	LOCAL	270	RC		inpatient			1334.4	1334.4																																																			
HC Mra-Neck	PX-615705470	CDM	70547	CPT	615	RC		outpatient			1334	245.95	360.67				fee schedule		245.95				other	OPPS APC	1243.57				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	224.88				fee schedule		167.41				fee schedule		245.95				other	OPPS APC	167.41	1243.57	
HC Mra-Neck	PX-615705470	CDM	70547	CPT	615	RC		inpatient			1334	1334																																																			
HC Mra Upper Extremity	PX-618732250	CDM	73225	CPT	618	RC		outpatient			1334	1334	436.35				fee schedule		1334				other	OPPS APC	1563.31				fee schedule		1334				other	OPPS APC	1334				other	OPPS APC	358.51				fee schedule		275.23				fee schedule		1334				other	OPPS APC	275.23	1563.31	
HC Mra Upper Extremity	PX-618732250	CDM	73225	CPT	618	RC		inpatient			1334	1334																																																			
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 10 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-51-09	CDM			270	RC		outpatient			1333.5	1333.5	361.25				percent of total billed charges		1333.5				other	OPPS APC	986.79				percent of total billed charges		1333.5				other	OPPS APC	1333.5				other	OPPS APC	361.25				percent of total billed charges		368.45				percent of total billed charges		1333.5				other	OPPS APC	361.25	1333.5	
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 10 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-51-09	CDM			270	RC		inpatient			1333.5	1333.5																																																			
PLATE VARIAX  H SMALL	SUP-40-15021	CDM			270	RC		outpatient			1331.2	1331.2	360.62				percent of total billed charges		1331.2				other	OPPS APC	985.09				percent of total billed charges		1331.2				other	OPPS APC	1331.2				other	OPPS APC	360.62				percent of total billed charges		367.81				percent of total billed charges		1331.2				other	OPPS APC	360.62	1331.2	
PLATE VARIAX  H SMALL	SUP-40-15021	CDM			270	RC		inpatient			1331.2	1331.2																																																			
ULTRA STENT 4.5 X 13	SUP-1003381-13	CDM			481	RC		outpatient			1330	133	651.7				percent of total billed charges		1330				other	OPPS APC	984.2				percent of total billed charges		1330				other	OPPS APC	1330				other	OPPS APC	651.7				percent of total billed charges		678.3				percent of total billed charges		133				other	OPPS APC	133	1330	
ULTRA STENT 4.5 X 13	SUP-1003381-13	CDM			481	RC		inpatient			1330	1330																																																			
ULTRA STENT 4.5 X 18	SUP-1003381-18	CDM			481	RC		outpatient			1330	133	651.7				percent of total billed charges		1330				other	OPPS APC	984.2				percent of total billed charges		1330				other	OPPS APC	1330				other	OPPS APC	651.7				percent of total billed charges		678.3				percent of total billed charges		133				other	OPPS APC	133	1330	
ULTRA STENT 4.5 X 18	SUP-1003381-18	CDM			481	RC		inpatient			1330	1330																																																			
VISION STENT 4.5 X 28 MM	SUP-1003381-28	CDM			481	RC		outpatient			1330	133	651.7				percent of total billed charges		1330				other	OPPS APC	984.2				percent of total billed charges		1330				other	OPPS APC	1330				other	OPPS APC	651.7				percent of total billed charges		678.3				percent of total billed charges		133				other	OPPS APC	133	1330	
VISION STENT 4.5 X 28 MM	SUP-1003381-28	CDM			481	RC		inpatient			1330	1330																																																			
SYNCHRO2 STANDARD PRESHAPE WIRE	SUP-M00326420	CDM			270	RC		outpatient			1330	133	360.3				percent of total billed charges		1330				other	OPPS APC	984.2				percent of total billed charges		1330				other	OPPS APC	1330				other	OPPS APC	360.3				percent of total billed charges		367.48				percent of total billed charges		133				other	OPPS APC	133	1330	
SYNCHRO2 STANDARD PRESHAPE WIRE	SUP-M00326420	CDM			270	RC		inpatient			1330	1330																																																			
PLATE BONE VARIAX SMARTLOCK TITANIUM T OBLIQUE FOOT LEFT LOW PROFILE	SUP-40-15071	CDM			270	RC		outpatient			1329.6	1329.6	360.19				percent of total billed charges		1329.6				other	OPPS APC	983.9				percent of total billed charges		1329.6				other	OPPS APC	1329.6				other	OPPS APC	360.19				percent of total billed charges		367.37				percent of total billed charges		1329.6				other	OPPS APC	360.19	1329.6	
PLATE BONE VARIAX SMARTLOCK TITANIUM T OBLIQUE FOOT LEFT LOW PROFILE	SUP-40-15071	CDM			270	RC		inpatient			1329.6	1329.6																																																			
CANNULA OUTFLOW 3MM	SUP-95-03858	CDM			272	RC		outpatient			1329.12	1329.12	360.06				percent of total billed charges		1329.12				other	OPPS APC	983.55				percent of total billed charges		1329.12				other	OPPS APC	1329.12				other	OPPS APC	360.06				percent of total billed charges		367.24				percent of total billed charges		1329.12				other	OPPS APC	360.06	1329.12	
CANNULA OUTFLOW 3MM	SUP-95-03858	CDM			272	RC		inpatient			1329.12	1329.12																																																			
LG EX-FIX 11MMCRBN FBR RO250 -CONDITIONA	SUP-97-03007	CDM			278	RC		outpatient			1329	1329	1329				fee schedule		1329				other	OPPS APC	757.53				percent of total billed charges		1329				other	OPPS APC	1329				other	OPPS APC	651.21				percent of total billed charges		677.79				percent of total billed charges		1329				other	OPPS APC	651.21	1329	
LG EX-FIX 11MMCRBN FBR RO250 -CONDITIONA	SUP-97-03007	CDM			278	RC		inpatient			1329	1329																																																			
HC CT Abdomen W/O Contrast	PX-352741500	CDM	74150	CPT	352	RC		outpatient			1328	112.57	157.35				fee schedule		112.57				other	OPPS APC	696.68				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	141.63				fee schedule		84.87				fee schedule		112.57				other	OPPS APC	84.87	696.68	
HC CT Abdomen W/O Contrast	PX-352741500	CDM	74150	CPT	352	RC		inpatient			1328	1328																																																			
HC Treat Fx Radius & Ulna W/Manipulatio	PX-450255651	CDM	25565	CPT	450	RC		outpatient			1327	1327	195.77				case rate		1327				other	OPPS APC	981.98				percent of total billed charges		1327				other	OPPS APC	1327				other	OPPS APC	195.77				case rate		199.69				case rate		1327				other	OPPS APC	195.77	1327	
HC Treat Fx Radius & Ulna W/Manipulatio	PX-450255651	CDM	25565	CPT	450	RC		inpatient			1327	1327																																																			
AXLE TIBIAL OSS KNEE LOW FRICTION INTERFACE	SUP-150480	CDM			270	RC		outpatient			1326	1326	359.21				percent of total billed charges		1326				other	OPPS APC	981.24				percent of total billed charges		1326				other	OPPS APC	1326				other	OPPS APC	359.21				percent of total billed charges		366.37				percent of total billed charges		1326				other	OPPS APC	359.21	1326	
AXLE TIBIAL OSS KNEE LOW FRICTION INTERFACE	SUP-150480	CDM			270	RC		inpatient			1326	1326																																																			
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L10 MM SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND COLOR CODED	SUP-853-010	CDM	270010020	LOCAL	270	RC		outpatient			1326	1326	359.21				percent of total billed charges		1326				other	OPPS APC	981.24				percent of total billed charges		1326				other	OPPS APC	1326				other	OPPS APC	359.21				percent of total billed charges		366.37				percent of total billed charges		1326				other	OPPS APC	359.21	1326	
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L10 MM SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND COLOR CODED	SUP-853-010	CDM	270010020	LOCAL	270	RC		inpatient			1326	1326																																																			
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L12 MM SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND COLOR CODED	SUP-853-012	CDM	270010020	LOCAL	270	RC		outpatient			1326	1326	359.21				percent of total billed charges		1326				other	OPPS APC	981.24				percent of total billed charges		1326				other	OPPS APC	1326				other	OPPS APC	359.21				percent of total billed charges		366.37				percent of total billed charges		1326				other	OPPS APC	359.21	1326	
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L12 MM SPINE MULTIPLE HOLE OPEN DOOR PRECUT KICKSTAND COLOR CODED	SUP-853-012	CDM	270010020	LOCAL	270	RC		inpatient			1326	1326																																																			
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L10 MM SPINE GRAFT PRECUT COLOR CODED	SUP-853-410	CDM	270010020	LOCAL	270	RC		outpatient			1326	1326	359.21				percent of total billed charges		1326				other	OPPS APC	981.24				percent of total billed charges		1326				other	OPPS APC	1326				other	OPPS APC	359.21				percent of total billed charges		366.37				percent of total billed charges		1326				other	OPPS APC	359.21	1326	
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L10 MM SPINE GRAFT PRECUT COLOR CODED	SUP-853-410	CDM	270010020	LOCAL	270	RC		inpatient			1326	1326																																																			
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L12 MM SPINE GRAFT PRECUT COLOR CODED	SUP-853-412	CDM	270010020	LOCAL	270	RC		outpatient			1326	1326	359.21				percent of total billed charges		1326				other	OPPS APC	981.24				percent of total billed charges		1326				other	OPPS APC	1326				other	OPPS APC	359.21				percent of total billed charges		366.37				percent of total billed charges		1326				other	OPPS APC	359.21	1326	
PLATE BONE CENTERPIECE TITANIUM PRECONTOUR L12 MM SPINE GRAFT PRECUT COLOR CODED	SUP-853-412	CDM	270010020	LOCAL	270	RC		inpatient			1326	1326																																																			
PLATE DISTAL LATERAL FIBULA 6 HOLE	SUP-95-03981	CDM			278	RC		outpatient			1324.98	1324.98	1324.98				fee schedule		1324.98				other	OPPS APC	755.24				percent of total billed charges		1324.98				other	OPPS APC	1324.98				other	OPPS APC	649.24				percent of total billed charges		675.74				percent of total billed charges		1324.98				other	OPPS APC	649.24	1324.98	
PLATE DISTAL LATERAL FIBULA 6 HOLE	SUP-95-03981	CDM			278	RC		inpatient			1324.98	1324.98																																																			
PLATE BONE LC-DCP TITANIUM L39 MM X W6.5 MM X H1.25 MM MANDIBLE 5 HOLE 2.4 MM SCREW	SUP-449.15	CDM	270010014	LOCAL	270	RC		outpatient			1324.34	1324.34	358.76				percent of total billed charges		1324.34				other	OPPS APC	980.01				percent of total billed charges		1324.34				other	OPPS APC	1324.34				other	OPPS APC	358.76				percent of total billed charges		365.92				percent of total billed charges		1324.34				other	OPPS APC	358.76	1324.34	
PLATE BONE LC-DCP TITANIUM L39 MM X W6.5 MM X H1.25 MM MANDIBLE 5 HOLE 2.4 MM SCREW	SUP-449.15	CDM	270010014	LOCAL	270	RC		inpatient			1324.34	1324.34																																																			
CLAMP EXTERNAL FIXATION OD11 MM ODSEC8 MM COMBINATION CLIP ON SELF HOLD MR SAFE NONSTERILE MEDIUM	SUP-390.037	CDM	270010022	LOCAL	270	RC		outpatient			1323.3	1323.3	358.48				percent of total billed charges		1323.3				other	OPPS APC	979.24				percent of total billed charges		1323.3				other	OPPS APC	1323.3				other	OPPS APC	358.48				percent of total billed charges		365.63				percent of total billed charges		1323.3				other	OPPS APC	358.48	1323.3	
CLAMP EXTERNAL FIXATION OD11 MM ODSEC8 MM COMBINATION CLIP ON SELF HOLD MR SAFE NONSTERILE MEDIUM	SUP-390.037	CDM	270010022	LOCAL	270	RC		inpatient			1323.3	1323.3																																																			
IMPLANT FIXATION MATRIXRIB TITANIUM SMALL W3 MM INTRAMEDULLARY SPLINT NONSTERILE	SUP-04.501.010	CDM			270	RC		outpatient			1321.88	1321.88	358.1				percent of total billed charges		1321.88				other	OPPS APC	978.19				percent of total billed charges		1321.88				other	OPPS APC	1321.88				other	OPPS APC	358.1				percent of total billed charges		365.24				percent of total billed charges		1321.88				other	OPPS APC	358.1	1321.88	
IMPLANT FIXATION MATRIXRIB TITANIUM SMALL W3 MM INTRAMEDULLARY SPLINT NONSTERILE	SUP-04.501.010	CDM			270	RC		inpatient			1321.88	1321.88																																																			
IMPLANT FIXATION MATRIXRIB MED 4MM TITANIUM NS INTRAMEDULLARY SPLINT	SUP-04.501.011	CDM			270	RC		outpatient			1321.88	1321.88	358.1				percent of total billed charges		1321.88				other	OPPS APC	978.19				percent of total billed charges		1321.88				other	OPPS APC	1321.88				other	OPPS APC	358.1				percent of total billed charges		365.24				percent of total billed charges		1321.88				other	OPPS APC	358.1	1321.88	
IMPLANT FIXATION MATRIXRIB MED 4MM TITANIUM NS INTRAMEDULLARY SPLINT	SUP-04.501.011	CDM			270	RC		inpatient			1321.88	1321.88																																																			
T SHAPE LKNG 10 HOLE NARROW PLATE	SUP-97-04998	CDM			278	RC		outpatient			1321.65	1321.65	1321.65				fee schedule		1321.65				other	OPPS APC	753.34				percent of total billed charges		1321.65				other	OPPS APC	1321.65				other	OPPS APC	647.61				percent of total billed charges		674.04				percent of total billed charges		1321.65				other	OPPS APC	647.61	1321.65	
T SHAPE LKNG 10 HOLE NARROW PLATE	SUP-97-04998	CDM			278	RC		inpatient			1321.65	1321.65																																																			
PLATE VARIAX COMPRES 7 HOLE X 90 LCKNG	SUP-97-04919	CDM			278	RC		outpatient			1321.32	1321.32	1321.32				fee schedule		1321.32				other	OPPS APC	753.15				percent of total billed charges		1321.32				other	OPPS APC	1321.32				other	OPPS APC	647.45				percent of total billed charges		673.87				percent of total billed charges		1321.32				other	OPPS APC	647.45	1321.32	
PLATE VARIAX COMPRES 7 HOLE X 90 LCKNG	SUP-97-04919	CDM			278	RC		inpatient			1321.32	1321.32																																																			
PLATE VARIAX COMPRES 7HOLE X 90MM LCKING	SUP-97-05554	CDM			278	RC		outpatient			1321.32	1321.32	1321.32				fee schedule		1321.32				other	OPPS APC	753.15				percent of total billed charges		1321.32				other	OPPS APC	1321.32				other	OPPS APC	647.45				percent of total billed charges		673.87				percent of total billed charges		1321.32				other	OPPS APC	647.45	1321.32	
PLATE VARIAX COMPRES 7HOLE X 90MM LCKING	SUP-97-05554	CDM			278	RC		inpatient			1321.32	1321.32																																																			
PLATE VARIAX COMPRESSION STRAIGHT 6 HOLE BROAD 79MM	SUP-97-06114	CDM			278	RC		outpatient			1321.32	1321.32	1321.32				fee schedule		1321.32				other	OPPS APC	753.15				percent of total billed charges		1321.32				other	OPPS APC	1321.32				other	OPPS APC	647.45				percent of total billed charges		673.87				percent of total billed charges		1321.32				other	OPPS APC	647.45	1321.32	
PLATE VARIAX COMPRESSION STRAIGHT 6 HOLE BROAD 79MM	SUP-97-06114	CDM			278	RC		inpatient			1321.32	1321.32																																																			
PLATE 5 HOLE 67MM VARIAX COMPRESSION STRAIGHT BROAD	SUP-97-06414	CDM			278	RC		outpatient			1321.32	1321.32	1321.32				fee schedule		1321.32				other	OPPS APC	753.15				percent of total billed charges		1321.32				other	OPPS APC	1321.32				other	OPPS APC	647.45				percent of total billed charges		673.87				percent of total billed charges		1321.32				other	OPPS APC	647.45	1321.32	
PLATE 5 HOLE 67MM VARIAX COMPRESSION STRAIGHT BROAD	SUP-97-06414	CDM			278	RC		inpatient			1321.32	1321.32																																																			
PLATE 7 HOLE 91MM WITH 2 LOCKING HOLES VARIAX COMPRESSION STRAIGHT BROAD	SUP-97-06415	CDM			278	RC		outpatient			1321.32	1321.32	1321.32				fee schedule		1321.32				other	OPPS APC	753.15				percent of total billed charges		1321.32				other	OPPS APC	1321.32				other	OPPS APC	647.45				percent of total billed charges		673.87				percent of total billed charges		1321.32				other	OPPS APC	647.45	1321.32	
PLATE 7 HOLE 91MM WITH 2 LOCKING HOLES VARIAX COMPRESSION STRAIGHT BROAD	SUP-97-06415	CDM			278	RC		inpatient			1321.32	1321.32																																																			
STIMUBLAST 255CC	SUP-75-00118	CDM			278	RC		outpatient			1320	132	1320				fee schedule		1320				other	OPPS APC	752.4				percent of total billed charges		1320				other	OPPS APC	1320				other	OPPS APC	646.8				percent of total billed charges		673.2				percent of total billed charges		132				other	OPPS APC	132	1320	
STIMUBLAST 255CC	SUP-75-00118	CDM			278	RC		inpatient			1320	1320																																																			
STIMUBLAST 255CC	SUP-97-00968	CDM			278	RC		outpatient			1320	132	1320				fee schedule		1320				other	OPPS APC	752.4				percent of total billed charges		1320				other	OPPS APC	1320				other	OPPS APC	646.8				percent of total billed charges		673.2				percent of total billed charges		132				other	OPPS APC	132	1320	
STIMUBLAST 255CC	SUP-97-00968	CDM			278	RC		inpatient			1320	1320																																																			
SCREW 7.3 MM CANN CONICAL PT 7	SUP-97-03514	CDM			278	RC		outpatient			1320	132	1320				fee schedule		1320				other	OPPS APC	752.4				percent of total billed charges		1320				other	OPPS APC	1320				other	OPPS APC	646.8				percent of total billed charges		673.2				percent of total billed charges		132				other	OPPS APC	132	1320	
SCREW 7.3 MM CANN CONICAL PT 7	SUP-97-03514	CDM			278	RC		inpatient			1320	1320																																																			
SEMI-CIRCULAR CURVED ROD HOFFMANN3 +11X2	SUP-97-03591	CDM			278	RC		outpatient			1318.8	1318.8	1318.8				fee schedule		1318.8				other	OPPS APC	751.72				percent of total billed charges		1318.8				other	OPPS APC	1318.8				other	OPPS APC	646.21				percent of total billed charges		672.59				percent of total billed charges		1318.8				other	OPPS APC	646.21	1318.8	
SEMI-CIRCULAR CURVED ROD HOFFMANN3 +11X2	SUP-97-03591	CDM			278	RC		inpatient			1318.8	1318.8																																																			
Z-MED II BALLOON 28MM X 4CM	SUP-611660	CDM			481	RC		outpatient			1318.2	1318.2	645.92				percent of total billed charges		1318.2				other	OPPS APC	975.47				percent of total billed charges		1318.2				other	OPPS APC	1318.2				other	OPPS APC	645.92				percent of total billed charges		672.28				percent of total billed charges		1318.2				other	OPPS APC	645.92	1318.2	
Z-MED II BALLOON 28MM X 4CM	SUP-611660	CDM			481	RC		inpatient			1318.2	1318.2																																																			
Z-MED II BALLOON 30MM X 4CM	SUP-611661	CDM			481	RC		outpatient			1318.2	1318.2	645.92				percent of total billed charges		1318.2				other	OPPS APC	975.47				percent of total billed charges		1318.2				other	OPPS APC	1318.2				other	OPPS APC	645.92				percent of total billed charges		672.28				percent of total billed charges		1318.2				other	OPPS APC	645.92	1318.2	
Z-MED II BALLOON 30MM X 4CM	SUP-611661	CDM			481	RC		inpatient			1318.2	1318.2																																																			
TAVR Z-MED BALLOON 24MM X 4CM	SUP-611819	CDM			481	RC		outpatient			1318.2	1318.2	645.92				percent of total billed charges		1318.2				other	OPPS APC	975.47				percent of total billed charges		1318.2				other	OPPS APC	1318.2				other	OPPS APC	645.92				percent of total billed charges		672.28				percent of total billed charges		1318.2				other	OPPS APC	645.92	1318.2	
TAVR Z-MED BALLOON 24MM X 4CM	SUP-611819	CDM			481	RC		inpatient			1318.2	1318.2																																																			
TAVR Z-MED BALLOON 26MM X 4CM	SUP-611820	CDM			270	RC		outpatient			1318.2	1318.2	357.1				percent of total billed charges		1318.2				other	OPPS APC	975.47				percent of total billed charges		1318.2				other	OPPS APC	1318.2				other	OPPS APC	357.1				percent of total billed charges		364.22				percent of total billed charges		1318.2				other	OPPS APC	357.1	1318.2	
TAVR Z-MED BALLOON 26MM X 4CM	SUP-611820	CDM			270	RC		inpatient			1318.2	1318.2																																																			
LENS 20.5	SUP-97-04526	CDM			278	RC		outpatient			1317	1317	1317				fee schedule		1317				other	OPPS APC	750.69				percent of total billed charges		1317				other	OPPS APC	1317				other	OPPS APC	645.33				percent of total billed charges		671.67				percent of total billed charges		1317				other	OPPS APC	645.33	1317	
LENS 20.5	SUP-97-04526	CDM			278	RC		inpatient			1317	1317																																																			
PLATE VARIAX  6 HOLE CURVED	SUP-40-15014	CDM			270	RC		outpatient			1316.8	1316.8	356.72				percent of total billed charges		1316.8				other	OPPS APC	974.43				percent of total billed charges		1316.8				other	OPPS APC	1316.8				other	OPPS APC	356.72				percent of total billed charges		363.83				percent of total billed charges		1316.8				other	OPPS APC	356.72	1316.8	
PLATE VARIAX  6 HOLE CURVED	SUP-40-15014	CDM			270	RC		inpatient			1316.8	1316.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L64 MM TIBIA DISTAL 3 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.203	CDM	270010022	LOCAL	270	RC		outpatient			1316.3	1316.3	356.59				percent of total billed charges		1316.3				other	OPPS APC	974.06				percent of total billed charges		1316.3				other	OPPS APC	1316.3				other	OPPS APC	356.59				percent of total billed charges		363.69				percent of total billed charges		1316.3				other	OPPS APC	356.59	1316.3	
PLATE BONE LCP COMBI STAINLESS STEEL T L64 MM TIBIA DISTAL 3 HOLE 4 LOCK NONSTERILE 3.5 MM SCREW	SUP-02.112.203	CDM	270010022	LOCAL	270	RC		inpatient			1316.3	1316.3																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L45 CM ID4-6 MM PERIPHERAL STRETCH STERILE	SUP-S46045	CDM			270	RC		outpatient			1316	1316	356.5				percent of total billed charges		1316				other	OPPS APC	973.84				percent of total billed charges		1316				other	OPPS APC	1316				other	OPPS APC	356.5				percent of total billed charges		363.61				percent of total billed charges		1316				other	OPPS APC	356.5	1316	
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L45 CM ID4-6 MM PERIPHERAL STRETCH STERILE	SUP-S46045	CDM			270	RC		inpatient			1316	1316																																																			
GRAFT BONE FIBULA SHAFT L80 MM X W14-18 MM ALLOGRAFT FREEZE DRIED	SUP-400740	CDM	270010031	LOCAL	270	RC		outpatient			1315.22	1315.22	356.29				percent of total billed charges		1315.22				other	OPPS APC	973.26				percent of total billed charges		1315.22				other	OPPS APC	1315.22				other	OPPS APC	356.29				percent of total billed charges		363.4				percent of total billed charges		1315.22				other	OPPS APC	356.29	1315.22	
GRAFT BONE FIBULA SHAFT L80 MM X W14-18 MM ALLOGRAFT FREEZE DRIED	SUP-400740	CDM	270010031	LOCAL	270	RC		inpatient			1315.22	1315.22																																																			
Needle Set Ez Io Blue 25mm Adult	PX-272000029	CDM			272	RC		outpatient			1314	1314	355.96				percent of total billed charges		1314				other	OPPS APC	1314				fee schedule		1314				other	OPPS APC	1314				other	OPPS APC	355.96				percent of total billed charges		363.06				percent of total billed charges		1314				other	OPPS APC	355.96	1314	
Needle Set Ez Io Blue 25mm Adult	PX-272000029	CDM			272	RC		inpatient			1314	1314																																																			
HC Aorta  Catheter Non-Selective	PX-361362001	CDM	36200	CPT	361	RC		outpatient			1314	1314	414.96				percent of total billed charges		1314				other	OPPS APC	612				fee schedule		1314				other	OPPS APC	1314				other	OPPS APC	414.96				percent of total billed charges		423.24				percent of total billed charges		1314				other	OPPS APC	414.96	1314	
HC Aorta  Catheter Non-Selective	PX-361362001	CDM	36200	CPT	361	RC		inpatient			1314	1314																																																			
SCREW TI CANN COMPRESSION 3.5MM X 28MM	SUP-97-04554	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW TI CANN COMPRESSION 3.5MM X 28MM	SUP-97-04554	CDM			278	RC		inpatient			1314	1314																																																			
SCREW TI CANN COMPRESSION 3.5MM X 40MM	SUP-97-04555	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW TI CANN COMPRESSION 3.5MM X 40MM	SUP-97-04555	CDM			278	RC		inpatient			1314	1314																																																			
SCREW CANN COMP HEADLESS 4.0MM X 32MM	SUP-97-04556	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW CANN COMP HEADLESS 4.0MM X 32MM	SUP-97-04556	CDM			278	RC		inpatient			1314	1314																																																			
SCREW TI CANN COMPRESSION 4.0MM X 36MM	SUP-97-04562	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW TI CANN COMPRESSION 4.0MM X 36MM	SUP-97-04562	CDM			278	RC		inpatient			1314	1314																																																			
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04776	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04776	CDM			278	RC		inpatient			1314	1314																																																			
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04777	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04777	CDM			278	RC		inpatient			1314	1314																																																			
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04778	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04778	CDM			278	RC		inpatient			1314	1314																																																			
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04779	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW 4.5MM TI CANN COMPRESSION	SUP-97-04779	CDM			278	RC		inpatient			1314	1314																																																			
SCREW CANN COMP HEADLESS 4.5MM  X 38MM	SUP-97-04977	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW CANN COMP HEADLESS 4.5MM  X 38MM	SUP-97-04977	CDM			278	RC		inpatient			1314	1314																																																			
SCREW CANN COMP HEADLESS 3.5MM  X 32MM	SUP-97-05567	CDM			278	RC		outpatient			1314	1314	1314				fee schedule		1314				other	OPPS APC	748.98				percent of total billed charges		1314				other	OPPS APC	1314				other	OPPS APC	643.86				percent of total billed charges		670.14				percent of total billed charges		1314				other	OPPS APC	643.86	1314	
SCREW CANN COMP HEADLESS 3.5MM  X 32MM	SUP-97-05567	CDM			278	RC		inpatient			1314	1314																																																			
DRESSING CUSTOMIZABLE PREVENA PLUS	SUP-PRE4001US	CDM			270	RC		outpatient			1312.74	1312.74	355.62				percent of total billed charges		1312.74				other	OPPS APC	971.43				percent of total billed charges		1312.74				other	OPPS APC	1312.74				other	OPPS APC	355.62				percent of total billed charges		362.71				percent of total billed charges		1312.74				other	OPPS APC	355.62	1312.74	
DRESSING CUSTOMIZABLE PREVENA PLUS	SUP-PRE4001US	CDM			270	RC		inpatient			1312.74	1312.74																																																			
SEALANT ADHESIVE COSEAL 4ML PEG DISPOSABLE STERILE LF	SUP-934071	CDM			270	RC		outpatient			1312.6	1312.6	355.58				percent of total billed charges		1312.6				other	OPPS APC	971.32				percent of total billed charges		1312.6				other	OPPS APC	1312.6				other	OPPS APC	355.58				percent of total billed charges		362.67				percent of total billed charges		1312.6				other	OPPS APC	355.58	1312.6	
SEALANT ADHESIVE COSEAL 4ML PEG DISPOSABLE STERILE LF	SUP-934071	CDM			270	RC		inpatient			1312.6	1312.6																																																			
BIPOLARD LINER 47/48/49MM ODX28MM	SUP-97-03232	CDM			278	RC		outpatient			1312.5	1312.5	1312.5				fee schedule		1312.5				other	OPPS APC	748.13				percent of total billed charges		1312.5				other	OPPS APC	1312.5				other	OPPS APC	643.13				percent of total billed charges		669.38				percent of total billed charges		1312.5				other	OPPS APC	643.13	1312.5	
BIPOLARD LINER 47/48/49MM ODX28MM	SUP-97-03232	CDM			278	RC		inpatient			1312.5	1312.5																																																			
ANCHOR SUTURE 0 OS-2 MINI QUICKANCHOR PLUS SOFT TISSUE SHOULDER ARTHROSCOPIC TITANIUM	SUP-212133	CDM			270	RC		outpatient			1312	1312	355.42				percent of total billed charges		1312				other	OPPS APC	970.88				percent of total billed charges		1312				other	OPPS APC	1312				other	OPPS APC	355.42				percent of total billed charges		362.51				percent of total billed charges		1312				other	OPPS APC	355.42	1312	
ANCHOR SUTURE 0 OS-2 MINI QUICKANCHOR PLUS SOFT TISSUE SHOULDER ARTHROSCOPIC TITANIUM	SUP-212133	CDM			270	RC		inpatient			1312	1312																																																			
CONNECTOR ROD TSRH-3D TITANIUM MEDIUM OD6.35 MM SPINE PEDICLE POSTERIOR CLOSED OFFSET	SUP-8379141	CDM	270010020	LOCAL	270	RC		outpatient			1310.7	131.7	355.07				percent of total billed charges		1310.7				other	OPPS APC	969.92				percent of total billed charges		1310.7				other	OPPS APC	1310.7				other	OPPS APC	355.07				percent of total billed charges		362.15				percent of total billed charges		131.7				other	OPPS APC	131.7	1310.7	
CONNECTOR ROD TSRH-3D TITANIUM MEDIUM OD6.35 MM SPINE PEDICLE POSTERIOR CLOSED OFFSET	SUP-8379141	CDM	270010020	LOCAL	270	RC		inpatient			1310.7	1310.7																																																			
CONNECTOR ROD TSRH-3D TITANIUM LARGE OD6.35 MM SPINE PEDICLE POSTERIOR CLOSED OFFSET	SUP-8379142	CDM	270010020	LOCAL	270	RC		outpatient			1310.7	131.7	355.07				percent of total billed charges		1310.7				other	OPPS APC	969.92				percent of total billed charges		1310.7				other	OPPS APC	1310.7				other	OPPS APC	355.07				percent of total billed charges		362.15				percent of total billed charges		131.7				other	OPPS APC	131.7	1310.7	
CONNECTOR ROD TSRH-3D TITANIUM LARGE OD6.35 MM SPINE PEDICLE POSTERIOR CLOSED OFFSET	SUP-8379142	CDM	270010020	LOCAL	270	RC		inpatient			1310.7	1310.7																																																			
PLATE BONE STAINLESS STEEL L182 MM PELVIC 14 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.034	CDM	270010022	LOCAL	270	RC		outpatient			1310.1	132	354.91				percent of total billed charges		1310.1				other	OPPS APC	969.47				percent of total billed charges		1310.1				other	OPPS APC	1310.1				other	OPPS APC	354.91				percent of total billed charges		361.98				percent of total billed charges		132				other	OPPS APC	132	1310.1	
PLATE BONE STAINLESS STEEL L182 MM PELVIC 14 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.034	CDM	270010022	LOCAL	270	RC		inpatient			1310.1	1310.1																																																			
KIT TRANSSEPTAL NRG RADIOFREQUENCY	SUP-NTK-711-8545N	CDM			481	RC		outpatient			1310	131	641.9				percent of total billed charges		1310				other	OPPS APC	969.4				percent of total billed charges		1310				other	OPPS APC	1310				other	OPPS APC	641.9				percent of total billed charges		668.1				percent of total billed charges		131				other	OPPS APC	131	1310	
KIT TRANSSEPTAL NRG RADIOFREQUENCY	SUP-NTK-711-8545N	CDM			481	RC		inpatient			1310	1310																																																			
PLATE BONE STAINLESS STEEL 88 MM RADIUS L78 MM PELVIC 6 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.906	CDM	270010022	LOCAL	270	RC		outpatient			1309.5	139.5	354.74				percent of total billed charges		1309.5				other	OPPS APC	969.03				percent of total billed charges		1309.5				other	OPPS APC	1309.5				other	OPPS APC	354.74				percent of total billed charges		361.81				percent of total billed charges		139.5				other	OPPS APC	139.5	1309.5	
PLATE BONE STAINLESS STEEL 88 MM RADIUS L78 MM PELVIC 6 HOLE LOW PROFILE CURVED RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.906	CDM	270010022	LOCAL	270	RC		inpatient			1309.5	1309.5																																																			
BEADED CABLE AND SLEEVE SET	SUP-97-00900	CDM			278	RC		outpatient			1309.5	139.5	1309.5				fee schedule		1309.5				other	OPPS APC	746.42				percent of total billed charges		1309.5				other	OPPS APC	1309.5				other	OPPS APC	641.66				percent of total billed charges		667.85				percent of total billed charges		139.5				other	OPPS APC	139.5	1309.5	
BEADED CABLE AND SLEEVE SET	SUP-97-00900	CDM			278	RC		inpatient			1309.5	1309.5																																																			
CABLE  CORTICAL AND GRID 8 CONTACT	SUP-2110-08-077	CDM			270	RC		outpatient			1306	136	353.8				percent of total billed charges		1306				other	OPPS APC	966.44				percent of total billed charges		1306				other	OPPS APC	1306				other	OPPS APC	353.8				percent of total billed charges		360.85				percent of total billed charges		136				other	OPPS APC	136	1306	
CABLE  CORTICAL AND GRID 8 CONTACT	SUP-2110-08-077	CDM			270	RC		inpatient			1306	1306																																																			
LEAD PACING INNOMEDICA L35 CM MYOCARDIAL	SUP-4046	CDM			275	RC		outpatient			1306	136	639.94				percent of total billed charges		1306				other	OPPS APC	744.42				percent of total billed charges		1306				other	OPPS APC	1306				other	OPPS APC	639.94				percent of total billed charges		666.06				percent of total billed charges		136				other	OPPS APC	136	1306	
LEAD PACING INNOMEDICA L35 CM MYOCARDIAL	SUP-4046	CDM			275	RC		inpatient			1306	1306																																																			
LEAD PACING INNOMEDICA SILICONE L54 CM MYOCARDIAL BIPOLAR SUTURELESS	SUP-4047	CDM			275	RC		outpatient			1306	136	639.94				percent of total billed charges		1306				other	OPPS APC	744.42				percent of total billed charges		1306				other	OPPS APC	1306				other	OPPS APC	639.94				percent of total billed charges		666.06				percent of total billed charges		136				other	OPPS APC	136	1306	
LEAD PACING INNOMEDICA SILICONE L54 CM MYOCARDIAL BIPOLAR SUTURELESS	SUP-4047	CDM			275	RC		inpatient			1306	1306																																																			
LEAD PACING INNOMEDICA STEROID ELUTING L35 CM MYOCARDIAL	SUP-4058	CDM			275	RC		outpatient			1306	136	639.94				percent of total billed charges		1306				other	OPPS APC	744.42				percent of total billed charges		1306				other	OPPS APC	1306				other	OPPS APC	639.94				percent of total billed charges		666.06				percent of total billed charges		136				other	OPPS APC	136	1306	
LEAD PACING INNOMEDICA STEROID ELUTING L35 CM MYOCARDIAL	SUP-4058	CDM			275	RC		inpatient			1306	1306																																																			
MONOPTY (22M) 20G X 10CM     USSUP	SUP-95-00939	CDM			272	RC		outpatient			1305	135	353.52				percent of total billed charges		1305				other	OPPS APC	965.7				percent of total billed charges		1305				other	OPPS APC	1305				other	OPPS APC	353.52				percent of total billed charges		360.57				percent of total billed charges		135				other	OPPS APC	135	1305	
MONOPTY (22M) 20G X 10CM     USSUP	SUP-95-00939	CDM			272	RC		inpatient			1305	1305																																																			
DRILL BIT 4.3MM X 413MM	SUP-95-04253	CDM			272	RC		outpatient			1305	135	353.52				percent of total billed charges		1305				other	OPPS APC	965.7				percent of total billed charges		1305				other	OPPS APC	1305				other	OPPS APC	353.52				percent of total billed charges		360.57				percent of total billed charges		135				other	OPPS APC	135	1305	
DRILL BIT 4.3MM X 413MM	SUP-95-04253	CDM			272	RC		inpatient			1305	1305																																																			
SWVLK TENE BIO COMP 8X19.5 MM	SUP-97-02585	CDM			278	RC		outpatient			1305	135	1305				fee schedule		1305				other	OPPS APC	743.85				percent of total billed charges		1305				other	OPPS APC	1305				other	OPPS APC	639.45				percent of total billed charges		665.55				percent of total billed charges		135				other	OPPS APC	135	1305	
SWVLK TENE BIO COMP 8X19.5 MM	SUP-97-02585	CDM			278	RC		inpatient			1305	1305																																																			
TRAY PERC INTRO BLUE RHINO G2 SZ 8.5	SUP-95-00956	CDM						inpatient			1304.61	1304.61																																																			
TRAY PERC INTRO BLUE RHINO G2 SZ 8.5	SUP-95-00956	CDM						outpatient			1304.61	134.7	1304.61				percent of total billed charges		1304.61				other	OPPS APC	1304.61				fee schedule		1304.61				other	OPPS APC	1304.61				other	OPPS APC	1304.61				case rate		1304.61				case rate		134.7				other	OPPS APC	134.7	1304.61	
TRAY PERC INTRO BLUE RHINO G2 SZ 7.5	SUP-95-00957	CDM						inpatient			1304.61	1304.61																																																			
TRAY PERC INTRO BLUE RHINO G2 SZ 7.5	SUP-95-00957	CDM						outpatient			1304.61	134.7	1304.61				percent of total billed charges		1304.61				other	OPPS APC	1304.61				fee schedule		1304.61				other	OPPS APC	1304.61				other	OPPS APC	1304.61				case rate		1304.61				case rate		134.7				other	OPPS APC	134.7	1304.61	
HC C/T-Abdomen W Contrast	PX-352741600	CDM	74160	CPT	352	RC		outpatient			1304	189.94	245.09				fee schedule		189.94				other	OPPS APC	823.01				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	237.9				fee schedule		183.73				fee schedule		189.94				other	OPPS APC	183.73	823.01	
HC C/T-Abdomen W Contrast	PX-352741600	CDM	74160	CPT	352	RC		inpatient			1304	1304																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L34 MM RADIAL HEAD RIGHT PROXIMAL 2 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.680	CDM	270010022	LOCAL	270	RC		outpatient			1301.3	131.3	352.52				percent of total billed charges		1301.3				other	OPPS APC	962.96				percent of total billed charges		1301.3				other	OPPS APC	1301.3				other	OPPS APC	352.52				percent of total billed charges		359.55				percent of total billed charges		131.3				other	OPPS APC	131.3	1301.3	
PLATE BONE LCP COMBI STAINLESS STEEL L34 MM RADIAL HEAD RIGHT PROXIMAL 2 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.680	CDM	270010022	LOCAL	270	RC		inpatient			1301.3	1301.3																																																			
PLATE BONE LCP STAINLESS STEEL L34 MM RADIAL HEAD LEFT PROXIMAL 2 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.681	CDM	270010022	LOCAL	270	RC		outpatient			1301.3	131.3	352.52				percent of total billed charges		1301.3				other	OPPS APC	962.96				percent of total billed charges		1301.3				other	OPPS APC	1301.3				other	OPPS APC	352.52				percent of total billed charges		359.55				percent of total billed charges		131.3				other	OPPS APC	131.3	1301.3	
PLATE BONE LCP STAINLESS STEEL L34 MM RADIAL HEAD LEFT PROXIMAL 2 HOLE RIM PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.681	CDM	270010022	LOCAL	270	RC		inpatient			1301.3	1301.3																																																			
INTRODUCER CATHETER ACQGUIDE MINI-S 8.5FR ID 12FR OD 65CM 90DEG L2 FIXED CURVED	SUP-12852_72395	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
INTRODUCER CATHETER ACQGUIDE MINI-S 8.5FR ID 12FR OD 65CM 90DEG L2 FIXED CURVED	SUP-12852_72395	CDM			481	RC		inpatient			1300	1300																																																			
IMPLANT BREAST SILTEX SALINE P4.5 CM CONTOUR PROFILE MODERATE PROJECTION WIDE BASE W11.2 CM X H9.4 CM 225-250 ML	SUP-354-2911	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
IMPLANT BREAST SILTEX SALINE P4.5 CM CONTOUR PROFILE MODERATE PROJECTION WIDE BASE W11.2 CM X H9.4 CM 225-250 ML	SUP-354-2911	CDM			270	RC		inpatient			1300	1300																																																			
HEAD FEMORAL COBALT 0 HIP	SUP-3740	CDM	270010024	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD FEMORAL COBALT 0 HIP	SUP-3740	CDM	270010024	LOCAL	270	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.25x9	SUP-401729_57270	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.25x9	SUP-401729_57270	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5x9	SUP-401730_57271	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5x9	SUP-401730_57271	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X9	SUP-401731_57272	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X9	SUP-401731_57272	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X9	SUP-401732_57275	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X9	SUP-401732_57275	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X9	SUP-401733_57276	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X9	SUP-401733_57276	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X9	SUP-401734_57277	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X9	SUP-401734_57277	CDM			481	RC		inpatient			1300	1300																																																			
STENT CORONARY ORSIRO SIROLIMUS ELUTING COCR L13MM OD 2.25MM	SUP-401735_57278	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT CORONARY ORSIRO SIROLIMUS ELUTING COCR L13MM OD 2.25MM	SUP-401735_57278	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X13	SUP-401736_57279	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X13	SUP-401736_57279	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X13	SUP-401737_57280	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X13	SUP-401737_57280	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X13	SUP-401738_57281	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X13	SUP-401738_57281	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X13	SUP-401739_57282	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X13	SUP-401739_57282	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X13	SUP-401740_57283	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X13	SUP-401740_57283	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.25X15	SUP-401741_57284	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.25X15	SUP-401741_57284	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X15	SUP-401742_57285	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X15	SUP-401742_57285	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X15	SUP-401743_57286	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X15	SUP-401743_57286	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X15	SUP-401744_57287	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X15	SUP-401744_57287	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X15	SUP-401745_57288	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X15	SUP-401745_57288	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X15	SUP-401746_57289	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X15	SUP-401746_57289	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.25X18	SUP-401747_57305	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.25X18	SUP-401747_57305	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X18	SUP-401748_57306	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X18	SUP-401748_57306	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X18	SUP-401749_57307	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X18	SUP-401749_57307	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X18	SUP-401750_57308	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X18	SUP-401750_57308	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X18	SUP-401751_57309	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X18	SUP-401751_57309	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X18	SUP-401752_57310	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X18	SUP-401752_57310	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.25X22	SUP-401753_57311	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.25X22	SUP-401753_57311	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X22	SUP-401754_57312	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X22	SUP-401754_57312	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X22	SUP-401755_57313	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X22	SUP-401755_57313	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X22	SUP-401756_57314	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X22	SUP-401756_57314	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X22	SUP-401757_57315	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X22	SUP-401757_57315	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X22	SUP-401758_57316	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X22	SUP-401758_57316	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.25X26	SUP-401759_57317	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.25X26	SUP-401759_57317	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X26	SUP-401760_57318	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X26	SUP-401760_57318	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X26	SUP-401761_57319	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X26	SUP-401761_57319	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X26	SUP-401762_57320	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X26	SUP-401762_57320	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X26	SUP-401763_57321	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X26	SUP-401763_57321	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X26	SUP-401764_57322	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X26	SUP-401764_57322	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.25X30	SUP-401765_57323	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.25X30	SUP-401765_57323	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X30	SUP-401766_57324	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X30	SUP-401766_57324	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X30	SUP-401767_57325	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X30	SUP-401767_57325	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X30	SUP-401768_57326	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X30	SUP-401768_57326	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X30	SUP-401769_57327	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X30	SUP-401769_57327	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X30	SUP-401770_57328	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X30	SUP-401770_57328	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X35	SUP-404667_57329	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X35	SUP-404667_57329	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X35	SUP-404668_57330	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X35	SUP-404668_57330	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X35	SUP-404669_57331	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X35	SUP-404669_57331	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X35	SUP-404670_57332	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X35	SUP-404670_57332	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X35	SUP-404671_57333	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X35	SUP-404671_57333	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.5X40	SUP-404673_57334	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.5X40	SUP-404673_57334	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 2.75X40	SUP-404674_57335	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 2.75X40	SUP-404674_57335	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.0X40	SUP-404675_57336	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.0X40	SUP-404675_57336	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 3.5X40	SUP-404676_57337	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 3.5X40	SUP-404676_57337	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO DES 4.0X40	SUP-404677_57338	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO DES 4.0X40	SUP-404677_57338	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 9 MM	SUP-453925_65276	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 9 MM	SUP-453925_65276	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 9 MM	SUP-453926_65277	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 9 MM	SUP-453926_65277	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 9 MM	SUP-453927_65278	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 9 MM	SUP-453927_65278	CDM			481	RC		inpatient			1300	1300																																																			
STENT CORONARY ORSIRO MISSION SIROLIMUS ELUTING COCR L9.0MM OD3.0	SUP-453928_65279	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT CORONARY ORSIRO MISSION SIROLIMUS ELUTING COCR L9.0MM OD3.0	SUP-453928_65279	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 9 MM	SUP-453929_65280	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 9 MM	SUP-453929_65280	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 9 MM	SUP-453930_65281	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 9 MM	SUP-453930_65281	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 13 MM	SUP-453931_65282	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 13 MM	SUP-453931_65282	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 13 MM	SUP-453932_65283	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 13 MM	SUP-453932_65283	CDM			481	RC		inpatient			1300	1300																																																			
STENT CORONARY ORSIRO MISSION SIROLIMUS ELUTING COCR L13MM OD 2.75	SUP-453933_65284	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT CORONARY ORSIRO MISSION SIROLIMUS ELUTING COCR L13MM OD 2.75	SUP-453933_65284	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 13 MM	SUP-453934_65285	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 13 MM	SUP-453934_65285	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 13 MM	SUP-453935_65286	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 13 MM	SUP-453935_65286	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 13 MM	SUP-453936_65287	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 13 MM	SUP-453936_65287	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 15 MM	SUP-453937_65288	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 15 MM	SUP-453937_65288	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 15 MM	SUP-453938_65289	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 15 MM	SUP-453938_65289	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 15 MM	SUP-453939_65290	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 15 MM	SUP-453939_65290	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 15 MM	SUP-453940_65291	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 15 MM	SUP-453940_65291	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 15 MM	SUP-453941_65292	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 15 MM	SUP-453941_65292	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 15 MM	SUP-453942_65293	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 15 MM	SUP-453942_65293	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 18 MM	SUP-453943_65294	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 18 MM	SUP-453943_65294	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 18 MM	SUP-453944_65295	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 18 MM	SUP-453944_65295	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 18 MM	SUP-453945_65296	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 18 MM	SUP-453945_65296	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 18 MM	SUP-453946_65297	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 18 MM	SUP-453946_65297	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 18 MM	SUP-453947_65298	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 18 MM	SUP-453947_65298	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 18 MM	SUP-453948_65299	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 18 MM	SUP-453948_65299	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 22 MM	SUP-453949_65300	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 22 MM	SUP-453949_65300	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 22 MM	SUP-453950_65304	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 22 MM	SUP-453950_65304	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 22 MM	SUP-453951_65305	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 22 MM	SUP-453951_65305	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 22 MM	SUP-453952_65306	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 22 MM	SUP-453952_65306	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 22 MM	SUP-453953_65307	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 22 MM	SUP-453953_65307	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 22 MM	SUP-453954_65308	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 22 MM	SUP-453954_65308	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 26 MM	SUP-453955_65309	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 26 MM	SUP-453955_65309	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 26 MM	SUP-453956_65310	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 26 MM	SUP-453956_65310	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 26 MM	SUP-453957_65311	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 26 MM	SUP-453957_65311	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 26 MM	SUP-453958_65312	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 26 MM	SUP-453958_65312	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 26 MM	SUP-453959_65313	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 26 MM	SUP-453959_65313	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 26 MM	SUP-453960_65314	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 26 MM	SUP-453960_65314	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.25 X 30 MM	SUP-453961_65315	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.25 X 30 MM	SUP-453961_65315	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 30 MM	SUP-453962_65316	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 30 MM	SUP-453962_65316	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 30 MM	SUP-453963_65317	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 30 MM	SUP-453963_65317	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 30 MM	SUP-453964_65318	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 30 MM	SUP-453964_65318	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 30 MM	SUP-453965_65319	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 30 MM	SUP-453965_65319	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 30 MM	SUP-453966_65320	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 30 MM	SUP-453966_65320	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 35 MM	SUP-453968_65321	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 35 MM	SUP-453968_65321	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 35 MM	SUP-453969_65322	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 35 MM	SUP-453969_65322	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 35 MM	SUP-453970_65323	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 35 MM	SUP-453970_65323	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 35 MM	SUP-453971_65324	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 35 MM	SUP-453971_65324	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 35 MM	SUP-453972_65325	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 35 MM	SUP-453972_65325	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.5 X 40 MM	SUP-453974_65326	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.5 X 40 MM	SUP-453974_65326	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 2.75 X 40 MM	SUP-453975_65327	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 2.75 X 40 MM	SUP-453975_65327	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.0 X 40 MM	SUP-453976_65328	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.0 X 40 MM	SUP-453976_65328	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 3.5 X 40 MM	SUP-453977_65329	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 3.5 X 40 MM	SUP-453977_65329	CDM			481	RC		inpatient			1300	1300																																																			
ORSIRO MISSION DES STENT 4.0 X 40 MM	SUP-453978_65330	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
ORSIRO MISSION DES STENT 4.0 X 40 MM	SUP-453978_65330	CDM			481	RC		inpatient			1300	1300																																																			
CONNECTOR ROD TSRH TITANIUM SMALL SPINE 3DX	SUP-8351520	CDM	270010020	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
CONNECTOR ROD TSRH TITANIUM SMALL SPINE 3DX	SUP-8351520	CDM	270010020	LOCAL	270	RC		inpatient			1300	1300																																																			
CONNECTOR ROD TSRH TITANIUM MEDIUM SPINE 3DX	SUP-8351521	CDM	270010020	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
CONNECTOR ROD TSRH TITANIUM MEDIUM SPINE 3DX	SUP-8351521	CDM	270010020	LOCAL	270	RC		inpatient			1300	1300																																																			
CONNECTOR ROD TSRH TITANIUM LARGE SPINE 3DX	SUP-8351522	CDM	270010020	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
CONNECTOR ROD TSRH TITANIUM LARGE SPINE 3DX	SUP-8351522	CDM	270010020	LOCAL	270	RC		inpatient			1300	1300																																																			
CONNECTOR ROD TSRH 90 D OFFSET 3DX	SUP-8351523	CDM	270010020	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
CONNECTOR ROD TSRH 90 D OFFSET 3DX	SUP-8351523	CDM	270010020	LOCAL	270	RC		inpatient			1300	1300																																																			
CONNECTOR ROD TSRH-3D TITANIUM LARGE OD5.5 MM SPINE PEDICLE POSTERIOR OPEN OFFSET	SUP-8379122	CDM	270010020	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
CONNECTOR ROD TSRH-3D TITANIUM LARGE OD5.5 MM SPINE PEDICLE POSTERIOR OPEN OFFSET	SUP-8379122	CDM	270010020	LOCAL	270	RC		inpatient			1300	1300																																																			
STRUT CENTERPIECE 12MM	SUP-853910	CDM	270010031	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STRUT CENTERPIECE 12MM	SUP-853910	CDM	270010031	LOCAL	270	RC		inpatient			1300	1300																																																			
GRAFT BONE CENTERPIECE CORTICAL H12 MM SPINE FREEZE DRIED STRUT ALLOGRAFT PLATE FIXATION SYSTEM	SUP-853912	CDM	270010031	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
GRAFT BONE CENTERPIECE CORTICAL H12 MM SPINE FREEZE DRIED STRUT ALLOGRAFT PLATE FIXATION SYSTEM	SUP-853912	CDM	270010031	LOCAL	270	RC		inpatient			1300	1300																																																			
PLATE BONE 91MM SS FIBULA RIGHT DISTAL 5 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8343BR-05	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
PLATE BONE 91MM SS FIBULA RIGHT DISTAL 5 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8343BR-05	CDM			270	RC		inpatient			1300	1300																																																			
PLATE BONE 91MM SS FIBULA LEFT DISTAL 5 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BL-05	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
PLATE BONE 91MM SS FIBULA LEFT DISTAL 5 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BL-05	CDM			270	RC		inpatient			1300	1300																																																			
PLATE ARTHREX LOCKING DISTAL FIBULA RIGHT 5 HOLE	SUP-AR-8943BR-05	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
PLATE ARTHREX LOCKING DISTAL FIBULA RIGHT 5 HOLE	SUP-AR-8943BR-05	CDM			270	RC		inpatient			1300	1300																																																			
STENT VASCULAR CORDIS SMART CONTROL 80MM 120CM 6MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C06080ML	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT VASCULAR CORDIS SMART CONTROL 80MM 120CM 6MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C06080ML	CDM			270	RC		inpatient			1300	1300																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L60 MM L120 CM OD7 MM ILIAC SELF EXPAND	SUP-C07060ML	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L60 MM L120 CM OD7 MM ILIAC SELF EXPAND	SUP-C07060ML	CDM			270	RC		inpatient			1300	1300																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L120 CM OD7 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-C07080ML	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L120 CM OD7 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 5-6 MM VESSEL	SUP-C07080ML	CDM			270	RC		inpatient			1300	1300																																																			
STENT VASCULAR CORDIS SMART CONTROL 30MM 80CM 8MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C08030SL_40472	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT VASCULAR CORDIS SMART CONTROL 30MM 80CM 8MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C08030SL_40472	CDM			270	RC		inpatient			1300	1300																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L80 CM OD8 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-C08040SL	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L80 CM OD8 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 6-7 MM VESSEL	SUP-C08040SL	CDM			270	RC		inpatient			1300	1300																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L60 MM L120 CM OD8 MM ILIAC SELF EXPAND	SUP-C08060ML	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L60 MM L120 CM OD8 MM ILIAC SELF EXPAND	SUP-C08060ML	CDM			270	RC		inpatient			1300	1300																																																			
PORT HAND ACCESS ALEXIS GELPORT L120 MM ABDOMEN WOUND RETRACTOR LAPAROSCOPIC MARK PEN INCISION TEMPLATE GELSEAL TECHNOLOGY LATEX FREE	SUP-C8XX2	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
PORT HAND ACCESS ALEXIS GELPORT L120 MM ABDOMEN WOUND RETRACTOR LAPAROSCOPIC MARK PEN INCISION TEMPLATE GELSEAL TECHNOLOGY LATEX FREE	SUP-C8XX2	CDM			270	RC		inpatient			1300	1300																																																			
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD18 FR ODSEC6.7 MM ID6 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1833	CDM	270010015	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD18 FR ODSEC6.7 MM ID6 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1833	CDM	270010015	LOCAL	270	RC		inpatient			1300	1300																																																			
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD20 FR ODSEC7.5 MM ID6.7 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF2033	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD20 FR ODSEC7.5 MM ID6.7 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF2033	CDM			481	RC		inpatient			1300	1300																																																			
SHEATH GORE DRYSEAL 22FR	SUP-DSF2233	CDM	270010015	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
SHEATH GORE DRYSEAL 22FR	SUP-DSF2233	CDM	270010015	LOCAL	270	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X8	SUP-LUN250R08US_51176	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X8	SUP-LUN250R08US_51176	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X12	SUP-LUN250R12US_51180	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X12	SUP-LUN250R12US_51180	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X15	SUP-LUN250R15US_51181	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X15	SUP-LUN250R15US_51181	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X17	SUP-LUN250R17US_51182	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X17	SUP-LUN250R17US_51182	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X20	SUP-LUN250R20US_51183	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X20	SUP-LUN250R20US_51183	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X24	SUP-LUN250R24US_51184	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X24	SUP-LUN250R24US_51184	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X28	SUP-LUN250R28US_51185	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X28	SUP-LUN250R28US_51185	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.5X33	SUP-LUN250R33US_51186	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.5X33	SUP-LUN250R33US_51186	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X8	SUP-LUN275R08US_51187	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X8	SUP-LUN275R08US_51187	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X12	SUP-LUN275R12US_51188	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X12	SUP-LUN275R12US_51188	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X15	SUP-LUN275R15US_51189	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X15	SUP-LUN275R15US_51189	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X17	SUP-LUN275R17US_51190	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X17	SUP-LUN275R17US_51190	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X20	SUP-LUN275R20US_51191	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X20	SUP-LUN275R20US_51191	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X24	SUP-LUN275R24US_51192	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X24	SUP-LUN275R24US_51192	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X28	SUP-LUN275R28US_51193	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X28	SUP-LUN275R28US_51193	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 2.75X33	SUP-LUN275R33US_51194	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 2.75X33	SUP-LUN275R33US_51194	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X8	SUP-LUN300R08US_51195	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X8	SUP-LUN300R08US_51195	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X12	SUP-LUN300R12US_51196	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X12	SUP-LUN300R12US_51196	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X15	SUP-LUN300R15US_51197	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X15	SUP-LUN300R15US_51197	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X17	SUP-LUN300R17US_51198	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X17	SUP-LUN300R17US_51198	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X20	SUP-LUN300R20US_51199	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X20	SUP-LUN300R20US_51199	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X24	SUP-LUN300R24US_51200	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X24	SUP-LUN300R24US_51200	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X28	SUP-LUN300R28US_51201	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X28	SUP-LUN300R28US_51201	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.0X33	SUP-LUN300R33US_51202	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.0X33	SUP-LUN300R33US_51202	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X8	SUP-LUN350R08US_51203	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X8	SUP-LUN350R08US_51203	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X12	SUP-LUN350R12US_51204	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X12	SUP-LUN350R12US_51204	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X15	SUP-LUN350R15US_51205	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X15	SUP-LUN350R15US_51205	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X17	SUP-LUN350R17US_51206	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X17	SUP-LUN350R17US_51206	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X20	SUP-LUN350R20US_51207	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X20	SUP-LUN350R20US_51207	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X24	SUP-LUN350R24US_51208	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X24	SUP-LUN350R24US_51208	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X28	SUP-LUN350R28US_51209	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X28	SUP-LUN350R28US_51209	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 3.5X33	SUP-LUN350R33US_51210	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 3.5X33	SUP-LUN350R33US_51210	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X8	SUP-LUN400R08US_51211	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X8	SUP-LUN400R08US_51211	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X12	SUP-LUN400R12US_51212	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X12	SUP-LUN400R12US_51212	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X15	SUP-LUN400R15US_51213	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X15	SUP-LUN400R15US_51213	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X17	SUP-LUN400R17US_51214	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X17	SUP-LUN400R17US_51214	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X20	SUP-LUN400R20US_51215	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X20	SUP-LUN400R20US_51215	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X24	SUP-LUN400R24US_51216	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X24	SUP-LUN400R24US_51216	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X28	SUP-LUN400R28US_51217	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X28	SUP-LUN400R28US_51217	CDM			481	RC		inpatient			1300	1300																																																			
STENT ELUNIR 4.0X33	SUP-LUN400R33US_51223	CDM			481	RC		outpatient			1300	13	637				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	637				percent of total billed charges		663				percent of total billed charges		13				other	OPPS APC	13	1300	
STENT ELUNIR 4.0X33	SUP-LUN400R33US_51223	CDM			481	RC		inpatient			1300	1300																																																			
COIL EMBOLIZATION INTERLOCK FIBER .035 IN CUBE L20 CM OD8 MM OCCLUSION SYSTEM DETACHABLE	SUP-M001363760	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
COIL EMBOLIZATION INTERLOCK FIBER .035 IN CUBE L20 CM OD8 MM OCCLUSION SYSTEM DETACHABLE	SUP-M001363760	CDM			270	RC		inpatient			1300	1300																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE 25CM 10MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM ARM ACCEPTS 5	SUP-M001363790	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE 25CM 10MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM ARM ACCEPTS 5	SUP-M001363790	CDM			270	RC		inpatient			1300	1300																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE 25CM 15MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM ARM ACCEPTS 5	SUP-M001363810	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
COIL EMBOLIZATION INTERLOCK FIBERED IDC CUBE 25CM 15MM DACRON PLATINUM 35 COIL DETACHABLE DELIVERY WIRE SM ARM ACCEPTS 5	SUP-M001363810	CDM			270	RC		inpatient			1300	1300																																																			
GUIDEWIRE VASCULAR SYNCHRO2 HYDROPHILIC NITINOL STANDARD L200CM L35 CM OD .014 IN DURABLE ATRAUMATIC RIBBON TIP MICROFABRICATED ACCESS LENGTH STERILE DISPOSABLE	SUP-M00326410	CDM			270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
GUIDEWIRE VASCULAR SYNCHRO2 HYDROPHILIC NITINOL STANDARD L200CM L35 CM OD .014 IN DURABLE ATRAUMATIC RIBBON TIP MICROFABRICATED ACCESS LENGTH STERILE DISPOSABLE	SUP-M00326410	CDM			270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR 41MM 26MM UHR UNIVERSAL HIP COCR UHMWPE	SUP-UH1-41-26	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR 41MM 26MM UHR UNIVERSAL HIP COCR UHMWPE	SUP-UH1-41-26	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD42 MM ID26 MM HIP	SUP-UH1-42-26	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD42 MM ID26 MM HIP	SUP-UH1-42-26	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
UHR BIPOLAR 28 X 42MM	SUP-UH1-42-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
UHR BIPOLAR 28 X 42MM	SUP-UH1-42-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD43 MM ID26 MM HIP	SUP-UH1-43-26	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD43 MM ID26 MM HIP	SUP-UH1-43-26	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD44 MM ID28 MM HIP	SUP-UH1-44-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD44 MM ID28 MM HIP	SUP-UH1-44-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD45 MM ID26 MM HIP	SUP-UH1-45-26	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD45 MM ID26 MM HIP	SUP-UH1-45-26	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD45 MM ID28 MM HIP	SUP-UH1-45-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD45 MM ID28 MM HIP	SUP-UH1-45-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD46 MM ID28 MM HIP	SUP-UH1-46-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD46 MM ID28 MM HIP	SUP-UH1-46-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD47 MM ID28 MM HIP	SUP-UH1-47-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD47 MM ID28 MM HIP	SUP-UH1-47-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD48 MM ID28 MM HIP	SUP-UH1-48-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD48 MM ID28 MM HIP	SUP-UH1-48-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR UHMWPE UNIVERSAL OD49 MM ID28 MM HIP	SUP-UH1-49-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR UHMWPE UNIVERSAL OD49 MM ID28 MM HIP	SUP-UH1-49-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD50 MM ID28 MM HIP	SUP-UH1-50-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD50 MM ID28 MM HIP	SUP-UH1-50-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD51 MM ID28 MM HIP	SUP-UH1-51-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD51 MM ID28 MM HIP	SUP-UH1-51-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD52 MM ID28 MM HIP	SUP-UH1-52-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD52 MM ID28 MM HIP	SUP-UH1-52-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD53 MM ID28 MM HIP	SUP-UH1-53-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD53 MM ID28 MM HIP	SUP-UH1-53-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD54 MM ID28 MM HIP	SUP-UH1-54-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD54 MM ID28 MM HIP	SUP-UH1-54-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD55 MM ID28 MM HIP	SUP-UH1-55-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD55 MM ID28 MM HIP	SUP-UH1-55-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD56 MM ID28 MM HIP	SUP-UH1-56-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD56 MM ID28 MM HIP	SUP-UH1-56-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD58 MM ID28 MM HIP	SUP-UH1-58-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD58 MM ID28 MM HIP	SUP-UH1-58-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD61 MM ID28 MM HIP	SUP-UH1-61-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD61 MM ID28 MM HIP	SUP-UH1-61-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD64 MM ID28 MM HIP	SUP-UH1-64-28	CDM	270010023	LOCAL	270	RC		outpatient			1300	13	352.17				percent of total billed charges		1300				other	OPPS APC	962				percent of total billed charges		1300				other	OPPS APC	1300				other	OPPS APC	352.17				percent of total billed charges		359.19				percent of total billed charges		13				other	OPPS APC	13	1300	
HEAD BIPOLAR UHR COCR UHMWPE UNIVERSAL OD64 MM ID28 MM HIP	SUP-UH1-64-28	CDM	270010023	LOCAL	270	RC		inpatient			1300	1300																																																			
ENDOSTITCH DEVICE	SUP-76-00073	CDM			272	RC		outpatient			1298.96	1298.96	351.89				percent of total billed charges		1298.96				other	OPPS APC	961.23				percent of total billed charges		1298.96				other	OPPS APC	1298.96				other	OPPS APC	351.89				percent of total billed charges		358.9				percent of total billed charges		1298.96				other	OPPS APC	351.89	1298.96	
ENDOSTITCH DEVICE	SUP-76-00073	CDM			272	RC		inpatient			1298.96	1298.96																																																			
SET ENDOSCOPIC INSTRUMENT OTSC NITINOL ADULT D7 MM L165 CM OD8.5-11 MM GASTROINTESTINAL TRACT T CLIP POINT TEETH STERILE LATEX FREE DISPOSABLE STENTFIX	SUP-100.50	CDM			270	RC		outpatient			1298	1298	351.63				percent of total billed charges		1298				other	OPPS APC	960.52				percent of total billed charges		1298				other	OPPS APC	1298				other	OPPS APC	351.63				percent of total billed charges		358.64				percent of total billed charges		1298				other	OPPS APC	351.63	1298	
SET ENDOSCOPIC INSTRUMENT OTSC NITINOL ADULT D7 MM L165 CM OD8.5-11 MM GASTROINTESTINAL TRACT T CLIP POINT TEETH STERILE LATEX FREE DISPOSABLE STENTFIX	SUP-100.50	CDM			270	RC		inpatient			1298	1298																																																			
CATHETER ELECTROPHYSIOLOGY EZ STEER 2-8-2 MM SPACING D-F CURVE OD7 FR CORONARY SINUS BIDIRECTIONAL 12 PIN AUTO ID DEFLECTABLE TIP	SUP-BD710DF282CT	CDM			270	RC		outpatient			1298	1298	351.63				percent of total billed charges		1298				other	OPPS APC	960.52				percent of total billed charges		1298				other	OPPS APC	1298				other	OPPS APC	351.63				percent of total billed charges		358.64				percent of total billed charges		1298				other	OPPS APC	351.63	1298	
CATHETER ELECTROPHYSIOLOGY EZ STEER 2-8-2 MM SPACING D-F CURVE OD7 FR CORONARY SINUS BIDIRECTIONAL 12 PIN AUTO ID DEFLECTABLE TIP	SUP-BD710DF282CT	CDM			270	RC		inpatient			1298	1298																																																			
CALCANEUS WEDGE	SUP-97-00805	CDM			278	RC		outpatient			1295.7	1295.7	1295.7				fee schedule		1295.7				other	OPPS APC	738.55				percent of total billed charges		1295.7				other	OPPS APC	1295.7				other	OPPS APC	634.89				percent of total billed charges		660.81				percent of total billed charges		1295.7				other	OPPS APC	634.89	1295.7	
CALCANEUS WEDGE	SUP-97-00805	CDM			278	RC		inpatient			1295.7	1295.7																																																			
DRILL BIT 5MM	SUP-97-00734	CDM			272	RC		outpatient			1295.19	1295.19	350.87				percent of total billed charges		1295.19				other	OPPS APC	958.44				percent of total billed charges		1295.19				other	OPPS APC	1295.19				other	OPPS APC	350.87				percent of total billed charges		357.86				percent of total billed charges		1295.19				other	OPPS APC	350.87	1295.19	
DRILL BIT 5MM	SUP-97-00734	CDM			272	RC		inpatient			1295.19	1295.19																																																			
PACK ANTERIOR HIP	SUP-78-00375	CDM			272	RC		outpatient			1293.54	1293.54	350.42				percent of total billed charges		1293.54				other	OPPS APC	957.22				percent of total billed charges		1293.54				other	OPPS APC	1293.54				other	OPPS APC	350.42				percent of total billed charges		357.41				percent of total billed charges		1293.54				other	OPPS APC	350.42	1293.54	
PACK ANTERIOR HIP	SUP-78-00375	CDM			272	RC		inpatient			1293.54	1293.54																																																			
24/26FR BIPOLAR CUTTING LOOP	SUP-70-00221	CDM			272	RC		outpatient			1293.41	1293.41	350.38				percent of total billed charges		1293.41				other	OPPS APC	957.12				percent of total billed charges		1293.41				other	OPPS APC	1293.41				other	OPPS APC	350.38				percent of total billed charges		357.37				percent of total billed charges		1293.41				other	OPPS APC	350.38	1293.41	
24/26FR BIPOLAR CUTTING LOOP	SUP-70-00221	CDM			272	RC		inpatient			1293.41	1293.41																																																			
Z-MED BALLOON 33MM X 4CM	SUP-611669	CDM			481	RC		outpatient			1293.38	1293.38	633.76				percent of total billed charges		1293.38				other	OPPS APC	957.1				percent of total billed charges		1293.38				other	OPPS APC	1293.38				other	OPPS APC	633.76				percent of total billed charges		659.62				percent of total billed charges		1293.38				other	OPPS APC	633.76	1293.38	
Z-MED BALLOON 33MM X 4CM	SUP-611669	CDM			481	RC		inpatient			1293.38	1293.38																																																			
Z-MED BALLOON 35MM X 4CM	SUP-611671	CDM			481	RC		outpatient			1293.38	1293.38	633.76				percent of total billed charges		1293.38				other	OPPS APC	957.1				percent of total billed charges		1293.38				other	OPPS APC	1293.38				other	OPPS APC	633.76				percent of total billed charges		659.62				percent of total billed charges		1293.38				other	OPPS APC	633.76	1293.38	
Z-MED BALLOON 35MM X 4CM	SUP-611671	CDM			481	RC		inpatient			1293.38	1293.38																																																			
HC CT Lower Extrem W Contrast	PX-352737010	CDM	73701	CPT	352	RC		outpatient			1293	189.94	241.55				fee schedule		189.94				other	OPPS APC	717.69				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	173.05				fee schedule		117.81				fee schedule		189.94				other	OPPS APC	117.81	717.69	
HC CT Lower Extrem W Contrast	PX-352737010	CDM	73701	CPT	352	RC		inpatient			1293	1293																																																			
PLATE 9 HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-01961	CDM			278	RC		outpatient			1292.85	1292.85	1292.85				fee schedule		1292.85				other	OPPS APC	736.92				percent of total billed charges		1292.85				other	OPPS APC	1292.85				other	OPPS APC	633.5				percent of total billed charges		659.35				percent of total billed charges		1292.85				other	OPPS APC	633.5	1292.85	
PLATE 9 HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-01961	CDM			278	RC		inpatient			1292.85	1292.85																																																			
BLADE SHAVER XPS TRICUT L27 CM OD4 MM SUBGLOTTIC LARYNGEAL M4 ROTATABLE ANGLED TIP IRRIGATION TUBING	SUP-1884031HRE	CDM			270	RC		outpatient			1292	1292	350				percent of total billed charges		1292				other	OPPS APC	956.08				percent of total billed charges		1292				other	OPPS APC	1292				other	OPPS APC	350				percent of total billed charges		356.98				percent of total billed charges		1292				other	OPPS APC	350	1292	
BLADE SHAVER XPS TRICUT L27 CM OD4 MM SUBGLOTTIC LARYNGEAL M4 ROTATABLE ANGLED TIP IRRIGATION TUBING	SUP-1884031HRE	CDM			270	RC		inpatient			1292	1292																																																			
GRAFT VASCULAR GORE-TEX THIN WALL L40 CM ID6 MM PERIPHERAL STRETCH STERILE	SUP-ST0604	CDM			270	RC		outpatient			1292	1292	350				percent of total billed charges		1292				other	OPPS APC	956.08				percent of total billed charges		1292				other	OPPS APC	1292				other	OPPS APC	350				percent of total billed charges		356.98				percent of total billed charges		1292				other	OPPS APC	350	1292	
GRAFT VASCULAR GORE-TEX THIN WALL L40 CM ID6 MM PERIPHERAL STRETCH STERILE	SUP-ST0604	CDM			270	RC		inpatient			1292	1292																																																			
PLATE BONE LC-DCP STAINLESS STEEL L181 MM X W11 MM X H3.3 MM 14 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.64	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE LC-DCP STAINLESS STEEL L181 MM X W11 MM X H3.3 MM 14 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.64	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 130 DEG 2 HOLE	SUP-281.021S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 130 DEG 2 HOLE	SUP-281.021S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE DHS/DCP STAINLESS STEEL 130 D STANDARD BARREL L62 MM L38 MM HIP 3 HOLE COMPRESSION STERILE 1 STEP SYSTEM	SUP-281.031S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE DHS/DCP STAINLESS STEEL 130 D STANDARD BARREL L62 MM L38 MM HIP 3 HOLE COMPRESSION STERILE 1 STEP SYSTEM	SUP-281.031S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE DHS/DCP STAINLESS STEEL 130 D STANDARD BARREL L78 MM L38 MM HIP CONDYLE 4 HOLE LOW PROFILE STERILE 1 STEP SYSTEM	SUP-281.040S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE DHS/DCP STAINLESS STEEL 130 D STANDARD BARREL L78 MM L38 MM HIP CONDYLE 4 HOLE LOW PROFILE STERILE 1 STEP SYSTEM	SUP-281.040S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 130 DEG 3 HOLE	SUP-281.131S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 130 DEG 3 HOLE	SUP-281.131S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 135 DEG 4 HOLE	SUP-281.140S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 135 DEG 4 HOLE	SUP-281.140S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE DHS STAINLESS STEEL 135 D STANDARD BARREL L94 MM L38 MM PROXIMAL FEMUR 5 HOLE STERILE 4.5 MM CORTICAL SCREW	SUP-281.150S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE DHS STAINLESS STEEL 135 D STANDARD BARREL L94 MM L38 MM PROXIMAL FEMUR 5 HOLE STERILE 4.5 MM CORTICAL SCREW	SUP-281.150S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 135 DEG 6 HOLE	SUP-281.160S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 135 DEG 6 HOLE	SUP-281.160S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 140 DEG 4 HOLE	SUP-281.240S	CDM	270010022	LOCAL	270	RC		outpatient			1291.4	1291.41	349.84				percent of total billed charges		1291.4				other	OPPS APC	955.64				percent of total billed charges		1291.4				other	OPPS APC	1291.4				other	OPPS APC	349.84				percent of total billed charges		356.81				percent of total billed charges		1291.41				other	OPPS APC	349.84	1291.41	
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 140 DEG 4 HOLE	SUP-281.240S	CDM	270010022	LOCAL	270	RC		inpatient			1291.4	1291.4																																																			
KIT PRESSURE MONITOR CAMINO MICRO 4FR 12FR STERILE INTRACRANIAL VENTRICULAR TRANSDUCER TIP CATHETER BOLT TWIST DRILL	SUP-110-4HM	CDM			270	RC		outpatient			1290.82	129.82	349.68				percent of total billed charges		1290.82				other	OPPS APC	955.21				percent of total billed charges		1290.82				other	OPPS APC	1290.82				other	OPPS APC	349.68				percent of total billed charges		356.65				percent of total billed charges		129.82				other	OPPS APC	129.82	1290.82	
KIT PRESSURE MONITOR CAMINO MICRO 4FR 12FR STERILE INTRACRANIAL VENTRICULAR TRANSDUCER TIP CATHETER BOLT TWIST DRILL	SUP-110-4HM	CDM			270	RC		inpatient			1290.82	1290.82																																																			
PLATE BONE 57X6.3X1.25MM TITANIUM NS HAND RIGHT CONDYLE 8 HOLE 2.4MM SCREW	SUP-449.916	CDM	270010022	LOCAL	270	RC		outpatient			1290.3	129.3	349.54				percent of total billed charges		1290.3				other	OPPS APC	954.82				percent of total billed charges		1290.3				other	OPPS APC	1290.3				other	OPPS APC	349.54				percent of total billed charges		356.51				percent of total billed charges		129.3				other	OPPS APC	129.3	1290.3	
PLATE BONE 57X6.3X1.25MM TITANIUM NS HAND RIGHT CONDYLE 8 HOLE 2.4MM SCREW	SUP-449.916	CDM	270010022	LOCAL	270	RC		inpatient			1290.3	1290.3																																																			
CONDYLAR PLATE	SUP-449.917	CDM	270010022	LOCAL	270	RC		outpatient			1290.3	129.3	349.54				percent of total billed charges		1290.3				other	OPPS APC	954.82				percent of total billed charges		1290.3				other	OPPS APC	1290.3				other	OPPS APC	349.54				percent of total billed charges		356.51				percent of total billed charges		129.3				other	OPPS APC	129.3	1290.3	
CONDYLAR PLATE	SUP-449.917	CDM	270010022	LOCAL	270	RC		inpatient			1290.3	1290.3																																																			
DEVICE FIXATION TIGHTROPE SM 10MM BONE TENDON BONE ACL 4 POINT LOCK ADJUSTABLE LOOP	SUP-AR-1588BTB-1B	CDM			270	RC		outpatient			1290	129	349.46				percent of total billed charges		1290				other	OPPS APC	954.6				percent of total billed charges		1290				other	OPPS APC	1290				other	OPPS APC	349.46				percent of total billed charges		356.43				percent of total billed charges		129				other	OPPS APC	129	1290	
DEVICE FIXATION TIGHTROPE SM 10MM BONE TENDON BONE ACL 4 POINT LOCK ADJUSTABLE LOOP	SUP-AR-1588BTB-1B	CDM			270	RC		inpatient			1290	1290																																																			
CONNECTOR ROD TSRH-3D TITANIUM SMALL OD6.35 MM SPINE CLOSED OFFSET	SUP-8379140	CDM	270010020	LOCAL	270	RC		outpatient			1288.56	1288.56	349.07				percent of total billed charges		1288.56				other	OPPS APC	953.53				percent of total billed charges		1288.56				other	OPPS APC	1288.56				other	OPPS APC	349.07				percent of total billed charges		356.03				percent of total billed charges		1288.56				other	OPPS APC	349.07	1288.56	
CONNECTOR ROD TSRH-3D TITANIUM SMALL OD6.35 MM SPINE CLOSED OFFSET	SUP-8379140	CDM	270010020	LOCAL	270	RC		inpatient			1288.56	1288.56																																																			
PLATE BONE 100X2.2X.7MM TITANIUM NS CRANIOFACIAL 34 HOLE ADAPTION 1MM CORTEX SCREW	SUP-420.10	CDM	270010022	LOCAL	270	RC		outpatient			1288.44	1288.44	349.04				percent of total billed charges		1288.44				other	OPPS APC	953.45				percent of total billed charges		1288.44				other	OPPS APC	1288.44				other	OPPS APC	349.04				percent of total billed charges		356				percent of total billed charges		1288.44				other	OPPS APC	349.04	1288.44	
PLATE BONE 100X2.2X.7MM TITANIUM NS CRANIOFACIAL 34 HOLE ADAPTION 1MM CORTEX SCREW	SUP-420.10	CDM	270010022	LOCAL	270	RC		inpatient			1288.44	1288.44																																																			
SPACER HUMERAL TRABECULAR METAL 9 MM SHOULDER REVERSE	SUP-00434903909	CDM	270010024	LOCAL	270	RC		outpatient			1288	1288	348.92				percent of total billed charges		1288				other	OPPS APC	953.12				percent of total billed charges		1288				other	OPPS APC	1288				other	OPPS APC	348.92				percent of total billed charges		355.87				percent of total billed charges		1288				other	OPPS APC	348.92	1288	
SPACER HUMERAL TRABECULAR METAL 9 MM SHOULDER REVERSE	SUP-00434903909	CDM	270010024	LOCAL	270	RC		inpatient			1288	1288																																																			
SPACER HUMERAL TRABECULAR METAL 12 MM SHOULDER REVERSE	SUP-00-4349-039-12	CDM	270010024	LOCAL	270	RC		outpatient			1288	1288	348.92				percent of total billed charges		1288				other	OPPS APC	953.12				percent of total billed charges		1288				other	OPPS APC	1288				other	OPPS APC	348.92				percent of total billed charges		355.87				percent of total billed charges		1288				other	OPPS APC	348.92	1288	
SPACER HUMERAL TRABECULAR METAL 12 MM SHOULDER REVERSE	SUP-00-4349-039-12	CDM	270010024	LOCAL	270	RC		inpatient			1288	1288																																																			
HC Debride Bone Ea Add 20 Sq Cm	PX-761110470	CDM	11047	CPT	761	RC		inpatient			1286	1286																																																			
HC Debride Bone Ea Add 20 Sq Cm	PX-761110470	CDM	11047	CPT	761	RC		outpatient			1286	1286	195.77				case rate						other	OPPS APC	951.64				percent of total billed charges						other	OPPS APC					other	OPPS APC	195.77				case rate		655.86				percent of total billed charges						other	OPPS APC	951.64	951.64	
APREPITANT 7.2 MG/ML EMULSION	636000000	CDM	47426-201-01	NDC	J0185	HCPCS		inpatient			1285.08	1285.08																																																			
APREPITANT 7.2 MG/ML EMULSION	636000000	CDM	47426-201-01	NDC	J0185	HCPCS		outpatient			1285.08	1.77																																											1.77				other	OPPS APC	1.77	1.77	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L115 MM OD11 MM TROCHANTER CANNULATED NONSTERILE GOLD	SUP-456.308	CDM	270010022	LOCAL	270	RC		outpatient			1283.7	1283.7	347.75				percent of total billed charges		1283.7				other	OPPS APC	949.94				percent of total billed charges		1283.7				other	OPPS APC	1283.7				other	OPPS APC	347.75				percent of total billed charges		354.69				percent of total billed charges		1283.7				other	OPPS APC	347.75	1283.7	
BLADE INTRAMEDULLARY FIXATION TITANIUM HELIX L115 MM OD11 MM TROCHANTER CANNULATED NONSTERILE GOLD	SUP-456.308	CDM	270010022	LOCAL	270	RC		inpatient			1283.7	1283.7																																																			
THROMBIN(HUMAN)-FIBRIN-CALCIUM 500 UNIT-80 MG /ML (10 ML) SYRINGE	250000000	CDM	61953-0014-1	NDC				inpatient			1283.63	1283.63																																																			
THROMBIN(HUMAN)-FIBRIN-CALCIUM 500 UNIT-80 MG /ML (10 ML) SYRINGE	250000000	CDM	61953-0014-1	NDC				outpatient			1283.63	1283.63																																															other	OPPS APC			
SOFT TISSUE MINI BLADE	SUP-72202536	CDM			270	RC		outpatient			1283.06	1283.6	347.58				percent of total billed charges		1283.06				other	OPPS APC	949.46				percent of total billed charges		1283.06				other	OPPS APC	1283.06				other	OPPS APC	347.58				percent of total billed charges		354.51				percent of total billed charges		1283.6				other	OPPS APC	347.58	1283.6	
SOFT TISSUE MINI BLADE	SUP-72202536	CDM			270	RC		inpatient			1283.06	1283.06																																																			
LENS SA60WF 20.5D	SUP-97-01273	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS SA60WF 20.5D	SUP-97-01273	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LENS 21.0D ACRYSOF	SUP-97-01274	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS 21.0D ACRYSOF	SUP-97-01274	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LENS 17.0D ACRYSOF IQ ASPHERIC	SUP-97-01545	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS 17.0D ACRYSOF IQ ASPHERIC	SUP-97-01545	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LENS 22.0D ACRYSOF IQ ASPHERIC	SUP-97-01546	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS 22.0D ACRYSOF IQ ASPHERIC	SUP-97-01546	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LENS SA60WF	SUP-97-01600	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS SA60WF	SUP-97-01600	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LENS 18.5D ACRYSOF IQ ASPHERIC IOL	SUP-97-01662	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS 18.5D ACRYSOF IQ ASPHERIC IOL	SUP-97-01662	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LENS 17.5	SUP-97-02112	CDM			278	RC		outpatient			1282.5	1282.5	1282.5				fee schedule		1282.5				other	OPPS APC	731.03				percent of total billed charges		1282.5				other	OPPS APC	1282.5				other	OPPS APC	628.43				percent of total billed charges		654.08				percent of total billed charges		1282.5				other	OPPS APC	628.43	1282.5	
LENS 17.5	SUP-97-02112	CDM			278	RC		inpatient			1282.5	1282.5																																																			
LEAD PACING 52CM 2.4MM ENDOCARDIAL ATRIAL VENTRICULAR BIPOLAR STRAIGHT EXTENDABLE	SUP-00802526397738	CDM			275	RC		outpatient			1282	1282	628.18				percent of total billed charges		1282				other	OPPS APC	730.74				percent of total billed charges		1282				other	OPPS APC	1282				other	OPPS APC	628.18				percent of total billed charges		653.82				percent of total billed charges		1282				other	OPPS APC	628.18	1282	
LEAD PACING 52CM 2.4MM ENDOCARDIAL ATRIAL VENTRICULAR BIPOLAR STRAIGHT EXTENDABLE	SUP-00802526397738	CDM			275	RC		inpatient			1282	1282																																																			
LEAD PACING FLEXTEND SILICONE STEROID ELUTING HELIX L45 CM ENDOCARDIUM ATRIUM VENTRICLE BIPOLAR EXTENDABLE RETRACTABLE SCREW FIXATION IS-1	SUP-4086	CDM			275	RC		outpatient			1282	1282	628.18				percent of total billed charges		1282				other	OPPS APC	730.74				percent of total billed charges		1282				other	OPPS APC	1282				other	OPPS APC	628.18				percent of total billed charges		653.82				percent of total billed charges		1282				other	OPPS APC	628.18	1282	
LEAD PACING FLEXTEND SILICONE STEROID ELUTING HELIX L45 CM ENDOCARDIUM ATRIUM VENTRICLE BIPOLAR EXTENDABLE RETRACTABLE SCREW FIXATION IS-1	SUP-4086	CDM			275	RC		inpatient			1282	1282																																																			
LEAD PACING FLEXTEND STEROID ELUTING SILICONE L52 CM OD2.4 MM ENDOCARDIAL ATRIAL VENTRICULAR BIPOLAR STRAIGHT EXTENDABLE RETRACTABLE SCREW FIXATION HELIX TIP IS-1 RED	SUP-4087	CDM			275	RC		outpatient			1282	1282	628.18				percent of total billed charges		1282				other	OPPS APC	730.74				percent of total billed charges		1282				other	OPPS APC	1282				other	OPPS APC	628.18				percent of total billed charges		653.82				percent of total billed charges		1282				other	OPPS APC	628.18	1282	
LEAD PACING FLEXTEND STEROID ELUTING SILICONE L52 CM OD2.4 MM ENDOCARDIAL ATRIAL VENTRICULAR BIPOLAR STRAIGHT EXTENDABLE RETRACTABLE SCREW FIXATION HELIX TIP IS-1 RED	SUP-4087	CDM			275	RC		inpatient			1282	1282																																																			
LEAD PACING FLEXTEND STEROID ELUTING SILICONE ENDOCARDIAL ATRIAL VENTRICULAR BIPOLAR EXTENDABLE RETRACTABLE SCREW FIXATION HELIX TIP IS-1	SUP-4088	CDM			275	RC		outpatient			1282	1282	628.18				percent of total billed charges		1282				other	OPPS APC	730.74				percent of total billed charges		1282				other	OPPS APC	1282				other	OPPS APC	628.18				percent of total billed charges		653.82				percent of total billed charges		1282				other	OPPS APC	628.18	1282	
LEAD PACING FLEXTEND STEROID ELUTING SILICONE ENDOCARDIAL ATRIAL VENTRICULAR BIPOLAR EXTENDABLE RETRACTABLE SCREW FIXATION HELIX TIP IS-1	SUP-4088	CDM			275	RC		inpatient			1282	1282																																																			
LEAD PACING DEXTRUS SILICONE 10 MM SPACE HELIX L45 CM OD6.7 FR ATRIUM VENTRICLE RIGHT EXTENDABLE RETRACTABLE ACTIVE FIXATION RADIOPAQUE BIPOLAR	SUP-4135-45CM	CDM			275	RC		outpatient			1282	1282	628.18				percent of total billed charges		1282				other	OPPS APC	730.74				percent of total billed charges		1282				other	OPPS APC	1282				other	OPPS APC	628.18				percent of total billed charges		653.82				percent of total billed charges		1282				other	OPPS APC	628.18	1282	
LEAD PACING DEXTRUS SILICONE 10 MM SPACE HELIX L45 CM OD6.7 FR ATRIUM VENTRICLE RIGHT EXTENDABLE RETRACTABLE ACTIVE FIXATION RADIOPAQUE BIPOLAR	SUP-4135-45CM	CDM			275	RC		inpatient			1282	1282																																																			
SHEATH DRYSEAL	SUP-DSL1245	CDM	270010015	LOCAL	270	RC		outpatient			1282	1282	347.29				percent of total billed charges		1282				other	OPPS APC	948.68				percent of total billed charges		1282				other	OPPS APC	1282				other	OPPS APC	347.29				percent of total billed charges		354.22				percent of total billed charges		1282				other	OPPS APC	347.29	1282	
SHEATH DRYSEAL	SUP-DSL1245	CDM	270010015	LOCAL	270	RC		inpatient			1282	1282																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L120 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-C06040ML	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L120 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-C06040ML	CDM			270	RC		inpatient			1280	1280																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L80 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-C06040SL	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L80 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 4-5 MM VESSEL	SUP-C06040SL	CDM			270	RC		inpatient			1280	1280																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L80 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C06080SL	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L80 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C06080SL	CDM			270	RC		inpatient			1280	1280																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L100 MM L80 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C06100SL	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L100 MM L80 CM OD6 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C06100SL	CDM			270	RC		inpatient			1280	1280																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L80 CM OD7 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C07080SL	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L80 MM L80 CM OD7 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C07080SL	CDM			270	RC		inpatient			1280	1280																																																			
STENT VASCULAR CORDIS SMART CONTROL 60MM 80CM 8MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C08060SL_28331	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR CORDIS SMART CONTROL 60MM 80CM 8MM NITINOL LF ILIAC SUPERFICIAL FEMORAL ARTERY DELIVERY HANDLE SELF	SUP-C08060SL_28331	CDM			270	RC		inpatient			1280	1280																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L80 CM OD10 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-C10040SL	CDM			270	RC		outpatient			1280	128	346.75				percent of total billed charges		1280				other	OPPS APC	947.2				percent of total billed charges		1280				other	OPPS APC	1280				other	OPPS APC	346.75				percent of total billed charges		353.66				percent of total billed charges		128				other	OPPS APC	128	1280	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L40 MM L80 CM OD10 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER 8-9 MM VESSEL	SUP-C10040SL	CDM			270	RC		inpatient			1280	1280																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L125 MM FIBULA RIGHT DISTAL LATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.144	CDM	270010022	LOCAL	270	RC		outpatient			1279.3	1279.3	346.56				percent of total billed charges		1279.3				other	OPPS APC	946.68				percent of total billed charges		1279.3				other	OPPS APC	1279.3				other	OPPS APC	346.56				percent of total billed charges		353.47				percent of total billed charges		1279.3				other	OPPS APC	346.56	1279.3	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L125 MM FIBULA RIGHT DISTAL LATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.144	CDM	270010022	LOCAL	270	RC		inpatient			1279.3	1279.3																																																			
SCREW BONE TITANIUM L30 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.630	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L30 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.630	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L36 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.636	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L36 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.636	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L38 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.638	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L38 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.638	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L80 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.680	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L80 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.680	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L110 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.702	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L110 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.702	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L50 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.750	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L50 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.750	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM SHORT THREAD L55 MM L16 MM OD6.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.755	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM SHORT THREAD L55 MM L16 MM OD6.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.755	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L65 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.765	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L65 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.765	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L110 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.802	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L110 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.802	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM NIOBIUM ALUMINUM T30 SHORT THREAD L80 MM L16 MM OD7.5 MM COMPRESSION SELF TAP SELF DRILL CANNULATED NONSTERILE	SUP-04.333.880	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM NIOBIUM ALUMINUM T30 SHORT THREAD L80 MM L16 MM OD7.5 MM COMPRESSION SELF TAP SELF DRILL CANNULATED NONSTERILE	SUP-04.333.880	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L36 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.636	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L36 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.636	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L42 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.642	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L42 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.642	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L46 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.646	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L46 MM OD5.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.646	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L110 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.702	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L110 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.702	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L70 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.770	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L70 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.770	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L75 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.775	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L75 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.775	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L80 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.780	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L80 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.780	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L85 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.785	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L85 MM OD6.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.785	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L50 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.850	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L50 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.850	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L55 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.855	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L55 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.855	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L80 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.880	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L80 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.880	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L85 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.885	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L85 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.885	CDM			270	RC		inpatient			1279.2	1279.2																																																			
SCREW BONE TITANIUM L90 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.890	CDM			270	RC		outpatient			1279.2	1279.2	346.54				percent of total billed charges		1279.2				other	OPPS APC	946.61				percent of total billed charges		1279.2				other	OPPS APC	1279.2				other	OPPS APC	346.54				percent of total billed charges		353.44				percent of total billed charges		1279.2				other	OPPS APC	346.54	1279.2	
SCREW BONE TITANIUM L90 MM OD7.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.890	CDM			270	RC		inpatient			1279.2	1279.2																																																			
GII QUICKANCHOR (MITEK)	SUP-84-00005	CDM			278	RC		outpatient			1276.54	1276.54	1276.54				fee schedule		1276.54				other	OPPS APC	727.63				percent of total billed charges		1276.54				other	OPPS APC	1276.54				other	OPPS APC	625.5				percent of total billed charges		651.04				percent of total billed charges		1276.54				other	OPPS APC	625.5	1276.54	
GII QUICKANCHOR (MITEK)	SUP-84-00005	CDM			278	RC		inpatient			1276.54	1276.54																																																			
DISTAL LATERAL FIBULA PLATE 3HOLE	SUP-97-01339	CDM			278	RC		outpatient			1276.02	1276.2	1276.02				fee schedule		1276.02				other	OPPS APC	727.33				percent of total billed charges		1276.02				other	OPPS APC	1276.02				other	OPPS APC	625.25				percent of total billed charges		650.77				percent of total billed charges		1276.2				other	OPPS APC	625.25	1276.2	
DISTAL LATERAL FIBULA PLATE 3HOLE	SUP-97-01339	CDM			278	RC		inpatient			1276.02	1276.02																																																			
DISTAL LATERAL FIBULA PLATE 4 HOLE	SUP-97-03134	CDM			278	RC		outpatient			1276.02	1276.2	1276.02				fee schedule		1276.02				other	OPPS APC	727.33				percent of total billed charges		1276.02				other	OPPS APC	1276.02				other	OPPS APC	625.25				percent of total billed charges		650.77				percent of total billed charges		1276.2				other	OPPS APC	625.25	1276.2	
DISTAL LATERAL FIBULA PLATE 4 HOLE	SUP-97-03134	CDM			278	RC		inpatient			1276.02	1276.02																																																			
DISTAL LATERAL FIBULA PLATE 5 HOLE	SUP-97-03351	CDM			278	RC		outpatient			1276.02	1276.2	1276.02				fee schedule		1276.02				other	OPPS APC	727.33				percent of total billed charges		1276.02				other	OPPS APC	1276.02				other	OPPS APC	625.25				percent of total billed charges		650.77				percent of total billed charges		1276.2				other	OPPS APC	625.25	1276.2	
DISTAL LATERAL FIBULA PLATE 5 HOLE	SUP-97-03351	CDM			278	RC		inpatient			1276.02	1276.02																																																			
GRASPER ENDOSCOPIC OTSC L 220CM TWIN	SUP-200.45	CDM			270	RC		outpatient			1276	1276	345.67				percent of total billed charges		1276				other	OPPS APC	944.24				percent of total billed charges		1276				other	OPPS APC	1276				other	OPPS APC	345.67				percent of total billed charges		352.56				percent of total billed charges		1276				other	OPPS APC	345.67	1276	
GRASPER ENDOSCOPIC OTSC L 220CM TWIN	SUP-200.45	CDM			270	RC		inpatient			1276	1276																																																			
PLATE BONE EVOS STAINLESS STEEL 7 MM SPACE L 87 MM X W 8 MM X H 2.4 MM CLAVICLE MEDIAL SUPERIOR 13 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7 MM SCREW	SUP-72468913	CDM			270	RC		outpatient			1276	1276	345.67				percent of total billed charges		1276				other	OPPS APC	944.24				percent of total billed charges		1276				other	OPPS APC	1276				other	OPPS APC	345.67				percent of total billed charges		352.56				percent of total billed charges		1276				other	OPPS APC	345.67	1276	
PLATE BONE EVOS STAINLESS STEEL 7 MM SPACE L 87 MM X W 8 MM X H 2.4 MM CLAVICLE MEDIAL SUPERIOR 13 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7 MM SCREW	SUP-72468913	CDM			270	RC		inpatient			1276	1276																																																			
SPEEDBAND SUPERVIEW SUPER 7	SUP-95-02172	CDM			272	RC		outpatient			1275.53	1275.53	345.54				percent of total billed charges		1275.53				other	OPPS APC	943.89				percent of total billed charges		1275.53				other	OPPS APC	1275.53				other	OPPS APC	345.54				percent of total billed charges		352.43				percent of total billed charges		1275.53				other	OPPS APC	345.54	1275.53	
SPEEDBAND SUPERVIEW SUPER 7	SUP-95-02172	CDM			272	RC		inpatient			1275.53	1275.53																																																			
MINI BIO-PUSHLOCK 2.5M (BX/5)	SUP-80-00020	CDM			278	RC		outpatient			1275	1275	1275				fee schedule		1275				other	OPPS APC	726.75				percent of total billed charges		1275				other	OPPS APC	1275				other	OPPS APC	624.75				percent of total billed charges		650.25				percent of total billed charges		1275				other	OPPS APC	624.75	1275	
MINI BIO-PUSHLOCK 2.5M (BX/5)	SUP-80-00020	CDM			278	RC		inpatient			1275	1275																																																			
BTB TIGHTROPE ARTHREX	SUP-97-03507	CDM			278	RC		outpatient			1275	1275	1275				fee schedule		1275				other	OPPS APC	726.75				percent of total billed charges		1275				other	OPPS APC	1275				other	OPPS APC	624.75				percent of total billed charges		650.25				percent of total billed charges		1275				other	OPPS APC	624.75	1275	
BTB TIGHTROPE ARTHREX	SUP-97-03507	CDM			278	RC		inpatient			1275	1275																																																			
DX SWIVELOCK SL 3.5X8.5MM W/FORK EYELET	SUP-97-04336	CDM			278	RC		outpatient			1275	1275	1275				fee schedule		1275				other	OPPS APC	726.75				percent of total billed charges		1275				other	OPPS APC	1275				other	OPPS APC	624.75				percent of total billed charges		650.25				percent of total billed charges		1275				other	OPPS APC	624.75	1275	
DX SWIVELOCK SL 3.5X8.5MM W/FORK EYELET	SUP-97-04336	CDM			278	RC		inpatient			1275	1275																																																			
TIGHTROPE BUTTON 11MM	SUP-97-04612	CDM			278	RC		inpatient			1275	1275																																																			
TIGHTROPE BUTTON 11MM	SUP-97-04612	CDM			278	RC		outpatient			1275	1275	624.75				percent of total billed charges						other	OPPS APC	726.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	624.75				percent of total billed charges		650.25				percent of total billed charges						other	OPPS APC	726.75	726.75	
FLIPCUTTER 3	SUP-97-04614	CDM			272	RC		outpatient			1275	1275	345.4				percent of total billed charges		1275				other	OPPS APC	943.5				percent of total billed charges		1275				other	OPPS APC	1275				other	OPPS APC	345.4				percent of total billed charges		352.28				percent of total billed charges		1275				other	OPPS APC	345.4	1275	
FLIPCUTTER 3	SUP-97-04614	CDM			272	RC		inpatient			1275	1275																																																			
FIBERTAK W/ NEEDLES KNEE DOUBLE LOADED	SUP-97-06362	CDM			278	RC		outpatient			1275	1275	1275				fee schedule		1275				other	OPPS APC	726.75				percent of total billed charges		1275				other	OPPS APC	1275				other	OPPS APC	624.75				percent of total billed charges		650.25				percent of total billed charges		1275				other	OPPS APC	624.75	1275	
FIBERTAK W/ NEEDLES KNEE DOUBLE LOADED	SUP-97-06362	CDM			278	RC		inpatient			1275	1275																																																			
CATHETER - SASUKE 145CM	SUP-99-04253	CDM			272	RC		outpatient			1275	1275	345.4				percent of total billed charges		1275				other	OPPS APC	943.5				percent of total billed charges		1275				other	OPPS APC	1275				other	OPPS APC	345.4				percent of total billed charges		352.28				percent of total billed charges		1275				other	OPPS APC	345.4	1275	
CATHETER - SASUKE 145CM	SUP-99-04253	CDM			272	RC		inpatient			1275	1275																																																			
PLATE BONE LCP COMBI STAINLESS STEEL -90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.507	CDM	270010022	LOCAL	270	RC		outpatient			1274.9	1274.91	345.37				percent of total billed charges		1274.9				other	OPPS APC	943.43				percent of total billed charges		1274.9				other	OPPS APC	1274.9				other	OPPS APC	345.37				percent of total billed charges		352.25				percent of total billed charges		1274.91				other	OPPS APC	345.37	1274.91	
PLATE BONE LCP COMBI STAINLESS STEEL -90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.507	CDM	270010022	LOCAL	270	RC		inpatient			1274.9	1274.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL +20 D L L52 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.509	CDM	270010022	LOCAL	270	RC		outpatient			1274.9	1274.91	345.37				percent of total billed charges		1274.9				other	OPPS APC	943.43				percent of total billed charges		1274.9				other	OPPS APC	1274.9				other	OPPS APC	345.37				percent of total billed charges		352.25				percent of total billed charges		1274.91				other	OPPS APC	345.37	1274.91	
PLATE BONE LCP COMBI STAINLESS STEEL +20 D L L52 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.509	CDM	270010022	LOCAL	270	RC		inpatient			1274.9	1274.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL -20 D L L52 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.512	CDM	270010022	LOCAL	270	RC		outpatient			1274.9	1274.91	345.37				percent of total billed charges		1274.9				other	OPPS APC	943.43				percent of total billed charges		1274.9				other	OPPS APC	1274.9				other	OPPS APC	345.37				percent of total billed charges		352.25				percent of total billed charges		1274.91				other	OPPS APC	345.37	1274.91	
PLATE BONE LCP COMBI STAINLESS STEEL -20 D L L52 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.512	CDM	270010022	LOCAL	270	RC		inpatient			1274.9	1274.9																																																			
VASOPRESSIN 0.4 UNIT/ML SOLUTION	250000000	CDM	42023-219-01	NDC	J2598	HCPCS		inpatient			1274.27	1274.27																																																			
VASOPRESSIN 0.4 UNIT/ML SOLUTION	250000000	CDM	42023-219-01	NDC	J2598	HCPCS		outpatient			1274.27	2.73																																											2.73				other	OPPS APC	2.73	2.73	
PATCH SURGICAL VENTRALEX SEPRA SORBAFLEX MED CIRCLE 2.5IN POLYPROPYLENE EPTFE STERILE MONOFILAMENT SELF EXPAND STRAP	SUP-10302	CDM			270	RC		outpatient			1273.4	1273.41	344.96				percent of total billed charges		1273.4				other	OPPS APC	942.32				percent of total billed charges		1273.4				other	OPPS APC	1273.4				other	OPPS APC	344.96				percent of total billed charges		351.84				percent of total billed charges		1273.41				other	OPPS APC	344.96	1273.41	
PATCH SURGICAL VENTRALEX SEPRA SORBAFLEX MED CIRCLE 2.5IN POLYPROPYLENE EPTFE STERILE MONOFILAMENT SELF EXPAND STRAP	SUP-10302	CDM			270	RC		inpatient			1273.4	1273.4																																																			
PLATE BONE STAINLESS STEEL H1.3 MM HAND CONDYLAR 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE NONSTERILE 2 MM SCREW	SUP-02.130.355	CDM	270010022	LOCAL	270	RC		outpatient			1273.2	1273.2	344.91				percent of total billed charges		1273.2				other	OPPS APC	942.17				percent of total billed charges		1273.2				other	OPPS APC	1273.2				other	OPPS APC	344.91				percent of total billed charges		351.79				percent of total billed charges		1273.2				other	OPPS APC	344.91	1273.2	
PLATE BONE STAINLESS STEEL H1.3 MM HAND CONDYLAR 2 HOLE HEAD 6 HOLE SHAFT LOCK VARIABLE ANGLE NONSTERILE 2 MM SCREW	SUP-02.130.355	CDM	270010022	LOCAL	270	RC		inpatient			1273.2	1273.2																																																			
CENTRAL THREADED POST 6.5X30MM	SUP-97-05570	CDM			278	RC		outpatient			1272	1272	1272				fee schedule		1272				other	OPPS APC	725.04				percent of total billed charges		1272				other	OPPS APC	1272				other	OPPS APC	623.28				percent of total billed charges		648.72				percent of total billed charges		1272				other	OPPS APC	623.28	1272	
CENTRAL THREADED POST 6.5X30MM	SUP-97-05570	CDM			278	RC		inpatient			1272	1272																																																			
POST PRESS FIT 15MM	SUP-97-06279	CDM			278	RC		outpatient			1272	1272	1272				fee schedule		1272				other	OPPS APC	725.04				percent of total billed charges		1272				other	OPPS APC	1272				other	OPPS APC	623.28				percent of total billed charges		648.72				percent of total billed charges		1272				other	OPPS APC	623.28	1272	
POST PRESS FIT 15MM	SUP-97-06279	CDM			278	RC		inpatient			1272	1272																																																			
HC Imrt Treatments Simple	PX-333773850	CDM	77385	CPT	333	RC		outpatient			1270	62.95	622.3				percent of total billed charges		602.94				other	OPPS APC	1713.32				fee schedule		602.94				other	OPPS APC	602.94				other	OPPS APC	622.3				percent of total billed charges		647.7				percent of total billed charges		62.95				other	OPPS APC	62.95	1713.32	
HC Imrt Treatments Simple	PX-333773850	CDM	77385	CPT	333	RC		inpatient			1270	1270																																																			
HC Imrt Treatments Complex	PX-333773860	CDM	77386	CPT	333	RC		outpatient			1270	62.95	416				fee schedule		602.94				other	OPPS APC	1713.32				fee schedule		602.94				other	OPPS APC	602.94				other	OPPS APC	622.3				percent of total billed charges		647.7				percent of total billed charges		62.95				other	OPPS APC	62.95	1713.32	
HC Imrt Treatments Complex	PX-333773860	CDM	77386	CPT	333	RC		inpatient			1270	1270																																																			
HC CT Pelvis W/O Contrast	PX-352721920	CDM	72192	CPT	352	RC		outpatient			1268	112.57	153.91				fee schedule		112.57				other	OPPS APC	710.03				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	137.95				fee schedule		86.2				fee schedule		112.57				other	OPPS APC	86.2	710.03	
HC CT Pelvis W/O Contrast	PX-352721920	CDM	72192	CPT	352	RC		inpatient			1268	1268																																																			
GRAFT VASCULAR GORE-TEX THIN WALL L70 CM ID7 MM LINE STERILE LATEX FREE	SUP-VT07070L	CDM			270	RC		outpatient			1268	1268	343.5				percent of total billed charges		1268				other	OPPS APC	938.32				percent of total billed charges		1268				other	OPPS APC	1268				other	OPPS APC	343.5				percent of total billed charges		350.35				percent of total billed charges		1268				other	OPPS APC	343.5	1268	
GRAFT VASCULAR GORE-TEX THIN WALL L70 CM ID7 MM LINE STERILE LATEX FREE	SUP-VT07070L	CDM			270	RC		inpatient			1268	1268																																																			
SUTURE ANCHOR BIOCOMPOSITE KNOTLESS	SUP-95-03378	CDM			278	RC		outpatient			1266	1266	1266				fee schedule		1266				other	OPPS APC	721.62				percent of total billed charges		1266				other	OPPS APC	1266				other	OPPS APC	620.34				percent of total billed charges		645.66				percent of total billed charges		1266				other	OPPS APC	620.34	1266	
SUTURE ANCHOR BIOCOMPOSITE KNOTLESS	SUP-95-03378	CDM			278	RC		inpatient			1266	1266																																																			
COMPR FT SCRW4.0 STD 26MM LGTH	SUP-97-01143	CDM			278	RC		outpatient			1266	1266	1266				fee schedule		1266				other	OPPS APC	721.62				percent of total billed charges		1266				other	OPPS APC	1266				other	OPPS APC	620.34				percent of total billed charges		645.66				percent of total billed charges		1266				other	OPPS APC	620.34	1266	
COMPR FT SCRW4.0 STD 26MM LGTH	SUP-97-01143	CDM			278	RC		inpatient			1266	1266																																																			
BALLOON - NANOCROSS ELITE 6.0X200	SUP-99-03457	CDM			272	RC		outpatient			1266	1266	342.96				percent of total billed charges		1266				other	OPPS APC	936.84				percent of total billed charges		1266				other	OPPS APC	1266				other	OPPS APC	342.96				percent of total billed charges		349.8				percent of total billed charges		1266				other	OPPS APC	342.96	1266	
BALLOON - NANOCROSS ELITE 6.0X200	SUP-99-03457	CDM			272	RC		inpatient			1266	1266																																																			
PLATE BONE LCP T 58MM SS NS 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.615	CDM	270010022	LOCAL	270	RC		outpatient			1265.86	1265.86	342.92				percent of total billed charges		1265.86				other	OPPS APC	936.74				percent of total billed charges		1265.86				other	OPPS APC	1265.86				other	OPPS APC	342.92				percent of total billed charges		349.76				percent of total billed charges		1265.86				other	OPPS APC	342.92	1265.86	
PLATE BONE LCP T 58MM SS NS 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.615	CDM	270010022	LOCAL	270	RC		inpatient			1265.86	1265.86																																																			
PLATE BONE LCP STAINLESS STEEL Y L60 MM 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.669	CDM	270010022	LOCAL	270	RC		outpatient			1265.86	1265.86	342.92				percent of total billed charges		1265.86				other	OPPS APC	936.74				percent of total billed charges		1265.86				other	OPPS APC	1265.86				other	OPPS APC	342.92				percent of total billed charges		349.76				percent of total billed charges		1265.86				other	OPPS APC	342.92	1265.86	
PLATE BONE LCP STAINLESS STEEL Y L60 MM 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.669	CDM	270010022	LOCAL	270	RC		inpatient			1265.86	1265.86																																																			
PLATE BONE LCP T 32MM SS NS 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.685	CDM	270010022	LOCAL	270	RC		outpatient			1265.86	1265.86	342.92				percent of total billed charges		1265.86				other	OPPS APC	936.74				percent of total billed charges		1265.86				other	OPPS APC	1265.86				other	OPPS APC	342.92				percent of total billed charges		349.76				percent of total billed charges		1265.86				other	OPPS APC	342.92	1265.86	
PLATE BONE LCP T 32MM SS NS 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.685	CDM	270010022	LOCAL	270	RC		inpatient			1265.86	1265.86																																																			
PLATE BONE LCP STAINLESS STEEL T L32 MM 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.697	CDM	270010022	LOCAL	270	RC		outpatient			1265.86	1265.86	342.92				percent of total billed charges		1265.86				other	OPPS APC	936.74				percent of total billed charges		1265.86				other	OPPS APC	1265.86				other	OPPS APC	342.92				percent of total billed charges		349.76				percent of total billed charges		1265.86				other	OPPS APC	342.92	1265.86	
PLATE BONE LCP STAINLESS STEEL T L32 MM 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.697	CDM	270010022	LOCAL	270	RC		inpatient			1265.86	1265.86																																																			
PLATE BONE STAINLESS STEEL L169 MM PELVIC 13 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.033	CDM	270010022	LOCAL	270	RC		outpatient			1263.9	1263.91	342.39				percent of total billed charges		1263.9				other	OPPS APC	935.29				percent of total billed charges		1263.9				other	OPPS APC	1263.9				other	OPPS APC	342.39				percent of total billed charges		349.22				percent of total billed charges		1263.91				other	OPPS APC	342.39	1263.91	
PLATE BONE STAINLESS STEEL L169 MM PELVIC 13 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-245.033	CDM	270010022	LOCAL	270	RC		inpatient			1263.9	1263.9																																																			
FIBER FLEXIVA PULSE ID 550	SUP-70-00249	CDM			272	RC		outpatient			1263.82	1263.82	342.37				percent of total billed charges		1263.82				other	OPPS APC	935.23				percent of total billed charges		1263.82				other	OPPS APC	1263.82				other	OPPS APC	342.37				percent of total billed charges		349.19				percent of total billed charges		1263.82				other	OPPS APC	342.37	1263.82	
FIBER FLEXIVA PULSE ID 550	SUP-70-00249	CDM			272	RC		inpatient			1263.82	1263.82																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM FIBULA RIGHT DISTAL LATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.142	CDM	270010022	LOCAL	270	RC		outpatient			1262.8	1262.8	342.09				percent of total billed charges		1262.8				other	OPPS APC	934.47				percent of total billed charges		1262.8				other	OPPS APC	1262.8				other	OPPS APC	342.09				percent of total billed charges		348.91				percent of total billed charges		1262.8				other	OPPS APC	342.09	1262.8	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM FIBULA RIGHT DISTAL LATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.142	CDM	270010022	LOCAL	270	RC		inpatient			1262.8	1262.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM FIBULA LEFT DISTAL LATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.143	CDM	270010022	LOCAL	270	RC		outpatient			1262.8	1262.8	342.09				percent of total billed charges		1262.8				other	OPPS APC	934.47				percent of total billed charges		1262.8				other	OPPS APC	1262.8				other	OPPS APC	342.09				percent of total billed charges		348.91				percent of total billed charges		1262.8				other	OPPS APC	342.09	1262.8	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L112 MM FIBULA LEFT DISTAL LATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.143	CDM	270010022	LOCAL	270	RC		inpatient			1262.8	1262.8																																																			
HC NM Pulmon Perfusion Vent Quan Dif	PX-340785980	CDM	78598	CPT	340	RC		outpatient			1261.25	531.35	318.11				fee schedule		531.35				other	OPPS APC	844.81				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	282.06				fee schedule		242.28				fee schedule		531.35				other	OPPS APC	242.28	844.81	
HC NM Pulmon Perfusion Vent Quan Dif	PX-340785980	CDM	78598	CPT	340	RC		inpatient			1261.25	1261.25																																																			
PLATE BONE LCP STAINLESS STEEL NARROW L224 MM X W13.5 MM X H4.2 MM 12 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.621	CDM	270010022	LOCAL	270	RC		outpatient			1260.6	126.6	341.5				percent of total billed charges		1260.6				other	OPPS APC	932.84				percent of total billed charges		1260.6				other	OPPS APC	1260.6				other	OPPS APC	341.5				percent of total billed charges		348.3				percent of total billed charges		126.6				other	OPPS APC	126.6	1260.6	
PLATE BONE LCP STAINLESS STEEL NARROW L224 MM X W13.5 MM X H4.2 MM 12 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.621	CDM	270010022	LOCAL	270	RC		inpatient			1260.6	1260.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L188 MM X W17.5 MM X H5.2 MM 10 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.601	CDM	270010022	LOCAL	270	RC		outpatient			1260.6	126.6	341.5				percent of total billed charges		1260.6				other	OPPS APC	932.84				percent of total billed charges		1260.6				other	OPPS APC	1260.6				other	OPPS APC	341.5				percent of total billed charges		348.3				percent of total billed charges		126.6				other	OPPS APC	126.6	1260.6	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L188 MM X W17.5 MM X H5.2 MM 10 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.601	CDM	270010022	LOCAL	270	RC		inpatient			1260.6	1260.6																																																			
BLADE OSTEOTOME EXPLANT 48 MM HEMISPHERE HIP TRUNCATE ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-048-10	CDM	270010024	LOCAL	270	RC		outpatient			1260	126	341.33				percent of total billed charges		1260				other	OPPS APC	932.4				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	341.33				percent of total billed charges		348.14				percent of total billed charges		126				other	OPPS APC	126	1260	
BLADE OSTEOTOME EXPLANT 48 MM HEMISPHERE HIP TRUNCATE ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-048-10	CDM	270010024	LOCAL	270	RC		inpatient			1260	1260																																																			
BLADE OSTEOTOME EXPLANT 48 MM HEMISPHERE HIP FULL ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-048-20	CDM	270010024	LOCAL	270	RC		outpatient			1260	126	341.33				percent of total billed charges		1260				other	OPPS APC	932.4				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	341.33				percent of total billed charges		348.14				percent of total billed charges		126				other	OPPS APC	126	1260	
BLADE OSTEOTOME EXPLANT 48 MM HEMISPHERE HIP FULL ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-048-20	CDM	270010024	LOCAL	270	RC		inpatient			1260	1260																																																			
BLADE OSTEOTOME EXPLANT 64 MM HEMISPHERE HIP TRUNCATE ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-064-10	CDM	270010025	LOCAL	270	RC		outpatient			1260	126	341.33				percent of total billed charges		1260				other	OPPS APC	932.4				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	341.33				percent of total billed charges		348.14				percent of total billed charges		126				other	OPPS APC	126	1260	
BLADE OSTEOTOME EXPLANT 64 MM HEMISPHERE HIP TRUNCATE ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-064-10	CDM	270010025	LOCAL	270	RC		inpatient			1260	1260																																																			
BLADE OSTEOTOME EXPLANT 64 MM HEMISPHERE HIP FULL ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-064-20	CDM	270010025	LOCAL	270	RC		outpatient			1260	126	341.33				percent of total billed charges		1260				other	OPPS APC	932.4				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	341.33				percent of total billed charges		348.14				percent of total billed charges		126				other	OPPS APC	126	1260	
BLADE OSTEOTOME EXPLANT 64 MM HEMISPHERE HIP FULL ACETABULAR CUP REMOVAL SYSTEM	SUP-00-7053-064-20	CDM	270010025	LOCAL	270	RC		inpatient			1260	1260																																																			
PLATE BONE TITANIUM LARGE L39 MM X W34 MM X H.3 MM ORBITAL FLOOR COMPLEX 1.2 MM SCREW	SUP-5403001	CDM			270	RC		outpatient			1260	126	341.33				percent of total billed charges		1260				other	OPPS APC	932.4				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	341.33				percent of total billed charges		348.14				percent of total billed charges		126				other	OPPS APC	126	1260	
PLATE BONE TITANIUM LARGE L39 MM X W34 MM X H.3 MM ORBITAL FLOOR COMPLEX 1.2 MM SCREW	SUP-5403001	CDM			270	RC		inpatient			1260	1260																																																			
PLATE BONE LG COMPLEX .4MM GOLD TITANIUM ORBITAL FLOOR 1.2MM SCREW	SUP-5404001	CDM			270	RC		outpatient			1260	126	341.33				percent of total billed charges		1260				other	OPPS APC	932.4				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	341.33				percent of total billed charges		348.14				percent of total billed charges		126				other	OPPS APC	126	1260	
PLATE BONE LG COMPLEX .4MM GOLD TITANIUM ORBITAL FLOOR 1.2MM SCREW	SUP-5404001	CDM			270	RC		inpatient			1260	1260																																																			
BIOCOMPOSITE SWIVEL SP SELF PUNCHING	SUP-80-00046	CDM			278	RC		outpatient			1260	126	1260				fee schedule		1260				other	OPPS APC	718.2				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	617.4				percent of total billed charges		642.6				percent of total billed charges		126				other	OPPS APC	126	1260	
BIOCOMPOSITE SWIVEL SP SELF PUNCHING	SUP-80-00046	CDM			278	RC		inpatient			1260	1260																																																			
SUTURE ANCHOR 2.9 X 12.5MM HIP BIO COMP PUSH LOCK	SUP-97-05934	CDM			278	RC		outpatient			1260	126	1260				fee schedule		1260				other	OPPS APC	718.2				percent of total billed charges		1260				other	OPPS APC	1260				other	OPPS APC	617.4				percent of total billed charges		642.6				percent of total billed charges		126				other	OPPS APC	126	1260	
SUTURE ANCHOR 2.9 X 12.5MM HIP BIO COMP PUSH LOCK	SUP-97-05934	CDM			278	RC		inpatient			1260	1260																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.477	CDM	270010022	LOCAL	270	RC		outpatient			1259.5	1259.5	341.2				percent of total billed charges		1259.5				other	OPPS APC	932.03				percent of total billed charges		1259.5				other	OPPS APC	1259.5				other	OPPS APC	341.2				percent of total billed charges		348				percent of total billed charges		1259.5				other	OPPS APC	341.2	1259.5	
PLATE BONE LCP COMBI STAINLESS STEEL T L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.477	CDM	270010022	LOCAL	270	RC		inpatient			1259.5	1259.5																																																			
2.4MM LCP DISTAL RADIUS PLATE STRAIGHT/LONG	SUP-242.490	CDM	270010022	LOCAL	270	RC		outpatient			1259.5	1259.5	341.2				percent of total billed charges		1259.5				other	OPPS APC	932.03				percent of total billed charges		1259.5				other	OPPS APC	1259.5				other	OPPS APC	341.2				percent of total billed charges		348				percent of total billed charges		1259.5				other	OPPS APC	341.2	1259.5	
2.4MM LCP DISTAL RADIUS PLATE STRAIGHT/LONG	SUP-242.490	CDM	270010022	LOCAL	270	RC		inpatient			1259.5	1259.5																																																			
ANCHOR SUTURE QUICKANCHOR PLUS ETHIBOND 4-0 C-1 MICRO ROTATOR CUFF LATEX FREE 1.3 MM DRILL BIT	SUP-212866	CDM			270	RC		outpatient			1254	1254	339.71				percent of total billed charges		1254				other	OPPS APC	927.96				percent of total billed charges		1254				other	OPPS APC	1254				other	OPPS APC	339.71				percent of total billed charges		346.48				percent of total billed charges		1254				other	OPPS APC	339.71	1254	
ANCHOR SUTURE QUICKANCHOR PLUS ETHIBOND 4-0 C-1 MICRO ROTATOR CUFF LATEX FREE 1.3 MM DRILL BIT	SUP-212866	CDM			270	RC		inpatient			1254	1254																																																			
T-SPLITTER  8 MM X 250 MM	SUP-97-03894	CDM			278	RC		outpatient			1253.7	1253.7	1253.7				fee schedule		1253.7				other	OPPS APC	714.61				percent of total billed charges		1253.7				other	OPPS APC	1253.7				other	OPPS APC	614.31				percent of total billed charges		639.39				percent of total billed charges		1253.7				other	OPPS APC	614.31	1253.7	
T-SPLITTER  8 MM X 250 MM	SUP-97-03894	CDM			278	RC		inpatient			1253.7	1253.7																																																			
KIT DRAPE SPY-PHI DRUG	SUP-HH9006	CDM			270	RC		outpatient			1253.57	1253.57	339.59				percent of total billed charges		1253.57				other	OPPS APC	927.64				percent of total billed charges		1253.57				other	OPPS APC	1253.57				other	OPPS APC	339.59				percent of total billed charges		346.36				percent of total billed charges		1253.57				other	OPPS APC	339.59	1253.57	
KIT DRAPE SPY-PHI DRUG	SUP-HH9006	CDM			270	RC		inpatient			1253.57	1253.57																																																			
ANCHOR SUTURE 2.8MM Q-FIX	SUP-79-00092	CDM			278	RC		outpatient			1252.32	1252.32	1252.32				fee schedule		1252.32				other	OPPS APC	713.82				percent of total billed charges		1252.32				other	OPPS APC	1252.32				other	OPPS APC	613.64				percent of total billed charges		638.68				percent of total billed charges		1252.32				other	OPPS APC	613.64	1252.32	
ANCHOR SUTURE 2.8MM Q-FIX	SUP-79-00092	CDM			278	RC		inpatient			1252.32	1252.32																																																			
GRAFT BONE RADIUS ULNA SHAFT L40 MM X W15-18 MM ALLOGRAFT FREEZE DRIED	SUP-400800	CDM	270010031	LOCAL	270	RC		outpatient			1252.24	1252.24	339.23				percent of total billed charges		1252.24				other	OPPS APC	926.66				percent of total billed charges		1252.24				other	OPPS APC	1252.24				other	OPPS APC	339.23				percent of total billed charges		345.99				percent of total billed charges		1252.24				other	OPPS APC	339.23	1252.24	
GRAFT BONE RADIUS ULNA SHAFT L40 MM X W15-18 MM ALLOGRAFT FREEZE DRIED	SUP-400800	CDM	270010031	LOCAL	270	RC		inpatient			1252.24	1252.24																																																			
PLATE BONE EVOS SMALL L93 MM CLAVICLE RIGHT SUPERIOR 14 HOLE MIDSHAFT 2.7MM SCREW	SUP-72469814	CDM			270	RC		outpatient			1252	1252	339.17				percent of total billed charges		1252				other	OPPS APC	926.48				percent of total billed charges		1252				other	OPPS APC	1252				other	OPPS APC	339.17				percent of total billed charges		345.93				percent of total billed charges		1252				other	OPPS APC	339.17	1252	
PLATE BONE EVOS SMALL L93 MM CLAVICLE RIGHT SUPERIOR 14 HOLE MIDSHAFT 2.7MM SCREW	SUP-72469814	CDM			270	RC		inpatient			1252	1252																																																			
LENS 20.0D ACRYSOF	SUP-97-01276	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 20.0D ACRYSOF	SUP-97-01276	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 18.0D ACRYSOF	SUP-97-01299	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 18.0D ACRYSOF	SUP-97-01299	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 18.5D TECNIS EYHANCE	SUP-97-01417	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 18.5D TECNIS EYHANCE	SUP-97-01417	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 19.5D	SUP-97-01440	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 19.5D	SUP-97-01440	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 19.0D ACRYSOF	SUP-97-01520	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 19.0D ACRYSOF	SUP-97-01520	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 22.0D	SUP-97-01695	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 22.0D	SUP-97-01695	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 16.5	SUP-97-02295	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 16.5	SUP-97-02295	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 21.D	SUP-97-02341	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 21.D	SUP-97-02341	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 16.0	SUP-97-02364	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 16.0	SUP-97-02364	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 22.5D	SUP-97-02414	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 22.5D	SUP-97-02414	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 26.0	SUP-97-02865	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 26.0	SUP-97-02865	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 9.5	SUP-97-02919	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 9.5	SUP-97-02919	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 25.5D	SUP-97-02944	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 25.5D	SUP-97-02944	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 10.0D	SUP-97-02947	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 10.0D	SUP-97-02947	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 30.0	SUP-97-03199	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 30.0	SUP-97-03199	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 25.0D	SUP-97-03537	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS 25.0D	SUP-97-03537	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS MN60AC 24.5D	SUP-97-04672	CDM			278	RC		outpatient			1251.15	1251.15	1251.15				fee schedule		1251.15				other	OPPS APC	713.16				percent of total billed charges		1251.15				other	OPPS APC	1251.15				other	OPPS APC	613.06				percent of total billed charges		638.09				percent of total billed charges		1251.15				other	OPPS APC	613.06	1251.15	
LENS MN60AC 24.5D	SUP-97-04672	CDM			278	RC		inpatient			1251.15	1251.15																																																			
LENS 21.5D UV ABSORBING FOLDABLE MULTIPIECE POSTERIOR LENS	SUP-97-01745	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 21.5D UV ABSORBING FOLDABLE MULTIPIECE POSTERIOR LENS	SUP-97-01745	CDM			278	RC		inpatient			1251	1251																																																			
LENS 15.5	SUP-97-01819	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 15.5	SUP-97-01819	CDM			278	RC		inpatient			1251	1251																																																			
LENS 23.5D ACRYSOF	SUP-97-01879	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 23.5D ACRYSOF	SUP-97-01879	CDM			278	RC		inpatient			1251	1251																																																			
LENS 17.0D	SUP-97-02392	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 17.0D	SUP-97-02392	CDM			278	RC		inpatient			1251	1251																																																			
LENS 23.D	SUP-97-02393	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 23.D	SUP-97-02393	CDM			278	RC		inpatient			1251	1251																																																			
LENS 7.0D	SUP-97-02845	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 7.0D	SUP-97-02845	CDM			278	RC		inpatient			1251	1251																																																			
LENS 15.0	SUP-97-03241	CDM			278	RC		outpatient			1251	1251	1251				fee schedule		1251				other	OPPS APC	713.07				percent of total billed charges		1251				other	OPPS APC	1251				other	OPPS APC	612.99				percent of total billed charges		638.01				percent of total billed charges		1251				other	OPPS APC	612.99	1251	
LENS 15.0	SUP-97-03241	CDM			278	RC		inpatient			1251	1251																																																			
PLATE BONE LC-DCP STAINLESS STEEL L142 MM 12 HOLE RECONSTRUCTION 3.5 MM SCREW SMALL FRAGMENT	SUP-245.02	CDM	270010022	LOCAL	270	RC		outpatient			1250.7	125.7	338.81				percent of total billed charges		1250.7				other	OPPS APC	925.52				percent of total billed charges		1250.7				other	OPPS APC	1250.7				other	OPPS APC	338.81				percent of total billed charges		345.57				percent of total billed charges		125.7				other	OPPS APC	125.7	1250.7	
PLATE BONE LC-DCP STAINLESS STEEL L142 MM 12 HOLE RECONSTRUCTION 3.5 MM SCREW SMALL FRAGMENT	SUP-245.02	CDM	270010022	LOCAL	270	RC		inpatient			1250.7	1250.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L168 MM X W10.1 MM X H3.5 MM 12 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.121	CDM	270010022	LOCAL	270	RC		outpatient			1250.7	125.7	338.81				percent of total billed charges		1250.7				other	OPPS APC	925.52				percent of total billed charges		1250.7				other	OPPS APC	1250.7				other	OPPS APC	338.81				percent of total billed charges		345.57				percent of total billed charges		125.7				other	OPPS APC	125.7	1250.7	
PLATE BONE LCP COMBI STAINLESS STEEL L168 MM X W10.1 MM X H3.5 MM 12 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.121	CDM	270010022	LOCAL	270	RC		inpatient			1250.7	1250.7																																																			
HC C/T-T Spine W Contrast	PX-352721290	CDM	72129	CPT	352	RC		outpatient			1250	189.94	244.41				fee schedule		189.94				other	OPPS APC	839.53				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	176.37				fee schedule		118.14				fee schedule		189.94				other	OPPS APC	118.14	839.53	
HC C/T-T Spine W Contrast	PX-352721290	CDM	72129	CPT	352	RC		inpatient			1250	1250																																																			
SET THROMBECTOMY ANGIOJET ULTRA AVX 15 MM TAPER L50 CM OD6 FR ODSEC3 MM PERIPHERAL OTW SHEATH CATHETER MARKER BAND FLEXIBLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-105039-001	CDM			270	RC		outpatient			1250	125	338.63				percent of total billed charges		1250				other	OPPS APC	925				percent of total billed charges		1250				other	OPPS APC	1250				other	OPPS APC	338.63				percent of total billed charges		345.38				percent of total billed charges		125				other	OPPS APC	125	1250	
SET THROMBECTOMY ANGIOJET ULTRA AVX 15 MM TAPER L50 CM OD6 FR ODSEC3 MM PERIPHERAL OTW SHEATH CATHETER MARKER BAND FLEXIBLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-105039-001	CDM			270	RC		inpatient			1250	1250																																																			
ACIST NAVVUS CATHETER	SUP-14667	CDM			481	RC		outpatient			1250	125	612.5				percent of total billed charges		1250				other	OPPS APC	925				percent of total billed charges		1250				other	OPPS APC	1250				other	OPPS APC	612.5				percent of total billed charges		637.5				percent of total billed charges		125				other	OPPS APC	125	1250	
ACIST NAVVUS CATHETER	SUP-14667	CDM			481	RC		inpatient			1250	1250																																																			
SEALER VESSEL	SUP-480422	CDM			270	RC		outpatient			1250	125	338.63				percent of total billed charges		1250				other	OPPS APC	925				percent of total billed charges		1250				other	OPPS APC	1250				other	OPPS APC	338.63				percent of total billed charges		345.38				percent of total billed charges		125				other	OPPS APC	125	1250	
SEALER VESSEL	SUP-480422	CDM			270	RC		inpatient			1250	1250																																																			
KIT DRAINAGE PLEURX POLYESTER OD15.5 FR PLEURAL CATHETER ACTIVE VACCUM TECHNOLOGY PROPRIETARY SAFETY VALVE CUFF STERILE DISPOSABLE	SUP-50-7000B	CDM			270	RC		outpatient			1250	125	338.63				percent of total billed charges		1250				other	OPPS APC	925				percent of total billed charges		1250				other	OPPS APC	1250				other	OPPS APC	338.63				percent of total billed charges		345.38				percent of total billed charges		125				other	OPPS APC	125	1250	
KIT DRAINAGE PLEURX POLYESTER OD15.5 FR PLEURAL CATHETER ACTIVE VACCUM TECHNOLOGY PROPRIETARY SAFETY VALVE CUFF STERILE DISPOSABLE	SUP-50-7000B	CDM			270	RC		inpatient			1250	1250																																																			
IMPLANT VOCAL CORD PROLARYN SODIUM CARBOXYMETHYLCELLULOSE 1 ML KIT INJECTABLE SYRINGE 2 NEEDLE RESORBABLE STERILE LATEX FREE TEMPORARY	SUP-8044M0	CDM			270	RC		outpatient			1250	125	338.63				percent of total billed charges		1250				other	OPPS APC	925				percent of total billed charges		1250				other	OPPS APC	1250				other	OPPS APC	338.63				percent of total billed charges		345.38				percent of total billed charges		125				other	OPPS APC	125	1250	
IMPLANT VOCAL CORD PROLARYN SODIUM CARBOXYMETHYLCELLULOSE 1 ML KIT INJECTABLE SYRINGE 2 NEEDLE RESORBABLE STERILE LATEX FREE TEMPORARY	SUP-8044M0	CDM			270	RC		inpatient			1250	1250																																																			
SET IMPLANT ARTHREX FIBERTAK BICEPS STERILE LATEX FREE	SUP-AR-3670	CDM			270	RC		outpatient			1250	125	338.63				percent of total billed charges		1250				other	OPPS APC	925				percent of total billed charges		1250				other	OPPS APC	1250				other	OPPS APC	338.63				percent of total billed charges		345.38				percent of total billed charges		125				other	OPPS APC	125	1250	
SET IMPLANT ARTHREX FIBERTAK BICEPS STERILE LATEX FREE	SUP-AR-3670	CDM			270	RC		inpatient			1250	1250																																																			
2.3 LT 6. HOLE L SHAPED	SUP-97-05207	CDM			278	RC		outpatient			1249.56	1249.56	1249.56				fee schedule		1249.56				other	OPPS APC	712.25				percent of total billed charges		1249.56				other	OPPS APC	1249.56				other	OPPS APC	612.28				percent of total billed charges		637.28				percent of total billed charges		1249.56				other	OPPS APC	612.28	1249.56	
2.3 LT 6. HOLE L SHAPED	SUP-97-05207	CDM			278	RC		inpatient			1249.56	1249.56																																																			
HC Parathyroid Scan W Spect & CT	PX-340780720	CDM	78072	CPT	340	RC		outpatient			1249.45	531.35	452.19				fee schedule		531.35				other	OPPS APC	666.62				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	407.43				fee schedule		333.5				fee schedule		531.35				other	OPPS APC	333.5	666.62	
HC Parathyroid Scan W Spect & CT	PX-340780720	CDM	78072	CPT	340	RC		inpatient			1249.45	1249.45																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L77 MM FIBULA LEFT DISTAL POSTEROLATERAL 3 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.107	CDM	270010022	LOCAL	270	RC		outpatient			1248.5	1248.5	338.22				percent of total billed charges		1248.5				other	OPPS APC	923.89				percent of total billed charges		1248.5				other	OPPS APC	1248.5				other	OPPS APC	338.22				percent of total billed charges		344.96				percent of total billed charges		1248.5				other	OPPS APC	338.22	1248.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L77 MM FIBULA LEFT DISTAL POSTEROLATERAL 3 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.107	CDM	270010022	LOCAL	270	RC		inpatient			1248.5	1248.5																																																			
PLATE BONE EVOS STAINLESS STEEL 7 MM SPACE L 109 MM X W 8.5 MM X H 2.4MM CLAVICLE RIGHT DISTAL INFERIOR 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7 MM SCREW	SUP-72468807	CDM			270	RC		outpatient			1248	1248	338.08				percent of total billed charges		1248				other	OPPS APC	923.52				percent of total billed charges		1248				other	OPPS APC	1248				other	OPPS APC	338.08				percent of total billed charges		344.82				percent of total billed charges		1248				other	OPPS APC	338.08	1248	
PLATE BONE EVOS STAINLESS STEEL 7 MM SPACE L 109 MM X W 8.5 MM X H 2.4MM CLAVICLE RIGHT DISTAL INFERIOR 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7 MM SCREW	SUP-72468807	CDM			270	RC		inpatient			1248	1248																																																			
TRAUMACEM INJECTION CANNULA FOR TFNA	SUP-97-03579	CDM			272	RC		outpatient			1248	1248	338.08				percent of total billed charges		1248				other	OPPS APC	923.52				percent of total billed charges		1248				other	OPPS APC	1248				other	OPPS APC	338.08				percent of total billed charges		344.82				percent of total billed charges		1248				other	OPPS APC	338.08	1248	
TRAUMACEM INJECTION CANNULA FOR TFNA	SUP-97-03579	CDM			272	RC		inpatient			1248	1248																																																			
PLATE 9 HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-04178	CDM			278	RC		outpatient			1248	1248	1248				fee schedule		1248				other	OPPS APC	711.36				percent of total billed charges		1248				other	OPPS APC	1248				other	OPPS APC	611.52				percent of total billed charges		636.48				percent of total billed charges		1248				other	OPPS APC	611.52	1248	
PLATE 9 HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-04178	CDM			278	RC		inpatient			1248	1248																																																			
PLATE VARIAX 12 HOLE 1/3 TUBULAR	SUP-97-06113	CDM			278	RC		outpatient			1248	1248	1248				fee schedule		1248				other	OPPS APC	711.36				percent of total billed charges		1248				other	OPPS APC	1248				other	OPPS APC	611.52				percent of total billed charges		636.48				percent of total billed charges		1248				other	OPPS APC	611.52	1248	
PLATE VARIAX 12 HOLE 1/3 TUBULAR	SUP-97-06113	CDM			278	RC		inpatient			1248	1248																																																			
PLATE BONE LCP NARROW 260X13.5X4.2MM SS NS 14 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-224.641	CDM	270010022	LOCAL	270	RC		outpatient			1246.46	1246.46	337.67				percent of total billed charges		1246.46				other	OPPS APC	922.38				percent of total billed charges		1246.46				other	OPPS APC	1246.46				other	OPPS APC	337.67				percent of total billed charges		344.4				percent of total billed charges		1246.46				other	OPPS APC	337.67	1246.46	
PLATE BONE LCP NARROW 260X13.5X4.2MM SS NS 14 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-224.641	CDM	270010022	LOCAL	270	RC		inpatient			1246.46	1246.46																																																			
HC Eeg W/O Video 12-26 Hours Unmonitored	PX-740957080	CDM	95708	CPT	740	RC		outpatient			1246.32	59.16	610.7				percent of total billed charges		509.16				other	OPPS APC	1977.28				fee schedule		509.16				other	OPPS APC	509.16				other	OPPS APC	610.7				percent of total billed charges		635.62				percent of total billed charges		59.16				other	OPPS APC	59.16	1977.28	
HC Eeg W/O Video 12-26 Hours Unmonitored	PX-740957080	CDM	95708	CPT	740	RC		inpatient			1246.32	1246.32																																																			
HC C/T-Head Scan W Contrast	PX-351704600	CDM	70460	CPT	351	RC		outpatient			1246	189.94	172.45				fee schedule		189.94				other	OPPS APC	689.85				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	153.34				fee schedule		99.52				fee schedule		189.94				other	OPPS APC	99.52	689.85	
HC C/T-Head Scan W Contrast	PX-351704600	CDM	70460	CPT	351	RC		inpatient			1246	1246																																																			
CATHETER NAVIGATION EDGE 90 D EXTEND WORK CHANNEL	SUP-SD90EWCTE-FT	CDM			270	RC		outpatient			1242	1242	336.46				percent of total billed charges		1242				other	OPPS APC	919.08				percent of total billed charges		1242				other	OPPS APC	1242				other	OPPS APC	336.46				percent of total billed charges		343.16				percent of total billed charges		1242				other	OPPS APC	336.46	1242	
CATHETER NAVIGATION EDGE 90 D EXTEND WORK CHANNEL	SUP-SD90EWCTE-FT	CDM			270	RC		inpatient			1242	1242																																																			
RABIES VACCINE PER 1 ML	636000000	CDM	50632-010-01	NDC	90675	HCPCS		inpatient			1241.73	1241.73																																																			
RABIES VACCINE PER 1 ML	636000000	CDM	50632-013-01	NDC	90675	HCPCS		inpatient			1241.73	1241.73																																																			
RABIES VACCINE PER 1 ML	636000000	CDM	50632-010-01	NDC	90675	HCPCS		outpatient			1241.73	1241.73																																															other	OPPS APC			
RABIES VACCINE PER 1 ML	636000000	CDM	50632-013-01	NDC	90675	HCPCS		outpatient			1241.73	1241.73																																															other	OPPS APC			
CLAMP EXTERNAL FIXATION OD4 MM ADJUSTABLE NONSTERILE DISTAL RADIAL FIXATOR	SUP-390.051	CDM	270010022	LOCAL	270	RC		outpatient			1239.84	1239.84	335.87				percent of total billed charges		1239.84				other	OPPS APC	917.48				percent of total billed charges		1239.84				other	OPPS APC	1239.84				other	OPPS APC	335.87				percent of total billed charges		342.57				percent of total billed charges		1239.84				other	OPPS APC	335.87	1239.84	
CLAMP EXTERNAL FIXATION OD4 MM ADJUSTABLE NONSTERILE DISTAL RADIAL FIXATOR	SUP-390.051	CDM	270010022	LOCAL	270	RC		inpatient			1239.84	1239.84																																																			
6.5 HEADLESS COMRESSIONSCREW W/32MM	SUP-97-02318	CDM			278	RC		outpatient			1239.3	1239.3	1239.3				fee schedule		1239.3				other	OPPS APC	706.4				percent of total billed charges		1239.3				other	OPPS APC	1239.3				other	OPPS APC	607.26				percent of total billed charges		632.04				percent of total billed charges		1239.3				other	OPPS APC	607.26	1239.3	
6.5 HEADLESS COMRESSIONSCREW W/32MM	SUP-97-02318	CDM			278	RC		inpatient			1239.3	1239.3																																																			
DAPTOMYCIN PER 1 MG	636000000	CDM	72603-152-01	NDC	J0878	HCPCS		inpatient			1239.03	1239.03																																																			
DAPTOMYCIN PER 1 MG	636000000	CDM	72603-152-01	NDC	J0878	HCPCS		outpatient			1239.03	1239.03																																															other	OPPS APC			
INVRAD MEDIPORT CLEARVUE 8FR	SUP-95-02529	CDM			278	RC		outpatient			1239	1239	1239				fee schedule		1239				other	OPPS APC	706.23				percent of total billed charges		1239				other	OPPS APC	1239				other	OPPS APC	607.11				percent of total billed charges		342.34				percent of total billed charges		1239				other	OPPS APC	342.34	1239	
INVRAD MEDIPORT CLEARVUE 8FR	SUP-95-02529	CDM			278	RC		inpatient			1239	1239																																																			
LG EX-FIX 11MMCRBN FBR RO100 -CONDITIONA	SUP-97-03005	CDM			278	RC		outpatient			1239	1239	1239				fee schedule		1239				other	OPPS APC	706.23				percent of total billed charges		1239				other	OPPS APC	1239				other	OPPS APC	607.11				percent of total billed charges		631.89				percent of total billed charges		1239				other	OPPS APC	607.11	1239	
LG EX-FIX 11MMCRBN FBR RO100 -CONDITIONA	SUP-97-03005	CDM			278	RC		inpatient			1239	1239																																																			
LG EX-FIX 11MMCRBN FBR RO150 -CONDITIONA	SUP-97-03006	CDM			278	RC		outpatient			1239	1239	1239				fee schedule		1239				other	OPPS APC	706.23				percent of total billed charges		1239				other	OPPS APC	1239				other	OPPS APC	607.11				percent of total billed charges		631.89				percent of total billed charges		1239				other	OPPS APC	607.11	1239	
LG EX-FIX 11MMCRBN FBR RO150 -CONDITIONA	SUP-97-03006	CDM			278	RC		inpatient			1239	1239																																																			
MESH SURGICAL ABSORBABLE PATCH 3.2 IN DIAMETER	SUP-5950009	CDM			270	RC		outpatient			1237.6	1237.6	335.27				percent of total billed charges		1237.6				other	OPPS APC	915.82				percent of total billed charges		1237.6				other	OPPS APC	1237.6				other	OPPS APC	335.27				percent of total billed charges		341.95				percent of total billed charges		1237.6				other	OPPS APC	335.27	1237.6	
MESH SURGICAL ABSORBABLE PATCH 3.2 IN DIAMETER	SUP-5950009	CDM			270	RC		inpatient			1237.6	1237.6																																																			
4.0 CANN SET DRILL BIT 2.7MM	SUP-95-03116	CDM			272	RC		outpatient			1237.5	1237.5	335.24				percent of total billed charges		1237.5				other	OPPS APC	915.75				percent of total billed charges		1237.5				other	OPPS APC	1237.5				other	OPPS APC	335.24				percent of total billed charges		341.92				percent of total billed charges		1237.5				other	OPPS APC	335.24	1237.5	
4.0 CANN SET DRILL BIT 2.7MM	SUP-95-03116	CDM			272	RC		inpatient			1237.5	1237.5																																																			
PIN CLAMP GREY AND GOLD 15MM	SUP-97-05645	CDM			278	RC		outpatient			1237.5	1237.5	1237.5				fee schedule		1237.5				other	OPPS APC	705.38				percent of total billed charges		1237.5				other	OPPS APC	1237.5				other	OPPS APC	606.38				percent of total billed charges		631.13				percent of total billed charges		1237.5				other	OPPS APC	606.38	1237.5	
PIN CLAMP GREY AND GOLD 15MM	SUP-97-05645	CDM			278	RC		inpatient			1237.5	1237.5																																																			
FLEXIVA 550 MICRON FIBER (SLIMLINE EZ )	SUP-70-00200	CDM			272	RC		outpatient			1236.79	1236.79	335.05				percent of total billed charges		1236.79				other	OPPS APC	915.22				percent of total billed charges		1236.79				other	OPPS APC	1236.79				other	OPPS APC	335.05				percent of total billed charges		341.73				percent of total billed charges		1236.79				other	OPPS APC	335.05	1236.79	
FLEXIVA 550 MICRON FIBER (SLIMLINE EZ )	SUP-70-00200	CDM			272	RC		inpatient			1236.79	1236.79																																																			
GRAFT PARIETEX 30 X 15	SUP-97-02684	CDM			278	RC		outpatient			1236.69	1236.69	1236.69				fee schedule		1236.69				other	OPPS APC	704.91				percent of total billed charges		1236.69				other	OPPS APC	1236.69				other	OPPS APC	605.98				percent of total billed charges		630.71				percent of total billed charges		1236.69				other	OPPS APC	605.98	1236.69	
GRAFT PARIETEX 30 X 15	SUP-97-02684	CDM			278	RC		inpatient			1236.69	1236.69																																																			
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 2 ML JAR CHIP	SUP-652-00-02	CDM	270010031	LOCAL	270	RC		outpatient			1236	1236	334.83				percent of total billed charges		1236				other	OPPS APC	914.64				percent of total billed charges		1236				other	OPPS APC	1236				other	OPPS APC	334.83				percent of total billed charges		341.51				percent of total billed charges		1236				other	OPPS APC	334.83	1236	
GRAFT BONE OPTECURE CANCELLOUS CORTICAL 2 ML JAR CHIP	SUP-652-00-02	CDM	270010031	LOCAL	270	RC		inpatient			1236	1236																																																			
DEVICE EXTERNAL FIXATION FEMALE ADAPTER	SUP-15275	CDM			270	RC		outpatient			1235.9	1235.91	334.81				percent of total billed charges		1235.9				other	OPPS APC	914.57				percent of total billed charges		1235.9				other	OPPS APC	1235.9				other	OPPS APC	334.81				percent of total billed charges		341.48				percent of total billed charges		1235.91				other	OPPS APC	334.81	1235.91	
DEVICE EXTERNAL FIXATION FEMALE ADAPTER	SUP-15275	CDM			270	RC		inpatient			1235.9	1235.9																																																			
DRILL BIT ODONTOID	SUP-FJ966R	CDM	270010020	LOCAL	270	RC		outpatient			1235.42	1235.42	334.68				percent of total billed charges		1235.42				other	OPPS APC	914.21				percent of total billed charges		1235.42				other	OPPS APC	1235.42				other	OPPS APC	334.68				percent of total billed charges		341.35				percent of total billed charges		1235.42				other	OPPS APC	334.68	1235.42	
DRILL BIT ODONTOID	SUP-FJ966R	CDM	270010020	LOCAL	270	RC		inpatient			1235.42	1235.42																																																			
HC Xr Rep Duod/Jejuno Tube W Fluoro	PX-361494510	CDM	49451	CPT	361	RC		outpatient			1235	869.45	390.01				percent of total billed charges		869.44				other	OPPS APC	1876				fee schedule		869.44				other	OPPS APC	869.44				other	OPPS APC	390.01				percent of total billed charges		397.79				percent of total billed charges		869.45				other	OPPS APC	390.01	1876	
HC Xr Rep Duod/Jejuno Tube W Fluoro	PX-361494510	CDM	49451	CPT	361	RC		inpatient			1235	1235																																																			
CABLE STAINLESS STEEL EVOS WITH CRIMP	SUP-72580000	CDM			270	RC		outpatient			1235	1235	334.56				percent of total billed charges		1235				other	OPPS APC	913.9				percent of total billed charges		1235				other	OPPS APC	1235				other	OPPS APC	334.56				percent of total billed charges		341.23				percent of total billed charges		1235				other	OPPS APC	334.56	1235	
CABLE STAINLESS STEEL EVOS WITH CRIMP	SUP-72580000	CDM			270	RC		inpatient			1235	1235																																																			
GUIDE DRILL EVOS OD 2.5 MM LOCK	SUP-71175056	CDM			270	RC		outpatient			1233.84	1233.84	334.25				percent of total billed charges		1233.84				other	OPPS APC	913.04				percent of total billed charges		1233.84				other	OPPS APC	1233.84				other	OPPS APC	334.25				percent of total billed charges		340.91				percent of total billed charges		1233.84				other	OPPS APC	334.25	1233.84	
GUIDE DRILL EVOS OD 2.5 MM LOCK	SUP-71175056	CDM			270	RC		inpatient			1233.84	1233.84																																																			
HC Tee Probe Placement Only	PX-480933130	CDM	93313	CPT	480	RC		outpatient			1233.7	530	42.1				fee schedule		529.91				other	OPPS APC	115.31				fee schedule		529.91				other	OPPS APC	529.91				other	OPPS APC	10.99				fee schedule		629.19				percent of total billed charges		530				other	OPPS APC	10.99	629.19	
HC Tee Probe Placement Only	PX-480933130	CDM	93313	CPT	480	RC		inpatient			1233.7	1233.7																																																			
GRAFT BONE FIBULA SHAFT L60 MM X W14-18 MM ALLOGRAFT FREEZE DRY	SUP-400730	CDM	270010031	LOCAL	270	RC		outpatient			1232.02	1232.2	333.75				percent of total billed charges		1232.02				other	OPPS APC	911.69				percent of total billed charges		1232.02				other	OPPS APC	1232.02				other	OPPS APC	333.75				percent of total billed charges		340.41				percent of total billed charges		1232.2				other	OPPS APC	333.75	1232.2	
GRAFT BONE FIBULA SHAFT L60 MM X W14-18 MM ALLOGRAFT FREEZE DRY	SUP-400730	CDM	270010031	LOCAL	270	RC		inpatient			1232.02	1232.02																																																			
GRAFT BONE FIBULA SHAFT L60 MM X W12-13 MM ALLOGRAFT FREEZE DRIED	SUP-400731	CDM	270010031	LOCAL	270	RC		outpatient			1232.02	1232.2	333.75				percent of total billed charges		1232.02				other	OPPS APC	911.69				percent of total billed charges		1232.02				other	OPPS APC	1232.02				other	OPPS APC	333.75				percent of total billed charges		340.41				percent of total billed charges		1232.2				other	OPPS APC	333.75	1232.2	
GRAFT BONE FIBULA SHAFT L60 MM X W12-13 MM ALLOGRAFT FREEZE DRIED	SUP-400731	CDM	270010031	LOCAL	270	RC		inpatient			1232.02	1232.02																																																			
Sling Sam Small 27-47	PX-274L06213	CDM			274	RC		outpatient			1232	1232	1232				fee schedule		1232				other	OPPS APC	702.24				percent of total billed charges		1232				other	OPPS APC	1232				other	OPPS APC	603.68				percent of total billed charges		628.32				percent of total billed charges		1232				other	OPPS APC	603.68	1232	
Sling Sam Small 27-47	PX-274L06213	CDM			274	RC		inpatient			1232	1232																																																			
HC US Thora	PX-402325550	CDM	32555	CPT	361	RC		outpatient			1232	69.29	389.07				percent of total billed charges		609.29				other	OPPS APC	1876				fee schedule		609.29				other	OPPS APC	609.29				other	OPPS APC	389.07				percent of total billed charges		396.83				percent of total billed charges		69.29				other	OPPS APC	69.29	1876	
HC US Thora	PX-402325550	CDM	32555	CPT	361	RC		inpatient			1232	1232																																																			
HC Pseudoa Thrombin Injection Vas Ctr	PX-921360021	CDM	36002	CPT	921	RC		outpatient			1232	69.29	165.67				fee schedule		609.29				other	OPPS APC	911.68				percent of total billed charges		609.29				other	OPPS APC	609.29				other	OPPS APC	101.65				fee schedule		628.32				percent of total billed charges		69.29				other	OPPS APC	69.29	911.68	
HC Pseudoa Thrombin Injection Vas Ctr	PX-921360021	CDM	36002	CPT	921	RC		inpatient			1232	1232																																																			
GRAFT PROGRIP LT 12X8 (TEM1208GL)	SUP-75-00064	CDM			278	RC		outpatient			1231.95	1231.95	1231.95				fee schedule		1231.95				other	OPPS APC	702.21				percent of total billed charges		1231.95				other	OPPS APC	1231.95				other	OPPS APC	603.66				percent of total billed charges		628.29				percent of total billed charges		1231.95				other	OPPS APC	603.66	1231.95	
GRAFT PROGRIP LT 12X8 (TEM1208GL)	SUP-75-00064	CDM			278	RC		inpatient			1231.95	1231.95																																																			
GRAFT  PROGRIP LT 14X9 ( TEM1409GL)	SUP-75-00066	CDM			278	RC		outpatient			1231.71	1231.71	1231.71				fee schedule		1231.71				other	OPPS APC	702.07				percent of total billed charges		1231.71				other	OPPS APC	1231.71				other	OPPS APC	603.54				percent of total billed charges		628.17				percent of total billed charges		1231.71				other	OPPS APC	603.54	1231.71	
GRAFT  PROGRIP LT 14X9 ( TEM1409GL)	SUP-75-00066	CDM			278	RC		inpatient			1231.71	1231.71																																																			
BALLOON - RAPID EXCHANGE ADVANCE PTA 3MMX12CM	SUP-99-04501	CDM			272	RC		outpatient			1231.47	1231.47	333.61				percent of total billed charges		1231.47				other	OPPS APC	911.29				percent of total billed charges		1231.47				other	OPPS APC	1231.47				other	OPPS APC	333.61				percent of total billed charges		340.26				percent of total billed charges		1231.47				other	OPPS APC	333.61	1231.47	
BALLOON - RAPID EXCHANGE ADVANCE PTA 3MMX12CM	SUP-99-04501	CDM			272	RC		inpatient			1231.47	1231.47																																																			
BALLOON - RAPID EXCHANGE ADVANCE PTA 2MMX2CM	SUP-99-04555	CDM			272	RC		outpatient			1231.47	1231.47	333.61				percent of total billed charges		1231.47				other	OPPS APC	911.29				percent of total billed charges		1231.47				other	OPPS APC	1231.47				other	OPPS APC	333.61				percent of total billed charges		340.26				percent of total billed charges		1231.47				other	OPPS APC	333.61	1231.47	
BALLOON - RAPID EXCHANGE ADVANCE PTA 2MMX2CM	SUP-99-04555	CDM			272	RC		inpatient			1231.47	1231.47																																																			
BALLOON - RAPID EXCHANGE ADVANCE PTA 2MMX12CM	SUP-99-04556	CDM			272	RC		outpatient			1231.47	1231.47	333.61				percent of total billed charges		1231.47				other	OPPS APC	911.29				percent of total billed charges		1231.47				other	OPPS APC	1231.47				other	OPPS APC	333.61				percent of total billed charges		340.26				percent of total billed charges		1231.47				other	OPPS APC	333.61	1231.47	
BALLOON - RAPID EXCHANGE ADVANCE PTA 2MMX12CM	SUP-99-04556	CDM			272	RC		inpatient			1231.47	1231.47																																																			
BALLOON - RAPID EXCHANGE ADVANCE PTA 2.5MMX2CM	SUP-99-04557	CDM			272	RC		outpatient			1231.47	1231.47	333.61				percent of total billed charges		1231.47				other	OPPS APC	911.29				percent of total billed charges		1231.47				other	OPPS APC	1231.47				other	OPPS APC	333.61				percent of total billed charges		340.26				percent of total billed charges		1231.47				other	OPPS APC	333.61	1231.47	
BALLOON - RAPID EXCHANGE ADVANCE PTA 2.5MMX2CM	SUP-99-04557	CDM			272	RC		inpatient			1231.47	1231.47																																																			
BALLOON - RAPID EXCHANGE ADVANCE PTA 2.5MMX12CM	SUP-99-04558	CDM			272	RC		outpatient			1231.47	1231.47	333.61				percent of total billed charges		1231.47				other	OPPS APC	911.29				percent of total billed charges		1231.47				other	OPPS APC	1231.47				other	OPPS APC	333.61				percent of total billed charges		340.26				percent of total billed charges		1231.47				other	OPPS APC	333.61	1231.47	
BALLOON - RAPID EXCHANGE ADVANCE PTA 2.5MMX12CM	SUP-99-04558	CDM			272	RC		inpatient			1231.47	1231.47																																																			
BALLOON - RAPID EXCHANGE ADVANCE PTA 3MMX2CM	SUP-99-04559	CDM			272	RC		outpatient			1231.47	1231.47	333.61				percent of total billed charges		1231.47				other	OPPS APC	911.29				percent of total billed charges		1231.47				other	OPPS APC	1231.47				other	OPPS APC	333.61				percent of total billed charges		340.26				percent of total billed charges		1231.47				other	OPPS APC	333.61	1231.47	
BALLOON - RAPID EXCHANGE ADVANCE PTA 3MMX2CM	SUP-99-04559	CDM			272	RC		inpatient			1231.47	1231.47																																																			
HC C/T-Neck Scan W/WO Contrast	PX-351704920	CDM	70492	CPT	351	RC		outpatient			1231	189.94	297.71				fee schedule		189.94				other	OPPS APC	865.09				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	230.52				fee schedule		153.43				fee schedule		189.94				other	OPPS APC	153.43	865.09	
HC C/T-Neck Scan W/WO Contrast	PX-351704920	CDM	70492	CPT	351	RC		inpatient			1231	1231																																																			
HC Transesophageal Echo	PX-483933120	CDM	93312	CPT	483	RC		outpatient			1231	530	336.69				fee schedule		529.91				other	OPPS APC	721.51				fee schedule		529.91				other	OPPS APC	529.91				other	OPPS APC	235.87				fee schedule		627.81				percent of total billed charges		530				other	OPPS APC	235.87	721.51	
HC Transesophageal Echo	PX-483933120	CDM	93312	CPT	483	RC		inpatient			1231	1231																																																			
INTERTAN LAG/COMP KIT 75/70	SUP-71677075	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 75/70	SUP-71677075	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 80/75	SUP-71677080	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 80/75	SUP-71677080	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 85/80	SUP-71677085	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 85/80	SUP-71677085	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 90/85	SUP-71677090	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 90/85	SUP-71677090	CDM			270	RC		inpatient			1230.8	1230.8																																																			
KIT SCREW INTERTAN L 95MM L 90MM OD 11.5 ODSEC 7MM TROCHANTERIC LAG COMPRESSION INTEGRATE INTERLOCK	SUP-71677095	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
KIT SCREW INTERTAN L 95MM L 90MM OD 11.5 ODSEC 7MM TROCHANTERIC LAG COMPRESSION INTEGRATE INTERLOCK	SUP-71677095	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 100/95	SUP-71677100	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 100/95	SUP-71677100	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 105/100	SUP-71677105	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 105/100	SUP-71677105	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 110/105	SUP-71677110	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 110/105	SUP-71677110	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 115/110	SUP-71677115	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 115/110	SUP-71677115	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 120/115	SUP-71677120	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 120/115	SUP-71677120	CDM			270	RC		inpatient			1230.8	1230.8																																																			
INTERTAN LAG/COMP KIT 125/120	SUP-71677125	CDM			270	RC		outpatient			1230.8	123.8	333.42				percent of total billed charges		1230.8				other	OPPS APC	910.79				percent of total billed charges		1230.8				other	OPPS APC	1230.8				other	OPPS APC	333.42				percent of total billed charges		340.07				percent of total billed charges		123.8				other	OPPS APC	123.8	1230.8	
INTERTAN LAG/COMP KIT 125/120	SUP-71677125	CDM			270	RC		inpatient			1230.8	1230.8																																																			
KIT PRESSURE MONITOR CAMINO 4FR STERILE INTRACRANIAL TRANSDUCER TIP CATHETER DRILL BIT BOLT ACCESS DEVICE	SUP-110-4B	CDM			270	RC		outpatient			1230.36	123.36	333.3				percent of total billed charges		1230.36				other	OPPS APC	910.47				percent of total billed charges		1230.36				other	OPPS APC	1230.36				other	OPPS APC	333.3				percent of total billed charges		339.95				percent of total billed charges		123.36				other	OPPS APC	123.36	1230.36	
KIT PRESSURE MONITOR CAMINO 4FR STERILE INTRACRANIAL TRANSDUCER TIP CATHETER DRILL BIT BOLT ACCESS DEVICE	SUP-110-4B	CDM			270	RC		inpatient			1230.36	1230.36																																																			
DEVICE LEAD LOCKING LLD 65CM .015-.023IN PLATINUM IRIDIUM DISPOSABLE 19LB LOW PROFILE RADIOPAQUE	SUP-518-062	CDM			481	RC		outpatient			1230	123	602.7				percent of total billed charges		1230				other	OPPS APC	910.2				percent of total billed charges		1230				other	OPPS APC	1230				other	OPPS APC	602.7				percent of total billed charges		627.3				percent of total billed charges		123				other	OPPS APC	123	1230	
DEVICE LEAD LOCKING LLD 65CM .015-.023IN PLATINUM IRIDIUM DISPOSABLE 19LB LOW PROFILE RADIOPAQUE	SUP-518-062	CDM			481	RC		inpatient			1230	1230																																																			
SUTURE ANCHOR 1.8MM Q-FIX	SUP-97-02294	CDM			278	RC		outpatient			1230	123	1230				fee schedule		1230				other	OPPS APC	701.1				percent of total billed charges		1230				other	OPPS APC	1230				other	OPPS APC	602.7				percent of total billed charges		627.3				percent of total billed charges		123				other	OPPS APC	123	1230	
SUTURE ANCHOR 1.8MM Q-FIX	SUP-97-02294	CDM			278	RC		inpatient			1230	1230																																																			
SUTURE ANCHOR 2.8MM Q-FIX	SUP-97-02325	CDM			278	RC		outpatient			1230	123	1230				fee schedule		1230				other	OPPS APC	701.1				percent of total billed charges		1230				other	OPPS APC	1230				other	OPPS APC	602.7				percent of total billed charges		627.3				percent of total billed charges		123				other	OPPS APC	123	1230	
SUTURE ANCHOR 2.8MM Q-FIX	SUP-97-02325	CDM			278	RC		inpatient			1230	1230																																																			
SUTURE ANCHOR SWIVELOCK 6.25X19.1MM	SUP-97-04228	CDM			278	RC		outpatient			1230	123	1230				fee schedule		1230				other	OPPS APC	701.1				percent of total billed charges		1230				other	OPPS APC	1230				other	OPPS APC	602.7				percent of total billed charges		627.3				percent of total billed charges		123				other	OPPS APC	123	1230	
SUTURE ANCHOR SWIVELOCK 6.25X19.1MM	SUP-97-04228	CDM			278	RC		inpatient			1230	1230																																																			
CATHETER - 5.5F GUIDELINER	SUP-99-04877	CDM			272	RC		outpatient			1230	123	333.21				percent of total billed charges		1230				other	OPPS APC	910.2				percent of total billed charges		1230				other	OPPS APC	1230				other	OPPS APC	333.21				percent of total billed charges		339.85				percent of total billed charges		123				other	OPPS APC	123	1230	
CATHETER - 5.5F GUIDELINER	SUP-99-04877	CDM			272	RC		inpatient			1230	1230																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 2 MM 2.5 MM 3 MM L45 MM MEDIUM VASCULAR TISSUE ARTICULATE CURVE TIP ANVIL STERILE LATEX FREE DISPOSABLE TAN	SUP-SIG45CTAVM	CDM			270	RC		outpatient			1229.74	1229.74	333.14				percent of total billed charges		1229.74				other	OPPS APC	910.01				percent of total billed charges		1229.74				other	OPPS APC	1229.74				other	OPPS APC	333.14				percent of total billed charges		339.78				percent of total billed charges		1229.74				other	OPPS APC	333.14	1229.74	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 2 MM 2.5 MM 3 MM L45 MM MEDIUM VASCULAR TISSUE ARTICULATE CURVE TIP ANVIL STERILE LATEX FREE DISPOSABLE TAN	SUP-SIG45CTAVM	CDM			270	RC		inpatient			1229.74	1229.74																																																			
HC Touch Prep	PX-310883330	CDM	88333	CPT	310	RC		outpatient			1228	817.84	90.4				fee schedule		817.84				other	OPPS APC	45.25				fee schedule		817.84				other	OPPS APC	817.84				other	OPPS APC	601.72				percent of total billed charges		626.28				percent of total billed charges		817.84				other	OPPS APC	45.25	817.84	
HC Touch Prep	PX-310883330	CDM	88333	CPT	310	RC		inpatient			1228	1228																																																			
HC Renal Biopsy Electron Microscopy	PX-310883480	CDM	88348	CPT	310	RC		outpatient			1228	817.84	388.66				fee schedule		817.84				other	OPPS APC	392.44				fee schedule		817.84				other	OPPS APC	817.84				other	OPPS APC	601.72				percent of total billed charges		626.28				percent of total billed charges		817.84				other	OPPS APC	388.66	817.84	
HC Renal Biopsy Electron Microscopy	PX-310883480	CDM	88348	CPT	310	RC		inpatient			1228	1228																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM FIBULA LEFT DISTAL LATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.139	CDM	270010022	LOCAL	270	RC		outpatient			1227.6	1227.6	332.56				percent of total billed charges		1227.6				other	OPPS APC	908.42				percent of total billed charges		1227.6				other	OPPS APC	1227.6				other	OPPS APC	332.56				percent of total billed charges		339.19				percent of total billed charges		1227.6				other	OPPS APC	332.56	1227.6	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM FIBULA LEFT DISTAL LATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.139	CDM	270010022	LOCAL	270	RC		inpatient			1227.6	1227.6																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L59 MM X W10 MM X H2 MM W16.3 MM X H1.7 MM FIBULA LEFT DISTAL LATERAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72464903	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L59 MM X W10 MM X H2 MM W16.3 MM X H1.7 MM FIBULA LEFT DISTAL LATERAL 3 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72464903	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L103 MM X W10 MM X H2 MM W16.3 MM X H1.7 MM FIBULA RIGHT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72465007	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L103 MM X W10 MM X H2 MM W16.3 MM X H1.7 MM FIBULA RIGHT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72465007	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 147MM X W 10MM X H 2 MM W16.3MM X H 1.7MM FIBULA RIGHT DISTAL LATERAL 11 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72465011	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 147MM X W 10MM X H 2 MM W16.3MM X H 1.7MM FIBULA RIGHT DISTAL LATERAL 11 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 3.5 MM SCREW	SUP-72465011	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 103 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA LEFT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465107	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 103 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA LEFT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465107	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 125 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA LEFT DISTAL LATERAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465109	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 125 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA LEFT DISTAL LATERAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465109	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 81 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA RIGHT DISTAL LATERAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465205	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 81 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA RIGHT DISTAL LATERAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465205	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 103 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA RIGHT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465207	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 103 MM X W 10 MM X H 2 MM W 16.3 MM X H 1.7MM FIBULA RIGHT DISTAL LATERAL 7 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465207	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 93 MM X W 10 MM X H 2 MM W 8 MM X H 1.8 MM FIBULA LEFT DISTAL POSTEROLATERAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465305	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 93 MM X W 10 MM X H 2 MM W 8 MM X H 1.8 MM FIBULA LEFT DISTAL POSTEROLATERAL 5 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465305	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 137 MM X W 10 MM X H 2 MM W8 MM X H 1.8MM FIBULA LEFT DISTAL POSTEROLATERAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465309	CDM			270	RC		outpatient			1227.4	1227.41	332.5				percent of total billed charges		1227.4				other	OPPS APC	908.28				percent of total billed charges		1227.4				other	OPPS APC	1227.4				other	OPPS APC	332.5				percent of total billed charges		339.13				percent of total billed charges		1227.41				other	OPPS APC	332.5	1227.41	
PLATE BONE EVOS STAINLESS STEEL 11MM SPACE L 137 MM X W 10 MM X H 2 MM W8 MM X H 1.8MM FIBULA LEFT DISTAL POSTEROLATERAL 9 HOLE VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7/3.5 MM SCREW	SUP-72465309	CDM			270	RC		inpatient			1227.4	1227.4																																																			
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 8 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-50-09	CDM			270	RC		outpatient			1227	1227	332.39				percent of total billed charges		1227				other	OPPS APC	907.98				percent of total billed charges		1227				other	OPPS APC	1227				other	OPPS APC	332.39				percent of total billed charges		339.02				percent of total billed charges		1227				other	OPPS APC	332.39	1227	
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 8 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-50-09	CDM			270	RC		inpatient			1227	1227																																																			
PLATE BONE LEVEL ONE TITANIUM Y H1.8 MM STERNAL 9 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-52-09	CDM			270	RC		outpatient			1227	1227	332.39				percent of total billed charges		1227				other	OPPS APC	907.98				percent of total billed charges		1227				other	OPPS APC	1227				other	OPPS APC	332.39				percent of total billed charges		339.02				percent of total billed charges		1227				other	OPPS APC	332.39	1227	
PLATE BONE LEVEL ONE TITANIUM Y H1.8 MM STERNAL 9 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-52-09	CDM			270	RC		inpatient			1227	1227																																																			
FORCEPS BIOPSY SPYBITE MAX L286 CM OD1.2 MM STERILE LATEX FREE DISPOSABLE	SUP-M00546470	CDM			270	RC		outpatient			1224.66	1224.66	331.76				percent of total billed charges		1224.66				other	OPPS APC	906.25				percent of total billed charges		1224.66				other	OPPS APC	1224.66				other	OPPS APC	331.76				percent of total billed charges		338.37				percent of total billed charges		1224.66				other	OPPS APC	331.76	1224.66	
FORCEPS BIOPSY SPYBITE MAX L286 CM OD1.2 MM STERILE LATEX FREE DISPOSABLE	SUP-M00546470	CDM			270	RC		inpatient			1224.66	1224.66																																																			
BLADE SCREWDRIVER PLUSDRIVE SHORT SELF RETAINING LOW PROFILE HEXAGONAL COUPLING CRUCIFORM NONSTERILE NEURO	SUP-313.931	CDM	270010013	LOCAL	270	RC		outpatient			1224.6	1224.6	331.74				percent of total billed charges		1224.6				other	OPPS APC	906.2				percent of total billed charges		1224.6				other	OPPS APC	1224.6				other	OPPS APC	331.74				percent of total billed charges		338.36				percent of total billed charges		1224.6				other	OPPS APC	331.74	1224.6	
BLADE SCREWDRIVER PLUSDRIVE SHORT SELF RETAINING LOW PROFILE HEXAGONAL COUPLING CRUCIFORM NONSTERILE NEURO	SUP-313.931	CDM	270010013	LOCAL	270	RC		inpatient			1224.6	1224.6																																																			
PROBE VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD23 GA EDGEPLUS VALVED CANNULA STRAIGHT ENDOILLUMINATOR	SUP-8065752435	CDM			270	RC		outpatient			1223.34	1223.34	331.4				percent of total billed charges		1223.34				other	OPPS APC	905.27				percent of total billed charges		1223.34				other	OPPS APC	1223.34				other	OPPS APC	331.4				percent of total billed charges		338.01				percent of total billed charges		1223.34				other	OPPS APC	331.4	1223.34	
PROBE VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD23 GA EDGEPLUS VALVED CANNULA STRAIGHT ENDOILLUMINATOR	SUP-8065752435	CDM			270	RC		inpatient			1223.34	1223.34																																																			
HC Lumbar Puncture	PX-361622700	CDM	62328	CPT	361	RC		outpatient			1223	678.63	386.22				percent of total billed charges		678.63				other	OPPS APC	1876				fee schedule		678.63				other	OPPS APC	678.63				other	OPPS APC	386.22				percent of total billed charges		393.93				percent of total billed charges		678.63				other	OPPS APC	386.22	1876	
HC Lumbar Puncture	PX-361622700	CDM	62328	CPT	361	RC		inpatient			1223	1223																																																			
HC Spinal Tap  Diagnostic	PX-450622701	CDM	62270	CPT	450	RC		outpatient			1223	1223	195.77				case rate		1223				other	OPPS APC	905.02				percent of total billed charges		1223				other	OPPS APC	1223				other	OPPS APC	195.77				case rate		199.69				case rate		1223				other	OPPS APC	195.77	1223	
HC Spinal Tap  Diagnostic	PX-450622701	CDM	62270	CPT	450	RC		inpatient			1223	1223																																																			
BUSHING FEMORAL OSS POLYETHYLENE KNEE AUXILIARY	SUP-1540477	CDM			270	RC		outpatient			1222	1222	331.04				percent of total billed charges		1222				other	OPPS APC	904.28				percent of total billed charges		1222				other	OPPS APC	1222				other	OPPS APC	331.04				percent of total billed charges		337.64				percent of total billed charges		1222				other	OPPS APC	331.04	1222	
BUSHING FEMORAL OSS POLYETHYLENE KNEE AUXILIARY	SUP-1540477	CDM			270	RC		inpatient			1222	1222																																																			
SCREW HEADLESS COMPRESSION 5.0 X 60MM	SUP-97-00140	CDM			278	RC		outpatient			1221.36	1221.36	1221.36				fee schedule		1221.36				other	OPPS APC	696.18				percent of total billed charges		1221.36				other	OPPS APC	1221.36				other	OPPS APC	598.47				percent of total billed charges		622.89				percent of total billed charges		1221.36				other	OPPS APC	598.47	1221.36	
SCREW HEADLESS COMPRESSION 5.0 X 60MM	SUP-97-00140	CDM			278	RC		inpatient			1221.36	1221.36																																																			
SCREW HEADLESS COMPRESSION 5.0 X 46MM	SUP-97-00141	CDM			278	RC		outpatient			1221.36	1221.36	1221.36				fee schedule		1221.36				other	OPPS APC	696.18				percent of total billed charges		1221.36				other	OPPS APC	1221.36				other	OPPS APC	598.47				percent of total billed charges		622.89				percent of total billed charges		1221.36				other	OPPS APC	598.47	1221.36	
SCREW HEADLESS COMPRESSION 5.0 X 46MM	SUP-97-00141	CDM			278	RC		inpatient			1221.36	1221.36																																																			
SCREW 5 X 65MM HEADLESS COMPRESSION	SUP-97-05924	CDM			278	RC		outpatient			1221.36	1221.36	1221.36				fee schedule		1221.36				other	OPPS APC	696.18				percent of total billed charges		1221.36				other	OPPS APC	1221.36				other	OPPS APC	598.47				percent of total billed charges		622.89				percent of total billed charges		1221.36				other	OPPS APC	598.47	1221.36	
SCREW 5 X 65MM HEADLESS COMPRESSION	SUP-97-05924	CDM			278	RC		inpatient			1221.36	1221.36																																																			
SCREW 5 X 55 HEADLESS COMPRESSION	SUP-97-06233	CDM			278	RC		outpatient			1221.36	1221.36	1221.36				fee schedule		1221.36				other	OPPS APC	696.18				percent of total billed charges		1221.36				other	OPPS APC	1221.36				other	OPPS APC	598.47				percent of total billed charges		622.89				percent of total billed charges		1221.36				other	OPPS APC	598.47	1221.36	
SCREW 5 X 55 HEADLESS COMPRESSION	SUP-97-06233	CDM			278	RC		inpatient			1221.36	1221.36																																																			
INVRAD GLIDEPATH DIALYSIS 19CM	SUP-95-02661	CDM			278	RC		outpatient			1221	1221	1221				fee schedule		1221				other	OPPS APC	695.97				percent of total billed charges		1221				other	OPPS APC	1221				other	OPPS APC	598.29				percent of total billed charges		622.71				percent of total billed charges		1221				other	OPPS APC	598.29	1221	
INVRAD GLIDEPATH DIALYSIS 19CM	SUP-95-02661	CDM			278	RC		inpatient			1221	1221																																																			
INVRAD GLIDEPATH DIALYSIS 23CM	SUP-95-02662	CDM			278	RC		outpatient			1221	1221	1221				fee schedule		1221				other	OPPS APC	695.97				percent of total billed charges		1221				other	OPPS APC	1221				other	OPPS APC	598.29				percent of total billed charges		622.71				percent of total billed charges		1221				other	OPPS APC	598.29	1221	
INVRAD GLIDEPATH DIALYSIS 23CM	SUP-95-02662	CDM			278	RC		inpatient			1221	1221																																																			
INVRAD GLIDEPATH DIALYSIS 27CM	SUP-95-02663	CDM			278	RC		outpatient			1221	1221	1221				fee schedule		1221				other	OPPS APC	695.97				percent of total billed charges		1221				other	OPPS APC	1221				other	OPPS APC	598.29				percent of total billed charges		622.71				percent of total billed charges		1221				other	OPPS APC	598.29	1221	
INVRAD GLIDEPATH DIALYSIS 27CM	SUP-95-02663	CDM			278	RC		inpatient			1221	1221																																																			
CUTTING LOOP BIPOLAR LONGITUDINAL	SUP-70-00222	CDM			272	RC		outpatient			1220.2	122.2	330.55				percent of total billed charges		1220.2				other	OPPS APC	902.95				percent of total billed charges		1220.2				other	OPPS APC	1220.2				other	OPPS APC	330.55				percent of total billed charges		337.14				percent of total billed charges		122.2				other	OPPS APC	122.2	1220.2	
CUTTING LOOP BIPOLAR LONGITUDINAL	SUP-70-00222	CDM			272	RC		inpatient			1220.2	1220.2																																																			
ELECTRODE 24/26 BIPOLAR POINTED	SUP-70-00242	CDM			272	RC		outpatient			1220.2	122.2	330.55				percent of total billed charges		1220.2				other	OPPS APC	902.95				percent of total billed charges		1220.2				other	OPPS APC	1220.2				other	OPPS APC	330.55				percent of total billed charges		337.14				percent of total billed charges		122.2				other	OPPS APC	122.2	1220.2	
ELECTRODE 24/26 BIPOLAR POINTED	SUP-70-00242	CDM			272	RC		inpatient			1220.2	1220.2																																																			
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L45 CM L17 MM ID6.5 FR STEERABLE	SUP-TG0654517	CDM			270	RC		outpatient			1220	122	330.5				percent of total billed charges		1220				other	OPPS APC	902.8				percent of total billed charges		1220				other	OPPS APC	1220				other	OPPS APC	330.5				percent of total billed charges		337.09				percent of total billed charges		122				other	OPPS APC	122	1220	
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L45 CM L17 MM ID6.5 FR STEERABLE	SUP-TG0654517	CDM			270	RC		inpatient			1220	1220																																																			
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L70 CM L55 CM ID6.5 FR STEERABLE	SUP-TG0655517_72909	CDM			270	RC		outpatient			1220	122	330.5				percent of total billed charges		1220				other	OPPS APC	902.8				percent of total billed charges		1220				other	OPPS APC	1220				other	OPPS APC	330.5				percent of total billed charges		337.09				percent of total billed charges		122				other	OPPS APC	122	1220	
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L70 CM L55 CM ID6.5 FR STEERABLE	SUP-TG0655517_72909	CDM			270	RC		inpatient			1220	1220																																																			
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L45 CM L9 MM ID7 FR STEERABLE	SUP-TG0704509_72906	CDM			270	RC		outpatient			1220	122	330.5				percent of total billed charges		1220				other	OPPS APC	902.8				percent of total billed charges		1220				other	OPPS APC	1220				other	OPPS APC	330.5				percent of total billed charges		337.09				percent of total billed charges		122				other	OPPS APC	122	1220	
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L45 CM L9 MM ID7 FR STEERABLE	SUP-TG0704509_72906	CDM			270	RC		inpatient			1220	1220																																																			
SHEATH CATHETER TOURGUIDE HYDROPHOBIC 180 D L45 CM L17 MM ID7 FR STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT	SUP-TG0704517_72908	CDM			270	RC		outpatient			1220	122	330.5				percent of total billed charges		1220				other	OPPS APC	902.8				percent of total billed charges		1220				other	OPPS APC	1220				other	OPPS APC	330.5				percent of total billed charges		337.09				percent of total billed charges		122				other	OPPS APC	122	1220	
SHEATH CATHETER TOURGUIDE HYDROPHOBIC 180 D L45 CM L17 MM ID7 FR STEERABLE RADIOPAQUE TAPER DISTAL TIP BRAID SHAFT	SUP-TG0704517_72908	CDM			270	RC		inpatient			1220	1220																																																			
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L55 CM L9 MM ID7 FR STEERABLE	SUP-TG0705509_72906	CDM			270	RC		outpatient			1220	122	330.5				percent of total billed charges		1220				other	OPPS APC	902.8				percent of total billed charges		1220				other	OPPS APC	1220				other	OPPS APC	330.5				percent of total billed charges		337.09				percent of total billed charges		122				other	OPPS APC	122	1220	
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L55 CM L9 MM ID7 FR STEERABLE	SUP-TG0705509_72906	CDM			270	RC		inpatient			1220	1220																																																			
HC C/T-Maxillofacial WO Contrast	PX-351704860	CDM	70486	CPT	351	RC		outpatient			1218	112.57	186.29				fee schedule		112.57				other	OPPS APC	597.96				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	132.99				fee schedule		92.2				fee schedule		112.57				other	OPPS APC	92.2	597.96	
HC C/T-Maxillofacial WO Contrast	PX-351704860	CDM	70486	CPT	351	RC		inpatient			1218	1218																																																			
HC C/T-C Spine W/O Contrast	PX-352721250	CDM	72125	CPT	352	RC		outpatient			1218	112.57	182.35				fee schedule		112.57				other	OPPS APC	717.69				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	134.32				fee schedule		87.2				fee schedule		112.57				other	OPPS APC	87.2	717.69	
HC C/T-C Spine W/O Contrast	PX-352721250	CDM	72125	CPT	352	RC		inpatient			1218	1218																																																			
HC C/T-C Spine W/WO Contrast	PX-352721270	CDM	72127	CPT	352	RC		outpatient			1218	1218	291.01				fee schedule		1218				other	OPPS APC	1020.76				fee schedule		1218				other	OPPS APC	1218				other	OPPS APC	205.12				fee schedule		144.78				fee schedule		1218				other	OPPS APC	144.78	1218	
HC C/T-C Spine W/WO Contrast	PX-352721270	CDM	72127	CPT	352	RC		inpatient			1218	1218																																																			
BLADE SHAVER TRICUT 2 CURVE L22 CM OD4 MM LARYNGEAL ANGLED TIP IRRIGATION TUBING	SUP-1884030HRE_60229	CDM			270	RC		outpatient			1218	1218	329.96				percent of total billed charges		1218				other	OPPS APC	901.32				percent of total billed charges		1218				other	OPPS APC	1218				other	OPPS APC	329.96				percent of total billed charges		336.53				percent of total billed charges		1218				other	OPPS APC	329.96	1218	
BLADE SHAVER TRICUT 2 CURVE L22 CM OD4 MM LARYNGEAL ANGLED TIP IRRIGATION TUBING	SUP-1884030HRE_60229	CDM			270	RC		inpatient			1218	1218																																																			
4.0MM SCHANZ SCREW SPADE POINT 80MM	SUP-97-04112	CDM			278	RC		outpatient			1216.8	1216.8	1216.8				fee schedule		1216.8				other	OPPS APC	693.58				percent of total billed charges		1216.8				other	OPPS APC	1216.8				other	OPPS APC	596.23				percent of total billed charges		620.57				percent of total billed charges		1216.8				other	OPPS APC	596.23	1216.8	
4.0MM SCHANZ SCREW SPADE POINT 80MM	SUP-97-04112	CDM			278	RC		inpatient			1216.8	1216.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.502	CDM	270010022	LOCAL	270	RC		outpatient			1216.6	1216.6	329.58				percent of total billed charges		1216.6				other	OPPS APC	900.28				percent of total billed charges		1216.6				other	OPPS APC	1216.6				other	OPPS APC	329.58				percent of total billed charges		336.15				percent of total billed charges		1216.6				other	OPPS APC	329.58	1216.6	
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.502	CDM	270010022	LOCAL	270	RC		inpatient			1216.6	1216.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.504	CDM	270010022	LOCAL	270	RC		outpatient			1216.6	1216.6	329.58				percent of total billed charges		1216.6				other	OPPS APC	900.28				percent of total billed charges		1216.6				other	OPPS APC	1216.6				other	OPPS APC	329.58				percent of total billed charges		336.15				percent of total billed charges		1216.6				other	OPPS APC	329.58	1216.6	
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.504	CDM	270010022	LOCAL	270	RC		inpatient			1216.6	1216.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL -90 D L L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.506	CDM	270010022	LOCAL	270	RC		outpatient			1216.6	1216.6	329.58				percent of total billed charges		1216.6				other	OPPS APC	900.28				percent of total billed charges		1216.6				other	OPPS APC	1216.6				other	OPPS APC	329.58				percent of total billed charges		336.15				percent of total billed charges		1216.6				other	OPPS APC	329.58	1216.6	
PLATE BONE LCP COMBI STAINLESS STEEL -90 D L L40 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.506	CDM	270010022	LOCAL	270	RC		inpatient			1216.6	1216.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL +20 D L L43 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.508	CDM	270010022	LOCAL	270	RC		outpatient			1216.6	1216.6	329.58				percent of total billed charges		1216.6				other	OPPS APC	900.28				percent of total billed charges		1216.6				other	OPPS APC	1216.6				other	OPPS APC	329.58				percent of total billed charges		336.15				percent of total billed charges		1216.6				other	OPPS APC	329.58	1216.6	
PLATE BONE LCP COMBI STAINLESS STEEL +20 D L L43 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.508	CDM	270010022	LOCAL	270	RC		inpatient			1216.6	1216.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL -20 D L L43 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.511	CDM	270010022	LOCAL	270	RC		outpatient			1216.6	1216.6	329.58				percent of total billed charges		1216.6				other	OPPS APC	900.28				percent of total billed charges		1216.6				other	OPPS APC	1216.6				other	OPPS APC	329.58				percent of total billed charges		336.15				percent of total billed charges		1216.6				other	OPPS APC	329.58	1216.6	
PLATE BONE LCP COMBI STAINLESS STEEL -20 D L L43 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 3 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.511	CDM	270010022	LOCAL	270	RC		inpatient			1216.6	1216.6																																																			
PLATE BONE LC-DCP TITANIUM L35 MM X H1.7 MM 4 HOLE NONSTERILE 2.4 MM SCREW MODULAR HAND SYSTEM	SUP-449.924	CDM	270010022	LOCAL	270	RC		outpatient			1216.6	1216.6	329.58				percent of total billed charges		1216.6				other	OPPS APC	900.28				percent of total billed charges		1216.6				other	OPPS APC	1216.6				other	OPPS APC	329.58				percent of total billed charges		336.15				percent of total billed charges		1216.6				other	OPPS APC	329.58	1216.6	
PLATE BONE LC-DCP TITANIUM L35 MM X H1.7 MM 4 HOLE NONSTERILE 2.4 MM SCREW MODULAR HAND SYSTEM	SUP-449.924	CDM	270010022	LOCAL	270	RC		inpatient			1216.6	1216.6																																																			
6.5MM DRILL BIT /CONICAL WSTOSTERILE	SUP-97-01992	CDM			272	RC		outpatient			1216.41	1216.41	329.53				percent of total billed charges		1216.41				other	OPPS APC	900.14				percent of total billed charges		1216.41				other	OPPS APC	1216.41				other	OPPS APC	329.53				percent of total billed charges		336.09				percent of total billed charges		1216.41				other	OPPS APC	329.53	1216.41	
6.5MM DRILL BIT /CONICAL WSTOSTERILE	SUP-97-01992	CDM			272	RC		inpatient			1216.41	1216.41																																																			
PLATE BONE EVOS STAINLESS STEEL 7 MM SPACE L 81 MM X W 8.5MM X H 2.4MM CLAVICLE RIGHT DISTAL INFERIOR 3 HOLE LOCK VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7MM SCREW	SUP-72468803	CDM			270	RC		outpatient			1216	1216	329.41				percent of total billed charges		1216				other	OPPS APC	899.84				percent of total billed charges		1216				other	OPPS APC	1216				other	OPPS APC	329.41				percent of total billed charges		335.98				percent of total billed charges		1216				other	OPPS APC	329.41	1216	
PLATE BONE EVOS STAINLESS STEEL 7 MM SPACE L 81 MM X W 8.5MM X H 2.4MM CLAVICLE RIGHT DISTAL INFERIOR 3 HOLE LOCK VARIABLE ANGLE LOCK LOW PROFILE STERILE 2.7MM SCREW	SUP-72468803	CDM			270	RC		inpatient			1216	1216																																																			
SCREW TI LAG 10.5 X 85MM	SUP-97-01741	CDM			278	RC		outpatient			1215.36	1215.36	1215.36				fee schedule		1215.36				other	OPPS APC	692.76				percent of total billed charges		1215.36				other	OPPS APC	1215.36				other	OPPS APC	595.53				percent of total billed charges		619.83				percent of total billed charges		1215.36				other	OPPS APC	595.53	1215.36	
SCREW TI LAG 10.5 X 85MM	SUP-97-01741	CDM			278	RC		inpatient			1215.36	1215.36																																																			
BIPOLAR COMPONENT	SUP-97-01103	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
BIPOLAR COMPONENT	SUP-97-01103	CDM			278	RC		inpatient			1215	1215																																																			
BIPOLAR COMPONENT	SUP-97-01270	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
BIPOLAR COMPONENT	SUP-97-01270	CDM			278	RC		inpatient			1215	1215																																																			
UNIVERSAL HEAD BIPOLAR COMPONENT	SUP-97-02621	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
UNIVERSAL HEAD BIPOLAR COMPONENT	SUP-97-02621	CDM			278	RC		inpatient			1215	1215																																																			
UHR BIPOLAR 28 X 49 MM	SUP-97-05028	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
UHR BIPOLAR 28 X 49 MM	SUP-97-05028	CDM			278	RC		inpatient			1215	1215																																																			
SCREW 3X8 TENODESIS	SUP-97-05473	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
SCREW 3X8 TENODESIS	SUP-97-05473	CDM			278	RC		inpatient			1215	1215																																																			
UNITRAX MODULAR ENDO HEAD 58MM	SUP-97-05801	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
UNITRAX MODULAR ENDO HEAD 58MM	SUP-97-05801	CDM			278	RC		inpatient			1215	1215																																																			
SUTURE ANCHOR PEEK S-TAK KNOTLESS HIP	SUP-97-05936	CDM			278	RC		outpatient			1215	1215	1215				fee schedule		1215				other	OPPS APC	692.55				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	595.35				percent of total billed charges		619.65				percent of total billed charges		1215				other	OPPS APC	595.35	1215	
SUTURE ANCHOR PEEK S-TAK KNOTLESS HIP	SUP-97-05936	CDM			278	RC		inpatient			1215	1215																																																			
BALLOON - COYOTE OTW 2.0X150X150	SUP-99-01294	CDM			272	RC		outpatient			1215	1215	329.14				percent of total billed charges		1215				other	OPPS APC	899.1				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	329.14				percent of total billed charges		335.7				percent of total billed charges		1215				other	OPPS APC	329.14	1215	
BALLOON - COYOTE OTW 2.0X150X150	SUP-99-01294	CDM			272	RC		inpatient			1215	1215																																																			
BALLOON - COYOTE OTW 4.0X120X150	SUP-99-03251	CDM			272	RC		outpatient			1215	1215	329.14				percent of total billed charges		1215				other	OPPS APC	899.1				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	329.14				percent of total billed charges		335.7				percent of total billed charges		1215				other	OPPS APC	329.14	1215	
BALLOON - COYOTE OTW 4.0X120X150	SUP-99-03251	CDM			272	RC		inpatient			1215	1215																																																			
BALLOON - COYOTE OTW 3.0X120X150	SUP-99-03367	CDM			272	RC		outpatient			1215	1215	329.14				percent of total billed charges		1215				other	OPPS APC	899.1				percent of total billed charges		1215				other	OPPS APC	1215				other	OPPS APC	329.14				percent of total billed charges		335.7				percent of total billed charges		1215				other	OPPS APC	329.14	1215	
BALLOON - COYOTE OTW 3.0X120X150	SUP-99-03367	CDM			272	RC		inpatient			1215	1215																																																			
CAP ENDOSCOPE SEALING DEXTRUS VALUELINK	SUP-HAP02	CDM			270	RC		outpatient			1214.61	1214.7	329.04				percent of total billed charges		1214.61				other	OPPS APC	898.81				percent of total billed charges		1214.61				other	OPPS APC	1214.61				other	OPPS APC	329.04				percent of total billed charges		335.6				percent of total billed charges		1214.7				other	OPPS APC	329.04	1214.7	
CAP ENDOSCOPE SEALING DEXTRUS VALUELINK	SUP-HAP02	CDM			270	RC		inpatient			1214.61	1214.61																																																			
PACK VITRECTOMY TOTAL PLUS HYPERVIT 20000 CPM OD25 GA BEVEL	SUP-8065753106	CDM			270	RC		outpatient			1213.38	1213.38	328.7				percent of total billed charges		1213.38				other	OPPS APC	897.9				percent of total billed charges		1213.38				other	OPPS APC	1213.38				other	OPPS APC	328.7				percent of total billed charges		335.26				percent of total billed charges		1213.38				other	OPPS APC	328.7	1213.38	
PACK VITRECTOMY TOTAL PLUS HYPERVIT 20000 CPM OD25 GA BEVEL	SUP-8065753106	CDM			270	RC		inpatient			1213.38	1213.38																																																			
SNARE ENDOSCOPIC SPYGLASS L286 CM X W9 MM STERILE LATEX FREE DISPOSABLE	SUP-M00546560	CDM			270	RC		outpatient			1212.3	1212.3	328.41				percent of total billed charges		1212.3				other	OPPS APC	897.1				percent of total billed charges		1212.3				other	OPPS APC	1212.3				other	OPPS APC	328.41				percent of total billed charges		334.96				percent of total billed charges		1212.3				other	OPPS APC	328.41	1212.3	
SNARE ENDOSCOPIC SPYGLASS L286 CM X W9 MM STERILE LATEX FREE DISPOSABLE	SUP-M00546560	CDM			270	RC		inpatient			1212.3	1212.3																																																			
FLUTICASONE HFA 220 MCG/ACTUATION HFA AEROSOL INHALER 12 G AER W/ADAP	637000000	CDM	66993-080-96	NDC	A9270	HCPCS		inpatient			1212.2	1212.2																																																			
FLUTICASONE HFA 220 MCG/ACTUATION HFA AEROSOL INHALER 12 G AER W/ADAP	637000000	CDM	66993-080-96	NDC	A9270	HCPCS		outpatient			1212.2	1212.2																																															other	OPPS APC			
BLADE SCREWDRIVER STARDRIVE 1.3 MM SHORT SELF RETAINING MINI QUICK COUPLING	SUP-313.822	CDM	270010022	LOCAL	270	RC		outpatient			1210.66	121.66	327.97				percent of total billed charges		1210.66				other	OPPS APC	895.89				percent of total billed charges		1210.66				other	OPPS APC	1210.66				other	OPPS APC	327.97				percent of total billed charges		334.51				percent of total billed charges		121.66				other	OPPS APC	121.66	1210.66	
BLADE SCREWDRIVER STARDRIVE 1.3 MM SHORT SELF RETAINING MINI QUICK COUPLING	SUP-313.822	CDM	270010022	LOCAL	270	RC		inpatient			1210.66	1210.66																																																			
BLADE SCREWDRIVER STARDRIVE 1.5 MM SHORT SELF RETAINING NONSTERILE	SUP-313.832	CDM	270010022	LOCAL	270	RC		outpatient			1210.66	121.66	327.97				percent of total billed charges		1210.66				other	OPPS APC	895.89				percent of total billed charges		1210.66				other	OPPS APC	1210.66				other	OPPS APC	327.97				percent of total billed charges		334.51				percent of total billed charges		121.66				other	OPPS APC	121.66	1210.66	
BLADE SCREWDRIVER STARDRIVE 1.5 MM SHORT SELF RETAINING NONSTERILE	SUP-313.832	CDM	270010022	LOCAL	270	RC		inpatient			1210.66	1210.66																																																			
BLADE SCREWDRIVER STARDRIVE SHORT MINI SELF RETAINING QUICK COUPLING NONSTERILE 2 MM SCREWS	SUP-313.842	CDM	270010022	LOCAL	270	RC		outpatient			1210.66	121.66	327.97				percent of total billed charges		1210.66				other	OPPS APC	895.89				percent of total billed charges		1210.66				other	OPPS APC	1210.66				other	OPPS APC	327.97				percent of total billed charges		334.51				percent of total billed charges		121.66				other	OPPS APC	121.66	1210.66	
BLADE SCREWDRIVER STARDRIVE SHORT MINI SELF RETAINING QUICK COUPLING NONSTERILE 2 MM SCREWS	SUP-313.842	CDM	270010022	LOCAL	270	RC		inpatient			1210.66	1210.66																																																			
PLATE BONE LCP COMBI T 83MM SS NS 4 HOLE 4.5MM SCREW LG FRAGMENT SET	SUP-240.141	CDM	270010022	LOCAL	270	RC		outpatient			1210	121	327.79				percent of total billed charges		1210				other	OPPS APC	895.4				percent of total billed charges		1210				other	OPPS APC	1210				other	OPPS APC	327.79				percent of total billed charges		334.32				percent of total billed charges		121				other	OPPS APC	121	1210	
PLATE BONE LCP COMBI T 83MM SS NS 4 HOLE 4.5MM SCREW LG FRAGMENT SET	SUP-240.141	CDM	270010022	LOCAL	270	RC		inpatient			1210	1210																																																			
GUIDEWIRE OPTOWIRE III L180 CM STRIAGHT TIP WITHOUT GAUGE CONNECTOR MODERN PRESSURE	SUP-F1032	CDM			481	RC		outpatient			1210	121	592.9				percent of total billed charges		1210				other	OPPS APC	895.4				percent of total billed charges		1210				other	OPPS APC	1210				other	OPPS APC	592.9				percent of total billed charges		617.1				percent of total billed charges		121				other	OPPS APC	121	1210	
GUIDEWIRE OPTOWIRE III L180 CM STRIAGHT TIP WITHOUT GAUGE CONNECTOR MODERN PRESSURE	SUP-F1032	CDM			481	RC		inpatient			1210	1210																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L45 CM ID4-7 MM PERIPHERAL STRETCH STERILE	SUP-S47045	CDM			270	RC		outpatient			1208	128	327.25				percent of total billed charges		1208				other	OPPS APC	893.92				percent of total billed charges		1208				other	OPPS APC	1208				other	OPPS APC	327.25				percent of total billed charges		333.77				percent of total billed charges		128				other	OPPS APC	128	1208	
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L45 CM ID4-7 MM PERIPHERAL STRETCH STERILE	SUP-S47045	CDM			270	RC		inpatient			1208	1208																																																			
CATHETER 28 PALINDROME RUBY	SUP-95-01506	CDM			278	RC		outpatient			1207.65	127.65	1207.65				fee schedule		1207.65				other	OPPS APC	688.36				percent of total billed charges		1207.65				other	OPPS APC	1207.65				other	OPPS APC	591.75				percent of total billed charges		615.9				percent of total billed charges		127.65				other	OPPS APC	127.65	1207.65	
CATHETER 28 PALINDROME RUBY	SUP-95-01506	CDM			278	RC		inpatient			1207.65	1207.65																																																			
DISTAL RADIUS PLATE 7HOLE HEAD 5 HOLE SHAFT LEFT	SUP-02.111.741	CDM			270	RC		outpatient			1207.5	127.5	327.11				percent of total billed charges		1207.5				other	OPPS APC	893.55				percent of total billed charges		1207.5				other	OPPS APC	1207.5				other	OPPS APC	327.11				percent of total billed charges		333.63				percent of total billed charges		127.5				other	OPPS APC	127.5	1207.5	
DISTAL RADIUS PLATE 7HOLE HEAD 5 HOLE SHAFT LEFT	SUP-02.111.741	CDM			270	RC		inpatient			1207.5	1207.5																																																			
STAPLER HANDLE GIA 4	SUP-74-00408	CDM			272	RC		outpatient			1207.07	127.7	327				percent of total billed charges		1207.07				other	OPPS APC	893.23				percent of total billed charges		1207.07				other	OPPS APC	1207.07				other	OPPS APC	327				percent of total billed charges		333.51				percent of total billed charges		127.7				other	OPPS APC	127.7	1207.07	
STAPLER HANDLE GIA 4	SUP-74-00408	CDM			272	RC		inpatient			1207.07	1207.07																																																			
DRILL SURGICAL EVOS LARGE OD 3.7 MM CORTICAL AO QUICK OVER CANNULATE STERILE LATEX FREE DISPOSABLE	SUP-71177749	CDM			270	RC		outpatient			1205	125	326.43				percent of total billed charges		1205				other	OPPS APC	891.7				percent of total billed charges		1205				other	OPPS APC	1205				other	OPPS APC	326.43				percent of total billed charges		332.94				percent of total billed charges		125				other	OPPS APC	125	1205	
DRILL SURGICAL EVOS LARGE OD 3.7 MM CORTICAL AO QUICK OVER CANNULATE STERILE LATEX FREE DISPOSABLE	SUP-71177749	CDM			270	RC		inpatient			1205	1205																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L156 MM X W10.2 MM X H2.7 MM PELVIS 12 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.032	CDM	270010022	LOCAL	270	RC		outpatient			1204.5	124.5	326.3				percent of total billed charges		1204.5				other	OPPS APC	891.33				percent of total billed charges		1204.5				other	OPPS APC	1204.5				other	OPPS APC	326.3				percent of total billed charges		332.8				percent of total billed charges		124.5				other	OPPS APC	124.5	1204.5	
PLATE BONE STAINLESS STEEL STRAIGHT L156 MM X W10.2 MM X H2.7 MM PELVIS 12 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.032	CDM	270010022	LOCAL	270	RC		inpatient			1204.5	1204.5																																																			
SHORT MICRO PROCEDURE TRAY	SUP-MXA-D214	CDM			270	RC		outpatient			1204	124	326.16				percent of total billed charges		1204				other	OPPS APC	890.96				percent of total billed charges		1204				other	OPPS APC	1204				other	OPPS APC	326.16				percent of total billed charges		332.67				percent of total billed charges		124				other	OPPS APC	124	1204	
SHORT MICRO PROCEDURE TRAY	SUP-MXA-D214	CDM			270	RC		inpatient			1204	1204																																																			
PLATE BONE LC-DCP TITANIUM L35 MM X W6.5 MM X H1.25 MM MANDIBLE 4 HOLE 2.4 MM SCREW	SUP-449.14	CDM	270010014	LOCAL	270	RC		outpatient			1202.66	122.66	325.8				percent of total billed charges		1202.66				other	OPPS APC	889.97				percent of total billed charges		1202.66				other	OPPS APC	1202.66				other	OPPS APC	325.8				percent of total billed charges		332.29				percent of total billed charges		122.66				other	OPPS APC	122.66	1202.66	
PLATE BONE LC-DCP TITANIUM L35 MM X W6.5 MM X H1.25 MM MANDIBLE 4 HOLE 2.4 MM SCREW	SUP-449.14	CDM	270010014	LOCAL	270	RC		inpatient			1202.66	1202.66																																																			
FLEX DRILL	SUP-97-01522	CDM						inpatient			1202.64	1202.64																																																			
FLEX DRILL	SUP-97-01522	CDM						outpatient			1202.64	122.64	1202.64				percent of total billed charges		1202.64				other	OPPS APC	1202.64				fee schedule		1202.64				other	OPPS APC	1202.64				other	OPPS APC	1202.64				case rate		1202.64				case rate		122.64				other	OPPS APC	122.64	1202.64	
EEA 29MM	SUP-76-00012	CDM			272	RC		outpatient			1200.87	12.87	325.32				percent of total billed charges		1200.87				other	OPPS APC	888.64				percent of total billed charges		1200.87				other	OPPS APC	1200.87				other	OPPS APC	325.32				percent of total billed charges		331.8				percent of total billed charges		12.87				other	OPPS APC	12.87	1200.87	
EEA 29MM	SUP-76-00012	CDM			272	RC		inpatient			1200.87	1200.87																																																			
EEA 23MM	SUP-95-05084	CDM						inpatient			1200.87	1200.87																																																			
EEA 23MM	SUP-95-05084	CDM						outpatient			1200.87	12.87	1200.87				percent of total billed charges		1200.87				other	OPPS APC	1200.87				fee schedule		1200.87				other	OPPS APC	1200.87				other	OPPS APC	1200.87				case rate		1200.87				case rate		12.87				other	OPPS APC	12.87	1200.87	
BLADE INTRAMEDULLARY NAIL EXPERT TITANIUM SPIRAL L60 MM OD12.5 MM FEMORAL CANNULATED FRONT CUT END RETROGRADE STERILE GOLD	SUP-04.013.044S	CDM	270010022	LOCAL	270	RC		outpatient			1200.1	13	325.11				percent of total billed charges		1200.1				other	OPPS APC	888.07				percent of total billed charges		1200.1				other	OPPS APC	1200.1				other	OPPS APC	325.11				percent of total billed charges		331.59				percent of total billed charges		13				other	OPPS APC	13	1200.1	
BLADE INTRAMEDULLARY NAIL EXPERT TITANIUM SPIRAL L60 MM OD12.5 MM FEMORAL CANNULATED FRONT CUT END RETROGRADE STERILE GOLD	SUP-04.013.044S	CDM	270010022	LOCAL	270	RC		inpatient			1200.1	1200.1																																																			
HC Endoscopy Procedure First 30 Mins	PX-750000002	CDM	750000002	LOCAL	750	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	1200				fee schedule		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
HC Endoscopy Procedure First 30 Mins	PX-750000002	CDM	750000002	LOCAL	750	RC		inpatient			1200	1200																																																			
GUIDE PIN ORTHOPEDIC LPS	SUP-00597000014	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
GUIDE PIN ORTHOPEDIC LPS	SUP-00597000014	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
GUIDES LPS CT PSI CUTTING	SUP-00-5970-000-17	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
GUIDES LPS CT PSI CUTTING	SUP-00-5970-000-17	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER MODULAR LONGEVITY NEUTRAL 56MM	SUP-00-6305-056-36	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER MODULAR LONGEVITY NEUTRAL 56MM	SUP-00-6305-056-36	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR TRILOGY LONGEVITY 10 D ELEVATED RIM H10.8 MM OD62 MM ID36 MM HIP PRIMARY MODULAR CUP STERILE	SUP-00631006236	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR TRILOGY LONGEVITY 10 D ELEVATED RIM H10.8 MM OD62 MM ID36 MM HIP PRIMARY MODULAR CUP STERILE	SUP-00631006236	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR LONGEVITY KK ELEVATED OD56 MM ID32 MM HIP CONTINUUM	SUP-00-8752-012-32	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR LONGEVITY KK ELEVATED OD56 MM ID32 MM HIP CONTINUUM	SUP-00-8752-012-32	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR LONGEVITY 45 D 7 MM OFFSET LL OD58 MM ID36 MM HIP	SUP-00875401336	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR LONGEVITY 45 D 7 MM OFFSET LL OD58 MM ID36 MM HIP	SUP-00875401336	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
COCR FEMORAL HEAD 22MM SIZE M 0	SUP-01.25.123	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
COCR FEMORAL HEAD 22MM SIZE M 0	SUP-01.25.123	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
HEAD FEMORAL MECTACER BIOLOX DELTA MEDIUM OD28 MM HIP	SUP-01.29.202	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
HEAD FEMORAL MECTACER BIOLOX DELTA MEDIUM OD28 MM HIP	SUP-01.29.202	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
HEAD FEMORAL MECTACER BIOLOX DELTA 12/14 SMALL OD40 MM HIP NONSTERILE	SUP-01.29.212	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
HEAD FEMORAL MECTACER BIOLOX DELTA 12/14 SMALL OD40 MM HIP NONSTERILE	SUP-01.29.212	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR VERSAFITCUP CC TRIO HIGHCROSS C OD28 MM HIP FLAT HEAD	SUP-01.32.2839HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR VERSAFITCUP CC TRIO HIGHCROSS C OD28 MM HIP FLAT HEAD	SUP-01.32.2839HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS 4 MM D OFFSET OD32 MM HIP HEAD	SUP-01.32.3241HC4	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS 4 MM D OFFSET OD32 MM HIP HEAD	SUP-01.32.3241HC4	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS D OD32 MM HIP HOOD HEAD	SUP-01.32.3241HCAT	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS D OD32 MM HIP HOOD HEAD	SUP-01.32.3241HCAT	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT UHMWPE HIGHCROSS D OD32 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3241HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT UHMWPE HIGHCROSS D OD32 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3241HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
IMPLANT LINEAR OFFSET 4MM 32/E	SUP-01.32.3244HCA	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
IMPLANT LINEAR OFFSET 4MM 32/E	SUP-01.32.3244HCA	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT UHMWPE HIGHCROSS E OD32 MM HEAD	SUP-01.32.3244HCT	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT UHMWPE HIGHCROSS E OD32 MM HEAD	SUP-01.32.3244HCT	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR 10A HS 32MM	SUP-01.32.3244HCT10A	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR 10A HS 32MM	SUP-01.32.3244HCT10A	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS 10 D 4.5 MM E OFFSET OD36 MM HIP FACE CHANGE HEAD	SUP-01.32.3644HC10A	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS 10 D 4.5 MM E OFFSET OD36 MM HIP FACE CHANGE HEAD	SUP-01.32.3644HC10A	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT UHMWPE HIGHCROSS E OD36 MM HIP HOOD HEAD	SUP-01.32.3644HCAT	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT UHMWPE HIGHCROSS E OD36 MM HIP HOOD HEAD	SUP-01.32.3644HCAT	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT UHMWPE HIGHCROSS E OD36 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3644HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT UHMWPE HIGHCROSS E OD36 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3644HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS 10 D 4.5 MM F OFFSET OD36 MM HIP FACE CHANGE HEAD	SUP-01.32.3648HC10A	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS 10 D 4.5 MM F OFFSET OD36 MM HIP FACE CHANGE HEAD	SUP-01.32.3648HC10A	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT UHMWPE HIGHCROSS F OD48 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3648HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT UHMWPE HIGHCROSS F OD48 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3648HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS 4 MM G OFFSET OD36 MM HIP HEAD	SUP-01.32.3652HC4	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS 4 MM G OFFSET OD36 MM HIP HEAD	SUP-01.32.3652HC4	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT UHMWPE HIGHCROSS G OD52 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3652HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT UHMWPE HIGHCROSS G OD52 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.3652HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS J OD36 MM HIP FLAT HEAD	SUP-01.32.3656HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS J OD36 MM HIP FLAT HEAD	SUP-01.32.3656HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS F OD40 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.4048HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS F OD40 MM HIP FLAT HEAD NONSTERILE	SUP-01.32.4048HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
IMPLANT ACETABULAR LINER HC 40G	SUP-01.32.4052HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
IMPLANT ACETABULAR LINER HC 40G	SUP-01.32.4052HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR MPACT HIGHCROSS J OD40 MM HIP FLAT HEAD	SUP-01.32.4056HCT	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR MPACT HIGHCROSS J OD40 MM HIP FLAT HEAD	SUP-01.32.4056HCT	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
INSERT TIBIAL GMK 2 H12 MM RIGHT FIXED SPHERE FLEX	SUP-02.12.0212FR	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
INSERT TIBIAL GMK 2 H12 MM RIGHT FIXED SPHERE FLEX	SUP-02.12.0212FR	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
INSERT TIBIAL GMK 3 H17 MM RIGHT FIXED SPHERE FLEX	SUP-02.12.0317FR	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
INSERT TIBIAL GMK 3 H17 MM RIGHT FIXED SPHERE FLEX	SUP-02.12.0317FR	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
ROD TO ROD CONNECTOR 45MM	SUP-07-01721-005	CDM	270010020	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
ROD TO ROD CONNECTOR 45MM	SUP-07-01721-005	CDM	270010020	LOCAL	270	RC		inpatient			1200	1200																																																			
CONNECTOR ROD CREO L38-50 MM OD5.5 MM SPINE CROSS NONSTERILE	SUP-1119.0039	CDM	270010020	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CONNECTOR ROD CREO L38-50 MM OD5.5 MM SPINE CROSS NONSTERILE	SUP-1119.0039	CDM	270010020	LOCAL	270	RC		inpatient			1200	1200																																																			
CROSS CONNECTOR GLOBUS 48-60MM	SUP-1119.0046	CDM	270010020	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CROSS CONNECTOR GLOBUS 48-60MM	SUP-1119.0046	CDM	270010020	LOCAL	270	RC		inpatient			1200	1200																																																			
CONNECTOR ROD CREO L30.5-43 MM OD5.5 MM SPINE CROSS LOW PROFILE	SUP-1119.0230	CDM	270010020	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CONNECTOR ROD CREO L30.5-43 MM OD5.5 MM SPINE CROSS LOW PROFILE	SUP-1119.0230	CDM	270010020	LOCAL	270	RC		inpatient			1200	1200																																																			
IMPLANT CONTOUR CROSSBAR SMALL	SUP-12-2041	CDM	270010020	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
IMPLANT CONTOUR CROSSBAR SMALL	SUP-12-2041	CDM	270010020	LOCAL	270	RC		inpatient			1200	1200																																																			
CROSSBAR SPINAL MALIBU MEDIUM CONTOUR 5.5 MM ROD	SUP-12-2052	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CROSSBAR SPINAL MALIBU MEDIUM CONTOUR 5.5 MM ROD	SUP-12-2052	CDM			270	RC		inpatient			1200	1200																																																			
ROD SPINAL MALIBU CROSSBAR LARGE CONTOUR OD5.5 MM	SUP-12-2075	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
ROD SPINAL MALIBU CROSSBAR LARGE CONTOUR OD5.5 MM	SUP-12-2075	CDM			270	RC		inpatient			1200	1200																																																			
LINER PINNACLE ACETABULAR NEUTRAL 32MM	SUP-1221-32-052	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER PINNACLE ACETABULAR NEUTRAL 32MM	SUP-1221-32-052	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
IMPLANT ACETABULAR LINER PINNACLE 10 DEG 32MM X60MM	SUP-1221-32-150	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
IMPLANT ACETABULAR LINER PINNACLE 10 DEG 32MM X60MM	SUP-1221-32-150	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR PINNACLE 48MM 32MM DIAMETER	SUP-1221-32-448	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR PINNACLE 48MM 32MM DIAMETER	SUP-1221-32-448	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER PINNACLE ACETABULAR NEUTRAL +4 54MM	SUP-1221-36-454	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER PINNACLE ACETABULAR NEUTRAL +4 54MM	SUP-1221-36-454	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER PINNACLE ALTRX 28MM +4 58MM NEUTRAL	SUP-1221-36-458	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER PINNACLE ALTRX 28MM +4 58MM NEUTRAL	SUP-1221-36-458	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
CONNECTOR ROD REVERE TITANIUM L38-51 MM SPINE PEDICLE TRANSVERSE ADJUSTABLE	SUP-124.914	CDM	270010020	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CONNECTOR ROD REVERE TITANIUM L38-51 MM SPINE PEDICLE TRANSVERSE ADJUSTABLE	SUP-124.914	CDM	270010020	LOCAL	270	RC		inpatient			1200	1200																																																			
IMPLANT BREAST SALINE ROUND SMOOTH MODERATE PROFILE 325CC	SUP-350-2325	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
IMPLANT BREAST SALINE ROUND SMOOTH MODERATE PROFILE 325CC	SUP-350-2325	CDM			270	RC		inpatient			1200	1200																																																			
TRIDENT O DEG X3 INSERT 28MM	SUP-623-00-28A	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
TRIDENT O DEG X3 INSERT 28MM	SUP-623-00-28A	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D B H5.9 MM ID28 MM HIP	SUP-623-00-28B	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D B H5.9 MM ID28 MM HIP	SUP-623-00-28B	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D C H6.9 MM ID28 MM HIP	SUP-623-00-28C	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D C H6.9 MM ID28 MM HIP	SUP-623-00-28C	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
TRIDENT O DEG X3 INSERT 28MM	SUP-623-00-28D	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
TRIDENT O DEG X3 INSERT 28MM	SUP-623-00-28D	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D B H3.9 MM OD46 MM ID32 MM HIP	SUP-623-00-32B	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D B H3.9 MM OD46 MM ID32 MM HIP	SUP-623-00-32B	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D C H4.9 MM ID32 MM HIP	SUP-623-00-32C	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D C H4.9 MM ID32 MM HIP	SUP-623-00-32C	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D D H5.9 MM ID32 MM HIP	SUP-623-00-32D	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D D H5.9 MM ID32 MM HIP	SUP-623-00-32D	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D E H7.9 MM ID32 MM HIP	SUP-623-00-32E	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D E H7.9 MM ID32 MM HIP	SUP-623-00-32E	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D F H9.9 MM ID32 MM HIP	SUP-623-00-32F	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D F H9.9 MM ID32 MM HIP	SUP-623-00-32F	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D G H11.4 MM ID32 MM HIP	SUP-623-00-32G	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D G H11.4 MM ID32 MM HIP	SUP-623-00-32G	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D H H13.2 MM ID32 MM HIP	SUP-623-00-32H	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D H H13.2 MM ID32 MM HIP	SUP-623-00-32H	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D I H14.7 MM ID32 MM HIP	SUP-623-00-32I	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D I H14.7 MM ID32 MM HIP	SUP-623-00-32I	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D J H16.7 MM ID32 MM HIP	SUP-623-00-32J	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D J H16.7 MM ID32 MM HIP	SUP-623-00-32J	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
INSERT ACETABULAR TRIDENT X3 0 D D H3.9 MM ID36 MM HIP	SUP-623-00-36D	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
INSERT ACETABULAR TRIDENT X3 0 D D H3.9 MM ID36 MM HIP	SUP-623-00-36D	CDM			270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D D H3.9 MM ID36 MM HIP	SUP-623-00-36D	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D D H3.9 MM ID36 MM HIP	SUP-623-00-36D	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D E H5.9 MM ID36 MM HIP	SUP-623-00-36E	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D E H5.9 MM ID36 MM HIP	SUP-623-00-36E	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D F H7.9 MM ID36 MM HIP	SUP-623-00-36F	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D F H7.9 MM ID36 MM HIP	SUP-623-00-36F	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D G H9.4 MM ID36 MM HIP	SUP-623-00-36G	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D G H9.4 MM ID36 MM HIP	SUP-623-00-36G	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D H H11.2 MM OD66 MM ID36 MM HIP	SUP-623-00-36H	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D H H11.2 MM OD66 MM ID36 MM HIP	SUP-623-00-36H	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D J H14.7 MM ID36 MM HIP	SUP-623-00-36J	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D J H14.7 MM ID36 MM HIP	SUP-623-00-36J	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D E H3.8 MM ID40 MM HIP	SUP-623-00-40E	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D E H3.8 MM ID40 MM HIP	SUP-623-00-40E	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D F H5.8 MM ID40 MM HIP	SUP-623-00-40F	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D F H5.8 MM ID40 MM HIP	SUP-623-00-40F	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D G H7.4 MM ID40 MM HIP	SUP-623-00-40G	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D G H7.4 MM ID40 MM HIP	SUP-623-00-40G	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D H H9.1 MM ID40 MM HIP	SUP-623-00-40H	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D H H9.1 MM ID40 MM HIP	SUP-623-00-40H	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D I H10.6 MM ID40 MM HIP	SUP-623-00-40I	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D I H10.6 MM ID40 MM HIP	SUP-623-00-40I	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D J H12.6 MM ID40 MM HIP	SUP-623-00-40J	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D J H12.6 MM ID40 MM HIP	SUP-623-00-40J	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D B F H3.8 MM ID44 MM HIP	SUP-623-00-44F	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D B F H3.8 MM ID44 MM HIP	SUP-623-00-44F	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D G H5.4 MM ID44 MM HIP	SUP-623-00-44G	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D G H5.4 MM ID44 MM HIP	SUP-623-00-44G	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D H H7.1 MM ID44 MM HIP	SUP-623-00-44H	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D H H7.1 MM ID44 MM HIP	SUP-623-00-44H	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D I H8.6 MM ID44 MM HIP	SUP-623-00-44I	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D I H8.6 MM ID44 MM HIP	SUP-623-00-44I	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 0 D J H10.6 MM ID44 MM HIP	SUP-623-00-44J	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 0 D J H10.6 MM ID44 MM HIP	SUP-623-00-44J	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D C H6.9 MM ID28 MM HIP	SUP-623-10-28C	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D C H6.9 MM ID28 MM HIP	SUP-623-10-28C	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
TRIDENT 10DEG  X3  INSERT 32MM SIZE D	SUP-623-10-32D	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
TRIDENT 10DEG  X3  INSERT 32MM SIZE D	SUP-623-10-32D	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
INSERT ACETABULAR TRIDENT X3 10 D E ID32 MM HIP PRIMARY	SUP-623-10-32E	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
INSERT ACETABULAR TRIDENT X3 10 D E ID32 MM HIP PRIMARY	SUP-623-10-32E	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D F H9.9 MM ID32 MM HIP	SUP-623-10-32F	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D F H9.9 MM ID32 MM HIP	SUP-623-10-32F	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D H H13.2 MM ID32 MM HIP	SUP-623-10-32H	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D H H13.2 MM ID32 MM HIP	SUP-623-10-32H	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D E H5.9 MM ID36 MM HIP	SUP-623-10-36E	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D E H5.9 MM ID36 MM HIP	SUP-623-10-36E	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D F H7.9 MM ID36 MM HIP	SUP-623-10-36F	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D F H7.9 MM ID36 MM HIP	SUP-623-10-36F	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D G H9.4 MM ID36 MM HIP	SUP-623-10-36G	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D G H9.4 MM ID36 MM HIP	SUP-623-10-36G	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR X3 10 D H H11.2 MM ID36 MM HIP	SUP-623-10-36H	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR X3 10 D H H11.2 MM ID36 MM HIP	SUP-623-10-36H	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
PLATE BONE EVOS STERILE LATEX FREE 4.5MM CABLE	SUP-71175652	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
PLATE BONE EVOS STERILE LATEX FREE 4.5MM CABLE	SUP-71175652	CDM			270	RC		inpatient			1200	1200																																																			
PLATE BONE EVOS STERILE LATEX FREE 3.5MM CABLE	SUP-71175680	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
PLATE BONE EVOS STERILE LATEX FREE 3.5MM CABLE	SUP-71175680	CDM			270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR R3 XLPE 0 D OD52 MM ID36 MM HIP	SUP-71332752	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR R3 XLPE 0 D OD52 MM ID36 MM HIP	SUP-71332752	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR R3 XLPE 0 D OD56 MM ID36 MM HIP STERILE	SUP-71332756	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR R3 XLPE 0 D OD56 MM ID36 MM HIP STERILE	SUP-71332756	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR REFLECTION XLPE 20 D G OD58-60 MM ID36 MM HIP	SUP-71333346	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR REFLECTION XLPE 20 D G OD58-60 MM ID36 MM HIP	SUP-71333346	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR REFLECTION XLPE 0 D +4 MM F OD54-56 MM ID36 MM HIP LATERALIZED	SUP-71333495	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR REFLECTION XLPE 0 D +4 MM F OD54-56 MM ID36 MM HIP LATERALIZED	SUP-71333495	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
TRIDEN 0 DEG INSERT 36MM	SUP-723-00-36D	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
TRIDEN 0 DEG INSERT 36MM	SUP-723-00-36D	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
SUTURE ANCHOR SHORT 2.9MM	SUP-80-00051	CDM			278	RC		outpatient			1200	12	1200				fee schedule		1200				other	OPPS APC	684				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
SUTURE ANCHOR SHORT 2.9MM	SUP-80-00051	CDM			278	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS QX 61CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 61CM AGILIS NXT	SUP-900300_72396	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS QX 61CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 61CM AGILIS NXT	SUP-900300_72396	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS QX 71CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 71CM AGILIS NXT	SUP-900301_72397	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS QX 71CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 71CM AGILIS NXT	SUP-900301_72397	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS QX 63CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 63CM SL1	SUP-900302_72398	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS QX 63CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 63CM SL1	SUP-900302_72398	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS QX 71CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 71CM CARTO VIZIGO	SUP-900303_72399	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS QX 71CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 71CM CARTO VIZIGO	SUP-900303_72399	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS QX 65CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 65CM FLEXCATH ADVANCE	SUP-900304_72400	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS QX 65CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 65CM FLEXCATH ADVANCE	SUP-900304_72400	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS QX 70CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 70CM ACUTUS MEDICAL ACQGUIDE MAX	SUP-900305_72401	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS QX 70CM TRANSSEPTAL BRAIDED STEERABLE W/0.032IN 180CM J-TIP GW EGM ADAPTER CABLE ES DIL 70CM ACUTUS MEDICAL ACQGUIDE MAX	SUP-900305_72401	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS 63CM TRANSSEPTAL MH STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900306_72402	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS 63CM TRANSSEPTAL MH STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900306_72402	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS 81CM TRANSSEPTAL MH STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900307_72403	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS 81CM TRANSSEPTAL MH STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900307_72403	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS 75CM TRANSSEPTAL WT STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900308_72404	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS 75CM TRANSSEPTAL WT STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900308_72404	CDM			481	RC		inpatient			1200	1200																																																			
NEEDLE PROCEDURE ACQCROSS 81CM TRANSSEPTAL SL1 STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900309_72405	CDM			481	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
NEEDLE PROCEDURE ACQCROSS 81CM TRANSSEPTAL SL1 STEERABLE W/0.032IN 180CM J-TIP GW DIL EGM ADAPTER CABLE ES	SUP-900309_72405	CDM			481	RC		inpatient			1200	1200																																																			
SUTURE ANCHOR SWIVELOCK C 4.75 X 19.1	SUP-97-03756	CDM			278	RC		outpatient			1200	12	1200				fee schedule		1200				other	OPPS APC	684				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
SUTURE ANCHOR SWIVELOCK C 4.75 X 19.1	SUP-97-03756	CDM			278	RC		inpatient			1200	1200																																																			
MCK TIBAL ONLAY INSERT-SZ 3-8MM	SUP-97-04348	CDM			278	RC		outpatient			1200	12	1200				fee schedule		1200				other	OPPS APC	684				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
MCK TIBAL ONLAY INSERT-SZ 3-8MM	SUP-97-04348	CDM			278	RC		inpatient			1200	1200																																																			
CATHETER - 6F GUIDELINER	SUP-99-01080	CDM			272	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CATHETER - 6F GUIDELINER	SUP-99-01080	CDM			272	RC		inpatient			1200	1200																																																			
CATHETER - 7F GUIDELINER	SUP-99-04607	CDM			272	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
CATHETER - 7F GUIDELINER	SUP-99-04607	CDM			272	RC		inpatient			1200	1200																																																			
CATHETER- SELECTSITE DEFLECTABLE	SUP-99-04779	CDM			278	RC		outpatient			1200	12	1200				fee schedule		1200				other	OPPS APC	684				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
CATHETER- SELECTSITE DEFLECTABLE	SUP-99-04779	CDM			278	RC		inpatient			1200	1200																																																			
ALLOSYNC PURE 2.5CC	SUP-ABS-2010-02	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
ALLOSYNC PURE 2.5CC	SUP-ABS-2010-02	CDM			270	RC		inpatient			1200	1200																																																			
PLATE BONE L30 MM KNEE 2 HOLE SUPPORT STERILE OSTEOTOMY	SUP-AR-13215	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
PLATE BONE L30 MM KNEE 2 HOLE SUPPORT STERILE OSTEOTOMY	SUP-AR-13215	CDM			270	RC		inpatient			1200	1200																																																			
SUTURE FIBERLOOP 4-0	SUP-AR-7229-20	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
SUTURE FIBERLOOP 4-0	SUP-AR-7229-20	CDM			270	RC		inpatient			1200	1200																																																			
IMPLANT OPHTHALMIC BAERVELDT SILICONE 350 SQ MM ANTERIOR CHAMBER 1 QUADRANT INSERTION FIXATION SUTURE HOLE RECESS KNOT CAPABILITY GLAUCOMA	SUP-BG101-350	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
IMPLANT OPHTHALMIC BAERVELDT SILICONE 350 SQ MM ANTERIOR CHAMBER 1 QUADRANT INSERTION FIXATION SUTURE HOLE RECESS KNOT CAPABILITY GLAUCOMA	SUP-BG101-350	CDM			270	RC		inpatient			1200	1200																																																			
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L100 MM L80 CM OD8 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C08100SL	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
STENT VASCULAR SMART CONTROL MICROMARKER NITINOL L100 MM L80 CM OD8 MM ILIAC SELF EXPAND MICROMESH SEGMENT DELIVERY HANDLE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 6 FR SHEATH 8 FR GUIDE CATHETER	SUP-C08100SL	CDM			270	RC		inpatient			1200	1200																																																			
LINER BENCOX STANDARD 36MM HEAD	SUP-H1.L51.3644	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER BENCOX STANDARD 36MM HEAD	SUP-H1.L51.3644	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER STANDARD 36MM	SUP-H1.L61.3644	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER STANDARD 36MM	SUP-H1.L61.3644	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER MIRABO STANDARD 36MM HEAD	SUP-H1.L61.3648	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER MIRABO STANDARD 36MM HEAD	SUP-H1.L61.3648	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER BENCOX MIRABO STANDARD 36MM	SUP-H1.L61.3652	CDM	270010025	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER BENCOX MIRABO STANDARD 36MM	SUP-H1.L61.3652	CDM	270010025	LOCAL	270	RC		inpatient			1200	1200																																																			
KIT INTRODUCER AVEIR HYDROPHILIC COATED L 30 CM OD 8.9 MM 25 FR INTRODUCER STERILE DISPOSABLE	SUP-LSN25301	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
KIT INTRODUCER AVEIR HYDROPHILIC COATED L 30 CM OD 8.9 MM 25 FR INTRODUCER STERILE DISPOSABLE	SUP-LSN25301	CDM			270	RC		inpatient			1200	1200																																																			
KIT INTRODUCER AVEIR HYDROPHILIC COATED L 50 CM OD 8.9 MM 25 FR INTRODUCER STERILE DISPOSABLE	SUP-LSN25501	CDM			270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
KIT INTRODUCER AVEIR HYDROPHILIC COATED L 50 CM OD 8.9 MM 25 FR INTRODUCER STERILE DISPOSABLE	SUP-LSN25501	CDM			270	RC		inpatient			1200	1200																																																			
SHEATH EXTRA MICRA INTRODUCER NOT IN SYSTEM	SUP-M12355A	CDM			275	RC		outpatient			1200	12	588				percent of total billed charges		1200				other	OPPS APC	684				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	588				percent of total billed charges		612				percent of total billed charges		12				other	OPPS APC	12	1200	
SHEATH EXTRA MICRA INTRODUCER NOT IN SYSTEM	SUP-M12355A	CDM			275	RC		inpatient			1200	1200																																																			
LINER ACETABULAR RINGLOC ARCOMXL 10 D 23 ID32 MM HIP	SUP-XL-105833	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR RINGLOC ARCOMXL 10 D 23 ID32 MM HIP	SUP-XL-105833	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR RINGLOC ARCOMXL 10 D 24 ID36 MM HIP	SUP-XL-105894	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR RINGLOC ARCOMXL 10 D 24 ID36 MM HIP	SUP-XL-105894	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
LINER ACETABULAR RINGLOC ARCOMXL +3 MM 22 ID32 MM HIP HIGH WALL	SUP-XL-108322	CDM	270010024	LOCAL	270	RC		outpatient			1200	12	325.08				percent of total billed charges		1200				other	OPPS APC	888				percent of total billed charges		1200				other	OPPS APC	1200				other	OPPS APC	325.08				percent of total billed charges		331.56				percent of total billed charges		12				other	OPPS APC	12	1200	
LINER ACETABULAR RINGLOC ARCOMXL +3 MM 22 ID32 MM HIP HIGH WALL	SUP-XL-108322	CDM	270010024	LOCAL	270	RC		inpatient			1200	1200																																																			
JOYSTICH FOR SCREW HOLES	SUP-97-04344	CDM			278	RC		outpatient			1198.08	1198.8	1198.08				fee schedule		1198.08				other	OPPS APC	682.91				percent of total billed charges		1198.08				other	OPPS APC	1198.08				other	OPPS APC	587.06				percent of total billed charges		611.02				percent of total billed charges		1198.8				other	OPPS APC	587.06	1198.8	
JOYSTICH FOR SCREW HOLES	SUP-97-04344	CDM			278	RC		inpatient			1198.08	1198.08																																																			
LEAD PACING FINELINE II STEROX EZ SILICONE L45 CM OD6 FR ENDOCARDIAL OTHER THAN TRANSVENOUS VDD 1 PASS BIPOLAR IMPLANTABLE	SUP-4472	CDM			275	RC		outpatient			1198	1198	587.02				percent of total billed charges		1198				other	OPPS APC	682.86				percent of total billed charges		1198				other	OPPS APC	1198				other	OPPS APC	587.02				percent of total billed charges		610.98				percent of total billed charges		1198				other	OPPS APC	587.02	1198	
LEAD PACING FINELINE II STEROX EZ SILICONE L45 CM OD6 FR ENDOCARDIAL OTHER THAN TRANSVENOUS VDD 1 PASS BIPOLAR IMPLANTABLE	SUP-4472	CDM			275	RC		inpatient			1198	1198																																																			
LEAD PACING FINELINE II STEROX STEROID ELUTING POLYURETHANE L45 CM OD7 FR ATRIAL ENDOCARDIAL IMPLANTABLE BIPOLAR SLOTTED TIP ELECTRODE ANODE SLEEVE	SUP-4479	CDM			275	RC		outpatient			1198	1198	587.02				percent of total billed charges		1198				other	OPPS APC	682.86				percent of total billed charges		1198				other	OPPS APC	1198				other	OPPS APC	587.02				percent of total billed charges		610.98				percent of total billed charges		1198				other	OPPS APC	587.02	1198	
LEAD PACING FINELINE II STEROX STEROID ELUTING POLYURETHANE L45 CM OD7 FR ATRIAL ENDOCARDIAL IMPLANTABLE BIPOLAR SLOTTED TIP ELECTRODE ANODE SLEEVE	SUP-4479	CDM			275	RC		inpatient			1198	1198																																																			
BALLOON DISSECTION ROUND  KIDNEY	SUP-76-00167	CDM			272	RC		outpatient			1197.84	1197.84	324.49				percent of total billed charges		1197.84				other	OPPS APC	886.4				percent of total billed charges		1197.84				other	OPPS APC	1197.84				other	OPPS APC	324.49				percent of total billed charges		330.96				percent of total billed charges		1197.84				other	OPPS APC	324.49	1197.84	
BALLOON DISSECTION ROUND  KIDNEY	SUP-76-00167	CDM			272	RC		inpatient			1197.84	1197.84																																																			
QUATTRO KNOTLESS ANCHOR 4.5	SUP-97-01683	CDM			278	RC		outpatient			1197	1197	1197				fee schedule		1197				other	OPPS APC	682.29				percent of total billed charges		1197				other	OPPS APC	1197				other	OPPS APC	586.53				percent of total billed charges		610.47				percent of total billed charges		1197				other	OPPS APC	586.53	1197	
QUATTRO KNOTLESS ANCHOR 4.5	SUP-97-01683	CDM			278	RC		inpatient			1197	1197																																																			
REAMER INTEGRA METATARSAL	SUP-129722	CDM			270	RC		outpatient			1196	1196	324				percent of total billed charges		1196				other	OPPS APC	885.04				percent of total billed charges		1196				other	OPPS APC	1196				other	OPPS APC	324				percent of total billed charges		330.45				percent of total billed charges		1196				other	OPPS APC	324	1196	
REAMER INTEGRA METATARSAL	SUP-129722	CDM			270	RC		inpatient			1196	1196																																																			
REAMER INTEGRA PHALANX	SUP-129752	CDM			270	RC		outpatient			1196	1196	324				percent of total billed charges		1196				other	OPPS APC	885.04				percent of total billed charges		1196				other	OPPS APC	1196				other	OPPS APC	324				percent of total billed charges		330.45				percent of total billed charges		1196				other	OPPS APC	324	1196	
REAMER INTEGRA PHALANX	SUP-129752	CDM			270	RC		inpatient			1196	1196																																																			
DEVICE FIXATION ABSORBATACK POLYESTER SPIRAL L5.1 MM L4.1 MM OD5 MM 30 TACK ABSORBABLE PISTOL GRIP HANDLE DISPOSABLE BLACK VIOLET LAPAROSCOPIC HERNIA REPAIR	SUP-ABSTACK30	CDM			270	RC		outpatient			1195.68	1195.68	323.91				percent of total billed charges		1195.68				other	OPPS APC	884.8				percent of total billed charges		1195.68				other	OPPS APC	1195.68				other	OPPS APC	323.91				percent of total billed charges		330.37				percent of total billed charges		1195.68				other	OPPS APC	323.91	1195.68	
DEVICE FIXATION ABSORBATACK POLYESTER SPIRAL L5.1 MM L4.1 MM OD5 MM 30 TACK ABSORBABLE PISTOL GRIP HANDLE DISPOSABLE BLACK VIOLET LAPAROSCOPIC HERNIA REPAIR	SUP-ABSTACK30	CDM			270	RC		inpatient			1195.68	1195.68																																																			
RING EXTERNAL FIXATION .75 205MM NS	SUP-393.722	CDM	270010022	LOCAL	270	RC		outpatient			1194.6	1194.6	323.62				percent of total billed charges		1194.6				other	OPPS APC	884				percent of total billed charges		1194.6				other	OPPS APC	1194.6				other	OPPS APC	323.62				percent of total billed charges		330.07				percent of total billed charges		1194.6				other	OPPS APC	323.62	1194.6	
RING EXTERNAL FIXATION .75 205MM NS	SUP-393.722	CDM	270010022	LOCAL	270	RC		inpatient			1194.6	1194.6																																																			
SHORT BARREL HIP PLATE  130DEG  4 HOLES	SUP-97-04114	CDM			278	RC		outpatient			1194.6	1194.6	1194.6				fee schedule		1194.6				other	OPPS APC	680.92				percent of total billed charges		1194.6				other	OPPS APC	1194.6				other	OPPS APC	585.35				percent of total billed charges		609.25				percent of total billed charges		1194.6				other	OPPS APC	585.35	1194.6	
SHORT BARREL HIP PLATE  130DEG  4 HOLES	SUP-97-04114	CDM			278	RC		inpatient			1194.6	1194.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL STRAIGHT L48 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 5 HOLE LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.479	CDM	270010022	LOCAL	270	RC		outpatient			1193.5	1193.5	323.32				percent of total billed charges		1193.5				other	OPPS APC	883.19				percent of total billed charges		1193.5				other	OPPS APC	1193.5				other	OPPS APC	323.32				percent of total billed charges		329.76				percent of total billed charges		1193.5				other	OPPS APC	323.32	1193.5	
PLATE BONE LCP COMBI STAINLESS STEEL STRAIGHT L48 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 5 HOLE LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.479	CDM	270010022	LOCAL	270	RC		inpatient			1193.5	1193.5																																																			
STAPLER PROXIMATE PPH	SUP-74-00120	CDM			272	RC		outpatient			1192.59	1192.59	323.07				percent of total billed charges		1192.59				other	OPPS APC	882.52				percent of total billed charges		1192.59				other	OPPS APC	1192.59				other	OPPS APC	323.07				percent of total billed charges		329.51				percent of total billed charges		1192.59				other	OPPS APC	323.07	1192.59	
STAPLER PROXIMATE PPH	SUP-74-00120	CDM			272	RC		inpatient			1192.59	1192.59																																																			
CONRAY 100ML	SUP-95-00216	CDM			271	RC		outpatient			1192.5	1192.5	323.05				percent of total billed charges		1192.5				other	OPPS APC	882.45				percent of total billed charges		1192.5				other	OPPS APC	1192.5				other	OPPS APC	323.05				percent of total billed charges		329.49				percent of total billed charges		1192.5				other	OPPS APC	323.05	1192.5	
CONRAY 100ML	SUP-95-00216	CDM			271	RC		inpatient			1192.5	1192.5																																																			
OSS POLY TIBAL BUSHING	SUP-97-23622	CDM			278	RC		outpatient			1192.5	1192.5	1192.5				fee schedule		1192.5				other	OPPS APC	679.73				percent of total billed charges		1192.5				other	OPPS APC	1192.5				other	OPPS APC	584.33				percent of total billed charges		608.18				percent of total billed charges		1192.5				other	OPPS APC	584.33	1192.5	
OSS POLY TIBAL BUSHING	SUP-97-23622	CDM			278	RC		inpatient			1192.5	1192.5																																																			
HC US Fine Needle Aspiration First Lesion	PX-361100051	CDM	10005	CPT	361	RC		outpatient			1192	683.6	376.43				percent of total billed charges		683.51				other	OPPS APC	1876				fee schedule		683.51				other	OPPS APC	683.51				other	OPPS APC	376.43				percent of total billed charges		383.94				percent of total billed charges		683.6				other	OPPS APC	376.43	1876	
HC US Fine Needle Aspiration First Lesion	PX-361100051	CDM	10005	CPT	361	RC		inpatient			1192	1192																																																			
HC CT Fine Needle Aspiratiion First Lesion	PX-361100091	CDM	10009	CPT	361	RC		outpatient			1192	683.6	376.43				percent of total billed charges		683.51				other	OPPS APC	1876				fee schedule		683.51				other	OPPS APC	683.51				other	OPPS APC	376.43				percent of total billed charges		383.94				percent of total billed charges		683.6				other	OPPS APC	376.43	1876	
HC CT Fine Needle Aspiratiion First Lesion	PX-361100091	CDM	10009	CPT	361	RC		inpatient			1192	1192																																																			
ROD SPINAL SPHERX II PREBENT 35MM	SUP-7242035	CDM	270010020	LOCAL	270	RC		outpatient			1192	1192	322.91				percent of total billed charges		1192				other	OPPS APC	882.08				percent of total billed charges		1192				other	OPPS APC	1192				other	OPPS APC	322.91				percent of total billed charges		329.35				percent of total billed charges		1192				other	OPPS APC	322.91	1192	
ROD SPINAL SPHERX II PREBENT 35MM	SUP-7242035	CDM	270010020	LOCAL	270	RC		inpatient			1192	1192																																																			
ROD SPINAL SPHERX II PREBENT 40MM	SUP-7242040	CDM	270010020	LOCAL	270	RC		outpatient			1192	1192	322.91				percent of total billed charges		1192				other	OPPS APC	882.08				percent of total billed charges		1192				other	OPPS APC	1192				other	OPPS APC	322.91				percent of total billed charges		329.35				percent of total billed charges		1192				other	OPPS APC	322.91	1192	
ROD SPINAL SPHERX II PREBENT 40MM	SUP-7242040	CDM	270010020	LOCAL	270	RC		inpatient			1192	1192																																																			
HC US Bx Salivary Gland	PX-361424001	CDM	42400	CPT	361	RC		outpatient			1191	683.6	376.12				percent of total billed charges		683.51				other	OPPS APC	1876				fee schedule		683.51				other	OPPS APC	683.51				other	OPPS APC	376.12				percent of total billed charges		383.62				percent of total billed charges		683.6				other	OPPS APC	376.12	1876	
HC US Bx Salivary Gland	PX-361424001	CDM	42400	CPT	361	RC		inpatient			1191	1191																																																			
Kit High Flow Mac Sheath Introducer	PX-272000009	CDM			272	RC		outpatient			1190.6	119.6	322.53				percent of total billed charges		1190.6				other	OPPS APC	1190.6				fee schedule		1190.6				other	OPPS APC	1190.6				other	OPPS APC	322.53				percent of total billed charges		328.96				percent of total billed charges		119.6				other	OPPS APC	119.6	1190.6	
Kit High Flow Mac Sheath Introducer	PX-272000009	CDM			272	RC		inpatient			1190.6	1190.6																																																			
BIT DRILL L380 MM OD3.5 MM PERCUTANEOUS JACOBS CHUCK NONSTERILE	SUP-397.343	CDM	270010022	LOCAL	270	RC		outpatient			1190.2	119.2	322.43				percent of total billed charges		1190.2				other	OPPS APC	880.75				percent of total billed charges		1190.2				other	OPPS APC	1190.2				other	OPPS APC	322.43				percent of total billed charges		328.85				percent of total billed charges		119.2				other	OPPS APC	119.2	1190.2	
BIT DRILL L380 MM OD3.5 MM PERCUTANEOUS JACOBS CHUCK NONSTERILE	SUP-397.343	CDM	270010022	LOCAL	270	RC		inpatient			1190.2	1190.2																																																			
FORCEPS BIPOLAR HET HEMORRHOID	SUP-180-1022	CDM			270	RC		outpatient			1190	119	322.37				percent of total billed charges		1190				other	OPPS APC	880.6				percent of total billed charges		1190				other	OPPS APC	1190				other	OPPS APC	322.37				percent of total billed charges		328.8				percent of total billed charges		119				other	OPPS APC	119	1190	
FORCEPS BIPOLAR HET HEMORRHOID	SUP-180-1022	CDM			270	RC		inpatient			1190	1190																																																			
MESH SURGICAL ABSORBABLE PATCH 3.2 IN DIAMETER	SUP-595009	CDM			270	RC		outpatient			1190	119	322.37				percent of total billed charges		1190				other	OPPS APC	880.6				percent of total billed charges		1190				other	OPPS APC	1190				other	OPPS APC	322.37				percent of total billed charges		328.8				percent of total billed charges		119				other	OPPS APC	119	1190	
MESH SURGICAL ABSORBABLE PATCH 3.2 IN DIAMETER	SUP-595009	CDM			270	RC		inpatient			1190	1190																																																			
Cleaner XT 6F x 65cm	SUP-700009XT	CDM			270	RC		outpatient			1190	119	322.37				percent of total billed charges		1190				other	OPPS APC	880.6				percent of total billed charges		1190				other	OPPS APC	1190				other	OPPS APC	322.37				percent of total billed charges		328.8				percent of total billed charges		119				other	OPPS APC	119	1190	
Cleaner XT 6F x 65cm	SUP-700009XT	CDM			270	RC		inpatient			1190	1190																																																			
KIT TRAUMA FIXATION PIP DART PEEK 10 D L30 MM OD2.5 MM RADIOLUCENT INSERTER DRILL GUIDEWIRE STERILE	SUP-AR-4154P-3010	CDM	270010020	LOCAL	270	RC		outpatient			1190	119	322.37				percent of total billed charges		1190				other	OPPS APC	880.6				percent of total billed charges		1190				other	OPPS APC	1190				other	OPPS APC	322.37				percent of total billed charges		328.8				percent of total billed charges		119				other	OPPS APC	119	1190	
KIT TRAUMA FIXATION PIP DART PEEK 10 D L30 MM OD2.5 MM RADIOLUCENT INSERTER DRILL GUIDEWIRE STERILE	SUP-AR-4154P-3010	CDM	270010020	LOCAL	270	RC		inpatient			1190	1190																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L131 MM ANKLE 10 HOLE LOCK	SUP-AR-8943C-10	CDM			270	RC		outpatient			1190	119	322.37				percent of total billed charges		1190				other	OPPS APC	880.6				percent of total billed charges		1190				other	OPPS APC	1190				other	OPPS APC	322.37				percent of total billed charges		328.8				percent of total billed charges		119				other	OPPS APC	119	1190	
PLATE BONE STAINLESS STEEL STRAIGHT L131 MM ANKLE 10 HOLE LOCK	SUP-AR-8943C-10	CDM			270	RC		inpatient			1190	1190																																																			
GRAFT VENTRALIGHT 4X6 ELIPSE (5954460)	SUP-75-00099	CDM			278	RC		outpatient			1189.8	1189.8	1189.8				fee schedule		1189.8				other	OPPS APC	678.19				percent of total billed charges		1189.8				other	OPPS APC	1189.8				other	OPPS APC	583				percent of total billed charges		606.8				percent of total billed charges		1189.8				other	OPPS APC	583	1189.8	
GRAFT VENTRALIGHT 4X6 ELIPSE (5954460)	SUP-75-00099	CDM			278	RC		inpatient			1189.8	1189.8																																																			
6.0 TAP CANCELLOUS	SUP-97-03223	CDM			272	RC		outpatient			1189.2	1189.2	322.15				percent of total billed charges		1189.2				other	OPPS APC	880.01				percent of total billed charges		1189.2				other	OPPS APC	1189.2				other	OPPS APC	322.15				percent of total billed charges		328.58				percent of total billed charges		1189.2				other	OPPS APC	322.15	1189.2	
6.0 TAP CANCELLOUS	SUP-97-03223	CDM			272	RC		inpatient			1189.2	1189.2																																																			
EEA 25MM	SUP-76-00011	CDM			272	RC		outpatient			1188.98	1188.98	322.09				percent of total billed charges		1188.98				other	OPPS APC	879.85				percent of total billed charges		1188.98				other	OPPS APC	1188.98				other	OPPS APC	322.09				percent of total billed charges		328.52				percent of total billed charges		1188.98				other	OPPS APC	322.09	1188.98	
EEA 25MM	SUP-76-00011	CDM			272	RC		inpatient			1188.98	1188.98																																																			
BOLT FOR FEMORAL NECK 95MM	SUP-97-04255	CDM			278	RC		outpatient			1188	1188	1188				fee schedule		1188				other	OPPS APC	677.16				percent of total billed charges		1188				other	OPPS APC	1188				other	OPPS APC	582.12				percent of total billed charges		605.88				percent of total billed charges		1188				other	OPPS APC	582.12	1188	
BOLT FOR FEMORAL NECK 95MM	SUP-97-04255	CDM			278	RC		inpatient			1188	1188																																																			
BOLT FOR FEMORAL NECK SYSTEM 80MM	SUP-97-04258	CDM			278	RC		outpatient			1188	1188	1188				fee schedule		1188				other	OPPS APC	677.16				percent of total billed charges		1188				other	OPPS APC	1188				other	OPPS APC	582.12				percent of total billed charges		605.88				percent of total billed charges		1188				other	OPPS APC	582.12	1188	
BOLT FOR FEMORAL NECK SYSTEM 80MM	SUP-97-04258	CDM			278	RC		inpatient			1188	1188																																																			
HC Replacement of GI Tube Under Fluoro	PX-320494501	CDM	49450	CPT	320	RC		outpatient			1186.5	1186.5	68.84				fee schedule		1186.5				other	OPPS APC	878.01				percent of total billed charges		1186.5				other	OPPS APC	1186.5				other	OPPS APC	64.83				fee schedule		605.12				percent of total billed charges		1186.5				other	OPPS APC	64.83	1186.5	
HC Replacement of GI Tube Under Fluoro	PX-320494501	CDM	49450	CPT	320	RC		inpatient			1186.5	1186.5																																																			
SCREW SNAP OFF 2.7MM X 14MM	SUP-97-03072	CDM			278	RC		outpatient			1186.08	1186.8	1186.08				fee schedule		1186.08				other	OPPS APC	676.07				percent of total billed charges		1186.08				other	OPPS APC	1186.08				other	OPPS APC	581.18				percent of total billed charges		604.9				percent of total billed charges		1186.8				other	OPPS APC	581.18	1186.8	
SCREW SNAP OFF 2.7MM X 14MM	SUP-97-03072	CDM			278	RC		inpatient			1186.08	1186.08																																																			
SCREW SNAP OFF 2.7MM X 16MM	SUP-97-03076	CDM			278	RC		outpatient			1186.08	1186.8	1186.08				fee schedule		1186.08				other	OPPS APC	676.07				percent of total billed charges		1186.08				other	OPPS APC	1186.08				other	OPPS APC	581.18				percent of total billed charges		604.9				percent of total billed charges		1186.8				other	OPPS APC	581.18	1186.8	
SCREW SNAP OFF 2.7MM X 16MM	SUP-97-03076	CDM			278	RC		inpatient			1186.08	1186.08																																																			
2.0 X 12MM TWIST OFF SCREW	SUP-97-04573	CDM			278	RC		outpatient			1186.08	1186.8	1186.08				fee schedule		1186.08				other	OPPS APC	676.07				percent of total billed charges		1186.08				other	OPPS APC	1186.08				other	OPPS APC	581.18				percent of total billed charges		604.9				percent of total billed charges		1186.8				other	OPPS APC	581.18	1186.8	
2.0 X 12MM TWIST OFF SCREW	SUP-97-04573	CDM			278	RC		inpatient			1186.08	1186.08																																																			
POSTLESS KIT HIP DISTRACTION SYSTEM DISPOSABLE	SUP-95-05284	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
POSTLESS KIT HIP DISTRACTION SYSTEM DISPOSABLE	SUP-95-05284	CDM			272	RC		inpatient			1185	1185																																																			
CUTTER	SUP-97-01925	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
CUTTER	SUP-97-01925	CDM			272	RC		inpatient			1185	1185																																																			
PACEMAKER - LEAD 5076-45	SUP-99-00019	CDM			275	RC		outpatient			1185	1185	1185				fee schedule		1185				other	OPPS APC	675.45				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	580.65				percent of total billed charges		604.35				percent of total billed charges		1185				other	OPPS APC	580.65	1185	
PACEMAKER - LEAD 5076-45	SUP-99-00019	CDM			275	RC		inpatient			1185	1185																																																			
PACEMAKER - LEAD 5076-52	SUP-99-00020	CDM			275	RC		outpatient			1185	1185	1185				fee schedule		1185				other	OPPS APC	675.45				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	580.65				percent of total billed charges		604.35				percent of total billed charges		1185				other	OPPS APC	580.65	1185	
PACEMAKER - LEAD 5076-52	SUP-99-00020	CDM			275	RC		inpatient			1185	1185																																																			
PACEMAKER - LEAD 5076-58	SUP-99-00021	CDM			275	RC		outpatient			1185	1185	1185				fee schedule		1185				other	OPPS APC	675.45				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	580.65				percent of total billed charges		604.35				percent of total billed charges		1185				other	OPPS APC	580.65	1185	
PACEMAKER - LEAD 5076-58	SUP-99-00021	CDM			275	RC		inpatient			1185	1185																																																			
BALLOON - AMPHIRION 3.0/3.5X210	SUP-99-00941	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
BALLOON - AMPHIRION 3.0/3.5X210	SUP-99-00941	CDM			272	RC		inpatient			1185	1185																																																			
BALLOON - AMPHIRION 2.5X120	SUP-99-01289	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
BALLOON - AMPHIRION 2.5X120	SUP-99-01289	CDM			272	RC		inpatient			1185	1185																																																			
BALLOON - COYOTE OTW 2.0X220X150	SUP-99-01295	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
BALLOON - COYOTE OTW 2.0X220X150	SUP-99-01295	CDM			272	RC		inpatient			1185	1185																																																			
BALLOON - COYOTE OTW 2.5X220X150	SUP-99-01297	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
BALLOON - COYOTE OTW 2.5X220X150	SUP-99-01297	CDM			272	RC		inpatient			1185	1185																																																			
BALLOON - COYOTE OTW 3.0X220X150	SUP-99-01299	CDM			272	RC		outpatient			1185	1185	321.02				percent of total billed charges		1185				other	OPPS APC	876.9				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	321.02				percent of total billed charges		327.42				percent of total billed charges		1185				other	OPPS APC	321.02	1185	
BALLOON - COYOTE OTW 3.0X220X150	SUP-99-01299	CDM			272	RC		inpatient			1185	1185																																																			
PACEMAKER- LEAD 3830-69	SUP-99-04776	CDM						inpatient			1185	1185																																																			
PACEMAKER- LEAD 3830-69	SUP-99-04776	CDM						outpatient			1185	1185	1185				percent of total billed charges		1185				other	OPPS APC	1185				fee schedule		1185				other	OPPS APC	1185				other	OPPS APC	1185				case rate		1185				case rate		1185				other	OPPS APC	1185	1185	
PACEMAKER - LEAD-PACE CATH DELIV 4FR 38	SUP-99-04807	CDM			275	RC		outpatient			1185	1185	1185				fee schedule		1185				other	OPPS APC	675.45				percent of total billed charges		1185				other	OPPS APC	1185				other	OPPS APC	580.65				percent of total billed charges		604.35				percent of total billed charges		1185				other	OPPS APC	580.65	1185	
PACEMAKER - LEAD-PACE CATH DELIV 4FR 38	SUP-99-04807	CDM			275	RC		inpatient			1185	1185																																																			
PLATE BONE Y 48X5X1.2MM TITANIUM NS HAND 3X8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH 2MM SCREW	SUP-447.612	CDM	270010022	LOCAL	270	RC		outpatient			1183.6	1183.6	320.64				percent of total billed charges		1183.6				other	OPPS APC	875.86				percent of total billed charges		1183.6				other	OPPS APC	1183.6				other	OPPS APC	320.64				percent of total billed charges		327.03				percent of total billed charges		1183.6				other	OPPS APC	320.64	1183.6	
PLATE BONE Y 48X5X1.2MM TITANIUM NS HAND 3X8 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH 2MM SCREW	SUP-447.612	CDM	270010022	LOCAL	270	RC		inpatient			1183.6	1183.6																																																			
PLATE BONE MED BASIC STANDARD .4MM GOLD TITANIUM ORBITAL FLOOR 1.2MM SCREW	SUP-5404002	CDM			270	RC		outpatient			1182	1182	320.2				percent of total billed charges		1182				other	OPPS APC	874.68				percent of total billed charges		1182				other	OPPS APC	1182				other	OPPS APC	320.2				percent of total billed charges		326.59				percent of total billed charges		1182				other	OPPS APC	320.2	1182	
PLATE BONE MED BASIC STANDARD .4MM GOLD TITANIUM ORBITAL FLOOR 1.2MM SCREW	SUP-5404002	CDM			270	RC		inpatient			1182	1182																																																			
PLATE BONE MED .3MM BLUE TITANIUM UPPER FACE ORBITAL FLOOR BASIC MALLEABLE 1.2MM SCREW	SUP-5403002	CDM			270	RC		outpatient			1180.8	118.8	319.88				percent of total billed charges		1180.8				other	OPPS APC	873.79				percent of total billed charges		1180.8				other	OPPS APC	1180.8				other	OPPS APC	319.88				percent of total billed charges		326.26				percent of total billed charges		118.8				other	OPPS APC	118.8	1180.8	
PLATE BONE MED .3MM BLUE TITANIUM UPPER FACE ORBITAL FLOOR BASIC MALLEABLE 1.2MM SCREW	SUP-5403002	CDM			270	RC		inpatient			1180.8	1180.8																																																			
PACK VITRECTOMY TOTAL PLUS CONSTELLATION 7500 CPM OD27 GA STRAIGHT ENDOILLUMINATOR VALVED CANNULA	SUP-8065752062	CDM			270	RC		outpatient			1178	1178	319.12				percent of total billed charges		1178				other	OPPS APC	871.72				percent of total billed charges		1178				other	OPPS APC	1178				other	OPPS APC	319.12				percent of total billed charges		325.48				percent of total billed charges		1178				other	OPPS APC	319.12	1178	
PACK VITRECTOMY TOTAL PLUS CONSTELLATION 7500 CPM OD27 GA STRAIGHT ENDOILLUMINATOR VALVED CANNULA	SUP-8065752062	CDM			270	RC		inpatient			1178	1178																																																			
SYRINGE MACROPLASTIQUE 2.5CC	SUP-MPQ-2.5	CDM			270	RC		outpatient			1178	1178	319.12				percent of total billed charges		1178				other	OPPS APC	871.72				percent of total billed charges		1178				other	OPPS APC	1178				other	OPPS APC	319.12				percent of total billed charges		325.48				percent of total billed charges		1178				other	OPPS APC	319.12	1178	
SYRINGE MACROPLASTIQUE 2.5CC	SUP-MPQ-2.5	CDM			270	RC		inpatient			1178	1178																																																			
SHELL BIPOLAR MULTIPOLAR METAL OD43 MM HIP	SUP-00-5001-043-00	CDM	270010024	LOCAL	270	RC		outpatient			1176	1176	318.58				percent of total billed charges		1176				other	OPPS APC	870.24				percent of total billed charges		1176				other	OPPS APC	1176				other	OPPS APC	318.58				percent of total billed charges		324.93				percent of total billed charges		1176				other	OPPS APC	318.58	1176	
SHELL BIPOLAR MULTIPOLAR METAL OD43 MM HIP	SUP-00-5001-043-00	CDM	270010024	LOCAL	270	RC		inpatient			1176	1176																																																			
SCREW 3MM X 14MM HEADLESS SHORT THREAD	SUP-97-02698	CDM			278	RC		outpatient			1175.55	1175.55	1175.55				fee schedule		1175.55				other	OPPS APC	670.06				percent of total billed charges		1175.55				other	OPPS APC	1175.55				other	OPPS APC	576.02				percent of total billed charges		599.53				percent of total billed charges		1175.55				other	OPPS APC	576.02	1175.55	
SCREW 3MM X 14MM HEADLESS SHORT THREAD	SUP-97-02698	CDM			278	RC		inpatient			1175.55	1175.55																																																			
HC Daily Care CDU	PX-120000005	CDM	120000005	LOCAL	120	RC		inpatient			1175	1175																																																			
HC Daily Care Progressive Care Unit	PX-160000001	CDM	160000001	LOCAL	160	RC		inpatient			1175	1175																																																			
HC Daily Care PCU HC	PX-160000002	CDM	160000002	LOCAL	160	RC		inpatient			1175	1175																																																			
DRILL SURGICAL EVOS LARGE OD 4.5 MM TARGETER AO QUICK OVER CANNUALTE STERILE LAXTEX FREE DISPOSABLE	SUP-71177740	CDM			270	RC		outpatient			1175	1175	318.31				percent of total billed charges		1175				other	OPPS APC	869.5				percent of total billed charges		1175				other	OPPS APC	1175				other	OPPS APC	318.31				percent of total billed charges		324.65				percent of total billed charges		1175				other	OPPS APC	318.31	1175	
DRILL SURGICAL EVOS LARGE OD 4.5 MM TARGETER AO QUICK OVER CANNUALTE STERILE LAXTEX FREE DISPOSABLE	SUP-71177740	CDM			270	RC		inpatient			1175	1175																																																			
CAPTIVATOR MEDIUM HEXAGONAL STIFF	SUP-95-03895	CDM			272	RC		outpatient			1174.68	1174.68	318.22				percent of total billed charges		1174.68				other	OPPS APC	869.26				percent of total billed charges		1174.68				other	OPPS APC	1174.68				other	OPPS APC	318.22				percent of total billed charges		324.56				percent of total billed charges		1174.68				other	OPPS APC	318.22	1174.68	
CAPTIVATOR MEDIUM HEXAGONAL STIFF	SUP-95-03895	CDM			272	RC		inpatient			1174.68	1174.68																																																			
PLATE DHS COMPRESSION 140DEG 5 HOLE	SUP-281.250	CDM	270010022	LOCAL	270	RC		outpatient			1173.7	1173.7	317.96				percent of total billed charges		1173.7				other	OPPS APC	868.54				percent of total billed charges		1173.7				other	OPPS APC	1173.7				other	OPPS APC	317.96				percent of total billed charges		324.29				percent of total billed charges		1173.7				other	OPPS APC	317.96	1173.7	
PLATE DHS COMPRESSION 140DEG 5 HOLE	SUP-281.250	CDM	270010022	LOCAL	270	RC		inpatient			1173.7	1173.7																																																			
PLATE DHS COMPRESSION 145 DEG 5 HOLE	SUP-281.350	CDM	270010022	LOCAL	270	RC		outpatient			1173.7	1173.7	317.96				percent of total billed charges		1173.7				other	OPPS APC	868.54				percent of total billed charges		1173.7				other	OPPS APC	1173.7				other	OPPS APC	317.96				percent of total billed charges		324.29				percent of total billed charges		1173.7				other	OPPS APC	317.96	1173.7	
PLATE DHS COMPRESSION 145 DEG 5 HOLE	SUP-281.350	CDM	270010022	LOCAL	270	RC		inpatient			1173.7	1173.7																																																			
PLATE DHS SYNTHES 135DEG 4 HOLE	SUP-281.540	CDM	270010022	LOCAL	270	RC		outpatient			1173.7	1173.7	317.96				percent of total billed charges		1173.7				other	OPPS APC	868.54				percent of total billed charges		1173.7				other	OPPS APC	1173.7				other	OPPS APC	317.96				percent of total billed charges		324.29				percent of total billed charges		1173.7				other	OPPS APC	317.96	1173.7	
PLATE DHS SYNTHES 135DEG 4 HOLE	SUP-281.540	CDM	270010022	LOCAL	270	RC		inpatient			1173.7	1173.7																																																			
PLATE 3.5 10 HOLE 137MM LCP	SUP-97-03760	CDM			278	RC		outpatient			1173.51	1173.51	1173.51				fee schedule		1173.51				other	OPPS APC	668.9				percent of total billed charges		1173.51				other	OPPS APC	1173.51				other	OPPS APC	575.02				percent of total billed charges		598.49				percent of total billed charges		1173.51				other	OPPS APC	575.02	1173.51	
PLATE 3.5 10 HOLE 137MM LCP	SUP-97-03760	CDM			278	RC		inpatient			1173.51	1173.51																																																			
GRAFT  PROGRIP RT 12X8 (TEM1208GR)	SUP-75-00065	CDM			278	RC		outpatient			1173.27	1173.27	1173.27				fee schedule		1173.27				other	OPPS APC	668.76				percent of total billed charges		1173.27				other	OPPS APC	1173.27				other	OPPS APC	574.9				percent of total billed charges		598.37				percent of total billed charges		1173.27				other	OPPS APC	574.9	1173.27	
GRAFT  PROGRIP RT 12X8 (TEM1208GR)	SUP-75-00065	CDM			278	RC		inpatient			1173.27	1173.27																																																			
BURR CARTILAGE	SUP-95-04734	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
BURR CARTILAGE	SUP-95-04734	CDM			272	RC		inpatient			1173	1173																																																			
BURR CARTILAGE 3 X 12	SUP-95-04735	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
BURR CARTILAGE 3 X 12	SUP-95-04735	CDM			272	RC		inpatient			1173	1173																																																			
BURR ARTHRODESIS CARTILAGE	SUP-95-04736	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
BURR ARTHRODESIS CARTILAGE	SUP-95-04736	CDM			272	RC		inpatient			1173	1173																																																			
BURR 4 X 16MM SCULPTING CYLINDER	SUP-95-04777	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
BURR 4 X 16MM SCULPTING CYLINDER	SUP-95-04777	CDM			272	RC		inpatient			1173	1173																																																			
TAILOR'S BUNION BROACH SET PROSTEP	SUP-95-05575	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
TAILOR'S BUNION BROACH SET PROSTEP	SUP-95-05575	CDM			272	RC		inpatient			1173	1173																																																			
MICA BURR 2 X 20MM	SUP-95-05576	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
MICA BURR 2 X 20MM	SUP-95-05576	CDM			272	RC		inpatient			1173	1173																																																			
MICA BURR 2 X 12MM	SUP-95-05577	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
MICA BURR 2 X 12MM	SUP-95-05577	CDM			272	RC		inpatient			1173	1173																																																			
MICA BURR 2 X 8MM	SUP-95-05619	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
MICA BURR 2 X 8MM	SUP-95-05619	CDM			272	RC		inpatient			1173	1173																																																			
BURR WEDGE MICA 3.1 X 13MM	SUP-95-05620	CDM			272	RC		outpatient			1173	1173	317.77				percent of total billed charges		1173				other	OPPS APC	868.02				percent of total billed charges		1173				other	OPPS APC	1173				other	OPPS APC	317.77				percent of total billed charges		324.1				percent of total billed charges		1173				other	OPPS APC	317.77	1173	
BURR WEDGE MICA 3.1 X 13MM	SUP-95-05620	CDM			272	RC		inpatient			1173	1173																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM L40 MM HUMERUS SPIRAL GOLD	SUP-462.64	CDM	270010022	LOCAL	270	RC		outpatient			1172.16	1172.16	317.54				percent of total billed charges		1172.16				other	OPPS APC	867.4				percent of total billed charges		1172.16				other	OPPS APC	1172.16				other	OPPS APC	317.54				percent of total billed charges		323.87				percent of total billed charges		1172.16				other	OPPS APC	317.54	1172.16	
BLADE INTRAMEDULLARY FIXATION TITANIUM L40 MM HUMERUS SPIRAL GOLD	SUP-462.64	CDM	270010022	LOCAL	270	RC		inpatient			1172.16	1172.16																																																			
BLADE INTRAMEDULLARY FIXATION GOLD 40MM HUMERUS TITANIUM SPIRAL NS	SUP-462.640	CDM	270010022	LOCAL	270	RC		outpatient			1172.16	1172.16	317.54				percent of total billed charges		1172.16				other	OPPS APC	867.4				percent of total billed charges		1172.16				other	OPPS APC	1172.16				other	OPPS APC	317.54				percent of total billed charges		323.87				percent of total billed charges		1172.16				other	OPPS APC	317.54	1172.16	
BLADE INTRAMEDULLARY FIXATION GOLD 40MM HUMERUS TITANIUM SPIRAL NS	SUP-462.640	CDM	270010022	LOCAL	270	RC		inpatient			1172.16	1172.16																																																			
PLATE BONE LCP NARROW 206X13.5X4.2MM SS NS 11 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT	SUP-224.611	CDM	270010022	LOCAL	270	RC		outpatient			1171.5	1171.5	317.36				percent of total billed charges		1171.5				other	OPPS APC	866.91				percent of total billed charges		1171.5				other	OPPS APC	1171.5				other	OPPS APC	317.36				percent of total billed charges		323.69				percent of total billed charges		1171.5				other	OPPS APC	317.36	1171.5	
PLATE BONE LCP NARROW 206X13.5X4.2MM SS NS 11 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT	SUP-224.611	CDM	270010022	LOCAL	270	RC		inpatient			1171.5	1171.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L170 MM X W17.5 MM X H5.2 MM 9 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.591	CDM	270010022	LOCAL	270	RC		outpatient			1171.5	1171.5	317.36				percent of total billed charges		1171.5				other	OPPS APC	866.91				percent of total billed charges		1171.5				other	OPPS APC	1171.5				other	OPPS APC	317.36				percent of total billed charges		323.69				percent of total billed charges		1171.5				other	OPPS APC	317.36	1171.5	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L170 MM X W17.5 MM X H5.2 MM 9 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.591	CDM	270010022	LOCAL	270	RC		inpatient			1171.5	1171.5																																																			
PLATE VARIX COMPRES 7HOLE X 91MM LCKNG	SUP-95-04311	CDM			278	RC		outpatient			1171.5	1171.5	1171.5				fee schedule		1171.5				other	OPPS APC	667.76				percent of total billed charges		1171.5				other	OPPS APC	1171.5				other	OPPS APC	574.04				percent of total billed charges		597.47				percent of total billed charges		1171.5				other	OPPS APC	574.04	1171.5	
PLATE VARIX COMPRES 7HOLE X 91MM LCKNG	SUP-95-04311	CDM			278	RC		inpatient			1171.5	1171.5																																																			
PLATE VARIAX COMPRES NARROW STR 6H X 78	SUP-97-03700	CDM			278	RC		outpatient			1171.5	1171.5	1171.5				fee schedule		1171.5				other	OPPS APC	667.76				percent of total billed charges		1171.5				other	OPPS APC	1171.5				other	OPPS APC	574.04				percent of total billed charges		597.47				percent of total billed charges		1171.5				other	OPPS APC	574.04	1171.5	
PLATE VARIAX COMPRES NARROW STR 6H X 78	SUP-97-03700	CDM			278	RC		inpatient			1171.5	1171.5																																																			
PLATE VARIAX COMPRES NRW STRGHT 10 HOLE	SUP-97-05005	CDM			278	RC		outpatient			1171.5	1171.5	1171.5				fee schedule		1171.5				other	OPPS APC	667.76				percent of total billed charges		1171.5				other	OPPS APC	1171.5				other	OPPS APC	574.04				percent of total billed charges		597.47				percent of total billed charges		1171.5				other	OPPS APC	574.04	1171.5	
PLATE VARIAX COMPRES NRW STRGHT 10 HOLE	SUP-97-05005	CDM			278	RC		inpatient			1171.5	1171.5																																																			
KIT 13.5FR X 16CM MAHURKAR	SUP-8888135162	CDM			270	RC		outpatient			1171.12	1171.12	317.26				percent of total billed charges		1171.12				other	OPPS APC	866.63				percent of total billed charges		1171.12				other	OPPS APC	1171.12				other	OPPS APC	317.26				percent of total billed charges		323.58				percent of total billed charges		1171.12				other	OPPS APC	317.26	1171.12	
KIT 13.5FR X 16CM MAHURKAR	SUP-8888135162	CDM			270	RC		inpatient			1171.12	1171.12																																																			
KIT 13.5FR X 16CM MAHURKAR	SUP-8888135168	CDM			270	RC		outpatient			1171.12	1171.12	317.26				percent of total billed charges		1171.12				other	OPPS APC	866.63				percent of total billed charges		1171.12				other	OPPS APC	1171.12				other	OPPS APC	317.26				percent of total billed charges		323.58				percent of total billed charges		1171.12				other	OPPS APC	317.26	1171.12	
KIT 13.5FR X 16CM MAHURKAR	SUP-8888135168	CDM			270	RC		inpatient			1171.12	1171.12																																																			
BIT DRILL 300MM 13MM NS CANNULATED	SUP-351.27	CDM	270010022	LOCAL	270	RC		outpatient			1170.4	117.41	317.06				percent of total billed charges		1170.4				other	OPPS APC	866.1				percent of total billed charges		1170.4				other	OPPS APC	1170.4				other	OPPS APC	317.06				percent of total billed charges		323.38				percent of total billed charges		117.41				other	OPPS APC	117.41	1170.4	
BIT DRILL 300MM 13MM NS CANNULATED	SUP-351.27	CDM	270010022	LOCAL	270	RC		inpatient			1170.4	1170.4																																																			
ANCHOR KNOTLESS 5.5MM S-ULTRA	SUP-79-00090	CDM			278	RC		outpatient			1170	117	1170				fee schedule		1170				other	OPPS APC	666.9				percent of total billed charges		1170				other	OPPS APC	1170				other	OPPS APC	573.3				percent of total billed charges		596.7				percent of total billed charges		117				other	OPPS APC	117	1170	
ANCHOR KNOTLESS 5.5MM S-ULTRA	SUP-79-00090	CDM			278	RC		inpatient			1170	1170																																																			
PLATE BONE STAINLESS STEEL SHORT LOW PROFILE PELVIS QUADRILATERAL SURFACE STERILE 3.5 MM SCREW	SUP-02.100.327S	CDM	270010022	LOCAL	270	RC		outpatient			1168.8	1168.8	316.63				percent of total billed charges		1168.8				other	OPPS APC	864.91				percent of total billed charges		1168.8				other	OPPS APC	1168.8				other	OPPS APC	316.63				percent of total billed charges		322.94				percent of total billed charges		1168.8				other	OPPS APC	316.63	1168.8	
PLATE BONE STAINLESS STEEL SHORT LOW PROFILE PELVIS QUADRILATERAL SURFACE STERILE 3.5 MM SCREW	SUP-02.100.327S	CDM	270010022	LOCAL	270	RC		inpatient			1168.8	1168.8																																																			
IMPLANT ARTHREX  IBALANCE PATELLA DOME 30X8MM	SUP-AR-504-PSB6	CDM			270	RC		outpatient			1168.3	1168.3	316.49				percent of total billed charges		1168.3				other	OPPS APC	864.54				percent of total billed charges		1168.3				other	OPPS APC	1168.3				other	OPPS APC	316.49				percent of total billed charges		322.8				percent of total billed charges		1168.3				other	OPPS APC	316.49	1168.3	
IMPLANT ARTHREX  IBALANCE PATELLA DOME 30X8MM	SUP-AR-504-PSB6	CDM			270	RC		inpatient			1168.3	1168.3																																																			
HC Psooralen Treated Platelets	PX-390907300	CDM			390	RC		outpatient			1168	577.89	572.32				percent of total billed charges		577.89				other	OPPS APC	864.32				percent of total billed charges		577.89				other	OPPS APC	577.89				other	OPPS APC	572.32				percent of total billed charges		583.77				percent of total billed charges		577.89				other	OPPS APC	572.32	864.32	
HC Psooralen Treated Platelets	PX-390907300	CDM			390	RC		inpatient			1168	1168																																																			
SCREW COMPRESSION CANN 4.0MM X 40MM HEADLESS	SUP-97-03087	CDM			278	RC		outpatient			1167.6	1167.6	1167.6				fee schedule		1167.6				other	OPPS APC	665.53				percent of total billed charges		1167.6				other	OPPS APC	1167.6				other	OPPS APC	572.12				percent of total billed charges		595.48				percent of total billed charges		1167.6				other	OPPS APC	572.12	1167.6	
SCREW COMPRESSION CANN 4.0MM X 40MM HEADLESS	SUP-97-03087	CDM			278	RC		inpatient			1167.6	1167.6																																																			
PLATE BONE VARIAX SMARTLOCK TITANIUM T OBLIQUE FOOT RIGHT LOW PROFILE	SUP-40-15072	CDM			270	RC		outpatient			1166.1	1167	315.9				percent of total billed charges		1166.1				other	OPPS APC	862.91				percent of total billed charges		1166.1				other	OPPS APC	1166.1				other	OPPS APC	315.9				percent of total billed charges		322.19				percent of total billed charges		1167				other	OPPS APC	315.9	1167	
PLATE BONE VARIAX SMARTLOCK TITANIUM T OBLIQUE FOOT RIGHT LOW PROFILE	SUP-40-15072	CDM			270	RC		inpatient			1166.1	1166.1																																																			
19GA ACQUIRE NEEDLE	SUP-M00555580	CDM			270	RC		outpatient			1166	1166	315.87				percent of total billed charges		1166				other	OPPS APC	862.84				percent of total billed charges		1166				other	OPPS APC	1166				other	OPPS APC	315.87				percent of total billed charges		322.17				percent of total billed charges		1166				other	OPPS APC	315.87	1166	
19GA ACQUIRE NEEDLE	SUP-M00555580	CDM			270	RC		inpatient			1166	1166																																																			
SCREW HEADLESS COMPRESSION CANNULATED 4.0 X 50MM	SUP-97-23701	CDM			278	RC		outpatient			1165.92	1165.92	1165.92				fee schedule		1165.92				other	OPPS APC	664.57				percent of total billed charges		1165.92				other	OPPS APC	1165.92				other	OPPS APC	571.3				percent of total billed charges		594.62				percent of total billed charges		1165.92				other	OPPS APC	571.3	1165.92	
SCREW HEADLESS COMPRESSION CANNULATED 4.0 X 50MM	SUP-97-23701	CDM			278	RC		inpatient			1165.92	1165.92																																																			
DISTAL RADIUS PLATE 6HOLE HEAD 3 HOLE SHAFT LEFT	SUP-02.111.631	CDM			270	RC		outpatient			1164.1	1165	315.35				percent of total billed charges		1164.1				other	OPPS APC	861.43				percent of total billed charges		1164.1				other	OPPS APC	1164.1				other	OPPS APC	315.35				percent of total billed charges		321.64				percent of total billed charges		1165				other	OPPS APC	315.35	1165	
DISTAL RADIUS PLATE 6HOLE HEAD 3 HOLE SHAFT LEFT	SUP-02.111.631	CDM			270	RC		inpatient			1164.1	1164.1																																																			
DISTAL RADIUS PLATE 7HOLE HEAD 3 HOLE SHAFT LEFT	SUP-02.111.731	CDM			270	RC		outpatient			1164.1	1165	315.35				percent of total billed charges		1164.1				other	OPPS APC	861.43				percent of total billed charges		1164.1				other	OPPS APC	1164.1				other	OPPS APC	315.35				percent of total billed charges		321.64				percent of total billed charges		1165				other	OPPS APC	315.35	1165	
DISTAL RADIUS PLATE 7HOLE HEAD 3 HOLE SHAFT LEFT	SUP-02.111.731	CDM			270	RC		inpatient			1164.1	1164.1																																																			
PLATE BONE TITANIUM 2 T STERNAL 14 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.038	CDM			270	RC		outpatient			1164.08	1164.8	315.35				percent of total billed charges		1164.08				other	OPPS APC	861.42				percent of total billed charges		1164.08				other	OPPS APC	1164.08				other	OPPS APC	315.35				percent of total billed charges		321.64				percent of total billed charges		1164.8				other	OPPS APC	315.35	1164.8	
PLATE BONE TITANIUM 2 T STERNAL 14 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.038	CDM			270	RC		inpatient			1164.08	1164.08																																																			
SET INTERVENTIONAL RB FLEXOR CHECK-FLO TORCON NB DISPOSABLE STERILE LIVER TRANSJUGULAR ACCESS	SUP-G06541	CDM			270	RC		outpatient			1162.9	1162.91	315.03				percent of total billed charges		1162.9				other	OPPS APC	860.55				percent of total billed charges		1162.9				other	OPPS APC	1162.9				other	OPPS APC	315.03				percent of total billed charges		321.31				percent of total billed charges		1162.91				other	OPPS APC	315.03	1162.91	
SET INTERVENTIONAL RB FLEXOR CHECK-FLO TORCON NB DISPOSABLE STERILE LIVER TRANSJUGULAR ACCESS	SUP-G06541	CDM			270	RC		inpatient			1162.9	1162.9																																																			
WEDGE SURGICAL BURR LG 13	SUP-95-04544	CDM			272	RC		outpatient			1162.2	1162.2	314.84				percent of total billed charges		1162.2				other	OPPS APC	860.03				percent of total billed charges		1162.2				other	OPPS APC	1162.2				other	OPPS APC	314.84				percent of total billed charges		321.12				percent of total billed charges		1162.2				other	OPPS APC	314.84	1162.2	
WEDGE SURGICAL BURR LG 13	SUP-95-04544	CDM			272	RC		inpatient			1162.2	1162.2																																																			
HC CT Perfusion Cerebral W Contrast	PX-352004200	CDM			352	RC		inpatient			1161	1161																																																			
HC CT Perfusion Cerebral W Contrast	PX-352004200	CDM			352	RC		outpatient			1161	1161					fee schedule						other	OPPS APC	859.14				percent of total billed charges						other	OPPS APC					other	OPPS APC	568.89				percent of total billed charges		592.11				percent of total billed charges						other	OPPS APC	859.14	859.14	
FABRIC VASCULAR 3X.2IN HEMASHIELD THK.76MM KNIT	SUP-019525	CDM			270	RC		outpatient			1161	1161	314.51				percent of total billed charges		1161				other	OPPS APC	859.14				percent of total billed charges		1161				other	OPPS APC	1161				other	OPPS APC	314.51				percent of total billed charges		320.78				percent of total billed charges		1161				other	OPPS APC	314.51	1161	
FABRIC VASCULAR 3X.2IN HEMASHIELD THK.76MM KNIT	SUP-019525	CDM			270	RC		inpatient			1161	1161																																																			
FABRIC CARDIOVASCULAR 6X2IN HEMASHIELD THK.76MM 2 VELOUR KNIT	SUP-019527	CDM			270	RC		outpatient			1161	1161	314.51				percent of total billed charges		1161				other	OPPS APC	859.14				percent of total billed charges		1161				other	OPPS APC	1161				other	OPPS APC	314.51				percent of total billed charges		320.78				percent of total billed charges		1161				other	OPPS APC	314.51	1161	
FABRIC CARDIOVASCULAR 6X2IN HEMASHIELD THK.76MM 2 VELOUR KNIT	SUP-019527	CDM			270	RC		inpatient			1161	1161																																																			
FABRIC VASCULAR HEMASHIELD THK.76 MM L3 IN X W.2 IN KNIT	SUP-19-525	CDM			270	RC		outpatient			1161	1161	314.51				percent of total billed charges		1161				other	OPPS APC	859.14				percent of total billed charges		1161				other	OPPS APC	1161				other	OPPS APC	314.51				percent of total billed charges		320.78				percent of total billed charges		1161				other	OPPS APC	314.51	1161	
FABRIC VASCULAR HEMASHIELD THK.76 MM L3 IN X W.2 IN KNIT	SUP-19-525	CDM			270	RC		inpatient			1161	1161																																																			
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR THK.76 MM L6 IN X W2 IN KNIT	SUP-19-527	CDM			270	RC		outpatient			1161	1161	314.51				percent of total billed charges		1161				other	OPPS APC	859.14				percent of total billed charges		1161				other	OPPS APC	1161				other	OPPS APC	314.51				percent of total billed charges		320.78				percent of total billed charges		1161				other	OPPS APC	314.51	1161	
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR THK.76 MM L6 IN X W2 IN KNIT	SUP-19-527	CDM			270	RC		inpatient			1161	1161																																																			
CATHETER INFUSION .027IN MICRO BERN 2.8FR 155CM 1 RADIOPAQUE TORQUEABLE FLEXIBLE	SUP-M001195450	CDM			270	RC		outpatient			1161	1161	314.51				percent of total billed charges		1161				other	OPPS APC	859.14				percent of total billed charges		1161				other	OPPS APC	1161				other	OPPS APC	314.51				percent of total billed charges		320.78				percent of total billed charges		1161				other	OPPS APC	314.51	1161	
CATHETER INFUSION .027IN MICRO BERN 2.8FR 155CM 1 RADIOPAQUE TORQUEABLE FLEXIBLE	SUP-M001195450	CDM			270	RC		inpatient			1161	1161																																																			
GRAFT  PROGRIP RECT 15X9 ( TEM1509G)	SUP-75-00068	CDM			278	RC		outpatient			1159.47	1159.47	1159.47				fee schedule		1159.47				other	OPPS APC	660.9				percent of total billed charges		1159.47				other	OPPS APC	1159.47				other	OPPS APC	568.14				percent of total billed charges		591.33				percent of total billed charges		1159.47				other	OPPS APC	568.14	1159.47	
GRAFT  PROGRIP RECT 15X9 ( TEM1509G)	SUP-75-00068	CDM			278	RC		inpatient			1159.47	1159.47																																																			
PLATE BONE STAINLESS STEEL L143 MM PELVIC 11 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.031	CDM	270010022	LOCAL	270	RC		outpatient			1159.4	1159.41	314.08				percent of total billed charges		1159.4				other	OPPS APC	857.96				percent of total billed charges		1159.4				other	OPPS APC	1159.4				other	OPPS APC	314.08				percent of total billed charges		320.34				percent of total billed charges		1159.41				other	OPPS APC	314.08	1159.41	
PLATE BONE STAINLESS STEEL L143 MM PELVIC 11 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREWS	SUP-245.031	CDM	270010022	LOCAL	270	RC		inpatient			1159.4	1159.4																																																			
BALLOON - ULTRAVERSE 014 2.5X40	SUP-99-03531	CDM			272	RC		outpatient			1158	1158	313.7				percent of total billed charges		1158				other	OPPS APC	856.92				percent of total billed charges		1158				other	OPPS APC	1158				other	OPPS APC	313.7				percent of total billed charges		319.96				percent of total billed charges		1158				other	OPPS APC	313.7	1158	
BALLOON - ULTRAVERSE 014 2.5X40	SUP-99-03531	CDM			272	RC		inpatient			1158	1158																																																			
STYLET LEAD LOCKING KIT SIZE 2 LLD	SUP-518019	CDM			481	RC		outpatient			1156.67	1156.67	566.77				percent of total billed charges		1156.67				other	OPPS APC	855.94				percent of total billed charges		1156.67				other	OPPS APC	1156.67				other	OPPS APC	566.77				percent of total billed charges		589.9				percent of total billed charges		1156.67				other	OPPS APC	566.77	1156.67	
STYLET LEAD LOCKING KIT SIZE 2 LLD	SUP-518019	CDM			481	RC		inpatient			1156.67	1156.67																																																			
PLATE BONE LCP COMBI STAINLESS STEEL T L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.478	CDM	270010022	LOCAL	270	RC		outpatient			1156.24	1156.24	313.23				percent of total billed charges		1156.24				other	OPPS APC	855.62				percent of total billed charges		1156.24				other	OPPS APC	1156.24				other	OPPS APC	313.23				percent of total billed charges		319.47				percent of total billed charges		1156.24				other	OPPS APC	313.23	1156.24	
PLATE BONE LCP COMBI STAINLESS STEEL T L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.478	CDM	270010022	LOCAL	270	RC		inpatient			1156.24	1156.24																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L75 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.375S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L75 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.375S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L80 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.380S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L80 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.380S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L85 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.385S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L85 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.385S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L90 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.390S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L90 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.390S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L95 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.395S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L95 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.395S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L100 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.400S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L100 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.400S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L105 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.405S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L105 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.405S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L110 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.410S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L110 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.410S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L115 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.415S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L115 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.415S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L125 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.425S	CDM			270	RC		outpatient			1155.6	1155.6	313.05				percent of total billed charges		1155.6				other	OPPS APC	855.14				percent of total billed charges		1155.6				other	OPPS APC	1155.6				other	OPPS APC	313.05				percent of total billed charges		319.29				percent of total billed charges		1155.6				other	OPPS APC	313.05	1155.6	
BLADE INTRAMEDULLARY NAIL TFN-ADVANCED TI-6AL-7NB HELICAL L125 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.425S	CDM			270	RC		inpatient			1155.6	1155.6																																																			
FIBER FLEXIVA PULSE ID 242	SUP-70-00247	CDM			272	RC		outpatient			1154.87	1154.87	312.85				percent of total billed charges		1154.87				other	OPPS APC	854.6				percent of total billed charges		1154.87				other	OPPS APC	1154.87				other	OPPS APC	312.85				percent of total billed charges		319.09				percent of total billed charges		1154.87				other	OPPS APC	312.85	1154.87	
FIBER FLEXIVA PULSE ID 242	SUP-70-00247	CDM			272	RC		inpatient			1154.87	1154.87																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00314	CDM			278	RC		outpatient			1152	1152	1152				fee schedule		1152				other	OPPS APC	656.64				percent of total billed charges		1152				other	OPPS APC	1152				other	OPPS APC	564.48				percent of total billed charges		587.52				percent of total billed charges		1152				other	OPPS APC	564.48	1152	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00314	CDM			278	RC		inpatient			1152	1152																																																			
SCREW 5.0 MM LOCKING IM NAIL 5 STERILE	SUP-97-00324	CDM			278	RC		outpatient			1152	1152	1152				fee schedule		1152				other	OPPS APC	656.64				percent of total billed charges		1152				other	OPPS APC	1152				other	OPPS APC	564.48				percent of total billed charges		587.52				percent of total billed charges		1152				other	OPPS APC	564.48	1152	
SCREW 5.0 MM LOCKING IM NAIL 5 STERILE	SUP-97-00324	CDM			278	RC		inpatient			1152	1152																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00621	CDM			278	RC		outpatient			1152	1152	1152				fee schedule		1152				other	OPPS APC	656.64				percent of total billed charges		1152				other	OPPS APC	1152				other	OPPS APC	564.48				percent of total billed charges		587.52				percent of total billed charges		1152				other	OPPS APC	564.48	1152	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00621	CDM			278	RC		inpatient			1152	1152																																																			
LOCKING SCREW 5.0MM	SUP-97-00759	CDM			278	RC		outpatient			1152	1152	1152				fee schedule		1152				other	OPPS APC	656.64				percent of total billed charges		1152				other	OPPS APC	1152				other	OPPS APC	564.48				percent of total billed charges		587.52				percent of total billed charges		1152				other	OPPS APC	564.48	1152	
LOCKING SCREW 5.0MM	SUP-97-00759	CDM			278	RC		inpatient			1152	1152																																																			
SCREW 5.0 MM LOCKING IM NAIL 7	SUP-97-00833	CDM			278	RC		outpatient			1152	1152	1152				fee schedule		1152				other	OPPS APC	656.64				percent of total billed charges		1152				other	OPPS APC	1152				other	OPPS APC	564.48				percent of total billed charges		587.52				percent of total billed charges		1152				other	OPPS APC	564.48	1152	
SCREW 5.0 MM LOCKING IM NAIL 7	SUP-97-00833	CDM			278	RC		inpatient			1152	1152																																																			
5.5MM REELX STT ANCHOR	SUP-80-00018	CDM			278	RC		outpatient			1151.73	1151.73	1151.73				fee schedule		1151.73				other	OPPS APC	656.49				percent of total billed charges		1151.73				other	OPPS APC	1151.73				other	OPPS APC	564.35				percent of total billed charges		587.38				percent of total billed charges		1151.73				other	OPPS APC	564.35	1151.73	
5.5MM REELX STT ANCHOR	SUP-80-00018	CDM			278	RC		inpatient			1151.73	1151.73																																																			
TRAY CATHETER POWERLINE 577ML/HR 5FR POLYURETHANE STERILE LF 2 LUMEN POWER INJECTABLE MICROINTRODUCER	SUP-0720515	CDM			270	RC		outpatient			1151.4	1151.41	311.91				percent of total billed charges		1151.4				other	OPPS APC	852.04				percent of total billed charges		1151.4				other	OPPS APC	1151.4				other	OPPS APC	311.91				percent of total billed charges		318.13				percent of total billed charges		1151.41				other	OPPS APC	311.91	1151.41	
TRAY CATHETER POWERLINE 577ML/HR 5FR POLYURETHANE STERILE LF 2 LUMEN POWER INJECTABLE MICROINTRODUCER	SUP-0720515	CDM			270	RC		inpatient			1151.4	1151.4																																																			
CLAMP EXTERNAL FIXATION MEDIUM COMBINATION SELF HOLD CLIP ON MR SAFE NONSTERILE 3 MM THREAD ROD	SUP-390.031	CDM	270010022	LOCAL	270	RC		outpatient			1150.6	115.6	311.7				percent of total billed charges		1150.6				other	OPPS APC	851.44				percent of total billed charges		1150.6				other	OPPS APC	1150.6				other	OPPS APC	311.7				percent of total billed charges		317.91				percent of total billed charges		115.6				other	OPPS APC	115.6	1150.6	
CLAMP EXTERNAL FIXATION MEDIUM COMBINATION SELF HOLD CLIP ON MR SAFE NONSTERILE 3 MM THREAD ROD	SUP-390.031	CDM	270010022	LOCAL	270	RC		inpatient			1150.6	1150.6																																																			
Needle Set Ez Io 15mm Pediatric	PX-272000010	CDM			272	RC		outpatient			1150	115	311.54				percent of total billed charges		1150				other	OPPS APC	1150				fee schedule		1150				other	OPPS APC	1150				other	OPPS APC	311.54				percent of total billed charges		317.75				percent of total billed charges		115				other	OPPS APC	115	1150	
Needle Set Ez Io 15mm Pediatric	PX-272000010	CDM			272	RC		inpatient			1150	1150																																																			
IMPLANT BREAST SALINE P3.7-4.2 CM MODERATE PROFILE ROUND OD11.7-12.3 CM 275-300 ML STYLE 1600 SMOOTH	SUP-350-1640	CDM			270	RC		outpatient			1150	115	311.54				percent of total billed charges		1150				other	OPPS APC	851				percent of total billed charges		1150				other	OPPS APC	1150				other	OPPS APC	311.54				percent of total billed charges		317.75				percent of total billed charges		115				other	OPPS APC	115	1150	
IMPLANT BREAST SALINE P3.7-4.2 CM MODERATE PROFILE ROUND OD11.7-12.3 CM 275-300 ML STYLE 1600 SMOOTH	SUP-350-1640	CDM			270	RC		inpatient			1150	1150																																																			
CATHETER PLEURX	SUP-50-70000B	CDM			270	RC		outpatient			1150	115	311.54				percent of total billed charges		1150				other	OPPS APC	851				percent of total billed charges		1150				other	OPPS APC	1150				other	OPPS APC	311.54				percent of total billed charges		317.75				percent of total billed charges		115				other	OPPS APC	115	1150	
CATHETER PLEURX	SUP-50-70000B	CDM			270	RC		inpatient			1150	1150																																																			
SHEATH INTRODUCER BALLAST HYDROPHILIC LONG L90 CM OD.1-.106 IN ID.088 IN SOFT COIL DISTAL TIP BRAID REINFORCE PROXIMAL SEGMENT	SUP-BALLAST90	CDM			270	RC		outpatient			1150	115	311.54				percent of total billed charges		1150				other	OPPS APC	851				percent of total billed charges		1150				other	OPPS APC	1150				other	OPPS APC	311.54				percent of total billed charges		317.75				percent of total billed charges		115				other	OPPS APC	115	1150	
SHEATH INTRODUCER BALLAST HYDROPHILIC LONG L90 CM OD.1-.106 IN ID.088 IN SOFT COIL DISTAL TIP BRAID REINFORCE PROXIMAL SEGMENT	SUP-BALLAST90	CDM			270	RC		inpatient			1150	1150																																																			
OSCOR DESTINO TWIST UNIDIRECTIONAL GUIDING SHEATH	SUP-DST0857322	CDM			481	RC		outpatient			1150	115	563.5				percent of total billed charges		1150				other	OPPS APC	851				percent of total billed charges		1150				other	OPPS APC	1150				other	OPPS APC	563.5				percent of total billed charges		586.5				percent of total billed charges		115				other	OPPS APC	115	1150	
OSCOR DESTINO TWIST UNIDIRECTIONAL GUIDING SHEATH	SUP-DST0857322	CDM			481	RC		inpatient			1150	1150																																																			
VALVE GALUCOMA MODEL S2	SUP-SNG042165	CDM			270	RC		outpatient			1150	115	311.54				percent of total billed charges		1150				other	OPPS APC	851				percent of total billed charges		1150				other	OPPS APC	1150				other	OPPS APC	311.54				percent of total billed charges		317.75				percent of total billed charges		115				other	OPPS APC	115	1150	
VALVE GALUCOMA MODEL S2	SUP-SNG042165	CDM			270	RC		inpatient			1150	1150																																																			
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L45 CM L9 MM ID6.5 FR STEERABLE	SUP-TG0654509	CDM			270	RC		outpatient			1150	115	311.54				percent of total billed charges		1150				other	OPPS APC	851				percent of total billed charges		1150				other	OPPS APC	1150				other	OPPS APC	311.54				percent of total billed charges		317.75				percent of total billed charges		115				other	OPPS APC	115	1150	
SHEATH CATHETER TOURGUIDE HYDROPHILIC 180 D L45 CM L9 MM ID6.5 FR STEERABLE	SUP-TG0654509	CDM			270	RC		inpatient			1150	1150																																																			
HIP POSITIONER	SUP-97-00410	CDM			272	RC		outpatient			1149.6	1149.6	311.43				percent of total billed charges		1149.6				other	OPPS APC	850.7				percent of total billed charges		1149.6				other	OPPS APC	1149.6				other	OPPS APC	311.43				percent of total billed charges		317.63				percent of total billed charges		1149.6				other	OPPS APC	311.43	1149.6	
HIP POSITIONER	SUP-97-00410	CDM			272	RC		inpatient			1149.6	1149.6																																																			
ACETABULAR SHELL BANTAM	SUP-97-02302	CDM			278	RC		outpatient			1149	1149	1149				fee schedule		1149				other	OPPS APC	654.93				percent of total billed charges		1149				other	OPPS APC	1149				other	OPPS APC	563.01				percent of total billed charges		585.99				percent of total billed charges		1149				other	OPPS APC	563.01	1149	
ACETABULAR SHELL BANTAM	SUP-97-02302	CDM			278	RC		inpatient			1149	1149																																																			
GRAFT BONE FIBULA SHAFT L40 MM X W14-18 MM ALLOGRAFT FREEZE DRIED	SUP-400720	CDM	270010031	LOCAL	270	RC		outpatient			1148.82	1148.82	311.22				percent of total billed charges		1148.82				other	OPPS APC	850.13				percent of total billed charges		1148.82				other	OPPS APC	1148.82				other	OPPS APC	311.22				percent of total billed charges		317.42				percent of total billed charges		1148.82				other	OPPS APC	311.22	1148.82	
GRAFT BONE FIBULA SHAFT L40 MM X W14-18 MM ALLOGRAFT FREEZE DRIED	SUP-400720	CDM	270010031	LOCAL	270	RC		inpatient			1148.82	1148.82																																																			
GRAFT BONE FIBULA SHAFT ROUND L40 MM X W9-14 MM ALLOGRAFT FREEZE DRIED	SUP-400722	CDM	270010031	LOCAL	270	RC		outpatient			1148.82	1148.82	311.22				percent of total billed charges		1148.82				other	OPPS APC	850.13				percent of total billed charges		1148.82				other	OPPS APC	1148.82				other	OPPS APC	311.22				percent of total billed charges		317.42				percent of total billed charges		1148.82				other	OPPS APC	311.22	1148.82	
GRAFT BONE FIBULA SHAFT ROUND L40 MM X W9-14 MM ALLOGRAFT FREEZE DRIED	SUP-400722	CDM	270010031	LOCAL	270	RC		inpatient			1148.82	1148.82																																																			
PLATE BONE LC-DCP STAINLESS STEEL L106 MM 9 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.19	CDM	270010022	LOCAL	270	RC		outpatient			1148.4	1148.41	311.1				percent of total billed charges		1148.4				other	OPPS APC	849.82				percent of total billed charges		1148.4				other	OPPS APC	1148.4				other	OPPS APC	311.1				percent of total billed charges		317.3				percent of total billed charges		1148.41				other	OPPS APC	311.1	1148.41	
PLATE BONE LC-DCP STAINLESS STEEL L106 MM 9 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.19	CDM	270010022	LOCAL	270	RC		inpatient			1148.4	1148.4																																																			
PLATE BONE LCP STAINLESS STEEL L28 MM RADIAL HEAD PROXIMAL 2 HOLE NECK PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.690	CDM	270010022	LOCAL	270	RC		outpatient			1147.52	1147.52	310.86				percent of total billed charges		1147.52				other	OPPS APC	849.16				percent of total billed charges		1147.52				other	OPPS APC	1147.52				other	OPPS APC	310.86				percent of total billed charges		317.06				percent of total billed charges		1147.52				other	OPPS APC	310.86	1147.52	
PLATE BONE LCP STAINLESS STEEL L28 MM RADIAL HEAD PROXIMAL 2 HOLE NECK PRECONTOUR LIMIT CONTACT NONSTERILE 2.4 MM SCREW	SUP-241.690	CDM	270010022	LOCAL	270	RC		inpatient			1147.52	1147.52																																																			
STYLET LEAD LOCKING KIT SIZE 1	SUP-518-018	CDM			481	RC		outpatient			1146.67	1146.67	561.87				percent of total billed charges		1146.67				other	OPPS APC	848.54				percent of total billed charges		1146.67				other	OPPS APC	1146.67				other	OPPS APC	561.87				percent of total billed charges		584.8				percent of total billed charges		1146.67				other	OPPS APC	561.87	1146.67	
STYLET LEAD LOCKING KIT SIZE 1	SUP-518-018	CDM			481	RC		inpatient			1146.67	1146.67																																																			
KIT LLD E	SUP-518-039	CDM			481	RC		outpatient			1146.67	1146.67	561.87				percent of total billed charges		1146.67				other	OPPS APC	848.54				percent of total billed charges		1146.67				other	OPPS APC	1146.67				other	OPPS APC	561.87				percent of total billed charges		584.8				percent of total billed charges		1146.67				other	OPPS APC	561.87	1146.67	
KIT LLD E	SUP-518-039	CDM			481	RC		inpatient			1146.67	1146.67																																																			
PLATE BONE EVOS L 98MM X H 8MM RADIAL STERILE LATEX FREE	SUP-72468608	CDM			270	RC		outpatient			1144	1144	309.91				percent of total billed charges		1144				other	OPPS APC	846.56				percent of total billed charges		1144				other	OPPS APC	1144				other	OPPS APC	309.91				percent of total billed charges		316.09				percent of total billed charges		1144				other	OPPS APC	309.91	1144	
PLATE BONE EVOS L 98MM X H 8MM RADIAL STERILE LATEX FREE	SUP-72468608	CDM			270	RC		inpatient			1144	1144																																																			
SHEATH AXS INFINITY LS LONG 90 CM	SUP-GEN-10800-90	CDM			270	RC		outpatient			1144	1144	309.91				percent of total billed charges		1144				other	OPPS APC	846.56				percent of total billed charges		1144				other	OPPS APC	1144				other	OPPS APC	309.91				percent of total billed charges		316.09				percent of total billed charges		1144				other	OPPS APC	309.91	1144	
SHEATH AXS INFINITY LS LONG 90 CM	SUP-GEN-10800-90	CDM			270	RC		inpatient			1144	1144																																																			
BASKET SPECIMEN RETRIEVAL SPYGLASS L286 CM X W15 MM STERILE LATEX FREE DISPOSABLE	SUP-M00546550	CDM			270	RC		outpatient			1143.68	1143.68	309.82				percent of total billed charges		1143.68				other	OPPS APC	846.32				percent of total billed charges		1143.68				other	OPPS APC	1143.68				other	OPPS APC	309.82				percent of total billed charges		316				percent of total billed charges		1143.68				other	OPPS APC	309.82	1143.68	
BASKET SPECIMEN RETRIEVAL SPYGLASS L286 CM X W15 MM STERILE LATEX FREE DISPOSABLE	SUP-M00546550	CDM			270	RC		inpatient			1143.68	1143.68																																																			
PROBE VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD23 GA EDGEPLUS VALVED CANNULA STRAIGHT ENDOILLUMINATOR	SUP-8065751900	CDM			270	RC		outpatient			1143.3	1143.3	309.72				percent of total billed charges		1143.3				other	OPPS APC	846.04				percent of total billed charges		1143.3				other	OPPS APC	1143.3				other	OPPS APC	309.72				percent of total billed charges		315.89				percent of total billed charges		1143.3				other	OPPS APC	309.72	1143.3	
PROBE VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD23 GA EDGEPLUS VALVED CANNULA STRAIGHT ENDOILLUMINATOR	SUP-8065751900	CDM			270	RC		inpatient			1143.3	1143.3																																																			
PLATE BONE LC-DCP CLOVERLEAF 152X15X2MM 1.2MM SS NS 7 HOLE THIN BLADE LOW PROFILE 3.5MM CORTEX 3.5MM SHAFT 4MM	SUP-241.87	CDM	270010022	LOCAL	270	RC		outpatient			1143	1143	309.64				percent of total billed charges		1143				other	OPPS APC	845.82				percent of total billed charges		1143				other	OPPS APC	1143				other	OPPS APC	309.64				percent of total billed charges		315.81				percent of total billed charges		1143				other	OPPS APC	309.64	1143	
PLATE BONE LC-DCP CLOVERLEAF 152X15X2MM 1.2MM SS NS 7 HOLE THIN BLADE LOW PROFILE 3.5MM CORTEX 3.5MM SHAFT 4MM	SUP-241.87	CDM	270010022	LOCAL	270	RC		inpatient			1143	1143																																																			
SCREW BONE TITANIUM L10 MM OD2.7 MM MANDIBLE EMERGENCY BLUE MODULAR FIXATION SYSTEM	SUP-401.56	CDM	270010014	LOCAL	270	RC		outpatient			1142.48	1142.48	309.5				percent of total billed charges		1142.48				other	OPPS APC	845.44				percent of total billed charges		1142.48				other	OPPS APC	1142.48				other	OPPS APC	309.5				percent of total billed charges		315.67				percent of total billed charges		1142.48				other	OPPS APC	309.5	1142.48	
SCREW BONE TITANIUM L10 MM OD2.7 MM MANDIBLE EMERGENCY BLUE MODULAR FIXATION SYSTEM	SUP-401.56	CDM	270010014	LOCAL	270	RC		inpatient			1142.48	1142.48																																																			
SCREW TITANIUM 10MM 2.7MM MANDIBLE EMERGENCY BONE NS BLUE MODULAR FIXATION SYSTEM	SUP-401.560	CDM	270010014	LOCAL	270	RC		outpatient			1142.48	1142.48	309.5				percent of total billed charges		1142.48				other	OPPS APC	845.44				percent of total billed charges		1142.48				other	OPPS APC	1142.48				other	OPPS APC	309.5				percent of total billed charges		315.67				percent of total billed charges		1142.48				other	OPPS APC	309.5	1142.48	
SCREW TITANIUM 10MM 2.7MM MANDIBLE EMERGENCY BONE NS BLUE MODULAR FIXATION SYSTEM	SUP-401.560	CDM	270010014	LOCAL	270	RC		inpatient			1142.48	1142.48																																																			
SHEARS LAPAROSCOPIC HARMONIC ACE +7 L45 CM OD5 MM CURVE TIP ADVANCE HEMOSTASIS ULTRASONIC	SUP-HARH45	CDM			270	RC		outpatient			1141.23	1141.23	309.16				percent of total billed charges		1141.23				other	OPPS APC	844.51				percent of total billed charges		1141.23				other	OPPS APC	1141.23				other	OPPS APC	309.16				percent of total billed charges		315.32				percent of total billed charges		1141.23				other	OPPS APC	309.16	1141.23	
SHEARS LAPAROSCOPIC HARMONIC ACE +7 L45 CM OD5 MM CURVE TIP ADVANCE HEMOSTASIS ULTRASONIC	SUP-HARH45	CDM			270	RC		inpatient			1141.23	1141.23																																																			
PLATE BONE STRUT 42X6X.5MM TITANIUM NS CRANIOFACIAL 22 HOLE 1MM CORTEX SCREW	SUP-420.040	CDM	270010022	LOCAL	270	RC		outpatient			1140.54	114.54	308.97				percent of total billed charges		1140.54				other	OPPS APC	844				percent of total billed charges		1140.54				other	OPPS APC	1140.54				other	OPPS APC	308.97				percent of total billed charges		315.13				percent of total billed charges		114.54				other	OPPS APC	114.54	1140.54	
PLATE BONE STRUT 42X6X.5MM TITANIUM NS CRANIOFACIAL 22 HOLE 1MM CORTEX SCREW	SUP-420.040	CDM	270010022	LOCAL	270	RC		inpatient			1140.54	1140.54																																																			
GRAFT VENTRALEX ST HERNIA PATCH SM	SUP-75-00091	CDM			278	RC		outpatient			1140	114	1140				fee schedule		1140				other	OPPS APC	649.8				percent of total billed charges		1140				other	OPPS APC	1140				other	OPPS APC	558.6				percent of total billed charges		581.4				percent of total billed charges		114				other	OPPS APC	114	1140	
GRAFT VENTRALEX ST HERNIA PATCH SM	SUP-75-00091	CDM			278	RC		inpatient			1140	1140																																																			
CATHETER ELECTROPHYSIOLOGY OD6 FR CSF10 PIN AUTO ID DODECAPOLAR	SUP-D135304	CDM			270	RC		outpatient			1140	114	308.83				percent of total billed charges		1140				other	OPPS APC	843.6				percent of total billed charges		1140				other	OPPS APC	1140				other	OPPS APC	308.83				percent of total billed charges		314.98				percent of total billed charges		114				other	OPPS APC	114	1140	
CATHETER ELECTROPHYSIOLOGY OD6 FR CSF10 PIN AUTO ID DODECAPOLAR	SUP-D135304	CDM			270	RC		inpatient			1140	1140																																																			
PLATE 3.5MM X 124MM 9 HOLE	SUP-97-03933	CDM			278	RC		outpatient			1139.88	1139.88	1139.88				fee schedule		1139.88				other	OPPS APC	649.73				percent of total billed charges		1139.88				other	OPPS APC	1139.88				other	OPPS APC	558.54				percent of total billed charges		581.34				percent of total billed charges		1139.88				other	OPPS APC	558.54	1139.88	
PLATE 3.5MM X 124MM 9 HOLE	SUP-97-03933	CDM			278	RC		inpatient			1139.88	1139.88																																																			
PLATE BONE LCP TITANIUM L36 MM X W3.5 MM X H.9 MM CONDYLAR LEFT 7 HOLE PRECONTOUR LOW PROFILE CUT TO LENGTH NONSTERILE 1.5 MM SCREW MODULAR HAND SYSTEM	SUP-446.63.96	CDM	270010022	LOCAL	270	RC		outpatient			1138.5	1138.5	308.42				percent of total billed charges		1138.5				other	OPPS APC	842.49				percent of total billed charges		1138.5				other	OPPS APC	1138.5				other	OPPS APC	308.42				percent of total billed charges		314.57				percent of total billed charges		1138.5				other	OPPS APC	308.42	1138.5	
PLATE BONE LCP TITANIUM L36 MM X W3.5 MM X H.9 MM CONDYLAR LEFT 7 HOLE PRECONTOUR LOW PROFILE CUT TO LENGTH NONSTERILE 1.5 MM SCREW MODULAR HAND SYSTEM	SUP-446.63.96	CDM	270010022	LOCAL	270	RC		inpatient			1138.5	1138.5																																																			
PLATE LEFT CONDYLAR	SUP-446.63.96	CDM	270010022	LOCAL	270	RC		outpatient			1138.5	1138.5	308.42				percent of total billed charges		1138.5				other	OPPS APC	842.49				percent of total billed charges		1138.5				other	OPPS APC	1138.5				other	OPPS APC	308.42				percent of total billed charges		314.57				percent of total billed charges		1138.5				other	OPPS APC	308.42	1138.5	
PLATE LEFT CONDYLAR	SUP-446.63.96	CDM	270010022	LOCAL	270	RC		inpatient			1138.5	1138.5																																																			
PLATE BONE LCP 36X3.5X.9MM TITANIUM NS HAND RIGHT CONDYLE 7 HOLE PRECONTOUR LOW PROFILE CUT TO LENGTH 1.5MM SCREW	SUP-446.64.96	CDM	270010022	LOCAL	270	RC		outpatient			1138.5	1138.5	308.42				percent of total billed charges		1138.5				other	OPPS APC	842.49				percent of total billed charges		1138.5				other	OPPS APC	1138.5				other	OPPS APC	308.42				percent of total billed charges		314.57				percent of total billed charges		1138.5				other	OPPS APC	308.42	1138.5	
PLATE BONE LCP 36X3.5X.9MM TITANIUM NS HAND RIGHT CONDYLE 7 HOLE PRECONTOUR LOW PROFILE CUT TO LENGTH 1.5MM SCREW	SUP-446.64.96	CDM	270010022	LOCAL	270	RC		inpatient			1138.5	1138.5																																																			
PLATE BONE LCP TITANIUM L59 MM 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.679	CDM	270010022	LOCAL	270	RC		outpatient			1137.82	1137.82	308.24				percent of total billed charges		1137.82				other	OPPS APC	841.99				percent of total billed charges		1137.82				other	OPPS APC	1137.82				other	OPPS APC	308.24				percent of total billed charges		314.38				percent of total billed charges		1137.82				other	OPPS APC	308.24	1137.82	
PLATE BONE LCP TITANIUM L59 MM 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.679	CDM	270010022	LOCAL	270	RC		inpatient			1137.82	1137.82																																																			
GRAFT BONE FIBULA SHAFT ALLOGRAFT FREEZE DRIED 60X14-18MM	SUP-400730	CDM	270010031	LOCAL	270	RC		outpatient			1137.76	1137.76	308.22				percent of total billed charges		1137.76				other	OPPS APC	841.94				percent of total billed charges		1137.76				other	OPPS APC	1137.76				other	OPPS APC	308.22				percent of total billed charges		314.36				percent of total billed charges		1137.76				other	OPPS APC	308.22	1137.76	
GRAFT BONE FIBULA SHAFT ALLOGRAFT FREEZE DRIED 60X14-18MM	SUP-400730	CDM	270010031	LOCAL	270	RC		inpatient			1137.76	1137.76																																																			
GRAFT BONE FIBULA SHAFT L60 MM X W14-18 MM ALLOGRAFT FREEZE DRIED	SUP-500730	CDM	270010031	LOCAL	270	RC		outpatient			1137.76	1137.76	308.22				percent of total billed charges		1137.76				other	OPPS APC	841.94				percent of total billed charges		1137.76				other	OPPS APC	1137.76				other	OPPS APC	308.22				percent of total billed charges		314.36				percent of total billed charges		1137.76				other	OPPS APC	308.22	1137.76	
GRAFT BONE FIBULA SHAFT L60 MM X W14-18 MM ALLOGRAFT FREEZE DRIED	SUP-500730	CDM	270010031	LOCAL	270	RC		inpatient			1137.76	1137.76																																																			
CANISTER KIT	SUP-97-00848	CDM			271	RC		outpatient			1137	1137	308.01				percent of total billed charges		1137				other	OPPS APC	841.38				percent of total billed charges		1137				other	OPPS APC	1137				other	OPPS APC	308.01				percent of total billed charges		314.15				percent of total billed charges		1137				other	OPPS APC	308.01	1137	
CANISTER KIT	SUP-97-00848	CDM			271	RC		inpatient			1137	1137																																																			
SCREW INSERTION HANDLE STANDARD CANNULATED CONNECT EXPERT TIBIAL NAIL	SUP-03.010.044	CDM	270010022	LOCAL	270	RC		outpatient			1136.3	1136.3	307.82				percent of total billed charges		1136.3				other	OPPS APC	840.86				percent of total billed charges		1136.3				other	OPPS APC	1136.3				other	OPPS APC	307.82				percent of total billed charges		313.96				percent of total billed charges		1136.3				other	OPPS APC	307.82	1136.3	
SCREW INSERTION HANDLE STANDARD CANNULATED CONNECT EXPERT TIBIAL NAIL	SUP-03.010.044	CDM	270010022	LOCAL	270	RC		inpatient			1136.3	1136.3																																																			
SCREW INSERTER 63MM TITANIUM NS CONNECT CANNULATED EXPERT HUMERAL NAIL	SUP-03.010.053	CDM	270010022	LOCAL	270	RC		outpatient			1136.3	1136.3	307.82				percent of total billed charges		1136.3				other	OPPS APC	840.86				percent of total billed charges		1136.3				other	OPPS APC	1136.3				other	OPPS APC	307.82				percent of total billed charges		313.96				percent of total billed charges		1136.3				other	OPPS APC	307.82	1136.3	
SCREW INSERTER 63MM TITANIUM NS CONNECT CANNULATED EXPERT HUMERAL NAIL	SUP-03.010.053	CDM	270010022	LOCAL	270	RC		inpatient			1136.3	1136.3																																																			
MESH SURGICAL C-QUR POLYPROPYLENE L8 IN X W6 IN BIORESORBABLE HERNIA	SUP-31533	CDM			270	RC		outpatient			1136.04	1136.4	307.75				percent of total billed charges		1136.04				other	OPPS APC	840.67				percent of total billed charges		1136.04				other	OPPS APC	1136.04				other	OPPS APC	307.75				percent of total billed charges		313.89				percent of total billed charges		1136.4				other	OPPS APC	307.75	1136.4	
MESH SURGICAL C-QUR POLYPROPYLENE L8 IN X W6 IN BIORESORBABLE HERNIA	SUP-31533	CDM			270	RC		inpatient			1136.04	1136.04																																																			
TRACKER NAVIGATION AXIEM TRACER STERILE LATEX FREE DISPOSABLE	SUP-9735317	CDM			270	RC		outpatient			1136	1136	307.74				percent of total billed charges		1136				other	OPPS APC	840.64				percent of total billed charges		1136				other	OPPS APC	1136				other	OPPS APC	307.74				percent of total billed charges		313.88				percent of total billed charges		1136				other	OPPS APC	307.74	1136	
TRACKER NAVIGATION AXIEM TRACER STERILE LATEX FREE DISPOSABLE	SUP-9735317	CDM			270	RC		inpatient			1136	1136																																																			
ENCLOSE II WITH 4.0MM PUNCH	SUP-EN240	CDM			270	RC		outpatient			1136	1136	307.74				percent of total billed charges		1136				other	OPPS APC	840.64				percent of total billed charges		1136				other	OPPS APC	1136				other	OPPS APC	307.74				percent of total billed charges		313.88				percent of total billed charges		1136				other	OPPS APC	307.74	1136	
ENCLOSE II WITH 4.0MM PUNCH	SUP-EN240	CDM			270	RC		inpatient			1136	1136																																																			
BIT DRILL 140 MM L400 MM OD2.5 MM JACOBS CHUCK NONSTERILE	SUP-397.342	CDM	270010022	LOCAL	270	RC		outpatient			1135.2	1135.2	307.53				percent of total billed charges		1135.2				other	OPPS APC	840.05				percent of total billed charges		1135.2				other	OPPS APC	1135.2				other	OPPS APC	307.53				percent of total billed charges		313.66				percent of total billed charges		1135.2				other	OPPS APC	307.53	1135.2	
BIT DRILL 140 MM L400 MM OD2.5 MM JACOBS CHUCK NONSTERILE	SUP-397.342	CDM	270010022	LOCAL	270	RC		inpatient			1135.2	1135.2																																																			
MONOPTY (22M) 20G X 16CM   USSUP	SUP-95-00940	CDM			272	RC		outpatient			1135.14	1135.14	307.51				percent of total billed charges		1135.14				other	OPPS APC	840				percent of total billed charges		1135.14				other	OPPS APC	1135.14				other	OPPS APC	307.51				percent of total billed charges		313.64				percent of total billed charges		1135.14				other	OPPS APC	307.51	1135.14	
MONOPTY (22M) 20G X 16CM   USSUP	SUP-95-00940	CDM			272	RC		inpatient			1135.14	1135.14																																																			
GUIDE SURGICAL 222MM 3.2MM 11MM NS WIRE	SUP-357.381	CDM	270010013	LOCAL	270	RC		outpatient			1134.1	1135	307.23				percent of total billed charges		1134.1				other	OPPS APC	839.23				percent of total billed charges		1134.1				other	OPPS APC	1134.1				other	OPPS APC	307.23				percent of total billed charges		313.35				percent of total billed charges		1135				other	OPPS APC	307.23	1135	
GUIDE SURGICAL 222MM 3.2MM 11MM NS WIRE	SUP-357.381	CDM	270010013	LOCAL	270	RC		inpatient			1134.1	1134.1																																																			
MORCELLATOR SURGICAL TRUCLEAR ROTARY DISPOSABLE HYSTEROSCOPY	SUP-7209509	CDM						inpatient			1134	1134																																																			
MORCELLATOR SURGICAL TRUCLEAR ROTARY DISPOSABLE HYSTEROSCOPY	SUP-7209509	CDM						outpatient			1134	1134	1134				percent of total billed charges		1134				other	OPPS APC	1134				fee schedule		1134				other	OPPS APC	1134				other	OPPS APC	1134				case rate		1134				case rate		1134				other	OPPS APC	1134	1134	
FORCEPS BIOPSY ALWAYS-ON TIP TRACKED SPIN DRIVE L900-1100 MM SERRATE LUNG DISEASE MANAGEMENT	SUP-INS-0372	CDM			270	RC		outpatient			1134	1134	307.2				percent of total billed charges		1134				other	OPPS APC	839.16				percent of total billed charges		1134				other	OPPS APC	1134				other	OPPS APC	307.2				percent of total billed charges		313.32				percent of total billed charges		1134				other	OPPS APC	307.2	1134	
FORCEPS BIOPSY ALWAYS-ON TIP TRACKED SPIN DRIVE L900-1100 MM SERRATE LUNG DISEASE MANAGEMENT	SUP-INS-0372	CDM			270	RC		inpatient			1134	1134																																																			
SEALER TISSUE ENSEAL G2 STRAIGHT L45 CM OD5 MM ARTICULATE	SUP-NSLG2S45A	CDM			270	RC		outpatient			1133.83	1133.83	307.15				percent of total billed charges		1133.83				other	OPPS APC	839.03				percent of total billed charges		1133.83				other	OPPS APC	1133.83				other	OPPS APC	307.15				percent of total billed charges		313.28				percent of total billed charges		1133.83				other	OPPS APC	307.15	1133.83	
SEALER TISSUE ENSEAL G2 STRAIGHT L45 CM OD5 MM ARTICULATE	SUP-NSLG2S45A	CDM			270	RC		inpatient			1133.83	1133.83																																																			
SLINGSHOT 70 UP CAPSULE RESTORATION	SUP-95-05367	CDM			272	RC		outpatient			1133.28	1133.28	307.01				percent of total billed charges		1133.28				other	OPPS APC	838.63				percent of total billed charges		1133.28				other	OPPS APC	1133.28				other	OPPS APC	307.01				percent of total billed charges		313.13				percent of total billed charges		1133.28				other	OPPS APC	307.01	1133.28	
SLINGSHOT 70 UP CAPSULE RESTORATION	SUP-95-05367	CDM			272	RC		inpatient			1133.28	1133.28																																																			
Sleep Study Attended	PX-920958070	CDM	95807	CPT	920	RC		outpatient			1133	1133	482.65				fee schedule		1133				other	OPPS APC	1458.65				fee schedule		1133				other	OPPS APC	1133				other	OPPS APC	385.93				fee schedule		577.83				percent of total billed charges		1133				other	OPPS APC	385.93	1458.65	
Sleep Study Attended	PX-920958070	CDM	95807	CPT	920	RC		inpatient			1133	1133																																																			
NEEDLE BIOPSY NEEDLE PASSIVE	SUP-9733068_71351	CDM			270	RC		outpatient			1132.5	1132.5	306.79				percent of total billed charges		1132.5				other	OPPS APC	838.05				percent of total billed charges		1132.5				other	OPPS APC	1132.5				other	OPPS APC	306.79				percent of total billed charges		312.91				percent of total billed charges		1132.5				other	OPPS APC	306.79	1132.5	
NEEDLE BIOPSY NEEDLE PASSIVE	SUP-9733068_71351	CDM			270	RC		inpatient			1132.5	1132.5																																																			
ANESTHESIA SOLUTION = EXTENSIO	SUP-40-00066	CDM			272	RC		outpatient			1132.35	1132.35	306.75				percent of total billed charges		1132.35				other	OPPS APC	837.94				percent of total billed charges		1132.35				other	OPPS APC	1132.35				other	OPPS APC	306.75				percent of total billed charges		312.87				percent of total billed charges		1132.35				other	OPPS APC	306.75	1132.35	
ANESTHESIA SOLUTION = EXTENSIO	SUP-40-00066	CDM			272	RC		inpatient			1132.35	1132.35																																																			
ROD EXTERNAL FIXATION BLUNT L335 MM OD5 MM ODSEC1.6 MM THREAD CANNULATED NONSTERILE	SUP-328.170	CDM	270010022	LOCAL	270	RC		outpatient			1131.9	1131.91	306.63				percent of total billed charges		1131.9				other	OPPS APC	837.61				percent of total billed charges		1131.9				other	OPPS APC	1131.9				other	OPPS APC	306.63				percent of total billed charges		312.74				percent of total billed charges		1131.91				other	OPPS APC	306.63	1131.91	
ROD EXTERNAL FIXATION BLUNT L335 MM OD5 MM ODSEC1.6 MM THREAD CANNULATED NONSTERILE	SUP-328.170	CDM	270010022	LOCAL	270	RC		inpatient			1131.9	1131.9																																																			
PATCH DURAL DURA-GUARD BOVINE PERICARDIAL L8 CM X W6 CM STERILE	SUP-DG0608SN	CDM			270	RC		outpatient			1130.38	113.38	306.22				percent of total billed charges		1130.38				other	OPPS APC	836.48				percent of total billed charges		1130.38				other	OPPS APC	1130.38				other	OPPS APC	306.22				percent of total billed charges		312.32				percent of total billed charges		113.38				other	OPPS APC	113.38	1130.38	
PATCH DURAL DURA-GUARD BOVINE PERICARDIAL L8 CM X W6 CM STERILE	SUP-DG0608SN	CDM			270	RC		inpatient			1130.38	1130.38																																																			
DEVICE SEALING HEARTSTRING III OD3.8 MM PROXIMAL DELIVERY LOADER AORTIC CUTTER	SUP-HSK-3038	CDM			270	RC		outpatient			1130.14	113.14	306.15				percent of total billed charges		1130.14				other	OPPS APC	836.3				percent of total billed charges		1130.14				other	OPPS APC	1130.14				other	OPPS APC	306.15				percent of total billed charges		312.26				percent of total billed charges		113.14				other	OPPS APC	113.14	1130.14	
DEVICE SEALING HEARTSTRING III OD3.8 MM PROXIMAL DELIVERY LOADER AORTIC CUTTER	SUP-HSK-3038	CDM			270	RC		inpatient			1130.14	1130.14																																																			
PLATE BONE LC-DCP 118MM SS NS 10 HOLE RECONSTRUCTION 3.5MM SCREW SM FRAGMENT	SUP-245.00	CDM	270010022	LOCAL	270	RC		outpatient			1129.7	1129.7	306.04				percent of total billed charges		1129.7				other	OPPS APC	835.98				percent of total billed charges		1129.7				other	OPPS APC	1129.7				other	OPPS APC	306.04				percent of total billed charges		312.14				percent of total billed charges		1129.7				other	OPPS APC	306.04	1129.7	
PLATE BONE LC-DCP 118MM SS NS 10 HOLE RECONSTRUCTION 3.5MM SCREW SM FRAGMENT	SUP-245.00	CDM	270010022	LOCAL	270	RC		inpatient			1129.7	1129.7																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L140 MM X W10.1 MM X H3.5 MM 10 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.101	CDM	270010022	LOCAL	270	RC		outpatient			1129.7	1129.7	306.04				percent of total billed charges		1129.7				other	OPPS APC	835.98				percent of total billed charges		1129.7				other	OPPS APC	1129.7				other	OPPS APC	306.04				percent of total billed charges		312.14				percent of total billed charges		1129.7				other	OPPS APC	306.04	1129.7	
PLATE BONE LCP COMBI STAINLESS STEEL L140 MM X W10.1 MM X H3.5 MM 10 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.101	CDM	270010022	LOCAL	270	RC		inpatient			1129.7	1129.7																																																			
PLATE VARIAX  T	SUP-40-15081	CDM			270	RC		outpatient			1129.6	1129.6	306.01				percent of total billed charges		1129.6				other	OPPS APC	835.9				percent of total billed charges		1129.6				other	OPPS APC	1129.6				other	OPPS APC	306.01				percent of total billed charges		312.11				percent of total billed charges		1129.6				other	OPPS APC	306.01	1129.6	
PLATE VARIAX  T	SUP-40-15081	CDM			270	RC		inpatient			1129.6	1129.6																																																			
PLATE VARIAX  5 HOLE LEFT	SUP-40-15091	CDM			270	RC		outpatient			1129.6	1129.6	306.01				percent of total billed charges		1129.6				other	OPPS APC	835.9				percent of total billed charges		1129.6				other	OPPS APC	1129.6				other	OPPS APC	306.01				percent of total billed charges		312.11				percent of total billed charges		1129.6				other	OPPS APC	306.01	1129.6	
PLATE VARIAX  5 HOLE LEFT	SUP-40-15091	CDM			270	RC		inpatient			1129.6	1129.6																																																			
PLATE VARIAX  5 HOLE RIGHT	SUP-40-15092	CDM			270	RC		outpatient			1129.6	1129.6	306.01				percent of total billed charges		1129.6				other	OPPS APC	835.9				percent of total billed charges		1129.6				other	OPPS APC	1129.6				other	OPPS APC	306.01				percent of total billed charges		312.11				percent of total billed charges		1129.6				other	OPPS APC	306.01	1129.6	
PLATE VARIAX  5 HOLE RIGHT	SUP-40-15092	CDM			270	RC		inpatient			1129.6	1129.6																																																			
GRAFT HEMASHIELD PLATINUM 34MMX30CM	SUP-M00202175434P0	CDM			270	RC		outpatient			1129.52	1129.52	305.99				percent of total billed charges		1129.52				other	OPPS APC	835.84				percent of total billed charges		1129.52				other	OPPS APC	1129.52				other	OPPS APC	305.99				percent of total billed charges		312.09				percent of total billed charges		1129.52				other	OPPS APC	305.99	1129.52	
GRAFT HEMASHIELD PLATINUM 34MMX30CM	SUP-M00202175434P0	CDM			270	RC		inpatient			1129.52	1129.52																																																			
GRAFT HEMASHIELD PLATINUM 38MMX30CM	SUP-M00202175438P0	CDM			270	RC		outpatient			1129.52	1129.52	305.99				percent of total billed charges		1129.52				other	OPPS APC	835.84				percent of total billed charges		1129.52				other	OPPS APC	1129.52				other	OPPS APC	305.99				percent of total billed charges		312.09				percent of total billed charges		1129.52				other	OPPS APC	305.99	1129.52	
GRAFT HEMASHIELD PLATINUM 38MMX30CM	SUP-M00202175438P0	CDM			270	RC		inpatient			1129.52	1129.52																																																			
PLATE BONE TITANIUM SMALL L20 MM X W18 MM X H.3 MM ORBITAL FLOOR ISOLATED 1.2 MM SCREWS	SUP-5403003	CDM			270	RC		outpatient			1129.2	1129.2	305.9				percent of total billed charges		1129.2				other	OPPS APC	835.61				percent of total billed charges		1129.2				other	OPPS APC	1129.2				other	OPPS APC	305.9				percent of total billed charges		312				percent of total billed charges		1129.2				other	OPPS APC	305.9	1129.2	
PLATE BONE TITANIUM SMALL L20 MM X W18 MM X H.3 MM ORBITAL FLOOR ISOLATED 1.2 MM SCREWS	SUP-5403003	CDM			270	RC		inpatient			1129.2	1129.2																																																			
SEALER TISSUE ENSEAL X1 L45 CM TAPER TIP CURVE JAW STERILE LATEX FREE DISPOSABLE	SUP-NSLX145C	CDM			270	RC		outpatient			1129.11	1129.2	305.88				percent of total billed charges		1129.11				other	OPPS APC	835.54				percent of total billed charges		1129.11				other	OPPS APC	1129.11				other	OPPS APC	305.88				percent of total billed charges		311.97				percent of total billed charges		1129.2				other	OPPS APC	305.88	1129.2	
SEALER TISSUE ENSEAL X1 L45 CM TAPER TIP CURVE JAW STERILE LATEX FREE DISPOSABLE	SUP-NSLX145C	CDM			270	RC		inpatient			1129.11	1129.11																																																			
HC Sl Breast Localization Each Additional	PX-361192841	CDM	19284	CPT	361	RC		inpatient			1129	1129																																																			
HC Sl Breast Localization Each Additional	PX-361192841	CDM	19284	CPT	361	RC		outpatient			1129	1129	356.54				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	356.54				percent of total billed charges		363.65				percent of total billed charges						other	OPPS APC	612	612	
BUPIVACAINE LIPOSOME 1.3 % (13.3 MG/ML) SUSPENSION	250000000	CDM	65250-266-20	NDC	C9290	HCPCS		inpatient			1128.35	1128.35																																																			
BUPIVACAINE LIPOSOME 1.3 % (13.3 MG/ML) SUSPENSION	250000000	CDM	65250-266-20	NDC	C9290	HCPCS		outpatient			1128.35	1128.35																																															other	OPPS APC			
BUPIVACAINE LIPOSOME 1.3 % (13.3 MG/ML) SUSPENSION 20 ML VIAL	250000000	CDM	65250-266-20	NDC	C9290	HCPCS		inpatient			1128.35	1128.35																																																			
BUPIVACAINE LIPOSOME 1.3 % (13.3 MG/ML) SUSPENSION 20 ML VIAL	250000000	CDM	65250-266-20	NDC	C9290	HCPCS		outpatient			1128.35	1128.35																																															other	OPPS APC			
PLATE 66MM SS 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM 7 HOLE LOW PROFILE CUT TO	SUP-249.684	CDM	270010022	LOCAL	270	RC		outpatient			1128.12	1128.12	305.61				percent of total billed charges		1128.12				other	OPPS APC	834.81				percent of total billed charges		1128.12				other	OPPS APC	1128.12				other	OPPS APC	305.61				percent of total billed charges		311.7				percent of total billed charges		1128.12				other	OPPS APC	305.61	1128.12	
PLATE 66MM SS 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM 7 HOLE LOW PROFILE CUT TO	SUP-249.684	CDM	270010022	LOCAL	270	RC		inpatient			1128.12	1128.12																																																			
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 6 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-49-09	CDM			270	RC		outpatient			1126.5	1126.5	305.17				percent of total billed charges		1126.5				other	OPPS APC	833.61				percent of total billed charges		1126.5				other	OPPS APC	1126.5				other	OPPS APC	305.17				percent of total billed charges		311.25				percent of total billed charges		1126.5				other	OPPS APC	305.17	1126.5	
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 6 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-49-09	CDM			270	RC		inpatient			1126.5	1126.5																																																			
PLATE BONE MESH TEMPORAL TITANIM MALMIUM	SUP-421.5	CDM	270010013	LOCAL	270	RC		outpatient			1126.12	1126.12	305.07				percent of total billed charges		1126.12				other	OPPS APC	833.33				percent of total billed charges		1126.12				other	OPPS APC	1126.12				other	OPPS APC	305.07				percent of total billed charges		311.15				percent of total billed charges		1126.12				other	OPPS APC	305.07	1126.12	
PLATE BONE MESH TEMPORAL TITANIM MALMIUM	SUP-421.5	CDM	270010013	LOCAL	270	RC		inpatient			1126.12	1126.12																																																			
ANCHOR KNOTLESS 6.5MM S-ULTRA	SUP-79-00091	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
ANCHOR KNOTLESS 6.5MM S-ULTRA	SUP-79-00091	CDM			278	RC		inpatient			1125	1125																																																			
EXRACTION SYSTEM CONTAINED ALEXIS	SUP-95-03972	CDM			272	RC		outpatient			1125	1125	304.76				percent of total billed charges		1125				other	OPPS APC	832.5				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	304.76				percent of total billed charges		310.84				percent of total billed charges		1125				other	OPPS APC	304.76	1125	
EXRACTION SYSTEM CONTAINED ALEXIS	SUP-95-03972	CDM			272	RC		inpatient			1125	1125																																																			
ANCHOR KNOTLESS 5.5MM S-ULTRA	SUP-97-03542	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
ANCHOR KNOTLESS 5.5MM S-ULTRA	SUP-97-03542	CDM			278	RC		inpatient			1125	1125																																																			
SUTR ANCH PEEK SWVLKC 4.75X19.1MM	SUP-97-03744	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
SUTR ANCH PEEK SWVLKC 4.75X19.1MM	SUP-97-03744	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCRW 4.3X38MM	SUP-97-04035	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCRW 4.3X38MM	SUP-97-04035	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCRW 4.3X42MM	SUP-97-04036	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCRW 4.3X42MM	SUP-97-04036	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCREW 4.3 X 48MM	SUP-97-04490	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCREW 4.3 X 48MM	SUP-97-04490	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCREW 4.3 X 46MM	SUP-97-04564	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCREW 4.3 X 46MM	SUP-97-04564	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCREW 4.3 X 50MM	SUP-97-04622	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCREW 4.3 X 50MM	SUP-97-04622	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCREW 4.3X44MM	SUP-97-04821	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCREW 4.3X44MM	SUP-97-04821	CDM			278	RC		inpatient			1125	1125																																																			
HEADLESS COMPRES SCRW 4.3 X 55MM	SUP-97-05263	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
HEADLESS COMPRES SCRW 4.3 X 55MM	SUP-97-05263	CDM			278	RC		inpatient			1125	1125																																																			
CATHETER- QUAD EP	SUP-99-04763	CDM			278	RC		outpatient			1125	1125	1125				fee schedule		1125				other	OPPS APC	641.25				percent of total billed charges		1125				other	OPPS APC	1125				other	OPPS APC	551.25				percent of total billed charges		573.75				percent of total billed charges		1125				other	OPPS APC	551.25	1125	
CATHETER- QUAD EP	SUP-99-04763	CDM			278	RC		inpatient			1125	1125																																																			
PLATE BONE LCP COMBI STAINLESS STEEL -90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.501	CDM	270010022	LOCAL	270	RC		outpatient			1124.24	1124.24	304.56				percent of total billed charges		1124.24				other	OPPS APC	831.94				percent of total billed charges		1124.24				other	OPPS APC	1124.24				other	OPPS APC	304.56				percent of total billed charges		310.63				percent of total billed charges		1124.24				other	OPPS APC	304.56	1124.24	
PLATE BONE LCP COMBI STAINLESS STEEL -90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.501	CDM	270010022	LOCAL	270	RC		inpatient			1124.24	1124.24																																																			
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.503	CDM	270010022	LOCAL	270	RC		outpatient			1124.24	1124.24	304.56				percent of total billed charges		1124.24				other	OPPS APC	831.94				percent of total billed charges		1124.24				other	OPPS APC	1124.24				other	OPPS APC	304.56				percent of total billed charges		310.63				percent of total billed charges		1124.24				other	OPPS APC	304.56	1124.24	
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.503	CDM	270010022	LOCAL	270	RC		inpatient			1124.24	1124.24																																																			
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.505	CDM	270010022	LOCAL	270	RC		outpatient			1124.24	1124.24	304.56				percent of total billed charges		1124.24				other	OPPS APC	831.94				percent of total billed charges		1124.24				other	OPPS APC	1124.24				other	OPPS APC	304.56				percent of total billed charges		310.63				percent of total billed charges		1124.24				other	OPPS APC	304.56	1124.24	
PLATE BONE LCP COMBI STAINLESS STEEL +90 D L L49 MM X W6.3 MM X H1.6 MM RADIUS DISTAL 3 HOLE HEAD 4 HOLE SHAFT LOW PROFILE ROUND EDGE NONSTERILE 2.4 MM SCREW	SUP-242.505	CDM	270010022	LOCAL	270	RC		inpatient			1124.24	1124.24																																																			
CUTTER 25G TOTAL PLUS PACK W/10K	SUP-8065752437	CDM			270	RC		outpatient			1124	1124	304.49				percent of total billed charges		1124				other	OPPS APC	831.76				percent of total billed charges		1124				other	OPPS APC	1124				other	OPPS APC	304.49				percent of total billed charges		310.56				percent of total billed charges		1124				other	OPPS APC	304.49	1124	
CUTTER 25G TOTAL PLUS PACK W/10K	SUP-8065752437	CDM			270	RC		inpatient			1124	1124																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD12 MM ODSEC6 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK1206	CDM			270	RC		outpatient			1124	1124	304.49				percent of total billed charges		1124				other	OPPS APC	831.76				percent of total billed charges		1124				other	OPPS APC	1124				other	OPPS APC	304.49				percent of total billed charges		310.56				percent of total billed charges		1124				other	OPPS APC	304.49	1124	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD12 MM ODSEC6 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK1206	CDM			270	RC		inpatient			1124	1124																																																			
SYSTEM SUCTION REVOLVE STERILE DISPOSABLE ADVANCE ADIPOSE SYSTEM	SUP-RV0001	CDM			270	RC		outpatient			1124	1124	304.49				percent of total billed charges		1124				other	OPPS APC	831.76				percent of total billed charges		1124				other	OPPS APC	1124				other	OPPS APC	304.49				percent of total billed charges		310.56				percent of total billed charges		1124				other	OPPS APC	304.49	1124	
SYSTEM SUCTION REVOLVE STERILE DISPOSABLE ADVANCE ADIPOSE SYSTEM	SUP-RV0001	CDM			270	RC		inpatient			1124	1124																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L40 CM ID6 MM PERIPHERAL STRETCH STERILE	SUP-S0604	CDM			270	RC		outpatient			1124	1124	304.49				percent of total billed charges		1124				other	OPPS APC	831.76				percent of total billed charges		1124				other	OPPS APC	1124				other	OPPS APC	304.49				percent of total billed charges		310.56				percent of total billed charges		1124				other	OPPS APC	304.49	1124	
GRAFT VASCULAR GORE-TEX STANDARD WALL L40 CM ID6 MM PERIPHERAL STRETCH STERILE	SUP-S0604	CDM			270	RC		inpatient			1124	1124																																																			
PLATE BONE TITANIUM X STERNAL 10 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.040	CDM			270	RC		outpatient			1120.14	112.14	303.45				percent of total billed charges		1120.14				other	OPPS APC	828.9				percent of total billed charges		1120.14				other	OPPS APC	1120.14				other	OPPS APC	303.45				percent of total billed charges		309.49				percent of total billed charges		112.14				other	OPPS APC	112.14	1120.14	
PLATE BONE TITANIUM X STERNAL 10 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.040	CDM			270	RC		inpatient			1120.14	1120.14																																																			
ANCHOR SUTURE 5.5MM HEALICOIL BLUE	SUP-79-00089	CDM			278	RC		outpatient			1120	112	1120				fee schedule		1120				other	OPPS APC	638.4				percent of total billed charges		1120				other	OPPS APC	1120				other	OPPS APC	548.8				percent of total billed charges		571.2				percent of total billed charges		112				other	OPPS APC	112	1120	
ANCHOR SUTURE 5.5MM HEALICOIL BLUE	SUP-79-00089	CDM			278	RC		inpatient			1120	1120																																																			
MICROVENA SNARE 4.0MM	SUP-SK400	CDM			270	RC		outpatient			1120	112	303.41				percent of total billed charges		1120				other	OPPS APC	828.8				percent of total billed charges		1120				other	OPPS APC	1120				other	OPPS APC	303.41				percent of total billed charges		309.46				percent of total billed charges		112				other	OPPS APC	112	1120	
MICROVENA SNARE 4.0MM	SUP-SK400	CDM			270	RC		inpatient			1120	1120																																																			
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 135 DEG 2 HOLE	SUP-218.102S	CDM	270010022	LOCAL	270	RC		outpatient			1119.36	1119.36	303.23				percent of total billed charges		1119.36				other	OPPS APC	828.33				percent of total billed charges		1119.36				other	OPPS APC	1119.36				other	OPPS APC	303.23				percent of total billed charges		309.28				percent of total billed charges		1119.36				other	OPPS APC	303.23	1119.36	
PLATE BONE COMPRESSION DHS DCS STANDARD BARREL 135 DEG 2 HOLE	SUP-218.102S	CDM	270010022	LOCAL	270	RC		inpatient			1119.36	1119.36																																																			
HANDLE SCREWDRIVER CUNTERSINK N/S	SUP-97-02591	CDM			272	RC		outpatient			1118.85	1118.85	303.1				percent of total billed charges		1118.85				other	OPPS APC	827.95				percent of total billed charges		1118.85				other	OPPS APC	1118.85				other	OPPS APC	303.1				percent of total billed charges		309.14				percent of total billed charges		1118.85				other	OPPS APC	303.1	1118.85	
HANDLE SCREWDRIVER CUNTERSINK N/S	SUP-97-02591	CDM			272	RC		inpatient			1118.85	1118.85																																																			
ANCHOR SUTURE 5.5MM HEALICOIL BLK	SUP-79-00088	CDM			278	RC		outpatient			1118.07	1118.7	1118.07				fee schedule		1118.07				other	OPPS APC	637.3				percent of total billed charges		1118.07				other	OPPS APC	1118.07				other	OPPS APC	547.85				percent of total billed charges		570.22				percent of total billed charges		1118.7				other	OPPS APC	547.85	1118.7	
ANCHOR SUTURE 5.5MM HEALICOIL BLK	SUP-79-00088	CDM			278	RC		inpatient			1118.07	1118.07																																																			
STAPLER ECHELON STANDARD	SUP-74-00402	CDM			272	RC		outpatient			1117.09	1117.9	302.62				percent of total billed charges		1117.09				other	OPPS APC	826.65				percent of total billed charges		1117.09				other	OPPS APC	1117.09				other	OPPS APC	302.62				percent of total billed charges		308.65				percent of total billed charges		1117.9				other	OPPS APC	302.62	1117.9	
STAPLER ECHELON STANDARD	SUP-74-00402	CDM			272	RC		inpatient			1117.09	1117.09																																																			
MONOPTY (22M) 18G X 16CM    USSUP	SUP-95-00943	CDM			272	RC		outpatient			1112.43	1112.43	301.36				percent of total billed charges		1112.43				other	OPPS APC	823.2				percent of total billed charges		1112.43				other	OPPS APC	1112.43				other	OPPS APC	301.36				percent of total billed charges		307.36				percent of total billed charges		1112.43				other	OPPS APC	301.36	1112.43	
MONOPTY (22M) 18G X 16CM    USSUP	SUP-95-00943	CDM			272	RC		inpatient			1112.43	1112.43																																																			
HRHK TIBIAL SLEEVE	SUP-97-04689	CDM			278	RC		outpatient			1112.4	1112.41	1112.4				fee schedule		1112.4				other	OPPS APC	634.07				percent of total billed charges		1112.4				other	OPPS APC	1112.4				other	OPPS APC	545.08				percent of total billed charges		567.32				percent of total billed charges		1112.41				other	OPPS APC	545.08	1112.41	
HRHK TIBIAL SLEEVE	SUP-97-04689	CDM			278	RC		inpatient			1112.4	1112.4																																																			
DEVICE SUTURING CAPIO SLIM FUNNEL TRANSVAGINAL ERGONOMIC HANDLE REDUCE PROFILE OPEN ACCESS CAPTURE STERILE DISPOSABLE	SUP-M0068318250	CDM			270	RC		outpatient			1111.36	1111.36	301.07				percent of total billed charges		1111.36				other	OPPS APC	822.41				percent of total billed charges		1111.36				other	OPPS APC	1111.36				other	OPPS APC	301.07				percent of total billed charges		307.07				percent of total billed charges		1111.36				other	OPPS APC	301.07	1111.36	
DEVICE SUTURING CAPIO SLIM FUNNEL TRANSVAGINAL ERGONOMIC HANDLE REDUCE PROFILE OPEN ACCESS CAPTURE STERILE DISPOSABLE	SUP-M0068318250	CDM			270	RC		inpatient			1111.36	1111.36																																																			
MONOPTY (22M) 18G X 10CM     USSUP	SUP-95-00942	CDM			272	RC		outpatient			1110.3	111.3	300.78				percent of total billed charges		1110.3				other	OPPS APC	821.62				percent of total billed charges		1110.3				other	OPPS APC	1110.3				other	OPPS APC	300.78				percent of total billed charges		306.78				percent of total billed charges		111.3				other	OPPS APC	111.3	1110.3	
MONOPTY (22M) 18G X 10CM     USSUP	SUP-95-00942	CDM			272	RC		inpatient			1110.3	1110.3																																																			
HC C/T-T Spine W/O Contrast	PX-352721280	CDM	72128	CPT	352	RC		outpatient			1110	112.57	179.13				fee schedule		112.57				other	OPPS APC	717.69				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	134.32				fee schedule		86.87				fee schedule		112.57				other	OPPS APC	86.87	717.69	
HC C/T-T Spine W/O Contrast	PX-352721280	CDM	72128	CPT	352	RC		inpatient			1110	1110																																																			
HC CT Lower Extrem WO Contrast	PX-352737000	CDM	73700	CPT	352	RC		outpatient			1110	112.57	179.74				fee schedule		112.57				other	OPPS APC	615.64				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	133.99				fee schedule		86.87				fee schedule		112.57				other	OPPS APC	86.87	615.64	
HC CT Lower Extrem WO Contrast	PX-352737000	CDM	73700	CPT	352	RC		inpatient			1110	1110																																																			
ANCHOR SUTURE CROSS KNOTLESS 4.75	SUP-97-02405	CDM			278	RC		outpatient			1110	111	1110				fee schedule		1110				other	OPPS APC	632.7				percent of total billed charges		1110				other	OPPS APC	1110				other	OPPS APC	543.9				percent of total billed charges		566.1				percent of total billed charges		111				other	OPPS APC	111	1110	
ANCHOR SUTURE CROSS KNOTLESS 4.75	SUP-97-02405	CDM			278	RC		inpatient			1110	1110																																																			
ANCHOR SUTURE CROSS KNOTLESS 5.5	SUP-97-02406	CDM			278	RC		outpatient			1110	111	1110				fee schedule		1110				other	OPPS APC	632.7				percent of total billed charges		1110				other	OPPS APC	1110				other	OPPS APC	543.9				percent of total billed charges		566.1				percent of total billed charges		111				other	OPPS APC	111	1110	
ANCHOR SUTURE CROSS KNOTLESS 5.5	SUP-97-02406	CDM			278	RC		inpatient			1110	1110																																																			
PLATE BONE VLP MINI-MOD TITANIUM STRAIGHT H1.25MM 6 HOLE 2.4 MM SCREW MINI FRAGMENT	SUP-74442422	CDM			270	RC		outpatient			1108.8	118.8	300.37				percent of total billed charges		1108.8				other	OPPS APC	820.51				percent of total billed charges		1108.8				other	OPPS APC	1108.8				other	OPPS APC	300.37				percent of total billed charges		306.36				percent of total billed charges		118.8				other	OPPS APC	118.8	1108.8	
PLATE BONE VLP MINI-MOD TITANIUM STRAIGHT H1.25MM 6 HOLE 2.4 MM SCREW MINI FRAGMENT	SUP-74442422	CDM			270	RC		inpatient			1108.8	1108.8																																																			
11.5MM HOLLOW DRILL BIT 9.5MM MULTILOC	SUP-97-01990	CDM			272	RC		outpatient			1108.77	118.77	300.37				percent of total billed charges		1108.77				other	OPPS APC	820.49				percent of total billed charges		1108.77				other	OPPS APC	1108.77				other	OPPS APC	300.37				percent of total billed charges		306.35				percent of total billed charges		118.77				other	OPPS APC	118.77	1108.77	
11.5MM HOLLOW DRILL BIT 9.5MM MULTILOC	SUP-97-01990	CDM			272	RC		inpatient			1108.77	1108.77																																																			
SET ENDOSCOPIC OTSC 6MM 165CM 10.5-12MM NITINOL DISPOSABLE STERILE LF T CLIP POINT TEETH	SUP-100.12	CDM			270	RC		outpatient			1108	118	300.16				percent of total billed charges		1108				other	OPPS APC	819.92				percent of total billed charges		1108				other	OPPS APC	1108				other	OPPS APC	300.16				percent of total billed charges		306.14				percent of total billed charges		118				other	OPPS APC	118	1108	
SET ENDOSCOPIC OTSC 6MM 165CM 10.5-12MM NITINOL DISPOSABLE STERILE LF T CLIP POINT TEETH	SUP-100.12	CDM			270	RC		inpatient			1108	1108																																																			
ANCHOR SUTURE 5.5MM HEALICOIL BLK	SUP-97-03541	CDM			278	RC		outpatient			1107.6	117.6	1107.6				fee schedule		1107.6				other	OPPS APC	631.33				percent of total billed charges		1107.6				other	OPPS APC	1107.6				other	OPPS APC	542.72				percent of total billed charges		564.88				percent of total billed charges		117.6				other	OPPS APC	117.6	1107.6	
ANCHOR SUTURE 5.5MM HEALICOIL BLK	SUP-97-03541	CDM			278	RC		inpatient			1107.6	1107.6																																																			
PACK VITRECTOMY CONSTELLATION TOTAL PLUS 5000 CPM OD23 GA 20 CC 3 WAY STOPCOCK PROBE STRAIGHT ENDOILLUMINATOR AUTO INFUSION VALVE LATEX FREE	SUP-8065751058	CDM			270	RC		outpatient			1106.22	116.22	299.67				percent of total billed charges		1106.22				other	OPPS APC	818.6				percent of total billed charges		1106.22				other	OPPS APC	1106.22				other	OPPS APC	299.67				percent of total billed charges		305.65				percent of total billed charges		116.22				other	OPPS APC	116.22	1106.22	
PACK VITRECTOMY CONSTELLATION TOTAL PLUS 5000 CPM OD23 GA 20 CC 3 WAY STOPCOCK PROBE STRAIGHT ENDOILLUMINATOR AUTO INFUSION VALVE LATEX FREE	SUP-8065751058	CDM			270	RC		inpatient			1106.22	1106.22																																																			
STAPLER ECHELON 60MM	SUP-74-00389	CDM			272	RC		outpatient			1106.03	116.3	299.62				percent of total billed charges		1106.03				other	OPPS APC	818.46				percent of total billed charges		1106.03				other	OPPS APC	1106.03				other	OPPS APC	299.62				percent of total billed charges		305.6				percent of total billed charges		116.3				other	OPPS APC	116.3	1106.03	
STAPLER ECHELON 60MM	SUP-74-00389	CDM			272	RC		inpatient			1106.03	1106.03																																																			
PADDLE TIP TROCAR	SUP-95-04026	CDM						inpatient			1104.48	1104.48																																																			
PADDLE TIP TROCAR	SUP-95-04026	CDM						outpatient			1104.48	114.48	1104.48				percent of total billed charges		1104.48				other	OPPS APC	1104.48				fee schedule		1104.48				other	OPPS APC	1104.48				other	OPPS APC	1104.48				case rate		1104.48				case rate		114.48				other	OPPS APC	114.48	1104.48	
ELECTRODE EEG CORTAC THK.76MM 4.5MM PLATINUM DISPOSABLE STERILE LF SUBDURAL 6 CONTACT STRIP RADIOPAQUE IOM CONNECTOR	SUP-2110-06-077	CDM			270	RC		outpatient			1104	114	299.07				percent of total billed charges		1104				other	OPPS APC	816.96				percent of total billed charges		1104				other	OPPS APC	1104				other	OPPS APC	299.07				percent of total billed charges		305.04				percent of total billed charges		114				other	OPPS APC	114	1104	
ELECTRODE EEG CORTAC THK.76MM 4.5MM PLATINUM DISPOSABLE STERILE LF SUBDURAL 6 CONTACT STRIP RADIOPAQUE IOM CONNECTOR	SUP-2110-06-077	CDM			270	RC		inpatient			1104	1104																																																			
BALLOON ENDOSCOPIC STERILE LATEX BFUC160F	SUP-MAJ-1351	CDM			270	RC		outpatient			1103.72	113.72	299				percent of total billed charges		1103.72				other	OPPS APC	816.75				percent of total billed charges		1103.72				other	OPPS APC	1103.72				other	OPPS APC	299				percent of total billed charges		304.96				percent of total billed charges		113.72				other	OPPS APC	113.72	1103.72	
BALLOON ENDOSCOPIC STERILE LATEX BFUC160F	SUP-MAJ-1351	CDM			270	RC		inpatient			1103.72	1103.72																																																			
CLAMP BIOMET ANGULATING	SUP-15295	CDM			270	RC		outpatient			1101.6	111.6	298.42				percent of total billed charges		1101.6				other	OPPS APC	815.18				percent of total billed charges		1101.6				other	OPPS APC	1101.6				other	OPPS APC	298.42				percent of total billed charges		304.37				percent of total billed charges		111.6				other	OPPS APC	111.6	1101.6	
CLAMP BIOMET ANGULATING	SUP-15295	CDM			270	RC		inpatient			1101.6	1101.6																																																			
HC Casirivimab and Imdevimab Includes Infusion or Injection and Post Admin Monitoring	PX-771M02430	CDM			771	RC		outpatient			1101	111	539.49				percent of total billed charges		1101				other	OPPS APC	814.74				percent of total billed charges		1101				other	OPPS APC	1101				other	OPPS APC	539.49				percent of total billed charges		561.51				percent of total billed charges		111				other	OPPS APC	111	1101	
HC Casirivimab and Imdevimab Includes Infusion or Injection and Post Admin Monitoring	PX-771M02430	CDM			771	RC		inpatient			1101	1101																																																			
SPACER SPINAL FORTIFY 0 D D16 MM W16 MM X H16 MM FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE STERILE LATEX FREE	SUP-151.501	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SPACER SPINAL FORTIFY 0 D D16 MM W16 MM X H16 MM FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE STERILE LATEX FREE	SUP-151.501	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
SPACER SPINAL FORTIFY 0 D D16 MM W16 MM X H16 MM FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE STERILE LATEX FREE	SUP-151.551	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SPACER SPINAL FORTIFY 0 D D16 MM W16 MM X H16 MM FOOTPRINT LOWER ENDPLATE SAGITTAL PROFILE STERILE LATEX FREE	SUP-151.551	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
SPACER SPINAL FORTIFY 0 D D14 MM W16 MM X H12 MM UPPER ENDPLATE SAGITTAL PROFILE NONSTERILE LATEX FREE	SUP-151.701	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SPACER SPINAL FORTIFY 0 D D14 MM W16 MM X H12 MM UPPER ENDPLATE SAGITTAL PROFILE NONSTERILE LATEX FREE	SUP-151.701	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
SPACER SPINAL FORTIFY 0 D D14 MM W16 MM X H12 MM LOWER ENDPLATE SAGITTAL PROFILE NONSTERILE LATEX FREE	SUP-151.751	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SPACER SPINAL FORTIFY 0 D D14 MM W16 MM X H12 MM LOWER ENDPLATE SAGITTAL PROFILE NONSTERILE LATEX FREE	SUP-151.751	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
GENERATOR EXTERNAL PULSE 2 PORT HEADER	SUP-3032	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
GENERATOR EXTERNAL PULSE 2 PORT HEADER	SUP-3032	CDM			270	RC		inpatient			1100	1100																																																			
VENTURE	SUP-402852	CDM			275	RC		outpatient			1100	11	539				percent of total billed charges		1100				other	OPPS APC	627				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	539				percent of total billed charges		561				percent of total billed charges		11				other	OPPS APC	11	1100	
VENTURE	SUP-402852	CDM			275	RC		inpatient			1100	1100																																																			
DEVICE LEAD LOCKING SIZE 3 LLD	SUP-518020	CDM			481	RC		outpatient			1100	11	539				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	539				percent of total billed charges		561				percent of total billed charges		11				other	OPPS APC	11	1100	
DEVICE LEAD LOCKING SIZE 3 LLD	SUP-518020	CDM			481	RC		inpatient			1100	1100																																																			
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5302	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5302	CDM			270	RC		inpatient			1100	1100																																																			
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5304	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5304	CDM			270	RC		inpatient			1100	1100																																																			
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5306	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5306	CDM			270	RC		inpatient			1100	1100																																																			
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5308	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
CATHETER INTERVENTIONAL SUPERCROSS PTFE HYDROPHILIC 45D .014IN MICRO L 130CM L 40 CM OD 2.1-2.5 FR ID .017-.021 IN DISTAL TIP FLEXIBLE KINK RESISTANT STEERABLE	SUP-5308	CDM			270	RC		inpatient			1100	1100																																																			
SHANK NUVASIVE 5.0MM X 30MM	SUP-7075030	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SHANK NUVASIVE 5.0MM X 30MM	SUP-7075030	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
SHANK NUVASIVE MAS PLIF 5 X 30MM	SUP-7095030	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SHANK NUVASIVE MAS PLIF 5 X 30MM	SUP-7095030	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
SHANK NUVASIVE MAS PLIF 5 X 35MM	SUP-7095035	CDM	270010020	LOCAL	270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SHANK NUVASIVE MAS PLIF 5 X 35MM	SUP-7095035	CDM	270010020	LOCAL	270	RC		inpatient			1100	1100																																																			
PLATE BONE STAINLESS STEEL LOW PROFILE FIBULA LEFT DISTAL 4 HOLE LOCK MODULAR	SUP-AR-8943BL-04	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
PLATE BONE STAINLESS STEEL LOW PROFILE FIBULA LEFT DISTAL 4 HOLE LOCK MODULAR	SUP-AR-8943BL-04	CDM			270	RC		inpatient			1100	1100																																																			
PLATE BONE 79MM SS FIBULA RIGHT DISTAL 4 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BR-04	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
PLATE BONE 79MM SS FIBULA RIGHT DISTAL 4 HOLE LOCK MODULAR LOW PROFILE	SUP-AR-8943BR-04	CDM			270	RC		inpatient			1100	1100																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L106 MM ANKLE 8 HOLE LOCK	SUP-AR-8943C-08	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
PLATE BONE STAINLESS STEEL STRAIGHT L106 MM ANKLE 8 HOLE LOCK	SUP-AR-8943C-08	CDM			270	RC		inpatient			1100	1100																																																			
CLIP PADLOCK DEFECT CLOSURE SYSTEM	SUP-C910001	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
CLIP PADLOCK DEFECT CLOSURE SYSTEM	SUP-C910001	CDM			270	RC		inpatient			1100	1100																																																			
CATHETER GUIDING CPS DIRECT 115 D OD10.06 FR STERILE LATEX FREE DISPOSABLE	SUP-DS2C019	CDM			275	RC		outpatient			1100	11	539				percent of total billed charges		1100				other	OPPS APC	627				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	539				percent of total billed charges		561				percent of total billed charges		11				other	OPPS APC	11	1100	
CATHETER GUIDING CPS DIRECT 115 D OD10.06 FR STERILE LATEX FREE DISPOSABLE	SUP-DS2C019	CDM			275	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 8MM	SUP-H7493941808220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 8MM	SUP-H7493941808220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 8MM	SUP-H7493941808250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 8MM	SUP-H7493941808250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 8MM	SUP-H7493941808270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 8MM	SUP-H7493941808270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 8MM	SUP-H7493941808300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 8MM	SUP-H7493941808300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 8MM	SUP-H7493941808350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 8MM	SUP-H7493941808350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 8MM	SUP-H7493941808400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 8MM	SUP-H7493941808400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 12MM	SUP-H7493941812220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 12MM	SUP-H7493941812220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 12MM	SUP-H7493941812250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 12MM	SUP-H7493941812250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 12MM	SUP-H7493941812270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 12MM	SUP-H7493941812270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 12MM	SUP-H7493941812300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 12MM	SUP-H7493941812300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 12MM	SUP-H7493941812350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 12MM	SUP-H7493941812350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 12MM	SUP-H7493941812400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 12MM	SUP-H7493941812400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 12MM	SUP-H7493941812450	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 12MM	SUP-H7493941812450	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 12MM	SUP-H7493941812500	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 12MM	SUP-H7493941812500	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 16MM	SUP-H7493941816220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 16MM	SUP-H7493941816220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 16MM	SUP-H7493941816250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 16MM	SUP-H7493941816250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 16MM	SUP-H7493941816270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 16MM	SUP-H7493941816270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 16MM	SUP-H7493941816300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 16MM	SUP-H7493941816300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 16MM	SUP-H7493941816350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 16MM	SUP-H7493941816350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 16MM	SUP-H7493941816400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 16MM	SUP-H7493941816400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 16MM	SUP-H7493941816450	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 16MM	SUP-H7493941816450	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 16MM	SUP-H7493941816500	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 16MM	SUP-H7493941816500	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 20MM	SUP-H7493941820220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 20MM	SUP-H7493941820220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 20MM	SUP-H7493941820250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 20MM	SUP-H7493941820250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT  SYNERGY XD MR 2.75 X 20MM	SUP-H7493941820270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT  SYNERGY XD MR 2.75 X 20MM	SUP-H7493941820270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 20MM	SUP-H7493941820300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 20MM	SUP-H7493941820300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 20MM	SUP-H7493941820350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 20MM	SUP-H7493941820350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 20MM	SUP-H7493941820400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 20MM	SUP-H7493941820400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 20MM	SUP-H7493941820450	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 20MM	SUP-H7493941820450	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 20MM	SUP-H7493941820500	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 20MM	SUP-H7493941820500	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 24MM	SUP-H74939418224250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 24MM	SUP-H74939418224250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 24MM	SUP-H7493941824220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 24MM	SUP-H7493941824220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 24MM	SUP-H7493941824270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 24MM	SUP-H7493941824270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 24MM	SUP-H7493941824300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 24MM	SUP-H7493941824300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 24MM	SUP-H7493941824350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 24MM	SUP-H7493941824350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 24MM	SUP-H7493941824400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 24MM	SUP-H7493941824400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 24MM	SUP-H7493941824450	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 24MM	SUP-H7493941824450	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 24MM	SUP-H7493941824500	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 24MM	SUP-H7493941824500	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 28MM	SUP-H7493941828220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 28MM	SUP-H7493941828220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 28MM	SUP-H7493941828250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 28MM	SUP-H7493941828250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 28MM	SUP-H7493941828270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 28MM	SUP-H7493941828270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 x 28MM	SUP-H7493941828300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 x 28MM	SUP-H7493941828300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 28MM	SUP-H7493941828350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 28MM	SUP-H7493941828350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 28MM	SUP-H7493941828400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 28MM	SUP-H7493941828400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 28MM	SUP-H7493941828450	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 28MM	SUP-H7493941828450	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 28MM	SUP-H7493941828500	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 28MM	SUP-H7493941828500	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 32MM	SUP-H7493941832220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 32MM	SUP-H7493941832220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 32MM	SUP-H7493941832250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 32MM	SUP-H7493941832250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 32MM	SUP-H7493941832270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 32MM	SUP-H7493941832270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 32MM	SUP-H7493941832300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 32MM	SUP-H7493941832300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 x 32MM	SUP-H7493941832350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 x 32MM	SUP-H7493941832350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 32MM	SUP-H7493941832400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 32MM	SUP-H7493941832400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 32MM	SUP-H7493941832450	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.50 X 32MM	SUP-H7493941832450	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 32MM	SUP-H7493941832500	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 5.00 X 32MM	SUP-H7493941832500	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 38MM	SUP-H7493941838220	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.25 X 38MM	SUP-H7493941838220	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 38MM	SUP-H7493941838250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 38MM	SUP-H7493941838250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 38MM	SUP-H7493941838270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 38MM	SUP-H7493941838270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 38MM	SUP-H7493941838300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 38MM	SUP-H7493941838300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 38MM	SUP-H7493941838350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 38MM	SUP-H7493941838350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 38MM	SUP-H7493941838400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 38MM	SUP-H7493941838400	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 48MM	SUP-H7493941848250	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.50 X 48MM	SUP-H7493941848250	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 48MM	SUP-H7493941848270	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 2.75 X 48MM	SUP-H7493941848270	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 48MM	SUP-H7493941848300	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.00 X 48MM	SUP-H7493941848300	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 48MM	SUP-H7493941848350	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 3.50 X 48MM	SUP-H7493941848350	CDM			270	RC		inpatient			1100	1100																																																			
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 48MM	SUP-H7493941848400	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
SYSTEM CORONARY STENT SYNERGY XD MR 4.00 X 48MM	SUP-H7493941848400	CDM			270	RC		inpatient			1100	1100																																																			
AXS INFINITY SHEATH PLUS SHEATH	SUP-INC-11196-90	CDM			270	RC		outpatient			1100	11	297.99				percent of total billed charges		1100				other	OPPS APC	814				percent of total billed charges		1100				other	OPPS APC	1100				other	OPPS APC	297.99				percent of total billed charges		303.93				percent of total billed charges		11				other	OPPS APC	11	1100	
AXS INFINITY SHEATH PLUS SHEATH	SUP-INC-11196-90	CDM			270	RC		inpatient			1100	1100																																																			
PLATE BONE STAINLESS STEEL L130 MM PELVIC 10 HOLE LOW PROFILE NONSTERILE 3.5 MM SCREW	SUP-245.030	CDM	270010022	LOCAL	270	RC		outpatient			1098.9	198.91	297.69				percent of total billed charges		1098.9				other	OPPS APC	813.19				percent of total billed charges		1098.9				other	OPPS APC	1098.9				other	OPPS APC	297.69				percent of total billed charges		303.63				percent of total billed charges		198.91				other	OPPS APC	198.91	1098.9	
PLATE BONE STAINLESS STEEL L130 MM PELVIC 10 HOLE LOW PROFILE NONSTERILE 3.5 MM SCREW	SUP-245.030	CDM	270010022	LOCAL	270	RC		inpatient			1098.9	1098.9																																																			
PLASMA J-HOOK	SUP-76-00136	CDM			272	RC		outpatient			1098.04	198.4	297.46				percent of total billed charges		1098.04				other	OPPS APC	812.55				percent of total billed charges		1098.04				other	OPPS APC	1098.04				other	OPPS APC	297.46				percent of total billed charges		303.39				percent of total billed charges		198.4				other	OPPS APC	198.4	1098.04	
PLASMA J-HOOK	SUP-76-00136	CDM			272	RC		inpatient			1098.04	1098.04																																																			
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L85 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.185S	CDM			270	RC		outpatient			1098	198	297.45				percent of total billed charges		1098				other	OPPS APC	812.52				percent of total billed charges		1098				other	OPPS APC	1098				other	OPPS APC	297.45				percent of total billed charges		303.38				percent of total billed charges		198				other	OPPS APC	198	1098	
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L85 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.185S	CDM			270	RC		inpatient			1098	1098																																																			
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L95 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.195S	CDM			270	RC		outpatient			1098	198	297.45				percent of total billed charges		1098				other	OPPS APC	812.52				percent of total billed charges		1098				other	OPPS APC	1098				other	OPPS APC	297.45				percent of total billed charges		303.38				percent of total billed charges		198				other	OPPS APC	198	1098	
SCREW BONE TFN-ADVANCED TITANIUM ALUMINUM NIOBIUM 3.5 MM L95 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.195S	CDM			270	RC		inpatient			1098	1098																																																			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L100 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.200S	CDM			270	RC		outpatient			1098	198	297.45				percent of total billed charges		1098				other	OPPS APC	812.52				percent of total billed charges		1098				other	OPPS APC	1098				other	OPPS APC	297.45				percent of total billed charges		303.38				percent of total billed charges		198				other	OPPS APC	198	1098	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L100 MM OD10.35 MM CANNULATED STERILE TAN	SUP-04.038.200S	CDM			270	RC		inpatient			1098	1098																																																			
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L105 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.205S	CDM			270	RC		outpatient			1098	198	297.45				percent of total billed charges		1098				other	OPPS APC	812.52				percent of total billed charges		1098				other	OPPS APC	1098				other	OPPS APC	297.45				percent of total billed charges		303.38				percent of total billed charges		198				other	OPPS APC	198	1098	
SCREW BONE TFN-ADVANCED TITANIUM NIOBIUM ALUMINUM 3.5 MM L105 MM OD10.35 MM FEMORAL PROXIMAL CANNULATED STERILE TAN	SUP-04.038.205S	CDM			270	RC		inpatient			1098	1098																																																			
SHEARS ELECTROSURGICAL HARMONIC FOCUS CURVE 17CM 16MM 5MM DISPOSABLE STERILE 2 HANDCONTROL ACTIVE BLADE SOFT GRIP	SUP-FCS17	CDM			270	RC		outpatient			1097.68	197.68	297.36				percent of total billed charges		1097.68				other	OPPS APC	812.28				percent of total billed charges		1097.68				other	OPPS APC	1097.68				other	OPPS APC	297.36				percent of total billed charges		303.29				percent of total billed charges		197.68				other	OPPS APC	197.68	1097.68	
SHEARS ELECTROSURGICAL HARMONIC FOCUS CURVE 17CM 16MM 5MM DISPOSABLE STERILE 2 HANDCONTROL ACTIVE BLADE SOFT GRIP	SUP-FCS17	CDM			270	RC		inpatient			1097.68	1097.68																																																			
DREAMWIRE .35 450CM	SUP-95-01661	CDM			272	RC		outpatient			1096.2	196.2	296.96				percent of total billed charges		1096.2				other	OPPS APC	811.19				percent of total billed charges		1096.2				other	OPPS APC	1096.2				other	OPPS APC	296.96				percent of total billed charges		302.88				percent of total billed charges		196.2				other	OPPS APC	196.2	1096.2	
DREAMWIRE .35 450CM	SUP-95-01661	CDM			272	RC		inpatient			1096.2	1096.2																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L70 CM ID6 MM LINE STERILE LATEX FREE	SUP-V06070L	CDM			270	RC		outpatient			1096	196	296.91				percent of total billed charges		1096				other	OPPS APC	811.04				percent of total billed charges		1096				other	OPPS APC	1096				other	OPPS APC	296.91				percent of total billed charges		302.82				percent of total billed charges		196				other	OPPS APC	196	1096	
GRAFT VASCULAR GORE-TEX STANDARD WALL L70 CM ID6 MM LINE STERILE LATEX FREE	SUP-V06070L	CDM			270	RC		inpatient			1096	1096																																																			
PLATE BONE MATRIXNEURO TITANIUM L34 MM X W14 MM X H.4 MM CRANIAL 2 X 4 HOLE STRUT RIGID NONSTERILE BLUE	SUP-04.503.075	CDM	270010013	LOCAL	270	RC		outpatient			1095.24	195.24	296.7				percent of total billed charges		1095.24				other	OPPS APC	810.48				percent of total billed charges		1095.24				other	OPPS APC	1095.24				other	OPPS APC	296.7				percent of total billed charges		302.61				percent of total billed charges		195.24				other	OPPS APC	195.24	1095.24	
PLATE BONE MATRIXNEURO TITANIUM L34 MM X W14 MM X H.4 MM CRANIAL 2 X 4 HOLE STRUT RIGID NONSTERILE BLUE	SUP-04.503.075	CDM	270010013	LOCAL	270	RC		inpatient			1095.24	1095.24																																																			
GRAFT CARDIOVASCULAR HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC STRAIGHT L40 CM X H.49 MM OD16 MM KNITTED REVERSE LOCKNIT CROSS LINKED RADIAL TENSILE STRENGTH EXCELLENT HEALING	SUP-HGK0016-40	CDM			270	RC		outpatient			1094.52	194.52	296.51				percent of total billed charges		1094.52				other	OPPS APC	809.94				percent of total billed charges		1094.52				other	OPPS APC	1094.52				other	OPPS APC	296.51				percent of total billed charges		302.42				percent of total billed charges		194.52				other	OPPS APC	194.52	1094.52	
GRAFT CARDIOVASCULAR HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC STRAIGHT L40 CM X H.49 MM OD16 MM KNITTED REVERSE LOCKNIT CROSS LINKED RADIAL TENSILE STRENGTH EXCELLENT HEALING	SUP-HGK0016-40	CDM			270	RC		inpatient			1094.52	1094.52																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD20 MM KNIT	SUP-IGK0020-40	CDM			270	RC		outpatient			1094.52	194.52	296.51				percent of total billed charges		1094.52				other	OPPS APC	809.94				percent of total billed charges		1094.52				other	OPPS APC	1094.52				other	OPPS APC	296.51				percent of total billed charges		302.42				percent of total billed charges		194.52				other	OPPS APC	194.52	1094.52	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD20 MM KNIT	SUP-IGK0020-40	CDM			270	RC		inpatient			1094.52	1094.52																																																			
PLATE BONE STAINLESS STEEL L117 MM X W10.2 MM X H2.7 MM PELVIS 9 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.029	CDM	270010022	LOCAL	270	RC		outpatient			1094.5	194.5	296.5				percent of total billed charges		1094.5				other	OPPS APC	809.93				percent of total billed charges		1094.5				other	OPPS APC	1094.5				other	OPPS APC	296.5				percent of total billed charges		302.41				percent of total billed charges		194.5				other	OPPS APC	194.5	1094.5	
PLATE BONE STAINLESS STEEL L117 MM X W10.2 MM X H2.7 MM PELVIS 9 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.029	CDM	270010022	LOCAL	270	RC		inpatient			1094.5	1094.5																																																			
3.5 X 111MM 8 HOLE PLATE	SUP-97-23806	CDM			278	RC		outpatient			1093.86	193.86	1093.86				fee schedule		1093.86				other	OPPS APC	623.5				percent of total billed charges		1093.86				other	OPPS APC	1093.86				other	OPPS APC	535.99				percent of total billed charges		557.87				percent of total billed charges		193.86				other	OPPS APC	193.86	1093.86	
3.5 X 111MM 8 HOLE PLATE	SUP-97-23806	CDM			278	RC		inpatient			1093.86	1093.86																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L50 CM ID4-7 MM LINE STERILE LATEX FREE	SUP-V47050L	CDM			270	RC		outpatient			1092	192	295.82				percent of total billed charges		1092				other	OPPS APC	808.08				percent of total billed charges		1092				other	OPPS APC	1092				other	OPPS APC	295.82				percent of total billed charges		301.72				percent of total billed charges		192				other	OPPS APC	192	1092	
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L50 CM ID4-7 MM LINE STERILE LATEX FREE	SUP-V47050L	CDM			270	RC		inpatient			1092	1092																																																			
KIT VESSEL HARVESTING SM #17 ULTRA RETRACTOR OPTICAL DISSECTOR PRECISION BIPOLAR VEIN	SUP-VC17	CDM			270	RC		outpatient			1092	192	295.82				percent of total billed charges		1092				other	OPPS APC	808.08				percent of total billed charges		1092				other	OPPS APC	1092				other	OPPS APC	295.82				percent of total billed charges		301.72				percent of total billed charges		192				other	OPPS APC	192	1092	
KIT VESSEL HARVESTING SM #17 ULTRA RETRACTOR OPTICAL DISSECTOR PRECISION BIPOLAR VEIN	SUP-VC17	CDM			270	RC		inpatient			1092	1092																																																			
PLATE BONE EVOS T 2 HOLE HEAD 8 HOLE SHAFT 2.4MM SCREW	SUP-72442452	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS T 2 HOLE HEAD 8 HOLE SHAFT 2.4MM SCREW	SUP-72442452	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS 10 HOLE FLEX 2.4MM SCREW	SUP-72442464	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS 10 HOLE FLEX 2.4MM SCREW	SUP-72442464	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS 20 HOLE FLEX 2.4 MM SCREW	SUP-72442466	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS 20 HOLE FLEX 2.4 MM SCREW	SUP-72442466	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS 6 HOLE STRENGTH 2.4 MM SCREW	SUP-72442470	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS 6 HOLE STRENGTH 2.4 MM SCREW	SUP-72442470	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS 8 HOLE STRENGTH 2.4 MM SCREW	SUP-72442472	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS 8 HOLE STRENGTH 2.4 MM SCREW	SUP-72442472	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS 10 HOLE STRENGTH 2.4MM SCREW	SUP-72442474	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS 10 HOLE STRENGTH 2.4MM SCREW	SUP-72442474	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS 20 HOLE STRENGTH 2.4 MM SCREW	SUP-72442476	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS 20 HOLE STRENGTH 2.4 MM SCREW	SUP-72442476	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS STRAIGHT 7 HOLE TINE 2.4 MM SCREW	SUP-72442480	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS STRAIGHT 7 HOLE TINE 2.4 MM SCREW	SUP-72442480	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS Y 5 HOLE SHAFT TINE 2.4 MM SCREW	SUP-72442486	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS Y 5 HOLE SHAFT TINE 2.4 MM SCREW	SUP-72442486	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS Y7 HOLE TINE STERILE 2.4MM SCREW	SUP-72442488	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS Y7 HOLE TINE STERILE 2.4MM SCREW	SUP-72442488	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS TRIANGLE 6 HOLE 2.4 MM SCREW	SUP-72442490	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS TRIANGLE 6 HOLE 2.4 MM SCREW	SUP-72442490	CDM			270	RC		inpatient			1091.4	1091.4																																																			
PLATE BONE EVOS TRIANGLE 8 HOLE 2.4MM SCREW	SUP-72442492	CDM			270	RC		outpatient			1091.4	191.41	295.66				percent of total billed charges		1091.4				other	OPPS APC	807.64				percent of total billed charges		1091.4				other	OPPS APC	1091.4				other	OPPS APC	295.66				percent of total billed charges		301.55				percent of total billed charges		191.41				other	OPPS APC	191.41	1091.4	
PLATE BONE EVOS TRIANGLE 8 HOLE 2.4MM SCREW	SUP-72442492	CDM			270	RC		inpatient			1091.4	1091.4																																																			
GRAFT PARIETENE DS RND 12CM X 1	SUP-97-03226	CDM			278	RC		outpatient			1090.68	19.68	1090.68				fee schedule		1090.68				other	OPPS APC	621.69				percent of total billed charges		1090.68				other	OPPS APC	1090.68				other	OPPS APC	534.43				percent of total billed charges		556.25				percent of total billed charges		19.68				other	OPPS APC	19.68	1090.68	
GRAFT PARIETENE DS RND 12CM X 1	SUP-97-03226	CDM			278	RC		inpatient			1090.68	1090.68																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L112 MM X W10.1 MM X H3.5 MM 8 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.081	CDM	270010022	LOCAL	270	RC		outpatient			1090.1	20	295.31				percent of total billed charges		1090.1				other	OPPS APC	806.67				percent of total billed charges		1090.1				other	OPPS APC	1090.1				other	OPPS APC	295.31				percent of total billed charges		301.19				percent of total billed charges		20				other	OPPS APC	20	1090.1	
PLATE BONE LCP COMBI STAINLESS STEEL L112 MM X W10.1 MM X H3.5 MM 8 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.081	CDM	270010022	LOCAL	270	RC		inpatient			1090.1	1090.1																																																			
SHEARS HARMONIC ACE CURVED	SUP-480275	CDM			270	RC		outpatient			1090	19	295.28				percent of total billed charges		1090				other	OPPS APC	806.6				percent of total billed charges		1090				other	OPPS APC	1090				other	OPPS APC	295.28				percent of total billed charges		301.17				percent of total billed charges		19				other	OPPS APC	19	1090	
SHEARS HARMONIC ACE CURVED	SUP-480275	CDM			270	RC		inpatient			1090	1090																																																			
HANDPIECE TRIPOLAR TRIGGER-FLEX	SUP-49936921	CDM			270	RC		outpatient			1090	19	295.28				percent of total billed charges		1090				other	OPPS APC	806.6				percent of total billed charges		1090				other	OPPS APC	1090				other	OPPS APC	295.28				percent of total billed charges		301.17				percent of total billed charges		19				other	OPPS APC	19	1090	
HANDPIECE TRIPOLAR TRIGGER-FLEX	SUP-49936921	CDM			270	RC		inpatient			1090	1090																																																			
GUIDEWIRE VASCULAR TRAXCESS 14 SELECT STAINLESS STEEL NITINOL HYDROPHILIC L98 CM L200 CM L3 CM OD.014 IN ODSEC.012 IN RADIOPAQUE SOFT ATRAUMATIC TIP KINK RESISTANT	SUP-GW1420040S	CDM			270	RC		outpatient			1090	19	295.28				percent of total billed charges		1090				other	OPPS APC	806.6				percent of total billed charges		1090				other	OPPS APC	1090				other	OPPS APC	295.28				percent of total billed charges		301.17				percent of total billed charges		19				other	OPPS APC	19	1090	
GUIDEWIRE VASCULAR TRAXCESS 14 SELECT STAINLESS STEEL NITINOL HYDROPHILIC L98 CM L200 CM L3 CM OD.014 IN ODSEC.012 IN RADIOPAQUE SOFT ATRAUMATIC TIP KINK RESISTANT	SUP-GW1420040S	CDM			270	RC		inpatient			1090	1090																																																			
MICROCATHETER CEREBROVASCULAR MAMBA FLEX L 135CM STERILE LATEX FREE DISPOSABLE	SUP-H7493928713540	CDM			481	RC		outpatient			1090	19	534.1				percent of total billed charges		1090				other	OPPS APC	806.6				percent of total billed charges		1090				other	OPPS APC	1090				other	OPPS APC	534.1				percent of total billed charges		555.9				percent of total billed charges		19				other	OPPS APC	19	1090	
MICROCATHETER CEREBROVASCULAR MAMBA FLEX L 135CM STERILE LATEX FREE DISPOSABLE	SUP-H7493928713540	CDM			481	RC		inpatient			1090	1090																																																			
PLATE BONE LC-DCP STAINLESS STEEL L94 MM 8 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.18	CDM	270010022	LOCAL	270	RC		outpatient			1089	189	295.01				percent of total billed charges		1089				other	OPPS APC	805.86				percent of total billed charges		1089				other	OPPS APC	1089				other	OPPS APC	295.01				percent of total billed charges		300.89				percent of total billed charges		189				other	OPPS APC	189	1089	
PLATE BONE LC-DCP STAINLESS STEEL L94 MM 8 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.18	CDM	270010022	LOCAL	270	RC		inpatient			1089	1089																																																			
GRAFT CARDIOVASCULAR INTERGARD POLYESTER VELOUR COLLAGEN 2 BRANCH L50 CM ID16 MM IDSEC8 MM THORAX ABDOMEN KNIT REVERSE LOCKNIT	SUP-IGK1608	CDM			270	RC		outpatient			1088.42	188.42	294.85				percent of total billed charges		1088.42				other	OPPS APC	805.43				percent of total billed charges		1088.42				other	OPPS APC	1088.42				other	OPPS APC	294.85				percent of total billed charges		300.73				percent of total billed charges		188.42				other	OPPS APC	188.42	1088.42	
GRAFT CARDIOVASCULAR INTERGARD POLYESTER VELOUR COLLAGEN 2 BRANCH L50 CM ID16 MM IDSEC8 MM THORAX ABDOMEN KNIT REVERSE LOCKNIT	SUP-IGK1608	CDM			270	RC		inpatient			1088.42	1088.42																																																			
T SHAPE LOCKING 6 HOLE X 23 MM PLATE	SUP-97-04448	CDM			278	RC		outpatient			1087.5	187.5	1087.5				fee schedule		1087.5				other	OPPS APC	619.88				percent of total billed charges		1087.5				other	OPPS APC	1087.5				other	OPPS APC	532.88				percent of total billed charges		554.63				percent of total billed charges		187.5				other	OPPS APC	187.5	1087.5	
T SHAPE LOCKING 6 HOLE X 23 MM PLATE	SUP-97-04448	CDM			278	RC		inpatient			1087.5	1087.5																																																			
HC Venogram	PX-320758200	CDM	75820	CPT	320	RC		outpatient			1087	1567.3	127.35				fee schedule		1567.03				other	OPPS APC	176.7				fee schedule		1567.03				other	OPPS APC	1567.03				other	OPPS APC	109.15				fee schedule		60.24				fee schedule		1567.3				other	OPPS APC	60.24	1567.3	
HC Venogram	PX-320758200	CDM	75820	CPT	320	RC		inpatient			1087	1087																																																			
TROCAR 12.0 MM	SUP-97-04457	CDM			272	RC		outpatient			1085.7	185.7	294.12				percent of total billed charges		1085.7				other	OPPS APC	803.42				percent of total billed charges		1085.7				other	OPPS APC	1085.7				other	OPPS APC	294.12				percent of total billed charges		299.98				percent of total billed charges		185.7				other	OPPS APC	185.7	1085.7	
TROCAR 12.0 MM	SUP-97-04457	CDM			272	RC		inpatient			1085.7	1085.7																																																			
HC C/T-Neck Scan W Contrast	PX-351704910	CDM	70491	CPT	351	RC		outpatient			1085	189.94	250.46				fee schedule		189.94				other	OPPS APC	718.72				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	191.75				fee schedule		125.8				fee schedule		189.94				other	OPPS APC	125.8	718.72	
HC C/T-Neck Scan W Contrast	PX-351704910	CDM	70491	CPT	351	RC		inpatient			1085	1085																																																			
HC C/T-C Spine W Contrast	PX-352721260	CDM	72126	CPT	352	RC		outpatient			1085	388.42	244.41				fee schedule		388.04				other	OPPS APC	838.81				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	175.05				fee schedule		117.14				fee schedule		388.42				other	OPPS APC	117.14	838.81	
HC C/T-C Spine W Contrast	PX-352721260	CDM	72126	CPT	352	RC		inpatient			1085	1085																																																			
BALLOON - METACROSS R2P 6.0X200 OTW	SUP-99-03627	CDM			272	RC		outpatient			1083.75	183.75	293.59				percent of total billed charges		1083.75				other	OPPS APC	801.98				percent of total billed charges		1083.75				other	OPPS APC	1083.75				other	OPPS APC	293.59				percent of total billed charges		299.44				percent of total billed charges		183.75				other	OPPS APC	183.75	1083.75	
BALLOON - METACROSS R2P 6.0X200 OTW	SUP-99-03627	CDM			272	RC		inpatient			1083.75	1083.75																																																			
BALLOON - METACROSS R2P 4.0X100 RX	SUP-99-03719	CDM			272	RC		outpatient			1083.75	183.75	293.59				percent of total billed charges		1083.75				other	OPPS APC	801.98				percent of total billed charges		1083.75				other	OPPS APC	1083.75				other	OPPS APC	293.59				percent of total billed charges		299.44				percent of total billed charges		183.75				other	OPPS APC	183.75	1083.75	
BALLOON - METACROSS R2P 4.0X100 RX	SUP-99-03719	CDM			272	RC		inpatient			1083.75	1083.75																																																			
BALLOON - METACROSS R2P 4.0X100 RX	SUP-99-03804	CDM			272	RC		outpatient			1083.75	183.75	293.59				percent of total billed charges		1083.75				other	OPPS APC	801.98				percent of total billed charges		1083.75				other	OPPS APC	1083.75				other	OPPS APC	293.59				percent of total billed charges		299.44				percent of total billed charges		183.75				other	OPPS APC	183.75	1083.75	
BALLOON - METACROSS R2P 4.0X100 RX	SUP-99-03804	CDM			272	RC		inpatient			1083.75	1083.75																																																			
BALLOON - METACROSS R2P 4.0X60 RX	SUP-99-03805	CDM			272	RC		outpatient			1083.75	183.75	293.59				percent of total billed charges		1083.75				other	OPPS APC	801.98				percent of total billed charges		1083.75				other	OPPS APC	1083.75				other	OPPS APC	293.59				percent of total billed charges		299.44				percent of total billed charges		183.75				other	OPPS APC	183.75	1083.75	
BALLOON - METACROSS R2P 4.0X60 RX	SUP-99-03805	CDM			272	RC		inpatient			1083.75	1083.75																																																			
CANCELLOUS CHIPS 15CC	SUP-97-02467	CDM			278	RC		outpatient			1083	183	1083				fee schedule		1083				other	OPPS APC	617.31				percent of total billed charges		1083				other	OPPS APC	1083				other	OPPS APC	530.67				percent of total billed charges		552.33				percent of total billed charges		183				other	OPPS APC	183	1083	
CANCELLOUS CHIPS 15CC	SUP-97-02467	CDM			278	RC		inpatient			1083	1083																																																			
LOCKING CAP	SUP-97-06274	CDM			278	RC		outpatient			1083	183	1083				fee schedule		1083				other	OPPS APC	617.31				percent of total billed charges		1083				other	OPPS APC	1083				other	OPPS APC	530.67				percent of total billed charges		552.33				percent of total billed charges		183				other	OPPS APC	183	1083	
LOCKING CAP	SUP-97-06274	CDM			278	RC		inpatient			1083	1083																																																			
COUNTERSINK	SUP-97-04278	CDM			272	RC		outpatient			1082.88	182.88	293.35				percent of total billed charges		1082.88				other	OPPS APC	801.33				percent of total billed charges		1082.88				other	OPPS APC	1082.88				other	OPPS APC	293.35				percent of total billed charges		299.2				percent of total billed charges		182.88				other	OPPS APC	182.88	1082.88	
COUNTERSINK	SUP-97-04278	CDM			272	RC		inpatient			1082.88	1082.88																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L152 MM X W17.5 MM X H5.2 MM 8 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.581	CDM	270010022	LOCAL	270	RC		outpatient			1082.4	182.41	293.22				percent of total billed charges		1082.4				other	OPPS APC	800.98				percent of total billed charges		1082.4				other	OPPS APC	1082.4				other	OPPS APC	293.22				percent of total billed charges		299.07				percent of total billed charges		182.41				other	OPPS APC	182.41	1082.4	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L152 MM X W17.5 MM X H5.2 MM 8 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.581	CDM	270010022	LOCAL	270	RC		inpatient			1082.4	1082.4																																																			
ARC BIOMET XS SLOTTED	SUP-05244	CDM			270	RC		outpatient			1081.2	181.2	292.9				percent of total billed charges		1081.2				other	OPPS APC	800.09				percent of total billed charges		1081.2				other	OPPS APC	1081.2				other	OPPS APC	292.9				percent of total billed charges		298.74				percent of total billed charges		181.2				other	OPPS APC	181.2	1081.2	
ARC BIOMET XS SLOTTED	SUP-05244	CDM			270	RC		inpatient			1081.2	1081.2																																																			
RELOAD STAPLER SIGNIA TRI-STAPLE BUTTRESS REINFORCED 60MM MED/THK	SUP-SIGTRSB60AMT	CDM			270	RC		outpatient			1080.49	18.49	292.7				percent of total billed charges		1080.49				other	OPPS APC	799.56				percent of total billed charges		1080.49				other	OPPS APC	1080.49				other	OPPS APC	292.7				percent of total billed charges		298.54				percent of total billed charges		18.49				other	OPPS APC	18.49	1080.49	
RELOAD STAPLER SIGNIA TRI-STAPLE BUTTRESS REINFORCED 60MM MED/THK	SUP-SIGTRSB60AMT	CDM			270	RC		inpatient			1080.49	1080.49																																																			
LINER ACETABULAR MPACT HIGHCROSS 4 MM D OFFSET OD36 MM HIP	SUP-01.32.3641HC4	CDM	270010024	LOCAL	270	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
LINER ACETABULAR MPACT HIGHCROSS 4 MM D OFFSET OD36 MM HIP	SUP-01.32.3641HC4	CDM	270010024	LOCAL	270	RC		inpatient			1080	1080																																																			
LINER ACETABULAR MPACT HIGHCROSS 10 D 5 MM G OFFSET OD40 MM HIP FACE CHANGE	SUP-01.32.4052HC10A	CDM	270010024	LOCAL	270	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
LINER ACETABULAR MPACT HIGHCROSS 10 D 5 MM G OFFSET OD40 MM HIP FACE CHANGE	SUP-01.32.4052HC10A	CDM	270010024	LOCAL	270	RC		inpatient			1080	1080																																																			
VENOUS ABLATION LASER KIT (ANGIODYNAM)	SUP-95-02889	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
VENOUS ABLATION LASER KIT (ANGIODYNAM)	SUP-95-02889	CDM			272	RC		inpatient			1080	1080																																																			
SHEATH - SAFESHEATH 7F 25CM	SUP-99-00162	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
SHEATH - SAFESHEATH 7F 25CM	SUP-99-00162	CDM			272	RC		inpatient			1080	1080																																																			
SHEATH - SAFESHEATH 9F 25CM	SUP-99-00164	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
SHEATH - SAFESHEATH 9F 25CM	SUP-99-00164	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 6 X 200	SUP-99-014187	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 6 X 200	SUP-99-014187	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 5 X 100	SUP-99-04181	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 5 X 100	SUP-99-04181	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 5 X 150	SUP-99-04182	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 5 X 150	SUP-99-04182	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 5 X 200	SUP-99-04183	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 5 X 200	SUP-99-04183	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 6 X 40	SUP-99-04184	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 6 X 40	SUP-99-04184	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 6 X 150	SUP-99-04186	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 6 X 150	SUP-99-04186	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - CROSSTELLA 6 X 200	SUP-99-04187	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - CROSSTELLA 6 X 200	SUP-99-04187	CDM			272	RC		inpatient			1080	1080																																																			
BALLOON - METACROSS RX 7.0X100	SUP-99-04188	CDM			272	RC		outpatient			1080	18	292.57				percent of total billed charges		1080				other	OPPS APC	799.2				percent of total billed charges		1080				other	OPPS APC	1080				other	OPPS APC	292.57				percent of total billed charges		298.4				percent of total billed charges		18				other	OPPS APC	18	1080	
BALLOON - METACROSS RX 7.0X100	SUP-99-04188	CDM			272	RC		inpatient			1080	1080																																																			
HC Stress Echo W/Ecg Monitoring	PX-483933511	CDM	93351	CPT	483	RC		outpatient			1078	530	284.38				fee schedule		529.91				other	OPPS APC	691.99				fee schedule		529.91				other	OPPS APC	529.91				other	OPPS APC	231.53				fee schedule		549.78				percent of total billed charges		530				other	OPPS APC	231.53	691.99	
HC Stress Echo W/Ecg Monitoring	PX-483933511	CDM	93351	CPT	483	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM L34 MM HUMERUS SPIRAL GOLD	SUP-462.634	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY FIXATION TITANIUM L34 MM HUMERUS SPIRAL GOLD	SUP-462.634	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY NAIL TITANIUM SPIRAL L36 MM HUMERUS NONSTERILE GOLD	SUP-462.636	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY NAIL TITANIUM SPIRAL L36 MM HUMERUS NONSTERILE GOLD	SUP-462.636	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM L38 MM HUMERUS SPIRAL NONSTERILE GOLD	SUP-462.638	CDM			270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY FIXATION TITANIUM L38 MM HUMERUS SPIRAL NONSTERILE GOLD	SUP-462.638	CDM			270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM THK3.9 MM SPIRAL L42 MM OD13 MM 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE GOLD HUMERAL NAIL	SUP-462.642	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY FIXATION TITANIUM THK3.9 MM SPIRAL L42 MM OD13 MM 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE GOLD HUMERAL NAIL	SUP-462.642	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY NAIL EXPERT TITANIUM SPIRAL L46 MM HUMERAL CANNULATED	SUP-462.646	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY NAIL EXPERT TITANIUM SPIRAL L46 MM HUMERAL CANNULATED	SUP-462.646	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM L48 MM HUMERUS SPIRAL NONSTERILE GOLD	SUP-462.648	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY FIXATION TITANIUM L48 MM HUMERUS SPIRAL NONSTERILE GOLD	SUP-462.648	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY NAIL THK3.9MM SPIRAL 50MM 13MM GOLD TITANIUM NS 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE	SUP-462.650	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY NAIL THK3.9MM SPIRAL 50MM 13MM GOLD TITANIUM NS 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE	SUP-462.650	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY FIXATION TITANIUM THK3.9 MM SPIRAL L52 MM OD13 MM 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE NONSTERILE GOLD HUMERAL NAIL	SUP-462.652	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY FIXATION TITANIUM THK3.9 MM SPIRAL L52 MM OD13 MM 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE NONSTERILE GOLD HUMERAL NAIL	SUP-462.652	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
BLADE INTRAMEDULLARY NAIL THK3.9MM SPIRAL 54MM 13MM GOLD TITANIUM NS 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE	SUP-462.654	CDM	270010022	LOCAL	270	RC		outpatient			1078	178	292.03				percent of total billed charges		1078				other	OPPS APC	797.72				percent of total billed charges		1078				other	OPPS APC	1078				other	OPPS APC	292.03				percent of total billed charges		297.85				percent of total billed charges		178				other	OPPS APC	178	1078	
BLADE INTRAMEDULLARY NAIL THK3.9MM SPIRAL 54MM 13MM GOLD TITANIUM NS 4 SUTURE HOLE CANNULATED CUT FLUTE SMOOTH SURFACE	SUP-462.654	CDM	270010022	LOCAL	270	RC		inpatient			1078	1078																																																			
HOFMAN3 CONNECTING ROD 11 X 400MM	SUP-97-03394	CDM			278	RC		outpatient			1077.3	177.3	1077.3				fee schedule		1077.3				other	OPPS APC	614.06				percent of total billed charges		1077.3				other	OPPS APC	1077.3				other	OPPS APC	527.88				percent of total billed charges		549.42				percent of total billed charges		177.3				other	OPPS APC	177.3	1077.3	
HOFMAN3 CONNECTING ROD 11 X 400MM	SUP-97-03394	CDM			278	RC		inpatient			1077.3	1077.3																																																			
HOFMAN3 CONNECTING ROD 11 X 450MM	SUP-97-03402	CDM			278	RC		outpatient			1077.3	177.3	1077.3				fee schedule		1077.3				other	OPPS APC	614.06				percent of total billed charges		1077.3				other	OPPS APC	1077.3				other	OPPS APC	527.88				percent of total billed charges		549.42				percent of total billed charges		177.3				other	OPPS APC	177.3	1077.3	
HOFMAN3 CONNECTING ROD 11 X 450MM	SUP-97-03402	CDM			278	RC		inpatient			1077.3	1077.3																																																			
DRILL LONG MAVERICK 4.0 MM	SUP-71094140	CDM			270	RC		outpatient			1075	175	291.22				percent of total billed charges		1075				other	OPPS APC	795.5				percent of total billed charges		1075				other	OPPS APC	1075				other	OPPS APC	291.22				percent of total billed charges		297.02				percent of total billed charges		175				other	OPPS APC	175	1075	
DRILL LONG MAVERICK 4.0 MM	SUP-71094140	CDM			270	RC		inpatient			1075	1075																																																			
BAR MAVERICK 11MM X 350MM	SUP-71094350	CDM			270	RC		outpatient			1075	175	291.22				percent of total billed charges		1075				other	OPPS APC	795.5				percent of total billed charges		1075				other	OPPS APC	1075				other	OPPS APC	291.22				percent of total billed charges		297.02				percent of total billed charges		175				other	OPPS APC	175	1075	
BAR MAVERICK 11MM X 350MM	SUP-71094350	CDM			270	RC		inpatient			1075	1075																																																			
PACK VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD25+ GA STRAIGHT ENDOILLUMINATOR EDGEPLUS VALVED ENTRY SYSTEM	SUP-8065751902	CDM			270	RC		outpatient			1074	174	290.95				percent of total billed charges		1074				other	OPPS APC	794.76				percent of total billed charges		1074				other	OPPS APC	1074				other	OPPS APC	290.95				percent of total billed charges		296.75				percent of total billed charges		174				other	OPPS APC	174	1074	
PACK VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD25+ GA STRAIGHT ENDOILLUMINATOR EDGEPLUS VALVED ENTRY SYSTEM	SUP-8065751902	CDM			270	RC		inpatient			1074	1074																																																			
SCREW LO-PRO T 16.7 X 80MM CANN 18 THD	SUP-97-01506	CDM			278	RC		outpatient			1074	174	1074				fee schedule		1074				other	OPPS APC	612.18				percent of total billed charges		1074				other	OPPS APC	1074				other	OPPS APC	526.26				percent of total billed charges		547.74				percent of total billed charges		174				other	OPPS APC	174	1074	
SCREW LO-PRO T 16.7 X 80MM CANN 18 THD	SUP-97-01506	CDM			278	RC		inpatient			1074	1074																																																			
LOW PRO SCRWT16.7X 90MM CANN 18MMTHD	SUP-97-01675	CDM			278	RC		outpatient			1074	174	1074				fee schedule		1074				other	OPPS APC	612.18				percent of total billed charges		1074				other	OPPS APC	1074				other	OPPS APC	526.26				percent of total billed charges		547.74				percent of total billed charges		174				other	OPPS APC	174	1074	
LOW PRO SCRWT16.7X 90MM CANN 18MMTHD	SUP-97-01675	CDM			278	RC		inpatient			1074	1074																																																			
LOW PRO SCRWT16.7X 75MMCANN18MM	SUP-97-02035	CDM			278	RC		outpatient			1074	174	1074				fee schedule		1074				other	OPPS APC	612.18				percent of total billed charges		1074				other	OPPS APC	1074				other	OPPS APC	526.26				percent of total billed charges		547.74				percent of total billed charges		174				other	OPPS APC	174	1074	
LOW PRO SCRWT16.7X 75MMCANN18MM	SUP-97-02035	CDM			278	RC		inpatient			1074	1074																																																			
KIT VITRECTOMY PERFLUORON PERFLUORO-N-OCTANE 7 ML PROCEDURAL LIQUID PURIFY LATEX FREE	SUP-8065900164	CDM			270	RC		outpatient			1073.62	173.62	290.84				percent of total billed charges		1073.62				other	OPPS APC	794.48				percent of total billed charges		1073.62				other	OPPS APC	1073.62				other	OPPS APC	290.84				percent of total billed charges		296.64				percent of total billed charges		173.62				other	OPPS APC	173.62	1073.62	
KIT VITRECTOMY PERFLUORON PERFLUORO-N-OCTANE 7 ML PROCEDURAL LIQUID PURIFY LATEX FREE	SUP-8065900164	CDM			270	RC		inpatient			1073.62	1073.62																																																			
ENSEALX1 LARGE JAW TISSUE	SUP-NSLX120L	CDM			270	RC		outpatient			1072.83	172.83	290.63				percent of total billed charges		1072.83				other	OPPS APC	793.89				percent of total billed charges		1072.83				other	OPPS APC	1072.83				other	OPPS APC	290.63				percent of total billed charges		296.42				percent of total billed charges		172.83				other	OPPS APC	172.83	1072.83	
ENSEALX1 LARGE JAW TISSUE	SUP-NSLX120L	CDM			270	RC		inpatient			1072.83	1072.83																																																			
2.4MM LCP DISTAL RADIUS L PLATE	SUP-242.500	CDM	270010022	LOCAL	270	RC		outpatient			1072.82	172.82	290.63				percent of total billed charges		1072.82				other	OPPS APC	793.89				percent of total billed charges		1072.82				other	OPPS APC	1072.82				other	OPPS APC	290.63				percent of total billed charges		296.42				percent of total billed charges		172.82				other	OPPS APC	172.82	1072.82	
2.4MM LCP DISTAL RADIUS L PLATE	SUP-242.500	CDM	270010022	LOCAL	270	RC		inpatient			1072.82	1072.82																																																			
PLATE 6 HOLE 3.5MM	SUP-97-02695	CDM			278	RC		outpatient			1072.44	172.44	1072.44				fee schedule		1072.44				other	OPPS APC	611.29				percent of total billed charges		1072.44				other	OPPS APC	1072.44				other	OPPS APC	525.5				percent of total billed charges		546.94				percent of total billed charges		172.44				other	OPPS APC	172.44	1072.44	
PLATE 6 HOLE 3.5MM	SUP-97-02695	CDM			278	RC		inpatient			1072.44	1072.44																																																			
PATCH SURGICAL GORE-TEX THK2 MM L10 CM X W5 CM SOFT CONFORMABLE TRIM STRONG STERILE HERNIA REPAIR	SUP-1305010020	CDM			270	RC		outpatient			1072	172	290.4				percent of total billed charges		1072				other	OPPS APC	793.28				percent of total billed charges		1072				other	OPPS APC	1072				other	OPPS APC	290.4				percent of total billed charges		296.19				percent of total billed charges		172				other	OPPS APC	172	1072	
PATCH SURGICAL GORE-TEX THK2 MM L10 CM X W5 CM SOFT CONFORMABLE TRIM STRONG STERILE HERNIA REPAIR	SUP-1305010020	CDM			270	RC		inpatient			1072	1072																																																			
COUNTERSINK DRILL CANNULATED 2 MM SCREW	SUP-03.333.200	CDM	270010022	LOCAL	270	RC		outpatient			1071.6	171.6	290.3				percent of total billed charges		1071.6				other	OPPS APC	792.98				percent of total billed charges		1071.6				other	OPPS APC	1071.6				other	OPPS APC	290.3				percent of total billed charges		296.08				percent of total billed charges		171.6				other	OPPS APC	171.6	1071.6	
COUNTERSINK DRILL CANNULATED 2 MM SCREW	SUP-03.333.200	CDM	270010022	LOCAL	270	RC		inpatient			1071.6	1071.6																																																			
PAD POSITIONING FERKEL FOAM THIGH DISPOSABLE	SUP-72201813	CDM			270	RC		outpatient			1070.4	17.41	289.97				percent of total billed charges		1070.4				other	OPPS APC	792.1				percent of total billed charges		1070.4				other	OPPS APC	1070.4				other	OPPS APC	289.97				percent of total billed charges		295.75				percent of total billed charges		17.41				other	OPPS APC	17.41	1070.4	
PAD POSITIONING FERKEL FOAM THIGH DISPOSABLE	SUP-72201813	CDM			270	RC		inpatient			1070.4	1070.4																																																			
TRANSIT INFUSION CATHETER	SUP-600350A	CDM			481	RC		outpatient			1070	17	524.3				percent of total billed charges		1070				other	OPPS APC	791.8				percent of total billed charges		1070				other	OPPS APC	1070				other	OPPS APC	524.3				percent of total billed charges		545.7				percent of total billed charges		17				other	OPPS APC	17	1070	
TRANSIT INFUSION CATHETER	SUP-600350A	CDM			481	RC		inpatient			1070	1070																																																			
GRAFT SOFT TISSUE ARTHROFLEX DECELLULARIZED DERMIS THK1.76-2.25 MM L14 MM X W10 MM ALLOGRAFT PATCH	SUP-AFLEX822	CDM			270	RC		outpatient			1070	17	289.86				percent of total billed charges		1070				other	OPPS APC	791.8				percent of total billed charges		1070				other	OPPS APC	1070				other	OPPS APC	289.86				percent of total billed charges		295.64				percent of total billed charges		17				other	OPPS APC	17	1070	
GRAFT SOFT TISSUE ARTHROFLEX DECELLULARIZED DERMIS THK1.76-2.25 MM L14 MM X W10 MM ALLOGRAFT PATCH	SUP-AFLEX822	CDM			270	RC		inpatient			1070	1070																																																			
ZEPHYR 4.0 DELIVERY CATHETER	SUP-EDC-TS-4.0	CDM			270	RC		outpatient			1070	17	289.86				percent of total billed charges		1070				other	OPPS APC	791.8				percent of total billed charges		1070				other	OPPS APC	1070				other	OPPS APC	289.86				percent of total billed charges		295.64				percent of total billed charges		17				other	OPPS APC	17	1070	
ZEPHYR 4.0 DELIVERY CATHETER	SUP-EDC-TS-4.0	CDM			270	RC		inpatient			1070	1070																																																			
ZEPHYR 4.0-J DELIVERY CATHETER	SUP-EDC-TS-4.0-J	CDM			270	RC		outpatient			1070	17	289.86				percent of total billed charges		1070				other	OPPS APC	791.8				percent of total billed charges		1070				other	OPPS APC	1070				other	OPPS APC	289.86				percent of total billed charges		295.64				percent of total billed charges		17				other	OPPS APC	17	1070	
ZEPHYR 4.0-J DELIVERY CATHETER	SUP-EDC-TS-4.0-J	CDM			270	RC		inpatient			1070	1070																																																			
ZEPHYR 5.5 DUAL MARK DELIVERY CATHETER	SUP-EDC-TS-5.5-DM	CDM			270	RC		outpatient			1070	17	289.86				percent of total billed charges		1070				other	OPPS APC	791.8				percent of total billed charges		1070				other	OPPS APC	1070				other	OPPS APC	289.86				percent of total billed charges		295.64				percent of total billed charges		17				other	OPPS APC	17	1070	
ZEPHYR 5.5 DUAL MARK DELIVERY CATHETER	SUP-EDC-TS-5.5-DM	CDM			270	RC		inpatient			1070	1070																																																			
PLATE BONE 193X4.8X.9MM TITANIUM NS CRANIOFACIAL 30 BROAD SPACE HOLE ADAPTION 2MM SCREW	SUP-447.38	CDM	270010014	LOCAL	270	RC		outpatient			1069.06	169.6	289.61				percent of total billed charges		1069.06				other	OPPS APC	791.1				percent of total billed charges		1069.06				other	OPPS APC	1069.06				other	OPPS APC	289.61				percent of total billed charges		295.38				percent of total billed charges		169.6				other	OPPS APC	169.6	1069.06	
PLATE BONE 193X4.8X.9MM TITANIUM NS CRANIOFACIAL 30 BROAD SPACE HOLE ADAPTION 2MM SCREW	SUP-447.38	CDM	270010014	LOCAL	270	RC		inpatient			1069.06	1069.06																																																			
CATHETER LUMBAR	SUP-21509D	CDM			270	RC		outpatient			1068	168	289.32				percent of total billed charges		1068				other	OPPS APC	790.32				percent of total billed charges		1068				other	OPPS APC	1068				other	OPPS APC	289.32				percent of total billed charges		295.09				percent of total billed charges		168				other	OPPS APC	168	1068	
CATHETER LUMBAR	SUP-21509D	CDM			270	RC		inpatient			1068	1068																																																			
LOCKING CORTSCREW  2.7X18MM	SUP-97-01447	CDM			278	RC		outpatient			1068	168	1068				fee schedule		1068				other	OPPS APC	608.76				percent of total billed charges		1068				other	OPPS APC	1068				other	OPPS APC	523.32				percent of total billed charges		544.68				percent of total billed charges		168				other	OPPS APC	168	1068	
LOCKING CORTSCREW  2.7X18MM	SUP-97-01447	CDM			278	RC		inpatient			1068	1068																																																			
LOCKING CORTSCREW  2.7X20MM	SUP-97-01448	CDM			278	RC		outpatient			1068	168	1068				fee schedule		1068				other	OPPS APC	608.76				percent of total billed charges		1068				other	OPPS APC	1068				other	OPPS APC	523.32				percent of total billed charges		544.68				percent of total billed charges		168				other	OPPS APC	168	1068	
LOCKING CORTSCREW  2.7X20MM	SUP-97-01448	CDM			278	RC		inpatient			1068	1068																																																			
LOCKING CORTSCREW  MM	SUP-97-01449	CDM			278	RC		outpatient			1068	168	1068				fee schedule		1068				other	OPPS APC	608.76				percent of total billed charges		1068				other	OPPS APC	1068				other	OPPS APC	523.32				percent of total billed charges		544.68				percent of total billed charges		168				other	OPPS APC	168	1068	
LOCKING CORTSCREW  MM	SUP-97-01449	CDM			278	RC		inpatient			1068	1068																																																			
NEEDLE ASPIRATION VISI SHOT 22G	SUP-95-23884	CDM			272	RC		outpatient			1067.64	167.64	289.22				percent of total billed charges		1067.64				other	OPPS APC	790.05				percent of total billed charges		1067.64				other	OPPS APC	1067.64				other	OPPS APC	289.22				percent of total billed charges		294.99				percent of total billed charges		167.64				other	OPPS APC	167.64	1067.64	
NEEDLE ASPIRATION VISI SHOT 22G	SUP-95-23884	CDM			272	RC		inpatient			1067.64	1067.64																																																			
SCREW BONE 12MM 2.4MM 4MM TITANIUM NS MANDIBLE CORTEX SELF TAP CRUCIFORM MODULAR FIXATION SYSTEM	SUP-401.512	CDM	270010014	LOCAL	270	RC		outpatient			1067.06	167.6	289.07				percent of total billed charges		1067.06				other	OPPS APC	789.62				percent of total billed charges		1067.06				other	OPPS APC	1067.06				other	OPPS APC	289.07				percent of total billed charges		294.83				percent of total billed charges		167.6				other	OPPS APC	167.6	1067.06	
SCREW BONE 12MM 2.4MM 4MM TITANIUM NS MANDIBLE CORTEX SELF TAP CRUCIFORM MODULAR FIXATION SYSTEM	SUP-401.512	CDM	270010014	LOCAL	270	RC		inpatient			1067.06	1067.06																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L104 MM PELVIS 8 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.028	CDM	270010022	LOCAL	270	RC		outpatient			1067	167	289.05				percent of total billed charges		1067				other	OPPS APC	789.58				percent of total billed charges		1067				other	OPPS APC	1067				other	OPPS APC	289.05				percent of total billed charges		294.81				percent of total billed charges		167				other	OPPS APC	167	1067	
PLATE BONE STAINLESS STEEL STRAIGHT L104 MM PELVIS 8 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.028	CDM	270010022	LOCAL	270	RC		inpatient			1067	1067																																																			
2.0 X 13MM TWIST OFF SCREW	SUP-97-23813	CDM			278	RC		outpatient			1066.8	166.8	1066.8				fee schedule		1066.8				other	OPPS APC	608.08				percent of total billed charges		1066.8				other	OPPS APC	1066.8				other	OPPS APC	522.73				percent of total billed charges		544.07				percent of total billed charges		166.8				other	OPPS APC	166.8	1066.8	
2.0 X 13MM TWIST OFF SCREW	SUP-97-23813	CDM			278	RC		inpatient			1066.8	1066.8																																																			
MESH ACETABULAR X-CHANGE RESTORATION FLAT HIP	SUP-0942-8-030	CDM			270	RC		outpatient			1066	166	288.78				percent of total billed charges		1066				other	OPPS APC	788.84				percent of total billed charges		1066				other	OPPS APC	1066				other	OPPS APC	288.78				percent of total billed charges		294.54				percent of total billed charges		166				other	OPPS APC	166	1066	
MESH ACETABULAR X-CHANGE RESTORATION FLAT HIP	SUP-0942-8-030	CDM			270	RC		inpatient			1066	1066																																																			
FILLER BONE VOID ACTIFUSE SHAPE CALCIUM PHOSPHATE POROUS MEDIUM GRANULE CYLINDER L15 MM D X W15 MM 2.6 ML RESORBABLE STERILE	SUP-506005078064	CDM			270	RC		outpatient			1066	166	288.78				percent of total billed charges		1066				other	OPPS APC	788.84				percent of total billed charges		1066				other	OPPS APC	1066				other	OPPS APC	288.78				percent of total billed charges		294.54				percent of total billed charges		166				other	OPPS APC	166	1066	
FILLER BONE VOID ACTIFUSE SHAPE CALCIUM PHOSPHATE POROUS MEDIUM GRANULE CYLINDER L15 MM D X W15 MM 2.6 ML RESORBABLE STERILE	SUP-506005078064	CDM			270	RC		inpatient			1066	1066																																																			
PLATE BONE LCP STAINLESS STEEL L189 MM X W11 MM X H3.4 MM 14 HOLE LIMIT CONTACT TAPER END NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.641	CDM	270010022	LOCAL	270	RC		outpatient			1065.06	165.6	288.52				percent of total billed charges		1065.06				other	OPPS APC	788.14				percent of total billed charges		1065.06				other	OPPS APC	1065.06				other	OPPS APC	288.52				percent of total billed charges		294.28				percent of total billed charges		165.6				other	OPPS APC	165.6	1065.06	
PLATE BONE LCP STAINLESS STEEL L189 MM X W11 MM X H3.4 MM 14 HOLE LIMIT CONTACT TAPER END NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.641	CDM	270010022	LOCAL	270	RC		inpatient			1065.06	1065.06																																																			
HEALICOIL RG SA 4.75MMW/1UB-BL CBRD	SUP-97-02942	CDM			278	RC		outpatient			1065	165	1065				fee schedule		1065				other	OPPS APC	607.05				percent of total billed charges		1065				other	OPPS APC	1065				other	OPPS APC	521.85				percent of total billed charges		543.15				percent of total billed charges		165				other	OPPS APC	165	1065	
HEALICOIL RG SA 4.75MMW/1UB-BL CBRD	SUP-97-02942	CDM			278	RC		inpatient			1065	1065																																																			
ANCHOR SUTURE 5.5MM HEALICOIL BLUE	SUP-97-03257	CDM			278	RC		outpatient			1065	165	1065				fee schedule		1065				other	OPPS APC	607.05				percent of total billed charges		1065				other	OPPS APC	1065				other	OPPS APC	521.85				percent of total billed charges		543.15				percent of total billed charges		165				other	OPPS APC	165	1065	
ANCHOR SUTURE 5.5MM HEALICOIL BLUE	SUP-97-03257	CDM			278	RC		inpatient			1065	1065																																																			
PERC INSERT KIT 3.0MM KNOTLESS ST	SUP-97-03981	CDM			272	RC		outpatient			1065	165	288.51				percent of total billed charges		1065				other	OPPS APC	788.1				percent of total billed charges		1065				other	OPPS APC	1065				other	OPPS APC	288.51				percent of total billed charges		294.26				percent of total billed charges		165				other	OPPS APC	165	1065	
PERC INSERT KIT 3.0MM KNOTLESS ST	SUP-97-03981	CDM			272	RC		inpatient			1065	1065																																																			
VISTASEAL FIBRIN SEALANT (HUMAN) 10 ML-12 PACK KIT	SUP-12VST10	CDM						inpatient			1064.61	1064.61																																																			
VISTASEAL FIBRIN SEALANT (HUMAN) 10 ML-12 PACK KIT	SUP-12VST10	CDM						outpatient			1064.61	164.7	1064.61				percent of total billed charges		1064.61				other	OPPS APC	1064.61				fee schedule		1064.61				other	OPPS APC	1064.61				other	OPPS APC	1064.61				case rate		1064.61				case rate		164.7				other	OPPS APC	164.7	1064.61	
0.8MM 1.7MM DRILL GUIDE DBL.	SUP-97-23800	CDM			272	RC		outpatient			1064.16	164.16	288.28				percent of total billed charges		1064.16				other	OPPS APC	787.48				percent of total billed charges		1064.16				other	OPPS APC	1064.16				other	OPPS APC	288.28				percent of total billed charges		294.03				percent of total billed charges		164.16				other	OPPS APC	164.16	1064.16	
0.8MM 1.7MM DRILL GUIDE DBL.	SUP-97-23800	CDM			272	RC		inpatient			1064.16	1064.16																																																			
PLATE LCP  12 HOLES	SUP-97-03803	CDM			278	RC		outpatient			1060.2	16.2	1060.2				fee schedule		1060.2				other	OPPS APC	604.31				percent of total billed charges		1060.2				other	OPPS APC	1060.2				other	OPPS APC	519.5				percent of total billed charges		540.7				percent of total billed charges		16.2				other	OPPS APC	16.2	1060.2	
PLATE LCP  12 HOLES	SUP-97-03803	CDM			278	RC		inpatient			1060.2	1060.2																																																			
SUREFORM 60 STAPLER	SUP-480460	CDM			270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
SUREFORM 60 STAPLER	SUP-480460	CDM			270	RC		inpatient			1060	1060																																																			
CATHETER GUIDING SHORT JUDKINS RIGHT 6 CURVE OD8 FR ID.089 IN SIDEHOLE	SUP-783080	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
CATHETER GUIDING SHORT JUDKINS RIGHT 6 CURVE OD8 FR ID.089 IN SIDEHOLE	SUP-783080	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL PEEK-OPTIMA L30 MM OD6.35 MM PEDICLE	SUP-7893030	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL PEEK-OPTIMA L30 MM OD6.35 MM PEDICLE	SUP-7893030	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L35 MM OD6.35 MM PEDICLE	SUP-7893035	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L35 MM OD6.35 MM PEDICLE	SUP-7893035	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L40 MM OD6.35 MM PEDICLE	SUP-7893040	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L40 MM OD6.35 MM PEDICLE	SUP-7893040	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL PEEK-OPTIMA L45 MM	SUP-7893045	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL PEEK-OPTIMA L45 MM	SUP-7893045	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL PEEK-OPTIMA L50 MM OD6.35 MM PEDICLE	SUP-7893050	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL PEEK-OPTIMA L50 MM OD6.35 MM PEDICLE	SUP-7893050	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L60 MM OD6.35 MM PEDICLE	SUP-7893060	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L60 MM OD6.35 MM PEDICLE	SUP-7893060	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L70 MM OD6.35 MM PEDICLE	SUP-7893070	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL LEGACY CD HORIZON PEEK-OPTIMA L70 MM OD6.35 MM PEDICLE	SUP-7893070	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL CD HORIZON LEGACY PEEK TITANIUM L75 MM OD6.35 MM PEDICLE	SUP-7893075	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL CD HORIZON LEGACY PEEK TITANIUM L75 MM OD6.35 MM PEDICLE	SUP-7893075	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL 80MM 6.35MM PEEK-OPTIMA PEDICLE	SUP-7893080	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL 80MM 6.35MM PEEK-OPTIMA PEDICLE	SUP-7893080	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL 90MM 6.35MM PEEK-OPTIMA PEDICLE	SUP-7893090	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL 90MM 6.35MM PEEK-OPTIMA PEDICLE	SUP-7893090	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
ROD SPINAL PREBENT 100MM 6.35MM PEEK-OPTIMA	SUP-7893100	CDM	270010020	LOCAL	270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
ROD SPINAL PREBENT 100MM 6.35MM PEEK-OPTIMA	SUP-7893100	CDM	270010020	LOCAL	270	RC		inpatient			1060	1060																																																			
SHEATH AXS INFINITY LS LONG 80 CM	SUP-GEN-10800-80	CDM			270	RC		outpatient			1060	16	287.15				percent of total billed charges		1060				other	OPPS APC	784.4				percent of total billed charges		1060				other	OPPS APC	1060				other	OPPS APC	287.15				percent of total billed charges		292.88				percent of total billed charges		16				other	OPPS APC	16	1060	
SHEATH AXS INFINITY LS LONG 80 CM	SUP-GEN-10800-80	CDM			270	RC		inpatient			1060	1060																																																			
PROBE LITHOTRIPTER 330MM 3.8MM ULTRASOUND FLEXIBLE SWISS LITHOCLAST LF DISPOSABLE	SUP-M0068407150	CDM			270	RC		outpatient			1058.44	158.44	286.73				percent of total billed charges		1058.44				other	OPPS APC	783.25				percent of total billed charges		1058.44				other	OPPS APC	1058.44				other	OPPS APC	286.73				percent of total billed charges		292.45				percent of total billed charges		158.44				other	OPPS APC	158.44	1058.44	
PROBE LITHOTRIPTER 330MM 3.8MM ULTRASOUND FLEXIBLE SWISS LITHOCLAST LF DISPOSABLE	SUP-M0068407150	CDM			270	RC		inpatient			1058.44	1058.44																																																			
NEEDLE ACUVANCE PLUS 16X2G	SUP-97-02078	CDM			272	RC		outpatient			1058.4	158.41	286.72				percent of total billed charges		1058.4				other	OPPS APC	783.22				percent of total billed charges		1058.4				other	OPPS APC	1058.4				other	OPPS APC	286.72				percent of total billed charges		292.44				percent of total billed charges		158.41				other	OPPS APC	158.41	1058.4	
NEEDLE ACUVANCE PLUS 16X2G	SUP-97-02078	CDM			272	RC		inpatient			1058.4	1058.4																																																			
PLATE BONE TITANIUM X STERNAL 10 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.037	CDM			270	RC		outpatient			1056.74	156.74	286.27				percent of total billed charges		1056.74				other	OPPS APC	781.99				percent of total billed charges		1056.74				other	OPPS APC	1056.74				other	OPPS APC	286.27				percent of total billed charges		291.98				percent of total billed charges		156.74				other	OPPS APC	156.74	1056.74	
PLATE BONE TITANIUM X STERNAL 10 HOLE LOCK NONSTERILE 2.4 MM SCREW	SUP-460.037	CDM			270	RC		inpatient			1056.74	1056.74																																																			
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC L50 CM X H.49 MM OD14/7 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK1407	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC L50 CM X H.49 MM OD14/7 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK1407	CDM			270	RC		inpatient			1056.72	1056.72																																																			
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC L50 CM X H.49 MM OD16/8 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK1608	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC L50 CM X H.49 MM OD16/8 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK1608	CDM			270	RC		inpatient			1056.72	1056.72																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD18 MM ODSEC9 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK1809	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD18 MM ODSEC9 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK1809	CDM			270	RC		inpatient			1056.72	1056.72																																																			
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC L50 CM X H.49 MM OD20/10 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK2010	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT SOFT TISSUE HEMAGARD BOVINE TYPE I COLLAGEN POLYESTER FABRIC L50 CM X H.49 MM OD20/10 MM VASCULAR BIFURCATED KNITTED CROSS LINKED TENSILE STRENGTH EXCELLENT HANDLING	SUP-HGK2010	CDM			270	RC		inpatient			1056.72	1056.72																																																			
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER ID7 MM BIFURCATED L50 CM ID14 MM IDSEC7 MM KNITTED REVERSE LOCKNIT	SUP-IGK1407	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER ID7 MM BIFURCATED L50 CM ID14 MM IDSEC7 MM KNITTED REVERSE LOCKNIT	SUP-IGK1407	CDM			270	RC		inpatient			1056.72	1056.72																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD20 MM ODSEC10 MM KNIT	SUP-IGK2010	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER 2 BRANCH L50 CM OD20 MM ODSEC10 MM KNIT	SUP-IGK2010	CDM			270	RC		inpatient			1056.72	1056.72																																																			
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER SMALL DIAMETER L50 CM OD22/11 MM KNITTED BIFURCATED	SUP-IGK2211	CDM			270	RC		outpatient			1056.72	156.72	286.27				percent of total billed charges		1056.72				other	OPPS APC	781.97				percent of total billed charges		1056.72				other	OPPS APC	1056.72				other	OPPS APC	286.27				percent of total billed charges		291.97				percent of total billed charges		156.72				other	OPPS APC	156.72	1056.72	
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER SMALL DIAMETER L50 CM OD22/11 MM KNITTED BIFURCATED	SUP-IGK2211	CDM			270	RC		inpatient			1056.72	1056.72																																																			
SCREW CANN LONG THREAD 4MM X 54MM	SUP-97-03842	CDM			278	RC		outpatient			1056	156	1056				fee schedule		1056				other	OPPS APC	601.92				percent of total billed charges		1056				other	OPPS APC	1056				other	OPPS APC	517.44				percent of total billed charges		538.56				percent of total billed charges		156				other	OPPS APC	156	1056	
SCREW CANN LONG THREAD 4MM X 54MM	SUP-97-03842	CDM			278	RC		inpatient			1056	1056																																																			
SEALER/DIVIDER LAPAROSCOPIC LIGASURE 179D 12MM 37CM 18X2.6MM 5MM DISPOSABLE STERILE DOLPHIN NOSE TIP FORCETRIAD PLATFORM	SUP-LS1500	CDM			270	RC		outpatient			1053.84	153.84	285.49				percent of total billed charges		1053.84				other	OPPS APC	779.84				percent of total billed charges		1053.84				other	OPPS APC	1053.84				other	OPPS APC	285.49				percent of total billed charges		291.18				percent of total billed charges		153.84				other	OPPS APC	153.84	1053.84	
SEALER/DIVIDER LAPAROSCOPIC LIGASURE 179D 12MM 37CM 18X2.6MM 5MM DISPOSABLE STERILE DOLPHIN NOSE TIP FORCETRIAD PLATFORM	SUP-LS1500	CDM			270	RC		inpatient			1053.84	1053.84																																																			
CABLE	SUP-97-00899	CDM			278	RC		outpatient			1053	153	1053				fee schedule		1053				other	OPPS APC	600.21				percent of total billed charges		1053				other	OPPS APC	1053				other	OPPS APC	515.97				percent of total billed charges		537.03				percent of total billed charges		153				other	OPPS APC	153	1053	
CABLE	SUP-97-00899	CDM			278	RC		inpatient			1053	1053																																																			
Z-PLATE PROFYL/M 2.3M HAND LCK NRW 13H	SUP-97-01490	CDM			278	RC		outpatient			1053	153	1053				fee schedule		1053				other	OPPS APC	600.21				percent of total billed charges		1053				other	OPPS APC	1053				other	OPPS APC	515.97				percent of total billed charges		537.03				percent of total billed charges		153				other	OPPS APC	153	1053	
Z-PLATE PROFYL/M 2.3M HAND LCK NRW 13H	SUP-97-01490	CDM			278	RC		inpatient			1053	1053																																																			
PLATE PROFYLE/M 2.3 HND LCK STRGT 16H	SUP-97-01492	CDM			278	RC		outpatient			1053	153	1053				fee schedule		1053				other	OPPS APC	600.21				percent of total billed charges		1053				other	OPPS APC	1053				other	OPPS APC	515.97				percent of total billed charges		537.03				percent of total billed charges		153				other	OPPS APC	153	1053	
PLATE PROFYLE/M 2.3 HND LCK STRGT 16H	SUP-97-01492	CDM			278	RC		inpatient			1053	1053																																																			
X PLATE LAPIDUS TEMPLATE	SUP-97-04843	CDM			278	RC		outpatient			1052.64	152.64	1052.64				fee schedule		1052.64				other	OPPS APC	600				percent of total billed charges		1052.64				other	OPPS APC	1052.64				other	OPPS APC	515.79				percent of total billed charges		536.85				percent of total billed charges		152.64				other	OPPS APC	152.64	1052.64	
X PLATE LAPIDUS TEMPLATE	SUP-97-04843	CDM			278	RC		inpatient			1052.64	1052.64																																																			
KIT FIXATION ENDOBUTTON TM PAC DYO CRUCIATE ACCESS	SUP-014893	CDM			270	RC		outpatient			1051.22	151.22	284.78				percent of total billed charges		1051.22				other	OPPS APC	777.9				percent of total billed charges		1051.22				other	OPPS APC	1051.22				other	OPPS APC	284.78				percent of total billed charges		290.45				percent of total billed charges		151.22				other	OPPS APC	151.22	1051.22	
KIT FIXATION ENDOBUTTON TM PAC DYO CRUCIATE ACCESS	SUP-014893	CDM			270	RC		inpatient			1051.22	1051.22																																																			
PLATE BONE VLP MINI-MOD TITANIUM STRAIGHT H 1MM 6 HOLE 1.5MM SCREW MINI FRAGMENT	SUP-74441522	CDM			270	RC		outpatient			1051.2	151.2	284.77				percent of total billed charges		1051.2				other	OPPS APC	777.89				percent of total billed charges		1051.2				other	OPPS APC	1051.2				other	OPPS APC	284.77				percent of total billed charges		290.45				percent of total billed charges		151.2				other	OPPS APC	151.2	1051.2	
PLATE BONE VLP MINI-MOD TITANIUM STRAIGHT H 1MM 6 HOLE 1.5MM SCREW MINI FRAGMENT	SUP-74441522	CDM			270	RC		inpatient			1051.2	1051.2																																																			
CAPSULE VIDEO PILLCAM SB 3 156D 434.1MHZ 26.2MM 11.4MM WHITE PLASTIC 3GM 4 LIGHT EMIT DIODE BATTERY	SUP-FGS-0500	CDM			270	RC		outpatient			1050.6	15.6	284.61				percent of total billed charges		1050.6				other	OPPS APC	777.44				percent of total billed charges		1050.6				other	OPPS APC	1050.6				other	OPPS APC	284.61				percent of total billed charges		290.28				percent of total billed charges		15.6				other	OPPS APC	15.6	1050.6	
CAPSULE VIDEO PILLCAM SB 3 156D 434.1MHZ 26.2MM 11.4MM WHITE PLASTIC 3GM 4 LIGHT EMIT DIODE BATTERY	SUP-FGS-0500	CDM			270	RC		inpatient			1050.6	1050.6																																																			
ENSEAL X1 CURVED JAW LAPRASCOPIC	SUP-NSLX137C	CDM			270	RC		outpatient			1050.01	15.1	284.45				percent of total billed charges		1050.01				other	OPPS APC	777.01				percent of total billed charges		1050.01				other	OPPS APC	1050.01				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15.1				other	OPPS APC	15.1	1050.01	
ENSEAL X1 CURVED JAW LAPRASCOPIC	SUP-NSLX137C	CDM			270	RC		inpatient			1050.01	1050.01																																																			
BACTISURE WOUND LAVAGE	SUP-00-8887-001-00	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BACTISURE WOUND LAVAGE	SUP-00-8887-001-00	CDM			270	RC		inpatient			1050	1050																																																			
SOLUTION WOUND CLEANSING BACTISURE	SUP-00-8887-002-00	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
SOLUTION WOUND CLEANSING BACTISURE	SUP-00-8887-002-00	CDM			270	RC		inpatient			1050	1050																																																			
PLATE BONE LEVEL ONE TITANIUM L208 MM SPINE THORACIC STERNAL 14 HOLE STERILE 2.3 MM SCREW 2.1/2.5 MM PEEK	SUP-24-039-30-72	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
PLATE BONE LEVEL ONE TITANIUM L208 MM SPINE THORACIC STERNAL 14 HOLE STERILE 2.3 MM SCREW 2.1/2.5 MM PEEK	SUP-24-039-30-72	CDM			270	RC		inpatient			1050	1050																																																			
ICONIX 2 BX/5	SUP-79-00079	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
ICONIX 2 BX/5	SUP-79-00079	CDM			272	RC		inpatient			1050	1050																																																			
BIT DRILL SMOOTH	SUP-95-03813	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BIT DRILL SMOOTH	SUP-95-03813	CDM			272	RC		inpatient			1050	1050																																																			
ACCESSORY PORT TUBE W/ SALINE SPIKE	SUP-95-04196	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
ACCESSORY PORT TUBE W/ SALINE SPIKE	SUP-95-04196	CDM			272	RC		inpatient			1050	1050																																																			
BURR OVAL 15MM DIA 5MM	SUP-95-05380	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BURR OVAL 15MM DIA 5MM	SUP-95-05380	CDM			272	RC		inpatient			1050	1050																																																			
SUPER D CORE BX SYSTEM	SUP-95-23397	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
SUPER D CORE BX SYSTEM	SUP-95-23397	CDM			272	RC		inpatient			1050	1050																																																			
IMPLANT SYSTEM DRILL PIN BX/5EA	SUP-97-00364	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
IMPLANT SYSTEM DRILL PIN BX/5EA	SUP-97-00364	CDM			278	RC		inpatient			1050	1050																																																			
PATELLA PEG  DRILL GUIDE SIZE 26	SUP-97-00884	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
PATELLA PEG  DRILL GUIDE SIZE 26	SUP-97-00884	CDM			272	RC		inpatient			1050	1050																																																			
COMPR FT SCRW 4.0	SUP-97-02027	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCRW 4.0	SUP-97-02027	CDM			278	RC		inpatient			1050	1050																																																			
MULTIFIX S PEEK  5.5MM	SUP-97-02290	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
MULTIFIX S PEEK  5.5MM	SUP-97-02290	CDM			278	RC		inpatient			1050	1050																																																			
MULTIFIX S PEEK 5.5MM	SUP-97-02307	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
MULTIFIX S PEEK 5.5MM	SUP-97-02307	CDM			278	RC		inpatient			1050	1050																																																			
DOG BONE BUTTON	SUP-97-02834	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
DOG BONE BUTTON	SUP-97-02834	CDM			278	RC		inpatient			1050	1050																																																			
TIGHTROPE RT	SUP-97-02837	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
TIGHTROPE RT	SUP-97-02837	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 2.5 MICRO 24MM	SUP-97-03872	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 2.5 MICRO 24MM	SUP-97-03872	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 2.5 MICRO 30MM	SUP-97-03873	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 2.5 MICRO 30MM	SUP-97-03873	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 40MM	SUP-97-03874	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 40MM	SUP-97-03874	CDM			278	RC		inpatient			1050	1050																																																			
STEM EXTENSION 11 MM X 30 MM	SUP-97-04045	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
STEM EXTENSION 11 MM X 30 MM	SUP-97-04045	CDM			278	RC		inpatient			1050	1050																																																			
SCREW COMPR FT 4.0MM X 42MM	SUP-97-04261	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW COMPR FT 4.0MM X 42MM	SUP-97-04261	CDM			278	RC		inpatient			1050	1050																																																			
SCREW COMPR FT 4.0MM X 44MM	SUP-97-04262	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW COMPR FT 4.0MM X 44MM	SUP-97-04262	CDM			278	RC		inpatient			1050	1050																																																			
TRIM-IT DRILL PIN 1.5MM BX/5EA	SUP-97-04656	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
TRIM-IT DRILL PIN 1.5MM BX/5EA	SUP-97-04656	CDM			278	RC		inpatient			1050	1050																																																			
BURR CONICAL 13MM DIAM 2.9MM	SUP-97-04832	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BURR CONICAL 13MM DIAM 2.9MM	SUP-97-04832	CDM			272	RC		inpatient			1050	1050																																																			
BURR STRAIGHT 13MM DIA. 2.9MM	SUP-97-04833	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BURR STRAIGHT 13MM DIA. 2.9MM	SUP-97-04833	CDM			272	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 30MM	SUP-97-04834	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 30MM	SUP-97-04834	CDM			278	RC		inpatient			1050	1050																																																			
SCREW COMP FT 3.5 MINI 38MM	SUP-97-04835	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW COMP FT 3.5 MINI 38MM	SUP-97-04835	CDM			278	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 26MM	SUP-97-04854	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 26MM	SUP-97-04854	CDM			278	RC		inpatient			1050	1050																																																			
BURR STR. 19.5MM DIAM. 2.0 MM	SUP-97-04908	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BURR STR. 19.5MM DIAM. 2.0 MM	SUP-97-04908	CDM			272	RC		inpatient			1050	1050																																																			
BURR STRAIGHT 13MM DIAM. 2.0 MM	SUP-97-04960	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BURR STRAIGHT 13MM DIAM. 2.0 MM	SUP-97-04960	CDM			272	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 32MM LGTH	SUP-97-04961	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 32MM LGTH	SUP-97-04961	CDM			278	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 34MM	SUP-97-04965	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 34MM	SUP-97-04965	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 36MM LGTH	SUP-97-05074	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 36MM LGTH	SUP-97-05074	CDM			278	RC		inpatient			1050	1050																																																			
MICRO CMT FT 34MM	SUP-97-05075	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
MICRO CMT FT 34MM	SUP-97-05075	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 34MM LGTH	SUP-97-05076	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 34MM LGTH	SUP-97-05076	CDM			278	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 32MM	SUP-97-05100	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 32MM	SUP-97-05100	CDM			278	RC		inpatient			1050	1050																																																			
BURR CONICAL 12 MM DIA.2.2 MM	SUP-97-05116	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BURR CONICAL 12 MM DIA.2.2 MM	SUP-97-05116	CDM			272	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 28MM	SUP-97-05117	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 28MM	SUP-97-05117	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 26MM LGTH	SUP-97-05118	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 26MM LGTH	SUP-97-05118	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0STD 46MM LENGTH	SUP-97-05142	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0STD 46MM LENGTH	SUP-97-05142	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 28MM LGTH	SUP-97-05169	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 28MM LGTH	SUP-97-05169	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCREW 4.0 STD 22MM LGTH	SUP-97-05210	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCREW 4.0 STD 22MM LGTH	SUP-97-05210	CDM			278	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 16MM	SUP-97-05241	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 16MM	SUP-97-05241	CDM			278	RC		inpatient			1050	1050																																																			
MICRO CMP FT 13MM	SUP-97-05244	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
MICRO CMP FT 13MM	SUP-97-05244	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 28MM MICRO COMPRESSION FT	SUP-97-05262	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 28MM MICRO COMPRESSION FT	SUP-97-05262	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCRW 2.5 MICRO 36MM LGTH	SUP-97-05367	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCRW 2.5 MICRO 36MM LGTH	SUP-97-05367	CDM			278	RC		inpatient			1050	1050																																																			
SCREW COMPR FT 3.5 MINI 40MM	SUP-97-05368	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW COMPR FT 3.5 MINI 40MM	SUP-97-05368	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCRW 2.5 MICRO 26MM LGTH	SUP-97-05523	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCRW 2.5 MICRO 26MM LGTH	SUP-97-05523	CDM			278	RC		inpatient			1050	1050																																																			
COMPR FT SCRW 2.5 MICRO 32MM LGTH	SUP-97-05526	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
COMPR FT SCRW 2.5 MICRO 32MM LGTH	SUP-97-05526	CDM			278	RC		inpatient			1050	1050																																																			
SCREW MINI CMP FT 18MM	SUP-97-05538	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW MINI CMP FT 18MM	SUP-97-05538	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 14MM MICRO COMPRESSION FT	SUP-97-05672	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 14MM MICRO COMPRESSION FT	SUP-97-05672	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 16MM MICRO COMPRESSION FT	SUP-97-05673	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 16MM MICRO COMPRESSION FT	SUP-97-05673	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 18MM MICRO COMPRESSION FT	SUP-97-05674	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 18MM MICRO COMPRESSION FT	SUP-97-05674	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 20MM MICRO COMPRESSION FT	SUP-97-05675	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 20MM MICRO COMPRESSION FT	SUP-97-05675	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 22MM MICRO COMPRESSION FT	SUP-97-05676	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 22MM MICRO COMPRESSION FT	SUP-97-05676	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 24MM MICRO COMPRESSION FT	SUP-97-05677	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 24MM MICRO COMPRESSION FT	SUP-97-05677	CDM			278	RC		inpatient			1050	1050																																																			
SCREW 2.5 X 38MM MICRO COMPRESSION FT	SUP-97-05678	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW 2.5 X 38MM MICRO COMPRESSION FT	SUP-97-05678	CDM			278	RC		inpatient			1050	1050																																																			
PIN 2.4 X 12MM SNAP-OFF FT	SUP-97-05861	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
PIN 2.4 X 12MM SNAP-OFF FT	SUP-97-05861	CDM			278	RC		inpatient			1050	1050																																																			
SCREW COMPR FT 3.5 MINI 46MM	SUP-97-06057	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
SCREW COMPR FT 3.5 MINI 46MM	SUP-97-06057	CDM			278	RC		inpatient			1050	1050																																																			
END CAP 10MM THREADED FLEX THREAD	SUP-97-06394	CDM			278	RC		outpatient			1050	15	1050				fee schedule		1050				other	OPPS APC	598.5				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	514.5				percent of total billed charges		535.5				percent of total billed charges		15				other	OPPS APC	15	1050	
END CAP 10MM THREADED FLEX THREAD	SUP-97-06394	CDM			278	RC		inpatient			1050	1050																																																			
BALLOON - ADMIRAL 4.0X200	SUP-99-00978	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - ADMIRAL 4.0X200	SUP-99-00978	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 1.5X12	SUP-99-02061	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 1.5X12	SUP-99-02061	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 2.5X8	SUP-99-02064	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 2.5X8	SUP-99-02064	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 2.0X12	SUP-99-02065	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 2.0X12	SUP-99-02065	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 2.0X20	SUP-99-03214	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 2.0X20	SUP-99-03214	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 2.5X20	SUP-99-03215	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 2.5X20	SUP-99-03215	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 3.0X20	SUP-99-03216	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 3.0X20	SUP-99-03216	CDM			272	RC		inpatient			1050	1050																																																			
BALLOON - GLIDER RX 3.0X12	SUP-99-03217	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
BALLOON - GLIDER RX 3.0X12	SUP-99-03217	CDM			272	RC		inpatient			1050	1050																																																			
CATHETER- VENCLOSE MAVEN RF 40CM	SUP-99-04250	CDM			272	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
CATHETER- VENCLOSE MAVEN RF 40CM	SUP-99-04250	CDM			272	RC		inpatient			1050	1050																																																			
DEVICE FIXATION TIGHTROPE FIBERTAG ACL	SUP-AR-1588RTT	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
DEVICE FIXATION TIGHTROPE FIBERTAG ACL	SUP-AR-1588RTT	CDM			270	RC		inpatient			1050	1050																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L93 MM ANKLE 7 HOLE LOCK	SUP-AR-8943C-07	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
PLATE BONE STAINLESS STEEL STRAIGHT L93 MM ANKLE 7 HOLE LOCK	SUP-AR-8943C-07	CDM			270	RC		inpatient			1050	1050																																																			
PATCH REFERENCE CARTO 3 EXTERNAL	SUP-CREFP6	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
PATCH REFERENCE CARTO 3 EXTERNAL	SUP-CREFP6	CDM			270	RC		inpatient			1050	1050																																																			
STENT CORONARY DRIVER COBALT L18 MM ID3 MM RAPID EXCHANGE BALLOON EXPANDABLE	SUP-DRV30018UX	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
STENT CORONARY DRIVER COBALT L18 MM ID3 MM RAPID EXCHANGE BALLOON EXPANDABLE	SUP-DRV30018UX	CDM			270	RC		inpatient			1050	1050																																																			
AXS INFINITY SHEATH 90CM	SUP-GEN-10476	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
AXS INFINITY SHEATH 90CM	SUP-GEN-10476	CDM			270	RC		inpatient			1050	1050																																																			
PLATE BONE DVR HOCKEY STICK RIGHT WRIST FRAGMENT STERILE	SUP-RHS	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
PLATE BONE DVR HOCKEY STICK RIGHT WRIST FRAGMENT STERILE	SUP-RHS	CDM			270	RC		inpatient			1050	1050																																																			
RELOAD STAPLER SIGNIA SMALL DIAMETER THIN L45 MM OD8 MM VASCULAR CURVE TIP STERILE LATEX FREE DISPOSABLE CANNULA	SUP-SIGSDL45CTVT	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
RELOAD STAPLER SIGNIA SMALL DIAMETER THIN L45 MM OD8 MM VASCULAR CURVE TIP STERILE LATEX FREE DISPOSABLE CANNULA	SUP-SIGSDL45CTVT	CDM			270	RC		inpatient			1050	1050																																																			
PLATE BONE STRAIGHT DISTAL VOLAR RADIAL FRAGMENT STERILE	SUP-STR	CDM			270	RC		outpatient			1050	15	284.45				percent of total billed charges		1050				other	OPPS APC	777				percent of total billed charges		1050				other	OPPS APC	1050				other	OPPS APC	284.45				percent of total billed charges		290.12				percent of total billed charges		15				other	OPPS APC	15	1050	
PLATE BONE STRAIGHT DISTAL VOLAR RADIAL FRAGMENT STERILE	SUP-STR	CDM			270	RC		inpatient			1050	1050																																																			
GUIDE DRILL EVOS OD 2.5MM SNAP IN SERRATE	SUP-71175047	CDM			270	RC		outpatient			1049.54	149.54	284.32				percent of total billed charges		1049.54				other	OPPS APC	776.66				percent of total billed charges		1049.54				other	OPPS APC	1049.54				other	OPPS APC	284.32				percent of total billed charges		289.99				percent of total billed charges		149.54				other	OPPS APC	149.54	1049.54	
GUIDE DRILL EVOS OD 2.5MM SNAP IN SERRATE	SUP-71175047	CDM			270	RC		inpatient			1049.54	1049.54																																																			
GUIDE DRILL EVOS OD 3.5MM SNAP IN SERRATE	SUP-71175051	CDM			270	RC		outpatient			1049.54	149.54	284.32				percent of total billed charges		1049.54				other	OPPS APC	776.66				percent of total billed charges		1049.54				other	OPPS APC	1049.54				other	OPPS APC	284.32				percent of total billed charges		289.99				percent of total billed charges		149.54				other	OPPS APC	149.54	1049.54	
GUIDE DRILL EVOS OD 3.5MM SNAP IN SERRATE	SUP-71175051	CDM			270	RC		inpatient			1049.54	1049.54																																																			
STAPLER INTERNAL 30X3.5MM TITANIUM REGULAR THICK TISSUE LINEAR CUTTER SQUEEZE HANDLE	SUP-017615	CDM			270	RC		outpatient			1048.96	148.96	284.16				percent of total billed charges		1048.96				other	OPPS APC	776.23				percent of total billed charges		1048.96				other	OPPS APC	1048.96				other	OPPS APC	284.16				percent of total billed charges		289.83				percent of total billed charges		148.96				other	OPPS APC	148.96	1048.96	
STAPLER INTERNAL 30X3.5MM TITANIUM REGULAR THICK TISSUE LINEAR CUTTER SQUEEZE HANDLE	SUP-017615	CDM			270	RC		inpatient			1048.96	1048.96																																																			
STAPLER INTERNAL ROTICULATOR TITANIUM L30 MM X W3.5 MM REGULAR THICK TISSUE LINEAR CUTTER SQUEEZE HANDLE STERILE LATEX FREE DISPOSABLE BLUE	SUP-17615	CDM			270	RC		outpatient			1048.96	148.96	284.16				percent of total billed charges		1048.96				other	OPPS APC	776.23				percent of total billed charges		1048.96				other	OPPS APC	1048.96				other	OPPS APC	284.16				percent of total billed charges		289.83				percent of total billed charges		148.96				other	OPPS APC	148.96	1048.96	
STAPLER INTERNAL ROTICULATOR TITANIUM L30 MM X W3.5 MM REGULAR THICK TISSUE LINEAR CUTTER SQUEEZE HANDLE STERILE LATEX FREE DISPOSABLE BLUE	SUP-17615	CDM			270	RC		inpatient			1048.96	1048.96																																																			
HRIS T SPLITTER 125MM	SUP-97-05055	CDM			272	RC		outpatient			1048.5	148.5	284.04				percent of total billed charges		1048.5				other	OPPS APC	775.89				percent of total billed charges		1048.5				other	OPPS APC	1048.5				other	OPPS APC	284.04				percent of total billed charges		289.7				percent of total billed charges		148.5				other	OPPS APC	148.5	1048.5	
HRIS T SPLITTER 125MM	SUP-97-05055	CDM			272	RC		inpatient			1048.5	1048.5																																																			
SCREW 5 X 65MM HEADLESS COMPRESSION	SUP-97-03785	CDM			278	RC		outpatient			1048.14	148.14	1048.14				fee schedule		1048.14				other	OPPS APC	597.44				percent of total billed charges		1048.14				other	OPPS APC	1048.14				other	OPPS APC	513.59				percent of total billed charges		534.55				percent of total billed charges		148.14				other	OPPS APC	148.14	1048.14	
SCREW 5 X 65MM HEADLESS COMPRESSION	SUP-97-03785	CDM			278	RC		inpatient			1048.14	1048.14																																																			
SCREW 5 X 85MM HEADLESS COMPRESSION	SUP-97-03786	CDM			278	RC		outpatient			1048.14	148.14	1048.14				fee schedule		1048.14				other	OPPS APC	597.44				percent of total billed charges		1048.14				other	OPPS APC	1048.14				other	OPPS APC	513.59				percent of total billed charges		534.55				percent of total billed charges		148.14				other	OPPS APC	148.14	1048.14	
SCREW 5 X 85MM HEADLESS COMPRESSION	SUP-97-03786	CDM			278	RC		inpatient			1048.14	1048.14																																																			
PLATE T LCP RIGHT ANGLE 4 HOLE HEAD/4 HOLE SHAFT 3.5 X 56MM	SUP-97-06039	CDM			278	RC		outpatient			1047.84	147.84	1047.84				fee schedule		1047.84				other	OPPS APC	597.27				percent of total billed charges		1047.84				other	OPPS APC	1047.84				other	OPPS APC	513.44				percent of total billed charges		534.4				percent of total billed charges		147.84				other	OPPS APC	147.84	1047.84	
PLATE T LCP RIGHT ANGLE 4 HOLE HEAD/4 HOLE SHAFT 3.5 X 56MM	SUP-97-06039	CDM			278	RC		inpatient			1047.84	1047.84																																																			
CATHETER GUIDING ENVOY STAINLESS STEEL NYLON POLYURETHANE PTFE MULTIPURPSE C CURVE L 90CM OD 6FR ID .07IN CORONARY NEUROVASCULAR BRAID RADIOPAQUE MULTISEGMENT	SUP-67025690	CDM			270	RC		outpatient			1047.32	147.32	283.72				percent of total billed charges		1047.32				other	OPPS APC	775.02				percent of total billed charges		1047.32				other	OPPS APC	1047.32				other	OPPS APC	283.72				percent of total billed charges		289.37				percent of total billed charges		147.32				other	OPPS APC	147.32	1047.32	
CATHETER GUIDING ENVOY STAINLESS STEEL NYLON POLYURETHANE PTFE MULTIPURPSE C CURVE L 90CM OD 6FR ID .07IN CORONARY NEUROVASCULAR BRAID RADIOPAQUE MULTISEGMENT	SUP-67025690	CDM			270	RC		inpatient			1047.32	1047.32																																																			
GRAFT PCO VENTRAL PATCH 4C ( PCO4VP	SUP-75-00171	CDM			278	RC		outpatient			1047.28	147.28	1047.28				fee schedule		1047.28				other	OPPS APC	596.95				percent of total billed charges		1047.28				other	OPPS APC	1047.28				other	OPPS APC	513.17				percent of total billed charges		534.11				percent of total billed charges		147.28				other	OPPS APC	147.28	1047.28	
GRAFT PCO VENTRAL PATCH 4C ( PCO4VP	SUP-75-00171	CDM			278	RC		inpatient			1047.28	1047.28																																																			
HC Lumbar Injection Pain Mgt	PX-320623231	CDM	62323	CPT	320	RC		outpatient			1046	146	512.54				percent of total billed charges		1046				other	OPPS APC	774.04				percent of total billed charges		1046				other	OPPS APC	1046				other	OPPS APC	97.24				fee schedule		533.46				percent of total billed charges		146				other	OPPS APC	97.24	1046	
HC Lumbar Injection Pain Mgt	PX-320623231	CDM	62323	CPT	320	RC		inpatient			1046	1046																																																			
GRAFT SOFT TISSUE GEISTLICH BIO-GIDE PORCINE COLLAGEN MEMBRANE L50 MM X W40 MM 2 BLISTER 2 LAYER RESORBABLE STERILE	SUP-20153	CDM			270	RC		outpatient			1044	144	282.82				percent of total billed charges		1044				other	OPPS APC	772.56				percent of total billed charges		1044				other	OPPS APC	1044				other	OPPS APC	282.82				percent of total billed charges		288.46				percent of total billed charges		144				other	OPPS APC	144	1044	
GRAFT SOFT TISSUE GEISTLICH BIO-GIDE PORCINE COLLAGEN MEMBRANE L50 MM X W40 MM 2 BLISTER 2 LAYER RESORBABLE STERILE	SUP-20153	CDM			270	RC		inpatient			1044	1044																																																			
CATHETER BALLOON OCCLUSION GORE 10-37 MM L90 CM L4 CM MOLD STENT GRAFT OPTIMIZE SEAL ACCEPTS .035 IN GUIDEWIRE	SUP-MOB37	CDM			270	RC		outpatient			1044	144	282.82				percent of total billed charges		1044				other	OPPS APC	772.56				percent of total billed charges		1044				other	OPPS APC	1044				other	OPPS APC	282.82				percent of total billed charges		288.46				percent of total billed charges		144				other	OPPS APC	144	1044	
CATHETER BALLOON OCCLUSION GORE 10-37 MM L90 CM L4 CM MOLD STENT GRAFT OPTIMIZE SEAL ACCEPTS .035 IN GUIDEWIRE	SUP-MOB37	CDM			270	RC		inpatient			1044	1044																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L98 MM X W10.1 MM X H3.5 MM 7 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.071	CDM	270010022	LOCAL	270	RC		outpatient			1043.9	143.91	282.79				percent of total billed charges		1043.9				other	OPPS APC	772.49				percent of total billed charges		1043.9				other	OPPS APC	1043.9				other	OPPS APC	282.79				percent of total billed charges		288.43				percent of total billed charges		143.91				other	OPPS APC	143.91	1043.9	
PLATE BONE LCP COMBI STAINLESS STEEL L98 MM X W10.1 MM X H3.5 MM 7 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.071	CDM	270010022	LOCAL	270	RC		inpatient			1043.9	1043.9																																																			
PLATE BONE LC-DCP STAINLESS STEEL L82 MM 7 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.17	CDM	270010022	LOCAL	270	RC		outpatient			1043.9	143.91	282.79				percent of total billed charges		1043.9				other	OPPS APC	772.49				percent of total billed charges		1043.9				other	OPPS APC	1043.9				other	OPPS APC	282.79				percent of total billed charges		288.43				percent of total billed charges		143.91				other	OPPS APC	143.91	1043.9	
PLATE BONE LC-DCP STAINLESS STEEL L82 MM 7 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.17	CDM	270010022	LOCAL	270	RC		inpatient			1043.9	1043.9																																																			
NEEDLE ACUVANCE PLUS 20G	SUP-97-00207	CDM			272	RC		outpatient			1043.31	143.4	282.63				percent of total billed charges		1043.31				other	OPPS APC	772.05				percent of total billed charges		1043.31				other	OPPS APC	1043.31				other	OPPS APC	282.63				percent of total billed charges		288.27				percent of total billed charges		143.4				other	OPPS APC	143.4	1043.31	
NEEDLE ACUVANCE PLUS 20G	SUP-97-00207	CDM			272	RC		inpatient			1043.31	1043.31																																																			
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L87 MM X W10 MM X H1.5 MM 3 HOLE HEAD 7 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.171	CDM	270010022	LOCAL	270	RC		outpatient			1042.8	142.8	282.49				percent of total billed charges		1042.8				other	OPPS APC	771.67				percent of total billed charges		1042.8				other	OPPS APC	1042.8				other	OPPS APC	282.49				percent of total billed charges		288.13				percent of total billed charges		142.8				other	OPPS APC	142.8	1042.8	
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L87 MM X W10 MM X H1.5 MM 3 HOLE HEAD 7 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.171	CDM	270010022	LOCAL	270	RC		inpatient			1042.8	1042.8																																																			
PLATE LCP 7 HOLES 3.5MM	SUP-97-23818	CDM			278	RC		outpatient			1042.53	142.53	1042.53				fee schedule		1042.53				other	OPPS APC	594.24				percent of total billed charges		1042.53				other	OPPS APC	1042.53				other	OPPS APC	510.84				percent of total billed charges		531.69				percent of total billed charges		142.53				other	OPPS APC	142.53	1042.53	
PLATE LCP 7 HOLES 3.5MM	SUP-97-23818	CDM			278	RC		inpatient			1042.53	1042.53																																																			
DRILL STANDARD CANNUATED 4.6X250MM	SUP-95-04059	CDM			272	RC		outpatient			1042.5	142.5	282.41				percent of total billed charges		1042.5				other	OPPS APC	771.45				percent of total billed charges		1042.5				other	OPPS APC	1042.5				other	OPPS APC	282.41				percent of total billed charges		288.04				percent of total billed charges		142.5				other	OPPS APC	142.5	1042.5	
DRILL STANDARD CANNUATED 4.6X250MM	SUP-95-04059	CDM			272	RC		inpatient			1042.5	1042.5																																																			
DRILL 3.3 X 200MM 3/16 SQ CONNECTION	SUP-97-05164	CDM			272	RC		outpatient			1042.5	142.5	282.41				percent of total billed charges		1042.5				other	OPPS APC	771.45				percent of total billed charges		1042.5				other	OPPS APC	1042.5				other	OPPS APC	282.41				percent of total billed charges		288.04				percent of total billed charges		142.5				other	OPPS APC	142.5	1042.5	
DRILL 3.3 X 200MM 3/16 SQ CONNECTION	SUP-97-05164	CDM			272	RC		inpatient			1042.5	1042.5																																																			
DRILL 3.5X200MM 3/16 SQ CONNECTION	SUP-97-05165	CDM			272	RC		outpatient			1042.5	142.5	282.41				percent of total billed charges		1042.5				other	OPPS APC	771.45				percent of total billed charges		1042.5				other	OPPS APC	1042.5				other	OPPS APC	282.41				percent of total billed charges		288.04				percent of total billed charges		142.5				other	OPPS APC	142.5	1042.5	
DRILL 3.5X200MM 3/16 SQ CONNECTION	SUP-97-05165	CDM			272	RC		inpatient			1042.5	1042.5																																																			
PLUG BONE GRAFT SYSTEM TRUFIT KIT GREEN 5MM	SUP-72200923	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
PLUG BONE GRAFT SYSTEM TRUFIT KIT GREEN 5MM	SUP-72200923	CDM			270	RC		inpatient			1040	1040																																																			
PLUG BONE GRAFT SYSTEM TRUFIT KIT RED 7MM	SUP-72200925	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
PLUG BONE GRAFT SYSTEM TRUFIT KIT RED 7MM	SUP-72200925	CDM			270	RC		inpatient			1040	1040																																																			
PLUG BONE GRAFT SYSTEM TRUFIT KIT BLUE 9MM	SUP-72200927	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
PLUG BONE GRAFT SYSTEM TRUFIT KIT BLUE 9MM	SUP-72200927	CDM			270	RC		inpatient			1040	1040																																																			
SYSTEM CLOSURE VASCADE MVP ID6-12 FR VENOUS	SUP-800-612C-10U	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
SYSTEM CLOSURE VASCADE MVP ID6-12 FR VENOUS	SUP-800-612C-10U	CDM			270	RC		inpatient			1040	1040																																																			
PLATE BONE LOW PROFILE 7MM SS STERILE TIBIA DISTAL 5MM SCREW OPENING WEDGE	SUP-AR-13200D-05	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
PLATE BONE LOW PROFILE 7MM SS STERILE TIBIA DISTAL 5MM SCREW OPENING WEDGE	SUP-AR-13200D-05	CDM			270	RC		inpatient			1040	1040																																																			
PLATE BONE STAINLESS STEEL LOW PROFILE L7 MM TIBIA DISTAL STERILE 3.5-4 MM SCREW OPENING WEDGE OSTEOTOMY	SUP-AR-13200D-07	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
PLATE BONE STAINLESS STEEL LOW PROFILE L7 MM TIBIA DISTAL STERILE 3.5-4 MM SCREW OPENING WEDGE OSTEOTOMY	SUP-AR-13200D-07	CDM			270	RC		inpatient			1040	1040																																																			
SET GRAFT HARVEST OATS OD7 MM ODSEC6 MM ACL ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP GUIDE PIN STERILE DISPOSABLE	SUP-AR-1981-06S	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
SET GRAFT HARVEST OATS OD7 MM ODSEC6 MM ACL ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP GUIDE PIN STERILE DISPOSABLE	SUP-AR-1981-06S	CDM			270	RC		inpatient			1040	1040																																																			
SET GRAFT HARVEST OATS OD9 MM ODSEC8 MM ACL ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP STERILE DISPOSABLE	SUP-AR-1981-08S	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
SET GRAFT HARVEST OATS OD9 MM ODSEC8 MM ACL ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP STERILE DISPOSABLE	SUP-AR-1981-08S	CDM			270	RC		inpatient			1040	1040																																																			
SET GRAFT HARVEST OATS OD11 MM ODSEC10 MM ACL ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP STERILE DISPOSABLE	SUP-AR-1981-10S	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
SET GRAFT HARVEST OATS OD11 MM ODSEC10 MM ACL ALIGNMENT ROD CORE EXTRUDER DELIVERY TUBE TAMP STERILE DISPOSABLE	SUP-AR-1981-10S	CDM			270	RC		inpatient			1040	1040																																																			
SET ENDOSCOPIC INSTRUMENT CHONDRAL DART MULTISHOT STERILE DISPOSABLE OSTEOCHONDRAL FLAP REPAIR	SUP-AR-4095S	CDM			270	RC		outpatient			1040	14	281.74				percent of total billed charges		1040				other	OPPS APC	769.6				percent of total billed charges		1040				other	OPPS APC	1040				other	OPPS APC	281.74				percent of total billed charges		287.35				percent of total billed charges		14				other	OPPS APC	14	1040	
SET ENDOSCOPIC INSTRUMENT CHONDRAL DART MULTISHOT STERILE DISPOSABLE OSTEOCHONDRAL FLAP REPAIR	SUP-AR-4095S	CDM			270	RC		inpatient			1040	1040																																																			
HOFMAN3 CONNECTING ROD 11 X 350MM	SUP-97-03403	CDM			278	RC		outpatient			1038.24	138.24	1038.24				fee schedule		1038.24				other	OPPS APC	591.8				percent of total billed charges		1038.24				other	OPPS APC	1038.24				other	OPPS APC	508.74				percent of total billed charges		529.5				percent of total billed charges		138.24				other	OPPS APC	138.24	1038.24	
HOFMAN3 CONNECTING ROD 11 X 350MM	SUP-97-03403	CDM			278	RC		inpatient			1038.24	1038.24																																																			
ADHESIVE SKIN CLOSURE BIOGLUE BSA GLUTARALDEHYDE 5 ML CARTRIDGE SYRINGE STERILE LATEX FREE DISPOSABLE HAZARDOUS	SUP-BG-3005-5-US	CDM			270	RC		outpatient			1038	138	281.19				percent of total billed charges		1038				other	OPPS APC	768.12				percent of total billed charges		1038				other	OPPS APC	1038				other	OPPS APC	281.19				percent of total billed charges		286.8				percent of total billed charges		138				other	OPPS APC	138	1038	
ADHESIVE SKIN CLOSURE BIOGLUE BSA GLUTARALDEHYDE 5 ML CARTRIDGE SYRINGE STERILE LATEX FREE DISPOSABLE HAZARDOUS	SUP-BG-3005-5-US	CDM			270	RC		inpatient			1038	1038																																																			
PLATE BONE STAINLESS STEEL STANDARD PELVIS QUADRILATERAL SURFACE STERILE 3.5 MM SCREW	SUP-02.100.325S	CDM	270010022	LOCAL	270	RC		outpatient			1037.9	137.91	281.17				percent of total billed charges		1037.9				other	OPPS APC	768.05				percent of total billed charges		1037.9				other	OPPS APC	1037.9				other	OPPS APC	281.17				percent of total billed charges		286.77				percent of total billed charges		137.91				other	OPPS APC	137.91	1037.9	
PLATE BONE STAINLESS STEEL STANDARD PELVIS QUADRILATERAL SURFACE STERILE 3.5 MM SCREW	SUP-02.100.325S	CDM	270010022	LOCAL	270	RC		inpatient			1037.9	1037.9																																																			
PLATE BONE LC-DCP STAINLESS STEEL T L148 MM 8 HOLE SHAFT NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-240.18	CDM	270010022	LOCAL	270	RC		outpatient			1036.8	136.8	280.87				percent of total billed charges		1036.8				other	OPPS APC	767.23				percent of total billed charges		1036.8				other	OPPS APC	1036.8				other	OPPS APC	280.87				percent of total billed charges		286.47				percent of total billed charges		136.8				other	OPPS APC	136.8	1036.8	
PLATE BONE LC-DCP STAINLESS STEEL T L148 MM 8 HOLE SHAFT NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-240.18	CDM	270010022	LOCAL	270	RC		inpatient			1036.8	1036.8																																																			
SCREW BONE TITANIUM L10 MM OD2.4 MM MANDIBLE CORTICAL SELF TAP MODULAR FIXATION SYSTEM	SUP-401.51	CDM	270010014	LOCAL	270	RC		outpatient			1035.98	135.98	280.65				percent of total billed charges		1035.98				other	OPPS APC	766.63				percent of total billed charges		1035.98				other	OPPS APC	1035.98				other	OPPS APC	280.65				percent of total billed charges		286.24				percent of total billed charges		135.98				other	OPPS APC	135.98	1035.98	
SCREW BONE TITANIUM L10 MM OD2.4 MM MANDIBLE CORTICAL SELF TAP MODULAR FIXATION SYSTEM	SUP-401.51	CDM	270010014	LOCAL	270	RC		inpatient			1035.98	1035.98																																																			
SCREW TITANIUM 10MM 2.4MM MANDIBLE CORTICAL SELF TAP BONE NS MODULAR FIXATION SYSTEM	SUP-401.510	CDM	270010014	LOCAL	270	RC		outpatient			1035.98	135.98	280.65				percent of total billed charges		1035.98				other	OPPS APC	766.63				percent of total billed charges		1035.98				other	OPPS APC	1035.98				other	OPPS APC	280.65				percent of total billed charges		286.24				percent of total billed charges		135.98				other	OPPS APC	135.98	1035.98	
SCREW TITANIUM 10MM 2.4MM MANDIBLE CORTICAL SELF TAP BONE NS MODULAR FIXATION SYSTEM	SUP-401.510	CDM	270010014	LOCAL	270	RC		inpatient			1035.98	1035.98																																																			
HOOK EXTRACTION L650 MM STERILE CANNULATED INTRAMEDULLARY NAIL	SUP-355.399S	CDM			270	RC		outpatient			1035.92	135.92	280.63				percent of total billed charges		1035.92				other	OPPS APC	766.58				percent of total billed charges		1035.92				other	OPPS APC	1035.92				other	OPPS APC	280.63				percent of total billed charges		286.22				percent of total billed charges		135.92				other	OPPS APC	135.92	1035.92	
HOOK EXTRACTION L650 MM STERILE CANNULATED INTRAMEDULLARY NAIL	SUP-355.399S	CDM			270	RC		inpatient			1035.92	1035.92																																																			
PLATE BONE LCP 59MM SS NS CONDYLE 7 HOLE SHAFT LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.679	CDM	270010022	LOCAL	270	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
PLATE BONE LCP 59MM SS NS CONDYLE 7 HOLE SHAFT LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.679	CDM	270010022	LOCAL	270	RC		inpatient			1035	1035																																																			
TENO SCREWBIO COMP 4.75X15	SUP-97-01457	CDM			278	RC		outpatient			1035	135	1035				fee schedule		1035				other	OPPS APC	589.95				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	507.15				percent of total billed charges		527.85				percent of total billed charges		135				other	OPPS APC	135	1035	
TENO SCREWBIO COMP 4.75X15	SUP-97-01457	CDM			278	RC		inpatient			1035	1035																																																			
HEALICOIL PK 5.5MMW/UB-2BL UTP	SUP-97-02291	CDM			278	RC		outpatient			1035	135	1035				fee schedule		1035				other	OPPS APC	589.95				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	507.15				percent of total billed charges		527.85				percent of total billed charges		135				other	OPPS APC	135	1035	
HEALICOIL PK 5.5MMW/UB-2BL UTP	SUP-97-02291	CDM			278	RC		inpatient			1035	1035																																																			
HEALICOIL PK 4.5MMW/ ULTRA TAPE CBRD	SUP-97-02308	CDM			278	RC		outpatient			1035	135	1035				fee schedule		1035				other	OPPS APC	589.95				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	507.15				percent of total billed charges		527.85				percent of total billed charges		135				other	OPPS APC	135	1035	
HEALICOIL PK 4.5MMW/ ULTRA TAPE CBRD	SUP-97-02308	CDM			278	RC		inpatient			1035	1035																																																			
TENO SCREWBIO BIOCOMPOSITE 4X10MM	SUP-97-03254	CDM			278	RC		outpatient			1035	135	1035				fee schedule		1035				other	OPPS APC	589.95				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	507.15				percent of total billed charges		527.85				percent of total billed charges		135				other	OPPS APC	135	1035	
TENO SCREWBIO BIOCOMPOSITE 4X10MM	SUP-97-03254	CDM			278	RC		inpatient			1035	1035																																																			
TENO SCREWBIO BIOCOMPOSITE 5.5X15MM	SUP-97-03255	CDM			278	RC		outpatient			1035	135	1035				fee schedule		1035				other	OPPS APC	589.95				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	507.15				percent of total billed charges		527.85				percent of total billed charges		135				other	OPPS APC	135	1035	
TENO SCREWBIO BIOCOMPOSITE 5.5X15MM	SUP-97-03255	CDM			278	RC		inpatient			1035	1035																																																			
TENO SCREWBIO BIOCOMPOSITE 6.25X15MM	SUP-97-03256	CDM			278	RC		outpatient			1035	135	1035				fee schedule		1035				other	OPPS APC	589.95				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	507.15				percent of total billed charges		527.85				percent of total billed charges		135				other	OPPS APC	135	1035	
TENO SCREWBIO BIOCOMPOSITE 6.25X15MM	SUP-97-03256	CDM			278	RC		inpatient			1035	1035																																																			
DRILL QUICK CONNECT	SUP-97-03262	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
DRILL QUICK CONNECT	SUP-97-03262	CDM			272	RC		inpatient			1035	1035																																																			
DRILL QUICK CONNECT	SUP-97-03265	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
DRILL QUICK CONNECT	SUP-97-03265	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 2.5/3.0X210	SUP-99-00920	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 2.5/3.0X210	SUP-99-00920	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 2.0X40	SUP-99-01209	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 2.0X40	SUP-99-01209	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 1.5X20	SUP-99-01210	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 1.5X20	SUP-99-01210	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 3.5/4.0X210	SUP-99-02012	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 3.5/4.0X210	SUP-99-02012	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 3.0X150	SUP-99-02046	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 3.0X150	SUP-99-02046	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 2.0/2.5X210	SUP-99-02049	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 2.0/2.5X210	SUP-99-02049	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 2.0X80	SUP-99-02075	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 2.0X80	SUP-99-02075	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 2.5X150	SUP-99-02295	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 2.5X150	SUP-99-02295	CDM			272	RC		inpatient			1035	1035																																																			
BALLOON - AMPHIRION 2.0X150	SUP-99-03244	CDM			272	RC		outpatient			1035	135	280.38				percent of total billed charges		1035				other	OPPS APC	765.9				percent of total billed charges		1035				other	OPPS APC	1035				other	OPPS APC	280.38				percent of total billed charges		285.97				percent of total billed charges		135				other	OPPS APC	135	1035	
BALLOON - AMPHIRION 2.0X150	SUP-99-03244	CDM			272	RC		inpatient			1035	1035																																																			
SUTURE MANAGER NANOPASS REACH LEFT 45 DEGREE	SUP-95-05368	CDM			272	RC		outpatient			1034.64	134.64	280.28				percent of total billed charges		1034.64				other	OPPS APC	765.63				percent of total billed charges		1034.64				other	OPPS APC	1034.64				other	OPPS APC	280.28				percent of total billed charges		285.87				percent of total billed charges		134.64				other	OPPS APC	134.64	1034.64	
SUTURE MANAGER NANOPASS REACH LEFT 45 DEGREE	SUP-95-05368	CDM			272	RC		inpatient			1034.64	1034.64																																																			
SUTURE MANAGER NANOPASS REACH RIGHT 45 DEGREE	SUP-95-05369	CDM			272	RC		outpatient			1034.64	134.64	280.28				percent of total billed charges		1034.64				other	OPPS APC	765.63				percent of total billed charges		1034.64				other	OPPS APC	1034.64				other	OPPS APC	280.28				percent of total billed charges		285.87				percent of total billed charges		134.64				other	OPPS APC	134.64	1034.64	
SUTURE MANAGER NANOPASS REACH RIGHT 45 DEGREE	SUP-95-05369	CDM			272	RC		inpatient			1034.64	1034.64																																																			
PLATE BONE STAINLESS STEEL STRAIGHT H1 MM HAND 12 HOLE LOCK VARIABLE ANGLE NONSTERILE 1.5 MM SCREW	SUP-02.130.251	CDM	270010022	LOCAL	270	RC		outpatient			1034.4	134.41	280.22				percent of total billed charges		1034.4				other	OPPS APC	765.46				percent of total billed charges		1034.4				other	OPPS APC	1034.4				other	OPPS APC	280.22				percent of total billed charges		285.8				percent of total billed charges		134.41				other	OPPS APC	134.41	1034.4	
PLATE BONE STAINLESS STEEL STRAIGHT H1 MM HAND 12 HOLE LOCK VARIABLE ANGLE NONSTERILE 1.5 MM SCREW	SUP-02.130.251	CDM	270010022	LOCAL	270	RC		inpatient			1034.4	1034.4																																																			
REELX ANCHOR 4.5	SUP-79-00080	CDM			272	RC		outpatient			1033.53	133.53	279.98				percent of total billed charges		1033.53				other	OPPS APC	764.81				percent of total billed charges		1033.53				other	OPPS APC	1033.53				other	OPPS APC	279.98				percent of total billed charges		285.56				percent of total billed charges		133.53				other	OPPS APC	133.53	1033.53	
REELX ANCHOR 4.5	SUP-79-00080	CDM			272	RC		inpatient			1033.53	1033.53																																																			
REELX ANCHOR 4.5	SUP-97-00797	CDM			278	RC		outpatient			1033.53	133.53	1033.53				fee schedule		1033.53				other	OPPS APC	589.11				percent of total billed charges		1033.53				other	OPPS APC	1033.53				other	OPPS APC	506.43				percent of total billed charges		527.1				percent of total billed charges		133.53				other	OPPS APC	133.53	1033.53	
REELX ANCHOR 4.5	SUP-97-00797	CDM			278	RC		inpatient			1033.53	1033.53																																																			
PLATE BONE T STRUT 43X8X.5MM TITANIUM NS CRANIOFACIAL 2X9 HOLE 1.3MM CORTEX SCREW	SUP-421.080	CDM	270010022	LOCAL	270	RC		outpatient			1032	132	279.57				percent of total billed charges		1032				other	OPPS APC	763.68				percent of total billed charges		1032				other	OPPS APC	1032				other	OPPS APC	279.57				percent of total billed charges		285.14				percent of total billed charges		132				other	OPPS APC	132	1032	
PLATE BONE T STRUT 43X8X.5MM TITANIUM NS CRANIOFACIAL 2X9 HOLE 1.3MM CORTEX SCREW	SUP-421.080	CDM	270010022	LOCAL	270	RC		inpatient			1032	1032																																																			
DEVICE SUTURING CAPIO SLIM FUNNEL TRANSVAGINAL ERGONOMIC HANDLE REDUCE PROFILE OPEN ACCESS CAPTURE STERILE DISPOSABLE	SUP-M0068318261	CDM			270	RC		outpatient			1029.6	129.6	278.92				percent of total billed charges		1029.6				other	OPPS APC	761.9				percent of total billed charges		1029.6				other	OPPS APC	1029.6				other	OPPS APC	278.92				percent of total billed charges		284.48				percent of total billed charges		129.6				other	OPPS APC	129.6	1029.6	
DEVICE SUTURING CAPIO SLIM FUNNEL TRANSVAGINAL ERGONOMIC HANDLE REDUCE PROFILE OPEN ACCESS CAPTURE STERILE DISPOSABLE	SUP-M0068318261	CDM			270	RC		inpatient			1029.6	1029.6																																																			
GLIDERITE RIGID STYLET	SUP-95-00200	CDM			272	RC		outpatient			1029	129	278.76				percent of total billed charges		1029				other	OPPS APC	761.46				percent of total billed charges		1029				other	OPPS APC	1029				other	OPPS APC	278.76				percent of total billed charges		284.31				percent of total billed charges		129				other	OPPS APC	129	1029	
GLIDERITE RIGID STYLET	SUP-95-00200	CDM			272	RC		inpatient			1029	1029																																																			
LOCKING THIRD TUBULAR PLATE SS	SUP-97-01557	CDM			278	RC		outpatient			1029	129	1029				fee schedule		1029				other	OPPS APC	586.53				percent of total billed charges		1029				other	OPPS APC	1029				other	OPPS APC	504.21				percent of total billed charges		524.79				percent of total billed charges		129				other	OPPS APC	129	1029	
LOCKING THIRD TUBULAR PLATE SS	SUP-97-01557	CDM			278	RC		inpatient			1029	1029																																																			
GUIDEWIRE VASCULAR MIRAGE STAINLESS STEEL PLATINUM HYDROPHILIC TAPER L200 CM L10 CM OD.008 IN SOFT TIP EXTRA SUPPORT RADIOPAQUE DISTAL COIL	SUP-103-0608	CDM			270	RC		outpatient			1028	128	278.49				percent of total billed charges		1028				other	OPPS APC	760.72				percent of total billed charges		1028				other	OPPS APC	1028				other	OPPS APC	278.49				percent of total billed charges		284.04				percent of total billed charges		128				other	OPPS APC	128	1028	
GUIDEWIRE VASCULAR MIRAGE STAINLESS STEEL PLATINUM HYDROPHILIC TAPER L200 CM L10 CM OD.008 IN SOFT TIP EXTRA SUPPORT RADIOPAQUE DISTAL COIL	SUP-103-0608	CDM			270	RC		inpatient			1028	1028																																																			
GRAFT BONE VERTIGRAFT CORTICAL OD10 MM FREEZE DRIED DOWEL	SUP-CL10	CDM	270010012	LOCAL	270	RC		outpatient			1028	128	278.49				percent of total billed charges		1028				other	OPPS APC	760.72				percent of total billed charges		1028				other	OPPS APC	1028				other	OPPS APC	278.49				percent of total billed charges		284.04				percent of total billed charges		128				other	OPPS APC	128	1028	
GRAFT BONE VERTIGRAFT CORTICAL OD10 MM FREEZE DRIED DOWEL	SUP-CL10	CDM	270010012	LOCAL	270	RC		inpatient			1028	1028																																																			
GRAFT BONE VERTIGRAFT CANCELLOUS CORTICAL L15 MM OD12 MM DOWEL ANTERIOR CERVICAL FUSION CYLINDRICAL FREEZE DRIED	SUP-CL12	CDM	270010031	LOCAL	270	RC		outpatient			1028	128	278.49				percent of total billed charges		1028				other	OPPS APC	760.72				percent of total billed charges		1028				other	OPPS APC	1028				other	OPPS APC	278.49				percent of total billed charges		284.04				percent of total billed charges		128				other	OPPS APC	128	1028	
GRAFT BONE VERTIGRAFT CANCELLOUS CORTICAL L15 MM OD12 MM DOWEL ANTERIOR CERVICAL FUSION CYLINDRICAL FREEZE DRIED	SUP-CL12	CDM	270010031	LOCAL	270	RC		inpatient			1028	1028																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 4 MM 4.5 MM 5 MM L60 MM EXTRA THICK TISSUE ARTICULATE REINFORCE STERILE LATEX FREE DISPOSABLE BLACK	SUP-SIGTRSB60AXT	CDM			270	RC		outpatient			1027.41	127.41	278.33				percent of total billed charges		1027.41				other	OPPS APC	760.28				percent of total billed charges		1027.41				other	OPPS APC	1027.41				other	OPPS APC	278.33				percent of total billed charges		283.87				percent of total billed charges		127.41				other	OPPS APC	127.41	1027.41	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 4 MM 4.5 MM 5 MM L60 MM EXTRA THICK TISSUE ARTICULATE REINFORCE STERILE LATEX FREE DISPOSABLE BLACK	SUP-SIGTRSB60AXT	CDM			270	RC		inpatient			1027.41	1027.41																																																			
PROBE LITHOTRIPTER SWISS LITHOCLAST L330 MM OD3.3 MM ULTRASOUND FLEXIBLE LATEX FREE DISPOSABLE	SUP-M0068407140	CDM			270	RC		outpatient			1026.68	126.68	278.13				percent of total billed charges		1026.68				other	OPPS APC	759.74				percent of total billed charges		1026.68				other	OPPS APC	1026.68				other	OPPS APC	278.13				percent of total billed charges		283.67				percent of total billed charges		126.68				other	OPPS APC	126.68	1026.68	
PROBE LITHOTRIPTER SWISS LITHOCLAST L330 MM OD3.3 MM ULTRASOUND FLEXIBLE LATEX FREE DISPOSABLE	SUP-M0068407140	CDM			270	RC		inpatient			1026.68	1026.68																																																			
PROBE LITHOTRIPTER SWISS LITHOCLAST L403 MM OD3.8 MM ULTRASOUND FLEXIBLE LATEX FREE DISPOSABLE	SUP-M0068407170	CDM			270	RC		outpatient			1026.68	126.68	278.13				percent of total billed charges		1026.68				other	OPPS APC	759.74				percent of total billed charges		1026.68				other	OPPS APC	1026.68				other	OPPS APC	278.13				percent of total billed charges		283.67				percent of total billed charges		126.68				other	OPPS APC	126.68	1026.68	
PROBE LITHOTRIPTER SWISS LITHOCLAST L403 MM OD3.8 MM ULTRASOUND FLEXIBLE LATEX FREE DISPOSABLE	SUP-M0068407170	CDM			270	RC		inpatient			1026.68	1026.68																																																			
PLATE STERNAL LOCKING STAR 12 HOLE	SUP-460.036	CDM			270	RC		outpatient			1025.96	125.96	277.93				percent of total billed charges		1025.96				other	OPPS APC	759.21				percent of total billed charges		1025.96				other	OPPS APC	1025.96				other	OPPS APC	277.93				percent of total billed charges		283.47				percent of total billed charges		125.96				other	OPPS APC	125.96	1025.96	
PLATE STERNAL LOCKING STAR 12 HOLE	SUP-460.036	CDM			270	RC		inpatient			1025.96	1025.96																																																			
SPEED GUIDE FOR 2.7 SCREW	SUP-97-04345	CDM			272	RC		outpatient			1025.28	125.28	277.75				percent of total billed charges		1025.28				other	OPPS APC	758.71				percent of total billed charges		1025.28				other	OPPS APC	1025.28				other	OPPS APC	277.75				percent of total billed charges		283.28				percent of total billed charges		125.28				other	OPPS APC	125.28	1025.28	
SPEED GUIDE FOR 2.7 SCREW	SUP-97-04345	CDM			272	RC		inpatient			1025.28	1025.28																																																			
2.4/2.7MM X30 SPEED GUIDE	SUP-97-04515	CDM			272	RC		outpatient			1025.28	125.28	277.75				percent of total billed charges		1025.28				other	OPPS APC	758.71				percent of total billed charges		1025.28				other	OPPS APC	1025.28				other	OPPS APC	277.75				percent of total billed charges		283.28				percent of total billed charges		125.28				other	OPPS APC	125.28	1025.28	
2.4/2.7MM X30 SPEED GUIDE	SUP-97-04515	CDM			272	RC		inpatient			1025.28	1025.28																																																			
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 4 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-48-09	CDM			270	RC		outpatient			1024.5	124.5	277.54				percent of total billed charges		1024.5				other	OPPS APC	758.13				percent of total billed charges		1024.5				other	OPPS APC	1024.5				other	OPPS APC	277.54				percent of total billed charges		283.07				percent of total billed charges		124.5				other	OPPS APC	124.5	1024.5	
PLATE BONE LEVEL ONE TITANIUM STRAIGHT H1.8 MM STERNAL 4 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-48-09	CDM			270	RC		inpatient			1024.5	1024.5																																																			
PLATE BONE STAINLESS STEEL L91 MM X W10.2 MM X H2.7 MM PELVIS 7 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.027	CDM	270010022	LOCAL	270	RC		outpatient			1024.1	125	277.43				percent of total billed charges		1024.1				other	OPPS APC	757.83				percent of total billed charges		1024.1				other	OPPS APC	1024.1				other	OPPS APC	277.43				percent of total billed charges		282.96				percent of total billed charges		125				other	OPPS APC	125	1024.1	
PLATE BONE STAINLESS STEEL L91 MM X W10.2 MM X H2.7 MM PELVIS 7 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.027	CDM	270010022	LOCAL	270	RC		inpatient			1024.1	1024.1																																																			
HC Special Treatment Procedure	PX-333774700	CDM	77470	CPT	333	RC		outpatient			1024	62.95	155.26				fee schedule		602.94				other	OPPS APC	1342.95				fee schedule		602.94				other	OPPS APC	602.94				other	OPPS APC	138.51				fee schedule		32.25				fee schedule		62.95				other	OPPS APC	32.25	1342.95	
HC Special Treatment Procedure	PX-333774700	CDM	77470	CPT	333	RC		inpatient			1024	1024																																																			
HC CT Head W/O Contrast	PX-351704500	CDM	70450	CPT	351	RC		outpatient			1024	112.57	126.12				fee schedule		112.57				other	OPPS APC	564.84				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	109.91				fee schedule		69.56				fee schedule		112.57				other	OPPS APC	69.56	564.84	
HC CT Head W/O Contrast	PX-351704500	CDM	70450	CPT	351	RC		inpatient			1024	1024																																																			
PLATE BONE EVOS 6 HOLE FLEX 2 MM SCREW	SUP-72442060	CDM			270	RC		outpatient			1024	124	277.4				percent of total billed charges		1024				other	OPPS APC	757.76				percent of total billed charges		1024				other	OPPS APC	1024				other	OPPS APC	277.4				percent of total billed charges		282.93				percent of total billed charges		124				other	OPPS APC	124	1024	
PLATE BONE EVOS 6 HOLE FLEX 2 MM SCREW	SUP-72442060	CDM			270	RC		inpatient			1024	1024																																																			
PLATE BONE EVOS 8 HOLE FLEX 2 MM SCREW	SUP-72442062	CDM			270	RC		outpatient			1024	124	277.4				percent of total billed charges		1024				other	OPPS APC	757.76				percent of total billed charges		1024				other	OPPS APC	1024				other	OPPS APC	277.4				percent of total billed charges		282.93				percent of total billed charges		124				other	OPPS APC	124	1024	
PLATE BONE EVOS 8 HOLE FLEX 2 MM SCREW	SUP-72442062	CDM			270	RC		inpatient			1024	1024																																																			
PLATE BONE EVOS 10 HOLE FLEX 2 MM SCREW	SUP-72442064	CDM			270	RC		outpatient			1024	124	277.4				percent of total billed charges		1024				other	OPPS APC	757.76				percent of total billed charges		1024				other	OPPS APC	1024				other	OPPS APC	277.4				percent of total billed charges		282.93				percent of total billed charges		124				other	OPPS APC	124	1024	
PLATE BONE EVOS 10 HOLE FLEX 2 MM SCREW	SUP-72442064	CDM			270	RC		inpatient			1024	1024																																																			
PLATE BONE EVOS 20 HOLE FLEX 2 MM SCREW	SUP-72442066	CDM			270	RC		outpatient			1024	124	277.4				percent of total billed charges		1024				other	OPPS APC	757.76				percent of total billed charges		1024				other	OPPS APC	1024				other	OPPS APC	277.4				percent of total billed charges		282.93				percent of total billed charges		124				other	OPPS APC	124	1024	
PLATE BONE EVOS 20 HOLE FLEX 2 MM SCREW	SUP-72442066	CDM			270	RC		inpatient			1024	1024																																																			
PLATE BONE EVOS 6 HOLE STRENGTH 2 MM SCREW	SUP-72442070	CDM			270	RC		outpatient			1024	124	277.4				percent of total billed charges		1024				other	OPPS APC	757.76				percent of total billed charges		1024				other	OPPS APC	1024				other	OPPS APC	277.4				percent of total billed charges		282.93				percent of total billed charges		124				other	OPPS APC	124	1024	
PLATE BONE EVOS 6 HOLE STRENGTH 2 MM SCREW	SUP-72442070	CDM			270	RC		inpatient			1024	1024																																																			
PATCH SURGICAL VENTRALEX SEPRA SORBAFLEX MED CIRCLE 2.5IN POLYPROPYLENE EPTFE STERILE MONOFILAMENT SELF EXPAND STRAP	SUP-0010302	CDM			270	RC		outpatient			1023	123	277.13				percent of total billed charges		1023				other	OPPS APC	757.02				percent of total billed charges		1023				other	OPPS APC	1023				other	OPPS APC	277.13				percent of total billed charges		282.65				percent of total billed charges		123				other	OPPS APC	123	1023	
PATCH SURGICAL VENTRALEX SEPRA SORBAFLEX MED CIRCLE 2.5IN POLYPROPYLENE EPTFE STERILE MONOFILAMENT SELF EXPAND STRAP	SUP-0010302	CDM			270	RC		inpatient			1023	1023																																																			
CANCELLOUS CHIP	SUP-97-23777	CDM			278	RC		outpatient			1022.4	122.4	1022.4				fee schedule		1022.4				other	OPPS APC	582.77				percent of total billed charges		1022.4				other	OPPS APC	1022.4				other	OPPS APC	500.98				percent of total billed charges		521.42				percent of total billed charges		122.4				other	OPPS APC	122.4	1022.4	
CANCELLOUS CHIP	SUP-97-23777	CDM			278	RC		inpatient			1022.4	1022.4																																																			
DRILL BIT 3.8MM	SUP-97-00086	CDM			272	RC		outpatient			1020	12	276.32				percent of total billed charges		1020				other	OPPS APC	754.8				percent of total billed charges		1020				other	OPPS APC	1020				other	OPPS APC	276.32				percent of total billed charges		281.83				percent of total billed charges		12				other	OPPS APC	12	1020	
DRILL BIT 3.8MM	SUP-97-00086	CDM			272	RC		inpatient			1020	1020																																																			
HEALICOIL RG SA 5.5MMW/2UB-BL CBRD	SUP-97-02323	CDM			278	RC		outpatient			1020	12	1020				fee schedule		1020				other	OPPS APC	581.4				percent of total billed charges		1020				other	OPPS APC	1020				other	OPPS APC	499.8				percent of total billed charges		520.2				percent of total billed charges		12				other	OPPS APC	12	1020	
HEALICOIL RG SA 5.5MMW/2UB-BL CBRD	SUP-97-02323	CDM			278	RC		inpatient			1020	1020																																																			
BALLOON - ATLAS 14X40	SUP-99-03373	CDM			272	RC		outpatient			1020	12	276.32				percent of total billed charges		1020				other	OPPS APC	754.8				percent of total billed charges		1020				other	OPPS APC	1020				other	OPPS APC	276.32				percent of total billed charges		281.83				percent of total billed charges		12				other	OPPS APC	12	1020	
BALLOON - ATLAS 14X40	SUP-99-03373	CDM			272	RC		inpatient			1020	1020																																																			
MESH SURGICAL GORE BIO-A SYNTHETIC L10 CM X W7 CM TISSUE REINFORCEMENT HIATAL HERNIA REPAIR	SUP-HH0710	CDM			270	RC		outpatient			1020	12	276.32				percent of total billed charges		1020				other	OPPS APC	754.8				percent of total billed charges		1020				other	OPPS APC	1020				other	OPPS APC	276.32				percent of total billed charges		281.83				percent of total billed charges		12				other	OPPS APC	12	1020	
MESH SURGICAL GORE BIO-A SYNTHETIC L10 CM X W7 CM TISSUE REINFORCEMENT HIATAL HERNIA REPAIR	SUP-HH0710	CDM			270	RC		inpatient			1020	1020																																																			
KIT VESSEL HARVESTING SM #23 ULTRA RETRACTOR OPTICAL DISSECTOR PRECISION BIPOLAR VEIN	SUP-VC23	CDM			270	RC		outpatient			1020	12	276.32				percent of total billed charges		1020				other	OPPS APC	754.8				percent of total billed charges		1020				other	OPPS APC	1020				other	OPPS APC	276.32				percent of total billed charges		281.83				percent of total billed charges		12				other	OPPS APC	12	1020	
KIT VESSEL HARVESTING SM #23 ULTRA RETRACTOR OPTICAL DISSECTOR PRECISION BIPOLAR VEIN	SUP-VC23	CDM			270	RC		inpatient			1020	1020																																																			
DVR ANATOMIC STD HEAD RIGHT	SUP-DVRAR	CDM			270	RC		outpatient			1019.7	119.7	276.24				percent of total billed charges		1019.7				other	OPPS APC	754.58				percent of total billed charges		1019.7				other	OPPS APC	1019.7				other	OPPS APC	276.24				percent of total billed charges		281.74				percent of total billed charges		119.7				other	OPPS APC	119.7	1019.7	
DVR ANATOMIC STD HEAD RIGHT	SUP-DVRAR	CDM			270	RC		inpatient			1019.7	1019.7																																																			
PLATE BONE DVR FAST GUIDE TITANIUM L59.5 MM X W24.4 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE STANDARD HEAD NONSTERILE	SUP-DVRAR	CDM			270	RC		outpatient			1019.7	119.7	276.24				percent of total billed charges		1019.7				other	OPPS APC	754.58				percent of total billed charges		1019.7				other	OPPS APC	1019.7				other	OPPS APC	276.24				percent of total billed charges		281.74				percent of total billed charges		119.7				other	OPPS APC	119.7	1019.7	
PLATE BONE DVR FAST GUIDE TITANIUM L59.5 MM X W24.4 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE STANDARD HEAD NONSTERILE	SUP-DVRAR	CDM			270	RC		inpatient			1019.7	1019.7																																																			
PLATE BONE DVR FAST GUIDE TITANIUM SHORT L51.3 MM X W24.4 MM RADIUS LEFT DISTAL VOLAR 3 HOLE 2 TIER NONSTERILE	SUP-DVRASL	CDM			270	RC		outpatient			1019.7	119.7	276.24				percent of total billed charges		1019.7				other	OPPS APC	754.58				percent of total billed charges		1019.7				other	OPPS APC	1019.7				other	OPPS APC	276.24				percent of total billed charges		281.74				percent of total billed charges		119.7				other	OPPS APC	119.7	1019.7	
PLATE BONE DVR FAST GUIDE TITANIUM SHORT L51.3 MM X W24.4 MM RADIUS LEFT DISTAL VOLAR 3 HOLE 2 TIER NONSTERILE	SUP-DVRASL	CDM			270	RC		inpatient			1019.7	1019.7																																																			
PLATE BONE DVR FAST GUIDE TITANIUM SHORT L51.3 MM X W24.4 MM RADIUS RIGHT DISTAL VOLAR 3 HOLE 2 TIER NONSTERILE	SUP-DVRASR	CDM			270	RC		outpatient			1019.7	119.7	276.24				percent of total billed charges		1019.7				other	OPPS APC	754.58				percent of total billed charges		1019.7				other	OPPS APC	1019.7				other	OPPS APC	276.24				percent of total billed charges		281.74				percent of total billed charges		119.7				other	OPPS APC	119.7	1019.7	
PLATE BONE DVR FAST GUIDE TITANIUM SHORT L51.3 MM X W24.4 MM RADIUS RIGHT DISTAL VOLAR 3 HOLE 2 TIER NONSTERILE	SUP-DVRASR	CDM			270	RC		inpatient			1019.7	1019.7																																																			
PLATE BONE DVR FAST GUIDE TITANIUM L62.6 MM X W28.2 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE 2 TIER WIDE HEAD NONSTERILE	SUP-DVRAW-R	CDM			270	RC		outpatient			1019.7	119.7	276.24				percent of total billed charges		1019.7				other	OPPS APC	754.58				percent of total billed charges		1019.7				other	OPPS APC	1019.7				other	OPPS APC	276.24				percent of total billed charges		281.74				percent of total billed charges		119.7				other	OPPS APC	119.7	1019.7	
PLATE BONE DVR FAST GUIDE TITANIUM L62.6 MM X W28.2 MM RADIUS RIGHT DISTAL VOLAR 4 HOLE 2 TIER WIDE HEAD NONSTERILE	SUP-DVRAW-R	CDM			270	RC		inpatient			1019.7	1019.7																																																			
CANNULATED DRILL BIT 4.5MM	SUP-95-03942	CDM			272	RC		outpatient			1018.05	118.5	275.79				percent of total billed charges		1018.05				other	OPPS APC	753.36				percent of total billed charges		1018.05				other	OPPS APC	1018.05				other	OPPS APC	275.79				percent of total billed charges		281.29				percent of total billed charges		118.5				other	OPPS APC	118.5	1018.05	
CANNULATED DRILL BIT 4.5MM	SUP-95-03942	CDM			272	RC		inpatient			1018.05	1018.05																																																			
PLATE BONE LEVEL ONE TITANIUM FOOTBALL H1.8 MM STERNAL 6 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-42-09	CDM			270	RC		outpatient			1015.5	115.5	275.1				percent of total billed charges		1015.5				other	OPPS APC	751.47				percent of total billed charges		1015.5				other	OPPS APC	1015.5				other	OPPS APC	275.1				percent of total billed charges		280.58				percent of total billed charges		115.5				other	OPPS APC	115.5	1015.5	
PLATE BONE LEVEL ONE TITANIUM FOOTBALL H1.8 MM STERNAL 6 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-42-09	CDM			270	RC		inpatient			1015.5	1015.5																																																			
CLAMP EXTERNAL FIXATION ADJUSTABLE NONSTERILE 4/6 MM SCHANZ SCREW LARGE EXTERNAL FIXATOR	SUP-393.640	CDM	270010022	LOCAL	270	RC		outpatient			1015.2	115.2	275.02				percent of total billed charges		1015.2				other	OPPS APC	751.25				percent of total billed charges		1015.2				other	OPPS APC	1015.2				other	OPPS APC	275.02				percent of total billed charges		280.5				percent of total billed charges		115.2				other	OPPS APC	115.2	1015.2	
CLAMP EXTERNAL FIXATION ADJUSTABLE NONSTERILE 4/6 MM SCHANZ SCREW LARGE EXTERNAL FIXATOR	SUP-393.640	CDM	270010022	LOCAL	270	RC		inpatient			1015.2	1015.2																																																			
HC Genotype by Nucleic Acid Hepatitis C	PX-300879020	CDM	87902	CPT	300	RC		outpatient			1015	257.45	344.2				fee schedule		257.45				fee schedule		683.41				fee schedule		257.45				fee schedule		257.45				fee schedule		257.45				fee schedule		257.45				fee schedule		257.45				fee schedule		257.45	683.41	
HC Genotype by Nucleic Acid Hepatitis C	PX-300879020	CDM	87902	CPT	300	RC		inpatient			1015	1015																																																			
PLATE BONE STRUT 30X6X.5MM TITANIUM NS CRANIOFACIAL 16 HOLE 1MM CORTEX SCREW	SUP-420.010	CDM	270010022	LOCAL	270	RC		outpatient			1014.68	114.68	274.88				percent of total billed charges		1014.68				other	OPPS APC	750.86				percent of total billed charges		1014.68				other	OPPS APC	1014.68				other	OPPS APC	274.88				percent of total billed charges		280.36				percent of total billed charges		114.68				other	OPPS APC	114.68	1014.68	
PLATE BONE STRUT 30X6X.5MM TITANIUM NS CRANIOFACIAL 16 HOLE 1MM CORTEX SCREW	SUP-420.010	CDM	270010022	LOCAL	270	RC		inpatient			1014.68	1014.68																																																			
ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	75834-295-01	NDC	A9270	HCPCS		inpatient			1013.53	1013.53																																																			
ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	75834-295-01	NDC	A9270	HCPCS		outpatient			1013.53	1013.53																																															other	OPPS APC			
CARBON FIBER VEC. CONNECTING 11X350MM	SUP-97-04419	CDM			278	RC		outpatient			1011.36	111.36	1011.36				fee schedule		1011.36				other	OPPS APC	576.48				percent of total billed charges		1011.36				other	OPPS APC	1011.36				other	OPPS APC	495.57				percent of total billed charges		515.79				percent of total billed charges		111.36				other	OPPS APC	111.36	1011.36	
CARBON FIBER VEC. CONNECTING 11X350MM	SUP-97-04419	CDM			278	RC		inpatient			1011.36	1011.36																																																			
PLATE BONE LC-DCP TITANIUM L48 MM X W5.5 MM X H1.25 MM HAND 8 HOLE NONSTERILE 2 MM SCREW	SUP-449.938	CDM	270010022	LOCAL	270	RC		outpatient			1009.8	19.8	273.55				percent of total billed charges		1009.8				other	OPPS APC	747.25				percent of total billed charges		1009.8				other	OPPS APC	1009.8				other	OPPS APC	273.55				percent of total billed charges		279.01				percent of total billed charges		19.8				other	OPPS APC	19.8	1009.8	
PLATE BONE LC-DCP TITANIUM L48 MM X W5.5 MM X H1.25 MM HAND 8 HOLE NONSTERILE 2 MM SCREW	SUP-449.938	CDM	270010022	LOCAL	270	RC		inpatient			1009.8	1009.8																																																			
MESH SURGICAL C-QUR V-PATCH PROLITE OMEGA 3 FATTY ACID LARGE L3.2 IN X W3.2 IN 2 EXTEND STRAP STABILITY RING HERNIA	SUP-31202	CDM			270	RC		outpatient			1009.24	19.24	273.4				percent of total billed charges		1009.24				other	OPPS APC	746.84				percent of total billed charges		1009.24				other	OPPS APC	1009.24				other	OPPS APC	273.4				percent of total billed charges		278.85				percent of total billed charges		19.24				other	OPPS APC	19.24	1009.24	
MESH SURGICAL C-QUR V-PATCH PROLITE OMEGA 3 FATTY ACID LARGE L3.2 IN X W3.2 IN 2 EXTEND STRAP STABILITY RING HERNIA	SUP-31202	CDM			270	RC		inpatient			1009.24	1009.24																																																			
RING EXTERNAL FIXATION .75 165MM NS	SUP-393.736	CDM	270010022	LOCAL	270	RC		outpatient			1008.7	18.7	273.26				percent of total billed charges		1008.7				other	OPPS APC	746.44				percent of total billed charges		1008.7				other	OPPS APC	1008.7				other	OPPS APC	273.26				percent of total billed charges		278.7				percent of total billed charges		18.7				other	OPPS APC	18.7	1008.7	
RING EXTERNAL FIXATION .75 165MM NS	SUP-393.736	CDM	270010022	LOCAL	270	RC		inpatient			1008.7	1008.7																																																			
NEEDLE VIZISHOT 19G	SUP-95-03847	CDM			272	RC		outpatient			1008	18	273.07				percent of total billed charges		1008				other	OPPS APC	745.92				percent of total billed charges		1008				other	OPPS APC	1008				other	OPPS APC	273.07				percent of total billed charges		278.51				percent of total billed charges		18				other	OPPS APC	18	1008	
NEEDLE VIZISHOT 19G	SUP-95-03847	CDM			272	RC		inpatient			1008	1008																																																			
INTERFSCRW W/DISP SHTH BIO-COMP 9X23	SUP-97-02119	CDM			278	RC		outpatient			1008	18	1008				fee schedule		1008				other	OPPS APC	574.56				percent of total billed charges		1008				other	OPPS APC	1008				other	OPPS APC	493.92				percent of total billed charges		514.08				percent of total billed charges		18				other	OPPS APC	18	1008	
INTERFSCRW W/DISP SHTH BIO-COMP 9X23	SUP-97-02119	CDM			278	RC		inpatient			1008	1008																																																			
INTERFSCRW W/DISP SHTH BIO-COMP 8X23	SUP-97-02155	CDM			278	RC		outpatient			1008	18	1008				fee schedule		1008				other	OPPS APC	574.56				percent of total billed charges		1008				other	OPPS APC	1008				other	OPPS APC	493.92				percent of total billed charges		514.08				percent of total billed charges		18				other	OPPS APC	18	1008	
INTERFSCRW W/DISP SHTH BIO-COMP 8X23	SUP-97-02155	CDM			278	RC		inpatient			1008	1008																																																			
SCREW BIOCOMPOSTE INTER-FERENCE 10X23	SUP-97-02423	CDM			278	RC		outpatient			1008	18	1008				fee schedule		1008				other	OPPS APC	574.56				percent of total billed charges		1008				other	OPPS APC	1008				other	OPPS APC	493.92				percent of total billed charges		514.08				percent of total billed charges		18				other	OPPS APC	18	1008	
SCREW BIOCOMPOSTE INTER-FERENCE 10X23	SUP-97-02423	CDM			278	RC		inpatient			1008	1008																																																			
BIO COMP INTERFERENCE SCREW 9X28	SUP-97-02935	CDM			278	RC		outpatient			1008	18	1008				fee schedule		1008				other	OPPS APC	574.56				percent of total billed charges		1008				other	OPPS APC	1008				other	OPPS APC	493.92				percent of total billed charges		514.08				percent of total billed charges		18				other	OPPS APC	18	1008	
BIO COMP INTERFERENCE SCREW 9X28	SUP-97-02935	CDM			278	RC		inpatient			1008	1008																																																			
STAPLER INTERNAL CONTOUR CURVE 40MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 4 ROW LINEAR CUTTER	SUP-GCS40B	CDM			270	RC		outpatient			1007.67	17.67	272.98				percent of total billed charges		1007.67				other	OPPS APC	745.68				percent of total billed charges		1007.67				other	OPPS APC	1007.67				other	OPPS APC	272.98				percent of total billed charges		278.42				percent of total billed charges		17.67				other	OPPS APC	17.67	1007.67	
STAPLER INTERNAL CONTOUR CURVE 40MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 4 ROW LINEAR CUTTER	SUP-GCS40B	CDM			270	RC		inpatient			1007.67	1007.67																																																			
FIXOS MV SCREW 4.0X46MM	SUP-97-04187	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
FIXOS MV SCREW 4.0X46MM	SUP-97-04187	CDM			278	RC		inpatient			1007.64	1007.64																																																			
2.5 X 20 COMP.CAN.SCREW	SUP-97-04570	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
2.5 X 20 COMP.CAN.SCREW	SUP-97-04570	CDM			278	RC		inpatient			1007.64	1007.64																																																			
2.5 X 24 COMP. CAN. SCREW	SUP-97-04571	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
2.5 X 24 COMP. CAN. SCREW	SUP-97-04571	CDM			278	RC		inpatient			1007.64	1007.64																																																			
2.0 X 11MM TWIST OFF SCREW	SUP-97-04572	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
2.0 X 11MM TWIST OFF SCREW	SUP-97-04572	CDM			278	RC		inpatient			1007.64	1007.64																																																			
2.0 X 14MM TWIST OFF SCREW	SUP-97-04574	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
2.0 X 14MM TWIST OFF SCREW	SUP-97-04574	CDM			278	RC		inpatient			1007.64	1007.64																																																			
3.5MM X 20MM VANNULATED COMP. SCREW	SUP-97-04594	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
3.5MM X 20MM VANNULATED COMP. SCREW	SUP-97-04594	CDM			278	RC		inpatient			1007.64	1007.64																																																			
3.5MM X 24MM CANNULATED COMP. SCREW	SUP-97-04595	CDM			278	RC		inpatient			1007.64	1007.64																																																			
3.5MM X 24MM CANNULATED COMP. SCREW	SUP-97-04595	CDM			278	RC		outpatient			1007.64	1007.64					fee schedule						other	OPPS APC	574.35				percent of total billed charges						other	OPPS APC					other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges						other	OPPS APC	574.35	574.35	
4.0 X 60MM CAN COMP SCREW	SUP-97-04773	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
4.0 X 60MM CAN COMP SCREW	SUP-97-04773	CDM			278	RC		inpatient			1007.64	1007.64																																																			
3.5X14MM CAN COMP SCREW	SUP-97-04896	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
3.5X14MM CAN COMP SCREW	SUP-97-04896	CDM			278	RC		inpatient			1007.64	1007.64																																																			
3.5 X 16MM CAN COMP SCREW	SUP-97-04897	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
3.5 X 16MM CAN COMP SCREW	SUP-97-04897	CDM			278	RC		inpatient			1007.64	1007.64																																																			
3.5X18MM CAN COMP SCREW	SUP-97-04898	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
3.5X18MM CAN COMP SCREW	SUP-97-04898	CDM			278	RC		inpatient			1007.64	1007.64																																																			
4.0 X 18MM CAN COMP SCREW	SUP-97-23601	CDM			278	RC		outpatient			1007.64	17.64	1007.64				fee schedule		1007.64				other	OPPS APC	574.35				percent of total billed charges		1007.64				other	OPPS APC	1007.64				other	OPPS APC	493.74				percent of total billed charges		513.9				percent of total billed charges		17.64				other	OPPS APC	17.64	1007.64	
4.0 X 18MM CAN COMP SCREW	SUP-97-23601	CDM			278	RC		inpatient			1007.64	1007.64																																																			
SHANNON LONGA SURGICAL BURR LG 22	SUP-95-04545	CDM			272	RC		outpatient			1006.2	16.2	272.58				percent of total billed charges		1006.2				other	OPPS APC	744.59				percent of total billed charges		1006.2				other	OPPS APC	1006.2				other	OPPS APC	272.58				percent of total billed charges		278.01				percent of total billed charges		16.2				other	OPPS APC	16.2	1006.2	
SHANNON LONGA SURGICAL BURR LG 22	SUP-95-04545	CDM			272	RC		inpatient			1006.2	1006.2																																																			
SHANNON RECTA SURGICAL BURR LG 12	SUP-95-04546	CDM			272	RC		outpatient			1006.2	16.2	272.58				percent of total billed charges		1006.2				other	OPPS APC	744.59				percent of total billed charges		1006.2				other	OPPS APC	1006.2				other	OPPS APC	272.58				percent of total billed charges		278.01				percent of total billed charges		16.2				other	OPPS APC	16.2	1006.2	
SHANNON RECTA SURGICAL BURR LG 12	SUP-95-04546	CDM			272	RC		inpatient			1006.2	1006.2																																																			
EFLEX TAC-S PROBE  EA	SUP-7209637	CDM			270	RC		outpatient			1005.8	15.8	272.47				percent of total billed charges		1005.8				other	OPPS APC	744.29				percent of total billed charges		1005.8				other	OPPS APC	1005.8				other	OPPS APC	272.47				percent of total billed charges		277.9				percent of total billed charges		15.8				other	OPPS APC	15.8	1005.8	
EFLEX TAC-S PROBE  EA	SUP-7209637	CDM			270	RC		inpatient			1005.8	1005.8																																																			
INTRODUCER CATHETER PERCUTANEOUS PASSIVE STERILE DISPOSABLE	SUP-9731115	CDM			270	RC		outpatient			1005.44	15.44	272.37				percent of total billed charges		1005.44				other	OPPS APC	744.03				percent of total billed charges		1005.44				other	OPPS APC	1005.44				other	OPPS APC	272.37				percent of total billed charges		277.8				percent of total billed charges		15.44				other	OPPS APC	15.44	1005.44	
INTRODUCER CATHETER PERCUTANEOUS PASSIVE STERILE DISPOSABLE	SUP-9731115	CDM			270	RC		inpatient			1005.44	1005.44																																																			
ACL TIGHTROPE W/FIBERTAG ABS	SUP-97-04508	CDM			278	RC		outpatient			1005	15	1005				fee schedule		1005				other	OPPS APC	572.85				percent of total billed charges		1005				other	OPPS APC	1005				other	OPPS APC	492.45				percent of total billed charges		512.55				percent of total billed charges		15				other	OPPS APC	15	1005	
ACL TIGHTROPE W/FIBERTAG ABS	SUP-97-04508	CDM			278	RC		inpatient			1005	1005																																																			
ALIGNMENT ROD	SUP-97-03691	CDM			278	RC		outpatient			1004.85	14.85	1004.85				fee schedule		1004.85				other	OPPS APC	572.76				percent of total billed charges		1004.85				other	OPPS APC	1004.85				other	OPPS APC	492.38				percent of total billed charges		512.47				percent of total billed charges		14.85				other	OPPS APC	14.85	1004.85	
ALIGNMENT ROD	SUP-97-03691	CDM			278	RC		inpatient			1004.85	1004.85																																																			
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 8 HOLE STRUT LOW PROFILE	SUP-421.523	CDM	270010013	LOCAL	270	RC		outpatient			1004.04	14.4	271.99				percent of total billed charges		1004.04				other	OPPS APC	742.99				percent of total billed charges		1004.04				other	OPPS APC	1004.04				other	OPPS APC	271.99				percent of total billed charges		277.42				percent of total billed charges		14.4				other	OPPS APC	14.4	1004.04	
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 8 HOLE STRUT LOW PROFILE	SUP-421.523	CDM	270010013	LOCAL	270	RC		inpatient			1004.04	1004.04																																																			
PLATE BONE LCP PRO-PAK TITANIUM L88 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.366	CDM	270010022	LOCAL	270	RC		outpatient			1002.1	12.1	271.47				percent of total billed charges		1002.1				other	OPPS APC	741.55				percent of total billed charges		1002.1				other	OPPS APC	1002.1				other	OPPS APC	271.47				percent of total billed charges		276.88				percent of total billed charges		12.1				other	OPPS APC	12.1	1002.1	
PLATE BONE LCP PRO-PAK TITANIUM L88 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.366	CDM	270010022	LOCAL	270	RC		inpatient			1002.1	1002.1																																																			
BALLOON  12-15MM  8CM	SUP-95-00807	CDM			272	RC		outpatient			1002	12	271.44				percent of total billed charges		1002				other	OPPS APC	741.48				percent of total billed charges		1002				other	OPPS APC	1002				other	OPPS APC	271.44				percent of total billed charges		276.85				percent of total billed charges		12				other	OPPS APC	12	1002	
BALLOON  12-15MM  8CM	SUP-95-00807	CDM			272	RC		inpatient			1002	1002																																																			
SCREW COMPRESSION CANN 4.0 X 22MM	SUP-97-04610	CDM			278	RC		outpatient			1001.16	11.16	490.57				percent of total billed charges		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
SCREW COMPRESSION CANN 4.0 X 22MM	SUP-97-04610	CDM			278	RC		inpatient			1001.16	1001.16																																																			
SCREW COMPRESSION CANN 4.0 X 26MM	SUP-97-04611	CDM			278	RC		outpatient			1001.16	11.16	1001.16				fee schedule		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
SCREW COMPRESSION CANN 4.0 X 26MM	SUP-97-04611	CDM			278	RC		inpatient			1001.16	1001.16																																																			
SCREW COMPRESSION CANN 4.0 X 24MM	SUP-97-04650	CDM			278	RC		outpatient			1001.16	11.16	1001.16				fee schedule		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
SCREW COMPRESSION CANN 4.0 X 24MM	SUP-97-04650	CDM			278	RC		inpatient			1001.16	1001.16																																																			
SCREW COMPRESSION CANN 4.0 X 28MM	SUP-97-04651	CDM			278	RC		outpatient			1001.16	11.16	1001.16				fee schedule		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
SCREW COMPRESSION CANN 4.0 X 28MM	SUP-97-04651	CDM			278	RC		inpatient			1001.16	1001.16																																																			
HEADLESS COMP SCREW 4.0 X48MM FIXOS	SUP-97-04774	CDM			278	RC		outpatient			1001.16	11.16	1001.16				fee schedule		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
HEADLESS COMP SCREW 4.0 X48MM FIXOS	SUP-97-04774	CDM			278	RC		inpatient			1001.16	1001.16																																																			
4.0 X 22MM CAN COMP SCREW	SUP-97-23602	CDM			278	RC		outpatient			1001.16	11.16	1001.16				fee schedule		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
4.0 X 22MM CAN COMP SCREW	SUP-97-23602	CDM			278	RC		inpatient			1001.16	1001.16																																																			
4.0 X 26MM CAN COMP SCREW	SUP-97-23603	CDM			278	RC		outpatient			1001.16	11.16	1001.16				fee schedule		1001.16				other	OPPS APC	570.66				percent of total billed charges		1001.16				other	OPPS APC	1001.16				other	OPPS APC	490.57				percent of total billed charges		510.59				percent of total billed charges		11.16				other	OPPS APC	11.16	1001.16	
4.0 X 26MM CAN COMP SCREW	SUP-97-23603	CDM			278	RC		inpatient			1001.16	1001.16																																																			
ENDOTRAC BLADE	SUP-84-00001	CDM			272	RC		outpatient			1000.5	1.5	271.04				percent of total billed charges		1000.5				other	OPPS APC	740.37				percent of total billed charges		1000.5				other	OPPS APC	1000.5				other	OPPS APC	271.04				percent of total billed charges		276.44				percent of total billed charges		1.5				other	OPPS APC	1.5	1000.5	
ENDOTRAC BLADE	SUP-84-00001	CDM			272	RC		inpatient			1000.5	1000.5																																																			
HRIS FLEXIBLE OSTEO 12 X 93MM	SUP-97-05053	CDM			272	RC		outpatient			1000.5	1.5	271.04				percent of total billed charges		1000.5				other	OPPS APC	740.37				percent of total billed charges		1000.5				other	OPPS APC	1000.5				other	OPPS APC	271.04				percent of total billed charges		276.44				percent of total billed charges		1.5				other	OPPS APC	1.5	1000.5	
HRIS FLEXIBLE OSTEO 12 X 93MM	SUP-97-05053	CDM			272	RC		inpatient			1000.5	1000.5																																																			
PLATE PROFYLE/S 3-D 4X2 HOLE	SUP-97-04005	CDM			278	RC		outpatient			1000.35	1.35	1000.35				fee schedule		1000.35				other	OPPS APC	570.2				percent of total billed charges		1000.35				other	OPPS APC	1000.35				other	OPPS APC	490.17				percent of total billed charges		510.18				percent of total billed charges		1.35				other	OPPS APC	1.35	1000.35	
PLATE PROFYLE/S 3-D 4X2 HOLE	SUP-97-04005	CDM			278	RC		inpatient			1000.35	1000.35																																																			
HC Operating Room (Minutes)	PX-360000003	CDM	360000003	LOCAL	360	RC		outpatient			1000	1	315.8				percent of total billed charges		1000				other	OPPS APC	1000				fee schedule		1000				other	OPPS APC	1000				other	OPPS APC	315.8				percent of total billed charges		322.1				percent of total billed charges		1				other	OPPS APC	1	1000	
HC Operating Room (Minutes)	PX-360000003	CDM	360000003	LOCAL	360	RC		inpatient			1000	1000																																																			
HC Explore Penetrating Wound Extreme	PX-450201031	CDM	20103	CPT	450	RC		outpatient			1000	1	195.77				case rate		1000				other	OPPS APC	740				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	195.77				case rate		199.69				case rate		1				other	OPPS APC	1	1000	
HC Explore Penetrating Wound Extreme	PX-450201031	CDM	20103	CPT	450	RC		inpatient			1000	1000																																																			
HC ER Level V	PX-450992851	CDM	99285	CPT	450	RC		outpatient			1000	1	195.77				case rate		1000				other	OPPS APC	2726				case rate		1000				other	OPPS APC	1000				other	OPPS APC	195.77				case rate		199.69				case rate		1				other	OPPS APC	1	2726	
HC ER Level V	PX-450992851	CDM	99285	CPT	450	RC		inpatient			1000	1000																																																			
VERSAFIT DOUBLE MOBILITY HIGHCROSS LINER 046/22	SUP-01.26.2246MHC	CDM	270010024	LOCAL	270	RC		outpatient			1000	1	270.9				percent of total billed charges		1000				other	OPPS APC	740				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	270.9				percent of total billed charges		276.3				percent of total billed charges		1				other	OPPS APC	1	1000	
VERSAFIT DOUBLE MOBILITY HIGHCROSS LINER 046/22	SUP-01.26.2246MHC	CDM	270010024	LOCAL	270	RC		inpatient			1000	1000																																																			
SPACER SPINAL FORTIFY 3.5 D D12 MM W14 MM X H12 MM FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE NONSTERILE LATEX FREE	SUP-151.323	CDM	270010020	LOCAL	270	RC		outpatient			1000	1	270.9				percent of total billed charges		1000				other	OPPS APC	740				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	270.9				percent of total billed charges		276.3				percent of total billed charges		1				other	OPPS APC	1	1000	
SPACER SPINAL FORTIFY 3.5 D D12 MM W14 MM X H12 MM FOOTPRINT UPPER ENDPLATE SAGITTAL PROFILE NONSTERILE LATEX FREE	SUP-151.323	CDM	270010020	LOCAL	270	RC		inpatient			1000	1000																																																			
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT SMOL STERILE LATEX FREE DISPOSABLE	SUP-210-100	CDM			270	RC		outpatient			1000	1	270.9				percent of total billed charges		1000				other	OPPS APC	740				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	270.9				percent of total billed charges		276.3				percent of total billed charges		1				other	OPPS APC	1	1000	
DEVICE TISSUE REMOVAL AVETA OD2.9 MM RESECT SMOL STERILE LATEX FREE DISPOSABLE	SUP-210-100	CDM			270	RC		inpatient			1000	1000																																																			
LEAD EPICARDIAL	SUP-4046	CDM			275	RC		outpatient			1000	1	490				percent of total billed charges		1000				other	OPPS APC	570				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	490				percent of total billed charges		510				percent of total billed charges		1				other	OPPS APC	1	1000	
LEAD EPICARDIAL	SUP-4046	CDM			275	RC		inpatient			1000	1000																																																			
KIT NAVIGATION EXACTECHGPS STERILE ROBOTIC V2 KNEE IMPLANT	SUP-A10012	CDM	270010025	LOCAL	270	RC		outpatient			1000	1	270.9				percent of total billed charges		1000				other	OPPS APC	740				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	270.9				percent of total billed charges		276.3				percent of total billed charges		1				other	OPPS APC	1	1000	
KIT NAVIGATION EXACTECHGPS STERILE ROBOTIC V2 KNEE IMPLANT	SUP-A10012	CDM	270010025	LOCAL	270	RC		inpatient			1000	1000																																																			
ADAPTER USB L65 MM X W25 MM X H13.5 MM 19.5 ML 30 GM WIRELESS MODEM SUPERIOR PERFORMANCE DIGITAL SIMPLE	SUP-EX1151	CDM			275	RC		outpatient			1000	1	490				percent of total billed charges		1000				other	OPPS APC	570				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	490				percent of total billed charges		510				percent of total billed charges		1				other	OPPS APC	1	1000	
ADAPTER USB L65 MM X W25 MM X H13.5 MM 19.5 ML 30 GM WIRELESS MODEM SUPERIOR PERFORMANCE DIGITAL SIMPLE	SUP-EX1151	CDM			275	RC		inpatient			1000	1000																																																			
KIT LEAD DELIVERY	SUP-KIT	CDM			275	RC		outpatient			1000	1	490				percent of total billed charges		1000				other	OPPS APC	570				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	490				percent of total billed charges		510				percent of total billed charges		1				other	OPPS APC	1	1000	
KIT LEAD DELIVERY	SUP-KIT	CDM			275	RC		inpatient			1000	1000																																																			
PROGRAMMER SPINAL CORD STIMULATOR	SUP-SCSCAPP	CDM			270	RC		outpatient			1000	1	270.9				percent of total billed charges		1000				other	OPPS APC	740				percent of total billed charges		1000				other	OPPS APC	1000				other	OPPS APC	270.9				percent of total billed charges		276.3				percent of total billed charges		1				other	OPPS APC	1	1000	
PROGRAMMER SPINAL CORD STIMULATOR	SUP-SCSCAPP	CDM			270	RC		inpatient			1000	1000																																																			
KIT DRESSING NEGATIVE PRESSURE VACUUM PEEL AND PLACE PREVENA 20CM	SUP-PRE1001US	CDM			270	RC		outpatient			999.7	999.75	270.82				percent of total billed charges		999.7				other	OPPS APC	739.78				percent of total billed charges		999.7				other	OPPS APC	999.7				other	OPPS APC	270.82				percent of total billed charges		276.22				percent of total billed charges		999.75				other	OPPS APC	270.82	999.75	
KIT DRESSING NEGATIVE PRESSURE VACUUM PEEL AND PLACE PREVENA 20CM	SUP-PRE1001US	CDM			270	RC		inpatient			999.7	999.7																																																			
KIT DRESSING WITH VACUUM PEEL AND PLACE PREVENA 13CM	SUP-PRE1101US	CDM			270	RC		outpatient			999.7	999.75	270.82				percent of total billed charges		999.7				other	OPPS APC	739.78				percent of total billed charges		999.7				other	OPPS APC	999.7				other	OPPS APC	270.82				percent of total billed charges		276.22				percent of total billed charges		999.75				other	OPPS APC	270.82	999.75	
KIT DRESSING WITH VACUUM PEEL AND PLACE PREVENA 13CM	SUP-PRE1101US	CDM			270	RC		inpatient			999.7	999.7																																																			
3.0 DRILL BIT	SUP-97-05008	CDM			272	RC		outpatient			999	999	270.63				percent of total billed charges		999				other	OPPS APC	739.26				percent of total billed charges		999				other	OPPS APC	999				other	OPPS APC	270.63				percent of total billed charges		276.02				percent of total billed charges		999				other	OPPS APC	270.63	999	
3.0 DRILL BIT	SUP-97-05008	CDM			272	RC		inpatient			999	999																																																			
BURR SURGICAL ULTRAPOWER STAINLESS STEEL MEDIUM ROUND L64 MM OD5 MM AGGRESSIVE CUTTING TOOL STERILE	SUP-31315059U	CDM			270	RC		outpatient			998	998	270.36				percent of total billed charges		998				other	OPPS APC	738.52				percent of total billed charges		998				other	OPPS APC	998				other	OPPS APC	270.36				percent of total billed charges		275.75				percent of total billed charges		998				other	OPPS APC	270.36	998	
BURR SURGICAL ULTRAPOWER STAINLESS STEEL MEDIUM ROUND L64 MM OD5 MM AGGRESSIVE CUTTING TOOL STERILE	SUP-31315059U	CDM			270	RC		inpatient			998	998																																																			
BURR SURGICAL VISAO STAINLESS STEEL MEDIUM ROUND L64 MM OD6 MM CUT TOOL STERILE DISPOSABLE	SUP-31316058U	CDM			270	RC		outpatient			998	998	270.36				percent of total billed charges		998				other	OPPS APC	738.52				percent of total billed charges		998				other	OPPS APC	998				other	OPPS APC	270.36				percent of total billed charges		275.75				percent of total billed charges		998				other	OPPS APC	270.36	998	
BURR SURGICAL VISAO STAINLESS STEEL MEDIUM ROUND L64 MM OD6 MM CUT TOOL STERILE DISPOSABLE	SUP-31316058U	CDM			270	RC		inpatient			998	998																																																			
PACK VITRECTOMY ACCURUS OD25 GA PROBE LIGHT PIPE	SUP-8065750220	CDM			270	RC		outpatient			998	998	270.36				percent of total billed charges		998				other	OPPS APC	738.52				percent of total billed charges		998				other	OPPS APC	998				other	OPPS APC	270.36				percent of total billed charges		275.75				percent of total billed charges		998				other	OPPS APC	270.36	998	
PACK VITRECTOMY ACCURUS OD25 GA PROBE LIGHT PIPE	SUP-8065750220	CDM			270	RC		inpatient			998	998																																																			
CATHETER BALLOON DILATATION CODA .035 IN L120 CM OD10 FR ODSEC40 MM 46 ML	SUP-G23773	CDM			270	RC		outpatient			998	998	270.36				percent of total billed charges		998				other	OPPS APC	738.52				percent of total billed charges		998				other	OPPS APC	998				other	OPPS APC	270.36				percent of total billed charges		275.75				percent of total billed charges		998				other	OPPS APC	270.36	998	
CATHETER BALLOON DILATATION CODA .035 IN L120 CM OD10 FR ODSEC40 MM 46 ML	SUP-G23773	CDM			270	RC		inpatient			998	998																																																			
VALVE HEMOSTASIS STERILE LF AORTIC EXTENSION AFX INTRODUCER SYSTEM	SUP-S17-45	CDM	270010015	LOCAL	270	RC		outpatient			998	998	270.36				percent of total billed charges		998				other	OPPS APC	738.52				percent of total billed charges		998				other	OPPS APC	998				other	OPPS APC	270.36				percent of total billed charges		275.75				percent of total billed charges		998				other	OPPS APC	270.36	998	
VALVE HEMOSTASIS STERILE LF AORTIC EXTENSION AFX INTRODUCER SYSTEM	SUP-S17-45	CDM	270010015	LOCAL	270	RC		inpatient			998	998																																																			
PATCH DURAL DUREPAIR BOVINE COLLAGEN MATRIX L2 IN X W2 IN CRANIAL RESORBABLE STERILE DURAPLASTY	SUP-62100	CDM	270010012	LOCAL	270	RC		outpatient			997.02	997.2	270.09				percent of total billed charges		997.02				other	OPPS APC	737.79				percent of total billed charges		997.02				other	OPPS APC	997.02				other	OPPS APC	270.09				percent of total billed charges		275.48				percent of total billed charges		997.2				other	OPPS APC	270.09	997.2	
PATCH DURAL DUREPAIR BOVINE COLLAGEN MATRIX L2 IN X W2 IN CRANIAL RESORBABLE STERILE DURAPLASTY	SUP-62100	CDM	270010012	LOCAL	270	RC		inpatient			997.02	997.02																																																			
PLATE BONE TITANIUM STRAIGHT L72 MM X W6.3 MM X H1.25 MM HAND 12 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.912	CDM	270010022	LOCAL	270	RC		outpatient			996.6	996.62	269.98				percent of total billed charges		996.6				other	OPPS APC	737.48				percent of total billed charges		996.6				other	OPPS APC	996.6				other	OPPS APC	269.98				percent of total billed charges		275.36				percent of total billed charges		996.62				other	OPPS APC	269.98	996.62	
PLATE BONE TITANIUM STRAIGHT L72 MM X W6.3 MM X H1.25 MM HAND 12 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2.4 MM SCREW	SUP-449.912	CDM	270010022	LOCAL	270	RC		inpatient			996.6	996.6																																																			
THIN OSTEOTOME BLADE 8MMX3	SUP-97-01859	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
THIN OSTEOTOME BLADE 8MMX3	SUP-97-01859	CDM			272	RC		inpatient			996	996																																																			
SCREW 5.0 MM CANN LOCKING 35 M	SUP-97-03511	CDM			278	RC		outpatient			996	996	996				fee schedule		996				other	OPPS APC	567.72				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	488.04				percent of total billed charges		507.96				percent of total billed charges		996				other	OPPS APC	488.04	996	
SCREW 5.0 MM CANN LOCKING 35 M	SUP-97-03511	CDM			278	RC		inpatient			996	996																																																			
SCREW 5.0 MM CANN LOCKING 55 M	SUP-97-03512	CDM			278	RC		outpatient			996	996	996				fee schedule		996				other	OPPS APC	567.72				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	488.04				percent of total billed charges		507.96				percent of total billed charges		996				other	OPPS APC	488.04	996	
SCREW 5.0 MM CANN LOCKING 55 M	SUP-97-03512	CDM			278	RC		inpatient			996	996																																																			
SCREW 5.0 MM CANN LOCKING 55 M	SUP-97-03513	CDM			278	RC		outpatient			996	996	996				fee schedule		996				other	OPPS APC	567.72				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	488.04				percent of total billed charges		507.96				percent of total billed charges		996				other	OPPS APC	488.04	996	
SCREW 5.0 MM CANN LOCKING 55 M	SUP-97-03513	CDM			278	RC		inpatient			996	996																																																			
BALLOON - STERLING OTW 6.0X220X150	SUP-99-01838	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
BALLOON - STERLING OTW 6.0X220X150	SUP-99-01838	CDM			272	RC		inpatient			996	996																																																			
BALLOON - STERLING OTW 5.0X220	SUP-99-01871	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
BALLOON - STERLING OTW 5.0X220	SUP-99-01871	CDM			272	RC		inpatient			996	996																																																			
CATHETER - PRONTO V4 6F	SUP-99-04865	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
CATHETER - PRONTO V4 6F	SUP-99-04865	CDM			272	RC		inpatient			996	996																																																			
CATHETER - UNIFUSE 4F X 135CM X 20CM INFUSION PATTERN	SUP-99-04869	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
CATHETER - UNIFUSE 4F X 135CM X 20CM INFUSION PATTERN	SUP-99-04869	CDM			272	RC		inpatient			996	996																																																			
CATHETER - UNIFUSE 4F X 135CM X 30CM INFUSION PATTERN	SUP-99-04870	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
CATHETER - UNIFUSE 4F X 135CM X 30CM INFUSION PATTERN	SUP-99-04870	CDM			272	RC		inpatient			996	996																																																			
CATHETER - UNIFUSE 4F X 135CM X 50CM INFUSION PATTERN	SUP-99-04871	CDM			272	RC		outpatient			996	996	269.82				percent of total billed charges		996				other	OPPS APC	737.04				percent of total billed charges		996				other	OPPS APC	996				other	OPPS APC	269.82				percent of total billed charges		275.19				percent of total billed charges		996				other	OPPS APC	269.82	996	
CATHETER - UNIFUSE 4F X 135CM X 50CM INFUSION PATTERN	SUP-99-04871	CDM			272	RC		inpatient			996	996																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L84 MM X W10.1 MM X H3.5 MM 6 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.061	CDM	270010022	LOCAL	270	RC		outpatient			995.5	995.5	269.68				percent of total billed charges		995.5				other	OPPS APC	736.67				percent of total billed charges		995.5				other	OPPS APC	995.5				other	OPPS APC	269.68				percent of total billed charges		275.06				percent of total billed charges		995.5				other	OPPS APC	269.68	995.5	
PLATE BONE LCP COMBI STAINLESS STEEL L84 MM X W10.1 MM X H3.5 MM 6 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.061	CDM	270010022	LOCAL	270	RC		inpatient			995.5	995.5																																																			
PLATE BONE LC-DCP STAINLESS STEEL L70 MM 6 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.16	CDM	270010022	LOCAL	270	RC		outpatient			995.5	995.5	269.68				percent of total billed charges		995.5				other	OPPS APC	736.67				percent of total billed charges		995.5				other	OPPS APC	995.5				other	OPPS APC	269.68				percent of total billed charges		275.06				percent of total billed charges		995.5				other	OPPS APC	269.68	995.5	
PLATE BONE LC-DCP STAINLESS STEEL L70 MM 6 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.16	CDM	270010022	LOCAL	270	RC		inpatient			995.5	995.5																																																			
CLAMP 4MM 2.5MM	SUP-97-01283	CDM			278	RC		outpatient			995.4	995.4	995.4				fee schedule		995.4				other	OPPS APC	567.38				percent of total billed charges		995.4				other	OPPS APC	995.4				other	OPPS APC	487.75				percent of total billed charges		507.65				percent of total billed charges		995.4				other	OPPS APC	487.75	995.4	
CLAMP 4MM 2.5MM	SUP-97-01283	CDM			278	RC		inpatient			995.4	995.4																																																			
CLAMP 4MM 4MM	SUP-97-01284	CDM			278	RC		outpatient			995.4	995.4	995.4				fee schedule		995.4				other	OPPS APC	567.38				percent of total billed charges		995.4				other	OPPS APC	995.4				other	OPPS APC	487.75				percent of total billed charges		507.65				percent of total billed charges		995.4				other	OPPS APC	487.75	995.4	
CLAMP 4MM 4MM	SUP-97-01284	CDM			278	RC		inpatient			995.4	995.4																																																			
CLAMP 4.0MMX4.0MM	SUP-97-04191	CDM			278	RC		outpatient			995.4	995.4	995.4				fee schedule		995.4				other	OPPS APC	567.38				percent of total billed charges		995.4				other	OPPS APC	995.4				other	OPPS APC	487.75				percent of total billed charges		507.65				percent of total billed charges		995.4				other	OPPS APC	487.75	995.4	
CLAMP 4.0MMX4.0MM	SUP-97-04191	CDM			278	RC		inpatient			995.4	995.4																																																			
PLATE 4 HOLE 55MM VARIAX COMPRESSION STRAIGHT BROAD	SUP-97-06413	CDM			278	RC		outpatient			995.28	995.28	995.28				fee schedule		995.28				other	OPPS APC	567.31				percent of total billed charges		995.28				other	OPPS APC	995.28				other	OPPS APC	487.69				percent of total billed charges		507.59				percent of total billed charges		995.28				other	OPPS APC	487.69	995.28	
PLATE 4 HOLE 55MM VARIAX COMPRESSION STRAIGHT BROAD	SUP-97-06413	CDM			278	RC		inpatient			995.28	995.28																																																			
INTRODUCER LEAD CPS STANDARD CORONARY SINUS PLACEMENT KIT	SUP-CPS STD PKG 01	CDM			275	RC		outpatient			995	995	487.55				percent of total billed charges		995				other	OPPS APC	567.15				percent of total billed charges		995				other	OPPS APC	995				other	OPPS APC	487.55				percent of total billed charges		507.45				percent of total billed charges		995				other	OPPS APC	487.55	995	
INTRODUCER LEAD CPS STANDARD CORONARY SINUS PLACEMENT KIT	SUP-CPS STD PKG 01	CDM			275	RC		inpatient			995	995																																																			
4.5 MMTIMULTILOC SCREWLENGTH 44 STERILE	SUP-97-01988	CDM			278	RC		outpatient			993.66	993.66	993.66				fee schedule		993.66				other	OPPS APC	566.39				percent of total billed charges		993.66				other	OPPS APC	993.66				other	OPPS APC	486.89				percent of total billed charges		506.77				percent of total billed charges		993.66				other	OPPS APC	486.89	993.66	
4.5 MMTIMULTILOC SCREWLENGTH 44 STERILE	SUP-97-01988	CDM			278	RC		inpatient			993.66	993.66																																																			
4.5 MMTIMULTILOC SCREWLENGTH 48 STERILE	SUP-97-01989	CDM			278	RC		outpatient			993.66	993.66	993.66				fee schedule		993.66				other	OPPS APC	566.39				percent of total billed charges		993.66				other	OPPS APC	993.66				other	OPPS APC	486.89				percent of total billed charges		506.77				percent of total billed charges		993.66				other	OPPS APC	486.89	993.66	
4.5 MMTIMULTILOC SCREWLENGTH 48 STERILE	SUP-97-01989	CDM			278	RC		inpatient			993.66	993.66																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD12 MM KNIT	SUP-IGK0012-40	CDM			270	RC		outpatient			993.24	993.24	269.07				percent of total billed charges		993.24				other	OPPS APC	735				percent of total billed charges		993.24				other	OPPS APC	993.24				other	OPPS APC	269.07				percent of total billed charges		274.43				percent of total billed charges		993.24				other	OPPS APC	269.07	993.24	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD12 MM KNIT	SUP-IGK0012-40	CDM			270	RC		inpatient			993.24	993.24																																																			
BALLOON - STERLING OTW 6.0X200X150	SUP-99-01995	CDM			272	RC		outpatient			993	993	269				percent of total billed charges		993				other	OPPS APC	734.82				percent of total billed charges		993				other	OPPS APC	993				other	OPPS APC	269				percent of total billed charges		274.37				percent of total billed charges		993				other	OPPS APC	269	993	
BALLOON - STERLING OTW 6.0X200X150	SUP-99-01995	CDM			272	RC		inpatient			993	993																																																			
INTERTAN SUBTROCH 100MM	SUP-716780100	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 100MM	SUP-716780100	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 105MM	SUP-716780105	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 105MM	SUP-716780105	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 110MM	SUP-716780110	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 110MM	SUP-716780110	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 70MM	SUP-71678070	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 70MM	SUP-71678070	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 75MM	SUP-71678075	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 75MM	SUP-71678075	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 80MM	SUP-71678080	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 80MM	SUP-71678080	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 85MM	SUP-71678085	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 85MM	SUP-71678085	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 90MM	SUP-71678090	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 90MM	SUP-71678090	CDM			270	RC		inpatient			992.8	992.8																																																			
INTERTAN SUBTROCH 95MM	SUP-71678095	CDM			270	RC		outpatient			992.8	992.8	268.95				percent of total billed charges		992.8				other	OPPS APC	734.67				percent of total billed charges		992.8				other	OPPS APC	992.8				other	OPPS APC	268.95				percent of total billed charges		274.31				percent of total billed charges		992.8				other	OPPS APC	268.95	992.8	
INTERTAN SUBTROCH 95MM	SUP-71678095	CDM			270	RC		inpatient			992.8	992.8																																																			
PLASMA BLADE X 4.0	SUP-99-03409	CDM			272	RC		outpatient			992.25	992.25	268.8				percent of total billed charges		992.25				other	OPPS APC	734.27				percent of total billed charges		992.25				other	OPPS APC	992.25				other	OPPS APC	268.8				percent of total billed charges		274.16				percent of total billed charges		992.25				other	OPPS APC	268.8	992.25	
PLASMA BLADE X 4.0	SUP-99-03409	CDM			272	RC		inpatient			992.25	992.25																																																			
PLATE BONE TITANIUM STRAIGHT L35 MM X W5 MM X H1.2 MM HAND 6 HOLE NONSTERILE 2 MM SCREW	SUP-447.031	CDM	270010022	LOCAL	270	RC		outpatient			992.2	992.25	268.79				percent of total billed charges		992.2				other	OPPS APC	734.23				percent of total billed charges		992.2				other	OPPS APC	992.2				other	OPPS APC	268.79				percent of total billed charges		274.14				percent of total billed charges		992.25				other	OPPS APC	268.79	992.25	
PLATE BONE TITANIUM STRAIGHT L35 MM X W5 MM X H1.2 MM HAND 6 HOLE NONSTERILE 2 MM SCREW	SUP-447.031	CDM	270010022	LOCAL	270	RC		inpatient			992.2	992.2																																																			
SCREW TI LAG 10.5 X 95MM	SUP-97-02314	CDM			278	RC		outpatient			991.8	991.8	991.8				fee schedule		991.8				other	OPPS APC	565.33				percent of total billed charges		991.8				other	OPPS APC	991.8				other	OPPS APC	485.98				percent of total billed charges		505.82				percent of total billed charges		991.8				other	OPPS APC	485.98	991.8	
SCREW TI LAG 10.5 X 95MM	SUP-97-02314	CDM			278	RC		inpatient			991.8	991.8																																																			
SCREW TI LAG 10.5 X 100MM	SUP-97-03299	CDM			278	RC		outpatient			991.8	991.8	991.8				fee schedule		991.8				other	OPPS APC	565.33				percent of total billed charges		991.8				other	OPPS APC	991.8				other	OPPS APC	485.98				percent of total billed charges		505.82				percent of total billed charges		991.8				other	OPPS APC	485.98	991.8	
SCREW TI LAG 10.5 X 100MM	SUP-97-03299	CDM			278	RC		inpatient			991.8	991.8																																																			
SCREW TI LAG 10.5 X 105MM	SUP-97-03367	CDM			278	RC		outpatient			991.8	991.8	991.8				fee schedule		991.8				other	OPPS APC	565.33				percent of total billed charges		991.8				other	OPPS APC	991.8				other	OPPS APC	485.98				percent of total billed charges		505.82				percent of total billed charges		991.8				other	OPPS APC	485.98	991.8	
SCREW TI LAG 10.5 X 105MM	SUP-97-03367	CDM			278	RC		inpatient			991.8	991.8																																																			
LEG SCREW TI	SUP-97-03391	CDM			278	RC		outpatient			991.8	991.8	991.8				fee schedule		991.8				other	OPPS APC	565.33				percent of total billed charges		991.8				other	OPPS APC	991.8				other	OPPS APC	485.98				percent of total billed charges		505.82				percent of total billed charges		991.8				other	OPPS APC	485.98	991.8	
LEG SCREW TI	SUP-97-03391	CDM			278	RC		inpatient			991.8	991.8																																																			
SCREW 10.5 X 80MM LAG TI	SUP-97-05715	CDM			278	RC		outpatient			991.8	991.8	991.8				fee schedule		991.8				other	OPPS APC	565.33				percent of total billed charges		991.8				other	OPPS APC	991.8				other	OPPS APC	485.98				percent of total billed charges		505.82				percent of total billed charges		991.8				other	OPPS APC	485.98	991.8	
SCREW 10.5 X 80MM LAG TI	SUP-97-05715	CDM			278	RC		inpatient			991.8	991.8																																																			
SCREW TI LAG 10.5 X 115MM	SUP-97-05749	CDM			278	RC		outpatient			991.8	991.8	991.8				fee schedule		991.8				other	OPPS APC	565.33				percent of total billed charges		991.8				other	OPPS APC	991.8				other	OPPS APC	485.98				percent of total billed charges		505.82				percent of total billed charges		991.8				other	OPPS APC	485.98	991.8	
SCREW TI LAG 10.5 X 115MM	SUP-97-05749	CDM			278	RC		inpatient			991.8	991.8																																																			
NEEDLE BONE CEMENT AVAFLEX CURVE STERILE LATEX FREE DISPOSABLE	SUP-1025-011-500	CDM			270	RC		outpatient			991.32	991.33	268.55				percent of total billed charges		991.32				other	OPPS APC	733.58				percent of total billed charges		991.32				other	OPPS APC	991.32				other	OPPS APC	268.55				percent of total billed charges		273.9				percent of total billed charges		991.33				other	OPPS APC	268.55	991.33	
NEEDLE BONE CEMENT AVAFLEX CURVE STERILE LATEX FREE DISPOSABLE	SUP-1025-011-500	CDM			270	RC		inpatient			991.32	991.32																																																			
KIT BIOPSY CARTICEL TRANSPORT CYLINDER CARTILAGE	SUP-80001	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
KIT BIOPSY CARTICEL TRANSPORT CYLINDER CARTILAGE	SUP-80001	CDM			270	RC		inpatient			990	990																																																			
SNARE VASCULAR EXPRO ELITE .035 IN L150 CM OD25 MM HELICAL LOOP RADIOPAQUE	SUP-8403	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
SNARE VASCULAR EXPRO ELITE .035 IN L150 CM OD25 MM HELICAL LOOP RADIOPAQUE	SUP-8403	CDM			270	RC		inpatient			990	990																																																			
CATHETER CARDIOVASCULAR AUST L40 CM EXTENDED HOOK SITE SELECTIVE PACING	SUP-9182	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
CATHETER CARDIOVASCULAR AUST L40 CM EXTENDED HOOK SITE SELECTIVE PACING	SUP-9182	CDM			270	RC		inpatient			990	990																																																			
ATTUNE PINNING SYSTEM	SUP-97-01630	CDM			272	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
ATTUNE PINNING SYSTEM	SUP-97-01630	CDM			272	RC		inpatient			990	990																																																			
HEALICOIL PK 5.5MMW/UB-2BL CBR	SUP-97-02292	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
HEALICOIL PK 5.5MMW/UB-2BL CBR	SUP-97-02292	CDM			278	RC		inpatient			990	990																																																			
TRITANIUM ASYMMETRIC METALPATELLA A29X9	SUP-97-04075	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
TRITANIUM ASYMMETRIC METALPATELLA A29X9	SUP-97-04075	CDM			278	RC		inpatient			990	990																																																			
ASYMMETRIC METAL BACK PATELLA A32X10	SUP-97-04159	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
ASYMMETRIC METAL BACK PATELLA A32X10	SUP-97-04159	CDM			278	RC		inpatient			990	990																																																			
TRIT.ASYM.METAL BACKED PATAELLA A35X10	SUP-97-04305	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
TRIT.ASYM.METAL BACKED PATAELLA A35X10	SUP-97-04305	CDM			278	RC		inpatient			990	990																																																			
TRITANIUM ASYMMETRIC PATELLA  A38X11	SUP-97-04331	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
TRITANIUM ASYMMETRIC PATELLA  A38X11	SUP-97-04331	CDM			278	RC		inpatient			990	990																																																			
TRIANIUM ASY.METAL BACK PATELLA A40X11	SUP-97-04378	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
TRIANIUM ASY.METAL BACK PATELLA A40X11	SUP-97-04378	CDM			278	RC		inpatient			990	990																																																			
PEG 5 X 24MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06220	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
PEG 5 X 24MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06220	CDM			278	RC		inpatient			990	990																																																			
PEG 5 X 28MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06221	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
PEG 5 X 28MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06221	CDM			278	RC		inpatient			990	990																																																			
PEG 5 X 36MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06222	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
PEG 5 X 36MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06222	CDM			278	RC		inpatient			990	990																																																			
PEG 5 X 32MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06223	CDM			278	RC		outpatient			990	99	990				fee schedule		990				other	OPPS APC	564.3				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	485.1				percent of total billed charges		504.9				percent of total billed charges		99				other	OPPS APC	99	990	
PEG 5 X 32MM THREADED PHANTOM HINDFOOT NAIL	SUP-97-06223	CDM			278	RC		inpatient			990	990																																																			
WEDGE OSFERION OSTEO 10MM X 30MM	SUP-AR-13370-2	CDM	270010031	LOCAL	270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
WEDGE OSFERION OSTEO 10MM X 30MM	SUP-AR-13370-2	CDM	270010031	LOCAL	270	RC		inpatient			990	990																																																			
WEDGE OSFERION OSTEO 12MM X 35MM	SUP-AR-13370-3	CDM	270010031	LOCAL	270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
WEDGE OSFERION OSTEO 12MM X 35MM	SUP-AR-13370-3	CDM	270010031	LOCAL	270	RC		inpatient			990	990																																																			
ANCHOR SUTURE FIBERSTITCH FIBER WIRE POLYESTER 2-0 CURVE	SUP-AR-4570	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
ANCHOR SUTURE FIBERSTITCH FIBER WIRE POLYESTER 2-0 CURVE	SUP-AR-4570	CDM			270	RC		inpatient			990	990																																																			
FIBERSTITCH IMPLANT STRAIGHT	SUP-AR-4570S	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
FIBERSTITCH IMPLANT STRAIGHT	SUP-AR-4570S	CDM			270	RC		inpatient			990	990																																																			
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +19 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT3.190	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +19 DIOPTER +1.5 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT3.190	CDM			270	RC		inpatient			990	990																																																			
LENS IOL ACRYSOF IQ 0D +2.25 CYLINDER BICONVEX TORIC 13MM 6MM NATURAL ASPHERIC 119A-CONSTANT	SUP-SN6AT4	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
LENS IOL ACRYSOF IQ 0D +2.25 CYLINDER BICONVEX TORIC 13MM 6MM NATURAL ASPHERIC 119A-CONSTANT	SUP-SN6AT4	CDM			270	RC		inpatient			990	990																																																			
LENS IOL ACRYSOF IQ 0D +3 CYLINDER BICONVEX TORIC 13MM 6MM NATURAL ASPHERIC 119A-CONSTANT	SUP-SN6AT5	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
LENS IOL ACRYSOF IQ 0D +3 CYLINDER BICONVEX TORIC 13MM 6MM NATURAL ASPHERIC 119A-CONSTANT	SUP-SN6AT5	CDM			270	RC		inpatient			990	990																																																			
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +23.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT6.235	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +23.5 DIOPTER +3.75 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT6.235	CDM			270	RC		inpatient			990	990																																																			
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +27 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT7.270	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +27 DIOPTER +4.5 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT7.270	CDM			270	RC		inpatient			990	990																																																			
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +11.5 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT9.115	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
LENS INTRAOCULAR ACRYSOF IQ TORIC STABLEFORCE ACRYLIC 0 D +11.5 DIOPTER +6 CYLINDER BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ASPHERIC OPTIC UV BLUE LIGHT FILTER STERILE ASTIGMATISM APHAKIA 119 A-CONSTANT	SUP-SN6AT9.115	CDM			270	RC		inpatient			990	990																																																			
AGENT HEMOSTATIC CELLERATERX HYDROLYZED BOVINE COLLAGEN POWDER	SUP-WCI-01-SACRXP	CDM			270	RC		outpatient			990	99	268.19				percent of total billed charges		990				other	OPPS APC	732.6				percent of total billed charges		990				other	OPPS APC	990				other	OPPS APC	268.19				percent of total billed charges		273.54				percent of total billed charges		99				other	OPPS APC	99	990	
AGENT HEMOSTATIC CELLERATERX HYDROLYZED BOVINE COLLAGEN POWDER	SUP-WCI-01-SACRXP	CDM			270	RC		inpatient			990	990																																																			
AQUAMANTYS 2.3 BIPOLAR SEALER	SUP-23-113-1	CDM			270	RC		outpatient			989.4	989.4	268.03				percent of total billed charges		989.4				other	OPPS APC	732.16				percent of total billed charges		989.4				other	OPPS APC	989.4				other	OPPS APC	268.03				percent of total billed charges		273.37				percent of total billed charges		989.4				other	OPPS APC	268.03	989.4	
AQUAMANTYS 2.3 BIPOLAR SEALER	SUP-23-113-1	CDM			270	RC		inpatient			989.4	989.4																																																			
COIL EMBOLIZATION INTERLOCK IDC PLATINUM FIBER .018 IN STANDARD LENGTH 2D L6 CM OD2 MM OCCLUSION SYSTEM	SUP-36-149	CDM			270	RC		outpatient			989.4	989.4	268.03				percent of total billed charges		989.4				other	OPPS APC	732.16				percent of total billed charges		989.4				other	OPPS APC	989.4				other	OPPS APC	268.03				percent of total billed charges		273.37				percent of total billed charges		989.4				other	OPPS APC	268.03	989.4	
COIL EMBOLIZATION INTERLOCK IDC PLATINUM FIBER .018 IN STANDARD LENGTH 2D L6 CM OD2 MM OCCLUSION SYSTEM	SUP-36-149	CDM			270	RC		inpatient			989.4	989.4																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 10CM 6MM CLEAR DACRON PLATINUM 18 COIL OCCLUSION SYSTEM	SUP-M001361560	CDM			270	RC		outpatient			989.4	989.4	268.03				percent of total billed charges		989.4				other	OPPS APC	732.16				percent of total billed charges		989.4				other	OPPS APC	989.4				other	OPPS APC	268.03				percent of total billed charges		273.37				percent of total billed charges		989.4				other	OPPS APC	268.03	989.4	
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 10CM 6MM CLEAR DACRON PLATINUM 18 COIL OCCLUSION SYSTEM	SUP-M001361560	CDM			270	RC		inpatient			989.4	989.4																																																			
MESH CRANIAL UNIVERSAL NEURO 2 MICRO ULTRA THIN 60X60X.1MM BLUE TITANIUM NS LF CRANIOMAXILLOFACIAL	SUP-5400262	CDM			270	RC		outpatient			989.16	989.16	267.96				percent of total billed charges		989.16				other	OPPS APC	731.98				percent of total billed charges		989.16				other	OPPS APC	989.16				other	OPPS APC	267.96				percent of total billed charges		273.3				percent of total billed charges		989.16				other	OPPS APC	267.96	989.16	
MESH CRANIAL UNIVERSAL NEURO 2 MICRO ULTRA THIN 60X60X.1MM BLUE TITANIUM NS LF CRANIOMAXILLOFACIAL	SUP-5400262	CDM			270	RC		inpatient			989.16	989.16																																																			
PLATE BONE DALL-MILES STAINLESS STEEL BROAD L8 IN HIP 7 HOLE 8 GROOVE COMPRESSION ROUND END 4.5 MM SCREW	SUP-3704-3-110	CDM	270010022	LOCAL	270	RC		outpatient			988	988	267.65				percent of total billed charges		988				other	OPPS APC	731.12				percent of total billed charges		988				other	OPPS APC	988				other	OPPS APC	267.65				percent of total billed charges		272.98				percent of total billed charges		988				other	OPPS APC	267.65	988	
PLATE BONE DALL-MILES STAINLESS STEEL BROAD L8 IN HIP 7 HOLE 8 GROOVE COMPRESSION ROUND END 4.5 MM SCREW	SUP-3704-3-110	CDM	270010022	LOCAL	270	RC		inpatient			988	988																																																			
PLATE BONE DALL-MILES STAINLESS STEEL BROAD L12 IN HIP 11 HOLE 12 GROOVE COMPRESSION ROUND END 4.5 MM SCREW	SUP-3704-3-130	CDM			270	RC		outpatient			988	988	267.65				percent of total billed charges		988				other	OPPS APC	731.12				percent of total billed charges		988				other	OPPS APC	988				other	OPPS APC	267.65				percent of total billed charges		272.98				percent of total billed charges		988				other	OPPS APC	267.65	988	
PLATE BONE DALL-MILES STAINLESS STEEL BROAD L12 IN HIP 11 HOLE 12 GROOVE COMPRESSION ROUND END 4.5 MM SCREW	SUP-3704-3-130	CDM			270	RC		inpatient			988	988																																																			
HOFMAN3 CONNECTING ROD 11 X 150MM	SUP-97-03592	CDM			278	RC		outpatient			986.16	986.16	986.16				fee schedule		986.16				other	OPPS APC	562.11				percent of total billed charges		986.16				other	OPPS APC	986.16				other	OPPS APC	483.22				percent of total billed charges		502.94				percent of total billed charges		986.16				other	OPPS APC	483.22	986.16	
HOFMAN3 CONNECTING ROD 11 X 150MM	SUP-97-03592	CDM			278	RC		inpatient			986.16	986.16																																																			
COUNTERSINK 4MM CANNULATED AO	SUP-95-05200	CDM			272	RC		outpatient			985.5	985.5	266.97				percent of total billed charges		985.5				other	OPPS APC	729.27				percent of total billed charges		985.5				other	OPPS APC	985.5				other	OPPS APC	266.97				percent of total billed charges		272.29				percent of total billed charges		985.5				other	OPPS APC	266.97	985.5	
COUNTERSINK 4MM CANNULATED AO	SUP-95-05200	CDM			272	RC		inpatient			985.5	985.5																																																			
PLATE EVOS 4.5MM NRW NON-LOCKING COMP 9 HOLE 167MM	SUP-72561009	CDM			270	RC		outpatient			985	985	266.84				percent of total billed charges		985				other	OPPS APC	728.9				percent of total billed charges		985				other	OPPS APC	985				other	OPPS APC	266.84				percent of total billed charges		272.16				percent of total billed charges		985				other	OPPS APC	266.84	985	
PLATE EVOS 4.5MM NRW NON-LOCKING COMP 9 HOLE 167MM	SUP-72561009	CDM			270	RC		inpatient			985	985																																																			
PLATE BONE MATRIXNEURO TITANIUM H.4 MM CRANIUM 20 HOLE ADAPTION NONSTERILE BLUE	SUP-04.503.072	CDM	270010013	LOCAL	270	RC		outpatient			984.46	984.46	266.69				percent of total billed charges		984.46				other	OPPS APC	728.5				percent of total billed charges		984.46				other	OPPS APC	984.46				other	OPPS APC	266.69				percent of total billed charges		272.01				percent of total billed charges		984.46				other	OPPS APC	266.69	984.46	
PLATE BONE MATRIXNEURO TITANIUM H.4 MM CRANIUM 20 HOLE ADAPTION NONSTERILE BLUE	SUP-04.503.072	CDM	270010013	LOCAL	270	RC		inpatient			984.46	984.46																																																			
MESH SURGICAL PROCEED OVAL 15X10CM HERNIA REPAIR	SUP-PCDN1	CDM			270	RC		outpatient			984.12	984.12	266.6				percent of total billed charges		984.12				other	OPPS APC	728.25				percent of total billed charges		984.12				other	OPPS APC	984.12				other	OPPS APC	266.6				percent of total billed charges		271.91				percent of total billed charges		984.12				other	OPPS APC	266.6	984.12	
MESH SURGICAL PROCEED OVAL 15X10CM HERNIA REPAIR	SUP-PCDN1	CDM			270	RC		inpatient			984.12	984.12																																																			
SYSTEM CATHETER L110 CM LUMBOPERITONEAL	SUP-21059 C	CDM			270	RC		outpatient			983.92	983.92	266.54				percent of total billed charges		983.92				other	OPPS APC	728.1				percent of total billed charges		983.92				other	OPPS APC	983.92				other	OPPS APC	266.54				percent of total billed charges		271.86				percent of total billed charges		983.92				other	OPPS APC	266.54	983.92	
SYSTEM CATHETER L110 CM LUMBOPERITONEAL	SUP-21059 C	CDM			270	RC		inpatient			983.92	983.92																																																			
CATHETER GUIDING RENEGADE STC-18 90 D MICRO L130 CM L20 CM OD3-2.4 FR ID.021 IN RADIOPAQUE	SUP-M001181330	CDM			270	RC		outpatient			983.28	983.28	266.37				percent of total billed charges		983.28				other	OPPS APC	727.63				percent of total billed charges		983.28				other	OPPS APC	983.28				other	OPPS APC	266.37				percent of total billed charges		271.68				percent of total billed charges		983.28				other	OPPS APC	266.37	983.28	
CATHETER GUIDING RENEGADE STC-18 90 D MICRO L130 CM L20 CM OD3-2.4 FR ID.021 IN RADIOPAQUE	SUP-M001181330	CDM			270	RC		inpatient			983.28	983.28																																																			
ENDO RETRACTOR 10MM	SUP-76-00134	CDM			272	RC		outpatient			982.75	982.75	266.23				percent of total billed charges		982.75				other	OPPS APC	727.24				percent of total billed charges		982.75				other	OPPS APC	982.75				other	OPPS APC	266.23				percent of total billed charges		271.53				percent of total billed charges		982.75				other	OPPS APC	266.23	982.75	
ENDO RETRACTOR 10MM	SUP-76-00134	CDM			272	RC		inpatient			982.75	982.75																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM XTHICK TISSUE RADIAL STERILE LATEX FREE DISPOSABLE BLACK	SUP-SIGRADXT	CDM			270	RC		outpatient			982.37	982.37	266.12				percent of total billed charges		982.37				other	OPPS APC	726.95				percent of total billed charges		982.37				other	OPPS APC	982.37				other	OPPS APC	266.12				percent of total billed charges		271.43				percent of total billed charges		982.37				other	OPPS APC	266.12	982.37	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM XTHICK TISSUE RADIAL STERILE LATEX FREE DISPOSABLE BLACK	SUP-SIGRADXT	CDM			270	RC		inpatient			982.37	982.37																																																			
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD12 FR ODSEC4.7 MM ID4 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1233	CDM			270	RC		outpatient			982	982	266.02				percent of total billed charges		982				other	OPPS APC	726.68				percent of total billed charges		982				other	OPPS APC	982				other	OPPS APC	266.02				percent of total billed charges		271.33				percent of total billed charges		982				other	OPPS APC	266.02	982	
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD12 FR ODSEC4.7 MM ID4 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1233	CDM			270	RC		inpatient			982	982																																																			
ETONOGESTREL 68 MG IMPLANT	636000000	CDM	78206-145-01	NDC	J7307	HCPCS		inpatient			981.56	981.56																																																			
ETONOGESTREL 68 MG IMPLANT	636000000	CDM	78206-145-01	NDC	J7307	HCPCS		outpatient			981.56	981.56																																															other	OPPS APC			
10.0MM HOLLOWBIT STERILE	SUP-97-04197	CDM			278	RC		outpatient			980.82	98.83	980.82				fee schedule		980.82				other	OPPS APC	559.07				percent of total billed charges		980.82				other	OPPS APC	980.82				other	OPPS APC	480.6				percent of total billed charges		500.22				percent of total billed charges		98.83				other	OPPS APC	98.83	980.82	
10.0MM HOLLOWBIT STERILE	SUP-97-04197	CDM			278	RC		inpatient			980.82	980.82																																																			
PLATE BONE SM H TITANIUM NS STERNAL 8 HOLE LOCK 2.4MM SCREW	SUP-460.027	CDM			270	RC		outpatient			980.28	98.28	265.56				percent of total billed charges		980.28				other	OPPS APC	725.41				percent of total billed charges		980.28				other	OPPS APC	980.28				other	OPPS APC	265.56				percent of total billed charges		270.85				percent of total billed charges		98.28				other	OPPS APC	98.28	980.28	
PLATE BONE SM H TITANIUM NS STERNAL 8 HOLE LOCK 2.4MM SCREW	SUP-460.027	CDM			270	RC		inpatient			980.28	980.28																																																			
PLATE STERNAL LOCKING H 8 HOLE	SUP-460.028	CDM			270	RC		outpatient			980.28	98.28	265.56				percent of total billed charges		980.28				other	OPPS APC	725.41				percent of total billed charges		980.28				other	OPPS APC	980.28				other	OPPS APC	265.56				percent of total billed charges		270.85				percent of total billed charges		98.28				other	OPPS APC	98.28	980.28	
PLATE STERNAL LOCKING H 8 HOLE	SUP-460.028	CDM			270	RC		inpatient			980.28	980.28																																																			
PIRANHA URETEROSCOPIC BIOPSY F	SUP-70-00109	CDM			272	RC		outpatient			980.25	98.25	265.55				percent of total billed charges		980.25				other	OPPS APC	725.39				percent of total billed charges		980.25				other	OPPS APC	980.25				other	OPPS APC	265.55				percent of total billed charges		270.84				percent of total billed charges		98.25				other	OPPS APC	98.25	980.25	
PIRANHA URETEROSCOPIC BIOPSY F	SUP-70-00109	CDM			272	RC		inpatient			980.25	980.25																																																			
SHEATH INTRODUCER NEURON MAX STAINLESS STEEL HYDROPHILIC LONG STRAIGHT L80 CM L4 CM OD6 FR ODSEC8 FR ID.088 IN SOFT TIP CROSSCUT ROTATE HEMOSTATIC VALVE DILATOR ACCEPTS .035/.038 IN GUIDEWIRE	SUP-PNML6F088804	CDM			270	RC		outpatient			980	98	265.48				percent of total billed charges		980				other	OPPS APC	725.2				percent of total billed charges		980				other	OPPS APC	980				other	OPPS APC	265.48				percent of total billed charges		270.77				percent of total billed charges		98				other	OPPS APC	98	980	
SHEATH INTRODUCER NEURON MAX STAINLESS STEEL HYDROPHILIC LONG STRAIGHT L80 CM L4 CM OD6 FR ODSEC8 FR ID.088 IN SOFT TIP CROSSCUT ROTATE HEMOSTATIC VALVE DILATOR ACCEPTS .035/.038 IN GUIDEWIRE	SUP-PNML6F088804	CDM			270	RC		inpatient			980	980																																																			
DEVICE FIXATION SECURESTRAP 5MM DISPOSABLE 25 ABSORBABLE STRAP MESH HERNIA REPAIR	SUP-STRAP25	CDM			270	RC		outpatient			979.68	979.68	265.4				percent of total billed charges		979.68				other	OPPS APC	724.96				percent of total billed charges		979.68				other	OPPS APC	979.68				other	OPPS APC	265.4				percent of total billed charges		270.69				percent of total billed charges		979.68				other	OPPS APC	265.4	979.68	
DEVICE FIXATION SECURESTRAP 5MM DISPOSABLE 25 ABSORBABLE STRAP MESH HERNIA REPAIR	SUP-STRAP25	CDM			270	RC		inpatient			979.68	979.68																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-02	CDM			270	RC		outpatient			978	978	264.94				percent of total billed charges		978				other	OPPS APC	723.72				percent of total billed charges		978				other	OPPS APC	978				other	OPPS APC	264.94				percent of total billed charges		270.22				percent of total billed charges		978				other	OPPS APC	264.94	978	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-02	CDM			270	RC		inpatient			978	978																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-08	CDM			270	RC		outpatient			978	978	264.94				percent of total billed charges		978				other	OPPS APC	723.72				percent of total billed charges		978				other	OPPS APC	978				other	OPPS APC	264.94				percent of total billed charges		270.22				percent of total billed charges		978				other	OPPS APC	264.94	978	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-08	CDM			270	RC		inpatient			978	978																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-002-17	CDM			270	RC		outpatient			978	978	264.94				percent of total billed charges		978				other	OPPS APC	723.72				percent of total billed charges		978				other	OPPS APC	978				other	OPPS APC	264.94				percent of total billed charges		270.22				percent of total billed charges		978				other	OPPS APC	264.94	978	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-002-17	CDM			270	RC		inpatient			978	978																																																			
BALLOON - NANOCROSS ELITE 3.5X40	SUP-99-03353	CDM			272	RC		outpatient			978	978	264.94				percent of total billed charges		978				other	OPPS APC	723.72				percent of total billed charges		978				other	OPPS APC	978				other	OPPS APC	264.94				percent of total billed charges		270.22				percent of total billed charges		978				other	OPPS APC	264.94	978	
BALLOON - NANOCROSS ELITE 3.5X40	SUP-99-03353	CDM			272	RC		inpatient			978	978																																																			
BALLOON - NANOCROSS ELITE 3.5X120	SUP-99-03414	CDM			272	RC		outpatient			978	978	264.94				percent of total billed charges		978				other	OPPS APC	723.72				percent of total billed charges		978				other	OPPS APC	978				other	OPPS APC	264.94				percent of total billed charges		270.22				percent of total billed charges		978				other	OPPS APC	264.94	978	
BALLOON - NANOCROSS ELITE 3.5X120	SUP-99-03414	CDM			272	RC		inpatient			978	978																																																			
CATHETER OCCLUSION PRUITT L24 CM OD12 FR AORTA STERILE LATEX FREE DISPOSABLE	SUP-E2100-12	CDM			270	RC		outpatient			978	978	264.94				percent of total billed charges		978				other	OPPS APC	723.72				percent of total billed charges		978				other	OPPS APC	978				other	OPPS APC	264.94				percent of total billed charges		270.22				percent of total billed charges		978				other	OPPS APC	264.94	978	
CATHETER OCCLUSION PRUITT L24 CM OD12 FR AORTA STERILE LATEX FREE DISPOSABLE	SUP-E2100-12	CDM			270	RC		inpatient			978	978																																																			
BIT DRILL STAINLESS STEEL L300 MM OD7.3 MM ID2.9 MM LARGE QUICK COUPLING CANNULATED NONSTERILE	SUP-310.495	CDM	270010022	LOCAL	270	RC		outpatient			977.9	977.9	264.91				percent of total billed charges		977.9				other	OPPS APC	723.65				percent of total billed charges		977.9				other	OPPS APC	977.9				other	OPPS APC	264.91				percent of total billed charges		270.19				percent of total billed charges		977.9				other	OPPS APC	264.91	977.9	
BIT DRILL STAINLESS STEEL L300 MM OD7.3 MM ID2.9 MM LARGE QUICK COUPLING CANNULATED NONSTERILE	SUP-310.495	CDM	270010022	LOCAL	270	RC		inpatient			977.9	977.9																																																			
PLATE BONE STAINLESS STEEL L78 MM X W10.2 MM X H2.7 MM PELVIS 6 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.026	CDM	270010022	LOCAL	270	RC		outpatient			976.8	976.8	264.62				percent of total billed charges		976.8				other	OPPS APC	722.83				percent of total billed charges		976.8				other	OPPS APC	976.8				other	OPPS APC	264.62				percent of total billed charges		269.89				percent of total billed charges		976.8				other	OPPS APC	264.62	976.8	
PLATE BONE STAINLESS STEEL L78 MM X W10.2 MM X H2.7 MM PELVIS 6 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.026	CDM	270010022	LOCAL	270	RC		inpatient			976.8	976.8																																																			
FORCEP RETRIEVAL VASCULAR	SUP-G07187	CDM			270	RC		outpatient			976.58	976.58	264.56				percent of total billed charges		976.58				other	OPPS APC	722.67				percent of total billed charges		976.58				other	OPPS APC	976.58				other	OPPS APC	264.56				percent of total billed charges		269.83				percent of total billed charges		976.58				other	OPPS APC	264.56	976.58	
FORCEP RETRIEVAL VASCULAR	SUP-G07187	CDM			270	RC		inpatient			976.58	976.58																																																			
HC Ek Cardioversion	PX-480929600	CDM	92960	CPT	480	RC		outpatient			976	619.45	206.75				fee schedule		619.44				other	OPPS APC	888.03				fee schedule		619.44				other	OPPS APC	619.44				other	OPPS APC	106.29				fee schedule		497.76				percent of total billed charges		619.45				other	OPPS APC	106.29	888.03	
HC Ek Cardioversion	PX-480929600	CDM	92960	CPT	480	RC		inpatient			976	976																																																			
CATHETER VENTRICULAR ANTIMICROBIAL	SUP-91101	CDM			270	RC		outpatient			975.74	975.74	264.33				percent of total billed charges		975.74				other	OPPS APC	722.05				percent of total billed charges		975.74				other	OPPS APC	975.74				other	OPPS APC	264.33				percent of total billed charges		269.6				percent of total billed charges		975.74				other	OPPS APC	264.33	975.74	
CATHETER VENTRICULAR ANTIMICROBIAL	SUP-91101	CDM			270	RC		inpatient			975.74	975.74																																																			
GRAFT 3DMAX LIGHT	SUP-75-00062	CDM			278	RC		outpatient			975	975	975				fee schedule		975				other	OPPS APC	555.75				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	477.75				percent of total billed charges		497.25				percent of total billed charges		975				other	OPPS APC	477.75	975	
GRAFT 3DMAX LIGHT	SUP-75-00062	CDM			278	RC		inpatient			975	975																																																			
CUTTER 9.5MM FLIP II	SUP-97-02117	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
CUTTER 9.5MM FLIP II	SUP-97-02117	CDM			272	RC		inpatient			975	975																																																			
PLATE 10HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-02446	CDM			278	RC		outpatient			975	975	975				fee schedule		975				other	OPPS APC	555.75				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	477.75				percent of total billed charges		497.25				percent of total billed charges		975				other	OPPS APC	477.75	975	
PLATE 10HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-02446	CDM			278	RC		inpatient			975	975																																																			
SUTURE ANCHOR  BIOCOMPOSITE	SUP-97-02455	CDM			278	RC		outpatient			975	975	975				fee schedule		975				other	OPPS APC	555.75				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	477.75				percent of total billed charges		497.25				percent of total billed charges		975				other	OPPS APC	477.75	975	
SUTURE ANCHOR  BIOCOMPOSITE	SUP-97-02455	CDM			278	RC		inpatient			975	975																																																			
10 MM FLIP CUTTER II ARTHREX	SUP-97-03508	CDM						inpatient			975	975																																																			
10 MM FLIP CUTTER II ARTHREX	SUP-97-03508	CDM						outpatient			975	975	975				percent of total billed charges		975				other	OPPS APC	975				fee schedule		975				other	OPPS APC	975				other	OPPS APC	975				case rate		975				case rate		975				other	OPPS APC	975	975	
10.5 MM FLIP CUTTER II ARTHREX	SUP-97-03509	CDM						inpatient			975	975																																																			
10.5 MM FLIP CUTTER II ARTHREX	SUP-97-03509	CDM						outpatient			975	975	975				percent of total billed charges		975				other	OPPS APC	975				fee schedule		975				other	OPPS APC	975				other	OPPS APC	975				case rate		975				case rate		975				other	OPPS APC	975	975	
ANGEL PRP PROCESSING KIT	SUP-97-04987	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
ANGEL PRP PROCESSING KIT	SUP-97-04987	CDM			272	RC		inpatient			975	975																																																			
BALLOON - DORADO 5X150X135	SUP-99-00046	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
BALLOON - DORADO 5X150X135	SUP-99-00046	CDM			272	RC		inpatient			975	975																																																			
BALLOON - ADMIRAL 5.0X300	SUP-99-01001	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
BALLOON - ADMIRAL 5.0X300	SUP-99-01001	CDM			272	RC		inpatient			975	975																																																			
BALLOON - ADMIRAL 5.0X250	SUP-99-01089	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
BALLOON - ADMIRAL 5.0X250	SUP-99-01089	CDM			272	RC		inpatient			975	975																																																			
BALLOON - ADMIRAL 4.0X250	SUP-99-01090	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
BALLOON - ADMIRAL 4.0X250	SUP-99-01090	CDM			272	RC		inpatient			975	975																																																			
FILTER - RETRIEVAL KIT 20MM	SUP-99-03255	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
FILTER - RETRIEVAL KIT 20MM	SUP-99-03255	CDM			272	RC		inpatient			975	975																																																			
PACEMAKER -  SOLIA PRO MRI LEAD	SUP-99-04348	CDM			275	RC		outpatient			975	975	975				fee schedule		975				other	OPPS APC	555.75				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	477.75				percent of total billed charges		497.25				percent of total billed charges		975				other	OPPS APC	477.75	975	
PACEMAKER -  SOLIA PRO MRI LEAD	SUP-99-04348	CDM			275	RC		inpatient			975	975																																																			
CATHETER- NON NAV P CURVE	SUP-99-04771	CDM			278	RC		outpatient			975	975	975				fee schedule		975				other	OPPS APC	555.75				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	477.75				percent of total billed charges		497.25				percent of total billed charges		975				other	OPPS APC	477.75	975	
CATHETER- NON NAV P CURVE	SUP-99-04771	CDM			278	RC		inpatient			975	975																																																			
CATHETER- 6F P-CURVE SUPRA CS	SUP-99-04855	CDM			278	RC		outpatient			975	975	975				fee schedule		975				other	OPPS APC	555.75				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	477.75				percent of total billed charges		497.25				percent of total billed charges		975				other	OPPS APC	477.75	975	
CATHETER- 6F P-CURVE SUPRA CS	SUP-99-04855	CDM			278	RC		inpatient			975	975																																																			
CATHETER - 6F TELESCOPE GUIDE EXTENSION	SUP-99-04872	CDM			272	RC		outpatient			975	975	264.13				percent of total billed charges		975				other	OPPS APC	721.5				percent of total billed charges		975				other	OPPS APC	975				other	OPPS APC	264.13				percent of total billed charges		269.39				percent of total billed charges		975				other	OPPS APC	264.13	975	
CATHETER - 6F TELESCOPE GUIDE EXTENSION	SUP-99-04872	CDM			272	RC		inpatient			975	975																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-01	CDM			270	RC		outpatient			974	974	263.86				percent of total billed charges		974				other	OPPS APC	720.76				percent of total billed charges		974				other	OPPS APC	974				other	OPPS APC	263.86				percent of total billed charges		269.12				percent of total billed charges		974				other	OPPS APC	263.86	974	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-01	CDM			270	RC		inpatient			974	974																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-81	CDM			270	RC		outpatient			974	974	263.86				percent of total billed charges		974				other	OPPS APC	720.76				percent of total billed charges		974				other	OPPS APC	974				other	OPPS APC	263.86				percent of total billed charges		269.12				percent of total billed charges		974				other	OPPS APC	263.86	974	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-81	CDM			270	RC		inpatient			974	974																																																			
FEMORAL ADAPTER BOLT SIGMA	SUP-97-01032	CDM			278	RC		outpatient			973.8	973.8	973.8				fee schedule		973.8				other	OPPS APC	555.07				percent of total billed charges		973.8				other	OPPS APC	973.8				other	OPPS APC	477.16				percent of total billed charges		496.64				percent of total billed charges		973.8				other	OPPS APC	477.16	973.8	
FEMORAL ADAPTER BOLT SIGMA	SUP-97-01032	CDM			278	RC		inpatient			973.8	973.8																																																			
NEEDLE STIM ULTRA 20G X 4IN	SUP-97-00742	CDM			272	RC		outpatient			972.42	972.42	263.43				percent of total billed charges		972.42				other	OPPS APC	719.59				percent of total billed charges		972.42				other	OPPS APC	972.42				other	OPPS APC	263.43				percent of total billed charges		268.68				percent of total billed charges		972.42				other	OPPS APC	263.43	972.42	
NEEDLE STIM ULTRA 20G X 4IN	SUP-97-00742	CDM			272	RC		inpatient			972.42	972.42																																																			
HC Inject  Epidural of Blood Clot Patch	PX-450622731	CDM	62273	CPT	450	RC		outpatient			972	972	195.77				case rate		972				other	OPPS APC	719.28				percent of total billed charges		972				other	OPPS APC	972				other	OPPS APC	195.77				case rate		199.69				case rate		972				other	OPPS APC	195.77	972	
HC Inject  Epidural of Blood Clot Patch	PX-450622731	CDM	62273	CPT	450	RC		inpatient			972	972																																																			
ELECTRODE ELECTROSURGICAL PKS PLASMA J-HOOK HOOK L33 CM OD5 MM RAPID HEMOSTATIC CUT COAGULATION CORD UNIQUE TIP STERILE DISPOSABLE	SUP-956010PC	CDM			270	RC		outpatient			972	972	263.31				percent of total billed charges		972				other	OPPS APC	719.28				percent of total billed charges		972				other	OPPS APC	972				other	OPPS APC	263.31				percent of total billed charges		268.56				percent of total billed charges		972				other	OPPS APC	263.31	972	
ELECTRODE ELECTROSURGICAL PKS PLASMA J-HOOK HOOK L33 CM OD5 MM RAPID HEMOSTATIC CUT COAGULATION CORD UNIQUE TIP STERILE DISPOSABLE	SUP-956010PC	CDM			270	RC		inpatient			972	972																																																			
GUIDEWIRE -  WHOLEY WIRE 0.35X175CM MOD. J-TIP/SHAPEABLE	SUP-99-04879	CDM			272	RC		outpatient			972	972	263.31				percent of total billed charges		972				other	OPPS APC	719.28				percent of total billed charges		972				other	OPPS APC	972				other	OPPS APC	263.31				percent of total billed charges		268.56				percent of total billed charges		972				other	OPPS APC	263.31	972	
GUIDEWIRE -  WHOLEY WIRE 0.35X175CM MOD. J-TIP/SHAPEABLE	SUP-99-04879	CDM			272	RC		inpatient			972	972																																																			
PLATE BONE TITANIUM STRAIGHT L29 MM X W3.8 MM X H.8 MM HAND 6 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH MODULAR NONSTERILE 1.5 MM SCREW	SUP-446.031	CDM	270010022	LOCAL	270	RC		outpatient			971.3	971.3	263.13				percent of total billed charges		971.3				other	OPPS APC	718.76				percent of total billed charges		971.3				other	OPPS APC	971.3				other	OPPS APC	263.13				percent of total billed charges		268.37				percent of total billed charges		971.3				other	OPPS APC	263.13	971.3	
PLATE BONE TITANIUM STRAIGHT L29 MM X W3.8 MM X H.8 MM HAND 6 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH MODULAR NONSTERILE 1.5 MM SCREW	SUP-446.031	CDM	270010022	LOCAL	270	RC		inpatient			971.3	971.3																																																			
PLATE BONE LEIBINGER UNIVERSAL 2 MICRO 60X60X.2MM TITANIUM STERILE LF CRANIOMAXILLOFACIAL MICROMESH 1.2MM SCREW	SUP-5400272	CDM			270	RC		outpatient			969.76	969.76	262.71				percent of total billed charges		969.76				other	OPPS APC	717.62				percent of total billed charges		969.76				other	OPPS APC	969.76				other	OPPS APC	262.71				percent of total billed charges		267.94				percent of total billed charges		969.76				other	OPPS APC	262.71	969.76	
PLATE BONE LEIBINGER UNIVERSAL 2 MICRO 60X60X.2MM TITANIUM STERILE LF CRANIOMAXILLOFACIAL MICROMESH 1.2MM SCREW	SUP-5400272	CDM			270	RC		inpatient			969.76	969.76																																																			
GRIP CABLE DALL-MILES VITALLIUM SMALL OD1.6 MM HIP	SUP-6704-5-016	CDM			270	RC		outpatient			968.4	968.4	262.34				percent of total billed charges		968.4				other	OPPS APC	716.62				percent of total billed charges		968.4				other	OPPS APC	968.4				other	OPPS APC	262.34				percent of total billed charges		267.57				percent of total billed charges		968.4				other	OPPS APC	262.34	968.4	
GRIP CABLE DALL-MILES VITALLIUM SMALL OD1.6 MM HIP	SUP-6704-5-016	CDM			270	RC		inpatient			968.4	968.4																																																			
GRIP CABLE DALL-MILES VITALLIUM MEDIUM OD2 MM HIP	SUP-6704-6-020	CDM			270	RC		outpatient			968.4	968.4	262.34				percent of total billed charges		968.4				other	OPPS APC	716.62				percent of total billed charges		968.4				other	OPPS APC	968.4				other	OPPS APC	262.34				percent of total billed charges		267.57				percent of total billed charges		968.4				other	OPPS APC	262.34	968.4	
GRIP CABLE DALL-MILES VITALLIUM MEDIUM OD2 MM HIP	SUP-6704-6-020	CDM			270	RC		inpatient			968.4	968.4																																																			
CATHETER BALLOON DILATATION CODA 120CM 9FR 32MM POLYURETHANE 2 LUMEN RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 12FR INTRODUCER	SUP-G03831	CDM			270	RC		outpatient			968.2	968.25	262.29				percent of total billed charges		968.2				other	OPPS APC	716.47				percent of total billed charges		968.2				other	OPPS APC	968.2				other	OPPS APC	262.29				percent of total billed charges		267.51				percent of total billed charges		968.25				other	OPPS APC	262.29	968.25	
CATHETER BALLOON DILATATION CODA 120CM 9FR 32MM POLYURETHANE 2 LUMEN RADIOPAQUE ACCEPTS .035IN GUIDEWIRE 12FR INTRODUCER	SUP-G03831	CDM			270	RC		inpatient			968.2	968.2																																																			
CATHETER DISTIAL ANTIMICROBIAL	SUP-93092	CDM			270	RC		outpatient			966.46	966.46	261.81				percent of total billed charges		966.46				other	OPPS APC	715.18				percent of total billed charges		966.46				other	OPPS APC	966.46				other	OPPS APC	261.81				percent of total billed charges		267.03				percent of total billed charges		966.46				other	OPPS APC	261.81	966.46	
CATHETER DISTIAL ANTIMICROBIAL	SUP-93092	CDM			270	RC		inpatient			966.46	966.46																																																			
STYLET NAVIGATION 2 COIL STERILE LATEX FREE DISPOSABLE	SUP-9735428	CDM			270	RC		outpatient			965.6	965.62	261.58				percent of total billed charges		965.6				other	OPPS APC	714.54				percent of total billed charges		965.6				other	OPPS APC	965.6				other	OPPS APC	261.58				percent of total billed charges		266.8				percent of total billed charges		965.62				other	OPPS APC	261.58	965.62	
STYLET NAVIGATION 2 COIL STERILE LATEX FREE DISPOSABLE	SUP-9735428	CDM			270	RC		inpatient			965.6	965.6																																																			
SHEARS ELECTROSURGICAL HARMONIC ACE+ CURVE 36CM 5MM TITANIUM DISPOSABLE STERILE 2 HAND CONTROL BUTTON TAPER TIP	SUP-HAR36	CDM			270	RC		outpatient			965.39	965.39	261.52				percent of total billed charges		965.39				other	OPPS APC	714.39				percent of total billed charges		965.39				other	OPPS APC	965.39				other	OPPS APC	261.52				percent of total billed charges		266.74				percent of total billed charges		965.39				other	OPPS APC	261.52	965.39	
SHEARS ELECTROSURGICAL HARMONIC ACE+ CURVE 36CM 5MM TITANIUM DISPOSABLE STERILE 2 HAND CONTROL BUTTON TAPER TIP	SUP-HAR36	CDM			270	RC		inpatient			965.39	965.39																																																			
4.5MM TI SCREW 36MM-STERILE	SUP-97-04082	CDM			278	RC		outpatient			964.8	964.8	964.8				fee schedule		964.8				other	OPPS APC	549.94				percent of total billed charges		964.8				other	OPPS APC	964.8				other	OPPS APC	472.75				percent of total billed charges		492.05				percent of total billed charges		964.8				other	OPPS APC	472.75	964.8	
4.5MM TI SCREW 36MM-STERILE	SUP-97-04082	CDM			278	RC		inpatient			964.8	964.8																																																			
4.5MM TI SCREW 38MM-STERILE	SUP-97-04083	CDM			278	RC		outpatient			964.8	964.8	964.8				fee schedule		964.8				other	OPPS APC	549.94				percent of total billed charges		964.8				other	OPPS APC	964.8				other	OPPS APC	472.75				percent of total billed charges		492.05				percent of total billed charges		964.8				other	OPPS APC	472.75	964.8	
4.5MM TI SCREW 38MM-STERILE	SUP-97-04083	CDM			278	RC		inpatient			964.8	964.8																																																			
4.5MM TI SCREW 40MM-STERILE	SUP-97-04084	CDM			278	RC		outpatient			964.8	964.8	964.8				fee schedule		964.8				other	OPPS APC	549.94				percent of total billed charges		964.8				other	OPPS APC	964.8				other	OPPS APC	472.75				percent of total billed charges		492.05				percent of total billed charges		964.8				other	OPPS APC	472.75	964.8	
4.5MM TI SCREW 40MM-STERILE	SUP-97-04084	CDM			278	RC		inpatient			964.8	964.8																																																			
4.5MM TI MULTILOC SCREW 42MM-STERILE	SUP-97-04117	CDM			278	RC		outpatient			964.8	964.8	964.8				fee schedule		964.8				other	OPPS APC	549.94				percent of total billed charges		964.8				other	OPPS APC	964.8				other	OPPS APC	472.75				percent of total billed charges		492.05				percent of total billed charges		964.8				other	OPPS APC	472.75	964.8	
4.5MM TI MULTILOC SCREW 42MM-STERILE	SUP-97-04117	CDM			278	RC		inpatient			964.8	964.8																																																			
HC Venous Vascular 2nd Order/>Slctv Branc	PX-361360121	CDM	36012	CPT	361	RC		outpatient			963	963	304.12				percent of total billed charges		963				other	OPPS APC	963				fee schedule		963				other	OPPS APC	963				other	OPPS APC	304.12				percent of total billed charges		310.18				percent of total billed charges		963				other	OPPS APC	304.12	963	
HC Venous Vascular 2nd Order/>Slctv Branc	PX-361360121	CDM	36012	CPT	361	RC		inpatient			963	963																																																			
5/0MMSELF DRILLING SCHANZSCREW 60MM THRD	SUP-97-03008	CDM			278	RC		outpatient			963	963	963				fee schedule		963				other	OPPS APC	548.91				percent of total billed charges		963				other	OPPS APC	963				other	OPPS APC	471.87				percent of total billed charges		491.13				percent of total billed charges		963				other	OPPS APC	471.87	963	
5/0MMSELF DRILLING SCHANZSCREW 60MM THRD	SUP-97-03008	CDM			278	RC		inpatient			963	963																																																			
SCHANZ SCREW 5.0MM X175MM	SUP-97-03238	CDM			278	RC		outpatient			963	963	963				fee schedule		963				other	OPPS APC	548.91				percent of total billed charges		963				other	OPPS APC	963				other	OPPS APC	471.87				percent of total billed charges		491.13				percent of total billed charges		963				other	OPPS APC	471.87	963	
SCHANZ SCREW 5.0MM X175MM	SUP-97-03238	CDM			278	RC		inpatient			963	963																																																			
HC Brain Scan <4 Views W Vasc Flow	PX-340786010	CDM	78601	CPT	340	RC		outpatient			962.48	962.48	224.04				fee schedule		962.48				other	OPPS APC	394.81				fee schedule		962.48				other	OPPS APC	962.48				other	OPPS APC	202.85				fee schedule		178.69				fee schedule		962.48				other	OPPS APC	178.69	962.48	
HC Brain Scan <4 Views W Vasc Flow	PX-340786010	CDM	78601	CPT	340	RC		inpatient			962.48	962.48																																																			
HC Tumor Imaging-Spect Single Area Single Day	PX-340788030	CDM	78803	CPT	340	RC		outpatient			962.47	1397.91	351.3				fee schedule		1397.91				other	OPPS APC	775.48				fee schedule		1397.91				other	OPPS APC	1397.91				other	OPPS APC	355.31				fee schedule		304.53				fee schedule		1397.91				other	OPPS APC	304.53	1397.91	
HC Tumor Imaging-Spect Single Area Single Day	PX-340788030	CDM	78803	CPT	340	RC		inpatient			962.47	962.47																																																			
HC NM Inj Radioact Trac Sent Node	PX-360387920	CDM	38792	CPT	360	RC		outpatient			962	49.37	303.8				percent of total billed charges		409.37				other	OPPS APC	680				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	303.8				percent of total billed charges		309.86				percent of total billed charges		49.37				other	OPPS APC	49.37	680	
HC NM Inj Radioact Trac Sent Node	PX-360387920	CDM	38792	CPT	360	RC		inpatient			962	962																																																			
PATCH SURGICAL MONOFILAMENT STRAP VENTRALEX SEPRA POLYPROPYLENE EPTFE SM CIRCLE 1.7IN	SUP-0010301	CDM			270	RC		outpatient			962	962	260.61				percent of total billed charges		962				other	OPPS APC	711.88				percent of total billed charges		962				other	OPPS APC	962				other	OPPS APC	260.61				percent of total billed charges		265.8				percent of total billed charges		962				other	OPPS APC	260.61	962	
PATCH SURGICAL MONOFILAMENT STRAP VENTRALEX SEPRA POLYPROPYLENE EPTFE SM CIRCLE 1.7IN	SUP-0010301	CDM			270	RC		inpatient			962	962																																																			
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD14 FR ODSEC5.3 MM ID4.7 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1433	CDM			481	RC		outpatient			962	962	471.38				percent of total billed charges		962				other	OPPS APC	711.88				percent of total billed charges		962				other	OPPS APC	962				other	OPPS APC	471.38				percent of total billed charges		490.62				percent of total billed charges		962				other	OPPS APC	471.38	962	
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD14 FR ODSEC5.3 MM ID4.7 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1433	CDM			481	RC		inpatient			962	962																																																			
SHEATH INTRODUCER GORE DRYSEAL FLEX HYDROPHILIC L33 CM OD5.6 MM ID15 FR	SUP-DSF1533	CDM			270	RC		outpatient			962	962	260.61				percent of total billed charges		962				other	OPPS APC	711.88				percent of total billed charges		962				other	OPPS APC	962				other	OPPS APC	260.61				percent of total billed charges		265.8				percent of total billed charges		962				other	OPPS APC	260.61	962	
SHEATH INTRODUCER GORE DRYSEAL FLEX HYDROPHILIC L33 CM OD5.6 MM ID15 FR	SUP-DSF1533	CDM			270	RC		inpatient			962	962																																																			
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD16 FR ODSEC6.1 MM ID5.3 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1633	CDM			270	RC		outpatient			962	962	260.61				percent of total billed charges		962				other	OPPS APC	711.88				percent of total billed charges		962				other	OPPS APC	962				other	OPPS APC	260.61				percent of total billed charges		265.8				percent of total billed charges		962				other	OPPS APC	260.61	962	
SHEATH INTRODUCER GORE DRYSEAL L33 CM OD16 FR ODSEC6.1 MM ID5.3 MM DILATOR VALVE INFLATION SYRINGE	SUP-DSF1633	CDM			270	RC		inpatient			962	962																																																			
BAR MAVERICK 11MM X 250MM	SUP-71094250	CDM			270	RC		outpatient			961	961	260.33				percent of total billed charges		961				other	OPPS APC	711.14				percent of total billed charges		961				other	OPPS APC	961				other	OPPS APC	260.33				percent of total billed charges		265.52				percent of total billed charges		961				other	OPPS APC	260.33	961	
BAR MAVERICK 11MM X 250MM	SUP-71094250	CDM			270	RC		inpatient			961	961																																																			
PLATE BONE LCP STAINLESS STEEL NARROW L188 MM X W13.5 MM X H4.2 MM 10 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.601	CDM	270010022	LOCAL	270	RC		outpatient			960.3	96.3	260.15				percent of total billed charges		960.3				other	OPPS APC	710.62				percent of total billed charges		960.3				other	OPPS APC	960.3				other	OPPS APC	260.15				percent of total billed charges		265.33				percent of total billed charges		96.3				other	OPPS APC	96.3	960.3	
PLATE BONE LCP STAINLESS STEEL NARROW L188 MM X W13.5 MM X H4.2 MM 10 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.601	CDM	270010022	LOCAL	270	RC		inpatient			960.3	960.3																																																			
RING EXTERNAL FIXATION .75 140MM NS	SUP-393.734	CDM	270010022	LOCAL	270	RC		outpatient			960.3	96.3	260.15				percent of total billed charges		960.3				other	OPPS APC	710.62				percent of total billed charges		960.3				other	OPPS APC	960.3				other	OPPS APC	260.15				percent of total billed charges		265.33				percent of total billed charges		96.3				other	OPPS APC	96.3	960.3	
RING EXTERNAL FIXATION .75 140MM NS	SUP-393.734	CDM	270010022	LOCAL	270	RC		inpatient			960.3	960.3																																																			
DOCETAXEL 80 MG/8 ML (10 MG/ML) SOLUTION 8 ML VIAL	636000000	CDM	25021-254-08	NDC	J9171	HCPCS		inpatient			960	960																																																			
DOCETAXEL 80 MG/8 ML (10 MG/ML) SOLUTION 8 ML VIAL	636000000	CDM	25021-254-08	NDC	J9171	HCPCS		outpatient			960	960																																															other	OPPS APC			
HC NM Pulmonary Vent Perfusion Imag	PX-340785820	CDM	78582	CPT	340	RC		outpatient			960	531.35	347.31				fee schedule		531.35				other	OPPS APC	683.72				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	309.48				fee schedule		259.25				fee schedule		531.35				other	OPPS APC	259.25	683.72	
HC NM Pulmonary Vent Perfusion Imag	PX-340785820	CDM	78582	CPT	340	RC		inpatient			960	960																																																			
CATHETER GUIDING ENVOY XB STAINLESS STEEL NYLON POLYURETHANE PTFE EXTRA BACKUP MULTIPURPOSE D CURVE L 90CM OD 6FR ID .07IN CORONARY NEUROVASCULAR PERIPHERAL BRAID RADIOPAQUE MULTISEGMENT	SUP-67025890B	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
CATHETER GUIDING ENVOY XB STAINLESS STEEL NYLON POLYURETHANE PTFE EXTRA BACKUP MULTIPURPOSE D CURVE L 90CM OD 6FR ID .07IN CORONARY NEUROVASCULAR PERIPHERAL BRAID RADIOPAQUE MULTISEGMENT	SUP-67025890B	CDM			270	RC		inpatient			960	960																																																			
ROD SPINAL VERTEX L40 MM OD3.5 MM PRECUT	SUP-7753740	CDM	270010020	LOCAL	270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
ROD SPINAL VERTEX L40 MM OD3.5 MM PRECUT	SUP-7753740	CDM	270010020	LOCAL	270	RC		inpatient			960	960																																																			
CF DELIVERY DEV CAPS BRAVO	SUP-95-04729	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
CF DELIVERY DEV CAPS BRAVO	SUP-95-04729	CDM			270	RC		inpatient			960	960																																																			
BALLOON - AMPHIRION 2.5X80	SUP-99-01060	CDM			272	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
BALLOON - AMPHIRION 2.5X80	SUP-99-01060	CDM			272	RC		inpatient			960	960																																																			
GUIDEWIRE - GLIDEWIRE ADVANTAGE  .014X300 ANGLED	SUP-99-02204	CDM			272	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
GUIDEWIRE - GLIDEWIRE ADVANTAGE  .014X300 ANGLED	SUP-99-02204	CDM			272	RC		inpatient			960	960																																																			
SCREW MICRO 8.0MM	SUP-AT2-C08	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 8.0MM	SUP-AT2-C08	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 9.0MM	SUP-AT2-C09	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 9.0MM	SUP-AT2-C09	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 11.0MM	SUP-AT2-C11	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 11.0MM	SUP-AT2-C11	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 12.0MM	SUP-AT2-C12	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 12.0MM	SUP-AT2-C12	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 13.0MM	SUP-AT2-C13	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 13.0MM	SUP-AT2-C13	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 14.0MM	SUP-AT2-C14	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 14.0MM	SUP-AT2-C14	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 16.0MM	SUP-AT2-C16	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 16.0MM	SUP-AT2-C16	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 18.0MM	SUP-AT2-C18	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 18.0MM	SUP-AT2-C18	CDM			270	RC		inpatient			960	960																																																			
SCREW MICRO 20.0MM	SUP-AT2-C20	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MICRO 20.0MM	SUP-AT2-C20	CDM			270	RC		inpatient			960	960																																																			
SCREW BONE ACUTRAK 2 TITANIUM MICRO FULL THREAD L24 MM OD2.5-2.8 MM SELF CUT CANNULATED VARIABLE PITCH HEADLESS STERILE	SUP-AT2-C24	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW BONE ACUTRAK 2 TITANIUM MICRO FULL THREAD L24 MM OD2.5-2.8 MM SELF CUT CANNULATED VARIABLE PITCH HEADLESS STERILE	SUP-AT2-C24	CDM			270	RC		inpatient			960	960																																																			
SCREW BONE ACUTRAK 2 TITANIUM MICRO FULL THREAD L26 MM OD2.5-2.8 MM COMPRESSION CANNULATED SELF TAP HEADLESS NONSTERILE ACCEPTS .035 IN GUIDEWIRE	SUP-AT2-C26	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW BONE ACUTRAK 2 TITANIUM MICRO FULL THREAD L26 MM OD2.5-2.8 MM COMPRESSION CANNULATED SELF TAP HEADLESS NONSTERILE ACCEPTS .035 IN GUIDEWIRE	SUP-AT2-C26	CDM			270	RC		inpatient			960	960																																																			
SCREW BONE ACUTRAK 2 TITANIUM MICRO FULL THREAD TAPER L30 MM OD2.5-2.8 MM SELF TAP SELF CUT CANNULATED VARIABLE PITCH NONSTERILE	SUP-AT2-C30	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW BONE ACUTRAK 2 TITANIUM MICRO FULL THREAD TAPER L30 MM OD2.5-2.8 MM SELF TAP SELF CUT CANNULATED VARIABLE PITCH NONSTERILE	SUP-AT2-C30	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 16.0MM	SUP-AT2-M16	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 16.0MM	SUP-AT2-M16	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 18.0MM	SUP-AT2-M18	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 18.0MM	SUP-AT2-M18	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 20.0MM	SUP-AT2-M20	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 20.0MM	SUP-AT2-M20	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 22.0MM	SUP-AT2-M22	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 22.0MM	SUP-AT2-M22	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 24.0MM	SUP-AT2-M24	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 24.0MM	SUP-AT2-M24	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 26.0MM	SUP-AT2-M26	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 26.0MM	SUP-AT2-M26	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 28.0MM	SUP-AT2-M28	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 28.0MM	SUP-AT2-M28	CDM			270	RC		inpatient			960	960																																																			
SCREW MINI 30.0MM	SUP-AT2-M30	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW MINI 30.0MM	SUP-AT2-M30	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 16.0 MM	SUP-AT2-S16	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 16.0 MM	SUP-AT2-S16	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 18.0 MM	SUP-AT2-S18	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 18.0 MM	SUP-AT2-S18	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 20.0 MM	SUP-AT2-S20	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 20.0 MM	SUP-AT2-S20	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 22.0 MM	SUP-AT2-S22	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 22.0 MM	SUP-AT2-S22	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 24.0 MM	SUP-AT2-S24	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 24.0 MM	SUP-AT2-S24	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 26.0 MM	SUP-AT2-S26	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 26.0 MM	SUP-AT2-S26	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 28.0 MM	SUP-AT2-S28	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 28.0 MM	SUP-AT2-S28	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 30.0 MM	SUP-AT2-S30	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 30.0 MM	SUP-AT2-S30	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 32.0 MM	SUP-AT2-S32	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 32.0 MM	SUP-AT2-S32	CDM			270	RC		inpatient			960	960																																																			
SCREW STANDARD 34.0 MM	SUP-AT2-S34	CDM	27000000	LOCAL	270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
SCREW STANDARD 34.0 MM	SUP-AT2-S34	CDM	27000000	LOCAL	270	RC		inpatient			960	960																																																			
71CM HIGH FLOW RADIOFREQUENCY TRANSSEPTAL NEEDLE  CURVE 1 EEPROM	SUP-NRG-E-HF-71-C1	CDM			481	RC		outpatient			960	96	470.4				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	470.4				percent of total billed charges		489.6				percent of total billed charges		96				other	OPPS APC	96	960	
71CM HIGH FLOW RADIOFREQUENCY TRANSSEPTAL NEEDLE  CURVE 1 EEPROM	SUP-NRG-E-HF-71-C1	CDM			481	RC		inpatient			960	960																																																			
NEEDLE TRANSSEPTAL NRG SAVE TIME CURVE C1 L98 CM OD19-22 GA RADIOFREQUENCY ACCEPTS 8.5 FR STEERABLE SHEATH .032 IN DILATOR SYSTEM	SUP-NRG-E-HF-98-C1	CDM			270	RC		outpatient			960	96	260.06				percent of total billed charges		960				other	OPPS APC	710.4				percent of total billed charges		960				other	OPPS APC	960				other	OPPS APC	260.06				percent of total billed charges		265.25				percent of total billed charges		96				other	OPPS APC	96	960	
NEEDLE TRANSSEPTAL NRG SAVE TIME CURVE C1 L98 CM OD19-22 GA RADIOFREQUENCY ACCEPTS 8.5 FR STEERABLE SHEATH .032 IN DILATOR SYSTEM	SUP-NRG-E-HF-98-C1	CDM			270	RC		inpatient			960	960																																																			
FIBER FLEXIVA PULSE ID 365	SUP-70-00248	CDM			272	RC		outpatient			958.76	958.76	259.73				percent of total billed charges		958.76				other	OPPS APC	709.48				percent of total billed charges		958.76				other	OPPS APC	958.76				other	OPPS APC	259.73				percent of total billed charges		264.91				percent of total billed charges		958.76				other	OPPS APC	259.73	958.76	
FIBER FLEXIVA PULSE ID 365	SUP-70-00248	CDM			272	RC		inpatient			958.76	958.76																																																			
MIS FEMORAL NAVIGATION STYLUS.	SUP-95-03543	CDM						inpatient			958.65	958.65																																																			
MIS FEMORAL NAVIGATION STYLUS.	SUP-95-03543	CDM						outpatient			958.65	958.65	958.65				percent of total billed charges		958.65				other	OPPS APC	958.65				fee schedule		958.65				other	OPPS APC	958.65				other	OPPS APC	958.65				case rate		958.65				case rate		958.65				other	OPPS APC	958.65	958.65	
PLATE BONE LCP STAINLESS STEEL NARROW L152 MM X W13.5 MM X H4.2 MM 8 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.581	CDM	270010022	LOCAL	270	RC		outpatient			958.1	958.12	259.55				percent of total billed charges		958.1				other	OPPS APC	708.99				percent of total billed charges		958.1				other	OPPS APC	958.1				other	OPPS APC	259.55				percent of total billed charges		264.72				percent of total billed charges		958.12				other	OPPS APC	259.55	958.12	
PLATE BONE LCP STAINLESS STEEL NARROW L152 MM X W13.5 MM X H4.2 MM 8 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.581	CDM	270010022	LOCAL	270	RC		inpatient			958.1	958.1																																																			
SCREW 1.0MM CORTEX 9MM	SUP-400.509	CDM	270010022	LOCAL	270	RC		outpatient			957.36	957.36	259.35				percent of total billed charges		957.36				other	OPPS APC	708.45				percent of total billed charges		957.36				other	OPPS APC	957.36				other	OPPS APC	259.35				percent of total billed charges		264.52				percent of total billed charges		957.36				other	OPPS APC	259.35	957.36	
SCREW 1.0MM CORTEX 9MM	SUP-400.509	CDM	270010022	LOCAL	270	RC		inpatient			957.36	957.36																																																			
MESH SURGICAL ABSORBABLE PATCH 2.5 IN DIAMETER	SUP-5950008	CDM			270	RC		outpatient			956.8	956.8	259.2				percent of total billed charges		956.8				other	OPPS APC	708.03				percent of total billed charges		956.8				other	OPPS APC	956.8				other	OPPS APC	259.2				percent of total billed charges		264.36				percent of total billed charges		956.8				other	OPPS APC	259.2	956.8	
MESH SURGICAL ABSORBABLE PATCH 2.5 IN DIAMETER	SUP-5950008	CDM			270	RC		inpatient			956.8	956.8																																																			
BIT DRILL 170MM 4.5MM 1.7MM NS QUICK COUPLING CANNULATED	SUP-310.66	CDM	270010022	LOCAL	270	RC		outpatient			955.9	955.9	258.95				percent of total billed charges		955.9				other	OPPS APC	707.37				percent of total billed charges		955.9				other	OPPS APC	955.9				other	OPPS APC	258.95				percent of total billed charges		264.12				percent of total billed charges		955.9				other	OPPS APC	258.95	955.9	
BIT DRILL 170MM 4.5MM 1.7MM NS QUICK COUPLING CANNULATED	SUP-310.66	CDM	270010022	LOCAL	270	RC		inpatient			955.9	955.9																																																			
Z-MED BALLOON 22MM X 4CM	SUP-610488	CDM			481	RC		outpatient			955.74	955.74	468.31				percent of total billed charges		955.74				other	OPPS APC	707.25				percent of total billed charges		955.74				other	OPPS APC	955.74				other	OPPS APC	468.31				percent of total billed charges		487.43				percent of total billed charges		955.74				other	OPPS APC	468.31	955.74	
Z-MED BALLOON 22MM X 4CM	SUP-610488	CDM			481	RC		inpatient			955.74	955.74																																																			
TAVR Z-MED II BALLOON 20MM X 4CM	SUP-611757	CDM			270	RC		outpatient			955.74	955.74	258.91				percent of total billed charges		955.74				other	OPPS APC	707.25				percent of total billed charges		955.74				other	OPPS APC	955.74				other	OPPS APC	258.91				percent of total billed charges		264.07				percent of total billed charges		955.74				other	OPPS APC	258.91	955.74	
TAVR Z-MED II BALLOON 20MM X 4CM	SUP-611757	CDM			270	RC		inpatient			955.74	955.74																																																			
HC Acute GI Blood Loss	PX-340782780	CDM	78278	CPT	340	RC		outpatient			955	49.37	361.23				fee schedule		409.37				other	OPPS APC	595.31				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	324.87				fee schedule		277.9				fee schedule		49.37				other	OPPS APC	49.37	595.31	
HC Acute GI Blood Loss	PX-340782780	CDM	78278	CPT	340	RC		inpatient			955	955																																																			
DETACHABLE SCISSORS	SUP-76-00008	CDM			272	RC		outpatient			954.81	954.9	258.66				percent of total billed charges		954.81				other	OPPS APC	706.56				percent of total billed charges		954.81				other	OPPS APC	954.81				other	OPPS APC	258.66				percent of total billed charges		263.81				percent of total billed charges		954.9				other	OPPS APC	258.66	954.9	
DETACHABLE SCISSORS	SUP-76-00008	CDM			272	RC		inpatient			954.81	954.81																																																			
HC Bowel Scan-Meckels	PX-340782900	CDM	78290	CPT	340	RC		outpatient			954	49.37	346.26				fee schedule		409.37				other	OPPS APC	380.59				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	307.82				fee schedule		274.9				fee schedule		49.37				other	OPPS APC	49.37	409.37	
HC Bowel Scan-Meckels	PX-340782900	CDM	78290	CPT	340	RC		inpatient			954	954																																																			
EPIFIX 1.5MM SQ CM.	SUP-95-01979	CDM			636	RC		outpatient			954	954	954				fee schedule		954				other	OPPS APC	705.96				percent of total billed charges		954				other	OPPS APC	954				other	OPPS APC	467.46				percent of total billed charges		237.16				percent of total billed charges		954				other	OPPS APC	237.16	954	
EPIFIX 1.5MM SQ CM.	SUP-95-01979	CDM			636	RC		inpatient			954	954																																																			
ADAPTER DIALYSIS VALUELINK TITANIUM PERITONEAL 2 PIECE LOCKING STERILE LATEX FREE	SUP-600045	CDM						inpatient			953.62	953.62																																																			
ADAPTER DIALYSIS VALUELINK TITANIUM PERITONEAL 2 PIECE LOCKING STERILE LATEX FREE	SUP-600045	CDM						outpatient			953.62	953.62	953.62				percent of total billed charges		953.62				other	OPPS APC	953.62				fee schedule		953.62				other	OPPS APC	953.62				other	OPPS APC	953.62				case rate		953.62				case rate		953.62				other	OPPS APC	953.62	953.62	
SPHINCTEROTOME ENDOSCOPIC DREAMTOME DREAMWIRE L5 MM .035 IN STRAIGHT L260 CM L20 MM OD4.4 FR BILIARY RAPID EXCHANGE CANNULATED CHANNEL C CUT WIRE	SUP-M00584040	CDM			270	RC		outpatient			952.84	952.84	258.12				percent of total billed charges		952.84				other	OPPS APC	705.1				percent of total billed charges		952.84				other	OPPS APC	952.84				other	OPPS APC	258.12				percent of total billed charges		263.27				percent of total billed charges		952.84				other	OPPS APC	258.12	952.84	
SPHINCTEROTOME ENDOSCOPIC DREAMTOME DREAMWIRE L5 MM .035 IN STRAIGHT L260 CM L20 MM OD4.4 FR BILIARY RAPID EXCHANGE CANNULATED CHANNEL C CUT WIRE	SUP-M00584040	CDM			270	RC		inpatient			952.84	952.84																																																			
PLATE BONE TITANIUM T L44 MM X W4 MM X H1 MM HAND 3 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 1.5 MM SCREW MINI FRAGMENT SET	SUP-446.233	CDM	270010022	LOCAL	270	RC		outpatient			952.6	952.62	258.06				percent of total billed charges		952.6				other	OPPS APC	704.92				percent of total billed charges		952.6				other	OPPS APC	952.6				other	OPPS APC	258.06				percent of total billed charges		263.2				percent of total billed charges		952.62				other	OPPS APC	258.06	952.62	
PLATE BONE TITANIUM T L44 MM X W4 MM X H1 MM HAND 3 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 1.5 MM SCREW MINI FRAGMENT SET	SUP-446.233	CDM	270010022	LOCAL	270	RC		inpatient			952.6	952.6																																																			
PLATE BONE T 44X4X1MM TITANIUM NS HAND 4X8 HOLE LOW PROFILE PRECONTOUR 1.5MM SCREW MINI FRAGMENT SET	SUP-446.234	CDM	270010022	LOCAL	270	RC		outpatient			952.6	952.62	258.06				percent of total billed charges		952.6				other	OPPS APC	704.92				percent of total billed charges		952.6				other	OPPS APC	952.6				other	OPPS APC	258.06				percent of total billed charges		263.2				percent of total billed charges		952.62				other	OPPS APC	258.06	952.62	
PLATE BONE T 44X4X1MM TITANIUM NS HAND 4X8 HOLE LOW PROFILE PRECONTOUR 1.5MM SCREW MINI FRAGMENT SET	SUP-446.234	CDM	270010022	LOCAL	270	RC		inpatient			952.6	952.6																																																			
ANCHOR SUTURE QUICKANCHOR PLUS ETHIBOND MICROFIX TITANIUM 4-0 C-1 OD1.3 MM SMALL JOINT BIOABSORBABLE DRILL BIT STERILE ARTHROSCOPIC	SUP-212856	CDM			270	RC		outpatient			952	952	257.9				percent of total billed charges		952				other	OPPS APC	704.48				percent of total billed charges		952				other	OPPS APC	952				other	OPPS APC	257.9				percent of total billed charges		263.04				percent of total billed charges		952				other	OPPS APC	257.9	952	
ANCHOR SUTURE QUICKANCHOR PLUS ETHIBOND MICROFIX TITANIUM 4-0 C-1 OD1.3 MM SMALL JOINT BIOABSORBABLE DRILL BIT STERILE ARTHROSCOPIC	SUP-212856	CDM			270	RC		inpatient			952	952																																																			
PLATE BONE LCP TITANIUM Y L55 MM 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.350	CDM	270010022	LOCAL	270	RC		outpatient			951.5	951.5	257.76				percent of total billed charges		951.5				other	OPPS APC	704.11				percent of total billed charges		951.5				other	OPPS APC	951.5				other	OPPS APC	257.76				percent of total billed charges		262.9				percent of total billed charges		951.5				other	OPPS APC	257.76	951.5	
PLATE BONE LCP TITANIUM Y L55 MM 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.350	CDM	270010022	LOCAL	270	RC		inpatient			951.5	951.5																																																			
PLATE BONE LCP TITANIUM T L53 MM 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.351	CDM	270010022	LOCAL	270	RC		outpatient			951.5	951.5	257.76				percent of total billed charges		951.5				other	OPPS APC	704.11				percent of total billed charges		951.5				other	OPPS APC	951.5				other	OPPS APC	257.76				percent of total billed charges		262.9				percent of total billed charges		951.5				other	OPPS APC	257.76	951.5	
PLATE BONE LCP TITANIUM T L53 MM 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.351	CDM	270010022	LOCAL	270	RC		inpatient			951.5	951.5																																																			
PLATE SYNTHES 2.0MM LCP T	SUP-447.615	CDM	270010022	LOCAL	270	RC		outpatient			951.5	951.5	257.76				percent of total billed charges		951.5				other	OPPS APC	704.11				percent of total billed charges		951.5				other	OPPS APC	951.5				other	OPPS APC	257.76				percent of total billed charges		262.9				percent of total billed charges		951.5				other	OPPS APC	257.76	951.5	
PLATE SYNTHES 2.0MM LCP T	SUP-447.615	CDM	270010022	LOCAL	270	RC		inpatient			951.5	951.5																																																			
PLATE BONE 5MM SPACE 100X4.8X.9MM TITANIUM NS CRANIOFACIAL 20 HOLE ADAPTION 2MM SCREW	SUP-447.100	CDM	270010014	LOCAL	270	RC		outpatient			950.78	95.78	257.57				percent of total billed charges		950.78				other	OPPS APC	703.58				percent of total billed charges		950.78				other	OPPS APC	950.78				other	OPPS APC	257.57				percent of total billed charges		262.7				percent of total billed charges		95.78				other	OPPS APC	95.78	950.78	
PLATE BONE 5MM SPACE 100X4.8X.9MM TITANIUM NS CRANIOFACIAL 20 HOLE ADAPTION 2MM SCREW	SUP-447.100	CDM	270010014	LOCAL	270	RC		inpatient			950.78	950.78																																																			
ULTRA STENT 5.0 X 13	SUP-1003382-13	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
ULTRA STENT 5.0 X 13	SUP-1003382-13	CDM			481	RC		inpatient			950	950																																																			
ULTRA STENT 5.0 X 18	SUP-1003382-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
ULTRA STENT 5.0 X 18	SUP-1003382-18	CDM			481	RC		inpatient			950	950																																																			
ULTRA STENT 5.0 X 28	SUP-1003382-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
ULTRA STENT 5.0 X 28	SUP-1003382-28	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 8MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 8MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-08	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 12MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 12MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 15MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 15MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-15	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 18MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 18MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-18	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 23MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 23MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-23	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 28MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 28MM 2MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007821-28	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 8MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 8MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-08	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 12MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 12MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 15MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 15MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-15	CDM			481	RC		inpatient			950	950																																																			
STENT CORONARY MULTI-LINK MINI VISION COCR LOW PROFILE L18 MM OD2.25 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007822-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
STENT CORONARY MULTI-LINK MINI VISION COCR LOW PROFILE L18 MM OD2.25 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007822-18	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 23MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 23MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-23	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 28MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 28MM 2.25MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007822-28	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 8MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 8MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-08	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 12MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 12MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 15MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 15MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-15	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 23MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK MINI VISION 23MM 2.5MM COCR RAPID EXCHANGE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007823-23	CDM			481	RC		inpatient			950	950																																																			
STENT CORONARY MULTI-LINK MINI VISION COCR LOW PROFILE L28 MM OD2.5 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007823-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
STENT CORONARY MULTI-LINK MINI VISION COCR LOW PROFILE L28 MM OD2.5 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007823-28	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 8MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 8MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-08	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 12MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 12MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-15	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-18	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 23MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 23MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-23	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 2.75MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007847-28	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 8MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007848-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 8MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014IN	SUP-1007848-08	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 12MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 12MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-15	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-18	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 23MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 23MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-23	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 3MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007848-28	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 8MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007849-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 8MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007849-08	CDM			481	RC		inpatient			950	950																																																			
STENT CORONARY MULTI-LINK VISION COCR LOW PROFILE L12 MM OD3.5 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007849-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
STENT CORONARY MULTI-LINK VISION COCR LOW PROFILE L12 MM OD3.5 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007849-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007849-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007849-15	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007849-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007849-18	CDM			481	RC		inpatient			950	950																																																			
STENT CORONARY 23MM 3.5MM COCR MULTI-LINK VISION 2 RADIOPAQUE MARKER BALLOON	SUP-1007849-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
STENT CORONARY 23MM 3.5MM COCR MULTI-LINK VISION 2 RADIOPAQUE MARKER BALLOON	SUP-1007849-23	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007849-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 3.5MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS	SUP-1007849-28	CDM			481	RC		inpatient			950	950																																																			
STENT CORONARY MULTI-LINK VISION COCR LOW PROFILE L8 MM OD4 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007850-08	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
STENT CORONARY MULTI-LINK VISION COCR LOW PROFILE L8 MM OD4 MM 2 RADIOPAQUE MARKER BALLOON EXPANDABLE RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE	SUP-1007850-08	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 12MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-12	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 12MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-12	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-15	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 15MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-15	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-18	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 18MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-18	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 23MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-23	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 23MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-23	CDM			481	RC		inpatient			950	950																																																			
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-28	CDM			481	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM CORONARY STENT MULTI-LINK VISION 28MM 4MM COCR RAPID EXCHANGE LOW PROFILE RADIOPAQUE BALLOON EXPAND ACCEPTS .014	SUP-1007850-28	CDM			481	RC		inpatient			950	950																																																			
BURR SURGICAL ULTRAPOWER STAINLESS STEEL MEDIUM ROUND L69 MM OD4 MM AGGRESSIVE CUT TOOL STERILE	SUP-31314065U	CDM			270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
BURR SURGICAL ULTRAPOWER STAINLESS STEEL MEDIUM ROUND L69 MM OD4 MM AGGRESSIVE CUT TOOL STERILE	SUP-31314065U	CDM			270	RC		inpatient			950	950																																																			
BURR SURGICAL VISAO STEEL 80000 RPM MEDIUM STRAIGHT ROUND L17 MM OD7 MM AGGRESSIVE CUT GUARD STERILE OTOLOGY	SUP-31317057U	CDM			270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
BURR SURGICAL VISAO STEEL 80000 RPM MEDIUM STRAIGHT ROUND L17 MM OD7 MM AGGRESSIVE CUT GUARD STERILE OTOLOGY	SUP-31317057U	CDM			270	RC		inpatient			950	950																																																			
SYSTEM ATTAIN COMMAND	SUP-6250VC/6250VS	CDM			275	RC		outpatient			950	95	465.5				percent of total billed charges		950				other	OPPS APC	541.5				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	465.5				percent of total billed charges		484.5				percent of total billed charges		95				other	OPPS APC	95	950	
SYSTEM ATTAIN COMMAND	SUP-6250VC/6250VS	CDM			275	RC		inpatient			950	950																																																			
IMPLANT BREAST BIOCELL SALINE P5.9 CM HIGH PROFILE OD12.1 CM 425-455 ML STYLE 68 SMOOTH ROUND	SUP-68HP-425	CDM			270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
IMPLANT BREAST BIOCELL SALINE P5.9 CM HIGH PROFILE OD12.1 CM 425-455 ML STYLE 68 SMOOTH ROUND	SUP-68HP-425	CDM			270	RC		inpatient			950	950																																																			
CONNECTOR LATERAL 10MM	SUP-7756064	CDM	270010020	LOCAL	270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
CONNECTOR LATERAL 10MM	SUP-7756064	CDM	270010020	LOCAL	270	RC		inpatient			950	950																																																			
PACK VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM STRAIGHT 20GA LF PROBE ENDOILLUMINATOR	SUP-8065751063	CDM			270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
PACK VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM STRAIGHT 20GA LF PROBE ENDOILLUMINATOR	SUP-8065751063	CDM			270	RC		inpatient			950	950																																																			
SUTURE FIBERTAPE CERCLAGE	SUP-AR-7268	CDM			270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
SUTURE FIBERTAPE CERCLAGE	SUP-AR-7268	CDM			270	RC		inpatient			950	950																																																			
SUTURE TIGERTAPE CERCLAGE	SUP-AR-7268T	CDM			270	RC		outpatient			950	95	257.36				percent of total billed charges		950				other	OPPS APC	703				percent of total billed charges		950				other	OPPS APC	950				other	OPPS APC	257.36				percent of total billed charges		262.49				percent of total billed charges		95				other	OPPS APC	95	950	
SUTURE TIGERTAPE CERCLAGE	SUP-AR-7268T	CDM			270	RC		inpatient			950	950																																																			
TUBE ESOPHAGEAL MINNESOTA 18FR NATURAL RUBBER DISPOSABLE NS LATEX 4 LUMEN 2 BALLOON	SUP-0092220	CDM			270	RC		outpatient			949.6	949.62	257.25				percent of total billed charges		949.6				other	OPPS APC	702.7				percent of total billed charges		949.6				other	OPPS APC	949.6				other	OPPS APC	257.25				percent of total billed charges		262.37				percent of total billed charges		949.62				other	OPPS APC	257.25	949.62	
TUBE ESOPHAGEAL MINNESOTA 18FR NATURAL RUBBER DISPOSABLE NS LATEX 4 LUMEN 2 BALLOON	SUP-0092220	CDM			270	RC		inpatient			949.6	949.6																																																			
EFLEX CHISEL PROBE  EA	SUP-7209663	CDM			270	RC		outpatient			949.4	949.4	257.19				percent of total billed charges		949.4				other	OPPS APC	702.56				percent of total billed charges		949.4				other	OPPS APC	949.4				other	OPPS APC	257.19				percent of total billed charges		262.32				percent of total billed charges		949.4				other	OPPS APC	257.19	949.4	
EFLEX CHISEL PROBE  EA	SUP-7209663	CDM			270	RC		inpatient			949.4	949.4																																																			
TAP SURGICAL 197MM 150MM CALIBRATED 6.5MM CANCELLOUS SCREW 3.2MM DRILL BIT	SUP-311.66	CDM	270010022	LOCAL	270	RC		outpatient			949.3	949.3	257.17				percent of total billed charges		949.3				other	OPPS APC	702.48				percent of total billed charges		949.3				other	OPPS APC	949.3				other	OPPS APC	257.17				percent of total billed charges		262.29				percent of total billed charges		949.3				other	OPPS APC	257.17	949.3	
TAP SURGICAL 197MM 150MM CALIBRATED 6.5MM CANCELLOUS SCREW 3.2MM DRILL BIT	SUP-311.66	CDM	270010022	LOCAL	270	RC		inpatient			949.3	949.3																																																			
CLAMP EXTERNAL FIXATION MEDIUM OPEN ADJUSTABLE NONSTERILE	SUP-390.035	CDM	270010022	LOCAL	270	RC		outpatient			949.3	949.3	257.17				percent of total billed charges		949.3				other	OPPS APC	702.48				percent of total billed charges		949.3				other	OPPS APC	949.3				other	OPPS APC	257.17				percent of total billed charges		262.29				percent of total billed charges		949.3				other	OPPS APC	257.17	949.3	
CLAMP EXTERNAL FIXATION MEDIUM OPEN ADJUSTABLE NONSTERILE	SUP-390.035	CDM	270010022	LOCAL	270	RC		inpatient			949.3	949.3																																																			
FIBER LASER FLEXIVA TRAC TIP FLEXSHIELD HOLMIUM 200 UM FLEXIBLE CUSTOM GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403960	CDM			270	RC		outpatient			948.78	948.78	257.02				percent of total billed charges		948.78				other	OPPS APC	702.1				percent of total billed charges		948.78				other	OPPS APC	948.78				other	OPPS APC	257.02				percent of total billed charges		262.15				percent of total billed charges		948.78				other	OPPS APC	257.02	948.78	
FIBER LASER FLEXIVA TRAC TIP FLEXSHIELD HOLMIUM 200 UM FLEXIBLE CUSTOM GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403960	CDM			270	RC		inpatient			948.78	948.78																																																			
FIBER LASER FLEXIVA TRAC TIP FLEXSHIELD HOLMIUM 200 UM FLEXIBLE CUSTOM GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M006L8405960	CDM			270	RC		outpatient			948.78	948.78	257.02				percent of total billed charges		948.78				other	OPPS APC	702.1				percent of total billed charges		948.78				other	OPPS APC	948.78				other	OPPS APC	257.02				percent of total billed charges		262.15				percent of total billed charges		948.78				other	OPPS APC	257.02	948.78	
FIBER LASER FLEXIVA TRAC TIP FLEXSHIELD HOLMIUM 200 UM FLEXIBLE CUSTOM GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M006L8405960	CDM			270	RC		inpatient			948.78	948.78																																																			
THIN OSTEOTOME BLADE 8MMX5	SUP-97-01319	CDM			272	RC		outpatient			948	948	256.81				percent of total billed charges		948				other	OPPS APC	701.52				percent of total billed charges		948				other	OPPS APC	948				other	OPPS APC	256.81				percent of total billed charges		261.93				percent of total billed charges		948				other	OPPS APC	256.81	948	
THIN OSTEOTOME BLADE 8MMX5	SUP-97-01319	CDM			272	RC		inpatient			948	948																																																			
THIN OSTEOTOME BLADE 10MMX3	SUP-97-01322	CDM			272	RC		outpatient			948	948	256.81				percent of total billed charges		948				other	OPPS APC	701.52				percent of total billed charges		948				other	OPPS APC	948				other	OPPS APC	256.81				percent of total billed charges		261.93				percent of total billed charges		948				other	OPPS APC	256.81	948	
THIN OSTEOTOME BLADE 10MMX3	SUP-97-01322	CDM			272	RC		inpatient			948	948																																																			
THIN OSTEOTOME BLADE 8MMX3	SUP-97-01444	CDM			272	RC		outpatient			948	948	256.81				percent of total billed charges		948				other	OPPS APC	701.52				percent of total billed charges		948				other	OPPS APC	948				other	OPPS APC	256.81				percent of total billed charges		261.93				percent of total billed charges		948				other	OPPS APC	256.81	948	
THIN OSTEOTOME BLADE 8MMX3	SUP-97-01444	CDM			272	RC		inpatient			948	948																																																			
SCREW BONE TITANIUM L4 MM OD1.7 MM ODSEC2.4 MM CRANIOMAXILLOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL	SUP-400.653	CDM	270010022	LOCAL	270	RC		outpatient			947.4	947.4	256.65				percent of total billed charges		947.4				other	OPPS APC	701.08				percent of total billed charges		947.4				other	OPPS APC	947.4				other	OPPS APC	256.65				percent of total billed charges		261.77				percent of total billed charges		947.4				other	OPPS APC	256.65	947.4	
SCREW BONE TITANIUM L4 MM OD1.7 MM ODSEC2.4 MM CRANIOMAXILLOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL	SUP-400.653	CDM	270010022	LOCAL	270	RC		inpatient			947.4	947.4																																																			
SCREW BONE TITANIUM L4 MM OD1.7 MM ODSEC2.4 MM CRANIOMAXILLOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL	SUP-400.654	CDM	270010022	LOCAL	270	RC		outpatient			947.4	947.4	256.65				percent of total billed charges		947.4				other	OPPS APC	701.08				percent of total billed charges		947.4				other	OPPS APC	947.4				other	OPPS APC	256.65				percent of total billed charges		261.77				percent of total billed charges		947.4				other	OPPS APC	256.65	947.4	
SCREW BONE TITANIUM L4 MM OD1.7 MM ODSEC2.4 MM CRANIOMAXILLOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL	SUP-400.654	CDM	270010022	LOCAL	270	RC		inpatient			947.4	947.4																																																			
BIT DRILL PERI-LOC OD 4.5 MM QUICK CONNECT CANNULATED STERILE DISPOSABLE	SUP-71173508	CDM			270	RC		outpatient			946.4	946.4	256.38				percent of total billed charges		946.4				other	OPPS APC	700.34				percent of total billed charges		946.4				other	OPPS APC	946.4				other	OPPS APC	256.38				percent of total billed charges		261.49				percent of total billed charges		946.4				other	OPPS APC	256.38	946.4	
BIT DRILL PERI-LOC OD 4.5 MM QUICK CONNECT CANNULATED STERILE DISPOSABLE	SUP-71173508	CDM			270	RC		inpatient			946.4	946.4																																																			
CLIP ANEURYSM STRAIGHT	SUP-17-001-10	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM STRAIGHT	SUP-17-001-10	CDM			270	RC		inpatient			946	946																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-21	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-21	CDM			270	RC		inpatient			946	946																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-30	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-30	CDM			270	RC		inpatient			946	946																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-42	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-42	CDM			270	RC		inpatient			946	946																																																			
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-48	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM PERMANENT SILVER	SUP-17-001-48	CDM			270	RC		inpatient			946	946																																																			
CLIP ANEURYSM TEMP SILVER	SUP-17-001-52	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM TEMP SILVER	SUP-17-001-52	CDM			270	RC		inpatient			946	946																																																			
CLIP ANEURYSM TEMP GOLD	SUP-17-001-55	CDM			270	RC		outpatient			946	946	256.27				percent of total billed charges		946				other	OPPS APC	700.04				percent of total billed charges		946				other	OPPS APC	946				other	OPPS APC	256.27				percent of total billed charges		261.38				percent of total billed charges		946				other	OPPS APC	256.27	946	
CLIP ANEURYSM TEMP GOLD	SUP-17-001-55	CDM			270	RC		inpatient			946	946																																																			
PLATE BONE LC-DCP STAINLESS STEEL BROAD L332 MM X W17.5 MM X H5.2 MM 18 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.68	CDM	270010022	LOCAL	270	RC		outpatient			945	945	256				percent of total billed charges		945				other	OPPS APC	699.3				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	256				percent of total billed charges		261.1				percent of total billed charges		945				other	OPPS APC	256	945	
PLATE BONE LC-DCP STAINLESS STEEL BROAD L332 MM X W17.5 MM X H5.2 MM 18 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.68	CDM	270010022	LOCAL	270	RC		inpatient			945	945																																																			
PERC INSERT KIT 2.9MM P-LCK	SUP-95-03237	CDM			278	RC		outpatient			945	945	945				fee schedule		945				other	OPPS APC	538.65				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	463.05				percent of total billed charges		481.95				percent of total billed charges		945				other	OPPS APC	463.05	945	
PERC INSERT KIT 2.9MM P-LCK	SUP-95-03237	CDM			278	RC		inpatient			945	945																																																			
MICROLINE SCISSOR REUSABLE	SUP-97-01516	CDM			272	RC		outpatient			945	945	256				percent of total billed charges		945				other	OPPS APC	699.3				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	256				percent of total billed charges		261.1				percent of total billed charges		945				other	OPPS APC	256	945	
MICROLINE SCISSOR REUSABLE	SUP-97-01516	CDM			272	RC		inpatient			945	945																																																			
TENODESIS SCREW 5.5X15MM	SUP-97-02835	CDM			278	RC		outpatient			945	945	945				fee schedule		945				other	OPPS APC	538.65				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	463.05				percent of total billed charges		481.95				percent of total billed charges		945				other	OPPS APC	463.05	945	
TENODESIS SCREW 5.5X15MM	SUP-97-02835	CDM			278	RC		inpatient			945	945																																																			
2.3 M COMP.PLATE RT 6 HOLES	SUP-97-04389	CDM			278	RC		outpatient			945	945	945				fee schedule		945				other	OPPS APC	538.65				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	463.05				percent of total billed charges		481.95				percent of total billed charges		945				other	OPPS APC	463.05	945	
2.3 M COMP.PLATE RT 6 HOLES	SUP-97-04389	CDM			278	RC		inpatient			945	945																																																			
BALLOON - COYOTE OTW 4.0X220X150	SUP-99-01301	CDM			272	RC		outpatient			945	945	256				percent of total billed charges		945				other	OPPS APC	699.3				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	256				percent of total billed charges		261.1				percent of total billed charges		945				other	OPPS APC	256	945	
BALLOON - COYOTE OTW 4.0X220X150	SUP-99-01301	CDM			272	RC		inpatient			945	945																																																			
BALLOON - GLIDER RX 1.5X8	SUP-99-02062	CDM			272	RC		outpatient			945	945	256				percent of total billed charges		945				other	OPPS APC	699.3				percent of total billed charges		945				other	OPPS APC	945				other	OPPS APC	256				percent of total billed charges		261.1				percent of total billed charges		945				other	OPPS APC	256	945	
BALLOON - GLIDER RX 1.5X8	SUP-99-02062	CDM			272	RC		inpatient			945	945																																																			
CATHETER ELECTROPHYSIOLOGY EDGE 180 D PREFORM CURVE EXTEND WORK CHANNEL RADIOPAQUE TELESCOPE STEERING CONTROL	SUP-SD180EWCTE	CDM			270	RC		outpatient			944.2	944.25	255.78				percent of total billed charges		944.2				other	OPPS APC	698.71				percent of total billed charges		944.2				other	OPPS APC	944.2				other	OPPS APC	255.78				percent of total billed charges		260.88				percent of total billed charges		944.25				other	OPPS APC	255.78	944.25	
CATHETER ELECTROPHYSIOLOGY EDGE 180 D PREFORM CURVE EXTEND WORK CHANNEL RADIOPAQUE TELESCOPE STEERING CONTROL	SUP-SD180EWCTE	CDM			270	RC		inpatient			944.2	944.2																																																			
CATHETER NAVIGATION EDGE 45 D PREFORM CURVE EXTEND WORK CHANNEL RADIOPAQUE TELESCOPE STEERING CONTROL	SUP-SD45EWCTE	CDM			270	RC		outpatient			944.2	944.25	255.78				percent of total billed charges		944.2				other	OPPS APC	698.71				percent of total billed charges		944.2				other	OPPS APC	944.2				other	OPPS APC	255.78				percent of total billed charges		260.88				percent of total billed charges		944.25				other	OPPS APC	255.78	944.25	
CATHETER NAVIGATION EDGE 45 D PREFORM CURVE EXTEND WORK CHANNEL RADIOPAQUE TELESCOPE STEERING CONTROL	SUP-SD45EWCTE	CDM			270	RC		inpatient			944.2	944.2																																																			
ADAPTER LOCKING TITANIUM	SUP-76-00154	CDM			272	RC		outpatient			944.08	944.84	255.75				percent of total billed charges		944.08				other	OPPS APC	698.62				percent of total billed charges		944.08				other	OPPS APC	944.08				other	OPPS APC	255.75				percent of total billed charges		260.85				percent of total billed charges		944.84				other	OPPS APC	255.75	944.84	
ADAPTER LOCKING TITANIUM	SUP-76-00154	CDM			272	RC		inpatient			944.08	944.08																																																			
PLATE BONE EVOS STAINLESS STEEL 8 MM SPACE L 32 MM X W 8 MM X H 3.2 MM 4 HOLE LOCK RECONSTRUCTION STERILE 2.7MM SCREW	SUP-72440104	CDM			270	RC		outpatient			944	944	255.73				percent of total billed charges		944				other	OPPS APC	698.56				percent of total billed charges		944				other	OPPS APC	944				other	OPPS APC	255.73				percent of total billed charges		260.83				percent of total billed charges		944				other	OPPS APC	255.73	944	
PLATE BONE EVOS STAINLESS STEEL 8 MM SPACE L 32 MM X W 8 MM X H 3.2 MM 4 HOLE LOCK RECONSTRUCTION STERILE 2.7MM SCREW	SUP-72440104	CDM			270	RC		inpatient			944	944																																																			
KIT CATHETER ARROW-HOWES ARROWG+ARD BLUE BLUE FLEXTIP .035IN 20CM 2.5IN 12FR 18GA	SUP-AK-25123	CDM			270	RC		outpatient			944	944	255.73				percent of total billed charges		944				other	OPPS APC	698.56				percent of total billed charges		944				other	OPPS APC	944				other	OPPS APC	255.73				percent of total billed charges		260.83				percent of total billed charges		944				other	OPPS APC	255.73	944	
KIT CATHETER ARROW-HOWES ARROWG+ARD BLUE BLUE FLEXTIP .035IN 20CM 2.5IN 12FR 18GA	SUP-AK-25123	CDM			270	RC		inpatient			944	944																																																			
PACK TOTAL 23G	SUP-AS1212201	CDM			270	RC		outpatient			943.44	943.45	255.58				percent of total billed charges		943.44				other	OPPS APC	698.15				percent of total billed charges		943.44				other	OPPS APC	943.44				other	OPPS APC	255.58				percent of total billed charges		260.67				percent of total billed charges		943.45				other	OPPS APC	255.58	943.45	
PACK TOTAL 23G	SUP-AS1212201	CDM			270	RC		inpatient			943.44	943.44																																																			
HC Repair  Complex Trunk 2.6 - 7.5 Cm	PX-450131011	CDM	13101	CPT	450	RC		outpatient			943	943	195.77				case rate		943				other	OPPS APC	697.82				percent of total billed charges		943				other	OPPS APC	943				other	OPPS APC	195.77				case rate		199.69				case rate		943				other	OPPS APC	195.77	943	
HC Repair  Complex Trunk 2.6 - 7.5 Cm	PX-450131011	CDM	13101	CPT	450	RC		inpatient			943	943																																																			
HC Repair Eyelids Nose Ears 2.6-7.5 Cm	PX-450131521	CDM	13152	CPT	450	RC		outpatient			943	943	195.77				case rate		943				other	OPPS APC	697.82				percent of total billed charges		943				other	OPPS APC	943				other	OPPS APC	195.77				case rate		199.69				case rate		943				other	OPPS APC	195.77	943	
HC Repair Eyelids Nose Ears 2.6-7.5 Cm	PX-450131521	CDM	13152	CPT	450	RC		inpatient			943	943																																																			
CATHETER GUIDING RENEGADE STC-18 MICRO 150CM 20CM 3-2.4FR .021IN RADIOPAQUE STRAIGHT TIP	SUP-M001181370	CDM			270	RC		outpatient			942.48	942.48	255.32				percent of total billed charges		942.48				other	OPPS APC	697.44				percent of total billed charges		942.48				other	OPPS APC	942.48				other	OPPS APC	255.32				percent of total billed charges		260.41				percent of total billed charges		942.48				other	OPPS APC	255.32	942.48	
CATHETER GUIDING RENEGADE STC-18 MICRO 150CM 20CM 3-2.4FR .021IN RADIOPAQUE STRAIGHT TIP	SUP-M001181370	CDM			270	RC		inpatient			942.48	942.48																																																			
SCREW CANNULATED SHORT THREAD HEADLESS 5.5 X 65MM MONSTER	SUP-97-06289	CDM			278	RC		outpatient			940.95	94.96	940.95				fee schedule		940.95				other	OPPS APC	536.34				percent of total billed charges		940.95				other	OPPS APC	940.95				other	OPPS APC	461.07				percent of total billed charges		479.88				percent of total billed charges		94.96				other	OPPS APC	94.96	940.95	
SCREW CANNULATED SHORT THREAD HEADLESS 5.5 X 65MM MONSTER	SUP-97-06289	CDM			278	RC		inpatient			940.95	940.95																																																			
NEEDLE DISPOSABLE BIOPSY BRAINLAB 1.8MM	SUP-41779	CDM			270	RC		outpatient			940	94	254.65				percent of total billed charges		940				other	OPPS APC	695.6				percent of total billed charges		940				other	OPPS APC	940				other	OPPS APC	254.65				percent of total billed charges		259.72				percent of total billed charges		94				other	OPPS APC	94	940	
NEEDLE DISPOSABLE BIOPSY BRAINLAB 1.8MM	SUP-41779	CDM			270	RC		inpatient			940	940																																																			
ANCHOR SUTURE FIBERTAK FIBERTAPE SUTURETAPE L1.3 MM OD2.6 MM ODSEC1.7 MM SELF PUNCH BLACK WHITE	SUP-AR-3652TSP	CDM			270	RC		outpatient			940	94	254.65				percent of total billed charges		940				other	OPPS APC	695.6				percent of total billed charges		940				other	OPPS APC	940				other	OPPS APC	254.65				percent of total billed charges		259.72				percent of total billed charges		94				other	OPPS APC	94	940	
ANCHOR SUTURE FIBERTAK FIBERTAPE SUTURETAPE L1.3 MM OD2.6 MM ODSEC1.7 MM SELF PUNCH BLACK WHITE	SUP-AR-3652TSP	CDM			270	RC		inpatient			940	940																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L20 CM X H.49 MM OD6 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0006-40	CDM			270	RC		outpatient			940	94	254.65				percent of total billed charges		940				other	OPPS APC	695.6				percent of total billed charges		940				other	OPPS APC	940				other	OPPS APC	254.65				percent of total billed charges		259.72				percent of total billed charges		94				other	OPPS APC	94	940	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L20 CM X H.49 MM OD6 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0006-40	CDM			270	RC		inpatient			940	940																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD8 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0008-40	CDM			270	RC		outpatient			940	94	254.65				percent of total billed charges		940				other	OPPS APC	695.6				percent of total billed charges		940				other	OPPS APC	940				other	OPPS APC	254.65				percent of total billed charges		259.72				percent of total billed charges		94				other	OPPS APC	94	940	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD8 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0008-40	CDM			270	RC		inpatient			940	940																																																			
GRAFT CARDIOVASCULAR 40CM 12MM KNIT REVERSE LOCKNIT SUTURABILITY INTERVASCULAR	SUP-HGK0012-40	CDM			270	RC		outpatient			940	94	254.65				percent of total billed charges		940				other	OPPS APC	695.6				percent of total billed charges		940				other	OPPS APC	940				other	OPPS APC	254.65				percent of total billed charges		259.72				percent of total billed charges		94				other	OPPS APC	94	940	
GRAFT CARDIOVASCULAR 40CM 12MM KNIT REVERSE LOCKNIT SUTURABILITY INTERVASCULAR	SUP-HGK0012-40	CDM			270	RC		inpatient			940	940																																																			
CATHETER ELECTROPHYSIOLOGY DYNAMIC XT 2-5-2 MM SPACE LARGE 4 CURVE  L110CM OD 6 FR DECAPOLAR UNIDIRECTIONAL STEERABLE 10 ELECTRODE LATEX FREE	SUP-M0042011010	CDM			270	RC		outpatient			940	94	254.65				percent of total billed charges		940				other	OPPS APC	695.6				percent of total billed charges		940				other	OPPS APC	940				other	OPPS APC	254.65				percent of total billed charges		259.72				percent of total billed charges		94				other	OPPS APC	94	940	
CATHETER ELECTROPHYSIOLOGY DYNAMIC XT 2-5-2 MM SPACE LARGE 4 CURVE  L110CM OD 6 FR DECAPOLAR UNIDIRECTIONAL STEERABLE 10 ELECTRODE LATEX FREE	SUP-M0042011010	CDM			270	RC		inpatient			940	940																																																			
HC C/T-Neck Scan W/O Contrast	PX-351704900	CDM	70490	CPT	351	RC		outpatient			939	112.57	193.33				fee schedule		112.57				other	OPPS APC	614.93				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	155.65				fee schedule		94.53				fee schedule		112.57				other	OPPS APC	94.53	614.93	
HC C/T-Neck Scan W/O Contrast	PX-351704900	CDM	70490	CPT	351	RC		inpatient			939	939																																																			
DEPTH GUAGE MICA 150MM	SUP-95-05586	CDM			272	RC		outpatient			939	939	254.38				percent of total billed charges		939				other	OPPS APC	694.86				percent of total billed charges		939				other	OPPS APC	939				other	OPPS APC	254.38				percent of total billed charges		259.45				percent of total billed charges		939				other	OPPS APC	254.38	939	
DEPTH GUAGE MICA 150MM	SUP-95-05586	CDM			272	RC		inpatient			939	939																																																			
HOFFMAN3 CONNECTING ROD 11 X 450MM	SUP-97-06119	CDM			278	RC		outpatient			938.4	938.4	938.4				fee schedule		938.4				other	OPPS APC	534.89				percent of total billed charges		938.4				other	OPPS APC	938.4				other	OPPS APC	459.82				percent of total billed charges		478.58				percent of total billed charges		938.4				other	OPPS APC	459.82	938.4	
HOFFMAN3 CONNECTING ROD 11 X 450MM	SUP-97-06119	CDM			278	RC		inpatient			938.4	938.4																																																			
TUBE J-G 22FR  45 IN	SUP-95-02104	CDM			278	RC		outpatient			937.5	937.5	937.5				fee schedule		937.5				other	OPPS APC	534.38				percent of total billed charges		937.5				other	OPPS APC	937.5				other	OPPS APC	459.38				percent of total billed charges		478.13				percent of total billed charges		937.5				other	OPPS APC	459.38	937.5	
TUBE J-G 22FR  45 IN	SUP-95-02104	CDM			278	RC		inpatient			937.5	937.5																																																			
COBLATION WAND EIC-5872	SUP-77-00032	CDM			272	RC		outpatient			937.14	937.14	253.87				percent of total billed charges		937.14				other	OPPS APC	693.48				percent of total billed charges		937.14				other	OPPS APC	937.14				other	OPPS APC	253.87				percent of total billed charges		258.93				percent of total billed charges		937.14				other	OPPS APC	253.87	937.14	
COBLATION WAND EIC-5872	SUP-77-00032	CDM			272	RC		inpatient			937.14	937.14																																																			
20M GLOCK	SUP-80-00041	CDM			278	RC		outpatient			936	936	936				fee schedule		936				other	OPPS APC	533.52				percent of total billed charges		936				other	OPPS APC	936				other	OPPS APC	458.64				percent of total billed charges		477.36				percent of total billed charges		936				other	OPPS APC	458.64	936	
20M GLOCK	SUP-80-00041	CDM			278	RC		inpatient			936	936																																																			
INSERT TIBIAL PFC SIGMA 5 10MM UHMWPE STERILE KNEE FIX BEARING STABILIZE PLUS	SUP-96-2750	CDM	270010025	LOCAL	270	RC		outpatient			936	936	253.56				percent of total billed charges		936				other	OPPS APC	692.64				percent of total billed charges		936				other	OPPS APC	936				other	OPPS APC	253.56				percent of total billed charges		258.62				percent of total billed charges		936				other	OPPS APC	253.56	936	
INSERT TIBIAL PFC SIGMA 5 10MM UHMWPE STERILE KNEE FIX BEARING STABILIZE PLUS	SUP-96-2750	CDM	270010025	LOCAL	270	RC		inpatient			936	936																																																			
TRAY JAMSHIDI BONE MRW W/DISP 4' NDLE	SUP-95-00260	CDM			272	RC		outpatient			935.37	935.37	253.39				percent of total billed charges		935.37				other	OPPS APC	692.17				percent of total billed charges		935.37				other	OPPS APC	935.37				other	OPPS APC	253.39				percent of total billed charges		258.44				percent of total billed charges		935.37				other	OPPS APC	253.39	935.37	
TRAY JAMSHIDI BONE MRW W/DISP 4' NDLE	SUP-95-00260	CDM			272	RC		inpatient			935.37	935.37																																																			
L ANEURYSM CLIP TEMP STR 5MM NARROW JAQ	SUP-45-190	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP TEMP STR 5MM NARROW JAQ	SUP-45-190	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP MINI TEMP STR 7 MM	SUP-45-220	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP MINI TEMP STR 7 MM	SUP-45-220	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP MINI TEMP STRONG CVD 5MM	SUP-45-224	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP MINI TEMP STRONG CVD 5MM	SUP-45-224	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP MINI TEMP CVD 5MM	SUP-45-226	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP MINI TEMP CVD 5MM	SUP-45-226	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP MINI TEMP ST 7MM	SUP-45-240	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP MINI TEMP ST 7MM	SUP-45-240	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP TEMP ST 9MM	SUP-45-250	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP TEMP ST 9MM	SUP-45-250	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP TEMP ST 12MM	SUP-45-260	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP TEMP ST 12MM	SUP-45-260	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP TEMP CVD 11MM	SUP-45-262	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP TEMP CVD 11MM	SUP-45-262	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP ST 15MM	SUP-45-280	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP ST 15MM	SUP-45-280	CDM			270	RC		inpatient			934.32	934.32																																																			
L ANEURYSM CLIP TEMP RT ANGLE 5MM	SUP-45-309	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L ANEURYSM CLIP TEMP RT ANGLE 5MM	SUP-45-309	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM 45DEG ANGLED 7.5MM	SUP-45-613	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM 45DEG ANGLED 7.5MM	SUP-45-613	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENES 5MM 3MM ST	SUP-45-637	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENES 5MM 3MM ST	SUP-45-637	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENES 5MM 5MM ST	SUP-45-639	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENES 5MM 5MM ST	SUP-45-639	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM 5NN  5MM ANGLED 45 DEG	SUP-45-642	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM 5NN  5MM ANGLED 45 DEG	SUP-45-642	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENES 5NN 9MM STR	SUP-45-650	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENES 5NN 9MM STR	SUP-45-650	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENES 5NN 7.5MM ANGLED 90	SUP-45-654	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENES 5NN 7.5MM ANGLED 90	SUP-45-654	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENES 5NN 10MM ANGLED 90	SUP-45-664	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENES 5NN 10MM ANGLED 90	SUP-45-664	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENES 5 MM 10 MM ANGLED 90 DEG	SUP-45-680	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENES 5 MM 10 MM ANGLED 90 DEG	SUP-45-680	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM CURV 3MM NARROW JAW	SUP-45-682	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM CURV 3MM NARROW JAW	SUP-45-682	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM STR 5MM NARROW JAW	SUP-45-690	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM STR 5MM NARROW JAW	SUP-45-690	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM CRV 4MM NARROW JAW	SUP-45-692	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM CRV 4MM NARROW JAW	SUP-45-692	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM LIGHT CVD 5MM	SUP-45-712	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM LIGHT CVD 5MM	SUP-45-712	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM STR 7MM	SUP-45-720	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM STR 7MM	SUP-45-720	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM CVD 7MM	SUP-45-722	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM CVD 7MM	SUP-45-722	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM CVD 5MM	SUP-45-726	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM CVD 5MM	SUP-45-726	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM BAY 4MM	SUP-45-727	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM BAY 4MM	SUP-45-727	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM BAY 7MM	SUP-45-728	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM BAY 7MM	SUP-45-728	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM STR 7MM	SUP-45-740	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM STR 7MM	SUP-45-740	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM BAY 7MM	SUP-45-742	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM BAY 7MM	SUP-45-742	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM BAY 9MM	SUP-45-748	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM BAY 9MM	SUP-45-748	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM STR 9MM	SUP-45-750	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM STR 9MM	SUP-45-750	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM LIGHT CDS 9MM	SUP-45-752	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM LIGHT CDS 9MM	SUP-45-752	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM BAY 10MM	SUP-45-758	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM BAY 10MM	SUP-45-758	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM STR 12MM	SUP-45-760	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM STR 12MM	SUP-45-760	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM LIGHT CVD 11MM	SUP-45-762	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM LIGHT CVD 11MM	SUP-45-762	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM STR 15MM	SUP-45-780	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM STR 15MM	SUP-45-780	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM STRONG CVD 15MM	SUP-45-784	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM STRONG CVD 15MM	SUP-45-784	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM CVD AND SDW ANGLED 5 MM	SUP-45-807	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM CVD AND SDW ANGLED 5 MM	SUP-45-807	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP MINI PERM CVD L ANGLED 5 MM	SUP-45-808	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP MINI PERM CVD L ANGLED 5 MM	SUP-45-808	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM 90 DEG ANGLED 7.5MM	SUP-45-820	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM 90 DEG ANGLED 7.5MM	SUP-45-820	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM J CVD 7MM	SUP-45-823	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM J CVD 7MM	SUP-45-823	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM ANGLED 45 DEG W RADIUS 7.5MM	SUP-45-850	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM ANGLED 45 DEG W RADIUS 7.5MM	SUP-45-850	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM ANGLED 45 DEG W RADIUS 10MM	SUP-45-851	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM ANGLED 45 DEG W RADIUS 10MM	SUP-45-851	CDM			270	RC		inpatient			934.32	934.32																																																			
L CLIP PERM FENESTRATED 5MM	SUP-45-944	CDM			270	RC		outpatient			934.32	934.33	253.11				percent of total billed charges		934.32				other	OPPS APC	691.4				percent of total billed charges		934.32				other	OPPS APC	934.32				other	OPPS APC	253.11				percent of total billed charges		258.15				percent of total billed charges		934.33				other	OPPS APC	253.11	934.33	
L CLIP PERM FENESTRATED 5MM	SUP-45-944	CDM			270	RC		inpatient			934.32	934.32																																																			
END CAP SPINAL VLIFT 15D 22MM NS	SUP-48292215	CDM	270010020	LOCAL	270	RC		outpatient			934.18	934.18	253.07				percent of total billed charges		934.18				other	OPPS APC	691.29				percent of total billed charges		934.18				other	OPPS APC	934.18				other	OPPS APC	253.07				percent of total billed charges		258.11				percent of total billed charges		934.18				other	OPPS APC	253.07	934.18	
END CAP SPINAL VLIFT 15D 22MM NS	SUP-48292215	CDM	270010020	LOCAL	270	RC		inpatient			934.18	934.18																																																			
SNARE - ENSNARE 6-10	SUP-99-00913	CDM			272	RC		outpatient			933.93	933.93	253				percent of total billed charges		933.93				other	OPPS APC	691.11				percent of total billed charges		933.93				other	OPPS APC	933.93				other	OPPS APC	253				percent of total billed charges		258.04				percent of total billed charges		933.93				other	OPPS APC	253	933.93	
SNARE - ENSNARE 6-10	SUP-99-00913	CDM			272	RC		inpatient			933.93	933.93																																																			
SHUNT NEUROSURGICAL HOLTER RICKHAM STAINLESS STEEL LARGE L15 CM OD9.5 MM CSF VENTRICULAR CATHETER BURR HOLE STRAIGHT STYLET STERILE	SUP-821623	CDM			270	RC		outpatient			933.42	933.42	252.86				percent of total billed charges		933.42				other	OPPS APC	690.73				percent of total billed charges		933.42				other	OPPS APC	933.42				other	OPPS APC	252.86				percent of total billed charges		257.9				percent of total billed charges		933.42				other	OPPS APC	252.86	933.42	
SHUNT NEUROSURGICAL HOLTER RICKHAM STAINLESS STEEL LARGE L15 CM OD9.5 MM CSF VENTRICULAR CATHETER BURR HOLE STRAIGHT STYLET STERILE	SUP-821623	CDM			270	RC		inpatient			933.42	933.42																																																			
Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 20.1-30.0 Cm	PX-450120171	CDM	12017	CPT	450	RC		outpatient			932.67	932.67	195.77				case rate		932.67				other	OPPS APC	690.18				percent of total billed charges		932.67				other	OPPS APC	932.67				other	OPPS APC	195.77				case rate		199.69				case rate		932.67				other	OPPS APC	195.77	932.67	
Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 20.1-30.0 Cm	PX-450120171	CDM	12017	CPT	450	RC		inpatient			932.67	932.67																																																			
6.5MM DRILL BIT/CONICAL W/STOP	SUP-97-04064	CDM			272	RC		outpatient			932.1	932.12	252.51				percent of total billed charges		932.1				other	OPPS APC	689.75				percent of total billed charges		932.1				other	OPPS APC	932.1				other	OPPS APC	252.51				percent of total billed charges		257.54				percent of total billed charges		932.12				other	OPPS APC	252.51	932.12	
6.5MM DRILL BIT/CONICAL W/STOP	SUP-97-04064	CDM			272	RC		inpatient			932.1	932.1																																																			
CATHETER ELECTROPHYSIOLOGY INQUIRY 2-5-2 MM SPACING L1 CURVE L110 CM OD6 FR OCTAPOLAR STEERABLE BIDIRECTIONAL DIAGNOSTIC	SUP-IBI-81516	CDM			270	RC		outpatient			932	932	252.48				percent of total billed charges		932				other	OPPS APC	689.68				percent of total billed charges		932				other	OPPS APC	932				other	OPPS APC	252.48				percent of total billed charges		257.51				percent of total billed charges		932				other	OPPS APC	252.48	932	
CATHETER ELECTROPHYSIOLOGY INQUIRY 2-5-2 MM SPACING L1 CURVE L110 CM OD6 FR OCTAPOLAR STEERABLE BIDIRECTIONAL DIAGNOSTIC	SUP-IBI-81516	CDM			270	RC		inpatient			932	932																																																			
PLATE STERNAL LOCKING STAR 6 HOLE	SUP-460.035	CDM			270	RC		outpatient			931.26	931.26	252.28				percent of total billed charges		931.26				other	OPPS APC	689.13				percent of total billed charges		931.26				other	OPPS APC	931.26				other	OPPS APC	252.28				percent of total billed charges		257.31				percent of total billed charges		931.26				other	OPPS APC	252.28	931.26	
PLATE STERNAL LOCKING STAR 6 HOLE	SUP-460.035	CDM			270	RC		inpatient			931.26	931.26																																																			
BIT DRILL PRODISC-C OD1.8 MM SPINE MILL STERILE	SUP-03.820.117S	CDM	270010020	LOCAL	270	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BIT DRILL PRODISC-C OD1.8 MM SPINE MILL STERILE	SUP-03.820.117S	CDM	270010020	LOCAL	270	RC		inpatient			930	930																																																			
MOTOBAND CP - LOCKING SCREWS -3.0MM X 22	SUP-97-04122	CDM			278	RC		outpatient			930	93	930				fee schedule		930				other	OPPS APC	530.1				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	455.7				percent of total billed charges		474.3				percent of total billed charges		93				other	OPPS APC	93	930	
MOTOBAND CP - LOCKING SCREWS -3.0MM X 22	SUP-97-04122	CDM			278	RC		inpatient			930	930																																																			
MOTOBAND CP - LOCKING SCREWS -3.0MM X 18	SUP-97-04123	CDM			278	RC		outpatient			930	93	930				fee schedule		930				other	OPPS APC	530.1				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	455.7				percent of total billed charges		474.3				percent of total billed charges		93				other	OPPS APC	93	930	
MOTOBAND CP - LOCKING SCREWS -3.0MM X 18	SUP-97-04123	CDM			278	RC		inpatient			930	930																																																			
MOTOBAND CP - NON-LOCKING SCREWS -3.5MM	SUP-97-04124	CDM			278	RC		outpatient			930	93	930				fee schedule		930				other	OPPS APC	530.1				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	455.7				percent of total billed charges		474.3				percent of total billed charges		93				other	OPPS APC	93	930	
MOTOBAND CP - NON-LOCKING SCREWS -3.5MM	SUP-97-04124	CDM			278	RC		inpatient			930	930																																																			
CATHETER - PRONTO LP EXTRACTION	SUP-99-00490	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
CATHETER - PRONTO LP EXTRACTION	SUP-99-00490	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 2.5X40	SUP-99-01288	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 2.5X40	SUP-99-01288	CDM			272	RC		inpatient			930	930																																																			
BALLOON - COYOTE OTW 4.0X100X150	SUP-99-01421	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - COYOTE OTW 4.0X100X150	SUP-99-01421	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 2.0X120	SUP-99-02013	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 2.0X120	SUP-99-02013	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 4.0X80	SUP-99-02014	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 4.0X80	SUP-99-02014	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 4.0X40	SUP-99-02017	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 4.0X40	SUP-99-02017	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 4.0X120	SUP-99-02047	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 4.0X120	SUP-99-02047	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 3.0X80	SUP-99-02048	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 3.0X80	SUP-99-02048	CDM			272	RC		inpatient			930	930																																																			
BALLOON - COYOTE OTW 4.0X80X150	SUP-99-02060	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - COYOTE OTW 4.0X80X150	SUP-99-02060	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 3.0X120	SUP-99-02095	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 3.0X120	SUP-99-02095	CDM			272	RC		inpatient			930	930																																																			
BALLOON - AMPHIRION 3.0X40	SUP-99-02126	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - AMPHIRION 3.0X40	SUP-99-02126	CDM			272	RC		inpatient			930	930																																																			
BALLOON - COYOTE OTW 3.0X40X145	SUP-99-03286	CDM			272	RC		outpatient			930	93	251.94				percent of total billed charges		930				other	OPPS APC	688.2				percent of total billed charges		930				other	OPPS APC	930				other	OPPS APC	251.94				percent of total billed charges		256.96				percent of total billed charges		93				other	OPPS APC	93	930	
BALLOON - COYOTE OTW 3.0X40X145	SUP-99-03286	CDM			272	RC		inpatient			930	930																																																			
PLATE VARIAX STRAIGHT 5 HOLE	SUP-97-01791	CDM			278	RC		outpatient			929.76	929.76	929.76				fee schedule		929.76				other	OPPS APC	529.96				percent of total billed charges		929.76				other	OPPS APC	929.76				other	OPPS APC	455.58				percent of total billed charges		474.18				percent of total billed charges		929.76				other	OPPS APC	455.58	929.76	
PLATE VARIAX STRAIGHT 5 HOLE	SUP-97-01791	CDM			278	RC		inpatient			929.76	929.76																																																			
RESOLUTION CLIP	SUP-95-00831	CDM			272	RC		outpatient			929.28	929.28	251.74				percent of total billed charges		929.28				other	OPPS APC	687.67				percent of total billed charges		929.28				other	OPPS APC	929.28				other	OPPS APC	251.74				percent of total billed charges		256.76				percent of total billed charges		929.28				other	OPPS APC	251.74	929.28	
RESOLUTION CLIP	SUP-95-00831	CDM			272	RC		inpatient			929.28	929.28																																																			
DESMOPRESSIN PER 1 MCG	636000000	CDM	70095-026-01	NDC	J2597	HCPCS		inpatient			929.25	929.25																																																			
DESMOPRESSIN PER 1 MCG	636000000	CDM	70095-026-01	NDC	J2597	HCPCS		outpatient			929.25	6.68																																											6.68				other	OPPS APC	6.68	6.68	
NEEDLE ASPIRATION EXPECT SLIMLINE 8- CM 137.5-141.5CM 19GA 1.73MM 20CC COCR ECHOGENIC PATTERN ULTRASOUND STYLET CAP 2.8	SUP-M00555530	CDM			270	RC		outpatient			929.1	929.12	251.69				percent of total billed charges		929.1				other	OPPS APC	687.53				percent of total billed charges		929.1				other	OPPS APC	929.1				other	OPPS APC	251.69				percent of total billed charges		256.71				percent of total billed charges		929.12				other	OPPS APC	251.69	929.12	
NEEDLE ASPIRATION EXPECT SLIMLINE 8- CM 137.5-141.5CM 19GA 1.73MM 20CC COCR ECHOGENIC PATTERN ULTRASOUND STYLET CAP 2.8	SUP-M00555530	CDM			270	RC		inpatient			929.1	929.1																																																			
DRILL BIT CANN 2.7MM TWIST W/ AO F	SUP-95-03059	CDM			272	RC		outpatient			928.5	928.5	251.53				percent of total billed charges		928.5				other	OPPS APC	687.09				percent of total billed charges		928.5				other	OPPS APC	928.5				other	OPPS APC	251.53				percent of total billed charges		256.54				percent of total billed charges		928.5				other	OPPS APC	251.53	928.5	
DRILL BIT CANN 2.7MM TWIST W/ AO F	SUP-95-03059	CDM			272	RC		inpatient			928.5	928.5																																																			
PLATE LCP TUBULAR 10 HOLE 117	SUP-97-00736	CDM			278	RC		outpatient			927	927	927				fee schedule		927				other	OPPS APC	528.39				percent of total billed charges		927				other	OPPS APC	927				other	OPPS APC	454.23				percent of total billed charges		472.77				percent of total billed charges		927				other	OPPS APC	454.23	927	
PLATE LCP TUBULAR 10 HOLE 117	SUP-97-00736	CDM			278	RC		inpatient			927	927																																																			
LENS 21.0D ACRYSOF	SUP-97-01547	CDM			278	RC		outpatient			926.25	926.25	926.25				fee schedule		926.25				other	OPPS APC	527.96				percent of total billed charges		926.25				other	OPPS APC	926.25				other	OPPS APC	453.86				percent of total billed charges		472.39				percent of total billed charges		926.25				other	OPPS APC	453.86	926.25	
LENS 21.0D ACRYSOF	SUP-97-01547	CDM			278	RC		inpatient			926.25	926.25																																																			
LENS 16.5D ACRYSOF UV ABSORBING FOLDABLE MULTIPIECE POSTERIOR CHAMBER LENS	SUP-97-01548	CDM			278	RC		outpatient			926.25	926.25	926.25				fee schedule		926.25				other	OPPS APC	527.96				percent of total billed charges		926.25				other	OPPS APC	926.25				other	OPPS APC	453.86				percent of total billed charges		472.39				percent of total billed charges		926.25				other	OPPS APC	453.86	926.25	
LENS 16.5D ACRYSOF UV ABSORBING FOLDABLE MULTIPIECE POSTERIOR CHAMBER LENS	SUP-97-01548	CDM			278	RC		inpatient			926.25	926.25																																																			
LENS 17.0	SUP-97-02113	CDM			278	RC		outpatient			926.25	926.25	926.25				fee schedule		926.25				other	OPPS APC	527.96				percent of total billed charges		926.25				other	OPPS APC	926.25				other	OPPS APC	453.86				percent of total billed charges		472.39				percent of total billed charges		926.25				other	OPPS APC	453.86	926.25	
LENS 17.0	SUP-97-02113	CDM			278	RC		inpatient			926.25	926.25																																																			
LENS 19.5D	SUP-97-02209	CDM			278	RC		outpatient			926.25	926.25	926.25				fee schedule		926.25				other	OPPS APC	527.96				percent of total billed charges		926.25				other	OPPS APC	926.25				other	OPPS APC	453.86				percent of total billed charges		472.39				percent of total billed charges		926.25				other	OPPS APC	453.86	926.25	
LENS 19.5D	SUP-97-02209	CDM			278	RC		inpatient			926.25	926.25																																																			
SHEATH - SAFE 10.5F	SUP-99-00939	CDM			272	RC		outpatient			926.25	926.25	250.92				percent of total billed charges		926.25				other	OPPS APC	685.43				percent of total billed charges		926.25				other	OPPS APC	926.25				other	OPPS APC	250.92				percent of total billed charges		255.92				percent of total billed charges		926.25				other	OPPS APC	250.92	926.25	
SHEATH - SAFE 10.5F	SUP-99-00939	CDM			272	RC		inpatient			926.25	926.25																																																			
UNIVETAC JOINT	SUP-97-03820	CDM			278	RC		outpatient			925.68	925.68	925.68				fee schedule		925.68				other	OPPS APC	527.64				percent of total billed charges		925.68				other	OPPS APC	925.68				other	OPPS APC	453.58				percent of total billed charges		472.1				percent of total billed charges		925.68				other	OPPS APC	453.58	925.68	
UNIVETAC JOINT	SUP-97-03820	CDM			278	RC		inpatient			925.68	925.68																																																			
DRIVER LINEAR SHAFT HEXAGON 2.5 MM	SUP-71175098	CDM			270	RC		outpatient			925.38	925.38	250.69				percent of total billed charges		925.38				other	OPPS APC	684.78				percent of total billed charges		925.38				other	OPPS APC	925.38				other	OPPS APC	250.69				percent of total billed charges		255.68				percent of total billed charges		925.38				other	OPPS APC	250.69	925.38	
DRIVER LINEAR SHAFT HEXAGON 2.5 MM	SUP-71175098	CDM			270	RC		inpatient			925.38	925.38																																																			
GRAFT SOFT TISSUE DURAGEN BOVINE COLLAGEN MATRIX L3 IN X W1 IN CRANIAL DURA PATCH RESORBABLE SUTURABLE STERILE DURAPLASTY	SUP-ID1301	CDM	270010012	LOCAL	270	RC		outpatient			925.32	925.33	250.67				percent of total billed charges		925.32				other	OPPS APC	684.74				percent of total billed charges		925.32				other	OPPS APC	925.32				other	OPPS APC	250.67				percent of total billed charges		255.67				percent of total billed charges		925.33				other	OPPS APC	250.67	925.33	
GRAFT SOFT TISSUE DURAGEN BOVINE COLLAGEN MATRIX L3 IN X W1 IN CRANIAL DURA PATCH RESORBABLE SUTURABLE STERILE DURAPLASTY	SUP-ID1301	CDM	270010012	LOCAL	270	RC		inpatient			925.32	925.32																																																			
TAP AO 2.7MM	SUP-95-05189	CDM			272	RC		outpatient			924	924	250.31				percent of total billed charges		924				other	OPPS APC	683.76				percent of total billed charges		924				other	OPPS APC	924				other	OPPS APC	250.31				percent of total billed charges		255.3				percent of total billed charges		924				other	OPPS APC	250.31	924	
TAP AO 2.7MM	SUP-95-05189	CDM			272	RC		inpatient			924	924																																																			
TAP AO 3.5MM	SUP-97-23660	CDM			272	RC		outpatient			924	924	250.31				percent of total billed charges		924				other	OPPS APC	683.76				percent of total billed charges		924				other	OPPS APC	924				other	OPPS APC	250.31				percent of total billed charges		255.3				percent of total billed charges		924				other	OPPS APC	250.31	924	
TAP AO 3.5MM	SUP-97-23660	CDM			272	RC		inpatient			924	924																																																			
WAND COBLATION TURBINATOR	SUP-77-00052	CDM			272	RC		outpatient			922.95	922.96	250.03				percent of total billed charges		922.95				other	OPPS APC	682.98				percent of total billed charges		922.95				other	OPPS APC	922.95				other	OPPS APC	250.03				percent of total billed charges		255.01				percent of total billed charges		922.96				other	OPPS APC	250.03	922.96	
WAND COBLATION TURBINATOR	SUP-77-00052	CDM			272	RC		inpatient			922.95	922.95																																																			
PLATE BONE H 19MMX.5MM TITANIUM NS HAND LEFT 8 HOLE EXTEND LOW PROFILE PRECONTOUR 1.3MM SCREW	SUP-421.321	CDM	270010022	LOCAL	270	RC		outpatient			922.9	922.9	250.01				percent of total billed charges		922.9				other	OPPS APC	682.95				percent of total billed charges		922.9				other	OPPS APC	922.9				other	OPPS APC	250.01				percent of total billed charges		255				percent of total billed charges		922.9				other	OPPS APC	250.01	922.9	
PLATE BONE H 19MMX.5MM TITANIUM NS HAND LEFT 8 HOLE EXTEND LOW PROFILE PRECONTOUR 1.3MM SCREW	SUP-421.321	CDM	270010022	LOCAL	270	RC		inpatient			922.9	922.9																																																			
KIT CHAIT PERC CATHETER	SUP-G12571	CDM			270	RC		outpatient			922.84	922.84	250				percent of total billed charges		922.84				other	OPPS APC	682.9				percent of total billed charges		922.84				other	OPPS APC	922.84				other	OPPS APC	250				percent of total billed charges		254.98				percent of total billed charges		922.84				other	OPPS APC	250	922.84	
KIT CHAIT PERC CATHETER	SUP-G12571	CDM			270	RC		inpatient			922.84	922.84																																																			
ABRASION HOODED BUR	SUP-95-03424	CDM			272	RC		outpatient			922.77	922.77	249.98				percent of total billed charges		922.77				other	OPPS APC	682.85				percent of total billed charges		922.77				other	OPPS APC	922.77				other	OPPS APC	249.98				percent of total billed charges		254.96				percent of total billed charges		922.77				other	OPPS APC	249.98	922.77	
ABRASION HOODED BUR	SUP-95-03424	CDM			272	RC		inpatient			922.77	922.77																																																			
SCREW BONE 4MM 1.3MM 2.4MM GOLD TITANIUM NS CRANIOMAXILLOFACIAL CORTEX SELF TAP PLUSDRIVE	SUP-400.434	CDM	270010014	LOCAL	270	RC		outpatient			922.44	922.45	249.89				percent of total billed charges		922.44				other	OPPS APC	682.61				percent of total billed charges		922.44				other	OPPS APC	922.44				other	OPPS APC	249.89				percent of total billed charges		254.87				percent of total billed charges		922.45				other	OPPS APC	249.89	922.45	
SCREW BONE 4MM 1.3MM 2.4MM GOLD TITANIUM NS CRANIOMAXILLOFACIAL CORTEX SELF TAP PLUSDRIVE	SUP-400.434	CDM	270010014	LOCAL	270	RC		inpatient			922.44	922.44																																																			
FLEXIVA 365 MICRON FIBER (SLIMLINE EZ )	SUP-70-00199	CDM			272	RC		outpatient			921.89	921.89	249.74				percent of total billed charges		921.89				other	OPPS APC	682.2				percent of total billed charges		921.89				other	OPPS APC	921.89				other	OPPS APC	249.74				percent of total billed charges		254.72				percent of total billed charges		921.89				other	OPPS APC	249.74	921.89	
FLEXIVA 365 MICRON FIBER (SLIMLINE EZ )	SUP-70-00199	CDM			272	RC		inpatient			921.89	921.89																																																			
ELECTRODE MONOPOLAR 12 D 30 D ROLLER TRANSPARENT STEM COAGULATION DISPOSABLE GREEN	SUP-46782201	CDM			270	RC		outpatient			921.7	921.75	249.69				percent of total billed charges		921.7				other	OPPS APC	682.06				percent of total billed charges		921.7				other	OPPS APC	921.7				other	OPPS APC	249.69				percent of total billed charges		254.67				percent of total billed charges		921.75				other	OPPS APC	249.69	921.75	
ELECTRODE MONOPOLAR 12 D 30 D ROLLER TRANSPARENT STEM COAGULATION DISPOSABLE GREEN	SUP-46782201	CDM			270	RC		inpatient			921.7	921.7																																																			
HC Parathyroid Scan W Spect	PX-340780710	CDM	78071	CPT	340	RC		outpatient			921	49.37	361.71				fee schedule		409.37				other	OPPS APC	666.62				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	326.83				fee schedule		270.24				fee schedule		49.37				other	OPPS APC	49.37	666.62	
HC Parathyroid Scan W Spect	PX-340780710	CDM	78071	CPT	340	RC		inpatient			921	921																																																			
SNARE - ENSNARE 9-15	SUP-99-00912	CDM			272	RC		outpatient			920.13	92.13	249.26				percent of total billed charges		920.13				other	OPPS APC	680.9				percent of total billed charges		920.13				other	OPPS APC	920.13				other	OPPS APC	249.26				percent of total billed charges		254.23				percent of total billed charges		92.13				other	OPPS APC	92.13	920.13	
SNARE - ENSNARE 9-15	SUP-99-00912	CDM			272	RC		inpatient			920.13	920.13																																																			
COVER BURR HOLE MATRIXNEURO TITANIUM H.4 MM OD24 MM CRANIOMAXILLOFACIAL NONSTERILE BLUE SHUNT	SUP-04.503.029	CDM	270010013	LOCAL	270	RC		outpatient			920	92	249.23				percent of total billed charges		920				other	OPPS APC	680.8				percent of total billed charges		920				other	OPPS APC	920				other	OPPS APC	249.23				percent of total billed charges		254.2				percent of total billed charges		92				other	OPPS APC	92	920	
COVER BURR HOLE MATRIXNEURO TITANIUM H.4 MM OD24 MM CRANIOMAXILLOFACIAL NONSTERILE BLUE SHUNT	SUP-04.503.029	CDM	270010013	LOCAL	270	RC		inpatient			920	920																																																			
STAPLER INTERNAL SUREFORM 45 OD14 MM STERILE LATEX FREE DISPOSABLE	SUP-480445	CDM			270	RC		outpatient			920	92	249.23				percent of total billed charges		920				other	OPPS APC	680.8				percent of total billed charges		920				other	OPPS APC	920				other	OPPS APC	249.23				percent of total billed charges		254.2				percent of total billed charges		92				other	OPPS APC	92	920	
STAPLER INTERNAL SUREFORM 45 OD14 MM STERILE LATEX FREE DISPOSABLE	SUP-480445	CDM			270	RC		inpatient			920	920																																																			
SNARE VASCULAR EXPRO ELITE .035 IN L150 CM OD35 MM HELICAL LOOP RADIOPAQUE	SUP-8404	CDM			270	RC		outpatient			920	92	249.23				percent of total billed charges		920				other	OPPS APC	680.8				percent of total billed charges		920				other	OPPS APC	920				other	OPPS APC	249.23				percent of total billed charges		254.2				percent of total billed charges		92				other	OPPS APC	92	920	
SNARE VASCULAR EXPRO ELITE .035 IN L150 CM OD35 MM HELICAL LOOP RADIOPAQUE	SUP-8404	CDM			270	RC		inpatient			920	920																																																			
GUIDE SURGICAL 161MM 3.2MM 17MM NS WIRE	SUP-357.392	CDM	270010022	LOCAL	270	RC		outpatient			919.6	919.62	249.12				percent of total billed charges		919.6				other	OPPS APC	680.5				percent of total billed charges		919.6				other	OPPS APC	919.6				other	OPPS APC	249.12				percent of total billed charges		254.09				percent of total billed charges		919.62				other	OPPS APC	249.12	919.62	
GUIDE SURGICAL 161MM 3.2MM 17MM NS WIRE	SUP-357.392	CDM	270010022	LOCAL	270	RC		inpatient			919.6	919.6																																																			
HC Superior or Inferior Vena Cava Cath	PX-361360101	CDM	36010	CPT	361	RC		inpatient			918	918																																																			
HC Superior or Inferior Vena Cava Cath	PX-361360101	CDM	36010	CPT	361	RC		outpatient			918	918	289.9				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	289.9				percent of total billed charges		295.69				percent of total billed charges						other	OPPS APC	612	612	
PLATE BONE TITANIUM H L22 MM RIGHT HAND 8 HOLE EXTENDED NONSTERILE 1.5 MM SCREW	SUP-446.482	CDM	270010022	LOCAL	270	RC		outpatient			917.4	917.4	248.52				percent of total billed charges		917.4				other	OPPS APC	678.88				percent of total billed charges		917.4				other	OPPS APC	917.4				other	OPPS APC	248.52				percent of total billed charges		253.48				percent of total billed charges		917.4				other	OPPS APC	248.52	917.4	
PLATE BONE TITANIUM H L22 MM RIGHT HAND 8 HOLE EXTENDED NONSTERILE 1.5 MM SCREW	SUP-446.482	CDM	270010022	LOCAL	270	RC		inpatient			917.4	917.4																																																			
PLATE BONE TITANIUM H L22 MM LEFT HAND 8 HOLE EXTENDED NONSTERILE 1.5 MM SCREW	SUP-446.483	CDM	270010022	LOCAL	270	RC		outpatient			917.4	917.4	248.52				percent of total billed charges		917.4				other	OPPS APC	678.88				percent of total billed charges		917.4				other	OPPS APC	917.4				other	OPPS APC	248.52				percent of total billed charges		253.48				percent of total billed charges		917.4				other	OPPS APC	248.52	917.4	
PLATE BONE TITANIUM H L22 MM LEFT HAND 8 HOLE EXTENDED NONSTERILE 1.5 MM SCREW	SUP-446.483	CDM	270010022	LOCAL	270	RC		inpatient			917.4	917.4																																																			
ROD SPINAL POLARIS TITANIUM ALLOY L510 MM HEXAGON	SUP-2000-5405	CDM	270010020	LOCAL	270	RC		outpatient			916.8	916.8	248.36				percent of total billed charges		916.8				other	OPPS APC	678.43				percent of total billed charges		916.8				other	OPPS APC	916.8				other	OPPS APC	248.36				percent of total billed charges		253.31				percent of total billed charges		916.8				other	OPPS APC	248.36	916.8	
ROD SPINAL POLARIS TITANIUM ALLOY L510 MM HEXAGON	SUP-2000-5405	CDM	270010020	LOCAL	270	RC		inpatient			916.8	916.8																																																			
PLATE BONE TITANIUM 1.5 MM Y HAND 3 X 8 HOLE NONSTERILE 1.5 MM SCREW	SUP-446.612	CDM	270010022	LOCAL	270	RC		outpatient			916.3	916.3	248.23				percent of total billed charges		916.3				other	OPPS APC	678.06				percent of total billed charges		916.3				other	OPPS APC	916.3				other	OPPS APC	248.23				percent of total billed charges		253.17				percent of total billed charges		916.3				other	OPPS APC	248.23	916.3	
PLATE BONE TITANIUM 1.5 MM Y HAND 3 X 8 HOLE NONSTERILE 1.5 MM SCREW	SUP-446.612	CDM	270010022	LOCAL	270	RC		inpatient			916.3	916.3																																																			
NEEDLE TEMNO COAXIAL 22GX20 CTSUP USSUP	SUP-95-01325	CDM			272	RC		outpatient			915.99	915.99	248.14				percent of total billed charges		915.99				other	OPPS APC	677.83				percent of total billed charges		915.99				other	OPPS APC	915.99				other	OPPS APC	248.14				percent of total billed charges		253.09				percent of total billed charges		915.99				other	OPPS APC	248.14	915.99	
NEEDLE TEMNO COAXIAL 22GX20 CTSUP USSUP	SUP-95-01325	CDM			272	RC		inpatient			915.99	915.99																																																			
NEEDLE TEMNO COAXIAL BS 22GX15  CTSUP	SUP-95-01326	CDM			272	RC		outpatient			915.96	915.96	248.13				percent of total billed charges		915.96				other	OPPS APC	677.81				percent of total billed charges		915.96				other	OPPS APC	915.96				other	OPPS APC	248.13				percent of total billed charges		253.08				percent of total billed charges		915.96				other	OPPS APC	248.13	915.96	
NEEDLE TEMNO COAXIAL BS 22GX15  CTSUP	SUP-95-01326	CDM			272	RC		inpatient			915.96	915.96																																																			
MAKO STANDARD BLADE (116170)	SUP-78-00400	CDM			272	RC		outpatient			915	915	247.87				percent of total billed charges		915				other	OPPS APC	677.1				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	247.87				percent of total billed charges		252.81				percent of total billed charges		915				other	OPPS APC	247.87	915	
MAKO STANDARD BLADE (116170)	SUP-78-00400	CDM			272	RC		inpatient			915	915																																																			
MAKO NARROW BLADE (116171)	SUP-78-00401	CDM			272	RC		outpatient			915	915	247.87				percent of total billed charges		915				other	OPPS APC	677.1				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	247.87				percent of total billed charges		252.81				percent of total billed charges		915				other	OPPS APC	247.87	915	
MAKO NARROW BLADE (116171)	SUP-78-00401	CDM			272	RC		inpatient			915	915																																																			
SCREW 3MM PHANTOM HINDFOOT NAIL COMPRESSION	SUP-97-06216	CDM			278	RC		outpatient			915	915	915				fee schedule		915				other	OPPS APC	521.55				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	448.35				percent of total billed charges		466.65				percent of total billed charges		915				other	OPPS APC	448.35	915	
SCREW 3MM PHANTOM HINDFOOT NAIL COMPRESSION	SUP-97-06216	CDM			278	RC		inpatient			915	915																																																			
END CAP LONG PHANTOM HINDFOOT NAIL SHOULDERED	SUP-97-06224	CDM			278	RC		outpatient			915	915	915				fee schedule		915				other	OPPS APC	521.55				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	448.35				percent of total billed charges		466.65				percent of total billed charges		915				other	OPPS APC	448.35	915	
END CAP LONG PHANTOM HINDFOOT NAIL SHOULDERED	SUP-97-06224	CDM			278	RC		inpatient			915	915																																																			
BALLOON - STERLING SL OTW 3.0X100	SUP-99-01024	CDM			272	RC		outpatient			915	915	247.87				percent of total billed charges		915				other	OPPS APC	677.1				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	247.87				percent of total billed charges		252.81				percent of total billed charges		915				other	OPPS APC	247.87	915	
BALLOON - STERLING SL OTW 3.0X100	SUP-99-01024	CDM			272	RC		inpatient			915	915																																																			
BALLOON - STERLING SL OTW 2.5X100	SUP-99-01190	CDM			272	RC		outpatient			915	915	247.87				percent of total billed charges		915				other	OPPS APC	677.1				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	247.87				percent of total billed charges		252.81				percent of total billed charges		915				other	OPPS APC	247.87	915	
BALLOON - STERLING SL OTW 2.5X100	SUP-99-01190	CDM			272	RC		inpatient			915	915																																																			
BALLOON - STERLING SL OTW 2.5X150	SUP-99-01275	CDM			272	RC		outpatient			915	915	247.87				percent of total billed charges		915				other	OPPS APC	677.1				percent of total billed charges		915				other	OPPS APC	915				other	OPPS APC	247.87				percent of total billed charges		252.81				percent of total billed charges		915				other	OPPS APC	247.87	915	
BALLOON - STERLING SL OTW 2.5X150	SUP-99-01275	CDM			272	RC		inpatient			915	915																																																			
SEALER TISSUE ENSEAL X1 L25 CM TAPER TIP CURVE JAW STERILE LATEX FREE DISPOSABLE	SUP-NSLX125C	CDM			270	RC		outpatient			914.91	915	247.85				percent of total billed charges		914.91				other	OPPS APC	677.03				percent of total billed charges		914.91				other	OPPS APC	914.91				other	OPPS APC	247.85				percent of total billed charges		252.79				percent of total billed charges		915				other	OPPS APC	247.85	915	
SEALER TISSUE ENSEAL X1 L25 CM TAPER TIP CURVE JAW STERILE LATEX FREE DISPOSABLE	SUP-NSLX125C	CDM			270	RC		inpatient			914.91	914.91																																																			
TAVR Z-MED BALLOON 25MM X 4CM	SUP-610489	CDM			481	RC		outpatient			914.58	914.58	448.14				percent of total billed charges		914.58				other	OPPS APC	676.79				percent of total billed charges		914.58				other	OPPS APC	914.58				other	OPPS APC	448.14				percent of total billed charges		466.44				percent of total billed charges		914.58				other	OPPS APC	448.14	914.58	
TAVR Z-MED BALLOON 25MM X 4CM	SUP-610489	CDM			481	RC		inpatient			914.58	914.58																																																			
HC CT Guided Needle Biopsy	PX-352770120	CDM	77012	CPT	352	RC		outpatient			914	914	130.21				fee schedule		914				other	OPPS APC	484.26				fee schedule		914				other	OPPS APC	914				other	OPPS APC	141.54				fee schedule		71.89				fee schedule		914				other	OPPS APC	71.89	914	
HC CT Guided Needle Biopsy	PX-352770120	CDM	77012	CPT	352	RC		inpatient			914	914																																																			
HC Cyst Aspiration - CT Guide	PX-352770121	CDM	77012	CPT	350	RC		outpatient			914	914	130.21				fee schedule		914				other	OPPS APC	484.26				fee schedule		914				other	OPPS APC	914				other	OPPS APC	141.54				fee schedule		71.89				fee schedule		914				other	OPPS APC	71.89	914	
HC Cyst Aspiration - CT Guide	PX-352770121	CDM	77012	CPT	350	RC		inpatient			914	914																																																			
GRAFT CARDIOVASCULAR INTERGARD STRAIGHT 30CM 26MM VELOUR COLLAGEN POLYESTER THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0026-30	CDM			270	RC		outpatient			913.98	913.98	247.6				percent of total billed charges		913.98				other	OPPS APC	676.35				percent of total billed charges		913.98				other	OPPS APC	913.98				other	OPPS APC	247.6				percent of total billed charges		252.53				percent of total billed charges		913.98				other	OPPS APC	247.6	913.98	
GRAFT CARDIOVASCULAR INTERGARD STRAIGHT 30CM 26MM VELOUR COLLAGEN POLYESTER THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0026-30	CDM			270	RC		inpatient			913.98	913.98																																																			
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L30 CM OD30 MM THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0030-30	CDM			270	RC		outpatient			913.98	913.98	247.6				percent of total billed charges		913.98				other	OPPS APC	676.35				percent of total billed charges		913.98				other	OPPS APC	913.98				other	OPPS APC	247.6				percent of total billed charges		252.53				percent of total billed charges		913.98				other	OPPS APC	247.6	913.98	
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L30 CM OD30 MM THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0030-30	CDM			270	RC		inpatient			913.98	913.98																																																			
STAPLER POWERED ECH FLEX 60	SUP-2299PLE60A	CDM			270	RC		outpatient			913.61	913.61	247.5				percent of total billed charges		913.61				other	OPPS APC	676.07				percent of total billed charges		913.61				other	OPPS APC	913.61				other	OPPS APC	247.5				percent of total billed charges		252.43				percent of total billed charges		913.61				other	OPPS APC	247.5	913.61	
STAPLER POWERED ECH FLEX 60	SUP-2299PLE60A	CDM			270	RC		inpatient			913.61	913.61																																																			
DRESSING ONLY PREVENA 13CM PEEL AND PLACE	SUP-95-05423	CDM			272	RC		outpatient			911.55	911.55	246.94				percent of total billed charges		911.55				other	OPPS APC	674.55				percent of total billed charges		911.55				other	OPPS APC	911.55				other	OPPS APC	246.94				percent of total billed charges		251.86				percent of total billed charges		911.55				other	OPPS APC	246.94	911.55	
DRESSING ONLY PREVENA 13CM PEEL AND PLACE	SUP-95-05423	CDM			272	RC		inpatient			911.55	911.55																																																			
HRIS FLEXIBLE OSTEO 12X120MM	SUP-97-02962	CDM			278	RC		outpatient			910.8	91.8	910.8				fee schedule		910.8				other	OPPS APC	519.16				percent of total billed charges		910.8				other	OPPS APC	910.8				other	OPPS APC	446.29				percent of total billed charges		464.51				percent of total billed charges		91.8				other	OPPS APC	91.8	910.8	
HRIS FLEXIBLE OSTEO 12X120MM	SUP-97-02962	CDM			278	RC		inpatient			910.8	910.8																																																			
MESH SURGICAL PARIETEX PROGRIP RECTANGLE L20 CM X W15 CM SELF FIXATING FLAT SHEET	SUP-TEM2015G	CDM			270	RC		outpatient			910.6	91.62	246.68				percent of total billed charges		910.6				other	OPPS APC	673.84				percent of total billed charges		910.6				other	OPPS APC	910.6				other	OPPS APC	246.68				percent of total billed charges		251.6				percent of total billed charges		91.62				other	OPPS APC	91.62	910.6	
MESH SURGICAL PARIETEX PROGRIP RECTANGLE L20 CM X W15 CM SELF FIXATING FLAT SHEET	SUP-TEM2015G	CDM			270	RC		inpatient			910.6	910.6																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L45 CM L5 CM ID6 MM RING LINE HEMODIALYSIS	SUP-RD06005045L	CDM			270	RC		outpatient			910	91	246.52				percent of total billed charges		910				other	OPPS APC	673.4				percent of total billed charges		910				other	OPPS APC	910				other	OPPS APC	246.52				percent of total billed charges		251.43				percent of total billed charges		91				other	OPPS APC	91	910	
GRAFT VASCULAR GORE-TEX STANDARD WALL L45 CM L5 CM ID6 MM RING LINE HEMODIALYSIS	SUP-RD06005045L	CDM			270	RC		inpatient			910	910																																																			
PLATE BONE TITANIUM MIDFACIAL 2 X 6 HOLE LOCKING 3D 1.7 MM SCREW	SUP-5505733	CDM			270	RC		outpatient			909.6	99.62	246.41				percent of total billed charges		909.6				other	OPPS APC	673.1				percent of total billed charges		909.6				other	OPPS APC	909.6				other	OPPS APC	246.41				percent of total billed charges		251.32				percent of total billed charges		99.62				other	OPPS APC	99.62	909.6	
PLATE BONE TITANIUM MIDFACIAL 2 X 6 HOLE LOCKING 3D 1.7 MM SCREW	SUP-5505733	CDM			270	RC		inpatient			909.6	909.6																																																			
PLATE 2.0MM LCP 12 HOLE	SUP-447.362	CDM	270010022	LOCAL	270	RC		outpatient			908.6	98.62	246.14				percent of total billed charges		908.6				other	OPPS APC	672.36				percent of total billed charges		908.6				other	OPPS APC	908.6				other	OPPS APC	246.14				percent of total billed charges		251.05				percent of total billed charges		98.62				other	OPPS APC	98.62	908.6	
PLATE 2.0MM LCP 12 HOLE	SUP-447.362	CDM	270010022	LOCAL	270	RC		inpatient			908.6	908.6																																																			
DEVICE LAPAROSCOPIC HAND ACCESS GELPORT XE ALEXIS WOUND RETRACTOR 100MM	SUP-C8106	CDM			270	RC		outpatient			908.5	98.5	246.11				percent of total billed charges		908.5				other	OPPS APC	672.29				percent of total billed charges		908.5				other	OPPS APC	908.5				other	OPPS APC	246.11				percent of total billed charges		251.02				percent of total billed charges		98.5				other	OPPS APC	98.5	908.5	
DEVICE LAPAROSCOPIC HAND ACCESS GELPORT XE ALEXIS WOUND RETRACTOR 100MM	SUP-C8106	CDM			270	RC		inpatient			908.5	908.5																																																			
HC Mech Vent Subsequent Adult	PX-410940030	CDM	94003	CPT	410	RC		outpatient			908	98	278.21				percent of total billed charges		908				other	OPPS APC	364.13				fee schedule		908				other	OPPS APC	908				other	OPPS APC	278.21				percent of total billed charges		283.75				percent of total billed charges		98				other	OPPS APC	98	908	
HC Mech Vent Subsequent Adult	PX-410940030	CDM	94003	CPT	410	RC		inpatient			908	908																																																			
Z-MED II BALLOON 23MM X 4CM	SUP-611765	CDM			481	RC		outpatient			907.95	97.96	444.9				percent of total billed charges		907.95				other	OPPS APC	671.88				percent of total billed charges		907.95				other	OPPS APC	907.95				other	OPPS APC	444.9				percent of total billed charges		463.05				percent of total billed charges		97.96				other	OPPS APC	97.96	907.95	
Z-MED II BALLOON 23MM X 4CM	SUP-611765	CDM			481	RC		inpatient			907.95	907.95																																																			
PLATE BONE LCP TITANIUM L94 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.374	CDM	270010022	LOCAL	270	RC		outpatient			907.5	97.5	245.84				percent of total billed charges		907.5				other	OPPS APC	671.55				percent of total billed charges		907.5				other	OPPS APC	907.5				other	OPPS APC	245.84				percent of total billed charges		250.74				percent of total billed charges		97.5				other	OPPS APC	97.5	907.5	
PLATE BONE LCP TITANIUM L94 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.374	CDM	270010022	LOCAL	270	RC		inpatient			907.5	907.5																																																			
PLATE BONE LCP TITANIUM L49 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.681	CDM	270010022	LOCAL	270	RC		outpatient			907.5	97.5	245.84				percent of total billed charges		907.5				other	OPPS APC	671.55				percent of total billed charges		907.5				other	OPPS APC	907.5				other	OPPS APC	245.84				percent of total billed charges		250.74				percent of total billed charges		97.5				other	OPPS APC	97.5	907.5	
PLATE BONE LCP TITANIUM L49 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.681	CDM	270010022	LOCAL	270	RC		inpatient			907.5	907.5																																																			
PLATE BONE LCP TITANIUM L58 MM 6 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.682	CDM	270010022	LOCAL	270	RC		outpatient			907.5	97.5	245.84				percent of total billed charges		907.5				other	OPPS APC	671.55				percent of total billed charges		907.5				other	OPPS APC	907.5				other	OPPS APC	245.84				percent of total billed charges		250.74				percent of total billed charges		97.5				other	OPPS APC	97.5	907.5	
PLATE BONE LCP TITANIUM L58 MM 6 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.682	CDM	270010022	LOCAL	270	RC		inpatient			907.5	907.5																																																			
PLATE BONE LCP TITANIUM L67 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.683	CDM	270010022	LOCAL	270	RC		outpatient			907.5	97.5	245.84				percent of total billed charges		907.5				other	OPPS APC	671.55				percent of total billed charges		907.5				other	OPPS APC	907.5				other	OPPS APC	245.84				percent of total billed charges		250.74				percent of total billed charges		97.5				other	OPPS APC	97.5	907.5	
PLATE BONE LCP TITANIUM L67 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.683	CDM	270010022	LOCAL	270	RC		inpatient			907.5	907.5																																																			
COLLAGENASE 250 UNIT/GRAM OINTMENT 30 G TUBE	637000000	CDM	50484-010-30	NDC	A9270	HCPCS		inpatient			907.05	907.05																																																			
COLLAGENASE 250 UNIT/GRAM OINTMENT 30 G TUBE	637000000	CDM	50484-010-30	NDC	A9270	HCPCS		outpatient			907.05	907.05																																															other	OPPS APC			
HC CT Orbit  Sella Post Fossa W W/O	PX-351704820	CDM	70482	CPT	351	RC		outpatient			907	189.94	330.51				fee schedule		189.94				other	OPPS APC	866.03				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	219.18				fee schedule		158.76				fee schedule		189.94				other	OPPS APC	158.76	866.03	
HC CT Orbit  Sella Post Fossa W W/O	PX-351704820	CDM	70482	CPT	351	RC		inpatient			907	907																																																			
HC C/T-Maxillofacial W/WO Contras	PX-351704880	CDM	70488	CPT	351	RC		outpatient			907	97	306.12				fee schedule		907				other	OPPS APC	861.68				fee schedule		907				other	OPPS APC	907				other	OPPS APC	192.08				fee schedule		131.46				fee schedule		97				other	OPPS APC	97	907	
HC C/T-Maxillofacial W/WO Contras	PX-351704880	CDM	70488	CPT	351	RC		inpatient			907	907																																																			
HC CT Lower Extr Wwo Contrast	PX-352737020	CDM	73702	CPT	350	RC		outpatient			907	189.94	301.99				fee schedule		189.94				other	OPPS APC	873.42				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	202.81				fee schedule		145.11				fee schedule		189.94				other	OPPS APC	145.11	873.42	
HC CT Lower Extr Wwo Contrast	PX-352737020	CDM	73702	CPT	350	RC		inpatient			907	907																																																			
ATTACHMENT ROD NS ATTACHMENT LG MULTIPIN CLAMP	SUP-390.003	CDM			270	RC		outpatient			906.4	96.4	245.54				percent of total billed charges		906.4				other	OPPS APC	670.74				percent of total billed charges		906.4				other	OPPS APC	906.4				other	OPPS APC	245.54				percent of total billed charges		250.44				percent of total billed charges		96.4				other	OPPS APC	96.4	906.4	
ATTACHMENT ROD NS ATTACHMENT LG MULTIPIN CLAMP	SUP-390.003	CDM			270	RC		inpatient			906.4	906.4																																																			
DRILL STOP	SUP-97-01665	CDM			272	RC		outpatient			906	96	245.44				percent of total billed charges		906				other	OPPS APC	670.44				percent of total billed charges		906				other	OPPS APC	906				other	OPPS APC	245.44				percent of total billed charges		250.33				percent of total billed charges		96				other	OPPS APC	96	906	
DRILL STOP	SUP-97-01665	CDM			272	RC		inpatient			906	906																																																			
PLATE BONE LCP STAINLESS STEEL NARROW L134 MM X W13.5 MM X H4.2 MM 7 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.571	CDM	270010022	LOCAL	270	RC		outpatient			905.3	95.3	245.25				percent of total billed charges		905.3				other	OPPS APC	669.92				percent of total billed charges		905.3				other	OPPS APC	905.3				other	OPPS APC	245.25				percent of total billed charges		250.13				percent of total billed charges		95.3				other	OPPS APC	95.3	905.3	
PLATE BONE LCP STAINLESS STEEL NARROW L134 MM X W13.5 MM X H4.2 MM 7 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.571	CDM	270010022	LOCAL	270	RC		inpatient			905.3	905.3																																																			
SHEATH - DESTINATION SLENDER 105CM	SUP-99-04090	CDM			272	RC		outpatient			905.25	95.25	245.23				percent of total billed charges		905.25				other	OPPS APC	669.89				percent of total billed charges		905.25				other	OPPS APC	905.25				other	OPPS APC	245.23				percent of total billed charges		250.12				percent of total billed charges		95.25				other	OPPS APC	95.25	905.25	
SHEATH - DESTINATION SLENDER 105CM	SUP-99-04090	CDM			272	RC		inpatient			905.25	905.25																																																			
SHEARS ELECTROSURGICAL HARMONIC FOCUS+ CURVE TAPER 9CM DISPOSABLE STERILE 2 HAND CONTROL ADAPTIVE TISSUE TECHNOLOGY SOFT	SUP-HAR9F	CDM			270	RC		outpatient			904.94	94.95	245.15				percent of total billed charges		904.94				other	OPPS APC	669.66				percent of total billed charges		904.94				other	OPPS APC	904.94				other	OPPS APC	245.15				percent of total billed charges		250.03				percent of total billed charges		94.95				other	OPPS APC	94.95	904.94	
SHEARS ELECTROSURGICAL HARMONIC FOCUS+ CURVE TAPER 9CM DISPOSABLE STERILE 2 HAND CONTROL ADAPTIVE TISSUE TECHNOLOGY SOFT	SUP-HAR9F	CDM			270	RC		inpatient			904.94	904.94																																																			
CABLE ORTHOPEDIC CABLE-READY STAINLESS STEEL L914 MM OD1.8 MM CERCLAGE STERILE	SUP-00-2232-001-28	CDM			270	RC		outpatient			904.76	94.76	245.1				percent of total billed charges		904.76				other	OPPS APC	669.52				percent of total billed charges		904.76				other	OPPS APC	904.76				other	OPPS APC	245.1				percent of total billed charges		249.99				percent of total billed charges		94.76				other	OPPS APC	94.76	904.76	
CABLE ORTHOPEDIC CABLE-READY STAINLESS STEEL L914 MM OD1.8 MM CERCLAGE STERILE	SUP-00-2232-001-28	CDM			270	RC		inpatient			904.76	904.76																																																			
TAP BONE L195 MM CANNULATED NONSTERILE 5 MM THREAD ROD	SUP-328.140	CDM	270010022	LOCAL	270	RC		outpatient			904.2	94.25	244.95				percent of total billed charges		904.2				other	OPPS APC	669.11				percent of total billed charges		904.2				other	OPPS APC	904.2				other	OPPS APC	244.95				percent of total billed charges		249.83				percent of total billed charges		94.25				other	OPPS APC	94.25	904.2	
TAP BONE L195 MM CANNULATED NONSTERILE 5 MM THREAD ROD	SUP-328.140	CDM	270010022	LOCAL	270	RC		inpatient			904.2	904.2																																																			
Patient Circuit Highflow	PX-272000028	CDM			272	RC		outpatient			904	94	244.89				percent of total billed charges		904				other	OPPS APC	668.96				percent of total billed charges		904				other	OPPS APC	904				other	OPPS APC	244.89				percent of total billed charges		249.78				percent of total billed charges		94				other	OPPS APC	94	904	
Patient Circuit Highflow	PX-272000028	CDM			272	RC		inpatient			904	904																																																			
GRAFT VASCULAR GORE-TEX THIN WALL L40 CM ID6 MM LINE STERILE LATEX FREE	SUP-VT06040L	CDM			270	RC		outpatient			904	94	244.89				percent of total billed charges		904				other	OPPS APC	668.96				percent of total billed charges		904				other	OPPS APC	904				other	OPPS APC	244.89				percent of total billed charges		249.78				percent of total billed charges		94				other	OPPS APC	94	904	
GRAFT VASCULAR GORE-TEX THIN WALL L40 CM ID6 MM LINE STERILE LATEX FREE	SUP-VT06040L	CDM			270	RC		inpatient			904	904																																																			
PLATE BONE LC-DCP ANGLE LEFT L BUTTRESS 86X14X3.8MM SS NS 4 HOLE SHAFT 4.5MM SCREW LG FRAGMENT SET	SUP-240.44	CDM	270010022	LOCAL	270	RC		outpatient			903.6	93.62	244.79				percent of total billed charges		903.6				other	OPPS APC	668.66				percent of total billed charges		903.6				other	OPPS APC	903.6				other	OPPS APC	244.79				percent of total billed charges		249.66				percent of total billed charges		93.62				other	OPPS APC	93.62	903.6	
PLATE BONE LC-DCP ANGLE LEFT L BUTTRESS 86X14X3.8MM SS NS 4 HOLE SHAFT 4.5MM SCREW LG FRAGMENT SET	SUP-240.44	CDM	270010022	LOCAL	270	RC		inpatient			903.6	903.6																																																			
PLATE BONE ANGLE RIGHT L 86X14X3.8MM SS NS TIBIA LEFT 4 HOLE SHAFT BUTTRESS 4.5MM SCREW LG FRAGMENT	SUP-240.54	CDM	270010022	LOCAL	270	RC		outpatient			903.6	93.62	244.79				percent of total billed charges		903.6				other	OPPS APC	668.66				percent of total billed charges		903.6				other	OPPS APC	903.6				other	OPPS APC	244.79				percent of total billed charges		249.66				percent of total billed charges		93.62				other	OPPS APC	93.62	903.6	
PLATE BONE ANGLE RIGHT L 86X14X3.8MM SS NS TIBIA LEFT 4 HOLE SHAFT BUTTRESS 4.5MM SCREW LG FRAGMENT	SUP-240.54	CDM	270010022	LOCAL	270	RC		inpatient			903.6	903.6																																																			
PATCH DURAL DUREPAIR BOVINE COLLAGEN MATRIX L3 IN X W1 IN CRANIAL RESORBABLE STERILE DURAPLASTY	SUP-62106	CDM	270010012	LOCAL	270	RC		outpatient			902.54	92.54	244.5				percent of total billed charges		902.54				other	OPPS APC	667.88				percent of total billed charges		902.54				other	OPPS APC	902.54				other	OPPS APC	244.5				percent of total billed charges		249.37				percent of total billed charges		92.54				other	OPPS APC	92.54	902.54	
PATCH DURAL DUREPAIR BOVINE COLLAGEN MATRIX L3 IN X W1 IN CRANIAL RESORBABLE STERILE DURAPLASTY	SUP-62106	CDM	270010012	LOCAL	270	RC		inpatient			902.54	902.54																																																			
FOSAPREPITANT PER 1 MG	636000000	CDM	71839-104-01	NDC	J1453	HCPCS		inpatient			902.5	902.5																																																			
FOSAPREPITANT PER 1 MG	636000000	CDM	71839-104-01	NDC	J1453	HCPCS		outpatient			902.5	902.5																																															other	OPPS APC			
PLATE BONE TITANIUM STRAIGHT L36 MM HAND 6 HOLE NONSTERILE 2.4 MM SCREW	SUP-449.906	CDM	270010022	LOCAL	270	RC		outpatient			902	92	244.35				percent of total billed charges		902				other	OPPS APC	667.48				percent of total billed charges		902				other	OPPS APC	902				other	OPPS APC	244.35				percent of total billed charges		249.22				percent of total billed charges		92				other	OPPS APC	92	902	
PLATE BONE TITANIUM STRAIGHT L36 MM HAND 6 HOLE NONSTERILE 2.4 MM SCREW	SUP-449.906	CDM	270010022	LOCAL	270	RC		inpatient			902	902																																																			
ENDOPOUCH CATCH SPECIMEN 15MM	SUP-74-00380	CDM			272	RC		outpatient			901.97	91.97	244.34				percent of total billed charges		901.97				other	OPPS APC	667.46				percent of total billed charges		901.97				other	OPPS APC	901.97				other	OPPS APC	244.34				percent of total billed charges		249.21				percent of total billed charges		91.97				other	OPPS APC	91.97	901.97	
ENDOPOUCH CATCH SPECIMEN 15MM	SUP-74-00380	CDM			272	RC		inpatient			901.97	901.97																																																			
HC Bone Scan-Whole Body	PX-340783060	CDM	78306	CPT	340	RC		outpatient			901	49.37	259.74				fee schedule		409.37				other	OPPS APC	521.78				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	275.71				fee schedule		234.95				fee schedule		49.37				other	OPPS APC	49.37	521.78	
HC Bone Scan-Whole Body	PX-340783060	CDM	78306	CPT	340	RC		inpatient			901	901																																																			
GRAFT SOFT TISSUE DURAMATRIX L3 IN X W1 IN SUTURABLE	SUP-DMS13	CDM			270	RC		outpatient			900.4	9.4	243.92				percent of total billed charges		900.4				other	OPPS APC	666.3				percent of total billed charges		900.4				other	OPPS APC	900.4				other	OPPS APC	243.92				percent of total billed charges		248.78				percent of total billed charges		9.4				other	OPPS APC	9.4	900.4	
GRAFT SOFT TISSUE DURAMATRIX L3 IN X W1 IN SUTURABLE	SUP-DMS13	CDM			270	RC		inpatient			900.4	900.4																																																			
Quikclot Zfold Hemostatic 3x4 Xray	PX-272000013	CDM			272	RC		outpatient			900.2	9.25	243.86				percent of total billed charges		900.2				other	OPPS APC	900.2				fee schedule		900.2				other	OPPS APC	900.2				other	OPPS APC	243.86				percent of total billed charges		248.73				percent of total billed charges		9.25				other	OPPS APC	9.25	900.2	
Quikclot Zfold Hemostatic 3x4 Xray	PX-272000013	CDM			272	RC		inpatient			900.2	900.2																																																			
CLAMP EXTERNAL FIXATION LARGE COMBINATION NONSTERILE	SUP-390.005	CDM	270010022	LOCAL	270	RC		outpatient			900.2	9.25	243.86				percent of total billed charges		900.2				other	OPPS APC	666.15				percent of total billed charges		900.2				other	OPPS APC	900.2				other	OPPS APC	243.86				percent of total billed charges		248.73				percent of total billed charges		9.25				other	OPPS APC	9.25	900.2	
CLAMP EXTERNAL FIXATION LARGE COMBINATION NONSTERILE	SUP-390.005	CDM	270010022	LOCAL	270	RC		inpatient			900.2	900.2																																																			
SCREW BONE CREO CREO AMP OD5.5 MM SPINE POLYAXIAL TULIP THREAD	SUP-1119.0110	CDM	270010020	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SCREW BONE CREO CREO AMP OD5.5 MM SPINE POLYAXIAL TULIP THREAD	SUP-1119.0110	CDM	270010020	LOCAL	270	RC		inpatient			900	900																																																			
HEAD FEMORAL ARTICUL/EZE METAL +8.5 MM 12/14 STANDARD BALL OD28 MM HIP	SUP-1365-13-000	CDM	270010014	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
HEAD FEMORAL ARTICUL/EZE METAL +8.5 MM 12/14 STANDARD BALL OD28 MM HIP	SUP-1365-13-000	CDM	270010014	LOCAL	270	RC		inpatient			900	900																																																			
AV ISO-FLEX S	SUP-1642T	CDM			275	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
AV ISO-FLEX S	SUP-1642T	CDM			275	RC		inpatient			900	900																																																			
FIXED J	SUP-1782TC	CDM			275	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
FIXED J	SUP-1782TC	CDM			275	RC		inpatient			900	900																																																			
LEAD TENDRIL 1888	SUP-1888	CDM			275	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
LEAD TENDRIL 1888	SUP-1888	CDM			275	RC		inpatient			900	900																																																			
HEAD MARINER POLYAXIAL	SUP-41-3000	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
HEAD MARINER POLYAXIAL	SUP-41-3000	CDM			270	RC		inpatient			900	900																																																			
HEAD MARINER POLYAXIAL	SUP-41-3010	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
HEAD MARINER POLYAXIAL	SUP-41-3010	CDM			270	RC		inpatient			900	900																																																			
SEAT SCREW SPINAL POLYAXIAL EXTEND	SUP-41-4000	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SEAT SCREW SPINAL POLYAXIAL EXTEND	SUP-41-4000	CDM			270	RC		inpatient			900	900																																																			
HEAD MARINER EXTENDED POLYAXIAL	SUP-41-4010	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
HEAD MARINER EXTENDED POLYAXIAL	SUP-41-4010	CDM			270	RC		inpatient			900	900																																																			
SCREW BONE MARINER NONSTERILE TRAUMA	SUP-41-7000	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SCREW BONE MARINER NONSTERILE TRAUMA	SUP-41-7000	CDM			270	RC		inpatient			900	900																																																			
SCREW MARINER TRAUMA HEAD	SUP-41-7010	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SCREW MARINER TRAUMA HEAD	SUP-41-7010	CDM			270	RC		inpatient			900	900																																																			
PACK VITRECTOMY ACCURUS TOTAL PLUS OD23 GA LATEX FREE	SUP-8065750828	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
PACK VITRECTOMY ACCURUS TOTAL PLUS OD23 GA LATEX FREE	SUP-8065750828	CDM			270	RC		inpatient			900	900																																																			
ALLSUTURE NEEDLE YKNOT ANCHOR	SUP-97-02407	CDM			278	RC		outpatient			900	9	900				fee schedule		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ALLSUTURE NEEDLE YKNOT ANCHOR	SUP-97-02407	CDM			278	RC		inpatient			900	900																																																			
CANN.COUNTERSINK 6.7MM	SUP-97-04566	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CANN.COUNTERSINK 6.7MM	SUP-97-04566	CDM			272	RC		inpatient			900	900																																																			
TAPER POST 7 X 13MM LG MTP	SUP-97-06259	CDM			278	RC		outpatient			900	9	900				fee schedule		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
TAPER POST 7 X 13MM LG MTP	SUP-97-06259	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X15	SUP-99-00525	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X15	SUP-99-00525	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.5X23	SUP-99-00584	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.5X23	SUP-99-00584	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 4.0X23	SUP-99-00585	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X23	SUP-99-00585	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.5X28	SUP-99-00665	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.5X28	SUP-99-00665	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.0X28	SUP-99-00679	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.0X28	SUP-99-00679	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 4.0X18	SUP-99-00713	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X18	SUP-99-00713	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.0X23	SUP-99-00915	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.0X23	SUP-99-00915	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.0X15	SUP-99-00951	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.0X15	SUP-99-00951	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.0X12	SUP-99-00952	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.0X12	SUP-99-00952	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.0X18	SUP-99-01704	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.0X18	SUP-99-01704	CDM			278	RC		outpatient			900	9					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	513	513	
STENT - VISION 3.5X18	SUP-99-01708	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.5X18	SUP-99-01708	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
BALLOON - PACIFIC EXTREME 5X250	SUP-99-02072	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BALLOON - PACIFIC EXTREME 5X250	SUP-99-02072	CDM			272	RC		inpatient			900	900																																																			
BALLOON - PACIFIC EXTREME 6X250	SUP-99-02108	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BALLOON - PACIFIC EXTREME 6X250	SUP-99-02108	CDM			272	RC		inpatient			900	900																																																			
BALLOON - PACIFIC EXTREME 6X300	SUP-99-02145	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BALLOON - PACIFIC EXTREME 6X300	SUP-99-02145	CDM			272	RC		inpatient			900	900																																																			
STENT - VISION 3.5X12	SUP-99-03144	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.5X12	SUP-99-03144	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 4.0X28	SUP-99-03183	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X28	SUP-99-03183	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
BALLOON - PACIFIC EXTREME 4X300	SUP-99-03202	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BALLOON - PACIFIC EXTREME 4X300	SUP-99-03202	CDM			272	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X12	SUP-99-03955	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X12	SUP-99-03955	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.0X15	SUP-99-03956	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X15	SUP-99-03956	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.0X18	SUP-99-03957	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X18	SUP-99-03957	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.0X23	SUP-99-03958	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X23	SUP-99-03958	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.0X28	SUP-99-03959	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X28	SUP-99-03959	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.0X8	SUP-99-03960	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.0X8	SUP-99-03960	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.25X12	SUP-99-03961	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.25X12	SUP-99-03961	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.25X15	SUP-99-03962	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.25X15	SUP-99-03962	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.25X18	SUP-99-03963	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.25X18	SUP-99-03963	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.25X23	SUP-99-03964	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.25X23	SUP-99-03964	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.25X8	SUP-99-03965	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.25X8	SUP-99-03965	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - MINI VISION 2.5X12	SUP-99-03966	CDM			278	RC		inpatient			900	900																																																			
STENT - MINI VISION 2.5X12	SUP-99-03966	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 2.75X12	SUP-99-03991	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 2.75X12	SUP-99-03991	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 2.75X15	SUP-99-03992	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 2.75X15	SUP-99-03992	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 2.75X23	SUP-99-03993	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 2.75X23	SUP-99-03993	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 2.75X28	SUP-99-03994	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 2.75X28	SUP-99-03994	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 2.75X8	SUP-99-03995	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 2.75X8	SUP-99-03995	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.0X8	SUP-99-03996	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.0X8	SUP-99-03996	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 3.5X8	SUP-99-03997	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 3.5X8	SUP-99-03997	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 4.0X12	SUP-99-03998	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X12	SUP-99-03998	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
STENT - VISION 4.0X8	SUP-99-03999	CDM			278	RC		inpatient			900	900																																																			
STENT - VISION 4.0X8	SUP-99-03999	CDM			278	RC		outpatient			900	900					fee schedule						other	OPPS APC	513				percent of total billed charges						other	OPPS APC					other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges						other	OPPS APC	513	513	
CATHETER - ATTAIN - VENOGRAM BALLOON	SUP-99-04164	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN - VENOGRAM BALLOON	SUP-99-04164	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ATTAIN SELECT II - 6248V-90	SUP-99-04165	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN SELECT II - 6248V-90	SUP-99-04165	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ATTAIN SELECT II - 6248V-130	SUP-99-04166	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN SELECT II - 6248V-130	SUP-99-04166	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ATTAIN COMMAND - 6250V-MPR	SUP-99-04167	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN COMMAND - 6250V-MPR	SUP-99-04167	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ATTAIN COMMAND - 6250V-MB2	SUP-99-04168	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN COMMAND - 6250V-MB2	SUP-99-04168	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ATTAIN COMMAND - 6250V-MP	SUP-99-04169	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN COMMAND - 6250V-MP	SUP-99-04169	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ATTAIN - 6227DEF	SUP-99-04170	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ATTAIN - 6227DEF	SUP-99-04170	CDM			272	RC		inpatient			900	900																																																			
BALLOON - CROSSTELLA 6 X 100	SUP-99-04185	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BALLOON - CROSSTELLA 6 X 100	SUP-99-04185	CDM			272	RC		inpatient			900	900																																																			
GUIDEWIRE - ATTAIN HYBRID	SUP-99-04194	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
GUIDEWIRE - ATTAIN HYBRID	SUP-99-04194	CDM			272	RC		inpatient			900	900																																																			
CATHETER - VENCLOSE RF 60CM	SUP-99-04248	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - VENCLOSE RF 60CM	SUP-99-04248	CDM			272	RC		inpatient			900	900																																																			
CATHETER - VENCLOSE RF 100CM	SUP-99-04249	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - VENCLOSE RF 100CM	SUP-99-04249	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ACUITY PRO CS-IC 7FX60CM CORONARY SINUS	SUP-99-04713	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ACUITY PRO CS-IC 7FX60CM CORONARY SINUS	SUP-99-04713	CDM			272	RC		inpatient			900	900																																																			
CATHETER - ACUITY PRO CS INNER CATHETER 7FX60CM	SUP-99-04714	CDM			272	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CATHETER - ACUITY PRO CS INNER CATHETER 7FX60CM	SUP-99-04714	CDM			272	RC		inpatient			900	900																																																			
ANCHOR SUTURE FIBERTAK TIGERTAIL LABRALTAPE 2 2 ROW KNOTLESS BLACK GREEN WHITE ROTATOR CUFF REPAIR	SUP-AR-3651T	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
ANCHOR SUTURE FIBERTAK TIGERTAIL LABRALTAPE 2 2 ROW KNOTLESS BLACK GREEN WHITE ROTATOR CUFF REPAIR	SUP-AR-3651T	CDM			270	RC		inpatient			900	900																																																			
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 2 10MM	SUP-AR-501-TBB0	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 2 10MM	SUP-AR-501-TBB0	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE 2 H8 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBB8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE 2 H8 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBB8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE 3 H8 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBC8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE 3 H8 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBC8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE 3 H9 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBC9	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE 3 H9 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBC9	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE 4 H8 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBD8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE 4 H8 MM KNEE UNICONDYLAR ANATOMIC DESIGN RESURFACE	SUP-AR-501-TBD8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 4 9MM	SUP-AR-501-TBD9	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 4 9MM	SUP-AR-501-TBD9	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 5 8MM	SUP-AR-501-TBE8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 5 8MM	SUP-AR-501-TBE8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 5 9MM	SUP-AR-501-TBE9	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 5 9MM	SUP-AR-501-TBE9	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 5 10MM	SUP-AR-501-TBEO	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 5 10MM	SUP-AR-501-TBEO	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 6 8MM	SUP-AR-501-TBF8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
INSERT ARTHREX IBALANCE UKA TIBIAL BEARING SIZE 6 8MM	SUP-AR-501-TBF8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 1 H9 MM UNICOMPARTMENTAL KNEE ARTHROPLASTYL	SUP-AR-521-TBA9	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 1 H9 MM UNICOMPARTMENTAL KNEE ARTHROPLASTYL	SUP-AR-521-TBA9	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 2 H8 MM KNEE BICOMPARTMENT ARTHROPLASTY	SUP-AR-521-TBB8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 2 H8 MM KNEE BICOMPARTMENT ARTHROPLASTY	SUP-AR-521-TBB8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 2 H9 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBB9	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 2 H9 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBB9	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 3 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBC8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 3 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBC8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 4 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBD8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 4 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBD8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 4 H9 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBD9	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 4 H9 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBD9	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 5 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBE8	CDM	270010025	LOCAL	270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 5 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBE8	CDM	270010025	LOCAL	270	RC		inpatient			900	900																																																			
KIT ENDOSCOPIC INSTRUMENT MASTER L1.5 MM OD14 GA HIP GUIDEWIRE KNIFE BLADE SPINAL NEEDLE DISPOSABLE ARTHROSCOPY	SUP-AR-6526S	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
KIT ENDOSCOPIC INSTRUMENT MASTER L1.5 MM OD14 GA HIP GUIDEWIRE KNIFE BLADE SPINAL NEEDLE DISPOSABLE ARTHROSCOPY	SUP-AR-6526S	CDM			270	RC		inpatient			900	900																																																			
SUTURE FIBERTAPE CERCLAGE	SUP-AR-7267	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SUTURE FIBERTAPE CERCLAGE	SUP-AR-7267	CDM			270	RC		inpatient			900	900																																																			
SUTURE TIGERTAPE CERCLAGE	SUP-AR-7267T	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SUTURE TIGERTAPE CERCLAGE	SUP-AR-7267T	CDM			270	RC		inpatient			900	900																																																			
PLATE BONE STAINLESS STEEL STRAIGHT L55 MM ANKLE 4 HOLE LOCK	SUP-AR-8943C-04	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
PLATE BONE STAINLESS STEEL STRAIGHT L55 MM ANKLE 4 HOLE LOCK	SUP-AR-8943C-04	CDM			270	RC		inpatient			900	900																																																			
REAMER METATARSAL 22MM	SUP-AR-8944MR-22	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
REAMER METATARSAL 22MM	SUP-AR-8944MR-22	CDM			270	RC		inpatient			900	900																																																			
ANCHOR CINCHLOCK FLEX KNOTLESS	SUP-CAT02643	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
ANCHOR CINCHLOCK FLEX KNOTLESS	SUP-CAT02643	CDM			270	RC		inpatient			900	900																																																			
ANCHOR CINCHLOCK FLEX KNOTLESS	SUP-CAT05643	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
ANCHOR CINCHLOCK FLEX KNOTLESS	SUP-CAT05643	CDM			270	RC		inpatient			900	900																																																			
SYSTEM LEAD DELIVERY ACUITY CUTAWAY	SUP-CLDS	CDM			275	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM LEAD DELIVERY ACUITY CUTAWAY	SUP-CLDS	CDM			275	RC		inpatient			900	900																																																			
CABLE CATHETER SENSOR ENABLED	SUP-D-ENS-AVSE-6-CBL	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
CABLE CATHETER SENSOR ENABLED	SUP-D-ENS-AVSE-6-CBL	CDM			270	RC		inpatient			900	900																																																			
GUIDEWIRE VASCULAR TRAXCESS 14 EX HYDROPHILIC STAINLESS STEEL 6 CM L200 CM L40 CM OD.012 IN ODSEC.014 IN RADIOPAQUE	SUP-GW1420040X	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
GUIDEWIRE VASCULAR TRAXCESS 14 EX HYDROPHILIC STAINLESS STEEL 6 CM L200 CM L40 CM OD.012 IN ODSEC.014 IN RADIOPAQUE	SUP-GW1420040X	CDM			270	RC		inpatient			900	900																																																			
STENT REBEL MR PLATINUM CHROMIUM 3.5MM X 32 MM	SUP-H74939227432350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
STENT REBEL MR PLATINUM CHROMIUM 3.5MM X 32 MM	SUP-H74939227432350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 8MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408270	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 8MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408270	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 8MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 8MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 8MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 8MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 8MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 8MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927408400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L12 MM L144 CM OD2.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927412250	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L12 MM L144 CM OD2.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927412250	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 12MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927412270	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 12MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927412270	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L12 MM L144 CM OD3 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927412300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L12 MM L144 CM OD3 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927412300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 12MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927412350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 12MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927412350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L12 MM L144 CM OD4 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927412400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L12 MM L144 CM OD4 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927412400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 12MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927412450	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 12MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927412450	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 16MM 140CM 2.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416250	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 16MM 140CM 2.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416250	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 16MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416270	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 16MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416270	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 16MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 16MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 16MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 16MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 16MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 16MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927416400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L16 MM L144 CM OD4.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927416450	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L16 MM L144 CM OD4.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927416450	CDM			481	RC		inpatient			900	900																																																			
SYSTEM STENT CORONARY REBEL2.5MM X 20MM	SUP-H7493927420250	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM STENT CORONARY REBEL2.5MM X 20MM	SUP-H7493927420250	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL BARE METAL PLATINUM CHROMIUM L20 MM L144 CM OD2.75 MM ODSEC2.7-2.1 FR STERILE	SUP-H7493927420270	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL BARE METAL PLATINUM CHROMIUM L20 MM L144 CM OD2.75 MM ODSEC2.7-2.1 FR STERILE	SUP-H7493927420270	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 20MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 20MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 20MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 20MM 140CM 3.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 20MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 20MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 20MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420450	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 20MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927420450	CDM			481	RC		inpatient			900	900																																																			
SYSTEM STENT CORONARY REBEL 2.5MM X 24MM	SUP-H7493927424250	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM STENT CORONARY REBEL 2.5MM X 24MM	SUP-H7493927424250	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 24MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424270	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 24MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424270	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 24MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 24MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L24 MM L144 CM OD3.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927424350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L24 MM L144 CM OD3.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927424350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 24MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 24MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 24MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424450	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 24MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927424450	CDM			481	RC		inpatient			900	900																																																			
SYSTEM STENT CORONARY REBEL 2.50 X 28	SUP-H7493927428250	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM STENT CORONARY REBEL 2.50 X 28	SUP-H7493927428250	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 28MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927428270	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 28MM 140CM 2.75MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927428270	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L28 MM L144 CM OD3 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927428300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L28 MM L144 CM OD3 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927428300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L28 MM L144 CM OD3.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927428350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL MONORAIL PLATINUM CHROMIUM L140 CM L28 MM L144 CM OD3.5 MM ODSEC2.7-2.1 FR CATHETER	SUP-H7493927428350	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 28MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927428400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 28MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927428400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 28MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927428450	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 28MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927428450	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 32MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927432300	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 32MM 140CM 3MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927432300	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 32MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927432400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 32MM 140CM 4MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927432400	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT REBEL 32MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927432450	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT REBEL 32MM 140CM 4.5MM PLATINUM CHROMIUM RADIOPAQUE BALLOON EXPANDABLE ACCEPTS .014- IN GUIDEWIRE	SUP-H7493927432450	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 8MM	SUP-ONYXNG20008UX_69302	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 8MM	SUP-ONYXNG20008UX_69302	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 12MM	SUP-ONYXNG20012UX_69311	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 12MM	SUP-ONYXNG20012UX_69311	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 15MM	SUP-ONYXNG20015UX_69320	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 15MM	SUP-ONYXNG20015UX_69320	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 18MM	SUP-ONYXNG20018UX_69333	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 18MM	SUP-ONYXNG20018UX_69333	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 22MM	SUP-ONYXNG20022UX_69343	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 22MM	SUP-ONYXNG20022UX_69343	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 26MM	SUP-ONYXNG20026UX_69355	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 26MM	SUP-ONYXNG20026UX_69355	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.0 X 30MM	SUP-ONYXNG20030UX_69364	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.0 X 30MM	SUP-ONYXNG20030UX_69364	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 8MM	SUP-ONYXNG22508UX_69305	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 8MM	SUP-ONYXNG22508UX_69305	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 12MM	SUP-ONYXNG22512UX_69312	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 12MM	SUP-ONYXNG22512UX_69312	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 15MM	SUP-ONYXNG22515UX_69321	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 15MM	SUP-ONYXNG22515UX_69321	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 18MM	SUP-ONYXNG22518UX_69334	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 18MM	SUP-ONYXNG22518UX_69334	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 22MM	SUP-ONYXNG22522UX_69344	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 22MM	SUP-ONYXNG22522UX_69344	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 26MM	SUP-ONYXNG22526UX_69356	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 26MM	SUP-ONYXNG22526UX_69356	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 30MM	SUP-ONYXNG22530UX_69365	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 30MM	SUP-ONYXNG22530UX_69365	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 34MM	SUP-ONYXNG22534UX_69391	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 34MM	SUP-ONYXNG22534UX_69391	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.25 X 38MM	SUP-ONYXNG22538UX_69398	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.25 X 38MM	SUP-ONYXNG22538UX_69398	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 8MM	SUP-ONYXNG25008UX_69306	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 8MM	SUP-ONYXNG25008UX_69306	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 12MM	SUP-ONYXNG25012UX_69313	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 12MM	SUP-ONYXNG25012UX_69313	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 15MM	SUP-ONYXNG25015UX_69322	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 15MM	SUP-ONYXNG25015UX_69322	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 18MM	SUP-ONYXNG25018UX_69335	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 18MM	SUP-ONYXNG25018UX_69335	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 22MM	SUP-ONYXNG25022UX_69345	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 22MM	SUP-ONYXNG25022UX_69345	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 26MM	SUP-ONYXNG25026UX_69357	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 26MM	SUP-ONYXNG25026UX_69357	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 30MM	SUP-ONYXNG25030UX_69384	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 30MM	SUP-ONYXNG25030UX_69384	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 34MM	SUP-ONYXNG25034UX_69392	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 34MM	SUP-ONYXNG25034UX_69392	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.5 X 38MM	SUP-ONYXNG25038UX_69399	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.5 X 38MM	SUP-ONYXNG25038UX_69399	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 8MM	SUP-ONYXNG27508UX_69307	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 8MM	SUP-ONYXNG27508UX_69307	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 12MM	SUP-ONYXNG27512UX_69314	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 12MM	SUP-ONYXNG27512UX_69314	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 15MM	SUP-ONYXNG27515UX_69323	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 15MM	SUP-ONYXNG27515UX_69323	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 18MM	SUP-ONYXNG27518UX_69336	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 18MM	SUP-ONYXNG27518UX_69336	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 22MM	SUP-ONYXNG27522UX_69346	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 22MM	SUP-ONYXNG27522UX_69346	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 26MM	SUP-ONYXNG27526UX_69358	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 26MM	SUP-ONYXNG27526UX_69358	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 30MM	SUP-ONYXNG27530UX_69385	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 30MM	SUP-ONYXNG27530UX_69385	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 34MM	SUP-ONYXNG27534UX_69393	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 34MM	SUP-ONYXNG27534UX_69393	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 2.75 X 38MM	SUP-ONYXNG27538UX_69400	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 2.75 X 38MM	SUP-ONYXNG27538UX_69400	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 8MM	SUP-ONYXNG30008UX_69308	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 8MM	SUP-ONYXNG30008UX_69308	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 12MM	SUP-ONYXNG30012UX_69315	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 12MM	SUP-ONYXNG30012UX_69315	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 15MM	SUP-ONYXNG30015UX_69324	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 15MM	SUP-ONYXNG30015UX_69324	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 18MM	SUP-ONYXNG30018UX_69338	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 18MM	SUP-ONYXNG30018UX_69338	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 22MM	SUP-ONYXNG30022UX_69347	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 22MM	SUP-ONYXNG30022UX_69347	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 26MM	SUP-ONYXNG30026UX_69359	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 26MM	SUP-ONYXNG30026UX_69359	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 30MM	SUP-ONYXNG30030UX_69386	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 30MM	SUP-ONYXNG30030UX_69386	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 34MM	SUP-ONYXNG30034UX_69394	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 34MM	SUP-ONYXNG30034UX_69394	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.0 X 38MM	SUP-ONYXNG30038UX_69401	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.0 X 38MM	SUP-ONYXNG30038UX_69401	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 8MM	SUP-ONYXNG35008UX_69309	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 8MM	SUP-ONYXNG35008UX_69309	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 12MM	SUP-ONYXNG35012UX_69316	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 12MM	SUP-ONYXNG35012UX_69316	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 15MM	SUP-ONYXNG35015UX_69325	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 15MM	SUP-ONYXNG35015UX_69325	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 18MM	SUP-ONYXNG35018UX_69339	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 18MM	SUP-ONYXNG35018UX_69339	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 22MM	SUP-ONYXNG35022UX_69348	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 22MM	SUP-ONYXNG35022UX_69348	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 26MM	SUP-ONYXNG35026UX_69360	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 26MM	SUP-ONYXNG35026UX_69360	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 30MM	SUP-ONYXNG35030UX_69388	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 30MM	SUP-ONYXNG35030UX_69388	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 34MM	SUP-ONYXNG35034UX_69395	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 34MM	SUP-ONYXNG35034UX_69395	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 3.5 X 38MM	SUP-ONYXNG35038UX_69406	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 3.5 X 38MM	SUP-ONYXNG35038UX_69406	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 8MM	SUP-ONYXNG40008UX_69310	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 8MM	SUP-ONYXNG40008UX_69310	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 12MM	SUP-ONYXNG40012UX_69317	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 12MM	SUP-ONYXNG40012UX_69317	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 15MM	SUP-ONYXNG40015UX_69326	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 15MM	SUP-ONYXNG40015UX_69326	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 18MM	SUP-ONYXNG40018UX_69340	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 18MM	SUP-ONYXNG40018UX_69340	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 22MM	SUP-ONYXNG40022UX_69349	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 22MM	SUP-ONYXNG40022UX_69349	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 26MM	SUP-ONYXNG40026UX_69361	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 26MM	SUP-ONYXNG40026UX_69361	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 30MM	SUP-ONYXNG40030UX_69389	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 30MM	SUP-ONYXNG40030UX_69389	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 34MM	SUP-ONYXNG40034UX_69396	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 34MM	SUP-ONYXNG40034UX_69396	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.0 X 38MM	SUP-ONYXNG40038UX_69407	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.0 X 38MM	SUP-ONYXNG40038UX_69407	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.5 X 12MM	SUP-ONYXNG45012UX_69318	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.5 X 12MM	SUP-ONYXNG45012UX_69318	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.5 X 15MM	SUP-ONYXNG45015UX_69327	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.5 X 15MM	SUP-ONYXNG45015UX_69327	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.5 X 18MM	SUP-ONYXNG45018UX_69341	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.5 X 18MM	SUP-ONYXNG45018UX_69341	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.5 X 22MM	SUP-ONYXNG45022UX_69350	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.5 X 22MM	SUP-ONYXNG45022UX_69350	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.5 X 26MM	SUP-ONYXNG45026UX_69362	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.5 X 26MM	SUP-ONYXNG45026UX_69362	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 4.5 X 30MM	SUP-ONYXNG45030UX_69390	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 4.5 X 30MM	SUP-ONYXNG45030UX_69390	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 5.0 X 12MM	SUP-ONYXNG50012UX_69319	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 5.0 X 12MM	SUP-ONYXNG50012UX_69319	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 5.0 X 15MM	SUP-ONYXNG50015UX_69328	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 5.0 X 15MM	SUP-ONYXNG50015UX_69328	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 5.0 X 18MM	SUP-ONYXNG50018UX_69342	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 5.0 X 18MM	SUP-ONYXNG50018UX_69342	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 5.0 X 22MM	SUP-ONYXNG50022UX_69351	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 5.0 X 22MM	SUP-ONYXNG50022UX_69351	CDM			481	RC		inpatient			900	900																																																			
ONYX FRONTIER RX CORONARY STENT 5.0 X 26MM	SUP-ONYXNG50026UX_69363	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
ONYX FRONTIER RX CORONARY STENT 5.0 X 26MM	SUP-ONYXNG50026UX_69363	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RNYX20026UX_53330	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RNYX20026UX_53330	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20008UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20008UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2 MM EXTRA SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX20030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22508UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22508UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22512UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22512UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22515UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22515UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22518UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22518UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22522UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22522UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22526UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22526UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22530UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22530UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22534UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22534UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22538UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID2.25 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX22538UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25008UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25008UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25026UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25026UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25034UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25034UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25038UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID2.5 MM SMALL VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX25038UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27508UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27508UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27512UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27512UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27515UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27515UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27518UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27518UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27522UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27522UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27526UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27526UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27530UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27530UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27534UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27534UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27538UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID2.75 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX27538UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30008UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30008UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30026UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30026UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30034UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30034UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30038UXE	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID3 MM MEDIUM VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX30038UXE	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35008UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35008UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35026UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35026UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35034UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35034UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35038UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID3.5 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX35038UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40008UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L8 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40008UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40026UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40026UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40034UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L34 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40034UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40038UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L38 MM L140 CM ID4 MM LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX40038UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45026UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45026UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID4.5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX45030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50012UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L12 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50012UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50015UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L15 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50015UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50018UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L18 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50018UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50022UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L22 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50022UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50026UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L26 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50026UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50030UX	CDM			481	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE ONYX BIOLINX ZOTAROLIMUS COCR L30 MM L140 CM ID5 MM EXTRA LARGE VESSEL RAPID EXCHANGE DELIVERY SYSTEM RADIOPAQUE 1 ACCESS PORT ACCEPTS .014 IN GUIDEWIRE 5 FR GUIDE CATHETER	SUP-RONYX50030UX	CDM			481	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L8 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22508UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L8 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22508UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22512UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22512UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L14 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22514UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L14 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22514UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22518UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22518UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22522UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22522UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22526UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22526UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22530UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID2.25 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT22530UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L8 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25008UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L8 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25008UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25012UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25012UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L14 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25014UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L14 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25014UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25018UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25018UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25022UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25022UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25026UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25026UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25030UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID2.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT25030UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L8 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27508UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L8 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27508UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27512UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27512UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L14 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27514UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L14 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27514UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27518UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27518UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27522UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27522UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27526UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27526UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27530UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID2.75 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT27530UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L9 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30009UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L9 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30009UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30012UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30012UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L15 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30015UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L15 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30015UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30018UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30018UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30022UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30022UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30026UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30026UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30030UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID3 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT30030UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L9 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35009UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L9 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35009UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35012UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35012UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L15 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35015UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L15 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35015UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35018UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35018UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35022UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35022UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35026UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L26 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35026UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35030UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID3.5 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT35030UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L9 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40009UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L9 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40009UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40012UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L12 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40012UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L15 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40015UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L15 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40015UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40018UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L18 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40018UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40022UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L22 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40022UX	CDM			270	RC		inpatient			900	900																																																			
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40030UX	CDM			270	RC		outpatient			900	9	243.81				percent of total billed charges		900				other	OPPS APC	666				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	243.81				percent of total billed charges		248.67				percent of total billed charges		9				other	OPPS APC	9	900	
SYSTEM CORONARY STENT RESOLUTE INTEGRITY MICROTRAC ZOTAROLIMUS ELUTING COCR L30 MM L140 CM OD2.7-2.1 FR ID4 MM 1 STRAND RAPID EXCHANGE INTEGRATE TIP LOW PROFILE ACCEPTS .014 IN GUIDEWIRE	SUP-RSINT40030UX	CDM			270	RC		inpatient			900	900																																																			
LV WORLEY RENAL CURVE INTRODUCER KIT _62560_	SUP-WORLVI-75-5-62-55-RE	CDM			275	RC		outpatient			900	9	441				percent of total billed charges		900				other	OPPS APC	513				percent of total billed charges		900				other	OPPS APC	900				other	OPPS APC	441				percent of total billed charges		459				percent of total billed charges		9				other	OPPS APC	9	900	
LV WORLEY RENAL CURVE INTRODUCER KIT _62560_	SUP-WORLVI-75-5-62-55-RE	CDM			275	RC		inpatient			900	900																																																			
STAPLER INTERNAL CONTOUR CURVE 40MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 4 ROW LINEAR CUTTER	SUP-CS40B	CDM			270	RC		outpatient			899.7	899.75	243.73				percent of total billed charges		899.7				other	OPPS APC	665.78				percent of total billed charges		899.7				other	OPPS APC	899.7				other	OPPS APC	243.73				percent of total billed charges		248.59				percent of total billed charges		899.75				other	OPPS APC	243.73	899.75	
STAPLER INTERNAL CONTOUR CURVE 40MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 4 ROW LINEAR CUTTER	SUP-CS40B	CDM			270	RC		inpatient			899.7	899.7																																																			
STAPLER INTERNAL CONTOUR CURVE 40MMX4.7MM 2MM GREEN TITANIUM DISPOSABLE STERILE LF THICK TISSUE 4 ROW LINEAR CUTTER	SUP-CS40G	CDM			270	RC		outpatient			899.7	899.75	243.73				percent of total billed charges		899.7				other	OPPS APC	665.78				percent of total billed charges		899.7				other	OPPS APC	899.7				other	OPPS APC	243.73				percent of total billed charges		248.59				percent of total billed charges		899.75				other	OPPS APC	243.73	899.75	
STAPLER INTERNAL CONTOUR CURVE 40MMX4.7MM 2MM GREEN TITANIUM DISPOSABLE STERILE LF THICK TISSUE 4 ROW LINEAR CUTTER	SUP-CS40G	CDM			270	RC		inpatient			899.7	899.7																																																			
KIT TOTAL KNEE	SUP-85-00003	CDM			272	RC		outpatient			898.08	898.84	243.29				percent of total billed charges		898.08				other	OPPS APC	664.58				percent of total billed charges		898.08				other	OPPS APC	898.08				other	OPPS APC	243.29				percent of total billed charges		248.14				percent of total billed charges		898.84				other	OPPS APC	243.29	898.84	
KIT TOTAL KNEE	SUP-85-00003	CDM			272	RC		inpatient			898.08	898.08																																																			
HC Common Femoral  Ipsilateral	PX-361361401	CDM	36140	CPT	361	RC		outpatient			897	897	283.27				percent of total billed charges		897				other	OPPS APC	897				fee schedule		897				other	OPPS APC	897				other	OPPS APC	283.27				percent of total billed charges		288.92				percent of total billed charges		897				other	OPPS APC	283.27	897	
HC Common Femoral  Ipsilateral	PX-361361401	CDM	36140	CPT	361	RC		inpatient			897	897																																																			
HC Tc99 Tilmanocept Diag 0.5mci	PX-343A95200	CDM			343	RC		outpatient			896	896	218.36				percent of total billed charges		896				other	OPPS APC	663.04				percent of total billed charges		896				other	OPPS APC	896				other	OPPS APC	218.36				percent of total billed charges		222.75				percent of total billed charges		896				other	OPPS APC	218.36	896	
HC Tc99 Tilmanocept Diag 0.5mci	PX-343A95200	CDM			343	RC		inpatient			896	896																																																			
PLATE 6 HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-01817	CDM			278	RC		outpatient			895.05	895.5	895.05				fee schedule		895.05				other	OPPS APC	510.18				percent of total billed charges		895.05				other	OPPS APC	895.05				other	OPPS APC	438.57				percent of total billed charges		456.48				percent of total billed charges		895.5				other	OPPS APC	438.57	895.5	
PLATE 6 HOLE STRAIGHT 1/3 TUBULAR B&R	SUP-97-01817	CDM			278	RC		inpatient			895.05	895.05																																																			
PLATE 8 HOLE 1/3 TUBULAR	SUP-97-02632	CDM			278	RC		outpatient			895.05	895.5	895.05				fee schedule		895.05				other	OPPS APC	510.18				percent of total billed charges		895.05				other	OPPS APC	895.05				other	OPPS APC	438.57				percent of total billed charges		456.48				percent of total billed charges		895.5				other	OPPS APC	438.57	895.5	
PLATE 8 HOLE 1/3 TUBULAR	SUP-97-02632	CDM			278	RC		inpatient			895.05	895.05																																																			
HC Tn Theraskin .50x.50= 3 Cm per Sq Cm	PX-636Q41213	CDM			636	RC		outpatient			895	895	895				fee schedule		895				other	OPPS APC	49.33				fee schedule		895				other	OPPS APC	895				other	OPPS APC	438.55				percent of total billed charges		222.5				percent of total billed charges		895				other	OPPS APC	49.33	895	
HC Tn Theraskin .50x.50= 3 Cm per Sq Cm	PX-636Q41213	CDM			636	RC		inpatient			895	895																																																			
STYLET DISPOSABLE	SUP-55797	CDM			270	RC		outpatient			895	895	242.46				percent of total billed charges		895				other	OPPS APC	662.3				percent of total billed charges		895				other	OPPS APC	895				other	OPPS APC	242.46				percent of total billed charges		247.29				percent of total billed charges		895				other	OPPS APC	242.46	895	
STYLET DISPOSABLE	SUP-55797	CDM			270	RC		inpatient			895	895																																																			
PIN FIXATION EVOS LARGE L 14 MM OD 3.5 MM PROVISIONAL TARGETER STERILE LATEX DISPOSABLE	SUP-71177725	CDM			270	RC		outpatient			894	894	242.18				percent of total billed charges		894				other	OPPS APC	661.56				percent of total billed charges		894				other	OPPS APC	894				other	OPPS APC	242.18				percent of total billed charges		247.01				percent of total billed charges		894				other	OPPS APC	242.18	894	
PIN FIXATION EVOS LARGE L 14 MM OD 3.5 MM PROVISIONAL TARGETER STERILE LATEX DISPOSABLE	SUP-71177725	CDM			270	RC		inpatient			894	894																																																			
BIT DRILL EVOS LARGE OD 4.5 MM TARGETER AO QUICK OVER STERILE LATEX FREE DISPOSABLE	SUP-71177737	CDM			270	RC		outpatient			894	894	242.18				percent of total billed charges		894				other	OPPS APC	661.56				percent of total billed charges		894				other	OPPS APC	894				other	OPPS APC	242.18				percent of total billed charges		247.01				percent of total billed charges		894				other	OPPS APC	242.18	894	
BIT DRILL EVOS LARGE OD 4.5 MM TARGETER AO QUICK OVER STERILE LATEX FREE DISPOSABLE	SUP-71177737	CDM			270	RC		inpatient			894	894																																																			
BIT DRILL SURGICAL EVOS LARGE OD 2.5 MM TARGETER AO QUICK STERILE LATEX FREE DISPOSABLE	SUP-71177752	CDM			270	RC		outpatient			894	894	242.18				percent of total billed charges		894				other	OPPS APC	661.56				percent of total billed charges		894				other	OPPS APC	894				other	OPPS APC	242.18				percent of total billed charges		247.01				percent of total billed charges		894				other	OPPS APC	242.18	894	
BIT DRILL SURGICAL EVOS LARGE OD 2.5 MM TARGETER AO QUICK STERILE LATEX FREE DISPOSABLE	SUP-71177752	CDM			270	RC		inpatient			894	894																																																			
BIT DRILL EVOS LARGE OD 4.5 MM TARGETER AO QUICK STERILE LATEX FREE DISPOSABLE	SUP-71177765	CDM			270	RC		outpatient			894	894	242.18				percent of total billed charges		894				other	OPPS APC	661.56				percent of total billed charges		894				other	OPPS APC	894				other	OPPS APC	242.18				percent of total billed charges		247.01				percent of total billed charges		894				other	OPPS APC	242.18	894	
BIT DRILL EVOS LARGE OD 4.5 MM TARGETER AO QUICK STERILE LATEX FREE DISPOSABLE	SUP-71177765	CDM			270	RC		inpatient			894	894																																																			
TRAY CATHETER ARGYLE SWAN NECK CURL L122.3 CM OD15 FR PRESTERNAL CUFF STERILE LATEX FREE DISPOSABLE	SUP-8888111132	CDM			270	RC		outpatient			893.86	893.86	242.15				percent of total billed charges		893.86				other	OPPS APC	661.46				percent of total billed charges		893.86				other	OPPS APC	893.86				other	OPPS APC	242.15				percent of total billed charges		246.97				percent of total billed charges		893.86				other	OPPS APC	242.15	893.86	
TRAY CATHETER ARGYLE SWAN NECK CURL L122.3 CM OD15 FR PRESTERNAL CUFF STERILE LATEX FREE DISPOSABLE	SUP-8888111132	CDM			270	RC		inpatient			893.86	893.86																																																			
KIT TOTAL HIP	SUP-85-00004	CDM			272	RC		outpatient			893.25	893.25	241.98				percent of total billed charges		893.25				other	OPPS APC	661.01				percent of total billed charges		893.25				other	OPPS APC	893.25				other	OPPS APC	241.98				percent of total billed charges		246.8				percent of total billed charges		893.25				other	OPPS APC	241.98	893.25	
KIT TOTAL HIP	SUP-85-00004	CDM			272	RC		inpatient			893.25	893.25																																																			
PLATE BONE LC-DCP STAINLESS STEEL RIGHT ANGLE T L75 MM X W10 MM X H1.2 MM 4 HOLE HEAD 6 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.16	CDM	270010022	LOCAL	270	RC		outpatient			892.1	892.12	241.67				percent of total billed charges		892.1				other	OPPS APC	660.15				percent of total billed charges		892.1				other	OPPS APC	892.1				other	OPPS APC	241.67				percent of total billed charges		246.49				percent of total billed charges		892.12				other	OPPS APC	241.67	892.12	
PLATE BONE LC-DCP STAINLESS STEEL RIGHT ANGLE T L75 MM X W10 MM X H1.2 MM 4 HOLE HEAD 6 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.16	CDM	270010022	LOCAL	270	RC		inpatient			892.1	892.1																																																			
PLATE BONE LC-DCP TITANIUM L36 MM X W5.5 MM X H1.25 MM HAND 6 HOLE NONSTERILE 2 MM SCREW	SUP-449.936	CDM	270010022	LOCAL	270	RC		outpatient			892.1	892.12	241.67				percent of total billed charges		892.1				other	OPPS APC	660.15				percent of total billed charges		892.1				other	OPPS APC	892.1				other	OPPS APC	241.67				percent of total billed charges		246.49				percent of total billed charges		892.12				other	OPPS APC	241.67	892.12	
PLATE BONE LC-DCP TITANIUM L36 MM X W5.5 MM X H1.25 MM HAND 6 HOLE NONSTERILE 2 MM SCREW	SUP-449.936	CDM	270010022	LOCAL	270	RC		inpatient			892.1	892.1																																																			
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 110 MM X W 10.2 MM X H 2.8MM 10 HOLE RECONSTRUCTION STERILE 3.5MM SCREW	SUP-72440910	CDM			270	RC		outpatient			892	892	241.64				percent of total billed charges		892				other	OPPS APC	660.08				percent of total billed charges		892				other	OPPS APC	892				other	OPPS APC	241.64				percent of total billed charges		246.46				percent of total billed charges		892				other	OPPS APC	241.64	892	
PLATE BONE EVOS STAINLESS STEEL 11 MM SPACE L 110 MM X W 10.2 MM X H 2.8MM 10 HOLE RECONSTRUCTION STERILE 3.5MM SCREW	SUP-72440910	CDM			270	RC		inpatient			892	892																																																			
INTRODUCER SHEATH CHECK-FLO XL 25CM 41CM 22FR AQ DISPOSABLE STERILE DILATOR NONTAPER	SUP-G12831	CDM			270	RC		outpatient			892	892	241.64				percent of total billed charges		892				other	OPPS APC	660.08				percent of total billed charges		892				other	OPPS APC	892				other	OPPS APC	241.64				percent of total billed charges		246.46				percent of total billed charges		892				other	OPPS APC	241.64	892	
INTRODUCER SHEATH CHECK-FLO XL 25CM 41CM 22FR AQ DISPOSABLE STERILE DILATOR NONTAPER	SUP-G12831	CDM			270	RC		inpatient			892	892																																																			
4.0MM LOCKING SCREW 26MM	SUP-97-03325	CDM			278	RC		outpatient			891	891	891				fee schedule		891				other	OPPS APC	507.87				percent of total billed charges		891				other	OPPS APC	891				other	OPPS APC	436.59				percent of total billed charges		454.41				percent of total billed charges		891				other	OPPS APC	436.59	891	
4.0MM LOCKING SCREW 26MM	SUP-97-03325	CDM			278	RC		inpatient			891	891																																																			
4.0MM LOCKING SCREW 32MM	SUP-97-03326	CDM			278	RC		outpatient			891	891	891				fee schedule		891				other	OPPS APC	507.87				percent of total billed charges		891				other	OPPS APC	891				other	OPPS APC	436.59				percent of total billed charges		454.41				percent of total billed charges		891				other	OPPS APC	436.59	891	
4.0MM LOCKING SCREW 32MM	SUP-97-03326	CDM			278	RC		inpatient			891	891																																																			
MESH SURGICAL COMPOSIX L/P POLYPROPYLENE EPTFE ELLIPSE L6.2 IN X W4.2 IN PATCH LOW PROFILE LIGHTWEIGHT BIOCOMPATIBLE HERNIA	SUP-0134460	CDM			270	RC		outpatient			890	89	241.1				percent of total billed charges		890				other	OPPS APC	658.6				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	241.1				percent of total billed charges		245.91				percent of total billed charges		89				other	OPPS APC	89	890	
MESH SURGICAL COMPOSIX L/P POLYPROPYLENE EPTFE ELLIPSE L6.2 IN X W4.2 IN PATCH LOW PROFILE LIGHTWEIGHT BIOCOMPATIBLE HERNIA	SUP-0134460	CDM			270	RC		inpatient			890	890																																																			
LEAD PACING DEXTRUS SILICONE 10 MM SPACE HELIX L45 CM OD6.7 FR ATRIUM VENTRICLE RIGHT EXTENDABLE RETRACTABLE ACTIVE FIXATION RADIOPAQUE BIPOLAR	SUP-4135	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING DEXTRUS SILICONE 10 MM SPACE HELIX L45 CM OD6.7 FR ATRIUM VENTRICLE RIGHT EXTENDABLE RETRACTABLE ACTIVE FIXATION RADIOPAQUE BIPOLAR	SUP-4135	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING DEXTRUS SILICONE 10 MM SPACE HELIX L53 CM OD6.7 FR ATRIUM VENTRICLE RIGHT BIPOLAR EXTENDABLE RETRACTABLE IS-1 CONNECTOR	SUP-4136	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING DEXTRUS SILICONE 10 MM SPACE HELIX L53 CM OD6.7 FR ATRIUM VENTRICLE RIGHT BIPOLAR EXTENDABLE RETRACTABLE IS-1 CONNECTOR	SUP-4136	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING DEXTRUS SILICONE 10 MM SPACE L60 CM OD6.7 FR ATRIUM ENDOCARDIUM VENTRICLE RIGHT IS-1 CONNECTOR OTHER THAN TRANSVENOUS VDD 1 PASS BIPOLAR ACTIVE FIXATION EXTENDABLE	SUP-4137	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING DEXTRUS SILICONE 10 MM SPACE L60 CM OD6.7 FR ATRIUM ENDOCARDIUM VENTRICLE RIGHT IS-1 CONNECTOR OTHER THAN TRANSVENOUS VDD 1 PASS BIPOLAR ACTIVE FIXATION EXTENDABLE	SUP-4137	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING FINELINE II STEROX SILICONE L52 CM OD9 FR RIGHT VENTRICLE ENDOCARDIUM BIPOLAR IS-1 PASSIVE FIXATION TRANSVENOUS VDD 1 PASS PASSIVE FIXATION STERILE DISPOSABLE	SUP-4458	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING FINELINE II STEROX SILICONE L52 CM OD9 FR RIGHT VENTRICLE ENDOCARDIUM BIPOLAR IS-1 PASSIVE FIXATION TRANSVENOUS VDD 1 PASS PASSIVE FIXATION STERILE DISPOSABLE	SUP-4458	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING FINELINE II STEROX STEROID ELUTING SILICONE L58 CM OD7 FR ENDOCARDIAL BIPOLAR PASSIVE FIXATION IS-1	SUP-4459	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING FINELINE II STEROX STEROID ELUTING SILICONE L58 CM OD7 FR ENDOCARDIAL BIPOLAR PASSIVE FIXATION IS-1	SUP-4459	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING FINELINE II STEROX EZ STEROID ELUTING L52 CM OD7 FR RIGHT ATRIUM VENTRICLE ENDOCARDIUM IS-1 CONNECTOR BIPOLAR SCREW FIXATION SILICONE INSULATION STERILE DISPOSABLE	SUP-4473	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING FINELINE II STEROX EZ STEROID ELUTING L52 CM OD7 FR RIGHT ATRIUM VENTRICLE ENDOCARDIUM IS-1 CONNECTOR BIPOLAR SCREW FIXATION SILICONE INSULATION STERILE DISPOSABLE	SUP-4473	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING FINELINE II STEROX EZ STEROID ELUTING SILICONE L58 CM OD7 FR ENDOCARDIAL BIPOLAR ACTIVE FIXATION IS-1	SUP-4474	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING FINELINE II STEROX EZ STEROID ELUTING SILICONE L58 CM OD7 FR ENDOCARDIAL BIPOLAR ACTIVE FIXATION IS-1	SUP-4474	CDM			275	RC		inpatient			890	890																																																			
LEAD PACING FINELINE II STEROX L52 CM OTHER THAN TRANSVENOUS VDD 1 PASS IMPLANTABLE	SUP-4480	CDM			275	RC		outpatient			890	89	436.1				percent of total billed charges		890				other	OPPS APC	507.3				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	436.1				percent of total billed charges		453.9				percent of total billed charges		89				other	OPPS APC	89	890	
LEAD PACING FINELINE II STEROX L52 CM OTHER THAN TRANSVENOUS VDD 1 PASS IMPLANTABLE	SUP-4480	CDM			275	RC		inpatient			890	890																																																			
TUBING ASPIRATION INDIGO L110 IN LATEX FREE	SUP-IST3	CDM			270	RC		outpatient			890	89	241.1				percent of total billed charges		890				other	OPPS APC	658.6				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	241.1				percent of total billed charges		245.91				percent of total billed charges		89				other	OPPS APC	89	890	
TUBING ASPIRATION INDIGO L110 IN LATEX FREE	SUP-IST3	CDM			270	RC		inpatient			890	890																																																			
CATHETER BALLOON DILATATION RELIANT POLYURETHANE L100 CM OD8 FR ODSEC10-46 MM DELIVERY ENDOLEAK SEAL ACCEPTS .038 IN GUIDEWIRE AAA STENT GRAFT SYSTEM	SUP-REL46	CDM			270	RC		outpatient			890	89	241.1				percent of total billed charges		890				other	OPPS APC	658.6				percent of total billed charges		890				other	OPPS APC	890				other	OPPS APC	241.1				percent of total billed charges		245.91				percent of total billed charges		89				other	OPPS APC	89	890	
CATHETER BALLOON DILATATION RELIANT POLYURETHANE L100 CM OD8 FR ODSEC10-46 MM DELIVERY ENDOLEAK SEAL ACCEPTS .038 IN GUIDEWIRE AAA STENT GRAFT SYSTEM	SUP-REL46	CDM			270	RC		inpatient			890	890																																																			
BIT DRILL 170MM 3.2MM 1.7MM NS QUICK COUPLING CANNULATED	SUP-310.65	CDM	270010022	LOCAL	270	RC		outpatient			889.9	889.9	241.07				percent of total billed charges		889.9				other	OPPS APC	658.53				percent of total billed charges		889.9				other	OPPS APC	889.9				other	OPPS APC	241.07				percent of total billed charges		245.88				percent of total billed charges		889.9				other	OPPS APC	241.07	889.9	
BIT DRILL 170MM 3.2MM 1.7MM NS QUICK COUPLING CANNULATED	SUP-310.65	CDM	270010022	LOCAL	270	RC		inpatient			889.9	889.9																																																			
BIT DRILL OD 4 MM CANNULATED STERILE	SUP-71119007	CDM			270	RC		outpatient			888	888	240.56				percent of total billed charges		888				other	OPPS APC	657.12				percent of total billed charges		888				other	OPPS APC	888				other	OPPS APC	240.56				percent of total billed charges		245.35				percent of total billed charges		888				other	OPPS APC	240.56	888	
BIT DRILL OD 4 MM CANNULATED STERILE	SUP-71119007	CDM			270	RC		inpatient			888	888																																																			
GRAFT PARIETEX RECT 20 X 15CM	SUP-97-02683	CDM			278	RC		outpatient			887.88	887.88	887.88				fee schedule		887.88				other	OPPS APC	506.09				percent of total billed charges		887.88				other	OPPS APC	887.88				other	OPPS APC	435.06				percent of total billed charges		452.82				percent of total billed charges		887.88				other	OPPS APC	435.06	887.88	
GRAFT PARIETEX RECT 20 X 15CM	SUP-97-02683	CDM			278	RC		inpatient			887.88	887.88																																																			
TAP SPINAL OASYS OD3.5 MM DRILL BIT	SUP-48560314	CDM	270010020	LOCAL	270	RC		outpatient			887.82	887.83	240.51				percent of total billed charges		887.82				other	OPPS APC	656.99				percent of total billed charges		887.82				other	OPPS APC	887.82				other	OPPS APC	240.51				percent of total billed charges		245.3				percent of total billed charges		887.83				other	OPPS APC	240.51	887.83	
TAP SPINAL OASYS OD3.5 MM DRILL BIT	SUP-48560314	CDM	270010020	LOCAL	270	RC		inpatient			887.82	887.82																																																			
GUIDEWIRE - GLIDEWIRE ADVANTAGE .018X300 ANGLED	SUP-99-03252	CDM			272	RC		outpatient			887.13	887.13	240.32				percent of total billed charges		887.13				other	OPPS APC	656.48				percent of total billed charges		887.13				other	OPPS APC	887.13				other	OPPS APC	240.32				percent of total billed charges		245.11				percent of total billed charges		887.13				other	OPPS APC	240.32	887.13	
GUIDEWIRE - GLIDEWIRE ADVANTAGE .018X300 ANGLED	SUP-99-03252	CDM			272	RC		inpatient			887.13	887.13																																																			
SCREW THREADED 7.3MM X 32MM X 95MM	SUP-97-00379	CDM			278	RC		outpatient			886.83	886.83	886.83				fee schedule		886.83				other	OPPS APC	505.49				percent of total billed charges		886.83				other	OPPS APC	886.83				other	OPPS APC	434.55				percent of total billed charges		452.28				percent of total billed charges		886.83				other	OPPS APC	434.55	886.83	
SCREW THREADED 7.3MM X 32MM X 95MM	SUP-97-00379	CDM			278	RC		inpatient			886.83	886.83																																																			
SCREW THREADED 7.3MM X 32MM X 90MM	SUP-97-00933	CDM			278	RC		outpatient			886.83	886.83	886.83				fee schedule		886.83				other	OPPS APC	505.49				percent of total billed charges		886.83				other	OPPS APC	886.83				other	OPPS APC	434.55				percent of total billed charges		452.28				percent of total billed charges		886.83				other	OPPS APC	434.55	886.83	
SCREW THREADED 7.3MM X 32MM X 90MM	SUP-97-00933	CDM			278	RC		inpatient			886.83	886.83																																																			
SCREW THREAD BONE 7.3MM	SUP-97-00948	CDM			278	RC		outpatient			886.83	886.83	886.83				fee schedule		886.83				other	OPPS APC	505.49				percent of total billed charges		886.83				other	OPPS APC	886.83				other	OPPS APC	434.55				percent of total billed charges		452.28				percent of total billed charges		886.83				other	OPPS APC	434.55	886.83	
SCREW THREAD BONE 7.3MM	SUP-97-00948	CDM			278	RC		inpatient			886.83	886.83																																																			
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L134 MM X W17.5 MM X H5.2 MM 7 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.571	CDM	270010022	LOCAL	270	RC		outpatient			886.6	886.62	240.18				percent of total billed charges		886.6				other	OPPS APC	656.08				percent of total billed charges		886.6				other	OPPS APC	886.6				other	OPPS APC	240.18				percent of total billed charges		244.97				percent of total billed charges		886.62				other	OPPS APC	240.18	886.62	
PLATE BONE LCP COMBI STAINLESS STEEL BROAD L134 MM X W17.5 MM X H5.2 MM 7 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-226.571	CDM	270010022	LOCAL	270	RC		inpatient			886.6	886.6																																																			
MESH ANATOMICAL LEFT 16X12	SUP-LPG1612AL	CDM			270	RC		outpatient			886.42	886.42	240.13				percent of total billed charges		886.42				other	OPPS APC	655.95				percent of total billed charges		886.42				other	OPPS APC	886.42				other	OPPS APC	240.13				percent of total billed charges		244.92				percent of total billed charges		886.42				other	OPPS APC	240.13	886.42	
MESH ANATOMICAL LEFT 16X12	SUP-LPG1612AL	CDM			270	RC		inpatient			886.42	886.42																																																			
MESH ANATOMICAL RIGHT 16X13	SUP-LPG1612AR	CDM			270	RC		outpatient			886.42	886.42	240.13				percent of total billed charges		886.42				other	OPPS APC	655.95				percent of total billed charges		886.42				other	OPPS APC	886.42				other	OPPS APC	240.13				percent of total billed charges		244.92				percent of total billed charges		886.42				other	OPPS APC	240.13	886.42	
MESH ANATOMICAL RIGHT 16X13	SUP-LPG1612AR	CDM			270	RC		inpatient			886.42	886.42																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L40 CM ID4-6 MM LINE STERILE LATEX FREE	SUP-V46040L	CDM			270	RC		outpatient			886	886	240.02				percent of total billed charges		886				other	OPPS APC	655.64				percent of total billed charges		886				other	OPPS APC	886				other	OPPS APC	240.02				percent of total billed charges		244.8				percent of total billed charges		886				other	OPPS APC	240.02	886	
GRAFT VASCULAR GORE-TEX STANDARD WALL TAPER L40 CM ID4-6 MM LINE STERILE LATEX FREE	SUP-V46040L	CDM			270	RC		inpatient			886	886																																																			
COBLATION WAND PTR EIC-4835	SUP-77-00034	CDM			272	RC		outpatient			885.78	885.78	239.96				percent of total billed charges		885.78				other	OPPS APC	655.48				percent of total billed charges		885.78				other	OPPS APC	885.78				other	OPPS APC	239.96				percent of total billed charges		244.74				percent of total billed charges		885.78				other	OPPS APC	239.96	885.78	
COBLATION WAND PTR EIC-4835	SUP-77-00034	CDM			272	RC		inpatient			885.78	885.78																																																			
KIT DISPOSABLE INSTRUMENT	SUP-95-04275	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
KIT DISPOSABLE INSTRUMENT	SUP-95-04275	CDM			272	RC		inpatient			885	885																																																			
KIT DISPOSABLE CURVED KNOTLESS HIP FIBERTAK	SUP-95-05287	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
KIT DISPOSABLE CURVED KNOTLESS HIP FIBERTAK	SUP-95-05287	CDM			272	RC		inpatient			885	885																																																			
DRILL AND PASSING WIRE CANNULATED 2.4MM	SUP-95-05356	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
DRILL AND PASSING WIRE CANNULATED 2.4MM	SUP-95-05356	CDM			272	RC		inpatient			885	885																																																			
SUTURE PASSER CAPSULESTITCH	SUP-95-05360	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
SUTURE PASSER CAPSULESTITCH	SUP-95-05360	CDM			272	RC		inpatient			885	885																																																			
SCREW 7 X 20MM BC IF VENTED	SUP-97-03587	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 7 X 20MM BC IF VENTED	SUP-97-03587	CDM			278	RC		inpatient			885	885																																																			
SCREW 8X20MM BC IF VENTED	SUP-97-04157	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 8X20MM BC IF VENTED	SUP-97-04157	CDM			278	RC		inpatient			885	885																																																			
SCREW 10 X 20MM BC IF VENTED	SUP-97-04229	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 10 X 20MM BC IF VENTED	SUP-97-04229	CDM			278	RC		inpatient			885	885																																																			
SCREW 10 X 30MM BC IF VENTED	SUP-97-04230	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 10 X 30MM BC IF VENTED	SUP-97-04230	CDM			278	RC		inpatient			885	885																																																			
SCREW 11 X 30MM BC IF VENTED	SUP-97-04231	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 11 X 30MM BC IF VENTED	SUP-97-04231	CDM			278	RC		inpatient			885	885																																																			
SCREW 9 X 20MM BC IF VENTED	SUP-97-04640	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 9 X 20MM BC IF VENTED	SUP-97-04640	CDM			278	RC		inpatient			885	885																																																			
SCREW 12 X 30MM BC IF VENTED	SUP-97-04641	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 12 X 30MM BC IF VENTED	SUP-97-04641	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0X12	SUP-97-05319	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0X12	SUP-97-05319	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0X14	SUP-97-05320	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0X14	SUP-97-05320	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0X16	SUP-97-05321	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0X16	SUP-97-05321	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0X18	SUP-97-05322	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0X18	SUP-97-05322	CDM			278	RC		inpatient			885	885																																																			
KREULOCK SCREW TI 3.5X12	SUP-97-05325	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
KREULOCK SCREW TI 3.5X12	SUP-97-05325	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 20	SUP-97-05469	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 20	SUP-97-05469	CDM			278	RC		inpatient			885	885																																																			
SCREW 3.0 X 22MM HYBRID VAL KREULOCK	SUP-97-05808	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 3.0 X 22MM HYBRID VAL KREULOCK	SUP-97-05808	CDM			278	RC		inpatient			885	885																																																			
SCREW 3.0 X 14MM HYBRID VAL KREULOCK	SUP-97-05809	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 3.0 X 14MM HYBRID VAL KREULOCK	SUP-97-05809	CDM			278	RC		inpatient			885	885																																																			
SCREW 3.0 X 16MM HYBRID VAL KREULOCK	SUP-97-05810	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 3.0 X 16MM HYBRID VAL KREULOCK	SUP-97-05810	CDM			278	RC		inpatient			885	885																																																			
SCREW 3.0 X 18MM HYBRID VAL KREULOCK	SUP-97-05811	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 3.0 X 18MM HYBRID VAL KREULOCK	SUP-97-05811	CDM			278	RC		inpatient			885	885																																																			
SCREW 3.0 X 24MM HYBRID VAL KREULOCK	SUP-97-05812	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 3.0 X 24MM HYBRID VAL KREULOCK	SUP-97-05812	CDM			278	RC		inpatient			885	885																																																			
SCREW 8 X 30MM BC IF VENTED	SUP-97-05862	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 8 X 30MM BC IF VENTED	SUP-97-05862	CDM			278	RC		inpatient			885	885																																																			
SCREW KREULOCK 3.5 X 16	SUP-97-06159	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW KREULOCK 3.5 X 16	SUP-97-06159	CDM			278	RC		inpatient			885	885																																																			
SCREW INTERFERENCE 7 X 30MM	SUP-97-06238	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW INTERFERENCE 7 X 30MM	SUP-97-06238	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 14MM VAL KREULOCK TI	SUP-97-06248	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 14MM VAL KREULOCK TI	SUP-97-06248	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 12MM VAL KREULOCK TI	SUP-97-06250	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 12MM VAL KREULOCK TI	SUP-97-06250	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 16MM VAL KREULOCK TI	SUP-97-06251	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 16MM VAL KREULOCK TI	SUP-97-06251	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 10MM VAL KREULOCK TI	SUP-97-06371	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 10MM VAL KREULOCK TI	SUP-97-06371	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 10	SUP-97-06401	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 10	SUP-97-06401	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 22	SUP-97-06402	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 22	SUP-97-06402	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 24	SUP-97-06403	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 24	SUP-97-06403	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 26	SUP-97-06404	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 26	SUP-97-06404	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 28	SUP-97-06405	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 28	SUP-97-06405	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 30	SUP-97-06406	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 30	SUP-97-06406	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 32	SUP-97-06407	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 32	SUP-97-06407	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 34	SUP-97-06408	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 34	SUP-97-06408	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 36	SUP-97-06409	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 36	SUP-97-06409	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 38	SUP-97-06410	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 38	SUP-97-06410	CDM			278	RC		inpatient			885	885																																																			
SCREW VAL KREULOCK TI 3.0 X 40	SUP-97-06411	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW VAL KREULOCK TI 3.0 X 40	SUP-97-06411	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 18MM VAL KREULOCK TI	SUP-97-06426	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 18MM VAL KREULOCK TI	SUP-97-06426	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 20MM VAL KREULOCK TI	SUP-97-06427	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 20MM VAL KREULOCK TI	SUP-97-06427	CDM			278	RC		inpatient			885	885																																																			
SCREW 2.4 X 22MM VAL KREULOCK TI	SUP-97-06428	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW 2.4 X 22MM VAL KREULOCK TI	SUP-97-06428	CDM			278	RC		inpatient			885	885																																																			
SCREW INTERFERENCE 9 X 30MM BC VENTED	SUP-97-06429	CDM			278	RC		outpatient			885	885	885				fee schedule		885				other	OPPS APC	504.45				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	433.65				percent of total billed charges		451.35				percent of total billed charges		885				other	OPPS APC	433.65	885	
SCREW INTERFERENCE 9 X 30MM BC VENTED	SUP-97-06429	CDM			278	RC		inpatient			885	885																																																			
CATHETER - TWIN-PASS	SUP-99-00643	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
CATHETER - TWIN-PASS	SUP-99-00643	CDM			272	RC		inpatient			885	885																																																			
CATHETER - USHER STRAIGHT (CROSSER)	SUP-99-01283	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
CATHETER - USHER STRAIGHT (CROSSER)	SUP-99-01283	CDM			272	RC		inpatient			885	885																																																			
CATHETER - USHER ANGLED (CROSSER)	SUP-99-01924	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
CATHETER - USHER ANGLED (CROSSER)	SUP-99-01924	CDM			272	RC		inpatient			885	885																																																			
BALLOON - GLIDER RX 2.0X8	SUP-99-02063	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
BALLOON - GLIDER RX 2.0X8	SUP-99-02063	CDM			272	RC		inpatient			885	885																																																			
BALLOON - SABER 6.0X100	SUP-99-02223	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
BALLOON - SABER 6.0X100	SUP-99-02223	CDM			272	RC		inpatient			885	885																																																			
BALLOON - SABER 7.0X80	SUP-99-02225	CDM			272	RC		outpatient			885	885	239.75				percent of total billed charges		885				other	OPPS APC	654.9				percent of total billed charges		885				other	OPPS APC	885				other	OPPS APC	239.75				percent of total billed charges		244.53				percent of total billed charges		885				other	OPPS APC	239.75	885	
BALLOON - SABER 7.0X80	SUP-99-02225	CDM			272	RC		inpatient			885	885																																																			
COVER BURR HOLE MATRIXNEURO TITANIUM H.4 MM OD15 MM CRANIOMAXILLOFACIAL NONSTERILE BLUE	SUP-04.503.022	CDM	270010013	LOCAL	270	RC		outpatient			884	884	239.48				percent of total billed charges		884				other	OPPS APC	654.16				percent of total billed charges		884				other	OPPS APC	884				other	OPPS APC	239.48				percent of total billed charges		244.25				percent of total billed charges		884				other	OPPS APC	239.48	884	
COVER BURR HOLE MATRIXNEURO TITANIUM H.4 MM OD15 MM CRANIOMAXILLOFACIAL NONSTERILE BLUE	SUP-04.503.022	CDM	270010013	LOCAL	270	RC		inpatient			884	884																																																			
COVER BURR HOLE MATRIXNEURO TITANIUM H.4 MM OD17 MM CRANIOMAXILLOFACIAL BLUE	SUP-04.503.023	CDM	270010013	LOCAL	270	RC		outpatient			884	884	239.48				percent of total billed charges		884				other	OPPS APC	654.16				percent of total billed charges		884				other	OPPS APC	884				other	OPPS APC	239.48				percent of total billed charges		244.25				percent of total billed charges		884				other	OPPS APC	239.48	884	
COVER BURR HOLE MATRIXNEURO TITANIUM H.4 MM OD17 MM CRANIOMAXILLOFACIAL BLUE	SUP-04.503.023	CDM	270010013	LOCAL	270	RC		inpatient			884	884																																																			
COVER BURR HOLE MATRIXNEURO TITANIUM OD24 MM CRANIAL BLUE	SUP-04.503.024	CDM	270010013	LOCAL	270	RC		outpatient			884	884	239.48				percent of total billed charges		884				other	OPPS APC	654.16				percent of total billed charges		884				other	OPPS APC	884				other	OPPS APC	239.48				percent of total billed charges		244.25				percent of total billed charges		884				other	OPPS APC	239.48	884	
COVER BURR HOLE MATRIXNEURO TITANIUM OD24 MM CRANIAL BLUE	SUP-04.503.024	CDM	270010013	LOCAL	270	RC		inpatient			884	884																																																			
COVER BURR HOLE MATRIXNEURO TITANIUM OD17 MM SHUNT NONSTERILE BLUE	SUP-04.503.028	CDM	270010013	LOCAL	270	RC		outpatient			884	884	239.48				percent of total billed charges		884				other	OPPS APC	654.16				percent of total billed charges		884				other	OPPS APC	884				other	OPPS APC	239.48				percent of total billed charges		244.25				percent of total billed charges		884				other	OPPS APC	239.48	884	
COVER BURR HOLE MATRIXNEURO TITANIUM OD17 MM SHUNT NONSTERILE BLUE	SUP-04.503.028	CDM	270010013	LOCAL	270	RC		inpatient			884	884																																																			
PLATE BONE LCP COMBI STAINLESS STEEL NARROW L170 MM X W13.5 MM X H4.2 MM 9 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-224.591	CDM	270010022	LOCAL	270	RC		outpatient			883.68	883.68	239.39				percent of total billed charges		883.68				other	OPPS APC	653.92				percent of total billed charges		883.68				other	OPPS APC	883.68				other	OPPS APC	239.39				percent of total billed charges		244.16				percent of total billed charges		883.68				other	OPPS APC	239.39	883.68	
PLATE BONE LCP COMBI STAINLESS STEEL NARROW L170 MM X W13.5 MM X H4.2 MM 9 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT SET	SUP-224.591	CDM	270010022	LOCAL	270	RC		inpatient			883.68	883.68																																																			
PLATE BONE STAINLESS STEEL L65 MM X W10.2 MM X H2.7 MM PELVIC 5 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.025	CDM	270010022	LOCAL	270	RC		outpatient			883.3	883.3	239.29				percent of total billed charges		883.3				other	OPPS APC	653.64				percent of total billed charges		883.3				other	OPPS APC	883.3				other	OPPS APC	239.29				percent of total billed charges		244.06				percent of total billed charges		883.3				other	OPPS APC	239.29	883.3	
PLATE BONE STAINLESS STEEL L65 MM X W10.2 MM X H2.7 MM PELVIC 5 HOLE LOW PROFILE RECONSTRUCTION NONSTERILE 3.5 MM SCREW	SUP-245.025	CDM	270010022	LOCAL	270	RC		inpatient			883.3	883.3																																																			
COBLATION WAND PROCISE XP	SUP-77-00035	CDM			272	RC		outpatient			882.6	882.62	239.1				percent of total billed charges		882.6				other	OPPS APC	653.12				percent of total billed charges		882.6				other	OPPS APC	882.6				other	OPPS APC	239.1				percent of total billed charges		243.86				percent of total billed charges		882.62				other	OPPS APC	239.1	882.62	
COBLATION WAND PROCISE XP	SUP-77-00035	CDM			272	RC		inpatient			882.6	882.6																																																			
Repair Simple Scalp/Neck/Ax/Genit/Trunk 20.1-30.0 Cm	PX-450120061	CDM	12006	CPT	450	RC		outpatient			882.5	882.5	195.77				case rate		882.5				other	OPPS APC	653.05				percent of total billed charges		882.5				other	OPPS APC	882.5				other	OPPS APC	195.77				case rate		199.69				case rate		882.5				other	OPPS APC	195.77	882.5	
Repair Simple Scalp/Neck/Ax/Genit/Trunk 20.1-30.0 Cm	PX-450120061	CDM	12006	CPT	450	RC		inpatient			882.5	882.5																																																			
Repair Intermediate Scalp/Ax/Trunk/Extrem 12.6-20.0 Cm	PX-450120351	CDM	12035	CPT	450	RC		outpatient			882.5	882.5	195.77				case rate		882.5				other	OPPS APC	653.05				percent of total billed charges		882.5				other	OPPS APC	882.5				other	OPPS APC	195.77				case rate		199.69				case rate		882.5				other	OPPS APC	195.77	882.5	
Repair Intermediate Scalp/Ax/Trunk/Extrem 12.6-20.0 Cm	PX-450120351	CDM	12035	CPT	450	RC		inpatient			882.5	882.5																																																			
COCAINE 4 % SOLUTION 4 ML BOTTLE	637000000	CDM	70839-362-04	NDC	A9270	HCPCS		inpatient			882	882																																																			
COCAINE 4 % SOLUTION 4 ML BOTTLE	637000000	CDM	70839-362-04	NDC	A9270	HCPCS		outpatient			882	882																																															other	OPPS APC			
END MILL HRIS CANN 12.7 X 330MM	SUP-95-04750	CDM			272	RC		outpatient			882	882	238.93				percent of total billed charges		882				other	OPPS APC	652.68				percent of total billed charges		882				other	OPPS APC	882				other	OPPS APC	238.93				percent of total billed charges		243.7				percent of total billed charges		882				other	OPPS APC	238.93	882	
END MILL HRIS CANN 12.7 X 330MM	SUP-95-04750	CDM			272	RC		inpatient			882	882																																																			
HRIS CANN END MILL 9.5 X 330MM	SUP-97-05056	CDM			272	RC		outpatient			882	882	238.93				percent of total billed charges		882				other	OPPS APC	652.68				percent of total billed charges		882				other	OPPS APC	882				other	OPPS APC	238.93				percent of total billed charges		243.7				percent of total billed charges		882				other	OPPS APC	238.93	882	
HRIS CANN END MILL 9.5 X 330MM	SUP-97-05056	CDM			272	RC		inpatient			882	882																																																			
TRAY STERILIZATION DAVINCI XI ONE INST	SUP-IN-8931-01-R	CDM						inpatient			882	882																																																			
TRAY STERILIZATION DAVINCI XI ONE INST	SUP-IN-8931-01-R	CDM						outpatient			882	882	882				percent of total billed charges		882				other	OPPS APC	882				fee schedule		882				other	OPPS APC	882				other	OPPS APC	882				case rate		882				case rate		882				other	OPPS APC	882	882	
PUTTY ALLOSYNC DBM 2.5CC	SUP-ABS-2012-02	CDM	270010031	LOCAL	270	RC		outpatient			880	88	238.39				percent of total billed charges		880				other	OPPS APC	651.2				percent of total billed charges		880				other	OPPS APC	880				other	OPPS APC	238.39				percent of total billed charges		243.14				percent of total billed charges		88				other	OPPS APC	88	880	
PUTTY ALLOSYNC DBM 2.5CC	SUP-ABS-2012-02	CDM	270010031	LOCAL	270	RC		inpatient			880	880																																																			
6FR GUIDEZILLA II EXTENSION CATHETER	SUP-H7493933515060	CDM			270	RC		outpatient			880	88	238.39				percent of total billed charges		880				other	OPPS APC	651.2				percent of total billed charges		880				other	OPPS APC	880				other	OPPS APC	238.39				percent of total billed charges		243.14				percent of total billed charges		88				other	OPPS APC	88	880	
6FR GUIDEZILLA II EXTENSION CATHETER	SUP-H7493933515060	CDM			270	RC		inpatient			880	880																																																			
6FR RADIAL GUIDEZILLA II EXTENSION CATHETER	SUP-H74939335150610	CDM			270	RC		outpatient			880	88	238.39				percent of total billed charges		880				other	OPPS APC	651.2				percent of total billed charges		880				other	OPPS APC	880				other	OPPS APC	238.39				percent of total billed charges		243.14				percent of total billed charges		88				other	OPPS APC	88	880	
6FR RADIAL GUIDEZILLA II EXTENSION CATHETER	SUP-H74939335150610	CDM			270	RC		inpatient			880	880																																																			
SHUNT CAROTID SUNDT SILICONE L30 CM OD3-4 MM TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED STERILE DISPOSABLE ENDARTERECTOMY	SUP-NL8505070	CDM			270	RC		outpatient			879.14	879.14	238.16				percent of total billed charges		879.14				other	OPPS APC	650.56				percent of total billed charges		879.14				other	OPPS APC	879.14				other	OPPS APC	238.16				percent of total billed charges		242.91				percent of total billed charges		879.14				other	OPPS APC	238.16	879.14	
SHUNT CAROTID SUNDT SILICONE L30 CM OD3-4 MM TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED STERILE DISPOSABLE ENDARTERECTOMY	SUP-NL8505070	CDM			270	RC		inpatient			879.14	879.14																																																			
SUNDT EXTERNAL SHUNT 4MMX5MM	SUP-NL8505072	CDM			270	RC		outpatient			879.14	879.14	238.16				percent of total billed charges		879.14				other	OPPS APC	650.56				percent of total billed charges		879.14				other	OPPS APC	879.14				other	OPPS APC	238.16				percent of total billed charges		242.91				percent of total billed charges		879.14				other	OPPS APC	238.16	879.14	
SUNDT EXTERNAL SHUNT 4MMX5MM	SUP-NL8505072	CDM			270	RC		inpatient			879.14	879.14																																																			
RING EXTERNAL FIXATION .75 115MM NS	SUP-393.732	CDM	270010022	LOCAL	270	RC		outpatient			878.9	878.9	238.09				percent of total billed charges		878.9				other	OPPS APC	650.39				percent of total billed charges		878.9				other	OPPS APC	878.9				other	OPPS APC	238.09				percent of total billed charges		242.84				percent of total billed charges		878.9				other	OPPS APC	238.09	878.9	
RING EXTERNAL FIXATION .75 115MM NS	SUP-393.732	CDM	270010022	LOCAL	270	RC		inpatient			878.9	878.9																																																			
FORCEPS BIPOLAR DISPOSABLE SPETZLER-MALIS 7' .05 MM TIP	SUP-6760180005	CDM			270	RC		outpatient			878.4	878.4	237.96				percent of total billed charges		878.4				other	OPPS APC	650.02				percent of total billed charges		878.4				other	OPPS APC	878.4				other	OPPS APC	237.96				percent of total billed charges		242.7				percent of total billed charges		878.4				other	OPPS APC	237.96	878.4	
FORCEPS BIPOLAR DISPOSABLE SPETZLER-MALIS 7' .05 MM TIP	SUP-6760180005	CDM			270	RC		inpatient			878.4	878.4																																																			
HC Hepabilry Sys Imag Inc Gallbladder	PX-340782260	CDM	78226	CPT	340	RC		outpatient			878	49.37	343.29				fee schedule		409.37				other	OPPS APC	459.21				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	303.13				fee schedule		267.24				fee schedule		49.37				other	OPPS APC	49.37	459.21	
HC Hepabilry Sys Imag Inc Gallbladder	PX-340782260	CDM	78226	CPT	340	RC		inpatient			878	878																																																			
HC Hepabilry Sys Imag W Pharma	PX-340782270	CDM	78227	CPT	340	RC		outpatient			878	531.35	423.62				fee schedule		531.35				other	OPPS APC	459.21				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	407.41				fee schedule		364.06				fee schedule		531.35				other	OPPS APC	364.06	531.35	
HC Hepabilry Sys Imag W Pharma	PX-340782270	CDM	78227	CPT	340	RC		inpatient			878	878																																																			
GRAFT BIO4 1CC	SUP-95-05411	CDM			278	RC		outpatient			877.5	877.5	877.5				fee schedule		877.5				other	OPPS APC	500.18				percent of total billed charges		877.5				other	OPPS APC	877.5				other	OPPS APC	429.98				percent of total billed charges		447.53				percent of total billed charges		877.5				other	OPPS APC	429.98	877.5	
GRAFT BIO4 1CC	SUP-95-05411	CDM			278	RC		inpatient			877.5	877.5																																																			
OSS POLY LOCK PIN	SUP-97-23619	CDM			278	RC		outpatient			877.5	877.5	877.5				fee schedule		877.5				other	OPPS APC	500.18				percent of total billed charges		877.5				other	OPPS APC	877.5				other	OPPS APC	429.98				percent of total billed charges		447.53				percent of total billed charges		877.5				other	OPPS APC	429.98	877.5	
OSS POLY LOCK PIN	SUP-97-23619	CDM			278	RC		inpatient			877.5	877.5																																																			
SCREW BONE TITANIUM L11 MM OD2 MM QUICK INSERTION	SUP-04.228.511	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L11 MM OD2 MM QUICK INSERTION	SUP-04.228.511	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L12 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.512	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L12 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.512	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L13 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.513	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L13 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.513	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L14 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.514	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L14 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.514	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L15 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.515	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L15 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.515	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L16 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.516	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L16 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.516	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L17 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.517	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L17 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.517	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L18 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.518	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L18 MM OD2 MM QUICK INSERTION NONSTERILE	SUP-04.228.518	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L10 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.110	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L10 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.110	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L12 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.112	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L12 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.112	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L10 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.210	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L10 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.210	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L12 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.212	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L12 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.212	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L14 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.214	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L14 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.214	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L16 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.216	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L16 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.216	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L22 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.222	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L22 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.222	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L24 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.224	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L24 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.224	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L26 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.226	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L26 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.226	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L30 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.230	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L30 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.230	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L32 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.232	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L32 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.232	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L38 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.238	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L38 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.238	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L22 MM OD3.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.322	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L22 MM OD3.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.322	CDM			270	RC		inpatient			876	876																																																			
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS 26MM	SUP-04.333.326	CDM	270010022	LOCAL	270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS 26MM	SUP-04.333.326	CDM	270010022	LOCAL	270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM SHORT THREAD L28 MM L7 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.328	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM SHORT THREAD L28 MM L7 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.328	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 24MM	SUP-04.333.424	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP 24MM	SUP-04.333.424	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATE COMP 26MM	SUP-04.333.426	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATE COMP 26MM	SUP-04.333.426	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 28MM	SUP-04.333.428	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP 28MM	SUP-04.333.428	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L30 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.530	CDM	270010022	LOCAL	270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L30 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.530	CDM	270010022	LOCAL	270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L34 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.534	CDM	270010022	LOCAL	270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L34 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.534	CDM	270010022	LOCAL	270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L46 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.546	CDM	270010022	LOCAL	270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L46 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.546	CDM	270010022	LOCAL	270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L20 MM L8 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.120	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L20 MM L8 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.120	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L22 MM L9 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.122	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L22 MM L9 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.122	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L24 MM L10 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.124	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L24 MM L10 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.124	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L26 MM L10 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.126	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L26 MM L10 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.126	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L28 MM L11 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.128	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L28 MM L11 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.128	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L32 MM L13 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.132	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L32 MM L13 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.132	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L38 MM L15 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.138	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L38 MM L15 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.138	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L20 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.220	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L20 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.220	CDM			270	RC		inpatient			876	876																																																			
SCREW 3.0 MM HEADLESS CANNULATED COMP LONG THREAT 22 MM	SUP-04.334.222	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 3.0 MM HEADLESS CANNULATED COMP LONG THREAT 22 MM	SUP-04.334.222	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L28 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.228	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L28 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.228	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L30 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.230	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L30 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.230	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L32 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.232	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L32 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.232	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM L34 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.234	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM L34 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.234	CDM			270	RC		inpatient			876	876																																																			
SCREW BONE TITANIUM LONG THREAD L24 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.324	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW BONE TITANIUM LONG THREAD L24 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.324	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 26MM	SUP-04.334.426	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 26MM	SUP-04.334.426	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 28MM	SUP-04.334.428	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 28MM	SUP-04.334.428	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 30MM	SUP-04.334.430	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 30MM	SUP-04.334.430	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 34MM	SUP-04.334.434	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 34MM	SUP-04.334.434	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 36MM	SUP-04.334.436	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 36MM	SUP-04.334.436	CDM			270	RC		inpatient			876	876																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 50MM	SUP-04.334.450	CDM			270	RC		outpatient			876	876	237.31				percent of total billed charges		876				other	OPPS APC	648.24				percent of total billed charges		876				other	OPPS APC	876				other	OPPS APC	237.31				percent of total billed charges		242.04				percent of total billed charges		876				other	OPPS APC	237.31	876	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 50MM	SUP-04.334.450	CDM			270	RC		inpatient			876	876																																																			
CLIP ANEURYSM YASARGIL TITANIUM 6.2 MM OPENING STANDARD L7 MM CEREBRUM TEMPORARY MRI SAFETY NONFERROMAGNETIC BLUE SPRING GOLDEN BLADE STERILE LATEX FREE DISPOSABLE	SUP-FT240T	CDM			270	RC		outpatient			875.1	875.12	237.06				percent of total billed charges		875.1				other	OPPS APC	647.57				percent of total billed charges		875.1				other	OPPS APC	875.1				other	OPPS APC	237.06				percent of total billed charges		241.79				percent of total billed charges		875.12				other	OPPS APC	237.06	875.12	
CLIP ANEURYSM YASARGIL TITANIUM 6.2 MM OPENING STANDARD L7 MM CEREBRUM TEMPORARY MRI SAFETY NONFERROMAGNETIC BLUE SPRING GOLDEN BLADE STERILE LATEX FREE DISPOSABLE	SUP-FT240T	CDM			270	RC		inpatient			875.1	875.1																																																			
HC Daily Care MSU	PX-120000001	CDM	120000001	LOCAL	120	RC		inpatient			875	875																																																			
HC Daily Care Pssu	PX-120000003	CDM	120000003	LOCAL	120	RC		inpatient			875	875																																																			
HC Daily Care Ssu	PX-120000004	CDM	120000004	LOCAL	120	RC		inpatient			875	875																																																			
HC Daily Care OB	PX-120000006	CDM	120000006	LOCAL	120	RC		inpatient			875	875																																																			
HC Heart/Lung Resuscitation Cpr	PX-450929501	CDM	92950	CPT	450	RC		outpatient			874	874	195.77				case rate		874				other	OPPS APC	390.39				fee schedule		874				other	OPPS APC	874				other	OPPS APC	195.77				case rate		199.69				case rate		874				other	OPPS APC	195.77	874	
HC Heart/Lung Resuscitation Cpr	PX-450929501	CDM	92950	CPT	450	RC		inpatient			874	874																																																			
HC Temporary External Pacing	PX-450929531	CDM	92953	CPT	450	RC		outpatient			874	874	195.77				case rate		874				other	OPPS APC	646.76				percent of total billed charges		874				other	OPPS APC	874				other	OPPS APC	195.77				case rate		199.69				case rate		874				other	OPPS APC	195.77	874	
HC Temporary External Pacing	PX-450929531	CDM	92953	CPT	450	RC		inpatient			874	874																																																			
BUSHING TIBIAL OSS POLYETHYLENE KNEE LOW FRICTION INTERFACE	SUP-150476	CDM			270	RC		outpatient			874	874	236.77				percent of total billed charges		874				other	OPPS APC	646.76				percent of total billed charges		874				other	OPPS APC	874				other	OPPS APC	236.77				percent of total billed charges		241.49				percent of total billed charges		874				other	OPPS APC	236.77	874	
BUSHING TIBIAL OSS POLYETHYLENE KNEE LOW FRICTION INTERFACE	SUP-150476	CDM			270	RC		inpatient			874	874																																																			
RETENSION SCREW	SUP-97-03014	CDM			278	RC		outpatient			873.93	873.93	873.93				fee schedule		873.93				other	OPPS APC	498.14				percent of total billed charges		873.93				other	OPPS APC	873.93				other	OPPS APC	428.23				percent of total billed charges		445.7				percent of total billed charges		873.93				other	OPPS APC	428.23	873.93	
RETENSION SCREW	SUP-97-03014	CDM			278	RC		inpatient			873.93	873.93																																																			
HC Cervical Myelogram	PX-320722400	CDM	62302	CPT	361	RC		outpatient			873	78.17	275.69				percent of total billed charges		780.17				other	OPPS APC	1876				fee schedule		780.17				other	OPPS APC	780.17				other	OPPS APC	275.69				percent of total billed charges		281.19				percent of total billed charges		78.17				other	OPPS APC	78.17	1876	
HC Cervical Myelogram	PX-320722400	CDM	62302	CPT	361	RC		inpatient			873	873																																																			
PLATE BONE EVOS STAINLESS STEEL 11.5 MM SPACE L 139 MM X W 10.7 MM X H 3.4 MM 12 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440712	CDM			270	RC		outpatient			872	872	236.22				percent of total billed charges		872				other	OPPS APC	645.28				percent of total billed charges		872				other	OPPS APC	872				other	OPPS APC	236.22				percent of total billed charges		240.93				percent of total billed charges		872				other	OPPS APC	236.22	872	
PLATE BONE EVOS STAINLESS STEEL 11.5 MM SPACE L 139 MM X W 10.7 MM X H 3.4 MM 12 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440712	CDM			270	RC		inpatient			872	872																																																			
STAPLER ECHELON  ARTICULATING 45 X 340	SUP-95-04294	CDM			272	RC		outpatient			871.86	871.86	236.19				percent of total billed charges		871.86				other	OPPS APC	645.18				percent of total billed charges		871.86				other	OPPS APC	871.86				other	OPPS APC	236.19				percent of total billed charges		240.89				percent of total billed charges		871.86				other	OPPS APC	236.19	871.86	
STAPLER ECHELON  ARTICULATING 45 X 340	SUP-95-04294	CDM			272	RC		inpatient			871.86	871.86																																																			
CATHETER PASSPORT BALLOON 12FR X 4CM	SUP-95-04535	CDM			272	RC		outpatient			871.77	871.77	236.16				percent of total billed charges		871.77				other	OPPS APC	645.11				percent of total billed charges		871.77				other	OPPS APC	871.77				other	OPPS APC	236.16				percent of total billed charges		240.87				percent of total billed charges		871.77				other	OPPS APC	236.16	871.77	
CATHETER PASSPORT BALLOON 12FR X 4CM	SUP-95-04535	CDM			272	RC		inpatient			871.77	871.77																																																			
SCREW MINI MONSTER HDLESS SHORT 3.5X30MM	SUP-97-05019	CDM			278	RC		outpatient			871.5	871.5	871.5				fee schedule		871.5				other	OPPS APC	496.76				percent of total billed charges		871.5				other	OPPS APC	871.5				other	OPPS APC	427.04				percent of total billed charges		444.47				percent of total billed charges		871.5				other	OPPS APC	427.04	871.5	
SCREW MINI MONSTER HDLESS SHORT 3.5X30MM	SUP-97-05019	CDM			278	RC		inpatient			871.5	871.5																																																			
SCREW MINI MONSTER HD SHRT THRED3.5X38MM	SUP-97-05115	CDM			278	RC		outpatient			871.5	871.5	871.5				fee schedule		871.5				other	OPPS APC	496.76				percent of total billed charges		871.5				other	OPPS APC	871.5				other	OPPS APC	427.04				percent of total billed charges		444.47				percent of total billed charges		871.5				other	OPPS APC	427.04	871.5	
SCREW MINI MONSTER HD SHRT THRED3.5X38MM	SUP-97-05115	CDM			278	RC		inpatient			871.5	871.5																																																			
SCREW 5.0 MM PERIPROS LOCKING	SUP-97-01345	CDM			278	RC		outpatient			870.9	87.9	870.9				fee schedule		870.9				other	OPPS APC	496.41				percent of total billed charges		870.9				other	OPPS APC	870.9				other	OPPS APC	426.74				percent of total billed charges		444.16				percent of total billed charges		87.9				other	OPPS APC	87.9	870.9	
SCREW 5.0 MM PERIPROS LOCKING	SUP-97-01345	CDM			278	RC		inpatient			870.9	870.9																																																			
LEAD PACING OPTISENSE	SUP-1999	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING OPTISENSE	SUP-1999	CDM			275	RC		inpatient			870	870																																																			
LEAD CAPSURE EPI	SUP-4068 SERIES	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD CAPSURE EPI	SUP-4068 SERIES	CDM			275	RC		inpatient			870	870																																																			
LEAD PACING FINELINE II STEROX	SUP-4456	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING FINELINE II STEROX	SUP-4456	CDM			275	RC		inpatient			870	870																																																			
LEAD PACING FINELINE II STEROX	SUP-4457	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING FINELINE II STEROX	SUP-4457	CDM			275	RC		inpatient			870	870																																																			
LEAD PACING FINELINE II STEROX EZ	SUP-4471	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING FINELINE II STEROX EZ	SUP-4471	CDM			275	RC		inpatient			870	870																																																			
LEAD PACING CAPSURE VDD-2 STEROID ELUTING SILICONE OD8.1 FR RIGHT VENTRICLE TRANSVENOUS 1 PASS 2 IS-1 BIPOLAR TINE	SUP-5038	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING CAPSURE VDD-2 STEROID ELUTING SILICONE OD8.1 FR RIGHT VENTRICLE TRANSVENOUS 1 PASS 2 IS-1 BIPOLAR TINE	SUP-5038	CDM			275	RC		inpatient			870	870																																																			
LEAD PACING CAPSURE VDD-2 STEROID ELUTING SILICONE OD9 FR ATRIUM VENTRICLE 1 PASS IS-1 QUADRIPOLAR	SUP-5038L	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING CAPSURE VDD-2 STEROID ELUTING SILICONE OD9 FR ATRIUM VENTRICLE 1 PASS IS-1 QUADRIPOLAR	SUP-5038L	CDM			275	RC		inpatient			870	870																																																			
LEAD PACING CAPSURE VDD-2 STEROID ELUTING SILICONE SHORT OD8.1 FR RIGHT VENTRICLE TRANSVENOUS 1 PASS 2 IS-1 BIPOLAR TINE	SUP-5038S	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD PACING CAPSURE VDD-2 STEROID ELUTING SILICONE SHORT OD8.1 FR RIGHT VENTRICLE TRANSVENOUS 1 PASS 2 IS-1 BIPOLAR TINE	SUP-5038S	CDM			275	RC		inpatient			870	870																																																			
LEAD CAPSURE SP NOVUS 5092	SUP-5092	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD CAPSURE SP NOVUS 5092	SUP-5092	CDM			275	RC		inpatient			870	870																																																			
LEAD INGEVITY 32 CM FOR ACCOLADE MRI DEVICES	SUP-7731/32	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD INGEVITY 32 CM FOR ACCOLADE MRI DEVICES	SUP-7731/32	CDM			275	RC		inpatient			870	870																																																			
LEAD INGEVITY 35 CM FOR ACCOLADE MRI DEVICES	SUP-7731/35	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD INGEVITY 35 CM FOR ACCOLADE MRI DEVICES	SUP-7731/35	CDM			275	RC		inpatient			870	870																																																			
LEAD INGEVITY 36 CM FOR ACCOLADE MRI DEVICES	SUP-7731/36	CDM			275	RC		outpatient			870	87	426.3				percent of total billed charges		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LEAD INGEVITY 36 CM FOR ACCOLADE MRI DEVICES	SUP-7731/36	CDM			275	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X110MM	SUP-97-00012	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X110MM	SUP-97-00012	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X105MM	SUP-97-00013	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X105MM	SUP-97-00013	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X100MM	SUP-97-00014	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X100MM	SUP-97-00014	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X95MM	SUP-97-00015	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X95MM	SUP-97-00015	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X90MM	SUP-97-00016	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X90MM	SUP-97-00016	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X85MM	SUP-97-00017	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X85MM	SUP-97-00017	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X80MM	SUP-97-00018	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X80MM	SUP-97-00018	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X75MM	SUP-97-00019	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X75MM	SUP-97-00019	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X50MM	SUP-97-00020	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X50MM	SUP-97-00020	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X55MM	SUP-97-00021	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X55MM	SUP-97-00021	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X60MM	SUP-97-00022	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X60MM	SUP-97-00022	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X65MM	SUP-97-00023	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X65MM	SUP-97-00023	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X70MM	SUP-97-00024	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X70MM	SUP-97-00024	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X45MM	SUP-97-00025	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X45MM	SUP-97-00025	CDM			278	RC		inpatient			870	870																																																			
SCREW LAG TH 24MM 8.0X40MM	SUP-97-00026	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW LAG TH 24MM 8.0X40MM	SUP-97-00026	CDM			278	RC		inpatient			870	870																																																			
SCREW TWIST LONG THREAD 2.0X12	SUP-97-02264	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW TWIST LONG THREAD 2.0X12	SUP-97-02264	CDM			278	RC		inpatient			870	870																																																			
SCREW TWIST LONG THREAD 2.0X12	SUP-97-02265	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW TWIST LONG THREAD 2.0X12	SUP-97-02265	CDM			278	RC		inpatient			870	870																																																			
LONG THREAD BREAK-OFF SCREW	SUP-97-02623	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LONG THREAD BREAK-OFF SCREW	SUP-97-02623	CDM			278	RC		inpatient			870	870																																																			
BITE BREAK-OFF SCREW  3/4 THD  2.0 X 11	SUP-97-02881	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
BITE BREAK-OFF SCREW  3/4 THD  2.0 X 11	SUP-97-02881	CDM			278	RC		inpatient			870	870																																																			
LONG THREAD BREAK-OFF SCREW	SUP-97-02953	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LONG THREAD BREAK-OFF SCREW	SUP-97-02953	CDM			278	RC		inpatient			870	870																																																			
LONG THREAD SNAP OFF SCREW 2.0X20	SUP-97-02954	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
LONG THREAD SNAP OFF SCREW 2.0X20	SUP-97-02954	CDM			278	RC		inpatient			870	870																																																			
SCREW SHORT THREAD 2.0X14MM	SUP-97-03586	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
SCREW SHORT THREAD 2.0X14MM	SUP-97-03586	CDM			278	RC		inpatient			870	870																																																			
BITE BREAK-OFF SCREW  1/2 THD  2.0 X 11	SUP-97-03649	CDM			278	RC		outpatient			870	87	870				fee schedule		870				other	OPPS APC	495.9				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	426.3				percent of total billed charges		443.7				percent of total billed charges		87				other	OPPS APC	87	870	
BITE BREAK-OFF SCREW  1/2 THD  2.0 X 11	SUP-97-03649	CDM			278	RC		inpatient			870	870																																																			
BALLOON - STERLING RX 5.0X20	SUP-99-01003	CDM			272	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
BALLOON - STERLING RX 5.0X20	SUP-99-01003	CDM			272	RC		inpatient			870	870																																																			
BALLOON - STERLING RX 4.0X20	SUP-99-01004	CDM			272	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
BALLOON - STERLING RX 4.0X20	SUP-99-01004	CDM			272	RC		inpatient			870	870																																																			
BALLOON - STERLING RX 5.0X15X80	SUP-99-01783	CDM			272	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
BALLOON - STERLING RX 5.0X15X80	SUP-99-01783	CDM			272	RC		inpatient			870	870																																																			
BALLOON - STERLING RX 7.0X20	SUP-99-01862	CDM			272	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
BALLOON - STERLING RX 7.0X20	SUP-99-01862	CDM			272	RC		inpatient			870	870																																																			
BALLOON - STERLING OTW 5.0X200	SUP-99-01952	CDM			272	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
BALLOON - STERLING OTW 5.0X200	SUP-99-01952	CDM			272	RC		inpatient			870	870																																																			
ANCHOR SUTURE SWIVELOCK TENODESIS BIOCOMPOSITE L19.5 MM OD7 MM SHOULDER BICEPS FORK EYELET STERILE	SUP-AR-1662BC-7	CDM			270	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
ANCHOR SUTURE SWIVELOCK TENODESIS BIOCOMPOSITE L19.5 MM OD7 MM SHOULDER BICEPS FORK EYELET STERILE	SUP-AR-1662BC-7	CDM			270	RC		inpatient			870	870																																																			
ANCHOR SUTURE SWIVELOCK TENODESIS BIOCOMPOSITE L19.5 MM OD8 MM SHOULDER BICEPS FORK EYELET STERILE	SUP-AR-1662BC-8	CDM			270	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
ANCHOR SUTURE SWIVELOCK TENODESIS BIOCOMPOSITE L19.5 MM OD8 MM SHOULDER BICEPS FORK EYELET STERILE	SUP-AR-1662BC-8	CDM			270	RC		inpatient			870	870																																																			
ANCHOR SUTURE SWIVELOCK TENODESIS BIOCOMPOSITE L19.5 MM OD9 MM SHOULDER BICEPS FORK EYELET STERILE	SUP-AR-1662BC-9	CDM			270	RC		outpatient			870	87	235.68				percent of total billed charges		870				other	OPPS APC	643.8				percent of total billed charges		870				other	OPPS APC	870				other	OPPS APC	235.68				percent of total billed charges		240.38				percent of total billed charges		87				other	OPPS APC	87	870	
ANCHOR SUTURE SWIVELOCK TENODESIS BIOCOMPOSITE L19.5 MM OD9 MM SHOULDER BICEPS FORK EYELET STERILE	SUP-AR-1662BC-9	CDM			270	RC		inpatient			870	870																																																			
Tube Trach Shiley Perc Sz6 Dual Cann	PX-270000035	CDM			272	RC		outpatient			869.74	869.74	235.61				percent of total billed charges		869.74				other	OPPS APC	869.74				fee schedule		869.74				other	OPPS APC	869.74				other	OPPS APC	235.61				percent of total billed charges		240.31				percent of total billed charges		869.74				other	OPPS APC	235.61	869.74	
Tube Trach Shiley Perc Sz6 Dual Cann	PX-270000035	CDM			272	RC		inpatient			869.74	869.74																																																			
Tube Trach Shiley Perc Sz8 Dual Cann	PX-272000019	CDM			272	RC		outpatient			869.74	869.74	235.61				percent of total billed charges		869.74				other	OPPS APC	869.74				fee schedule		869.74				other	OPPS APC	869.74				other	OPPS APC	235.61				percent of total billed charges		240.31				percent of total billed charges		869.74				other	OPPS APC	235.61	869.74	
Tube Trach Shiley Perc Sz8 Dual Cann	PX-272000019	CDM			272	RC		inpatient			869.74	869.74																																																			
PLATE BONE TITANIUM T L53 MM X W5 MM X H1.2 MM HAND 3 X 8 HOLE LOW PROFILE NONSTERILE 2 MM SCREW	SUP-447.233	CDM	270010022	LOCAL	270	RC		outpatient			869	869	235.41				percent of total billed charges		869				other	OPPS APC	643.06				percent of total billed charges		869				other	OPPS APC	869				other	OPPS APC	235.41				percent of total billed charges		240.1				percent of total billed charges		869				other	OPPS APC	235.41	869	
PLATE BONE TITANIUM T L53 MM X W5 MM X H1.2 MM HAND 3 X 8 HOLE LOW PROFILE NONSTERILE 2 MM SCREW	SUP-447.233	CDM	270010022	LOCAL	270	RC		inpatient			869	869																																																			
SEALER TISSUE ENSEAL STRAIGHT L37 CM OD5 MM TISSUE SEAL JAW	SUP-NSLX137S	CDM			270	RC		outpatient			868.99	868.99	235.41				percent of total billed charges		868.99				other	OPPS APC	643.05				percent of total billed charges		868.99				other	OPPS APC	868.99				other	OPPS APC	235.41				percent of total billed charges		240.1				percent of total billed charges		868.99				other	OPPS APC	235.41	868.99	
SEALER TISSUE ENSEAL STRAIGHT L37 CM OD5 MM TISSUE SEAL JAW	SUP-NSLX137S	CDM			270	RC		inpatient			868.99	868.99																																																			
TUBE HOLLOW REAMER SPARE	SUP-97-01315	CDM			278	RC		outpatient			868.77	868.77	868.77				fee schedule		868.77				other	OPPS APC	495.2				percent of total billed charges		868.77				other	OPPS APC	868.77				other	OPPS APC	425.7				percent of total billed charges		443.07				percent of total billed charges		868.77				other	OPPS APC	425.7	868.77	
TUBE HOLLOW REAMER SPARE	SUP-97-01315	CDM			278	RC		inpatient			868.77	868.77																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00350	CDM			278	RC		outpatient			868.56	868.56	868.56				fee schedule		868.56				other	OPPS APC	495.08				percent of total billed charges		868.56				other	OPPS APC	868.56				other	OPPS APC	425.59				percent of total billed charges		442.97				percent of total billed charges		868.56				other	OPPS APC	425.59	868.56	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00350	CDM			278	RC		inpatient			868.56	868.56																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L181 MM FIBULA RIGHT DISTAL POSTEROLATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.122	CDM	270010022	LOCAL	270	RC		outpatient			868	868	235.14				percent of total billed charges		868				other	OPPS APC	642.32				percent of total billed charges		868				other	OPPS APC	868				other	OPPS APC	235.14				percent of total billed charges		239.83				percent of total billed charges		868				other	OPPS APC	235.14	868	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L181 MM FIBULA RIGHT DISTAL POSTEROLATERAL 11 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.122	CDM	270010022	LOCAL	270	RC		inpatient			868	868																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03202	CDM			278	RC		outpatient			867	867	867				fee schedule		867				other	OPPS APC	494.19				percent of total billed charges		867				other	OPPS APC	867				other	OPPS APC	424.83				percent of total billed charges		442.17				percent of total billed charges		867				other	OPPS APC	424.83	867	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03202	CDM			278	RC		inpatient			867	867																																																			
METAL-BACKED PATELLA DRILL W/STOP	SUP-95-04103	CDM						inpatient			866.25	866.25																																																			
METAL-BACKED PATELLA DRILL W/STOP	SUP-95-04103	CDM						outpatient			866.25	866.25	866.25				percent of total billed charges		866.25				other	OPPS APC	866.25				fee schedule		866.25				other	OPPS APC	866.25				other	OPPS APC	866.25				case rate		866.25				case rate		866.25				other	OPPS APC	866.25	866.25	
NAIL TI END CAP FOR TIBIAL-EX T40 STRDR	SUP-97-01471	CDM			278	RC		outpatient			866.01	867	866.01				fee schedule		866.01				other	OPPS APC	493.63				percent of total billed charges		866.01				other	OPPS APC	866.01				other	OPPS APC	424.34				percent of total billed charges		441.67				percent of total billed charges		867				other	OPPS APC	424.34	867	
NAIL TI END CAP FOR TIBIAL-EX T40 STRDR	SUP-97-01471	CDM			278	RC		inpatient			866.01	866.01																																																			
HEADLESS PIN 3	SUP-97-02416	CDM			278	RC		outpatient			865.8	865.8	865.8				fee schedule		865.8				other	OPPS APC	493.51				percent of total billed charges		865.8				other	OPPS APC	865.8				other	OPPS APC	424.24				percent of total billed charges		441.56				percent of total billed charges		865.8				other	OPPS APC	424.24	865.8	
HEADLESS PIN 3	SUP-97-02416	CDM			278	RC		inpatient			865.8	865.8																																																			
GUIDE DRILL EVOS OD 2.5 MM SNAP IN	SUP-71175050	CDM			270	RC		outpatient			865.24	865.24	234.39				percent of total billed charges		865.24				other	OPPS APC	640.28				percent of total billed charges		865.24				other	OPPS APC	865.24				other	OPPS APC	234.39				percent of total billed charges		239.07				percent of total billed charges		865.24				other	OPPS APC	234.39	865.24	
GUIDE DRILL EVOS OD 2.5 MM SNAP IN	SUP-71175050	CDM			270	RC		inpatient			865.24	865.24																																																			
HC Kidney Imag-Vasc Flow/Fun W 1phar	PX-340787080	CDM	78708	CPT	340	RC		outpatient			865	531.35	178.1				fee schedule		531.35				other	OPPS APC	582.37				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	173.71				fee schedule		118.1				fee schedule		531.35				other	OPPS APC	118.1	582.37	
HC Kidney Imag-Vasc Flow/Fun W 1phar	PX-340787080	CDM	78708	CPT	340	RC		inpatient			865	865																																																			
HC OB 1st Trimester	PX-402768010	CDM	76801	CPT	402	RC		outpatient			865	112.57	128.97				fee schedule		112.57				other	OPPS APC	324.33				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	118.27				fee schedule		71.22				fee schedule		112.57				other	OPPS APC	71.22	324.33	
HC OB 1st Trimester	PX-402768010	CDM	76801	CPT	402	RC		inpatient			865	865																																																			
HC OB 2nd & 3rd Trimester	PX-402768050	CDM	76805	CPT	402	RC		outpatient			865	112.57	149.37				fee schedule		112.57				other	OPPS APC	324.33				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	136.31				fee schedule		88.84				fee schedule		112.57				other	OPPS APC	88.84	324.33	
HC OB 2nd & 3rd Trimester	PX-402768050	CDM	76805	CPT	402	RC		inpatient			865	865																																																			
HC Mech Vent Adult	PX-410940020	CDM	94002	CPT	410	RC		outpatient			865	586.35	265.04				percent of total billed charges		586.35				other	OPPS APC	218.72				fee schedule		586.35				other	OPPS APC	586.35				other	OPPS APC	265.04				percent of total billed charges		270.31				percent of total billed charges		586.35				other	OPPS APC	218.72	586.35	
HC Mech Vent Adult	PX-410940020	CDM	94002	CPT	410	RC		inpatient			865	865																																																			
HC Brachy Therapy Dos-Simple	PX-333773160	CDM	77316	CPT	333	RC		outpatient			864.62	377.81	423.66				percent of total billed charges		377.81				other	OPPS APC	341.67				fee schedule		377.81				other	OPPS APC	377.81				other	OPPS APC	243.89				fee schedule		170.03				fee schedule		377.81				other	OPPS APC	170.03	423.66	
HC Brachy Therapy Dos-Simple	PX-333773160	CDM	77316	CPT	333	RC		inpatient			864.62	864.62																																																			
HC Simulation  Intermediate	PX-333772850	CDM	77285	CPT	333	RC		outpatient			864.6	377.81	429.06				fee schedule		377.81				other	OPPS APC	671.9				fee schedule		377.81				other	OPPS APC	377.81				other	OPPS APC	441.63				fee schedule		383.48				fee schedule		377.81				other	OPPS APC	377.81	671.9	
HC Simulation  Intermediate	PX-333772850	CDM	77285	CPT	333	RC		inpatient			864.6	864.6																																																			
CEMENT INJECTABLE BONE STERILE TRAUMACEM (TM) V	SUP-07.702.040S	CDM			270	RC		outpatient			864	864	234.06				percent of total billed charges		864				other	OPPS APC	639.36				percent of total billed charges		864				other	OPPS APC	864				other	OPPS APC	234.06				percent of total billed charges		238.72				percent of total billed charges		864				other	OPPS APC	234.06	864	
CEMENT INJECTABLE BONE STERILE TRAUMACEM (TM) V	SUP-07.702.040S	CDM			270	RC		inpatient			864	864																																																			
BIPOLAR LINER 53/54/55MM OD X 28MM ID	SUP-97-04944	CDM			278	RC		outpatient			864	864	864				fee schedule		864				other	OPPS APC	492.48				percent of total billed charges		864				other	OPPS APC	864				other	OPPS APC	423.36				percent of total billed charges		440.64				percent of total billed charges		864				other	OPPS APC	423.36	864	
BIPOLAR LINER 53/54/55MM OD X 28MM ID	SUP-97-04944	CDM			278	RC		inpatient			864	864																																																			
PLATE BONE LCP Y 55MM SS NS 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE 2MM SCREW MODULAR MINI FRAGMENT	SUP-247.350	CDM	270010022	LOCAL	270	RC		outpatient			863.5	863.5	233.92				percent of total billed charges		863.5				other	OPPS APC	638.99				percent of total billed charges		863.5				other	OPPS APC	863.5				other	OPPS APC	233.92				percent of total billed charges		238.59				percent of total billed charges		863.5				other	OPPS APC	233.92	863.5	
PLATE BONE LCP Y 55MM SS NS 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE 2MM SCREW MODULAR MINI FRAGMENT	SUP-247.350	CDM	270010022	LOCAL	270	RC		inpatient			863.5	863.5																																																			
PLATE BONE LCP STAINLESS STEEL T L53 MM 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.351	CDM	270010022	LOCAL	270	RC		outpatient			863.5	863.5	233.92				percent of total billed charges		863.5				other	OPPS APC	638.99				percent of total billed charges		863.5				other	OPPS APC	863.5				other	OPPS APC	233.92				percent of total billed charges		238.59				percent of total billed charges		863.5				other	OPPS APC	233.92	863.5	
PLATE BONE LCP STAINLESS STEEL T L53 MM 2 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.351	CDM	270010022	LOCAL	270	RC		inpatient			863.5	863.5																																																			
3.8MM THREE FULTED DRILL BIT	SUP-97-01991	CDM			272	RC		outpatient			863.49	863.49	233.92				percent of total billed charges		863.49				other	OPPS APC	638.98				percent of total billed charges		863.49				other	OPPS APC	863.49				other	OPPS APC	233.92				percent of total billed charges		238.58				percent of total billed charges		863.49				other	OPPS APC	233.92	863.49	
3.8MM THREE FULTED DRILL BIT	SUP-97-01991	CDM			272	RC		inpatient			863.49	863.49																																																			
PLATE 3 HOLE STRAIGHT VARIAX	SUP-97-05718	CDM			278	RC		outpatient			862.68	862.68	862.68				fee schedule		862.68				other	OPPS APC	491.73				percent of total billed charges		862.68				other	OPPS APC	862.68				other	OPPS APC	422.71				percent of total billed charges		439.97				percent of total billed charges		862.68				other	OPPS APC	422.71	862.68	
PLATE 3 HOLE STRAIGHT VARIAX	SUP-97-05718	CDM			278	RC		inpatient			862.68	862.68																																																			
HC Incision of Anal Abscess	PX-450460501	CDM	46050	CPT	450	RC		outpatient			862	862	195.77				case rate		862				other	OPPS APC	637.88				percent of total billed charges		862				other	OPPS APC	862				other	OPPS APC	195.77				case rate		199.69				case rate		862				other	OPPS APC	195.77	862	
HC Incision of Anal Abscess	PX-450460501	CDM	46050	CPT	450	RC		inpatient			862	862																																																			
SCREW EVOS BLT TIP LCK 4.5MM X 8 MM	SUP-72514408	CDM			270	RC		outpatient			862	862	233.52				percent of total billed charges		862				other	OPPS APC	637.88				percent of total billed charges		862				other	OPPS APC	862				other	OPPS APC	233.52				percent of total billed charges		238.17				percent of total billed charges		862				other	OPPS APC	233.52	862	
SCREW EVOS BLT TIP LCK 4.5MM X 8 MM	SUP-72514408	CDM			270	RC		inpatient			862	862																																																			
SCREW EVOS BLT TIP LCK SCR 4.5MM X 10MM	SUP-72514410	CDM			270	RC		outpatient			862	862	233.52				percent of total billed charges		862				other	OPPS APC	637.88				percent of total billed charges		862				other	OPPS APC	862				other	OPPS APC	233.52				percent of total billed charges		238.17				percent of total billed charges		862				other	OPPS APC	233.52	862	
SCREW EVOS BLT TIP LCK SCR 4.5MM X 10MM	SUP-72514410	CDM			270	RC		inpatient			862	862																																																			
SCREW EVOS BLT TIP LCK 4.5MM X 12MM	SUP-72514412	CDM			270	RC		outpatient			862	862	233.52				percent of total billed charges		862				other	OPPS APC	637.88				percent of total billed charges		862				other	OPPS APC	862				other	OPPS APC	233.52				percent of total billed charges		238.17				percent of total billed charges		862				other	OPPS APC	233.52	862	
SCREW EVOS BLT TIP LCK 4.5MM X 12MM	SUP-72514412	CDM			270	RC		inpatient			862	862																																																			
SCREW EVOS BLT TIP LCK 4.5MM X 14MM	SUP-72514414	CDM			270	RC		outpatient			862	862	233.52				percent of total billed charges		862				other	OPPS APC	637.88				percent of total billed charges		862				other	OPPS APC	862				other	OPPS APC	233.52				percent of total billed charges		238.17				percent of total billed charges		862				other	OPPS APC	233.52	862	
SCREW EVOS BLT TIP LCK 4.5MM X 14MM	SUP-72514414	CDM			270	RC		inpatient			862	862																																																			
PLATE BONE LC-DCP STAINLESS STEEL L58 MM 5 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.15	CDM	270010022	LOCAL	270	RC		outpatient			861.3	861.3	233.33				percent of total billed charges		861.3				other	OPPS APC	637.36				percent of total billed charges		861.3				other	OPPS APC	861.3				other	OPPS APC	233.33				percent of total billed charges		237.98				percent of total billed charges		861.3				other	OPPS APC	233.33	861.3	
PLATE BONE LC-DCP STAINLESS STEEL L58 MM 5 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.15	CDM	270010022	LOCAL	270	RC		inpatient			861.3	861.3																																																			
7.3MM CANNULATED LOCKING SCREW 95MM	SUP-97-03701	CDM			278	RC		outpatient			861.27	861.27	861.27				fee schedule		861.27				other	OPPS APC	490.92				percent of total billed charges		861.27				other	OPPS APC	861.27				other	OPPS APC	422.02				percent of total billed charges		439.25				percent of total billed charges		861.27				other	OPPS APC	422.02	861.27	
7.3MM CANNULATED LOCKING SCREW 95MM	SUP-97-03701	CDM			278	RC		inpatient			861.27	861.27																																																			
SCREW CANN 7.3 16MM/100MM	SUP-97-01213	CDM			278	RC		outpatient			861	861	861				fee schedule		861				other	OPPS APC	490.77				percent of total billed charges		861				other	OPPS APC	861				other	OPPS APC	421.89				percent of total billed charges		439.11				percent of total billed charges		861				other	OPPS APC	421.89	861	
SCREW CANN 7.3 16MM/100MM	SUP-97-01213	CDM			278	RC		inpatient			861	861																																																			
PLATE BONE LC-DCP STAINLESS STEEL L155 MM X W11 MM X H3.3 MM 12 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.62	CDM	270010022	LOCAL	270	RC		outpatient			860.2	86.25	233.03				percent of total billed charges		860.2				other	OPPS APC	636.55				percent of total billed charges		860.2				other	OPPS APC	860.2				other	OPPS APC	233.03				percent of total billed charges		237.67				percent of total billed charges		86.25				other	OPPS APC	86.25	860.2	
PLATE BONE LC-DCP STAINLESS STEEL L155 MM X W11 MM X H3.3 MM 12 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.62	CDM	270010022	LOCAL	270	RC		inpatient			860.2	860.2																																																			
PLATE BONE LCP TITANIUM L84 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.364	CDM	270010022	LOCAL	270	RC		outpatient			860.2	86.25	233.03				percent of total billed charges		860.2				other	OPPS APC	636.55				percent of total billed charges		860.2				other	OPPS APC	860.2				other	OPPS APC	233.03				percent of total billed charges		237.67				percent of total billed charges		86.25				other	OPPS APC	86.25	860.2	
PLATE BONE LCP TITANIUM L84 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.364	CDM	270010022	LOCAL	270	RC		inpatient			860.2	860.2																																																			
BIT DRILL OD 5 MM CANNULATED	SUP-71177134	CDM			270	RC		outpatient			860.2	86.25	233.03				percent of total billed charges		860.2				other	OPPS APC	636.55				percent of total billed charges		860.2				other	OPPS APC	860.2				other	OPPS APC	233.03				percent of total billed charges		237.67				percent of total billed charges		86.25				other	OPPS APC	86.25	860.2	
BIT DRILL OD 5 MM CANNULATED	SUP-71177134	CDM			270	RC		inpatient			860.2	860.2																																																			
BIT DRILL OD 5.5 MM CANNULATED 8 MM SCREW	SUP-71177135	CDM			270	RC		outpatient			860.2	86.25	233.03				percent of total billed charges		860.2				other	OPPS APC	636.55				percent of total billed charges		860.2				other	OPPS APC	860.2				other	OPPS APC	233.03				percent of total billed charges		237.67				percent of total billed charges		86.25				other	OPPS APC	86.25	860.2	
BIT DRILL OD 5.5 MM CANNULATED 8 MM SCREW	SUP-71177135	CDM			270	RC		inpatient			860.2	860.2																																																			
INSERT SHEARS DA VINCI S/SI ENDOWRIST HARMONIC ACE CURVE DISPOSABLE	SUP-400272	CDM			270	RC		outpatient			860	86	232.97				percent of total billed charges		860				other	OPPS APC	636.4				percent of total billed charges		860				other	OPPS APC	860				other	OPPS APC	232.97				percent of total billed charges		237.62				percent of total billed charges		86				other	OPPS APC	86	860	
INSERT SHEARS DA VINCI S/SI ENDOWRIST HARMONIC ACE CURVE DISPOSABLE	SUP-400272	CDM			270	RC		inpatient			860	860																																																			
GUIDEWIRE VASCULAR TRAXCESS 14 NITINOL STAINLESS STEEL HYDROPHILIC L3 CM L200 CM L40 CM OD.012-.014 IN RADIOPAQUE SOFT ATRAUMATIC TIP HYBRID	SUP-GW1420040	CDM			270	RC		outpatient			860	86	232.97				percent of total billed charges		860				other	OPPS APC	636.4				percent of total billed charges		860				other	OPPS APC	860				other	OPPS APC	232.97				percent of total billed charges		237.62				percent of total billed charges		86				other	OPPS APC	86	860	
GUIDEWIRE VASCULAR TRAXCESS 14 NITINOL STAINLESS STEEL HYDROPHILIC L3 CM L200 CM L40 CM OD.012-.014 IN RADIOPAQUE SOFT ATRAUMATIC TIP HYBRID	SUP-GW1420040	CDM			270	RC		inpatient			860	860																																																			
DRILL BIT 4.0	SUP-95-23516	CDM			272	RC		outpatient			859.68	859.68	232.89				percent of total billed charges		859.68				other	OPPS APC	636.16				percent of total billed charges		859.68				other	OPPS APC	859.68				other	OPPS APC	232.89				percent of total billed charges		237.53				percent of total billed charges		859.68				other	OPPS APC	232.89	859.68	
DRILL BIT 4.0	SUP-95-23516	CDM			272	RC		inpatient			859.68	859.68																																																			
STAPLER RELOAD CONTOUR GREEN	SUP-74-00119	CDM			272	RC		outpatient			858.94	858.95	232.69				percent of total billed charges		858.94				other	OPPS APC	635.62				percent of total billed charges		858.94				other	OPPS APC	858.94				other	OPPS APC	232.69				percent of total billed charges		237.33				percent of total billed charges		858.95				other	OPPS APC	232.69	858.95	
STAPLER RELOAD CONTOUR GREEN	SUP-74-00119	CDM			272	RC		inpatient			858.94	858.94																																																			
PLATE BONE LC-DCP STAINLESS STEEL BROAD L286 MM X W17.5 MM X H5.2 MM 16 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.66	CDM	270010022	LOCAL	270	RC		outpatient			858.6	858.62	232.59				percent of total billed charges		858.6				other	OPPS APC	635.36				percent of total billed charges		858.6				other	OPPS APC	858.6				other	OPPS APC	232.59				percent of total billed charges		237.23				percent of total billed charges		858.62				other	OPPS APC	232.59	858.62	
PLATE BONE LC-DCP STAINLESS STEEL BROAD L286 MM X W17.5 MM X H5.2 MM 16 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.66	CDM	270010022	LOCAL	270	RC		inpatient			858.6	858.6																																																			
BIT DRILL OD2.7 MM CANNULATED	SUP-03.333.102	CDM	270010022	LOCAL	270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
BIT DRILL OD2.7 MM CANNULATED	SUP-03.333.102	CDM	270010022	LOCAL	270	RC		inpatient			858	858																																																			
PATCH SURGICAL VENTRALEX SEPRA SORBAFLEX SM CIRCLE 1.7IN POLYPROPYLENE EPTFE STERILE MONOFILAMENT SELF EXPAND STRAP	SUP-10301	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
PATCH SURGICAL VENTRALEX SEPRA SORBAFLEX SM CIRCLE 1.7IN POLYPROPYLENE EPTFE STERILE MONOFILAMENT SELF EXPAND STRAP	SUP-10301	CDM			270	RC		inpatient			858	858																																																			
PROBE LITHOTRIPTER AUTOLITH	SUP-9-202-3751-DS	CDM	27000000	LOCAL	270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
PROBE LITHOTRIPTER AUTOLITH	SUP-9-202-3751-DS	CDM	27000000	LOCAL	270	RC		inpatient			858	858																																																			
CABLE CATHETER CARTO 3 L3 MR 12 34 PIN DARK BLUE LIGHT BLUE WEBSTER DECAPOLAR WEBSTER CS BIDIRECTIONAL AUTO ID	SUP-CB3412CT	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
CABLE CATHETER CARTO 3 L3 MR 12 34 PIN DARK BLUE LIGHT BLUE WEBSTER DECAPOLAR WEBSTER CS BIDIRECTIONAL AUTO ID	SUP-CB3412CT	CDM			270	RC		inpatient			858	858																																																			
CABLE CATHETER CARTO 3 L10 FT BLUE	SUP-CB3434CT	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
CABLE CATHETER CARTO 3 L10 FT BLUE	SUP-CB3434CT	CDM			270	RC		inpatient			858	858																																																			
CABLE CATHETER CARTO 3 L10 FT RED	SUP-CR3425CT	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
CABLE CATHETER CARTO 3 L10 FT RED	SUP-CR3425CT	CDM			270	RC		inpatient			858	858																																																			
CABLE CATHETER CARTO 3 L10 FT HYPERTONICS 34 PIN TO LEMO 34 PIN CONNECTOR RED	SUP-CR3434CT	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
CABLE CATHETER CARTO 3 L10 FT HYPERTONICS 34 PIN TO LEMO 34 PIN CONNECTOR RED	SUP-CR3434CT	CDM			270	RC		inpatient			858	858																																																			
CABLE CATHETER CARTO 3 L10 FT HYPERTONICS 12 PIN TO REDEL 12 PIN CONNECTOR YELLOW	SUP-CY1212CT	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
CABLE CATHETER CARTO 3 L10 FT HYPERTONICS 12 PIN TO REDEL 12 PIN CONNECTOR YELLOW	SUP-CY1212CT	CDM			270	RC		inpatient			858	858																																																			
CABLE CATHETER CARTO 3 L3 MR INTERFACE	SUP-D134401	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
CABLE CATHETER CARTO 3 L3 MR INTERFACE	SUP-D134401	CDM			270	RC		inpatient			858	858																																																			
PROBE SPYSCOPE LITHOTRIPTER AUTOLITH L375 CM OD1.9 FR BIPOLAR ELECTROHYDRAULIC STERILE DISPOSABLE BILIARY STONE TREATMENT	SUP-M00546620	CDM			270	RC		outpatient			858	858	232.43				percent of total billed charges		858				other	OPPS APC	634.92				percent of total billed charges		858				other	OPPS APC	858				other	OPPS APC	232.43				percent of total billed charges		237.07				percent of total billed charges		858				other	OPPS APC	232.43	858	
PROBE SPYSCOPE LITHOTRIPTER AUTOLITH L375 CM OD1.9 FR BIPOLAR ELECTROHYDRAULIC STERILE DISPOSABLE BILIARY STONE TREATMENT	SUP-M00546620	CDM			270	RC		inpatient			858	858																																																			
NEEDLE ASPIRATION 22GA 0-8CML F/ENDOSCOPIC ULTRASOUND ACQUIRE LATEX-FREE NON-RADIOLUCENT	SUP-M00555540	CDM			270	RC		outpatient			857.76	857.76	232.37				percent of total billed charges		857.76				other	OPPS APC	634.74				percent of total billed charges		857.76				other	OPPS APC	857.76				other	OPPS APC	232.37				percent of total billed charges		237				percent of total billed charges		857.76				other	OPPS APC	232.37	857.76	
NEEDLE ASPIRATION 22GA 0-8CML F/ENDOSCOPIC ULTRASOUND ACQUIRE LATEX-FREE NON-RADIOLUCENT	SUP-M00555540	CDM			270	RC		inpatient			857.76	857.76																																																			
DRESSING OASIS ULTRA TRI-LAYER 3 X 7CM	SUP-95-04237	CDM			636	RC		outpatient			857.67	857.67	857.67				fee schedule		857.67				other	OPPS APC	13.27				fee schedule		857.67				other	OPPS APC	857.67				other	OPPS APC	420.26				percent of total billed charges		213.22				percent of total billed charges		857.67				other	OPPS APC	13.27	857.67	
DRESSING OASIS ULTRA TRI-LAYER 3 X 7CM	SUP-95-04237	CDM			636	RC		inpatient			857.67	857.67																																																			
PATCH DURAL DURAMATRIX-ONLAY PLUS COLLAGEN L3 IN X W1 IN REGENERATION MEMBRANE STERILE	SUP-DMOP13	CDM			270	RC		outpatient			857.16	857.16	232.2				percent of total billed charges		857.16				other	OPPS APC	634.3				percent of total billed charges		857.16				other	OPPS APC	857.16				other	OPPS APC	232.2				percent of total billed charges		236.83				percent of total billed charges		857.16				other	OPPS APC	232.2	857.16	
PATCH DURAL DURAMATRIX-ONLAY PLUS COLLAGEN L3 IN X W1 IN REGENERATION MEMBRANE STERILE	SUP-DMOP13	CDM			270	RC		inpatient			857.16	857.16																																																			
PLATE BONE MATRIXNEURO TITANIUM 2 Y L21 MM X H.4 MM CRANIOMAXILLOFACIAL 6 HOLE RIGID NONSTERILE BLUE	SUP-04.503.069	CDM	270010013	LOCAL	270	RC		outpatient			856	856	231.89				percent of total billed charges		856				other	OPPS APC	633.44				percent of total billed charges		856				other	OPPS APC	856				other	OPPS APC	231.89				percent of total billed charges		236.51				percent of total billed charges		856				other	OPPS APC	231.89	856	
PLATE BONE MATRIXNEURO TITANIUM 2 Y L21 MM X H.4 MM CRANIOMAXILLOFACIAL 6 HOLE RIGID NONSTERILE BLUE	SUP-04.503.069	CDM	270010013	LOCAL	270	RC		inpatient			856	856																																																			
PLATE BONE TITANIUM T L53 MM X W5 MM X H1.2 MM HAND 2 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2 MM SCREW	SUP-447.232	CDM	270010022	LOCAL	270	RC		outpatient			855.8	855.8	231.84				percent of total billed charges		855.8				other	OPPS APC	633.29				percent of total billed charges		855.8				other	OPPS APC	855.8				other	OPPS APC	231.84				percent of total billed charges		236.46				percent of total billed charges		855.8				other	OPPS APC	231.84	855.8	
PLATE BONE TITANIUM T L53 MM X W5 MM X H1.2 MM HAND 2 X 8 HOLE LOW PROFILE PRECONTOUR NONSTERILE 2 MM SCREW	SUP-447.232	CDM	270010022	LOCAL	270	RC		inpatient			855.8	855.8																																																			
MAKO STANDARD BLADE (116170)	SUP-95-03460	CDM			272	RC		outpatient			855	855	231.62				percent of total billed charges		855				other	OPPS APC	632.7				percent of total billed charges		855				other	OPPS APC	855				other	OPPS APC	231.62				percent of total billed charges		236.24				percent of total billed charges		855				other	OPPS APC	231.62	855	
MAKO STANDARD BLADE (116170)	SUP-95-03460	CDM			272	RC		inpatient			855	855																																																			
MAKO NARROW BLADE (116171)	SUP-95-03461	CDM			272	RC		outpatient			855	855	231.62				percent of total billed charges		855				other	OPPS APC	632.7				percent of total billed charges		855				other	OPPS APC	855				other	OPPS APC	231.62				percent of total billed charges		236.24				percent of total billed charges		855				other	OPPS APC	231.62	855	
MAKO NARROW BLADE (116171)	SUP-95-03461	CDM			272	RC		inpatient			855	855																																																			
VERSITOMIC STERILE PIN PACK	SUP-97-02076	CDM			272	RC		outpatient			855	855	231.62				percent of total billed charges		855				other	OPPS APC	632.7				percent of total billed charges		855				other	OPPS APC	855				other	OPPS APC	231.62				percent of total billed charges		236.24				percent of total billed charges		855				other	OPPS APC	231.62	855	
VERSITOMIC STERILE PIN PACK	SUP-97-02076	CDM			272	RC		inpatient			855	855																																																			
AMNIOFILL 100MG	SUP-97-03145	CDM						inpatient			855	855																																																			
AMNIOFILL 100MG	SUP-97-03145	CDM						outpatient			855	855	855				percent of total billed charges		855				other	OPPS APC	855				fee schedule		855				other	OPPS APC	855				other	OPPS APC	855				case rate		855				case rate		855				other	OPPS APC	855	855	
SUTURE ANCHOR BIO CORKSCREW 5.5X15MM	SUP-97-03743	CDM			278	RC		outpatient			855	855	855				fee schedule		855				other	OPPS APC	487.35				percent of total billed charges		855				other	OPPS APC	855				other	OPPS APC	418.95				percent of total billed charges		436.05				percent of total billed charges		855				other	OPPS APC	418.95	855	
SUTURE ANCHOR BIO CORKSCREW 5.5X15MM	SUP-97-03743	CDM			278	RC		inpatient			855	855																																																			
BIPOLAR LINER 42/43 OD X 22MM ID	SUP-97-04401	CDM			278	RC		outpatient			855	855	855				fee schedule		855				other	OPPS APC	487.35				percent of total billed charges		855				other	OPPS APC	855				other	OPPS APC	418.95				percent of total billed charges		436.05				percent of total billed charges		855				other	OPPS APC	418.95	855	
BIPOLAR LINER 42/43 OD X 22MM ID	SUP-97-04401	CDM			278	RC		inpatient			855	855																																																			
BIPOLAR LINER 50/51/52MM OD X 28MM ID	SUP-97-04590	CDM			278	RC		outpatient			855	855	855				fee schedule		855				other	OPPS APC	487.35				percent of total billed charges		855				other	OPPS APC	855				other	OPPS APC	418.95				percent of total billed charges		436.05				percent of total billed charges		855				other	OPPS APC	418.95	855	
BIPOLAR LINER 50/51/52MM OD X 28MM ID	SUP-97-04590	CDM			278	RC		inpatient			855	855																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE 3MM 3.5MM 4MM PURPLE TITANIUM DISPOSABLE STERILE LF MED THICK TISSUE ARTICULATE KNIFE	SUP-SIGRADMT	CDM			270	RC		outpatient			854.24	854.24	231.41				percent of total billed charges		854.24				other	OPPS APC	632.14				percent of total billed charges		854.24				other	OPPS APC	854.24				other	OPPS APC	231.41				percent of total billed charges		236.03				percent of total billed charges		854.24				other	OPPS APC	231.41	854.24	
RELOAD STAPLER ENDO GIA TRI-STAPLE 3MM 3.5MM 4MM PURPLE TITANIUM DISPOSABLE STERILE LF MED THICK TISSUE ARTICULATE KNIFE	SUP-SIGRADMT	CDM			270	RC		inpatient			854.24	854.24																																																			
PLATE BONE T 32MM TITANIUM NS HAND 4 HOLE HEAD 8 HOLE SHAFT PRECONTOUR LOW PROFILE 1.3MM SCREW	SUP-421.334	CDM	270010022	LOCAL	270	RC		outpatient			853.6	853.62	231.24				percent of total billed charges		853.6				other	OPPS APC	631.66				percent of total billed charges		853.6				other	OPPS APC	853.6				other	OPPS APC	231.24				percent of total billed charges		235.85				percent of total billed charges		853.62				other	OPPS APC	231.24	853.62	
PLATE BONE T 32MM TITANIUM NS HAND 4 HOLE HEAD 8 HOLE SHAFT PRECONTOUR LOW PROFILE 1.3MM SCREW	SUP-421.334	CDM	270010022	LOCAL	270	RC		inpatient			853.6	853.6																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 48MM	SUP-04.333.448	CDM			270	RC		outpatient			852.8	852.8	231.02				percent of total billed charges		852.8				other	OPPS APC	631.07				percent of total billed charges		852.8				other	OPPS APC	852.8				other	OPPS APC	231.02				percent of total billed charges		235.63				percent of total billed charges		852.8				other	OPPS APC	231.02	852.8	
SCREW 4.0MM HEADLESS CANNULATED COMP 48MM	SUP-04.333.448	CDM			270	RC		inpatient			852.8	852.8																																																			
NEEDLE STIMUPLEX 22G X 3 1/8	SUP-97-01535	CDM			272	RC		outpatient			852.63	852.63	230.98				percent of total billed charges		852.63				other	OPPS APC	630.95				percent of total billed charges		852.63				other	OPPS APC	852.63				other	OPPS APC	230.98				percent of total billed charges		235.58				percent of total billed charges		852.63				other	OPPS APC	230.98	852.63	
NEEDLE STIMUPLEX 22G X 3 1/8	SUP-97-01535	CDM			272	RC		inpatient			852.63	852.63																																																			
SET ENDOSCOPIC INSTRUMENT REMOVE L220 CM OD9.5-12 MM DC BIPOLAR CUTTER STERILE LATEX FREE 2.8 MM WORKING CHANNEL OTSC FTRD CLIP	SUP-400.02.01S	CDM			270	RC		outpatient			852	852	230.81				percent of total billed charges		852				other	OPPS APC	630.48				percent of total billed charges		852				other	OPPS APC	852				other	OPPS APC	230.81				percent of total billed charges		235.41				percent of total billed charges		852				other	OPPS APC	230.81	852	
SET ENDOSCOPIC INSTRUMENT REMOVE L220 CM OD9.5-12 MM DC BIPOLAR CUTTER STERILE LATEX FREE 2.8 MM WORKING CHANNEL OTSC FTRD CLIP	SUP-400.02.01S	CDM			270	RC		inpatient			852	852																																																			
CANNULATED COUNTERSINK	SUP-97-04323	CDM			272	RC		outpatient			851.04	851.4	230.55				percent of total billed charges		851.04				other	OPPS APC	629.77				percent of total billed charges		851.04				other	OPPS APC	851.04				other	OPPS APC	230.55				percent of total billed charges		235.14				percent of total billed charges		851.4				other	OPPS APC	230.55	851.4	
CANNULATED COUNTERSINK	SUP-97-04323	CDM			272	RC		inpatient			851.04	851.04																																																			
HC Platelet Pheresis Leukoreduced Irradiated	PX-390P90370	CDM			390	RC		outpatient			850.05	638.2	416.52				percent of total billed charges		638.19				other	OPPS APC	629.04				percent of total billed charges		638.19				other	OPPS APC	638.19				other	OPPS APC	416.52				percent of total billed charges		424.85				percent of total billed charges		638.2				other	OPPS APC	416.52	638.2	
HC Platelet Pheresis Leukoreduced Irradiated	PX-390P90370	CDM			390	RC		inpatient			850.05	850.05																																																			
DEVICE BIOPSY ACQUIRE OD25 GA ENDOSCOPIC ULTRASOUND FINE NEEDLE STERILE DISPOSABLE	SUP-M00555560	CDM			270	RC		outpatient			850.02	85.2	230.27				percent of total billed charges		850.02				other	OPPS APC	629.01				percent of total billed charges		850.02				other	OPPS APC	850.02				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85.2				other	OPPS APC	85.2	850.02	
DEVICE BIOPSY ACQUIRE OD25 GA ENDOSCOPIC ULTRASOUND FINE NEEDLE STERILE DISPOSABLE	SUP-M00555560	CDM			270	RC		inpatient			850.02	850.02																																																			
TIGHTROPE ARTHREX BTB	SUP-AR-15888BTB	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
TIGHTROPE ARTHREX BTB	SUP-AR-15888BTB	CDM			270	RC		inpatient			850	850																																																			
DEVICE FIXATION TIGHTROPE SM 10MM BONE TENDON BONE ACL 4 POINT LOCK ADJUSTABLE LOOP	SUP-AR-1588BTB	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
DEVICE FIXATION TIGHTROPE SM 10MM BONE TENDON BONE ACL 4 POINT LOCK ADJUSTABLE LOOP	SUP-AR-1588BTB	CDM			270	RC		inpatient			850	850																																																			
ANCHOR SUTURE BIOCOMPOSITE SUTURETAK KNOTLESS 3X12.7MM	SUP-AR-1938BC	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
ANCHOR SUTURE BIOCOMPOSITE SUTURETAK KNOTLESS 3X12.7MM	SUP-AR-1938BC	CDM			270	RC		inpatient			850	850																																																			
QUADPRO HARVESTOR 9MM	SUP-AR-2386-09	CDM	27000000	LOCAL	270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
QUADPRO HARVESTOR 9MM	SUP-AR-2386-09	CDM	27000000	LOCAL	270	RC		inpatient			850	850																																																			
QUADPRO HARVESTOR 10MM	SUP-AR-2386-10	CDM	27000000	LOCAL	270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
QUADPRO HARVESTOR 10MM	SUP-AR-2386-10	CDM	27000000	LOCAL	270	RC		inpatient			850	850																																																			
ANCHOR SUTURE DX SWIVELOCK PEEK MEDIUM L13.5 MM OD3.5 MM FOOT ELBOW SCAPHOLUNATE LIGAMENT REPAIR	SUP-AR-8979P	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
ANCHOR SUTURE DX SWIVELOCK PEEK MEDIUM L13.5 MM OD3.5 MM FOOT ELBOW SCAPHOLUNATE LIGAMENT REPAIR	SUP-AR-8979P	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
ANCHOR SUTURE DX SWIVELOCK PEEK MEDIUM L13.5 MM OD3.5 MM FOOT ELBOW SCAPHOLUNATE LIGAMENT REPAIR	SUP-AR-8979P	CDM			270	RC		inpatient			850	850																																																			
ANCHOR SUTURE DX SWIVELOCK PEEK MEDIUM L13.5 MM OD3.5 MM FOOT ELBOW SCAPHOLUNATE LIGAMENT REPAIR	SUP-AR-8979P	CDM			270	RC		inpatient			850	850																																																			
6F EXPORT ASPIRATION CATHETER	SUP-EXPORTAP	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
6F EXPORT ASPIRATION CATHETER	SUP-EXPORTAP	CDM			270	RC		inpatient			850	850																																																			
CATHETER THROMBECTOMY EXPORTAP L145 CM OD7 FR ID.08 IN ASPIRATION FULL-WALL VARIABLE BRAIDED SOFT FORWARD FACING ACCEPTS .014 IN GUIDEWIRE	SUP-GEZ6200US7B	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
CATHETER THROMBECTOMY EXPORTAP L145 CM OD7 FR ID.08 IN ASPIRATION FULL-WALL VARIABLE BRAIDED SOFT FORWARD FACING ACCEPTS .014 IN GUIDEWIRE	SUP-GEZ6200US7B	CDM			270	RC		inpatient			850	850																																																			
CATHETER PERITONEAL DIALYSIS EXTENDED TWO-PIECE FELANGE WITH EXTENDER FOR OPEN DISSECTION	SUP-PSNA-100	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
CATHETER PERITONEAL DIALYSIS EXTENDED TWO-PIECE FELANGE WITH EXTENDER FOR OPEN DISSECTION	SUP-PSNA-100	CDM			270	RC		inpatient			850	850																																																			
CATHETER PERITONEAL DIALYSIS EXTENDED TWO-PIECE WITH EXTENDER FOR LAPROSCOPIC PLACMENT	SUP-SNPS-53113	CDM			270	RC		outpatient			850	85	230.27				percent of total billed charges		850				other	OPPS APC	629				percent of total billed charges		850				other	OPPS APC	850				other	OPPS APC	230.27				percent of total billed charges		234.86				percent of total billed charges		85				other	OPPS APC	85	850	
CATHETER PERITONEAL DIALYSIS EXTENDED TWO-PIECE WITH EXTENDER FOR LAPROSCOPIC PLACMENT	SUP-SNPS-53113	CDM			270	RC		inpatient			850	850																																																			
PLATE STRAIGHT 64MM MANDIBLE 8 HOLE 2.4MM SCREW UNIVERSAL FRACTURE BONE TITANIUM NS	SUP-449.380	CDM	270010014	LOCAL	270	RC		outpatient			849.76	849.76	230.2				percent of total billed charges		849.76				other	OPPS APC	628.82				percent of total billed charges		849.76				other	OPPS APC	849.76				other	OPPS APC	230.2				percent of total billed charges		234.79				percent of total billed charges		849.76				other	OPPS APC	230.2	849.76	
PLATE STRAIGHT 64MM MANDIBLE 8 HOLE 2.4MM SCREW UNIVERSAL FRACTURE BONE TITANIUM NS	SUP-449.380	CDM	270010014	LOCAL	270	RC		inpatient			849.76	849.76																																																			
PLATE BONE TITANIUM STRAIGHT BROAD L29 MM X W4.8 MM X H1.25 MM MANDIBLE 4 HOLE LOW PROFILE EASILY CONTOUR NONSTERILE 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.024	CDM	270010014	LOCAL	270	RC		outpatient			847.66	847.66	229.63				percent of total billed charges		847.66				other	OPPS APC	627.27				percent of total billed charges		847.66				other	OPPS APC	847.66				other	OPPS APC	229.63				percent of total billed charges		234.21				percent of total billed charges		847.66				other	OPPS APC	229.63	847.66	
PLATE BONE TITANIUM STRAIGHT BROAD L29 MM X W4.8 MM X H1.25 MM MANDIBLE 4 HOLE LOW PROFILE EASILY CONTOUR NONSTERILE 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.024	CDM	270010014	LOCAL	270	RC		inpatient			847.66	847.66																																																			
BIT DRILL OD5 MM CANNULATED	SUP-03.333.104	CDM	270010022	LOCAL	270	RC		outpatient			846.56	846.56	229.33				percent of total billed charges		846.56				other	OPPS APC	626.45				percent of total billed charges		846.56				other	OPPS APC	846.56				other	OPPS APC	229.33				percent of total billed charges		233.9				percent of total billed charges		846.56				other	OPPS APC	229.33	846.56	
BIT DRILL OD5 MM CANNULATED	SUP-03.333.104	CDM	270010022	LOCAL	270	RC		inpatient			846.56	846.56																																																			
CATHETER GUIDING ENVOY XB STAINLESS STEEL NYLON POLYURETHANE PTFE MULTIPURPSE D CURVE L 100CM OD 6FR ID .07IN CORONARY NEUROVASCULAR PERIPHERAL BRAID RADIOPAQUE MULTISEGMENT	SUP-67025800B	CDM			270	RC		outpatient			846.56	846.56	229.33				percent of total billed charges		846.56				other	OPPS APC	626.45				percent of total billed charges		846.56				other	OPPS APC	846.56				other	OPPS APC	229.33				percent of total billed charges		233.9				percent of total billed charges		846.56				other	OPPS APC	229.33	846.56	
CATHETER GUIDING ENVOY XB STAINLESS STEEL NYLON POLYURETHANE PTFE MULTIPURPSE D CURVE L 100CM OD 6FR ID .07IN CORONARY NEUROVASCULAR PERIPHERAL BRAID RADIOPAQUE MULTISEGMENT	SUP-67025800B	CDM			270	RC		inpatient			846.56	846.56																																																			
HC Pheresis (Platelets)	PX-399090350	CDM			390	RC		outpatient			844.87	485.66	413.99				percent of total billed charges		485.66				other	OPPS APC	625.2				percent of total billed charges		485.66				other	OPPS APC	485.66				other	OPPS APC	413.99				percent of total billed charges		422.27				percent of total billed charges		485.66				other	OPPS APC	413.99	625.2	
HC Pheresis (Platelets)	PX-399090350	CDM			390	RC		inpatient			844.87	844.87																																																			
PLATE BONE STAINLESS STEEL L52 MM PELVIS 4 HOLE LOW PROFILE RECONSTRUCTION 3.5 MM SCREW	SUP-245.024	CDM	270010022	LOCAL	270	RC		outpatient			844.8	844.8	228.86				percent of total billed charges		844.8				other	OPPS APC	625.15				percent of total billed charges		844.8				other	OPPS APC	844.8				other	OPPS APC	228.86				percent of total billed charges		233.42				percent of total billed charges		844.8				other	OPPS APC	228.86	844.8	
PLATE BONE STAINLESS STEEL L52 MM PELVIS 4 HOLE LOW PROFILE RECONSTRUCTION 3.5 MM SCREW	SUP-245.024	CDM	270010022	LOCAL	270	RC		inpatient			844.8	844.8																																																			
GUIDEWIRE - GLIDEWIRE  .014X180 ANGLED	SUP-99-02205	CDM			272	RC		outpatient			844.77	844.77	228.85				percent of total billed charges		844.77				other	OPPS APC	625.13				percent of total billed charges		844.77				other	OPPS APC	844.77				other	OPPS APC	228.85				percent of total billed charges		233.41				percent of total billed charges		844.77				other	OPPS APC	228.85	844.77	
GUIDEWIRE - GLIDEWIRE  .014X180 ANGLED	SUP-99-02205	CDM			272	RC		inpatient			844.77	844.77																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L62 MM FIBULA RADIUS TIBIA ULNA 3 HOLE SHARP HOOK LOW PROFILE PRECONTOUR NONSTERILE 3.5 MM SCREW	SUP-02.113.103	CDM	270010022	LOCAL	270	RC		outpatient			844.2	844.25	228.69				percent of total billed charges		844.2				other	OPPS APC	624.71				percent of total billed charges		844.2				other	OPPS APC	844.2				other	OPPS APC	228.69				percent of total billed charges		233.25				percent of total billed charges		844.25				other	OPPS APC	228.69	844.25	
PLATE BONE LCP COMBI STAINLESS STEEL L62 MM FIBULA RADIUS TIBIA ULNA 3 HOLE SHARP HOOK LOW PROFILE PRECONTOUR NONSTERILE 3.5 MM SCREW	SUP-02.113.103	CDM	270010022	LOCAL	270	RC		inpatient			844.2	844.2																																																			
TUBE REAMER HOLLOW N/S	SUP-97-01832	CDM			272	RC		outpatient			843.48	843.48	228.5				percent of total billed charges		843.48				other	OPPS APC	624.18				percent of total billed charges		843.48				other	OPPS APC	843.48				other	OPPS APC	228.5				percent of total billed charges		233.05				percent of total billed charges		843.48				other	OPPS APC	228.5	843.48	
TUBE REAMER HOLLOW N/S	SUP-97-01832	CDM			272	RC		inpatient			843.48	843.48																																																			
SCREW 5.0 MM LOCKING IM NAIL 44MM	SUP-97-00330	CDM			278	RC		outpatient			843.18	843.18	843.18				fee schedule		843.18				other	OPPS APC	480.61				percent of total billed charges		843.18				other	OPPS APC	843.18				other	OPPS APC	413.16				percent of total billed charges		430.02				percent of total billed charges		843.18				other	OPPS APC	413.16	843.18	
SCREW 5.0 MM LOCKING IM NAIL 44MM	SUP-97-00330	CDM			278	RC		inpatient			843.18	843.18																																																			
SCREW 4.0 MM LOCKING IM NAIL 5	SUP-97-00337	CDM			278	RC		outpatient			843.18	843.18	843.18				fee schedule		843.18				other	OPPS APC	480.61				percent of total billed charges		843.18				other	OPPS APC	843.18				other	OPPS APC	413.16				percent of total billed charges		430.02				percent of total billed charges		843.18				other	OPPS APC	413.16	843.18	
SCREW 4.0 MM LOCKING IM NAIL 5	SUP-97-00337	CDM			278	RC		inpatient			843.18	843.18																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L129 MM FIBULA RIGHT DISTAL POSTEROLATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.114	CDM	270010022	LOCAL	270	RC		outpatient			842.8	842.8	228.31				percent of total billed charges		842.8				other	OPPS APC	623.67				percent of total billed charges		842.8				other	OPPS APC	842.8				other	OPPS APC	228.31				percent of total billed charges		232.87				percent of total billed charges		842.8				other	OPPS APC	228.31	842.8	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L129 MM FIBULA RIGHT DISTAL POSTEROLATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.114	CDM	270010022	LOCAL	270	RC		inpatient			842.8	842.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L129 MM FIBULA LEFT DISTAL POSTEROLATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.115	CDM	270010022	LOCAL	270	RC		outpatient			842.8	842.8	228.31				percent of total billed charges		842.8				other	OPPS APC	623.67				percent of total billed charges		842.8				other	OPPS APC	842.8				other	OPPS APC	228.31				percent of total billed charges		232.87				percent of total billed charges		842.8				other	OPPS APC	228.31	842.8	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L129 MM FIBULA LEFT DISTAL POSTEROLATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.115	CDM	270010022	LOCAL	270	RC		inpatient			842.8	842.8																																																			
FIBER LASER FLEXIVA FLEXSHIELD 550 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403931	CDM			270	RC		outpatient			842.55	842.55	228.25				percent of total billed charges		842.55				other	OPPS APC	623.49				percent of total billed charges		842.55				other	OPPS APC	842.55				other	OPPS APC	228.25				percent of total billed charges		232.8				percent of total billed charges		842.55				other	OPPS APC	228.25	842.55	
FIBER LASER FLEXIVA FLEXSHIELD 550 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403931	CDM			270	RC		inpatient			842.55	842.55																																																			
GLUCAGON 1 MG RECON SOLN	636000000	CDM	0002-8031-01	NDC	J1610	HCPCS		inpatient			842.4	842.4																																																			
GLUCAGON 1 MG RECON SOLN	636000000	CDM	0002-8031-01	NDC	J1610	HCPCS		outpatient			842.4	24.27																																											24.27				other	OPPS APC	24.27	24.27	
DRILL BIT COUNTERSINK CANNULATED 3.5 MM 4 MM SCREW	SUP-310.86	CDM	270010022	LOCAL	270	RC		outpatient			840.4	84.4	227.66				percent of total billed charges		840.4				other	OPPS APC	621.9				percent of total billed charges		840.4				other	OPPS APC	840.4				other	OPPS APC	227.66				percent of total billed charges		232.2				percent of total billed charges		84.4				other	OPPS APC	84.4	840.4	
DRILL BIT COUNTERSINK CANNULATED 3.5 MM 4 MM SCREW	SUP-310.86	CDM	270010022	LOCAL	270	RC		inpatient			840.4	840.4																																																			
PLATE BONE UNIVERSAL STRAIGHT 80X6.5X2MM TITANIUM NS MANDIBLE 10 HOLE 2.4MM SCREW	SUP-449.400	CDM	270010014	LOCAL	270	RC		outpatient			840.36	84.36	227.65				percent of total billed charges		840.36				other	OPPS APC	621.87				percent of total billed charges		840.36				other	OPPS APC	840.36				other	OPPS APC	227.65				percent of total billed charges		232.19				percent of total billed charges		84.36				other	OPPS APC	84.36	840.36	
PLATE BONE UNIVERSAL STRAIGHT 80X6.5X2MM TITANIUM NS MANDIBLE 10 HOLE 2.4MM SCREW	SUP-449.400	CDM	270010014	LOCAL	270	RC		inpatient			840.36	840.36																																																			
AZACITIDINE 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	43598-305-62	NDC	J9025	HCPCS		inpatient			840	840																																																			
AZACITIDINE 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	43598-305-62	NDC	J9025	HCPCS		outpatient			840	840																																															other	OPPS APC			
ROD SPINAL VERTEX SELECT L25 MM OD3.5 MM PRECUT	SUP-7753725	CDM	270010020	LOCAL	270	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
ROD SPINAL VERTEX SELECT L25 MM OD3.5 MM PRECUT	SUP-7753725	CDM	270010020	LOCAL	270	RC		inpatient			840	840																																																			
ROD SPINAL CCM PLUS L90 MM OD3.5 MM PRECUT	SUP-7753890	CDM	270010020	LOCAL	270	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
ROD SPINAL CCM PLUS L90 MM OD3.5 MM PRECUT	SUP-7753890	CDM	270010020	LOCAL	270	RC		inpatient			840	840																																																			
MIS STERILE INSTRUMENT PACK	SUP-95-05573	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
MIS STERILE INSTRUMENT PACK	SUP-95-05573	CDM			272	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 110X6.5	SUP-97-00044	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 110X6.5	SUP-97-00044	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X105MM	SUP-97-00045	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X105MM	SUP-97-00045	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X100MM	SUP-97-00046	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X100MM	SUP-97-00046	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X95MM	SUP-97-00047	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X95MM	SUP-97-00047	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X90MM	SUP-97-00048	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X90MM	SUP-97-00048	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X85MM	SUP-97-00050	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X85MM	SUP-97-00050	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X80MM	SUP-97-00051	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X80MM	SUP-97-00051	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X75MM	SUP-97-00052	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X75MM	SUP-97-00052	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X70MM	SUP-97-00053	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X70MM	SUP-97-00053	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X65MM	SUP-97-00054	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X65MM	SUP-97-00054	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X60MM	SUP-97-00055	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X60MM	SUP-97-00055	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X55MM	SUP-97-00056	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X55MM	SUP-97-00056	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X50MM	SUP-97-00057	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X50MM	SUP-97-00057	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X45MM	SUP-97-00058	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X45MM	SUP-97-00058	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 40MM 6.5X40MM	SUP-97-00059	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 40MM 6.5X40MM	SUP-97-00059	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X120MM	SUP-97-00060	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X120MM	SUP-97-00060	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X115MM	SUP-97-00061	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X115MM	SUP-97-00061	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X110MM	SUP-97-00062	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X110MM	SUP-97-00062	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X105MM	SUP-97-00063	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X105MM	SUP-97-00063	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X100MM	SUP-97-00064	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X100MM	SUP-97-00064	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X95MM	SUP-97-00065	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X95MM	SUP-97-00065	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X90MM	SUP-97-00066	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X90MM	SUP-97-00066	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X85MM	SUP-97-00067	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X85MM	SUP-97-00067	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X80MM	SUP-97-00068	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X80MM	SUP-97-00068	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X75MM	SUP-97-00069	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X75MM	SUP-97-00069	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X70MM	SUP-97-00070	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X70MM	SUP-97-00070	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X65MM	SUP-97-00071	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X65MM	SUP-97-00071	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X60MM	SUP-97-00072	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X60MM	SUP-97-00072	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X55MM	SUP-97-00073	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X55MM	SUP-97-00073	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X50MM	SUP-97-00074	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X50MM	SUP-97-00074	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X45MM	SUP-97-00075	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X45MM	SUP-97-00075	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X40MM	SUP-97-00076	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X40MM	SUP-97-00076	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X30MM	SUP-97-00077	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X30MM	SUP-97-00077	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X35MM	SUP-97-00078	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X35MM	SUP-97-00078	CDM			278	RC		inpatient			840	840																																																			
SCREW LAG TH 22MM 6.5X25MM	SUP-97-00079	CDM			278	RC		outpatient			840	84	840				fee schedule		840				other	OPPS APC	478.8				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	411.6				percent of total billed charges		428.4				percent of total billed charges		84				other	OPPS APC	84	840	
SCREW LAG TH 22MM 6.5X25MM	SUP-97-00079	CDM			278	RC		inpatient			840	840																																																			
BALLOON - DORADO 3X40X135	SUP-99-00037	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 3X40X135	SUP-99-00037	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 5X100X80	SUP-99-00045	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 5X100X80	SUP-99-00045	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 5X6X80	SUP-99-00051	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 5X6X80	SUP-99-00051	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 5X8X80	SUP-99-00052	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 5X8X80	SUP-99-00052	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 6X10X120	SUP-99-00053	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 6X10X120	SUP-99-00053	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 6X10X135	SUP-99-00054	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 6X10X135	SUP-99-00054	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 6X10X80	SUP-99-00055	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 6X10X80	SUP-99-00055	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 6X2X80	SUP-99-00057	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 6X2X80	SUP-99-00057	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 6X6X135	SUP-99-00060	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 6X6X135	SUP-99-00060	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 9X4X80	SUP-99-00080	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 9X4X80	SUP-99-00080	CDM			272	RC		inpatient			840	840																																																			
BALLOON - DORADO 8X4X80	SUP-99-03806	CDM			272	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
BALLOON - DORADO 8X4X80	SUP-99-03806	CDM			272	RC		inpatient			840	840																																																			
ANCHOR SUTURE PUSHLOCK BIOCOMPOSITE HIP	SUP-AR-2923BCH	CDM			270	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
ANCHOR SUTURE PUSHLOCK BIOCOMPOSITE HIP	SUP-AR-2923BCH	CDM			270	RC		inpatient			840	840																																																			
ANCHOR SUTURE ARTHREX FIBERTAK STERILE LATEX FREE DISPOSABLE	SUP-AR-3638	CDM			270	RC		outpatient			840	84	227.56				percent of total billed charges		840				other	OPPS APC	621.6				percent of total billed charges		840				other	OPPS APC	840				other	OPPS APC	227.56				percent of total billed charges		232.09				percent of total billed charges		84				other	OPPS APC	84	840	
ANCHOR SUTURE ARTHREX FIBERTAK STERILE LATEX FREE DISPOSABLE	SUP-AR-3638	CDM			270	RC		inpatient			840	840																																																			
DRILL SURGICAL EVOS LARGE OD 3.7MM AO QUICK CONNECTOR TARGETER STERILE LATEX FREE DISPOSABLE	SUP-71177735	CDM			270	RC		outpatient			839	839	227.29				percent of total billed charges		839				other	OPPS APC	620.86				percent of total billed charges		839				other	OPPS APC	839				other	OPPS APC	227.29				percent of total billed charges		231.82				percent of total billed charges		839				other	OPPS APC	227.29	839	
DRILL SURGICAL EVOS LARGE OD 3.7MM AO QUICK CONNECTOR TARGETER STERILE LATEX FREE DISPOSABLE	SUP-71177735	CDM			270	RC		inpatient			839	839																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L96 MM X W10 MM X H1.5 MM 3 HOLE HEAD 7 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.971	CDM	270010022	LOCAL	270	RC		outpatient			838.2	838.25	227.07				percent of total billed charges		838.2				other	OPPS APC	620.27				percent of total billed charges		838.2				other	OPPS APC	838.2				other	OPPS APC	227.07				percent of total billed charges		231.59				percent of total billed charges		838.25				other	OPPS APC	227.07	838.25	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L96 MM X W10 MM X H1.5 MM 3 HOLE HEAD 7 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.971	CDM	270010022	LOCAL	270	RC		inpatient			838.2	838.2																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE RIGHT T L96 MM X W10 MM X H1.5 MM 3 HOLE HEAD 7 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.071	CDM	270010022	LOCAL	270	RC		outpatient			837.1	837.12	226.77				percent of total billed charges		837.1				other	OPPS APC	619.45				percent of total billed charges		837.1				other	OPPS APC	837.1				other	OPPS APC	226.77				percent of total billed charges		231.29				percent of total billed charges		837.12				other	OPPS APC	226.77	837.12	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE RIGHT T L96 MM X W10 MM X H1.5 MM 3 HOLE HEAD 7 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.071	CDM	270010022	LOCAL	270	RC		inpatient			837.1	837.1																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 4 MM 4.5 MM 5 MM L45 MM EXTRA THICK TISSUE ARTICULATE REINFORCE STERILE LATEX FREE DISPOSABLE BLACK	SUP-SIGTRSB45AXT	CDM			270	RC		outpatient			837.03	837.3	226.75				percent of total billed charges		837.03				other	OPPS APC	619.4				percent of total billed charges		837.03				other	OPPS APC	837.03				other	OPPS APC	226.75				percent of total billed charges		231.27				percent of total billed charges		837.3				other	OPPS APC	226.75	837.3	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 4 MM 4.5 MM 5 MM L45 MM EXTRA THICK TISSUE ARTICULATE REINFORCE STERILE LATEX FREE DISPOSABLE BLACK	SUP-SIGTRSB45AXT	CDM			270	RC		inpatient			837.03	837.03																																																			
DRILL 10MM CANNULATED	SUP-97-01104	CDM						inpatient			837	837																																																			
DRILL 10MM CANNULATED	SUP-97-01104	CDM						outpatient			837	837	837				percent of total billed charges		837				other	OPPS APC	837				fee schedule		837				other	OPPS APC	837				other	OPPS APC	837				case rate		837				case rate		837				other	OPPS APC	837	837	
REAMER LOW PROFILE 10MM	SUP-97-01105	CDM			272	RC		outpatient			837	837	226.74				percent of total billed charges		837				other	OPPS APC	619.38				percent of total billed charges		837				other	OPPS APC	837				other	OPPS APC	226.74				percent of total billed charges		231.26				percent of total billed charges		837				other	OPPS APC	226.74	837	
REAMER LOW PROFILE 10MM	SUP-97-01105	CDM			272	RC		inpatient			837	837																																																			
CENTER SCREW 28MM	SUP-97-03378	CDM			278	RC		outpatient			837	837	837				fee schedule		837				other	OPPS APC	477.09				percent of total billed charges		837				other	OPPS APC	837				other	OPPS APC	410.13				percent of total billed charges		426.87				percent of total billed charges		837				other	OPPS APC	410.13	837	
CENTER SCREW 28MM	SUP-97-03378	CDM			278	RC		inpatient			837	837																																																			
11.5MM HOLLOW DRILL BIT 9.5MM PROX NAIL	SUP-97-04062	CDM			278	RC		outpatient			836.91	837	836.91				fee schedule		836.91				other	OPPS APC	477.04				percent of total billed charges		836.91				other	OPPS APC	836.91				other	OPPS APC	410.09				percent of total billed charges		426.82				percent of total billed charges		837				other	OPPS APC	410.09	837	
11.5MM HOLLOW DRILL BIT 9.5MM PROX NAIL	SUP-97-04062	CDM			278	RC		inpatient			836.91	836.91																																																			
10.0MM HOLLOW DRILL BIT/HUMERAL NAILING	SUP-97-04085	CDM			278	RC		outpatient			836.91	837	836.91				fee schedule		836.91				other	OPPS APC	477.04				percent of total billed charges		836.91				other	OPPS APC	836.91				other	OPPS APC	410.09				percent of total billed charges		426.82				percent of total billed charges		837				other	OPPS APC	410.09	837	
10.0MM HOLLOW DRILL BIT/HUMERAL NAILING	SUP-97-04085	CDM			278	RC		inpatient			836.91	836.91																																																			
STAPLER INTERNAL ECHELON CIRCULAR 22 MM 25 L5.2 MM X H1.5-2.2 MM 3D GRIP SURFACE POWER ADJUSTABLE STAPLE STERILE	SUP-CDH25P	CDM			270	RC		outpatient			836.38	836.38	226.58				percent of total billed charges		836.38				other	OPPS APC	618.92				percent of total billed charges		836.38				other	OPPS APC	836.38				other	OPPS APC	226.58				percent of total billed charges		231.09				percent of total billed charges		836.38				other	OPPS APC	226.58	836.38	
STAPLER INTERNAL ECHELON CIRCULAR 22 MM 25 L5.2 MM X H1.5-2.2 MM 3D GRIP SURFACE POWER ADJUSTABLE STAPLE STERILE	SUP-CDH25P	CDM			270	RC		inpatient			836.38	836.38																																																			
STAPLER INTERNAL ECHELON CIRCULAR 29 MM 26 L5.2 MM X H1.5-2.2 MM 3D GRIP SURFACE POWER ADJUSTABLE STAPLE	SUP-CDH29P	CDM			270	RC		outpatient			836.38	836.38	226.58				percent of total billed charges		836.38				other	OPPS APC	618.92				percent of total billed charges		836.38				other	OPPS APC	836.38				other	OPPS APC	226.58				percent of total billed charges		231.09				percent of total billed charges		836.38				other	OPPS APC	226.58	836.38	
STAPLER INTERNAL ECHELON CIRCULAR 29 MM 26 L5.2 MM X H1.5-2.2 MM 3D GRIP SURFACE POWER ADJUSTABLE STAPLE	SUP-CDH29P	CDM			270	RC		inpatient			836.38	836.38																																																			
PLATE BONE LCP COMBI BROAD 116X17.5X5.2MM SS NS 6 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-226.561	CDM	270010022	LOCAL	270	RC		outpatient			836	836	226.47				percent of total billed charges		836				other	OPPS APC	618.64				percent of total billed charges		836				other	OPPS APC	836				other	OPPS APC	226.47				percent of total billed charges		230.99				percent of total billed charges		836				other	OPPS APC	226.47	836	
PLATE BONE LCP COMBI BROAD 116X17.5X5.2MM SS NS 6 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-226.561	CDM	270010022	LOCAL	270	RC		inpatient			836	836																																																			
PLATE BONE STRAIGHT 47MM TITANIUM NS HAND 12 HOLE LOW PROFILE PRECONTOUR RECONSTRUCTION 1.3MM SCREW	SUP-421.312	CDM	270010022	LOCAL	270	RC		outpatient			836	836	226.47				percent of total billed charges		836				other	OPPS APC	618.64				percent of total billed charges		836				other	OPPS APC	836				other	OPPS APC	226.47				percent of total billed charges		230.99				percent of total billed charges		836				other	OPPS APC	226.47	836	
PLATE BONE STRAIGHT 47MM TITANIUM NS HAND 12 HOLE LOW PROFILE PRECONTOUR RECONSTRUCTION 1.3MM SCREW	SUP-421.312	CDM	270010022	LOCAL	270	RC		inpatient			836	836																																																			
SCREW THREADED 7.3MM X 32MM X 80MM	SUP-97-00787	CDM			278	RC		outpatient			835.92	835.92	835.92				fee schedule		835.92				other	OPPS APC	476.47				percent of total billed charges		835.92				other	OPPS APC	835.92				other	OPPS APC	409.6				percent of total billed charges		426.32				percent of total billed charges		835.92				other	OPPS APC	409.6	835.92	
SCREW THREADED 7.3MM X 32MM X 80MM	SUP-97-00787	CDM			278	RC		inpatient			835.92	835.92																																																			
SCREW CANN PART THREAD 7.3  16MM/50MM	SUP-97-00788	CDM			278	RC		outpatient			835.92	835.92	835.92				fee schedule		835.92				other	OPPS APC	476.47				percent of total billed charges		835.92				other	OPPS APC	835.92				other	OPPS APC	409.6				percent of total billed charges		426.32				percent of total billed charges		835.92				other	OPPS APC	409.6	835.92	
SCREW CANN PART THREAD 7.3  16MM/50MM	SUP-97-00788	CDM			278	RC		inpatient			835.92	835.92																																																			
SCREW CANN PART THREAD 7.3MM X 16MM	SUP-97-00789	CDM			278	RC		outpatient			835.92	835.92	835.92				fee schedule		835.92				other	OPPS APC	476.47				percent of total billed charges		835.92				other	OPPS APC	835.92				other	OPPS APC	409.6				percent of total billed charges		426.32				percent of total billed charges		835.92				other	OPPS APC	409.6	835.92	
SCREW CANN PART THREAD 7.3MM X 16MM	SUP-97-00789	CDM			278	RC		inpatient			835.92	835.92																																																			
SCREW CANN 7.3 16MM/110MM	SUP-97-00973	CDM			278	RC		outpatient			835.92	835.92	835.92				fee schedule		835.92				other	OPPS APC	476.47				percent of total billed charges		835.92				other	OPPS APC	835.92				other	OPPS APC	409.6				percent of total billed charges		426.32				percent of total billed charges		835.92				other	OPPS APC	409.6	835.92	
SCREW CANN 7.3 16MM/110MM	SUP-97-00973	CDM			278	RC		inpatient			835.92	835.92																																																			
PORT-A-CATH SINGLE PREASSM 1MM	SUP-95-01301	CDM			272	RC		outpatient			835.23	835.23	226.26				percent of total billed charges		835.23				other	OPPS APC	618.07				percent of total billed charges		835.23				other	OPPS APC	835.23				other	OPPS APC	226.26				percent of total billed charges		230.77				percent of total billed charges		835.23				other	OPPS APC	226.26	835.23	
PORT-A-CATH SINGLE PREASSM 1MM	SUP-95-01301	CDM			272	RC		inpatient			835.23	835.23																																																			
HC Infectious Agent Detection by Nucleic Acid (Dna or Rna)	PX-300874830	CDM	87483	CPT	306	RC		outpatient			834	416.78	408.66				percent of total billed charges		416.78				fee schedule		617.16				percent of total billed charges		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		408.66	617.16	
HC Infectious Agent Detection by Nucleic Acid (Dna or Rna)	PX-300874830	CDM	87483	CPT	306	RC		inpatient			834	834																																																			
SHEARS ELECTROSURGICAL HARMONIC ACE CURVE 36CM 5MM TITANIUM DISPOSABLE STERILE LF SHAFT PISTOL HANDLE HANDCONTROL	SUP-ACE36P	CDM			270	RC		outpatient			833.49	833.49	225.79				percent of total billed charges		833.49				other	OPPS APC	616.78				percent of total billed charges		833.49				other	OPPS APC	833.49				other	OPPS APC	225.79				percent of total billed charges		230.29				percent of total billed charges		833.49				other	OPPS APC	225.79	833.49	
SHEARS ELECTROSURGICAL HARMONIC ACE CURVE 36CM 5MM TITANIUM DISPOSABLE STERILE LF SHAFT PISTOL HANDLE HANDCONTROL	SUP-ACE36P	CDM			270	RC		inpatient			833.49	833.49																																																			
SCREW BONE QWIX TITANIUM L30 MM OD3 MM INTRAOSSEOUS FIXATION SELF DRILLING SELF TAPPING KIRSCHNER GUIDEWIRE NONSTERILE	SUP-111330	CDM			270	RC		outpatient			832	832	225.39				percent of total billed charges		832				other	OPPS APC	615.68				percent of total billed charges		832				other	OPPS APC	832				other	OPPS APC	225.39				percent of total billed charges		229.88				percent of total billed charges		832				other	OPPS APC	225.39	832	
SCREW BONE QWIX TITANIUM L30 MM OD3 MM INTRAOSSEOUS FIXATION SELF DRILLING SELF TAPPING KIRSCHNER GUIDEWIRE NONSTERILE	SUP-111330	CDM			270	RC		inpatient			832	832																																																			
PENICILLIN G BENZATHINE PER 1200000 UNITS	636000000	CDM	60793-701-02	NDC	J0561	HCPCS		inpatient			831.79	831.79																																																			
PENICILLIN G BENZATHINE PER 1200000 UNITS	636000000	CDM	60793-701-02	NDC	J0561	HCPCS		outpatient			831.79	23.43																																											23.43				other	OPPS APC	23.43	23.43	
BUSHING SM DISTAL FEM GMRS	SUP-97-03374	CDM			278	RC		outpatient			831.6	831.62	831.6				fee schedule		831.6				other	OPPS APC	474.01				percent of total billed charges		831.6				other	OPPS APC	831.6				other	OPPS APC	407.48				percent of total billed charges		424.12				percent of total billed charges		831.62				other	OPPS APC	407.48	831.62	
BUSHING SM DISTAL FEM GMRS	SUP-97-03374	CDM			278	RC		inpatient			831.6	831.6																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L116 MM FIBULA RIGHT DISTAL POSTEROLATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.112	CDM	270010022	LOCAL	270	RC		outpatient			830.9	83.9	225.09				percent of total billed charges		830.9				other	OPPS APC	614.87				percent of total billed charges		830.9				other	OPPS APC	830.9				other	OPPS APC	225.09				percent of total billed charges		229.58				percent of total billed charges		83.9				other	OPPS APC	83.9	830.9	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L116 MM FIBULA RIGHT DISTAL POSTEROLATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.112	CDM	270010022	LOCAL	270	RC		inpatient			830.9	830.9																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L116 MM FIBULA LEFT DISTAL POSTEROLATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.113	CDM	270010022	LOCAL	270	RC		outpatient			830.9	83.9	225.09				percent of total billed charges		830.9				other	OPPS APC	614.87				percent of total billed charges		830.9				other	OPPS APC	830.9				other	OPPS APC	225.09				percent of total billed charges		229.58				percent of total billed charges		83.9				other	OPPS APC	83.9	830.9	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L116 MM FIBULA LEFT DISTAL POSTEROLATERAL 6 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.113	CDM	270010022	LOCAL	270	RC		inpatient			830.9	830.9																																																			
CYCLOPHOSPHAMIDE 500 MG RECON SOLN 1 EACH VIAL	636000000	CDM	70121-1238-1	NDC	J9075	HCPCS		inpatient			830.68	830.68																																																			
CYCLOPHOSPHAMIDE 500 MG RECON SOLN 1 EACH VIAL	636000000	CDM	70121-1238-1	NDC	J9075	HCPCS		outpatient			830.68	0.98																																											0.98				other	OPPS APC	0.98	0.98	
PLATE BONE T 32MM TITANIUM NS HAND 3 HOLE HEAD 8 HOLE SHAFT PRECONTOUR LOW PROFILE 1.3MM SCREW	SUP-421.333	CDM	270010022	LOCAL	270	RC		outpatient			830.5	83.5	224.98				percent of total billed charges		830.5				other	OPPS APC	614.57				percent of total billed charges		830.5				other	OPPS APC	830.5				other	OPPS APC	224.98				percent of total billed charges		229.47				percent of total billed charges		83.5				other	OPPS APC	83.5	830.5	
PLATE BONE T 32MM TITANIUM NS HAND 3 HOLE HEAD 8 HOLE SHAFT PRECONTOUR LOW PROFILE 1.3MM SCREW	SUP-421.333	CDM	270010022	LOCAL	270	RC		inpatient			830.5	830.5																																																			
PLATE BONE Y 37MM TITANIUM NS HAND 3 HOLE HEAD 8 HOLE SHAFT PRECONTOUR LOW PROFILE 1.3MM SCREW	SUP-421.335	CDM	270010022	LOCAL	270	RC		outpatient			830.5	83.5	224.98				percent of total billed charges		830.5				other	OPPS APC	614.57				percent of total billed charges		830.5				other	OPPS APC	830.5				other	OPPS APC	224.98				percent of total billed charges		229.47				percent of total billed charges		83.5				other	OPPS APC	83.5	830.5	
PLATE BONE Y 37MM TITANIUM NS HAND 3 HOLE HEAD 8 HOLE SHAFT PRECONTOUR LOW PROFILE 1.3MM SCREW	SUP-421.335	CDM	270010022	LOCAL	270	RC		inpatient			830.5	830.5																																																			
SPLINTING TUBE	SUP-95-01975	CDM			272	RC		outpatient			829.44	829.45	224.7				percent of total billed charges		829.44				other	OPPS APC	613.79				percent of total billed charges		829.44				other	OPPS APC	829.44				other	OPPS APC	224.7				percent of total billed charges		229.17				percent of total billed charges		829.45				other	OPPS APC	224.7	829.45	
SPLINTING TUBE	SUP-95-01975	CDM			272	RC		inpatient			829.44	829.44																																																			
CATHETER THROMBECTOMY FOGARTY COIL L50 CM OD5 FR VASCULAR GRAFT FLEXIBLE CLOT MANAGEMENT WIRE STERILE LATEX	SUP-160245F	CDM			270	RC		outpatient			828.98	828.98	224.57				percent of total billed charges		828.98				other	OPPS APC	613.45				percent of total billed charges		828.98				other	OPPS APC	828.98				other	OPPS APC	224.57				percent of total billed charges		229.05				percent of total billed charges		828.98				other	OPPS APC	224.57	828.98	
CATHETER THROMBECTOMY FOGARTY COIL L50 CM OD5 FR VASCULAR GRAFT FLEXIBLE CLOT MANAGEMENT WIRE STERILE LATEX	SUP-160245F	CDM			270	RC		inpatient			828.98	828.98																																																			
CATHETER THROMBECTOMY FOGARTY COIL L50 CM OD6 FR VASCULAR GRAFT FLEXIBLE CLOT MANAGEMENT WIRE STERILE LATEX	SUP-160246F	CDM			270	RC		outpatient			828.98	828.98	224.57				percent of total billed charges		828.98				other	OPPS APC	613.45				percent of total billed charges		828.98				other	OPPS APC	828.98				other	OPPS APC	224.57				percent of total billed charges		229.05				percent of total billed charges		828.98				other	OPPS APC	224.57	828.98	
CATHETER THROMBECTOMY FOGARTY COIL L50 CM OD6 FR VASCULAR GRAFT FLEXIBLE CLOT MANAGEMENT WIRE STERILE LATEX	SUP-160246F	CDM			270	RC		inpatient			828.98	828.98																																																			
DISTAL SPACER 15MM	SUP-95-04025	CDM			278	RC		outpatient			828.3	828.3	828.3				fee schedule		828.3				other	OPPS APC	472.13				percent of total billed charges		828.3				other	OPPS APC	828.3				other	OPPS APC	405.87				percent of total billed charges		422.43				percent of total billed charges		828.3				other	OPPS APC	405.87	828.3	
DISTAL SPACER 15MM	SUP-95-04025	CDM			278	RC		inpatient			828.3	828.3																																																			
BATTERY SURGICAL DRIVER MATRIXPRO STERILE DISPOSABLE	SUP-05.000.021S	CDM			270	RC		outpatient			828	828	224.31				percent of total billed charges		828				other	OPPS APC	612.72				percent of total billed charges		828				other	OPPS APC	828				other	OPPS APC	224.31				percent of total billed charges		228.78				percent of total billed charges		828				other	OPPS APC	224.31	828	
BATTERY SURGICAL DRIVER MATRIXPRO STERILE DISPOSABLE	SUP-05.000.021S	CDM			270	RC		inpatient			828	828																																																			
PLATE BONE TITANIUM STRAIGHT L25 MM MANDIBLE 4 HOLE TENSION BAND NONSTERILE 2 MM SCREW	SUP-449.05	CDM	270010014	LOCAL	270	RC		outpatient			827.7	827.75	224.22				percent of total billed charges		827.7				other	OPPS APC	612.5				percent of total billed charges		827.7				other	OPPS APC	827.7				other	OPPS APC	224.22				percent of total billed charges		228.69				percent of total billed charges		827.75				other	OPPS APC	224.22	827.75	
PLATE BONE TITANIUM STRAIGHT L25 MM MANDIBLE 4 HOLE TENSION BAND NONSTERILE 2 MM SCREW	SUP-449.05	CDM	270010014	LOCAL	270	RC		inpatient			827.7	827.7																																																			
FORCEPS BIPOLAR DISPOSABLE SPETZLER-MALIS 8' 0.5MM TIP	SUP-676020005	CDM			270	RC		outpatient			826	826	223.76				percent of total billed charges		826				other	OPPS APC	611.24				percent of total billed charges		826				other	OPPS APC	826				other	OPPS APC	223.76				percent of total billed charges		228.22				percent of total billed charges		826				other	OPPS APC	223.76	826	
FORCEPS BIPOLAR DISPOSABLE SPETZLER-MALIS 8' 0.5MM TIP	SUP-676020005	CDM			270	RC		inpatient			826	826																																																			
HC ER-Comprehensive Visit	PX-452992850	CDM	99285	CPT	450	RC		outpatient			825	825	195.77				case rate		825				other	OPPS APC	2726				case rate		825				other	OPPS APC	825				other	OPPS APC	173.27				fee schedule		199.69				case rate		825				other	OPPS APC	173.27	2726	
HC ER-Comprehensive Visit	PX-452992850	CDM	99285	CPT	450	RC		inpatient			825	825																																																			
PLATE BONE LCP STAINLESS STEEL L76 MM 8 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.372	CDM	270010022	LOCAL	270	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
PLATE BONE LCP STAINLESS STEEL L76 MM 8 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.372	CDM	270010022	LOCAL	270	RC		inpatient			825	825																																																			
PLATE BONE LCP 40MM SS NS 4 HOLE LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.680	CDM	270010022	LOCAL	270	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
PLATE BONE LCP 40MM SS NS 4 HOLE LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.680	CDM	270010022	LOCAL	270	RC		inpatient			825	825																																																			
PLATE BONE STRAIGHT 59X3.8X.8MM TITANIUM NS HAND 12 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH 1.5MM SCREW	SUP-446.032	CDM	270010022	LOCAL	270	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
PLATE BONE STRAIGHT 59X3.8X.8MM TITANIUM NS HAND 12 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH 1.5MM SCREW	SUP-446.032	CDM	270010022	LOCAL	270	RC		inpatient			825	825																																																			
SPRING WIRE J .025' X 35CM	SUP-95-00242	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
SPRING WIRE J .025' X 35CM	SUP-95-00242	CDM			272	RC		inpatient			825	825																																																			
SPRING -WIRE GUIDE	SUP-95-03930	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
SPRING -WIRE GUIDE	SUP-95-03930	CDM			272	RC		inpatient			825	825																																																			
DRILLBIT 2.0	SUP-95-04532	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
DRILLBIT 2.0	SUP-95-04532	CDM			272	RC		inpatient			825	825																																																			
KIT DISPOSABLES DX KNOTLESS FIBERTAK	SUP-95-04730	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
KIT DISPOSABLES DX KNOTLESS FIBERTAK	SUP-95-04730	CDM			272	RC		inpatient			825	825																																																			
DRILL BIT 2.5MM	SUP-95-04792	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
DRILL BIT 2.5MM	SUP-95-04792	CDM			272	RC		inpatient			825	825																																																			
KIT DISPOSABLE HIP 2.9MM PUSHLOCK	SUP-95-05286	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
KIT DISPOSABLE HIP 2.9MM PUSHLOCK	SUP-95-05286	CDM			272	RC		inpatient			825	825																																																			
KIT DISPOSABLE STRAIGHT KNOTLESS HIP FIBERTAK	SUP-95-05288	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
KIT DISPOSABLE STRAIGHT KNOTLESS HIP FIBERTAK	SUP-95-05288	CDM			272	RC		inpatient			825	825																																																			
KIT DISPOSABLE 3.0MM KNOTLESS SUTURETAK	SUP-95-05289	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
KIT DISPOSABLE 3.0MM KNOTLESS SUTURETAK	SUP-95-05289	CDM			272	RC		inpatient			825	825																																																			
CANNULA 4.5MM 2 EACH IN PK	SUP-97-01946	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
CANNULA 4.5MM 2 EACH IN PK	SUP-97-01946	CDM			272	RC		inpatient			825	825																																																			
CANNULA 5.5MM 2 EACH IN PK	SUP-97-01949	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
CANNULA 5.5MM 2 EACH IN PK	SUP-97-01949	CDM			272	RC		inpatient			825	825																																																			
SCREW SHORT THREAD HEADLESS 5.5X50	SUP-97-02669	CDM			278	RC		outpatient			825	825	825				fee schedule		825				other	OPPS APC	470.25				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	404.25				percent of total billed charges		420.75				percent of total billed charges		825				other	OPPS APC	404.25	825	
SCREW SHORT THREAD HEADLESS 5.5X50	SUP-97-02669	CDM			278	RC		inpatient			825	825																																																			
SIMLEX P WITH TOBRAMYCIN	SUP-97-02930	CDM			278	RC		outpatient			825	825	825				fee schedule		825				other	OPPS APC	470.25				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	404.25				percent of total billed charges		420.75				percent of total billed charges		825				other	OPPS APC	404.25	825	
SIMLEX P WITH TOBRAMYCIN	SUP-97-02930	CDM			278	RC		inpatient			825	825																																																			
DISPOSABLES KIT FOR DX FIBERTAK	SUP-97-04277	CDM			278	RC		outpatient			825	825	825				fee schedule		825				other	OPPS APC	470.25				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	404.25				percent of total billed charges		420.75				percent of total billed charges		825				other	OPPS APC	404.25	825	
DISPOSABLES KIT FOR DX FIBERTAK	SUP-97-04277	CDM			278	RC		inpatient			825	825																																																			
DISP KIT FOR DX SWIVELOCK SL 3.5X8.5MM	SUP-97-04335	CDM			278	RC		outpatient			825	825	825				fee schedule		825				other	OPPS APC	470.25				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	404.25				percent of total billed charges		420.75				percent of total billed charges		825				other	OPPS APC	404.25	825	
DISP KIT FOR DX SWIVELOCK SL 3.5X8.5MM	SUP-97-04335	CDM			278	RC		inpatient			825	825																																																			
5.5 OPERATIVE W/HOLE CANNULATED	SUP-97-04954	CDM			278	RC		outpatient			825	825	825				fee schedule		825				other	OPPS APC	470.25				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	404.25				percent of total billed charges		420.75				percent of total billed charges		825				other	OPPS APC	404.25	825	
5.5 OPERATIVE W/HOLE CANNULATED	SUP-97-04954	CDM			278	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 5.0X80	SUP-99-00960	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 5.0X80	SUP-99-00960	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 4.0X100	SUP-99-00973	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 4.0X100	SUP-99-00973	CDM			272	RC		inpatient			825	825																																																			
CATHETER - MICROSHEATH XL 110 ST	SUP-99-01112	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
CATHETER - MICROSHEATH XL 110 ST	SUP-99-01112	CDM			272	RC		inpatient			825	825																																																			
CATHETER - SIDEKICK SUPPORT - ANGLED	SUP-99-01113	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
CATHETER - SIDEKICK SUPPORT - ANGLED	SUP-99-01113	CDM			272	RC		inpatient			825	825																																																			
BALLOON- STERLING SL OTW 3.0 X 150	SUP-99-01135	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON- STERLING SL OTW 3.0 X 150	SUP-99-01135	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 2.5X150X150	SUP-99-01296	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 2.5X150X150	SUP-99-01296	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 5.0X40	SUP-99-01353	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 5.0X40	SUP-99-01353	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 2.5X100X150	SUP-99-01405	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 2.5X100X150	SUP-99-01405	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 3.0X100X150	SUP-99-01406	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 3.0X100X150	SUP-99-01406	CDM			272	RC		inpatient			825	825																																																			
CATHETER - MICROSHEATH XL 70 ST	SUP-99-01589	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
CATHETER - MICROSHEATH XL 70 ST	SUP-99-01589	CDM			272	RC		inpatient			825	825																																																			
CATHETER - MICROSHEATH XL 70 VERT	SUP-99-01590	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
CATHETER - MICROSHEATH XL 70 VERT	SUP-99-01590	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE ES OTW 4.0X40X145	SUP-99-01692	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE ES OTW 4.0X40X145	SUP-99-01692	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 2.0X100X150	SUP-99-01700	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 2.0X100X150	SUP-99-01700	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 6.0X40X135	SUP-99-01720	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 6.0X40X135	SUP-99-01720	CDM			272	RC		inpatient			825	825																																																			
BALLOON-COYOTE OTW 3.0 X 8.0 X 150	SUP-99-01854	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON-COYOTE OTW 3.0 X 8.0 X 150	SUP-99-01854	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 2.0X60X150	SUP-99-01860	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 2.0X60X150	SUP-99-01860	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 6.0X80	SUP-99-01870	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 6.0X80	SUP-99-01870	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE ES OTW 2.0X40X150	SUP-99-01872	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE ES OTW 2.0X40X150	SUP-99-01872	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 2.5X60X150	SUP-99-01958	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 2.5X60X150	SUP-99-01958	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 6.0X150	SUP-99-01964	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 6.0X150	SUP-99-01964	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 5.0X120	SUP-99-02056	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 5.0X120	SUP-99-02056	CDM			272	RC		inpatient			825	825																																																			
BALLOON - ADMIRAL 6.0X300	SUP-99-02079	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - ADMIRAL 6.0X300	SUP-99-02079	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 7.0 X 100 X 135	SUP-99-02153	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 7.0 X 100 X 135	SUP-99-02153	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 3.0X60X150	SUP-99-02194	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 3.0X60X150	SUP-99-02194	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 4.0X60X150	SUP-99-02196	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 4.0X60X150	SUP-99-02196	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 4 X 60 X 135	SUP-99-02197	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 4 X 60 X 135	SUP-99-02197	CDM			272	RC		inpatient			825	825																																																			
BALLOON - COYOTE OTW 1.5X40150	SUP-99-02230	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - COYOTE OTW 1.5X40150	SUP-99-02230	CDM			272	RC		inpatient			825	825																																																			
BALLOON - STERLING OTW 2.5X150	SUP-99-04344	CDM			272	RC		outpatient			825	825	223.49				percent of total billed charges		825				other	OPPS APC	610.5				percent of total billed charges		825				other	OPPS APC	825				other	OPPS APC	223.49				percent of total billed charges		227.95				percent of total billed charges		825				other	OPPS APC	223.49	825	
BALLOON - STERLING OTW 2.5X150	SUP-99-04344	CDM			272	RC		inpatient			825	825																																																			
DEVICE SUTURING ENDO STITCH L15 IN OD10 MM SOFT TISSUE PUSH BUTTON GRIP HANDLE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-173016	CDM			270	RC		outpatient			824.75	824.75	223.42				percent of total billed charges		824.75				other	OPPS APC	610.32				percent of total billed charges		824.75				other	OPPS APC	824.75				other	OPPS APC	223.42				percent of total billed charges		227.88				percent of total billed charges		824.75				other	OPPS APC	223.42	824.75	
DEVICE SUTURING ENDO STITCH L15 IN OD10 MM SOFT TISSUE PUSH BUTTON GRIP HANDLE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-173016	CDM			270	RC		inpatient			824.75	824.75																																																			
FIXOS 4.0X46	SUP-658046	CDM			270	RC		outpatient			824.6	824.62	223.38				percent of total billed charges		824.6				other	OPPS APC	610.2				percent of total billed charges		824.6				other	OPPS APC	824.6				other	OPPS APC	223.38				percent of total billed charges		227.84				percent of total billed charges		824.62				other	OPPS APC	223.38	824.62	
FIXOS 4.0X46	SUP-658046	CDM			270	RC		inpatient			824.6	824.6																																																			
KIT DRAINAGE BECKER EDMS II VENTRICULAR MONITOR SYSTEM RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-26040	CDM			270	RC		outpatient			824.26	824.26	223.29				percent of total billed charges		824.26				other	OPPS APC	609.95				percent of total billed charges		824.26				other	OPPS APC	824.26				other	OPPS APC	223.29				percent of total billed charges		227.74				percent of total billed charges		824.26				other	OPPS APC	223.29	824.26	
KIT DRAINAGE BECKER EDMS II VENTRICULAR MONITOR SYSTEM RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-26040	CDM			270	RC		inpatient			824.26	824.26																																																			
3.2MM THREE FLUTED DRILL QC 330MM/100MM	SUP-97-01173	CDM			272	RC		outpatient			823.35	823.35	223.05				percent of total billed charges		823.35				other	OPPS APC	609.28				percent of total billed charges		823.35				other	OPPS APC	823.35				other	OPPS APC	223.05				percent of total billed charges		227.49				percent of total billed charges		823.35				other	OPPS APC	223.05	823.35	
3.2MM THREE FLUTED DRILL QC 330MM/100MM	SUP-97-01173	CDM			272	RC		inpatient			823.35	823.35																																																			
DRILL BIT 4.2MM 3 FLUTED QC 330MM/100MM	SUP-97-01568	CDM			272	RC		outpatient			823.35	823.35	223.05				percent of total billed charges		823.35				other	OPPS APC	609.28				percent of total billed charges		823.35				other	OPPS APC	823.35				other	OPPS APC	223.05				percent of total billed charges		227.49				percent of total billed charges		823.35				other	OPPS APC	223.05	823.35	
DRILL BIT 4.2MM 3 FLUTED QC 330MM/100MM	SUP-97-01568	CDM			272	RC		inpatient			823.35	823.35																																																			
PLATE BONE STRAIGHT .5MM BLUE TITANIUM MID FACE 24 HOLE CONDENSE MALLEABLE 1.7MM SCREW	SUP-5504724	CDM			270	RC		outpatient			823.2	823.25	223				percent of total billed charges		823.2				other	OPPS APC	609.17				percent of total billed charges		823.2				other	OPPS APC	823.2				other	OPPS APC	223				percent of total billed charges		227.45				percent of total billed charges		823.25				other	OPPS APC	223	823.25	
PLATE BONE STRAIGHT .5MM BLUE TITANIUM MID FACE 24 HOLE CONDENSE MALLEABLE 1.7MM SCREW	SUP-5504724	CDM			270	RC		inpatient			823.2	823.2																																																			
FILGRASTIM-SNDZ PER 1 MCG	636000000	CDM	61314-318-05	NDC	Q5101	HCPCS		inpatient			823.09	823.09																																																			
FILGRASTIM-SNDZ PER 1 MCG	636000000	CDM	61314-318-05	NDC	Q5101	HCPCS		outpatient			823.09	0.46																																											0.46				other	OPPS APC	0.46	0.46	
SCREW NUT 5.0	SUP-97-03532	CDM			278	RC		outpatient			822	822	822				fee schedule		822				other	OPPS APC	468.54				percent of total billed charges		822				other	OPPS APC	822				other	OPPS APC	402.78				percent of total billed charges		419.22				percent of total billed charges		822				other	OPPS APC	402.78	822	
SCREW NUT 5.0	SUP-97-03532	CDM			278	RC		inpatient			822	822																																																			
HC CT Upper Extrem Wwo Contrast	PX-352732020	CDM	73202	CPT	352	RC		outpatient			821	189.94	304.54				fee schedule		189.94				other	OPPS APC	874.14				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	235.25				fee schedule		202.04				fee schedule		189.94				other	OPPS APC	189.94	874.14	
HC CT Upper Extrem Wwo Contrast	PX-352732020	CDM	73202	CPT	352	RC		inpatient			821	821																																																			
SCREW BONE SPRING FIXATION SHORT	SUP-00-5967-033-01	CDM	270010025	LOCAL	270	RC		outpatient			820	82	222.14				percent of total billed charges		820				other	OPPS APC	606.8				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	222.14				percent of total billed charges		226.57				percent of total billed charges		82				other	OPPS APC	82	820	
SCREW BONE SPRING FIXATION SHORT	SUP-00-5967-033-01	CDM	270010025	LOCAL	270	RC		inpatient			820	820																																																			
CAPSURE SENSE PASSIVE	SUP-4073/4074/4574 SERIE	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
CAPSURE SENSE PASSIVE	SUP-4073/4074/4574 SERIE	CDM			275	RC		inpatient			820	820																																																			
CAPSURE SP NOVUS	SUP-4092/5092 SERIES	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
CAPSURE SP NOVUS	SUP-4092/5092 SERIES	CDM			275	RC		inpatient			820	820																																																			
SL STRAIGHT 47CM	SUP-410110	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL STRAIGHT 47CM	SUP-410110	CDM			275	RC		inpatient			820	820																																																			
SL MULTIPURPOSE 47CM	SUP-410111	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL MULTIPURPOSE 47CM	SUP-410111	CDM			275	RC		inpatient			820	820																																																			
LEAD CPS DIRECT SL SL135* 47CM	SUP-410113	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD CPS DIRECT SL SL135* 47CM	SUP-410113	CDM			275	RC		inpatient			820	820																																																			
SL WIDE 47CM	SUP-410114	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL WIDE 47CM	SUP-410114	CDM			275	RC		inpatient			820	820																																																			
SL EXTRA WIDE 47CM	SUP-410115	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL EXTRA WIDE 47CM	SUP-410115	CDM			275	RC		inpatient			820	820																																																			
SL RIGHT SIDED 47CM	SUP-410116	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL RIGHT SIDED 47CM	SUP-410116	CDM			275	RC		inpatient			820	820																																																			
SL STRAIGHT 54CM	SUP-410120	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL STRAIGHT 54CM	SUP-410120	CDM			275	RC		inpatient			820	820																																																			
SL MULTIPURPOSE 54CM	SUP-410121	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL MULTIPURPOSE 54CM	SUP-410121	CDM			275	RC		inpatient			820	820																																																			
SL 115 54CM	SUP-410122	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL 115 54CM	SUP-410122	CDM			275	RC		inpatient			820	820																																																			
SL 135 54CM	SUP-410123	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL 135 54CM	SUP-410123	CDM			275	RC		inpatient			820	820																																																			
SL WIDE 54CM	SUP-410124	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL WIDE 54CM	SUP-410124	CDM			275	RC		inpatient			820	820																																																			
SL EXTRA WIDE 54CM	SUP-410125	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL EXTRA WIDE 54CM	SUP-410125	CDM			275	RC		inpatient			820	820																																																			
SL RIGHT SIDED 54CM	SUP-410126	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
SL RIGHT SIDED 54CM	SUP-410126	CDM			275	RC		inpatient			820	820																																																			
LEAD PACING CAPSURE EPI STEROID ELUTING SILICONE OD4.5 FR EPICARDIUM MYOCARDIUM UNIPOLAR SUTURE FIXATION IS-1	SUP-4965	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD PACING CAPSURE EPI STEROID ELUTING SILICONE OD4.5 FR EPICARDIUM MYOCARDIUM UNIPOLAR SUTURE FIXATION IS-1	SUP-4965	CDM			275	RC		inpatient			820	820																																																			
LEAD CAPSURE Z NOVUS	SUP-5054/5554 SERIES	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD CAPSURE Z NOVUS	SUP-5054/5554 SERIES	CDM			275	RC		inpatient			820	820																																																			
EPICARDIAL UNIPOLAR	SUP-5071 SERIES	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
EPICARDIAL UNIPOLAR	SUP-5071 SERIES	CDM			275	RC		inpatient			820	820																																																			
LEAD PACING SUREFIX STEROID ELUTING SILICONE OD7.2 FR ATRIUM RIGHT VENTRICLE TRANSVENOUS BIPOLAR FIX SCREW	SUP-5072 SERIES	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD PACING SUREFIX STEROID ELUTING SILICONE OD7.2 FR ATRIUM RIGHT VENTRICLE TRANSVENOUS BIPOLAR FIX SCREW	SUP-5072 SERIES	CDM			275	RC		inpatient			820	820																																																			
LEAD 5086-45 MRI PACING 8/17/16	SUP-5086MRI45	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD 5086-45 MRI PACING 8/17/16	SUP-5086MRI45	CDM			275	RC		inpatient			820	820																																																			
LEAD 5086-52 MRI PACING 8/17/16	SUP-5086MRI52	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD 5086-52 MRI PACING 8/17/16	SUP-5086MRI52	CDM			275	RC		inpatient			820	820																																																			
LEAD 5086-58 MRI PACING 8/17/16	SUP-5086MRI58	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD 5086-58 MRI PACING 8/17/16	SUP-5086MRI58	CDM			275	RC		inpatient			820	820																																																			
CAPSURE FIX	SUP-5568	CDM			270	RC		outpatient			820	82	222.14				percent of total billed charges		820				other	OPPS APC	606.8				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	222.14				percent of total billed charges		226.57				percent of total billed charges		82				other	OPPS APC	82	820	
CAPSURE FIX	SUP-5568	CDM			270	RC		inpatient			820	820																																																			
LEAD PACING CAPSURE SP NOVUS STEROID ELUTING SILICONE 9 MM J SHORT THIN OD6 FR ATRIUM PASSIVE FIXATION BIPOLAR	SUP-5594 SERIES	CDM			275	RC		outpatient			820	82	401.8				percent of total billed charges		820				other	OPPS APC	467.4				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	401.8				percent of total billed charges		418.2				percent of total billed charges		82				other	OPPS APC	82	820	
LEAD PACING CAPSURE SP NOVUS STEROID ELUTING SILICONE 9 MM J SHORT THIN OD6 FR ATRIUM PASSIVE FIXATION BIPOLAR	SUP-5594 SERIES	CDM			275	RC		inpatient			820	820																																																			
PLATE BONE 2Y MICRO LOW PROFILE L8 MM CRANIUM 6 HOLE BAR	SUP-9203608	CDM			270	RC		outpatient			820	82	222.14				percent of total billed charges		820				other	OPPS APC	606.8				percent of total billed charges		820				other	OPPS APC	820				other	OPPS APC	222.14				percent of total billed charges		226.57				percent of total billed charges		82				other	OPPS APC	82	820	
PLATE BONE 2Y MICRO LOW PROFILE L8 MM CRANIUM 6 HOLE BAR	SUP-9203608	CDM			270	RC		inpatient			820	820																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L103 MM FIBULA RIGHT DISTAL POSTEROLATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.110	CDM	270010022	LOCAL	270	RC		outpatient			819	819	221.87				percent of total billed charges		819				other	OPPS APC	606.06				percent of total billed charges		819				other	OPPS APC	819				other	OPPS APC	221.87				percent of total billed charges		226.29				percent of total billed charges		819				other	OPPS APC	221.87	819	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L103 MM FIBULA RIGHT DISTAL POSTEROLATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.110	CDM	270010022	LOCAL	270	RC		inpatient			819	819																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L103 MM FIBULA LEFT DISTAL POSTEROLATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.111	CDM	270010022	LOCAL	270	RC		outpatient			819	819	221.87				percent of total billed charges		819				other	OPPS APC	606.06				percent of total billed charges		819				other	OPPS APC	819				other	OPPS APC	221.87				percent of total billed charges		226.29				percent of total billed charges		819				other	OPPS APC	221.87	819	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L103 MM FIBULA LEFT DISTAL POSTEROLATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.111	CDM	270010022	LOCAL	270	RC		inpatient			819	819																																																			
FORCEPS ENDOSCOPIC L115 CM OD3.3 FR TISSUE FLEXIBLE OVAL BIOPSY CUP	SUP-G15054	CDM			270	RC		outpatient			819	819	221.87				percent of total billed charges		819				other	OPPS APC	606.06				percent of total billed charges		819				other	OPPS APC	819				other	OPPS APC	221.87				percent of total billed charges		226.29				percent of total billed charges		819				other	OPPS APC	221.87	819	
FORCEPS ENDOSCOPIC L115 CM OD3.3 FR TISSUE FLEXIBLE OVAL BIOPSY CUP	SUP-G15054	CDM			270	RC		inpatient			819	819																																																			
FIBER ENDOSCOPIC LASER FLEXIVA PULSE 550UM HIGH POWER EA	SUP-M006L8405930	CDM			270	RC		outpatient			818.88	818.88	221.83				percent of total billed charges		818.88				other	OPPS APC	605.97				percent of total billed charges		818.88				other	OPPS APC	818.88				other	OPPS APC	221.83				percent of total billed charges		226.26				percent of total billed charges		818.88				other	OPPS APC	221.83	818.88	
FIBER ENDOSCOPIC LASER FLEXIVA PULSE 550UM HIGH POWER EA	SUP-M006L8405930	CDM			270	RC		inpatient			818.88	818.88																																																			
NEEDLE BIOPSY ECHOTIP PROCORE 0-8CM 25GA 5.2FR DISPOSABLE STERILE CONTOUR HANDLE BEVEL STYLET TIP HD ULTRASOUND	SUP-G55738	CDM			270	RC		outpatient			818	818	221.6				percent of total billed charges		818				other	OPPS APC	605.32				percent of total billed charges		818				other	OPPS APC	818				other	OPPS APC	221.6				percent of total billed charges		226.01				percent of total billed charges		818				other	OPPS APC	221.6	818	
NEEDLE BIOPSY ECHOTIP PROCORE 0-8CM 25GA 5.2FR DISPOSABLE STERILE CONTOUR HANDLE BEVEL STYLET TIP HD ULTRASOUND	SUP-G55738	CDM			270	RC		inpatient			818	818																																																			
PLATE BONE LEVEL ONE TITANIUM ANGLE STERNAL 8 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-59-09	CDM			270	RC		outpatient			817.5	817.5	221.46				percent of total billed charges		817.5				other	OPPS APC	604.95				percent of total billed charges		817.5				other	OPPS APC	817.5				other	OPPS APC	221.46				percent of total billed charges		225.88				percent of total billed charges		817.5				other	OPPS APC	221.46	817.5	
PLATE BONE LEVEL ONE TITANIUM ANGLE STERNAL 8 HOLE LOCK NONSTERILE 2.3 MM SCREW MIDLINE MINI VALVE STERNOTOMY	SUP-24-025-59-09	CDM			270	RC		inpatient			817.5	817.5																																																			
PLATE TUBULAR 1/3 4 HOLES	SUP-97-03730	CDM			278	RC		outpatient			817.5	817.5	817.5				fee schedule		817.5				other	OPPS APC	465.98				percent of total billed charges		817.5				other	OPPS APC	817.5				other	OPPS APC	400.58				percent of total billed charges		416.93				percent of total billed charges		817.5				other	OPPS APC	400.58	817.5	
PLATE TUBULAR 1/3 4 HOLES	SUP-97-03730	CDM			278	RC		inpatient			817.5	817.5																																																			
STAPLER INTERNAL EEA 4 MM 4.5 MM 5 MM XTHICK OD28 MM BLACK	SUP-TRIEEA28XT_11858	CDM			270	RC		outpatient			817.46	817.46	221.45				percent of total billed charges		817.46				other	OPPS APC	604.92				percent of total billed charges		817.46				other	OPPS APC	817.46				other	OPPS APC	221.45				percent of total billed charges		225.86				percent of total billed charges		817.46				other	OPPS APC	221.45	817.46	
STAPLER INTERNAL EEA 4 MM 4.5 MM 5 MM XTHICK OD28 MM BLACK	SUP-TRIEEA28XT_11858	CDM			270	RC		inpatient			817.46	817.46																																																			
DRILL BIT QC 2.8 X 165	SUP-95-04478	CDM			272	RC		outpatient			817.38	817.38	221.43				percent of total billed charges		817.38				other	OPPS APC	604.86				percent of total billed charges		817.38				other	OPPS APC	817.38				other	OPPS APC	221.43				percent of total billed charges		225.84				percent of total billed charges		817.38				other	OPPS APC	221.43	817.38	
DRILL BIT QC 2.8 X 165	SUP-95-04478	CDM			272	RC		inpatient			817.38	817.38																																																			
PLATE BONE STRAIGHT 71X5X1.2MM TITANIUM NS HAND 12 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH 2MM SCREW	SUP-447.032	CDM	270010022	LOCAL	270	RC		outpatient			817.3	817.3	221.41				percent of total billed charges		817.3				other	OPPS APC	604.8				percent of total billed charges		817.3				other	OPPS APC	817.3				other	OPPS APC	221.41				percent of total billed charges		225.82				percent of total billed charges		817.3				other	OPPS APC	221.41	817.3	
PLATE BONE STRAIGHT 71X5X1.2MM TITANIUM NS HAND 12 HOLE LOW PROFILE PRECONTOUR CUT TO LENGTH 2MM SCREW	SUP-447.032	CDM	270010022	LOCAL	270	RC		inpatient			817.3	817.3																																																			
HC Barium Enema W/Air Doubele Contrast W Scout/Delayed Images	PX-320742800	CDM	74280	CPT	320	RC		outpatient			817	189.94	203.56				fee schedule		189.94				other	OPPS APC	335.46				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	224.86				fee schedule		164.75				fee schedule		189.94				other	OPPS APC	164.75	335.46	
HC Barium Enema W/Air Doubele Contrast W Scout/Delayed Images	PX-320742800	CDM	74280	CPT	320	RC		inpatient			817	817																																																			
HC Bone Scan-Limited	PX-340783000	CDM	78300	CPT	341	RC		outpatient			817	817	187.13				fee schedule		817				other	OPPS APC	318.28				fee schedule		817				other	OPPS APC	817				other	OPPS APC	212.17				fee schedule		182.02				fee schedule		817				other	OPPS APC	182.02	817	
HC Bone Scan-Limited	PX-340783000	CDM	78300	CPT	341	RC		inpatient			817	817																																																			
HC Ek Tilt Table 45 Min or Less	PX-480936600	CDM	93660	CPT	480	RC		outpatient			817	59.16	158.52				fee schedule		509.16				other	OPPS APC	258.91				fee schedule		509.16				other	OPPS APC	509.16				other	OPPS APC	159.62				fee schedule		416.67				percent of total billed charges		59.16				other	OPPS APC	59.16	509.16	
HC Ek Tilt Table 45 Min or Less	PX-480936600	CDM	93660	CPT	480	RC		inpatient			817	817																																																			
HC Ek Tilt Table >45 Min	PX-480936601	CDM	93660	CPT	480	RC		outpatient			817	59.16	158.52				fee schedule		509.16				other	OPPS APC	258.91				fee schedule		509.16				other	OPPS APC	509.16				other	OPPS APC	159.62				fee schedule		416.67				percent of total billed charges		59.16				other	OPPS APC	59.16	509.16	
HC Ek Tilt Table >45 Min	PX-480936601	CDM	93660	CPT	480	RC		inpatient			817	817																																																			
HC Exer Tolerance Test	PX-482930170	CDM	93017	CPT	482	RC		outpatient			817	294.96	39.66				fee schedule		294.96				other	OPPS APC	188.19				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	35.74				fee schedule		416.67				percent of total billed charges		294.96				other	OPPS APC	35.74	416.67	
HC Exer Tolerance Test	PX-482930170	CDM	93017	CPT	482	RC		inpatient			817	817																																																			
BITE BREAK-OFF SCREW  3/4 THD  2.0X12	SUP-97-02880	CDM			278	RC		outpatient			816.9	816.9	816.9				fee schedule		816.9				other	OPPS APC	465.63				percent of total billed charges		816.9				other	OPPS APC	816.9				other	OPPS APC	400.28				percent of total billed charges		416.62				percent of total billed charges		816.9				other	OPPS APC	400.28	816.9	
BITE BREAK-OFF SCREW  3/4 THD  2.0X12	SUP-97-02880	CDM			278	RC		inpatient			816.9	816.9																																																			
MONSTER BITE SCREW 2.0X12MM SHORT THREAD	SUP-97-04707	CDM			278	RC		outpatient			816.9	816.9	816.9				fee schedule		816.9				other	OPPS APC	465.63				percent of total billed charges		816.9				other	OPPS APC	816.9				other	OPPS APC	400.28				percent of total billed charges		416.62				percent of total billed charges		816.9				other	OPPS APC	400.28	816.9	
MONSTER BITE SCREW 2.0X12MM SHORT THREAD	SUP-97-04707	CDM			278	RC		inpatient			816.9	816.9																																																			
MONSTER BITES BREAKOFF SCREW 3/4 THD2.7X	SUP-97-23670	CDM			278	RC		outpatient			816.9	816.9	816.9				fee schedule		816.9				other	OPPS APC	465.63				percent of total billed charges		816.9				other	OPPS APC	816.9				other	OPPS APC	400.28				percent of total billed charges		416.62				percent of total billed charges		816.9				other	OPPS APC	400.28	816.9	
MONSTER BITES BREAKOFF SCREW 3/4 THD2.7X	SUP-97-23670	CDM			278	RC		inpatient			816.9	816.9																																																			
PLATE BONE MATRIXNEURO TITANIUM L24 MM X W14 MM X H.4 MM CRANIAL 2 X 3 HOLE STRUT RIGID NONSTERILE BLUE	SUP-04.503.074	CDM	270010013	LOCAL	270	RC		outpatient			816.14	816.14	221.09				percent of total billed charges		816.14				other	OPPS APC	603.94				percent of total billed charges		816.14				other	OPPS APC	816.14				other	OPPS APC	221.09				percent of total billed charges		225.5				percent of total billed charges		816.14				other	OPPS APC	221.09	816.14	
PLATE BONE MATRIXNEURO TITANIUM L24 MM X W14 MM X H.4 MM CRANIAL 2 X 3 HOLE STRUT RIGID NONSTERILE BLUE	SUP-04.503.074	CDM	270010013	LOCAL	270	RC		inpatient			816.14	816.14																																																			
COBLATION WAND HP  EIC-5874	SUP-77-00033	CDM			272	RC		outpatient			816.12	816.12	221.09				percent of total billed charges		816.12				other	OPPS APC	603.93				percent of total billed charges		816.12				other	OPPS APC	816.12				other	OPPS APC	221.09				percent of total billed charges		225.49				percent of total billed charges		816.12				other	OPPS APC	221.09	816.12	
COBLATION WAND HP  EIC-5874	SUP-77-00033	CDM			272	RC		inpatient			816.12	816.12																																																			
ELECTRODE ELECTROSURGICAL VAPR ANGLED OD2.3 MM SIDE EFFECT THERMAL MODIFICATION ARTHROSCOPIC STERILE DISPOSABLE	SUP-225252	CDM			270	RC		outpatient			816	816	221.05				percent of total billed charges		816				other	OPPS APC	603.84				percent of total billed charges		816				other	OPPS APC	816				other	OPPS APC	221.05				percent of total billed charges		225.46				percent of total billed charges		816				other	OPPS APC	221.05	816	
ELECTRODE ELECTROSURGICAL VAPR ANGLED OD2.3 MM SIDE EFFECT THERMAL MODIFICATION ARTHROSCOPIC STERILE DISPOSABLE	SUP-225252	CDM			270	RC		inpatient			816	816																																																			
PLATE BONE VLP STAINLESS STEEL 8 MM SPACE 1/4 TUBULAR L 55.8 MM X W 8 MM X H 1.5 MM FOOT 7 HOLE STERILE 2.7 MM SCREW	SUP-72824010S	CDM			270	RC		outpatient			816	816	221.05				percent of total billed charges		816				other	OPPS APC	603.84				percent of total billed charges		816				other	OPPS APC	816				other	OPPS APC	221.05				percent of total billed charges		225.46				percent of total billed charges		816				other	OPPS APC	221.05	816	
PLATE BONE VLP STAINLESS STEEL 8 MM SPACE 1/4 TUBULAR L 55.8 MM X W 8 MM X H 1.5 MM FOOT 7 HOLE STERILE 2.7 MM SCREW	SUP-72824010S	CDM			270	RC		inpatient			816	816																																																			
IMPLANT EXTRA SMALL CANNULATED PHALINX HAMMERTOE	SUP-97-06139	CDM			278	RC		outpatient			816	816	816				fee schedule		816				other	OPPS APC	465.12				percent of total billed charges		816				other	OPPS APC	816				other	OPPS APC	399.84				percent of total billed charges		416.16				percent of total billed charges		816				other	OPPS APC	399.84	816	
IMPLANT EXTRA SMALL CANNULATED PHALINX HAMMERTOE	SUP-97-06139	CDM			278	RC		inpatient			816	816																																																			
ANCHOR SUTURE BIO-SWIVELOCK C L19.1 MM OD5.5 MM CLOSED EYELET VENT STERILE DISPOSABLE	SUP-AR-2323BSLC	CDM			270	RC		outpatient			816	816	221.05				percent of total billed charges		816				other	OPPS APC	603.84				percent of total billed charges		816				other	OPPS APC	816				other	OPPS APC	221.05				percent of total billed charges		225.46				percent of total billed charges		816				other	OPPS APC	221.05	816	
ANCHOR SUTURE BIO-SWIVELOCK C L19.1 MM OD5.5 MM CLOSED EYELET VENT STERILE DISPOSABLE	SUP-AR-2323BSLC	CDM			270	RC		inpatient			816	816																																																			
RESERVOIR SHUNT OMMAYA STANDARD L2.5 CM OD2.5 CM 1.26 ML CSF VENTRICULAR CATHETER FLAT BOTTOM STERILE	SUP-NL8501211	CDM			270	RC		outpatient			814.72	814.72	220.71				percent of total billed charges		814.72				other	OPPS APC	602.89				percent of total billed charges		814.72				other	OPPS APC	814.72				other	OPPS APC	220.71				percent of total billed charges		225.11				percent of total billed charges		814.72				other	OPPS APC	220.71	814.72	
RESERVOIR SHUNT OMMAYA STANDARD L2.5 CM OD2.5 CM 1.26 ML CSF VENTRICULAR CATHETER FLAT BOTTOM STERILE	SUP-NL8501211	CDM			270	RC		inpatient			814.72	814.72																																																			
RESERVOIR SHUNT OMMAYA L2.5 CM 1.14 ML CSF FLAT BOTTOM SIDE INLET STERILE	SUP-NL8501212	CDM			270	RC		outpatient			814.72	814.72	220.71				percent of total billed charges		814.72				other	OPPS APC	602.89				percent of total billed charges		814.72				other	OPPS APC	814.72				other	OPPS APC	220.71				percent of total billed charges		225.11				percent of total billed charges		814.72				other	OPPS APC	220.71	814.72	
RESERVOIR SHUNT OMMAYA L2.5 CM 1.14 ML CSF FLAT BOTTOM SIDE INLET STERILE	SUP-NL8501212	CDM			270	RC		inpatient			814.72	814.72																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L125 MM FIBULA LEFT DISTAL LATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.145	CDM	270010022	LOCAL	270	RC		outpatient			814.1	814.12	220.54				percent of total billed charges		814.1				other	OPPS APC	602.43				percent of total billed charges		814.1				other	OPPS APC	814.1				other	OPPS APC	220.54				percent of total billed charges		224.94				percent of total billed charges		814.12				other	OPPS APC	220.54	814.12	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L125 MM FIBULA LEFT DISTAL LATERAL 7 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.145	CDM	270010022	LOCAL	270	RC		inpatient			814.1	814.1																																																			
GRAFT BONE BIO-OSS CANCELLOUS BOVINE BONE MINERAL MATRIX .25-1 MM 2 GM SMALL GRANULE	SUP-20113	CDM	270010031	LOCAL	270	RC		outpatient			814	814	220.51				percent of total billed charges		814				other	OPPS APC	602.36				percent of total billed charges		814				other	OPPS APC	814				other	OPPS APC	220.51				percent of total billed charges		224.91				percent of total billed charges		814				other	OPPS APC	220.51	814	
GRAFT BONE BIO-OSS CANCELLOUS BOVINE BONE MINERAL MATRIX .25-1 MM 2 GM SMALL GRANULE	SUP-20113	CDM	270010031	LOCAL	270	RC		inpatient			814	814																																																			
CANN 3.5MM DIA. TWIST DRILL	SUP-95-04117	CDM			272	RC		outpatient			813.6	813.62	220.4				percent of total billed charges		813.6				other	OPPS APC	602.06				percent of total billed charges		813.6				other	OPPS APC	813.6				other	OPPS APC	220.4				percent of total billed charges		224.8				percent of total billed charges		813.62				other	OPPS APC	220.4	813.62	
CANN 3.5MM DIA. TWIST DRILL	SUP-95-04117	CDM			272	RC		inpatient			813.6	813.6																																																			
HC Thoracic Myelogram	PX-320722550	CDM	72255	CPT	320	RC		outpatient			813	78.17	126.43				fee schedule		780.17				other	OPPS APC	529.69				fee schedule		780.17				other	OPPS APC	780.17				other	OPPS APC	120.47				fee schedule		73.89				fee schedule		78.17				other	OPPS APC	73.89	780.17	
HC Thoracic Myelogram	PX-320722550	CDM	72255	CPT	320	RC		inpatient			813	813																																																			
BRAVO	SUP-95-02309	CDM			272	RC		outpatient			813	813	220.24				percent of total billed charges		813				other	OPPS APC	601.62				percent of total billed charges		813				other	OPPS APC	813				other	OPPS APC	220.24				percent of total billed charges		224.63				percent of total billed charges		813				other	OPPS APC	220.24	813	
BRAVO	SUP-95-02309	CDM			272	RC		inpatient			813	813																																																			
SCREW PSN 2.5MM FEMALE 25MM	SUP-97-01020	CDM			278	RC		outpatient			813	813	813				fee schedule		813				other	OPPS APC	463.41				percent of total billed charges		813				other	OPPS APC	813				other	OPPS APC	398.37				percent of total billed charges		414.63				percent of total billed charges		813				other	OPPS APC	398.37	813	
SCREW PSN 2.5MM FEMALE 25MM	SUP-97-01020	CDM			278	RC		inpatient			813	813																																																			
4.5MM MULTILOC SCREW 32MM	SUP-97-04058	CDM			278	RC		outpatient			811.8	811.8	811.8				fee schedule		811.8				other	OPPS APC	462.73				percent of total billed charges		811.8				other	OPPS APC	811.8				other	OPPS APC	397.78				percent of total billed charges		414.02				percent of total billed charges		811.8				other	OPPS APC	397.78	811.8	
4.5MM MULTILOC SCREW 32MM	SUP-97-04058	CDM			278	RC		inpatient			811.8	811.8																																																			
4.5MM TI MULTILOC SCREW 42MM	SUP-97-04059	CDM			278	RC		outpatient			811.8	811.8	811.8				fee schedule		811.8				other	OPPS APC	462.73				percent of total billed charges		811.8				other	OPPS APC	811.8				other	OPPS APC	397.78				percent of total billed charges		414.02				percent of total billed charges		811.8				other	OPPS APC	397.78	811.8	
4.5MM TI MULTILOC SCREW 42MM	SUP-97-04059	CDM			278	RC		inpatient			811.8	811.8																																																			
4.5MM TI MULTILOC SCREW 44MM	SUP-97-04060	CDM			278	RC		outpatient			811.8	811.8	811.8				fee schedule		811.8				other	OPPS APC	462.73				percent of total billed charges		811.8				other	OPPS APC	811.8				other	OPPS APC	397.78				percent of total billed charges		414.02				percent of total billed charges		811.8				other	OPPS APC	397.78	811.8	
4.5MM TI MULTILOC SCREW 44MM	SUP-97-04060	CDM			278	RC		inpatient			811.8	811.8																																																			
4.5MM TI MULTILOC SCREW LENGTH 29MM	SUP-97-04409	CDM			278	RC		outpatient			811.8	811.8	811.8				fee schedule		811.8				other	OPPS APC	462.73				percent of total billed charges		811.8				other	OPPS APC	811.8				other	OPPS APC	397.78				percent of total billed charges		414.02				percent of total billed charges		811.8				other	OPPS APC	397.78	811.8	
4.5MM TI MULTILOC SCREW LENGTH 29MM	SUP-97-04409	CDM			278	RC		inpatient			811.8	811.8																																																			
4.5MM TI MULTILOC SCREW LENGTH 28MM	SUP-97-04410	CDM			278	RC		outpatient			811.8	811.8	811.8				fee schedule		811.8				other	OPPS APC	462.73				percent of total billed charges		811.8				other	OPPS APC	811.8				other	OPPS APC	397.78				percent of total billed charges		414.02				percent of total billed charges		811.8				other	OPPS APC	397.78	811.8	
4.5MM TI MULTILOC SCREW LENGTH 28MM	SUP-97-04410	CDM			278	RC		inpatient			811.8	811.8																																																			
CANNULATED DRILL BIT 2.0 MM	SUP-03.333.101	CDM			270	RC		outpatient			811.2	811.25	219.75				percent of total billed charges		811.2				other	OPPS APC	600.29				percent of total billed charges		811.2				other	OPPS APC	811.2				other	OPPS APC	219.75				percent of total billed charges		224.13				percent of total billed charges		811.25				other	OPPS APC	219.75	811.25	
CANNULATED DRILL BIT 2.0 MM	SUP-03.333.101	CDM			270	RC		inpatient			811.2	811.2																																																			
CANNULATED 6.5MM 4.9 DIA TWIST DRILL	SUP-95-04068	CDM			272	RC		outpatient			810.9	81.9	219.67				percent of total billed charges		810.9				other	OPPS APC	600.07				percent of total billed charges		810.9				other	OPPS APC	810.9				other	OPPS APC	219.67				percent of total billed charges		224.05				percent of total billed charges		81.9				other	OPPS APC	81.9	810.9	
CANNULATED 6.5MM 4.9 DIA TWIST DRILL	SUP-95-04068	CDM			272	RC		inpatient			810.9	810.9																																																			
ASNIS III CANNULATED DRILL 5.6MM LG AO	SUP-97-04052	CDM			272	RC		outpatient			810.9	81.9	219.67				percent of total billed charges		810.9				other	OPPS APC	600.07				percent of total billed charges		810.9				other	OPPS APC	810.9				other	OPPS APC	219.67				percent of total billed charges		224.05				percent of total billed charges		81.9				other	OPPS APC	81.9	810.9	
ASNIS III CANNULATED DRILL 5.6MM LG AO	SUP-97-04052	CDM			272	RC		inpatient			810.9	810.9																																																			
ROD SPINAL SPHERX II PREBENT 25MM 5.5MM TITANIUM	SUP-7292025	CDM	270010020	LOCAL	270	RC		outpatient			810	81	219.43				percent of total billed charges		810				other	OPPS APC	599.4				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	219.43				percent of total billed charges		223.8				percent of total billed charges		81				other	OPPS APC	81	810	
ROD SPINAL SPHERX II PREBENT 25MM 5.5MM TITANIUM	SUP-7292025	CDM	270010020	LOCAL	270	RC		inpatient			810	810																																																			
TUTOPLAST PATCH	SUP-73-00070	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TUTOPLAST PATCH	SUP-73-00070	CDM			278	RC		inpatient			810	810																																																			
ASYMMETRIC PATELLA 9MM X3	SUP-97-00994	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
ASYMMETRIC PATELLA 9MM X3	SUP-97-00994	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01062	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01062	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01078	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01078	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01127	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01127	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01202	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01202	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01331	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01331	CDM			278	RC		inpatient			810	810																																																			
SYMMETRIC  PATELLA 10MM X35	SUP-97-01396	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
SYMMETRIC  PATELLA 10MM X35	SUP-97-01396	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01415	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01415	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01476	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01476	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-01767	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-01767	CDM			278	RC		inpatient			810	810																																																			
SYMMETRIC  PATELLA 9MM X31	SUP-97-01799	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
SYMMETRIC  PATELLA 9MM X31	SUP-97-01799	CDM			278	RC		inpatient			810	810																																																			
FEMORAL  HEAD	SUP-97-01809	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL  HEAD	SUP-97-01809	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-02069	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-02069	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-02090	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-02090	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-02137	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-02137	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-02167	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-02167	CDM			278	RC		inpatient			810	810																																																			
ASYMMETRIC PATELLA 10MM X35	SUP-97-02198	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
ASYMMETRIC PATELLA 10MM X35	SUP-97-02198	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD	SUP-97-02447	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD	SUP-97-02447	CDM			278	RC		inpatient			810	810																																																			
CANNULATED LONG DRILL BIT 4MM	SUP-97-03178	CDM						inpatient			810	810																																																			
CANNULATED LONG DRILL BIT 4MM	SUP-97-03178	CDM						outpatient			810	81	810				percent of total billed charges		810				other	OPPS APC	810				fee schedule		810				other	OPPS APC	810				other	OPPS APC	810				case rate		810				case rate		81				other	OPPS APC	81	810	
HAMMERLOCK 2 DRILL KIT  W/ 2.1 DRILL BIT	SUP-97-03573	CDM			272	RC		outpatient			810	81	219.43				percent of total billed charges		810				other	OPPS APC	599.4				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	219.43				percent of total billed charges		223.8				percent of total billed charges		81				other	OPPS APC	81	810	
HAMMERLOCK 2 DRILL KIT  W/ 2.1 DRILL BIT	SUP-97-03573	CDM			272	RC		inpatient			810	810																																																			
HAMMERLOCK 2 IMPLANT KIT  12X5MM 10DEG	SUP-97-03574	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
HAMMERLOCK 2 IMPLANT KIT  12X5MM 10DEG	SUP-97-03574	CDM			278	RC		inpatient			810	810																																																			
HAMMERLOCK 2 IMPLANT KIT  12X5MM 0DEG	SUP-97-03575	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
HAMMERLOCK 2 IMPLANT KIT  12X5MM 0DEG	SUP-97-03575	CDM			278	RC		inpatient			810	810																																																			
HAMMERLOCK 2 IMPLANT KIT  15X5MM 10DEG	SUP-97-03576	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
HAMMERLOCK 2 IMPLANT KIT  15X5MM 10DEG	SUP-97-03576	CDM			278	RC		inpatient			810	810																																																			
SYMMETRIC PATELLA 29MMX8MM	SUP-97-03780	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
SYMMETRIC PATELLA 29MMX8MM	SUP-97-03780	CDM			278	RC		inpatient			810	810																																																			
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-04304	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-04304	CDM			278	RC		inpatient			810	810																																																			
ASYMMETRIC PATELLA 29X9 CEMENTED	SUP-97-04359	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
ASYMMETRIC PATELLA 29X9 CEMENTED	SUP-97-04359	CDM			278	RC		inpatient			810	810																																																			
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-04368	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-04368	CDM			278	RC		inpatient			810	810																																																			
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-04370	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-04370	CDM			278	RC		inpatient			810	810																																																			
V40 BIOLOX DELTA HEAD 28MM/-2.7	SUP-97-04482	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
V40 BIOLOX DELTA HEAD 28MM/-2.7	SUP-97-04482	CDM			278	RC		inpatient			810	810																																																			
V40 COCR LFIT HEAD 22.2MM/+8	SUP-97-05044	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
V40 COCR LFIT HEAD 22.2MM/+8	SUP-97-05044	CDM			278	RC		inpatient			810	810																																																			
TRIATHLON SYMMETRIC X3 PATELLA	SUP-97-05108	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TRIATHLON SYMMETRIC X3 PATELLA	SUP-97-05108	CDM			278	RC		inpatient			810	810																																																			
V40 BIOLOX DELTA HEAD 32MM/-4	SUP-97-05174	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
V40 BIOLOX DELTA HEAD 32MM/-4	SUP-97-05174	CDM			278	RC		inpatient			810	810																																																			
TRIATHLON SYMMETRIC X3 PATELLA	SUP-97-05197	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TRIATHLON SYMMETRIC X3 PATELLA	SUP-97-05197	CDM			278	RC		inpatient			810	810																																																			
FEMORAL HEAD 32MM/+8 V40 COCR LFIT	SUP-97-05878	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
FEMORAL HEAD 32MM/+8 V40 COCR LFIT	SUP-97-05878	CDM			278	RC		inpatient			810	810																																																			
SYMMETRIC  PATELLA X3 S33X9MM	SUP-97-06000	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
SYMMETRIC  PATELLA X3 S33X9MM	SUP-97-06000	CDM			278	RC		inpatient			810	810																																																			
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-23811	CDM			278	RC		outpatient			810	81	810				fee schedule		810				other	OPPS APC	461.7				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	396.9				percent of total billed charges		413.1				percent of total billed charges		81				other	OPPS APC	81	810	
TRIATHLON ASYMMETRIC X3 PATELLA	SUP-97-23811	CDM			278	RC		inpatient			810	810																																																			
BALLOON - DORADO 4X150X135	SUP-99-00040	CDM			272	RC		outpatient			810	81	219.43				percent of total billed charges		810				other	OPPS APC	599.4				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	219.43				percent of total billed charges		223.8				percent of total billed charges		81				other	OPPS APC	81	810	
BALLOON - DORADO 4X150X135	SUP-99-00040	CDM			272	RC		inpatient			810	810																																																			
BALLOON - DORADO 6X15X135	SUP-99-00056	CDM			272	RC		outpatient			810	81	219.43				percent of total billed charges		810				other	OPPS APC	599.4				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	219.43				percent of total billed charges		223.8				percent of total billed charges		81				other	OPPS APC	81	810	
BALLOON - DORADO 6X15X135	SUP-99-00056	CDM			272	RC		inpatient			810	810																																																			
ENSARE ENDOLOGIX 18-30	SUP-K881530	CDM	270010015	LOCAL	270	RC		outpatient			810	81	219.43				percent of total billed charges		810				other	OPPS APC	599.4				percent of total billed charges		810				other	OPPS APC	810				other	OPPS APC	219.43				percent of total billed charges		223.8				percent of total billed charges		81				other	OPPS APC	81	810	
ENSARE ENDOLOGIX 18-30	SUP-K881530	CDM	270010015	LOCAL	270	RC		inpatient			810	810																																																			
CANNULATED DRILL BIT 1.6 MM	SUP-03.333.100	CDM			270	RC		outpatient			809.12	89.12	219.19				percent of total billed charges		809.12				other	OPPS APC	598.75				percent of total billed charges		809.12				other	OPPS APC	809.12				other	OPPS APC	219.19				percent of total billed charges		223.56				percent of total billed charges		89.12				other	OPPS APC	89.12	809.12	
CANNULATED DRILL BIT 1.6 MM	SUP-03.333.100	CDM			270	RC		inpatient			809.12	809.12																																																			
PNEUMOCOCCAL CONJUGATE PCV20 0.5 ML SYRINGE	636000000	CDM	0005-2000-01	NDC	90677	HCPCS		inpatient			808.9	808.9																																																			
PNEUMOCOCCAL CONJUGATE PCV20 0.5 ML SYRINGE	636000000	CDM	0005-2000-01	NDC	90677	HCPCS		outpatient			808.9	808.9																																															other	OPPS APC			
PLATE BONE STAINLESS STEEL L39 MM X W10.2 MM X H2.7 MM CALCANEUS 3 HOLE NONSTERILE 3.5 MM SCREW LOW PROFILE PELVIC SYSTEM	SUP-245.023	CDM	270010022	LOCAL	270	RC		outpatient			808.5	88.5	219.02				percent of total billed charges		808.5				other	OPPS APC	598.29				percent of total billed charges		808.5				other	OPPS APC	808.5				other	OPPS APC	219.02				percent of total billed charges		223.39				percent of total billed charges		88.5				other	OPPS APC	88.5	808.5	
PLATE BONE STAINLESS STEEL L39 MM X W10.2 MM X H2.7 MM CALCANEUS 3 HOLE NONSTERILE 3.5 MM SCREW LOW PROFILE PELVIC SYSTEM	SUP-245.023	CDM	270010022	LOCAL	270	RC		inpatient			808.5	808.5																																																			
ALL POLY PATELLA DRLL W/STOP	SUP-95-04039	CDM						inpatient			808.5	808.5																																																			
ALL POLY PATELLA DRLL W/STOP	SUP-95-04039	CDM						outpatient			808.5	88.5	808.5				percent of total billed charges		808.5				other	OPPS APC	808.5				fee schedule		808.5				other	OPPS APC	808.5				other	OPPS APC	808.5				case rate		808.5				case rate		88.5				other	OPPS APC	88.5	808.5	
HC Gft Skin Sub T/a/L >100cm Ea Addl	PX-761152740	CDM	15274	CPT	761	RC		outpatient			808	88	195.77				case rate		808				other	OPPS APC	597.92				percent of total billed charges		808				other	OPPS APC	808				other	OPPS APC	195.77				case rate		412.08				percent of total billed charges		88				other	OPPS APC	88	808	
HC Gft Skin Sub T/a/L >100cm Ea Addl	PX-761152740	CDM	15274	CPT	761	RC		inpatient			808	808																																																			
BIT DRILL ASNIS III LARGE OD4.9 MM CANNULATED AO FIT 6.5 MM SCREW	SUP-702601	CDM			270	RC		outpatient			808	88	218.89				percent of total billed charges		808				other	OPPS APC	597.92				percent of total billed charges		808				other	OPPS APC	808				other	OPPS APC	218.89				percent of total billed charges		223.25				percent of total billed charges		88				other	OPPS APC	88	808	
BIT DRILL ASNIS III LARGE OD4.9 MM CANNULATED AO FIT 6.5 MM SCREW	SUP-702601	CDM			270	RC		inpatient			808	808																																																			
ROD SPINAL SYNAPSE CURVE PREBENT 30MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.730	CDM	270010020	LOCAL	270	RC		outpatient			807.8	87.8	218.83				percent of total billed charges		807.8				other	OPPS APC	597.77				percent of total billed charges		807.8				other	OPPS APC	807.8				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		87.8				other	OPPS APC	87.8	807.8	
ROD SPINAL SYNAPSE CURVE PREBENT 30MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.730	CDM	270010020	LOCAL	270	RC		inpatient			807.8	807.8																																																			
ROD SPINAL CURVE PREBENT 45MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.745	CDM	270010020	LOCAL	270	RC		outpatient			807.8	87.8	218.83				percent of total billed charges		807.8				other	OPPS APC	597.77				percent of total billed charges		807.8				other	OPPS APC	807.8				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		87.8				other	OPPS APC	87.8	807.8	
ROD SPINAL CURVE PREBENT 45MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.745	CDM	270010020	LOCAL	270	RC		inpatient			807.8	807.8																																																			
IMPLANT ROD SYNTHES CURVED TI 3.5MM 60MM LENGTH	SUP-04.614.760	CDM	270010020	LOCAL	270	RC		outpatient			807.8	87.8	218.83				percent of total billed charges		807.8				other	OPPS APC	597.77				percent of total billed charges		807.8				other	OPPS APC	807.8				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		87.8				other	OPPS APC	87.8	807.8	
IMPLANT ROD SYNTHES CURVED TI 3.5MM 60MM LENGTH	SUP-04.614.760	CDM	270010020	LOCAL	270	RC		inpatient			807.8	807.8																																																			
ROD SPINAL SYNAPSE CURVE PREBENT 70MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.770	CDM	270010020	LOCAL	270	RC		outpatient			807.8	87.8	218.83				percent of total billed charges		807.8				other	OPPS APC	597.77				percent of total billed charges		807.8				other	OPPS APC	807.8				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		87.8				other	OPPS APC	87.8	807.8	
ROD SPINAL SYNAPSE CURVE PREBENT 70MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.770	CDM	270010020	LOCAL	270	RC		inpatient			807.8	807.8																																																			
ROD SPINAL CURVE PREBENT 75MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.775	CDM	270010020	LOCAL	270	RC		outpatient			807.8	87.8	218.83				percent of total billed charges		807.8				other	OPPS APC	597.77				percent of total billed charges		807.8				other	OPPS APC	807.8				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		87.8				other	OPPS APC	87.8	807.8	
ROD SPINAL CURVE PREBENT 75MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.775	CDM	270010020	LOCAL	270	RC		inpatient			807.8	807.8																																																			
ROD SPINAL SYNAPSE CURVE PREBENT 85MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.785	CDM	270010020	LOCAL	270	RC		outpatient			807.8	87.8	218.83				percent of total billed charges		807.8				other	OPPS APC	597.77				percent of total billed charges		807.8				other	OPPS APC	807.8				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		87.8				other	OPPS APC	87.8	807.8	
ROD SPINAL SYNAPSE CURVE PREBENT 85MM 3.5MM GOLD TITANIUM NS OCCIPITOCERVICAL	SUP-04.614.785	CDM	270010020	LOCAL	270	RC		inpatient			807.8	807.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L90 MM FIBULA RIGHT DISTAL POSTEROLATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.108	CDM	270010022	LOCAL	270	RC		outpatient			807.1	87.12	218.64				percent of total billed charges		807.1				other	OPPS APC	597.25				percent of total billed charges		807.1				other	OPPS APC	807.1				other	OPPS APC	218.64				percent of total billed charges		223				percent of total billed charges		87.12				other	OPPS APC	87.12	807.1	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L90 MM FIBULA RIGHT DISTAL POSTEROLATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.108	CDM	270010022	LOCAL	270	RC		inpatient			807.1	807.1																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L90 MM FIBULA LEFT DISTAL POSTEROLATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.109	CDM	270010022	LOCAL	270	RC		outpatient			807.1	87.12	218.64				percent of total billed charges		807.1				other	OPPS APC	597.25				percent of total billed charges		807.1				other	OPPS APC	807.1				other	OPPS APC	218.64				percent of total billed charges		223				percent of total billed charges		87.12				other	OPPS APC	87.12	807.1	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L90 MM FIBULA LEFT DISTAL POSTEROLATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.109	CDM	270010022	LOCAL	270	RC		inpatient			807.1	807.1																																																			
SCREW 11M X28 INTERFERENCE	SUP-80-00038	CDM			278	RC		outpatient			807	87	807				fee schedule		807				other	OPPS APC	459.99				percent of total billed charges		807				other	OPPS APC	807				other	OPPS APC	395.43				percent of total billed charges		411.57				percent of total billed charges		87				other	OPPS APC	87	807	
SCREW 11M X28 INTERFERENCE	SUP-80-00038	CDM			278	RC		inpatient			807	807																																																			
PLATE BONE TITANIUM H.5 MM UPPERFACIAL 24 HOLE STRAIGHT MALLEABLE CONDENSED 1.2 MM SCREW	SUP-5504424	CDM			270	RC		outpatient			806.4	86.4	218.45				percent of total billed charges		806.4				other	OPPS APC	596.74				percent of total billed charges		806.4				other	OPPS APC	806.4				other	OPPS APC	218.45				percent of total billed charges		222.81				percent of total billed charges		86.4				other	OPPS APC	86.4	806.4	
PLATE BONE TITANIUM H.5 MM UPPERFACIAL 24 HOLE STRAIGHT MALLEABLE CONDENSED 1.2 MM SCREW	SUP-5504424	CDM			270	RC		inpatient			806.4	806.4																																																			
ANCHOR SUTURE HEALIX ADVANCE BR ORTHOCORD 3 OD5.5 MM	SUP-222298	CDM			270	RC		outpatient			803.52	83.52	217.67				percent of total billed charges		803.52				other	OPPS APC	594.6				percent of total billed charges		803.52				other	OPPS APC	803.52				other	OPPS APC	217.67				percent of total billed charges		222.01				percent of total billed charges		83.52				other	OPPS APC	83.52	803.52	
ANCHOR SUTURE HEALIX ADVANCE BR ORTHOCORD 3 OD5.5 MM	SUP-222298	CDM			270	RC		inpatient			803.52	803.52																																																			
EXTRACTOR STONE NITINOL	SUP-70-00149	CDM			272	RC		outpatient			803.44	83.45	217.65				percent of total billed charges		803.44				other	OPPS APC	594.55				percent of total billed charges		803.44				other	OPPS APC	803.44				other	OPPS APC	217.65				percent of total billed charges		221.99				percent of total billed charges		83.45				other	OPPS APC	83.45	803.44	
EXTRACTOR STONE NITINOL	SUP-70-00149	CDM			272	RC		inpatient			803.44	803.44																																																			
PLATE BONE LCP 88MM SS NS 12 HOLE ADAPTION LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT	SUP-247.366	CDM	270010022	LOCAL	270	RC		outpatient			803.16	83.16	217.58				percent of total billed charges		803.16				other	OPPS APC	594.34				percent of total billed charges		803.16				other	OPPS APC	803.16				other	OPPS APC	217.58				percent of total billed charges		221.91				percent of total billed charges		83.16				other	OPPS APC	83.16	803.16	
PLATE BONE LCP 88MM SS NS 12 HOLE ADAPTION LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT	SUP-247.366	CDM	270010022	LOCAL	270	RC		inpatient			803.16	803.16																																																			
PLATE BONE LCP STAINLESS STEEL L97 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.370	CDM	270010022	LOCAL	270	RC		outpatient			803.16	83.16	217.58				percent of total billed charges		803.16				other	OPPS APC	594.34				percent of total billed charges		803.16				other	OPPS APC	803.16				other	OPPS APC	217.58				percent of total billed charges		221.91				percent of total billed charges		83.16				other	OPPS APC	83.16	803.16	
PLATE BONE LCP STAINLESS STEEL L97 MM 12 HOLE ADAPTION LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.370	CDM	270010022	LOCAL	270	RC		inpatient			803.16	803.16																																																			
PORT-A-CATH SINGLE 8FR UNASSM 1MM	SUP-95-01300	CDM			272	RC		outpatient			802.47	82.47	217.39				percent of total billed charges		802.47				other	OPPS APC	593.83				percent of total billed charges		802.47				other	OPPS APC	802.47				other	OPPS APC	217.39				percent of total billed charges		221.72				percent of total billed charges		82.47				other	OPPS APC	82.47	802.47	
PORT-A-CATH SINGLE 8FR UNASSM 1MM	SUP-95-01300	CDM			272	RC		inpatient			802.47	802.47																																																			
HC Hba1/Hba2  Gene Analysis  Common Deltions or Variant	PX-300812570	CDM	81257	CPT	300	RC		outpatient			802.06	82.6	802.06				fee schedule		802.06				fee schedule		471.57				fee schedule		802.06				fee schedule		802.06				fee schedule		102.26				fee schedule		102.26				fee schedule		82.6				fee schedule		82.6	802.06	
HC Hba1/Hba2  Gene Analysis  Common Deltions or Variant	PX-300812570	CDM	81257	CPT	300	RC		inpatient			802.06	802.06																																																			
BEADED CABLE AND SLEEVE SET	SUP-97-01259	CDM			278	RC		outpatient			801.6	81.62	801.6				fee schedule		801.6				other	OPPS APC	456.91				percent of total billed charges		801.6				other	OPPS APC	801.6				other	OPPS APC	392.78				percent of total billed charges		408.82				percent of total billed charges		81.62				other	OPPS APC	81.62	801.6	
BEADED CABLE AND SLEEVE SET	SUP-97-01259	CDM			278	RC		inpatient			801.6	801.6																																																			
TOOL METAL CUTTER MR8 9CM 1.6MM DIAMETER	SUP-95-05529	CDM			272	RC		outpatient			801.27	81.27	217.06				percent of total billed charges		801.27				other	OPPS APC	592.94				percent of total billed charges		801.27				other	OPPS APC	801.27				other	OPPS APC	217.06				percent of total billed charges		221.39				percent of total billed charges		81.27				other	OPPS APC	81.27	801.27	
TOOL METAL CUTTER MR8 9CM 1.6MM DIAMETER	SUP-95-05529	CDM			272	RC		inpatient			801.27	801.27																																																			
TOOL METAL CUTTER MR8 9CM 3MM DIAMETER CARBIDE	SUP-95-05530	CDM			272	RC		outpatient			801.27	81.27	217.06				percent of total billed charges		801.27				other	OPPS APC	592.94				percent of total billed charges		801.27				other	OPPS APC	801.27				other	OPPS APC	217.06				percent of total billed charges		221.39				percent of total billed charges		81.27				other	OPPS APC	81.27	801.27	
TOOL METAL CUTTER MR8 9CM 3MM DIAMETER CARBIDE	SUP-95-05530	CDM			272	RC		inpatient			801.27	801.27																																																			
TOOL METAL CUTTER 14CM 3MM DIAMETER CARBIDE	SUP-95-05531	CDM			272	RC		outpatient			801.27	81.27	217.06				percent of total billed charges		801.27				other	OPPS APC	592.94				percent of total billed charges		801.27				other	OPPS APC	801.27				other	OPPS APC	217.06				percent of total billed charges		221.39				percent of total billed charges		81.27				other	OPPS APC	81.27	801.27	
TOOL METAL CUTTER 14CM 3MM DIAMETER CARBIDE	SUP-95-05531	CDM			272	RC		inpatient			801.27	801.27																																																			
SCREW ANTIROTATION 95MM	SUP-97-04254	CDM			278	RC		outpatient			801	81	801				fee schedule		801				other	OPPS APC	456.57				percent of total billed charges		801				other	OPPS APC	801				other	OPPS APC	392.49				percent of total billed charges		408.51				percent of total billed charges		81				other	OPPS APC	81	801	
SCREW ANTIROTATION 95MM	SUP-97-04254	CDM			278	RC		inpatient			801	801																																																			
SCREW ANTIROTATION 80MM	SUP-97-04259	CDM			278	RC		outpatient			801	81	801				fee schedule		801				other	OPPS APC	456.57				percent of total billed charges		801				other	OPPS APC	801				other	OPPS APC	392.49				percent of total billed charges		408.51				percent of total billed charges		81				other	OPPS APC	81	801	
SCREW ANTIROTATION 80MM	SUP-97-04259	CDM			278	RC		inpatient			801	801																																																			
CLAMP EXTERNAL FIXATION MEDIUM MULTIPIN ROD ATTACHMENT MRI SAFE NONSTERILE	SUP-390.034	CDM	270010022	LOCAL	270	RC		outpatient			800.8	8.8	216.94				percent of total billed charges		800.8				other	OPPS APC	592.59				percent of total billed charges		800.8				other	OPPS APC	800.8				other	OPPS APC	216.94				percent of total billed charges		221.26				percent of total billed charges		8.8				other	OPPS APC	8.8	800.8	
CLAMP EXTERNAL FIXATION MEDIUM MULTIPIN ROD ATTACHMENT MRI SAFE NONSTERILE	SUP-390.034	CDM	270010022	LOCAL	270	RC		inpatient			800.8	800.8																																																			
PLATE 76MM TITANIUM 2.7MM SCREWS MINI FRAGMENT SET 8 HOLE LCP BONE ORTHOPEDIC NS	SUP-447.372	CDM	270010022	LOCAL	270	RC		outpatient			800.26	8.26	216.79				percent of total billed charges		800.26				other	OPPS APC	592.19				percent of total billed charges		800.26				other	OPPS APC	800.26				other	OPPS APC	216.79				percent of total billed charges		221.11				percent of total billed charges		8.26				other	OPPS APC	8.26	800.26	
PLATE 76MM TITANIUM 2.7MM SCREWS MINI FRAGMENT SET 8 HOLE LCP BONE ORTHOPEDIC NS	SUP-447.372	CDM	270010022	LOCAL	270	RC		inpatient			800.26	800.26																																																			
HC Extremity	PX-402768810	CDM	76881	CPT	402	RC		outpatient			800	112.57	121.22				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	53.72				fee schedule		41.59				fee schedule		112.57				other	OPPS APC	41.59	209.11	
HC Extremity	PX-402768810	CDM	76881	CPT	402	RC		inpatient			800	800																																																			
SCREW BONE CREO CREO AMP L45 MM OD4.5 MM SPINE MODULAR	SUP-1067.1345	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
SCREW BONE CREO CREO AMP L45 MM OD4.5 MM SPINE MODULAR	SUP-1067.1345	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
SCREW BONE CREO CREO AMP L40 MM OD5.5 MM SPINE MODULAR	SUP-1067.1540	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
SCREW BONE CREO CREO AMP L40 MM OD5.5 MM SPINE MODULAR	SUP-1067.1540	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
SCREW BONE CREO CREO AMP L45 MM OD5.5 MM SPINAL MODULAR NONSTERILE	SUP-1067.1545	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
SCREW BONE CREO CREO AMP L45 MM OD5.5 MM SPINAL MODULAR NONSTERILE	SUP-1067.1545	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
SCREW BONE CREO CREO AMP L55 MM OD5.5 MM SPINE MODULAR	SUP-1067.1555	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
SCREW BONE CREO CREO AMP L55 MM OD5.5 MM SPINE MODULAR	SUP-1067.1555	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
SCREW BONE CREO CREO AMP L45 MM OD6.5 MM SPINE MODULAR NONSTERILE	SUP-1067.1645	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
SCREW BONE CREO CREO AMP L45 MM OD6.5 MM SPINE MODULAR NONSTERILE	SUP-1067.1645	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM STRAIGHT L500 MM OD4.75 MM NONSTERILE	SUP-1475000500	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL SOLERA COCR MOLYBDENUM STRAIGHT L500 MM OD4.75 MM NONSTERILE	SUP-1475000500	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD MEDTRONIC LUMBAR 50CM	SUP-1475200500	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD MEDTRONIC LUMBAR 50CM	SUP-1475200500	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL CCM PLUS STRAIGHT L120 MM OD4.75 MM PERCUTANEOUS	SUP-1476006120	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL CCM PLUS STRAIGHT L120 MM OD4.75 MM PERCUTANEOUS	SUP-1476006120	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM STRAIGHT L170 MM OD4.75 MM PERCUTANEOUS	SUP-1476006170	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL SOLERA COCR MOLYBDENUM STRAIGHT L170 MM OD4.75 MM PERCUTANEOUS	SUP-1476006170	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL CCM PLUS STRAIGHT L180 MM OD4.75 MM PERCUTANEOUS	SUP-1476006180	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL CCM PLUS STRAIGHT L180 MM OD4.75 MM PERCUTANEOUS	SUP-1476006180	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL CD HORIZON TITANIUM STRAIGHT L500 MM OD5.5 MM LINE	SUP-1554200500	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL CD HORIZON TITANIUM STRAIGHT L500 MM OD5.5 MM LINE	SUP-1554200500	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL CCM STRAIGHT L230 MM OD5.5 MM PERCUTANEOUS	SUP-1555006230	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL CCM STRAIGHT L230 MM OD5.5 MM PERCUTANEOUS	SUP-1555006230	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL CCM STRAIGHT L240 MM OD5.5 MM PERCUTANEOUS	SUP-1555006240	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL CCM STRAIGHT L240 MM OD5.5 MM PERCUTANEOUS	SUP-1555006240	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
LEAD 4469 PACING FINELINE II STEROX	SUP-4469	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD 4469 PACING FINELINE II STEROX	SUP-4469	CDM			275	RC		inpatient			800	800																																																			
LEAD 4470 PACING FINELINE II STEROX EZ 52 cm	SUP-4470	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD 4470 PACING FINELINE II STEROX EZ 52 cm	SUP-4470	CDM			275	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU STRAIGHT STERNUM 8 HOLE	SUP-73-1952	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU STRAIGHT STERNUM 8 HOLE	SUP-73-1952	CDM			270	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU STERNUM 8 HOLE	SUP-73-2623	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU STERNUM 8 HOLE	SUP-73-2623	CDM			270	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU NARROW STERNUM 12 HOLE 2.4 MM SCREW	SUP-73-2632	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU NARROW STERNUM 12 HOLE 2.4 MM SCREW	SUP-73-2632	CDM			270	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU WIDE STERNUM 12 HOLE 2.4 MM SCREW	SUP-73-2634	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU WIDE STERNUM 12 HOLE 2.4 MM SCREW	SUP-73-2634	CDM			270	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU STERNUM JL	SUP-73-2645	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU STERNUM JL	SUP-73-2645	CDM			270	RC		inpatient			800	800																																																			
ROD SPINAL LONGITUDE CD HORIZON TITANIUM STRAIGHT L70 MM OD5.5 MM	SUP-7571070	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL LONGITUDE CD HORIZON TITANIUM STRAIGHT L70 MM OD5.5 MM	SUP-7571070	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ROD SPINAL LONGITUDE CD HORIZON TITANIUM STRAIGHT L80 MM OD5.5 MM	SUP-7571080	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL LONGITUDE CD HORIZON TITANIUM STRAIGHT L80 MM OD5.5 MM	SUP-7571080	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
LEAD INGEVITY 45 CM FOR ACCOLADE MRI DEVICES	SUP-7740/45	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD INGEVITY 45 CM FOR ACCOLADE MRI DEVICES	SUP-7740/45	CDM			275	RC		inpatient			800	800																																																			
LEAD 7741 INGEVITY 52 CM FOR ACCOLADE MRI DEVICES	SUP-7741/52	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD 7741 INGEVITY 52 CM FOR ACCOLADE MRI DEVICES	SUP-7741/52	CDM			275	RC		inpatient			800	800																																																			
LEAD INGEVITY 59 CM FOR ACCOLADE MRI DEVICES	SUP-7742/59	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD INGEVITY 59 CM FOR ACCOLADE MRI DEVICES	SUP-7742/59	CDM			275	RC		inpatient			800	800																																																			
LEAD INGEVITY PLUS PACING 45CM	SUP-7840/45	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD INGEVITY PLUS PACING 45CM	SUP-7840/45	CDM			275	RC		inpatient			800	800																																																			
LEAD INGEVITY PLUS PACING 52CM	SUP-7841/52	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD INGEVITY PLUS PACING 52CM	SUP-7841/52	CDM			275	RC		inpatient			800	800																																																			
LEAD 7842 INGEVITY PLUS PACING 59CM _59857_	SUP-7842/59	CDM			275	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	456				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
LEAD 7842 INGEVITY PLUS PACING 59CM _59857_	SUP-7842/59	CDM			275	RC		inpatient			800	800																																																			
ROD SPINAL COCR L500 MM OD5.5 MM	SUP-8690024	CDM	270010020	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ROD SPINAL COCR L500 MM OD5.5 MM	SUP-8690024	CDM	270010020	LOCAL	270	RC		inpatient			800	800																																																			
ALLOSYNC EXPAND 2.5CC	SUP-ABS-2017-02	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ALLOSYNC EXPAND 2.5CC	SUP-ABS-2017-02	CDM			270	RC		inpatient			800	800																																																			
AGENT BULKING MACROPLASTIQUE SYNTHETIC ADMINISTRATION DEVICE ONLY ADAPTER REUSABLE STRESS URINARY INCONTINENCE	SUP-AD-US	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
AGENT BULKING MACROPLASTIQUE SYNTHETIC ADMINISTRATION DEVICE ONLY ADAPTER REUSABLE STRESS URINARY INCONTINENCE	SUP-AD-US	CDM			270	RC		inpatient			800	800																																																			
ANCHOR SUTURE PUSHLOCK BIOCOMPOSITE L24 MM OD4.5 MM STERILE DISPOSABLE	SUP-AR-1922BC	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ANCHOR SUTURE PUSHLOCK BIOCOMPOSITE L24 MM OD4.5 MM STERILE DISPOSABLE	SUP-AR-1922BC	CDM			270	RC		inpatient			800	800																																																			
ANCHOR SUTURE SWIVELOCK C BIOCOMPOSITE PEEK L19.1 MM OD4.75 MM CLOSED EYELET VENT STERILE DISPOSABLE	SUP-AR-2324BCC	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ANCHOR SUTURE SWIVELOCK C BIOCOMPOSITE PEEK L19.1 MM OD4.75 MM CLOSED EYELET VENT STERILE DISPOSABLE	SUP-AR-2324BCC	CDM			270	RC		inpatient			800	800																																																			
ANCHOR SUTURE PUSHLOCK BIOCOMPOSITE SHORT L12.5 MM OD2.9 MM CANNULATED EYELET HANDLE INSERTER STERILE DISPOSABLE	SUP-AR-2923BC	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
ANCHOR SUTURE PUSHLOCK BIOCOMPOSITE SHORT L12.5 MM OD2.9 MM CANNULATED EYELET HANDLE INSERTER STERILE DISPOSABLE	SUP-AR-2923BC	CDM			270	RC		inpatient			800	800																																																			
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 1 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBA8	CDM	270010025	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
BEARING TIBIAL IBALANCE POLYETHYLENE VITAMIN E 1 H8 MM UNICOMPARTMENTAL KNEE ARTHROPLASTY	SUP-AR-521-TBA8	CDM	270010025	LOCAL	270	RC		inpatient			800	800																																																			
INSERT UKA TIBIAL BEARING SIZE 6 8MM	SUP-AR-521-TBF8	CDM	270010025	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
INSERT UKA TIBIAL BEARING SIZE 6 8MM	SUP-AR-521-TBF8	CDM	270010025	LOCAL	270	RC		inpatient			800	800																																																			
CABLE CATHETER INQUIRY ENSITE 10 PIN	SUP-D-ENS-INQ-OD-CBL	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
CABLE CATHETER INQUIRY ENSITE 10 PIN	SUP-D-ENS-INQ-OD-CBL	CDM			270	RC		inpatient			800	800																																																			
STENT NIRXCELL 2.75X8 BARE METAL	SUP-NLX27508US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 2.75X8 BARE METAL	SUP-NLX27508US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 2.5X8 BARE METAL	SUP-NXL25008US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 2.5X8 BARE METAL	SUP-NXL25008US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 2.75X28 BARE METAL	SUP-NXL27528US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 2.75X28 BARE METAL	SUP-NXL27528US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 2.75X33 BARE METAL	SUP-NXL27533US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 2.75X33 BARE METAL	SUP-NXL27533US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X8 BARE METAL	SUP-NXL30008US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X8 BARE METAL	SUP-NXL30008US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X12 BARE METAL	SUP-NXL30012US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X12 BARE METAL	SUP-NXL30012US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X17 BARE METAL	SUP-NXL30017US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X17 BARE METAL	SUP-NXL30017US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X20 BARE METAL	SUP-NXL30020US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X20 BARE METAL	SUP-NXL30020US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X24 BARE METAL	SUP-NXL30024US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X24 BARE METAL	SUP-NXL30024US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X28 BARE METAL	SUP-NXL30028US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X28 BARE METAL	SUP-NXL30028US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.0X33 BARE METAL	SUP-NXL30033US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.0X33 BARE METAL	SUP-NXL30033US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X8 BARE METAL	SUP-NXL35008US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X8 BARE METAL	SUP-NXL35008US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X12 BARE METAL	SUP-NXL35012US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X12 BARE METAL	SUP-NXL35012US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X17 BARE METAL	SUP-NXL35017US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X17 BARE METAL	SUP-NXL35017US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X20 BARE METAL	SUP-NXL35020US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X20 BARE METAL	SUP-NXL35020US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X24 BARE METAL	SUP-NXL35024US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X24 BARE METAL	SUP-NXL35024US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X28 BARE METAL	SUP-NXL35028US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X28 BARE METAL	SUP-NXL35028US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 3.5X33 BARE METAL	SUP-NXL35033US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 3.5X33 BARE METAL	SUP-NXL35033US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 4.0X12 BARE METAL	SUP-NXL40012US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 4.0X12 BARE METAL	SUP-NXL40012US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 4.0X17 BARE METAL	SUP-NXL40017US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 4.0X17 BARE METAL	SUP-NXL40017US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 4.0X20 BARE METAL	SUP-NXL40020US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 4.0X20 BARE METAL	SUP-NXL40020US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 4.0X24 BARE METAL	SUP-NXL40024US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 4.0X24 BARE METAL	SUP-NXL40024US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 4.0X28 BARE METAL	SUP-NXL40028US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 4.0X28 BARE METAL	SUP-NXL40028US	CDM			481	RC		inpatient			800	800																																																			
STENT NIRXCELL 4.0X33 BARE METAL	SUP-NXL40033US	CDM			481	RC		outpatient			800	8	392				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	392				percent of total billed charges		408				percent of total billed charges		8				other	OPPS APC	8	800	
STENT NIRXCELL 4.0X33 BARE METAL	SUP-NXL40033US	CDM			481	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU 70 D L STERNUM 8 HOLE PRIMARY CLOSURE SYSTEM	SUP-SP-2913	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU 70 D L STERNUM 8 HOLE PRIMARY CLOSURE SYSTEM	SUP-SP-2913	CDM			270	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU Y STERNUM 12 HOLE PRIMARY CLOSURE SYSTEM	SUP-SP-2914	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU Y STERNUM 12 HOLE PRIMARY CLOSURE SYSTEM	SUP-SP-2914	CDM			270	RC		inpatient			800	800																																																			
PLATE BONE STERNALOCK BLU 60 D JL STERNUM	SUP-SP-3142	CDM			270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
PLATE BONE STERNALOCK BLU 60 D JL STERNUM	SUP-SP-3142	CDM			270	RC		inpatient			800	800																																																			
MODEL 3D GLENOID	SUP-VIP-GM-3D-1	CDM	270010030	LOCAL	270	RC		outpatient			800	8	216.72				percent of total billed charges		800				other	OPPS APC	592				percent of total billed charges		800				other	OPPS APC	800				other	OPPS APC	216.72				percent of total billed charges		221.04				percent of total billed charges		8				other	OPPS APC	8	800	
MODEL 3D GLENOID	SUP-VIP-GM-3D-1	CDM	270010030	LOCAL	270	RC		inpatient			800	800																																																			
ASCOPE BRONCH SLIM SINGLE USE	SUP-95-04863	CDM			272	RC		outpatient			799.5	799.5	216.58				percent of total billed charges		799.5				other	OPPS APC	591.63				percent of total billed charges		799.5				other	OPPS APC	799.5				other	OPPS APC	216.58				percent of total billed charges		220.9				percent of total billed charges		799.5				other	OPPS APC	216.58	799.5	
ASCOPE BRONCH SLIM SINGLE USE	SUP-95-04863	CDM			272	RC		inpatient			799.5	799.5																																																			
SCREW BIOSTEON 6MM X 23MM	SUP-97-02114	CDM			278	RC		outpatient			799.11	799.11	799.11				fee schedule		799.11				other	OPPS APC	455.49				percent of total billed charges		799.11				other	OPPS APC	799.11				other	OPPS APC	391.56				percent of total billed charges		407.55				percent of total billed charges		799.11				other	OPPS APC	391.56	799.11	
SCREW BIOSTEON 6MM X 23MM	SUP-97-02114	CDM			278	RC		inpatient			799.11	799.11																																																			
SCREW BIOSTEON 8MM X 23MM	SUP-97-02115	CDM			278	RC		outpatient			799.11	799.11	799.11				fee schedule		799.11				other	OPPS APC	455.49				percent of total billed charges		799.11				other	OPPS APC	799.11				other	OPPS APC	391.56				percent of total billed charges		407.55				percent of total billed charges		799.11				other	OPPS APC	391.56	799.11	
SCREW BIOSTEON 8MM X 23MM	SUP-97-02115	CDM			278	RC		inpatient			799.11	799.11																																																			
SNARE VASCULAR EXPRO ELITE .035IN 150CM 15MM HELICAL LOOP RADIOPAQUE	SUP-8402	CDM			270	RC		outpatient			798	798	216.18				percent of total billed charges		798				other	OPPS APC	590.52				percent of total billed charges		798				other	OPPS APC	798				other	OPPS APC	216.18				percent of total billed charges		220.49				percent of total billed charges		798				other	OPPS APC	216.18	798	
SNARE VASCULAR EXPRO ELITE .035IN 150CM 15MM HELICAL LOOP RADIOPAQUE	SUP-8402	CDM			270	RC		inpatient			798	798																																																			
HOFFMANN3 CONNECTING ROD 11 X 250MM	SUP-97-06118	CDM			278	RC		outpatient			798	798	798				fee schedule		798				other	OPPS APC	454.86				percent of total billed charges		798				other	OPPS APC	798				other	OPPS APC	391.02				percent of total billed charges		406.98				percent of total billed charges		798				other	OPPS APC	391.02	798	
HOFFMANN3 CONNECTING ROD 11 X 250MM	SUP-97-06118	CDM			278	RC		inpatient			798	798																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  115MM	SUP-280.150S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  115MM	SUP-280.150S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  50MM	SUP-280.251S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  50MM	SUP-280.251S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  55MM	SUP-280.255S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  55MM	SUP-280.255S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  60MM	SUP-280.260S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  60MM	SUP-280.260S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  65MM	SUP-280.265S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  65MM	SUP-280.265S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  75MM	SUP-280.275S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  75MM	SUP-280.275S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE DHS/DCS STAINLESS STEEL OCTAGONAL L80 MM OD13 MM HIP CONDYLE STERILE	SUP-280.280S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE DHS/DCS STAINLESS STEEL OCTAGONAL L80 MM OD13 MM HIP CONDYLE STERILE	SUP-280.280S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE DHS/DCS STAINLESS STEEL L85 MM OD12.7 MM HIP CONDYLE LAG STERILE 1 STEP SYSTEM	SUP-280.285S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE DHS/DCS STAINLESS STEEL L85 MM OD12.7 MM HIP CONDYLE LAG STERILE 1 STEP SYSTEM	SUP-280.285S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE DHS/DCS STAINLESS STEEL L90 MM OD12.7 MM HIP CONDYLE LAG STERILE 1 STEP SYSTEM	SUP-280.290S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE DHS/DCS STAINLESS STEEL L90 MM OD12.7 MM HIP CONDYLE LAG STERILE 1 STEP SYSTEM	SUP-280.290S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  95MM	SUP-280.295S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  95MM	SUP-280.295S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  100MM	SUP-280.301S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  100MM	SUP-280.301S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  105MM	SUP-280.305S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  105MM	SUP-280.305S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE DHS/DCS STAINLESS STEEL L110 MM OD12.7 MM HIP CONDYLE LAG THREAD OCTAGONAL RECESS STERILE 1 STEP SYSTEM	SUP-280.310S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE DHS/DCS STAINLESS STEEL L110 MM OD12.7 MM HIP CONDYLE LAG THREAD OCTAGONAL RECESS STERILE 1 STEP SYSTEM	SUP-280.310S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  115MM	SUP-280.315S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  115MM	SUP-280.315S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  120MM	SUP-280.320S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  120MM	SUP-280.320S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  125MM	SUP-280.325S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  125MM	SUP-280.325S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  135MM	SUP-280.335S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  135MM	SUP-280.335S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  140MM	SUP-280.340S	CDM	270010022	LOCAL	270	RC		outpatient			797.5	797.5	216.04				percent of total billed charges		797.5				other	OPPS APC	590.15				percent of total billed charges		797.5				other	OPPS APC	797.5				other	OPPS APC	216.04				percent of total billed charges		220.35				percent of total billed charges		797.5				other	OPPS APC	216.04	797.5	
SCREW BONE LAG DHS DCS STERILE THREAD  140MM	SUP-280.340S	CDM	270010022	LOCAL	270	RC		inpatient			797.5	797.5																																																			
BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION HFA AEROSOL INHALER 6 G AER W/ADAP	637000000	CDM	0186-0370-28	NDC	A9270	HCPCS		inpatient			796.03	796.03																																																			
BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION HFA AEROSOL INHALER 6 G AER W/ADAP	637000000	CDM	0186-0370-28	NDC	A9270	HCPCS		outpatient			796.03	796.03																																															other	OPPS APC			
PACK BATTERY LITHIUM PRECHARGED STERILE DISPOSABLE POWERED DRIVER	SUP-05.000.007.01S	CDM			270	RC		outpatient			796	796	215.64				percent of total billed charges		796				other	OPPS APC	589.04				percent of total billed charges		796				other	OPPS APC	796				other	OPPS APC	215.64				percent of total billed charges		219.93				percent of total billed charges		796				other	OPPS APC	215.64	796	
PACK BATTERY LITHIUM PRECHARGED STERILE DISPOSABLE POWERED DRIVER	SUP-05.000.007.01S	CDM			270	RC		inpatient			796	796																																																			
CATHETER INTERVENTIONAL GUIDELINER STAINLESS STEEL POLYMER L150CM L 25CMOD 5 FR ID .056 IN IDSEC .046 IN RAPID EXCHANGE COAXIAL GUIDE EXTENSION FLEXIBLE COLLAR RADIOPAQUE	SUP-5569	CDM			270	RC		outpatient			796	796	215.64				percent of total billed charges		796				other	OPPS APC	589.04				percent of total billed charges		796				other	OPPS APC	796				other	OPPS APC	215.64				percent of total billed charges		219.93				percent of total billed charges		796				other	OPPS APC	215.64	796	
CATHETER INTERVENTIONAL GUIDELINER STAINLESS STEEL POLYMER L150CM L 25CMOD 5 FR ID .056 IN IDSEC .046 IN RAPID EXCHANGE COAXIAL GUIDE EXTENSION FLEXIBLE COLLAR RADIOPAQUE	SUP-5569	CDM			270	RC		inpatient			796	796																																																			
GUIDELINER 5.5F CATHETER	SUP-5570	CDM			270	RC		outpatient			796	796	215.64				percent of total billed charges		796				other	OPPS APC	589.04				percent of total billed charges		796				other	OPPS APC	796				other	OPPS APC	215.64				percent of total billed charges		219.93				percent of total billed charges		796				other	OPPS APC	215.64	796	
GUIDELINER 5.5F CATHETER	SUP-5570	CDM			270	RC		inpatient			796	796																																																			
6F GUIDELINER	SUP-5571	CDM			270	RC		outpatient			796	796	215.64				percent of total billed charges		796				other	OPPS APC	589.04				percent of total billed charges		796				other	OPPS APC	796				other	OPPS APC	215.64				percent of total billed charges		219.93				percent of total billed charges		796				other	OPPS APC	215.64	796	
6F GUIDELINER	SUP-5571	CDM			270	RC		inpatient			796	796																																																			
8F GUIDELINER	SUP-5573	CDM			270	RC		outpatient			796	796	215.64				percent of total billed charges		796				other	OPPS APC	589.04				percent of total billed charges		796				other	OPPS APC	796				other	OPPS APC	215.64				percent of total billed charges		219.93				percent of total billed charges		796				other	OPPS APC	215.64	796	
8F GUIDELINER	SUP-5573	CDM			270	RC		inpatient			796	796																																																			
GRAFT VASCULAR GORE-TEX STANDARD WALL L40 CM ID6 MM LINE STERILE LATEX FREE	SUP-V06040L	CDM			270	RC		outpatient			796	796	215.64				percent of total billed charges		796				other	OPPS APC	589.04				percent of total billed charges		796				other	OPPS APC	796				other	OPPS APC	215.64				percent of total billed charges		219.93				percent of total billed charges		796				other	OPPS APC	215.64	796	
GRAFT VASCULAR GORE-TEX STANDARD WALL L40 CM ID6 MM LINE STERILE LATEX FREE	SUP-V06040L	CDM			270	RC		inpatient			796	796																																																			
PLATE BONE TITANIUM STRAIGHT H.5 MM MIDFACE 20 HOLE MALLEABLE 1.7 MM SCREW	SUP-5504720	CDM			270	RC		outpatient			795.6	795.62	215.53				percent of total billed charges		795.6				other	OPPS APC	588.74				percent of total billed charges		795.6				other	OPPS APC	795.6				other	OPPS APC	215.53				percent of total billed charges		219.82				percent of total billed charges		795.62				other	OPPS APC	215.53	795.62	
PLATE BONE TITANIUM STRAIGHT H.5 MM MIDFACE 20 HOLE MALLEABLE 1.7 MM SCREW	SUP-5504720	CDM			270	RC		inpatient			795.6	795.6																																																			
STAPLER INTERNAL PROXIMATE PPH 33MM DISPOSABLE STERILE LF SET PROLAPSE HEMORRHOID	SUP-PPH03	CDM			270	RC		outpatient			795.06	795.6	215.38				percent of total billed charges		795.06				other	OPPS APC	588.34				percent of total billed charges		795.06				other	OPPS APC	795.06				other	OPPS APC	215.38				percent of total billed charges		219.68				percent of total billed charges		795.6				other	OPPS APC	215.38	795.6	
STAPLER INTERNAL PROXIMATE PPH 33MM DISPOSABLE STERILE LF SET PROLAPSE HEMORRHOID	SUP-PPH03	CDM			270	RC		inpatient			795.06	795.06																																																			
CHONDROITIN SULF-SOD HYALURON 3 %-4 %(0.5 ML) 1 % (0.55 ML) SYRINGE	250000000	CDM	8065183150	NDC				inpatient			795.03	795.03																																																			
CHONDROITIN SULF-SOD HYALURON 3 %-4 %(0.5 ML) 1 % (0.55 ML) SYRINGE	250000000	CDM	8065183150	NDC				outpatient			795.03	795.03																																															other	OPPS APC			
ENDOWRIST SUCTION IRRIG DAVINCI	SUP-95-04895	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
ENDOWRIST SUCTION IRRIG DAVINCI	SUP-95-04895	CDM			272	RC		inpatient			795	795																																																			
CLAW II 3 DRILL BIT 2.0MM	SUP-97-01452	CDM						inpatient			795	795																																																			
CLAW II 3 DRILL BIT 2.0MM	SUP-97-01452	CDM						outpatient			795	795	795				percent of total billed charges		795				other	OPPS APC	795				fee schedule		795				other	OPPS APC	795				other	OPPS APC	795				case rate		795				case rate		795				other	OPPS APC	795	795	
PLATE LOCKING THIRD TUBULAR TI 8H	SUP-97-06160	CDM			278	RC		outpatient			795	795	795				fee schedule		795				other	OPPS APC	453.15				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	389.55				percent of total billed charges		405.45				percent of total billed charges		795				other	OPPS APC	389.55	795	
PLATE LOCKING THIRD TUBULAR TI 8H	SUP-97-06160	CDM			278	RC		inpatient			795	795																																																			
BALLOON - STERLING SL OTW 2.0X100	SUP-99-01252	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING SL OTW 2.0X100	SUP-99-01252	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING OTW 5.0X150	SUP-99-01953	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING OTW 5.0X150	SUP-99-01953	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING OTW 6.0X120	SUP-99-02033	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING OTW 6.0X120	SUP-99-02033	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING SL OTW 3.0X80	SUP-99-02174	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING SL OTW 3.0X80	SUP-99-02174	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING SL OTW 2.0X80	SUP-99-03163	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING SL OTW 2.0X80	SUP-99-03163	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING SL OTW 3.0X120	SUP-99-03250	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING SL OTW 3.0X120	SUP-99-03250	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING SL OTW 2.0X120	SUP-99-03870	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING SL OTW 2.0X120	SUP-99-03870	CDM			272	RC		inpatient			795	795																																																			
BALLOON - STERLING SL OTW 2.0X150	SUP-99-03871	CDM			272	RC		outpatient			795	795	215.37				percent of total billed charges		795				other	OPPS APC	588.3				percent of total billed charges		795				other	OPPS APC	795				other	OPPS APC	215.37				percent of total billed charges		219.66				percent of total billed charges		795				other	OPPS APC	215.37	795	
BALLOON - STERLING SL OTW 2.0X150	SUP-99-03871	CDM			272	RC		inpatient			795	795																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L77 MM FIBULA RIGHT DISTAL POSTEROLATERAL 3 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.106	CDM	270010022	LOCAL	270	RC		outpatient			794.5	794.5	215.23				percent of total billed charges		794.5				other	OPPS APC	587.93				percent of total billed charges		794.5				other	OPPS APC	794.5				other	OPPS APC	215.23				percent of total billed charges		219.52				percent of total billed charges		794.5				other	OPPS APC	215.23	794.5	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L77 MM FIBULA RIGHT DISTAL POSTEROLATERAL 3 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.106	CDM	270010022	LOCAL	270	RC		inpatient			794.5	794.5																																																			
CAP END T2 ANKLE SYSTEM	SUP-1818-0010S	CDM			270	RC		outpatient			794	794	215.09				percent of total billed charges		794				other	OPPS APC	587.56				percent of total billed charges		794				other	OPPS APC	794				other	OPPS APC	215.09				percent of total billed charges		219.38				percent of total billed charges		794				other	OPPS APC	215.09	794	
CAP END T2 ANKLE SYSTEM	SUP-1818-0010S	CDM			270	RC		inpatient			794	794																																																			
PLATE BONE THINFLAP TITANIUM L35 MM CRANIOMAXILLOFACIAL GAP	SUP-19-1025	CDM			270	RC		outpatient			793.8	793.8	215.04				percent of total billed charges		793.8				other	OPPS APC	587.41				percent of total billed charges		793.8				other	OPPS APC	793.8				other	OPPS APC	215.04				percent of total billed charges		219.33				percent of total billed charges		793.8				other	OPPS APC	215.04	793.8	
PLATE BONE THINFLAP TITANIUM L35 MM CRANIOMAXILLOFACIAL GAP	SUP-19-1025	CDM			270	RC		inpatient			793.8	793.8																																																			
PLATE BONE TITANIUM STRAIGHT L22 MM MANDIBLE 4 HOLE TENSION BAND NONSTERILE 2 MM SCREW	SUP-449.04	CDM	270010014	LOCAL	270	RC		outpatient			793.8	793.8	215.04				percent of total billed charges		793.8				other	OPPS APC	587.41				percent of total billed charges		793.8				other	OPPS APC	793.8				other	OPPS APC	215.04				percent of total billed charges		219.33				percent of total billed charges		793.8				other	OPPS APC	215.04	793.8	
PLATE BONE TITANIUM STRAIGHT L22 MM MANDIBLE 4 HOLE TENSION BAND NONSTERILE 2 MM SCREW	SUP-449.04	CDM	270010014	LOCAL	270	RC		inpatient			793.8	793.8																																																			
ASCOPE BRONCH REGULAR	SUP-95-04864	CDM			272	RC		outpatient			793.5	793.5	214.96				percent of total billed charges		793.5				other	OPPS APC	587.19				percent of total billed charges		793.5				other	OPPS APC	793.5				other	OPPS APC	214.96				percent of total billed charges		219.24				percent of total billed charges		793.5				other	OPPS APC	214.96	793.5	
ASCOPE BRONCH REGULAR	SUP-95-04864	CDM			272	RC		inpatient			793.5	793.5																																																			
CENTRAL LINE KIT - PEDIATRIC TWO LUMEN	SUP-95-02904	CDM			272	RC		outpatient			793.35	793.35	214.92				percent of total billed charges		793.35				other	OPPS APC	587.08				percent of total billed charges		793.35				other	OPPS APC	793.35				other	OPPS APC	214.92				percent of total billed charges		219.2				percent of total billed charges		793.35				other	OPPS APC	214.92	793.35	
CENTRAL LINE KIT - PEDIATRIC TWO LUMEN	SUP-95-02904	CDM			272	RC		inpatient			793.35	793.35																																																			
BLAKE CARDIO CONNECTOR 2:1	SUP-97-05497	CDM			272	RC		outpatient			793.32	793.33	214.91				percent of total billed charges		793.32				other	OPPS APC	587.06				percent of total billed charges		793.32				other	OPPS APC	793.32				other	OPPS APC	214.91				percent of total billed charges		219.19				percent of total billed charges		793.33				other	OPPS APC	214.91	793.33	
BLAKE CARDIO CONNECTOR 2:1	SUP-97-05497	CDM			272	RC		inpatient			793.32	793.32																																																			
BLAKE CARDIO CONNECTOR 3:1	SUP-97-05498	CDM			272	RC		outpatient			793.32	793.33	214.91				percent of total billed charges		793.32				other	OPPS APC	587.06				percent of total billed charges		793.32				other	OPPS APC	793.32				other	OPPS APC	214.91				percent of total billed charges		219.19				percent of total billed charges		793.33				other	OPPS APC	214.91	793.33	
BLAKE CARDIO CONNECTOR 3:1	SUP-97-05498	CDM			272	RC		inpatient			793.32	793.32																																																			
KNOTILUS ANCHOR 3.5MM	SUP-80-00016	CDM			278	RC		outpatient			793.31	793.4	793.31				fee schedule		793.31				other	OPPS APC	452.19				percent of total billed charges		793.31				other	OPPS APC	793.31				other	OPPS APC	388.72				percent of total billed charges		404.59				percent of total billed charges		793.4				other	OPPS APC	388.72	793.4	
KNOTILUS ANCHOR 3.5MM	SUP-80-00016	CDM			278	RC		inpatient			793.31	793.31																																																			
TROCAR CATHETER 8FR	SUP-95-03350	CDM			272	RC		outpatient			793.23	793.23	214.89				percent of total billed charges		793.23				other	OPPS APC	586.99				percent of total billed charges		793.23				other	OPPS APC	793.23				other	OPPS APC	214.89				percent of total billed charges		219.17				percent of total billed charges		793.23				other	OPPS APC	214.89	793.23	
TROCAR CATHETER 8FR	SUP-95-03350	CDM			272	RC		inpatient			793.23	793.23																																																			
TROCAR CATHETER 10FR	SUP-95-03351	CDM			272	RC		outpatient			793.23	793.23	214.89				percent of total billed charges		793.23				other	OPPS APC	586.99				percent of total billed charges		793.23				other	OPPS APC	793.23				other	OPPS APC	214.89				percent of total billed charges		219.17				percent of total billed charges		793.23				other	OPPS APC	214.89	793.23	
TROCAR CATHETER 10FR	SUP-95-03351	CDM			272	RC		inpatient			793.23	793.23																																																			
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L6IN x W 4IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954460	CDM			270	RC		outpatient			793.2	793.25	214.88				percent of total billed charges		793.2				other	OPPS APC	586.97				percent of total billed charges		793.2				other	OPPS APC	793.2				other	OPPS APC	214.88				percent of total billed charges		219.16				percent of total billed charges		793.25				other	OPPS APC	214.88	793.25	
MESH SURGICAL VENTRALIGHT ST SEPRA POLYPROPYLENE ELLIPSE L6IN x W 4IN MONOFILAMENT LOW PROFILE MEDIUM WEIGHT UNCOATED STERILE LATEX FREE LAPROSCOPIC VENTRAL HERNIA REPAIR	SUP-5954460	CDM			270	RC		inpatient			793.2	793.2																																																			
BLADE SURGICAL KARLIN 1.5 MM ULTRA TIP STERILE DISPOSABLE	SUP-463178	CDM			270	RC		outpatient			792.04	792.4	214.56				percent of total billed charges		792.04				other	OPPS APC	586.11				percent of total billed charges		792.04				other	OPPS APC	792.04				other	OPPS APC	214.56				percent of total billed charges		218.84				percent of total billed charges		792.4				other	OPPS APC	214.56	792.4	
BLADE SURGICAL KARLIN 1.5 MM ULTRA TIP STERILE DISPOSABLE	SUP-463178	CDM			270	RC		inpatient			792.04	792.04																																																			
HC Abdomen Complete	PX-402767000	CDM	76700	CPT	402	RC		outpatient			792	112.57	144.37				fee schedule		112.57				other	OPPS APC	289.82				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	117.27				fee schedule		78.88				fee schedule		112.57				other	OPPS APC	78.88	289.82	
HC Abdomen Complete	PX-402767000	CDM	76700	CPT	402	RC		inpatient			792	792																																																			
BOLT ORTHOPEDIC L75 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.275S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT ORTHOPEDIC L75 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.275S	CDM			270	RC		inpatient			792	792																																																			
BOLT ORTHOPEDIC L80 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.280S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT ORTHOPEDIC L80 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.280S	CDM			270	RC		inpatient			792	792																																																			
BOLT ORTHOPEDIC TITANIUM ALLOY L85 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.285S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT ORTHOPEDIC TITANIUM ALLOY L85 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.285S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L95 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.295S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L95 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.295S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L100 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.300S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L100 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.300S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L105 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.305S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L105 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.305S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L110 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.310S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L110 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.310S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L115 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.315S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L115 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.315S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L120 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.320S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L120 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.320S	CDM			270	RC		inpatient			792	792																																																			
BOLT EXTERNAL FIXATION L125 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.325S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT EXTERNAL FIXATION L125 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.325S	CDM			270	RC		inpatient			792	792																																																			
BOLT ORTHOPEDIC L130 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.330S	CDM			270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
BOLT ORTHOPEDIC L130 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.330S	CDM			270	RC		inpatient			792	792																																																			
PLATE BONE LCP STAINLESS STEEL OBLIQUE RIGHT L L42 MM 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.698	CDM	270010022	LOCAL	270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
PLATE BONE LCP STAINLESS STEEL OBLIQUE RIGHT L L42 MM 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.698	CDM	270010022	LOCAL	270	RC		inpatient			792	792																																																			
PLATE BONE LCP STAINLESS STEEL OBLIQUE LEFT L L42 MM 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.699	CDM	270010022	LOCAL	270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
PLATE BONE LCP STAINLESS STEEL OBLIQUE LEFT L L42 MM 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.699	CDM	270010022	LOCAL	270	RC		inpatient			792	792																																																			
PLATE BONE LCP STAINLESS STEEL L L40 MM LEFT 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.702	CDM	270010022	LOCAL	270	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
PLATE BONE LCP STAINLESS STEEL L L40 MM LEFT 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.702	CDM	270010022	LOCAL	270	RC		inpatient			792	792																																																			
FIBERWIRE O AR-7250	SUP-97-05476	CDM			272	RC		outpatient			792	792	214.55				percent of total billed charges		792				other	OPPS APC	586.08				percent of total billed charges		792				other	OPPS APC	792				other	OPPS APC	214.55				percent of total billed charges		218.83				percent of total billed charges		792				other	OPPS APC	214.55	792	
FIBERWIRE O AR-7250	SUP-97-05476	CDM			272	RC		inpatient			792	792																																																			
MESH LAPAROSCOPIC PROGRIP ANATOMIC 10X15CM LT	SUP-LPG1510AL	CDM			270	RC		outpatient			791.44	791.45	214.4				percent of total billed charges		791.44				other	OPPS APC	585.67				percent of total billed charges		791.44				other	OPPS APC	791.44				other	OPPS APC	214.4				percent of total billed charges		218.67				percent of total billed charges		791.45				other	OPPS APC	214.4	791.45	
MESH LAPAROSCOPIC PROGRIP ANATOMIC 10X15CM LT	SUP-LPG1510AL	CDM			270	RC		inpatient			791.44	791.44																																																			
MESH LAPAROSCOPIC PROGRIP ANATOMIC 10X15CM RT	SUP-LPG1510AR	CDM			270	RC		outpatient			791.44	791.45	214.4				percent of total billed charges		791.44				other	OPPS APC	585.67				percent of total billed charges		791.44				other	OPPS APC	791.44				other	OPPS APC	214.4				percent of total billed charges		218.67				percent of total billed charges		791.45				other	OPPS APC	214.4	791.45	
MESH LAPAROSCOPIC PROGRIP ANATOMIC 10X15CM RT	SUP-LPG1510AR	CDM			270	RC		inpatient			791.44	791.44																																																			
HC Unsched Dialysis Esrd	PX-820002570	CDM			820	RC		outpatient			791	791	791				fee schedule		791				other	OPPS APC	585.34				percent of total billed charges		791				other	OPPS APC	791				other	OPPS APC	387.59				percent of total billed charges		403.41				percent of total billed charges		791				other	OPPS APC	387.59	791	
HC Unsched Dialysis Esrd	PX-820002570	CDM			820	RC		inpatient			791	791																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L99 MM FIBULA RIGHT DISTAL LATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.140	CDM	270010022	LOCAL	270	RC		outpatient			791	791	214.28				percent of total billed charges		791				other	OPPS APC	585.34				percent of total billed charges		791				other	OPPS APC	791				other	OPPS APC	214.28				percent of total billed charges		218.55				percent of total billed charges		791				other	OPPS APC	214.28	791	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L99 MM FIBULA RIGHT DISTAL LATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.140	CDM	270010022	LOCAL	270	RC		inpatient			791	791																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L99 MM FIBULA LEFT DISTAL LATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.141	CDM	270010022	LOCAL	270	RC		outpatient			791	791	214.28				percent of total billed charges		791				other	OPPS APC	585.34				percent of total billed charges		791				other	OPPS APC	791				other	OPPS APC	214.28				percent of total billed charges		218.55				percent of total billed charges		791				other	OPPS APC	214.28	791	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L99 MM FIBULA LEFT DISTAL LATERAL 5 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.141	CDM	270010022	LOCAL	270	RC		inpatient			791	791																																																			
ANCHOR SUTURE HEALIX ADVANCE BR ORTHOCORD OD5.5 MM	SUP-222297	CDM			270	RC		outpatient			790.56	79.56	214.16				percent of total billed charges		790.56				other	OPPS APC	585.01				percent of total billed charges		790.56				other	OPPS APC	790.56				other	OPPS APC	214.16				percent of total billed charges		218.43				percent of total billed charges		79.56				other	OPPS APC	79.56	790.56	
ANCHOR SUTURE HEALIX ADVANCE BR ORTHOCORD OD5.5 MM	SUP-222297	CDM			270	RC		inpatient			790.56	790.56																																																			
MESH SURGICAL ABSORBABLE PATCH 1.7 IN DIAMETER	SUP-5950007	CDM			270	RC		outpatient			790.4	79.4	214.12				percent of total billed charges		790.4				other	OPPS APC	584.9				percent of total billed charges		790.4				other	OPPS APC	790.4				other	OPPS APC	214.12				percent of total billed charges		218.39				percent of total billed charges		79.4				other	OPPS APC	79.4	790.4	
MESH SURGICAL ABSORBABLE PATCH 1.7 IN DIAMETER	SUP-5950007	CDM			270	RC		inpatient			790.4	790.4																																																			
LIGHT RETRACTOR WAVEGUIDE WIDE FLAT FIBER OPTIC STERILE LATEX FREE DISPOSABLE	SUP-104015	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
LIGHT RETRACTOR WAVEGUIDE WIDE FLAT FIBER OPTIC STERILE LATEX FREE DISPOSABLE	SUP-104015	CDM			270	RC		inpatient			790	790																																																			
KIT NEUROSURGICAL INTERSTIM PROCEDURE SUPPLIES DISPOSABLE	SUP-3560031	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
KIT NEUROSURGICAL INTERSTIM PROCEDURE SUPPLIES DISPOSABLE	SUP-3560031	CDM			270	RC		inpatient			790	790																																																			
LEAD 3830-59 SELECT SURE _51413_	SUP-383059	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD 3830-59 SELECT SURE _51413_	SUP-383059	CDM			275	RC		inpatient			790	790																																																			
LEAD CATHETER DELIVERED PACING	SUP-383059	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD CATHETER DELIVERED PACING	SUP-383059	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING SELECTSECURE L69 CM ATRIUM VENTRICLE BIPOLAR FIXED SCREW IN CATHETER DELIVER	SUP-383069	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING SELECTSECURE L69 CM ATRIUM VENTRICLE BIPOLAR FIXED SCREW IN CATHETER DELIVER	SUP-383069	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING 4076-35 CAPSUREFIX NOVUS _42997_	SUP-407635	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING 4076-35 CAPSUREFIX NOVUS _42997_	SUP-407635	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN STEROID ELUTING POLYURETHANE L45 CM	SUP-407645	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN STEROID ELUTING POLYURETHANE L45 CM	SUP-407645	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN STEROID ELUTING POLYURETHANE L52 CM	SUP-407652	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN STEROID ELUTING POLYURETHANE L52 CM	SUP-407652	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN STEROID ELUTING POLYURETHANE L58 CM	SUP-407658	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS MRI SURESCAN STEROID ELUTING POLYURETHANE L58 CM	SUP-407658	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING POLYURETHANE SILICONE L65 CM	SUP-407665	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING POLYURETHANE SILICONE L65 CM	SUP-407665	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING POLYURETHANE SILICONE L85 CM	SUP-407685	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING POLYURETHANE SILICONE L85 CM	SUP-407685	CDM			275	RC		inpatient			790	790																																																			
LEAD EPICARDIAL SCREW IN 5071	SUP-5071-35	CDM						inpatient			790	790																																																			
LEAD EPICARDIAL SCREW IN 5071	SUP-5071-35	CDM						outpatient			790	79	790				percent of total billed charges		790				other	OPPS APC	790				fee schedule		790				other	OPPS APC	790				other	OPPS APC	790				case rate		790				case rate		79				other	OPPS APC	79	790	
LEAD PACING SILICONE L53 CM OD6.6 FR MYOCARDIUM UNIPOLAR FIXED SCREW IS-1	SUP-5071-53	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING SILICONE L53 CM OD6.6 FR MYOCARDIUM UNIPOLAR FIXED SCREW IS-1	SUP-5071-53	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING 5076-110 CAPSUREFIX NOVUS _42998_	SUP-5076-110	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING 5076-110 CAPSUREFIX NOVUS _42998_	SUP-5076-110	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L35 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN ACTIVE FIXATION STERILE DISPOSABLE	SUP-5076-35	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L35 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN ACTIVE FIXATION STERILE DISPOSABLE	SUP-5076-35	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L45 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION	SUP-5076-45	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L45 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION	SUP-5076-45	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L52 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION	SUP-5076-52	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L52 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION	SUP-5076-52	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L58 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION	SUP-5076-58	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING PLATINUM SILICONE 10 MM SPACE SMALL STRAIGHT L58 CM L20-110 CM OD6.2 FR ODSEC2 MM ATRIUM VENTRICLE BIPOLAR SCREW IN IMPLANTABLE ACTIVE FIXATION	SUP-5076-58	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING SILICONE L65 CM OD6 FR ATRIUM VENTRICLE RIGHT IS-1 BIPOLAR ACTIVE FIXATION SCREW IN	SUP-5076-65	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING SILICONE L65 CM OD6 FR ATRIUM VENTRICLE RIGHT IS-1 BIPOLAR ACTIVE FIXATION SCREW IN	SUP-5076-65	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING SILICONE SILOXANE 10 MM SPACING STRAIGHT L85 CM L1.8 MM OD6.2 FR ODSEC7 FR ATRIUM VENTRICLE BIPOLAR POLARITY ACTIVE FIXATION PLATINIZED ELECTRODE SCREW IN SIDE BY SIDE	SUP-5076-85	CDM			275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX NOVUS STEROID ELUTING SILICONE SILOXANE 10 MM SPACING STRAIGHT L85 CM L1.8 MM OD6.2 FR ODSEC7 FR ATRIUM VENTRICLE BIPOLAR POLARITY ACTIVE FIXATION PLATINIZED ELECTRODE SCREW IN SIDE BY SIDE	SUP-5076-85	CDM			275	RC		inpatient			790	790																																																			
LEAD PACING CAPSURE SP NOVUS STEROID ELUTING SILICONE STRAIGHT L58 CM OD6 FR RIGHT VENTRICLE BIPOLAR TIN IS-1	SUP-5092-58	CDM	275001001	LOCAL	275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSURE SP NOVUS STEROID ELUTING SILICONE STRAIGHT L58 CM OD6 FR RIGHT VENTRICLE BIPOLAR TIN IS-1	SUP-5092-58	CDM	275001001	LOCAL	275	RC		inpatient			790	790																																																			
LEAD PACING CAPSUREFIX STEROID ELUTING SILICONE J L53 CM OD7.2 FR ATRIUM BIPOLAR ACTIVE FIXATION SCREW IN IS-1	SUP-5568-53	CDM	275001001	LOCAL	275	RC		outpatient			790	79	387.1				percent of total billed charges		790				other	OPPS APC	450.3				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	387.1				percent of total billed charges		402.9				percent of total billed charges		79				other	OPPS APC	79	790	
LEAD PACING CAPSUREFIX STEROID ELUTING SILICONE J L53 CM OD7.2 FR ATRIUM BIPOLAR ACTIVE FIXATION SCREW IN IS-1	SUP-5568-53	CDM	275001001	LOCAL	275	RC		inpatient			790	790																																																			
MENISCAL CINCH	SUP-AR-4501	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
MENISCAL CINCH	SUP-AR-4501	CDM			270	RC		inpatient			790	790																																																			
NEEDLE SUTURE SPEEDCINCH FIBERWIRE PEEK 2-0 CURVE	SUP-AR-4502	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
NEEDLE SUTURE SPEEDCINCH FIBERWIRE PEEK 2-0 CURVE	SUP-AR-4502	CDM			270	RC		inpatient			790	790																																																			
SCREW INTERFERENCE BIO-COMPRESSION SCREW POLY L LACTIC ACID TAPER L18 MM OD3-3.7 MM SMALL BONE CANNULATED SELF COMPRESS THREAD PITCH STERILE	SUP-AR-5025B-18	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
SCREW INTERFERENCE BIO-COMPRESSION SCREW POLY L LACTIC ACID TAPER L18 MM OD3-3.7 MM SMALL BONE CANNULATED SELF COMPRESS THREAD PITCH STERILE	SUP-AR-5025B-18	CDM			270	RC		inpatient			790	790																																																			
SCREW INTERFERENCE BIO-COMPRESSION SCREW POLY L LACTIC ACID TAPER L20 MM OD2.7-3.7 MM SMALL BONE CANNULATED SELF COMPRESS THREAD PITCH STERILE	SUP-AR-5025B-20	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
SCREW INTERFERENCE BIO-COMPRESSION SCREW POLY L LACTIC ACID TAPER L20 MM OD2.7-3.7 MM SMALL BONE CANNULATED SELF COMPRESS THREAD PITCH STERILE	SUP-AR-5025B-20	CDM			270	RC		inpatient			790	790																																																			
SCREW INTERFERENCE BIO-COMPRESSION SCREW POLY L LACTIC ACID TAPER L22 MM OD3-3.7 MM SMALL BONE CANNULATED SELF COMPRESS THREAD PITCH STERILE	SUP-AR-5025B-22	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
SCREW INTERFERENCE BIO-COMPRESSION SCREW POLY L LACTIC ACID TAPER L22 MM OD3-3.7 MM SMALL BONE CANNULATED SELF COMPRESS THREAD PITCH STERILE	SUP-AR-5025B-22	CDM			270	RC		inpatient			790	790																																																			
GRAFT SYNTHETIC TISSUE BIO-A L8 CM X W8 CM TISSUE BIOABSORBABLE REINFORCEMENT SCAFFOLD	SUP-FS0808	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
GRAFT SYNTHETIC TISSUE BIO-A L8 CM X W8 CM TISSUE BIOABSORBABLE REINFORCEMENT SCAFFOLD	SUP-FS0808	CDM			270	RC		inpatient			790	790																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L220 MM ODSEC2 MM OTW ULTRA LOW PROFILE	SUP-H74939186202210	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L220 MM ODSEC2 MM OTW ULTRA LOW PROFILE	SUP-H74939186202210	CDM			270	RC		inpatient			790	790																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L220 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186252210	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L220 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186252210	CDM			270	RC		inpatient			790	790																																																			
CATHETER BALLOON DILATATION COYOTE 150CM 220MM 3MM NYBAX LUBRICIOUS BIOSLIDE OTW ULTRA LOW PROFILE ACCEPTS .014IN	SUP-H74939186302210	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
CATHETER BALLOON DILATATION COYOTE 150CM 220MM 3MM NYBAX LUBRICIOUS BIOSLIDE OTW ULTRA LOW PROFILE ACCEPTS .014IN	SUP-H74939186302210	CDM			270	RC		inpatient			790	790																																																			
DEVICE ELECTROSURGICAL PLASMABLADE X STERILE LATEX FREE DISPOSABLE PINK 3.0S LIGHT	SUP-PS210030SLIGHT_72344	CDM			270	RC		outpatient			790	79	214.01				percent of total billed charges		790				other	OPPS APC	584.6				percent of total billed charges		790				other	OPPS APC	790				other	OPPS APC	214.01				percent of total billed charges		218.28				percent of total billed charges		79				other	OPPS APC	79	790	
DEVICE ELECTROSURGICAL PLASMABLADE X STERILE LATEX FREE DISPOSABLE PINK 3.0S LIGHT	SUP-PS210030SLIGHT_72344	CDM			270	RC		inpatient			790	790																																																			
ABS  TIGHTROPE INPLANT ARTHREX	SUP-97-03549	CDM			278	RC		outpatient			789	789	789				fee schedule		789				other	OPPS APC	449.73				percent of total billed charges		789				other	OPPS APC	789				other	OPPS APC	386.61				percent of total billed charges		402.39				percent of total billed charges		789				other	OPPS APC	386.61	789	
ABS  TIGHTROPE INPLANT ARTHREX	SUP-97-03549	CDM			278	RC		inpatient			789	789																																																			
BIT DRILL ASNIS MICRO OD2.1 MM AO COUPLING CANNULATED STERILE DISPOSABLE	SUP-45-30005	CDM			270	RC		outpatient			788	788	213.47				percent of total billed charges		788				other	OPPS APC	583.12				percent of total billed charges		788				other	OPPS APC	788				other	OPPS APC	213.47				percent of total billed charges		217.72				percent of total billed charges		788				other	OPPS APC	213.47	788	
BIT DRILL ASNIS MICRO OD2.1 MM AO COUPLING CANNULATED STERILE DISPOSABLE	SUP-45-30005	CDM			270	RC		inpatient			788	788																																																			
CLIP ENDOSCOPIC MANTIS TRUGRIP L235 CM L2.8 MM 3 STEP ANCHOR PRONG CLOSURE MINIMAL SLIPPAG	SUP-M00521421	CDM			270	RC		outpatient			788	788	213.47				percent of total billed charges		788				other	OPPS APC	583.12				percent of total billed charges		788				other	OPPS APC	788				other	OPPS APC	213.47				percent of total billed charges		217.72				percent of total billed charges		788				other	OPPS APC	213.47	788	
CLIP ENDOSCOPIC MANTIS TRUGRIP L235 CM L2.8 MM 3 STEP ANCHOR PRONG CLOSURE MINIMAL SLIPPAG	SUP-M00521421	CDM			270	RC		inpatient			788	788																																																			
ELECTRODE RESECTOSCOPIC SHARK BIPOLAR 1.2MM WIRE CYLINDRICAL COAGULATING BLUE BRANCH/STEM STERILE SINGLE-USE F/22/24FR CONTINUOUS IRRIGATION SHEATH	SUP-46230243US	CDM			270	RC		outpatient			787.79	787.79	213.41				percent of total billed charges		787.79				other	OPPS APC	582.96				percent of total billed charges		787.79				other	OPPS APC	787.79				other	OPPS APC	213.41				percent of total billed charges		217.67				percent of total billed charges		787.79				other	OPPS APC	213.41	787.79	
ELECTRODE RESECTOSCOPIC SHARK BIPOLAR 1.2MM WIRE CYLINDRICAL COAGULATING BLUE BRANCH/STEM STERILE SINGLE-USE F/22/24FR CONTINUOUS IRRIGATION SHEATH	SUP-46230243US	CDM			270	RC		inpatient			787.79	787.79																																																			
PLATE BONE LC-DCP STAINLESS STEEL T L116 MM 6 HOLE SHAFT NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-240.16	CDM	270010022	LOCAL	270	RC		outpatient			786.6	786.62	213.09				percent of total billed charges		786.6				other	OPPS APC	582.08				percent of total billed charges		786.6				other	OPPS APC	786.6				other	OPPS APC	213.09				percent of total billed charges		217.34				percent of total billed charges		786.62				other	OPPS APC	213.09	786.62	
PLATE BONE LC-DCP STAINLESS STEEL T L116 MM 6 HOLE SHAFT NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-240.16	CDM	270010022	LOCAL	270	RC		inpatient			786.6	786.6																																																			
CABLE ORTHOPEDIC CABLE-READY COCR L635 CM OD1.8 MM TROCHANTER CERCLAGE CRIMP	SUP-00-2232-004-18	CDM			270	RC		outpatient			786.1	786.12	212.95				percent of total billed charges		786.1				other	OPPS APC	581.71				percent of total billed charges		786.1				other	OPPS APC	786.1				other	OPPS APC	212.95				percent of total billed charges		217.2				percent of total billed charges		786.12				other	OPPS APC	212.95	786.12	
CABLE ORTHOPEDIC CABLE-READY COCR L635 CM OD1.8 MM TROCHANTER CERCLAGE CRIMP	SUP-00-2232-004-18	CDM			270	RC		inpatient			786.1	786.1																																																			
PLATE BONE MANDIBLE LC DCP CRESCENT TITANIUM 4 HOLE 2.4 X 35MM	SUP-492.56	CDM	270010014	LOCAL	270	RC		outpatient			785.84	785.84	212.88				percent of total billed charges		785.84				other	OPPS APC	581.52				percent of total billed charges		785.84				other	OPPS APC	785.84				other	OPPS APC	212.88				percent of total billed charges		217.13				percent of total billed charges		785.84				other	OPPS APC	212.88	785.84	
PLATE BONE MANDIBLE LC DCP CRESCENT TITANIUM 4 HOLE 2.4 X 35MM	SUP-492.56	CDM	270010014	LOCAL	270	RC		inpatient			785.84	785.84																																																			
PLATE BONE DCP TITANIUM L32 MM X W5 MM X H1.25 MM MANDIBLE 5 HOLE LOW PROFILE EASILY CONTOUR NONSTERILE 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.035	CDM	270010014	LOCAL	270	RC		outpatient			785.82	785.83	212.88				percent of total billed charges		785.82				other	OPPS APC	581.51				percent of total billed charges		785.82				other	OPPS APC	785.82				other	OPPS APC	212.88				percent of total billed charges		217.12				percent of total billed charges		785.83				other	OPPS APC	212.88	785.83	
PLATE BONE DCP TITANIUM L32 MM X W5 MM X H1.25 MM MANDIBLE 5 HOLE LOW PROFILE EASILY CONTOUR NONSTERILE 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.035	CDM	270010014	LOCAL	270	RC		inpatient			785.82	785.82																																																			
SOLUTION OPHTHALMIC SILIKON 1000 8.5ML POLYDIMETHYLSILOXANE STERILE LF OIL	SUP-8065601187	CDM			270	RC		outpatient			785.06	785.6	212.67				percent of total billed charges		785.06				other	OPPS APC	580.94				percent of total billed charges		785.06				other	OPPS APC	785.06				other	OPPS APC	212.67				percent of total billed charges		216.91				percent of total billed charges		785.6				other	OPPS APC	212.67	785.6	
SOLUTION OPHTHALMIC SILIKON 1000 8.5ML POLYDIMETHYLSILOXANE STERILE LF OIL	SUP-8065601187	CDM			270	RC		inpatient			785.06	785.06																																																			
PLATE BONE EVOS STAINLESS STEEL 11.5 MM SPACE L 116 MM X W 10.7 MM X H 3.4MM 10 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440710	CDM			270	RC		outpatient			784	784	212.39				percent of total billed charges		784				other	OPPS APC	580.16				percent of total billed charges		784				other	OPPS APC	784				other	OPPS APC	212.39				percent of total billed charges		216.62				percent of total billed charges		784				other	OPPS APC	212.39	784	
PLATE BONE EVOS STAINLESS STEEL 11.5 MM SPACE L 116 MM X W 10.7 MM X H 3.4MM 10 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440710	CDM			270	RC		inpatient			784	784																																																			
SYSTEM LEAD DELIVERY ACUITY BREAKAWAY	SUP-ALDS	CDM			275	RC		outpatient			784	784	384.16				percent of total billed charges		784				other	OPPS APC	446.88				percent of total billed charges		784				other	OPPS APC	784				other	OPPS APC	384.16				percent of total billed charges		399.84				percent of total billed charges		784				other	OPPS APC	384.16	784	
SYSTEM LEAD DELIVERY ACUITY BREAKAWAY	SUP-ALDS	CDM			275	RC		inpatient			784	784																																																			
HERCULES BALLOON HBDW 8-9-10	SUP-95-01659	CDM						inpatient			783.75	783.75																																																			
HERCULES BALLOON HBDW 8-9-10	SUP-95-01659	CDM						outpatient			783.75	783.75	783.75				percent of total billed charges		783.75				other	OPPS APC	783.75				fee schedule		783.75				other	OPPS APC	783.75				other	OPPS APC	783.75				case rate		783.75				case rate		783.75				other	OPPS APC	783.75	783.75	
HERCULES BALLOON HBDW-12-13.5-15	SUP-95-01660	CDM						inpatient			783.75	783.75																																																			
HERCULES BALLOON HBDW-12-13.5-15	SUP-95-01660	CDM						outpatient			783.75	783.75	783.75				percent of total billed charges		783.75				other	OPPS APC	783.75				fee schedule		783.75				other	OPPS APC	783.75				other	OPPS APC	783.75				case rate		783.75				case rate		783.75				other	OPPS APC	783.75	783.75	
CANNULATED DRILL 4.9MM LG.AO FITTING	SUP-97-04164	CDM			272	RC		outpatient			783.36	783.36	212.21				percent of total billed charges		783.36				other	OPPS APC	579.69				percent of total billed charges		783.36				other	OPPS APC	783.36				other	OPPS APC	212.21				percent of total billed charges		216.44				percent of total billed charges		783.36				other	OPPS APC	212.21	783.36	
CANNULATED DRILL 4.9MM LG.AO FITTING	SUP-97-04164	CDM			272	RC		inpatient			783.36	783.36																																																			
PLATE BONE LCP OBLIQUE RIGHT L 35MM SS NS 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.686	CDM	270010022	LOCAL	270	RC		outpatient			783.2	783.25	212.17				percent of total billed charges		783.2				other	OPPS APC	579.57				percent of total billed charges		783.2				other	OPPS APC	783.2				other	OPPS APC	212.17				percent of total billed charges		216.4				percent of total billed charges		783.25				other	OPPS APC	212.17	783.25	
PLATE BONE LCP OBLIQUE RIGHT L 35MM SS NS 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.686	CDM	270010022	LOCAL	270	RC		inpatient			783.2	783.2																																																			
PLATE BONE LCP OBLIQUE LEFT L 35MM SS NS 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.687	CDM	270010022	LOCAL	270	RC		outpatient			783.2	783.25	212.17				percent of total billed charges		783.2				other	OPPS APC	579.57				percent of total billed charges		783.2				other	OPPS APC	783.2				other	OPPS APC	212.17				percent of total billed charges		216.4				percent of total billed charges		783.25				other	OPPS APC	212.17	783.25	
PLATE BONE LCP OBLIQUE LEFT L 35MM SS NS 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.687	CDM	270010022	LOCAL	270	RC		inpatient			783.2	783.2																																																			
PLATE BONE LCP L 32MM SS NS RIGHT 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.688	CDM	270010022	LOCAL	270	RC		outpatient			783.2	783.25	212.17				percent of total billed charges		783.2				other	OPPS APC	579.57				percent of total billed charges		783.2				other	OPPS APC	783.2				other	OPPS APC	212.17				percent of total billed charges		216.4				percent of total billed charges		783.25				other	OPPS APC	212.17	783.25	
PLATE BONE LCP L 32MM SS NS RIGHT 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.688	CDM	270010022	LOCAL	270	RC		inpatient			783.2	783.2																																																			
PLATE BONE LCP STAINLESS STEEL L L32 MM 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.689	CDM	270010022	LOCAL	270	RC		outpatient			783.2	783.25	212.17				percent of total billed charges		783.2				other	OPPS APC	579.57				percent of total billed charges		783.2				other	OPPS APC	783.2				other	OPPS APC	212.17				percent of total billed charges		216.4				percent of total billed charges		783.25				other	OPPS APC	212.17	783.25	
PLATE BONE LCP STAINLESS STEEL L L32 MM 2 HOLE HEAD 3 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.689	CDM	270010022	LOCAL	270	RC		inpatient			783.2	783.2																																																			
SUTURE KIT STERNUM SINGLE WIRE STAINLESS STEEL	SUP-95-05404	CDM			272	RC		outpatient			783	783	212.11				percent of total billed charges		783				other	OPPS APC	579.42				percent of total billed charges		783				other	OPPS APC	783				other	OPPS APC	212.11				percent of total billed charges		216.34				percent of total billed charges		783				other	OPPS APC	212.11	783	
SUTURE KIT STERNUM SINGLE WIRE STAINLESS STEEL	SUP-95-05404	CDM			272	RC		inpatient			783	783																																																			
DRILL BIT 4.2 330MM	SUP-97-00804	CDM			272	RC		outpatient			782.34	782.34	211.94				percent of total billed charges		782.34				other	OPPS APC	578.93				percent of total billed charges		782.34				other	OPPS APC	782.34				other	OPPS APC	211.94				percent of total billed charges		216.16				percent of total billed charges		782.34				other	OPPS APC	211.94	782.34	
DRILL BIT 4.2 330MM	SUP-97-00804	CDM			272	RC		inpatient			782.34	782.34																																																			
TUNNELER SURGICAL DISPOSABLE	SUP-402	CDM			270	RC		outpatient			781.5	781.5	211.71				percent of total billed charges		781.5				other	OPPS APC	578.31				percent of total billed charges		781.5				other	OPPS APC	781.5				other	OPPS APC	211.71				percent of total billed charges		215.93				percent of total billed charges		781.5				other	OPPS APC	211.71	781.5	
TUNNELER SURGICAL DISPOSABLE	SUP-402	CDM			270	RC		inpatient			781.5	781.5																																																			
METHYLENE BLUE 5 MG/ML SOLUTION	250000000	CDM	0517-0374-05	NDC				inpatient			781.29	781.29																																																			
METHYLENE BLUE 5 MG/ML SOLUTION	250000000	CDM	0517-0374-05	NDC				outpatient			781.29	781.29																																															other	OPPS APC			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM FIBULA RIGHT DISTAL LATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.138	CDM	270010022	LOCAL	270	RC		outpatient			781.2	781.25	211.63				percent of total billed charges		781.2				other	OPPS APC	578.09				percent of total billed charges		781.2				other	OPPS APC	781.2				other	OPPS APC	211.63				percent of total billed charges		215.85				percent of total billed charges		781.25				other	OPPS APC	211.63	781.25	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L86 MM FIBULA RIGHT DISTAL LATERAL 4 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.138	CDM	270010022	LOCAL	270	RC		inpatient			781.2	781.2																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L20 CM OD18 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0018-20	CDM			270	RC		outpatient			781.2	781.25	211.63				percent of total billed charges		781.2				other	OPPS APC	578.09				percent of total billed charges		781.2				other	OPPS APC	781.2				other	OPPS APC	211.63				percent of total billed charges		215.85				percent of total billed charges		781.25				other	OPPS APC	211.63	781.25	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L20 CM OD18 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0018-20	CDM			270	RC		inpatient			781.2	781.2																																																			
HC Cta Head	PX-352704960	CDM	70496	CPT	352	RC		outpatient			781	189.94	385.51				fee schedule		189.94				other	OPPS APC	1250.49				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	260.55				fee schedule		203.32				fee schedule		189.94				other	OPPS APC	189.94	1250.49	
HC Cta Head	PX-352704960	CDM	70496	CPT	352	RC		inpatient			781	781																																																			
HC Cta Neck	PX-352704980	CDM	70498	CPT	352	RC		outpatient			781	189.94	385.15				fee schedule		189.94				other	OPPS APC	1250.49				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	260.55				fee schedule		202.99				fee schedule		189.94				other	OPPS APC	189.94	1250.49	
HC Cta Neck	PX-352704980	CDM	70498	CPT	352	RC		inpatient			781	781																																																			
HC Cta Chest	PX-352712750	CDM	71275	CPT	352	RC		outpatient			781	189.94	381.29				fee schedule		189.94				other	OPPS APC	1264.05				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	263.56				fee schedule		205.65				fee schedule		189.94				other	OPPS APC	189.94	1264.05	
HC Cta Chest	PX-352712750	CDM	71275	CPT	352	RC		inpatient			781	781																																																			
HC Cta Pelvis	PX-352721910	CDM	72191	CPT	350	RC		outpatient			781	189.94	388.32				fee schedule		189.94				other	OPPS APC	1379.97				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	262.22				fee schedule		232.29				fee schedule		189.94				other	OPPS APC	189.94	1379.97	
HC Cta Pelvis	PX-352721910	CDM	72191	CPT	350	RC		inpatient			781	781																																																			
HC Cta Upper Extremity	PX-352732060	CDM	73206	CPT	352	RC		outpatient			781	189.94	342.21				fee schedule		189.94				other	OPPS APC	1277.62				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	262.22				fee schedule		224.3				fee schedule		189.94				other	OPPS APC	189.94	1277.62	
HC Cta Upper Extremity	PX-352732060	CDM	73206	CPT	352	RC		inpatient			781	781																																																			
HC Cta Lower Extremity	PX-352737060	CDM	73706	CPT	352	RC		outpatient			781	189.94	380.58				fee schedule		189.94				other	OPPS APC	1288.6				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	266.57				fee schedule		246.94				fee schedule		189.94				other	OPPS APC	189.94	1288.6	
HC Cta Lower Extremity	PX-352737060	CDM	73706	CPT	352	RC		inpatient			781	781																																																			
HC Cta Abdomen	PX-352741750	CDM	74175	CPT	352	RC		outpatient			781	189.94	392.97				fee schedule		189.94				other	OPPS APC	1389.28				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	263.23				fee schedule		232.95				fee schedule		189.94				other	OPPS APC	189.94	1389.28	
HC Cta Abdomen	PX-352741750	CDM	74175	CPT	352	RC		inpatient			781	781																																																			
HC Cta Aorta W Runoff W Contrst Post	PX-352756350	CDM	75635	CPT	350	RC		outpatient			781	189.94	416.45				fee schedule		189.94				other	OPPS APC	1816.4				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	288.95				fee schedule		312.85				fee schedule		189.94				other	OPPS APC	189.94	1816.4	
HC Cta Aorta W Runoff W Contrst Post	PX-352756350	CDM	75635	CPT	350	RC		inpatient			781	781																																																			
BIT DRILL L165 MM L135 MM OD4.5 MM CANNULATED STOP NONSTERILE JACOBS CHUCK	SUP-03.010.089	CDM	270010022	LOCAL	270	RC		outpatient			781	781	211.57				percent of total billed charges		781				other	OPPS APC	577.94				percent of total billed charges		781				other	OPPS APC	781				other	OPPS APC	211.57				percent of total billed charges		215.79				percent of total billed charges		781				other	OPPS APC	211.57	781	
BIT DRILL L165 MM L135 MM OD4.5 MM CANNULATED STOP NONSTERILE JACOBS CHUCK	SUP-03.010.089	CDM	270010022	LOCAL	270	RC		inpatient			781	781																																																			
PLATE BONE LC-DCP STAINLESS STEEL L129 MM X W11 MM X H3.3 MM 10 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.60	CDM	270010022	LOCAL	270	RC		outpatient			781	781	211.57				percent of total billed charges		781				other	OPPS APC	577.94				percent of total billed charges		781				other	OPPS APC	781				other	OPPS APC	211.57				percent of total billed charges		215.79				percent of total billed charges		781				other	OPPS APC	211.57	781	
PLATE BONE LC-DCP STAINLESS STEEL L129 MM X W11 MM X H3.3 MM 10 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.60	CDM	270010022	LOCAL	270	RC		inpatient			781	781																																																			
PLATE BONE LCP STAINLESS STEEL NARROW L116 MM X W13.5 MM X H4.2 MM 6 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.561	CDM	270010022	LOCAL	270	RC		outpatient			781	781	211.57				percent of total billed charges		781				other	OPPS APC	577.94				percent of total billed charges		781				other	OPPS APC	781				other	OPPS APC	211.57				percent of total billed charges		215.79				percent of total billed charges		781				other	OPPS APC	211.57	781	
PLATE BONE LCP STAINLESS STEEL NARROW L116 MM X W13.5 MM X H4.2 MM 6 HOLE LIMIT CONTACT TAPER END NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.561	CDM	270010022	LOCAL	270	RC		inpatient			781	781																																																			
PLATE BONE LCP 68MM SS NS 8 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.678	CDM	270010022	LOCAL	270	RC		outpatient			781	781	211.57				percent of total billed charges		781				other	OPPS APC	577.94				percent of total billed charges		781				other	OPPS APC	781				other	OPPS APC	211.57				percent of total billed charges		215.79				percent of total billed charges		781				other	OPPS APC	211.57	781	
PLATE BONE LCP 68MM SS NS 8 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.678	CDM	270010022	LOCAL	270	RC		inpatient			781	781																																																			
2.7MM CAN DRILL BIT	SUP-95-23601	CDM			272	RC		outpatient			780.48	78.48	211.43				percent of total billed charges		780.48				other	OPPS APC	577.56				percent of total billed charges		780.48				other	OPPS APC	780.48				other	OPPS APC	211.43				percent of total billed charges		215.65				percent of total billed charges		78.48				other	OPPS APC	78.48	780.48	
2.7MM CAN DRILL BIT	SUP-95-23601	CDM			272	RC		inpatient			780.48	780.48																																																			
CANNULATED DRILL BIT FIXOS +ÿ2.7MM  AO	SUP-97-02445	CDM			272	RC		outpatient			780.48	78.48	211.43				percent of total billed charges		780.48				other	OPPS APC	577.56				percent of total billed charges		780.48				other	OPPS APC	780.48				other	OPPS APC	211.43				percent of total billed charges		215.65				percent of total billed charges		78.48				other	OPPS APC	78.48	780.48	
CANNULATED DRILL BIT FIXOS +ÿ2.7MM  AO	SUP-97-02445	CDM			272	RC		inpatient			780.48	780.48																																																			
FLUTICASONE HFA 110 MCG/ACTUATION HFA AEROSOL INHALER 12 G AER W/ADAP	637000000	CDM	66993-079-96	NDC	A9270	HCPCS		inpatient			780.43	780.43																																																			
FLUTICASONE HFA 110 MCG/ACTUATION HFA AEROSOL INHALER 12 G AER W/ADAP	637000000	CDM	66993-079-96	NDC	A9270	HCPCS		outpatient			780.43	780.43																																															other	OPPS APC			
LV WORLEY STD CURVE CSG GUIDE KIT _62559_	SUP-WOR-CSG-B1-09	CDM			275	RC		outpatient			780.18	78.18	382.29				percent of total billed charges		780.18				other	OPPS APC	444.7				percent of total billed charges		780.18				other	OPPS APC	780.18				other	OPPS APC	382.29				percent of total billed charges		397.89				percent of total billed charges		78.18				other	OPPS APC	78.18	780.18	
LV WORLEY STD CURVE CSG GUIDE KIT _62559_	SUP-WOR-CSG-B1-09	CDM			275	RC		inpatient			780.18	780.18																																																			
HC Lymphatics and Lymph Node Imaging	PX-340781950	CDM	78195	CPT	340	RC		outpatient			780	531.35	368.94				fee schedule		531.35				other	OPPS APC	543.64				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	329.84				fee schedule		273.57				fee schedule		531.35				other	OPPS APC	273.57	543.64	
HC Lymphatics and Lymph Node Imaging	PX-340781950	CDM	78195	CPT	340	RC		inpatient			780	780																																																			
HC Excisional Biopsy Malignant Lesion 1.1-2.0 Cm	PX-761116020	CDM	11602	CPT	761	RC		outpatient			780	78	195.77				case rate		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	195.77				case rate		397.8				percent of total billed charges		78				other	OPPS APC	78	780	
HC Excisional Biopsy Malignant Lesion 1.1-2.0 Cm	PX-761116020	CDM	11602	CPT	761	RC		inpatient			780	780																																																			
CANNULA INJECTION FOR TFNA STERILE TRAUMACEM (TM) V	SUP-03.702.121S	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
CANNULA INJECTION FOR TFNA STERILE TRAUMACEM (TM) V	SUP-03.702.121S	CDM			270	RC		inpatient			780	780																																																			
DRILL BIT 5.5MM	SUP-97-00081	CDM			272	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
DRILL BIT 5.5MM	SUP-97-00081	CDM			272	RC		inpatient			780	780																																																			
DRILL BIT 5.0MM	SUP-97-00082	CDM			272	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
DRILL BIT 5.0MM	SUP-97-00082	CDM			272	RC		inpatient			780	780																																																			
ABLATOR 50DEGREE APOLLO RF H50	SUP-97-05234	CDM			272	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
ABLATOR 50DEGREE APOLLO RF H50	SUP-97-05234	CDM			272	RC		inpatient			780	780																																																			
SHEATH - SAFESHEATH 8F 13CM	SUP-99-00890	CDM			272	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
SHEATH - SAFESHEATH 8F 13CM	SUP-99-00890	CDM			272	RC		inpatient			780	780																																																			
BALLOON - CROSSTELLA 5 X 40	SUP-99-04180	CDM			272	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
BALLOON - CROSSTELLA 5 X 40	SUP-99-04180	CDM			272	RC		inpatient			780	780																																																			
BALLOON - METACROSS RX 8X60	SUP-99-04189	CDM			272	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
BALLOON - METACROSS RX 8X60	SUP-99-04189	CDM			272	RC		inpatient			780	780																																																			
CATHETER DELIVERY SYSTEM L112.5 CM L6.9 CM OD18 FR ACCEPTS .035 IN GUIDEWIRE	SUP-CLS-3000-18F-US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
CATHETER DELIVERY SYSTEM L112.5 CM L6.9 CM OD18 FR ACCEPTS .035 IN GUIDEWIRE	SUP-CLS-3000-18F-US	CDM			270	RC		inpatient			780	780																																																			
Enveo PRO OD14 FR LOAD	SUP-L-ENVPRO-14-US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
Enveo PRO OD14 FR LOAD	SUP-L-ENVPRO-14-US	CDM			270	RC		inpatient			780	780																																																			
SYSTEM DELIVERY OD16 FR LOAD	SUP-L-ENVPRO-16-US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
SYSTEM DELIVERY OD16 FR LOAD	SUP-L-ENVPRO-16-US	CDM			270	RC		inpatient			780	780																																																			
EVOLUT FX LOADING SYSTEM 23-29MM	SUP-L-EVOLUTFX-2329	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
EVOLUT FX LOADING SYSTEM 23-29MM	SUP-L-EVOLUTFX-2329	CDM			270	RC		inpatient			780	780																																																			
EVOLUT FX LOADING SYSTEM 34MM	SUP-L-EVOLUTFX-34	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
EVOLUT FX LOADING SYSTEM 34MM	SUP-L-EVOLUTFX-34	CDM			270	RC		inpatient			780	780																																																			
EVOLUT PRO+ LOADING SYSTEM 23-29MM	SUP-L-EVPROP2329US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
EVOLUT PRO+ LOADING SYSTEM 23-29MM	SUP-L-EVPROP2329US	CDM			270	RC		inpatient			780	780																																																			
EVOLUT PRO+ LOADING SYSTEM 34MM	SUP-L-EVPROP34US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
EVOLUT PRO+ LOADING SYSTEM 34MM	SUP-L-EVPROP34US	CDM			270	RC		inpatient			780	780																																																			
SYSTEM INTRODUCER 23 MM LOAD	SUP-LS-ENVEOR23US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
SYSTEM INTRODUCER 23 MM LOAD	SUP-LS-ENVEOR23US	CDM			270	RC		inpatient			780	780																																																			
SYSTEM LOADING ENVEOR 26 & 29 TRANSCATHER AORTIC VALVE	SUP-LS-ENVEOR2629US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
SYSTEM LOADING ENVEOR 26 & 29 TRANSCATHER AORTIC VALVE	SUP-LS-ENVEOR2629US	CDM			270	RC		inpatient			780	780																																																			
SYSTEM LOADING ENVEOR 34 TRANSCATHER AORTIC VALVE	SUP-LS-ENVEOR-34-US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
SYSTEM LOADING ENVEOR 34 TRANSCATHER AORTIC VALVE	SUP-LS-ENVEOR-34-US	CDM			270	RC		inpatient			780	780																																																			
SYSTEM LOADING ENVEO R 26 29MM	SUP-LS-MDT2-2629-US	CDM			270	RC		outpatient			780	78	211.3				percent of total billed charges		780				other	OPPS APC	577.2				percent of total billed charges		780				other	OPPS APC	780				other	OPPS APC	211.3				percent of total billed charges		215.51				percent of total billed charges		78				other	OPPS APC	78	780	
SYSTEM LOADING ENVEO R 26 29MM	SUP-LS-MDT2-2629-US	CDM			270	RC		inpatient			780	780																																																			
BALLOON DILATATION CATHNEPLHRO	SUP-70-00097	CDM			272	RC		outpatient			779.81	779.9	211.25				percent of total billed charges		779.81				other	OPPS APC	577.06				percent of total billed charges		779.81				other	OPPS APC	779.81				other	OPPS APC	211.25				percent of total billed charges		215.46				percent of total billed charges		779.9				other	OPPS APC	211.25	779.9	
BALLOON DILATATION CATHNEPLHRO	SUP-70-00097	CDM			272	RC		inpatient			779.81	779.81																																																			
BLOOD  SOLUTION SET Y-TUBE LARGE ANES	SUP-97-00777	CDM			272	RC		outpatient			779.73	779.73	211.23				percent of total billed charges		779.73				other	OPPS APC	577				percent of total billed charges		779.73				other	OPPS APC	779.73				other	OPPS APC	211.23				percent of total billed charges		215.44				percent of total billed charges		779.73				other	OPPS APC	211.23	779.73	
BLOOD  SOLUTION SET Y-TUBE LARGE ANES	SUP-97-00777	CDM			272	RC		inpatient			779.73	779.73																																																			
RELOAD STAPLER TRI-STAPLE ENDO GIA 2 MM L45 MM MEDIUM THICK TISSUE REINFORCE	SUP-COVTRSB45AMT	CDM			270	RC		outpatient			779.64	779.64	211.2				percent of total billed charges		779.64				other	OPPS APC	576.93				percent of total billed charges		779.64				other	OPPS APC	779.64				other	OPPS APC	211.2				percent of total billed charges		215.41				percent of total billed charges		779.64				other	OPPS APC	211.2	779.64	
RELOAD STAPLER TRI-STAPLE ENDO GIA 2 MM L45 MM MEDIUM THICK TISSUE REINFORCE	SUP-COVTRSB45AMT	CDM			270	RC		inpatient			779.64	779.64																																																			
COVER BURR HOLE OD10 MM CRANIUM LOW PROFILE 3 MM SCREW	SUP-9203510	CDM			270	RC		outpatient			778	778	210.76				percent of total billed charges		778				other	OPPS APC	575.72				percent of total billed charges		778				other	OPPS APC	778				other	OPPS APC	210.76				percent of total billed charges		214.96				percent of total billed charges		778				other	OPPS APC	210.76	778	
COVER BURR HOLE OD10 MM CRANIUM LOW PROFILE 3 MM SCREW	SUP-9203510	CDM			270	RC		inpatient			778	778																																																			
SUGAMMADEX 100 MG/ML SOLUTION	250000000	CDM	0006-5423-02	NDC				inpatient			777.96	777.96																																																			
SUGAMMADEX 100 MG/ML SOLUTION	250000000	CDM	0006-5423-02	NDC				outpatient			777.96	777.96																																															other	OPPS APC			
PRECISION BLADE SUB	SUP-95-03545	CDM			272	RC		outpatient			777	777	210.49				percent of total billed charges		777				other	OPPS APC	574.98				percent of total billed charges		777				other	OPPS APC	777				other	OPPS APC	210.49				percent of total billed charges		214.69				percent of total billed charges		777				other	OPPS APC	210.49	777	
PRECISION BLADE SUB	SUP-95-03545	CDM			272	RC		inpatient			777	777																																																			
DRILL  SLEEVE 2.7	SUP-97-03197	CDM			272	RC		outpatient			777	777	210.49				percent of total billed charges		777				other	OPPS APC	574.98				percent of total billed charges		777				other	OPPS APC	777				other	OPPS APC	210.49				percent of total billed charges		214.69				percent of total billed charges		777				other	OPPS APC	210.49	777	
DRILL  SLEEVE 2.7	SUP-97-03197	CDM			272	RC		inpatient			777	777																																																			
SCREW CANN 7.3 16MM/115MM	SUP-97-03619	CDM			278	RC		outpatient			776.64	776.64	776.64				fee schedule		776.64				other	OPPS APC	442.68				percent of total billed charges		776.64				other	OPPS APC	776.64				other	OPPS APC	380.55				percent of total billed charges		396.09				percent of total billed charges		776.64				other	OPPS APC	380.55	776.64	
SCREW CANN 7.3 16MM/115MM	SUP-97-03619	CDM			278	RC		inpatient			776.64	776.64																																																			
MESH SURGICAL C-QUR V-PATCH MEDIUM OD2.5 IN FASCIA 2 EXTENDED STRAP BIORESORBABLE STABILITY RING STERILE	SUP-31201	CDM			270	RC		outpatient			776.38	776.38	210.32				percent of total billed charges		776.38				other	OPPS APC	574.52				percent of total billed charges		776.38				other	OPPS APC	776.38				other	OPPS APC	210.32				percent of total billed charges		214.51				percent of total billed charges		776.38				other	OPPS APC	210.32	776.38	
MESH SURGICAL C-QUR V-PATCH MEDIUM OD2.5 IN FASCIA 2 EXTENDED STRAP BIORESORBABLE STABILITY RING STERILE	SUP-31201	CDM			270	RC		inpatient			776.38	776.38																																																			
TOOMEY SYRINGE	SUP-97-00831	CDM			272	RC		outpatient			776.25	776.25	210.29				percent of total billed charges		776.25				other	OPPS APC	574.43				percent of total billed charges		776.25				other	OPPS APC	776.25				other	OPPS APC	210.29				percent of total billed charges		214.48				percent of total billed charges		776.25				other	OPPS APC	210.29	776.25	
TOOMEY SYRINGE	SUP-97-00831	CDM			272	RC		inpatient			776.25	776.25																																																			
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 177 MM X W 10.7 MM X H 3.4MM 14 HOLE COMPRESSION STERILE 3.5MM SCREW	SUP-72441014	CDM			270	RC		outpatient			776	776	210.22				percent of total billed charges		776				other	OPPS APC	574.24				percent of total billed charges		776				other	OPPS APC	776				other	OPPS APC	210.22				percent of total billed charges		214.41				percent of total billed charges		776				other	OPPS APC	210.22	776	
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 177 MM X W 10.7 MM X H 3.4MM 14 HOLE COMPRESSION STERILE 3.5MM SCREW	SUP-72441014	CDM			270	RC		inpatient			776	776																																																			
COIL EMBOLIZATION 6CM 2MM INTERLOCK IDC OCCLUSION SYSTEM .018IN STANDARD LENGTH 2D	SUP-M001361490	CDM			270	RC		outpatient			776	776	210.22				percent of total billed charges		776				other	OPPS APC	574.24				percent of total billed charges		776				other	OPPS APC	776				other	OPPS APC	210.22				percent of total billed charges		214.41				percent of total billed charges		776				other	OPPS APC	210.22	776	
COIL EMBOLIZATION 6CM 2MM INTERLOCK IDC OCCLUSION SYSTEM .018IN STANDARD LENGTH 2D	SUP-M001361490	CDM			270	RC		inpatient			776	776																																																			
NEPHROMAX BALLOON KIT	SUP-97-02147	CDM			272	RC		outpatient			775.53	775.53	210.09				percent of total billed charges		775.53				other	OPPS APC	573.89				percent of total billed charges		775.53				other	OPPS APC	775.53				other	OPPS APC	210.09				percent of total billed charges		214.28				percent of total billed charges		775.53				other	OPPS APC	210.09	775.53	
NEPHROMAX BALLOON KIT	SUP-97-02147	CDM			272	RC		inpatient			775.53	775.53																																																			
GUIDEWIRE - GLIDEWIRE .035X260 ANG STIFF	SUP-99-00243	CDM			272	RC		outpatient			774.75	774.75	209.88				percent of total billed charges		774.75				other	OPPS APC	573.32				percent of total billed charges		774.75				other	OPPS APC	774.75				other	OPPS APC	209.88				percent of total billed charges		214.06				percent of total billed charges		774.75				other	OPPS APC	209.88	774.75	
GUIDEWIRE - GLIDEWIRE .035X260 ANG STIFF	SUP-99-00243	CDM			272	RC		inpatient			774.75	774.75																																																			
GRAFT 3DMAX MID EXTRA LARGE RIGHT	SUP-97-06308	CDM			278	RC		outpatient			774.3	774.3	774.3				fee schedule		774.3				other	OPPS APC	441.35				percent of total billed charges		774.3				other	OPPS APC	774.3				other	OPPS APC	379.41				percent of total billed charges		394.89				percent of total billed charges		774.3				other	OPPS APC	379.41	774.3	
GRAFT 3DMAX MID EXTRA LARGE RIGHT	SUP-97-06308	CDM			278	RC		inpatient			774.3	774.3																																																			
DRILL BIT 3MM S-300QD	SUP-80-00043	CDM			272	RC		outpatient			774	774	209.68				percent of total billed charges		774				other	OPPS APC	572.76				percent of total billed charges		774				other	OPPS APC	774				other	OPPS APC	209.68				percent of total billed charges		213.86				percent of total billed charges		774				other	OPPS APC	209.68	774	
DRILL BIT 3MM S-300QD	SUP-80-00043	CDM			272	RC		inpatient			774	774																																																			
BIT DRILL 2.5MM	SUP-84-00021	CDM			272	RC		outpatient			774	774	209.68				percent of total billed charges		774				other	OPPS APC	572.76				percent of total billed charges		774				other	OPPS APC	774				other	OPPS APC	209.68				percent of total billed charges		213.86				percent of total billed charges		774				other	OPPS APC	209.68	774	
BIT DRILL 2.5MM	SUP-84-00021	CDM			272	RC		inpatient			774	774																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L70 CM X H.49 MM OD7 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0007-70	CDM			270	RC		outpatient			773.76	773.76	209.61				percent of total billed charges		773.76				other	OPPS APC	572.58				percent of total billed charges		773.76				other	OPPS APC	773.76				other	OPPS APC	209.61				percent of total billed charges		213.79				percent of total billed charges		773.76				other	OPPS APC	209.61	773.76	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L70 CM X H.49 MM OD7 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0007-70	CDM			270	RC		inpatient			773.76	773.76																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L70 CM X H.49 MM OD8 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0008-70	CDM			270	RC		outpatient			773.76	773.76	209.61				percent of total billed charges		773.76				other	OPPS APC	572.58				percent of total billed charges		773.76				other	OPPS APC	773.76				other	OPPS APC	209.61				percent of total billed charges		213.79				percent of total billed charges		773.76				other	OPPS APC	209.61	773.76	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L70 CM X H.49 MM OD8 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0008-70	CDM			270	RC		inpatient			773.76	773.76																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L70 CM OD7 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0007-70	CDM			270	RC		outpatient			773.76	773.76	209.61				percent of total billed charges		773.76				other	OPPS APC	572.58				percent of total billed charges		773.76				other	OPPS APC	773.76				other	OPPS APC	209.61				percent of total billed charges		213.79				percent of total billed charges		773.76				other	OPPS APC	209.61	773.76	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L70 CM OD7 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0007-70	CDM			270	RC		inpatient			773.76	773.76																																																			
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L70 CM OD8 MM KNIT REVERSE LOCKNIT WATER PERMEABLE	SUP-IGK0008-70	CDM			270	RC		outpatient			773.76	773.76	209.61				percent of total billed charges		773.76				other	OPPS APC	572.58				percent of total billed charges		773.76				other	OPPS APC	773.76				other	OPPS APC	209.61				percent of total billed charges		213.79				percent of total billed charges		773.76				other	OPPS APC	209.61	773.76	
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L70 CM OD8 MM KNIT REVERSE LOCKNIT WATER PERMEABLE	SUP-IGK0008-70	CDM			270	RC		inpatient			773.76	773.76																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L74 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.951	CDM	270010022	LOCAL	270	RC		outpatient			773.3	773.3	209.49				percent of total billed charges		773.3				other	OPPS APC	572.24				percent of total billed charges		773.3				other	OPPS APC	773.3				other	OPPS APC	209.49				percent of total billed charges		213.66				percent of total billed charges		773.3				other	OPPS APC	209.49	773.3	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L74 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.951	CDM	270010022	LOCAL	270	RC		inpatient			773.3	773.3																																																			
NAIL INTRAMEDULLARY TITANIUM L440 MM OD4 MM OLECRANON ELASTIC STERILE PURPLE	SUP-475.940S	CDM	270010022	LOCAL	270	RC		outpatient			773.3	773.3	209.49				percent of total billed charges		773.3				other	OPPS APC	572.24				percent of total billed charges		773.3				other	OPPS APC	773.3				other	OPPS APC	209.49				percent of total billed charges		213.66				percent of total billed charges		773.3				other	OPPS APC	209.49	773.3	
NAIL INTRAMEDULLARY TITANIUM L440 MM OD4 MM OLECRANON ELASTIC STERILE PURPLE	SUP-475.940S	CDM	270010022	LOCAL	270	RC		inpatient			773.3	773.3																																																			
HC Myelogram  Complete	PX-320722700	CDM	72270	CPT	320	RC		outpatient			773	78.17	201.67				fee schedule		780.17				other	OPPS APC	755.65				fee schedule		780.17				other	OPPS APC	780.17				other	OPPS APC	165.02				fee schedule		99.19				fee schedule		78.17				other	OPPS APC	78.17	780.17	
HC Myelogram  Complete	PX-320722700	CDM	72270	CPT	320	RC		inpatient			773	773																																																			
PROGRIP MESH 15X9	SUP-TEM1509G	CDM			270	RC		outpatient			772.98	772.98	209.4				percent of total billed charges		772.98				other	OPPS APC	572.01				percent of total billed charges		772.98				other	OPPS APC	772.98				other	OPPS APC	209.4				percent of total billed charges		213.57				percent of total billed charges		772.98				other	OPPS APC	209.4	772.98	
PROGRIP MESH 15X9	SUP-TEM1509G	CDM			270	RC		inpatient			772.98	772.98																																																			
TUBING - DRAINAGE CONNECTING TUBE	SUP-95-01367	CDM			272	RC		outpatient			772.5	772.5	209.27				percent of total billed charges		772.5				other	OPPS APC	571.65				percent of total billed charges		772.5				other	OPPS APC	772.5				other	OPPS APC	209.27				percent of total billed charges		213.44				percent of total billed charges		772.5				other	OPPS APC	209.27	772.5	
TUBING - DRAINAGE CONNECTING TUBE	SUP-95-01367	CDM			272	RC		inpatient			772.5	772.5																																																			
SYSTEM BIOPSY CORE GENCUT	SUP-SDCT-01	CDM			270	RC		outpatient			772	772	209.13				percent of total billed charges		772				other	OPPS APC	571.28				percent of total billed charges		772				other	OPPS APC	772				other	OPPS APC	209.13				percent of total billed charges		213.3				percent of total billed charges		772				other	OPPS APC	209.13	772	
SYSTEM BIOPSY CORE GENCUT	SUP-SDCT-01	CDM			270	RC		inpatient			772	772																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE RIGHT T L74 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.051	CDM	270010022	LOCAL	270	RC		outpatient			771.1	771.12	208.89				percent of total billed charges		771.1				other	OPPS APC	570.61				percent of total billed charges		771.1				other	OPPS APC	771.1				other	OPPS APC	208.89				percent of total billed charges		213.05				percent of total billed charges		771.12				other	OPPS APC	208.89	771.12	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE RIGHT T L74 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.051	CDM	270010022	LOCAL	270	RC		inpatient			771.1	771.1																																																			
CATHETER - GLIDECATH 5F 65CM STRAIGHT	SUP-99-00870	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 5F 65CM STRAIGHT	SUP-99-00870	CDM			272	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 5F 100CM STRAIGHT	SUP-99-00872	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 5F 100CM STRAIGHT	SUP-99-00872	CDM			272	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 4F 100CM STRAIGHT	SUP-99-00873	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 4F 100CM STRAIGHT	SUP-99-00873	CDM			272	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 5F 65CM ANGLED	SUP-99-00874	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 5F 65CM ANGLED	SUP-99-00874	CDM			272	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 4F 100CM ANGLED	SUP-99-00876	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 4F 100CM ANGLED	SUP-99-00876	CDM			272	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 5F 100CM ANGLED	SUP-99-00877	CDM			270	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 5F 100CM ANGLED	SUP-99-00877	CDM			270	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 4F 120CM ANGLED	SUP-99-01477	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 4F 120CM ANGLED	SUP-99-01477	CDM			272	RC		inpatient			771	771																																																			
CATHETER - GLIDECATH 4F 120CM STRAIGHT	SUP-99-01478	CDM			272	RC		outpatient			771	771	208.86				percent of total billed charges		771				other	OPPS APC	570.54				percent of total billed charges		771				other	OPPS APC	771				other	OPPS APC	208.86				percent of total billed charges		213.03				percent of total billed charges		771				other	OPPS APC	208.86	771	
CATHETER - GLIDECATH 4F 120CM STRAIGHT	SUP-99-01478	CDM			272	RC		inpatient			771	771																																																			
SCREW 5.0 MM LOCKING IM NAIL 46MM	SUP-97-00334	CDM			278	RC		outpatient			770.82	77.83	770.82				fee schedule		770.82				other	OPPS APC	439.37				percent of total billed charges		770.82				other	OPPS APC	770.82				other	OPPS APC	377.7				percent of total billed charges		393.12				percent of total billed charges		77.83				other	OPPS APC	77.83	770.82	
SCREW 5.0 MM LOCKING IM NAIL 46MM	SUP-97-00334	CDM			278	RC		inpatient			770.82	770.82																																																			
SCREW 5.0 MM LOCKING IM NAIL 8	SUP-97-00358	CDM			278	RC		outpatient			770.82	77.83	770.82				fee schedule		770.82				other	OPPS APC	439.37				percent of total billed charges		770.82				other	OPPS APC	770.82				other	OPPS APC	377.7				percent of total billed charges		393.12				percent of total billed charges		77.83				other	OPPS APC	77.83	770.82	
SCREW 5.0 MM LOCKING IM NAIL 8	SUP-97-00358	CDM			278	RC		inpatient			770.82	770.82																																																			
SCREW 5.0 MM LOCKING IM NAIL 95	SUP-97-00642	CDM			278	RC		outpatient			770.82	77.83	770.82				fee schedule		770.82				other	OPPS APC	439.37				percent of total billed charges		770.82				other	OPPS APC	770.82				other	OPPS APC	377.7				percent of total billed charges		393.12				percent of total billed charges		77.83				other	OPPS APC	77.83	770.82	
SCREW 5.0 MM LOCKING IM NAIL 95	SUP-97-00642	CDM			278	RC		inpatient			770.82	770.82																																																			
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-01468	CDM			278	RC		outpatient			770.82	77.83	770.82				fee schedule		770.82				other	OPPS APC	439.37				percent of total billed charges		770.82				other	OPPS APC	770.82				other	OPPS APC	377.7				percent of total billed charges		393.12				percent of total billed charges		77.83				other	OPPS APC	77.83	770.82	
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-01468	CDM			278	RC		inpatient			770.82	770.82																																																			
PLATE BONE 90MM TITANIUM CRANIOFACIAL 20 HOLE ADAPTION 1.5MM SCREW	SUP-446.1	CDM	270010014	LOCAL	270	RC		outpatient			770.68	77.68	208.78				percent of total billed charges		770.68				other	OPPS APC	570.3				percent of total billed charges		770.68				other	OPPS APC	770.68				other	OPPS APC	208.78				percent of total billed charges		212.94				percent of total billed charges		77.68				other	OPPS APC	77.68	770.68	
PLATE BONE 90MM TITANIUM CRANIOFACIAL 20 HOLE ADAPTION 1.5MM SCREW	SUP-446.1	CDM	270010014	LOCAL	270	RC		inpatient			770.68	770.68																																																			
PLATE BONE 90MM CRANIOMAXILLOFACIAL TITANIUM 20 HOLE ADAPTION 1.5MM SCREW NS	SUP-446.100	CDM	270010014	LOCAL	270	RC		outpatient			770.68	77.68	208.78				percent of total billed charges		770.68				other	OPPS APC	570.3				percent of total billed charges		770.68				other	OPPS APC	770.68				other	OPPS APC	208.78				percent of total billed charges		212.94				percent of total billed charges		77.68				other	OPPS APC	77.68	770.68	
PLATE BONE 90MM CRANIOMAXILLOFACIAL TITANIUM 20 HOLE ADAPTION 1.5MM SCREW NS	SUP-446.100	CDM	270010014	LOCAL	270	RC		inpatient			770.68	770.68																																																			
BIT DRILL LCP LARGE L200 MM OD5 MM ODSEC2.6 MM CANNULATED QUICK COUPLING SHORT FLUTE NONSTERILE 7.3 MM SCREW	SUP-310.632	CDM	270010022	LOCAL	270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
BIT DRILL LCP LARGE L200 MM OD5 MM ODSEC2.6 MM CANNULATED QUICK COUPLING SHORT FLUTE NONSTERILE 7.3 MM SCREW	SUP-310.632	CDM	270010022	LOCAL	270	RC		inpatient			770	770																																																			
BIT DRILL LCP L200 MM OD4.3 MM ODSEC2.6 MM LARGE QUICK COUPLING CANNULATED 5 MM SCREW	SUP-310.634	CDM	270010022	LOCAL	270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
BIT DRILL LCP L200 MM OD4.3 MM ODSEC2.6 MM LARGE QUICK COUPLING CANNULATED 5 MM SCREW	SUP-310.634	CDM	270010022	LOCAL	270	RC		inpatient			770	770																																																			
GRAFT NET	SUP-ABS-1050	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
GRAFT NET	SUP-ABS-1050	CDM			270	RC		inpatient			770	770																																																			
SCREW INTERFERENCE TENODESIS PEEK-OPTIMA L8 MM OD3 MM FOOT ANKLE HANDLE INSERTER VENT STERILE	SUP-AR-1530PS	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
SCREW INTERFERENCE TENODESIS PEEK-OPTIMA L8 MM OD3 MM FOOT ANKLE HANDLE INSERTER VENT STERILE	SUP-AR-1530PS	CDM			270	RC		inpatient			770	770																																																			
ANCHOR SUTURE KNOTLESS SUTURETAK FIBERWIRE PEEK 2 L 12.7 MM OD 3 MM	SUP-AR-1938PS	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
ANCHOR SUTURE KNOTLESS SUTURETAK FIBERWIRE PEEK 2 L 12.7 MM OD 3 MM	SUP-AR-1938PS	CDM			270	RC		inpatient			770	770																																																			
ANCHOR SUTURE CORKSCREW PEEK 2 L10.2 MM OD3.9 MM KNOTLESS	SUP-AR-1941PS	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
ANCHOR SUTURE CORKSCREW PEEK 2 L10.2 MM OD3.9 MM KNOTLESS	SUP-AR-1941PS	CDM			270	RC		inpatient			770	770																																																			
TRIPLE LOADED BIFERTAK ANCHOR	SUP-AR-3631-1	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
TRIPLE LOADED BIFERTAK ANCHOR	SUP-AR-3631-1	CDM			270	RC		inpatient			770	770																																																			
TRIPLE LOADED BIFERTAK ANCHOR	SUP-AR-3633	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
TRIPLE LOADED BIFERTAK ANCHOR	SUP-AR-3633	CDM			270	RC		inpatient			770	770																																																			
PLATE BONE PLAPLE 12MM SS DIAPHYSIS LOW PROFILE	SUP-AR-8714	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
PLATE BONE PLAPLE 12MM SS DIAPHYSIS LOW PROFILE	SUP-AR-8714	CDM			270	RC		inpatient			770	770																																																			
PLATE BONE PLAPLE STAINLESS STEEL LOW PROFILE L15 MM SMALL BONE 2.3 MM CORTICAL SCREW	SUP-AR-8715	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
PLATE BONE PLAPLE STAINLESS STEEL LOW PROFILE L15 MM SMALL BONE 2.3 MM CORTICAL SCREW	SUP-AR-8715	CDM			270	RC		inpatient			770	770																																																			
CATHETER PULMONARY ARTERY SWAN-GANZ L110 CM OD7 FR ATRIUM VENTRICLE 4 LUMEN THERMODILUTION PACING LATEX	SUP-D200F7	CDM			481	RC		outpatient			770	77	377.3				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	377.3				percent of total billed charges		392.7				percent of total billed charges		77				other	OPPS APC	77	770	
CATHETER PULMONARY ARTERY SWAN-GANZ L110 CM OD7 FR ATRIUM VENTRICLE 4 LUMEN THERMODILUTION PACING LATEX	SUP-D200F7	CDM			481	RC		inpatient			770	770																																																			
PORT IMPLANTABLE INFUSION LIFEPORT POLYURETHANE BAYONET OD6.6 FR ODSEC7 FR 2 LUMEN DETACHABLE CATHETER INTRODUCER PATENT LOCK MECHANISM MRI SAFE STERILE LATEX FREE DISPOSABLE	SUP-LPS7255	CDM			270	RC		outpatient			770	77	208.59				percent of total billed charges		770				other	OPPS APC	569.8				percent of total billed charges		770				other	OPPS APC	770				other	OPPS APC	208.59				percent of total billed charges		212.75				percent of total billed charges		77				other	OPPS APC	77	770	
PORT IMPLANTABLE INFUSION LIFEPORT POLYURETHANE BAYONET OD6.6 FR ODSEC7 FR 2 LUMEN DETACHABLE CATHETER INTRODUCER PATENT LOCK MECHANISM MRI SAFE STERILE LATEX FREE DISPOSABLE	SUP-LPS7255	CDM			270	RC		inpatient			770	770																																																			
OMEGA PLUS LAG SCREW 90MM	SUP-97-04116	CDM			278	RC		outpatient			769.56	769.56	769.56				fee schedule		769.56				other	OPPS APC	438.65				percent of total billed charges		769.56				other	OPPS APC	769.56				other	OPPS APC	377.08				percent of total billed charges		392.48				percent of total billed charges		769.56				other	OPPS APC	377.08	769.56	
OMEGA PLUS LAG SCREW 90MM	SUP-97-04116	CDM			278	RC		inpatient			769.56	769.56																																																			
TRAY UROLOGIST HEYMAN SYSTEM	SUP-12-00087	CDM			272	RC		outpatient			768.81	768.9	208.27				percent of total billed charges		768.81				other	OPPS APC	568.92				percent of total billed charges		768.81				other	OPPS APC	768.81				other	OPPS APC	208.27				percent of total billed charges		212.42				percent of total billed charges		768.9				other	OPPS APC	208.27	768.9	
TRAY UROLOGIST HEYMAN SYSTEM	SUP-12-00087	CDM			272	RC		inpatient			768.81	768.81																																																			
HC Debride Muscle W/Mod	PX-761110430	CDM	11043	CPT	761	RC		outpatient			768	611.87	195.77				case rate		611.87				other	OPPS APC	568.32				percent of total billed charges		611.87				other	OPPS APC	611.87				other	OPPS APC	195.77				case rate		391.68				percent of total billed charges		611.87				other	OPPS APC	195.77	611.87	
HC Debride Muscle W/Mod	PX-761110430	CDM	11043	CPT	761	RC		inpatient			768	768																																																			
CUTTER PATELLA STERILE KNEE 38MM	SUP-97-00990	CDM			272	RC		outpatient			768	768	208.05				percent of total billed charges		768				other	OPPS APC	568.32				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	208.05				percent of total billed charges		212.2				percent of total billed charges		768				other	OPPS APC	208.05	768	
CUTTER PATELLA STERILE KNEE 38MM	SUP-97-00990	CDM			272	RC		inpatient			768	768																																																			
CUTTER PATELLA STERILE KNEE 42MM	SUP-97-01572	CDM			272	RC		outpatient			768	768	208.05				percent of total billed charges		768				other	OPPS APC	568.32				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	208.05				percent of total billed charges		212.2				percent of total billed charges		768				other	OPPS APC	208.05	768	
CUTTER PATELLA STERILE KNEE 42MM	SUP-97-01572	CDM			272	RC		inpatient			768	768																																																			
CUTTER PATELLA STERILE KNEE 46MM	SUP-97-02197	CDM			272	RC		outpatient			768	768	208.05				percent of total billed charges		768				other	OPPS APC	568.32				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	208.05				percent of total billed charges		212.2				percent of total billed charges		768				other	OPPS APC	208.05	768	
CUTTER PATELLA STERILE KNEE 46MM	SUP-97-02197	CDM			272	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 85MM	SUP-97-02979	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 85MM	SUP-97-02979	CDM			278	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 95MM	SUP-97-02980	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 95MM	SUP-97-02980	CDM			278	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 58MM	SUP-97-02981	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 58MM	SUP-97-02981	CDM			278	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 30MM	SUP-97-02982	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 30MM	SUP-97-02982	CDM			278	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 80MM	SUP-97-02983	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 80MM	SUP-97-02983	CDM			278	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 38MM	SUP-97-03445	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 38MM	SUP-97-03445	CDM			278	RC		inpatient			768	768																																																			
3.5MM VARIBLE ANGLE LOCKING SCREW 48MM	SUP-97-03451	CDM			278	RC		outpatient			768	768	768				fee schedule		768				other	OPPS APC	437.76				percent of total billed charges		768				other	OPPS APC	768				other	OPPS APC	376.32				percent of total billed charges		391.68				percent of total billed charges		768				other	OPPS APC	376.32	768	
3.5MM VARIBLE ANGLE LOCKING SCREW 48MM	SUP-97-03451	CDM			278	RC		inpatient			768	768																																																			
SET HEYMAN FOLLOWER	SUP-70-00154	CDM			272	RC		outpatient			767.61	767.61	207.95				percent of total billed charges		767.61				other	OPPS APC	568.03				percent of total billed charges		767.61				other	OPPS APC	767.61				other	OPPS APC	207.95				percent of total billed charges		212.09				percent of total billed charges		767.61				other	OPPS APC	207.95	767.61	
SET HEYMAN FOLLOWER	SUP-70-00154	CDM			272	RC		inpatient			767.61	767.61																																																			
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L73 MM FIBULA LEFT DISTAL LATERAL 3 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.137	CDM	270010022	LOCAL	270	RC		outpatient			767.2	767.25	207.83				percent of total billed charges		767.2				other	OPPS APC	567.73				percent of total billed charges		767.2				other	OPPS APC	767.2				other	OPPS APC	207.83				percent of total billed charges		211.98				percent of total billed charges		767.25				other	OPPS APC	207.83	767.25	
PLATE BONE LCP COMBI STAINLESS STEEL CONTOUR L73 MM FIBULA LEFT DISTAL LATERAL 3 HOLE NONSTERILE 2.7/3.5 MM SCREW	SUP-02.112.137	CDM	270010022	LOCAL	270	RC		inpatient			767.2	767.2																																																			
Sling Sam Large 36-60	PX-274L06212	CDM			274	RC		outpatient			767	767	767				fee schedule		767				other	OPPS APC	437.19				percent of total billed charges		767				other	OPPS APC	767				other	OPPS APC	375.83				percent of total billed charges		391.17				percent of total billed charges		767				other	OPPS APC	375.83	767	
Sling Sam Large 36-60	PX-274L06212	CDM			274	RC		inpatient			767	767																																																			
HC Special Therapy Port Plan	PX-333773211	CDM	77321	CPT	333	RC		outpatient			767	767	92.14				fee schedule		767				other	OPPS APC	508.35				fee schedule		767				other	OPPS APC	767				other	OPPS APC	93.52				fee schedule		43.59				fee schedule		767				other	OPPS APC	43.59	767	
HC Special Therapy Port Plan	PX-333773211	CDM	77321	CPT	333	RC		inpatient			767	767																																																			
HC Ec Echo 2d-M Doppler/Color	PX-480933060	CDM	93306	CPT	480	RC		outpatient			767	530	375.83				percent of total billed charges		529.91				other	OPPS APC	735				fee schedule		529.91				other	OPPS APC	529.91				other	OPPS APC	195.78				fee schedule		391.17				percent of total billed charges		530				other	OPPS APC	195.78	735	
HC Ec Echo 2d-M Doppler/Color	PX-480933060	CDM	93306	CPT	480	RC		inpatient			767	767																																																			
HC Vl Duplex Venous Map Bilat	PX-921939700	CDM	93970	CPT	921	RC		outpatient			767	245.95	190.95				fee schedule		245.95				other	OPPS APC	659.79				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	188.72				fee schedule		391.17				percent of total billed charges		245.95				other	OPPS APC	188.72	659.79	
HC Vl Duplex Venous Map Bilat	PX-921939700	CDM	93970	CPT	921	RC		inpatient			767	767																																																			
UTERINE MANIPULATOR ADVINCULA DELINEATOR 2.5CM	SUP-95-05330	CDM			272	RC		outpatient			766.73	766.73	207.71				percent of total billed charges		766.73				other	OPPS APC	567.38				percent of total billed charges		766.73				other	OPPS APC	766.73				other	OPPS APC	207.71				percent of total billed charges		211.85				percent of total billed charges		766.73				other	OPPS APC	207.71	766.73	
UTERINE MANIPULATOR ADVINCULA DELINEATOR 2.5CM	SUP-95-05330	CDM			272	RC		inpatient			766.73	766.73																																																			
UTERINE MANIPULATOR ADVINCULA DELINEATOR 3.0CM	SUP-95-05331	CDM			272	RC		outpatient			766.73	766.73	207.71				percent of total billed charges		766.73				other	OPPS APC	567.38				percent of total billed charges		766.73				other	OPPS APC	766.73				other	OPPS APC	207.71				percent of total billed charges		211.85				percent of total billed charges		766.73				other	OPPS APC	207.71	766.73	
UTERINE MANIPULATOR ADVINCULA DELINEATOR 3.0CM	SUP-95-05331	CDM			272	RC		inpatient			766.73	766.73																																																			
UTERINE MANIPULATOR ADVINCULA DELINEATOR 3.5CM	SUP-95-05332	CDM			272	RC		outpatient			766.73	766.73	207.71				percent of total billed charges		766.73				other	OPPS APC	567.38				percent of total billed charges		766.73				other	OPPS APC	766.73				other	OPPS APC	207.71				percent of total billed charges		211.85				percent of total billed charges		766.73				other	OPPS APC	207.71	766.73	
UTERINE MANIPULATOR ADVINCULA DELINEATOR 3.5CM	SUP-95-05332	CDM			272	RC		inpatient			766.73	766.73																																																			
UTERINE MANIPULATOR ADVINCULA DELINEATOR 4.0CM	SUP-95-05333	CDM			272	RC		outpatient			766.73	766.73	207.71				percent of total billed charges		766.73				other	OPPS APC	567.38				percent of total billed charges		766.73				other	OPPS APC	766.73				other	OPPS APC	207.71				percent of total billed charges		211.85				percent of total billed charges		766.73				other	OPPS APC	207.71	766.73	
UTERINE MANIPULATOR ADVINCULA DELINEATOR 4.0CM	SUP-95-05333	CDM			272	RC		inpatient			766.73	766.73																																																			
SYSTEM RETRACTOR JOSEPH LAMELAS ATRIAL LIFT SYSTEM 2 BLADE STABILIZATION POST INSERTION TIP	SUP-MI-ALS-001	CDM			270	RC		outpatient			766.67	766.67	207.69				percent of total billed charges		766.67				other	OPPS APC	567.34				percent of total billed charges		766.67				other	OPPS APC	766.67				other	OPPS APC	207.69				percent of total billed charges		211.83				percent of total billed charges		766.67				other	OPPS APC	207.69	766.67	
SYSTEM RETRACTOR JOSEPH LAMELAS ATRIAL LIFT SYSTEM 2 BLADE STABILIZATION POST INSERTION TIP	SUP-MI-ALS-001	CDM			270	RC		inpatient			766.67	766.67																																																			
PLATE BONE LC-DCP ANGLE RIGHT T 67X10X1.2MM SS NS 3 HOLE HEAD 5 HOLE SHAFT 3.5MM SCREW SM FRAGMENT SET	SUP-241.15	CDM	270010022	LOCAL	270	RC		outpatient			765.6	765.62	207.4				percent of total billed charges		765.6				other	OPPS APC	566.54				percent of total billed charges		765.6				other	OPPS APC	765.6				other	OPPS APC	207.4				percent of total billed charges		211.54				percent of total billed charges		765.62				other	OPPS APC	207.4	765.62	
PLATE BONE LC-DCP ANGLE RIGHT T 67X10X1.2MM SS NS 3 HOLE HEAD 5 HOLE SHAFT 3.5MM SCREW SM FRAGMENT SET	SUP-241.15	CDM	270010022	LOCAL	270	RC		inpatient			765.6	765.6																																																			
FIAGON GUIDEWIRE	SUP-72-00066	CDM			272	RC		outpatient			765	765	207.24				percent of total billed charges		765				other	OPPS APC	566.1				percent of total billed charges		765				other	OPPS APC	765				other	OPPS APC	207.24				percent of total billed charges		211.37				percent of total billed charges		765				other	OPPS APC	207.24	765	
FIAGON GUIDEWIRE	SUP-72-00066	CDM			272	RC		inpatient			765	765																																																			
GRAFT BIODESIGN 2 X 3 ENT	SUP-75-00097	CDM			278	RC		outpatient			765	765	765				fee schedule		765				other	OPPS APC	436.05				percent of total billed charges		765				other	OPPS APC	765				other	OPPS APC	374.85				percent of total billed charges		390.15				percent of total billed charges		765				other	OPPS APC	374.85	765	
GRAFT BIODESIGN 2 X 3 ENT	SUP-75-00097	CDM			278	RC		inpatient			765	765																																																			
KIT SHOULDER Q-FIX 2.8MM	SUP-79-00093	CDM			278	RC		outpatient			765	765	765				fee schedule		765				other	OPPS APC	436.05				percent of total billed charges		765				other	OPPS APC	765				other	OPPS APC	374.85				percent of total billed charges		390.15				percent of total billed charges		765				other	OPPS APC	374.85	765	
KIT SHOULDER Q-FIX 2.8MM	SUP-79-00093	CDM			278	RC		inpatient			765	765																																																			
BALLOON  18-20MM	SUP-95-00984	CDM			272	RC		outpatient			765	765	207.24				percent of total billed charges		765				other	OPPS APC	566.1				percent of total billed charges		765				other	OPPS APC	765				other	OPPS APC	207.24				percent of total billed charges		211.37				percent of total billed charges		765				other	OPPS APC	207.24	765	
BALLOON  18-20MM	SUP-95-00984	CDM			272	RC		inpatient			765	765																																																			
CLEARGUIDE BIPOLAR DEVICE PBD02	SUP-PBD02	CDM			270	RC		outpatient			765	765	207.24				percent of total billed charges		765				other	OPPS APC	566.1				percent of total billed charges		765				other	OPPS APC	765				other	OPPS APC	207.24				percent of total billed charges		211.37				percent of total billed charges		765				other	OPPS APC	207.24	765	
CLEARGUIDE BIPOLAR DEVICE PBD02	SUP-PBD02	CDM			270	RC		inpatient			765	765																																																			
HC Removal of Foot Foreign Body Subcut	PX-450281901	CDM	28190	CPT	450	RC		outpatient			764	764	195.77				case rate		764				other	OPPS APC	565.36				percent of total billed charges		764				other	OPPS APC	764				other	OPPS APC	195.77				case rate		199.69				case rate		764				other	OPPS APC	195.77	764	
HC Removal of Foot Foreign Body Subcut	PX-450281901	CDM	28190	CPT	450	RC		inpatient			764	764																																																			
PROBE ULTRASOUND 8G MAMMOTOME REVOLVE	SUP-95-06010	CDM						inpatient			763.22	763.22																																																			
PROBE ULTRASOUND 8G MAMMOTOME REVOLVE	SUP-95-06010	CDM						outpatient			763.22	763.22	763.22				percent of total billed charges		763.22				other	OPPS APC	763.22				fee schedule		763.22				other	OPPS APC	763.22				other	OPPS APC	763.22				case rate		763.22				case rate		763.22				other	OPPS APC	763.22	763.22	
FIBER LASER FLEXIVA FLEXSHIELD 200 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403911	CDM			270	RC		outpatient			763.2	763.25	206.75				percent of total billed charges		763.2				other	OPPS APC	564.77				percent of total billed charges		763.2				other	OPPS APC	763.2				other	OPPS APC	206.75				percent of total billed charges		210.87				percent of total billed charges		763.25				other	OPPS APC	206.75	763.25	
FIBER LASER FLEXIVA FLEXSHIELD 200 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403911	CDM			270	RC		inpatient			763.2	763.2																																																			
ESCAPE BASET	SUP-70-00232	CDM			272	RC		outpatient			763.09	763.93	206.72				percent of total billed charges		763.09				other	OPPS APC	564.69				percent of total billed charges		763.09				other	OPPS APC	763.09				other	OPPS APC	206.72				percent of total billed charges		210.84				percent of total billed charges		763.93				other	OPPS APC	206.72	763.93	
ESCAPE BASET	SUP-70-00232	CDM			272	RC		inpatient			763.09	763.09																																																			
DISTAL SPACER 5MM	SUP-95-04024	CDM			278	RC		outpatient			762.3	762.3	762.3				fee schedule		762.3				other	OPPS APC	434.51				percent of total billed charges		762.3				other	OPPS APC	762.3				other	OPPS APC	373.53				percent of total billed charges		388.77				percent of total billed charges		762.3				other	OPPS APC	373.53	762.3	
DISTAL SPACER 5MM	SUP-95-04024	CDM			278	RC		inpatient			762.3	762.3																																																			
HC CT Orbit  Sella Post Fossa W Contrast	PX-351704810	CDM	70481	CPT	351	RC		outpatient			762	189.94	298.87				fee schedule		189.94				other	OPPS APC	718.72				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	187.76				fee schedule		133.79				fee schedule		189.94				other	OPPS APC	133.79	718.72	
HC CT Orbit  Sella Post Fossa W Contrast	PX-351704810	CDM	70481	CPT	351	RC		inpatient			762	762																																																			
HC C/T-Maxillofacial W Contrast	PX-351704870	CDM	70487	CPT	351	RC		outpatient			762	189.94	255.63				fee schedule		189.94				other	OPPS APC	710.26				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	157.68				fee schedule		103.85				fee schedule		189.94				other	OPPS APC	103.85	710.26	
HC C/T-Maxillofacial W Contrast	PX-351704870	CDM	70487	CPT	351	RC		inpatient			762	762																																																			
HC CT Upper Extrem W Contrast	PX-352732010	CDM	73201	CPT	352	RC		outpatient			762	388.42	238.63				fee schedule		388.04				other	OPPS APC	717.69				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	209.83				fee schedule		154.43				fee schedule		388.42				other	OPPS APC	154.43	717.69	
HC CT Upper Extrem W Contrast	PX-352732010	CDM	73201	CPT	352	RC		inpatient			762	762																																																			
7.3MM CANNULATED 16MM THEAD 75MM	SUP-97-01821	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
7.3MM CANNULATED 16MM THEAD 75MM	SUP-97-01821	CDM			278	RC		inpatient			761.64	761.64																																																			
SCREW THREADED 7.3MM X 85MM	SUP-97-02636	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
SCREW THREADED 7.3MM X 85MM	SUP-97-02636	CDM			278	RC		inpatient			761.64	761.64																																																			
SCREW THREADED 7.3MM X 32MM X 60MM	SUP-97-03362	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
SCREW THREADED 7.3MM X 32MM X 60MM	SUP-97-03362	CDM			278	RC		inpatient			761.64	761.64																																																			
SCREW CANN 7.3 16MM/105MM	SUP-97-03620	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
SCREW CANN 7.3 16MM/105MM	SUP-97-03620	CDM			278	RC		inpatient			761.64	761.64																																																			
SCREW THREADED 7.3MM X 32MM X 105MM	SUP-97-03621	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
SCREW THREADED 7.3MM X 32MM X 105MM	SUP-97-03621	CDM			278	RC		inpatient			761.64	761.64																																																			
SCREW CANN PART THREAD 7.3MM X 16MM	SUP-97-03642	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
SCREW CANN PART THREAD 7.3MM X 16MM	SUP-97-03642	CDM			278	RC		inpatient			761.64	761.64																																																			
7.3 CANNULATED SCREW 16MM THREAD/55MM	SUP-97-04098	CDM			278	RC		outpatient			761.64	761.64	761.64				fee schedule		761.64				other	OPPS APC	434.13				percent of total billed charges		761.64				other	OPPS APC	761.64				other	OPPS APC	373.2				percent of total billed charges		388.44				percent of total billed charges		761.64				other	OPPS APC	373.2	761.64	
7.3 CANNULATED SCREW 16MM THREAD/55MM	SUP-97-04098	CDM			278	RC		inpatient			761.64	761.64																																																			
PLATE BONE LCP STAINLESS STEEL T L53 MM 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.615	CDM	270010022	LOCAL	270	RC		outpatient			761.46	761.46	206.28				percent of total billed charges		761.46				other	OPPS APC	563.48				percent of total billed charges		761.46				other	OPPS APC	761.46				other	OPPS APC	206.28				percent of total billed charges		210.39				percent of total billed charges		761.46				other	OPPS APC	206.28	761.46	
PLATE BONE LCP STAINLESS STEEL T L53 MM 3 HOLE HEAD 7 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.615	CDM	270010022	LOCAL	270	RC		inpatient			761.46	761.46																																																			
CYTOLOGY BRUSH	SUP-95-00830	CDM			272	RC		outpatient			760.74	76.74	206.08				percent of total billed charges		760.74				other	OPPS APC	562.95				percent of total billed charges		760.74				other	OPPS APC	760.74				other	OPPS APC	206.08				percent of total billed charges		210.19				percent of total billed charges		76.74				other	OPPS APC	76.74	760.74	
CYTOLOGY BRUSH	SUP-95-00830	CDM			272	RC		inpatient			760.74	760.74																																																			
SUTURE NONABSORBABLE ETHIBOND EXCEL TAPERCUT THK1.5 MM 2-0 V-4 L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX22N	CDM			270	RC		outpatient			760.48	76.48	206.01				percent of total billed charges		760.48				other	OPPS APC	562.76				percent of total billed charges		760.48				other	OPPS APC	760.48				other	OPPS APC	206.01				percent of total billed charges		210.12				percent of total billed charges		76.48				other	OPPS APC	76.48	760.48	
SUTURE NONABSORBABLE ETHIBOND EXCEL TAPERCUT THK1.5 MM 2-0 V-4 L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX22N	CDM			270	RC		inpatient			760.48	760.48																																																			
BALLOON DILATATION CATH UROMAX	SUP-70-00095	CDM			272	RC		outpatient			760.38	76.38	205.99				percent of total billed charges		760.38				other	OPPS APC	562.68				percent of total billed charges		760.38				other	OPPS APC	760.38				other	OPPS APC	205.99				percent of total billed charges		210.09				percent of total billed charges		76.38				other	OPPS APC	76.38	760.38	
BALLOON DILATATION CATH UROMAX	SUP-70-00095	CDM			272	RC		inpatient			760.38	760.38																																																			
ANCHOR SUTURE SWIVELOCK C 19.1MM 5.5MM BIOCOMPOSITE PEEK DISPOSABLE STERILE CLOSED EYELET VENT	SUP-AR-2323BCC	CDM			270	RC		outpatient			760	76	205.88				percent of total billed charges		760				other	OPPS APC	562.4				percent of total billed charges		760				other	OPPS APC	760				other	OPPS APC	205.88				percent of total billed charges		209.99				percent of total billed charges		76				other	OPPS APC	76	760	
ANCHOR SUTURE SWIVELOCK C 19.1MM 5.5MM BIOCOMPOSITE PEEK DISPOSABLE STERILE CLOSED EYELET VENT	SUP-AR-2323BCC	CDM			270	RC		inpatient			760	760																																																			
ANCHOR SUTURE SWIVELOCK BIOCOMPOSITE L15.8 MM OD3.5 MM SHOULDER	SUP-AR-2325BCC	CDM			270	RC		outpatient			760	76	205.88				percent of total billed charges		760				other	OPPS APC	562.4				percent of total billed charges		760				other	OPPS APC	760				other	OPPS APC	205.88				percent of total billed charges		209.99				percent of total billed charges		76				other	OPPS APC	76	760	
ANCHOR SUTURE SWIVELOCK BIOCOMPOSITE L15.8 MM OD3.5 MM SHOULDER	SUP-AR-2325BCC	CDM			270	RC		inpatient			760	760																																																			
PLATE BONE LCP COMBI STAINLESS STEEL L70 MM X W10.1 MM X H3.5 MM 5 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.051	CDM	270010022	LOCAL	270	RC		outpatient			759.52	759.52	205.75				percent of total billed charges		759.52				other	OPPS APC	562.04				percent of total billed charges		759.52				other	OPPS APC	759.52				other	OPPS APC	205.75				percent of total billed charges		209.86				percent of total billed charges		759.52				other	OPPS APC	205.75	759.52	
PLATE BONE LCP COMBI STAINLESS STEEL L70 MM X W10.1 MM X H3.5 MM 5 HOLE RECONSTRUCTION NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SYSTEM	SUP-245.051	CDM	270010022	LOCAL	270	RC		inpatient			759.52	759.52																																																			
SCREW BONE TITANIUM L10 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.010	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L10 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.010	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L12 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.012	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L12 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.012	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 2.0 MM HEADLESS CANNULATED COMP 14 MM	SUP-04.333.014	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 2.0 MM HEADLESS CANNULATED COMP 14 MM	SUP-04.333.014	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L16 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.016	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L16 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.016	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L18 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.018	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L18 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.018	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L20 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.020	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L20 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.020	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L22 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.022	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L22 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.022	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L24 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.024	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L24 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.024	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L26 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.026	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L26 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.026	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L28 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.028	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L28 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.028	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L30 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.030	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L30 MM OD2 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.030	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L14 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.114	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L14 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.114	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L16 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.116	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L16 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.116	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L18 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.1181	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L18 MM OD2.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.1181	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L20 MM L5 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.120	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L20 MM L5 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.120	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L22 MM L6 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.122	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L22 MM L6 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.122	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L24 MM L6 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.124	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L24 MM L6 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.124	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L26 MM L7 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.126	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L26 MM L7 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.126	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L28 MM L7 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.128	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L28 MM L7 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.128	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L30 MM L8 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.130	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L30 MM L8 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.130	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L32 MM L8 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.132	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L32 MM L8 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.132	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L34 MM L9 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.134	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L34 MM L9 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.134	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L36 MM L9 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.136	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L36 MM L9 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.136	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L38 MM L10 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.138	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L38 MM L10 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.138	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 2.5MM CANNULATED COMPRESSION HEADLESS 40MM	SUP-04.333.140	CDM	270010022	LOCAL	270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 2.5MM CANNULATED COMPRESSION HEADLESS 40MM	SUP-04.333.140	CDM	270010022	LOCAL	270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L18 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.218	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L18 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.218	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L20 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.220	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L20 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.220	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L28 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.228	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L28 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.228	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L34 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.234	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L34 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.234	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L36 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.236	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L36 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.236	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L40 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.240	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L40 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.333.240	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW  3.0MM CANNULATED COMPRESSION HEADLESS 20MM	SUP-04.333.320	CDM	270010022	LOCAL	270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW  3.0MM CANNULATED COMPRESSION HEADLESS 20MM	SUP-04.333.320	CDM	270010022	LOCAL	270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L24 MM L6 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.324	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L24 MM L6 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.324	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L30 MM L8 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.330	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L30 MM L8 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.330	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L32 MM L8 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.332	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L32 MM L8 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.332	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L34 MM L9 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.334	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L34 MM L9 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.334	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L36 MM L9 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.336	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L36 MM L9 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.336	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L38 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.338	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L38 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.338	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L40 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.340	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L40 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.340	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L42 MM L11 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.342	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L42 MM L11 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.342	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L44 MM L11 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.344	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L44 MM L11 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.344	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L46 MM L12 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.346	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L46 MM L12 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.346	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L48 MM L12 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.348	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L48 MM L12 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.348	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM SHORT THREAD L50 MM L13 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.350	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM SHORT THREAD L50 MM L13 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.333.350	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 30MM	SUP-04.333.430	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 30MM	SUP-04.333.430	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 32MM	SUP-04.333.432	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 32MM	SUP-04.333.432	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 34MM	SUP-04.333.434	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 34MM	SUP-04.333.434	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 36MM	SUP-04.333.436	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 36MM	SUP-04.333.436	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 38MM	SUP-04.333.438	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 38MM	SUP-04.333.438	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 40MM	SUP-04.333.440	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 40MM	SUP-04.333.440	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 42MM	SUP-04.333.442	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 42MM	SUP-04.333.442	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 44MM	SUP-04.333.444	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 44MM	SUP-04.333.444	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 46MM	SUP-04.333.446	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 46MM	SUP-04.333.446	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP 50MM	SUP-04.333.450	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP 50MM	SUP-04.333.450	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L30 MM L12 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.130	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L30 MM L12 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.130	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L34 MM L14 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.134	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L34 MM L14 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.134	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L36 MM L14 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.136	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L36 MM L14 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.136	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L40 MM L16 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.140	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L40 MM L16 MM OD2.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.140	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L24 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.224	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L24 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.224	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L26 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.226	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L26 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.226	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L36 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.236	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L36 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.236	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L38 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.238	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L38 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.238	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L40 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.240	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L40 MM OD3 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.240	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L26 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.326	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L26 MM L10 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.326	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L28 MM L11 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.328	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L28 MM L11 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.328	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L30 MM L12 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.330	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L30 MM L12 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.330	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L32 MM L13 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.332	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L32 MM L13 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.332	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS  34MM	SUP-04.334.334	CDM	270010022	LOCAL	270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS  34MM	SUP-04.334.334	CDM	270010022	LOCAL	270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L36 MM L14 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.336	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L36 MM L14 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.336	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L38 MM L15 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.338	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L38 MM L15 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.338	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L40 MM L16 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.340	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L40 MM L16 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.340	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L42 MM L17 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.342	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L42 MM L17 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.342	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS  44MM	SUP-04.334.344	CDM	270010022	LOCAL	270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS  44MM	SUP-04.334.344	CDM	270010022	LOCAL	270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L46 MM L18 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.346	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L46 MM L18 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.346	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM LONG THREAD L48 MM L19 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.348	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM LONG THREAD L48 MM L19 MM OD3.5 MM COMPRESSION SELF TAP  SELF DRILL CANNULATED NONSTERILE	SUP-04.334.348	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS  50MM	SUP-04.334.350	CDM	270010022	LOCAL	270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 3.5MM CANNULATED COMPRESSION HEADLESS  50MM	SUP-04.334.350	CDM	270010022	LOCAL	270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 24MM	SUP-04.334.424	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 24MM	SUP-04.334.424	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 32MM	SUP-04.334.432	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 32MM	SUP-04.334.432	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 38MM	SUP-04.334.438	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 38MM	SUP-04.334.438	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 40MM	SUP-04.334.440	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 40MM	SUP-04.334.440	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 42MM	SUP-04.334.442	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 42MM	SUP-04.334.442	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 44MM	SUP-04.334.444	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 44MM	SUP-04.334.444	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 46MM	SUP-04.334.446	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 46MM	SUP-04.334.446	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 48MM	SUP-04.334.448	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW 4.0MM HEADLESS CANNULATED COMP LONG THREAD 48MM	SUP-04.334.448	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L36 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.536	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L36 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.536	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L38 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.538	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L38 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.538	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L40 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.540	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L40 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.540	CDM			270	RC		inpatient			759.2	759.2																																																			
SCREW BONE TITANIUM L50 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.550	CDM			270	RC		outpatient			759.2	759.25	205.67				percent of total billed charges		759.2				other	OPPS APC	561.81				percent of total billed charges		759.2				other	OPPS APC	759.2				other	OPPS APC	205.67				percent of total billed charges		209.77				percent of total billed charges		759.25				other	OPPS APC	205.67	759.25	
SCREW BONE TITANIUM L50 MM OD4.5 MM COMPRESSION CANNULATED NONSTERILE	SUP-04.334.550	CDM			270	RC		inpatient			759.2	759.2																																																			
PLATE 2 HOLE 1/3 TUBULAR L23MM	SUP-97-03897	CDM			278	RC		outpatient			759	759	759				fee schedule		759				other	OPPS APC	432.63				percent of total billed charges		759				other	OPPS APC	759				other	OPPS APC	371.91				percent of total billed charges		387.09				percent of total billed charges		759				other	OPPS APC	371.91	759	
PLATE 2 HOLE 1/3 TUBULAR L23MM	SUP-97-03897	CDM			278	RC		inpatient			759	759																																																			
PLATE BONE LCP TITANIUM L44 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.375	CDM	270010022	LOCAL	270	RC		outpatient			758.54	758.54	205.49				percent of total billed charges		758.54				other	OPPS APC	561.32				percent of total billed charges		758.54				other	OPPS APC	758.54				other	OPPS APC	205.49				percent of total billed charges		209.58				percent of total billed charges		758.54				other	OPPS APC	205.49	758.54	
PLATE BONE LCP TITANIUM L44 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.375	CDM	270010022	LOCAL	270	RC		inpatient			758.54	758.54																																																			
PLATE BONE LCP TITANIUM L60 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.377	CDM	270010022	LOCAL	270	RC		outpatient			758.54	758.54	205.49				percent of total billed charges		758.54				other	OPPS APC	561.32				percent of total billed charges		758.54				other	OPPS APC	758.54				other	OPPS APC	205.49				percent of total billed charges		209.58				percent of total billed charges		758.54				other	OPPS APC	205.49	758.54	
PLATE BONE LCP TITANIUM L60 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.377	CDM	270010022	LOCAL	270	RC		inpatient			758.54	758.54																																																			
PLATE BONE LCP TITANIUM L36 MM 4 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.674	CDM	270010022	LOCAL	270	RC		outpatient			758.54	758.54	205.49				percent of total billed charges		758.54				other	OPPS APC	561.32				percent of total billed charges		758.54				other	OPPS APC	758.54				other	OPPS APC	205.49				percent of total billed charges		209.58				percent of total billed charges		758.54				other	OPPS APC	205.49	758.54	
PLATE BONE LCP TITANIUM L36 MM 4 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.674	CDM	270010022	LOCAL	270	RC		inpatient			758.54	758.54																																																			
PLATE BONE LCP TITANIUM L52 MM 6 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.676	CDM	270010022	LOCAL	270	RC		outpatient			758.54	758.54	205.49				percent of total billed charges		758.54				other	OPPS APC	561.32				percent of total billed charges		758.54				other	OPPS APC	758.54				other	OPPS APC	205.49				percent of total billed charges		209.58				percent of total billed charges		758.54				other	OPPS APC	205.49	758.54	
PLATE BONE LCP TITANIUM L52 MM 6 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.676	CDM	270010022	LOCAL	270	RC		inpatient			758.54	758.54																																																			
PLATE BONE LCP TITANIUM L68 MM 8 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.678	CDM	270010022	LOCAL	270	RC		outpatient			758.54	758.54	205.49				percent of total billed charges		758.54				other	OPPS APC	561.32				percent of total billed charges		758.54				other	OPPS APC	758.54				other	OPPS APC	205.49				percent of total billed charges		209.58				percent of total billed charges		758.54				other	OPPS APC	205.49	758.54	
PLATE BONE LCP TITANIUM L68 MM 8 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.4 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-449.678	CDM	270010022	LOCAL	270	RC		inpatient			758.54	758.54																																																			
HC Closure of Split Wound	PX-450120201	CDM	12020	CPT	450	RC		outpatient			758	758	195.77				case rate		758				other	OPPS APC	560.92				percent of total billed charges		758				other	OPPS APC	758				other	OPPS APC	195.77				case rate		199.69				case rate		758				other	OPPS APC	195.77	758	
HC Closure of Split Wound	PX-450120201	CDM	12020	CPT	450	RC		inpatient			758	758																																																			
SCREW BONE TITANIUM L5 MM OD2 MM MANDIBLE CORTICAL SELF TAP COARSE PITCH CRUCIFORM NONSTERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.935	CDM	270010014	LOCAL	270	RC		outpatient			757.92	757.92	205.32				percent of total billed charges		757.92				other	OPPS APC	560.86				percent of total billed charges		757.92				other	OPPS APC	757.92				other	OPPS APC	205.32				percent of total billed charges		209.41				percent of total billed charges		757.92				other	OPPS APC	205.32	757.92	
SCREW BONE TITANIUM L5 MM OD2 MM MANDIBLE CORTICAL SELF TAP COARSE PITCH CRUCIFORM NONSTERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.935	CDM	270010014	LOCAL	270	RC		inpatient			757.92	757.92																																																			
PLATE BONE LC-DCP STAINLESS STEEL L116 MM X W11 MM X H3.3 MM 9 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.59	CDM	270010022	LOCAL	270	RC		outpatient			757.9	757.9	205.32				percent of total billed charges		757.9				other	OPPS APC	560.85				percent of total billed charges		757.9				other	OPPS APC	757.9				other	OPPS APC	205.32				percent of total billed charges		209.41				percent of total billed charges		757.9				other	OPPS APC	205.32	757.9	
PLATE BONE LC-DCP STAINLESS STEEL L116 MM X W11 MM X H3.3 MM 9 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.59	CDM	270010022	LOCAL	270	RC		inpatient			757.9	757.9																																																			
PLATE BONE STRAIGHT 23MM TITANIUM NS HAND 6 HOLE LOW PROFILE PRECONTOUR RECONSTRUCTION 1.3MM SCREW	SUP-421.306	CDM	270010022	LOCAL	270	RC		outpatient			757.9	757.9	205.32				percent of total billed charges		757.9				other	OPPS APC	560.85				percent of total billed charges		757.9				other	OPPS APC	757.9				other	OPPS APC	205.32				percent of total billed charges		209.41				percent of total billed charges		757.9				other	OPPS APC	205.32	757.9	
PLATE BONE STRAIGHT 23MM TITANIUM NS HAND 6 HOLE LOW PROFILE PRECONTOUR RECONSTRUCTION 1.3MM SCREW	SUP-421.306	CDM	270010022	LOCAL	270	RC		inpatient			757.9	757.9																																																			
ACHALASIA BALLON 30MM	SUP-95-03495	CDM			272	RC		outpatient			757.5	757.5	205.21				percent of total billed charges		757.5				other	OPPS APC	560.55				percent of total billed charges		757.5				other	OPPS APC	757.5				other	OPPS APC	205.21				percent of total billed charges		209.3				percent of total billed charges		757.5				other	OPPS APC	205.21	757.5	
ACHALASIA BALLON 30MM	SUP-95-03495	CDM			272	RC		inpatient			757.5	757.5																																																			
ACHALASIA BALLON 35MM	SUP-95-03496	CDM			272	RC		outpatient			757.5	757.5	205.21				percent of total billed charges		757.5				other	OPPS APC	560.55				percent of total billed charges		757.5				other	OPPS APC	757.5				other	OPPS APC	205.21				percent of total billed charges		209.3				percent of total billed charges		757.5				other	OPPS APC	205.21	757.5	
ACHALASIA BALLON 35MM	SUP-95-03496	CDM			272	RC		inpatient			757.5	757.5																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STRAIGHT LOW PROFILE H.5 MM UPPERFACE 18 HOLE MALLEABLE 1.2 MM SCREW	SUP-5504218	CDM			270	RC		outpatient			757.2	757.25	205.13				percent of total billed charges		757.2				other	OPPS APC	560.33				percent of total billed charges		757.2				other	OPPS APC	757.2				other	OPPS APC	205.13				percent of total billed charges		209.21				percent of total billed charges		757.25				other	OPPS APC	205.13	757.25	
PLATE BONE UNIVERSAL 2 TITANIUM STRAIGHT LOW PROFILE H.5 MM UPPERFACE 18 HOLE MALLEABLE 1.2 MM SCREW	SUP-5504218	CDM			270	RC		inpatient			757.2	757.2																																																			
FILTER SMOKE EVACUATOR OPTIMUMM ULTRA LOW PENETRATION AIR STERILE	SUP-E3625	CDM			270	RC		outpatient			756.91	757	205.05				percent of total billed charges		756.91				other	OPPS APC	560.11				percent of total billed charges		756.91				other	OPPS APC	756.91				other	OPPS APC	205.05				percent of total billed charges		209.13				percent of total billed charges		757				other	OPPS APC	205.05	757	
FILTER SMOKE EVACUATOR OPTIMUMM ULTRA LOW PENETRATION AIR STERILE	SUP-E3625	CDM			270	RC		inpatient			756.91	756.91																																																			
PLATE BONE LC-DCP TITANIUM L24 MM X W5.5 MM X H1.25 MM HAND 4 HOLE NONSTERILE 2 MM SCREW	SUP-449.931	CDM	270010022	LOCAL	270	RC		outpatient			756.8	756.8	205.02				percent of total billed charges		756.8				other	OPPS APC	560.03				percent of total billed charges		756.8				other	OPPS APC	756.8				other	OPPS APC	205.02				percent of total billed charges		209.1				percent of total billed charges		756.8				other	OPPS APC	205.02	756.8	
PLATE BONE LC-DCP TITANIUM L24 MM X W5.5 MM X H1.25 MM HAND 4 HOLE NONSTERILE 2 MM SCREW	SUP-449.931	CDM	270010022	LOCAL	270	RC		inpatient			756.8	756.8																																																			
BONE SHAVER MISONIX MICRO HOOK	SUP-MXB-S1	CDM						inpatient			756.5	756.5																																																			
BONE SHAVER MISONIX MICRO HOOK	SUP-MXB-S1	CDM						outpatient			756.5	756.5	756.5				percent of total billed charges		756.5				other	OPPS APC	756.5				fee schedule		756.5				other	OPPS APC	756.5				other	OPPS APC	756.5				case rate		756.5				case rate		756.5				other	OPPS APC	756.5	756.5	
HC Lumbar Myelogram	PX-320722650	CDM	62304	CPT	361	RC		outpatient			756	78.17	238.74				percent of total billed charges		780.17				other	OPPS APC	1876				fee schedule		780.17				other	OPPS APC	780.17				other	OPPS APC	238.74				percent of total billed charges		243.51				percent of total billed charges		78.17				other	OPPS APC	78.17	1876	
HC Lumbar Myelogram	PX-320722650	CDM	62304	CPT	361	RC		inpatient			756	756																																																			
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L12 CM X W8 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP02	CDM			270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L12 CM X W8 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP02	CDM			270	RC		inpatient			756	756																																																			
ANCHOR SUTURE LUPINE BR ORTHOCORD DS	SUP-210712	CDM			270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
ANCHOR SUTURE LUPINE BR ORTHOCORD DS	SUP-210712	CDM			270	RC		inpatient			756	756																																																			
PLATE BONE LC-DCP STAINLESS STEEL BROAD L250 MM X W17.5 MM X H5.2 MM 14 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.64	CDM	270010022	LOCAL	270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
PLATE BONE LC-DCP STAINLESS STEEL BROAD L250 MM X W17.5 MM X H5.2 MM 14 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.64	CDM	270010022	LOCAL	270	RC		inpatient			756	756																																																			
PAD INSTRUMENT ALWAYS-ON TIP TRACKED SPIN DRIVE UPAD 2 PATIENT TRACKER LUNG DISEASE MANAGEMENT	SUP-INS-0050	CDM			270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
PAD INSTRUMENT ALWAYS-ON TIP TRACKED SPIN DRIVE UPAD 2 PATIENT TRACKER LUNG DISEASE MANAGEMENT	SUP-INS-0050	CDM			270	RC		inpatient			756	756																																																			
VERAN SPINPREC KIT BIOPSY NITINOL 5 GUN 5 NEEDLE FLEXIBLE	SUP-INS-5600	CDM			270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
VERAN SPINPREC KIT BIOPSY NITINOL 5 GUN 5 NEEDLE FLEXIBLE	SUP-INS-5600	CDM			270	RC		inpatient			756	756																																																			
CATHETER SPECIMEN RETRIEVAL BACKSTOP OD3 FR URETERAL DISPOSABLE CLEAR STONE ANTIRETROPULSION	SUP-M0063909000	CDM			270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
CATHETER SPECIMEN RETRIEVAL BACKSTOP OD3 FR URETERAL DISPOSABLE CLEAR STONE ANTIRETROPULSION	SUP-M0063909000	CDM			270	RC		inpatient			756	756																																																			
CATHETER SPECIMEN RETRIEVAL BACKSTOP OD5 FR URETERAL STONE ANTIRETROPULSION DEVICE GEL DISPOSABLE CLEAR	SUP-M0063909010	CDM			270	RC		outpatient			756	756	204.8				percent of total billed charges		756				other	OPPS APC	559.44				percent of total billed charges		756				other	OPPS APC	756				other	OPPS APC	204.8				percent of total billed charges		208.88				percent of total billed charges		756				other	OPPS APC	204.8	756	
CATHETER SPECIMEN RETRIEVAL BACKSTOP OD5 FR URETERAL STONE ANTIRETROPULSION DEVICE GEL DISPOSABLE CLEAR	SUP-M0063909010	CDM			270	RC		inpatient			756	756																																																			
BLADE ADENTOME SHAMBAUGH 9 1/8IN	SUP-97-02588	CDM			272	RC		outpatient			755.28	755.28	204.61				percent of total billed charges		755.28				other	OPPS APC	558.91				percent of total billed charges		755.28				other	OPPS APC	755.28				other	OPPS APC	204.61				percent of total billed charges		208.68				percent of total billed charges		755.28				other	OPPS APC	204.61	755.28	
BLADE ADENTOME SHAMBAUGH 9 1/8IN	SUP-97-02588	CDM			272	RC		inpatient			755.28	755.28																																																			
BONE SCALPEL MISONIZ 10MM BLUNT	SUP-MXB-10	CDM						inpatient			755.2	755.2																																																			
BONE SCALPEL MISONIZ 10MM BLUNT	SUP-MXB-10	CDM						outpatient			755.2	755.25	755.2				percent of total billed charges		755.2				other	OPPS APC	755.2				fee schedule		755.2				other	OPPS APC	755.2				other	OPPS APC	755.2				case rate		755.2				case rate		755.25				other	OPPS APC	755.2	755.25	
BONE SCALPEL MISONIX 20MM BLUNT	SUP-MXB-20	CDM						inpatient			755.2	755.2																																																			
BONE SCALPEL MISONIX 20MM BLUNT	SUP-MXB-20	CDM						outpatient			755.2	755.25	755.2				percent of total billed charges		755.2				other	OPPS APC	755.2				fee schedule		755.2				other	OPPS APC	755.2				other	OPPS APC	755.2				case rate		755.2				case rate		755.25				other	OPPS APC	755.2	755.25	
BONE SCALPEL MISONIX UNILATERAL SERRATIONS	SUP-MXB-B1	CDM			270	RC		outpatient			755.2	755.25	204.58				percent of total billed charges		755.2				other	OPPS APC	558.85				percent of total billed charges		755.2				other	OPPS APC	755.2				other	OPPS APC	204.58				percent of total billed charges		208.66				percent of total billed charges		755.25				other	OPPS APC	204.58	755.25	
BONE SCALPEL MISONIX UNILATERAL SERRATIONS	SUP-MXB-B1	CDM			270	RC		inpatient			755.2	755.2																																																			
SHAVER SURGICAL BONESCALPEL DIAMOND OD4.4 MM SHORT EXTENSION SILICONE SLEEVE STERILE DISPOSABLE	SUP-MXB-S3	CDM			270	RC		outpatient			755.2	755.25	204.58				percent of total billed charges		755.2				other	OPPS APC	558.85				percent of total billed charges		755.2				other	OPPS APC	755.2				other	OPPS APC	204.58				percent of total billed charges		208.66				percent of total billed charges		755.25				other	OPPS APC	204.58	755.25	
SHAVER SURGICAL BONESCALPEL DIAMOND OD4.4 MM SHORT EXTENSION SILICONE SLEEVE STERILE DISPOSABLE	SUP-MXB-S3	CDM			270	RC		inpatient			755.2	755.2																																																			
NEEDLE TEMNO COAXIAL 20GX20 CTSUP USSUP	SUP-95-01330	CDM			272	RC		outpatient			755.01	756	204.53				percent of total billed charges		755.01				other	OPPS APC	558.71				percent of total billed charges		755.01				other	OPPS APC	755.01				other	OPPS APC	204.53				percent of total billed charges		208.61				percent of total billed charges		756				other	OPPS APC	204.53	756	
NEEDLE TEMNO COAXIAL 20GX20 CTSUP USSUP	SUP-95-01330	CDM			272	RC		inpatient			755.01	755.01																																																			
MILL BONE LEGEND PNEUMATIC DISPOSABLE	SUP-BM200	CDM	270010028	LOCAL	270	RC		outpatient			754.6	754.62	204.42				percent of total billed charges		754.6				other	OPPS APC	558.4				percent of total billed charges		754.6				other	OPPS APC	754.6				other	OPPS APC	204.42				percent of total billed charges		208.5				percent of total billed charges		754.62				other	OPPS APC	204.42	754.62	
MILL BONE LEGEND PNEUMATIC DISPOSABLE	SUP-BM200	CDM	270010028	LOCAL	270	RC		inpatient			754.6	754.6																																																			
PLATE BONE LC-DCP STAINLESS STEEL CLOVERLEAF L104 MM X W15 MM X H2 MM H1.2 MM 4 HOLE THIN BLADE NONSTERILE 3.5 MM CORTEX 3.5 MM SHAFT 4 MM CONCELLOUS SCREW SMALL FRAGMENT SET	SUP-241.84	CDM	270010022	LOCAL	270	RC		outpatient			752.4	752.4	203.83				percent of total billed charges		752.4				other	OPPS APC	556.78				percent of total billed charges		752.4				other	OPPS APC	752.4				other	OPPS APC	203.83				percent of total billed charges		207.89				percent of total billed charges		752.4				other	OPPS APC	203.83	752.4	
PLATE BONE LC-DCP STAINLESS STEEL CLOVERLEAF L104 MM X W15 MM X H2 MM H1.2 MM 4 HOLE THIN BLADE NONSTERILE 3.5 MM CORTEX 3.5 MM SHAFT 4 MM CONCELLOUS SCREW SMALL FRAGMENT SET	SUP-241.84	CDM	270010022	LOCAL	270	RC		inpatient			752.4	752.4																																																			
FEMORAL DISTAL FIXATION PEG	SUP-97-02276	CDM			278	RC		outpatient			752.4	752.4	752.4				fee schedule		752.4				other	OPPS APC	428.87				percent of total billed charges		752.4				other	OPPS APC	752.4				other	OPPS APC	368.68				percent of total billed charges		383.72				percent of total billed charges		752.4				other	OPPS APC	368.68	752.4	
FEMORAL DISTAL FIXATION PEG	SUP-97-02276	CDM			278	RC		inpatient			752.4	752.4																																																			
LIGATOR HEMORRHOID STAINLESS STEEL 30 D ANGLE UP SUCTION NONSTERILE LATEX FREE REUSABLE	SUP-80-1970	CDM			270	RC		outpatient			752.02	752.2	203.72				percent of total billed charges		752.02				other	OPPS APC	556.49				percent of total billed charges		752.02				other	OPPS APC	752.02				other	OPPS APC	203.72				percent of total billed charges		207.78				percent of total billed charges		752.2				other	OPPS APC	203.72	752.2	
LIGATOR HEMORRHOID STAINLESS STEEL 30 D ANGLE UP SUCTION NONSTERILE LATEX FREE REUSABLE	SUP-80-1970	CDM			270	RC		inpatient			752.02	752.02																																																			
NAIL INTRAMEDULLARY TITANIUM L440 MM OD3.5 MM OLECRANON ELASTIC STERILE BLUE	SUP-475.935S	CDM	270010022	LOCAL	270	RC		outpatient			751.3	751.3	203.53				percent of total billed charges		751.3				other	OPPS APC	555.96				percent of total billed charges		751.3				other	OPPS APC	751.3				other	OPPS APC	203.53				percent of total billed charges		207.58				percent of total billed charges		751.3				other	OPPS APC	203.53	751.3	
NAIL INTRAMEDULLARY TITANIUM L440 MM OD3.5 MM OLECRANON ELASTIC STERILE BLUE	SUP-475.935S	CDM	270010022	LOCAL	270	RC		inpatient			751.3	751.3																																																			
COUNTERSINK ASNIS 3MM CANN 3.8MM AO COUP	SUP-97-02066	CDM			272	RC		outpatient			751.29	751.29	203.52				percent of total billed charges		751.29				other	OPPS APC	555.95				percent of total billed charges		751.29				other	OPPS APC	751.29				other	OPPS APC	203.52				percent of total billed charges		207.58				percent of total billed charges		751.29				other	OPPS APC	203.52	751.29	
COUNTERSINK ASNIS 3MM CANN 3.8MM AO COUP	SUP-97-02066	CDM			272	RC		inpatient			751.29	751.29																																																			
HC Simulation  Complex	PX-333772900	CDM	77290	CPT	333	RC		outpatient			750	377.81	514.12				fee schedule		377.81				other	OPPS APC	823.92				fee schedule		377.81				other	OPPS APC	377.81				other	OPPS APC	452.59				fee schedule		369.16				fee schedule		377.81				other	OPPS APC	369.16	823.92	
HC Simulation  Complex	PX-333772900	CDM	77290	CPT	333	RC		inpatient			750	750																																																			
FETCH2 ASPIRATION CATHETER 6F	SUP-109400-001	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
FETCH2 ASPIRATION CATHETER 6F	SUP-109400-001	CDM			270	RC		inpatient			750	750																																																			
SCREW INTEGRA VARIABLE 2.7MM X 12MM	SUP-295212	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW INTEGRA VARIABLE 2.7MM X 12MM	SUP-295212	CDM			270	RC		inpatient			750	750																																																			
SCREW INTEGRA VARIABLE 2.7MM X 14MM	SUP-295214	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW INTEGRA VARIABLE 2.7MM X 14MM	SUP-295214	CDM			270	RC		inpatient			750	750																																																			
SCREW INTEGRA VARIABLE 2.7MM X 16MM	SUP-295216	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW INTEGRA VARIABLE 2.7MM X 16MM	SUP-295216	CDM			270	RC		inpatient			750	750																																																			
SCREW INTEGRA VARIABLE 2.7MM X 18MM	SUP-295218	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW INTEGRA VARIABLE 2.7MM X 18MM	SUP-295218	CDM			270	RC		inpatient			750	750																																																			
SCREW BONE SURFIX HALLU TITANIUM STANDARD L14 MM OD2.7 MM METATARSOPHALANGEAL COLOR CODED NONSTERILE	SUP-385214	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW BONE SURFIX HALLU TITANIUM STANDARD L14 MM OD2.7 MM METATARSOPHALANGEAL COLOR CODED NONSTERILE	SUP-385214	CDM			270	RC		inpatient			750	750																																																			
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE CORAL STERILE LATEX FREE DISPOSABLE	SUP-72505	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE CORAL STERILE LATEX FREE DISPOSABLE	SUP-72505	CDM			270	RC		inpatient			750	750																																																			
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE PEARL STERILE LATEX FREE DISPOSABLE	SUP-72510	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE PEARL STERILE LATEX FREE DISPOSABLE	SUP-72510	CDM			270	RC		inpatient			750	750																																																			
TUBING CATHETER CONNECTION 30CM	SUP-95-01775	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
TUBING CATHETER CONNECTION 30CM	SUP-95-01775	CDM			272	RC		inpatient			750	750																																																			
PAD KIT HIP DISTRACTION SYSTEM DISPOSABLE	SUP-95-05283	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
PAD KIT HIP DISTRACTION SYSTEM DISPOSABLE	SUP-95-05283	CDM			272	RC		inpatient			750	750																																																			
ZONE NAVIGATOR	SUP-95-05302	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
ZONE NAVIGATOR	SUP-95-05302	CDM			272	RC		inpatient			750	750																																																			
SCREWDRIVER SHAFT	SUP-95-05483	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREWDRIVER SHAFT	SUP-95-05483	CDM			272	RC		inpatient			750	750																																																			
SCREDRIVER SHAFT T8	SUP-95-05484	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREDRIVER SHAFT T8	SUP-95-05484	CDM			272	RC		inpatient			750	750																																																			
LOW PRO SCRWT16.7X 85MMCANN18MM	SUP-97-01146	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PRO SCRWT16.7X 85MMCANN18MM	SUP-97-01146	CDM			278	RC		inpatient			750	750																																																			
XEROGEL	SUP-97-01244	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
XEROGEL	SUP-97-01244	CDM			272	RC		inpatient			750	750																																																			
SCREW LO-PRO T  4.5 X 38MM CANN PT THD	SUP-97-01505	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW LO-PRO T  4.5 X 38MM CANN PT THD	SUP-97-01505	CDM			278	RC		inpatient			750	750																																																			
LOW PRO SCRWT16.7X 50MMCANN18MM	SUP-97-01785	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PRO SCRWT16.7X 50MMCANN18MM	SUP-97-01785	CDM			278	RC		inpatient			750	750																																																			
CANNULA INFLOE W/STOPCOCK	SUP-97-01951	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
CANNULA INFLOE W/STOPCOCK	SUP-97-01951	CDM			272	RC		inpatient			750	750																																																			
LOW PRO SCREW 6.7X90MM	SUP-97-03179	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PRO SCREW 6.7X90MM	SUP-97-03179	CDM			278	RC		inpatient			750	750																																																			
BLADE TENDON STRIPPER 10MM	SUP-97-03550	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BLADE TENDON STRIPPER 10MM	SUP-97-03550	CDM			272	RC		inpatient			750	750																																																			
SCREW 6.7X7 LOW PROFILE CANNUL18MM	SUP-97-03555	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW 6.7X7 LOW PROFILE CANNUL18MM	SUP-97-03555	CDM			278	RC		inpatient			750	750																																																			
LOW PRO SCREW 6.7X40MM	SUP-97-03602	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PRO SCREW 6.7X40MM	SUP-97-03602	CDM			278	RC		inpatient			750	750																																																			
LOW PRO SCREW TI 6.7 X 45MM	SUP-97-04268	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PRO SCREW TI 6.7 X 45MM	SUP-97-04268	CDM			278	RC		inpatient			750	750																																																			
LOW PRO SCREW TI 6.7 X 50MM	SUP-97-04269	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PRO SCREW TI 6.7 X 50MM	SUP-97-04269	CDM			278	RC		inpatient			750	750																																																			
LOW PROFILE SCREW 6.7MM X 45MM TITANIUM	SUP-97-04565	CDM			278	RC		outpatient			750	75	750				fee schedule		750				other	OPPS APC	427.5				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	367.5				percent of total billed charges		382.5				percent of total billed charges		75				other	OPPS APC	75	750	
LOW PROFILE SCREW 6.7MM X 45MM TITANIUM	SUP-97-04565	CDM			278	RC		inpatient			750	750																																																			
ACP KIT SERIES 2	SUP-97-04655	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
ACP KIT SERIES 2	SUP-97-04655	CDM			272	RC		inpatient			750	750																																																			
CATHETER - MICRO GUIDE 140CM	SUP-99-00687	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
CATHETER - MICRO GUIDE 140CM	SUP-99-00687	CDM			272	RC		inpatient			750	750																																																			
CATHETER - MICRO GUIDE 90CM	SUP-99-00776	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
CATHETER - MICRO GUIDE 90CM	SUP-99-00776	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 6.0X100	SUP-99-00959	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 6.0X100	SUP-99-00959	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE ES OTW 3.0X40X145	SUP-99-00972	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE ES OTW 3.0X40X145	SUP-99-00972	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 5.0X100	SUP-99-01022	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 5.0X100	SUP-99-01022	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 10X40	SUP-99-01075	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 10X40	SUP-99-01075	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING RX 4.0X15X80	SUP-99-01121	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING RX 4.0X15X80	SUP-99-01121	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 4.0X80	SUP-99-01132	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 4.0X80	SUP-99-01132	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 6.0X20	SUP-99-01201	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 6.0X20	SUP-99-01201	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE OTW 3.0X150X150	SUP-99-01298	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE OTW 3.0X150X150	SUP-99-01298	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE OTW 4.0X150X150	SUP-99-01300	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE OTW 4.0X150X150	SUP-99-01300	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 6.0X60	SUP-99-01352	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 6.0X60	SUP-99-01352	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE ES OTW 2.5X40X150	SUP-99-01403	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE ES OTW 2.5X40X150	SUP-99-01403	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 7.0X40X135	SUP-99-01668	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 7.0X40X135	SUP-99-01668	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 7.0X80X135	SUP-99-01719	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 7.0X80X135	SUP-99-01719	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 8.0X40X135	SUP-99-01766	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 8.0X40X135	SUP-99-01766	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE ES OTW 3.0X20X145	SUP-99-01837	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE ES OTW 3.0X20X145	SUP-99-01837	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE ES OTW 4.0X20X145	SUP-99-01966	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE ES OTW 4.0X20X145	SUP-99-01966	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 5.0X60	SUP-99-01985	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 5.0X60	SUP-99-01985	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE OTW 2.0X80X150	SUP-99-02041	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE OTW 2.0X80X150	SUP-99-02041	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 7.0X60X135	SUP-99-02055	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 7.0X60X135	SUP-99-02055	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING RX 6.0X20	SUP-99-02097	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING RX 6.0X20	SUP-99-02097	CDM			272	RC		inpatient			750	750																																																			
BALLOON - COYOTE OTW 2.5X80X150	SUP-99-02098	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - COYOTE OTW 2.5X80X150	SUP-99-02098	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 5.0X20	SUP-99-02207	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 5.0X20	SUP-99-02207	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 4.0X40	SUP-99-03154	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 4.0X40	SUP-99-03154	CDM			272	RC		inpatient			750	750																																																			
BALLOON - CROSSTELLA 2.0X20 OTW	SUP-99-03444	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - CROSSTELLA 2.0X20 OTW	SUP-99-03444	CDM			272	RC		inpatient			750	750																																																			
BALLOON - CROSSTELLA 2.0X20 OTW 90CM	SUP-99-03445	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - CROSSTELLA 2.0X20 OTW 90CM	SUP-99-03445	CDM			272	RC		inpatient			750	750																																																			
BALLOON - CROSSTELLA 4.0X40 OTW	SUP-99-03568	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - CROSSTELLA 4.0X40 OTW	SUP-99-03568	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING OTW 9.0X40	SUP-99-03869	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING OTW 9.0X40	SUP-99-03869	CDM			272	RC		inpatient			750	750																																																			
BALLOON - STERLING SL OTW 4.0X150	SUP-99-03872	CDM			272	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
BALLOON - STERLING SL OTW 4.0X150	SUP-99-03872	CDM			272	RC		inpatient			750	750																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L8 MM OD3 MM SOFT TISSUE HANDLE INSERTER STERILE	SUP-AR-1530BC	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L8 MM OD3 MM SOFT TISSUE HANDLE INSERTER STERILE	SUP-AR-1530BC	CDM			270	RC		inpatient			750	750																																																			
ANCHOR SUTURE ANCHPEEK SWIVLOCK	SUP-AR-2324PSLC	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
ANCHOR SUTURE ANCHPEEK SWIVLOCK	SUP-AR-2324PSLC	CDM			270	RC		inpatient			750	750																																																			
3.9MM SWIVELOCK ANCHOR	SUP-AR-2326PSLC	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
3.9MM SWIVELOCK ANCHOR	SUP-AR-2326PSLC	CDM			270	RC		inpatient			750	750																																																			
SCREW BONE TITANIUM T15 PARTIAL THREAD L 40 MM OD 4.3MM COMPRESSION CANNUALTED SELF TAP HEADLESS	SUP-AR-8643-40	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW BONE TITANIUM T15 PARTIAL THREAD L 40 MM OD 4.3MM COMPRESSION CANNUALTED SELF TAP HEADLESS	SUP-AR-8643-40	CDM			270	RC		inpatient			750	750																																																			
SCREW BONE TITANIUM T 15 PARTIAL THREAD L 46 MM OD 4.3 MM COMPRESSION CANNUALTED SELF TAP HEADLESS	SUP-AR-8643-46	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
SCREW BONE TITANIUM T 15 PARTIAL THREAD L 46 MM OD 4.3 MM COMPRESSION CANNUALTED SELF TAP HEADLESS	SUP-AR-8643-46	CDM			270	RC		inpatient			750	750																																																			
CATHETER ELECTROPHYSIOLOGY REDEL WEBSTER 10MM SPACE REGULAR D CURVE L 92CM L 1MM OD 6FR DEFLECTABLE QUADRAPOLAR AUTO ID	SUP-D6DR252CT	CDM			270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
CATHETER ELECTROPHYSIOLOGY REDEL WEBSTER 10MM SPACE REGULAR D CURVE L 92CM L 1MM OD 6FR DEFLECTABLE QUADRAPOLAR AUTO ID	SUP-D6DR252CT	CDM			270	RC		inpatient			750	750																																																			
ANCHOR LEAD CLIKX STERILE DISPOSABLE	SUP-SC-4318	CDM	270010020	LOCAL	270	RC		outpatient			750	75	203.18				percent of total billed charges		750				other	OPPS APC	555				percent of total billed charges		750				other	OPPS APC	750				other	OPPS APC	203.18				percent of total billed charges		207.23				percent of total billed charges		75				other	OPPS APC	75	750	
ANCHOR LEAD CLIKX STERILE DISPOSABLE	SUP-SC-4318	CDM	270010020	LOCAL	270	RC		inpatient			750	750																																																			
BOUGIE SURGICAL HURST TUNGSTEN ROUND OD38 FR ESOPHAGEAL FILL	SUP-507604	CDM						inpatient			749.7	749.7																																																			
BOUGIE SURGICAL HURST TUNGSTEN ROUND OD38 FR ESOPHAGEAL FILL	SUP-507604	CDM						outpatient			749.7	749.75	749.7				percent of total billed charges		749.7				other	OPPS APC	749.7				fee schedule		749.7				other	OPPS APC	749.7				other	OPPS APC	749.7				case rate		749.7				case rate		749.75				other	OPPS APC	749.7	749.75	
BALLOON TROCAR BLUNT TIP 12MM	SUP-76-00057	CDM			272	RC		outpatient			749.11	749.11	202.93				percent of total billed charges		749.11				other	OPPS APC	554.34				percent of total billed charges		749.11				other	OPPS APC	749.11				other	OPPS APC	202.93				percent of total billed charges		206.98				percent of total billed charges		749.11				other	OPPS APC	202.93	749.11	
BALLOON TROCAR BLUNT TIP 12MM	SUP-76-00057	CDM			272	RC		inpatient			749.11	749.11																																																			
CABLE AND SLEEVE SET 2.0MM	SUP-97-05928	CDM			278	RC		outpatient			748.8	748.8	748.8				fee schedule		748.8				other	OPPS APC	426.82				percent of total billed charges		748.8				other	OPPS APC	748.8				other	OPPS APC	366.91				percent of total billed charges		381.89				percent of total billed charges		748.8				other	OPPS APC	366.91	748.8	
CABLE AND SLEEVE SET 2.0MM	SUP-97-05928	CDM			278	RC		inpatient			748.8	748.8																																																			
GRAFT BONE CANCELLOUS H1-4 MM 30 ML FREEZE DRIED CHIPS	SUP-CAN30	CDM	270010031	LOCAL	270	RC		outpatient			748.7	748.75	202.82				percent of total billed charges		748.7				other	OPPS APC	554.04				percent of total billed charges		748.7				other	OPPS APC	748.7				other	OPPS APC	202.82				percent of total billed charges		206.87				percent of total billed charges		748.75				other	OPPS APC	202.82	748.75	
GRAFT BONE CANCELLOUS H1-4 MM 30 ML FREEZE DRIED CHIPS	SUP-CAN30	CDM	270010031	LOCAL	270	RC		inpatient			748.7	748.7																																																			
ROTABLATOR - ROTAWIRE DRIVE FLOPPY	SUP-99-04485	CDM			272	RC		outpatient			748.5	748.5	202.77				percent of total billed charges		748.5				other	OPPS APC	553.89				percent of total billed charges		748.5				other	OPPS APC	748.5				other	OPPS APC	202.77				percent of total billed charges		206.81				percent of total billed charges		748.5				other	OPPS APC	202.77	748.5	
ROTABLATOR - ROTAWIRE DRIVE FLOPPY	SUP-99-04485	CDM			272	RC		inpatient			748.5	748.5																																																			
ROTABLATOR - ROTAWIRE DRIVE EXTRA SUPPORT	SUP-99-04486	CDM			272	RC		outpatient			748.5	748.5	202.77				percent of total billed charges		748.5				other	OPPS APC	553.89				percent of total billed charges		748.5				other	OPPS APC	748.5				other	OPPS APC	202.77				percent of total billed charges		206.81				percent of total billed charges		748.5				other	OPPS APC	202.77	748.5	
ROTABLATOR - ROTAWIRE DRIVE EXTRA SUPPORT	SUP-99-04486	CDM			272	RC		inpatient			748.5	748.5																																																			
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00310	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00310	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00311	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00311	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00312	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00312	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-00313	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-00313	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-00325	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-00325	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 5.0 MM LOCKING IM NAIL	SUP-97-00357	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 5.0 MM LOCKING IM NAIL	SUP-97-00357	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 5.0 MM LOCKING	SUP-97-00753	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 5.0 MM LOCKING	SUP-97-00753	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 5.0 MM LOCKING IM NAIL 6	SUP-97-00772	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 5.0 MM LOCKING IM NAIL 6	SUP-97-00772	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 5.0 MM LOCKING IM NAIL 6	SUP-97-00773	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 5.0 MM LOCKING IM NAIL 6	SUP-97-00773	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 8	SUP-97-00839	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 8	SUP-97-00839	CDM			278	RC		inpatient			748.38	748.38																																																			
4.0MM LOCKING SCREW W/T 25STARDRIVE 26	SUP-97-01175	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
4.0MM LOCKING SCREW W/T 25STARDRIVE 26	SUP-97-01175	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-01306	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-01306	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-01469	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-01469	CDM			278	RC		inpatient			748.38	748.38																																																			
SCREW 4.0 MM LOCKING IM NAIL 5	SUP-97-01470	CDM			278	RC		outpatient			748.38	748.38	748.38				fee schedule		748.38				other	OPPS APC	426.58				percent of total billed charges		748.38				other	OPPS APC	748.38				other	OPPS APC	366.71				percent of total billed charges		381.67				percent of total billed charges		748.38				other	OPPS APC	366.71	748.38	
SCREW 4.0 MM LOCKING IM NAIL 5	SUP-97-01470	CDM			278	RC		inpatient			748.38	748.38																																																			
INVRAD LOW PROFILE MEDIPORT	SUP-95-01460	CDM			278	RC		outpatient			747.69	747.7	747.69				fee schedule		747.69				other	OPPS APC	426.18				percent of total billed charges		747.69				other	OPPS APC	747.69				other	OPPS APC	366.37				percent of total billed charges		206.59				percent of total billed charges		747.7				other	OPPS APC	206.59	747.7	
INVRAD LOW PROFILE MEDIPORT	SUP-95-01460	CDM			278	RC		inpatient			747.69	747.69																																																			
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L15 CM OD28 MM THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0028-15	CDM			270	RC		outpatient			747.48	747.48	202.49				percent of total billed charges		747.48				other	OPPS APC	553.14				percent of total billed charges		747.48				other	OPPS APC	747.48				other	OPPS APC	202.49				percent of total billed charges		206.53				percent of total billed charges		747.48				other	OPPS APC	202.49	747.48	
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L15 CM OD28 MM THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0028-15	CDM			270	RC		inpatient			747.48	747.48																																																			
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L15 CM OD30 MM THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0030-15	CDM			270	RC		outpatient			747.48	747.48	202.49				percent of total billed charges		747.48				other	OPPS APC	553.14				percent of total billed charges		747.48				other	OPPS APC	747.48				other	OPPS APC	202.49				percent of total billed charges		206.53				percent of total billed charges		747.48				other	OPPS APC	202.49	747.48	
GRAFT CARDIOVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L15 CM OD30 MM THORACIC AORTA WOVEN EXCLUSIVE WEAVE	SUP-IGW0030-15	CDM			270	RC		inpatient			747.48	747.48																																																			
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER VELOUR STRAIGHT L30 CM ID32 MM WOVEN	SUP-IGW0032-30	CDM			270	RC		outpatient			747.48	747.48	202.49				percent of total billed charges		747.48				other	OPPS APC	553.14				percent of total billed charges		747.48				other	OPPS APC	747.48				other	OPPS APC	202.49				percent of total billed charges		206.53				percent of total billed charges		747.48				other	OPPS APC	202.49	747.48	
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER VELOUR STRAIGHT L30 CM ID32 MM WOVEN	SUP-IGW0032-30	CDM			270	RC		inpatient			747.48	747.48																																																			
AUTOFIX COMPR SCREW MOD T7 DR 2.0 X 16MM	SUP-97-04412	CDM			278	RC		outpatient			747.36	747.36	747.36				fee schedule		747.36				other	OPPS APC	426				percent of total billed charges		747.36				other	OPPS APC	747.36				other	OPPS APC	366.21				percent of total billed charges		381.15				percent of total billed charges		747.36				other	OPPS APC	366.21	747.36	
AUTOFIX COMPR SCREW MOD T7 DR 2.0 X 16MM	SUP-97-04412	CDM			278	RC		inpatient			747.36	747.36																																																			
2.0 X 20MM SCREW	SUP-97-04472	CDM			278	RC		outpatient			747.36	747.36	747.36				fee schedule		747.36				other	OPPS APC	426				percent of total billed charges		747.36				other	OPPS APC	747.36				other	OPPS APC	366.21				percent of total billed charges		381.15				percent of total billed charges		747.36				other	OPPS APC	366.21	747.36	
2.0 X 20MM SCREW	SUP-97-04472	CDM			278	RC		inpatient			747.36	747.36																																																			
AUTOFIX COMPR SCREW MOD T7 DR 2.0 X 22MM	SUP-97-04596	CDM			278	RC		inpatient			747.36	747.36																																																			
AUTOFIX COMPR SCREW MOD T7 DR 2.0 X 22MM	SUP-97-04596	CDM			278	RC		outpatient			747.36	747.36					fee schedule						other	OPPS APC	426				percent of total billed charges						other	OPPS APC					other	OPPS APC	366.21				percent of total billed charges		381.15				percent of total billed charges						other	OPPS APC	426	426	
SCREW 7M X23 INTERFERENCE	SUP-80-00040	CDM			278	RC		outpatient			747.28	747.28	747.28				fee schedule		747.28				other	OPPS APC	425.95				percent of total billed charges		747.28				other	OPPS APC	747.28				other	OPPS APC	366.17				percent of total billed charges		381.11				percent of total billed charges		747.28				other	OPPS APC	366.17	747.28	
SCREW 7M X23 INTERFERENCE	SUP-80-00040	CDM			278	RC		inpatient			747.28	747.28																																																			
STAPLER INTERNAL ECHELON FLEX ENDOPATH L60 MM L280 MM LINEAR CUTTER ARTICULATE COMPACT ENDOSCOPIC	SUP-SC60A	CDM			270	RC		outpatient			747.2	747.25	202.42				percent of total billed charges		747.2				other	OPPS APC	552.93				percent of total billed charges		747.2				other	OPPS APC	747.2				other	OPPS APC	202.42				percent of total billed charges		206.45				percent of total billed charges		747.25				other	OPPS APC	202.42	747.25	
STAPLER INTERNAL ECHELON FLEX ENDOPATH L60 MM L280 MM LINEAR CUTTER ARTICULATE COMPACT ENDOSCOPIC	SUP-SC60A	CDM			270	RC		inpatient			747.2	747.2																																																			
BAKRI BALLOON	SUP-95-04101	CDM			272	RC		outpatient			747	747	202.36				percent of total billed charges		747				other	OPPS APC	552.78				percent of total billed charges		747				other	OPPS APC	747				other	OPPS APC	202.36				percent of total billed charges		206.4				percent of total billed charges		747				other	OPPS APC	202.36	747	
BAKRI BALLOON	SUP-95-04101	CDM			272	RC		inpatient			747	747																																																			
DISPOSABLE KIT FOR1.8MM SHOULDER Q	SUP-97-02293	CDM			272	RC		outpatient			747	747	202.36				percent of total billed charges		747				other	OPPS APC	552.78				percent of total billed charges		747				other	OPPS APC	747				other	OPPS APC	202.36				percent of total billed charges		206.4				percent of total billed charges		747				other	OPPS APC	202.36	747	
DISPOSABLE KIT FOR1.8MM SHOULDER Q	SUP-97-02293	CDM			272	RC		inpatient			747	747																																																			
DISPOSABLE KIT FOR2.8MM SHOULDER Q-FIX	SUP-97-02324	CDM			272	RC		outpatient			747	747	202.36				percent of total billed charges		747				other	OPPS APC	552.78				percent of total billed charges		747				other	OPPS APC	747				other	OPPS APC	202.36				percent of total billed charges		206.4				percent of total billed charges		747				other	OPPS APC	202.36	747	
DISPOSABLE KIT FOR2.8MM SHOULDER Q-FIX	SUP-97-02324	CDM			272	RC		inpatient			747	747																																																			
SYSTEM CABLE CABLE-READY STAINLESS STEEL L559 MM OD1.8 MM CERCLAGE STERILE LATEX FREE	SUP-00223200118	CDM			270	RC		outpatient			746.5	746.5	202.23				percent of total billed charges		746.5				other	OPPS APC	552.41				percent of total billed charges		746.5				other	OPPS APC	746.5				other	OPPS APC	202.23				percent of total billed charges		206.26				percent of total billed charges		746.5				other	OPPS APC	202.23	746.5	
SYSTEM CABLE CABLE-READY STAINLESS STEEL L559 MM OD1.8 MM CERCLAGE STERILE LATEX FREE	SUP-00223200118	CDM			270	RC		inpatient			746.5	746.5																																																			
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER VELOUR STRAIGHT L40 CM ID6 MM KNIT REVERSE LOCKNIT	SUP-IGK0006-40	CDM			270	RC		outpatient			746.1	746.12	202.12				percent of total billed charges		746.1				other	OPPS APC	552.11				percent of total billed charges		746.1				other	OPPS APC	746.1				other	OPPS APC	202.12				percent of total billed charges		206.15				percent of total billed charges		746.12				other	OPPS APC	202.12	746.12	
GRAFT CARDIOVASCULAR INTERGARD COLLAGEN POLYESTER VELOUR STRAIGHT L40 CM ID6 MM KNIT REVERSE LOCKNIT	SUP-IGK0006-40	CDM			270	RC		inpatient			746.1	746.1																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD8 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0008-40	CDM			270	RC		outpatient			746.1	746.12	202.12				percent of total billed charges		746.1				other	OPPS APC	552.11				percent of total billed charges		746.1				other	OPPS APC	746.1				other	OPPS APC	202.12				percent of total billed charges		206.15				percent of total billed charges		746.12				other	OPPS APC	202.12	746.12	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD8 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0008-40	CDM			270	RC		inpatient			746.1	746.1																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD16 MM KNIT	SUP-IGK0016-40	CDM			270	RC		outpatient			746.1	746.12	202.12				percent of total billed charges		746.1				other	OPPS APC	552.11				percent of total billed charges		746.1				other	OPPS APC	746.1				other	OPPS APC	202.12				percent of total billed charges		206.15				percent of total billed charges		746.12				other	OPPS APC	202.12	746.12	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD16 MM KNIT	SUP-IGK0016-40	CDM			270	RC		inpatient			746.1	746.1																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD22 MM KNIT	SUP-IGK0022-40	CDM			270	RC		outpatient			746.1	746.12	202.12				percent of total billed charges		746.1				other	OPPS APC	552.11				percent of total billed charges		746.1				other	OPPS APC	746.1				other	OPPS APC	202.12				percent of total billed charges		206.15				percent of total billed charges		746.12				other	OPPS APC	202.12	746.12	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD22 MM KNIT	SUP-IGK0022-40	CDM			270	RC		inpatient			746.1	746.1																																																			
GUIDE WIRE 3.2 X 13MM	SUP-97-04621	CDM			278	RC		outpatient			745.8	745.8	745.8				fee schedule		745.8				other	OPPS APC	425.11				percent of total billed charges		745.8				other	OPPS APC	745.8				other	OPPS APC	365.44				percent of total billed charges		380.36				percent of total billed charges		745.8				other	OPPS APC	365.44	745.8	
GUIDE WIRE 3.2 X 13MM	SUP-97-04621	CDM			278	RC		inpatient			745.8	745.8																																																			
CLAMP EXTERNAL FIXATION LG NS OPEN ADJUSTABLE MR CONDITIONAL	SUP-390.008	CDM	270010022	LOCAL	270	RC		outpatient			745.5	745.5	201.96				percent of total billed charges		745.5				other	OPPS APC	551.67				percent of total billed charges		745.5				other	OPPS APC	745.5				other	OPPS APC	201.96				percent of total billed charges		205.98				percent of total billed charges		745.5				other	OPPS APC	201.96	745.5	
CLAMP EXTERNAL FIXATION LG NS OPEN ADJUSTABLE MR CONDITIONAL	SUP-390.008	CDM	270010022	LOCAL	270	RC		inpatient			745.5	745.5																																																			
STAPLER INTERNAL ECHELON FLEX POWERED PLUS LONG 440MM 60MM LINEAR CUTTER ENDOSCOPIC	SUP-PLEE60A	CDM			270	RC		outpatient			744.73	744.73	201.75				percent of total billed charges		744.73				other	OPPS APC	551.1				percent of total billed charges		744.73				other	OPPS APC	744.73				other	OPPS APC	201.75				percent of total billed charges		205.77				percent of total billed charges		744.73				other	OPPS APC	201.75	744.73	
STAPLER INTERNAL ECHELON FLEX POWERED PLUS LONG 440MM 60MM LINEAR CUTTER ENDOSCOPIC	SUP-PLEE60A	CDM			270	RC		inpatient			744.73	744.73																																																			
STAPLER INTERNAL ECHELON FLEX POWERED PLUS STANDARD 340MM 60MM LF LINEAR CUT ENDOSCOPIC	SUP-PSEE60A	CDM			270	RC		outpatient			744.73	744.73	201.75				percent of total billed charges		744.73				other	OPPS APC	551.1				percent of total billed charges		744.73				other	OPPS APC	744.73				other	OPPS APC	201.75				percent of total billed charges		205.77				percent of total billed charges		744.73				other	OPPS APC	201.75	744.73	
STAPLER INTERNAL ECHELON FLEX POWERED PLUS STANDARD 340MM 60MM LF LINEAR CUT ENDOSCOPIC	SUP-PSEE60A	CDM			270	RC		inpatient			744.73	744.73																																																			
HC Physics Consultation	PX-333773700	CDM	77370	CPT	333	RC		outpatient			744	14.48	116.38				fee schedule		140.48				other	OPPS APC	343.81				fee schedule		140.48				other	OPPS APC	140.48				other	OPPS APC	138.46				fee schedule		137.84				fee schedule		14.48				other	OPPS APC	14.48	343.81	
HC Physics Consultation	PX-333773700	CDM	77370	CPT	333	RC		inpatient			744	744																																																			
HC NM GI Gastric Empty Image Study	PX-340782640	CDM	78264	CPT	340	RC		outpatient			744	49.37	298.05				fee schedule		409.37				other	OPPS APC	498.37				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	308.15				fee schedule		270.24				fee schedule		49.37				other	OPPS APC	49.37	498.37	
HC NM GI Gastric Empty Image Study	PX-340782640	CDM	78264	CPT	340	RC		inpatient			744	744																																																			
HC NM Kidney Scan-Vas Flow/Funct W/O	PX-340787070	CDM	78707	CPT	340	RC		outpatient			744	531.35	239.24				fee schedule		531.35				other	OPPS APC	552.55				fee schedule		531.35				other	OPPS APC	531.35				other	OPPS APC	218.53				fee schedule		174.03				fee schedule		531.35				other	OPPS APC	174.03	552.55	
HC NM Kidney Scan-Vas Flow/Funct W/O	PX-340787070	CDM	78707	CPT	340	RC		inpatient			744	744																																																			
HC Igg2 Immunofluo Stain Renal	PX-310883461	CDM	88346	CPT	310	RC		outpatient			743.62	341.36	90.16				fee schedule		341.36				other	OPPS APC	69.13				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	364.37				percent of total billed charges		379.25				percent of total billed charges		341.36				other	OPPS APC	69.13	379.25	
HC Igg2 Immunofluo Stain Renal	PX-310883461	CDM	88346	CPT	310	RC		inpatient			743.62	743.62																																																			
SCREW PT 8MM X 90	SUP-97-03208	CDM			278	RC		outpatient			743.01	744	743.01				fee schedule		743.01				other	OPPS APC	423.52				percent of total billed charges		743.01				other	OPPS APC	743.01				other	OPPS APC	364.07				percent of total billed charges		378.94				percent of total billed charges		744				other	OPPS APC	364.07	744	
SCREW PT 8MM X 90	SUP-97-03208	CDM			278	RC		inpatient			743.01	743.01																																																			
SCREW PT 8MM X 95	SUP-97-03209	CDM			278	RC		outpatient			743.01	744	743.01				fee schedule		743.01				other	OPPS APC	423.52				percent of total billed charges		743.01				other	OPPS APC	743.01				other	OPPS APC	364.07				percent of total billed charges		378.94				percent of total billed charges		744				other	OPPS APC	364.07	744	
SCREW PT 8MM X 95	SUP-97-03209	CDM			278	RC		inpatient			743.01	743.01																																																			
SCREW PT 8MM X 100	SUP-97-03210	CDM			278	RC		outpatient			743.01	744	743.01				fee schedule		743.01				other	OPPS APC	423.52				percent of total billed charges		743.01				other	OPPS APC	743.01				other	OPPS APC	364.07				percent of total billed charges		378.94				percent of total billed charges		744				other	OPPS APC	364.07	744	
SCREW PT 8MM X 100	SUP-97-03210	CDM			278	RC		inpatient			743.01	743.01																																																			
PLATE BONE 193MMX.9MM 6.5MM SPACING CRANIOFACIAL TITANIUM 30 HOLE ADAPTION	SUP-447.380	CDM	270010014	LOCAL	270	RC		outpatient			742.6	742.62	201.17				percent of total billed charges		742.6				other	OPPS APC	549.52				percent of total billed charges		742.6				other	OPPS APC	742.6				other	OPPS APC	201.17				percent of total billed charges		205.18				percent of total billed charges		742.62				other	OPPS APC	201.17	742.62	
PLATE BONE 193MMX.9MM 6.5MM SPACING CRANIOFACIAL TITANIUM 30 HOLE ADAPTION	SUP-447.380	CDM	270010014	LOCAL	270	RC		inpatient			742.6	742.6																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 3 MM 3.5 MM 4 MM L45 MM MEDIUM THICK TISSUE ARTICULATE REINFORCE STERILE LATEX FREE DISPOSABLE PURPLE	SUP-SIGTRS45AMT	CDM			270	RC		outpatient			742.51	742.6	201.15				percent of total billed charges		742.51				other	OPPS APC	549.46				percent of total billed charges		742.51				other	OPPS APC	742.51				other	OPPS APC	201.15				percent of total billed charges		205.16				percent of total billed charges		742.6				other	OPPS APC	201.15	742.6	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 3 MM 3.5 MM 4 MM L45 MM MEDIUM THICK TISSUE ARTICULATE REINFORCE STERILE LATEX FREE DISPOSABLE PURPLE	SUP-SIGTRS45AMT	CDM			270	RC		inpatient			742.51	742.51																																																			
COAGRASPER - MONOPOLAR HEMO	SUP-95-04198	CDM			272	RC		outpatient			741.93	741.93	200.99				percent of total billed charges		741.93				other	OPPS APC	549.03				percent of total billed charges		741.93				other	OPPS APC	741.93				other	OPPS APC	200.99				percent of total billed charges		205				percent of total billed charges		741.93				other	OPPS APC	200.99	741.93	
COAGRASPER - MONOPOLAR HEMO	SUP-95-04198	CDM			272	RC		inpatient			741.93	741.93																																																			
PLATE BONE EVOS STAINLESS STEEL 11.5MM SPACE L93 MM X W 10.7 MM X H 3.4 MM 8 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440708	CDM			270	RC		outpatient			741.6	741.62	200.9				percent of total billed charges		741.6				other	OPPS APC	548.78				percent of total billed charges		741.6				other	OPPS APC	741.6				other	OPPS APC	200.9				percent of total billed charges		204.9				percent of total billed charges		741.62				other	OPPS APC	200.9	741.62	
PLATE BONE EVOS STAINLESS STEEL 11.5MM SPACE L93 MM X W 10.7 MM X H 3.4 MM 8 HOLE LOCK COMPRESSION STERILE 3.5 MM SCREW	SUP-72440708	CDM			270	RC		inpatient			741.6	741.6																																																			
TUBE NASAL JEJUNAL TIGER 2 14FR 153CM	SUP-97-03133	CDM			272	RC		outpatient			741	741	200.74				percent of total billed charges		741				other	OPPS APC	548.34				percent of total billed charges		741				other	OPPS APC	741				other	OPPS APC	200.74				percent of total billed charges		204.74				percent of total billed charges		741				other	OPPS APC	200.74	741	
TUBE NASAL JEJUNAL TIGER 2 14FR 153CM	SUP-97-03133	CDM			272	RC		inpatient			741	741																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L63 MM X W10 MM X H1.5 MM 3 HOLE HEAD 4 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.941	CDM	270010022	LOCAL	270	RC		outpatient			740.3	74.3	200.55				percent of total billed charges		740.3				other	OPPS APC	547.82				percent of total billed charges		740.3				other	OPPS APC	740.3				other	OPPS APC	200.55				percent of total billed charges		204.54				percent of total billed charges		74.3				other	OPPS APC	74.3	740.3	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L63 MM X W10 MM X H1.5 MM 3 HOLE HEAD 4 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.941	CDM	270010022	LOCAL	270	RC		inpatient			740.3	740.3																																																			
SCREW PT 6.5MM X 50 (20MM)	SUP-97-03749	CDM			278	RC		outpatient			740.16	74.16	740.16				fee schedule		740.16				other	OPPS APC	421.89				percent of total billed charges		740.16				other	OPPS APC	740.16				other	OPPS APC	362.68				percent of total billed charges		377.48				percent of total billed charges		74.16				other	OPPS APC	74.16	740.16	
SCREW PT 6.5MM X 50 (20MM)	SUP-97-03749	CDM			278	RC		inpatient			740.16	740.16																																																			
ASNIS III CANNULATED SCR 8.0X80MM	SUP-97-04053	CDM			278	RC		outpatient			740.16	74.16	740.16				fee schedule		740.16				other	OPPS APC	421.89				percent of total billed charges		740.16				other	OPPS APC	740.16				other	OPPS APC	362.68				percent of total billed charges		377.48				percent of total billed charges		74.16				other	OPPS APC	74.16	740.16	
ASNIS III CANNULATED SCR 8.0X80MM	SUP-97-04053	CDM			278	RC		inpatient			740.16	740.16																																																			
SCREW CANN SCR 6.5X90MM	SUP-97-04111	CDM			278	RC		outpatient			740.16	74.16	740.16				fee schedule		740.16				other	OPPS APC	421.89				percent of total billed charges		740.16				other	OPPS APC	740.16				other	OPPS APC	362.68				percent of total billed charges		377.48				percent of total billed charges		74.16				other	OPPS APC	74.16	740.16	
SCREW CANN SCR 6.5X90MM	SUP-97-04111	CDM			278	RC		inpatient			740.16	740.16																																																			
ASNIS III SS CANN SCR 6.5X80MM	SUP-97-04222	CDM			278	RC		outpatient			740.16	74.16	740.16				fee schedule		740.16				other	OPPS APC	421.89				percent of total billed charges		740.16				other	OPPS APC	740.16				other	OPPS APC	362.68				percent of total billed charges		377.48				percent of total billed charges		74.16				other	OPPS APC	74.16	740.16	
ASNIS III SS CANN SCR 6.5X80MM	SUP-97-04222	CDM			278	RC		inpatient			740.16	740.16																																																			
6.2 X 70MM 20MM THD SCREW	SUP-97-05024	CDM			278	RC		outpatient			740.16	74.16	740.16				fee schedule		740.16				other	OPPS APC	421.89				percent of total billed charges		740.16				other	OPPS APC	740.16				other	OPPS APC	362.68				percent of total billed charges		377.48				percent of total billed charges		74.16				other	OPPS APC	74.16	740.16	
6.2 X 70MM 20MM THD SCREW	SUP-97-05024	CDM			278	RC		inpatient			740.16	740.16																																																			
PLATE BONE LCP NARROW 98X13.5X4.2MM SS NS 5 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-224.551	CDM	270010022	LOCAL	270	RC		outpatient			739.2	739.25	200.25				percent of total billed charges		739.2				other	OPPS APC	547.01				percent of total billed charges		739.2				other	OPPS APC	739.2				other	OPPS APC	200.25				percent of total billed charges		204.24				percent of total billed charges		739.25				other	OPPS APC	200.25	739.25	
PLATE BONE LCP NARROW 98X13.5X4.2MM SS NS 5 HOLE LIMIT CONTACT TAPER END 4.5MM SCREW LG FRAGMENT SET	SUP-224.551	CDM	270010022	LOCAL	270	RC		inpatient			739.2	739.2																																																			
SCREW EVOS LOCKING CANNUALTED 5.7MM X 80MM	SUP-72535780	CDM			270	RC		outpatient			739	739	200.2				percent of total billed charges		739				other	OPPS APC	546.86				percent of total billed charges		739				other	OPPS APC	739				other	OPPS APC	200.2				percent of total billed charges		204.19				percent of total billed charges		739				other	OPPS APC	200.2	739	
SCREW EVOS LOCKING CANNUALTED 5.7MM X 80MM	SUP-72535780	CDM			270	RC		inpatient			739	739																																																			
SCREW PT 6.5MM X 75MM	SUP-97-04218	CDM			278	RC		outpatient			738.48	738.48	738.48				fee schedule		738.48				other	OPPS APC	420.93				percent of total billed charges		738.48				other	OPPS APC	738.48				other	OPPS APC	361.86				percent of total billed charges		376.62				percent of total billed charges		738.48				other	OPPS APC	361.86	738.48	
SCREW PT 6.5MM X 75MM	SUP-97-04218	CDM			278	RC		inpatient			738.48	738.48																																																			
PLATE BONE LCP T OBLIQUE RIGHT 63X10X1.5MM SS NS 3 HOLE HEAD 4 HOLE SHAFT 3.5MM SCREW SM FRAGMENT	SUP-241.041	CDM	270010022	LOCAL	270	RC		outpatient			738.1	738.12	199.95				percent of total billed charges		738.1				other	OPPS APC	546.19				percent of total billed charges		738.1				other	OPPS APC	738.1				other	OPPS APC	199.95				percent of total billed charges		203.94				percent of total billed charges		738.12				other	OPPS APC	199.95	738.12	
PLATE BONE LCP T OBLIQUE RIGHT 63X10X1.5MM SS NS 3 HOLE HEAD 4 HOLE SHAFT 3.5MM SCREW SM FRAGMENT	SUP-241.041	CDM	270010022	LOCAL	270	RC		inpatient			738.1	738.1																																																			
K-WIRE 0.9 X 150MM BLUNT/TROCAR	SUP-95-04719	CDM			272	RC		outpatient			738	738	199.92				percent of total billed charges		738				other	OPPS APC	546.12				percent of total billed charges		738				other	OPPS APC	738				other	OPPS APC	199.92				percent of total billed charges		203.91				percent of total billed charges		738				other	OPPS APC	199.92	738	
K-WIRE 0.9 X 150MM BLUNT/TROCAR	SUP-95-04719	CDM			272	RC		inpatient			738	738																																																			
DRILL 2.2MM CANNULATED PHALINX HAMMERTOE	SUP-95-05584	CDM			272	RC		outpatient			738	738	199.92				percent of total billed charges		738				other	OPPS APC	546.12				percent of total billed charges		738				other	OPPS APC	738				other	OPPS APC	199.92				percent of total billed charges		203.91				percent of total billed charges		738				other	OPPS APC	199.92	738	
DRILL 2.2MM CANNULATED PHALINX HAMMERTOE	SUP-95-05584	CDM			272	RC		inpatient			738	738																																																			
HC Retrograde  Brachial	PX-361361201	CDM	36120	CPT	361	RC		outpatient			737	737	232.74				percent of total billed charges		737				other	OPPS APC	737				fee schedule		737				other	OPPS APC	737				other	OPPS APC	232.74				percent of total billed charges		237.39				percent of total billed charges		737				other	OPPS APC	232.74	737	
HC Retrograde  Brachial	PX-361361201	CDM	36120	CPT	361	RC		inpatient			737	737																																																			
TRAY PNEUMOTHOROX WAYNE 14FR	SUP-12-00100	CDM			272	RC		outpatient			736.5	736.5	199.52				percent of total billed charges		736.5				other	OPPS APC	545.01				percent of total billed charges		736.5				other	OPPS APC	736.5				other	OPPS APC	199.52				percent of total billed charges		203.49				percent of total billed charges		736.5				other	OPPS APC	199.52	736.5	
TRAY PNEUMOTHOROX WAYNE 14FR	SUP-12-00100	CDM			272	RC		inpatient			736.5	736.5																																																			
PATCH DURAL DURA-GUARD BOVINE PERICARDIAL L4 CM X W4 CM RESORBABLE STERILE DURAPLASTY	SUP-DG0404SN	CDM			270	RC		outpatient			736.08	736.84	199.4				percent of total billed charges		736.08				other	OPPS APC	544.7				percent of total billed charges		736.08				other	OPPS APC	736.08				other	OPPS APC	199.4				percent of total billed charges		203.38				percent of total billed charges		736.84				other	OPPS APC	199.4	736.84	
PATCH DURAL DURA-GUARD BOVINE PERICARDIAL L4 CM X W4 CM RESORBABLE STERILE DURAPLASTY	SUP-DG0404SN	CDM			270	RC		inpatient			736.08	736.08																																																			
HC Removal of Nail Bed	PX-450117501	CDM	11750	CPT	450	RC		outpatient			736	736	195.77				case rate		736				other	OPPS APC	544.64				percent of total billed charges		736				other	OPPS APC	736				other	OPPS APC	195.77				case rate		199.69				case rate		736				other	OPPS APC	195.77	736	
HC Removal of Nail Bed	PX-450117501	CDM	11750	CPT	450	RC		inpatient			736	736																																																			
HC Excision Nail Partial or Complete	PX-761117500	CDM	11750	CPT	761	RC		outpatient			736	736	195.77				case rate		736				other	OPPS APC	544.64				percent of total billed charges		736				other	OPPS APC	736				other	OPPS APC	195.77				case rate		375.36				percent of total billed charges		736				other	OPPS APC	195.77	736	
HC Excision Nail Partial or Complete	PX-761117500	CDM	11750	CPT	761	RC		inpatient			736	736																																																			
CEFTAROLINE FOSAMIL PER 10 MG	636000000	CDM	0456-0600-01	NDC	J0712	HCPCS		inpatient			735.6	735.6																																																			
CEFTAROLINE FOSAMIL PER 10 MG	636000000	CDM	0456-0600-01	NDC	J0712	HCPCS		outpatient			735.6	4.12																																											4.12				other	OPPS APC	4.12	4.12	
PLATE BONE LCP COMBI ANGLE RIGHT T 78X11X1.5MM SS NS 4 HOLE HEAD 6 HOLE SHAFT 3.5MM SCREW SM FRAGMENT SET	SUP-241.161	CDM	270010022	LOCAL	270	RC		outpatient			735.26	735.26	199.18				percent of total billed charges		735.26				other	OPPS APC	544.09				percent of total billed charges		735.26				other	OPPS APC	735.26				other	OPPS APC	199.18				percent of total billed charges		203.15				percent of total billed charges		735.26				other	OPPS APC	199.18	735.26	
PLATE BONE LCP COMBI ANGLE RIGHT T 78X11X1.5MM SS NS 4 HOLE HEAD 6 HOLE SHAFT 3.5MM SCREW SM FRAGMENT SET	SUP-241.161	CDM	270010022	LOCAL	270	RC		inpatient			735.26	735.26																																																			
HC Tumor Imaging Single Area/Single Day	PX-340788000	CDM	78800	CPT	340	RC		outpatient			735	49.37	196.87				fee schedule		409.37				other	OPPS APC	413.34				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	235.58				fee schedule		204.66				fee schedule		49.37				other	OPPS APC	49.37	413.34	
HC Tumor Imaging Single Area/Single Day	PX-340788000	CDM	78800	CPT	340	RC		inpatient			735	735																																																			
FIBERTAK KNEE DISPOSABLE KIT	SUP-95-05475	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
FIBERTAK KNEE DISPOSABLE KIT	SUP-95-05475	CDM			272	RC		inpatient			735	735																																																			
BONESYNC BIOACTIVE MATRIX PUTTY 10CC	SUP-97-06230	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BONESYNC BIOACTIVE MATRIX PUTTY 10CC	SUP-97-06230	CDM			272	RC		inpatient			735	735																																																			
CLOSURE DEVICE - ANGIOSEALVIP - 6F	SUP-99-00241	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
CLOSURE DEVICE - ANGIOSEALVIP - 6F	SUP-99-00241	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 3.0X80X150	SUP-99-01342	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 3.0X80X150	SUP-99-01342	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 2.0X100X200	SUP-99-01758	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 2.0X100X200	SUP-99-01758	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 2.0X200X200	SUP-99-01759	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 2.0X200X200	SUP-99-01759	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 3.0X200X200	SUP-99-01760	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 3.0X200X200	SUP-99-01760	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 3.0X100X200	SUP-99-01761	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 3.0X100X200	SUP-99-01761	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 4.0X100X200	SUP-99-01762	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 4.0X100X200	SUP-99-01762	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 4.0X200X200	SUP-99-01763	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 4.0X200X200	SUP-99-01763	CDM			272	RC		inpatient			735	735																																																			
CLOSURE DEVICE - ANGIOSEAL PLUS-8F	SUP-99-03290	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
CLOSURE DEVICE - ANGIOSEAL PLUS-8F	SUP-99-03290	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ULTRAVERSE 014 3.0X100X150	SUP-99-03336	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ULTRAVERSE 014 3.0X100X150	SUP-99-03336	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ATLAS 20X40	SUP-99-03371	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ATLAS 20X40	SUP-99-03371	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ATLAS 22X40	SUP-99-03372	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ATLAS 22X40	SUP-99-03372	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ATLAS 18X40	SUP-99-03596	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ATLAS 18X40	SUP-99-03596	CDM			272	RC		inpatient			735	735																																																			
BALLOON - ATLAS 12X40	SUP-99-03634	CDM			272	RC		outpatient			735	735	199.11				percent of total billed charges		735				other	OPPS APC	543.9				percent of total billed charges		735				other	OPPS APC	735				other	OPPS APC	199.11				percent of total billed charges		203.08				percent of total billed charges		735				other	OPPS APC	199.11	735	
BALLOON - ATLAS 12X40	SUP-99-03634	CDM			272	RC		inpatient			735	735																																																			
NAIL INTRAMEDULLARY TITANIUM 12-14 YR L440 MM OD4 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE PURPLE	SUP-475.940	CDM	270010022	LOCAL	270	RC		outpatient			733.7	733.75	198.76				percent of total billed charges		733.7				other	OPPS APC	542.94				percent of total billed charges		733.7				other	OPPS APC	733.7				other	OPPS APC	198.76				percent of total billed charges		202.72				percent of total billed charges		733.75				other	OPPS APC	198.76	733.75	
NAIL INTRAMEDULLARY TITANIUM 12-14 YR L440 MM OD4 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE PURPLE	SUP-475.940	CDM	270010022	LOCAL	270	RC		inpatient			733.7	733.7																																																			
SCREW BONE PARTIAL THREAD 70MM 16MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-161157	CDM			278	RC		outpatient			733.5	733.5	733.5				fee schedule		733.5				other	OPPS APC	418.1				percent of total billed charges		733.5				other	OPPS APC	733.5				other	OPPS APC	359.42				percent of total billed charges		374.09				percent of total billed charges		733.5				other	OPPS APC	359.42	733.5	
SCREW BONE PARTIAL THREAD 70MM 16MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-161157	CDM			278	RC		inpatient			733.5	733.5																																																			
7.3MM CANNULATED 16MM THEAD 95MM	SUP-97-00384	CDM			278	RC		outpatient			733.5	733.5	733.5				fee schedule		733.5				other	OPPS APC	418.1				percent of total billed charges		733.5				other	OPPS APC	733.5				other	OPPS APC	359.42				percent of total billed charges		374.09				percent of total billed charges		733.5				other	OPPS APC	359.42	733.5	
7.3MM CANNULATED 16MM THEAD 95MM	SUP-97-00384	CDM			278	RC		inpatient			733.5	733.5																																																			
SCREW THREAD 16MMX85MM	SUP-97-00750	CDM			278	RC		outpatient			733.5	733.5	733.5				fee schedule		733.5				other	OPPS APC	418.1				percent of total billed charges		733.5				other	OPPS APC	733.5				other	OPPS APC	359.42				percent of total billed charges		374.09				percent of total billed charges		733.5				other	OPPS APC	359.42	733.5	
SCREW THREAD 16MMX85MM	SUP-97-00750	CDM			278	RC		inpatient			733.5	733.5																																																			
CANNUULATED SCREW 16MMX90MM	SUP-97-00752	CDM			278	RC		outpatient			733.5	733.5	733.5				fee schedule		733.5				other	OPPS APC	418.1				percent of total billed charges		733.5				other	OPPS APC	733.5				other	OPPS APC	359.42				percent of total billed charges		374.09				percent of total billed charges		733.5				other	OPPS APC	359.42	733.5	
CANNUULATED SCREW 16MMX90MM	SUP-97-00752	CDM			278	RC		inpatient			733.5	733.5																																																			
SCREW THEAD 7.3MM 16MM 80MM	SUP-97-00854	CDM			278	RC		outpatient			733.5	733.5	733.5				fee schedule		733.5				other	OPPS APC	418.1				percent of total billed charges		733.5				other	OPPS APC	733.5				other	OPPS APC	359.42				percent of total billed charges		374.09				percent of total billed charges		733.5				other	OPPS APC	359.42	733.5	
SCREW THEAD 7.3MM 16MM 80MM	SUP-97-00854	CDM			278	RC		inpatient			733.5	733.5																																																			
SCREW 7.3 X 125MM CANNULATED 16MM THREAD	SUP-97-05837	CDM			278	RC		outpatient			733.5	733.5	733.5				fee schedule		733.5				other	OPPS APC	418.1				percent of total billed charges		733.5				other	OPPS APC	733.5				other	OPPS APC	359.42				percent of total billed charges		374.09				percent of total billed charges		733.5				other	OPPS APC	359.42	733.5	
SCREW 7.3 X 125MM CANNULATED 16MM THREAD	SUP-97-05837	CDM			278	RC		inpatient			733.5	733.5																																																			
PLATE BONE TITANIUM STANDARD H.6 MM MIDFACIAL 24 HOLE STRAIGHT 1.7 MM SCREWS	SUP-5506724	CDM			270	RC		outpatient			733.2	733.25	198.62				percent of total billed charges		733.2				other	OPPS APC	542.57				percent of total billed charges		733.2				other	OPPS APC	733.2				other	OPPS APC	198.62				percent of total billed charges		202.58				percent of total billed charges		733.25				other	OPPS APC	198.62	733.25	
PLATE BONE TITANIUM STANDARD H.6 MM MIDFACIAL 24 HOLE STRAIGHT 1.7 MM SCREWS	SUP-5506724	CDM			270	RC		inpatient			733.2	733.2																																																			
CANNULATED SCREW COUPLING HEX 2.5	SUP-97-04282	CDM			278	RC		outpatient			732.96	732.96	732.96				fee schedule		732.96				other	OPPS APC	417.79				percent of total billed charges		732.96				other	OPPS APC	732.96				other	OPPS APC	359.15				percent of total billed charges		373.81				percent of total billed charges		732.96				other	OPPS APC	359.15	732.96	
CANNULATED SCREW COUPLING HEX 2.5	SUP-97-04282	CDM			278	RC		inpatient			732.96	732.96																																																			
GRAFT PARIETEX 15 X 15	SUP-97-02682	CDM			278	RC		outpatient			732.9	732.9	732.9				fee schedule		732.9				other	OPPS APC	417.75				percent of total billed charges		732.9				other	OPPS APC	732.9				other	OPPS APC	359.12				percent of total billed charges		373.78				percent of total billed charges		732.9				other	OPPS APC	359.12	732.9	
GRAFT PARIETEX 15 X 15	SUP-97-02682	CDM			278	RC		inpatient			732.9	732.9																																																			
Collar Vista	PX-274L01721	CDM			274	RC		outpatient			732	732	100.39				fee schedule		732				other	OPPS APC	417.24				percent of total billed charges		732				other	OPPS APC	732				other	OPPS APC	358.68				percent of total billed charges		373.32				percent of total billed charges		732				other	OPPS APC	100.39	732	
Collar Vista	PX-274L01721	CDM			274	RC		inpatient			732	732																																																			
Sling Sam Medium 32-50	PX-274L06211	CDM			274	RC		outpatient			732	732	732				fee schedule		732				other	OPPS APC	417.24				percent of total billed charges		732				other	OPPS APC	732				other	OPPS APC	358.68				percent of total billed charges		373.32				percent of total billed charges		732				other	OPPS APC	358.68	732	
Sling Sam Medium 32-50	PX-274L06211	CDM			274	RC		inpatient			732	732																																																			
HC Inject of Sclerosing Agent: Single Vein	PX-361364701	CDM	36470	CPT	361	RC		outpatient			732	392.92	231.17				percent of total billed charges		392.92				other	OPPS APC	680				fee schedule		392.92				other	OPPS APC	392.92				other	OPPS APC	231.17				percent of total billed charges		235.78				percent of total billed charges		392.92				other	OPPS APC	231.17	680	
HC Inject of Sclerosing Agent: Single Vein	PX-361364701	CDM	36470	CPT	361	RC		inpatient			732	732																																																			
HC Inj Sclero Soln Vein Multi Leg	PX-361364711	CDM	36471	CPT	361	RC		outpatient			732	732	231.17				percent of total billed charges		732				other	OPPS APC	732				fee schedule		732				other	OPPS APC	732				other	OPPS APC	231.17				percent of total billed charges		235.78				percent of total billed charges		732				other	OPPS APC	231.17	732	
HC Inj Sclero Soln Vein Multi Leg	PX-361364711	CDM	36471	CPT	361	RC		inpatient			732	732																																																			
HC Vl Aortic Duplex Scan Complete	PX-921939780	CDM	93978	CPT	921	RC		outpatient			732	245.95	226.71				fee schedule		245.95				other	OPPS APC	576.44				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	180.6				fee schedule		373.32				percent of total billed charges		245.95				other	OPPS APC	180.6	576.44	
HC Vl Aortic Duplex Scan Complete	PX-921939780	CDM	93978	CPT	921	RC		inpatient			732	732																																																			
ANCHOR SUTURE HEALIX ADVANCE BR BIOCRYL OD6.5 MM ORTHOCORD	SUP-222300	CDM			270	RC		outpatient			732	732	198.3				percent of total billed charges		732				other	OPPS APC	541.68				percent of total billed charges		732				other	OPPS APC	732				other	OPPS APC	198.3				percent of total billed charges		202.25				percent of total billed charges		732				other	OPPS APC	198.3	732	
ANCHOR SUTURE HEALIX ADVANCE BR BIOCRYL OD6.5 MM ORTHOCORD	SUP-222300	CDM			270	RC		inpatient			732	732																																																			
ANCHOR 3.4MM HEALIX PEEK	SUP-222344	CDM			270	RC		outpatient			732	732	198.3				percent of total billed charges		732				other	OPPS APC	541.68				percent of total billed charges		732				other	OPPS APC	732				other	OPPS APC	198.3				percent of total billed charges		202.25				percent of total billed charges		732				other	OPPS APC	198.3	732	
ANCHOR 3.4MM HEALIX PEEK	SUP-222344	CDM			270	RC		inpatient			732	732																																																			
SCREW LOCKING CANNULATED 5.0MMX65MM	SUP-97-03919	CDM			278	RC		outpatient			730.62	73.62	730.62				fee schedule		730.62				other	OPPS APC	416.45				percent of total billed charges		730.62				other	OPPS APC	730.62				other	OPPS APC	358				percent of total billed charges		372.62				percent of total billed charges		73.62				other	OPPS APC	73.62	730.62	
SCREW LOCKING CANNULATED 5.0MMX65MM	SUP-97-03919	CDM			278	RC		inpatient			730.62	730.62																																																			
SCREW LOCKING CANNULATED 5.0MMX75MM	SUP-97-03920	CDM			278	RC		outpatient			730.62	73.62	730.62				fee schedule		730.62				other	OPPS APC	416.45				percent of total billed charges		730.62				other	OPPS APC	730.62				other	OPPS APC	358				percent of total billed charges		372.62				percent of total billed charges		73.62				other	OPPS APC	73.62	730.62	
SCREW LOCKING CANNULATED 5.0MMX75MM	SUP-97-03920	CDM			278	RC		inpatient			730.62	730.62																																																			
NEEDLE BIOPSY ECHOTIP PROCORE 8- CM 19GA 4.8FR DISPOSABLE STERILE HIGH DEFINITION ULTRASOUND RECESSED BALL TIP SHEATH 2	SUP-G53585	CDM			270	RC		outpatient			730	73	197.76				percent of total billed charges		730				other	OPPS APC	540.2				percent of total billed charges		730				other	OPPS APC	730				other	OPPS APC	197.76				percent of total billed charges		201.7				percent of total billed charges		73				other	OPPS APC	73	730	
NEEDLE BIOPSY ECHOTIP PROCORE 8- CM 19GA 4.8FR DISPOSABLE STERILE HIGH DEFINITION ULTRASOUND RECESSED BALL TIP SHEATH 2	SUP-G53585	CDM			270	RC		inpatient			730	730																																																			
NEEDLE BIOPSY ECHOTIP PROCORE 8- CM 22GA 5.2FR DISPOSABLE STERILE HIGH DEFINITION ULTRASOUND RECESSED BALL TIP SHEATH 2	SUP-G55736	CDM			270	RC		outpatient			730	73	197.76				percent of total billed charges		730				other	OPPS APC	540.2				percent of total billed charges		730				other	OPPS APC	730				other	OPPS APC	197.76				percent of total billed charges		201.7				percent of total billed charges		73				other	OPPS APC	73	730	
NEEDLE BIOPSY ECHOTIP PROCORE 8- CM 22GA 5.2FR DISPOSABLE STERILE HIGH DEFINITION ULTRASOUND RECESSED BALL TIP SHEATH 2	SUP-G55736	CDM			270	RC		inpatient			730	730																																																			
CANISTER SUCTION MAX NONSTERILE	SUP-PAPS2	CDM			270	RC		outpatient			730	73	197.76				percent of total billed charges		730				other	OPPS APC	540.2				percent of total billed charges		730				other	OPPS APC	730				other	OPPS APC	197.76				percent of total billed charges		201.7				percent of total billed charges		73				other	OPPS APC	73	730	
CANISTER SUCTION MAX NONSTERILE	SUP-PAPS2	CDM			270	RC		inpatient			730	730																																																			
CANISTER SUCTION PENUMBRA ENGINE NONSTERILE	SUP-PAPS3	CDM			270	RC		outpatient			730	73	197.76				percent of total billed charges		730				other	OPPS APC	540.2				percent of total billed charges		730				other	OPPS APC	730				other	OPPS APC	197.76				percent of total billed charges		201.7				percent of total billed charges		73				other	OPPS APC	73	730	
CANISTER SUCTION PENUMBRA ENGINE NONSTERILE	SUP-PAPS3	CDM			270	RC		inpatient			730	730																																																			
NEEDLEMASTER 3MMX 26G	SUP-95-04194	CDM			272	RC		outpatient			729.12	729.12	197.52				percent of total billed charges		729.12				other	OPPS APC	539.55				percent of total billed charges		729.12				other	OPPS APC	729.12				other	OPPS APC	197.52				percent of total billed charges		201.46				percent of total billed charges		729.12				other	OPPS APC	197.52	729.12	
NEEDLEMASTER 3MMX 26G	SUP-95-04194	CDM			272	RC		inpatient			729.12	729.12																																																			
BLADE NARROW SAW	SUP-95-04816	CDM			272	RC		outpatient			729	729	197.49				percent of total billed charges		729				other	OPPS APC	539.46				percent of total billed charges		729				other	OPPS APC	729				other	OPPS APC	197.49				percent of total billed charges		201.42				percent of total billed charges		729				other	OPPS APC	197.49	729	
BLADE NARROW SAW	SUP-95-04816	CDM			272	RC		inpatient			729	729																																																			
BLADE WIDE SAW	SUP-95-04819	CDM			272	RC		outpatient			729	729	197.49				percent of total billed charges		729				other	OPPS APC	539.46				percent of total billed charges		729				other	OPPS APC	729				other	OPPS APC	197.49				percent of total billed charges		201.42				percent of total billed charges		729				other	OPPS APC	197.49	729	
BLADE WIDE SAW	SUP-95-04819	CDM			272	RC		inpatient			729	729																																																			
2.4MM VA LCP 2 COL DSTL RAD PTEMPLATES	SUP-97-02541	CDM			278	RC		outpatient			729	729	729				fee schedule		729				other	OPPS APC	415.53				percent of total billed charges		729				other	OPPS APC	729				other	OPPS APC	357.21				percent of total billed charges		371.79				percent of total billed charges		729				other	OPPS APC	357.21	729	
2.4MM VA LCP 2 COL DSTL RAD PTEMPLATES	SUP-97-02541	CDM			278	RC		inpatient			729	729																																																			
ANCHOR SUTURE CINCHLOCK SS KNOTLESS INSERTER LOCK ANATOMIC LABRUM RESTORATION SYSTEM	SUP-CAT02462	CDM			270	RC		outpatient			729	729	197.49				percent of total billed charges		729				other	OPPS APC	539.46				percent of total billed charges		729				other	OPPS APC	729				other	OPPS APC	197.49				percent of total billed charges		201.42				percent of total billed charges		729				other	OPPS APC	197.49	729	
ANCHOR SUTURE CINCHLOCK SS KNOTLESS INSERTER LOCK ANATOMIC LABRUM RESTORATION SYSTEM	SUP-CAT02462	CDM			270	RC		inpatient			729	729																																																			
PROBE ULTRASOUND 10G MAMMOTOME REVOLVE	SUP-95-06011	CDM			272	RC		outpatient			728.65	728.65	197.39				percent of total billed charges		728.65				other	OPPS APC	539.2				percent of total billed charges		728.65				other	OPPS APC	728.65				other	OPPS APC	197.39				percent of total billed charges		201.33				percent of total billed charges		728.65				other	OPPS APC	197.39	728.65	
PROBE ULTRASOUND 10G MAMMOTOME REVOLVE	SUP-95-06011	CDM			272	RC		inpatient			728.65	728.65																																																			
PLATE BONE LCP 81MM SS NS 12 HOLE ADAPTION LOW PROFILE 2MM SCREW MODULAR MINI FRAGMENT	SUP-247.362	CDM	270010022	LOCAL	270	RC		outpatient			728.48	728.48	197.35				percent of total billed charges		728.48				other	OPPS APC	539.08				percent of total billed charges		728.48				other	OPPS APC	728.48				other	OPPS APC	197.35				percent of total billed charges		201.28				percent of total billed charges		728.48				other	OPPS APC	197.35	728.48	
PLATE BONE LCP 81MM SS NS 12 HOLE ADAPTION LOW PROFILE 2MM SCREW MODULAR MINI FRAGMENT	SUP-247.362	CDM	270010022	LOCAL	270	RC		inpatient			728.48	728.48																																																			
3.2MM THREE FLUTED DRILL QC 145MM	SUP-97-01174	CDM			272	RC		outpatient			728.34	728.34	197.31				percent of total billed charges		728.34				other	OPPS APC	538.97				percent of total billed charges		728.34				other	OPPS APC	728.34				other	OPPS APC	197.31				percent of total billed charges		201.24				percent of total billed charges		728.34				other	OPPS APC	197.31	728.34	
3.2MM THREE FLUTED DRILL QC 145MM	SUP-97-01174	CDM			272	RC		inpatient			728.34	728.34																																																			
CATHETER - GLIDECATH 4F 65CM STRAIGHT	SUP-99-00871	CDM			272	RC		outpatient			728.25	728.25	197.28				percent of total billed charges		728.25				other	OPPS APC	538.91				percent of total billed charges		728.25				other	OPPS APC	728.25				other	OPPS APC	197.28				percent of total billed charges		201.22				percent of total billed charges		728.25				other	OPPS APC	197.28	728.25	
CATHETER - GLIDECATH 4F 65CM STRAIGHT	SUP-99-00871	CDM			272	RC		inpatient			728.25	728.25																																																			
SCREW BONE META-TANL L35 MM FEMUR COMPRESSION	SUP-71642935	CDM			270	RC		outpatient			728.22	728.22	197.27				percent of total billed charges		728.22				other	OPPS APC	538.88				percent of total billed charges		728.22				other	OPPS APC	728.22				other	OPPS APC	197.27				percent of total billed charges		201.21				percent of total billed charges		728.22				other	OPPS APC	197.27	728.22	
SCREW BONE META-TANL L35 MM FEMUR COMPRESSION	SUP-71642935	CDM			270	RC		inpatient			728.22	728.22																																																			
PLATE BONE LC-DCP STAINLESS STEEL L103 MM X W11 MM X H3.3 MM 8 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.58	CDM	270010022	LOCAL	270	RC		outpatient			728.2	728.25	197.27				percent of total billed charges		728.2				other	OPPS APC	538.87				percent of total billed charges		728.2				other	OPPS APC	728.2				other	OPPS APC	197.27				percent of total billed charges		201.2				percent of total billed charges		728.25				other	OPPS APC	197.27	728.25	
PLATE BONE LC-DCP STAINLESS STEEL L103 MM X W11 MM X H3.3 MM 8 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.58	CDM	270010022	LOCAL	270	RC		inpatient			728.2	728.2																																																			
PLATE BONE LCP 94MM SS NS 10 HOLE LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.374	CDM	270010022	LOCAL	270	RC		outpatient			727.5	727.5	197.08				percent of total billed charges		727.5				other	OPPS APC	538.35				percent of total billed charges		727.5				other	OPPS APC	727.5				other	OPPS APC	197.08				percent of total billed charges		201.01				percent of total billed charges		727.5				other	OPPS APC	197.08	727.5	
PLATE BONE LCP 94MM SS NS 10 HOLE LOW PROFILE 2.7MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.374	CDM	270010022	LOCAL	270	RC		inpatient			727.5	727.5																																																			
PLATE BONE LCP STAINLESS STEEL L49 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.681	CDM	270010022	LOCAL	270	RC		outpatient			727.5	727.5	197.08				percent of total billed charges		727.5				other	OPPS APC	538.35				percent of total billed charges		727.5				other	OPPS APC	727.5				other	OPPS APC	197.08				percent of total billed charges		201.01				percent of total billed charges		727.5				other	OPPS APC	197.08	727.5	
PLATE BONE LCP STAINLESS STEEL L49 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.681	CDM	270010022	LOCAL	270	RC		inpatient			727.5	727.5																																																			
PLATE BONE LCP STAINLESS STEEL L58 MM 6 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.682	CDM	270010022	LOCAL	270	RC		outpatient			727.5	727.5	197.08				percent of total billed charges		727.5				other	OPPS APC	538.35				percent of total billed charges		727.5				other	OPPS APC	727.5				other	OPPS APC	197.08				percent of total billed charges		201.01				percent of total billed charges		727.5				other	OPPS APC	197.08	727.5	
PLATE BONE LCP STAINLESS STEEL L58 MM 6 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.682	CDM	270010022	LOCAL	270	RC		inpatient			727.5	727.5																																																			
PLATE BONE LCP STAINLESS STEEL L67 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.683	CDM	270010022	LOCAL	270	RC		outpatient			727.5	727.5	197.08				percent of total billed charges		727.5				other	OPPS APC	538.35				percent of total billed charges		727.5				other	OPPS APC	727.5				other	OPPS APC	197.08				percent of total billed charges		201.01				percent of total billed charges		727.5				other	OPPS APC	197.08	727.5	
PLATE BONE LCP STAINLESS STEEL L67 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.683	CDM	270010022	LOCAL	270	RC		inpatient			727.5	727.5																																																			
SCREW LOCKING 5.0 X 70MM IM NAIL	SUP-97-00356	CDM			278	RC		outpatient			727.47	727.47	727.47				fee schedule		727.47				other	OPPS APC	414.66				percent of total billed charges		727.47				other	OPPS APC	727.47				other	OPPS APC	356.46				percent of total billed charges		371.01				percent of total billed charges		727.47				other	OPPS APC	356.46	727.47	
SCREW LOCKING 5.0 X 70MM IM NAIL	SUP-97-00356	CDM			278	RC		inpatient			727.47	727.47																																																			
SCREW LOCKING 5.0 X 32MM IM NAIL	SUP-97-00771	CDM			278	RC		outpatient			727.47	727.47	727.47				fee schedule		727.47				other	OPPS APC	414.66				percent of total billed charges		727.47				other	OPPS APC	727.47				other	OPPS APC	356.46				percent of total billed charges		371.01				percent of total billed charges		727.47				other	OPPS APC	356.46	727.47	
SCREW LOCKING 5.0 X 32MM IM NAIL	SUP-97-00771	CDM			278	RC		inpatient			727.47	727.47																																																			
SCREW LOCKING 5 X 90MM FEMORAL IM NAIL	SUP-97-00836	CDM			278	RC		outpatient			727.47	727.47	727.47				fee schedule		727.47				other	OPPS APC	414.66				percent of total billed charges		727.47				other	OPPS APC	727.47				other	OPPS APC	356.46				percent of total billed charges		371.01				percent of total billed charges		727.47				other	OPPS APC	356.46	727.47	
SCREW LOCKING 5 X 90MM FEMORAL IM NAIL	SUP-97-00836	CDM			278	RC		inpatient			727.47	727.47																																																			
SCREW 5.0 MM LOCKING IM NAIL 4	SUP-97-00315	CDM			278	RC		outpatient			726.57	726.58	726.57				fee schedule		726.57				other	OPPS APC	414.14				percent of total billed charges		726.57				other	OPPS APC	726.57				other	OPPS APC	356.02				percent of total billed charges		370.55				percent of total billed charges		726.58				other	OPPS APC	356.02	726.58	
SCREW 5.0 MM LOCKING IM NAIL 4	SUP-97-00315	CDM			278	RC		inpatient			726.57	726.57																																																			
SCREW 5.0 MM LOCKING IM NAIL 2	SUP-97-00768	CDM			278	RC		outpatient			726.57	726.58	726.57				fee schedule		726.57				other	OPPS APC	414.14				percent of total billed charges		726.57				other	OPPS APC	726.57				other	OPPS APC	356.02				percent of total billed charges		370.55				percent of total billed charges		726.58				other	OPPS APC	356.02	726.58	
SCREW 5.0 MM LOCKING IM NAIL 2	SUP-97-00768	CDM			278	RC		inpatient			726.57	726.57																																																			
SCREW 5.0 MM LOCKING IM NAIL 2	SUP-97-00769	CDM			278	RC		outpatient			726.57	726.58	726.57				fee schedule		726.57				other	OPPS APC	414.14				percent of total billed charges		726.57				other	OPPS APC	726.57				other	OPPS APC	356.02				percent of total billed charges		370.55				percent of total billed charges		726.58				other	OPPS APC	356.02	726.58	
SCREW 5.0 MM LOCKING IM NAIL 2	SUP-97-00769	CDM			278	RC		inpatient			726.57	726.57																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00770	CDM			278	RC		outpatient			726.57	726.58	726.57				fee schedule		726.57				other	OPPS APC	414.14				percent of total billed charges		726.57				other	OPPS APC	726.57				other	OPPS APC	356.02				percent of total billed charges		370.55				percent of total billed charges		726.58				other	OPPS APC	356.02	726.58	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-00770	CDM			278	RC		inpatient			726.57	726.57																																																			
ELECTRODE LOOP OD.3 MM ODSEC22 FR CUT DISPOSABLE	SUP-4622.1313	CDM			270	RC		outpatient			726.51	726.6	196.81				percent of total billed charges		726.51				other	OPPS APC	537.62				percent of total billed charges		726.51				other	OPPS APC	726.51				other	OPPS APC	196.81				percent of total billed charges		200.73				percent of total billed charges		726.6				other	OPPS APC	196.81	726.6	
ELECTRODE LOOP OD.3 MM ODSEC22 FR CUT DISPOSABLE	SUP-4622.1313	CDM			270	RC		inpatient			726.51	726.51																																																			
ELECTRODE LOOP OD.3 MM ODSEC22 FR CUT DISPOSABLE	SUP-462201313US	CDM			270	RC		outpatient			726.51	726.6	196.81				percent of total billed charges		726.51				other	OPPS APC	537.62				percent of total billed charges		726.51				other	OPPS APC	726.51				other	OPPS APC	196.81				percent of total billed charges		200.73				percent of total billed charges		726.6				other	OPPS APC	196.81	726.6	
ELECTRODE LOOP OD.3 MM ODSEC22 FR CUT DISPOSABLE	SUP-462201313US	CDM			270	RC		inpatient			726.51	726.51																																																			
ELECTRODE LOOP OD.3 MM ODSEC22 FR CUT DISPOSABLE	SUP-46221313US	CDM			270	RC		outpatient			726.51	726.6	196.81				percent of total billed charges		726.51				other	OPPS APC	537.62				percent of total billed charges		726.51				other	OPPS APC	726.51				other	OPPS APC	196.81				percent of total billed charges		200.73				percent of total billed charges		726.6				other	OPPS APC	196.81	726.6	
ELECTRODE LOOP OD.3 MM ODSEC22 FR CUT DISPOSABLE	SUP-46221313US	CDM			270	RC		inpatient			726.51	726.51																																																			
ELECTRODE COAG BIPOLAR	SUP-4623.0223	CDM			270	RC		outpatient			726.51	726.6	196.81				percent of total billed charges		726.51				other	OPPS APC	537.62				percent of total billed charges		726.51				other	OPPS APC	726.51				other	OPPS APC	196.81				percent of total billed charges		200.73				percent of total billed charges		726.6				other	OPPS APC	196.81	726.6	
ELECTRODE COAG BIPOLAR	SUP-4623.0223	CDM			270	RC		inpatient			726.51	726.51																																																			
END CAP TIBIAL NAIL SIZE 5	SUP-97-05838	CDM			278	RC		outpatient			725.7	725.75	725.7				fee schedule		725.7				other	OPPS APC	413.65				percent of total billed charges		725.7				other	OPPS APC	725.7				other	OPPS APC	355.59				percent of total billed charges		370.11				percent of total billed charges		725.75				other	OPPS APC	355.59	725.75	
END CAP TIBIAL NAIL SIZE 5	SUP-97-05838	CDM			278	RC		inpatient			725.7	725.7																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD7 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0007-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD7 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0007-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD10 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0010-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD10 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0010-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD STRAIGHT 40CM 14MM VELOUR COLLAGEN	SUP-HGK0014-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD STRAIGHT 40CM 14MM VELOUR COLLAGEN	SUP-HGK0014-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD20 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK0020-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD20 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK0020-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD22 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0022-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR HEMAGARD COLLAGEN POLYESTER STRAIGHT L40 CM X H.49 MM OD22 MM KNIT REVERSE LOCKNIT CROSS LINK EXCELLENT HEAL	SUP-HGK0022-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR HEMASHIELD PLATINUM 2 VELOUR COLLAGEN STRAIGHT L15 CM OD38 MM THORACIC 2 PASS SEWING WOVEN STERILE	SUP-HGK0024-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR HEMASHIELD PLATINUM 2 VELOUR COLLAGEN STRAIGHT L15 CM OD38 MM THORACIC 2 PASS SEWING WOVEN STERILE	SUP-HGK0024-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD7 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0007-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD7 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0007-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD10 MM KNIT	SUP-IGK0010-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD10 MM KNIT	SUP-IGK0010-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD14 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0014-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD14 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-IGK0014-40	CDM			270	RC		inpatient			724.36	724.36																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD24 MM KNIT	SUP-IGK0024-40	CDM			270	RC		outpatient			724.36	724.36	196.23				percent of total billed charges		724.36				other	OPPS APC	536.03				percent of total billed charges		724.36				other	OPPS APC	724.36				other	OPPS APC	196.23				percent of total billed charges		200.14				percent of total billed charges		724.36				other	OPPS APC	196.23	724.36	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L40 CM OD24 MM KNIT	SUP-IGK0024-40	CDM			270	RC		inpatient			724.36	724.36																																																			
CATHETER EXTERNAL DRAINAGE BARIUM 1.1 MM L32 CM OD2.8 MM ID1.5 MM VENTRICULAR TRANSLUCENT STRIPE NUMERIC LENGTH MARKER ANTIBIOTIC IMPREGNATE	SUP-50318	CDM			270	RC		outpatient			724.12	724.12	196.16				percent of total billed charges		724.12				other	OPPS APC	535.85				percent of total billed charges		724.12				other	OPPS APC	724.12				other	OPPS APC	196.16				percent of total billed charges		200.07				percent of total billed charges		724.12				other	OPPS APC	196.16	724.12	
CATHETER EXTERNAL DRAINAGE BARIUM 1.1 MM L32 CM OD2.8 MM ID1.5 MM VENTRICULAR TRANSLUCENT STRIPE NUMERIC LENGTH MARKER ANTIBIOTIC IMPREGNATE	SUP-50318	CDM			270	RC		inpatient			724.12	724.12																																																			
PLATE BONE DCP TITANIUM L30 MM X W5 MM X H1.25 MM MANDIBLE 4 HOLE LOW PROFILE EASILY CONTOUR 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.034	CDM	270010014	LOCAL	270	RC		outpatient			724	724	196.13				percent of total billed charges		724				other	OPPS APC	535.76				percent of total billed charges		724				other	OPPS APC	724				other	OPPS APC	196.13				percent of total billed charges		200.04				percent of total billed charges		724				other	OPPS APC	196.13	724	
PLATE BONE DCP TITANIUM L30 MM X W5 MM X H1.25 MM MANDIBLE 4 HOLE LOW PROFILE EASILY CONTOUR 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.034	CDM	270010014	LOCAL	270	RC		inpatient			724	724																																																			
INTRODUCER SHEATH CHECK-FLO XL 40CM 20FR AQ DISPOSABLE STERILE DILATOR NONTAPER	SUP-G12830	CDM			270	RC		outpatient			723.9	723.9	196.1				percent of total billed charges		723.9				other	OPPS APC	535.69				percent of total billed charges		723.9				other	OPPS APC	723.9				other	OPPS APC	196.1				percent of total billed charges		200.01				percent of total billed charges		723.9				other	OPPS APC	196.1	723.9	
INTRODUCER SHEATH CHECK-FLO XL 40CM 20FR AQ DISPOSABLE STERILE DILATOR NONTAPER	SUP-G12830	CDM			270	RC		inpatient			723.9	723.9																																																			
SCREW BONE 3MM 2MM 1.1MM 20MM 7MM SS 2MM CORE LONG THREAD T8 SM BONE STARDRIVE	SUP-02.226.120	CDM	270010022	LOCAL	270	RC		outpatient			723.6	723.62	196.02				percent of total billed charges		723.6				other	OPPS APC	535.46				percent of total billed charges		723.6				other	OPPS APC	723.6				other	OPPS APC	196.02				percent of total billed charges		199.93				percent of total billed charges		723.62				other	OPPS APC	196.02	723.62	
SCREW BONE 3MM 2MM 1.1MM 20MM 7MM SS 2MM CORE LONG THREAD T8 SM BONE STARDRIVE	SUP-02.226.120	CDM	270010022	LOCAL	270	RC		inpatient			723.6	723.6																																																			
SCREW 2.7 LOCKING 24MM	SUP-97-01404	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
SCREW 2.7 LOCKING 24MM	SUP-97-01404	CDM			278	RC		inpatient			723	723																																																			
SCREW 2.7 LOCKING 22MM	SUP-97-02132	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
SCREW 2.7 LOCKING 22MM	SUP-97-02132	CDM			278	RC		inpatient			723	723																																																			
SCREW 2.7 LOCKING 26MM	SUP-97-02176	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
SCREW 2.7 LOCKING 26MM	SUP-97-02176	CDM			278	RC		inpatient			723	723																																																			
SCREW 2.7 LOCKING 10MM	SUP-97-02814	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
SCREW 2.7 LOCKING 10MM	SUP-97-02814	CDM			278	RC		inpatient			723	723																																																			
2.7MMVA LCK SCREW T8/52MM	SUP-97-03443	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
2.7MMVA LCK SCREW T8/52MM	SUP-97-03443	CDM			278	RC		inpatient			723	723																																																			
SCREW 2.7 LOCKING 40MM	SUP-97-03444	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
SCREW 2.7 LOCKING 40MM	SUP-97-03444	CDM			278	RC		inpatient			723	723																																																			
SCREW 2.7 LOCKING 38MM	SUP-97-03447	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
SCREW 2.7 LOCKING 38MM	SUP-97-03447	CDM			278	RC		inpatient			723	723																																																			
2.7MMVA LCK SCREW T8/48MM	SUP-97-03449	CDM			278	RC		outpatient			723	723	723				fee schedule		723				other	OPPS APC	412.11				percent of total billed charges		723				other	OPPS APC	723				other	OPPS APC	354.27				percent of total billed charges		368.73				percent of total billed charges		723				other	OPPS APC	354.27	723	
2.7MMVA LCK SCREW T8/48MM	SUP-97-03449	CDM			278	RC		inpatient			723	723																																																			
DRILL CANNULATED 2.7	SUP-705250	CDM			270	RC		outpatient			722.24	722.24	195.65				percent of total billed charges		722.24				other	OPPS APC	534.46				percent of total billed charges		722.24				other	OPPS APC	722.24				other	OPPS APC	195.65				percent of total billed charges		199.55				percent of total billed charges		722.24				other	OPPS APC	195.65	722.24	
DRILL CANNULATED 2.7	SUP-705250	CDM			270	RC		inpatient			722.24	722.24																																																			
HC Thyroid Stimulating Ig (Tsig)	PX-300844450	CDM	84445	CPT	301	RC		outpatient			722	5.86	67.99				fee schedule		50.86				fee schedule		135				fee schedule		50.86				fee schedule		50.86				fee schedule		50.86				fee schedule		50.86				fee schedule		5.86				fee schedule		5.86	135	
HC Thyroid Stimulating Ig (Tsig)	PX-300844450	CDM	84445	CPT	301	RC		inpatient			722	722																																																			
CABLE CATHETER SENSOR ENABLED L1.5 MR 12 PIN	SUP-D-AVSE-CBL12	CDM						inpatient			722	722																																																			
CABLE CATHETER SENSOR ENABLED L1.5 MR 12 PIN	SUP-D-AVSE-CBL12	CDM						outpatient			722	722	722				percent of total billed charges		722				other	OPPS APC	722				fee schedule		722				other	OPPS APC	722				other	OPPS APC	722				case rate		722				case rate		722				other	OPPS APC	722	722	
CABLE ADVISOR HD CATHETER	SUP-D-AVSE-CBL22	CDM			270	RC		outpatient			722	722	195.59				percent of total billed charges		722				other	OPPS APC	534.28				percent of total billed charges		722				other	OPPS APC	722				other	OPPS APC	195.59				percent of total billed charges		199.49				percent of total billed charges		722				other	OPPS APC	195.59	722	
CABLE ADVISOR HD CATHETER	SUP-D-AVSE-CBL22	CDM			270	RC		inpatient			722	722																																																			
DRILL BIT 4.2 3 FLUTED NEEDLE 145MM	SUP-97-00327	CDM			272	RC		outpatient			720.39	72.39	195.15				percent of total billed charges		720.39				other	OPPS APC	533.09				percent of total billed charges		720.39				other	OPPS APC	720.39				other	OPPS APC	195.15				percent of total billed charges		199.04				percent of total billed charges		72.39				other	OPPS APC	72.39	720.39	
DRILL BIT 4.2 3 FLUTED NEEDLE 145MM	SUP-97-00327	CDM			272	RC		inpatient			720.39	720.39																																																			
CATHETER ELECTROPHYSIOLOGY RESPONSE 2-8-2 MM SPACING CSL CURVE L65 CM OD6 FR DECAPOLAR	SUP-401353	CDM			270	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
CATHETER ELECTROPHYSIOLOGY RESPONSE 2-8-2 MM SPACING CSL CURVE L65 CM OD6 FR DECAPOLAR	SUP-401353	CDM			270	RC		inpatient			720	720																																																			
WIRE GUIDED BALLON (COLON) 10MM	SUP-95-02787	CDM			272	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
WIRE GUIDED BALLON (COLON) 10MM	SUP-95-02787	CDM			272	RC		inpatient			720	720																																																			
WIRE GUIDED BALLON (COLON) 12MM	SUP-95-02788	CDM			272	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
WIRE GUIDED BALLON (COLON) 12MM	SUP-95-02788	CDM			272	RC		inpatient			720	720																																																			
SCREW 3X13MM QUICKFIX TITANIUM	SUP-95-0492	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
SCREW 3X13MM QUICKFIX TITANIUM	SUP-95-0492	CDM			278	RC		inpatient			720	720																																																			
SUTURE PASSER HIP SWIFTSTITCH	SUP-95-05359	CDM			272	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
SUTURE PASSER HIP SWIFTSTITCH	SUP-95-05359	CDM			272	RC		inpatient			720	720																																																			
REVOLUTION SUTURE PASSER	SUP-97-00574	CDM			272	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
REVOLUTION SUTURE PASSER	SUP-97-00574	CDM			272	RC		inpatient			720	720																																																			
QUICKFIX SCREW 2X12MM	SUP-97-01464	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
QUICKFIX SCREW 2X12MM	SUP-97-01464	CDM			278	RC		inpatient			720	720																																																			
MPS BACK-UP SURGARY KIT	SUP-97-01825	CDM			272	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
MPS BACK-UP SURGARY KIT	SUP-97-01825	CDM			272	RC		inpatient			720	720																																																			
QUICKFIX SCREW 2X13MM	SUP-97-02573	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
QUICKFIX SCREW 2X13MM	SUP-97-02573	CDM			278	RC		inpatient			720	720																																																			
QUICK FIX SCREW TITANIUM 2 MM X 11 MM	SUP-97-04966	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
QUICK FIX SCREW TITANIUM 2 MM X 11 MM	SUP-97-04966	CDM			278	RC		inpatient			720	720																																																			
SCREW QUICKFIX 2X14MM	SUP-97-05536	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
SCREW QUICKFIX 2X14MM	SUP-97-05536	CDM			278	RC		inpatient			720	720																																																			
SCREW 4.0 X 36MM CANNULATED HEADLESS SHORT THREAD MINI MONSTER	SUP-97-05833	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
SCREW 4.0 X 36MM CANNULATED HEADLESS SHORT THREAD MINI MONSTER	SUP-97-05833	CDM			278	RC		inpatient			720	720																																																			
SCREW 4.0 X 48MM CANNULATED HEADLESS SHORT THREAD MINI MONSTER	SUP-97-05834	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
SCREW 4.0 X 48MM CANNULATED HEADLESS SHORT THREAD MINI MONSTER	SUP-97-05834	CDM			278	RC		inpatient			720	720																																																			
SCREW QUICKFIX TITANIUM 2 X 10MM	SUP-97-06136	CDM			278	RC		outpatient			720	72	720				fee schedule		720				other	OPPS APC	410.4				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	352.8				percent of total billed charges		367.2				percent of total billed charges		72				other	OPPS APC	72	720	
SCREW QUICKFIX TITANIUM 2 X 10MM	SUP-97-06136	CDM			278	RC		inpatient			720	720																																																			
SNARE VASCULAR EN SNARE STANDARD L47 IN L100 CM OD.47-.79 IN ODSEC6 FR 3 LOOP NITINOL WIRE CATHETER	SUP-EN2006020	CDM			270	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
SNARE VASCULAR EN SNARE STANDARD L47 IN L100 CM OD.47-.79 IN ODSEC6 FR 3 LOOP NITINOL WIRE CATHETER	SUP-EN2006020	CDM			270	RC		inpatient			720	720																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 4CM 2MM DACRON PLATINUM OCCLUSION SYSTEM	SUP-M001361480	CDM			270	RC		outpatient			720	72	195.05				percent of total billed charges		720				other	OPPS APC	532.8				percent of total billed charges		720				other	OPPS APC	720				other	OPPS APC	195.05				percent of total billed charges		198.94				percent of total billed charges		72				other	OPPS APC	72	720	
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 4CM 2MM DACRON PLATINUM OCCLUSION SYSTEM	SUP-M001361480	CDM			270	RC		inpatient			720	720																																																			
PLATE PROFYLE 7 HOLE Y NARROW 1.7MM	SUP-97-06037	CDM			278	RC		outpatient			719.55	719.55	719.55				fee schedule		719.55				other	OPPS APC	410.14				percent of total billed charges		719.55				other	OPPS APC	719.55				other	OPPS APC	352.58				percent of total billed charges		366.97				percent of total billed charges		719.55				other	OPPS APC	352.58	719.55	
PLATE PROFYLE 7 HOLE Y NARROW 1.7MM	SUP-97-06037	CDM			278	RC		inpatient			719.55	719.55																																																			
2.4MM VA LOCKING SCREW  STARDRIVE 26MM	SUP-97-02540	CDM			278	RC		outpatient			719.28	719.28	719.28				fee schedule		719.28				other	OPPS APC	409.99				percent of total billed charges		719.28				other	OPPS APC	719.28				other	OPPS APC	352.45				percent of total billed charges		366.83				percent of total billed charges		719.28				other	OPPS APC	352.45	719.28	
2.4MM VA LOCKING SCREW  STARDRIVE 26MM	SUP-97-02540	CDM			278	RC		inpatient			719.28	719.28																																																			
SCREW 2.4MM VA LCK 18MM STARDRIVE	SUP-97-02761	CDM			278	RC		outpatient			719.28	719.28	719.28				fee schedule		719.28				other	OPPS APC	409.99				percent of total billed charges		719.28				other	OPPS APC	719.28				other	OPPS APC	352.45				percent of total billed charges		366.83				percent of total billed charges		719.28				other	OPPS APC	352.45	719.28	
SCREW 2.4MM VA LCK 18MM STARDRIVE	SUP-97-02761	CDM			278	RC		inpatient			719.28	719.28																																																			
SCREW 2.4MM VA LCK 20MM STARDRIVE	SUP-97-02762	CDM			278	RC		outpatient			719.28	719.28	719.28				fee schedule		719.28				other	OPPS APC	409.99				percent of total billed charges		719.28				other	OPPS APC	719.28				other	OPPS APC	352.45				percent of total billed charges		366.83				percent of total billed charges		719.28				other	OPPS APC	352.45	719.28	
SCREW 2.4MM VA LCK 20MM STARDRIVE	SUP-97-02762	CDM			278	RC		inpatient			719.28	719.28																																																			
HC Resp Virus Multiplex  Reverse Trans/Amp  12-25 Targets	PX-300876330	CDM	87633	CPT	300	RC		inpatient			719	719																																																			
HC Resp Virus Multiplex  Reverse Trans/Amp  12-25 Targets	PX-300876330	CDM	87633	CPT	300	RC		outpatient			719	416.78					fee schedule		416.78				fee schedule		1088.53				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		1088.53	1088.53	
KIT CATHETER HICKMAN PEEL-APART 56CM 9.6FR SILICONE STERILE LF PEDIATRIC 1 LUMEN LOW PROFILE ADAPTER	SUP-0600564	CDM			270	RC		outpatient			718.2	718.25	194.56				percent of total billed charges		718.2				other	OPPS APC	531.47				percent of total billed charges		718.2				other	OPPS APC	718.2				other	OPPS APC	194.56				percent of total billed charges		198.44				percent of total billed charges		718.25				other	OPPS APC	194.56	718.25	
KIT CATHETER HICKMAN PEEL-APART 56CM 9.6FR SILICONE STERILE LF PEDIATRIC 1 LUMEN LOW PROFILE ADAPTER	SUP-0600564	CDM			270	RC		inpatient			718.2	718.2																																																			
PLATE BONE TITANIUM ORBITAL RIM 12 HOLE 1.5 MM SCREW	SUP-446.22	CDM	270010014	LOCAL	270	RC		outpatient			718.02	718.2	194.51				percent of total billed charges		718.02				other	OPPS APC	531.33				percent of total billed charges		718.02				other	OPPS APC	718.02				other	OPPS APC	194.51				percent of total billed charges		198.39				percent of total billed charges		718.2				other	OPPS APC	194.51	718.2	
PLATE BONE TITANIUM ORBITAL RIM 12 HOLE 1.5 MM SCREW	SUP-446.22	CDM	270010014	LOCAL	270	RC		inpatient			718.02	718.02																																																			
GRAFT XENOSURE BIOLOGIC VASCULAR PATCH 2 CM X 9CM	SUP-E2P9	CDM			270	RC		outpatient			718	718	194.51				percent of total billed charges		718				other	OPPS APC	531.32				percent of total billed charges		718				other	OPPS APC	718				other	OPPS APC	194.51				percent of total billed charges		198.38				percent of total billed charges		718				other	OPPS APC	194.51	718	
GRAFT XENOSURE BIOLOGIC VASCULAR PATCH 2 CM X 9CM	SUP-E2P9	CDM			270	RC		inpatient			718	718																																																			
CATHETER - GLIDECATH 4F 65CM ANGLED	SUP-99-00875	CDM			272	RC		outpatient			717	717	194.24				percent of total billed charges		717				other	OPPS APC	530.58				percent of total billed charges		717				other	OPPS APC	717				other	OPPS APC	194.24				percent of total billed charges		198.11				percent of total billed charges		717				other	OPPS APC	194.24	717	
CATHETER - GLIDECATH 4F 65CM ANGLED	SUP-99-00875	CDM			272	RC		inpatient			717	717																																																			
CATHETER - GLIDECATH 4F 150CM MULTICURVE	SUP-99-03761	CDM			272	RC		outpatient			717	717	194.24				percent of total billed charges		717				other	OPPS APC	530.58				percent of total billed charges		717				other	OPPS APC	717				other	OPPS APC	194.24				percent of total billed charges		198.11				percent of total billed charges		717				other	OPPS APC	194.24	717	
CATHETER - GLIDECATH 4F 150CM MULTICURVE	SUP-99-03761	CDM			272	RC		inpatient			717	717																																																			
SCREW LAG 6.5MM 105MM T2 IM FEM CANN	SUP-97-02616	CDM			278	RC		outpatient			716.76	716.76	716.76				fee schedule		716.76				other	OPPS APC	408.55				percent of total billed charges		716.76				other	OPPS APC	716.76				other	OPPS APC	351.21				percent of total billed charges		365.55				percent of total billed charges		716.76				other	OPPS APC	351.21	716.76	
SCREW LAG 6.5MM 105MM T2 IM FEM CANN	SUP-97-02616	CDM			278	RC		inpatient			716.76	716.76																																																			
SCREW LAG 6.5MM 90MM T2 IM FEM CANN	SUP-97-02618	CDM			278	RC		outpatient			716.76	716.76	716.76				fee schedule		716.76				other	OPPS APC	408.55				percent of total billed charges		716.76				other	OPPS APC	716.76				other	OPPS APC	351.21				percent of total billed charges		365.55				percent of total billed charges		716.76				other	OPPS APC	351.21	716.76	
SCREW LAG 6.5MM 90MM T2 IM FEM CANN	SUP-97-02618	CDM			278	RC		inpatient			716.76	716.76																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 6CM 3MM DACRON PLATINUM 18 COIL DETACHABLE OCCLUSION	SUP-M001361500	CDM			270	RC		outpatient			716	716	193.96				percent of total billed charges		716				other	OPPS APC	529.84				percent of total billed charges		716				other	OPPS APC	716				other	OPPS APC	193.96				percent of total billed charges		197.83				percent of total billed charges		716				other	OPPS APC	193.96	716	
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 6CM 3MM DACRON PLATINUM 18 COIL DETACHABLE OCCLUSION	SUP-M001361500	CDM			270	RC		inpatient			716	716																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC 2D L8 CM OD4 MM 18 COIL DETACHABLE OCCLUSION	SUP-M001361520	CDM			270	RC		outpatient			716	716	193.96				percent of total billed charges		716				other	OPPS APC	529.84				percent of total billed charges		716				other	OPPS APC	716				other	OPPS APC	193.96				percent of total billed charges		197.83				percent of total billed charges		716				other	OPPS APC	193.96	716	
COIL EMBOLIZATION INTERLOCK FIBERED IDC 2D L8 CM OD4 MM 18 COIL DETACHABLE OCCLUSION	SUP-M001361520	CDM			270	RC		inpatient			716	716																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 15CM 5MM CLEAR DACRON PLATINUM 18 COIL OCCLUSION SYSTEM	SUP-M001361550	CDM			270	RC		outpatient			716	716	193.96				percent of total billed charges		716				other	OPPS APC	529.84				percent of total billed charges		716				other	OPPS APC	716				other	OPPS APC	193.96				percent of total billed charges		197.83				percent of total billed charges		716				other	OPPS APC	193.96	716	
COIL EMBOLIZATION INTERLOCK FIBERED IDC STANDARD LENGTH 2D 15CM 5MM CLEAR DACRON PLATINUM 18 COIL OCCLUSION SYSTEM	SUP-M001361550	CDM			270	RC		inpatient			716	716																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC .018 IN 2D L20 CM OD8 MM DETACHABLE OCCLUSION	SUP-M001361580	CDM			270	RC		outpatient			716	716	193.96				percent of total billed charges		716				other	OPPS APC	529.84				percent of total billed charges		716				other	OPPS APC	716				other	OPPS APC	193.96				percent of total billed charges		197.83				percent of total billed charges		716				other	OPPS APC	193.96	716	
COIL EMBOLIZATION INTERLOCK FIBERED IDC .018 IN 2D L20 CM OD8 MM DETACHABLE OCCLUSION	SUP-M001361580	CDM			270	RC		inpatient			716	716																																																			
COIL EMBOLIZATION INTERLOCK FIBERED IDC DIAMOND 2.3CM 3MM 2MM CLEAR DACRON PLATINUM 18 COIL OCCLUSION SYSTEM BUNDLE	SUP-M001361740	CDM			270	RC		outpatient			716	716	193.96				percent of total billed charges		716				other	OPPS APC	529.84				percent of total billed charges		716				other	OPPS APC	716				other	OPPS APC	193.96				percent of total billed charges		197.83				percent of total billed charges		716				other	OPPS APC	193.96	716	
COIL EMBOLIZATION INTERLOCK FIBERED IDC DIAMOND 2.3CM 3MM 2MM CLEAR DACRON PLATINUM 18 COIL OCCLUSION SYSTEM BUNDLE	SUP-M001361740	CDM			270	RC		inpatient			716	716																																																			
PLATE PROFYLE/S T 90A REG 7H	SUP-97-03992	CDM			278	RC		outpatient			715.5	715.5	715.5				fee schedule		715.5				other	OPPS APC	407.84				percent of total billed charges		715.5				other	OPPS APC	715.5				other	OPPS APC	350.6				percent of total billed charges		364.91				percent of total billed charges		715.5				other	OPPS APC	350.6	715.5	
PLATE PROFYLE/S T 90A REG 7H	SUP-97-03992	CDM			278	RC		inpatient			715.5	715.5																																																			
PLATE PROFYLE/XS T-BEVL NRW RT	SUP-97-04150	CDM			278	RC		outpatient			715.5	715.5	715.5				fee schedule		715.5				other	OPPS APC	407.84				percent of total billed charges		715.5				other	OPPS APC	715.5				other	OPPS APC	350.6				percent of total billed charges		364.91				percent of total billed charges		715.5				other	OPPS APC	350.6	715.5	
PLATE PROFYLE/XS T-BEVL NRW RT	SUP-97-04150	CDM			278	RC		inpatient			715.5	715.5																																																			
CANNULA RAP FEMORAL VENOUS 23/25FR	SUP-200-150	CDM			270	RC		outpatient			714	714	193.42				percent of total billed charges		714				other	OPPS APC	528.36				percent of total billed charges		714				other	OPPS APC	714				other	OPPS APC	193.42				percent of total billed charges		197.28				percent of total billed charges		714				other	OPPS APC	193.42	714	
CANNULA RAP FEMORAL VENOUS 23/25FR	SUP-200-150	CDM			270	RC		inpatient			714	714																																																			
NEUROSTIMULATOR VERIFT EXTERNAL	SUP-353101	CDM			270	RC		outpatient			712	712	192.88				percent of total billed charges		712				other	OPPS APC	526.88				percent of total billed charges		712				other	OPPS APC	712				other	OPPS APC	192.88				percent of total billed charges		196.73				percent of total billed charges		712				other	OPPS APC	192.88	712	
NEUROSTIMULATOR VERIFT EXTERNAL	SUP-353101	CDM			270	RC		inpatient			712	712																																																			
PLATE BONE LCP COMBI STAINLESS STEEL PELVIC 3 HOLE SPRING NONSTERILE 3.5 MM SCREW	SUP-02.100.303	CDM	270010022	LOCAL	270	RC		outpatient			711.98	711.98	192.88				percent of total billed charges		711.98				other	OPPS APC	526.87				percent of total billed charges		711.98				other	OPPS APC	711.98				other	OPPS APC	192.88				percent of total billed charges		196.72				percent of total billed charges		711.98				other	OPPS APC	192.88	711.98	
PLATE BONE LCP COMBI STAINLESS STEEL PELVIC 3 HOLE SPRING NONSTERILE 3.5 MM SCREW	SUP-02.100.303	CDM	270010022	LOCAL	270	RC		inpatient			711.98	711.98																																																			
SLINGSHOT	SUP-CAT02589	CDM			270	RC		outpatient			711.96	711.96	192.87				percent of total billed charges		711.96				other	OPPS APC	526.85				percent of total billed charges		711.96				other	OPPS APC	711.96				other	OPPS APC	192.87				percent of total billed charges		196.71				percent of total billed charges		711.96				other	OPPS APC	192.87	711.96	
SLINGSHOT	SUP-CAT02589	CDM			270	RC		inpatient			711.96	711.96																																																			
2.8 COUNTERSINK	SUP-97-23694	CDM			272	RC		outpatient			711.36	711.36	192.71				percent of total billed charges		711.36				other	OPPS APC	526.41				percent of total billed charges		711.36				other	OPPS APC	711.36				other	OPPS APC	192.71				percent of total billed charges		196.55				percent of total billed charges		711.36				other	OPPS APC	192.71	711.36	
2.8 COUNTERSINK	SUP-97-23694	CDM			272	RC		inpatient			711.36	711.36																																																			
TI END CAP T40  FEMORAL NAIL0MM	SUP-97-00829	CDM			278	RC		outpatient			710.82	71.83	710.82				fee schedule		710.82				other	OPPS APC	405.17				percent of total billed charges		710.82				other	OPPS APC	710.82				other	OPPS APC	348.3				percent of total billed charges		362.52				percent of total billed charges		71.83				other	OPPS APC	71.83	710.82	
TI END CAP T40  FEMORAL NAIL0MM	SUP-97-00829	CDM			278	RC		inpatient			710.82	710.82																																																			
EPIDURAL CATH 19G PERIFIX SPRINGWOUND	SUP-95-03450	CDM			272	RC		outpatient			710.73	71.73	192.54				percent of total billed charges		710.73				other	OPPS APC	525.94				percent of total billed charges		710.73				other	OPPS APC	710.73				other	OPPS APC	192.54				percent of total billed charges		196.37				percent of total billed charges		71.73				other	OPPS APC	71.73	710.73	
EPIDURAL CATH 19G PERIFIX SPRINGWOUND	SUP-95-03450	CDM			272	RC		inpatient			710.73	710.73																																																			
CATHETER BALLOON CRE PULMONARY	SUP-M00550310	CDM			270	RC		outpatient			710.66	71.66	192.52				percent of total billed charges		710.66				other	OPPS APC	525.89				percent of total billed charges		710.66				other	OPPS APC	710.66				other	OPPS APC	192.52				percent of total billed charges		196.36				percent of total billed charges		71.66				other	OPPS APC	71.66	710.66	
CATHETER BALLOON CRE PULMONARY	SUP-M00550310	CDM			270	RC		inpatient			710.66	710.66																																																			
DILATOR ENDOSCOPIC CRE L3 CM L75 CM OD10-11-12 MM PULMONARY BALLOON RADIOPAQUE RECTILINEAR SHOULDER STERILE DISPOSABLE ACCEPTS .035 IN JAGWIRE	SUP-M00550340	CDM			270	RC		outpatient			710.66	71.66	192.52				percent of total billed charges		710.66				other	OPPS APC	525.89				percent of total billed charges		710.66				other	OPPS APC	710.66				other	OPPS APC	192.52				percent of total billed charges		196.36				percent of total billed charges		71.66				other	OPPS APC	71.66	710.66	
DILATOR ENDOSCOPIC CRE L3 CM L75 CM OD10-11-12 MM PULMONARY BALLOON RADIOPAQUE RECTILINEAR SHOULDER STERILE DISPOSABLE ACCEPTS .035 IN JAGWIRE	SUP-M00550340	CDM			270	RC		inpatient			710.66	710.66																																																			
DILATOR ENDOSCOPIC CRE L75 CM L3 CM OD12-15 MM PULMONARY BALLOON RADIOPAQUE STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00550350	CDM			270	RC		outpatient			710.66	71.66	192.52				percent of total billed charges		710.66				other	OPPS APC	525.89				percent of total billed charges		710.66				other	OPPS APC	710.66				other	OPPS APC	192.52				percent of total billed charges		196.36				percent of total billed charges		71.66				other	OPPS APC	71.66	710.66	
DILATOR ENDOSCOPIC CRE L75 CM L3 CM OD12-15 MM PULMONARY BALLOON RADIOPAQUE STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00550350	CDM			270	RC		inpatient			710.66	710.66																																																			
CERCLAGE POSITIONING PIN 4.5MM	SUP-97-00368	CDM			278	RC		outpatient			710.64	71.64	710.64				fee schedule		710.64				other	OPPS APC	405.06				percent of total billed charges		710.64				other	OPPS APC	710.64				other	OPPS APC	348.21				percent of total billed charges		362.43				percent of total billed charges		71.64				other	OPPS APC	71.64	710.64	
CERCLAGE POSITIONING PIN 4.5MM	SUP-97-00368	CDM			278	RC		inpatient			710.64	710.64																																																			
PLATE BONE LCP STAINLESS STEEL L163 MM X W11 MM X H3.4 MM 12 HOLE LIMIT CONTACT TAPER END NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.621	CDM	270010022	LOCAL	270	RC		outpatient			710.04	71.4	192.35				percent of total billed charges		710.04				other	OPPS APC	525.43				percent of total billed charges		710.04				other	OPPS APC	710.04				other	OPPS APC	192.35				percent of total billed charges		196.18				percent of total billed charges		71.4				other	OPPS APC	71.4	710.04	
PLATE BONE LCP STAINLESS STEEL L163 MM X W11 MM X H3.4 MM 12 HOLE LIMIT CONTACT TAPER END NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.621	CDM	270010022	LOCAL	270	RC		inpatient			710.04	710.04																																																			
PERFORATOR CRANIAL STAINLESS STEEL 14 MM 11 MM OD14 MM SHARP HUDSON END STERILE DISPOSABLE	SUP-CO261221	CDM			270	RC		outpatient			710	71	192.34				percent of total billed charges		710				other	OPPS APC	525.4				percent of total billed charges		710				other	OPPS APC	710				other	OPPS APC	192.34				percent of total billed charges		196.17				percent of total billed charges		71				other	OPPS APC	71	710	
PERFORATOR CRANIAL STAINLESS STEEL 14 MM 11 MM OD14 MM SHARP HUDSON END STERILE DISPOSABLE	SUP-CO261221	CDM			270	RC		inpatient			710	710																																																			
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 6 HOLE STRUT LOW PROFILE	SUP-421.522	CDM	270010013	LOCAL	270	RC		outpatient			708.88	78.88	192.04				percent of total billed charges		708.88				other	OPPS APC	524.57				percent of total billed charges		708.88				other	OPPS APC	708.88				other	OPPS APC	192.04				percent of total billed charges		195.86				percent of total billed charges		78.88				other	OPPS APC	78.88	708.88	
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 6 HOLE STRUT LOW PROFILE	SUP-421.522	CDM	270010013	LOCAL	270	RC		inpatient			708.88	708.88																																																			
STEM HUMERAL COMPREHENSIVE POROUS MINI L83 MM OD8 MM SHOULDER REVERSE SYSTEM	SUP-113628	CDM	270010024	LOCAL	270	RC		outpatient			708	78	191.8				percent of total billed charges		708				other	OPPS APC	523.92				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	191.8				percent of total billed charges		195.62				percent of total billed charges		78				other	OPPS APC	78	708	
STEM HUMERAL COMPREHENSIVE POROUS MINI L83 MM OD8 MM SHOULDER REVERSE SYSTEM	SUP-113628	CDM	270010024	LOCAL	270	RC		inpatient			708	708																																																			
TARGET GUIDE PACK	SUP-95-05582	CDM			272	RC		outpatient			708	78	191.8				percent of total billed charges		708				other	OPPS APC	523.92				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	191.8				percent of total billed charges		195.62				percent of total billed charges		78				other	OPPS APC	78	708	
TARGET GUIDE PACK	SUP-95-05582	CDM			272	RC		inpatient			708	708																																																			
LO- PRO SCRWSS 4.0X38MM CANN SHT	SUP-97-01684	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
LO- PRO SCRWSS 4.0X38MM CANN SHT	SUP-97-01684	CDM			278	RC		inpatient			708	708																																																			
LO- PRO SCRWSS 4.0X40MM CANN SHT	SUP-97-01783	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
LO- PRO SCRWSS 4.0X40MM CANN SHT	SUP-97-01783	CDM			278	RC		inpatient			708	708																																																			
SCREW 4 X 30MM LO PROFILE CANNULATED LONG THREAD SS	SUP-97-01784	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
SCREW 4 X 30MM LO PROFILE CANNULATED LONG THREAD SS	SUP-97-01784	CDM			278	RC		inpatient			708	708																																																			
SOCKFIX SCRWTICANN	SUP-97-02871	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
SOCKFIX SCRWTICANN	SUP-97-02871	CDM			278	RC		inpatient			708	708																																																			
LO- PRO SCRWS CANN BLUNT4.0X24MM	SUP-97-03637	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
LO- PRO SCRWS CANN BLUNT4.0X24MM	SUP-97-03637	CDM			278	RC		inpatient			708	708																																																			
LO- PRO SCRWS CANN BLUNT4.0X28MM	SUP-97-03638	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
LO- PRO SCRWS CANN BLUNT4.0X28MM	SUP-97-03638	CDM			278	RC		inpatient			708	708																																																			
LO- PRO SCRWS CANN BLUNT4.0X34MM	SUP-97-03639	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
LO- PRO SCRWS CANN BLUNT4.0X34MM	SUP-97-03639	CDM			278	RC		inpatient			708	708																																																			
SCREW 4 X 50MM QUICKFIX TI CANNULATED ST CANCELLOUS	SUP-97-04156	CDM			278	RC		outpatient			708	78	708				fee schedule		708				other	OPPS APC	403.56				percent of total billed charges		708				other	OPPS APC	708				other	OPPS APC	346.92				percent of total billed charges		361.08				percent of total billed charges		78				other	OPPS APC	78	708	
SCREW 4 X 50MM QUICKFIX TI CANNULATED ST CANCELLOUS	SUP-97-04156	CDM			278	RC		inpatient			708	708																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L52 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.931	CDM	270010022	LOCAL	270	RC		outpatient			707.3	77.3	191.61				percent of total billed charges		707.3				other	OPPS APC	523.4				percent of total billed charges		707.3				other	OPPS APC	707.3				other	OPPS APC	191.61				percent of total billed charges		195.43				percent of total billed charges		77.3				other	OPPS APC	77.3	707.3	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE LEFT T L52 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.931	CDM	270010022	LOCAL	270	RC		inpatient			707.3	707.3																																																			
CLIP ANEURYSM YASARGIL TITANIUM STANDARD 6.5 MM OPENING L6.1 MM OD3.5 MM CEREBRAL ANGLED FORWARD FENESTRATED PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT603T	CDM			270	RC		outpatient			707.2	77.25	191.58				percent of total billed charges		707.2				other	OPPS APC	523.33				percent of total billed charges		707.2				other	OPPS APC	707.2				other	OPPS APC	191.58				percent of total billed charges		195.4				percent of total billed charges		77.25				other	OPPS APC	77.25	707.2	
CLIP ANEURYSM YASARGIL TITANIUM STANDARD 6.5 MM OPENING L6.1 MM OD3.5 MM CEREBRAL ANGLED FORWARD FENESTRATED PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT603T	CDM			270	RC		inpatient			707.2	707.2																																																			
CLIP ANEURYSM YASARGIL TITANIUM MINI 4.6 MM OPENING L7 MM CEREBRAL STRAIGHT PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT720T	CDM			270	RC		outpatient			707.2	77.25	191.58				percent of total billed charges		707.2				other	OPPS APC	523.33				percent of total billed charges		707.2				other	OPPS APC	707.2				other	OPPS APC	191.58				percent of total billed charges		195.4				percent of total billed charges		77.25				other	OPPS APC	77.25	707.2	
CLIP ANEURYSM YASARGIL TITANIUM MINI 4.6 MM OPENING L7 MM CEREBRAL STRAIGHT PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT720T	CDM			270	RC		inpatient			707.2	707.2																																																			
CLIP ANEURYSM YASARGIL TITANIUM 4.4 MM OPEN MINI L6.6 MM CEREBRAL PERMANENT MR CONDITIONAL SPRING BLADE STERILE SILVER VIOLET	SUP-FT722T	CDM			270	RC		outpatient			707.2	77.25	191.58				percent of total billed charges		707.2				other	OPPS APC	523.33				percent of total billed charges		707.2				other	OPPS APC	707.2				other	OPPS APC	191.58				percent of total billed charges		195.4				percent of total billed charges		77.25				other	OPPS APC	77.25	707.2	
CLIP ANEURYSM YASARGIL TITANIUM 4.4 MM OPEN MINI L6.6 MM CEREBRAL PERMANENT MR CONDITIONAL SPRING BLADE STERILE SILVER VIOLET	SUP-FT722T	CDM			270	RC		inpatient			707.2	707.2																																																			
CLIP ANEURYSM YASARGIL TITANIUM 6.2 MM OPEN STANDARD L7 MM CEREBRAL PERMANENT MR CONDITIONAL SPRING BLADE STERILE BLUE SILVER	SUP-FT740T	CDM			270	RC		outpatient			707.2	77.25	191.58				percent of total billed charges		707.2				other	OPPS APC	523.33				percent of total billed charges		707.2				other	OPPS APC	707.2				other	OPPS APC	191.58				percent of total billed charges		195.4				percent of total billed charges		77.25				other	OPPS APC	77.25	707.2	
CLIP ANEURYSM YASARGIL TITANIUM 6.2 MM OPEN STANDARD L7 MM CEREBRAL PERMANENT MR CONDITIONAL SPRING BLADE STERILE BLUE SILVER	SUP-FT740T	CDM			270	RC		inpatient			707.2	707.2																																																			
CLIP ANEURYSM YASARGIL TITANIUM STANDARD 6 MM OPENING L6.5 MM CEREBRAL SLIGHTLY CURVED PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT742T	CDM			270	RC		outpatient			707.2	77.25	191.58				percent of total billed charges		707.2				other	OPPS APC	523.33				percent of total billed charges		707.2				other	OPPS APC	707.2				other	OPPS APC	191.58				percent of total billed charges		195.4				percent of total billed charges		77.25				other	OPPS APC	77.25	707.2	
CLIP ANEURYSM YASARGIL TITANIUM STANDARD 6 MM OPENING L6.5 MM CEREBRAL SLIGHTLY CURVED PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT742T	CDM			270	RC		inpatient			707.2	707.2																																																			
CLIP ANEURYSM YASARGIL TITANIUM 7 MM OPENING STANDARD L8.6 MM CEREBRUM PERMANENT MRI SAFETY NONFERROMAGNETIC BLUE SPRING SILVER BLADE STERILE	SUP-FT747T	CDM			270	RC		outpatient			707.2	77.25	191.58				percent of total billed charges		707.2				other	OPPS APC	523.33				percent of total billed charges		707.2				other	OPPS APC	707.2				other	OPPS APC	191.58				percent of total billed charges		195.4				percent of total billed charges		77.25				other	OPPS APC	77.25	707.2	
CLIP ANEURYSM YASARGIL TITANIUM 7 MM OPENING STANDARD L8.6 MM CEREBRUM PERMANENT MRI SAFETY NONFERROMAGNETIC BLUE SPRING SILVER BLADE STERILE	SUP-FT747T	CDM			270	RC		inpatient			707.2	707.2																																																			
Spring Wire .018 X 25cm (a-Line)	PX-272C17693	CDM			272	RC		outpatient			707	77	191.53				percent of total billed charges		707				other	OPPS APC	523.18				percent of total billed charges		707				other	OPPS APC	707				other	OPPS APC	191.53				percent of total billed charges		195.34				percent of total billed charges		77				other	OPPS APC	77	707	
Spring Wire .018 X 25cm (a-Line)	PX-272C17693	CDM			272	RC		inpatient			707	707																																																			
Spring Wire .032' X 60cm (C-Line)	PX-272C17694	CDM			272	RC		outpatient			707	77	191.53				percent of total billed charges		707				other	OPPS APC	523.18				percent of total billed charges		707				other	OPPS APC	707				other	OPPS APC	191.53				percent of total billed charges		195.34				percent of total billed charges		77				other	OPPS APC	77	707	
Spring Wire .032' X 60cm (C-Line)	PX-272C17694	CDM			272	RC		inpatient			707	707																																																			
Cvc Guild for Quad Lumen Cath	PX-272C17695	CDM			272	RC		outpatient			707	77	191.53				percent of total billed charges		707				other	OPPS APC	523.18				percent of total billed charges		707				other	OPPS APC	707				other	OPPS APC	191.53				percent of total billed charges		195.34				percent of total billed charges		77				other	OPPS APC	77	707	
Cvc Guild for Quad Lumen Cath	PX-272C17695	CDM			272	RC		inpatient			707	707																																																			
HC Vl Carotid Duplex Bilateral	PX-921938800	CDM	93880	CPT	921	RC		outpatient			707	245.95	194.49				fee schedule		245.95				other	OPPS APC	679.47				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	191.37				fee schedule		360.57				percent of total billed charges		245.95				other	OPPS APC	191.37	679.47	
HC Vl Carotid Duplex Bilateral	PX-921938800	CDM	93880	CPT	921	RC		inpatient			707	707																																																			
HC Vl Duplex Lea Bilateral	PX-921939250	CDM	93925	CPT	921	RC		outpatient			707	245.95	234.17				fee schedule		245.95				other	OPPS APC	808.81				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	240.55				fee schedule		360.57				percent of total billed charges		245.95				other	OPPS APC	234.17	808.81	
HC Vl Duplex Lea Bilateral	PX-921939250	CDM	93925	CPT	921	RC		inpatient			707	707																																																			
HC Vl Duplex Uea Bilateral	PX-921939300	CDM	93930	CPT	921	RC		outpatient			707	245.95	217.22				fee schedule		245.95				other	OPPS APC	646.81				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	196.03				fee schedule		360.57				percent of total billed charges		245.95				other	OPPS APC	196.03	646.81	
HC Vl Duplex Uea Bilateral	PX-921939300	CDM	93930	CPT	921	RC		inpatient			707	707																																																			
BIT DRILL MATRIXRIB 125MM 5.5MM NS STERNUM J LATCH COUPLING STOP STRYKER	SUP-03.501.070	CDM			270	RC		outpatient			706.56	76.56	191.41				percent of total billed charges		706.56				other	OPPS APC	522.85				percent of total billed charges		706.56				other	OPPS APC	706.56				other	OPPS APC	191.41				percent of total billed charges		195.22				percent of total billed charges		76.56				other	OPPS APC	76.56	706.56	
BIT DRILL MATRIXRIB 125MM 5.5MM NS STERNUM J LATCH COUPLING STOP STRYKER	SUP-03.501.070	CDM			270	RC		inpatient			706.56	706.56																																																			
SIMPLEX P W/TOBRAMYCIN	SUP-78-00329	CDM			278	RC		outpatient			706.5	76.5	706.5				fee schedule		706.5				other	OPPS APC	402.71				percent of total billed charges		706.5				other	OPPS APC	706.5				other	OPPS APC	346.19				percent of total billed charges		360.32				percent of total billed charges		76.5				other	OPPS APC	76.5	706.5	
SIMPLEX P W/TOBRAMYCIN	SUP-78-00329	CDM			278	RC		inpatient			706.5	706.5																																																			
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE RIGHT T L52 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.031	CDM	270010022	LOCAL	270	RC		outpatient			706.2	76.25	191.31				percent of total billed charges		706.2				other	OPPS APC	522.59				percent of total billed charges		706.2				other	OPPS APC	706.2				other	OPPS APC	191.31				percent of total billed charges		195.12				percent of total billed charges		76.25				other	OPPS APC	76.25	706.2	
PLATE BONE LCP COMBI STAINLESS STEEL OBLIQUE RIGHT T L52 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.031	CDM	270010022	LOCAL	270	RC		inpatient			706.2	706.2																																																			
HC Esophageal Manometry Study W/I&R	PX-750910101	CDM	91010	CPT	750	RC		outpatient			705	59.16	179.49				fee schedule		509.16				other	OPPS APC	705				fee schedule		509.16				other	OPPS APC	509.16				other	OPPS APC	221.54				fee schedule		359.55				percent of total billed charges		59.16				other	OPPS APC	59.16	705	
HC Esophageal Manometry Study W/I&R	PX-750910101	CDM	91010	CPT	750	RC		inpatient			705	705																																																			
HC Esoph G-Esop Refulx E/Electrod Plcmt	PX-750910351	CDM	91035	CPT	750	RC		outpatient			705	75	492.96				fee schedule		705				other	OPPS APC	705				fee schedule		705				other	OPPS APC	705				other	OPPS APC	463.21				fee schedule		359.55				percent of total billed charges		75				other	OPPS APC	75	705	
HC Esoph G-Esop Refulx E/Electrod Plcmt	PX-750910351	CDM	91035	CPT	750	RC		inpatient			705	705																																																			
BAKRI BALLOON	SUP-77-00047	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BAKRI BALLOON	SUP-77-00047	CDM			272	RC		inpatient			705	705																																																			
RETRACTOR LIGHTED RADIALUX	SUP-95-02993	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
RETRACTOR LIGHTED RADIALUX	SUP-95-02993	CDM			272	RC		inpatient			705	705																																																			
INTERFSCRW S/ DISP SHTH BIO-COMP 7X23	SUP-97-02118	CDM			278	RC		outpatient			705	75	705				fee schedule		705				other	OPPS APC	401.85				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	345.45				percent of total billed charges		359.55				percent of total billed charges		75				other	OPPS APC	75	705	
INTERFSCRW S/ DISP SHTH BIO-COMP 7X23	SUP-97-02118	CDM			278	RC		inpatient			705	705																																																			
GRAFT 3DMAX MID LEFT LARGE	SUP-97-05334	CDM			278	RC		outpatient			705	75	705				fee schedule		705				other	OPPS APC	401.85				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	345.45				percent of total billed charges		359.55				percent of total billed charges		75				other	OPPS APC	75	705	
GRAFT 3DMAX MID LEFT LARGE	SUP-97-05334	CDM			278	RC		inpatient			705	705																																																			
GRAFT 3DMAX MID RIGHT LARGE	SUP-97-05363	CDM			278	RC		outpatient			705	75	705				fee schedule		705				other	OPPS APC	401.85				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	345.45				percent of total billed charges		359.55				percent of total billed charges		75				other	OPPS APC	75	705	
GRAFT 3DMAX MID RIGHT LARGE	SUP-97-05363	CDM			278	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 5.0X150X130	SUP-99-01225	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 5.0X150X130	SUP-99-01225	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 5.0X40X130	SUP-99-01226	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 5.0X40X130	SUP-99-01226	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 4.0X40X130	SUP-99-01227	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 4.0X40X130	SUP-99-01227	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 4.0X220X130	SUP-99-01228	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 4.0X220X130	SUP-99-01228	CDM			272	RC		inpatient			705	705																																																			
BALLOON - MUSTANG OTW 5X200X135	SUP-99-01277	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - MUSTANG OTW 5X200X135	SUP-99-01277	CDM			272	RC		inpatient			705	705																																																			
BALLOON - MUSTANG OTW 4X200X135	SUP-99-01278	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - MUSTANG OTW 4X200X135	SUP-99-01278	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 2.0X80X130	SUP-99-01284	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 2.0X80X130	SUP-99-01284	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 2.0X220X150	SUP-99-01303	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 2.0X220X150	SUP-99-01303	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 1.5X40X150	SUP-99-01304	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 1.5X40X150	SUP-99-01304	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 2.0X220X130	SUP-99-01305	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 2.0X220X130	SUP-99-01305	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 4.0X150X130	SUP-99-01317	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 4.0X150X130	SUP-99-01317	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 2.0X80X150	SUP-99-01341	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 2.0X80X150	SUP-99-01341	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 2.0X150X150	SUP-99-01344	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 2.0X150X150	SUP-99-01344	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 3.0X220X150	SUP-99-01345	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 3.0X220X150	SUP-99-01345	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 7.0X40X130	SUP-99-01346	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 7.0X40X130	SUP-99-01346	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 5.0X80X130	SUP-99-01426	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 5.0X80X130	SUP-99-01426	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 5.0X80X150	SUP-99-01432	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 5.0X80X150	SUP-99-01432	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 3.0X220X130	SUP-99-01534	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 3.0X220X130	SUP-99-01534	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 3.0X150X130	SUP-99-01545	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 3.0X150X130	SUP-99-01545	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 2.0X150X130	SUP-99-01603	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 2.0X150X130	SUP-99-01603	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 8.0X40X130	SUP-99-01742	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 8.0X40X130	SUP-99-01742	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 5.0X220X130	SUP-99-01752	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 5.0X220X130	SUP-99-01752	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 2.0X120X150	SUP-99-01764	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 2.0X120X150	SUP-99-01764	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 3.0X120X150	SUP-99-01866	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 3.0X120X150	SUP-99-01866	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 2.5X150X150	SUP-99-01867	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 2.5X150X150	SUP-99-01867	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 6.0X220X130	SUP-99-01868	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 6.0X220X130	SUP-99-01868	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 4.0X40X150	SUP-99-01941	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 4.0X40X150	SUP-99-01941	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 018 3.0X80X130	SUP-99-02010	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 018 3.0X80X130	SUP-99-02010	CDM			272	RC		inpatient			705	705																																																			
BALLOON - ULTRAVERSE 014 2.5X100X150	SUP-99-03321	CDM			272	RC		outpatient			705	75	190.98				percent of total billed charges		705				other	OPPS APC	521.7				percent of total billed charges		705				other	OPPS APC	705				other	OPPS APC	190.98				percent of total billed charges		194.79				percent of total billed charges		75				other	OPPS APC	75	705	
BALLOON - ULTRAVERSE 014 2.5X100X150	SUP-99-03321	CDM			272	RC		inpatient			705	705																																																			
PLATE BONE LC-DCP STAINLESS STEEL BROAD L142 MM X W17.5 MM X H5.2 MM 8 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.58	CDM	270010022	LOCAL	270	RC		outpatient			703.8	73.8	190.66				percent of total billed charges		703.8				other	OPPS APC	520.81				percent of total billed charges		703.8				other	OPPS APC	703.8				other	OPPS APC	190.66				percent of total billed charges		194.46				percent of total billed charges		73.8				other	OPPS APC	73.8	703.8	
PLATE BONE LC-DCP STAINLESS STEEL BROAD L142 MM X W17.5 MM X H5.2 MM 8 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-226.58	CDM	270010022	LOCAL	270	RC		inpatient			703.8	703.8																																																			
PLATE BONE CLOVERLEAF 88X15X2MM 1.2MM SS NS 3 HOLE SHAFT THIN BLADE 3.5MM CORTEX 4MM CONCELLOUS SCREW SM FRAGMENT	SUP-241.83	CDM	270010022	LOCAL	270	RC		outpatient			703.8	73.8	190.66				percent of total billed charges		703.8				other	OPPS APC	520.81				percent of total billed charges		703.8				other	OPPS APC	703.8				other	OPPS APC	190.66				percent of total billed charges		194.46				percent of total billed charges		73.8				other	OPPS APC	73.8	703.8	
PLATE BONE CLOVERLEAF 88X15X2MM 1.2MM SS NS 3 HOLE SHAFT THIN BLADE 3.5MM CORTEX 4MM CONCELLOUS SCREW SM FRAGMENT	SUP-241.83	CDM	270010022	LOCAL	270	RC		inpatient			703.8	703.8																																																			
HOOK 4MM X 300MM	SUP-95-04749	CDM			272	RC		outpatient			703.8	73.8	190.66				percent of total billed charges		703.8				other	OPPS APC	520.81				percent of total billed charges		703.8				other	OPPS APC	703.8				other	OPPS APC	190.66				percent of total billed charges		194.46				percent of total billed charges		73.8				other	OPPS APC	73.8	703.8	
HOOK 4MM X 300MM	SUP-95-04749	CDM			272	RC		inpatient			703.8	703.8																																																			
SCREW SYNTHES RETAINER 3.5MM X 14MM	SUP-03.820.103.02S	CDM	270010020	LOCAL	270	RC		outpatient			703.6	73.62	190.61				percent of total billed charges		703.6				other	OPPS APC	520.66				percent of total billed charges		703.6				other	OPPS APC	703.6				other	OPPS APC	190.61				percent of total billed charges		194.4				percent of total billed charges		73.62				other	OPPS APC	73.62	703.6	
SCREW SYNTHES RETAINER 3.5MM X 14MM	SUP-03.820.103.02S	CDM	270010020	LOCAL	270	RC		inpatient			703.6	703.6																																																			
RETAINER SCREW PRODISC-C L16 MM OD3.5 MM SPINE STERILE	SUP-03.820.104.02S	CDM			270	RC		outpatient			703.6	73.62	190.61				percent of total billed charges		703.6				other	OPPS APC	520.66				percent of total billed charges		703.6				other	OPPS APC	703.6				other	OPPS APC	190.61				percent of total billed charges		194.4				percent of total billed charges		73.62				other	OPPS APC	73.62	703.6	
RETAINER SCREW PRODISC-C L16 MM OD3.5 MM SPINE STERILE	SUP-03.820.104.02S	CDM			270	RC		inpatient			703.6	703.6																																																			
ADATPER OPTETRAK CC STEM EXT AND SCREW 5 DEG	SUP-208-09-05	CDM	270010025	LOCAL	270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
ADATPER OPTETRAK CC STEM EXT AND SCREW 5 DEG	SUP-208-09-05	CDM	270010025	LOCAL	270	RC		inpatient			702	702																																																			
TRIAL SURGICAL OPTETRAK 5 D TAPER ADAPTER CROSS CUT	SUP-209-09-05	CDM	270010025	LOCAL	270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
TRIAL SURGICAL OPTETRAK 5 D TAPER ADAPTER CROSS CUT	SUP-209-09-05	CDM	270010025	LOCAL	270	RC		inpatient			702	702																																																			
SCREW  INTEGRA 12MM STAINLESS	SUP-286312	CDM			270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
SCREW  INTEGRA 12MM STAINLESS	SUP-286312	CDM			270	RC		inpatient			702	702																																																			
IMPLANT SCREW INTEGRA  3.5MM X16MM	SUP-286316	CDM			270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
IMPLANT SCREW INTEGRA  3.5MM X16MM	SUP-286316	CDM			270	RC		inpatient			702	702																																																			
IMPLANT SCREW INTEGRA  3.5MM X32MM	SUP-286332	CDM			270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
IMPLANT SCREW INTEGRA  3.5MM X32MM	SUP-286332	CDM			270	RC		inpatient			702	702																																																			
IMPLANT SCREW INTEGRA  3.5MM X36MM	SUP-286336	CDM			270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
IMPLANT SCREW INTEGRA  3.5MM X36MM	SUP-286336	CDM			270	RC		inpatient			702	702																																																			
IMPLANT SCREW INTEGRA  3.5MM X38MM	SUP-286338	CDM			270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
IMPLANT SCREW INTEGRA  3.5MM X38MM	SUP-286338	CDM			270	RC		inpatient			702	702																																																			
IMPLANT SCREW INTEGRA  3.5MM X40MM	SUP-286340	CDM			270	RC		outpatient			702	72	190.17				percent of total billed charges		702				other	OPPS APC	519.48				percent of total billed charges		702				other	OPPS APC	702				other	OPPS APC	190.17				percent of total billed charges		193.96				percent of total billed charges		72				other	OPPS APC	72	702	
IMPLANT SCREW INTEGRA  3.5MM X40MM	SUP-286340	CDM			270	RC		inpatient			702	702																																																			
CLOSURE DEVICE - TR BAND - REG	SUP-99-01350	CDM			272	RC		outpatient			701.25	71.25	189.97				percent of total billed charges		701.25				other	OPPS APC	518.93				percent of total billed charges		701.25				other	OPPS APC	701.25				other	OPPS APC	189.97				percent of total billed charges		193.76				percent of total billed charges		71.25				other	OPPS APC	71.25	701.25	
CLOSURE DEVICE - TR BAND - REG	SUP-99-01350	CDM			272	RC		inpatient			701.25	701.25																																																			
TEMNO EVOLUT COAX 16GX20 CTSUP USSUP	SUP-95-01332	CDM			272	RC		outpatient			701.04	71.4	189.91				percent of total billed charges		701.04				other	OPPS APC	518.77				percent of total billed charges		701.04				other	OPPS APC	701.04				other	OPPS APC	189.91				percent of total billed charges		193.7				percent of total billed charges		71.4				other	OPPS APC	71.4	701.04	
TEMNO EVOLUT COAX 16GX20 CTSUP USSUP	SUP-95-01332	CDM			272	RC		inpatient			701.04	701.04																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT H.6 MM UPPERFACE 24 HOLE 1.2 MM SCREW	SUP-5506224	CDM			270	RC		outpatient			700.8	7.8	189.85				percent of total billed charges		700.8				other	OPPS APC	518.59				percent of total billed charges		700.8				other	OPPS APC	700.8				other	OPPS APC	189.85				percent of total billed charges		193.63				percent of total billed charges		7.8				other	OPPS APC	7.8	700.8	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT H.6 MM UPPERFACE 24 HOLE 1.2 MM SCREW	SUP-5506224	CDM			270	RC		inpatient			700.8	700.8																																																			
Newborn Level 3 Sick Neo Icu	PX-173924281	CDM	92586	CPT	173	RC		inpatient			700	700																																																			
HC ER Level IV	PX-450992841	CDM	99284	CPT	450	RC		outpatient			700	7	195.77				case rate		700				other	OPPS APC	1822				case rate		700				other	OPPS APC	700				other	OPPS APC	195.77				case rate		199.69				case rate		7				other	OPPS APC	7	1822	
HC ER Level IV	PX-450992841	CDM	99284	CPT	450	RC		inpatient			700	700																																																			
TRAY PNEUMOTHOROX WAYNE 10.2F	SUP-12-00063	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
TRAY PNEUMOTHOROX WAYNE 10.2F	SUP-12-00063	CDM			272	RC		inpatient			700	700																																																			
SCREW BONE T2 TITANIUM FULL THREAD L37.5 MM OD5 MM HUMERUS PROXIMAL LOCK STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-1896-5037S	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE T2 TITANIUM FULL THREAD L37.5 MM OD5 MM HUMERUS PROXIMAL LOCK STERILE INTRAMEDULLARY NAIL SYSTEM	SUP-1896-5037S	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE TITANIUM FULL THREAD L85 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5085S	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE TITANIUM FULL THREAD L85 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5085S	CDM			270	RC		inpatient			700	700																																																			
ELECTRODE EMG I-PAS III DIAMOND DISPOSABLE NS LF	SUP-2010028	CDM	270010020	LOCAL	270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
ELECTRODE EMG I-PAS III DIAMOND DISPOSABLE NS LF	SUP-2010028	CDM	270010020	LOCAL	270	RC		inpatient			700	700																																																			
NEEDLE JAMSHIDI I-PASS III	SUP-2010029	CDM	270010020	LOCAL	270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
NEEDLE JAMSHIDI I-PASS III	SUP-2010029	CDM	270010020	LOCAL	270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L30 MM OD4.5 MM SPINAL SOLID	SUP-41-4530-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L30 MM OD4.5 MM SPINAL SOLID	SUP-41-4530-1	CDM			270	RC		inpatient			700	700																																																			
SCREW MARINER SOLID 5.5MM X 35MM	SUP-41-4535-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW MARINER SOLID 5.5MM X 35MM	SUP-41-4535-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L40 MM OD4.5 MM SPINAL SOLID NONSTERILE	SUP-41-4540-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L40 MM OD4.5 MM SPINAL SOLID NONSTERILE	SUP-41-4540-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L30 MM OD5.5 MM SPINAL SOLID	SUP-41-5530-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L30 MM OD5.5 MM SPINAL SOLID	SUP-41-5530-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L35 MM OD5.5 MM SPINAL SOLID	SUP-41-5535-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L35 MM OD5.5 MM SPINAL SOLID	SUP-41-5535-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L40 MM OD5.5 MM SPINAL SOLID NONSTERILE	SUP-41-5540-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L40 MM OD5.5 MM SPINAL SOLID NONSTERILE	SUP-41-5540-1	CDM			270	RC		inpatient			700	700																																																			
SCREW MARINER SOLID 5.5MM X 45MM	SUP-41-5545-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW MARINER SOLID 5.5MM X 45MM	SUP-41-5545-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L50 MM OD5.5 MM SPINAL SOLID NONSTERILE	SUP-41-5550-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L50 MM OD5.5 MM SPINAL SOLID NONSTERILE	SUP-41-5550-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L35 MM OD6.5 MM SPINAL SOLID NONSTERILE	SUP-41-6535-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L35 MM OD6.5 MM SPINAL SOLID NONSTERILE	SUP-41-6535-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L40 MM OD6.5 MM SPINAL SOLID	SUP-41-6540-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L40 MM OD6.5 MM SPINAL SOLID	SUP-41-6540-1	CDM			270	RC		inpatient			700	700																																																			
SCREW MARINER SOLID 6.5MM X 45MM	SUP-41-6545-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW MARINER SOLID 6.5MM X 45MM	SUP-41-6545-1	CDM			270	RC		inpatient			700	700																																																			
SCREW MARINER SOLID 6.5MM X 50MM	SUP-41-6550-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW MARINER SOLID 6.5MM X 50MM	SUP-41-6550-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L55 MM OD6.5 MM SPINAL SOLID	SUP-41-6555-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L55 MM OD6.5 MM SPINAL SOLID	SUP-41-6555-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L40 MM OD7.5 MM SPINAL SOLID NONSTERILE	SUP-41-7540-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L40 MM OD7.5 MM SPINAL SOLID NONSTERILE	SUP-41-7540-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L45 MM OD7.5 MM SPINAL SOLID NONSTERILE	SUP-41-7545-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L45 MM OD7.5 MM SPINAL SOLID NONSTERILE	SUP-41-7545-1	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE MARINER L50 MM OD7.5 MM SPINAL SOLID NONSTERILE	SUP-41-7550-1	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE MARINER L50 MM OD7.5 MM SPINAL SOLID NONSTERILE	SUP-41-7550-1	CDM			270	RC		inpatient			700	700																																																			
GRASPER 2.6 GRASPIT	SUP-70-00089	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
GRASPER 2.6 GRASPIT	SUP-70-00089	CDM			272	RC		inpatient			700	700																																																			
PROBE CALCUTRIPT 7FR X 50CM	SUP-70-00139	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PROBE CALCUTRIPT 7FR X 50CM	SUP-70-00139	CDM			272	RC		inpatient			700	700																																																			
NASOPORE 8CM	SUP-72-00053	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
NASOPORE 8CM	SUP-72-00053	CDM			272	RC		inpatient			700	700																																																			
HYPERFLEX TRACH TUBE SZ-6	SUP-73-00040	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
HYPERFLEX TRACH TUBE SZ-6	SUP-73-00040	CDM			272	RC		inpatient			700	700																																																			
DISP 20G VITRECTOMY CUTTER & SLEEVE	SUP-73-00057	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DISP 20G VITRECTOMY CUTTER & SLEEVE	SUP-73-00057	CDM			272	RC		inpatient			700	700																																																			
GRAFT BONE PUTTY 2.5CC	SUP-75-00124	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
GRAFT BONE PUTTY 2.5CC	SUP-75-00124	CDM			278	RC		inpatient			700	700																																																			
PURSTRING	SUP-76-00028	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PURSTRING	SUP-76-00028	CDM			272	RC		inpatient			700	700																																																			
CUTTER LINEAR FLEX ARTIC 45MM	SUP-76-00104	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CUTTER LINEAR FLEX ARTIC 45MM	SUP-76-00104	CDM			272	RC		inpatient			700	700																																																			
CATHETER PERITONEAL SWAN NECK CURL	SUP-76-00131	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER PERITONEAL SWAN NECK CURL	SUP-76-00131	CDM			278	RC		inpatient			700	700																																																			
RELTACK 10R	SUP-76-00165	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELTACK 10R	SUP-76-00165	CDM			272	RC		inpatient			700	700																																																			
KNOTILUS IMPLANT LOOP 25MM	SUP-80-00015	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
KNOTILUS IMPLANT LOOP 25MM	SUP-80-00015	CDM			278	RC		inpatient			700	700																																																			
STRYKER 5.5MM PEEK ZIP ANCHOR PK/5	SUP-80-00037	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
STRYKER 5.5MM PEEK ZIP ANCHOR PK/5	SUP-80-00037	CDM			278	RC		inpatient			700	700																																																			
SCREW 9M X23 INTERFERENCE	SUP-80-00039	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 9M X23 INTERFERENCE	SUP-80-00039	CDM			278	RC		inpatient			700	700																																																			
RASP INTRAMEDULLARY LARGE MICRORECIP	SUP-84-00041	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RASP INTRAMEDULLARY LARGE MICRORECIP	SUP-84-00041	CDM			272	RC		inpatient			700	700																																																			
COVER CART 24'X60'X68' BLUE	SUP-95-00466	CDM			271	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COVER CART 24'X60'X68' BLUE	SUP-95-00466	CDM			271	RC		inpatient			700	700																																																			
FORCEPS  3 NAIL GRASPING	SUP-95-01007	CDM						inpatient			700	700																																																			
FORCEPS  3 NAIL GRASPING	SUP-95-01007	CDM						outpatient			700	7	700				percent of total billed charges		700				other	OPPS APC	700				fee schedule		700				other	OPPS APC	700				other	OPPS APC	700				case rate		700				case rate		7				other	OPPS APC	7	700	
BASKET  4 WIRE SPIRAL	SUP-95-01008	CDM						inpatient			700	700																																																			
BASKET  4 WIRE SPIRAL	SUP-95-01008	CDM						outpatient			700	7	700				percent of total billed charges		700				other	OPPS APC	700				fee schedule		700				other	OPPS APC	700				other	OPPS APC	700				case rate		700				case rate		7				other	OPPS APC	7	700	
INVRAD MEDIPORT REGULAR	SUP-95-01388	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
INVRAD MEDIPORT REGULAR	SUP-95-01388	CDM			278	RC		inpatient			700	700																																																			
SUCTION VALVE DISPOSABLE	SUP-95-01688	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SUCTION VALVE DISPOSABLE	SUP-95-01688	CDM			272	RC		inpatient			700	700																																																			
GLIDESCOPE COVER #2 COBALT RANGER GLV2	SUP-95-01784	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
GLIDESCOPE COVER #2 COBALT RANGER GLV2	SUP-95-01784	CDM			272	RC		inpatient			700	700																																																			
PROBE 3MHZ	SUP-95-01862	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PROBE 3MHZ	SUP-95-01862	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT 3.2 3 FLUTED NP100MM N/S	SUP-95-01865	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 3.2 3 FLUTED NP100MM N/S	SUP-95-01865	CDM			272	RC		inpatient			700	700																																																			
SCREW 3.5 MM LOCKING SLF TAP 4	SUP-95-02453	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 3.5 MM LOCKING SLF TAP 4	SUP-95-02453	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN LONG THREAD 4MM X 38MM	SUP-95-02454	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN LONG THREAD 4MM X 38MM	SUP-95-02454	CDM			278	RC		inpatient			700	700																																																			
DRILL ASNIS CANN 2MM AO COUPLING 1.7MM	SUP-95-03056	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL ASNIS CANN 2MM AO COUPLING 1.7MM	SUP-95-03056	CDM			272	RC		inpatient			700	700																																																			
DRILL ASNIS 3MM CANN 2.1MM AO COUP	SUP-95-03114	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL ASNIS 3MM CANN 2.1MM AO COUP	SUP-95-03114	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT LOCKING SHORT ?4.3X216MM	SUP-95-03150	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT LOCKING SHORT ?4.3X216MM	SUP-95-03150	CDM			272	RC		inpatient			700	700																																																			
SUPRAPUBIC CATHETER INSERTIONS	SUP-95-03169	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SUPRAPUBIC CATHETER INSERTIONS	SUP-95-03169	CDM			272	RC		inpatient			700	700																																																			
SEALING CAPS	SUP-95-03173	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SEALING CAPS	SUP-95-03173	CDM			272	RC		inpatient			700	700																																																			
DENTAL WIRE 18G	SUP-95-03436	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DENTAL WIRE 18G	SUP-95-03436	CDM			272	RC		inpatient			700	700																																																			
DRILL  2.75MM  CANNULATED	SUP-95-03508	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL  2.75MM  CANNULATED	SUP-95-03508	CDM			272	RC		inpatient			700	700																																																			
MCGRATH XBLADE SIZE 3	SUP-95-03689	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
MCGRATH XBLADE SIZE 3	SUP-95-03689	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT THREE 5.0MM 356MM/126MM	SUP-95-03715	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT THREE 5.0MM 356MM/126MM	SUP-95-03715	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT THREE 4.2MM 330MM/100MM	SUP-95-03716	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT THREE 4.2MM 330MM/100MM	SUP-95-03716	CDM			272	RC		inpatient			700	700																																																			
K-WIRE WW/LENGTH MARKINGS 1.143MM	SUP-95-04007	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
K-WIRE WW/LENGTH MARKINGS 1.143MM	SUP-95-04007	CDM			278	RC		inpatient			700	700																																																			
SKIN STAPLER 35W ROTATOR	SUP-95-04023	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SKIN STAPLER 35W ROTATOR	SUP-95-04023	CDM			272	RC		inpatient			700	700																																																			
COUNTERSINK ASNIS 3MM CANN 3.8MM AO COUP	SUP-95-04283	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COUNTERSINK ASNIS 3MM CANN 3.8MM AO COUP	SUP-95-04283	CDM			272	RC		inpatient			700	700																																																			
REAMER ACETABULAR 51MM	SUP-95-04293	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
REAMER ACETABULAR 51MM	SUP-95-04293	CDM			272	RC		inpatient			700	700																																																			
CANNULATED TAP 2MM	SUP-95-04502	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CANNULATED TAP 2MM	SUP-95-04502	CDM			272	RC		inpatient			700	700																																																			
HEMOCLIP INSTINCT-10 PLUS	SUP-95-04519	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
HEMOCLIP INSTINCT-10 PLUS	SUP-95-04519	CDM			272	RC		inpatient			700	700																																																			
COUNTERSINK 7.0MM CANNULATED LARGE AO	SUP-95-04715	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COUNTERSINK 7.0MM CANNULATED LARGE AO	SUP-95-04715	CDM			272	RC		inpatient			700	700																																																			
COUNTERSINK 2.8MM CANNULATED DART FIRE COMPRESSION SCREW	SUP-95-04718	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COUNTERSINK 2.8MM CANNULATED DART FIRE COMPRESSION SCREW	SUP-95-04718	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT 2 X 30MM	SUP-95-04720	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 2 X 30MM	SUP-95-04720	CDM			272	RC		inpatient			700	700																																																			
TRIATHLON CS INSERT SZ 3 13MM	SUP-95-04744	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
TRIATHLON CS INSERT SZ 3 13MM	SUP-95-04744	CDM			278	RC		inpatient			700	700																																																			
TRIATHLON CS INSERT SZ 2 9MM	SUP-95-04745	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
TRIATHLON CS INSERT SZ 2 9MM	SUP-95-04745	CDM			278	RC		inpatient			700	700																																																			
TRIATHLON CS INSERT SZ 4 9MM	SUP-95-04747	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
TRIATHLON CS INSERT SZ 4 9MM	SUP-95-04747	CDM			278	RC		inpatient			700	700																																																			
RELOAD SUREFORM 45 2.5 WHITE	SUP-95-04884	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 45 2.5 WHITE	SUP-95-04884	CDM			272	RC		inpatient			700	700																																																			
RELOAD SUREFORM 60 WHITE	SUP-95-04936	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 60 WHITE	SUP-95-04936	CDM			272	RC		inpatient			700	700																																																			
RELOAD SUREFORM 60 BLUE	SUP-95-04937	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 60 BLUE	SUP-95-04937	CDM			272	RC		inpatient			700	700																																																			
RELOAD SUREFORM 60 GREEN	SUP-95-04938	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 60 GREEN	SUP-95-04938	CDM			272	RC		inpatient			700	700																																																			
RELOAD SUREFORM 60 BLACK	SUP-95-04939	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 60 BLACK	SUP-95-04939	CDM			272	RC		inpatient			700	700																																																			
RELOAD SUREFORM 45 BLUE	SUP-95-04940	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 45 BLUE	SUP-95-04940	CDM			272	RC		inpatient			700	700																																																			
RELOAD SUREFORM 45 GREEN	SUP-95-04941	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RELOAD SUREFORM 45 GREEN	SUP-95-04941	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT LOCKING MED 4.3MM X 296MM	SUP-95-05085	CDM						inpatient			700	700																																																			
DRILL BIT LOCKING MED 4.3MM X 296MM	SUP-95-05085	CDM						outpatient			700	7	700				percent of total billed charges		700				other	OPPS APC	700				fee schedule		700				other	OPPS APC	700				other	OPPS APC	700				case rate		700				case rate		7				other	OPPS APC	7	700	
DRILL BIT 2.2 X 60MM MICA CANNULATED	SUP-95-05195	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 2.2 X 60MM MICA CANNULATED	SUP-95-05195	CDM			272	RC		inpatient			700	700																																																			
COUNTERSINK 5MM CANNULATED AO FITTING	SUP-95-05275	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COUNTERSINK 5MM CANNULATED AO FITTING	SUP-95-05275	CDM			272	RC		inpatient			700	700																																																			
BLADE CAPSULOTOMY CURVED WITH HANDLE DISPOSABLE	SUP-95-05358	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BLADE CAPSULOTOMY CURVED WITH HANDLE DISPOSABLE	SUP-95-05358	CDM			272	RC		inpatient			700	700																																																			
GUIDE ROD BALL TIPPED 3 X 550MM PHANTOM	SUP-95-05374	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
GUIDE ROD BALL TIPPED 3 X 550MM PHANTOM	SUP-95-05374	CDM			272	RC		inpatient			700	700																																																			
PIN GUIDE DRILL 3 X 320MM PRECISION PHANTOM	SUP-95-05375	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PIN GUIDE DRILL 3 X 320MM PRECISION PHANTOM	SUP-95-05375	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT 2.6MM LISFRANC CHARLOTTE F&A SYSTEM	SUP-95-05396	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 2.6MM LISFRANC CHARLOTTE F&A SYSTEM	SUP-95-05396	CDM			272	RC		inpatient			700	700																																																			
VISIGI 3D 40FR FOR SLEEVE	SUP-95-05419	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
VISIGI 3D 40FR FOR SLEEVE	SUP-95-05419	CDM			272	RC		inpatient			700	700																																																			
TOOL METAL CUTTER MR8 9CM DIA WHEEL 25.4 DIAMETER	SUP-95-05532	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
TOOL METAL CUTTER MR8 9CM DIA WHEEL 25.4 DIAMETER	SUP-95-05532	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT 3X60MM MICA CANNULATED	SUP-95-05568	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 3X60MM MICA CANNULATED	SUP-95-05568	CDM			272	RC		inpatient			700	700																																																			
MICA HEX DRIVER 2.5	SUP-95-05570	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
MICA HEX DRIVER 2.5	SUP-95-05570	CDM			272	RC		inpatient			700	700																																																			
MICA HEX DRIVER 2.0	SUP-95-05571	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
MICA HEX DRIVER 2.0	SUP-95-05571	CDM			272	RC		inpatient			700	700																																																			
DRILL 2.2 PHALINX HAMMERTOE	SUP-95-05585	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL 2.2 PHALINX HAMMERTOE	SUP-95-05585	CDM			272	RC		inpatient			700	700																																																			
2.3MMX230CM BEAMER ARGON PROBE (10/CS)	SUP-95-23350	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
2.3MMX230CM BEAMER ARGON PROBE (10/CS)	SUP-95-23350	CDM			272	RC		inpatient			700	700																																																			
FLOW 20-PULL-S 20FR PEG KIT	SUP-95-23746	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
FLOW 20-PULL-S 20FR PEG KIT	SUP-95-23746	CDM			272	RC		inpatient			700	700																																																			
INTERCEED	SUP-97-00260	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
INTERCEED	SUP-97-00260	CDM			278	RC		inpatient			700	700																																																			
MIFUSION ENTCEPS	SUP-97-00302	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
MIFUSION ENTCEPS	SUP-97-00302	CDM			272	RC		inpatient			700	700																																																			
FEMORAL NAIL DRILL BIT 4.0MM 3	SUP-97-00321	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
FEMORAL NAIL DRILL BIT 4.0MM 3	SUP-97-00321	CDM			278	RC		inpatient			700	700																																																			
SCREW LOCKING 5.0 78MM	SUP-97-00353	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW LOCKING 5.0 78MM	SUP-97-00353	CDM			278	RC		inpatient			700	700																																																			
SCREW 5.0 MM LOCKING IM NAIL 1	SUP-97-00355	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 5.0 MM LOCKING IM NAIL 1	SUP-97-00355	CDM			278	RC		inpatient			700	700																																																			
SCREW 5.0 MM LOCKING IM NAIL 7	SUP-97-00359	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 5.0 MM LOCKING IM NAIL 7	SUP-97-00359	CDM			278	RC		inpatient			700	700																																																			
GUIDE  DRILL3/4MM	SUP-97-00397	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
GUIDE  DRILL3/4MM	SUP-97-00397	CDM			272	RC		inpatient			700	700																																																			
WIDE  COUNTERSINK 3MM	SUP-97-00398	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
WIDE  COUNTERSINK 3MM	SUP-97-00398	CDM			278	RC		inpatient			700	700																																																			
DBX PUTTY 1CC	SUP-97-00476	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
DBX PUTTY 1CC	SUP-97-00476	CDM			278	RC		inpatient			700	700																																																			
DRILL BIT 4.0	SUP-97-00636	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 4.0	SUP-97-00636	CDM			272	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 42MM	SUP-97-00794	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 42MM	SUP-97-00794	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 44MM	SUP-97-00795	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 44MM	SUP-97-00795	CDM			278	RC		inpatient			700	700																																																			
BASKET ZERO TIP 1.9 FR	SUP-97-00925	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BASKET ZERO TIP 1.9 FR	SUP-97-00925	CDM			272	RC		inpatient			700	700																																																			
PAPER HOLDER PINK	SUP-97-01070	CDM			271	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PAPER HOLDER PINK	SUP-97-01070	CDM			271	RC		inpatient			700	700																																																			
DRILLBIT 2.0MM	SUP-97-01140	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILLBIT 2.0MM	SUP-97-01140	CDM			272	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 48MM	SUP-97-01304	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 48MM	SUP-97-01304	CDM			278	RC		inpatient			700	700																																																			
SCREW T10 3.5 X 12MM LOCKING	SUP-97-01340	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW T10 3.5 X 12MM LOCKING	SUP-97-01340	CDM			278	RC		inpatient			700	700																																																			
SCREW T10 3.5 X 16MM LOCKING	SUP-97-01342	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW T10 3.5 X 16MM LOCKING	SUP-97-01342	CDM			278	RC		inpatient			700	700																																																			
SCREW LOCKING 4.0MM X 28MM	SUP-97-01359	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW LOCKING 4.0MM X 28MM	SUP-97-01359	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 38MM	SUP-97-01383	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 38MM	SUP-97-01383	CDM			278	RC		inpatient			700	700																																																			
COUNTERSINK  3.5/ 4.0MM	SUP-97-01558	CDM						inpatient			700	700																																																			
COUNTERSINK  3.5/ 4.0MM	SUP-97-01558	CDM						outpatient			700	7	700				percent of total billed charges		700				other	OPPS APC	700				fee schedule		700				other	OPPS APC	700				other	OPPS APC	700				case rate		700				case rate		7				other	OPPS APC	7	700	
COUNTERSINK 3.0MM	SUP-97-01567	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COUNTERSINK 3.0MM	SUP-97-01567	CDM			272	RC		inpatient			700	700																																																			
SCREW ASNIS MICRO CANN 3.0MMX16/4MM	SUP-97-01638	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW ASNIS MICRO CANN 3.0MMX16/4MM	SUP-97-01638	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 34MM	SUP-97-01707	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 34MM	SUP-97-01707	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 36MM	SUP-97-01708	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 36MM	SUP-97-01708	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 50MM	SUP-97-01715	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 50MM	SUP-97-01715	CDM			278	RC		inpatient			700	700																																																			
PLATE 7 HOLE STRAIGHT 1/3 TUBULAR	SUP-97-01790	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
PLATE 7 HOLE STRAIGHT 1/3 TUBULAR	SUP-97-01790	CDM			278	RC		inpatient			700	700																																																			
SCREW CANN LONG THREAD 4MM X 36MM	SUP-97-01845	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN LONG THREAD 4MM X 36MM	SUP-97-01845	CDM			278	RC		inpatient			700	700																																																			
OBTURATOR BLUNT 4.5	SUP-97-01947	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
OBTURATOR BLUNT 4.5	SUP-97-01947	CDM			272	RC		inpatient			700	700																																																			
OBTURATOR BLUNT 5.5	SUP-97-01950	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
OBTURATOR BLUNT 5.5	SUP-97-01950	CDM			272	RC		inpatient			700	700																																																			
SCREW ASNIS MICRO CANN 3.0MMX18/5MM	SUP-97-02062	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW ASNIS MICRO CANN 3.0MMX18/5MM	SUP-97-02062	CDM			278	RC		inpatient			700	700																																																			
COUNTERSINK ASNIS 2MM CANN 2.8MM COUP	SUP-97-02065	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
COUNTERSINK ASNIS 2MM CANN 2.8MM COUP	SUP-97-02065	CDM			272	RC		inpatient			700	700																																																			
TI END CAP  TROCHANTERIC FIXATION	SUP-97-02097	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
TI END CAP  TROCHANTERIC FIXATION	SUP-97-02097	CDM			278	RC		inpatient			700	700																																																			
SCREW LAG OMEGA PLUS 75MM	SUP-97-02099	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW LAG OMEGA PLUS 75MM	SUP-97-02099	CDM			278	RC		inpatient			700	700																																																			
SCREW TI ST CORT CANN 3.O 14MM SELF TAP	SUP-97-02236	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW TI ST CORT CANN 3.O 14MM SELF TAP	SUP-97-02236	CDM			278	RC		inpatient			700	700																																																			
SCREW TI ST CORT CANN 3.O 16MM SELF TAP	SUP-97-02237	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW TI ST CORT CANN 3.O 16MM SELF TAP	SUP-97-02237	CDM			278	RC		inpatient			700	700																																																			
SCREW TI LT CANN LCK 3.O 15MM N/S	SUP-97-02238	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW TI LT CANN LCK 3.O 15MM N/S	SUP-97-02238	CDM			278	RC		inpatient			700	700																																																			
SCREW TI LT CANN LCK 3.O 16MM N/S	SUP-97-02239	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW TI LT CANN LCK 3.O 16MM N/S	SUP-97-02239	CDM			278	RC		inpatient			700	700																																																			
SCREW TI LT CANN LCK 3.O 28MM N/S	SUP-97-022400	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW TI LT CANN LCK 3.O 28MM N/S	SUP-97-022400	CDM			278	RC		inpatient			700	700																																																			
NEXGEN STRAIGHT STEM EXT 15MMX75MM	SUP-97-02303	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
NEXGEN STRAIGHT STEM EXT 15MMX75MM	SUP-97-02303	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADLESS 4.0X36	SUP-97-02381	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADLESS 4.0X36	SUP-97-02381	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADLESS 2.0X22	SUP-97-02386	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADLESS 2.0X22	SUP-97-02386	CDM			278	RC		inpatient			700	700																																																			
DRILL ASNIS CANN 2MM AO COUPLING 1.7MM	SUP-97-02546	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL ASNIS CANN 2MM AO COUPLING 1.7MM	SUP-97-02546	CDM			272	RC		inpatient			700	700																																																			
REAMER PILOTED HEADED 7.5 MM	SUP-97-02584	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
REAMER PILOTED HEADED 7.5 MM	SUP-97-02584	CDM			272	RC		inpatient			700	700																																																			
SCREW LOCKING 4.0MM X 38MM	SUP-97-02659	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW LOCKING 4.0MM X 38MM	SUP-97-02659	CDM			278	RC		inpatient			700	700																																																			
PAPER HOLDER BLUE	SUP-97-02705	CDM			271	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PAPER HOLDER BLUE	SUP-97-02705	CDM			271	RC		inpatient			700	700																																																			
OBTURATOR CANNULATED STRYKER	SUP-97-02729	CDM						inpatient			700	700																																																			
OBTURATOR CANNULATED STRYKER	SUP-97-02729	CDM						outpatient			700	7	700				percent of total billed charges		700				other	OPPS APC	700				fee schedule		700				other	OPPS APC	700				other	OPPS APC	700				case rate		700				case rate		7				other	OPPS APC	7	700	
BREAST SIZER 650CC	SUP-97-02736	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BREAST SIZER 650CC	SUP-97-02736	CDM			272	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADLESS 2.0X19	SUP-97-02801	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADLESS 2.0X19	SUP-97-02801	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADLESS 2.0X18	SUP-97-02802	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADLESS 2.0X18	SUP-97-02802	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADLESS 2.0X16	SUP-97-02803	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADLESS 2.0X16	SUP-97-02803	CDM			278	RC		inpatient			700	700																																																			
SCREW LOCKING 4.0MM X 20MM	SUP-97-02841	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW LOCKING 4.0MM X 20MM	SUP-97-02841	CDM			278	RC		inpatient			700	700																																																			
CANNULATED  SHORT THREAD SCREW  HEADLES	SUP-97-02890	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CANNULATED  SHORT THREAD SCREW  HEADLES	SUP-97-02890	CDM			278	RC		inpatient			700	700																																																			
2.8 TRILOCK SCREW 18MM	SUP-97-02914	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
2.8 TRILOCK SCREW 18MM	SUP-97-02914	CDM			278	RC		inpatient			700	700																																																			
2.8 TRILOCK SCREW 20MM	SUP-97-02915	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
2.8 TRILOCK SCREW 20MM	SUP-97-02915	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD 2.0 X 20	SUP-97-02952	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD 2.0 X 20	SUP-97-02952	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADED 4.0X36	SUP-97-02965	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADED 4.0X36	SUP-97-02965	CDM			278	RC		inpatient			700	700																																																			
4.5MM DRILL BIT /QC 195MM	SUP-97-03009	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
4.5MM DRILL BIT /QC 195MM	SUP-97-03009	CDM			272	RC		inpatient			700	700																																																			
DRILL BIT LOCKING SHORT ?4.3X216MM	SUP-97-03213	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT LOCKING SHORT ?4.3X216MM	SUP-97-03213	CDM			272	RC		inpatient			700	700																																																			
SCREW ASNIS MICRO CANN 3.0MMX16/4MM	SUP-97-03296	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW ASNIS MICRO CANN 3.0MMX16/4MM	SUP-97-03296	CDM			278	RC		inpatient			700	700																																																			
DISPS KITTRANS-TIB ACL W/P SAWBLD	SUP-97-03316	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DISPS KITTRANS-TIB ACL W/P SAWBLD	SUP-97-03316	CDM			272	RC		inpatient			700	700																																																			
MRI SEMI CIRCULAR CURVED ROD 8 X 174	SUP-97-03395	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
MRI SEMI CIRCULAR CURVED ROD 8 X 174	SUP-97-03395	CDM			278	RC		inpatient			700	700																																																			
SHORT SCREW 3.5X40	SUP-97-03455	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SHORT SCREW 3.5X40	SUP-97-03455	CDM			278	RC		inpatient			700	700																																																			
SCREW 3.5 MM LOCKING 45MM	SUP-97-03462	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 3.5 MM LOCKING 45MM	SUP-97-03462	CDM			278	RC		inpatient			700	700																																																			
PROFILE DRILL  5.0 LARGE COMPRESSION FT	SUP-97-03472	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PROFILE DRILL  5.0 LARGE COMPRESSION FT	SUP-97-03472	CDM			272	RC		inpatient			700	700																																																			
SCREW CANN SHRT THREAD 4MM X 52MM	SUP-97-03510	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CANN SHRT THREAD 4MM X 52MM	SUP-97-03510	CDM			278	RC		inpatient			700	700																																																			
ABS  TIGHTROPE BUTTON	SUP-97-03548	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
ABS  TIGHTROPE BUTTON	SUP-97-03548	CDM			278	RC		inpatient			700	700																																																			
SCREW SHORT THREAD HEADLESS 3.0X16	SUP-97-03625	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW SHORT THREAD HEADLESS 3.0X16	SUP-97-03625	CDM			278	RC		inpatient			700	700																																																			
TI END CAP T25 STRDRV HINDFOOT ARTHRO	SUP-97-03742	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
TI END CAP T25 STRDRV HINDFOOT ARTHRO	SUP-97-03742	CDM			278	RC		inpatient			700	700																																																			
WIRE  BOLT OFFSET ADAPTER	SUP-97-03819	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
WIRE  BOLT OFFSET ADAPTER	SUP-97-03819	CDM			278	RC		inpatient			700	700																																																			
SCREW LONG THREAD HEADLESS 4.0X46	SUP-97-03983	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW LONG THREAD HEADLESS 4.0X46	SUP-97-03983	CDM			278	RC		inpatient			700	700																																																			
3.8MM THREE FLUTED DRILL BIT 270MM	SUP-97-04063	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
3.8MM THREE FLUTED DRILL BIT 270MM	SUP-97-04063	CDM			272	RC		inpatient			700	700																																																			
SCREW 5.0 MM LOCKING IM NAIL 7 5X62	SUP-97-04077	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 5.0 MM LOCKING IM NAIL 7 5X62	SUP-97-04077	CDM			278	RC		inpatient			700	700																																																			
4.0MM TI LOCKING SCREW W/T25 24MM F/M	SUP-97-04118	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
4.0MM TI LOCKING SCREW W/T25 24MM F/M	SUP-97-04118	CDM			278	RC		inpatient			700	700																																																			
4.0MM TI LOCKING SCREW W/T25 STARDRIVE 2	SUP-97-04119	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
4.0MM TI LOCKING SCREW W/T25 STARDRIVE 2	SUP-97-04119	CDM			278	RC		inpatient			700	700																																																			
CANNULATED SCREW +5.0X42MM	SUP-97-04162	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CANNULATED SCREW +5.0X42MM	SUP-97-04162	CDM			278	RC		inpatient			700	700																																																			
CANNULATED SCREW +5.0X40MM	SUP-97-04172	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CANNULATED SCREW +5.0X40MM	SUP-97-04172	CDM			278	RC		inpatient			700	700																																																			
SCREW TI LOCKING 48MM X 5MM	SUP-97-04257	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW TI LOCKING 48MM X 5MM	SUP-97-04257	CDM			278	RC		inpatient			700	700																																																			
CP LAG SCREW+3.6MM L30MM(T8)	SUP-97-04328	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CP LAG SCREW+3.6MM L30MM(T8)	SUP-97-04328	CDM			278	RC		inpatient			700	700																																																			
1.2 X 5MM STANDARD PLATE ST. 4 HOLE	SUP-97-04386	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
1.2 X 5MM STANDARD PLATE ST. 4 HOLE	SUP-97-04386	CDM			278	RC		inpatient			700	700																																																			
SCREW MINI MONSTER 4.0 X 30MM	SUP-97-04606	CDM			278	RC		inpatient			700	700																																																			
SCREW MINI MONSTER 4.0 X 30MM	SUP-97-04606	CDM			278	RC		outpatient			700	700					fee schedule						other	OPPS APC	399				percent of total billed charges						other	OPPS APC					other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges						other	OPPS APC	399	399	
HRHK FEMORAL BUSHING	SUP-97-04691	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
HRHK FEMORAL BUSHING	SUP-97-04691	CDM			278	RC		inpatient			700	700																																																			
SUTURE ANCHOR CORKSCREW 3.5	SUP-97-04800	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SUTURE ANCHOR CORKSCREW 3.5	SUP-97-04800	CDM			278	RC		inpatient			700	700																																																			
SCREW INBONE REMOVER	SUP-97-04900	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW INBONE REMOVER	SUP-97-04900	CDM			278	RC		inpatient			700	700																																																			
10.5MM CAN. REAMER HEAD	SUP-97-04937	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
10.5MM CAN. REAMER HEAD	SUP-97-04937	CDM			272	RC		inpatient			700	700																																																			
PRFL DRL 7.0MM CMPR FT	SUP-97-05032	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
PRFL DRL 7.0MM CMPR FT	SUP-97-05032	CDM			272	RC		inpatient			700	700																																																			
GRAFT 3DMAX MID LEFT MEDIUM	SUP-97-05362	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
GRAFT 3DMAX MID LEFT MEDIUM	SUP-97-05362	CDM			278	RC		inpatient			700	700																																																			
GRAFT 3DMAX MID RIGHT MEDIUM	SUP-97-05364	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
GRAFT 3DMAX MID RIGHT MEDIUM	SUP-97-05364	CDM			278	RC		inpatient			700	700																																																			
SCREW ASNIS MICRO CANN 3.0MM X 13/4MM	SUP-97-05564	CDM			278	RC		inpatient			700	700																																																			
SCREW ASNIS MICRO CANN 3.0MM X 13/4MM	SUP-97-05564	CDM			278	RC		outpatient			700	23.75					fee schedule		230.75				other	OPPS APC	399				percent of total billed charges		230.75				other	OPPS APC	230.75				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		23.75				other	OPPS APC	399	399	
SCREW 3.5 X 32MM HEADLESS SHORT THREAD CANNULATED MINI MONSTER	SUP-97-05637	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 3.5 X 32MM HEADLESS SHORT THREAD CANNULATED MINI MONSTER	SUP-97-05637	CDM			278	RC		inpatient			700	700																																																			
SCREW COUNTERSINK CANN AO 3.8MM X 80MM	SUP-97-05781	CDM						inpatient			700	700																																																			
SCREW COUNTERSINK CANN AO 3.8MM X 80MM	SUP-97-05781	CDM						outpatient			700	7	700				percent of total billed charges		700				other	OPPS APC	700				fee schedule		700				other	OPPS APC	700				other	OPPS APC	700				case rate		700				case rate		7				other	OPPS APC	7	700	
SCREW 3 X 40MM HEADLESS	SUP-97-05851	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW 3 X 40MM HEADLESS	SUP-97-05851	CDM			278	RC		inpatient			700	700																																																			
DRILL BIT 3 X 60MM MICA CANNULATED	SUP-97-06101	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL BIT 3 X 60MM MICA CANNULATED	SUP-97-06101	CDM			272	RC		inpatient			700	700																																																			
UNIVERSAL V40 +4MM ADAPTER SLEEVE	SUP-97-06190	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
UNIVERSAL V40 +4MM ADAPTER SLEEVE	SUP-97-06190	CDM			278	RC		inpatient			700	700																																																			
SCREWDRIVER BLADE T8 AO SELF RETAINING	SUP-97-06392	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREWDRIVER BLADE T8 AO SELF RETAINING	SUP-97-06392	CDM			272	RC		inpatient			700	700																																																			
BG LOCKING SCREW 2.5 X 14MM	SUP-97-23672	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
BG LOCKING SCREW 2.5 X 14MM	SUP-97-23672	CDM			278	RC		inpatient			700	700																																																			
BG LOVKING SCREW 2.5 X 10MM	SUP-97-23675	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
BG LOVKING SCREW 2.5 X 10MM	SUP-97-23675	CDM			278	RC		inpatient			700	700																																																			
BG LOCKING SCREW 2.5 X 08MM	SUP-97-23676	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
BG LOCKING SCREW 2.5 X 08MM	SUP-97-23676	CDM			278	RC		inpatient			700	700																																																			
THREADED ROD LENGTH: 120MM	SUP-97-23684	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
THREADED ROD LENGTH: 120MM	SUP-97-23684	CDM			278	RC		inpatient			700	700																																																			
BG LOCKING SCREW 2.0 X 08MM	SUP-97-23727	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
BG LOCKING SCREW 2.0 X 08MM	SUP-97-23727	CDM			278	RC		inpatient			700	700																																																			
BALLOON - DORADO 4X40X135	SUP-99-00041	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 4X40X135	SUP-99-00041	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 5X100X135	SUP-99-00044	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 5X100X135	SUP-99-00044	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 5X4X135	SUP-99-00048	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 5X4X135	SUP-99-00048	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 5X6X135	SUP-99-00050	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 5X6X135	SUP-99-00050	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 6X4X135	SUP-99-00058	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 6X4X135	SUP-99-00058	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 6X8X135	SUP-99-00062	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 6X8X135	SUP-99-00062	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 7X4X135	SUP-99-00066	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 7X4X135	SUP-99-00066	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 8X6X135	SUP-99-00075	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 8X6X135	SUP-99-00075	CDM			272	RC		inpatient			700	700																																																			
CLOSURE DEVICE - MYNX CONTROL	SUP-99-00416	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CLOSURE DEVICE - MYNX CONTROL	SUP-99-00416	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 6X20X135	SUP-99-00888	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 6X20X135	SUP-99-00888	CDM			272	RC		inpatient			700	700																																																			
SHEATH - BRITE TIP 11F X 23CM	SUP-99-00922	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SHEATH - BRITE TIP 11F X 23CM	SUP-99-00922	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 8X2X135	SUP-99-00949	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 8X2X135	SUP-99-00949	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 5X20X135	SUP-99-01079	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 5X20X135	SUP-99-01079	CDM			272	RC		inpatient			700	700																																																			
BALLOON - DORADO 7X2X135	SUP-99-01198	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - DORADO 7X2X135	SUP-99-01198	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NC TREK NEO 2.75X8	SUP-99-01241	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NC TREK NEO 2.75X8	SUP-99-01241	CDM			272	RC		inpatient			700	700																																																			
BALLOON - MUSTANG OTW 5X20X135	SUP-99-01276	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - MUSTANG OTW 5X20X135	SUP-99-01276	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NC TREK NEO 3.0X6	SUP-99-01337	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NC TREK NEO 3.0X6	SUP-99-01337	CDM			272	RC		inpatient			700	700																																																			
BALLOON - MUSTANG OTW 4X40X135	SUP-99-01451	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - MUSTANG OTW 4X40X135	SUP-99-01451	CDM			272	RC		inpatient			700	700																																																			
BALLOON - GLIDER RX 2.5X12	SUP-99-01487	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - GLIDER RX 2.5X12	SUP-99-01487	CDM			272	RC		inpatient			700	700																																																			
BALLOON - MUSTANG OTW 6X200X135	SUP-99-01541	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - MUSTANG OTW 6X200X135	SUP-99-01541	CDM			272	RC		inpatient			700	700																																																			
BALLOON - MUSTANG OTW 10X20X75	SUP-99-01572	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - MUSTANG OTW 10X20X75	SUP-99-01572	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NC TREK NEO 2.25X8	SUP-99-01641	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NC TREK NEO 2.25X8	SUP-99-01641	CDM			272	RC		inpatient			700	700																																																			
BALLOON - MUSTANG OTW 6X80X40	SUP-99-01780	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - MUSTANG OTW 6X80X40	SUP-99-01780	CDM			272	RC		inpatient			700	700																																																			
BALLOON - XXL 14X40	SUP-99-01827	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - XXL 14X40	SUP-99-01827	CDM			272	RC		inpatient			700	700																																																			
BALLOON - XXL 16X40	SUP-99-01828	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - XXL 16X40	SUP-99-01828	CDM			272	RC		inpatient			700	700																																																			
CATHETER - NAVICROSS 90CM ANGLED	SUP-99-01855	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER - NAVICROSS 90CM ANGLED	SUP-99-01855	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NC TREK NEO 2.25X20	SUP-99-01863	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NC TREK NEO 2.25X20	SUP-99-01863	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NC TREK NEO 2.5X6	SUP-99-01878	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NC TREK NEO 2.5X6	SUP-99-01878	CDM			272	RC		inpatient			700	700																																																			
GUIDEWIRE - NITINOL .018 40CM	SUP-99-01882	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
GUIDEWIRE - NITINOL .018 40CM	SUP-99-01882	CDM			272	RC		inpatient			700	700																																																			
CLOSURE - VASCBAND - REGULAR	SUP-99-01900	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CLOSURE - VASCBAND - REGULAR	SUP-99-01900	CDM			272	RC		inpatient			700	700																																																			
BALLOON - MINI TREK 2.0X6	SUP-99-01911	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - MINI TREK 2.0X6	SUP-99-01911	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 6X80	SUP-99-02019	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 6X80	SUP-99-02019	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 6X120	SUP-99-02020	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 6X120	SUP-99-02020	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 6X40	SUP-99-02021	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 6X40	SUP-99-02021	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 5X120	SUP-99-02022	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 5X120	SUP-99-02022	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ADMIRAL 6.0X200	SUP-99-02024	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ADMIRAL 6.0X200	SUP-99-02024	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC EXTREME 5X200	SUP-99-02066	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC EXTREME 5X200	SUP-99-02066	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 6X60	SUP-99-02089	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 6X60	SUP-99-02089	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 7X40	SUP-99-02090	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 7X40	SUP-99-02090	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ADMIRAL 6.0X250	SUP-99-02122	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ADMIRAL 6.0X250	SUP-99-02122	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 5X80	SUP-99-02155	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 5X80	SUP-99-02155	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 5X60	SUP-99-02158	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 5X60	SUP-99-02158	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC EXTREME 5X300	SUP-99-02226	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC EXTREME 5X300	SUP-99-02226	CDM			272	RC		inpatient			700	700																																																			
CATHETER - MEMORY BASKET	SUP-99-02256	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER - MEMORY BASKET	SUP-99-02256	CDM			272	RC		inpatient			700	700																																																			
BALLOON - PACIFIC PLUS 4X80	SUP-99-03203	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - PACIFIC PLUS 4X80	SUP-99-03203	CDM			272	RC		inpatient			700	700																																																			
BALLOON - CONQUEST 8X40	SUP-99-03256	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - CONQUEST 8X40	SUP-99-03256	CDM			272	RC		inpatient			700	700																																																			
CLOSURE DEVICE - PERCLOSE PROGLIDE	SUP-99-03282	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CLOSURE DEVICE - PERCLOSE PROGLIDE	SUP-99-03282	CDM			272	RC		inpatient			700	700																																																			
BALLOON - CONQUEST 12X40	SUP-99-03395	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - CONQUEST 12X40	SUP-99-03395	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NANOCROSS ELITE 3.0X120	SUP-99-03416	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NANOCROSS ELITE 3.0X120	SUP-99-03416	CDM			272	RC		inpatient			700	700																																																			
BALLOON - NANOCROSS ELITE 2.0X120	SUP-99-03417	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - NANOCROSS ELITE 2.0X120	SUP-99-03417	CDM			272	RC		inpatient			700	700																																																			
BALLOON - EVERCROSS 6X200	SUP-99-03453	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - EVERCROSS 6X200	SUP-99-03453	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ULTRAVERSE 014 3.0X150X150	SUP-99-03640	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ULTRAVERSE 014 3.0X150X150	SUP-99-03640	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ULTRAVERSE 014 5.0X220X150	SUP-99-03679	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ULTRAVERSE 014 5.0X220X150	SUP-99-03679	CDM			272	RC		inpatient			700	700																																																			
CATHETER - VIPERCATH XC STRAIGHT	SUP-99-03726	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER - VIPERCATH XC STRAIGHT	SUP-99-03726	CDM			272	RC		inpatient			700	700																																																			
CATHETER - VIPERCATH XC ANGLED	SUP-99-03727	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER - VIPERCATH XC ANGLED	SUP-99-03727	CDM			272	RC		inpatient			700	700																																																			
CLOSURE DEVICE - MYNX 5F GRIP	SUP-99-03754	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CLOSURE DEVICE - MYNX 5F GRIP	SUP-99-03754	CDM			272	RC		inpatient			700	700																																																			
CLOSURE DEVICE - MYNX 6/7 GRIP	SUP-99-03755	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CLOSURE DEVICE - MYNX 6/7 GRIP	SUP-99-03755	CDM			272	RC		inpatient			700	700																																																			
BALLOON - CONQUEST 6X40	SUP-99-03802	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - CONQUEST 6X40	SUP-99-03802	CDM			272	RC		inpatient			700	700																																																			
BALLOON - CONQUEST 7X40	SUP-99-03803	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - CONQUEST 7X40	SUP-99-03803	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ULTRAVERSE 014 2.5X220X150	SUP-99-03880	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ULTRAVERSE 014 2.5X220X150	SUP-99-03880	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ULTRAVERSE 014 2.5X80X150	SUP-99-03881	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ULTRAVERSE 014 2.5X80X150	SUP-99-03881	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ULTRAVERSE 014 4.0X120X150	SUP-99-03882	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ULTRAVERSE 014 4.0X120X150	SUP-99-03882	CDM			272	RC		inpatient			700	700																																																			
BALLOON - ULTRAVERSE 014 4.0X80X150	SUP-99-03883	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - ULTRAVERSE 014 4.0X80X150	SUP-99-03883	CDM			272	RC		inpatient			700	700																																																			
BALLOON - SAPPHIRE II PRO 1MM X 8MM	SUP-99-04236	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - SAPPHIRE II PRO 1MM X 8MM	SUP-99-04236	CDM			272	RC		inpatient			700	700																																																			
SHEATH- 8.5F SRO FAST-CATH	SUP-99-04769	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SHEATH- 8.5F SRO FAST-CATH	SUP-99-04769	CDM			278	RC		inpatient			700	700																																																			
SHEATH- 8F X 60  RAMP	SUP-99-04770	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SHEATH- 8F X 60  RAMP	SUP-99-04770	CDM			278	RC		inpatient			700	700																																																			
CATHETER- LEAD DELIVERY CATHETER	SUP-99-04778	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER- LEAD DELIVERY CATHETER	SUP-99-04778	CDM			278	RC		inpatient			700	700																																																			
SHEATH - 8.5F SR1 FAST-CATH	SUP-99-04787	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
SHEATH - 8.5F SR1 FAST-CATH	SUP-99-04787	CDM			278	RC		inpatient			700	700																																																			
CATHETER- WEBSTER HIS EP	SUP-99-04854	CDM			278	RC		outpatient			700	7	700				fee schedule		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER- WEBSTER HIS EP	SUP-99-04854	CDM			278	RC		inpatient			700	700																																																			
CATHETER- CXI SUPPORT CATHETER 2.3F X 135CM	SUP-99-04880	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER- CXI SUPPORT CATHETER 2.3F X 135CM	SUP-99-04880	CDM			272	RC		inpatient			700	700																																																			
BALLOON - SAPPHIRE II PRO 1MM X 5MM	SUP-99-04884	CDM			272	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
BALLOON - SAPPHIRE II PRO 1MM X 5MM	SUP-99-04884	CDM			272	RC		inpatient			700	700																																																			
DEVICE FIXATION TIGHTROPE TITANIUM UHMWPE DISPOSABLE STERILE LF ACL RIGHT	SUP-AR-1588RT	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DEVICE FIXATION TIGHTROPE TITANIUM UHMWPE DISPOSABLE STERILE LF ACL RIGHT	SUP-AR-1588RT	CDM			270	RC		inpatient			700	700																																																			
DRILL SURGICAL MINI L2.75 MM OD.066 IN CANNULATED OPEN REPAIR	SUP-AR-7000-14	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
DRILL SURGICAL MINI L2.75 MM OD.066 IN CANNULATED OPEN REPAIR	SUP-AR-7000-14	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE COMPRESSION FT TITANIUM 1.5 MM MICRO FULL THREAD L26 MM OD2.5 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8725-26H	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE COMPRESSION FT TITANIUM 1.5 MM MICRO FULL THREAD L26 MM OD2.5 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8725-26H	CDM			270	RC		inpatient			700	700																																																			
CREW BONE COMPRESSION FT TITANIUM 1.5 MM MICRO FULL THREAD L30 MM OD2.5 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8725-30H	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
CREW BONE COMPRESSION FT TITANIUM 1.5 MM MICRO FULL THREAD L30 MM OD2.5 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8725-30H	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE COMPRESSION FT MINI FULL THREAD L34 MM OD3.5 MM	SUP-AR-8730-34H	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE COMPRESSION FT MINI FULL THREAD L34 MM OD3.5 MM	SUP-AR-8730-34H	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE COMPRESSION FT TITANIUM STANDARD FULL THREAD L40 MM OD4 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8740-40H	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE COMPRESSION FT TITANIUM STANDARD FULL THREAD L40 MM OD4 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8740-40H	CDM			270	RC		inpatient			700	700																																																			
SCREW BONE COMPRESSION FT TITANIUM STANDARD FULL THREAD L42 MM OD4 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8740-42H	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW BONE COMPRESSION FT TITANIUM STANDARD FULL THREAD L42 MM OD4 MM COMPRESSION SELF TAP CANNULATED HEX	SUP-AR-8740-42H	CDM			270	RC		inpatient			700	700																																																			
CATHETER GUIDING SELECTSITE L45 CM DEFLECTABLE L 30 CM L40 CM OD 8.4 FR ODSEC 9 FR ID 5.7 FR BRAID	SUP-C304-HIS	CDM			275	RC		outpatient			700	7	343				percent of total billed charges		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
CATHETER GUIDING SELECTSITE L45 CM DEFLECTABLE L 30 CM L40 CM OD 8.4 FR ODSEC 9 FR ID 5.7 FR BRAID	SUP-C304-HIS	CDM			275	RC		inpatient			700	700																																																			
DIRECT SL II -300004_	SUP-DS2C00-SERIES	CDM			275	RC		outpatient			700	7	343				percent of total billed charges		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
DIRECT SL II -300004_	SUP-DS2C00-SERIES	CDM			275	RC		inpatient			700	700																																																			
KIT TRANSMITTER BROADBAND	SUP-EX1170	CDM			275	RC		outpatient			700	7	343				percent of total billed charges		700				other	OPPS APC	399				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	343				percent of total billed charges		357				percent of total billed charges		7				other	OPPS APC	7	700	
KIT TRANSMITTER BROADBAND	SUP-EX1170	CDM			275	RC		inpatient			700	700																																																			
SCREW CORTICAL SHANK CANNULATED 5.5MM X 35MM	SUP-MC1-155035	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CORTICAL SHANK CANNULATED 5.5MM X 35MM	SUP-MC1-155035	CDM			270	RC		inpatient			700	700																																																			
SCREW CORTICAL SHANK CANNULATED 5.5MM X 40MM	SUP-MC1-155040	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
SCREW CORTICAL SHANK CANNULATED 5.5MM X 40MM	SUP-MC1-155040	CDM			270	RC		inpatient			700	700																																																			
RETRACTOR SURGICAL LARGE RING OD9 CM SOFT TISSUE SOFT COMPLIANT STERILE DISPOSABLE	SUP-TRL	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RETRACTOR SURGICAL LARGE RING OD9 CM SOFT TISSUE SOFT COMPLIANT STERILE DISPOSABLE	SUP-TRL	CDM			270	RC		inpatient			700	700																																																			
RETRACTOR SURGICAL MEDIUM RING OD7.5 CM SOFT TISSUE SOFT COMPLIANT STERILE DISPOSABLE	SUP-TRM	CDM			270	RC		outpatient			700	7	189.63				percent of total billed charges		700				other	OPPS APC	518				percent of total billed charges		700				other	OPPS APC	700				other	OPPS APC	189.63				percent of total billed charges		193.41				percent of total billed charges		7				other	OPPS APC	7	700	
RETRACTOR SURGICAL MEDIUM RING OD7.5 CM SOFT TISSUE SOFT COMPLIANT STERILE DISPOSABLE	SUP-TRM	CDM			270	RC		inpatient			700	700																																																			
IMPLANT INJECTABLE CONTIGEN BOVINE COLLAGEN 2.5 ML PERIURETHRAL INJECTABLE COLLAGEN BULKING THERAPY TREATMENT SYRINGE ONLY STRESS URINARY INCONTINENCE	SUP-651005	CDM			270	RC		outpatient			699.9	699.9	189.6				percent of total billed charges		699.9				other	OPPS APC	517.93				percent of total billed charges		699.9				other	OPPS APC	699.9				other	OPPS APC	189.6				percent of total billed charges		193.38				percent of total billed charges		699.9				other	OPPS APC	189.6	699.9	
IMPLANT INJECTABLE CONTIGEN BOVINE COLLAGEN 2.5 ML PERIURETHRAL INJECTABLE COLLAGEN BULKING THERAPY TREATMENT SYRINGE ONLY STRESS URINARY INCONTINENCE	SUP-651005	CDM			270	RC		inpatient			699.9	699.9																																																			
TRAY EPIDURAL CONT	SUP-95-03749	CDM			272	RC		outpatient			699.13	699.13	189.39				percent of total billed charges		699.13				other	OPPS APC	517.36				percent of total billed charges		699.13				other	OPPS APC	699.13				other	OPPS APC	189.39				percent of total billed charges		193.17				percent of total billed charges		699.13				other	OPPS APC	189.39	699.13	
TRAY EPIDURAL CONT	SUP-95-03749	CDM			272	RC		inpatient			699.13	699.13																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  70MM	SUP-280.270	CDM	270010022	LOCAL	270	RC		outpatient			698.5	698.5	189.22				percent of total billed charges		698.5				other	OPPS APC	516.89				percent of total billed charges		698.5				other	OPPS APC	698.5				other	OPPS APC	189.22				percent of total billed charges		193				percent of total billed charges		698.5				other	OPPS APC	189.22	698.5	
SCREW BONE LAG DHS DCS STERILE THREAD  70MM	SUP-280.270	CDM	270010022	LOCAL	270	RC		inpatient			698.5	698.5																																																			
SCREW BONE DHS/DCS 80MM 22MM 12.7MM 2.7MM SS NS LAG CANNULATED THREAD 1 STEP SYSTEM	SUP-280.280	CDM	270010022	LOCAL	270	RC		outpatient			698.5	698.5	189.22				percent of total billed charges		698.5				other	OPPS APC	516.89				percent of total billed charges		698.5				other	OPPS APC	698.5				other	OPPS APC	189.22				percent of total billed charges		193				percent of total billed charges		698.5				other	OPPS APC	189.22	698.5	
SCREW BONE DHS/DCS 80MM 22MM 12.7MM 2.7MM SS NS LAG CANNULATED THREAD 1 STEP SYSTEM	SUP-280.280	CDM	270010022	LOCAL	270	RC		inpatient			698.5	698.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  130MM	SUP-280.330	CDM	270010022	LOCAL	270	RC		outpatient			698.5	698.5	189.22				percent of total billed charges		698.5				other	OPPS APC	516.89				percent of total billed charges		698.5				other	OPPS APC	698.5				other	OPPS APC	189.22				percent of total billed charges		193				percent of total billed charges		698.5				other	OPPS APC	189.22	698.5	
SCREW BONE LAG DHS DCS STERILE THREAD  130MM	SUP-280.330	CDM	270010022	LOCAL	270	RC		inpatient			698.5	698.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  145MM	SUP-280.345	CDM						inpatient			698.5	698.5																																																			
SCREW BONE LAG DHS DCS STERILE THREAD  145MM	SUP-280.345	CDM						outpatient			698.5	698.5	698.5				percent of total billed charges		698.5				other	OPPS APC	698.5				fee schedule		698.5				other	OPPS APC	698.5				other	OPPS APC	698.5				case rate		698.5				case rate		698.5				other	OPPS APC	698.5	698.5	
PLATE BONE LCP STAINLESS STEEL L L40 MM RIGHT 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.701	CDM	270010022	LOCAL	270	RC		outpatient			698.4	698.4	189.2				percent of total billed charges		698.4				other	OPPS APC	516.82				percent of total billed charges		698.4				other	OPPS APC	698.4				other	OPPS APC	189.2				percent of total billed charges		192.97				percent of total billed charges		698.4				other	OPPS APC	189.2	698.4	
PLATE BONE LCP STAINLESS STEEL L L40 MM RIGHT 2 HOLE HEAD 4 HOLE SHAFT LOW PROFILE CUT TO LENGTH NONSTERILE 2.7 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.701	CDM	270010022	LOCAL	270	RC		inpatient			698.4	698.4																																																			
DRILL BIT 3 X 200MM CANNULATED WITH CALIBRATIONS AO	SUP-95-04798	CDM			272	RC		outpatient			698.25	698.25	189.16				percent of total billed charges		698.25				other	OPPS APC	516.71				percent of total billed charges		698.25				other	OPPS APC	698.25				other	OPPS APC	189.16				percent of total billed charges		192.93				percent of total billed charges		698.25				other	OPPS APC	189.16	698.25	
DRILL BIT 3 X 200MM CANNULATED WITH CALIBRATIONS AO	SUP-95-04798	CDM			272	RC		inpatient			698.25	698.25																																																			
BUTTON PCL	SUP-AR-1588TP	CDM			270	RC		outpatient			698	698	189.09				percent of total billed charges		698				other	OPPS APC	516.52				percent of total billed charges		698				other	OPPS APC	698				other	OPPS APC	189.09				percent of total billed charges		192.86				percent of total billed charges		698				other	OPPS APC	189.09	698	
BUTTON PCL	SUP-AR-1588TP	CDM			270	RC		inpatient			698	698																																																			
WAND ELECTROSURGICAL MULTIVAC PLATINUM 50 D XL L195 MM OD3 MM HIP INTEGRATED CABLE LONG SHAFT LENGTH BIPOLAR	SUP-ASC4730-01	CDM			270	RC		outpatient			698	698	189.09				percent of total billed charges		698				other	OPPS APC	516.52				percent of total billed charges		698				other	OPPS APC	698				other	OPPS APC	189.09				percent of total billed charges		192.86				percent of total billed charges		698				other	OPPS APC	189.09	698	
WAND ELECTROSURGICAL MULTIVAC PLATINUM 50 D XL L195 MM OD3 MM HIP INTEGRATED CABLE LONG SHAFT LENGTH BIPOLAR	SUP-ASC4730-01	CDM			270	RC		inpatient			698	698																																																			
THIN OSTEOTOME 12MMX3IN	SUP-97-03607	CDM			272	RC		outpatient			697.2	697.25	188.87				percent of total billed charges		697.2				other	OPPS APC	515.93				percent of total billed charges		697.2				other	OPPS APC	697.2				other	OPPS APC	188.87				percent of total billed charges		192.64				percent of total billed charges		697.25				other	OPPS APC	188.87	697.25	
THIN OSTEOTOME 12MMX3IN	SUP-97-03607	CDM			272	RC		inpatient			697.2	697.2																																																			
ABLATOR ARTHROSCOPIC APOLLORF MP50	SUP-95-04957	CDM			272	RC		outpatient			696.5	696.5	188.68				percent of total billed charges		696.5				other	OPPS APC	515.41				percent of total billed charges		696.5				other	OPPS APC	696.5				other	OPPS APC	188.68				percent of total billed charges		192.44				percent of total billed charges		696.5				other	OPPS APC	188.68	696.5	
ABLATOR ARTHROSCOPIC APOLLORF MP50	SUP-95-04957	CDM			272	RC		inpatient			696.5	696.5																																																			
SPACE REAMER TUBE	SUP-97-23697	CDM			272	RC		outpatient			696.26	696.26	188.62				percent of total billed charges		696.26				other	OPPS APC	515.23				percent of total billed charges		696.26				other	OPPS APC	696.26				other	OPPS APC	188.62				percent of total billed charges		192.38				percent of total billed charges		696.26				other	OPPS APC	188.62	696.26	
SPACE REAMER TUBE	SUP-97-23697	CDM			272	RC		inpatient			696.26	696.26																																																			
PLATE BONE LC-DCP RIGHT ANGLE T 56X10X1.2MM SS NS 4 HOLE HEAD 4 HOLE SHAFT 3.5MM SCREW SM FRAGMENT	SUP-241.14	CDM	270010022	LOCAL	270	RC		outpatient			695.2	695.25	188.33				percent of total billed charges		695.2				other	OPPS APC	514.45				percent of total billed charges		695.2				other	OPPS APC	695.2				other	OPPS APC	188.33				percent of total billed charges		192.08				percent of total billed charges		695.25				other	OPPS APC	188.33	695.25	
PLATE BONE LC-DCP RIGHT ANGLE T 56X10X1.2MM SS NS 4 HOLE HEAD 4 HOLE SHAFT 3.5MM SCREW SM FRAGMENT	SUP-241.14	CDM	270010022	LOCAL	270	RC		inpatient			695.2	695.2																																																			
HC Ugi/Small Bowel	PX-320742490	CDM	74248	CPT	320	RC		outpatient			695	695	340.55				percent of total billed charges		695				other	OPPS APC	359.93				fee schedule		695				other	OPPS APC	695				other	OPPS APC	83.83				fee schedule		50.58				fee schedule		695				other	OPPS APC	50.58	695	
HC Ugi/Small Bowel	PX-320742490	CDM	74248	CPT	320	RC		inpatient			695	695																																																			
HC Barium Enema Single Contrast W Scout/Delayed Images	PX-320742700	CDM	74270	CPT	320	RC		outpatient			695	189.94	163.43				fee schedule		189.94				other	OPPS APC	249.85				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	156.06				fee schedule		106.84				fee schedule		189.94				other	OPPS APC	106.84	249.85	
HC Barium Enema Single Contrast W Scout/Delayed Images	PX-320742700	CDM	74270	CPT	320	RC		inpatient			695	695																																																			
FORCEPS SURGICAL WILLIAMS L5.5 IN DISCECTOMY	SUP-285114	CDM			270	RC		outpatient			693.88	693.88	187.97				percent of total billed charges		693.88				other	OPPS APC	513.47				percent of total billed charges		693.88				other	OPPS APC	693.88				other	OPPS APC	187.97				percent of total billed charges		191.72				percent of total billed charges		693.88				other	OPPS APC	187.97	693.88	
FORCEPS SURGICAL WILLIAMS L5.5 IN DISCECTOMY	SUP-285114	CDM			270	RC		inpatient			693.88	693.88																																																			
GUIDEWIRE VASCULAR FATHOM L300 CM L10 CM OD.014 IN PERIPHERAL STEERABLE PRESHAPED EMBOLIZATION	SUP-50-815	CDM			270	RC		outpatient			693.6	693.62	187.9				percent of total billed charges		693.6				other	OPPS APC	513.26				percent of total billed charges		693.6				other	OPPS APC	693.6				other	OPPS APC	187.9				percent of total billed charges		191.64				percent of total billed charges		693.62				other	OPPS APC	187.9	693.62	
GUIDEWIRE VASCULAR FATHOM L300 CM L10 CM OD.014 IN PERIPHERAL STEERABLE PRESHAPED EMBOLIZATION	SUP-50-815	CDM			270	RC		inpatient			693.6	693.6																																																			
BIT DRILL L 155 MM OD 2.7MM  CANNULATED DISPOSABLE	SUP-71173581	CDM			270	RC		outpatient			693.6	693.62	187.9				percent of total billed charges		693.6				other	OPPS APC	513.26				percent of total billed charges		693.6				other	OPPS APC	693.6				other	OPPS APC	187.9				percent of total billed charges		191.64				percent of total billed charges		693.62				other	OPPS APC	187.9	693.62	
BIT DRILL L 155 MM OD 2.7MM  CANNULATED DISPOSABLE	SUP-71173581	CDM			270	RC		inpatient			693.6	693.6																																																			
GUIDEWIRE VASCULAR FATHOM STAINLESS STEEL NITINOL PTFE HYDROPHILIC L180 CM L25 CM OD.016 IN PERIPHERAL STEERABLE STRAIGHT TIP HYPOTUBE MICROSCOPIC CHANNEL	SUP-M001509100	CDM			270	RC		outpatient			693.6	693.62	187.9				percent of total billed charges		693.6				other	OPPS APC	513.26				percent of total billed charges		693.6				other	OPPS APC	693.6				other	OPPS APC	187.9				percent of total billed charges		191.64				percent of total billed charges		693.62				other	OPPS APC	187.9	693.62	
GUIDEWIRE VASCULAR FATHOM STAINLESS STEEL NITINOL PTFE HYDROPHILIC L180 CM L25 CM OD.016 IN PERIPHERAL STEERABLE STRAIGHT TIP HYPOTUBE MICROSCOPIC CHANNEL	SUP-M001509100	CDM			270	RC		inpatient			693.6	693.6																																																			
GUIDEWIRE VASCULAR FATHOM NITINOL STRAIGHT L200 CM L25 CM OD.016 IN STEERABLE	SUP-M001509200	CDM	27000000	LOCAL	270	RC		outpatient			693.6	693.62	187.9				percent of total billed charges		693.6				other	OPPS APC	513.26				percent of total billed charges		693.6				other	OPPS APC	693.6				other	OPPS APC	187.9				percent of total billed charges		191.64				percent of total billed charges		693.62				other	OPPS APC	187.9	693.62	
GUIDEWIRE VASCULAR FATHOM NITINOL STRAIGHT L200 CM L25 CM OD.016 IN STEERABLE	SUP-M001509200	CDM	27000000	LOCAL	270	RC		inpatient			693.6	693.6																																																			
GUIDEWIRE VASCULAR FATHOM NITINOL ANGLE L200 CM L25 CM OD.016 IN STEERABLE	SUP-M001509210	CDM	27000000	LOCAL	270	RC		outpatient			693.6	693.62	187.9				percent of total billed charges		693.6				other	OPPS APC	513.26				percent of total billed charges		693.6				other	OPPS APC	693.6				other	OPPS APC	187.9				percent of total billed charges		191.64				percent of total billed charges		693.62				other	OPPS APC	187.9	693.62	
GUIDEWIRE VASCULAR FATHOM NITINOL ANGLE L200 CM L25 CM OD.016 IN STEERABLE	SUP-M001509210	CDM	27000000	LOCAL	270	RC		inpatient			693.6	693.6																																																			
PLATE BONE LC-DCP STAINLESS STEEL L90 MM X W11 MM X H3.3 MM 7 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.57	CDM	270010022	LOCAL	270	RC		outpatient			693	693	187.73				percent of total billed charges		693				other	OPPS APC	512.82				percent of total billed charges		693				other	OPPS APC	693				other	OPPS APC	187.73				percent of total billed charges		191.48				percent of total billed charges		693				other	OPPS APC	187.73	693	
PLATE BONE LC-DCP STAINLESS STEEL L90 MM X W11 MM X H3.3 MM 7 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.57	CDM	270010022	LOCAL	270	RC		inpatient			693	693																																																			
BIT DRILL 160MM 2.7MM 1.35MM NS QUICK COUPLING CANNULATED	SUP-310.67	CDM	270010022	LOCAL	270	RC		outpatient			693	693	187.73				percent of total billed charges		693				other	OPPS APC	512.82				percent of total billed charges		693				other	OPPS APC	693				other	OPPS APC	187.73				percent of total billed charges		191.48				percent of total billed charges		693				other	OPPS APC	187.73	693	
BIT DRILL 160MM 2.7MM 1.35MM NS QUICK COUPLING CANNULATED	SUP-310.67	CDM	270010022	LOCAL	270	RC		inpatient			693	693																																																			
REAMER QUICK STEP 2.0	SUP-95-04547	CDM			272	RC		outpatient			693	693	187.73				percent of total billed charges		693				other	OPPS APC	512.82				percent of total billed charges		693				other	OPPS APC	693				other	OPPS APC	187.73				percent of total billed charges		191.48				percent of total billed charges		693				other	OPPS APC	187.73	693	
REAMER QUICK STEP 2.0	SUP-95-04547	CDM			272	RC		inpatient			693	693																																																			
REAMER QUICK STEP 3.0	SUP-95-04548	CDM			272	RC		outpatient			693	693	187.73				percent of total billed charges		693				other	OPPS APC	512.82				percent of total billed charges		693				other	OPPS APC	693				other	OPPS APC	187.73				percent of total billed charges		191.48				percent of total billed charges		693				other	OPPS APC	187.73	693	
REAMER QUICK STEP 3.0	SUP-95-04548	CDM			272	RC		inpatient			693	693																																																			
SP2 PAT PLANER BLDE/CTR DRL MD	SUP-97-04248	CDM			278	RC		outpatient			693	693	693				fee schedule		693				other	OPPS APC	395.01				percent of total billed charges		693				other	OPPS APC	693				other	OPPS APC	339.57				percent of total billed charges		353.43				percent of total billed charges		693				other	OPPS APC	339.57	693	
SP2 PAT PLANER BLDE/CTR DRL MD	SUP-97-04248	CDM			278	RC		inpatient			693	693																																																			
SHEATH - GLIDESHEATH 6F	SUP-99-00754	CDM			272	RC		outpatient			693	693	187.73				percent of total billed charges		693				other	OPPS APC	512.82				percent of total billed charges		693				other	OPPS APC	693				other	OPPS APC	187.73				percent of total billed charges		191.48				percent of total billed charges		693				other	OPPS APC	187.73	693	
SHEATH - GLIDESHEATH 6F	SUP-99-00754	CDM			272	RC		inpatient			693	693																																																			
HC Remove Drug Implant Device	PX-361119820	CDM	11982	CPT	361	RC		outpatient			692.95	692.96	218.83				percent of total billed charges		692.95				other	OPPS APC	692.95				fee schedule		692.95				other	OPPS APC	692.95				other	OPPS APC	218.83				percent of total billed charges		223.2				percent of total billed charges		692.96				other	OPPS APC	218.83	692.96	
HC Remove Drug Implant Device	PX-361119820	CDM	11982	CPT	361	RC		inpatient			692.95	692.95																																																			
SEPRAFILM 5X6	SUP-77-00042	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
SEPRAFILM 5X6	SUP-77-00042	CDM			272	RC		inpatient			691.25	691.25																																																			
DRILL 4.6	SUP-95-03431	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
DRILL 4.6	SUP-95-03431	CDM			272	RC		inpatient			691.25	691.25																																																			
SUTURE PASSER W/ BRAIDED LOOP	SUP-95-06000	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
SUTURE PASSER W/ BRAIDED LOOP	SUP-95-06000	CDM			272	RC		inpatient			691.25	691.25																																																			
HEADLESS COUNTERSINK 7.0	SUP-97-03584	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
HEADLESS COUNTERSINK 7.0	SUP-97-03584	CDM			272	RC		inpatient			691.25	691.25																																																			
HEADLESS COUNTERSINK 7.0	SUP-97-04109	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
HEADLESS COUNTERSINK 7.0	SUP-97-04109	CDM			272	RC		inpatient			691.25	691.25																																																			
COUNTERSINK 5.5 HEADLESS	SUP-97-04783	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
COUNTERSINK 5.5 HEADLESS	SUP-97-04783	CDM			272	RC		inpatient			691.25	691.25																																																			
SCREW MINI MONSTER 4.0X28MM HEADED LONG	SUP-97-04905	CDM			278	RC		outpatient			691.25	691.25	691.25				fee schedule		691.25				other	OPPS APC	394.01				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	338.71				percent of total billed charges		352.54				percent of total billed charges		691.25				other	OPPS APC	338.71	691.25	
SCREW MINI MONSTER 4.0X28MM HEADED LONG	SUP-97-04905	CDM			278	RC		inpatient			691.25	691.25																																																			
COUNTERSINK 5.0MM HEADLESS	SUP-97-05157	CDM			272	RC		outpatient			691.25	691.25	187.26				percent of total billed charges		691.25				other	OPPS APC	511.53				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	187.26				percent of total billed charges		190.99				percent of total billed charges		691.25				other	OPPS APC	187.26	691.25	
COUNTERSINK 5.0MM HEADLESS	SUP-97-05157	CDM			272	RC		inpatient			691.25	691.25																																																			
COUNTERSINK 7.0MM MONSTER SCREW HEADED	SUP-97-05255	CDM			278	RC		outpatient			691.25	691.25	691.25				fee schedule		691.25				other	OPPS APC	394.01				percent of total billed charges		691.25				other	OPPS APC	691.25				other	OPPS APC	338.71				percent of total billed charges		352.54				percent of total billed charges		691.25				other	OPPS APC	338.71	691.25	
COUNTERSINK 7.0MM MONSTER SCREW HEADED	SUP-97-05255	CDM			278	RC		inpatient			691.25	691.25																																																			
PLATE BONE LCP STAINLESS STEEL NARROW L80 MM X W13.5 MM X H4.2 MM 4 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.541	CDM	270010022	LOCAL	270	RC		outpatient			690.8	69.8	187.14				percent of total billed charges		690.8				other	OPPS APC	511.19				percent of total billed charges		690.8				other	OPPS APC	690.8				other	OPPS APC	187.14				percent of total billed charges		190.87				percent of total billed charges		69.8				other	OPPS APC	69.8	690.8	
PLATE BONE LCP STAINLESS STEEL NARROW L80 MM X W13.5 MM X H4.2 MM 4 HOLE LIMIT CONTACT TAPER END 4.5 MM SCREW LARGE FRAGMENT	SUP-224.541	CDM	270010022	LOCAL	270	RC		inpatient			690.8	690.8																																																			
DRILL ASNIS 3MM CANN 2.1MM AO COUP	SUP-95-03113	CDM			272	RC		outpatient			690.27	69.27	186.99				percent of total billed charges		690.27				other	OPPS APC	510.8				percent of total billed charges		690.27				other	OPPS APC	690.27				other	OPPS APC	186.99				percent of total billed charges		190.72				percent of total billed charges		69.27				other	OPPS APC	69.27	690.27	
DRILL ASNIS 3MM CANN 2.1MM AO COUP	SUP-95-03113	CDM			272	RC		inpatient			690.27	690.27																																																			
IMPLANT SOFT TISSUE ENDURAGEN PORCINE DERMAL COLLAGEN FLAT L4 CM X W1 CM X H1 CM MOIST TOUGH FLEXIBLE SHEET STERILE OFF WHITE	SUP-89223	CDM			270	RC		outpatient			690	69	186.92				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	186.92				percent of total billed charges		190.65				percent of total billed charges		69				other	OPPS APC	69	690	
IMPLANT SOFT TISSUE ENDURAGEN PORCINE DERMAL COLLAGEN FLAT L4 CM X W1 CM X H1 CM MOIST TOUGH FLEXIBLE SHEET STERILE OFF WHITE	SUP-89223	CDM			270	RC		inpatient			690	690																																																			
SCREW INTERFERENCE BIO-TENODESIS POLY L LACTIC ACID L10 MM OD4 MM ACL PCL RECONSTRUCTION STERILE	SUP-AR-1540BC	CDM			270	RC		outpatient			690	69	186.92				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	186.92				percent of total billed charges		190.65				percent of total billed charges		69				other	OPPS APC	69	690	
SCREW INTERFERENCE BIO-TENODESIS POLY L LACTIC ACID L10 MM OD4 MM ACL PCL RECONSTRUCTION STERILE	SUP-AR-1540BC	CDM			270	RC		inpatient			690	690																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L15 MM OD4.75 MM ACL STERILE	SUP-AR-1547BC	CDM			270	RC		outpatient			690	69	186.92				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	186.92				percent of total billed charges		190.65				percent of total billed charges		69				other	OPPS APC	69	690	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L15 MM OD4.75 MM ACL STERILE	SUP-AR-1547BC	CDM			270	RC		inpatient			690	690																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L15 MM OD5.5 MM ACL STERILE	SUP-AR-1555BC	CDM			270	RC		outpatient			690	69	186.92				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	186.92				percent of total billed charges		190.65				percent of total billed charges		69				other	OPPS APC	69	690	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L15 MM OD5.5 MM ACL STERILE	SUP-AR-1555BC	CDM			270	RC		inpatient			690	690																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L15 MM OD6.25 MM ACL STERILE	SUP-AR-1562BC	CDM			270	RC		outpatient			690	69	186.92				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	186.92				percent of total billed charges		190.65				percent of total billed charges		69				other	OPPS APC	69	690	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L15 MM OD6.25 MM ACL STERILE	SUP-AR-1562BC	CDM			270	RC		inpatient			690	690																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L12 MM OD8 MM ACL STERILE	SUP-AR-1680BC	CDM			270	RC		outpatient			690	69	186.92				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	186.92				percent of total billed charges		190.65				percent of total billed charges		69				other	OPPS APC	69	690	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L12 MM OD8 MM ACL STERILE	SUP-AR-1680BC	CDM			270	RC		inpatient			690	690																																																			
DRYSEAL SHEATH 26F	SUP-SDV2628	CDM			481	RC		outpatient			690	69	338.1				percent of total billed charges		690				other	OPPS APC	510.6				percent of total billed charges		690				other	OPPS APC	690				other	OPPS APC	338.1				percent of total billed charges		351.9				percent of total billed charges		69				other	OPPS APC	69	690	
DRYSEAL SHEATH 26F	SUP-SDV2628	CDM			481	RC		inpatient			690	690																																																			
PLATE BONE LCP 84MM SS NS 10 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT	SUP-247.364	CDM	270010022	LOCAL	270	RC		outpatient			688.7	688.75	186.57				percent of total billed charges		688.7				other	OPPS APC	509.64				percent of total billed charges		688.7				other	OPPS APC	688.7				other	OPPS APC	186.57				percent of total billed charges		190.29				percent of total billed charges		688.75				other	OPPS APC	186.57	688.75	
PLATE BONE LCP 84MM SS NS 10 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT	SUP-247.364	CDM	270010022	LOCAL	270	RC		inpatient			688.7	688.7																																																			
PLATE BONE LCP 44MM SS NS 5 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.375	CDM	270010022	LOCAL	270	RC		outpatient			688.7	688.75	186.57				percent of total billed charges		688.7				other	OPPS APC	509.64				percent of total billed charges		688.7				other	OPPS APC	688.7				other	OPPS APC	186.57				percent of total billed charges		190.29				percent of total billed charges		688.75				other	OPPS APC	186.57	688.75	
PLATE BONE LCP 44MM SS NS 5 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.375	CDM	270010022	LOCAL	270	RC		inpatient			688.7	688.7																																																			
PLATE BONE LCP 60MM SS NS 7 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.377	CDM	270010022	LOCAL	270	RC		outpatient			688.7	688.75	186.57				percent of total billed charges		688.7				other	OPPS APC	509.64				percent of total billed charges		688.7				other	OPPS APC	688.7				other	OPPS APC	186.57				percent of total billed charges		190.29				percent of total billed charges		688.75				other	OPPS APC	186.57	688.75	
PLATE BONE LCP 60MM SS NS 7 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.377	CDM	270010022	LOCAL	270	RC		inpatient			688.7	688.7																																																			
PLATE BONE LCP 36MM SS NS 4 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.674	CDM	270010022	LOCAL	270	RC		outpatient			688.7	688.75	186.57				percent of total billed charges		688.7				other	OPPS APC	509.64				percent of total billed charges		688.7				other	OPPS APC	688.7				other	OPPS APC	186.57				percent of total billed charges		190.29				percent of total billed charges		688.75				other	OPPS APC	186.57	688.75	
PLATE BONE LCP 36MM SS NS 4 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.674	CDM	270010022	LOCAL	270	RC		inpatient			688.7	688.7																																																			
PLATE BONE LCP 52MM SS NS 6 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.676	CDM	270010022	LOCAL	270	RC		outpatient			688.7	688.75	186.57				percent of total billed charges		688.7				other	OPPS APC	509.64				percent of total billed charges		688.7				other	OPPS APC	688.7				other	OPPS APC	186.57				percent of total billed charges		190.29				percent of total billed charges		688.75				other	OPPS APC	186.57	688.75	
PLATE BONE LCP 52MM SS NS 6 HOLE LOW PROFILE 2.4MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-249.676	CDM	270010022	LOCAL	270	RC		inpatient			688.7	688.7																																																			
SCREW LOCKING PERIPROSTHETIC 5MM X 8MM	SUP-97-03057	CDM			278	RC		outpatient			688.56	688.56	688.56				fee schedule		688.56				other	OPPS APC	392.48				percent of total billed charges		688.56				other	OPPS APC	688.56				other	OPPS APC	337.39				percent of total billed charges		351.17				percent of total billed charges		688.56				other	OPPS APC	337.39	688.56	
SCREW LOCKING PERIPROSTHETIC 5MM X 8MM	SUP-97-03057	CDM			278	RC		inpatient			688.56	688.56																																																			
SCREW LOCKING PERIPROSTHETIC 5MM X 10MM	SUP-97-03058	CDM			278	RC		outpatient			688.56	688.56	688.56				fee schedule		688.56				other	OPPS APC	392.48				percent of total billed charges		688.56				other	OPPS APC	688.56				other	OPPS APC	337.39				percent of total billed charges		351.17				percent of total billed charges		688.56				other	OPPS APC	337.39	688.56	
SCREW LOCKING PERIPROSTHETIC 5MM X 10MM	SUP-97-03058	CDM			278	RC		inpatient			688.56	688.56																																																			
TENOLOCK ANCHOR	SUP-T60S	CDM			270	RC		outpatient			688.24	688.24	186.44				percent of total billed charges		688.24				other	OPPS APC	509.3				percent of total billed charges		688.24				other	OPPS APC	688.24				other	OPPS APC	186.44				percent of total billed charges		190.16				percent of total billed charges		688.24				other	OPPS APC	186.44	688.24	
TENOLOCK ANCHOR	SUP-T60S	CDM			270	RC		inpatient			688.24	688.24																																																			
SCREW BONE TITANIUM L4 MM OD3 MM ODSEC2 MM CRANIOMAXILLOFACIAL CORTICAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL	SUP-400.784	CDM	270010014	LOCAL	270	RC		outpatient			688.1	688.12	186.41				percent of total billed charges		688.1				other	OPPS APC	509.19				percent of total billed charges		688.1				other	OPPS APC	688.1				other	OPPS APC	186.41				percent of total billed charges		190.12				percent of total billed charges		688.12				other	OPPS APC	186.41	688.12	
SCREW BONE TITANIUM L4 MM OD3 MM ODSEC2 MM CRANIOMAXILLOFACIAL CORTICAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL	SUP-400.784	CDM	270010014	LOCAL	270	RC		inpatient			688.1	688.1																																																			
BOLT EXTERNAL FIXATION L90 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.290S	CDM			270	RC		outpatient			686.4	686.4	185.95				percent of total billed charges		686.4				other	OPPS APC	507.94				percent of total billed charges		686.4				other	OPPS APC	686.4				other	OPPS APC	185.95				percent of total billed charges		189.65				percent of total billed charges		686.4				other	OPPS APC	185.95	686.4	
BOLT EXTERNAL FIXATION L90 MM STERILE FEMORAL NECK SYSTEM	SUP-04.168.290S	CDM			270	RC		inpatient			686.4	686.4																																																			
FAST FX AB	SUP-72201493	CDM			270	RC		outpatient			686	686	185.84				percent of total billed charges		686				other	OPPS APC	507.64				percent of total billed charges		686				other	OPPS APC	686				other	OPPS APC	185.84				percent of total billed charges		189.54				percent of total billed charges		686				other	OPPS APC	185.84	686	
FAST FX AB	SUP-72201493	CDM			270	RC		inpatient			686	686																																																			
C-TAPER TRIAL HEAD 22MM STD.	SUP-97-04460	CDM			278	RC		outpatient			686	686	686				fee schedule		686				other	OPPS APC	391.02				percent of total billed charges		686				other	OPPS APC	686				other	OPPS APC	336.14				percent of total billed charges		349.86				percent of total billed charges		686				other	OPPS APC	336.14	686	
C-TAPER TRIAL HEAD 22MM STD.	SUP-97-04460	CDM			278	RC		inpatient			686	686																																																			
RESOLUTION CLIP  23 5CM	SUP-95-00809	CDM			272	RC		outpatient			685.65	685.65	185.74				percent of total billed charges		685.65				other	OPPS APC	507.38				percent of total billed charges		685.65				other	OPPS APC	685.65				other	OPPS APC	185.74				percent of total billed charges		189.45				percent of total billed charges		685.65				other	OPPS APC	185.74	685.65	
RESOLUTION CLIP  23 5CM	SUP-95-00809	CDM			272	RC		inpatient			685.65	685.65																																																			
HYPERFLEX TRACH TUBE SZ-7	SUP-73-00041	CDM			272	RC		outpatient			685.55	685.55	185.72				percent of total billed charges		685.55				other	OPPS APC	507.31				percent of total billed charges		685.55				other	OPPS APC	685.55				other	OPPS APC	185.72				percent of total billed charges		189.42				percent of total billed charges		685.55				other	OPPS APC	185.72	685.55	
HYPERFLEX TRACH TUBE SZ-7	SUP-73-00041	CDM			272	RC		inpatient			685.55	685.55																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L30 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372530	CDM	270010020	LOCAL	270	RC		outpatient			684.88	684.88	185.53				percent of total billed charges		684.88				other	OPPS APC	506.81				percent of total billed charges		684.88				other	OPPS APC	684.88				other	OPPS APC	185.53				percent of total billed charges		189.23				percent of total billed charges		684.88				other	OPPS APC	185.53	684.88	
SCREW BONE TSRH-3D TITANIUM SHORT POST L30 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372530	CDM	270010020	LOCAL	270	RC		inpatient			684.88	684.88																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L35 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372535	CDM	270010020	LOCAL	270	RC		outpatient			684.88	684.88	185.53				percent of total billed charges		684.88				other	OPPS APC	506.81				percent of total billed charges		684.88				other	OPPS APC	684.88				other	OPPS APC	185.53				percent of total billed charges		189.23				percent of total billed charges		684.88				other	OPPS APC	185.53	684.88	
SCREW BONE TSRH-3D TITANIUM SHORT POST L35 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372535	CDM	270010020	LOCAL	270	RC		inpatient			684.88	684.88																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L55 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372555	CDM	270010020	LOCAL	270	RC		outpatient			684.88	684.88	185.53				percent of total billed charges		684.88				other	OPPS APC	506.81				percent of total billed charges		684.88				other	OPPS APC	684.88				other	OPPS APC	185.53				percent of total billed charges		189.23				percent of total billed charges		684.88				other	OPPS APC	185.53	684.88	
SCREW BONE TSRH-3D TITANIUM SHORT POST L55 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372555	CDM	270010020	LOCAL	270	RC		inpatient			684.88	684.88																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L35 MM OD7.5 MM SPINE PEDICLE POSTERIOR	SUP-8372735	CDM	270010020	LOCAL	270	RC		outpatient			684.88	684.88	185.53				percent of total billed charges		684.88				other	OPPS APC	506.81				percent of total billed charges		684.88				other	OPPS APC	684.88				other	OPPS APC	185.53				percent of total billed charges		189.23				percent of total billed charges		684.88				other	OPPS APC	185.53	684.88	
SCREW BONE TSRH-3D TITANIUM SHORT POST L35 MM OD7.5 MM SPINE PEDICLE POSTERIOR	SUP-8372735	CDM	270010020	LOCAL	270	RC		inpatient			684.88	684.88																																																			
BASKET  3 WIRE SPIRAL	SUP-95-01009	CDM						inpatient			684.88	684.88																																																			
BASKET  3 WIRE SPIRAL	SUP-95-01009	CDM						outpatient			684.88	684.88	684.88				percent of total billed charges		684.88				other	OPPS APC	684.88				fee schedule		684.88				other	OPPS APC	684.88				other	OPPS APC	684.88				case rate		684.88				case rate		684.88				other	OPPS APC	684.88	684.88	
SCREW TI ST CORT CANN 3.O 22MM SELF TAP	SUP-97-03952	CDM			278	RC		outpatient			684.5	684.5	684.5				fee schedule		684.5				other	OPPS APC	390.17				percent of total billed charges		684.5				other	OPPS APC	684.5				other	OPPS APC	335.41				percent of total billed charges		349.1				percent of total billed charges		684.5				other	OPPS APC	335.41	684.5	
SCREW TI ST CORT CANN 3.O 22MM SELF TAP	SUP-97-03952	CDM			278	RC		inpatient			684.5	684.5																																																			
CANN TI LONG THREAD 3.0MM X 38MM	SUP-97-04975	CDM			278	RC		outpatient			684.5	684.5	684.5				fee schedule		684.5				other	OPPS APC	390.17				percent of total billed charges		684.5				other	OPPS APC	684.5				other	OPPS APC	335.41				percent of total billed charges		349.1				percent of total billed charges		684.5				other	OPPS APC	335.41	684.5	
CANN TI LONG THREAD 3.0MM X 38MM	SUP-97-04975	CDM			278	RC		inpatient			684.5	684.5																																																			
CANN TI LONG THREAD 3.0MM X 40MM	SUP-97-04976	CDM			278	RC		outpatient			684.5	684.5	684.5				fee schedule		684.5				other	OPPS APC	390.17				percent of total billed charges		684.5				other	OPPS APC	684.5				other	OPPS APC	335.41				percent of total billed charges		349.1				percent of total billed charges		684.5				other	OPPS APC	335.41	684.5	
CANN TI LONG THREAD 3.0MM X 40MM	SUP-97-04976	CDM			278	RC		inpatient			684.5	684.5																																																			
OXALIPLATIN PER 0.5 MG	636000000	CDM	72603-101-01	NDC	J9263	HCPCS		inpatient			683.93	683.93																																																			
OXALIPLATIN PER 0.5 MG	636000000	CDM	72603-101-01	NDC	J9263	HCPCS		outpatient			683.93	683.93																																															other	OPPS APC			
BIT DRILL 300MM 5MM 2.9MM NS LG QUICK COUPLING CANNULATED	SUP-310.63	CDM	270010022	LOCAL	270	RC		outpatient			683.76	683.76	185.23				percent of total billed charges		683.76				other	OPPS APC	505.98				percent of total billed charges		683.76				other	OPPS APC	683.76				other	OPPS APC	185.23				percent of total billed charges		188.92				percent of total billed charges		683.76				other	OPPS APC	185.23	683.76	
BIT DRILL 300MM 5MM 2.9MM NS LG QUICK COUPLING CANNULATED	SUP-310.63	CDM	270010022	LOCAL	270	RC		inpatient			683.76	683.76																																																			
PLATE LCP TUBULAR 8 HOLE 93 MM	SUP-97-00479	CDM			278	RC		outpatient			683.52	683.52	683.52				fee schedule		683.52				other	OPPS APC	389.61				percent of total billed charges		683.52				other	OPPS APC	683.52				other	OPPS APC	334.92				percent of total billed charges		348.6				percent of total billed charges		683.52				other	OPPS APC	334.92	683.52	
PLATE LCP TUBULAR 8 HOLE 93 MM	SUP-97-00479	CDM			278	RC		inpatient			683.52	683.52																																																			
KIT CRANIOTOMY BETADINE L5/8 IN OD25 GA 12 ML STERILE	SUP-INSHITH	CDM			270	RC		outpatient			683.42	683.42	185.14				percent of total billed charges		683.42				other	OPPS APC	505.73				percent of total billed charges		683.42				other	OPPS APC	683.42				other	OPPS APC	185.14				percent of total billed charges		188.83				percent of total billed charges		683.42				other	OPPS APC	185.14	683.42	
KIT CRANIOTOMY BETADINE L5/8 IN OD25 GA 12 ML STERILE	SUP-INSHITH	CDM			270	RC		inpatient			683.42	683.42																																																			
SYSTEM GASTRIC LAVAGE VISIGI 3D OD36 FR SELECTION VALVE SHORT HOLE BYPASS	SUP-69160	CDM			270	RC		outpatient			683.2	683.25	185.08				percent of total billed charges		683.2				other	OPPS APC	505.57				percent of total billed charges		683.2				other	OPPS APC	683.2				other	OPPS APC	185.08				percent of total billed charges		188.77				percent of total billed charges		683.25				other	OPPS APC	185.08	683.25	
SYSTEM GASTRIC LAVAGE VISIGI 3D OD36 FR SELECTION VALVE SHORT HOLE BYPASS	SUP-69160	CDM			270	RC		inpatient			683.2	683.2																																																			
CAPSULAR TENSION RING 12MM	SUP-73-00078	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CAPSULAR TENSION RING 12MM	SUP-73-00078	CDM			272	RC		inpatient			682.5	682.5																																																			
DRILL BIT COMP FT CALBRATED	SUP-95-03698	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
DRILL BIT COMP FT CALBRATED	SUP-95-03698	CDM			272	RC		inpatient			682.5	682.5																																																			
CALIBRATED DRILL BIT  3.0MM	SUP-95-03728	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CALIBRATED DRILL BIT  3.0MM	SUP-95-03728	CDM			272	RC		inpatient			682.5	682.5																																																			
FIBERTAK RC DISPOSABLES KIT	SUP-95-04112	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
FIBERTAK RC DISPOSABLES KIT	SUP-95-04112	CDM			272	RC		inpatient			682.5	682.5																																																			
CYSTOSCOPE SINGLE USE	SUP-95-04980	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CYSTOSCOPE SINGLE USE	SUP-95-04980	CDM			272	RC		inpatient			682.5	682.5																																																			
DRILL BIT CANNULATED 3.6MM	SUP-95-05057	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
DRILL BIT CANNULATED 3.6MM	SUP-95-05057	CDM			272	RC		inpatient			682.5	682.5																																																			
DRILL PROFILE 4MM BEVELED FT	SUP-95-05058	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
DRILL PROFILE 4MM BEVELED FT	SUP-95-05058	CDM			272	RC		inpatient			682.5	682.5																																																			
DRILL BIT CANNULATED 2.9MM	SUP-95-05075	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
DRILL BIT CANNULATED 2.9MM	SUP-95-05075	CDM			272	RC		inpatient			682.5	682.5																																																			
REAMER LOW PROFILE 11MM	SUP-95-05185	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
REAMER LOW PROFILE 11MM	SUP-95-05185	CDM			272	RC		inpatient			682.5	682.5																																																			
NEEDLE SCORPION HIP LENGTH	SUP-95-05291	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
NEEDLE SCORPION HIP LENGTH	SUP-95-05291	CDM			272	RC		inpatient			682.5	682.5																																																			
KIT DISPOSABLES FIBERTAK CURVED	SUP-95-05295	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
KIT DISPOSABLES FIBERTAK CURVED	SUP-95-05295	CDM			272	RC		inpatient			682.5	682.5																																																			
BLADE CAPSULOTOMY WITH HANDLE DISPOSABLE	SUP-95-05357	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BLADE CAPSULOTOMY WITH HANDLE DISPOSABLE	SUP-95-05357	CDM			272	RC		inpatient			682.5	682.5																																																			
NEEDLE SCORPION HD (PK/5)	SUP-95-05387	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
NEEDLE SCORPION HD (PK/5)	SUP-95-05387	CDM			272	RC		inpatient			682.5	682.5																																																			
REAMER LOW PROFILE	SUP-95-05409	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
REAMER LOW PROFILE	SUP-95-05409	CDM			272	RC		inpatient			682.5	682.5																																																			
DIS INSTR KIT FOR TENO SCREW	SUP-97-01458	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
DIS INSTR KIT FOR TENO SCREW	SUP-97-01458	CDM			272	RC		inpatient			682.5	682.5																																																			
3.2M.M DRILL BIT CMP FT CALIBRATED	SUP-97-01668	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
3.2M.M DRILL BIT CMP FT CALIBRATED	SUP-97-01668	CDM			272	RC		inpatient			682.5	682.5																																																			
REAMER LOW PROFILE	SUP-97-01896	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
REAMER LOW PROFILE	SUP-97-01896	CDM			272	RC		inpatient			682.5	682.5																																																			
CANNULATED DRILL BIT 4.0MM	SUP-97-02633	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CANNULATED DRILL BIT 4.0MM	SUP-97-02633	CDM			272	RC		inpatient			682.5	682.5																																																			
HEALICOIL RG DILATOR 4.75MM DISPOSABLE	SUP-97-02765	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
HEALICOIL RG DILATOR 4.75MM DISPOSABLE	SUP-97-02765	CDM			278	RC		inpatient			682.5	682.5																																																			
DRILL COUNTERSINK 2.7MM	SUP-97-03266	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
DRILL COUNTERSINK 2.7MM	SUP-97-03266	CDM			272	RC		inpatient			682.5	682.5																																																			
LO-PRO LOCK SCRW TI 4.5X26MM	SUP-97-03927	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
LO-PRO LOCK SCRW TI 4.5X26MM	SUP-97-03927	CDM			278	RC		inpatient			682.5	682.5																																																			
LO-PRO LOCK SCRW TI 4.5X34MM	SUP-97-03928	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
LO-PRO LOCK SCRW TI 4.5X34MM	SUP-97-03928	CDM			278	RC		inpatient			682.5	682.5																																																			
LO-PRO LOCK SCRW TI 4.5X38MM	SUP-97-03929	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
LO-PRO LOCK SCRW TI 4.5X38MM	SUP-97-03929	CDM			278	RC		inpatient			682.5	682.5																																																			
LO-PRO LOCK SCRW TI 4.5X40MM	SUP-97-03931	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
LO-PRO LOCK SCRW TI 4.5X40MM	SUP-97-03931	CDM			278	RC		inpatient			682.5	682.5																																																			
KNOTLESS  FIBERTAK DISPOSABLE KIT	SUP-97-04146	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
KNOTLESS  FIBERTAK DISPOSABLE KIT	SUP-97-04146	CDM			278	RC		inpatient			682.5	682.5																																																			
2.2MM DRILL BIT CMP FT CALIBRATED	SUP-97-04836	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
2.2MM DRILL BIT CMP FT CALIBRATED	SUP-97-04836	CDM			278	RC		inpatient			682.5	682.5																																																			
SCREW SILVERBACK LOCKING 5.2 X 22M	SUP-97-06154	CDM			278	RC		outpatient			682.5	682.5	682.5				fee schedule		682.5				other	OPPS APC	389.03				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	334.43				percent of total billed charges		348.08				percent of total billed charges		682.5				other	OPPS APC	334.43	682.5	
SCREW SILVERBACK LOCKING 5.2 X 22M	SUP-97-06154	CDM			278	RC		inpatient			682.5	682.5																																																			
2.0MM DRILL BIT CMP FT CALIBRATED	SUP-97-23755	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
2.0MM DRILL BIT CMP FT CALIBRATED	SUP-97-23755	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 018 6.0X150X130	SUP-99-01224	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 018 6.0X150X130	SUP-99-01224	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 2.5X20	SUP-99-01312	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 2.5X20	SUP-99-01312	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 014 5.0X120X150	SUP-99-01318	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 014 5.0X120X150	SUP-99-01318	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 018 4.0X80X130	SUP-99-01319	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 018 4.0X80X130	SUP-99-01319	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 018 6.0X40X130	SUP-99-01320	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 018 6.0X40X130	SUP-99-01320	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 014 3.0X40X150	SUP-99-01343	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 014 3.0X40X150	SUP-99-01343	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 3.75X15	SUP-99-01358	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 3.75X15	SUP-99-01358	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 3.5X8	SUP-99-01392	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 3.5X8	SUP-99-01392	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 2.75X20	SUP-99-01396	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 2.75X20	SUP-99-01396	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 014 2.0X40X150	SUP-99-01438	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 014 2.0X40X150	SUP-99-01438	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 018 6.0X80X130	SUP-99-01444	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 018 6.0X80X130	SUP-99-01444	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - TREK 2.5X8	SUP-99-01455	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - TREK 2.5X8	SUP-99-01455	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 2.0X15	SUP-99-01505	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 2.0X15	SUP-99-01505	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 4.0X20	SUP-99-01509	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 4.0X20	SUP-99-01509	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - MINI TREK II 1.5X15 OTW	SUP-99-01584	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - MINI TREK II 1.5X15 OTW	SUP-99-01584	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - MINI TREK II 1.5X20 OTW	SUP-99-01622	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - MINI TREK II 1.5X20 OTW	SUP-99-01622	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - XXL 18X40	SUP-99-01829	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - XXL 18X40	SUP-99-01829	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - NC TREK NEO 4.5X15	SUP-99-01831	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - NC TREK NEO 4.5X15	SUP-99-01831	CDM			272	RC		inpatient			682.5	682.5																																																			
CLOSURE - VASCBAND - EXTRA LONG	SUP-99-01902	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CLOSURE - VASCBAND - EXTRA LONG	SUP-99-01902	CDM			272	RC		inpatient			682.5	682.5																																																			
ATHERECTOMY - VIPERWIRE CORONARY	SUP-99-01922	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
ATHERECTOMY - VIPERWIRE CORONARY	SUP-99-01922	CDM			272	RC		inpatient			682.5	682.5																																																			
CATHETER - TIGER 4.5 6FR 110CM	SUP-99-01992	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CATHETER - TIGER 4.5 6FR 110CM	SUP-99-01992	CDM			272	RC		inpatient			682.5	682.5																																																			
CATHETER - TIGER 4.5 5FR 110CM	SUP-99-01993	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CATHETER - TIGER 4.5 5FR 110CM	SUP-99-01993	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - PACIFIC PLUS 5X40	SUP-99-02164	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - PACIFIC PLUS 5X40	SUP-99-02164	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - XXL 18X60	SUP-99-02283	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - XXL 18X60	SUP-99-02283	CDM			272	RC		inpatient			682.5	682.5																																																			
CATHETER - SARAH 6F	SUP-99-03207	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CATHETER - SARAH 6F	SUP-99-03207	CDM			272	RC		inpatient			682.5	682.5																																																			
CATHETER - SARAH 5F	SUP-99-03208	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
CATHETER - SARAH 5F	SUP-99-03208	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 014 4.0X150X150	SUP-99-03588	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 014 4.0X150X150	SUP-99-03588	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 014 5.0X150X150	SUP-99-03589	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 014 5.0X150X150	SUP-99-03589	CDM			272	RC		inpatient			682.5	682.5																																																			
BALLOON - ULTRAVERSE 014 4.0X220X150	SUP-99-03600	CDM			272	RC		outpatient			682.5	682.5	184.89				percent of total billed charges		682.5				other	OPPS APC	505.05				percent of total billed charges		682.5				other	OPPS APC	682.5				other	OPPS APC	184.89				percent of total billed charges		188.57				percent of total billed charges		682.5				other	OPPS APC	184.89	682.5	
BALLOON - ULTRAVERSE 014 4.0X220X150	SUP-99-03600	CDM			272	RC		inpatient			682.5	682.5																																																			
SYRINGE INFLATION/DEFLATION TRUFILL DCS II PLATINUM INDEFLATOR EMBOLISM  COIL	SUP-635002	CDM			270	RC		outpatient			680.76	68.76	184.42				percent of total billed charges		680.76				other	OPPS APC	503.76				percent of total billed charges		680.76				other	OPPS APC	680.76				other	OPPS APC	184.42				percent of total billed charges		188.09				percent of total billed charges		68.76				other	OPPS APC	68.76	680.76	
SYRINGE INFLATION/DEFLATION TRUFILL DCS II PLATINUM INDEFLATOR EMBOLISM  COIL	SUP-635002	CDM			270	RC		inpatient			680.76	680.76																																																			
KIT PROCEDURE	SUP-620-12-02	CDM			270	RC		outpatient			680	68	184.21				percent of total billed charges		680				other	OPPS APC	503.2				percent of total billed charges		680				other	OPPS APC	680				other	OPPS APC	184.21				percent of total billed charges		187.88				percent of total billed charges		68				other	OPPS APC	68	680	
KIT PROCEDURE	SUP-620-12-02	CDM			270	RC		inpatient			680	680																																																			
CATHETER ELECTROPHYSIOLOGY 2-5-2 MM SPACING LARGE L110 CM OD6 FR DECAPOLAR STEERABLE	SUP-IBI-81104	CDM			270	RC		outpatient			680	68	184.21				percent of total billed charges		680				other	OPPS APC	503.2				percent of total billed charges		680				other	OPPS APC	680				other	OPPS APC	184.21				percent of total billed charges		187.88				percent of total billed charges		68				other	OPPS APC	68	680	
CATHETER ELECTROPHYSIOLOGY 2-5-2 MM SPACING LARGE L110 CM OD6 FR DECAPOLAR STEERABLE	SUP-IBI-81104	CDM			270	RC		inpatient			680	680																																																			
SCREW BONE WAVE 80MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS80	CDM			270	RC		outpatient			680	68	184.21				percent of total billed charges		680				other	OPPS APC	503.2				percent of total billed charges		680				other	OPPS APC	680				other	OPPS APC	184.21				percent of total billed charges		187.88				percent of total billed charges		68				other	OPPS APC	68	680	
SCREW BONE WAVE 80MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS80	CDM			270	RC		inpatient			680	680																																																			
REAMER AO CANNULATED 4.0MM	SUP-95-04772	CDM			272	RC		outpatient			679.84	679.84	184.17				percent of total billed charges		679.84				other	OPPS APC	503.08				percent of total billed charges		679.84				other	OPPS APC	679.84				other	OPPS APC	184.17				percent of total billed charges		187.84				percent of total billed charges		679.84				other	OPPS APC	184.17	679.84	
REAMER AO CANNULATED 4.0MM	SUP-95-04772	CDM			272	RC		inpatient			679.84	679.84																																																			
PLATE BONE LCP COMBI STAINLESS STEEL PELVIC 1 HOLE SPRING NONSTERILE 3.5 MM SCREW	SUP-02.100.301	CDM	270010022	LOCAL	270	RC		outpatient			679.8	679.8	184.16				percent of total billed charges		679.8				other	OPPS APC	503.05				percent of total billed charges		679.8				other	OPPS APC	679.8				other	OPPS APC	184.16				percent of total billed charges		187.83				percent of total billed charges		679.8				other	OPPS APC	184.16	679.8	
PLATE BONE LCP COMBI STAINLESS STEEL PELVIC 1 HOLE SPRING NONSTERILE 3.5 MM SCREW	SUP-02.100.301	CDM	270010022	LOCAL	270	RC		inpatient			679.8	679.8																																																			
HC Aspirate/Inj Ganglion Cyst	PX-361206120	CDM	20612	CPT	361	RC		outpatient			679.72	286.36	214.66				percent of total billed charges		286.36				other	OPPS APC	680				fee schedule		286.36				other	OPPS APC	286.36				other	OPPS APC	214.66				percent of total billed charges		218.94				percent of total billed charges		286.36				other	OPPS APC	214.66	680	
HC Aspirate/Inj Ganglion Cyst	PX-361206120	CDM	20612	CPT	361	RC		inpatient			679.72	679.72																																																			
SCREW BONE T8 SHORT THREAD 10MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.010	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 10MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.010	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL T8 SHORT THREAD FLUTE L12 MM L4 MM OD3 MM ODSEC2 MM SMALL BONE SELF DRILL SELF TAP STARDRIVE HEADLESS COMPRESSION NONSTERILE	SUP-02.226.012	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL T8 SHORT THREAD FLUTE L12 MM L4 MM OD3 MM ODSEC2 MM SMALL BONE SELF DRILL SELF TAP STARDRIVE HEADLESS COMPRESSION NONSTERILE	SUP-02.226.012	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 14MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.014	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 14MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.014	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 16MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.016	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 16MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.016	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 18MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.018	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 18MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.018	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 20MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.020	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 20MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.020	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 22MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.022	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 22MM 4MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.022	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD T8 L24 MM L5 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.024	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL SHORT THREAD T8 L24 MM L5 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.024	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 26MM 5MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.026	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 26MM 5MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.026	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 28MM 6MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.028	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 28MM 6MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.028	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD T8 L30 MM L7 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.030	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL SHORT THREAD T8 L30 MM L7 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.030	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 32MM 7MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.032	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 32MM 7MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.032	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 38MM 9MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.038	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 SHORT THREAD 38MM 9MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.038	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD T8 L40 MM L10 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.040	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL SHORT THREAD T8 L40 MM L10 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.040	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L16 MM L5 MM OD3 MM ODSEC2 MM SMALL BONE SELF TAP DRILL COMPRESSION CANNULATED NONSTERILE	SUP-02.226.116	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL LONG THREAD L16 MM L5 MM OD3 MM ODSEC2 MM SMALL BONE SELF TAP DRILL COMPRESSION CANNULATED NONSTERILE	SUP-02.226.116	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L18 MM L6 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE T8 STARDRIVE CANNULATED SELF DRILL HEADLESS NONSTERILE	SUP-02.226.118	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL LONG THREAD L18 MM L6 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE T8 STARDRIVE CANNULATED SELF DRILL HEADLESS NONSTERILE	SUP-02.226.118	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE LONG THREAD T8 22MM 8MM 3MM 2MM 1.1MM SS NS SM BONE COMPRESSION CANNULATED HEADLESS STARDRIVE ACCEPTS 1.1MM	SUP-02.226.122	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE LONG THREAD T8 22MM 8MM 3MM 2MM 1.1MM SS NS SM BONE COMPRESSION CANNULATED HEADLESS STARDRIVE ACCEPTS 1.1MM	SUP-02.226.122	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL 1.1 MM LONG THREAD L26 MM L10 MM OD3 MM ODSEC2 MM SMALL BONE T8 STARDRIVE RECESS HEADLESS COMPRESSION CANNULATED SELF DRILLING AND SELF TAPPING NONSTERILE	SUP-02.226.126	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL 1.1 MM LONG THREAD L26 MM L10 MM OD3 MM ODSEC2 MM SMALL BONE T8 STARDRIVE RECESS HEADLESS COMPRESSION CANNULATED SELF DRILLING AND SELF TAPPING NONSTERILE	SUP-02.226.126	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL T8 L28 MM L10 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE SELF DRILL SELF TAP CANNULATED COMPRESSION STARDRIVE NONSTERILE	SUP-02.226.128	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL T8 L28 MM L10 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE SELF DRILL SELF TAP CANNULATED COMPRESSION STARDRIVE NONSTERILE	SUP-02.226.128	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL T8 L30 MM L12 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE SELF DRILL SELF TAP CANNULATED COMPRESSION STARDRIVE NONSTERILE	SUP-02.226.130	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL T8 L30 MM L12 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE SELF DRILL SELF TAP CANNULATED COMPRESSION STARDRIVE NONSTERILE	SUP-02.226.130	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL LONG THREAD T8 L32 MM L12 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.132	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL LONG THREAD T8 L32 MM L12 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.132	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 LONG THREAD 34MM 14MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.134	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE T8 LONG THREAD 34MM 14MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.134	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L36 MM L14 MM OD3 MM ODSEC2 MM SMALL BONE COMPRESSION CANNULATED T8 STARDRIVE HEADLESS NONSTERILE	SUP-02.226.136	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL LONG THREAD L36 MM L14 MM OD3 MM ODSEC2 MM SMALL BONE COMPRESSION CANNULATED T8 STARDRIVE HEADLESS NONSTERILE	SUP-02.226.136	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE STAINLESS STEEL LONG THREAD T8 L40 MM L16 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.140	CDM	270010022	LOCAL	270	RC		outpatient			679.52	679.52	184.08				percent of total billed charges		679.52				other	OPPS APC	502.84				percent of total billed charges		679.52				other	OPPS APC	679.52				other	OPPS APC	184.08				percent of total billed charges		187.75				percent of total billed charges		679.52				other	OPPS APC	184.08	679.52	
SCREW BONE STAINLESS STEEL LONG THREAD T8 L40 MM L16 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.140	CDM	270010022	LOCAL	270	RC		inpatient			679.52	679.52																																																			
SCREW BONE T8 SHORT THREAD 9MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.209	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 9MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.209	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 10MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.210	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 10MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.210	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 11MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.211	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 11MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.211	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 12MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.212	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 12MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.212	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 13MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.213	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 13MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.213	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 14MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.214	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 14MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.214	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L15 MM L4 MM OD2.4 MM HAND FOOT SELF DRILL COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.215	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE STAINLESS STEEL SHORT THREAD L15 MM L4 MM OD2.4 MM HAND FOOT SELF DRILL COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.215	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 17MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.217	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 17MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.217	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 19MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.219	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 19MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.219	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 20MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.220	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 20MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.220	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 21MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.221	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 21MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.221	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 22MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.222	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 22MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.222	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 23MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.223	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 23MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.223	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 24MM 5MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.224	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 24MM 5MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.224	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 25MM 5MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.225	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 25MM 5MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.225	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 26MM 5MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.226	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 26MM 5MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.226	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 27MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.227	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 27MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.227	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 28MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.228	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 28MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.228	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 29MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.229	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 29MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.229	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 30MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.230	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 30MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.230	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 32MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.232	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 32MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.232	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 34MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.234	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 34MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.234	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 36MM 9MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.236	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 36MM 9MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.236	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 38MM 9MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.238	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 38MM 9MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.238	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 SHORT THREAD 40MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.240	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 SHORT THREAD 40MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.240	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 17MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.317	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 17MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.317	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 18MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.318	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 18MM 6MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.318	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 19MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.319	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 19MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.319	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 20MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.320	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 20MM 7MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.320	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 21MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.321	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 21MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.321	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 22MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.322	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 22MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.322	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 23MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.323	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 23MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.323	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 24MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.324	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 24MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.324	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 25MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.325	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 25MM 8MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.325	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 26MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.326	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 26MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.326	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 27MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.327	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 27MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.327	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 28MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.328	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 28MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.328	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 29MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.329	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 29MM 10MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.329	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 30MM 12MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.330	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 30MM 12MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.330	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 32MM 12MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.332	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 32MM 12MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.332	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 36MM 14MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.336	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 36MM 14MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.336	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 38MM 16MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.338	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 38MM 16MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.338	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
SCREW BONE T8 LONG THREAD 40MM 16MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.340	CDM	270010022	LOCAL	270	RC		outpatient			679.44	679.45	184.06				percent of total billed charges		679.44				other	OPPS APC	502.79				percent of total billed charges		679.44				other	OPPS APC	679.44				other	OPPS APC	184.06				percent of total billed charges		187.73				percent of total billed charges		679.45				other	OPPS APC	184.06	679.45	
SCREW BONE T8 LONG THREAD 40MM 16MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.340	CDM	270010022	LOCAL	270	RC		inpatient			679.44	679.44																																																			
ENDOBUTTON 30MM	SUP-72200149	CDM			270	RC		outpatient			679.18	679.18	183.99				percent of total billed charges		679.18				other	OPPS APC	502.59				percent of total billed charges		679.18				other	OPPS APC	679.18				other	OPPS APC	183.99				percent of total billed charges		187.66				percent of total billed charges		679.18				other	OPPS APC	183.99	679.18	
ENDOBUTTON 30MM	SUP-72200149	CDM			270	RC		inpatient			679.18	679.18																																																			
SCREW TI SET 8 X 17.5MM	SUP-97-04017	CDM			278	RC		outpatient			679.07	679.75	679.07				fee schedule		679.07				other	OPPS APC	387.07				percent of total billed charges		679.07				other	OPPS APC	679.07				other	OPPS APC	332.74				percent of total billed charges		346.33				percent of total billed charges		679.75				other	OPPS APC	332.74	679.75	
SCREW TI SET 8 X 17.5MM	SUP-97-04017	CDM			278	RC		inpatient			679.07	679.07																																																			
ABS  TIGHTROPE INPLANT OPEN	SUP-97-04619	CDM			278	RC		outpatient			679	679	679				fee schedule		679				other	OPPS APC	387.03				percent of total billed charges		679				other	OPPS APC	679				other	OPPS APC	332.71				percent of total billed charges		346.29				percent of total billed charges		679				other	OPPS APC	332.71	679	
ABS  TIGHTROPE INPLANT OPEN	SUP-97-04619	CDM			278	RC		inpatient			679	679																																																			
CAP END NAIL HUMERAL T40 STARDRIVE TITANIUM STERILE EXTENTION 0MM	SUP-04.001.008S	CDM	270010022	LOCAL	270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
CAP END NAIL HUMERAL T40 STARDRIVE TITANIUM STERILE EXTENTION 0MM	SUP-04.001.008S	CDM	270010022	LOCAL	270	RC		inpatient			678	678																																																			
CAP END NAIL HUMERAL T40 STARDRIVE TITANIUM STERILE EXTENTION 5MM	SUP-04.001.009S	CDM	270010022	LOCAL	270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
CAP END NAIL HUMERAL T40 STARDRIVE TITANIUM STERILE EXTENTION 5MM	SUP-04.001.009S	CDM	270010022	LOCAL	270	RC		inpatient			678	678																																																			
CAP END NAIL HUMERAL T40 STARDRIVE TITANIUM STERILE EXTENTION 10MM	SUP-04.001.010S	CDM	270010022	LOCAL	270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
CAP END NAIL HUMERAL T40 STARDRIVE TITANIUM STERILE EXTENTION 10MM	SUP-04.001.010S	CDM	270010022	LOCAL	270	RC		inpatient			678	678																																																			
SCREW EVOS LOCKING CANNULATED 5.7MM X 30MM	SUP-72535730	CDM			270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
SCREW EVOS LOCKING CANNULATED 5.7MM X 30MM	SUP-72535730	CDM			270	RC		inpatient			678	678																																																			
SCREW EVOS LOCKING CANNULATED 5.7MM X 40MM	SUP-72535740	CDM			270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
SCREW EVOS LOCKING CANNULATED 5.7MM X 40MM	SUP-72535740	CDM			270	RC		inpatient			678	678																																																			
SCREW EVOS LOCKING CANNULATED 5.7MM X 65MM	SUP-72535765	CDM			270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
SCREW EVOS LOCKING CANNULATED 5.7MM X 65MM	SUP-72535765	CDM			270	RC		inpatient			678	678																																																			
SCREW EVOS LOCKING CANNULATED 5.7MM X 70MM	SUP-72535770	CDM			270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
SCREW EVOS LOCKING CANNULATED 5.7MM X 70MM	SUP-72535770	CDM			270	RC		inpatient			678	678																																																			
SCREW EVOS LOCKING CANNUALTED 5.7MM X 75MM	SUP-72535775	CDM			270	RC		outpatient			678	678	183.67				percent of total billed charges		678				other	OPPS APC	501.72				percent of total billed charges		678				other	OPPS APC	678				other	OPPS APC	183.67				percent of total billed charges		187.33				percent of total billed charges		678				other	OPPS APC	183.67	678	
SCREW EVOS LOCKING CANNUALTED 5.7MM X 75MM	SUP-72535775	CDM			270	RC		inpatient			678	678																																																			
SCREW CANN LONG THREAD 4MM X 34MM	SUP-95-01861	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN LONG THREAD 4MM X 34MM	SUP-95-01861	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN LONG THREAD 4MM X 42MM	SUP-97-01450	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN LONG THREAD 4MM X 42MM	SUP-97-01450	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN LONG THREAD 4MM X 32MM	SUP-97-03125	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN LONG THREAD 4MM X 32MM	SUP-97-03125	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN SHRT THREAD 4MM X 46MM	SUP-97-03196	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN SHRT THREAD 4MM X 46MM	SUP-97-03196	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN LONG THREAD 4MM X 52MM	SUP-97-03940	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN LONG THREAD 4MM X 52MM	SUP-97-03940	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN SHRT THREAD 4MM X 32MM	SUP-97-04010	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN SHRT THREAD 4MM X 32MM	SUP-97-04010	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN LONG THREAD 4MM X 58MM	SUP-97-04424	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN LONG THREAD 4MM X 58MM	SUP-97-04424	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN LONG THREAD 4MM X 48MM	SUP-97-04528	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN LONG THREAD 4MM X 48MM	SUP-97-04528	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN SHRT THREAD 4MM X 28MM	SUP-97-04599	CDM			278	RC		outpatient			676.76	676.76	331.61				percent of total billed charges		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN SHRT THREAD 4MM X 28MM	SUP-97-04599	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN SHRT THREAD 4MM X 30MM	SUP-97-04607	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN SHRT THREAD 4MM X 30MM	SUP-97-04607	CDM			278	RC		outpatient			676.76	676.76					fee schedule						other	OPPS APC	385.75				percent of total billed charges						other	OPPS APC					other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges						other	OPPS APC	385.75	385.75	
SCREW CANN SHRT THREAD 4MM X 60MM	SUP-97-05144	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN SHRT THREAD 4MM X 60MM	SUP-97-05144	CDM			278	RC		inpatient			676.76	676.76																																																			
SCREW CANN SHRT THREAD 4MM X 64MM	SUP-97-05145	CDM			278	RC		outpatient			676.76	676.76	676.76				fee schedule		676.76				other	OPPS APC	385.75				percent of total billed charges		676.76				other	OPPS APC	676.76				other	OPPS APC	331.61				percent of total billed charges		345.15				percent of total billed charges		676.76				other	OPPS APC	331.61	676.76	
SCREW CANN SHRT THREAD 4MM X 64MM	SUP-97-05145	CDM			278	RC		inpatient			676.76	676.76																																																			
PLATE LCP TUBULAR 5 HOLE	SUP-97-02776	CDM			278	RC		outpatient			676.73	676.73	676.73				fee schedule		676.73				other	OPPS APC	385.74				percent of total billed charges		676.73				other	OPPS APC	676.73				other	OPPS APC	331.6				percent of total billed charges		345.13				percent of total billed charges		676.73				other	OPPS APC	331.6	676.73	
PLATE LCP TUBULAR 5 HOLE	SUP-97-02776	CDM			278	RC		inpatient			676.73	676.73																																																			
DRILL BIT  7/64MM	SUP-95-02821	CDM			272	RC		outpatient			676.2	676.25	183.18				percent of total billed charges		676.2				other	OPPS APC	500.39				percent of total billed charges		676.2				other	OPPS APC	676.2				other	OPPS APC	183.18				percent of total billed charges		186.83				percent of total billed charges		676.25				other	OPPS APC	183.18	676.25	
DRILL BIT  7/64MM	SUP-95-02821	CDM			272	RC		inpatient			676.2	676.2																																																			
DRILL BIT  1.5MM (.059)	SUP-95-04173	CDM			272	RC		outpatient			676.2	676.25	183.18				percent of total billed charges		676.2				other	OPPS APC	500.39				percent of total billed charges		676.2				other	OPPS APC	676.2				other	OPPS APC	183.18				percent of total billed charges		186.83				percent of total billed charges		676.25				other	OPPS APC	183.18	676.25	
DRILL BIT  1.5MM (.059)	SUP-95-04173	CDM			272	RC		inpatient			676.2	676.2																																																			
HC Eeg W/O Video 2-12 Hours Unmonitored	PX-740957050	CDM	95705	CPT	740	RC		outpatient			675.72	675.72	168.93				fee schedule		675.72				other	OPPS APC	1977.28				fee schedule		675.72				other	OPPS APC	675.72				other	OPPS APC	331.1				percent of total billed charges		344.62				percent of total billed charges		675.72				other	OPPS APC	168.93	1977.28	
HC Eeg W/O Video 2-12 Hours Unmonitored	PX-740957050	CDM	95705	CPT	740	RC		inpatient			675.72	675.72																																																			
HYPERFLEX TRACH TUBE SZ-8	SUP-73-00042	CDM			272	RC		outpatient			675.55	675.55	183.01				percent of total billed charges		675.55				other	OPPS APC	499.91				percent of total billed charges		675.55				other	OPPS APC	675.55				other	OPPS APC	183.01				percent of total billed charges		186.65				percent of total billed charges		675.55				other	OPPS APC	183.01	675.55	
HYPERFLEX TRACH TUBE SZ-8	SUP-73-00042	CDM			272	RC		inpatient			675.55	675.55																																																			
PLATE BONE LC-DCP RIGHT ANGLE T 50X10X1.2MM SS NS 3 HOLE HEAD 3 HOLE SHAFT 3.5MM SCREW SM FRAGMENT	SUP-241.13	CDM	270010022	LOCAL	270	RC		outpatient			674.3	674.3	182.67				percent of total billed charges		674.3				other	OPPS APC	498.98				percent of total billed charges		674.3				other	OPPS APC	674.3				other	OPPS APC	182.67				percent of total billed charges		186.31				percent of total billed charges		674.3				other	OPPS APC	182.67	674.3	
PLATE BONE LC-DCP RIGHT ANGLE T 50X10X1.2MM SS NS 3 HOLE HEAD 3 HOLE SHAFT 3.5MM SCREW SM FRAGMENT	SUP-241.13	CDM	270010022	LOCAL	270	RC		inpatient			674.3	674.3																																																			
CATHETER - TIGER 4.0 5FR 110CM	SUP-99-01991	CDM			272	RC		outpatient			673.75	673.75	182.52				percent of total billed charges		673.75				other	OPPS APC	498.58				percent of total billed charges		673.75				other	OPPS APC	673.75				other	OPPS APC	182.52				percent of total billed charges		186.16				percent of total billed charges		673.75				other	OPPS APC	182.52	673.75	
CATHETER - TIGER 4.0 5FR 110CM	SUP-99-01991	CDM			272	RC		inpatient			673.75	673.75																																																			
CATHETER - TIGER 4.0 6FR 110CM	SUP-99-01994	CDM			272	RC		outpatient			673.75	673.75	182.52				percent of total billed charges		673.75				other	OPPS APC	498.58				percent of total billed charges		673.75				other	OPPS APC	673.75				other	OPPS APC	182.52				percent of total billed charges		186.16				percent of total billed charges		673.75				other	OPPS APC	182.52	673.75	
CATHETER - TIGER 4.0 6FR 110CM	SUP-99-01994	CDM			272	RC		inpatient			673.75	673.75																																																			
CATHETER - JACKY 6F	SUP-99-03206	CDM			272	RC		outpatient			673.75	673.75	182.52				percent of total billed charges		673.75				other	OPPS APC	498.58				percent of total billed charges		673.75				other	OPPS APC	673.75				other	OPPS APC	182.52				percent of total billed charges		186.16				percent of total billed charges		673.75				other	OPPS APC	182.52	673.75	
CATHETER - JACKY 6F	SUP-99-03206	CDM			272	RC		inpatient			673.75	673.75																																																			
SHEATH - WORLEY 9FX50CM SAFESHEATH JUMBO CURVE	SUP-99-04866	CDM			272	RC		outpatient			673.75	673.75	182.52				percent of total billed charges		673.75				other	OPPS APC	498.58				percent of total billed charges		673.75				other	OPPS APC	673.75				other	OPPS APC	182.52				percent of total billed charges		186.16				percent of total billed charges		673.75				other	OPPS APC	182.52	673.75	
SHEATH - WORLEY 9FX50CM SAFESHEATH JUMBO CURVE	SUP-99-04866	CDM			272	RC		inpatient			673.75	673.75																																																			
"CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DROPS,SUSPENSION 7.5 ML DROP BTL"	637000000	CDM	43598-326-75	NDC	A9270	HCPCS		inpatient			672.55	672.55																																																			
"CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % DROPS,SUSPENSION 7.5 ML DROP BTL"	637000000	CDM	43598-326-75	NDC	A9270	HCPCS		outpatient			672.55	672.55																																															other	OPPS APC			
AUTOTRANSFUSION SYSTEM	SUP-78-00316	CDM			272	RC		outpatient			672.07	672.75	182.06				percent of total billed charges		672.07				other	OPPS APC	497.33				percent of total billed charges		672.07				other	OPPS APC	672.07				other	OPPS APC	182.06				percent of total billed charges		185.69				percent of total billed charges		672.75				other	OPPS APC	182.06	672.75	
AUTOTRANSFUSION SYSTEM	SUP-78-00316	CDM			272	RC		inpatient			672.07	672.07																																																			
DRILL 4.9MM CANNULATED LARGE AO	SUP-95-04714	CDM			272	RC		outpatient			672	672	182.04				percent of total billed charges		672				other	OPPS APC	497.28				percent of total billed charges		672				other	OPPS APC	672				other	OPPS APC	182.04				percent of total billed charges		185.67				percent of total billed charges		672				other	OPPS APC	182.04	672	
DRILL 4.9MM CANNULATED LARGE AO	SUP-95-04714	CDM			272	RC		inpatient			672	672																																																			
CUTTER PATELLA STERILE KNEE 36MM	SUP-97-01079	CDM			272	RC		outpatient			672	672	182.04				percent of total billed charges		672				other	OPPS APC	497.28				percent of total billed charges		672				other	OPPS APC	672				other	OPPS APC	182.04				percent of total billed charges		185.67				percent of total billed charges		672				other	OPPS APC	182.04	672	
CUTTER PATELLA STERILE KNEE 36MM	SUP-97-01079	CDM			272	RC		inpatient			672	672																																																			
FORCEP RETRIEVAL VASCULAR	SUP-VRF-3.0-120	CDM			270	RC		outpatient			670.7	67.75	181.69				percent of total billed charges		670.7				other	OPPS APC	496.32				percent of total billed charges		670.7				other	OPPS APC	670.7				other	OPPS APC	181.69				percent of total billed charges		185.31				percent of total billed charges		67.75				other	OPPS APC	67.75	670.7	
FORCEP RETRIEVAL VASCULAR	SUP-VRF-3.0-120	CDM			270	RC		inpatient			670.7	670.7																																																			
FALLER TUNNELING TROCAR	SUP-76-00129	CDM			272	RC		outpatient			670.32	67.33	181.59				percent of total billed charges		670.32				other	OPPS APC	496.04				percent of total billed charges		670.32				other	OPPS APC	670.32				other	OPPS APC	181.59				percent of total billed charges		185.21				percent of total billed charges		67.33				other	OPPS APC	67.33	670.32	
FALLER TUNNELING TROCAR	SUP-76-00129	CDM			272	RC		inpatient			670.32	670.32																																																			
DEVICE FIXATION TIGHTROPE FIBERTAG ACL ABS	SUP-AR-1588TNT	CDM			270	RC		outpatient			670	67	181.5				percent of total billed charges		670				other	OPPS APC	495.8				percent of total billed charges		670				other	OPPS APC	670				other	OPPS APC	181.5				percent of total billed charges		185.12				percent of total billed charges		67				other	OPPS APC	67	670	
DEVICE FIXATION TIGHTROPE FIBERTAG ACL ABS	SUP-AR-1588TNT	CDM			270	RC		inpatient			670	670																																																			
VALVE HEMOSTASIS STERILE LF AORTIC EXTENSION AFX INTRODUCER SYSTEM	SUP-S17-45AFX	CDM	270010015	LOCAL	270	RC		outpatient			670	67	181.5				percent of total billed charges		670				other	OPPS APC	495.8				percent of total billed charges		670				other	OPPS APC	670				other	OPPS APC	181.5				percent of total billed charges		185.12				percent of total billed charges		67				other	OPPS APC	67	670	
VALVE HEMOSTASIS STERILE LF AORTIC EXTENSION AFX INTRODUCER SYSTEM	SUP-S17-45AFX	CDM	270010015	LOCAL	270	RC		inpatient			670	670																																																			
DRILL CANNULATED 3.5MM AO FITTING	SUP-95-03596	CDM			272	RC		outpatient			668.64	668.64	181.13				percent of total billed charges		668.64				other	OPPS APC	494.79				percent of total billed charges		668.64				other	OPPS APC	668.64				other	OPPS APC	181.13				percent of total billed charges		184.75				percent of total billed charges		668.64				other	OPPS APC	181.13	668.64	
DRILL CANNULATED 3.5MM AO FITTING	SUP-95-03596	CDM			272	RC		inpatient			668.64	668.64																																																			
PIN HOLDING LCP OD2.4 MM ODSEC2.7 MM VARIABLE ANGLE NONSTERILE	SUP-03.211.001	CDM	270010022	LOCAL	270	RC		outpatient			668.4	668.4	181.07				percent of total billed charges		668.4				other	OPPS APC	494.62				percent of total billed charges		668.4				other	OPPS APC	668.4				other	OPPS APC	181.07				percent of total billed charges		184.68				percent of total billed charges		668.4				other	OPPS APC	181.07	668.4	
PIN HOLDING LCP OD2.4 MM ODSEC2.7 MM VARIABLE ANGLE NONSTERILE	SUP-03.211.001	CDM	270010022	LOCAL	270	RC		inpatient			668.4	668.4																																																			
SCREW 3.5 X 38MM HEADLESSS SHORT THREAD MINI MONSTER	SUP-97-06211	CDM			278	RC		outpatient			668.15	668.15	668.15				fee schedule		668.15				other	OPPS APC	380.85				percent of total billed charges		668.15				other	OPPS APC	668.15				other	OPPS APC	327.39				percent of total billed charges		340.76				percent of total billed charges		668.15				other	OPPS APC	327.39	668.15	
SCREW 3.5 X 38MM HEADLESSS SHORT THREAD MINI MONSTER	SUP-97-06211	CDM			278	RC		inpatient			668.15	668.15																																																			
SCREW 3 X 42MM HEADLESS CANNULATED SHORT THREAD MINI MONSTER	SUP-97-06212	CDM			278	RC		outpatient			668.15	668.15	668.15				fee schedule		668.15				other	OPPS APC	380.85				percent of total billed charges		668.15				other	OPPS APC	668.15				other	OPPS APC	327.39				percent of total billed charges		340.76				percent of total billed charges		668.15				other	OPPS APC	327.39	668.15	
SCREW 3 X 42MM HEADLESS CANNULATED SHORT THREAD MINI MONSTER	SUP-97-06212	CDM			278	RC		inpatient			668.15	668.15																																																			
CABLE CONNECTING FLEXABILITY	SUP-A-FASE-CBL4	CDM						inpatient			668	668																																																			
CABLE CONNECTING FLEXABILITY	SUP-A-FASE-CBL4	CDM						outpatient			668	668	668				percent of total billed charges		668				other	OPPS APC	668				fee schedule		668				other	OPPS APC	668				other	OPPS APC	668				case rate		668				case rate		668				other	OPPS APC	668	668	
PLATE BONE LC-DCP STAINLESS STEEL L77 MM X W11 MM X H3.3 MM 6 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.56	CDM	270010022	LOCAL	270	RC		outpatient			667.7	667.75	180.88				percent of total billed charges		667.7				other	OPPS APC	494.1				percent of total billed charges		667.7				other	OPPS APC	667.7				other	OPPS APC	180.88				percent of total billed charges		184.49				percent of total billed charges		667.75				other	OPPS APC	180.88	667.75	
PLATE BONE LC-DCP STAINLESS STEEL L77 MM X W11 MM X H3.3 MM 6 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.56	CDM	270010022	LOCAL	270	RC		inpatient			667.7	667.7																																																			
PLATE BONE TITANIUM STRAIGHT NARROW L29 MM X W4.8 MM X H1 MM MANDIBLE 4 HOLE LOW PROFILE EASILY CONTOUR NONSTERILE 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.004	CDM	270010014	LOCAL	270	RC		outpatient			666.16	666.16	180.46				percent of total billed charges		666.16				other	OPPS APC	492.96				percent of total billed charges		666.16				other	OPPS APC	666.16				other	OPPS APC	180.46				percent of total billed charges		184.06				percent of total billed charges		666.16				other	OPPS APC	180.46	666.16	
PLATE BONE TITANIUM STRAIGHT NARROW L29 MM X W4.8 MM X H1 MM MANDIBLE 4 HOLE LOW PROFILE EASILY CONTOUR NONSTERILE 2 MM SCREW MODULAR FIXATION SYSTEM	SUP-449.004	CDM	270010014	LOCAL	270	RC		inpatient			666.16	666.16																																																			
5.5F PRONTO V4 EXTRACTION CATHETER	SUP-4005	CDM			270	RC		outpatient			666	666	180.42				percent of total billed charges		666				other	OPPS APC	492.84				percent of total billed charges		666				other	OPPS APC	666				other	OPPS APC	180.42				percent of total billed charges		184.02				percent of total billed charges		666				other	OPPS APC	180.42	666	
5.5F PRONTO V4 EXTRACTION CATHETER	SUP-4005	CDM			270	RC		inpatient			666	666																																																			
ARRAY TRACKER VELYS KNEEE SET	SUP-451570011	CDM	270010025	LOCAL	270	RC		outpatient			666	666	180.42				percent of total billed charges		666				other	OPPS APC	492.84				percent of total billed charges		666				other	OPPS APC	666				other	OPPS APC	180.42				percent of total billed charges		184.02				percent of total billed charges		666				other	OPPS APC	180.42	666	
ARRAY TRACKER VELYS KNEEE SET	SUP-451570011	CDM	270010025	LOCAL	270	RC		inpatient			666	666																																																			
ACUTRAK 2 MINI DRILL LONG	SUP-80-0100	CDM			270	RC		outpatient			666	666	180.42				percent of total billed charges		666				other	OPPS APC	492.84				percent of total billed charges		666				other	OPPS APC	666				other	OPPS APC	180.42				percent of total billed charges		184.02				percent of total billed charges		666				other	OPPS APC	180.42	666	
ACUTRAK 2 MINI DRILL LONG	SUP-80-0100	CDM			270	RC		inpatient			666	666																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE 4MM 4.5MM 5MM 60MM BLACK PVC DISPOSABLE STERILE LF EXTRA THICK TISSUE ARTICULATE	SUP-SIG60AXT	CDM			270	RC		outpatient			665.77	665.77	180.36				percent of total billed charges		665.77				other	OPPS APC	492.67				percent of total billed charges		665.77				other	OPPS APC	665.77				other	OPPS APC	180.36				percent of total billed charges		183.95				percent of total billed charges		665.77				other	OPPS APC	180.36	665.77	
RELOAD STAPLER ENDO GIA TRI-STAPLE 4MM 4.5MM 5MM 60MM BLACK PVC DISPOSABLE STERILE LF EXTRA THICK TISSUE ARTICULATE	SUP-SIG60AXT	CDM			270	RC		inpatient			665.77	665.77																																																			
HYPERFLEX TRACH TUBE SZ-6	SUP-95-04339	CDM			272	RC		outpatient			665.56	665.56	180.3				percent of total billed charges		665.56				other	OPPS APC	492.51				percent of total billed charges		665.56				other	OPPS APC	665.56				other	OPPS APC	180.3				percent of total billed charges		183.89				percent of total billed charges		665.56				other	OPPS APC	180.3	665.56	
HYPERFLEX TRACH TUBE SZ-6	SUP-95-04339	CDM			272	RC		inpatient			665.56	665.56																																																			
ENDOPYELOTOMY  STENT 24	SUP-97-00799	CDM						inpatient			665.35	665.35																																																			
ENDOPYELOTOMY  STENT 24	SUP-97-00799	CDM						outpatient			665.35	665.35	665.35				percent of total billed charges		665.35				other	OPPS APC	665.35				fee schedule		665.35				other	OPPS APC	665.35				other	OPPS APC	665.35				case rate		665.35				case rate		665.35				other	OPPS APC	665.35	665.35	
ENDOPYELOTOMY  STENT 26	SUP-97-00800	CDM						inpatient			665.35	665.35																																																			
ENDOPYELOTOMY  STENT 26	SUP-97-00800	CDM						outpatient			665.35	665.35	665.35				percent of total billed charges		665.35				other	OPPS APC	665.35				fee schedule		665.35				other	OPPS APC	665.35				other	OPPS APC	665.35				case rate		665.35				case rate		665.35				other	OPPS APC	665.35	665.35	
ENDOPYELOTOMY  STENT 28	SUP-97-00801	CDM						inpatient			665.35	665.35																																																			
ENDOPYELOTOMY  STENT 28	SUP-97-00801	CDM						outpatient			665.35	665.35	665.35				percent of total billed charges		665.35				other	OPPS APC	665.35				fee schedule		665.35				other	OPPS APC	665.35				other	OPPS APC	665.35				case rate		665.35				case rate		665.35				other	OPPS APC	665.35	665.35	
CATHETER PULMONARY ARTERY SWAN-GANZ CCO VIP 110CM 7.5FR HEPARIN POLYMER PULMONARY	SUP-777F8	CDM			481	RC		outpatient			665.34	665.34	326.02				percent of total billed charges		665.34				other	OPPS APC	492.35				percent of total billed charges		665.34				other	OPPS APC	665.34				other	OPPS APC	326.02				percent of total billed charges		339.32				percent of total billed charges		665.34				other	OPPS APC	326.02	665.34	
CATHETER PULMONARY ARTERY SWAN-GANZ CCO VIP 110CM 7.5FR HEPARIN POLYMER PULMONARY	SUP-777F8	CDM			481	RC		inpatient			665.34	665.34																																																			
CT CLOSURE SYSTEM XL	SUP-74-00134	CDM			272	RC		outpatient			665.28	665.28	180.22				percent of total billed charges		665.28				other	OPPS APC	492.31				percent of total billed charges		665.28				other	OPPS APC	665.28				other	OPPS APC	180.22				percent of total billed charges		183.82				percent of total billed charges		665.28				other	OPPS APC	180.22	665.28	
CT CLOSURE SYSTEM XL	SUP-74-00134	CDM			272	RC		inpatient			665.28	665.28																																																			
HC Debride Muscle Each Add. 20sq	PX-761110460	CDM	11046	CPT	761	RC		inpatient			665	665																																																			
HC Debride Muscle Each Add. 20sq	PX-761110460	CDM	11046	CPT	761	RC		outpatient			665	665	195.77				case rate						other	OPPS APC	492.1				percent of total billed charges						other	OPPS APC					other	OPPS APC	195.77				case rate		339.15				percent of total billed charges						other	OPPS APC	492.1	492.1	
CAPSULAR TENSION RING 13MM	SUP-73-00079	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
CAPSULAR TENSION RING 13MM	SUP-73-00079	CDM			272	RC		inpatient			665	665																																																			
BALLON DILATION GUIDED WIRE 3STAGE 8/10	SUP-95-04159	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLON DILATION GUIDED WIRE 3STAGE 8/10	SUP-95-04159	CDM			272	RC		inpatient			665	665																																																			
BALLON DILATION GUIDED WIRE 3STAGE 10/12	SUP-95-04160	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLON DILATION GUIDED WIRE 3STAGE 10/12	SUP-95-04160	CDM			272	RC		inpatient			665	665																																																			
GUIDEWIRE BALLOON	SUP-95-04171	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
GUIDEWIRE BALLOON	SUP-95-04171	CDM			272	RC		inpatient			665	665																																																			
MINI MONOKA  STENT	SUP-97-03393	CDM			278	RC		outpatient			665	665	665				fee schedule		665				other	OPPS APC	379.05				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	325.85				percent of total billed charges		339.15				percent of total billed charges		665				other	OPPS APC	325.85	665	
MINI MONOKA  STENT	SUP-97-03393	CDM			278	RC		inpatient			665	665																																																			
TI-DBLE LEAD CORT 5.0X40MM SCR	SUP-97-03862	CDM			278	RC		outpatient			665	665	665				fee schedule		665				other	OPPS APC	379.05				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	325.85				percent of total billed charges		339.15				percent of total billed charges		665				other	OPPS APC	325.85	665	
TI-DBLE LEAD CORT 5.0X40MM SCR	SUP-97-03862	CDM			278	RC		inpatient			665	665																																																			
TI-DBLE LEAD CORT 5.0X28MM SCR	SUP-97-03863	CDM			278	RC		outpatient			665	665	665				fee schedule		665				other	OPPS APC	379.05				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	325.85				percent of total billed charges		339.15				percent of total billed charges		665				other	OPPS APC	325.85	665	
TI-DBLE LEAD CORT 5.0X28MM SCR	SUP-97-03863	CDM			278	RC		inpatient			665	665																																																			
TI-DBLE LEAD CORT 5.0X75MM SCR	SUP-97-03864	CDM			278	RC		outpatient			665	665	665				fee schedule		665				other	OPPS APC	379.05				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	325.85				percent of total billed charges		339.15				percent of total billed charges		665				other	OPPS APC	325.85	665	
TI-DBLE LEAD CORT 5.0X75MM SCR	SUP-97-03864	CDM			278	RC		inpatient			665	665																																																			
TI-DBLE LEAD CORT 5.0X7100MM SCR	SUP-97-03865	CDM			278	RC		outpatient			665	665	665				fee schedule		665				other	OPPS APC	379.05				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	325.85				percent of total billed charges		339.15				percent of total billed charges		665				other	OPPS APC	325.85	665	
TI-DBLE LEAD CORT 5.0X7100MM SCR	SUP-97-03865	CDM			278	RC		inpatient			665	665																																																			
ABLATOR ASPIRATING APOLLO RF i90	SUP-97-05330	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
ABLATOR ASPIRATING APOLLO RF i90	SUP-97-05330	CDM			272	RC		inpatient			665	665																																																			
GUIDEWIRE-GLIDE SPLASH 035X180 ANG STIFF	SUP-99-00207	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
GUIDEWIRE-GLIDE SPLASH 035X180 ANG STIFF	SUP-99-00207	CDM			272	RC		inpatient			665	665																																																			
BALLOON - MUSTANG OTW 6X150X135	SUP-99-01279	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - MUSTANG OTW 6X150X135	SUP-99-01279	CDM			272	RC		inpatient			665	665																																																			
BALLOON- MUSTANG OTW 5X150X135	SUP-99-01307	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON- MUSTANG OTW 5X150X135	SUP-99-01307	CDM			272	RC		inpatient			665	665																																																			
BALLOON - MUSTANG OTW 6X40X135	SUP-99-01308	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - MUSTANG OTW 6X40X135	SUP-99-01308	CDM			272	RC		inpatient			665	665																																																			
GUIDEWIRE - AMPLATZ SPR STF STR 180 BS	SUP-99-01368	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
GUIDEWIRE - AMPLATZ SPR STF STR 180 BS	SUP-99-01368	CDM			272	RC		inpatient			665	665																																																			
BALLOON - MUSTANG OTW 8X40X135	SUP-99-01604	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - MUSTANG OTW 8X40X135	SUP-99-01604	CDM			272	RC		inpatient			665	665																																																			
BALLOON - NC EUPHORA 3.5X15	SUP-99-02154	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - NC EUPHORA 3.5X15	SUP-99-02154	CDM			272	RC		inpatient			665	665																																																			
BALLOON - NC EUPHORA 2.5X27	SUP-99-02201	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - NC EUPHORA 2.5X27	SUP-99-02201	CDM			272	RC		inpatient			665	665																																																			
BALLOON - NC EUPHORA 3.75X20	SUP-99-02209	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - NC EUPHORA 3.75X20	SUP-99-02209	CDM			272	RC		inpatient			665	665																																																			
BALLOON - NC EUPHORA 4.0X15	SUP-99-02210	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
BALLOON - NC EUPHORA 4.0X15	SUP-99-02210	CDM			272	RC		inpatient			665	665																																																			
ATHERECTOMY - VIPERWIRE ADVANCE 475CM	SUP-99-03725	CDM			272	RC		outpatient			665	665	180.15				percent of total billed charges		665				other	OPPS APC	492.1				percent of total billed charges		665				other	OPPS APC	665				other	OPPS APC	180.15				percent of total billed charges		183.74				percent of total billed charges		665				other	OPPS APC	180.15	665	
ATHERECTOMY - VIPERWIRE ADVANCE 475CM	SUP-99-03725	CDM			272	RC		inpatient			665	665																																																			
GLUCAGON 1 MG/ML RECON SOLN	636000000	CDM	63323-593-03	NDC	J1611	HCPCS		inpatient			664.95	664.95																																																			
GLUCAGON 1 MG/ML RECON SOLN	636000000	CDM	63323-596-03	NDC	J1611	HCPCS		inpatient			664.95	664.95																																																			
GLUCAGON 1 MG/ML RECON SOLN	636000000	CDM	63323-593-03	NDC	J1611	HCPCS		outpatient			664.95	137.36																																											137.36				other	OPPS APC	137.36	137.36	
GLUCAGON 1 MG/ML RECON SOLN	636000000	CDM	63323-596-03	NDC	J1611	HCPCS		outpatient			664.95	137.36																																											137.36				other	OPPS APC	137.36	137.36	
DILATOR ENDOSCOPIC CRE L3 CM L75 CM OD8-9-10 MM PULMONARY BALLOON RADIOPAQUE RECTILINEAR SHOULDER STERILE DISPOSABLE ACCEPTS .035 IN JAGWIRE	SUP-M00550330	CDM			270	RC		outpatient			664.4	664.4	179.99				percent of total billed charges		664.4				other	OPPS APC	491.66				percent of total billed charges		664.4				other	OPPS APC	664.4				other	OPPS APC	179.99				percent of total billed charges		183.57				percent of total billed charges		664.4				other	OPPS APC	179.99	664.4	
DILATOR ENDOSCOPIC CRE L3 CM L75 CM OD8-9-10 MM PULMONARY BALLOON RADIOPAQUE RECTILINEAR SHOULDER STERILE DISPOSABLE ACCEPTS .035 IN JAGWIRE	SUP-M00550330	CDM			270	RC		inpatient			664.4	664.4																																																			
SCREW AIRLOCK LOCKING 3MM X 12MM	SUP-97-04664	CDM			278	RC		outpatient			664.13	664.13	664.13				fee schedule		664.13				other	OPPS APC	378.55				percent of total billed charges		664.13				other	OPPS APC	664.13				other	OPPS APC	325.42				percent of total billed charges		338.71				percent of total billed charges		664.13				other	OPPS APC	325.42	664.13	
SCREW AIRLOCK LOCKING 3MM X 12MM	SUP-97-04664	CDM			278	RC		inpatient			664.13	664.13																																																			
ANCHOR HEALIX BR 3.4MM	SUP-222343	CDM			270	RC		outpatient			664	664	179.88				percent of total billed charges		664				other	OPPS APC	491.36				percent of total billed charges		664				other	OPPS APC	664				other	OPPS APC	179.88				percent of total billed charges		183.46				percent of total billed charges		664				other	OPPS APC	179.88	664	
ANCHOR HEALIX BR 3.4MM	SUP-222343	CDM			270	RC		inpatient			664	664																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L220 MM OD7 FR ODSEC5 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-50221	CDM			270	RC		outpatient			664	664	179.88				percent of total billed charges		664				other	OPPS APC	491.36				percent of total billed charges		664				other	OPPS APC	664				other	OPPS APC	179.88				percent of total billed charges		183.46				percent of total billed charges		664				other	OPPS APC	179.88	664	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L220 MM OD7 FR ODSEC5 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-50221	CDM			270	RC		inpatient			664	664																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L220 MM OD7 FR ODSEC6 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-60221	CDM			270	RC		outpatient			664	664	179.88				percent of total billed charges		664				other	OPPS APC	491.36				percent of total billed charges		664				other	OPPS APC	664				other	OPPS APC	179.88				percent of total billed charges		183.46				percent of total billed charges		664				other	OPPS APC	179.88	664	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L220 MM OD7 FR ODSEC6 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-60221	CDM			270	RC		inpatient			664	664																																																			
DRILL SURGICAL ACUTRAK 2 MICRO LONG EXTEND	SUP-80-1522	CDM			270	RC		outpatient			664	664	179.88				percent of total billed charges		664				other	OPPS APC	491.36				percent of total billed charges		664				other	OPPS APC	664				other	OPPS APC	179.88				percent of total billed charges		183.46				percent of total billed charges		664				other	OPPS APC	179.88	664	
DRILL SURGICAL ACUTRAK 2 MICRO LONG EXTEND	SUP-80-1522	CDM			270	RC		inpatient			664	664																																																			
ACUTRAK 2 DRILL LONG	SUP-AT2-L2515	CDM			270	RC		outpatient			664	664	179.88				percent of total billed charges		664				other	OPPS APC	491.36				percent of total billed charges		664				other	OPPS APC	664				other	OPPS APC	179.88				percent of total billed charges		183.46				percent of total billed charges		664				other	OPPS APC	179.88	664	
ACUTRAK 2 DRILL LONG	SUP-AT2-L2515	CDM			270	RC		inpatient			664	664																																																			
ACUTRAK 2 MINI DRILL LONG	SUP-AT2M-L1813	CDM			270	RC		outpatient			664	664	179.88				percent of total billed charges		664				other	OPPS APC	491.36				percent of total billed charges		664				other	OPPS APC	664				other	OPPS APC	179.88				percent of total billed charges		183.46				percent of total billed charges		664				other	OPPS APC	179.88	664	
ACUTRAK 2 MINI DRILL LONG	SUP-AT2M-L1813	CDM			270	RC		inpatient			664	664																																																			
PLATE BROAD LC-DCP 11 HOLE	SUP-226.61	CDM	270010022	LOCAL	270	RC		outpatient			663.52	663.52	179.75				percent of total billed charges		663.52				other	OPPS APC	491				percent of total billed charges		663.52				other	OPPS APC	663.52				other	OPPS APC	179.75				percent of total billed charges		183.33				percent of total billed charges		663.52				other	OPPS APC	179.75	663.52	
PLATE BROAD LC-DCP 11 HOLE	SUP-226.61	CDM	270010022	LOCAL	270	RC		inpatient			663.52	663.52																																																			
PLATE BROAD LC-DCP 12 HOLE	SUP-226.62	CDM	270010022	LOCAL	270	RC		outpatient			663.52	663.52	179.75				percent of total billed charges		663.52				other	OPPS APC	491				percent of total billed charges		663.52				other	OPPS APC	663.52				other	OPPS APC	179.75				percent of total billed charges		183.33				percent of total billed charges		663.52				other	OPPS APC	179.75	663.52	
PLATE BROAD LC-DCP 12 HOLE	SUP-226.62	CDM	270010022	LOCAL	270	RC		inpatient			663.52	663.52																																																			
SCREW 5.0 MM LOCKING IM NAIL 6	SUP-97-00832	CDM			278	RC		outpatient			663.39	663.39	663.39				fee schedule		663.39				other	OPPS APC	378.13				percent of total billed charges		663.39				other	OPPS APC	663.39				other	OPPS APC	325.06				percent of total billed charges		338.33				percent of total billed charges		663.39				other	OPPS APC	325.06	663.39	
SCREW 5.0 MM LOCKING IM NAIL 6	SUP-97-00832	CDM			278	RC		inpatient			663.39	663.39																																																			
SCREW 5.0 X 85MM LOCKING IM NAIL 8	SUP-97-00834	CDM			278	RC		outpatient			663.39	663.39	663.39				fee schedule		663.39				other	OPPS APC	378.13				percent of total billed charges		663.39				other	OPPS APC	663.39				other	OPPS APC	325.06				percent of total billed charges		338.33				percent of total billed charges		663.39				other	OPPS APC	325.06	663.39	
SCREW 5.0 X 85MM LOCKING IM NAIL 8	SUP-97-00834	CDM			278	RC		inpatient			663.39	663.39																																																			
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00835	CDM			278	RC		outpatient			663.39	663.39	663.39				fee schedule		663.39				other	OPPS APC	378.13				percent of total billed charges		663.39				other	OPPS APC	663.39				other	OPPS APC	325.06				percent of total billed charges		338.33				percent of total billed charges		663.39				other	OPPS APC	325.06	663.39	
SCREW 4.0 MM LOCKING IM NAIL 3	SUP-97-00835	CDM			278	RC		inpatient			663.39	663.39																																																			
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-00837	CDM			278	RC		outpatient			663.39	663.39	663.39				fee schedule		663.39				other	OPPS APC	378.13				percent of total billed charges		663.39				other	OPPS APC	663.39				other	OPPS APC	325.06				percent of total billed charges		338.33				percent of total billed charges		663.39				other	OPPS APC	325.06	663.39	
SCREW 4.0 MM LOCKING IM NAIL 4	SUP-97-00837	CDM			278	RC		inpatient			663.39	663.39																																																			
SCREW LOCKING TI 4.0 58MM	SUP-97-00838	CDM			278	RC		outpatient			663.39	663.39	663.39				fee schedule		663.39				other	OPPS APC	378.13				percent of total billed charges		663.39				other	OPPS APC	663.39				other	OPPS APC	325.06				percent of total billed charges		338.33				percent of total billed charges		663.39				other	OPPS APC	325.06	663.39	
SCREW LOCKING TI 4.0 58MM	SUP-97-00838	CDM			278	RC		inpatient			663.39	663.39																																																			
CRV. NEEDLE	SUP-72201494	CDM			270	RC		outpatient			662.82	662.83	179.56				percent of total billed charges		662.82				other	OPPS APC	490.49				percent of total billed charges		662.82				other	OPPS APC	662.82				other	OPPS APC	179.56				percent of total billed charges		183.14				percent of total billed charges		662.83				other	OPPS APC	179.56	662.83	
CRV. NEEDLE	SUP-72201494	CDM			270	RC		inpatient			662.82	662.82																																																			
NEEDLE DELIVERY SYSTEM ULTRA FAST FIX AB ASSEMBLY REVERSE CURVED	SUP-72201495	CDM			270	RC		outpatient			662.82	662.83	179.56				percent of total billed charges		662.82				other	OPPS APC	490.49				percent of total billed charges		662.82				other	OPPS APC	662.82				other	OPPS APC	179.56				percent of total billed charges		183.14				percent of total billed charges		662.83				other	OPPS APC	179.56	662.83	
NEEDLE DELIVERY SYSTEM ULTRA FAST FIX AB ASSEMBLY REVERSE CURVED	SUP-72201495	CDM			270	RC		inpatient			662.82	662.82																																																			
COLD KNIFE  DISPOSABLE 27069K	SUP-70-00103	CDM			272	RC		outpatient			662.6	662.62	179.5				percent of total billed charges		662.6				other	OPPS APC	490.32				percent of total billed charges		662.6				other	OPPS APC	662.6				other	OPPS APC	179.5				percent of total billed charges		183.08				percent of total billed charges		662.62				other	OPPS APC	179.5	662.62	
COLD KNIFE  DISPOSABLE 27069K	SUP-70-00103	CDM			272	RC		inpatient			662.6	662.6																																																			
PLATE BONE EVOS STAINLESS STEEL 11.5 MM SPACE L 81 MM X W 10.7 MM X H 3.4MM 7 HOLE LOCK COMPRESSION STERILE 3.5MM SCREW	SUP-72440707	CDM			270	RC		outpatient			662.4	662.4	179.44				percent of total billed charges		662.4				other	OPPS APC	490.18				percent of total billed charges		662.4				other	OPPS APC	662.4				other	OPPS APC	179.44				percent of total billed charges		183.02				percent of total billed charges		662.4				other	OPPS APC	179.44	662.4	
PLATE BONE EVOS STAINLESS STEEL 11.5 MM SPACE L 81 MM X W 10.7 MM X H 3.4MM 7 HOLE LOCK COMPRESSION STERILE 3.5MM SCREW	SUP-72440707	CDM			270	RC		inpatient			662.4	662.4																																																			
CRUISE 90-S	SUP-78-00348	CDM			272	RC		outpatient			662.38	662.38	179.44				percent of total billed charges		662.38				other	OPPS APC	490.16				percent of total billed charges		662.38				other	OPPS APC	662.38				other	OPPS APC	179.44				percent of total billed charges		183.02				percent of total billed charges		662.38				other	OPPS APC	179.44	662.38	
CRUISE 90-S	SUP-78-00348	CDM			272	RC		inpatient			662.38	662.38																																																			
GUIDEWIRE VASCULAR X-PEDION STAINLESS STEEL PLATINUM HYDROPHILIC L200 CM L10 CM OD.01 IN ODSEC.012 IN SOFT TIP RADIOPAQUE DISTAL COIL POUCH	SUP-103-0605-200	CDM			270	RC		outpatient			662	662	179.34				percent of total billed charges		662				other	OPPS APC	489.88				percent of total billed charges		662				other	OPPS APC	662				other	OPPS APC	179.34				percent of total billed charges		182.91				percent of total billed charges		662				other	OPPS APC	179.34	662	
GUIDEWIRE VASCULAR X-PEDION STAINLESS STEEL PLATINUM HYDROPHILIC L200 CM L10 CM OD.01 IN ODSEC.012 IN SOFT TIP RADIOPAQUE DISTAL COIL POUCH	SUP-103-0605-200	CDM			270	RC		inpatient			662	662																																																			
BLADE SHAVER QUADCUT L13 CM OD4.3 MM	SUP-1884380HR	CDM			270	RC		outpatient			662	662	179.34				percent of total billed charges		662				other	OPPS APC	489.88				percent of total billed charges		662				other	OPPS APC	662				other	OPPS APC	179.34				percent of total billed charges		182.91				percent of total billed charges		662				other	OPPS APC	179.34	662	
BLADE SHAVER QUADCUT L13 CM OD4.3 MM	SUP-1884380HR	CDM			270	RC		inpatient			662	662																																																			
NAIL INTRAMEDULLARY TITANIUM L440 MM OD2.5 MM OLECRANON ELASTIC STERILE PINK	SUP-475.925S	CDM	270010022	LOCAL	270	RC		outpatient			661.1	661.12	179.09				percent of total billed charges		661.1				other	OPPS APC	489.21				percent of total billed charges		661.1				other	OPPS APC	661.1				other	OPPS APC	179.09				percent of total billed charges		182.66				percent of total billed charges		661.12				other	OPPS APC	179.09	661.12	
NAIL INTRAMEDULLARY TITANIUM L440 MM OD2.5 MM OLECRANON ELASTIC STERILE PINK	SUP-475.925S	CDM	270010022	LOCAL	270	RC		inpatient			661.1	661.1																																																			
ROD EXTERNAL FIXATION L380 MM OD5 MM THREAD SELF DRILL TIP NONSTERILE	SUP-328.16	CDM	270010022	LOCAL	270	RC		outpatient			660	66	178.79				percent of total billed charges		660				other	OPPS APC	488.4				percent of total billed charges		660				other	OPPS APC	660				other	OPPS APC	178.79				percent of total billed charges		182.36				percent of total billed charges		66				other	OPPS APC	66	660	
ROD EXTERNAL FIXATION L380 MM OD5 MM THREAD SELF DRILL TIP NONSTERILE	SUP-328.16	CDM	270010022	LOCAL	270	RC		inpatient			660	660																																																			
IMPLANT BREAST SALINE P3.9-4.7 CM MODERATE PROFILE ROUND OD12.6-13.3 CM 350-400 ML STYLE 1600 SMOOTH	SUP-350-1655	CDM			270	RC		outpatient			660	66	178.79				percent of total billed charges		660				other	OPPS APC	488.4				percent of total billed charges		660				other	OPPS APC	660				other	OPPS APC	178.79				percent of total billed charges		182.36				percent of total billed charges		66				other	OPPS APC	66	660	
IMPLANT BREAST SALINE P3.9-4.7 CM MODERATE PROFILE ROUND OD12.6-13.3 CM 350-400 ML STYLE 1600 SMOOTH	SUP-350-1655	CDM			270	RC		inpatient			660	660																																																			
IMPLANT BREAST MAMMARY SALINE SMOOTH ROUND MODERATE PROFILE 425 TO 375CC	SUP-350-1670	CDM			270	RC		outpatient			660	66	178.79				percent of total billed charges		660				other	OPPS APC	488.4				percent of total billed charges		660				other	OPPS APC	660				other	OPPS APC	178.79				percent of total billed charges		182.36				percent of total billed charges		66				other	OPPS APC	66	660	
IMPLANT BREAST MAMMARY SALINE SMOOTH ROUND MODERATE PROFILE 425 TO 375CC	SUP-350-1670	CDM			270	RC		inpatient			660	660																																																			
BIT DRILL 3 FLUTE L330 MM L100 MM OD5 MM CALIBRATED QUICK COUPLING NONSTERILE	SUP-357.099	CDM	270010022	LOCAL	270	RC		outpatient			660	66	178.79				percent of total billed charges		660				other	OPPS APC	488.4				percent of total billed charges		660				other	OPPS APC	660				other	OPPS APC	178.79				percent of total billed charges		182.36				percent of total billed charges		66				other	OPPS APC	66	660	
BIT DRILL 3 FLUTE L330 MM L100 MM OD5 MM CALIBRATED QUICK COUPLING NONSTERILE	SUP-357.099	CDM	270010022	LOCAL	270	RC		inpatient			660	660																																																			
END CAP SPINAL 4 D OD19 MM LATEX FREE	SUP-9401904	CDM	270010020	LOCAL	270	RC		outpatient			660	66	178.79				percent of total billed charges		660				other	OPPS APC	488.4				percent of total billed charges		660				other	OPPS APC	660				other	OPPS APC	178.79				percent of total billed charges		182.36				percent of total billed charges		66				other	OPPS APC	66	660	
END CAP SPINAL 4 D OD19 MM LATEX FREE	SUP-9401904	CDM	270010020	LOCAL	270	RC		inpatient			660	660																																																			
GUIDEWIRE ORTHOPEDIC L150 MM OD2.8 MM	SUP-AR-9165K	CDM	270010030	LOCAL	270	RC		outpatient			660	66	178.79				percent of total billed charges		660				other	OPPS APC	488.4				percent of total billed charges		660				other	OPPS APC	660				other	OPPS APC	178.79				percent of total billed charges		182.36				percent of total billed charges		66				other	OPPS APC	66	660	
GUIDEWIRE ORTHOPEDIC L150 MM OD2.8 MM	SUP-AR-9165K	CDM	270010030	LOCAL	270	RC		inpatient			660	660																																																			
SCREW CANN LONG THREAD 4MM X 50MM	SUP-97-00480	CDM			278	RC		outpatient			659.75	659.75	659.75				fee schedule		659.75				other	OPPS APC	376.06				percent of total billed charges		659.75				other	OPPS APC	659.75				other	OPPS APC	323.28				percent of total billed charges		336.47				percent of total billed charges		659.75				other	OPPS APC	323.28	659.75	
SCREW CANN LONG THREAD 4MM X 50MM	SUP-97-00480	CDM			278	RC		inpatient			659.75	659.75																																																			
SCREW CANN LONG THREAD 4MM X 44MM	SUP-97-00757	CDM			278	RC		outpatient			659.75	659.75	659.75				fee schedule		659.75				other	OPPS APC	376.06				percent of total billed charges		659.75				other	OPPS APC	659.75				other	OPPS APC	323.28				percent of total billed charges		336.47				percent of total billed charges		659.75				other	OPPS APC	323.28	659.75	
SCREW CANN LONG THREAD 4MM X 44MM	SUP-97-00757	CDM			278	RC		inpatient			659.75	659.75																																																			
SCREW CANN LONG THREAD 4MM X 46MM	SUP-97-01279	CDM			278	RC		outpatient			659.75	659.75	659.75				fee schedule		659.75				other	OPPS APC	376.06				percent of total billed charges		659.75				other	OPPS APC	659.75				other	OPPS APC	323.28				percent of total billed charges		336.47				percent of total billed charges		659.75				other	OPPS APC	323.28	659.75	
SCREW CANN LONG THREAD 4MM X 46MM	SUP-97-01279	CDM			278	RC		inpatient			659.75	659.75																																																			
SCREW CANN SHRT THREAD 4MM X 42MM	SUP-97-01384	CDM			278	RC		outpatient			659.75	659.75	659.75				fee schedule		659.75				other	OPPS APC	376.06				percent of total billed charges		659.75				other	OPPS APC	659.75				other	OPPS APC	323.28				percent of total billed charges		336.47				percent of total billed charges		659.75				other	OPPS APC	323.28	659.75	
SCREW CANN SHRT THREAD 4MM X 42MM	SUP-97-01384	CDM			278	RC		inpatient			659.75	659.75																																																			
SCREW CANN LONG THREAD 4MM X 40MM	SUP-97-02359	CDM			278	RC		outpatient			659.75	659.75	659.75				fee schedule		659.75				other	OPPS APC	376.06				percent of total billed charges		659.75				other	OPPS APC	659.75				other	OPPS APC	323.28				percent of total billed charges		336.47				percent of total billed charges		659.75				other	OPPS APC	323.28	659.75	
SCREW CANN LONG THREAD 4MM X 40MM	SUP-97-02359	CDM			278	RC		inpatient			659.75	659.75																																																			
SCREW CONDYLE 05X55MM	SUP-97-03629	CDM			278	RC		outpatient			659.51	659.6	659.51				fee schedule		659.51				other	OPPS APC	375.92				percent of total billed charges		659.51				other	OPPS APC	659.51				other	OPPS APC	323.16				percent of total billed charges		336.35				percent of total billed charges		659.6				other	OPPS APC	323.16	659.6	
SCREW CONDYLE 05X55MM	SUP-97-03629	CDM			278	RC		inpatient			659.51	659.51																																																			
SCREW CONDYLE 05X70MM	SUP-97-03633	CDM			278	RC		outpatient			659.51	659.6	659.51				fee schedule		659.51				other	OPPS APC	375.92				percent of total billed charges		659.51				other	OPPS APC	659.51				other	OPPS APC	323.16				percent of total billed charges		336.35				percent of total billed charges		659.6				other	OPPS APC	323.16	659.6	
SCREW CONDYLE 05X70MM	SUP-97-03633	CDM			278	RC		inpatient			659.51	659.51																																																			
SCREW CONDYLE 05X50MM	SUP-97-03634	CDM			278	RC		outpatient			659.51	659.6	659.51				fee schedule		659.51				other	OPPS APC	375.92				percent of total billed charges		659.51				other	OPPS APC	659.51				other	OPPS APC	323.16				percent of total billed charges		336.35				percent of total billed charges		659.6				other	OPPS APC	323.16	659.6	
SCREW CONDYLE 05X50MM	SUP-97-03634	CDM			278	RC		inpatient			659.51	659.51																																																			
ENDOBUTTON 35MM	SUP-72200150	CDM			270	RC		outpatient			659.4	659.4	178.63				percent of total billed charges		659.4				other	OPPS APC	487.96				percent of total billed charges		659.4				other	OPPS APC	659.4				other	OPPS APC	178.63				percent of total billed charges		182.19				percent of total billed charges		659.4				other	OPPS APC	178.63	659.4	
ENDOBUTTON 35MM	SUP-72200150	CDM			270	RC		inpatient			659.4	659.4																																																			
ENDOBUTTON 45MM	SUP-72200152	CDM			270	RC		outpatient			659.4	659.4	178.63				percent of total billed charges		659.4				other	OPPS APC	487.96				percent of total billed charges		659.4				other	OPPS APC	659.4				other	OPPS APC	178.63				percent of total billed charges		182.19				percent of total billed charges		659.4				other	OPPS APC	178.63	659.4	
ENDOBUTTON 45MM	SUP-72200152	CDM			270	RC		inpatient			659.4	659.4																																																			
ENDOBUTTON 50MM	SUP-72200153	CDM			270	RC		outpatient			659.4	659.4	178.63				percent of total billed charges		659.4				other	OPPS APC	487.96				percent of total billed charges		659.4				other	OPPS APC	659.4				other	OPPS APC	178.63				percent of total billed charges		182.19				percent of total billed charges		659.4				other	OPPS APC	178.63	659.4	
ENDOBUTTON 50MM	SUP-72200153	CDM			270	RC		inpatient			659.4	659.4																																																			
UNITRAX V40 TAPER SLEEVE +0MM (STD)	SUP-97-05802	CDM			278	RC		outpatient			659.4	659.4	659.4				fee schedule		659.4				other	OPPS APC	375.86				percent of total billed charges		659.4				other	OPPS APC	659.4				other	OPPS APC	323.11				percent of total billed charges		336.29				percent of total billed charges		659.4				other	OPPS APC	323.11	659.4	
UNITRAX V40 TAPER SLEEVE +0MM (STD)	SUP-97-05802	CDM			278	RC		inpatient			659.4	659.4																																																			
CLONIDINE 0.2 MG/24 HR PATCH WEEKLY	637000000	CDM	52817-611-04	NDC	A9270	HCPCS		inpatient			659.02	659.02																																																			
CLONIDINE 0.2 MG/24 HR PATCH WEEKLY	637000000	CDM	52817-611-04	NDC	A9270	HCPCS		outpatient			659.02	659.02																																															other	OPPS APC			
KIT JEJUNOSTOMY MIC-KEY SECUR-LOK TUNGSTEN SILICONE L30 CM L1.5 CM OD18 FR 3-5 ML TRANSGASTRIC RADIOPAQUE LOW PROFILE TAPER DISTAL TIP INTERNAL RETENTION BALLOON STERILE LATEX FREE DISPOSABLE	SUP-0270-18-2.5-30	CDM			270	RC		outpatient			658.92	658.92	178.5				percent of total billed charges		658.92				other	OPPS APC	487.6				percent of total billed charges		658.92				other	OPPS APC	658.92				other	OPPS APC	178.5				percent of total billed charges		182.06				percent of total billed charges		658.92				other	OPPS APC	178.5	658.92	
KIT JEJUNOSTOMY MIC-KEY SECUR-LOK TUNGSTEN SILICONE L30 CM L1.5 CM OD18 FR 3-5 ML TRANSGASTRIC RADIOPAQUE LOW PROFILE TAPER DISTAL TIP INTERNAL RETENTION BALLOON STERILE LATEX FREE DISPOSABLE	SUP-0270-18-2.5-30	CDM			270	RC		inpatient			658.92	658.92																																																			
DRILL BIT 4.3 X 315 MM	SUP-97-04739	CDM			272	RC		outpatient			658.56	658.56	178.4				percent of total billed charges		658.56				other	OPPS APC	487.33				percent of total billed charges		658.56				other	OPPS APC	658.56				other	OPPS APC	178.4				percent of total billed charges		181.96				percent of total billed charges		658.56				other	OPPS APC	178.4	658.56	
DRILL BIT 4.3 X 315 MM	SUP-97-04739	CDM			272	RC		inpatient			658.56	658.56																																																			
TI SLEEVE FOR ALUMINA HEAD	SUP-97-03752	CDM			278	RC		outpatient			658.35	658.35	658.35				fee schedule		658.35				other	OPPS APC	375.26				percent of total billed charges		658.35				other	OPPS APC	658.35				other	OPPS APC	322.59				percent of total billed charges		335.76				percent of total billed charges		658.35				other	OPPS APC	322.59	658.35	
TI SLEEVE FOR ALUMINA HEAD	SUP-97-03752	CDM			278	RC		inpatient			658.35	658.35																																																			
SCREW BONE TITANIUM L12 MM OD2 MM ODSEC3.5 MM CRANIOFACIAL CORTICAL SELF TAPPING CRUCIFORM RECESS FLUTED TIP GOLD	SUP-401.162	CDM	270010014	LOCAL	270	RC		outpatient			658.2	658.25	178.31				percent of total billed charges		658.2				other	OPPS APC	487.07				percent of total billed charges		658.2				other	OPPS APC	658.2				other	OPPS APC	178.31				percent of total billed charges		181.86				percent of total billed charges		658.25				other	OPPS APC	178.31	658.25	
SCREW BONE TITANIUM L12 MM OD2 MM ODSEC3.5 MM CRANIOFACIAL CORTICAL SELF TAPPING CRUCIFORM RECESS FLUTED TIP GOLD	SUP-401.162	CDM	270010014	LOCAL	270	RC		inpatient			658.2	658.2																																																			
HC Thyroid Sonography	PX-402765360	CDM	76536	CPT	402	RC		outpatient			658	112.57	124.98				fee schedule		112.57				other	OPPS APC	205.7				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	111.92				fee schedule		84.54				fee schedule		112.57				other	OPPS APC	84.54	205.7	
HC Thyroid Sonography	PX-402765360	CDM	76536	CPT	402	RC		inpatient			658	658																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03203	CDM			278	RC		outpatient			656.67	656.67	656.67				fee schedule		656.67				other	OPPS APC	374.3				percent of total billed charges		656.67				other	OPPS APC	656.67				other	OPPS APC	321.77				percent of total billed charges		334.9				percent of total billed charges		656.67				other	OPPS APC	321.77	656.67	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03203	CDM			278	RC		inpatient			656.67	656.67																																																			
SCREW 5.0 MM LOCKING IM NAIL 4	SUP-97-03205	CDM			278	RC		outpatient			656.67	656.67	656.67				fee schedule		656.67				other	OPPS APC	374.3				percent of total billed charges		656.67				other	OPPS APC	656.67				other	OPPS APC	321.77				percent of total billed charges		334.9				percent of total billed charges		656.67				other	OPPS APC	321.77	656.67	
SCREW 5.0 MM LOCKING IM NAIL 4	SUP-97-03205	CDM			278	RC		inpatient			656.67	656.67																																																			
SCREW 5.0 MM LOCKING	SUP-97-03206	CDM			278	RC		outpatient			656.67	656.67	656.67				fee schedule		656.67				other	OPPS APC	374.3				percent of total billed charges		656.67				other	OPPS APC	656.67				other	OPPS APC	321.77				percent of total billed charges		334.9				percent of total billed charges		656.67				other	OPPS APC	321.77	656.67	
SCREW 5.0 MM LOCKING	SUP-97-03206	CDM			278	RC		inpatient			656.67	656.67																																																			
LOCKING SCREW 5.0MM	SUP-97-03324	CDM			278	RC		outpatient			656.67	656.67	656.67				fee schedule		656.67				other	OPPS APC	374.3				percent of total billed charges		656.67				other	OPPS APC	656.67				other	OPPS APC	321.77				percent of total billed charges		334.9				percent of total billed charges		656.67				other	OPPS APC	321.77	656.67	
LOCKING SCREW 5.0MM	SUP-97-03324	CDM			278	RC		inpatient			656.67	656.67																																																			
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-03657	CDM			278	RC		outpatient			656.67	656.67	656.67				fee schedule		656.67				other	OPPS APC	374.3				percent of total billed charges		656.67				other	OPPS APC	656.67				other	OPPS APC	321.77				percent of total billed charges		334.9				percent of total billed charges		656.67				other	OPPS APC	321.77	656.67	
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-03657	CDM			278	RC		inpatient			656.67	656.67																																																			
DRILLBIT 3.2	SUP-97-02817	CDM			272	RC		outpatient			656.32	656.33	177.8				percent of total billed charges		656.32				other	OPPS APC	485.68				percent of total billed charges		656.32				other	OPPS APC	656.32				other	OPPS APC	177.8				percent of total billed charges		181.34				percent of total billed charges		656.33				other	OPPS APC	177.8	656.33	
DRILLBIT 3.2	SUP-97-02817	CDM			272	RC		inpatient			656.32	656.32																																																			
CANNULATED SCREW 4.0X45	SUP-97-02818	CDM			278	RC		outpatient			656.32	656.33	656.32				fee schedule		656.32				other	OPPS APC	374.1				percent of total billed charges		656.32				other	OPPS APC	656.32				other	OPPS APC	321.6				percent of total billed charges		334.72				percent of total billed charges		656.33				other	OPPS APC	321.6	656.33	
CANNULATED SCREW 4.0X45	SUP-97-02818	CDM			278	RC		inpatient			656.32	656.32																																																			
STAPLER INTERNAL ECHELON FLEX ENDOPATH 12 MM L60 MM L340 MM 6 ROW 12 FIRING LINEAR CUTTER TROCAR ARTICULATE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-EC60A	CDM			270	RC		outpatient			656.24	656.24	177.78				percent of total billed charges		656.24				other	OPPS APC	485.62				percent of total billed charges		656.24				other	OPPS APC	656.24				other	OPPS APC	177.78				percent of total billed charges		181.32				percent of total billed charges		656.24				other	OPPS APC	177.78	656.24	
STAPLER INTERNAL ECHELON FLEX ENDOPATH 12 MM L60 MM L340 MM 6 ROW 12 FIRING LINEAR CUTTER TROCAR ARTICULATE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-EC60A	CDM			270	RC		inpatient			656.24	656.24																																																			
LOCKING SCREW PARTIALLY THREADED	SUP-97-03337	CDM			278	RC		outpatient			656.08	656.84	656.08				fee schedule		656.08				other	OPPS APC	373.97				percent of total billed charges		656.08				other	OPPS APC	656.08				other	OPPS APC	321.48				percent of total billed charges		334.6				percent of total billed charges		656.84				other	OPPS APC	321.48	656.84	
LOCKING SCREW PARTIALLY THREADED	SUP-97-03337	CDM			278	RC		inpatient			656.08	656.08																																																			
LOCKING SCREW PARTIALLY THREADED	SUP-97-03676	CDM			278	RC		outpatient			656.08	656.84	656.08				fee schedule		656.08				other	OPPS APC	373.97				percent of total billed charges		656.08				other	OPPS APC	656.08				other	OPPS APC	321.48				percent of total billed charges		334.6				percent of total billed charges		656.84				other	OPPS APC	321.48	656.84	
LOCKING SCREW PARTIALLY THREADED	SUP-97-03676	CDM			278	RC		inpatient			656.08	656.08																																																			
PIN EXTERNAL FIXATION OD2 MM THREADED BENDING LCD PLATES	SUP-329.921	CDM	270010022	LOCAL	270	RC		outpatient			655.6	655.62	177.6				percent of total billed charges		655.6				other	OPPS APC	485.14				percent of total billed charges		655.6				other	OPPS APC	655.6				other	OPPS APC	177.6				percent of total billed charges		181.14				percent of total billed charges		655.62				other	OPPS APC	177.6	655.62	
PIN EXTERNAL FIXATION OD2 MM THREADED BENDING LCD PLATES	SUP-329.921	CDM	270010022	LOCAL	270	RC		inpatient			655.6	655.6																																																			
BIT DRILL L150 MM OD2 MM QUICK COUPLING CANNULATED NONSTERILE	SUP-310.221	CDM	270010022	LOCAL	270	RC		outpatient			655.2	655.25	177.49				percent of total billed charges		655.2				other	OPPS APC	484.85				percent of total billed charges		655.2				other	OPPS APC	655.2				other	OPPS APC	177.49				percent of total billed charges		181.03				percent of total billed charges		655.25				other	OPPS APC	177.49	655.25	
BIT DRILL L150 MM OD2 MM QUICK COUPLING CANNULATED NONSTERILE	SUP-310.221	CDM	270010022	LOCAL	270	RC		inpatient			655.2	655.2																																																			
KIT DRILL EXACTECHGPS OD2-3.2 MM REVERSE DISPOSABLE	SUP-531-20-00	CDM	270010030	LOCAL	270	RC		outpatient			655.2	655.25	177.49				percent of total billed charges		655.2				other	OPPS APC	484.85				percent of total billed charges		655.2				other	OPPS APC	655.2				other	OPPS APC	177.49				percent of total billed charges		181.03				percent of total billed charges		655.25				other	OPPS APC	177.49	655.25	
KIT DRILL EXACTECHGPS OD2-3.2 MM REVERSE DISPOSABLE	SUP-531-20-00	CDM	270010030	LOCAL	270	RC		inpatient			655.2	655.2																																																			
FILTER SMOKE EVACUATOR NEPTUNE REPLACEMENT	SUP-VSNEP04	CDM						inpatient			654.99	654.99																																																			
FILTER SMOKE EVACUATOR NEPTUNE REPLACEMENT	SUP-VSNEP04	CDM						outpatient			654.99	654.99	654.99				percent of total billed charges		654.99				other	OPPS APC	654.99				fee schedule		654.99				other	OPPS APC	654.99				other	OPPS APC	654.99				case rate		654.99				case rate		654.99				other	OPPS APC	654.99	654.99	
DRILL BIT	SUP-95-04189	CDM						inpatient			654.5	654.5																																																			
DRILL BIT	SUP-95-04189	CDM						outpatient			654.5	654.5	654.5				percent of total billed charges		654.5				other	OPPS APC	654.5				fee schedule		654.5				other	OPPS APC	654.5				other	OPPS APC	654.5				case rate		654.5				case rate		654.5				other	OPPS APC	654.5	654.5	
DRILL BIT	SUP-95-04190	CDM						inpatient			654.5	654.5																																																			
DRILL BIT	SUP-95-04190	CDM						outpatient			654.5	654.5	654.5				percent of total billed charges		654.5				other	OPPS APC	654.5				fee schedule		654.5				other	OPPS APC	654.5				other	OPPS APC	654.5				case rate		654.5				case rate		654.5				other	OPPS APC	654.5	654.5	
HC Computer Isodose-Complex	PX-333773070	CDM	77307	CPT	333	RC		outpatient			654	377.81	83.2				fee schedule		377.81				other	OPPS APC	443.81				fee schedule		377.81				other	OPPS APC	377.81				other	OPPS APC	285.23				fee schedule		133.41				fee schedule		377.81				other	OPPS APC	83.2	443.81	
HC Computer Isodose-Complex	PX-333773070	CDM	77307	CPT	333	RC		inpatient			654	654																																																			
END CAP SPINAL VLIFT 8D 18MM NS	SUP-48291188	CDM	270010020	LOCAL	270	RC		outpatient			653.74	653.74	177.1				percent of total billed charges		653.74				other	OPPS APC	483.77				percent of total billed charges		653.74				other	OPPS APC	653.74				other	OPPS APC	177.1				percent of total billed charges		180.63				percent of total billed charges		653.74				other	OPPS APC	177.1	653.74	
END CAP SPINAL VLIFT 8D 18MM NS	SUP-48291188	CDM	270010020	LOCAL	270	RC		inpatient			653.74	653.74																																																			
BIT DRILL OASYS OD2.5 MM SPINE TETHER STERILE 3.5 MM SCREW	SUP-48560323	CDM	270010020	LOCAL	270	RC		outpatient			652.94	652.95	176.88				percent of total billed charges		652.94				other	OPPS APC	483.18				percent of total billed charges		652.94				other	OPPS APC	652.94				other	OPPS APC	176.88				percent of total billed charges		180.41				percent of total billed charges		652.95				other	OPPS APC	176.88	652.95	
BIT DRILL OASYS OD2.5 MM SPINE TETHER STERILE 3.5 MM SCREW	SUP-48560323	CDM	270010020	LOCAL	270	RC		inpatient			652.94	652.94																																																			
DEVICE FIXATION SECURESTRAP L5 MM ABSORBABLE STRAP HERNIA REPAIR	SUP-STRAP12	CDM			270	RC		outpatient			651.77	651.77	176.56				percent of total billed charges		651.77				other	OPPS APC	482.31				percent of total billed charges		651.77				other	OPPS APC	651.77				other	OPPS APC	176.56				percent of total billed charges		180.08				percent of total billed charges		651.77				other	OPPS APC	176.56	651.77	
DEVICE FIXATION SECURESTRAP L5 MM ABSORBABLE STRAP HERNIA REPAIR	SUP-STRAP12	CDM			270	RC		inpatient			651.77	651.77																																																			
CLAMP EXTERNAL FIXATION SMALL OD2.5 MM ODSEC4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.56	CDM	270010022	LOCAL	270	RC		outpatient			651.2	651.25	176.41				percent of total billed charges		651.2				other	OPPS APC	481.89				percent of total billed charges		651.2				other	OPPS APC	651.2				other	OPPS APC	176.41				percent of total billed charges		179.93				percent of total billed charges		651.25				other	OPPS APC	176.41	651.25	
CLAMP EXTERNAL FIXATION SMALL OD2.5 MM ODSEC4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.56	CDM	270010022	LOCAL	270	RC		inpatient			651.2	651.2																																																			
Post Partum Balloon 24 Fr	PX-272000031	CDM			272	RC		outpatient			651	651	176.36				percent of total billed charges		651				other	OPPS APC	651				fee schedule		651				other	OPPS APC	651				other	OPPS APC	176.36				percent of total billed charges		179.87				percent of total billed charges		651				other	OPPS APC	176.36	651	
Post Partum Balloon 24 Fr	PX-272000031	CDM			272	RC		inpatient			651	651																																																			
DRILL BIT 4.2 3 FLUTED NP145MM N/S	SUP-97-00363	CDM			272	RC		outpatient			650.48	65.48	176.22				percent of total billed charges		650.48				other	OPPS APC	481.36				percent of total billed charges		650.48				other	OPPS APC	650.48				other	OPPS APC	176.22				percent of total billed charges		179.73				percent of total billed charges		65.48				other	OPPS APC	65.48	650.48	
DRILL BIT 4.2 3 FLUTED NP145MM N/S	SUP-97-00363	CDM			272	RC		inpatient			650.48	650.48																																																			
Newborn Level 2 Low Birth Weight Neo	PX-172924261	CDM	92586	CPT	172	RC		inpatient			650	650																																																			
HC I & D of Vulva/Perineum	PX-450564051	CDM	56405	CPT	450	RC		outpatient			650	65	195.77				case rate		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	195.77				case rate		199.69				case rate		65				other	OPPS APC	65	650	
HC I & D of Vulva/Perineum	PX-450564051	CDM	56405	CPT	450	RC		inpatient			650	650																																																			
KIT INSTRUMENT RADIAL HEAD REPLACEMENT STERILE	SUP-03.405.000S	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
KIT INSTRUMENT RADIAL HEAD REPLACEMENT STERILE	SUP-03.405.000S	CDM			270	RC		inpatient			650	650																																																			
LEAD PACING PROMRI SOLIA S STEROID L45 CM ENDOCARDIAL BIPOLAR ACTIVE FIXATION	SUP-377176_74448	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
LEAD PACING PROMRI SOLIA S STEROID L45 CM ENDOCARDIAL BIPOLAR ACTIVE FIXATION	SUP-377176_74448	CDM			270	RC		inpatient			650	650																																																			
LEAD PACING PROMRI SOLIA S STEROID L53 CM ENDOCARDIAL BIPOLAR ACTIVE FIXATION	SUP-377177_74449	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
LEAD PACING PROMRI SOLIA S STEROID L53 CM ENDOCARDIAL BIPOLAR ACTIVE FIXATION	SUP-377177_74449	CDM			270	RC		inpatient			650	650																																																			
LEAD PACING PROMRI SOLIA S STEROID ELUTING L60 CM ENDOCARDIAL BIPOLAR ACTIVE FIXATION	SUP-377179_74450	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
LEAD PACING PROMRI SOLIA S STEROID ELUTING L60 CM ENDOCARDIAL BIPOLAR ACTIVE FIXATION	SUP-377179_74450	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD10 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-100	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD10 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-100	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD10.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-105	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD10.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-105	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER FLIPCUTTER II	SUP-AR-1204AF-110	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER FLIPCUTTER II	SUP-AR-1204AF-110	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROCONSTRUCTION OD12 MM ACL PCL DRILL PIN REAMER	SUP-AR-1204AF-120	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROCONSTRUCTION OD12 MM ACL PCL DRILL PIN REAMER	SUP-AR-1204AF-120	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD13 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-130	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD13 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-130	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD7 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-70	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD7 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-70	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE OD7.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-75	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE OD7.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-75	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD8 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-80	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD8 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-80	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD8.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-85	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD8.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-85	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE OD9 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-90	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE OD9 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-90	CDM			270	RC		inpatient			650	650																																																			
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD9.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-95	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CUTTER ARTHROSCOPIC FLIPCUTTER II RETROGRADE LOW PROFILE OD9.5 MM ACL PCL DRILL PIN FEMORAL SOCKET HOUSING POSITIONER REAMER STERILE LATEX FREE DISPOSABLE BLUE	SUP-AR-1204AF-95	CDM			270	RC		inpatient			650	650																																																			
ANCHOR SUTURE BIO-SUTURETAK FIBERWIRE RAYON 2-0 MICRO STRAIGHT FORWARD TAPER L8.5 MM OD2.4 MM SMALL BONE 2 NEEDLE BIOABSORBABLE INSERTION LATEX FREE DISPOSABLE	SUP-AR-1322BCNF	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
ANCHOR SUTURE BIO-SUTURETAK FIBERWIRE RAYON 2-0 MICRO STRAIGHT FORWARD TAPER L8.5 MM OD2.4 MM SMALL BONE 2 NEEDLE BIOABSORBABLE INSERTION LATEX FREE DISPOSABLE	SUP-AR-1322BCNF	CDM			270	RC		inpatient			650	650																																																			
STENT DUAL BALLOON LOOP WITH DOPPLER	SUP-DBD1009P	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
STENT DUAL BALLOON LOOP WITH DOPPLER	SUP-DBD1009P	CDM			270	RC		inpatient			650	650																																																			
CATHETER GUIDING CPS AIM SL DIRECT-TO-TARGET PEBAX 90 D L59 CM OD7.62 FR CORONARY SINUS SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE	SUP-DS2N027-59	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CATHETER GUIDING CPS AIM SL DIRECT-TO-TARGET PEBAX 90 D L59 CM OD7.62 FR CORONARY SINUS SLITTABLE INTEGRATE VALVE INNER KINK RESISTANCE	SUP-DS2N027-59	CDM			270	RC		inpatient			650	650																																																			
CATHETER ELECTROPHYSIOLOGY 2-8-2 MM SPACE P CURVE L 60CM L 1MM OD 5 FR DECAPOLAR FIX AUTO ID	SUP-F5ADP282CT	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
CATHETER ELECTROPHYSIOLOGY 2-8-2 MM SPACE P CURVE L 60CM L 1MM OD 5 FR DECAPOLAR FIX AUTO ID	SUP-F5ADP282CT	CDM			270	RC		inpatient			650	650																																																			
WEIGHT EYELID THINPROFILE GOLD H.6 MM 1.4 GM SPHERICAL CURVATURE TAPERED LOWER EDGE ROUND CORNER SMOOTH	SUP-LL4014	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
WEIGHT EYELID THINPROFILE GOLD H.6 MM 1.4 GM SPHERICAL CURVATURE TAPERED LOWER EDGE ROUND CORNER SMOOTH	SUP-LL4014	CDM			270	RC		inpatient			650	650																																																			
STAPLER INTERNAL ECHELON FLEX ENDOPATH 12 MM LONG L60 MM L440 MM 6 ROW 12 FIRING LINEAR CUTTER TROCAR FLEXIBLE STERILE LATEX FREE DISPOSABLE	SUP-LONG60A	CDM			270	RC		outpatient			650	65	176.09				percent of total billed charges		650				other	OPPS APC	481				percent of total billed charges		650				other	OPPS APC	650				other	OPPS APC	176.09				percent of total billed charges		179.6				percent of total billed charges		65				other	OPPS APC	65	650	
STAPLER INTERNAL ECHELON FLEX ENDOPATH 12 MM LONG L60 MM L440 MM 6 ROW 12 FIRING LINEAR CUTTER TROCAR FLEXIBLE STERILE LATEX FREE DISPOSABLE	SUP-LONG60A	CDM			270	RC		inpatient			650	650																																																			
SUTURE PASSER FIRSTPASS STANDARD	SUP-79-00087	CDM			272	RC		outpatient			649.74	649.74	176.01				percent of total billed charges		649.74				other	OPPS APC	480.81				percent of total billed charges		649.74				other	OPPS APC	649.74				other	OPPS APC	176.01				percent of total billed charges		179.52				percent of total billed charges		649.74				other	OPPS APC	176.01	649.74	
SUTURE PASSER FIRSTPASS STANDARD	SUP-79-00087	CDM			272	RC		inpatient			649.74	649.74																																																			
STIKE PLATE	SUP-97-03381	CDM			278	RC		outpatient			649.29	649.29	649.29				fee schedule		649.29				other	OPPS APC	370.1				percent of total billed charges		649.29				other	OPPS APC	649.29				other	OPPS APC	318.15				percent of total billed charges		331.14				percent of total billed charges		649.29				other	OPPS APC	318.15	649.29	
STIKE PLATE	SUP-97-03381	CDM			278	RC		inpatient			649.29	649.29																																																			
PLATE BONE LCP COMBI STAINLESS STEEL PELVIC 2 HOLE SPRING NONSTERILE 3.5 MM SCREW	SUP-02.100.302	CDM	270010022	LOCAL	270	RC		outpatient			648.94	648.95	175.8				percent of total billed charges		648.94				other	OPPS APC	480.22				percent of total billed charges		648.94				other	OPPS APC	648.94				other	OPPS APC	175.8				percent of total billed charges		179.3				percent of total billed charges		648.95				other	OPPS APC	175.8	648.95	
PLATE BONE LCP COMBI STAINLESS STEEL PELVIC 2 HOLE SPRING NONSTERILE 3.5 MM SCREW	SUP-02.100.302	CDM	270010022	LOCAL	270	RC		inpatient			648.94	648.94																																																			
SCREW BONE TITANIUM L4 MM OD1.5 MM ODSEC3 MM CRANIOFACIAL CORTICAL SELF TAPPING FLUTED TIP CRUCIFORM RECESS GOLD MODULAR FIXATION SYSTEM	SUP-400.734	CDM	270010014	LOCAL	270	RC		outpatient			648.22	648.22	175.6				percent of total billed charges		648.22				other	OPPS APC	479.68				percent of total billed charges		648.22				other	OPPS APC	648.22				other	OPPS APC	175.6				percent of total billed charges		179.1				percent of total billed charges		648.22				other	OPPS APC	175.6	648.22	
SCREW BONE TITANIUM L4 MM OD1.5 MM ODSEC3 MM CRANIOFACIAL CORTICAL SELF TAPPING FLUTED TIP CRUCIFORM RECESS GOLD MODULAR FIXATION SYSTEM	SUP-400.734	CDM	270010014	LOCAL	270	RC		inpatient			648.22	648.22																																																			
SCREW BONE TITANIUM FLUTE L6 MM OD1.5 MM ODSEC3 MM CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM NONSTERILE GOLD MODULAR FIXATION SYSTEM	SUP-400.736	CDM	270010014	LOCAL	270	RC		outpatient			648.22	648.22	175.6				percent of total billed charges		648.22				other	OPPS APC	479.68				percent of total billed charges		648.22				other	OPPS APC	648.22				other	OPPS APC	175.6				percent of total billed charges		179.1				percent of total billed charges		648.22				other	OPPS APC	175.6	648.22	
SCREW BONE TITANIUM FLUTE L6 MM OD1.5 MM ODSEC3 MM CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM NONSTERILE GOLD MODULAR FIXATION SYSTEM	SUP-400.736	CDM	270010014	LOCAL	270	RC		inpatient			648.22	648.22																																																			
DRILL SURGICAL EVOS LARGE LONG OD 3.7MM AO QUICK CONNECTOR STERILE LATEX FREE DISPOSABLE	SUP-71175619	CDM			270	RC		outpatient			648	648	175.54				percent of total billed charges		648				other	OPPS APC	479.52				percent of total billed charges		648				other	OPPS APC	648				other	OPPS APC	175.54				percent of total billed charges		179.04				percent of total billed charges		648				other	OPPS APC	175.54	648	
DRILL SURGICAL EVOS LARGE LONG OD 3.7MM AO QUICK CONNECTOR STERILE LATEX FREE DISPOSABLE	SUP-71175619	CDM			270	RC		inpatient			648	648																																																			
PIN FIXATION EVOS LARGE L 60 MM OD 3.5 MM PROVISIONAL TARGETER STERILE LATEX FREE DISPOSABLE	SUP-71177728	CDM			270	RC		outpatient			648	648	175.54				percent of total billed charges		648				other	OPPS APC	479.52				percent of total billed charges		648				other	OPPS APC	648				other	OPPS APC	175.54				percent of total billed charges		179.04				percent of total billed charges		648				other	OPPS APC	175.54	648	
PIN FIXATION EVOS LARGE L 60 MM OD 3.5 MM PROVISIONAL TARGETER STERILE LATEX FREE DISPOSABLE	SUP-71177728	CDM			270	RC		inpatient			648	648																																																			
OBTURATOR 3MM	SUP-95-03857	CDM			272	RC		outpatient			647.92	647.92	175.52				percent of total billed charges		647.92				other	OPPS APC	479.46				percent of total billed charges		647.92				other	OPPS APC	647.92				other	OPPS APC	175.52				percent of total billed charges		179.02				percent of total billed charges		647.92				other	OPPS APC	175.52	647.92	
OBTURATOR 3MM	SUP-95-03857	CDM			272	RC		inpatient			647.92	647.92																																																			
SCREW SHORT THREAD HEADED 2.0X16	SUP-97-02598	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW SHORT THREAD HEADED 2.0X16	SUP-97-02598	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW SHORT THREAD HEADED 3.0X16	SUP-97-02599	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW SHORT THREAD HEADED 3.0X16	SUP-97-02599	CDM			278	RC		inpatient			647.5	647.5																																																			
4.0 SCHANTZ PIN	SUP-97-03705	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
4.0 SCHANTZ PIN	SUP-97-03705	CDM			278	RC		inpatient			647.5	647.5																																																			
6.0SCHANTZ PIN	SUP-97-03706	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
6.0SCHANTZ PIN	SUP-97-03706	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW MINI MONSTER CANN HD 3.5 X 22MM	SUP-97-05510	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW MINI MONSTER CANN HD 3.5 X 22MM	SUP-97-05510	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW MINI MONSTER CANN HD 3.5 X 34MM	SUP-97-05511	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW MINI MONSTER CANN HD 3.5 X 34MM	SUP-97-05511	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW 3.0 X 20MM HEADED CANNULATED SHORT THREAD	SUP-97-05835	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW 3.0 X 20MM HEADED CANNULATED SHORT THREAD	SUP-97-05835	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW 3.5 X 42MM CANNULATED SHORT THREAD MINI-MONSTER	SUP-97-05895	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW 3.5 X 42MM CANNULATED SHORT THREAD MINI-MONSTER	SUP-97-05895	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW 3.5 X 36MM MINI MONSTER CANNULATED FULL THREAD HEADED	SUP-97-06167	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW 3.5 X 36MM MINI MONSTER CANNULATED FULL THREAD HEADED	SUP-97-06167	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW 3.0 X 26MM HEADED CANNULATED SHORT THREAD	SUP-97-06192	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW 3.0 X 26MM HEADED CANNULATED SHORT THREAD	SUP-97-06192	CDM			278	RC		inpatient			647.5	647.5																																																			
SCREW 3.0 X 26MM CANNULATED FULL THREAD	SUP-97-06193	CDM			278	RC		outpatient			647.5	647.5	647.5				fee schedule		647.5				other	OPPS APC	369.08				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	317.28				percent of total billed charges		330.23				percent of total billed charges		647.5				other	OPPS APC	317.28	647.5	
SCREW 3.0 X 26MM CANNULATED FULL THREAD	SUP-97-06193	CDM			278	RC		inpatient			647.5	647.5																																																			
CATHETER - MINI BASKET	SUP-99-02257	CDM			272	RC		outpatient			647.5	647.5	175.41				percent of total billed charges		647.5				other	OPPS APC	479.15				percent of total billed charges		647.5				other	OPPS APC	647.5				other	OPPS APC	175.41				percent of total billed charges		178.9				percent of total billed charges		647.5				other	OPPS APC	175.41	647.5	
CATHETER - MINI BASKET	SUP-99-02257	CDM			272	RC		inpatient			647.5	647.5																																																			
SCREW 2.7 X 14MM LOW PROFILE CORTICAL	SUP-97-06255	CDM			278	RC		outpatient			646.8	646.8	646.8				fee schedule		646.8				other	OPPS APC	368.68				percent of total billed charges		646.8				other	OPPS APC	646.8				other	OPPS APC	316.93				percent of total billed charges		329.87				percent of total billed charges		646.8				other	OPPS APC	316.93	646.8	
SCREW 2.7 X 14MM LOW PROFILE CORTICAL	SUP-97-06255	CDM			278	RC		inpatient			646.8	646.8																																																			
HC Transfus Blood/Blood Comp 0-90min	PX-391364300	CDM	36430	CPT	391	RC		outpatient			646	429.45	34.56				fee schedule		429.45				other	OPPS APC	478.04				percent of total billed charges		429.45				other	OPPS APC	429.45				other	OPPS APC	39.08				fee schedule		329.46				percent of total billed charges		429.45				other	OPPS APC	34.56	478.04	
HC Transfus Blood/Blood Comp 0-90min	PX-391364300	CDM	36430	CPT	391	RC		inpatient			646	646																																																			
HC Transf Blood/Blood Comp 91-150min	PX-391364301	CDM	36430	CPT	391	RC		outpatient			646	429.45	34.56				fee schedule		429.45				other	OPPS APC	478.04				percent of total billed charges		429.45				other	OPPS APC	429.45				other	OPPS APC	39.08				fee schedule		329.46				percent of total billed charges		429.45				other	OPPS APC	34.56	478.04	
HC Transf Blood/Blood Comp 91-150min	PX-391364301	CDM	36430	CPT	391	RC		inpatient			646	646																																																			
HC Transf Blood/Blood Comp 151-210mi	PX-391364302	CDM	36430	CPT	391	RC		outpatient			646	429.45	34.56				fee schedule		429.45				other	OPPS APC	478.04				percent of total billed charges		429.45				other	OPPS APC	429.45				other	OPPS APC	39.08				fee schedule		329.46				percent of total billed charges		429.45				other	OPPS APC	34.56	478.04	
HC Transf Blood/Blood Comp 151-210mi	PX-391364302	CDM	36430	CPT	391	RC		inpatient			646	646																																																			
HC Transf Blood/Blood Comp 211-270mi	PX-391364303	CDM	36430	CPT	391	RC		outpatient			646	429.45	34.56				fee schedule		429.45				other	OPPS APC	478.04				percent of total billed charges		429.45				other	OPPS APC	429.45				other	OPPS APC	39.08				fee schedule		329.46				percent of total billed charges		429.45				other	OPPS APC	34.56	478.04	
HC Transf Blood/Blood Comp 211-270mi	PX-391364303	CDM	36430	CPT	391	RC		inpatient			646	646																																																			
HC Transf Blood/Blood Comp 271-330mi	PX-391364304	CDM	36430	CPT	391	RC		outpatient			646	429.45	34.56				fee schedule		429.45				other	OPPS APC	478.04				percent of total billed charges		429.45				other	OPPS APC	429.45				other	OPPS APC	39.08				fee schedule		329.46				percent of total billed charges		429.45				other	OPPS APC	34.56	478.04	
HC Transf Blood/Blood Comp 271-330mi	PX-391364304	CDM	36430	CPT	391	RC		inpatient			646	646																																																			
PIN FIXATION OSS POLYETHYLENE KNEE LOCK COMPRESSION MOLD	SUP-150478	CDM			270	RC		outpatient			646	646	175				percent of total billed charges		646				other	OPPS APC	478.04				percent of total billed charges		646				other	OPPS APC	646				other	OPPS APC	175				percent of total billed charges		178.49				percent of total billed charges		646				other	OPPS APC	175	646	
PIN FIXATION OSS POLYETHYLENE KNEE LOCK COMPRESSION MOLD	SUP-150478	CDM			270	RC		inpatient			646	646																																																			
ROD SPINAL OASYS TITANIUM L40 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48552040	CDM	270010020	LOCAL	270	RC		outpatient			646	646	175				percent of total billed charges		646				other	OPPS APC	478.04				percent of total billed charges		646				other	OPPS APC	646				other	OPPS APC	175				percent of total billed charges		178.49				percent of total billed charges		646				other	OPPS APC	175	646	
ROD SPINAL OASYS TITANIUM L40 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48552040	CDM	270010020	LOCAL	270	RC		inpatient			646	646																																																			
T-2 HUMERUS SYSTEM	SUP-97-01205	CDM			278	RC		outpatient			645.12	645.12	645.12				fee schedule		645.12				other	OPPS APC	367.72				percent of total billed charges		645.12				other	OPPS APC	645.12				other	OPPS APC	316.11				percent of total billed charges		329.01				percent of total billed charges		645.12				other	OPPS APC	316.11	645.12	
T-2 HUMERUS SYSTEM	SUP-97-01205	CDM			278	RC		inpatient			645.12	645.12																																																			
PLATE TUBULAR 1/3 7 HOLE	SUP-97-01960	CDM			278	RC		outpatient			644.28	644.28	644.28				fee schedule		644.28				other	OPPS APC	367.24				percent of total billed charges		644.28				other	OPPS APC	644.28				other	OPPS APC	315.7				percent of total billed charges		328.58				percent of total billed charges		644.28				other	OPPS APC	315.7	644.28	
PLATE TUBULAR 1/3 7 HOLE	SUP-97-01960	CDM			278	RC		inpatient			644.28	644.28																																																			
PIM SMALL HEADED CUPPED TIP	SUP-95-03131	CDM			278	RC		outpatient			644	644	644				fee schedule		644				other	OPPS APC	367.08				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	315.56				percent of total billed charges		328.44				percent of total billed charges		644				other	OPPS APC	315.56	644	
PIM SMALL HEADED CUPPED TIP	SUP-95-03131	CDM			278	RC		inpatient			644	644																																																			
SHORT SMOOTH PIN W/SMALL HEAD	SUP-95-03657	CDM			278	RC		outpatient			644	644	644				fee schedule		644				other	OPPS APC	367.08				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	315.56				percent of total billed charges		328.44				percent of total billed charges		644				other	OPPS APC	315.56	644	
SHORT SMOOTH PIN W/SMALL HEAD	SUP-95-03657	CDM			278	RC		inpatient			644	644																																																			
SHORT THREADED PIN LONG INSERT SHAFT	SUP-95-03658	CDM			278	RC		outpatient			644	644	644				fee schedule		644				other	OPPS APC	367.08				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	315.56				percent of total billed charges		328.44				percent of total billed charges		644				other	OPPS APC	315.56	644	
SHORT THREADED PIN LONG INSERT SHAFT	SUP-95-03658	CDM			278	RC		inpatient			644	644																																																			
DRILL BIT 4.5MM CANNULATED	SUP-95-05201	CDM			272	RC		outpatient			644	644	174.46				percent of total billed charges		644				other	OPPS APC	476.56				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	174.46				percent of total billed charges		177.94				percent of total billed charges		644				other	OPPS APC	174.46	644	
DRILL BIT 4.5MM CANNULATED	SUP-95-05201	CDM			272	RC		inpatient			644	644																																																			
DRILL 4MM CANNULATED	SUP-95-05202	CDM			272	RC		outpatient			644	644	174.46				percent of total billed charges		644				other	OPPS APC	476.56				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	174.46				percent of total billed charges		177.94				percent of total billed charges		644				other	OPPS APC	174.46	644	
DRILL 4MM CANNULATED	SUP-95-05202	CDM			272	RC		inpatient			644	644																																																			
HRIS OSTEO STR .25X120MM	SUP-97-04627	CDM			278	RC		outpatient			644	644	644				fee schedule		644				other	OPPS APC	367.08				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	315.56				percent of total billed charges		328.44				percent of total billed charges		644				other	OPPS APC	315.56	644	
HRIS OSTEO STR .25X120MM	SUP-97-04627	CDM			278	RC		inpatient			644	644																																																			
LARGE THREADED PIN	SUP-97-04686	CDM			278	RC		outpatient			644	644	644				fee schedule		644				other	OPPS APC	367.08				percent of total billed charges		644				other	OPPS APC	644				other	OPPS APC	315.56				percent of total billed charges		328.44				percent of total billed charges		644				other	OPPS APC	315.56	644	
LARGE THREADED PIN	SUP-97-04686	CDM			278	RC		inpatient			644	644																																																			
ELECTRODE 30 CUTTING LOOP 22FR	SUP-74-00211	CDM			272	RC		outpatient			643.58	643.58	174.35				percent of total billed charges		643.58				other	OPPS APC	476.25				percent of total billed charges		643.58				other	OPPS APC	643.58				other	OPPS APC	174.35				percent of total billed charges		177.82				percent of total billed charges		643.58				other	OPPS APC	174.35	643.58	
ELECTRODE 30 CUTTING LOOP 22FR	SUP-74-00211	CDM			272	RC		inpatient			643.58	643.58																																																			
PLATE BONE LCP COMBI 137X11X3.4MM SS NS 10 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.601	CDM	270010022	LOCAL	270	RC		outpatient			643.12	643.12	174.22				percent of total billed charges		643.12				other	OPPS APC	475.91				percent of total billed charges		643.12				other	OPPS APC	643.12				other	OPPS APC	174.22				percent of total billed charges		177.69				percent of total billed charges		643.12				other	OPPS APC	174.22	643.12	
PLATE BONE LCP COMBI 137X11X3.4MM SS NS 10 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.601	CDM	270010022	LOCAL	270	RC		inpatient			643.12	643.12																																																			
2.0MM DRILL BIT QC 140MM	SUP-97-05267	CDM			272	RC		outpatient			642.6	642.62	174.08				percent of total billed charges		642.6				other	OPPS APC	475.52				percent of total billed charges		642.6				other	OPPS APC	642.6				other	OPPS APC	174.08				percent of total billed charges		177.55				percent of total billed charges		642.62				other	OPPS APC	174.08	642.62	
2.0MM DRILL BIT QC 140MM	SUP-97-05267	CDM			272	RC		inpatient			642.6	642.6																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 10MM	SUP-97-03185	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 10MM	SUP-97-03185	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 12MM	SUP-97-03186	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 12MM	SUP-97-03186	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 14MM	SUP-97-03187	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 14MM	SUP-97-03187	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 16MM	SUP-97-03188	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 16MM	SUP-97-03188	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 18MM	SUP-97-03189	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 18MM	SUP-97-03189	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 20MM	SUP-97-03287	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 20MM	SUP-97-03287	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 60MM	SUP-97-03291	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 60MM	SUP-97-03291	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 10MM	SUP-97-03777	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 10MM	SUP-97-03777	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 8MM	SUP-97-04422	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 8MM	SUP-97-04422	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 16MM	SUP-97-05281	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 16MM	SUP-97-05281	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 18MM	SUP-97-05282	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 18MM	SUP-97-05282	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING 2.7 X 38MM T10 FULL THREAD	SUP-97-05706	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING 2.7 X 38MM T10 FULL THREAD	SUP-97-05706	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING 2.7 X 40MM T10 FULL THREAD	SUP-97-05707	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING 2.7 X 40MM T10 FULL THREAD	SUP-97-05707	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING 2.7 X 42MM T10 FULL THREAD	SUP-97-05708	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING 2.7 X 42MM T10 FULL THREAD	SUP-97-05708	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING 2.7 X 48MM T10 FULL THREAD	SUP-97-05709	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING 2.7 X 48MM T10 FULL THREAD	SUP-97-05709	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING 2.7 X 65MM T10 FULL THREAD	SUP-97-05710	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING 2.7 X 65MM T10 FULL THREAD	SUP-97-05710	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING 2.7 X 70MM T10 FULL THREAD	SUP-97-05711	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING 2.7 X 70MM T10 FULL THREAD	SUP-97-05711	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 32MM	SUP-97-06001	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 32MM	SUP-97-06001	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 34MM	SUP-97-06002	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 34MM	SUP-97-06002	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 36MM	SUP-97-06003	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 36MM	SUP-97-06003	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 38MM	SUP-97-06004	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 38MM	SUP-97-06004	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 42MM	SUP-97-06005	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 42MM	SUP-97-06005	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 44MM	SUP-97-06006	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 44MM	SUP-97-06006	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 46MM	SUP-97-06007	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 46MM	SUP-97-06007	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 48MM	SUP-97-06008	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 48MM	SUP-97-06008	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 50MM	SUP-97-06009	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 50MM	SUP-97-06009	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 55MM	SUP-97-06010	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 55MM	SUP-97-06010	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 65MM	SUP-97-06011	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 65MM	SUP-97-06011	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 70MM	SUP-97-06012	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCK T10 FULL THRD 3.5MM X 70MM	SUP-97-06012	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 20MM	SUP-97-06017	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 20MM	SUP-97-06017	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 22MM	SUP-97-06018	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 22MM	SUP-97-06018	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 24MM	SUP-97-06019	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 24MM	SUP-97-06019	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 26MM	SUP-97-06020	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 26MM	SUP-97-06020	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 28MM	SUP-97-06021	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 28MM	SUP-97-06021	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 30MM	SUP-97-06022	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 30MM	SUP-97-06022	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 32MM	SUP-97-06023	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 32MM	SUP-97-06023	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 34MM	SUP-97-06024	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 34MM	SUP-97-06024	CDM			278	RC		inpatient			642.46	642.46																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 36MM	SUP-97-06025	CDM			278	RC		outpatient			642.46	642.46	642.46				fee schedule		642.46				other	OPPS APC	366.2				percent of total billed charges		642.46				other	OPPS APC	642.46				other	OPPS APC	314.81				percent of total billed charges		327.65				percent of total billed charges		642.46				other	OPPS APC	314.81	642.46	
SCREW LOCKING T10 FULL THREAD 2.7MM X 36MM	SUP-97-06025	CDM			278	RC		inpatient			642.46	642.46																																																			
BARRIER ADHESION INTERCEED L4 IN X W3 IN PELVIS ABSORBABLE STERILE	SUP-4350	CDM			270	RC		outpatient			642.2	642.25	173.97				percent of total billed charges		642.2				other	OPPS APC	475.23				percent of total billed charges		642.2				other	OPPS APC	642.2				other	OPPS APC	173.97				percent of total billed charges		177.44				percent of total billed charges		642.25				other	OPPS APC	173.97	642.25	
BARRIER ADHESION INTERCEED L4 IN X W3 IN PELVIS ABSORBABLE STERILE	SUP-4350	CDM			270	RC		inpatient			642.2	642.2																																																			
BIT DRILL CLAW II OD2 MM GREEN 2.7 MM SCREW POLYAXIAL COMPRESSION PLATING SYSTEM	SUP-40250020	CDM			270	RC		outpatient			642	642	173.92				percent of total billed charges		642				other	OPPS APC	475.08				percent of total billed charges		642				other	OPPS APC	642				other	OPPS APC	173.92				percent of total billed charges		177.38				percent of total billed charges		642				other	OPPS APC	173.92	642	
BIT DRILL CLAW II OD2 MM GREEN 2.7 MM SCREW POLYAXIAL COMPRESSION PLATING SYSTEM	SUP-40250020	CDM			270	RC		inpatient			642	642																																																			
BIT DRILL CLAW OD2.8 MM	SUP-40250028	CDM			270	RC		outpatient			642	642	173.92				percent of total billed charges		642				other	OPPS APC	475.08				percent of total billed charges		642				other	OPPS APC	642				other	OPPS APC	173.92				percent of total billed charges		177.38				percent of total billed charges		642				other	OPPS APC	173.92	642	
BIT DRILL CLAW OD2.8 MM	SUP-40250028	CDM			270	RC		inpatient			642	642																																																			
END CAP SPINAL X-CORE 2 TITANIUM NS LOCK SCREW	SUP-7162000	CDM	270010020	LOCAL	270	RC		outpatient			642	642	173.92				percent of total billed charges		642				other	OPPS APC	475.08				percent of total billed charges		642				other	OPPS APC	642				other	OPPS APC	173.92				percent of total billed charges		177.38				percent of total billed charges		642				other	OPPS APC	173.92	642	
END CAP SPINAL X-CORE 2 TITANIUM NS LOCK SCREW	SUP-7162000	CDM	270010020	LOCAL	270	RC		inpatient			642	642																																																			
CLAMP EXTERNAL FIXATION LG NS 6 POSITION PIN MR CONDITIONAL	SUP-390.010	CDM	270010022	LOCAL	270	RC		outpatient			641.2	641.25	173.7				percent of total billed charges		641.2				other	OPPS APC	474.49				percent of total billed charges		641.2				other	OPPS APC	641.2				other	OPPS APC	173.7				percent of total billed charges		177.16				percent of total billed charges		641.25				other	OPPS APC	173.7	641.25	
CLAMP EXTERNAL FIXATION LG NS 6 POSITION PIN MR CONDITIONAL	SUP-390.010	CDM	270010022	LOCAL	270	RC		inpatient			641.2	641.2																																																			
EXTRACTOR 3FR STONE 4W GEMINI PAIR HELIC	SUP-70-00169	CDM			272	RC		outpatient			640.85	64.85	173.61				percent of total billed charges		640.85				other	OPPS APC	474.23				percent of total billed charges		640.85				other	OPPS APC	640.85				other	OPPS APC	173.61				percent of total billed charges		177.07				percent of total billed charges		64.85				other	OPPS APC	64.85	640.85	
EXTRACTOR 3FR STONE 4W GEMINI PAIR HELIC	SUP-70-00169	CDM			272	RC		inpatient			640.85	640.85																																																			
SCREW LOCKING 4.0MM X 36MM	SUP-97-02555	CDM			278	RC		outpatient			640.5	64.5	640.5				fee schedule		640.5				other	OPPS APC	365.09				percent of total billed charges		640.5				other	OPPS APC	640.5				other	OPPS APC	313.85				percent of total billed charges		326.66				percent of total billed charges		64.5				other	OPPS APC	64.5	640.5	
SCREW LOCKING 4.0MM X 36MM	SUP-97-02555	CDM			278	RC		inpatient			640.5	640.5																																																			
SCREW LOCKING 4.0MM X 34MM	SUP-97-02556	CDM			278	RC		outpatient			640.5	64.5	640.5				fee schedule		640.5				other	OPPS APC	365.09				percent of total billed charges		640.5				other	OPPS APC	640.5				other	OPPS APC	313.85				percent of total billed charges		326.66				percent of total billed charges		64.5				other	OPPS APC	64.5	640.5	
SCREW LOCKING 4.0MM X 34MM	SUP-97-02556	CDM			278	RC		inpatient			640.5	640.5																																																			
SET ORTHOPEDIC 1.25 MM INSERT K WIRE	SUP-324.084	CDM	270010022	LOCAL	270	RC		outpatient			640.2	64.25	173.43				percent of total billed charges		640.2				other	OPPS APC	473.75				percent of total billed charges		640.2				other	OPPS APC	640.2				other	OPPS APC	173.43				percent of total billed charges		176.89				percent of total billed charges		64.25				other	OPPS APC	64.25	640.2	
SET ORTHOPEDIC 1.25 MM INSERT K WIRE	SUP-324.084	CDM	270010022	LOCAL	270	RC		inpatient			640.2	640.2																																																			
ROD SPINAL LINEUM TITANIUM UNIVERSAL L240 MM OD3.5 MM OCCIPITOCERVICOTHORACIC PRECUT NONSTERILE BLUE	SUP-14-524024	CDM	270010020	LOCAL	270	RC		outpatient			640	64	173.38				percent of total billed charges		640				other	OPPS APC	473.6				percent of total billed charges		640				other	OPPS APC	640				other	OPPS APC	173.38				percent of total billed charges		176.83				percent of total billed charges		64				other	OPPS APC	64	640	
ROD SPINAL LINEUM TITANIUM UNIVERSAL L240 MM OD3.5 MM OCCIPITOCERVICOTHORACIC PRECUT NONSTERILE BLUE	SUP-14-524024	CDM	270010020	LOCAL	270	RC		inpatient			640	640																																																			
SUTURE TAK-ANCHOR	SUP-AR-1934BCF-2	CDM			270	RC		outpatient			640	64	173.38				percent of total billed charges		640				other	OPPS APC	473.6				percent of total billed charges		640				other	OPPS APC	640				other	OPPS APC	173.38				percent of total billed charges		176.83				percent of total billed charges		64				other	OPPS APC	64	640	
SUTURE TAK-ANCHOR	SUP-AR-1934BCF-2	CDM			270	RC		inpatient			640	640																																																			
CF DELIVERY DEVICE CAPSULE BRAVO X 5	SUP-FGS-0635	CDM			270	RC		outpatient			640	64	173.38				percent of total billed charges		640				other	OPPS APC	473.6				percent of total billed charges		640				other	OPPS APC	640				other	OPPS APC	173.38				percent of total billed charges		176.83				percent of total billed charges		64				other	OPPS APC	64	640	
CF DELIVERY DEVICE CAPSULE BRAVO X 5	SUP-FGS-0635	CDM			270	RC		inpatient			640	640																																																			
END CAP 10MM	SUP-97-02934	CDM			278	RC		outpatient			639.73	639.73	639.73				fee schedule		639.73				other	OPPS APC	364.65				percent of total billed charges		639.73				other	OPPS APC	639.73				other	OPPS APC	313.47				percent of total billed charges		326.26				percent of total billed charges		639.73				other	OPPS APC	313.47	639.73	
END CAP 10MM	SUP-97-02934	CDM			278	RC		inpatient			639.73	639.73																																																			
FIBER LASER FLEXIVA FLEXSHIELD 365 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403920	CDM			270	RC		outpatient			639.18	639.18	173.15				percent of total billed charges		639.18				other	OPPS APC	472.99				percent of total billed charges		639.18				other	OPPS APC	639.18				other	OPPS APC	173.15				percent of total billed charges		176.61				percent of total billed charges		639.18				other	OPPS APC	173.15	639.18	
FIBER LASER FLEXIVA FLEXSHIELD 365 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M0068403920	CDM			270	RC		inpatient			639.18	639.18																																																			
FIBER LASER FLEXIVA FLEXSHIELD 365 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M006L8405921	CDM			270	RC		outpatient			639.18	639.18	173.15				percent of total billed charges		639.18				other	OPPS APC	472.99				percent of total billed charges		639.18				other	OPPS APC	639.18				other	OPPS APC	173.15				percent of total billed charges		176.61				percent of total billed charges		639.18				other	OPPS APC	173.15	639.18	
FIBER LASER FLEXIVA FLEXSHIELD 365 UM HIGH POWER POLISH OUTPUT TIP NONTAPER GUIDE CONNECTOR LATEX FREE DISPOSABLE	SUP-M006L8405921	CDM			270	RC		inpatient			639.18	639.18																																																			
SCREW BONE TITANIUM FLUTE L10 MM OD2 MM ODSEC3.5 MM CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM GOLD	SUP-401.16	CDM	270010014	LOCAL	270	RC		outpatient			639.02	639.2	173.11				percent of total billed charges		639.02				other	OPPS APC	472.87				percent of total billed charges		639.02				other	OPPS APC	639.02				other	OPPS APC	173.11				percent of total billed charges		176.56				percent of total billed charges		639.2				other	OPPS APC	173.11	639.2	
SCREW BONE TITANIUM FLUTE L10 MM OD2 MM ODSEC3.5 MM CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM GOLD	SUP-401.16	CDM	270010014	LOCAL	270	RC		inpatient			639.02	639.02																																																			
SCREW BONE 2MM 3.5MM 10MM TITANIUM FLUTE CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM NS	SUP-401.160	CDM	270010014	LOCAL	270	RC		outpatient			639.02	639.2	173.11				percent of total billed charges		639.02				other	OPPS APC	472.87				percent of total billed charges		639.02				other	OPPS APC	639.02				other	OPPS APC	173.11				percent of total billed charges		176.56				percent of total billed charges		639.2				other	OPPS APC	173.11	639.2	
SCREW BONE 2MM 3.5MM 10MM TITANIUM FLUTE CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM NS	SUP-401.160	CDM	270010014	LOCAL	270	RC		inpatient			639.02	639.02																																																			
2.0 L31MM AO DRILL BIT CAUN.SINK	SUP-97-23770	CDM			272	RC		outpatient			638.4	638.4	172.94				percent of total billed charges		638.4				other	OPPS APC	472.42				percent of total billed charges		638.4				other	OPPS APC	638.4				other	OPPS APC	172.94				percent of total billed charges		176.39				percent of total billed charges		638.4				other	OPPS APC	172.94	638.4	
2.0 L31MM AO DRILL BIT CAUN.SINK	SUP-97-23770	CDM			272	RC		inpatient			638.4	638.4																																																			
PRECISION BLADE UNI (6720127090)	SUP-78-00399	CDM			272	RC		outpatient			637	637	172.56				percent of total billed charges		637				other	OPPS APC	471.38				percent of total billed charges		637				other	OPPS APC	637				other	OPPS APC	172.56				percent of total billed charges		176				percent of total billed charges		637				other	OPPS APC	172.56	637	
PRECISION BLADE UNI (6720127090)	SUP-78-00399	CDM			272	RC		inpatient			637	637																																																			
DRILL BIT CALIBRATED 3.1 X 285MM AO	SUP-97-02665	CDM						inpatient			636.76	636.76																																																			
DRILL BIT CALIBRATED 3.1 X 285MM AO	SUP-97-02665	CDM						outpatient			636.76	636.76	636.76				percent of total billed charges		636.76				other	OPPS APC	636.76				fee schedule		636.76				other	OPPS APC	636.76				other	OPPS APC	636.76				case rate		636.76				case rate		636.76				other	OPPS APC	636.76	636.76	
DRILL BIT CALIBRATED 2.5 X 285MM AO	SUP-97-02666	CDM						inpatient			636.76	636.76																																																			
DRILL BIT CALIBRATED 2.5 X 285MM AO	SUP-97-02666	CDM						outpatient			636.76	636.76	636.76				percent of total billed charges		636.76				other	OPPS APC	636.76				fee schedule		636.76				other	OPPS APC	636.76				other	OPPS APC	636.76				case rate		636.76				case rate		636.76				other	OPPS APC	636.76	636.76	
2.8 TRILOCK SCREW 10MM HD7 1/PKG	SUP-97-04682	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
2.8 TRILOCK SCREW 10MM HD7 1/PKG	SUP-97-04682	CDM			278	RC		inpatient			636.3	636.3																																																			
2.8 TRILOCK SCREW 12MM HD7 1/PKG	SUP-97-04683	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
2.8 TRILOCK SCREW 12MM HD7 1/PKG	SUP-97-04683	CDM			278	RC		inpatient			636.3	636.3																																																			
2.8 TRILOCK SCREW 22MM	SUP-97-04698	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
2.8 TRILOCK SCREW 22MM	SUP-97-04698	CDM			278	RC		inpatient			636.3	636.3																																																			
2.8 TRILOCK SCREW 10MM HD7 1/ PKG	SUP-97-05417	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
2.8 TRILOCK SCREW 10MM HD7 1/ PKG	SUP-97-05417	CDM			278	RC		inpatient			636.3	636.3																																																			
SCREW 2.7 X 18MM LOCKING LG HD	SUP-97-05853	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCREW 2.7 X 18MM LOCKING LG HD	SUP-97-05853	CDM			278	RC		inpatient			636.3	636.3																																																			
SCREW 2.7 X 12MM LOCKING LG HD	SUP-97-05854	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCREW 2.7 X 12MM LOCKING LG HD	SUP-97-05854	CDM			278	RC		inpatient			636.3	636.3																																																			
SCRW 3.5 X 14MM LOCKING	SUP-97-05856	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCRW 3.5 X 14MM LOCKING	SUP-97-05856	CDM			278	RC		inpatient			636.3	636.3																																																			
SCREW 2.7 X 10MM LOCKING LG HD	SUP-97-05857	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCREW 2.7 X 10MM LOCKING LG HD	SUP-97-05857	CDM			278	RC		inpatient			636.3	636.3																																																			
SCREW 3.5 X 18MM LOCKING	SUP-97-05858	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCREW 3.5 X 18MM LOCKING	SUP-97-05858	CDM			278	RC		inpatient			636.3	636.3																																																			
SCREW 2.7 X 14MM LOCKING LG HD	SUP-97-06256	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCREW 2.7 X 14MM LOCKING LG HD	SUP-97-06256	CDM			278	RC		inpatient			636.3	636.3																																																			
SCREW 3.5 X 16MM LOCKING LG HD	SUP-97-06257	CDM			278	RC		outpatient			636.3	636.3	636.3				fee schedule		636.3				other	OPPS APC	362.69				percent of total billed charges		636.3				other	OPPS APC	636.3				other	OPPS APC	311.79				percent of total billed charges		324.51				percent of total billed charges		636.3				other	OPPS APC	311.79	636.3	
SCREW 3.5 X 16MM LOCKING LG HD	SUP-97-06257	CDM			278	RC		inpatient			636.3	636.3																																																			
ADAPTER DIALYSIS VALUELINK TITANIUM PERITONEAL 2 PIECE LOCKING STERILE LATEX FREE	SUP-5C4129	CDM						inpatient			635.75	635.75																																																			
ADAPTER DIALYSIS VALUELINK TITANIUM PERITONEAL 2 PIECE LOCKING STERILE LATEX FREE	SUP-5C4129	CDM						outpatient			635.75	635.75	635.75				percent of total billed charges		635.75				other	OPPS APC	635.75				fee schedule		635.75				other	OPPS APC	635.75				other	OPPS APC	635.75				case rate		635.75				case rate		635.75				other	OPPS APC	635.75	635.75	
VALVE AIR/WATER PROVENTIL ATTACH ULTRASOUND SCOPE	SUP-MAJ-1444	CDM						inpatient			635.08	635.08																																																			
VALVE AIR/WATER PROVENTIL ATTACH ULTRASOUND SCOPE	SUP-MAJ-1444	CDM						outpatient			635.08	635.84	635.08				percent of total billed charges		635.08				other	OPPS APC	635.08				fee schedule		635.08				other	OPPS APC	635.08				other	OPPS APC	635.08				case rate		635.08				case rate		635.84				other	OPPS APC	635.08	635.84	
STENT SET BANDER UTETERAL DIV 90CM	SUP-95-03142	CDM			278	RC		outpatient			635.04	635.4	635.04				fee schedule		635.04				other	OPPS APC	361.97				percent of total billed charges		635.04				other	OPPS APC	635.04				other	OPPS APC	311.17				percent of total billed charges		323.87				percent of total billed charges		635.4				other	OPPS APC	311.17	635.4	
STENT SET BANDER UTETERAL DIV 90CM	SUP-95-03142	CDM			278	RC		inpatient			635.04	635.04																																																			
SURGIFLO (FLOSEAL)	SUP-72-00030	CDM			272	RC		outpatient			634.46	634.46	171.88				percent of total billed charges		634.46				other	OPPS APC	469.5				percent of total billed charges		634.46				other	OPPS APC	634.46				other	OPPS APC	171.88				percent of total billed charges		175.3				percent of total billed charges		634.46				other	OPPS APC	171.88	634.46	
SURGIFLO (FLOSEAL)	SUP-72-00030	CDM			272	RC		inpatient			634.46	634.46																																																			
HC CT Upper Extrem WO Contrast	PX-352732000	CDM	73200	CPT	352	RC		outpatient			634	112.57	179.74				fee schedule		112.57				other	OPPS APC	615.64				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	152.38				fee schedule		120.49				fee schedule		112.57				other	OPPS APC	112.57	615.64	
HC CT Upper Extrem WO Contrast	PX-352732000	CDM	73200	CPT	352	RC		inpatient			634	634																																																			
SCREW BONE WAVE 26MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS26	CDM			270	RC		outpatient			634	634	171.75				percent of total billed charges		634				other	OPPS APC	469.16				percent of total billed charges		634				other	OPPS APC	634				other	OPPS APC	171.75				percent of total billed charges		175.17				percent of total billed charges		634				other	OPPS APC	171.75	634	
SCREW BONE WAVE 26MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS26	CDM			270	RC		inpatient			634	634																																																			
SCREW BONE WAVE 30MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS30	CDM			270	RC		outpatient			634	634	171.75				percent of total billed charges		634				other	OPPS APC	469.16				percent of total billed charges		634				other	OPPS APC	634				other	OPPS APC	171.75				percent of total billed charges		175.17				percent of total billed charges		634				other	OPPS APC	171.75	634	
SCREW BONE WAVE 30MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS30	CDM			270	RC		inpatient			634	634																																																			
SCREW BONE WAVE 32MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS32	CDM			270	RC		outpatient			634	634	171.75				percent of total billed charges		634				other	OPPS APC	469.16				percent of total billed charges		634				other	OPPS APC	634				other	OPPS APC	171.75				percent of total billed charges		175.17				percent of total billed charges		634				other	OPPS APC	171.75	634	
SCREW BONE WAVE 32MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS32	CDM			270	RC		inpatient			634	634																																																			
SCREW BONE WAVE 34MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS34	CDM			270	RC		outpatient			634	634	171.75				percent of total billed charges		634				other	OPPS APC	469.16				percent of total billed charges		634				other	OPPS APC	634				other	OPPS APC	171.75				percent of total billed charges		175.17				percent of total billed charges		634				other	OPPS APC	171.75	634	
SCREW BONE WAVE 34MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS34	CDM			270	RC		inpatient			634	634																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG  38MM	SUP-ZPCS38	CDM			270	RC		outpatient			634	634	171.75				percent of total billed charges		634				other	OPPS APC	469.16				percent of total billed charges		634				other	OPPS APC	634				other	OPPS APC	171.75				percent of total billed charges		175.17				percent of total billed charges		634				other	OPPS APC	171.75	634	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG  38MM	SUP-ZPCS38	CDM			270	RC		inpatient			634	634																																																			
SCREW BONE WAVE 55MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS55	CDM			270	RC		outpatient			634	634	171.75				percent of total billed charges		634				other	OPPS APC	469.16				percent of total billed charges		634				other	OPPS APC	634				other	OPPS APC	171.75				percent of total billed charges		175.17				percent of total billed charges		634				other	OPPS APC	171.75	634	
SCREW BONE WAVE 55MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS55	CDM			270	RC		inpatient			634	634																																																			
PLATE 6 HOLE 69MM LCP TUBULAR	SUP-95-01828	CDM			278	RC		outpatient			633.96	633.96	633.96				fee schedule		633.96				other	OPPS APC	361.36				percent of total billed charges		633.96				other	OPPS APC	633.96				other	OPPS APC	310.64				percent of total billed charges		323.32				percent of total billed charges		633.96				other	OPPS APC	310.64	633.96	
PLATE 6 HOLE 69MM LCP TUBULAR	SUP-95-01828	CDM			278	RC		inpatient			633.96	633.96																																																			
SCREW BONE FULL THREAD L135 MM OD7.3 MM CANNULATED STERILE	SUP-209.735S	CDM	270010022	LOCAL	270	RC		outpatient			633.24	633.24	171.54				percent of total billed charges		633.24				other	OPPS APC	468.6				percent of total billed charges		633.24				other	OPPS APC	633.24				other	OPPS APC	171.54				percent of total billed charges		174.96				percent of total billed charges		633.24				other	OPPS APC	171.54	633.24	
SCREW BONE FULL THREAD L135 MM OD7.3 MM CANNULATED STERILE	SUP-209.735S	CDM	270010022	LOCAL	270	RC		inpatient			633.24	633.24																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L145 MM OD7.3 MM CANNULATED STERILE	SUP-209.745S	CDM	270010022	LOCAL	270	RC		outpatient			633.24	633.24	171.54				percent of total billed charges		633.24				other	OPPS APC	468.6				percent of total billed charges		633.24				other	OPPS APC	633.24				other	OPPS APC	171.54				percent of total billed charges		174.96				percent of total billed charges		633.24				other	OPPS APC	171.54	633.24	
SCREW BONE STAINLESS STEEL FULL THREAD L145 MM OD7.3 MM CANNULATED STERILE	SUP-209.745S	CDM	270010022	LOCAL	270	RC		inpatient			633.24	633.24																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L155 MM OD7.3 MM CANNULATED STERILE	SUP-209.755S	CDM	270010022	LOCAL	270	RC		outpatient			633.24	633.24	171.54				percent of total billed charges		633.24				other	OPPS APC	468.6				percent of total billed charges		633.24				other	OPPS APC	633.24				other	OPPS APC	171.54				percent of total billed charges		174.96				percent of total billed charges		633.24				other	OPPS APC	171.54	633.24	
SCREW BONE STAINLESS STEEL FULL THREAD L155 MM OD7.3 MM CANNULATED STERILE	SUP-209.755S	CDM	270010022	LOCAL	270	RC		inpatient			633.24	633.24																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L175 MM OD7.3 MM CANNULATED STERILE	SUP-209.775S	CDM	270010022	LOCAL	270	RC		outpatient			633.24	633.24	171.54				percent of total billed charges		633.24				other	OPPS APC	468.6				percent of total billed charges		633.24				other	OPPS APC	633.24				other	OPPS APC	171.54				percent of total billed charges		174.96				percent of total billed charges		633.24				other	OPPS APC	171.54	633.24	
SCREW BONE STAINLESS STEEL FULL THREAD L175 MM OD7.3 MM CANNULATED STERILE	SUP-209.775S	CDM	270010022	LOCAL	270	RC		inpatient			633.24	633.24																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L180 MM OD7.3 MM CANNULATED STERILE	SUP-209.780S	CDM	270010022	LOCAL	270	RC		outpatient			633.24	633.24	171.54				percent of total billed charges		633.24				other	OPPS APC	468.6				percent of total billed charges		633.24				other	OPPS APC	633.24				other	OPPS APC	171.54				percent of total billed charges		174.96				percent of total billed charges		633.24				other	OPPS APC	171.54	633.24	
SCREW BONE STAINLESS STEEL FULL THREAD L180 MM OD7.3 MM CANNULATED STERILE	SUP-209.780S	CDM	270010022	LOCAL	270	RC		inpatient			633.24	633.24																																																			
CHEST TUBE KIT 24FR THAL-QUICK	SUP-95-01649	CDM			272	RC		outpatient			632.84	632.84	171.44				percent of total billed charges		632.84				other	OPPS APC	468.3				percent of total billed charges		632.84				other	OPPS APC	632.84				other	OPPS APC	171.44				percent of total billed charges		174.85				percent of total billed charges		632.84				other	OPPS APC	171.44	632.84	
CHEST TUBE KIT 24FR THAL-QUICK	SUP-95-01649	CDM			272	RC		inpatient			632.84	632.84																																																			
REAMER SHAFT 450MM	SUP-97-01208	CDM			272	RC		outpatient			632.1	632.12	171.24				percent of total billed charges		632.1				other	OPPS APC	467.75				percent of total billed charges		632.1				other	OPPS APC	632.1				other	OPPS APC	171.24				percent of total billed charges		174.65				percent of total billed charges		632.12				other	OPPS APC	171.24	632.12	
REAMER SHAFT 450MM	SUP-97-01208	CDM			272	RC		inpatient			632.1	632.1																																																			
REAMER SHAFT 240MM	SUP-97-05568	CDM			272	RC		outpatient			632.1	632.12	171.24				percent of total billed charges		632.1				other	OPPS APC	467.75				percent of total billed charges		632.1				other	OPPS APC	632.1				other	OPPS APC	171.24				percent of total billed charges		174.65				percent of total billed charges		632.12				other	OPPS APC	171.24	632.12	
REAMER SHAFT 240MM	SUP-97-05568	CDM			272	RC		inpatient			632.1	632.1																																																			
TUBING ASPIRATION AXS UNIVERSAL L300 CM OD8 MM STERILE LATEX FREE DISPOSABLE	SUP-77.0193	CDM			270	RC		outpatient			632	632	171.21				percent of total billed charges		632				other	OPPS APC	467.68				percent of total billed charges		632				other	OPPS APC	632				other	OPPS APC	171.21				percent of total billed charges		174.62				percent of total billed charges		632				other	OPPS APC	171.21	632	
TUBING ASPIRATION AXS UNIVERSAL L300 CM OD8 MM STERILE LATEX FREE DISPOSABLE	SUP-77.0193	CDM			270	RC		inpatient			632	632																																																			
PLATE STRAIGHT 104MM SS 3.5MM SCREW 8 HOLE LOW PROFILE RECONSTRUCTION BONE PELVIS NS	SUP-245.028	CDM	270010022	LOCAL	270	RC		outpatient			631.8	631.8	171.15				percent of total billed charges		631.8				other	OPPS APC	467.53				percent of total billed charges		631.8				other	OPPS APC	631.8				other	OPPS APC	171.15				percent of total billed charges		174.57				percent of total billed charges		631.8				other	OPPS APC	171.15	631.8	
PLATE STRAIGHT 104MM SS 3.5MM SCREW 8 HOLE LOW PROFILE RECONSTRUCTION BONE PELVIS NS	SUP-245.028	CDM	270010022	LOCAL	270	RC		inpatient			631.8	631.8																																																			
SPEEDGUIDE DRILL AO  DIA 2.0MM (L = 30MM	SUP-95-03517	CDM			272	RC		outpatient			631.68	631.68	171.12				percent of total billed charges		631.68				other	OPPS APC	467.44				percent of total billed charges		631.68				other	OPPS APC	631.68				other	OPPS APC	171.12				percent of total billed charges		174.53				percent of total billed charges		631.68				other	OPPS APC	171.12	631.68	
SPEEDGUIDE DRILL AO  DIA 2.0MM (L = 30MM	SUP-95-03517	CDM			272	RC		inpatient			631.68	631.68																																																			
2.6 MM SPEED GUIDE DRILL	SUP-97-04390	CDM			272	RC		outpatient			631.68	631.68	171.12				percent of total billed charges		631.68				other	OPPS APC	467.44				percent of total billed charges		631.68				other	OPPS APC	631.68				other	OPPS APC	171.12				percent of total billed charges		174.53				percent of total billed charges		631.68				other	OPPS APC	171.12	631.68	
2.6 MM SPEED GUIDE DRILL	SUP-97-04390	CDM			272	RC		inpatient			631.68	631.68																																																			
BASKET 2.4FR ZERO TIP	SUP-70-00243	CDM			272	RC		outpatient			631.47	631.47	171.07				percent of total billed charges		631.47				other	OPPS APC	467.29				percent of total billed charges		631.47				other	OPPS APC	631.47				other	OPPS APC	171.07				percent of total billed charges		174.48				percent of total billed charges		631.47				other	OPPS APC	171.07	631.47	
BASKET 2.4FR ZERO TIP	SUP-70-00243	CDM			272	RC		inpatient			631.47	631.47																																																			
SCREW BONE TITANIUM LOW PROFILE L4 MM OD1.6 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL SELF DRILL SELF RETAINING HIGH STRENGTH CRUCIFORM	SUP-400.834	CDM	270010014	LOCAL	270	RC		outpatient			630.98	63.98	170.93				percent of total billed charges		630.98				other	OPPS APC	466.93				percent of total billed charges		630.98				other	OPPS APC	630.98				other	OPPS APC	170.93				percent of total billed charges		174.34				percent of total billed charges		63.98				other	OPPS APC	63.98	630.98	
SCREW BONE TITANIUM LOW PROFILE L4 MM OD1.6 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL SELF DRILL SELF RETAINING HIGH STRENGTH CRUCIFORM	SUP-400.834	CDM	270010014	LOCAL	270	RC		inpatient			630.98	630.98																																																			
SCREW BONE TITANIUM LOW PROFILE L5 MM OD1.6 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL SELF DRILL SELF RETAINING HIGH STRENGTH CRUCIFORM	SUP-400.835	CDM	270010014	LOCAL	270	RC		outpatient			630.98	63.98	170.93				percent of total billed charges		630.98				other	OPPS APC	466.93				percent of total billed charges		630.98				other	OPPS APC	630.98				other	OPPS APC	170.93				percent of total billed charges		174.34				percent of total billed charges		63.98				other	OPPS APC	63.98	630.98	
SCREW BONE TITANIUM LOW PROFILE L5 MM OD1.6 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL SELF DRILL SELF RETAINING HIGH STRENGTH CRUCIFORM	SUP-400.835	CDM	270010014	LOCAL	270	RC		inpatient			630.98	630.98																																																			
SCREW BONE TITANIUM L4 MM OD1.9 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL LOW PROFILE SELF TAP SELF RETAINING CRUCIFORM NEURO PLATE SYSTEM	SUP-400.854	CDM	270010014	LOCAL	270	RC		outpatient			630.98	63.98	170.93				percent of total billed charges		630.98				other	OPPS APC	466.93				percent of total billed charges		630.98				other	OPPS APC	630.98				other	OPPS APC	170.93				percent of total billed charges		174.34				percent of total billed charges		63.98				other	OPPS APC	63.98	630.98	
SCREW BONE TITANIUM L4 MM OD1.9 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL LOW PROFILE SELF TAP SELF RETAINING CRUCIFORM NEURO PLATE SYSTEM	SUP-400.854	CDM	270010014	LOCAL	270	RC		inpatient			630.98	630.98																																																			
SCREW BONE TITANIUM LOW PROFILE L5 MM OD1.9 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL EMERGENCY SELF TAP SELF RETAINING CRUCIFORM NONSTERILE	SUP-400.855	CDM	270010013	LOCAL	270	RC		outpatient			630.98	63.98	170.93				percent of total billed charges		630.98				other	OPPS APC	466.93				percent of total billed charges		630.98				other	OPPS APC	630.98				other	OPPS APC	170.93				percent of total billed charges		174.34				percent of total billed charges		63.98				other	OPPS APC	63.98	630.98	
SCREW BONE TITANIUM LOW PROFILE L5 MM OD1.9 MM ODSEC2.9 MM CRANIOMAXILLOFACIAL EMERGENCY SELF TAP SELF RETAINING CRUCIFORM NONSTERILE	SUP-400.855	CDM	270010013	LOCAL	270	RC		inpatient			630.98	630.98																																																			
KIRSCHNER WIRE W/15MM	SUP-95-04070	CDM			278	RC		outpatient			630.28	63.28	630.28				fee schedule		630.28				other	OPPS APC	359.26				percent of total billed charges		630.28				other	OPPS APC	630.28				other	OPPS APC	308.84				percent of total billed charges		321.44				percent of total billed charges		63.28				other	OPPS APC	63.28	630.28	
KIRSCHNER WIRE W/15MM	SUP-95-04070	CDM			278	RC		inpatient			630.28	630.28																																																			
BURR SURGICAL ANKLE	SUP-00-4501-076-00	CDM			270	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BURR SURGICAL ANKLE	SUP-00-4501-076-00	CDM			270	RC		inpatient			630	630																																																			
CATHETER BALLOON DILATATION COYOTE ULTRA LOW PROFILE TAPER 150CM 220MM 6FR 4MM NYBAX	SUP-39186-40221	CDM			270	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
CATHETER BALLOON DILATATION COYOTE ULTRA LOW PROFILE TAPER 150CM 220MM 6FR 4MM NYBAX	SUP-39186-40221	CDM			270	RC		inpatient			630	630																																																			
Y ADAPTER BOX	SUP-70-00233	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
Y ADAPTER BOX	SUP-70-00233	CDM			272	RC		inpatient			630	630																																																			
RELOAD ENDOWRIST 45 GREEN DAVINCI	SUP-95-04911	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
RELOAD ENDOWRIST 45 GREEN DAVINCI	SUP-95-04911	CDM			272	RC		inpatient			630	630																																																			
RELOAD ENDOWRIST 45 WHITE DAVINCI	SUP-95-04912	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
RELOAD ENDOWRIST 45 WHITE DAVINCI	SUP-95-04912	CDM			272	RC		inpatient			630	630																																																			
OBTURATOR BLADELESS 8MM LONG	SUP-95-05036	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
OBTURATOR BLADELESS 8MM LONG	SUP-95-05036	CDM			272	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 20MM	SUP-97-00001	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 20MM	SUP-97-00001	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 22MM	SUP-97-00002	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 22MM	SUP-97-00002	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 24 MM	SUP-97-00003	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 24 MM	SUP-97-00003	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 26MM	SUP-97-00004	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 26MM	SUP-97-00004	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 28MM	SUP-97-00005	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 28MM	SUP-97-00005	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 30MM	SUP-97-00006	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 30MM	SUP-97-00006	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 32MM	SUP-97-00007	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 32MM	SUP-97-00007	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 34MM	SUP-97-00008	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 34MM	SUP-97-00008	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 36MM	SUP-97-00009	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 36MM	SUP-97-00009	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 40MM	SUP-97-00010	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 40MM	SUP-97-00010	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 38MM	SUP-97-00011	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 38MM	SUP-97-00011	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 44MM	SUP-97-00027	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 44MM	SUP-97-00027	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 42MM	SUP-97-00028	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 42MM	SUP-97-00028	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 40MM	SUP-97-00029	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 40MM	SUP-97-00029	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 38MM	SUP-97-00030	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 38MM	SUP-97-00030	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 36MM	SUP-97-00031	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 36MM	SUP-97-00031	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 34MM	SUP-97-00032	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 34MM	SUP-97-00032	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 32MM	SUP-97-00033	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 32MM	SUP-97-00033	CDM			278	RC		inpatient			630	630																																																			
SCREW LAG CORTICAL 4.5MM 30MM	SUP-97-00034	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LAG CORTICAL 4.5MM 30MM	SUP-97-00034	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 70MM	SUP-97-00035	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 70MM	SUP-97-00035	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 65MM	SUP-97-00036	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 65MM	SUP-97-00036	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 60MM	SUP-97-00037	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 60MM	SUP-97-00037	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 55MM	SUP-97-00038	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 55MM	SUP-97-00038	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 50MM	SUP-97-00039	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 50MM	SUP-97-00039	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 48MM	SUP-97-00040	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 48MM	SUP-97-00040	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 46MM	SUP-97-00041	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 46MM	SUP-97-00041	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 44MM	SUP-97-00042	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 44MM	SUP-97-00042	CDM			278	RC		inpatient			630	630																																																			
SCREW BONE CORTICAL 4.5MM 42MM	SUP-97-00043	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW BONE CORTICAL 4.5MM 42MM	SUP-97-00043	CDM			278	RC		inpatient			630	630																																																			
SCREW 3.5 X 18MM LOCKING GORILLA R3CON	SUP-97-02382	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW 3.5 X 18MM LOCKING GORILLA R3CON	SUP-97-02382	CDM			278	RC		inpatient			630	630																																																			
LOCKING SCREW 3.5X14	SUP-97-02853	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
LOCKING SCREW 3.5X14	SUP-97-02853	CDM			278	RC		inpatient			630	630																																																			
SCREW 3.5 X 12MM LOCKING R3CON	SUP-97-02854	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW 3.5 X 12MM LOCKING R3CON	SUP-97-02854	CDM			278	RC		inpatient			630	630																																																			
LOCKING SCREW 3.5X20	SUP-97-02889	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
LOCKING SCREW 3.5X20	SUP-97-02889	CDM			278	RC		inpatient			630	630																																																			
SCREW LOCKING 2.7X14	SUP-97-03412	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LOCKING 2.7X14	SUP-97-03412	CDM			278	RC		inpatient			630	630																																																			
LOCKING SCREW 3.5X24	SUP-97-03959	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
LOCKING SCREW 3.5X24	SUP-97-03959	CDM			278	RC		inpatient			630	630																																																			
LOCKING PLATE SCREW  2.7 X 12MM	SUP-97-05587	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
LOCKING PLATE SCREW  2.7 X 12MM	SUP-97-05587	CDM			278	RC		inpatient			630	630																																																			
LOCKING PLATE SCREW  2.7 X 15MM	SUP-97-05588	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
LOCKING PLATE SCREW  2.7 X 15MM	SUP-97-05588	CDM			278	RC		inpatient			630	630																																																			
SCREW 2.7 X 12MM R3CON LOCKING	SUP-97-05713	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW 2.7 X 12MM R3CON LOCKING	SUP-97-05713	CDM			278	RC		inpatient			630	630																																																			
SCREW LOCING R3CON 4.2 X 28MM	SUP-97-06148	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW LOCING R3CON 4.2 X 28MM	SUP-97-06148	CDM			278	RC		inpatient			630	630																																																			
SCREW 3.5 X 28MM R3CON LOCKING	SUP-97-06171	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW 3.5 X 28MM R3CON LOCKING	SUP-97-06171	CDM			278	RC		inpatient			630	630																																																			
SCREW 3.5 X 36MM R3CON LOCKING	SUP-97-06172	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW 3.5 X 36MM R3CON LOCKING	SUP-97-06172	CDM			278	RC		inpatient			630	630																																																			
SCREW 2.7 X 13MM LOCKING	SUP-97-06194	CDM			278	RC		outpatient			630	63	630				fee schedule		630				other	OPPS APC	359.1				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	308.7				percent of total billed charges		321.3				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW 2.7 X 13MM LOCKING	SUP-97-06194	CDM			278	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 6X40X75	SUP-99-01265	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 6X40X75	SUP-99-01265	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 5X40X75	SUP-99-01266	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 5X40X75	SUP-99-01266	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X40X75	SUP-99-01267	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X40X75	SUP-99-01267	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 8X20X75	SUP-99-01268	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 8X20X75	SUP-99-01268	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 5X100X135	SUP-99-01285	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 5X100X135	SUP-99-01285	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 9X40X75	SUP-99-01314	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 9X40X75	SUP-99-01314	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X20X75	SUP-99-01356	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X20X75	SUP-99-01356	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 4X100X135	SUP-99-01365	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 4X100X135	SUP-99-01365	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 6X60X75	SUP-99-01385	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 6X60X75	SUP-99-01385	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 5X40X135	SUP-99-01417	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 5X40X135	SUP-99-01417	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 6X60X135	SUP-99-01422	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 6X60X135	SUP-99-01422	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X60X75	SUP-99-01439	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X60X75	SUP-99-01439	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 4X60X135	SUP-99-01468	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 4X60X135	SUP-99-01468	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X100X135	SUP-99-01482	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X100X135	SUP-99-01482	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X20X135	SUP-99-01499	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X20X135	SUP-99-01499	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 6X20X135	SUP-99-01519	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 6X20X135	SUP-99-01519	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X60X135	SUP-99-01548	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X60X135	SUP-99-01548	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 5X40X40	SUP-99-01723	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 5X40X40	SUP-99-01723	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 8X80X40	SUP-99-01732	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 8X80X40	SUP-99-01732	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 8X40X40	SUP-99-01743	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 8X40X40	SUP-99-01743	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 7X80X40	SUP-99-01771	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 7X80X40	SUP-99-01771	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 4X20X135	SUP-99-01842	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 4X20X135	SUP-99-01842	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 5X80X75	SUP-99-02094	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 5X80X75	SUP-99-02094	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 5X80X40	SUP-99-02131	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 5X80X40	SUP-99-02131	CDM			272	RC		inpatient			630	630																																																			
GUIDEWIRE - GLIDEWIRE ADVANTAGE .035X260 ANGLED	SUP-99-02211	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
GUIDEWIRE - GLIDEWIRE ADVANTAGE .035X260 ANGLED	SUP-99-02211	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 2.5 X 12	SUP-99-02221	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 2.5 X 12	SUP-99-02221	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 3.0X12	SUP-99-02222	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 3.0X12	SUP-99-02222	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 2.0X10	SUP-99-02294	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 2.0X10	SUP-99-02294	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 1.5 X 15	SUP-99-03009	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 1.5 X 15	SUP-99-03009	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 3.25X15	SUP-99-03013	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 3.25X15	SUP-99-03013	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 2.5X20	SUP-99-03014	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 2.5X20	SUP-99-03014	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 12X60X75	SUP-99-03118	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 12X60X75	SUP-99-03118	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 2.0X20	SUP-99-03134	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 2.0X20	SUP-99-03134	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 3.5X20	SUP-99-03137	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 3.5X20	SUP-99-03137	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 2.5X12	SUP-99-03159	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 2.5X12	SUP-99-03159	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 3.0X8	SUP-99-03160	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 3.0X8	SUP-99-03160	CDM			272	RC		inpatient			630	630																																																			
BALLOON - MUSTANG OTW 12X60X135	SUP-99-03182	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - MUSTANG OTW 12X60X135	SUP-99-03182	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 3.75X8	SUP-99-03226	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 3.75X8	SUP-99-03226	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 3.0X10	SUP-99-03266	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 3.0X10	SUP-99-03266	CDM			272	RC		inpatient			630	630																																																			
BALLOON - EUPHORA 1.5 X 10	SUP-99-03267	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - EUPHORA 1.5 X 10	SUP-99-03267	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 2.0X8	SUP-99-03280	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 2.0X8	SUP-99-03280	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 4.0X27	SUP-99-03309	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 4.0X27	SUP-99-03309	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 2.25X12	SUP-99-03315	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 2.25X12	SUP-99-03315	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 2.75X6	SUP-99-03316	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 2.75X6	SUP-99-03316	CDM			272	RC		inpatient			630	630																																																			
BALLOON - NC EUPHORA 5.0X12	SUP-99-03366	CDM			272	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
BALLOON - NC EUPHORA 5.0X12	SUP-99-03366	CDM			272	RC		inpatient			630	630																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L23 MM OD8 MM ACL STERILE	SUP-AR-1580BC	CDM			270	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L23 MM OD8 MM ACL STERILE	SUP-AR-1580BC	CDM			270	RC		inpatient			630	630																																																			
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L23 MM OD9 MM ACL STERILE	SUP-AR-1590BC	CDM			270	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
SCREW INTERFERENCE TENODESIS BIOCOMPOSITE L23 MM OD9 MM ACL STERILE	SUP-AR-1590BC	CDM			270	RC		inpatient			630	630																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L220 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186402210	CDM			270	RC		outpatient			630	63	170.67				percent of total billed charges		630				other	OPPS APC	466.2				percent of total billed charges		630				other	OPPS APC	630				other	OPPS APC	170.67				percent of total billed charges		174.07				percent of total billed charges		63				other	OPPS APC	63	630	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L220 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186402210	CDM			270	RC		inpatient			630	630																																																			
BASKET SEGURA 4 WIRE  O TIP 4.5FR. 90CM	SUP-70-00237	CDM			272	RC		outpatient			629.83	629.83	170.62				percent of total billed charges		629.83				other	OPPS APC	466.07				percent of total billed charges		629.83				other	OPPS APC	629.83				other	OPPS APC	170.62				percent of total billed charges		174.02				percent of total billed charges		629.83				other	OPPS APC	170.62	629.83	
BASKET SEGURA 4 WIRE  O TIP 4.5FR. 90CM	SUP-70-00237	CDM			272	RC		inpatient			629.83	629.83																																																			
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L67 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.151	CDM	270010022	LOCAL	270	RC		outpatient			629.54	629.54	170.54				percent of total billed charges		629.54				other	OPPS APC	465.86				percent of total billed charges		629.54				other	OPPS APC	629.54				other	OPPS APC	170.54				percent of total billed charges		173.94				percent of total billed charges		629.54				other	OPPS APC	170.54	629.54	
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L67 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.151	CDM	270010022	LOCAL	270	RC		inpatient			629.54	629.54																																																			
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L50 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.131	CDM	270010022	LOCAL	270	RC		outpatient			629.2	629.25	170.45				percent of total billed charges		629.2				other	OPPS APC	465.61				percent of total billed charges		629.2				other	OPPS APC	629.2				other	OPPS APC	170.45				percent of total billed charges		173.85				percent of total billed charges		629.25				other	OPPS APC	170.45	629.25	
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L50 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.131	CDM	270010022	LOCAL	270	RC		inpatient			629.2	629.2																																																			
SCREW BONE UNI-CP STAINLESS STEEL L34 MM OD3.5 MM FOOT LOCKING REPLACEMENT STERILE	SUP-286 334 SND	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
SCREW BONE UNI-CP STAINLESS STEEL L34 MM OD3.5 MM FOOT LOCKING REPLACEMENT STERILE	SUP-286 334 SND	CDM			270	RC		inpatient			629	629																																																			
IMPLANT SCREW INTEGRA  3.5MM X14MM	SUP-286314	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
IMPLANT SCREW INTEGRA  3.5MM X14MM	SUP-286314	CDM			270	RC		inpatient			629	629																																																			
IMPLANT SCREW INTEGRA  3.5MM X18MM	SUP-286318	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
IMPLANT SCREW INTEGRA  3.5MM X18MM	SUP-286318	CDM			270	RC		inpatient			629	629																																																			
SCREW INTEGRA  3.5MM X 20MM	SUP-286320	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
SCREW INTEGRA  3.5MM X 20MM	SUP-286320	CDM			270	RC		inpatient			629	629																																																			
SCREW INTEGRA  3.5MM X 22MM	SUP-286322	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
SCREW INTEGRA  3.5MM X 22MM	SUP-286322	CDM			270	RC		inpatient			629	629																																																			
IMPLANT SCREW INTEGRA  3.5MM X24MM	SUP-286324	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
IMPLANT SCREW INTEGRA  3.5MM X24MM	SUP-286324	CDM			270	RC		inpatient			629	629																																																			
IMPLANT SCREW INTEGRA  3.5MM X26MM	SUP-286326	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
IMPLANT SCREW INTEGRA  3.5MM X26MM	SUP-286326	CDM			270	RC		inpatient			629	629																																																			
IMPLANT SCREW INTEGRA  3.5MM X28MM	SUP-286328	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
IMPLANT SCREW INTEGRA  3.5MM X28MM	SUP-286328	CDM			270	RC		inpatient			629	629																																																			
IMPLANT SCREW INTEGRA  3.5MM X30MM	SUP-286330	CDM			270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
IMPLANT SCREW INTEGRA  3.5MM X30MM	SUP-286330	CDM			270	RC		inpatient			629	629																																																			
SET DALL-MILES CABLE & SLEEVE USE 17984	SUP-6704-0-420	CDM	270010024	LOCAL	270	RC		outpatient			629	629	170.4				percent of total billed charges		629				other	OPPS APC	465.46				percent of total billed charges		629				other	OPPS APC	629				other	OPPS APC	170.4				percent of total billed charges		173.79				percent of total billed charges		629				other	OPPS APC	170.4	629	
SET DALL-MILES CABLE & SLEEVE USE 17984	SUP-6704-0-420	CDM	270010024	LOCAL	270	RC		inpatient			629	629																																																			
ENDOBUTTON 20MM	SUP-72200147	CDM			270	RC		outpatient			628	628	170.13				percent of total billed charges		628				other	OPPS APC	464.72				percent of total billed charges		628				other	OPPS APC	628				other	OPPS APC	170.13				percent of total billed charges		173.52				percent of total billed charges		628				other	OPPS APC	170.13	628	
ENDOBUTTON 20MM	SUP-72200147	CDM			270	RC		inpatient			628	628																																																			
ENDOBUTTON 40MM	SUP-72200151	CDM			270	RC		outpatient			628	628	170.13				percent of total billed charges		628				other	OPPS APC	464.72				percent of total billed charges		628				other	OPPS APC	628				other	OPPS APC	170.13				percent of total billed charges		173.52				percent of total billed charges		628				other	OPPS APC	170.13	628	
ENDOBUTTON 40MM	SUP-72200151	CDM			270	RC		inpatient			628	628																																																			
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD6 MM DISPOSABLE ML	SUP-874-456	CDM	270010020	LOCAL	270	RC		outpatient			628	628	170.13				percent of total billed charges		628				other	OPPS APC	464.72				percent of total billed charges		628				other	OPPS APC	628				other	OPPS APC	170.13				percent of total billed charges		173.52				percent of total billed charges		628				other	OPPS APC	170.13	628	
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD6 MM DISPOSABLE ML	SUP-874-456	CDM	270010020	LOCAL	270	RC		inpatient			628	628																																																			
ROD REAMING 2.5 X 850MM	SUP-97-00360	CDM			272	RC		outpatient			627.8	627.8	170.07				percent of total billed charges		627.8				other	OPPS APC	464.57				percent of total billed charges		627.8				other	OPPS APC	627.8				other	OPPS APC	170.07				percent of total billed charges		173.46				percent of total billed charges		627.8				other	OPPS APC	170.07	627.8	
ROD REAMING 2.5 X 850MM	SUP-97-00360	CDM			272	RC		inpatient			627.8	627.8																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX36MM	SUP-97-03912	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX36MM	SUP-97-03912	CDM			278	RC		inpatient			627.69	627.69																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX40MM	SUP-97-03913	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX40MM	SUP-97-03913	CDM			278	RC		inpatient			627.69	627.69																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX42MM	SUP-97-03914	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX42MM	SUP-97-03914	CDM			278	RC		inpatient			627.69	627.69																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX55MM	SUP-97-03915	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX55MM	SUP-97-03915	CDM			278	RC		inpatient			627.69	627.69																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX65MM	SUP-97-03916	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX65MM	SUP-97-03916	CDM			278	RC		inpatient			627.69	627.69																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX70MM	SUP-97-03917	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX70MM	SUP-97-03917	CDM			278	RC		inpatient			627.69	627.69																																																			
SCREW LOCKING ANGLE VARIBLE 5.0MMX80MM	SUP-97-03918	CDM			278	RC		outpatient			627.69	627.7	627.69				fee schedule		627.69				other	OPPS APC	357.78				percent of total billed charges		627.69				other	OPPS APC	627.69				other	OPPS APC	307.57				percent of total billed charges		320.12				percent of total billed charges		627.7				other	OPPS APC	307.57	627.7	
SCREW LOCKING ANGLE VARIBLE 5.0MMX80MM	SUP-97-03918	CDM			278	RC		inpatient			627.69	627.69																																																			
HC Jak2 V617f Mutation	PX-300812700	CDM	81270	CPT	310	RC		outpatient			627	91.66	627				fee schedule		91.66				fee schedule		108.55				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66	627	
HC Jak2 V617f Mutation	PX-300812700	CDM	81270	CPT	310	RC		inpatient			627	627																																																			
HC Myeloproliferative Neoplasm Jak2 V617f W Reflex	PX-300812702	CDM	81270	CPT	300	RC		outpatient			627	91.66	627				fee schedule		91.66				fee schedule		108.55				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66				fee schedule		91.66	627	
HC Myeloproliferative Neoplasm Jak2 V617f W Reflex	PX-300812702	CDM	81270	CPT	300	RC		inpatient			627	627																																																			
SCREW CORTEX PROFILE LOW 2.4X16MM	SUP-97-01747	CDM			278	RC		outpatient			626.5	626.5	626.5				fee schedule		626.5				other	OPPS APC	357.11				percent of total billed charges		626.5				other	OPPS APC	626.5				other	OPPS APC	306.99				percent of total billed charges		319.52				percent of total billed charges		626.5				other	OPPS APC	306.99	626.5	
SCREW CORTEX PROFILE LOW 2.4X16MM	SUP-97-01747	CDM			278	RC		inpatient			626.5	626.5																																																			
SCREW LOCKING PROFILE LOW 2.4X12MM	SUP-97-02255	CDM			278	RC		outpatient			626.5	626.5	626.5				fee schedule		626.5				other	OPPS APC	357.11				percent of total billed charges		626.5				other	OPPS APC	626.5				other	OPPS APC	306.99				percent of total billed charges		319.52				percent of total billed charges		626.5				other	OPPS APC	306.99	626.5	
SCREW LOCKING PROFILE LOW 2.4X12MM	SUP-97-02255	CDM			278	RC		inpatient			626.5	626.5																																																			
SCREW LOCKING PROFILE LOW 2.4X14MM	SUP-97-02256	CDM			278	RC		outpatient			626.5	626.5	626.5				fee schedule		626.5				other	OPPS APC	357.11				percent of total billed charges		626.5				other	OPPS APC	626.5				other	OPPS APC	306.99				percent of total billed charges		319.52				percent of total billed charges		626.5				other	OPPS APC	306.99	626.5	
SCREW LOCKING PROFILE LOW 2.4X14MM	SUP-97-02256	CDM			278	RC		inpatient			626.5	626.5																																																			
RELTOK CLEAR-FLO NASAL AIRWAY & NASAL SPLINTS	SUP-97-06232	CDM			278	RC		outpatient			626.5	626.5	626.5				fee schedule		626.5				other	OPPS APC	357.11				percent of total billed charges		626.5				other	OPPS APC	626.5				other	OPPS APC	306.99				percent of total billed charges		319.52				percent of total billed charges		626.5				other	OPPS APC	306.99	626.5	
RELTOK CLEAR-FLO NASAL AIRWAY & NASAL SPLINTS	SUP-97-06232	CDM			278	RC		inpatient			626.5	626.5																																																			
PLUG SPINAL SOLITAIRE LOCK	SUP-2000-1005	CDM	270010020	LOCAL	270	RC		outpatient			626.4	626.4	169.69				percent of total billed charges		626.4				other	OPPS APC	463.54				percent of total billed charges		626.4				other	OPPS APC	626.4				other	OPPS APC	169.69				percent of total billed charges		173.07				percent of total billed charges		626.4				other	OPPS APC	169.69	626.4	
PLUG SPINAL SOLITAIRE LOCK	SUP-2000-1005	CDM	270010020	LOCAL	270	RC		inpatient			626.4	626.4																																																			
CATHETER BALLOON DILATATION CRE L5.5 CM L6-7-8 MM ODSEC18-21-24 FR BILIARY MULTILUMEN RADIOPAQUE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00558860	CDM			270	RC		outpatient			625.4	625.4	169.42				percent of total billed charges		625.4				other	OPPS APC	462.8				percent of total billed charges		625.4				other	OPPS APC	625.4				other	OPPS APC	169.42				percent of total billed charges		172.8				percent of total billed charges		625.4				other	OPPS APC	169.42	625.4	
CATHETER BALLOON DILATATION CRE L5.5 CM L6-7-8 MM ODSEC18-21-24 FR BILIARY MULTILUMEN RADIOPAQUE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00558860	CDM			270	RC		inpatient			625.4	625.4																																																			
CATHETER BALLOON DILATATION CRE PEBAX ADULT L5.5 CM OD8-9-10 MM RAPID EXCHANGE RADIOPAGUE	SUP-M00558870	CDM			270	RC		outpatient			625.4	625.4	169.42				percent of total billed charges		625.4				other	OPPS APC	462.8				percent of total billed charges		625.4				other	OPPS APC	625.4				other	OPPS APC	169.42				percent of total billed charges		172.8				percent of total billed charges		625.4				other	OPPS APC	169.42	625.4	
CATHETER BALLOON DILATATION CRE PEBAX ADULT L5.5 CM OD8-9-10 MM RAPID EXCHANGE RADIOPAGUE	SUP-M00558870	CDM			270	RC		inpatient			625.4	625.4																																																			
CATHETER BALLOON DILATATION CRE RX L5.5 CM ODSEC10-11-12 MM BILIARY MULTILUMEN RADIOPAQUE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00558880	CDM			270	RC		outpatient			625.4	625.4	169.42				percent of total billed charges		625.4				other	OPPS APC	462.8				percent of total billed charges		625.4				other	OPPS APC	625.4				other	OPPS APC	169.42				percent of total billed charges		172.8				percent of total billed charges		625.4				other	OPPS APC	169.42	625.4	
CATHETER BALLOON DILATATION CRE RX L5.5 CM ODSEC10-11-12 MM BILIARY MULTILUMEN RADIOPAQUE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00558880	CDM			270	RC		inpatient			625.4	625.4																																																			
CATHETER BALLOON DILATATION CRE RX L5.5 CM ODSEC12-13.5-15 MM BILIARY MULTILUMEN RADIOPAQUE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00558890	CDM			270	RC		outpatient			625.4	625.4	169.42				percent of total billed charges		625.4				other	OPPS APC	462.8				percent of total billed charges		625.4				other	OPPS APC	625.4				other	OPPS APC	169.42				percent of total billed charges		172.8				percent of total billed charges		625.4				other	OPPS APC	169.42	625.4	
CATHETER BALLOON DILATATION CRE RX L5.5 CM ODSEC12-13.5-15 MM BILIARY MULTILUMEN RADIOPAQUE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00558890	CDM			270	RC		inpatient			625.4	625.4																																																			
CATHETER BALLOON DILATATION CRE PEBAX ADULT 3.7 MM L180 CM L5.5 CM ODSEC15/16.5/18 MM BILIARY RAPID EXCHANGE RADIOPAQUE ROUND BALLOON SHOULDER	SUP-M00558900	CDM			270	RC		outpatient			625.4	625.4	169.42				percent of total billed charges		625.4				other	OPPS APC	462.8				percent of total billed charges		625.4				other	OPPS APC	625.4				other	OPPS APC	169.42				percent of total billed charges		172.8				percent of total billed charges		625.4				other	OPPS APC	169.42	625.4	
CATHETER BALLOON DILATATION CRE PEBAX ADULT 3.7 MM L180 CM L5.5 CM ODSEC15/16.5/18 MM BILIARY RAPID EXCHANGE RADIOPAQUE ROUND BALLOON SHOULDER	SUP-M00558900	CDM			270	RC		inpatient			625.4	625.4																																																			
CATHETER BALLOON DILATATION CRE PEBAX ADULT 3.7 MM L180 CM L5.5 CM ODSEC18/19/20 MM BILIARY RAPID EXCHANGE RADIOPAQUE ROUND BALLOON SHOULDER	SUP-M00558910	CDM			270	RC		outpatient			625.4	625.4	169.42				percent of total billed charges		625.4				other	OPPS APC	462.8				percent of total billed charges		625.4				other	OPPS APC	625.4				other	OPPS APC	169.42				percent of total billed charges		172.8				percent of total billed charges		625.4				other	OPPS APC	169.42	625.4	
CATHETER BALLOON DILATATION CRE PEBAX ADULT 3.7 MM L180 CM L5.5 CM ODSEC18/19/20 MM BILIARY RAPID EXCHANGE RADIOPAQUE ROUND BALLOON SHOULDER	SUP-M00558910	CDM			270	RC		inpatient			625.4	625.4																																																			
Newborn Level 1 Norm Ft/Preterm Neo	PX-171924271	CDM	92586	CPT	171	RC		inpatient			625	625																																																			
PLATE 124X11X3.4MM SS 3.5MM SCREW SM FRAGMENT SET 9 HOLE LCP BONE NS	SUP-223.591	CDM	270010022	LOCAL	270	RC		outpatient			624.68	624.68	169.23				percent of total billed charges		624.68				other	OPPS APC	462.26				percent of total billed charges		624.68				other	OPPS APC	624.68				other	OPPS APC	169.23				percent of total billed charges		172.6				percent of total billed charges		624.68				other	OPPS APC	169.23	624.68	
PLATE 124X11X3.4MM SS 3.5MM SCREW SM FRAGMENT SET 9 HOLE LCP BONE NS	SUP-223.591	CDM	270010022	LOCAL	270	RC		inpatient			624.68	624.68																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 30MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.83	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 30MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.83	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 30MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.830	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 30MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.830	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE STAINLESS STEEL L40 MM L16 MM OD7.3 MM FEMUR CANNULATED NONSTERILE	SUP-208.84	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE STAINLESS STEEL L40 MM L16 MM OD7.3 MM FEMUR CANNULATED NONSTERILE	SUP-208.84	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 40MM 16MM SS FEMUR CANNULATED NS	SUP-208.840	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 40MM 16MM SS FEMUR CANNULATED NS	SUP-208.840	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 120MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.920	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 120MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.920	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 130MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.93	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 130MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.93	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 130MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.930	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 130MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.930	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE STAINLESS STEEL L50 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.85	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE STAINLESS STEEL L50 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.85	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L60 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.86	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L60 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.86	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 8.2MM 60MM 32MM SS PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.860	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 8.2MM 60MM 32MM SS PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.860	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 140MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.94	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 140MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.94	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 4MM 140MM 32MM SS HEXAGON LG BONE CANNULATED SELF DRILL SELF TAP LG	SUP-209.940	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 4MM 140MM 32MM SS HEXAGON LG BONE CANNULATED SELF DRILL SELF TAP LG	SUP-209.940	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 150MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.95	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 150MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.95	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SCREW BONE 7.3MM 4MM 150MM 32MM SS HEXAGON LG BONE CANNULATED SELF DRILL SELF TAP LG	SUP-209.950	CDM	270010022	LOCAL	270	RC		outpatient			624.6	624.62	169.2				percent of total billed charges		624.6				other	OPPS APC	462.2				percent of total billed charges		624.6				other	OPPS APC	624.6				other	OPPS APC	169.2				percent of total billed charges		172.58				percent of total billed charges		624.62				other	OPPS APC	169.2	624.62	
SCREW BONE 7.3MM 4MM 150MM 32MM SS HEXAGON LG BONE CANNULATED SELF DRILL SELF TAP LG	SUP-209.950	CDM	270010022	LOCAL	270	RC		inpatient			624.6	624.6																																																			
SYSTEM DRAINAGE LIMITORR VOLUME LIMITING CSF	SUP-INS9020	CDM			270	RC		outpatient			624.04	624.4	169.05				percent of total billed charges		624.04				other	OPPS APC	461.79				percent of total billed charges		624.04				other	OPPS APC	624.04				other	OPPS APC	169.05				percent of total billed charges		172.42				percent of total billed charges		624.4				other	OPPS APC	169.05	624.4	
SYSTEM DRAINAGE LIMITORR VOLUME LIMITING CSF	SUP-INS9020	CDM			270	RC		inpatient			624.04	624.04																																																			
Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 2.5 Cm or Less	PX-450120311	CDM	12031	CPT	450	RC		outpatient			624	624	195.77				case rate		624				other	OPPS APC	461.76				percent of total billed charges		624				other	OPPS APC	624				other	OPPS APC	195.77				case rate		199.69				case rate		624				other	OPPS APC	195.77	624	
Repair Simple Face/Ears/Eyelids/Nose/Lips/Mouth 2.5 Cm or Less	PX-450120311	CDM	12031	CPT	450	RC		inpatient			624	624																																																			
SCREW 3.5 X 70MM LOCKING VA	SUP-97-05933	CDM			278	RC		outpatient			623.35	623.35	623.35				fee schedule		623.35				other	OPPS APC	355.31				percent of total billed charges		623.35				other	OPPS APC	623.35				other	OPPS APC	305.44				percent of total billed charges		317.91				percent of total billed charges		623.35				other	OPPS APC	305.44	623.35	
SCREW 3.5 X 70MM LOCKING VA	SUP-97-05933	CDM			278	RC		inpatient			623.35	623.35																																																			
SCREW 3.5 X 60MM  LOCKING VARIABLE ANGLE	SUP-97-06175	CDM			278	RC		outpatient			623.35	623.35	623.35				fee schedule		623.35				other	OPPS APC	355.31				percent of total billed charges		623.35				other	OPPS APC	623.35				other	OPPS APC	305.44				percent of total billed charges		317.91				percent of total billed charges		623.35				other	OPPS APC	305.44	623.35	
SCREW 3.5 X 60MM  LOCKING VARIABLE ANGLE	SUP-97-06175	CDM			278	RC		inpatient			623.35	623.35																																																			
HC Incise External Hemorrhoid	PX-450460831	CDM	46083	CPT	450	RC		outpatient			623	623	195.77				case rate		623				other	OPPS APC	461.02				percent of total billed charges		623				other	OPPS APC	623				other	OPPS APC	195.77				case rate		199.69				case rate		623				other	OPPS APC	195.77	623	
HC Incise External Hemorrhoid	PX-450460831	CDM	46083	CPT	450	RC		inpatient			623	623																																																			
CLAMP EXTERNAL FIXATION LG NS 4 POSITION PIN MR CONDITIONAL	SUP-390.009	CDM	270010022	LOCAL	270	RC		outpatient			623	623	168.77				percent of total billed charges		623				other	OPPS APC	461.02				percent of total billed charges		623				other	OPPS APC	623				other	OPPS APC	168.77				percent of total billed charges		172.13				percent of total billed charges		623				other	OPPS APC	168.77	623	
CLAMP EXTERNAL FIXATION LG NS 4 POSITION PIN MR CONDITIONAL	SUP-390.009	CDM	270010022	LOCAL	270	RC		inpatient			623	623																																																			
DRILL BIT 2.0 X 150MM	SUP-95-05146	CDM			272	RC		outpatient			623	623	168.77				percent of total billed charges		623				other	OPPS APC	461.02				percent of total billed charges		623				other	OPPS APC	623				other	OPPS APC	168.77				percent of total billed charges		172.13				percent of total billed charges		623				other	OPPS APC	168.77	623	
DRILL BIT 2.0 X 150MM	SUP-95-05146	CDM			272	RC		inpatient			623	623																																																			
PLATE BONE TITANIUM H.5 MM UPPERFACIAL 6 X 2 HOLE MALLEABLE 3D 1.2 MM SCREW	SUP-5504233	CDM			270	RC		outpatient			622.8	622.8	168.72				percent of total billed charges		622.8				other	OPPS APC	460.87				percent of total billed charges		622.8				other	OPPS APC	622.8				other	OPPS APC	168.72				percent of total billed charges		172.08				percent of total billed charges		622.8				other	OPPS APC	168.72	622.8	
PLATE BONE TITANIUM H.5 MM UPPERFACIAL 6 X 2 HOLE MALLEABLE 3D 1.2 MM SCREW	SUP-5504233	CDM			270	RC		inpatient			622.8	622.8																																																			
NEEDLE TEMNO COAXIAL 18GX15 CTSUP USSUP	SUP-95-01328	CDM			272	RC		outpatient			622.3	622.3	168.58				percent of total billed charges		622.3				other	OPPS APC	460.5				percent of total billed charges		622.3				other	OPPS APC	622.3				other	OPPS APC	168.58				percent of total billed charges		171.94				percent of total billed charges		622.3				other	OPPS APC	168.58	622.3	
NEEDLE TEMNO COAXIAL 18GX15 CTSUP USSUP	SUP-95-01328	CDM			272	RC		inpatient			622.3	622.3																																																			
COMBI TUBE 41FR	SUP-95-00196	CDM			272	RC		outpatient			622.16	622.16	168.54				percent of total billed charges		622.16				other	OPPS APC	460.4				percent of total billed charges		622.16				other	OPPS APC	622.16				other	OPPS APC	168.54				percent of total billed charges		171.9				percent of total billed charges		622.16				other	OPPS APC	168.54	622.16	
COMBI TUBE 41FR	SUP-95-00196	CDM			272	RC		inpatient			622.16	622.16																																																			
HC Pulm Perfusion Particulate	PX-340785800	CDM	78580	CPT	340	RC		outpatient			622	49.37	247.51				fee schedule		409.37				other	OPPS APC	424.89				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	221.21				fee schedule		186.01				fee schedule		49.37				other	OPPS APC	49.37	424.89	
HC Pulm Perfusion Particulate	PX-340785800	CDM	78580	CPT	340	RC		inpatient			622	622																																																			
VARIAX DRILL GUIDE 2.0MM COMPRESSION	SUP-97-04215	CDM			272	RC		outpatient			621.6	621.62	168.39				percent of total billed charges		621.6				other	OPPS APC	459.98				percent of total billed charges		621.6				other	OPPS APC	621.6				other	OPPS APC	168.39				percent of total billed charges		171.75				percent of total billed charges		621.62				other	OPPS APC	168.39	621.62	
VARIAX DRILL GUIDE 2.0MM COMPRESSION	SUP-97-04215	CDM			272	RC		inpatient			621.6	621.6																																																			
NAIL INTRAMEDULLARY TITANIUM L440 MM OD2 MM OLECRANON ELASTIC STERILE GREEN	SUP-475.920S	CDM	270010022	LOCAL	270	RC		outpatient			621.5	621.5	168.36				percent of total billed charges		621.5				other	OPPS APC	459.91				percent of total billed charges		621.5				other	OPPS APC	621.5				other	OPPS APC	168.36				percent of total billed charges		171.72				percent of total billed charges		621.5				other	OPPS APC	168.36	621.5	
NAIL INTRAMEDULLARY TITANIUM L440 MM OD2 MM OLECRANON ELASTIC STERILE GREEN	SUP-475.920S	CDM	270010022	LOCAL	270	RC		inpatient			621.5	621.5																																																			
HC Shoulder Arthrogram	PX-320730400	CDM	73040	CPT	322	RC		outpatient			621	388.42	108.54				fee schedule		388.04				other	OPPS APC	270.67				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	132.32				fee schedule		105.18				fee schedule		388.42				other	OPPS APC	105.18	388.42	
HC Shoulder Arthrogram	PX-320730400	CDM	73040	CPT	322	RC		inpatient			621	621																																																			
HC Elbow Arthrogram	PX-320730850	CDM	73085	CPT	320	RC		outpatient			621	388.42	104.96				fee schedule		388.04				other	OPPS APC	272.35				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	112.25				fee schedule		84.87				fee schedule		388.42				other	OPPS APC	84.87	388.42	
HC Elbow Arthrogram	PX-320730850	CDM	73085	CPT	320	RC		inpatient			621	621																																																			
HC Wrist Arthorgram	PX-320731150	CDM	73115	CPT	320	RC		outpatient			621	621	114.38				fee schedule		621				other	OPPS APC	220.66				fee schedule		621				other	OPPS APC	621				other	OPPS APC	136.33				fee schedule		108.84				fee schedule		621				other	OPPS APC	108.84	621	
HC Wrist Arthorgram	PX-320731150	CDM	73115	CPT	320	RC		inpatient			621	621																																																			
HC Xr Hip Arthrogram	PX-320735250	CDM	73525	CPT	320	RC		outpatient			621	388.42	106.36				fee schedule		388.04				other	OPPS APC	271.4				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	131.31				fee schedule		103.18				fee schedule		388.42				other	OPPS APC	103.18	388.42	
HC Xr Hip Arthrogram	PX-320735250	CDM	73525	CPT	320	RC		inpatient			621	621																																																			
HC Arthrogram Knee	PX-320735800	CDM	73580	CPT	322	RC		outpatient			621	388.42	130.72				fee schedule		388.04				other	OPPS APC	321.18				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	128.25				fee schedule		97.86				fee schedule		388.42				other	OPPS APC	97.86	388.42	
HC Arthrogram Knee	PX-320735800	CDM	73580	CPT	322	RC		inpatient			621	621																																																			
HC Arthrogram Ankle	PX-320736150	CDM	73615	CPT	322	RC		outpatient			621	621	106.36				fee schedule		621				other	OPPS APC	271.4				fee schedule		621				other	OPPS APC	621				other	OPPS APC	130.31				fee schedule		102.85				fee schedule		621				other	OPPS APC	102.85	621	
HC Arthrogram Ankle	PX-320736150	CDM	73615	CPT	322	RC		inpatient			621	621																																																			
KIT SNARE AMPLATZ GOOSENECK 120CM 102CM 15MM 6FR NITINOL CATHETER PREFORM LOOP RADIOPAQUE	SUP-GN1500	CDM			481	RC		outpatient			620.92	62.92	304.25				percent of total billed charges		620.92				other	OPPS APC	459.48				percent of total billed charges		620.92				other	OPPS APC	620.92				other	OPPS APC	304.25				percent of total billed charges		316.67				percent of total billed charges		62.92				other	OPPS APC	62.92	620.92	
KIT SNARE AMPLATZ GOOSENECK 120CM 102CM 15MM 6FR NITINOL CATHETER PREFORM LOOP RADIOPAQUE	SUP-GN1500	CDM			481	RC		inpatient			620.92	620.92																																																			
EV3 AMPLATZ GOOSE NECK SNARE KIT 25MM	SUP-GN2500	CDM			481	RC		outpatient			620.92	62.92	304.25				percent of total billed charges		620.92				other	OPPS APC	459.48				percent of total billed charges		620.92				other	OPPS APC	620.92				other	OPPS APC	304.25				percent of total billed charges		316.67				percent of total billed charges		62.92				other	OPPS APC	62.92	620.92	
EV3 AMPLATZ GOOSE NECK SNARE KIT 25MM	SUP-GN2500	CDM			481	RC		inpatient			620.92	620.92																																																			
KIT SNARE AMPLATZ GOOSENECK NITINOL L120 CM L102 CM OD35 MM ODSEC6 FR CATHETER INTRODUCER TORQUE DEVICE RADIOPAQUE	SUP-GN3500	CDM			481	RC		outpatient			620.92	62.92	304.25				percent of total billed charges		620.92				other	OPPS APC	459.48				percent of total billed charges		620.92				other	OPPS APC	620.92				other	OPPS APC	304.25				percent of total billed charges		316.67				percent of total billed charges		62.92				other	OPPS APC	62.92	620.92	
KIT SNARE AMPLATZ GOOSENECK NITINOL L120 CM L102 CM OD35 MM ODSEC6 FR CATHETER INTRODUCER TORQUE DEVICE RADIOPAQUE	SUP-GN3500	CDM			481	RC		inpatient			620.92	620.92																																																			
DEVICE SUTURING NANOPASS CRESCENT OD1.5 MM ACETABULAR LABRUM MANAGER REACH SMALL FOOTPRINT	SUP-CAT02298	CDM			270	RC		outpatient			620.8	62.8	168.17				percent of total billed charges		620.8				other	OPPS APC	459.39				percent of total billed charges		620.8				other	OPPS APC	620.8				other	OPPS APC	168.17				percent of total billed charges		171.53				percent of total billed charges		62.8				other	OPPS APC	62.8	620.8	
DEVICE SUTURING NANOPASS CRESCENT OD1.5 MM ACETABULAR LABRUM MANAGER REACH SMALL FOOTPRINT	SUP-CAT02298	CDM			270	RC		inpatient			620.8	620.8																																																			
NEEDLE SPROTTE SPINAL 22G X 4 3/4	SUP-95-00647	CDM			272	RC		outpatient			620.76	62.76	168.16				percent of total billed charges		620.76				other	OPPS APC	459.36				percent of total billed charges		620.76				other	OPPS APC	620.76				other	OPPS APC	168.16				percent of total billed charges		171.52				percent of total billed charges		62.76				other	OPPS APC	62.76	620.76	
NEEDLE SPROTTE SPINAL 22G X 4 3/4	SUP-95-00647	CDM			272	RC		inpatient			620.76	620.76																																																			
ROD EXTERNAL FIXATION L270 MM OD3 MM THREAD SELF DRILL NONSTERILE	SUP-325.160	CDM	270010022	LOCAL	270	RC		outpatient			620.4	62.4	168.07				percent of total billed charges		620.4				other	OPPS APC	459.1				percent of total billed charges		620.4				other	OPPS APC	620.4				other	OPPS APC	168.07				percent of total billed charges		171.42				percent of total billed charges		62.4				other	OPPS APC	62.4	620.4	
ROD EXTERNAL FIXATION L270 MM OD3 MM THREAD SELF DRILL NONSTERILE	SUP-325.160	CDM	270010022	LOCAL	270	RC		inpatient			620.4	620.4																																																			
LEAD PACING OPTISENSE OPTIM STEROID ELUTING HELIX L40 CM OD7 FR ENDOCARDIUM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE RETRACTABLE	SUP-1999/40	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING OPTISENSE OPTIM STEROID ELUTING HELIX L40 CM OD7 FR ENDOCARDIUM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE RETRACTABLE	SUP-1999/40	CDM			275	RC		inpatient			620	620																																																			
LEAD PACING OPTISENSE OPTIM STEROID ELUTING HELIX L46 CM OD7 FR ENDOCARDIUM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE RETRACTABLE	SUP-1999/46	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING OPTISENSE OPTIM STEROID ELUTING HELIX L46 CM OD7 FR ENDOCARDIUM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE RETRACTABLE	SUP-1999/46	CDM			275	RC		inpatient			620	620																																																			
LEAD PACING OPTISENSE OPTIM STEROID ELUTING HELIX L52 CM OD7 FR ENDOCARDIUM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE RETRACTABLE	SUP-1999/52	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING OPTISENSE OPTIM STEROID ELUTING HELIX L52 CM OD7 FR ENDOCARDIUM IS-1 CONNECTOR BIPOLAR ACTIVE FIXATION EXTENDABLE RETRACTABLE	SUP-1999/52	CDM			275	RC		inpatient			620	620																																																			
LEAD PACING TENDRIL STS STEROID ELUTING SILICONE HELIX L46 CM OD6 FR ENDOCARDIUM IS-1 CONNECTOR	SUP-2088TC/46	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING TENDRIL STS STEROID ELUTING SILICONE HELIX L46 CM OD6 FR ENDOCARDIUM IS-1 CONNECTOR	SUP-2088TC/46	CDM			275	RC		inpatient			620	620																																																			
LEAD PACING TENDRIL STS STEROID ELUTING SILICONE HELIX L52 CM OD6 FR ENDOCARDIUM IS-1 CONNECTOR	SUP-2088TC/52	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING TENDRIL STS STEROID ELUTING SILICONE HELIX L52 CM OD6 FR ENDOCARDIUM IS-1 CONNECTOR	SUP-2088TC/52	CDM			275	RC		inpatient			620	620																																																			
LEAD PACING TENDRIL STS STEROID ELUTING SILICONE HELIX L58 CM OD6 FR ENDOCARDIUM IS-1 CONNECTOR	SUP-2088TC/58	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING TENDRIL STS STEROID ELUTING SILICONE HELIX L58 CM OD6 FR ENDOCARDIUM IS-1 CONNECTOR	SUP-2088TC/58	CDM			275	RC		inpatient			620	620																																																			
CATHETER THROMBECTOMY PRONTO LP SILVA HYDROPHILIC L140 CM OD6 FR CORONARY PERIPHERAL 2 LOCK SYRINGE RAPID EXCHANGE EXTRACTION PRELOAD STYLET STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-5010	CDM			270	RC		outpatient			620	62	167.96				percent of total billed charges		620				other	OPPS APC	458.8				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	167.96				percent of total billed charges		171.31				percent of total billed charges		62				other	OPPS APC	62	620	
CATHETER THROMBECTOMY PRONTO LP SILVA HYDROPHILIC L140 CM OD6 FR CORONARY PERIPHERAL 2 LOCK SYRINGE RAPID EXCHANGE EXTRACTION PRELOAD STYLET STERILE DISPOSABLE ACCEPTS .014 IN GUIDEWIRE	SUP-5010	CDM			270	RC		inpatient			620	620																																																			
LEAD PACING MYOPORE SILICONE L54 CM ENDOCARDIUM BIPOLAR ACTIVE FIXATION IS-1 VS-1	SUP-511212	CDM	275001005	LOCAL	275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING MYOPORE SILICONE L54 CM ENDOCARDIUM BIPOLAR ACTIVE FIXATION IS-1 VS-1	SUP-511212	CDM	275001005	LOCAL	275	RC		inpatient			620	620																																																			
LEAD TENDRIL MRI 46CM	SUP-LPA1200M/46	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD TENDRIL MRI 46CM	SUP-LPA1200M/46	CDM			275	RC		inpatient			620	620																																																			
LEAD TENDRIL MRI 52CM	SUP-LPA1200M/52	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD TENDRIL MRI 52CM	SUP-LPA1200M/52	CDM			275	RC		inpatient			620	620																																																			
LEAD PACING TENDRIL MRI L58 CM	SUP-LPA1200M/58	CDM			275	RC		outpatient			620	62	303.8				percent of total billed charges		620				other	OPPS APC	353.4				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	303.8				percent of total billed charges		316.2				percent of total billed charges		62				other	OPPS APC	62	620	
LEAD PACING TENDRIL MRI L58 CM	SUP-LPA1200M/58	CDM			275	RC		inpatient			620	620																																																			
GRAFT CARDIOVASCULAR HEMASHIELD PLATINUM 2 VELOUR COLLAGEN STRAIGHT L15 CM OD34 MM THORACIC 2 PASS SEWING WOVEN STERILE	SUP-M00202175134P0	CDM			270	RC		outpatient			620	62	167.96				percent of total billed charges		620				other	OPPS APC	458.8				percent of total billed charges		620				other	OPPS APC	620				other	OPPS APC	167.96				percent of total billed charges		171.31				percent of total billed charges		62				other	OPPS APC	62	620	
GRAFT CARDIOVASCULAR HEMASHIELD PLATINUM 2 VELOUR COLLAGEN STRAIGHT L15 CM OD34 MM THORACIC 2 PASS SEWING WOVEN STERILE	SUP-M00202175134P0	CDM			270	RC		inpatient			620	620																																																			
SPRING WIRE .018 X 25CM (A-LINE)	SUP-95-00959	CDM			272	RC		outpatient			619.5	619.5	167.82				percent of total billed charges		619.5				other	OPPS APC	458.43				percent of total billed charges		619.5				other	OPPS APC	619.5				other	OPPS APC	167.82				percent of total billed charges		171.17				percent of total billed charges		619.5				other	OPPS APC	167.82	619.5	
SPRING WIRE .018 X 25CM (A-LINE)	SUP-95-00959	CDM			272	RC		inpatient			619.5	619.5																																																			
DOCETAXEL 20 MG/2 ML (10 MG/ML) SOLUTION 2 ML VIAL	636000000	CDM	67457-531-02	NDC	J9171	HCPCS		inpatient			618.75	618.75																																																			
DOCETAXEL 20 MG/2 ML (10 MG/ML) SOLUTION 2 ML VIAL	636000000	CDM	67457-531-02	NDC	J9171	HCPCS		outpatient			618.75	618.75																																															other	OPPS APC			
SCREW 40MM THREAD 6.5MM X 100MM	SUP-97-03021	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW 40MM THREAD 6.5MM X 100MM	SUP-97-03021	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW 40MM THREAD 6.5MM X 90MM	SUP-97-03022	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW 40MM THREAD 6.5MM X 90MM	SUP-97-03022	CDM			278	RC		inpatient			618.24	618.24																																																			
ASNIS III SS CANNULATED SCR 8.0X85MM	SUP-97-04054	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
ASNIS III SS CANNULATED SCR 8.0X85MM	SUP-97-04054	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW ASNIS III SS CANN 6.5 X 85MM	SUP-97-04223	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW ASNIS III SS CANN 6.5 X 85MM	SUP-97-04223	CDM			278	RC		inpatient			618.24	618.24																																																			
6.5MM X 95MM 20 THD SCREW	SUP-97-04692	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
6.5MM X 95MM 20 THD SCREW	SUP-97-04692	CDM			278	RC		inpatient			618.24	618.24																																																			
8.0 X 105MM CAN SCREW	SUP-97-05456	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
8.0 X 105MM CAN SCREW	SUP-97-05456	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW 6.5 X 105MM CANNULATED	SUP-97-05646	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW 6.5 X 105MM CANNULATED	SUP-97-05646	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW 20MM THREAD 6.5 X 120MM	SUP-97-06080	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW 20MM THREAD 6.5 X 120MM	SUP-97-06080	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW ASNIS CANNULATED 8 X 130MM	SUP-97-06090	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW ASNIS CANNULATED 8 X 130MM	SUP-97-06090	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW ASNIS CANNULATED 6.5 X 130MM	SUP-97-06091	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW ASNIS CANNULATED 6.5 X 130MM	SUP-97-06091	CDM			278	RC		inpatient			618.24	618.24																																																			
SCREW ASNIS CANNULATED 6.5 X 110MM	SUP-97-06092	CDM			278	RC		outpatient			618.24	618.24	618.24				fee schedule		618.24				other	OPPS APC	352.4				percent of total billed charges		618.24				other	OPPS APC	618.24				other	OPPS APC	302.94				percent of total billed charges		315.3				percent of total billed charges		618.24				other	OPPS APC	302.94	618.24	
SCREW ASNIS CANNULATED 6.5 X 110MM	SUP-97-06092	CDM			278	RC		inpatient			618.24	618.24																																																			
BASKET SEGURA 4 WIRE  O TIP 3.0FR 120MM	SUP-70-00236	CDM			272	RC		outpatient			618.17	618.17	167.46				percent of total billed charges		618.17				other	OPPS APC	457.45				percent of total billed charges		618.17				other	OPPS APC	618.17				other	OPPS APC	167.46				percent of total billed charges		170.8				percent of total billed charges		618.17				other	OPPS APC	167.46	618.17	
BASKET SEGURA 4 WIRE  O TIP 3.0FR 120MM	SUP-70-00236	CDM			272	RC		inpatient			618.17	618.17																																																			
PLATE BROAD LC-DCP 10 HOLE	SUP-226.60	CDM	270010022	LOCAL	270	RC		outpatient			617.76	617.76	167.35				percent of total billed charges		617.76				other	OPPS APC	457.14				percent of total billed charges		617.76				other	OPPS APC	617.76				other	OPPS APC	167.35				percent of total billed charges		170.69				percent of total billed charges		617.76				other	OPPS APC	167.35	617.76	
PLATE BROAD LC-DCP 10 HOLE	SUP-226.60	CDM	270010022	LOCAL	270	RC		inpatient			617.76	617.76																																																			
EPINEPHRINE 0.3 MG/0.3 ML AUTO-INJECTOR	636000000	CDM	0115-1694-49	NDC	J0171	HCPCS		inpatient			617.52	617.52																																																			
EPINEPHRINE 0.3 MG/0.3 ML AUTO-INJECTOR	636000000	CDM	0115-1694-49	NDC	J0171	HCPCS		outpatient			617.52	617.52																																															other	OPPS APC			
BALLOON - ADMIRAL 4.0X150	SUP-99-00985	CDM			272	RC		outpatient			617.5	617.5	167.28				percent of total billed charges		617.5				other	OPPS APC	456.95				percent of total billed charges		617.5				other	OPPS APC	617.5				other	OPPS APC	167.28				percent of total billed charges		170.62				percent of total billed charges		617.5				other	OPPS APC	167.28	617.5	
BALLOON - ADMIRAL 4.0X150	SUP-99-00985	CDM			272	RC		inpatient			617.5	617.5																																																			
PORT IMPLANTABLE INFUSION SMART PORT CARBOTHANE TITANIUM POLYURETHANE L55 CM OD6.6 FR ID7 FR IDSEC1.4 MM .4 ML .016 ML DETACH CATHETER INTRODUCER LOW PROFILE CT	SUP-74371	CDM			278	RC		outpatient			617.4	617.4	617.4				fee schedule		617.4				other	OPPS APC	351.92				percent of total billed charges		617.4				other	OPPS APC	617.4				other	OPPS APC	302.53				percent of total billed charges		170.59				percent of total billed charges		617.4				other	OPPS APC	170.59	617.4	
PORT IMPLANTABLE INFUSION SMART PORT CARBOTHANE TITANIUM POLYURETHANE L55 CM OD6.6 FR ID7 FR IDSEC1.4 MM .4 ML .016 ML DETACH CATHETER INTRODUCER LOW PROFILE CT	SUP-74371	CDM			278	RC		inpatient			617.4	617.4																																																			
MEDIPORT - REGULAR	SUP-95-06023	CDM			278	RC		outpatient			617.4	617.4	617.4				fee schedule		617.4				other	OPPS APC	351.92				percent of total billed charges		617.4				other	OPPS APC	617.4				other	OPPS APC	302.53				percent of total billed charges		170.59				percent of total billed charges		617.4				other	OPPS APC	170.59	617.4	
MEDIPORT - REGULAR	SUP-95-06023	CDM			278	RC		inpatient			617.4	617.4																																																			
DRILL SURGICAL JET-X MINI OD2 MM RADIUS DISTAL NONSTERILE LATEX FREE DISPOSABLE	SUP-71067327	CDM			270	RC		outpatient			617.04	617.4	167.16				percent of total billed charges		617.04				other	OPPS APC	456.61				percent of total billed charges		617.04				other	OPPS APC	617.04				other	OPPS APC	167.16				percent of total billed charges		170.49				percent of total billed charges		617.4				other	OPPS APC	167.16	617.4	
DRILL SURGICAL JET-X MINI OD2 MM RADIUS DISTAL NONSTERILE LATEX FREE DISPOSABLE	SUP-71067327	CDM			270	RC		inpatient			617.04	617.04																																																			
BALLOON - METACROSS RX 6.0X100	SUP-99-03178	CDM			272	RC		outpatient			616.14	616.14	166.91				percent of total billed charges		616.14				other	OPPS APC	455.94				percent of total billed charges		616.14				other	OPPS APC	616.14				other	OPPS APC	166.91				percent of total billed charges		170.24				percent of total billed charges		616.14				other	OPPS APC	166.91	616.14	
BALLOON - METACROSS RX 6.0X100	SUP-99-03178	CDM			272	RC		inpatient			616.14	616.14																																																			
SYSTEM PERCANNULA	SUP-222274	CDM			270	RC		outpatient			616	616	166.87				percent of total billed charges		616				other	OPPS APC	455.84				percent of total billed charges		616				other	OPPS APC	616				other	OPPS APC	166.87				percent of total billed charges		170.2				percent of total billed charges		616				other	OPPS APC	166.87	616	
SYSTEM PERCANNULA	SUP-222274	CDM			270	RC		inpatient			616	616																																																			
BIT DRILL VERTEX MAX L10-24 MM OD2.4 MM NONSTERILE DISPOSABLE GREEN RECONSTRUCTION SYSTEM	SUP-6956010	CDM	270010020	LOCAL	270	RC		outpatient			616	616	166.87				percent of total billed charges		616				other	OPPS APC	455.84				percent of total billed charges		616				other	OPPS APC	616				other	OPPS APC	166.87				percent of total billed charges		170.2				percent of total billed charges		616				other	OPPS APC	166.87	616	
BIT DRILL VERTEX MAX L10-24 MM OD2.4 MM NONSTERILE DISPOSABLE GREEN RECONSTRUCTION SYSTEM	SUP-6956010	CDM	270010020	LOCAL	270	RC		inpatient			616	616																																																			
BIT DRILL VERTEX OD2.4 MM RECONSTRUCTION SET	SUP-7756010	CDM	270010020	LOCAL	270	RC		outpatient			616	616	166.87				percent of total billed charges		616				other	OPPS APC	455.84				percent of total billed charges		616				other	OPPS APC	616				other	OPPS APC	166.87				percent of total billed charges		170.2				percent of total billed charges		616				other	OPPS APC	166.87	616	
BIT DRILL VERTEX OD2.4 MM RECONSTRUCTION SET	SUP-7756010	CDM	270010020	LOCAL	270	RC		inpatient			616	616																																																			
CER OPTION TYPE 1 TPR SLEVE +3	SUP-97-04791	CDM			278	RC		outpatient			616	616	616				fee schedule		616				other	OPPS APC	351.12				percent of total billed charges		616				other	OPPS APC	616				other	OPPS APC	301.84				percent of total billed charges		314.16				percent of total billed charges		616				other	OPPS APC	301.84	616	
CER OPTION TYPE 1 TPR SLEVE +3	SUP-97-04791	CDM			278	RC		inpatient			616	616																																																			
HC CT Guide Drain Cath Abd Wall Neck	PX-352100300	CDM	10030	CPT	352	RC		outpatient			615	683.6	799.98				fee schedule		683.51				other	OPPS APC	455.1				percent of total billed charges		683.51				other	OPPS APC	683.51				other	OPPS APC	132.44				fee schedule		313.65				percent of total billed charges		683.6				other	OPPS APC	132.44	799.98	
HC CT Guide Drain Cath Abd Wall Neck	PX-352100300	CDM	10030	CPT	352	RC		inpatient			615	615																																																			
HC Drainage of Pilonidal Cyst Simple	PX-450100801	CDM	10080	CPT	450	RC		outpatient			615	615	195.77				case rate		615				other	OPPS APC	455.1				percent of total billed charges		615				other	OPPS APC	615				other	OPPS APC	195.77				case rate		199.69				case rate		615				other	OPPS APC	195.77	615	
HC Drainage of Pilonidal Cyst Simple	PX-450100801	CDM	10080	CPT	450	RC		inpatient			615	615																																																			
1.4 CAN DRILL BIT	SUP-97-04534	CDM			272	RC		outpatient			614.88	614.88	166.57				percent of total billed charges		614.88				other	OPPS APC	455.01				percent of total billed charges		614.88				other	OPPS APC	614.88				other	OPPS APC	166.57				percent of total billed charges		169.89				percent of total billed charges		614.88				other	OPPS APC	166.57	614.88	
1.4 CAN DRILL BIT	SUP-97-04534	CDM			272	RC		inpatient			614.88	614.88																																																			
MESH SURGICAL C-QUR POLYPROPYLENE L5 IN X W5 IN HERNIA BIOABSORBABLE	SUP-31544	CDM			270	RC		outpatient			614.7	614.75	166.52				percent of total billed charges		614.7				other	OPPS APC	454.88				percent of total billed charges		614.7				other	OPPS APC	614.7				other	OPPS APC	166.52				percent of total billed charges		169.84				percent of total billed charges		614.75				other	OPPS APC	166.52	614.75	
MESH SURGICAL C-QUR POLYPROPYLENE L5 IN X W5 IN HERNIA BIOABSORBABLE	SUP-31544	CDM			270	RC		inpatient			614.7	614.7																																																			
RELOAD ECHELON 60MM WHITE	SUP-74-00390	CDM			272	RC		outpatient			614.46	614.46	166.46				percent of total billed charges		614.46				other	OPPS APC	454.7				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	166.46				percent of total billed charges		169.78				percent of total billed charges		614.46				other	OPPS APC	166.46	614.46	
RELOAD ECHELON 60MM WHITE	SUP-74-00390	CDM			272	RC		inpatient			614.46	614.46																																																			
RELOAD ECHELON 60MM BLUE	SUP-74-00391	CDM			272	RC		outpatient			614.46	614.46	166.46				percent of total billed charges		614.46				other	OPPS APC	454.7				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	166.46				percent of total billed charges		169.78				percent of total billed charges		614.46				other	OPPS APC	166.46	614.46	
RELOAD ECHELON 60MM BLUE	SUP-74-00391	CDM			272	RC		inpatient			614.46	614.46																																																			
RELOAD ECHELON 60MM GREEN	SUP-74-00393	CDM			272	RC		outpatient			614.46	614.46	166.46				percent of total billed charges		614.46				other	OPPS APC	454.7				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	166.46				percent of total billed charges		169.78				percent of total billed charges		614.46				other	OPPS APC	166.46	614.46	
RELOAD ECHELON 60MM GREEN	SUP-74-00393	CDM			272	RC		inpatient			614.46	614.46																																																			
RELOAD ECHELON 60MM BLACK	SUP-74-00394	CDM			272	RC		outpatient			614.46	614.46	166.46				percent of total billed charges		614.46				other	OPPS APC	454.7				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	166.46				percent of total billed charges		169.78				percent of total billed charges		614.46				other	OPPS APC	166.46	614.46	
RELOAD ECHELON 60MM BLACK	SUP-74-00394	CDM			272	RC		inpatient			614.46	614.46																																																			
SCREW 2.2X16 CAN COMP	SUP-97-05555	CDM			278	RC		outpatient			614.46	614.46	614.46				fee schedule		614.46				other	OPPS APC	350.24				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	301.09				percent of total billed charges		313.37				percent of total billed charges		614.46				other	OPPS APC	301.09	614.46	
SCREW 2.2X16 CAN COMP	SUP-97-05555	CDM			278	RC		inpatient			614.46	614.46																																																			
SCREW 2.2X18 CAN COMP	SUP-97-05556	CDM			278	RC		outpatient			614.46	614.46	614.46				fee schedule		614.46				other	OPPS APC	350.24				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	301.09				percent of total billed charges		313.37				percent of total billed charges		614.46				other	OPPS APC	301.09	614.46	
SCREW 2.2X18 CAN COMP	SUP-97-05556	CDM			278	RC		inpatient			614.46	614.46																																																			
STAPLER INTERNAL ECHELON FLEX ENDOPATH L45 MM L440 MM LINEAR CUTTER ARTICULATE POWER KNIFE REVERSE SWITCH TRIGGER LOCK STERILE DISPOSABLE ENDOSCOPIC	SUP-PLEE45A	CDM			270	RC		outpatient			614.46	614.46	166.46				percent of total billed charges		614.46				other	OPPS APC	454.7				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	166.46				percent of total billed charges		169.78				percent of total billed charges		614.46				other	OPPS APC	166.46	614.46	
STAPLER INTERNAL ECHELON FLEX ENDOPATH L45 MM L440 MM LINEAR CUTTER ARTICULATE POWER KNIFE REVERSE SWITCH TRIGGER LOCK STERILE DISPOSABLE ENDOSCOPIC	SUP-PLEE45A	CDM			270	RC		inpatient			614.46	614.46																																																			
STAPLER INTERNAL ECHELON FLEX STANDARD L32 CM L35 MM VASCULAR TISSUE POWER ADVANCE PLACEMENT TIP ARTICULATE	SUP-PVE35A	CDM			270	RC		outpatient			614.46	614.46	166.46				percent of total billed charges		614.46				other	OPPS APC	454.7				percent of total billed charges		614.46				other	OPPS APC	614.46				other	OPPS APC	166.46				percent of total billed charges		169.78				percent of total billed charges		614.46				other	OPPS APC	166.46	614.46	
STAPLER INTERNAL ECHELON FLEX STANDARD L32 CM L35 MM VASCULAR TISSUE POWER ADVANCE PLACEMENT TIP ARTICULATE	SUP-PVE35A	CDM			270	RC		inpatient			614.46	614.46																																																			
MAKO VIZADISC KNEE PROCED TRACKING KIT	SUP-78-00403	CDM			272	RC		outpatient			614.25	614.25	166.4				percent of total billed charges		614.25				other	OPPS APC	454.55				percent of total billed charges		614.25				other	OPPS APC	614.25				other	OPPS APC	166.4				percent of total billed charges		169.72				percent of total billed charges		614.25				other	OPPS APC	166.4	614.25	
MAKO VIZADISC KNEE PROCED TRACKING KIT	SUP-78-00403	CDM			272	RC		inpatient			614.25	614.25																																																			
MAKO VISADISC HIP	SUP-78-00413	CDM			272	RC		outpatient			614.25	614.25	166.4				percent of total billed charges		614.25				other	OPPS APC	454.55				percent of total billed charges		614.25				other	OPPS APC	614.25				other	OPPS APC	166.4				percent of total billed charges		169.72				percent of total billed charges		614.25				other	OPPS APC	166.4	614.25	
MAKO VISADISC HIP	SUP-78-00413	CDM			272	RC		inpatient			614.25	614.25																																																			
PACK EMBOLECTOMY FOGARTY L80 CM OD3 FR ARTERY BALLOON SYRINGE FLAT STERILE	SUP-12A0803F	CDM						inpatient			613.5	613.5																																																			
PACK EMBOLECTOMY FOGARTY L80 CM OD3 FR ARTERY BALLOON SYRINGE FLAT STERILE	SUP-12A0803F	CDM						outpatient			613.5	613.5	613.5				percent of total billed charges		613.5				other	OPPS APC	613.5				fee schedule		613.5				other	OPPS APC	613.5				other	OPPS APC	613.5				case rate		613.5				case rate		613.5				other	OPPS APC	613.5	613.5	
MESH SURGICAL C-QUR V-PATCH PROLITE OMEGA 3 FATTY ACID SMALL L1.7 IN X W1.7 IN 2 EXTEND STRAP STABILITY RING HERNIA	SUP-31200	CDM			270	RC		outpatient			612.94	612.95	166.05				percent of total billed charges		612.94				other	OPPS APC	453.58				percent of total billed charges		612.94				other	OPPS APC	612.94				other	OPPS APC	166.05				percent of total billed charges		169.36				percent of total billed charges		612.95				other	OPPS APC	166.05	612.95	
MESH SURGICAL C-QUR V-PATCH PROLITE OMEGA 3 FATTY ACID SMALL L1.7 IN X W1.7 IN 2 EXTEND STRAP STABILITY RING HERNIA	SUP-31200	CDM			270	RC		inpatient			612.94	612.94																																																			
ICONIX 2.3 DRILL BX/5	SUP-79-00078	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
ICONIX 2.3 DRILL BX/5	SUP-79-00078	CDM			272	RC		inpatient			612.5	612.5																																																			
KIT FOR 3.5MM PUSHLOCK	SUP-80-00027	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
KIT FOR 3.5MM PUSHLOCK	SUP-80-00027	CDM			272	RC		inpatient			612.5	612.5																																																			
KIT FOR 2.9MM PUSHLOCK	SUP-80-00030	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
KIT FOR 2.9MM PUSHLOCK	SUP-80-00030	CDM			272	RC		inpatient			612.5	612.5																																																			
BIG 60 INFLATION DEVICE	SUP-95-01504	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BIG 60 INFLATION DEVICE	SUP-95-01504	CDM			272	RC		inpatient			612.5	612.5																																																			
ADVANCE CAPSULE	SUP-95-01665	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
ADVANCE CAPSULE	SUP-95-01665	CDM			272	RC		inpatient			612.5	612.5																																																			
ACP KIT SERIES	SUP-95-03241	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
ACP KIT SERIES	SUP-95-03241	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT CANNULATED 2.6MM	SUP-95-03443	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT CANNULATED 2.6MM	SUP-95-03443	CDM			272	RC		inpatient			612.5	612.5																																																			
MAKO VIZADISC KNEE PROCED TRACKING KIT	SUP-95-03480	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
MAKO VIZADISC KNEE PROCED TRACKING KIT	SUP-95-03480	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT CANNULATED 4.3MM	SUP-95-03608	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT CANNULATED 4.3MM	SUP-95-03608	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL CANNULATED 4.0	SUP-95-03695	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL CANNULATED 4.0	SUP-95-03695	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT 2.5MM CANNULATED	SUP-95-04113	CDM						inpatient			612.5	612.5																																																			
DRILL BIT 2.5MM CANNULATED	SUP-95-04113	CDM						outpatient			612.5	612.5	612.5				percent of total billed charges		612.5				other	OPPS APC	612.5				fee schedule		612.5				other	OPPS APC	612.5				other	OPPS APC	612.5				case rate		612.5				case rate		612.5				other	OPPS APC	612.5	612.5	
DRILL BIT CANNULATED 1.7MM	SUP-95-04712	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT CANNULATED 1.7MM	SUP-95-04712	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT 1.3MM QUICKFIX	SUP-95-04791	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT 1.3MM QUICKFIX	SUP-95-04791	CDM			272	RC		inpatient			612.5	612.5																																																			
KIT DISPOSABLES FIBERTAK STRAIGHT	SUP-95-05296	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
KIT DISPOSABLES FIBERTAK STRAIGHT	SUP-95-05296	CDM			272	RC		inpatient			612.5	612.5																																																			
TENSIONER/CUTTER SUTURE KNEE	SUP-95-05299	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
TENSIONER/CUTTER SUTURE KNEE	SUP-95-05299	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL 1.8MM FLEXIBLE HIP FLUTED FTAK	SUP-95-05370	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL 1.8MM FLEXIBLE HIP FLUTED FTAK	SUP-95-05370	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL 1.9MM FLEXIBLE HIP FLUTED FTAK	SUP-95-05371	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL 1.9MM FLEXIBLE HIP FLUTED FTAK	SUP-95-05371	CDM			272	RC		inpatient			612.5	612.5																																																			
BLADE TENDON STRIPPER 10MM	SUP-95-05408	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BLADE TENDON STRIPPER 10MM	SUP-95-05408	CDM			272	RC		inpatient			612.5	612.5																																																			
REAMER CANNULATED 3.2MM AO QC FLEX THREAD	SUP-95-05444	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
REAMER CANNULATED 3.2MM AO QC FLEX THREAD	SUP-95-05444	CDM			272	RC		inpatient			612.5	612.5																																																			
REAMER CANNULATED 4.2MM	SUP-95-05446	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
REAMER CANNULATED 4.2MM	SUP-95-05446	CDM			272	RC		inpatient			612.5	612.5																																																			
REAMER CANNULATED 5.2MM AO QC FLEX THREAD	SUP-95-05448	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
REAMER CANNULATED 5.2MM AO QC FLEX THREAD	SUP-95-05448	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT 4MM CANNULATED	SUP-95-05528	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT 4MM CANNULATED	SUP-95-05528	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT CANNULATED 2.0MM	SUP-95-05580	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT CANNULATED 2.0MM	SUP-95-05580	CDM			272	RC		inpatient			612.5	612.5																																																			
DRILL BIT CANNULATED 3.0MM	SUP-95-05581	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT CANNULATED 3.0MM	SUP-95-05581	CDM			272	RC		inpatient			612.5	612.5																																																			
LENS AR40M -4.0D	SUP-97-	CDM						inpatient			612.5	612.5																																																			
LENS AR40M -4.0D	SUP-97-	CDM						outpatient			612.5	612.5	612.5				percent of total billed charges		612.5				other	OPPS APC	612.5				fee schedule		612.5				other	OPPS APC	612.5				other	OPPS APC	612.5				case rate		612.5				case rate		612.5				other	OPPS APC	612.5	612.5	
CHAMPION  SLINGSHOT 70 UP	SUP-97-00989	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CHAMPION  SLINGSHOT 70 UP	SUP-97-00989	CDM			272	RC		inpatient			612.5	612.5																																																			
LENS AR40E 3.5D	SUP-97-01601	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40E 3.5D	SUP-97-01601	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40E 4.0D	SUP-97-01679	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40E 4.0D	SUP-97-01679	CDM			278	RC		inpatient			612.5	612.5																																																			
CHAMPION SLINGSHOT 45LEFT	SUP-97-02038	CDM						inpatient			612.5	612.5																																																			
CHAMPION SLINGSHOT 45LEFT	SUP-97-02038	CDM						outpatient			612.5	612.5	612.5				percent of total billed charges		612.5				other	OPPS APC	612.5				fee schedule		612.5				other	OPPS APC	612.5				other	OPPS APC	612.5				case rate		612.5				case rate		612.5				other	OPPS APC	612.5	612.5	
LENS AR40E +2.5	SUP-97-02468	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40E +2.5	SUP-97-02468	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40E 2.0D	SUP-97-02512	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40E 2.0D	SUP-97-02512	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40M -1.0D	SUP-97-02945	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40M -1.0D	SUP-97-02945	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40M +0.5D	SUP-97-02959	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40M +0.5D	SUP-97-02959	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40E +5.0	SUP-97-02960	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40E +5.0	SUP-97-02960	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS SENSAR ACRYLIC AR40M -2.5D	SUP-97-03074	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS SENSAR ACRYLIC AR40M -2.5D	SUP-97-03074	CDM			278	RC		inpatient			612.5	612.5																																																			
COUNTERSINK 3.0MM CANNULATED	SUP-97-03162	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
COUNTERSINK 3.0MM CANNULATED	SUP-97-03162	CDM			272	RC		inpatient			612.5	612.5																																																			
CANNULATED DRILL BIT 3.0MM	SUP-97-03175	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
CANNULATED DRILL BIT 3.0MM	SUP-97-03175	CDM			278	RC		inpatient			612.5	612.5																																																			
LOW PRO SCREW 4.5X60MM CANN PT THD	SUP-97-03176	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LOW PRO SCREW 4.5X60MM CANN PT THD	SUP-97-03176	CDM			278	RC		inpatient			612.5	612.5																																																			
BONE TAP CANNULATED 4.5MM	SUP-97-03867	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BONE TAP CANNULATED 4.5MM	SUP-97-03867	CDM			272	RC		inpatient			612.5	612.5																																																			
BONE TAP CANNULATED 5.5MM	SUP-97-03868	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BONE TAP CANNULATED 5.5MM	SUP-97-03868	CDM			272	RC		inpatient			612.5	612.5																																																			
GD WIRE W TROCAR TIP	SUP-97-03869	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
GD WIRE W TROCAR TIP	SUP-97-03869	CDM			278	RC		inpatient			612.5	612.5																																																			
CONUNTERSINK FOR 4.3MM HCS	SUP-97-04032	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CONUNTERSINK FOR 4.3MM HCS	SUP-97-04032	CDM			272	RC		inpatient			612.5	612.5																																																			
CONUNTERSINK FOR 6.5MM HCS	SUP-97-04033	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CONUNTERSINK FOR 6.5MM HCS	SUP-97-04033	CDM			272	RC		inpatient			612.5	612.5																																																			
LOW PROFILE SCREW TIT 4.5NN X 50MM CANNU	SUP-97-04385	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LOW PROFILE SCREW TIT 4.5NN X 50MM CANNU	SUP-97-04385	CDM			278	RC		inpatient			612.5	612.5																																																			
DRILL BIT CANNULATED 3.0MM	SUP-97-04489	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT CANNULATED 3.0MM	SUP-97-04489	CDM			272	RC		inpatient			612.5	612.5																																																			
SCREW 3 X 14MM LOW PROFILE VA LOK  TI	SUP-97-04512	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW 3 X 14MM LOW PROFILE VA LOK  TI	SUP-97-04512	CDM			278	RC		inpatient			612.5	612.5																																																			
SCREW LOW PROFILE VA LOK 3.0 X 16.00MM T	SUP-97-04513	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW LOW PROFILE VA LOK 3.0 X 16.00MM T	SUP-97-04513	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40MN -2.0D	SUP-97-04659	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40MN -2.0D	SUP-97-04659	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40MN 0.0 DIRECT PURCHASE	SUP-97-04670	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40MN 0.0 DIRECT PURCHASE	SUP-97-04670	CDM			278	RC		inpatient			612.5	612.5																																																			
DRL BIT 3.2MM CANN LONG	SUP-97-04825	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRL BIT 3.2MM CANN LONG	SUP-97-04825	CDM			272	RC		inpatient			612.5	612.5																																																			
COUNTERSINK 2.0/2.4MM CANNULATED	SUP-97-04881	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
COUNTERSINK 2.0/2.4MM CANNULATED	SUP-97-04881	CDM			272	RC		inpatient			612.5	612.5																																																			
LENS AR40MN -10.0D	SUP-97-04982	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40MN -10.0D	SUP-97-04982	CDM			278	RC		inpatient			612.5	612.5																																																			
LENS AR40M -4.0D	SUP-97-05021	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
LENS AR40M -4.0D	SUP-97-05021	CDM			278	RC		inpatient			612.5	612.5																																																			
DRL BIT 5.0MM CANN.	SUP-97-05031	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRL BIT 5.0MM CANN.	SUP-97-05031	CDM			272	RC		inpatient			612.5	612.5																																																			
SCREW LOW PROFILE VA LKG 3.0X26.0MM TI	SUP-97-05503	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW LOW PROFILE VA LKG 3.0X26.0MM TI	SUP-97-05503	CDM			278	RC		inpatient			612.5	612.5																																																			
SCREW LOW PROFILE VA LKG 3.0X32.0MM TI	SUP-97-05504	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW LOW PROFILE VA LKG 3.0X32.0MM TI	SUP-97-05504	CDM			278	RC		inpatient			612.5	612.5																																																			
DRILL BIT 3.0MM CANN	SUP-97-05506	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL BIT 3.0MM CANN	SUP-97-05506	CDM			272	RC		inpatient			612.5	612.5																																																			
SCREW LOW PROFILE VA LKG 3.0X12 MM TI	SUP-97-05513	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW LOW PROFILE VA LKG 3.0X12 MM TI	SUP-97-05513	CDM			278	RC		inpatient			612.5	612.5																																																			
SCREW LOW PROFILE VA LKG 3.0X18 MM TI	SUP-97-05514	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW LOW PROFILE VA LKG 3.0X18 MM TI	SUP-97-05514	CDM			278	RC		inpatient			612.5	612.5																																																			
SCREW 3 X 20MM LOW PROFILE VA LOK  TI	SUP-97-05885	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW 3 X 20MM LOW PROFILE VA LOK  TI	SUP-97-05885	CDM			278	RC		inpatient			612.5	612.5																																																			
SCREW 3 X 22MM LOW PROFILE VA LOK  TI	SUP-97-05886	CDM			278	RC		outpatient			612.5	612.5	612.5				fee schedule		612.5				other	OPPS APC	349.13				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	300.13				percent of total billed charges		312.38				percent of total billed charges		612.5				other	OPPS APC	300.13	612.5	
SCREW 3 X 22MM LOW PROFILE VA LOK  TI	SUP-97-05886	CDM			278	RC		inpatient			612.5	612.5																																																			
DRILL CANNULATED 3.5 MM	SUP-97-23739	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
DRILL CANNULATED 3.5 MM	SUP-97-23739	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 3.0X120	SUP-99-00980	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 3.0X120	SUP-99-00980	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 5.0X80	SUP-99-00988	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 5.0X80	SUP-99-00988	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 4.0X80	SUP-99-01192	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 4.0X80	SUP-99-01192	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 5.0X120	SUP-99-01204	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 5.0X120	SUP-99-01204	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 3.0X80	SUP-99-01222	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 3.0X80	SUP-99-01222	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 3.0X20	SUP-99-01315	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 3.0X20	SUP-99-01315	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 8.0X40	SUP-99-01408	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 8.0X40	SUP-99-01408	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 4.0X40	SUP-99-01442	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 4.0X40	SUP-99-01442	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - ADMIRAL 4.0X20	SUP-99-01640	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - ADMIRAL 4.0X20	SUP-99-01640	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.0X150	SUP-99-03351	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.0X150	SUP-99-03351	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.0X40	SUP-99-03459	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.0X40	SUP-99-03459	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X210	SUP-99-03494	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X210	SUP-99-03494	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS 2.5X40	SUP-99-03496	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS 2.5X40	SUP-99-03496	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X150	SUP-99-03503	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X150	SUP-99-03503	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 1.5X40	SUP-99-03504	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 1.5X40	SUP-99-03504	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 1.5X20	SUP-99-03505	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 1.5X20	SUP-99-03505	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X20	SUP-99-03506	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X20	SUP-99-03506	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X150	SUP-99-03520	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X150	SUP-99-03520	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 6.0X40	SUP-99-03521	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 6.0X40	SUP-99-03521	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X60	SUP-99-03525	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X60	SUP-99-03525	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X210	SUP-99-03526	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X210	SUP-99-03526	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.5X20	SUP-99-03527	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.5X20	SUP-99-03527	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X150	SUP-99-03534	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X150	SUP-99-03534	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X20	SUP-99-03549	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X20	SUP-99-03549	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X60	SUP-99-03557	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X60	SUP-99-03557	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X100	SUP-99-03566	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X100	SUP-99-03566	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.0X60	SUP-99-03569	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.0X60	SUP-99-03569	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X120	SUP-99-03594	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X120	SUP-99-03594	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X20	SUP-99-03606	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X20	SUP-99-03606	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X100	SUP-99-03608	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X100	SUP-99-03608	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.0X20	SUP-99-03609	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.0X20	SUP-99-03609	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X100	SUP-99-03610	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X100	SUP-99-03610	CDM			272	RC		inpatient			612.5	612.5																																																			
CATHETER - TRAILBLAZER - 035X135  ANGLED	SUP-99-03615	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CATHETER - TRAILBLAZER - 035X135  ANGLED	SUP-99-03615	CDM			272	RC		inpatient			612.5	612.5																																																			
CATHETER - TRAILBLAZER .035 X 150 ANGLED	SUP-99-03616	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CATHETER - TRAILBLAZER .035 X 150 ANGLED	SUP-99-03616	CDM			272	RC		inpatient			612.5	612.5																																																			
CATHETER - TRAILBLAZER - 014X150  ANGLED	SUP-99-03617	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CATHETER - TRAILBLAZER - 014X150  ANGLED	SUP-99-03617	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 6.0X60	SUP-99-03623	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 6.0X60	SUP-99-03623	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.5X20	SUP-99-03631	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.5X20	SUP-99-03631	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.5X60	SUP-99-03633	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.5X60	SUP-99-03633	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X40	SUP-99-03635	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X40	SUP-99-03635	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X40	SUP-99-03645	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X40	SUP-99-03645	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.5X210	SUP-99-03653	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.5X210	SUP-99-03653	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X120	SUP-99-03656	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X120	SUP-99-03656	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 6.0X120	SUP-99-03669	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 6.0X120	SUP-99-03669	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS 2.5X210	SUP-99-03674	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS 2.5X210	SUP-99-03674	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 4.0X80	SUP-99-03675	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 4.0X80	SUP-99-03675	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.0X80	SUP-99-03699	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.0X80	SUP-99-03699	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 6.0X20	SUP-99-03706	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 6.0X20	SUP-99-03706	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.5X100	SUP-99-03718	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.5X100	SUP-99-03718	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 5.0X80	SUP-99-03747	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 5.0X80	SUP-99-03747	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X40	SUP-99-03841	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X40	SUP-99-03841	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.0X80	SUP-99-03842	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.0X80	SUP-99-03842	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.5X120	SUP-99-03843	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.5X120	SUP-99-03843	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.5X250	SUP-99-03844	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.5X250	SUP-99-03844	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 2.5X60	SUP-99-03845	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 2.5X60	SUP-99-03845	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS 2.5X80	SUP-99-03846	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS 2.5X80	SUP-99-03846	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.0X100	SUP-99-03847	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.0X100	SUP-99-03847	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.5X100	SUP-99-03848	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.5X100	SUP-99-03848	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.5X150	SUP-99-03849	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.5X150	SUP-99-03849	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 3.5X80	SUP-99-03850	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 3.5X80	SUP-99-03850	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 6.0X100	SUP-99-03851	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 6.0X100	SUP-99-03851	CDM			272	RC		inpatient			612.5	612.5																																																			
BALLOON - NANOCROSS ELITE 6.0X150	SUP-99-03852	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
BALLOON - NANOCROSS ELITE 6.0X150	SUP-99-03852	CDM			272	RC		inpatient			612.5	612.5																																																			
CATHETER - TRAILBLAZER - 018X150  ANGLED	SUP-99-04087	CDM			272	RC		outpatient			612.5	612.5	165.93				percent of total billed charges		612.5				other	OPPS APC	453.25				percent of total billed charges		612.5				other	OPPS APC	612.5				other	OPPS APC	165.93				percent of total billed charges		169.23				percent of total billed charges		612.5				other	OPPS APC	165.93	612.5	
CATHETER - TRAILBLAZER - 018X150  ANGLED	SUP-99-04087	CDM			272	RC		inpatient			612.5	612.5																																																			
HC Xr Hysterosalpingogram	PX-320747400	CDM	74740	CPT	320	RC		outpatient			612	245.95	79.71				fee schedule		245.95				other	OPPS APC	174.27				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	96.25				fee schedule		77.88				fee schedule		245.95				other	OPPS APC	77.88	245.95	
HC Xr Hysterosalpingogram	PX-320747400	CDM	74740	CPT	320	RC		inpatient			612	612																																																			
ADAPTER HEAD 2 D HUMERUS STEM	SUP-208-09-02	CDM	270010025	LOCAL	270	RC		outpatient			612	612	165.79				percent of total billed charges		612				other	OPPS APC	452.88				percent of total billed charges		612				other	OPPS APC	612				other	OPPS APC	165.79				percent of total billed charges		169.1				percent of total billed charges		612				other	OPPS APC	165.79	612	
ADAPTER HEAD 2 D HUMERUS STEM	SUP-208-09-02	CDM	270010025	LOCAL	270	RC		inpatient			612	612																																																			
ROD SPINAL AXON CERVIFIX TITANIUM L240 MM OD3.5 MM OCIPITOCERVICOTHORACIC FUSION GOLD	SUP-498.957	CDM	270010013	LOCAL	270	RC		outpatient			611.8	611.8	165.74				percent of total billed charges		611.8				other	OPPS APC	452.73				percent of total billed charges		611.8				other	OPPS APC	611.8				other	OPPS APC	165.74				percent of total billed charges		169.04				percent of total billed charges		611.8				other	OPPS APC	165.74	611.8	
ROD SPINAL AXON CERVIFIX TITANIUM L240 MM OD3.5 MM OCIPITOCERVICOTHORACIC FUSION GOLD	SUP-498.957	CDM	270010013	LOCAL	270	RC		inpatient			611.8	611.8																																																			
AMPHOTERICIN B LIPOSOME PER 10 MG	636000000	CDM	62756-233-01	NDC	J0289	HCPCS		inpatient			611.38	611.38																																																			
AMPHOTERICIN B LIPOSOME PER 10 MG	636000000	CDM	62756-233-01	NDC	J0289	HCPCS		outpatient			611.38	29.49																																											29.49				other	OPPS APC	29.49	29.49	
NAIL INTRAMEDULLARY TITANIUM L440 MM OD3 MM OLECRANON ELASTIC STERILE GOLD	SUP-475.930S	CDM	270010022	LOCAL	270	RC		outpatient			611.1	611.12	165.55				percent of total billed charges		611.1				other	OPPS APC	452.21				percent of total billed charges		611.1				other	OPPS APC	611.1				other	OPPS APC	165.55				percent of total billed charges		168.85				percent of total billed charges		611.12				other	OPPS APC	165.55	611.12	
NAIL INTRAMEDULLARY TITANIUM L440 MM OD3 MM OLECRANON ELASTIC STERILE GOLD	SUP-475.930S	CDM	270010022	LOCAL	270	RC		inpatient			611.1	611.1																																																			
SCREW ANCHORAGE LOCKING 3 X 10MM	SUP-97-04206	CDM			278	RC		outpatient			610.75	61.75	610.75				fee schedule		610.75				other	OPPS APC	348.13				percent of total billed charges		610.75				other	OPPS APC	610.75				other	OPPS APC	299.27				percent of total billed charges		311.48				percent of total billed charges		61.75				other	OPPS APC	61.75	610.75	
SCREW ANCHORAGE LOCKING 3 X 10MM	SUP-97-04206	CDM			278	RC		inpatient			610.75	610.75																																																			
SCREW ANCHORAGE LOCKING 3 X 12MM	SUP-97-04207	CDM			278	RC		outpatient			610.75	61.75	610.75				fee schedule		610.75				other	OPPS APC	348.13				percent of total billed charges		610.75				other	OPPS APC	610.75				other	OPPS APC	299.27				percent of total billed charges		311.48				percent of total billed charges		61.75				other	OPPS APC	61.75	610.75	
SCREW ANCHORAGE LOCKING 3 X 12MM	SUP-97-04207	CDM			278	RC		inpatient			610.75	610.75																																																			
SCREW ANCHORAGE LOCKING 3 X 14MM	SUP-97-04208	CDM			278	RC		outpatient			610.75	61.75	610.75				fee schedule		610.75				other	OPPS APC	348.13				percent of total billed charges		610.75				other	OPPS APC	610.75				other	OPPS APC	299.27				percent of total billed charges		311.48				percent of total billed charges		61.75				other	OPPS APC	61.75	610.75	
SCREW ANCHORAGE LOCKING 3 X 14MM	SUP-97-04208	CDM			278	RC		inpatient			610.75	610.75																																																			
SCREW ANCHORAGE LOCKING 3 X 14MM	SUP-97-04209	CDM			278	RC		outpatient			610.75	61.75	610.75				fee schedule		610.75				other	OPPS APC	348.13				percent of total billed charges		610.75				other	OPPS APC	610.75				other	OPPS APC	299.27				percent of total billed charges		311.48				percent of total billed charges		61.75				other	OPPS APC	61.75	610.75	
SCREW ANCHORAGE LOCKING 3 X 14MM	SUP-97-04209	CDM			278	RC		inpatient			610.75	610.75																																																			
ANCHORAGE LOCKING SCREW 3MM X 20MM	SUP-97-04430	CDM			278	RC		outpatient			610.75	61.75	610.75				fee schedule		610.75				other	OPPS APC	348.13				percent of total billed charges		610.75				other	OPPS APC	610.75				other	OPPS APC	299.27				percent of total billed charges		311.48				percent of total billed charges		61.75				other	OPPS APC	61.75	610.75	
ANCHORAGE LOCKING SCREW 3MM X 20MM	SUP-97-04430	CDM			278	RC		inpatient			610.75	610.75																																																			
ANCHORAGE LOCKING SCREW 3MM X 18MM	SUP-97-04432	CDM			278	RC		outpatient			610.75	61.75	610.75				fee schedule		610.75				other	OPPS APC	348.13				percent of total billed charges		610.75				other	OPPS APC	610.75				other	OPPS APC	299.27				percent of total billed charges		311.48				percent of total billed charges		61.75				other	OPPS APC	61.75	610.75	
ANCHORAGE LOCKING SCREW 3MM X 18MM	SUP-97-04432	CDM			278	RC		inpatient			610.75	610.75																																																			
CATHETER INTRODUCER 18G X 2.5	SUP-95-01944	CDM			272	RC		outpatient			610.44	61.45	165.37				percent of total billed charges		610.44				other	OPPS APC	451.73				percent of total billed charges		610.44				other	OPPS APC	610.44				other	OPPS APC	165.37				percent of total billed charges		168.66				percent of total billed charges		61.45				other	OPPS APC	61.45	610.44	
CATHETER INTRODUCER 18G X 2.5	SUP-95-01944	CDM			272	RC		inpatient			610.44	610.44																																																			
ANCHOR SUTURE SUTURETAK FIBERWIRE BIOCOMPOSITE 2 L12 MM OD2.4 MM STERILE DISPOSABLE	SUP-AR-1934BCF-24	CDM			270	RC		outpatient			610	61	165.25				percent of total billed charges		610				other	OPPS APC	451.4				percent of total billed charges		610				other	OPPS APC	610				other	OPPS APC	165.25				percent of total billed charges		168.54				percent of total billed charges		61				other	OPPS APC	61	610	
ANCHOR SUTURE SUTURETAK FIBERWIRE BIOCOMPOSITE 2 L12 MM OD2.4 MM STERILE DISPOSABLE	SUP-AR-1934BCF-24	CDM			270	RC		inpatient			610	610																																																			
NICARDIPINE 40 MG/200 ML (0.2 MG/ML) PIGGYBACK	250000000	CDM	43066-016-10	NDC				inpatient			609.9	609.9																																																			
NICARDIPINE 40 MG/200 ML (0.2 MG/ML) PIGGYBACK	250000000	CDM	43066-016-10	NDC				outpatient			609.9	609.9																																															other	OPPS APC			
HC Treatment Devices-Complex	PX-333773340	CDM	77334	CPT	333	RC		outpatient			609	377.81	151.58				fee schedule		377.81				other	OPPS APC	464.63				fee schedule		377.81				other	OPPS APC	377.81				other	OPPS APC	124.63				fee schedule		64.56				fee schedule		377.81				other	OPPS APC	64.56	464.63	
HC Treatment Devices-Complex	PX-333773340	CDM	77334	CPT	333	RC		inpatient			609	609																																																			
HC Design Mlc Device for Imrt	PX-333773380	CDM	77338	CPT	333	RC		outpatient			609	377.81	505.15				fee schedule		377.81				other	OPPS APC	766.48				fee schedule		377.81				other	OPPS APC	377.81				other	OPPS APC	462.91				fee schedule		238.19				fee schedule		377.81				other	OPPS APC	238.19	766.48	
HC Design Mlc Device for Imrt	PX-333773380	CDM	77338	CPT	333	RC		inpatient			609	609																																																			
HC Stress/Pharmacological Echo	PX-483933500	CDM	93350	CPT	483	RC		outpatient			609	530	244.67				fee schedule		529.91				other	OPPS APC	400.34				fee schedule		529.91				other	OPPS APC	529.91				other	OPPS APC	185.13				fee schedule		310.59				percent of total billed charges		530				other	OPPS APC	185.13	530	
HC Stress/Pharmacological Echo	PX-483933500	CDM	93350	CPT	483	RC		inpatient			609	609																																																			
SUTURE RETRIEVER HEWSON	SUP-78-00394	CDM			272	RC		outpatient			609	69	164.98				percent of total billed charges		609				other	OPPS APC	450.66				percent of total billed charges		609				other	OPPS APC	609				other	OPPS APC	164.98				percent of total billed charges		168.27				percent of total billed charges		69				other	OPPS APC	69	609	
SUTURE RETRIEVER HEWSON	SUP-78-00394	CDM			272	RC		inpatient			609	609																																																			
PUMP PAIN BX/5	SUP-PM028	CDM			270	RC		outpatient			608.4	68.4	164.82				percent of total billed charges		608.4				other	OPPS APC	450.22				percent of total billed charges		608.4				other	OPPS APC	608.4				other	OPPS APC	164.82				percent of total billed charges		168.1				percent of total billed charges		68.4				other	OPPS APC	68.4	608.4	
PUMP PAIN BX/5	SUP-PM028	CDM			270	RC		inpatient			608.4	608.4																																																			
PROBE CRYOSURGICAL ERBECRYO L1.15 MM OD1.7 MM FLEXIBLE LIGHT PLUG DISPOSABLE	SUP-20402-410	CDM			270	RC		outpatient			608	68	164.71				percent of total billed charges		608				other	OPPS APC	449.92				percent of total billed charges		608				other	OPPS APC	608				other	OPPS APC	164.71				percent of total billed charges		167.99				percent of total billed charges		68				other	OPPS APC	68	608	
PROBE CRYOSURGICAL ERBECRYO L1.15 MM OD1.7 MM FLEXIBLE LIGHT PLUG DISPOSABLE	SUP-20402-410	CDM			270	RC		inpatient			608	608																																																			
PROBE CRYOSURGERY CRYOPROBE L1.15 MR OD2.4 MM FLEXIBLE DISPOSABLE ERBECRYO 2	SUP-20402-411	CDM			270	RC		outpatient			608	68	164.71				percent of total billed charges		608				other	OPPS APC	449.92				percent of total billed charges		608				other	OPPS APC	608				other	OPPS APC	164.71				percent of total billed charges		167.99				percent of total billed charges		68				other	OPPS APC	68	608	
PROBE CRYOSURGERY CRYOPROBE L1.15 MR OD2.4 MM FLEXIBLE DISPOSABLE ERBECRYO 2	SUP-20402-411	CDM			270	RC		inpatient			608	608																																																			
BIT DRILL ATLANTIS OD13 MM SPINE TRI FLAT STERILE DISPOSABLE	SUP-876-443	CDM	270010020	LOCAL	270	RC		outpatient			608	68	164.71				percent of total billed charges		608				other	OPPS APC	449.92				percent of total billed charges		608				other	OPPS APC	608				other	OPPS APC	164.71				percent of total billed charges		167.99				percent of total billed charges		68				other	OPPS APC	68	608	
BIT DRILL ATLANTIS OD13 MM SPINE TRI FLAT STERILE DISPOSABLE	SUP-876-443	CDM	270010020	LOCAL	270	RC		inpatient			608	608																																																			
END CAP 12MM +5 T2 NAIL	SUP-97-03335	CDM			278	RC		outpatient			607.99	67.99	607.99				fee schedule		607.99				other	OPPS APC	346.55				percent of total billed charges		607.99				other	OPPS APC	607.99				other	OPPS APC	297.92				percent of total billed charges		310.07				percent of total billed charges		67.99				other	OPPS APC	67.99	607.99	
END CAP 12MM +5 T2 NAIL	SUP-97-03335	CDM			278	RC		inpatient			607.99	607.99																																																			
ANCHOR SUTURE TWINFIX ULTRABRAID TITANIUM 2 OD3.5 MM NEEDLE STERILE	SUP-7210707	CDM			270	RC		outpatient			607.8	67.8	164.65				percent of total billed charges		607.8				other	OPPS APC	449.77				percent of total billed charges		607.8				other	OPPS APC	607.8				other	OPPS APC	164.65				percent of total billed charges		167.94				percent of total billed charges		67.8				other	OPPS APC	67.8	607.8	
ANCHOR SUTURE TWINFIX ULTRABRAID TITANIUM 2 OD3.5 MM NEEDLE STERILE	SUP-7210707	CDM			270	RC		inpatient			607.8	607.8																																																			
PLATE BONE LC-DCP STAINLESS STEEL L51 MM X W11 MM X H3.3 MM 4 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.54	CDM	270010022	LOCAL	270	RC		outpatient			607.2	67.25	164.49				percent of total billed charges		607.2				other	OPPS APC	449.33				percent of total billed charges		607.2				other	OPPS APC	607.2				other	OPPS APC	164.49				percent of total billed charges		167.77				percent of total billed charges		67.25				other	OPPS APC	67.25	607.2	
PLATE BONE LC-DCP STAINLESS STEEL L51 MM X W11 MM X H3.3 MM 4 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.54	CDM	270010022	LOCAL	270	RC		inpatient			607.2	607.2																																																			
ELECTRODE MONOPOLAR OD24.5 FR ODSEC26 FR HOOK BIPOLAR	SUP-862309	CDM			270	RC		outpatient			605.92	65.92	164.14				percent of total billed charges		605.92				other	OPPS APC	448.38				percent of total billed charges		605.92				other	OPPS APC	605.92				other	OPPS APC	164.14				percent of total billed charges		167.42				percent of total billed charges		65.92				other	OPPS APC	65.92	605.92	
ELECTRODE MONOPOLAR OD24.5 FR ODSEC26 FR HOOK BIPOLAR	SUP-862309	CDM			270	RC		inpatient			605.92	605.92																																																			
SCREW F/T LOCKING 5MM X 85MM	SUP-97-03147	CDM			278	RC		outpatient			605.89	65.89	605.89				fee schedule		605.89				other	OPPS APC	345.36				percent of total billed charges		605.89				other	OPPS APC	605.89				other	OPPS APC	296.89				percent of total billed charges		309				percent of total billed charges		65.89				other	OPPS APC	65.89	605.89	
SCREW F/T LOCKING 5MM X 85MM	SUP-97-03147	CDM			278	RC		inpatient			605.89	605.89																																																			
SCREW F/T LOCKING 5MM X 30MM	SUP-97-03302	CDM			278	RC		outpatient			605.85	65.85	605.85				fee schedule		605.85				other	OPPS APC	345.33				percent of total billed charges		605.85				other	OPPS APC	605.85				other	OPPS APC	296.87				percent of total billed charges		308.98				percent of total billed charges		65.85				other	OPPS APC	65.85	605.85	
SCREW F/T LOCKING 5MM X 30MM	SUP-97-03302	CDM			278	RC		inpatient			605.85	605.85																																																			
SCREW F/T LOCKING 5MM X 75MM	SUP-97-03303	CDM			278	RC		outpatient			605.85	65.85	605.85				fee schedule		605.85				other	OPPS APC	345.33				percent of total billed charges		605.85				other	OPPS APC	605.85				other	OPPS APC	296.87				percent of total billed charges		308.98				percent of total billed charges		65.85				other	OPPS APC	65.85	605.85	
SCREW F/T LOCKING 5MM X 75MM	SUP-97-03303	CDM			278	RC		inpatient			605.85	605.85																																																			
GRASPER 2.4FR TRICEPT	SUP-70-00206	CDM			272	RC		outpatient			605.05	65.5	163.91				percent of total billed charges		605.05				other	OPPS APC	447.74				percent of total billed charges		605.05				other	OPPS APC	605.05				other	OPPS APC	163.91				percent of total billed charges		167.18				percent of total billed charges		65.5				other	OPPS APC	65.5	605.05	
GRASPER 2.4FR TRICEPT	SUP-70-00206	CDM			272	RC		inpatient			605.05	605.05																																																			
SCREW F/T LOCKING 5MM X 27.5MM	SUP-97-03834	CDM			278	RC		outpatient			604.98	64.98	604.98				fee schedule		604.98				other	OPPS APC	344.84				percent of total billed charges		604.98				other	OPPS APC	604.98				other	OPPS APC	296.44				percent of total billed charges		308.54				percent of total billed charges		64.98				other	OPPS APC	64.98	604.98	
SCREW F/T LOCKING 5MM X 27.5MM	SUP-97-03834	CDM			278	RC		inpatient			604.98	604.98																																																			
SCREW F/T LOCKING 5MM X 100MM	SUP-97-03836	CDM			278	RC		outpatient			604.98	64.98	604.98				fee schedule		604.98				other	OPPS APC	344.84				percent of total billed charges		604.98				other	OPPS APC	604.98				other	OPPS APC	296.44				percent of total billed charges		308.54				percent of total billed charges		64.98				other	OPPS APC	64.98	604.98	
SCREW F/T LOCKING 5MM X 100MM	SUP-97-03836	CDM			278	RC		inpatient			604.98	604.98																																																			
SCREW F/T LOCKING 5MM X 104MM	SUP-97-03838	CDM			278	RC		outpatient			604.98	64.98	604.98				fee schedule		604.98				other	OPPS APC	344.84				percent of total billed charges		604.98				other	OPPS APC	604.98				other	OPPS APC	296.44				percent of total billed charges		308.54				percent of total billed charges		64.98				other	OPPS APC	64.98	604.98	
SCREW F/T LOCKING 5MM X 104MM	SUP-97-03838	CDM			278	RC		inpatient			604.98	604.98																																																			
SCREW F/T LOCKING 5MM X 110MM	SUP-97-03839	CDM			278	RC		outpatient			604.98	64.98	604.98				fee schedule		604.98				other	OPPS APC	344.84				percent of total billed charges		604.98				other	OPPS APC	604.98				other	OPPS APC	296.44				percent of total billed charges		308.54				percent of total billed charges		64.98				other	OPPS APC	64.98	604.98	
SCREW F/T LOCKING 5MM X 110MM	SUP-97-03839	CDM			278	RC		inpatient			604.98	604.98																																																			
PNEUMOTHORAX SET   CTSUP	SUP-99-00140	CDM			272	RC		outpatient			604.49	64.49	163.76				percent of total billed charges		604.49				other	OPPS APC	447.32				percent of total billed charges		604.49				other	OPPS APC	604.49				other	OPPS APC	163.76				percent of total billed charges		167.02				percent of total billed charges		64.49				other	OPPS APC	64.49	604.49	
PNEUMOTHORAX SET   CTSUP	SUP-99-00140	CDM			272	RC		inpatient			604.49	604.49																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03204	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03204	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING IM NAIL 44MM	SUP-97-03207	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL 44MM	SUP-97-03207	CDM			278	RC		inpatient			604.45	604.45																																																			
4.0MM LOCKING SCREW 36MM	SUP-97-03327	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
4.0MM LOCKING SCREW 36MM	SUP-97-03327	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-03545	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL 5	SUP-97-03545	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING IM NAIL	SUP-97-03546	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL	SUP-97-03546	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03695	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL 3	SUP-97-03695	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING IM NAIL 8	SUP-97-03696	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL 8	SUP-97-03696	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING IM NAIL 7	SUP-97-03697	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING IM NAIL 7	SUP-97-03697	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 4.0 MM LOCKING IM NAIL 5	SUP-97-03886	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 4.0 MM LOCKING IM NAIL 5	SUP-97-03886	CDM			278	RC		inpatient			604.45	604.45																																																			
4.0MM LOCKING SCREW 22MM	SUP-97-03976	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
4.0MM LOCKING SCREW 22MM	SUP-97-03976	CDM			278	RC		inpatient			604.45	604.45																																																			
4.0MM LOCKING SCREW 22MM	SUP-97-03977	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
4.0MM LOCKING SCREW 22MM	SUP-97-03977	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 4.0 MMX 46 LOCKING IM NAIL 4	SUP-97-03989	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 4.0 MMX 46 LOCKING IM NAIL 4	SUP-97-03989	CDM			278	RC		inpatient			604.45	604.45																																																			
4.0MM TI LOCKING SCREW T25 26MM NAILS	SUP-97-04061	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
4.0MM TI LOCKING SCREW T25 26MM NAILS	SUP-97-04061	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING 58MM	SUP-97-04078	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING 58MM	SUP-97-04078	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0 MM LOCKING 62MM	SUP-97-04079	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0 MM LOCKING 62MM	SUP-97-04079	CDM			278	RC		inpatient			604.45	604.45																																																			
5.0MM TI LOCKING SCREW W/T25 X56MM	SUP-97-04097	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
5.0MM TI LOCKING SCREW W/T25 X56MM	SUP-97-04097	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW LOCKING TI 5.0X60MM	SUP-97-04170	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW LOCKING TI 5.0X60MM	SUP-97-04170	CDM			278	RC		inpatient			604.45	604.45																																																			
SCREW 5.0X40 MM L KING	SUP-97-04270	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
SCREW 5.0X40 MM L KING	SUP-97-04270	CDM			278	RC		inpatient			604.45	604.45																																																			
LKNG SCREW 4.0 X 48MM	SUP-97-04456	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
LKNG SCREW 4.0 X 48MM	SUP-97-04456	CDM			278	RC		inpatient			604.45	604.45																																																			
5.0MM X 32MM LKNG SCREW	SUP-97-04620	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
5.0MM X 32MM LKNG SCREW	SUP-97-04620	CDM			278	RC		inpatient			604.45	604.45																																																			
4.0 X 44MM LKNG SCREW	SUP-97-05062	CDM			278	RC		outpatient			604.45	64.46	604.45				fee schedule		604.45				other	OPPS APC	344.54				percent of total billed charges		604.45				other	OPPS APC	604.45				other	OPPS APC	296.18				percent of total billed charges		308.27				percent of total billed charges		64.46				other	OPPS APC	64.46	604.45	
4.0 X 44MM LKNG SCREW	SUP-97-05062	CDM			278	RC		inpatient			604.45	604.45																																																			
NAIL INTRAMEDULLARY TITANIUM 9-11 YR L440 MM OD3.5 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE BLUE	SUP-475.935	CDM	270010022	LOCAL	270	RC		outpatient			603.34	63.34	163.44				percent of total billed charges		603.34				other	OPPS APC	446.47				percent of total billed charges		603.34				other	OPPS APC	603.34				other	OPPS APC	163.44				percent of total billed charges		166.7				percent of total billed charges		63.34				other	OPPS APC	63.34	603.34	
NAIL INTRAMEDULLARY TITANIUM 9-11 YR L440 MM OD3.5 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE BLUE	SUP-475.935	CDM	270010022	LOCAL	270	RC		inpatient			603.34	603.34																																																			
DRILL AO	SUP-97-01199	CDM			272	RC		outpatient			603.12	63.12	163.39				percent of total billed charges		603.12				other	OPPS APC	446.31				percent of total billed charges		603.12				other	OPPS APC	603.12				other	OPPS APC	163.39				percent of total billed charges		166.64				percent of total billed charges		63.12				other	OPPS APC	63.12	603.12	
DRILL AO	SUP-97-01199	CDM			272	RC		inpatient			603.12	603.12																																																			
DRILL 4.2 X 230MM AP SMALL	SUP-97-02994	CDM			272	RC		outpatient			603.12	63.12	163.39				percent of total billed charges		603.12				other	OPPS APC	446.31				percent of total billed charges		603.12				other	OPPS APC	603.12				other	OPPS APC	163.39				percent of total billed charges		166.64				percent of total billed charges		63.12				other	OPPS APC	63.12	603.12	
DRILL 4.2 X 230MM AP SMALL	SUP-97-02994	CDM			272	RC		inpatient			603.12	603.12																																																			
ENDOBUTTON 25MM	SUP-72200148	CDM			270	RC		outpatient			602.56	62.56	163.23				percent of total billed charges		602.56				other	OPPS APC	445.89				percent of total billed charges		602.56				other	OPPS APC	602.56				other	OPPS APC	163.23				percent of total billed charges		166.49				percent of total billed charges		62.56				other	OPPS APC	62.56	602.56	
ENDOBUTTON 25MM	SUP-72200148	CDM			270	RC		inpatient			602.56	602.56																																																			
SCREW 5.0 MM LOCKING IM NAIL 46MM	SUP-97-03323	CDM			278	RC		outpatient			602.25	62.25	602.25				fee schedule		602.25				other	OPPS APC	343.28				percent of total billed charges		602.25				other	OPPS APC	602.25				other	OPPS APC	295.1				percent of total billed charges		307.15				percent of total billed charges		62.25				other	OPPS APC	62.25	602.25	
SCREW 5.0 MM LOCKING IM NAIL 46MM	SUP-97-03323	CDM			278	RC		inpatient			602.25	602.25																																																			
SCREW LOCKING TI 5.0MM W/25 STARDIVER 26	SUP-97-03903	CDM			278	RC		outpatient			602.25	62.25	602.25				fee schedule		602.25				other	OPPS APC	343.28				percent of total billed charges		602.25				other	OPPS APC	602.25				other	OPPS APC	295.1				percent of total billed charges		307.15				percent of total billed charges		62.25				other	OPPS APC	62.25	602.25	
SCREW LOCKING TI 5.0MM W/25 STARDIVER 26	SUP-97-03903	CDM			278	RC		inpatient			602.25	602.25																																																			
CARTRIDGE ENDOSCOPIC INJECTOR II NEEDLE	SUP-CAT01857	CDM			270	RC		outpatient			602.02	62.2	163.09				percent of total billed charges		602.02				other	OPPS APC	445.49				percent of total billed charges		602.02				other	OPPS APC	602.02				other	OPPS APC	163.09				percent of total billed charges		166.34				percent of total billed charges		62.2				other	OPPS APC	62.2	602.02	
CARTRIDGE ENDOSCOPIC INJECTOR II NEEDLE	SUP-CAT01857	CDM			270	RC		inpatient			602.02	602.02																																																			
CANNULATED SCREWDRIVER	SUP-97-01165	CDM			272	RC		outpatient			602	62	163.08				percent of total billed charges		602				other	OPPS APC	445.48				percent of total billed charges		602				other	OPPS APC	602				other	OPPS APC	163.08				percent of total billed charges		166.33				percent of total billed charges		62				other	OPPS APC	62	602	
CANNULATED SCREWDRIVER	SUP-97-01165	CDM			272	RC		inpatient			602	602																																																			
SCREW 4.0 MM LOCKING 38MM FOR NAIL	SUP-97-03987	CDM			278	RC		outpatient			602	62	602				fee schedule		602				other	OPPS APC	343.14				percent of total billed charges		602				other	OPPS APC	602				other	OPPS APC	294.98				percent of total billed charges		307.02				percent of total billed charges		62				other	OPPS APC	62	602	
SCREW 4.0 MM LOCKING 38MM FOR NAIL	SUP-97-03987	CDM			278	RC		inpatient			602	602																																																			
SCREW 4.0 MM LOCKING 30MM FOR NAIL	SUP-97-03988	CDM			278	RC		outpatient			602	62	602				fee schedule		602				other	OPPS APC	343.14				percent of total billed charges		602				other	OPPS APC	602				other	OPPS APC	294.98				percent of total billed charges		307.02				percent of total billed charges		62				other	OPPS APC	62	602	
SCREW 4.0 MM LOCKING 30MM FOR NAIL	SUP-97-03988	CDM			278	RC		inpatient			602	602																																																			
SHUNT CAROTID SUNDT SILICONE L30 CM OD3.5-5 MM TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED STERILE DISPOSABLE ENDARTERECTOMY	SUP-NL8505071	CDM			270	RC		outpatient			602	62	163.08				percent of total billed charges		602				other	OPPS APC	445.48				percent of total billed charges		602				other	OPPS APC	602				other	OPPS APC	163.08				percent of total billed charges		166.33				percent of total billed charges		62				other	OPPS APC	62	602	
SHUNT CAROTID SUNDT SILICONE L30 CM OD3.5-5 MM TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED STERILE DISPOSABLE ENDARTERECTOMY	SUP-NL8505071	CDM			270	RC		inpatient			602	602																																																			
NEEDLE SUTURE EXPRESSEW III DISPOSABLE FLEX	SUP-214141	CDM			270	RC		outpatient			601.6	61.62	162.97				percent of total billed charges		601.6				other	OPPS APC	445.18				percent of total billed charges		601.6				other	OPPS APC	601.6				other	OPPS APC	162.97				percent of total billed charges		166.22				percent of total billed charges		61.62				other	OPPS APC	61.62	601.6	
NEEDLE SUTURE EXPRESSEW III DISPOSABLE FLEX	SUP-214141	CDM			270	RC		inpatient			601.6	601.6																																																			
DRILL BIT AO 4.2 X 180MM	SUP-95-04181	CDM			272	RC		outpatient			601.44	61.45	162.93				percent of total billed charges		601.44				other	OPPS APC	445.07				percent of total billed charges		601.44				other	OPPS APC	601.44				other	OPPS APC	162.93				percent of total billed charges		166.18				percent of total billed charges		61.45				other	OPPS APC	61.45	601.44	
DRILL BIT AO 4.2 X 180MM	SUP-95-04181	CDM			272	RC		inpatient			601.44	601.44																																																			
CABLE/SLEEVE ORTHOPEDIC DALL-MILES STAINLESS STEEL OD1.6 MM HIP SET BEAD	SUP-37040040	CDM			270	RC		outpatient			601.2	61.25	162.87				percent of total billed charges		601.2				other	OPPS APC	444.89				percent of total billed charges		601.2				other	OPPS APC	601.2				other	OPPS APC	162.87				percent of total billed charges		166.11				percent of total billed charges		61.25				other	OPPS APC	61.25	601.2	
CABLE/SLEEVE ORTHOPEDIC DALL-MILES STAINLESS STEEL OD1.6 MM HIP SET BEAD	SUP-37040040	CDM			270	RC		inpatient			601.2	601.2																																																			
CABLE/SLEEVE ORTHOPEDIC DALL-MILES 1.6MM DISPOSABLE STERILE LF SET BEAD	SUP-6704-0-420	CDM			270	RC		outpatient			601.2	61.25	162.87				percent of total billed charges		601.2				other	OPPS APC	444.89				percent of total billed charges		601.2				other	OPPS APC	601.2				other	OPPS APC	162.87				percent of total billed charges		166.11				percent of total billed charges		61.25				other	OPPS APC	61.25	601.2	
CABLE/SLEEVE ORTHOPEDIC DALL-MILES 1.6MM DISPOSABLE STERILE LF SET BEAD	SUP-6704-0-420	CDM			270	RC		inpatient			601.2	601.2																																																			
CABLE/SLEEVE ORTHOPEDIC DALL-MILES VITALLIUM OD2 MM HIP SET	SUP-6704-0-520	CDM			270	RC		outpatient			601.2	61.25	162.87				percent of total billed charges		601.2				other	OPPS APC	444.89				percent of total billed charges		601.2				other	OPPS APC	601.2				other	OPPS APC	162.87				percent of total billed charges		166.11				percent of total billed charges		61.25				other	OPPS APC	61.25	601.2	
CABLE/SLEEVE ORTHOPEDIC DALL-MILES VITALLIUM OD2 MM HIP SET	SUP-6704-0-520	CDM			270	RC		inpatient			601.2	601.2																																																			
GRAFT 3DMAX LG RIGHT (0115321)	SUP-75-00145	CDM			278	RC		outpatient			600.25	6.25	600.25				fee schedule		600.25				other	OPPS APC	342.14				percent of total billed charges		600.25				other	OPPS APC	600.25				other	OPPS APC	294.12				percent of total billed charges		306.13				percent of total billed charges		6.25				other	OPPS APC	6.25	600.25	
GRAFT 3DMAX LG RIGHT (0115321)	SUP-75-00145	CDM			278	RC		inpatient			600.25	600.25																																																			
SCREW SCHANZ SELF DRILLING 60MM THREAD 5 X 175MM	SUP-97-06097	CDM			278	RC		outpatient			600.25	6.25	600.25				fee schedule		600.25				other	OPPS APC	342.14				percent of total billed charges		600.25				other	OPPS APC	600.25				other	OPPS APC	294.12				percent of total billed charges		306.13				percent of total billed charges		6.25				other	OPPS APC	6.25	600.25	
SCREW SCHANZ SELF DRILLING 60MM THREAD 5 X 175MM	SUP-97-06097	CDM			278	RC		inpatient			600.25	600.25																																																			
HC Daily Care Nursery	PX-170000002	CDM	170000002	LOCAL	170	RC		inpatient			600	600																																																			
Iupc  Catheters-Intran Plus	PX-272000026	CDM			272	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	600				fee schedule		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
Iupc  Catheters-Intran Plus	PX-272000026	CDM			272	RC		inpatient			600	600																																																			
KIT DRAINAGE PLEURX 1000 ML STARTER CATHETER	SUP-50-0071	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
KIT DRAINAGE PLEURX 1000 ML STARTER CATHETER	SUP-50-0071	CDM			270	RC		inpatient			600	600																																																			
IMPLANT BREAST NATRELLE SALINE P4.6 CM MODERATE PROFILE ROUND OD14.1 CM 480-510 ML STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE STERILE	SUP-68-480	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
IMPLANT BREAST NATRELLE SALINE P4.6 CM MODERATE PROFILE ROUND OD14.1 CM 480-510 ML STYLE 68MP SMOOTH ANTERIOR DIAPHRAGM VALVE STERILE	SUP-68-480	CDM			270	RC		inpatient			600	600																																																			
PLATE BONE STERNALOCK BLU SQUARE STERNUM 4 HOLE 2 SIDE LOW PROFILE	SUP-73-2622	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
PLATE BONE STERNALOCK BLU SQUARE STERNUM 4 HOLE 2 SIDE LOW PROFILE	SUP-73-2622	CDM			270	RC		inpatient			600	600																																																			
PLATE BONE STERNALOCK BLU STRAIGHT STERNUM 4 HOLE 2.4 MM SCREW	SUP-73-2636	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
PLATE BONE STERNALOCK BLU STRAIGHT STERNUM 4 HOLE 2.4 MM SCREW	SUP-73-2636	CDM			270	RC		inpatient			600	600																																																			
PLATE BONE STERNALOCK BLU 100D L STERNUM 4 HOLE 2 SIDE LOW PROFILE	SUP-73-2643	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
PLATE BONE STERNALOCK BLU 100D L STERNUM 4 HOLE 2 SIDE LOW PROFILE	SUP-73-2643	CDM			270	RC		inpatient			600	600																																																			
SCREW BONE LEOS 3.5MM 16MM NON-LOCKING	SUP-7621-3516	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE LEOS 3.5MM 16MM NON-LOCKING	SUP-7621-3516	CDM			270	RC		inpatient			600	600																																																			
SCREW LOCKING LEOS 3.5MM 18MM	SUP-76213518	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW LOCKING LEOS 3.5MM 18MM	SUP-76213518	CDM			270	RC		inpatient			600	600																																																			
SCREW BONE LEOS 3.5MM 18MM NON-LOCKING	SUP-7621-3518	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE LEOS 3.5MM 18MM NON-LOCKING	SUP-7621-3518	CDM			270	RC		inpatient			600	600																																																			
SCREW BONE LEOS 3.5MM 24MM LOCKING VARIABLE ANGLE	SUP-7621-3524	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE LEOS 3.5MM 24MM LOCKING VARIABLE ANGLE	SUP-7621-3524	CDM			270	RC		inpatient			600	600																																																			
SCREW LOCKING LEOS 3.5MM 26MM	SUP-76213526	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW LOCKING LEOS 3.5MM 26MM	SUP-76213526	CDM			270	RC		inpatient			600	600																																																			
SCREW LOCKING LEOS 3.5MM 40MM	SUP-76213540	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW LOCKING LEOS 3.5MM 40MM	SUP-76213540	CDM			270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE L45 MM OD4.5 MM SPINE	SUP-83545459	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE L45 MM OD4.5 MM SPINE	SUP-83545459	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD4.5 MM SPINE	SUP-83545509	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD4.5 MM SPINE	SUP-83545509	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L30 MM OD5.5 MM SPINE	SUP-83555309	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L30 MM OD5.5 MM SPINE	SUP-83555309	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L35 MM OD5.5 MM SPINE	SUP-83555359	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L35 MM OD5.5 MM SPINE	SUP-83555359	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L40 MM OD5.5 MM SPINE	SUP-83555409	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L40 MM OD5.5 MM SPINE	SUP-83555409	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH THINLINE OSTEOGRIP L45 MM OD5.5 MM SPINE	SUP-83555459	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH THINLINE OSTEOGRIP L45 MM OD5.5 MM SPINE	SUP-83555459	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD5.5 MM SPINE	SUP-83555559	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD5.5 MM SPINE	SUP-83555559	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD8.5 MM SPINE	SUP-83585509	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD8.5 MM SPINE	SUP-83585509	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L40 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372640	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH-3D TITANIUM SHORT POST L40 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372640	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L45 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372645	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH-3D TITANIUM SHORT POST L45 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372645	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L50 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372650	CDM	270010020	LOCAL	270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
SCREW BONE TSRH-3D TITANIUM SHORT POST L50 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372650	CDM	270010020	LOCAL	270	RC		inpatient			600	600																																																			
ALLOSYNC PURE 1CC	SUP-ABS-2010-01	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
ALLOSYNC PURE 1CC	SUP-ABS-2010-01	CDM			270	RC		inpatient			600	600																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L148 MM ANKLE 12 HOLE LOCK	SUP-AR-8943T-12	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
PLATE BONE STAINLESS STEEL 1/3 TUBE L148 MM ANKLE 12 HOLE LOCK	SUP-AR-8943T-12	CDM			270	RC		inpatient			600	600																																																			
PIN FIXATION SCHANZ L150 MM OD5 MM SELF DRILL CALCANEAL FRACTURE	SUP-AR-8954-01	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
PIN FIXATION SCHANZ L150 MM OD5 MM SELF DRILL CALCANEAL FRACTURE	SUP-AR-8954-01	CDM			270	RC		inpatient			600	600																																																			
CABLE CATHETER SURELINK L 120CM 4 PIN BLUE	SUP-D-ENS-INQ-Q-CBL	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
CABLE CATHETER SURELINK L 120CM 4 PIN BLUE	SUP-D-ENS-INQ-Q-CBL	CDM			270	RC		inpatient			600	600																																																			
CABLE CATHETER LIVEWIRE RESPONSE 4 PIN	SUP-D-ENS-L/R-BQ-CBL	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
CABLE CATHETER LIVEWIRE RESPONSE 4 PIN	SUP-D-ENS-L/R-BQ-CBL	CDM			270	RC		inpatient			600	600																																																			
ACTIVATOR PATIENT FOR MRI	SUP-EX4000	CDM			275	RC		outpatient			600	6	294				percent of total billed charges		600				other	OPPS APC	342				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	294				percent of total billed charges		306				percent of total billed charges		6				other	OPPS APC	6	600	
ACTIVATOR PATIENT FOR MRI	SUP-EX4000	CDM			275	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L8 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22508UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L8 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22508UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22512UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22512UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L14 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22514UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L14 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22514UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L22 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22522UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L22 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22522UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22526UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD2.25 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT22526UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L8 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25008UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L8 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25008UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25012UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25012UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25018UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25018UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L22 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25022UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L22 MM OD2.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT25022UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD2.75 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT27512UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD2.75 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT27512UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD2.75 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT27518UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD2.75 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT27518UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L9 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30009UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L9 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30009UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30012UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30012UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L15 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30015UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L15 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30015UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30018UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30018UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L30 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30030UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L30 MM OD3 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT30030UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD3.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT35012UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD3.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT35012UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L15 MM OD3.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT35015UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L15 MM OD3.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT35015UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD3.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT35026UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD3.5 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT35026UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40012UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L12 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40012UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40018UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L18 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40018UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L22 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40022UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L22 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40022UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40026UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L26 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40026UX	CDM			270	RC		inpatient			600	600																																																			
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L30 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40030UX	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
STENT CORONARY INTEGRITY MICROTRAC SOFTER FULCRUM COCR L30 MM OD4 MM RAPID EXCHANGE 1 CONTINUOUS SINUSOID STRAND INTEGRATE TIP RADIOPAQUE STERILE	SUP-INT40030UX	CDM			270	RC		inpatient			600	600																																																			
VIP BONE MODEL	SUP-MWJ004	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
VIP BONE MODEL	SUP-MWJ004	CDM			270	RC		inpatient			600	600																																																			
AIRWAY SIZING KIT HUD	SUP-REF-HUS-VSK	CDM			270	RC		outpatient			600	6	162.54				percent of total billed charges		600				other	OPPS APC	444				percent of total billed charges		600				other	OPPS APC	600				other	OPPS APC	162.54				percent of total billed charges		165.78				percent of total billed charges		6				other	OPPS APC	6	600	
AIRWAY SIZING KIT HUD	SUP-REF-HUS-VSK	CDM			270	RC		inpatient			600	600																																																			
SCREW ASNIS MICRO 2MM LENGTH 18/5MM	SUP-97-03295	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
SCREW ASNIS MICRO 2MM LENGTH 18/5MM	SUP-97-03295	CDM			278	RC		inpatient			599.76	599.76																																																			
2.0 X 12MM MICRO ASNIS CAN.SCREW	SUP-97-04609	CDM			278	RC		outpatient			599.76	599.76	293.88				percent of total billed charges		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
2.0 X 12MM MICRO ASNIS CAN.SCREW	SUP-97-04609	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0MM ASNIS MICRO CANN SCREW 36/7MM	SUP-97-04633	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
3.0MM ASNIS MICRO CANN SCREW 36/7MM	SUP-97-04633	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0MM ASNIS MICRO CANN SCREW 28/6MM	SUP-97-04634	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
3.0MM ASNIS MICRO CANN SCREW 28/6MM	SUP-97-04634	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 15 MICO CAN SCREW	SUP-97-05067	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
3.0 X 15 MICO CAN SCREW	SUP-97-05067	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 19MM CAN. SCREW	SUP-97-23633	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
3.0 X 19MM CAN. SCREW	SUP-97-23633	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 24MM CAN.SCREW TITAN.	SUP-97-23658	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
3.0 X 24MM CAN.SCREW TITAN.	SUP-97-23658	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 30MM CAN. SCREW TITAN.	SUP-97-23659	CDM			278	RC		outpatient			599.76	599.76	599.76				fee schedule		599.76				other	OPPS APC	341.86				percent of total billed charges		599.76				other	OPPS APC	599.76				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		599.76				other	OPPS APC	293.88	599.76	
3.0 X 30MM CAN. SCREW TITAN.	SUP-97-23659	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 14 MM CAN. SCREW	SUP-97-23771	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 14 MM CAN. SCREW	SUP-97-23771	CDM			278	RC		outpatient			599.76	23.75					fee schedule		230.75				other	OPPS APC	341.86				percent of total billed charges		230.75				other	OPPS APC	230.75				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		23.75				other	OPPS APC	341.86	341.86	
3.0 X 4MM CAN.SCREW	SUP-97-23801	CDM			278	RC		inpatient			599.76	599.76																																																			
3.0 X 4MM CAN.SCREW	SUP-97-23801	CDM			278	RC		outpatient			599.76	23.75					fee schedule		230.75				other	OPPS APC	341.86				percent of total billed charges		230.75				other	OPPS APC	230.75				other	OPPS APC	293.88				percent of total billed charges		305.88				percent of total billed charges		23.75				other	OPPS APC	341.86	341.86	
SCREW ASNIS MICRO CANN 3.0MMX16/4MM	SUP-97-04608	CDM			278	RC		inpatient			599.55	599.55																																																			
SCREW ASNIS MICRO CANN 3.0MMX16/4MM	SUP-97-04608	CDM			278	RC		outpatient			599.55	23.75					fee schedule		230.75				other	OPPS APC	341.74				percent of total billed charges		230.75				other	OPPS APC	230.75				other	OPPS APC	293.78				percent of total billed charges		305.77				percent of total billed charges		23.75				other	OPPS APC	341.74	341.74	
PLATE BONE LCP COMBI 111X11X3.4MM SS NS 8 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.581	CDM	270010022	LOCAL	270	RC		outpatient			599.46	599.46	162.39				percent of total billed charges		599.46				other	OPPS APC	443.6				percent of total billed charges		599.46				other	OPPS APC	599.46				other	OPPS APC	162.39				percent of total billed charges		165.63				percent of total billed charges		599.46				other	OPPS APC	162.39	599.46	
PLATE BONE LCP COMBI 111X11X3.4MM SS NS 8 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.581	CDM	270010022	LOCAL	270	RC		inpatient			599.46	599.46																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L55 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372655	CDM	270010020	LOCAL	270	RC		outpatient			599.06	599.6	162.29				percent of total billed charges		599.06				other	OPPS APC	443.3				percent of total billed charges		599.06				other	OPPS APC	599.06				other	OPPS APC	162.29				percent of total billed charges		165.52				percent of total billed charges		599.6				other	OPPS APC	162.29	599.6	
SCREW BONE TSRH-3D TITANIUM SHORT POST L55 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372655	CDM	270010020	LOCAL	270	RC		inpatient			599.06	599.06																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L40 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372540	CDM	270010020	LOCAL	270	RC		outpatient			599.04	599.4	162.28				percent of total billed charges		599.04				other	OPPS APC	443.29				percent of total billed charges		599.04				other	OPPS APC	599.04				other	OPPS APC	162.28				percent of total billed charges		165.51				percent of total billed charges		599.4				other	OPPS APC	162.28	599.4	
SCREW BONE TSRH-3D TITANIUM SHORT POST L40 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372540	CDM	270010020	LOCAL	270	RC		inpatient			599.04	599.04																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L45 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372545	CDM	270010020	LOCAL	270	RC		outpatient			599.04	599.4	162.28				percent of total billed charges		599.04				other	OPPS APC	443.29				percent of total billed charges		599.04				other	OPPS APC	599.04				other	OPPS APC	162.28				percent of total billed charges		165.51				percent of total billed charges		599.4				other	OPPS APC	162.28	599.4	
SCREW BONE TSRH-3D TITANIUM SHORT POST L45 MM OD5.5 MM SPINE PEDICLE POSTERIOR	SUP-8372545	CDM	270010020	LOCAL	270	RC		inpatient			599.04	599.04																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L30 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372630	CDM	270010020	LOCAL	270	RC		outpatient			599.04	599.4	162.28				percent of total billed charges		599.04				other	OPPS APC	443.29				percent of total billed charges		599.04				other	OPPS APC	599.04				other	OPPS APC	162.28				percent of total billed charges		165.51				percent of total billed charges		599.4				other	OPPS APC	162.28	599.4	
SCREW BONE TSRH-3D TITANIUM SHORT POST L30 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372630	CDM	270010020	LOCAL	270	RC		inpatient			599.04	599.04																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L35 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372635	CDM	270010020	LOCAL	270	RC		outpatient			599.04	599.4	162.28				percent of total billed charges		599.04				other	OPPS APC	443.29				percent of total billed charges		599.04				other	OPPS APC	599.04				other	OPPS APC	162.28				percent of total billed charges		165.51				percent of total billed charges		599.4				other	OPPS APC	162.28	599.4	
SCREW BONE TSRH-3D TITANIUM SHORT POST L35 MM OD6.5 MM SPINE PEDICLE POSTERIOR	SUP-8372635	CDM	270010020	LOCAL	270	RC		inpatient			599.04	599.04																																																			
SCREW BONE TSRH-3D TITANIUM SHORT L40 MM OD7.5 MM SPINE PEDICLE POSTERIOR	SUP-8372740	CDM	270010020	LOCAL	270	RC		outpatient			599.04	599.4	162.28				percent of total billed charges		599.04				other	OPPS APC	443.29				percent of total billed charges		599.04				other	OPPS APC	599.04				other	OPPS APC	162.28				percent of total billed charges		165.51				percent of total billed charges		599.4				other	OPPS APC	162.28	599.4	
SCREW BONE TSRH-3D TITANIUM SHORT L40 MM OD7.5 MM SPINE PEDICLE POSTERIOR	SUP-8372740	CDM	270010020	LOCAL	270	RC		inpatient			599.04	599.04																																																			
SCREW BONE TSRH-3D TITANIUM SHORT POST L45 MM OD7.5 MM SPINE PEDICLE POSTERIOR	SUP-8372745	CDM	270010020	LOCAL	270	RC		outpatient			599.04	599.4	162.28				percent of total billed charges		599.04				other	OPPS APC	443.29				percent of total billed charges		599.04				other	OPPS APC	599.04				other	OPPS APC	162.28				percent of total billed charges		165.51				percent of total billed charges		599.4				other	OPPS APC	162.28	599.4	
SCREW BONE TSRH-3D TITANIUM SHORT POST L45 MM OD7.5 MM SPINE PEDICLE POSTERIOR	SUP-8372745	CDM	270010020	LOCAL	270	RC		inpatient			599.04	599.04																																																			
RING ACETABULAR DURALOC DYNAMIC 60/72MM STERILE LF HIP LOCK	SUP-1249-50-000	CDM	270010024	LOCAL	270	RC		outpatient			598.8	598.8	162.21				percent of total billed charges		598.8				other	OPPS APC	443.11				percent of total billed charges		598.8				other	OPPS APC	598.8				other	OPPS APC	162.21				percent of total billed charges		165.45				percent of total billed charges		598.8				other	OPPS APC	162.21	598.8	
RING ACETABULAR DURALOC DYNAMIC 60/72MM STERILE LF HIP LOCK	SUP-1249-50-000	CDM	270010024	LOCAL	270	RC		inpatient			598.8	598.8																																																			
RING ACETABULAR DURALOC DYNAMIC 52MM STERILE LF HIP LOCK	SUP-1249-52-000	CDM	270010024	LOCAL	270	RC		outpatient			598.8	598.8	162.21				percent of total billed charges		598.8				other	OPPS APC	443.11				percent of total billed charges		598.8				other	OPPS APC	598.8				other	OPPS APC	162.21				percent of total billed charges		165.45				percent of total billed charges		598.8				other	OPPS APC	162.21	598.8	
RING ACETABULAR DURALOC DYNAMIC 52MM STERILE LF HIP LOCK	SUP-1249-52-000	CDM	270010024	LOCAL	270	RC		inpatient			598.8	598.8																																																			
ANCHORAGE LOCKING SCREW 3.5MM X 24MM	SUP-97-04428	CDM			278	RC		outpatient			598.5	598.5	598.5				fee schedule		598.5				other	OPPS APC	341.15				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	293.27				percent of total billed charges		305.24				percent of total billed charges		598.5				other	OPPS APC	293.27	598.5	
ANCHORAGE LOCKING SCREW 3.5MM X 24MM	SUP-97-04428	CDM			278	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 135CM ANGLED	SUP-99-01856	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 135CM ANGLED	SUP-99-01856	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 150CM ANGLED	SUP-99-01857	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 150CM ANGLED	SUP-99-01857	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.018 STRAIGHT 90CM	SUP-99-04704	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.018 STRAIGHT 90CM	SUP-99-04704	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.018 STRAIGHT 135CM	SUP-99-04705	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.018 STRAIGHT 135CM	SUP-99-04705	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.018 STRAIGHT 150CM	SUP-99-04706	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.018 STRAIGHT 150CM	SUP-99-04706	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.018 ANGLED 90CM	SUP-99-04707	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.018 ANGLED 90CM	SUP-99-04707	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.018 ANGLED 135CM	SUP-99-04708	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.018 ANGLED 135CM	SUP-99-04708	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.018 ANGLED 150CM	SUP-99-04709	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.018 ANGLED 150CM	SUP-99-04709	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.035 STRAIGHT 90CM	SUP-99-04710	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.035 STRAIGHT 90CM	SUP-99-04710	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.035 STRAIGHT 135CM	SUP-99-04711	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.035 STRAIGHT 135CM	SUP-99-04711	CDM			272	RC		inpatient			598.5	598.5																																																			
CATHETER - NAVICROSS 0.035 STRAIGHT 150CM	SUP-99-04712	CDM			272	RC		outpatient			598.5	598.5	162.13				percent of total billed charges		598.5				other	OPPS APC	442.89				percent of total billed charges		598.5				other	OPPS APC	598.5				other	OPPS APC	162.13				percent of total billed charges		165.37				percent of total billed charges		598.5				other	OPPS APC	162.13	598.5	
CATHETER - NAVICROSS 0.035 STRAIGHT 150CM	SUP-99-04712	CDM			272	RC		inpatient			598.5	598.5																																																			
EPIDURAL NEEDLE 17G X 3.5 PERIFIX TUOHY	SUP-95-03449	CDM			272	RC		outpatient			598.36	598.36	162.1				percent of total billed charges		598.36				other	OPPS APC	442.79				percent of total billed charges		598.36				other	OPPS APC	598.36				other	OPPS APC	162.1				percent of total billed charges		165.33				percent of total billed charges		598.36				other	OPPS APC	162.1	598.36	
EPIDURAL NEEDLE 17G X 3.5 PERIFIX TUOHY	SUP-95-03449	CDM			272	RC		inpatient			598.36	598.36																																																			
BIT DRILL PREMIER 4 MM OD13 MM ANTERIOR CERVICAL TRIFLAT STERILE DISPOSABLE ANTERIOR CERVICAL PLATE SYSTEM	SUP-6860443	CDM	270010020	LOCAL	270	RC		outpatient			598	598	162				percent of total billed charges		598				other	OPPS APC	442.52				percent of total billed charges		598				other	OPPS APC	598				other	OPPS APC	162				percent of total billed charges		165.23				percent of total billed charges		598				other	OPPS APC	162	598	
BIT DRILL PREMIER 4 MM OD13 MM ANTERIOR CERVICAL TRIFLAT STERILE DISPOSABLE ANTERIOR CERVICAL PLATE SYSTEM	SUP-6860443	CDM	270010020	LOCAL	270	RC		inpatient			598	598																																																			
BIT DRILL PREMIER TRIFLAT ADJUSTABLE NONSTERILE ANTERIOR CERVICAL PLATE SYSTEM	SUP-6860455	CDM			270	RC		outpatient			598	598	162				percent of total billed charges		598				other	OPPS APC	442.52				percent of total billed charges		598				other	OPPS APC	598				other	OPPS APC	162				percent of total billed charges		165.23				percent of total billed charges		598				other	OPPS APC	162	598	
BIT DRILL PREMIER TRIFLAT ADJUSTABLE NONSTERILE ANTERIOR CERVICAL PLATE SYSTEM	SUP-6860455	CDM			270	RC		inpatient			598	598																																																			
ACUTRAK 2 MINI DRILL	SUP-AT2-1509	CDM			270	RC		outpatient			598	598	162				percent of total billed charges		598				other	OPPS APC	442.52				percent of total billed charges		598				other	OPPS APC	598				other	OPPS APC	162				percent of total billed charges		165.23				percent of total billed charges		598				other	OPPS APC	162	598	
ACUTRAK 2 MINI DRILL	SUP-AT2-1509	CDM			270	RC		inpatient			598	598																																																			
ACUTRAK 2 DRILL	SUP-AT2-2515	CDM			270	RC		outpatient			598	598	162				percent of total billed charges		598				other	OPPS APC	442.52				percent of total billed charges		598				other	OPPS APC	598				other	OPPS APC	162				percent of total billed charges		165.23				percent of total billed charges		598				other	OPPS APC	162	598	
ACUTRAK 2 DRILL	SUP-AT2-2515	CDM			270	RC		inpatient			598	598																																																			
ACUTRAK 2 MINI DRILL	SUP-AT2-M1813	CDM			270	RC		outpatient			598	598	162				percent of total billed charges		598				other	OPPS APC	442.52				percent of total billed charges		598				other	OPPS APC	598				other	OPPS APC	162				percent of total billed charges		165.23				percent of total billed charges		598				other	OPPS APC	162	598	
ACUTRAK 2 MINI DRILL	SUP-AT2-M1813	CDM			270	RC		inpatient			598	598																																																			
RELOAD ENDOWRIST 30 4.3 GREEN	SUP-95-04888	CDM			272	RC		outpatient			597.92	597.92	161.98				percent of total billed charges		597.92				other	OPPS APC	442.46				percent of total billed charges		597.92				other	OPPS APC	597.92				other	OPPS APC	161.98				percent of total billed charges		165.21				percent of total billed charges		597.92				other	OPPS APC	161.98	597.92	
RELOAD ENDOWRIST 30 4.3 GREEN	SUP-95-04888	CDM			272	RC		inpatient			597.92	597.92																																																			
RELOAD ENDOWRIST 30 4.3 WHITE	SUP-95-04903	CDM			272	RC		outpatient			597.92	597.92	161.98				percent of total billed charges		597.92				other	OPPS APC	442.46				percent of total billed charges		597.92				other	OPPS APC	597.92				other	OPPS APC	161.98				percent of total billed charges		165.21				percent of total billed charges		597.92				other	OPPS APC	161.98	597.92	
RELOAD ENDOWRIST 30 4.3 WHITE	SUP-95-04903	CDM			272	RC		inpatient			597.92	597.92																																																			
EXTRACTOR STONE NGAGE NITINOL L115 CM OD1.7 FR ODSEC11 MM KIDNEY URETER	SUP-G48295	CDM			270	RC		outpatient			597.88	597.88	161.97				percent of total billed charges		597.88				other	OPPS APC	442.43				percent of total billed charges		597.88				other	OPPS APC	597.88				other	OPPS APC	161.97				percent of total billed charges		165.19				percent of total billed charges		597.88				other	OPPS APC	161.97	597.88	
EXTRACTOR STONE NGAGE NITINOL L115 CM OD1.7 FR ODSEC11 MM KIDNEY URETER	SUP-G48295	CDM			270	RC		inpatient			597.88	597.88																																																			
PEAK PLASMABLADE 4.0 DISPOSABLE	SUP-PS200-040	CDM			270	RC		outpatient			596.74	596.74	161.66				percent of total billed charges		596.74				other	OPPS APC	441.59				percent of total billed charges		596.74				other	OPPS APC	596.74				other	OPPS APC	161.66				percent of total billed charges		164.88				percent of total billed charges		596.74				other	OPPS APC	161.66	596.74	
PEAK PLASMABLADE 4.0 DISPOSABLE	SUP-PS200-040	CDM			270	RC		inpatient			596.74	596.74																																																			
FEM/TIB NAIL REAMING ROD W BAL	SUP-95-04057	CDM			272	RC		outpatient			596.68	596.68	161.64				percent of total billed charges		596.68				other	OPPS APC	441.54				percent of total billed charges		596.68				other	OPPS APC	596.68				other	OPPS APC	161.64				percent of total billed charges		164.86				percent of total billed charges		596.68				other	OPPS APC	161.64	596.68	
FEM/TIB NAIL REAMING ROD W BAL	SUP-95-04057	CDM			272	RC		inpatient			596.68	596.68																																																			
SCREW ASNIS III TI CANN 5.0MM X 75MM	SUP-97-04161	CDM			278	RC		outpatient			596.4	596.4	596.4				fee schedule		596.4				other	OPPS APC	339.95				percent of total billed charges		596.4				other	OPPS APC	596.4				other	OPPS APC	292.24				percent of total billed charges		304.16				percent of total billed charges		596.4				other	OPPS APC	292.24	596.4	
SCREW ASNIS III TI CANN 5.0MM X 75MM	SUP-97-04161	CDM			278	RC		inpatient			596.4	596.4																																																			
BASKET SPECIMEN RETRIEVAL TRAPEZOID 3.2 MM L180 CM L5 CM OD2.5 CM BILIARY RAPID EXCHANGE LITHOTRIPTER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00510880	CDM			270	RC		outpatient			596.32	596.33	161.54				percent of total billed charges		596.32				other	OPPS APC	441.28				percent of total billed charges		596.32				other	OPPS APC	596.32				other	OPPS APC	161.54				percent of total billed charges		164.76				percent of total billed charges		596.33				other	OPPS APC	161.54	596.33	
BASKET SPECIMEN RETRIEVAL TRAPEZOID 3.2 MM L180 CM L5 CM OD2.5 CM BILIARY RAPID EXCHANGE LITHOTRIPTER STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00510880	CDM			270	RC		inpatient			596.32	596.32																																																			
6F PRONTO V4 EXTRACTION CATHETER	SUP-4006	CDM			270	RC		outpatient			596	596	161.46				percent of total billed charges		596				other	OPPS APC	441.04				percent of total billed charges		596				other	OPPS APC	596				other	OPPS APC	161.46				percent of total billed charges		164.67				percent of total billed charges		596				other	OPPS APC	161.46	596	
6F PRONTO V4 EXTRACTION CATHETER	SUP-4006	CDM			270	RC		inpatient			596	596																																																			
SCREW LOCKING 5.0MM X 20MM	SUP-97-03733	CDM			278	RC		outpatient			595.81	595.9	595.81				fee schedule		595.81				other	OPPS APC	339.61				percent of total billed charges		595.81				other	OPPS APC	595.81				other	OPPS APC	291.95				percent of total billed charges		303.86				percent of total billed charges		595.9				other	OPPS APC	291.95	595.9	
SCREW LOCKING 5.0MM X 20MM	SUP-97-03733	CDM			278	RC		inpatient			595.81	595.81																																																			
SCREW LOCKING 5.0MM X 80MM	SUP-97-05545	CDM			278	RC		outpatient			595.81	595.9	595.81				fee schedule		595.81				other	OPPS APC	339.61				percent of total billed charges		595.81				other	OPPS APC	595.81				other	OPPS APC	291.95				percent of total billed charges		303.86				percent of total billed charges		595.9				other	OPPS APC	291.95	595.9	
SCREW LOCKING 5.0MM X 80MM	SUP-97-05545	CDM			278	RC		inpatient			595.81	595.81																																																			
SCREW LOCKING 5.0MM X 90MM	SUP-97-05546	CDM			278	RC		outpatient			595.81	595.9	595.81				fee schedule		595.81				other	OPPS APC	339.61				percent of total billed charges		595.81				other	OPPS APC	595.81				other	OPPS APC	291.95				percent of total billed charges		303.86				percent of total billed charges		595.9				other	OPPS APC	291.95	595.9	
SCREW LOCKING 5.0MM X 90MM	SUP-97-05546	CDM			278	RC		inpatient			595.81	595.81																																																			
DRESSING PEEL AND PLACE PREVENA 20CM	SUP-PRE1055US	CDM			270	RC		outpatient			595.78	595.78	161.4				percent of total billed charges		595.78				other	OPPS APC	440.88				percent of total billed charges		595.78				other	OPPS APC	595.78				other	OPPS APC	161.4				percent of total billed charges		164.61				percent of total billed charges		595.78				other	OPPS APC	161.4	595.78	
DRESSING PEEL AND PLACE PREVENA 20CM	SUP-PRE1055US	CDM			270	RC		inpatient			595.78	595.78																																																			
DRESSING PEEL AND PLACE PREVENA 13CM	SUP-PRE1155US	CDM			270	RC		outpatient			595.78	595.78	161.4				percent of total billed charges		595.78				other	OPPS APC	440.88				percent of total billed charges		595.78				other	OPPS APC	595.78				other	OPPS APC	161.4				percent of total billed charges		164.61				percent of total billed charges		595.78				other	OPPS APC	161.4	595.78	
DRESSING PEEL AND PLACE PREVENA 13CM	SUP-PRE1155US	CDM			270	RC		inpatient			595.78	595.78																																																			
DRILLBIT  2.1 CANNULATED	SUP-272000000	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
DRILLBIT  2.1 CANNULATED	SUP-272000000	CDM			272	RC		inpatient			595	595																																																			
NEEDLE SCORPION MICROFIRE W/SUTUREMITT	SUP-79-00029	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
NEEDLE SCORPION MICROFIRE W/SUTUREMITT	SUP-79-00029	CDM			272	RC		inpatient			595	595																																																			
DRAPE COVER 26W X 62L X 61H	SUP-95-00232	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
DRAPE COVER 26W X 62L X 61H	SUP-95-00232	CDM			272	RC		inpatient			595	595																																																			
OVER DRILL   2.0 X 110 MM  CANN	SUP-95-03420	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
OVER DRILL   2.0 X 110 MM  CANN	SUP-95-03420	CDM			272	RC		inpatient			595	595																																																			
LENS14.0D	SUP-97-01075	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS14.0D	SUP-97-01075	CDM			278	RC		inpatient			595	595																																																			
LENS 28.0D TECNIS EYHANCE	SUP-97-01646	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS 28.0D TECNIS EYHANCE	SUP-97-01646	CDM			278	RC		inpatient			595	595																																																			
LENS 33.0D TECNIS EYHANCE	SUP-97-01962	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS 33.0D TECNIS EYHANCE	SUP-97-01962	CDM			278	RC		inpatient			595	595																																																			
LENS 9.0D TECNIS EYHANCE	SUP-97-01978	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS 9.0D TECNIS EYHANCE	SUP-97-01978	CDM			278	RC		inpatient			595	595																																																			
LENS 31.5D	SUP-97-02165	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS 31.5D	SUP-97-02165	CDM			278	RC		inpatient			595	595																																																			
LENS 33.5D	SUP-97-02189	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS 33.5D	SUP-97-02189	CDM			278	RC		inpatient			595	595																																																			
DISP FIRSTPASS STR PASSR SELF	SUP-97-02289	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
DISP FIRSTPASS STR PASSR SELF	SUP-97-02289	CDM			272	RC		inpatient			595	595																																																			
LENS 7.5D TECNIS EYHANCE	SUP-97-02569	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
LENS 7.5D TECNIS EYHANCE	SUP-97-02569	CDM			278	RC		inpatient			595	595																																																			
DRILLBIT 1.7	SUP-97-02600	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
DRILLBIT 1.7	SUP-97-02600	CDM			272	RC		inpatient			595	595																																																			
SCREW LOCKING 5.0MM X 32MM	SUP-97-03010	CDM			278	RC		outpatient			595	595	595				fee schedule		595				other	OPPS APC	339.15				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	291.55				percent of total billed charges		303.45				percent of total billed charges		595				other	OPPS APC	291.55	595	
SCREW LOCKING 5.0MM X 32MM	SUP-97-03010	CDM			278	RC		inpatient			595	595																																																			
NEEDLE SCORPION MICROFIRE W/SUTUREMITT	SUP-97-03515	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
NEEDLE SCORPION MICROFIRE W/SUTUREMITT	SUP-97-03515	CDM			272	RC		inpatient			595	595																																																			
GUIDEWIRE-GLIDE SPLASH.035X260 ANGLED STIFF	SUP-99-03548	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
GUIDEWIRE-GLIDE SPLASH.035X260 ANGLED STIFF	SUP-99-03548	CDM			272	RC		inpatient			595	595																																																			
GUIDEWIRE- GLADIUS .014X200	SUP-99-04254	CDM			272	RC		outpatient			595	595	161.19				percent of total billed charges		595				other	OPPS APC	440.3				percent of total billed charges		595				other	OPPS APC	595				other	OPPS APC	161.19				percent of total billed charges		164.4				percent of total billed charges		595				other	OPPS APC	161.19	595	
GUIDEWIRE- GLADIUS .014X200	SUP-99-04254	CDM			272	RC		inpatient			595	595																																																			
SCREW F/T LOCKING 4MM X 26MM	SUP-97-03830	CDM			278	RC		outpatient			594.34	594.34	594.34				fee schedule		594.34				other	OPPS APC	338.77				percent of total billed charges		594.34				other	OPPS APC	594.34				other	OPPS APC	291.23				percent of total billed charges		303.11				percent of total billed charges		594.34				other	OPPS APC	291.23	594.34	
SCREW F/T LOCKING 4MM X 26MM	SUP-97-03830	CDM			278	RC		inpatient			594.34	594.34																																																			
SCREW F/T LOCKING 4MM X 36MM	SUP-97-03831	CDM			278	RC		outpatient			594.34	594.34	594.34				fee schedule		594.34				other	OPPS APC	338.77				percent of total billed charges		594.34				other	OPPS APC	594.34				other	OPPS APC	291.23				percent of total billed charges		303.11				percent of total billed charges		594.34				other	OPPS APC	291.23	594.34	
SCREW F/T LOCKING 4MM X 36MM	SUP-97-03831	CDM			278	RC		inpatient			594.34	594.34																																																			
SCREW F/T LOCKING 4MM X 50MM	SUP-97-03832	CDM			278	RC		outpatient			594.34	594.34	594.34				fee schedule		594.34				other	OPPS APC	338.77				percent of total billed charges		594.34				other	OPPS APC	594.34				other	OPPS APC	291.23				percent of total billed charges		303.11				percent of total billed charges		594.34				other	OPPS APC	291.23	594.34	
SCREW F/T LOCKING 4MM X 50MM	SUP-97-03832	CDM			278	RC		inpatient			594.34	594.34																																																			
ADAPTER FEMORAL PFC SIGMA +2/-2 OFFSET STERILE KNEE BOLT	SUP-96-0784	CDM	270010025	LOCAL	270	RC		outpatient			594	594	160.91				percent of total billed charges		594				other	OPPS APC	439.56				percent of total billed charges		594				other	OPPS APC	594				other	OPPS APC	160.91				percent of total billed charges		164.12				percent of total billed charges		594				other	OPPS APC	160.91	594	
ADAPTER FEMORAL PFC SIGMA +2/-2 OFFSET STERILE KNEE BOLT	SUP-96-0784	CDM	270010025	LOCAL	270	RC		inpatient			594	594																																																			
END CAP 5MM	SUP-97-02969	CDM			278	RC		outpatient			593.78	593.78	593.78				fee schedule		593.78				other	OPPS APC	338.45				percent of total billed charges		593.78				other	OPPS APC	593.78				other	OPPS APC	290.95				percent of total billed charges		302.83				percent of total billed charges		593.78				other	OPPS APC	290.95	593.78	
END CAP 5MM	SUP-97-02969	CDM			278	RC		inpatient			593.78	593.78																																																			
DRILL AO SCALED 2 X 105MM	SUP-95-05492	CDM			272	RC		outpatient			593.46	593.46	160.77				percent of total billed charges		593.46				other	OPPS APC	439.16				percent of total billed charges		593.46				other	OPPS APC	593.46				other	OPPS APC	160.77				percent of total billed charges		163.97				percent of total billed charges		593.46				other	OPPS APC	160.77	593.46	
DRILL AO SCALED 2 X 105MM	SUP-95-05492	CDM			272	RC		inpatient			593.46	593.46																																																			
DRILL SURGICAL OD2.1 MM AO COUPLING CANNULATED STERILE DISPOSABLE 3 MM ASNIS MICRO SCREW	SUP-45-30005S	CDM			270	RC		outpatient			592.8	592.8	160.59				percent of total billed charges		592.8				other	OPPS APC	438.67				percent of total billed charges		592.8				other	OPPS APC	592.8				other	OPPS APC	160.59				percent of total billed charges		163.79				percent of total billed charges		592.8				other	OPPS APC	160.59	592.8	
DRILL SURGICAL OD2.1 MM AO COUPLING CANNULATED STERILE DISPOSABLE 3 MM ASNIS MICRO SCREW	SUP-45-30005S	CDM			270	RC		inpatient			592.8	592.8																																																			
PLATE BONE 100D L RIGHT OBLIQUE 41X20X.9MM BLUE TITANIUM NS CRANIOMAXILLOFACIAL 4X6 HOLE 2MM SCREW	SUP-447.55	CDM	270010014	LOCAL	270	RC		outpatient			592.38	592.38	160.48				percent of total billed charges		592.38				other	OPPS APC	438.36				percent of total billed charges		592.38				other	OPPS APC	592.38				other	OPPS APC	160.48				percent of total billed charges		163.67				percent of total billed charges		592.38				other	OPPS APC	160.48	592.38	
PLATE BONE 100D L RIGHT OBLIQUE 41X20X.9MM BLUE TITANIUM NS CRANIOMAXILLOFACIAL 4X6 HOLE 2MM SCREW	SUP-447.55	CDM	270010014	LOCAL	270	RC		inpatient			592.38	592.38																																																			
PULL G-TUBE PEG KIT  20FR	SUP-95-00832	CDM			278	RC		outpatient			592.25	592.25	592.25				fee schedule		592.25				other	OPPS APC	337.58				percent of total billed charges		592.25				other	OPPS APC	592.25				other	OPPS APC	290.2				percent of total billed charges		302.05				percent of total billed charges		592.25				other	OPPS APC	290.2	592.25	
PULL G-TUBE PEG KIT  20FR	SUP-95-00832	CDM			278	RC		inpatient			592.25	592.25																																																			
BASKET 3.0 FR ZEROTIP	SUP-70-00168	CDM			272	RC		outpatient			592.06	592.6	160.39				percent of total billed charges		592.06				other	OPPS APC	438.12				percent of total billed charges		592.06				other	OPPS APC	592.06				other	OPPS APC	160.39				percent of total billed charges		163.59				percent of total billed charges		592.6				other	OPPS APC	160.39	592.6	
BASKET 3.0 FR ZEROTIP	SUP-70-00168	CDM			272	RC		inpatient			592.06	592.06																																																			
SCREW LOCKING 5.0MM X 30MM	SUP-97-03055	CDM			278	RC		outpatient			591.92	591.92	591.92				fee schedule		591.92				other	OPPS APC	337.39				percent of total billed charges		591.92				other	OPPS APC	591.92				other	OPPS APC	290.04				percent of total billed charges		301.88				percent of total billed charges		591.92				other	OPPS APC	290.04	591.92	
SCREW LOCKING 5.0MM X 30MM	SUP-97-03055	CDM			278	RC		inpatient			591.92	591.92																																																			
SCREW LOCKING 5.0MM X 28MM	SUP-97-03217	CDM			278	RC		outpatient			591.92	591.92	591.92				fee schedule		591.92				other	OPPS APC	337.39				percent of total billed charges		591.92				other	OPPS APC	591.92				other	OPPS APC	290.04				percent of total billed charges		301.88				percent of total billed charges		591.92				other	OPPS APC	290.04	591.92	
SCREW LOCKING 5.0MM X 28MM	SUP-97-03217	CDM			278	RC		inpatient			591.92	591.92																																																			
SCREW LOCKING 5.0MM X 26MM	SUP-97-03788	CDM			278	RC		outpatient			591.92	591.92	591.92				fee schedule		591.92				other	OPPS APC	337.39				percent of total billed charges		591.92				other	OPPS APC	591.92				other	OPPS APC	290.04				percent of total billed charges		301.88				percent of total billed charges		591.92				other	OPPS APC	290.04	591.92	
SCREW LOCKING 5.0MM X 26MM	SUP-97-03788	CDM			278	RC		inpatient			591.92	591.92																																																			
SCREW LOCKING 5.0MM X 22MM	SUP-97-04568	CDM			278	RC		outpatient			591.92	591.92	591.92				fee schedule		591.92				other	OPPS APC	337.39				percent of total billed charges		591.92				other	OPPS APC	591.92				other	OPPS APC	290.04				percent of total billed charges		301.88				percent of total billed charges		591.92				other	OPPS APC	290.04	591.92	
SCREW LOCKING 5.0MM X 22MM	SUP-97-04568	CDM			278	RC		inpatient			591.92	591.92																																																			
SCREW BONE 4MM FULL THREAD 100MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.100	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 100MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.100	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 105MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.105	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 105MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.105	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 110MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.110	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 110MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.110	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 115MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.115	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 115MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.115	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 120MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.120	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 120MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.120	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 7.3MM 5MM 125MM LCP SS 4MM FULL THREAD PERIARTICULAR CONDYLE FEMUR TIBIA	SUP-02.207.125	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 7.3MM 5MM 125MM LCP SS 4MM FULL THREAD PERIARTICULAR CONDYLE FEMUR TIBIA	SUP-02.207.125	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 7.3MM 5MM 130MM LCP SS 4MM FULL THREAD PERIARTICULAR CONDYLE FEMUR TIBIA	SUP-02.207.130	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 7.3MM 5MM 130MM LCP SS 4MM FULL THREAD PERIARTICULAR CONDYLE FEMUR TIBIA	SUP-02.207.130	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 135MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.135	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 135MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.135	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 140MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.140	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 140MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.140	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
SCREW BONE 4MM FULL THREAD 145MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.145	CDM	270010022	LOCAL	270	RC		outpatient			591.8	591.8	160.32				percent of total billed charges		591.8				other	OPPS APC	437.93				percent of total billed charges		591.8				other	OPPS APC	591.8				other	OPPS APC	160.32				percent of total billed charges		163.51				percent of total billed charges		591.8				other	OPPS APC	160.32	591.8	
SCREW BONE 4MM FULL THREAD 145MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.145	CDM	270010022	LOCAL	270	RC		inpatient			591.8	591.8																																																			
GUIDE WIRE BALL	SUP-97-02050	CDM			272	RC		outpatient			591.36	591.36	160.2				percent of total billed charges		591.36				other	OPPS APC	437.61				percent of total billed charges		591.36				other	OPPS APC	591.36				other	OPPS APC	160.2				percent of total billed charges		163.39				percent of total billed charges		591.36				other	OPPS APC	160.2	591.36	
GUIDE WIRE BALL	SUP-97-02050	CDM			272	RC		inpatient			591.36	591.36																																																			
CORD BUGBY MONOPOLAR 4MM PLUG	SUP-97-00383	CDM			272	RC		outpatient			590.63	59.63	160				percent of total billed charges		590.63				other	OPPS APC	437.07				percent of total billed charges		590.63				other	OPPS APC	590.63				other	OPPS APC	160				percent of total billed charges		163.19				percent of total billed charges		59.63				other	OPPS APC	59.63	590.63	
CORD BUGBY MONOPOLAR 4MM PLUG	SUP-97-00383	CDM			272	RC		inpatient			590.63	590.63																																																			
NEEDLE FAST FIX ABSORBABLE CURVED MENISCAL REPAIR DELIVERY SYSTEM	SUP-7209399	CDM			270	RC		outpatient			590.52	59.52	159.97				percent of total billed charges		590.52				other	OPPS APC	436.98				percent of total billed charges		590.52				other	OPPS APC	590.52				other	OPPS APC	159.97				percent of total billed charges		163.16				percent of total billed charges		59.52				other	OPPS APC	59.52	590.52	
NEEDLE FAST FIX ABSORBABLE CURVED MENISCAL REPAIR DELIVERY SYSTEM	SUP-7209399	CDM			270	RC		inpatient			590.52	590.52																																																			
TWIST DRILL 02.35MM X 50MM L101MM AD	SUP-97-04695	CDM			278	RC		outpatient			590.52	59.52	590.52				fee schedule		590.52				other	OPPS APC	336.6				percent of total billed charges		590.52				other	OPPS APC	590.52				other	OPPS APC	289.35				percent of total billed charges		301.17				percent of total billed charges		59.52				other	OPPS APC	59.52	590.52	
TWIST DRILL 02.35MM X 50MM L101MM AD	SUP-97-04695	CDM			278	RC		inpatient			590.52	590.52																																																			
REINFORCEMENT STAPLE LINE SEAMGUARD BIOABSORBABLE STERILE LATEX FREE DISPOSABLE DST SERIES CEEA 25 CIRCLE STAPLER	SUP-1BSGC25	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
REINFORCEMENT STAPLE LINE SEAMGUARD BIOABSORBABLE STERILE LATEX FREE DISPOSABLE DST SERIES CEEA 25 CIRCLE STAPLER	SUP-1BSGC25	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION COYOTE ULTRA LOW PROFILE TAPER 150CM 60MM 6FR 3MM NYBAX	SUP-39186-30061	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION COYOTE ULTRA LOW PROFILE TAPER 150CM 60MM 6FR 3MM NYBAX	SUP-39186-30061	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 40MM 4FR 2MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4252004X	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 40MM 4FR 2MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4252004X	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 100MM 4FR 2MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4252010X	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 100MM 4FR 2MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4252010X	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 100MM 4FR 3MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4253010X	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 100MM 4FR 3MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4253010X	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 40MM 4FR 4MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4254004X	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION CORDIS SLEEK RX 150CM 40MM 4FR 4MM QUADFLEX LF INFRAPOPLITEAL VESSEL 2 LUMEN RAPID EXCHANGE	SUP-4254004X	CDM			270	RC		inpatient			590	590																																																			
CORDIS 4F 145 PIGTAIL	SUP-538453S_45736	CDM			481	RC		outpatient			590	59	289.1				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	289.1				percent of total billed charges		300.9				percent of total billed charges		59				other	OPPS APC	59	590	
CORDIS 4F 145 PIGTAIL	SUP-538453S_45736	CDM			481	RC		inpatient			590	590																																																			
DEVICE FIXATION TIGHTROPE UHMWPE ACL ATTACHABLE OPEN	SUP-AR-1588TN-21	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
DEVICE FIXATION TIGHTROPE UHMWPE ACL ATTACHABLE OPEN	SUP-AR-1588TN-21	CDM			270	RC		inpatient			590	590																																																			
BUTTON SUTURE L12 MM BICEPS STERILE	SUP-AR-2261	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
BUTTON SUTURE L12 MM BICEPS STERILE	SUP-AR-2261	CDM			270	RC		inpatient			590	590																																																			
SCREW INTERFERENCE FASTTHREAD PEEK L20 MM OD7 MM	SUP-AR-4020P-07	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW INTERFERENCE FASTTHREAD PEEK L20 MM OD7 MM	SUP-AR-4020P-07	CDM			270	RC		inpatient			590	590																																																			
SCREW INTERFERENCE ARTHREX PEEK L20 MM OD8 MM	SUP-AR-4020P-08	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW INTERFERENCE ARTHREX PEEK L20 MM OD8 MM	SUP-AR-4020P-08	CDM			270	RC		inpatient			590	590																																																			
SCREW INTERFERENCE ARTHREX PEEK L20 MM OD9 MM	SUP-AR-4020P-09	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW INTERFERENCE ARTHREX PEEK L20 MM OD9 MM	SUP-AR-4020P-09	CDM			270	RC		inpatient			590	590																																																			
ANCHOR SUTURE BIO-CORKSCREW FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID 1 LARGE FULL THREAD TAPER L15 MM OD5.5 MM BRAID NEEDLE	SUP-AR-8927BNF	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
ANCHOR SUTURE BIO-CORKSCREW FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID 1 LARGE FULL THREAD TAPER L15 MM OD5.5 MM BRAID NEEDLE	SUP-AR-8927BNF	CDM			270	RC		inpatient			590	590																																																			
SCREW BONE KREULOCK TITANIUM L 12 MM OD 3 MM HYBRID VARIABLE ANGLE NONSTERILE LATEX FREE	SUP-AR-8933HVCL-12	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW BONE KREULOCK TITANIUM L 12 MM OD 3 MM HYBRID VARIABLE ANGLE NONSTERILE LATEX FREE	SUP-AR-8933HVCL-12	CDM			270	RC		inpatient			590	590																																																			
SCREW BONE KREULOCK TITANIUM L 14 MM OD 3 MM HYBRID VARIABLE ANGLE NONSTERILE LATEX FREE	SUP-AR-8933HVCL-14	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW BONE KREULOCK TITANIUM L 14 MM OD 3 MM HYBRID VARIABLE ANGLE NONSTERILE LATEX FREE	SUP-AR-8933HVCL-14	CDM			270	RC		inpatient			590	590																																																			
SCREW BONE KREULOCK TITANIUM L 14 MM OD 3.5 MM NONSTERILE LATEX FREE	SUP-AR-8935CL-14	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW BONE KREULOCK TITANIUM L 14 MM OD 3.5 MM NONSTERILE LATEX FREE	SUP-AR-8935CL-14	CDM			270	RC		inpatient			590	590																																																			
SCREW BONE KREULOCK TITANIUM L 16 MM OD 3.5 MM NONSTERILE LATEX FREE	SUP-AR-8935CL-16	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
SCREW BONE KREULOCK TITANIUM L 16 MM OD 3.5 MM NONSTERILE LATEX FREE	SUP-AR-8935CL-16	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION 7FR 5MM 5FR 150CM 220MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032502210	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION 7FR 5MM 5FR 150CM 220MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032502210	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION 7FR 6MM 5FR 150CM 220MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032602210	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION 7FR 6MM 5FR 150CM 220MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032602210	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION COYOTE ES 143CM 20MM 6FR 3MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134302010	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION COYOTE ES 143CM 20MM 6FR 3MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134302010	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION COYOTE ES 143CM 20MM 6FR 4MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134402010	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION COYOTE ES 143CM 20MM 6FR 4MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134402010	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L80 MM ODSEC2 MM OTW ULTRA LOW PROFILE	SUP-H74939186200810	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L80 MM ODSEC2 MM OTW ULTRA LOW PROFILE	SUP-H74939186200810	CDM			270	RC		inpatient			590	590																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L80 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186250810	CDM			270	RC		outpatient			590	59	159.83				percent of total billed charges		590				other	OPPS APC	436.6				percent of total billed charges		590				other	OPPS APC	590				other	OPPS APC	159.83				percent of total billed charges		163.02				percent of total billed charges		59				other	OPPS APC	59	590	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L80 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186250810	CDM			270	RC		inpatient			590	590																																																			
DRILL BIT COUNTER SINK	SUP-97-02377	CDM			272	RC		outpatient			589.51	589.6	159.7				percent of total billed charges		589.51				other	OPPS APC	436.24				percent of total billed charges		589.51				other	OPPS APC	589.51				other	OPPS APC	159.7				percent of total billed charges		162.88				percent of total billed charges		589.6				other	OPPS APC	159.7	589.6	
DRILL BIT COUNTER SINK	SUP-97-02377	CDM			272	RC		inpatient			589.51	589.51																																																			
WAND ELECTROSURGICAL EVAC 70 XTRA L6 IN INTEGRATE SALINE SUCTION PORT 3 WIRE ACTIVE ELECTRODE MALLEABLE SHAFT ADENOTONSILLECTOMY	SUP-EICA5872-01	CDM			270	RC		outpatient			589.4	589.4	159.67				percent of total billed charges		589.4				other	OPPS APC	436.16				percent of total billed charges		589.4				other	OPPS APC	589.4				other	OPPS APC	159.67				percent of total billed charges		162.85				percent of total billed charges		589.4				other	OPPS APC	159.67	589.4	
WAND ELECTROSURGICAL EVAC 70 XTRA L6 IN INTEGRATE SALINE SUCTION PORT 3 WIRE ACTIVE ELECTRODE MALLEABLE SHAFT ADENOTONSILLECTOMY	SUP-EICA5872-01	CDM			270	RC		inpatient			589.4	589.4																																																			
PERICARDIOCENTESIS (CHEST TUBE) TRAY	SUP-95-04919	CDM			272	RC		outpatient			588.7	588.75	159.48				percent of total billed charges		588.7				other	OPPS APC	435.64				percent of total billed charges		588.7				other	OPPS APC	588.7				other	OPPS APC	159.48				percent of total billed charges		162.66				percent of total billed charges		588.75				other	OPPS APC	159.48	588.75	
PERICARDIOCENTESIS (CHEST TUBE) TRAY	SUP-95-04919	CDM			272	RC		inpatient			588.7	588.7																																																			
BIT DRILL PRODISC-C OD2 MM MILLING STERILE	SUP-03.820.161S	CDM			270	RC		outpatient			588.44	588.45	159.41				percent of total billed charges		588.44				other	OPPS APC	435.45				percent of total billed charges		588.44				other	OPPS APC	588.44				other	OPPS APC	159.41				percent of total billed charges		162.59				percent of total billed charges		588.45				other	OPPS APC	159.41	588.45	
BIT DRILL PRODISC-C OD2 MM MILLING STERILE	SUP-03.820.161S	CDM			270	RC		inpatient			588.44	588.44																																																			
BIT DRILL PRODISC-C OD2 MM SPINE MILL HEXAGONAL COUPLE STERILE	SUP-03.820.163S	CDM	270010020	LOCAL	270	RC		outpatient			588.44	588.45	159.41				percent of total billed charges		588.44				other	OPPS APC	435.45				percent of total billed charges		588.44				other	OPPS APC	588.44				other	OPPS APC	159.41				percent of total billed charges		162.59				percent of total billed charges		588.45				other	OPPS APC	159.41	588.45	
BIT DRILL PRODISC-C OD2 MM SPINE MILL HEXAGONAL COUPLE STERILE	SUP-03.820.163S	CDM	270010020	LOCAL	270	RC		inpatient			588.44	588.44																																																			
PLATE BONE EVOS STAINLESS STEEL 7.5MM SPACE L61 MM X W8 M X H 3.2MM HOLE LOCK COMPRESSION STERILE 2.7MM SCREW	SUP-72440208	CDM			270	RC		outpatient			588.2	588.25	159.34				percent of total billed charges		588.2				other	OPPS APC	435.27				percent of total billed charges		588.2				other	OPPS APC	588.2				other	OPPS APC	159.34				percent of total billed charges		162.52				percent of total billed charges		588.25				other	OPPS APC	159.34	588.25	
PLATE BONE EVOS STAINLESS STEEL 7.5MM SPACE L61 MM X W8 M X H 3.2MM HOLE LOCK COMPRESSION STERILE 2.7MM SCREW	SUP-72440208	CDM			270	RC		inpatient			588.2	588.2																																																			
PLATE BONE EVOS STAINLESS STEEL 7.5 MM SPACE L76 MM X W 8 MM X H 3.2 MM 10 HOLE LOCK COMPRESSION STERILE 2.7 MM SCREW	SUP-72440210	CDM			270	RC		outpatient			588.2	588.25	159.34				percent of total billed charges		588.2				other	OPPS APC	435.27				percent of total billed charges		588.2				other	OPPS APC	588.2				other	OPPS APC	159.34				percent of total billed charges		162.52				percent of total billed charges		588.25				other	OPPS APC	159.34	588.25	
PLATE BONE EVOS STAINLESS STEEL 7.5 MM SPACE L76 MM X W 8 MM X H 3.2 MM 10 HOLE LOCK COMPRESSION STERILE 2.7 MM SCREW	SUP-72440210	CDM			270	RC		inpatient			588.2	588.2																																																			
ROD SPINAL LINEUM TITANIUM UNIVERSAL L80 MM OD3.5 MM OCCIPITOCERVICOTHORACIC PRECUT NONSTERILE BLUE	SUP-14-524008	CDM	270010020	LOCAL	270	RC		outpatient			588	588	159.29				percent of total billed charges		588				other	OPPS APC	435.12				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	159.29				percent of total billed charges		162.46				percent of total billed charges		588				other	OPPS APC	159.29	588	
ROD SPINAL LINEUM TITANIUM UNIVERSAL L80 MM OD3.5 MM OCCIPITOCERVICOTHORACIC PRECUT NONSTERILE BLUE	SUP-14-524008	CDM	270010020	LOCAL	270	RC		inpatient			588	588																																																			
BG NON-LOCKING SCREW 2.5 X 26MM	SUP-97-04745	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
BG NON-LOCKING SCREW 2.5 X 26MM	SUP-97-04745	CDM			278	RC		inpatient			588	588																																																			
BG NON-LOCKING SCREW 2.5 X 12MM	SUP-97-04746	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
BG NON-LOCKING SCREW 2.5 X 12MM	SUP-97-04746	CDM			278	RC		inpatient			588	588																																																			
SLEEVE K-WIRE 2.0MM	SUP-97-06094	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
SLEEVE K-WIRE 2.0MM	SUP-97-06094	CDM			278	RC		inpatient			588	588																																																			
BG NON-LOCKING SCREW 2.5 X 30MM	SUP-97-23673	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
BG NON-LOCKING SCREW 2.5 X 30MM	SUP-97-23673	CDM			278	RC		inpatient			588	588																																																			
BG NON-LOCKING SCREW 2.5 X 34MM	SUP-97-23674	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
BG NON-LOCKING SCREW 2.5 X 34MM	SUP-97-23674	CDM			278	RC		inpatient			588	588																																																			
BG NON-LOCKING SCREW 2.5 X 10MM	SUP-97-23724	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
BG NON-LOCKING SCREW 2.5 X 10MM	SUP-97-23724	CDM			278	RC		inpatient			588	588																																																			
BG NON-LOCKING SCREW 2.5X32MM	SUP-97-23729	CDM			278	RC		outpatient			588	588	588				fee schedule		588				other	OPPS APC	335.16				percent of total billed charges		588				other	OPPS APC	588				other	OPPS APC	288.12				percent of total billed charges		299.88				percent of total billed charges		588				other	OPPS APC	288.12	588	
BG NON-LOCKING SCREW 2.5X32MM	SUP-97-23729	CDM			278	RC		inpatient			588	588																																																			
HC Vl Vein Mapping	PX-921003650	CDM	93985	CPT	921	RC		outpatient			587.5	245.95	287.88				percent of total billed charges		245.95				other	OPPS APC	542.98				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	248.44				fee schedule		299.63				percent of total billed charges		245.95				other	OPPS APC	245.95	542.98	
HC Vl Vein Mapping	PX-921003650	CDM	93985	CPT	921	RC		inpatient			587.5	587.5																																																			
DRILL BIT 3.1 X 328	SUP-97-01354	CDM			272	RC		outpatient			587.09	587.93	159.04				percent of total billed charges		587.09				other	OPPS APC	434.45				percent of total billed charges		587.09				other	OPPS APC	587.09				other	OPPS APC	159.04				percent of total billed charges		162.21				percent of total billed charges		587.93				other	OPPS APC	159.04	587.93	
DRILL BIT 3.1 X 328	SUP-97-01354	CDM			272	RC		inpatient			587.09	587.09																																																			
SCREW CONDYLE NUT	SUP-97-03631	CDM			278	RC		outpatient			586.74	586.74	586.74				fee schedule		586.74				other	OPPS APC	334.44				percent of total billed charges		586.74				other	OPPS APC	586.74				other	OPPS APC	287.5				percent of total billed charges		299.24				percent of total billed charges		586.74				other	OPPS APC	287.5	586.74	
SCREW CONDYLE NUT	SUP-97-03631	CDM			278	RC		inpatient			586.74	586.74																																																			
SCREW CONDYLE 05X65MM	SUP-97-03632	CDM			278	RC		outpatient			586.74	586.74	586.74				fee schedule		586.74				other	OPPS APC	334.44				percent of total billed charges		586.74				other	OPPS APC	586.74				other	OPPS APC	287.5				percent of total billed charges		299.24				percent of total billed charges		586.74				other	OPPS APC	287.5	586.74	
SCREW CONDYLE 05X65MM	SUP-97-03632	CDM			278	RC		inpatient			586.74	586.74																																																			
T2 CONDYLE SCREW 5MMX80MM	SUP-97-04167	CDM			278	RC		outpatient			586.74	586.74	586.74				fee schedule		586.74				other	OPPS APC	334.44				percent of total billed charges		586.74				other	OPPS APC	586.74				other	OPPS APC	287.5				percent of total billed charges		299.24				percent of total billed charges		586.74				other	OPPS APC	287.5	586.74	
T2 CONDYLE SCREW 5MMX80MM	SUP-97-04167	CDM			278	RC		inpatient			586.74	586.74																																																			
T2 CONDYLE SCREW 5MMX50MM	SUP-97-04168	CDM			278	RC		outpatient			586.74	586.74	586.74				fee schedule		586.74				other	OPPS APC	334.44				percent of total billed charges		586.74				other	OPPS APC	586.74				other	OPPS APC	287.5				percent of total billed charges		299.24				percent of total billed charges		586.74				other	OPPS APC	287.5	586.74	
T2 CONDYLE SCREW 5MMX50MM	SUP-97-04168	CDM			278	RC		inpatient			586.74	586.74																																																			
T2 CONDYLE SCREW 5MMX45MM	SUP-97-04169	CDM			278	RC		outpatient			586.74	586.74	586.74				fee schedule		586.74				other	OPPS APC	334.44				percent of total billed charges		586.74				other	OPPS APC	586.74				other	OPPS APC	287.5				percent of total billed charges		299.24				percent of total billed charges		586.74				other	OPPS APC	287.5	586.74	
T2 CONDYLE SCREW 5MMX45MM	SUP-97-04169	CDM			278	RC		inpatient			586.74	586.74																																																			
HOLDING PINS	SUP-97-00700	CDM			272	RC		outpatient			586.25	586.25	158.82				percent of total billed charges		586.25				other	OPPS APC	433.83				percent of total billed charges		586.25				other	OPPS APC	586.25				other	OPPS APC	158.82				percent of total billed charges		161.98				percent of total billed charges		586.25				other	OPPS APC	158.82	586.25	
HOLDING PINS	SUP-97-00700	CDM			272	RC		inpatient			586.25	586.25																																																			
BLADE RAD60 M4 .3.5MM ROTATE	SUP-1883516HRE	CDM			270	RC		outpatient			586	586	158.75				percent of total billed charges		586				other	OPPS APC	433.64				percent of total billed charges		586				other	OPPS APC	586				other	OPPS APC	158.75				percent of total billed charges		161.91				percent of total billed charges		586				other	OPPS APC	158.75	586	
BLADE RAD60 M4 .3.5MM ROTATE	SUP-1883516HRE	CDM			270	RC		inpatient			586	586																																																			
PLATE BONE 100D L LEFT OBLIQUE GOLD TITANIUM NS CRANIOFACIAL 3X4 HOLE RIGID 1.5MM SCREW	SUP-446.520	CDM	270010013	LOCAL	270	RC		outpatient			584.8	584.8	158.42				percent of total billed charges		584.8				other	OPPS APC	432.75				percent of total billed charges		584.8				other	OPPS APC	584.8				other	OPPS APC	158.42				percent of total billed charges		161.58				percent of total billed charges		584.8				other	OPPS APC	158.42	584.8	
PLATE BONE 100D L LEFT OBLIQUE GOLD TITANIUM NS CRANIOFACIAL 3X4 HOLE RIGID 1.5MM SCREW	SUP-446.520	CDM	270010013	LOCAL	270	RC		inpatient			584.8	584.8																																																			
PLATE BONE L RIGHT OBLIQUE TITANIUM CRANIOFACIAL 3X4 HOLE 1.5MM SCREW	SUP-446.530	CDM	270010014	LOCAL	270	RC		outpatient			584.8	584.8	158.42				percent of total billed charges		584.8				other	OPPS APC	432.75				percent of total billed charges		584.8				other	OPPS APC	584.8				other	OPPS APC	158.42				percent of total billed charges		161.58				percent of total billed charges		584.8				other	OPPS APC	158.42	584.8	
PLATE BONE L RIGHT OBLIQUE TITANIUM CRANIOFACIAL 3X4 HOLE 1.5MM SCREW	SUP-446.530	CDM	270010014	LOCAL	270	RC		inpatient			584.8	584.8																																																			
PLATE BONE TITANIUM STANDARD H.6 MM UPPERFACIAL 6 X 2 HOLE 3D 1.2 MM SCREWS	SUP-5506233	CDM			270	RC		outpatient			584.4	584.4	158.31				percent of total billed charges		584.4				other	OPPS APC	432.46				percent of total billed charges		584.4				other	OPPS APC	584.4				other	OPPS APC	158.31				percent of total billed charges		161.47				percent of total billed charges		584.4				other	OPPS APC	158.31	584.4	
PLATE BONE TITANIUM STANDARD H.6 MM UPPERFACIAL 6 X 2 HOLE 3D 1.2 MM SCREWS	SUP-5506233	CDM			270	RC		inpatient			584.4	584.4																																																			
SCREW BONE TITANIUM L16 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.116.01	CDM			270	RC		outpatient			584	584	158.21				percent of total billed charges		584				other	OPPS APC	432.16				percent of total billed charges		584				other	OPPS APC	584				other	OPPS APC	158.21				percent of total billed charges		161.36				percent of total billed charges		584				other	OPPS APC	158.21	584	
SCREW BONE TITANIUM L16 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.116.01	CDM			270	RC		inpatient			584	584																																																			
SCREW BONE TITANIUM L18 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.118.01	CDM			270	RC		outpatient			584	584	158.21				percent of total billed charges		584				other	OPPS APC	432.16				percent of total billed charges		584				other	OPPS APC	584				other	OPPS APC	158.21				percent of total billed charges		161.36				percent of total billed charges		584				other	OPPS APC	158.21	584	
SCREW BONE TITANIUM L18 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.118.01	CDM			270	RC		inpatient			584	584																																																			
T2 SHAFT SCREW 5MM X 50MM	SUP-97-04291	CDM			278	RC		outpatient			583.66	583.66	583.66				fee schedule		583.66				other	OPPS APC	332.69				percent of total billed charges		583.66				other	OPPS APC	583.66				other	OPPS APC	285.99				percent of total billed charges		297.67				percent of total billed charges		583.66				other	OPPS APC	285.99	583.66	
T2 SHAFT SCREW 5MM X 50MM	SUP-97-04291	CDM			278	RC		inpatient			583.66	583.66																																																			
ANCHOR SUTURE NANOTACK 25 D OD1.4 MM FLEX INSERTER 2 STAGE FIXATION PILOT HOLE ANATOMIC LABRUM RESTORATION SYSTEM	SUP-CAT01858	CDM			270	RC		outpatient			583.5	583.5	158.07				percent of total billed charges		583.5				other	OPPS APC	431.79				percent of total billed charges		583.5				other	OPPS APC	583.5				other	OPPS APC	158.07				percent of total billed charges		161.22				percent of total billed charges		583.5				other	OPPS APC	158.07	583.5	
ANCHOR SUTURE NANOTACK 25 D OD1.4 MM FLEX INSERTER 2 STAGE FIXATION PILOT HOLE ANATOMIC LABRUM RESTORATION SYSTEM	SUP-CAT01858	CDM			270	RC		inpatient			583.5	583.5																																																			
STAPLE LINE SEAMGUARD	SUP-74-00395	CDM			272	RC		outpatient			583.33	583.33	158.02				percent of total billed charges		583.33				other	OPPS APC	431.66				percent of total billed charges		583.33				other	OPPS APC	583.33				other	OPPS APC	158.02				percent of total billed charges		161.17				percent of total billed charges		583.33				other	OPPS APC	158.02	583.33	
STAPLE LINE SEAMGUARD	SUP-74-00395	CDM			272	RC		inpatient			583.33	583.33																																																			
DEVICE EXTERNAL FIXATION END ADAPTER	SUP-04410	CDM			270	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
DEVICE EXTERNAL FIXATION END ADAPTER	SUP-04410	CDM			270	RC		inpatient			583.1	583.1																																																			
BLADES MAC SIZE 4	SUP-97-01723	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MAC SIZE 4	SUP-97-01723	CDM			272	RC		inpatient			583.1	583.1																																																			
BLADES MILLER SIZE3	SUP-97-01724	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MILLER SIZE3	SUP-97-01724	CDM			272	RC		inpatient			583.1	583.1																																																			
BLADES MILLER SIZE2	SUP-97-01725	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MILLER SIZE2	SUP-97-01725	CDM			272	RC		inpatient			583.1	583.1																																																			
BLADES MAC SIZE 3	SUP-97-01729	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MAC SIZE 3	SUP-97-01729	CDM			272	RC		inpatient			583.1	583.1																																																			
BLADES MAC SIZE 2	SUP-97-02429	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MAC SIZE 2	SUP-97-02429	CDM			272	RC		inpatient			583.1	583.1																																																			
BLADES MAC SIZE 1	SUP-97-02430	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MAC SIZE 1	SUP-97-02430	CDM			272	RC		inpatient			583.1	583.1																																																			
BLADES MILLER SIZE1	SUP-97-02431	CDM			272	RC		outpatient			583.1	583.12	157.96				percent of total billed charges		583.1				other	OPPS APC	431.49				percent of total billed charges		583.1				other	OPPS APC	583.1				other	OPPS APC	157.96				percent of total billed charges		161.11				percent of total billed charges		583.12				other	OPPS APC	157.96	583.12	
BLADES MILLER SIZE1	SUP-97-02431	CDM			272	RC		inpatient			583.1	583.1																																																			
PLATE BONE LC-DCP STAINLESS STEEL L38 MM X W11 MM X H3.3 MM 3 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.53	CDM	270010022	LOCAL	270	RC		outpatient			583	583	157.93				percent of total billed charges		583				other	OPPS APC	431.42				percent of total billed charges		583				other	OPPS APC	583				other	OPPS APC	157.93				percent of total billed charges		161.08				percent of total billed charges		583				other	OPPS APC	157.93	583	
PLATE BONE LC-DCP STAINLESS STEEL L38 MM X W11 MM X H3.3 MM 3 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.53	CDM	270010022	LOCAL	270	RC		inpatient			583	583																																																			
CEMENT BONE PALACOS R +G	SUP-78-00325	CDM			278	RC		outpatient			581.88	581.88	581.88				fee schedule		581.88				other	OPPS APC	331.67				percent of total billed charges		581.88				other	OPPS APC	581.88				other	OPPS APC	285.12				percent of total billed charges		296.76				percent of total billed charges		581.88				other	OPPS APC	285.12	581.88	
CEMENT BONE PALACOS R +G	SUP-78-00325	CDM			278	RC		inpatient			581.88	581.88																																																			
CEMENT PALACOS LV+G	SUP-78-00331	CDM			278	RC		outpatient			581.88	581.88	581.88				fee schedule		581.88				other	OPPS APC	331.67				percent of total billed charges		581.88				other	OPPS APC	581.88				other	OPPS APC	285.12				percent of total billed charges		296.76				percent of total billed charges		581.88				other	OPPS APC	285.12	581.88	
CEMENT PALACOS LV+G	SUP-78-00331	CDM			278	RC		inpatient			581.88	581.88																																																			
BARRIER ADHESION SEPRAFILM 6X5IN DISPOSABLE STERILE LF	SUP-4301-02	CDM			270	RC		outpatient			581.85	581.85	157.62				percent of total billed charges		581.85				other	OPPS APC	430.57				percent of total billed charges		581.85				other	OPPS APC	581.85				other	OPPS APC	157.62				percent of total billed charges		160.77				percent of total billed charges		581.85				other	OPPS APC	157.62	581.85	
BARRIER ADHESION SEPRAFILM 6X5IN DISPOSABLE STERILE LF	SUP-4301-02	CDM			270	RC		inpatient			581.85	581.85																																																			
PROBE VITRECTOMY ULTRAVIT CONSTELLATION 5000 CPM OD23 GA LATEX FREE	SUP-8065750949	CDM			270	RC		outpatient			581.84	581.84	157.62				percent of total billed charges		581.84				other	OPPS APC	430.56				percent of total billed charges		581.84				other	OPPS APC	581.84				other	OPPS APC	157.62				percent of total billed charges		160.76				percent of total billed charges		581.84				other	OPPS APC	157.62	581.84	
PROBE VITRECTOMY ULTRAVIT CONSTELLATION 5000 CPM OD23 GA LATEX FREE	SUP-8065750949	CDM			270	RC		inpatient			581.84	581.84																																																			
DRILL A.O 3 5X130MM	SUP-95-03734	CDM			272	RC		outpatient			581.28	581.28	157.47				percent of total billed charges		581.28				other	OPPS APC	430.15				percent of total billed charges		581.28				other	OPPS APC	581.28				other	OPPS APC	157.47				percent of total billed charges		160.61				percent of total billed charges		581.28				other	OPPS APC	157.47	581.28	
DRILL A.O 3 5X130MM	SUP-95-03734	CDM			272	RC		inpatient			581.28	581.28																																																			
K-WIRE  W/ WASHER 7.8X3X285	SUP-95-03735	CDM			278	RC		outpatient			581.28	581.28	581.28				fee schedule		581.28				other	OPPS APC	331.33				percent of total billed charges		581.28				other	OPPS APC	581.28				other	OPPS APC	284.83				percent of total billed charges		296.45				percent of total billed charges		581.28				other	OPPS APC	284.83	581.28	
K-WIRE  W/ WASHER 7.8X3X285	SUP-95-03735	CDM			278	RC		inpatient			581.28	581.28																																																			
DRILL A.O 3 5X230MM	SUP-95-03736	CDM			272	RC		outpatient			581.28	581.28	157.47				percent of total billed charges		581.28				other	OPPS APC	430.15				percent of total billed charges		581.28				other	OPPS APC	581.28				other	OPPS APC	157.47				percent of total billed charges		160.61				percent of total billed charges		581.28				other	OPPS APC	157.47	581.28	
DRILL A.O 3 5X230MM	SUP-95-03736	CDM			272	RC		inpatient			581.28	581.28																																																			
STAPLER INTERNAL ECHELON FLEX ENDOPATH L45 MM L340 MM 6 ROW 12 FIRING ARTICULATION ROTATE KNOB STERILE LATEX FREE DISPOSABLE	SUP-EC45A	CDM			270	RC		outpatient			581.24	581.24	157.46				percent of total billed charges		581.24				other	OPPS APC	430.12				percent of total billed charges		581.24				other	OPPS APC	581.24				other	OPPS APC	157.46				percent of total billed charges		160.6				percent of total billed charges		581.24				other	OPPS APC	157.46	581.24	
STAPLER INTERNAL ECHELON FLEX ENDOPATH L45 MM L340 MM 6 ROW 12 FIRING ARTICULATION ROTATE KNOB STERILE LATEX FREE DISPOSABLE	SUP-EC45A	CDM			270	RC		inpatient			581.24	581.24																																																			
STAPLER INTERNAL ECHELON FLEX ENDOPATH L45 MM L280 MM LINEAR CUTTER ARTICULATE COMPACT STERILE LATEX FREE DISPOSABLE	SUP-SC45A	CDM			270	RC		outpatient			581.24	581.24	157.46				percent of total billed charges		581.24				other	OPPS APC	430.12				percent of total billed charges		581.24				other	OPPS APC	581.24				other	OPPS APC	157.46				percent of total billed charges		160.6				percent of total billed charges		581.24				other	OPPS APC	157.46	581.24	
STAPLER INTERNAL ECHELON FLEX ENDOPATH L45 MM L280 MM LINEAR CUTTER ARTICULATE COMPACT STERILE LATEX FREE DISPOSABLE	SUP-SC45A	CDM			270	RC		inpatient			581.24	581.24																																																			
HC US Fine Needle Aspiration Add Lesion	PX-361100061	CDM	10006	CPT	361	RC		inpatient			581	581																																																			
HC US Fine Needle Aspiration Add Lesion	PX-361100061	CDM	10006	CPT	361	RC		outpatient			581	581	183.48				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	183.48				percent of total billed charges		187.14				percent of total billed charges						other	OPPS APC	612	612	
SCREW BONE 4MM FULL THREAD 20MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.020	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 20MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.020	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 25MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.025	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 25MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.025	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 30MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.030	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 30MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.030	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 35MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.035	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 35MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.035	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 40MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.040	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 40MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.040	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 45MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.045	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 45MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.045	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 50MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.050	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 50MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.050	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 55MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.055	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 55MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.055	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 60MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.060	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 60MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.060	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 65MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.065	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 65MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.065	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 70MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.070	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 70MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.070	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 75MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.075	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 75MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.075	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 85MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.085	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 85MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.085	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 90MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.090	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 90MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.090	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
SCREW BONE 4MM FULL THREAD 95MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.095	CDM	270010022	LOCAL	270	RC		outpatient			580.8	58.8	157.34				percent of total billed charges		580.8				other	OPPS APC	429.79				percent of total billed charges		580.8				other	OPPS APC	580.8				other	OPPS APC	157.34				percent of total billed charges		160.48				percent of total billed charges		58.8				other	OPPS APC	58.8	580.8	
SCREW BONE 4MM FULL THREAD 95MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.207.095	CDM	270010022	LOCAL	270	RC		inpatient			580.8	580.8																																																			
PACK CATHETER 36CM 19FR PALINDROME TAL VENATRAC VASCULAR 2 STYLET 2 TISSUE DILATOR	SUP-8888119364	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
PACK CATHETER 36CM 19FR PALINDROME TAL VENATRAC VASCULAR 2 STYLET 2 TISSUE DILATOR	SUP-8888119364	CDM			270	RC		inpatient			580	580																																																			
CATHETER CENTRAL VENOUS 36CM 19FR HEPARIN TAL PALINDROME EMERALD SPORTPACK VENATRAC	SUP-8888119365	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
CATHETER CENTRAL VENOUS 36CM 19FR HEPARIN TAL PALINDROME EMERALD SPORTPACK VENATRAC	SUP-8888119365	CDM			270	RC		inpatient			580	580																																																			
CATHETER CENTRAL VENOUS TAL PALINDROME EMERALD HEPARIN L36 CM OD19 FR SPORTPACK VENATRAC	SUP-8888119365P	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
CATHETER CENTRAL VENOUS TAL PALINDROME EMERALD HEPARIN L36 CM OD19 FR SPORTPACK VENATRAC	SUP-8888119365P	CDM			270	RC		inpatient			580	580																																																			
PACK CATHETER 40CM 12FR PALINDROME TAL VENATRAC VASCULAR 2 LUMEN 2 SEAL CAP INSERTION	SUP-8888123404	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
PACK CATHETER 40CM 12FR PALINDROME TAL VENATRAC VASCULAR 2 LUMEN 2 SEAL CAP INSERTION	SUP-8888123404	CDM			270	RC		inpatient			580	580																																																			
CATHETER CENTRAL VENOUS TAL PALINDROME EMERALD HEPARIN L40 CM OD23 FR SPORTPACK VENATRAC	SUP-8888123405P	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
CATHETER CENTRAL VENOUS TAL PALINDROME EMERALD HEPARIN L40 CM OD23 FR SPORTPACK VENATRAC	SUP-8888123405P	CDM			270	RC		inpatient			580	580																																																			
PACK CATHETER 45CM 12FR PALINDROME TAL VENATRAC VASCULAR 2 LUMEN 2 SEAL CAP INSERTION	SUP-8888128454	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
PACK CATHETER 45CM 12FR PALINDROME TAL VENATRAC VASCULAR 2 LUMEN 2 SEAL CAP INSERTION	SUP-8888128454	CDM			270	RC		inpatient			580	580																																																			
PACK CATHETER PALINDROME VENATRAC H-HEPARIN STRAIGHT L45 CM L28 CM OD14.5 FR ODSEC12 FR 2.1 ML OTW INSERTION STYLET SPORTPACK TISSUE DILATOR SEAL CAP STERILE	SUP-8888128455P	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
PACK CATHETER PALINDROME VENATRAC H-HEPARIN STRAIGHT L45 CM L28 CM OD14.5 FR ODSEC12 FR 2.1 ML OTW INSERTION STYLET SPORTPACK TISSUE DILATOR SEAL CAP STERILE	SUP-8888128455P	CDM			270	RC		inpatient			580	580																																																			
BRACE HIP POST OPERATIVE BLEDSOE PHILIPPON WITH POSITIONING KIT AND POST PAD RIGHT LEG REGULAR 163CM	SUP-AT093205	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
BRACE HIP POST OPERATIVE BLEDSOE PHILIPPON WITH POSITIONING KIT AND POST PAD RIGHT LEG REGULAR 163CM	SUP-AT093205	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 45 DEGREE ANGLE	SUP-GM1221	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 45 DEGREE ANGLE	SUP-GM1221	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 90 DEGREE ANGLE	SUP-GM1222	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 90 DEGREE ANGLE	SUP-GM1222	CDM			270	RC		inpatient			580	580																																																			
GUIDEWIRE VASCULAR HEADLINER NITINOL GOLD HYDROPHILIC L20 CM TAPER L200 CM L1.5 MM OD .012 IN J STANDARD TIP COIL TORQUE DEVICE STERILE LATEX FREE DISPSABLE	SUP-GM1223	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
GUIDEWIRE VASCULAR HEADLINER NITINOL GOLD HYDROPHILIC L20 CM TAPER L200 CM L1.5 MM OD .012 IN J STANDARD TIP COIL TORQUE DEVICE STERILE LATEX FREE DISPSABLE	SUP-GM1223	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 90/150 ANGLE	SUP-GM1224	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 90/150 ANGLE	SUP-GM1224	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 90/150 ANGLE	SUP-GM1224	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 90/150 ANGLE	SUP-GM1224	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE STR SHAPEABLE	SUP-GM1421	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE STR SHAPEABLE	SUP-GM1421	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 45 DEGREE SHAPEABLE	SUP-GM1422	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 45 DEGREE SHAPEABLE	SUP-GM1422	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 70 DEGREE SHAPEABLE	SUP-GM1423	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 70 DEGREE SHAPEABLE	SUP-GM1423	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 45 DEGREE ANGLE	SUP-GM1621	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 45 DEGREE ANGLE	SUP-GM1621	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 90 DEGREE ANGLE	SUP-GM1622	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 90 DEGREE ANGLE	SUP-GM1622	CDM			270	RC		inpatient			580	580																																																			
GUIDEWIRE VASCULAR HEADLINER HYDROPHILIC NITINOL J L200 CM L35 CM OD .016 IN FLOPPY TIP	SUP-GM1623	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
GUIDEWIRE VASCULAR HEADLINER HYDROPHILIC NITINOL J L200 CM L35 CM OD .016 IN FLOPPY TIP	SUP-GM1623	CDM			270	RC		inpatient			580	580																																																			
GUIDEWIRE VASCULAR HEADLINER HYDROPHILIC NITINOL DOUBLE ANGLE L200 CM L35 CM OD .016 IN FLOPPY TIP	SUP-GM1624	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
GUIDEWIRE VASCULAR HEADLINER HYDROPHILIC NITINOL DOUBLE ANGLE L200 CM L35 CM OD .016 IN FLOPPY TIP	SUP-GM1624	CDM			270	RC		inpatient			580	580																																																			
HYDROPHILIC NITINOL GUIDEWIRE 90/150 ANGLE	SUP-GM1624	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
HYDROPHILIC NITINOL GUIDEWIRE 90/150 ANGLE	SUP-GM1624	CDM			270	RC		inpatient			580	580																																																			
CATHETER ELECTROPHYSIOLOGY INQUIRY 2-5-2 MM SPACING LARGE CURVE L110 CM L2 MM OD6 FR MAPPING QUADRIPOLAR STEERABLE	SUP-IBI-81404	CDM			270	RC		outpatient			580	58	157.12				percent of total billed charges		580				other	OPPS APC	429.2				percent of total billed charges		580				other	OPPS APC	580				other	OPPS APC	157.12				percent of total billed charges		160.25				percent of total billed charges		58				other	OPPS APC	58	580	
CATHETER ELECTROPHYSIOLOGY INQUIRY 2-5-2 MM SPACING LARGE CURVE L110 CM L2 MM OD6 FR MAPPING QUADRIPOLAR STEERABLE	SUP-IBI-81404	CDM			270	RC		inpatient			580	580																																																			
TUBING ENDO FLUSH	SUP-95-00346	CDM			272	RC		outpatient			579.53	579.53	156.99				percent of total billed charges		579.53				other	OPPS APC	428.85				percent of total billed charges		579.53				other	OPPS APC	579.53				other	OPPS APC	156.99				percent of total billed charges		160.12				percent of total billed charges		579.53				other	OPPS APC	156.99	579.53	
TUBING ENDO FLUSH	SUP-95-00346	CDM			272	RC		inpatient			579.53	579.53																																																			
GUIDE WIRE SMOOTH TIPPED	SUP-97-01206	CDM			272	RC		outpatient			578.27	578.27	156.65				percent of total billed charges		578.27				other	OPPS APC	427.92				percent of total billed charges		578.27				other	OPPS APC	578.27				other	OPPS APC	156.65				percent of total billed charges		159.78				percent of total billed charges		578.27				other	OPPS APC	156.65	578.27	
GUIDE WIRE SMOOTH TIPPED	SUP-97-01206	CDM			272	RC		inpatient			578.27	578.27																																																			
SCREW T10 3.5 X 14MM LOCKING	SUP-97-01341	CDM			278	RC		outpatient			578.2	578.25	578.2				fee schedule		578.2				other	OPPS APC	329.57				percent of total billed charges		578.2				other	OPPS APC	578.2				other	OPPS APC	283.32				percent of total billed charges		294.88				percent of total billed charges		578.25				other	OPPS APC	283.32	578.25	
SCREW T10 3.5 X 14MM LOCKING	SUP-97-01341	CDM			278	RC		inpatient			578.2	578.2																																																			
SCREW BONE TITANIUM L18 MM OD3 MM STERNUM SELF TAP LOCK STERILE STABLE INTERNAL FIXATION	SUP-413.588E	CDM			270	RC		outpatient			578	578	156.58				percent of total billed charges		578				other	OPPS APC	427.72				percent of total billed charges		578				other	OPPS APC	578				other	OPPS APC	156.58				percent of total billed charges		159.7				percent of total billed charges		578				other	OPPS APC	156.58	578	
SCREW BONE TITANIUM L18 MM OD3 MM STERNUM SELF TAP LOCK STERILE STABLE INTERNAL FIXATION	SUP-413.588E	CDM			270	RC		inpatient			578	578																																																			
SYSTEM DETACHMENT INZONE	SUP-4510094	CDM			270	RC		outpatient			578	578	156.58				percent of total billed charges		578				other	OPPS APC	427.72				percent of total billed charges		578				other	OPPS APC	578				other	OPPS APC	156.58				percent of total billed charges		159.7				percent of total billed charges		578				other	OPPS APC	156.58	578	
SYSTEM DETACHMENT INZONE	SUP-4510094	CDM			270	RC		inpatient			578	578																																																			
CUTTING HEAD	SUP-TIVH40	CDM			270	RC		outpatient			578	578	156.58				percent of total billed charges		578				other	OPPS APC	427.72				percent of total billed charges		578				other	OPPS APC	578				other	OPPS APC	156.58				percent of total billed charges		159.7				percent of total billed charges		578				other	OPPS APC	156.58	578	
CUTTING HEAD	SUP-TIVH40	CDM			270	RC		inpatient			578	578																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE 3MM 3.5MM 4MM 60MM PURPLE TITANIUM DISPOSABLE STERILE LF MED THICK TISSUE ARTICULATE	SUP-EGIA60AMT	CDM			270	RC		outpatient			577.58	577.58	156.47				percent of total billed charges		577.58				other	OPPS APC	427.41				percent of total billed charges		577.58				other	OPPS APC	577.58				other	OPPS APC	156.47				percent of total billed charges		159.59				percent of total billed charges		577.58				other	OPPS APC	156.47	577.58	
RELOAD STAPLER ENDO GIA TRI-STAPLE 3MM 3.5MM 4MM 60MM PURPLE TITANIUM DISPOSABLE STERILE LF MED THICK TISSUE ARTICULATE	SUP-EGIA60AMT	CDM			270	RC		inpatient			577.58	577.58																																																			
BALLOON DILATOR 12-13.5-15	SUP-95-02799	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON DILATOR 12-13.5-15	SUP-95-02799	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON DILATOR 15-18	SUP-95-02819	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON DILATOR 15-18	SUP-95-02819	CDM			272	RC		inpatient			577.5	577.5																																																			
DRILL 1.8	SUP-95-03304	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
DRILL 1.8	SUP-95-03304	CDM			272	RC		inpatient			577.5	577.5																																																			
DRILL 2.2	SUP-95-03305	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
DRILL 2.2	SUP-95-03305	CDM			272	RC		inpatient			577.5	577.5																																																			
LO PRO SCRW3.5X 18MM	SUP-97-01145	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO PRO SCRW3.5X 18MM	SUP-97-01145	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW LO-PRO LOCK SS 3.5 X 30MM	SUP-97-01502	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW LO-PRO LOCK SS 3.5 X 30MM	SUP-97-01502	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW LO-PRO LOCK SS 3.5 X 34MM	SUP-97-01503	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW LO-PRO LOCK SS 3.5 X 34MM	SUP-97-01503	CDM			278	RC		inpatient			577.5	577.5																																																			
LO- PRO LOCK SCRW  3.5X24MMCRT	SUP-97-01670	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO- PRO LOCK SCRW  3.5X24MMCRT	SUP-97-01670	CDM			278	RC		inpatient			577.5	577.5																																																			
LO- PRO LOCK SCRW  3.5X26MMCRT	SUP-97-01671	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO- PRO LOCK SCRW  3.5X26MMCRT	SUP-97-01671	CDM			278	RC		inpatient			577.5	577.5																																																			
LENS 30.0D TECNIS EYHANCE	SUP-97-03073	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LENS 30.0D TECNIS EYHANCE	SUP-97-03073	CDM			278	RC		inpatient			577.5	577.5																																																			
LENS 29.5D TECNIS EYHANCE	SUP-97-03078	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LENS 29.5D TECNIS EYHANCE	SUP-97-03078	CDM			278	RC		inpatient			577.5	577.5																																																			
LENS EYHANCE TORIC II DIU225 18.5D	SUP-97-03081	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LENS EYHANCE TORIC II DIU225 18.5D	SUP-97-03081	CDM			278	RC		inpatient			577.5	577.5																																																			
COMPR FT SCRW 4.0X32MM	SUP-97-03169	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
COMPR FT SCRW 4.0X32MM	SUP-97-03169	CDM			278	RC		inpatient			577.5	577.5																																																			
QUICKFIX SCREW CANN 4.0X40MM	SUP-97-03409	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
QUICKFIX SCREW CANN 4.0X40MM	SUP-97-03409	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 MM LOW PROFILE CANNUL	SUP-97-03554	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 MM LOW PROFILE CANNUL	SUP-97-03554	CDM			278	RC		inpatient			577.5	577.5																																																			
PINN CANN BONE SCREW	SUP-97-03795	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
PINN CANN BONE SCREW	SUP-97-03795	CDM			278	RC		inpatient			577.5	577.5																																																			
LOCKING SCREW 3.5X22	SUP-97-03958	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LOCKING SCREW 3.5X22	SUP-97-03958	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 3.5 X 16MM LOCKING	SUP-97-04106	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 3.5 X 16MM LOCKING	SUP-97-04106	CDM			278	RC		inpatient			577.5	577.5																																																			
QUICKFIX SCREW TI CANN ST4.0X42MM	SUP-97-04381	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
QUICKFIX SCREW TI CANN ST4.0X42MM	SUP-97-04381	CDM			278	RC		inpatient			577.5	577.5																																																			
LO-PRO SCREW CANN BLUNT TIP 4X30 MM	SUP-97-04407	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO-PRO SCREW CANN BLUNT TIP 4X30 MM	SUP-97-04407	CDM			278	RC		inpatient			577.5	577.5																																																			
LO-PRO SCREW CANN BLUNT TIP 4 X 32 MM	SUP-97-04408	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO-PRO SCREW CANN BLUNT TIP 4 X 32 MM	SUP-97-04408	CDM			278	RC		inpatient			577.5	577.5																																																			
LOW PROF SCREW SS4.0X45MM CANN SHT THREA	SUP-97-04491	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LOW PROF SCREW SS4.0X45MM CANN SHT THREA	SUP-97-04491	CDM			278	RC		inpatient			577.5	577.5																																																			
LOW PROFSCREW SS4.0X50MM CANN SHT THREAD	SUP-97-04492	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LOW PROFSCREW SS4.0X50MM CANN SHT THREAD	SUP-97-04492	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW LOCKING 2.7 X 20MM	SUP-97-04600	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW LOCKING 2.7 X 20MM	SUP-97-04600	CDM			278	RC		inpatient			577.5	577.5																																																			
LOW PROF SCREW SS4.0X60MM CANN SHT THREA	SUP-97-04752	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LOW PROF SCREW SS4.0X60MM CANN SHT THREA	SUP-97-04752	CDM			278	RC		inpatient			577.5	577.5																																																			
LO-PRO SCREW CANN BLUNT TIP 4 X 26MM	SUP-97-05081	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO-PRO SCREW CANN BLUNT TIP 4 X 26MM	SUP-97-05081	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW QCKFIX CANN 4.0X40MM	SUP-97-05532	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW QCKFIX CANN 4.0X40MM	SUP-97-05532	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 40MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05731	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 40MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05731	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 42MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05732	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 42MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05732	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 44MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05733	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 44MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05733	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 46MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05734	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 46MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05734	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 48MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05735	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
SCREW 4 X 48MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05735	CDM			272	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 50MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05736	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 50MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05736	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 55MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05737	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 55MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-05737	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 38MM QUICKFIX TI CANNULATED ST	SUP-97-05782	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 38MM QUICKFIX TI CANNULATED ST	SUP-97-05782	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 24MM QUICKFIX CANNULATED ST	SUP-97-05783	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 24MM QUICKFIX CANNULATED ST	SUP-97-05783	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 26MM QUICKFIX CANNULATED ST	SUP-97-05784	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 26MM QUICKFIX CANNULATED ST	SUP-97-05784	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 36MM QUICKFIC CANNULATED ST CANCELLOUS	SUP-97-06310	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 36MM QUICKFIC CANNULATED ST CANCELLOUS	SUP-97-06310	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 36MM LO PRO CANNULATED BLUNT TIP	SUP-97-06343	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 36MM LO PRO CANNULATED BLUNT TIP	SUP-97-06343	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 38MM LO PRO CANNULATED BLUNT TIP	SUP-97-06344	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 38MM LO PRO CANNULATED BLUNT TIP	SUP-97-06344	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 40MM LO PRO CANNULATED BLUNT TIP	SUP-97-06345	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 40MM LO PRO CANNULATED BLUNT TIP	SUP-97-06345	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 42MM LO PRO CANNULATED BLUNT TIP	SUP-97-06346	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 42MM LO PRO CANNULATED BLUNT TIP	SUP-97-06346	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 44MM LO PRO CANNULATED BLUNT TIP	SUP-97-06347	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 44MM LO PRO CANNULATED BLUNT TIP	SUP-97-06347	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 50MM LO PRO CANNULATED BLUNT TIP	SUP-97-06348	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 50MM LO PRO CANNULATED BLUNT TIP	SUP-97-06348	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 55MM LO PRO CANNULATED BLUNT TIP	SUP-97-06349	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 55MM LO PRO CANNULATED BLUNT TIP	SUP-97-06349	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 60MM LO PRO CANNULATED BLUNT TIP	SUP-97-06350	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 60MM LO PRO CANNULATED BLUNT TIP	SUP-97-06350	CDM			278	RC		inpatient			577.5	577.5																																																			
SCREW 4 X 32MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-06393	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
SCREW 4 X 32MM CANNULATED SHORT THREAD LOW PROFILE SS	SUP-97-06393	CDM			278	RC		inpatient			577.5	577.5																																																			
R3CON LOCKING PLATE SCREW 4.2 X 20MM	SUP-97-23719	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
R3CON LOCKING PLATE SCREW 4.2 X 20MM	SUP-97-23719	CDM			278	RC		inpatient			577.5	577.5																																																			
RCON LOCKING PLATE SCREW 3.5 X 30MM	SUP-97-23720	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
RCON LOCKING PLATE SCREW 3.5 X 30MM	SUP-97-23720	CDM			278	RC		inpatient			577.5	577.5																																																			
LO-PRO SCRW CANN BLUNT 4 X 46 MM TIP	SUP-97-23839	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO-PRO SCRW CANN BLUNT 4 X 46 MM TIP	SUP-97-23839	CDM			278	RC		inpatient			577.5	577.5																																																			
LO-PRO SCRW CANN BLUNT 4 X 48MM TIP	SUP-97-23840	CDM			278	RC		outpatient			577.5	577.5	577.5				fee schedule		577.5				other	OPPS APC	329.18				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	282.98				percent of total billed charges		294.53				percent of total billed charges		577.5				other	OPPS APC	282.98	577.5	
LO-PRO SCRW CANN BLUNT 4 X 48MM TIP	SUP-97-23840	CDM			278	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 6X20X75	SUP-99-01264	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 6X20X75	SUP-99-01264	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 5X20X75	SUP-99-01359	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 5X20X75	SUP-99-01359	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 8X40X75	SUP-99-01397	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 8X40X75	SUP-99-01397	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 8X60X75	SUP-99-01399	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 8X60X75	SUP-99-01399	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 10X40X75	SUP-99-01433	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 10X40X75	SUP-99-01433	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 5X60X135	SUP-99-01467	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 5X60X135	SUP-99-01467	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 5X60X75	SUP-99-01479	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 5X60X75	SUP-99-01479	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 7X40X40	SUP-99-01722	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 7X40X40	SUP-99-01722	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 6X40X40	SUP-99-01733	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 6X40X40	SUP-99-01733	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 6X80X75	SUP-99-01972	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 6X80X75	SUP-99-01972	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 12X40X75	SUP-99-01979	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 12X40X75	SUP-99-01979	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 7X40X135	SUP-99-02176	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 7X40X135	SUP-99-02176	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 10X80X75	SUP-99-03155	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 10X80X75	SUP-99-03155	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 10X80X135	SUP-99-03156	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 10X80X135	SUP-99-03156	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 10X60X75	SUP-99-03386	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 10X60X75	SUP-99-03386	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - ULTRAVERSE 014 5.0X40X150	SUP-99-03427	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - ULTRAVERSE 014 5.0X40X150	SUP-99-03427	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - ULTRAVERSE 014 1.5X120X150	SUP-99-03474	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - ULTRAVERSE 014 1.5X120X150	SUP-99-03474	CDM			272	RC		inpatient			577.5	577.5																																																			
BALLOON - MUSTANG OTW 9X20X75	SUP-99-03769	CDM			272	RC		outpatient			577.5	577.5	156.44				percent of total billed charges		577.5				other	OPPS APC	427.35				percent of total billed charges		577.5				other	OPPS APC	577.5				other	OPPS APC	156.44				percent of total billed charges		159.56				percent of total billed charges		577.5				other	OPPS APC	156.44	577.5	
BALLOON - MUSTANG OTW 9X20X75	SUP-99-03769	CDM			272	RC		inpatient			577.5	577.5																																																			
PLATE T PLATE 4 HOLE	SUP-240.14	CDM	270010022	LOCAL	270	RC		outpatient			577.28	577.28	156.39				percent of total billed charges		577.28				other	OPPS APC	427.19				percent of total billed charges		577.28				other	OPPS APC	577.28				other	OPPS APC	156.39				percent of total billed charges		159.5				percent of total billed charges		577.28				other	OPPS APC	156.39	577.28	
PLATE T PLATE 4 HOLE	SUP-240.14	CDM	270010022	LOCAL	270	RC		inpatient			577.28	577.28																																																			
PLATE BONE TITANIUM MIDFACIAL 16 HOLE LOCKING 1.7 MM SCREW	SUP-5505716	CDM			270	RC		outpatient			577.2	577.25	156.36				percent of total billed charges		577.2				other	OPPS APC	427.13				percent of total billed charges		577.2				other	OPPS APC	577.2				other	OPPS APC	156.36				percent of total billed charges		159.48				percent of total billed charges		577.25				other	OPPS APC	156.36	577.25	
PLATE BONE TITANIUM MIDFACIAL 16 HOLE LOCKING 1.7 MM SCREW	SUP-5505716	CDM			270	RC		inpatient			577.2	577.2																																																			
2.8 TRILOCK SCREW 14MM	SUP-97-02912	CDM			278	RC		outpatient			576.98	576.98	576.98				fee schedule		576.98				other	OPPS APC	328.88				percent of total billed charges		576.98				other	OPPS APC	576.98				other	OPPS APC	282.72				percent of total billed charges		294.26				percent of total billed charges		576.98				other	OPPS APC	282.72	576.98	
2.8 TRILOCK SCREW 14MM	SUP-97-02912	CDM			278	RC		inpatient			576.98	576.98																																																			
2.8 TRILOCK SCREW 16MM	SUP-97-02913	CDM			278	RC		outpatient			576.98	576.98	576.98				fee schedule		576.98				other	OPPS APC	328.88				percent of total billed charges		576.98				other	OPPS APC	576.98				other	OPPS APC	282.72				percent of total billed charges		294.26				percent of total billed charges		576.98				other	OPPS APC	282.72	576.98	
2.8 TRILOCK SCREW 16MM	SUP-97-02913	CDM			278	RC		inpatient			576.98	576.98																																																			
2.8 TRILOCK SCREW 24MM	SUP-97-02916	CDM			278	RC		outpatient			576.98	576.98	576.98				fee schedule		576.98				other	OPPS APC	328.88				percent of total billed charges		576.98				other	OPPS APC	576.98				other	OPPS APC	282.72				percent of total billed charges		294.26				percent of total billed charges		576.98				other	OPPS APC	282.72	576.98	
2.8 TRILOCK SCREW 24MM	SUP-97-02916	CDM			278	RC		inpatient			576.98	576.98																																																			
SCREW BONE T8 LCKNG 2.7MM X 22MM	SUP-97-04043	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW BONE T8 LCKNG 2.7MM X 22MM	SUP-97-04043	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW BONE T8 LCKNG 2.7MM X 24MM	SUP-97-04044	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW BONE T8 LCKNG 2.7MM X 24MM	SUP-97-04044	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW BONE T8 LCKNG 2.7MM X 14MM	SUP-97-04133	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW BONE T8 LCKNG 2.7MM X 14MM	SUP-97-04133	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW BONE T8 LCKNG 2.7MM X 18MM	SUP-97-04134	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW BONE T8 LCKNG 2.7MM X 18MM	SUP-97-04134	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW BONE T8 LCKNG 2.7MM X 20MM	SUP-97-04135	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW BONE T8 LCKNG 2.7MM X 20MM	SUP-97-04135	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW BONE T8 LCKNG 2.7MM X 16MM	SUP-97-04391	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW BONE T8 LCKNG 2.7MM X 16MM	SUP-97-04391	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 28MM T8 FULL THREAD	SUP-97-04392	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 28MM T8 FULL THREAD	SUP-97-04392	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 26MM T8 FULL THREAD	SUP-97-05688	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 26MM T8 FULL THREAD	SUP-97-05688	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 30MM T8 LOCKING	SUP-97-05689	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 30MM T8 LOCKING	SUP-97-05689	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 32MM T8 FULL THREAD	SUP-97-05690	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 32MM T8 FULL THREAD	SUP-97-05690	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 34MM T8 FULL THREAD	SUP-97-05691	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 34MM T8 FULL THREAD	SUP-97-05691	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 36MM T8 FULL THREAD	SUP-97-05692	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 36MM T8 FULL THREAD	SUP-97-05692	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 38MM T8 FULL THREAD	SUP-97-05693	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 38MM T8 FULL THREAD	SUP-97-05693	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 40MM T8 FULL THREAD	SUP-97-05694	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 40MM T8 FULL THREAD	SUP-97-05694	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 45MM T8 FULL THREAD	SUP-97-05695	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 45MM T8 FULL THREAD	SUP-97-05695	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING 2.7 X 50MM T8 FULL THREAD	SUP-97-05696	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING 2.7 X 50MM T8 FULL THREAD	SUP-97-05696	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 8MM	SUP-97-06059	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 8MM	SUP-97-06059	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 10MM	SUP-97-06060	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 10MM	SUP-97-06060	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 12MM	SUP-97-06061	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 12MM	SUP-97-06061	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 24MM	SUP-97-06062	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 24MM	SUP-97-06062	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 26MM	SUP-97-06063	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 26MM	SUP-97-06063	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 28MM	SUP-97-06064	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 28MM	SUP-97-06064	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 30MM	SUP-97-06065	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 30MM	SUP-97-06065	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 32MM	SUP-97-06066	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 32MM	SUP-97-06066	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 34MM	SUP-97-06067	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 34MM	SUP-97-06067	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 36MM	SUP-97-06068	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 36MM	SUP-97-06068	CDM			278	RC		inpatient			576.94	576.94																																																			
SCREW LOCKING T8 FULL THREAD 2.4 X 38MM	SUP-97-06069	CDM			278	RC		outpatient			576.94	576.95	576.94				fee schedule		576.94				other	OPPS APC	328.86				percent of total billed charges		576.94				other	OPPS APC	576.94				other	OPPS APC	282.7				percent of total billed charges		294.24				percent of total billed charges		576.95				other	OPPS APC	282.7	576.95	
SCREW LOCKING T8 FULL THREAD 2.4 X 38MM	SUP-97-06069	CDM			278	RC		inpatient			576.94	576.94																																																			
SUTURE ENDOSTITCH 0 48IN GREEN (ORANGE)	SUP-95-02998	CDM			272	RC		outpatient			576.24	576.24	156.1				percent of total billed charges		576.24				other	OPPS APC	426.42				percent of total billed charges		576.24				other	OPPS APC	576.24				other	OPPS APC	156.1				percent of total billed charges		159.22				percent of total billed charges		576.24				other	OPPS APC	156.1	576.24	
SUTURE ENDOSTITCH 0 48IN GREEN (ORANGE)	SUP-95-02998	CDM			272	RC		inpatient			576.24	576.24																																																			
RASP INTRAMEDULLARY SMALL MICRORECIP	SUP-84-00040	CDM			272	RC		outpatient			576.17	576.17	156.08				percent of total billed charges		576.17				other	OPPS APC	426.37				percent of total billed charges		576.17				other	OPPS APC	576.17				other	OPPS APC	156.08				percent of total billed charges		159.2				percent of total billed charges		576.17				other	OPPS APC	156.08	576.17	
RASP INTRAMEDULLARY SMALL MICRORECIP	SUP-84-00040	CDM			272	RC		inpatient			576.17	576.17																																																			
HC Replacement Gastrotomy Tube Percutaneous	PX-450437621	CDM	43762	CPT	450	RC		outpatient			576	576	195.77				case rate		576				other	OPPS APC	426.24				percent of total billed charges		576				other	OPPS APC	576				other	OPPS APC	195.77				case rate		199.69				case rate		576				other	OPPS APC	195.77	576	
HC Replacement Gastrotomy Tube Percutaneous	PX-450437621	CDM	43762	CPT	450	RC		inpatient			576	576																																																			
TM CANNULATED DRILL WITH STOP	SUP-47-4307-61	CDM			270	RC		outpatient			576	576	156.04				percent of total billed charges		576				other	OPPS APC	426.24				percent of total billed charges		576				other	OPPS APC	576				other	OPPS APC	156.04				percent of total billed charges		159.15				percent of total billed charges		576				other	OPPS APC	156.04	576	
TM CANNULATED DRILL WITH STOP	SUP-47-4307-61	CDM			270	RC		inpatient			576	576																																																			
ANCHOR SUTURE IBALANCE L48 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-48	CDM			270	RC		outpatient			576	576	156.04				percent of total billed charges		576				other	OPPS APC	426.24				percent of total billed charges		576				other	OPPS APC	576				other	OPPS APC	156.04				percent of total billed charges		159.15				percent of total billed charges		576				other	OPPS APC	156.04	576	
ANCHOR SUTURE IBALANCE L48 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-48	CDM			270	RC		inpatient			576	576																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 8MM	SUP-97-03220	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCK T10 FULL THRD 3.5MM X 8MM	SUP-97-03220	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 22MM	SUP-97-03288	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCK T10 FULL THRD 3.5MM X 22MM	SUP-97-03288	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 30MM	SUP-97-03290	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCK T10 FULL THRD 3.5MM X 30MM	SUP-97-03290	CDM			278	RC		inpatient			575.75	575.75																																																			
LOCK  SCREW T10 FULL THREAD 2.7MM / L12	SUP-97-04140	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
LOCK  SCREW T10 FULL THREAD 2.7MM / L12	SUP-97-04140	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCK T10 FULL THRD 3.5MM  X 26MM	SUP-97-04911	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCK T10 FULL THRD 3.5MM  X 26MM	SUP-97-04911	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 40MM	SUP-97-04923	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCK T10 FULL THRD 3.5MM X 40MM	SUP-97-04923	CDM			278	RC		inpatient			575.75	575.75																																																			
2.7 X 44 MM LKNG SCREW	SUP-97-04924	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
2.7 X 44 MM LKNG SCREW	SUP-97-04924	CDM			278	RC		inpatient			575.75	575.75																																																			
2.7 X 46MM LKNG SCREW	SUP-97-04925	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
2.7 X 46MM LKNG SCREW	SUP-97-04925	CDM			278	RC		inpatient			575.75	575.75																																																			
2.7 X 50MM LKNG SCREW	SUP-97-04926	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
2.7 X 50MM LKNG SCREW	SUP-97-04926	CDM			278	RC		inpatient			575.75	575.75																																																			
2.7 X 55MM LKNG. SCREW	SUP-97-04939	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
2.7 X 55MM LKNG. SCREW	SUP-97-04939	CDM			278	RC		inpatient			575.75	575.75																																																			
2.7 X 60 MM  LKNG. SCREW	SUP-97-04940	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
2.7 X 60 MM  LKNG. SCREW	SUP-97-04940	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 28MM	SUP-97-04995	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCK T10 FULL THRD 3.5MM X 28MM	SUP-97-04995	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCKING T10 FULL THREAD 2.7MM X 14MM	SUP-97-05280	CDM			278	RC		outpatient			575.75	575.75	575.75				fee schedule		575.75				other	OPPS APC	328.18				percent of total billed charges		575.75				other	OPPS APC	575.75				other	OPPS APC	282.12				percent of total billed charges		293.63				percent of total billed charges		575.75				other	OPPS APC	282.12	575.75	
SCREW LOCKING T10 FULL THREAD 2.7MM X 14MM	SUP-97-05280	CDM			278	RC		inpatient			575.75	575.75																																																			
SCREW LOCK T10 FULL THRD 3.5MM X 24MM	SUP-97-03289	CDM			278	RC		outpatient			574.7	574.75	574.7				fee schedule		574.7				other	OPPS APC	327.58				percent of total billed charges		574.7				other	OPPS APC	574.7				other	OPPS APC	281.6				percent of total billed charges		293.1				percent of total billed charges		574.75				other	OPPS APC	281.6	574.75	
SCREW LOCK T10 FULL THRD 3.5MM X 24MM	SUP-97-03289	CDM			278	RC		inpatient			574.7	574.7																																																			
GUIDE WIRE BALL TIPPED 2.5X800	SUP-95-03710	CDM			272	RC		outpatient			574.56	574.56	155.65				percent of total billed charges		574.56				other	OPPS APC	425.17				percent of total billed charges		574.56				other	OPPS APC	574.56				other	OPPS APC	155.65				percent of total billed charges		158.75				percent of total billed charges		574.56				other	OPPS APC	155.65	574.56	
GUIDE WIRE BALL TIPPED 2.5X800	SUP-95-03710	CDM			272	RC		inpatient			574.56	574.56																																																			
PLATE BONE DCP 32X5X.9MM TITANIUM NS ZYGOMATIC 6 HOLE 2MM CORTICAL SCREW	SUP-443.46	CDM	270010014	LOCAL	270	RC		outpatient			574.42	574.42	155.61				percent of total billed charges		574.42				other	OPPS APC	425.07				percent of total billed charges		574.42				other	OPPS APC	574.42				other	OPPS APC	155.61				percent of total billed charges		158.71				percent of total billed charges		574.42				other	OPPS APC	155.61	574.42	
PLATE BONE DCP 32X5X.9MM TITANIUM NS ZYGOMATIC 6 HOLE 2MM CORTICAL SCREW	SUP-443.46	CDM	270010014	LOCAL	270	RC		inpatient			574.42	574.42																																																			
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L56 MM X W11 MM X H1.5 MM 4 HOLE HEAD 4 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.141	CDM	270010022	LOCAL	270	RC		outpatient			574.24	574.24	155.56				percent of total billed charges		574.24				other	OPPS APC	424.94				percent of total billed charges		574.24				other	OPPS APC	574.24				other	OPPS APC	155.56				percent of total billed charges		158.66				percent of total billed charges		574.24				other	OPPS APC	155.56	574.24	
PLATE BONE LCP COMBI STAINLESS STEEL RIGHT ANGLE T L56 MM X W11 MM X H1.5 MM 4 HOLE HEAD 4 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.141	CDM	270010022	LOCAL	270	RC		inpatient			574.24	574.24																																																			
HC Metastatic Bone Survey	PX-320770750	CDM	77075	CPT	320	RC		outpatient			574	112.57	109.33				fee schedule		112.57				other	OPPS APC	231.63				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	100.19				fee schedule		73.53				fee schedule		112.57				other	OPPS APC	73.53	231.63	
HC Metastatic Bone Survey	PX-320770750	CDM	77075	CPT	320	RC		inpatient			574	574																																																			
HC Bone Survey Complete	PX-320770755	CDM	77075	CPT	320	RC		outpatient			574	112.57	109.33				fee schedule		112.57				other	OPPS APC	231.63				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	100.19				fee schedule		73.53				fee schedule		112.57				other	OPPS APC	73.53	231.63	
HC Bone Survey Complete	PX-320770755	CDM	77075	CPT	320	RC		inpatient			574	574																																																			
HC Pulmonary Stress Test	PX-460946211	CDM	94621	CPT	460	RC		outpatient			574	294.96	165.99				fee schedule		294.96				other	OPPS APC	195.91				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	152.22				fee schedule		292.74				percent of total billed charges		294.96				other	OPPS APC	152.22	294.96	
HC Pulmonary Stress Test	PX-460946211	CDM	94621	CPT	460	RC		inpatient			574	574																																																			
HC Anorectal Manometry	PX-750911221	CDM	91122	CPT	750	RC		outpatient			574	574	225.52				fee schedule		574				other	OPPS APC	574				fee schedule		574				other	OPPS APC	574				other	OPPS APC	274.62				fee schedule		292.74				percent of total billed charges		574				other	OPPS APC	225.52	574	
HC Anorectal Manometry	PX-750911221	CDM	91122	CPT	750	RC		inpatient			574	574																																																			
MONOPTY (22M) 18G X 20CM	SUP-95-00944	CDM						inpatient			574	574																																																			
MONOPTY (22M) 18G X 20CM	SUP-95-00944	CDM						outpatient			574	574	574				percent of total billed charges		574				other	OPPS APC	574				fee schedule		574				other	OPPS APC	574				other	OPPS APC	574				case rate		574				case rate		574				other	OPPS APC	574	574	
KIT CATHETER ARROWG+ARD BLUE PLUS CHLORHEXIDINE L20 CM OD8.5 FR CENTRAL VENOUS 4 LUMEN PRESSURE INJECTABLE LATEX FREE	SUP-12-00090	CDM			272	RC		outpatient			573.23	573.23	155.29				percent of total billed charges		573.23				other	OPPS APC	424.19				percent of total billed charges		573.23				other	OPPS APC	573.23				other	OPPS APC	155.29				percent of total billed charges		158.38				percent of total billed charges		573.23				other	OPPS APC	155.29	573.23	
KIT CATHETER ARROWG+ARD BLUE PLUS CHLORHEXIDINE L20 CM OD8.5 FR CENTRAL VENOUS 4 LUMEN PRESSURE INJECTABLE LATEX FREE	SUP-12-00090	CDM			272	RC		inpatient			573.23	573.23																																																			
KIT CATHETER ARROWG+ARD BLUE PLUS DEHP L16 CM OD8.5 FR CENTRAL VENOUS 4 LUMEN ANTIMICROBIAL PRESSURE INJECTABLE LATEX FREE	SUP-12-00091	CDM			272	RC		outpatient			573.23	573.23	155.29				percent of total billed charges		573.23				other	OPPS APC	424.19				percent of total billed charges		573.23				other	OPPS APC	573.23				other	OPPS APC	155.29				percent of total billed charges		158.38				percent of total billed charges		573.23				other	OPPS APC	155.29	573.23	
KIT CATHETER ARROWG+ARD BLUE PLUS DEHP L16 CM OD8.5 FR CENTRAL VENOUS 4 LUMEN ANTIMICROBIAL PRESSURE INJECTABLE LATEX FREE	SUP-12-00091	CDM			272	RC		inpatient			573.23	573.23																																																			
KIT LAPAROSCOPIC FILSHIE STERISHOT II STANDARD APPLICATOR 1 PAIR CLIP	SUP-AVM-951	CDM			270	RC		outpatient			572.8	572.8	155.17				percent of total billed charges		572.8				other	OPPS APC	423.87				percent of total billed charges		572.8				other	OPPS APC	572.8				other	OPPS APC	155.17				percent of total billed charges		158.26				percent of total billed charges		572.8				other	OPPS APC	155.17	572.8	
KIT LAPAROSCOPIC FILSHIE STERISHOT II STANDARD APPLICATOR 1 PAIR CLIP	SUP-AVM-951	CDM			270	RC		inpatient			572.8	572.8																																																			
SCREW BONE LCP STAINLESS STEEL L75 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.572	CDM	270010022	LOCAL	270	RC		outpatient			572.4	572.4	155.06				percent of total billed charges		572.4				other	OPPS APC	423.58				percent of total billed charges		572.4				other	OPPS APC	572.4				other	OPPS APC	155.06				percent of total billed charges		158.15				percent of total billed charges		572.4				other	OPPS APC	155.06	572.4	
SCREW BONE LCP STAINLESS STEEL L75 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.572	CDM	270010022	LOCAL	270	RC		inpatient			572.4	572.4																																																			
DRILL BIT 4.0MM 3FLUTE 195MM	SUP-95-02145	CDM			272	RC		outpatient			572.32	572.33	155.04				percent of total billed charges		572.32				other	OPPS APC	423.52				percent of total billed charges		572.32				other	OPPS APC	572.32				other	OPPS APC	155.04				percent of total billed charges		158.13				percent of total billed charges		572.33				other	OPPS APC	155.04	572.33	
DRILL BIT 4.0MM 3FLUTE 195MM	SUP-95-02145	CDM			272	RC		inpatient			572.32	572.32																																																			
DRILL BIT 1.8MM W/DEPTH 110MM	SUP-95-03217	CDM			272	RC		outpatient			572.01	573	154.96				percent of total billed charges		572.01				other	OPPS APC	423.29				percent of total billed charges		572.01				other	OPPS APC	572.01				other	OPPS APC	154.96				percent of total billed charges		158.05				percent of total billed charges		573				other	OPPS APC	154.96	573	
DRILL BIT 1.8MM W/DEPTH 110MM	SUP-95-03217	CDM			272	RC		inpatient			572.01	572.01																																																			
ROD SPINAL TSRH-3D TITANIUM STANDARD STRAIGHT L25 CM OD6.35 MM PRECUT	SUP-837-135	CDM	270010020	LOCAL	270	RC		outpatient			572	572	154.95				percent of total billed charges		572				other	OPPS APC	423.28				percent of total billed charges		572				other	OPPS APC	572				other	OPPS APC	154.95				percent of total billed charges		158.04				percent of total billed charges		572				other	OPPS APC	154.95	572	
ROD SPINAL TSRH-3D TITANIUM STANDARD STRAIGHT L25 CM OD6.35 MM PRECUT	SUP-837-135	CDM	270010020	LOCAL	270	RC		inpatient			572	572																																																			
SCREW F/T LOCKING 4MM X 40MM	SUP-97-03949	CDM			278	RC		outpatient			571.55	571.55	571.55				fee schedule		571.55				other	OPPS APC	325.78				percent of total billed charges		571.55				other	OPPS APC	571.55				other	OPPS APC	280.06				percent of total billed charges		291.49				percent of total billed charges		571.55				other	OPPS APC	280.06	571.55	
SCREW F/T LOCKING 4MM X 40MM	SUP-97-03949	CDM			278	RC		inpatient			571.55	571.55																																																			
PLATE BONE LCP COMBI 98X11X3.4MM SS NS 7 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.571	CDM	270010022	LOCAL	270	RC		outpatient			571.34	571.34	154.78				percent of total billed charges		571.34				other	OPPS APC	422.79				percent of total billed charges		571.34				other	OPPS APC	571.34				other	OPPS APC	154.78				percent of total billed charges		157.86				percent of total billed charges		571.34				other	OPPS APC	154.78	571.34	
PLATE BONE LCP COMBI 98X11X3.4MM SS NS 7 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.571	CDM	270010022	LOCAL	270	RC		inpatient			571.34	571.34																																																			
ROD SPINAL CD HORIZON SEXTANT STANDARD CONTOUR PREBENT 50MM 5.5MM TITANIUM PRECUT	SUP-8672050	CDM	270010020	LOCAL	270	RC		outpatient			571.2	571.25	154.74				percent of total billed charges		571.2				other	OPPS APC	422.69				percent of total billed charges		571.2				other	OPPS APC	571.2				other	OPPS APC	154.74				percent of total billed charges		157.82				percent of total billed charges		571.25				other	OPPS APC	154.74	571.25	
ROD SPINAL CD HORIZON SEXTANT STANDARD CONTOUR PREBENT 50MM 5.5MM TITANIUM PRECUT	SUP-8672050	CDM	270010020	LOCAL	270	RC		inpatient			571.2	571.2																																																			
BALLOON - EVERCROSS 5X100	SUP-99-03454	CDM			272	RC		outpatient			570.5	57.5	154.55				percent of total billed charges		570.5				other	OPPS APC	422.17				percent of total billed charges		570.5				other	OPPS APC	570.5				other	OPPS APC	154.55				percent of total billed charges		157.63				percent of total billed charges		57.5				other	OPPS APC	57.5	570.5	
BALLOON - EVERCROSS 5X100	SUP-99-03454	CDM			272	RC		inpatient			570.5	570.5																																																			
BALLOON - EVERCROSS 4X100	SUP-99-03475	CDM			272	RC		outpatient			570.5	57.5	154.55				percent of total billed charges		570.5				other	OPPS APC	422.17				percent of total billed charges		570.5				other	OPPS APC	570.5				other	OPPS APC	154.55				percent of total billed charges		157.63				percent of total billed charges		57.5				other	OPPS APC	57.5	570.5	
BALLOON - EVERCROSS 4X100	SUP-99-03475	CDM			272	RC		inpatient			570.5	570.5																																																			
PLATE BONE 33X2.2X.5MM TITANIUM NS CRANIOMAXILLOFACIAL ORBITAL RIM 11 HOLE 1MM CORTEX SCREW	SUP-420.21	CDM	270010013	LOCAL	270	RC		outpatient			570.44	57.45	154.53				percent of total billed charges		570.44				other	OPPS APC	422.13				percent of total billed charges		570.44				other	OPPS APC	570.44				other	OPPS APC	154.53				percent of total billed charges		157.61				percent of total billed charges		57.45				other	OPPS APC	57.45	570.44	
PLATE BONE 33X2.2X.5MM TITANIUM NS CRANIOMAXILLOFACIAL ORBITAL RIM 11 HOLE 1MM CORTEX SCREW	SUP-420.21	CDM	270010013	LOCAL	270	RC		inpatient			570.44	570.44																																																			
PLATE BONE Y 22X4X.9MM 11MM GOLD TITANIUM NS CRANIOFACIAL 1X3 HOLE 1.5MM SCREW	SUP-446.61	CDM	270010022	LOCAL	270	RC		outpatient			570.44	57.45	154.53				percent of total billed charges		570.44				other	OPPS APC	422.13				percent of total billed charges		570.44				other	OPPS APC	570.44				other	OPPS APC	154.53				percent of total billed charges		157.61				percent of total billed charges		57.45				other	OPPS APC	57.45	570.44	
PLATE BONE Y 22X4X.9MM 11MM GOLD TITANIUM NS CRANIOFACIAL 1X3 HOLE 1.5MM SCREW	SUP-446.61	CDM	270010022	LOCAL	270	RC		inpatient			570.44	570.44																																																			
PLATE BONE TITANIUM 2Y L18 MM X W3.7 MM X H.6 MM CRANIOFACIAL 6 HOLE NONSTERILE 1.5 MM SCREW	SUP-446.614	CDM	270010022	LOCAL	270	RC		outpatient			570.44	57.45	154.53				percent of total billed charges		570.44				other	OPPS APC	422.13				percent of total billed charges		570.44				other	OPPS APC	570.44				other	OPPS APC	154.53				percent of total billed charges		157.61				percent of total billed charges		57.45				other	OPPS APC	57.45	570.44	
PLATE BONE TITANIUM 2Y L18 MM X W3.7 MM X H.6 MM CRANIOFACIAL 6 HOLE NONSTERILE 1.5 MM SCREW	SUP-446.614	CDM	270010022	LOCAL	270	RC		inpatient			570.44	570.44																																																			
PLATE BONE TITANIUM 2Y L21 MM X W3.7 MM X H.6 MM CRANIOFACIAL 6 HOLE NONSTERILE 1.5 MM SCREW	SUP-446.615	CDM	270010022	LOCAL	270	RC		outpatient			570.44	57.45	154.53				percent of total billed charges		570.44				other	OPPS APC	422.13				percent of total billed charges		570.44				other	OPPS APC	570.44				other	OPPS APC	154.53				percent of total billed charges		157.61				percent of total billed charges		57.45				other	OPPS APC	57.45	570.44	
PLATE BONE TITANIUM 2Y L21 MM X W3.7 MM X H.6 MM CRANIOFACIAL 6 HOLE NONSTERILE 1.5 MM SCREW	SUP-446.615	CDM	270010022	LOCAL	270	RC		inpatient			570.44	570.44																																																			
PLATE BONE X 400MM GOLD TITANIUM NS CRANIOFACIAL 4 HOLE 1.5MM SCREW	SUP-446.81	CDM	270010022	LOCAL	270	RC		outpatient			570.44	57.45	154.53				percent of total billed charges		570.44				other	OPPS APC	422.13				percent of total billed charges		570.44				other	OPPS APC	570.44				other	OPPS APC	154.53				percent of total billed charges		157.61				percent of total billed charges		57.45				other	OPPS APC	57.45	570.44	
PLATE BONE X 400MM GOLD TITANIUM NS CRANIOFACIAL 4 HOLE 1.5MM SCREW	SUP-446.81	CDM	270010022	LOCAL	270	RC		inpatient			570.44	570.44																																																			
LINER BIPOLAR LEGACY POLY OD42/43 MM ID22 MM HIP STERILE	SUP-00-5001-042-22	CDM	270010024	LOCAL	270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
LINER BIPOLAR LEGACY POLY OD42/43 MM ID22 MM HIP STERILE	SUP-00-5001-042-22	CDM	270010024	LOCAL	270	RC		inpatient			570	570																																																			
SCREW BONE VECTRA 16MM 4.5MM BLUE TITANIUM NS SPINE CERVICAL ANTERIOR SELF DRILL SELF RETAINING VARIABLE ANGLE	SUP-04.613.566	CDM	270010013	LOCAL	270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
SCREW BONE VECTRA 16MM 4.5MM BLUE TITANIUM NS SPINE CERVICAL ANTERIOR SELF DRILL SELF RETAINING VARIABLE ANGLE	SUP-04.613.566	CDM	270010013	LOCAL	270	RC		inpatient			570	570																																																			
BIORPTR ANCHOR   EA	SUP-72200801	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
BIORPTR ANCHOR   EA	SUP-72200801	CDM			270	RC		inpatient			570	570																																																			
CUTTER SURGICAL CORNERSTONE SR D11 MM OD5 MM DISPOSABLE BM	SUP-874-425	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
CUTTER SURGICAL CORNERSTONE SR D11 MM OD5 MM DISPOSABLE BM	SUP-874-425	CDM			270	RC		inpatient			570	570																																																			
SCREW INTERFERENCE BIO-TENODESIS POLY L LACTIC ACID L23 MM OD7 MM ACL PCL RECONSTRUCTION STERILE	SUP-AR-1570B	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
SCREW INTERFERENCE BIO-TENODESIS POLY L LACTIC ACID L23 MM OD7 MM ACL PCL RECONSTRUCTION STERILE	SUP-AR-1570B	CDM			270	RC		inpatient			570	570																																																			
SCREW INTERFERENCE BIO-TENODESIS PEEK-OPTIMA L8 MM OD5.5 MM ACL RECONSTRUCTION STERILE	SUP-AR-1655PS	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
SCREW INTERFERENCE BIO-TENODESIS PEEK-OPTIMA L8 MM OD5.5 MM ACL RECONSTRUCTION STERILE	SUP-AR-1655PS	CDM			270	RC		inpatient			570	570																																																			
SCREW INTERFERENCE BIO-TENODESIS PEEK-OPTIMA L10 MM OD5.5 MM ACL RECONSTRUCTION STERILE	SUP-AR-1655PS-10	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
SCREW INTERFERENCE BIO-TENODESIS PEEK-OPTIMA L10 MM OD5.5 MM ACL RECONSTRUCTION STERILE	SUP-AR-1655PS-10	CDM			270	RC		inpatient			570	570																																																			
ANCHOR SUTURE CORKSCREW FIBERWIRE TITANIUM 0 2.3 MM 1/2 CIRCLE 2 DIAMOND POINT FULL THREAD L26.5 MM L10 MM OD3.5 MM ID2.5 MM FOOT ELBOW KIT PRELOAD SELF DRILL SELF TAP STERILE DISPOSABLE	SUP-AR-1915FT	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
ANCHOR SUTURE CORKSCREW FIBERWIRE TITANIUM 0 2.3 MM 1/2 CIRCLE 2 DIAMOND POINT FULL THREAD L26.5 MM L10 MM OD3.5 MM ID2.5 MM FOOT ELBOW KIT PRELOAD SELF DRILL SELF TAP STERILE DISPOSABLE	SUP-AR-1915FT	CDM			270	RC		inpatient			570	570																																																			
DEVICE SUTURING MENISCAL CINCH CURVE STERILE DISPOSABLE	SUP-AR-4500	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
DEVICE SUTURING MENISCAL CINCH CURVE STERILE DISPOSABLE	SUP-AR-4500	CDM			270	RC		inpatient			570	570																																																			
PORT IMPLANTABLE INFUSION VORTEX LP PEELPRO TITANIUM SILICONE PTFE OD 11.4 FR OD SEC 12 FR 2 DETACH CATHETER INTRODUCER BAYONET LOCK STERILE	SUP-H787LVTX52130	CDM			270	RC		outpatient			570	57	154.41				percent of total billed charges		570				other	OPPS APC	421.8				percent of total billed charges		570				other	OPPS APC	570				other	OPPS APC	154.41				percent of total billed charges		157.49				percent of total billed charges		57				other	OPPS APC	57	570	
PORT IMPLANTABLE INFUSION VORTEX LP PEELPRO TITANIUM SILICONE PTFE OD 11.4 FR OD SEC 12 FR 2 DETACH CATHETER INTRODUCER BAYONET LOCK STERILE	SUP-H787LVTX52130	CDM			270	RC		inpatient			570	570																																																			
SCREW BONE L 30 MM COMPRESSION	SUP-71672030	CDM			270	RC		outpatient			569.84	569.84	154.37				percent of total billed charges		569.84				other	OPPS APC	421.68				percent of total billed charges		569.84				other	OPPS APC	569.84				other	OPPS APC	154.37				percent of total billed charges		157.45				percent of total billed charges		569.84				other	OPPS APC	154.37	569.84	
SCREW BONE L 30 MM COMPRESSION	SUP-71672030	CDM			270	RC		inpatient			569.84	569.84																																																			
5.0 SELF TAPPING 36MM	SUP-97-00915	CDM			278	RC		outpatient			569.42	569.42	569.42				fee schedule		569.42				other	OPPS APC	324.57				percent of total billed charges		569.42				other	OPPS APC	569.42				other	OPPS APC	279.02				percent of total billed charges		290.4				percent of total billed charges		569.42				other	OPPS APC	279.02	569.42	
5.0 SELF TAPPING 36MM	SUP-97-00915	CDM			278	RC		inpatient			569.42	569.42																																																			
5.0 SELF TAPPING 38MM	SUP-97-00916	CDM			278	RC		outpatient			569.42	569.42	569.42				fee schedule		569.42				other	OPPS APC	324.57				percent of total billed charges		569.42				other	OPPS APC	569.42				other	OPPS APC	279.02				percent of total billed charges		290.4				percent of total billed charges		569.42				other	OPPS APC	279.02	569.42	
5.0 SELF TAPPING 38MM	SUP-97-00916	CDM			278	RC		inpatient			569.42	569.42																																																			
5.0 SELF TAPPING 34MM	SUP-97-01945	CDM			278	RC		outpatient			569.42	569.42	569.42				fee schedule		569.42				other	OPPS APC	324.57				percent of total billed charges		569.42				other	OPPS APC	569.42				other	OPPS APC	279.02				percent of total billed charges		290.4				percent of total billed charges		569.42				other	OPPS APC	279.02	569.42	
5.0 SELF TAPPING 34MM	SUP-97-01945	CDM			278	RC		inpatient			569.42	569.42																																																			
NAIL INTRAMEDULLARY TITANIUM 6-8 YR L440 MM OD3 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE GOLD	SUP-475.930	CDM	270010022	LOCAL	270	RC		outpatient			569.4	569.4	154.25				percent of total billed charges		569.4				other	OPPS APC	421.36				percent of total billed charges		569.4				other	OPPS APC	569.4				other	OPPS APC	154.25				percent of total billed charges		157.33				percent of total billed charges		569.4				other	OPPS APC	154.25	569.4	
NAIL INTRAMEDULLARY TITANIUM 6-8 YR L440 MM OD3 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE GOLD	SUP-475.930	CDM	270010022	LOCAL	270	RC		inpatient			569.4	569.4																																																			
SHEATH - 9.5FR SAFESHEATH	SUP-99-04867	CDM			272	RC		outpatient			568.75	568.75	154.07				percent of total billed charges		568.75				other	OPPS APC	420.88				percent of total billed charges		568.75				other	OPPS APC	568.75				other	OPPS APC	154.07				percent of total billed charges		157.15				percent of total billed charges		568.75				other	OPPS APC	154.07	568.75	
SHEATH - 9.5FR SAFESHEATH	SUP-99-04867	CDM			272	RC		inpatient			568.75	568.75																																																			
RELOAD LINEAR CUTTER BLUE	SUP-97-05438	CDM			272	RC		outpatient			568.26	568.26	153.94				percent of total billed charges		568.26				other	OPPS APC	420.51				percent of total billed charges		568.26				other	OPPS APC	568.26				other	OPPS APC	153.94				percent of total billed charges		157.01				percent of total billed charges		568.26				other	OPPS APC	153.94	568.26	
RELOAD LINEAR CUTTER BLUE	SUP-97-05438	CDM			272	RC		inpatient			568.26	568.26																																																			
SCREW BONE INTERFERENCE MILAGRO 7 X 23MM	SUP-231816	CDM			270	RC		outpatient			568	568	153.87				percent of total billed charges		568				other	OPPS APC	420.32				percent of total billed charges		568				other	OPPS APC	568				other	OPPS APC	153.87				percent of total billed charges		156.94				percent of total billed charges		568				other	OPPS APC	153.87	568	
SCREW BONE INTERFERENCE MILAGRO 7 X 23MM	SUP-231816	CDM			270	RC		inpatient			568	568																																																			
SCREW BONE INTERFERENCE MILAGRO 10 X 23MM	SUP-231819	CDM			270	RC		outpatient			568	568	153.87				percent of total billed charges		568				other	OPPS APC	420.32				percent of total billed charges		568				other	OPPS APC	568				other	OPPS APC	153.87				percent of total billed charges		156.94				percent of total billed charges		568				other	OPPS APC	153.87	568	
SCREW BONE INTERFERENCE MILAGRO 10 X 23MM	SUP-231819	CDM			270	RC		inpatient			568	568																																																			
SCREW BONE XL25 L32 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.032S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L32 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.032S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE L34 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.034S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE L34 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.034S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L36 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.036S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L36 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.036S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L38 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.038S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L38 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.038S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L42 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.042S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L42 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.042S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L50 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.050S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L50 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.050S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE L52 MM OD5 MM LOCK STERILE LATEX FREE DISPOSABLE INTRAMEDULLARY NAIL	SUP-04.045.052S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE L52 MM OD5 MM LOCK STERILE LATEX FREE DISPOSABLE INTRAMEDULLARY NAIL	SUP-04.045.052S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE L54 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.054S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE L54 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.054S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L56 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.056S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L56 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.056S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L62 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.062S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L62 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.062S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L66 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.066S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L66 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.066S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L68 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.068S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L68 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.068S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L70 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.070S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L70 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.070S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM XL25 L74 MM OD5 MM MEDULLARY LOCK STERILE LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM	SUP-04.045.074S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE TITANIUM ALUMINUM NIOBIUM XL25 L74 MM OD5 MM MEDULLARY LOCK STERILE LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM	SUP-04.045.074S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE L76 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.076S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE L76 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.076S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L78 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.078S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L78 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.078S	CDM			270	RC		inpatient			567.92	567.92																																																			
SCREW BONE XL25 L82 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.082S	CDM			270	RC		outpatient			567.92	567.92	153.85				percent of total billed charges		567.92				other	OPPS APC	420.26				percent of total billed charges		567.92				other	OPPS APC	567.92				other	OPPS APC	153.85				percent of total billed charges		156.92				percent of total billed charges		567.92				other	OPPS APC	153.85	567.92	
SCREW BONE XL25 L82 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.082S	CDM			270	RC		inpatient			567.92	567.92																																																			
CALIBRATED REAMER  2.0 MM X 110 MM	SUP-95-04185	CDM			272	RC		outpatient			567.84	567.84	153.83				percent of total billed charges		567.84				other	OPPS APC	420.2				percent of total billed charges		567.84				other	OPPS APC	567.84				other	OPPS APC	153.83				percent of total billed charges		156.89				percent of total billed charges		567.84				other	OPPS APC	153.83	567.84	
CALIBRATED REAMER  2.0 MM X 110 MM	SUP-95-04185	CDM			272	RC		inpatient			567.84	567.84																																																			
ANCHORAGE 2.0MM X 110MM CALI.REAMER	SUP-97-04427	CDM			278	RC		outpatient			567.84	567.84	567.84				fee schedule		567.84				other	OPPS APC	323.67				percent of total billed charges		567.84				other	OPPS APC	567.84				other	OPPS APC	278.24				percent of total billed charges		289.6				percent of total billed charges		567.84				other	OPPS APC	278.24	567.84	
ANCHORAGE 2.0MM X 110MM CALI.REAMER	SUP-97-04427	CDM			278	RC		inpatient			567.84	567.84																																																			
PLATE BONE GAP TITANIUM SMALL LOW PROFILE CRANIOMAXILLOFACIAL	SUP-5305612	CDM			270	RC		outpatient			567.28	567.28	153.68				percent of total billed charges		567.28				other	OPPS APC	419.79				percent of total billed charges		567.28				other	OPPS APC	567.28				other	OPPS APC	153.68				percent of total billed charges		156.74				percent of total billed charges		567.28				other	OPPS APC	153.68	567.28	
PLATE BONE GAP TITANIUM SMALL LOW PROFILE CRANIOMAXILLOFACIAL	SUP-5305612	CDM			270	RC		inpatient			567.28	567.28																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L40 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.840	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L40 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.840	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L45 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.845	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L45 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.845	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L50 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.850	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L50 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.850	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM L70 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD NONSTERILE GOLD INTRAMEDULLARY NAIL	SUP-408.870	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM L70 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD NONSTERILE GOLD INTRAMEDULLARY NAIL	SUP-408.870	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L75 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.875	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L75 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.875	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW 7.3MM TI CANNULATED 95MM	SUP-408.895	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW 7.3MM TI CANNULATED 95MM	SUP-408.895	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L100 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.900	CDM	270010020	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L100 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.900	CDM	270010020	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW 7.3MM TI CANNULATED 105MM	SUP-408.905	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW 7.3MM TI CANNULATED 105MM	SUP-408.905	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L30 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.630	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L30 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.630	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L35 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.635	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L35 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.635	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L40 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.640	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L40 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.640	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L50 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.650	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L50 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.650	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L55 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.655	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L55 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.655	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L60 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.660	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L60 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.660	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L65 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.665	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L65 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.665	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L70 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.670	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L70 MM OD7.3 MM FEMUR TIBIA ANKLE CANNULATED NONSTERILE	SUP-409.670	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L80 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING REVERSE CUTTING FLUTE LOW PROFILE NONSTERILE	SUP-409.680	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L80 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING REVERSE CUTTING FLUTE LOW PROFILE NONSTERILE	SUP-409.680	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L100 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.700	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L100 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.700	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L105 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.705	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L105 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.705	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L110 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.710	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L110 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.710	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L115 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.715	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L115 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.715	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L120 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.720	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L120 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.720	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
SCREW BONE TITANIUM FULL THREAD L125 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.725	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
SCREW BONE TITANIUM FULL THREAD L125 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.725	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
7.3MM TI CANNULATED SCREW 32MM THREAD/100MM	SUP-409.9	CDM	270010022	LOCAL	270	RC		outpatient			567.1	567.12	153.63				percent of total billed charges		567.1				other	OPPS APC	419.65				percent of total billed charges		567.1				other	OPPS APC	567.1				other	OPPS APC	153.63				percent of total billed charges		156.69				percent of total billed charges		567.12				other	OPPS APC	153.63	567.12	
7.3MM TI CANNULATED SCREW 32MM THREAD/100MM	SUP-409.9	CDM	270010022	LOCAL	270	RC		inpatient			567.1	567.1																																																			
USE 30772 - PLATE BONE LCP STAINLESS STEEL L73 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.36	CDM	270010022	LOCAL	270	RC		outpatient			567	567	153.6				percent of total billed charges		567				other	OPPS APC	419.58				percent of total billed charges		567				other	OPPS APC	567				other	OPPS APC	153.6				percent of total billed charges		156.66				percent of total billed charges		567				other	OPPS APC	153.6	567	
USE 30772 - PLATE BONE LCP STAINLESS STEEL L73 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.36	CDM	270010022	LOCAL	270	RC		inpatient			567	567																																																			
END CAP 0	SUP-97-03714	CDM			278	RC		outpatient			566.72	566.72	566.72				fee schedule		566.72				other	OPPS APC	323.03				percent of total billed charges		566.72				other	OPPS APC	566.72				other	OPPS APC	277.69				percent of total billed charges		289.03				percent of total billed charges		566.72				other	OPPS APC	277.69	566.72	
END CAP 0	SUP-97-03714	CDM			278	RC		inpatient			566.72	566.72																																																			
END CAP 5	SUP-97-03715	CDM			278	RC		outpatient			566.72	566.72	566.72				fee schedule		566.72				other	OPPS APC	323.03				percent of total billed charges		566.72				other	OPPS APC	566.72				other	OPPS APC	277.69				percent of total billed charges		289.03				percent of total billed charges		566.72				other	OPPS APC	277.69	566.72	
END CAP 5	SUP-97-03715	CDM			278	RC		inpatient			566.72	566.72																																																			
END CAP 10	SUP-97-03716	CDM			278	RC		outpatient			566.72	566.72	566.72				fee schedule		566.72				other	OPPS APC	323.03				percent of total billed charges		566.72				other	OPPS APC	566.72				other	OPPS APC	277.69				percent of total billed charges		289.03				percent of total billed charges		566.72				other	OPPS APC	277.69	566.72	
END CAP 10	SUP-97-03716	CDM			278	RC		inpatient			566.72	566.72																																																			
THROMBIN(HUMAN)-FIBRIN-CALCIUM 500 UNIT-80 MG /ML (4 ML) SYRINGE	250000000	CDM	61953-0012-1	NDC				inpatient			566.45	566.45																																																			
THROMBIN(HUMAN)-FIBRIN-CALCIUM 500 UNIT-80 MG /ML (4 ML) SYRINGE	250000000	CDM	61953-0012-1	NDC				outpatient			566.45	566.45																																															other	OPPS APC			
HC Treatment Devices-Simple	PX-333773320	CDM	77332	CPT	333	RC		outpatient			566	14.48	81.27				fee schedule		140.48				other	OPPS APC	194.79				fee schedule		140.48				other	OPPS APC	140.48				other	OPPS APC	38.05				fee schedule		14.29				fee schedule		14.48				other	OPPS APC	14.29	194.79	
HC Treatment Devices-Simple	PX-333773320	CDM	77332	CPT	333	RC		inpatient			566	566																																																			
DRILL BIT 3.2 3 FLUTED NP145MM N/S	SUP-95-01866	CDM			272	RC		outpatient			565.95	565.96	153.32				percent of total billed charges		565.95				other	OPPS APC	418.8				percent of total billed charges		565.95				other	OPPS APC	565.95				other	OPPS APC	153.32				percent of total billed charges		156.37				percent of total billed charges		565.96				other	OPPS APC	153.32	565.96	
DRILL BIT 3.2 3 FLUTED NP145MM N/S	SUP-95-01866	CDM			272	RC		inpatient			565.95	565.95																																																			
SYSTEM TISSUE RETRIEVAL	SUP-95-04881	CDM			272	RC		outpatient			565.95	565.96	153.32				percent of total billed charges		565.95				other	OPPS APC	418.8				percent of total billed charges		565.95				other	OPPS APC	565.95				other	OPPS APC	153.32				percent of total billed charges		156.37				percent of total billed charges		565.96				other	OPPS APC	153.32	565.96	
SYSTEM TISSUE RETRIEVAL	SUP-95-04881	CDM			272	RC		inpatient			565.95	565.95																																																			
KIT TRACHEOSTOMY ULTRAPERC PORTEX STAINLESS STEEL ID7.0-9.0 MM PERCUTANEOUS 1 DILATOR ERGONOMIC HANDLE COST EFFECTIVE STERILE LATEX FREE DISPOSABLE	SUP-101/573/000	CDM			270	RC		outpatient			565.06	565.6	153.07				percent of total billed charges		565.06				other	OPPS APC	418.14				percent of total billed charges		565.06				other	OPPS APC	565.06				other	OPPS APC	153.07				percent of total billed charges		156.13				percent of total billed charges		565.6				other	OPPS APC	153.07	565.6	
KIT TRACHEOSTOMY ULTRAPERC PORTEX STAINLESS STEEL ID7.0-9.0 MM PERCUTANEOUS 1 DILATOR ERGONOMIC HANDLE COST EFFECTIVE STERILE LATEX FREE DISPOSABLE	SUP-101/573/000	CDM			270	RC		inpatient			565.06	565.06																																																			
SCREW BONE STAINLESS STEEL L 80 MM L 32 MM OD 5.5 MM ORTHOPEDIC CANNUALTED STERILE	SUP-71124080	CDM			270	RC		outpatient			564.8	564.8	153				percent of total billed charges		564.8				other	OPPS APC	417.95				percent of total billed charges		564.8				other	OPPS APC	564.8				other	OPPS APC	153				percent of total billed charges		156.05				percent of total billed charges		564.8				other	OPPS APC	153	564.8	
SCREW BONE STAINLESS STEEL L 80 MM L 32 MM OD 5.5 MM ORTHOPEDIC CANNUALTED STERILE	SUP-71124080	CDM			270	RC		inpatient			564.8	564.8																																																			
SCREW BONE STAINLESS STEEL L 85 MM L 32 MM OD 5.5 MM ORTHOPEDIC CANNULATED STERILE	SUP-71124085	CDM			270	RC		outpatient			564.8	564.8	153				percent of total billed charges		564.8				other	OPPS APC	417.95				percent of total billed charges		564.8				other	OPPS APC	564.8				other	OPPS APC	153				percent of total billed charges		156.05				percent of total billed charges		564.8				other	OPPS APC	153	564.8	
SCREW BONE STAINLESS STEEL L 85 MM L 32 MM OD 5.5 MM ORTHOPEDIC CANNULATED STERILE	SUP-71124085	CDM			270	RC		inpatient			564.8	564.8																																																			
SCREW BONE STAINLESS STEEL L 32 MM L 16 MM OD 5.5 MM ORTHOPEDIC CANNULATED STERILE	SUP-71125032	CDM			270	RC		outpatient			564.8	564.8	153				percent of total billed charges		564.8				other	OPPS APC	417.95				percent of total billed charges		564.8				other	OPPS APC	564.8				other	OPPS APC	153				percent of total billed charges		156.05				percent of total billed charges		564.8				other	OPPS APC	153	564.8	
SCREW BONE STAINLESS STEEL L 32 MM L 16 MM OD 5.5 MM ORTHOPEDIC CANNULATED STERILE	SUP-71125032	CDM			270	RC		inpatient			564.8	564.8																																																			
WEDGE 3.0	SUP-97-00798	CDM			278	RC		outpatient			564.73	564.73	564.73				fee schedule		564.73				other	OPPS APC	321.9				percent of total billed charges		564.73				other	OPPS APC	564.73				other	OPPS APC	276.72				percent of total billed charges		288.01				percent of total billed charges		564.73				other	OPPS APC	276.72	564.73	
WEDGE 3.0	SUP-97-00798	CDM			278	RC		inpatient			564.73	564.73																																																			
THORACENTESIS SET	SUP-95-00992	CDM			272	RC		outpatient			564.31	564.4	152.87				percent of total billed charges		564.31				other	OPPS APC	417.59				percent of total billed charges		564.31				other	OPPS APC	564.31				other	OPPS APC	152.87				percent of total billed charges		155.92				percent of total billed charges		564.4				other	OPPS APC	152.87	564.4	
THORACENTESIS SET	SUP-95-00992	CDM			272	RC		inpatient			564.31	564.31																																																			
PLATE SYNTHES 2.0MM LCP 5 HOLE	SUP-447.345	CDM	270010022	LOCAL	270	RC		outpatient			564.3	564.3	152.87				percent of total billed charges		564.3				other	OPPS APC	417.58				percent of total billed charges		564.3				other	OPPS APC	564.3				other	OPPS APC	152.87				percent of total billed charges		155.92				percent of total billed charges		564.3				other	OPPS APC	152.87	564.3	
PLATE SYNTHES 2.0MM LCP 5 HOLE	SUP-447.345	CDM	270010022	LOCAL	270	RC		inpatient			564.3	564.3																																																			
PLATE 2.0MM LCP 6 HOLE	SUP-447.346	CDM	270010022	LOCAL	270	RC		outpatient			564.3	564.3	152.87				percent of total billed charges		564.3				other	OPPS APC	417.58				percent of total billed charges		564.3				other	OPPS APC	564.3				other	OPPS APC	152.87				percent of total billed charges		155.92				percent of total billed charges		564.3				other	OPPS APC	152.87	564.3	
PLATE 2.0MM LCP 6 HOLE	SUP-447.346	CDM	270010022	LOCAL	270	RC		inpatient			564.3	564.3																																																			
PLATE BONE LCP TITANIUM L52 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.347	CDM	270010022	LOCAL	270	RC		outpatient			564.3	564.3	152.87				percent of total billed charges		564.3				other	OPPS APC	417.58				percent of total billed charges		564.3				other	OPPS APC	564.3				other	OPPS APC	152.87				percent of total billed charges		155.92				percent of total billed charges		564.3				other	OPPS APC	152.87	564.3	
PLATE BONE LCP TITANIUM L52 MM 7 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.347	CDM	270010022	LOCAL	270	RC		inpatient			564.3	564.3																																																			
HC Chemo Intrav Drip > 8 Hrs W Pump	PX-335964161	CDM	96416	CPT	335	RC		outpatient			564	35.32	140.81				fee schedule		350.32				other	OPPS APC	417.36				percent of total billed charges		350.32				other	OPPS APC	350.32				other	OPPS APC	127.92				fee schedule		127.35				fee schedule		35.32				other	OPPS APC	35.32	417.36	
HC Chemo Intrav Drip > 8 Hrs W Pump	PX-335964161	CDM	96416	CPT	335	RC		inpatient			564	564																																																			
HC Impedence (Less Than 1 Hour)	PX-750910371	CDM	91037	CPT	750	RC		outpatient			564	564	164.84				fee schedule		564				other	OPPS APC	564				fee schedule		564				other	OPPS APC	564				other	OPPS APC	168.75				fee schedule		287.64				percent of total billed charges		564				other	OPPS APC	164.84	564	
HC Impedence (Less Than 1 Hour)	PX-750910371	CDM	91037	CPT	750	RC		inpatient			564	564																																																			
SHEATH GORE DRYSEAL 12FR X 28	SUP-DSL1228	CDM	270010015	LOCAL	270	RC		outpatient			564	564	152.79				percent of total billed charges		564				other	OPPS APC	417.36				percent of total billed charges		564				other	OPPS APC	564				other	OPPS APC	152.79				percent of total billed charges		155.83				percent of total billed charges		564				other	OPPS APC	152.79	564	
SHEATH GORE DRYSEAL 12FR X 28	SUP-DSL1228	CDM	270010015	LOCAL	270	RC		inpatient			564	564																																																			
SHEATH DRYSEAL	SUP-DSL1628	CDM	270010015	LOCAL	270	RC		outpatient			564	564	152.79				percent of total billed charges		564				other	OPPS APC	417.36				percent of total billed charges		564				other	OPPS APC	564				other	OPPS APC	152.79				percent of total billed charges		155.83				percent of total billed charges		564				other	OPPS APC	152.79	564	
SHEATH DRYSEAL	SUP-DSL1628	CDM	270010015	LOCAL	270	RC		inpatient			564	564																																																			
CABLE ORTHOPEDIC CABLE-READY COCR LONG L635 MM OD1.8 MM INTEGRAL CRIMP GRIP STERILE GREATER TROCHANTER REATTACHMENT	SUP-00-2232-005-18	CDM			270	RC		outpatient			563.62	563.62	152.68				percent of total billed charges		563.62				other	OPPS APC	417.08				percent of total billed charges		563.62				other	OPPS APC	563.62				other	OPPS APC	152.68				percent of total billed charges		155.73				percent of total billed charges		563.62				other	OPPS APC	152.68	563.62	
CABLE ORTHOPEDIC CABLE-READY COCR LONG L635 MM OD1.8 MM INTEGRAL CRIMP GRIP STERILE GREATER TROCHANTER REATTACHMENT	SUP-00-2232-005-18	CDM			270	RC		inpatient			563.62	563.62																																																			
BLADE SHAVER QUADCUT L13 CM OD4.3 MM	SUP-18804380HR	CDM						inpatient			563.2	563.2																																																			
BLADE SHAVER QUADCUT L13 CM OD4.3 MM	SUP-18804380HR	CDM						outpatient			563.2	563.25	563.2				percent of total billed charges		563.2				other	OPPS APC	563.2				fee schedule		563.2				other	OPPS APC	563.2				other	OPPS APC	563.2				case rate		563.2				case rate		563.25				other	OPPS APC	563.2	563.25	
ACCU-FLO 3 WAY PLASTIC CONNECTOR	SUP-82-1520	CDM			270	RC		outpatient			562.7	562.75	152.44				percent of total billed charges		562.7				other	OPPS APC	416.4				percent of total billed charges		562.7				other	OPPS APC	562.7				other	OPPS APC	152.44				percent of total billed charges		155.47				percent of total billed charges		562.75				other	OPPS APC	152.44	562.75	
ACCU-FLO 3 WAY PLASTIC CONNECTOR	SUP-82-1520	CDM			270	RC		inpatient			562.7	562.7																																																			
DRILL BIT CANNULATED	SUP-189027	CDM			270	RC		outpatient			562	562	152.25				percent of total billed charges		562				other	OPPS APC	415.88				percent of total billed charges		562				other	OPPS APC	562				other	OPPS APC	152.25				percent of total billed charges		155.28				percent of total billed charges		562				other	OPPS APC	152.25	562	
DRILL BIT CANNULATED	SUP-189027	CDM			270	RC		inpatient			562	562																																																			
EXTRACTOR STONE RETRIEVAL NCOMPASS 1.7FR 1CM BASKET 115CM URINARY TRACT 4/16-WIRE TIPLESS REMOVABLE UNIDEX HANDLE NITINOL STERILE SINGLE-USE	SUP-NCT4-017115	CDM			270	RC		outpatient			561.6	561.62	152.14				percent of total billed charges		561.6				other	OPPS APC	415.58				percent of total billed charges		561.6				other	OPPS APC	561.6				other	OPPS APC	152.14				percent of total billed charges		155.17				percent of total billed charges		561.62				other	OPPS APC	152.14	561.62	
EXTRACTOR STONE RETRIEVAL NCOMPASS 1.7FR 1CM BASKET 115CM URINARY TRACT 4/16-WIRE TIPLESS REMOVABLE UNIDEX HANDLE NITINOL STERILE SINGLE-USE	SUP-NCT4-017115	CDM			270	RC		inpatient			561.6	561.6																																																			
COUNTERSINK	SUP-705260	CDM			270	RC		outpatient			561.4	561.4	152.08				percent of total billed charges		561.4				other	OPPS APC	415.44				percent of total billed charges		561.4				other	OPPS APC	561.4				other	OPPS APC	152.08				percent of total billed charges		155.11				percent of total billed charges		561.4				other	OPPS APC	152.08	561.4	
COUNTERSINK	SUP-705260	CDM			270	RC		inpatient			561.4	561.4																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE 2MM 2.5MM 3MM 60MM TAN TITANIUM DISPOSABLE STERILE LF MED VASCULAR TISSUE ARTICULATE	SUP-EGIA60AVM	CDM			270	RC		outpatient			561.21	561.21	152.03				percent of total billed charges		561.21				other	OPPS APC	415.3				percent of total billed charges		561.21				other	OPPS APC	561.21				other	OPPS APC	152.03				percent of total billed charges		155.06				percent of total billed charges		561.21				other	OPPS APC	152.03	561.21	
RELOAD STAPLER ENDO GIA TRI-STAPLE 2MM 2.5MM 3MM 60MM TAN TITANIUM DISPOSABLE STERILE LF MED VASCULAR TISSUE ARTICULATE	SUP-EGIA60AVM	CDM			270	RC		inpatient			561.21	561.21																																																			
"NITROGLYCERIN 400 MCG/SPRAY SPRAY,NON-AEROSOL 4.9 G BOTTLE"	637000000	CDM	45802-210-01	NDC	A9270	HCPCS		inpatient			561.18	561.18																																																			
"NITROGLYCERIN 400 MCG/SPRAY SPRAY,NON-AEROSOL 4.9 G BOTTLE"	637000000	CDM	45802-210-01	NDC	A9270	HCPCS		outpatient			561.18	561.18																																															other	OPPS APC			
DRILL AO	SUP-97-03559	CDM			272	RC		outpatient			561.12	561.12	152.01				percent of total billed charges		561.12				other	OPPS APC	415.23				percent of total billed charges		561.12				other	OPPS APC	561.12				other	OPPS APC	152.01				percent of total billed charges		155.04				percent of total billed charges		561.12				other	OPPS APC	152.01	561.12	
DRILL AO	SUP-97-03559	CDM			272	RC		inpatient			561.12	561.12																																																			
4.2 X 340MM DRILL BIT	SUP-97-04767	CDM			272	RC		outpatient			561.12	561.12	152.01				percent of total billed charges		561.12				other	OPPS APC	415.23				percent of total billed charges		561.12				other	OPPS APC	561.12				other	OPPS APC	152.01				percent of total billed charges		155.04				percent of total billed charges		561.12				other	OPPS APC	152.01	561.12	
4.2 X 340MM DRILL BIT	SUP-97-04767	CDM			272	RC		inpatient			561.12	561.12																																																			
SCREW LOCKING 4.0MM X 85MM	SUP-97-01357	CDM			278	RC		outpatient			560.56	56.56	560.56				fee schedule		560.56				other	OPPS APC	319.52				percent of total billed charges		560.56				other	OPPS APC	560.56				other	OPPS APC	274.67				percent of total billed charges		285.89				percent of total billed charges		56.56				other	OPPS APC	56.56	560.56	
SCREW LOCKING 4.0MM X 85MM	SUP-97-01357	CDM			278	RC		inpatient			560.56	560.56																																																			
SCREW LOCKING 4.0MM X 16MM	SUP-97-04174	CDM			278	RC		outpatient			560.56	56.56	560.56				fee schedule		560.56				other	OPPS APC	319.52				percent of total billed charges		560.56				other	OPPS APC	560.56				other	OPPS APC	274.67				percent of total billed charges		285.89				percent of total billed charges		56.56				other	OPPS APC	56.56	560.56	
SCREW LOCKING 4.0MM X 16MM	SUP-97-04174	CDM			278	RC		inpatient			560.56	560.56																																																			
SCREW LOCKING 4.0MM X 95MM	SUP-97-05095	CDM			278	RC		outpatient			560.56	56.56	560.56				fee schedule		560.56				other	OPPS APC	319.52				percent of total billed charges		560.56				other	OPPS APC	560.56				other	OPPS APC	274.67				percent of total billed charges		285.89				percent of total billed charges		56.56				other	OPPS APC	56.56	560.56	
SCREW LOCKING 4.0MM X 95MM	SUP-97-05095	CDM			278	RC		inpatient			560.56	560.56																																																			
SCREW LOCKING 4.0MM X 90MM	SUP-97-05383	CDM			278	RC		outpatient			560.56	56.56	560.56				fee schedule		560.56				other	OPPS APC	319.52				percent of total billed charges		560.56				other	OPPS APC	560.56				other	OPPS APC	274.67				percent of total billed charges		285.89				percent of total billed charges		56.56				other	OPPS APC	56.56	560.56	
SCREW LOCKING 4.0MM X 90MM	SUP-97-05383	CDM			278	RC		inpatient			560.56	560.56																																																			
GRAFT DBX / DBM  PUTTY 1CC	SUP-75-00129	CDM			278	RC		outpatient			560.21	56.21	560.21				fee schedule		560.21				other	OPPS APC	319.32				percent of total billed charges		560.21				other	OPPS APC	560.21				other	OPPS APC	274.5				percent of total billed charges		285.71				percent of total billed charges		56.21				other	OPPS APC	56.21	560.21	
GRAFT DBX / DBM  PUTTY 1CC	SUP-75-00129	CDM			278	RC		inpatient			560.21	560.21																																																			
HC Bcr Abl P210 Mrna Quant	PX-300812060	CDM	81206	CPT	300	RC		outpatient			560	163.96	560				fee schedule		163.96				fee schedule		192.24				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96	560	
HC Bcr Abl P210 Mrna Quant	PX-300812060	CDM	81206	CPT	300	RC		inpatient			560	560																																																			
HC Bcr/Abl  Rna Qual  Diagnostic	PX-300812061	CDM	81206	CPT	300	RC		outpatient			560	163.96	560				fee schedule		163.96				fee schedule		192.24				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96				fee schedule		163.96	560	
HC Bcr/Abl  Rna Qual  Diagnostic	PX-300812061	CDM	81206	CPT	300	RC		inpatient			560	560																																																			
SCREW BONE TITANIUM FULL THREAD L42.5 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5042S	CDM			270	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
SCREW BONE TITANIUM FULL THREAD L42.5 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5042S	CDM			270	RC		inpatient			560	560																																																			
SCREW BONE TITANIUM FULL THREAD L80 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5080S	CDM			270	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
SCREW BONE TITANIUM FULL THREAD L80 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5080S	CDM			270	RC		inpatient			560	560																																																			
KIT NEUROSTIMULATOR INTERSTIM L3.5 IN LEAD INTRODUCER NEEDLE DILATOR GROUND PAD LONG TEST CABLE	SUP-3550-18	CDM			270	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
KIT NEUROSTIMULATOR INTERSTIM L3.5 IN LEAD INTRODUCER NEEDLE DILATOR GROUND PAD LONG TEST CABLE	SUP-3550-18	CDM			270	RC		inpatient			560	560																																																			
ANCHOR SUTURE TWINFIX ULTRABRAID TITANIUM 2 OD3.5 MM PRELOADED STERILE	SUP-72200752	CDM			270	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
ANCHOR SUTURE TWINFIX ULTRABRAID TITANIUM 2 OD3.5 MM PRELOADED STERILE	SUP-72200752	CDM			270	RC		inpatient			560	560																																																			
GRAFT 3DMAX MED RIGHT (0115320)	SUP-75-00144	CDM			278	RC		outpatient			560	56	560				fee schedule		560				other	OPPS APC	319.2				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	274.4				percent of total billed charges		285.6				percent of total billed charges		56				other	OPPS APC	56	560	
GRAFT 3DMAX MED RIGHT (0115320)	SUP-75-00144	CDM			278	RC		inpatient			560	560																																																			
SUTURE BIO TAK DISPOSABLES KIT	SUP-95-03260	CDM			272	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
SUTURE BIO TAK DISPOSABLES KIT	SUP-95-03260	CDM			272	RC		inpatient			560	560																																																			
SMOKE EVACUATOR TUBING	SUP-97-00866	CDM			271	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
SMOKE EVACUATOR TUBING	SUP-97-00866	CDM			271	RC		inpatient			560	560																																																			
GUIDEWIRE - ASTATO XS20	SUP-99-01665	CDM			272	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
GUIDEWIRE - ASTATO XS20	SUP-99-01665	CDM			272	RC		inpatient			560	560																																																			
GUIDEWIRE - ASTATO 30	SUP-99-01666	CDM			272	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
GUIDEWIRE - ASTATO 30	SUP-99-01666	CDM			272	RC		inpatient			560	560																																																			
GUIDEWIRE - GLIDEWIRE ADVANTAGE .035X180 ANGLED	SUP-99-02212	CDM			272	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
GUIDEWIRE - GLIDEWIRE ADVANTAGE .035X180 ANGLED	SUP-99-02212	CDM			272	RC		inpatient			560	560																																																			
GUIDEWIRE - GLADIUS .014X300	SUP-99-03295	CDM			272	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
GUIDEWIRE - GLADIUS .014X300	SUP-99-03295	CDM			272	RC		inpatient			560	560																																																			
GUIDEWIRE - GLADIUS .018X300	SUP-99-03296	CDM			272	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
GUIDEWIRE - GLADIUS .018X300	SUP-99-03296	CDM			272	RC		inpatient			560	560																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L123 MM ANKLE 10 HOLE LOCK	SUP-AR-8943T-10	CDM			270	RC		outpatient			560	56	151.7				percent of total billed charges		560				other	OPPS APC	414.4				percent of total billed charges		560				other	OPPS APC	560				other	OPPS APC	151.7				percent of total billed charges		154.73				percent of total billed charges		56				other	OPPS APC	56	560	
PLATE BONE STAINLESS STEEL 1/3 TUBE L123 MM ANKLE 10 HOLE LOCK	SUP-AR-8943T-10	CDM			270	RC		inpatient			560	560																																																			
COMBI TUBE 37FR	SUP-95-01543	CDM			272	RC		outpatient			559.79	559.79	151.65				percent of total billed charges		559.79				other	OPPS APC	414.24				percent of total billed charges		559.79				other	OPPS APC	559.79				other	OPPS APC	151.65				percent of total billed charges		154.67				percent of total billed charges		559.79				other	OPPS APC	151.65	559.79	
COMBI TUBE 37FR	SUP-95-01543	CDM			272	RC		inpatient			559.79	559.79																																																			
PLATE BONE TITANIUM LARGE CRANIOMAXILLOFACIAL LOW PROFILE GAP	SUP-5305622	CDM			270	RC		outpatient			559.5	559.5	151.57				percent of total billed charges		559.5				other	OPPS APC	414.03				percent of total billed charges		559.5				other	OPPS APC	559.5				other	OPPS APC	151.57				percent of total billed charges		154.59				percent of total billed charges		559.5				other	OPPS APC	151.57	559.5	
PLATE BONE TITANIUM LARGE CRANIOMAXILLOFACIAL LOW PROFILE GAP	SUP-5305622	CDM			270	RC		inpatient			559.5	559.5																																																			
GUIDE WIRE BALL TIPPED 2.2X800	SUP-95-03711	CDM			272	RC		outpatient			559.44	559.45	151.55				percent of total billed charges		559.44				other	OPPS APC	413.99				percent of total billed charges		559.44				other	OPPS APC	559.44				other	OPPS APC	151.55				percent of total billed charges		154.57				percent of total billed charges		559.45				other	OPPS APC	151.55	559.45	
GUIDE WIRE BALL TIPPED 2.2X800	SUP-95-03711	CDM			272	RC		inpatient			559.44	559.44																																																			
CAN.TAP 4.0 MM	SUP-97-04340	CDM			278	RC		outpatient			559.44	559.45	559.44				fee schedule		559.44				other	OPPS APC	318.88				percent of total billed charges		559.44				other	OPPS APC	559.44				other	OPPS APC	274.13				percent of total billed charges		285.31				percent of total billed charges		559.45				other	OPPS APC	274.13	559.45	
CAN.TAP 4.0 MM	SUP-97-04340	CDM			278	RC		inpatient			559.44	559.44																																																			
ELECTRODE ELECTROSURGICAL VAPR 90 D OD3.5 MM HOOK INTEGRATED HANDPIECE	SUP-227305	CDM			270	RC		outpatient			558	558	151.16				percent of total billed charges		558				other	OPPS APC	412.92				percent of total billed charges		558				other	OPPS APC	558				other	OPPS APC	151.16				percent of total billed charges		154.18				percent of total billed charges		558				other	OPPS APC	151.16	558	
ELECTRODE ELECTROSURGICAL VAPR 90 D OD3.5 MM HOOK INTEGRATED HANDPIECE	SUP-227305	CDM			270	RC		inpatient			558	558																																																			
PASS CAPSULE	SUP-CAT02122	CDM			270	RC		outpatient			558	558	151.16				percent of total billed charges		558				other	OPPS APC	412.92				percent of total billed charges		558				other	OPPS APC	558				other	OPPS APC	151.16				percent of total billed charges		154.18				percent of total billed charges		558				other	OPPS APC	151.16	558	
PASS CAPSULE	SUP-CAT02122	CDM			270	RC		inpatient			558	558																																																			
AUGMENT FEMORAL I/B II TIVANIUM KNEE FEMUR TIBIA LOCK CLIP STERILE	SUP-00522006600	CDM	270010025	LOCAL	270	RC		outpatient			557.8	557.8	151.11				percent of total billed charges		557.8				other	OPPS APC	412.77				percent of total billed charges		557.8				other	OPPS APC	557.8				other	OPPS APC	151.11				percent of total billed charges		154.12				percent of total billed charges		557.8				other	OPPS APC	151.11	557.8	
AUGMENT FEMORAL I/B II TIVANIUM KNEE FEMUR TIBIA LOCK CLIP STERILE	SUP-00522006600	CDM	270010025	LOCAL	270	RC		inpatient			557.8	557.8																																																			
HC Cystic Fib.Carrier and Detection	PX-300812200	CDM	81220	CPT	300	RC		outpatient			557	556.62	141.06				fee schedule		556.6				fee schedule		1948.58				fee schedule		556.6				fee schedule		556.6				fee schedule		556.6				fee schedule		556.6				fee schedule		556.62				fee schedule		141.06	1948.58	
HC Cystic Fib.Carrier and Detection	PX-300812200	CDM	81220	CPT	300	RC		inpatient			557	557																																																			
DRESSING IV SITE SM	SUP-95-01891	CDM			272	RC		outpatient			556.5	556.5	150.76				percent of total billed charges		556.5				other	OPPS APC	411.81				percent of total billed charges		556.5				other	OPPS APC	556.5				other	OPPS APC	150.76				percent of total billed charges		153.76				percent of total billed charges		556.5				other	OPPS APC	150.76	556.5	
DRESSING IV SITE SM	SUP-95-01891	CDM			272	RC		inpatient			556.5	556.5																																																			
TAP  CANCELLOUS 6.0 X 295MM	SUP-97-04090	CDM			278	RC		outpatient			556.08	556.84	556.08				fee schedule		556.08				other	OPPS APC	316.97				percent of total billed charges		556.08				other	OPPS APC	556.08				other	OPPS APC	272.48				percent of total billed charges		283.6				percent of total billed charges		556.84				other	OPPS APC	272.48	556.84	
TAP  CANCELLOUS 6.0 X 295MM	SUP-97-04090	CDM			278	RC		inpatient			556.08	556.08																																																			
HC Debride Sub Q Ea Add 20 Sq Cm	PX-761110450	CDM	11045	CPT	761	RC		outpatient			556	556	195.77				case rate		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	195.77				case rate		283.56				percent of total billed charges		556				other	OPPS APC	195.77	556	
HC Debride Sub Q Ea Add 20 Sq Cm	PX-761110450	CDM	11045	CPT	761	RC		inpatient			556	556																																																			
RETAINER SCREW PRODISC-C L14 MM OD3.5 MM SPINE NONSTERILE	SUP-08.820.103	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
RETAINER SCREW PRODISC-C L14 MM OD3.5 MM SPINE NONSTERILE	SUP-08.820.103	CDM			270	RC		inpatient			556	556																																																			
SCREW WRIGHT MEDICAL 2.7MM X 12MM	SUP-40232712	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW WRIGHT MEDICAL 2.7MM X 12MM	SUP-40232712	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC STAINLESS STEEL L14 MM OD2.7 MM CORTICAL ANKLE FOOT LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL GREEN COMPRESSION PLATING SYSTEM	SUP-40232714	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC STAINLESS STEEL L14 MM OD2.7 MM CORTICAL ANKLE FOOT LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL GREEN COMPRESSION PLATING SYSTEM	SUP-40232714	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 16MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232716	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 16MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232716	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 18MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232718	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 18MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232718	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC STAINLESS STEEL L20 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL GREEN COMPRESSION PLATE SYSTEM	SUP-40232720	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC STAINLESS STEEL L20 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL GREEN COMPRESSION PLATE SYSTEM	SUP-40232720	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC STAINLESS STEEL L22 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL GREEN COMPRESSION PLATE SYSTEM	SUP-40232722	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC STAINLESS STEEL L22 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL GREEN COMPRESSION PLATE SYSTEM	SUP-40232722	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE CLAW II ORTHOLOC L24 MM OD2.7 MM CORTICAL ANKLE FOOT 3DSI TECHNOLOGY LOCKING POLYAXIAL COMPRESSION PLATING SYSTEM	SUP-40232724	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE CLAW II ORTHOLOC L24 MM OD2.7 MM CORTICAL ANKLE FOOT 3DSI TECHNOLOGY LOCKING POLYAXIAL COMPRESSION PLATING SYSTEM	SUP-40232724	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 26MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232726	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 26MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232726	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 28MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232728	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 28MM 2.7MM GREEN SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40232728	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L30 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING GREEN COMPRESSION PLATING SYSTEM	SUP-40232730	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L30 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING GREEN COMPRESSION PLATING SYSTEM	SUP-40232730	CDM			270	RC		inpatient			556	556																																																			
SCREW WRIGHT MEDICAL 2.7MM X 30MM	SUP-40232732	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW WRIGHT MEDICAL 2.7MM X 30MM	SUP-40232732	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L34 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING GREEN COMPRESSION PLATING SYSTEM	SUP-40232734	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L34 MM OD2.7 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING GREEN COMPRESSION PLATING SYSTEM	SUP-40232734	CDM			270	RC		inpatient			556	556																																																			
SCREW WRIGHT MEDICAL 2.7MM X 36MM	SUP-40232736	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW WRIGHT MEDICAL 2.7MM X 36MM	SUP-40232736	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC STAINLESS STEEL L12 MM OD3.5 MM CORTICAL ANKLE FOOT LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL GREEN COMPRESSION PLATING SYSTEM	SUP-40233512	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC STAINLESS STEEL L12 MM OD3.5 MM CORTICAL ANKLE FOOT LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL GREEN COMPRESSION PLATING SYSTEM	SUP-40233512	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL L14 MM OD3.5 MM FOOT ANKLE CORTICAL LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL PURPLE COMPRESSION PLATING SYSTEM	SUP-40233514	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL L14 MM OD3.5 MM FOOT ANKLE CORTICAL LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL PURPLE COMPRESSION PLATING SYSTEM	SUP-40233514	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 3DSI STAINLESS STEEL L16 MM OD3.5 MM FOOT ANKLE CORTICAL LOCK	SUP-40233516	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 3DSI STAINLESS STEEL L16 MM OD3.5 MM FOOT ANKLE CORTICAL LOCK	SUP-40233516	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L18 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233518	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L18 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233518	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L20 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233520	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L20 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233520	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC STAINLESS STEEL L22 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL PURPLE COMPRESSION PLATE SYSTEM	SUP-40233522	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC STAINLESS STEEL L22 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL PURPLE COMPRESSION PLATE SYSTEM	SUP-40233522	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II L24 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL COMPRESSION PLATING SYSTEM	SUP-40233524	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II L24 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY LOCK SELF TAP POLYAXIAL COMPRESSION PLATING SYSTEM	SUP-40233524	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L26 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233526	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L26 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233526	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 28MM 3.5MM PURPLE SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40233528	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 28MM 3.5MM PURPLE SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40233528	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 30MM 3.5MM PURPLE SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40233530	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 30MM 3.5MM PURPLE SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40233530	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L32 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233532	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L32 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233532	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L34 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233534	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC CLAW II STAINLESS STEEL 15 D L34 MM OD3.5 MM FOOT ANKLE CORTICAL 3DSI TECHNOLOGY POLYAXIAL LOCKING SELF TAPPING PURPLE COMPRESSION PLATING SYSTEM	SUP-40233534	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC 15D 36MM 3.5MM PURPLE SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40233536	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC 15D 36MM 3.5MM PURPLE SS FOOT ANKLE CORTICAL POLYAXIAL LOCK SELF TAP COMPRESSION PLATE SYSTEM	SUP-40233536	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE ORTHOLOC STAINLESS STEEL L38 MM OD3.5 MM CORTICAL ANKLE FOOT LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL GREEN COMPRESSION PLATING SYSTEM	SUP-40233538	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW BONE ORTHOLOC STAINLESS STEEL L38 MM OD3.5 MM CORTICAL ANKLE FOOT LOCKING SELF TAPPING 3DSI TECHNOLOGY POLYAXIAL GREEN COMPRESSION PLATING SYSTEM	SUP-40233538	CDM			270	RC		inpatient			556	556																																																			
SCREW WRIGHT MEDICAL LOCKING 3.5MM X 40	SUP-40233540	CDM			270	RC		outpatient			556	556	150.62				percent of total billed charges		556				other	OPPS APC	411.44				percent of total billed charges		556				other	OPPS APC	556				other	OPPS APC	150.62				percent of total billed charges		153.62				percent of total billed charges		556				other	OPPS APC	150.62	556	
SCREW WRIGHT MEDICAL LOCKING 3.5MM X 40	SUP-40233540	CDM			270	RC		inpatient			556	556																																																			
SCREW BONE EVOS L 80 MM OD 4.5MM  SELF TAP LOCK STERILE LATEX FREE	SUP-72514580	CDM			270	RC		outpatient			555	555	150.35				percent of total billed charges		555				other	OPPS APC	410.7				percent of total billed charges		555				other	OPPS APC	555				other	OPPS APC	150.35				percent of total billed charges		153.35				percent of total billed charges		555				other	OPPS APC	150.35	555	
SCREW BONE EVOS L 80 MM OD 4.5MM  SELF TAP LOCK STERILE LATEX FREE	SUP-72514580	CDM			270	RC		inpatient			555	555																																																			
SCREW LOCKING EVOS 4.5MM X 85MM S-T	SUP-72514585	CDM			270	RC		outpatient			555	555	150.35				percent of total billed charges		555				other	OPPS APC	410.7				percent of total billed charges		555				other	OPPS APC	555				other	OPPS APC	150.35				percent of total billed charges		153.35				percent of total billed charges		555				other	OPPS APC	150.35	555	
SCREW LOCKING EVOS 4.5MM X 85MM S-T	SUP-72514585	CDM			270	RC		inpatient			555	555																																																			
SCR FT EVOS HIGGH TORQUE 6.7MM X 30MM	SUP-72526730	CDM			270	RC		outpatient			555	555	150.35				percent of total billed charges		555				other	OPPS APC	410.7				percent of total billed charges		555				other	OPPS APC	555				other	OPPS APC	150.35				percent of total billed charges		153.35				percent of total billed charges		555				other	OPPS APC	150.35	555	
SCR FT EVOS HIGGH TORQUE 6.7MM X 30MM	SUP-72526730	CDM			270	RC		inpatient			555	555																																																			
SCR FT EVOS HIGGH TORQUE 6.7MM X 34MM	SUP-72526734	CDM			270	RC		outpatient			555	555	150.35				percent of total billed charges		555				other	OPPS APC	410.7				percent of total billed charges		555				other	OPPS APC	555				other	OPPS APC	150.35				percent of total billed charges		153.35				percent of total billed charges		555				other	OPPS APC	150.35	555	
SCR FT EVOS HIGGH TORQUE 6.7MM X 34MM	SUP-72526734	CDM			270	RC		inpatient			555	555																																																			
SCREW BONE HIGH TORQUE EVOS L 40MM 6.7MM	SUP-72526740	CDM			270	RC		outpatient			555	555	150.35				percent of total billed charges		555				other	OPPS APC	410.7				percent of total billed charges		555				other	OPPS APC	555				other	OPPS APC	150.35				percent of total billed charges		153.35				percent of total billed charges		555				other	OPPS APC	150.35	555	
SCREW BONE HIGH TORQUE EVOS L 40MM 6.7MM	SUP-72526740	CDM			270	RC		inpatient			555	555																																																			
SCREW BONE HIGH TORQUE EVOS L 75MM 6.7MM	SUP-72526775	CDM			270	RC		outpatient			555	555	150.35				percent of total billed charges		555				other	OPPS APC	410.7				percent of total billed charges		555				other	OPPS APC	555				other	OPPS APC	150.35				percent of total billed charges		153.35				percent of total billed charges		555				other	OPPS APC	150.35	555	
SCREW BONE HIGH TORQUE EVOS L 75MM 6.7MM	SUP-72526775	CDM			270	RC		inpatient			555	555																																																			
SCREW 2.7 LOCKING 30MM	SUP-97-01251	CDM			278	RC		outpatient			554.82	554.83	554.82				fee schedule		554.82				other	OPPS APC	316.25				percent of total billed charges		554.82				other	OPPS APC	554.82				other	OPPS APC	271.86				percent of total billed charges		282.96				percent of total billed charges		554.83				other	OPPS APC	271.86	554.83	
SCREW 2.7 LOCKING 30MM	SUP-97-01251	CDM			278	RC		inpatient			554.82	554.82																																																			
SCREW 2.7 LOCKING 28MM	SUP-97-01611	CDM			278	RC		outpatient			554.82	554.83	554.82				fee schedule		554.82				other	OPPS APC	316.25				percent of total billed charges		554.82				other	OPPS APC	554.82				other	OPPS APC	271.86				percent of total billed charges		282.96				percent of total billed charges		554.83				other	OPPS APC	271.86	554.83	
SCREW 2.7 LOCKING 28MM	SUP-97-01611	CDM			278	RC		inpatient			554.82	554.82																																																			
NASAL MUCOSAL ATOMIZATION (MAD)	SUP-06-00069	CDM			272	RC		outpatient			554.72	554.72	150.27				percent of total billed charges		554.72				other	OPPS APC	410.49				percent of total billed charges		554.72				other	OPPS APC	554.72				other	OPPS APC	150.27				percent of total billed charges		153.27				percent of total billed charges		554.72				other	OPPS APC	150.27	554.72	
NASAL MUCOSAL ATOMIZATION (MAD)	SUP-06-00069	CDM			272	RC		inpatient			554.72	554.72																																																			
NASAL MUCOSAL ATOMIZATION (MAD)	SUP-95-04279	CDM			272	RC		outpatient			554.72	554.72	150.27				percent of total billed charges		554.72				other	OPPS APC	410.49				percent of total billed charges		554.72				other	OPPS APC	554.72				other	OPPS APC	150.27				percent of total billed charges		153.27				percent of total billed charges		554.72				other	OPPS APC	150.27	554.72	
NASAL MUCOSAL ATOMIZATION (MAD)	SUP-95-04279	CDM			272	RC		inpatient			554.72	554.72																																																			
PLATE BONE TITANIUM Y L30 MM X H.9 MM L19 MM CRANIOFACIAL 2 HOLE 2 ARM NONSTERILE 2 MM SCREW	SUP-447.68	CDM	270010014	LOCAL	270	RC		outpatient			554.46	554.46	150.2				percent of total billed charges		554.46				other	OPPS APC	410.3				percent of total billed charges		554.46				other	OPPS APC	554.46				other	OPPS APC	150.2				percent of total billed charges		153.2				percent of total billed charges		554.46				other	OPPS APC	150.2	554.46	
PLATE BONE TITANIUM Y L30 MM X H.9 MM L19 MM CRANIOFACIAL 2 HOLE 2 ARM NONSTERILE 2 MM SCREW	SUP-447.68	CDM	270010014	LOCAL	270	RC		inpatient			554.46	554.46																																																			
PLATE BROAD LC-DCP 7 HOLE	SUP-226.57	CDM	270010022	LOCAL	270	RC		outpatient			554.4	554.4	150.19				percent of total billed charges		554.4				other	OPPS APC	410.26				percent of total billed charges		554.4				other	OPPS APC	554.4				other	OPPS APC	150.19				percent of total billed charges		153.18				percent of total billed charges		554.4				other	OPPS APC	150.19	554.4	
PLATE BROAD LC-DCP 7 HOLE	SUP-226.57	CDM	270010022	LOCAL	270	RC		inpatient			554.4	554.4																																																			
OLIVE WIRES	SUP-95-04549	CDM			278	RC		outpatient			554.4	554.4	554.4				fee schedule		554.4				other	OPPS APC	316.01				percent of total billed charges		554.4				other	OPPS APC	554.4				other	OPPS APC	271.66				percent of total billed charges		282.74				percent of total billed charges		554.4				other	OPPS APC	271.66	554.4	
OLIVE WIRES	SUP-95-04549	CDM			278	RC		inpatient			554.4	554.4																																																			
BRIMONIDINE 0.1 % DROPS 5 ML DROP BTL	637000000	CDM	60505-0577-1	NDC	A9270	HCPCS		inpatient			554.15	554.15																																																			
BRIMONIDINE 0.1 % DROPS 5 ML DROP BTL	637000000	CDM	60505-0577-1	NDC	A9270	HCPCS		outpatient			554.15	554.15																																															other	OPPS APC			
HC Ihc Antibody via Image Analysis	PX-310883610	CDM	88361	CPT	310	RC		outpatient			554	341.36	141.54				fee schedule		341.36				other	OPPS APC	99.58				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	271.46				percent of total billed charges		282.54				percent of total billed charges		341.36				other	OPPS APC	99.58	341.36	
HC Ihc Antibody via Image Analysis	PX-310883610	CDM	88361	CPT	310	RC		inpatient			554	554																																																			
OMNISPAN MENISCAL REPAIR 12 DEGREE	SUP-228141	CDM			270	RC		outpatient			554	554	150.08				percent of total billed charges		554				other	OPPS APC	409.96				percent of total billed charges		554				other	OPPS APC	554				other	OPPS APC	150.08				percent of total billed charges		153.07				percent of total billed charges		554				other	OPPS APC	150.08	554	
OMNISPAN MENISCAL REPAIR 12 DEGREE	SUP-228141	CDM			270	RC		inpatient			554	554																																																			
PLATE ORBITAL RIM 11 HOLE 1 MM SCREW BONE TITANIUM NS	SUP-420.210	CDM	270010013	LOCAL	270	RC		outpatient			553.82	553.83	150.03				percent of total billed charges		553.82				other	OPPS APC	409.83				percent of total billed charges		553.82				other	OPPS APC	553.82				other	OPPS APC	150.03				percent of total billed charges		153.02				percent of total billed charges		553.83				other	OPPS APC	150.03	553.83	
PLATE ORBITAL RIM 11 HOLE 1 MM SCREW BONE TITANIUM NS	SUP-420.210	CDM	270010013	LOCAL	270	RC		inpatient			553.82	553.82																																																			
PLATE BONE L LEFT OBLIQUE TITANIUM CRANIOFACIAL 2X3 HOLE 1.5MM SCREW	SUP-446.5	CDM	270010014	LOCAL	270	RC		outpatient			553.82	553.83	150.03				percent of total billed charges		553.82				other	OPPS APC	409.83				percent of total billed charges		553.82				other	OPPS APC	553.82				other	OPPS APC	150.03				percent of total billed charges		153.02				percent of total billed charges		553.83				other	OPPS APC	150.03	553.83	
PLATE BONE L LEFT OBLIQUE TITANIUM CRANIOFACIAL 2X3 HOLE 1.5MM SCREW	SUP-446.5	CDM	270010014	LOCAL	270	RC		inpatient			553.82	553.82																																																			
PLATE BONE GOLD 100D L LEFT OBLIQUE CRANIOMAXILLOFACIAL TITANIUM 5 HOLE 1.5MM SCREW	SUP-446.500	CDM	270010014	LOCAL	270	RC		outpatient			553.82	553.83	150.03				percent of total billed charges		553.82				other	OPPS APC	409.83				percent of total billed charges		553.82				other	OPPS APC	553.82				other	OPPS APC	150.03				percent of total billed charges		153.02				percent of total billed charges		553.83				other	OPPS APC	150.03	553.83	
PLATE BONE GOLD 100D L LEFT OBLIQUE CRANIOMAXILLOFACIAL TITANIUM 5 HOLE 1.5MM SCREW	SUP-446.500	CDM	270010014	LOCAL	270	RC		inpatient			553.82	553.82																																																			
PLATE BONE 100D L RIGHT OBLIQUE GOLD TITANIUM NS CRANIOFACIAL 2X3 HOLE RIGID 1.5MM SCREW	SUP-446.510	CDM	270010022	LOCAL	270	RC		outpatient			553.82	553.83	150.03				percent of total billed charges		553.82				other	OPPS APC	409.83				percent of total billed charges		553.82				other	OPPS APC	553.82				other	OPPS APC	150.03				percent of total billed charges		153.02				percent of total billed charges		553.83				other	OPPS APC	150.03	553.83	
PLATE BONE 100D L RIGHT OBLIQUE GOLD TITANIUM NS CRANIOFACIAL 2X3 HOLE RIGID 1.5MM SCREW	SUP-446.510	CDM	270010022	LOCAL	270	RC		inpatient			553.82	553.82																																																			
ELECTRODE  VAPOR CUT 24FR 2705	SUP-70-00041	CDM			272	RC		outpatient			553.4	553.4	149.92				percent of total billed charges		553.4				other	OPPS APC	409.52				percent of total billed charges		553.4				other	OPPS APC	553.4				other	OPPS APC	149.92				percent of total billed charges		152.9				percent of total billed charges		553.4				other	OPPS APC	149.92	553.4	
ELECTRODE  VAPOR CUT 24FR 2705	SUP-70-00041	CDM			272	RC		inpatient			553.4	553.4																																																			
BIPOLAR HEMOSTASIS PROBE	SUP-95-00792	CDM			272	RC		outpatient			553.35	553.35	149.9				percent of total billed charges		553.35				other	OPPS APC	409.48				percent of total billed charges		553.35				other	OPPS APC	553.35				other	OPPS APC	149.9				percent of total billed charges		152.89				percent of total billed charges		553.35				other	OPPS APC	149.9	553.35	
BIPOLAR HEMOSTASIS PROBE	SUP-95-00792	CDM			272	RC		inpatient			553.35	553.35																																																			
SCREW 3 X 12MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01560	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW 3 X 12MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01560	CDM			278	RC		inpatient			553	553																																																			
LOW PRO SCRWT 3.0MMX	SUP-97-01562	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
LOW PRO SCRWT 3.0MMX	SUP-97-01562	CDM			278	RC		inpatient			553	553																																																			
SCREW 3 X 22MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01563	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW 3 X 22MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01563	CDM			278	RC		inpatient			553	553																																																			
SCREW 3 X 24MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01564	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW 3 X 24MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01564	CDM			278	RC		inpatient			553	553																																																			
SCREW CORTEX PROFILE LOW 2.4X18MM	SUP-97-01746	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW CORTEX PROFILE LOW 2.4X18MM	SUP-97-01746	CDM			278	RC		inpatient			553	553																																																			
SCREW 3 X 16MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01750	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW 3 X 16MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01750	CDM			278	RC		inpatient			553	553																																																			
SCREW CORTEX PROFILE LOW 2.4X12MM	SUP-97-02254	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW CORTEX PROFILE LOW 2.4X12MM	SUP-97-02254	CDM			278	RC		inpatient			553	553																																																			
SCREW 3 X 20MM CORTICAL LOW PROFILE TITANIUM	SUP-97-03523	CDM			278	RC		outpatient			553	553	553				fee schedule		553				other	OPPS APC	315.21				percent of total billed charges		553				other	OPPS APC	553				other	OPPS APC	270.97				percent of total billed charges		282.03				percent of total billed charges		553				other	OPPS APC	270.97	553	
SCREW 3 X 20MM CORTICAL LOW PROFILE TITANIUM	SUP-97-03523	CDM			278	RC		inpatient			553	553																																																			
SCREW 5.0MM SELF TAPPING	SUP-97-00917	CDM			278	RC		outpatient			552.83	552.83	552.83				fee schedule		552.83				other	OPPS APC	315.11				percent of total billed charges		552.83				other	OPPS APC	552.83				other	OPPS APC	270.89				percent of total billed charges		281.94				percent of total billed charges		552.83				other	OPPS APC	270.89	552.83	
SCREW 5.0MM SELF TAPPING	SUP-97-00917	CDM			278	RC		inpatient			552.83	552.83																																																			
5.0 SELF TAPPING	SUP-97-00918	CDM			278	RC		outpatient			552.83	552.83	552.83				fee schedule		552.83				other	OPPS APC	315.11				percent of total billed charges		552.83				other	OPPS APC	552.83				other	OPPS APC	270.89				percent of total billed charges		281.94				percent of total billed charges		552.83				other	OPPS APC	270.89	552.83	
5.0 SELF TAPPING	SUP-97-00918	CDM			278	RC		inpatient			552.83	552.83																																																			
KIT TRACHEOSTOMY PORTEX ULTRAPERC BLUE LINE ULTRA SOFT SEAL ID 8.0MM PERCUTANEOUS DILATOR CONNECTOR FLANGE STERILE LATEX FREE DISPOSABLE	SUP-100/595/080	CDM			270	RC		outpatient			552.65	552.65	149.71				percent of total billed charges		552.65				other	OPPS APC	408.96				percent of total billed charges		552.65				other	OPPS APC	552.65				other	OPPS APC	149.71				percent of total billed charges		152.7				percent of total billed charges		552.65				other	OPPS APC	149.71	552.65	
KIT TRACHEOSTOMY PORTEX ULTRAPERC BLUE LINE ULTRA SOFT SEAL ID 8.0MM PERCUTANEOUS DILATOR CONNECTOR FLANGE STERILE LATEX FREE DISPOSABLE	SUP-100/595/080	CDM			270	RC		inpatient			552.65	552.65																																																			
SCREW BONE LEOS 2.7MM 14MM NON-LOCKING	SUP-7621-2714	CDM			270	RC		outpatient			552	552	149.54				percent of total billed charges		552				other	OPPS APC	408.48				percent of total billed charges		552				other	OPPS APC	552				other	OPPS APC	149.54				percent of total billed charges		152.52				percent of total billed charges		552				other	OPPS APC	149.54	552	
SCREW BONE LEOS 2.7MM 14MM NON-LOCKING	SUP-7621-2714	CDM			270	RC		inpatient			552	552																																																			
PLATE BONE LC-DCP STAINLESS STEEL L64 MM X W11 MM X H3.3 MM 5 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.55	CDM	270010022	LOCAL	270	RC		outpatient			551.94	551.95	149.52				percent of total billed charges		551.94				other	OPPS APC	408.44				percent of total billed charges		551.94				other	OPPS APC	551.94				other	OPPS APC	149.52				percent of total billed charges		152.5				percent of total billed charges		551.95				other	OPPS APC	149.52	551.95	
PLATE BONE LC-DCP STAINLESS STEEL L64 MM X W11 MM X H3.3 MM 5 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.55	CDM	270010022	LOCAL	270	RC		inpatient			551.94	551.94																																																			
TWIN LOOP FLEX DRILL KNOTILLUS	SUP-78-00347	CDM			272	RC		outpatient			551.92	551.92	149.52				percent of total billed charges		551.92				other	OPPS APC	408.42				percent of total billed charges		551.92				other	OPPS APC	551.92				other	OPPS APC	149.52				percent of total billed charges		152.5				percent of total billed charges		551.92				other	OPPS APC	149.52	551.92	
TWIN LOOP FLEX DRILL KNOTILLUS	SUP-78-00347	CDM			272	RC		inpatient			551.92	551.92																																																			
GUIDEWIRE VISIGLIDE .025 X 450 STRAIGHT	SUP-95-01785	CDM			272	RC		outpatient			551.25	551.25	149.33				percent of total billed charges		551.25				other	OPPS APC	407.93				percent of total billed charges		551.25				other	OPPS APC	551.25				other	OPPS APC	149.33				percent of total billed charges		152.31				percent of total billed charges		551.25				other	OPPS APC	149.33	551.25	
GUIDEWIRE VISIGLIDE .025 X 450 STRAIGHT	SUP-95-01785	CDM			272	RC		inpatient			551.25	551.25																																																			
GUIDEWIRE VISIGLIDE .025 X 450 ANGLED	SUP-95-01786	CDM			272	RC		outpatient			551.25	551.25	149.33				percent of total billed charges		551.25				other	OPPS APC	407.93				percent of total billed charges		551.25				other	OPPS APC	551.25				other	OPPS APC	149.33				percent of total billed charges		152.31				percent of total billed charges		551.25				other	OPPS APC	149.33	551.25	
GUIDEWIRE VISIGLIDE .025 X 450 ANGLED	SUP-95-01786	CDM			272	RC		inpatient			551.25	551.25																																																			
DRILL 4MM FOR 4.5MM ANCHOR	SUP-97-02941	CDM			272	RC		outpatient			551.25	551.25	149.33				percent of total billed charges		551.25				other	OPPS APC	407.93				percent of total billed charges		551.25				other	OPPS APC	551.25				other	OPPS APC	149.33				percent of total billed charges		152.31				percent of total billed charges		551.25				other	OPPS APC	149.33	551.25	
DRILL 4MM FOR 4.5MM ANCHOR	SUP-97-02941	CDM			272	RC		inpatient			551.25	551.25																																																			
GUIDEWIRE - VICTORY 14 - 300CM 12G LOAD	SUP-99-01531	CDM			272	RC		outpatient			551.25	551.25	149.33				percent of total billed charges		551.25				other	OPPS APC	407.93				percent of total billed charges		551.25				other	OPPS APC	551.25				other	OPPS APC	149.33				percent of total billed charges		152.31				percent of total billed charges		551.25				other	OPPS APC	149.33	551.25	
GUIDEWIRE - VICTORY 14 - 300CM 12G LOAD	SUP-99-01531	CDM			272	RC		inpatient			551.25	551.25																																																			
GUIDEWIRE - VICTORY 14 - 300CM 18G LOAD	SUP-99-01532	CDM			272	RC		outpatient			551.25	551.25	149.33				percent of total billed charges		551.25				other	OPPS APC	407.93				percent of total billed charges		551.25				other	OPPS APC	551.25				other	OPPS APC	149.33				percent of total billed charges		152.31				percent of total billed charges		551.25				other	OPPS APC	149.33	551.25	
GUIDEWIRE - VICTORY 14 - 300CM 18G LOAD	SUP-99-01532	CDM			272	RC		inpatient			551.25	551.25																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L100 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.500	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L100 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.500	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L105 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.505	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L105 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.505	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L110 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.510	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L110 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.510	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L115 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.515	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L115 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.515	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L120 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.520	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L120 MM OD7.3 MM PERIARTICULAR CANNULATED SMOOTH CONICAL HEAD SELF DRILLING SELF TAPPING TIP NONSTERILE	SUP-02.207.520	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
END CAP ORTHOPEDIC TITANIUM 5 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GOLD EXPERT NAIL SYSTEM	SUP-04.004.001S	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
END CAP ORTHOPEDIC TITANIUM 5 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GOLD EXPERT NAIL SYSTEM	SUP-04.004.001S	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
CAP END EXPERT TITANIUM 10 MM TIBIA EXTENSION T40 STARDRIVE RECESS STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.004.002S	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
CAP END EXPERT TITANIUM 10 MM TIBIA EXTENSION T40 STARDRIVE RECESS STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.004.002S	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
CAP END EXPERT TITANIUM 15 MM TIBIA EXTENSION T40 STARDRIVE RECESS STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.004.003S	CDM	270010022	LOCAL	270	RC		outpatient			551.1	551.12	149.29				percent of total billed charges		551.1				other	OPPS APC	407.81				percent of total billed charges		551.1				other	OPPS APC	551.1				other	OPPS APC	149.29				percent of total billed charges		152.27				percent of total billed charges		551.12				other	OPPS APC	149.29	551.12	
CAP END EXPERT TITANIUM 15 MM TIBIA EXTENSION T40 STARDRIVE RECESS STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.004.003S	CDM	270010022	LOCAL	270	RC		inpatient			551.1	551.1																																																			
HC Chemo Admin by Infuse Ea Addl Seq	PX-335964170	CDM	96417	CPT	335	RC		outpatient			551	71.62	62.68				fee schedule		71.06				other	OPPS APC	157.79				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	64.12				fee schedule		63.83				fee schedule		71.62				other	OPPS APC	62.68	157.79	
HC Chemo Admin by Infuse Ea Addl Seq	PX-335964170	CDM	96417	CPT	335	RC		inpatient			551	551																																																			
NEEDLE SPINAL 25 X 3.5 PENCIL POINT	SUP-95-02867	CDM			272	RC		outpatient			550.34	55.34	149.09				percent of total billed charges		550.34				other	OPPS APC	407.25				percent of total billed charges		550.34				other	OPPS APC	550.34				other	OPPS APC	149.09				percent of total billed charges		152.06				percent of total billed charges		55.34				other	OPPS APC	55.34	550.34	
NEEDLE SPINAL 25 X 3.5 PENCIL POINT	SUP-95-02867	CDM			272	RC		inpatient			550.34	550.34																																																			
HC Thyroid Imag Sing/Mul Qm	PX-340780140	CDM	78014	CPT	340	RC		outpatient			550	49.37	242.99				fee schedule		409.37				other	OPPS APC	529.98				fee schedule		409.37				other	OPPS APC	409.37				other	OPPS APC	222.59				fee schedule		198.66				fee schedule		49.37				other	OPPS APC	49.37	529.98	
HC Thyroid Imag Sing/Mul Qm	PX-340780140	CDM	78014	CPT	340	RC		inpatient			550	550																																																			
HC Gft Skin Sub F/S>100cm Ea Add 100	PX-761152780	CDM	15278	CPT	761	RC		inpatient			550	550																																																			
HC Gft Skin Sub F/S>100cm Ea Add 100	PX-761152780	CDM	15278	CPT	761	RC		outpatient			550	550	195.77				case rate						other	OPPS APC	407				percent of total billed charges						other	OPPS APC					other	OPPS APC	195.77				case rate		280.5				percent of total billed charges						other	OPPS APC	407	407	
GRAFT SOFT TISSUE PERICARDIUM L1 CM X W1 CM PATCH (TSH)	SUP-10-0053	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
GRAFT SOFT TISSUE PERICARDIUM L1 CM X W1 CM PATCH (TSH)	SUP-10-0053	CDM			270	RC		inpatient			550	550																																																			
BLADE TROCAR HANCOCK 16MM	SUP-1701A-16	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
BLADE TROCAR HANCOCK 16MM	SUP-1701A-16	CDM			270	RC		inpatient			550	550																																																			
PLATE BONE LCP COMBI 85X11X3.4MM SS NS 6 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.561	CDM	270010022	LOCAL	270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
PLATE BONE LCP COMBI 85X11X3.4MM SS NS 6 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.561	CDM	270010022	LOCAL	270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L150 CM L40 MM OD4 FR ODSEC3 MM OTW INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-30041	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L150 CM L40 MM OD4 FR ODSEC3 MM OTW INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-30041	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L150 MM OD7 FR ODSEC6 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-60151	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L150 MM OD7 FR ODSEC6 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-60151	CDM			270	RC		inpatient			550	550																																																			
GRAFT SOFT TISSUE PERICARDIUM L1 CM X W1 CM PATCH (TSH)	SUP-447-13605	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
GRAFT SOFT TISSUE PERICARDIUM L1 CM X W1 CM PATCH (TSH)	SUP-447-13605	CDM			270	RC		inpatient			550	550																																																			
SHEATH DILATOR VISISHEATH 43CM 6FR	SUP-501012	CDM			481	RC		outpatient			550	55	269.5				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	269.5				percent of total billed charges		280.5				percent of total billed charges		55				other	OPPS APC	55	550	
SHEATH DILATOR VISISHEATH 43CM 6FR	SUP-501012	CDM			481	RC		inpatient			550	550																																																			
SHEATH DILATOR VISISHEATH 43CM 14FR	SUP-501014	CDM			481	RC		outpatient			550	55	269.5				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	269.5				percent of total billed charges		280.5				percent of total billed charges		55				other	OPPS APC	55	550	
SHEATH DILATOR VISISHEATH 43CM 14FR	SUP-501014	CDM			481	RC		inpatient			550	550																																																			
KIT ENDOSCOPIC INSTRUMENT DISPOSABLE DX SWIVELOCK	SUP-AR-8979DS	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
KIT ENDOSCOPIC INSTRUMENT DISPOSABLE DX SWIVELOCK	SUP-AR-8979DS	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
KIT ENDOSCOPIC INSTRUMENT DISPOSABLE DX SWIVELOCK	SUP-AR-8979DS	CDM			270	RC		inpatient			550	550																																																			
KIT ENDOSCOPIC INSTRUMENT DISPOSABLE DX SWIVELOCK	SUP-AR-8979DS	CDM			270	RC		inpatient			550	550																																																			
TOOL DISSECTING BLACKMAX L22 MM OD2.15 MM SPIRAL ROUTER STERILE GREEN BURR	SUP-GRE-1S	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
TOOL DISSECTING BLACKMAX L22 MM OD2.15 MM SPIRAL ROUTER STERILE GREEN BURR	SUP-GRE-1S	CDM			270	RC		inpatient			550	550																																																			
TROCAR SURGICAL HANCOCK 18 MM	SUP-H1701A18	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
TROCAR SURGICAL HANCOCK 18 MM	SUP-H1701A18	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING MONORAIL LOW PROFILE HELIX L135 CM L20 MM OD3.8-3.4 FR ODSEC4 MM RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE TRANSLUMINAL ANGIOPLASTY	SUP-H74939031402010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING MONORAIL LOW PROFILE HELIX L135 CM L20 MM OD3.8-3.4 FR ODSEC4 MM RAPID EXCHANGE ACCEPTS .018 IN GUIDEWIRE TRANSLUMINAL ANGIOPLASTY	SUP-H74939031402010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING MONORAIL PEBAX BIOSLIDE TAPER L135 CM L20 MM OD3.8-3.4 FR ODSEC5 MM RAPID EXCHANGE INFLATION PORT LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939031502010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING MONORAIL PEBAX BIOSLIDE TAPER L135 CM L20 MM OD3.8-3.4 FR ODSEC5 MM RAPID EXCHANGE INFLATION PORT LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939031502010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING MONORAIL PEBAX BIOSLIDE TAPER L135 CM L20 MM OD3.8-3.4 FR ODSEC6 MM RAPID EXCHANGE INFLATION PORT LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939031602010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING MONORAIL PEBAX BIOSLIDE TAPER L135 CM L20 MM OD3.8-3.4 FR ODSEC6 MM RAPID EXCHANGE INFLATION PORT LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939031602010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING .018 IN L135 CM L40 MM OD6 FR ODSEC4 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032404010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING .018 IN L135 CM L40 MM OD6 FR ODSEC4 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032404010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L60 MM OD6 FR ODSEC4 MM OTW LOW PROFILE INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH PTA	SUP-H74939032406010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L60 MM OD6 FR ODSEC4 MM OTW LOW PROFILE INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH PTA	SUP-H74939032406010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L100 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032501010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L100 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032501010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L60 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032506010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L60 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032506010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING L135 CM L20 MM OD6 FR ODSEC6 MM OTW INFLATION PORT TAPER TIP ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-H74939032602010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING L135 CM L20 MM OD6 FR ODSEC6 MM OTW INFLATION PORT TAPER TIP ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-H74939032602010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD6 FR ODSEC6 MM ID4 FR OTW LOW PROFILE INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032604010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD6 FR ODSEC6 MM ID4 FR OTW LOW PROFILE INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032604010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING L40 CM L40 MM OD3.8 FR ODSEC6 MM OTW ACCEPTS .018 GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032604040	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING L40 CM L40 MM OD3.8 FR ODSEC6 MM OTW ACCEPTS .018 GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032604040	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L135 CM L40 MM OD3.8 FR ODSEC7 MM OTW INFLATION PORT ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939032704010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L135 CM L40 MM OD3.8 FR ODSEC7 MM OTW INFLATION PORT ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939032704010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD6 FR ODSEC8 MM ID4 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032804010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD6 FR ODSEC8 MM ID4 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032804010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE ES 144CM 40MM 6FR 2MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134204010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE ES 144CM 40MM 6FR 2MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134204010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE ES 143CM 20MM 6FR 2.5MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER	SUP-H74939134252010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE ES 143CM 20MM 6FR 2.5MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER	SUP-H74939134252010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE ES 145CM 40MM 6FR 2.5MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER	SUP-H74939134254010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE ES 145CM 40MM 6FR 2.5MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER	SUP-H74939134254010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE ES .014 IN L145 CM L40 MM ODSEC3 MM OTW ULTRA LOW PROFILE GUIDEWIRE	SUP-H74939134304010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE ES .014 IN L145 CM L40 MM ODSEC3 MM OTW ULTRA LOW PROFILE GUIDEWIRE	SUP-H74939134304010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE ES 145CM 40MM 6FR 4MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134404010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE ES 145CM 40MM 6FR 4MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134404010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING SL L150 CM L100 MM OD3.8 FR ODSEC3 MM OTW LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939148301010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING SL L150 CM L100 MM OD3.8 FR ODSEC3 MM OTW LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939148301010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION STERLING SL L150 CM L100 MM OD3.8 FR ODSEC4 MM OTW LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939148401010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION STERLING SL L150 CM L100 MM OD3.8 FR ODSEC4 MM OTW LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-H74939148401010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L60 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186250610	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L60 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186250610	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L100 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186251010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L100 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186251010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L150 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186251510	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L150 MM ODSEC2.5 MM OTW ULTRA LOW PROFILE	SUP-H74939186251510	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L60 MM ODSEC3 MM OTW ULTRA LOW PROFILE	SUP-H74939186300610	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L60 MM ODSEC3 MM OTW ULTRA LOW PROFILE	SUP-H74939186300610	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L100 MM ODSEC3 MM OTW ULTRA LOW PROFILE	SUP-H74939186301010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L100 MM ODSEC3 MM OTW ULTRA LOW PROFILE	SUP-H74939186301010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE 150CM 150MM 3MM NYBAX LUBRICIOUS BIOSLIDE OTW ULTRA LOW PROFILE ACCEPTS .014IN	SUP-H74939186301510	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE 150CM 150MM 3MM NYBAX LUBRICIOUS BIOSLIDE OTW ULTRA LOW PROFILE ACCEPTS .014IN	SUP-H74939186301510	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L60 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186400610	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L60 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186400610	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE .014IN 150CM 80MM 4MM NYBAX LUBRICIOUS BIOSLIDE	SUP-H74939186400810	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE .014IN 150CM 80MM 4MM NYBAX LUBRICIOUS BIOSLIDE	SUP-H74939186400810	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L100 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186401010	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L100 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186401010	CDM			270	RC		inpatient			550	550																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L150 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186401510	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L150 MM ODSEC4 MM OTW ULTRA LOW PROFILE	SUP-H74939186401510	CDM			270	RC		inpatient			550	550																																																			
DILATOR ENDOSCOPIC 2CM L OD 6-7-8 MM PULMONARY BALLOON	SUP-P6L20	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
DILATOR ENDOSCOPIC 2CM L OD 6-7-8 MM PULMONARY BALLOON	SUP-P6L20	CDM			270	RC		inpatient			550	550																																																			
GRAFT PATCH SCLERAL 7X7	SUP-S0500S1-77	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
GRAFT PATCH SCLERAL 7X7	SUP-S0500S1-77	CDM			270	RC		inpatient			550	550																																																			
DRILL SURGICAL OD5 MM	SUP-SB080050	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
DRILL SURGICAL OD5 MM	SUP-SB080050	CDM			270	RC		inpatient			550	550																																																			
PORT IMPLANTABLE INFUSION VORTEX TR TITANIUM SILICONE LARGE OD10 FR ODSEC9.6 FR 1 STEP LOCK MECHANISM DETACHABLE CATHETER INTRODUCER SEPTUM STERILE LATEX FREE DISPOSABLE	SUP-SSDX-16-I	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
PORT IMPLANTABLE INFUSION VORTEX TR TITANIUM SILICONE LARGE OD10 FR ODSEC9.6 FR 1 STEP LOCK MECHANISM DETACHABLE CATHETER INTRODUCER SEPTUM STERILE LATEX FREE DISPOSABLE	SUP-SSDX-16-I	CDM			270	RC		inpatient			550	550																																																			
GRAFT SOFT TISSUE PERICARDIUM THK.5 MM OPHTHALMIC ALLOGRAFT HYDRATED RUBBER-FREE MRI COMPATIBLE LATEX FREE	SUP-TPH	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
GRAFT SOFT TISSUE PERICARDIUM THK.5 MM OPHTHALMIC ALLOGRAFT HYDRATED RUBBER-FREE MRI COMPATIBLE LATEX FREE	SUP-TPH	CDM			270	RC		inpatient			550	550																																																			
GRAFT SOFT TISSUE PERICARDIUM L1 CM X W1 CM PATCH (TSH)	SUP-TPH447-13605	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
GRAFT SOFT TISSUE PERICARDIUM L1 CM X W1 CM PATCH (TSH)	SUP-TPH447-13605	CDM			270	RC		inpatient			550	550																																																			
TUTOPLAST PERICARDIUM 1.5CM	SUP-TPHPC15	CDM			270	RC		outpatient			550	55	149				percent of total billed charges		550				other	OPPS APC	407				percent of total billed charges		550				other	OPPS APC	550				other	OPPS APC	149				percent of total billed charges		151.97				percent of total billed charges		55				other	OPPS APC	55	550	
TUTOPLAST PERICARDIUM 1.5CM	SUP-TPHPC15	CDM			270	RC		inpatient			550	550																																																			
NEEDLE ENDOSCOPIC ECHOTIP ULTRA 8- CM 20GA 6FR DISPOSABLE STERILE CELIAC PLEXUS ULTRASOUND CONE TIP SIDEHOLE NEUROLYSIS	SUP-ECHO-20-CPN	CDM			270	RC		outpatient			549.76	549.76	148.93				percent of total billed charges		549.76				other	OPPS APC	406.82				percent of total billed charges		549.76				other	OPPS APC	549.76				other	OPPS APC	148.93				percent of total billed charges		151.9				percent of total billed charges		549.76				other	OPPS APC	148.93	549.76	
NEEDLE ENDOSCOPIC ECHOTIP ULTRA 8- CM 20GA 6FR DISPOSABLE STERILE CELIAC PLEXUS ULTRASOUND CONE TIP SIDEHOLE NEUROLYSIS	SUP-ECHO-20-CPN	CDM			270	RC		inpatient			549.76	549.76																																																			
BIT DRILL OD 2MM CANNULATED QUICK CONNECT	SUP-71177110	CDM			270	RC		outpatient			549.6	549.62	148.89				percent of total billed charges		549.6				other	OPPS APC	406.7				percent of total billed charges		549.6				other	OPPS APC	549.6				other	OPPS APC	148.89				percent of total billed charges		151.85				percent of total billed charges		549.62				other	OPPS APC	148.89	549.62	
BIT DRILL OD 2MM CANNULATED QUICK CONNECT	SUP-71177110	CDM			270	RC		inpatient			549.6	549.6																																																			
DRILL BIT  AO DIA 2.0MM X 135MM  SCALED	SUP-95-03572	CDM			272	RC		outpatient			549.5	549.5	148.86				percent of total billed charges		549.5				other	OPPS APC	406.63				percent of total billed charges		549.5				other	OPPS APC	549.5				other	OPPS APC	148.86				percent of total billed charges		151.83				percent of total billed charges		549.5				other	OPPS APC	148.86	549.5	
DRILL BIT  AO DIA 2.0MM X 135MM  SCALED	SUP-95-03572	CDM			272	RC		inpatient			549.5	549.5																																																			
OVERDRILL AO 3.5MM X 122MM	SUP-97-03184	CDM			272	RC		outpatient			549.5	549.5	148.86				percent of total billed charges		549.5				other	OPPS APC	406.63				percent of total billed charges		549.5				other	OPPS APC	549.5				other	OPPS APC	148.86				percent of total billed charges		151.83				percent of total billed charges		549.5				other	OPPS APC	148.86	549.5	
OVERDRILL AO 3.5MM X 122MM	SUP-97-03184	CDM			272	RC		inpatient			549.5	549.5																																																			
DRILL BIT  AO DIA 2.0MM X 135MM  SCALED	SUP-97-03218	CDM			272	RC		outpatient			549.5	549.5	148.86				percent of total billed charges		549.5				other	OPPS APC	406.63				percent of total billed charges		549.5				other	OPPS APC	549.5				other	OPPS APC	148.86				percent of total billed charges		151.83				percent of total billed charges		549.5				other	OPPS APC	148.86	549.5	
DRILL BIT  AO DIA 2.0MM X 135MM  SCALED	SUP-97-03218	CDM			272	RC		inpatient			549.5	549.5																																																			
DRILL BIT  AO DIA 2.6MM X 135MM  SCALED	SUP-97-03219	CDM			272	RC		outpatient			549.5	549.5	148.86				percent of total billed charges		549.5				other	OPPS APC	406.63				percent of total billed charges		549.5				other	OPPS APC	549.5				other	OPPS APC	148.86				percent of total billed charges		151.83				percent of total billed charges		549.5				other	OPPS APC	148.86	549.5	
DRILL BIT  AO DIA 2.6MM X 135MM  SCALED	SUP-97-03219	CDM			272	RC		inpatient			549.5	549.5																																																			
OVERDRILL AO 2.7MM X 122MM NEW	SUP-97-03286	CDM			272	RC		outpatient			549.5	549.5	148.86				percent of total billed charges		549.5				other	OPPS APC	406.63				percent of total billed charges		549.5				other	OPPS APC	549.5				other	OPPS APC	148.86				percent of total billed charges		151.83				percent of total billed charges		549.5				other	OPPS APC	148.86	549.5	
OVERDRILL AO 2.7MM X 122MM NEW	SUP-97-03286	CDM			272	RC		inpatient			549.5	549.5																																																			
CATHETER CENTRAL VENOUS HICKMAN PEEL-APART SILICONE PEDIATRIC L90CM OD 9.6 FR ODSEC3.2 MM ID 1.6MM 1 LUMEN LOW PROFILE ADAPTER STERILE LATEX FREE	SUP-0600560	CDM			270	RC		outpatient			549.1	549.12	148.75				percent of total billed charges		549.1				other	OPPS APC	406.33				percent of total billed charges		549.1				other	OPPS APC	549.1				other	OPPS APC	148.75				percent of total billed charges		151.72				percent of total billed charges		549.12				other	OPPS APC	148.75	549.12	
CATHETER CENTRAL VENOUS HICKMAN PEEL-APART SILICONE PEDIATRIC L90CM OD 9.6 FR ODSEC3.2 MM ID 1.6MM 1 LUMEN LOW PROFILE ADAPTER STERILE LATEX FREE	SUP-0600560	CDM			270	RC		inpatient			549.1	549.1																																																			
PLATE BONE H 19MMX.5MM TITANIUM NS HAND RIGHT 8 HOLE EXTEND LOW PROFILE PRECONTOUR 1.3MM SCREW	SUP-421.32	CDM	270010022	LOCAL	270	RC		outpatient			549	549	148.72				percent of total billed charges		549				other	OPPS APC	406.26				percent of total billed charges		549				other	OPPS APC	549				other	OPPS APC	148.72				percent of total billed charges		151.69				percent of total billed charges		549				other	OPPS APC	148.72	549	
PLATE BONE H 19MMX.5MM TITANIUM NS HAND RIGHT 8 HOLE EXTEND LOW PROFILE PRECONTOUR 1.3MM SCREW	SUP-421.32	CDM	270010022	LOCAL	270	RC		inpatient			549	549																																																			
PLATE H 19MMX.5MM TITANIUM 1.3MM SCREW 8 HOLE EXTENDED BONE RIGHT HAND NS	SUP-421.320	CDM	270010022	LOCAL	270	RC		outpatient			549	549	148.72				percent of total billed charges		549				other	OPPS APC	406.26				percent of total billed charges		549				other	OPPS APC	549				other	OPPS APC	148.72				percent of total billed charges		151.69				percent of total billed charges		549				other	OPPS APC	148.72	549	
PLATE H 19MMX.5MM TITANIUM 1.3MM SCREW 8 HOLE EXTENDED BONE RIGHT HAND NS	SUP-421.320	CDM	270010022	LOCAL	270	RC		inpatient			549	549																																																			
SCISSORS SURGICAL DECKER MICRO L5.5 IN STRAIGHT	SUP-285112	CDM			270	RC		outpatient			548.88	548.88	148.69				percent of total billed charges		548.88				other	OPPS APC	406.17				percent of total billed charges		548.88				other	OPPS APC	548.88				other	OPPS APC	148.69				percent of total billed charges		151.66				percent of total billed charges		548.88				other	OPPS APC	148.69	548.88	
SCISSORS SURGICAL DECKER MICRO L5.5 IN STRAIGHT	SUP-285112	CDM			270	RC		inpatient			548.88	548.88																																																			
KIT LAP GASTRIC SURGERY	SUP-85-00008	CDM			272	RC		outpatient			548.66	548.66	148.63				percent of total billed charges		548.66				other	OPPS APC	406.01				percent of total billed charges		548.66				other	OPPS APC	548.66				other	OPPS APC	148.63				percent of total billed charges		151.59				percent of total billed charges		548.66				other	OPPS APC	148.63	548.66	
KIT LAP GASTRIC SURGERY	SUP-85-00008	CDM			272	RC		inpatient			548.66	548.66																																																			
UNITRAX V40 TAPER SLEEVE +8MM	SUP-97-02938	CDM			278	RC		outpatient			548.63	548.63	548.63				fee schedule		548.63				other	OPPS APC	312.72				percent of total billed charges		548.63				other	OPPS APC	548.63				other	OPPS APC	268.83				percent of total billed charges		279.8				percent of total billed charges		548.63				other	OPPS APC	268.83	548.63	
UNITRAX V40 TAPER SLEEVE +8MM	SUP-97-02938	CDM			278	RC		inpatient			548.63	548.63																																																			
SCREW BONE T8 SHORT THREAD 16MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.216	CDM	270010022	LOCAL	270	RC		outpatient			548.52	548.52	148.59				percent of total billed charges		548.52				other	OPPS APC	405.9				percent of total billed charges		548.52				other	OPPS APC	548.52				other	OPPS APC	148.59				percent of total billed charges		151.56				percent of total billed charges		548.52				other	OPPS APC	148.59	548.52	
SCREW BONE T8 SHORT THREAD 16MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.216	CDM	270010022	LOCAL	270	RC		inpatient			548.52	548.52																																																			
SCREW BONE T8 SHORT THREAD 18MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.218	CDM	270010022	LOCAL	270	RC		outpatient			548.52	548.52	148.59				percent of total billed charges		548.52				other	OPPS APC	405.9				percent of total billed charges		548.52				other	OPPS APC	548.52				other	OPPS APC	148.59				percent of total billed charges		151.56				percent of total billed charges		548.52				other	OPPS APC	148.59	548.52	
SCREW BONE T8 SHORT THREAD 18MM 4MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.218	CDM	270010022	LOCAL	270	RC		inpatient			548.52	548.52																																																			
SCREW BONE T8 LONG THREAD 34MM 14MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.334	CDM	270010022	LOCAL	270	RC		outpatient			548.52	548.52	148.59				percent of total billed charges		548.52				other	OPPS APC	405.9				percent of total billed charges		548.52				other	OPPS APC	548.52				other	OPPS APC	148.59				percent of total billed charges		151.56				percent of total billed charges		548.52				other	OPPS APC	148.59	548.52	
SCREW BONE T8 LONG THREAD 34MM 14MM 2.4MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.334	CDM	270010022	LOCAL	270	RC		inpatient			548.52	548.52																																																			
PLATE BONE TITANIUM H L22 MM X W4.8 MM X H.9 MM L17 MM CRANIOFACIAL 8 HOLE NONSTERILE 2 MM SCREW	SUP-447.86	CDM	270010014	LOCAL	270	RC		outpatient			548.5	548.5	148.59				percent of total billed charges		548.5				other	OPPS APC	405.89				percent of total billed charges		548.5				other	OPPS APC	548.5				other	OPPS APC	148.59				percent of total billed charges		151.55				percent of total billed charges		548.5				other	OPPS APC	148.59	548.5	
PLATE BONE TITANIUM H L22 MM X W4.8 MM X H.9 MM L17 MM CRANIOFACIAL 8 HOLE NONSTERILE 2 MM SCREW	SUP-447.86	CDM	270010014	LOCAL	270	RC		inpatient			548.5	548.5																																																			
SCREW BONE T8 SHORT THREAD 34MM 8MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.034	CDM	270010022	LOCAL	270	RC		outpatient			547.68	547.68	148.37				percent of total billed charges		547.68				other	OPPS APC	405.28				percent of total billed charges		547.68				other	OPPS APC	547.68				other	OPPS APC	148.37				percent of total billed charges		151.32				percent of total billed charges		547.68				other	OPPS APC	148.37	547.68	
SCREW BONE T8 SHORT THREAD 34MM 8MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.034	CDM	270010022	LOCAL	270	RC		inpatient			547.68	547.68																																																			
SCREW BONE T8 SHORT THREAD 36MM 9MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.036	CDM	270010022	LOCAL	270	RC		outpatient			547.68	547.68	148.37				percent of total billed charges		547.68				other	OPPS APC	405.28				percent of total billed charges		547.68				other	OPPS APC	547.68				other	OPPS APC	148.37				percent of total billed charges		151.32				percent of total billed charges		547.68				other	OPPS APC	148.37	547.68	
SCREW BONE T8 SHORT THREAD 36MM 9MM 3MM 2MM SS NS COMPRESSION CANNULATED SELF TAP HEADLESS ACCEPTS 1.1MM GUIDEWIRE	SUP-02.226.036	CDM	270010022	LOCAL	270	RC		inpatient			547.68	547.68																																																			
SCREW BONE STAINLESS STEEL OD2 MM CORE LONG THREAD T8 L20 MM L7 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.120	CDM	270010022	LOCAL	270	RC		outpatient			547.68	547.68	148.37				percent of total billed charges		547.68				other	OPPS APC	405.28				percent of total billed charges		547.68				other	OPPS APC	547.68				other	OPPS APC	148.37				percent of total billed charges		151.32				percent of total billed charges		547.68				other	OPPS APC	148.37	547.68	
SCREW BONE STAINLESS STEEL OD2 MM CORE LONG THREAD T8 L20 MM L7 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE STARDRIVE COMPRESSION CANNULATED HEADLESS NONSTERILE	SUP-02.226.120	CDM	270010022	LOCAL	270	RC		inpatient			547.68	547.68																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L24 MM L8 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE T8 STARDRIVE CANNULATED SELF DRILL HEADLESS NONSTERILE	SUP-02.226.124	CDM	270010022	LOCAL	270	RC		outpatient			547.68	547.68	148.37				percent of total billed charges		547.68				other	OPPS APC	405.28				percent of total billed charges		547.68				other	OPPS APC	547.68				other	OPPS APC	148.37				percent of total billed charges		151.32				percent of total billed charges		547.68				other	OPPS APC	148.37	547.68	
SCREW BONE STAINLESS STEEL LONG THREAD L24 MM L8 MM OD3 MM ODSEC2 MM ID1.1 MM SMALL BONE T8 STARDRIVE CANNULATED SELF DRILL HEADLESS NONSTERILE	SUP-02.226.124	CDM	270010022	LOCAL	270	RC		inpatient			547.68	547.68																																																			
2.3 DRIVER BLADE CROSS PIN	SUP-97-05068	CDM			272	RC		outpatient			547.68	547.68	148.37				percent of total billed charges		547.68				other	OPPS APC	405.28				percent of total billed charges		547.68				other	OPPS APC	547.68				other	OPPS APC	148.37				percent of total billed charges		151.32				percent of total billed charges		547.68				other	OPPS APC	148.37	547.68	
2.3 DRIVER BLADE CROSS PIN	SUP-97-05068	CDM			272	RC		inpatient			547.68	547.68																																																			
PLATE BONE TITANIUM 3D LARGE BOX CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE 1.5 MM SCREW	SUP-5305240	CDM			270	RC		outpatient			547.54	547.54	148.33				percent of total billed charges		547.54				other	OPPS APC	405.18				percent of total billed charges		547.54				other	OPPS APC	547.54				other	OPPS APC	148.33				percent of total billed charges		151.29				percent of total billed charges		547.54				other	OPPS APC	148.33	547.54	
PLATE BONE TITANIUM 3D LARGE BOX CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE 1.5 MM SCREW	SUP-5305240	CDM			270	RC		inpatient			547.54	547.54																																																			
METHYLENE BLUE 5 MG/ML SOLUTION 10 ML VIAL	250000000	CDM	0517-0381-05	NDC				inpatient			546.9	546.9																																																			
METHYLENE BLUE 5 MG/ML SOLUTION 10 ML VIAL	250000000	CDM	0517-0381-05	NDC				outpatient			546.9	546.9																																															other	OPPS APC			
DRILL CAN TWIST 2.2	SUP-95-05100	CDM			272	RC		outpatient			546.7	546.75	148.1				percent of total billed charges		546.7				other	OPPS APC	404.56				percent of total billed charges		546.7				other	OPPS APC	546.7				other	OPPS APC	148.1				percent of total billed charges		151.05				percent of total billed charges		546.75				other	OPPS APC	148.1	546.75	
DRILL CAN TWIST 2.2	SUP-95-05100	CDM			272	RC		inpatient			546.7	546.7																																																			
T2 F/T LOCKING SCREW 4MM X 22MM	SUP-97-04021	CDM			278	RC		outpatient			546.7	546.75	546.7				fee schedule		546.7				other	OPPS APC	311.62				percent of total billed charges		546.7				other	OPPS APC	546.7				other	OPPS APC	267.88				percent of total billed charges		278.82				percent of total billed charges		546.75				other	OPPS APC	267.88	546.75	
T2 F/T LOCKING SCREW 4MM X 22MM	SUP-97-04021	CDM			278	RC		inpatient			546.7	546.7																																																			
T2 F/T LOCKING SCREW 4MMX32MM	SUP-97-04072	CDM			278	RC		outpatient			546.7	546.75	546.7				fee schedule		546.7				other	OPPS APC	311.62				percent of total billed charges		546.7				other	OPPS APC	546.7				other	OPPS APC	267.88				percent of total billed charges		278.82				percent of total billed charges		546.75				other	OPPS APC	267.88	546.75	
T2 F/T LOCKING SCREW 4MMX32MM	SUP-97-04072	CDM			278	RC		inpatient			546.7	546.7																																																			
T2 F/T LOCKING SCREW 4MMX24MM	SUP-97-04073	CDM			278	RC		outpatient			546.7	546.75	546.7				fee schedule		546.7				other	OPPS APC	311.62				percent of total billed charges		546.7				other	OPPS APC	546.7				other	OPPS APC	267.88				percent of total billed charges		278.82				percent of total billed charges		546.75				other	OPPS APC	267.88	546.75	
T2 F/T LOCKING SCREW 4MMX24MM	SUP-97-04073	CDM			278	RC		inpatient			546.7	546.7																																																			
T2 F/T LOCKING SCREW 4MMX28MM	SUP-97-04074	CDM			278	RC		outpatient			546.7	546.75	546.7				fee schedule		546.7				other	OPPS APC	311.62				percent of total billed charges		546.7				other	OPPS APC	546.7				other	OPPS APC	267.88				percent of total billed charges		278.82				percent of total billed charges		546.75				other	OPPS APC	267.88	546.75	
T2 F/T LOCKING SCREW 4MMX28MM	SUP-97-04074	CDM			278	RC		inpatient			546.7	546.7																																																			
T2 F/T LKNG SCREW 4MM X 30MM	SUP-97-05079	CDM			278	RC		outpatient			546.7	546.75	546.7				fee schedule		546.7				other	OPPS APC	311.62				percent of total billed charges		546.7				other	OPPS APC	546.7				other	OPPS APC	267.88				percent of total billed charges		278.82				percent of total billed charges		546.75				other	OPPS APC	267.88	546.75	
T2 F/T LKNG SCREW 4MM X 30MM	SUP-97-05079	CDM			278	RC		inpatient			546.7	546.7																																																			
PLATE BONE 2Y 14X10X.5MM TITANIUM NS CRANIOFACIAL 1X2 HOLE 1MM CORTEX SCREW	SUP-420.68	CDM	270010022	LOCAL	270	RC		outpatient			546.5	546.5	148.05				percent of total billed charges		546.5				other	OPPS APC	404.41				percent of total billed charges		546.5				other	OPPS APC	546.5				other	OPPS APC	148.05				percent of total billed charges		151				percent of total billed charges		546.5				other	OPPS APC	148.05	546.5	
PLATE BONE 2Y 14X10X.5MM TITANIUM NS CRANIOFACIAL 1X2 HOLE 1MM CORTEX SCREW	SUP-420.68	CDM	270010022	LOCAL	270	RC		inpatient			546.5	546.5																																																			
FORCEPS BIPOLAR L31 CM OD5 MM CONNECTOR POWERBLADE	SUP-4393.3865	CDM			270	RC		outpatient			546.13	546.13	147.95				percent of total billed charges		546.13				other	OPPS APC	404.14				percent of total billed charges		546.13				other	OPPS APC	546.13				other	OPPS APC	147.95				percent of total billed charges		150.9				percent of total billed charges		546.13				other	OPPS APC	147.95	546.13	
FORCEPS BIPOLAR L31 CM OD5 MM CONNECTOR POWERBLADE	SUP-4393.3865	CDM			270	RC		inpatient			546.13	546.13																																																			
BIT DRILL LCP STAINLESS STEEL L100 MM OD2.4 MM MINI QUICK COUPLING	SUP-310.530	CDM	270010022	LOCAL	270	RC		outpatient			546	546	147.91				percent of total billed charges		546				other	OPPS APC	404.04				percent of total billed charges		546				other	OPPS APC	546				other	OPPS APC	147.91				percent of total billed charges		150.86				percent of total billed charges		546				other	OPPS APC	147.91	546	
BIT DRILL LCP STAINLESS STEEL L100 MM OD2.4 MM MINI QUICK COUPLING	SUP-310.530	CDM	270010022	LOCAL	270	RC		inpatient			546	546																																																			
MESH SURGICAL C-QUR OMEGA 3 FATTY ACID OBLONG L6 IN X W4 IN BIORESORBABLE HERNIA	SUP-31528	CDM			270	RC		outpatient			546	546	147.91				percent of total billed charges		546				other	OPPS APC	404.04				percent of total billed charges		546				other	OPPS APC	546				other	OPPS APC	147.91				percent of total billed charges		150.86				percent of total billed charges		546				other	OPPS APC	147.91	546	
MESH SURGICAL C-QUR OMEGA 3 FATTY ACID OBLONG L6 IN X W4 IN BIORESORBABLE HERNIA	SUP-31528	CDM			270	RC		inpatient			546	546																																																			
DENTAL WIRE 24G	SUP-97-02471	CDM			278	RC		outpatient			546	546	546				fee schedule		546				other	OPPS APC	311.22				percent of total billed charges		546				other	OPPS APC	546				other	OPPS APC	267.54				percent of total billed charges		278.46				percent of total billed charges		546				other	OPPS APC	267.54	546	
DENTAL WIRE 24G	SUP-97-02471	CDM			278	RC		inpatient			546	546																																																			
GUIDEWIRE ORTHOPEDIC OD2.5 MM NONSTERILE 5 MM SCREW	SUP-324.174	CDM	270010022	LOCAL	270	RC		outpatient			544.5	544.5	147.51				percent of total billed charges		544.5				other	OPPS APC	402.93				percent of total billed charges		544.5				other	OPPS APC	544.5				other	OPPS APC	147.51				percent of total billed charges		150.45				percent of total billed charges		544.5				other	OPPS APC	147.51	544.5	
GUIDEWIRE ORTHOPEDIC OD2.5 MM NONSTERILE 5 MM SCREW	SUP-324.174	CDM	270010022	LOCAL	270	RC		inpatient			544.5	544.5																																																			
GUIDE SURGICAL 2.5MM NS WIRE 7.3MM SCREW	SUP-324.175	CDM	270010022	LOCAL	270	RC		outpatient			544.5	544.5	147.51				percent of total billed charges		544.5				other	OPPS APC	402.93				percent of total billed charges		544.5				other	OPPS APC	544.5				other	OPPS APC	147.51				percent of total billed charges		150.45				percent of total billed charges		544.5				other	OPPS APC	147.51	544.5	
GUIDE SURGICAL 2.5MM NS WIRE 7.3MM SCREW	SUP-324.175	CDM	270010022	LOCAL	270	RC		inpatient			544.5	544.5																																																			
PLATE BONE 5MM SPACE 53X4.8X.9MM TITANIUM NS ORBITAL RIM 12 HOLE 2MM SCREW	SUP-447.22	CDM	270010014	LOCAL	270	RC		outpatient			544.5	544.5	147.51				percent of total billed charges		544.5				other	OPPS APC	402.93				percent of total billed charges		544.5				other	OPPS APC	544.5				other	OPPS APC	147.51				percent of total billed charges		150.45				percent of total billed charges		544.5				other	OPPS APC	147.51	544.5	
PLATE BONE 5MM SPACE 53X4.8X.9MM TITANIUM NS ORBITAL RIM 12 HOLE 2MM SCREW	SUP-447.22	CDM	270010014	LOCAL	270	RC		inpatient			544.5	544.5																																																			
HC Antigen Typing	PX-300869020	CDM	86902	CPT	300	RC		outpatient			544	341.36	5.12				fee schedule		341.36				other	OPPS APC	25.06				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	6.35				fee schedule		6.35				fee schedule		341.36				other	OPPS APC	5.12	341.36	
HC Antigen Typing	PX-300869020	CDM	86902	CPT	300	RC		inpatient			544	544																																																			
PATCH SENSOR ILLUMISITE NONSTERILE LATEX FREE DISPOSABLE	SUP-ILS-1000-SP	CDM			270	RC		outpatient			544	544	147.37				percent of total billed charges		544				other	OPPS APC	402.56				percent of total billed charges		544				other	OPPS APC	544				other	OPPS APC	147.37				percent of total billed charges		150.31				percent of total billed charges		544				other	OPPS APC	147.37	544	
PATCH SENSOR ILLUMISITE NONSTERILE LATEX FREE DISPOSABLE	SUP-ILS-1000-SP	CDM			270	RC		inpatient			544	544																																																			
TIMOLOL XR 0.5 % GEL FORMING SOLUTION 5 ML DROP BTL	637000000	CDM	61314-225-05	NDC	A9270	HCPCS		inpatient			543.18	543.18																																																			
TIMOLOL XR 0.5 % GEL FORMING SOLUTION 5 ML DROP BTL	637000000	CDM	61314-225-05	NDC	A9270	HCPCS		outpatient			543.18	543.18																																															other	OPPS APC			
ASNIS III SS CANNULATED SCR 4X55MM	SUP-97-03596	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
ASNIS III SS CANNULATED SCR 4X55MM	SUP-97-03596	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW 4 X 36MM CANNULATED TI	SUP-97-03678	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW 4 X 36MM CANNULATED TI	SUP-97-03678	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW CANN TI 4.0X48MM	SUP-97-03679	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW CANN TI 4.0X48MM	SUP-97-03679	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW CANN TI 4.0X60MM	SUP-97-03680	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW CANN TI 4.0X60MM	SUP-97-03680	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW CANNULATED TI 4.0 X 38MM	SUP-97-04242	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW CANNULATED TI 4.0 X 38MM	SUP-97-04242	CDM			278	RC		inpatient			542.64	542.64																																																			
4.0 X 30MM PART THD SCREW	SUP-97-04341	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
4.0 X 30MM PART THD SCREW	SUP-97-04341	CDM			278	RC		inpatient			542.64	542.64																																																			
4.0 X 70 MM PART THD SCREW	SUP-97-04342	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
4.0 X 70 MM PART THD SCREW	SUP-97-04342	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW FULL THRD CANN 4.0 X 42MM	SUP-97-04343	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW FULL THRD CANN 4.0 X 42MM	SUP-97-04343	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW CANN PT 4 X 34MM	SUP-97-04647	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW CANN PT 4 X 34MM	SUP-97-04647	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW FULL THRD CANN 4.0 X 38MM	SUP-97-05023	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW FULL THRD CANN 4.0 X 38MM	SUP-97-05023	CDM			278	RC		inpatient			542.64	542.64																																																			
SCREW 4.0 X 26MM PART THD CAN.	SUP-97-23693	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
SCREW 4.0 X 26MM PART THD CAN.	SUP-97-23693	CDM			278	RC		inpatient			542.64	542.64																																																			
4.0 X 65MM PT.THD.CAN.SCREW	SUP-97-23700	CDM			278	RC		outpatient			542.64	542.64	542.64				fee schedule		542.64				other	OPPS APC	309.3				percent of total billed charges		542.64				other	OPPS APC	542.64				other	OPPS APC	265.89				percent of total billed charges		276.75				percent of total billed charges		542.64				other	OPPS APC	265.89	542.64	
4.0 X 65MM PT.THD.CAN.SCREW	SUP-97-23700	CDM			278	RC		inpatient			542.64	542.64																																																			
SET DILATOR STAINLESS STEEL POLYETHYLENE STRAIGHT L37 CM L80 CM OD8-24 FR ODSEC.038 IN URETHRAL RADIOPAQUE GUIDEWIRE SAFETY INDEX MARK	SUP-G14185	CDM			270	RC		outpatient			542.58	542.58	146.98				percent of total billed charges		542.58				other	OPPS APC	401.51				percent of total billed charges		542.58				other	OPPS APC	542.58				other	OPPS APC	146.98				percent of total billed charges		149.91				percent of total billed charges		542.58				other	OPPS APC	146.98	542.58	
SET DILATOR STAINLESS STEEL POLYETHYLENE STRAIGHT L37 CM L80 CM OD8-24 FR ODSEC.038 IN URETHRAL RADIOPAQUE GUIDEWIRE SAFETY INDEX MARK	SUP-G14185	CDM			270	RC		inpatient			542.58	542.58																																																			
PLATE 1.5 6-HOLE REG DBL Y	SUP-71-00203	CDM			278	RC		outpatient			542.5	542.5	542.5				fee schedule		542.5				other	OPPS APC	309.23				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	265.83				percent of total billed charges		276.68				percent of total billed charges		542.5				other	OPPS APC	265.83	542.5	
PLATE 1.5 6-HOLE REG DBL Y	SUP-71-00203	CDM			278	RC		inpatient			542.5	542.5																																																			
BONE MARROW BIOPSY NEEDLE - 152MM	SUP-95-05071	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
BONE MARROW BIOPSY NEEDLE - 152MM	SUP-95-05071	CDM			272	RC		inpatient			542.5	542.5																																																			
DRILL 3.5MM CANNULATED(PATENT PENDING)	SUP-95-23636	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
DRILL 3.5MM CANNULATED(PATENT PENDING)	SUP-95-23636	CDM			272	RC		inpatient			542.5	542.5																																																			
SCREW 4.5MM MONSTER HEADLESS	SUP-97-04602	CDM			278	RC		outpatient			542.5	542.5	542.5				fee schedule		542.5				other	OPPS APC	309.23				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	265.83				percent of total billed charges		276.68				percent of total billed charges		542.5				other	OPPS APC	265.83	542.5	
SCREW 4.5MM MONSTER HEADLESS	SUP-97-04602	CDM			278	RC		inpatient			542.5	542.5																																																			
DRILL 3.5X160MM CANN AO	SUP-97-04784	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
DRILL 3.5X160MM CANN AO	SUP-97-04784	CDM			272	RC		inpatient			542.5	542.5																																																			
COUNTERSINK 3.5 HEADLESS	SUP-97-05018	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
COUNTERSINK 3.5 HEADLESS	SUP-97-05018	CDM			272	RC		inpatient			542.5	542.5																																																			
2.5  DRILL BIT	SUP-97-05082	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
2.5  DRILL BIT	SUP-97-05082	CDM			272	RC		inpatient			542.5	542.5																																																			
3.0 CANNUL. DRILL	SUP-97-05088	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
3.0 CANNUL. DRILL	SUP-97-05088	CDM			272	RC		inpatient			542.5	542.5																																																			
DRILL 2.8 X 160MM SOLID LONG AO	SUP-97-05249	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
DRILL 2.8 X 160MM SOLID LONG AO	SUP-97-05249	CDM			272	RC		inpatient			542.5	542.5																																																			
SCREW NON LOCKING SILVERBACK 5.2 X 28MM	SUP-97-06149	CDM			278	RC		outpatient			542.5	542.5	542.5				fee schedule		542.5				other	OPPS APC	309.23				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	265.83				percent of total billed charges		276.68				percent of total billed charges		542.5				other	OPPS APC	265.83	542.5	
SCREW NON LOCKING SILVERBACK 5.2 X 28MM	SUP-97-06149	CDM			278	RC		inpatient			542.5	542.5																																																			
SCREW SILVERBACK NON LOCKING 5.2 X 48MM	SUP-97-06153	CDM			278	RC		outpatient			542.5	542.5	542.5				fee schedule		542.5				other	OPPS APC	309.23				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	265.83				percent of total billed charges		276.68				percent of total billed charges		542.5				other	OPPS APC	265.83	542.5	
SCREW SILVERBACK NON LOCKING 5.2 X 48MM	SUP-97-06153	CDM			278	RC		inpatient			542.5	542.5																																																			
2.7MM DRILL	SUP-97-23669	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
2.7MM DRILL	SUP-97-23669	CDM			272	RC		inpatient			542.5	542.5																																																			
OVER DRILL 2.1 X 90MM SOLID AO	SUP-97-23723	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
OVER DRILL 2.1 X 90MM SOLID AO	SUP-97-23723	CDM			272	RC		inpatient			542.5	542.5																																																			
DRILL 1.7 X 120MM SOLID TROCAR TIP AO	SUP-97-23732	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
DRILL 1.7 X 120MM SOLID TROCAR TIP AO	SUP-97-23732	CDM			272	RC		inpatient			542.5	542.5																																																			
BALLOON - RIVAL 6X15X135	SUP-99-01768	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
BALLOON - RIVAL 6X15X135	SUP-99-01768	CDM			272	RC		inpatient			542.5	542.5																																																			
BALLOON - METACROSS 6.0X40 OTW	SUP-99-03442	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
BALLOON - METACROSS 6.0X40 OTW	SUP-99-03442	CDM			272	RC		inpatient			542.5	542.5																																																			
BALLOON - METACROSS 6.0X80 OTW	SUP-99-03443	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
BALLOON - METACROSS 6.0X80 OTW	SUP-99-03443	CDM			272	RC		inpatient			542.5	542.5																																																			
BALLOON - METACROSS 6.0X150 OTW	SUP-99-03500	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
BALLOON - METACROSS 6.0X150 OTW	SUP-99-03500	CDM			272	RC		inpatient			542.5	542.5																																																			
BALLOON - METACROSS R2P 3.0X60 OTW	SUP-99-03607	CDM			272	RC		outpatient			542.5	542.5	146.96				percent of total billed charges		542.5				other	OPPS APC	401.45				percent of total billed charges		542.5				other	OPPS APC	542.5				other	OPPS APC	146.96				percent of total billed charges		149.89				percent of total billed charges		542.5				other	OPPS APC	146.96	542.5	
BALLOON - METACROSS R2P 3.0X60 OTW	SUP-99-03607	CDM			272	RC		inpatient			542.5	542.5																																																			
SCREW PUSH EVOS LARGE 5.5 MM	SUP-71175648	CDM			270	RC		outpatient			541	541	146.56				percent of total billed charges		541				other	OPPS APC	400.34				percent of total billed charges		541				other	OPPS APC	541				other	OPPS APC	146.56				percent of total billed charges		149.48				percent of total billed charges		541				other	OPPS APC	146.56	541	
SCREW PUSH EVOS LARGE 5.5 MM	SUP-71175648	CDM			270	RC		inpatient			541	541																																																			
Tips Bilicheck Disp Calibration	PX-270000032	CDM			270	RC		outpatient			540.22	54.22	146.35				percent of total billed charges		540.22				other	OPPS APC	540.22				fee schedule		540.22				other	OPPS APC	540.22				other	OPPS APC	146.35				percent of total billed charges		149.26				percent of total billed charges		54.22				other	OPPS APC	54.22	540.22	
Tips Bilicheck Disp Calibration	PX-270000032	CDM			270	RC		inpatient			540.22	540.22																																																			
ZOLEDRONIC ACID PER 1 MG	636000000	CDM	25021-826-82	NDC	J3489	HCPCS		inpatient			540	540																																																			
ZOLEDRONIC ACID PER 1 MG	636000000	CDM	25021-826-82	NDC	J3489	HCPCS		outpatient			540	540																																															other	OPPS APC			
HC Fetal Chrmoml Aneuploidy	PX-300814200	CDM	81420	CPT	300	RC		outpatient			540	759.5	743.87				fee schedule		759.05				fee schedule		399.6				percent of total billed charges		759.05				fee schedule		759.05				fee schedule		759.05				fee schedule		759.05				fee schedule		759.5				fee schedule		399.6	759.5	
HC Fetal Chrmoml Aneuploidy	PX-300814200	CDM	81420	CPT	300	RC		inpatient			540	540																																																			
HC Gft Skin Sub F/S <100cm Ea Add 25	PX-761152760	CDM	15276	CPT	761	RC		inpatient			540	540																																																			
HC Gft Skin Sub F/S <100cm Ea Add 25	PX-761152760	CDM	15276	CPT	761	RC		outpatient			540	540	195.77				case rate						other	OPPS APC	399.6				percent of total billed charges						other	OPPS APC					other	OPPS APC	195.77				case rate		275.4				percent of total billed charges						other	OPPS APC	399.6	399.6	
PIN FIXATION TRABECULAR METAL CALCANEUS ANKLE	SUP-00-4501-040-00	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
PIN FIXATION TRABECULAR METAL CALCANEUS ANKLE	SUP-00-4501-040-00	CDM			270	RC		inpatient			540	540																																																			
ELECTRODE ELECTROSURGICAL VAPR 90D 40MM DISPOSABLE STERILE LF SUCTION INTEGRATE HANDPIECE	SUP-225370	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
ELECTRODE ELECTROSURGICAL VAPR 90D 40MM DISPOSABLE STERILE LF SUCTION INTEGRATE HANDPIECE	SUP-225370	CDM			270	RC		inpatient			540	540																																																			
SCREW INTERFERENCE MILAGRO ADVANCE 23MM 8MM TCP PLGA STERILE LF ACL ABSORBABLE	SUP-231817	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
SCREW INTERFERENCE MILAGRO ADVANCE 23MM 8MM TCP PLGA STERILE LF ACL ABSORBABLE	SUP-231817	CDM			270	RC		inpatient			540	540																																																			
SCREW INTERFERENCE MILAGRO ADVANCE 23MM 9MM TCP PLGA STERILE LF ACL ABSORBABLE	SUP-231818	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
SCREW INTERFERENCE MILAGRO ADVANCE 23MM 9MM TCP PLGA STERILE LF ACL ABSORBABLE	SUP-231818	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD7 FR ODSEC9 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-90401	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD7 FR ODSEC9 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-90401	CDM			270	RC		inpatient			540	540																																																			
MICROVENA SNARE 10.0MM	SUP-GN1000	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
MICROVENA SNARE 10.0MM	SUP-GN1000	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD7 FR ODSEC10 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032104010	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L40 MM OD7 FR ODSEC10 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032104010	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION LOW PROFILE TAPER 4FR 3MM 150CM 40MM OTW INFLATION WIRE	SUP-H74939032300410	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION LOW PROFILE TAPER 4FR 3MM 150CM 40MM OTW INFLATION WIRE	SUP-H74939032300410	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L150 CM L60 MM OD4 FR ODSEC3 MM OTW INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032300610	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L150 CM L60 MM OD4 FR ODSEC3 MM OTW INFLATION WIRE PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032300610	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION 7FR 5MM 5FR 150CM 150MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032501510	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION 7FR 5MM 5FR 150CM 150MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032501510	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION 7FR 6MM 5FR 150CM 150MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032601510	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION 7FR 6MM 5FR 150CM 150MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032601510	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L60 MM OD6 FR ODSEC6 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032606010	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L60 MM OD6 FR ODSEC6 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032606010	CDM			270	RC		inpatient			540	540																																																			
CATHETER BALLOON DILATATION 7FR 9MM 5FR 135CM 40MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032904010	CDM			270	RC		outpatient			540	54	146.29				percent of total billed charges		540				other	OPPS APC	399.6				percent of total billed charges		540				other	OPPS APC	540				other	OPPS APC	146.29				percent of total billed charges		149.2				percent of total billed charges		54				other	OPPS APC	54	540	
CATHETER BALLOON DILATATION 7FR 9MM 5FR 135CM 40MM OTW INFLATION PORT LOW PROFILE	SUP-H74939032904010	CDM			270	RC		inpatient			540	540																																																			
COLD KNIFE  HALF-ROUND 27069L	SUP-70-00102	CDM			272	RC		outpatient			539.43	539.43	146.13				percent of total billed charges		539.43				other	OPPS APC	399.18				percent of total billed charges		539.43				other	OPPS APC	539.43				other	OPPS APC	146.13				percent of total billed charges		149.04				percent of total billed charges		539.43				other	OPPS APC	146.13	539.43	
COLD KNIFE  HALF-ROUND 27069L	SUP-70-00102	CDM			272	RC		inpatient			539.43	539.43																																																			
NAIL INTRAMEDULLARY TITANIUM PEDIATRIC L440 MM OD2.5 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE PINK DIAPHYSEAL METAPHYSEAL FRACTURE	SUP-475.925	CDM	270010022	LOCAL	270	RC		outpatient			539.32	539.33	146.1				percent of total billed charges		539.32				other	OPPS APC	399.1				percent of total billed charges		539.32				other	OPPS APC	539.32				other	OPPS APC	146.1				percent of total billed charges		149.01				percent of total billed charges		539.33				other	OPPS APC	146.1	539.33	
NAIL INTRAMEDULLARY TITANIUM PEDIATRIC L440 MM OD2.5 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE PINK DIAPHYSEAL METAPHYSEAL FRACTURE	SUP-475.925	CDM	270010022	LOCAL	270	RC		inpatient			539.32	539.32																																																			
PLATE BONE LCP TITANIUM L73 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.360	CDM	270010022	LOCAL	270	RC		outpatient			539	539	146.02				percent of total billed charges		539				other	OPPS APC	398.86				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	146.02				percent of total billed charges		148.93				percent of total billed charges		539				other	OPPS APC	146.02	539	
PLATE BONE LCP TITANIUM L73 MM 10 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-447.360	CDM	270010022	LOCAL	270	RC		inpatient			539	539																																																			
DRILL AO 4.2X260MM	SUP-95-03738	CDM			272	RC		outpatient			539	539	146.02				percent of total billed charges		539				other	OPPS APC	398.86				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	146.02				percent of total billed charges		148.93				percent of total billed charges		539				other	OPPS APC	146.02	539	
DRILL AO 4.2X260MM	SUP-95-03738	CDM			272	RC		inpatient			539	539																																																			
TRACH ESOPH AIRWAY 41FR XRAY	SUP-97-01035	CDM			272	RC		outpatient			539	539	146.02				percent of total billed charges		539				other	OPPS APC	398.86				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	146.02				percent of total billed charges		148.93				percent of total billed charges		539				other	OPPS APC	146.02	539	
TRACH ESOPH AIRWAY 41FR XRAY	SUP-97-01035	CDM			272	RC		inpatient			539	539																																																			
SPLASH SHIELD SET	SUP-97-01524	CDM			272	RC		outpatient			539	539	146.02				percent of total billed charges		539				other	OPPS APC	398.86				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	146.02				percent of total billed charges		148.93				percent of total billed charges		539				other	OPPS APC	146.02	539	
SPLASH SHIELD SET	SUP-97-01524	CDM			272	RC		inpatient			539	539																																																			
SCREW F/T LOCKING 5MM X 80MM	SUP-97-03347	CDM			278	RC		outpatient			539	539	539				fee schedule		539				other	OPPS APC	307.23				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	264.11				percent of total billed charges		274.89				percent of total billed charges		539				other	OPPS APC	264.11	539	
SCREW F/T LOCKING 5MM X 80MM	SUP-97-03347	CDM			278	RC		inpatient			539	539																																																			
SCREW F/T LOCKING 5MM X 90MM	SUP-97-03835	CDM			278	RC		outpatient			539	539	539				fee schedule		539				other	OPPS APC	307.23				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	264.11				percent of total billed charges		274.89				percent of total billed charges		539				other	OPPS APC	264.11	539	
SCREW F/T LOCKING 5MM X 90MM	SUP-97-03835	CDM			278	RC		inpatient			539	539																																																			
SCREW F/T LOCKING 5MM X 115MM	SUP-97-03837	CDM			278	RC		outpatient			539	539	539				fee schedule		539				other	OPPS APC	307.23				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	264.11				percent of total billed charges		274.89				percent of total billed charges		539				other	OPPS APC	264.11	539	
SCREW F/T LOCKING 5MM X 115MM	SUP-97-03837	CDM			278	RC		inpatient			539	539																																																			
SCREW F/T LOCKING 5MM X 120MM	SUP-97-03840	CDM			278	RC		outpatient			539	539	539				fee schedule		539				other	OPPS APC	307.23				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	264.11				percent of total billed charges		274.89				percent of total billed charges		539				other	OPPS APC	264.11	539	
SCREW F/T LOCKING 5MM X 120MM	SUP-97-03840	CDM			278	RC		inpatient			539	539																																																			
LOCKING SCREW 5MM X 57.5MM	SUP-97-04447	CDM			278	RC		outpatient			539	539	539				fee schedule		539				other	OPPS APC	307.23				percent of total billed charges		539				other	OPPS APC	539				other	OPPS APC	264.11				percent of total billed charges		274.89				percent of total billed charges		539				other	OPPS APC	264.11	539	
LOCKING SCREW 5MM X 57.5MM	SUP-97-04447	CDM			278	RC		inpatient			539	539																																																			
PLATE BONE LC-DCP STAINLESS STEEL OBLIQUE ANGLE T L75 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.25	CDM	270010022	LOCAL	270	RC		outpatient			538.2	538.25	145.8				percent of total billed charges		538.2				other	OPPS APC	398.27				percent of total billed charges		538.2				other	OPPS APC	538.2				other	OPPS APC	145.8				percent of total billed charges		148.7				percent of total billed charges		538.25				other	OPPS APC	145.8	538.25	
PLATE BONE LC-DCP STAINLESS STEEL OBLIQUE ANGLE T L75 MM X W10 MM X H1.5 MM 3 HOLE HEAD 5 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.25	CDM	270010022	LOCAL	270	RC		inpatient			538.2	538.2																																																			
CAP END TITANIUM 20 MM L12 MM OD12 MM FEMUR EXTENDED STANDARD LOCKING STERILE GREEN INTRAMEDULLARY NAIL STANDARD LOCKING	SUP-459.014S	CDM	270010022	LOCAL	270	RC		outpatient			538.2	538.25	145.8				percent of total billed charges		538.2				other	OPPS APC	398.27				percent of total billed charges		538.2				other	OPPS APC	538.2				other	OPPS APC	145.8				percent of total billed charges		148.7				percent of total billed charges		538.25				other	OPPS APC	145.8	538.25	
CAP END TITANIUM 20 MM L12 MM OD12 MM FEMUR EXTENDED STANDARD LOCKING STERILE GREEN INTRAMEDULLARY NAIL STANDARD LOCKING	SUP-459.014S	CDM	270010022	LOCAL	270	RC		inpatient			538.2	538.2																																																			
SET DILATOR AMPLATZ STANDARD L30 CM L20 CM OD6-30 FR RENAL TFE CATHETER RADIOPAQUE SHEATH MODIFIED	SUP-G14485	CDM			270	RC		outpatient			538.2	538.25	145.8				percent of total billed charges		538.2				other	OPPS APC	398.27				percent of total billed charges		538.2				other	OPPS APC	538.2				other	OPPS APC	145.8				percent of total billed charges		148.7				percent of total billed charges		538.25				other	OPPS APC	145.8	538.25	
SET DILATOR AMPLATZ STANDARD L30 CM L20 CM OD6-30 FR RENAL TFE CATHETER RADIOPAQUE SHEATH MODIFIED	SUP-G14485	CDM			270	RC		inpatient			538.2	538.2																																																			
SET DILATOR AMPLATZ STANDARD L30 CM L20 CM OD6-30 FR RENAL TFE CATHETER RADIOPAQUE SHEATH MODIFIED	SUP-G57460	CDM			270	RC		outpatient			538.2	538.25	145.8				percent of total billed charges		538.2				other	OPPS APC	398.27				percent of total billed charges		538.2				other	OPPS APC	538.2				other	OPPS APC	145.8				percent of total billed charges		148.7				percent of total billed charges		538.25				other	OPPS APC	145.8	538.25	
SET DILATOR AMPLATZ STANDARD L30 CM L20 CM OD6-30 FR RENAL TFE CATHETER RADIOPAQUE SHEATH MODIFIED	SUP-G57460	CDM			270	RC		inpatient			538.2	538.2																																																			
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L20 CM OD18 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK0018-20	CDM			270	RC		outpatient			538.2	538.25	145.8				percent of total billed charges		538.2				other	OPPS APC	398.27				percent of total billed charges		538.2				other	OPPS APC	538.2				other	OPPS APC	145.8				percent of total billed charges		148.7				percent of total billed charges		538.25				other	OPPS APC	145.8	538.25	
GRAFT CARDIOVASCULAR INTERVASCULAR INTERGARD VELOUR COLLAGEN POLYESTER STRAIGHT L20 CM OD18 MM KNIT REVERSE LOCKNIT SUTURABILITY	SUP-HGK0018-20	CDM			270	RC		inpatient			538.2	538.2																																																			
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L100 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.900	CDM	270010022	LOCAL	270	RC		outpatient			537.9	537.9	145.72				percent of total billed charges		537.9				other	OPPS APC	398.05				percent of total billed charges		537.9				other	OPPS APC	537.9				other	OPPS APC	145.72				percent of total billed charges		148.62				percent of total billed charges		537.9				other	OPPS APC	145.72	537.9	
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L100 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.900	CDM	270010022	LOCAL	270	RC		inpatient			537.9	537.9																																																			
BIT DRILL 3 FLUTE 270MM 95MM 4MM NS CALIBRATED QUICK COUPLING	SUP-356.98	CDM	270010022	LOCAL	270	RC		outpatient			537.9	537.9	145.72				percent of total billed charges		537.9				other	OPPS APC	398.05				percent of total billed charges		537.9				other	OPPS APC	537.9				other	OPPS APC	145.72				percent of total billed charges		148.62				percent of total billed charges		537.9				other	OPPS APC	145.72	537.9	
BIT DRILL 3 FLUTE 270MM 95MM 4MM NS CALIBRATED QUICK COUPLING	SUP-356.98	CDM	270010022	LOCAL	270	RC		inpatient			537.9	537.9																																																			
DRILL BIT 2.5 X 216MM	SUP-97-02402	CDM			272	RC		outpatient			537.6	537.62	145.64				percent of total billed charges		537.6				other	OPPS APC	397.82				percent of total billed charges		537.6				other	OPPS APC	537.6				other	OPPS APC	145.64				percent of total billed charges		148.54				percent of total billed charges		537.62				other	OPPS APC	145.64	537.62	
DRILL BIT 2.5 X 216MM	SUP-97-02402	CDM			272	RC		inpatient			537.6	537.6																																																			
DRILL BIT LOCKING SHORT 3.2X216MM	SUP-97-03214	CDM			272	RC		outpatient			537.6	537.62	145.64				percent of total billed charges		537.6				other	OPPS APC	397.82				percent of total billed charges		537.6				other	OPPS APC	537.6				other	OPPS APC	145.64				percent of total billed charges		148.54				percent of total billed charges		537.62				other	OPPS APC	145.64	537.62	
DRILL BIT LOCKING SHORT 3.2X216MM	SUP-97-03214	CDM			272	RC		inpatient			537.6	537.6																																																			
KIT TRAUMACEM SYRINGE	SUP-97-03580	CDM			272	RC		outpatient			537.6	537.62	145.64				percent of total billed charges		537.6				other	OPPS APC	397.82				percent of total billed charges		537.6				other	OPPS APC	537.6				other	OPPS APC	145.64				percent of total billed charges		148.54				percent of total billed charges		537.62				other	OPPS APC	145.64	537.62	
KIT TRAUMACEM SYRINGE	SUP-97-03580	CDM			272	RC		inpatient			537.6	537.6																																																			
NEEDLE TEMNO BIOPSY 20G X 9  USSUP	SUP-95-01364	CDM			272	RC		outpatient			537.29	537.29	145.55				percent of total billed charges		537.29				other	OPPS APC	397.59				percent of total billed charges		537.29				other	OPPS APC	537.29				other	OPPS APC	145.55				percent of total billed charges		148.45				percent of total billed charges		537.29				other	OPPS APC	145.55	537.29	
NEEDLE TEMNO BIOPSY 20G X 9  USSUP	SUP-95-01364	CDM			272	RC		inpatient			537.29	537.29																																																			
HC Retroperitoneal Complete	PX-402767700	CDM	76770	CPT	402	RC		outpatient			537	112.57	136.06				fee schedule		112.57				other	OPPS APC	280.51				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	109.24				fee schedule		73.89				fee schedule		112.57				other	OPPS APC	73.89	280.51	
HC Retroperitoneal Complete	PX-402767700	CDM	76770	CPT	402	RC		inpatient			537	537																																																			
REDUCTION WIRE PCA 3MM	SUP-95-04542	CDM			272	RC		outpatient			536.9	536.9	145.45				percent of total billed charges		536.9				other	OPPS APC	397.31				percent of total billed charges		536.9				other	OPPS APC	536.9				other	OPPS APC	145.45				percent of total billed charges		148.35				percent of total billed charges		536.9				other	OPPS APC	145.45	536.9	
REDUCTION WIRE PCA 3MM	SUP-95-04542	CDM			272	RC		inpatient			536.9	536.9																																																			
REDUCTION WIRE PCA 5MM	SUP-95-04543	CDM			272	RC		outpatient			536.9	536.9	145.45				percent of total billed charges		536.9				other	OPPS APC	397.31				percent of total billed charges		536.9				other	OPPS APC	536.9				other	OPPS APC	145.45				percent of total billed charges		148.35				percent of total billed charges		536.9				other	OPPS APC	145.45	536.9	
REDUCTION WIRE PCA 5MM	SUP-95-04543	CDM			272	RC		inpatient			536.9	536.9																																																			
BLADE SHAVER XPS STRAIGHT L110 MM OD3.5 MM SINUS STERILE LATEX FREE STRAIGHTSHOT M4	SUP-1883504HR	CDM			270	RC		outpatient			536.8	536.8	145.42				percent of total billed charges		536.8				other	OPPS APC	397.23				percent of total billed charges		536.8				other	OPPS APC	536.8				other	OPPS APC	145.42				percent of total billed charges		148.32				percent of total billed charges		536.8				other	OPPS APC	145.42	536.8	
BLADE SHAVER XPS STRAIGHT L110 MM OD3.5 MM SINUS STERILE LATEX FREE STRAIGHTSHOT M4	SUP-1883504HR	CDM			270	RC		inpatient			536.8	536.8																																																			
KNIFE ARTHROSCOPIC L10 MM ACL GRAFT STERILE DISPOSABLE GREEN	SUP-232110	CDM			270	RC		outpatient			536.6	536.62	145.36				percent of total billed charges		536.6				other	OPPS APC	397.08				percent of total billed charges		536.6				other	OPPS APC	536.6				other	OPPS APC	145.36				percent of total billed charges		148.26				percent of total billed charges		536.62				other	OPPS APC	145.36	536.62	
KNIFE ARTHROSCOPIC L10 MM ACL GRAFT STERILE DISPOSABLE GREEN	SUP-232110	CDM			270	RC		inpatient			536.6	536.6																																																			
PLATE BONE TITANIUM Y L32 MM X W19 MM X H.9 MM CRANIOFACIAL 2 X 4 HOLE 2 ARM NONSTERILE 2 MM SCREW	SUP-447.62	CDM	270010014	LOCAL	270	RC		outpatient			536.52	536.52	145.34				percent of total billed charges		536.52				other	OPPS APC	397.02				percent of total billed charges		536.52				other	OPPS APC	536.52				other	OPPS APC	145.34				percent of total billed charges		148.24				percent of total billed charges		536.52				other	OPPS APC	145.34	536.52	
PLATE BONE TITANIUM Y L32 MM X W19 MM X H.9 MM CRANIOFACIAL 2 X 4 HOLE 2 ARM NONSTERILE 2 MM SCREW	SUP-447.62	CDM	270010014	LOCAL	270	RC		inpatient			536.52	536.52																																																			
T2 F/T LOCKING SCREW 4MM X 20MM	SUP-97-04020	CDM			278	RC		outpatient			536.2	536.25	536.2				fee schedule		536.2				other	OPPS APC	305.63				percent of total billed charges		536.2				other	OPPS APC	536.2				other	OPPS APC	262.74				percent of total billed charges		273.46				percent of total billed charges		536.25				other	OPPS APC	262.74	536.25	
T2 F/T LOCKING SCREW 4MM X 20MM	SUP-97-04020	CDM			278	RC		inpatient			536.2	536.2																																																			
KIT CATHETER UROMAX ULTRA QUADRA-FOLD ENCORE HYDROPLUS POLYMER L75 CM L4 CM OD5.8 FR ODSEC18 FR URINARY TRACT HIGH PRESSURE KINK RESISTANT SHAFT RADIOPAQUE TAPER DISTAL END LATEX FREE ACCEPTS .038 IN GUIDEWIRE RADIAL DILATATION	SUP-M0062251220	CDM			270	RC		outpatient			536.1	536.12	145.23				percent of total billed charges		536.1				other	OPPS APC	396.71				percent of total billed charges		536.1				other	OPPS APC	536.1				other	OPPS APC	145.23				percent of total billed charges		148.12				percent of total billed charges		536.12				other	OPPS APC	145.23	536.12	
KIT CATHETER UROMAX ULTRA QUADRA-FOLD ENCORE HYDROPLUS POLYMER L75 CM L4 CM OD5.8 FR ODSEC18 FR URINARY TRACT HIGH PRESSURE KINK RESISTANT SHAFT RADIOPAQUE TAPER DISTAL END LATEX FREE ACCEPTS .038 IN GUIDEWIRE RADIAL DILATATION	SUP-M0062251220	CDM			270	RC		inpatient			536.1	536.1																																																			
HC IV Pyleograms	PX-320744000	CDM	74400	CPT	320	RC		outpatient			536	536	117.03				fee schedule		536				other	OPPS APC	224.14				fee schedule		536				other	OPPS APC	536				other	OPPS APC	136.97				fee schedule		113.15				fee schedule		536				other	OPPS APC	113.15	536	
HC IV Pyleograms	PX-320744000	CDM	74400	CPT	320	RC		inpatient			536	536																																																			
HC Urethrogram	PX-320744550	CDM	74455	CPT	320	RC		outpatient			536	245.95	86.32				fee schedule		245.95				other	OPPS APC	196.03				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	105.3				fee schedule		89.53				fee schedule		245.95				other	OPPS APC	86.32	245.95	
HC Urethrogram	PX-320744550	CDM	74455	CPT	320	RC		inpatient			536	536																																																			
HC Scrotum Sonogram	PX-402768700	CDM	76870	CPT	402	RC		outpatient			536	112.57	75.29				fee schedule		112.57				other	OPPS APC	226.04				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	101.55				fee schedule		70.89				fee schedule		112.57				other	OPPS APC	70.89	226.04	
HC Scrotum Sonogram	PX-402768700	CDM	76870	CPT	402	RC		inpatient			536	536																																																			
TOOL DISSECTING BLACK MAX STRAIGHT FLUTE BALL TAPER L12.6 CM OD6 MM ATTACHMENT NONSTERILE TURQUOISE BURR	SUP-TURQ-L6	CDM			270	RC		outpatient			536	536	145.2				percent of total billed charges		536				other	OPPS APC	396.64				percent of total billed charges		536				other	OPPS APC	536				other	OPPS APC	145.2				percent of total billed charges		148.1				percent of total billed charges		536				other	OPPS APC	145.2	536	
TOOL DISSECTING BLACK MAX STRAIGHT FLUTE BALL TAPER L12.6 CM OD6 MM ATTACHMENT NONSTERILE TURQUOISE BURR	SUP-TURQ-L6	CDM			270	RC		inpatient			536	536																																																			
NAIL INTRAMEDULLARY 300MM 1.5MM PURPLE TITANIUM NS PEDIATRIC DIAPHYSIS EPIPHYSIS METAPHYSIS ELASTIC SYMMETRICAL BRACE	SUP-475.915	CDM	270010022	LOCAL	270	RC		outpatient			535.7	535.75	145.12				percent of total billed charges		535.7				other	OPPS APC	396.42				percent of total billed charges		535.7				other	OPPS APC	535.7				other	OPPS APC	145.12				percent of total billed charges		148.01				percent of total billed charges		535.75				other	OPPS APC	145.12	535.75	
NAIL INTRAMEDULLARY 300MM 1.5MM PURPLE TITANIUM NS PEDIATRIC DIAPHYSIS EPIPHYSIS METAPHYSIS ELASTIC SYMMETRICAL BRACE	SUP-475.915	CDM	270010022	LOCAL	270	RC		inpatient			535.7	535.7																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L20 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.620	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L20 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.620	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L25 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.625	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L25 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.625	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L30 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.630	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L30 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.630	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L35 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.635	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L35 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.635	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L40 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.640	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L40 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.640	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L45 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.645	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L45 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.645	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L55 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.655	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L55 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.655	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L60 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.660	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L60 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.660	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L70 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.670	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L70 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.670	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L90 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.690	CDM	270010022	LOCAL	270	RC		outpatient			535.2	535.25	144.99				percent of total billed charges		535.2				other	OPPS APC	396.05				percent of total billed charges		535.2				other	OPPS APC	535.2				other	OPPS APC	144.99				percent of total billed charges		147.88				percent of total billed charges		535.25				other	OPPS APC	144.99	535.25	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L90 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.690	CDM	270010022	LOCAL	270	RC		inpatient			535.2	535.2																																																			
KIT CATHETER PALINDROME L19 CM OD 14.5 FR TWO LUMEN LATEX FREE	SUP-8888145014P	CDM			270	RC		outpatient			534.6	534.62	144.82				percent of total billed charges		534.6				other	OPPS APC	395.6				percent of total billed charges		534.6				other	OPPS APC	534.6				other	OPPS APC	144.82				percent of total billed charges		147.71				percent of total billed charges		534.62				other	OPPS APC	144.82	534.62	
KIT CATHETER PALINDROME L19 CM OD 14.5 FR TWO LUMEN LATEX FREE	SUP-8888145014P	CDM			270	RC		inpatient			534.6	534.6																																																			
CATHETER HEMODIALYSIS PALINDROME TAL VENATRAC CARBOTHANE SYMMETRIC L72 CM L55 CM OD14.5 FR 3.1 ML KIT 2 LUMEN SEAL CAP	SUP-8888145018P	CDM			270	RC		outpatient			534.6	534.62	144.82				percent of total billed charges		534.6				other	OPPS APC	395.6				percent of total billed charges		534.6				other	OPPS APC	534.6				other	OPPS APC	144.82				percent of total billed charges		147.71				percent of total billed charges		534.62				other	OPPS APC	144.82	534.62	
CATHETER HEMODIALYSIS PALINDROME TAL VENATRAC CARBOTHANE SYMMETRIC L72 CM L55 CM OD14.5 FR 3.1 ML KIT 2 LUMEN SEAL CAP	SUP-8888145018P	CDM			270	RC		inpatient			534.6	534.6																																																			
PLATE BONE DCP TITANIUM L27 MM X W5 MM X H.9 MM ZYGOMATIC 5 HOLE NONSTERILE 2 MM CORTICAL SCREW	SUP-443.45	CDM	270010014	LOCAL	270	RC		outpatient			534.52	534.52	144.8				percent of total billed charges		534.52				other	OPPS APC	395.54				percent of total billed charges		534.52				other	OPPS APC	534.52				other	OPPS APC	144.8				percent of total billed charges		147.69				percent of total billed charges		534.52				other	OPPS APC	144.8	534.52	
PLATE BONE DCP TITANIUM L27 MM X W5 MM X H.9 MM ZYGOMATIC 5 HOLE NONSTERILE 2 MM CORTICAL SCREW	SUP-443.45	CDM	270010014	LOCAL	270	RC		inpatient			534.52	534.52																																																			
ENDCAP  6MMX10MM	SUP-97-03950	CDM			278	RC		outpatient			534.52	534.52	534.52				fee schedule		534.52				other	OPPS APC	304.68				percent of total billed charges		534.52				other	OPPS APC	534.52				other	OPPS APC	261.91				percent of total billed charges		272.61				percent of total billed charges		534.52				other	OPPS APC	261.91	534.52	
ENDCAP  6MMX10MM	SUP-97-03950	CDM			278	RC		inpatient			534.52	534.52																																																			
CABLE/SLEEVE ORTHOPEDIC DALL-MILES STAINLESS STEEL OD2 MM HIP SET BEAD	SUP-3704-0-050	CDM			270	RC		outpatient			534.4	534.4	144.77				percent of total billed charges		534.4				other	OPPS APC	395.46				percent of total billed charges		534.4				other	OPPS APC	534.4				other	OPPS APC	144.77				percent of total billed charges		147.65				percent of total billed charges		534.4				other	OPPS APC	144.77	534.4	
CABLE/SLEEVE ORTHOPEDIC DALL-MILES STAINLESS STEEL OD2 MM HIP SET BEAD	SUP-3704-0-050	CDM			270	RC		inpatient			534.4	534.4																																																			
CUTTER SURGICAL MIDAS REX LEGEND CARBIDE METAL L18.3 MM OD3 MM	SUP-MC30	CDM	270010028	LOCAL	270	RC		outpatient			534.18	534.18	144.71				percent of total billed charges		534.18				other	OPPS APC	395.29				percent of total billed charges		534.18				other	OPPS APC	534.18				other	OPPS APC	144.71				percent of total billed charges		147.59				percent of total billed charges		534.18				other	OPPS APC	144.71	534.18	
CUTTER SURGICAL MIDAS REX LEGEND CARBIDE METAL L18.3 MM OD3 MM	SUP-MC30	CDM	270010028	LOCAL	270	RC		inpatient			534.18	534.18																																																			
TOOL DISSECTING MR8 L9 CM OD3 MM METAL CUTTER STERILE DISPOSABLE METAL CUT	SUP-MR8-9MC30	CDM			270	RC		outpatient			534.18	534.18	144.71				percent of total billed charges		534.18				other	OPPS APC	395.29				percent of total billed charges		534.18				other	OPPS APC	534.18				other	OPPS APC	144.71				percent of total billed charges		147.59				percent of total billed charges		534.18				other	OPPS APC	144.71	534.18	
TOOL DISSECTING MR8 L9 CM OD3 MM METAL CUTTER STERILE DISPOSABLE METAL CUT	SUP-MR8-9MC30	CDM			270	RC		inpatient			534.18	534.18																																																			
SCREW BONE L75 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.475S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L75 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.475S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L80 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.480S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L80 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.480S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L85 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.485S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L85 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.485S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L95 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.495S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L95 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.495S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L100 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.500S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L100 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.500S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L105 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.505S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L105 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.505S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L110 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.510S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L110 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.510S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L115 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.515S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L115 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.515S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L120 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.520S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L120 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.520S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L125 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.525S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L125 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.525S	CDM			270	RC		inpatient			534	534																																																			
SCREW BONE L130 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.530S	CDM			270	RC		outpatient			534	534	144.66				percent of total billed charges		534				other	OPPS APC	395.16				percent of total billed charges		534				other	OPPS APC	534				other	OPPS APC	144.66				percent of total billed charges		147.54				percent of total billed charges		534				other	OPPS APC	144.66	534	
SCREW BONE L130 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.530S	CDM			270	RC		inpatient			534	534																																																			
PARTICLES EMBOLIZATION EMBOSPHERE 300-500 UM MICROSPHERE ID.038 IN 2 ML PREFILL SYRINGE BLUE	SUP-S420GH	CDM			270	RC		outpatient			533.34	533.34	144.48				percent of total billed charges		533.34				other	OPPS APC	394.67				percent of total billed charges		533.34				other	OPPS APC	533.34				other	OPPS APC	144.48				percent of total billed charges		147.36				percent of total billed charges		533.34				other	OPPS APC	144.48	533.34	
PARTICLES EMBOLIZATION EMBOSPHERE 300-500 UM MICROSPHERE ID.038 IN 2 ML PREFILL SYRINGE BLUE	SUP-S420GH	CDM			270	RC		inpatient			533.34	533.34																																																			
POST HOFMAN3 ANGLD 90DEG 11MM	SUP-97-03399	CDM			278	RC		outpatient			533.16	533.16	533.16				fee schedule		533.16				other	OPPS APC	303.9				percent of total billed charges		533.16				other	OPPS APC	533.16				other	OPPS APC	261.25				percent of total billed charges		271.91				percent of total billed charges		533.16				other	OPPS APC	261.25	533.16	
POST HOFMAN3 ANGLD 90DEG 11MM	SUP-97-03399	CDM			278	RC		inpatient			533.16	533.16																																																			
SCREW LOCKING VAR ANGLE 2.7MM X 32MM	SUP-97-03029	CDM			278	RC		outpatient			532.77	532.77	532.77				fee schedule		532.77				other	OPPS APC	303.68				percent of total billed charges		532.77				other	OPPS APC	532.77				other	OPPS APC	261.06				percent of total billed charges		271.71				percent of total billed charges		532.77				other	OPPS APC	261.06	532.77	
SCREW LOCKING VAR ANGLE 2.7MM X 32MM	SUP-97-03029	CDM			278	RC		inpatient			532.77	532.77																																																			
SCREW LOCKING VAR ANGLE 2.7MM X 34MM	SUP-97-03030	CDM			278	RC		outpatient			532.77	532.77	532.77				fee schedule		532.77				other	OPPS APC	303.68				percent of total billed charges		532.77				other	OPPS APC	532.77				other	OPPS APC	261.06				percent of total billed charges		271.71				percent of total billed charges		532.77				other	OPPS APC	261.06	532.77	
SCREW LOCKING VAR ANGLE 2.7MM X 34MM	SUP-97-03030	CDM			278	RC		inpatient			532.77	532.77																																																			
DRILL BIT 3.2MM/L145MM	SUP-95-04075	CDM			272	RC		outpatient			532.7	532.75	144.31				percent of total billed charges		532.7				other	OPPS APC	394.2				percent of total billed charges		532.7				other	OPPS APC	532.7				other	OPPS APC	144.31				percent of total billed charges		147.19				percent of total billed charges		532.75				other	OPPS APC	144.31	532.75	
DRILL BIT 3.2MM/L145MM	SUP-95-04075	CDM			272	RC		inpatient			532.7	532.7																																																			
PLATE BONE 35X3.3X.5MM TITANIUM NS CRANIOMAXILLOFACIAL ORBITAL RIM 9 HOLE 1.3MM CORTEX SCREW	SUP-421.021	CDM	270010014	LOCAL	270	RC		outpatient			532.54	532.54	144.27				percent of total billed charges		532.54				other	OPPS APC	394.08				percent of total billed charges		532.54				other	OPPS APC	532.54				other	OPPS APC	144.27				percent of total billed charges		147.14				percent of total billed charges		532.54				other	OPPS APC	144.27	532.54	
PLATE BONE 35X3.3X.5MM TITANIUM NS CRANIOMAXILLOFACIAL ORBITAL RIM 9 HOLE 1.3MM CORTEX SCREW	SUP-421.021	CDM	270010014	LOCAL	270	RC		inpatient			532.54	532.54																																																			
PLATE BONE 100D 9MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL LEFT 3 HOLE BASE 3 HOLE SHAFT 1.3MM CORTEX SCREW	SUP-421.050	CDM	270010014	LOCAL	270	RC		outpatient			532.54	532.54	144.27				percent of total billed charges		532.54				other	OPPS APC	394.08				percent of total billed charges		532.54				other	OPPS APC	532.54				other	OPPS APC	144.27				percent of total billed charges		147.14				percent of total billed charges		532.54				other	OPPS APC	144.27	532.54	
PLATE BONE 100D 9MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL LEFT 3 HOLE BASE 3 HOLE SHAFT 1.3MM CORTEX SCREW	SUP-421.050	CDM	270010014	LOCAL	270	RC		inpatient			532.54	532.54																																																			
PLATE BONE 100D 9MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL RIGHT 3 HOLE BASE 3 HOLE SHAFT 1.3MM CORTEX	SUP-421.051	CDM	270010013	LOCAL	270	RC		outpatient			532.54	532.54	144.27				percent of total billed charges		532.54				other	OPPS APC	394.08				percent of total billed charges		532.54				other	OPPS APC	532.54				other	OPPS APC	144.27				percent of total billed charges		147.14				percent of total billed charges		532.54				other	OPPS APC	144.27	532.54	
PLATE BONE 100D 9MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL RIGHT 3 HOLE BASE 3 HOLE SHAFT 1.3MM CORTEX	SUP-421.051	CDM	270010013	LOCAL	270	RC		inpatient			532.54	532.54																																																			
PLATE BONE 100D 5MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL LEFT 3 HOLE BASE 4 HOLE SHAFT 1.3MM CORTEX SCREW	SUP-421.052	CDM	270010014	LOCAL	270	RC		outpatient			532.54	532.54	144.27				percent of total billed charges		532.54				other	OPPS APC	394.08				percent of total billed charges		532.54				other	OPPS APC	532.54				other	OPPS APC	144.27				percent of total billed charges		147.14				percent of total billed charges		532.54				other	OPPS APC	144.27	532.54	
PLATE BONE 100D 5MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL LEFT 3 HOLE BASE 4 HOLE SHAFT 1.3MM CORTEX SCREW	SUP-421.052	CDM	270010014	LOCAL	270	RC		inpatient			532.54	532.54																																																			
PLATE BONE 100D 5MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL RIGHT 3 HOLE BASE 4 HOLE SHAFT 1.3MM CORTEX	SUP-421.053	CDM	270010022	LOCAL	270	RC		outpatient			532.54	532.54	144.27				percent of total billed charges		532.54				other	OPPS APC	394.08				percent of total billed charges		532.54				other	OPPS APC	532.54				other	OPPS APC	144.27				percent of total billed charges		147.14				percent of total billed charges		532.54				other	OPPS APC	144.27	532.54	
PLATE BONE 100D 5MM SPACE L OBLIQUE 20X11X.5MM TITANIUM NS CRANIOFACIAL RIGHT 3 HOLE BASE 4 HOLE SHAFT 1.3MM CORTEX	SUP-421.053	CDM	270010022	LOCAL	270	RC		inpatient			532.54	532.54																																																			
PLATE BONE T 20X11X.5MM TITANIUM NS CRANIOFACIAL 3X4 HOLE 1.3MM CORTEX SCREW	SUP-421.071	CDM	270010022	LOCAL	270	RC		outpatient			532.54	532.54	144.27				percent of total billed charges		532.54				other	OPPS APC	394.08				percent of total billed charges		532.54				other	OPPS APC	532.54				other	OPPS APC	144.27				percent of total billed charges		147.14				percent of total billed charges		532.54				other	OPPS APC	144.27	532.54	
PLATE BONE T 20X11X.5MM TITANIUM NS CRANIOFACIAL 3X4 HOLE 1.3MM CORTEX SCREW	SUP-421.071	CDM	270010022	LOCAL	270	RC		inpatient			532.54	532.54																																																			
SNARE ENDOSCOPIC ONE SNARE NITINOL TUNGSTEN GOLD L47 IN OD.39 IN VASCULAR 1 LOOP SUPERELASTIC FLEXIBLE KINK RESISTANCE	SUP-ONE1000	CDM			270	RC		outpatient			532.1	532.12	144.15				percent of total billed charges		532.1				other	OPPS APC	393.75				percent of total billed charges		532.1				other	OPPS APC	532.1				other	OPPS APC	144.15				percent of total billed charges		147.02				percent of total billed charges		532.12				other	OPPS APC	144.15	532.12	
SNARE ENDOSCOPIC ONE SNARE NITINOL TUNGSTEN GOLD L47 IN OD.39 IN VASCULAR 1 LOOP SUPERELASTIC FLEXIBLE KINK RESISTANCE	SUP-ONE1000	CDM			270	RC		inpatient			532.1	532.1																																																			
PLATE BONE TRAUMAONE MATRIX TITANIUM RECTANGLE MIDFACE 2 X 3 HOLE STERILE SILVER 1.5 MM SCREW	SUP-01-7136	CDM			270	RC		outpatient			532	532	144.12				percent of total billed charges		532				other	OPPS APC	393.68				percent of total billed charges		532				other	OPPS APC	532				other	OPPS APC	144.12				percent of total billed charges		146.99				percent of total billed charges		532				other	OPPS APC	144.12	532	
PLATE BONE TRAUMAONE MATRIX TITANIUM RECTANGLE MIDFACE 2 X 3 HOLE STERILE SILVER 1.5 MM SCREW	SUP-01-7136	CDM			270	RC		inpatient			532	532																																																			
PLATE RECTANGLE 2X4 HOLE	SUP-01-7137	CDM			270	RC		outpatient			532	532	144.12				percent of total billed charges		532				other	OPPS APC	393.68				percent of total billed charges		532				other	OPPS APC	532				other	OPPS APC	144.12				percent of total billed charges		146.99				percent of total billed charges		532				other	OPPS APC	144.12	532	
PLATE RECTANGLE 2X4 HOLE	SUP-01-7137	CDM			270	RC		inpatient			532	532																																																			
NEXGEN 5MM FEMORAL POSTERIOR SZ C/D	SUP-95-03264	CDM			278	RC		outpatient			532	532	532				fee schedule		532				other	OPPS APC	303.24				percent of total billed charges		532				other	OPPS APC	532				other	OPPS APC	260.68				percent of total billed charges		271.32				percent of total billed charges		532				other	OPPS APC	260.68	532	
NEXGEN 5MM FEMORAL POSTERIOR SZ C/D	SUP-95-03264	CDM			278	RC		inpatient			532	532																																																			
NEXGEN 5MM FEMORAL POSTERIOR SZ G	SUP-95-03265	CDM			278	RC		outpatient			532	532	532				fee schedule		532				other	OPPS APC	303.24				percent of total billed charges		532				other	OPPS APC	532				other	OPPS APC	260.68				percent of total billed charges		271.32				percent of total billed charges		532				other	OPPS APC	260.68	532	
NEXGEN 5MM FEMORAL POSTERIOR SZ G	SUP-95-03265	CDM			278	RC		inpatient			532	532																																																			
DRESSING GUAZE QUICK CLOT CONTROL 12X12	SUP-4030	CDM			270	RC		outpatient			531.83	531.83	144.07				percent of total billed charges		531.83				other	OPPS APC	393.55				percent of total billed charges		531.83				other	OPPS APC	531.83				other	OPPS APC	144.07				percent of total billed charges		146.94				percent of total billed charges		531.83				other	OPPS APC	144.07	531.83	
DRESSING GUAZE QUICK CLOT CONTROL 12X12	SUP-4030	CDM			270	RC		inpatient			531.83	531.83																																																			
MDM HEAD SUPPORITER	SUP-97-01941	CDM			278	RC		outpatient			531.3	531.3	531.3				fee schedule		531.3				other	OPPS APC	302.84				percent of total billed charges		531.3				other	OPPS APC	531.3				other	OPPS APC	260.34				percent of total billed charges		270.96				percent of total billed charges		531.3				other	OPPS APC	260.34	531.3	
MDM HEAD SUPPORITER	SUP-97-01941	CDM			278	RC		inpatient			531.3	531.3																																																			
GUIDEWIRE ORTHOPEDIC T2 TITANIUM L800 MM OD3 MM BALL TIP STERILE FEMORAL NAIL SYSTEM	SUP-1806-0080S	CDM			270	RC		outpatient			531.2	531.25	143.9				percent of total billed charges		531.2				other	OPPS APC	393.09				percent of total billed charges		531.2				other	OPPS APC	531.2				other	OPPS APC	143.9				percent of total billed charges		146.77				percent of total billed charges		531.25				other	OPPS APC	143.9	531.25	
GUIDEWIRE ORTHOPEDIC T2 TITANIUM L800 MM OD3 MM BALL TIP STERILE FEMORAL NAIL SYSTEM	SUP-1806-0080S	CDM			270	RC		inpatient			531.2	531.2																																																			
SYSTEM DRAINAGE BECKER EDMS II L35 CM 700 ML VENTRICULAR MONITOR TRANSDUCER ATTACHMENT STERILE LATEX FREE DISPOSABLE BLUE	SUP-46128	CDM			270	RC		outpatient			531.18	531.18	143.9				percent of total billed charges		531.18				other	OPPS APC	393.07				percent of total billed charges		531.18				other	OPPS APC	531.18				other	OPPS APC	143.9				percent of total billed charges		146.77				percent of total billed charges		531.18				other	OPPS APC	143.9	531.18	
SYSTEM DRAINAGE BECKER EDMS II L35 CM 700 ML VENTRICULAR MONITOR TRANSDUCER ATTACHMENT STERILE LATEX FREE DISPOSABLE BLUE	SUP-46128	CDM			270	RC		inpatient			531.18	531.18																																																			
PLATE BONE T 24X14X.5MM TITANIUM NS CRANIOFACIAL 5X7 HOLE 1MM CORTEX SCREW	SUP-420.710	CDM	270010022	LOCAL	270	RC		outpatient			530.58	53.58	143.73				percent of total billed charges		530.58				other	OPPS APC	392.63				percent of total billed charges		530.58				other	OPPS APC	530.58				other	OPPS APC	143.73				percent of total billed charges		146.6				percent of total billed charges		53.58				other	OPPS APC	53.58	530.58	
PLATE BONE T 24X14X.5MM TITANIUM NS CRANIOFACIAL 5X7 HOLE 1MM CORTEX SCREW	SUP-420.710	CDM	270010022	LOCAL	270	RC		inpatient			530.58	530.58																																																			
PLATE BONE H 14X10X.5MM TITANIUM NS CRANIOFACIAL 11 HOLE 1MM CORTEX SCREW	SUP-420.850	CDM	270010022	LOCAL	270	RC		outpatient			530.58	53.58	143.73				percent of total billed charges		530.58				other	OPPS APC	392.63				percent of total billed charges		530.58				other	OPPS APC	530.58				other	OPPS APC	143.73				percent of total billed charges		146.6				percent of total billed charges		53.58				other	OPPS APC	53.58	530.58	
PLATE BONE H 14X10X.5MM TITANIUM NS CRANIOFACIAL 11 HOLE 1MM CORTEX SCREW	SUP-420.850	CDM	270010022	LOCAL	270	RC		inpatient			530.58	530.58																																																			
SCREW SYNTHES PERIPROSTHETIC LOCKING 8MM	SUP-02.221.508S	CDM	270010022	LOCAL	270	RC		outpatient			530.2	53.25	143.63				percent of total billed charges		530.2				other	OPPS APC	392.35				percent of total billed charges		530.2				other	OPPS APC	530.2				other	OPPS APC	143.63				percent of total billed charges		146.49				percent of total billed charges		53.25				other	OPPS APC	53.25	530.2	
SCREW SYNTHES PERIPROSTHETIC LOCKING 8MM	SUP-02.221.508S	CDM	270010022	LOCAL	270	RC		inpatient			530.2	530.2																																																			
IRRIGATOR SUCTION	SUP-480299	CDM			270	RC		outpatient			530	53	143.58				percent of total billed charges		530				other	OPPS APC	392.2				percent of total billed charges		530				other	OPPS APC	530				other	OPPS APC	143.58				percent of total billed charges		146.44				percent of total billed charges		53				other	OPPS APC	53	530	
IRRIGATOR SUCTION	SUP-480299	CDM			270	RC		inpatient			530	530																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L98 MM ANKLE 8 HOLE LOCK	SUP-AR-8943T-08	CDM			270	RC		outpatient			530	53	143.58				percent of total billed charges		530				other	OPPS APC	392.2				percent of total billed charges		530				other	OPPS APC	530				other	OPPS APC	143.58				percent of total billed charges		146.44				percent of total billed charges		53				other	OPPS APC	53	530	
PLATE BONE STAINLESS STEEL 1/3 TUBE L98 MM ANKLE 8 HOLE LOCK	SUP-AR-8943T-08	CDM			270	RC		inpatient			530	530																																																			
DRILL BIT 2.0MM	SUP-DC6106	CDM			270	RC		outpatient			530	53	143.58				percent of total billed charges		530				other	OPPS APC	392.2				percent of total billed charges		530				other	OPPS APC	530				other	OPPS APC	143.58				percent of total billed charges		146.44				percent of total billed charges		53				other	OPPS APC	53	530	
DRILL BIT 2.0MM	SUP-DC6106	CDM			270	RC		inpatient			530	530																																																			
DRILL BIT 3.1 X 216MM	SUP-97-01586	CDM			272	RC		outpatient			529.2	529.25	143.36				percent of total billed charges		529.2				other	OPPS APC	391.61				percent of total billed charges		529.2				other	OPPS APC	529.2				other	OPPS APC	143.36				percent of total billed charges		146.22				percent of total billed charges		529.25				other	OPPS APC	143.36	529.25	
DRILL BIT 3.1 X 216MM	SUP-97-01586	CDM			272	RC		inpatient			529.2	529.2																																																			
CHEST TUBE KIT 14FR THAL-QUICK	SUP-95-00195	CDM			272	RC		outpatient			529.17	529.17	143.35				percent of total billed charges		529.17				other	OPPS APC	391.59				percent of total billed charges		529.17				other	OPPS APC	529.17				other	OPPS APC	143.35				percent of total billed charges		146.21				percent of total billed charges		529.17				other	OPPS APC	143.35	529.17	
CHEST TUBE KIT 14FR THAL-QUICK	SUP-95-00195	CDM			272	RC		inpatient			529.17	529.17																																																			
CHEST TUBE KIT 12FR THAL-QUICK	SUP-95-02900	CDM			272	RC		outpatient			529.17	529.17	143.35				percent of total billed charges		529.17				other	OPPS APC	391.59				percent of total billed charges		529.17				other	OPPS APC	529.17				other	OPPS APC	143.35				percent of total billed charges		146.21				percent of total billed charges		529.17				other	OPPS APC	143.35	529.17	
CHEST TUBE KIT 12FR THAL-QUICK	SUP-95-02900	CDM			272	RC		inpatient			529.17	529.17																																																			
ALTEPLASE 2 MG RECON SOLN 1 EACH VIAL	636000000	CDM	50242-041-64	NDC	J2997	HCPCS		inpatient			529.05	529.05																																																			
ALTEPLASE 2 MG RECON SOLN 1 EACH VIAL	636000000	CDM	50242-041-64	NDC	J2997	HCPCS		outpatient			529.05	94.62																																											94.62				other	OPPS APC	94.62	94.62	
PLATE BONE 13MM SPACE 2Y 15X9X.5MM TITANIUM NS CRANIOFACIAL 2 HOLE SHAFT 1 HOLE ARM 1.3MM CORTEX SCREW	SUP-421.068	CDM	270010022	LOCAL	270	RC		outpatient			528.54	528.54	143.18				percent of total billed charges		528.54				other	OPPS APC	391.12				percent of total billed charges		528.54				other	OPPS APC	528.54				other	OPPS APC	143.18				percent of total billed charges		146.04				percent of total billed charges		528.54				other	OPPS APC	143.18	528.54	
PLATE BONE 13MM SPACE 2Y 15X9X.5MM TITANIUM NS CRANIOFACIAL 2 HOLE SHAFT 1 HOLE ARM 1.3MM CORTEX SCREW	SUP-421.068	CDM	270010022	LOCAL	270	RC		inpatient			528.54	528.54																																																			
PLATE BONE T 20X11X.5MM TITANIUM NS CRANIOFACIAL 3X4 HOLE 1.3MM CORTEX SCREW	SUP-421.069	CDM	270010022	LOCAL	270	RC		outpatient			528.54	528.54	143.18				percent of total billed charges		528.54				other	OPPS APC	391.12				percent of total billed charges		528.54				other	OPPS APC	528.54				other	OPPS APC	143.18				percent of total billed charges		146.04				percent of total billed charges		528.54				other	OPPS APC	143.18	528.54	
PLATE BONE T 20X11X.5MM TITANIUM NS CRANIOFACIAL 3X4 HOLE 1.3MM CORTEX SCREW	SUP-421.069	CDM	270010022	LOCAL	270	RC		inpatient			528.54	528.54																																																			
CATHETER - RUBICON 35 135CM	SUP-99-01612	CDM			272	RC		outpatient			528.5	528.5	143.17				percent of total billed charges		528.5				other	OPPS APC	391.09				percent of total billed charges		528.5				other	OPPS APC	528.5				other	OPPS APC	143.17				percent of total billed charges		146.02				percent of total billed charges		528.5				other	OPPS APC	143.17	528.5	
CATHETER - RUBICON 35 135CM	SUP-99-01612	CDM			272	RC		inpatient			528.5	528.5																																																			
CATHETER - RUBICON 18 90CM	SUP-99-01685	CDM			272	RC		outpatient			528.5	528.5	143.17				percent of total billed charges		528.5				other	OPPS APC	391.09				percent of total billed charges		528.5				other	OPPS APC	528.5				other	OPPS APC	143.17				percent of total billed charges		146.02				percent of total billed charges		528.5				other	OPPS APC	143.17	528.5	
CATHETER - RUBICON 18 90CM	SUP-99-01685	CDM			272	RC		inpatient			528.5	528.5																																																			
END CAP 15MM	SUP-97-01713	CDM			278	RC		outpatient			528.22	528.22	528.22				fee schedule		528.22				other	OPPS APC	301.09				percent of total billed charges		528.22				other	OPPS APC	528.22				other	OPPS APC	258.83				percent of total billed charges		269.39				percent of total billed charges		528.22				other	OPPS APC	258.83	528.22	
END CAP 15MM	SUP-97-01713	CDM			278	RC		inpatient			528.22	528.22																																																			
MESH SURGICAL BARD PERFIX POLYPROPYLENE LARGE OD1.6 IN ODSEC1.9 IN PLUG MONOFILAMENT STERILE DISPOSABLE GROIN HERNIA	SUP-112770	CDM			270	RC		outpatient			527.36	527.36	142.86				percent of total billed charges		527.36				other	OPPS APC	390.25				percent of total billed charges		527.36				other	OPPS APC	527.36				other	OPPS APC	142.86				percent of total billed charges		145.71				percent of total billed charges		527.36				other	OPPS APC	142.86	527.36	
MESH SURGICAL BARD PERFIX POLYPROPYLENE LARGE OD1.6 IN ODSEC1.9 IN PLUG MONOFILAMENT STERILE DISPOSABLE GROIN HERNIA	SUP-112770	CDM			270	RC		inpatient			527.36	527.36																																																			
HC Cryoprecipitate Processing Fee	PX-391000001	CDM			390	RC		outpatient			526.67	74.39	258.07				percent of total billed charges		74.39				other	OPPS APC	389.74				percent of total billed charges		74.39				other	OPPS APC	74.39				other	OPPS APC	258.07				percent of total billed charges		263.23				percent of total billed charges		74.39				other	OPPS APC	74.39	389.74	
HC Cryoprecipitate Processing Fee	PX-391000001	CDM			390	RC		inpatient			526.67	526.67																																																			
SET DILATOR AMPLATZ 84CM 30CM 16CM 6-30FR 8FR PTFE RENAL RADIOPAQUE SHEATH	SUP-G14292	CDM			270	RC		outpatient			526.5	526.5	142.63				percent of total billed charges		526.5				other	OPPS APC	389.61				percent of total billed charges		526.5				other	OPPS APC	526.5				other	OPPS APC	142.63				percent of total billed charges		145.47				percent of total billed charges		526.5				other	OPPS APC	142.63	526.5	
SET DILATOR AMPLATZ 84CM 30CM 16CM 6-30FR 8FR PTFE RENAL RADIOPAQUE SHEATH	SUP-G14292	CDM			270	RC		inpatient			526.5	526.5																																																			
SET DILATOR AMPLATZ 84CM 30CM 16CM 6-30FR 8FR PTFE RENAL RADIOPAQUE SHEATH	SUP-G57459	CDM			270	RC		outpatient			526.5	526.5	142.63				percent of total billed charges		526.5				other	OPPS APC	389.61				percent of total billed charges		526.5				other	OPPS APC	526.5				other	OPPS APC	142.63				percent of total billed charges		145.47				percent of total billed charges		526.5				other	OPPS APC	142.63	526.5	
SET DILATOR AMPLATZ 84CM 30CM 16CM 6-30FR 8FR PTFE RENAL RADIOPAQUE SHEATH	SUP-G57459	CDM			270	RC		inpatient			526.5	526.5																																																			
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 90 MM X W 10.7MM X H 3.4MM 7 HOLE COMPRESSION STERILE 3.5MM SCREW	SUP-72441007	CDM			270	RC		outpatient			526.4	526.4	142.6				percent of total billed charges		526.4				other	OPPS APC	389.54				percent of total billed charges		526.4				other	OPPS APC	526.4				other	OPPS APC	142.6				percent of total billed charges		145.44				percent of total billed charges		526.4				other	OPPS APC	142.6	526.4	
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 90 MM X W 10.7MM X H 3.4MM 7 HOLE COMPRESSION STERILE 3.5MM SCREW	SUP-72441007	CDM			270	RC		inpatient			526.4	526.4																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L100 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.9	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L100 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.9	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 100MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.900	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE 7.3MM 100MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.900	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L110 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.91	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L110 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.91	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 110MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.910	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE 7.3MM 110MM 16MM SS PARTIAL THREAD LG BONE CANNULATED SELF DRILLING SELF	SUP-208.910	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 8.2MM 2.9MM 140MM 16MM SS LG HEXAGON HEMISPHERE REVERSE CUT FLUTE LG	SUP-208.94	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE 7.3MM 8.2MM 2.9MM 140MM 16MM SS LG HEXAGON HEMISPHERE REVERSE CUT FLUTE LG	SUP-208.94	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 8.2MM 2.9MM 140MM 16MM SS LG HEXAGON HEMISPHERE REVERSE CUT FLUTE LG	SUP-208.940	CDM						inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 8.2MM 2.9MM 140MM 16MM SS LG HEXAGON HEMISPHERE REVERSE CUT FLUTE LG	SUP-208.940	CDM						outpatient			526.24	526.24	526.24				percent of total billed charges		526.24				other	OPPS APC	526.24				fee schedule		526.24				other	OPPS APC	526.24				other	OPPS APC	526.24				case rate		526.24				case rate		526.24				other	OPPS APC	526.24	526.24	
SCREW BONE PARTIAL THREAD 80MM 32MM 7.3MM 8.2MM SS NS LG BONE CANNULATED SHAFT LOW	SUP-209.88	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE PARTIAL THREAD 80MM 32MM 7.3MM 8.2MM SS NS LG BONE CANNULATED SHAFT LOW	SUP-209.88	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 8.2MM 90MM 32MM SS 4MM PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.890	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE 7.3MM 8.2MM 90MM 32MM SS 4MM PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.890	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L110 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.91	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L110 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.91	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 8.2MM 110MM 32MM SS 4MM PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.910	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE 7.3MM 8.2MM 110MM 32MM SS 4MM PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.910	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
SCREW BONE 7.3MM 8.2MM 130MM 32MM SS 4MM PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.930	CDM	270010022	LOCAL	270	RC		outpatient			526.24	526.24	142.56				percent of total billed charges		526.24				other	OPPS APC	389.42				percent of total billed charges		526.24				other	OPPS APC	526.24				other	OPPS APC	142.56				percent of total billed charges		145.4				percent of total billed charges		526.24				other	OPPS APC	142.56	526.24	
SCREW BONE 7.3MM 8.2MM 130MM 32MM SS 4MM PARTIAL THREAD LG BONE CANNULATED SHAFT LOW	SUP-209.930	CDM	270010022	LOCAL	270	RC		inpatient			526.24	526.24																																																			
OMNISPAN MENISCAL REPAIR 0 DEGREE	SUP-228140	CDM			270	RC		outpatient			526	526	142.49				percent of total billed charges		526				other	OPPS APC	389.24				percent of total billed charges		526				other	OPPS APC	526				other	OPPS APC	142.49				percent of total billed charges		145.33				percent of total billed charges		526				other	OPPS APC	142.49	526	
OMNISPAN MENISCAL REPAIR 0 DEGREE	SUP-228140	CDM			270	RC		inpatient			526	526																																																			
KIT ARTHROSCOPIC FIXATION OMNISPAN 27D MENISCAL REPAIR SYSTEM	SUP-228142	CDM			270	RC		outpatient			526	526	142.49				percent of total billed charges		526				other	OPPS APC	389.24				percent of total billed charges		526				other	OPPS APC	526				other	OPPS APC	142.49				percent of total billed charges		145.33				percent of total billed charges		526				other	OPPS APC	142.49	526	
KIT ARTHROSCOPIC FIXATION OMNISPAN 27D MENISCAL REPAIR SYSTEM	SUP-228142	CDM			270	RC		inpatient			526	526																																																			
BAG TISSUE RETRIEVAL ANCHOR C4000 ML 25 MM L38.1 CM OD16.5 CM INTRODUCER TROCAR	SUP-TRS-TV-25	CDM			270	RC		outpatient			525.47	525.47	142.35				percent of total billed charges		525.47				other	OPPS APC	388.85				percent of total billed charges		525.47				other	OPPS APC	525.47				other	OPPS APC	142.35				percent of total billed charges		145.19				percent of total billed charges		525.47				other	OPPS APC	142.35	525.47	
BAG TISSUE RETRIEVAL ANCHOR C4000 ML 25 MM L38.1 CM OD16.5 CM INTRODUCER TROCAR	SUP-TRS-TV-25	CDM			270	RC		inpatient			525.47	525.47																																																			
STAPLER INTERNAL ENDOPATH CURVE CIRCLE H5.5 MM L28 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25A	CDM			270	RC		outpatient			525.29	525.29	142.3				percent of total billed charges		525.29				other	OPPS APC	388.71				percent of total billed charges		525.29				other	OPPS APC	525.29				other	OPPS APC	142.3				percent of total billed charges		145.14				percent of total billed charges		525.29				other	OPPS APC	142.3	525.29	
STAPLER INTERNAL ENDOPATH CURVE CIRCLE H5.5 MM L28 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25A	CDM			270	RC		inpatient			525.29	525.29																																																			
STAPLER INTERNAL ENDOPATH CURVE CIRCLE H5.5 MM L28 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25B	CDM			270	RC		outpatient			525.29	525.29	142.3				percent of total billed charges		525.29				other	OPPS APC	388.71				percent of total billed charges		525.29				other	OPPS APC	525.29				other	OPPS APC	142.3				percent of total billed charges		145.14				percent of total billed charges		525.29				other	OPPS APC	142.3	525.29	
STAPLER INTERNAL ENDOPATH CURVE CIRCLE H5.5 MM L28 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25B	CDM			270	RC		inpatient			525.29	525.29																																																			
STAPLER INTERNAL ENDOPATH CURVE CIRCLE 5.5MM 28CMX1-2.5MM 29MM DISPOSABLE STERILE LF INTRALUMINAL LINEAR CUTTER	SUP-TRIEEA28XT	CDM			270	RC		outpatient			525.29	525.29	142.3				percent of total billed charges		525.29				other	OPPS APC	388.71				percent of total billed charges		525.29				other	OPPS APC	525.29				other	OPPS APC	142.3				percent of total billed charges		145.14				percent of total billed charges		525.29				other	OPPS APC	142.3	525.29	
STAPLER INTERNAL ENDOPATH CURVE CIRCLE 5.5MM 28CMX1-2.5MM 29MM DISPOSABLE STERILE LF INTRALUMINAL LINEAR CUTTER	SUP-TRIEEA28XT	CDM			270	RC		inpatient			525.29	525.29																																																			
TRAY SURGICAL WAYNE CHLORAPREP L29 CM L5 CM OD14 FR ODSEC18 GA PERCUTANEOUS 19 SIDEPORT CATHETER ECHOGENIC ENTRY NEEDLE GUIDEWIRE DILATOR STERILE DISPOSABLE PNEUMOTHORAX	SUP-G56537	CDM			270	RC		outpatient			525.26	525.26	142.29				percent of total billed charges		525.26				other	OPPS APC	388.69				percent of total billed charges		525.26				other	OPPS APC	525.26				other	OPPS APC	142.29				percent of total billed charges		145.13				percent of total billed charges		525.26				other	OPPS APC	142.29	525.26	
TRAY SURGICAL WAYNE CHLORAPREP L29 CM L5 CM OD14 FR ODSEC18 GA PERCUTANEOUS 19 SIDEPORT CATHETER ECHOGENIC ENTRY NEEDLE GUIDEWIRE DILATOR STERILE DISPOSABLE PNEUMOTHORAX	SUP-G56537	CDM			270	RC		inpatient			525.26	525.26																																																			
HC Infct Ds Bct/Vir Resp 22 Targets Ars/Cov2	PX-3000202U0	CDM			300	RC		outpatient			525	416.78	416.78				fee schedule		416.78				fee schedule		971.1				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78				fee schedule		416.78	971.1	
HC Infct Ds Bct/Vir Resp 22 Targets Ars/Cov2	PX-3000202U0	CDM			300	RC		inpatient			525	525																																																			
HC Surg Path  Level V	PX-310883070	CDM	88307	CPT	310	RC		outpatient			525	341.36	166.79				fee schedule		341.36				other	OPPS APC	133.79				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		341.36				other	OPPS APC	133.79	341.36	
HC Surg Path  Level V	PX-310883070	CDM	88307	CPT	310	RC		inpatient			525	525																																																			
HC Surg Path  Level VI	PX-310883071	CDM	88309	CPT	310	RC		outpatient			525	817.84	217.13				fee schedule		817.84				other	OPPS APC	175.36				fee schedule		817.84				other	OPPS APC	817.84				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		817.84				other	OPPS APC	175.36	817.84	
HC Surg Path  Level VI	PX-310883071	CDM	88309	CPT	310	RC		inpatient			525	525																																																			
HC ER-Intensive Visit	PX-452992840	CDM	99284	CPT	450	RC		outpatient			525	525	195.77				case rate		525				other	OPPS APC	1822				case rate		525				other	OPPS APC	525				other	OPPS APC	119.1				fee schedule		199.69				case rate		525				other	OPPS APC	119.1	1822	
HC ER-Intensive Visit	PX-452992840	CDM	99284	CPT	450	RC		inpatient			525	525																																																			
LENS CLAREON 11.0D	SUP-69422	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 11.0D	SUP-69422	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 23.5D	SUP-70141	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 23.5D	SUP-70141	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 18.0D	SUP-70486	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 18.0D	SUP-70486	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 20.0D	SUP-71215	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 20.0D	SUP-71215	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 15.0D	SUP-71424	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 15.0D	SUP-71424	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 21.0D	SUP-72374	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 21.0D	SUP-72374	CDM			278	RC		inpatient			525	525																																																			
LENS ACRYSOF IQ IOL 14.0D	SUP-72375	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS ACRYSOF IQ IOL 14.0D	SUP-72375	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 15.0D	SUP-72670	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 15.0D	SUP-72670	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 22.5D	SUP-72993	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 22.5D	SUP-72993	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 25.0D	SUP-74147	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 25.0D	SUP-74147	CDM			278	RC		inpatient			525	525																																																			
BALLOON DILATOR 6-7-8	SUP-95-02796	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON DILATOR 6-7-8	SUP-95-02796	CDM			272	RC		inpatient			525	525																																																			
BALLOON DILATOR 8-9-10	SUP-95-02797	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON DILATOR 8-9-10	SUP-95-02797	CDM			272	RC		inpatient			525	525																																																			
BALLOON DILATOR 10-11-12	SUP-95-02798	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON DILATOR 10-11-12	SUP-95-02798	CDM			272	RC		inpatient			525	525																																																			
BALLOON DILATOR 18-20	SUP-95-02820	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON DILATOR 18-20	SUP-95-02820	CDM			272	RC		inpatient			525	525																																																			
PROFILE DRILL MICRO CMP FT	SUP-95-03696	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
PROFILE DRILL MICRO CMP FT	SUP-95-03696	CDM			278	RC		inpatient			525	525																																																			
PROFILE DRILL STANDARD  CMP FT	SUP-95-03697	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
PROFILE DRILL STANDARD  CMP FT	SUP-95-03697	CDM			272	RC		inpatient			525	525																																																			
DRILL 3.5MM PROFILE BEVELED FT	SUP-95-04653	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
DRILL 3.5MM PROFILE BEVELED FT	SUP-95-04653	CDM			278	RC		inpatient			525	525																																																			
INSTRUMENT PACK EASYFUSE	SUP-95-04717	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
INSTRUMENT PACK EASYFUSE	SUP-95-04717	CDM			272	RC		inpatient			525	525																																																			
DRILL AO 2 X 140MM SOLID MEASURING LONG	SUP-95-05190	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
DRILL AO 2 X 140MM SOLID MEASURING LONG	SUP-95-05190	CDM			272	RC		inpatient			525	525																																																			
CANNULA ANTERIOR ZONE NAVIGATOR	SUP-95-05303	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
CANNULA ANTERIOR ZONE NAVIGATOR	SUP-95-05303	CDM			272	RC		inpatient			525	525																																																			
CANNULA MID/POST LEFT ZONE NAVIGATOR	SUP-95-05304	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
CANNULA MID/POST LEFT ZONE NAVIGATOR	SUP-95-05304	CDM			272	RC		inpatient			525	525																																																			
CANNULA MID/POST RIGHT ZONE NAVIGATOR	SUP-95-05305	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
CANNULA MID/POST RIGHT ZONE NAVIGATOR	SUP-95-05305	CDM			272	RC		inpatient			525	525																																																			
SWITCHING STICK	SUP-97-00855	CDM						inpatient			525	525																																																			
SWITCHING STICK	SUP-97-00855	CDM						outpatient			525	525	525				percent of total billed charges		525				other	OPPS APC	525				fee schedule		525				other	OPPS APC	525				other	OPPS APC	525				case rate		525				case rate		525				other	OPPS APC	525	525	
LENS 16.0D TECNIS EYHANCE	SUP-97-01038	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 16.0D TECNIS EYHANCE	SUP-97-01038	CDM			278	RC		inpatient			525	525																																																			
LENS 17.5D TECNIS EYHANCE	SUP-97-01039	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 17.5D TECNIS EYHANCE	SUP-97-01039	CDM			278	RC		inpatient			525	525																																																			
LENS 12.5D TECNIS EYHANCE	SUP-97-01064	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 12.5D TECNIS EYHANCE	SUP-97-01064	CDM			278	RC		inpatient			525	525																																																			
LENS 15.0D TECNIS EYHANCE	SUP-97-01074	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 15.0D TECNIS EYHANCE	SUP-97-01074	CDM			278	RC		inpatient			525	525																																																			
LENS 20.5D TECNIS EYHANCE	SUP-97-01094	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 20.5D TECNIS EYHANCE	SUP-97-01094	CDM			278	RC		inpatient			525	525																																																			
LENS 23.5D	SUP-97-01106	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 23.5D	SUP-97-01106	CDM			278	RC		inpatient			525	525																																																			
LENS 14.5D TECNIS EYHANCE	SUP-97-01108	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 14.5D TECNIS EYHANCE	SUP-97-01108	CDM			278	RC		inpatient			525	525																																																			
LENS 23.5D TECNIS EYHANCE	SUP-97-01109	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 23.5D TECNIS EYHANCE	SUP-97-01109	CDM			278	RC		inpatient			525	525																																																			
LENS  8.0D TECNIS EYHANCE	SUP-97-01113	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS  8.0D TECNIS EYHANCE	SUP-97-01113	CDM			278	RC		inpatient			525	525																																																			
LENS 11.0D TECNIS EYHANCE	SUP-97-01130	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 11.0D TECNIS EYHANCE	SUP-97-01130	CDM			278	RC		inpatient			525	525																																																			
LENS 10.0D TECNIS EYHANCE	SUP-97-01166	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 10.0D TECNIS EYHANCE	SUP-97-01166	CDM			278	RC		inpatient			525	525																																																			
LENS 20.0D ACRYSOF	SUP-97-01275	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 20.0D ACRYSOF	SUP-97-01275	CDM			278	RC		inpatient			525	525																																																			
LENS 28.5D TECNIS EYHANCE	SUP-97-01294	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 28.5D TECNIS EYHANCE	SUP-97-01294	CDM			278	RC		inpatient			525	525																																																			
LENS 12.0D TECNIS EYHANCE	SUP-97-01381	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 12.0D TECNIS EYHANCE	SUP-97-01381	CDM			278	RC		inpatient			525	525																																																			
LENS 11.5D TECNIS EYHANCE	SUP-97-01382	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 11.5D TECNIS EYHANCE	SUP-97-01382	CDM			278	RC		inpatient			525	525																																																			
LENS 26.5D TECNIS EYHANCE	SUP-97-01428	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 26.5D TECNIS EYHANCE	SUP-97-01428	CDM			278	RC		inpatient			525	525																																																			
LENS 19.5D ACRYSOF IQ ASPHERIC NATURAL	SUP-97-01519	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 19.5D ACRYSOF IQ ASPHERIC NATURAL	SUP-97-01519	CDM			278	RC		inpatient			525	525																																																			
LENS 23.0D ACRYSOF SINGLE PIECE IOL	SUP-97-01694	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 23.0D ACRYSOF SINGLE PIECE IOL	SUP-97-01694	CDM			278	RC		inpatient			525	525																																																			
LENS 29.0D TECNIS EYHANCE	SUP-97-01732	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 29.0D TECNIS EYHANCE	SUP-97-01732	CDM			278	RC		inpatient			525	525																																																			
LENS 22.0D IQ ASPHERIC NATURAL	SUP-97-01793	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 22.0D IQ ASPHERIC NATURAL	SUP-97-01793	CDM			278	RC		inpatient			525	525																																																			
LENS 27.5D TECNIS EYHANCE	SUP-97-01797	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 27.5D TECNIS EYHANCE	SUP-97-01797	CDM			278	RC		inpatient			525	525																																																			
LENS 20.5D ACRYSOF IQ ASPHERIC NATURAL	SUP-97-01850	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 20.5D ACRYSOF IQ ASPHERIC NATURAL	SUP-97-01850	CDM			278	RC		inpatient			525	525																																																			
LENS 24.0D ACRYSOF IQ ASPHERIC NATURAL	SUP-97-01878	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 24.0D ACRYSOF IQ ASPHERIC NATURAL	SUP-97-01878	CDM			278	RC		inpatient			525	525																																																			
LENS 25.0D TECNIS EYHANCE	SUP-97-01973	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 25.0D TECNIS EYHANCE	SUP-97-01973	CDM			278	RC		inpatient			525	525																																																			
LENS 19.5D TECNIS EYHANCE	SUP-97-02013	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 19.5D TECNIS EYHANCE	SUP-97-02013	CDM			278	RC		inpatient			525	525																																																			
LENS 18.0D TECNIS EYHANCE	SUP-97-02014	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 18.0D TECNIS EYHANCE	SUP-97-02014	CDM			278	RC		inpatient			525	525																																																			
LENS 20.5D	SUP-97-02015	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 20.5D	SUP-97-02015	CDM			278	RC		inpatient			525	525																																																			
LENS 21.0D TECNIS EYHANCE	SUP-97-02016	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 21.0D TECNIS EYHANCE	SUP-97-02016	CDM			278	RC		inpatient			525	525																																																			
LENS 22.0D TECNIS EYHANCE	SUP-97-02017	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 22.0D TECNIS EYHANCE	SUP-97-02017	CDM			278	RC		inpatient			525	525																																																			
LENS 22.5D TECNIS EYHANCE	SUP-97-02018	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 22.5D TECNIS EYHANCE	SUP-97-02018	CDM			278	RC		inpatient			525	525																																																			
LENS 18.5D	SUP-97-02048	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 18.5D	SUP-97-02048	CDM			278	RC		inpatient			525	525																																																			
LENS 19.0D TECNIS EYHANCE	SUP-97-02049	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 19.0D TECNIS EYHANCE	SUP-97-02049	CDM			278	RC		inpatient			525	525																																																			
LENS 23.0D TECNIS EYHANCE	SUP-97-02084	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 23.0D TECNIS EYHANCE	SUP-97-02084	CDM			278	RC		inpatient			525	525																																																			
LENS 16.5D TECNIS EYHANCE	SUP-97-02085	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 16.5D TECNIS EYHANCE	SUP-97-02085	CDM			278	RC		inpatient			525	525																																																			
LENS 20.0D TECNIS EYHANCE	SUP-97-02086	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 20.0D TECNIS EYHANCE	SUP-97-02086	CDM			278	RC		inpatient			525	525																																																			
LENS 21.5D TECNIS EYHANCE	SUP-97-02180	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 21.5D TECNIS EYHANCE	SUP-97-02180	CDM			278	RC		inpatient			525	525																																																			
LENS TECNIS MONOFOCAL 24.0D	SUP-97-02181	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS TECNIS MONOFOCAL 24.0D	SUP-97-02181	CDM			278	RC		inpatient			525	525																																																			
LENS 25.5D	SUP-97-02182	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 25.5D	SUP-97-02182	CDM			278	RC		inpatient			525	525																																																			
LENS 17.0D TECNIS EYHANCE	SUP-97-02183	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 17.0D TECNIS EYHANCE	SUP-97-02183	CDM			278	RC		inpatient			525	525																																																			
LENS 24.5D TECNIS EYHANCE	SUP-97-02184	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 24.5D TECNIS EYHANCE	SUP-97-02184	CDM			278	RC		inpatient			525	525																																																			
LENS 13.5D TECNIS EYHANCE	SUP-97-02187	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 13.5D TECNIS EYHANCE	SUP-97-02187	CDM			278	RC		inpatient			525	525																																																			
LENS TECNIS MONOFOCAL 25.0D	SUP-97-02188	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS TECNIS MONOFOCAL 25.0D	SUP-97-02188	CDM			278	RC		inpatient			525	525																																																			
SPACERS 9MM NARROW BLOCK	SUP-97-02258	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SPACERS 9MM NARROW BLOCK	SUP-97-02258	CDM			278	RC		inpatient			525	525																																																			
SPACERS 11MM NARROW BLOCK	SUP-97-02259	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SPACERS 11MM NARROW BLOCK	SUP-97-02259	CDM			278	RC		inpatient			525	525																																																			
SPACERS 13MM NARROW BLOCK	SUP-97-02260	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SPACERS 13MM NARROW BLOCK	SUP-97-02260	CDM			278	RC		inpatient			525	525																																																			
SPACERS 15MM NARROW BLOCK	SUP-97-02261	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SPACERS 15MM NARROW BLOCK	SUP-97-02261	CDM			278	RC		inpatient			525	525																																																			
LENS 27.0D TECNIS EYHANCE	SUP-97-02274	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 27.0D TECNIS EYHANCE	SUP-97-02274	CDM			278	RC		inpatient			525	525																																																			
LENS 13.0D TECNIS EYHANCE	SUP-97-02286	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 13.0D TECNIS EYHANCE	SUP-97-02286	CDM			278	RC		inpatient			525	525																																																			
LENS 17.5D	SUP-97-02296	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 17.5D	SUP-97-02296	CDM			278	RC		inpatient			525	525																																																			
LENS 16.5	SUP-97-02363	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 16.5	SUP-97-02363	CDM			278	RC		inpatient			525	525																																																			
LENS 24.5D	SUP-97-02390	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 24.5D	SUP-97-02390	CDM			278	RC		inpatient			525	525																																																			
LENS 17.0D	SUP-97-02391	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 17.0D	SUP-97-02391	CDM			278	RC		inpatient			525	525																																																			
LENS 18.5D	SUP-97-02412	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 18.5D	SUP-97-02412	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON IOL 23.5D	SUP-97-02413	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON IOL 23.5D	SUP-97-02413	CDM			278	RC		inpatient			525	525																																																			
LENS 25.0D	SUP-97-02457	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 25.0D	SUP-97-02457	CDM			278	RC		inpatient			525	525																																																			
LENS 26.0D	SUP-97-02489	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 26.0D	SUP-97-02489	CDM			278	RC		inpatient			525	525																																																			
LENS 15.5D TECNIS EYHANCE	SUP-97-02493	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 15.5D TECNIS EYHANCE	SUP-97-02493	CDM			278	RC		inpatient			525	525																																																			
HEADLESS COUNTERSINK	SUP-97-02502	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
HEADLESS COUNTERSINK	SUP-97-02502	CDM			272	RC		inpatient			525	525																																																			
COUNTERSINK HEADED 2.0	SUP-97-02596	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
COUNTERSINK HEADED 2.0	SUP-97-02596	CDM			272	RC		inpatient			525	525																																																			
COUNTERSINK HEADED 3.0	SUP-97-02597	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
COUNTERSINK HEADED 3.0	SUP-97-02597	CDM			272	RC		inpatient			525	525																																																			
LENS 19.0D	SUP-97-02775	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 19.0D	SUP-97-02775	CDM			278	RC		inpatient			525	525																																																			
LENS 9.5D	SUP-97-02810	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 9.5D	SUP-97-02810	CDM			278	RC		inpatient			525	525																																																			
LENS 9.0	SUP-97-02811	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 9.0	SUP-97-02811	CDM			278	RC		inpatient			525	525																																																			
LENS 7.0D	SUP-97-02844	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 7.0D	SUP-97-02844	CDM			278	RC		inpatient			525	525																																																			
LENS 14.0D	SUP-97-02861	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 14.0D	SUP-97-02861	CDM			278	RC		inpatient			525	525																																																			
LENS 26.5D	SUP-97-02862	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 26.5D	SUP-97-02862	CDM			278	RC		inpatient			525	525																																																			
LENS 25.5D	SUP-97-02943	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 25.5D	SUP-97-02943	CDM			278	RC		inpatient			525	525																																																			
FIBERWIRE #2 FIBERSNARE  FIBERWIRE 26	SUP-97-02955	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
FIBERWIRE #2 FIBERSNARE  FIBERWIRE 26	SUP-97-02955	CDM			272	RC		inpatient			525	525																																																			
LENS TECNIS MONOFOCAL 22.5D	SUP-97-03032	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS TECNIS MONOFOCAL 22.5D	SUP-97-03032	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 8.0D	SUP-97-03075	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 8.0D	SUP-97-03075	CDM			278	RC		inpatient			525	525																																																			
LENS 10.5D TECNIS ASPHERIC	SUP-97-03077	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 10.5D TECNIS ASPHERIC	SUP-97-03077	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 13.5D	SUP-97-03079	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 13.5D	SUP-97-03079	CDM			278	RC		inpatient			525	525																																																			
LENS CLAREON 19.5D	SUP-97-03080	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS CLAREON 19.5D	SUP-97-03080	CDM			278	RC		inpatient			525	525																																																			
LENS AR40E 3.0D	SUP-97-03082	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS AR40E 3.0D	SUP-97-03082	CDM			278	RC		inpatient			525	525																																																			
LENS 32.0D	SUP-97-03153	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 32.0D	SUP-97-03153	CDM			278	RC		inpatient			525	525																																																			
SCREW QCKFIX TI CANN PT3	SUP-97-03158	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SCREW QCKFIX TI CANN PT3	SUP-97-03158	CDM			278	RC		inpatient			525	525																																																			
SCREW QCKFIX TI CANN PT3	SUP-97-03159	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SCREW QCKFIX TI CANN PT3	SUP-97-03159	CDM			278	RC		inpatient			525	525																																																			
LENS 30.0D	SUP-97-03198	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 30.0D	SUP-97-03198	CDM			278	RC		inpatient			525	525																																																			
LENS TECNIS MONOFOCAL 8.5D	SUP-97-03239	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS TECNIS MONOFOCAL 8.5D	SUP-97-03239	CDM			278	RC		inpatient			525	525																																																			
COUNTERSINK HEADLESS 3.5MM	SUP-97-03432	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
COUNTERSINK HEADLESS 3.5MM	SUP-97-03432	CDM			272	RC		inpatient			525	525																																																			
LENS TECNIS MONOFOCAL 7.0D	SUP-97-03487	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS TECNIS MONOFOCAL 7.0D	SUP-97-03487	CDM			278	RC		inpatient			525	525																																																			
LENS 21.5D	SUP-97-03502	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 21.5D	SUP-97-03502	CDM			278	RC		inpatient			525	525																																																			
COUNTERSINK CANNUL 4.0	SUP-97-03530	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
COUNTERSINK CANNUL 4.0	SUP-97-03530	CDM			272	RC		inpatient			525	525																																																			
LENS 9.5D TECNIS EYHANCE	SUP-97-03538	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 9.5D TECNIS EYHANCE	SUP-97-03538	CDM			278	RC		inpatient			525	525																																																			
LOCKING SCREW TITANIUM 3.5MM 22MM	SUP-97-03876	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOCKING SCREW TITANIUM 3.5MM 22MM	SUP-97-03876	CDM			278	RC		inpatient			525	525																																																			
BIOMET TIBIAL LOCKING BAR	SUP-97-04014	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
BIOMET TIBIAL LOCKING BAR	SUP-97-04014	CDM			278	RC		inpatient			525	525																																																			
LOW PROFILE SCREW LOCKING  3.5X28MM	SUP-97-04235	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOW PROFILE SCREW LOCKING  3.5X28MM	SUP-97-04235	CDM			278	RC		inpatient			525	525																																																			
LOW PROFILE SCREW LOCKING  3.5X34MM	SUP-97-04236	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOW PROFILE SCREW LOCKING  3.5X34MM	SUP-97-04236	CDM			278	RC		inpatient			525	525																																																			
LOW PROFILE SCREW LOCKING  3.5X36MM	SUP-97-04237	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOW PROFILE SCREW LOCKING  3.5X36MM	SUP-97-04237	CDM			278	RC		inpatient			525	525																																																			
LOW PROFILE LOCKING SCREW TIT 3.5MMX20MM	SUP-97-04384	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOW PROFILE LOCKING SCREW TIT 3.5MMX20MM	SUP-97-04384	CDM			278	RC		inpatient			525	525																																																			
LOW PROFILE LKG SCREW 3.5 MM X 24 MM	SUP-97-04518	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOW PROFILE LKG SCREW 3.5 MM X 24 MM	SUP-97-04518	CDM			278	RC		inpatient			525	525																																																			
LENS 21.0D	SUP-97-04525	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 21.0D	SUP-97-04525	CDM			278	RC		inpatient			525	525																																																			
LENS 10.5D TECNIS EYHANCE	SUP-97-04645	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 10.5D TECNIS EYHANCE	SUP-97-04645	CDM			278	RC		inpatient			525	525																																																			
LENS 26.5D	SUP-97-04676	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 26.5D	SUP-97-04676	CDM			278	RC		inpatient			525	525																																																			
PROFILE DRILL MINI CMP FT	SUP-97-04855	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
PROFILE DRILL MINI CMP FT	SUP-97-04855	CDM			272	RC		inpatient			525	525																																																			
LENS 31.0D	SUP-97-04972	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LENS 31.0D	SUP-97-04972	CDM			278	RC		inpatient			525	525																																																			
BONE FENESTRATION PERFORATOR	SUP-97-05246	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BONE FENESTRATION PERFORATOR	SUP-97-05246	CDM			272	RC		inpatient			525	525																																																			
SCREW QCKFIX TI CANN. PT 3.0X20MM	SUP-97-05499	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SCREW QCKFIX TI CANN. PT 3.0X20MM	SUP-97-05499	CDM			278	RC		inpatient			525	525																																																			
SCREW QCKFIX TI CANN. PT 3.0X26MM	SUP-97-05530	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SCREW QCKFIX TI CANN. PT 3.0X26MM	SUP-97-05530	CDM			278	RC		inpatient			525	525																																																			
SCREW QCKFIX TI CANN. PT 3.0X30MM	SUP-97-05531	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SCREW QCKFIX TI CANN. PT 3.0X30MM	SUP-97-05531	CDM			278	RC		inpatient			525	525																																																			
SCREW 3 X 14MM QUICKFIX TI CANC	SUP-97-05860	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
SCREW 3 X 14MM QUICKFIX TI CANC	SUP-97-05860	CDM			278	RC		inpatient			525	525																																																			
COUNTERSINK HEADLESS 7.0	SUP-97-06151	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
COUNTERSINK HEADLESS 7.0	SUP-97-06151	CDM			272	RC		inpatient			525	525																																																			
LOW PROFILE LOCKING SCREW 3.5MM X 26MM	SUP-97-23647	CDM			278	RC		outpatient			525	525	525				fee schedule		525				other	OPPS APC	299.25				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	257.25				percent of total billed charges		267.75				percent of total billed charges		525				other	OPPS APC	257.25	525	
LOW PROFILE LOCKING SCREW 3.5MM X 26MM	SUP-97-23647	CDM			278	RC		inpatient			525	525																																																			
CATHETER - STRAIGHT FLUSH 5F X 90	SUP-99-00176	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
CATHETER - STRAIGHT FLUSH 5F X 90	SUP-99-00176	CDM			272	RC		inpatient			525	525																																																			
BALLOON - TREK 3.0X12	SUP-99-01081	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - TREK 3.0X12	SUP-99-01081	CDM			272	RC		inpatient			525	525																																																			
BALLOON - TREK 3.5X12	SUP-99-01163	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - TREK 3.5X12	SUP-99-01163	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 3.5X12	SUP-99-01260	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 3.5X12	SUP-99-01260	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 2.0X20	SUP-99-01461	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 2.0X20	SUP-99-01461	CDM			272	RC		inpatient			525	525																																																			
BALLOON - MINI TREK II 2.0X20 OTW	SUP-99-01466	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - MINI TREK II 2.0X20 OTW	SUP-99-01466	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 4.5X20	SUP-99-01510	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 4.5X20	SUP-99-01510	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 4.0X15	SUP-99-01616	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 4.0X15	SUP-99-01616	CDM			272	RC		inpatient			525	525																																																			
BALLOON - MINI TREK 2.0X8	SUP-99-01621	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - MINI TREK 2.0X8	SUP-99-01621	CDM			272	RC		inpatient			525	525																																																			
ATHERECTOMY - VIPERWIRE ADVANCE 325CM	SUP-99-01662	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
ATHERECTOMY - VIPERWIRE ADVANCE 325CM	SUP-99-01662	CDM			272	RC		inpatient			525	525																																																			
GUIDEWIRE - REGALIA	SUP-99-01664	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
GUIDEWIRE - REGALIA	SUP-99-01664	CDM			272	RC		inpatient			525	525																																																			
BALLOON - TREK 2.75X15	SUP-99-01805	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - TREK 2.75X15	SUP-99-01805	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 4.5X12	SUP-99-01945	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 4.5X12	SUP-99-01945	CDM			272	RC		inpatient			525	525																																																			
BALLOON - MINI TREK II 2.0X12 OTW	SUP-99-02183	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - MINI TREK II 2.0X12 OTW	SUP-99-02183	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 2.0X8	SUP-99-03130	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 2.0X8	SUP-99-03130	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 5.0X20	SUP-99-03364	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 5.0X20	SUP-99-03364	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC EUPHORA 5.0X15	SUP-99-03436	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC EUPHORA 5.0X15	SUP-99-03436	CDM			272	RC		inpatient			525	525																																																			
BALLOON - TREK OTW 2.5X12	SUP-99-03482	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - TREK OTW 2.5X12	SUP-99-03482	CDM			272	RC		inpatient			525	525																																																			
BALLOON - TREK OTW 2.5X15	SUP-99-03483	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - TREK OTW 2.5X15	SUP-99-03483	CDM			272	RC		inpatient			525	525																																																			
BALLOON - TREK OTW 2.5X20	SUP-99-03484	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - TREK OTW 2.5X20	SUP-99-03484	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC EUPHORA 3.25X6	SUP-99-03515	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC EUPHORA 3.25X6	SUP-99-03515	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC EUPHORA 2.25X8	SUP-99-03536	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC EUPHORA 2.25X8	SUP-99-03536	CDM			272	RC		inpatient			525	525																																																			
BALLOON - NC TREK NEO 5.0X15	SUP-99-03586	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
BALLOON - NC TREK NEO 5.0X15	SUP-99-03586	CDM			272	RC		inpatient			525	525																																																			
GUIDEWIRE - ASTATO 40 .014 X 300	SUP-99-04490	CDM			272	RC		outpatient			525	525	142.22				percent of total billed charges		525				other	OPPS APC	388.5				percent of total billed charges		525				other	OPPS APC	525				other	OPPS APC	142.22				percent of total billed charges		145.06				percent of total billed charges		525				other	OPPS APC	142.22	525	
GUIDEWIRE - ASTATO 40 .014 X 300	SUP-99-04490	CDM			272	RC		inpatient			525	525																																																			
PLATE BONE MATRIXNEURO TITANIUM H.4 MM CRANIUM 7 HOLE ADAPTION NONSTERILE BLUE	SUP-04.503.071	CDM	270010013	LOCAL	270	RC		outpatient			524.02	524.2	141.96				percent of total billed charges		524.02				other	OPPS APC	387.77				percent of total billed charges		524.02				other	OPPS APC	524.02				other	OPPS APC	141.96				percent of total billed charges		144.79				percent of total billed charges		524.2				other	OPPS APC	141.96	524.2	
PLATE BONE MATRIXNEURO TITANIUM H.4 MM CRANIUM 7 HOLE ADAPTION NONSTERILE BLUE	SUP-04.503.071	CDM	270010013	LOCAL	270	RC		inpatient			524.02	524.02																																																			
HC Small Bowel Series W Scout/Single Contrast	PX-320742500	CDM	74250	CPT	320	RC		outpatient			524	189.94	112.31				fee schedule		189.94				other	OPPS APC	183.57				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	124.29				fee schedule		85.87				fee schedule		189.94				other	OPPS APC	85.87	189.94	
HC Small Bowel Series W Scout/Single Contrast	PX-320742500	CDM	74250	CPT	320	RC		inpatient			524	524																																																			
HC Repair of Nail Bed	PX-450117601	CDM	11760	CPT	450	RC		outpatient			524	524	195.77				case rate		524				other	OPPS APC	387.76				percent of total billed charges		524				other	OPPS APC	524				other	OPPS APC	195.77				case rate		199.69				case rate		524				other	OPPS APC	195.77	524	
HC Repair of Nail Bed	PX-450117601	CDM	11760	CPT	450	RC		inpatient			524	524																																																			
HC Layer Closure of Wound 7.6 - 12.5cm	PX-450120441	CDM	12044	CPT	450	RC		outpatient			524	524	195.77				case rate		524				other	OPPS APC	387.76				percent of total billed charges		524				other	OPPS APC	524				other	OPPS APC	195.77				case rate		199.69				case rate		524				other	OPPS APC	195.77	524	
HC Layer Closure of Wound 7.6 - 12.5cm	PX-450120441	CDM	12044	CPT	450	RC		inpatient			524	524																																																			
ROD REAMING 2.5 X 950MM	SUP-97-00352	CDM			272	RC		outpatient			523.25	523.25	141.75				percent of total billed charges		523.25				other	OPPS APC	387.21				percent of total billed charges		523.25				other	OPPS APC	523.25				other	OPPS APC	141.75				percent of total billed charges		144.57				percent of total billed charges		523.25				other	OPPS APC	141.75	523.25	
ROD REAMING 2.5 X 950MM	SUP-97-00352	CDM			272	RC		inpatient			523.25	523.25																																																			
HC Chemo Admin by Infusion 0-1 Hr	PX-335964130	CDM	96413	CPT	335	RC		outpatient			523	35.32	135.02				fee schedule		350.32				other	OPPS APC	509.57				fee schedule		350.32				other	OPPS APC	350.32				other	OPPS APC	130.26				fee schedule		129.68				fee schedule		35.32				other	OPPS APC	35.32	509.57	
HC Chemo Admin by Infusion 0-1 Hr	PX-335964130	CDM	96413	CPT	335	RC		inpatient			523	523																																																			
SCREW BONE L 80 MM OD 5.7 MM CANNULATED LOCK	SUP-71828080	CDM			270	RC		outpatient			522.6	522.62	141.57				percent of total billed charges		522.6				other	OPPS APC	386.72				percent of total billed charges		522.6				other	OPPS APC	522.6				other	OPPS APC	141.57				percent of total billed charges		144.39				percent of total billed charges		522.62				other	OPPS APC	141.57	522.62	
SCREW BONE L 80 MM OD 5.7 MM CANNULATED LOCK	SUP-71828080	CDM			270	RC		inpatient			522.6	522.6																																																			
BIT DRILL 330MM 100MM 5MM NS 3 FLUTE QUICK COUPLING CALIBRATED	SUP-03.010.062	CDM	270010022	LOCAL	270	RC		outpatient			522.5	522.5	141.55				percent of total billed charges		522.5				other	OPPS APC	386.65				percent of total billed charges		522.5				other	OPPS APC	522.5				other	OPPS APC	141.55				percent of total billed charges		144.37				percent of total billed charges		522.5				other	OPPS APC	141.55	522.5	
BIT DRILL 330MM 100MM 5MM NS 3 FLUTE QUICK COUPLING CALIBRATED	SUP-03.010.062	CDM	270010022	LOCAL	270	RC		inpatient			522.5	522.5																																																			
BIT DRILL L215 MM L80 MM OD4 MM 3 FLUTED CALIBRATED QUICK COUPLING NONSTERILE	SUP-356.982	CDM	270010022	LOCAL	270	RC		outpatient			522.5	522.5	141.55				percent of total billed charges		522.5				other	OPPS APC	386.65				percent of total billed charges		522.5				other	OPPS APC	522.5				other	OPPS APC	141.55				percent of total billed charges		144.37				percent of total billed charges		522.5				other	OPPS APC	141.55	522.5	
BIT DRILL L215 MM L80 MM OD4 MM 3 FLUTED CALIBRATED QUICK COUPLING NONSTERILE	SUP-356.982	CDM	270010022	LOCAL	270	RC		inpatient			522.5	522.5																																																			
MESH SURGICAL PERFIX POLYPROPYLENE MEDIUM L1.3 IN OD1.55 IN GROIN PLUG MONOFILAMENT STERILE HERNIA REPAIR	SUP-112760	CDM			270	RC		outpatient			522.22	522.22	141.47				percent of total billed charges		522.22				other	OPPS APC	386.44				percent of total billed charges		522.22				other	OPPS APC	522.22				other	OPPS APC	141.47				percent of total billed charges		144.29				percent of total billed charges		522.22				other	OPPS APC	141.47	522.22	
MESH SURGICAL PERFIX POLYPROPYLENE MEDIUM L1.3 IN OD1.55 IN GROIN PLUG MONOFILAMENT STERILE HERNIA REPAIR	SUP-112760	CDM			270	RC		inpatient			522.22	522.22																																																			
PLATE BONE LC-DCP STAINLESS STEEL OBLIQUE ANGLE T L63 MM X W10 MM X H1.5 MM 3 HOLE HEAD 4 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.24	CDM	270010022	LOCAL	270	RC		outpatient			522	522	141.41				percent of total billed charges		522				other	OPPS APC	386.28				percent of total billed charges		522				other	OPPS APC	522				other	OPPS APC	141.41				percent of total billed charges		144.23				percent of total billed charges		522				other	OPPS APC	141.41	522	
PLATE BONE LC-DCP STAINLESS STEEL OBLIQUE ANGLE T L63 MM X W10 MM X H1.5 MM 3 HOLE HEAD 4 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.24	CDM	270010022	LOCAL	270	RC		inpatient			522	522																																																			
SCREW 5 X 38MM CANNULATED FULLY THREADED ASNIS	SUP-97-05960	CDM			278	RC		outpatient			521.92	521.92	521.92				fee schedule		521.92				other	OPPS APC	297.49				percent of total billed charges		521.92				other	OPPS APC	521.92				other	OPPS APC	255.74				percent of total billed charges		266.18				percent of total billed charges		521.92				other	OPPS APC	255.74	521.92	
SCREW 5 X 38MM CANNULATED FULLY THREADED ASNIS	SUP-97-05960	CDM			278	RC		inpatient			521.92	521.92																																																			
KIT NEPHROSTOMY NEPHROMAX AMPLATZ ENCORE PTFE SILICONE L17 CM L55 CM L12 CM OD7 FR ODSEC30 FR HIGH PRESSURE BALLOON CATHETER FIRM RENAL SHEATH RADIOPAQUE LOW PROFILE LATEX FREE RADIAL DILATATION	SUP-M0062101180	CDM			270	RC		outpatient			521.78	521.78	141.35				percent of total billed charges		521.78				other	OPPS APC	386.12				percent of total billed charges		521.78				other	OPPS APC	521.78				other	OPPS APC	141.35				percent of total billed charges		144.17				percent of total billed charges		521.78				other	OPPS APC	141.35	521.78	
KIT NEPHROSTOMY NEPHROMAX AMPLATZ ENCORE PTFE SILICONE L17 CM L55 CM L12 CM OD7 FR ODSEC30 FR HIGH PRESSURE BALLOON CATHETER FIRM RENAL SHEATH RADIOPAQUE LOW PROFILE LATEX FREE RADIAL DILATATION	SUP-M0062101180	CDM			270	RC		inpatient			521.78	521.78																																																			
ELECTRODE  VAPOR CUT 0.6MM 24F	SUP-70-00039	CDM			272	RC		outpatient			521.02	521.2	141.14				percent of total billed charges		521.02				other	OPPS APC	385.55				percent of total billed charges		521.02				other	OPPS APC	521.02				other	OPPS APC	141.14				percent of total billed charges		143.96				percent of total billed charges		521.2				other	OPPS APC	141.14	521.2	
ELECTRODE  VAPOR CUT 0.6MM 24F	SUP-70-00039	CDM			272	RC		inpatient			521.02	521.02																																																			
BIT DRILL 145MM 5MM NS 3 FLUTE QUICK COUPLING NEEDLE POINT RADIOLUCENT DRIVE	SUP-03.010.102	CDM	270010022	LOCAL	270	RC		outpatient			520.3	52.3	140.95				percent of total billed charges		520.3				other	OPPS APC	385.02				percent of total billed charges		520.3				other	OPPS APC	520.3				other	OPPS APC	140.95				percent of total billed charges		143.76				percent of total billed charges		52.3				other	OPPS APC	52.3	520.3	
BIT DRILL 145MM 5MM NS 3 FLUTE QUICK COUPLING NEEDLE POINT RADIOLUCENT DRIVE	SUP-03.010.102	CDM	270010022	LOCAL	270	RC		inpatient			520.3	520.3																																																			
DRILL TWIST HALLU-LOCK L100 MM OD2 MM AO STERILE	SUP-299050	CDM			270	RC		outpatient			520.2	52.25	140.92				percent of total billed charges		520.2				other	OPPS APC	384.95				percent of total billed charges		520.2				other	OPPS APC	520.2				other	OPPS APC	140.92				percent of total billed charges		143.73				percent of total billed charges		52.25				other	OPPS APC	52.25	520.2	
DRILL TWIST HALLU-LOCK L100 MM OD2 MM AO STERILE	SUP-299050	CDM			270	RC		inpatient			520.2	520.2																																																			
ANCHOR SUTURE BIO-CORKSCREW POLY L LACTIDE CO D L LACTIDE ACID 2 FULL THREAD L17.9 MM OD6.5 MM ROTATOR CUFF 2 BIOABSORBABLE STERILE DISPOSABLE	SUP-AR-1925BF	CDM			270	RC		outpatient			520	52	140.87				percent of total billed charges		520				other	OPPS APC	384.8				percent of total billed charges		520				other	OPPS APC	520				other	OPPS APC	140.87				percent of total billed charges		143.68				percent of total billed charges		52				other	OPPS APC	52	520	
ANCHOR SUTURE BIO-CORKSCREW POLY L LACTIDE CO D L LACTIDE ACID 2 FULL THREAD L17.9 MM OD6.5 MM ROTATOR CUFF 2 BIOABSORBABLE STERILE DISPOSABLE	SUP-AR-1925BF	CDM			270	RC		inpatient			520	520																																																			
ANCHOR SUTURE BIO-PUSHLOCK L19.5 MM OD3.5 MM STERILE DISPOSABLE	SUP-AR-1926B	CDM			270	RC		outpatient			520	52	140.87				percent of total billed charges		520				other	OPPS APC	384.8				percent of total billed charges		520				other	OPPS APC	520				other	OPPS APC	140.87				percent of total billed charges		143.68				percent of total billed charges		52				other	OPPS APC	52	520	
ANCHOR SUTURE BIO-PUSHLOCK L19.5 MM OD3.5 MM STERILE DISPOSABLE	SUP-AR-1926B	CDM			270	RC		inpatient			520	520																																																			
NANOPASS 45DEG LEFT	SUP-CAT01355	CDM			270	RC		outpatient			520	52	140.87				percent of total billed charges		520				other	OPPS APC	384.8				percent of total billed charges		520				other	OPPS APC	520				other	OPPS APC	140.87				percent of total billed charges		143.68				percent of total billed charges		52				other	OPPS APC	52	520	
NANOPASS 45DEG LEFT	SUP-CAT01355	CDM			270	RC		inpatient			520	520																																																			
NANOPASS 45DEG RIGHT	SUP-CAT01356	CDM			270	RC		outpatient			520	52	140.87				percent of total billed charges		520				other	OPPS APC	384.8				percent of total billed charges		520				other	OPPS APC	520				other	OPPS APC	140.87				percent of total billed charges		143.68				percent of total billed charges		52				other	OPPS APC	52	520	
NANOPASS 45DEG RIGHT	SUP-CAT01356	CDM			270	RC		inpatient			520	520																																																			
CABLE CONNECTOR IG4 IR 2 VPAD DISPOSABLE	SUP-INS-0048	CDM			270	RC		outpatient			520	52	140.87				percent of total billed charges		520				other	OPPS APC	384.8				percent of total billed charges		520				other	OPPS APC	520				other	OPPS APC	140.87				percent of total billed charges		143.68				percent of total billed charges		52				other	OPPS APC	52	520	
CABLE CONNECTOR IG4 IR 2 VPAD DISPOSABLE	SUP-INS-0048	CDM			270	RC		inpatient			520	520																																																			
EXTENSION SPINAL VLIFT 18MM NS	SUP-48291800	CDM	270010020	LOCAL	270	RC		outpatient			519.46	519.46	140.72				percent of total billed charges		519.46				other	OPPS APC	384.4				percent of total billed charges		519.46				other	OPPS APC	519.46				other	OPPS APC	140.72				percent of total billed charges		143.53				percent of total billed charges		519.46				other	OPPS APC	140.72	519.46	
EXTENSION SPINAL VLIFT 18MM NS	SUP-48291800	CDM	270010020	LOCAL	270	RC		inpatient			519.46	519.46																																																			
GUIDE SURGICAL L198 MM OD5.6-3.2 MM DRILL	SUP-357.413	CDM	270010013	LOCAL	270	RC		outpatient			519.2	519.25	140.65				percent of total billed charges		519.2				other	OPPS APC	384.21				percent of total billed charges		519.2				other	OPPS APC	519.2				other	OPPS APC	140.65				percent of total billed charges		143.45				percent of total billed charges		519.25				other	OPPS APC	140.65	519.25	
GUIDE SURGICAL L198 MM OD5.6-3.2 MM DRILL	SUP-357.413	CDM	270010013	LOCAL	270	RC		inpatient			519.2	519.2																																																			
SCREW 3.5MM VARIABLE ANGLE LOCKING 18MM	SUP-97-02826	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
SCREW 3.5MM VARIABLE ANGLE LOCKING 18MM	SUP-97-02826	CDM			278	RC		inpatient			519.19	519.19																																																			
SCREW VAR ANG LOCKING 3.5 X 26MM	SUP-97-04947	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
SCREW VAR ANG LOCKING 3.5 X 26MM	SUP-97-04947	CDM			278	RC		inpatient			519.19	519.19																																																			
SCREW VAR ANG LOCKING 3.5 X 65MM	SUP-97-04948	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
SCREW VAR ANG LOCKING 3.5 X 65MM	SUP-97-04948	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 28MM LOCK SCREW	SUP-97-05133	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 28MM LOCK SCREW	SUP-97-05133	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 32MM LOCK SCREW	SUP-97-05134	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 32MM LOCK SCREW	SUP-97-05134	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 50MM LOCK SCREW	SUP-97-05135	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 50MM LOCK SCREW	SUP-97-05135	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 54MM LOCK SCREW	SUP-97-05136	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 54MM LOCK SCREW	SUP-97-05136	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 75MM LOCK SCREW	SUP-97-05137	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 75MM LOCK SCREW	SUP-97-05137	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 12MM SCREW LKNG	SUP-97-05227	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 12MM SCREW LKNG	SUP-97-05227	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 14 MM SCREW LKNG	SUP-97-05228	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 14 MM SCREW LKNG	SUP-97-05228	CDM			278	RC		inpatient			519.19	519.19																																																			
3.5 X 16MM SCREW LKNG	SUP-97-05229	CDM			278	RC		outpatient			519.19	519.2	519.19				fee schedule		519.19				other	OPPS APC	295.94				percent of total billed charges		519.19				other	OPPS APC	519.19				other	OPPS APC	254.4				percent of total billed charges		264.79				percent of total billed charges		519.2				other	OPPS APC	254.4	519.2	
3.5 X 16MM SCREW LKNG	SUP-97-05229	CDM			278	RC		inpatient			519.19	519.19																																																			
SCREW BONE TITANIUM FULL THREAD L32.5 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5032S	CDM			270	RC		outpatient			518.4	518.4	140.43				percent of total billed charges		518.4				other	OPPS APC	383.62				percent of total billed charges		518.4				other	OPPS APC	518.4				other	OPPS APC	140.43				percent of total billed charges		143.23				percent of total billed charges		518.4				other	OPPS APC	140.43	518.4	
SCREW BONE TITANIUM FULL THREAD L32.5 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5032S	CDM			270	RC		inpatient			518.4	518.4																																																			
SCREW BONE TITANIUM FULL THREAD L50 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5050S	CDM			270	RC		outpatient			518.4	518.4	140.43				percent of total billed charges		518.4				other	OPPS APC	383.62				percent of total billed charges		518.4				other	OPPS APC	518.4				other	OPPS APC	140.43				percent of total billed charges		143.23				percent of total billed charges		518.4				other	OPPS APC	140.43	518.4	
SCREW BONE TITANIUM FULL THREAD L50 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5050S	CDM			270	RC		inpatient			518.4	518.4																																																			
SCREW BONE 4MM FULL THREAD 50MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.250	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 50MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.250	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE 4MM FULL THREAD 55MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.255	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 55MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.255	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE 4MM FULL THREAD 60MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.260	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 60MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.260	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE 4MM FULL THREAD 65MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.265	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 65MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.265	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE 4MM FULL THREAD 75MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.275	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 75MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.275	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE 4MM FULL THREAD 80MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.280	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 80MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.280	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE 4MM FULL THREAD 90MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.290	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE 4MM FULL THREAD 90MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.290	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE LCP STAINLESS STEEL 4 MM FULL THREAD L95 MM OD7.3 MM ODSEC5 MM CANNULATED SMOOTH CONICAL HEAD SELF DRILL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.207.295	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE LCP STAINLESS STEEL 4 MM FULL THREAD L95 MM OD7.3 MM ODSEC5 MM CANNULATED SMOOTH CONICAL HEAD SELF DRILL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.207.295	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE PARTIAL THREAD 50MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.450	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE PARTIAL THREAD 50MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.450	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE PARTIAL THREAD 55MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.455	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE PARTIAL THREAD 55MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.455	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE PARTIAL THREAD 60MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.460	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE PARTIAL THREAD 60MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.460	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L65 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.465	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L65 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.465	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE PARTIAL THREAD 70MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.470	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE PARTIAL THREAD 70MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.470	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L75 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.475	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L75 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.475	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L80 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.480	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L80 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.480	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE PARTIAL THREAD 85MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.485	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE PARTIAL THREAD 85MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.485	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L90 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.490	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L90 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.490	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L95 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.495	CDM	270010022	LOCAL	270	RC		outpatient			518.1	518.12	140.35				percent of total billed charges		518.1				other	OPPS APC	383.39				percent of total billed charges		518.1				other	OPPS APC	518.1				other	OPPS APC	140.35				percent of total billed charges		143.15				percent of total billed charges		518.12				other	OPPS APC	140.35	518.12	
SCREW BONE LCP STAINLESS STEEL 95 D PARTIAL THREAD CONE L95 MM OD7.3 MM ODSEC5 MM PERIARTICULAR CONDYLE FEMUR TIBIA SELF DRILL SELF TAP CANNULATED SMOOTH HEAD NONSTERILE	SUP-02.207.495	CDM	270010022	LOCAL	270	RC		inpatient			518.1	518.1																																																			
FILLER BONE VOID G2 AFT .75ML SODIUM HYALURONATE TISSUE ALLOGRAFT DIVERT TUBE MORSELIZE	SUP-227005	CDM	270010031	LOCAL	270	RC		outpatient			518	518	140.33				percent of total billed charges		518				other	OPPS APC	383.32				percent of total billed charges		518				other	OPPS APC	518				other	OPPS APC	140.33				percent of total billed charges		143.12				percent of total billed charges		518				other	OPPS APC	140.33	518	
FILLER BONE VOID G2 AFT .75ML SODIUM HYALURONATE TISSUE ALLOGRAFT DIVERT TUBE MORSELIZE	SUP-227005	CDM	270010031	LOCAL	270	RC		inpatient			518	518																																																			
PERFORATOR 14MM 14MM 11MM SHARP HUDSON END CRANIAL SS STERILE DISPOSABLE	SUP-26-1221	CDM			270	RC		outpatient			518	518	140.33				percent of total billed charges		518				other	OPPS APC	383.32				percent of total billed charges		518				other	OPPS APC	518				other	OPPS APC	140.33				percent of total billed charges		143.12				percent of total billed charges		518				other	OPPS APC	140.33	518	
PERFORATOR 14MM 14MM 11MM SHARP HUDSON END CRANIAL SS STERILE DISPOSABLE	SUP-26-1221	CDM			270	RC		inpatient			518	518																																																			
CUTTER POWER SPINAL CORNERSTONE SR F BLACK MAX DIAMOND 8 X 11MM	SUP-874-428	CDM			270	RC		outpatient			518	518	140.33				percent of total billed charges		518				other	OPPS APC	383.32				percent of total billed charges		518				other	OPPS APC	518				other	OPPS APC	140.33				percent of total billed charges		143.12				percent of total billed charges		518				other	OPPS APC	140.33	518	
CUTTER POWER SPINAL CORNERSTONE SR F BLACK MAX DIAMOND 8 X 11MM	SUP-874-428	CDM			270	RC		inpatient			518	518																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L35 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.402	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L35 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.402	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L50 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.405	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L50 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.405	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE PARTIAL THREAD 60MM 16MM 6.5MM 2.9MM SS NS LG BONE CANNULATED HEXAGONAL	SUP-208.407	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE PARTIAL THREAD 60MM 16MM 6.5MM 2.9MM SS NS LG BONE CANNULATED HEXAGONAL	SUP-208.407	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L65 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.408	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L65 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.408	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL 4 MM REVERSE CUT FLUTE L70 MM L16 MM OD6.5 MM ODSEC4.8 MM LARGE BONE SELF DRILL SELF TAP CANNULATED HEMISPHERICAL HEAD NONSTERILE	SUP-208.409	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL 4 MM REVERSE CUT FLUTE L70 MM L16 MM OD6.5 MM ODSEC4.8 MM LARGE BONE SELF DRILL SELF TAP CANNULATED HEMISPHERICAL HEAD NONSTERILE	SUP-208.409	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL 4 MM REVERSE CUT FLUTE L75 MM L16 MM OD6.5 MM ODSEC4.8 MM LARGE BONE SELF DRILL SELF TAP CANNULATED HEMISPHERICAL HEAD NONSTERILE	SUP-208.410	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL 4 MM REVERSE CUT FLUTE L75 MM L16 MM OD6.5 MM ODSEC4.8 MM LARGE BONE SELF DRILL SELF TAP CANNULATED HEMISPHERICAL HEAD NONSTERILE	SUP-208.410	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L80 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.411	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L80 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.411	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L85 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.412	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L85 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.412	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L100 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.415	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L100 MM L16 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.415	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 50MM 32MM 6.5MM 7.9MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.432	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 50MM 32MM 6.5MM 7.9MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.432	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L70 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.436	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L70 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.436	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L80 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.438	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L80 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.438	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L85 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.439	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L85 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.439	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L90 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.440	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L90 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.440	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L95 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.441	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L95 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.441	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L100 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.442	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L100 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.442	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW CANNULATED 6.5MM PARTIALLY THREADED 110MM	SUP-208.444	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW CANNULATED 6.5MM PARTIALLY THREADED 110MM	SUP-208.444	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L120 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.446	CDM	270010022	LOCAL	270	RC		outpatient			517.68	517.68	140.24				percent of total billed charges		517.68				other	OPPS APC	383.08				percent of total billed charges		517.68				other	OPPS APC	517.68				other	OPPS APC	140.24				percent of total billed charges		143.03				percent of total billed charges		517.68				other	OPPS APC	140.24	517.68	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L120 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.446	CDM	270010022	LOCAL	270	RC		inpatient			517.68	517.68																																																			
DURA CLIPS 11MM	SUP-95-00332	CDM			272	RC		outpatient			517.65	517.65	140.23				percent of total billed charges		517.65				other	OPPS APC	383.06				percent of total billed charges		517.65				other	OPPS APC	517.65				other	OPPS APC	140.23				percent of total billed charges		143.03				percent of total billed charges		517.65				other	OPPS APC	140.23	517.65	
DURA CLIPS 11MM	SUP-95-00332	CDM			272	RC		inpatient			517.65	517.65																																																			
PLATE BONE LCP COMBI 72X11X3.4MM SS NS 5 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.551	CDM	270010022	LOCAL	270	RC		outpatient			517.02	517.2	140.06				percent of total billed charges		517.02				other	OPPS APC	382.59				percent of total billed charges		517.02				other	OPPS APC	517.02				other	OPPS APC	140.06				percent of total billed charges		142.85				percent of total billed charges		517.2				other	OPPS APC	140.06	517.2	
PLATE BONE LCP COMBI 72X11X3.4MM SS NS 5 HOLE 3.5MM SCREW SM FRAGMENT	SUP-223.551	CDM	270010022	LOCAL	270	RC		inpatient			517.02	517.02																																																			
PLATE BONE Y 27X15X.5MM TITANIUM NS CRANIOFACIAL 3X7 HOLE 1MM CORTEX SCREW	SUP-420.63	CDM	270010022	LOCAL	270	RC		outpatient			516.56	516.56	139.94				percent of total billed charges		516.56				other	OPPS APC	382.25				percent of total billed charges		516.56				other	OPPS APC	516.56				other	OPPS APC	139.94				percent of total billed charges		142.73				percent of total billed charges		516.56				other	OPPS APC	139.94	516.56	
PLATE BONE Y 27X15X.5MM TITANIUM NS CRANIOFACIAL 3X7 HOLE 1MM CORTEX SCREW	SUP-420.63	CDM	270010022	LOCAL	270	RC		inpatient			516.56	516.56																																																			
HEADLESS COUNTERSINK	SUP-97-02380	CDM			272	RC		outpatient			516.25	516.25	139.85				percent of total billed charges		516.25				other	OPPS APC	382.03				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	139.85				percent of total billed charges		142.64				percent of total billed charges		516.25				other	OPPS APC	139.85	516.25	
HEADLESS COUNTERSINK	SUP-97-02380	CDM			272	RC		inpatient			516.25	516.25																																																			
HEADLESS COUNTERSINK	SUP-97-02670	CDM						inpatient			516.25	516.25																																																			
HEADLESS COUNTERSINK	SUP-97-02670	CDM						outpatient			516.25	516.25	516.25				percent of total billed charges		516.25				other	OPPS APC	516.25				fee schedule		516.25				other	OPPS APC	516.25				other	OPPS APC	516.25				case rate		516.25				case rate		516.25				other	OPPS APC	516.25	516.25	
LOCKING PEG T8 2.0MM / L16MM	SUP-97-04093	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
LOCKING PEG T8 2.0MM / L16MM	SUP-97-04093	CDM			278	RC		inpatient			516.25	516.25																																																			
LOCKING PEG T8 2.0MM / L18MM	SUP-97-04094	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
LOCKING PEG T8 2.0MM / L18MM	SUP-97-04094	CDM			278	RC		inpatient			516.25	516.25																																																			
LOCKING PEG T8 2.0MM / L20MM	SUP-97-04095	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
LOCKING PEG T8 2.0MM / L20MM	SUP-97-04095	CDM			278	RC		inpatient			516.25	516.25																																																			
SCREW BONE T8 LCKNG 2.7MM X 12MM	SUP-97-04132	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
SCREW BONE T8 LCKNG 2.7MM X 12MM	SUP-97-04132	CDM			278	RC		inpatient			516.25	516.25																																																			
SCREW BONE T8 LCKNG 2.7MM X 26MM	SUP-97-04404	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
SCREW BONE T8 LCKNG 2.7MM X 26MM	SUP-97-04404	CDM			278	RC		inpatient			516.25	516.25																																																			
2.4 X 14MM LOCKING SCREW	SUP-97-04415	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
2.4 X 14MM LOCKING SCREW	SUP-97-04415	CDM			278	RC		inpatient			516.25	516.25																																																			
2.4 X 18MM LOCKING SCREW	SUP-97-04416	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
2.4 X 18MM LOCKING SCREW	SUP-97-04416	CDM			278	RC		inpatient			516.25	516.25																																																			
2.4 X 26MM LKNG SCREW	SUP-97-04538	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
2.4 X 26MM LKNG SCREW	SUP-97-04538	CDM			278	RC		inpatient			516.25	516.25																																																			
SCREW BONE T8 LCKNG 2.7MM X 10MM	SUP-97-04913	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
SCREW BONE T8 LCKNG 2.7MM X 10MM	SUP-97-04913	CDM			278	RC		inpatient			516.25	516.25																																																			
SCREW BONE T8 LCKNG 2.7MM X 8MM	SUP-97-05148	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
SCREW BONE T8 LCKNG 2.7MM X 8MM	SUP-97-05148	CDM			278	RC		inpatient			516.25	516.25																																																			
2.4 X 16MM LKNG SCREW	SUP-97-05192	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
2.4 X 16MM LKNG SCREW	SUP-97-05192	CDM			278	RC		inpatient			516.25	516.25																																																			
2.4 X 20MM LKNG SCREW	SUP-97-05193	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
2.4 X 20MM LKNG SCREW	SUP-97-05193	CDM			278	RC		inpatient			516.25	516.25																																																			
2.4 X 22MM LKNG SCREW	SUP-97-05194	CDM			278	RC		outpatient			516.25	516.25	516.25				fee schedule		516.25				other	OPPS APC	294.26				percent of total billed charges		516.25				other	OPPS APC	516.25				other	OPPS APC	252.96				percent of total billed charges		263.29				percent of total billed charges		516.25				other	OPPS APC	252.96	516.25	
2.4 X 22MM LKNG SCREW	SUP-97-05194	CDM			278	RC		inpatient			516.25	516.25																																																			
HC Remove Foreign Body From Eye	PX-450652051	CDM	65205	CPT	450	RC		outpatient			516	516	195.77				case rate		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	195.77				case rate		199.69				case rate		516				other	OPPS APC	195.77	516	
HC Remove Foreign Body From Eye	PX-450652051	CDM	65205	CPT	450	RC		inpatient			516	516																																																			
HC Remove Foreign Body From Eye Embed	PX-450652101	CDM	65210	CPT	450	RC		outpatient			516	516	195.77				case rate		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	195.77				case rate		199.69				case rate		516				other	OPPS APC	195.77	516	
HC Remove Foreign Body From Eye Embed	PX-450652101	CDM	65210	CPT	450	RC		inpatient			516	516																																																			
HC Remove F.Body From Eye Corneal-W/O S	PX-450652201	CDM	65220	CPT	450	RC		outpatient			516	516	195.77				case rate		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	195.77				case rate		199.69				case rate		516				other	OPPS APC	195.77	516	
HC Remove F.Body From Eye Corneal-W/O S	PX-450652201	CDM	65220	CPT	450	RC		inpatient			516	516																																																			
HC Remove F.Body Eye  Corneal W/Slit La	PX-450652221	CDM	65222	CPT	450	RC		outpatient			516	516	195.77				case rate		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	195.77				case rate		199.69				case rate		516				other	OPPS APC	195.77	516	
HC Remove F.Body Eye  Corneal W/Slit La	PX-450652221	CDM	65222	CPT	450	RC		inpatient			516	516																																																			
Removal of Foreign Body (Eye)	PX-510652051	CDM	65205	CPT	510	RC		outpatient			516	516	169.66				case rate		516				other	OPPS APC	101				case rate		516				other	OPPS APC	516				fee schedule		169.66				case rate		173.05				case rate		516				other	OPPS APC	101	516	
Removal of Foreign Body (Eye)	PX-510652051	CDM	65205	CPT	510	RC		inpatient			516	516																																																			
SCREW BONE RADFX TITANIUM STANDARD L12 MM OD2.7 MM FOREFOOT TARSUS LOCK NONSTERILE	SUP-28.25.012	CDM			270	RC		outpatient			516	516	139.78				percent of total billed charges		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	139.78				percent of total billed charges		142.57				percent of total billed charges		516				other	OPPS APC	139.78	516	
SCREW BONE RADFX TITANIUM STANDARD L12 MM OD2.7 MM FOREFOOT TARSUS LOCK NONSTERILE	SUP-28.25.012	CDM			270	RC		inpatient			516	516																																																			
SCREW INTEGRA LOCKING 10MM	SUP-2825010	CDM			270	RC		outpatient			516	516	139.78				percent of total billed charges		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	139.78				percent of total billed charges		142.57				percent of total billed charges		516				other	OPPS APC	139.78	516	
SCREW INTEGRA LOCKING 10MM	SUP-2825010	CDM			270	RC		inpatient			516	516																																																			
SCREW INTEGRA LOCKING 14MM	SUP-2825014	CDM			270	RC		outpatient			516	516	139.78				percent of total billed charges		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	139.78				percent of total billed charges		142.57				percent of total billed charges		516				other	OPPS APC	139.78	516	
SCREW INTEGRA LOCKING 14MM	SUP-2825014	CDM			270	RC		inpatient			516	516																																																			
SCREW INTEGRA LOCKING 18MM	SUP-2825018	CDM			270	RC		outpatient			516	516	139.78				percent of total billed charges		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	139.78				percent of total billed charges		142.57				percent of total billed charges		516				other	OPPS APC	139.78	516	
SCREW INTEGRA LOCKING 18MM	SUP-2825018	CDM			270	RC		inpatient			516	516																																																			
GUIDEWIRE VASCULAR NITREX NITINOL TUNGSTEN SILICONE GOLD 15 D L260 CM L8 CM OD.025 IN INTERMEDIATE ANGLE TIP	SUP-N252601_40175	CDM			270	RC		outpatient			516	516	139.78				percent of total billed charges		516				other	OPPS APC	381.84				percent of total billed charges		516				other	OPPS APC	516				other	OPPS APC	139.78				percent of total billed charges		142.57				percent of total billed charges		516				other	OPPS APC	139.78	516	
GUIDEWIRE VASCULAR NITREX NITINOL TUNGSTEN SILICONE GOLD 15 D L260 CM L8 CM OD.025 IN INTERMEDIATE ANGLE TIP	SUP-N252601_40175	CDM			270	RC		inpatient			516	516																																																			
T2 PROXIMAL STANDARD END CAP	SUP-97-04019	CDM			278	RC		outpatient			515.9	515.9	515.9				fee schedule		515.9				other	OPPS APC	294.06				percent of total billed charges		515.9				other	OPPS APC	515.9				other	OPPS APC	252.79				percent of total billed charges		263.11				percent of total billed charges		515.9				other	OPPS APC	252.79	515.9	
T2 PROXIMAL STANDARD END CAP	SUP-97-04019	CDM			278	RC		inpatient			515.9	515.9																																																			
T2 PROXIMAL HUMERAL +4MM END CAP	SUP-97-04824	CDM			278	RC		outpatient			515.9	515.9	515.9				fee schedule		515.9				other	OPPS APC	294.06				percent of total billed charges		515.9				other	OPPS APC	515.9				other	OPPS APC	252.79				percent of total billed charges		263.11				percent of total billed charges		515.9				other	OPPS APC	252.79	515.9	
T2 PROXIMAL HUMERAL +4MM END CAP	SUP-97-04824	CDM			278	RC		inpatient			515.9	515.9																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L60 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.60	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L60 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.60	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L35 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.835	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L35 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.835	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L45 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.845	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L45 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.845	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL L50 MM L16 MM OD7.3 MM CANCELLOUS CANNULATED NONSTERILE	SUP-208.850	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL L50 MM L16 MM OD7.3 MM CANCELLOUS CANNULATED NONSTERILE	SUP-208.850	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L65 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.865	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L65 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.865	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L85 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.885	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L85 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.885	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L105 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.905	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L105 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.905	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L125 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE FEMORAL NAIL	SUP-208.925	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L125 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE FEMORAL NAIL	SUP-208.925	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 135MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.935	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 135MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.935	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 145MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.945	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 145MM 16MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL	SUP-208.945	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW 7.3MM FULL THREADED CANNULATED 25MM	SUP-209.625	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW 7.3MM FULL THREADED CANNULATED 25MM	SUP-209.625	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L35 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.635	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L35 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.635	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L40 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.640	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L40 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.640	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L45 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.645	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L45 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.645	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L50 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.650	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L50 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.650	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULLY THREAD LARGE HEXAGON L60 MM OD7.3 MM ODSEC4 MM LARGE BONE CANNULATED SELF DRILL SELF TAP SOCKET NONSTERILE	SUP-209.660	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULLY THREAD LARGE HEXAGON L60 MM OD7.3 MM ODSEC4 MM LARGE BONE CANNULATED SELF DRILL SELF TAP SOCKET NONSTERILE	SUP-209.660	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L65 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.665	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L65 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.665	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L70 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.670	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L70 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.670	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L85 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.685	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L85 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.685	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L90 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.690	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L90 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.690	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L95 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP LARGE HEXAGONAL SOCKET NONSTERILE	SUP-209.695	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD L95 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP LARGE HEXAGONAL SOCKET NONSTERILE	SUP-209.695	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L105 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.705	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L105 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.705	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L110 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.710	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L110 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.710	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L115 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.715	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L115 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.715	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L120 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.720	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L120 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.720	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L125 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.725	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L125 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.725	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L130 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.730	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L130 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.730	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 45MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.845	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 45MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.845	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE STAINLESS STEEL 4 MM L105 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.905	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE STAINLESS STEEL 4 MM L105 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.905	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 115MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.915	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 115MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.915	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 125MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.925	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 125MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.925	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 135MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.935	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 135MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.935	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
SCREW BONE PARTIAL THREAD 145MM 32MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-209.945	CDM	270010022	LOCAL	270	RC		outpatient			515.54	515.54	139.66				percent of total billed charges		515.54				other	OPPS APC	381.5				percent of total billed charges		515.54				other	OPPS APC	515.54				other	OPPS APC	139.66				percent of total billed charges		142.44				percent of total billed charges		515.54				other	OPPS APC	139.66	515.54	
SCREW BONE PARTIAL THREAD 145MM 32MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-209.945	CDM	270010022	LOCAL	270	RC		inpatient			515.54	515.54																																																			
GUIDEWIRE ORTHOPEDIC L13 MM OD3.2 MM TROCAR POINT ANTEGRADE FEMORAL SYSTEM	SUP-03.010.031	CDM	270010022	LOCAL	270	RC		outpatient			514.8	514.8	139.46				percent of total billed charges		514.8				other	OPPS APC	380.95				percent of total billed charges		514.8				other	OPPS APC	514.8				other	OPPS APC	139.46				percent of total billed charges		142.24				percent of total billed charges		514.8				other	OPPS APC	139.46	514.8	
GUIDEWIRE ORTHOPEDIC L13 MM OD3.2 MM TROCAR POINT ANTEGRADE FEMORAL SYSTEM	SUP-03.010.031	CDM	270010022	LOCAL	270	RC		inpatient			514.8	514.8																																																			
PLATE BONE L 18X12X.5MM TITANIUM NS CRANIOFACIAL RIGHT 4X5 HOLE 1MM CORTEX SCREW	SUP-420.55	CDM	270010022	LOCAL	270	RC		outpatient			514.58	514.58	139.4				percent of total billed charges		514.58				other	OPPS APC	380.79				percent of total billed charges		514.58				other	OPPS APC	514.58				other	OPPS APC	139.4				percent of total billed charges		142.18				percent of total billed charges		514.58				other	OPPS APC	139.4	514.58	
PLATE BONE L 18X12X.5MM TITANIUM NS CRANIOFACIAL RIGHT 4X5 HOLE 1MM CORTEX SCREW	SUP-420.55	CDM	270010022	LOCAL	270	RC		inpatient			514.58	514.58																																																			
PLATE BONE DCP TITANIUM L22 MM X W5 MM X H.9 MM ZYGOMATIC 4 HOLE 2 MM CORTICAL SCREW	SUP-443.44	CDM	270010014	LOCAL	270	RC		outpatient			514.58	514.58	139.4				percent of total billed charges		514.58				other	OPPS APC	380.79				percent of total billed charges		514.58				other	OPPS APC	514.58				other	OPPS APC	139.4				percent of total billed charges		142.18				percent of total billed charges		514.58				other	OPPS APC	139.4	514.58	
PLATE BONE DCP TITANIUM L22 MM X W5 MM X H.9 MM ZYGOMATIC 4 HOLE 2 MM CORTICAL SCREW	SUP-443.44	CDM	270010014	LOCAL	270	RC		inpatient			514.58	514.58																																																			
SCREW ASNIS MICRO 2MM LENGTH 16/7MM	SUP-97-01639	CDM			278	RC		outpatient			514.5	514.5	514.5				fee schedule		514.5				other	OPPS APC	293.27				percent of total billed charges		514.5				other	OPPS APC	514.5				other	OPPS APC	252.11				percent of total billed charges		262.4				percent of total billed charges		514.5				other	OPPS APC	252.11	514.5	
SCREW ASNIS MICRO 2MM LENGTH 16/7MM	SUP-97-01639	CDM			278	RC		inpatient			514.5	514.5																																																			
SCREW ASNIS TITANIUM CANN 3.0X2.0	SUP-97-01843	CDM			278	RC		outpatient			514.5	514.5	514.5				fee schedule		514.5				other	OPPS APC	293.27				percent of total billed charges		514.5				other	OPPS APC	514.5				other	OPPS APC	252.11				percent of total billed charges		262.4				percent of total billed charges		514.5				other	OPPS APC	252.11	514.5	
SCREW ASNIS TITANIUM CANN 3.0X2.0	SUP-97-01843	CDM			278	RC		inpatient			514.5	514.5																																																			
SCREW ASNIS MICRO 2MM LENGTH 18/5MM	SUP-97-02063	CDM			278	RC		outpatient			514.5	514.5	514.5				fee schedule		514.5				other	OPPS APC	293.27				percent of total billed charges		514.5				other	OPPS APC	514.5				other	OPPS APC	252.11				percent of total billed charges		262.4				percent of total billed charges		514.5				other	OPPS APC	252.11	514.5	
SCREW ASNIS MICRO 2MM LENGTH 18/5MM	SUP-97-02063	CDM			278	RC		inpatient			514.5	514.5																																																			
SCREW ASNIS MICRO 2MM LENGTH 12/5MM	SUP-97-02064	CDM			278	RC		outpatient			514.5	514.5	514.5				fee schedule		514.5				other	OPPS APC	293.27				percent of total billed charges		514.5				other	OPPS APC	514.5				other	OPPS APC	252.11				percent of total billed charges		262.4				percent of total billed charges		514.5				other	OPPS APC	252.11	514.5	
SCREW ASNIS MICRO 2MM LENGTH 12/5MM	SUP-97-02064	CDM			278	RC		inpatient			514.5	514.5																																																			
SCREW ASNIS MICRO 2MM LENGTH 16/7MM	SUP-97-02547	CDM			278	RC		outpatient			514.5	514.5	514.5				fee schedule		514.5				other	OPPS APC	293.27				percent of total billed charges		514.5				other	OPPS APC	514.5				other	OPPS APC	252.11				percent of total billed charges		262.4				percent of total billed charges		514.5				other	OPPS APC	252.11	514.5	
SCREW ASNIS MICRO 2MM LENGTH 16/7MM	SUP-97-02547	CDM			278	RC		inpatient			514.5	514.5																																																			
DRILL BIT 2.0X140MM	SUP-95-03713	CDM			272	RC		outpatient			514.05	514.5	139.26				percent of total billed charges		514.05				other	OPPS APC	380.4				percent of total billed charges		514.05				other	OPPS APC	514.05				other	OPPS APC	139.26				percent of total billed charges		142.03				percent of total billed charges		514.5				other	OPPS APC	139.26	514.5	
DRILL BIT 2.0X140MM	SUP-95-03713	CDM			272	RC		inpatient			514.05	514.05																																																			
CATHETER BALLOON DILATATION HURRICANE 10  2CM	SUP-M00545950	CDM			270	RC		outpatient			513.68	513.68	139.16				percent of total billed charges		513.68				other	OPPS APC	380.12				percent of total billed charges		513.68				other	OPPS APC	513.68				other	OPPS APC	139.16				percent of total billed charges		141.93				percent of total billed charges		513.68				other	OPPS APC	139.16	513.68	
CATHETER BALLOON DILATATION HURRICANE 10  2CM	SUP-M00545950	CDM			270	RC		inpatient			513.68	513.68																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L 24 MM OD 3 MM SMALL BONE CANNULATED HEADLESS SELF DRILLING SELF TAPPING	SUP-71103324S	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L 24 MM OD 3 MM SMALL BONE CANNULATED HEADLESS SELF DRILLING SELF TAPPING	SUP-71103324S	CDM			270	RC		inpatient			513.4	513.4																																																			
SCREW BONE QUICKFIX STAINLESS STEEL L 26 MM OD 3 MM METACARPAL TARSAL CANNULATED COMPRESSION HEADLESS STERILE	SUP-71103326S	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE QUICKFIX STAINLESS STEEL L 26 MM OD 3 MM METACARPAL TARSAL CANNULATED COMPRESSION HEADLESS STERILE	SUP-71103326S	CDM			270	RC		inpatient			513.4	513.4																																																			
SCREW BONE L 32 MM OD 3 MM CANNULATED HEADLESS	SUP-71103332	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE L 32 MM OD 3 MM CANNULATED HEADLESS	SUP-71103332	CDM			270	RC		inpatient			513.4	513.4																																																			
SCREW BONE L 38 MM OD 3 MM CANNULATED HEADLESS	SUP-71103338	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE L 38 MM OD 3 MM CANNULATED HEADLESS	SUP-71103338	CDM			270	RC		inpatient			513.4	513.4																																																			
SCREW BONE L 38MM OD 3MM CANNULATED HEADLESS	SUP-71103338S	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE L 38MM OD 3MM CANNULATED HEADLESS	SUP-71103338S	CDM			270	RC		inpatient			513.4	513.4																																																			
SCREW BONE L 40 MM OD 3 MM CANNULATED HEADLESS	SUP-71103340	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE L 40 MM OD 3 MM CANNULATED HEADLESS	SUP-71103340	CDM			270	RC		inpatient			513.4	513.4																																																			
SCREW BONE L 40 MM OD 3MM CANNULATED HEADLESS STERILE	SUP-71103340S	CDM			270	RC		outpatient			513.4	513.4	139.08				percent of total billed charges		513.4				other	OPPS APC	379.92				percent of total billed charges		513.4				other	OPPS APC	513.4				other	OPPS APC	139.08				percent of total billed charges		141.85				percent of total billed charges		513.4				other	OPPS APC	139.08	513.4	
SCREW BONE L 40 MM OD 3MM CANNULATED HEADLESS STERILE	SUP-71103340S	CDM			270	RC		inpatient			513.4	513.4																																																			
PLATE BONE 20X11X.5MM T CRANIOMAXILLOFACIAL TITANIUM 3X4 HOLE 1.3MM SCREW NS	SUP-421.071	CDM	270010022	LOCAL	270	RC		outpatient			513.14	513.14	139.01				percent of total billed charges		513.14				other	OPPS APC	379.72				percent of total billed charges		513.14				other	OPPS APC	513.14				other	OPPS APC	139.01				percent of total billed charges		141.78				percent of total billed charges		513.14				other	OPPS APC	139.01	513.14	
PLATE BONE 20X11X.5MM T CRANIOMAXILLOFACIAL TITANIUM 3X4 HOLE 1.3MM SCREW NS	SUP-421.071	CDM	270010022	LOCAL	270	RC		inpatient			513.14	513.14																																																			
SCREW BONE LCP STAINLESS STEEL 4 MM FULL THREAD L80 MM OD7.3 MM ODSEC5 MM PERIARTICULAR FEMUR CONDYLAR DISTAL SELF DRILL CANNULATED LOCK CONICAL HEAD NONSTERILE	SUP-02.207.080	CDM	270010022	LOCAL	270	RC		outpatient			512.16	512.16	138.74				percent of total billed charges		512.16				other	OPPS APC	379				percent of total billed charges		512.16				other	OPPS APC	512.16				other	OPPS APC	138.74				percent of total billed charges		141.51				percent of total billed charges		512.16				other	OPPS APC	138.74	512.16	
SCREW BONE LCP STAINLESS STEEL 4 MM FULL THREAD L80 MM OD7.3 MM ODSEC5 MM PERIARTICULAR FEMUR CONDYLAR DISTAL SELF DRILL CANNULATED LOCK CONICAL HEAD NONSTERILE	SUP-02.207.080	CDM	270010022	LOCAL	270	RC		inpatient			512.16	512.16																																																			
HC Transvaginal Sonogram	PX-402768300	CDM	76830	CPT	402	RC		outpatient			512	112.57	129.24				fee schedule		112.57				other	OPPS APC	232.07				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	120.61				fee schedule		87.2				fee schedule		112.57				other	OPPS APC	87.2	232.07	
HC Transvaginal Sonogram	PX-402768300	CDM	76830	CPT	402	RC		inpatient			512	512																																																			
HC Eval Bronchospasm W/ Methacholine	PX-460940701	CDM	94070	CPT	460	RC		outpatient			512	294.96	60.45				fee schedule		294.96				other	OPPS APC	153.66				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	60.8				fee schedule		261.12				percent of total billed charges		294.96				other	OPPS APC	60.45	294.96	
HC Eval Bronchospasm W/ Methacholine	PX-460940701	CDM	94070	CPT	460	RC		inpatient			512	512																																																			
PLATE BURR HOLE 18.5MM	SUP-01-7308	CDM			270	RC		outpatient			512	512	138.7				percent of total billed charges		512				other	OPPS APC	378.88				percent of total billed charges		512				other	OPPS APC	512				other	OPPS APC	138.7				percent of total billed charges		141.47				percent of total billed charges		512				other	OPPS APC	138.7	512	
PLATE BURR HOLE 18.5MM	SUP-01-7308	CDM			270	RC		inpatient			512	512																																																			
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L10 CM X W6 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP12	CDM			270	RC		outpatient			512	512	138.7				percent of total billed charges		512				other	OPPS APC	378.88				percent of total billed charges		512				other	OPPS APC	512				other	OPPS APC	138.7				percent of total billed charges		141.47				percent of total billed charges		512				other	OPPS APC	138.7	512	
MESH SURGICAL DUALMESH PLUS GORE-TEX CHLORHEXIDINE DIACETATE SILVER CARBONATE THK1 MM L10 CM X W6 CM SOFT TISSUE BIOMATERIAL ANTIMICROBIAL STERILE HERNIA REPAIR	SUP-1DLMCP12	CDM			270	RC		inpatient			512	512																																																			
DRILL SURGICAL EVOS LARGE SHORT OD 3.7MM AO QUICK CONNECTOR STERILE LATEX FREE DISPOSABLE	SUP-71175618	CDM			270	RC		outpatient			512	512	138.7				percent of total billed charges		512				other	OPPS APC	378.88				percent of total billed charges		512				other	OPPS APC	512				other	OPPS APC	138.7				percent of total billed charges		141.47				percent of total billed charges		512				other	OPPS APC	138.7	512	
DRILL SURGICAL EVOS LARGE SHORT OD 3.7MM AO QUICK CONNECTOR STERILE LATEX FREE DISPOSABLE	SUP-71175618	CDM			270	RC		inpatient			512	512																																																			
PLATE BONE LCP STAINLESS STEEL L59 MM 8 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.348	CDM	270010022	LOCAL	270	RC		outpatient			511.5	511.5	138.57				percent of total billed charges		511.5				other	OPPS APC	378.51				percent of total billed charges		511.5				other	OPPS APC	511.5				other	OPPS APC	138.57				percent of total billed charges		141.33				percent of total billed charges		511.5				other	OPPS APC	138.57	511.5	
PLATE BONE LCP STAINLESS STEEL L59 MM 8 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.348	CDM	270010022	LOCAL	270	RC		inpatient			511.5	511.5																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L60 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA PROXIMAL CANNULATED CONICAL NONSTERILE	SUP-222.603	CDM	270010022	LOCAL	270	RC		outpatient			511.2	511.2	138.48				percent of total billed charges		511.2				other	OPPS APC	378.29				percent of total billed charges		511.2				other	OPPS APC	511.2				other	OPPS APC	138.48				percent of total billed charges		141.24				percent of total billed charges		511.2				other	OPPS APC	138.48	511.2	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L60 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA PROXIMAL CANNULATED CONICAL NONSTERILE	SUP-222.603	CDM	270010022	LOCAL	270	RC		inpatient			511.2	511.2																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD CONE L65 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.604	CDM	270010022	LOCAL	270	RC		outpatient			511.2	511.2	138.48				percent of total billed charges		511.2				other	OPPS APC	378.29				percent of total billed charges		511.2				other	OPPS APC	511.2				other	OPPS APC	138.48				percent of total billed charges		141.24				percent of total billed charges		511.2				other	OPPS APC	138.48	511.2	
SCREW BONE LCP STAINLESS STEEL FULL THREAD CONE L65 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.604	CDM	270010022	LOCAL	270	RC		inpatient			511.2	511.2																																																			
SCREW BONE LCP STAINLESS STEEL CONE PARTIAL THREAD L70 MM OD7.3 MM FEMUR PROXIMAL CANNULATED NONSTERILE	SUP-222.644	CDM	270010022	LOCAL	270	RC		outpatient			511.2	511.2	138.48				percent of total billed charges		511.2				other	OPPS APC	378.29				percent of total billed charges		511.2				other	OPPS APC	511.2				other	OPPS APC	138.48				percent of total billed charges		141.24				percent of total billed charges		511.2				other	OPPS APC	138.48	511.2	
SCREW BONE LCP STAINLESS STEEL CONE PARTIAL THREAD L70 MM OD7.3 MM FEMUR PROXIMAL CANNULATED NONSTERILE	SUP-222.644	CDM	270010022	LOCAL	270	RC		inpatient			511.2	511.2																																																			
APPLICATOR EXTENDED SPRAY TIP FOR PROGEL 16CM	SUP-36766	CDM			270	RC		outpatient			511	511	138.43				percent of total billed charges		511				other	OPPS APC	378.14				percent of total billed charges		511				other	OPPS APC	511				other	OPPS APC	138.43				percent of total billed charges		141.19				percent of total billed charges		511				other	OPPS APC	138.43	511	
APPLICATOR EXTENDED SPRAY TIP FOR PROGEL 16CM	SUP-36766	CDM			270	RC		inpatient			511	511																																																			
BLADE HARMONIC CURVED 32CM	SUP-97-00265	CDM			272	RC		outpatient			510.41	51.41	138.27				percent of total billed charges		510.41				other	OPPS APC	377.7				percent of total billed charges		510.41				other	OPPS APC	510.41				other	OPPS APC	138.27				percent of total billed charges		141.03				percent of total billed charges		51.41				other	OPPS APC	51.41	510.41	
BLADE HARMONIC CURVED 32CM	SUP-97-00265	CDM			272	RC		inpatient			510.41	510.41																																																			
CT CLOSURE SYSTEM STD	SUP-74-00133	CDM			272	RC		outpatient			510.3	51.31	138.24				percent of total billed charges		510.3				other	OPPS APC	377.62				percent of total billed charges		510.3				other	OPPS APC	510.3				other	OPPS APC	138.24				percent of total billed charges		141				percent of total billed charges		51.31				other	OPPS APC	51.31	510.3	
CT CLOSURE SYSTEM STD	SUP-74-00133	CDM			272	RC		inpatient			510.3	510.3																																																			
COVER BURR HOLE TITANIUM OD20 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE	SUP-5305520	CDM			270	RC		outpatient			510.02	51.2	138.16				percent of total billed charges		510.02				other	OPPS APC	377.41				percent of total billed charges		510.02				other	OPPS APC	510.02				other	OPPS APC	138.16				percent of total billed charges		140.92				percent of total billed charges		51.2				other	OPPS APC	51.2	510.02	
COVER BURR HOLE TITANIUM OD20 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE	SUP-5305520	CDM			270	RC		inpatient			510.02	510.02																																																			
TUBE DRAIN SILICONE T L30CM OD 10FR SOFT PLIABLE	SUP-0099800	CDM	270009031	LOCAL	270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
TUBE DRAIN SILICONE T L30CM OD 10FR SOFT PLIABLE	SUP-0099800	CDM	270009031	LOCAL	270	RC		inpatient			510	510																																																			
TUBE DRAIN SILICONE T L30CM OD 12FR SOFT PLIABLE	SUP-0099810	CDM						inpatient			510	510																																																			
TUBE DRAIN SILICONE T L30CM OD 12FR SOFT PLIABLE	SUP-0099810	CDM						outpatient			510	51	510				percent of total billed charges		510				other	OPPS APC	510				fee schedule		510				other	OPPS APC	510				other	OPPS APC	510				case rate		510				case rate		51				other	OPPS APC	51	510	
TUBE DRAIN SILICONE T L30CM OD 14 FR SOFT PLIABLE	SUP-0099820	CDM						inpatient			510	510																																																			
TUBE DRAIN SILICONE T L30CM OD 14 FR SOFT PLIABLE	SUP-0099820	CDM						outpatient			510	51	510				percent of total billed charges		510				other	OPPS APC	510				fee schedule		510				other	OPPS APC	510				other	OPPS APC	510				case rate		510				case rate		51				other	OPPS APC	51	510	
TUBE DRAIN SILICONE T  L 30 CM OD 16 FR SOFT PLIABLE	SUP-0099830	CDM						inpatient			510	510																																																			
TUBE DRAIN SILICONE T  L 30 CM OD 16 FR SOFT PLIABLE	SUP-0099830	CDM						outpatient			510	51	510				percent of total billed charges		510				other	OPPS APC	510				fee schedule		510				other	OPPS APC	510				other	OPPS APC	510				case rate		510				case rate		51				other	OPPS APC	51	510	
ANCHOR SUTURE FASTIN RC ORTHOCORD OD5 MM THREAD NEEDLE ROTATOR CUFF STERILE LATEX FREE	SUP-222993	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
ANCHOR SUTURE FASTIN RC ORTHOCORD OD5 MM THREAD NEEDLE ROTATOR CUFF STERILE LATEX FREE	SUP-222993	CDM			270	RC		inpatient			510	510																																																			
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L12 MM L5 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20112S	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L12 MM L5 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20112S	CDM			270	RC		inpatient			510	510																																																			
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L16 MM L7 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20116S	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L16 MM L7 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20116S	CDM			270	RC		inpatient			510	510																																																			
SCREW BONE ASNIS TITANIUM MICRO L20 MM L5 MM OD3 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-30120S	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
SCREW BONE ASNIS TITANIUM MICRO L20 MM L5 MM OD3 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-30120S	CDM			270	RC		inpatient			510	510																																																			
PROBE VITRECTOMY ULTRAVIT 27+ 20000 CPM OD27 MM CONSTELLATION VISION SYSTEM	SUP-8065830027	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
PROBE VITRECTOMY ULTRAVIT 27+ 20000 CPM OD27 MM CONSTELLATION VISION SYSTEM	SUP-8065830027	CDM			270	RC		inpatient			510	510																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L85 MM ANKLE 7 HOLE LOCK	SUP-AR-8943T-07	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
PLATE BONE STAINLESS STEEL 1/3 TUBE L85 MM ANKLE 7 HOLE LOCK	SUP-AR-8943T-07	CDM			270	RC		inpatient			510	510																																																			
WAND ELECTROSURGICAL REFLEX ULTRA 45 COBLATION SILICONE LONG 3 DEPTH MARK INSULATE SHAFT SPACER TURBINATE REDUCTION BLACK	SUP-EICA4845-01	CDM			270	RC		outpatient			510	51	138.16				percent of total billed charges		510				other	OPPS APC	377.4				percent of total billed charges		510				other	OPPS APC	510				other	OPPS APC	138.16				percent of total billed charges		140.91				percent of total billed charges		51				other	OPPS APC	51	510	
WAND ELECTROSURGICAL REFLEX ULTRA 45 COBLATION SILICONE LONG 3 DEPTH MARK INSULATE SHAFT SPACER TURBINATE REDUCTION BLACK	SUP-EICA4845-01	CDM			270	RC		inpatient			510	510																																																			
KIT EPISTAT	SUP-12-00014	CDM			272	RC		outpatient			509.25	59.25	137.96				percent of total billed charges		509.25				other	OPPS APC	376.85				percent of total billed charges		509.25				other	OPPS APC	509.25				other	OPPS APC	137.96				percent of total billed charges		140.71				percent of total billed charges		59.25				other	OPPS APC	59.25	509.25	
KIT EPISTAT	SUP-12-00014	CDM			272	RC		inpatient			509.25	509.25																																																			
KIT CATHETER ARROWG+ARD BLUE PLUS CHLORHEXIDINE LIDOCAINE PHTHALATE DEHP L20 CM OD7 FR PRESSURE INJECTABLE 3 LUMEN ANTIMICROBIAL LATEX FREE	SUP-12-00058	CDM			272	RC		outpatient			509.22	59.22	137.95				percent of total billed charges		509.22				other	OPPS APC	376.82				percent of total billed charges		509.22				other	OPPS APC	509.22				other	OPPS APC	137.95				percent of total billed charges		140.7				percent of total billed charges		59.22				other	OPPS APC	59.22	509.22	
KIT CATHETER ARROWG+ARD BLUE PLUS CHLORHEXIDINE LIDOCAINE PHTHALATE DEHP L20 CM OD7 FR PRESSURE INJECTABLE 3 LUMEN ANTIMICROBIAL LATEX FREE	SUP-12-00058	CDM			272	RC		inpatient			509.22	509.22																																																			
DISCONTINUED AS OF 10/1/16 - STAPLER INTERNAL ENDOPATH ETS FLEX 35MM 340MM WHITE DISPOSABLE STERILE LF VASCULAR 6	SUP-ATW35	CDM			270	RC		outpatient			509.16	59.16	137.93				percent of total billed charges		509.16				other	OPPS APC	376.78				percent of total billed charges		509.16				other	OPPS APC	509.16				other	OPPS APC	137.93				percent of total billed charges		140.68				percent of total billed charges		59.16				other	OPPS APC	59.16	509.16	
DISCONTINUED AS OF 10/1/16 - STAPLER INTERNAL ENDOPATH ETS FLEX 35MM 340MM WHITE DISPOSABLE STERILE LF VASCULAR 6	SUP-ATW35	CDM			270	RC		inpatient			509.16	509.16																																																			
CATHETER BALLOON DILATATION HURRICANE 4  2CM	SUP-M00545890	CDM			270	RC		outpatient			508.54	58.54	137.76				percent of total billed charges		508.54				other	OPPS APC	376.32				percent of total billed charges		508.54				other	OPPS APC	508.54				other	OPPS APC	137.76				percent of total billed charges		140.51				percent of total billed charges		58.54				other	OPPS APC	58.54	508.54	
CATHETER BALLOON DILATATION HURRICANE 4  2CM	SUP-M00545890	CDM			270	RC		inpatient			508.54	508.54																																																			
SPHINCTEROTOME	SUP-95-00824	CDM			272	RC		outpatient			508.48	58.48	137.75				percent of total billed charges		508.48				other	OPPS APC	376.28				percent of total billed charges		508.48				other	OPPS APC	508.48				other	OPPS APC	137.75				percent of total billed charges		140.49				percent of total billed charges		58.48				other	OPPS APC	58.48	508.48	
SPHINCTEROTOME	SUP-95-00824	CDM			272	RC		inpatient			508.48	508.48																																																			
ORTHOSORB PINS	SUP-84-00002	CDM			278	RC		outpatient			508.06	58.6	508.06				fee schedule		508.06				other	OPPS APC	289.59				percent of total billed charges		508.06				other	OPPS APC	508.06				other	OPPS APC	248.95				percent of total billed charges		259.11				percent of total billed charges		58.6				other	OPPS APC	58.6	508.06	
ORTHOSORB PINS	SUP-84-00002	CDM			278	RC		inpatient			508.06	508.06																																																			
10.5CM TUBE LENGTH INNER DIAMETER 3.0MM OUTER DIAMETER 3.6MM 10G	SUP-1467	CDM						inpatient			508	508																																																			
10.5CM TUBE LENGTH INNER DIAMETER 3.0MM OUTER DIAMETER 3.6MM 10G	SUP-1467	CDM						outpatient			508	58	508				percent of total billed charges		508				other	OPPS APC	508				fee schedule		508				other	OPPS APC	508				other	OPPS APC	508				case rate		508				case rate		58				other	OPPS APC	58	508	
FELT PLEDGET 4.8 X 9.5MM	SUP-75-00179	CDM			272	RC		outpatient			507.5	57.5	137.48				percent of total billed charges		507.5				other	OPPS APC	375.55				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	137.48				percent of total billed charges		140.22				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
FELT PLEDGET 4.8 X 9.5MM	SUP-75-00179	CDM			272	RC		inpatient			507.5	507.5																																																			
CALIBRATED DRILL 4.3MM	SUP-95-03693	CDM			272	RC		outpatient			507.5	57.5	137.48				percent of total billed charges		507.5				other	OPPS APC	375.55				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	137.48				percent of total billed charges		140.22				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
CALIBRATED DRILL 4.3MM	SUP-95-03693	CDM			272	RC		inpatient			507.5	507.5																																																			
NASAL SEPTAL BUTTON	SUP-97-01065	CDM						inpatient			507.5	507.5																																																			
NASAL SEPTAL BUTTON	SUP-97-01065	CDM						outpatient			507.5	57.5	507.5				percent of total billed charges		507.5				other	OPPS APC	507.5				fee schedule		507.5				other	OPPS APC	507.5				other	OPPS APC	507.5				case rate		507.5				case rate		57.5				other	OPPS APC	57.5	507.5	
CHAMPION SLINGSHOT 45RIGHT	SUP-97-02039	CDM						inpatient			507.5	507.5																																																			
CHAMPION SLINGSHOT 45RIGHT	SUP-97-02039	CDM						outpatient			507.5	57.5	507.5				percent of total billed charges		507.5				other	OPPS APC	507.5				fee schedule		507.5				other	OPPS APC	507.5				other	OPPS APC	507.5				case rate		507.5				case rate		57.5				other	OPPS APC	57.5	507.5	
INSTRUMENT KIT DISPOSABLES	SUP-97-02456	CDM						inpatient			507.5	507.5																																																			
INSTRUMENT KIT DISPOSABLES	SUP-97-02456	CDM						outpatient			507.5	57.5	507.5				percent of total billed charges		507.5				other	OPPS APC	507.5				fee schedule		507.5				other	OPPS APC	507.5				other	OPPS APC	507.5				case rate		507.5				case rate		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD 3.0 X18	SUP-97-02702	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD 3.0 X18	SUP-97-02702	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW SHORT THREAD 2.0 X 24	SUP-97-02703	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD 2.0 X 24	SUP-97-02703	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW SHORT THREAD HEADED 2.0X14	SUP-97-02766	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD HEADED 2.0X14	SUP-97-02766	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW SHORT THREAD HEADED 3.0X14	SUP-97-02767	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD HEADED 3.0X14	SUP-97-02767	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW THREAD SHORT 3.5X34	SUP-97-02821	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW THREAD SHORT 3.5X34	SUP-97-02821	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW THREAD SHORT 3.5X28	SUP-97-02823	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW THREAD SHORT 3.5X28	SUP-97-02823	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW SHORT THREAD HEADED 3.5X26	SUP-97-02851	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD HEADED 3.5X26	SUP-97-02851	CDM			278	RC		inpatient			507.5	507.5																																																			
LENS 21.5D	SUP-97-02863	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
LENS 21.5D	SUP-97-02863	CDM			278	RC		inpatient			507.5	507.5																																																			
LENS 6.5D ACRYLIC ASPHERIC	SUP-97-03090	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
LENS 6.5D ACRYLIC ASPHERIC	SUP-97-03090	CDM			278	RC		inpatient			507.5	507.5																																																			
FULL THEAD SCREW  3.5X30	SUP-97-03130	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
FULL THEAD SCREW  3.5X30	SUP-97-03130	CDM			278	RC		inpatient			507.5	507.5																																																			
FULL THEAD SCREW  3.5X32	SUP-97-03258	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
FULL THEAD SCREW  3.5X32	SUP-97-03258	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW SHORT THREAD HEADED 2.0X13	SUP-97-03456	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD HEADED 2.0X13	SUP-97-03456	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW SHORT THREAD HEADED 2.0X12	SUP-97-03506	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW SHORT THREAD HEADED 2.0X12	SUP-97-03506	CDM			278	RC		inpatient			507.5	507.5																																																			
CANN  FULL THREAD SCREW  HEADED  2.0X22	SUP-97-03614	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
CANN  FULL THREAD SCREW  HEADED  2.0X22	SUP-97-03614	CDM			278	RC		inpatient			507.5	507.5																																																			
CANN  FULL THREAD SCREW  HEADED  2.0X12	SUP-97-03617	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
CANN  FULL THREAD SCREW  HEADED  2.0X12	SUP-97-03617	CDM			278	RC		inpatient			507.5	507.5																																																			
CANN  FULL THREAD SCREW  HEADED  2.0X10	SUP-97-03618	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
CANN  FULL THREAD SCREW  HEADED  2.0X10	SUP-97-03618	CDM			278	RC		inpatient			507.5	507.5																																																			
CANNULATED  SHORT THREAD SCREW  HEADED	SUP-97-03782	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
CANNULATED  SHORT THREAD SCREW  HEADED	SUP-97-03782	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW  SHORT THREAD 3.0X12	SUP-97-03905	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW  SHORT THREAD 3.0X12	SUP-97-03905	CDM			278	RC		inpatient			507.5	507.5																																																			
3.0 X 24MM HEADED CANN.SHORT THREAD	SUP-97-04505	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
3.0 X 24MM HEADED CANN.SHORT THREAD	SUP-97-04505	CDM			278	RC		inpatient			507.5	507.5																																																			
QUICKFIX SCREW TI CANN PT 2.4X12MM	SUP-97-04637	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
QUICKFIX SCREW TI CANN PT 2.4X12MM	SUP-97-04637	CDM			278	RC		inpatient			507.5	507.5																																																			
QUICKFIX SCREW TI CANN PT 2.4X14MM	SUP-97-04638	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
QUICKFIX SCREW TI CANN PT 2.4X14MM	SUP-97-04638	CDM			278	RC		inpatient			507.5	507.5																																																			
QUICKFIX SCREW TI CANN PT 2.4X16MM	SUP-97-04639	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
QUICKFIX SCREW TI CANN PT 2.4X16MM	SUP-97-04639	CDM			278	RC		inpatient			507.5	507.5																																																			
QUICKFIX SCREW TI CANN PT 2.4X18MM	SUP-97-04880	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
QUICKFIX SCREW TI CANN PT 2.4X18MM	SUP-97-04880	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW MINI MONSTER HD SHRT THRED3.5X20MM	SUP-97-05114	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW MINI MONSTER HD SHRT THRED3.5X20MM	SUP-97-05114	CDM			278	RC		inpatient			507.5	507.5																																																			
LENS 20.5D	SUP-97-05199	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
LENS 20.5D	SUP-97-05199	CDM			278	RC		inpatient			507.5	507.5																																																			
QUICKFIX SCREW TI CANN PT 2.4 X 20MM	SUP-97-05299	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
QUICKFIX SCREW TI CANN PT 2.4 X 20MM	SUP-97-05299	CDM			278	RC		inpatient			507.5	507.5																																																			
QUICKFIX SCREW TI CANN PT 2.4X24MM	SUP-97-05318	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
QUICKFIX SCREW TI CANN PT 2.4X24MM	SUP-97-05318	CDM			278	RC		inpatient			507.5	507.5																																																			
IMPLANT LOOPLOC	SUP-97-05938	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
IMPLANT LOOPLOC	SUP-97-05938	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW 2.4 X 30MM TI CANNULATED PARTIALLY THREADED QUICKFIX	SUP-97-06226	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW 2.4 X 30MM TI CANNULATED PARTIALLY THREADED QUICKFIX	SUP-97-06226	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW MINI MONSTER HDED SHRT THRED 2X13M	SUP-97-23725	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW MINI MONSTER HDED SHRT THRED 2X13M	SUP-97-23725	CDM			278	RC		inpatient			507.5	507.5																																																			
SCREW MINI MONSTER HD SHRT THRED 2X11MM	SUP-97-23726	CDM			278	RC		outpatient			507.5	57.5	507.5				fee schedule		507.5				other	OPPS APC	289.28				percent of total billed charges		507.5				other	OPPS APC	507.5				other	OPPS APC	248.68				percent of total billed charges		258.83				percent of total billed charges		57.5				other	OPPS APC	57.5	507.5	
SCREW MINI MONSTER HD SHRT THRED 2X11MM	SUP-97-23726	CDM			278	RC		inpatient			507.5	507.5																																																			
HC Skin Abcess Drain Comp or Multiple	PX-450100611	CDM	10061	CPT	450	RC		outpatient			507	57	195.77				case rate		507				other	OPPS APC	375.18				percent of total billed charges		507				other	OPPS APC	507				other	OPPS APC	195.77				case rate		199.69				case rate		57				other	OPPS APC	57	507	
HC Skin Abcess Drain Comp or Multiple	PX-450100611	CDM	10061	CPT	450	RC		inpatient			507	507																																																			
HC Puncture Drainage of Lesion	PX-450101601	CDM	10160	CPT	450	RC		outpatient			507	392.92	195.77				case rate		392.92				other	OPPS APC	375.18				percent of total billed charges		392.92				other	OPPS APC	392.92				other	OPPS APC	195.77				case rate		199.69				case rate		392.92				other	OPPS APC	195.77	392.92	
HC Puncture Drainage of Lesion	PX-450101601	CDM	10160	CPT	450	RC		inpatient			507	507																																																			
HC I&D Abscess-Multiple	PX-761100610	CDM	10061	CPT	761	RC		outpatient			507	57	195.77				case rate		507				other	OPPS APC	375.18				percent of total billed charges		507				other	OPPS APC	507				other	OPPS APC	195.77				case rate		258.57				percent of total billed charges		57				other	OPPS APC	57	507	
HC I&D Abscess-Multiple	PX-761100610	CDM	10061	CPT	761	RC		inpatient			507	507																																																			
HC Puncture Aspiration of Abscess	PX-761101600	CDM	10160	CPT	761	RC		outpatient			507	392.92	195.77				case rate		392.92				other	OPPS APC	375.18				percent of total billed charges		392.92				other	OPPS APC	392.92				other	OPPS APC	195.77				case rate		258.57				percent of total billed charges		392.92				other	OPPS APC	195.77	392.92	
HC Puncture Aspiration of Abscess	PX-761101600	CDM	10160	CPT	761	RC		inpatient			507	507																																																			
HC Debride Sub Q W/Mod	PX-761110420	CDM	11042	CPT	761	RC		outpatient			507	392.92	195.77				case rate		392.92				other	OPPS APC	375.18				percent of total billed charges		392.92				other	OPPS APC	392.92				other	OPPS APC	195.77				case rate		258.57				percent of total billed charges		392.92				other	OPPS APC	195.77	392.92	
HC Debride Sub Q W/Mod	PX-761110420	CDM	11042	CPT	761	RC		inpatient			507	507																																																			
HC Neg Pressure Wound Treatment >50cm	PX-761976062	CDM	97606	CPT	761	RC		outpatient			507	392.92	195.77				case rate		392.92				other	OPPS APC	87.18				fee schedule		392.92				other	OPPS APC	392.92				other	OPPS APC	195.77				case rate		258.57				percent of total billed charges		392.92				other	OPPS APC	87.18	392.92	
HC Neg Pressure Wound Treatment >50cm	PX-761976062	CDM	97606	CPT	761	RC		inpatient			507	507																																																			
RELOAD STAPLER CONTOUR 40MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 4 ROW CARTRIDGE	SUP-CR40B	CDM			270	RC		outpatient			506.21	56.3	137.13				percent of total billed charges		506.21				other	OPPS APC	374.6				percent of total billed charges		506.21				other	OPPS APC	506.21				other	OPPS APC	137.13				percent of total billed charges		139.87				percent of total billed charges		56.3				other	OPPS APC	56.3	506.21	
RELOAD STAPLER CONTOUR 40MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 4 ROW CARTRIDGE	SUP-CR40B	CDM			270	RC		inpatient			506.21	506.21																																																			
ASYMMETRIC PATELLA 40	SUP-97-02267	CDM			278	RC		outpatient			506.1	56.12	506.1				fee schedule		506.1				other	OPPS APC	288.48				percent of total billed charges		506.1				other	OPPS APC	506.1				other	OPPS APC	247.99				percent of total billed charges		258.11				percent of total billed charges		56.12				other	OPPS APC	56.12	506.1	
ASYMMETRIC PATELLA 40	SUP-97-02267	CDM			278	RC		inpatient			506.1	506.1																																																			
SCREW BONE VARIAX TITANIUM T7 L16 MM OD2.7 MM FOOT LOCK PLATING SYSTEM	SUP-40-27616	CDM			270	RC		outpatient			505.6	55.62	136.97				percent of total billed charges		505.6				other	OPPS APC	374.14				percent of total billed charges		505.6				other	OPPS APC	505.6				other	OPPS APC	136.97				percent of total billed charges		139.7				percent of total billed charges		55.62				other	OPPS APC	55.62	505.6	
SCREW BONE VARIAX TITANIUM T7 L16 MM OD2.7 MM FOOT LOCK PLATING SYSTEM	SUP-40-27616	CDM			270	RC		inpatient			505.6	505.6																																																			
SCREW BONE VARIAX TITANIUM T7 L18 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27618	CDM			270	RC		outpatient			505.6	55.62	136.97				percent of total billed charges		505.6				other	OPPS APC	374.14				percent of total billed charges		505.6				other	OPPS APC	505.6				other	OPPS APC	136.97				percent of total billed charges		139.7				percent of total billed charges		55.62				other	OPPS APC	55.62	505.6	
SCREW BONE VARIAX TITANIUM T7 L18 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27618	CDM			270	RC		inpatient			505.6	505.6																																																			
SCREW BONE VARIAX TITANIUM T7 L20 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27620	CDM			270	RC		outpatient			505.6	55.62	136.97				percent of total billed charges		505.6				other	OPPS APC	374.14				percent of total billed charges		505.6				other	OPPS APC	505.6				other	OPPS APC	136.97				percent of total billed charges		139.7				percent of total billed charges		55.62				other	OPPS APC	55.62	505.6	
SCREW BONE VARIAX TITANIUM T7 L20 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27620	CDM			270	RC		inpatient			505.6	505.6																																																			
SCREW STRYKER 2.7MM LOCKING 22MM	SUP-40-27622	CDM			270	RC		outpatient			505.6	55.62	136.97				percent of total billed charges		505.6				other	OPPS APC	374.14				percent of total billed charges		505.6				other	OPPS APC	505.6				other	OPPS APC	136.97				percent of total billed charges		139.7				percent of total billed charges		55.62				other	OPPS APC	55.62	505.6	
SCREW STRYKER 2.7MM LOCKING 22MM	SUP-40-27622	CDM			270	RC		inpatient			505.6	505.6																																																			
END CAP T2 GTN	SUP-97-04227	CDM			278	RC		outpatient			505.12	55.12	505.12				fee schedule		505.12				other	OPPS APC	287.92				percent of total billed charges		505.12				other	OPPS APC	505.12				other	OPPS APC	247.51				percent of total billed charges		257.61				percent of total billed charges		55.12				other	OPPS APC	55.12	505.12	
END CAP T2 GTN	SUP-97-04227	CDM			278	RC		inpatient			505.12	505.12																																																			
ASSEMBLY CABLE PIN ZIMMER CABLE-READY COCR L91 CM L14.5 MM X H4 MM OD1.8 MM CERCLAGE STERILE NCB	SUP-00-2232-002-28	CDM			270	RC		outpatient			504.76	54.76	136.74				percent of total billed charges		504.76				other	OPPS APC	373.52				percent of total billed charges		504.76				other	OPPS APC	504.76				other	OPPS APC	136.74				percent of total billed charges		139.47				percent of total billed charges		54.76				other	OPPS APC	54.76	504.76	
ASSEMBLY CABLE PIN ZIMMER CABLE-READY COCR L91 CM L14.5 MM X H4 MM OD1.8 MM CERCLAGE STERILE NCB	SUP-00-2232-002-28	CDM			270	RC		inpatient			504.76	504.76																																																			
SCREW LCKNG PERIPROSTHETIC 12MM	SUP-97-05780	CDM			278	RC		outpatient			504.07	54.7	504.07				fee schedule		504.07				other	OPPS APC	287.32				percent of total billed charges		504.07				other	OPPS APC	504.07				other	OPPS APC	246.99				percent of total billed charges		257.08				percent of total billed charges		54.7				other	OPPS APC	54.7	504.07	
SCREW LCKNG PERIPROSTHETIC 12MM	SUP-97-05780	CDM			278	RC		inpatient			504.07	504.07																																																			
DRILL STRYKER AO	SUP-1806-4260S	CDM			270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
DRILL STRYKER AO	SUP-1806-4260S	CDM			270	RC		inpatient			504	504																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L20 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.72	CDM	270010022	LOCAL	270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L20 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.72	CDM	270010022	LOCAL	270	RC		inpatient			504	504																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 20MM SS FULL THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.720	CDM	270010022	LOCAL	270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
SCREW BONE 4.5MM 6.5MM 7.5MM 20MM SS FULL THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.720	CDM	270010022	LOCAL	270	RC		inpatient			504	504																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L30 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.73	CDM	270010022	LOCAL	270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L30 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.73	CDM	270010022	LOCAL	270	RC		inpatient			504	504																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 30MM SS FULL THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.730	CDM	270010022	LOCAL	270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
SCREW BONE 4.5MM 6.5MM 7.5MM 30MM SS FULL THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.730	CDM	270010022	LOCAL	270	RC		inpatient			504	504																																																			
SCREW BONE FULL THREAD 40MM 4.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL LG HEXAGONAL	SUP-214.74	CDM	270010022	LOCAL	270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
SCREW BONE FULL THREAD 40MM 4.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL LG HEXAGONAL	SUP-214.74	CDM	270010022	LOCAL	270	RC		inpatient			504	504																																																			
SCREW BONE 4.5MM 6.5MM 40MM SS 3.5MM FULL THREAD LONG BONE CANNULATED SELF DRILL SELF	SUP-214.740	CDM	270010022	LOCAL	270	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
SCREW BONE 4.5MM 6.5MM 40MM SS 3.5MM FULL THREAD LONG BONE CANNULATED SELF DRILL SELF	SUP-214.740	CDM	270010022	LOCAL	270	RC		inpatient			504	504																																																			
HRIS INVERTED V TIP .25X120	SUP-95-04751	CDM			272	RC		outpatient			504	54	136.53				percent of total billed charges		504				other	OPPS APC	372.96				percent of total billed charges		504				other	OPPS APC	504				other	OPPS APC	136.53				percent of total billed charges		139.26				percent of total billed charges		54				other	OPPS APC	54	504	
HRIS INVERTED V TIP .25X120	SUP-95-04751	CDM			272	RC		inpatient			504	504																																																			
SCREW BONE XL25 L26 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.026S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L26 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.026S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L28 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.028S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L28 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.028S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM XL25 L30 MM OD5 MM MEDULLARY LOCK STERILE LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM	SUP-04.045.030S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE TITANIUM ALUMINUM NIOBIUM XL25 L30 MM OD5 MM MEDULLARY LOCK STERILE LIGHT GREEN 4.2 MM DRILL TFN-ADVANCED PROXIMAL FEMORAL NAIL SYSTEM	SUP-04.045.030S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L40 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.040S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L40 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.040S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L44 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.044S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L44 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.044S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L46 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.046S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L46 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.046S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L48 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.048S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L48 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.048S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L58 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.058S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L58 MM OD5 MM LOCK INTRAMEDULLARY NAIL	SUP-04.045.058S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L50 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.060S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L50 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.060S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L64 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.064S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L64 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.064S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE XL25 L72 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.072S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE XL25 L72 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.072S	CDM			270	RC		inpatient			503.8	503.8																																																			
SCREW BONE L80 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.080S	CDM			270	RC		outpatient			503.8	53.81	136.48				percent of total billed charges		503.8				other	OPPS APC	372.81				percent of total billed charges		503.8				other	OPPS APC	503.8				other	OPPS APC	136.48				percent of total billed charges		139.2				percent of total billed charges		53.81				other	OPPS APC	53.81	503.8	
SCREW BONE L80 MM OD5 MM LOCK STERILE INTRAMEDULLARY NAIL	SUP-04.045.080S	CDM			270	RC		inpatient			503.8	503.8																																																			
REAMER BLADEPATELLA W/ PILOT HOLE SZ46	SUP-97-02204	CDM			272	RC		outpatient			503.13	53.13	136.3				percent of total billed charges		503.13				other	OPPS APC	372.32				percent of total billed charges		503.13				other	OPPS APC	503.13				other	OPPS APC	136.3				percent of total billed charges		139.01				percent of total billed charges		53.13				other	OPPS APC	53.13	503.13	
REAMER BLADEPATELLA W/ PILOT HOLE SZ46	SUP-97-02204	CDM			272	RC		inpatient			503.13	503.13																																																			
REAMER BLADEPATELLA W/ PILOT HOLE SZ41	SUP-97-02753	CDM			272	RC		outpatient			503.13	53.13	136.3				percent of total billed charges		503.13				other	OPPS APC	372.32				percent of total billed charges		503.13				other	OPPS APC	503.13				other	OPPS APC	136.3				percent of total billed charges		139.01				percent of total billed charges		53.13				other	OPPS APC	53.13	503.13	
REAMER BLADEPATELLA W/ PILOT HOLE SZ41	SUP-97-02753	CDM			272	RC		inpatient			503.13	503.13																																																			
REAMER BLADE PATELLA W/ PILOT HOLE SZ38	SUP-97-03017	CDM			272	RC		outpatient			503.13	53.13	136.3				percent of total billed charges		503.13				other	OPPS APC	372.32				percent of total billed charges		503.13				other	OPPS APC	503.13				other	OPPS APC	136.3				percent of total billed charges		139.01				percent of total billed charges		53.13				other	OPPS APC	53.13	503.13	
REAMER BLADE PATELLA W/ PILOT HOLE SZ38	SUP-97-03017	CDM			272	RC		inpatient			503.13	503.13																																																			
REAMER BLADE PATELLA W/ PILOT HOLE SZ51	SUP-97-03544	CDM			272	RC		outpatient			503.13	53.13	136.3				percent of total billed charges		503.13				other	OPPS APC	372.32				percent of total billed charges		503.13				other	OPPS APC	503.13				other	OPPS APC	136.3				percent of total billed charges		139.01				percent of total billed charges		53.13				other	OPPS APC	53.13	503.13	
REAMER BLADE PATELLA W/ PILOT HOLE SZ51	SUP-97-03544	CDM			272	RC		inpatient			503.13	503.13																																																			
REAMER BLADEPATELLA W/ PILOT HOLE SZ51	SUP-97-03857	CDM			272	RC		outpatient			503.13	53.13	136.3				percent of total billed charges		503.13				other	OPPS APC	372.32				percent of total billed charges		503.13				other	OPPS APC	503.13				other	OPPS APC	136.3				percent of total billed charges		139.01				percent of total billed charges		53.13				other	OPPS APC	53.13	503.13	
REAMER BLADEPATELLA W/ PILOT HOLE SZ51	SUP-97-03857	CDM			272	RC		inpatient			503.13	503.13																																																			
BONE SCREW 6.5 X 30 SELF-TAP	SUP-97-04290	CDM			278	RC		outpatient			503.13	53.13	503.13				fee schedule		503.13				other	OPPS APC	286.78				percent of total billed charges		503.13				other	OPPS APC	503.13				other	OPPS APC	246.53				percent of total billed charges		256.6				percent of total billed charges		53.13				other	OPPS APC	53.13	503.13	
BONE SCREW 6.5 X 30 SELF-TAP	SUP-97-04290	CDM			278	RC		inpatient			503.13	503.13																																																			
COLLAR CERVICAL ASPEN FLEXTABS PD4 2-5 YRS FOAM COTTON PEDIATRIC CHIN DOT HOOK LOOP STRAP	SUP-983102	CDM			270	RC		outpatient			502.52	52.52	136.13				percent of total billed charges		502.52				other	OPPS APC	371.86				percent of total billed charges		502.52				other	OPPS APC	502.52				other	OPPS APC	136.13				percent of total billed charges		138.85				percent of total billed charges		52.52				other	OPPS APC	52.52	502.52	
COLLAR CERVICAL ASPEN FLEXTABS PD4 2-5 YRS FOAM COTTON PEDIATRIC CHIN DOT HOOK LOOP STRAP	SUP-983102	CDM			270	RC		inpatient			502.52	502.52																																																			
WIRE K 400MM 3.2MM	SUP-97-02614	CDM			278	RC		outpatient			502.43	52.43	502.43				fee schedule		502.43				other	OPPS APC	286.39				percent of total billed charges		502.43				other	OPPS APC	502.43				other	OPPS APC	246.19				percent of total billed charges		256.24				percent of total billed charges		52.43				other	OPPS APC	52.43	502.43	
WIRE K 400MM 3.2MM	SUP-97-02614	CDM			278	RC		inpatient			502.43	502.43																																																			
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD7 MM DISPOSABLE ML	SUP-874-457	CDM	270010020	LOCAL	270	RC		outpatient			502.4	52.4	136.1				percent of total billed charges		502.4				other	OPPS APC	371.78				percent of total billed charges		502.4				other	OPPS APC	502.4				other	OPPS APC	136.1				percent of total billed charges		138.81				percent of total billed charges		52.4				other	OPPS APC	52.4	502.4	
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD7 MM DISPOSABLE ML	SUP-874-457	CDM	270010020	LOCAL	270	RC		inpatient			502.4	502.4																																																			
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD8 MM DISPOSABLE ML	SUP-874-458	CDM	270010020	LOCAL	270	RC		outpatient			502.4	52.4	136.1				percent of total billed charges		502.4				other	OPPS APC	371.78				percent of total billed charges		502.4				other	OPPS APC	502.4				other	OPPS APC	136.1				percent of total billed charges		138.81				percent of total billed charges		52.4				other	OPPS APC	52.4	502.4	
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD8 MM DISPOSABLE ML	SUP-874-458	CDM	270010020	LOCAL	270	RC		inpatient			502.4	502.4																																																			
AIRSEAL 8MM CANNULA CAP AND OB	SUP-95-04756	CDM			272	RC		outpatient			502.25	52.25	136.06				percent of total billed charges		502.25				other	OPPS APC	371.67				percent of total billed charges		502.25				other	OPPS APC	502.25				other	OPPS APC	136.06				percent of total billed charges		138.77				percent of total billed charges		52.25				other	OPPS APC	52.25	502.25	
AIRSEAL 8MM CANNULA CAP AND OB	SUP-95-04756	CDM			272	RC		inpatient			502.25	502.25																																																			
AIRSEAL ROBOTIC XI LONG	SUP-95-04757	CDM			272	RC		outpatient			502.25	52.25	136.06				percent of total billed charges		502.25				other	OPPS APC	371.67				percent of total billed charges		502.25				other	OPPS APC	502.25				other	OPPS APC	136.06				percent of total billed charges		138.77				percent of total billed charges		52.25				other	OPPS APC	52.25	502.25	
AIRSEAL ROBOTIC XI LONG	SUP-95-04757	CDM			272	RC		inpatient			502.25	502.25																																																			
INSUFFLATION TUBING DAVINCI AIRSEAL BIFURCATED FILTERED	SUP-95-04759	CDM			272	RC		outpatient			502.25	52.25	136.06				percent of total billed charges		502.25				other	OPPS APC	371.67				percent of total billed charges		502.25				other	OPPS APC	502.25				other	OPPS APC	136.06				percent of total billed charges		138.77				percent of total billed charges		52.25				other	OPPS APC	52.25	502.25	
INSUFFLATION TUBING DAVINCI AIRSEAL BIFURCATED FILTERED	SUP-95-04759	CDM			272	RC		inpatient			502.25	502.25																																																			
APPLICATOR VISTA SEAL DUAL	SUP-97-05472	CDM			272	RC		outpatient			502.11	52.11	136.02				percent of total billed charges		502.11				other	OPPS APC	371.56				percent of total billed charges		502.11				other	OPPS APC	502.11				other	OPPS APC	136.02				percent of total billed charges		138.73				percent of total billed charges		52.11				other	OPPS APC	52.11	502.11	
APPLICATOR VISTA SEAL DUAL	SUP-97-05472	CDM			272	RC		inpatient			502.11	502.11																																																			
NEEDLE TRANSSEPTAL BRK 1 98CM	SUP-407207	CDM			270	RC		outpatient			502	52	135.99				percent of total billed charges		502				other	OPPS APC	371.48				percent of total billed charges		502				other	OPPS APC	502				other	OPPS APC	135.99				percent of total billed charges		138.7				percent of total billed charges		52				other	OPPS APC	52	502	
NEEDLE TRANSSEPTAL BRK 1 98CM	SUP-407207	CDM			270	RC		inpatient			502	502																																																			
PLATE BONE Y 18X11X.5MM TITANIUM NS CRANIOFACIAL 2X5 HOLE 1MM CORTEX SCREW	SUP-420.620	CDM	270010022	LOCAL	270	RC		outpatient			501.52	51.52	135.86				percent of total billed charges		501.52				other	OPPS APC	371.12				percent of total billed charges		501.52				other	OPPS APC	501.52				other	OPPS APC	135.86				percent of total billed charges		138.57				percent of total billed charges		51.52				other	OPPS APC	51.52	501.52	
PLATE BONE Y 18X11X.5MM TITANIUM NS CRANIOFACIAL 2X5 HOLE 1MM CORTEX SCREW	SUP-420.620	CDM	270010022	LOCAL	270	RC		inpatient			501.52	501.52																																																			
NAIL INTRAMEDULLARY TITANIUM PEDIATRIC L440 MM OD2 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE GREEN	SUP-475.920	CDM	270010022	LOCAL	270	RC		outpatient			501.5	51.5	135.86				percent of total billed charges		501.5				other	OPPS APC	371.11				percent of total billed charges		501.5				other	OPPS APC	501.5				other	OPPS APC	135.86				percent of total billed charges		138.56				percent of total billed charges		51.5				other	OPPS APC	51.5	501.5	
NAIL INTRAMEDULLARY TITANIUM PEDIATRIC L440 MM OD2 MM DIAPHYSIS METAPHYSIS EPIPHYSIS ELASTIC SYMMETRICAL BRACING ACTION NONSTERILE GREEN	SUP-475.920	CDM	270010022	LOCAL	270	RC		inpatient			501.5	501.5																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L140 MM OD7.3 MM CANNULATED STERILE	SUP-209.740S	CDM	270010022	LOCAL	270	RC		outpatient			500.64	5.64	135.62				percent of total billed charges		500.64				other	OPPS APC	370.47				percent of total billed charges		500.64				other	OPPS APC	500.64				other	OPPS APC	135.62				percent of total billed charges		138.33				percent of total billed charges		5.64				other	OPPS APC	5.64	500.64	
SCREW BONE STAINLESS STEEL FULL THREAD L140 MM OD7.3 MM CANNULATED STERILE	SUP-209.740S	CDM	270010022	LOCAL	270	RC		inpatient			500.64	500.64																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L150 MM OD7.3 MM CANNULATED STERILE	SUP-209.750S	CDM	270010022	LOCAL	270	RC		outpatient			500.64	5.64	135.62				percent of total billed charges		500.64				other	OPPS APC	370.47				percent of total billed charges		500.64				other	OPPS APC	500.64				other	OPPS APC	135.62				percent of total billed charges		138.33				percent of total billed charges		5.64				other	OPPS APC	5.64	500.64	
SCREW BONE STAINLESS STEEL FULL THREAD L150 MM OD7.3 MM CANNULATED STERILE	SUP-209.750S	CDM	270010022	LOCAL	270	RC		inpatient			500.64	500.64																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L160 MM OD7.3 MM CANNULATED STERILE	SUP-209.760S	CDM	270010022	LOCAL	270	RC		outpatient			500.64	5.64	135.62				percent of total billed charges		500.64				other	OPPS APC	370.47				percent of total billed charges		500.64				other	OPPS APC	500.64				other	OPPS APC	135.62				percent of total billed charges		138.33				percent of total billed charges		5.64				other	OPPS APC	5.64	500.64	
SCREW BONE STAINLESS STEEL FULL THREAD L160 MM OD7.3 MM CANNULATED STERILE	SUP-209.760S	CDM	270010022	LOCAL	270	RC		inpatient			500.64	500.64																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L165 MM OD7.3 MM CANNULATED STERILE	SUP-209.765S	CDM	270010022	LOCAL	270	RC		outpatient			500.64	5.64	135.62				percent of total billed charges		500.64				other	OPPS APC	370.47				percent of total billed charges		500.64				other	OPPS APC	500.64				other	OPPS APC	135.62				percent of total billed charges		138.33				percent of total billed charges		5.64				other	OPPS APC	5.64	500.64	
SCREW BONE STAINLESS STEEL FULL THREAD L165 MM OD7.3 MM CANNULATED STERILE	SUP-209.765S	CDM	270010022	LOCAL	270	RC		inpatient			500.64	500.64																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L170 MM OD7.3 MM CANNULATED STERILE	SUP-209.770S	CDM	270010022	LOCAL	270	RC		outpatient			500.64	5.64	135.62				percent of total billed charges		500.64				other	OPPS APC	370.47				percent of total billed charges		500.64				other	OPPS APC	500.64				other	OPPS APC	135.62				percent of total billed charges		138.33				percent of total billed charges		5.64				other	OPPS APC	5.64	500.64	
SCREW BONE STAINLESS STEEL FULL THREAD L170 MM OD7.3 MM CANNULATED STERILE	SUP-209.770S	CDM	270010022	LOCAL	270	RC		inpatient			500.64	500.64																																																			
HC Acth (Acth)	PX-300820240	CDM	82024	CPT	301	RC		outpatient			500	38.62	51.65				fee schedule		38.62				fee schedule		102.54				fee schedule		38.62				fee schedule		38.62				fee schedule		38.62				fee schedule		38.62				fee schedule		38.62				fee schedule		38.62	102.54	
HC Acth (Acth)	PX-300820240	CDM	82024	CPT	301	RC		inpatient			500	500																																																			
HC Hiv-1 Genotypic PR Rt-Resistance P	PX-300879010	CDM	87901	CPT	300	RC		outpatient			500	5	344.2				fee schedule		500				fee schedule		683.41				fee schedule		500				fee schedule		500				fee schedule		257.45				fee schedule		257.45				fee schedule		5				fee schedule		5	683.41	
HC Hiv-1 Genotypic PR Rt-Resistance P	PX-300879010	CDM	87901	CPT	300	RC		inpatient			500	500																																																			
HC Frozen Section	PX-310883310	CDM	88331	CPT	310	RC		outpatient			500	165.62	85.84				fee schedule		165.62				other	OPPS APC	69.2				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	245				percent of total billed charges		255				percent of total billed charges		165.62				other	OPPS APC	69.2	255	
HC Frozen Section	PX-310883310	CDM	88331	CPT	310	RC		inpatient			500	500																																																			
HC Immunofluorescence	PX-310883460	CDM	88346	CPT	310	RC		outpatient			500	341.36	90.16				fee schedule		341.36				other	OPPS APC	69.13				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	245				percent of total billed charges		255				percent of total billed charges		341.36				other	OPPS APC	69.13	341.36	
HC Immunofluorescence	PX-310883460	CDM	88346	CPT	310	RC		inpatient			500	500																																																			
HC IR Abscess Drain	PX-320759891	CDM	75989	CPT	320	RC		outpatient			500	5	127.58				fee schedule		500				other	OPPS APC	449.38				fee schedule		500				other	OPPS APC	500				other	OPPS APC	112.83				fee schedule		57.91				fee schedule		5				other	OPPS APC	5	500	
HC IR Abscess Drain	PX-320759891	CDM	75989	CPT	320	RC		inpatient			500	500																																																			
HC Tx Device Intermediate (Mod 59)	PX-333773331	CDM	77333	CPT	333	RC		outpatient			500	5	52.88				fee schedule		500				other	OPPS APC	284.71				fee schedule		500				other	OPPS APC	500				other	OPPS APC	137.67				fee schedule		97.86				fee schedule		5				other	OPPS APC	5	500	
HC Tx Device Intermediate (Mod 59)	PX-333773331	CDM	77333	CPT	333	RC		inpatient			500	500																																																			
HC CT Percut Drain Abscess W or W/Ocath	PX-350759891	CDM	75989	CPT	350	RC		outpatient			500	5	127.58				fee schedule		500				other	OPPS APC	449.38				fee schedule		500				other	OPPS APC	500				other	OPPS APC	112.83				fee schedule		57.91				fee schedule		5				other	OPPS APC	5	500	
HC CT Percut Drain Abscess W or W/Ocath	PX-350759891	CDM	75989	CPT	350	RC		inpatient			500	500																																																			
HC Breast Surgical Specimen (2)	PX-401760980	CDM	76098	CPT	401	RC		outpatient			500	530	19.42				fee schedule		529.91				other	OPPS APC	59.89				fee schedule		529.91				other	OPPS APC	529.91				other	OPPS APC	42.07				fee schedule		26.94				fee schedule		530				other	OPPS APC	19.42	530	
HC Breast Surgical Specimen (2)	PX-401760980	CDM	76098	CPT	401	RC		inpatient			500	500																																																			
HC Abscess Drainage W/Catheter-US Guide	PX-402759891	CDM	75989	CPT	402	RC		outpatient			500	5	127.58				fee schedule		500				other	OPPS APC	449.38				fee schedule		500				other	OPPS APC	500				other	OPPS APC	112.83				fee schedule		57.91				fee schedule		5				other	OPPS APC	5	500	
HC Abscess Drainage W/Catheter-US Guide	PX-402759891	CDM	75989	CPT	402	RC		inpatient			500	500																																																			
HC US Axillary	PX-402768820	CDM	76882	CPT	402	RC		outpatient			500	112.57	36.07				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	42.02				fee schedule		31.27				fee schedule		112.57				other	OPPS APC	31.27	209.11	
HC US Axillary	PX-402768820	CDM	76882	CPT	402	RC		inpatient			500	500																																																			
HC Endoscopy Procedure Ea Addl 15 Mins	PX-750000003	CDM	750000003	LOCAL	750	RC		outpatient			500	5	245				percent of total billed charges		500				other	OPPS APC	500				fee schedule		500				other	OPPS APC	500				other	OPPS APC	245				percent of total billed charges		255				percent of total billed charges		5				other	OPPS APC	5	500	
HC Endoscopy Procedure Ea Addl 15 Mins	PX-750000003	CDM	750000003	LOCAL	750	RC		inpatient			500	500																																																			
ROD SPINAL ELLIPSE L40 MM OD3.5 MM STERILE	SUP-182.804	CDM	270010020	LOCAL	270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ROD SPINAL ELLIPSE L40 MM OD3.5 MM STERILE	SUP-182.804	CDM	270010020	LOCAL	270	RC		inpatient			500	500																																																			
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE PEARL STERILE LATEX FREE DISPOSABLE	SUP-214-228	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE PEARL STERILE LATEX FREE DISPOSABLE	SUP-214-228	CDM			270	RC		inpatient			500	500																																																			
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE CORAL STERILE LATEX FREE DISPOSABLE	SUP-214-251	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
DEVICE TISSUE REMOVAL AVETA HYSTEROSCOPE CORAL STERILE LATEX FREE DISPOSABLE	SUP-214-251	CDM			270	RC		inpatient			500	500																																																			
KIT NEUROSTIMULATOR INTERSTIM L100 CM PERCUTANEOUS ELECTRODE INSULATED STERILE DISPOSABLE	SUP-3560022	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
KIT NEUROSTIMULATOR INTERSTIM L100 CM PERCUTANEOUS ELECTRODE INSULATED STERILE DISPOSABLE	SUP-3560022	CDM			270	RC		inpatient			500	500																																																			
ELECTRODE NEUROSTIMULATOR INTERSTIM L100 CM 2.16MM SPACING STERILE DISPOSABLE	SUP-3560030	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ELECTRODE NEUROSTIMULATOR INTERSTIM L100 CM 2.16MM SPACING STERILE DISPOSABLE	SUP-3560030	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L150 MM OD7 FR ODSEC5 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-50151	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L150 CM L150 MM OD7 FR ODSEC5 MM ID5 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-39032-50151	CDM			270	RC		inpatient			500	500																																																			
INTRODUCER SHEATH ULTIMUM SWARTZ LAMP 45 CURVE L81 CM L180 CM OD8.5 FR TRANSSEPTAL BRAID ULTRASOFT TIP ACCEPTS .032 IN SUPER STIFF	SUP-407363	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
INTRODUCER SHEATH ULTIMUM SWARTZ LAMP 45 CURVE L81 CM L180 CM OD8.5 FR TRANSSEPTAL BRAID ULTRASOFT TIP ACCEPTS .032 IN SUPER STIFF	SUP-407363	CDM			270	RC		inpatient			500	500																																																			
PORT IMPLANTABLE INFUSION POWERPORT CLEARVUE OD6 FR SLIM SUTURE PLUG	SUP-5616000	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
PORT IMPLANTABLE INFUSION POWERPORT CLEARVUE OD6 FR SLIM SUTURE PLUG	SUP-5616000	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 40MM	SUP-602640	CDM	270010022	LOCAL	270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 40MM	SUP-602640	CDM	270010022	LOCAL	270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 45MM	SUP-602645	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 45MM	SUP-602645	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 50MM	SUP-602650	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 50MM	SUP-602650	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L55 MM L20 MM OD6.5 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-602655	CDM	270010020	LOCAL	270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L55 MM L20 MM OD6.5 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-602655	CDM	270010020	LOCAL	270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L85 MM L20 MM OD6.5 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-602658S	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L85 MM L20 MM OD6.5 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-602658S	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD LOW PROFILE REVERSE CUT FLUTE L60 MM L20 MM OD6.5 MM SMALL BONE LONG BONE CANNULATED SELF DRILLING NONSTERILE	SUP-602660	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD LOW PROFILE REVERSE CUT FLUTE L60 MM L20 MM OD6.5 MM SMALL BONE LONG BONE CANNULATED SELF DRILLING NONSTERILE	SUP-602660	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L65 MM L20 MM OD6.5 MM HIP FEMUR SELF TAP SELF DRILL CANNULATED STERILE	SUP-602665	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L65 MM L20 MM OD6.5 MM HIP FEMUR SELF TAP SELF DRILL CANNULATED STERILE	SUP-602665	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD L70 MM L20 MM OD6.5 MM HIP FEMUR CANNULATED STERILE	SUP-602670	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD L70 MM L20 MM OD6.5 MM HIP FEMUR CANNULATED STERILE	SUP-602670	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L75 MM L20 MM OD6.5 MM HIP FEMUR SELF TAP SELF DRILL CANNULATED STERILE	SUP-602675	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L75 MM L20 MM OD6.5 MM HIP FEMUR SELF TAP SELF DRILL CANNULATED STERILE	SUP-602675	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L80 MM L20 MM OD6.5 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-602680	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L80 MM L20 MM OD6.5 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-602680	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L85 MM L20 MM OD6.5 MM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED	SUP-602685	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L85 MM L20 MM OD6.5 MM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED	SUP-602685	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD L90 MM L20 MM OD6.5 MM HIP FEMUR LOW PROFILE CANNULATED SELF DRILLING STERILE	SUP-602690	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD L90 MM L20 MM OD6.5 MM HIP FEMUR LOW PROFILE CANNULATED SELF DRILLING STERILE	SUP-602690	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L95 MM L20 MM OD6.5 MM HIP FEMORAL SELF TAP SELF DRILL CANNULATED STERILE	SUP-602695	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L95 MM L20 MM OD6.5 MM HIP FEMORAL SELF TAP SELF DRILL CANNULATED STERILE	SUP-602695	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 100MM	SUP-602700	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 100MM	SUP-602700	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 105M	SUP-602705	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 105M	SUP-602705	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 110MM	SUP-602710	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 110MM	SUP-602710	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 115MM	SUP-602715	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 115MM	SUP-602715	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 120MM	SUP-602720	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED PARTIAL THREAD 120MM	SUP-602720	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 55MM	SUP-602855	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 55MM	SUP-602855	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 60MM	SUP-602860	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 60MM	SUP-602860	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 65MM	SUP-602865	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 65MM	SUP-602865	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 70MM	SUP-602870	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 70MM	SUP-602870	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 75MM	SUP-602875	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 75MM	SUP-602875	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 80MM	SUP-602880	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 80MM	SUP-602880	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 85MM	SUP-602885	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 85MM	SUP-602885	CDM			270	RC		inpatient			500	500																																																			
SCREW STRYKER 6.5MM CANNULATED 90MM LT	SUP-602890	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW STRYKER 6.5MM CANNULATED 90MM LT	SUP-602890	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 95MM	SUP-602895	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 95MM	SUP-602895	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 100MM	SUP-602900	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 100MM	SUP-602900	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 105MM	SUP-602905	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 105MM	SUP-602905	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 110MM	SUP-602910	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 110MM	SUP-602910	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 115MM	SUP-602915	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 115MM	SUP-602915	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 120MM	SUP-602920	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 6.5MM CANNULATED FULLY THREAD 120MM	SUP-602920	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 40MM	SUP-611040	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 40MM	SUP-611040	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L45 MM L25 MM OD8 MM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED	SUP-611045	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L45 MM L25 MM OD8 MM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED	SUP-611045	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE ASNIS III TITANIUM L50 MM L25 MM OD8 MM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED	SUP-611050	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE ASNIS III TITANIUM L50 MM L25 MM OD8 MM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED	SUP-611050	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 60MM	SUP-611060	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 60MM	SUP-611060	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 65MM	SUP-611065	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 65MM	SUP-611065	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 70MM	SUP-611070	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 70MM	SUP-611070	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 75MM	SUP-611075	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 75MM	SUP-611075	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 80MM	SUP-611080	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 80MM	SUP-611080	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 85MM	SUP-611085	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 85MM	SUP-611085	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 90MM	SUP-611090	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 90MM	SUP-611090	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 95MM	SUP-611095	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 95MM	SUP-611095	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 100MM	SUP-611100	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 100MM	SUP-611100	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 110MM	SUP-611110	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 110MM	SUP-611110	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 115MM	SUP-611115	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 115MM	SUP-611115	CDM			270	RC		inpatient			500	500																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 120MM	SUP-611120	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 120MM	SUP-611120	CDM			270	RC		inpatient			500	500																																																			
FILLER BONE VOID OSFERION 75 D THK7 MM TRAPEZOID L25 MM X W9 MM	SUP-AR-13372-2	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
FILLER BONE VOID OSFERION 75 D THK7 MM TRAPEZOID L25 MM X W9 MM	SUP-AR-13372-2	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L22 MM OD6.5 MM CANCELLOUS HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-22	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L22 MM OD6.5 MM CANCELLOUS HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-22	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L24 MM OD6.5 MM CANCELLOUS HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-24	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L24 MM OD6.5 MM CANCELLOUS HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-24	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L30 MM OD6.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-30	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L30 MM OD6.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-30	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L32 MM OD6.5 MM CANCELLOUS HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-32	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L32 MM OD6.5 MM CANCELLOUS HIGH TIBIAL OSTEOTOMY	SUP-AR-13401-32	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L32 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-32	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L32 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-32	CDM			270	RC		inpatient			500	500																																																			
SCREW HTO ANCHOR IBALANCE CORTICAL 32MM	SUP-AR-13402-32	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW HTO ANCHOR IBALANCE CORTICAL 32MM	SUP-AR-13402-32	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L36 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-36	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L36 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-36	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L38 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-38	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L38 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-38	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L40 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-40	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L40 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-40	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L42 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-42	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L42 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-42	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L44 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-44	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L44 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-44	CDM			270	RC		inpatient			500	500																																																			
ANCHOR SUTURE IBALANCE L46 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-46	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
ANCHOR SUTURE IBALANCE L46 MM OD4.5 MM CORTICAL HIGH TIBIAL OSTEOTOMY	SUP-AR-13402-46	CDM			270	RC		inpatient			500	500																																																			
COUNTERSINK	SUP-AR-8932-23	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
COUNTERSINK	SUP-AR-8932-23	CDM			270	RC		inpatient			500	500																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 3.5 MM L40 MM L18 MM OD6.7 MM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE	SUP-AR-8967-1840	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
SCREW BONE LOW PROFILE SCREWS TITANIUM 3.5 MM L40 MM L18 MM OD6.7 MM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096 IN GUIDEWIRE	SUP-AR-8967-1840	CDM			270	RC		inpatient			500	500																																																			
DRILL BIT CINCHLOCK FLEX	SUP-CAT02644	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
DRILL BIT CINCHLOCK FLEX	SUP-CAT02644	CDM			270	RC		inpatient			500	500																																																			
CABLE ELECTROPHYSIOLOGY EPSTAR	SUP-DEX-10	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CABLE ELECTROPHYSIOLOGY EPSTAR	SUP-DEX-10	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING MONORAIL LOW PROFILE TAPER L135 CM L20 MM OD3.8-3.4 FR ODSEC3 MM RAPID EXCHANGE INFLATION PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939031302010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING MONORAIL LOW PROFILE TAPER L135 CM L20 MM OD3.8-3.4 FR ODSEC3 MM RAPID EXCHANGE INFLATION PORT ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939031302010	CDM			270	RC		inpatient			500	500																																																			
GUIDEWIRE SAVION FIX.014/300 CM ANGLED TIP	SUP-H74939031502010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
GUIDEWIRE SAVION FIX.014/300 CM ANGLED TIP	SUP-H74939031502010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING MONORAIL PEBAX BIOSLIDE L80 CM L40 MM ODSEC5 MM PERIPHERAL TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH 6 FR GUIDE CATHETER PTA	SUP-H74939031504080	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING MONORAIL PEBAX BIOSLIDE L80 CM L40 MM ODSEC5 MM PERIPHERAL TAPER TIP LOW PROFILE INFLATE PORT ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH 6 FR GUIDE CATHETER PTA	SUP-H74939031504080	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING LOW PROFILE TAPER L40 CM L20 MM OD3.8 FR ODSEC4 MM OTW RAPID EXCHANGE INFLATION WIRE PORT ACCEPTS .014/.018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH PTA	SUP-H74939032402040	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING LOW PROFILE TAPER L40 CM L20 MM OD3.8 FR ODSEC4 MM OTW RAPID EXCHANGE INFLATION WIRE PORT ACCEPTS .014/.018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH PTA	SUP-H74939032402040	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L40 CM L40 MM OD6 FR ODSEC4 MM ID4 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032404040	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L40 CM L40 MM OD6 FR ODSEC4 MM ID4 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032404040	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING .018 L135 CM L20 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE PTA ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032502010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING .018 L135 CM L20 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE PTA ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032502010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING L40 CM L20 MM OD3.8 FR ODSEC5 MM OTW RAPID EXCHANGE INFLATION WIRE PORT ACCEPTS .018 GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032502040	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING L40 CM L20 MM OD3.8 FR ODSEC5 MM OTW RAPID EXCHANGE INFLATION WIRE PORT ACCEPTS .018 GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032502040	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L40 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032504010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L40 MM OD6 FR ODSEC5 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 4 FR INTRODUCER SHEATH	SUP-H74939032504010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING L40 CM L40 MM OD3.8 FR ODSEC5 MM OTW ACCEPTS .018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032504040	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING L40 CM L40 MM OD3.8 FR ODSEC5 MM OTW ACCEPTS .018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032504040	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L100 MM OD7 FR ODSEC6 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 5 FR INTRODUCER SHEATH	SUP-H74939032601010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING .018 IN L135 MM L100 MM OD7 FR ODSEC6 MM OTW LOW PROFILE INFLATION PORT GUIDEWIRE ANGIOPLASTY ACCEPTS 5 FR INTRODUCER SHEATH	SUP-H74939032601010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING L40 CM L40 MM OD3.8 FR ODSEC7 MM OTW ACCEPTS .018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032704040	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING L40 CM L40 MM OD3.8 FR ODSEC7 MM OTW ACCEPTS .018 IN GUIDEWIRE 4 FR INTRODUCER SHEATH ANGIOPLASTY	SUP-H74939032704040	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L135 CM L60 MM OD4.8 FR ODSEC7 MM OTW INFLATION PORT ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-H74939032706010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE LOW PROFILE TAPER L135 CM L60 MM OD4.8 FR ODSEC7 MM OTW INFLATION PORT ACCEPTS .018 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-H74939032706010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L20 MM OD6 FR ODSEC8 MM ID4 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032802010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION STERLING PEBAX BIOSLIDE L135 CM L20 MM OD6 FR ODSEC8 MM ID4 FR OTW INFLATION PORT LOW PROFILE TAPER TIP ACCEPTS .018 IN GUIDEWIRE PTA	SUP-H74939032802010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION COYOTE ES 142CM 20MM 6FR 2MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134202010	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION COYOTE ES 142CM 20MM 6FR 2MM OTW LOW PROFILE ACCEPTS .014IN GUIDEWIRE 4FR INTRODUCER SHEATH	SUP-H74939134202010	CDM			270	RC		inpatient			500	500																																																			
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L80 MM ODSEC3 MM OTW ULTRA LOW PROFILE	SUP-H74939186300810	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER BALLOON DILATATION COYOTE NYBAX LUBRICIOUS BIOSLIDE .014 IN L150 CM L80 MM ODSEC3 MM OTW ULTRA LOW PROFILE	SUP-H74939186300810	CDM			270	RC		inpatient			500	500																																																			
CATHETER ANGIOGRAPHIC FRONTRUNNER XP CTO L82 CM L76 CM OD4.5 FR MICROGUIDE STERILE LATEX FREE ACCEPTS 6 FR SHEATH	SUP-MGC3990	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
CATHETER ANGIOGRAPHIC FRONTRUNNER XP CTO L82 CM L76 CM OD4.5 FR MICROGUIDE STERILE LATEX FREE ACCEPTS 6 FR SHEATH	SUP-MGC3990	CDM			270	RC		inpatient			500	500																																																			
GUIDEWIRE SAFESEPT 150CM TRANSSEPTAL	SUP-SSNF	CDM			481	RC		outpatient			500	5	245				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	245				percent of total billed charges		255				percent of total billed charges		5				other	OPPS APC	5	500	
GUIDEWIRE SAFESEPT 150CM TRANSSEPTAL	SUP-SSNF	CDM			481	RC		inpatient			500	500																																																			
TOOL DISSECTING BLACKMAX TAPER FLUTE MATCHSTICK 12.6CM 3MM DISPOSABLE STERILE STRAIGHT ATTACHMENT BURR	SUP-TURQ-L8	CDM			270	RC		outpatient			500	5	135.45				percent of total billed charges		500				other	OPPS APC	370				percent of total billed charges		500				other	OPPS APC	500				other	OPPS APC	135.45				percent of total billed charges		138.15				percent of total billed charges		5				other	OPPS APC	5	500	
TOOL DISSECTING BLACKMAX TAPER FLUTE MATCHSTICK 12.6CM 3MM DISPOSABLE STERILE STRAIGHT ATTACHMENT BURR	SUP-TURQ-L8	CDM			270	RC		inpatient			500	500																																																			
ROD SPINAL LEGACY CD HORIZON TITANIUM PRECUT PREBENT L40 MM OD6.35 MM STERILE	SUP-9690040	CDM	270010020	LOCAL	270	RC		outpatient			499.96	499.96	135.44				percent of total billed charges		499.96				other	OPPS APC	369.97				percent of total billed charges		499.96				other	OPPS APC	499.96				other	OPPS APC	135.44				percent of total billed charges		138.14				percent of total billed charges		499.96				other	OPPS APC	135.44	499.96	
ROD SPINAL LEGACY CD HORIZON TITANIUM PRECUT PREBENT L40 MM OD6.35 MM STERILE	SUP-9690040	CDM	270010020	LOCAL	270	RC		inpatient			499.96	499.96																																																			
ROD SPINAL LEGACY CD HORIZON TITANIUM PRECUT PREBENT L60 CM OD6.35 MM STERILE	SUP-9690060	CDM	270010020	LOCAL	270	RC		outpatient			499.96	499.96	135.44				percent of total billed charges		499.96				other	OPPS APC	369.97				percent of total billed charges		499.96				other	OPPS APC	499.96				other	OPPS APC	135.44				percent of total billed charges		138.14				percent of total billed charges		499.96				other	OPPS APC	135.44	499.96	
ROD SPINAL LEGACY CD HORIZON TITANIUM PRECUT PREBENT L60 CM OD6.35 MM STERILE	SUP-9690060	CDM	270010020	LOCAL	270	RC		inpatient			499.96	499.96																																																			
ROD SPINAL CD HORIZON PREBENT 70MM 6.35MM TITANIUM PRECUT CENTRAL POST	SUP-9690070	CDM	270010020	LOCAL	270	RC		outpatient			499.96	499.96	135.44				percent of total billed charges		499.96				other	OPPS APC	369.97				percent of total billed charges		499.96				other	OPPS APC	499.96				other	OPPS APC	135.44				percent of total billed charges		138.14				percent of total billed charges		499.96				other	OPPS APC	135.44	499.96	
ROD SPINAL CD HORIZON PREBENT 70MM 6.35MM TITANIUM PRECUT CENTRAL POST	SUP-9690070	CDM	270010020	LOCAL	270	RC		inpatient			499.96	499.96																																																			
ROD SPINAL CD HORIZON TITANIUM PREBENT L100 MM OD6.35 MM	SUP-9690100	CDM	270010020	LOCAL	270	RC		outpatient			499.96	499.96	135.44				percent of total billed charges		499.96				other	OPPS APC	369.97				percent of total billed charges		499.96				other	OPPS APC	499.96				other	OPPS APC	135.44				percent of total billed charges		138.14				percent of total billed charges		499.96				other	OPPS APC	135.44	499.96	
ROD SPINAL CD HORIZON TITANIUM PREBENT L100 MM OD6.35 MM	SUP-9690100	CDM	270010020	LOCAL	270	RC		inpatient			499.96	499.96																																																			
PACK CATHETER PALINDROME TAL VENATRAC L40 CM L23 CM OD12 FR VASCULAR 2 LUMEN 2 SEAL CAP INSERTION STYLET TISSUE DILATOR STERILE LATEX FREE	SUP-8888123404P	CDM			270	RC		outpatient			499.95	499.95	135.44				percent of total billed charges		499.95				other	OPPS APC	369.96				percent of total billed charges		499.95				other	OPPS APC	499.95				other	OPPS APC	135.44				percent of total billed charges		138.14				percent of total billed charges		499.95				other	OPPS APC	135.44	499.95	
PACK CATHETER PALINDROME TAL VENATRAC L40 CM L23 CM OD12 FR VASCULAR 2 LUMEN 2 SEAL CAP INSERTION STYLET TISSUE DILATOR STERILE LATEX FREE	SUP-8888123404P	CDM			270	RC		inpatient			499.95	499.95																																																			
BLADE ARTHROSCOPIC SAMURAI FULL RADIUS CAPSULAR TISSUE	SUP-CAT00227	CDM			270	RC		outpatient			499.8	499.81	135.4				percent of total billed charges		499.8				other	OPPS APC	369.85				percent of total billed charges		499.8				other	OPPS APC	499.8				other	OPPS APC	135.4				percent of total billed charges		138.09				percent of total billed charges		499.81				other	OPPS APC	135.4	499.81	
BLADE ARTHROSCOPIC SAMURAI FULL RADIUS CAPSULAR TISSUE	SUP-CAT00227	CDM			270	RC		inpatient			499.8	499.8																																																			
ELECTRODE SHORT LOOP 24F	SUP-70-00035	CDM			272	RC		outpatient			499.47	499.47	135.31				percent of total billed charges		499.47				other	OPPS APC	369.61				percent of total billed charges		499.47				other	OPPS APC	499.47				other	OPPS APC	135.31				percent of total billed charges		138				percent of total billed charges		499.47				other	OPPS APC	135.31	499.47	
ELECTRODE SHORT LOOP 24F	SUP-70-00035	CDM			272	RC		inpatient			499.47	499.47																																																			
COUNTERSINK 5.5MM HEADED	SUP-95-05353	CDM			272	RC		outpatient			499.1	499.12	135.21				percent of total billed charges		499.1				other	OPPS APC	369.33				percent of total billed charges		499.1				other	OPPS APC	499.1				other	OPPS APC	135.21				percent of total billed charges		137.9				percent of total billed charges		499.12				other	OPPS APC	135.21	499.12	
COUNTERSINK 5.5MM HEADED	SUP-95-05353	CDM			272	RC		inpatient			499.1	499.1																																																			
COUNTERSINK 3MM HEADLESS	SUP-95-05372	CDM			272	RC		outpatient			499.1	499.12	135.21				percent of total billed charges		499.1				other	OPPS APC	369.33				percent of total billed charges		499.1				other	OPPS APC	499.1				other	OPPS APC	135.21				percent of total billed charges		137.9				percent of total billed charges		499.12				other	OPPS APC	135.21	499.12	
COUNTERSINK 3MM HEADLESS	SUP-95-05372	CDM			272	RC		inpatient			499.1	499.1																																																			
GUIDEWIRE VASCULAR ROTAWIRE 0.014IN 330CM 2.2CM TIP DRIVE FLOPPY FLEXIBLE WIRECLIP TORQUER 5/BX	SUP-H74939462005	CDM			270	RC		outpatient			499	499	135.18				percent of total billed charges		499				other	OPPS APC	369.26				percent of total billed charges		499				other	OPPS APC	499				other	OPPS APC	135.18				percent of total billed charges		137.87				percent of total billed charges		499				other	OPPS APC	135.18	499	
GUIDEWIRE VASCULAR ROTAWIRE 0.014IN 330CM 2.2CM TIP DRIVE FLOPPY FLEXIBLE WIRECLIP TORQUER 5/BX	SUP-H74939462005	CDM			270	RC		inpatient			499	499																																																			
WIRE GUIDE-JAG 038/260CM	SUP-95-02358	CDM			278	RC		outpatient			498.75	498.75	498.75				fee schedule		498.75				other	OPPS APC	284.29				percent of total billed charges		498.75				other	OPPS APC	498.75				other	OPPS APC	244.39				percent of total billed charges		254.36				percent of total billed charges		498.75				other	OPPS APC	244.39	498.75	
WIRE GUIDE-JAG 038/260CM	SUP-95-02358	CDM			278	RC		inpatient			498.75	498.75																																																			
RETROGRADE INTUBATION SET	SUP-97-01661	CDM			272	RC		outpatient			498.37	498.37	135.01				percent of total billed charges		498.37				other	OPPS APC	368.79				percent of total billed charges		498.37				other	OPPS APC	498.37				other	OPPS APC	135.01				percent of total billed charges		137.7				percent of total billed charges		498.37				other	OPPS APC	135.01	498.37	
RETROGRADE INTUBATION SET	SUP-97-01661	CDM			272	RC		inpatient			498.37	498.37																																																			
HC Layer Closure of Wound 7.6 - 12.5cm	PX-450120541	CDM	12054	CPT	450	RC		outpatient			498	498	195.77				case rate		498				other	OPPS APC	368.52				percent of total billed charges		498				other	OPPS APC	498				other	OPPS APC	195.77				case rate		199.69				case rate		498				other	OPPS APC	195.77	498	
HC Layer Closure of Wound 7.6 - 12.5cm	PX-450120541	CDM	12054	CPT	450	RC		inpatient			498	498																																																			
PLATE SYNTHES 2.0MM LCP 4 HOLE	SUP-447.344`	CDM	270010022	LOCAL	270	RC		outpatient			497.62	497.62	134.81				percent of total billed charges		497.62				other	OPPS APC	368.24				percent of total billed charges		497.62				other	OPPS APC	497.62				other	OPPS APC	134.81				percent of total billed charges		137.49				percent of total billed charges		497.62				other	OPPS APC	134.81	497.62	
PLATE SYNTHES 2.0MM LCP 4 HOLE	SUP-447.344`	CDM	270010022	LOCAL	270	RC		inpatient			497.62	497.62																																																			
END CAP ORTHOPEDIC TITANIUM 0 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.000S	CDM	270010022	LOCAL	270	RC		outpatient			497.2	497.2	134.69				percent of total billed charges		497.2				other	OPPS APC	367.93				percent of total billed charges		497.2				other	OPPS APC	497.2				other	OPPS APC	134.69				percent of total billed charges		137.38				percent of total billed charges		497.2				other	OPPS APC	134.69	497.2	
END CAP ORTHOPEDIC TITANIUM 0 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.000S	CDM	270010022	LOCAL	270	RC		inpatient			497.2	497.2																																																			
END CAP ORTHOPEDIC TITANIUM 5 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.001S	CDM	270010022	LOCAL	270	RC		outpatient			497.2	497.2	134.69				percent of total billed charges		497.2				other	OPPS APC	367.93				percent of total billed charges		497.2				other	OPPS APC	497.2				other	OPPS APC	134.69				percent of total billed charges		137.38				percent of total billed charges		497.2				other	OPPS APC	134.69	497.2	
END CAP ORTHOPEDIC TITANIUM 5 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.001S	CDM	270010022	LOCAL	270	RC		inpatient			497.2	497.2																																																			
END CAP ORTHOPEDIC TITANIUM 10 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.002S	CDM	270010022	LOCAL	270	RC		outpatient			497.2	497.2	134.69				percent of total billed charges		497.2				other	OPPS APC	367.93				percent of total billed charges		497.2				other	OPPS APC	497.2				other	OPPS APC	134.69				percent of total billed charges		137.38				percent of total billed charges		497.2				other	OPPS APC	134.69	497.2	
END CAP ORTHOPEDIC TITANIUM 10 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.002S	CDM	270010022	LOCAL	270	RC		inpatient			497.2	497.2																																																			
END CAP ORTHOPEDIC TITANIUM 15 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.003S	CDM	270010022	LOCAL	270	RC		outpatient			497.2	497.2	134.69				percent of total billed charges		497.2				other	OPPS APC	367.93				percent of total billed charges		497.2				other	OPPS APC	497.2				other	OPPS APC	134.69				percent of total billed charges		137.38				percent of total billed charges		497.2				other	OPPS APC	134.69	497.2	
END CAP ORTHOPEDIC TITANIUM 15 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.003S	CDM	270010022	LOCAL	270	RC		inpatient			497.2	497.2																																																			
END CAP ORTHOPEDIC TITANIUM 20 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.004S	CDM	270010022	LOCAL	270	RC		outpatient			497.2	497.2	134.69				percent of total billed charges		497.2				other	OPPS APC	367.93				percent of total billed charges		497.2				other	OPPS APC	497.2				other	OPPS APC	134.69				percent of total billed charges		137.38				percent of total billed charges		497.2				other	OPPS APC	134.69	497.2	
END CAP ORTHOPEDIC TITANIUM 20 MM T40 OD12 MM FEMORAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.003.004S	CDM	270010022	LOCAL	270	RC		inpatient			497.2	497.2																																																			
END CAP ORTHOPEDIC TITANIUM 0 MM T40 SELF RETAINING STARDRIVE SPIRAL BLADE LOCK STERILE GOLD RETROGRADE FEMORAL NAIL-EX	SUP-04.013.000S	CDM	270010022	LOCAL	270	RC		outpatient			497.2	497.2	134.69				percent of total billed charges		497.2				other	OPPS APC	367.93				percent of total billed charges		497.2				other	OPPS APC	497.2				other	OPPS APC	134.69				percent of total billed charges		137.38				percent of total billed charges		497.2				other	OPPS APC	134.69	497.2	
END CAP ORTHOPEDIC TITANIUM 0 MM T40 SELF RETAINING STARDRIVE SPIRAL BLADE LOCK STERILE GOLD RETROGRADE FEMORAL NAIL-EX	SUP-04.013.000S	CDM	270010022	LOCAL	270	RC		inpatient			497.2	497.2																																																			
HC Theraskin 1x1	PX-270041212	CDM			636	RC		outpatient			497	497	497				fee schedule		497				other	OPPS APC	49.33				fee schedule		497				other	OPPS APC	497				other	OPPS APC	243.53				percent of total billed charges		123.55				percent of total billed charges		497				other	OPPS APC	49.33	497	
HC Theraskin 1x1	PX-270041212	CDM			636	RC		inpatient			497	497																																																			
SCREW ASNIS TITANIUM CANN 5.0X50MM	SUP-97-02396	CDM			278	RC		outpatient			497	497	497				fee schedule		497				other	OPPS APC	283.29				percent of total billed charges		497				other	OPPS APC	497				other	OPPS APC	243.53				percent of total billed charges		253.47				percent of total billed charges		497				other	OPPS APC	243.53	497	
SCREW ASNIS TITANIUM CANN 5.0X50MM	SUP-97-02396	CDM			278	RC		inpatient			497	497																																																			
TWIST DRILL 2.35X151	SUP-97-02903	CDM						inpatient			496.13	496.13																																																			
TWIST DRILL 2.35X151	SUP-97-02903	CDM						outpatient			496.13	496.13	496.13				percent of total billed charges		496.13				other	OPPS APC	496.13				fee schedule		496.13				other	OPPS APC	496.13				other	OPPS APC	496.13				case rate		496.13				case rate		496.13				other	OPPS APC	496.13	496.13	
HC Parathyroid Planar Inc Subtr	PX-340780700	CDM	78070	CPT	340	RC		outpatient			496	496	308.26				fee schedule		496				other	OPPS APC	509.55				fee schedule		496				other	OPPS APC	496				other	OPPS APC	273.7				fee schedule		235.62				fee schedule		496				other	OPPS APC	235.62	509.55	
HC Parathyroid Planar Inc Subtr	PX-340780700	CDM	78070	CPT	340	RC		inpatient			496	496																																																			
GUIDEWIRE ORTHOPEDIC T2 TITANIUM L800 MM OD3 MM TIBIA SMOOTH TIP STERILE FEMORAL NAIL SYSTEM	SUP-1806-0090S	CDM			270	RC		outpatient			496	496	134.37				percent of total billed charges		496				other	OPPS APC	367.04				percent of total billed charges		496				other	OPPS APC	496				other	OPPS APC	134.37				percent of total billed charges		137.04				percent of total billed charges		496				other	OPPS APC	134.37	496	
GUIDEWIRE ORTHOPEDIC T2 TITANIUM L800 MM OD3 MM TIBIA SMOOTH TIP STERILE FEMORAL NAIL SYSTEM	SUP-1806-0090S	CDM			270	RC		inpatient			496	496																																																			
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 16 HOLE STRAIGHT	SUP-19-1035	CDM			270	RC		outpatient			495.6	495.62	134.26				percent of total billed charges		495.6				other	OPPS APC	366.74				percent of total billed charges		495.6				other	OPPS APC	495.6				other	OPPS APC	134.26				percent of total billed charges		136.93				percent of total billed charges		495.62				other	OPPS APC	134.26	495.62	
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 16 HOLE STRAIGHT	SUP-19-1035	CDM			270	RC		inpatient			495.6	495.6																																																			
CATHETER EXTERNAL DRAINAGE EDM SILICONE L80 CM LUMBAR CLOSED TIP BARIUM IMPREGNATED STERILE	SUP-46419	CDM			270	RC		outpatient			495.36	495.36	134.19				percent of total billed charges		495.36				other	OPPS APC	366.57				percent of total billed charges		495.36				other	OPPS APC	495.36				other	OPPS APC	134.19				percent of total billed charges		136.87				percent of total billed charges		495.36				other	OPPS APC	134.19	495.36	
CATHETER EXTERNAL DRAINAGE EDM SILICONE L80 CM LUMBAR CLOSED TIP BARIUM IMPREGNATED STERILE	SUP-46419	CDM			270	RC		inpatient			495.36	495.36																																																			
ROD SPINAL OASYS TITANIUM L25 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48552025	CDM	270010020	LOCAL	270	RC		outpatient			495.08	495.8	134.12				percent of total billed charges		495.08				other	OPPS APC	366.36				percent of total billed charges		495.08				other	OPPS APC	495.08				other	OPPS APC	134.12				percent of total billed charges		136.79				percent of total billed charges		495.8				other	OPPS APC	134.12	495.8	
ROD SPINAL OASYS TITANIUM L25 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48552025	CDM	270010020	LOCAL	270	RC		inpatient			495.08	495.08																																																			
ROD STRYKER SPINE 3.5MM X 60MM	SUP-48552060	CDM	270010020	LOCAL	270	RC		outpatient			495.08	495.8	134.12				percent of total billed charges		495.08				other	OPPS APC	366.36				percent of total billed charges		495.08				other	OPPS APC	495.08				other	OPPS APC	134.12				percent of total billed charges		136.79				percent of total billed charges		495.8				other	OPPS APC	134.12	495.8	
ROD STRYKER SPINE 3.5MM X 60MM	SUP-48552060	CDM	270010020	LOCAL	270	RC		inpatient			495.08	495.08																																																			
ROD SPINAL OASYS TITANIUM L70 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48552070	CDM	270010020	LOCAL	270	RC		outpatient			495.08	495.8	134.12				percent of total billed charges		495.08				other	OPPS APC	366.36				percent of total billed charges		495.08				other	OPPS APC	495.08				other	OPPS APC	134.12				percent of total billed charges		136.79				percent of total billed charges		495.8				other	OPPS APC	134.12	495.8	
ROD SPINAL OASYS TITANIUM L70 MM OD3.5 MM OCCIPITOCERVICOTHORACIC SPINE	SUP-48552070	CDM	270010020	LOCAL	270	RC		inpatient			495.08	495.08																																																			
PACK CATHETER PALINDROME TAL VENATRAC L45 CM L28 CM OD12 FR VASCULAR 2 LUMEN 2 SEAL CAP INSERTION STYLET TISSUE DILATOR STERILE LATEX FREE	SUP-8888128454P	CDM			270	RC		outpatient			495	495	134.1				percent of total billed charges		495				other	OPPS APC	366.3				percent of total billed charges		495				other	OPPS APC	495				other	OPPS APC	134.1				percent of total billed charges		136.77				percent of total billed charges		495				other	OPPS APC	134.1	495	
PACK CATHETER PALINDROME TAL VENATRAC L45 CM L28 CM OD12 FR VASCULAR 2 LUMEN 2 SEAL CAP INSERTION STYLET TISSUE DILATOR STERILE LATEX FREE	SUP-8888128454P	CDM			270	RC		inpatient			495	495																																																			
CATHETER HEMODIALYSIS PALINDROME VENATRAC L50 CM OD33 FR SPORTPACK	SUP-8888133504P	CDM			270	RC		outpatient			495	495	134.1				percent of total billed charges		495				other	OPPS APC	366.3				percent of total billed charges		495				other	OPPS APC	495				other	OPPS APC	134.1				percent of total billed charges		136.77				percent of total billed charges		495				other	OPPS APC	134.1	495	
CATHETER HEMODIALYSIS PALINDROME VENATRAC L50 CM OD33 FR SPORTPACK	SUP-8888133504P	CDM			270	RC		inpatient			495	495																																																			
NEEDLE ASPIRATION EXPECT SLIMLINE 8- CM 137.5-141.5CM 22GA 1.83MM 20CC COCR ECHOGENIC PATTERN ULTRASOUND STYLET CAP 2.4	SUP-M00555510	CDM			270	RC		outpatient			494.8	494.81	134.04				percent of total billed charges		494.8				other	OPPS APC	366.15				percent of total billed charges		494.8				other	OPPS APC	494.8				other	OPPS APC	134.04				percent of total billed charges		136.71				percent of total billed charges		494.81				other	OPPS APC	134.04	494.81	
NEEDLE ASPIRATION EXPECT SLIMLINE 8- CM 137.5-141.5CM 22GA 1.83MM 20CC COCR ECHOGENIC PATTERN ULTRASOUND STYLET CAP 2.4	SUP-M00555510	CDM			270	RC		inpatient			494.8	494.8																																																			
NEEDLE ENDOSCOPIC EXPECT SLIMLINE NITINOL L8- CM L2.8 MM OD25 GA ODSEC1.83 MM 20 ML BEVEL 1 WAY STOPCOCK ASPIRATION SLIMLINE HANDLE	SUP-M00555520	CDM			270	RC		outpatient			494.8	494.81	134.04				percent of total billed charges		494.8				other	OPPS APC	366.15				percent of total billed charges		494.8				other	OPPS APC	494.8				other	OPPS APC	134.04				percent of total billed charges		136.71				percent of total billed charges		494.81				other	OPPS APC	134.04	494.81	
NEEDLE ENDOSCOPIC EXPECT SLIMLINE NITINOL L8- CM L2.8 MM OD25 GA ODSEC1.83 MM 20 ML BEVEL 1 WAY STOPCOCK ASPIRATION SLIMLINE HANDLE	SUP-M00555520	CDM			270	RC		inpatient			494.8	494.8																																																			
SCREW BONE TITANIUM L14.5 MM OD8 MM ANKLE CANNULATED COMPRESSION STERILE T2 NAIL SYSTEM ARTHRODESIS	SUP-1818-0001S	CDM			270	RC		outpatient			494.4	494.4	133.93				percent of total billed charges		494.4				other	OPPS APC	365.86				percent of total billed charges		494.4				other	OPPS APC	494.4				other	OPPS APC	133.93				percent of total billed charges		136.6				percent of total billed charges		494.4				other	OPPS APC	133.93	494.4	
SCREW BONE TITANIUM L14.5 MM OD8 MM ANKLE CANNULATED COMPRESSION STERILE T2 NAIL SYSTEM ARTHRODESIS	SUP-1818-0001S	CDM			270	RC		inpatient			494.4	494.4																																																			
SCREW BONE TITANIUM FULL THREAD L25 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5025S	CDM			270	RC		outpatient			494.4	494.4	133.93				percent of total billed charges		494.4				other	OPPS APC	365.86				percent of total billed charges		494.4				other	OPPS APC	494.4				other	OPPS APC	133.93				percent of total billed charges		136.6				percent of total billed charges		494.4				other	OPPS APC	133.93	494.4	
SCREW BONE TITANIUM FULL THREAD L25 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5025S	CDM			270	RC		inpatient			494.4	494.4																																																			
SCREW BONE TITANIUM FULL THREAD L30 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5030S	CDM			270	RC		outpatient			494.4	494.4	133.93				percent of total billed charges		494.4				other	OPPS APC	365.86				percent of total billed charges		494.4				other	OPPS APC	494.4				other	OPPS APC	133.93				percent of total billed charges		136.6				percent of total billed charges		494.4				other	OPPS APC	133.93	494.4	
SCREW BONE TITANIUM FULL THREAD L30 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5030S	CDM			270	RC		inpatient			494.4	494.4																																																			
SCREW BONE TITANIUM FULL THREAD L55 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5055S	CDM			270	RC		outpatient			494.4	494.4	133.93				percent of total billed charges		494.4				other	OPPS APC	365.86				percent of total billed charges		494.4				other	OPPS APC	494.4				other	OPPS APC	133.93				percent of total billed charges		136.6				percent of total billed charges		494.4				other	OPPS APC	133.93	494.4	
SCREW BONE TITANIUM FULL THREAD L55 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5055S	CDM			270	RC		inpatient			494.4	494.4																																																			
SCREW BONE TITANIUM FULL THREAD L70 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5070S	CDM			270	RC		outpatient			494.4	494.4	133.93				percent of total billed charges		494.4				other	OPPS APC	365.86				percent of total billed charges		494.4				other	OPPS APC	494.4				other	OPPS APC	133.93				percent of total billed charges		136.6				percent of total billed charges		494.4				other	OPPS APC	133.93	494.4	
SCREW BONE TITANIUM FULL THREAD L70 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5070S	CDM			270	RC		inpatient			494.4	494.4																																																			
Spring Wire J .025' X 35cm	PX-272C17692	CDM			272	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
Spring Wire J .025' X 35cm	PX-272C17692	CDM			272	RC		inpatient			494	494																																																			
HC Body Plethysmography	PX-921947260	CDM	94726	CPT	921	RC		outpatient			494	294.96	53.89				fee schedule		294.96				other	OPPS APC	109.23				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	54.11				fee schedule		251.94				percent of total billed charges		294.96				other	OPPS APC	53.89	294.96	
HC Body Plethysmography	PX-921947260	CDM	94726	CPT	921	RC		inpatient			494	494																																																			
BLADE SHAVER XPS TRICUT 360 D 5000 RPM L11 CM OD4 MM SINUS M4 ROTATABLE STRAIGHT SHAFT OFFSET CUTTING SURFACE IRRIGATION TUBING OSCILLATE STERILE	SUP-1884004HR	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
BLADE SHAVER XPS TRICUT 360 D 5000 RPM L11 CM OD4 MM SINUS M4 ROTATABLE STRAIGHT SHAFT OFFSET CUTTING SURFACE IRRIGATION TUBING OSCILLATE STERILE	SUP-1884004HR	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO ABSORBABLE 7.0 X 23MM	SUP-231800	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO ABSORBABLE 7.0 X 23MM	SUP-231800	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO 8 X 23MM	SUP-231810	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO 8 X 23MM	SUP-231810	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO 8 X 30MM	SUP-231815	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO 8 X 30MM	SUP-231815	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO 9 X 23MM	SUP-231820	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO 9 X 23MM	SUP-231820	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO 9 X 30MM	SUP-231825	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO 9 X 30MM	SUP-231825	CDM			270	RC		inpatient			494	494																																																			
SCREW INTERFERENCE MILAGRO BIOCRYL RAPIDE L35 MM OD9 MM ACL BIOREPLACEABLE CHAMFERED PROXIMAL END ATRAUMATIC THREADFORM	SUP-231830	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW INTERFERENCE MILAGRO BIOCRYL RAPIDE L35 MM OD9 MM ACL BIOREPLACEABLE CHAMFERED PROXIMAL END ATRAUMATIC THREADFORM	SUP-231830	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO 10 X 23MM	SUP-231835	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO 10 X 23MM	SUP-231835	CDM			270	RC		inpatient			494	494																																																			
SCREW BONE INTERFERENCE MILAGRO 11 X 30MM	SUP-231850	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW BONE INTERFERENCE MILAGRO 11 X 30MM	SUP-231850	CDM			270	RC		inpatient			494	494																																																			
SCREW MILLAGRO 12 X 30	SUP-231860	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
SCREW MILLAGRO 12 X 30	SUP-231860	CDM			270	RC		inpatient			494	494																																																			
4.5 LOCKING SCREW 58MM	SUP-72514558	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
4.5 LOCKING SCREW 58MM	SUP-72514558	CDM			270	RC		inpatient			494	494																																																			
PARTICLES EMBOLIZATION EMBOGOLD TRISACRYL GELATIN 700-900 UM MICROSPHERE 2 ML PREFILL SYRINGE GREEN	SUP-S820GH	CDM			270	RC		outpatient			494	494	133.82				percent of total billed charges		494				other	OPPS APC	365.56				percent of total billed charges		494				other	OPPS APC	494				other	OPPS APC	133.82				percent of total billed charges		136.49				percent of total billed charges		494				other	OPPS APC	133.82	494	
PARTICLES EMBOLIZATION EMBOGOLD TRISACRYL GELATIN 700-900 UM MICROSPHERE 2 ML PREFILL SYRINGE GREEN	SUP-S820GH	CDM			270	RC		inpatient			494	494																																																			
CLIP HEMOLOK LARGE	SUP-011340	CDM			270	RC		outpatient			493.5	493.5	133.69				percent of total billed charges		493.5				other	OPPS APC	365.19				percent of total billed charges		493.5				other	OPPS APC	493.5				other	OPPS APC	133.69				percent of total billed charges		136.35				percent of total billed charges		493.5				other	OPPS APC	133.69	493.5	
CLIP HEMOLOK LARGE	SUP-011340	CDM			270	RC		inpatient			493.5	493.5																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L10 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.61	CDM	270010022	LOCAL	270	RC		outpatient			493.2	493.2	133.61				percent of total billed charges		493.2				other	OPPS APC	364.97				percent of total billed charges		493.2				other	OPPS APC	493.2				other	OPPS APC	133.61				percent of total billed charges		136.27				percent of total billed charges		493.2				other	OPPS APC	133.61	493.2	
SCREW BONE STAINLESS STEEL SHORT THREAD L10 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.61	CDM	270010022	LOCAL	270	RC		inpatient			493.2	493.2																																																			
SCREW BONE 3MM 10MM SS SHORT THREAD SM BONE CANNULATED SELF DRILL SELF TAP LOW	SUP-202.610	CDM	270010022	LOCAL	270	RC		outpatient			493.2	493.2	133.61				percent of total billed charges		493.2				other	OPPS APC	364.97				percent of total billed charges		493.2				other	OPPS APC	493.2				other	OPPS APC	133.61				percent of total billed charges		136.27				percent of total billed charges		493.2				other	OPPS APC	133.61	493.2	
SCREW BONE 3MM 10MM SS SHORT THREAD SM BONE CANNULATED SELF DRILL SELF TAP LOW	SUP-202.610	CDM	270010022	LOCAL	270	RC		inpatient			493.2	493.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L20 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.62	CDM	270010022	LOCAL	270	RC		outpatient			493.2	493.2	133.61				percent of total billed charges		493.2				other	OPPS APC	364.97				percent of total billed charges		493.2				other	OPPS APC	493.2				other	OPPS APC	133.61				percent of total billed charges		136.27				percent of total billed charges		493.2				other	OPPS APC	133.61	493.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L20 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.62	CDM	270010022	LOCAL	270	RC		inpatient			493.2	493.2																																																			
SCREW BONE 3MM 4MM 1.2MM 20MM SS 1/3 THREAD LOW PROFILE FOREFOOT HAND WRIST SELF	SUP-202.620	CDM	270010022	LOCAL	270	RC		outpatient			493.2	493.2	133.61				percent of total billed charges		493.2				other	OPPS APC	364.97				percent of total billed charges		493.2				other	OPPS APC	493.2				other	OPPS APC	133.61				percent of total billed charges		136.27				percent of total billed charges		493.2				other	OPPS APC	133.61	493.2	
SCREW BONE 3MM 4MM 1.2MM 20MM SS 1/3 THREAD LOW PROFILE FOREFOOT HAND WRIST SELF	SUP-202.620	CDM	270010022	LOCAL	270	RC		inpatient			493.2	493.2																																																			
PLATE BONE LC-DCP STAINLESS STEEL OBLIQUE ANGLE T L53 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.23	CDM	270010022	LOCAL	270	RC		outpatient			493.2	493.2	133.61				percent of total billed charges		493.2				other	OPPS APC	364.97				percent of total billed charges		493.2				other	OPPS APC	493.2				other	OPPS APC	133.61				percent of total billed charges		136.27				percent of total billed charges		493.2				other	OPPS APC	133.61	493.2	
PLATE BONE LC-DCP STAINLESS STEEL OBLIQUE ANGLE T L53 MM X W10 MM X H1.5 MM 3 HOLE HEAD 3 HOLE SHAFT NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.23	CDM	270010022	LOCAL	270	RC		inpatient			493.2	493.2																																																			
HC Bcr Abl P190 Mrna Quant	PX-300812070	CDM	81207	CPT	300	RC		outpatient			493	144.84	493				fee schedule		144.84				fee schedule		160.3				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84	493	
HC Bcr Abl P190 Mrna Quant	PX-300812070	CDM	81207	CPT	300	RC		inpatient			493	493																																																			
HC Bcr/Abl Rna  Qual Minor Qual  Diagnostic	PX-300812071	CDM	81207	CPT	300	RC		outpatient			493	144.84	493				fee schedule		144.84				fee schedule		160.3				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84				fee schedule		144.84	493	
HC Bcr/Abl Rna  Qual Minor Qual  Diagnostic	PX-300812071	CDM	81207	CPT	300	RC		inpatient			493	493																																																			
SCREW LOCKING EVOS 4.5MM X 20 MM S-T	SUP-72514520	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW LOCKING EVOS 4.5MM X 20 MM S-T	SUP-72514520	CDM			270	RC		inpatient			493	493																																																			
SCREW LOCKING EVOS L 22MM 4.5MM S-T	SUP-72514522	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW LOCKING EVOS L 22MM 4.5MM S-T	SUP-72514522	CDM			270	RC		inpatient			493	493																																																			
SCREW EVOS LOCKING 4.5MM X 30MM STERILE	SUP-72514530	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW EVOS LOCKING 4.5MM X 30MM STERILE	SUP-72514530	CDM			270	RC		inpatient			493	493																																																			
SCREW BONE EVOS L 34 MM OD 4.5MM SELF TAP LOCK STERILE LATEX FREE	SUP-72514534	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW BONE EVOS L 34 MM OD 4.5MM SELF TAP LOCK STERILE LATEX FREE	SUP-72514534	CDM			270	RC		inpatient			493	493																																																			
SCREW BONE EVOS L36 MM OD 4.5 MM SELF TAP LOCK STERILE LATEX FREE	SUP-72514536	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW BONE EVOS L36 MM OD 4.5 MM SELF TAP LOCK STERILE LATEX FREE	SUP-72514536	CDM			270	RC		inpatient			493	493																																																			
SCREW LOCKING EVOS L 40MM 4.5 MM S-T	SUP-72514540	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW LOCKING EVOS L 40MM 4.5 MM S-T	SUP-72514540	CDM			270	RC		inpatient			493	493																																																			
SCREW BONE EVOS L42 MM OD 4.5 MM SELF TAP LOCK STERILE LATEX FREE	SUP-72514542	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW BONE EVOS L42 MM OD 4.5 MM SELF TAP LOCK STERILE LATEX FREE	SUP-72514542	CDM			270	RC		inpatient			493	493																																																			
SCREW LOCKING EVOS 4.5 MM X 50 MM S-T	SUP-72514550	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW LOCKING EVOS 4.5 MM X 50 MM S-T	SUP-72514550	CDM			270	RC		inpatient			493	493																																																			
SCREW EVOS LOCKING 4.5MM X 52MM STERILE	SUP-72514552	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW EVOS LOCKING 4.5MM X 52MM STERILE	SUP-72514552	CDM			270	RC		inpatient			493	493																																																			
SCREW EVOS LOCKING 4.5MM X 60MM STERILE	SUP-72514560	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW EVOS LOCKING 4.5MM X 60MM STERILE	SUP-72514560	CDM			270	RC		inpatient			493	493																																																			
SCREW LOCKING EVOS L 64MM 4.5MM S-T	SUP-72514564	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW LOCKING EVOS L 64MM 4.5MM S-T	SUP-72514564	CDM			270	RC		inpatient			493	493																																																			
SCREW LOCKING EVOS 4.5MM X 66MM S-T	SUP-72514566	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW LOCKING EVOS 4.5MM X 66MM S-T	SUP-72514566	CDM			270	RC		inpatient			493	493																																																			
SCREW EVOS LOCKING 4.5MM X 72MM STERILE	SUP-72514572	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW EVOS LOCKING 4.5MM X 72MM STERILE	SUP-72514572	CDM			270	RC		inpatient			493	493																																																			
SCREW EVOS LOCKING 4.5MM X 74MM STERILE	SUP-72514574	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW EVOS LOCKING 4.5MM X 74MM STERILE	SUP-72514574	CDM			270	RC		inpatient			493	493																																																			
SCREW EVOS LOCKING 4.5MM X 76MM STERILE	SUP-72514576	CDM			270	RC		outpatient			493	493	133.55				percent of total billed charges		493				other	OPPS APC	364.82				percent of total billed charges		493				other	OPPS APC	493				other	OPPS APC	133.55				percent of total billed charges		136.22				percent of total billed charges		493				other	OPPS APC	133.55	493	
SCREW EVOS LOCKING 4.5MM X 76MM STERILE	SUP-72514576	CDM			270	RC		inpatient			493	493																																																			
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 6 HOLE Y	SUP-19-1065	CDM			270	RC		outpatient			492.8	492.81	133.5				percent of total billed charges		492.8				other	OPPS APC	364.67				percent of total billed charges		492.8				other	OPPS APC	492.8				other	OPPS APC	133.5				percent of total billed charges		136.16				percent of total billed charges		492.81				other	OPPS APC	133.5	492.81	
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 6 HOLE Y	SUP-19-1065	CDM			270	RC		inpatient			492.8	492.8																																																			
SELF-DRILLING HALF PIN APEX	SUP-95-04032	CDM			278	RC		outpatient			492.24	492.24	492.24				fee schedule		492.24				other	OPPS APC	280.58				percent of total billed charges		492.24				other	OPPS APC	492.24				other	OPPS APC	241.2				percent of total billed charges		251.04				percent of total billed charges		492.24				other	OPPS APC	241.2	492.24	
SELF-DRILLING HALF PIN APEX	SUP-95-04032	CDM			278	RC		inpatient			492.24	492.24																																																			
SELF-DRILLING HALF PIN APEX 3/5 120X20	SUP-95-04033	CDM			278	RC		outpatient			492.24	492.24	492.24				fee schedule		492.24				other	OPPS APC	280.58				percent of total billed charges		492.24				other	OPPS APC	492.24				other	OPPS APC	241.2				percent of total billed charges		251.04				percent of total billed charges		492.24				other	OPPS APC	241.2	492.24	
SELF-DRILLING HALF PIN APEX 3/5 120X20	SUP-95-04033	CDM			278	RC		inpatient			492.24	492.24																																																			
LEOS O2.0 DRILL	SUP-7624-2920	CDM			270	RC		outpatient			492	492	133.28				percent of total billed charges		492				other	OPPS APC	364.08				percent of total billed charges		492				other	OPPS APC	492				other	OPPS APC	133.28				percent of total billed charges		135.94				percent of total billed charges		492				other	OPPS APC	133.28	492	
LEOS O2.0 DRILL	SUP-7624-2920	CDM			270	RC		inpatient			492	492																																																			
DRILL LEOS 2.4	SUP-76242924	CDM			270	RC		outpatient			492	492	133.28				percent of total billed charges		492				other	OPPS APC	364.08				percent of total billed charges		492				other	OPPS APC	492				other	OPPS APC	133.28				percent of total billed charges		135.94				percent of total billed charges		492				other	OPPS APC	133.28	492	
DRILL LEOS 2.4	SUP-76242924	CDM			270	RC		inpatient			492	492																																																			
LEOS O2.4 DRILL	SUP-7624-2924	CDM			270	RC		outpatient			492	492	133.28				percent of total billed charges		492				other	OPPS APC	364.08				percent of total billed charges		492				other	OPPS APC	492				other	OPPS APC	133.28				percent of total billed charges		135.94				percent of total billed charges		492				other	OPPS APC	133.28	492	
LEOS O2.4 DRILL	SUP-7624-2924	CDM			270	RC		inpatient			492	492																																																			
BLADE SURGICAL HARMONIC SYNERGY CURVE	SUP-SNGCB	CDM			270	RC		outpatient			491.8	491.81	133.23				percent of total billed charges		491.8				other	OPPS APC	363.93				percent of total billed charges		491.8				other	OPPS APC	491.8				other	OPPS APC	133.23				percent of total billed charges		135.88				percent of total billed charges		491.81				other	OPPS APC	133.23	491.81	
BLADE SURGICAL HARMONIC SYNERGY CURVE	SUP-SNGCB	CDM			270	RC		inpatient			491.8	491.8																																																			
PLATE NARROW LC-DCP 10 HOLE	SUP-224.60	CDM	270010022	LOCAL	270	RC		outpatient			491.04	491.42	133.02				percent of total billed charges		491.04				other	OPPS APC	363.37				percent of total billed charges		491.04				other	OPPS APC	491.04				other	OPPS APC	133.02				percent of total billed charges		135.67				percent of total billed charges		491.42				other	OPPS APC	133.02	491.42	
PLATE NARROW LC-DCP 10 HOLE	SUP-224.60	CDM	270010022	LOCAL	270	RC		inpatient			491.04	491.04																																																			
PLATE NARROW LC-DCP 11 HOLE	SUP-224.61	CDM	270010022	LOCAL	270	RC		outpatient			491.04	491.42	133.02				percent of total billed charges		491.04				other	OPPS APC	363.37				percent of total billed charges		491.04				other	OPPS APC	491.04				other	OPPS APC	133.02				percent of total billed charges		135.67				percent of total billed charges		491.42				other	OPPS APC	133.02	491.42	
PLATE NARROW LC-DCP 11 HOLE	SUP-224.61	CDM	270010022	LOCAL	270	RC		inpatient			491.04	491.04																																																			
PLATE NARROW LC-DCP 12 HOLE	SUP-224.62	CDM	270010022	LOCAL	270	RC		outpatient			491.04	491.42	133.02				percent of total billed charges		491.04				other	OPPS APC	363.37				percent of total billed charges		491.04				other	OPPS APC	491.04				other	OPPS APC	133.02				percent of total billed charges		135.67				percent of total billed charges		491.42				other	OPPS APC	133.02	491.42	
PLATE NARROW LC-DCP 12 HOLE	SUP-224.62	CDM	270010022	LOCAL	270	RC		inpatient			491.04	491.04																																																			
SCREW 2.7 LOCKING 14MM	SUP-97-01170	CDM			278	RC		outpatient			490.77	49.77	490.77				fee schedule		490.77				other	OPPS APC	279.74				percent of total billed charges		490.77				other	OPPS APC	490.77				other	OPPS APC	240.48				percent of total billed charges		250.29				percent of total billed charges		49.77				other	OPPS APC	49.77	490.77	
SCREW 2.7 LOCKING 14MM	SUP-97-01170	CDM			278	RC		inpatient			490.77	490.77																																																			
SCREW 2.7 LOCKING 12MM	SUP-97-02131	CDM			278	RC		outpatient			490.77	49.77	490.77				fee schedule		490.77				other	OPPS APC	279.74				percent of total billed charges		490.77				other	OPPS APC	490.77				other	OPPS APC	240.48				percent of total billed charges		250.29				percent of total billed charges		49.77				other	OPPS APC	49.77	490.77	
SCREW 2.7 LOCKING 12MM	SUP-97-02131	CDM			278	RC		inpatient			490.77	490.77																																																			
SCREW 2.7 LOCKING 20MM	SUP-97-02133	CDM			278	RC		outpatient			490.77	49.77	490.77				fee schedule		490.77				other	OPPS APC	279.74				percent of total billed charges		490.77				other	OPPS APC	490.77				other	OPPS APC	240.48				percent of total billed charges		250.29				percent of total billed charges		49.77				other	OPPS APC	49.77	490.77	
SCREW 2.7 LOCKING 20MM	SUP-97-02133	CDM			278	RC		inpatient			490.77	490.77																																																			
SCREW 2.7 LOCKING 18MM	SUP-97-02134	CDM			278	RC		outpatient			490.77	49.77	490.77				fee schedule		490.77				other	OPPS APC	279.74				percent of total billed charges		490.77				other	OPPS APC	490.77				other	OPPS APC	240.48				percent of total billed charges		250.29				percent of total billed charges		49.77				other	OPPS APC	49.77	490.77	
SCREW 2.7 LOCKING 18MM	SUP-97-02134	CDM			278	RC		inpatient			490.77	490.77																																																			
SCREW 2.7 LOCKING 16MM	SUP-97-02179	CDM			278	RC		outpatient			490.77	49.77	490.77				fee schedule		490.77				other	OPPS APC	279.74				percent of total billed charges		490.77				other	OPPS APC	490.77				other	OPPS APC	240.48				percent of total billed charges		250.29				percent of total billed charges		49.77				other	OPPS APC	49.77	490.77	
SCREW 2.7 LOCKING 16MM	SUP-97-02179	CDM			278	RC		inpatient			490.77	490.77																																																			
2.7 X 46 MM VAR. ANG.LKNG SCREW	SUP-97-05216	CDM			278	RC		outpatient			490.77	49.77	490.77				fee schedule		490.77				other	OPPS APC	279.74				percent of total billed charges		490.77				other	OPPS APC	490.77				other	OPPS APC	240.48				percent of total billed charges		250.29				percent of total billed charges		49.77				other	OPPS APC	49.77	490.77	
2.7 X 46 MM VAR. ANG.LKNG SCREW	SUP-97-05216	CDM			278	RC		inpatient			490.77	490.77																																																			
2.7 X 14 MM SCREW	SUP-97-23778	CDM			278	RC		outpatient			490.7	49.7	490.7				fee schedule		490.7				other	OPPS APC	279.7				percent of total billed charges		490.7				other	OPPS APC	490.7				other	OPPS APC	240.44				percent of total billed charges		250.26				percent of total billed charges		49.7				other	OPPS APC	49.7	490.7	
2.7 X 14 MM SCREW	SUP-97-23778	CDM			278	RC		inpatient			490.7	490.7																																																			
DRILL BIT  AO DIA 2.4MM X 122MM  SCALED	SUP-95-03633	CDM			272	RC		outpatient			490.56	49.56	132.89				percent of total billed charges		490.56				other	OPPS APC	363.01				percent of total billed charges		490.56				other	OPPS APC	490.56				other	OPPS APC	132.89				percent of total billed charges		135.54				percent of total billed charges		49.56				other	OPPS APC	49.56	490.56	
DRILL BIT  AO DIA 2.4MM X 122MM  SCALED	SUP-95-03633	CDM			272	RC		inpatient			490.56	490.56																																																			
PROBE LASER PUREPOINT NITINOL PLASTIC GLASS 78 D L2 IN OD23 GA ILLUMINATION CURVE TIP LARGE TACTILE INDICATOR RFID X2 LATEX FREE	SUP-8065751592	CDM			270	RC		outpatient			490.38	49.38	132.84				percent of total billed charges		490.38				other	OPPS APC	362.88				percent of total billed charges		490.38				other	OPPS APC	490.38				other	OPPS APC	132.84				percent of total billed charges		135.49				percent of total billed charges		49.38				other	OPPS APC	49.38	490.38	
PROBE LASER PUREPOINT NITINOL PLASTIC GLASS 78 D L2 IN OD23 GA ILLUMINATION CURVE TIP LARGE TACTILE INDICATOR RFID X2 LATEX FREE	SUP-8065751592	CDM			270	RC		inpatient			490.38	490.38																																																			
SHEATH DILATOR VISISHEATH L43 CM OD16 FR	SUP-501016	CDM			481	RC		outpatient			490	49	240.1				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
SHEATH DILATOR VISISHEATH L43 CM OD16 FR	SUP-501016	CDM			481	RC		inpatient			490	490																																																			
SCORPION NEEDLE	SUP-79-00027	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
SCORPION NEEDLE	SUP-79-00027	CDM			272	RC		inpatient			490	490																																																			
SUTURE LASSO SD 90 STRAIGHT	SUP-79-00031	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
SUTURE LASSO SD 90 STRAIGHT	SUP-79-00031	CDM			272	RC		inpatient			490	490																																																			
POSISEPX6X2.0	SUP-95-03493	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
POSISEPX6X2.0	SUP-95-03493	CDM			272	RC		inpatient			490	490																																																			
PROBE TIP IRRIGATION EXLONG 5MM	SUP-97-00610	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
PROBE TIP IRRIGATION EXLONG 5MM	SUP-97-00610	CDM			272	RC		inpatient			490	490																																																			
DRILL 2.6MM X 122MM WL70MM AO-SHAFT	SUP-97-01338	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
DRILL 2.6MM X 122MM WL70MM AO-SHAFT	SUP-97-01338	CDM			272	RC		inpatient			490	490																																																			
SCREW VAL 2.4X14MM	SUP-97-02368	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
SCREW VAL 2.4X14MM	SUP-97-02368	CDM			278	RC		inpatient			490	490																																																			
SCREW VAL 2.4X18MM	SUP-97-02369	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
SCREW VAL 2.4X18MM	SUP-97-02369	CDM			278	RC		inpatient			490	490																																																			
QCKFIX SCRWTI CANN	SUP-97-03157	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
QCKFIX SCRWTI CANN	SUP-97-03157	CDM			278	RC		inpatient			490	490																																																			
OFFSET END CAP 12X0MM	SUP-97-03860	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
OFFSET END CAP 12X0MM	SUP-97-03860	CDM			278	RC		inpatient			490	490																																																			
QUICKFIX SCREW TI CANN. PT 2.0 X 16MM	SUP-97-05240	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
QUICKFIX SCREW TI CANN. PT 2.0 X 16MM	SUP-97-05240	CDM			278	RC		inpatient			490	490																																																			
QUICKFIX SCREW TI CANN. PT 2.0 X 14MM	SUP-97-05243	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
QUICKFIX SCREW TI CANN. PT 2.0 X 14MM	SUP-97-05243	CDM			278	RC		inpatient			490	490																																																			
QUICKFIX SCREW TI CANN PT 2.0X26MM	SUP-97-05315	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
QUICKFIX SCREW TI CANN PT 2.0X26MM	SUP-97-05315	CDM			278	RC		inpatient			490	490																																																			
QUICKFIX SCREW TI CANN PT 2.0X30MM	SUP-97-05316	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
QUICKFIX SCREW TI CANN PT 2.0X30MM	SUP-97-05316	CDM			278	RC		inpatient			490	490																																																			
SCREW 2.4 X 22MM LOW PROFILE VA LOCKING	SUP-97-06195	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
SCREW 2.4 X 22MM LOW PROFILE VA LOCKING	SUP-97-06195	CDM			278	RC		inpatient			490	490																																																			
SCREW 2.4 X 24MM LOW PROFILE VA LOCKING	SUP-97-06196	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
SCREW 2.4 X 24MM LOW PROFILE VA LOCKING	SUP-97-06196	CDM			278	RC		inpatient			490	490																																																			
SCREW 2.4 X 26 LOW PROFILE VA CORTEX	SUP-97-06200	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
SCREW 2.4 X 26 LOW PROFILE VA CORTEX	SUP-97-06200	CDM			278	RC		inpatient			490	490																																																			
LOW PROFILE VA LKG SCREW 2.4X12.0MM TI	SUP-97-23752	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
LOW PROFILE VA LKG SCREW 2.4X12.0MM TI	SUP-97-23752	CDM			278	RC		inpatient			490	490																																																			
LOW PROFILE VA LKG SCREW 2.4X14.0MM TI	SUP-97-23753	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
LOW PROFILE VA LKG SCREW 2.4X14.0MM TI	SUP-97-23753	CDM			278	RC		inpatient			490	490																																																			
LOW PROFILE VA LKG SCREW 2.4X18.0MM TI	SUP-97-23754	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
LOW PROFILE VA LKG SCREW 2.4X18.0MM TI	SUP-97-23754	CDM			278	RC		inpatient			490	490																																																			
LOW PROFILE VA LKG SCREW 2.4X26.0MM TI	SUP-97-23802	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
LOW PROFILE VA LKG SCREW 2.4X26.0MM TI	SUP-97-23802	CDM			278	RC		inpatient			490	490																																																			
LOW PROFILE VA LKG SCREW 2.4X20.0 MM TI	SUP-97-23803	CDM			278	RC		outpatient			490	49	490				fee schedule		490				other	OPPS APC	279.3				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	240.1				percent of total billed charges		249.9				percent of total billed charges		49				other	OPPS APC	49	490	
LOW PROFILE VA LKG SCREW 2.4X20.0 MM TI	SUP-97-23803	CDM			278	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 6.0X60	SUP-99-00918	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 6.0X60	SUP-99-00918	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 3.0X40	SUP-99-00919	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 3.0X40	SUP-99-00919	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 5.0X60	SUP-99-00955	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 5.0X60	SUP-99-00955	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 5.0X20	SUP-99-00956	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 5.0X20	SUP-99-00956	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 6.0X80	SUP-99-00963	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 6.0X80	SUP-99-00963	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 4.0X60	SUP-99-00977	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 4.0X60	SUP-99-00977	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.0X120	SUP-99-01093	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.0X120	SUP-99-01093	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 4.0X40	SUP-99-01098	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 4.0X40	SUP-99-01098	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.0X200	SUP-99-01103	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.0X200	SUP-99-01103	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.5X120	SUP-99-01104	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.5X120	SUP-99-01104	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 4.0X120	SUP-99-01114	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 4.0X120	SUP-99-01114	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 3.0X60	SUP-99-01125	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 3.0X60	SUP-99-01125	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.5X40	SUP-99-01141	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.5X40	SUP-99-01141	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 3.0X80	SUP-99-01157	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 3.0X80	SUP-99-01157	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 4.0X200	SUP-99-01177	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 4.0X200	SUP-99-01177	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 3.0X40	SUP-99-01187	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 3.0X40	SUP-99-01187	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 1.5X40	SUP-99-01194	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 1.5X40	SUP-99-01194	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 3.0X200	SUP-99-01213	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 3.0X200	SUP-99-01213	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.5X200	SUP-99-01221	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.5X200	SUP-99-01221	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 1.5X80	SUP-99-01237	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 1.5X80	SUP-99-01237	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 4.0X80	SUP-99-01273	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 4.0X80	SUP-99-01273	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.0X20	SUP-99-01310	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.0X20	SUP-99-01310	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 1.5X120	SUP-99-01404	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 1.5X120	SUP-99-01404	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.5X20	SUP-99-01418	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.5X20	SUP-99-01418	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 3.0X120	SUP-99-01469	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 3.0X120	SUP-99-01469	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.5X80X150	SUP-99-01474	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.5X80X150	SUP-99-01474	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 35 7.0X40	SUP-99-01497	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 35 7.0X40	SUP-99-01497	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.0X40	SUP-99-01528	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.0X40	SUP-99-01528	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 2.0X80	SUP-99-01919	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 2.0X80	SUP-99-01919	CDM			272	RC		inpatient			490	490																																																			
GUIDEWIRE - FIELDER XT - 300CM	SUP-99-01978	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
GUIDEWIRE - FIELDER XT - 300CM	SUP-99-01978	CDM			272	RC		inpatient			490	490																																																			
GUIDEWIRE - FIELDER XT - 190CM	SUP-99-02054	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
GUIDEWIRE - FIELDER XT - 190CM	SUP-99-02054	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ADMIRAL 7.0X150	SUP-99-02161	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ADMIRAL 7.0X150	SUP-99-02161	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 XT 2.0X20	SUP-99-02296	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 XT 2.0X20	SUP-99-02296	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 XT 1.2X20	SUP-99-03015	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 XT 1.2X20	SUP-99-03015	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 1.5X20	SUP-99-03317	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 1.5X20	SUP-99-03317	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 XT 1.5X12	SUP-99-03318	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 XT 1.5X12	SUP-99-03318	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 4.0X20	SUP-99-03339	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 4.0X20	SUP-99-03339	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 4.0X60	SUP-99-03438	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 4.0X60	SUP-99-03438	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 XT 1.2X12	SUP-99-03507	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 XT 1.2X12	SUP-99-03507	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 XT 1.5X20	SUP-99-03532	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 XT 1.5X20	SUP-99-03532	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 XT 2.0X12	SUP-99-03533	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 XT 2.0X12	SUP-99-03533	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ARMADA 14 3.0X20	SUP-99-03567	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ARMADA 14 3.0X20	SUP-99-03567	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 5.0X200X130	SUP-99-03638	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 5.0X200X130	SUP-99-03638	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 7.0X150X130	SUP-99-03682	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 7.0X150X130	SUP-99-03682	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 12X40X75	SUP-99-03696	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 12X40X75	SUP-99-03696	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 10X80X75	SUP-99-03884	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 10X80X75	SUP-99-03884	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 4.0X150X130	SUP-99-03885	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 4.0X150X130	SUP-99-03885	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 4.0X200X130	SUP-99-03886	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 4.0X200X130	SUP-99-03886	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 4.0X40X130	SUP-99-03887	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 4.0X40X130	SUP-99-03887	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 4.0X80X130	SUP-99-03888	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 4.0X80X130	SUP-99-03888	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 5.0X80X130	SUP-99-03889	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 5.0X80X130	SUP-99-03889	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 6.0X80X130	SUP-99-03890	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 6.0X80X130	SUP-99-03890	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 8.0X40X75	SUP-99-03891	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 8.0X40X75	SUP-99-03891	CDM			272	RC		inpatient			490	490																																																			
BALLOON - ULTRAVERSE 035 9.0X40X75	SUP-99-03892	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BALLOON - ULTRAVERSE 035 9.0X40X75	SUP-99-03892	CDM			272	RC		inpatient			490	490																																																			
GUIDEWIRE - MONGO GLADIUS 190CM	SUP-99-04198	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
GUIDEWIRE - MONGO GLADIUS 190CM	SUP-99-04198	CDM			272	RC		inpatient			490	490																																																			
GUIDEWIRE - MONGO GLADIUS 300CM	SUP-99-04203	CDM			272	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
GUIDEWIRE - MONGO GLADIUS 300CM	SUP-99-04203	CDM			272	RC		inpatient			490	490																																																			
SYSTEM BONE CEMENT ABS 3 ML DELIVERY MIX	SUP-ABS-1000L	CDM			270	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
SYSTEM BONE CEMENT ABS 3 ML DELIVERY MIX	SUP-ABS-1000L	CDM			270	RC		inpatient			490	490																																																			
ANCHOR SUTURE BIO-SUTURETAK FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID 2 L14.5 MM OD3 MM ROTATOR CUFF BIOABSORBABLE PUSH IN STERILE DISPOSABLE	SUP-AR-1934BF	CDM			270	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
ANCHOR SUTURE BIO-SUTURETAK FIBERWIRE POLY L LACTIDE CO D L LACTIDE ACID 2 L14.5 MM OD3 MM ROTATOR CUFF BIOABSORBABLE PUSH IN STERILE DISPOSABLE	SUP-AR-1934BF	CDM			270	RC		inpatient			490	490																																																			
BAND BAG	SUP-DB-6550	CDM			270	RC		outpatient			490	49	132.74				percent of total billed charges		490				other	OPPS APC	362.6				percent of total billed charges		490				other	OPPS APC	490				other	OPPS APC	132.74				percent of total billed charges		135.39				percent of total billed charges		49				other	OPPS APC	49	490	
BAND BAG	SUP-DB-6550	CDM			270	RC		inpatient			490	490																																																			
SYRINGE DENTAL ACTIVA BIOACTIVE-RESTORATIVE 5 ML	SUP-VR2A1	CDM			270	RC		outpatient			489.98	489.98	132.74				percent of total billed charges		489.98				other	OPPS APC	362.59				percent of total billed charges		489.98				other	OPPS APC	489.98				other	OPPS APC	132.74				percent of total billed charges		135.38				percent of total billed charges		489.98				other	OPPS APC	132.74	489.98	
SYRINGE DENTAL ACTIVA BIOACTIVE-RESTORATIVE 5 ML	SUP-VR2A1	CDM			270	RC		inpatient			489.98	489.98																																																			
COMPOSITE DENTAL ACTIVA BIOACTIVE-RESTORATIVE METAL OD20 GA 5 ML SYRINGE OPAQUE +40 AUTOMIX TIP CANNULA A2	SUP-VR2A2	CDM			270	RC		outpatient			489.98	489.98	132.74				percent of total billed charges		489.98				other	OPPS APC	362.59				percent of total billed charges		489.98				other	OPPS APC	489.98				other	OPPS APC	132.74				percent of total billed charges		135.38				percent of total billed charges		489.98				other	OPPS APC	132.74	489.98	
COMPOSITE DENTAL ACTIVA BIOACTIVE-RESTORATIVE METAL OD20 GA 5 ML SYRINGE OPAQUE +40 AUTOMIX TIP CANNULA A2	SUP-VR2A2	CDM			270	RC		inpatient			489.98	489.98																																																			
SCREW BONE STAINLESS STEEL T25 L14 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIPROSTHETIC CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.014	CDM	270010022	LOCAL	270	RC		outpatient			489.84	489.84	132.7				percent of total billed charges		489.84				other	OPPS APC	362.48				percent of total billed charges		489.84				other	OPPS APC	489.84				other	OPPS APC	132.7				percent of total billed charges		135.34				percent of total billed charges		489.84				other	OPPS APC	132.7	489.84	
SCREW BONE STAINLESS STEEL T25 L14 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIPROSTHETIC CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.014	CDM	270010022	LOCAL	270	RC		inpatient			489.84	489.84																																																			
SCREW BONE 1/3 THREAD REVERSE CUT FLUTE 20MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.52	CDM	270010022	LOCAL	270	RC		outpatient			489.6	489.62	132.63				percent of total billed charges		489.6				other	OPPS APC	362.3				percent of total billed charges		489.6				other	OPPS APC	489.6				other	OPPS APC	132.63				percent of total billed charges		135.28				percent of total billed charges		489.62				other	OPPS APC	132.63	489.62	
SCREW BONE 1/3 THREAD REVERSE CUT FLUTE 20MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.52	CDM	270010022	LOCAL	270	RC		inpatient			489.6	489.6																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 20MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.520	CDM	270010022	LOCAL	270	RC		outpatient			489.6	489.62	132.63				percent of total billed charges		489.6				other	OPPS APC	362.3				percent of total billed charges		489.6				other	OPPS APC	489.6				other	OPPS APC	132.63				percent of total billed charges		135.28				percent of total billed charges		489.62				other	OPPS APC	132.63	489.62	
SCREW BONE 4.5MM 6.5MM 7.5MM 20MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.520	CDM	270010022	LOCAL	270	RC		inpatient			489.6	489.6																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L30 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.53	CDM	270010022	LOCAL	270	RC		outpatient			489.6	489.62	132.63				percent of total billed charges		489.6				other	OPPS APC	362.3				percent of total billed charges		489.6				other	OPPS APC	489.6				other	OPPS APC	132.63				percent of total billed charges		135.28				percent of total billed charges		489.62				other	OPPS APC	132.63	489.62	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L30 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.53	CDM	270010022	LOCAL	270	RC		inpatient			489.6	489.6																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 30MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.530	CDM	270010022	LOCAL	270	RC		outpatient			489.6	489.62	132.63				percent of total billed charges		489.6				other	OPPS APC	362.3				percent of total billed charges		489.6				other	OPPS APC	489.6				other	OPPS APC	132.63				percent of total billed charges		135.28				percent of total billed charges		489.62				other	OPPS APC	132.63	489.62	
SCREW BONE 4.5MM 6.5MM 7.5MM 30MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.530	CDM	270010022	LOCAL	270	RC		inpatient			489.6	489.6																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 40MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL	SUP-214.54	CDM	270010022	LOCAL	270	RC		outpatient			489.6	489.62	132.63				percent of total billed charges		489.6				other	OPPS APC	362.3				percent of total billed charges		489.6				other	OPPS APC	489.6				other	OPPS APC	132.63				percent of total billed charges		135.28				percent of total billed charges		489.62				other	OPPS APC	132.63	489.62	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 40MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL	SUP-214.54	CDM	270010022	LOCAL	270	RC		inpatient			489.6	489.6																																																			
SCREW BONE 4.5MM 6.5MM 40MM SS PARTIAL THREAD LONG BONE CANNULATED REVERSE CUTTING	SUP-214.540	CDM	270010022	LOCAL	270	RC		outpatient			489.6	489.62	132.63				percent of total billed charges		489.6				other	OPPS APC	362.3				percent of total billed charges		489.6				other	OPPS APC	489.6				other	OPPS APC	132.63				percent of total billed charges		135.28				percent of total billed charges		489.62				other	OPPS APC	132.63	489.62	
SCREW BONE 4.5MM 6.5MM 40MM SS PARTIAL THREAD LONG BONE CANNULATED REVERSE CUTTING	SUP-214.540	CDM	270010022	LOCAL	270	RC		inpatient			489.6	489.6																																																			
PLATE BONE LCP 73MM SS NS 10 HOLE LOW PROFILE 2MM SCREW MODULAR MINI FRAGMENT	SUP-247.360	CDM	270010022	LOCAL	270	RC		outpatient			489.5	489.5	132.61				percent of total billed charges		489.5				other	OPPS APC	362.23				percent of total billed charges		489.5				other	OPPS APC	489.5				other	OPPS APC	132.61				percent of total billed charges		135.25				percent of total billed charges		489.5				other	OPPS APC	132.61	489.5	
PLATE BONE LCP 73MM SS NS 10 HOLE LOW PROFILE 2MM SCREW MODULAR MINI FRAGMENT	SUP-247.360	CDM	270010022	LOCAL	270	RC		inpatient			489.5	489.5																																																			
PLATE BONE TITANIUM STRAIGHT LOW PROFILE CRANIOMAXILLOFACIAL 16 HOLE	SUP-5305164	CDM			270	RC		outpatient			489	489	132.47				percent of total billed charges		489				other	OPPS APC	361.86				percent of total billed charges		489				other	OPPS APC	489				other	OPPS APC	132.47				percent of total billed charges		135.11				percent of total billed charges		489				other	OPPS APC	132.47	489	
PLATE BONE TITANIUM STRAIGHT LOW PROFILE CRANIOMAXILLOFACIAL 16 HOLE	SUP-5305164	CDM			270	RC		inpatient			489	489																																																			
PLATE BONE X 18X4.8X.9MM TITANIUM NS CRANIOFACIAL 4 HOLE 2MM SCREW	SUP-447.81	CDM	270010014	LOCAL	270	RC		outpatient			488.66	488.66	132.38				percent of total billed charges		488.66				other	OPPS APC	361.61				percent of total billed charges		488.66				other	OPPS APC	488.66				other	OPPS APC	132.38				percent of total billed charges		135.02				percent of total billed charges		488.66				other	OPPS APC	132.38	488.66	
PLATE BONE X 18X4.8X.9MM TITANIUM NS CRANIOFACIAL 4 HOLE 2MM SCREW	SUP-447.81	CDM	270010014	LOCAL	270	RC		inpatient			488.66	488.66																																																			
RING ACETABULAR DURALOC DYNAMIC OD56 MM HIP LOCK	SUP-1249-56-000	CDM	270010024	LOCAL	270	RC		outpatient			488.4	488.4	132.31				percent of total billed charges		488.4				other	OPPS APC	361.42				percent of total billed charges		488.4				other	OPPS APC	488.4				other	OPPS APC	132.31				percent of total billed charges		134.94				percent of total billed charges		488.4				other	OPPS APC	132.31	488.4	
RING ACETABULAR DURALOC DYNAMIC OD56 MM HIP LOCK	SUP-1249-56-000	CDM	270010024	LOCAL	270	RC		inpatient			488.4	488.4																																																			
MASKUMM SPRAY BUBBLE GUM	SUP-97-01496	CDM			271	RC		outpatient			488.25	488.25	132.27				percent of total billed charges		488.25				other	OPPS APC	361.31				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	132.27				percent of total billed charges		134.9				percent of total billed charges		488.25				other	OPPS APC	132.27	488.25	
MASKUMM SPRAY BUBBLE GUM	SUP-97-01496	CDM			271	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 3.5X20	SUP-97-02353	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 3.5X20	SUP-97-02353	CDM			278	RC		inpatient			488.25	488.25																																																			
SCREW LOCKING 2.5 X 12	SUP-97-02725	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
SCREW LOCKING 2.5 X 12	SUP-97-02725	CDM			278	RC		inpatient			488.25	488.25																																																			
SCREW LOCKING 2.7X16	SUP-97-02825	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
SCREW LOCKING 2.7X16	SUP-97-02825	CDM			278	RC		inpatient			488.25	488.25																																																			
NON LOCKING SCREW 2.5X16	SUP-97-02894	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
NON LOCKING SCREW 2.5X16	SUP-97-02894	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 2.0X12	SUP-97-02898	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 2.0X12	SUP-97-02898	CDM			278	RC		inpatient			488.25	488.25																																																			
SCREW LOCKING 2.7X16	SUP-97-03305	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
SCREW LOCKING 2.7X16	SUP-97-03305	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 3.5X36	SUP-97-03413	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 3.5X36	SUP-97-03413	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 3.5X28	SUP-97-03414	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 3.5X28	SUP-97-03414	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 3.5X32	SUP-97-03415	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 3.5X32	SUP-97-03415	CDM			278	RC		inpatient			488.25	488.25																																																			
SCREW LOCKING 2.7X30	SUP-97-03710	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
SCREW LOCKING 2.7X30	SUP-97-03710	CDM			278	RC		inpatient			488.25	488.25																																																			
SCREW LOCKING 2.7X32	SUP-97-03711	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
SCREW LOCKING 2.7X32	SUP-97-03711	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 3.5X38	SUP-97-03712	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 3.5X38	SUP-97-03712	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 3.5X42	SUP-97-03713	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 3.5X42	SUP-97-03713	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING PLATE SCREW  2.7 X 26MM	SUP-97-03848	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING PLATE SCREW  2.7 X 26MM	SUP-97-03848	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING PLATE SCREW  2.7 X 24MM	SUP-97-03849	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING PLATE SCREW  2.7 X 24MM	SUP-97-03849	CDM			278	RC		inpatient			488.25	488.25																																																			
LOCKING SCREW 2.0X10	SUP-97-03880	CDM			278	RC		outpatient			488.25	488.25	488.25				fee schedule		488.25				other	OPPS APC	278.3				percent of total billed charges		488.25				other	OPPS APC	488.25				other	OPPS APC	239.24				percent of total billed charges		249.01				percent of total billed charges		488.25				other	OPPS APC	239.24	488.25	
LOCKING SCREW 2.0X10	SUP-97-03880	CDM			278	RC		inpatient			488.25	488.25																																																			
Thoracic Catheter 10 Fr	PX-272C17295	CDM			272	RC		outpatient			488	488	132.2				percent of total billed charges		488				other	OPPS APC	488				fee schedule		488				other	OPPS APC	488				other	OPPS APC	132.2				percent of total billed charges		134.83				percent of total billed charges		488				other	OPPS APC	132.2	488	
Thoracic Catheter 10 Fr	PX-272C17295	CDM			272	RC		inpatient			488	488																																																			
Catheter Quad Lumen	PX-272C17512	CDM			272	RC		outpatient			488	488	132.2				percent of total billed charges		488				other	OPPS APC	361.12				percent of total billed charges		488				other	OPPS APC	488				other	OPPS APC	132.2				percent of total billed charges		134.83				percent of total billed charges		488				other	OPPS APC	132.2	488	
Catheter Quad Lumen	PX-272C17512	CDM			272	RC		inpatient			488	488																																																			
HC Pelvic Sonogram	PX-402768560	CDM	76856	CPT	402	RC		outpatient			488	112.57	127.05				fee schedule		112.57				other	OPPS APC	232.07				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	106.23				fee schedule		73.22				fee schedule		112.57				other	OPPS APC	73.22	232.07	
HC Pelvic Sonogram	PX-402768560	CDM	76856	CPT	402	RC		inpatient			488	488																																																			
HC Iud Localization	PX-402768562	CDM	76856	CPT	402	RC		outpatient			488	112.57	127.05				fee schedule		112.57				other	OPPS APC	232.07				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	106.23				fee schedule		73.22				fee schedule		112.57				other	OPPS APC	73.22	232.07	
HC Iud Localization	PX-402768562	CDM	76856	CPT	402	RC		inpatient			488	488																																																			
HC Vl Renal Artery Duplex Complete	PX-921939750	CDM	93975	CPT	921	RC		outpatient			488	245.95	284.3				fee schedule		245.95				other	OPPS APC	1026.39				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	266.55				fee schedule		248.88				percent of total billed charges		245.95				other	OPPS APC	245.95	1026.39	
HC Vl Renal Artery Duplex Complete	PX-921939750	CDM	93975	CPT	921	RC		inpatient			488	488																																																			
HC Vl Renal Artery Duplex Limited	PX-921939760	CDM	93976	CPT	921	RC		outpatient			488	488	215.57				fee schedule		488				other	OPPS APC	603.38				fee schedule		488				other	OPPS APC	488				other	OPPS APC	142.99				fee schedule		248.88				percent of total billed charges		488				other	OPPS APC	142.99	603.38	
HC Vl Renal Artery Duplex Limited	PX-921939760	CDM	93976	CPT	921	RC		inpatient			488	488																																																			
HC Duplex Limited  Abd  Pel  Retroperi V C	PX-921939761	CDM	93976	CPT	921	RC		outpatient			488	488	215.57				fee schedule		488				other	OPPS APC	603.38				fee schedule		488				other	OPPS APC	488				other	OPPS APC	142.99				fee schedule		248.88				percent of total billed charges		488				other	OPPS APC	142.99	603.38	
HC Duplex Limited  Abd  Pel  Retroperi V C	PX-921939761	CDM	93976	CPT	921	RC		inpatient			488	488																																																			
SUTURE NONABSORBABLE MYO/WIRE II STAINLESS STEEL 7 TC-1 L18 IN MONOFILAMENT WIRE STERNOTOMY	SUP-047-072	CDM			270	RC		outpatient			488	488	132.2				percent of total billed charges		488				other	OPPS APC	361.12				percent of total billed charges		488				other	OPPS APC	488				other	OPPS APC	132.2				percent of total billed charges		134.83				percent of total billed charges		488				other	OPPS APC	132.2	488	
SUTURE NONABSORBABLE MYO/WIRE II STAINLESS STEEL 7 TC-1 L18 IN MONOFILAMENT WIRE STERNOTOMY	SUP-047-072	CDM			270	RC		inpatient			488	488																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L80 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA PROXIMAL CANNULATED CONICAL NONSTERILE	SUP-222.607	CDM	270010022	LOCAL	270	RC		outpatient			487.8	487.81	132.15				percent of total billed charges		487.8				other	OPPS APC	360.97				percent of total billed charges		487.8				other	OPPS APC	487.8				other	OPPS APC	132.15				percent of total billed charges		134.78				percent of total billed charges		487.81				other	OPPS APC	132.15	487.81	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L80 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA PROXIMAL CANNULATED CONICAL NONSTERILE	SUP-222.607	CDM	270010022	LOCAL	270	RC		inpatient			487.8	487.8																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD CONE L85 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.647	CDM	270010022	LOCAL	270	RC		outpatient			487.8	487.81	132.15				percent of total billed charges		487.8				other	OPPS APC	360.97				percent of total billed charges		487.8				other	OPPS APC	487.8				other	OPPS APC	132.15				percent of total billed charges		134.78				percent of total billed charges		487.81				other	OPPS APC	132.15	487.81	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD CONE L85 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.647	CDM	270010022	LOCAL	270	RC		inpatient			487.8	487.8																																																			
SCREW 3.5 MM LOCKING SLF TAP 5	SUP-95-02616	CDM			278	RC		outpatient			487.66	487.66	487.66				fee schedule		487.66				other	OPPS APC	277.97				percent of total billed charges		487.66				other	OPPS APC	487.66				other	OPPS APC	238.95				percent of total billed charges		248.71				percent of total billed charges		487.66				other	OPPS APC	238.95	487.66	
SCREW 3.5 MM LOCKING SLF TAP 5	SUP-95-02616	CDM			278	RC		inpatient			487.66	487.66																																																			
PLATE BONE L26 MM ORAL CRANIOMAXILLOFACIAL 2 X 4 HOLE MATRIX	SUP-SP-1864	CDM			270	RC		outpatient			487.2	487.2	131.98				percent of total billed charges		487.2				other	OPPS APC	360.53				percent of total billed charges		487.2				other	OPPS APC	487.2				other	OPPS APC	131.98				percent of total billed charges		134.61				percent of total billed charges		487.2				other	OPPS APC	131.98	487.2	
PLATE BONE L26 MM ORAL CRANIOMAXILLOFACIAL 2 X 4 HOLE MATRIX	SUP-SP-1864	CDM			270	RC		inpatient			487.2	487.2																																																			
HC Trmt Delivery =>1mev  Complex	PX-333774120	CDM	77412	CPT	333	RC		outpatient			487	276.92	245.55				fee schedule		276.92				other	OPPS APC	230.25				fee schedule		276.92				other	OPPS APC	276.92				other	OPPS APC	238.63				percent of total billed charges		248.37				percent of total billed charges		276.92				other	OPPS APC	230.25	276.92	
HC Trmt Delivery =>1mev  Complex	PX-333774120	CDM	77412	CPT	333	RC		inpatient			487	487																																																			
GUIDE WIRE 1.1 DOUPLE TIP NITINOL 2 ZONE DYNANITE	SUP-95-04725	CDM			278	RC		outpatient			486.5	486.5	486.5				fee schedule		486.5				other	OPPS APC	277.31				percent of total billed charges		486.5				other	OPPS APC	486.5				other	OPPS APC	238.39				percent of total billed charges		248.12				percent of total billed charges		486.5				other	OPPS APC	238.39	486.5	
GUIDE WIRE 1.1 DOUPLE TIP NITINOL 2 ZONE DYNANITE	SUP-95-04725	CDM			278	RC		inpatient			486.5	486.5																																																			
GUIDEWIRE 1.6 DOUBLE TIP 2 ZONE DYNANITE	SUP-97-06312	CDM			278	RC		outpatient			486.5	486.5	486.5				fee schedule		486.5				other	OPPS APC	277.31				percent of total billed charges		486.5				other	OPPS APC	486.5				other	OPPS APC	238.39				percent of total billed charges		248.12				percent of total billed charges		486.5				other	OPPS APC	238.39	486.5	
GUIDEWIRE 1.6 DOUBLE TIP 2 ZONE DYNANITE	SUP-97-06312	CDM			278	RC		inpatient			486.5	486.5																																																			
ROD EXTERNAL FIXATION 100MM 11MM CARBON FIBER NS SELF DRILL MR CONDITIONAL	SUP-394.800	CDM	270010022	LOCAL	270	RC		outpatient			486.2	486.2	131.71				percent of total billed charges		486.2				other	OPPS APC	359.79				percent of total billed charges		486.2				other	OPPS APC	486.2				other	OPPS APC	131.71				percent of total billed charges		134.34				percent of total billed charges		486.2				other	OPPS APC	131.71	486.2	
ROD EXTERNAL FIXATION 100MM 11MM CARBON FIBER NS SELF DRILL MR CONDITIONAL	SUP-394.800	CDM	270010022	LOCAL	270	RC		inpatient			486.2	486.2																																																			
ROD EXTERNAL FIXATION 150MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.82	CDM	270010022	LOCAL	270	RC		outpatient			486.2	486.2	131.71				percent of total billed charges		486.2				other	OPPS APC	359.79				percent of total billed charges		486.2				other	OPPS APC	486.2				other	OPPS APC	131.71				percent of total billed charges		134.34				percent of total billed charges		486.2				other	OPPS APC	131.71	486.2	
ROD EXTERNAL FIXATION 150MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.82	CDM	270010022	LOCAL	270	RC		inpatient			486.2	486.2																																																			
CATHETER DIALYSIS BARIUM L90 CM PERITONEUM TYPE A	SUP-821682	CDM			270	RC		outpatient			486.06	486.6	131.67				percent of total billed charges		486.06				other	OPPS APC	359.68				percent of total billed charges		486.06				other	OPPS APC	486.06				other	OPPS APC	131.67				percent of total billed charges		134.3				percent of total billed charges		486.6				other	OPPS APC	131.67	486.6	
CATHETER DIALYSIS BARIUM L90 CM PERITONEUM TYPE A	SUP-821682	CDM			270	RC		inpatient			486.06	486.06																																																			
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L26 MM L6 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD NONSTERILE	SUP-40-30126	CDM			270	RC		outpatient			486	486	131.66				percent of total billed charges		486				other	OPPS APC	359.64				percent of total billed charges		486				other	OPPS APC	486				other	OPPS APC	131.66				percent of total billed charges		134.28				percent of total billed charges		486				other	OPPS APC	131.66	486	
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L26 MM L6 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD NONSTERILE	SUP-40-30126	CDM			270	RC		inpatient			486	486																																																			
SCREW DISTRACTION QUICK START L14 MM STERILE SPRING	SUP-DS-0024	CDM			270	RC		outpatient			486	486	131.66				percent of total billed charges		486				other	OPPS APC	359.64				percent of total billed charges		486				other	OPPS APC	486				other	OPPS APC	131.66				percent of total billed charges		134.28				percent of total billed charges		486				other	OPPS APC	131.66	486	
SCREW DISTRACTION QUICK START L14 MM STERILE SPRING	SUP-DS-0024	CDM			270	RC		inpatient			486	486																																																			
PINS DISTRACTION 16MM	SUP-DS-0026	CDM			270	RC		outpatient			486	486	131.66				percent of total billed charges		486				other	OPPS APC	359.64				percent of total billed charges		486				other	OPPS APC	486				other	OPPS APC	131.66				percent of total billed charges		134.28				percent of total billed charges		486				other	OPPS APC	131.66	486	
PINS DISTRACTION 16MM	SUP-DS-0026	CDM			270	RC		inpatient			486	486																																																			
SCREW BONE LCP STAINLESS STEEL L65 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.570	CDM	270010022	LOCAL	270	RC		outpatient			485.76	485.76	131.59				percent of total billed charges		485.76				other	OPPS APC	359.46				percent of total billed charges		485.76				other	OPPS APC	485.76				other	OPPS APC	131.59				percent of total billed charges		134.22				percent of total billed charges		485.76				other	OPPS APC	131.59	485.76	
SCREW BONE LCP STAINLESS STEEL L65 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.570	CDM	270010022	LOCAL	270	RC		inpatient			485.76	485.76																																																			
SCREW BONE LCP STAINLESS STEEL L70 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.571	CDM	270010022	LOCAL	270	RC		outpatient			485.76	485.76	131.59				percent of total billed charges		485.76				other	OPPS APC	359.46				percent of total billed charges		485.76				other	OPPS APC	485.76				other	OPPS APC	131.59				percent of total billed charges		134.22				percent of total billed charges		485.76				other	OPPS APC	131.59	485.76	
SCREW BONE LCP STAINLESS STEEL L70 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.571	CDM	270010022	LOCAL	270	RC		inpatient			485.76	485.76																																																			
SCREW BONE LCP STAINLESS STEEL L80 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.573	CDM	270010022	LOCAL	270	RC		outpatient			485.76	485.76	131.59				percent of total billed charges		485.76				other	OPPS APC	359.46				percent of total billed charges		485.76				other	OPPS APC	485.76				other	OPPS APC	131.59				percent of total billed charges		134.22				percent of total billed charges		485.76				other	OPPS APC	131.59	485.76	
SCREW BONE LCP STAINLESS STEEL L80 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.573	CDM	270010022	LOCAL	270	RC		inpatient			485.76	485.76																																																			
SCREW BONE LCP STAINLESS STEEL L85 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.574	CDM	270010022	LOCAL	270	RC		outpatient			485.76	485.76	131.59				percent of total billed charges		485.76				other	OPPS APC	359.46				percent of total billed charges		485.76				other	OPPS APC	485.76				other	OPPS APC	131.59				percent of total billed charges		134.22				percent of total billed charges		485.76				other	OPPS APC	131.59	485.76	
SCREW BONE LCP STAINLESS STEEL L85 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.574	CDM	270010022	LOCAL	270	RC		inpatient			485.76	485.76																																																			
SCREW BONE LCP STAINLESS STEEL L90 MM OD7.3 MM PROXIMAL FEMUR CANNULATED LOCKING NONSTERILE	SUP-222.575	CDM	270010022	LOCAL	270	RC		outpatient			485.76	485.76	131.59				percent of total billed charges		485.76				other	OPPS APC	359.46				percent of total billed charges		485.76				other	OPPS APC	485.76				other	OPPS APC	131.59				percent of total billed charges		134.22				percent of total billed charges		485.76				other	OPPS APC	131.59	485.76	
SCREW BONE LCP STAINLESS STEEL L90 MM OD7.3 MM PROXIMAL FEMUR CANNULATED LOCKING NONSTERILE	SUP-222.575	CDM	270010022	LOCAL	270	RC		inpatient			485.76	485.76																																																			
SCREW BONE LCP STAINLESS STEEL L95 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.576	CDM	270010022	LOCAL	270	RC		outpatient			485.76	485.76	131.59				percent of total billed charges		485.76				other	OPPS APC	359.46				percent of total billed charges		485.76				other	OPPS APC	485.76				other	OPPS APC	131.59				percent of total billed charges		134.22				percent of total billed charges		485.76				other	OPPS APC	131.59	485.76	
SCREW BONE LCP STAINLESS STEEL L95 MM OD7.3 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.576	CDM	270010022	LOCAL	270	RC		inpatient			485.76	485.76																																																			
PROBE ELECTROSURGICAL FIAPC L7 FT 2 IN OD2.3 MM CIRCUMFERENTIAL PLUG AND PLAY FUNCTIONALITY	SUP-20132-218	CDM			270	RC		outpatient			485.6	485.62	131.55				percent of total billed charges		485.6				other	OPPS APC	359.34				percent of total billed charges		485.6				other	OPPS APC	485.6				other	OPPS APC	131.55				percent of total billed charges		134.17				percent of total billed charges		485.62				other	OPPS APC	131.55	485.62	
PROBE ELECTROSURGICAL FIAPC L7 FT 2 IN OD2.3 MM CIRCUMFERENTIAL PLUG AND PLAY FUNCTIONALITY	SUP-20132-218	CDM			270	RC		inpatient			485.6	485.6																																																			
MARKER FIDUCIAL SUPERLOCK NITINOL L7 MM L3.5 MM OD4 MM ODSEC.8 MM COIL SEED GOLD	SUP-SDGN447	CDM			270	RC		outpatient			485.6	485.62	131.55				percent of total billed charges		485.6				other	OPPS APC	359.34				percent of total billed charges		485.6				other	OPPS APC	485.6				other	OPPS APC	131.55				percent of total billed charges		134.17				percent of total billed charges		485.62				other	OPPS APC	131.55	485.62	
MARKER FIDUCIAL SUPERLOCK NITINOL L7 MM L3.5 MM OD4 MM ODSEC.8 MM COIL SEED GOLD	SUP-SDGN447	CDM			270	RC		inpatient			485.6	485.6																																																			
TRANSFICTION PIN	SUP-97-02847	CDM			278	RC		outpatient			485.52	485.52	485.52				fee schedule		485.52				other	OPPS APC	276.75				percent of total billed charges		485.52				other	OPPS APC	485.52				other	OPPS APC	237.9				percent of total billed charges		247.62				percent of total billed charges		485.52				other	OPPS APC	237.9	485.52	
TRANSFICTION PIN	SUP-97-02847	CDM			278	RC		inpatient			485.52	485.52																																																			
SELF DRILLING/SELF TAPPING	SUP-97-02848	CDM						inpatient			485.52	485.52																																																			
SELF DRILLING/SELF TAPPING	SUP-97-02848	CDM						outpatient			485.52	485.52	485.52				percent of total billed charges		485.52				other	OPPS APC	485.52				fee schedule		485.52				other	OPPS APC	485.52				other	OPPS APC	485.52				case rate		485.52				case rate		485.52				other	OPPS APC	485.52	485.52	
SCREW BONE TITANIUM L145 MM OD8 MM CANNULATED FULLY THREADED	SUP-71109345S	CDM			270	RC		outpatient			485.28	485.28	131.46				percent of total billed charges		485.28				other	OPPS APC	359.11				percent of total billed charges		485.28				other	OPPS APC	485.28				other	OPPS APC	131.46				percent of total billed charges		134.08				percent of total billed charges		485.28				other	OPPS APC	131.46	485.28	
SCREW BONE TITANIUM L145 MM OD8 MM CANNULATED FULLY THREADED	SUP-71109345S	CDM			270	RC		inpatient			485.28	485.28																																																			
PACK SURGICAL TOTAL JOINT	SUP-DYNJ59293A	CDM			270	RC		outpatient			485.28	485.28	131.46				percent of total billed charges		485.28				other	OPPS APC	359.11				percent of total billed charges		485.28				other	OPPS APC	485.28				other	OPPS APC	131.46				percent of total billed charges		134.08				percent of total billed charges		485.28				other	OPPS APC	131.46	485.28	
PACK SURGICAL TOTAL JOINT	SUP-DYNJ59293A	CDM			270	RC		inpatient			485.28	485.28																																																			
TUBES SOILEAU DOUBLE	SUP-72-00020	CDM			272	RC		outpatient			485.1	485.12	131.41				percent of total billed charges		485.1				other	OPPS APC	358.97				percent of total billed charges		485.1				other	OPPS APC	485.1				other	OPPS APC	131.41				percent of total billed charges		134.03				percent of total billed charges		485.12				other	OPPS APC	131.41	485.12	
TUBES SOILEAU DOUBLE	SUP-72-00020	CDM			272	RC		inpatient			485.1	485.1																																																			
SLEEVE SCREW INSERTION	SUP-97-05647	CDM			272	RC		outpatient			484.96	484.96	131.38				percent of total billed charges		484.96				other	OPPS APC	358.87				percent of total billed charges		484.96				other	OPPS APC	484.96				other	OPPS APC	131.38				percent of total billed charges		133.99				percent of total billed charges		484.96				other	OPPS APC	131.38	484.96	
SLEEVE SCREW INSERTION	SUP-97-05647	CDM			272	RC		inpatient			484.96	484.96																																																			
SCREW STRYKER 3.0 CANNULATED	SUP-40-30226	CDM			270	RC		outpatient			484.8	484.81	131.33				percent of total billed charges		484.8				other	OPPS APC	358.75				percent of total billed charges		484.8				other	OPPS APC	484.8				other	OPPS APC	131.33				percent of total billed charges		133.95				percent of total billed charges		484.81				other	OPPS APC	131.33	484.81	
SCREW STRYKER 3.0 CANNULATED	SUP-40-30226	CDM			270	RC		inpatient			484.8	484.8																																																			
SHUNT CARDIOVASCULAR FLO-THRU SILICONE BULB TAPER L18 MM OD1.25 MM INTRALUMINAL RADIOPAQUE FLEXIBLE ATRAUMATIC EASY INSERTION STERILE DISPOSABLE	SUP-FT12125	CDM			270	RC		outpatient			484	484	131.12				percent of total billed charges		484				other	OPPS APC	358.16				percent of total billed charges		484				other	OPPS APC	484				other	OPPS APC	131.12				percent of total billed charges		133.73				percent of total billed charges		484				other	OPPS APC	131.12	484	
SHUNT CARDIOVASCULAR FLO-THRU SILICONE BULB TAPER L18 MM OD1.25 MM INTRALUMINAL RADIOPAQUE FLEXIBLE ATRAUMATIC EASY INSERTION STERILE DISPOSABLE	SUP-FT12125	CDM			270	RC		inpatient			484	484																																																			
DEVICE CLOSURE MYNX 6FR7FR	SUP-MX6721	CDM			270	RC		outpatient			484	484	131.12				percent of total billed charges		484				other	OPPS APC	358.16				percent of total billed charges		484				other	OPPS APC	484				other	OPPS APC	131.12				percent of total billed charges		133.73				percent of total billed charges		484				other	OPPS APC	131.12	484	
DEVICE CLOSURE MYNX 6FR7FR	SUP-MX6721	CDM			270	RC		inpatient			484	484																																																			
GUIDEWIRE VASCULAR FATHOM L300 CM L10 CM OD.014 IN PERIPHERAL STEERABLE PRESHAPED EMBOLIZATION	SUP-50-814	CDM			270	RC		outpatient			483.74	483.74	131.05				percent of total billed charges		483.74				other	OPPS APC	357.97				percent of total billed charges		483.74				other	OPPS APC	483.74				other	OPPS APC	131.05				percent of total billed charges		133.66				percent of total billed charges		483.74				other	OPPS APC	131.05	483.74	
GUIDEWIRE VASCULAR FATHOM L300 CM L10 CM OD.014 IN PERIPHERAL STEERABLE PRESHAPED EMBOLIZATION	SUP-50-814	CDM			270	RC		inpatient			483.74	483.74																																																			
PLATE BONE 13MM SPACE 2Y 15X9X.5MM TITANIUM NS CRANIOFACIAL 2 HOLE SHAFT 1 HOLE ARM 1.3MM CORTEX SCREW	SUP-421.061	CDM	270010022	LOCAL	270	RC		outpatient			482.66	482.66	130.75				percent of total billed charges		482.66				other	OPPS APC	357.17				percent of total billed charges		482.66				other	OPPS APC	482.66				other	OPPS APC	130.75				percent of total billed charges		133.36				percent of total billed charges		482.66				other	OPPS APC	130.75	482.66	
PLATE BONE 13MM SPACE 2Y 15X9X.5MM TITANIUM NS CRANIOFACIAL 2 HOLE SHAFT 1 HOLE ARM 1.3MM CORTEX SCREW	SUP-421.061	CDM	270010022	LOCAL	270	RC		inpatient			482.66	482.66																																																			
PLATE BONE X TITANIUM NS CRANIOFACIAL 4 HOLE 1.3MM SCREW	SUP-421.081	CDM	270010022	LOCAL	270	RC		outpatient			482.66	482.66	130.75				percent of total billed charges		482.66				other	OPPS APC	357.17				percent of total billed charges		482.66				other	OPPS APC	482.66				other	OPPS APC	130.75				percent of total billed charges		133.36				percent of total billed charges		482.66				other	OPPS APC	130.75	482.66	
PLATE BONE X TITANIUM NS CRANIOFACIAL 4 HOLE 1.3MM SCREW	SUP-421.081	CDM	270010022	LOCAL	270	RC		inpatient			482.66	482.66																																																			
PACK SURGICAL TOTAL JOINT	SUP-DYNJ59293	CDM			270	RC		outpatient			482.61	482.61	130.74				percent of total billed charges		482.61				other	OPPS APC	357.13				percent of total billed charges		482.61				other	OPPS APC	482.61				other	OPPS APC	130.74				percent of total billed charges		133.35				percent of total billed charges		482.61				other	OPPS APC	130.74	482.61	
PACK SURGICAL TOTAL JOINT	SUP-DYNJ59293	CDM			270	RC		inpatient			482.61	482.61																																																			
TRACKER NAVIGATION FUSION AXIEM NONINVASIVE STERILE LATEX FREE DISPOSABLE	SUP-9734887XOM	CDM						inpatient			482	482																																																			
TRACKER NAVIGATION FUSION AXIEM NONINVASIVE STERILE LATEX FREE DISPOSABLE	SUP-9734887XOM	CDM						outpatient			482	482	482				percent of total billed charges		482				other	OPPS APC	482				fee schedule		482				other	OPPS APC	482				other	OPPS APC	482				case rate		482				case rate		482				other	OPPS APC	482	482	
SCREW BONE STAINLESS STEEL FULL THREAD L 145MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108345S	CDM			270	RC		outpatient			481.68	481.68	130.49				percent of total billed charges		481.68				other	OPPS APC	356.44				percent of total billed charges		481.68				other	OPPS APC	481.68				other	OPPS APC	130.49				percent of total billed charges		133.09				percent of total billed charges		481.68				other	OPPS APC	130.49	481.68	
SCREW BONE STAINLESS STEEL FULL THREAD L 145MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108345S	CDM			270	RC		inpatient			481.68	481.68																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 150 MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108350S	CDM			270	RC		outpatient			481.68	481.68	130.49				percent of total billed charges		481.68				other	OPPS APC	356.44				percent of total billed charges		481.68				other	OPPS APC	481.68				other	OPPS APC	130.49				percent of total billed charges		133.09				percent of total billed charges		481.68				other	OPPS APC	130.49	481.68	
SCREW BONE STAINLESS STEEL FULL THREAD L 150 MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108350S	CDM			270	RC		inpatient			481.68	481.68																																																			
TRAY CENTRAL LINE 3 LUMEN 7FR X 16CM	SUP-95-04879	CDM			272	RC		outpatient			481.6	481.62	130.47				percent of total billed charges		481.6				other	OPPS APC	356.38				percent of total billed charges		481.6				other	OPPS APC	481.6				other	OPPS APC	130.47				percent of total billed charges		133.07				percent of total billed charges		481.62				other	OPPS APC	130.47	481.62	
TRAY CENTRAL LINE 3 LUMEN 7FR X 16CM	SUP-95-04879	CDM			272	RC		inpatient			481.6	481.6																																																			
MALYUGIN RING 6.25MM	SUP-73-00073	CDM			272	RC		outpatient			481.25	481.25	130.37				percent of total billed charges		481.25				other	OPPS APC	356.13				percent of total billed charges		481.25				other	OPPS APC	481.25				other	OPPS APC	130.37				percent of total billed charges		132.97				percent of total billed charges		481.25				other	OPPS APC	130.37	481.25	
MALYUGIN RING 6.25MM	SUP-73-00073	CDM			272	RC		inpatient			481.25	481.25																																																			
"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE"	636000000	CDM	44206-300-01	NDC	J2791	HCPCS		inpatient			481.15	481.15																																																			
"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE"	636000000	CDM	44206-300-90	NDC	J2791	HCPCS		inpatient			481.15	481.15																																																			
"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE"	636000000	CDM	44206-300-01	NDC	J2791	HCPCS		outpatient			481.15	481.15																																															other	OPPS APC			
"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML SYRINGE"	636000000	CDM	44206-300-90	NDC	J2791	HCPCS		outpatient			481.15	481.15																																															other	OPPS APC			
SCREW BONE CAPTURE TRANSFORMING EXTREMITIES TITANIUM L30 MM OD3 MM FOREFOOT MIDFOOT LOW PROFILE CANNULATED HYBRID THREADS SELF DRILLING SELF TAPPING DISPOSABLE	SUP-AC3030	CDM			270	RC		outpatient			481.1	481.12	130.33				percent of total billed charges		481.1				other	OPPS APC	356.01				percent of total billed charges		481.1				other	OPPS APC	481.1				other	OPPS APC	130.33				percent of total billed charges		132.93				percent of total billed charges		481.12				other	OPPS APC	130.33	481.12	
SCREW BONE CAPTURE TRANSFORMING EXTREMITIES TITANIUM L30 MM OD3 MM FOREFOOT MIDFOOT LOW PROFILE CANNULATED HYBRID THREADS SELF DRILLING SELF TAPPING DISPOSABLE	SUP-AC3030	CDM			270	RC		inpatient			481.1	481.1																																																			
CLIP LIGATION RESOLUTION 360 ULTRA 17 MM OPEN L235 CM BRAID ROTATION CONTROL KNOB	SUP-M00521402	CDM			270	RC		outpatient			481.05	481.51	130.32				percent of total billed charges		481.05				other	OPPS APC	355.98				percent of total billed charges		481.05				other	OPPS APC	481.05				other	OPPS APC	130.32				percent of total billed charges		132.91				percent of total billed charges		481.51				other	OPPS APC	130.32	481.51	
CLIP LIGATION RESOLUTION 360 ULTRA 17 MM OPEN L235 CM BRAID ROTATION CONTROL KNOB	SUP-M00521402	CDM			270	RC		inpatient			481.05	481.05																																																			
HALF-PIN MAVERICK 5MM X 200MM X 45MM	SUP-71094545	CDM			270	RC		outpatient			481	481	130.3				percent of total billed charges		481				other	OPPS APC	355.94				percent of total billed charges		481				other	OPPS APC	481				other	OPPS APC	130.3				percent of total billed charges		132.9				percent of total billed charges		481				other	OPPS APC	130.3	481	
HALF-PIN MAVERICK 5MM X 200MM X 45MM	SUP-71094545	CDM			270	RC		inpatient			481	481																																																			
PIN HALF MAVERICK L200 MM L65 MM OD5 MM NONSTERILE	SUP-71094565	CDM			270	RC		outpatient			481	481	130.3				percent of total billed charges		481				other	OPPS APC	355.94				percent of total billed charges		481				other	OPPS APC	481				other	OPPS APC	130.3				percent of total billed charges		132.9				percent of total billed charges		481				other	OPPS APC	130.3	481	
PIN HALF MAVERICK L200 MM L65 MM OD5 MM NONSTERILE	SUP-71094565	CDM			270	RC		inpatient			481	481																																																			
HALF PIN EXTERNAL FIXATION 5MM 250MM 85MM MAVERICK	SUP-71094585	CDM			270	RC		outpatient			481	481	130.3				percent of total billed charges		481				other	OPPS APC	355.94				percent of total billed charges		481				other	OPPS APC	481				other	OPPS APC	130.3				percent of total billed charges		132.9				percent of total billed charges		481				other	OPPS APC	130.3	481	
HALF PIN EXTERNAL FIXATION 5MM 250MM 85MM MAVERICK	SUP-71094585	CDM			270	RC		inpatient			481	481																																																			
HALF PIN MAVERICK L 200MM 6MM 55MM	SUP-71094655	CDM			270	RC		outpatient			481	481	130.3				percent of total billed charges		481				other	OPPS APC	355.94				percent of total billed charges		481				other	OPPS APC	481				other	OPPS APC	130.3				percent of total billed charges		132.9				percent of total billed charges		481				other	OPPS APC	130.3	481	
HALF PIN MAVERICK L 200MM 6MM 55MM	SUP-71094655	CDM			270	RC		inpatient			481	481																																																			
HALF PIN MAVERICK 6 MM X 250MM X 95MM	SUP-71094695	CDM			270	RC		outpatient			481	481	130.3				percent of total billed charges		481				other	OPPS APC	355.94				percent of total billed charges		481				other	OPPS APC	481				other	OPPS APC	130.3				percent of total billed charges		132.9				percent of total billed charges		481				other	OPPS APC	130.3	481	
HALF PIN MAVERICK 6 MM X 250MM X 95MM	SUP-71094695	CDM			270	RC		inpatient			481	481																																																			
Skin Temp Probe  Disposable	PX-270000031	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	480				fee schedule		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
Skin Temp Probe  Disposable	PX-270000031	CDM			270	RC		inpatient			480	480																																																			
HC Flow Cyto  Cell Sfc  Cytoplasm or Nuc Mark	PX-300881840	CDM	88184	CPT	300	RC		outpatient			480	341.36	49.26				fee schedule		341.36				other	OPPS APC	50.42				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	235.2				percent of total billed charges		244.8				percent of total billed charges		341.36				other	OPPS APC	49.26	341.36	
HC Flow Cyto  Cell Sfc  Cytoplasm or Nuc Mark	PX-300881840	CDM	88184	CPT	300	RC		inpatient			480	480																																																			
BIT DRILL T2 L130 MM OD4.2 MM AO COUPLING CENTER TIPPED CALIBRATED STERILE	SUP-1806-4280S	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
BIT DRILL T2 L130 MM OD4.2 MM AO COUPLING CENTER TIPPED CALIBRATED STERILE	SUP-1806-4280S	CDM			270	RC		inpatient			480	480																																																			
LDS CATHETER ONLY	SUP-62186250	CDM			275	RC		outpatient			480	48	235.2				percent of total billed charges		480				other	OPPS APC	273.6				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	235.2				percent of total billed charges		244.8				percent of total billed charges		48				other	OPPS APC	48	480	
LDS CATHETER ONLY	SUP-62186250	CDM			275	RC		inpatient			480	480																																																			
ANCHOR SUTURE BIO-SUTURETAK FIBERWIRE PEEK 2 L12.4MM OD 3MM	SUP-AR-1934PS	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
ANCHOR SUTURE BIO-SUTURETAK FIBERWIRE PEEK 2 L12.4MM OD 3MM	SUP-AR-1934PS	CDM			270	RC		inpatient			480	480																																																			
SCREW BONE 2MM 11MM QUICKFIX TITANIUM FULL THREAD FOOT HAND ANKLE WRIST 3 PRONG SELF	SUP-AR-8930-11	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
SCREW BONE 2MM 11MM QUICKFIX TITANIUM FULL THREAD FOOT HAND ANKLE WRIST 3 PRONG SELF	SUP-AR-8930-11	CDM			270	RC		inpatient			480	480																																																			
SCREW BONE QUICKFIX FULL THREAD 12MM 2MM BLUE TITANIUM 3 PRONG SELF DRILL SELF TAP SNAP OFF	SUP-AR-8930-12	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
SCREW BONE QUICKFIX FULL THREAD 12MM 2MM BLUE TITANIUM 3 PRONG SELF DRILL SELF TAP SNAP OFF	SUP-AR-8930-12	CDM			270	RC		inpatient			480	480																																																			
SCREW BONE QUICKFIX FULL THREAD 13MM 2MM GREEN TITANIUM 3 PRONG SELF DRILL SELF TAP SNAP OFF	SUP-AR-8930-13	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
SCREW BONE QUICKFIX FULL THREAD 13MM 2MM GREEN TITANIUM 3 PRONG SELF DRILL SELF TAP SNAP OFF	SUP-AR-8930-13	CDM			270	RC		inpatient			480	480																																																			
SCREW BONE QUICKFIX TITANIUM FULL THREAD L14 MM OD2 MM FOOT HAND ANKLE WRIST 3 PRONG SELF DRILL SELF TAP SNAP OFF SOLID PURPLE	SUP-AR-8930-14	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
SCREW BONE QUICKFIX TITANIUM FULL THREAD L14 MM OD2 MM FOOT HAND ANKLE WRIST 3 PRONG SELF DRILL SELF TAP SNAP OFF SOLID PURPLE	SUP-AR-8930-14	CDM			270	RC		inpatient			480	480																																																			
SCREW ARTHREX QUICKFIX 3 X 13MM	SUP-AR-8931-13	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
SCREW ARTHREX QUICKFIX 3 X 13MM	SUP-AR-8931-13	CDM			270	RC		inpatient			480	480																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L72 MM ANKLE 6 HOLE LOCK	SUP-AR-8943T-06	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
PLATE BONE STAINLESS STEEL 1/3 TUBE L72 MM ANKLE 6 HOLE LOCK	SUP-AR-8943T-06	CDM			270	RC		inpatient			480	480																																																			
CATHETER BALLOON ADVANCE 18LP LOW PROFILE	SUP-G30946	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
CATHETER BALLOON ADVANCE 18LP LOW PROFILE	SUP-G30946	CDM			270	RC		inpatient			480	480																																																			
CATHETER BALLOON ADVANCE 18LP LOW PROFILE	SUP-G30955	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
CATHETER BALLOON ADVANCE 18LP LOW PROFILE	SUP-G30955	CDM			270	RC		inpatient			480	480																																																			
CATHETER BALLOON ADVANCE 18LP LOW PROFILE	SUP-G30958	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
CATHETER BALLOON ADVANCE 18LP LOW PROFILE	SUP-G30958	CDM			270	RC		inpatient			480	480																																																			
POLYPROPYLENE 9-0	SUP-J2558N	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
POLYPROPYLENE 9-0	SUP-J2558N	CDM			270	RC		inpatient			480	480																																																			
IMPLANT INJECTABLE COAPTITE 1 ML SYRINGE BULK AGENT	SUP-M0068903000	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
IMPLANT INJECTABLE COAPTITE 1 ML SYRINGE BULK AGENT	SUP-M0068903000	CDM			270	RC		inpatient			480	480																																																			
PARTICLES EMBOLIZATION EMBOSPHERE TRISACRYL GELATIN 500-700 UM MICROSPHERE ROUND 20 ML SYRINGE RED	SUP-S620GH	CDM			270	RC		outpatient			480	48	130.03				percent of total billed charges		480				other	OPPS APC	355.2				percent of total billed charges		480				other	OPPS APC	480				other	OPPS APC	130.03				percent of total billed charges		132.62				percent of total billed charges		48				other	OPPS APC	48	480	
PARTICLES EMBOLIZATION EMBOSPHERE TRISACRYL GELATIN 500-700 UM MICROSPHERE ROUND 20 ML SYRINGE RED	SUP-S620GH	CDM			270	RC		inpatient			480	480																																																			
TOOL LEAD DELIVERY LONG TUNNELING	SUP-SC-4254	CDM						inpatient			480	480																																																			
TOOL LEAD DELIVERY LONG TUNNELING	SUP-SC-4254	CDM						outpatient			480	48	480				percent of total billed charges		480				other	OPPS APC	480				fee schedule		480				other	OPPS APC	480				other	OPPS APC	480				case rate		480				case rate		48				other	OPPS APC	48	480	
SCREW MUITI THREAD LOCKING 3.5X16MM	SUP-97-03268	CDM			278	RC		outpatient			479.5	479.5	479.5				fee schedule		479.5				other	OPPS APC	273.32				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	234.96				percent of total billed charges		244.55				percent of total billed charges		479.5				other	OPPS APC	234.96	479.5	
SCREW MUITI THREAD LOCKING 3.5X16MM	SUP-97-03268	CDM			278	RC		inpatient			479.5	479.5																																																			
SCREW MUITI THREAD LOCKING 3.5X22MM	SUP-97-03269	CDM			278	RC		outpatient			479.5	479.5	479.5				fee schedule		479.5				other	OPPS APC	273.32				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	234.96				percent of total billed charges		244.55				percent of total billed charges		479.5				other	OPPS APC	234.96	479.5	
SCREW MUITI THREAD LOCKING 3.5X22MM	SUP-97-03269	CDM			278	RC		inpatient			479.5	479.5																																																			
SCREW MUITI THREAD LOCKING 3.5X12MM	SUP-97-03270	CDM			278	RC		outpatient			479.5	479.5	479.5				fee schedule		479.5				other	OPPS APC	273.32				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	234.96				percent of total billed charges		244.55				percent of total billed charges		479.5				other	OPPS APC	234.96	479.5	
SCREW MUITI THREAD LOCKING 3.5X12MM	SUP-97-03270	CDM			278	RC		inpatient			479.5	479.5																																																			
SCREW MUITI THREAD LOCKING 3.5X14MM	SUP-97-03271	CDM			278	RC		outpatient			479.5	479.5	479.5				fee schedule		479.5				other	OPPS APC	273.32				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	234.96				percent of total billed charges		244.55				percent of total billed charges		479.5				other	OPPS APC	234.96	479.5	
SCREW MUITI THREAD LOCKING 3.5X14MM	SUP-97-03271	CDM			278	RC		inpatient			479.5	479.5																																																			
SCREW MUITI THREAD LOCKING 3.5X16MM	SUP-97-03272	CDM			278	RC		outpatient			479.5	479.5	479.5				fee schedule		479.5				other	OPPS APC	273.32				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	234.96				percent of total billed charges		244.55				percent of total billed charges		479.5				other	OPPS APC	234.96	479.5	
SCREW MUITI THREAD LOCKING 3.5X16MM	SUP-97-03272	CDM			278	RC		inpatient			479.5	479.5																																																			
SCREW MUITI THREAD LOCKING 3.5X16MM	SUP-97-03273	CDM			278	RC		outpatient			479.5	479.5	479.5				fee schedule		479.5				other	OPPS APC	273.32				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	234.96				percent of total billed charges		244.55				percent of total billed charges		479.5				other	OPPS APC	234.96	479.5	
SCREW MUITI THREAD LOCKING 3.5X16MM	SUP-97-03273	CDM			278	RC		inpatient			479.5	479.5																																																			
MICA FIRST MET TRANSLATOR	SUP-97-05804	CDM			272	RC		outpatient			479.5	479.5	129.9				percent of total billed charges		479.5				other	OPPS APC	354.83				percent of total billed charges		479.5				other	OPPS APC	479.5				other	OPPS APC	129.9				percent of total billed charges		132.49				percent of total billed charges		479.5				other	OPPS APC	129.9	479.5	
MICA FIRST MET TRANSLATOR	SUP-97-05804	CDM			272	RC		inpatient			479.5	479.5																																																			
CRE PRO DILATOR ENDOSCOPIC CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD8-9-10 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558670	CDM			270	RC		outpatient			479.02	479.2	129.77				percent of total billed charges		479.02				other	OPPS APC	354.47				percent of total billed charges		479.02				other	OPPS APC	479.02				other	OPPS APC	129.77				percent of total billed charges		132.35				percent of total billed charges		479.2				other	OPPS APC	129.77	479.2	
CRE PRO DILATOR ENDOSCOPIC CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD8-9-10 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558670	CDM			270	RC		inpatient			479.02	479.02																																																			
CRE PRO CATHETER BALLOON DILATATION CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD10-11-12 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558680	CDM			270	RC		outpatient			479.02	479.2	129.77				percent of total billed charges		479.02				other	OPPS APC	354.47				percent of total billed charges		479.02				other	OPPS APC	479.02				other	OPPS APC	129.77				percent of total billed charges		132.35				percent of total billed charges		479.2				other	OPPS APC	129.77	479.2	
CRE PRO CATHETER BALLOON DILATATION CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD10-11-12 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558680	CDM			270	RC		inpatient			479.02	479.02																																																			
CRE PRO CATHETER BALLOON DILATION CRE PEBAX L240 CM L5.5 CM OD15-16.5-18 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558700	CDM			270	RC		outpatient			479.02	479.2	129.77				percent of total billed charges		479.02				other	OPPS APC	354.47				percent of total billed charges		479.02				other	OPPS APC	479.02				other	OPPS APC	129.77				percent of total billed charges		132.35				percent of total billed charges		479.2				other	OPPS APC	129.77	479.2	
CRE PRO CATHETER BALLOON DILATION CRE PEBAX L240 CM L5.5 CM OD15-16.5-18 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558700	CDM			270	RC		inpatient			479.02	479.02																																																			
CRE PRO DILATOR ENDOSCOPIC CRE PEBAX 2.8 MM 3.2 MM 3.7 MM 4.2 MM L240 CM L5.5 CM OD18-19-20 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558710	CDM			270	RC		outpatient			479.02	479.2	129.77				percent of total billed charges		479.02				other	OPPS APC	354.47				percent of total billed charges		479.02				other	OPPS APC	479.02				other	OPPS APC	129.77				percent of total billed charges		132.35				percent of total billed charges		479.2				other	OPPS APC	129.77	479.2	
CRE PRO DILATOR ENDOSCOPIC CRE PEBAX 2.8 MM 3.2 MM 3.7 MM 4.2 MM L240 CM L5.5 CM OD18-19-20 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558710	CDM			270	RC		inpatient			479.02	479.02																																																			
DRILL BIT 4.3MM	SUP-97-01541	CDM			272	RC		outpatient			478.91	478.91	129.74				percent of total billed charges		478.91				other	OPPS APC	354.39				percent of total billed charges		478.91				other	OPPS APC	478.91				other	OPPS APC	129.74				percent of total billed charges		132.32				percent of total billed charges		478.91				other	OPPS APC	129.74	478.91	
DRILL BIT 4.3MM	SUP-97-01541	CDM			272	RC		inpatient			478.91	478.91																																																			
NEEDLE SET EZ IO YELLOW 15G	SUP-95-01738	CDM			272	RC		outpatient			478.1	478.12	129.52				percent of total billed charges		478.1				other	OPPS APC	353.79				percent of total billed charges		478.1				other	OPPS APC	478.1				other	OPPS APC	129.52				percent of total billed charges		132.1				percent of total billed charges		478.12				other	OPPS APC	129.52	478.12	
NEEDLE SET EZ IO YELLOW 15G	SUP-95-01738	CDM			272	RC		inpatient			478.1	478.1																																																			
INTRODUCER SHEATH LAMP 45 CURVE	SUP-407362	CDM			270	RC		outpatient			478	478	129.49				percent of total billed charges		478				other	OPPS APC	353.72				percent of total billed charges		478				other	OPPS APC	478				other	OPPS APC	129.49				percent of total billed charges		132.07				percent of total billed charges		478				other	OPPS APC	129.49	478	
INTRODUCER SHEATH LAMP 45 CURVE	SUP-407362	CDM			270	RC		inpatient			478	478																																																			
CPT LAP CHOLE PACK	SUP-76-00078	CDM			272	RC		outpatient			477.86	477.86	129.45				percent of total billed charges		477.86				other	OPPS APC	353.62				percent of total billed charges		477.86				other	OPPS APC	477.86				other	OPPS APC	129.45				percent of total billed charges		132.03				percent of total billed charges		477.86				other	OPPS APC	129.45	477.86	
CPT LAP CHOLE PACK	SUP-76-00078	CDM			272	RC		inpatient			477.86	477.86																																																			
PATELLO FEMORAL JOINT SYSTEM	SUP-97-02710	CDM			278	RC		outpatient			477.75	477.75	477.75				fee schedule		477.75				other	OPPS APC	272.32				percent of total billed charges		477.75				other	OPPS APC	477.75				other	OPPS APC	234.1				percent of total billed charges		243.65				percent of total billed charges		477.75				other	OPPS APC	234.1	477.75	
PATELLO FEMORAL JOINT SYSTEM	SUP-97-02710	CDM			278	RC		inpatient			477.75	477.75																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 150 MM OD 6.5MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106350S	CDM			270	RC		outpatient			477.36	477.36	129.32				percent of total billed charges		477.36				other	OPPS APC	353.25				percent of total billed charges		477.36				other	OPPS APC	477.36				other	OPPS APC	129.32				percent of total billed charges		131.89				percent of total billed charges		477.36				other	OPPS APC	129.32	477.36	
SCREW BONE STAINLESS STEEL FULL THREAD L 150 MM OD 6.5MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106350S	CDM			270	RC		inpatient			477.36	477.36																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 155 MM OD 6.5 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106355S	CDM			270	RC		outpatient			477.36	477.36	129.32				percent of total billed charges		477.36				other	OPPS APC	353.25				percent of total billed charges		477.36				other	OPPS APC	477.36				other	OPPS APC	129.32				percent of total billed charges		131.89				percent of total billed charges		477.36				other	OPPS APC	129.32	477.36	
SCREW BONE STAINLESS STEEL FULL THREAD L 155 MM OD 6.5 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106355S	CDM			270	RC		inpatient			477.36	477.36																																																			
GUIDEWIRE VASCULAR TRANSEND SCITANIUM ICE TUNGSTEN POLYETHYLENE L190 CM L2 CM OD.014 IN PERIPHERAL STEERABLE STRAIGHT TIP	SUP-M001468010	CDM			270	RC		outpatient			477.36	477.36	129.32				percent of total billed charges		477.36				other	OPPS APC	353.25				percent of total billed charges		477.36				other	OPPS APC	477.36				other	OPPS APC	129.32				percent of total billed charges		131.89				percent of total billed charges		477.36				other	OPPS APC	129.32	477.36	
GUIDEWIRE VASCULAR TRANSEND SCITANIUM ICE TUNGSTEN POLYETHYLENE L190 CM L2 CM OD.014 IN PERIPHERAL STEERABLE STRAIGHT TIP	SUP-M001468010	CDM			270	RC		inpatient			477.36	477.36																																																			
PLATE 6 HOLE DOUBLE WIDE LONG	SUP-01-7112	CDM			270	RC		outpatient			476	476	128.95				percent of total billed charges		476				other	OPPS APC	352.24				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	128.95				percent of total billed charges		131.52				percent of total billed charges		476				other	OPPS APC	128.95	476	
PLATE 6 HOLE DOUBLE WIDE LONG	SUP-01-7112	CDM			270	RC		inpatient			476	476																																																			
ANCHOR SUTURE FASTIN RC OD6.5 MM ROTATOR CUFF ORTHOCORD THREADED NEEDLE STERILE	SUP-222994	CDM			270	RC		outpatient			476	476	128.95				percent of total billed charges		476				other	OPPS APC	352.24				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	128.95				percent of total billed charges		131.52				percent of total billed charges		476				other	OPPS APC	128.95	476	
ANCHOR SUTURE FASTIN RC OD6.5 MM ROTATOR CUFF ORTHOCORD THREADED NEEDLE STERILE	SUP-222994	CDM			270	RC		inpatient			476	476																																																			
SCREW CANN FULL THRD 4.0 X 26MM	SUP-97-03023	CDM			278	RC		outpatient			476	476	476				fee schedule		476				other	OPPS APC	271.32				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	233.24				percent of total billed charges		242.76				percent of total billed charges		476				other	OPPS APC	233.24	476	
SCREW CANN FULL THRD 4.0 X 26MM	SUP-97-03023	CDM			278	RC		inpatient			476	476																																																			
SCREW FULL THRD CANN 4.0 X 36MM	SUP-97-05022	CDM			278	RC		outpatient			476	476	476				fee schedule		476				other	OPPS APC	271.32				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	233.24				percent of total billed charges		242.76				percent of total billed charges		476				other	OPPS APC	233.24	476	
SCREW FULL THRD CANN 4.0 X 36MM	SUP-97-05022	CDM			278	RC		inpatient			476	476																																																			
SCREW 4 X 32MM CANNULATED FULLY THREADED	SUP-97-05764	CDM			278	RC		outpatient			476	476	476				fee schedule		476				other	OPPS APC	271.32				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	233.24				percent of total billed charges		242.76				percent of total billed charges		476				other	OPPS APC	233.24	476	
SCREW 4 X 32MM CANNULATED FULLY THREADED	SUP-97-05764	CDM			278	RC		inpatient			476	476																																																			
SCREW 4 X 34MM CANNULATED FULLY THREADED	SUP-97-05765	CDM			278	RC		outpatient			476	476	476				fee schedule		476				other	OPPS APC	271.32				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	233.24				percent of total billed charges		242.76				percent of total billed charges		476				other	OPPS APC	233.24	476	
SCREW 4 X 34MM CANNULATED FULLY THREADED	SUP-97-05765	CDM			278	RC		inpatient			476	476																																																			
SCREW 4 X 12MM CANNULATED FULLY THREADED	SUP-97-05841	CDM			278	RC		outpatient			476	476	476				fee schedule		476				other	OPPS APC	271.32				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	233.24				percent of total billed charges		242.76				percent of total billed charges		476				other	OPPS APC	233.24	476	
SCREW 4 X 12MM CANNULATED FULLY THREADED	SUP-97-05841	CDM			278	RC		inpatient			476	476																																																			
SCREW 4 X 30MM CANNULATED FULLY THREADED	SUP-97-05842	CDM			278	RC		outpatient			476	476	476				fee schedule		476				other	OPPS APC	271.32				percent of total billed charges		476				other	OPPS APC	476				other	OPPS APC	233.24				percent of total billed charges		242.76				percent of total billed charges		476				other	OPPS APC	233.24	476	
SCREW 4 X 30MM CANNULATED FULLY THREADED	SUP-97-05842	CDM			278	RC		inpatient			476	476																																																			
PLATE BONE GAP TITANIUM 2Y LOW PROFILE L8 MM CRANIOMAXILLOFACIAL 6 HOLE	SUP-5305608	CDM			270	RC		outpatient			475.72	475.72	128.87				percent of total billed charges		475.72				other	OPPS APC	352.03				percent of total billed charges		475.72				other	OPPS APC	475.72				other	OPPS APC	128.87				percent of total billed charges		131.44				percent of total billed charges		475.72				other	OPPS APC	128.87	475.72	
PLATE BONE GAP TITANIUM 2Y LOW PROFILE L8 MM CRANIOMAXILLOFACIAL 6 HOLE	SUP-5305608	CDM			270	RC		inpatient			475.72	475.72																																																			
SCREW T10 3.5 X 10MM LOCKING	SUP-97-03356	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW T10 3.5 X 10MM LOCKING	SUP-97-03356	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW T10 3.5 X 14MM LOCKING	SUP-97-03357	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW T10 3.5 X 14MM LOCKING	SUP-97-03357	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW T10 3.5 X 36MM LOCKING	SUP-97-03358	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW T10 3.5 X 36MM LOCKING	SUP-97-03358	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW T10 3.5 X 40MM LOCKING	SUP-97-03359	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW T10 3.5 X 40MM LOCKING	SUP-97-03359	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW T10 3.5 X 50MM LOCKING	SUP-97-03360	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW T10 3.5 X 50MM LOCKING	SUP-97-03360	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW LOCKING T7 2.7 X 34MM	SUP-97-03389	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW LOCKING T7 2.7 X 34MM	SUP-97-03389	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW T10 3.5 X 20MM LOCKING	SUP-97-03898	CDM			278	RC		outpatient			475.06	475.6	475.06				fee schedule		475.06				other	OPPS APC	270.78				percent of total billed charges		475.06				other	OPPS APC	475.06				other	OPPS APC	232.78				percent of total billed charges		242.28				percent of total billed charges		475.6				other	OPPS APC	232.78	475.6	
SCREW T10 3.5 X 20MM LOCKING	SUP-97-03898	CDM			278	RC		inpatient			475.06	475.06																																																			
SCREW LOCKING  T10  3.5X12MM	SUP-97-03775	CDM			278	RC		outpatient			475.02	475.2	475.02				fee schedule		475.02				other	OPPS APC	270.76				percent of total billed charges		475.02				other	OPPS APC	475.02				other	OPPS APC	232.76				percent of total billed charges		242.26				percent of total billed charges		475.2				other	OPPS APC	232.76	475.2	
SCREW LOCKING  T10  3.5X12MM	SUP-97-03775	CDM			278	RC		inpatient			475.02	475.02																																																			
272c17294	PX-272C17294	CDM			272	RC		outpatient			475	475	128.68				percent of total billed charges		475				other	OPPS APC	351.5				percent of total billed charges		475				other	OPPS APC	475				other	OPPS APC	128.68				percent of total billed charges		131.24				percent of total billed charges		475				other	OPPS APC	128.68	475	
272c17294	PX-272C17294	CDM			272	RC		inpatient			475	475																																																			
HC Biophys Profile W/ Non Stress	PX-402768190	CDM	76819	CPT	402	RC		outpatient			475	112.57	91.27				fee schedule		112.57				other	OPPS APC	251.92				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	84.2				fee schedule		47.92				fee schedule		112.57				other	OPPS APC	47.92	251.92	
HC Biophys Profile W/ Non Stress	PX-402768190	CDM	76819	CPT	402	RC		inpatient			475	475																																																			
HC Vl Duplex Venous Map Unilat	PX-921939710	CDM	93971	CPT	921	RC		outpatient			475	112.57	115.91				fee schedule		112.57				other	OPPS APC	449.15				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	119.59				fee schedule		242.25				percent of total billed charges		112.57				other	OPPS APC	112.57	449.15	
HC Vl Duplex Venous Map Unilat	PX-921939710	CDM	93971	CPT	921	RC		inpatient			475	475																																																			
CRE PRO CATHETER BALLOON DILATATION CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD6-7-8 MM ESOPHAGEAL PYLORIC BILIARY LOW PROFILE RADIOPACQUE GUIDEWIRE	SUP-M00558660	CDM			270	RC		outpatient			474.72	474.72	128.6				percent of total billed charges		474.72				other	OPPS APC	351.29				percent of total billed charges		474.72				other	OPPS APC	474.72				other	OPPS APC	128.6				percent of total billed charges		131.17				percent of total billed charges		474.72				other	OPPS APC	128.6	474.72	
CRE PRO CATHETER BALLOON DILATATION CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD6-7-8 MM ESOPHAGEAL PYLORIC BILIARY LOW PROFILE RADIOPACQUE GUIDEWIRE	SUP-M00558660	CDM			270	RC		inpatient			474.72	474.72																																																			
CRE PRO CATHETER BALLOON DILATATION CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD11-13.5-15 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558690	CDM			270	RC		outpatient			474.72	474.72	128.6				percent of total billed charges		474.72				other	OPPS APC	351.29				percent of total billed charges		474.72				other	OPPS APC	474.72				other	OPPS APC	128.6				percent of total billed charges		131.17				percent of total billed charges		474.72				other	OPPS APC	128.6	474.72	
CRE PRO CATHETER BALLOON DILATATION CRE PEBAX 2.8 MM 3.2 MM L240 CM L5.5 CM OD11-13.5-15 MM ODSEC7.5 FR ESOPHAGEAL PYLORIC BILIARY BALLOON LOW PROFILE GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-M00558690	CDM			270	RC		inpatient			474.72	474.72																																																			
DRILL BIT 2.2MM CANNULATED	SUP-95-04780	CDM			272	RC		outpatient			474.6	474.62	128.57				percent of total billed charges		474.6				other	OPPS APC	351.2				percent of total billed charges		474.6				other	OPPS APC	474.6				other	OPPS APC	128.57				percent of total billed charges		131.13				percent of total billed charges		474.62				other	OPPS APC	128.57	474.62	
DRILL BIT 2.2MM CANNULATED	SUP-95-04780	CDM			272	RC		inpatient			474.6	474.6																																																			
DRILL BIT 2 X 24MM	SUP-95-04781	CDM			272	RC		outpatient			474.6	474.62	128.57				percent of total billed charges		474.6				other	OPPS APC	351.2				percent of total billed charges		474.6				other	OPPS APC	474.6				other	OPPS APC	128.57				percent of total billed charges		131.13				percent of total billed charges		474.62				other	OPPS APC	128.57	474.62	
DRILL BIT 2 X 24MM	SUP-95-04781	CDM			272	RC		inpatient			474.6	474.6																																																			
ENT PRECISION CUTTER 2.5MM AGGRESSIVE	SUP-72-00065	CDM			272	RC		outpatient			474.47	474.47	128.53				percent of total billed charges		474.47				other	OPPS APC	351.11				percent of total billed charges		474.47				other	OPPS APC	474.47				other	OPPS APC	128.53				percent of total billed charges		131.1				percent of total billed charges		474.47				other	OPPS APC	128.53	474.47	
ENT PRECISION CUTTER 2.5MM AGGRESSIVE	SUP-72-00065	CDM			272	RC		inpatient			474.47	474.47																																																			
PLATE BONE TITANIUM H CRANIOFACIAL 6 HOLE NONSTERILE 1 MM SCREW	SUP-420.840	CDM	270010022	LOCAL	270	RC		outpatient			474.42	474.42	128.52				percent of total billed charges		474.42				other	OPPS APC	351.07				percent of total billed charges		474.42				other	OPPS APC	474.42				other	OPPS APC	128.52				percent of total billed charges		131.08				percent of total billed charges		474.42				other	OPPS APC	128.52	474.42	
PLATE BONE TITANIUM H CRANIOFACIAL 6 HOLE NONSTERILE 1 MM SCREW	SUP-420.840	CDM	270010022	LOCAL	270	RC		inpatient			474.42	474.42																																																			
SCREW 3.5 X 26MM LOCKING	SUP-97-03960	CDM			278	RC		outpatient			474.25	474.25	474.25				fee schedule		474.25				other	OPPS APC	270.32				percent of total billed charges		474.25				other	OPPS APC	474.25				other	OPPS APC	232.38				percent of total billed charges		241.87				percent of total billed charges		474.25				other	OPPS APC	232.38	474.25	
SCREW 3.5 X 26MM LOCKING	SUP-97-03960	CDM			278	RC		inpatient			474.25	474.25																																																			
EEA 31MM	SUP-76-00013	CDM			272	RC		outpatient			473.95	473.95	128.39				percent of total billed charges		473.95				other	OPPS APC	350.72				percent of total billed charges		473.95				other	OPPS APC	473.95				other	OPPS APC	128.39				percent of total billed charges		130.95				percent of total billed charges		473.95				other	OPPS APC	128.39	473.95	
EEA 31MM	SUP-76-00013	CDM			272	RC		inpatient			473.95	473.95																																																			
SCREW 3.5 MM LOCKING SLF TAP 3	SUP-97-00894	CDM			278	RC		outpatient			473.45	473.45	473.45				fee schedule		473.45				other	OPPS APC	269.87				percent of total billed charges		473.45				other	OPPS APC	473.45				other	OPPS APC	231.99				percent of total billed charges		241.46				percent of total billed charges		473.45				other	OPPS APC	231.99	473.45	
SCREW 3.5 MM LOCKING SLF TAP 3	SUP-97-00894	CDM			278	RC		inpatient			473.45	473.45																																																			
CATHETER PULMONARY ARTERY SWAN-GANZ AMC THROMBOSHIELD L110 CM OD7 FR ATRIUM VENTRICLE 4 LUMEN THERMODILUTION PACING LATEX	SUP-D200HF7	CDM			270	RC		outpatient			473.08	473.8	128.16				percent of total billed charges		473.08				other	OPPS APC	350.08				percent of total billed charges		473.08				other	OPPS APC	473.08				other	OPPS APC	128.16				percent of total billed charges		130.71				percent of total billed charges		473.8				other	OPPS APC	128.16	473.8	
CATHETER PULMONARY ARTERY SWAN-GANZ AMC THROMBOSHIELD L110 CM OD7 FR ATRIUM VENTRICLE 4 LUMEN THERMODILUTION PACING LATEX	SUP-D200HF7	CDM			270	RC		inpatient			473.08	473.08																																																			
HC Venography  Needle Inject	PX-361360051	CDM	36005	CPT	361	RC		inpatient			473	473																																																			
HC Venography  Needle Inject	PX-361360051	CDM	36005	CPT	361	RC		outpatient			473	473	149.37				percent of total billed charges						other	OPPS APC	612				fee schedule						other	OPPS APC					other	OPPS APC	149.37				percent of total billed charges		152.35				percent of total billed charges						other	OPPS APC	612	612	
SCREW LOCKING ST 3.5MM X 24MM	SUP-95-01827	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 24MM	SUP-95-01827	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5MM X 12MM	SUP-97-00715	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 12MM	SUP-97-00715	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5 MM X 26MM	SUP-97-00977	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5 MM X 26MM	SUP-97-00977	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5MM X 20MM	SUP-97-00983	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 20MM	SUP-97-00983	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5MM X 14MM	SUP-97-00984	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 14MM	SUP-97-00984	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5MM X 18MM	SUP-97-00985	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 18MM	SUP-97-00985	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5MM X 16MM	SUP-97-00986	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 16MM	SUP-97-00986	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING ST 3.5MM X 22MM	SUP-97-01875	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING ST 3.5MM X 22MM	SUP-97-01875	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING SELF TAPPING 3.5 X 36MM	SUP-97-02337	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING SELF TAPPING 3.5 X 36MM	SUP-97-02337	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING SELF TAPPING 3.5 X 32MM	SUP-97-03137	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING SELF TAPPING 3.5 X 32MM	SUP-97-03137	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING SELF TAPPING 3.5 X 34MM	SUP-97-03765	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING SELF TAPPING 3.5 X 34MM	SUP-97-03765	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING SELF TAPPING 3.5 X 38MM	SUP-97-04530	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING SELF TAPPING 3.5 X 38MM	SUP-97-04530	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING SELF TAPPING 3.5 X 30MM STARDRIVE RECESS	SUP-97-05719	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING SELF TAPPING 3.5 X 30MM STARDRIVE RECESS	SUP-97-05719	CDM			278	RC		inpatient			472.89	472.89																																																			
SCREW LOCKING SELF TAPPING 3.5 X 60MM	SUP-97-06041	CDM			278	RC		outpatient			472.89	472.89	472.89				fee schedule		472.89				other	OPPS APC	269.55				percent of total billed charges		472.89				other	OPPS APC	472.89				other	OPPS APC	231.72				percent of total billed charges		241.17				percent of total billed charges		472.89				other	OPPS APC	231.72	472.89	
SCREW LOCKING SELF TAPPING 3.5 X 60MM	SUP-97-06041	CDM			278	RC		inpatient			472.89	472.89																																																			
PLATE BONE BOX 13X8MM TITANIUM NS CRANIOFACIAL 4 HOLE 1.3MM SCREW	SUP-421.095	CDM	270010022	LOCAL	270	RC		outpatient			472.68	472.68	128.05				percent of total billed charges		472.68				other	OPPS APC	349.78				percent of total billed charges		472.68				other	OPPS APC	472.68				other	OPPS APC	128.05				percent of total billed charges		130.6				percent of total billed charges		472.68				other	OPPS APC	128.05	472.68	
PLATE BONE BOX 13X8MM TITANIUM NS CRANIOFACIAL 4 HOLE 1.3MM SCREW	SUP-421.095	CDM	270010022	LOCAL	270	RC		inpatient			472.68	472.68																																																			
PLATE BONE BOX 13X13MM TITANIUM NS CRANIOFACIAL 4 HOLE 1.3MM SCREW	SUP-421.096	CDM	270010022	LOCAL	270	RC		outpatient			472.68	472.68	128.05				percent of total billed charges		472.68				other	OPPS APC	349.78				percent of total billed charges		472.68				other	OPPS APC	472.68				other	OPPS APC	128.05				percent of total billed charges		130.6				percent of total billed charges		472.68				other	OPPS APC	128.05	472.68	
PLATE BONE BOX 13X13MM TITANIUM NS CRANIOFACIAL 4 HOLE 1.3MM SCREW	SUP-421.096	CDM	270010022	LOCAL	270	RC		inpatient			472.68	472.68																																																			
PLATE 1.5 5-HOLE REG Y	SUP-71-00201	CDM			278	RC		outpatient			472.5	472.5	472.5				fee schedule		472.5				other	OPPS APC	269.33				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	231.53				percent of total billed charges		240.98				percent of total billed charges		472.5				other	OPPS APC	231.53	472.5	
PLATE 1.5 5-HOLE REG Y	SUP-71-00201	CDM			278	RC		inpatient			472.5	472.5																																																			
PLATE 1.5 5-HOLE LONG Y	SUP-71-00208	CDM			278	RC		outpatient			472.5	472.5	472.5				fee schedule		472.5				other	OPPS APC	269.33				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	231.53				percent of total billed charges		240.98				percent of total billed charges		472.5				other	OPPS APC	231.53	472.5	
PLATE 1.5 5-HOLE LONG Y	SUP-71-00208	CDM			278	RC		inpatient			472.5	472.5																																																			
PLATE 1.5 3X3-HOLE REG T	SUP-71-00209	CDM			278	RC		outpatient			472.5	472.5	472.5				fee schedule		472.5				other	OPPS APC	269.33				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	231.53				percent of total billed charges		240.98				percent of total billed charges		472.5				other	OPPS APC	231.53	472.5	
PLATE 1.5 3X3-HOLE REG T	SUP-71-00209	CDM			278	RC		inpatient			472.5	472.5																																																			
LARGE BB-TAK	SUP-97-03932	CDM			278	RC		outpatient			472.5	472.5	472.5				fee schedule		472.5				other	OPPS APC	269.33				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	231.53				percent of total billed charges		240.98				percent of total billed charges		472.5				other	OPPS APC	231.53	472.5	
LARGE BB-TAK	SUP-97-03932	CDM			278	RC		inpatient			472.5	472.5																																																			
SCREW NONLOCKING R3CON 4.2 X 28MM	SUP-97-06147	CDM			278	RC		outpatient			472.5	472.5	472.5				fee schedule		472.5				other	OPPS APC	269.33				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	231.53				percent of total billed charges		240.98				percent of total billed charges		472.5				other	OPPS APC	231.53	472.5	
SCREW NONLOCKING R3CON 4.2 X 28MM	SUP-97-06147	CDM			278	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - MIRACLEBROS 3 - 180CM	SUP-99-00482	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - MIRACLEBROS 3 - 180CM	SUP-99-00482	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - MIRACLEBROS 3 - 300CM	SUP-99-00702	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - MIRACLEBROS 3 - 300CM	SUP-99-00702	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - MIRACLEBROS 6 - 300CM	SUP-99-00703	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - MIRACLEBROS 6 - 300CM	SUP-99-00703	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - MIRACLEBROS 12 300CM	SUP-99-00855	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - MIRACLEBROS 12 300CM	SUP-99-00855	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - MIRACLEBROS 6 180CM	SUP-99-00884	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - MIRACLEBROS 6 180CM	SUP-99-00884	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - MIRACLEBROS 4.5 -180CM	SUP-99-01347	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - MIRACLEBROS 4.5 -180CM	SUP-99-01347	CDM			272	RC		inpatient			472.5	472.5																																																			
CATHETER - RUBICON 14 150CM	SUP-99-01389	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
CATHETER - RUBICON 14 150CM	SUP-99-01389	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - CONFIANZA 300CM	SUP-99-01542	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - CONFIANZA 300CM	SUP-99-01542	CDM			272	RC		inpatient			472.5	472.5																																																			
CATHETER - RUBICON 18 135CM	SUP-99-01613	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
CATHETER - RUBICON 18 135CM	SUP-99-01613	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - COMMAND ES 0.14 X 300CM	SUP-99-01652	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - COMMAND ES 0.14 X 300CM	SUP-99-01652	CDM			272	RC		inpatient			472.5	472.5																																																			
CATHETER - RUBICON 35 150CM	SUP-99-01757	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
CATHETER - RUBICON 35 150CM	SUP-99-01757	CDM			272	RC		inpatient			472.5	472.5																																																			
CATHETER - RUBICON 18 150CM	SUP-99-03293	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
CATHETER - RUBICON 18 150CM	SUP-99-03293	CDM			272	RC		inpatient			472.5	472.5																																																			
GUIDEWIRE - SION BLUE	SUP-99-03301	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
GUIDEWIRE - SION BLUE	SUP-99-03301	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 1.5X20	SUP-99-04377	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 1.5X20	SUP-99-04377	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 1.5X40	SUP-99-04378	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 1.5X40	SUP-99-04378	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 1.5X80	SUP-99-04379	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 1.5X80	SUP-99-04379	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 1.5X120	SUP-99-04380	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 1.5X120	SUP-99-04380	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X20	SUP-99-04381	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X20	SUP-99-04381	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X40	SUP-99-04382	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X40	SUP-99-04382	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X80	SUP-99-04383	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X80	SUP-99-04383	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X100	SUP-99-04384	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X100	SUP-99-04384	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X120	SUP-99-04385	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X120	SUP-99-04385	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X150	SUP-99-04386	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X150	SUP-99-04386	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.0X240	SUP-99-04387	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.0X240	SUP-99-04387	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X20	SUP-99-04388	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X20	SUP-99-04388	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X40	SUP-99-04389	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X40	SUP-99-04389	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X80	SUP-99-04390	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X80	SUP-99-04390	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X120	SUP-99-04391	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X120	SUP-99-04391	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X240	SUP-99-04392	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X240	SUP-99-04392	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X20	SUP-99-04393	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X20	SUP-99-04393	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X40	SUP-99-04394	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X40	SUP-99-04394	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X80	SUP-99-04395	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X80	SUP-99-04395	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X100	SUP-99-04396	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X100	SUP-99-04396	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X240	SUP-99-04397	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X240	SUP-99-04397	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X150	SUP-99-04398	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X150	SUP-99-04398	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X20	SUP-99-04399	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X20	SUP-99-04399	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X40	SUP-99-04400	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X40	SUP-99-04400	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X60	SUP-99-04401	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X60	SUP-99-04401	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X150	SUP-99-04402	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X150	SUP-99-04402	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X240	SUP-99-04403	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X240	SUP-99-04403	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X20	SUP-99-04404	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X20	SUP-99-04404	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X40	SUP-99-04405	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X40	SUP-99-04405	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X60	SUP-99-04406	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X60	SUP-99-04406	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X80	SUP-99-04407	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X80	SUP-99-04407	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X100	SUP-99-04408	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X100	SUP-99-04408	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X120	SUP-99-04409	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X120	SUP-99-04409	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 4.0X240	SUP-99-04410	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 4.0X240	SUP-99-04410	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X40	SUP-99-04412	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X40	SUP-99-04412	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X60	SUP-99-04413	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X60	SUP-99-04413	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X80	SUP-99-04414	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X80	SUP-99-04414	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X100	SUP-99-04415	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X100	SUP-99-04415	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X240	SUP-99-04416	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X240	SUP-99-04416	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 6.0X80	SUP-99-04417	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 6.0X80	SUP-99-04417	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 6.0X240	SUP-99-04418	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 6.0X240	SUP-99-04418	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X150	SUP-99-04419	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X150	SUP-99-04419	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 1.5X240	SUP-99-04468	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 1.5X240	SUP-99-04468	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 2.5X100	SUP-99-04469	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 2.5X100	SUP-99-04469	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X120	SUP-99-04470	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X120	SUP-99-04470	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.0X150	SUP-99-04471	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.0X150	SUP-99-04471	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X80	SUP-99-04472	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X80	SUP-99-04472	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 3.5X100	SUP-99-04473	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 3.5X100	SUP-99-04473	CDM			272	RC		inpatient			472.5	472.5																																																			
BALLOON - JADE 0.14 5.0X120	SUP-99-04474	CDM			272	RC		outpatient			472.5	472.5	128				percent of total billed charges		472.5				other	OPPS APC	349.65				percent of total billed charges		472.5				other	OPPS APC	472.5				other	OPPS APC	128				percent of total billed charges		130.55				percent of total billed charges		472.5				other	OPPS APC	128	472.5	
BALLOON - JADE 0.14 5.0X120	SUP-99-04474	CDM			272	RC		inpatient			472.5	472.5																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25B	CDM	270009089	LOCAL	270	RC		outpatient			472.31	472.31	127.95				percent of total billed charges		472.31				other	OPPS APC	349.51				percent of total billed charges		472.31				other	OPPS APC	472.31				other	OPPS APC	127.95				percent of total billed charges		130.5				percent of total billed charges		472.31				other	OPPS APC	127.95	472.31	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25B	CDM	270009089	LOCAL	270	RC		inpatient			472.31	472.31																																																			
OVERDRILL AO 2.7MM X 122MM	SUP-97-03222	CDM			272	RC		outpatient			472.01	473	127.87				percent of total billed charges		472.01				other	OPPS APC	349.29				percent of total billed charges		472.01				other	OPPS APC	472.01				other	OPPS APC	127.87				percent of total billed charges		130.42				percent of total billed charges		473				other	OPPS APC	127.87	473	
OVERDRILL AO 2.7MM X 122MM	SUP-97-03222	CDM			272	RC		inpatient			472.01	472.01																																																			
ELECTRODE ELECTROSURGICAL VAPR 21 D OD2.3 MM ARTHROSCOPY RADIOFREQUENCY WEDGE EFFECT STERILE DISPOSABLE	SUP-225203	CDM			270	RC		outpatient			472	472	127.86				percent of total billed charges		472				other	OPPS APC	349.28				percent of total billed charges		472				other	OPPS APC	472				other	OPPS APC	127.86				percent of total billed charges		130.41				percent of total billed charges		472				other	OPPS APC	127.86	472	
ELECTRODE ELECTROSURGICAL VAPR 21 D OD2.3 MM ARTHROSCOPY RADIOFREQUENCY WEDGE EFFECT STERILE DISPOSABLE	SUP-225203	CDM			270	RC		inpatient			472	472																																																			
SET DILATOR ZENITH HYDROPHILIC LONG TAPER L45 CM OD20 FR ODSEC22 FR ENDOVASCULAR OTW ACCEPTS .035 IN GUIDEWIRE	SUP-G52835	CDM			270	RC		outpatient			472	472	127.86				percent of total billed charges		472				other	OPPS APC	349.28				percent of total billed charges		472				other	OPPS APC	472				other	OPPS APC	127.86				percent of total billed charges		130.41				percent of total billed charges		472				other	OPPS APC	127.86	472	
SET DILATOR ZENITH HYDROPHILIC LONG TAPER L45 CM OD20 FR ODSEC22 FR ENDOVASCULAR OTW ACCEPTS .035 IN GUIDEWIRE	SUP-G52835	CDM			270	RC		inpatient			472	472																																																			
ALVIMOPAN 12 MG CAPSULE	637000000	CDM	0254-3012-78	NDC	A9270	HCPCS		inpatient			471.33	471.33																																																			
ALVIMOPAN 12 MG CAPSULE	637000000	CDM	0254-3012-78	NDC	A9270	HCPCS		outpatient			471.33	471.33																																															other	OPPS APC			
PLATE BONE MATRIXNEURO TITANIUM 2Y L18 MM X H.4 MM CRANIAL 6 HOLE RIGID NONSTERILE BLUE	SUP-04.503.068	CDM	270010013	LOCAL	270	RC		outpatient			471.32	471.32	127.68				percent of total billed charges		471.32				other	OPPS APC	348.78				percent of total billed charges		471.32				other	OPPS APC	471.32				other	OPPS APC	127.68				percent of total billed charges		130.23				percent of total billed charges		471.32				other	OPPS APC	127.68	471.32	
PLATE BONE MATRIXNEURO TITANIUM 2Y L18 MM X H.4 MM CRANIAL 6 HOLE RIGID NONSTERILE BLUE	SUP-04.503.068	CDM	270010013	LOCAL	270	RC		inpatient			471.32	471.32																																																			
Chest Drain Valve Heimlich	PX-272C17293	CDM			272	RC		outpatient			471	471	127.59				percent of total billed charges		471				other	OPPS APC	348.54				percent of total billed charges		471				other	OPPS APC	471				other	OPPS APC	127.59				percent of total billed charges		130.14				percent of total billed charges		471				other	OPPS APC	127.59	471	
Chest Drain Valve Heimlich	PX-272C17293	CDM			272	RC		inpatient			471	471																																																			
HC Vl Duplex Hd Art Av Graft	PX-921939900	CDM	93990	CPT	921	RC		outpatient			471	112.57	149.63				fee schedule		112.57				other	OPPS APC	470.03				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	128.53				fee schedule		240.21				percent of total billed charges		112.57				other	OPPS APC	112.57	470.03	
HC Vl Duplex Hd Art Av Graft	PX-921939900	CDM	93990	CPT	921	RC		inpatient			471	471																																																			
PROBE ELECTROSURGICAL FIAPC L220 CM OD2.3 MM FLEXIBLE STRAIGHT FIRE STERILE DISPOSABLE ARGON PLASMA COAGULATION	SUP-20132-214	CDM			270	RC		outpatient			471	471	127.59				percent of total billed charges		471				other	OPPS APC	348.54				percent of total billed charges		471				other	OPPS APC	471				other	OPPS APC	127.59				percent of total billed charges		130.14				percent of total billed charges		471				other	OPPS APC	127.59	471	
PROBE ELECTROSURGICAL FIAPC L220 CM OD2.3 MM FLEXIBLE STRAIGHT FIRE STERILE DISPOSABLE ARGON PLASMA COAGULATION	SUP-20132-214	CDM			270	RC		inpatient			471	471																																																			
CEMENT BONE SIMPLEX P TOBRAMYCIN FULL DOSE RADIOPAQUE PREBLEND STERILE	SUP-6197-9-001	CDM			270	RC		outpatient			471	471	127.59				percent of total billed charges		471				other	OPPS APC	348.54				percent of total billed charges		471				other	OPPS APC	471				other	OPPS APC	127.59				percent of total billed charges		130.14				percent of total billed charges		471				other	OPPS APC	127.59	471	
CEMENT BONE SIMPLEX P TOBRAMYCIN FULL DOSE RADIOPAQUE PREBLEND STERILE	SUP-6197-9-001	CDM			270	RC		inpatient			471	471																																																			
CEMENT BONE SIMPLEX P TOBRAMYCIN FULL DOSE RADIOPAQUE PREBLEND STERILE	SUP-6197-9-010	CDM			270	RC		outpatient			471	471	127.59				percent of total billed charges		471				other	OPPS APC	348.54				percent of total billed charges		471				other	OPPS APC	471				other	OPPS APC	127.59				percent of total billed charges		130.14				percent of total billed charges		471				other	OPPS APC	127.59	471	
CEMENT BONE SIMPLEX P TOBRAMYCIN FULL DOSE RADIOPAQUE PREBLEND STERILE	SUP-6197-9-010	CDM			270	RC		inpatient			471	471																																																			
KIT TRACHEOSTOMY ULTRAPERC PORTEX STAINLESS STEEL ID7.0-9.0 MM PERCUTANEOUS 1 DILATOR ERGONOMIC HANDLE COST EFFECTIVE STERILE LATEX FREE DISPOSABLE	SUP-100/573/000	CDM			270	RC		outpatient			470.88	47.88	127.56				percent of total billed charges		470.88				other	OPPS APC	348.45				percent of total billed charges		470.88				other	OPPS APC	470.88				other	OPPS APC	127.56				percent of total billed charges		130.1				percent of total billed charges		47.88				other	OPPS APC	47.88	470.88	
KIT TRACHEOSTOMY ULTRAPERC PORTEX STAINLESS STEEL ID7.0-9.0 MM PERCUTANEOUS 1 DILATOR ERGONOMIC HANDLE COST EFFECTIVE STERILE LATEX FREE DISPOSABLE	SUP-100/573/000	CDM			270	RC		inpatient			470.88	470.88																																																			
CHEST TUBE KIT 16F	SUP-95-01647	CDM			272	RC		outpatient			470.54	47.54	127.47				percent of total billed charges		470.54				other	OPPS APC	348.2				percent of total billed charges		470.54				other	OPPS APC	470.54				other	OPPS APC	127.47				percent of total billed charges		130.01				percent of total billed charges		47.54				other	OPPS APC	47.54	470.54	
CHEST TUBE KIT 16F	SUP-95-01647	CDM			272	RC		inpatient			470.54	470.54																																																			
CHEST TUBE KIT 20F	SUP-95-01648	CDM			272	RC		outpatient			470.54	47.54	127.47				percent of total billed charges		470.54				other	OPPS APC	348.2				percent of total billed charges		470.54				other	OPPS APC	470.54				other	OPPS APC	127.47				percent of total billed charges		130.01				percent of total billed charges		47.54				other	OPPS APC	47.54	470.54	
CHEST TUBE KIT 20F	SUP-95-01648	CDM			272	RC		inpatient			470.54	470.54																																																			
SET NEPHROSTOMY KAYE POLYETHELENE POLYURETHANE PVC L25 CM L15 CM OD17 FR ODSEC12 MM 10 ML PERCUTANEOUS TAMPONADE BALLOON CATHETER STENT Y CONNECT TUBE SYRINGE STERILE LATEX FREE DISPOSABLE	SUP-G14423	CDM			270	RC		outpatient			470.5	47.5	127.46				percent of total billed charges		470.5				other	OPPS APC	348.17				percent of total billed charges		470.5				other	OPPS APC	470.5				other	OPPS APC	127.46				percent of total billed charges		130				percent of total billed charges		47.5				other	OPPS APC	47.5	470.5	
SET NEPHROSTOMY KAYE POLYETHELENE POLYURETHANE PVC L25 CM L15 CM OD17 FR ODSEC12 MM 10 ML PERCUTANEOUS TAMPONADE BALLOON CATHETER STENT Y CONNECT TUBE SYRINGE STERILE LATEX FREE DISPOSABLE	SUP-G14423	CDM			270	RC		inpatient			470.5	470.5																																																			
HC RBC Leukoreduced Irradiated	PX-390P90400	CDM			390	RC		outpatient			470.49	259.12	230.54				percent of total billed charges		259.12				other	OPPS APC	348.16				percent of total billed charges		259.12				other	OPPS APC	259.12				other	OPPS APC	230.54				percent of total billed charges		235.15				percent of total billed charges		259.12				other	OPPS APC	230.54	348.16	
HC RBC Leukoreduced Irradiated	PX-390P90400	CDM			390	RC		inpatient			470.49	470.49																																																			
6FR CONTOUR VL	SUP-70-00227	CDM			278	RC		outpatient			470.47	47.47	470.47				fee schedule		470.47				other	OPPS APC	268.17				percent of total billed charges		470.47				other	OPPS APC	470.47				other	OPPS APC	230.53				percent of total billed charges		239.94				percent of total billed charges		47.47				other	OPPS APC	47.47	470.47	
6FR CONTOUR VL	SUP-70-00227	CDM			278	RC		inpatient			470.47	470.47																																																			
4.8FR CONTOUR VL	SUP-70-00228	CDM			278	RC		outpatient			470.47	47.47	470.47				fee schedule		470.47				other	OPPS APC	268.17				percent of total billed charges		470.47				other	OPPS APC	470.47				other	OPPS APC	230.53				percent of total billed charges		239.94				percent of total billed charges		47.47				other	OPPS APC	47.47	470.47	
4.8FR CONTOUR VL	SUP-70-00228	CDM			278	RC		inpatient			470.47	470.47																																																			
CONTOUR INJECTION 6 X 26	SUP-95-23862	CDM			278	RC		outpatient			470.47	47.47	470.47				fee schedule		470.47				other	OPPS APC	268.17				percent of total billed charges		470.47				other	OPPS APC	470.47				other	OPPS APC	230.53				percent of total billed charges		239.94				percent of total billed charges		47.47				other	OPPS APC	47.47	470.47	
CONTOUR INJECTION 6 X 26	SUP-95-23862	CDM			278	RC		inpatient			470.47	470.47																																																			
CONTOUR VL INJECTION STENT 7F 22-30CM	SUP-95-23863	CDM			278	RC		outpatient			470.47	47.47	470.47				fee schedule		470.47				other	OPPS APC	268.17				percent of total billed charges		470.47				other	OPPS APC	470.47				other	OPPS APC	230.53				percent of total billed charges		239.94				percent of total billed charges		47.47				other	OPPS APC	47.47	470.47	
CONTOUR VL INJECTION STENT 7F 22-30CM	SUP-95-23863	CDM			278	RC		inpatient			470.47	470.47																																																			
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L14 MM L6 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20114S	CDM			270	RC		outpatient			470.4	47.4	127.43				percent of total billed charges		470.4				other	OPPS APC	348.1				percent of total billed charges		470.4				other	OPPS APC	470.4				other	OPPS APC	127.43				percent of total billed charges		129.97				percent of total billed charges		47.4				other	OPPS APC	47.4	470.4	
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L14 MM L6 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20114S	CDM			270	RC		inpatient			470.4	470.4																																																			
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L18 MM L5 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20118S	CDM			270	RC		outpatient			470.4	47.4	127.43				percent of total billed charges		470.4				other	OPPS APC	348.1				percent of total billed charges		470.4				other	OPPS APC	470.4				other	OPPS APC	127.43				percent of total billed charges		129.97				percent of total billed charges		47.4				other	OPPS APC	47.4	470.4	
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L18 MM L5 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20118S	CDM			270	RC		inpatient			470.4	470.4																																																			
SCREW F/T LOCKING 5MM X 70MM	SUP-97-01334	CDM			278	RC		outpatient			470.4	47.4	470.4				fee schedule		470.4				other	OPPS APC	268.13				percent of total billed charges		470.4				other	OPPS APC	470.4				other	OPPS APC	230.5				percent of total billed charges		239.9				percent of total billed charges		47.4				other	OPPS APC	47.4	470.4	
SCREW F/T LOCKING 5MM X 70MM	SUP-97-01334	CDM			278	RC		inpatient			470.4	470.4																																																			
SPIKED WASHER 13.5MM/6.5	SUP-97-01984	CDM			278	RC		outpatient			470.12	47.12	470.12				fee schedule		470.12				other	OPPS APC	267.97				percent of total billed charges		470.12				other	OPPS APC	470.12				other	OPPS APC	230.36				percent of total billed charges		239.76				percent of total billed charges		47.12				other	OPPS APC	47.12	470.12	
SPIKED WASHER 13.5MM/6.5	SUP-97-01984	CDM			278	RC		inpatient			470.12	470.12																																																			
ROD SPINAL OASYS TITANIUM L50 MM OD3.5 MM OCCIPITO CERVICO THORACIC SPINE	SUP-48552050	CDM	270010020	LOCAL	270	RC		outpatient			470.1	47.12	127.35				percent of total billed charges		470.1				other	OPPS APC	347.87				percent of total billed charges		470.1				other	OPPS APC	470.1				other	OPPS APC	127.35				percent of total billed charges		129.89				percent of total billed charges		47.12				other	OPPS APC	47.12	470.1	
ROD SPINAL OASYS TITANIUM L50 MM OD3.5 MM OCCIPITO CERVICO THORACIC SPINE	SUP-48552050	CDM	270010020	LOCAL	270	RC		inpatient			470.1	470.1																																																			
HC Hemodialysis	PX-801000001	CDM	801000001	LOCAL	801	RC		outpatient			470	47	230.3				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	230.3				percent of total billed charges		239.7				percent of total billed charges		47				other	OPPS APC	47	470	
HC Hemodialysis	PX-801000001	CDM	801000001	LOCAL	801	RC		inpatient			470	470																																																			
HC Peritoneal Dialysis or Crrt	PX-802000001	CDM	802000001	LOCAL	802	RC		outpatient			470	47	230.3				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	230.3				percent of total billed charges		239.7				percent of total billed charges		47				other	OPPS APC	47	470	
HC Peritoneal Dialysis or Crrt	PX-802000001	CDM	802000001	LOCAL	802	RC		inpatient			470	470																																																			
SCREW BONE INTERFERENCE MILAGRO 7 X 30MM	SUP-231805	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW BONE INTERFERENCE MILAGRO 7 X 30MM	SUP-231805	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE MILAGRO L30 MM OD10 MM	SUP-231840	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE MILAGRO L30 MM OD10 MM	SUP-231840	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE MILAGRO BIOCRYL RAPIDE L35 MM OD10 MM ACL BIOREPLACEABLE CHAMFERED PROXIMAL END ATRAUMATIC THREADFORM	SUP-231845	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE MILAGRO BIOCRYL RAPIDE L35 MM OD10 MM ACL BIOREPLACEABLE CHAMFERED PROXIMAL END ATRAUMATIC THREADFORM	SUP-231845	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE L23 MM OD7 MM ACL PCL CANNULATED REDUCE HEAD STERILE	SUP-AR-1370C	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE L23 MM OD7 MM ACL PCL CANNULATED REDUCE HEAD STERILE	SUP-AR-1370C	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD7 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1370TC	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD7 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1370TC	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE STEP TAPER L23 MM OD8 MM ACL PCL CANNULATED REDUCE HEAD STERILE	SUP-AR-1380C	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE STEP TAPER L23 MM OD8 MM ACL PCL CANNULATED REDUCE HEAD STERILE	SUP-AR-1380C	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD8 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1380TC	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD8 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1380TC	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE STEP TAPER L23 MM OD9 MM ACL PCL CANNULATED REDUCE HEAD STERILE	SUP-AR-1390C	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE STEP TAPER L23 MM OD9 MM ACL PCL CANNULATED REDUCE HEAD STERILE	SUP-AR-1390C	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE 28MM 9MM BLUNT FULL THREAD STEP TAPER ACL PCL	SUP-AR-1390TC	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE 28MM 9MM BLUNT FULL THREAD STEP TAPER ACL PCL	SUP-AR-1390TC	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE 23MM 10MM STEP TAPER ACL PCL CANNULATED REDUCE HEAD	SUP-AR-1400C	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE 23MM 10MM STEP TAPER ACL PCL CANNULATED REDUCE HEAD	SUP-AR-1400C	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD10 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1400TC	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD10 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1400TC	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD12 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1404TC	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD12 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1404TC	CDM			270	RC		inpatient			470	470																																																			
SCREW INTERFERENCE BIOCOMPOSITE DELTA L35 MM OD9 MM ACL CANNULATED STERILE	SUP-AR-5035TC-09	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
SCREW INTERFERENCE BIOCOMPOSITE DELTA L35 MM OD9 MM ACL CANNULATED STERILE	SUP-AR-5035TC-09	CDM			270	RC		inpatient			470	470																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L59 MM ANKLE 5 HOLE LOCK	SUP-AR-8943T-05	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
PLATE BONE STAINLESS STEEL 1/3 TUBE L59 MM ANKLE 5 HOLE LOCK	SUP-AR-8943T-05	CDM			270	RC		inpatient			470	470																																																			
DEVICE CLOSURE MYNXGRIP OD5 FR VASCULAR	SUP-MX5021	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
DEVICE CLOSURE MYNXGRIP OD5 FR VASCULAR	SUP-MX5021	CDM			270	RC		inpatient			470	470																																																			
PATCH  PHOTOFIX CAROTID 2X9	SUP-PFP2X9	CDM			270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
PATCH  PHOTOFIX CAROTID 2X9	SUP-PFP2X9	CDM			270	RC		inpatient			470	470																																																			
TUBE DRAIN SILICONE T L30CM OD 10FR SOFT PLIABLE	SUP-SU130-1228	CDM	270009031	LOCAL	270	RC		outpatient			470	47	127.32				percent of total billed charges		470				other	OPPS APC	347.8				percent of total billed charges		470				other	OPPS APC	470				other	OPPS APC	127.32				percent of total billed charges		129.86				percent of total billed charges		47				other	OPPS APC	47	470	
TUBE DRAIN SILICONE T L30CM OD 10FR SOFT PLIABLE	SUP-SU130-1228	CDM	270009031	LOCAL	270	RC		inpatient			470	470																																																			
TOOL DISSECTING MIDAS REX MR8 BALL L9 CM OD5 MM SYMMETRICAL STERILE LATEX FREE DISPOSABLE	SUP-MR8-9BA50T	CDM			270	RC		outpatient			469.8	469.81	127.27				percent of total billed charges		469.8				other	OPPS APC	347.65				percent of total billed charges		469.8				other	OPPS APC	469.8				other	OPPS APC	127.27				percent of total billed charges		129.81				percent of total billed charges		469.81				other	OPPS APC	127.27	469.81	
TOOL DISSECTING MIDAS REX MR8 BALL L9 CM OD5 MM SYMMETRICAL STERILE LATEX FREE DISPOSABLE	SUP-MR8-9BA50T	CDM			270	RC		inpatient			469.8	469.8																																																			
CANNULA LOCKING DELIVERY 3.0-11.5-ED WITH DIAMOND TIPPED SYLET	SUP-1426	CDM			270	RC		outpatient			469.3	469.31	127.13				percent of total billed charges		469.3				other	OPPS APC	347.28				percent of total billed charges		469.3				other	OPPS APC	469.3				other	OPPS APC	127.13				percent of total billed charges		129.67				percent of total billed charges		469.31				other	OPPS APC	127.13	469.31	
CANNULA LOCKING DELIVERY 3.0-11.5-ED WITH DIAMOND TIPPED SYLET	SUP-1426	CDM			270	RC		inpatient			469.3	469.3																																																			
ENDOBUTTON FIXATION SYSTEM CLOSED LOOP WITH SUTURE 35MM	SUP-7207326	CDM			270	RC		outpatient			469.02	469.2	127.06				percent of total billed charges		469.02				other	OPPS APC	347.07				percent of total billed charges		469.02				other	OPPS APC	469.02				other	OPPS APC	127.06				percent of total billed charges		129.59				percent of total billed charges		469.2				other	OPPS APC	127.06	469.2	
ENDOBUTTON FIXATION SYSTEM CLOSED LOOP WITH SUTURE 35MM	SUP-7207326	CDM			270	RC		inpatient			469.02	469.02																																																			
ENDOBUTTON FIXATION SYSTEM CLOSED LOOP WITH SUTURE 45MM	SUP-7207328	CDM			270	RC		outpatient			469.02	469.2	127.06				percent of total billed charges		469.02				other	OPPS APC	347.07				percent of total billed charges		469.02				other	OPPS APC	469.02				other	OPPS APC	127.06				percent of total billed charges		129.59				percent of total billed charges		469.2				other	OPPS APC	127.06	469.2	
ENDOBUTTON FIXATION SYSTEM CLOSED LOOP WITH SUTURE 45MM	SUP-7207328	CDM			270	RC		inpatient			469.02	469.02																																																			
PROBE ELECTROSURGICAL FIAPC L7 FT 2 IN OD2.3 MM CIRCUMFERENTIAL PLUG AND PLAY FUNCTIONALITY	SUP-20132-218	CDM			270	RC		outpatient			469	469	127.05				percent of total billed charges		469				other	OPPS APC	347.06				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	127.05				percent of total billed charges		129.58				percent of total billed charges		469				other	OPPS APC	127.05	469	
PROBE ELECTROSURGICAL FIAPC L7 FT 2 IN OD2.3 MM CIRCUMFERENTIAL PLUG AND PLAY FUNCTIONALITY	SUP-20132-218	CDM			270	RC		inpatient			469	469																																																			
DEPTH GUAGE MICA 150MM	SUP-95-05140	CDM			272	RC		outpatient			469	469	127.05				percent of total billed charges		469				other	OPPS APC	347.06				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	127.05				percent of total billed charges		129.58				percent of total billed charges		469				other	OPPS APC	127.05	469	
DEPTH GUAGE MICA 150MM	SUP-95-05140	CDM			272	RC		inpatient			469	469																																																			
DEPTH GUAGE MICA 150MM	SUP-95-05567	CDM			272	RC		outpatient			469	469	127.05				percent of total billed charges		469				other	OPPS APC	347.06				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	127.05				percent of total billed charges		129.58				percent of total billed charges		469				other	OPPS APC	127.05	469	
DEPTH GUAGE MICA 150MM	SUP-95-05567	CDM			272	RC		inpatient			469	469																																																			
LENS 34.0	SUP-97-04654	CDM			278	RC		outpatient			469	469	469				fee schedule		469				other	OPPS APC	267.33				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	229.81				percent of total billed charges		239.19				percent of total billed charges		469				other	OPPS APC	229.81	469	
LENS 34.0	SUP-97-04654	CDM			278	RC		inpatient			469	469																																																			
LENS 39.0	SUP-97-05355	CDM			278	RC		outpatient			469	469	469				fee schedule		469				other	OPPS APC	267.33				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	229.81				percent of total billed charges		239.19				percent of total billed charges		469				other	OPPS APC	229.81	469	
LENS 39.0	SUP-97-05355	CDM			278	RC		inpatient			469	469																																																			
LENS 38.0	SUP-97-05453	CDM			278	RC		outpatient			469	469	469				fee schedule		469				other	OPPS APC	267.33				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	229.81				percent of total billed charges		239.19				percent of total billed charges		469				other	OPPS APC	229.81	469	
LENS 38.0	SUP-97-05453	CDM			278	RC		inpatient			469	469																																																			
CATHETER- JOSEPHSON	SUP-99-04762	CDM			278	RC		outpatient			469	469	469				fee schedule		469				other	OPPS APC	267.33				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	229.81				percent of total billed charges		239.19				percent of total billed charges		469				other	OPPS APC	229.81	469	
CATHETER- JOSEPHSON	SUP-99-04762	CDM			278	RC		inpatient			469	469																																																			
CATHETER- 6F F-CURVE FIXED QUAD	SUP-99-04856	CDM			278	RC		outpatient			469	469	469				fee schedule		469				other	OPPS APC	267.33				percent of total billed charges		469				other	OPPS APC	469				other	OPPS APC	229.81				percent of total billed charges		239.19				percent of total billed charges		469				other	OPPS APC	229.81	469	
CATHETER- 6F F-CURVE FIXED QUAD	SUP-99-04856	CDM			278	RC		inpatient			469	469																																																			
EPINEPHRINE 0.15 MG/0.3 ML AUTO-INJECTOR	636000000	CDM	49502-101-01	NDC	J0171	HCPCS		inpatient			468.75	468.75																																																			
EPINEPHRINE 0.15 MG/0.3 ML AUTO-INJECTOR	636000000	CDM	49502-101-01	NDC	J0171	HCPCS		outpatient			468.75	468.75																																															other	OPPS APC			
EPINEPHRINE 0.3 MG/0.3 ML AUTO-INJECTOR	636000000	CDM	49502-102-02	NDC	J0171	HCPCS		inpatient			468.75	468.75																																																			
EPINEPHRINE 0.3 MG/0.3 ML AUTO-INJECTOR	636000000	CDM	49502-102-02	NDC	J0171	HCPCS		outpatient			468.75	468.75																																															other	OPPS APC			
5X180 APEX S/D HALF PIN 50 TH	SUP-97-03397	CDM			278	RC		outpatient			468.72	468.72	468.72				fee schedule		468.72				other	OPPS APC	267.17				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	229.67				percent of total billed charges		239.05				percent of total billed charges		468.72				other	OPPS APC	229.67	468.72	
5X180 APEX S/D HALF PIN 50 TH	SUP-97-03397	CDM			278	RC		inpatient			468.72	468.72																																																			
5X150 APEX S/D HALF PIN 40 TH	SUP-97-03398	CDM			278	RC		outpatient			468.72	468.72	468.72				fee schedule		468.72				other	OPPS APC	267.17				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	229.67				percent of total billed charges		239.05				percent of total billed charges		468.72				other	OPPS APC	229.67	468.72	
5X150 APEX S/D HALF PIN 40 TH	SUP-97-03398	CDM			278	RC		inpatient			468.72	468.72																																																			
CANCELLOUS 70 THR 5X250 APEX	SUP-97-03589	CDM			278	RC		outpatient			468.72	468.72	468.72				fee schedule		468.72				other	OPPS APC	267.17				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	229.67				percent of total billed charges		239.05				percent of total billed charges		468.72				other	OPPS APC	229.67	468.72	
CANCELLOUS 70 THR 5X250 APEX	SUP-97-03589	CDM			278	RC		inpatient			468.72	468.72																																																			
SELF-DRILLING HALF PIN APEX DIA 3/5MM X	SUP-97-03590	CDM			278	RC		outpatient			468.72	468.72	468.72				fee schedule		468.72				other	OPPS APC	267.17				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	229.67				percent of total billed charges		239.05				percent of total billed charges		468.72				other	OPPS APC	229.67	468.72	
SELF-DRILLING HALF PIN APEX DIA 3/5MM X	SUP-97-03590	CDM			278	RC		inpatient			468.72	468.72																																																			
5X200 APEX S/D HALF PIN 50 TH	SUP-97-04012	CDM			278	RC		outpatient			468.72	468.72	468.72				fee schedule		468.72				other	OPPS APC	267.17				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	229.67				percent of total billed charges		239.05				percent of total billed charges		468.72				other	OPPS APC	229.67	468.72	
5X200 APEX S/D HALF PIN 50 TH	SUP-97-04012	CDM			278	RC		inpatient			468.72	468.72																																																			
PIN-SELF DRILLING 5 X250MM	SUP-97-04420	CDM			278	RC		outpatient			468.72	468.72	468.72				fee schedule		468.72				other	OPPS APC	267.17				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	229.67				percent of total billed charges		239.05				percent of total billed charges		468.72				other	OPPS APC	229.67	468.72	
PIN-SELF DRILLING 5 X250MM	SUP-97-04420	CDM			278	RC		inpatient			468.72	468.72																																																			
DRILL BIT 3.2	SUP-97-04921	CDM			272	RC		outpatient			468.72	468.72	126.98				percent of total billed charges		468.72				other	OPPS APC	346.85				percent of total billed charges		468.72				other	OPPS APC	468.72				other	OPPS APC	126.98				percent of total billed charges		129.51				percent of total billed charges		468.72				other	OPPS APC	126.98	468.72	
DRILL BIT 3.2	SUP-97-04921	CDM			272	RC		inpatient			468.72	468.72																																																			
PLATE 2Y 15X9X.5MM CRANIOFACIAL 2 HOLE SHAFT 1 ARM 1.3MM CORTICAL SCREW BONE TITANIUM	SUP-421.068	CDM	270010022	LOCAL	270	RC		outpatient			468.6	468.62	126.94				percent of total billed charges		468.6				other	OPPS APC	346.76				percent of total billed charges		468.6				other	OPPS APC	468.6				other	OPPS APC	126.94				percent of total billed charges		129.47				percent of total billed charges		468.62				other	OPPS APC	126.94	468.62	
PLATE 2Y 15X9X.5MM CRANIOFACIAL 2 HOLE SHAFT 1 ARM 1.3MM CORTICAL SCREW BONE TITANIUM	SUP-421.068	CDM	270010022	LOCAL	270	RC		inpatient			468.6	468.6																																																			
BIT DRILL BLUE GOLD 330MM 3.2MM EXPERT SS 3 FLUTE QUICK COUPLING CALIBRATED 100MM NS	SUP-03.010.060	CDM	270010022	LOCAL	270	RC		outpatient			468	468	126.78				percent of total billed charges		468				other	OPPS APC	346.32				percent of total billed charges		468				other	OPPS APC	468				other	OPPS APC	126.78				percent of total billed charges		129.31				percent of total billed charges		468				other	OPPS APC	126.78	468	
BIT DRILL BLUE GOLD 330MM 3.2MM EXPERT SS 3 FLUTE QUICK COUPLING CALIBRATED 100MM NS	SUP-03.010.060	CDM	270010022	LOCAL	270	RC		inpatient			468	468																																																			
KIT ACCESSORY DA VINCI S 4 ARM DRAPE DISPOSABLE	SUP-420258	CDM			270	RC		outpatient			468	468	126.78				percent of total billed charges		468				other	OPPS APC	346.32				percent of total billed charges		468				other	OPPS APC	468				other	OPPS APC	126.78				percent of total billed charges		129.31				percent of total billed charges		468				other	OPPS APC	126.78	468	
KIT ACCESSORY DA VINCI S 4 ARM DRAPE DISPOSABLE	SUP-420258	CDM			270	RC		inpatient			468	468																																																			
SCREW NON-LOCKING LEOS 3.5MM 18MM	SUP-76203518	CDM			270	RC		outpatient			468	468	126.78				percent of total billed charges		468				other	OPPS APC	346.32				percent of total billed charges		468				other	OPPS APC	468				other	OPPS APC	126.78				percent of total billed charges		129.31				percent of total billed charges		468				other	OPPS APC	126.78	468	
SCREW NON-LOCKING LEOS 3.5MM 18MM	SUP-76203518	CDM			270	RC		inpatient			468	468																																																			
SCREW NON-LOCKING LEOS 3.5MM 20MM	SUP-76203520	CDM			270	RC		outpatient			468	468	126.78				percent of total billed charges		468				other	OPPS APC	346.32				percent of total billed charges		468				other	OPPS APC	468				other	OPPS APC	126.78				percent of total billed charges		129.31				percent of total billed charges		468				other	OPPS APC	126.78	468	
SCREW NON-LOCKING LEOS 3.5MM 20MM	SUP-76203520	CDM			270	RC		inpatient			468	468																																																			
KIT EXTERNAL DRAINAGE ACCUDRAIN SPECIAL LATEX FREE INS8400	SUP-INS8400	CDM	270009150	LOCAL	270	RC		outpatient			467.94	467.94	126.76				percent of total billed charges		467.94				other	OPPS APC	346.28				percent of total billed charges		467.94				other	OPPS APC	467.94				other	OPPS APC	126.76				percent of total billed charges		129.29				percent of total billed charges		467.94				other	OPPS APC	126.76	467.94	
KIT EXTERNAL DRAINAGE ACCUDRAIN SPECIAL LATEX FREE INS8400	SUP-INS8400	CDM	270009150	LOCAL	270	RC		inpatient			467.94	467.94																																																			
TUBE FEEDING J MIC 12FR	SUP-74-00415	CDM			272	RC		outpatient			467.85	467.85	126.74				percent of total billed charges		467.85				other	OPPS APC	346.21				percent of total billed charges		467.85				other	OPPS APC	467.85				other	OPPS APC	126.74				percent of total billed charges		129.27				percent of total billed charges		467.85				other	OPPS APC	126.74	467.85	
TUBE FEEDING J MIC 12FR	SUP-74-00415	CDM			272	RC		inpatient			467.85	467.85																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD33 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 24.4 MM LUMEN ENDOSCOPIC	SUP-ECS33B	CDM	270009089	LOCAL	270	RC		outpatient			467.63	467.63	126.68				percent of total billed charges		467.63				other	OPPS APC	346.05				percent of total billed charges		467.63				other	OPPS APC	467.63				other	OPPS APC	126.68				percent of total billed charges		129.21				percent of total billed charges		467.63				other	OPPS APC	126.68	467.63	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD33 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 24.4 MM LUMEN ENDOSCOPIC	SUP-ECS33B	CDM	270009089	LOCAL	270	RC		inpatient			467.63	467.63																																																			
SCREW SYNTHES PERIPROSTHETIC LOCKING 10MM	SUP-02.221.510S	CDM	270010022	LOCAL	270	RC		outpatient			467.54	467.54	126.66				percent of total billed charges		467.54				other	OPPS APC	345.98				percent of total billed charges		467.54				other	OPPS APC	467.54				other	OPPS APC	126.66				percent of total billed charges		129.18				percent of total billed charges		467.54				other	OPPS APC	126.66	467.54	
SCREW SYNTHES PERIPROSTHETIC LOCKING 10MM	SUP-02.221.510S	CDM	270010022	LOCAL	270	RC		inpatient			467.54	467.54																																																			
SCREW 2.4 X 24 MM LKNG	SUP-97-04414	CDM			278	RC		outpatient			467.53	467.53	467.53				fee schedule		467.53				other	OPPS APC	266.49				percent of total billed charges		467.53				other	OPPS APC	467.53				other	OPPS APC	229.09				percent of total billed charges		238.44				percent of total billed charges		467.53				other	OPPS APC	229.09	467.53	
SCREW 2.4 X 24 MM LKNG	SUP-97-04414	CDM			278	RC		inpatient			467.53	467.53																																																			
DRILL BIT 2.7	SUP-219535	CDM			270	RC		outpatient			467.5	467.5	126.65				percent of total billed charges		467.5				other	OPPS APC	345.95				percent of total billed charges		467.5				other	OPPS APC	467.5				other	OPPS APC	126.65				percent of total billed charges		129.17				percent of total billed charges		467.5				other	OPPS APC	126.65	467.5	
DRILL BIT 2.7	SUP-219535	CDM			270	RC		inpatient			467.5	467.5																																																			
PUSHER KNOT MINIMAL INCISION VALVE SURGERY	SUP-KP1	CDM			270	RC		outpatient			467.5	467.5	126.65				percent of total billed charges		467.5				other	OPPS APC	345.95				percent of total billed charges		467.5				other	OPPS APC	467.5				other	OPPS APC	126.65				percent of total billed charges		129.17				percent of total billed charges		467.5				other	OPPS APC	126.65	467.5	
PUSHER KNOT MINIMAL INCISION VALVE SURGERY	SUP-KP1	CDM			270	RC		inpatient			467.5	467.5																																																			
CATHETER ANGIOGRAPHIC ARROW-BERMAN 6FR 110CM TAPERED PULMONARY ARTERY 2-LUMEN WEDGE PRESSURE 0.035IN GW 1EA	SUP-ARWAI07126	CDM			270	RC		outpatient			467.4	467.4	126.62				percent of total billed charges		467.4				other	OPPS APC	345.88				percent of total billed charges		467.4				other	OPPS APC	467.4				other	OPPS APC	126.62				percent of total billed charges		129.14				percent of total billed charges		467.4				other	OPPS APC	126.62	467.4	
CATHETER ANGIOGRAPHIC ARROW-BERMAN 6FR 110CM TAPERED PULMONARY ARTERY 2-LUMEN WEDGE PRESSURE 0.035IN GW 1EA	SUP-ARWAI07126	CDM			270	RC		inpatient			467.4	467.4																																																			
TRAY LAPAROSCOPIC ACCESS	SUP-XAB50S	CDM			270	RC		outpatient			467.03	467.3	126.52				percent of total billed charges		467.03				other	OPPS APC	345.6				percent of total billed charges		467.03				other	OPPS APC	467.03				other	OPPS APC	126.52				percent of total billed charges		129.04				percent of total billed charges		467.3				other	OPPS APC	126.52	467.3	
TRAY LAPAROSCOPIC ACCESS	SUP-XAB50S	CDM			270	RC		inpatient			467.03	467.03																																																			
PIN BENDING 2.4 MM LOCKING PLATE	SUP-329.922	CDM	270010022	LOCAL	270	RC		outpatient			466.96	466.96	126.5				percent of total billed charges		466.96				other	OPPS APC	345.55				percent of total billed charges		466.96				other	OPPS APC	466.96				other	OPPS APC	126.5				percent of total billed charges		129.02				percent of total billed charges		466.96				other	OPPS APC	126.5	466.96	
PIN BENDING 2.4 MM LOCKING PLATE	SUP-329.922	CDM	270010022	LOCAL	270	RC		inpatient			466.96	466.96																																																			
SCREW BONE TITANIUM L65 MM OD6.5 MM FEMUR T25 STARDRIVE RECESS SELF TAPPING TIP RECONSTRUCTION STERILE INTRAMEDULLARY NAIL	SUP-04.003.023S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM L65 MM OD6.5 MM FEMUR T25 STARDRIVE RECESS SELF TAPPING TIP RECONSTRUCTION STERILE INTRAMEDULLARY NAIL	SUP-04.003.023S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM T25 L70 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.024S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM T25 L70 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.024S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM T25 L75 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.025S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM T25 L75 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.025S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM T25 L110 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.032S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM T25 L110 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.032S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM T25 L115 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.033S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM T25 L115 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.033S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM T25 L120 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.034S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM T25 L120 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.034S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM T25 L125 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.035S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM T25 L125 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.035S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
SCREW BONE TITANIUM L130 MM OD6.5 MM FEMUR T25 STARDRIVE RECESS SELF TAPPING TIP RECONSTRUCTION STERILE INTRAMEDULLARY NAIL	SUP-04.003.036S	CDM	270010022	LOCAL	270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
SCREW BONE TITANIUM L130 MM OD6.5 MM FEMUR T25 STARDRIVE RECESS SELF TAPPING TIP RECONSTRUCTION STERILE INTRAMEDULLARY NAIL	SUP-04.003.036S	CDM	270010022	LOCAL	270	RC		inpatient			466.4	466.4																																																			
CLIPS INSTINCT HEMOSTATIC	SUP-G18344	CDM			270	RC		outpatient			466.4	466.4	126.35				percent of total billed charges		466.4				other	OPPS APC	345.14				percent of total billed charges		466.4				other	OPPS APC	466.4				other	OPPS APC	126.35				percent of total billed charges		128.87				percent of total billed charges		466.4				other	OPPS APC	126.35	466.4	
CLIPS INSTINCT HEMOSTATIC	SUP-G18344	CDM			270	RC		inpatient			466.4	466.4																																																			
MALYUGIN RING 7.0MM	SUP-73-00074	CDM			272	RC		outpatient			466.08	466.8	126.26				percent of total billed charges		466.08				other	OPPS APC	344.9				percent of total billed charges		466.08				other	OPPS APC	466.08				other	OPPS APC	126.26				percent of total billed charges		128.78				percent of total billed charges		466.8				other	OPPS APC	126.26	466.8	
MALYUGIN RING 7.0MM	SUP-73-00074	CDM			272	RC		inpatient			466.08	466.08																																																			
HC Neonate Cranial Sono	PX-402765060	CDM	76506	CPT	402	RC		outpatient			466	112.57	126.32				fee schedule		112.57				other	OPPS APC	218.59				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	113.93				fee schedule		83.54				fee schedule		112.57				other	OPPS APC	83.54	218.59	
HC Neonate Cranial Sono	PX-402765060	CDM	76506	CPT	402	RC		inpatient			466	466																																																			
DRILL BIT 4.0 X 25MM	SUP-95-04501	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
DRILL BIT 4.0 X 25MM	SUP-95-04501	CDM			272	RC		inpatient			465.5	465.5																																																			
GUIDEWIRE - CONFIANZA PRO 12 300CM	SUP-99-00853	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
GUIDEWIRE - CONFIANZA PRO 12 300CM	SUP-99-00853	CDM			272	RC		inpatient			465.5	465.5																																																			
BALLOON - ADMIRAL 7.0X80	SUP-99-01059	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
BALLOON - ADMIRAL 7.0X80	SUP-99-01059	CDM			272	RC		inpatient			465.5	465.5																																																			
BALLOON - ADMIRAL 8.0X40	SUP-99-02018	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
BALLOON - ADMIRAL 8.0X40	SUP-99-02018	CDM			272	RC		inpatient			465.5	465.5																																																			
BALLOON - ADMIRAL 7.0X40	SUP-99-02045	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
BALLOON - ADMIRAL 7.0X40	SUP-99-02045	CDM			272	RC		inpatient			465.5	465.5																																																			
BALLOON - ADMIRAL 6.0X120	SUP-99-02058	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
BALLOON - ADMIRAL 6.0X120	SUP-99-02058	CDM			272	RC		inpatient			465.5	465.5																																																			
BALLOON - ADMIRAL 5.0X40	SUP-99-02076	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
BALLOON - ADMIRAL 5.0X40	SUP-99-02076	CDM			272	RC		inpatient			465.5	465.5																																																			
BALLOON - ADMIRAL 6.0X150	SUP-99-02109	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
BALLOON - ADMIRAL 6.0X150	SUP-99-02109	CDM			272	RC		inpatient			465.5	465.5																																																			
GUIDEWIRE - SUOH 03 190CM	SUP-99-04256	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
GUIDEWIRE - SUOH 03 190CM	SUP-99-04256	CDM			272	RC		inpatient			465.5	465.5																																																			
GUIDEWIRE - SION GW 190CM STRAIGHT	SUP-99-04784	CDM			272	RC		outpatient			465.5	465.5	126.1				percent of total billed charges		465.5				other	OPPS APC	344.47				percent of total billed charges		465.5				other	OPPS APC	465.5				other	OPPS APC	126.1				percent of total billed charges		128.62				percent of total billed charges		465.5				other	OPPS APC	126.1	465.5	
GUIDEWIRE - SION GW 190CM STRAIGHT	SUP-99-04784	CDM			272	RC		inpatient			465.5	465.5																																																			
SCISSORS OPHTHALMIC GRIESHABER REVOLUTION 25+ D CURVED TIP	SUP-705.52P	CDM			270	RC		outpatient			465.38	465.38	126.07				percent of total billed charges		465.38				other	OPPS APC	344.38				percent of total billed charges		465.38				other	OPPS APC	465.38				other	OPPS APC	126.07				percent of total billed charges		128.58				percent of total billed charges		465.38				other	OPPS APC	126.07	465.38	
SCISSORS OPHTHALMIC GRIESHABER REVOLUTION 25+ D CURVED TIP	SUP-705.52P	CDM			270	RC		inpatient			465.38	465.38																																																			
COVER BURR HOLE LOW PROFILE OD14 MM CRANIUM 3 MM SCREW	SUP-9203514	CDM			270	RC		outpatient			465.22	465.22	126.03				percent of total billed charges		465.22				other	OPPS APC	344.26				percent of total billed charges		465.22				other	OPPS APC	465.22				other	OPPS APC	126.03				percent of total billed charges		128.54				percent of total billed charges		465.22				other	OPPS APC	126.03	465.22	
COVER BURR HOLE LOW PROFILE OD14 MM CRANIUM 3 MM SCREW	SUP-9203514	CDM			270	RC		inpatient			465.22	465.22																																																			
HC Red Blood Cell Process Fee	PX-391000002	CDM			390	RC		outpatient			464.75	189.21	227.73				percent of total billed charges		189.21				other	OPPS APC	343.92				percent of total billed charges		189.21				other	OPPS APC	189.21				other	OPPS APC	227.73				percent of total billed charges		232.28				percent of total billed charges		189.21				other	OPPS APC	189.21	343.92	
HC Red Blood Cell Process Fee	PX-391000002	CDM			390	RC		inpatient			464.75	464.75																																																			
DRILLBIT 1.3	SUP-95-03830	CDM			272	RC		outpatient			464.63	464.63	125.87				percent of total billed charges		464.63				other	OPPS APC	343.83				percent of total billed charges		464.63				other	OPPS APC	464.63				other	OPPS APC	125.87				percent of total billed charges		128.38				percent of total billed charges		464.63				other	OPPS APC	125.87	464.63	
DRILLBIT 1.3	SUP-95-03830	CDM			272	RC		inpatient			464.63	464.63																																																			
DRILLBIT 1.6	SUP-95-03831	CDM			272	RC		outpatient			464.63	464.63	125.87				percent of total billed charges		464.63				other	OPPS APC	343.83				percent of total billed charges		464.63				other	OPPS APC	464.63				other	OPPS APC	125.87				percent of total billed charges		128.38				percent of total billed charges		464.63				other	OPPS APC	125.87	464.63	
DRILLBIT 1.6	SUP-95-03831	CDM			272	RC		inpatient			464.63	464.63																																																			
DRILL BIT SOLID	SUP-97-02262	CDM			272	RC		outpatient			464.63	464.63	125.87				percent of total billed charges		464.63				other	OPPS APC	343.83				percent of total billed charges		464.63				other	OPPS APC	464.63				other	OPPS APC	125.87				percent of total billed charges		128.38				percent of total billed charges		464.63				other	OPPS APC	125.87	464.63	
DRILL BIT SOLID	SUP-97-02262	CDM			272	RC		inpatient			464.63	464.63																																																			
DRILL BIT 4.6 X 300MM SOLID TROCAR TIP	SUP-97-02893	CDM						inpatient			464.63	464.63																																																			
DRILL BIT 4.6 X 300MM SOLID TROCAR TIP	SUP-97-02893	CDM						outpatient			464.63	464.63	464.63				percent of total billed charges		464.63				other	OPPS APC	464.63				fee schedule		464.63				other	OPPS APC	464.63				other	OPPS APC	464.63				case rate		464.63				case rate		464.63				other	OPPS APC	464.63	464.63	
BONE FENESTRATION PERFORATOR	SUP-97-03416	CDM			272	RC		outpatient			464.63	464.63	125.87				percent of total billed charges		464.63				other	OPPS APC	343.83				percent of total billed charges		464.63				other	OPPS APC	464.63				other	OPPS APC	125.87				percent of total billed charges		128.38				percent of total billed charges		464.63				other	OPPS APC	125.87	464.63	
BONE FENESTRATION PERFORATOR	SUP-97-03416	CDM			272	RC		inpatient			464.63	464.63																																																			
SYMMETRIC PATELLA 29MMX8MM	SUP-95-03236	CDM			278	RC		outpatient			463.93	463.93	463.93				fee schedule		463.93				other	OPPS APC	264.44				percent of total billed charges		463.93				other	OPPS APC	463.93				other	OPPS APC	227.33				percent of total billed charges		236.6				percent of total billed charges		463.93				other	OPPS APC	227.33	463.93	
SYMMETRIC PATELLA 29MMX8MM	SUP-95-03236	CDM			278	RC		inpatient			463.93	463.93																																																			
DRILL BIT 2.7	SUP-95-03682	CDM						inpatient			463.93	463.93																																																			
DRILL BIT 2.7	SUP-95-03682	CDM						outpatient			463.93	463.93	463.93				percent of total billed charges		463.93				other	OPPS APC	463.93				fee schedule		463.93				other	OPPS APC	463.93				other	OPPS APC	463.93				case rate		463.93				case rate		463.93				other	OPPS APC	463.93	463.93	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L50 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.650	CDM	270010022	LOCAL	270	RC		outpatient			463.84	463.84	125.65				percent of total billed charges		463.84				other	OPPS APC	343.24				percent of total billed charges		463.84				other	OPPS APC	463.84				other	OPPS APC	125.65				percent of total billed charges		128.16				percent of total billed charges		463.84				other	OPPS APC	125.65	463.84	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L50 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.650	CDM	270010022	LOCAL	270	RC		inpatient			463.84	463.84																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L65 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.665	CDM	270010022	LOCAL	270	RC		outpatient			463.84	463.84	125.65				percent of total billed charges		463.84				other	OPPS APC	343.24				percent of total billed charges		463.84				other	OPPS APC	463.84				other	OPPS APC	125.65				percent of total billed charges		128.16				percent of total billed charges		463.84				other	OPPS APC	125.65	463.84	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L65 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.665	CDM	270010022	LOCAL	270	RC		inpatient			463.84	463.84																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L75 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.675	CDM	270010022	LOCAL	270	RC		outpatient			463.84	463.84	125.65				percent of total billed charges		463.84				other	OPPS APC	343.24				percent of total billed charges		463.84				other	OPPS APC	463.84				other	OPPS APC	125.65				percent of total billed charges		128.16				percent of total billed charges		463.84				other	OPPS APC	125.65	463.84	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L75 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.675	CDM	270010022	LOCAL	270	RC		inpatient			463.84	463.84																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L80 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.680	CDM	270010022	LOCAL	270	RC		outpatient			463.84	463.84	125.65				percent of total billed charges		463.84				other	OPPS APC	343.24				percent of total billed charges		463.84				other	OPPS APC	463.84				other	OPPS APC	125.65				percent of total billed charges		128.16				percent of total billed charges		463.84				other	OPPS APC	125.65	463.84	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L80 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.680	CDM	270010022	LOCAL	270	RC		inpatient			463.84	463.84																																																			
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L85 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.685	CDM	270010022	LOCAL	270	RC		outpatient			463.84	463.84	125.65				percent of total billed charges		463.84				other	OPPS APC	343.24				percent of total billed charges		463.84				other	OPPS APC	463.84				other	OPPS APC	125.65				percent of total billed charges		128.16				percent of total billed charges		463.84				other	OPPS APC	125.65	463.84	
SCREW BONE STAINLESS STEEL 3.5 MM FLUTE L85 MM OD5 MM CANNULATED SELF DRILL LOCK VARIABLE ANGLE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.685	CDM	270010022	LOCAL	270	RC		inpatient			463.84	463.84																																																			
MEDIAL PLATE	SUP-97-04687	CDM			278	RC		outpatient			463.68	463.68	463.68				fee schedule		463.68				other	OPPS APC	264.3				percent of total billed charges		463.68				other	OPPS APC	463.68				other	OPPS APC	227.2				percent of total billed charges		236.48				percent of total billed charges		463.68				other	OPPS APC	227.2	463.68	
MEDIAL PLATE	SUP-97-04687	CDM			278	RC		inpatient			463.68	463.68																																																			
SCREW CORTEX 3.5 X 110MM GOLD	SUP-97-02768	CDM			278	RC		outpatient			463.16	463.16	463.16				fee schedule		463.16				other	OPPS APC	264				percent of total billed charges		463.16				other	OPPS APC	463.16				other	OPPS APC	226.95				percent of total billed charges		236.21				percent of total billed charges		463.16				other	OPPS APC	226.95	463.16	
SCREW CORTEX 3.5 X 110MM GOLD	SUP-97-02768	CDM			278	RC		inpatient			463.16	463.16																																																			
HC Enterovirus by Pcr (Pcrent)	PX-300874980	CDM	87498	CPT	300	RC		outpatient			463	463	46.91				fee schedule		463				fee schedule		94.45				fee schedule		463				fee schedule		463				fee schedule		35.09				fee schedule		35.09				fee schedule		463				fee schedule		35.09	463	
HC Enterovirus by Pcr (Pcrent)	PX-300874980	CDM	87498	CPT	300	RC		inpatient			463	463																																																			
HC Abdomen Limited B	PX-402767050	CDM	76705	CPT	402	RC		outpatient			463	112.57	111.11				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	88.5				fee schedule		60.24				fee schedule		112.57				other	OPPS APC	60.24	209.11	
HC Abdomen Limited B	PX-402767050	CDM	76705	CPT	402	RC		inpatient			463	463																																																			
HC Liver Sonogram	PX-402767052	CDM	76705	CPT	402	RC		outpatient			463	112.57	111.11				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	88.5				fee schedule		60.24				fee schedule		112.57				other	OPPS APC	60.24	209.11	
HC Liver Sonogram	PX-402767052	CDM	76705	CPT	402	RC		inpatient			463	463																																																			
HC Spleen Sonogram	PX-402767054	CDM	76705	CPT	402	RC		outpatient			463	112.57	111.11				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	88.5				fee schedule		60.24				fee schedule		112.57				other	OPPS APC	60.24	209.11	
HC Spleen Sonogram	PX-402767054	CDM	76705	CPT	402	RC		inpatient			463	463																																																			
HC Right Upper Quadrant	PX-402767055	CDM	76705	CPT	402	RC		outpatient			463	112.57	111.11				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	88.5				fee schedule		60.24				fee schedule		112.57				other	OPPS APC	60.24	209.11	
HC Right Upper Quadrant	PX-402767055	CDM	76705	CPT	402	RC		inpatient			463	463																																																			
HC Pyloric Stenosis	PX-402767057	CDM	76705	CPT	402	RC		outpatient			463	112.57	111.11				fee schedule		112.57				other	OPPS APC	209.11				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	88.5				fee schedule		60.24				fee schedule		112.57				other	OPPS APC	60.24	209.11	
HC Pyloric Stenosis	PX-402767057	CDM	76705	CPT	402	RC		inpatient			463	463																																																			
HC US Retroperitoneal Ltd	PX-402767750	CDM	76775	CPT	402	RC		outpatient			463	112.57	66.66				fee schedule		112.57				other	OPPS APC	208.28				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	59.07				fee schedule		31.6				fee schedule		112.57				other	OPPS APC	31.6	208.28	
HC US Retroperitoneal Ltd	PX-402767750	CDM	76775	CPT	402	RC		inpatient			463	463																																																			
HC Renal Sonogram	PX-402767751	CDM	76775	CPT	402	RC		outpatient			463	112.57	66.66				fee schedule		112.57				other	OPPS APC	208.28				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	59.07				fee schedule		31.6				fee schedule		112.57				other	OPPS APC	31.6	208.28	
HC Renal Sonogram	PX-402767751	CDM	76775	CPT	402	RC		inpatient			463	463																																																			
HC Sonogram of Transplant Kidney	PX-402767760	CDM	76776	CPT	402	RC		outpatient			463	112.57	158.27				fee schedule		112.57				other	OPPS APC	197.4				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	149.01				fee schedule		112.81				fee schedule		112.57				other	OPPS APC	112.57	197.4	
HC Sonogram of Transplant Kidney	PX-402767760	CDM	76776	CPT	402	RC		inpatient			463	463																																																			
HC Pregnancy Repeat (Dates and/or Wght)	PX-402768161	CDM	76816	CPT	402	RC		outpatient			463	112.57	118.88				fee schedule		112.57				other	OPPS APC	212.73				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	109.96				fee schedule		69.56				fee schedule		112.57				other	OPPS APC	69.56	212.73	
HC Pregnancy Repeat (Dates and/or Wght)	PX-402768161	CDM	76816	CPT	402	RC		inpatient			463	463																																																			
SCREW BONE L90 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.490S	CDM			270	RC		outpatient			462.8	462.81	125.37				percent of total billed charges		462.8				other	OPPS APC	342.47				percent of total billed charges		462.8				other	OPPS APC	462.8				other	OPPS APC	125.37				percent of total billed charges		127.87				percent of total billed charges		462.81				other	OPPS APC	125.37	462.81	
SCREW BONE L90 MM ANTIROTATE STERILE FEMORAL NECK SYSTEM	SUP-04.168.490S	CDM			270	RC		inpatient			462.8	462.8																																																			
PLATE BONE T 18X14X.5MM TITANIUM NS CRANIOFACIAL 5X5 HOLE 1MM CORTEX SCREW	SUP-420.700	CDM	270010022	LOCAL	270	RC		outpatient			462.8	462.81	125.37				percent of total billed charges		462.8				other	OPPS APC	342.47				percent of total billed charges		462.8				other	OPPS APC	462.8				other	OPPS APC	125.37				percent of total billed charges		127.87				percent of total billed charges		462.81				other	OPPS APC	125.37	462.81	
PLATE BONE T 18X14X.5MM TITANIUM NS CRANIOFACIAL 5X5 HOLE 1MM CORTEX SCREW	SUP-420.700	CDM	270010022	LOCAL	270	RC		inpatient			462.8	462.8																																																			
PLATE BONE X 10X7X.5MM TITANIUM NS CRANIOFACIAL 5 HOLE 1MM CORTEX SCREW	SUP-420.81	CDM	270010022	LOCAL	270	RC		outpatient			462.72	462.72	125.35				percent of total billed charges		462.72				other	OPPS APC	342.41				percent of total billed charges		462.72				other	OPPS APC	462.72				other	OPPS APC	125.35				percent of total billed charges		127.85				percent of total billed charges		462.72				other	OPPS APC	125.35	462.72	
PLATE BONE X 10X7X.5MM TITANIUM NS CRANIOFACIAL 5 HOLE 1MM CORTEX SCREW	SUP-420.81	CDM	270010022	LOCAL	270	RC		inpatient			462.72	462.72																																																			
BIT DRILL 3 FLUTE 215MM 80MM 3.2MM NS CALIBRATED QUICK COUPLING	SUP-356.97	CDM	270010022	LOCAL	270	RC		outpatient			462	462	125.16				percent of total billed charges		462				other	OPPS APC	341.88				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	125.16				percent of total billed charges		127.65				percent of total billed charges		462				other	OPPS APC	125.16	462	
BIT DRILL 3 FLUTE 215MM 80MM 3.2MM NS CALIBRATED QUICK COUPLING	SUP-356.97	CDM	270010022	LOCAL	270	RC		inpatient			462	462																																																			
END CAP T25 STRDRV OMM EXHUMERAJ NAIL	SUP-95-03943	CDM			278	RC		outpatient			462	462	462				fee schedule		462				other	OPPS APC	263.34				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	226.38				percent of total billed charges		235.62				percent of total billed charges		462				other	OPPS APC	226.38	462	
END CAP T25 STRDRV OMM EXHUMERAJ NAIL	SUP-95-03943	CDM			278	RC		inpatient			462	462																																																			
END CAP T25 STRDRV OMM EXHUMERAJ NAIL	SUP-97-03975	CDM			278	RC		outpatient			462	462	462				fee schedule		462				other	OPPS APC	263.34				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	226.38				percent of total billed charges		235.62				percent of total billed charges		462				other	OPPS APC	226.38	462	
END CAP T25 STRDRV OMM EXHUMERAJ NAIL	SUP-97-03975	CDM			278	RC		inpatient			462	462																																																			
6.5MM LOW PROFILE HEX SCREW 30MM	SUP-97-04624	CDM			278	RC		outpatient			462	462	462				fee schedule		462				other	OPPS APC	263.34				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	226.38				percent of total billed charges		235.62				percent of total billed charges		462				other	OPPS APC	226.38	462	
6.5MM LOW PROFILE HEX SCREW 30MM	SUP-97-04624	CDM			278	RC		inpatient			462	462																																																			
SCREW HEX LOW PROFILE 6.5 X 50MM	SUP-97-06046	CDM			278	RC		outpatient			462	462	462				fee schedule		462				other	OPPS APC	263.34				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	226.38				percent of total billed charges		235.62				percent of total billed charges		462				other	OPPS APC	226.38	462	
SCREW HEX LOW PROFILE 6.5 X 50MM	SUP-97-06046	CDM			278	RC		inpatient			462	462																																																			
SCREW LOW PROFILE HEX 6.5 X 15MM	SUP-97-06134	CDM			278	RC		outpatient			462	462	462				fee schedule		462				other	OPPS APC	263.34				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	226.38				percent of total billed charges		235.62				percent of total billed charges		462				other	OPPS APC	226.38	462	
SCREW LOW PROFILE HEX 6.5 X 15MM	SUP-97-06134	CDM			278	RC		inpatient			462	462																																																			
6.5MM LOW PROFILE HEX SCREW 35MM	SUP-97-23679	CDM			278	RC		outpatient			462	462	462				fee schedule		462				other	OPPS APC	263.34				percent of total billed charges		462				other	OPPS APC	462				other	OPPS APC	226.38				percent of total billed charges		235.62				percent of total billed charges		462				other	OPPS APC	226.38	462	
6.5MM LOW PROFILE HEX SCREW 35MM	SUP-97-23679	CDM			278	RC		inpatient			462	462																																																			
COVER BURR HOLE TITANIUM OD14 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE 1.5 MM SCREW	SUP-5305514	CDM			270	RC		outpatient			461.92	461.92	125.13				percent of total billed charges		461.92				other	OPPS APC	341.82				percent of total billed charges		461.92				other	OPPS APC	461.92				other	OPPS APC	125.13				percent of total billed charges		127.63				percent of total billed charges		461.92				other	OPPS APC	125.13	461.92	
COVER BURR HOLE TITANIUM OD14 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE 1.5 MM SCREW	SUP-5305514	CDM			270	RC		inpatient			461.92	461.92																																																			
SCREW  LOCKING 2.7MM 16MM	SUP-97-01686	CDM			278	RC		outpatient			461.37	461.37	461.37				fee schedule		461.37				other	OPPS APC	262.98				percent of total billed charges		461.37				other	OPPS APC	461.37				other	OPPS APC	226.07				percent of total billed charges		235.3				percent of total billed charges		461.37				other	OPPS APC	226.07	461.37	
SCREW  LOCKING 2.7MM 16MM	SUP-97-01686	CDM			278	RC		inpatient			461.37	461.37																																																			
SCREW 2.7 X 14MM LOCKING T8	SUP-97-01688	CDM			278	RC		outpatient			461.37	461.37	461.37				fee schedule		461.37				other	OPPS APC	262.98				percent of total billed charges		461.37				other	OPPS APC	461.37				other	OPPS APC	226.07				percent of total billed charges		235.3				percent of total billed charges		461.37				other	OPPS APC	226.07	461.37	
SCREW 2.7 X 14MM LOCKING T8	SUP-97-01688	CDM			278	RC		inpatient			461.37	461.37																																																			
SCREW 2.7 X 18MM LOCKING SELF TAPPING	SUP-97-01689	CDM			278	RC		outpatient			461.37	461.37	461.37				fee schedule		461.37				other	OPPS APC	262.98				percent of total billed charges		461.37				other	OPPS APC	461.37				other	OPPS APC	226.07				percent of total billed charges		235.3				percent of total billed charges		461.37				other	OPPS APC	226.07	461.37	
SCREW 2.7 X 18MM LOCKING SELF TAPPING	SUP-97-01689	CDM			278	RC		inpatient			461.37	461.37																																																			
SCREW  LOCKING 2.7MM 22MM	SUP-97-01690	CDM			278	RC		outpatient			461.37	461.37	461.37				fee schedule		461.37				other	OPPS APC	262.98				percent of total billed charges		461.37				other	OPPS APC	461.37				other	OPPS APC	226.07				percent of total billed charges		235.3				percent of total billed charges		461.37				other	OPPS APC	226.07	461.37	
SCREW  LOCKING 2.7MM 22MM	SUP-97-01690	CDM			278	RC		inpatient			461.37	461.37																																																			
SCREW  LOCKING 2.7MM 10MM	SUP-97-01691	CDM			278	RC		outpatient			461.37	461.37	461.37				fee schedule		461.37				other	OPPS APC	262.98				percent of total billed charges		461.37				other	OPPS APC	461.37				other	OPPS APC	226.07				percent of total billed charges		235.3				percent of total billed charges		461.37				other	OPPS APC	226.07	461.37	
SCREW  LOCKING 2.7MM 10MM	SUP-97-01691	CDM			278	RC		inpatient			461.37	461.37																																																			
RELOAD STAPLER TRI-STAPLE 2MM 45MM DISPOSABLE STERILE LF EXTRA THICK TISSUE ARTICULATE SIGNIA STAPLING SYSTEM	SUP-SIG45AXT	CDM			270	RC		outpatient			461.04	461.42	124.9				percent of total billed charges		461.04				other	OPPS APC	341.17				percent of total billed charges		461.04				other	OPPS APC	461.04				other	OPPS APC	124.9				percent of total billed charges		127.39				percent of total billed charges		461.42				other	OPPS APC	124.9	461.42	
RELOAD STAPLER TRI-STAPLE 2MM 45MM DISPOSABLE STERILE LF EXTRA THICK TISSUE ARTICULATE SIGNIA STAPLING SYSTEM	SUP-SIG45AXT	CDM			270	RC		inpatient			461.04	461.04																																																			
SCREW BONE MATRIXRIB TITANIUM L6 MM OD2.9 MM RIB SELF TAP LOCK NONSTERILE	SUP-04.501.016.01	CDM			270	RC		outpatient			460.44	46.44	124.73				percent of total billed charges		460.44				other	OPPS APC	340.73				percent of total billed charges		460.44				other	OPPS APC	460.44				other	OPPS APC	124.73				percent of total billed charges		127.22				percent of total billed charges		46.44				other	OPPS APC	46.44	460.44	
SCREW BONE MATRIXRIB TITANIUM L6 MM OD2.9 MM RIB SELF TAP LOCK NONSTERILE	SUP-04.501.016.01	CDM			270	RC		inpatient			460.44	460.44																																																			
SCREW BONE MATRIXRIB TITANIUM L8 MM OD2.9 MM RIB SELF TAP LOCK NONSTERILE	SUP-04.501.018.01	CDM			270	RC		outpatient			460.44	46.44	124.73				percent of total billed charges		460.44				other	OPPS APC	340.73				percent of total billed charges		460.44				other	OPPS APC	460.44				other	OPPS APC	124.73				percent of total billed charges		127.22				percent of total billed charges		46.44				other	OPPS APC	46.44	460.44	
SCREW BONE MATRIXRIB TITANIUM L8 MM OD2.9 MM RIB SELF TAP LOCK NONSTERILE	SUP-04.501.018.01	CDM			270	RC		inpatient			460.44	460.44																																																			
SCREW BONE MATRIXRIB TITANIUM L10 MM OD2.9 MM THORAX SELF TAP LOCK NONSTERILE	SUP-04.501.020.01	CDM			270	RC		outpatient			460.44	46.44	124.73				percent of total billed charges		460.44				other	OPPS APC	340.73				percent of total billed charges		460.44				other	OPPS APC	460.44				other	OPPS APC	124.73				percent of total billed charges		127.22				percent of total billed charges		46.44				other	OPPS APC	46.44	460.44	
SCREW BONE MATRIXRIB TITANIUM L10 MM OD2.9 MM THORAX SELF TAP LOCK NONSTERILE	SUP-04.501.020.01	CDM			270	RC		inpatient			460.44	460.44																																																			
SCREW BONE MATRIXRIB TITANIUM L12 MM OD2.9 MM SELF TAP LOCK NONSTERILE	SUP-04.501.022.01	CDM			270	RC		outpatient			460.44	46.44	124.73				percent of total billed charges		460.44				other	OPPS APC	340.73				percent of total billed charges		460.44				other	OPPS APC	460.44				other	OPPS APC	124.73				percent of total billed charges		127.22				percent of total billed charges		46.44				other	OPPS APC	46.44	460.44	
SCREW BONE MATRIXRIB TITANIUM L12 MM OD2.9 MM SELF TAP LOCK NONSTERILE	SUP-04.501.022.01	CDM			270	RC		inpatient			460.44	460.44																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 75 MM OD 7 MM ORTHOPEDIC STERILE	SUP-71129075	CDM			270	RC		outpatient			460.08	46.8	124.64				percent of total billed charges		460.08				other	OPPS APC	340.46				percent of total billed charges		460.08				other	OPPS APC	460.08				other	OPPS APC	124.64				percent of total billed charges		127.12				percent of total billed charges		46.8				other	OPPS APC	46.8	460.08	
SCREW BONE STAINLESS STEEL FULL THREAD L 75 MM OD 7 MM ORTHOPEDIC STERILE	SUP-71129075	CDM			270	RC		inpatient			460.08	460.08																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 80 MM OD 7 MM ORTHOPEDIC CANNULATED STERILE	SUP-71129080	CDM			270	RC		outpatient			460.08	46.8	124.64				percent of total billed charges		460.08				other	OPPS APC	340.46				percent of total billed charges		460.08				other	OPPS APC	460.08				other	OPPS APC	124.64				percent of total billed charges		127.12				percent of total billed charges		46.8				other	OPPS APC	46.8	460.08	
SCREW BONE STAINLESS STEEL FULL THREAD L 80 MM OD 7 MM ORTHOPEDIC CANNULATED STERILE	SUP-71129080	CDM			270	RC		inpatient			460.08	460.08																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 95MM OD 7 MM ORTHOPEDIC CANNULATED STERILE	SUP-71129095	CDM			270	RC		outpatient			460.08	46.8	124.64				percent of total billed charges		460.08				other	OPPS APC	340.46				percent of total billed charges		460.08				other	OPPS APC	460.08				other	OPPS APC	124.64				percent of total billed charges		127.12				percent of total billed charges		46.8				other	OPPS APC	46.8	460.08	
SCREW BONE STAINLESS STEEL FULL THREAD L 95MM OD 7 MM ORTHOPEDIC CANNULATED STERILE	SUP-71129095	CDM			270	RC		inpatient			460.08	460.08																																																			
TWISTER WIRE MYO/WIRE II 2 AUTOCLAVABLE SUTURE HIGH STRENGTH CLOSURE NONSTERILE STERNOTOMY	SUP-040-400	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
TWISTER WIRE MYO/WIRE II 2 AUTOCLAVABLE SUTURE HIGH STRENGTH CLOSURE NONSTERILE STERNOTOMY	SUP-040-400	CDM			270	RC		inpatient			460	460																																																			
PERFORATOR SURGICAL DGR-II PEDIATRIC 11 MM 7 MM STERILE DISPOSABLE	SUP-200-331	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
PERFORATOR SURGICAL DGR-II PEDIATRIC 11 MM 7 MM STERILE DISPOSABLE	SUP-200-331	CDM			270	RC		inpatient			460	460																																																			
CATHETER BALLOON DILATATION CORDIS SABER 150CM 40MM 3.9-4.7FR 2.5MM DURALYN HYDROPHILIC OTW LOW PROFILE MORE RADIOPAQUE	SUP-48002504X_41526	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
CATHETER BALLOON DILATATION CORDIS SABER 150CM 40MM 3.9-4.7FR 2.5MM DURALYN HYDROPHILIC OTW LOW PROFILE MORE RADIOPAQUE	SUP-48002504X_41526	CDM			270	RC		inpatient			460	460																																																			
CATHETER BALLOON DILATATION CORDIS SABER 150CM 80MM 3.9-4.7FR 2.5MM DURALYN HYDROPHILIC OTW LOW PROFILE MORE RADIOPAQUE	SUP-48002508X_41525	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
CATHETER BALLOON DILATATION CORDIS SABER 150CM 80MM 3.9-4.7FR 2.5MM DURALYN HYDROPHILIC OTW LOW PROFILE MORE RADIOPAQUE	SUP-48002508X_41525	CDM			270	RC		inpatient			460	460																																																			
CATHETER BALLOON DILATATION CORDIS SABER 150CM 40MM 3.9-4.7FR 4MM DURALYN HYDROPHILIC OTW LOW PROFILE MORE RADIOPAQUE	SUP-48004004X_41524	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
CATHETER BALLOON DILATATION CORDIS SABER 150CM 40MM 3.9-4.7FR 4MM DURALYN HYDROPHILIC OTW LOW PROFILE MORE RADIOPAQUE	SUP-48004004X_41524	CDM			270	RC		inpatient			460	460																																																			
CATHETER BALLOON DILATATION SABER DURALYN HYDROPHILIC L150 CM L40 MM OD4.7 FR ODSEC7 MM 1 PIECE HUB OTW HIGH PRESSURE LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-48007004X	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
CATHETER BALLOON DILATATION SABER DURALYN HYDROPHILIC L150 CM L40 MM OD4.7 FR ODSEC7 MM 1 PIECE HUB OTW HIGH PRESSURE LOW PROFILE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH PTA	SUP-48007004X	CDM			270	RC		inpatient			460	460																																																			
SUREFORM 60 RELOAD BLUE	SUP-48360B	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
SUREFORM 60 RELOAD BLUE	SUP-48360B	CDM			270	RC		inpatient			460	460																																																			
SUREFORM 60 RELOAD GREEN	SUP-48360G	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
SUREFORM 60 RELOAD GREEN	SUP-48360G	CDM			270	RC		inpatient			460	460																																																			
SUREFORM 60 RELOAD BLACK	SUP-48360T	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
SUREFORM 60 RELOAD BLACK	SUP-48360T	CDM			270	RC		inpatient			460	460																																																			
SUREFORM 60 RELOAD WHITE	SUP-48360W	CDM			270	RC		outpatient			460	46	124.61				percent of total billed charges		460				other	OPPS APC	340.4				percent of total billed charges		460				other	OPPS APC	460				other	OPPS APC	124.61				percent of total billed charges		127.1				percent of total billed charges		46				other	OPPS APC	46	460	
SUREFORM 60 RELOAD WHITE	SUP-48360W	CDM			270	RC		inpatient			460	460																																																			
Umbilicup	PX-272000027	CDM			272	RC		outpatient			459.86	459.86	124.58				percent of total billed charges		459.86				other	OPPS APC	459.86				fee schedule		459.86				other	OPPS APC	459.86				other	OPPS APC	124.58				percent of total billed charges		127.06				percent of total billed charges		459.86				other	OPPS APC	124.58	459.86	
Umbilicup	PX-272000027	CDM			272	RC		inpatient			459.86	459.86																																																			
ROD SPINAL TSRH-3D TITANIUM L40 MM OD6.35 MM PREBENT PRECUT	SUP-8371040	CDM	270010020	LOCAL	270	RC		outpatient			459.68	459.68	124.53				percent of total billed charges		459.68				other	OPPS APC	340.16				percent of total billed charges		459.68				other	OPPS APC	459.68				other	OPPS APC	124.53				percent of total billed charges		127.01				percent of total billed charges		459.68				other	OPPS APC	124.53	459.68	
ROD SPINAL TSRH-3D TITANIUM L40 MM OD6.35 MM PREBENT PRECUT	SUP-8371040	CDM	270010020	LOCAL	270	RC		inpatient			459.68	459.68																																																			
ROD SPINAL TSRH-3D TITANIUM L50 MM OD6.35 MM PREBENT PRECUT	SUP-8371050	CDM	270010020	LOCAL	270	RC		outpatient			459.68	459.68	124.53				percent of total billed charges		459.68				other	OPPS APC	340.16				percent of total billed charges		459.68				other	OPPS APC	459.68				other	OPPS APC	124.53				percent of total billed charges		127.01				percent of total billed charges		459.68				other	OPPS APC	124.53	459.68	
ROD SPINAL TSRH-3D TITANIUM L50 MM OD6.35 MM PREBENT PRECUT	SUP-8371050	CDM	270010020	LOCAL	270	RC		inpatient			459.68	459.68																																																			
ROD SPINAL 70MM 6.35MM TSRH-3D CONTOUR PREBENT PRECUT PEDICLE TITANIUM	SUP-8371070	CDM	270010020	LOCAL	270	RC		outpatient			459.68	459.68	124.53				percent of total billed charges		459.68				other	OPPS APC	340.16				percent of total billed charges		459.68				other	OPPS APC	459.68				other	OPPS APC	124.53				percent of total billed charges		127.01				percent of total billed charges		459.68				other	OPPS APC	124.53	459.68	
ROD SPINAL 70MM 6.35MM TSRH-3D CONTOUR PREBENT PRECUT PEDICLE TITANIUM	SUP-8371070	CDM	270010020	LOCAL	270	RC		inpatient			459.68	459.68																																																			
ROD SPINAL TITANIUM L80 MM OD6.35 MM PREBENT PRECUT	SUP-8371080	CDM	270010020	LOCAL	270	RC		outpatient			459.68	459.68	124.53				percent of total billed charges		459.68				other	OPPS APC	340.16				percent of total billed charges		459.68				other	OPPS APC	459.68				other	OPPS APC	124.53				percent of total billed charges		127.01				percent of total billed charges		459.68				other	OPPS APC	124.53	459.68	
ROD SPINAL TITANIUM L80 MM OD6.35 MM PREBENT PRECUT	SUP-8371080	CDM	270010020	LOCAL	270	RC		inpatient			459.68	459.68																																																			
ROD SPINAL TSRH-2D CONTOUR BENT L9 CM OD6.35 MM PRECUT	SUP-8371090	CDM	270010020	LOCAL	270	RC		outpatient			459.68	459.68	124.53				percent of total billed charges		459.68				other	OPPS APC	340.16				percent of total billed charges		459.68				other	OPPS APC	459.68				other	OPPS APC	124.53				percent of total billed charges		127.01				percent of total billed charges		459.68				other	OPPS APC	124.53	459.68	
ROD SPINAL TSRH-2D CONTOUR BENT L9 CM OD6.35 MM PRECUT	SUP-8371090	CDM	270010020	LOCAL	270	RC		inpatient			459.68	459.68																																																			
ROD SPINAL TITANIUM L100 MM OD6.35 MM PREBENT PRECUT	SUP-8371100	CDM	270010020	LOCAL	270	RC		outpatient			459.68	459.68	124.53				percent of total billed charges		459.68				other	OPPS APC	340.16				percent of total billed charges		459.68				other	OPPS APC	459.68				other	OPPS APC	124.53				percent of total billed charges		127.01				percent of total billed charges		459.68				other	OPPS APC	124.53	459.68	
ROD SPINAL TITANIUM L100 MM OD6.35 MM PREBENT PRECUT	SUP-8371100	CDM	270010020	LOCAL	270	RC		inpatient			459.68	459.68																																																			
PLATE BONE THINFLAP TITANIUM LONG CRANIOMAXILLOFACIAL 6 HOLE STRAIGHT	SUP-19-1040	CDM			270	RC		outpatient			459.2	459.2	124.4				percent of total billed charges		459.2				other	OPPS APC	339.81				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	124.4				percent of total billed charges		126.88				percent of total billed charges		459.2				other	OPPS APC	124.4	459.2	
PLATE BONE THINFLAP TITANIUM LONG CRANIOMAXILLOFACIAL 6 HOLE STRAIGHT	SUP-19-1040	CDM			270	RC		inpatient			459.2	459.2																																																			
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOFACIAL 6 HOLE CURVED STERILE	SUP-19-1050	CDM			270	RC		outpatient			459.2	459.2	124.4				percent of total billed charges		459.2				other	OPPS APC	339.81				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	124.4				percent of total billed charges		126.88				percent of total billed charges		459.2				other	OPPS APC	124.4	459.2	
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOFACIAL 6 HOLE CURVED STERILE	SUP-19-1050	CDM			270	RC		inpatient			459.2	459.2																																																			
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 10 HOLE CURVED	SUP-19-1055	CDM			270	RC		outpatient			459.2	459.2	124.4				percent of total billed charges		459.2				other	OPPS APC	339.81				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	124.4				percent of total billed charges		126.88				percent of total billed charges		459.2				other	OPPS APC	124.4	459.2	
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 10 HOLE CURVED	SUP-19-1055	CDM			270	RC		inpatient			459.2	459.2																																																			
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 6 HOLE 2 Y STERILE	SUP-19-1060	CDM			270	RC		outpatient			459.2	459.2	124.4				percent of total billed charges		459.2				other	OPPS APC	339.81				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	124.4				percent of total billed charges		126.88				percent of total billed charges		459.2				other	OPPS APC	124.4	459.2	
PLATE BONE THINFLAP TITANIUM STANDARD CRANIOMAXILLOFACIAL 6 HOLE 2 Y STERILE	SUP-19-1060	CDM			270	RC		inpatient			459.2	459.2																																																			
PLATE BONE THINFLAP TITANIUM 100 D STANDARD LEFT CRANIOFACIAL 7 HOLE L STERILE	SUP-19-1070	CDM			270	RC		outpatient			459.2	459.2	124.4				percent of total billed charges		459.2				other	OPPS APC	339.81				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	124.4				percent of total billed charges		126.88				percent of total billed charges		459.2				other	OPPS APC	124.4	459.2	
PLATE BONE THINFLAP TITANIUM 100 D STANDARD LEFT CRANIOFACIAL 7 HOLE L STERILE	SUP-19-1070	CDM			270	RC		inpatient			459.2	459.2																																																			
PLATE BONE THINFLAP TITANIUM 100 D STANDARD RIGHT CRANIOFACIAL 7 HOLE L STERILE	SUP-19-1075	CDM			270	RC		outpatient			459.2	459.2	124.4				percent of total billed charges		459.2				other	OPPS APC	339.81				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	124.4				percent of total billed charges		126.88				percent of total billed charges		459.2				other	OPPS APC	124.4	459.2	
PLATE BONE THINFLAP TITANIUM 100 D STANDARD RIGHT CRANIOFACIAL 7 HOLE L STERILE	SUP-19-1075	CDM			270	RC		inpatient			459.2	459.2																																																			
TUBE FEEDING J MIC 18FR	SUP-95-04958	CDM			278	RC		outpatient			459.2	459.2	459.2				fee schedule		459.2				other	OPPS APC	261.74				percent of total billed charges		459.2				other	OPPS APC	459.2				other	OPPS APC	225.01				percent of total billed charges		234.19				percent of total billed charges		459.2				other	OPPS APC	225.01	459.2	
TUBE FEEDING J MIC 18FR	SUP-95-04958	CDM			278	RC		inpatient			459.2	459.2																																																			
LINEZOLID 600 MG TABLET	637000000	CDM	67877-419-33	NDC	A9270	HCPCS		inpatient			459.16	459.16																																																			
LINEZOLID 600 MG TABLET	637000000	CDM	67877-419-33	NDC	A9270	HCPCS		outpatient			459.16	459.16																																															other	OPPS APC			
HC Skin Tissue Procedure	PX-361179992	CDM	17999	CPT	361	RC		outpatient			458.5	458.5	144.79				percent of total billed charges		458.5				other	OPPS APC	458.5				fee schedule		458.5				other	OPPS APC	458.5				other	OPPS APC	144.79				percent of total billed charges		147.68				percent of total billed charges		458.5				other	OPPS APC	144.79	458.5	
HC Skin Tissue Procedure	PX-361179992	CDM	17999	CPT	361	RC		inpatient			458.5	458.5																																																			
HC Skin Tissue Procedure	PX-450179991	CDM	17999	CPT	450	RC		outpatient			458.5	458.5	195.77				case rate		458.5				other	OPPS APC	339.29				percent of total billed charges		458.5				other	OPPS APC	458.5				other	OPPS APC	195.77				case rate		199.69				case rate		458.5				other	OPPS APC	195.77	458.5	
HC Skin Tissue Procedure	PX-450179991	CDM	17999	CPT	450	RC		inpatient			458.5	458.5																																																			
VTI SURGICAL DOPPLER	SUP-74-00375	CDM			272	RC		outpatient			458.5	458.5	124.21				percent of total billed charges		458.5				other	OPPS APC	339.29				percent of total billed charges		458.5				other	OPPS APC	458.5				other	OPPS APC	124.21				percent of total billed charges		126.68				percent of total billed charges		458.5				other	OPPS APC	124.21	458.5	
VTI SURGICAL DOPPLER	SUP-74-00375	CDM			272	RC		inpatient			458.5	458.5																																																			
TOOL DISSECTING FLUTE DRUM L8.9 MM OD4 MM SIDE CUT BURR QD11 MEDIUM	SUP-M-4DRM-G1	CDM			270	RC		outpatient			458	458	124.07				percent of total billed charges		458				other	OPPS APC	338.92				percent of total billed charges		458				other	OPPS APC	458				other	OPPS APC	124.07				percent of total billed charges		126.55				percent of total billed charges		458				other	OPPS APC	124.07	458	
TOOL DISSECTING FLUTE DRUM L8.9 MM OD4 MM SIDE CUT BURR QD11 MEDIUM	SUP-M-4DRM-G1	CDM			270	RC		inpatient			458	458																																																			
ADAPTER FEMORAL SIGMA NEUTRAL KNEE BOLT	SUP-96-0783	CDM	270010025	LOCAL	270	RC		outpatient			457.2	457.2	123.86				percent of total billed charges		457.2				other	OPPS APC	338.33				percent of total billed charges		457.2				other	OPPS APC	457.2				other	OPPS APC	123.86				percent of total billed charges		126.32				percent of total billed charges		457.2				other	OPPS APC	123.86	457.2	
ADAPTER FEMORAL SIGMA NEUTRAL KNEE BOLT	SUP-96-0783	CDM	270010025	LOCAL	270	RC		inpatient			457.2	457.2																																																			
SCREW BONE 4MM FULL THREAD 70MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.270	CDM	270010022	LOCAL	270	RC		outpatient			456.88	456.88	123.77				percent of total billed charges		456.88				other	OPPS APC	338.09				percent of total billed charges		456.88				other	OPPS APC	456.88				other	OPPS APC	123.77				percent of total billed charges		126.24				percent of total billed charges		456.88				other	OPPS APC	123.77	456.88	
SCREW BONE 4MM FULL THREAD 70MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.270	CDM	270010022	LOCAL	270	RC		inpatient			456.88	456.88																																																			
SCREW BONE 4MM FULL THREAD 85MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.285	CDM	270010022	LOCAL	270	RC		outpatient			456.88	456.88	123.77				percent of total billed charges		456.88				other	OPPS APC	338.09				percent of total billed charges		456.88				other	OPPS APC	456.88				other	OPPS APC	123.77				percent of total billed charges		126.24				percent of total billed charges		456.88				other	OPPS APC	123.77	456.88	
SCREW BONE 4MM FULL THREAD 85MM 7.3MM 5MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR PLATE	SUP-02.207.285	CDM	270010022	LOCAL	270	RC		inpatient			456.88	456.88																																																			
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 7 HOLE LOW PROFILE ADAPTATION NONSTERILE	SUP-421.519	CDM	270010013	LOCAL	270	RC		outpatient			456.5	456.5	123.67				percent of total billed charges		456.5				other	OPPS APC	337.81				percent of total billed charges		456.5				other	OPPS APC	456.5				other	OPPS APC	123.67				percent of total billed charges		126.13				percent of total billed charges		456.5				other	OPPS APC	123.67	456.5	
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 7 HOLE LOW PROFILE ADAPTATION NONSTERILE	SUP-421.519	CDM	270010013	LOCAL	270	RC		inpatient			456.5	456.5																																																			
TUBE JEJUNOSTOMY MIC SECUR-LOK SILICONE L45 CM OD22 FR 7-10 ML RETENTION BALLOON UNIVERSAL FEED PORT CONNECTOR RADIOPAQUE STRIPE TAPER DISTAL TIP STERILE LATEX FREE DISPOSABLE TRANSGASTRIC	SUP-0250-22	CDM			270	RC		outpatient			456.14	456.14	123.57				percent of total billed charges		456.14				other	OPPS APC	337.54				percent of total billed charges		456.14				other	OPPS APC	456.14				other	OPPS APC	123.57				percent of total billed charges		126.03				percent of total billed charges		456.14				other	OPPS APC	123.57	456.14	
TUBE JEJUNOSTOMY MIC SECUR-LOK SILICONE L45 CM OD22 FR 7-10 ML RETENTION BALLOON UNIVERSAL FEED PORT CONNECTOR RADIOPAQUE STRIPE TAPER DISTAL TIP STERILE LATEX FREE DISPOSABLE TRANSGASTRIC	SUP-0250-22	CDM			270	RC		inpatient			456.14	456.14																																																			
DEVICE CLOSURE PERCLOSE OD6 FR VASCULAR SUTURE MEDIATE KNOT PUSH STERILE DISPOSABLE	SUP-12673-03	CDM			270	RC		outpatient			456	456	123.53				percent of total billed charges		456				other	OPPS APC	337.44				percent of total billed charges		456				other	OPPS APC	456				other	OPPS APC	123.53				percent of total billed charges		125.99				percent of total billed charges		456				other	OPPS APC	123.53	456	
DEVICE CLOSURE PERCLOSE OD6 FR VASCULAR SUTURE MEDIATE KNOT PUSH STERILE DISPOSABLE	SUP-12673-03	CDM			270	RC		inpatient			456	456																																																			
BLADE OSTEOTOME FLAT LONG	SUP-2500-10-752	CDM			270	RC		outpatient			456	456	123.53				percent of total billed charges		456				other	OPPS APC	337.44				percent of total billed charges		456				other	OPPS APC	456				other	OPPS APC	123.53				percent of total billed charges		125.99				percent of total billed charges		456				other	OPPS APC	123.53	456	
BLADE OSTEOTOME FLAT LONG	SUP-2500-10-752	CDM			270	RC		inpatient			456	456																																																			
BLADE OSTEOTOME RADIAL LONG	SUP-2500-10-755	CDM			270	RC		outpatient			456	456	123.53				percent of total billed charges		456				other	OPPS APC	337.44				percent of total billed charges		456				other	OPPS APC	456				other	OPPS APC	123.53				percent of total billed charges		125.99				percent of total billed charges		456				other	OPPS APC	123.53	456	
BLADE OSTEOTOME RADIAL LONG	SUP-2500-10-755	CDM			270	RC		inpatient			456	456																																																			
CLEARFIL SEABOND 3270KA	SUP-7210575	CDM	27000000	LOCAL	270	RC		outpatient			455.98	455.98	123.52				percent of total billed charges		455.98				other	OPPS APC	337.43				percent of total billed charges		455.98				other	OPPS APC	455.98				other	OPPS APC	123.52				percent of total billed charges		125.99				percent of total billed charges		455.98				other	OPPS APC	123.52	455.98	
CLEARFIL SEABOND 3270KA	SUP-7210575	CDM	27000000	LOCAL	270	RC		inpatient			455.98	455.98																																																			
PRES QUAD LUMEN 8.5FR X 16CM-SUB	SUP-12-00094	CDM			272	RC		outpatient			455.49	455.49	123.39				percent of total billed charges		455.49				other	OPPS APC	337.06				percent of total billed charges		455.49				other	OPPS APC	455.49				other	OPPS APC	123.39				percent of total billed charges		125.85				percent of total billed charges		455.49				other	OPPS APC	123.39	455.49	
PRES QUAD LUMEN 8.5FR X 16CM-SUB	SUP-12-00094	CDM			272	RC		inpatient			455.49	455.49																																																			
PLATE 1.5 2X2-HOLE LFT MED	SUP-71-00206	CDM			278	RC		outpatient			455	455	455				fee schedule		455				other	OPPS APC	259.35				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	222.95				percent of total billed charges		232.05				percent of total billed charges		455				other	OPPS APC	222.95	455	
PLATE 1.5 2X2-HOLE LFT MED	SUP-71-00206	CDM			278	RC		inpatient			455	455																																																			
PLATE 1.5 2X2-HOLE RT MED	SUP-71-00207	CDM			278	RC		outpatient			455	455	455				fee schedule		455				other	OPPS APC	259.35				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	222.95				percent of total billed charges		232.05				percent of total billed charges		455				other	OPPS APC	222.95	455	
PLATE 1.5 2X2-HOLE RT MED	SUP-71-00207	CDM			278	RC		inpatient			455	455																																																			
PLATE 2.0/1.0 6-HOLE REG CVD	SUP-71-00225	CDM			278	RC		outpatient			455	455	455				fee schedule		455				other	OPPS APC	259.35				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	222.95				percent of total billed charges		232.05				percent of total billed charges		455				other	OPPS APC	222.95	455	
PLATE 2.0/1.0 6-HOLE REG CVD	SUP-71-00225	CDM			278	RC		inpatient			455	455																																																			
PIN STEINMANN 3 X 150MM CENTRAL THREAD	SUP-95-04721	CDM			278	RC		outpatient			455	455	455				fee schedule		455				other	OPPS APC	259.35				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	222.95				percent of total billed charges		232.05				percent of total billed charges		455				other	OPPS APC	222.95	455	
PIN STEINMANN 3 X 150MM CENTRAL THREAD	SUP-95-04721	CDM			278	RC		inpatient			455	455																																																			
DRILL BIT 3.7MM	SUP-95-05406	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
DRILL BIT 3.7MM	SUP-95-05406	CDM			272	RC		inpatient			455	455																																																			
PATELLA REAMER BLADE	SUP-97-00874	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
PATELLA REAMER BLADE	SUP-97-00874	CDM			272	RC		inpatient			455	455																																																			
REAMER BLADEPATELLA W/ PILOT HOLE SZ35	SUP-97-01373	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
REAMER BLADEPATELLA W/ PILOT HOLE SZ35	SUP-97-01373	CDM			272	RC		inpatient			455	455																																																			
SCREW LOCKING  T10  2.7X10MM	SUP-97-01436	CDM			278	RC		outpatient			455	455	455				fee schedule		455				other	OPPS APC	259.35				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	222.95				percent of total billed charges		232.05				percent of total billed charges		455				other	OPPS APC	222.95	455	
SCREW LOCKING  T10  2.7X10MM	SUP-97-01436	CDM			278	RC		inpatient			455	455																																																			
PATELLA REAMING SYSTEM 48MM	SUP-97-02716	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
PATELLA REAMING SYSTEM 48MM	SUP-97-02716	CDM			272	RC		inpatient			455	455																																																			
PATELLA REAMING SYSTEM 38MM	SUP-97-02719	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
PATELLA REAMING SYSTEM 38MM	SUP-97-02719	CDM			272	RC		inpatient			455	455																																																			
EBOLIZATION - COIL NESTER 12MM	SUP-99-00992	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
EBOLIZATION - COIL NESTER 12MM	SUP-99-00992	CDM			272	RC		inpatient			455	455																																																			
EBOLIZATION - COIL NESTER 10MM	SUP-99-00993	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
EBOLIZATION - COIL NESTER 10MM	SUP-99-00993	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X80	SUP-99-03166	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X80	SUP-99-03166	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X150	SUP-99-03235	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X150	SUP-99-03235	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X40	SUP-99-03327	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X40	SUP-99-03327	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X40	SUP-99-03383	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X40	SUP-99-03383	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X200	SUP-99-03391	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X200	SUP-99-03391	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X150	SUP-99-03408	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X150	SUP-99-03408	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X100	SUP-99-03410	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X100	SUP-99-03410	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X200	SUP-99-03418	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X200	SUP-99-03418	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X20	SUP-99-03420	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X20	SUP-99-03420	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X60	SUP-99-03421	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X60	SUP-99-03421	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X180	SUP-99-03422	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X180	SUP-99-03422	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X180	SUP-99-03428	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X180	SUP-99-03428	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X20	SUP-99-03429	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X20	SUP-99-03429	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X100	SUP-99-03432	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X100	SUP-99-03432	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X40	SUP-99-03437	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X40	SUP-99-03437	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X200	SUP-99-03446	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X200	SUP-99-03446	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X80	SUP-99-03447	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X80	SUP-99-03447	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 6.0X120	SUP-99-03451	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 6.0X120	SUP-99-03451	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X150	SUP-99-03466	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X150	SUP-99-03466	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X120	SUP-99-03471	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X120	SUP-99-03471	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.0X60	SUP-99-03481	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.0X60	SUP-99-03481	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X180	SUP-99-03486	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X180	SUP-99-03486	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X60	SUP-99-03524	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X60	SUP-99-03524	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X80	SUP-99-03544	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X80	SUP-99-03544	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X100	SUP-99-03657	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X100	SUP-99-03657	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X120	SUP-99-03791	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X120	SUP-99-03791	CDM			272	RC		inpatient			455	455																																																			
BALLOON - ARMADA 18 5.5X20	SUP-99-03792	CDM			272	RC		outpatient			455	455	123.26				percent of total billed charges		455				other	OPPS APC	336.7				percent of total billed charges		455				other	OPPS APC	455				other	OPPS APC	123.26				percent of total billed charges		125.72				percent of total billed charges		455				other	OPPS APC	123.26	455	
BALLOON - ARMADA 18 5.5X20	SUP-99-03792	CDM			272	RC		inpatient			455	455																																																			
PATCH CARDIOVASCULAR VASCU-GUARD BOVINE PERICARDIAL TAPER L8 CM X W.8 CM PERIPHERAL APEX PROCESS	SUP-VG0108	CDM			270	RC		outpatient			454.46	454.46	123.11				percent of total billed charges		454.46				other	OPPS APC	336.3				percent of total billed charges		454.46				other	OPPS APC	454.46				other	OPPS APC	123.11				percent of total billed charges		125.57				percent of total billed charges		454.46				other	OPPS APC	123.11	454.46	
PATCH CARDIOVASCULAR VASCU-GUARD BOVINE PERICARDIAL TAPER L8 CM X W.8 CM PERIPHERAL APEX PROCESS	SUP-VG0108	CDM			270	RC		inpatient			454.46	454.46																																																			
PROBE GUIDE 8G MAMMOTOME  FORK SHAPE	SUP-95-02756	CDM			272	RC		outpatient			454.23	454.23	123.05				percent of total billed charges		454.23				other	OPPS APC	336.13				percent of total billed charges		454.23				other	OPPS APC	454.23				other	OPPS APC	123.05				percent of total billed charges		125.5				percent of total billed charges		454.23				other	OPPS APC	123.05	454.23	
PROBE GUIDE 8G MAMMOTOME  FORK SHAPE	SUP-95-02756	CDM			272	RC		inpatient			454.23	454.23																																																			
PROBE LASER ENGAUGE VEKTOR OD25 GA ARTICULATE ILLUMINATE STERILE LATEX FREE DISPOSABLE	SUP-8065751593	CDM			270	RC		outpatient			454.06	454.6	123				percent of total billed charges		454.06				other	OPPS APC	336				percent of total billed charges		454.06				other	OPPS APC	454.06				other	OPPS APC	123				percent of total billed charges		125.46				percent of total billed charges		454.6				other	OPPS APC	123	454.6	
PROBE LASER ENGAUGE VEKTOR OD25 GA ARTICULATE ILLUMINATE STERILE LATEX FREE DISPOSABLE	SUP-8065751593	CDM			270	RC		inpatient			454.06	454.06																																																			
Catheter Bartholin Gland Ch10 5cc	PX-272C17292	CDM			272	RC		outpatient			454	454	122.99				percent of total billed charges		454				other	OPPS APC	335.96				percent of total billed charges		454				other	OPPS APC	454				other	OPPS APC	122.99				percent of total billed charges		125.44				percent of total billed charges		454				other	OPPS APC	122.99	454	
Catheter Bartholin Gland Ch10 5cc	PX-272C17292	CDM			272	RC		inpatient			454	454																																																			
HC Cystogram	PX-320744300	CDM	74430	CPT	320	RC		outpatient			454	454	42.23				fee schedule		454				other	OPPS APC	141.13				fee schedule		454				other	OPPS APC	454				other	OPPS APC	41.4				fee schedule		26.28				fee schedule		454				other	OPPS APC	26.28	454	
HC Cystogram	PX-320744300	CDM	74430	CPT	320	RC		inpatient			454	454																																																			
HC Urethrocystogram Retro	PX-320744501	CDM	74450	CPT	320	RC		outpatient			454	454	454				fee schedule		454				other	OPPS APC	183.2				fee schedule		454				other	OPPS APC	454				other	OPPS APC	222.46				percent of total billed charges		231.54				percent of total billed charges		454				other	OPPS APC	183.2	454	
HC Urethrocystogram Retro	PX-320744501	CDM	74450	CPT	320	RC		inpatient			454	454																																																			
HC Vl Aortic Duplex Scan Limited	PX-921939790	CDM	93979	CPT	921	RC		outpatient			454	112.57	158.56				fee schedule		112.57				other	OPPS APC	405.23				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	117.25				fee schedule		231.54				percent of total billed charges		112.57				other	OPPS APC	112.57	405.23	
HC Vl Aortic Duplex Scan Limited	PX-921939790	CDM	93979	CPT	921	RC		inpatient			454	454																																																			
GUIDEWIRE ENDOSCOPIC ACROBAT 2 HYDROPHILIC L5.8 CM STRAIGHT L450 CM L4 CM OD.035 IN RADIOPAQUE CALIBRATED TIP	SUP-G47616	CDM			270	RC		outpatient			454	454	122.99				percent of total billed charges		454				other	OPPS APC	335.96				percent of total billed charges		454				other	OPPS APC	454				other	OPPS APC	122.99				percent of total billed charges		125.44				percent of total billed charges		454				other	OPPS APC	122.99	454	
GUIDEWIRE ENDOSCOPIC ACROBAT 2 HYDROPHILIC L5.8 CM STRAIGHT L450 CM L4 CM OD.035 IN RADIOPAQUE CALIBRATED TIP	SUP-G47616	CDM			270	RC		inpatient			454	454																																																			
PLATE BONE UNIVERSAL 2 TITANIUM 2Y H.8 MM MIDFACE 7 HOLE LOCK 1.7 MM SCREW	SUP-5505742	CDM			270	RC		outpatient			453.6	453.62	122.88				percent of total billed charges		453.6				other	OPPS APC	335.66				percent of total billed charges		453.6				other	OPPS APC	453.6				other	OPPS APC	122.88				percent of total billed charges		125.33				percent of total billed charges		453.62				other	OPPS APC	122.88	453.62	
PLATE BONE UNIVERSAL 2 TITANIUM 2Y H.8 MM MIDFACE 7 HOLE LOCK 1.7 MM SCREW	SUP-5505742	CDM			270	RC		inpatient			453.6	453.6																																																			
PERCNCIRCLE NITINOL TIPLESS STONE EXT	SUP-97-00907	CDM						inpatient			453.6	453.6																																																			
PERCNCIRCLE NITINOL TIPLESS STONE EXT	SUP-97-00907	CDM						outpatient			453.6	453.62	453.6				percent of total billed charges		453.6				other	OPPS APC	453.6				fee schedule		453.6				other	OPPS APC	453.6				other	OPPS APC	453.6				case rate		453.6				case rate		453.62				other	OPPS APC	453.6	453.62	
CATHETER HEMODIALYSIS GLIDEPATH POLYURETHANE STRAIGHT L55 CM L50 CM OD14.5 FR STANDARD KIT AIRGUARD VALVED INTRODUCER SYMMETRIC TIP PRELOADED LONG TERM NONSTERILE DISPOSABLE	SUP-5393500	CDM			270	RC		outpatient			453.2	453.2	122.77				percent of total billed charges		453.2				other	OPPS APC	335.37				percent of total billed charges		453.2				other	OPPS APC	453.2				other	OPPS APC	122.77				percent of total billed charges		125.22				percent of total billed charges		453.2				other	OPPS APC	122.77	453.2	
CATHETER HEMODIALYSIS GLIDEPATH POLYURETHANE STRAIGHT L55 CM L50 CM OD14.5 FR STANDARD KIT AIRGUARD VALVED INTRODUCER SYMMETRIC TIP PRELOADED LONG TERM NONSTERILE DISPOSABLE	SUP-5393500	CDM			270	RC		inpatient			453.2	453.2																																																			
SCREW LOCKING T10 2.7X12MM	SUP-97-03966	CDM			278	RC		outpatient			452.76	452.76	452.76				fee schedule		452.76				other	OPPS APC	258.07				percent of total billed charges		452.76				other	OPPS APC	452.76				other	OPPS APC	221.85				percent of total billed charges		230.91				percent of total billed charges		452.76				other	OPPS APC	221.85	452.76	
SCREW LOCKING T10 2.7X12MM	SUP-97-03966	CDM			278	RC		inpatient			452.76	452.76																																																			
SCREW LOCKING  T10  2.7X14MM	SUP-97-03967	CDM			278	RC		outpatient			452.76	452.76	452.76				fee schedule		452.76				other	OPPS APC	258.07				percent of total billed charges		452.76				other	OPPS APC	452.76				other	OPPS APC	221.85				percent of total billed charges		230.91				percent of total billed charges		452.76				other	OPPS APC	221.85	452.76	
SCREW LOCKING  T10  2.7X14MM	SUP-97-03967	CDM			278	RC		inpatient			452.76	452.76																																																			
SCREW LOCKING  T10  2.7X16MM	SUP-97-03968	CDM			278	RC		outpatient			452.76	452.76	452.76				fee schedule		452.76				other	OPPS APC	258.07				percent of total billed charges		452.76				other	OPPS APC	452.76				other	OPPS APC	221.85				percent of total billed charges		230.91				percent of total billed charges		452.76				other	OPPS APC	221.85	452.76	
SCREW LOCKING  T10  2.7X16MM	SUP-97-03968	CDM			278	RC		inpatient			452.76	452.76																																																			
SCREW BONE TITANIUM T25 FULL THREAD L22 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.412S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L22 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.412S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM FULL THREAD T25 L24 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE EXPERT INTRAMEDULLARY NAIL	SUP-04.005.414S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM FULL THREAD T25 L24 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE EXPERT INTRAMEDULLARY NAIL	SUP-04.005.414S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L26 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.416S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L26 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.416S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L28 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.418S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L28 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.418S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE FULL THREAD T25 36MM 4MM BLUE TITANIUM STERILE SELF TAP LOCK BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL	SUP-04.005.426S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE FULL THREAD T25 36MM 4MM BLUE TITANIUM STERILE SELF TAP LOCK BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL	SUP-04.005.426S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L52 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.442S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L52 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.442S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L54 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.444S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L54 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.444S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L62 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.452S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L62 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.452S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L64 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.454S	CDM			270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L64 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.454S	CDM			270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L68 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.458S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L68 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.458S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L70 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.460S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L70 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.460S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L72 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.462S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L72 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.462S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L78 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.468S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L78 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.468S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L80 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.470S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L80 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.470S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L76 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.566S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L76 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.566S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L78 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.568S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L78 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.568S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L85 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.575S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L85 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.575S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L95 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.585S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L95 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.585S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
SCREW BONE TITANIUM T25 FULL THREAD L100 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.590S	CDM	270010022	LOCAL	270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
SCREW BONE TITANIUM T25 FULL THREAD L100 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.590S	CDM	270010022	LOCAL	270	RC		inpatient			452.1	452.1																																																			
CAP END 5 MM STERILE RFN-ADVANCED	SUP-04.233.005S	CDM			270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
CAP END 5 MM STERILE RFN-ADVANCED	SUP-04.233.005S	CDM			270	RC		inpatient			452.1	452.1																																																			
CAP END OD10 MM EXTENSION STERILE RFN-ADVANCED	SUP-04.233.010S	CDM			270	RC		outpatient			452.1	452.12	122.47				percent of total billed charges		452.1				other	OPPS APC	334.55				percent of total billed charges		452.1				other	OPPS APC	452.1				other	OPPS APC	122.47				percent of total billed charges		124.92				percent of total billed charges		452.12				other	OPPS APC	122.47	452.12	
CAP END OD10 MM EXTENSION STERILE RFN-ADVANCED	SUP-04.233.010S	CDM			270	RC		inpatient			452.1	452.1																																																			
DEVICE CLOSURE STARCLOSE SE VASCULAR STERILE DISPOSABLE	SUP-14679-01	CDM			270	RC		outpatient			452	452	122.45				percent of total billed charges		452				other	OPPS APC	334.48				percent of total billed charges		452				other	OPPS APC	452				other	OPPS APC	122.45				percent of total billed charges		124.89				percent of total billed charges		452				other	OPPS APC	122.45	452	
DEVICE CLOSURE STARCLOSE SE VASCULAR STERILE DISPOSABLE	SUP-14679-01	CDM			270	RC		inpatient			452	452																																																			
DRILL BONE 3.0	SUP-2224	CDM			270	RC		outpatient			452	452	122.45				percent of total billed charges		452				other	OPPS APC	334.48				percent of total billed charges		452				other	OPPS APC	452				other	OPPS APC	122.45				percent of total billed charges		124.89				percent of total billed charges		452				other	OPPS APC	122.45	452	
DRILL BONE 3.0	SUP-2224	CDM			270	RC		inpatient			452	452																																																			
SCREW BONE WAVE 36MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS36	CDM			270	RC		outpatient			452	452	122.45				percent of total billed charges		452				other	OPPS APC	334.48				percent of total billed charges		452				other	OPPS APC	452				other	OPPS APC	122.45				percent of total billed charges		124.89				percent of total billed charges		452				other	OPPS APC	122.45	452	
SCREW BONE WAVE 36MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS36	CDM			270	RC		inpatient			452	452																																																			
SCREW BONE WAVE 40MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS40	CDM			270	RC		outpatient			452	452	122.45				percent of total billed charges		452				other	OPPS APC	334.48				percent of total billed charges		452				other	OPPS APC	452				other	OPPS APC	122.45				percent of total billed charges		124.89				percent of total billed charges		452				other	OPPS APC	122.45	452	
SCREW BONE WAVE 40MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS40	CDM			270	RC		inpatient			452	452																																																			
SCREW BONE WAVE 44MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS44	CDM			270	RC		outpatient			452	452	122.45				percent of total billed charges		452				other	OPPS APC	334.48				percent of total billed charges		452				other	OPPS APC	452				other	OPPS APC	122.45				percent of total billed charges		124.89				percent of total billed charges		452				other	OPPS APC	122.45	452	
SCREW BONE WAVE 44MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS44	CDM			270	RC		inpatient			452	452																																																			
SCREW BONE WAVE 48MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS48	CDM			270	RC		outpatient			452	452	122.45				percent of total billed charges		452				other	OPPS APC	334.48				percent of total billed charges		452				other	OPPS APC	452				other	OPPS APC	122.45				percent of total billed charges		124.89				percent of total billed charges		452				other	OPPS APC	122.45	452	
SCREW BONE WAVE 48MM 4MM NS LOWER EXTREMITY LAG CANNULATED BOTTOM TRAY	SUP-ZPCS48	CDM			270	RC		inpatient			452	452																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L80 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.880	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L80 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.880	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L85 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.885	CDM	270010020	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L85 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.885	CDM	270010020	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L90 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.890	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM LARGE HEXAGON HEMISPHERE L90 MM L16 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-408.890	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM FULL THREAD L75 MM OD7.3 MM ODSEC8 MM ID2.9 MM FOOT ANKLE CANNULATED SELF DRILL GOLD	SUP-409.675	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM FULL THREAD L75 MM OD7.3 MM ODSEC8 MM ID2.9 MM FOOT ANKLE CANNULATED SELF DRILL GOLD	SUP-409.675	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM FULL THREAD L85 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.685	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM FULL THREAD L85 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.685	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM FULL THREAD L90 MM OD7.3 MM ODSEC8 MM ID2.9 MM FOOT ANKLE CANNULATED SELF DRILL NONSTERILE GOLD	SUP-409.690	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM FULL THREAD L90 MM OD7.3 MM ODSEC8 MM ID2.9 MM FOOT ANKLE CANNULATED SELF DRILL NONSTERILE GOLD	SUP-409.690	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM FULL THREAD L95 MM OD7.3 MM ODSEC8 MM ID2.9 MM FOOT ANKLE CANNULATED SELF DRILL NONSTERILE GOLD	SUP-409.695	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM FULL THREAD L95 MM OD7.3 MM ODSEC8 MM ID2.9 MM FOOT ANKLE CANNULATED SELF DRILL NONSTERILE GOLD	SUP-409.695	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
SCREW BONE TITANIUM FULL THREAD L130 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.730	CDM	270010022	LOCAL	270	RC		outpatient			451.92	451.92	122.43				percent of total billed charges		451.92				other	OPPS APC	334.42				percent of total billed charges		451.92				other	OPPS APC	451.92				other	OPPS APC	122.43				percent of total billed charges		124.87				percent of total billed charges		451.92				other	OPPS APC	122.43	451.92	
SCREW BONE TITANIUM FULL THREAD L130 MM OD7.3 MM ORTHOPEDIC CANNULATED NONSTERILE	SUP-409.730	CDM	270010022	LOCAL	270	RC		inpatient			451.92	451.92																																																			
CAP END TITANIUM 6 MM FEMORAL DISTAL AQUA INTRAMEDULLARY NAIL	SUP-450.896	CDM	270010022	LOCAL	270	RC		outpatient			451.8	451.81	122.39				percent of total billed charges		451.8				other	OPPS APC	334.33				percent of total billed charges		451.8				other	OPPS APC	451.8				other	OPPS APC	122.39				percent of total billed charges		124.83				percent of total billed charges		451.81				other	OPPS APC	122.39	451.81	
CAP END TITANIUM 6 MM FEMORAL DISTAL AQUA INTRAMEDULLARY NAIL	SUP-450.896	CDM	270010022	LOCAL	270	RC		inpatient			451.8	451.8																																																			
TUBE JEJUNOSTOMY MIC SECUR-LOK 45CM 18FR 7-10ML SILICONE DISPOSABLE STERILE LF RADIOPAQUE STRIPE RETENTION BALLOON	SUP-0250-18	CDM			270	RC		outpatient			451.68	451.68	122.36				percent of total billed charges		451.68				other	OPPS APC	334.24				percent of total billed charges		451.68				other	OPPS APC	451.68				other	OPPS APC	122.36				percent of total billed charges		124.8				percent of total billed charges		451.68				other	OPPS APC	122.36	451.68	
TUBE JEJUNOSTOMY MIC SECUR-LOK 45CM 18FR 7-10ML SILICONE DISPOSABLE STERILE LF RADIOPAQUE STRIPE RETENTION BALLOON	SUP-0250-18	CDM			270	RC		inpatient			451.68	451.68																																																			
SCREW SHORT THREAD 4.0 X36	SUP-97-02263	CDM			278	RC		outpatient			451.5	451.5	451.5				fee schedule		451.5				other	OPPS APC	257.36				percent of total billed charges		451.5				other	OPPS APC	451.5				other	OPPS APC	221.24				percent of total billed charges		230.27				percent of total billed charges		451.5				other	OPPS APC	221.24	451.5	
SCREW SHORT THREAD 4.0 X36	SUP-97-02263	CDM			278	RC		inpatient			451.5	451.5																																																			
SCREW SHORT THREAD HEADED 4.0X38	SUP-97-02503	CDM			278	RC		outpatient			451.5	451.5	451.5				fee schedule		451.5				other	OPPS APC	257.36				percent of total billed charges		451.5				other	OPPS APC	451.5				other	OPPS APC	221.24				percent of total billed charges		230.27				percent of total billed charges		451.5				other	OPPS APC	221.24	451.5	
SCREW SHORT THREAD HEADED 4.0X38	SUP-97-02503	CDM			278	RC		inpatient			451.5	451.5																																																			
SCREW SHORT THREAD HEADED 4.0X32	SUP-97-02849	CDM			278	RC		outpatient			451.5	451.5	451.5				fee schedule		451.5				other	OPPS APC	257.36				percent of total billed charges		451.5				other	OPPS APC	451.5				other	OPPS APC	221.24				percent of total billed charges		230.27				percent of total billed charges		451.5				other	OPPS APC	221.24	451.5	
SCREW SHORT THREAD HEADED 4.0X32	SUP-97-02849	CDM			278	RC		inpatient			451.5	451.5																																																			
SCREW SHORT THREAD HEADED 4.0X30	SUP-97-02850	CDM			278	RC		outpatient			451.5	451.5	451.5				fee schedule		451.5				other	OPPS APC	257.36				percent of total billed charges		451.5				other	OPPS APC	451.5				other	OPPS APC	221.24				percent of total billed charges		230.27				percent of total billed charges		451.5				other	OPPS APC	221.24	451.5	
SCREW SHORT THREAD HEADED 4.0X30	SUP-97-02850	CDM			278	RC		inpatient			451.5	451.5																																																			
CANNULATED  SHORT THREAD SCREW  HEADED	SUP-97-02885	CDM			278	RC		outpatient			451.5	451.5	451.5				fee schedule		451.5				other	OPPS APC	257.36				percent of total billed charges		451.5				other	OPPS APC	451.5				other	OPPS APC	221.24				percent of total billed charges		230.27				percent of total billed charges		451.5				other	OPPS APC	221.24	451.5	
CANNULATED  SHORT THREAD SCREW  HEADED	SUP-97-02885	CDM			278	RC		inpatient			451.5	451.5																																																			
SCREW SHORT THREAD HEADED 4.0X34	SUP-97-03411	CDM			278	RC		outpatient			451.5	451.5	451.5				fee schedule		451.5				other	OPPS APC	257.36				percent of total billed charges		451.5				other	OPPS APC	451.5				other	OPPS APC	221.24				percent of total billed charges		230.27				percent of total billed charges		451.5				other	OPPS APC	221.24	451.5	
SCREW SHORT THREAD HEADED 4.0X34	SUP-97-03411	CDM			278	RC		inpatient			451.5	451.5																																																			
PLATE BONE LCP STAINLESS STEEL L31 MM 4 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.344	CDM	270010022	LOCAL	270	RC		outpatient			451.06	451.6	122.19				percent of total billed charges		451.06				other	OPPS APC	333.78				percent of total billed charges		451.06				other	OPPS APC	451.06				other	OPPS APC	122.19				percent of total billed charges		124.63				percent of total billed charges		451.6				other	OPPS APC	122.19	451.6	
PLATE BONE LCP STAINLESS STEEL L31 MM 4 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.344	CDM	270010022	LOCAL	270	RC		inpatient			451.06	451.06																																																			
PLATE BONE LCP STAINLESS STEEL L38 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.345	CDM	270010022	LOCAL	270	RC		outpatient			451.06	451.6	122.19				percent of total billed charges		451.06				other	OPPS APC	333.78				percent of total billed charges		451.06				other	OPPS APC	451.06				other	OPPS APC	122.19				percent of total billed charges		124.63				percent of total billed charges		451.6				other	OPPS APC	122.19	451.6	
PLATE BONE LCP STAINLESS STEEL L38 MM 5 HOLE LOW PROFILE CUT TO LENGTH NONSTERILE 2 MM SCREW MODULAR MINI FRAGMENT SYSTEM	SUP-247.345	CDM	270010022	LOCAL	270	RC		inpatient			451.06	451.06																																																			
PLATE BONE LCP 52MM SS NS 7 HOLE LOW PROFILE 2MM SCREW MODULAR SYSTEM	SUP-247.347	CDM	270010022	LOCAL	270	RC		outpatient			451.06	451.6	122.19				percent of total billed charges		451.06				other	OPPS APC	333.78				percent of total billed charges		451.06				other	OPPS APC	451.06				other	OPPS APC	122.19				percent of total billed charges		124.63				percent of total billed charges		451.6				other	OPPS APC	122.19	451.6	
PLATE BONE LCP 52MM SS NS 7 HOLE LOW PROFILE 2MM SCREW MODULAR SYSTEM	SUP-247.347	CDM	270010022	LOCAL	270	RC		inpatient			451.06	451.06																																																			
HC Enteric Bacterial Panel  Stool	PX-300875060	CDM	87506	CPT	300	RC		outpatient			451	262.99	87.14				fee schedule		262.99				fee schedule		551.86				fee schedule		262.99				fee schedule		262.99				fee schedule		262.99				fee schedule		262.99				fee schedule		262.99				fee schedule		87.14	551.86	
HC Enteric Bacterial Panel  Stool	PX-300875060	CDM	87506	CPT	300	RC		inpatient			451	451																																																			
HC Xr C-Spine 6 or More Views	PX-320720520	CDM	72052	CPT	320	RC		outpatient			451	112.57	64.31				fee schedule		112.57				other	OPPS APC	153.88				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	62.47				fee schedule		47.92				fee schedule		112.57				other	OPPS APC	47.92	153.88	
HC Xr C-Spine 6 or More Views	PX-320720520	CDM	72052	CPT	320	RC		inpatient			451	451																																																			
END CAP ORTHOPEDIC TITANIUM 0 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GOLD EXPERT NAIL SYSTEM	SUP-04.004.000S	CDM	270010022	LOCAL	270	RC		outpatient			451	451	122.18				percent of total billed charges		451				other	OPPS APC	333.74				percent of total billed charges		451				other	OPPS APC	451				other	OPPS APC	122.18				percent of total billed charges		124.61				percent of total billed charges		451				other	OPPS APC	122.18	451	
END CAP ORTHOPEDIC TITANIUM 0 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GOLD EXPERT NAIL SYSTEM	SUP-04.004.000S	CDM	270010022	LOCAL	270	RC		inpatient			451	451																																																			
END CAP ORTHOPEDIC TITANIUM 5 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.009S	CDM	270010022	LOCAL	270	RC		outpatient			450.9	45.9	122.15				percent of total billed charges		450.9				other	OPPS APC	333.67				percent of total billed charges		450.9				other	OPPS APC	450.9				other	OPPS APC	122.15				percent of total billed charges		124.58				percent of total billed charges		45.9				other	OPPS APC	45.9	450.9	
END CAP ORTHOPEDIC TITANIUM 5 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.009S	CDM	270010022	LOCAL	270	RC		inpatient			450.9	450.9																																																			
END CAP ORTHOPEDIC TITANIUM 10 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.010S	CDM	270010022	LOCAL	270	RC		outpatient			450.9	45.9	122.15				percent of total billed charges		450.9				other	OPPS APC	333.67				percent of total billed charges		450.9				other	OPPS APC	450.9				other	OPPS APC	122.15				percent of total billed charges		124.58				percent of total billed charges		45.9				other	OPPS APC	45.9	450.9	
END CAP ORTHOPEDIC TITANIUM 10 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.010S	CDM	270010022	LOCAL	270	RC		inpatient			450.9	450.9																																																			
END CAP ORTHOPEDIC TITANIUM 15 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.011S	CDM	270010022	LOCAL	270	RC		outpatient			450.9	45.9	122.15				percent of total billed charges		450.9				other	OPPS APC	333.67				percent of total billed charges		450.9				other	OPPS APC	450.9				other	OPPS APC	122.15				percent of total billed charges		124.58				percent of total billed charges		45.9				other	OPPS APC	45.9	450.9	
END CAP ORTHOPEDIC TITANIUM 15 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.011S	CDM	270010022	LOCAL	270	RC		inpatient			450.9	450.9																																																			
DRILL BIT 3.5	SUP-97-01584	CDM			272	RC		outpatient			450.73	45.73	122.1				percent of total billed charges		450.73				other	OPPS APC	333.54				percent of total billed charges		450.73				other	OPPS APC	450.73				other	OPPS APC	122.1				percent of total billed charges		124.54				percent of total billed charges		45.73				other	OPPS APC	45.73	450.73	
DRILL BIT 3.5	SUP-97-01584	CDM			272	RC		inpatient			450.73	450.73																																																			
CATHETER - SWAN GANZ MONITORING 5F	SUP-99-02238	CDM			272	RC		outpatient			450.63	45.63	122.08				percent of total billed charges		450.63				other	OPPS APC	333.47				percent of total billed charges		450.63				other	OPPS APC	450.63				other	OPPS APC	122.08				percent of total billed charges		124.51				percent of total billed charges		45.63				other	OPPS APC	45.63	450.63	
CATHETER - SWAN GANZ MONITORING 5F	SUP-99-02238	CDM			272	RC		inpatient			450.63	450.63																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR BENT L60 MM OD6.35 MM INSERT PRECUT	SUP-8371060	CDM	270010020	LOCAL	270	RC		outpatient			450.48	45.48	122.04				percent of total billed charges		450.48				other	OPPS APC	333.36				percent of total billed charges		450.48				other	OPPS APC	450.48				other	OPPS APC	122.04				percent of total billed charges		124.47				percent of total billed charges		45.48				other	OPPS APC	45.48	450.48	
ROD SPINAL TSRH-3D TITANIUM CONTOUR BENT L60 MM OD6.35 MM INSERT PRECUT	SUP-8371060	CDM	270010020	LOCAL	270	RC		inpatient			450.48	450.48																																																			
3MM BLUNT K WIRE	SUP-97-23707	CDM			272	RC		outpatient			450.24	45.24	121.97				percent of total billed charges		450.24				other	OPPS APC	333.18				percent of total billed charges		450.24				other	OPPS APC	450.24				other	OPPS APC	121.97				percent of total billed charges		124.4				percent of total billed charges		45.24				other	OPPS APC	45.24	450.24	
3MM BLUNT K WIRE	SUP-97-23707	CDM			272	RC		inpatient			450.24	450.24																																																			
FULVESTRANT PER 25 MG	636000000	CDM	0143-9022-01	NDC	J9395	HCPCS		inpatient			450	450																																																			
FULVESTRANT PER 25 MG	636000000	CDM	0143-9022-02	NDC	J9395	HCPCS		inpatient			450	450																																																			
FULVESTRANT PER 25 MG	636000000	CDM	0143-9022-01	NDC	J9395	HCPCS		outpatient			450	8.72																																											8.72				other	OPPS APC	8.72	8.72	
FULVESTRANT PER 25 MG	636000000	CDM	0143-9022-02	NDC	J9395	HCPCS		outpatient			450	8.72																																											8.72				other	OPPS APC	8.72	8.72	
HC Anesthesia Gen 0-30 Mins.	PX-370000004	CDM	370000004	LOCAL	370	RC		outpatient			450	45	126.99				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	126.99				percent of total billed charges		129.51				percent of total billed charges		45				other	OPPS APC	45	450	
HC Anesthesia Gen 0-30 Mins.	PX-370000004	CDM	370000004	LOCAL	370	RC		inpatient			450	450																																																			
HC Ac Joint Dislocation W/Manipulation	PX-450235451	CDM	23545	CPT	450	RC		outpatient			450	45	195.77				case rate		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	195.77				case rate		199.69				case rate		45				other	OPPS APC	45	450	
HC Ac Joint Dislocation W/Manipulation	PX-450235451	CDM	23545	CPT	450	RC		inpatient			450	450																																																			
LAMP EP GUIDING SHEATH	SUP-407358	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
LAMP EP GUIDING SHEATH	SUP-407358	CDM			270	RC		inpatient			450	450																																																			
PROBE VITRECTOMY ULTRAVIT 5000 CPM OD25+ GA LATEX FREE	SUP-8065751438	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
PROBE VITRECTOMY ULTRAVIT 5000 CPM OD25+ GA LATEX FREE	SUP-8065751438	CDM			270	RC		inpatient			450	450																																																			
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD11 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1403TC	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
SCREW INTERFERENCE BIOCOMPOSITE BLUNT FULL THREAD STEP TAPER L28 MM OD11 MM ACL PCL CANNULATED FULL SEAT REDUCE HEAD STERILE	SUP-AR-1403TC	CDM			270	RC		inpatient			450	450																																																			
PLATE BONE STAINLESS STEEL 1/3 TUBE L47 MM ANKLE 4 HOLE LOCK	SUP-AR-8943T-04	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
PLATE BONE STAINLESS STEEL 1/3 TUBE L47 MM ANKLE 4 HOLE LOCK	SUP-AR-8943T-04	CDM			270	RC		inpatient			450	450																																																			
NEEDLE PROCEDURE BRK-1 ADULT L71 CM OD18 GA TRANSSEPTAL CURVE	SUP-G407209	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
NEEDLE PROCEDURE BRK-1 ADULT L71 CM OD18 GA TRANSSEPTAL CURVE	SUP-G407209	CDM			270	RC		inpatient			450	450																																																			
CATHETER BALLOON DILATATION XXL .035 IN L75 CM L40 MM OD5.8 FR ODSEC16 MM PERIPHERAL LARGE VESSEL PTA	SUP-M001145520	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
CATHETER BALLOON DILATATION XXL .035 IN L75 CM L40 MM OD5.8 FR ODSEC16 MM PERIPHERAL LARGE VESSEL PTA	SUP-M001145520	CDM			270	RC		inpatient			450	450																																																			
NEEDLE DELIVERY 8X11	SUP-RAN-811-CT	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
NEEDLE DELIVERY 8X11	SUP-RAN-811-CT	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 28MM	SUP-ZPCS28	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 28MM	SUP-ZPCS28	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 42MM	SUP-ZPCS42	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 42MM	SUP-ZPCS42	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 46MM	SUP-ZPCS46	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 46MM	SUP-ZPCS46	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 50MM	SUP-ZPCS50	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 50MM	SUP-ZPCS50	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 60MM	SUP-ZPCS60	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 60MM	SUP-ZPCS60	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 65MM	SUP-ZPCS65	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 65MM	SUP-ZPCS65	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 70MM	SUP-ZPCS70	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 70MM	SUP-ZPCS70	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 75MM	SUP-ZPCS75	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 75MM	SUP-ZPCS75	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 85MM	SUP-ZPCS85	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 85MM	SUP-ZPCS85	CDM			270	RC		inpatient			450	450																																																			
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 90MM	SUP-ZPCS90	CDM			270	RC		outpatient			450	45	121.91				percent of total billed charges		450				other	OPPS APC	333				percent of total billed charges		450				other	OPPS APC	450				other	OPPS APC	121.91				percent of total billed charges		124.34				percent of total billed charges		45				other	OPPS APC	45	450	
IMPLANT SCREW TORNIER 4.0MM CANNULATED LAG 90MM	SUP-ZPCS90	CDM			270	RC		inpatient			450	450																																																			
BRACKET ARMBOARD REPAIR KIT	SUP-P764316574	CDM						inpatient			449.92	449.92																																																			
BRACKET ARMBOARD REPAIR KIT	SUP-P764316574	CDM						outpatient			449.92	449.92	449.92				percent of total billed charges		449.92				other	OPPS APC	449.92				fee schedule		449.92				other	OPPS APC	449.92				other	OPPS APC	449.92				case rate		449.92				case rate		449.92				other	OPPS APC	449.92	449.92	
PACK SURGICAL CUSTOM AAA	SUP-DYNJ59257	CDM	270009162	LOCAL	270	RC		outpatient			449.76	449.76	121.84				percent of total billed charges		449.76				other	OPPS APC	332.82				percent of total billed charges		449.76				other	OPPS APC	449.76				other	OPPS APC	121.84				percent of total billed charges		124.27				percent of total billed charges		449.76				other	OPPS APC	121.84	449.76	
PACK SURGICAL CUSTOM AAA	SUP-DYNJ59257	CDM	270009162	LOCAL	270	RC		inpatient			449.76	449.76																																																			
GUIDEWIRE - 3MM J FLOPPY	SUP-99-00130	CDM			272	RC		outpatient			449.54	449.54	121.78				percent of total billed charges		449.54				other	OPPS APC	332.66				percent of total billed charges		449.54				other	OPPS APC	449.54				other	OPPS APC	121.78				percent of total billed charges		124.21				percent of total billed charges		449.54				other	OPPS APC	121.78	449.54	
GUIDEWIRE - 3MM J FLOPPY	SUP-99-00130	CDM			272	RC		inpatient			449.54	449.54																																																			
CATHETER NEUROSURGICAL STANDARD PERITONEUM CSF STERILE CP	SUP-43522	CDM			270	RC		outpatient			449.28	449.28	121.71				percent of total billed charges		449.28				other	OPPS APC	332.47				percent of total billed charges		449.28				other	OPPS APC	449.28				other	OPPS APC	121.71				percent of total billed charges		124.14				percent of total billed charges		449.28				other	OPPS APC	121.71	449.28	
CATHETER NEUROSURGICAL STANDARD PERITONEUM CSF STERILE CP	SUP-43522	CDM			270	RC		inpatient			449.28	449.28																																																			
PLATE BONE MATRIXNEURO TITANIUM RECTANGULAR L16 MM X W10 MM X H.4 MM CRANIAL 4 HOLE FRAME RIGID NONSTERILE BLUE	SUP-04.503.073	CDM	270010013	LOCAL	270	RC		outpatient			448.74	448.74	121.56				percent of total billed charges		448.74				other	OPPS APC	332.07				percent of total billed charges		448.74				other	OPPS APC	448.74				other	OPPS APC	121.56				percent of total billed charges		123.99				percent of total billed charges		448.74				other	OPPS APC	121.56	448.74	
PLATE BONE MATRIXNEURO TITANIUM RECTANGULAR L16 MM X W10 MM X H.4 MM CRANIAL 4 HOLE FRAME RIGID NONSTERILE BLUE	SUP-04.503.073	CDM	270010013	LOCAL	270	RC		inpatient			448.74	448.74																																																			
ROD SPINAL CD HORIZON PREBENT 50MM 6.35MM TITANIUM PRECUT CENTRAL POST	SUP-9690050	CDM	270010020	LOCAL	270	RC		outpatient			448.24	448.24	121.43				percent of total billed charges		448.24				other	OPPS APC	331.7				percent of total billed charges		448.24				other	OPPS APC	448.24				other	OPPS APC	121.43				percent of total billed charges		123.85				percent of total billed charges		448.24				other	OPPS APC	121.43	448.24	
ROD SPINAL CD HORIZON PREBENT 50MM 6.35MM TITANIUM PRECUT CENTRAL POST	SUP-9690050	CDM	270010020	LOCAL	270	RC		inpatient			448.24	448.24																																																			
BLADE LORENZ 2.0 X-LOCK STD	SUP-71-00010	CDM			272	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
BLADE LORENZ 2.0 X-LOCK STD	SUP-71-00010	CDM			272	RC		inpatient			448	448																																																			
GRIPPER - KINETEC	SUP-78-00398	CDM			272	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
GRIPPER - KINETEC	SUP-78-00398	CDM			272	RC		inpatient			448	448																																																			
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0 CV-316 L 30 IN 2 ARM BRAID 10 STRAND COATED BLUE WHITE	SUP-88863324-56	CDM			270	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0 CV-316 L 30 IN 2 ARM BRAID 10 STRAND COATED BLUE WHITE	SUP-88863324-56	CDM			270	RC		inpatient			448	448																																																			
DRILL BIT 3.3X25MM	SUP-95-04011	CDM			272	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
DRILL BIT 3.3X25MM	SUP-95-04011	CDM			272	RC		inpatient			448	448																																																			
CATHETER - RUBICON 35 90CM	SUP-99-01741	CDM			272	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
CATHETER - RUBICON 35 90CM	SUP-99-01741	CDM			272	RC		inpatient			448	448																																																			
BUTTON FIXATION TIGHTROPE ROUND CONCAVE OD11 MM ATTACHABLE	SUP-AR-1588TB-3	CDM			270	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
BUTTON FIXATION TIGHTROPE ROUND CONCAVE OD11 MM ATTACHABLE	SUP-AR-1588TB-3	CDM			270	RC		inpatient			448	448																																																			
BUTTON FIXATION TIGHTROPE OD14 MM ODSEC8 MM ACL ATTACHABLE SLOT	SUP-AR-1588TB-4	CDM			270	RC		outpatient			448	448	121.36				percent of total billed charges		448				other	OPPS APC	331.52				percent of total billed charges		448				other	OPPS APC	448				other	OPPS APC	121.36				percent of total billed charges		123.78				percent of total billed charges		448				other	OPPS APC	121.36	448	
BUTTON FIXATION TIGHTROPE OD14 MM ODSEC8 MM ACL ATTACHABLE SLOT	SUP-AR-1588TB-4	CDM			270	RC		inpatient			448	448																																																			
BIT DRILL TRIGEN LONG OD 3.2MM GRADUATED BRAD POINT STERILE DISPOSABLE INTRAMEDULLARY NAIL	SUP-71751149	CDM			270	RC		outpatient			447.12	447.12	121.12				percent of total billed charges		447.12				other	OPPS APC	330.87				percent of total billed charges		447.12				other	OPPS APC	447.12				other	OPPS APC	121.12				percent of total billed charges		123.54				percent of total billed charges		447.12				other	OPPS APC	121.12	447.12	
BIT DRILL TRIGEN LONG OD 3.2MM GRADUATED BRAD POINT STERILE DISPOSABLE INTRAMEDULLARY NAIL	SUP-71751149	CDM			270	RC		inpatient			447.12	447.12																																																			
NEEDLE STORTZ 4FR INJECTION	SUP-70-00219	CDM			272	RC		outpatient			447.06	447.6	121.11				percent of total billed charges		447.06				other	OPPS APC	330.82				percent of total billed charges		447.06				other	OPPS APC	447.06				other	OPPS APC	121.11				percent of total billed charges		123.52				percent of total billed charges		447.6				other	OPPS APC	121.11	447.6	
NEEDLE STORTZ 4FR INJECTION	SUP-70-00219	CDM			272	RC		inpatient			447.06	447.06																																																			
HC Braf Mutation Anal (Oth Solid Tum	PX-310812101	CDM	81210	CPT	310	RC		outpatient			447	175.41	447				fee schedule		175.4				fee schedule		99.16				fee schedule		175.4				fee schedule		175.4				fee schedule		175.4				fee schedule		175.4				fee schedule		175.41				fee schedule		99.16	447	
HC Braf Mutation Anal (Oth Solid Tum	PX-310812101	CDM	81210	CPT	310	RC		inpatient			447	447																																																			
2MM CALIBRATED REAMER	SUP-97-01664	CDM			272	RC		outpatient			446.88	446.88	121.06				percent of total billed charges		446.88				other	OPPS APC	330.69				percent of total billed charges		446.88				other	OPPS APC	446.88				other	OPPS APC	121.06				percent of total billed charges		123.47				percent of total billed charges		446.88				other	OPPS APC	121.06	446.88	
2MM CALIBRATED REAMER	SUP-97-01664	CDM			272	RC		inpatient			446.88	446.88																																																			
2.0 DRILLBIT	SUP-97-01768	CDM			272	RC		outpatient			446.88	446.88	121.06				percent of total billed charges		446.88				other	OPPS APC	330.69				percent of total billed charges		446.88				other	OPPS APC	446.88				other	OPPS APC	121.06				percent of total billed charges		123.47				percent of total billed charges		446.88				other	OPPS APC	121.06	446.88	
2.0 DRILLBIT	SUP-97-01768	CDM			272	RC		inpatient			446.88	446.88																																																			
GUIDEWIRE - ROTAWIRE FLOPPY	SUP-99-01171	CDM			272	RC		outpatient			446.74	446.74	121.02				percent of total billed charges		446.74				other	OPPS APC	330.59				percent of total billed charges		446.74				other	OPPS APC	446.74				other	OPPS APC	121.02				percent of total billed charges		123.43				percent of total billed charges		446.74				other	OPPS APC	121.02	446.74	
GUIDEWIRE - ROTAWIRE FLOPPY	SUP-99-01171	CDM			272	RC		inpatient			446.74	446.74																																																			
GUIDEWIRE - ROTAWIRE EXTRA SUPPORT	SUP-99-01172	CDM			272	RC		outpatient			446.74	446.74	121.02				percent of total billed charges		446.74				other	OPPS APC	330.59				percent of total billed charges		446.74				other	OPPS APC	446.74				other	OPPS APC	121.02				percent of total billed charges		123.43				percent of total billed charges		446.74				other	OPPS APC	121.02	446.74	
GUIDEWIRE - ROTAWIRE EXTRA SUPPORT	SUP-99-01172	CDM			272	RC		inpatient			446.74	446.74																																																			
GUIDEWIRE - ROTAWIRE - PERIPHERAL	SUP-99-02114	CDM			272	RC		outpatient			446.74	446.74	121.02				percent of total billed charges		446.74				other	OPPS APC	330.59				percent of total billed charges		446.74				other	OPPS APC	446.74				other	OPPS APC	121.02				percent of total billed charges		123.43				percent of total billed charges		446.74				other	OPPS APC	121.02	446.74	
GUIDEWIRE - ROTAWIRE - PERIPHERAL	SUP-99-02114	CDM			272	RC		inpatient			446.74	446.74																																																			
EVICEL 1 APPLICATOR 1 BIOLOGIC 2ML - NEED TO ADD PMM 101 AND 102	SUP-3902	CDM			270	RC		outpatient			446.48	446.48	120.95				percent of total billed charges		446.48				other	OPPS APC	330.4				percent of total billed charges		446.48				other	OPPS APC	446.48				other	OPPS APC	120.95				percent of total billed charges		123.36				percent of total billed charges		446.48				other	OPPS APC	120.95	446.48	
EVICEL 1 APPLICATOR 1 BIOLOGIC 2ML - NEED TO ADD PMM 101 AND 102	SUP-3902	CDM			270	RC		inpatient			446.48	446.48																																																			
SHEATH - PINACLE DESTINATION 8F 90CM	SUP-99-00983	CDM			272	RC		outpatient			446.25	446.25	120.89				percent of total billed charges		446.25				other	OPPS APC	330.23				percent of total billed charges		446.25				other	OPPS APC	446.25				other	OPPS APC	120.89				percent of total billed charges		123.3				percent of total billed charges		446.25				other	OPPS APC	120.89	446.25	
SHEATH - PINACLE DESTINATION 8F 90CM	SUP-99-00983	CDM			272	RC		inpatient			446.25	446.25																																																			
DISSECTOR ENDOSCOPIC REALIZE	SUP-RGBRS1	CDM			270	RC		outpatient			446.16	446.16	120.86				percent of total billed charges		446.16				other	OPPS APC	330.16				percent of total billed charges		446.16				other	OPPS APC	446.16				other	OPPS APC	120.86				percent of total billed charges		123.27				percent of total billed charges		446.16				other	OPPS APC	120.86	446.16	
DISSECTOR ENDOSCOPIC REALIZE	SUP-RGBRS1	CDM			270	RC		inpatient			446.16	446.16																																																			
HC Gastrografin GI W Scout W/WO Delayed Images	PX-320742400	CDM	74240	CPT	320	RC		outpatient			446	189.94	118.61				fee schedule		189.94				other	OPPS APC	224.93				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	124.96				fee schedule		86.54				fee schedule		189.94				other	OPPS APC	86.54	224.93	
HC Gastrografin GI W Scout W/WO Delayed Images	PX-320742400	CDM	74240	CPT	320	RC		inpatient			446	446																																																			
HC Ugi Double Contrast	PX-320742460	CDM	74246	CPT	320	RC		outpatient			446	189.94	133.55				fee schedule		189.94				other	OPPS APC	243.43				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	141.68				fee schedule		98.85				fee schedule		189.94				other	OPPS APC	98.85	243.43	
HC Ugi Double Contrast	PX-320742460	CDM	74246	CPT	320	RC		inpatient			446	446																																																			
HC Upper GI Series	PX-320742470	CDM	74246	CPT	320	RC		outpatient			446	189.94	133.55				fee schedule		189.94				other	OPPS APC	243.43				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	141.68				fee schedule		98.85				fee schedule		189.94				other	OPPS APC	98.85	243.43	
HC Upper GI Series	PX-320742470	CDM	74246	CPT	320	RC		inpatient			446	446																																																			
CATHETER SECUREMENT 16/17G LOCKIT PLUS	SUP-95-03472	CDM			272	RC		outpatient			445.8	445.81	120.77				percent of total billed charges		445.8				other	OPPS APC	329.89				percent of total billed charges		445.8				other	OPPS APC	445.8				other	OPPS APC	120.77				percent of total billed charges		123.17				percent of total billed charges		445.81				other	OPPS APC	120.77	445.81	
CATHETER SECUREMENT 16/17G LOCKIT PLUS	SUP-95-03472	CDM			272	RC		inpatient			445.8	445.8																																																			
DOPPLER PROBE VTI STERILE 8MHZ	SUP-108370	CDM			270	RC		outpatient			445.75	445.75	120.75				percent of total billed charges		445.75				other	OPPS APC	329.86				percent of total billed charges		445.75				other	OPPS APC	445.75				other	OPPS APC	120.75				percent of total billed charges		123.16				percent of total billed charges		445.75				other	OPPS APC	120.75	445.75	
DOPPLER PROBE VTI STERILE 8MHZ	SUP-108370	CDM			270	RC		inpatient			445.75	445.75																																																			
CLIP APPLIER 5MM LAPAROSCOPIC	SUP-76-00107	CDM			272	RC		outpatient			445.67	445.67	120.73				percent of total billed charges		445.67				other	OPPS APC	329.8				percent of total billed charges		445.67				other	OPPS APC	445.67				other	OPPS APC	120.73				percent of total billed charges		123.14				percent of total billed charges		445.67				other	OPPS APC	120.73	445.67	
CLIP APPLIER 5MM LAPAROSCOPIC	SUP-76-00107	CDM			272	RC		inpatient			445.67	445.67																																																			
DRILL SURGICAL STANDARD OD2 MM LATEX FREE	SUP-00-2360-175-20	CDM			270	RC		outpatient			444.96	444.96	120.54				percent of total billed charges		444.96				other	OPPS APC	329.27				percent of total billed charges		444.96				other	OPPS APC	444.96				other	OPPS APC	120.54				percent of total billed charges		122.94				percent of total billed charges		444.96				other	OPPS APC	120.54	444.96	
DRILL SURGICAL STANDARD OD2 MM LATEX FREE	SUP-00-2360-175-20	CDM			270	RC		inpatient			444.96	444.96																																																			
PROBE LITHOTRIPTER SWISS LITHOCLAST L497 MM OD1 MM PNEUMATIC LATEX FREE DISPOSABLE	SUP-M0068407320	CDM			270	RC		outpatient			444.96	444.96	120.54				percent of total billed charges		444.96				other	OPPS APC	329.27				percent of total billed charges		444.96				other	OPPS APC	444.96				other	OPPS APC	120.54				percent of total billed charges		122.94				percent of total billed charges		444.96				other	OPPS APC	120.54	444.96	
PROBE LITHOTRIPTER SWISS LITHOCLAST L497 MM OD1 MM PNEUMATIC LATEX FREE DISPOSABLE	SUP-M0068407320	CDM			270	RC		inpatient			444.96	444.96																																																			
PROBE PNEUMATIC 1.0MM X 570MM	SUP-M0068407330	CDM			270	RC		outpatient			444.96	444.96	120.54				percent of total billed charges		444.96				other	OPPS APC	329.27				percent of total billed charges		444.96				other	OPPS APC	444.96				other	OPPS APC	120.54				percent of total billed charges		122.94				percent of total billed charges		444.96				other	OPPS APC	120.54	444.96	
PROBE PNEUMATIC 1.0MM X 570MM	SUP-M0068407330	CDM			270	RC		inpatient			444.96	444.96																																																			
PROBE LITHOTRIPTER SWISS LITHOCLAST L425 MM OD2 MM PNEUMATIC LATEX FREE DISPOSABLE	SUP-M0068407370	CDM			270	RC		outpatient			444.96	444.96	120.54				percent of total billed charges		444.96				other	OPPS APC	329.27				percent of total billed charges		444.96				other	OPPS APC	444.96				other	OPPS APC	120.54				percent of total billed charges		122.94				percent of total billed charges		444.96				other	OPPS APC	120.54	444.96	
PROBE LITHOTRIPTER SWISS LITHOCLAST L425 MM OD2 MM PNEUMATIC LATEX FREE DISPOSABLE	SUP-M0068407370	CDM			270	RC		inpatient			444.96	444.96																																																			
NASOPORE 4CM	SUP-72-00052	CDM			272	RC		outpatient			444.89	444.89	120.52				percent of total billed charges		444.89				other	OPPS APC	329.22				percent of total billed charges		444.89				other	OPPS APC	444.89				other	OPPS APC	120.52				percent of total billed charges		122.92				percent of total billed charges		444.89				other	OPPS APC	120.52	444.89	
NASOPORE 4CM	SUP-72-00052	CDM			272	RC		inpatient			444.89	444.89																																																			
PLATE BONE MATRIXNEURO TITANIUM X H.4 MM CRANIAL 4 HOLE RIGID NONSTERILE BLUE	SUP-04.503.064	CDM	270010013	LOCAL	270	RC		outpatient			444.64	444.64	120.45				percent of total billed charges		444.64				other	OPPS APC	329.03				percent of total billed charges		444.64				other	OPPS APC	444.64				other	OPPS APC	120.45				percent of total billed charges		122.85				percent of total billed charges		444.64				other	OPPS APC	120.45	444.64	
PLATE BONE MATRIXNEURO TITANIUM X H.4 MM CRANIAL 4 HOLE RIGID NONSTERILE BLUE	SUP-04.503.064	CDM	270010013	LOCAL	270	RC		inpatient			444.64	444.64																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L65 MM OD6 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK AQUA INTRAMEDULLARY NAIL SYSTEM	SUP-450.865	CDM	270010022	LOCAL	270	RC		outpatient			444.6	444.62	120.44				percent of total billed charges		444.6				other	OPPS APC	329				percent of total billed charges		444.6				other	OPPS APC	444.6				other	OPPS APC	120.44				percent of total billed charges		122.84				percent of total billed charges		444.62				other	OPPS APC	120.44	444.62	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L65 MM OD6 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK AQUA INTRAMEDULLARY NAIL SYSTEM	SUP-450.865	CDM	270010022	LOCAL	270	RC		inpatient			444.6	444.6																																																			
SCREW BONE TITANIUM FULL THREAD L40 MM OD6 MM ODSEC4.8 MM DISTAL FEMUR 2 LEAD THREAD LOCKING HEXAGONAL RECESS SELF TAPPING BLUNT TIP AQUA INTRAMEDULLARY NAIL	SUP-450.875	CDM	270010022	LOCAL	270	RC		outpatient			444.6	444.62	120.44				percent of total billed charges		444.6				other	OPPS APC	329				percent of total billed charges		444.6				other	OPPS APC	444.6				other	OPPS APC	120.44				percent of total billed charges		122.84				percent of total billed charges		444.62				other	OPPS APC	120.44	444.62	
SCREW BONE TITANIUM FULL THREAD L40 MM OD6 MM ODSEC4.8 MM DISTAL FEMUR 2 LEAD THREAD LOCKING HEXAGONAL RECESS SELF TAPPING BLUNT TIP AQUA INTRAMEDULLARY NAIL	SUP-450.875	CDM	270010022	LOCAL	270	RC		inpatient			444.6	444.6																																																			
WIRE FIXATION KIRSCHNER EVOS L 225MM OD 2 MM TROCAR TIP	SUP-71175600	CDM			270	RC		outpatient			444	444	120.28				percent of total billed charges		444				other	OPPS APC	328.56				percent of total billed charges		444				other	OPPS APC	444				other	OPPS APC	120.28				percent of total billed charges		122.68				percent of total billed charges		444				other	OPPS APC	120.28	444	
WIRE FIXATION KIRSCHNER EVOS L 225MM OD 2 MM TROCAR TIP	SUP-71175600	CDM			270	RC		inpatient			444	444																																																			
SCREW 2.7 X 20MM LOCKING T8	SUP-97-06351	CDM			278	RC		outpatient			443.98	443.98	443.98				fee schedule		443.98				other	OPPS APC	253.07				percent of total billed charges		443.98				other	OPPS APC	443.98				other	OPPS APC	217.55				percent of total billed charges		226.43				percent of total billed charges		443.98				other	OPPS APC	217.55	443.98	
SCREW 2.7 X 20MM LOCKING T8	SUP-97-06351	CDM			278	RC		inpatient			443.98	443.98																																																			
SCREW BONE ASNIS TITANIUM MICRO L16 MM L4 MM OD3 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-30116S	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO L16 MM L4 MM OD3 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-30116S	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L18 MM L5 MM OD3 MM ODSEC3.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T10 TORX DRIVE STERILE	SUP-40-30118S	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L18 MM L5 MM OD3 MM ODSEC3.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T10 TORX DRIVE STERILE	SUP-40-30118S	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW STRYKER 3.0MM X24MM	SUP-40-301245	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW STRYKER 3.0MM X24MM	SUP-40-301245	CDM			270	RC		inpatient			443.2	443.2																																																			
WASHER ORTHOPEDIC ASNIS MICRO L32 MM OD3 MM STERILE	SUP-40-30132S	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
WASHER ORTHOPEDIC ASNIS MICRO L32 MM OD3 MM STERILE	SUP-40-30132S	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L34 MM L7 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD	SUP-40-30134	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L34 MM L7 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD	SUP-40-30134	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW STRYKER ASNIS 3.0MM X 36	SUP-40-30136	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW STRYKER ASNIS 3.0MM X 36	SUP-40-30136	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L38 MM L8 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD NONSTERILE	SUP-40-30138	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L38 MM L8 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD NONSTERILE	SUP-40-30138	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW BONE ASNIS TITANIUM MICRO L18 MM L8 MM OD3 MM FOOT HAND CANNULATED THREADED	SUP-40-30218	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO L18 MM L8 MM OD3 MM FOOT HAND CANNULATED THREADED	SUP-40-30218	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW STRYKER 3.0MM X 20MM	SUP-40-302205	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW STRYKER 3.0MM X 20MM	SUP-40-302205	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW BONE ASNIS TITANIUM MICRO L34 MM L16 MM OD3 MM FOOT HAND CANNULATED THREADED	SUP-40-30234	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO L34 MM L16 MM OD3 MM FOOT HAND CANNULATED THREADED	SUP-40-30234	CDM			270	RC		inpatient			443.2	443.2																																																			
SCREW BONE ASNIS TITANIUM MICRO L36 MM L16 MM OD3 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-30236	CDM			270	RC		outpatient			443.2	443.2	120.06				percent of total billed charges		443.2				other	OPPS APC	327.97				percent of total billed charges		443.2				other	OPPS APC	443.2				other	OPPS APC	120.06				percent of total billed charges		122.46				percent of total billed charges		443.2				other	OPPS APC	120.06	443.2	
SCREW BONE ASNIS TITANIUM MICRO L36 MM L16 MM OD3 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-30236	CDM			270	RC		inpatient			443.2	443.2																																																			
2.8MM CALIBRATED DRILL BIT  250MM/95MM	SUP-97-02984	CDM			272	RC		outpatient			443.1	443.12	120.04				percent of total billed charges		443.1				other	OPPS APC	327.89				percent of total billed charges		443.1				other	OPPS APC	443.1				other	OPPS APC	120.04				percent of total billed charges		122.43				percent of total billed charges		443.12				other	OPPS APC	120.04	443.12	
2.8MM CALIBRATED DRILL BIT  250MM/95MM	SUP-97-02984	CDM			272	RC		inpatient			443.1	443.1																																																			
2.5MM CALIB DRILL BIT	SUP-97-05131	CDM			272	RC		outpatient			443.1	443.12	120.04				percent of total billed charges		443.1				other	OPPS APC	327.89				percent of total billed charges		443.1				other	OPPS APC	443.1				other	OPPS APC	120.04				percent of total billed charges		122.43				percent of total billed charges		443.12				other	OPPS APC	120.04	443.12	
2.5MM CALIB DRILL BIT	SUP-97-05131	CDM			272	RC		inpatient			443.1	443.1																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 20MM	SUP-414.520	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 20MM	SUP-414.520	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 24MM	SUP-414.524	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 24MM	SUP-414.524	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 26MM	SUP-414.526	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 26MM	SUP-414.526	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 28MM	SUP-414.528	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 28MM	SUP-414.528	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 30MM	SUP-414.530	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 30MM	SUP-414.530	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 32MM	SUP-414.532	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 32MM	SUP-414.532	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 34MM	SUP-414.534	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 34MM	SUP-414.534	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 36MM	SUP-414.536	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 36MM	SUP-414.536	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 38MM	SUP-414.538	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 38MM	SUP-414.538	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 40MM	SUP-414.540	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 40MM	SUP-414.540	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 42MM	SUP-414.542	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 42MM	SUP-414.542	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW BONE 1/3 THREAD 44MM 4.5MM 6.5MM 1.75MM GOLD TITANIUM NS CANNULATED SELF TAP SELF DRILL LG HEXAGONAL SOCKET LG	SUP-414.544	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW BONE 1/3 THREAD 44MM 4.5MM 6.5MM 1.75MM GOLD TITANIUM NS CANNULATED SELF TAP SELF DRILL LG HEXAGONAL SOCKET LG	SUP-414.544	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 46MM	SUP-414.546	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 46MM	SUP-414.546	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 48MM	SUP-414.548	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 48MM	SUP-414.548	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW BONE TITANIUM SHORT THREAD REVERSE CUT FLUTE L50 MM L17 MM OD4.5 MM ODSEC6.5 MM ID1.7 MM LONG BONE CANNULATED SELF DRILL NONSTERILE GOLD	SUP-414.550	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW BONE TITANIUM SHORT THREAD REVERSE CUT FLUTE L50 MM L17 MM OD4.5 MM ODSEC6.5 MM ID1.7 MM LONG BONE CANNULATED SELF DRILL NONSTERILE GOLD	SUP-414.550	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 52MM	SUP-414.552	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 52MM	SUP-414.552	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 54MM	SUP-414.554	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 54MM	SUP-414.554	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 56MM	SUP-414.556	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 56MM	SUP-414.556	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 60MM	SUP-414.560	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 60MM	SUP-414.560	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 64MM	SUP-414.564	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 64MM	SUP-414.564	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 68MM	SUP-414.568	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 68MM	SUP-414.568	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 72MM	SUP-414.572	CDM	270010022	LOCAL	270	RC		outpatient			442.92	442.92	119.99				percent of total billed charges		442.92				other	OPPS APC	327.76				percent of total billed charges		442.92				other	OPPS APC	442.92				other	OPPS APC	119.99				percent of total billed charges		122.38				percent of total billed charges		442.92				other	OPPS APC	119.99	442.92	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 72MM	SUP-414.572	CDM	270010022	LOCAL	270	RC		inpatient			442.92	442.92																																																			
CLIP HEMOSTATIC RESOLUTION 360 L235 CM BRAID TACTILE FEEDBACK	SUP-M00521232	CDM			270	RC		outpatient			442.64	442.64	119.91				percent of total billed charges		442.64				other	OPPS APC	327.55				percent of total billed charges		442.64				other	OPPS APC	442.64				other	OPPS APC	119.91				percent of total billed charges		122.3				percent of total billed charges		442.64				other	OPPS APC	119.91	442.64	
CLIP HEMOSTATIC RESOLUTION 360 L235 CM BRAID TACTILE FEEDBACK	SUP-M00521232	CDM			270	RC		inpatient			442.64	442.64																																																			
SKIN CLOSURE ZIP 24CM	SUP-74-00456	CDM			272	RC		outpatient			442.18	442.18	119.79				percent of total billed charges		442.18				other	OPPS APC	327.21				percent of total billed charges		442.18				other	OPPS APC	442.18				other	OPPS APC	119.79				percent of total billed charges		122.17				percent of total billed charges		442.18				other	OPPS APC	119.79	442.18	
SKIN CLOSURE ZIP 24CM	SUP-74-00456	CDM			272	RC		inpatient			442.18	442.18																																																			
CUTTER SURGICAL MIDAS REX LEGEND DIAMOND METAL L.8 MM OD25.4 MM WHEEL	SUP-MC254	CDM						inpatient			441.96	441.96																																																			
CUTTER SURGICAL MIDAS REX LEGEND DIAMOND METAL L.8 MM OD25.4 MM WHEEL	SUP-MC254	CDM						outpatient			441.96	441.96	441.96				percent of total billed charges		441.96				other	OPPS APC	441.96				fee schedule		441.96				other	OPPS APC	441.96				other	OPPS APC	441.96				case rate		441.96				case rate		441.96				other	OPPS APC	441.96	441.96	
TOOL DISSECTING MR8 L9 CM OD25.4 MM WHEEL	SUP-MR8-9MC254	CDM			270	RC		outpatient			441.96	441.96	119.73				percent of total billed charges		441.96				other	OPPS APC	327.05				percent of total billed charges		441.96				other	OPPS APC	441.96				other	OPPS APC	119.73				percent of total billed charges		122.11				percent of total billed charges		441.96				other	OPPS APC	119.73	441.96	
TOOL DISSECTING MR8 L9 CM OD25.4 MM WHEEL	SUP-MR8-9MC254	CDM			270	RC		inpatient			441.96	441.96																																																			
CATHETER - FOUNTAIN INFUSION 10CM	SUP-99-03387	CDM			272	RC		outpatient			441.35	441.35	119.56				percent of total billed charges		441.35				other	OPPS APC	326.6				percent of total billed charges		441.35				other	OPPS APC	441.35				other	OPPS APC	119.56				percent of total billed charges		121.95				percent of total billed charges		441.35				other	OPPS APC	119.56	441.35	
CATHETER - FOUNTAIN INFUSION 10CM	SUP-99-03387	CDM			272	RC		inpatient			441.35	441.35																																																			
CATHETER - FOUNTAIN INFUSION 30CM	SUP-99-03388	CDM			272	RC		outpatient			441.35	441.35	119.56				percent of total billed charges		441.35				other	OPPS APC	326.6				percent of total billed charges		441.35				other	OPPS APC	441.35				other	OPPS APC	119.56				percent of total billed charges		121.95				percent of total billed charges		441.35				other	OPPS APC	119.56	441.35	
CATHETER - FOUNTAIN INFUSION 30CM	SUP-99-03388	CDM			272	RC		inpatient			441.35	441.35																																																			
CATHETER - FOUNTAIN INFUSION 20CM	SUP-99-03389	CDM			272	RC		outpatient			441.35	441.35	119.56				percent of total billed charges		441.35				other	OPPS APC	326.6				percent of total billed charges		441.35				other	OPPS APC	441.35				other	OPPS APC	119.56				percent of total billed charges		121.95				percent of total billed charges		441.35				other	OPPS APC	119.56	441.35	
CATHETER - FOUNTAIN INFUSION 20CM	SUP-99-03389	CDM			272	RC		inpatient			441.35	441.35																																																			
GUIDEWIRE  LONG LINEAR	SUP-95-00823	CDM			272	RC		outpatient			441	441	119.47				percent of total billed charges		441				other	OPPS APC	326.34				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	119.47				percent of total billed charges		121.85				percent of total billed charges		441				other	OPPS APC	119.47	441	
GUIDEWIRE  LONG LINEAR	SUP-95-00823	CDM			272	RC		inpatient			441	441																																																			
DRILL BIT AIRLOCK 02	SUP-95-04550	CDM			272	RC		outpatient			441	441	119.47				percent of total billed charges		441				other	OPPS APC	326.34				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	119.47				percent of total billed charges		121.85				percent of total billed charges		441				other	OPPS APC	119.47	441	
DRILL BIT AIRLOCK 02	SUP-95-04550	CDM			272	RC		inpatient			441	441																																																			
SCREW PERIPHERAL 14MM	SUP-97-06263	CDM			278	RC		outpatient			441	441	441				fee schedule		441				other	OPPS APC	251.37				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	216.09				percent of total billed charges		224.91				percent of total billed charges		441				other	OPPS APC	216.09	441	
SCREW PERIPHERAL 14MM	SUP-97-06263	CDM			278	RC		inpatient			441	441																																																			
SCREW PERIPHERAL 18MM	SUP-97-06264	CDM			278	RC		outpatient			441	441	441				fee schedule		441				other	OPPS APC	251.37				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	216.09				percent of total billed charges		224.91				percent of total billed charges		441				other	OPPS APC	216.09	441	
SCREW PERIPHERAL 18MM	SUP-97-06264	CDM			278	RC		inpatient			441	441																																																			
SCREW PERIPHERAL 26MM	SUP-97-06265	CDM			278	RC		outpatient			441	441	441				fee schedule		441				other	OPPS APC	251.37				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	216.09				percent of total billed charges		224.91				percent of total billed charges		441				other	OPPS APC	216.09	441	
SCREW PERIPHERAL 26MM	SUP-97-06265	CDM			278	RC		inpatient			441	441																																																			
SCREW PERIPHERAL 30MM	SUP-97-06266	CDM			278	RC		outpatient			441	441	441				fee schedule		441				other	OPPS APC	251.37				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	216.09				percent of total billed charges		224.91				percent of total billed charges		441				other	OPPS APC	216.09	441	
SCREW PERIPHERAL 30MM	SUP-97-06266	CDM			278	RC		inpatient			441	441																																																			
SCREW PERIPHERAL 34MM	SUP-97-06281	CDM			278	RC		outpatient			441	441	441				fee schedule		441				other	OPPS APC	251.37				percent of total billed charges		441				other	OPPS APC	441				other	OPPS APC	216.09				percent of total billed charges		224.91				percent of total billed charges		441				other	OPPS APC	216.09	441	
SCREW PERIPHERAL 34MM	SUP-97-06281	CDM			278	RC		inpatient			441	441																																																			
TROCAR AIRSEAL 12/100MM LPI PORT	SUP-95-04755	CDM			272	RC		outpatient			440.58	44.58	119.35				percent of total billed charges		440.58				other	OPPS APC	326.03				percent of total billed charges		440.58				other	OPPS APC	440.58				other	OPPS APC	119.35				percent of total billed charges		121.73				percent of total billed charges		44.58				other	OPPS APC	44.58	440.58	
TROCAR AIRSEAL 12/100MM LPI PORT	SUP-95-04755	CDM			272	RC		inpatient			440.58	440.58																																																			
HC Liver Ds Alys 3 Bmrk Srm Alg	PX-3000014M0	CDM			300	RC		outpatient			440.48	176.19	215.84				percent of total billed charges		176.19				fee schedule		325.96				percent of total billed charges		176.19				fee schedule		176.19				fee schedule		176.19				fee schedule		176.19				fee schedule		176.19				fee schedule		176.19	325.96	
HC Liver Ds Alys 3 Bmrk Srm Alg	PX-3000014M0	CDM			300	RC		inpatient			440.48	440.48																																																			
SLEEVE DRILL BONE DISPOSABLE TRUKOR BLUE 9MM	SUP-72200939	CDM			270	RC		outpatient			440.32	44.32	119.28				percent of total billed charges		440.32				other	OPPS APC	325.84				percent of total billed charges		440.32				other	OPPS APC	440.32				other	OPPS APC	119.28				percent of total billed charges		121.66				percent of total billed charges		44.32				other	OPPS APC	44.32	440.32	
SLEEVE DRILL BONE DISPOSABLE TRUKOR BLUE 9MM	SUP-72200939	CDM			270	RC		inpatient			440.32	440.32																																																			
BALLOON  ERCP	SUP-95-00825	CDM			272	RC		outpatient			440.23	44.23	119.26				percent of total billed charges		440.23				other	OPPS APC	325.77				percent of total billed charges		440.23				other	OPPS APC	440.23				other	OPPS APC	119.26				percent of total billed charges		121.64				percent of total billed charges		44.23				other	OPPS APC	44.23	440.23	
BALLOON  ERCP	SUP-95-00825	CDM			272	RC		inpatient			440.23	440.23																																																			
HC Hip Arthrogram	PX-361270930	CDM	27093	CPT	361	RC		outpatient			440	44	138.95				percent of total billed charges		440				other	OPPS APC	440				fee schedule		440				other	OPPS APC	440				other	OPPS APC	138.95				percent of total billed charges		141.72				percent of total billed charges		44				other	OPPS APC	44	440	
HC Hip Arthrogram	PX-361270930	CDM	27093	CPT	361	RC		inpatient			440	440																																																			
Initial Hospital Care/Day 70 Minutes 99223	PX-988992231	CDM	99223	CPT	988	RC		inpatient			440	440																																																			
Initial Hospital Care/Day 70 Minutes 99223	PX-988992231	CDM	99223	CPT	988	RC		outpatient			440	17.2	202.62				fee schedule		170.2				fee schedule		325.6				percent of total billed charges		170.2				fee schedule		170.2				fee schedule		170.96				fee schedule								17.2				fee schedule		325.6	325.6	
PROBE VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD20 GA	SUP-8065750948	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
PROBE VITRECTOMY TOTAL PLUS CONSTELLATION 5000 CPM OD20 GA	SUP-8065750948	CDM			270	RC		inpatient			440	440																																																			
KIT ENDOSCOPIC INSTRUMENT PUSHLOCK 1.1MM 17GA 2.9MM METAL NITINOL DISPOSABLE CANNULA	SUP-AR-1923PK	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
KIT ENDOSCOPIC INSTRUMENT PUSHLOCK 1.1MM 17GA 2.9MM METAL NITINOL DISPOSABLE CANNULA	SUP-AR-1923PK	CDM			270	RC		inpatient			440	440																																																			
SCREW BONE LOW PROFILE SCREWS 3.5MM 85MM 18MM 6.7MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096	SUP-AR-8967-1885	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
SCREW BONE LOW PROFILE SCREWS 3.5MM 85MM 18MM 6.7MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096	SUP-AR-8967-1885	CDM			270	RC		inpatient			440	440																																																			
SCREW BONE LOW PROFILE SCREWS 3.5MM 90MM 18MM 6.7MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096	SUP-AR-8967-1890	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
SCREW BONE LOW PROFILE SCREWS 3.5MM 90MM 18MM 6.7MM TITANIUM CANCELLOUS SELF DRILL SELF TAP CANNULATED HEX ACCEPTS .096	SUP-AR-8967-1890	CDM			270	RC		inpatient			440	440																																																			
CABLE CONTROL POWER	SUP-ECB00018200	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
CABLE CONTROL POWER	SUP-ECB00018200	CDM			270	RC		inpatient			440	440																																																			
NEEDLE ASPIRATION ARCPOINT METAL L137 MM OD21 GA ODSEC1.9 MM PULMONARY BRAID TAPER SHEATH SHORT RIGID LENGTH 2 MM CHANNEL	SUP-ILS-2100-PN	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
NEEDLE ASPIRATION ARCPOINT METAL L137 MM OD21 GA ODSEC1.9 MM PULMONARY BRAID TAPER SHEATH SHORT RIGID LENGTH 2 MM CHANNEL	SUP-ILS-2100-PN	CDM			270	RC		inpatient			440	440																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P3.2 CM MODERATE PROFILE ROUND OD11.7 CM 240 ML BREAST STYLE MSZ10 SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ10240	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P3.2 CM MODERATE PROFILE ROUND OD11.7 CM 240 ML BREAST STYLE MSZ10 SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ10240	CDM			270	RC		inpatient			440	440																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P4.1 CM MODERATE PLUS PROFILE ROUND OD12.9 CM 371 ML BREAST STYLE MSZ15 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ15371	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P4.1 CM MODERATE PLUS PROFILE ROUND OD12.9 CM 371 ML BREAST STYLE MSZ15 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ15371	CDM			270	RC		inpatient			440	440																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P6 CM HIGH PROFILE ROUND OD15 CM 750 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20750	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P6 CM HIGH PROFILE ROUND OD15 CM 750 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20750	CDM			270	RC		inpatient			440	440																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P6.1 CM HIGH PROFILE ROUND OD15.3 CM 800 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20800	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P6.1 CM HIGH PROFILE ROUND OD15.3 CM 800 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20800	CDM			270	RC		inpatient			440	440																																																			
NEEDLE VISICOIL PRELOAD 50MM X 1CM	SUP-SN-050-010-PL15	CDM			270	RC		outpatient			440	44	119.2				percent of total billed charges		440				other	OPPS APC	325.6				percent of total billed charges		440				other	OPPS APC	440				other	OPPS APC	119.2				percent of total billed charges		121.57				percent of total billed charges		44				other	OPPS APC	44	440	
NEEDLE VISICOIL PRELOAD 50MM X 1CM	SUP-SN-050-010-PL15	CDM			270	RC		inpatient			440	440																																																			
CATHETER SUPPORT CXI STRAIGHT L65 CM OD2.6 FR ACCEPTS .018 IN GUIDEWIRE	SUP-G18377	CDM			270	RC		outpatient			439.98	439.98	119.19				percent of total billed charges		439.98				other	OPPS APC	325.59				percent of total billed charges		439.98				other	OPPS APC	439.98				other	OPPS APC	119.19				percent of total billed charges		121.57				percent of total billed charges		439.98				other	OPPS APC	119.19	439.98	
CATHETER SUPPORT CXI STRAIGHT L65 CM OD2.6 FR ACCEPTS .018 IN GUIDEWIRE	SUP-G18377	CDM			270	RC		inpatient			439.98	439.98																																																			
CATHETER SUPPORT CXI 150CM 2.6FR SS POLYMER HYDROPHILIC DISPOSABLE STERILE LOW PROFILE ANGLE TIP BRAID RADIOPAQUE	SUP-G50003	CDM			270	RC		outpatient			439.98	439.98	119.19				percent of total billed charges		439.98				other	OPPS APC	325.59				percent of total billed charges		439.98				other	OPPS APC	439.98				other	OPPS APC	119.19				percent of total billed charges		121.57				percent of total billed charges		439.98				other	OPPS APC	119.19	439.98	
CATHETER SUPPORT CXI 150CM 2.6FR SS POLYMER HYDROPHILIC DISPOSABLE STERILE LOW PROFILE ANGLE TIP BRAID RADIOPAQUE	SUP-G50003	CDM			270	RC		inpatient			439.98	439.98																																																			
HC Pelvis/Hips	PX-320735230	CDM	73523	CPT	320	RC		outpatient			439	112.57	215.11				percent of total billed charges		112.57				other	OPPS APC	97.04				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	62.13				fee schedule		46.92				fee schedule		112.57				other	OPPS APC	46.92	215.11	
HC Pelvis/Hips	PX-320735230	CDM	73523	CPT	320	RC		inpatient			439	439																																																			
HC Esophagus Single Contrast Inc. Scout Chest/Delayed Images	PX-320742200	CDM	74220	CPT	320	RC		outpatient			439	189.94	94.82				fee schedule		189.94				other	OPPS APC	170.65				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	99.88				fee schedule		70.89				fee schedule		189.94				other	OPPS APC	70.89	189.94	
HC Esophagus Single Contrast Inc. Scout Chest/Delayed Images	PX-320742200	CDM	74220	CPT	320	RC		inpatient			439	439																																																			
HC Modified Barium Swallow W Scout/Delayed Images	PX-320742300	CDM	74230	CPT	320	RC		outpatient			439	189.94	94.77				fee schedule		189.94				other	OPPS APC	190.4				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	127.64				fee schedule		101.85				fee schedule		189.94				other	OPPS APC	94.77	190.4	
HC Modified Barium Swallow W Scout/Delayed Images	PX-320742300	CDM	74230	CPT	320	RC		inpatient			439	439																																																			
HC Drainage Bartholin Gland Abscess	PX-450564201	CDM	56420	CPT	450	RC		outpatient			439	439	195.77				case rate		439				other	OPPS APC	324.86				percent of total billed charges		439				other	OPPS APC	439				other	OPPS APC	195.77				case rate		199.69				case rate		439				other	OPPS APC	195.77	439	
HC Drainage Bartholin Gland Abscess	PX-450564201	CDM	56420	CPT	450	RC		inpatient			439	439																																																			
PACK DAVINCI DR IM	SUP-DYNJ59276	CDM			270	RC		outpatient			438.94	438.94	118.91				percent of total billed charges		438.94				other	OPPS APC	324.82				percent of total billed charges		438.94				other	OPPS APC	438.94				other	OPPS APC	118.91				percent of total billed charges		121.28				percent of total billed charges		438.94				other	OPPS APC	118.91	438.94	
PACK DAVINCI DR IM	SUP-DYNJ59276	CDM			270	RC		inpatient			438.94	438.94																																																			
STAPLER INTERNAL ENDOPATH ETS FLEX L45 MM REGULAR TISSUE LINEAR CUTTER ARTICULATE RELOAD STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-ATS45NK	CDM			270	RC		outpatient			438.9	438.9	118.9				percent of total billed charges		438.9				other	OPPS APC	324.79				percent of total billed charges		438.9				other	OPPS APC	438.9				other	OPPS APC	118.9				percent of total billed charges		121.27				percent of total billed charges		438.9				other	OPPS APC	118.9	438.9	
STAPLER INTERNAL ENDOPATH ETS FLEX L45 MM REGULAR TISSUE LINEAR CUTTER ARTICULATE RELOAD STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-ATS45NK	CDM			270	RC		inpatient			438.9	438.9																																																			
HOOK BONE TC-100 SHARP NONSTERILE LATEX FREE DISPOSABLE	SUP-71170043	CDM			270	RC		outpatient			438.44	438.44	118.77				percent of total billed charges		438.44				other	OPPS APC	324.45				percent of total billed charges		438.44				other	OPPS APC	438.44				other	OPPS APC	118.77				percent of total billed charges		121.14				percent of total billed charges		438.44				other	OPPS APC	118.77	438.44	
HOOK BONE TC-100 SHARP NONSTERILE LATEX FREE DISPOSABLE	SUP-71170043	CDM			270	RC		inpatient			438.44	438.44																																																			
Nebulizer Tubing	PX-270A70161	CDM			270	RC		outpatient			438	438	118.65				percent of total billed charges		438				other	OPPS APC	324.12				percent of total billed charges		438				other	OPPS APC	438				other	OPPS APC	118.65				percent of total billed charges		121.02				percent of total billed charges		438				other	OPPS APC	118.65	438	
Nebulizer Tubing	PX-270A70161	CDM			270	RC		inpatient			438	438																																																			
Albuterol Inhalation Solution  Up to 2.5 Mg	PX-270J76201	CDM			270	RC		outpatient			438	438	118.65				percent of total billed charges		438				other	OPPS APC	0.15				fee schedule		438				other	OPPS APC	438				other	OPPS APC	118.65				percent of total billed charges		121.02				percent of total billed charges		438				other	OPPS APC	0.15	438	
Albuterol Inhalation Solution  Up to 2.5 Mg	PX-270J76201	CDM			270	RC		inpatient			438	438																																																			
Contraceptive Pills for Birth Control	PX-270S49931	CDM			270	RC		outpatient			438	438	118.65				percent of total billed charges		438				other	OPPS APC	324.12				percent of total billed charges		438				other	OPPS APC	438				other	OPPS APC	118.65				percent of total billed charges		121.02				percent of total billed charges		438				other	OPPS APC	118.65	438	
Contraceptive Pills for Birth Control	PX-270S49931	CDM			270	RC		inpatient			438	438																																																			
HC Control of Nosebleed  Simple	PX-450309011	CDM	30901	CPT	450	RC		outpatient			438	438	195.77				case rate		438				other	OPPS APC	324.12				percent of total billed charges		438				other	OPPS APC	438				other	OPPS APC	195.77				case rate		199.69				case rate		438				other	OPPS APC	195.77	438	
HC Control of Nosebleed  Simple	PX-450309011	CDM	30901	CPT	450	RC		inpatient			438	438																																																			
HC Control of Nosebleed  Posterior	PX-450309051	CDM	30905	CPT	450	RC		outpatient			438	438	195.77				case rate		438				other	OPPS APC	324.12				percent of total billed charges		438				other	OPPS APC	438				other	OPPS APC	195.77				case rate		199.69				case rate		438				other	OPPS APC	195.77	438	
HC Control of Nosebleed  Posterior	PX-450309051	CDM	30905	CPT	450	RC		inpatient			438	438																																																			
Epistaxis Control:Simple	PX-510309011	CDM	30901	CPT	510	RC		outpatient			438	438	169.66				case rate		438				other	OPPS APC	101				case rate		438				other	OPPS APC	438				fee schedule		169.66				case rate		173.05				case rate		438				other	OPPS APC	101	438	
Epistaxis Control:Simple	PX-510309011	CDM	30901	CPT	510	RC		inpatient			438	438																																																			
HC Vl Carotid Duplex Unilateral	PX-921938820	CDM	93882	CPT	921	RC		outpatient			438	438	125.74				fee schedule		438				other	OPPS APC	431.66				fee schedule		438				other	OPPS APC	438				other	OPPS APC	124.2				fee schedule		223.38				percent of total billed charges		438				other	OPPS APC	124.2	438	
HC Vl Carotid Duplex Unilateral	PX-921938820	CDM	93882	CPT	921	RC		inpatient			438	438																																																			
HC Vl Duplex Lea Unilateral	PX-921939260	CDM	93926	CPT	921	RC		outpatient			438	112.57	143.82				fee schedule		112.57				other	OPPS APC	490.21				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	127.95				fee schedule		223.38				percent of total billed charges		112.57				other	OPPS APC	112.57	490.21	
HC Vl Duplex Lea Unilateral	PX-921939260	CDM	93926	CPT	921	RC		inpatient			438	438																																																			
HC Vl Duplex Uea Unilateral	PX-921939310	CDM	93931	CPT	921	RC		outpatient			438	112.57	152.55				fee schedule		112.57				other	OPPS APC	421.99				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	123.6				fee schedule		223.38				percent of total billed charges		112.57				other	OPPS APC	112.57	421.99	
HC Vl Duplex Uea Unilateral	PX-921939310	CDM	93931	CPT	921	RC		inpatient			438	438																																																			
PATCH CARDIOVASCULAR ACUSEAL GORE-TEX THK.5 MM L7.5 CM X W.8 CM LOW THROMBOGENICITY CONFORMABLE HIGH STRENGTH RECONSTRUCTION STERILE SUTURE LINE BLEEDING	SUP-1CVX003	CDM			270	RC		outpatient			438	438	118.65				percent of total billed charges		438				other	OPPS APC	324.12				percent of total billed charges		438				other	OPPS APC	438				other	OPPS APC	118.65				percent of total billed charges		121.02				percent of total billed charges		438				other	OPPS APC	118.65	438	
PATCH CARDIOVASCULAR ACUSEAL GORE-TEX THK.5 MM L7.5 CM X W.8 CM LOW THROMBOGENICITY CONFORMABLE HIGH STRENGTH RECONSTRUCTION STERILE SUTURE LINE BLEEDING	SUP-1CVX003	CDM			270	RC		inpatient			438	438																																																			
PROBE ENDOSCOPIC FIAPC L7.2 IN OD9.6 FR FLEXIBLE FILTER INTEGRATED STERILE DISPOSABLE	SUP-20132-215	CDM			270	RC		outpatient			437.9	437.9	118.63				percent of total billed charges		437.9				other	OPPS APC	324.05				percent of total billed charges		437.9				other	OPPS APC	437.9				other	OPPS APC	118.63				percent of total billed charges		120.99				percent of total billed charges		437.9				other	OPPS APC	118.63	437.9	
PROBE ENDOSCOPIC FIAPC L7.2 IN OD9.6 FR FLEXIBLE FILTER INTEGRATED STERILE DISPOSABLE	SUP-20132-215	CDM			270	RC		inpatient			437.9	437.9																																																			
SCREW BONE LCP TITANIUM OD4.4 MM L55 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL NONSTERILE LISS	SUP-422.394	CDM	270010022	LOCAL	270	RC		outpatient			437.8	437.81	118.6				percent of total billed charges		437.8				other	OPPS APC	323.97				percent of total billed charges		437.8				other	OPPS APC	437.8				other	OPPS APC	118.6				percent of total billed charges		120.96				percent of total billed charges		437.81				other	OPPS APC	118.6	437.81	
SCREW BONE LCP TITANIUM OD4.4 MM L55 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL NONSTERILE LISS	SUP-422.394	CDM	270010022	LOCAL	270	RC		inpatient			437.8	437.8																																																			
SCREW BONE 65MM 5MM TITANIUM NS FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS	SUP-422.395	CDM	270010022	LOCAL	270	RC		outpatient			437.8	437.81	118.6				percent of total billed charges		437.8				other	OPPS APC	323.97				percent of total billed charges		437.8				other	OPPS APC	437.8				other	OPPS APC	118.6				percent of total billed charges		120.96				percent of total billed charges		437.81				other	OPPS APC	118.6	437.81	
SCREW BONE 65MM 5MM TITANIUM NS FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS	SUP-422.395	CDM	270010022	LOCAL	270	RC		inpatient			437.8	437.8																																																			
SCREW BONE LCP TITANIUM OD4.4 MM L75 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL NONSTERILE LISS	SUP-422.396	CDM	270010022	LOCAL	270	RC		outpatient			437.8	437.81	118.6				percent of total billed charges		437.8				other	OPPS APC	323.97				percent of total billed charges		437.8				other	OPPS APC	437.8				other	OPPS APC	118.6				percent of total billed charges		120.96				percent of total billed charges		437.81				other	OPPS APC	118.6	437.81	
SCREW BONE LCP TITANIUM OD4.4 MM L75 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL NONSTERILE LISS	SUP-422.396	CDM	270010022	LOCAL	270	RC		inpatient			437.8	437.8																																																			
SCREW BONE LCP LISS TITANIUM 3.5 MM L85 MM OD5 MM ODSEC4.4 MM FEMUR TIBIA SELF DRILLING LOCKING THREADED CONICAL HEAD HEXAGONAL RECESS NONSTERILE	SUP-422.397	CDM	270010022	LOCAL	270	RC		outpatient			437.8	437.81	118.6				percent of total billed charges		437.8				other	OPPS APC	323.97				percent of total billed charges		437.8				other	OPPS APC	437.8				other	OPPS APC	118.6				percent of total billed charges		120.96				percent of total billed charges		437.81				other	OPPS APC	118.6	437.81	
SCREW BONE LCP LISS TITANIUM 3.5 MM L85 MM OD5 MM ODSEC4.4 MM FEMUR TIBIA SELF DRILLING LOCKING THREADED CONICAL HEAD HEXAGONAL RECESS NONSTERILE	SUP-422.397	CDM	270010022	LOCAL	270	RC		inpatient			437.8	437.8																																																			
BIOVAC SUCTION DEVICE	SUP-95-02004	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BIOVAC SUCTION DEVICE	SUP-95-02004	CDM			272	RC		inpatient			437.5	437.5																																																			
CATHETER AIRWAY EXCHANGE 11FR 100CM	SUP-95-05120	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
CATHETER AIRWAY EXCHANGE 11FR 100CM	SUP-95-05120	CDM			272	RC		inpatient			437.5	437.5																																																			
DRILL BIT 2 X 175MM AO QC FLEX THREAD	SUP-95-05445	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
DRILL BIT 2 X 175MM AO QC FLEX THREAD	SUP-95-05445	CDM			272	RC		inpatient			437.5	437.5																																																			
DRILL BIT 2.5MM	SUP-95-05493	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
DRILL BIT 2.5MM	SUP-95-05493	CDM			272	RC		inpatient			437.5	437.5																																																			
PROBE TIP IRRIGATION 33CM	SUP-97-00611	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
PROBE TIP IRRIGATION 33CM	SUP-97-00611	CDM			272	RC		inpatient			437.5	437.5																																																			
FIBERLOOP #2 W/FIBERLOOP/TAG	SUP-97-01254	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
FIBERLOOP #2 W/FIBERLOOP/TAG	SUP-97-01254	CDM			272	RC		inpatient			437.5	437.5																																																			
SCREW NONLOCKING 3.5X18	SUP-97-02383	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW NONLOCKING 3.5X18	SUP-97-02383	CDM			278	RC		inpatient			437.5	437.5																																																			
DRILL BIT LYNC 2.0MM	SUP-97-02504	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
DRILL BIT LYNC 2.0MM	SUP-97-02504	CDM			272	RC		inpatient			437.5	437.5																																																			
LENS 16.5	SUP-97-02708	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
LENS 16.5	SUP-97-02708	CDM			278	RC		inpatient			437.5	437.5																																																			
SPADE TIP PIN 4MM	SUP-97-02836	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
SPADE TIP PIN 4MM	SUP-97-02836	CDM			272	RC		inpatient			437.5	437.5																																																			
NON LOCKING SCREW 3.5X16	SUP-97-02855	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
NON LOCKING SCREW 3.5X16	SUP-97-02855	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 3.5 X 14MM NON LOCKING R3CON	SUP-97-02887	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 3.5 X 14MM NON LOCKING R3CON	SUP-97-02887	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 3.5 X 22 NON LOCKING R3CON	SUP-97-02891	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 3.5 X 22 NON LOCKING R3CON	SUP-97-02891	CDM			278	RC		inpatient			437.5	437.5																																																			
LOW PROFILE SCREW 2.4X24MM CORTEX	SUP-97-03163	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
LOW PROFILE SCREW 2.4X24MM CORTEX	SUP-97-03163	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 2.7 X 20MM NON LOCKING	SUP-97-03306	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 2.7 X 20MM NON LOCKING	SUP-97-03306	CDM			278	RC		inpatient			437.5	437.5																																																			
NON LOCKING SCREW 3.5X20	SUP-97-03845	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
NON LOCKING SCREW 3.5X20	SUP-97-03845	CDM			278	RC		inpatient			437.5	437.5																																																			
LOW PROFILE SCREW 2.4X22MM CORTEX	SUP-97-03871	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
LOW PROFILE SCREW 2.4X22MM CORTEX	SUP-97-03871	CDM			278	RC		inpatient			437.5	437.5																																																			
NON-LOCKING SCREW 3.5X24	SUP-97-03962	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
NON-LOCKING SCREW 3.5X24	SUP-97-03962	CDM			278	RC		inpatient			437.5	437.5																																																			
LENS 19.0	SUP-97-04646	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
LENS 19.0	SUP-97-04646	CDM			278	RC		inpatient			437.5	437.5																																																			
4MM SPADE TIP DRILL	SUP-97-05235	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
4MM SPADE TIP DRILL	SUP-97-05235	CDM			272	RC		inpatient			437.5	437.5																																																			
R3CON NON-LNG PLATE SCREW 4.2X30MM	SUP-97-05258	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
R3CON NON-LNG PLATE SCREW 4.2X30MM	SUP-97-05258	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 2.7 X 16MM R3CON NON LOCKING	SUP-97-05714	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 2.7 X 16MM R3CON NON LOCKING	SUP-97-05714	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 3 X 22MM LP CORTICAL MTPTI	SUP-97-05949	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 3 X 22MM LP CORTICAL MTPTI	SUP-97-05949	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 3 X 12MM LP CORTICAL MTP TI	SUP-97-05951	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 3 X 12MM LP CORTICAL MTP TI	SUP-97-05951	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW R3CON LOCING 3.5 X 22MM	SUP-97-06169	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW R3CON LOCING 3.5 X 22MM	SUP-97-06169	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 3.5 X 34MM R3CON NON LOCKING	SUP-97-06170	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 3.5 X 34MM R3CON NON LOCKING	SUP-97-06170	CDM			278	RC		inpatient			437.5	437.5																																																			
SCREW 3.5 X 36MM R3CON NON-LOCKING	SUP-97-06173	CDM			278	RC		outpatient			437.5	437.5	437.5				fee schedule		437.5				other	OPPS APC	249.38				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	214.38				percent of total billed charges		223.13				percent of total billed charges		437.5				other	OPPS APC	214.38	437.5	
SCREW 3.5 X 36MM R3CON NON-LOCKING	SUP-97-06173	CDM			278	RC		inpatient			437.5	437.5																																																			
GUIDEWIRE - V-14 STRAIGHT 300CM	SUP-99-01387	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
GUIDEWIRE - V-14 STRAIGHT 300CM	SUP-99-01387	CDM			272	RC		inpatient			437.5	437.5																																																			
GUIDEWIRE - V-14 ANGLED 300CM	SUP-99-01388	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
GUIDEWIRE - V-14 ANGLED 300CM	SUP-99-01388	CDM			272	RC		inpatient			437.5	437.5																																																			
GUIDEWIRE - MAGIC TORQUE 180CM	SUP-99-01825	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
GUIDEWIRE - MAGIC TORQUE 180CM	SUP-99-01825	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - PACIFIC EXTREME 4X200	SUP-99-03497	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - PACIFIC EXTREME 4X200	SUP-99-03497	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - PACIFIC EXTREME 7X250	SUP-99-03866	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - PACIFIC EXTREME 7X250	SUP-99-03866	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - PACIFIC PLUS 4X120	SUP-99-03867	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - PACIFIC PLUS 4X120	SUP-99-03867	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - PACIFIC PLUS 4X040	SUP-99-03868	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - PACIFIC PLUS 4X040	SUP-99-03868	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 3.0X240	SUP-99-04420	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 3.0X240	SUP-99-04420	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 5.0X40	SUP-99-04421	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 5.0X40	SUP-99-04421	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 5.0X60	SUP-99-04422	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 5.0X60	SUP-99-04422	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 5.0X240	SUP-99-04423	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 5.0X240	SUP-99-04423	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 6.0X80	SUP-99-04424	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 6.0X80	SUP-99-04424	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 6.0X150	SUP-99-04425	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 6.0X150	SUP-99-04425	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 6.0X20	SUP-99-04426	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 6.0X20	SUP-99-04426	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 6.0X40	SUP-99-04427	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 6.0X40	SUP-99-04427	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 6.0X100	SUP-99-04428	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 6.0X100	SUP-99-04428	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 6.0X240	SUP-99-04429	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 6.0X240	SUP-99-04429	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 2.0X240	SUP-99-04454	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 2.0X240	SUP-99-04454	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 3.5X40	SUP-99-04455	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 3.5X40	SUP-99-04455	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 3.5X80	SUP-99-04456	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 3.5X80	SUP-99-04456	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 3.5X120	SUP-99-04457	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 3.5X120	SUP-99-04457	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 3.5X150	SUP-99-04458	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 3.5X150	SUP-99-04458	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 4.0X40	SUP-99-04459	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 4.0X40	SUP-99-04459	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18  4.0X80	SUP-99-04460	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18  4.0X80	SUP-99-04460	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 4.0X120	SUP-99-04461	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 4.0X120	SUP-99-04461	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 4.0X240	SUP-99-04462	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 4.0X240	SUP-99-04462	CDM			272	RC		inpatient			437.5	437.5																																																			
BALLOON - JADE 0.18 5.0X100	SUP-99-04463	CDM			272	RC		outpatient			437.5	437.5	118.52				percent of total billed charges		437.5				other	OPPS APC	323.75				percent of total billed charges		437.5				other	OPPS APC	437.5				other	OPPS APC	118.52				percent of total billed charges		120.88				percent of total billed charges		437.5				other	OPPS APC	118.52	437.5	
BALLOON - JADE 0.18 5.0X100	SUP-99-04463	CDM			272	RC		inpatient			437.5	437.5																																																			
HC Endotracheal Intubation or Assist	PX-361315000	CDM	31500	CPT	410	RC		outpatient			437	437	133.9				percent of total billed charges		437				other	OPPS APC	323.38				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	133.9				percent of total billed charges		136.56				percent of total billed charges		437				other	OPPS APC	133.9	437	
HC Endotracheal Intubation or Assist	PX-361315000	CDM	31500	CPT	410	RC		inpatient			437	437																																																			
HC Insert Emergency Airway	PX-450315001	CDM	31500	CPT	450	RC		outpatient			437	437	195.77				case rate		437				other	OPPS APC	323.38				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	195.77				case rate		199.69				case rate		437				other	OPPS APC	195.77	437	
HC Insert Emergency Airway	PX-450315001	CDM	31500	CPT	450	RC		inpatient			437	437																																																			
BLADE OSTEOTOME FLAT MED	SUP-2500-10-751	CDM			270	RC		outpatient			437	437	118.38				percent of total billed charges		437				other	OPPS APC	323.38				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	118.38				percent of total billed charges		120.74				percent of total billed charges		437				other	OPPS APC	118.38	437	
BLADE OSTEOTOME FLAT MED	SUP-2500-10-751	CDM			270	RC		inpatient			437	437																																																			
BLADE OSTEOTOME RADIAL MEDIUM	SUP-2500-10-754	CDM			270	RC		outpatient			437	437	118.38				percent of total billed charges		437				other	OPPS APC	323.38				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	118.38				percent of total billed charges		120.74				percent of total billed charges		437				other	OPPS APC	118.38	437	
BLADE OSTEOTOME RADIAL MEDIUM	SUP-2500-10-754	CDM			270	RC		inpatient			437	437																																																			
BLADE OSTEOTOME FIN SHORT	SUP-2500-10-756	CDM			270	RC		outpatient			437	437	118.38				percent of total billed charges		437				other	OPPS APC	323.38				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	118.38				percent of total billed charges		120.74				percent of total billed charges		437				other	OPPS APC	118.38	437	
BLADE OSTEOTOME FIN SHORT	SUP-2500-10-756	CDM			270	RC		inpatient			437	437																																																			
KIT CATHETER ATTAIN COMMAND HYDROPHILIC MB2 EXTEND HOOK CURVE TAPER L19.7 IN L17.7 IN OD9 FR ID7.2 FR 2 BRAID DIAMOND PATTERN	SUP-6250V	CDM			275	RC		outpatient			437	437	214.13				percent of total billed charges		437				other	OPPS APC	249.09				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	214.13				percent of total billed charges		222.87				percent of total billed charges		437				other	OPPS APC	214.13	437	
KIT CATHETER ATTAIN COMMAND HYDROPHILIC MB2 EXTEND HOOK CURVE TAPER L19.7 IN L17.7 IN OD9 FR ID7.2 FR 2 BRAID DIAMOND PATTERN	SUP-6250V	CDM			275	RC		inpatient			437	437																																																			
TOOL TUNNELING STAINLESS STEEL L338 MM OD3.1 MM 6996SQ LEAD	SUP-6996T	CDM			270	RC		outpatient			437	437	118.38				percent of total billed charges		437				other	OPPS APC	323.38				percent of total billed charges		437				other	OPPS APC	437				other	OPPS APC	118.38				percent of total billed charges		120.74				percent of total billed charges		437				other	OPPS APC	118.38	437	
TOOL TUNNELING STAINLESS STEEL L338 MM OD3.1 MM 6996SQ LEAD	SUP-6996T	CDM			270	RC		inpatient			437	437																																																			
PLATE BONE THINFLAP TITANIUM CRANIOMAXILLOFACIAL 4 HOLE SQUARE	SUP-19-1015	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
PLATE BONE THINFLAP TITANIUM CRANIOMAXILLOFACIAL 4 HOLE SQUARE	SUP-19-1015	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 10MM	SUP-40-35610	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 10MM	SUP-40-35610	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 12MM	SUP-40-35612	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 12MM	SUP-40-35612	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 14MM	SUP-40-35614	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 14MM	SUP-40-35614	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 16MM	SUP-40-35616	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 16MM	SUP-40-35616	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 18MM	SUP-40-35618	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 18MM	SUP-40-35618	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 20MM	SUP-40-35620	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 20MM	SUP-40-35620	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 22MM	SUP-40-35622	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 22MM	SUP-40-35622	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 24MM	SUP-40-35624	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 24MM	SUP-40-35624	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 28MM	SUP-40-35628	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 28MM	SUP-40-35628	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 30MM	SUP-40-35630	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 30MM	SUP-40-35630	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 32MM	SUP-40-35632	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 32MM	SUP-40-35632	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 36MM	SUP-40-35636	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 36MM	SUP-40-35636	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 38MM	SUP-40-35638	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 38MM	SUP-40-35638	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 40MM	SUP-40-35640	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 40MM	SUP-40-35640	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 42MM	SUP-40-35642	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 42MM	SUP-40-35642	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 50MM	SUP-40-35650	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 50MM	SUP-40-35650	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 55MM	SUP-40-35655	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 55MM	SUP-40-35655	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 60MM	SUP-40-35660	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 60MM	SUP-40-35660	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 65MM	SUP-40-35665	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 65MM	SUP-40-35665	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 70MM	SUP-40-35670	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 70MM	SUP-40-35670	CDM			270	RC		inpatient			436.8	436.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 26MM	SUP-45-35626	CDM			270	RC		outpatient			436.8	436.81	118.33				percent of total billed charges		436.8				other	OPPS APC	323.23				percent of total billed charges		436.8				other	OPPS APC	436.8				other	OPPS APC	118.33				percent of total billed charges		120.69				percent of total billed charges		436.81				other	OPPS APC	118.33	436.81	
SCREW STRYKER VARIAX 3.5MM LOCKING 26MM	SUP-45-35626	CDM			270	RC		inpatient			436.8	436.8																																																			
PROBE VITRECTOMY ULTRAVIT 25+ 20000 CPM OD27 MM CONSTELLATION VISION SYSTEM	SUP-8065830026	CDM			270	RC		outpatient			436.64	436.64	118.29				percent of total billed charges		436.64				other	OPPS APC	323.11				percent of total billed charges		436.64				other	OPPS APC	436.64				other	OPPS APC	118.29				percent of total billed charges		120.64				percent of total billed charges		436.64				other	OPPS APC	118.29	436.64	
PROBE VITRECTOMY ULTRAVIT 25+ 20000 CPM OD27 MM CONSTELLATION VISION SYSTEM	SUP-8065830026	CDM			270	RC		inpatient			436.64	436.64																																																			
PLATE BONE CURVE ORBITAL RIM TITANIUM 12 HOLE 1.5MM SCREW NS	SUP-446.220	CDM	270010014	LOCAL	270	RC		outpatient			436.16	436.16	118.16				percent of total billed charges		436.16				other	OPPS APC	322.76				percent of total billed charges		436.16				other	OPPS APC	436.16				other	OPPS APC	118.16				percent of total billed charges		120.51				percent of total billed charges		436.16				other	OPPS APC	118.16	436.16	
PLATE BONE CURVE ORBITAL RIM TITANIUM 12 HOLE 1.5MM SCREW NS	SUP-446.220	CDM	270010014	LOCAL	270	RC		inpatient			436.16	436.16																																																			
HC Esophagus Double Contrast	PX-320742210	CDM	74221	CPT	320	RC		outpatient			436	189.94	110.13				fee schedule		189.94				other	OPPS APC	377.2				fee schedule		189.94				other	OPPS APC	189.94				other	OPPS APC	112.25				fee schedule		78.88				fee schedule		189.94				other	OPPS APC	78.88	377.2	
HC Esophagus Double Contrast	PX-320742210	CDM	74221	CPT	320	RC		inpatient			436	436																																																			
SCREW STRYKER 2.7MM LOCKING 26MM	SUP-40-27626	CDM			270	RC		outpatient			436	436	118.11				percent of total billed charges		436				other	OPPS APC	322.64				percent of total billed charges		436				other	OPPS APC	436				other	OPPS APC	118.11				percent of total billed charges		120.47				percent of total billed charges		436				other	OPPS APC	118.11	436	
SCREW STRYKER 2.7MM LOCKING 26MM	SUP-40-27626	CDM			270	RC		inpatient			436	436																																																			
CATHETER ANGIOGRAPHIC FRONTRUNNER XP CTO L132 CM L126 CM OD4.5 FR MICROGUIDE STERILE LATEX FREE ACCEPTS 6 FR SHEATH	SUP-MGX39140	CDM			270	RC		outpatient			436	436	118.11				percent of total billed charges		436				other	OPPS APC	322.64				percent of total billed charges		436				other	OPPS APC	436				other	OPPS APC	118.11				percent of total billed charges		120.47				percent of total billed charges		436				other	OPPS APC	118.11	436	
CATHETER ANGIOGRAPHIC FRONTRUNNER XP CTO L132 CM L126 CM OD4.5 FR MICROGUIDE STERILE LATEX FREE ACCEPTS 6 FR SHEATH	SUP-MGX39140	CDM			270	RC		inpatient			436	436																																																			
SCREW 5 X 26MM CANNULATED ASNIS	SUP-97-05921	CDM			278	RC		outpatient			435.68	435.68	435.68				fee schedule		435.68				other	OPPS APC	248.34				percent of total billed charges		435.68				other	OPPS APC	435.68				other	OPPS APC	213.48				percent of total billed charges		222.2				percent of total billed charges		435.68				other	OPPS APC	213.48	435.68	
SCREW 5 X 26MM CANNULATED ASNIS	SUP-97-05921	CDM			278	RC		inpatient			435.68	435.68																																																			
SCREW 5 X 34MM CANNULATED PT ASNIS TI	SUP-97-06378	CDM			278	RC		outpatient			435.68	435.68	435.68				fee schedule		435.68				other	OPPS APC	248.34				percent of total billed charges		435.68				other	OPPS APC	435.68				other	OPPS APC	213.48				percent of total billed charges		222.2				percent of total billed charges		435.68				other	OPPS APC	213.48	435.68	
SCREW 5 X 34MM CANNULATED PT ASNIS TI	SUP-97-06378	CDM			278	RC		inpatient			435.68	435.68																																																			
SCREW 5 X 55MM CANNULATED PT ASNIS TI	SUP-97-06379	CDM			278	RC		outpatient			435.68	435.68	435.68				fee schedule		435.68				other	OPPS APC	248.34				percent of total billed charges		435.68				other	OPPS APC	435.68				other	OPPS APC	213.48				percent of total billed charges		222.2				percent of total billed charges		435.68				other	OPPS APC	213.48	435.68	
SCREW 5 X 55MM CANNULATED PT ASNIS TI	SUP-97-06379	CDM			278	RC		inpatient			435.68	435.68																																																			
1.2 MM COUNTERSINK	SUP-97-05069	CDM			272	RC		outpatient			435.12	435.12	117.87				percent of total billed charges		435.12				other	OPPS APC	321.99				percent of total billed charges		435.12				other	OPPS APC	435.12				other	OPPS APC	117.87				percent of total billed charges		120.22				percent of total billed charges		435.12				other	OPPS APC	117.87	435.12	
1.2 MM COUNTERSINK	SUP-97-05069	CDM			272	RC		inpatient			435.12	435.12																																																			
SCREW LOCKING 5.0MM X 36MM	SUP-97-03341	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0MM X 36MM	SUP-97-03341	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW CONICAL EXTRACTION	SUP-97-04516	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW CONICAL EXTRACTION	SUP-97-04516	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0MM X 24MM	SUP-97-04569	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0MM X 24MM	SUP-97-04569	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0MM X 38MM	SUP-97-05271	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0MM X 38MM	SUP-97-05271	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0MM X 40MM	SUP-97-05272	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0MM X 40MM	SUP-97-05272	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0MM X 75MM	SUP-97-05999	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0MM X 75MM	SUP-97-05999	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0 X 55MM	SUP-97-06083	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0 X 55MM	SUP-97-06083	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0 X 60MM	SUP-97-06084	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0 X 60MM	SUP-97-06084	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0 X 70MM	SUP-97-06085	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0 X 70MM	SUP-97-06085	CDM			278	RC		inpatient			434.91	434.91																																																			
SCREW LOCKING 5.0 X 65MM	SUP-97-06438	CDM			278	RC		outpatient			434.91	434.91	434.91				fee schedule		434.91				other	OPPS APC	247.9				percent of total billed charges		434.91				other	OPPS APC	434.91				other	OPPS APC	213.11				percent of total billed charges		221.8				percent of total billed charges		434.91				other	OPPS APC	213.11	434.91	
SCREW LOCKING 5.0 X 65MM	SUP-97-06438	CDM			278	RC		inpatient			434.91	434.91																																																			
KIT C-SECTION	SUP-85-00000	CDM			272	RC		outpatient			434.6	434.62	117.73				percent of total billed charges		434.6				other	OPPS APC	321.6				percent of total billed charges		434.6				other	OPPS APC	434.6				other	OPPS APC	117.73				percent of total billed charges		120.08				percent of total billed charges		434.62				other	OPPS APC	117.73	434.62	
KIT C-SECTION	SUP-85-00000	CDM			272	RC		inpatient			434.6	434.6																																																			
TAP SURGICAL D57 MM L130 MM NONSTERILE 4.5 MM CORTEX 4.5 MM SHAFT SCREW 3.2 MM DRILL BIT LARGE FRAGMENT SET	SUP-311.46	CDM	270010022	LOCAL	270	RC		outpatient			434.5	434.5	117.71				percent of total billed charges		434.5				other	OPPS APC	321.53				percent of total billed charges		434.5				other	OPPS APC	434.5				other	OPPS APC	117.71				percent of total billed charges		120.05				percent of total billed charges		434.5				other	OPPS APC	117.71	434.5	
TAP SURGICAL D57 MM L130 MM NONSTERILE 4.5 MM CORTEX 4.5 MM SHAFT SCREW 3.2 MM DRILL BIT LARGE FRAGMENT SET	SUP-311.46	CDM	270010022	LOCAL	270	RC		inpatient			434.5	434.5																																																			
HC Leukopoor Rbc's	PX-390090160	CDM			390	RC		outpatient			434	189.21	212.66				percent of total billed charges		189.21				other	OPPS APC	321.16				percent of total billed charges		189.21				other	OPPS APC	189.21				other	OPPS APC	212.66				percent of total billed charges		216.91				percent of total billed charges		189.21				other	OPPS APC	189.21	321.16	
HC Leukopoor Rbc's	PX-390090160	CDM			390	RC		inpatient			434	434																																																			
APEX PIN 4X90MM	SUP-97-23816	CDM			278	RC		outpatient			434	434	434				fee schedule		434				other	OPPS APC	247.38				percent of total billed charges		434				other	OPPS APC	434				other	OPPS APC	212.66				percent of total billed charges		221.34				percent of total billed charges		434				other	OPPS APC	212.66	434	
APEX PIN 4X90MM	SUP-97-23816	CDM			278	RC		inpatient			434	434																																																			
TRACKER NAVIGATION NONINVASIVE STERILE LATEX FREE DISPOSABLE	SUP-9734887_71842	CDM			270	RC		outpatient			434	434	117.57				percent of total billed charges		434				other	OPPS APC	321.16				percent of total billed charges		434				other	OPPS APC	434				other	OPPS APC	117.57				percent of total billed charges		119.91				percent of total billed charges		434				other	OPPS APC	117.57	434	
TRACKER NAVIGATION NONINVASIVE STERILE LATEX FREE DISPOSABLE	SUP-9734887_71842	CDM			270	RC		inpatient			434	434																																																			
BALLOON - METACROSS RX 6.0X150	SUP-99-03219	CDM			272	RC		outpatient			434	434	117.57				percent of total billed charges		434				other	OPPS APC	321.16				percent of total billed charges		434				other	OPPS APC	434				other	OPPS APC	117.57				percent of total billed charges		119.91				percent of total billed charges		434				other	OPPS APC	117.57	434	
BALLOON - METACROSS RX 6.0X150	SUP-99-03219	CDM			272	RC		inpatient			434	434																																																			
K-WIRES SMOOTH 3.2MM	SUP-97-03648	CDM			278	RC		outpatient			433.83	433.83	433.83				fee schedule		433.83				other	OPPS APC	247.28				percent of total billed charges		433.83				other	OPPS APC	433.83				other	OPPS APC	212.58				percent of total billed charges		221.25				percent of total billed charges		433.83				other	OPPS APC	212.58	433.83	
K-WIRES SMOOTH 3.2MM	SUP-97-03648	CDM			278	RC		inpatient			433.83	433.83																																																			
GRAFT BONE CANCELLOUS H1-4 MM 15 ML FREEZE DRIED CHIPS	SUP-CAN15	CDM	270010031	LOCAL	270	RC		outpatient			433.68	433.68	117.48				percent of total billed charges		433.68				other	OPPS APC	320.92				percent of total billed charges		433.68				other	OPPS APC	433.68				other	OPPS APC	117.48				percent of total billed charges		119.83				percent of total billed charges		433.68				other	OPPS APC	117.48	433.68	
GRAFT BONE CANCELLOUS H1-4 MM 15 ML FREEZE DRIED CHIPS	SUP-CAN15	CDM	270010031	LOCAL	270	RC		inpatient			433.68	433.68																																																			
HALF HINGE	SUP-97-04180	CDM			278	RC		outpatient			433.16	433.16	433.16				fee schedule		433.16				other	OPPS APC	246.9				percent of total billed charges		433.16				other	OPPS APC	433.16				other	OPPS APC	212.25				percent of total billed charges		220.91				percent of total billed charges		433.16				other	OPPS APC	212.25	433.16	
HALF HINGE	SUP-97-04180	CDM			278	RC		inpatient			433.16	433.16																																																			
ISOPROTERENOL IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) SOLUTION	250000000	CDM	70004-695-31	NDC				inpatient			433.13	433.13																																																			
ISOPROTERENOL IN 0.9 % NACL 200 MCG/50 ML (4 MCG/ML) SOLUTION	250000000	CDM	70004-695-31	NDC				outpatient			433.13	433.13																																															other	OPPS APC			
PATCH CARDIOVASCULAR VASCU-GUARD BOVINE PERICARDIAL TAPER L8 CM X W.8 CM PERIPHERAL APEX PROCESS	SUP-VG0108N	CDM			270	RC		outpatient			432.82	432.82	117.25				percent of total billed charges		432.82				other	OPPS APC	320.29				percent of total billed charges		432.82				other	OPPS APC	432.82				other	OPPS APC	117.25				percent of total billed charges		119.59				percent of total billed charges		432.82				other	OPPS APC	117.25	432.82	
PATCH CARDIOVASCULAR VASCU-GUARD BOVINE PERICARDIAL TAPER L8 CM X W.8 CM PERIPHERAL APEX PROCESS	SUP-VG0108N	CDM			270	RC		inpatient			432.82	432.82																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-713	CDM	270010020	LOCAL	270	RC		outpatient			432.68	432.68	117.21				percent of total billed charges		432.68				other	OPPS APC	320.18				percent of total billed charges		432.68				other	OPPS APC	432.68				other	OPPS APC	117.21				percent of total billed charges		119.55				percent of total billed charges		432.68				other	OPPS APC	117.21	432.68	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-713	CDM	270010020	LOCAL	270	RC		inpatient			432.68	432.68																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-715	CDM	270010013	LOCAL	270	RC		outpatient			432.68	432.68	117.21				percent of total billed charges		432.68				other	OPPS APC	320.18				percent of total billed charges		432.68				other	OPPS APC	432.68				other	OPPS APC	117.21				percent of total billed charges		119.55				percent of total billed charges		432.68				other	OPPS APC	117.21	432.68	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-715	CDM	270010013	LOCAL	270	RC		inpatient			432.68	432.68																																																			
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-716	CDM	270010020	LOCAL	270	RC		outpatient			432.68	432.68	117.21				percent of total billed charges		432.68				other	OPPS APC	320.18				percent of total billed charges		432.68				other	OPPS APC	432.68				other	OPPS APC	117.21				percent of total billed charges		119.55				percent of total billed charges		432.68				other	OPPS APC	117.21	432.68	
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-716	CDM	270010020	LOCAL	270	RC		inpatient			432.68	432.68																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-717	CDM	270010020	LOCAL	270	RC		outpatient			432.68	432.68	117.21				percent of total billed charges		432.68				other	OPPS APC	320.18				percent of total billed charges		432.68				other	OPPS APC	432.68				other	OPPS APC	117.21				percent of total billed charges		119.55				percent of total billed charges		432.68				other	OPPS APC	117.21	432.68	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR FIX ANGLE SELF TAP STERILE GRAY	SUP-876-717	CDM	270010020	LOCAL	270	RC		inpatient			432.68	432.68																																																			
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE GREEN	SUP-876-816	CDM	270010020	LOCAL	270	RC		outpatient			432.68	432.68	117.21				percent of total billed charges		432.68				other	OPPS APC	320.18				percent of total billed charges		432.68				other	OPPS APC	432.68				other	OPPS APC	117.21				percent of total billed charges		119.55				percent of total billed charges		432.68				other	OPPS APC	117.21	432.68	
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE GREEN	SUP-876-816	CDM	270010020	LOCAL	270	RC		inpatient			432.68	432.68																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE GREEN	SUP-876-817	CDM	270010020	LOCAL	270	RC		outpatient			432.68	432.68	117.21				percent of total billed charges		432.68				other	OPPS APC	320.18				percent of total billed charges		432.68				other	OPPS APC	432.68				other	OPPS APC	117.21				percent of total billed charges		119.55				percent of total billed charges		432.68				other	OPPS APC	117.21	432.68	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE GREEN	SUP-876-817	CDM	270010020	LOCAL	270	RC		inpatient			432.68	432.68																																																			
FELT CARDIOVASCULAR THK1.65MM 4X4IN PTFE STERILE	SUP-007836	CDM			270	RC		outpatient			432.6	432.62	117.19				percent of total billed charges		432.6				other	OPPS APC	320.12				percent of total billed charges		432.6				other	OPPS APC	432.6				other	OPPS APC	117.19				percent of total billed charges		119.53				percent of total billed charges		432.62				other	OPPS APC	117.19	432.62	
FELT CARDIOVASCULAR THK1.65MM 4X4IN PTFE STERILE	SUP-007836	CDM			270	RC		inpatient			432.6	432.6																																																			
SCREW 2.8 CORTICAL 18MM	SUP-97-02906	CDM			278	RC		outpatient			432.32	432.32	432.32				fee schedule		432.32				other	OPPS APC	246.42				percent of total billed charges		432.32				other	OPPS APC	432.32				other	OPPS APC	211.84				percent of total billed charges		220.48				percent of total billed charges		432.32				other	OPPS APC	211.84	432.32	
SCREW 2.8 CORTICAL 18MM	SUP-97-02906	CDM			278	RC		inpatient			432.32	432.32																																																			
SCREW 2.8 CORTICAL 22MM	SUP-97-02907	CDM			278	RC		outpatient			432.32	432.32	432.32				fee schedule		432.32				other	OPPS APC	246.42				percent of total billed charges		432.32				other	OPPS APC	432.32				other	OPPS APC	211.84				percent of total billed charges		220.48				percent of total billed charges		432.32				other	OPPS APC	211.84	432.32	
SCREW 2.8 CORTICAL 22MM	SUP-97-02907	CDM			278	RC		inpatient			432.32	432.32																																																			
SCREW 2.8 CORTICAL 20MM	SUP-97-04696	CDM			278	RC		outpatient			432.32	432.32	432.32				fee schedule		432.32				other	OPPS APC	246.42				percent of total billed charges		432.32				other	OPPS APC	432.32				other	OPPS APC	211.84				percent of total billed charges		220.48				percent of total billed charges		432.32				other	OPPS APC	211.84	432.32	
SCREW 2.8 CORTICAL 20MM	SUP-97-04696	CDM			278	RC		inpatient			432.32	432.32																																																			
SCREW 2.4MM VA LCK 12MM SCREWDRIVE	SUP-97-03570	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCREW 2.4MM VA LCK 12MM SCREWDRIVE	SUP-97-03570	CDM			278	RC		inpatient			432.25	432.25																																																			
SCREW 2.4MM VA LCK 16MM SCREWDRIVE	SUP-97-03571	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCREW 2.4MM VA LCK 16MM SCREWDRIVE	SUP-97-03571	CDM			278	RC		inpatient			432.25	432.25																																																			
SCREW 2.4MM VA LCK 20MM SCREWDRIVE	SUP-97-03572	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCREW 2.4MM VA LCK 20MM SCREWDRIVE	SUP-97-03572	CDM			278	RC		inpatient			432.25	432.25																																																			
SCREW 2.4MM VA LCK 18MM SCREWDRIVE	SUP-97-03738	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCREW 2.4MM VA LCK 18MM SCREWDRIVE	SUP-97-03738	CDM			278	RC		inpatient			432.25	432.25																																																			
SCREW 2.4MM VA LCK 22MM SCREWDRIVE	SUP-97-03739	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCREW 2.4MM VA LCK 22MM SCREWDRIVE	SUP-97-03739	CDM			278	RC		inpatient			432.25	432.25																																																			
SCREW 2.4 X 14 MM LKNG	SUP-97-04413	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCREW 2.4 X 14 MM LKNG	SUP-97-04413	CDM			278	RC		inpatient			432.25	432.25																																																			
2.4 X 26MM LKNG SCREW	SUP-97-05039	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
2.4 X 26MM LKNG SCREW	SUP-97-05039	CDM			278	RC		inpatient			432.25	432.25																																																			
SCRW LOCKING STARDRIVE 2.4 X 10MM	SUP-97-06089	CDM			278	RC		outpatient			432.25	432.25	432.25				fee schedule		432.25				other	OPPS APC	246.38				percent of total billed charges		432.25				other	OPPS APC	432.25				other	OPPS APC	211.8				percent of total billed charges		220.45				percent of total billed charges		432.25				other	OPPS APC	211.8	432.25	
SCRW LOCKING STARDRIVE 2.4 X 10MM	SUP-97-06089	CDM			278	RC		inpatient			432.25	432.25																																																			
PLATE BONE MATRIXNEURO TITANIUM Y H.4 MM CRANIAL 5 HOLE RIGID NONSTERILE BLUE	SUP-04.503.067	CDM	270010013	LOCAL	270	RC		outpatient			431.68	431.68	116.94				percent of total billed charges		431.68				other	OPPS APC	319.44				percent of total billed charges		431.68				other	OPPS APC	431.68				other	OPPS APC	116.94				percent of total billed charges		119.27				percent of total billed charges		431.68				other	OPPS APC	116.94	431.68	
PLATE BONE MATRIXNEURO TITANIUM Y H.4 MM CRANIAL 5 HOLE RIGID NONSTERILE BLUE	SUP-04.503.067	CDM	270010013	LOCAL	270	RC		inpatient			431.68	431.68																																																			
PLATE MATRIXNEURO Y 5 HOLE	SUP-04.503.067	CDM	270010013	LOCAL	270	RC		outpatient			431.68	431.68	116.94				percent of total billed charges		431.68				other	OPPS APC	319.44				percent of total billed charges		431.68				other	OPPS APC	431.68				other	OPPS APC	116.94				percent of total billed charges		119.27				percent of total billed charges		431.68				other	OPPS APC	116.94	431.68	
PLATE MATRIXNEURO Y 5 HOLE	SUP-04.503.067	CDM	270010013	LOCAL	270	RC		inpatient			431.68	431.68																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL L15 CM OD4 MM DIAMOND STERILE BURR	SUP-15BA40D	CDM			270	RC		outpatient			431.52	431.52	116.9				percent of total billed charges		431.52				other	OPPS APC	319.32				percent of total billed charges		431.52				other	OPPS APC	431.52				other	OPPS APC	116.9				percent of total billed charges		119.23				percent of total billed charges		431.52				other	OPPS APC	116.9	431.52	
TOOL DISSECTING MIDAS REX LEGEND BALL L15 CM OD4 MM DIAMOND STERILE BURR	SUP-15BA40D	CDM			270	RC		inpatient			431.52	431.52																																																			
SCREW LOCKING ST 3.5 MM X 10MM	SUP-95-02515	CDM			278	RC		outpatient			431.38	431.38	431.38				fee schedule		431.38				other	OPPS APC	245.89				percent of total billed charges		431.38				other	OPPS APC	431.38				other	OPPS APC	211.38				percent of total billed charges		220				percent of total billed charges		431.38				other	OPPS APC	211.38	431.38	
SCREW LOCKING ST 3.5 MM X 10MM	SUP-95-02515	CDM			278	RC		inpatient			431.38	431.38																																																			
3.5 X 28MM SELF TP SCREW	SUP-97-04529	CDM			278	RC		outpatient			431.38	431.38	431.38				fee schedule		431.38				other	OPPS APC	245.89				percent of total billed charges		431.38				other	OPPS APC	431.38				other	OPPS APC	211.38				percent of total billed charges		220				percent of total billed charges		431.38				other	OPPS APC	211.38	431.38	
3.5 X 28MM SELF TP SCREW	SUP-97-04529	CDM			278	RC		inpatient			431.38	431.38																																																			
CAP END FOR ADOLESCENT FEMORAL NAIL 5MM	SUP-04.031.001S	CDM	270010022	LOCAL	270	RC		outpatient			431.2	431.2	116.81				percent of total billed charges		431.2				other	OPPS APC	319.09				percent of total billed charges		431.2				other	OPPS APC	431.2				other	OPPS APC	116.81				percent of total billed charges		119.14				percent of total billed charges		431.2				other	OPPS APC	116.81	431.2	
CAP END FOR ADOLESCENT FEMORAL NAIL 5MM	SUP-04.031.001S	CDM	270010022	LOCAL	270	RC		inpatient			431.2	431.2																																																			
CAP END FOR ADOLESCENT FEMORAL NAIL 10MM	SUP-04.031.002S	CDM	270010022	LOCAL	270	RC		outpatient			431.2	431.2	116.81				percent of total billed charges		431.2				other	OPPS APC	319.09				percent of total billed charges		431.2				other	OPPS APC	431.2				other	OPPS APC	116.81				percent of total billed charges		119.14				percent of total billed charges		431.2				other	OPPS APC	116.81	431.2	
CAP END FOR ADOLESCENT FEMORAL NAIL 10MM	SUP-04.031.002S	CDM	270010022	LOCAL	270	RC		inpatient			431.2	431.2																																																			
SCREW BONE LCP TITANIUM 3.5 MM CONE HEXAGON L18 MM OD5 MM ODSEC4.4 MM FEMUR TIBIA SELF DRILL THREAD NONSTERILE LISS	SUP-422.391	CDM	270010022	LOCAL	270	RC		outpatient			431.2	431.2	116.81				percent of total billed charges		431.2				other	OPPS APC	319.09				percent of total billed charges		431.2				other	OPPS APC	431.2				other	OPPS APC	116.81				percent of total billed charges		119.14				percent of total billed charges		431.2				other	OPPS APC	116.81	431.2	
SCREW BONE LCP TITANIUM 3.5 MM CONE HEXAGON L18 MM OD5 MM ODSEC4.4 MM FEMUR TIBIA SELF DRILL THREAD NONSTERILE LISS	SUP-422.391	CDM	270010022	LOCAL	270	RC		inpatient			431.2	431.2																																																			
SCREW BONE LCP TITANIUM OD4.4 MM L26 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL NONSTERILE LISS	SUP-422.392	CDM	270010022	LOCAL	270	RC		outpatient			431.2	431.2	116.81				percent of total billed charges		431.2				other	OPPS APC	319.09				percent of total billed charges		431.2				other	OPPS APC	431.2				other	OPPS APC	116.81				percent of total billed charges		119.14				percent of total billed charges		431.2				other	OPPS APC	116.81	431.2	
SCREW BONE LCP TITANIUM OD4.4 MM L26 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL NONSTERILE LISS	SUP-422.392	CDM	270010022	LOCAL	270	RC		inpatient			431.2	431.2																																																			
SCREW BONE 40MM 5MM TITANIUM NS FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS	SUP-422.393	CDM	270010022	LOCAL	270	RC		outpatient			431.2	431.2	116.81				percent of total billed charges		431.2				other	OPPS APC	319.09				percent of total billed charges		431.2				other	OPPS APC	431.2				other	OPPS APC	116.81				percent of total billed charges		119.14				percent of total billed charges		431.2				other	OPPS APC	116.81	431.2	
SCREW BONE 40MM 5MM TITANIUM NS FEMUR DISTAL SELF DRILL LOCK THREAD CONICAL HEAD HEXAGONAL LISS	SUP-422.393	CDM	270010022	LOCAL	270	RC		inpatient			431.2	431.2																																																			
DRILL BIT 3.2 X 315 MM	SUP-97-04738	CDM			272	RC		outpatient			430.5	43.5	116.62				percent of total billed charges		430.5				other	OPPS APC	318.57				percent of total billed charges		430.5				other	OPPS APC	430.5				other	OPPS APC	116.62				percent of total billed charges		118.95				percent of total billed charges		43.5				other	OPPS APC	43.5	430.5	
DRILL BIT 3.2 X 315 MM	SUP-97-04738	CDM			272	RC		inpatient			430.5	430.5																																																			
SCREW BONE LCP STAINLESS STEEL L45 MM OD5 MM FEMUR PROXIMAL CANNULATED LOCKING NONSTERILE 4.5 MM ROD	SUP-222.539	CDM	270010022	LOCAL	270	RC		outpatient			430.2	43.2	116.54				percent of total billed charges		430.2				other	OPPS APC	318.35				percent of total billed charges		430.2				other	OPPS APC	430.2				other	OPPS APC	116.54				percent of total billed charges		118.86				percent of total billed charges		43.2				other	OPPS APC	43.2	430.2	
SCREW BONE LCP STAINLESS STEEL L45 MM OD5 MM FEMUR PROXIMAL CANNULATED LOCKING NONSTERILE 4.5 MM ROD	SUP-222.539	CDM	270010022	LOCAL	270	RC		inpatient			430.2	430.2																																																			
PLATE BONE LC-DCP STAINLESS STEEL NARROW L106 MM X W13.5 MM X H4.2 MM 6 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.56	CDM	270010022	LOCAL	270	RC		outpatient			430.2	43.2	116.54				percent of total billed charges		430.2				other	OPPS APC	318.35				percent of total billed charges		430.2				other	OPPS APC	430.2				other	OPPS APC	116.54				percent of total billed charges		118.86				percent of total billed charges		43.2				other	OPPS APC	43.2	430.2	
PLATE BONE LC-DCP STAINLESS STEEL NARROW L106 MM X W13.5 MM X H4.2 MM 6 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.56	CDM	270010022	LOCAL	270	RC		inpatient			430.2	430.2																																																			
PLATE BONE LC-DCP STAINLESS STEEL NARROW L124 MM X W13.5 MM X H4.2 MM 7 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.57	CDM	270010022	LOCAL	270	RC		outpatient			430.2	43.2	116.54				percent of total billed charges		430.2				other	OPPS APC	318.35				percent of total billed charges		430.2				other	OPPS APC	430.2				other	OPPS APC	116.54				percent of total billed charges		118.86				percent of total billed charges		43.2				other	OPPS APC	43.2	430.2	
PLATE BONE LC-DCP STAINLESS STEEL NARROW L124 MM X W13.5 MM X H4.2 MM 7 HOLE NONSTERILE 4.5 MM SCREW LARGE FRAGMENT	SUP-224.57	CDM	270010022	LOCAL	270	RC		inpatient			430.2	430.2																																																			
CABLE CRYOTHERAPY DISPOSABLE STERILE LF ELECTRICAL UMBILICAL	SUP-2035UC	CDM			270	RC		outpatient			430	43	116.49				percent of total billed charges		430				other	OPPS APC	318.2				percent of total billed charges		430				other	OPPS APC	430				other	OPPS APC	116.49				percent of total billed charges		118.81				percent of total billed charges		43				other	OPPS APC	43	430	
CABLE CRYOTHERAPY DISPOSABLE STERILE LF ELECTRICAL UMBILICAL	SUP-2035UC	CDM			270	RC		inpatient			430	430																																																			
DEVICE CLOSURE MYNX CONTROL VCD 5 FRENCH	SUP-MX5060	CDM			270	RC		outpatient			430	43	116.49				percent of total billed charges		430				other	OPPS APC	318.2				percent of total billed charges		430				other	OPPS APC	430				other	OPPS APC	116.49				percent of total billed charges		118.81				percent of total billed charges		43				other	OPPS APC	43	430	
DEVICE CLOSURE MYNX CONTROL VCD 5 FRENCH	SUP-MX5060	CDM			270	RC		inpatient			430	430																																																			
DEVICE CLOSURE MYNX CONTROL VCD 6/7 FRENCH	SUP-MX6760	CDM			270	RC		outpatient			430	43	116.49				percent of total billed charges		430				other	OPPS APC	318.2				percent of total billed charges		430				other	OPPS APC	430				other	OPPS APC	116.49				percent of total billed charges		118.81				percent of total billed charges		43				other	OPPS APC	43	430	
DEVICE CLOSURE MYNX CONTROL VCD 6/7 FRENCH	SUP-MX6760	CDM			270	RC		inpatient			430	430																																																			
WIRE PROTRACK PIGTAIL 0.025 IN DIAMETER 175 CM OVERALL LENGTH	SUP-PTW-25-175	CDM			481	RC		outpatient			430	43	210.7				percent of total billed charges		430				other	OPPS APC	318.2				percent of total billed charges		430				other	OPPS APC	430				other	OPPS APC	210.7				percent of total billed charges		219.3				percent of total billed charges		43				other	OPPS APC	43	430	
WIRE PROTRACK PIGTAIL 0.025 IN DIAMETER 175 CM OVERALL LENGTH	SUP-PTW-25-175	CDM			481	RC		inpatient			430	430																																																			
WIRE PROTRACK PIGTAIL 0.025 IN DIAMETER 230 CM OVERALL LENGTH	SUP-PTW-25-230	CDM			481	RC		outpatient			430	43	210.7				percent of total billed charges		430				other	OPPS APC	318.2				percent of total billed charges		430				other	OPPS APC	430				other	OPPS APC	210.7				percent of total billed charges		219.3				percent of total billed charges		43				other	OPPS APC	43	430	
WIRE PROTRACK PIGTAIL 0.025 IN DIAMETER 230 CM OVERALL LENGTH	SUP-PTW-25-230	CDM			481	RC		inpatient			430	430																																																			
GUIDEWIRE VASCULAR ENROUTE PTFE HYDROPHILIC L5 CM L95 CM L15 CM OD .014 IN RADIOPAQUE	SUP-SR-014-GW	CDM			270	RC		outpatient			430	43	116.49				percent of total billed charges		430				other	OPPS APC	318.2				percent of total billed charges		430				other	OPPS APC	430				other	OPPS APC	116.49				percent of total billed charges		118.81				percent of total billed charges		43				other	OPPS APC	43	430	
GUIDEWIRE VASCULAR ENROUTE PTFE HYDROPHILIC L5 CM L95 CM L15 CM OD .014 IN RADIOPAQUE	SUP-SR-014-GW	CDM			270	RC		inpatient			430	430																																																			
PLATE BONE THINFLAP STERILETRAC 2Y L23 MM CRANIOMAXILLOFACIAL ORAL LOW PROFILE X DRIVE	SUP-SP-2046	CDM			270	RC		outpatient			429.8	429.81	116.43				percent of total billed charges		429.8				other	OPPS APC	318.05				percent of total billed charges		429.8				other	OPPS APC	429.8				other	OPPS APC	116.43				percent of total billed charges		118.75				percent of total billed charges		429.81				other	OPPS APC	116.43	429.81	
PLATE BONE THINFLAP STERILETRAC 2Y L23 MM CRANIOMAXILLOFACIAL ORAL LOW PROFILE X DRIVE	SUP-SP-2046	CDM			270	RC		inpatient			429.8	429.8																																																			
TROCAR AIRSEAL 8/10MM PORT	SUP-95-04754	CDM			272	RC		outpatient			429.57	429.57	116.37				percent of total billed charges		429.57				other	OPPS APC	317.88				percent of total billed charges		429.57				other	OPPS APC	429.57				other	OPPS APC	116.37				percent of total billed charges		118.69				percent of total billed charges		429.57				other	OPPS APC	116.37	429.57	
TROCAR AIRSEAL 8/10MM PORT	SUP-95-04754	CDM			272	RC		inpatient			429.57	429.57																																																			
HC Gft Skin Sub T/a/L <100cm Add 25	PX-761152720	CDM	15272	CPT	761	RC		outpatient			429	429	195.77				case rate		429				other	OPPS APC	317.46				percent of total billed charges		429				other	OPPS APC	429				other	OPPS APC	195.77				case rate		218.79				percent of total billed charges		429				other	OPPS APC	195.77	429	
HC Gft Skin Sub T/a/L <100cm Add 25	PX-761152720	CDM	15272	CPT	761	RC		inpatient			429	429																																																			
ROTAWIRE AND WIRECLIP TORQUER 330CM	SUP-H802228240022	CDM			270	RC		outpatient			429	429	116.22				percent of total billed charges		429				other	OPPS APC	317.46				percent of total billed charges		429				other	OPPS APC	429				other	OPPS APC	116.22				percent of total billed charges		118.53				percent of total billed charges		429				other	OPPS APC	116.22	429	
ROTAWIRE AND WIRECLIP TORQUER 330CM	SUP-H802228240022	CDM			270	RC		inpatient			429	429																																																			
BIPOLAR PROBE 10FR	SUP-95-03094	CDM			272	RC		outpatient			428.75	428.75	116.15				percent of total billed charges		428.75				other	OPPS APC	317.28				percent of total billed charges		428.75				other	OPPS APC	428.75				other	OPPS APC	116.15				percent of total billed charges		118.46				percent of total billed charges		428.75				other	OPPS APC	116.15	428.75	
BIPOLAR PROBE 10FR	SUP-95-03094	CDM			272	RC		inpatient			428.75	428.75																																																			
SCREW 3.0MM LOCKING TI STERNAL 8MM	SUP-413.578E	CDM			270	RC		outpatient			428.6	428.62	116.11				percent of total billed charges		428.6				other	OPPS APC	317.16				percent of total billed charges		428.6				other	OPPS APC	428.6				other	OPPS APC	116.11				percent of total billed charges		118.42				percent of total billed charges		428.62				other	OPPS APC	116.11	428.62	
SCREW 3.0MM LOCKING TI STERNAL 8MM	SUP-413.578E	CDM			270	RC		inpatient			428.6	428.6																																																			
SCREW 3.0MM LOCKING TI STERNAL 24MM	SUP-413.594E	CDM			270	RC		outpatient			428.6	428.62	116.11				percent of total billed charges		428.6				other	OPPS APC	317.16				percent of total billed charges		428.6				other	OPPS APC	428.6				other	OPPS APC	116.11				percent of total billed charges		118.42				percent of total billed charges		428.62				other	OPPS APC	116.11	428.62	
SCREW 3.0MM LOCKING TI STERNAL 24MM	SUP-413.594E	CDM			270	RC		inpatient			428.6	428.6																																																			
IV CATHETER DIFFUSICS - 22G	SUP-95-01678	CDM			272	RC		outpatient			428.58	428.58	116.1				percent of total billed charges		428.58				other	OPPS APC	317.15				percent of total billed charges		428.58				other	OPPS APC	428.58				other	OPPS APC	116.1				percent of total billed charges		118.42				percent of total billed charges		428.58				other	OPPS APC	116.1	428.58	
IV CATHETER DIFFUSICS - 22G	SUP-95-01678	CDM			272	RC		inpatient			428.58	428.58																																																			
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L32 MM L6 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD	SUP-40-30132	CDM			270	RC		outpatient			428.4	428.4	116.05				percent of total billed charges		428.4				other	OPPS APC	317.02				percent of total billed charges		428.4				other	OPPS APC	428.4				other	OPPS APC	116.05				percent of total billed charges		118.37				percent of total billed charges		428.4				other	OPPS APC	116.05	428.4	
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L32 MM L6 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD	SUP-40-30132	CDM			270	RC		inpatient			428.4	428.4																																																			
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L40 MM L8 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD	SUP-40-30140	CDM			270	RC		outpatient			428.4	428.4	116.05				percent of total billed charges		428.4				other	OPPS APC	317.02				percent of total billed charges		428.4				other	OPPS APC	428.4				other	OPPS APC	116.05				percent of total billed charges		118.37				percent of total billed charges		428.4				other	OPPS APC	116.05	428.4	
SCREW BONE ASNIS TITANIUM MICRO REVERSE CUT FLUTE L40 MM L8 MM OD3 MM FOOT HAND SELF CUT CANNULATED COLOR CODED LOW PROFILE HEAD	SUP-40-30140	CDM			270	RC		inpatient			428.4	428.4																																																			
HC Repair Superf.Wound Over 30.0 Cm	PX-450120071	CDM	12007	CPT	450	RC		outpatient			428	428	195.77				case rate		428				other	OPPS APC	316.72				percent of total billed charges		428				other	OPPS APC	428				other	OPPS APC	195.77				case rate		199.69				case rate		428				other	OPPS APC	195.77	428	
HC Repair Superf.Wound Over 30.0 Cm	PX-450120071	CDM	12007	CPT	450	RC		inpatient			428	428																																																			
BUTTON FIXATION TIGHTROPE ROUND OD14 MM ACL ATTACHABLE	SUP-AR-1588TB-1	CDM			270	RC		outpatient			428	428	115.95				percent of total billed charges		428				other	OPPS APC	316.72				percent of total billed charges		428				other	OPPS APC	428				other	OPPS APC	115.95				percent of total billed charges		118.26				percent of total billed charges		428				other	OPPS APC	115.95	428	
BUTTON FIXATION TIGHTROPE ROUND OD14 MM ACL ATTACHABLE	SUP-AR-1588TB-1	CDM			270	RC		inpatient			428	428																																																			
REINFORCEMENT STAPLE LINE PERI-STRIPS DRY VERITAS 6 FIRING GEL TUBE LINEAR STERILE LATEX FREE DISPOSABLE ECHELON 45	SUP-PSD4506ECHV	CDM			270	RC		outpatient			427.97	427.97	115.94				percent of total billed charges		427.97				other	OPPS APC	316.7				percent of total billed charges		427.97				other	OPPS APC	427.97				other	OPPS APC	115.94				percent of total billed charges		118.25				percent of total billed charges		427.97				other	OPPS APC	115.94	427.97	
REINFORCEMENT STAPLE LINE PERI-STRIPS DRY VERITAS 6 FIRING GEL TUBE LINEAR STERILE LATEX FREE DISPOSABLE ECHELON 45	SUP-PSD4506ECHV	CDM			270	RC		inpatient			427.97	427.97																																																			
TAP SURGICAL 34MM 100MM QUICK COUPLING 2.7MM CORTEX SCREW 2MM DRILL BIT	SUP-311.26	CDM	270010022	LOCAL	270	RC		outpatient			427.9	427.9	115.92				percent of total billed charges		427.9				other	OPPS APC	316.65				percent of total billed charges		427.9				other	OPPS APC	427.9				other	OPPS APC	115.92				percent of total billed charges		118.23				percent of total billed charges		427.9				other	OPPS APC	115.92	427.9	
TAP SURGICAL 34MM 100MM QUICK COUPLING 2.7MM CORTEX SCREW 2MM DRILL BIT	SUP-311.26	CDM	270010022	LOCAL	270	RC		inpatient			427.9	427.9																																																			
TAP SURGICAL 46MM 111MM GOLD QUICK COUPLING 3.5MM CORTEX SHAFT SCREW 2.5MM DRILL BIT	SUP-311.32	CDM	270010022	LOCAL	270	RC		outpatient			427.9	427.9	115.92				percent of total billed charges		427.9				other	OPPS APC	316.65				percent of total billed charges		427.9				other	OPPS APC	427.9				other	OPPS APC	115.92				percent of total billed charges		118.23				percent of total billed charges		427.9				other	OPPS APC	115.92	427.9	
TAP SURGICAL 46MM 111MM GOLD QUICK COUPLING 3.5MM CORTEX SHAFT SCREW 2.5MM DRILL BIT	SUP-311.32	CDM	270010022	LOCAL	270	RC		inpatient			427.9	427.9																																																			
INTRODUCER ORTHOPEDIC LONG DIAMOND	SUP-1472	CDM			270	RC		outpatient			427.62	427.62	115.84				percent of total billed charges		427.62				other	OPPS APC	316.44				percent of total billed charges		427.62				other	OPPS APC	427.62				other	OPPS APC	115.84				percent of total billed charges		118.15				percent of total billed charges		427.62				other	OPPS APC	115.84	427.62	
INTRODUCER ORTHOPEDIC LONG DIAMOND	SUP-1472	CDM			270	RC		inpatient			427.62	427.62																																																			
SLEEVE DRILL BONE DISPOSABLE TRUKOR RED 7MM	SUP-72200938	CDM			270	RC		outpatient			427.5	427.5	115.81				percent of total billed charges		427.5				other	OPPS APC	316.35				percent of total billed charges		427.5				other	OPPS APC	427.5				other	OPPS APC	115.81				percent of total billed charges		118.12				percent of total billed charges		427.5				other	OPPS APC	115.81	427.5	
SLEEVE DRILL BONE DISPOSABLE TRUKOR RED 7MM	SUP-72200938	CDM			270	RC		inpatient			427.5	427.5																																																			
SCREW SHAFT T2 5 X 45MM	SUP-97-05640	CDM			278	RC		outpatient			427.35	427.35	427.35				fee schedule		427.35				other	OPPS APC	243.59				percent of total billed charges		427.35				other	OPPS APC	427.35				other	OPPS APC	209.4				percent of total billed charges		217.95				percent of total billed charges		427.35				other	OPPS APC	209.4	427.35	
SCREW SHAFT T2 5 X 45MM	SUP-97-05640	CDM			278	RC		inpatient			427.35	427.35																																																			
PACK DAVINCI UROLOGY	SUP-DYNJ59274	CDM			270	RC		outpatient			427.16	427.16	115.72				percent of total billed charges		427.16				other	OPPS APC	316.1				percent of total billed charges		427.16				other	OPPS APC	427.16				other	OPPS APC	115.72				percent of total billed charges		118.02				percent of total billed charges		427.16				other	OPPS APC	115.72	427.16	
PACK DAVINCI UROLOGY	SUP-DYNJ59274	CDM			270	RC		inpatient			427.16	427.16																																																			
HC Myd88 L265p Gene Mutation Analysis (Myd88)	PX-300813050	CDM	81305	CPT	300	RC		outpatient			427	175.41	209.23				percent of total billed charges		175.4				fee schedule		315.98				percent of total billed charges		175.4				fee schedule		175.4				fee schedule		175.4				fee schedule		175.4				fee schedule		175.41				fee schedule		175.4	315.98	
HC Myd88 L265p Gene Mutation Analysis (Myd88)	PX-300813050	CDM	81305	CPT	300	RC		inpatient			427	427																																																			
TUBE JEJUNAL FEEDING 24FR	SUP-95-02598	CDM			272	RC		outpatient			427	427	115.67				percent of total billed charges		427				other	OPPS APC	315.98				percent of total billed charges		427				other	OPPS APC	427				other	OPPS APC	115.67				percent of total billed charges		117.98				percent of total billed charges		427				other	OPPS APC	115.67	427	
TUBE JEJUNAL FEEDING 24FR	SUP-95-02598	CDM			272	RC		inpatient			427	427																																																			
LOCKING SCREW TITANIUM 3.5MM 40MM	SUP-97-02876	CDM			278	RC		outpatient			427	427	427				fee schedule		427				other	OPPS APC	243.39				percent of total billed charges		427				other	OPPS APC	427				other	OPPS APC	209.23				percent of total billed charges		217.77				percent of total billed charges		427				other	OPPS APC	209.23	427	
LOCKING SCREW TITANIUM 3.5MM 40MM	SUP-97-02876	CDM			278	RC		inpatient			427	427																																																			
LOCKING SCREW TITANIUM 3.5MM 42MM	SUP-97-02877	CDM			278	RC		outpatient			427	427	427				fee schedule		427				other	OPPS APC	243.39				percent of total billed charges		427				other	OPPS APC	427				other	OPPS APC	209.23				percent of total billed charges		217.77				percent of total billed charges		427				other	OPPS APC	209.23	427	
LOCKING SCREW TITANIUM 3.5MM 42MM	SUP-97-02877	CDM			278	RC		inpatient			427	427																																																			
HC Surg Path  Level II	PX-310883050	CDM	88302	CPT	310	RC		outpatient			426	26.29	32.51				fee schedule		26.29				other	OPPS APC	48.93				fee schedule		26.29				other	OPPS APC	26.29				other	OPPS APC	208.74				percent of total billed charges		217.26				percent of total billed charges		26.29				other	OPPS APC	26.29	217.26	
HC Surg Path  Level II	PX-310883050	CDM	88302	CPT	310	RC		inpatient			426	426																																																			
HC Surg Path  Level III	PX-310883051	CDM	88304	CPT	310	RC		outpatient			426	52.81	42.89				fee schedule		52.81				other	OPPS APC	65.15				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	208.74				percent of total billed charges		217.26				percent of total billed charges		52.81				other	OPPS APC	42.89	217.26	
HC Surg Path  Level III	PX-310883051	CDM	88304	CPT	310	RC		inpatient			426	426																																																			
HC Surg Path  Level IV	PX-310883052	CDM	88305	CPT	310	RC		outpatient			426	52.81	97.57				fee schedule		52.81				other	OPPS APC	88.8				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	208.74				percent of total billed charges		217.26				percent of total billed charges		52.81				other	OPPS APC	52.81	217.26	
HC Surg Path  Level IV	PX-310883052	CDM	88305	CPT	310	RC		inpatient			426	426																																																			
HC Surg Path Prostate	PX-310883053	CDM	88305	CPT	310	RC		outpatient			426	341.36	97.57				fee schedule		52.81				other	OPPS APC	88.8				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	208.74				percent of total billed charges		217.26				percent of total billed charges		341.36				other	OPPS APC	52.81	341.36	
HC Surg Path Prostate	PX-310883053	CDM	88305	CPT	310	RC		inpatient			426	426																																																			
HC Ercp	PX-320743301	CDM	74330	CPT	320	RC		outpatient			426	426	426				fee schedule		426				other	OPPS APC	415.3				fee schedule		426				other	OPPS APC	426				other	OPPS APC	208.74				percent of total billed charges		217.26				percent of total billed charges		426				other	OPPS APC	208.74	426	
HC Ercp	PX-320743301	CDM	74330	CPT	320	RC		inpatient			426	426																																																			
HC Basic Dosimetry Calc	PX-333773000	CDM	77300	CPT	333	RC		outpatient			426	14.48	67.72				fee schedule		140.48				other	OPPS APC	204.23				fee schedule		140.48				other	OPPS APC	140.48				other	OPPS APC	65.77				fee schedule		32.94				fee schedule		14.48				other	OPPS APC	14.48	204.23	
HC Basic Dosimetry Calc	PX-333773000	CDM	77300	CPT	333	RC		inpatient			426	426																																																			
HC Eeg - Awake & Drowsy	PX-740958161	CDM	95816	CPT	740	RC		outpatient			426	294.96	359.33				fee schedule		294.96				other	OPPS APC	508.85				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	382.4				fee schedule		217.26				percent of total billed charges		294.96				other	OPPS APC	217.26	508.85	
HC Eeg - Awake & Drowsy	PX-740958161	CDM	95816	CPT	740	RC		inpatient			426	426																																																			
HC Eeg	PX-740958190	CDM	95819	CPT	740	RC		outpatient			426	294.96	410.39				fee schedule		294.96				other	OPPS APC	430.98				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	443.59				fee schedule		217.26				percent of total billed charges		294.96				other	OPPS APC	217.26	443.59	
HC Eeg	PX-740958190	CDM	95819	CPT	740	RC		inpatient			426	426																																																			
PLATE BONE TITANIUM X LOW PROFILE CRANIOMAXILLOFACIAL	SUP-5305630	CDM			270	RC		outpatient			426	426	115.4				percent of total billed charges		426				other	OPPS APC	315.24				percent of total billed charges		426				other	OPPS APC	426				other	OPPS APC	115.4				percent of total billed charges		117.7				percent of total billed charges		426				other	OPPS APC	115.4	426	
PLATE BONE TITANIUM X LOW PROFILE CRANIOMAXILLOFACIAL	SUP-5305630	CDM			270	RC		inpatient			426	426																																																			
PLATE 6 HOLE DOUBLE WIDE	SUP-01-7110	CDM			270	RC		outpatient			425.6	425.62	115.3				percent of total billed charges		425.6				other	OPPS APC	314.94				percent of total billed charges		425.6				other	OPPS APC	425.6				other	OPPS APC	115.3				percent of total billed charges		117.59				percent of total billed charges		425.62				other	OPPS APC	115.3	425.62	
PLATE 6 HOLE DOUBLE WIDE	SUP-01-7110	CDM			270	RC		inpatient			425.6	425.6																																																			
BIT DRILL EVOS OD1.8MM RADIUS DISTAL AO QUICK CONNECT STERILE DISPOSABLE	SUP-71158092	CDM			270	RC		outpatient			425.6	425.62	115.3				percent of total billed charges		425.6				other	OPPS APC	314.94				percent of total billed charges		425.6				other	OPPS APC	425.6				other	OPPS APC	115.3				percent of total billed charges		117.59				percent of total billed charges		425.62				other	OPPS APC	115.3	425.62	
BIT DRILL EVOS OD1.8MM RADIUS DISTAL AO QUICK CONNECT STERILE DISPOSABLE	SUP-71158092	CDM			270	RC		inpatient			425.6	425.6																																																			
BATTERY SURGICAL DRIVER PACK QUICKDRIVE	SUP-6250113	CDM			270	RC		outpatient			425.32	425.32	115.22				percent of total billed charges		425.32				other	OPPS APC	314.74				percent of total billed charges		425.32				other	OPPS APC	425.32				other	OPPS APC	115.22				percent of total billed charges		117.52				percent of total billed charges		425.32				other	OPPS APC	115.22	425.32	
BATTERY SURGICAL DRIVER PACK QUICKDRIVE	SUP-6250113	CDM			270	RC		inpatient			425.32	425.32																																																			
HC Respiratory Motion Mgmt	PX-333772930	CDM	77293	CPT	333	RC		outpatient			425	425	437.39				fee schedule		425				other	OPPS APC	314.5				percent of total billed charges		425				other	OPPS APC	425				other	OPPS APC	413.07				fee schedule		307.53				fee schedule		425				other	OPPS APC	307.53	437.39	
HC Respiratory Motion Mgmt	PX-333772930	CDM	77293	CPT	333	RC		inpatient			425	425																																																			
HC ER Level III	PX-450992831	CDM	99283	CPT	450	RC		outpatient			425	425	195.77				case rate		425				other	OPPS APC	749				case rate		425				other	OPPS APC	425				other	OPPS APC	195.77				case rate		199.69				case rate		425				other	OPPS APC	195.77	749	
HC ER Level III	PX-450992831	CDM	99283	CPT	450	RC		inpatient			425	425																																																			
AQUILEX INFLOW /OUTFLOW TUBE SET	SUP-74-00414	CDM			272	RC		outpatient			424.55	424.55	115.01				percent of total billed charges		424.55				other	OPPS APC	314.17				percent of total billed charges		424.55				other	OPPS APC	424.55				other	OPPS APC	115.01				percent of total billed charges		117.3				percent of total billed charges		424.55				other	OPPS APC	115.01	424.55	
AQUILEX INFLOW /OUTFLOW TUBE SET	SUP-74-00414	CDM			272	RC		inpatient			424.55	424.55																																																			
KOH-EFFICIENT 3.5  RUMI II	SUP-95-04647	CDM			272	RC		outpatient			424.55	424.55	115.01				percent of total billed charges		424.55				other	OPPS APC	314.17				percent of total billed charges		424.55				other	OPPS APC	424.55				other	OPPS APC	115.01				percent of total billed charges		117.3				percent of total billed charges		424.55				other	OPPS APC	115.01	424.55	
KOH-EFFICIENT 3.5  RUMI II	SUP-95-04647	CDM			272	RC		inpatient			424.55	424.55																																																			
SUTURE ENDOSTITCH VLOC 2-0 VLOCA208L	SUP-95-05081	CDM			272	RC		outpatient			424.48	424.48	114.99				percent of total billed charges		424.48				other	OPPS APC	314.12				percent of total billed charges		424.48				other	OPPS APC	424.48				other	OPPS APC	114.99				percent of total billed charges		117.28				percent of total billed charges		424.48				other	OPPS APC	114.99	424.48	
SUTURE ENDOSTITCH VLOC 2-0 VLOCA208L	SUP-95-05081	CDM			272	RC		inpatient			424.48	424.48																																																			
HC Retro Pyleogram	PX-320744200	CDM	74420	CPT	320	RC		outpatient			424	388.42	424				fee schedule		388.04				other	OPPS APC	300.9				fee schedule		388.04				other	OPPS APC	388.04				other	OPPS APC	77.18				fee schedule		52.91				fee schedule		388.42				other	OPPS APC	52.91	424	
HC Retro Pyleogram	PX-320744200	CDM	74420	CPT	320	RC		inpatient			424	424																																																			
Advncd Care Plan 30 Min 99497	PX-988994971	CDM	99497	CPT	988	RC		outpatient			424	424	207.76				percent of total billed charges		424				other	OPPS APC	313.76				percent of total billed charges		424				other	OPPS APC	424				fee schedule		207.76				percent of total billed charges		216.24				percent of total billed charges		424				fee schedule		207.76	424	
Advncd Care Plan 30 Min 99497	PX-988994971	CDM	99497	CPT	988	RC		inpatient			424	424																																																			
BIT DRILL CENTERPIECE TITANIUM L5.5 MM OD1.9 MM TRIFLAT STOP STERILE DISPOSABLE	SUP-8530605	CDM	270010020	LOCAL	270	RC		outpatient			424	424	114.86				percent of total billed charges		424				other	OPPS APC	313.76				percent of total billed charges		424				other	OPPS APC	424				other	OPPS APC	114.86				percent of total billed charges		117.15				percent of total billed charges		424				other	OPPS APC	114.86	424	
BIT DRILL CENTERPIECE TITANIUM L5.5 MM OD1.9 MM TRIFLAT STOP STERILE DISPOSABLE	SUP-8530605	CDM	270010020	LOCAL	270	RC		inpatient			424	424																																																			
KOH-EFFICIENT 3.0  RUMI II	SUP-95-04646	CDM			272	RC		outpatient			423.85	423.85	114.82				percent of total billed charges		423.85				other	OPPS APC	313.65				percent of total billed charges		423.85				other	OPPS APC	423.85				other	OPPS APC	114.82				percent of total billed charges		117.11				percent of total billed charges		423.85				other	OPPS APC	114.82	423.85	
KOH-EFFICIENT 3.0  RUMI II	SUP-95-04646	CDM			272	RC		inpatient			423.85	423.85																																																			
POST OUTRIGGER 30DEG 11MM	SUP-97-06096	CDM			278	RC		outpatient			423.5	423.5	423.5				fee schedule		423.5				other	OPPS APC	241.4				percent of total billed charges		423.5				other	OPPS APC	423.5				other	OPPS APC	207.52				percent of total billed charges		215.99				percent of total billed charges		423.5				other	OPPS APC	207.52	423.5	
POST OUTRIGGER 30DEG 11MM	SUP-97-06096	CDM			278	RC		inpatient			423.5	423.5																																																			
GUIDEWIRE - COMMAND LT 0.18X300CM	SUP-99-04832	CDM			272	RC		outpatient			423.5	423.5	114.73				percent of total billed charges		423.5				other	OPPS APC	313.39				percent of total billed charges		423.5				other	OPPS APC	423.5				other	OPPS APC	114.73				percent of total billed charges		117.01				percent of total billed charges		423.5				other	OPPS APC	114.73	423.5	
GUIDEWIRE - COMMAND LT 0.18X300CM	SUP-99-04832	CDM			272	RC		inpatient			423.5	423.5																																																			
COVER BURR HOLE TITANIUM H.5 MM OD12 MM CRANIOMAXILLOFACIAL LOW PROFILE	SUP-421.525	CDM	270010013	LOCAL	270	RC		outpatient			423.42	423.42	114.7				percent of total billed charges		423.42				other	OPPS APC	313.33				percent of total billed charges		423.42				other	OPPS APC	423.42				other	OPPS APC	114.7				percent of total billed charges		116.99				percent of total billed charges		423.42				other	OPPS APC	114.7	423.42	
COVER BURR HOLE TITANIUM H.5 MM OD12 MM CRANIOMAXILLOFACIAL LOW PROFILE	SUP-421.525	CDM	270010013	LOCAL	270	RC		inpatient			423.42	423.42																																																			
COVER BURR HOLE TITANIUM H.5 MM OD15 MM CRANIOFACIAL 6 HOLE LOW PROFILE NONSTERILE	SUP-421.526	CDM			270	RC		outpatient			423.42	423.42	114.7				percent of total billed charges		423.42				other	OPPS APC	313.33				percent of total billed charges		423.42				other	OPPS APC	423.42				other	OPPS APC	114.7				percent of total billed charges		116.99				percent of total billed charges		423.42				other	OPPS APC	114.7	423.42	
COVER BURR HOLE TITANIUM H.5 MM OD15 MM CRANIOFACIAL 6 HOLE LOW PROFILE NONSTERILE	SUP-421.526	CDM			270	RC		inpatient			423.42	423.42																																																			
COVER BURR HOLE TITANIUM H.5 MM OD17 MM CRANIOMAXILLOFACIAL LOW PROFILE NONSTERILE	SUP-421.527	CDM			270	RC		outpatient			423.42	423.42	114.7				percent of total billed charges		423.42				other	OPPS APC	313.33				percent of total billed charges		423.42				other	OPPS APC	423.42				other	OPPS APC	114.7				percent of total billed charges		116.99				percent of total billed charges		423.42				other	OPPS APC	114.7	423.42	
COVER BURR HOLE TITANIUM H.5 MM OD17 MM CRANIOMAXILLOFACIAL LOW PROFILE NONSTERILE	SUP-421.527	CDM			270	RC		inpatient			423.42	423.42																																																			
COVER BURR HOLE TITANIUM H.5 MM OD24 MM CRANIOFACIAL 6 HOLE LOW PROFILE NONSTERILE	SUP-421.528	CDM	270010013	LOCAL	270	RC		outpatient			423.42	423.42	114.7				percent of total billed charges		423.42				other	OPPS APC	313.33				percent of total billed charges		423.42				other	OPPS APC	423.42				other	OPPS APC	114.7				percent of total billed charges		116.99				percent of total billed charges		423.42				other	OPPS APC	114.7	423.42	
COVER BURR HOLE TITANIUM H.5 MM OD24 MM CRANIOFACIAL 6 HOLE LOW PROFILE NONSTERILE	SUP-421.528	CDM	270010013	LOCAL	270	RC		inpatient			423.42	423.42																																																			
COVER BURR HOLE TITANIUM H.5 MM OD24 MM 6 HOLE LOW PROFILE NONSTERILE	SUP-421.553	CDM	270010013	LOCAL	270	RC		outpatient			423.42	423.42	114.7				percent of total billed charges		423.42				other	OPPS APC	313.33				percent of total billed charges		423.42				other	OPPS APC	423.42				other	OPPS APC	114.7				percent of total billed charges		116.99				percent of total billed charges		423.42				other	OPPS APC	114.7	423.42	
COVER BURR HOLE TITANIUM H.5 MM OD24 MM 6 HOLE LOW PROFILE NONSTERILE	SUP-421.553	CDM	270010013	LOCAL	270	RC		inpatient			423.42	423.42																																																			
COVER BURR HOLE TITANIUM H.5 MM OD17 MM CRANIOMAXILLOFACIAL LOW PROFILE NONSTERILE SHUNT	SUP-421.554	CDM	270010013	LOCAL	270	RC		outpatient			423.42	423.42	114.7				percent of total billed charges		423.42				other	OPPS APC	313.33				percent of total billed charges		423.42				other	OPPS APC	423.42				other	OPPS APC	114.7				percent of total billed charges		116.99				percent of total billed charges		423.42				other	OPPS APC	114.7	423.42	
COVER BURR HOLE TITANIUM H.5 MM OD17 MM CRANIOMAXILLOFACIAL LOW PROFILE NONSTERILE SHUNT	SUP-421.554	CDM	270010013	LOCAL	270	RC		inpatient			423.42	423.42																																																			
HC Echo 2d Limited/Follow-Up	PX-480933080	CDM	93308	CPT	480	RC		outpatient			423	245.95	125.13				fee schedule		245.95				other	OPPS APC	289.62				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	98.23				fee schedule		215.73				percent of total billed charges		245.95				other	OPPS APC	98.23	289.62	
HC Echo 2d Limited/Follow-Up	PX-480933080	CDM	93308	CPT	480	RC		inpatient			423	423																																																			
SHAFT SCREWDRIVER SHORT HEXAGON OD 2.5MM	SUP-71175073	CDM			270	RC		outpatient			422.92	422.92	114.57				percent of total billed charges		422.92				other	OPPS APC	312.96				percent of total billed charges		422.92				other	OPPS APC	422.92				other	OPPS APC	114.57				percent of total billed charges		116.85				percent of total billed charges		422.92				other	OPPS APC	114.57	422.92	
SHAFT SCREWDRIVER SHORT HEXAGON OD 2.5MM	SUP-71175073	CDM			270	RC		inpatient			422.92	422.92																																																			
NEEDLE 1.8MM ASPIRATING	SUP-97-02622	CDM			272	RC		outpatient			422.8	422.81	114.54				percent of total billed charges		422.8				other	OPPS APC	312.87				percent of total billed charges		422.8				other	OPPS APC	422.8				other	OPPS APC	114.54				percent of total billed charges		116.82				percent of total billed charges		422.81				other	OPPS APC	114.54	422.81	
NEEDLE 1.8MM ASPIRATING	SUP-97-02622	CDM			272	RC		inpatient			422.8	422.8																																																			
DRILL FLEXIBLE 1.8MM FIBERTAK	SUP-95-05381	CDM			272	RC		outpatient			422.63	422.63	114.49				percent of total billed charges		422.63				other	OPPS APC	312.75				percent of total billed charges		422.63				other	OPPS APC	422.63				other	OPPS APC	114.49				percent of total billed charges		116.77				percent of total billed charges		422.63				other	OPPS APC	114.49	422.63	
DRILL FLEXIBLE 1.8MM FIBERTAK	SUP-95-05381	CDM			272	RC		inpatient			422.63	422.63																																																			
3.0 X 14 MM NON LKNG SCREW	SUP-97-04842	CDM			278	RC		outpatient			421.75	421.75	421.75				fee schedule		421.75				other	OPPS APC	240.4				percent of total billed charges		421.75				other	OPPS APC	421.75				other	OPPS APC	206.66				percent of total billed charges		215.09				percent of total billed charges		421.75				other	OPPS APC	206.66	421.75	
3.0 X 14 MM NON LKNG SCREW	SUP-97-04842	CDM			278	RC		inpatient			421.75	421.75																																																			
TAP FOR 3.5MM SCREWS AO 70MM	SUP-97-03608	CDM			272	RC		outpatient			421.68	421.68	114.23				percent of total billed charges		421.68				other	OPPS APC	312.04				percent of total billed charges		421.68				other	OPPS APC	421.68				other	OPPS APC	114.23				percent of total billed charges		116.51				percent of total billed charges		421.68				other	OPPS APC	114.23	421.68	
TAP FOR 3.5MM SCREWS AO 70MM	SUP-97-03608	CDM			272	RC		inpatient			421.68	421.68																																																			
DRILL BIT DEPTH MARK QC 2.0 X 110MM	SUP-95-05111	CDM						inpatient			421.26	421.26																																																			
DRILL BIT DEPTH MARK QC 2.0 X 110MM	SUP-95-05111	CDM						outpatient			421.26	421.26	421.26				percent of total billed charges		421.26				other	OPPS APC	421.26				fee schedule		421.26				other	OPPS APC	421.26				other	OPPS APC	421.26				case rate		421.26				case rate		421.26				other	OPPS APC	421.26	421.26	
2.5MM REAMING ROD 650MM-STERILE	SUP-97-04198	CDM			272	RC		outpatient			421.05	421.51	114.06				percent of total billed charges		421.05				other	OPPS APC	311.58				percent of total billed charges		421.05				other	OPPS APC	421.05				other	OPPS APC	114.06				percent of total billed charges		116.34				percent of total billed charges		421.51				other	OPPS APC	114.06	421.51	
2.5MM REAMING ROD 650MM-STERILE	SUP-97-04198	CDM			272	RC		inpatient			421.05	421.05																																																			
HC Layer Closure of Wound 5.1 - 7.5 Cm	PX-450120531	CDM	12053	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Layer Closure of Wound 5.1 - 7.5 Cm	PX-450120531	CDM	12053	CPT	450	RC		inpatient			421	421																																																			
HC Close Treat Humerus Fx W/O Manipulat	PX-450245001	CDM	24500	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Close Treat Humerus Fx W/O Manipulat	PX-450245001	CDM	24500	CPT	450	RC		inpatient			421	421																																																			
HC Treat Close Nursemaid Elbow W/Manip	PX-450246401	CDM	24640	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Treat Close Nursemaid Elbow W/Manip	PX-450246401	CDM	24640	CPT	450	RC		inpatient			421	421																																																			
HC Treat Fx of Ulna W/Manipulation	PX-450255351	CDM	25535	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Treat Fx of Ulna W/Manipulation	PX-450255351	CDM	25535	CPT	450	RC		inpatient			421	421																																																			
HC Treat Hip Dislocation W/O Anes.	PX-450272501	CDM	27250	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Treat Hip Dislocation W/O Anes.	PX-450272501	CDM	27250	CPT	450	RC		inpatient			421	421																																																			
HC Treat Kneecap Dislocation	PX-450275601	CDM	27560	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Treat Kneecap Dislocation	PX-450275601	CDM	27560	CPT	450	RC		inpatient			421	421																																																			
HC Treat of Distal Fibula Fx W/Manipula	PX-450277881	CDM	27788	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Treat of Distal Fibula Fx W/Manipula	PX-450277881	CDM	27788	CPT	450	RC		inpatient			421	421																																																			
HC Trt Ankle Dislocation W/O Anesthesia	PX-450278401	CDM	27840	CPT	450	RC		outpatient			421	421	195.77				case rate		421				other	OPPS APC	311.54				percent of total billed charges		421				other	OPPS APC	421				other	OPPS APC	195.77				case rate		199.69				case rate		421				other	OPPS APC	195.77	421	
HC Trt Ankle Dislocation W/O Anesthesia	PX-450278401	CDM	27840	CPT	450	RC		inpatient			421	421																																																			
SHEATH ACCESS 28 CM 11-13 FR URETEROSCOPIC	SUP-70-00205	CDM			272	RC		outpatient			420.7	42.7	113.97				percent of total billed charges		420.7				other	OPPS APC	311.32				percent of total billed charges		420.7				other	OPPS APC	420.7				other	OPPS APC	113.97				percent of total billed charges		116.24				percent of total billed charges		42.7				other	OPPS APC	42.7	420.7	
SHEATH ACCESS 28 CM 11-13 FR URETEROSCOPIC	SUP-70-00205	CDM			272	RC		inpatient			420.7	420.7																																																			
KIT KNEE PACK DR PETRERA	SUP-85-00007	CDM			272	RC		outpatient			420.7	42.7	113.97				percent of total billed charges		420.7				other	OPPS APC	311.32				percent of total billed charges		420.7				other	OPPS APC	420.7				other	OPPS APC	113.97				percent of total billed charges		116.24				percent of total billed charges		42.7				other	OPPS APC	42.7	420.7	
KIT KNEE PACK DR PETRERA	SUP-85-00007	CDM			272	RC		inpatient			420.7	420.7																																																			
SURGICAL SNOW 4 X 4 LG	SUP-97-00690	CDM			272	RC		outpatient			420.65	42.65	113.95				percent of total billed charges		420.65				other	OPPS APC	311.28				percent of total billed charges		420.65				other	OPPS APC	420.65				other	OPPS APC	113.95				percent of total billed charges		116.23				percent of total billed charges		42.65				other	OPPS APC	42.65	420.65	
SURGICAL SNOW 4 X 4 LG	SUP-97-00690	CDM			272	RC		inpatient			420.65	420.65																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 65MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108265S	CDM			270	RC		outpatient			420.48	42.48	113.91				percent of total billed charges		420.48				other	OPPS APC	311.16				percent of total billed charges		420.48				other	OPPS APC	420.48				other	OPPS APC	113.91				percent of total billed charges		116.18				percent of total billed charges		42.48				other	OPPS APC	42.48	420.48	
SCREW BONE STAINLESS STEEL FULL THREAD L 65MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108265S	CDM			270	RC		inpatient			420.48	420.48																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 70 MM OD 8MM LONG BONE SMALL BONE CANNUALTED STERILE	SUP-71108270S	CDM			270	RC		outpatient			420.48	42.48	113.91				percent of total billed charges		420.48				other	OPPS APC	311.16				percent of total billed charges		420.48				other	OPPS APC	420.48				other	OPPS APC	113.91				percent of total billed charges		116.18				percent of total billed charges		42.48				other	OPPS APC	42.48	420.48	
SCREW BONE STAINLESS STEEL FULL THREAD L 70 MM OD 8MM LONG BONE SMALL BONE CANNUALTED STERILE	SUP-71108270S	CDM			270	RC		inpatient			420.48	420.48																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 75MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108275S	CDM			270	RC		outpatient			420.48	42.48	113.91				percent of total billed charges		420.48				other	OPPS APC	311.16				percent of total billed charges		420.48				other	OPPS APC	420.48				other	OPPS APC	113.91				percent of total billed charges		116.18				percent of total billed charges		42.48				other	OPPS APC	42.48	420.48	
SCREW BONE STAINLESS STEEL FULL THREAD L 75MM OD 8 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71108275S	CDM			270	RC		inpatient			420.48	420.48																																																			
LONE STAR RETRACTOR GYN KIT	SUP-77-00045	CDM			272	RC		outpatient			420.4	42.4	113.89				percent of total billed charges		420.4				other	OPPS APC	311.1				percent of total billed charges		420.4				other	OPPS APC	420.4				other	OPPS APC	113.89				percent of total billed charges		116.16				percent of total billed charges		42.4				other	OPPS APC	42.4	420.4	
LONE STAR RETRACTOR GYN KIT	SUP-77-00045	CDM			272	RC		inpatient			420.4	420.4																																																			
CARBOPROST 250 MCG/ML SOLUTION	250000000	CDM	0009-0856-05	NDC				inpatient			420	420																																																			
CARBOPROST 250 MCG/ML SOLUTION	250000000	CDM	0009-0856-05	NDC				outpatient			420	420																																															other	OPPS APC			
AZACITIDINE 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9606-01	NDC	J9025	HCPCS		inpatient			420	420																																																			
AZACITIDINE 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9606-01	NDC	J9025	HCPCS		outpatient			420	420																																															other	OPPS APC			
TUBING PERFUSION PUMP CUSTOM PRIME PACK LATEX FREE	SUP-5G91R7	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
TUBING PERFUSION PUMP CUSTOM PRIME PACK LATEX FREE	SUP-5G91R7	CDM			270	RC		inpatient			420	420																																																			
ELECTRODE SHORT LOOP 27F	SUP-70-00036	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
ELECTRODE SHORT LOOP 27F	SUP-70-00036	CDM			272	RC		inpatient			420	420																																																			
SEPRAFILM 3X5	SUP-77-00041	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SEPRAFILM 3X5	SUP-77-00041	CDM			272	RC		inpatient			420	420																																																			
PACK ANT BIT 23G	SUP-8065751196	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
PACK ANT BIT 23G	SUP-8065751196	CDM			270	RC		inpatient			420	420																																																			
SHEATH - 16F PEEL-AWAY	SUP-95-04538	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SHEATH - 16F PEEL-AWAY	SUP-95-04538	CDM			272	RC		inpatient			420	420																																																			
SHEATH - 18F PEEL-AWAY	SUP-95-04539	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SHEATH - 18F PEEL-AWAY	SUP-95-04539	CDM			272	RC		inpatient			420	420																																																			
DRILL BIT 2.6MM	SUP-95-04681	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
DRILL BIT 2.6MM	SUP-95-04681	CDM			272	RC		inpatient			420	420																																																			
DRILL BIT 1.6MM	SUP-95-05150	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
DRILL BIT 1.6MM	SUP-95-05150	CDM			272	RC		inpatient			420	420																																																			
DRILL BIT 2.0MM	SUP-95-05151	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
DRILL BIT 2.0MM	SUP-95-05151	CDM			272	RC		inpatient			420	420																																																			
PEG PARTIAL THEARD 2.5X22MM	SUP-97-03425	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
PEG PARTIAL THEARD 2.5X22MM	SUP-97-03425	CDM			278	RC		inpatient			420	420																																																			
NON LOCKING SCREW 3.5X30	SUP-97-03707	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
NON LOCKING SCREW 3.5X30	SUP-97-03707	CDM			278	RC		inpatient			420	420																																																			
NON-LOCKING SCREW 3.5X26	SUP-97-03961	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
NON-LOCKING SCREW 3.5X26	SUP-97-03961	CDM			278	RC		inpatient			420	420																																																			
SCREW R3ON 2.7 X 24MM	SUP-97-04604	CDM			278	RC		outpatient			420	42	205.8				percent of total billed charges		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
SCREW R3ON 2.7 X 24MM	SUP-97-04604	CDM			278	RC		inpatient			420	420																																																			
2.7 X 22 NON LOCKING SCREW	SUP-97-05086	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
2.7 X 22 NON LOCKING SCREW	SUP-97-05086	CDM			278	RC		inpatient			420	420																																																			
2.7 X 15 NONLOCKING SCREW	SUP-97-05087	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
2.7 X 15 NONLOCKING SCREW	SUP-97-05087	CDM			278	RC		inpatient			420	420																																																			
2.7 X 14 NONLOCKING SCREW	SUP-97-05520	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
2.7 X 14 NONLOCKING SCREW	SUP-97-05520	CDM			278	RC		inpatient			420	420																																																			
R3CON NON-LOCKING PLATE SCREW 3.5X34MM	SUP-97-23718	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
R3CON NON-LOCKING PLATE SCREW 3.5X34MM	SUP-97-23718	CDM			278	RC		inpatient			420	420																																																			
R3CON NON-LOCKING PLATE SCREW 3.5X36MM	SUP-97-23733	CDM			278	RC		outpatient			420	42	420				fee schedule		420				other	OPPS APC	239.4				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	205.8				percent of total billed charges		214.2				percent of total billed charges		42				other	OPPS APC	42	420	
R3CON NON-LOCKING PLATE SCREW 3.5X36MM	SUP-97-23733	CDM			278	RC		inpatient			420	420																																																			
CATHETER - STRAIGHT FLUSH 5F X 65	SUP-99-00175	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
CATHETER - STRAIGHT FLUSH 5F X 65	SUP-99-00175	CDM			272	RC		inpatient			420	420																																																			
SHEATH - 16F	SUP-99-00944	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SHEATH - 16F	SUP-99-00944	CDM			272	RC		inpatient			420	420																																																			
SHEATH - 18F	SUP-99-00945	CDM			272	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SHEATH - 18F	SUP-99-00945	CDM			272	RC		inpatient			420	420																																																			
KIT INSTRUMENT TRIM-IT DRILL PIN KIRSCHNER 100MM 2MM DISPOSABLE STERILE BONE TAMP	SUP-AR-4152DS	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
KIT INSTRUMENT TRIM-IT DRILL PIN KIRSCHNER 100MM 2MM DISPOSABLE STERILE BONE TAMP	SUP-AR-4152DS	CDM			270	RC		inpatient			420	420																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P5 CM HIGH PROFILE ROUND OD11.9 CM 400 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20400	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P5 CM HIGH PROFILE ROUND OD11.9 CM 400 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20400	CDM			270	RC		inpatient			420	420																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P5.2 CM HIGH PROFILE ROUND OD12.4 CM 450 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20450	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P5.2 CM HIGH PROFILE ROUND OD12.4 CM 450 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20450	CDM			270	RC		inpatient			420	420																																																			
SIZER IMPLANT NATRELLE SILICONE P3.6 CM XHIGH PROFILE ROUND OD7.4 CM 120 ML BREAST STYLE 45 SMOOTH STERILE	SUP-MSZ20500	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SIZER IMPLANT NATRELLE SILICONE P3.6 CM XHIGH PROFILE ROUND OD7.4 CM 120 ML BREAST STYLE 45 SMOOTH STERILE	SUP-MSZ20500	CDM			270	RC		inpatient			420	420																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P5.7 CM HIGH PROFILE ROUND OD13.8 CM 600 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20600	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P5.7 CM HIGH PROFILE ROUND OD13.8 CM 600 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20600	CDM			270	RC		inpatient			420	420																																																			
SIZER IMPLANT NATRELLE BIOCELL SILICONE P6.2 CM HIGH PROFILE ROUND OD14.5 CM 700 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20700	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SIZER IMPLANT NATRELLE BIOCELL SILICONE P6.2 CM HIGH PROFILE ROUND OD14.5 CM 700 ML BREAST STYLE MSZ20 GEL SMOOTH TEXTURE RESTERILIZABLE STERILE LATEX FREE	SUP-MSZ20700	CDM			270	RC		inpatient			420	420																																																			
SIZER IMPLANT NATRELLE INSPIRA SILICONE P6.7 CM EXTRA FULL PROFILE ROUND OD14.5 CM 750 CC BREAST GEL SMOOTH RESTERILIZABLE	SUP-MSZ-X750	CDM			270	RC		outpatient			420	42	113.78				percent of total billed charges		420				other	OPPS APC	310.8				percent of total billed charges		420				other	OPPS APC	420				other	OPPS APC	113.78				percent of total billed charges		116.05				percent of total billed charges		42				other	OPPS APC	42	420	
SIZER IMPLANT NATRELLE INSPIRA SILICONE P6.7 CM EXTRA FULL PROFILE ROUND OD14.5 CM 750 CC BREAST GEL SMOOTH RESTERILIZABLE	SUP-MSZ-X750	CDM			270	RC		inpatient			420	420																																																			
SIZER GEL 325CC	SUP-SZ20325	CDM						inpatient			420	420																																																			
SIZER GEL 325CC	SUP-SZ20325	CDM						outpatient			420	42	420				percent of total billed charges		420				other	OPPS APC	420				fee schedule		420				other	OPPS APC	420				other	OPPS APC	420				case rate		420				case rate		42				other	OPPS APC	42	420	
GEL SIZER 350CC	SUP-SZ20350	CDM						inpatient			420	420																																																			
GEL SIZER 350CC	SUP-SZ20350	CDM						outpatient			420	42	420				percent of total billed charges		420				other	OPPS APC	420				fee schedule		420				other	OPPS APC	420				other	OPPS APC	420				case rate		420				case rate		42				other	OPPS APC	42	420	
CATHETER SUPPORT CXI STAINLESS STEEL HYDROPHILIC L150 CM OD2.3 FR STRAIGHT TIP BRAID KINK RESISTANT RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE	SUP-G18373	CDM			270	RC		outpatient			419.98	419.98	113.77				percent of total billed charges		419.98				other	OPPS APC	310.79				percent of total billed charges		419.98				other	OPPS APC	419.98				other	OPPS APC	113.77				percent of total billed charges		116.04				percent of total billed charges		419.98				other	OPPS APC	113.77	419.98	
CATHETER SUPPORT CXI STAINLESS STEEL HYDROPHILIC L150 CM OD2.3 FR STRAIGHT TIP BRAID KINK RESISTANT RADIOPAQUE ACCEPTS .014 IN GUIDEWIRE	SUP-G18373	CDM			270	RC		inpatient			419.98	419.98																																																			
PACK PHACO W. LEGACY CASSETTE	SUP-AS4212-35	CDM	270009168	LOCAL	270	RC		outpatient			419.65	419.65	113.68				percent of total billed charges		419.65				other	OPPS APC	310.54				percent of total billed charges		419.65				other	OPPS APC	419.65				other	OPPS APC	113.68				percent of total billed charges		115.95				percent of total billed charges		419.65				other	OPPS APC	113.68	419.65	
PACK PHACO W. LEGACY CASSETTE	SUP-AS4212-35	CDM	270009168	LOCAL	270	RC		inpatient			419.65	419.65																																																			
POST HOFMAN3 ANGLD 30DEG 11MM	SUP-97-03400	CDM			278	RC		outpatient			419.44	419.44	419.44				fee schedule		419.44				other	OPPS APC	239.08				percent of total billed charges		419.44				other	OPPS APC	419.44				other	OPPS APC	205.53				percent of total billed charges		213.91				percent of total billed charges		419.44				other	OPPS APC	205.53	419.44	
POST HOFMAN3 ANGLD 30DEG 11MM	SUP-97-03400	CDM			278	RC		inpatient			419.44	419.44																																																			
PERFORATOR CRANIAL ZYPHR DISPOSABLE LARGE 14/11 MM	SUP-5100-060-001	CDM			270	RC		outpatient			419.34	419.34	113.6				percent of total billed charges		419.34				other	OPPS APC	310.31				percent of total billed charges		419.34				other	OPPS APC	419.34				other	OPPS APC	113.6				percent of total billed charges		115.86				percent of total billed charges		419.34				other	OPPS APC	113.6	419.34	
PERFORATOR CRANIAL ZYPHR DISPOSABLE LARGE 14/11 MM	SUP-5100-060-001	CDM			270	RC		inpatient			419.34	419.34																																																			
CONNECTOR ROD USS TITANIUM STRAIGHT L120 MM OD3.5 MM SPINE THORACOLUMBAR POSTERIOR SET UPPER BAR	SUP-498.125	CDM	270010013	LOCAL	270	RC		outpatient			419.2	419.2	113.56				percent of total billed charges		419.2				other	OPPS APC	310.21				percent of total billed charges		419.2				other	OPPS APC	419.2				other	OPPS APC	113.56				percent of total billed charges		115.82				percent of total billed charges		419.2				other	OPPS APC	113.56	419.2	
CONNECTOR ROD USS TITANIUM STRAIGHT L120 MM OD3.5 MM SPINE THORACOLUMBAR POSTERIOR SET UPPER BAR	SUP-498.125	CDM	270010013	LOCAL	270	RC		inpatient			419.2	419.2																																																			
GUIDE WIRE BALL TIP 3 X 1000	SUP-97-01197	CDM			272	RC		outpatient			418.95	418.95	113.49				percent of total billed charges		418.95				other	OPPS APC	310.02				percent of total billed charges		418.95				other	OPPS APC	418.95				other	OPPS APC	113.49				percent of total billed charges		115.76				percent of total billed charges		418.95				other	OPPS APC	113.49	418.95	
GUIDE WIRE BALL TIP 3 X 1000	SUP-97-01197	CDM			272	RC		inpatient			418.95	418.95																																																			
TAP 4MM CANNULATED WITH CALIBRATIONS AO	SUP-95-04799	CDM			272	RC		outpatient			418.88	418.88	113.47				percent of total billed charges		418.88				other	OPPS APC	309.97				percent of total billed charges		418.88				other	OPPS APC	418.88				other	OPPS APC	113.47				percent of total billed charges		115.74				percent of total billed charges		418.88				other	OPPS APC	113.47	418.88	
TAP 4MM CANNULATED WITH CALIBRATIONS AO	SUP-95-04799	CDM			272	RC		inpatient			418.88	418.88																																																			
SCREW BONE SMALL 3MM 22MM CANNULATED PARTIALLY THREADED SELF-DRILLING/TAPPING STAINLESS STEEL REVERSE CUTTING FLUTE DRILL TIP GUIDEWIRE STERILE	SUP-71103222S	CDM			270	RC		outpatient			418.4	418.4	113.34				percent of total billed charges		418.4				other	OPPS APC	309.62				percent of total billed charges		418.4				other	OPPS APC	418.4				other	OPPS APC	113.34				percent of total billed charges		115.6				percent of total billed charges		418.4				other	OPPS APC	113.34	418.4	
SCREW BONE SMALL 3MM 22MM CANNULATED PARTIALLY THREADED SELF-DRILLING/TAPPING STAINLESS STEEL REVERSE CUTTING FLUTE DRILL TIP GUIDEWIRE STERILE	SUP-71103222S	CDM			270	RC		inpatient			418.4	418.4																																																			
SCREW BONE SMALL 3MM 30MM CANNULATED PARTIALLY THREADED SELF-DRILLING/TAPPING STAINLESS STEEL REVERSE CUTTING FLUTE DRILL TIP GUIDEWIRE	SUP-71103230S	CDM			270	RC		outpatient			418.4	418.4	113.34				percent of total billed charges		418.4				other	OPPS APC	309.62				percent of total billed charges		418.4				other	OPPS APC	418.4				other	OPPS APC	113.34				percent of total billed charges		115.6				percent of total billed charges		418.4				other	OPPS APC	113.34	418.4	
SCREW BONE SMALL 3MM 30MM CANNULATED PARTIALLY THREADED SELF-DRILLING/TAPPING STAINLESS STEEL REVERSE CUTTING FLUTE DRILL TIP GUIDEWIRE	SUP-71103230S	CDM			270	RC		inpatient			418.4	418.4																																																			
BLADE OSTEOTOME FLAT SHORT	SUP-2500-10-750	CDM			270	RC		outpatient			418	418	113.24				percent of total billed charges		418				other	OPPS APC	309.32				percent of total billed charges		418				other	OPPS APC	418				other	OPPS APC	113.24				percent of total billed charges		115.49				percent of total billed charges		418				other	OPPS APC	113.24	418	
BLADE OSTEOTOME FLAT SHORT	SUP-2500-10-750	CDM			270	RC		inpatient			418	418																																																			
BLADE OSTEOTOME RADIAL SHORT	SUP-2500-10-753	CDM			270	RC		outpatient			418	418	113.24				percent of total billed charges		418				other	OPPS APC	309.32				percent of total billed charges		418				other	OPPS APC	418				other	OPPS APC	113.24				percent of total billed charges		115.49				percent of total billed charges		418				other	OPPS APC	113.24	418	
BLADE OSTEOTOME RADIAL SHORT	SUP-2500-10-753	CDM			270	RC		inpatient			418	418																																																			
SPHINCTEROTOME ENDOSCOPIC HUIBREGTSE L200 CM L4 MM OD5 FR 1 LUMEN NEEDLE KNIFE PAPILLOTOME EXPOSED CUTTING WIRE PURPLE ACCEPTS .035 IN GUIDEWIRE	SUP-G22037	CDM			270	RC		outpatient			418	418	113.24				percent of total billed charges		418				other	OPPS APC	309.32				percent of total billed charges		418				other	OPPS APC	418				other	OPPS APC	113.24				percent of total billed charges		115.49				percent of total billed charges		418				other	OPPS APC	113.24	418	
SPHINCTEROTOME ENDOSCOPIC HUIBREGTSE L200 CM L4 MM OD5 FR 1 LUMEN NEEDLE KNIFE PAPILLOTOME EXPOSED CUTTING WIRE PURPLE ACCEPTS .035 IN GUIDEWIRE	SUP-G22037	CDM			270	RC		inpatient			418	418																																																			
STRETCH VL FLEXIMA 4.8 23-30CM	SUP-95-23864	CDM			278	RC		outpatient			417.59	417.59	417.59				fee schedule		417.59				other	OPPS APC	238.03				percent of total billed charges		417.59				other	OPPS APC	417.59				other	OPPS APC	204.62				percent of total billed charges		212.97				percent of total billed charges		417.59				other	OPPS APC	204.62	417.59	
STRETCH VL FLEXIMA 4.8 23-30CM	SUP-95-23864	CDM			278	RC		inpatient			417.59	417.59																																																			
STAPLER INTERNAL PROXIMATE TITANIUM L90 MM X H1.5-2.5 MM H1.5 MM THICK TISSUE 2 ROW LINEAR CUTTER ADJUSTABLE HEAVY WIRE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-TCT10	CDM	270009088	LOCAL	270	RC		outpatient			417.39	417.39	113.07				percent of total billed charges		417.39				other	OPPS APC	308.87				percent of total billed charges		417.39				other	OPPS APC	417.39				other	OPPS APC	113.07				percent of total billed charges		115.32				percent of total billed charges		417.39				other	OPPS APC	113.07	417.39	
STAPLER INTERNAL PROXIMATE TITANIUM L90 MM X H1.5-2.5 MM H1.5 MM THICK TISSUE 2 ROW LINEAR CUTTER ADJUSTABLE HEAVY WIRE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-TCT10	CDM	270009088	LOCAL	270	RC		inpatient			417.39	417.39																																																			
PLATE 6 HOLE DOUBLE WIDE XLONG	SUP-01-7114	CDM			270	RC		outpatient			417.2	417.2	113.02				percent of total billed charges		417.2				other	OPPS APC	308.73				percent of total billed charges		417.2				other	OPPS APC	417.2				other	OPPS APC	113.02				percent of total billed charges		115.27				percent of total billed charges		417.2				other	OPPS APC	113.02	417.2	
PLATE 6 HOLE DOUBLE WIDE XLONG	SUP-01-7114	CDM			270	RC		inpatient			417.2	417.2																																																			
PLATE SQUARE 4 HOLE 12MM	SUP-01-7131	CDM			270	RC		outpatient			417.2	417.2	113.02				percent of total billed charges		417.2				other	OPPS APC	308.73				percent of total billed charges		417.2				other	OPPS APC	417.2				other	OPPS APC	113.02				percent of total billed charges		115.27				percent of total billed charges		417.2				other	OPPS APC	113.02	417.2	
PLATE SQUARE 4 HOLE 12MM	SUP-01-7131	CDM			270	RC		inpatient			417.2	417.2																																																			
HC Repair of Lacertion 2.5cm Mouth/Tong	PX-450412501	CDM	41250	CPT	450	RC		outpatient			417	417	195.77				case rate		417				other	OPPS APC	308.58				percent of total billed charges		417				other	OPPS APC	417				other	OPPS APC	195.77				case rate		199.69				case rate		417				other	OPPS APC	195.77	417	
HC Repair of Lacertion 2.5cm Mouth/Tong	PX-450412501	CDM	41250	CPT	450	RC		inpatient			417	417																																																			
HC Incision and Drainage Abscess Perito	PX-450427001	CDM	42700	CPT	450	RC		outpatient			417	417	195.77				case rate		417				other	OPPS APC	308.58				percent of total billed charges		417				other	OPPS APC	417				other	OPPS APC	195.77				case rate		199.69				case rate		417				other	OPPS APC	195.77	417	
HC Incision and Drainage Abscess Perito	PX-450427001	CDM	42700	CPT	450	RC		inpatient			417	417																																																			
TROCAR AIRSEAL 5/100MM PORT	SUP-95-04753	CDM			272	RC		outpatient			416.72	416.72	112.89				percent of total billed charges		416.72				other	OPPS APC	308.37				percent of total billed charges		416.72				other	OPPS APC	416.72				other	OPPS APC	112.89				percent of total billed charges		115.14				percent of total billed charges		416.72				other	OPPS APC	112.89	416.72	
TROCAR AIRSEAL 5/100MM PORT	SUP-95-04753	CDM			272	RC		inpatient			416.72	416.72																																																			
KIT HIGH FLOW MAC SHEATH INTRODUCER	SUP-95-00199	CDM			272	RC		outpatient			416.71	416.8	112.89				percent of total billed charges		416.71				other	OPPS APC	308.37				percent of total billed charges		416.71				other	OPPS APC	416.71				other	OPPS APC	112.89				percent of total billed charges		115.14				percent of total billed charges		416.8				other	OPPS APC	112.89	416.8	
KIT HIGH FLOW MAC SHEATH INTRODUCER	SUP-95-00199	CDM			272	RC		inpatient			416.71	416.71																																																			
STENT PANCREATIC ADVANIX NAVIFLEX POLYMER PIGTAIL CURVE L5 CM OD5 FR RADIOPAQUE TRAIL ENDO MARKER COLOR CODED NO LEAD BARB STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00537410	CDM			270	RC		outpatient			416.62	416.62	112.86				percent of total billed charges		416.62				other	OPPS APC	308.3				percent of total billed charges		416.62				other	OPPS APC	416.62				other	OPPS APC	112.86				percent of total billed charges		115.11				percent of total billed charges		416.62				other	OPPS APC	112.86	416.62	
STENT PANCREATIC ADVANIX NAVIFLEX POLYMER PIGTAIL CURVE L5 CM OD5 FR RADIOPAQUE TRAIL ENDO MARKER COLOR CODED NO LEAD BARB STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-M00537410	CDM			270	RC		inpatient			416.62	416.62																																																			
STENT PANCREATIC ADVANIX NAVIFLEX DREAMWIRE	SUP-M00537470	CDM			270	RC		outpatient			416.62	416.62	112.86				percent of total billed charges		416.62				other	OPPS APC	308.3				percent of total billed charges		416.62				other	OPPS APC	416.62				other	OPPS APC	112.86				percent of total billed charges		115.11				percent of total billed charges		416.62				other	OPPS APC	112.86	416.62	
STENT PANCREATIC ADVANIX NAVIFLEX DREAMWIRE	SUP-M00537470	CDM			270	RC		inpatient			416.62	416.62																																																			
COUNTERSINK 2.7/3.5MM	SUP-97-02549	CDM			272	RC		outpatient			416.12	416.12	112.73				percent of total billed charges		416.12				other	OPPS APC	307.93				percent of total billed charges		416.12				other	OPPS APC	416.12				other	OPPS APC	112.73				percent of total billed charges		114.97				percent of total billed charges		416.12				other	OPPS APC	112.73	416.12	
COUNTERSINK 2.7/3.5MM	SUP-97-02549	CDM			272	RC		inpatient			416.12	416.12																																																			
Pneumothorax Set Wayne 10.2f	PX-272000015	CDM			272	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	416				fee schedule		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
Pneumothorax Set Wayne 10.2f	PX-272000015	CDM			272	RC		inpatient			416	416																																																			
PLATE SHUNT 18.5MM	SUP-01-7305	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE SHUNT 18.5MM	SUP-01-7305	CDM			270	RC		inpatient			416	416																																																			
PLATE BURR HOLE 13MM	SUP-01-7306	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE BURR HOLE 13MM	SUP-01-7306	CDM			270	RC		inpatient			416	416																																																			
PLATE BONE LORENZ TITANIUM H.5 MM OD22 MM CRANIOMAXILLOFACIAL BURR HOLE 1.5 MM HIGH TORQUE SELF DRILL SCREW	SUP-01-7309	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE BONE LORENZ TITANIUM H.5 MM OD22 MM CRANIOMAXILLOFACIAL BURR HOLE 1.5 MM HIGH TORQUE SELF DRILL SCREW	SUP-01-7309	CDM			270	RC		inpatient			416	416																																																			
PLATE BURR HOLE 25MM	SUP-01-7310	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE BURR HOLE 25MM	SUP-01-7310	CDM			270	RC		inpatient			416	416																																																			
COVER BURR HOLE OD13.5 MM SPINE BENT	SUP-19-1019	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
COVER BURR HOLE OD13.5 MM SPINE BENT	SUP-19-1019	CDM			270	RC		inpatient			416	416																																																			
PLATE BONE THINFLAP TITANIUM L18.5 MM CRANIOMAXILLOFACIAL BURR HOLE	SUP-19-1020	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE BONE THINFLAP TITANIUM L18.5 MM CRANIOMAXILLOFACIAL BURR HOLE	SUP-19-1020	CDM			270	RC		inpatient			416	416																																																			
COVER BURR HOLE THINFLAP BENT H.3 MM OD18.5 MM CRANIOMAXILLOFACIAL STERILE	SUP-19-1020B	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
COVER BURR HOLE THINFLAP BENT H.3 MM OD18.5 MM CRANIOMAXILLOFACIAL STERILE	SUP-19-1020B	CDM			270	RC		inpatient			416	416																																																			
PLATE 24MM BENT BURR HOLE	SUP-19-1021	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE 24MM BENT BURR HOLE	SUP-19-1021	CDM			270	RC		inpatient			416	416																																																			
SCREW STRYKER 2.7MM LOCKING 14MM	SUP-40-27614	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
SCREW STRYKER 2.7MM LOCKING 14MM	SUP-40-27614	CDM			270	RC		inpatient			416	416																																																			
PLATE BURR HOLE 18.5MM W.SLOT	SUP-SP-1863	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE BURR HOLE 18.5MM W.SLOT	SUP-SP-1863	CDM			270	RC		inpatient			416	416																																																			
PLATE SHUNT THINFLAP SMALL	SUP-SP-1941	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE SHUNT THINFLAP SMALL	SUP-SP-1941	CDM			270	RC		inpatient			416	416																																																			
PLATE SHUNT X-DRIVE THINFLAP MEDIUM L18.5 MM SPECIALTY	SUP-SP-1942	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE SHUNT X-DRIVE THINFLAP MEDIUM L18.5 MM SPECIALTY	SUP-SP-1942	CDM			270	RC		inpatient			416	416																																																			
PLATE SHUNT X-DRIVE THINFLAP LARGE L24 MM SPECIALTY	SUP-SP-1943	CDM			270	RC		outpatient			416	416	112.69				percent of total billed charges		416				other	OPPS APC	307.84				percent of total billed charges		416				other	OPPS APC	416				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		416				other	OPPS APC	112.69	416	
PLATE SHUNT X-DRIVE THINFLAP LARGE L24 MM SPECIALTY	SUP-SP-1943	CDM			270	RC		inpatient			416	416																																																			
BLANKET UNDERBODY HUGGER	SUP-95-01211	CDM			272	RC		outpatient			415.98	415.98	112.69				percent of total billed charges		415.98				other	OPPS APC	307.83				percent of total billed charges		415.98				other	OPPS APC	415.98				other	OPPS APC	112.69				percent of total billed charges		114.94				percent of total billed charges		415.98				other	OPPS APC	112.69	415.98	
BLANKET UNDERBODY HUGGER	SUP-95-01211	CDM			272	RC		inpatient			415.98	415.98																																																			
SET GASTROSTOMY PEG24 .035IN 66CM 200CM 12FR DISPOSABLE STERILE JEJUNUM FEEDING TUBE GUIDEWIRE GASTRIC LUMEN	SUP-G22639	CDM			270	RC		outpatient			415.88	415.88	112.66				percent of total billed charges		415.88				other	OPPS APC	307.75				percent of total billed charges		415.88				other	OPPS APC	415.88				other	OPPS APC	112.66				percent of total billed charges		114.91				percent of total billed charges		415.88				other	OPPS APC	112.66	415.88	
SET GASTROSTOMY PEG24 .035IN 66CM 200CM 12FR DISPOSABLE STERILE JEJUNUM FEEDING TUBE GUIDEWIRE GASTRIC LUMEN	SUP-G22639	CDM			270	RC		inpatient			415.88	415.88																																																			
SCREW BONE TITANIUM L36 MM OD4 MM ODSEC3.5 MM HUMERAL SELF CUT TROCAR TIP LOCK HEXAGONAL DRIVER NONSTERILE BLUE INTRAMEDULLARY NAIL	SUP-458.836	CDM	270010022	LOCAL	270	RC		outpatient			415.8	415.81	112.64				percent of total billed charges		415.8				other	OPPS APC	307.69				percent of total billed charges		415.8				other	OPPS APC	415.8				other	OPPS APC	112.64				percent of total billed charges		114.89				percent of total billed charges		415.81				other	OPPS APC	112.64	415.81	
SCREW BONE TITANIUM L36 MM OD4 MM ODSEC3.5 MM HUMERAL SELF CUT TROCAR TIP LOCK HEXAGONAL DRIVER NONSTERILE BLUE INTRAMEDULLARY NAIL	SUP-458.836	CDM	270010022	LOCAL	270	RC		inpatient			415.8	415.8																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L46 MM OD4 MM ODSEC8 MM FEMUR HUMERUS TIBIA DISTAL PROXIMAL 2 LEAD SELF TAP SELF CUT TROCAR TIP LOCK NONSTERILE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM	SUP-458.846	CDM	270010022	LOCAL	270	RC		outpatient			415.8	415.81	112.64				percent of total billed charges		415.8				other	OPPS APC	307.69				percent of total billed charges		415.8				other	OPPS APC	415.8				other	OPPS APC	112.64				percent of total billed charges		114.89				percent of total billed charges		415.81				other	OPPS APC	112.64	415.81	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L46 MM OD4 MM ODSEC8 MM FEMUR HUMERUS TIBIA DISTAL PROXIMAL 2 LEAD SELF TAP SELF CUT TROCAR TIP LOCK NONSTERILE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM	SUP-458.846	CDM	270010022	LOCAL	270	RC		inpatient			415.8	415.8																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L54 MM OD4 MM ODSEC8 MM FEMUR HUMERUS TIBIA DISTAL PROXIMAL 2 LEAD SELF TAP SELF CUT TROCAR TIP LOCK NONSTERILE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM	SUP-458.854	CDM	270010022	LOCAL	270	RC		outpatient			415.8	415.81	112.64				percent of total billed charges		415.8				other	OPPS APC	307.69				percent of total billed charges		415.8				other	OPPS APC	415.8				other	OPPS APC	112.64				percent of total billed charges		114.89				percent of total billed charges		415.81				other	OPPS APC	112.64	415.81	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L54 MM OD4 MM ODSEC8 MM FEMUR HUMERUS TIBIA DISTAL PROXIMAL 2 LEAD SELF TAP SELF CUT TROCAR TIP LOCK NONSTERILE BLUE CANNULATED INTRAMEDULLARY NAIL SYSTEM	SUP-458.854	CDM	270010022	LOCAL	270	RC		inpatient			415.8	415.8																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L30 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.93	CDM	270010022	LOCAL	270	RC		outpatient			415.8	415.81	112.64				percent of total billed charges		415.8				other	OPPS APC	307.69				percent of total billed charges		415.8				other	OPPS APC	415.8				other	OPPS APC	112.64				percent of total billed charges		114.89				percent of total billed charges		415.81				other	OPPS APC	112.64	415.81	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L30 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.93	CDM	270010022	LOCAL	270	RC		inpatient			415.8	415.8																																																			
SCREW BONE 5MM 8MM 30MM EXPERT TITANIUM 3.5MM FULL THREAD BLUNT HEXAGON FEMUR TIBIA	SUP-458.930	CDM						inpatient			415.8	415.8																																																			
SCREW BONE 5MM 8MM 30MM EXPERT TITANIUM 3.5MM FULL THREAD BLUNT HEXAGON FEMUR TIBIA	SUP-458.930	CDM						outpatient			415.8	415.81	415.8				percent of total billed charges		415.8				other	OPPS APC	415.8				fee schedule		415.8				other	OPPS APC	415.8				other	OPPS APC	415.8				case rate		415.8				case rate		415.81				other	OPPS APC	415.8	415.81	
SCREW BONE TITANIUM FULL THREAD L40 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.94	CDM	270010022	LOCAL	270	RC		outpatient			415.8	415.81	112.64				percent of total billed charges		415.8				other	OPPS APC	307.69				percent of total billed charges		415.8				other	OPPS APC	415.8				other	OPPS APC	112.64				percent of total billed charges		114.89				percent of total billed charges		415.81				other	OPPS APC	112.64	415.81	
SCREW BONE TITANIUM FULL THREAD L40 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.94	CDM	270010022	LOCAL	270	RC		inpatient			415.8	415.8																																																			
SCREW BONE 5MM 8MM 40MM TITANIUM FULL THREAD FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL	SUP-458.940	CDM						inpatient			415.8	415.8																																																			
SCREW BONE 5MM 8MM 40MM TITANIUM FULL THREAD FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL	SUP-458.940	CDM						outpatient			415.8	415.81	415.8				percent of total billed charges		415.8				other	OPPS APC	415.8				fee schedule		415.8				other	OPPS APC	415.8				other	OPPS APC	415.8				case rate		415.8				case rate		415.81				other	OPPS APC	415.8	415.81	
SCREW BONE TITANIUM FULL THREAD L50 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.95	CDM	270010022	LOCAL	270	RC		outpatient			415.8	415.81	112.64				percent of total billed charges		415.8				other	OPPS APC	307.69				percent of total billed charges		415.8				other	OPPS APC	415.8				other	OPPS APC	112.64				percent of total billed charges		114.89				percent of total billed charges		415.81				other	OPPS APC	112.64	415.81	
SCREW BONE TITANIUM FULL THREAD L50 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.95	CDM	270010022	LOCAL	270	RC		inpatient			415.8	415.8																																																			
SCREW BONE 5MM 8MM 50MM TITANIUM FULL THREAD FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL	SUP-458.950	CDM						inpatient			415.8	415.8																																																			
SCREW BONE 5MM 8MM 50MM TITANIUM FULL THREAD FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL	SUP-458.950	CDM						outpatient			415.8	415.81	415.8				percent of total billed charges		415.8				other	OPPS APC	415.8				fee schedule		415.8				other	OPPS APC	415.8				other	OPPS APC	415.8				case rate		415.8				case rate		415.81				other	OPPS APC	415.8	415.81	
STAPLER INTERNAL PERI-STRIPS DRY L60 MM 6 LOAD UNIT 3 TUBE STERILE GEL STERILE DISPOSABLE ETHICON ECHELON	SUP-PSD6006ECHV	CDM			270	RC		outpatient			415.5	415.5	112.56				percent of total billed charges		415.5				other	OPPS APC	307.47				percent of total billed charges		415.5				other	OPPS APC	415.5				other	OPPS APC	112.56				percent of total billed charges		114.8				percent of total billed charges		415.5				other	OPPS APC	112.56	415.5	
STAPLER INTERNAL PERI-STRIPS DRY L60 MM 6 LOAD UNIT 3 TUBE STERILE GEL STERILE DISPOSABLE ETHICON ECHELON	SUP-PSD6006ECHV	CDM			270	RC		inpatient			415.5	415.5																																																			
REINFORCEMENT STAPLE LINE PERI-STRIPS DRY VERITAS 6 FIRING 3 GEL TUBE STERILE LATEX FREE DISPOSABLE ENDO GIA 60	SUP-PSD6006UV	CDM			270	RC		outpatient			415.5	415.5	112.56				percent of total billed charges		415.5				other	OPPS APC	307.47				percent of total billed charges		415.5				other	OPPS APC	415.5				other	OPPS APC	112.56				percent of total billed charges		114.8				percent of total billed charges		415.5				other	OPPS APC	112.56	415.5	
REINFORCEMENT STAPLE LINE PERI-STRIPS DRY VERITAS 6 FIRING 3 GEL TUBE STERILE LATEX FREE DISPOSABLE ENDO GIA 60	SUP-PSD6006UV	CDM			270	RC		inpatient			415.5	415.5																																																			
TRIGEN DISPOSABLE EXTRACTOR	SUP-71631320	CDM			270	RC		outpatient			415.44	415.44	112.54				percent of total billed charges		415.44				other	OPPS APC	307.43				percent of total billed charges		415.44				other	OPPS APC	415.44				other	OPPS APC	112.54				percent of total billed charges		114.79				percent of total billed charges		415.44				other	OPPS APC	112.54	415.44	
TRIGEN DISPOSABLE EXTRACTOR	SUP-71631320	CDM			270	RC		inpatient			415.44	415.44																																																			
PLATE BONE UNIVERSAL 2 TITANIUM Y H.8 MM MIDFACE 8 HOLE LOCK 1.7 MM SCREW	SUP-5505779	CDM			270	RC		outpatient			415.2	415.2	112.48				percent of total billed charges		415.2				other	OPPS APC	307.25				percent of total billed charges		415.2				other	OPPS APC	415.2				other	OPPS APC	112.48				percent of total billed charges		114.72				percent of total billed charges		415.2				other	OPPS APC	112.48	415.2	
PLATE BONE UNIVERSAL 2 TITANIUM Y H.8 MM MIDFACE 8 HOLE LOCK 1.7 MM SCREW	SUP-5505779	CDM			270	RC		inpatient			415.2	415.2																																																			
ANCHORAGE FIXATION PIN	SUP-97-04431	CDM			278	RC		outpatient			414.96	414.96	414.96				fee schedule		414.96				other	OPPS APC	236.53				percent of total billed charges		414.96				other	OPPS APC	414.96				other	OPPS APC	203.33				percent of total billed charges		211.63				percent of total billed charges		414.96				other	OPPS APC	203.33	414.96	
ANCHORAGE FIXATION PIN	SUP-97-04431	CDM			278	RC		inpatient			414.96	414.96																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 3 MM 3.5 MM 4 MM L45 MM MEDIUM THICK TISSUE ARTICULATE KNIFE BLADE FIX ANVIL LARGE BUCKET STERILE LATEX FREE DISPOSABLE PURPLE	SUP-EGIA45AMT	CDM			270	RC		outpatient			414.3	414.31	112.23				percent of total billed charges		414.3				other	OPPS APC	306.58				percent of total billed charges		414.3				other	OPPS APC	414.3				other	OPPS APC	112.23				percent of total billed charges		114.47				percent of total billed charges		414.31				other	OPPS APC	112.23	414.31	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 3 MM 3.5 MM 4 MM L45 MM MEDIUM THICK TISSUE ARTICULATE KNIFE BLADE FIX ANVIL LARGE BUCKET STERILE LATEX FREE DISPOSABLE PURPLE	SUP-EGIA45AMT	CDM			270	RC		inpatient			414.3	414.3																																																			
TOOL DISSECTING MIDAS REX LEGEND DIAMOND MATCH HEAD L9 CM OD3 MM BURR	SUP-9MH30D	CDM	270010028	LOCAL	270	RC		outpatient			414.12	414.12	112.19				percent of total billed charges		414.12				other	OPPS APC	306.45				percent of total billed charges		414.12				other	OPPS APC	414.12				other	OPPS APC	112.19				percent of total billed charges		114.42				percent of total billed charges		414.12				other	OPPS APC	112.19	414.12	
TOOL DISSECTING MIDAS REX LEGEND DIAMOND MATCH HEAD L9 CM OD3 MM BURR	SUP-9MH30D	CDM	270010028	LOCAL	270	RC		inpatient			414.12	414.12																																																			
TOOL DISSECTING MR8 DIAMOND MATCH HEAD L9 CM OD3 MM	SUP-MR8-9MH30D	CDM			270	RC		outpatient			414.12	414.12	112.19				percent of total billed charges		414.12				other	OPPS APC	306.45				percent of total billed charges		414.12				other	OPPS APC	414.12				other	OPPS APC	112.19				percent of total billed charges		114.42				percent of total billed charges		414.12				other	OPPS APC	112.19	414.12	
TOOL DISSECTING MR8 DIAMOND MATCH HEAD L9 CM OD3 MM	SUP-MR8-9MH30D	CDM			270	RC		inpatient			414.12	414.12																																																			
CUTTERS25G STAND ALONE	SUP-8065752415	CDM			270	RC		outpatient			414.06	414.6	112.17				percent of total billed charges		414.06				other	OPPS APC	306.4				percent of total billed charges		414.06				other	OPPS APC	414.06				other	OPPS APC	112.17				percent of total billed charges		114.4				percent of total billed charges		414.6				other	OPPS APC	112.17	414.6	
CUTTERS25G STAND ALONE	SUP-8065752415	CDM			270	RC		inpatient			414.06	414.06																																																			
CABLE PLUG	SUP-97-03789	CDM			278	RC		outpatient			413.63	413.63	413.63				fee schedule		413.63				other	OPPS APC	235.77				percent of total billed charges		413.63				other	OPPS APC	413.63				other	OPPS APC	202.68				percent of total billed charges		210.95				percent of total billed charges		413.63				other	OPPS APC	202.68	413.63	
CABLE PLUG	SUP-97-03789	CDM			278	RC		inpatient			413.63	413.63																																																			
BIT DRILL L260 MM L65 MM OD4 MM 3 FLUTED QUICK COUPLING CALIBRATED	SUP-357.407	CDM	270010022	LOCAL	270	RC		outpatient			413.6	413.62	112.04				percent of total billed charges		413.6				other	OPPS APC	306.06				percent of total billed charges		413.6				other	OPPS APC	413.6				other	OPPS APC	112.04				percent of total billed charges		114.28				percent of total billed charges		413.62				other	OPPS APC	112.04	413.62	
BIT DRILL L260 MM L65 MM OD4 MM 3 FLUTED QUICK COUPLING CALIBRATED	SUP-357.407	CDM	270010022	LOCAL	270	RC		inpatient			413.6	413.6																																																			
SET ORTHOPEDIC PELVIS SPIKED DISK NONSTERILE	SUP-398.71	CDM	270010022	LOCAL	270	RC		outpatient			413.6	413.62	112.04				percent of total billed charges		413.6				other	OPPS APC	306.06				percent of total billed charges		413.6				other	OPPS APC	413.6				other	OPPS APC	112.04				percent of total billed charges		114.28				percent of total billed charges		413.62				other	OPPS APC	112.04	413.62	
SET ORTHOPEDIC PELVIS SPIKED DISK NONSTERILE	SUP-398.71	CDM	270010022	LOCAL	270	RC		inpatient			413.6	413.6																																																			
BASKET ZERO TIP 1.9 FR	SUP-M0063901050	CDM			270	RC		outpatient			413.6	413.62	112.04				percent of total billed charges		413.6				other	OPPS APC	306.06				percent of total billed charges		413.6				other	OPPS APC	413.6				other	OPPS APC	112.04				percent of total billed charges		114.28				percent of total billed charges		413.62				other	OPPS APC	112.04	413.62	
BASKET ZERO TIP 1.9 FR	SUP-M0063901050	CDM			270	RC		inpatient			413.6	413.6																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L55 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.433	CDM	270010022	LOCAL	270	RC		outpatient			413.28	413.28	111.96				percent of total billed charges		413.28				other	OPPS APC	305.83				percent of total billed charges		413.28				other	OPPS APC	413.28				other	OPPS APC	111.96				percent of total billed charges		114.19				percent of total billed charges		413.28				other	OPPS APC	111.96	413.28	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L55 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.433	CDM	270010022	LOCAL	270	RC		inpatient			413.28	413.28																																																			
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L75 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.437	CDM	270010022	LOCAL	270	RC		outpatient			413.28	413.28	111.96				percent of total billed charges		413.28				other	OPPS APC	305.83				percent of total billed charges		413.28				other	OPPS APC	413.28				other	OPPS APC	111.96				percent of total billed charges		114.19				percent of total billed charges		413.28				other	OPPS APC	111.96	413.28	
SCREW BONE STAINLESS STEEL HEMISPHERE REVERSE CUT FLUTE L75 MM L32 MM OD6.5 MM ODSEC7.9 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-208.437	CDM	270010022	LOCAL	270	RC		inpatient			413.28	413.28																																																			
STENT 7FR X24 CONTOUR SOFT	SUP-70-00164	CDM			278	RC		outpatient			413.19	413.19	413.19				fee schedule		413.19				other	OPPS APC	235.52				percent of total billed charges		413.19				other	OPPS APC	413.19				other	OPPS APC	202.46				percent of total billed charges		210.73				percent of total billed charges		413.19				other	OPPS APC	202.46	413.19	
STENT 7FR X24 CONTOUR SOFT	SUP-70-00164	CDM			278	RC		inpatient			413.19	413.19																																																			
CATHETER ANGIOGRAPHIC IMPRESS LEGATO HYDROPHILIC .038 IN MPA1 CURVE L100 CM L40 CM OD4 FR ID.04 IN PERIPHERAL MULTIPURPOSE	SUP-410038MPA1-H	CDM			270	RC		outpatient			413	413	111.88				percent of total billed charges		413				other	OPPS APC	305.62				percent of total billed charges		413				other	OPPS APC	413				other	OPPS APC	111.88				percent of total billed charges		114.11				percent of total billed charges		413				other	OPPS APC	111.88	413	
CATHETER ANGIOGRAPHIC IMPRESS LEGATO HYDROPHILIC .038 IN MPA1 CURVE L100 CM L40 CM OD4 FR ID.04 IN PERIPHERAL MULTIPURPOSE	SUP-410038MPA1-H	CDM			270	RC		inpatient			413	413																																																			
SCREW 3MM X 22MM NON LOCKING	SUP-97-04205	CDM			278	RC		outpatient			413	413	413				fee schedule		413				other	OPPS APC	235.41				percent of total billed charges		413				other	OPPS APC	413				other	OPPS APC	202.37				percent of total billed charges		210.63				percent of total billed charges		413				other	OPPS APC	202.37	413	
SCREW 3MM X 22MM NON LOCKING	SUP-97-04205	CDM			278	RC		inpatient			413	413																																																			
ANCHORAGE STANDARD SCREW 3MM X 24MM	SUP-97-04429	CDM			278	RC		outpatient			413	413	413				fee schedule		413				other	OPPS APC	235.41				percent of total billed charges		413				other	OPPS APC	413				other	OPPS APC	202.37				percent of total billed charges		210.63				percent of total billed charges		413				other	OPPS APC	202.37	413	
ANCHORAGE STANDARD SCREW 3MM X 24MM	SUP-97-04429	CDM			278	RC		inpatient			413	413																																																			
3.0 X 10 MM NON LKNG SCREW	SUP-97-04841	CDM			278	RC		outpatient			413	413	413				fee schedule		413				other	OPPS APC	235.41				percent of total billed charges		413				other	OPPS APC	413				other	OPPS APC	202.37				percent of total billed charges		210.63				percent of total billed charges		413				other	OPPS APC	202.37	413	
3.0 X 10 MM NON LKNG SCREW	SUP-97-04841	CDM			278	RC		inpatient			413	413																																																			
PLATE BONE LEVEL ONE TITANIUM CURVE CRANIOFACIAL 3 X 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-32-09	CDM			270	RC		outpatient			412.46	412.46	111.74				percent of total billed charges		412.46				other	OPPS APC	305.22				percent of total billed charges		412.46				other	OPPS APC	412.46				other	OPPS APC	111.74				percent of total billed charges		113.96				percent of total billed charges		412.46				other	OPPS APC	111.74	412.46	
PLATE BONE LEVEL ONE TITANIUM CURVE CRANIOFACIAL 3 X 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-32-09	CDM			270	RC		inpatient			412.46	412.46																																																			
FORCEPS SURGICAL MICRO OD27 GA EXTEND WIDE GRIP STERILE DISPOSABLE	SUP-1286.WRD04	CDM			270	RC		outpatient			412.4	412.4	111.72				percent of total billed charges		412.4				other	OPPS APC	305.18				percent of total billed charges		412.4				other	OPPS APC	412.4				other	OPPS APC	111.72				percent of total billed charges		113.95				percent of total billed charges		412.4				other	OPPS APC	111.72	412.4	
FORCEPS SURGICAL MICRO OD27 GA EXTEND WIDE GRIP STERILE DISPOSABLE	SUP-1286.WRD04	CDM			270	RC		inpatient			412.4	412.4																																																			
SUTURE VLOC 180 VLOCA006L	SUP-74-00305	CDM			272	RC		outpatient			412.34	412.34	111.7				percent of total billed charges		412.34				other	OPPS APC	305.13				percent of total billed charges		412.34				other	OPPS APC	412.34				other	OPPS APC	111.7				percent of total billed charges		113.93				percent of total billed charges		412.34				other	OPPS APC	111.7	412.34	
SUTURE VLOC 180 VLOCA006L	SUP-74-00305	CDM			272	RC		inpatient			412.34	412.34																																																			
TOOTH PROTECTOR	SUP-97-00266	CDM			271	RC		outpatient			412.34	412.34	111.7				percent of total billed charges		412.34				other	OPPS APC	305.13				percent of total billed charges		412.34				other	OPPS APC	412.34				other	OPPS APC	111.7				percent of total billed charges		113.93				percent of total billed charges		412.34				other	OPPS APC	111.7	412.34	
TOOTH PROTECTOR	SUP-97-00266	CDM			271	RC		inpatient			412.34	412.34																																																			
SCREW LOCKING 4.0MM X 60MM	SUP-97-01355	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 60MM	SUP-97-01355	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 30MM	SUP-97-01360	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 30MM	SUP-97-01360	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 80MM	SUP-97-01361	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 80MM	SUP-97-01361	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4MM X 50MM	SUP-97-01589	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4MM X 50MM	SUP-97-01589	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 40MM	SUP-97-01590	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 40MM	SUP-97-01590	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 75MM	SUP-97-02401	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 75MM	SUP-97-02401	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4 X 46MM	SUP-97-02557	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4 X 46MM	SUP-97-02557	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 24MM	SUP-97-02558	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 24MM	SUP-97-02558	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0 X 55MM	SUP-97-02559	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0 X 55MM	SUP-97-02559	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 22MM	SUP-97-02561	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 22MM	SUP-97-02561	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 44MM	SUP-97-02562	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 44MM	SUP-97-02562	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 70MM	SUP-97-02661	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 70MM	SUP-97-02661	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 65MM	SUP-97-02662	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 65MM	SUP-97-02662	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 32MM	SUP-97-02663	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 32MM	SUP-97-02663	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 42MM	SUP-97-03851	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 42MM	SUP-97-03851	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4.0MM X 26MM	SUP-97-03998	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4.0MM X 26MM	SUP-97-03998	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4 X 14MM	SUP-97-04173	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4 X 14MM	SUP-97-04173	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW LOCKING 4 X 18MM	SUP-97-06093	CDM			278	RC		outpatient			412.3	412.31	412.3				fee schedule		412.3				other	OPPS APC	235.01				percent of total billed charges		412.3				other	OPPS APC	412.3				other	OPPS APC	202.03				percent of total billed charges		210.27				percent of total billed charges		412.31				other	OPPS APC	202.03	412.31	
SCREW LOCKING 4 X 18MM	SUP-97-06093	CDM			278	RC		inpatient			412.3	412.3																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 22MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.722	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 22MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.722	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 24MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.724	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 24MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.724	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 26MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.726	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 26MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.726	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L28 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.728	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L28 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.728	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L34 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.734	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L34 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.734	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 36MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.736	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 36MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.736	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 38MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.738	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 38MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.738	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 42MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.742	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 42MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.742	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 44MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.744	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 44MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.744	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD 46MM 4.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL LG HEXAGONAL	SUP-214.746	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD 46MM 4.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL LG HEXAGONAL	SUP-214.746	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L48 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.748	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L48 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.748	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L52 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.752	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L52 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.752	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 54MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.754	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 54MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.754	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 56MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.756	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 56MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.756	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 64MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.764	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 64MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.764	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L68 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.768	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L68 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.768	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L72 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.772	CDM	270010022	LOCAL	270	RC		outpatient			412.28	412.28	111.69				percent of total billed charges		412.28				other	OPPS APC	305.09				percent of total billed charges		412.28				other	OPPS APC	412.28				other	OPPS APC	111.69				percent of total billed charges		113.91				percent of total billed charges		412.28				other	OPPS APC	111.69	412.28	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L72 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.772	CDM	270010022	LOCAL	270	RC		inpatient			412.28	412.28																																																			
SCREW BONE PREMIER TITANIUM L16 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860016	CDM	270010020	LOCAL	270	RC		outpatient			412.16	412.16	111.65				percent of total billed charges		412.16				other	OPPS APC	305				percent of total billed charges		412.16				other	OPPS APC	412.16				other	OPPS APC	111.65				percent of total billed charges		113.88				percent of total billed charges		412.16				other	OPPS APC	111.65	412.16	
SCREW BONE PREMIER TITANIUM L16 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860016	CDM	270010020	LOCAL	270	RC		inpatient			412.16	412.16																																																			
SCREW BONE PREMIER TITANIUM L17 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860017	CDM	270010020	LOCAL	270	RC		outpatient			412.16	412.16	111.65				percent of total billed charges		412.16				other	OPPS APC	305				percent of total billed charges		412.16				other	OPPS APC	412.16				other	OPPS APC	111.65				percent of total billed charges		113.88				percent of total billed charges		412.16				other	OPPS APC	111.65	412.16	
SCREW BONE PREMIER TITANIUM L17 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860017	CDM	270010020	LOCAL	270	RC		inpatient			412.16	412.16																																																			
SCREW BONE PREMIER TITANIUM L18 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860018	CDM	270010020	LOCAL	270	RC		outpatient			412.16	412.16	111.65				percent of total billed charges		412.16				other	OPPS APC	305				percent of total billed charges		412.16				other	OPPS APC	412.16				other	OPPS APC	111.65				percent of total billed charges		113.88				percent of total billed charges		412.16				other	OPPS APC	111.65	412.16	
SCREW BONE PREMIER TITANIUM L18 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860018	CDM	270010020	LOCAL	270	RC		inpatient			412.16	412.16																																																			
SCREW BONE PREMIER TITANIUM L13 MM OD4.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860053	CDM	270010020	LOCAL	270	RC		outpatient			412.16	412.16	111.65				percent of total billed charges		412.16				other	OPPS APC	305				percent of total billed charges		412.16				other	OPPS APC	412.16				other	OPPS APC	111.65				percent of total billed charges		113.88				percent of total billed charges		412.16				other	OPPS APC	111.65	412.16	
SCREW BONE PREMIER TITANIUM L13 MM OD4.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860053	CDM	270010020	LOCAL	270	RC		inpatient			412.16	412.16																																																			
SCREW BONE PREMIER TITANIUM L17 MM OD4.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860057	CDM	270010020	LOCAL	270	RC		outpatient			412.16	412.16	111.65				percent of total billed charges		412.16				other	OPPS APC	305				percent of total billed charges		412.16				other	OPPS APC	412.16				other	OPPS APC	111.65				percent of total billed charges		113.88				percent of total billed charges		412.16				other	OPPS APC	111.65	412.16	
SCREW BONE PREMIER TITANIUM L17 MM OD4.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860057	CDM	270010020	LOCAL	270	RC		inpatient			412.16	412.16																																																			
CAP END 0 MM STERILE RFN-ADVANCED	SUP-04.233.000S	CDM			270	RC		outpatient			412	412	111.61				percent of total billed charges		412				other	OPPS APC	304.88				percent of total billed charges		412				other	OPPS APC	412				other	OPPS APC	111.61				percent of total billed charges		113.84				percent of total billed charges		412				other	OPPS APC	111.61	412	
CAP END 0 MM STERILE RFN-ADVANCED	SUP-04.233.000S	CDM			270	RC		inpatient			412	412																																																			
HC Mlh1 Hypermethylation Analysis	PX-300812880	CDM	81288	CPT	300	RC		outpatient			411.65	192.32	201.71				percent of total billed charges		192.32				fee schedule		303.32				fee schedule		192.32				fee schedule		192.32				fee schedule		192.32				fee schedule		192.32				fee schedule		192.32				fee schedule		192.32	303.32	
HC Mlh1 Hypermethylation Analysis	PX-300812880	CDM	81288	CPT	300	RC		inpatient			411.65	411.65																																																			
MESH SURGICAL 3DMAX POLYPROPYLENE XL 3D CURVE L7 IN X W5 IN GROIN LEFT CONTOUR SEAL EDGE STERILE LAPAROSCOPIC INGUINAL HERNIA REPAIR	SUP-0115312	CDM			270	RC		outpatient			411.6	411.62	111.5				percent of total billed charges		411.6				other	OPPS APC	304.58				percent of total billed charges		411.6				other	OPPS APC	411.6				other	OPPS APC	111.5				percent of total billed charges		113.73				percent of total billed charges		411.62				other	OPPS APC	111.5	411.62	
MESH SURGICAL 3DMAX POLYPROPYLENE XL 3D CURVE L7 IN X W5 IN GROIN LEFT CONTOUR SEAL EDGE STERILE LAPAROSCOPIC INGUINAL HERNIA REPAIR	SUP-0115312	CDM			270	RC		inpatient			411.6	411.6																																																			
MESH SURGICAL 3DMAX POLYPROPYLENE XL 3D CURVE L7 IN X W5 IN GROIN RIGHT CONTOUR SEAL EDGE STERILE LAPAROSCOPIC INGUINAL HERNIA REPAIR	SUP-0115322	CDM			270	RC		outpatient			411.6	411.62	111.5				percent of total billed charges		411.6				other	OPPS APC	304.58				percent of total billed charges		411.6				other	OPPS APC	411.6				other	OPPS APC	111.5				percent of total billed charges		113.73				percent of total billed charges		411.62				other	OPPS APC	111.5	411.62	
MESH SURGICAL 3DMAX POLYPROPYLENE XL 3D CURVE L7 IN X W5 IN GROIN RIGHT CONTOUR SEAL EDGE STERILE LAPAROSCOPIC INGUINAL HERNIA REPAIR	SUP-0115322	CDM			270	RC		inpatient			411.6	411.6																																																			
SPHERE WIRE  THREADED  2.0MM X 72MM	SUP-97-04104	CDM						inpatient			411.25	411.25																																																			
SPHERE WIRE  THREADED  2.0MM X 72MM	SUP-97-04104	CDM						outpatient			411.25	411.25	411.25				percent of total billed charges		411.25				other	OPPS APC	411.25				fee schedule		411.25				other	OPPS APC	411.25				other	OPPS APC	411.25				case rate		411.25				case rate		411.25				other	OPPS APC	411.25	411.25	
GUIDEWIRE - BENSTON ST EXCHANGE	SUP-99-00200	CDM			272	RC		outpatient			411.25	411.25	111.41				percent of total billed charges		411.25				other	OPPS APC	304.33				percent of total billed charges		411.25				other	OPPS APC	411.25				other	OPPS APC	111.41				percent of total billed charges		113.63				percent of total billed charges		411.25				other	OPPS APC	111.41	411.25	
GUIDEWIRE - BENSTON ST EXCHANGE	SUP-99-00200	CDM			272	RC		inpatient			411.25	411.25																																																			
GIA75	SUP-76-00021	CDM			272	RC		outpatient			411.13	411.13	111.38				percent of total billed charges		411.13				other	OPPS APC	304.24				percent of total billed charges		411.13				other	OPPS APC	411.13				other	OPPS APC	111.38				percent of total billed charges		113.6				percent of total billed charges		411.13				other	OPPS APC	111.38	411.13	
GIA75	SUP-76-00021	CDM			272	RC		inpatient			411.13	411.13																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L 60 MM OD 6.5 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106260S	CDM			270	RC		outpatient			411.12	411.12	111.37				percent of total billed charges		411.12				other	OPPS APC	304.23				percent of total billed charges		411.12				other	OPPS APC	411.12				other	OPPS APC	111.37				percent of total billed charges		113.59				percent of total billed charges		411.12				other	OPPS APC	111.37	411.12	
SCREW BONE STAINLESS STEEL FULL THREAD L 60 MM OD 6.5 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106260S	CDM			270	RC		inpatient			411.12	411.12																																																			
SCREW BONE STAINLESS STEEL L 40 MM L 22 MM OD 6.5 MM LONG BONE SMALL BONE CANNUALTED STERILE	SUP-71106540S	CDM			270	RC		outpatient			411.12	411.12	111.37				percent of total billed charges		411.12				other	OPPS APC	304.23				percent of total billed charges		411.12				other	OPPS APC	411.12				other	OPPS APC	111.37				percent of total billed charges		113.59				percent of total billed charges		411.12				other	OPPS APC	111.37	411.12	
SCREW BONE STAINLESS STEEL L 40 MM L 22 MM OD 6.5 MM LONG BONE SMALL BONE CANNUALTED STERILE	SUP-71106540S	CDM			270	RC		inpatient			411.12	411.12																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L 80 MM L 22 MM OD 6.5 MM CANNUALTED STERILE	SUP-71106580S	CDM			270	RC		outpatient			411.12	411.12	111.37				percent of total billed charges		411.12				other	OPPS APC	304.23				percent of total billed charges		411.12				other	OPPS APC	411.12				other	OPPS APC	111.37				percent of total billed charges		113.59				percent of total billed charges		411.12				other	OPPS APC	111.37	411.12	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L 80 MM L 22 MM OD 6.5 MM CANNUALTED STERILE	SUP-71106580S	CDM			270	RC		inpatient			411.12	411.12																																																			
SCREW BONE STAINLESS STEEL L 85MM L 22MM OD 6.5MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106585S	CDM			270	RC		outpatient			411.12	411.12	111.37				percent of total billed charges		411.12				other	OPPS APC	304.23				percent of total billed charges		411.12				other	OPPS APC	411.12				other	OPPS APC	111.37				percent of total billed charges		113.59				percent of total billed charges		411.12				other	OPPS APC	111.37	411.12	
SCREW BONE STAINLESS STEEL L 85MM L 22MM OD 6.5MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106585S	CDM			270	RC		inpatient			411.12	411.12																																																			
SCREW BONE STAINLESS STEEL L 80 MM L 46 MM OD 6.5 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106780S	CDM			270	RC		outpatient			411.12	411.12	111.37				percent of total billed charges		411.12				other	OPPS APC	304.23				percent of total billed charges		411.12				other	OPPS APC	411.12				other	OPPS APC	111.37				percent of total billed charges		113.59				percent of total billed charges		411.12				other	OPPS APC	111.37	411.12	
SCREW BONE STAINLESS STEEL L 80 MM L 46 MM OD 6.5 MM LONG BONE SMALL BONE CANNULATED STERILE	SUP-71106780S	CDM			270	RC		inpatient			411.12	411.12																																																			
HC OP Visit Est 90 Min or >	PX-510992150	CDM	99215	CPT	510	RC		outpatient			411	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit Est 90 Min or >	PX-510992150	CDM	99215	CPT	510	RC		inpatient			411	411																																																			
HC OB Exam Room - Level V	PX-761992151	CDM	99215	CPT	761	RC		outpatient			411	127.29	195.77				case rate		127.29				other	OPPS APC	304.14				percent of total billed charges		127.29				other	OPPS APC	127.29				other	OPPS APC	195.77				case rate		209.61				percent of total billed charges		127.29				other	OPPS APC	127.29	304.14	
HC OB Exam Room - Level V	PX-761992151	CDM	99215	CPT	761	RC		inpatient			411	411																																																			
Office Visit Level 5 Est 99215	PX-988992151	CDM	99215	CPT	988	RC		outpatient			411	14.37	144.2				fee schedule		140.37				fee schedule		304.14				percent of total billed charges		140.37				fee schedule		140.37				fee schedule		141				fee schedule		209.61				percent of total billed charges		14.37				fee schedule		14.37	304.14	
Office Visit Level 5 Est 99215	PX-988992151	CDM	99215	CPT	988	RC		inpatient			411	411																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L55 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.855	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L55 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.855	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE PARTIAL THREAD 70MM 16MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-208.870	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE PARTIAL THREAD 70MM 16MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-208.870	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L75 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.875	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L75 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.875	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L80 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.880	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L80 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.880	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE PARTIAL THREAD 90MM 16MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-208.890	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE PARTIAL THREAD 90MM 16MM 7.3MM 2.9MM SS NS LG BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-208.890	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L95 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.895	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L95 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.895	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L115 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.915	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L115 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.915	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L120 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.92	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L120 MM L16 MM OD7.3 MM LARGE BONE CANNULATED SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD REVERSE CUTTING FLUTE NONSTERILE	SUP-208.92	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW 7.3MM FULL THREADED CANNULATED 20MM	SUP-209.620	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW 7.3MM FULL THREADED CANNULATED 20MM	SUP-209.620	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L30 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.630	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L30 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.630	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L55 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.655	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L55 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.655	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L75 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.675	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L75 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.675	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L80 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.680	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L80 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.680	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L100 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.700	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL FULL THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L100 MM OD7.3 MM ODSEC8.2 MM ID2.9 MM LARGE BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE ACCEPTS 2.8 MM GUIDEWIRE	SUP-209.700	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL L50 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.850	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL L50 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.850	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL 4 MM L55 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.855	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL 4 MM L55 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.855	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL 4 MM L65 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.865	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL 4 MM L65 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.865	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L70 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.870	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L70 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.870	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL 4 MM L75 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.875	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL 4 MM L75 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.875	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L80 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.880	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L80 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.880	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L85 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.885	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L85 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.885	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L90 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.89	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L90 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.89	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L95 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.895	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE STAINLESS STEEL 4 MM PARTIAL THREAD L95 MM L32 MM OD7.3 MM ODSEC8.2 MM LARGE BONE CANNULATED SHAFT LOW PROFILE HEAD SELF DRILLING SELF TAPPING TIP THREADED NONSTERILE	SUP-209.895	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 120MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.920	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 120MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.920	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 130MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.93	CDM	270010022	LOCAL	270	RC		outpatient			410.76	41.76	111.27				percent of total billed charges		410.76				other	OPPS APC	303.96				percent of total billed charges		410.76				other	OPPS APC	410.76				other	OPPS APC	111.27				percent of total billed charges		113.49				percent of total billed charges		41.76				other	OPPS APC	41.76	410.76	
SCREW BONE PARTIAL THREAD REVERSE CUT FLUTE 130MM 32MM 7.3MM 8.2MM 2.9MM SS NS CANNULATED SELF TAP SELF DRILL LG	SUP-209.93	CDM	270010022	LOCAL	270	RC		inpatient			410.76	410.76																																																			
PHENOBARBITAL PER 120 MG	636000000	CDM	0641-0477-21	NDC	J2560	HCPCS		inpatient			410.39	410.39																																																			
PHENOBARBITAL PER 120 MG	636000000	CDM	0641-0477-21	NDC	J2560	HCPCS		outpatient			410.39	410.39																																															other	OPPS APC			
CANNULATOR 90 CURVE	SUP-410141	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
CANNULATOR 90 CURVE	SUP-410141	CDM			275	RC		inpatient			410	410																																																			
CANNULATOR HS	SUP-410142	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
CANNULATOR HS	SUP-410142	CDM			275	RC		inpatient			410	410																																																			
SUBSELECTOR 90 STAND.	SUP-410144	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
SUBSELECTOR 90 STAND.	SUP-410144	CDM			275	RC		inpatient			410	410																																																			
SUBSELECTOR 90 FLEX	SUP-410145	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
SUBSELECTOR 90 FLEX	SUP-410145	CDM			275	RC		inpatient			410	410																																																			
SUBSELECTOR ACUTE	SUP-410146	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
SUBSELECTOR ACUTE	SUP-410146	CDM			275	RC		inpatient			410	410																																																			
SUBSELECTOR OBTUSE	SUP-410147	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
SUBSELECTOR OBTUSE	SUP-410147	CDM			275	RC		inpatient			410	410																																																			
SUBLESECTOR 90 SUPP.	SUP-410148	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
SUBLESECTOR 90 SUPP.	SUP-410148	CDM			275	RC		inpatient			410	410																																																			
BIOSTOP G SIZE 8	SUP-5463-08-00	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
BIOSTOP G SIZE 8	SUP-5463-08-00	CDM			270	RC		inpatient			410	410																																																			
BIOSTOP G 12MM	SUP-5463-12-000	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
BIOSTOP G 12MM	SUP-5463-12-000	CDM			270	RC		inpatient			410	410																																																			
BIOSTOP G SIZE 16	SUP-5463-16-000	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
BIOSTOP G SIZE 16	SUP-5463-16-000	CDM			270	RC		inpatient			410	410																																																			
BIOSTOP G 18	SUP-5463-18-000	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
BIOSTOP G 18	SUP-5463-18-000	CDM			270	RC		inpatient			410	410																																																			
BIOSTOP G 20MM	SUP-5463-20-000	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
BIOSTOP G 20MM	SUP-5463-20-000	CDM			270	RC		inpatient			410	410																																																			
SCREW BONE ORTHOLOC FULL THREAD L30 MM OD3.5 MM CORTICAL ANKLE FOOT 3DI TECHNOLOGY LOW PROFILE SELF TAPPING BRONZE	SUP-58813530	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
SCREW BONE ORTHOLOC FULL THREAD L30 MM OD3.5 MM CORTICAL ANKLE FOOT 3DI TECHNOLOGY LOW PROFILE SELF TAPPING BRONZE	SUP-58813530	CDM			270	RC		inpatient			410	410																																																			
DEVICE CLOSURE ANGIO-SEAL VIP COLLAGEN .035 IN L70 CM OD6 FR VASCULAR VALUELINK GUIDEWIRE INSERTION SHEATH J STRAIGHTENER	SUP-610130	CDM			481	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
DEVICE CLOSURE ANGIO-SEAL VIP COLLAGEN .035 IN L70 CM OD6 FR VASCULAR VALUELINK GUIDEWIRE INSERTION SHEATH J STRAIGHTENER	SUP-610130	CDM			481	RC		inpatient			410	410																																																			
DEVICE CLOSURE ANGIO-SEAL VIP BONDEK-PLUS POLYGLYD L70 CM OD8 FR ODSEC.038 IN VASCULAR HEMOSTATIC BIOABSORBABLE INSERTION SHEATH GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-610131	CDM			481	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
DEVICE CLOSURE ANGIO-SEAL VIP BONDEK-PLUS POLYGLYD L70 CM OD8 FR ODSEC.038 IN VASCULAR HEMOSTATIC BIOABSORBABLE INSERTION SHEATH GUIDEWIRE STERILE LATEX FREE DISPOSABLE	SUP-610131	CDM			481	RC		inpatient			410	410																																																			
5FR VASCADE CLOSURE DEVICE	SUP-700-500DX-05U	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
5FR VASCADE CLOSURE DEVICE	SUP-700-500DX-05U	CDM			270	RC		inpatient			410	410																																																			
6/7FR VASCADE CLOSURE DEVICE	SUP-700-580I-05U	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
6/7FR VASCADE CLOSURE DEVICE	SUP-700-580I-05U	CDM			270	RC		inpatient			410	410																																																			
REAMER SURGICAL OD11 MM CANNULATED COLLAR PIN SET CORING STERILE DISPOSABLE	SUP-AR-1226S	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
REAMER SURGICAL OD11 MM CANNULATED COLLAR PIN SET CORING STERILE DISPOSABLE	SUP-AR-1226S	CDM			270	RC		inpatient			410	410																																																			
SET ENDOSCOPIC INSTRUMENT CHONDRAL DART L9 MM 1 SHOT SHEATH CANNULA DRILL FLAP REPAIR INSERTER STERILE DISPOSABLE	SUP-AR-4009S	CDM			270	RC		outpatient			410	41	111.07				percent of total billed charges		410				other	OPPS APC	303.4				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	111.07				percent of total billed charges		113.28				percent of total billed charges		41				other	OPPS APC	41	410	
SET ENDOSCOPIC INSTRUMENT CHONDRAL DART L9 MM 1 SHOT SHEATH CANNULA DRILL FLAP REPAIR INSERTER STERILE DISPOSABLE	SUP-AR-4009S	CDM			270	RC		inpatient			410	410																																																			
AIM SL	SUP-DS2N021-SERIES	CDM			275	RC		outpatient			410	41	200.9				percent of total billed charges		410				other	OPPS APC	233.7				percent of total billed charges		410				other	OPPS APC	410				other	OPPS APC	200.9				percent of total billed charges		209.1				percent of total billed charges		41				other	OPPS APC	41	410	
AIM SL	SUP-DS2N021-SERIES	CDM			275	RC		inpatient			410	410																																																			
SCREW 2.5 X 14MM POLYAXIAL LOCKING	SUP-97-05723	CDM			278	RC		outpatient			409.5	49.5	409.5				fee schedule		409.5				other	OPPS APC	233.42				percent of total billed charges		409.5				other	OPPS APC	409.5				other	OPPS APC	200.66				percent of total billed charges		208.85				percent of total billed charges		49.5				other	OPPS APC	49.5	409.5	
SCREW 2.5 X 14MM POLYAXIAL LOCKING	SUP-97-05723	CDM			278	RC		inpatient			409.5	409.5																																																			
PLATE BONE EVOS STAINLESS STEEL 12MM SPACE 1/3 TUBULAR L 70MM X W 9.5MM X H 1.5MM 6 HOLE LOCK STERILE 3.5MM SCREW	SUP-72440506	CDM			270	RC		outpatient			409.36	49.36	110.9				percent of total billed charges		409.36				other	OPPS APC	302.93				percent of total billed charges		409.36				other	OPPS APC	409.36				other	OPPS APC	110.9				percent of total billed charges		113.11				percent of total billed charges		49.36				other	OPPS APC	49.36	409.36	
PLATE BONE EVOS STAINLESS STEEL 12MM SPACE 1/3 TUBULAR L 70MM X W 9.5MM X H 1.5MM 6 HOLE LOCK STERILE 3.5MM SCREW	SUP-72440506	CDM			270	RC		inpatient			409.36	409.36																																																			
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L 82 MM X W 9.5MM X H 1.5MM 7 HOLE LOCK STERILE 3.5 MM SCREW	SUP-72440507	CDM			270	RC		outpatient			409.36	49.36	110.9				percent of total billed charges		409.36				other	OPPS APC	302.93				percent of total billed charges		409.36				other	OPPS APC	409.36				other	OPPS APC	110.9				percent of total billed charges		113.11				percent of total billed charges		49.36				other	OPPS APC	49.36	409.36	
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L 82 MM X W 9.5MM X H 1.5MM 7 HOLE LOCK STERILE 3.5 MM SCREW	SUP-72440507	CDM			270	RC		inpatient			409.36	409.36																																																			
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L 94 MM X W 9.5 MM X H 1.5 MM 8 HOLE LOCK STERILE 3.5 MM SCREW	SUP-72440508	CDM			270	RC		outpatient			409.36	49.36	110.9				percent of total billed charges		409.36				other	OPPS APC	302.93				percent of total billed charges		409.36				other	OPPS APC	409.36				other	OPPS APC	110.9				percent of total billed charges		113.11				percent of total billed charges		49.36				other	OPPS APC	49.36	409.36	
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L 94 MM X W 9.5 MM X H 1.5 MM 8 HOLE LOCK STERILE 3.5 MM SCREW	SUP-72440508	CDM			270	RC		inpatient			409.36	409.36																																																			
PLATE BONE EVOS STAINLESS STEEL 12MM SPACE 1/3 TUBULAR L 118MM X W 9.5MM X H 1.5MM 10 HOLE LOCK STERILE 3.5MM SCREW	SUP-72440510	CDM			270	RC		outpatient			409.36	49.36	110.9				percent of total billed charges		409.36				other	OPPS APC	302.93				percent of total billed charges		409.36				other	OPPS APC	409.36				other	OPPS APC	110.9				percent of total billed charges		113.11				percent of total billed charges		49.36				other	OPPS APC	49.36	409.36	
PLATE BONE EVOS STAINLESS STEEL 12MM SPACE 1/3 TUBULAR L 118MM X W 9.5MM X H 1.5MM 10 HOLE LOCK STERILE 3.5MM SCREW	SUP-72440510	CDM			270	RC		inpatient			409.36	409.36																																																			
SNARE ENDOSCOPIC SNAREMASTER SPIRAL L230 CM OD2.8 MM ODSEC20 MM RIDGE WIRE DISPOSABLE	SUP-SD-230U-20	CDM			270	RC		outpatient			409.36	49.36	110.9				percent of total billed charges		409.36				other	OPPS APC	302.93				percent of total billed charges		409.36				other	OPPS APC	409.36				other	OPPS APC	110.9				percent of total billed charges		113.11				percent of total billed charges		49.36				other	OPPS APC	49.36	409.36	
SNARE ENDOSCOPIC SNAREMASTER SPIRAL L230 CM OD2.8 MM ODSEC20 MM RIDGE WIRE DISPOSABLE	SUP-SD-230U-20	CDM			270	RC		inpatient			409.36	409.36																																																			
EENT PRECISION CUTTER	SUP-72-00056	CDM			272	RC		outpatient			409.01	50	110.8				percent of total billed charges		409.01				other	OPPS APC	302.67				percent of total billed charges		409.01				other	OPPS APC	409.01				other	OPPS APC	110.8				percent of total billed charges		113.01				percent of total billed charges		50				other	OPPS APC	50	409.01	
EENT PRECISION CUTTER	SUP-72-00056	CDM			272	RC		inpatient			409.01	409.01																																																			
GUIDE 2.8 THEADED DRILL	SUP-97-01616	CDM			272	RC		outpatient			408.8	48.81	110.74				percent of total billed charges		408.8				other	OPPS APC	302.51				percent of total billed charges		408.8				other	OPPS APC	408.8				other	OPPS APC	110.74				percent of total billed charges		112.95				percent of total billed charges		48.81				other	OPPS APC	48.81	408.8	
GUIDE 2.8 THEADED DRILL	SUP-97-01616	CDM			272	RC		inpatient			408.8	408.8																																																			
BIOF NEEDLE	SUP-79-00081	CDM			272	RC		outpatient			408.7	48.7	110.72				percent of total billed charges		408.7				other	OPPS APC	302.44				percent of total billed charges		408.7				other	OPPS APC	408.7				other	OPPS APC	110.72				percent of total billed charges		112.92				percent of total billed charges		48.7				other	OPPS APC	48.7	408.7	
BIOF NEEDLE	SUP-79-00081	CDM			272	RC		inpatient			408.7	408.7																																																			
BIOF NEEDLE	SUP-97-01863	CDM			272	RC		outpatient			408.7	48.7	110.72				percent of total billed charges		408.7				other	OPPS APC	302.44				percent of total billed charges		408.7				other	OPPS APC	408.7				other	OPPS APC	110.72				percent of total billed charges		112.92				percent of total billed charges		48.7				other	OPPS APC	48.7	408.7	
BIOF NEEDLE	SUP-97-01863	CDM			272	RC		inpatient			408.7	408.7																																																			
NEEDLE ORO TRACHEAL INJECTOR	SUP-97-00287	CDM			272	RC		outpatient			408.52	48.52	110.67				percent of total billed charges		408.52				other	OPPS APC	302.3				percent of total billed charges		408.52				other	OPPS APC	408.52				other	OPPS APC	110.67				percent of total billed charges		112.87				percent of total billed charges		48.52				other	OPPS APC	48.52	408.52	
NEEDLE ORO TRACHEAL INJECTOR	SUP-97-00287	CDM			272	RC		inpatient			408.52	408.52																																																			
SCREW  LOCKING 2.7MM 8MM	SUP-97-04086	CDM			278	RC		outpatient			408.14	48.14	408.14				fee schedule		408.14				other	OPPS APC	232.64				percent of total billed charges		408.14				other	OPPS APC	408.14				other	OPPS APC	199.99				percent of total billed charges		208.15				percent of total billed charges		48.14				other	OPPS APC	48.14	408.14	
SCREW  LOCKING 2.7MM 8MM	SUP-97-04086	CDM			278	RC		inpatient			408.14	408.14																																																			
2.7MM LKG SCREW SLFTPING T8 12MM	SUP-97-04829	CDM			278	RC		outpatient			408.14	48.14	408.14				fee schedule		408.14				other	OPPS APC	232.64				percent of total billed charges		408.14				other	OPPS APC	408.14				other	OPPS APC	199.99				percent of total billed charges		208.15				percent of total billed charges		48.14				other	OPPS APC	48.14	408.14	
2.7MM LKG SCREW SLFTPING T8 12MM	SUP-97-04829	CDM			278	RC		inpatient			408.14	408.14																																																			
SCREW BONE LEOS 2.7MM 14MM NON-LOCKING	SUP-7620-2714	CDM			270	RC		outpatient			408	48	110.53				percent of total billed charges		408				other	OPPS APC	301.92				percent of total billed charges		408				other	OPPS APC	408				other	OPPS APC	110.53				percent of total billed charges		112.73				percent of total billed charges		48				other	OPPS APC	48	408	
SCREW BONE LEOS 2.7MM 14MM NON-LOCKING	SUP-7620-2714	CDM			270	RC		inpatient			408	408																																																			
SCREW BONE LEOS 2.7MM 16MM NON-LOCKING	SUP-7620-2716	CDM			270	RC		outpatient			408	48	110.53				percent of total billed charges		408				other	OPPS APC	301.92				percent of total billed charges		408				other	OPPS APC	408				other	OPPS APC	110.53				percent of total billed charges		112.73				percent of total billed charges		48				other	OPPS APC	48	408	
SCREW BONE LEOS 2.7MM 16MM NON-LOCKING	SUP-7620-2716	CDM			270	RC		inpatient			408	408																																																			
SCREW BONE LEOS 2.7MM 18MM NON-LOCKING	SUP-7620-2718	CDM			270	RC		outpatient			408	48	110.53				percent of total billed charges		408				other	OPPS APC	301.92				percent of total billed charges		408				other	OPPS APC	408				other	OPPS APC	110.53				percent of total billed charges		112.73				percent of total billed charges		48				other	OPPS APC	48	408	
SCREW BONE LEOS 2.7MM 18MM NON-LOCKING	SUP-7620-2718	CDM			270	RC		inpatient			408	408																																																			
SCREW COMPRESSION T2 ANKLE	SUP-95-05194	CDM			278	RC		outpatient			407.4	47.4	407.4				fee schedule		407.4				other	OPPS APC	232.22				percent of total billed charges		407.4				other	OPPS APC	407.4				other	OPPS APC	199.63				percent of total billed charges		207.77				percent of total billed charges		47.4				other	OPPS APC	47.4	407.4	
SCREW COMPRESSION T2 ANKLE	SUP-95-05194	CDM			278	RC		inpatient			407.4	407.4																																																			
DRILL BIT AO 4.2 X 180MM	SUP-97-01332	CDM			272	RC		outpatient			407.4	47.4	110.36				percent of total billed charges		407.4				other	OPPS APC	301.48				percent of total billed charges		407.4				other	OPPS APC	407.4				other	OPPS APC	110.36				percent of total billed charges		112.56				percent of total billed charges		47.4				other	OPPS APC	47.4	407.4	
DRILL BIT AO 4.2 X 180MM	SUP-97-01332	CDM			272	RC		inpatient			407.4	407.4																																																			
PINN CAN BONE SCREW 6.5MM X 35MM	SUP-97-23766	CDM			278	RC		outpatient			407.4	47.4	407.4				fee schedule		407.4				other	OPPS APC	232.22				percent of total billed charges		407.4				other	OPPS APC	407.4				other	OPPS APC	199.63				percent of total billed charges		207.77				percent of total billed charges		47.4				other	OPPS APC	47.4	407.4	
PINN CAN BONE SCREW 6.5MM X 35MM	SUP-97-23766	CDM			278	RC		inpatient			407.4	407.4																																																			
DEVICE STONE RETRIEVAL DAKOTA OPENSURE NITINOL L120 CM OD1.9 FR ODSEC8 MM 3 ARM FLEXIBLE BASKET	SUP-M0063905000	CDM			270	RC		outpatient			407.4	47.4	110.36				percent of total billed charges		407.4				other	OPPS APC	301.48				percent of total billed charges		407.4				other	OPPS APC	407.4				other	OPPS APC	110.36				percent of total billed charges		112.56				percent of total billed charges		47.4				other	OPPS APC	47.4	407.4	
DEVICE STONE RETRIEVAL DAKOTA OPENSURE NITINOL L120 CM OD1.9 FR ODSEC8 MM 3 ARM FLEXIBLE BASKET	SUP-M0063905000	CDM			270	RC		inpatient			407.4	407.4																																																			
GUIDEWIRE - JOURNEY ANGLED	SUP-99-01023	CDM			272	RC		outpatient			406.88	46.88	110.22				percent of total billed charges		406.88				other	OPPS APC	301.09				percent of total billed charges		406.88				other	OPPS APC	406.88				other	OPPS APC	110.22				percent of total billed charges		112.42				percent of total billed charges		46.88				other	OPPS APC	46.88	406.88	
GUIDEWIRE - JOURNEY ANGLED	SUP-99-01023	CDM			272	RC		inpatient			406.88	406.88																																																			
PLATE BONE TITANIUM BOX L14 MM X W14 MM X H.5 MM CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE	SUP-421.511	CDM	270010013	LOCAL	270	RC		outpatient			406.86	46.86	110.22				percent of total billed charges		406.86				other	OPPS APC	301.08				percent of total billed charges		406.86				other	OPPS APC	406.86				other	OPPS APC	110.22				percent of total billed charges		112.42				percent of total billed charges		46.86				other	OPPS APC	46.86	406.86	
PLATE BONE TITANIUM BOX L14 MM X W14 MM X H.5 MM CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE	SUP-421.511	CDM	270010013	LOCAL	270	RC		inpatient			406.86	406.86																																																			
PLATE BONE TITANIUM 2Y LOW PROFILE L18 MM X H.5 MM CRANIOMAXILLOFACIAL 6 HOLE	SUP-421.516	CDM	270010013	LOCAL	270	RC		outpatient			406.86	46.86	110.22				percent of total billed charges		406.86				other	OPPS APC	301.08				percent of total billed charges		406.86				other	OPPS APC	406.86				other	OPPS APC	110.22				percent of total billed charges		112.42				percent of total billed charges		46.86				other	OPPS APC	46.86	406.86	
PLATE BONE TITANIUM 2Y LOW PROFILE L18 MM X H.5 MM CRANIOMAXILLOFACIAL 6 HOLE	SUP-421.516	CDM	270010013	LOCAL	270	RC		inpatient			406.86	406.86																																																			
PLATE BONE TITANIUM THK.5 MM 2Y L21 MM CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE	SUP-421.517	CDM	270010013	LOCAL	270	RC		outpatient			406.86	46.86	110.22				percent of total billed charges		406.86				other	OPPS APC	301.08				percent of total billed charges		406.86				other	OPPS APC	406.86				other	OPPS APC	110.22				percent of total billed charges		112.42				percent of total billed charges		46.86				other	OPPS APC	46.86	406.86	
PLATE BONE TITANIUM THK.5 MM 2Y L21 MM CRANIOMAXILLOFACIAL 6 HOLE LOW PROFILE	SUP-421.517	CDM	270010013	LOCAL	270	RC		inpatient			406.86	406.86																																																			
CATHETER GUIDING CXI STAINLESS STEEL HYDROPHILIC STRAIGHT L65 CM OD2.3 FR MARKER BAND RADIOPAQUE BRAID KINK RESISTANT .018 IN ACCEPTS GUIDEWIRE	SUP-G18367	CDM			270	RC		outpatient			406.86	46.86	110.22				percent of total billed charges		406.86				other	OPPS APC	301.08				percent of total billed charges		406.86				other	OPPS APC	406.86				other	OPPS APC	110.22				percent of total billed charges		112.42				percent of total billed charges		46.86				other	OPPS APC	46.86	406.86	
CATHETER GUIDING CXI STAINLESS STEEL HYDROPHILIC STRAIGHT L65 CM OD2.3 FR MARKER BAND RADIOPAQUE BRAID KINK RESISTANT .018 IN ACCEPTS GUIDEWIRE	SUP-G18367	CDM			270	RC		inpatient			406.86	406.86																																																			
CATHETER GUIDING CXI 90CM 2.6FR SS HYDROPHILIC POLYMER DISPOSABLE STERILE LOW PROFILE ANGLE TIP BRAID RADIOPAQUE ACCEPTS	SUP-G50002	CDM			270	RC		outpatient			406.86	46.86	110.22				percent of total billed charges		406.86				other	OPPS APC	301.08				percent of total billed charges		406.86				other	OPPS APC	406.86				other	OPPS APC	110.22				percent of total billed charges		112.42				percent of total billed charges		46.86				other	OPPS APC	46.86	406.86	
CATHETER GUIDING CXI 90CM 2.6FR SS HYDROPHILIC POLYMER DISPOSABLE STERILE LOW PROFILE ANGLE TIP BRAID RADIOPAQUE ACCEPTS	SUP-G50002	CDM			270	RC		inpatient			406.86	406.86																																																			
DEVICE CAPSULE DELIVERY ADVANCE L180 CM OD2.5 MM STERILE GASTROENTEROLOGY	SUP-00711144	CDM			270	RC		outpatient			406.67	46.67	110.17				percent of total billed charges		406.67				other	OPPS APC	300.94				percent of total billed charges		406.67				other	OPPS APC	406.67				other	OPPS APC	110.17				percent of total billed charges		112.36				percent of total billed charges		46.67				other	OPPS APC	46.67	406.67	
DEVICE CAPSULE DELIVERY ADVANCE L180 CM OD2.5 MM STERILE GASTROENTEROLOGY	SUP-00711144	CDM			270	RC		inpatient			406.67	406.67																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 60MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.076	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 60MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.076	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L50 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.55	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L50 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.55	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 50MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.550	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE 4.5MM 6.5MM 7.5MM 50MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.550	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L60 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.56	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L60 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.56	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 60MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.560	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE 4.5MM 6.5MM 7.5MM 60MM SS 1/3 THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.560	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW BONE FULL THREAD REVERSE CUT FLUTE 50MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.75	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE FULL THREAD REVERSE CUT FLUTE 50MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.75	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW BONE 4.5MM 6.5MM 7.5MM 50MM SS FULL THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.750	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW BONE 4.5MM 6.5MM 7.5MM 50MM SS FULL THREAD LG HEXAGON HEMISPHERE REVERSE CUT	SUP-214.750	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 44MM	SUP-413.544	CDM	270010022	LOCAL	270	RC		outpatient			406.56	46.56	110.14				percent of total billed charges		406.56				other	OPPS APC	300.85				percent of total billed charges		406.56				other	OPPS APC	406.56				other	OPPS APC	110.14				percent of total billed charges		112.33				percent of total billed charges		46.56				other	OPPS APC	46.56	406.56	
SCREW 4.5MM CANNULATED SCREW PARTIALLY THREADED 44MM	SUP-413.544	CDM	270010022	LOCAL	270	RC		inpatient			406.56	406.56																																																			
MAMMOTOME ELITE 13G PROBE	SUP-95-02159	CDM			272	RC		outpatient			406.46	46.46	110.11				percent of total billed charges		406.46				other	OPPS APC	300.78				percent of total billed charges		406.46				other	OPPS APC	406.46				other	OPPS APC	110.11				percent of total billed charges		112.3				percent of total billed charges		46.46				other	OPPS APC	46.46	406.46	
MAMMOTOME ELITE 13G PROBE	SUP-95-02159	CDM			272	RC		inpatient			406.46	406.46																																																			
EYE PROTECTOR	SUP-97-00792	CDM			272	RC		outpatient			406.35	46.35	110.08				percent of total billed charges		406.35				other	OPPS APC	300.7				percent of total billed charges		406.35				other	OPPS APC	406.35				other	OPPS APC	110.08				percent of total billed charges		112.27				percent of total billed charges		46.35				other	OPPS APC	46.35	406.35	
EYE PROTECTOR	SUP-97-00792	CDM			272	RC		inpatient			406.35	406.35																																																			
T2 SCN SYSTENM END CAP	SUP-97-03560	CDM			278	RC		outpatient			406.35	46.35	406.35				fee schedule		406.35				other	OPPS APC	231.62				percent of total billed charges		406.35				other	OPPS APC	406.35				other	OPPS APC	199.11				percent of total billed charges		207.24				percent of total billed charges		46.35				other	OPPS APC	46.35	406.35	
T2 SCN SYSTENM END CAP	SUP-97-03560	CDM			278	RC		inpatient			406.35	406.35																																																			
GUIDEWIRE 2.8 MMM W/ FLUTRS 300MM/150MM	SUP-97-02319	CDM			272	RC		outpatient			406.04	46.42	110				percent of total billed charges		406.04				other	OPPS APC	300.47				percent of total billed charges		406.04				other	OPPS APC	406.04				other	OPPS APC	110				percent of total billed charges		112.19				percent of total billed charges		46.42				other	OPPS APC	46.42	406.04	
GUIDEWIRE 2.8 MMM W/ FLUTRS 300MM/150MM	SUP-97-02319	CDM			272	RC		inpatient			406.04	406.04																																																			
TRAY CATHETER MAHURKAR ELITE POLYURETHANE LARGE L24 CM OD13.5 FR 2 LUMEN HIGH FLOW PASS STRAIGHT EXTENSION GREEN HEMODIALYSIS	SUP-8888211424	CDM	270009212	LOCAL	270	RC		outpatient			405.92	45.92	109.96				percent of total billed charges		405.92				other	OPPS APC	300.38				percent of total billed charges		405.92				other	OPPS APC	405.92				other	OPPS APC	109.96				percent of total billed charges		112.16				percent of total billed charges		45.92				other	OPPS APC	45.92	405.92	
TRAY CATHETER MAHURKAR ELITE POLYURETHANE LARGE L24 CM OD13.5 FR 2 LUMEN HIGH FLOW PASS STRAIGHT EXTENSION GREEN HEMODIALYSIS	SUP-8888211424	CDM	270009212	LOCAL	270	RC		inpatient			405.92	405.92																																																			
SET DILATOR HYDROPHILIC LONG TAPER L45 CM OD24 FR ODSEC26 FR ENDOVASCULAR TRACKABLE ACCEPTS .035 IN GUIDEWIRE	SUP-G52836	CDM			270	RC		outpatient			405.82	45.82	109.94				percent of total billed charges		405.82				other	OPPS APC	300.31				percent of total billed charges		405.82				other	OPPS APC	405.82				other	OPPS APC	109.94				percent of total billed charges		112.13				percent of total billed charges		45.82				other	OPPS APC	45.82	405.82	
SET DILATOR HYDROPHILIC LONG TAPER L45 CM OD24 FR ODSEC26 FR ENDOVASCULAR TRACKABLE ACCEPTS .035 IN GUIDEWIRE	SUP-G52836	CDM			270	RC		inpatient			405.82	405.82																																																			
25MM SNARE	SUP-95-01014	CDM			272	RC		outpatient			405.65	45.65	109.89				percent of total billed charges		405.65				other	OPPS APC	300.18				percent of total billed charges		405.65				other	OPPS APC	405.65				other	OPPS APC	109.89				percent of total billed charges		112.08				percent of total billed charges		45.65				other	OPPS APC	45.65	405.65	
25MM SNARE	SUP-95-01014	CDM			272	RC		inpatient			405.65	405.65																																																			
PLATE BONE UNIVERSAL 2 TITANIUM 3D H.8 MM MIDFACE 2 X 2 HOLE LOCK 1.7 MM SCREW	SUP-5505731	CDM			270	RC		outpatient			405.6	45.62	109.88				percent of total billed charges		405.6				other	OPPS APC	300.14				percent of total billed charges		405.6				other	OPPS APC	405.6				other	OPPS APC	109.88				percent of total billed charges		112.07				percent of total billed charges		45.62				other	OPPS APC	45.62	405.6	
PLATE BONE UNIVERSAL 2 TITANIUM 3D H.8 MM MIDFACE 2 X 2 HOLE LOCK 1.7 MM SCREW	SUP-5505731	CDM			270	RC		inpatient			405.6	405.6																																																			
PLATE BONE LEIBINGER UNIVERSAL 2 STANDARD CURVE H.6 MM MIDFACE 10 HOLE 1.7 MM SCREW	SUP-55-06750	CDM			270	RC		outpatient			405.6	45.62	109.88				percent of total billed charges		405.6				other	OPPS APC	300.14				percent of total billed charges		405.6				other	OPPS APC	405.6				other	OPPS APC	109.88				percent of total billed charges		112.07				percent of total billed charges		45.62				other	OPPS APC	45.62	405.6	
PLATE BONE LEIBINGER UNIVERSAL 2 STANDARD CURVE H.6 MM MIDFACE 10 HOLE 1.7 MM SCREW	SUP-55-06750	CDM			270	RC		inpatient			405.6	405.6																																																			
Epistaxis Control:Complex	PX-510309031	CDM	30903	CPT	510	RC		outpatient			405	45	169.66				case rate		405				other	OPPS APC	101				case rate		405				other	OPPS APC	405				fee schedule		169.66				case rate		173.05				case rate		45				other	OPPS APC	45	405	
Epistaxis Control:Complex	PX-510309031	CDM	30903	CPT	510	RC		inpatient			405	405																																																			
TAP SURGICAL L110 MM NONSTERILE 4 MM CANCELLOUS SCREW	SUP-311.34	CDM	270010022	LOCAL	270	RC		outpatient			404.56	44.56	109.6				percent of total billed charges		404.56				other	OPPS APC	299.37				percent of total billed charges		404.56				other	OPPS APC	404.56				other	OPPS APC	109.6				percent of total billed charges		111.78				percent of total billed charges		44.56				other	OPPS APC	44.56	404.56	
TAP SURGICAL L110 MM NONSTERILE 4 MM CANCELLOUS SCREW	SUP-311.34	CDM	270010022	LOCAL	270	RC		inpatient			404.56	404.56																																																			
RELOAD STAPLER ECHELON FLEX ENDOPATH 2MM 60MM .75MM GRAY SS DISPOSABLE STERILE LF MESENTERY THIN TISSUE 6 ROW	SUP-ESECR60M	CDM			270	RC		outpatient			403.79	43.79	109.39				percent of total billed charges		403.79				other	OPPS APC	298.8				percent of total billed charges		403.79				other	OPPS APC	403.79				other	OPPS APC	109.39				percent of total billed charges		111.57				percent of total billed charges		43.79				other	OPPS APC	43.79	403.79	
RELOAD STAPLER ECHELON FLEX ENDOPATH 2MM 60MM .75MM GRAY SS DISPOSABLE STERILE LF MESENTERY THIN TISSUE 6 ROW	SUP-ESECR60M	CDM			270	RC		inpatient			403.79	403.79																																																			
ACETABULAR DOME HOLE PLUG	SUP-97-01128	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
ACETABULAR DOME HOLE PLUG	SUP-97-01128	CDM			278	RC		inpatient			403.2	403.2																																																			
CANCELELLOUS BONE SCREW	SUP-97-01257	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
CANCELELLOUS BONE SCREW	SUP-97-01257	CDM			278	RC		inpatient			403.2	403.2																																																			
CANCELELLOUS BONE SCREW	SUP-97-01641	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
CANCELELLOUS BONE SCREW	SUP-97-01641	CDM			278	RC		inpatient			403.2	403.2																																																			
CANCELELLOUS BONE SCREW	SUP-97-02073	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
CANCELELLOUS BONE SCREW	SUP-97-02073	CDM			278	RC		inpatient			403.2	403.2																																																			
BENCOX BONE SCREW 25MM	SUP-97-02806	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
BENCOX BONE SCREW 25MM	SUP-97-02806	CDM			278	RC		inpatient			403.2	403.2																																																			
BENCOX  BONE SCRE 20MM	SUP-97-02808	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
BENCOX  BONE SCRE 20MM	SUP-97-02808	CDM			278	RC		inpatient			403.2	403.2																																																			
BENCOX BONE SCREW 30MM	SUP-97-02972	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
BENCOX BONE SCREW 30MM	SUP-97-02972	CDM			278	RC		inpatient			403.2	403.2																																																			
BENCOX BONE SCREW 32MM	SUP-97-02973	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
BENCOX BONE SCREW 32MM	SUP-97-02973	CDM			278	RC		inpatient			403.2	403.2																																																			
BENCOX BONE SCREW 20MM	SUP-97-02974	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
BENCOX BONE SCREW 20MM	SUP-97-02974	CDM			278	RC		inpatient			403.2	403.2																																																			
BENCOX BONE SCREW 15MM	SUP-97-02986	CDM			278	RC		outpatient			403.2	43.2	403.2				fee schedule		403.2				other	OPPS APC	229.82				percent of total billed charges		403.2				other	OPPS APC	403.2				other	OPPS APC	197.57				percent of total billed charges		205.63				percent of total billed charges		43.2				other	OPPS APC	43.2	403.2	
BENCOX BONE SCREW 15MM	SUP-97-02986	CDM			278	RC		inpatient			403.2	403.2																																																			
HC Declot Thrombo Agent Dev/Catheter	PX-510365930	CDM	36593	CPT	510	RC		outpatient			403	35.32	169.66				case rate		350.32				other	OPPS APC	101				case rate		350.32				other	OPPS APC	350.32				other	OPPS APC	169.66				case rate		173.05				case rate		35.32				other	OPPS APC	35.32	350.32	
HC Declot Thrombo Agent Dev/Catheter	PX-510365930	CDM	36593	CPT	510	RC		inpatient			403	403																																																			
BIT DRILL L44.5 MM L4 MM OD1.5 MM STOP J LATCH COUPLING	SUP-317.64	CDM	270010022	LOCAL	270	RC		outpatient			402.78	42.78	109.11				percent of total billed charges		402.78				other	OPPS APC	298.06				percent of total billed charges		402.78				other	OPPS APC	402.78				other	OPPS APC	109.11				percent of total billed charges		111.29				percent of total billed charges		42.78				other	OPPS APC	42.78	402.78	
BIT DRILL L44.5 MM L4 MM OD1.5 MM STOP J LATCH COUPLING	SUP-317.64	CDM	270010022	LOCAL	270	RC		inpatient			402.78	402.78																																																			
BIT DRILL 44.5MM 6MM 1.5MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.66	CDM	270010022	LOCAL	270	RC		outpatient			402.78	42.78	109.11				percent of total billed charges		402.78				other	OPPS APC	298.06				percent of total billed charges		402.78				other	OPPS APC	402.78				other	OPPS APC	109.11				percent of total billed charges		111.29				percent of total billed charges		42.78				other	OPPS APC	42.78	402.78	
BIT DRILL 44.5MM 6MM 1.5MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.66	CDM	270010022	LOCAL	270	RC		inpatient			402.78	402.78																																																			
BIT DRILL 44.5MM 8MM 1.5MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.68	CDM	270010022	LOCAL	270	RC		outpatient			402.78	42.78	109.11				percent of total billed charges		402.78				other	OPPS APC	298.06				percent of total billed charges		402.78				other	OPPS APC	402.78				other	OPPS APC	109.11				percent of total billed charges		111.29				percent of total billed charges		42.78				other	OPPS APC	42.78	402.78	
BIT DRILL 44.5MM 8MM 1.5MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.68	CDM	270010022	LOCAL	270	RC		inpatient			402.78	402.78																																																			
PACK SURGICAL CUSTOM CRANI ACCESSORY	SUP-DYNJ59270	CDM	270009165	LOCAL	270	RC		outpatient			402.71	42.8	109.09				percent of total billed charges		402.71				other	OPPS APC	298.01				percent of total billed charges		402.71				other	OPPS APC	402.71				other	OPPS APC	109.09				percent of total billed charges		111.27				percent of total billed charges		42.8				other	OPPS APC	42.8	402.71	
PACK SURGICAL CUSTOM CRANI ACCESSORY	SUP-DYNJ59270	CDM	270009165	LOCAL	270	RC		inpatient			402.71	402.71																																																			
SCREW BONE 4MM FULL THREAD 100MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.100	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 100MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.100	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 105MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.105	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 105MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.105	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 110MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.110	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 110MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.110	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L115 MM OD5 MM PERIARTICULAR FEMUR CONDYLE SELF TAP TIP SELF DRILL CANNULATED LOCK NONSTERILE	SUP-02.205.115	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L115 MM OD5 MM PERIARTICULAR FEMUR CONDYLE SELF TAP TIP SELF DRILL CANNULATED LOCK NONSTERILE	SUP-02.205.115	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 120MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.120	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 120MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.120	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 125MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.125	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 125MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.125	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 130MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.130	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 130MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.130	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 135MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.135	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 135MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.135	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 140MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.140	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 140MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.140	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE 4MM FULL THREAD 145MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.145	CDM	270010022	LOCAL	270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE 4MM FULL THREAD 145MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.145	CDM	270010022	LOCAL	270	RC		inpatient			402.6	402.6																																																			
SCREW BONE SCHANZ STAINLESS STEEL L175 MM L60 MM OD6 MM DISTAL RADIUS SELF DRILLING NONSTERILE	SUP-294.795	CDM			270	RC		outpatient			402.6	42.62	109.06				percent of total billed charges		402.6				other	OPPS APC	297.92				percent of total billed charges		402.6				other	OPPS APC	402.6				other	OPPS APC	109.06				percent of total billed charges		111.24				percent of total billed charges		42.62				other	OPPS APC	42.62	402.6	
SCREW BONE SCHANZ STAINLESS STEEL L175 MM L60 MM OD6 MM DISTAL RADIUS SELF DRILLING NONSTERILE	SUP-294.795	CDM			270	RC		inpatient			402.6	402.6																																																			
NEEDLE SET EZ IO 15MM PEDIATRIC	SUP-95-00585	CDM						inpatient			402.5	402.5																																																			
NEEDLE SET EZ IO 15MM PEDIATRIC	SUP-95-00585	CDM						outpatient			402.5	42.5	402.5				percent of total billed charges		402.5				other	OPPS APC	402.5				fee schedule		402.5				other	OPPS APC	402.5				other	OPPS APC	402.5				case rate		402.5				case rate		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 20.5D	SUP-97-01086	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 20.5D	SUP-97-01086	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 22.0D	SUP-97-01110	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 22.0D	SUP-97-01110	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 18.5D	SUP-97-01131	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 18.5D	SUP-97-01131	CDM			278	RC		inpatient			402.5	402.5																																																			
WASHER 13MM TITAHIUM	SUP-97-01147	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
WASHER 13MM TITAHIUM	SUP-97-01147	CDM			278	RC		inpatient			402.5	402.5																																																			
SCREW LO-PRO LOCK SS 3.5 X 28MM	SUP-97-01501	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
SCREW LO-PRO LOCK SS 3.5 X 28MM	SUP-97-01501	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 16.0D	SUP-97-01521	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 16.0D	SUP-97-01521	CDM			278	RC		inpatient			402.5	402.5																																																			
DRILL BIT LYNC 2.3MM	SUP-97-01700	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
DRILL BIT LYNC 2.3MM	SUP-97-01700	CDM			272	RC		inpatient			402.5	402.5																																																			
LO PRO SCRW3.5X 20MM	SUP-97-02031	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LO PRO SCRW3.5X 20MM	SUP-97-02031	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 21.5D	SUP-97-02037	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 21.5D	SUP-97-02037	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 19.0D	SUP-97-02110	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 19.0D	SUP-97-02110	CDM			278	RC		inpatient			402.5	402.5																																																			
LO PRO LOCK SCRW3.5X 16MM	SUP-97-03170	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LO PRO LOCK SCRW3.5X 16MM	SUP-97-03170	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 15.5D	SUP-97-03536	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 15.5D	SUP-97-03536	CDM			278	RC		inpatient			402.5	402.5																																																			
LENS AR40E 16.5D	SUP-97-04338	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
LENS AR40E 16.5D	SUP-97-04338	CDM			278	RC		inpatient			402.5	402.5																																																			
CANN. LAG SCREW 2.3MM X 18MM	SUP-97-05307	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
CANN. LAG SCREW 2.3MM X 18MM	SUP-97-05307	CDM			278	RC		inpatient			402.5	402.5																																																			
SUTURETAPE 2-0 MENISCUS REPAIR NEEDLES	SUP-97-05944	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
SUTURETAPE 2-0 MENISCUS REPAIR NEEDLES	SUP-97-05944	CDM			272	RC		inpatient			402.5	402.5																																																			
SCREW LOW PROFILE 3.5 X 22MM LOCKING	SUP-97-06109	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
SCREW LOW PROFILE 3.5 X 22MM LOCKING	SUP-97-06109	CDM			278	RC		inpatient			402.5	402.5																																																			
SCREW LOW PROFILE 3.5 X 24MM LOCKING	SUP-97-06110	CDM			278	RC		outpatient			402.5	42.5	402.5				fee schedule		402.5				other	OPPS APC	229.43				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	197.23				percent of total billed charges		205.28				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
SCREW LOW PROFILE 3.5 X 24MM LOCKING	SUP-97-06110	CDM			278	RC		inpatient			402.5	402.5																																																			
CATHETER - 5F THERMODILUTION  SWAN GANZ	SUP-99-03148	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
CATHETER - 5F THERMODILUTION  SWAN GANZ	SUP-99-03148	CDM			272	RC		inpatient			402.5	402.5																																																			
BALLOON - METACROSS RX 6.0X40	SUP-99-03179	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
BALLOON - METACROSS RX 6.0X40	SUP-99-03179	CDM			272	RC		inpatient			402.5	402.5																																																			
BALLOON - METACROSS RX 5.0X40	SUP-99-03237	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
BALLOON - METACROSS RX 5.0X40	SUP-99-03237	CDM			272	RC		inpatient			402.5	402.5																																																			
BALLOON - METACROSS RX 8.0X40	SUP-99-03238	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
BALLOON - METACROSS RX 8.0X40	SUP-99-03238	CDM			272	RC		inpatient			402.5	402.5																																																			
BALLOON - METACROSS RX 7.0X200	SUP-99-03838	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
BALLOON - METACROSS RX 7.0X200	SUP-99-03838	CDM			272	RC		inpatient			402.5	402.5																																																			
BALLOON - METACROSS RX 7.0X40	SUP-99-03839	CDM			272	RC		outpatient			402.5	42.5	109.04				percent of total billed charges		402.5				other	OPPS APC	297.85				percent of total billed charges		402.5				other	OPPS APC	402.5				other	OPPS APC	109.04				percent of total billed charges		111.21				percent of total billed charges		42.5				other	OPPS APC	42.5	402.5	
BALLOON - METACROSS RX 7.0X40	SUP-99-03839	CDM			272	RC		inpatient			402.5	402.5																																																			
TAP SURGICAL EVOS LARGE OD 4.5MM TARGETER STERILE LATEX FREE DIPOSABLE	SUP-71177731	CDM			270	RC		outpatient			402	42	108.9				percent of total billed charges		402				other	OPPS APC	297.48				percent of total billed charges		402				other	OPPS APC	402				other	OPPS APC	108.9				percent of total billed charges		111.07				percent of total billed charges		42				other	OPPS APC	42	402	
TAP SURGICAL EVOS LARGE OD 4.5MM TARGETER STERILE LATEX FREE DIPOSABLE	SUP-71177731	CDM			270	RC		inpatient			402	402																																																			
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD5 MM DISPOSABLE ML	SUP-874-455	CDM	270010020	LOCAL	270	RC		outpatient			401.92	41.92	108.88				percent of total billed charges		401.92				other	OPPS APC	297.42				percent of total billed charges		401.92				other	OPPS APC	401.92				other	OPPS APC	108.88				percent of total billed charges		111.05				percent of total billed charges		41.92				other	OPPS APC	41.92	401.92	
CUTTER SURGICAL CORNERSTONE SR D11 MM L14 MM OD5 MM DISPOSABLE ML	SUP-874-455	CDM	270010020	LOCAL	270	RC		inpatient			401.92	401.92																																																			
12X20CATH KIT LG BORE MULTI-LUMEN NU0125	SUP-95-00701	CDM			272	RC		outpatient			401.8	41.81	108.85				percent of total billed charges		401.8				other	OPPS APC	297.33				percent of total billed charges		401.8				other	OPPS APC	401.8				other	OPPS APC	108.85				percent of total billed charges		111.02				percent of total billed charges		41.81				other	OPPS APC	41.81	401.8	
12X20CATH KIT LG BORE MULTI-LUMEN NU0125	SUP-95-00701	CDM			272	RC		inpatient			401.8	401.8																																																			
HOFFMAN 3 POST STRAIGHT DIA 11MM	SUP-97-05738	CDM			278	RC		outpatient			401.8	41.81	401.8				fee schedule		401.8				other	OPPS APC	229.03				percent of total billed charges		401.8				other	OPPS APC	401.8				other	OPPS APC	196.88				percent of total billed charges		204.92				percent of total billed charges		41.81				other	OPPS APC	41.81	401.8	
HOFFMAN 3 POST STRAIGHT DIA 11MM	SUP-97-05738	CDM			278	RC		inpatient			401.8	401.8																																																			
SUTURE STEEL 6 4X8IN	SUP-97-00922	CDM			278	RC		outpatient			401.21	41.3	401.21				fee schedule		401.21				other	OPPS APC	228.69				percent of total billed charges		401.21				other	OPPS APC	401.21				other	OPPS APC	196.59				percent of total billed charges		204.62				percent of total billed charges		41.3				other	OPPS APC	41.3	401.21	
SUTURE STEEL 6 4X8IN	SUP-97-00922	CDM			278	RC		inpatient			401.21	401.21																																																			
SCREW 4 X 40MM T2 FT LOCKING	SUP-97-05787	CDM			278	RC		outpatient			401.1	41.12	401.1				fee schedule		401.1				other	OPPS APC	228.63				percent of total billed charges		401.1				other	OPPS APC	401.1				other	OPPS APC	196.54				percent of total billed charges		204.56				percent of total billed charges		41.12				other	OPPS APC	41.12	401.1	
SCREW 4 X 40MM T2 FT LOCKING	SUP-97-05787	CDM			278	RC		inpatient			401.1	401.1																																																			
SCREW 4 X 24MM T2 FT LOCKING	SUP-97-05788	CDM			278	RC		outpatient			401.1	41.12	401.1				fee schedule		401.1				other	OPPS APC	228.63				percent of total billed charges		401.1				other	OPPS APC	401.1				other	OPPS APC	196.54				percent of total billed charges		204.56				percent of total billed charges		41.12				other	OPPS APC	41.12	401.1	
SCREW 4 X 24MM T2 FT LOCKING	SUP-97-05788	CDM			278	RC		inpatient			401.1	401.1																																																			
BIT DRILL MATRIXRIB L88 MM L20 MM OD1.8 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE STRYKER	SUP-03.501.220	CDM	270010022	LOCAL	270	RC		outpatient			400.58	4.58	108.52				percent of total billed charges		400.58				other	OPPS APC	296.43				percent of total billed charges		400.58				other	OPPS APC	400.58				other	OPPS APC	108.52				percent of total billed charges		110.68				percent of total billed charges		4.58				other	OPPS APC	4.58	400.58	
BIT DRILL MATRIXRIB L88 MM L20 MM OD1.8 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE STRYKER	SUP-03.501.220	CDM	270010022	LOCAL	270	RC		inpatient			400.58	400.58																																																			
SCREW BONE 1/3 THREAD REVERSE CUT FLUTE 22MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.522	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE 1/3 THREAD REVERSE CUT FLUTE 22MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.522	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE 1/3 THREAD REVERSE CUT FLUTE 24MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.524	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE 1/3 THREAD REVERSE CUT FLUTE 24MM 4.5MM 6.5MM 1.75MM SS NS CANNULATED SELF TAP SELF DRILL HEMISPHERICAL HEAD	SUP-214.524	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L26 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.526	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L26 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.526	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L28 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.528	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L28 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.528	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L32 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.532	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L32 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.532	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L34 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.534	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L34 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.534	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L36 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.536	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L36 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.536	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L38 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED LARGE HEXAGONAL SOCKET SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD NONSTERILE	SUP-214.538	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L38 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED LARGE HEXAGONAL SOCKET SELF DRILLING SELF TAPPING HEMISPHERICAL HEAD NONSTERILE	SUP-214.538	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L42 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.542	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L42 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.542	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L44 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.544	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L44 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.544	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L46 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED LOW PROFILE HEMISPHERICAL HEAD SELF DRILLING SELF TAPPING NONSTERILE	SUP-214.546	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L46 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED LOW PROFILE HEMISPHERICAL HEAD SELF DRILLING SELF TAPPING NONSTERILE	SUP-214.546	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L48 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.548	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L48 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.548	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L52 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.552	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L52 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.552	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L54 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.554	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L54 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.554	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L56 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.556	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L56 MM OD4.5 MM ODSEC6.5 MM LONG BONE CANNULATED SELF TAPPING SELF DRILLING LARGE HEXAGONAL SOCKET HEMISPHERICAL HEAD NONSTERILE	SUP-214.556	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L64 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.564	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L64 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.564	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L68 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.568	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL 1/3 THREAD LARGE HEXAGON HEMISPHERE REVERSE CUT FLUTE L68 MM OD4.5 MM ODSEC6.5 MM ID7.5 MM LONG BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE	SUP-214.568	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
SCREW BONE STAINLESS STEEL L72 MM L24 MM OD4.5 MM ORTHOPEDIC CANNULATED PARTIALLY THREADED NONSTERILE	SUP-214.572	CDM	270010022	LOCAL	270	RC		outpatient			400.2	4.2	108.41				percent of total billed charges		400.2				other	OPPS APC	296.15				percent of total billed charges		400.2				other	OPPS APC	400.2				other	OPPS APC	108.41				percent of total billed charges		110.58				percent of total billed charges		4.2				other	OPPS APC	4.2	400.2	
SCREW BONE STAINLESS STEEL L72 MM L24 MM OD4.5 MM ORTHOPEDIC CANNULATED PARTIALLY THREADED NONSTERILE	SUP-214.572	CDM	270010022	LOCAL	270	RC		inpatient			400.2	400.2																																																			
ELECTRODE  ROLLERBAR 3MM 24FR	SUP-70-00046	CDM			272	RC		outpatient			400.1	4.12	108.39				percent of total billed charges		400.1				other	OPPS APC	296.07				percent of total billed charges		400.1				other	OPPS APC	400.1				other	OPPS APC	108.39				percent of total billed charges		110.55				percent of total billed charges		4.12				other	OPPS APC	4.12	400.1	
ELECTRODE  ROLLERBAR 3MM 24FR	SUP-70-00046	CDM			272	RC		inpatient			400.1	400.1																																																			
ESOPHAGEL/RECTAL TEMP PROBE	SUP-95-01643	CDM			272	RC		outpatient			400.09	4.9	108.38				percent of total billed charges		400.09				other	OPPS APC	296.07				percent of total billed charges		400.09				other	OPPS APC	400.09				other	OPPS APC	108.38				percent of total billed charges		110.54				percent of total billed charges		4.9				other	OPPS APC	4.9	400.09	
ESOPHAGEL/RECTAL TEMP PROBE	SUP-95-01643	CDM			272	RC		inpatient			400.09	400.09																																																			
IOHEXOL PER 1 ML	636000000	CDM	0407-1414-94	NDC	Q9967	HCPCS		inpatient			400	400																																																			
IOHEXOL PER 1 ML	636000000	CDM	0407-1414-94	NDC	Q9967	HCPCS		outpatient			400	400																																															other	OPPS APC			
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 500 UM 2 ML SYRINGE STERILE DISPOSABLE RED	SUP-01-0301-05002-11	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 500 UM 2 ML SYRINGE STERILE DISPOSABLE RED	SUP-01-0301-05002-11	CDM			270	RC		inpatient			400	400																																																			
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 700 UM 2 ML SYRINGE STERILE DISPOSABLE GREEN	SUP-01-0301-07002-11	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 700 UM 2 ML SYRINGE STERILE DISPOSABLE GREEN	SUP-01-0301-07002-11	CDM			270	RC		inpatient			400	400																																																			
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 900 UM 2 ML SYRINGE STERILE DISPOSABLE PURPLE	SUP-01-0301-09002-11	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 900 UM 2 ML SYRINGE STERILE DISPOSABLE PURPLE	SUP-01-0301-09002-11	CDM			270	RC		inpatient			400	400																																																			
COMPONENT PATELLAR GMK 2 RESURFACING	SUP-02.07.0034RP	CDM	270010025	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
COMPONENT PATELLAR GMK 2 RESURFACING	SUP-02.07.0034RP	CDM	270010025	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL VIRAGE TITANIUM CURVE L80 MM OD3.5 MM BLUE OCT FIXATION SYSTEM	SUP-07-01710-009	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL VIRAGE TITANIUM CURVE L80 MM OD3.5 MM BLUE OCT FIXATION SYSTEM	SUP-07-01710-009	CDM			270	RC		inpatient			400	400																																																			
IMPLANT SPARTAN ROD 5.5MM	SUP-11-3040	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
IMPLANT SPARTAN ROD 5.5MM	SUP-11-3040	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL STRAIGHT L120 MM OD4 MM	SUP-1149.7120	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL STRAIGHT L120 MM OD4 MM	SUP-1149.7120	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD PRECONTOURED 5.5X30	SUP-12-1030	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD PRECONTOURED 5.5X30	SUP-12-1030	CDM			270	RC		inpatient			400	400																																																			
ROD SPINAL L45 MM OD5.5 MM PRECONTOURED	SUP-12-1045	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL L45 MM OD5.5 MM PRECONTOURED	SUP-12-1045	CDM			270	RC		inpatient			400	400																																																			
ROD PRECONTOURED MALIBU 5.5MM X 50MM	SUP-12-1050	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD PRECONTOURED MALIBU 5.5MM X 50MM	SUP-12-1050	CDM			270	RC		inpatient			400	400																																																			
ROD MARINER PRECONTOURED 5.5X55	SUP-12-1055	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MARINER PRECONTOURED 5.5X55	SUP-12-1055	CDM			270	RC		inpatient			400	400																																																			
ROD SPINAL L60 MM OD5.5 MM PRECONTOURED	SUP-12-1060	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL L60 MM OD5.5 MM PRECONTOURED	SUP-12-1060	CDM			270	RC		inpatient			400	400																																																			
ROD PRECONTOURED 5.5MM X65MM	SUP-12-1065	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD PRECONTOURED 5.5MM X65MM	SUP-12-1065	CDM			270	RC		inpatient			400	400																																																			
ROD MARNIER PRECONTOURED 5.5MM X 70	SUP-12-1070	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MARNIER PRECONTOURED 5.5MM X 70	SUP-12-1070	CDM			270	RC		inpatient			400	400																																																			
ROD SPINAL L80 MM OD5.5 MM PRECONTOURED	SUP-12-1080	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL L80 MM OD5.5 MM PRECONTOURED	SUP-12-1080	CDM			270	RC		inpatient			400	400																																																			
CONFIANZA WIRE 180CM STRAIGHT	SUP-12784-01	CDM			481	RC		outpatient			400	4	196				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	196				percent of total billed charges		204				percent of total billed charges		4				other	OPPS APC	4	400	
CONFIANZA WIRE 180CM STRAIGHT	SUP-12784-01	CDM			481	RC		inpatient			400	400																																																			
SCISSOR MICRO HORIZONTAL CURVED STERILE DISPOSABLE 20GA X 0.5MM	SUP-1286MD05	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCISSOR MICRO HORIZONTAL CURVED STERILE DISPOSABLE 20GA X 0.5MM	SUP-1286MD05	CDM			270	RC		inpatient			400	400																																																			
ROD ITE 3.5 X 180MM	SUP-14-524018	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD ITE 3.5 X 180MM	SUP-14-524018	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
CATHETER BALLOON DILATATION XXL L120 CM L40 MM OD5.8 FR ODSEC18 MM LARGE VESSEL SCRATCH RESISTANT QUADRA FOLD TECHNOLOGY HIGH STRENGTH SHAFT ACCEPTS .035 IN GUIDEWIRE PTA	SUP-14-558	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
CATHETER BALLOON DILATATION XXL L120 CM L40 MM OD5.8 FR ODSEC18 MM LARGE VESSEL SCRATCH RESISTANT QUADRA FOLD TECHNOLOGY HIGH STRENGTH SHAFT ACCEPTS .035 IN GUIDEWIRE PTA	SUP-14-558	CDM			270	RC		inpatient			400	400																																																			
ROD MEDTRONIC 10CM	SUP-147550100	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MEDTRONIC 10CM	SUP-147550100	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA MOLYBDENUM COCR CURVE L30 MM OD4.75 MM	SUP-1475501030	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA MOLYBDENUM COCR CURVE L30 MM OD4.75 MM	SUP-1475501030	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L35 MM OD4.75 MM	SUP-1475501035	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L35 MM OD4.75 MM	SUP-1475501035	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD MEDTRONIC 40MM	SUP-1475501040	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MEDTRONIC 40MM	SUP-1475501040	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM L45 MM OD4.75 MM CURVED	SUP-1475501045	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM L45 MM OD4.75 MM CURVED	SUP-1475501045	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L50 MM OD4.75 MM	SUP-1475501050	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L50 MM OD4.75 MM	SUP-1475501050	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA CD HORIZON COCRMO CURVE L55 MM OD4.75 MM	SUP-1475501055	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA CD HORIZON COCRMO CURVE L55 MM OD4.75 MM	SUP-1475501055	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L60 MM OD4.75 MM	SUP-1475501060	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L60 MM OD4.75 MM	SUP-1475501060	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM L70 MM OD4.75 MM CURVED	SUP-1475501070	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM L70 MM OD4.75 MM CURVED	SUP-1475501070	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM L80 MM OD4.75 MM CURVED	SUP-1475501080	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM L80 MM OD4.75 MM CURVED	SUP-1475501080	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L90 MM OD4.75 MM NONSTERILE	SUP-1475501090	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L90 MM OD4.75 MM NONSTERILE	SUP-1475501090	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA CD HORIZON COCRMO CURVE L100 MM OD4.75 MM	SUP-1475501100	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA CD HORIZON COCRMO CURVE L100 MM OD4.75 MM	SUP-1475501100	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L110 MM OD4.75 MM	SUP-1475501110	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA COCR MOLYBDENUM CURVE L110 MM OD4.75 MM	SUP-1475501110	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 500 UM 2 ML SYRINGE STERILE DISPOSABLE RED	SUP-15020-S1	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 500 UM 2 ML SYRINGE STERILE DISPOSABLE RED	SUP-15020-S1	CDM			270	RC		inpatient			400	400																																																			
ROD SPINAL CD HORIZON TITANIUM CURVE L40 MM OD5.5 MM	SUP-1553201040	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL CD HORIZON TITANIUM CURVE L40 MM OD5.5 MM	SUP-1553201040	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SOLERA TITANIUM CURVE L70 MM OD5.5 MM	SUP-1553201070	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SOLERA TITANIUM CURVE L70 MM OD5.5 MM	SUP-1553201070	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD MEDTRONIC 60MM	SUP-1556001060	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MEDTRONIC 60MM	SUP-1556001060	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE INDEPENDENCE L30 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-176.630	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE INDEPENDENCE L30 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-176.630	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE INDEPENDENCE L35 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-176.635	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE INDEPENDENCE L35 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-176.635	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE INDEPENDENCE L40 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-176.640	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE INDEPENDENCE L40 MM OD5.5 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-176.640	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SYNTHES 5.5MM X 45MM RODS	SUP-179777045	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SYNTHES 5.5MM X 45MM RODS	SUP-179777045	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 900 UM 2 ML SYRINGE STERILE DISPOSABLE PURPLE	SUP-19020-S1	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SPHERE EMBOLIZATION EMBOZENE POLYZENE-F HYDROGEL 900 UM 2 ML SYRINGE STERILE DISPOSABLE PURPLE	SUP-19020-S1	CDM			270	RC		inpatient			400	400																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.0 X 5MM SEMICOMPLIANT	SUP-210-053-5UU	CDM			481	RC		outpatient			400	4	196				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	196				percent of total billed charges		204				percent of total billed charges		4				other	OPPS APC	4	400	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.0 X 5MM SEMICOMPLIANT	SUP-210-053-5UU	CDM			481	RC		inpatient			400	400																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.0 X 8MM SEMICOMPLIANT	SUP-210-083-5UU	CDM			481	RC		outpatient			400	4	196				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	196				percent of total billed charges		204				percent of total billed charges		4				other	OPPS APC	4	400	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 1.0 X 8MM SEMICOMPLIANT	SUP-210-083-5UU	CDM			481	RC		inpatient			400	400																																																			
SAPPHIRE II PRO BALLOON 1.0 X 10 MM	SUP-210-103-5UU	CDM			481	RC		outpatient			400	4	196				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	196				percent of total billed charges		204				percent of total billed charges		4				other	OPPS APC	4	400	
SAPPHIRE II PRO BALLOON 1.0 X 10 MM	SUP-210-103-5UU	CDM			481	RC		inpatient			400	400																																																			
SAPPHIRE II PRO BALLOON 1.0 X 15 MM	SUP-210-153-5UU	CDM			481	RC		outpatient			400	4	196				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	196				percent of total billed charges		204				percent of total billed charges		4				other	OPPS APC	4	400	
SAPPHIRE II PRO BALLOON 1.0 X 15 MM	SUP-210-153-5UU	CDM			481	RC		inpatient			400	400																																																			
SUPPORT ARM RADIAL LEFT EXTEND	SUP-3261	CDM			481	RC		outpatient			400	4	196				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	196				percent of total billed charges		204				percent of total billed charges		4				other	OPPS APC	4	400	
SUPPORT ARM RADIAL LEFT EXTEND	SUP-3261	CDM			481	RC		inpatient			400	400																																																			
RELOAD STAPLER SUREFORM 45 D3.5 MM STERILE LATEX FREE DISPOSABLE BLUE	SUP-48345B	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
RELOAD STAPLER SUREFORM 45 D3.5 MM STERILE LATEX FREE DISPOSABLE BLUE	SUP-48345B	CDM			270	RC		inpatient			400	400																																																			
RELOAD STAPLER SUREFORM 45 D4.6 MM STERILE LATEX FREE DISPOSABLE BLACK	SUP-48345T	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
RELOAD STAPLER SUREFORM 45 D4.6 MM STERILE LATEX FREE DISPOSABLE BLACK	SUP-48345T	CDM			270	RC		inpatient			400	400																																																			
RELOAD STAPLER SUREFORM 45 D2.5 MM STERILE LATEX FREE DISPOSABLE WHITE	SUP-48345W	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
RELOAD STAPLER SUREFORM 45 D2.5 MM STERILE LATEX FREE DISPOSABLE WHITE	SUP-48345W	CDM			270	RC		inpatient			400	400																																																			
WHEEL THUMB LENGTHENING	SUP-4960-3-030	CDM	270010022	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
WHEEL THUMB LENGTHENING	SUP-4960-3-030	CDM	270010022	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SIERRA PRECONTOUR L60 MM OD3.5 MM POSTERIOR CERVICAL SPINE LASER MARKED	SUP-50-6160	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SIERRA PRECONTOUR L60 MM OD3.5 MM POSTERIOR CERVICAL SPINE LASER MARKED	SUP-50-6160	CDM			270	RC		inpatient			400	400																																																			
ROD COCR 90MM CURVED	SUP-7119.7070	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD COCR 90MM CURVED	SUP-7119.7070	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD MEDTRONIC 240MM	SUP-7750015	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MEDTRONIC 240MM	SUP-7750015	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD MEDTRONIC 30MM	SUP-7753730	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MEDTRONIC 30MM	SUP-7753730	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL VERTEX SELECT L60 MM OD3.5 MM PRECUT	SUP-7753760	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL VERTEX SELECT L60 MM OD3.5 MM PRECUT	SUP-7753760	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL CCM PLUS L70 MM OD3.5 MM PRECUT	SUP-7753770	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL CCM PLUS L70 MM OD3.5 MM PRECUT	SUP-7753770	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL 80MM 3.5MM CCM PLUS PRECUT	SUP-7753780	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL 80MM 3.5MM CCM PLUS PRECUT	SUP-7753780	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD5.5 MM SPINE	SUP-83555509	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD5.5 MM SPINE	SUP-83555509	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L30 MM OD6.5 MM SPINE PEDICLE	SUP-83565309	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L30 MM OD6.5 MM SPINE PEDICLE	SUP-83565309	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L35 MM OD6.5 MM SPINE	SUP-83565359	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L35 MM OD6.5 MM SPINE	SUP-83565359	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L40 MM OD6.5 MM SPINE	SUP-83565409	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L40 MM OD6.5 MM SPINE	SUP-83565409	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L45 MM OD6.5 MM SPINE	SUP-83565459	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L45 MM OD6.5 MM SPINE	SUP-83565459	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD6.5 MM SPINE	SUP-83565509	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD6.5 MM SPINE	SUP-83565509	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD6.5 MM SPINE	SUP-83565559	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD6.5 MM SPINE	SUP-83565559	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L60 MM OD6.5 MM SPINE	SUP-83565609	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L60 MM OD6.5 MM SPINE	SUP-83565609	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L30 MM OD7.5 MM SPINE	SUP-83575309	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L30 MM OD7.5 MM SPINE	SUP-83575309	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP TITANIUM L35 MM OD7.5 MM SPINE RECONSTRUCTION	SUP-83575359	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP TITANIUM L35 MM OD7.5 MM SPINE RECONSTRUCTION	SUP-83575359	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE L40 MM OD7.5 MM SPINE	SUP-83575409	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE L40 MM OD7.5 MM SPINE	SUP-83575409	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L45 MM OD7.5 MM SPINE PEDICLE	SUP-83575459	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L45 MM OD7.5 MM SPINE PEDICLE	SUP-83575459	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD7.5 MM SPINE	SUP-83575509	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L50 MM OD7.5 MM SPINE	SUP-83575509	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L60 MM OD7.5 MM SPINE	SUP-83575609	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L60 MM OD7.5 MM SPINE	SUP-83575609	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE L35 MM OD8.5 MM SPINE	SUP-83585359	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE L35 MM OD8.5 MM SPINE	SUP-83585359	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L45 MM OD8.5 MM SPINE	SUP-83585459	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L45 MM OD8.5 MM SPINE	SUP-83585459	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD8.5 MM SPINE	SUP-83585559	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD8.5 MM SPINE	SUP-83585559	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM L30 MM OD5.5 MM PEDICLE PRECUT CONTOURED	SUP-8370030	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM L30 MM OD5.5 MM PEDICLE PRECUT CONTOURED	SUP-8370030	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L3.5 CM OD5.5 MM PEDICLE	SUP-8370035	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L3.5 CM OD5.5 MM PEDICLE	SUP-8370035	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D CONTOUR PREBENT 40MM 5.5MM TITANIUM PEDICLE PRECUT	SUP-8370040	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D CONTOUR PREBENT 40MM 5.5MM TITANIUM PEDICLE PRECUT	SUP-8370040	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L4.5 CM OD5.5 MM PEDICLE	SUP-8370045	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L4.5 CM OD5.5 MM PEDICLE	SUP-8370045	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM STANDARD L5 CM OD5.5 MM PEDICLE PRECUT CONTOURED	SUP-8370050	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM STANDARD L5 CM OD5.5 MM PEDICLE PRECUT CONTOURED	SUP-8370050	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L60 MM OD5.5 MM PEDICLE	SUP-8370060	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L60 MM OD5.5 MM PEDICLE	SUP-8370060	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM L7 CM OD5.5 MM PEDICLE BENT PRECUT	SUP-8370070	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM L7 CM OD5.5 MM PEDICLE BENT PRECUT	SUP-8370070	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L80 MM OD5.5 MM PEDICLE	SUP-8370080	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L80 MM OD5.5 MM PEDICLE	SUP-8370080	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D CONTOUR PREBENT 9CM 5.5MM TITANIUM PEDICLE PRECUT	SUP-8370090	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D CONTOUR PREBENT 9CM 5.5MM TITANIUM PEDICLE PRECUT	SUP-8370090	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L100 MM OD5.5 MM PEDICLE	SUP-8370100	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L100 MM OD5.5 MM PEDICLE	SUP-8370100	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L3.5 CM OD6.35 MM PEDICLE	SUP-8371035	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL TSRH-3D TITANIUM CONTOUR PREBENT PRECUT L3.5 CM OD6.35 MM PEDICLE	SUP-8371035	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL SILO TSRH-3D TITANIUM PRECUT L25 MM OD5.5 MM PEDICLE	SUP-837-125	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL SILO TSRH-3D TITANIUM PRECUT L25 MM OD5.5 MM PEDICLE	SUP-837-125	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
ROD SPINAL CD HORIZON LEGACY TITANIUM L210 MM OD5.5 MM SPINE MULTIAXIAL 5.5 MM LINED ROD	SUP-869021	CDM	270010020	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD SPINAL CD HORIZON LEGACY TITANIUM L210 MM OD5.5 MM SPINE MULTIAXIAL 5.5 MM LINED ROD	SUP-869021	CDM	270010020	LOCAL	270	RC		inpatient			400	400																																																			
KIT GPS KNEE	SUP-A10007	CDM	270010025	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
KIT GPS KNEE	SUP-A10007	CDM	270010025	LOCAL	270	RC		inpatient			400	400																																																			
PUTTY ALLOSYNC DBM 1.0CC	SUP-ABS-2012-01	CDM	270010031	LOCAL	270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
PUTTY ALLOSYNC DBM 1.0CC	SUP-ABS-2012-01	CDM	270010031	LOCAL	270	RC		inpatient			400	400																																																			
FILLER BONE VOID ALLOSYNC DEMINERALIZED BONE MATRIX 1 CC GEL	SUP-ABS-2013-01	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
FILLER BONE VOID ALLOSYNC DEMINERALIZED BONE MATRIX 1 CC GEL	SUP-ABS-2013-01	CDM			270	RC		inpatient			400	400																																																			
ALLOSYNC EXPAND 1CC	SUP-ABS-2017-01	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ALLOSYNC EXPAND 1CC	SUP-ABS-2017-01	CDM			270	RC		inpatient			400	400																																																			
SCREW BONE TITANIUM FULL THREAD L34 MM OD3.75 MM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED	SUP-AR-7000-34FT	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TITANIUM FULL THREAD L34 MM OD3.75 MM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED	SUP-AR-7000-34FT	CDM			270	RC		inpatient			400	400																																																			
SCREW BONE TITANIUM FULL THREAD L36 MM OD3.75 MM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED	SUP-AR-7000-36FT	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TITANIUM FULL THREAD L36 MM OD3.75 MM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED	SUP-AR-7000-36FT	CDM			270	RC		inpatient			400	400																																																			
SCREW BONE TITANIUM PARTIAL THREAD L42 MM OD3.75 MM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED	SUP-AR-7000-42	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SCREW BONE TITANIUM PARTIAL THREAD L42 MM OD3.75 MM SHOULDER GLENOID SELF DRILL SELF TAP CANNULATED	SUP-AR-7000-42	CDM			270	RC		inpatient			400	400																																																			
DRILL SURGICAL XL PROFILE DISPOSABLE 7 MM SCREW	SUP-AR-8770-03	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
DRILL SURGICAL XL PROFILE DISPOSABLE 7 MM SCREW	SUP-AR-8770-03	CDM			270	RC		inpatient			400	400																																																			
CATHETER BALLOON DILATATION 5.8FR 18MM 120CM 40MM LG VESSEL SCRATCH RESISTANT QUADRA	SUP-M001145580	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
CATHETER BALLOON DILATATION 5.8FR 18MM 120CM 40MM LG VESSEL SCRATCH RESISTANT QUADRA	SUP-M001145580	CDM			270	RC		inpatient			400	400																																																			
ROD MARINER CORTICAL CONTOURED 35MM PRECONTOURED	SUP-MC1-200035	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MARINER CORTICAL CONTOURED 35MM PRECONTOURED	SUP-MC1-200035	CDM			270	RC		inpatient			400	400																																																			
ROD MARINER CORTICAL CONTOURED 40MM PRECONTOURED	SUP-MC1-200040	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
ROD MARINER CORTICAL CONTOURED 40MM PRECONTOURED	SUP-MC1-200040	CDM			270	RC		inpatient			400	400																																																			
SIZER IMPLANT NATRELLE SILICONE P4.4 CM LOW HEIGHT FULL PROJECTION W11 CM X H9.1 CM 205	SUP-MSZLF205	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SIZER IMPLANT NATRELLE SILICONE P4.4 CM LOW HEIGHT FULL PROJECTION W11 CM X H9.1 CM 205	SUP-MSZLF205	CDM			270	RC		inpatient			400	400																																																			
SIZER IMPLANT NATRELLE SILICONE P4.2 CM FULL PROJECTION MODERATE HEIGHT W10.5 CM X H9.6 CM 195 ML	SUP-MSZMF195	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SIZER IMPLANT NATRELLE SILICONE P4.2 CM FULL PROJECTION MODERATE HEIGHT W10.5 CM X H9.6 CM 195 ML	SUP-MSZMF195	CDM			270	RC		inpatient			400	400																																																			
SIZER IMPLANT NATRELLE SILICONE P4.4 CM FULL PROJECTION MODERATE HEIGHT W11 CM X H10.1 CM 225 ML	SUP-MSZMF225	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
SIZER IMPLANT NATRELLE SILICONE P4.4 CM FULL PROJECTION MODERATE HEIGHT W11 CM X H10.1 CM 225 ML	SUP-MSZMF225	CDM			270	RC		inpatient			400	400																																																			
KIT INTRODUCER SILK ROAD .018 IN L50 CM L15 CM OD 4 FR MICROWIRE EXTENSION TUBE NEEDLE STIFF DILATOR	SUP-SR-4F21G7D-MP	CDM			270	RC		outpatient			400	4	108.36				percent of total billed charges		400				other	OPPS APC	296				percent of total billed charges		400				other	OPPS APC	400				other	OPPS APC	108.36				percent of total billed charges		110.52				percent of total billed charges		4				other	OPPS APC	4	400	
KIT INTRODUCER SILK ROAD .018 IN L50 CM L15 CM OD 4 FR MICROWIRE EXTENSION TUBE NEEDLE STIFF DILATOR	SUP-SR-4F21G7D-MP	CDM			270	RC		inpatient			400	400																																																			
RELOAD STAPLER TRI-STAPLE 2 MM L30 MM VASCULAR MEDIUM THICK TISSUE ARTICULATE CURVE TIP INTRODUCER SIGNIA	SUP-SIG30CTAVM	CDM			270	RC		outpatient			399.94	399.94	108.34				percent of total billed charges		399.94				other	OPPS APC	295.96				percent of total billed charges		399.94				other	OPPS APC	399.94				other	OPPS APC	108.34				percent of total billed charges		110.5				percent of total billed charges		399.94				other	OPPS APC	108.34	399.94	
RELOAD STAPLER TRI-STAPLE 2 MM L30 MM VASCULAR MEDIUM THICK TISSUE ARTICULATE CURVE TIP INTRODUCER SIGNIA	SUP-SIG30CTAVM	CDM			270	RC		inpatient			399.94	399.94																																																			
PACK PHACO W. LEGACY CASSETTE	SUP-AS4212-34	CDM	270009168	LOCAL	270	RC		outpatient			399.66	399.66	108.27				percent of total billed charges		399.66				other	OPPS APC	295.75				percent of total billed charges		399.66				other	OPPS APC	399.66				other	OPPS APC	108.27				percent of total billed charges		110.43				percent of total billed charges		399.66				other	OPPS APC	108.27	399.66	
PACK PHACO W. LEGACY CASSETTE	SUP-AS4212-34	CDM	270009168	LOCAL	270	RC		inpatient			399.66	399.66																																																			
SCREW BONE SHORT THREAD 20MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.62	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE SHORT THREAD 20MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.62	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
SCREW BONE 4MM 20MM LCP SS SHORT THREAD REVERSE CUT FLUTE SM BONE CANNULATED SELF	SUP-207.620	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE 4MM 20MM LCP SS SHORT THREAD REVERSE CUT FLUTE SM BONE CANNULATED SELF	SUP-207.620	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L40 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.64	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L40 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.64	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
SCREW BONE 4MM 40MM LCP SS SHORT THREAD RADIUS ULNA PELVIS CANNULATED NS SM FRAGMENT	SUP-207.640	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE 4MM 40MM LCP SS SHORT THREAD RADIUS ULNA PELVIS CANNULATED NS SM FRAGMENT	SUP-207.640	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
SCREW BONE 4MM 5MM 50MM LCP SS SHORT THREAD HEXAGON LOW PROFILE SM BONE SELF DRILL	SUP-207.650	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE 4MM 5MM 50MM LCP SS SHORT THREAD HEXAGON LOW PROFILE SM BONE SELF DRILL	SUP-207.650	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
SCREW BONE 4MM 5MM 1.35MM 30MM LCP SS .5 THREAD SM HEXAGON REVERSE CUT FLUTE SM BONE	SUP-207.730	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE 4MM 5MM 1.35MM 30MM LCP SS .5 THREAD SM HEXAGON REVERSE CUT FLUTE SM BONE	SUP-207.730	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
SCREW BONE LCP STAINLESS STEEL LONG THREAD L50 MM OD4 MM ODSEC5 MM CANCELLOUS SMALL BONE CANNULATED SELF DRILLING SELF TAPPING SMALL HEXAGONAL SOCKET LOW PROFILE HEAD NONSTERILE SMALL FRAGMENT	SUP-207.75	CDM	270010022	LOCAL	270	RC		outpatient			399.52	399.52	108.23				percent of total billed charges		399.52				other	OPPS APC	295.64				percent of total billed charges		399.52				other	OPPS APC	399.52				other	OPPS APC	108.23				percent of total billed charges		110.39				percent of total billed charges		399.52				other	OPPS APC	108.23	399.52	
SCREW BONE LCP STAINLESS STEEL LONG THREAD L50 MM OD4 MM ODSEC5 MM CANCELLOUS SMALL BONE CANNULATED SELF DRILLING SELF TAPPING SMALL HEXAGONAL SOCKET LOW PROFILE HEAD NONSTERILE SMALL FRAGMENT	SUP-207.75	CDM	270010022	LOCAL	270	RC		inpatient			399.52	399.52																																																			
COVER BURR HOLE LEIBINGER UNIVERSAL 2 TITANIUM STANDARD H.6 MM OD10 MM CRANIOMAXILLOFACIAL PLATE 1.2 MM SCREW	SUP-5506372	CDM			270	RC		outpatient			399.4	399.4	108.2				percent of total billed charges		399.4				other	OPPS APC	295.56				percent of total billed charges		399.4				other	OPPS APC	399.4				other	OPPS APC	108.2				percent of total billed charges		110.35				percent of total billed charges		399.4				other	OPPS APC	108.2	399.4	
COVER BURR HOLE LEIBINGER UNIVERSAL 2 TITANIUM STANDARD H.6 MM OD10 MM CRANIOMAXILLOFACIAL PLATE 1.2 MM SCREW	SUP-5506372	CDM			270	RC		inpatient			399.4	399.4																																																			
LUER LOCK TUBE CONNECTOR W/STOPCOCK	SUP-97-02538	CDM			272	RC		outpatient			399.35	399.35	108.18				percent of total billed charges		399.35				other	OPPS APC	295.52				percent of total billed charges		399.35				other	OPPS APC	399.35				other	OPPS APC	108.18				percent of total billed charges		110.34				percent of total billed charges		399.35				other	OPPS APC	108.18	399.35	
LUER LOCK TUBE CONNECTOR W/STOPCOCK	SUP-97-02538	CDM			272	RC		inpatient			399.35	399.35																																																			
PLATE BONE MATRIXNEURO TITANIUM H.4 MM CRANIUM 5 HOLE ADAPTION NONSTERILE BLUE	SUP-04.503.070	CDM	270010013	LOCAL	270	RC		outpatient			399.16	399.16	108.13				percent of total billed charges		399.16				other	OPPS APC	295.38				percent of total billed charges		399.16				other	OPPS APC	399.16				other	OPPS APC	108.13				percent of total billed charges		110.29				percent of total billed charges		399.16				other	OPPS APC	108.13	399.16	
PLATE BONE MATRIXNEURO TITANIUM H.4 MM CRANIUM 5 HOLE ADAPTION NONSTERILE BLUE	SUP-04.503.070	CDM	270010013	LOCAL	270	RC		inpatient			399.16	399.16																																																			
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 2 MM 2.5 MM 3 MM L45 MM MEDIUM VASCULAR TISSUE ARTICULATE KNIFE BLADE FIX ANVIL LARGE BUCKET STERILE LATEX FREE DISPOSABLE TAN	SUP-EGIA45AVM	CDM			270	RC		outpatient			399.04	399.42	108.1				percent of total billed charges		399.04				other	OPPS APC	295.29				percent of total billed charges		399.04				other	OPPS APC	399.04				other	OPPS APC	108.1				percent of total billed charges		110.25				percent of total billed charges		399.42				other	OPPS APC	108.1	399.42	
RELOAD STAPLER ENDO GIA TRI-STAPLE TITANIUM 2 MM 2.5 MM 3 MM L45 MM MEDIUM VASCULAR TISSUE ARTICULATE KNIFE BLADE FIX ANVIL LARGE BUCKET STERILE LATEX FREE DISPOSABLE TAN	SUP-EGIA45AVM	CDM			270	RC		inpatient			399.04	399.04																																																			
STAPLER INTERNAL ENDO GIA ULTRA TRI-STAPLE XL UNIVERSAL 26CMX4MM BLACK TITANIUM EXTRA THICK TISSUE ARTICULATE HAND GRASP	SUP-EGIAUXL	CDM			270	RC		outpatient			399.04	399.42	108.1				percent of total billed charges		399.04				other	OPPS APC	295.29				percent of total billed charges		399.04				other	OPPS APC	399.04				other	OPPS APC	108.1				percent of total billed charges		110.25				percent of total billed charges		399.42				other	OPPS APC	108.1	399.42	
STAPLER INTERNAL ENDO GIA ULTRA TRI-STAPLE XL UNIVERSAL 26CMX4MM BLACK TITANIUM EXTRA THICK TISSUE ARTICULATE HAND GRASP	SUP-EGIAUXL	CDM			270	RC		inpatient			399.04	399.04																																																			
HC Pyridoxal Phosphate (Vitamin B6)	PX-300842070	CDM	84207	CPT	301	RC		outpatient			399	28.11	37.56				fee schedule		28.1				fee schedule		74.58				fee schedule		28.1				fee schedule		28.1				fee schedule		28.1				fee schedule		28.1				fee schedule		28.11				fee schedule		28.1	74.58	
HC Pyridoxal Phosphate (Vitamin B6)	PX-300842070	CDM	84207	CPT	301	RC		inpatient			399	399																																																			
CATHETER PHILLIPS  18 FR	SUP-02-00063	CDM			272	RC		outpatient			398.67	398.67	108				percent of total billed charges		398.67				other	OPPS APC	295.02				percent of total billed charges		398.67				other	OPPS APC	398.67				other	OPPS APC	108				percent of total billed charges		110.15				percent of total billed charges		398.67				other	OPPS APC	108	398.67	
CATHETER PHILLIPS  18 FR	SUP-02-00063	CDM			272	RC		inpatient			398.67	398.67																																																			
CATHETER ARTERIAL LINE 110CM 8FR PULMONARY 7 LUMEN CONTINUOUS CARDIAC OUTPUT	SUP-746HF8	CDM			270	RC		outpatient			398.48	398.48	107.95				percent of total billed charges		398.48				other	OPPS APC	294.88				percent of total billed charges		398.48				other	OPPS APC	398.48				other	OPPS APC	107.95				percent of total billed charges		110.1				percent of total billed charges		398.48				other	OPPS APC	107.95	398.48	
CATHETER ARTERIAL LINE 110CM 8FR PULMONARY 7 LUMEN CONTINUOUS CARDIAC OUTPUT	SUP-746HF8	CDM			270	RC		inpatient			398.48	398.48																																																			
BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE 50-200-25 MG TABLET	637000000	CDM	61958-2501-1	NDC	A9270	HCPCS		inpatient			398.13	398.13																																																			
BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE 50-200-25 MG TABLET	637000000	CDM	61958-2501-1	NDC	A9270	HCPCS		outpatient			398.13	398.13																																															other	OPPS APC			
GUIDEWIRE ORTHOPEDIC T2 TITANIUM L1000 MM OD3 MM FEMUR BALL TIP STERILE FEMORAL NAIL SYSTEM	SUP-1806-0085S	CDM						inpatient			398	398																																																			
GUIDEWIRE ORTHOPEDIC T2 TITANIUM L1000 MM OD3 MM FEMUR BALL TIP STERILE FEMORAL NAIL SYSTEM	SUP-1806-0085S	CDM						outpatient			398	398	398				percent of total billed charges		398				other	OPPS APC	398				fee schedule		398				other	OPPS APC	398				other	OPPS APC	398				case rate		398				case rate		398				other	OPPS APC	398	398	
REINFORCEMENT STAPLE LINE SEAMGUARD BIOABSORBABLE STERILE LATEX FREE DISPOSABLE BLUE GOLD GREEN WHITE ENDOPATH ECHELON FLEX 60	SUP-1BGSEC60A	CDM			270	RC		outpatient			398	398	107.82				percent of total billed charges		398				other	OPPS APC	294.52				percent of total billed charges		398				other	OPPS APC	398				other	OPPS APC	107.82				percent of total billed charges		109.97				percent of total billed charges		398				other	OPPS APC	107.82	398	
REINFORCEMENT STAPLE LINE SEAMGUARD BIOABSORBABLE STERILE LATEX FREE DISPOSABLE BLUE GOLD GREEN WHITE ENDOPATH ECHELON FLEX 60	SUP-1BGSEC60A	CDM			270	RC		inpatient			398	398																																																			
MEMBRANE PERIODONTAL BIO-GIDE PORCINE COLLAGEN L25 MM X W25 MM RESORBABLE BILAYER SMOOTH ROUGH	SUP-20152	CDM			270	RC		outpatient			398	398	107.82				percent of total billed charges		398				other	OPPS APC	294.52				percent of total billed charges		398				other	OPPS APC	398				other	OPPS APC	107.82				percent of total billed charges		109.97				percent of total billed charges		398				other	OPPS APC	107.82	398	
MEMBRANE PERIODONTAL BIO-GIDE PORCINE COLLAGEN L25 MM X W25 MM RESORBABLE BILAYER SMOOTH ROUGH	SUP-20152	CDM			270	RC		inpatient			398	398																																																			
SCREW INTEGRA 3.0MM X 10MM	SUP-285110	CDM			270	RC		outpatient			397.84	397.84	107.77				percent of total billed charges		397.84				other	OPPS APC	294.4				percent of total billed charges		397.84				other	OPPS APC	397.84				other	OPPS APC	107.77				percent of total billed charges		109.92				percent of total billed charges		397.84				other	OPPS APC	107.77	397.84	
SCREW INTEGRA 3.0MM X 10MM	SUP-285110	CDM			270	RC		inpatient			397.84	397.84																																																			
SCREW CANCELLOUS BONE 4MM X 110MM	SUP-97-03646	CDM			278	RC		outpatient			397.81	397.81	397.81				fee schedule		397.81				other	OPPS APC	226.75				percent of total billed charges		397.81				other	OPPS APC	397.81				other	OPPS APC	194.93				percent of total billed charges		202.88				percent of total billed charges		397.81				other	OPPS APC	194.93	397.81	
SCREW CANCELLOUS BONE 4MM X 110MM	SUP-97-03646	CDM			278	RC		inpatient			397.81	397.81																																																			
BIT DRILL EXPERT STAINLESS STEEL L330 MM L100 MM OD3.2 MM 3 FLUTE QUICK COUPLING CALIBRATED BLUE GOLD	SUP-03.010.060	CDM	270010022	LOCAL	270	RC		outpatient			397.8	397.81	107.76				percent of total billed charges		397.8				other	OPPS APC	294.37				percent of total billed charges		397.8				other	OPPS APC	397.8				other	OPPS APC	107.76				percent of total billed charges		109.91				percent of total billed charges		397.81				other	OPPS APC	107.76	397.81	
BIT DRILL EXPERT STAINLESS STEEL L330 MM L100 MM OD3.2 MM 3 FLUTE QUICK COUPLING CALIBRATED BLUE GOLD	SUP-03.010.060	CDM	270010022	LOCAL	270	RC		inpatient			397.8	397.8																																																			
BIT DRILL EXPERT STAINLESS STEEL L330 MM L100 MM OD4.2 MM 3 FLUTE QUICK COUPLING CALIBRATED NONSTERILE GREEN	SUP-03.010.061	CDM	270010022	LOCAL	270	RC		outpatient			397.8	397.81	107.76				percent of total billed charges		397.8				other	OPPS APC	294.37				percent of total billed charges		397.8				other	OPPS APC	397.8				other	OPPS APC	107.76				percent of total billed charges		109.91				percent of total billed charges		397.81				other	OPPS APC	107.76	397.81	
BIT DRILL EXPERT STAINLESS STEEL L330 MM L100 MM OD4.2 MM 3 FLUTE QUICK COUPLING CALIBRATED NONSTERILE GREEN	SUP-03.010.061	CDM	270010022	LOCAL	270	RC		inpatient			397.8	397.8																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L 150MM OD 1.25MM TROCAR POINT STERILE	SUP-71161012	CDM			270	RC		outpatient			397.8	397.81	107.76				percent of total billed charges		397.8				other	OPPS APC	294.37				percent of total billed charges		397.8				other	OPPS APC	397.8				other	OPPS APC	107.76				percent of total billed charges		109.91				percent of total billed charges		397.81				other	OPPS APC	107.76	397.81	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L 150MM OD 1.25MM TROCAR POINT STERILE	SUP-71161012	CDM			270	RC		inpatient			397.8	397.8																																																			
PLATE SEMI TUBLAR	SUP-97-01606	CDM			278	RC		outpatient			397.08	397.8	397.08				fee schedule		397.08				other	OPPS APC	226.34				percent of total billed charges		397.08				other	OPPS APC	397.08				other	OPPS APC	194.57				percent of total billed charges		202.51				percent of total billed charges		397.8				other	OPPS APC	194.57	397.8	
PLATE SEMI TUBLAR	SUP-97-01606	CDM			278	RC		inpatient			397.08	397.08																																																			
HC Contrast Inj/Eval Exist Cvad Inc Flu	PX-361365981	CDM	36598	CPT	361	RC		outpatient			397	217.56	125.37				percent of total billed charges		217.56				other	OPPS APC	680				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	125.37				percent of total billed charges		127.87				percent of total billed charges		217.56				other	OPPS APC	125.37	680	
HC Contrast Inj/Eval Exist Cvad Inc Flu	PX-361365981	CDM	36598	CPT	361	RC		inpatient			397	397																																																			
HC Change of Bladder Tube	PX-450517051	CDM	51705	CPT	450	RC		outpatient			397	397	195.77				case rate		397				other	OPPS APC	293.78				percent of total billed charges		397				other	OPPS APC	397				other	OPPS APC	195.77				case rate		199.69				case rate		397				other	OPPS APC	195.77	397	
HC Change of Bladder Tube	PX-450517051	CDM	51705	CPT	450	RC		inpatient			397	397																																																			
TRAY CENTRAL LINE QUAD 8.5FRX20	SUP-12-00057	CDM			272	RC		outpatient			396.48	396.48	107.41				percent of total billed charges		396.48				other	OPPS APC	293.4				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	107.41				percent of total billed charges		109.55				percent of total billed charges		396.48				other	OPPS APC	107.41	396.48	
TRAY CENTRAL LINE QUAD 8.5FRX20	SUP-12-00057	CDM			272	RC		inpatient			396.48	396.48																																																			
TRAY CENTRAL QUAD 8.5FR X 16CM ARROW	SUP-12-00074	CDM			272	RC		outpatient			396.48	396.48	107.41				percent of total billed charges		396.48				other	OPPS APC	293.4				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	107.41				percent of total billed charges		109.55				percent of total billed charges		396.48				other	OPPS APC	107.41	396.48	
TRAY CENTRAL QUAD 8.5FR X 16CM ARROW	SUP-12-00074	CDM			272	RC		inpatient			396.48	396.48																																																			
SCREW CANN TI 4.0X50MM	SUP-97-03183	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW CANN TI 4.0X50MM	SUP-97-03183	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW CANN TI 4.0X55MM	SUP-97-03253	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW CANN TI 4.0X55MM	SUP-97-03253	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW CANN 4 X 40MM TI	SUP-97-03300	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW CANN 4 X 40MM TI	SUP-97-03300	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW CANN 4 X 42MM TI	SUP-97-03761	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW CANN 4 X 42MM TI	SUP-97-03761	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW FULL THRD CANN 4.0 X 44MM	SUP-97-04200	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW FULL THRD CANN 4.0 X 44MM	SUP-97-04200	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW FULL THRD CANN 4.0 X 46MM	SUP-97-04201	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW FULL THRD CANN 4.0 X 46MM	SUP-97-04201	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW FULL THREAD CANNULATED 4.0 X 48MM	SUP-97-04202	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW FULL THREAD CANNULATED 4.0 X 48MM	SUP-97-04202	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW FULL THRD CANN 4.0 X 50MM	SUP-97-04203	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW FULL THRD CANN 4.0 X 50MM	SUP-97-04203	CDM			278	RC		inpatient			396.48	396.48																																																			
4.0X46MM PART.THD.CAN.SCREW	SUP-97-04283	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
4.0X46MM PART.THD.CAN.SCREW	SUP-97-04283	CDM			278	RC		inpatient			396.48	396.48																																																			
4.0 X 44MM CAN. PORT THD SCREW	SUP-97-04629	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
4.0 X 44MM CAN. PORT THD SCREW	SUP-97-04629	CDM			278	RC		inpatient			396.48	396.48																																																			
SCREW CANNULATED FULL THREAD 4 X 40MM	SUP-97-05633	CDM			278	RC		outpatient			396.48	396.48	396.48				fee schedule		396.48				other	OPPS APC	225.99				percent of total billed charges		396.48				other	OPPS APC	396.48				other	OPPS APC	194.28				percent of total billed charges		202.2				percent of total billed charges		396.48				other	OPPS APC	194.28	396.48	
SCREW CANNULATED FULL THREAD 4 X 40MM	SUP-97-05633	CDM			278	RC		inpatient			396.48	396.48																																																			
SELF DRILL CORTICAL 80 X 40  (30THEAD)	SUP-97-03564	CDM			272	RC		outpatient			396.38	396.38	107.38				percent of total billed charges		396.38				other	OPPS APC	293.32				percent of total billed charges		396.38				other	OPPS APC	396.38				other	OPPS APC	107.38				percent of total billed charges		109.52				percent of total billed charges		396.38				other	OPPS APC	107.38	396.38	
SELF DRILL CORTICAL 80 X 40  (30THEAD)	SUP-97-03564	CDM			272	RC		inpatient			396.38	396.38																																																			
SELF DRILLING CORTICAL  80 X 40 (30THEAD	SUP-97-03565	CDM			272	RC		outpatient			396.38	396.38	107.38				percent of total billed charges		396.38				other	OPPS APC	293.32				percent of total billed charges		396.38				other	OPPS APC	396.38				other	OPPS APC	107.38				percent of total billed charges		109.52				percent of total billed charges		396.38				other	OPPS APC	107.38	396.38	
SELF DRILLING CORTICAL  80 X 40 (30THEAD	SUP-97-03565	CDM			272	RC		inpatient			396.38	396.38																																																			
SELF DRIL CORTICAL PIN 03.0 X 80 X 40	SUP-97-03566	CDM			272	RC		outpatient			396.38	396.38	107.38				percent of total billed charges		396.38				other	OPPS APC	293.32				percent of total billed charges		396.38				other	OPPS APC	396.38				other	OPPS APC	107.38				percent of total billed charges		109.52				percent of total billed charges		396.38				other	OPPS APC	107.38	396.38	
SELF DRIL CORTICAL PIN 03.0 X 80 X 40	SUP-97-03566	CDM			272	RC		inpatient			396.38	396.38																																																			
SELF DRILLING CORTICAL PIN 03.0X60X15 MM	SUP-97-04959	CDM			272	RC		outpatient			396.38	396.38	107.38				percent of total billed charges		396.38				other	OPPS APC	293.32				percent of total billed charges		396.38				other	OPPS APC	396.38				other	OPPS APC	107.38				percent of total billed charges		109.52				percent of total billed charges		396.38				other	OPPS APC	107.38	396.38	
SELF DRILLING CORTICAL PIN 03.0X60X15 MM	SUP-97-04959	CDM			272	RC		inpatient			396.38	396.38																																																			
SCREW BONE LCP STAINLESS STEEL L14 MM OD5 MM CONDYLE STARDRIVE LOCKING VARIABLE ANGLE SELF TAPPING NONSTERILE	SUP-02.231.214	CDM	270010022	LOCAL	270	RC		outpatient			396	396	107.28				percent of total billed charges		396				other	OPPS APC	293.04				percent of total billed charges		396				other	OPPS APC	396				other	OPPS APC	107.28				percent of total billed charges		109.41				percent of total billed charges		396				other	OPPS APC	107.28	396	
SCREW BONE LCP STAINLESS STEEL L14 MM OD5 MM CONDYLE STARDRIVE LOCKING VARIABLE ANGLE SELF TAPPING NONSTERILE	SUP-02.231.214	CDM	270010022	LOCAL	270	RC		inpatient			396	396																																																			
SCREW BONE LCP STAINLESS STEEL L16 MM OD5 MM CONDYLE STARDRIVE SELF TAPPING VARIABLE ANGLE LOCKING NONSTERILE	SUP-02.231.216	CDM	270010022	LOCAL	270	RC		outpatient			396	396	107.28				percent of total billed charges		396				other	OPPS APC	293.04				percent of total billed charges		396				other	OPPS APC	396				other	OPPS APC	107.28				percent of total billed charges		109.41				percent of total billed charges		396				other	OPPS APC	107.28	396	
SCREW BONE LCP STAINLESS STEEL L16 MM OD5 MM CONDYLE STARDRIVE SELF TAPPING VARIABLE ANGLE LOCKING NONSTERILE	SUP-02.231.216	CDM	270010022	LOCAL	270	RC		inpatient			396	396																																																			
SCREW BONE STAINLESS STEEL T25 L18 MM OD5 MM CONDYLAR VARIABLE ANGLE SELF TAP LOCK STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.231.218	CDM	270010022	LOCAL	270	RC		outpatient			396	396	107.28				percent of total billed charges		396				other	OPPS APC	293.04				percent of total billed charges		396				other	OPPS APC	396				other	OPPS APC	107.28				percent of total billed charges		109.41				percent of total billed charges		396				other	OPPS APC	107.28	396	
SCREW BONE STAINLESS STEEL T25 L18 MM OD5 MM CONDYLAR VARIABLE ANGLE SELF TAP LOCK STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.231.218	CDM	270010022	LOCAL	270	RC		inpatient			396	396																																																			
DRILL SUBCHONDRAL LEOS 2MM	SUP-76242820	CDM			270	RC		outpatient			396	396	107.28				percent of total billed charges		396				other	OPPS APC	293.04				percent of total billed charges		396				other	OPPS APC	396				other	OPPS APC	107.28				percent of total billed charges		109.41				percent of total billed charges		396				other	OPPS APC	107.28	396	
DRILL SUBCHONDRAL LEOS 2MM	SUP-76242820	CDM			270	RC		inpatient			396	396																																																			
DRILL 4.2 X 300MM AO	SUP-95-03244	CDM			272	RC		outpatient			395.85	395.85	107.24				percent of total billed charges		395.85				other	OPPS APC	292.93				percent of total billed charges		395.85				other	OPPS APC	395.85				other	OPPS APC	107.24				percent of total billed charges		109.37				percent of total billed charges		395.85				other	OPPS APC	107.24	395.85	
DRILL 4.2 X 300MM AO	SUP-95-03244	CDM			272	RC		inpatient			395.85	395.85																																																			
SHEATH - FLEXOR 90CM 6F MP TIP	SUP-99-04502	CDM			272	RC		outpatient			395.75	395.75	107.21				percent of total billed charges		395.75				other	OPPS APC	292.86				percent of total billed charges		395.75				other	OPPS APC	395.75				other	OPPS APC	107.21				percent of total billed charges		109.35				percent of total billed charges		395.75				other	OPPS APC	107.21	395.75	
SHEATH - FLEXOR 90CM 6F MP TIP	SUP-99-04502	CDM			272	RC		inpatient			395.75	395.75																																																			
TUBE NASAL JEJUNAL FEEDING 8FR	SUP-95-03780	CDM			272	RC		outpatient			395.5	395.5	107.14				percent of total billed charges		395.5				other	OPPS APC	292.67				percent of total billed charges		395.5				other	OPPS APC	395.5				other	OPPS APC	107.14				percent of total billed charges		109.28				percent of total billed charges		395.5				other	OPPS APC	107.14	395.5	
TUBE NASAL JEJUNAL FEEDING 8FR	SUP-95-03780	CDM			272	RC		inpatient			395.5	395.5																																																			
LO-PRO STR PLT 2.4 MM6 HOLE	SUP-97-02257	CDM			278	RC		outpatient			395.5	395.5	395.5				fee schedule		395.5				other	OPPS APC	225.44				percent of total billed charges		395.5				other	OPPS APC	395.5				other	OPPS APC	193.8				percent of total billed charges		201.71				percent of total billed charges		395.5				other	OPPS APC	193.8	395.5	
LO-PRO STR PLT 2.4 MM6 HOLE	SUP-97-02257	CDM			278	RC		inpatient			395.5	395.5																																																			
DRILL BIT 2.5MM	SUP-97-02869	CDM			272	RC		outpatient			395.5	395.5	107.14				percent of total billed charges		395.5				other	OPPS APC	292.67				percent of total billed charges		395.5				other	OPPS APC	395.5				other	OPPS APC	107.14				percent of total billed charges		109.28				percent of total billed charges		395.5				other	OPPS APC	107.14	395.5	
DRILL BIT 2.5MM	SUP-97-02869	CDM			272	RC		inpatient			395.5	395.5																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L8 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.608	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL SHORT THREAD L8 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.608	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L9 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.609	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL SHORT THREAD L9 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.609	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L11 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.611	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL SHORT THREAD L11 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.611	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L12 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.612	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL SHORT THREAD L12 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.612	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L13 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.613	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL SHORT THREAD L13 MM OD3 MM SMALL BONE CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.613	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L14 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.614	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L14 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.614	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L15 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.615	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L15 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.615	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L16 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.616	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L16 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.616	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L17 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.617	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L17 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.617	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL SHORT THREAD L18 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.618	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL SHORT THREAD L18 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.618	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L19 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.619	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L19 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.619	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L21 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.621	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L21 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.621	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L22 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.622	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L22 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.622	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L23 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.623	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L23 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.623	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L24 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.624	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L24 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.624	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L25 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.625	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L25 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.625	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L26 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.626	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L26 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.626	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L27 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.627	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L27 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.627	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L28 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.628	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L28 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.628	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L29 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.629	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L29 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.629	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L30 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.630	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L30 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.630	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L32 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.632	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L32 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.632	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L34 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.634	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L34 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.634	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L36 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.636	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L36 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.636	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L38 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.638	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L38 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.638	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L40 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.640	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/3 THREAD LOW PROFILE L40 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.640	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L14 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.714	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L14 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.714	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L15 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.715	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L15 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.715	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L16 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.716	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L16 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.716	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L17 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.717	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L17 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.717	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L18 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.718	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L18 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.718	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L19 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.719	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L19 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.719	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L20 MM OD3 MM ODSEC4 MM SMALL BONE CANNULATED SELF DRIL SELF TAP LOW PROFILE HEAD NONSTERILE	SUP-202.720	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L20 MM OD3 MM ODSEC4 MM SMALL BONE CANNULATED SELF DRIL SELF TAP LOW PROFILE HEAD NONSTERILE	SUP-202.720	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L21 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.721	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L21 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.721	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L22 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.722	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L22 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.722	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L23 MM OD3 MM ODSEC4 MM CANCELLOUS CANNULATED SELF DRILLING SELF TAPPING COMPRESSION LOW PROFILE HEAD NONSTERILE	SUP-202.723	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L23 MM OD3 MM ODSEC4 MM CANCELLOUS CANNULATED SELF DRILLING SELF TAPPING COMPRESSION LOW PROFILE HEAD NONSTERILE	SUP-202.723	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L24 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.724	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L24 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.724	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L25 MM OD3 MM ODSEC4 MM CANCELLOUS CANNULATED CRUCIFORM RECESS SELF DRILLING SELF TAPPING COMPRESSION NONSTERILE	SUP-202.725	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L25 MM OD3 MM ODSEC4 MM CANCELLOUS CANNULATED CRUCIFORM RECESS SELF DRILLING SELF TAPPING COMPRESSION NONSTERILE	SUP-202.725	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L26 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.726	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L26 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.726	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L27 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.727	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L27 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.727	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L28 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.728	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L28 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.728	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L29 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.729	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L29 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.729	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L30 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.730	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L30 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.730	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L32 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.732	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L32 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.732	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL LONG THREAD L34 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.734	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL LONG THREAD L34 MM OD3 MM WRIST HAND FOOT CANNULATED NONSTERILE	SUP-202.734	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L36 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.736	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L36 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.736	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L38 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.738	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L38 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.738	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L40 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.740	CDM	270010022	LOCAL	270	RC		outpatient			395.26	395.26	107.08				percent of total billed charges		395.26				other	OPPS APC	292.49				percent of total billed charges		395.26				other	OPPS APC	395.26				other	OPPS APC	107.08				percent of total billed charges		109.21				percent of total billed charges		395.26				other	OPPS APC	107.08	395.26	
SCREW BONE STAINLESS STEEL 1/2 THREAD LOW PROFILE L40 MM OD3 MM ODSEC4 MM ID1.2 MM FOREFOOT HAND WRIST SELF DRILL SELF TAP CANNULATED WASHER NONSTERILE ACCEPTS 1.1 MM GUIDEWIRE	SUP-202.740	CDM	270010022	LOCAL	270	RC		inpatient			395.26	395.26																																																			
HC Lumbar Spine 6 View W Bend	PX-320721140	CDM	72114	CPT	320	RC		outpatient			395	112.57	66.47				fee schedule		112.57				other	OPPS APC	159.58				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	62.13				fee schedule		47.25				fee schedule		112.57				other	OPPS APC	47.25	159.58	
HC Lumbar Spine 6 View W Bend	PX-320721140	CDM	72114	CPT	320	RC		inpatient			395	395																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 145X9X1MM .5MM 12MM SS NS 12 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.42	CDM	270010022	LOCAL	270	RC		outpatient			394.9	394.9	106.98				percent of total billed charges		394.9				other	OPPS APC	292.23				percent of total billed charges		394.9				other	OPPS APC	394.9				other	OPPS APC	106.98				percent of total billed charges		109.11				percent of total billed charges		394.9				other	OPPS APC	106.98	394.9	
PLATE BONE LC-DCP 1/3 TUBULAR 145X9X1MM .5MM 12MM SS NS 12 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.42	CDM	270010022	LOCAL	270	RC		inpatient			394.9	394.9																																																			
SCREW F/T LOCKING 5MM X 35MM	SUP-97-01198	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 35MM	SUP-97-01198	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 47.5MM	SUP-97-01200	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 47.5MM	SUP-97-01200	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 45MM	SUP-97-01210	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 45MM	SUP-97-01210	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 42MM	SUP-97-01211	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 42MM	SUP-97-01211	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW LOCKING FULLY THREADED 5.0 X 60MM	SUP-97-01295	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW LOCKING FULLY THREADED 5.0 X 60MM	SUP-97-01295	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 65MM	SUP-97-01296	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 65MM	SUP-97-01296	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW LOCKING FULLY THREADED 5.0 X 32.5MM	SUP-97-01335	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW LOCKING FULLY THREADED 5.0 X 32.5MM	SUP-97-01335	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 52.5MM	SUP-97-01711	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 52.5MM	SUP-97-01711	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 55MM	SUP-97-02054	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 55MM	SUP-97-02054	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 37.5MM	SUP-97-02057	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 37.5MM	SUP-97-02057	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 40MM	SUP-97-02058	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 40MM	SUP-97-02058	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 50MM	SUP-97-02059	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 50MM	SUP-97-02059	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW F/T LOCKING 5MM X 95MM	SUP-97-03699	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW F/T LOCKING 5MM X 95MM	SUP-97-03699	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW 5 X 80MM LOCKING FULLY THREADED	SUP-97-05840	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW 5 X 80MM LOCKING FULLY THREADED	SUP-97-05840	CDM			278	RC		inpatient			394.8	394.8																																																			
SCREW LOCKING FULLY THREADED 5 X 70MM	SUP-97-06122	CDM			278	RC		outpatient			394.8	394.81	394.8				fee schedule		394.8				other	OPPS APC	225.04				percent of total billed charges		394.8				other	OPPS APC	394.8				other	OPPS APC	193.45				percent of total billed charges		201.35				percent of total billed charges		394.81				other	OPPS APC	193.45	394.81	
SCREW LOCKING FULLY THREADED 5 X 70MM	SUP-97-06122	CDM			278	RC		inpatient			394.8	394.8																																																			
KIT FLEXI-SEAL	SUP-13-00010	CDM			272	RC		outpatient			394.63	394.63	106.91				percent of total billed charges		394.63				other	OPPS APC	292.03				percent of total billed charges		394.63				other	OPPS APC	394.63				other	OPPS APC	106.91				percent of total billed charges		109.04				percent of total billed charges		394.63				other	OPPS APC	106.91	394.63	
KIT FLEXI-SEAL	SUP-13-00010	CDM			272	RC		inpatient			394.63	394.63																																																			
GUIDEWIRE ENDOSCOPIC HYDRA JAGWIRE PTFE HYDROPHILIC STRAIGHT L450 CM OD.035 IN BILIARY HIGH PERFORMANCE RAPID EXCHANGE RADIOPAQUE DISTAL STERILE DISPOSABLE	SUP-M00556041	CDM			270	RC		outpatient			394.48	394.48	106.86				percent of total billed charges		394.48				other	OPPS APC	291.92				percent of total billed charges		394.48				other	OPPS APC	394.48				other	OPPS APC	106.86				percent of total billed charges		108.99				percent of total billed charges		394.48				other	OPPS APC	106.86	394.48	
GUIDEWIRE ENDOSCOPIC HYDRA JAGWIRE PTFE HYDROPHILIC STRAIGHT L450 CM OD.035 IN BILIARY HIGH PERFORMANCE RAPID EXCHANGE RADIOPAQUE DISTAL STERILE DISPOSABLE	SUP-M00556041	CDM			270	RC		inpatient			394.48	394.48																																																			
HC Application of Long Arm Cast	PX-450290651	CDM	29065	CPT	450	RC		outpatient			394	394	195.77				case rate		394				other	OPPS APC	291.56				percent of total billed charges		394				other	OPPS APC	394				other	OPPS APC	195.77				case rate		199.69				case rate		394				other	OPPS APC	195.77	394	
HC Application of Long Arm Cast	PX-450290651	CDM	29065	CPT	450	RC		inpatient			394	394																																																			
BURR SURGICAL MEDIUM ROUND FINE L68 MM OD3 MM DIAMOND CUTTING STERILE	SUP-31133065	CDM			270	RC		outpatient			394	394	106.73				percent of total billed charges		394				other	OPPS APC	291.56				percent of total billed charges		394				other	OPPS APC	394				other	OPPS APC	106.73				percent of total billed charges		108.86				percent of total billed charges		394				other	OPPS APC	106.73	394	
BURR SURGICAL MEDIUM ROUND FINE L68 MM OD3 MM DIAMOND CUTTING STERILE	SUP-31133065	CDM			270	RC		inpatient			394	394																																																			
SET DILATOR HYDROPHILIC LONG TAPER L45 CM OD16 FR ODSEC18 FR ENDOVASCULAR ACCEPTS .035 IN GUIDEWIRE	SUP-G52834	CDM			270	RC		outpatient			394	394	106.73				percent of total billed charges		394				other	OPPS APC	291.56				percent of total billed charges		394				other	OPPS APC	394				other	OPPS APC	106.73				percent of total billed charges		108.86				percent of total billed charges		394				other	OPPS APC	106.73	394	
SET DILATOR HYDROPHILIC LONG TAPER L45 CM OD16 FR ODSEC18 FR ENDOVASCULAR ACCEPTS .035 IN GUIDEWIRE	SUP-G52834	CDM			270	RC		inpatient			394	394																																																			
BALLOON - EUPHORA 2.0 X 6	SUP-99-03739	CDM			272	RC		outpatient			393.75	393.75	106.67				percent of total billed charges		393.75				other	OPPS APC	291.38				percent of total billed charges		393.75				other	OPPS APC	393.75				other	OPPS APC	106.67				percent of total billed charges		108.79				percent of total billed charges		393.75				other	OPPS APC	106.67	393.75	
BALLOON - EUPHORA 2.0 X 6	SUP-99-03739	CDM			272	RC		inpatient			393.75	393.75																																																			
SCREW BONE SHORT THREAD 10MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.610	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 10MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.610	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 12MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET ACCEPTS 1.25MM	SUP-207.612	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 12MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET ACCEPTS 1.25MM	SUP-207.612	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 14MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.614	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 14MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.614	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 16MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.616	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 16MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.616	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 18MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.618	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 18MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.618	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 24MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.624	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 24MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.624	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 26MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.626	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 26MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.626	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 28MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.628	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 28MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.628	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 42MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.642	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 42MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.642	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L44 MM L1/3 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.644	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L44 MM L1/3 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.644	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L46 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.646	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L46 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.646	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE SHORT THREAD 48MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.648	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE SHORT THREAD 48MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.648	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE LCP STAINLESS STEEL SHORT THREAD HEXAGON LOW PROFILE L50 MM OD4 MM ODSEC5 MM SMALL BONE SELF DRILL SELF TAP CANNULATED REVERSE CUT FLUTE NONSTERILE	SUP-207.65	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE LCP STAINLESS STEEL SHORT THREAD HEXAGON LOW PROFILE L50 MM OD4 MM ODSEC5 MM SMALL BONE SELF DRILL SELF TAP CANNULATED REVERSE CUT FLUTE NONSTERILE	SUP-207.65	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE .5 THREAD REVERSE CUT FLUTE 16MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.716	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE .5 THREAD REVERSE CUT FLUTE 16MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.716	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE .5 THREAD REVERSE CUT FLUTE 18MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.718	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE .5 THREAD REVERSE CUT FLUTE 18MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.718	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE .5 THREAD REVERSE CUT FLUTE 20MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.720	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE .5 THREAD REVERSE CUT FLUTE 20MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.720	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE .5 THREAD REVERSE CUT FLUTE 22MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.722	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE .5 THREAD REVERSE CUT FLUTE 22MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.722	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE .5 THREAD REVERSE CUT FLUTE 24MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.724	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE .5 THREAD REVERSE CUT FLUTE 24MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.724	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L26 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.726	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L26 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.726	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L28 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.728	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L28 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.728	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L48 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.748	CDM	270010022	LOCAL	270	RC		outpatient			393.5	393.5	106.6				percent of total billed charges		393.5				other	OPPS APC	291.19				percent of total billed charges		393.5				other	OPPS APC	393.5				other	OPPS APC	106.6				percent of total billed charges		108.72				percent of total billed charges		393.5				other	OPPS APC	106.6	393.5	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L48 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.748	CDM	270010022	LOCAL	270	RC		inpatient			393.5	393.5																																																			
PIN CENTER THREADED TRACTION	SUP-5204-090-28	CDM			270	RC		outpatient			393.1	393.12	106.49				percent of total billed charges		393.1				other	OPPS APC	290.89				percent of total billed charges		393.1				other	OPPS APC	393.1				other	OPPS APC	106.49				percent of total billed charges		108.61				percent of total billed charges		393.12				other	OPPS APC	106.49	393.12	
PIN CENTER THREADED TRACTION	SUP-5204-090-28	CDM			270	RC		inpatient			393.1	393.1																																																			
CATHETER IV INTROCAN 24G .55IN	SUP-20-00076	CDM			272	RC		outpatient			392.87	392.87	106.43				percent of total billed charges		392.87				other	OPPS APC	290.72				percent of total billed charges		392.87				other	OPPS APC	392.87				other	OPPS APC	106.43				percent of total billed charges		108.55				percent of total billed charges		392.87				other	OPPS APC	106.43	392.87	
CATHETER IV INTROCAN 24G .55IN	SUP-20-00076	CDM			272	RC		inpatient			392.87	392.87																																																			
2.8 CORTICAL SCREW 75MM HD7 1/PKG	SUP-97-04681	CDM			278	RC		outpatient			392.7	392.7	392.7				fee schedule		392.7				other	OPPS APC	223.84				percent of total billed charges		392.7				other	OPPS APC	392.7				other	OPPS APC	192.42				percent of total billed charges		200.28				percent of total billed charges		392.7				other	OPPS APC	192.42	392.7	
2.8 CORTICAL SCREW 75MM HD7 1/PKG	SUP-97-04681	CDM			278	RC		inpatient			392.7	392.7																																																			
SCREW 2.8 CORTICAL 24MM	SUP-97-04697	CDM			278	RC		outpatient			392.7	392.7	392.7				fee schedule		392.7				other	OPPS APC	223.84				percent of total billed charges		392.7				other	OPPS APC	392.7				other	OPPS APC	192.42				percent of total billed charges		200.28				percent of total billed charges		392.7				other	OPPS APC	192.42	392.7	
SCREW 2.8 CORTICAL 24MM	SUP-97-04697	CDM			278	RC		inpatient			392.7	392.7																																																			
SCREW CORTICAL 2.8 X 60MM HD7	SUP-97-04951	CDM			278	RC		outpatient			392.7	392.7	392.7				fee schedule		392.7				other	OPPS APC	223.84				percent of total billed charges		392.7				other	OPPS APC	392.7				other	OPPS APC	192.42				percent of total billed charges		200.28				percent of total billed charges		392.7				other	OPPS APC	192.42	392.7	
SCREW CORTICAL 2.8 X 60MM HD7	SUP-97-04951	CDM			278	RC		inpatient			392.7	392.7																																																			
SCREW CORTICAL 2.8 X 65MM HD7	SUP-97-04952	CDM			278	RC		outpatient			392.7	392.7	392.7				fee schedule		392.7				other	OPPS APC	223.84				percent of total billed charges		392.7				other	OPPS APC	392.7				other	OPPS APC	192.42				percent of total billed charges		200.28				percent of total billed charges		392.7				other	OPPS APC	192.42	392.7	
SCREW CORTICAL 2.8 X 65MM HD7	SUP-97-04952	CDM			278	RC		inpatient			392.7	392.7																																																			
SUCTION TUBE 3MM SHORT CURVE	SUP-97-04496	CDM			278	RC		outpatient			392.46	392.46	392.46				fee schedule		392.46				other	OPPS APC	223.7				percent of total billed charges		392.46				other	OPPS APC	392.46				other	OPPS APC	192.31				percent of total billed charges		200.15				percent of total billed charges		392.46				other	OPPS APC	192.31	392.46	
SUCTION TUBE 3MM SHORT CURVE	SUP-97-04496	CDM			278	RC		inpatient			392.46	392.46																																																			
DRILL BIT 2.8MM X 102MM AO FITTING	SUP-95-03153	CDM			272	RC		outpatient			392.32	392.32	106.28				percent of total billed charges		392.32				other	OPPS APC	290.32				percent of total billed charges		392.32				other	OPPS APC	392.32				other	OPPS APC	106.28				percent of total billed charges		108.4				percent of total billed charges		392.32				other	OPPS APC	106.28	392.32	
DRILL BIT 2.8MM X 102MM AO FITTING	SUP-95-03153	CDM			272	RC		inpatient			392.32	392.32																																																			
HEAD FEMORAL QUADRA-R MECTACER BIOLOX OPTION LARGE HIP SLEEVE	SUP-01.29.242A	CDM	270010024	LOCAL	270	RC		outpatient			392	392	106.19				percent of total billed charges		392				other	OPPS APC	290.08				percent of total billed charges		392				other	OPPS APC	392				other	OPPS APC	106.19				percent of total billed charges		108.31				percent of total billed charges		392				other	OPPS APC	106.19	392	
HEAD FEMORAL QUADRA-R MECTACER BIOLOX OPTION LARGE HIP SLEEVE	SUP-01.29.242A	CDM	270010024	LOCAL	270	RC		inpatient			392	392																																																			
SCREW REMOVAL BLADE 1.2 DENTAL	SUP-97-06176	CDM			272	RC		outpatient			392	392	106.19				percent of total billed charges		392				other	OPPS APC	290.08				percent of total billed charges		392				other	OPPS APC	392				other	OPPS APC	106.19				percent of total billed charges		108.31				percent of total billed charges		392				other	OPPS APC	106.19	392	
SCREW REMOVAL BLADE 1.2 DENTAL	SUP-97-06176	CDM			272	RC		inpatient			392	392																																																			
SHEATH - PINNACLE DESTINATION 7F 90CM	SUP-99-03637	CDM			272	RC		outpatient			392	392	106.19				percent of total billed charges		392				other	OPPS APC	290.08				percent of total billed charges		392				other	OPPS APC	392				other	OPPS APC	106.19				percent of total billed charges		108.31				percent of total billed charges		392				other	OPPS APC	106.19	392	
SHEATH - PINNACLE DESTINATION 7F 90CM	SUP-99-03637	CDM			272	RC		inpatient			392	392																																																			
SYSTEM LEAD DELIVERY ACUITY PRO	SUP-PLDS	CDM			275	RC		outpatient			392	392	192.08				percent of total billed charges		392				other	OPPS APC	223.44				percent of total billed charges		392				other	OPPS APC	392				other	OPPS APC	192.08				percent of total billed charges		199.92				percent of total billed charges		392				other	OPPS APC	192.08	392	
SYSTEM LEAD DELIVERY ACUITY PRO	SUP-PLDS	CDM			275	RC		inpatient			392	392																																																			
DRILL BIT 3.6MM X 122MM AO FITTING	SUP-97-02839	CDM			278	RC		outpatient			391.76	391.76	391.76				fee schedule		391.76				other	OPPS APC	223.3				percent of total billed charges		391.76				other	OPPS APC	391.76				other	OPPS APC	191.96				percent of total billed charges		199.8				percent of total billed charges		391.76				other	OPPS APC	191.96	391.76	
DRILL BIT 3.6MM X 122MM AO FITTING	SUP-97-02839	CDM			278	RC		inpatient			391.76	391.76																																																			
PLATE BONE TITANIUM X H.5 MM CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE 1.3 SCREW	SUP-421.51	CDM	270010013	LOCAL	270	RC		outpatient			391.04	391.42	105.93				percent of total billed charges		391.04				other	OPPS APC	289.37				percent of total billed charges		391.04				other	OPPS APC	391.04				other	OPPS APC	105.93				percent of total billed charges		108.04				percent of total billed charges		391.42				other	OPPS APC	105.93	391.42	
PLATE BONE TITANIUM X H.5 MM CRANIOMAXILLOFACIAL 4 HOLE LOW PROFILE 1.3 SCREW	SUP-421.51	CDM	270010013	LOCAL	270	RC		inpatient			391.04	391.04																																																			
PLATE BONE .5MM X CRANIOMAXILLOFACIAL TITANIUM 4 HOLE LOW PROFILE 1.3 SCREW NS	SUP-421.510	CDM	270010013	LOCAL	270	RC		outpatient			391.04	391.42	105.93				percent of total billed charges		391.04				other	OPPS APC	289.37				percent of total billed charges		391.04				other	OPPS APC	391.04				other	OPPS APC	105.93				percent of total billed charges		108.04				percent of total billed charges		391.42				other	OPPS APC	105.93	391.42	
PLATE BONE .5MM X CRANIOMAXILLOFACIAL TITANIUM 4 HOLE LOW PROFILE 1.3 SCREW NS	SUP-421.510	CDM	270010013	LOCAL	270	RC		inpatient			391.04	391.04																																																			
HC Remove Foreign Body Subcutan Simple	PX-450101201	CDM	10120	CPT	450	RC		outpatient			391	391	195.77				case rate		391				other	OPPS APC	289.34				percent of total billed charges		391				other	OPPS APC	391				other	OPPS APC	195.77				case rate		199.69				case rate		391				other	OPPS APC	195.77	391	
HC Remove Foreign Body Subcutan Simple	PX-450101201	CDM	10120	CPT	450	RC		inpatient			391	391																																																			
HC Drainage of Finger Abscess Simple	PX-450260101	CDM	26010	CPT	450	RC		outpatient			391	391	195.77				case rate		391				other	OPPS APC	289.34				percent of total billed charges		391				other	OPPS APC	391				other	OPPS APC	195.77				case rate		199.69				case rate		391				other	OPPS APC	195.77	391	
HC Drainage of Finger Abscess Simple	PX-450260101	CDM	26010	CPT	450	RC		inpatient			391	391																																																			
EXTRACTION BOLT 3.5/4.0MM	SUP-97-02838	CDM			278	RC		outpatient			390.99	39.99	390.99				fee schedule		390.99				other	OPPS APC	222.86				percent of total billed charges		390.99				other	OPPS APC	390.99				other	OPPS APC	191.59				percent of total billed charges		199.4				percent of total billed charges		39.99				other	OPPS APC	39.99	390.99	
EXTRACTION BOLT 3.5/4.0MM	SUP-97-02838	CDM			278	RC		inpatient			390.99	390.99																																																			
STENT URETERAL DOUBLE-J SILICONE PTFE .028 IN L26 CM L100 CM OD6 FR 1 STEP INSERT PUSH CATHETER TRAIL SUTURE RADIOPAQUE CLOSED TIP STERILE DISPOSABLE	SUP-5202100	CDM			270	RC		outpatient			390.92	39.92	105.9				percent of total billed charges		390.92				other	OPPS APC	289.28				percent of total billed charges		390.92				other	OPPS APC	390.92				other	OPPS APC	105.9				percent of total billed charges		108.01				percent of total billed charges		39.92				other	OPPS APC	39.92	390.92	
STENT URETERAL DOUBLE-J SILICONE PTFE .028 IN L26 CM L100 CM OD6 FR 1 STEP INSERT PUSH CATHETER TRAIL SUTURE RADIOPAQUE CLOSED TIP STERILE DISPOSABLE	SUP-5202100	CDM			270	RC		inpatient			390.92	390.92																																																			
STENT URETERAL DOUBLE-J SILICONE PTFE .028 IN L28 CM L100 CM OD6 FR 1 STEP INSERT PUSH CATHETER TRAIL SUTURE RADIOPAQUE CLOSED TIP STERILE DISPOSABLE	SUP-5202200	CDM			270	RC		outpatient			390.92	39.92	105.9				percent of total billed charges		390.92				other	OPPS APC	289.28				percent of total billed charges		390.92				other	OPPS APC	390.92				other	OPPS APC	105.9				percent of total billed charges		108.01				percent of total billed charges		39.92				other	OPPS APC	39.92	390.92	
STENT URETERAL DOUBLE-J SILICONE PTFE .028 IN L28 CM L100 CM OD6 FR 1 STEP INSERT PUSH CATHETER TRAIL SUTURE RADIOPAQUE CLOSED TIP STERILE DISPOSABLE	SUP-5202200	CDM			270	RC		inpatient			390.92	390.92																																																			
STENT URETERAL DOUBLE-J SILICONE PTFE .028 IN L24 CM L100 CM OD6 FR 1 STEP INSERT PUSH CATHETER TRAIL SUTURE RADIOPAQUE CLOSED TIP STERILE DISPOSABLE	SUP-5202800	CDM			270	RC		outpatient			390.92	39.92	105.9				percent of total billed charges		390.92				other	OPPS APC	289.28				percent of total billed charges		390.92				other	OPPS APC	390.92				other	OPPS APC	105.9				percent of total billed charges		108.01				percent of total billed charges		39.92				other	OPPS APC	39.92	390.92	
STENT URETERAL DOUBLE-J SILICONE PTFE .028 IN L24 CM L100 CM OD6 FR 1 STEP INSERT PUSH CATHETER TRAIL SUTURE RADIOPAQUE CLOSED TIP STERILE DISPOSABLE	SUP-5202800	CDM			270	RC		inpatient			390.92	390.92																																																			
ACCOLADE DISTAL SPACER	SUP-97-04481	CDM			278	RC		outpatient			390.6	39.62	390.6				fee schedule		390.6				other	OPPS APC	222.64				percent of total billed charges		390.6				other	OPPS APC	390.6				other	OPPS APC	191.39				percent of total billed charges		199.21				percent of total billed charges		39.62				other	OPPS APC	39.62	390.6	
ACCOLADE DISTAL SPACER	SUP-97-04481	CDM			278	RC		inpatient			390.6	390.6																																																			
ACCOLADE DISTAL SPACER	SUP-97-04493	CDM			278	RC		outpatient			390.6	39.62	390.6				fee schedule		390.6				other	OPPS APC	222.64				percent of total billed charges		390.6				other	OPPS APC	390.6				other	OPPS APC	191.39				percent of total billed charges		199.21				percent of total billed charges		39.62				other	OPPS APC	39.62	390.6	
ACCOLADE DISTAL SPACER	SUP-97-04493	CDM			278	RC		inpatient			390.6	390.6																																																			
STENT SET BANDER UTETERAL DIV 70CM	SUP-70-00214	CDM			278	RC		outpatient			390.55	39.55	390.55				fee schedule		390.55				other	OPPS APC	222.61				percent of total billed charges		390.55				other	OPPS APC	390.55				other	OPPS APC	191.37				percent of total billed charges		199.18				percent of total billed charges		39.55				other	OPPS APC	39.55	390.55	
STENT SET BANDER UTETERAL DIV 70CM	SUP-70-00214	CDM			278	RC		inpatient			390.55	390.55																																																			
SCREW BONE FULL THREAD 25MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.025	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE FULL THREAD 25MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.025	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L35 MM OD5 MM ODSEC4.4 MM FEMORAL CONDYLAR PERIARTICULAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.035	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L35 MM OD5 MM ODSEC4.4 MM FEMORAL CONDYLAR PERIARTICULAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.035	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L40 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.040	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L40 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.040	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE FULL THREAD 45MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.045	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE FULL THREAD 45MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.045	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L50 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.050	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L50 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.050	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L55 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.055	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L55 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.055	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L65 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.065	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L65 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.065	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE FULL THREAD 80MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.080	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE FULL THREAD 80MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.080	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE FULL THREAD 90MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.090	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE FULL THREAD 90MM 5MM 4.4MM SS NS CANNULATED SELF DRILL LOCK FIXED ANGLE	SUP-02.205.090	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SCREW BONE 4MM FULL THREAD 95MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.095	CDM	270010022	LOCAL	270	RC		outpatient			390.5	39.5	105.79				percent of total billed charges		390.5				other	OPPS APC	288.97				percent of total billed charges		390.5				other	OPPS APC	390.5				other	OPPS APC	105.79				percent of total billed charges		107.9				percent of total billed charges		39.5				other	OPPS APC	39.5	390.5	
SCREW BONE 4MM FULL THREAD 95MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.095	CDM	270010022	LOCAL	270	RC		inpatient			390.5	390.5																																																			
SYSTEM GASTRIC LAVAGE VISIGI 3D OD36 FR SELECTION VALVE SHORT HOLE BYPASS	SUP-5236S	CDM			270	RC		outpatient			390.4	39.4	105.76				percent of total billed charges		390.4				other	OPPS APC	288.9				percent of total billed charges		390.4				other	OPPS APC	390.4				other	OPPS APC	105.76				percent of total billed charges		107.87				percent of total billed charges		39.4				other	OPPS APC	39.4	390.4	
SYSTEM GASTRIC LAVAGE VISIGI 3D OD36 FR SELECTION VALVE SHORT HOLE BYPASS	SUP-5236S	CDM			270	RC		inpatient			390.4	390.4																																																			
PEG TUBE 22FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00686	CDM			278	RC		outpatient			390.36	39.36	390.36				fee schedule		390.36				other	OPPS APC	222.51				percent of total billed charges		390.36				other	OPPS APC	390.36				other	OPPS APC	191.28				percent of total billed charges		199.08				percent of total billed charges		39.36				other	OPPS APC	39.36	390.36	
PEG TUBE 22FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00686	CDM			278	RC		inpatient			390.36	390.36																																																			
PEG TUBE 20FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00687	CDM			278	RC		outpatient			390.36	39.36	390.36				fee schedule		390.36				other	OPPS APC	222.51				percent of total billed charges		390.36				other	OPPS APC	390.36				other	OPPS APC	191.28				percent of total billed charges		199.08				percent of total billed charges		39.36				other	OPPS APC	39.36	390.36	
PEG TUBE 20FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00687	CDM			278	RC		inpatient			390.36	390.36																																																			
CONTRAST - VISIPAQUE 320 200CC	SUP-99-03399	CDM			255	RC		outpatient			390.32	39.32	95.12				percent of total billed charges		390.32				other	OPPS APC	0.13				fee schedule		390.32				other	OPPS APC	390.32				other	OPPS APC	95.12				percent of total billed charges		97.03				percent of total billed charges		39.32				other	OPPS APC	0.13	390.32	
CONTRAST - VISIPAQUE 320 200CC	SUP-99-03399	CDM			255	RC		inpatient			390.32	390.32																																																			
PLATE BONE TITANIUM RECTANGLE L16 MM X W10 MM X H.5 MM CRANIOFACIAL 4 HOLE LOW PROFILE FRAME	SUP-421.521	CDM	270010013	LOCAL	270	RC		outpatient			390.3	39.31	105.73				percent of total billed charges		390.3				other	OPPS APC	288.82				percent of total billed charges		390.3				other	OPPS APC	390.3				other	OPPS APC	105.73				percent of total billed charges		107.84				percent of total billed charges		39.31				other	OPPS APC	39.31	390.3	
PLATE BONE TITANIUM RECTANGLE L16 MM X W10 MM X H.5 MM CRANIOFACIAL 4 HOLE LOW PROFILE FRAME	SUP-421.521	CDM	270010013	LOCAL	270	RC		inpatient			390.3	390.3																																																			
STENT 7FR X26 CONTOUR SOFT	SUP-70-00165	CDM			278	RC		outpatient			390.02	39.2	390.02				fee schedule		390.02				other	OPPS APC	222.31				percent of total billed charges		390.02				other	OPPS APC	390.02				other	OPPS APC	191.11				percent of total billed charges		198.91				percent of total billed charges		39.2				other	OPPS APC	39.2	390.02	
STENT 7FR X26 CONTOUR SOFT	SUP-70-00165	CDM			278	RC		inpatient			390.02	390.02																																																			
HC Nash Fibrotest  Serum and Plasma	PX-300000300	CDM			300	RC		outpatient			390	53.4	191.1				percent of total billed charges		503.4				fee schedule		288.6				percent of total billed charges		503.4				fee schedule		503.4				fee schedule		503.4				fee schedule		503.4				fee schedule		53.4				fee schedule		53.4	503.4	
HC Nash Fibrotest  Serum and Plasma	PX-300000300	CDM			300	RC		inpatient			390	390																																																			
SUBSTITUTE BONE GRAFT PROGENIX DEMINERALIZED BONE MATRIX BOVINE COLLAGEN 1 ML PUTTY	SUP-005001	CDM	270010031	LOCAL	270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SUBSTITUTE BONE GRAFT PROGENIX DEMINERALIZED BONE MATRIX BOVINE COLLAGEN 1 ML PUTTY	SUP-005001	CDM	270010031	LOCAL	270	RC		inpatient			390	390																																																			
DEVICE SUTURING TI-KNOT OD5 MM 1 PORT PLACEMENT ERGONOMIC HANDLE AUTOMATIC CRIMP STERILE	SUP-030404	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
DEVICE SUTURING TI-KNOT OD5 MM 1 PORT PLACEMENT ERGONOMIC HANDLE AUTOMATIC CRIMP STERILE	SUP-030404	CDM			270	RC		inpatient			390	390																																																			
CABLE PACING L6 FT ATRIUM VENTRICLE EXTERNAL TEMPORARY RECESS PIN NONSTERILE REUSABLE BLUE	SUP-5492AL	CDM						inpatient			390	390																																																			
CABLE PACING L6 FT ATRIUM VENTRICLE EXTERNAL TEMPORARY RECESS PIN NONSTERILE REUSABLE BLUE	SUP-5492AL	CDM						outpatient			390	39	390				percent of total billed charges		390				other	OPPS APC	390				fee schedule		390				other	OPPS APC	390				other	OPPS APC	390				case rate		390				case rate		39				other	OPPS APC	39	390	
CABLE PACING L6 FT ATRIUM VENTRICLE EXTERNAL TEMPORARY RECESS PIN NONSTERILE REUSABLE WHITE	SUP-5492VL	CDM						inpatient			390	390																																																			
CABLE PACING L6 FT ATRIUM VENTRICLE EXTERNAL TEMPORARY RECESS PIN NONSTERILE REUSABLE WHITE	SUP-5492VL	CDM						outpatient			390	39	390				percent of total billed charges		390				other	OPPS APC	390				fee schedule		390				other	OPPS APC	390				other	OPPS APC	390				case rate		390				case rate		39				other	OPPS APC	39	390	
NEEDLE SUTURE SCORPION KNEE	SUP-AR-12990N	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
NEEDLE SUTURE SCORPION KNEE	SUP-AR-12990N	CDM			270	RC		inpatient			390	390																																																			
KIT INSTRUMENT BIO-TENODESIS BIOABSORBABLE STERILE DISPOSABLE	SUP-AR-1676DS	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
KIT INSTRUMENT BIO-TENODESIS BIOABSORBABLE STERILE DISPOSABLE	SUP-AR-1676DS	CDM			270	RC		inpatient			390	390																																																			
ANCHOR SUTURE CORKSCREW FIBERWIRE TITANIUM 2 L15.5 MM OD6.5 MM ROTATOR CUFF 2 BIOABSORBABLE HANDLE INSERTER STERILE DISPOSABLE	SUP-AR-1925SF	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
ANCHOR SUTURE CORKSCREW FIBERWIRE TITANIUM 2 L15.5 MM OD6.5 MM ROTATOR CUFF 2 BIOABSORBABLE HANDLE INSERTER STERILE DISPOSABLE	SUP-AR-1925SF	CDM			270	RC		inpatient			390	390																																																			
KIT INSERTION BIO-SUTURETAK NITINOL 1.1 MM OD17 GA ODSEC2.4 MM SPINE DRILL NEEDLE PERCUTANEOUS INSERTION PORTAL DILATOR WIRE DISPOSABLE	SUP-AR-1934PI	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
KIT INSERTION BIO-SUTURETAK NITINOL 1.1 MM OD17 GA ODSEC2.4 MM SPINE DRILL NEEDLE PERCUTANEOUS INSERTION PORTAL DILATOR WIRE DISPOSABLE	SUP-AR-1934PI	CDM			270	RC		inpatient			390	390																																																			
KIT 3MM PERCUTANEOUS INSERTION	SUP-AR-1934PI-30	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
KIT 3MM PERCUTANEOUS INSERTION	SUP-AR-1934PI-30	CDM			270	RC		inpatient			390	390																																																			
KIT ARTHROSCOPIC FIXATION CURVE SPEAR DISPOSABLE	SUP-AR-3638DC	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
KIT ARTHROSCOPIC FIXATION CURVE SPEAR DISPOSABLE	SUP-AR-3638DC	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM L20 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-20	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE LOW PROFILE SCREWS TITANIUM L20 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-20	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE LOW PROFILE SCREWS L24 MM OD4.5 MM ANKLE LOCK LOW PROFILE	SUP-AR-8545L-24	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE LOW PROFILE SCREWS L24 MM OD4.5 MM ANKLE LOCK LOW PROFILE	SUP-AR-8545L-24	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE LOW PROFILE L26 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-26	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE LOW PROFILE L26 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-26	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE LOW PROFILE L32 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-32	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE LOW PROFILE L32 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-32	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE LOW PROFILE L34 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-34	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE LOW PROFILE L34 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-34	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE LOW PROFILE L38 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-38	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE LOW PROFILE L38 MM OD4.5 MM ANKLE LOCK	SUP-AR-8545L-38	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE ARTHREX LOW PROFILE SCREWS TITANIUM L42 MM OD4.5 MM LOCK STERILE	SUP-AR-8545L-42	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE ARTHREX LOW PROFILE SCREWS TITANIUM L42 MM OD4.5 MM LOCK STERILE	SUP-AR-8545L-42	CDM			270	RC		inpatient			390	390																																																			
SCREW BONE ARTHREX TITANIUM L44 MM OD4.5 MM LOCK LOW PROFILE NONSTERILE	SUP-AR-8545L-44	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW BONE ARTHREX TITANIUM L44 MM OD4.5 MM LOCK LOW PROFILE NONSTERILE	SUP-AR-8545L-44	CDM			270	RC		inpatient			390	390																																																			
SCREW LOW PROFILE LOCKING 4.5MM X 55MM STERILE	SUP-AR-8545L-55S	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
SCREW LOW PROFILE LOCKING 4.5MM X 55MM STERILE	SUP-AR-8545L-55S	CDM			270	RC		inpatient			390	390																																																			
BIT DRILL STRAIGHT OD2 MM CANNULATED DISPOSABLE MICRO COMPRESSION FULL THREAD SCREW	SUP-AR-8737-34	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
BIT DRILL STRAIGHT OD2 MM CANNULATED DISPOSABLE MICRO COMPRESSION FULL THREAD SCREW	SUP-AR-8737-34	CDM			270	RC		inpatient			390	390																																																			
BIT DRILL STRAIGHT OD2.7 MM CALIBRATE CANNULATED STANDARD COMPRESSION FT 4 MM SCREW	SUP-AR-8737-50	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
BIT DRILL STRAIGHT OD2.7 MM CALIBRATE CANNULATED STANDARD COMPRESSION FT 4 MM SCREW	SUP-AR-8737-50	CDM			270	RC		inpatient			390	390																																																			
BIT DRILL OD3 MM CALIBRATE	SUP-AR-8970-30	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
BIT DRILL OD3 MM CALIBRATE	SUP-AR-8970-30	CDM			270	RC		inpatient			390	390																																																			
BIT DRILL OD3 MM CANNULATED	SUP-AR-8970-30C	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
BIT DRILL OD3 MM CANNULATED	SUP-AR-8970-30C	CDM			270	RC		inpatient			390	390																																																			
BIT DRILL ARTHREX LONG OD3 MM CALIBRATE NONSTERILE DISPOSABLE	SUP-AR-8970-30L	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
BIT DRILL ARTHREX LONG OD3 MM CALIBRATE NONSTERILE DISPOSABLE	SUP-AR-8970-30L	CDM			270	RC		inpatient			390	390																																																			
BIT DRILL OD4 MM CANNULATED	SUP-AR-8970-40C	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
BIT DRILL OD4 MM CANNULATED	SUP-AR-8970-40C	CDM			270	RC		inpatient			390	390																																																			
OVERTUBE ENDOSCOPIC GUARDUS STANDARD TAPER L50 CM OD19.5 MM ODSEC8.6-10 MM ID16.7 MM ESOPHAGUS INSUFFLATION CAP PROTECTION SAFETY REINFORCE STERILE DISPOSABLE	SUP-BX00711148	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
OVERTUBE ENDOSCOPIC GUARDUS STANDARD TAPER L50 CM OD19.5 MM ODSEC8.6-10 MM ID16.7 MM ESOPHAGUS INSUFFLATION CAP PROTECTION SAFETY REINFORCE STERILE DISPOSABLE	SUP-BX00711148	CDM			270	RC		inpatient			390	390																																																			
COOK PERICARDIOCENTESIS TRAY	SUP-G10210	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
COOK PERICARDIOCENTESIS TRAY	SUP-G10210	CDM			270	RC		inpatient			390	390																																																			
TAVR CONFIDA  BRECKER GUIDEWIRE 260CM	SUP-GWBC30	CDM			481	RC		outpatient			390	39	191.1				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	191.1				percent of total billed charges		198.9				percent of total billed charges		39				other	OPPS APC	39	390	
TAVR CONFIDA  BRECKER GUIDEWIRE 260CM	SUP-GWBC30	CDM			481	RC		inpatient			390	390																																																			
GUIDEWIRE VASCULAR DIAMONDBACK 360 VIPERWIRE ADVANCE L325 CM OD .014 IN CORONARY FLEXIBLE TIP STERILE LATEX FREE DISPOSABLE	SUP-GWC-12325LG-FT	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
GUIDEWIRE VASCULAR DIAMONDBACK 360 VIPERWIRE ADVANCE L325 CM OD .014 IN CORONARY FLEXIBLE TIP STERILE LATEX FREE DISPOSABLE	SUP-GWC-12325LG-FT	CDM			270	RC		inpatient			390	390																																																			
CATHETER BALLOON DILATATION XXL .035 IN L75 CM L40 MM OD5.8 FR ODSEC14 MM PERIPHERAL LARGE VESSEL GUIDEWIRE ACCEPTS 7 FR INTRODUCER SHEATH PTA	SUP-M001145140	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
CATHETER BALLOON DILATATION XXL .035 IN L75 CM L40 MM OD5.8 FR ODSEC14 MM PERIPHERAL LARGE VESSEL GUIDEWIRE ACCEPTS 7 FR INTRODUCER SHEATH PTA	SUP-M001145140	CDM			270	RC		inpatient			390	390																																																			
CATHETER BALLOON DILATATION XXL L75 CM L40 MM OD5.8 FR ODSEC18 MM PERIPHERAL LARGE VESSEL SCRATCH RESISTANT QUADRA FOLD TECHNOLOGY HIGH STRENGTH SHAFT ACCEPTS .035 IN GUIDEWIRE PTA	SUP-M001145570	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
CATHETER BALLOON DILATATION XXL L75 CM L40 MM OD5.8 FR ODSEC18 MM PERIPHERAL LARGE VESSEL SCRATCH RESISTANT QUADRA FOLD TECHNOLOGY HIGH STRENGTH SHAFT ACCEPTS .035 IN GUIDEWIRE PTA	SUP-M001145570	CDM			270	RC		inpatient			390	390																																																			
LIFTER SURGICAL ORISE INTERJECT GEL 23 G 10 ML SYRINGE KIT TWIN PACK DISPOSABLE CLEAR	SUP-M00519210	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
LIFTER SURGICAL ORISE INTERJECT GEL 23 G 10 ML SYRINGE KIT TWIN PACK DISPOSABLE CLEAR	SUP-M00519210	CDM			270	RC		inpatient			390	390																																																			
ON Q PAINBUSTER 400ML	SUP-P400X5	CDM			270	RC		outpatient			390	39	105.65				percent of total billed charges		390				other	OPPS APC	288.6				percent of total billed charges		390				other	OPPS APC	390				other	OPPS APC	105.65				percent of total billed charges		107.76				percent of total billed charges		39				other	OPPS APC	39	390	
ON Q PAINBUSTER 400ML	SUP-P400X5	CDM			270	RC		inpatient			390	390																																																			
STAPLER SURGICAL ENDOPATH INTERNAL LINEAR CUTTER DISPOSABLE REGULAR 35MM	SUP-ESTSB35	CDM			270	RC		outpatient			389.88	389.88	105.62				percent of total billed charges		389.88				other	OPPS APC	288.51				percent of total billed charges		389.88				other	OPPS APC	389.88				other	OPPS APC	105.62				percent of total billed charges		107.72				percent of total billed charges		389.88				other	OPPS APC	105.62	389.88	
STAPLER SURGICAL ENDOPATH INTERNAL LINEAR CUTTER DISPOSABLE REGULAR 35MM	SUP-ESTSB35	CDM			270	RC		inpatient			389.88	389.88																																																			
END CAP 8MM	SUP-97-03053	CDM			278	RC		outpatient			389.55	389.55	389.55				fee schedule		389.55				other	OPPS APC	222.04				percent of total billed charges		389.55				other	OPPS APC	389.55				other	OPPS APC	190.88				percent of total billed charges		198.67				percent of total billed charges		389.55				other	OPPS APC	190.88	389.55	
END CAP 8MM	SUP-97-03053	CDM			278	RC		inpatient			389.55	389.55																																																			
SEALER BIPOLAR AQUAMANTYS 6.0 TRANSCOLLATION 30 D .236 IN SPACE L.226 IN L5.1 IN OD.137 IN 2 ELECTRODE HEMOSTATIC STERILE LATEX FREE DISPOSABLE	SUP-23-112-1	CDM			270	RC		outpatient			389.4	389.4	105.49				percent of total billed charges		389.4				other	OPPS APC	288.16				percent of total billed charges		389.4				other	OPPS APC	389.4				other	OPPS APC	105.49				percent of total billed charges		107.59				percent of total billed charges		389.4				other	OPPS APC	105.49	389.4	
SEALER BIPOLAR AQUAMANTYS 6.0 TRANSCOLLATION 30 D .236 IN SPACE L.226 IN L5.1 IN OD.137 IN 2 ELECTRODE HEMOSTATIC STERILE LATEX FREE DISPOSABLE	SUP-23-112-1	CDM			270	RC		inpatient			389.4	389.4																																																			
BIT DRILL MATRIXRIB L135 MM L8 MM OD2.2 MM J LATCH STOP NONSTERILE	SUP-03.501.038	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB L135 MM L8 MM OD2.2 MM J LATCH STOP NONSTERILE	SUP-03.501.038	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB 135MM 10MM 2.2MM NS STERNUM J LATCH COUPLING STOP STRYKER	SUP-03.501.040	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB 135MM 10MM 2.2MM NS STERNUM J LATCH COUPLING STOP STRYKER	SUP-03.501.040	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB L135 MM L12 MM OD2.2 MM J LATCH STOP NONSTERILE	SUP-03.501.042	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB L135 MM L12 MM OD2.2 MM J LATCH STOP NONSTERILE	SUP-03.501.042	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB L135 MM L16 MM OD2.2 MM J LATCH STOP NONSTERILE	SUP-03.501.046	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB L135 MM L16 MM OD2.2 MM J LATCH STOP NONSTERILE	SUP-03.501.046	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB 82MM 14MM 1.8MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.214	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB 82MM 14MM 1.8MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.214	CDM			270	RC		inpatient			388.92	388.92																																																			
DRILL BIT SYNTHES STRYKER J LATCH 19MM STOP	SUP-03.501.216	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
DRILL BIT SYNTHES STRYKER J LATCH 19MM STOP	SUP-03.501.216	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB 82MM 18MM 1.8MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.218	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB 82MM 18MM 1.8MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.218	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB L88 MM L22 MM OD1.8 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE STRYKER	SUP-03.501.222	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB L88 MM L22 MM OD1.8 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE STRYKER	SUP-03.501.222	CDM			270	RC		inpatient			388.92	388.92																																																			
BIT DRILL MATRIXRIB L135 MM L10 MM OD2.2 MM STERNUM STOP AO QUICK COUPLING NONSTERILE	SUP-03.501.610	CDM			270	RC		outpatient			388.92	388.92	105.36				percent of total billed charges		388.92				other	OPPS APC	287.8				percent of total billed charges		388.92				other	OPPS APC	388.92				other	OPPS APC	105.36				percent of total billed charges		107.46				percent of total billed charges		388.92				other	OPPS APC	105.36	388.92	
BIT DRILL MATRIXRIB L135 MM L10 MM OD2.2 MM STERNUM STOP AO QUICK COUPLING NONSTERILE	SUP-03.501.610	CDM			270	RC		inpatient			388.92	388.92																																																			
PACK GENERAL LAP ABDMONIAL	SUP-76-00077	CDM			272	RC		outpatient			388.85	388.85	105.34				percent of total billed charges		388.85				other	OPPS APC	287.75				percent of total billed charges		388.85				other	OPPS APC	388.85				other	OPPS APC	105.34				percent of total billed charges		107.44				percent of total billed charges		388.85				other	OPPS APC	105.34	388.85	
PACK GENERAL LAP ABDMONIAL	SUP-76-00077	CDM			272	RC		inpatient			388.85	388.85																																																			
BLADE 2.0MM HTX-LOCK LG	SUP-71-00210	CDM			278	RC		outpatient			388.5	388.5	388.5				fee schedule		388.5				other	OPPS APC	221.45				percent of total billed charges		388.5				other	OPPS APC	388.5				other	OPPS APC	190.37				percent of total billed charges		198.14				percent of total billed charges		388.5				other	OPPS APC	190.37	388.5	
BLADE 2.0MM HTX-LOCK LG	SUP-71-00210	CDM			278	RC		inpatient			388.5	388.5																																																			
BLADE SAW OSC 25	SUP-78-00357	CDM			272	RC		outpatient			388.5	388.5	105.24				percent of total billed charges		388.5				other	OPPS APC	287.49				percent of total billed charges		388.5				other	OPPS APC	388.5				other	OPPS APC	105.24				percent of total billed charges		107.34				percent of total billed charges		388.5				other	OPPS APC	105.24	388.5	
BLADE SAW OSC 25	SUP-78-00357	CDM			272	RC		inpatient			388.5	388.5																																																			
DEVICE FIXATION TIGHTROPE UHMWPE ACL ATTACHABLE OPEN	SUP-AR-1588TN-1	CDM			270	RC		outpatient			388	388	105.11				percent of total billed charges		388				other	OPPS APC	287.12				percent of total billed charges		388				other	OPPS APC	388				other	OPPS APC	105.11				percent of total billed charges		107.2				percent of total billed charges		388				other	OPPS APC	105.11	388	
DEVICE FIXATION TIGHTROPE UHMWPE ACL ATTACHABLE OPEN	SUP-AR-1588TN-1	CDM			270	RC		inpatient			388	388																																																			
Surgiflo (Floseal)	PX-272000016	CDM			272	RC		outpatient			387.99	387.99	105.11				percent of total billed charges		387.99				other	OPPS APC	387.99				fee schedule		387.99				other	OPPS APC	387.99				other	OPPS APC	105.11				percent of total billed charges		107.2				percent of total billed charges		387.99				other	OPPS APC	105.11	387.99	
Surgiflo (Floseal)	PX-272000016	CDM			272	RC		inpatient			387.99	387.99																																																			
ARTICULATING GIA 45-4.1 RELOAD	SUP-76-00063	CDM			272	RC		outpatient			387.88	387.88	105.08				percent of total billed charges		387.88				other	OPPS APC	287.03				percent of total billed charges		387.88				other	OPPS APC	387.88				other	OPPS APC	105.08				percent of total billed charges		107.17				percent of total billed charges		387.88				other	OPPS APC	105.08	387.88	
ARTICULATING GIA 45-4.1 RELOAD	SUP-76-00063	CDM			272	RC		inpatient			387.88	387.88																																																			
45MM STAPLER VASCULAR RELOADS	SUP-76-00071	CDM			272	RC		outpatient			387.88	387.88	105.08				percent of total billed charges		387.88				other	OPPS APC	287.03				percent of total billed charges		387.88				other	OPPS APC	387.88				other	OPPS APC	105.08				percent of total billed charges		107.17				percent of total billed charges		387.88				other	OPPS APC	105.08	387.88	
45MM STAPLER VASCULAR RELOADS	SUP-76-00071	CDM			272	RC		inpatient			387.88	387.88																																																			
PLATE BONE TITANIUM STANDARD L14 MM MAXILLOFACIAL BURR HOLE COVER 1.2 MM SCREW	SUP-5506370	CDM			270	RC		outpatient			387.76	387.76	105.04				percent of total billed charges		387.76				other	OPPS APC	286.94				percent of total billed charges		387.76				other	OPPS APC	387.76				other	OPPS APC	105.04				percent of total billed charges		107.14				percent of total billed charges		387.76				other	OPPS APC	105.04	387.76	
PLATE BONE TITANIUM STANDARD L14 MM MAXILLOFACIAL BURR HOLE COVER 1.2 MM SCREW	SUP-5506370	CDM			270	RC		inpatient			387.76	387.76																																																			
PLATE BONE TITANIUM STANDARD L7 MM MAXILLOFACIAL BURR HOLE COVER 1.2 MM SCREW	SUP-5506375	CDM			270	RC		outpatient			387.76	387.76	105.04				percent of total billed charges		387.76				other	OPPS APC	286.94				percent of total billed charges		387.76				other	OPPS APC	387.76				other	OPPS APC	105.04				percent of total billed charges		107.14				percent of total billed charges		387.76				other	OPPS APC	105.04	387.76	
PLATE BONE TITANIUM STANDARD L7 MM MAXILLOFACIAL BURR HOLE COVER 1.2 MM SCREW	SUP-5506375	CDM			270	RC		inpatient			387.76	387.76																																																			
STENT 7FR X28 CONTOUR SOFT	SUP-70-00166	CDM			278	RC		outpatient			387.7	387.7	387.7				fee schedule		387.7				other	OPPS APC	220.99				percent of total billed charges		387.7				other	OPPS APC	387.7				other	OPPS APC	189.97				percent of total billed charges		197.73				percent of total billed charges		387.7				other	OPPS APC	189.97	387.7	
STENT 7FR X28 CONTOUR SOFT	SUP-70-00166	CDM			278	RC		inpatient			387.7	387.7																																																			
GRAFT HEMASHIELD PATCH (M00202019579PO)	SUP-75-00126	CDM			278	RC		outpatient			387.62	387.62	387.62				fee schedule		387.62				other	OPPS APC	220.94				percent of total billed charges		387.62				other	OPPS APC	387.62				other	OPPS APC	189.93				percent of total billed charges		197.69				percent of total billed charges		387.62				other	OPPS APC	189.93	387.62	
GRAFT HEMASHIELD PATCH (M00202019579PO)	SUP-75-00126	CDM			278	RC		inpatient			387.62	387.62																																																			
FILLER BONE VOID 1CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038010	CDM	270010031	LOCAL	270	RC		outpatient			387.36	387.36	104.94				percent of total billed charges		387.36				other	OPPS APC	286.65				percent of total billed charges		387.36				other	OPPS APC	387.36				other	OPPS APC	104.94				percent of total billed charges		107.03				percent of total billed charges		387.36				other	OPPS APC	104.94	387.36	
FILLER BONE VOID 1CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038010	CDM	270010031	LOCAL	270	RC		inpatient			387.36	387.36																																																			
STENT 6FR X24 CONTOUR SOFT	SUP-70-00160	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT 6FR X24 CONTOUR SOFT	SUP-70-00160	CDM			278	RC		inpatient			387.03	387.03																																																			
STENT 6FR X26 CONTOUR SOFT	SUP-70-00161	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT 6FR X26 CONTOUR SOFT	SUP-70-00161	CDM			278	RC		inpatient			387.03	387.03																																																			
STENT 6FR X 22-30CM CONTOUR	SUP-70-00163	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT 6FR X 22-30CM CONTOUR	SUP-70-00163	CDM			278	RC		inpatient			387.03	387.03																																																			
STENT PERCUFLEX 4.8FR X 22	SUP-70-00209	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT PERCUFLEX 4.8FR X 22	SUP-70-00209	CDM			278	RC		inpatient			387.03	387.03																																																			
STENT PERCUFLEX 4.8FR X 24	SUP-70-00210	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT PERCUFLEX 4.8FR X 24	SUP-70-00210	CDM			278	RC		inpatient			387.03	387.03																																																			
STENT PERCUFLEX 4.8FR X 26	SUP-70-00211	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT PERCUFLEX 4.8FR X 26	SUP-70-00211	CDM			278	RC		inpatient			387.03	387.03																																																			
STENT PERCUFLEX 4.8FR X 28	SUP-70-00212	CDM			278	RC		outpatient			387.03	387.3	387.03				fee schedule		387.03				other	OPPS APC	220.61				percent of total billed charges		387.03				other	OPPS APC	387.03				other	OPPS APC	189.64				percent of total billed charges		197.39				percent of total billed charges		387.3				other	OPPS APC	189.64	387.3	
STENT PERCUFLEX 4.8FR X 28	SUP-70-00212	CDM			278	RC		inpatient			387.03	387.03																																																			
SCREW BONE LCP STAINLESS STEEL L70 MM OD5 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.544	CDM	270010022	LOCAL	270	RC		outpatient			387	387	104.84				percent of total billed charges		387				other	OPPS APC	286.38				percent of total billed charges		387				other	OPPS APC	387				other	OPPS APC	104.84				percent of total billed charges		106.93				percent of total billed charges		387				other	OPPS APC	104.84	387	
SCREW BONE LCP STAINLESS STEEL L70 MM OD5 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.544	CDM	270010022	LOCAL	270	RC		inpatient			387	387																																																			
SCREW BONE LCP STAINLESS STEEL L85 MM OD5 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.547	CDM	270010022	LOCAL	270	RC		outpatient			387	387	104.84				percent of total billed charges		387				other	OPPS APC	286.38				percent of total billed charges		387				other	OPPS APC	387				other	OPPS APC	104.84				percent of total billed charges		106.93				percent of total billed charges		387				other	OPPS APC	104.84	387	
SCREW BONE LCP STAINLESS STEEL L85 MM OD5 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.547	CDM	270010022	LOCAL	270	RC		inpatient			387	387																																																			
ANCHOR SUTURE FASTIN ETHIBOND 2 OD4 MM LATEX FREE	SUP-222540	CDM	270010022	LOCAL	270	RC		outpatient			387	387	104.84				percent of total billed charges		387				other	OPPS APC	286.38				percent of total billed charges		387				other	OPPS APC	387				other	OPPS APC	104.84				percent of total billed charges		106.93				percent of total billed charges		387				other	OPPS APC	104.84	387	
ANCHOR SUTURE FASTIN ETHIBOND 2 OD4 MM LATEX FREE	SUP-222540	CDM	270010022	LOCAL	270	RC		inpatient			387	387																																																			
HANDPIECE LASER ENDOPROBE 45 D TAPER OD23 GA SMOOTH RIGID	SUP-14400	CDM			270	RC		outpatient			386.67	386.67	104.75				percent of total billed charges		386.67				other	OPPS APC	286.14				percent of total billed charges		386.67				other	OPPS APC	386.67				other	OPPS APC	104.75				percent of total billed charges		106.84				percent of total billed charges		386.67				other	OPPS APC	104.75	386.67	
HANDPIECE LASER ENDOPROBE 45 D TAPER OD23 GA SMOOTH RIGID	SUP-14400	CDM			270	RC		inpatient			386.67	386.67																																																			
SCREW BONE PREMIER TITANIUM L13 MM OD4 MM SPINE CANCELLOUS SELF TAP STERILE	SUP-6860013	CDM	270010020	LOCAL	270	RC		outpatient			385.82	385.82	104.52				percent of total billed charges		385.82				other	OPPS APC	285.51				percent of total billed charges		385.82				other	OPPS APC	385.82				other	OPPS APC	104.52				percent of total billed charges		106.6				percent of total billed charges		385.82				other	OPPS APC	104.52	385.82	
SCREW BONE PREMIER TITANIUM L13 MM OD4 MM SPINE CANCELLOUS SELF TAP STERILE	SUP-6860013	CDM	270010020	LOCAL	270	RC		inpatient			385.82	385.82																																																			
SCREW BONE PREMIER TITANIUM L15 MM OD4.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860055	CDM	270010020	LOCAL	270	RC		outpatient			385.82	385.82	104.52				percent of total billed charges		385.82				other	OPPS APC	285.51				percent of total billed charges		385.82				other	OPPS APC	385.82				other	OPPS APC	104.52				percent of total billed charges		106.6				percent of total billed charges		385.82				other	OPPS APC	104.52	385.82	
SCREW BONE PREMIER TITANIUM L15 MM OD4.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860055	CDM	270010020	LOCAL	270	RC		inpatient			385.82	385.82																																																			
COVER BURR HOLE TITANIUM OD7 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE 1.5 MM SCREW	SUP-5305507	CDM			270	RC		outpatient			385.5	385.5	104.43				percent of total billed charges		385.5				other	OPPS APC	285.27				percent of total billed charges		385.5				other	OPPS APC	385.5				other	OPPS APC	104.43				percent of total billed charges		106.51				percent of total billed charges		385.5				other	OPPS APC	104.43	385.5	
COVER BURR HOLE TITANIUM OD7 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE 1.5 MM SCREW	SUP-5305507	CDM			270	RC		inpatient			385.5	385.5																																																			
COVER BURR HOLE TITANIUM MEDIUM OD10 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE 1.5 MM SCREW	SUP-5305510	CDM			270	RC		outpatient			385.5	385.5	104.43				percent of total billed charges		385.5				other	OPPS APC	285.27				percent of total billed charges		385.5				other	OPPS APC	385.5				other	OPPS APC	104.43				percent of total billed charges		106.51				percent of total billed charges		385.5				other	OPPS APC	104.43	385.5	
COVER BURR HOLE TITANIUM MEDIUM OD10 MM CRANIOMAXILLOFACIAL LOW PROFILE TAB LATEX FREE 1.5 MM SCREW	SUP-5305510	CDM			270	RC		inpatient			385.5	385.5																																																			
STENT 6FR X28 CONTOUR SOFT	SUP-70-00162	CDM			278	RC		outpatient			385.39	385.39	385.39				fee schedule		385.39				other	OPPS APC	219.67				percent of total billed charges		385.39				other	OPPS APC	385.39				other	OPPS APC	188.84				percent of total billed charges		196.55				percent of total billed charges		385.39				other	OPPS APC	188.84	385.39	
STENT 6FR X28 CONTOUR SOFT	SUP-70-00162	CDM			278	RC		inpatient			385.39	385.39																																																			
DRILL BIT AO 4.2 X 250MM	SUP-97-05638	CDM			272	RC		outpatient			385.35	385.35	104.39				percent of total billed charges		385.35				other	OPPS APC	285.16				percent of total billed charges		385.35				other	OPPS APC	385.35				other	OPPS APC	104.39				percent of total billed charges		106.47				percent of total billed charges		385.35				other	OPPS APC	104.39	385.35	
DRILL BIT AO 4.2 X 250MM	SUP-97-05638	CDM			272	RC		inpatient			385.35	385.35																																																			
ELIMINATOR HOLE PINNACLE MARATHON STERILE HIP APEX	SUP-1246-03-000	CDM	270010024	LOCAL	270	RC		outpatient			385.2	385.2	104.35				percent of total billed charges		385.2				other	OPPS APC	285.05				percent of total billed charges		385.2				other	OPPS APC	385.2				other	OPPS APC	104.35				percent of total billed charges		106.43				percent of total billed charges		385.2				other	OPPS APC	104.35	385.2	
ELIMINATOR HOLE PINNACLE MARATHON STERILE HIP APEX	SUP-1246-03-000	CDM	270010024	LOCAL	270	RC		inpatient			385.2	385.2																																																			
SCREW STRYKER ASNIS 3.0MM CANNULATED 40MM	SUP-40-30240	CDM			270	RC		outpatient			385.2	385.2	104.35				percent of total billed charges		385.2				other	OPPS APC	285.05				percent of total billed charges		385.2				other	OPPS APC	385.2				other	OPPS APC	104.35				percent of total billed charges		106.43				percent of total billed charges		385.2				other	OPPS APC	104.35	385.2	
SCREW STRYKER ASNIS 3.0MM CANNULATED 40MM	SUP-40-30240	CDM			270	RC		inpatient			385.2	385.2																																																			
SCREW BONE TITANIUM L 46 MM OD 5 MM CANCELLOUS SELF TAP	SUP-71755046	CDM			270	RC		outpatient			385.2	385.2	104.35				percent of total billed charges		385.2				other	OPPS APC	285.05				percent of total billed charges		385.2				other	OPPS APC	385.2				other	OPPS APC	104.35				percent of total billed charges		106.43				percent of total billed charges		385.2				other	OPPS APC	104.35	385.2	
SCREW BONE TITANIUM L 46 MM OD 5 MM CANCELLOUS SELF TAP	SUP-71755046	CDM			270	RC		inpatient			385.2	385.2																																																			
SCREW BONE TRIGEN TITANIUM L 48MM OD 5MM HUMERUS CANCELLOUS SELF TAP INTRAMEDULLARY NAIL SYSTEM	SUP-71755048	CDM			270	RC		outpatient			385.2	385.2	104.35				percent of total billed charges		385.2				other	OPPS APC	285.05				percent of total billed charges		385.2				other	OPPS APC	385.2				other	OPPS APC	104.35				percent of total billed charges		106.43				percent of total billed charges		385.2				other	OPPS APC	104.35	385.2	
SCREW BONE TRIGEN TITANIUM L 48MM OD 5MM HUMERUS CANCELLOUS SELF TAP INTRAMEDULLARY NAIL SYSTEM	SUP-71755048	CDM			270	RC		inpatient			385.2	385.2																																																			
BUTTON FIXATION ENDOBUTTON TITANIUM L12 MM OD4 MM FEMUR SOFT TISSUE ARTHROSCOPIC STERILE DISPOSABLE	SUP-013186	CDM			270	RC		outpatient			385.02	385.2	104.3				percent of total billed charges		385.02				other	OPPS APC	284.91				percent of total billed charges		385.02				other	OPPS APC	385.02				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385.2				other	OPPS APC	104.3	385.2	
BUTTON FIXATION ENDOBUTTON TITANIUM L12 MM OD4 MM FEMUR SOFT TISSUE ARTHROSCOPIC STERILE DISPOSABLE	SUP-013186	CDM			270	RC		inpatient			385.02	385.02																																																			
CHOLANGIOCATH (5/KITS) ARROW	SUP-74-00054	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
CHOLANGIOCATH (5/KITS) ARROW	SUP-74-00054	CDM			272	RC		inpatient			385	385																																																			
FILSHIE CLIP	SUP-77-00008	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
FILSHIE CLIP	SUP-77-00008	CDM			272	RC		inpatient			385	385																																																			
NEEDLE ASPIRATION VISI SHOT 21G	SUP-95-04609	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
NEEDLE ASPIRATION VISI SHOT 21G	SUP-95-04609	CDM			272	RC		inpatient			385	385																																																			
STEINMAN PIN 2MMX9	SUP-97-00080	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
STEINMAN PIN 2MMX9	SUP-97-00080	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 14MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01561	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 14MM CORTICAL LOW PROFILE TITANIUM	SUP-97-01561	CDM			278	RC		inpatient			385	385																																																			
LOW PROFILE SCREW 2.4X14MM CORTEX	SUP-97-02366	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
LOW PROFILE SCREW 2.4X14MM CORTEX	SUP-97-02366	CDM			278	RC		inpatient			385	385																																																			
LOW PROFILE SCREW 2.4X24MM CORTEX	SUP-97-02367	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
LOW PROFILE SCREW 2.4X24MM CORTEX	SUP-97-02367	CDM			278	RC		inpatient			385	385																																																			
CANCELLOUS BONE SCREW 50MM	SUP-97-02899	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
CANCELLOUS BONE SCREW 50MM	SUP-97-02899	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 28MM CORTICAL LOW PROFILE TITANIUM	SUP-97-03524	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 28MM CORTICAL LOW PROFILE TITANIUM	SUP-97-03524	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 16	SUP-97-03525	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 16	SUP-97-03525	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 18MM	SUP-97-03526	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 18MM	SUP-97-03526	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 20MM	SUP-97-03527	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 20MM	SUP-97-03527	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 24MM	SUP-97-03528	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 24MM	SUP-97-03528	CDM			278	RC		inpatient			385	385																																																			
SCREW 3 X 26MM CORTICAL LOW PROFILE TITANIUM	SUP-97-05845	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 3 X 26MM CORTICAL LOW PROFILE TITANIUM	SUP-97-05845	CDM			278	RC		inpatient			385	385																																																			
SCREW 2.4 X 26MM LOW PROFILE CORTEX	SUP-97-06199	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 2.4 X 26MM LOW PROFILE CORTEX	SUP-97-06199	CDM			278	RC		inpatient			385	385																																																			
SCREW 2.4 X 30MM LOW PROFILE CORTEX	SUP-97-06247	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
SCREW 2.4 X 30MM LOW PROFILE CORTEX	SUP-97-06247	CDM			278	RC		inpatient			385	385																																																			
LOW PROFILE SCREW 2.4X22MM CORTEX	SUP-97-23751	CDM			278	RC		outpatient			385	385	385				fee schedule		385				other	OPPS APC	219.45				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	188.65				percent of total billed charges		196.35				percent of total billed charges		385				other	OPPS APC	188.65	385	
LOW PROFILE SCREW 2.4X22MM CORTEX	SUP-97-23751	CDM			278	RC		inpatient			385	385																																																			
GUIDEWIRE - VERSACORE MOD J 260CM	SUP-99-00981	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
GUIDEWIRE - VERSACORE MOD J 260CM	SUP-99-00981	CDM			272	RC		inpatient			385	385																																																			
GUIDEWIRE - VERSACORE FLOPPY 260CM	SUP-99-01324	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
GUIDEWIRE - VERSACORE FLOPPY 260CM	SUP-99-01324	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 4.0X150	SUP-99-01325	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 4.0X150	SUP-99-01325	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 4.0X200	SUP-99-01326	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 4.0X200	SUP-99-01326	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 4.0X250	SUP-99-01327	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 4.0X250	SUP-99-01327	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 5.0X150	SUP-99-01328	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 5.0X150	SUP-99-01328	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 5.0X200	SUP-99-01329	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 5.0X200	SUP-99-01329	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 5.0X250	SUP-99-01330	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 5.0X250	SUP-99-01330	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 6.0X150	SUP-99-01331	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 6.0X150	SUP-99-01331	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 6.0X200	SUP-99-01332	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 6.0X200	SUP-99-01332	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 6.0X250	SUP-99-01333	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 6.0X250	SUP-99-01333	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA LL 35 7.0X150	SUP-99-01334	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA LL 35 7.0X150	SUP-99-01334	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 LL 7.0X200	SUP-99-01335	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 LL 7.0X200	SUP-99-01335	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 6.0X100	SUP-99-01393	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 6.0X100	SUP-99-01393	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 5.0X100	SUP-99-01394	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 5.0X100	SUP-99-01394	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 7.0X20	SUP-99-01402	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 7.0X20	SUP-99-01402	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 6.0X20	SUP-99-01419	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 6.0X20	SUP-99-01419	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 5.0X40	SUP-99-01427	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 5.0X40	SUP-99-01427	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 5.0X80	SUP-99-01447	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 5.0X80	SUP-99-01447	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 5.0X120	SUP-99-01475	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 5.0X120	SUP-99-01475	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 6.0X80	SUP-99-01496	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 6.0X80	SUP-99-01496	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 8.0X20	SUP-99-01518	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 8.0X20	SUP-99-01518	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 6.0X40	SUP-99-01787	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 6.0X40	SUP-99-01787	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 7.0X120	SUP-99-01800	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 7.0X120	SUP-99-01800	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 10X40	SUP-99-01801	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 10X40	SUP-99-01801	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 12.0X40	SUP-99-01802	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 12.0X40	SUP-99-01802	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 7.0X100	SUP-99-01809	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 7.0X100	SUP-99-01809	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 9.0X40	SUP-99-01820	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 9.0X40	SUP-99-01820	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 9.0X20	SUP-99-01836	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 9.0X20	SUP-99-01836	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 4.0X20	SUP-99-01843	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 4.0X20	SUP-99-01843	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 4.0X120	SUP-99-01846	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 4.0X120	SUP-99-01846	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 8.0X40	SUP-99-01914	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 8.0X40	SUP-99-01914	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 4.0X80	SUP-99-01950	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 4.0X80	SUP-99-01950	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 7.0X60	SUP-99-02001	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 7.0X60	SUP-99-02001	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 4.0X40	SUP-99-02239	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 4.0X40	SUP-99-02239	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 6.0X120	SUP-99-03141	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 6.0X120	SUP-99-03141	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 10.0X20	SUP-99-03288	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 10.0X20	SUP-99-03288	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 5.0X20	SUP-99-03325	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 5.0X20	SUP-99-03325	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 12.0X20	SUP-99-03404	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 12.0X20	SUP-99-03404	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 14.0X40	SUP-99-03467	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 14.0X40	SUP-99-03467	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 10.0X60	SUP-99-03793	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 10.0X60	SUP-99-03793	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 10.0X80	SUP-99-03794	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 10.0X80	SUP-99-03794	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 14.0X20	SUP-99-03795	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 14.0X20	SUP-99-03795	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 4.0X100	SUP-99-03796	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 4.0X100	SUP-99-03796	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 7.0X80	SUP-99-03797	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 7.0X80	SUP-99-03797	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 8.0X60	SUP-99-03798	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 8.0X60	SUP-99-03798	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 8.0X80	SUP-99-03799	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 8.0X80	SUP-99-03799	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 9.0X60	SUP-99-03800	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 9.0X60	SUP-99-03800	CDM			272	RC		inpatient			385	385																																																			
BALLOON - ARMADA 35 9.0X80	SUP-99-03801	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
BALLOON - ARMADA 35 9.0X80	SUP-99-03801	CDM			272	RC		inpatient			385	385																																																			
GUIDEWIRE- RUNTHROUGH NS HYPERCOAT .014 190CM	SUP-99-04780	CDM			272	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
GUIDEWIRE- RUNTHROUGH NS HYPERCOAT .014 190CM	SUP-99-04780	CDM			272	RC		inpatient			385	385																																																			
INTRODUCER LEAD WORLEY TEAR-AWAY STANDARD L40 CM BRAID CORE CATHETER	SUP-CSGWORBC19M_72371	CDM			270	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
INTRODUCER LEAD WORLEY TEAR-AWAY STANDARD L40 CM BRAID CORE CATHETER	SUP-CSGWORBC19M_72371	CDM			270	RC		inpatient			385	385																																																			
INTRODUCER LEAD SAFESHEATH CSG WORLEY JUMBO CURVE L50 CM OD9 FR CORONARY SINUS HEMOSTATIC VALVE SPLITTABLE KINK RESISTANT BRAID CORE	SUP-CSGWORBC29M_72372	CDM			270	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
INTRODUCER LEAD SAFESHEATH CSG WORLEY JUMBO CURVE L50 CM OD9 FR CORONARY SINUS HEMOSTATIC VALVE SPLITTABLE KINK RESISTANT BRAID CORE	SUP-CSGWORBC29M_72372	CDM			270	RC		inpatient			385	385																																																			
INTRODUCER LEAD WORLEY TEAR-AWAY STANDARD L40 CM BRAID CORE CATHETER	SUP-CSGWORLBC19M	CDM			270	RC		outpatient			385	385	104.3				percent of total billed charges		385				other	OPPS APC	284.9				percent of total billed charges		385				other	OPPS APC	385				other	OPPS APC	104.3				percent of total billed charges		106.38				percent of total billed charges		385				other	OPPS APC	104.3	385	
INTRODUCER LEAD WORLEY TEAR-AWAY STANDARD L40 CM BRAID CORE CATHETER	SUP-CSGWORLBC19M	CDM			270	RC		inpatient			385	385																																																			
KIT GYN LAP	SUP-85-00002	CDM			272	RC		outpatient			384.48	384.48	104.16				percent of total billed charges		384.48				other	OPPS APC	284.52				percent of total billed charges		384.48				other	OPPS APC	384.48				other	OPPS APC	104.16				percent of total billed charges		106.23				percent of total billed charges		384.48				other	OPPS APC	104.16	384.48	
KIT GYN LAP	SUP-85-00002	CDM			272	RC		inpatient			384.48	384.48																																																			
ENDOCUTTER RELOAD	SUP-76-00060	CDM			272	RC		outpatient			384.04	384.42	104.04				percent of total billed charges		384.04				other	OPPS APC	284.19				percent of total billed charges		384.04				other	OPPS APC	384.04				other	OPPS APC	104.04				percent of total billed charges		106.11				percent of total billed charges		384.42				other	OPPS APC	104.04	384.42	
ENDOCUTTER RELOAD	SUP-76-00060	CDM			272	RC		inpatient			384.04	384.04																																																			
TIP INSERTER PRODISC-C H5 MM SPINE STERILE MEDIUM DEEP	SUP-03.820.130S	CDM	270010020	LOCAL	270	RC		outpatient			384	384	104.03				percent of total billed charges		384				other	OPPS APC	284.16				percent of total billed charges		384				other	OPPS APC	384				other	OPPS APC	104.03				percent of total billed charges		106.1				percent of total billed charges		384				other	OPPS APC	104.03	384	
TIP INSERTER PRODISC-C H5 MM SPINE STERILE MEDIUM DEEP	SUP-03.820.130S	CDM	270010020	LOCAL	270	RC		inpatient			384	384																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT H.6 MM UPPERFACE 8 HOLE 1.2 MM SCREW	SUP-5506208	CDM			270	RC		outpatient			384	384	104.03				percent of total billed charges		384				other	OPPS APC	284.16				percent of total billed charges		384				other	OPPS APC	384				other	OPPS APC	104.03				percent of total billed charges		106.1				percent of total billed charges		384				other	OPPS APC	104.03	384	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT H.6 MM UPPERFACE 8 HOLE 1.2 MM SCREW	SUP-5506208	CDM			270	RC		inpatient			384	384																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT MIDFACE 8 HOLE 1.7 MM SCREW	SUP-5506708	CDM			270	RC		outpatient			384	384	104.03				percent of total billed charges		384				other	OPPS APC	284.16				percent of total billed charges		384				other	OPPS APC	384				other	OPPS APC	104.03				percent of total billed charges		106.1				percent of total billed charges		384				other	OPPS APC	104.03	384	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT MIDFACE 8 HOLE 1.7 MM SCREW	SUP-5506708	CDM			270	RC		inpatient			384	384																																																			
SCREW BONE TITANIUM PARTIAL THREAD L40 MM OD5 MM LOCK SHAFT STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1891-5040S	CDM			270	RC		outpatient			383.5	383.5	103.89				percent of total billed charges		383.5				other	OPPS APC	283.79				percent of total billed charges		383.5				other	OPPS APC	383.5				other	OPPS APC	103.89				percent of total billed charges		105.96				percent of total billed charges		383.5				other	OPPS APC	103.89	383.5	
SCREW BONE TITANIUM PARTIAL THREAD L40 MM OD5 MM LOCK SHAFT STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1891-5040S	CDM			270	RC		inpatient			383.5	383.5																																																			
SCREW BONE TITANIUM FULL THREAD L35 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5035S	CDM			270	RC		outpatient			383.5	383.5	103.89				percent of total billed charges		383.5				other	OPPS APC	283.79				percent of total billed charges		383.5				other	OPPS APC	383.5				other	OPPS APC	103.89				percent of total billed charges		105.96				percent of total billed charges		383.5				other	OPPS APC	103.89	383.5	
SCREW BONE TITANIUM FULL THREAD L35 MM OD5 MM LOCK STERILE T2 NAIL SYSTEM UNIVERSAL SYSTEM	SUP-1896-5035S	CDM			270	RC		inpatient			383.5	383.5																																																			
HC Inj Sclero Spider Veins	PX-361364681	CDM	36468	CPT	361	RC		outpatient			383	383	120.95				percent of total billed charges		383				other	OPPS APC	383				fee schedule		383				other	OPPS APC	383				other	OPPS APC	120.95				percent of total billed charges		123.36				percent of total billed charges		383				other	OPPS APC	120.95	383	
HC Inj Sclero Spider Veins	PX-361364681	CDM	36468	CPT	361	RC		inpatient			383	383																																																			
CAP END TITANIUM T25 0 MM EXTENSION SPIRAL BLADE STARDRIVE STERILE GOLD EXPERT HUMERAL NAIL	SUP-04.001.000S	CDM	270010022	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
CAP END TITANIUM T25 0 MM EXTENSION SPIRAL BLADE STARDRIVE STERILE GOLD EXPERT HUMERAL NAIL	SUP-04.001.000S	CDM	270010022	LOCAL	270	RC		inpatient			382.8	382.8																																																			
CAP END NAIL-EX TITANIUM OD10 MM HUMERUS EXTENDED STARDRIVE RECESS STERILE INTRAMEDULLARY NAIL	SUP-04.001.002S	CDM	270010022	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
CAP END NAIL-EX TITANIUM OD10 MM HUMERUS EXTENDED STARDRIVE RECESS STERILE INTRAMEDULLARY NAIL	SUP-04.001.002S	CDM	270010022	LOCAL	270	RC		inpatient			382.8	382.8																																																			
CAP END EXPERT TITANIUM 15 MM OD15 MM HUMERUS EXTENDED SPIRAL BLADE SELF HOLDING T25 STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.001.003S	CDM	270010022	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
CAP END EXPERT TITANIUM 15 MM OD15 MM HUMERUS EXTENDED SPIRAL BLADE SELF HOLDING T25 STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL	SUP-04.001.003S	CDM	270010022	LOCAL	270	RC		inpatient			382.8	382.8																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL DIAMOND 10CM 4MM STERILE BURR	SUP-10BA40D	CDM	270010028	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
TOOL DISSECTING MIDAS REX LEGEND BALL DIAMOND 10CM 4MM STERILE BURR	SUP-10BA40D	CDM	270010028	LOCAL	270	RC		inpatient			382.8	382.8																																																			
ROD REAMING L950 MM OD3 MM OFFSET BALL TIP STERILE INTRAMEDULLARY NAIL	SUP-351.71S	CDM	270010022	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
ROD REAMING L950 MM OD3 MM OFFSET BALL TIP STERILE INTRAMEDULLARY NAIL	SUP-351.71S	CDM	270010022	LOCAL	270	RC		inpatient			382.8	382.8																																																			
GUIDE ROD ORTHOPEDIC 950MM 3MM STERILE SMOOTH TIP DISTAL FEMORAL NAIL SYSTEM	SUP-355.041S	CDM	270010022	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
GUIDE ROD ORTHOPEDIC 950MM 3MM STERILE SMOOTH TIP DISTAL FEMORAL NAIL SYSTEM	SUP-355.041S	CDM	270010022	LOCAL	270	RC		inpatient			382.8	382.8																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L9 CM OD5 MM BURR	SUP-9BA50	CDM	270010028	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L9 CM OD5 MM BURR	SUP-9BA50	CDM	270010028	LOCAL	270	RC		inpatient			382.8	382.8																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L9 CM OD7.5 MM BURR	SUP-9BA75	CDM	270010028	LOCAL	270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L9 CM OD7.5 MM BURR	SUP-9BA75	CDM	270010028	LOCAL	270	RC		inpatient			382.8	382.8																																																			
TOOL DISSECTING MR8 DIAMOND BALL L10 CM OD4 MM	SUP-MR8-10BA40D	CDM			270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
TOOL DISSECTING MR8 DIAMOND BALL L10 CM OD4 MM	SUP-MR8-10BA40D	CDM			270	RC		inpatient			382.8	382.8																																																			
TOOL DISSECTING MR8 BALL L9 CM OD5 MM	SUP-MR8-9BA50	CDM			270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
TOOL DISSECTING MR8 BALL L9 CM OD5 MM	SUP-MR8-9BA50	CDM			270	RC		inpatient			382.8	382.8																																																			
TOOL DISSECTING MR8 BALL L9 CM OD7.5 MM	SUP-MR8-9BA75	CDM			270	RC		outpatient			382.8	382.81	103.7				percent of total billed charges		382.8				other	OPPS APC	283.27				percent of total billed charges		382.8				other	OPPS APC	382.8				other	OPPS APC	103.7				percent of total billed charges		105.77				percent of total billed charges		382.81				other	OPPS APC	103.7	382.81	
TOOL DISSECTING MR8 BALL L9 CM OD7.5 MM	SUP-MR8-9BA75	CDM			270	RC		inpatient			382.8	382.8																																																			
DRILL 1.9MM WL50MM AO-SHAFT	SUP-97-01429	CDM			272	RC		outpatient			381.64	381.64	103.39				percent of total billed charges		381.64				other	OPPS APC	282.41				percent of total billed charges		381.64				other	OPPS APC	381.64				other	OPPS APC	103.39				percent of total billed charges		105.45				percent of total billed charges		381.64				other	OPPS APC	103.39	381.64	
DRILL 1.9MM WL50MM AO-SHAFT	SUP-97-01429	CDM			272	RC		inpatient			381.64	381.64																																																			
DRILL 2.6MM WL50MM AO-SHAFT	SUP-97-01430	CDM			272	RC		outpatient			381.64	381.64	103.39				percent of total billed charges		381.64				other	OPPS APC	282.41				percent of total billed charges		381.64				other	OPPS APC	381.64				other	OPPS APC	103.39				percent of total billed charges		105.45				percent of total billed charges		381.64				other	OPPS APC	103.39	381.64	
DRILL 2.6MM WL50MM AO-SHAFT	SUP-97-01430	CDM			272	RC		inpatient			381.64	381.64																																																			
SCREW BONE TITANIUM L60 MM OD6.5 MM FEMUR T25 STARDRIVE RECESS SELF TAPPING TIP RECONSTRUCTION STERILE INTRAMEDULLARY NAIL	SUP-04.003.022S	CDM	270010022	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
SCREW BONE TITANIUM L60 MM OD6.5 MM FEMUR T25 STARDRIVE RECESS SELF TAPPING TIP RECONSTRUCTION STERILE INTRAMEDULLARY NAIL	SUP-04.003.022S	CDM	270010022	LOCAL	270	RC		inpatient			381.6	381.6																																																			
SCREW BONE TITANIUM T25 L80 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.026S	CDM	270010022	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
SCREW BONE TITANIUM T25 L80 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.026S	CDM	270010022	LOCAL	270	RC		inpatient			381.6	381.6																																																			
SCREW BONE TITANIUM T25 L85 MM L30 MM OD6.5 MM ODSEC4.5 MM HIP FEMORAL SELF TAP BLUNT TIP STARDRIVE RECONSTRUCTION STERILE GOLD EXPERT	SUP-04.003.027S	CDM	270010022	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
SCREW BONE TITANIUM T25 L85 MM L30 MM OD6.5 MM ODSEC4.5 MM HIP FEMORAL SELF TAP BLUNT TIP STARDRIVE RECONSTRUCTION STERILE GOLD EXPERT	SUP-04.003.027S	CDM	270010022	LOCAL	270	RC		inpatient			381.6	381.6																																																			
SCREW BONE TITANIUM T25 L90 MM L30 MM OD6.5 MM ODSEC4.5 MM HIP FEMORAL SELF TAP BLUNT TIP STARDRIVE RECONSTRUCTION STERILE GOLD EXPERT	SUP-04.003.028S	CDM	270010022	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
SCREW BONE TITANIUM T25 L90 MM L30 MM OD6.5 MM ODSEC4.5 MM HIP FEMORAL SELF TAP BLUNT TIP STARDRIVE RECONSTRUCTION STERILE GOLD EXPERT	SUP-04.003.028S	CDM	270010022	LOCAL	270	RC		inpatient			381.6	381.6																																																			
SCREW BONE TITANIUM T25 L95 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.029S	CDM	270010022	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
SCREW BONE TITANIUM T25 L95 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.029S	CDM	270010022	LOCAL	270	RC		inpatient			381.6	381.6																																																			
SCREW BONE TITANIUM T25 L105 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.031S	CDM	270010022	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
SCREW BONE TITANIUM T25 L105 MM OD6.5 MM FEMUR SELF TAP RECONSTRUCTION STARDRIVE STERILE GOLD INTRAMEDULLARY NAIL SYSTEM	SUP-04.003.031S	CDM	270010022	LOCAL	270	RC		inpatient			381.6	381.6																																																			
TI MATRIXNEURO BURR HOLE COVER 15MM FOR SHUNT	SUP-04.503.027	CDM	270010013	LOCAL	270	RC		outpatient			381.6	381.62	103.38				percent of total billed charges		381.6				other	OPPS APC	282.38				percent of total billed charges		381.6				other	OPPS APC	381.6				other	OPPS APC	103.38				percent of total billed charges		105.44				percent of total billed charges		381.62				other	OPPS APC	103.38	381.62	
TI MATRIXNEURO BURR HOLE COVER 15MM FOR SHUNT	SUP-04.503.027	CDM	270010013	LOCAL	270	RC		inpatient			381.6	381.6																																																			
LENS AR40E 21.0D	SUP-97-01084	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 21.0D	SUP-97-01084	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 23.5D	SUP-97-01085	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 23.5D	SUP-97-01085	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 19.5D	SUP-97-01095	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 19.5D	SUP-97-01095	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 9.0D	SUP-97-01107	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 9.0D	SUP-97-01107	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 7.0D	SUP-97-01114	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 7.0D	SUP-97-01114	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 9.5D	SUP-97-01137	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 9.5D	SUP-97-01137	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 22.5D	SUP-97-01138	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 22.5D	SUP-97-01138	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 15.0D	SUP-97-01195	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 15.0D	SUP-97-01195	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 27.0D	SUP-97-01260	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 27.0D	SUP-97-01260	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 23.0D	SUP-97-01647	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 23.0D	SUP-97-01647	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 13.0D	SUP-97-01944	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 13.0D	SUP-97-01944	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 8.5D	SUP-97-01977	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 8.5D	SUP-97-01977	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 18.0D	SUP-97-02100	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 18.0D	SUP-97-02100	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 17.0D	SUP-97-02191	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 17.0D	SUP-97-02191	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 20.D	SUP-97-02991	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 20.D	SUP-97-02991	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 3.0	SUP-97-03020	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 3.0	SUP-97-03020	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 8.D	SUP-97-03240	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 8.D	SUP-97-03240	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 25.0D	SUP-97-03283	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 25.0D	SUP-97-03283	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 6.5	SUP-97-03490	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 6.5	SUP-97-03490	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 12.5D	SUP-97-03535	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 12.5D	SUP-97-03535	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 24.0D	SUP-97-03641	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 24.0D	SUP-97-03641	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 17.5D	SUP-97-03763	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 17.5D	SUP-97-03763	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 24.5	SUP-97-04458	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 24.5	SUP-97-04458	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS 15.5D	SUP-97-04831	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS 15.5D	SUP-97-04831	CDM			278	RC		inpatient			381.5	381.5																																																			
LENS AR40E 13.5D	SUP-97-04889	CDM			278	RC		outpatient			381.5	381.5	381.5				fee schedule		381.5				other	OPPS APC	217.46				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	186.94				percent of total billed charges		194.57				percent of total billed charges		381.5				other	OPPS APC	186.94	381.5	
LENS AR40E 13.5D	SUP-97-04889	CDM			278	RC		inpatient			381.5	381.5																																																			
SHEATH - 6FX45CM STRAIGHT CATAPULT	SUP-99-04830	CDM			272	RC		outpatient			381.5	381.5	103.35				percent of total billed charges		381.5				other	OPPS APC	282.31				percent of total billed charges		381.5				other	OPPS APC	381.5				other	OPPS APC	103.35				percent of total billed charges		105.41				percent of total billed charges		381.5				other	OPPS APC	103.35	381.5	
SHEATH - 6FX45CM STRAIGHT CATAPULT	SUP-99-04830	CDM			272	RC		inpatient			381.5	381.5																																																			
CATHETER DRAINAGE INPUT TS BARIUM SILICONE STANDARD L23 CM OD4 FR VENTRICULAR CSF IMPREGNATE SHUNT STERILE LATEX FREE DISPOSABLE	SUP-41101	CDM			270	RC		outpatient			381.38	381.38	103.32				percent of total billed charges		381.38				other	OPPS APC	282.22				percent of total billed charges		381.38				other	OPPS APC	381.38				other	OPPS APC	103.32				percent of total billed charges		105.38				percent of total billed charges		381.38				other	OPPS APC	103.32	381.38	
CATHETER DRAINAGE INPUT TS BARIUM SILICONE STANDARD L23 CM OD4 FR VENTRICULAR CSF IMPREGNATE SHUNT STERILE LATEX FREE DISPOSABLE	SUP-41101	CDM			270	RC		inpatient			381.38	381.38																																																			
CATHETER PHILLIPS  14 FR	SUP-02-00061	CDM			272	RC		outpatient			380.96	38.96	103.2				percent of total billed charges		380.96				other	OPPS APC	281.91				percent of total billed charges		380.96				other	OPPS APC	380.96				other	OPPS APC	103.2				percent of total billed charges		105.26				percent of total billed charges		38.96				other	OPPS APC	38.96	380.96	
CATHETER PHILLIPS  14 FR	SUP-02-00061	CDM			272	RC		inpatient			380.96	380.96																																																			
HC Her-2 Fish by Clarient	PX-310883740	CDM	88374	CPT	310	RC		outpatient			380.8	165.62	186.59				percent of total billed charges		165.62				other	OPPS APC	642.87				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	186.59				percent of total billed charges		194.21				percent of total billed charges		165.62				other	OPPS APC	165.62	642.87	
HC Her-2 Fish by Clarient	PX-310883740	CDM	88374	CPT	310	RC		inpatient			380.8	380.8																																																			
Hyperflex Trach Tube Sz-8	PX-272000017	CDM			272	RC		outpatient			380.32	38.32	103.03				percent of total billed charges		380.32				other	OPPS APC	380.32				fee schedule		380.32				other	OPPS APC	380.32				other	OPPS APC	103.03				percent of total billed charges		105.08				percent of total billed charges		38.32				other	OPPS APC	38.32	380.32	
Hyperflex Trach Tube Sz-8	PX-272000017	CDM			272	RC		inpatient			380.32	380.32																																																			
DRILL AO	SUP-97-02052	CDM			272	RC		outpatient			380.1	38.12	102.97				percent of total billed charges		380.1				other	OPPS APC	281.27				percent of total billed charges		380.1				other	OPPS APC	380.1				other	OPPS APC	102.97				percent of total billed charges		105.02				percent of total billed charges		38.12				other	OPPS APC	38.12	380.1	
DRILL AO	SUP-97-02052	CDM			272	RC		inpatient			380.1	380.1																																																			
DRILL AO	SUP-97-02055	CDM			272	RC		outpatient			380.1	38.12	102.97				percent of total billed charges		380.1				other	OPPS APC	281.27				percent of total billed charges		380.1				other	OPPS APC	380.1				other	OPPS APC	102.97				percent of total billed charges		105.02				percent of total billed charges		38.12				other	OPPS APC	38.12	380.1	
DRILL AO	SUP-97-02055	CDM			272	RC		inpatient			380.1	380.1																																																			
SHEATH GUIDING PREFACE MULTIPURPOSE CURVE L62 CM OD8 FR ID.11 IN 2 WIRE BRAID MULTISEGMENT OBLIQUE CUT VALVE	SUP-301803M	CDM			272	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
SHEATH GUIDING PREFACE MULTIPURPOSE CURVE L62 CM OD8 FR ID.11 IN 2 WIRE BRAID MULTISEGMENT OBLIQUE CUT VALVE	SUP-301803M	CDM			272	RC		inpatient			380	380																																																			
SHEETING SILASTIC ALLIEDSIL SILICONE THK.01 IN L8 IN X W6 IN REINFORCE SHORT TERM PERMANENT STERILE	SUP-701-10	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
SHEETING SILASTIC ALLIEDSIL SILICONE THK.01 IN L8 IN X W6 IN REINFORCE SHORT TERM PERMANENT STERILE	SUP-701-10	CDM			270	RC		inpatient			380	380																																																			
PROBE LASER PUREPOINT NITINOL 40 D BEND L6 MM OD27+ GA FLEXIBLE EASY INSERTION RFID STERILE DISPOSABLE CONSTELLATION VISION SYSTEM	SUP-8065751709	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
PROBE LASER PUREPOINT NITINOL 40 D BEND L6 MM OD27+ GA FLEXIBLE EASY INSERTION RFID STERILE DISPOSABLE CONSTELLATION VISION SYSTEM	SUP-8065751709	CDM			270	RC		inpatient			380	380																																																			
PUNCH SUTURE PUSHLOCK 3.5MM	SUP-AR-1926P	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
PUNCH SUTURE PUSHLOCK 3.5MM	SUP-AR-1926P	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 20MM 4MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171040270	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG 75CM 20MM 4MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171040270	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171040410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171040410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171040470	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171040470	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L100 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171041010	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L100 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171041010	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L40 CM L20 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050240	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L40 CM L20 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050240	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050270	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050270	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050470	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050470	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L100 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171051010	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L100 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171051010	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171060210	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171060210	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171060270	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171060270	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION ULTRA-THIN/SDS HYDROPHILIC .035 IN STANDARD L135 CM L40 MM OD5.3 FR ODSEC6 MM PERIPHERAL OTW GUIDEWIRE ACCEPTS 5 FR INTRODUCER SHEATH PTA	SUP-H74939171060410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION ULTRA-THIN/SDS HYDROPHILIC .035 IN STANDARD L135 CM L40 MM OD5.3 FR ODSEC6 MM PERIPHERAL OTW GUIDEWIRE ACCEPTS 5 FR INTRODUCER SHEATH PTA	SUP-H74939171060410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 6MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171060470	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 6MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171060470	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L60 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171060610	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L60 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171060610	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 60MM 6MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171060670	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG 75CM 60MM 6MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171060670	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L100 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171061010	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L100 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171061010	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L40 CM L40 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070440	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L40 CM L40 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070440	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L60 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070670	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L60 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070670	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080270	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080270	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L60 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080670	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L60 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080670	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 80MM 8MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH	SUP-H74939171080870	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG 75CM 80MM 8MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH	SUP-H74939171080870	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC9 MM HIGH PRESSURE	SUP-H74939171090410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC9 MM HIGH PRESSURE	SUP-H74939171090410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC10 MM HIGH PRESSURE	SUP-H74939171100410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC10 MM HIGH PRESSURE	SUP-H74939171100410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC12 MM HIGH PRESSURE	SUP-H74939171120410	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC12 MM HIGH PRESSURE	SUP-H74939171120410	CDM			270	RC		inpatient			380	380																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC12 MM HIGH PRESSURE	SUP-H74939171120470	CDM			270	RC		outpatient			380	38	102.94				percent of total billed charges		380				other	OPPS APC	281.2				percent of total billed charges		380				other	OPPS APC	380				other	OPPS APC	102.94				percent of total billed charges		104.99				percent of total billed charges		38				other	OPPS APC	38	380	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC12 MM HIGH PRESSURE	SUP-H74939171120470	CDM			270	RC		inpatient			380	380																																																			
14.5MM OUTER PROTECTION SLEEVE	SUP-97-00743	CDM			272	RC		outpatient			379.89	379.89	102.91				percent of total billed charges		379.89				other	OPPS APC	281.12				percent of total billed charges		379.89				other	OPPS APC	379.89				other	OPPS APC	102.91				percent of total billed charges		104.96				percent of total billed charges		379.89				other	OPPS APC	102.91	379.89	
14.5MM OUTER PROTECTION SLEEVE	SUP-97-00743	CDM			272	RC		inpatient			379.89	379.89																																																			
2.5MM KIRSCHNER WIRE W/TROCAR PT 285MM	SUP-97-04066	CDM			272	RC		outpatient			379.72	379.72	102.87				percent of total billed charges		379.72				other	OPPS APC	280.99				percent of total billed charges		379.72				other	OPPS APC	379.72				other	OPPS APC	102.87				percent of total billed charges		104.92				percent of total billed charges		379.72				other	OPPS APC	102.87	379.72	
2.5MM KIRSCHNER WIRE W/TROCAR PT 285MM	SUP-97-04066	CDM			272	RC		inpatient			379.72	379.72																																																			
MOD HALF PIN 4X120 40 CONT THR	SUP-95-04030	CDM			278	RC		outpatient			379.68	379.68	379.68				fee schedule		379.68				other	OPPS APC	216.42				percent of total billed charges		379.68				other	OPPS APC	379.68				other	OPPS APC	186.04				percent of total billed charges		193.64				percent of total billed charges		379.68				other	OPPS APC	186.04	379.68	
MOD HALF PIN 4X120 40 CONT THR	SUP-95-04030	CDM			278	RC		inpatient			379.68	379.68																																																			
K-WIRE 1.8X3.10MM	SUP-97-03630	CDM			278	RC		outpatient			379.68	379.68	379.68				fee schedule		379.68				other	OPPS APC	216.42				percent of total billed charges		379.68				other	OPPS APC	379.68				other	OPPS APC	186.04				percent of total billed charges		193.64				percent of total billed charges		379.68				other	OPPS APC	186.04	379.68	
K-WIRE 1.8X3.10MM	SUP-97-03630	CDM			278	RC		inpatient			379.68	379.68																																																			
DRILL BIT ASNIS  5.6MM	SUP-702611	CDM			270	RC		outpatient			379.2	379.2	102.73				percent of total billed charges		379.2				other	OPPS APC	280.61				percent of total billed charges		379.2				other	OPPS APC	379.2				other	OPPS APC	102.73				percent of total billed charges		104.77				percent of total billed charges		379.2				other	OPPS APC	102.73	379.2	
DRILL BIT ASNIS  5.6MM	SUP-702611	CDM			270	RC		inpatient			379.2	379.2																																																			
DRILL BIT 3.2MM X 300MM	SUP-702626	CDM			270	RC		outpatient			379.2	379.2	102.73				percent of total billed charges		379.2				other	OPPS APC	280.61				percent of total billed charges		379.2				other	OPPS APC	379.2				other	OPPS APC	102.73				percent of total billed charges		104.77				percent of total billed charges		379.2				other	OPPS APC	102.73	379.2	
DRILL BIT 3.2MM X 300MM	SUP-702626	CDM			270	RC		inpatient			379.2	379.2																																																			
HYDROMARK T5 BIOPSY MARKER - ULTRASOUND	SUP-95-06022	CDM			278	RC		outpatient			378.9	378.9	378.9				fee schedule		378.9				other	OPPS APC	215.97				percent of total billed charges		378.9				other	OPPS APC	378.9				other	OPPS APC	185.66				percent of total billed charges		193.24				percent of total billed charges		378.9				other	OPPS APC	185.66	378.9	
HYDROMARK T5 BIOPSY MARKER - ULTRASOUND	SUP-95-06022	CDM			278	RC		inpatient			378.9	378.9																																																			
PLATE BONE LC-DCP STAINLESS STEEL 1/3 TUBULAR L109 MM X W9 MM X H1 MM H.5 MM OD12 MM 9 HOLE COLLAR NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.39	CDM	270010022	LOCAL	270	RC		outpatient			378.4	378.4	102.51				percent of total billed charges		378.4				other	OPPS APC	280.02				percent of total billed charges		378.4				other	OPPS APC	378.4				other	OPPS APC	102.51				percent of total billed charges		104.55				percent of total billed charges		378.4				other	OPPS APC	102.51	378.4	
PLATE BONE LC-DCP STAINLESS STEEL 1/3 TUBULAR L109 MM X W9 MM X H1 MM H.5 MM OD12 MM 9 HOLE COLLAR NONSTERILE 3.5 MM SCREW SMALL FRAGMENT SET	SUP-241.39	CDM	270010022	LOCAL	270	RC		inpatient			378.4	378.4																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 121X9X1MM .5MM 12MM SS NS 10 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.40	CDM	270010022	LOCAL	270	RC		outpatient			378.4	378.4	102.51				percent of total billed charges		378.4				other	OPPS APC	280.02				percent of total billed charges		378.4				other	OPPS APC	378.4				other	OPPS APC	102.51				percent of total billed charges		104.55				percent of total billed charges		378.4				other	OPPS APC	102.51	378.4	
PLATE BONE LC-DCP 1/3 TUBULAR 121X9X1MM .5MM 12MM SS NS 10 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.40	CDM	270010022	LOCAL	270	RC		inpatient			378.4	378.4																																																			
HC Ribs Bilateral With Chest	PX-320711110	CDM	71111	CPT	320	RC		outpatient			378	112.57	55.35				fee schedule		112.57				other	OPPS APC	125.24				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	52.77				fee schedule		37.26				fee schedule		112.57				other	OPPS APC	37.26	125.24	
HC Ribs Bilateral With Chest	PX-320711110	CDM	71111	CPT	320	RC		inpatient			378	378																																																			
HC US OB Limited	PX-402768150	CDM	76815	CPT	402	RC		outpatient			378	112.57	92.22				fee schedule		112.57				other	OPPS APC	217.85				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	81.82				fee schedule		50.58				fee schedule		112.57				other	OPPS APC	50.58	217.85	
HC US OB Limited	PX-402768150	CDM	76815	CPT	402	RC		inpatient			378	378																																																			
HC US Hips Bilateral	PX-402768850	CDM	76885	CPT	402	RC		outpatient			378	91.5	129.13				fee schedule		91.5				other	OPPS APC	237.12				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	120.92				fee schedule		102.16				fee schedule		91.5				other	OPPS APC	91.5	237.12	
HC US Hips Bilateral	PX-402768850	CDM	76885	CPT	402	RC		inpatient			378	378																																																			
FILLER BONE VOID OSTEOFIL DEMINERALIZED BONE MATRIX 1 ML ALLOGRAFT PASTE FROZEN	SUP-002401FZ	CDM	270010012	LOCAL	270	RC		outpatient			378	378	102.4				percent of total billed charges		378				other	OPPS APC	279.72				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	102.4				percent of total billed charges		104.44				percent of total billed charges		378				other	OPPS APC	102.4	378	
FILLER BONE VOID OSTEOFIL DEMINERALIZED BONE MATRIX 1 ML ALLOGRAFT PASTE FROZEN	SUP-002401FZ	CDM	270010012	LOCAL	270	RC		inpatient			378	378																																																			
SILICONE SALEM SUMP	SUP-111198	CDM						inpatient			378	378																																																			
SILICONE SALEM SUMP	SUP-111198	CDM						outpatient			378	378	378				percent of total billed charges		378				other	OPPS APC	378				fee schedule		378				other	OPPS APC	378				other	OPPS APC	378				case rate		378				case rate		378				other	OPPS APC	378	378	
BURR SURGICAL STAINLESS STEEL 80000 RPM MEDIUM FINE ROUND L69 MM OD4 MM DIAMOND CUTTING STERILE	SUP-31134065	CDM			270	RC		outpatient			378	378	102.4				percent of total billed charges		378				other	OPPS APC	279.72				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	102.4				percent of total billed charges		104.44				percent of total billed charges		378				other	OPPS APC	102.4	378	
BURR SURGICAL STAINLESS STEEL 80000 RPM MEDIUM FINE ROUND L69 MM OD4 MM DIAMOND CUTTING STERILE	SUP-31134065	CDM			270	RC		inpatient			378	378																																																			
BURR SURGICAL STAINLESS STEEL 80000 RPM MEDIUM FINE ROUND L64 MM OD5 MM DIAMOND CUTTING STERILE	SUP-31135059	CDM			270	RC		outpatient			378	378	102.4				percent of total billed charges		378				other	OPPS APC	279.72				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	102.4				percent of total billed charges		104.44				percent of total billed charges		378				other	OPPS APC	102.4	378	
BURR SURGICAL STAINLESS STEEL 80000 RPM MEDIUM FINE ROUND L64 MM OD5 MM DIAMOND CUTTING STERILE	SUP-31135059	CDM			270	RC		inpatient			378	378																																																			
BURR SURGICAL STAINLESS STEEL 80000 RPM MEDIUM FINE ROUND L64 MM OD6 MM DIAMOND CUTTING STERILE	SUP-31136058	CDM			270	RC		outpatient			378	378	102.4				percent of total billed charges		378				other	OPPS APC	279.72				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	102.4				percent of total billed charges		104.44				percent of total billed charges		378				other	OPPS APC	102.4	378	
BURR SURGICAL STAINLESS STEEL 80000 RPM MEDIUM FINE ROUND L64 MM OD6 MM DIAMOND CUTTING STERILE	SUP-31136058	CDM			270	RC		inpatient			378	378																																																			
FIBERLOOP #2 BLUE	SUP-97-01897	CDM			272	RC		outpatient			378	378	102.4				percent of total billed charges		378				other	OPPS APC	279.72				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	102.4				percent of total billed charges		104.44				percent of total billed charges		378				other	OPPS APC	102.4	378	
FIBERLOOP #2 BLUE	SUP-97-01897	CDM			272	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X20	SUP-97-02354	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X20	SUP-97-02354	CDM			278	RC		inpatient			378	378																																																			
SCREW NONLOCKING 2.5 X 14	SUP-97-02724	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
SCREW NONLOCKING 2.5 X 14	SUP-97-02724	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X12	SUP-97-02886	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X12	SUP-97-02886	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 4.2X22	SUP-97-02888	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 4.2X22	SUP-97-02888	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 2.0X14	SUP-97-02895	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 2.0X14	SUP-97-02895	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 2.5X16	SUP-97-02896	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 2.5X16	SUP-97-02896	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 2.0X16	SUP-97-02897	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 2.0X16	SUP-97-02897	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X32	SUP-97-03517	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X32	SUP-97-03517	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X28	SUP-97-03518	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X28	SUP-97-03518	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X26	SUP-97-03519	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X26	SUP-97-03519	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X40	SUP-97-03520	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X40	SUP-97-03520	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X42	SUP-97-03521	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X42	SUP-97-03521	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X44	SUP-97-03522	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X44	SUP-97-03522	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 3.5X50	SUP-97-03708	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 3.5X50	SUP-97-03708	CDM			278	RC		inpatient			378	378																																																			
NON-LOCKING PLATE SCREW  2.7 X 18MM	SUP-97-03846	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON-LOCKING PLATE SCREW  2.7 X 18MM	SUP-97-03846	CDM			278	RC		inpatient			378	378																																																			
NON-LOCKING PLATE SCREW  2.7 X 19MM	SUP-97-03847	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON-LOCKING PLATE SCREW  2.7 X 19MM	SUP-97-03847	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 2.0X9	SUP-97-03878	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 2.0X9	SUP-97-03878	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 2.010	SUP-97-03879	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 2.010	SUP-97-03879	CDM			278	RC		inpatient			378	378																																																			
NON LOCKING SCREW 2.0X08	SUP-97-03881	CDM			278	RC		outpatient			378	378	378				fee schedule		378				other	OPPS APC	215.46				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	185.22				percent of total billed charges		192.78				percent of total billed charges		378				other	OPPS APC	185.22	378	
NON LOCKING SCREW 2.0X08	SUP-97-03881	CDM			278	RC		inpatient			378	378																																																			
GUIDEWIRE -  WHOLEY WIRE 0.35X175CM FLOPPY TIP STRAIGHT	SUP-99-04878	CDM			272	RC		outpatient			378	378	102.4				percent of total billed charges		378				other	OPPS APC	279.72				percent of total billed charges		378				other	OPPS APC	378				other	OPPS APC	102.4				percent of total billed charges		104.44				percent of total billed charges		378				other	OPPS APC	102.4	378	
GUIDEWIRE -  WHOLEY WIRE 0.35X175CM FLOPPY TIP STRAIGHT	SUP-99-04878	CDM			272	RC		inpatient			378	378																																																			
CATHETER GUIDING CXI 90CM 2.6FR SS POLYMER HYDROPHILIC DISPOSABLE STERILE LOW PROFILE STRAIGHT TIP BRAID RADIOPAQUE	SUP-G50004	CDM			270	RC		outpatient			376.84	376.84	102.09				percent of total billed charges		376.84				other	OPPS APC	278.86				percent of total billed charges		376.84				other	OPPS APC	376.84				other	OPPS APC	102.09				percent of total billed charges		104.12				percent of total billed charges		376.84				other	OPPS APC	102.09	376.84	
CATHETER GUIDING CXI 90CM 2.6FR SS POLYMER HYDROPHILIC DISPOSABLE STERILE LOW PROFILE STRAIGHT TIP BRAID RADIOPAQUE	SUP-G50004	CDM			270	RC		inpatient			376.84	376.84																																																			
PLATE NARROW LC-DCP 8 HOLE	SUP-224.58	CDM	270010022	LOCAL	270	RC		outpatient			376.64	376.64	102.03				percent of total billed charges		376.64				other	OPPS APC	278.71				percent of total billed charges		376.64				other	OPPS APC	376.64				other	OPPS APC	102.03				percent of total billed charges		104.07				percent of total billed charges		376.64				other	OPPS APC	102.03	376.64	
PLATE NARROW LC-DCP 8 HOLE	SUP-224.58	CDM	270010022	LOCAL	270	RC		inpatient			376.64	376.64																																																			
PLATE NARROW LC-DCP 9 HOLE	SUP-224.59	CDM	270010022	LOCAL	270	RC		outpatient			376.64	376.64	102.03				percent of total billed charges		376.64				other	OPPS APC	278.71				percent of total billed charges		376.64				other	OPPS APC	376.64				other	OPPS APC	102.03				percent of total billed charges		104.07				percent of total billed charges		376.64				other	OPPS APC	102.03	376.64	
PLATE NARROW LC-DCP 9 HOLE	SUP-224.59	CDM	270010022	LOCAL	270	RC		inpatient			376.64	376.64																																																			
CATHETER PHILLIPS  10 FR	SUP-02-00059	CDM			272	RC		outpatient			376.39	376.39	101.96				percent of total billed charges		376.39				other	OPPS APC	278.53				percent of total billed charges		376.39				other	OPPS APC	376.39				other	OPPS APC	101.96				percent of total billed charges		104				percent of total billed charges		376.39				other	OPPS APC	101.96	376.39	
CATHETER PHILLIPS  10 FR	SUP-02-00059	CDM			272	RC		inpatient			376.39	376.39																																																			
CATHETER PHILLIPS  12 FR	SUP-02-00060	CDM			272	RC		outpatient			376.39	376.39	101.96				percent of total billed charges		376.39				other	OPPS APC	278.53				percent of total billed charges		376.39				other	OPPS APC	376.39				other	OPPS APC	101.96				percent of total billed charges		104				percent of total billed charges		376.39				other	OPPS APC	101.96	376.39	
CATHETER PHILLIPS  12 FR	SUP-02-00060	CDM			272	RC		inpatient			376.39	376.39																																																			
DILATOR KIT FOR FEMORAL VENOUS CANNULAS	SUP-200-120	CDM			270	RC		outpatient			376.38	376.38	101.96				percent of total billed charges		376.38				other	OPPS APC	278.52				percent of total billed charges		376.38				other	OPPS APC	376.38				other	OPPS APC	101.96				percent of total billed charges		103.99				percent of total billed charges		376.38				other	OPPS APC	101.96	376.38	
DILATOR KIT FOR FEMORAL VENOUS CANNULAS	SUP-200-120	CDM			270	RC		inpatient			376.38	376.38																																																			
HC Inj Tixagevimab/Cilagavimab	PX-771M02200	CDM			771	RC		outpatient			376.25	158.6	184.36				percent of total billed charges		158.51				other	OPPS APC	278.43				percent of total billed charges		158.51				other	OPPS APC	158.51				other	OPPS APC	184.36				percent of total billed charges		191.89				percent of total billed charges		158.6				other	OPPS APC	158.51	278.43	
HC Inj Tixagevimab/Cilagavimab	PX-771M02200	CDM			771	RC		inpatient			376.25	376.25																																																			
KIT GASTROSTOMY LAP J SILICONE OD10 FR BROWN MUELLER T FASTENER NONSTERILE LATEX FREE	SUP-51442	CDM			270	RC		outpatient			376	376	101.86				percent of total billed charges		376				other	OPPS APC	278.24				percent of total billed charges		376				other	OPPS APC	376				other	OPPS APC	101.86				percent of total billed charges		103.89				percent of total billed charges		376				other	OPPS APC	101.86	376	
KIT GASTROSTOMY LAP J SILICONE OD10 FR BROWN MUELLER T FASTENER NONSTERILE LATEX FREE	SUP-51442	CDM			270	RC		inpatient			376	376																																																			
PLATE BONE UNIVERSAL 2 TITANIUM 100 D L L12 MM X H.8 MM MIDFACE 6 HOLE LOCK BAR 1.7 MM SCREW	SUP-5505767	CDM			270	RC		outpatient			375.6	375.62	101.75				percent of total billed charges		375.6				other	OPPS APC	277.94				percent of total billed charges		375.6				other	OPPS APC	375.6				other	OPPS APC	101.75				percent of total billed charges		103.78				percent of total billed charges		375.62				other	OPPS APC	101.75	375.62	
PLATE BONE UNIVERSAL 2 TITANIUM 100 D L L12 MM X H.8 MM MIDFACE 6 HOLE LOCK BAR 1.7 MM SCREW	SUP-5505767	CDM			270	RC		inpatient			375.6	375.6																																																			
CANCELLOUS CHIPS 5CC	SUP-97-04936	CDM			278	RC		outpatient			375.06	375.6	375.06				fee schedule		375.06				other	OPPS APC	213.78				percent of total billed charges		375.06				other	OPPS APC	375.06				other	OPPS APC	183.78				percent of total billed charges		191.28				percent of total billed charges		375.6				other	OPPS APC	183.78	375.6	
CANCELLOUS CHIPS 5CC	SUP-97-04936	CDM			278	RC		inpatient			375.06	375.06																																																			
HC MC Arthrocent Apsirat &/or Inject  Major Joint/Bursa	PX-361490839	CDM	20610	CPT	361	RC		outpatient			375	286.36	118.43				percent of total billed charges		286.36				other	OPPS APC	680				fee schedule		286.36				other	OPPS APC	286.36				other	OPPS APC	118.43				percent of total billed charges		120.79				percent of total billed charges		286.36				other	OPPS APC	118.43	680	
HC MC Arthrocent Apsirat &/or Inject  Major Joint/Bursa	PX-361490839	CDM	20610	CPT	361	RC		inpatient			375	375																																																			
HC Drain/Inject  Intermed Joint/Bursa	PX-450206051	CDM	20605	CPT	450	RC		outpatient			375	375	195.77				case rate		375				other	OPPS APC	277.5				percent of total billed charges		375				other	OPPS APC	375				other	OPPS APC	195.77				case rate		199.69				case rate		375				other	OPPS APC	195.77	375	
HC Drain/Inject  Intermed Joint/Bursa	PX-450206051	CDM	20605	CPT	450	RC		inpatient			375	375																																																			
HC Drain/Inject  Major Joint/Bursa	PX-450206101	CDM	20610	CPT	450	RC		outpatient			375	286.36	195.77				case rate		286.36				other	OPPS APC	277.5				percent of total billed charges		286.36				other	OPPS APC	286.36				other	OPPS APC	195.77				case rate		199.69				case rate		286.36				other	OPPS APC	195.77	286.36	
HC Drain/Inject  Major Joint/Bursa	PX-450206101	CDM	20610	CPT	450	RC		inpatient			375	375																																																			
SUPRAMID 4-0 EXTRA WHITE CABLE  NYLON 20' LOOPED	SUP-LCW-40	CDM			270	RC		outpatient			375	375	101.59				percent of total billed charges		375				other	OPPS APC	277.5				percent of total billed charges		375				other	OPPS APC	375				other	OPPS APC	101.59				percent of total billed charges		103.61				percent of total billed charges		375				other	OPPS APC	101.59	375	
SUPRAMID 4-0 EXTRA WHITE CABLE  NYLON 20' LOOPED	SUP-LCW-40	CDM			270	RC		inpatient			375	375																																																			
DERMABOND PRINEO 42CM	SUP-74-00454	CDM			272	RC		outpatient			373.28	373.28	101.12				percent of total billed charges		373.28				other	OPPS APC	276.23				percent of total billed charges		373.28				other	OPPS APC	373.28				other	OPPS APC	101.12				percent of total billed charges		103.14				percent of total billed charges		373.28				other	OPPS APC	101.12	373.28	
DERMABOND PRINEO 42CM	SUP-74-00454	CDM			272	RC		inpatient			373.28	373.28																																																			
5MM VA LOCKING SCREW 95MM	SUP-42.231.295	CDM			270	RC		outpatient			372.9	372.9	101.02				percent of total billed charges		372.9				other	OPPS APC	275.95				percent of total billed charges		372.9				other	OPPS APC	372.9				other	OPPS APC	101.02				percent of total billed charges		103.03				percent of total billed charges		372.9				other	OPPS APC	101.02	372.9	
5MM VA LOCKING SCREW 95MM	SUP-42.231.295	CDM			270	RC		inpatient			372.9	372.9																																																			
5MM VA LOCKING SCREW 80MM	SUP-43.231.280	CDM			270	RC		outpatient			372.9	372.9	101.02				percent of total billed charges		372.9				other	OPPS APC	275.95				percent of total billed charges		372.9				other	OPPS APC	372.9				other	OPPS APC	101.02				percent of total billed charges		103.03				percent of total billed charges		372.9				other	OPPS APC	101.02	372.9	
5MM VA LOCKING SCREW 80MM	SUP-43.231.280	CDM			270	RC		inpatient			372.9	372.9																																																			
5MM VA LOCKING SCREW 90MM	SUP-43.231.290	CDM			270	RC		outpatient			372.9	372.9	101.02				percent of total billed charges		372.9				other	OPPS APC	275.95				percent of total billed charges		372.9				other	OPPS APC	372.9				other	OPPS APC	101.02				percent of total billed charges		103.03				percent of total billed charges		372.9				other	OPPS APC	101.02	372.9	
5MM VA LOCKING SCREW 90MM	SUP-43.231.290	CDM			270	RC		inpatient			372.9	372.9																																																			
TWIST DRILL 1.9 DIA AO	SUP-97-01480	CDM			272	RC		outpatient			372.75	372.75	100.98				percent of total billed charges		372.75				other	OPPS APC	275.84				percent of total billed charges		372.75				other	OPPS APC	372.75				other	OPPS APC	100.98				percent of total billed charges		102.99				percent of total billed charges		372.75				other	OPPS APC	100.98	372.75	
TWIST DRILL 1.9 DIA AO	SUP-97-01480	CDM			272	RC		inpatient			372.75	372.75																																																			
TWIST DRILL 1.4MM DIA AO	SUP-97-01481	CDM			272	RC		outpatient			372.75	372.75	100.98				percent of total billed charges		372.75				other	OPPS APC	275.84				percent of total billed charges		372.75				other	OPPS APC	372.75				other	OPPS APC	100.98				percent of total billed charges		102.99				percent of total billed charges		372.75				other	OPPS APC	100.98	372.75	
TWIST DRILL 1.4MM DIA AO	SUP-97-01481	CDM			272	RC		inpatient			372.75	372.75																																																			
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 5 HOLE LOW PROFILE ADAPTATION	SUP-421.518	CDM	270010013	LOCAL	270	RC		outpatient			372.38	372.38	100.88				percent of total billed charges		372.38				other	OPPS APC	275.56				percent of total billed charges		372.38				other	OPPS APC	372.38				other	OPPS APC	100.88				percent of total billed charges		102.89				percent of total billed charges		372.38				other	OPPS APC	100.88	372.38	
PLATE BONE TITANIUM H.5 MM CRANIOMAXILLOFACIAL 5 HOLE LOW PROFILE ADAPTATION	SUP-421.518	CDM	270010013	LOCAL	270	RC		inpatient			372.38	372.38																																																			
TRACKER NAVIGATION FUSION AXIEM ENT INSTRUMENT STERILE LATEX FREE DISPOSABLE	SUP-9733533XOM	CDM						inpatient			372	372																																																			
TRACKER NAVIGATION FUSION AXIEM ENT INSTRUMENT STERILE LATEX FREE DISPOSABLE	SUP-9733533XOM	CDM						outpatient			372	372	372				percent of total billed charges		372				other	OPPS APC	372				fee schedule		372				other	OPPS APC	372				other	OPPS APC	372				case rate		372				case rate		372				other	OPPS APC	372	372	
SHEATH - PINNACLE DESTINATION 8F	SUP-99-00935	CDM			272	RC		outpatient			371.88	371.88	100.74				percent of total billed charges		371.88				other	OPPS APC	275.19				percent of total billed charges		371.88				other	OPPS APC	371.88				other	OPPS APC	100.74				percent of total billed charges		102.75				percent of total billed charges		371.88				other	OPPS APC	100.74	371.88	
SHEATH - PINNACLE DESTINATION 8F	SUP-99-00935	CDM			272	RC		inpatient			371.88	371.88																																																			
SHEATH - GLIDESHEATH SLENDER 6F - 25G	SUP-99-03284	CDM			272	RC		outpatient			371.88	371.88	100.74				percent of total billed charges		371.88				other	OPPS APC	275.19				percent of total billed charges		371.88				other	OPPS APC	371.88				other	OPPS APC	100.74				percent of total billed charges		102.75				percent of total billed charges		371.88				other	OPPS APC	100.74	371.88	
SHEATH - GLIDESHEATH SLENDER 6F - 25G	SUP-99-03284	CDM			272	RC		inpatient			371.88	371.88																																																			
BIT DRILL SHORT 145MM 5MM NS 3 FLUTE QUICK COUPLING NEEDLE POINT DISTAL LOCK SCREW	SUP-03.010.105	CDM	270010022	LOCAL	270	RC		outpatient			371.8	371.81	100.72				percent of total billed charges		371.8				other	OPPS APC	275.13				percent of total billed charges		371.8				other	OPPS APC	371.8				other	OPPS APC	100.72				percent of total billed charges		102.73				percent of total billed charges		371.81				other	OPPS APC	100.72	371.81	
BIT DRILL SHORT 145MM 5MM NS 3 FLUTE QUICK COUPLING NEEDLE POINT DISTAL LOCK SCREW	SUP-03.010.105	CDM	270010022	LOCAL	270	RC		inpatient			371.8	371.8																																																			
GUIDEWIRE 3.2MM X 400MM	SUP-97-00328	CDM			272	RC		outpatient			371.7	371.7	100.69				percent of total billed charges		371.7				other	OPPS APC	275.06				percent of total billed charges		371.7				other	OPPS APC	371.7				other	OPPS APC	100.69				percent of total billed charges		102.7				percent of total billed charges		371.7				other	OPPS APC	100.69	371.7	
GUIDEWIRE 3.2MM X 400MM	SUP-97-00328	CDM			272	RC		inpatient			371.7	371.7																																																			
Quikclot 4x4 Xray	PX-272000012	CDM			272	RC		outpatient			371.6	371.62	100.67				percent of total billed charges		371.6				other	OPPS APC	371.6				fee schedule		371.6				other	OPPS APC	371.6				other	OPPS APC	100.67				percent of total billed charges		102.67				percent of total billed charges		371.62				other	OPPS APC	100.67	371.62	
Quikclot 4x4 Xray	PX-272000012	CDM			272	RC		inpatient			371.6	371.6																																																			
CAP END TRIGEN TITANIUM 0 MM SET DISPOSABLE INTERNAL HEX INTRAMEDULLARY NAIL	SUP-71634000	CDM			270	RC		outpatient			371.52	371.52	100.64				percent of total billed charges		371.52				other	OPPS APC	274.92				percent of total billed charges		371.52				other	OPPS APC	371.52				other	OPPS APC	100.64				percent of total billed charges		102.65				percent of total billed charges		371.52				other	OPPS APC	100.64	371.52	
CAP END TRIGEN TITANIUM 0 MM SET DISPOSABLE INTERNAL HEX INTRAMEDULLARY NAIL	SUP-71634000	CDM			270	RC		inpatient			371.52	371.52																																																			
CAP END TRIGEN TITANIUM OD 20MM INTERNAL HEX INTRAMEDULLARY NAIL	SUP-71634020	CDM			270	RC		outpatient			371.52	371.52	100.64				percent of total billed charges		371.52				other	OPPS APC	274.92				percent of total billed charges		371.52				other	OPPS APC	371.52				other	OPPS APC	100.64				percent of total billed charges		102.65				percent of total billed charges		371.52				other	OPPS APC	100.64	371.52	
CAP END TRIGEN TITANIUM OD 20MM INTERNAL HEX INTRAMEDULLARY NAIL	SUP-71634020	CDM			270	RC		inpatient			371.52	371.52																																																			
SAW BLADE 25MM 95/1.25MM	SUP-97-00362	CDM			272	RC		outpatient			371	371	100.5				percent of total billed charges		371				other	OPPS APC	274.54				percent of total billed charges		371				other	OPPS APC	371				other	OPPS APC	100.5				percent of total billed charges		102.51				percent of total billed charges		371				other	OPPS APC	100.5	371	
SAW BLADE 25MM 95/1.25MM	SUP-97-00362	CDM			272	RC		inpatient			371	371																																																			
PIN SYNTHES 3.5MM CERLAGE THREADED	SUP-298.838S	CDM	270010022	LOCAL	270	RC		outpatient			370.7	37.7	100.42				percent of total billed charges		370.7				other	OPPS APC	274.32				percent of total billed charges		370.7				other	OPPS APC	370.7				other	OPPS APC	100.42				percent of total billed charges		102.42				percent of total billed charges		37.7				other	OPPS APC	37.7	370.7	
PIN SYNTHES 3.5MM CERLAGE THREADED	SUP-298.838S	CDM	270010022	LOCAL	270	RC		inpatient			370.7	370.7																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL DIAMOND 10CM 5MM STERILE BURR	SUP-10BA50D	CDM	270010028	LOCAL	270	RC		outpatient			370.62	37.62	100.4				percent of total billed charges		370.62				other	OPPS APC	274.26				percent of total billed charges		370.62				other	OPPS APC	370.62				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.62	
TOOL DISSECTING MIDAS REX LEGEND BALL DIAMOND 10CM 5MM STERILE BURR	SUP-10BA50D	CDM	270010028	LOCAL	270	RC		inpatient			370.62	370.62																																																			
TOOL DISSECTING MIDAS REX LEGEND MATCH HEAD FLUTE L14 CM OD3 MM BURR	SUP-14MH30	CDM			270	RC		outpatient			370.62	37.62	100.4				percent of total billed charges		370.62				other	OPPS APC	274.26				percent of total billed charges		370.62				other	OPPS APC	370.62				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.62	
TOOL DISSECTING MIDAS REX LEGEND MATCH HEAD FLUTE L14 CM OD3 MM BURR	SUP-14MH30	CDM			270	RC		inpatient			370.62	370.62																																																			
TOOL DISSECTING MR8 DIAMOND BALL L10 CM OD5 MM	SUP-MR8-10BA50D	CDM			270	RC		outpatient			370.62	37.62	100.4				percent of total billed charges		370.62				other	OPPS APC	274.26				percent of total billed charges		370.62				other	OPPS APC	370.62				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.62	
TOOL DISSECTING MR8 DIAMOND BALL L10 CM OD5 MM	SUP-MR8-10BA50D	CDM			270	RC		inpatient			370.62	370.62																																																			
TOOL DISSECTING MR8 MATCH HEAD L14 CM OD3 MM STERILE DISPOSABLE	SUP-MR814MH30_71348	CDM			270	RC		outpatient			370.62	37.62	100.4				percent of total billed charges		370.62				other	OPPS APC	274.26				percent of total billed charges		370.62				other	OPPS APC	370.62				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.62	
TOOL DISSECTING MR8 MATCH HEAD L14 CM OD3 MM STERILE DISPOSABLE	SUP-MR814MH30_71348	CDM			270	RC		inpatient			370.62	370.62																																																			
SCREW BONE PERI-LOC STAINLESS STEEL 2.5MM FLUTE L 32MM L 14MM OD 4MM ODSEC 6MM HIP CANNULATED SELF TAP TROCAR STERILE	SUP-121832	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOC STAINLESS STEEL 2.5MM FLUTE L 32MM L 14MM OD 4MM ODSEC 6MM HIP CANNULATED SELF TAP TROCAR STERILE	SUP-121832	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE PERI-LOC STAINLESS STEEL 2.5MM FLUTE L 34 MM L 14MM OD 4 MM ODSEC 6 MM HIP CANNULATED SELF TAP TROCAR STERILE	SUP-121834	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOC STAINLESS STEEL 2.5MM FLUTE L 34 MM L 14MM OD 4 MM ODSEC 6 MM HIP CANNULATED SELF TAP TROCAR STERILE	SUP-121834	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE PERI-LOC STAINLESS STEEL 2.5 MM FLUTE L 36MM L 14MM OD 4MM ODSEC 6MM HIP SELF TAP CANNULATED TROCAR STERILE	SUP-121836	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOC STAINLESS STEEL 2.5 MM FLUTE L 36MM L 14MM OD 4MM ODSEC 6MM HIP SELF TAP CANNULATED TROCAR STERILE	SUP-121836	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE PERI-LOCK STAINLESS STEEL 2.5 MM FLUTE L 38 MM L 14 MM OD 4 MM ODSEC 6 MM HIP CANNULATED SELF TAP TROCAR STERILE	SUP-121838	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOCK STAINLESS STEEL 2.5 MM FLUTE L 38 MM L 14 MM OD 4 MM ODSEC 6 MM HIP CANNULATED SELF TAP TROCAR STERILE	SUP-121838	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE L 40 MM OD 4 MM CANNULATED	SUP-121840	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE L 40 MM OD 4 MM CANNULATED	SUP-121840	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE PERI-LOC STAINLESS STEEL 2.5 MM FLUTE L42 MM L14 MM OD4 MM ODSEC6 MM HIP SELF TAP CANNULATED TROCAR STERILE	SUP-121842	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOC STAINLESS STEEL 2.5 MM FLUTE L42 MM L14 MM OD4 MM ODSEC6 MM HIP SELF TAP CANNULATED TROCAR STERILE	SUP-121842	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE STAINLESS STEEL PARTIAL THREAD L46 MM L15 MM OD4 MM HIP CANNULATED STERILE	SUP-121846	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE STAINLESS STEEL PARTIAL THREAD L46 MM L15 MM OD4 MM HIP CANNULATED STERILE	SUP-121846	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE PERI-LOC STAINLESS STEEL 2.5MM FLUTE PARTIAL THREAD L 48 MM L 15 MM OD 4 MM ODSEC 6 MM HIP SELF TAP CANNUALTED TROCAR LOW PROFILE STERILE	SUP-121848	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOC STAINLESS STEEL 2.5MM FLUTE PARTIAL THREAD L 48 MM L 15 MM OD 4 MM ODSEC 6 MM HIP SELF TAP CANNUALTED TROCAR LOW PROFILE STERILE	SUP-121848	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE L 50 MM OD 4 MM CANNULATED	SUP-121850	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE L 50 MM OD 4 MM CANNULATED	SUP-121850	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE PERI-LOC STAINLESS STEEL 2.5 MM FLUTE L 60 MM L 15 MM OD 4 MM ODSEC MM HIP SELF TAP CANNUALTED TROCAR STERILE	SUP-121860	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE PERI-LOC STAINLESS STEEL 2.5 MM FLUTE L 60 MM L 15 MM OD 4 MM ODSEC MM HIP SELF TAP CANNUALTED TROCAR STERILE	SUP-121860	CDM			270	RC		inpatient			370.6	370.6																																																			
SCREW BONE EXCEL STAINLESS STEEL FULL THREAD FLUTE L 60 MM OD $ MM HIP SELF TAP CANNUALTED TROCAR STERILE	SUP-222860	CDM			270	RC		outpatient			370.6	37.62	100.4				percent of total billed charges		370.6				other	OPPS APC	274.24				percent of total billed charges		370.6				other	OPPS APC	370.6				other	OPPS APC	100.4				percent of total billed charges		102.4				percent of total billed charges		37.62				other	OPPS APC	37.62	370.6	
SCREW BONE EXCEL STAINLESS STEEL FULL THREAD FLUTE L 60 MM OD $ MM HIP SELF TAP CANNUALTED TROCAR STERILE	SUP-222860	CDM			270	RC		inpatient			370.6	370.6																																																			
HC Molecular Testing Bbd	PX-309814031	CDM	81403	CPT	309	RC		outpatient			370.4	185.2	370.4				fee schedule		185.2				fee schedule		401.69				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2	401.69	
HC Molecular Testing Bbd	PX-309814031	CDM	81403	CPT	309	RC		inpatient			370.4	370.4																																																			
HC Molecular Pathology Procedure  Level 4	PX-310814030	CDM	81403	CPT	310	RC		outpatient			370.4	185.2	370.4				fee schedule		185.2				fee schedule		401.69				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2				fee schedule		185.2	401.69	
HC Molecular Pathology Procedure  Level 4	PX-310814030	CDM	81403	CPT	310	RC		inpatient			370.4	370.4																																																			
OVERTUBE ENDOSCOPIC GUARDUS STANDARD TAPER L25 CM OD19.5 MM ODSEC8.6-10 MM ID16.7 MM ESOPHAGUS INSUFFLATION CAP NONSTERILE LATEX FREE DISPOSABLE	SUP-BX00711146	CDM			270	RC		outpatient			370.34	37.34	100.33				percent of total billed charges		370.34				other	OPPS APC	274.05				percent of total billed charges		370.34				other	OPPS APC	370.34				other	OPPS APC	100.33				percent of total billed charges		102.32				percent of total billed charges		37.34				other	OPPS APC	37.34	370.34	
OVERTUBE ENDOSCOPIC GUARDUS STANDARD TAPER L25 CM OD19.5 MM ODSEC8.6-10 MM ID16.7 MM ESOPHAGUS INSUFFLATION CAP NONSTERILE LATEX FREE DISPOSABLE	SUP-BX00711146	CDM			270	RC		inpatient			370.34	370.34																																																			
STENT PERCUFLEX 4.8FR X 20	SUP-97-01422	CDM			272	RC		outpatient			370.06	37.6	100.25				percent of total billed charges		370.06				other	OPPS APC	273.84				percent of total billed charges		370.06				other	OPPS APC	370.06				other	OPPS APC	100.25				percent of total billed charges		102.25				percent of total billed charges		37.6				other	OPPS APC	37.6	370.06	
STENT PERCUFLEX 4.8FR X 20	SUP-97-01422	CDM			272	RC		inpatient			370.06	370.06																																																			
MESH SURGICAL BARD POLYPROPYLENE  L14IN X W10 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112660	CDM			270	RC		outpatient			370	37	100.23				percent of total billed charges		370				other	OPPS APC	273.8				percent of total billed charges		370				other	OPPS APC	370				other	OPPS APC	100.23				percent of total billed charges		102.23				percent of total billed charges		37				other	OPPS APC	37	370	
MESH SURGICAL BARD POLYPROPYLENE  L14IN X W10 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112660	CDM			270	RC		inpatient			370	370																																																			
DRILL SURGICAL EVOS LARGE OD 4.5MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175626	CDM			270	RC		outpatient			370	37	100.23				percent of total billed charges		370				other	OPPS APC	273.8				percent of total billed charges		370				other	OPPS APC	370				other	OPPS APC	100.23				percent of total billed charges		102.23				percent of total billed charges		37				other	OPPS APC	37	370	
DRILL SURGICAL EVOS LARGE OD 4.5MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175626	CDM			270	RC		inpatient			370	370																																																			
PORT IMPLANTABLE INFUSION VACCESS CT 6FR TITANIUM POLYURETHANE POWER INJECTABLE LOW PROFILE SILICONE FILL SUTURE PLUG	SUP-7360000	CDM			270	RC		outpatient			370	37	100.23				percent of total billed charges		370				other	OPPS APC	273.8				percent of total billed charges		370				other	OPPS APC	370				other	OPPS APC	100.23				percent of total billed charges		102.23				percent of total billed charges		37				other	OPPS APC	37	370	
PORT IMPLANTABLE INFUSION VACCESS CT 6FR TITANIUM POLYURETHANE POWER INJECTABLE LOW PROFILE SILICONE FILL SUTURE PLUG	SUP-7360000	CDM			270	RC		inpatient			370	370																																																			
PORT IMPLANTABLE INFUSION VACCESS CT 6FR POWER INJECTABLE	SUP-7460000	CDM			270	RC		outpatient			370	37	100.23				percent of total billed charges		370				other	OPPS APC	273.8				percent of total billed charges		370				other	OPPS APC	370				other	OPPS APC	100.23				percent of total billed charges		102.23				percent of total billed charges		37				other	OPPS APC	37	370	
PORT IMPLANTABLE INFUSION VACCESS CT 6FR POWER INJECTABLE	SUP-7460000	CDM			270	RC		inpatient			370	370																																																			
PORT IMPLANTABLE INFUSION VACCESS CT OD9.6 FR POWER INJECTABLE	SUP-7496000	CDM			270	RC		outpatient			370	37	100.23				percent of total billed charges		370				other	OPPS APC	273.8				percent of total billed charges		370				other	OPPS APC	370				other	OPPS APC	100.23				percent of total billed charges		102.23				percent of total billed charges		37				other	OPPS APC	37	370	
PORT IMPLANTABLE INFUSION VACCESS CT OD9.6 FR POWER INJECTABLE	SUP-7496000	CDM			270	RC		inpatient			370	370																																																			
ANCHOR SUTURE FASTAK II FIBERWIRE 2-0 SM 7.5MM 2.4MM TITANIUM STERILE BIOABSORBABLE HANDLE INSERTER	SUP-AR-1322-752SF	CDM			270	RC		outpatient			370	37	100.23				percent of total billed charges		370				other	OPPS APC	273.8				percent of total billed charges		370				other	OPPS APC	370				other	OPPS APC	100.23				percent of total billed charges		102.23				percent of total billed charges		37				other	OPPS APC	37	370	
ANCHOR SUTURE FASTAK II FIBERWIRE 2-0 SM 7.5MM 2.4MM TITANIUM STERILE BIOABSORBABLE HANDLE INSERTER	SUP-AR-1322-752SF	CDM			270	RC		inpatient			370	370																																																			
SCREW BONE EXPERT TITANIUM FULL THREAD L18 MM OD4 MM ODSEC8 MM TIBIA 2 LEAD THREAD LOCKING SELF TAPPING BLUNT TIP T25 STARDRIVE RECESS STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.408S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE EXPERT TITANIUM FULL THREAD L18 MM OD4 MM ODSEC8 MM TIBIA 2 LEAD THREAD LOCKING SELF TAPPING BLUNT TIP T25 STARDRIVE RECESS STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.408S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L20 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.410S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L20 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.410S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L30 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.420S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L30 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.420S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L32 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.422S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L32 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.422S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L34 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.424S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L34 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.424S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L38 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.428S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L38 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.428S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L40 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.430S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L40 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.430S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L42 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.432S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L42 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.432S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L44 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.434S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L44 MM OD4 MM ODSEC3.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE BLUE INTRAMEDULLARY NAIL	SUP-04.005.434S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L46 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.436S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L46 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.436S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L48 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.438S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L48 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.438S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L50 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.440S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L50 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.440S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L56 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.446S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L56 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.446S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L58 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.448S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L58 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.448S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L60 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.450S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L60 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.450S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L66 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.456S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L66 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.456S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L74 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.464S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L74 MM OD4 MM ODSEC3.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.464S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L26 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.516S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L26 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.516S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE FULL THREAD T25 28MM 5MM LIGHT GREEN TITANIUM STERILE SELF TAP LOCK BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL	SUP-04.005.518S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE FULL THREAD T25 28MM 5MM LIGHT GREEN TITANIUM STERILE SELF TAP LOCK BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL	SUP-04.005.518S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE FULL THREAD T25 30MM 5MM LIGHT GREEN TITANIUM STERILE SELF TAP LOCK BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL	SUP-04.005.520S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE FULL THREAD T25 30MM 5MM LIGHT GREEN TITANIUM STERILE SELF TAP LOCK BLUNT TIP STARDRIVE INTRAMEDULLARY NAIL	SUP-04.005.520S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L32 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.522S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L32 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.522S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L34 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.524S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L34 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.524S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L36 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.526S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L36 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.526S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L38 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.528S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L38 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.528S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L40 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.530S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L40 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.530S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L42 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.532S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L42 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.532S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L44 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.534S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L44 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.534S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L46 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.536S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L46 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.536S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L48 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.538S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L48 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.538S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L50 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.540S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L50 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.540S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L52 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.542S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L52 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.542S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L54 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.544S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L54 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.544S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L56 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.546S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L56 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.546S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L58 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.548S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L58 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.548S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L60 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.550S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L60 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.550S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L62 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.552S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L62 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.552S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L64 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.554S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L64 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.554S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L66 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.556S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L66 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.556S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L68 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.558S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L68 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.558S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L70 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.560S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L70 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.560S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L72 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.562S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L72 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.562S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L74 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.564S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM ALUMINUM NIOBIUM T25 FULL THREAD L74 MM OD5 MM ODSEC4.3 MM TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.564S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
SCREW BONE TITANIUM T25 FULL THREAD L80 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.570S	CDM	270010022	LOCAL	270	RC		outpatient			369.9	369.9	100.21				percent of total billed charges		369.9				other	OPPS APC	273.73				percent of total billed charges		369.9				other	OPPS APC	369.9				other	OPPS APC	100.21				percent of total billed charges		102.2				percent of total billed charges		369.9				other	OPPS APC	100.21	369.9	
SCREW BONE TITANIUM T25 FULL THREAD L80 MM OD5 MM ODSEC4.3 MM HUMERUS TIBIAL LOCK SELF TAP BLUNT TIP STARDRIVE STERILE INTRAMEDULLARY NAIL	SUP-04.005.570S	CDM	270010022	LOCAL	270	RC		inpatient			369.9	369.9																																																			
CEMENT OSTEOTOME STAGING STRAIGHT LINE	SUP-1545	CDM			270	RC		outpatient			369.46	369.46	100.09				percent of total billed charges		369.46				other	OPPS APC	273.4				percent of total billed charges		369.46				other	OPPS APC	369.46				other	OPPS APC	100.09				percent of total billed charges		102.08				percent of total billed charges		369.46				other	OPPS APC	100.09	369.46	
CEMENT OSTEOTOME STAGING STRAIGHT LINE	SUP-1545	CDM			270	RC		inpatient			369.46	369.46																																																			
TWIST DRILL AO 1.9 X 108MM	SUP-95-00001	CDM			272	RC		outpatient			369.25	369.25	100.03				percent of total billed charges		369.25				other	OPPS APC	273.25				percent of total billed charges		369.25				other	OPPS APC	369.25				other	OPPS APC	100.03				percent of total billed charges		102.02				percent of total billed charges		369.25				other	OPPS APC	100.03	369.25	
TWIST DRILL AO 1.9 X 108MM	SUP-95-00001	CDM			272	RC		inpatient			369.25	369.25																																																			
COVER EQUIPMENT	SUP-95-00488	CDM			271	RC		outpatient			369.25	369.25	100.03				percent of total billed charges		369.25				other	OPPS APC	273.25				percent of total billed charges		369.25				other	OPPS APC	369.25				other	OPPS APC	100.03				percent of total billed charges		102.02				percent of total billed charges		369.25				other	OPPS APC	100.03	369.25	
COVER EQUIPMENT	SUP-95-00488	CDM			271	RC		inpatient			369.25	369.25																																																			
BUR ROUND DIAMOND 6.0MM	SUP-97-00786	CDM			272	RC		outpatient			369.08	369.8	99.98				percent of total billed charges		369.08				other	OPPS APC	273.12				percent of total billed charges		369.08				other	OPPS APC	369.08				other	OPPS APC	99.98				percent of total billed charges		101.98				percent of total billed charges		369.8				other	OPPS APC	99.98	369.8	
BUR ROUND DIAMOND 6.0MM	SUP-97-00786	CDM			272	RC		inpatient			369.08	369.08																																																			
HC Drainage of Gum Lesion	PX-450418001	CDM	41800	CPT	450	RC		outpatient			369	369	195.77				case rate		369				other	OPPS APC	273.06				percent of total billed charges		369				other	OPPS APC	369				other	OPPS APC	195.77				case rate		199.69				case rate		369				other	OPPS APC	195.77	369	
HC Drainage of Gum Lesion	PX-450418001	CDM	41800	CPT	450	RC		inpatient			369	369																																																			
END CAP ORTHOPEDIC TITANIUM 0 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.008S	CDM	270010022	LOCAL	270	RC		outpatient			369	369	99.96				percent of total billed charges		369				other	OPPS APC	273.06				percent of total billed charges		369				other	OPPS APC	369				other	OPPS APC	99.96				percent of total billed charges		101.95				percent of total billed charges		369				other	OPPS APC	99.96	369	
END CAP ORTHOPEDIC TITANIUM 0 MM T40 TIBIAL STARDRIVE CANNULATED STERILE GRAY EXPERT NAIL SYSTEM	SUP-04.004.008S	CDM	270010022	LOCAL	270	RC		inpatient			369	369																																																			
SCREW BONE LCP STAINLESS STEEL L60 MM OD5 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.542	CDM	270010022	LOCAL	270	RC		outpatient			369	369	99.96				percent of total billed charges		369				other	OPPS APC	273.06				percent of total billed charges		369				other	OPPS APC	369				other	OPPS APC	99.96				percent of total billed charges		101.95				percent of total billed charges		369				other	OPPS APC	99.96	369	
SCREW BONE LCP STAINLESS STEEL L60 MM OD5 MM PERIARTICULAR FEMUR TIBIA CANNULATED NONSTERILE	SUP-222.542	CDM	270010022	LOCAL	270	RC		inpatient			369	369																																																			
REAMER SURGICAL OD9 MM CANNULATED COLLAR PIN SET CORING STERILE DISPOSABLE	SUP-AR-1223S	CDM			270	RC		outpatient			369	369	99.96				percent of total billed charges		369				other	OPPS APC	273.06				percent of total billed charges		369				other	OPPS APC	369				other	OPPS APC	99.96				percent of total billed charges		101.95				percent of total billed charges		369				other	OPPS APC	99.96	369	
REAMER SURGICAL OD9 MM CANNULATED COLLAR PIN SET CORING STERILE DISPOSABLE	SUP-AR-1223S	CDM			270	RC		inpatient			369	369																																																			
REAMER SURGICAL OD10 MM CANNULATED COLLAR PIN SET CORING STERILE DISPOSABLE	SUP-AR-1224S	CDM			270	RC		outpatient			369	369	99.96				percent of total billed charges		369				other	OPPS APC	273.06				percent of total billed charges		369				other	OPPS APC	369				other	OPPS APC	99.96				percent of total billed charges		101.95				percent of total billed charges		369				other	OPPS APC	99.96	369	
REAMER SURGICAL OD10 MM CANNULATED COLLAR PIN SET CORING STERILE DISPOSABLE	SUP-AR-1224S	CDM			270	RC		inpatient			369	369																																																			
CATHETER - MODIFIED HOOK	SUP-99-02080	CDM			272	RC		outpatient			368.9	368.9	99.94				percent of total billed charges		368.9				other	OPPS APC	272.99				percent of total billed charges		368.9				other	OPPS APC	368.9				other	OPPS APC	99.94				percent of total billed charges		101.93				percent of total billed charges		368.9				other	OPPS APC	99.94	368.9	
CATHETER - MODIFIED HOOK	SUP-99-02080	CDM			272	RC		inpatient			368.9	368.9																																																			
TOOL DISSECTING MIDAS REX LEGEND MATCH HEAD FLUTE L9 CM OD3 MM BURR	SUP-9MH30	CDM	270010028	LOCAL	270	RC		outpatient			368.88	368.88	99.93				percent of total billed charges		368.88				other	OPPS APC	272.97				percent of total billed charges		368.88				other	OPPS APC	368.88				other	OPPS APC	99.93				percent of total billed charges		101.92				percent of total billed charges		368.88				other	OPPS APC	99.93	368.88	
TOOL DISSECTING MIDAS REX LEGEND MATCH HEAD FLUTE L9 CM OD3 MM BURR	SUP-9MH30	CDM	270010028	LOCAL	270	RC		inpatient			368.88	368.88																																																			
TOOL DISSECTING MIDAS REX MR8 MATCH HEAD L9 CM OD3 MM STERILE LATEX FREE DISPOSABLE	SUP-MR89MH30_71343	CDM			270	RC		outpatient			368.88	368.88	99.93				percent of total billed charges		368.88				other	OPPS APC	272.97				percent of total billed charges		368.88				other	OPPS APC	368.88				other	OPPS APC	99.93				percent of total billed charges		101.92				percent of total billed charges		368.88				other	OPPS APC	99.93	368.88	
TOOL DISSECTING MIDAS REX MR8 MATCH HEAD L9 CM OD3 MM STERILE LATEX FREE DISPOSABLE	SUP-MR89MH30_71343	CDM			270	RC		inpatient			368.88	368.88																																																			
PIN POSITIONING L5 MM VARIABLE ANGLE STERILE LATEX FREE DISPOSABLE	SUP-02.231.022S	CDM	270010022	LOCAL	270	RC		outpatient			368.16	368.16	99.73				percent of total billed charges		368.16				other	OPPS APC	272.44				percent of total billed charges		368.16				other	OPPS APC	368.16				other	OPPS APC	99.73				percent of total billed charges		101.72				percent of total billed charges		368.16				other	OPPS APC	99.73	368.16	
PIN POSITIONING L5 MM VARIABLE ANGLE STERILE LATEX FREE DISPOSABLE	SUP-02.231.022S	CDM	270010022	LOCAL	270	RC		inpatient			368.16	368.16																																																			
OVERDRILL 3.5 DIA FOR LAGGING SCREWS	SUP-95-05564	CDM			272	RC		outpatient			368.04	368.42	99.7				percent of total billed charges		368.04				other	OPPS APC	272.35				percent of total billed charges		368.04				other	OPPS APC	368.04				other	OPPS APC	99.7				percent of total billed charges		101.69				percent of total billed charges		368.42				other	OPPS APC	99.7	368.42	
OVERDRILL 3.5 DIA FOR LAGGING SCREWS	SUP-95-05564	CDM			272	RC		inpatient			368.04	368.04																																																			
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 127 MM X W 10.7 MM X H 3.4 MM 10 HOLE COMPRESSION STERILE 3.5 MM SCREW	SUP-72441010	CDM			270	RC		outpatient			368	368	99.69				percent of total billed charges		368				other	OPPS APC	272.32				percent of total billed charges		368				other	OPPS APC	368				other	OPPS APC	99.69				percent of total billed charges		101.68				percent of total billed charges		368				other	OPPS APC	99.69	368	
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 127 MM X W 10.7 MM X H 3.4 MM 10 HOLE COMPRESSION STERILE 3.5 MM SCREW	SUP-72441010	CDM			270	RC		inpatient			368	368																																																			
DEVICE FIXATION TIGHTROPE UHMWPE ACL ATTACHABLE	SUP-AR-1588TN	CDM			270	RC		outpatient			368	368	99.69				percent of total billed charges		368				other	OPPS APC	272.32				percent of total billed charges		368				other	OPPS APC	368				other	OPPS APC	99.69				percent of total billed charges		101.68				percent of total billed charges		368				other	OPPS APC	99.69	368	
DEVICE FIXATION TIGHTROPE UHMWPE ACL ATTACHABLE	SUP-AR-1588TN	CDM			270	RC		inpatient			368	368																																																			
GUIDE WIRE 3.2	SUP-97-00830	CDM			272	RC		outpatient			367.92	367.92	99.67				percent of total billed charges		367.92				other	OPPS APC	272.26				percent of total billed charges		367.92				other	OPPS APC	367.92				other	OPPS APC	99.67				percent of total billed charges		101.66				percent of total billed charges		367.92				other	OPPS APC	99.67	367.92	
GUIDE WIRE 3.2	SUP-97-00830	CDM			272	RC		inpatient			367.92	367.92																																																			
15MM SNARE	SUP-95-01015	CDM			272	RC		outpatient			367.71	367.8	99.61				percent of total billed charges		367.71				other	OPPS APC	272.11				percent of total billed charges		367.71				other	OPPS APC	367.71				other	OPPS APC	99.61				percent of total billed charges		101.6				percent of total billed charges		367.8				other	OPPS APC	99.61	367.8	
15MM SNARE	SUP-95-01015	CDM			272	RC		inpatient			367.71	367.71																																																			
PLATE 2.0/1.0 2X2-HOLE RT REG	SUP-71-00226	CDM			278	RC		outpatient			367.5	367.5	367.5				fee schedule		367.5				other	OPPS APC	209.48				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	180.08				percent of total billed charges		187.43				percent of total billed charges		367.5				other	OPPS APC	180.08	367.5	
PLATE 2.0/1.0 2X2-HOLE RT REG	SUP-71-00226	CDM			278	RC		inpatient			367.5	367.5																																																			
PLATE 2.0/1.0 2X2-HOLE LFT REG	SUP-71-00227	CDM			278	RC		outpatient			367.5	367.5	367.5				fee schedule		367.5				other	OPPS APC	209.48				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	180.08				percent of total billed charges		187.43				percent of total billed charges		367.5				other	OPPS APC	180.08	367.5	
PLATE 2.0/1.0 2X2-HOLE LFT REG	SUP-71-00227	CDM			278	RC		inpatient			367.5	367.5																																																			
DRILL 1.6MM FOR FIBERTAK	SUP-95-05361	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
DRILL 1.6MM FOR FIBERTAK	SUP-95-05361	CDM			272	RC		inpatient			367.5	367.5																																																			
DRILL 1.8MM FOR FIBERTAK	SUP-95-05362	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
DRILL 1.8MM FOR FIBERTAK	SUP-95-05362	CDM			272	RC		inpatient			367.5	367.5																																																			
CANCELELLOUS BONE SCREW	SUP-97-01807	CDM			278	RC		outpatient			367.5	367.5	367.5				fee schedule		367.5				other	OPPS APC	209.48				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	180.08				percent of total billed charges		187.43				percent of total billed charges		367.5				other	OPPS APC	180.08	367.5	
CANCELELLOUS BONE SCREW	SUP-97-01807	CDM			278	RC		inpatient			367.5	367.5																																																			
DRILL PEEK KNOTLESS CORKSCREW ANCHOR	SUP-97-04147	CDM			278	RC		outpatient			367.5	367.5	367.5				fee schedule		367.5				other	OPPS APC	209.48				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	180.08				percent of total billed charges		187.43				percent of total billed charges		367.5				other	OPPS APC	180.08	367.5	
DRILL PEEK KNOTLESS CORKSCREW ANCHOR	SUP-97-04147	CDM			278	RC		inpatient			367.5	367.5																																																			
FIBERTAPE 54IN 2MM(BLUE)#2FIBERWIRE 8IN	SUP-97-04719	CDM			278	RC		outpatient			367.5	367.5	367.5				fee schedule		367.5				other	OPPS APC	209.48				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	180.08				percent of total billed charges		187.43				percent of total billed charges		367.5				other	OPPS APC	180.08	367.5	
FIBERTAPE 54IN 2MM(BLUE)#2FIBERWIRE 8IN	SUP-97-04719	CDM			278	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 5.0X40X130	SUP-99-03392	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 5.0X40X130	SUP-99-03392	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 6.0X150X130	SUP-99-03393	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 6.0X150X130	SUP-99-03393	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 6.0X40X130	SUP-99-03405	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 6.0X40X130	SUP-99-03405	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 7.0X80X130	SUP-99-03411	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 7.0X80X130	SUP-99-03411	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X200	SUP-99-03498	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X200	SUP-99-03498	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X20	SUP-99-03512	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X20	SUP-99-03512	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X40	SUP-99-03513	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X40	SUP-99-03513	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X20	SUP-99-03523	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X20	SUP-99-03523	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X100	SUP-99-03528	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X100	SUP-99-03528	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 8X80	SUP-99-03547	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 8X80	SUP-99-03547	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X120	SUP-99-03574	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X120	SUP-99-03574	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 6.0X200X130	SUP-99-03590	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 6.0X200X130	SUP-99-03590	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X120	SUP-99-03591	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X120	SUP-99-03591	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 8X20	SUP-99-03595	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 8X20	SUP-99-03595	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 7.0X40X130	SUP-99-03599	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 7.0X40X130	SUP-99-03599	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X80	SUP-99-03613	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X80	SUP-99-03613	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X80	SUP-99-03614	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X80	SUP-99-03614	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - ULTRAVERSE 035 8.0X80X75	SUP-99-03625	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - ULTRAVERSE 035 8.0X80X75	SUP-99-03625	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X20	SUP-99-03628	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X20	SUP-99-03628	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X60	SUP-99-03644	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X60	SUP-99-03644	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 8X40	SUP-99-03652	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 8X40	SUP-99-03652	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X150	SUP-99-03654	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X150	SUP-99-03654	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 8X60	SUP-99-03677	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 8X60	SUP-99-03677	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X200	SUP-99-03678	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X200	SUP-99-03678	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 9X40	SUP-99-03680	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 9X40	SUP-99-03680	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 9X30	SUP-99-03691	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 9X30	SUP-99-03691	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 9X30	SUP-99-03692	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 9X30	SUP-99-03692	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 10X20	SUP-99-03693	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 10X20	SUP-99-03693	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 10X30	SUP-99-03694	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 10X30	SUP-99-03694	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X200	SUP-99-03711	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X200	SUP-99-03711	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X30	SUP-99-03715	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X30	SUP-99-03715	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 10X40	SUP-99-03807	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 10X40	SUP-99-03807	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 10X60	SUP-99-03808	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 10X60	SUP-99-03808	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X100	SUP-99-03809	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X100	SUP-99-03809	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X120	SUP-99-03810	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X120	SUP-99-03810	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X150	SUP-99-03811	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X150	SUP-99-03811	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X40	SUP-99-03812	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X40	SUP-99-03812	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X60	SUP-99-03813	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X60	SUP-99-03813	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 3X80	SUP-99-03814	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 3X80	SUP-99-03814	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X150	SUP-99-03815	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X150	SUP-99-03815	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X200	SUP-99-03816	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X200	SUP-99-03816	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X20	SUP-99-03817	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X20	SUP-99-03817	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X40	SUP-99-03818	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X40	SUP-99-03818	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X60	SUP-99-03819	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X60	SUP-99-03819	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 4X80	SUP-99-03820	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 4X80	SUP-99-03820	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X150	SUP-99-03821	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X150	SUP-99-03821	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X20	SUP-99-03822	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X20	SUP-99-03822	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X30	SUP-99-03823	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X30	SUP-99-03823	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X40	SUP-99-03824	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X40	SUP-99-03824	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 5X60	SUP-99-03825	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 5X60	SUP-99-03825	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X120	SUP-99-03826	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X120	SUP-99-03826	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X150	SUP-99-03827	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X150	SUP-99-03827	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X30	SUP-99-03828	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X30	SUP-99-03828	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 6X40	SUP-99-03829	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 6X40	SUP-99-03829	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X100	SUP-99-03830	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X100	SUP-99-03830	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X120	SUP-99-03831	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X120	SUP-99-03831	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X40	SUP-99-03832	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X40	SUP-99-03832	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X60	SUP-99-03833	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X60	SUP-99-03833	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 7X80	SUP-99-03834	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 7X80	SUP-99-03834	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 8X30	SUP-99-03835	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 8X30	SUP-99-03835	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 9X60	SUP-99-03836	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 9X60	SUP-99-03836	CDM			272	RC		inpatient			367.5	367.5																																																			
BALLOON - EVERCROSS 9X80	SUP-99-03837	CDM			272	RC		outpatient			367.5	367.5	99.56				percent of total billed charges		367.5				other	OPPS APC	271.95				percent of total billed charges		367.5				other	OPPS APC	367.5				other	OPPS APC	99.56				percent of total billed charges		101.54				percent of total billed charges		367.5				other	OPPS APC	99.56	367.5	
BALLOON - EVERCROSS 9X80	SUP-99-03837	CDM			272	RC		inpatient			367.5	367.5																																																			
IRON SUCROSE PER 1 MG	636000000	CDM	0517-2340-01	NDC	J1756	HCPCS		inpatient			367.32	367.32																																																			
IRON SUCROSE PER 1 MG	636000000	CDM	0517-2340-25	NDC	J1756	HCPCS		inpatient			367.32	367.32																																																			
IRON SUCROSE PER 1 MG	636000000	CDM	0517-2340-01	NDC	J1756	HCPCS		outpatient			367.32	367.32																																															other	OPPS APC			
IRON SUCROSE PER 1 MG	636000000	CDM	0517-2340-25	NDC	J1756	HCPCS		outpatient			367.32	367.32																																															other	OPPS APC			
MIDAS REX DRILL BIT S-1	SUP-F39TA30_62653	CDM			270	RC		outpatient			367.14	367.14	99.46				percent of total billed charges		367.14				other	OPPS APC	271.68				percent of total billed charges		367.14				other	OPPS APC	367.14				other	OPPS APC	99.46				percent of total billed charges		101.44				percent of total billed charges		367.14				other	OPPS APC	99.46	367.14	
MIDAS REX DRILL BIT S-1	SUP-F39TA30_62653	CDM			270	RC		inpatient			367.14	367.14																																																			
TOOL DISSECTING MIDAS REX MR8 F3 TAPER L9 CM OD3 MM STERILE LATEX FREE DISPOSABLE	SUP-MR8-F3/9TA30	CDM			270	RC		outpatient			367.14	367.14	99.46				percent of total billed charges		367.14				other	OPPS APC	271.68				percent of total billed charges		367.14				other	OPPS APC	367.14				other	OPPS APC	99.46				percent of total billed charges		101.44				percent of total billed charges		367.14				other	OPPS APC	99.46	367.14	
TOOL DISSECTING MIDAS REX MR8 F3 TAPER L9 CM OD3 MM STERILE LATEX FREE DISPOSABLE	SUP-MR8-F3/9TA30	CDM			270	RC		inpatient			367.14	367.14																																																			
HC OB Exam Room - Level IV	PX-761992141	CDM	99214	CPT	761	RC		outpatient			367	127.29	195.77				case rate		127.29				other	OPPS APC	271.58				percent of total billed charges		127.29				other	OPPS APC	127.29				other	OPPS APC	195.77				case rate		187.17				percent of total billed charges		127.29				other	OPPS APC	127.29	271.58	
HC OB Exam Room - Level IV	PX-761992141	CDM	99214	CPT	761	RC		inpatient			367	367																																																			
Office Visit Level 4 Est 99214	PX-988992141	CDM	99214	CPT	988	RC		outpatient			367	95.56	107.75				fee schedule		95.56				fee schedule		271.58				percent of total billed charges		95.56				fee schedule		95.56				fee schedule		95.99				fee schedule		187.17				percent of total billed charges		95.56				fee schedule		95.56	271.58	
Office Visit Level 4 Est 99214	PX-988992141	CDM	99214	CPT	988	RC		inpatient			367	367																																																			
COVER CART 64X27X67	SUP-95-00489	CDM			271	RC		outpatient			366.87	366.87	99.39				percent of total billed charges		366.87				other	OPPS APC	271.48				percent of total billed charges		366.87				other	OPPS APC	366.87				other	OPPS APC	99.39				percent of total billed charges		101.37				percent of total billed charges		366.87				other	OPPS APC	99.39	366.87	
COVER CART 64X27X67	SUP-95-00489	CDM			271	RC		inpatient			366.87	366.87																																																			
SHEATH - FLEXOR 7FRX90CM	SUP-99-00990	CDM			272	RC		outpatient			366.73	366.73	99.35				percent of total billed charges		366.73				other	OPPS APC	271.38				percent of total billed charges		366.73				other	OPPS APC	366.73				other	OPPS APC	99.35				percent of total billed charges		101.33				percent of total billed charges		366.73				other	OPPS APC	99.35	366.73	
SHEATH - FLEXOR 7FRX90CM	SUP-99-00990	CDM			272	RC		inpatient			366.73	366.73																																																			
PACK CARDIOLOGY FEM POP BYPASS	SUP-597607-016	CDM			270	RC		outpatient			366.18	366.18	99.2				percent of total billed charges		366.18				other	OPPS APC	270.97				percent of total billed charges		366.18				other	OPPS APC	366.18				other	OPPS APC	99.2				percent of total billed charges		101.18				percent of total billed charges		366.18				other	OPPS APC	99.2	366.18	
PACK CARDIOLOGY FEM POP BYPASS	SUP-597607-016	CDM			270	RC		inpatient			366.18	366.18																																																			
HC Vitamin D - Dihydroxy (Vitdd)	PX-300826520	CDM	82652	CPT	301	RC		outpatient			366	38.5	51.48				fee schedule		38.5				fee schedule		102.18				fee schedule		38.5				fee schedule		38.5				fee schedule		38.5				fee schedule		38.5				fee schedule		38.5				fee schedule		38.5	102.18	
HC Vitamin D - Dihydroxy (Vitdd)	PX-300826520	CDM	82652	CPT	301	RC		inpatient			366	366																																																			
HC Estradiol	PX-300826700	CDM	82670	CPT	300	RC		outpatient			366	27.94	37.36				fee schedule		27.94				fee schedule		74.18				fee schedule		27.94				fee schedule		27.94				fee schedule		27.94				fee schedule		27.94				fee schedule		27.94				fee schedule		27.94	74.18	
HC Estradiol	PX-300826700	CDM	82670	CPT	300	RC		inpatient			366	366																																																			
HC Lumbar Spine Min 4 Views	PX-320721100	CDM	72110	CPT	320	RC		outpatient			366	112.57	50.87				fee schedule		112.57				other	OPPS APC	126.31				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	51.45				fee schedule		38.93				fee schedule		112.57				other	OPPS APC	38.93	126.31	
HC Lumbar Spine Min 4 Views	PX-320721100	CDM	72110	CPT	320	RC		inpatient			366	366																																																			
PLATE BONE UNIVERSAL 2 TITANIUM 100 D L L8 MM X H.8 MM MIDFACE 6 HOLE LOCK BAR 1.7 MM SCREW	SUP-5505765	CDM			270	RC		outpatient			366	366	99.15				percent of total billed charges		366				other	OPPS APC	270.84				percent of total billed charges		366				other	OPPS APC	366				other	OPPS APC	99.15				percent of total billed charges		101.13				percent of total billed charges		366				other	OPPS APC	99.15	366	
PLATE BONE UNIVERSAL 2 TITANIUM 100 D L L8 MM X H.8 MM MIDFACE 6 HOLE LOCK BAR 1.7 MM SCREW	SUP-5505765	CDM			270	RC		inpatient			366	366																																																			
BARRX RFA ENDOSCOPIC GUIDEWIRE COATED 0.038IN X 260CM	SUP-GW-002B	CDM			270	RC		outpatient			366	366	99.15				percent of total billed charges		366				other	OPPS APC	270.84				percent of total billed charges		366				other	OPPS APC	366				other	OPPS APC	99.15				percent of total billed charges		101.13				percent of total billed charges		366				other	OPPS APC	99.15	366	
BARRX RFA ENDOSCOPIC GUIDEWIRE COATED 0.038IN X 260CM	SUP-GW-002B	CDM			270	RC		inpatient			366	366																																																			
TOOL DISSECTING MIDAS REX LEGEND OVAL L10 CM OD4 MM STERILE BURR	SUP-10OV40	CDM	270010028	LOCAL	270	RC		outpatient			365.4	365.4	98.99				percent of total billed charges		365.4				other	OPPS APC	270.4				percent of total billed charges		365.4				other	OPPS APC	365.4				other	OPPS APC	98.99				percent of total billed charges		100.96				percent of total billed charges		365.4				other	OPPS APC	98.99	365.4	
TOOL DISSECTING MIDAS REX LEGEND OVAL L10 CM OD4 MM STERILE BURR	SUP-10OV40	CDM	270010028	LOCAL	270	RC		inpatient			365.4	365.4																																																			
TOOL DISSECTING MR8 OVAL L10 CM OD4 MM	SUP-MR810OV40_71347	CDM			270	RC		outpatient			365.4	365.4	98.99				percent of total billed charges		365.4				other	OPPS APC	270.4				percent of total billed charges		365.4				other	OPPS APC	365.4				other	OPPS APC	98.99				percent of total billed charges		100.96				percent of total billed charges		365.4				other	OPPS APC	98.99	365.4	
TOOL DISSECTING MR8 OVAL L10 CM OD4 MM	SUP-MR810OV40_71347	CDM			270	RC		inpatient			365.4	365.4																																																			
BLADE SAW OSC 13	SUP-78-00358	CDM			272	RC		outpatient			365.25	365.25	98.95				percent of total billed charges		365.25				other	OPPS APC	270.29				percent of total billed charges		365.25				other	OPPS APC	365.25				other	OPPS APC	98.95				percent of total billed charges		100.92				percent of total billed charges		365.25				other	OPPS APC	98.95	365.25	
BLADE SAW OSC 13	SUP-78-00358	CDM			272	RC		inpatient			365.25	365.25																																																			
BIT DRILL L195 MM OD6 MM QUICK COUPLING NONSTERILE	SUP-310.60	CDM	270010022	LOCAL	270	RC		outpatient			365.2	365.2	98.93				percent of total billed charges		365.2				other	OPPS APC	270.25				percent of total billed charges		365.2				other	OPPS APC	365.2				other	OPPS APC	98.93				percent of total billed charges		100.9				percent of total billed charges		365.2				other	OPPS APC	98.93	365.2	
BIT DRILL L195 MM OD6 MM QUICK COUPLING NONSTERILE	SUP-310.60	CDM	270010022	LOCAL	270	RC		inpatient			365.2	365.2																																																			
DRILL STRYKER VARIAX 1.9MM	SUP-45-35010	CDM			270	RC		outpatient			364.8	364.81	98.82				percent of total billed charges		364.8				other	OPPS APC	269.95				percent of total billed charges		364.8				other	OPPS APC	364.8				other	OPPS APC	98.82				percent of total billed charges		100.79				percent of total billed charges		364.81				other	OPPS APC	98.82	364.81	
DRILL STRYKER VARIAX 1.9MM	SUP-45-35010	CDM			270	RC		inpatient			364.8	364.8																																																			
COUNTERSINK FOR 2.7MM/3.5MM SCREWS	SUP-45-80040	CDM			270	RC		outpatient			364.8	364.81	98.82				percent of total billed charges		364.8				other	OPPS APC	269.95				percent of total billed charges		364.8				other	OPPS APC	364.8				other	OPPS APC	98.82				percent of total billed charges		100.79				percent of total billed charges		364.81				other	OPPS APC	98.82	364.81	
COUNTERSINK FOR 2.7MM/3.5MM SCREWS	SUP-45-80040	CDM			270	RC		inpatient			364.8	364.8																																																			
DRAPE COVER 24W X 48L X 60H	SUP-95-00481	CDM			271	RC		outpatient			364.14	364.14	98.65				percent of total billed charges		364.14				other	OPPS APC	269.46				percent of total billed charges		364.14				other	OPPS APC	364.14				other	OPPS APC	98.65				percent of total billed charges		100.61				percent of total billed charges		364.14				other	OPPS APC	98.65	364.14	
DRAPE COVER 24W X 48L X 60H	SUP-95-00481	CDM			271	RC		inpatient			364.14	364.14																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 97X9X1MM .5MM 12MM SS NS 8 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.38	CDM	270010022	LOCAL	270	RC		outpatient			364.1	364.12	98.63				percent of total billed charges		364.1				other	OPPS APC	269.43				percent of total billed charges		364.1				other	OPPS APC	364.1				other	OPPS APC	98.63				percent of total billed charges		100.6				percent of total billed charges		364.12				other	OPPS APC	98.63	364.12	
PLATE BONE LC-DCP 1/3 TUBULAR 97X9X1MM .5MM 12MM SS NS 8 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.38	CDM	270010022	LOCAL	270	RC		inpatient			364.1	364.1																																																			
TAP SURGICAL 25MM 54MM MINI QUICK COUPLING 2MM CORTEX SCREW 1.5MM DRILL BIT	SUP-311.19	CDM	270010022	LOCAL	270	RC		outpatient			364.1	364.12	98.63				percent of total billed charges		364.1				other	OPPS APC	269.43				percent of total billed charges		364.1				other	OPPS APC	364.1				other	OPPS APC	98.63				percent of total billed charges		100.6				percent of total billed charges		364.12				other	OPPS APC	98.63	364.12	
TAP SURGICAL 25MM 54MM MINI QUICK COUPLING 2MM CORTEX SCREW 1.5MM DRILL BIT	SUP-311.19	CDM	270010022	LOCAL	270	RC		inpatient			364.1	364.1																																																			
HC Braf Analysis	PX-300812103	CDM	81210	CPT	300	RC		outpatient			364	175.41	364				fee schedule		175.4				fee schedule		99.16				fee schedule		175.4				fee schedule		175.4				fee schedule		175.4				fee schedule		175.4				fee schedule		175.41				fee schedule		99.16	364	
HC Braf Analysis	PX-300812103	CDM	81210	CPT	300	RC		inpatient			364	364																																																			
HC Ot App M/L Comp L Leg/Ft 8-22	PX-430295810	CDM	29581	CPT	430	RC		outpatient			364	153.52	364				percent of total billed charges		153.52				other	OPPS APC	269.36				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	380.89				percent of total billed charges		364				percent of total billed charges		153.52				other	OPPS APC	153.52	380.89	
HC Ot App M/L Comp L Leg/Ft 8-22	PX-430295810	CDM	29581	CPT	430	RC		inpatient			364	364																																																			
HC Ot App M/L Comp Up Arm/Fing 8-22	PX-430295840	CDM	29584	CPT	430	RC		outpatient			364	153.52	364				percent of total billed charges		153.52				other	OPPS APC	269.36				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	380.89				percent of total billed charges		364				percent of total billed charges		153.52				other	OPPS APC	153.52	380.89	
HC Ot App M/L Comp Up Arm/Fing 8-22	PX-430295840	CDM	29584	CPT	430	RC		inpatient			364	364																																																			
ROD EXTERNAL FIXATION CARBON FIBER L400 MM OD11 MM MR CONDITIONAL NONSTERILE	SUP-394.87	CDM	270010022	LOCAL	270	RC		outpatient			364	364	98.61				percent of total billed charges		364				other	OPPS APC	269.36				percent of total billed charges		364				other	OPPS APC	364				other	OPPS APC	98.61				percent of total billed charges		100.57				percent of total billed charges		364				other	OPPS APC	98.61	364	
ROD EXTERNAL FIXATION CARBON FIBER L400 MM OD11 MM MR CONDITIONAL NONSTERILE	SUP-394.87	CDM	270010022	LOCAL	270	RC		inpatient			364	364																																																			
MAKO BONE PIN-4MM X 140MM-STERILE	SUP-78-00402	CDM			272	RC		outpatient			364	364	98.61				percent of total billed charges		364				other	OPPS APC	269.36				percent of total billed charges		364				other	OPPS APC	364				other	OPPS APC	98.61				percent of total billed charges		100.57				percent of total billed charges		364				other	OPPS APC	98.61	364	
MAKO BONE PIN-4MM X 140MM-STERILE	SUP-78-00402	CDM			272	RC		inpatient			364	364																																																			
MAKO BONE PIN-4MM X 110MM-STERILE 2 PACK	SUP-78-00411	CDM			272	RC		outpatient			364	364	98.61				percent of total billed charges		364				other	OPPS APC	269.36				percent of total billed charges		364				other	OPPS APC	364				other	OPPS APC	98.61				percent of total billed charges		100.57				percent of total billed charges		364				other	OPPS APC	98.61	364	
MAKO BONE PIN-4MM X 110MM-STERILE 2 PACK	SUP-78-00411	CDM			272	RC		inpatient			364	364																																																			
MAKO BONE PIN 170MM	SUP-78-00415	CDM			272	RC		outpatient			364	364	98.61				percent of total billed charges		364				other	OPPS APC	269.36				percent of total billed charges		364				other	OPPS APC	364				other	OPPS APC	98.61				percent of total billed charges		100.57				percent of total billed charges		364				other	OPPS APC	98.61	364	
MAKO BONE PIN 170MM	SUP-78-00415	CDM			272	RC		inpatient			364	364																																																			
MAKO BONE PIN-4MM X 110MM-STERILE 2 PACK	SUP-95-03478	CDM			272	RC		outpatient			364	364	98.61				percent of total billed charges		364				other	OPPS APC	269.36				percent of total billed charges		364				other	OPPS APC	364				other	OPPS APC	98.61				percent of total billed charges		100.57				percent of total billed charges		364				other	OPPS APC	98.61	364	
MAKO BONE PIN-4MM X 110MM-STERILE 2 PACK	SUP-95-03478	CDM			272	RC		inpatient			364	364																																																			
MAKO BONE PIN-4MM X 140MM-STERILE 2 PACK	SUP-95-03479	CDM			272	RC		outpatient			364	364	98.61				percent of total billed charges		364				other	OPPS APC	269.36				percent of total billed charges		364				other	OPPS APC	364				other	OPPS APC	98.61				percent of total billed charges		100.57				percent of total billed charges		364				other	OPPS APC	98.61	364	
MAKO BONE PIN-4MM X 140MM-STERILE 2 PACK	SUP-95-03479	CDM			272	RC		inpatient			364	364																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L10 CM OD5 MM BURR	SUP-10BA50	CDM	270010028	LOCAL	270	RC		outpatient			363.66	363.66	98.52				percent of total billed charges		363.66				other	OPPS APC	269.11				percent of total billed charges		363.66				other	OPPS APC	363.66				other	OPPS APC	98.52				percent of total billed charges		100.48				percent of total billed charges		363.66				other	OPPS APC	98.52	363.66	
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L10 CM OD5 MM BURR	SUP-10BA50	CDM	270010028	LOCAL	270	RC		inpatient			363.66	363.66																																																			
TOOL DISSECTING MR8 BALL L10 CM OD5 MM	SUP-MR8-10BA50	CDM			270	RC		outpatient			363.66	363.66	98.52				percent of total billed charges		363.66				other	OPPS APC	269.11				percent of total billed charges		363.66				other	OPPS APC	363.66				other	OPPS APC	98.52				percent of total billed charges		100.48				percent of total billed charges		363.66				other	OPPS APC	98.52	363.66	
TOOL DISSECTING MR8 BALL L10 CM OD5 MM	SUP-MR8-10BA50	CDM			270	RC		inpatient			363.66	363.66																																																			
SCREW BONE ASNIS TITANIUM MICRO L22 MM L5 MM OD2 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-20122S	CDM			270	RC		outpatient			363.6	363.62	98.5				percent of total billed charges		363.6				other	OPPS APC	269.06				percent of total billed charges		363.6				other	OPPS APC	363.6				other	OPPS APC	98.5				percent of total billed charges		100.46				percent of total billed charges		363.62				other	OPPS APC	98.5	363.62	
SCREW BONE ASNIS TITANIUM MICRO L22 MM L5 MM OD2 MM FOOT HAND CANNULATED THREADED STERILE	SUP-40-20122S	CDM			270	RC		inpatient			363.6	363.6																																																			
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L20 MM L9 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20220S	CDM			270	RC		outpatient			363.6	363.62	98.5				percent of total billed charges		363.6				other	OPPS APC	269.06				percent of total billed charges		363.6				other	OPPS APC	363.6				other	OPPS APC	98.5				percent of total billed charges		100.46				percent of total billed charges		363.62				other	OPPS APC	98.5	363.62	
SCREW BONE ASNIS TITANIUM MICRO PARTIAL THREAD L20 MM L9 MM OD2 MM ODSEC2.75 MM FOOT ANKLE CANNULATED SELF DRILL SELF TAP T6 TORX DRIVE STERILE	SUP-40-20220S	CDM			270	RC		inpatient			363.6	363.6																																																			
SCREW BONE UNILOCK TITANIUM L12 MM OD3 MM STERNUM SELF TAP LOCK NONSTERILE STABLE INTERNAL FIXATION	SUP-413.582E	CDM			270	RC		outpatient			363.52	363.52	98.48				percent of total billed charges		363.52				other	OPPS APC	269				percent of total billed charges		363.52				other	OPPS APC	363.52				other	OPPS APC	98.48				percent of total billed charges		100.44				percent of total billed charges		363.52				other	OPPS APC	98.48	363.52	
SCREW BONE UNILOCK TITANIUM L12 MM OD3 MM STERNUM SELF TAP LOCK NONSTERILE STABLE INTERNAL FIXATION	SUP-413.582E	CDM			270	RC		inpatient			363.52	363.52																																																			
SCREW BONE TITANIUM L14 MM OD3 MM STERNUM SELF TAP LOCK STERILE FIXATION SYSTEM SET	SUP-413.584E	CDM			270	RC		outpatient			363.52	363.52	98.48				percent of total billed charges		363.52				other	OPPS APC	269				percent of total billed charges		363.52				other	OPPS APC	363.52				other	OPPS APC	98.48				percent of total billed charges		100.44				percent of total billed charges		363.52				other	OPPS APC	98.48	363.52	
SCREW BONE TITANIUM L14 MM OD3 MM STERNUM SELF TAP LOCK STERILE FIXATION SYSTEM SET	SUP-413.584E	CDM			270	RC		inpatient			363.52	363.52																																																			
SCREW BONE TITANIUM L20 MM OD3 MM STERNUM LOCK NONSTERILE	SUP-413.590E	CDM			270	RC		outpatient			363.52	363.52	98.48				percent of total billed charges		363.52				other	OPPS APC	269				percent of total billed charges		363.52				other	OPPS APC	363.52				other	OPPS APC	98.48				percent of total billed charges		100.44				percent of total billed charges		363.52				other	OPPS APC	98.48	363.52	
SCREW BONE TITANIUM L20 MM OD3 MM STERNUM LOCK NONSTERILE	SUP-413.590E	CDM			270	RC		inpatient			363.52	363.52																																																			
NEPHROURETERAL STENT PIGTAIL 8FX22CM	SUP-95-01720	CDM			278	RC		inpatient			363.37	363.37																																																			
NEPHROURETERAL STENT PIGTAIL 8FX22CM	SUP-95-01720	CDM			278	RC		outpatient			363.37	363.37					fee schedule						other	OPPS APC	207.12				percent of total billed charges						other	OPPS APC					other	OPPS APC	178.05				percent of total billed charges		185.32				percent of total billed charges						other	OPPS APC	207.12	207.12	
NEPHROURETERAL STENT PIGTAIL 8FX24CM	SUP-95-01721	CDM			278	RC		inpatient			363.37	363.37																																																			
NEPHROURETERAL STENT PIGTAIL 8FX24CM	SUP-95-01721	CDM			278	RC		outpatient			363.37	363.37					fee schedule						other	OPPS APC	207.12				percent of total billed charges						other	OPPS APC					other	OPPS APC	178.05				percent of total billed charges		185.32				percent of total billed charges						other	OPPS APC	207.12	207.12	
NEPHROURETERAL STENT PIGTAIL 8FX26CM	SUP-95-01722	CDM			278	RC		inpatient			363.37	363.37																																																			
NEPHROURETERAL STENT PIGTAIL 8FX26CM	SUP-95-01722	CDM			278	RC		outpatient			363.37	363.37					fee schedule						other	OPPS APC	207.12				percent of total billed charges						other	OPPS APC					other	OPPS APC	178.05				percent of total billed charges		185.32				percent of total billed charges						other	OPPS APC	207.12	207.12	
CATHETER THORACIC STRGT 24FR 20IN 6 EYE	SUP-95-05135	CDM			278	RC		outpatient			363.3	363.31	363.3				fee schedule		363.3				other	OPPS APC	207.08				percent of total billed charges		363.3				other	OPPS APC	363.3				other	OPPS APC	178.02				percent of total billed charges		185.28				percent of total billed charges		363.31				other	OPPS APC	178.02	363.31	
CATHETER THORACIC STRGT 24FR 20IN 6 EYE	SUP-95-05135	CDM			278	RC		inpatient			363.3	363.3																																																			
PROBE LASER PUREPOINT 40 D L6 MM OD25 GA RETINA RFID FLEXIBLE NITINOL TIP EASY INSERTION ANGLED STERILE LATEX FREE DISPOSABLE	SUP-8065751114	CDM			270	RC		outpatient			363.24	363.24	98.4				percent of total billed charges		363.24				other	OPPS APC	268.8				percent of total billed charges		363.24				other	OPPS APC	363.24				other	OPPS APC	98.4				percent of total billed charges		100.36				percent of total billed charges		363.24				other	OPPS APC	98.4	363.24	
PROBE LASER PUREPOINT 40 D L6 MM OD25 GA RETINA RFID FLEXIBLE NITINOL TIP EASY INSERTION ANGLED STERILE LATEX FREE DISPOSABLE	SUP-8065751114	CDM			270	RC		inpatient			363.24	363.24																																																			
PIN DRILL OD3.2 MM MENISCAL TRANSPLANT SLOT	SUP-2000004043	CDM	270010025	LOCAL	270	RC		outpatient			363	363	98.34				percent of total billed charges		363				other	OPPS APC	268.62				percent of total billed charges		363				other	OPPS APC	363				other	OPPS APC	98.34				percent of total billed charges		100.3				percent of total billed charges		363				other	OPPS APC	98.34	363	
PIN DRILL OD3.2 MM MENISCAL TRANSPLANT SLOT	SUP-2000004043	CDM	270010025	LOCAL	270	RC		inpatient			363	363																																																			
CELLSAVER CHARGE	SUP-CELLSAVER	CDM	270010026	LOCAL	270	RC		outpatient			362.9	362.9	98.31				percent of total billed charges		362.9				other	OPPS APC	268.55				percent of total billed charges		362.9				other	OPPS APC	362.9				other	OPPS APC	98.31				percent of total billed charges		100.27				percent of total billed charges		362.9				other	OPPS APC	98.31	362.9	
CELLSAVER CHARGE	SUP-CELLSAVER	CDM	270010026	LOCAL	270	RC		inpatient			362.9	362.9																																																			
BIT DRILL L300 MM L200 MM OD2.5 MM PERCUTANEOUS QUICK COUPLING CALIBRATION NONSTERILE	SUP-324.210	CDM	270010022	LOCAL	270	RC		outpatient			362.78	362.78	98.28				percent of total billed charges		362.78				other	OPPS APC	268.46				percent of total billed charges		362.78				other	OPPS APC	362.78				other	OPPS APC	98.28				percent of total billed charges		100.24				percent of total billed charges		362.78				other	OPPS APC	98.28	362.78	
BIT DRILL L300 MM L200 MM OD2.5 MM PERCUTANEOUS QUICK COUPLING CALIBRATION NONSTERILE	SUP-324.210	CDM	270010022	LOCAL	270	RC		inpatient			362.78	362.78																																																			
BIT DRILL L300 MM L200 MM OD2.8 MM PERCUTANEOUS QUICK COUPLING CALIBRATED	SUP-324.211	CDM	270010013	LOCAL	270	RC		outpatient			362.78	362.78	98.28				percent of total billed charges		362.78				other	OPPS APC	268.46				percent of total billed charges		362.78				other	OPPS APC	362.78				other	OPPS APC	98.28				percent of total billed charges		100.24				percent of total billed charges		362.78				other	OPPS APC	98.28	362.78	
BIT DRILL L300 MM L200 MM OD2.8 MM PERCUTANEOUS QUICK COUPLING CALIBRATED	SUP-324.211	CDM	270010013	LOCAL	270	RC		inpatient			362.78	362.78																																																			
SCREW T8 FULL THREAD 2.4 X 46MM	SUP-97-06389	CDM			278	RC		outpatient			362.6	362.62	362.6				fee schedule		362.6				other	OPPS APC	206.68				percent of total billed charges		362.6				other	OPPS APC	362.6				other	OPPS APC	177.67				percent of total billed charges		184.93				percent of total billed charges		362.62				other	OPPS APC	177.67	362.62	
SCREW T8 FULL THREAD 2.4 X 46MM	SUP-97-06389	CDM			278	RC		inpatient			362.6	362.6																																																			
AGENT HEMOSTATIC SURGIFLO THROMBIN 8 ML KIT MATRIX STERILE	SUP-2994	CDM			270	RC		outpatient			362.55	362.55	98.21				percent of total billed charges		362.55				other	OPPS APC	268.29				percent of total billed charges		362.55				other	OPPS APC	362.55				other	OPPS APC	98.21				percent of total billed charges		100.17				percent of total billed charges		362.55				other	OPPS APC	98.21	362.55	
AGENT HEMOSTATIC SURGIFLO THROMBIN 8 ML KIT MATRIX STERILE	SUP-2994	CDM			270	RC		inpatient			362.55	362.55																																																			
HC Xr Intrathecal Inj of Chemo	PX-260964500	CDM	96450	CPT	260	RC		outpatient			362	362	221.11				percent of total billed charges		362				other	OPPS APC	537.07				fee schedule		362				other	OPPS APC	362				other	OPPS APC	221.11				percent of total billed charges		225.53				percent of total billed charges		362				other	OPPS APC	221.11	537.07	
HC Xr Intrathecal Inj of Chemo	PX-260964500	CDM	96450	CPT	260	RC		inpatient			362	362																																																			
HC 65030 - Chemotherapy Intrathecal	PX-335964501	CDM	96450	CPT	335	RC		outpatient			362	362	177.38				percent of total billed charges		362				other	OPPS APC	267.88				percent of total billed charges		362				other	OPPS APC	362				other	OPPS APC	177.38				percent of total billed charges		362				fee schedule		362				other	OPPS APC	177.38	362	
HC 65030 - Chemotherapy Intrathecal	PX-335964501	CDM	96450	CPT	335	RC		inpatient			362	362																																																			
HC Hydration Infusion to 1 Hr	PX-450963601	CDM	96360	CPT	450	RC		outpatient			362	217.56	195.77				case rate		217.56				other	OPPS APC	452.44				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	195.77				case rate		199.69				case rate		217.56				other	OPPS APC	195.77	452.44	
HC Hydration Infusion to 1 Hr	PX-450963601	CDM	96360	CPT	450	RC		inpatient			362	362																																																			
HC IV Infusion for Therapy Prophyl Dx	PX-450963651	CDM	96365	CPT	450	RC		outpatient			362	217.56	195.77				case rate		217.56				other	OPPS APC	635.2				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	195.77				case rate		199.69				case rate		217.56				other	OPPS APC	195.77	635.2	
HC IV Infusion for Therapy Prophyl Dx	PX-450963651	CDM	96365	CPT	450	RC		inpatient			362	362																																																			
HC IV Infus Initial Up to 1 Hour W 59 Mod	PX-450963652	CDM	96365	CPT	450	RC		outpatient			362	217.56	195.77				case rate		217.56				other	OPPS APC	635.2				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	195.77				case rate		199.69				case rate		217.56				other	OPPS APC	195.77	635.2	
HC IV Infus Initial Up to 1 Hour W 59 Mod	PX-450963652	CDM	96365	CPT	450	RC		inpatient			362	362																																																			
HC IV Infusion Med 16-90 Mins Initial	PX-761963652	CDM	96365	CPT	761	RC		outpatient			362	217.56	195.77				case rate		217.56				other	OPPS APC	635.2				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	195.77				case rate		184.62				percent of total billed charges		217.56				other	OPPS APC	184.62	635.2	
HC IV Infusion Med 16-90 Mins Initial	PX-761963652	CDM	96365	CPT	761	RC		inpatient			362	362																																																			
BASKET STONE RETRIEVAL ZEROTIP NITINOL L120 CM OD16 MM ODSEC3 FR URETERAL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE	SUP-M0063901030	CDM			270	RC		outpatient			361.16	361.16	97.84				percent of total billed charges		361.16				other	OPPS APC	267.26				percent of total billed charges		361.16				other	OPPS APC	361.16				other	OPPS APC	97.84				percent of total billed charges		99.79				percent of total billed charges		361.16				other	OPPS APC	97.84	361.16	
BASKET STONE RETRIEVAL ZEROTIP NITINOL L120 CM OD16 MM ODSEC3 FR URETERAL 4 WIRE FLAT DISTAL SURFACE KNOT TIPLESS STERILE LATEX FREE DISPOSABLE	SUP-M0063901030	CDM			270	RC		inpatient			361.16	361.16																																																			
HC Long Bone Survey	PX-320770740	CDM	77074	CPT	320	RC		outpatient			361	361	72.97				fee schedule		361				other	OPPS APC	167.69				fee schedule		361				other	OPPS APC	361				other	OPPS APC	65.14				fee schedule		44.26				fee schedule		361				other	OPPS APC	44.26	361	
HC Long Bone Survey	PX-320770740	CDM	77074	CPT	320	RC		inpatient			361	361																																																			
SCISSORS SURGICAL GRIESHABER OD23 GA OPHTHALMIC CURVED DISPOSABLE	SUP-706.52	CDM			270	RC		outpatient			360.5	36.5	97.66				percent of total billed charges		360.5				other	OPPS APC	266.77				percent of total billed charges		360.5				other	OPPS APC	360.5				other	OPPS APC	97.66				percent of total billed charges		99.61				percent of total billed charges		36.5				other	OPPS APC	36.5	360.5	
SCISSORS SURGICAL GRIESHABER OD23 GA OPHTHALMIC CURVED DISPOSABLE	SUP-706.52	CDM			270	RC		inpatient			360.5	360.5																																																			
BIT DRILL MATRIXRIB TITANIUM L88 MM L24 MM OD1.8 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE	SUP-03.501.224	CDM			270	RC		outpatient			360.18	36.18	97.57				percent of total billed charges		360.18				other	OPPS APC	266.53				percent of total billed charges		360.18				other	OPPS APC	360.18				other	OPPS APC	97.57				percent of total billed charges		99.52				percent of total billed charges		36.18				other	OPPS APC	36.18	360.18	
BIT DRILL MATRIXRIB TITANIUM L88 MM L24 MM OD1.8 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE	SUP-03.501.224	CDM			270	RC		inpatient			360.18	360.18																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL DIAMOND 10CM 3MM STERILE BURR	SUP-10BA30D	CDM	270010028	LOCAL	270	RC		outpatient			360.18	36.18	97.57				percent of total billed charges		360.18				other	OPPS APC	266.53				percent of total billed charges		360.18				other	OPPS APC	360.18				other	OPPS APC	97.57				percent of total billed charges		99.52				percent of total billed charges		36.18				other	OPPS APC	36.18	360.18	
TOOL DISSECTING MIDAS REX LEGEND BALL DIAMOND 10CM 3MM STERILE BURR	SUP-10BA30D	CDM	270010028	LOCAL	270	RC		inpatient			360.18	360.18																																																			
TOOL DISSECTING MR8 DIAMOND BALL L10 CM OD3 MM	SUP-MR8-10BA30D	CDM			270	RC		outpatient			360.18	36.18	97.57				percent of total billed charges		360.18				other	OPPS APC	266.53				percent of total billed charges		360.18				other	OPPS APC	360.18				other	OPPS APC	97.57				percent of total billed charges		99.52				percent of total billed charges		36.18				other	OPPS APC	36.18	360.18	
TOOL DISSECTING MR8 DIAMOND BALL L10 CM OD3 MM	SUP-MR8-10BA30D	CDM			270	RC		inpatient			360.18	360.18																																																			
PIN EXTERNAL FIXATION L5 MM ANKLE	SUP-00-4501-040-05	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
PIN EXTERNAL FIXATION L5 MM ANKLE	SUP-00-4501-040-05	CDM			270	RC		inpatient			360	360																																																			
GUIDEWIRE VASCULAR ROTAWIRE WIRECLIP .014 IN L330 CM OD.009 IN PERIPHERAL TORQUER XSUPPORT SPRING TIP	SUP-137-3321	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
GUIDEWIRE VASCULAR ROTAWIRE WIRECLIP .014 IN L330 CM OD.009 IN PERIPHERAL TORQUER XSUPPORT SPRING TIP	SUP-137-3321	CDM			270	RC		inpatient			360	360																																																			
GUIDEWIRE ENDOLOGIX	SUP-4104	CDM	270010015	LOCAL	270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
GUIDEWIRE ENDOLOGIX	SUP-4104	CDM	270010015	LOCAL	270	RC		inpatient			360	360																																																			
RELOAD STAPLER DA VINCI SI ENDOWRIST 45MM GREEN STERILE LF 1 FIRING	SUP-41445G	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
RELOAD STAPLER DA VINCI SI ENDOWRIST 45MM GREEN STERILE LF 1 FIRING	SUP-41445G	CDM			270	RC		inpatient			360	360																																																			
RELOAD STAPLER DA VINCI SI ENDOWRIST 45MM BLUE STERILE LF 1 FIRING	SUP-41645B	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
RELOAD STAPLER DA VINCI SI ENDOWRIST 45MM BLUE STERILE LF 1 FIRING	SUP-41645B	CDM			270	RC		inpatient			360	360																																																			
STAPLER RELOAD ENDOWRIST 45 RELOAD GREEN	SUP-48445G	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
STAPLER RELOAD ENDOWRIST 45 RELOAD GREEN	SUP-48445G	CDM			270	RC		inpatient			360	360																																																			
STAPLER RELOAD ENDOWRIST 45 RELOAD WHITE	SUP-48645W	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
STAPLER RELOAD ENDOWRIST 45 RELOAD WHITE	SUP-48645W	CDM			270	RC		inpatient			360	360																																																			
ATTAIN SELECT II	SUP-6248DEL	CDM			275	RC		outpatient			360	36	176.4				percent of total billed charges		360				other	OPPS APC	205.2				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	176.4				percent of total billed charges		183.6				percent of total billed charges		36				other	OPPS APC	36	360	
ATTAIN SELECT II	SUP-6248DEL	CDM			275	RC		inpatient			360	360																																																			
SCREW BONE L 25 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645025	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 25 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645025	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 27.5 MM OD 5 MM TIBIAL INTERNAL CAPTURE	SUP-71645027	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 27.5 MM OD 5 MM TIBIAL INTERNAL CAPTURE	SUP-71645027	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 30 MM OD 5 MM TIBIAL INTERNAL CAPTURE	SUP-71645030	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 30 MM OD 5 MM TIBIAL INTERNAL CAPTURE	SUP-71645030	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 32.5 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645032	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 32.5 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645032	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 35MM OD 5MM TIBIAL INTERNAL CAPTURE	SUP-71645035	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 35MM OD 5MM TIBIAL INTERNAL CAPTURE	SUP-71645035	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 37.5MM OD 5MM FEMUR LOW PROFILE INTERAL HEX	SUP-71645037	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 37.5MM OD 5MM FEMUR LOW PROFILE INTERAL HEX	SUP-71645037	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 40 MM OD 5 MM TIBIAL INTERNAL CAPTURE	SUP-71645040	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 40 MM OD 5 MM TIBIAL INTERNAL CAPTURE	SUP-71645040	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 42.5 MM OD 5 MM CAPTURE LOCK INTERNAL HEX	SUP-71645042	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 42.5 MM OD 5 MM CAPTURE LOCK INTERNAL HEX	SUP-71645042	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 45MM OD 5 MM CAPTURE LOCK INTERNAL HEX	SUP-71645045	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 45MM OD 5 MM CAPTURE LOCK INTERNAL HEX	SUP-71645045	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 47.5 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645047	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 47.5 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645047	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN META-NAIL L50 MM OD 5 MM INTERNAL CAPTURE GOLD	SUP-71645050	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN META-NAIL L50 MM OD 5 MM INTERNAL CAPTURE GOLD	SUP-71645050	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 52.5 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645052	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 52.5 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645052	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 55 MM OD 5 MM LOW PROFILE INTERNAL HEX	SUP-71645055	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 55 MM OD 5 MM LOW PROFILE INTERNAL HEX	SUP-71645055	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 57 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645057	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 57 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645057	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 60 MM OD 5 MM INTERNAL HEX LOW PROFILE	SUP-71645060	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 60 MM OD 5 MM INTERNAL HEX LOW PROFILE	SUP-71645060	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 62.5 MM OD 5 MM FEMUR LOW PROFILE	SUP-71645062	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 62.5 MM OD 5 MM FEMUR LOW PROFILE	SUP-71645062	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 65 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645065	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 65 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645065	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 67 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645067	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 67 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645067	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 70 MM OD 5MM LOW PROFILE INTERNAL HEX	SUP-71645070	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 70 MM OD 5MM LOW PROFILE INTERNAL HEX	SUP-71645070	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 75 MM OD 5 MM LOW PROFILE INTERNAL HEX	SUP-71645075	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 75 MM OD 5 MM LOW PROFILE INTERNAL HEX	SUP-71645075	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN META-NAIL L 77.5 MM OD 5 MM INTERNAL CAPTURE GOLD	SUP-71645077	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN META-NAIL L 77.5 MM OD 5 MM INTERNAL CAPTURE GOLD	SUP-71645077	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L95 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645095	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L95 MM OD 5 MM FEMUR LOW PROFILE INTERNAL HEX TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645095	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 22.5 MM OD 4.5 MM LOW PROFILE	SUP-71645422	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 22.5 MM OD 4.5 MM LOW PROFILE	SUP-71645422	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 25 MM OD 4.5 MM  LOW PROFILE	SUP-71645425	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 25 MM OD 4.5 MM  LOW PROFILE	SUP-71645425	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 27.5 MM OD 4.5 MM LOW PROFILE INTRAMEDULLARY NAILING SYSTEM	SUP-71645427	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 27.5 MM OD 4.5 MM LOW PROFILE INTRAMEDULLARY NAILING SYSTEM	SUP-71645427	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 30 MM OD 4.5 MM  LOW PROFILE	SUP-71645430	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 30 MM OD 4.5 MM  LOW PROFILE	SUP-71645430	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 32.5 MM OD 4.5 MM LOW PROFILE STERILE LATEX FREE	SUP-71645432	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 32.5 MM OD 4.5 MM LOW PROFILE STERILE LATEX FREE	SUP-71645432	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 35 MM OD 4.5 MM FEMUR LOW PROFILE	SUP-71645435	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 35 MM OD 4.5 MM FEMUR LOW PROFILE	SUP-71645435	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 37.5 MM OD 4.5 MM LOW PROFILE STERILE LATEX FREE	SUP-71645437	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 37.5 MM OD 4.5 MM LOW PROFILE STERILE LATEX FREE	SUP-71645437	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 40 MM OD 4.5 MM LOW PROFILE STERILE	SUP-71645440	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 40 MM OD 4.5 MM LOW PROFILE STERILE	SUP-71645440	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE L 42.5 MM OD 4.5 MM FEMUR LOW PROFILE INTERNAL CAPTURE TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645442	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE L 42.5 MM OD 4.5 MM FEMUR LOW PROFILE INTERNAL CAPTURE TRIGEN INTRAMEDULLARY NAIL SYSTEM	SUP-71645442	CDM			270	RC		inpatient			360	360																																																			
TRIGEN L-P SCREW 4.5MM X 45MM	SUP-71645445	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
TRIGEN L-P SCREW 4.5MM X 45MM	SUP-71645445	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 47.5 MM OD 4.5 MM LOW PROFILE INTRAMEDULLARY NAILING SYSTEM	SUP-71645447	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 47.5 MM OD 4.5 MM LOW PROFILE INTRAMEDULLARY NAILING SYSTEM	SUP-71645447	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 52.5 MM OD 4.5 MM LOW PROFILE	SUP-71645452	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 52.5 MM OD 4.5 MM LOW PROFILE	SUP-71645452	CDM			270	RC		inpatient			360	360																																																			
SCREW BONE TRIGEN L 60 MM OD 4.5 MM LOW PROFILE STERILE LATEX FREE	SUP-71645460	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
SCREW BONE TRIGEN L 60 MM OD 4.5 MM LOW PROFILE STERILE LATEX FREE	SUP-71645460	CDM			270	RC		inpatient			360	360																																																			
TAP SURGICAL L20 MM CANNULATED DILATOR 3 MM BIO-COMPRESSION SCREW	SUP-AR-5025TBC	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
TAP SURGICAL L20 MM CANNULATED DILATOR 3 MM BIO-COMPRESSION SCREW	SUP-AR-5025TBC	CDM			270	RC		inpatient			360	360																																																			
GUIDEWIRE VASCULAR GLIDEWIRE ADVANTAGE PTFE NITINOL HYDROPHILIC ANGLED L260 CM L25 CM OD.035 IN	SUP-GA3502	CDM			481	RC		outpatient			360	36	176.4				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	176.4				percent of total billed charges		183.6				percent of total billed charges		36				other	OPPS APC	36	360	
GUIDEWIRE VASCULAR GLIDEWIRE ADVANTAGE PTFE NITINOL HYDROPHILIC ANGLED L260 CM L25 CM OD.035 IN	SUP-GA3502	CDM			481	RC		inpatient			360	360																																																			
GUIDEWIRE VASCULAR 330CM .009IN TORQUER XSUPPORT SPRING TIP .014IN ROTAWIRE WIRECLIP	SUP-M0011373321	CDM			270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
GUIDEWIRE VASCULAR 330CM .009IN TORQUER XSUPPORT SPRING TIP .014IN ROTAWIRE WIRECLIP	SUP-M0011373321	CDM			270	RC		inpatient			360	360																																																			
IMPLANT GENFLEX2 THREE PEG PATELLA 35MM	SUP-SC1591-35	CDM	270010025	LOCAL	270	RC		outpatient			360	36	97.52				percent of total billed charges		360				other	OPPS APC	266.4				percent of total billed charges		360				other	OPPS APC	360				other	OPPS APC	97.52				percent of total billed charges		99.47				percent of total billed charges		36				other	OPPS APC	36	360	
IMPLANT GENFLEX2 THREE PEG PATELLA 35MM	SUP-SC1591-35	CDM	270010025	LOCAL	270	RC		inpatient			360	360																																																			
SUTURE VLOC 180  VLOCA004L	SUP-97-04794	CDM			278	RC		outpatient			359.85	359.85	359.85				fee schedule		359.85				other	OPPS APC	205.11				percent of total billed charges		359.85				other	OPPS APC	359.85				other	OPPS APC	176.33				percent of total billed charges		183.52				percent of total billed charges		359.85				other	OPPS APC	176.33	359.85	
SUTURE VLOC 180  VLOCA004L	SUP-97-04794	CDM			278	RC		inpatient			359.85	359.85																																																			
COMPASS FOR COMPARTMENT PRESSURE	SUP-01-00237	CDM			272	RC		outpatient			359.84	359.84	97.48				percent of total billed charges		359.84				other	OPPS APC	266.28				percent of total billed charges		359.84				other	OPPS APC	359.84				other	OPPS APC	97.48				percent of total billed charges		99.42				percent of total billed charges		359.84				other	OPPS APC	97.48	359.84	
COMPASS FOR COMPARTMENT PRESSURE	SUP-01-00237	CDM			272	RC		inpatient			359.84	359.84																																																			
AGENT HEMOSTATIC FLOSEAL 5ML GELATIN MATRIX HUMAN THROMBIN CALCIUM CHLORIDE SURGICAL KIT	SUP-934057	CDM			270	RC		outpatient			359.8	359.81	97.47				percent of total billed charges		359.8				other	OPPS APC	266.25				percent of total billed charges		359.8				other	OPPS APC	359.8				other	OPPS APC	97.47				percent of total billed charges		99.41				percent of total billed charges		359.81				other	OPPS APC	97.47	359.81	
AGENT HEMOSTATIC FLOSEAL 5ML GELATIN MATRIX HUMAN THROMBIN CALCIUM CHLORIDE SURGICAL KIT	SUP-934057	CDM			270	RC		inpatient			359.8	359.8																																																			
DRILL F 1.2MM SCREW WL 22MM AO QUICK	SUP-97-01479	CDM			278	RC		outpatient			359.31	359.31	359.31				fee schedule		359.31				other	OPPS APC	204.81				percent of total billed charges		359.31				other	OPPS APC	359.31				other	OPPS APC	176.06				percent of total billed charges		183.25				percent of total billed charges		359.31				other	OPPS APC	176.06	359.31	
DRILL F 1.2MM SCREW WL 22MM AO QUICK	SUP-97-01479	CDM			278	RC		inpatient			359.31	359.31																																																			
TRACH TUBE FOAM CUFFED #8	SUP-31-00016	CDM			272	RC		outpatient			359.1	359.12	97.28				percent of total billed charges		359.1				other	OPPS APC	265.73				percent of total billed charges		359.1				other	OPPS APC	359.1				other	OPPS APC	97.28				percent of total billed charges		99.22				percent of total billed charges		359.12				other	OPPS APC	97.28	359.12	
TRACH TUBE FOAM CUFFED #8	SUP-31-00016	CDM			272	RC		inpatient			359.1	359.1																																																			
1.6MM KIRSCHNER WIRE TROCAPIONT 150MM	SUP-97-03577	CDM			278	RC		outpatient			359.07	359.7	359.07				fee schedule		359.07				other	OPPS APC	204.67				percent of total billed charges		359.07				other	OPPS APC	359.07				other	OPPS APC	175.94				percent of total billed charges		183.13				percent of total billed charges		359.7				other	OPPS APC	175.94	359.7	
1.6MM KIRSCHNER WIRE TROCAPIONT 150MM	SUP-97-03577	CDM			278	RC		inpatient			359.07	359.07																																																			
CATHETER VENTRICULAR HOLTER BARIUM STRAIGHT L15 CM OD3.1 MM ID1.5 MM STYLET STERILE	SUP-821650	CDM			270	RC		outpatient			359	359	97.25				percent of total billed charges		359				other	OPPS APC	265.66				percent of total billed charges		359				other	OPPS APC	359				other	OPPS APC	97.25				percent of total billed charges		99.19				percent of total billed charges		359				other	OPPS APC	97.25	359	
CATHETER VENTRICULAR HOLTER BARIUM STRAIGHT L15 CM OD3.1 MM ID1.5 MM STYLET STERILE	SUP-821650	CDM			270	RC		inpatient			359	359																																																			
ACUFEX ACCESS ADV POSITIONING KIT	SUP-72205104	CDM			270	RC		outpatient			358.9	358.9	97.23				percent of total billed charges		358.9				other	OPPS APC	265.59				percent of total billed charges		358.9				other	OPPS APC	358.9				other	OPPS APC	97.23				percent of total billed charges		99.16				percent of total billed charges		358.9				other	OPPS APC	97.23	358.9	
ACUFEX ACCESS ADV POSITIONING KIT	SUP-72205104	CDM			270	RC		inpatient			358.9	358.9																																																			
K WIRE NITIROL1.6X150MM	SUP-97-02815	CDM			278	RC		outpatient			358.75	358.75	358.75				fee schedule		358.75				other	OPPS APC	204.49				percent of total billed charges		358.75				other	OPPS APC	358.75				other	OPPS APC	175.79				percent of total billed charges		182.96				percent of total billed charges		358.75				other	OPPS APC	175.79	358.75	
K WIRE NITIROL1.6X150MM	SUP-97-02815	CDM			278	RC		inpatient			358.75	358.75																																																			
KIT CATHETER L4.5 IN OD9 FR CENTRAL VENOUS 2 LUMEN	SUP-ASK-21242-PR	CDM			270	RC		outpatient			358.75	358.75	97.19				percent of total billed charges		358.75				other	OPPS APC	265.48				percent of total billed charges		358.75				other	OPPS APC	358.75				other	OPPS APC	97.19				percent of total billed charges		99.12				percent of total billed charges		358.75				other	OPPS APC	97.19	358.75	
KIT CATHETER L4.5 IN OD9 FR CENTRAL VENOUS 2 LUMEN	SUP-ASK-21242-PR	CDM			270	RC		inpatient			358.75	358.75																																																			
SCREW BONE CAPTURE TRANSFORMING EXTREMITIES TITANIUM LOW PROFILE L12 MM OD2 MM FOREFOOT MIDFOOT SELF DRILL SELF TAP CANNULATED HYBRID THREAD	SUP-AC2012	CDM			270	RC		outpatient			358.7	358.7	97.17				percent of total billed charges		358.7				other	OPPS APC	265.44				percent of total billed charges		358.7				other	OPPS APC	358.7				other	OPPS APC	97.17				percent of total billed charges		99.11				percent of total billed charges		358.7				other	OPPS APC	97.17	358.7	
SCREW BONE CAPTURE TRANSFORMING EXTREMITIES TITANIUM LOW PROFILE L12 MM OD2 MM FOREFOOT MIDFOOT SELF DRILL SELF TAP CANNULATED HYBRID THREAD	SUP-AC2012	CDM			270	RC		inpatient			358.7	358.7																																																			
SCREW BONE TITANIUM FULL THREAD L32 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.932	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE TITANIUM FULL THREAD L32 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.932	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L34 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.934	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L34 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.934	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE TITANIUM FULL THREAD L36 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.936	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE TITANIUM FULL THREAD L36 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.936	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L38 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.938	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L38 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.938	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L42 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.942	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L42 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.942	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE TITANIUM FULL THREAD L44 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.944	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE TITANIUM FULL THREAD L44 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.944	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L46 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.946	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE EXPERT TITANIUM 3.5 MM FULL THREAD BLUNT HEXAGON L46 MM OD5 MM ODSEC8 MM FEMUR TIBIA DISTAL 2 LEAD SELF TAP LOCK NONSTERILE GREEN INTRAMEDULLARY NAIL SYSTEM	SUP-458.946	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE TITANIUM FULL THREAD L48 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.948	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE TITANIUM FULL THREAD L48 MM OD5 MM ODSEC8 MM FEMUR BLUNT TIP SELF TAP LOCK HEXAGONAL DRIVE NONSTERILE LIGHT GREEN TFN-ADVANCED	SUP-458.948	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SCREW BONE 3.5MM FULL THREAD 68MM 5MM 8MM GREEN TITANIUM NS SELF TAP LOCK BLUNT TIP HEXAGONAL DRIVE INTRAMEDULLARY NAIL	SUP-458.968	CDM	270010022	LOCAL	270	RC		outpatient			358.6	358.62	97.14				percent of total billed charges		358.6				other	OPPS APC	265.36				percent of total billed charges		358.6				other	OPPS APC	358.6				other	OPPS APC	97.14				percent of total billed charges		99.08				percent of total billed charges		358.62				other	OPPS APC	97.14	358.62	
SCREW BONE 3.5MM FULL THREAD 68MM 5MM 8MM GREEN TITANIUM NS SELF TAP LOCK BLUNT TIP HEXAGONAL DRIVE INTRAMEDULLARY NAIL	SUP-458.968	CDM	270010022	LOCAL	270	RC		inpatient			358.6	358.6																																																			
SHUNT CARDIOVASCULAR FLO-THRU L18 MM OD2.5 MM INTRALUMINAL	SUP-FT12250	CDM			270	RC		outpatient			358.44	358.44	97.1				percent of total billed charges		358.44				other	OPPS APC	265.25				percent of total billed charges		358.44				other	OPPS APC	358.44				other	OPPS APC	97.1				percent of total billed charges		99.04				percent of total billed charges		358.44				other	OPPS APC	97.1	358.44	
SHUNT CARDIOVASCULAR FLO-THRU L18 MM OD2.5 MM INTRALUMINAL	SUP-FT12250	CDM			270	RC		inpatient			358.44	358.44																																																			
SCREW BONE L 26 MM OD 4 MM OD SEC 4.9 MM FOOT LOCK LOW PROFILE HEAD PERI-LOC VLP OSTEOPENIA	SUP-72823426	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE L 26 MM OD 4 MM OD SEC 4.9 MM FOOT LOCK LOW PROFILE HEAD PERI-LOC VLP OSTEOPENIA	SUP-72823426	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE L 28 MM OD 4 MM OD SEC 4.9 MM FOOT LOCK LOW PROFILE HEAD PERI-LOC VLP OSTEOPENIA	SUP-72823428	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE L 28 MM OD 4 MM OD SEC 4.9 MM FOOT LOCK LOW PROFILE HEAD PERI-LOC VLP OSTEOPENIA	SUP-72823428	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE L30 MM OD4 MM CORTICAL LOCK OSTEOPENIA	SUP-72823430	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE L30 MM OD4 MM CORTICAL LOCK OSTEOPENIA	SUP-72823430	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE L32 MM OD4 MM CORTICAL LOCK OSTEOPENIA	SUP-72823432	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE L32 MM OD4 MM CORTICAL LOCK OSTEOPENIA	SUP-72823432	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE L 34 MM OD 4 MM OD SEC 4.9 MM FOOT LOCK LOW PROFILE HEAD PERI-LOC VLP OSTEOPENIA	SUP-72823434	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE L 34 MM OD 4 MM OD SEC 4.9 MM FOOT LOCK LOW PROFILE HEAD PERI-LOC VLP OSTEOPENIA	SUP-72823434	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE FULL THREAD L 36 MM OD 4 MM CORTICAL LOCK OSTEOPENIA	SUP-72823436	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE FULL THREAD L 36 MM OD 4 MM CORTICAL LOCK OSTEOPENIA	SUP-72823436	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE VLP 15D 2.5 MM L28 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823528	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE VLP 15D 2.5 MM L28 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823528	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE VLP 15D 2.5 MM L30 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823530	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE VLP 15D 2.5 MM L30 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823530	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE VLP 15D 2.5 MM L32 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823532	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE VLP 15D 2.5 MM L32 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823532	CDM			270	RC		inpatient			358.4	358.4																																																			
SCREW BONE VLP 15D 2.5 MM L36 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823536	CDM			270	RC		outpatient			358.4	358.4	97.09				percent of total billed charges		358.4				other	OPPS APC	265.22				percent of total billed charges		358.4				other	OPPS APC	358.4				other	OPPS APC	97.09				percent of total billed charges		99.03				percent of total billed charges		358.4				other	OPPS APC	97.09	358.4	
SCREW BONE VLP 15D 2.5 MM L36 MM X H 3.3MM OD 5MM ODSEC 5.4MM MIDFOOT HINDFOOT LOCKING LOW PROFILE HEAD HEXAGONAL RECESS DRIVE OSTEOPENIA	SUP-72823536	CDM			270	RC		inpatient			358.4	358.4																																																			
PLATE BONE LEVEL ONE TITANIUM SMALL CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C NONSTERILE	SUP-25-153-15-09	CDM			270	RC		outpatient			358.34	358.34	97.07				percent of total billed charges		358.34				other	OPPS APC	265.17				percent of total billed charges		358.34				other	OPPS APC	358.34				other	OPPS APC	97.07				percent of total billed charges		99.01				percent of total billed charges		358.34				other	OPPS APC	97.07	358.34	
PLATE BONE LEVEL ONE TITANIUM SMALL CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C NONSTERILE	SUP-25-153-15-09	CDM			270	RC		inpatient			358.34	358.34																																																			
PLATE BONE LEVEL ONE TITANIUM MEDIUM CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE DRAIN NONSTERILE	SUP-25-153-20-09	CDM			270	RC		outpatient			358.34	358.34	97.07				percent of total billed charges		358.34				other	OPPS APC	265.17				percent of total billed charges		358.34				other	OPPS APC	358.34				other	OPPS APC	97.07				percent of total billed charges		99.01				percent of total billed charges		358.34				other	OPPS APC	97.07	358.34	
PLATE BONE LEVEL ONE TITANIUM MEDIUM CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE DRAIN NONSTERILE	SUP-25-153-20-09	CDM			270	RC		inpatient			358.34	358.34																																																			
PLATE BONE LEVEL ONE TITANIUM MEDIUM CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C NONSTERILE	SUP-25-153-21-09	CDM			270	RC		outpatient			358.34	358.34	97.07				percent of total billed charges		358.34				other	OPPS APC	265.17				percent of total billed charges		358.34				other	OPPS APC	358.34				other	OPPS APC	97.07				percent of total billed charges		99.01				percent of total billed charges		358.34				other	OPPS APC	97.07	358.34	
PLATE BONE LEVEL ONE TITANIUM MEDIUM CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C NONSTERILE	SUP-25-153-21-09	CDM			270	RC		inpatient			358.34	358.34																																																			
PLATE BONE LEVEL ONE TITANIUM LONG CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C NONSTERILE	SUP-25-153-25-09	CDM			270	RC		outpatient			358.34	358.34	97.07				percent of total billed charges		358.34				other	OPPS APC	265.17				percent of total billed charges		358.34				other	OPPS APC	358.34				other	OPPS APC	97.07				percent of total billed charges		99.01				percent of total billed charges		358.34				other	OPPS APC	97.07	358.34	
PLATE BONE LEVEL ONE TITANIUM LONG CURVE CRANIOFACIAL ULTRA LOW PROFILE BUR HOLE C NONSTERILE	SUP-25-153-25-09	CDM			270	RC		inpatient			358.34	358.34																																																			
HC Inj Non Chemo IV Push Sequential	PX-260963750	CDM	96375	CPT	761	RC		outpatient			358	44.62	195.77				case rate		44.62				other	OPPS APC	164.13				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	195.77				case rate		182.58				percent of total billed charges		44.62				other	OPPS APC	44.62	195.77	
HC Inj Non Chemo IV Push Sequential	PX-260963750	CDM	96375	CPT	761	RC		inpatient			358	358																																																			
HC Suctioning	PX-410317200	CDM	31720	CPT	410	RC		outpatient			358	358	109.69				percent of total billed charges		358				other	OPPS APC	264.92				percent of total billed charges		358				other	OPPS APC	358				other	OPPS APC	109.69				percent of total billed charges		111.88				percent of total billed charges		358				other	OPPS APC	109.69	358	
HC Suctioning	PX-410317200	CDM	31720	CPT	410	RC		inpatient			358	358																																																			
HC Hand Held Nebulizer/Ippb/Mdi-IP	PX-410946409	CDM	94640	CPT	410	RC		outpatient			358	21.69	109.69				percent of total billed charges		201.69				other	OPPS APC	33.65				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	109.69				percent of total billed charges		111.88				percent of total billed charges		21.69				other	OPPS APC	21.69	201.69	
HC Hand Held Nebulizer/Ippb/Mdi-IP	PX-410946409	CDM	94640	CPT	410	RC		inpatient			358	358																																																			
HC Hand Held Nebulizer/Ibb/Mdi-OP	PX-410946410	CDM	94640	CPT	410	RC		outpatient			358	21.69	109.69				percent of total billed charges		201.69				other	OPPS APC	33.65				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	109.69				percent of total billed charges		111.88				percent of total billed charges		21.69				other	OPPS APC	21.69	201.69	
HC Hand Held Nebulizer/Ibb/Mdi-OP	PX-410946410	CDM	94640	CPT	410	RC		inpatient			358	358																																																			
Aerosol Treatment	PX-410946411	CDM	94640	CPT	410	RC		outpatient			358	21.69	109.69				percent of total billed charges		201.69				other	OPPS APC	33.65				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	109.69				percent of total billed charges		111.88				percent of total billed charges		21.69				other	OPPS APC	21.69	201.69	
Aerosol Treatment	PX-410946411	CDM	94640	CPT	410	RC		inpatient			358	358																																																			
HC Demonstration of Nebulazation	PX-460946640	CDM	94664	CPT	460	RC		outpatient			358	21.69	17.43				fee schedule		201.69				other	OPPS APC	41.33				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	17.03				fee schedule		182.58				percent of total billed charges		21.69				other	OPPS APC	17.03	201.69	
HC Demonstration of Nebulazation	PX-460946640	CDM	94664	CPT	460	RC		inpatient			358	358																																																			
DRILL 2MM X 102MM WL50MM AO-SHAFT	SUP-95-03154	CDM			272	RC		outpatient			357.84	357.84	96.94				percent of total billed charges		357.84				other	OPPS APC	264.8				percent of total billed charges		357.84				other	OPPS APC	357.84				other	OPPS APC	96.94				percent of total billed charges		98.87				percent of total billed charges		357.84				other	OPPS APC	96.94	357.84	
DRILL 2MM X 102MM WL50MM AO-SHAFT	SUP-95-03154	CDM			272	RC		inpatient			357.84	357.84																																																			
TAP FOR 2.7MM SCREWS AO 50MM	SUP-97-03609	CDM						inpatient			357.84	357.84																																																			
TAP FOR 2.7MM SCREWS AO 50MM	SUP-97-03609	CDM						outpatient			357.84	357.84	357.84				percent of total billed charges		357.84				other	OPPS APC	357.84				fee schedule		357.84				other	OPPS APC	357.84				other	OPPS APC	357.84				case rate		357.84				case rate		357.84				other	OPPS APC	357.84	357.84	
TRACH TUBE FOAM CUFFED #7	SUP-31-00015	CDM			272	RC		outpatient			357.76	357.76	96.92				percent of total billed charges		357.76				other	OPPS APC	264.74				percent of total billed charges		357.76				other	OPPS APC	357.76				other	OPPS APC	96.92				percent of total billed charges		98.85				percent of total billed charges		357.76				other	OPPS APC	96.92	357.76	
TRACH TUBE FOAM CUFFED #7	SUP-31-00015	CDM			272	RC		inpatient			357.76	357.76																																																			
FORCEPS SPECIMEN RETRIEVAL TRICEP POLYAMIDE L90 CM OD3 FR HOOK PRONG GRASP EXTRA STRENGTH STERILE LATEX FREE DISPOSABLE	SUP-M0063701220	CDM			270	RC		outpatient			357.52	357.52	96.85				percent of total billed charges		357.52				other	OPPS APC	264.56				percent of total billed charges		357.52				other	OPPS APC	357.52				other	OPPS APC	96.85				percent of total billed charges		98.78				percent of total billed charges		357.52				other	OPPS APC	96.85	357.52	
FORCEPS SPECIMEN RETRIEVAL TRICEP POLYAMIDE L90 CM OD3 FR HOOK PRONG GRASP EXTRA STRENGTH STERILE LATEX FREE DISPOSABLE	SUP-M0063701220	CDM			270	RC		inpatient			357.52	357.52																																																			
"BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) AEROSOL,SPRAY 20 G BOTTLE"	637000000	CDM	10223-0201-3	NDC	A9270	HCPCS		inpatient			357	357																																																			
"BUTAMBEN-TETRACAINE-BENZOCAINE 2 %-2 %-14 % (200 MG/SEC) AEROSOL,SPRAY 20 G BOTTLE"	637000000	CDM	10223-0201-3	NDC	A9270	HCPCS		outpatient			357	357																																															other	OPPS APC			
HC Xr Scoliosis Series Min 6 View	PX-320720840	CDM	72084	CPT	320	RC		outpatient			357	112.57	174.93				percent of total billed charges		112.57				other	OPPS APC	98.7				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	99.57				fee schedule		79.19				fee schedule		112.57				other	OPPS APC	79.19	174.93	
HC Xr Scoliosis Series Min 6 View	PX-320720840	CDM	72084	CPT	320	RC		inpatient			357	357																																																			
STOP 5MM TWIST DRILL	SUP-71-00187	CDM			272	RC		outpatient			357	357	96.71				percent of total billed charges		357				other	OPPS APC	264.18				percent of total billed charges		357				other	OPPS APC	357				other	OPPS APC	96.71				percent of total billed charges		98.64				percent of total billed charges		357				other	OPPS APC	96.71	357	
STOP 5MM TWIST DRILL	SUP-71-00187	CDM			272	RC		inpatient			357	357																																																			
PACK BATTERY STERILE DISPOSABLE KLS-SD-1000	SUP-KLS-BP-001	CDM			270	RC		outpatient			357	357	96.71				percent of total billed charges		357				other	OPPS APC	264.18				percent of total billed charges		357				other	OPPS APC	357				other	OPPS APC	96.71				percent of total billed charges		98.64				percent of total billed charges		357				other	OPPS APC	96.71	357	
PACK BATTERY STERILE DISPOSABLE KLS-SD-1000	SUP-KLS-BP-001	CDM			270	RC		inpatient			357	357																																																			
TOOL DISSECTING MIDAS REX LEGEND L10 CM OD6 MM ACORN STERILE BURR	SUP-10AC60	CDM	270010028	LOCAL	270	RC		outpatient			356.7	356.7	96.63				percent of total billed charges		356.7				other	OPPS APC	263.96				percent of total billed charges		356.7				other	OPPS APC	356.7				other	OPPS APC	96.63				percent of total billed charges		98.56				percent of total billed charges		356.7				other	OPPS APC	96.63	356.7	
TOOL DISSECTING MIDAS REX LEGEND L10 CM OD6 MM ACORN STERILE BURR	SUP-10AC60	CDM	270010028	LOCAL	270	RC		inpatient			356.7	356.7																																																			
TOOL DISSECTING MR8 ACORN L10 CM OD6 MM	SUP-MR8-10AC60	CDM			270	RC		outpatient			356.7	356.7	96.63				percent of total billed charges		356.7				other	OPPS APC	263.96				percent of total billed charges		356.7				other	OPPS APC	356.7				other	OPPS APC	96.63				percent of total billed charges		98.56				percent of total billed charges		356.7				other	OPPS APC	96.63	356.7	
TOOL DISSECTING MR8 ACORN L10 CM OD6 MM	SUP-MR8-10AC60	CDM			270	RC		inpatient			356.7	356.7																																																			
CONTRAST - OMNIPAQUE 300 100CC	SUP-99-04088	CDM			255	RC		outpatient			356.69	356.69	86.93				percent of total billed charges		356.69				other	OPPS APC	0.13				fee schedule		356.69				other	OPPS APC	356.69				other	OPPS APC	86.93				percent of total billed charges		88.67				percent of total billed charges		356.69				other	OPPS APC	0.13	356.69	
CONTRAST - OMNIPAQUE 300 100CC	SUP-99-04088	CDM			255	RC		inpatient			356.69	356.69																																																			
HC Infectious Disease  Bacterial Vaginosis  Quant Real Time Amp	PX-300815130	CDM	81513	CPT	300	RC		outpatient			356.57	142.63	89.14				fee schedule		142.63				fee schedule		263.86				percent of total billed charges		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		89.14	263.86	
HC Infectious Disease  Bacterial Vaginosis  Quant Real Time Amp	PX-300815130	CDM	81513	CPT	300	RC		inpatient			356.57	356.57																																																			
CATHETER - NEPHROURETEROSTOMY 8F 22CM	SUP-99-01754	CDM			272	RC		outpatient			356.51	356.6	96.58				percent of total billed charges		356.51				other	OPPS APC	263.82				percent of total billed charges		356.51				other	OPPS APC	356.51				other	OPPS APC	96.58				percent of total billed charges		98.5				percent of total billed charges		356.6				other	OPPS APC	96.58	356.6	
CATHETER - NEPHROURETEROSTOMY 8F 22CM	SUP-99-01754	CDM			272	RC		inpatient			356.51	356.51																																																			
CATHETER - NEPHROURETEROSTOMY 8F 24CM	SUP-99-01755	CDM			272	RC		outpatient			356.51	356.6	96.58				percent of total billed charges		356.51				other	OPPS APC	263.82				percent of total billed charges		356.51				other	OPPS APC	356.51				other	OPPS APC	96.58				percent of total billed charges		98.5				percent of total billed charges		356.6				other	OPPS APC	96.58	356.6	
CATHETER - NEPHROURETEROSTOMY 8F 24CM	SUP-99-01755	CDM			272	RC		inpatient			356.51	356.51																																																			
CATHETER - NEPHROURETEROSTOMY 8F 26CM	SUP-99-01756	CDM			272	RC		outpatient			356.51	356.6	96.58				percent of total billed charges		356.51				other	OPPS APC	263.82				percent of total billed charges		356.51				other	OPPS APC	356.51				other	OPPS APC	96.58				percent of total billed charges		98.5				percent of total billed charges		356.6				other	OPPS APC	96.58	356.6	
CATHETER - NEPHROURETEROSTOMY 8F 26CM	SUP-99-01756	CDM			272	RC		inpatient			356.51	356.51																																																			
HC Spontaneous Mechanics Non Vented	PX-410947994	CDM	94799	CPT	410	RC		outpatient			356.48	153.17	109.23				percent of total billed charges		153.17				other	OPPS APC	95.86				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	109.23				percent of total billed charges		111.4				percent of total billed charges		153.17				other	OPPS APC	95.86	153.17	
HC Spontaneous Mechanics Non Vented	PX-410947994	CDM	94799	CPT	410	RC		inpatient			356.48	356.48																																																			
SCREW 2.8 X 14MM CORTICAL	SUP-97-02904	CDM			278	RC		outpatient			356.48	356.48	356.48				fee schedule		356.48				other	OPPS APC	203.19				percent of total billed charges		356.48				other	OPPS APC	356.48				other	OPPS APC	174.68				percent of total billed charges		181.8				percent of total billed charges		356.48				other	OPPS APC	174.68	356.48	
SCREW 2.8 X 14MM CORTICAL	SUP-97-02904	CDM			278	RC		inpatient			356.48	356.48																																																			
SCREW 2.8 CORTICAL 16MM	SUP-97-02905	CDM			278	RC		outpatient			356.48	356.48	356.48				fee schedule		356.48				other	OPPS APC	203.19				percent of total billed charges		356.48				other	OPPS APC	356.48				other	OPPS APC	174.68				percent of total billed charges		181.8				percent of total billed charges		356.48				other	OPPS APC	174.68	356.48	
SCREW 2.8 CORTICAL 16MM	SUP-97-02905	CDM			278	RC		inpatient			356.48	356.48																																																			
SCREW 2.8 CORTICAL 26MM	SUP-97-02908	CDM			278	RC		outpatient			356.48	356.48	356.48				fee schedule		356.48				other	OPPS APC	203.19				percent of total billed charges		356.48				other	OPPS APC	356.48				other	OPPS APC	174.68				percent of total billed charges		181.8				percent of total billed charges		356.48				other	OPPS APC	174.68	356.48	
SCREW 2.8 CORTICAL 26MM	SUP-97-02908	CDM			278	RC		inpatient			356.48	356.48																																																			
SCREW 2.8 CORTICAL 26MM	SUP-97-02909	CDM			278	RC		outpatient			356.48	356.48	356.48				fee schedule		356.48				other	OPPS APC	203.19				percent of total billed charges		356.48				other	OPPS APC	356.48				other	OPPS APC	174.68				percent of total billed charges		181.8				percent of total billed charges		356.48				other	OPPS APC	174.68	356.48	
SCREW 2.8 CORTICAL 26MM	SUP-97-02909	CDM			278	RC		inpatient			356.48	356.48																																																			
SCREW 2.8 CORTICAL 30MM	SUP-97-02910	CDM			278	RC		outpatient			356.48	356.48	356.48				fee schedule		356.48				other	OPPS APC	203.19				percent of total billed charges		356.48				other	OPPS APC	356.48				other	OPPS APC	174.68				percent of total billed charges		181.8				percent of total billed charges		356.48				other	OPPS APC	174.68	356.48	
SCREW 2.8 CORTICAL 30MM	SUP-97-02910	CDM			278	RC		inpatient			356.48	356.48																																																			
ROD EXTERNAL FIXATION CARBON FIBER L360 MM OD8 MM NONSTERILE	SUP-395.796	CDM	270010022	LOCAL	270	RC		outpatient			356.4	356.4	96.55				percent of total billed charges		356.4				other	OPPS APC	263.74				percent of total billed charges		356.4				other	OPPS APC	356.4				other	OPPS APC	96.55				percent of total billed charges		98.47				percent of total billed charges		356.4				other	OPPS APC	96.55	356.4	
ROD EXTERNAL FIXATION CARBON FIBER L360 MM OD8 MM NONSTERILE	SUP-395.796	CDM	270010022	LOCAL	270	RC		inpatient			356.4	356.4																																																			
ROD EXTERNAL FIXATION 400MM 8MM CARBON FIBER NS	SUP-395.797	CDM	270010022	LOCAL	270	RC		outpatient			356.4	356.4	96.55				percent of total billed charges		356.4				other	OPPS APC	263.74				percent of total billed charges		356.4				other	OPPS APC	356.4				other	OPPS APC	96.55				percent of total billed charges		98.47				percent of total billed charges		356.4				other	OPPS APC	96.55	356.4	
ROD EXTERNAL FIXATION 400MM 8MM CARBON FIBER NS	SUP-395.797	CDM	270010022	LOCAL	270	RC		inpatient			356.4	356.4																																																			
PLATE BONE UNIVERSAL 2 TITANIUM Y L4 MM X H.8 MM MIDFACE 5 HOLE LOCK BAR 1.7 MM SCREW	SUP-5505751	CDM			270	RC		outpatient			356.4	356.4	96.55				percent of total billed charges		356.4				other	OPPS APC	263.74				percent of total billed charges		356.4				other	OPPS APC	356.4				other	OPPS APC	96.55				percent of total billed charges		98.47				percent of total billed charges		356.4				other	OPPS APC	96.55	356.4	
PLATE BONE UNIVERSAL 2 TITANIUM Y L4 MM X H.8 MM MIDFACE 5 HOLE LOCK BAR 1.7 MM SCREW	SUP-5505751	CDM			270	RC		inpatient			356.4	356.4																																																			
PLATE BONE TITANIUM 8 MM ADVANCEMENT L8 MM MIDFACIAL 5 HOLE Y LOCKING BAR 1.7 MM SCREW	SUP-5505752	CDM			270	RC		outpatient			356.4	356.4	96.55				percent of total billed charges		356.4				other	OPPS APC	263.74				percent of total billed charges		356.4				other	OPPS APC	356.4				other	OPPS APC	96.55				percent of total billed charges		98.47				percent of total billed charges		356.4				other	OPPS APC	96.55	356.4	
PLATE BONE TITANIUM 8 MM ADVANCEMENT L8 MM MIDFACIAL 5 HOLE Y LOCKING BAR 1.7 MM SCREW	SUP-5505752	CDM			270	RC		inpatient			356.4	356.4																																																			
Pluer E Vac Infant	PX-270000042	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	356				fee schedule		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
Pluer E Vac Infant	PX-270000042	CDM			270	RC		inpatient			356	356																																																			
SLEEVE ADAPTER V40 TITANIUM ALUMINA CERAMIC	SUP-17-0000E	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
SLEEVE ADAPTER V40 TITANIUM ALUMINA CERAMIC	SUP-17-0000E	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
CTAPER +0MM ADAPTER SLEEVE	SUP-19-0000T	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
CTAPER +0MM ADAPTER SLEEVE	SUP-19-0000T	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
CTAPER +5MM ADAPTER SLEEVE	SUP-19-0005T	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
CTAPER +5MM ADAPTER SLEEVE	SUP-19-0005T	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
SLEEVE ADAPTER TITANIUM +2.5 MM OFFSET UNIVERSAL C TAPER	SUP-19-0025T	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
SLEEVE ADAPTER TITANIUM +2.5 MM OFFSET UNIVERSAL C TAPER	SUP-19-0025T	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
CTAPER -2.5MM ADAPTER SLEEVE	SUP-19-0325T	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
CTAPER -2.5MM ADAPTER SLEEVE	SUP-19-0325T	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH SWARTZ .032 IN SL1 CURVE L63 CM OD8 FR TRANSSEPTAL HEMOSTASIS GUIDEWIRE	SUP-406840	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH SWARTZ .032 IN SL1 CURVE L63 CM OD8 FR TRANSSEPTAL HEMOSTASIS GUIDEWIRE	SUP-406840	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH SWARTZ .032 IN SL2 CURVE L63 CM L180 CM OD8 FR TRANSSEPTAL HEMOSTASIS VALVE J TIP SUPER STIFF GUIDEWIRE SIDEPORT DILATOR	SUP-406841	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH SWARTZ .032 IN SL2 CURVE L63 CM L180 CM OD8 FR TRANSSEPTAL HEMOSTASIS VALVE J TIP SUPER STIFF GUIDEWIRE SIDEPORT DILATOR	SUP-406841	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SL3	SUP-406842	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SL3	SUP-406842	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH SWARTZ .038 IN SR2 CURVE L63 CM OD8 FR TRANSSEPTAL HEMOSTASIS GUIDEWIRE	SUP-406846	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH SWARTZ .038 IN SR2 CURVE L63 CM OD8 FR TRANSSEPTAL HEMOSTASIS GUIDEWIRE	SUP-406846	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH SWARTZ .038 IN SR3 CURVE L63 CM OD8 FR TRANSSEPTAL HEMOSTASIS GUIDEWIRE	SUP-406847	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH SWARTZ .038 IN SR3 CURVE L63 CM OD8 FR TRANSSEPTAL HEMOSTASIS GUIDEWIRE	SUP-406847	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH L63CM OD8.5 FR GUIDE STERILE LATEX FREE DISPOSABLE	SUP-406853	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH L63CM OD8.5 FR GUIDE STERILE LATEX FREE DISPOSABLE	SUP-406853	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH SWARTZ SR .038 IN J SR0 CURVE L63 CM L145 CM OD8 FR TRANSSEPTAL GUIDE HEMOSTASIS VALVE SIDEPORT DILATOR RADIOPAQUE TIP MARKER	SUP-406853	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH SWARTZ SR .038 IN J SR0 CURVE L63 CM L145 CM OD8 FR TRANSSEPTAL GUIDE HEMOSTASIS VALVE SIDEPORT DILATOR RADIOPAQUE TIP MARKER	SUP-406853	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH SAFL .038 IN SL2 CURVE L60 CM OD8 FR HEMOSTASIS VALVE J TIP SUPER STIFF GUIDEWIRE SIDEPORT DILATOR	SUP-406871	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH SAFL .038 IN SL2 CURVE L60 CM OD8 FR HEMOSTASIS VALVE J TIP SUPER STIFF GUIDEWIRE SIDEPORT DILATOR	SUP-406871	CDM			270	RC		inpatient			356	356																																																			
INTRODUCER SHEATH FAST-CATH SWARTZ .038 IN RAMP L60 CM OD8 FR ODSEC18 MM HEMOSTASIS VALVE J TIP GUIDEWIRE SIDEPORT DILATOR	SUP-406898	CDM			270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
INTRODUCER SHEATH FAST-CATH SWARTZ .038 IN RAMP L60 CM OD8 FR ODSEC18 MM HEMOSTASIS VALVE J TIP GUIDEWIRE SIDEPORT DILATOR	SUP-406898	CDM			270	RC		inpatient			356	356																																																			
SLEEVE ADAPTER V40 TITANIUM -2.5 MM OFFSET UNIVERSAL TAPER HIP	SUP-6519-T-025	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
SLEEVE ADAPTER V40 TITANIUM -2.5 MM OFFSET UNIVERSAL TAPER HIP	SUP-6519-T-025	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
SLEEVE ADAPTER V40 TITANIUM +0 MM OFFSET UNIVERSAL TAPER HIP	SUP-6519-T-100	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
SLEEVE ADAPTER V40 TITANIUM +0 MM OFFSET UNIVERSAL TAPER HIP	SUP-6519-T-100	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
SLEEVE ADAPTER V40 TITANIUM +4 MM OFFSET UNIVERSAL TAPER HIP	SUP-6519-T-204	CDM	270010024	LOCAL	270	RC		outpatient			356	356	96.44				percent of total billed charges		356				other	OPPS APC	263.44				percent of total billed charges		356				other	OPPS APC	356				other	OPPS APC	96.44				percent of total billed charges		98.36				percent of total billed charges		356				other	OPPS APC	96.44	356	
SLEEVE ADAPTER V40 TITANIUM +4 MM OFFSET UNIVERSAL TAPER HIP	SUP-6519-T-204	CDM	270010024	LOCAL	270	RC		inpatient			356	356																																																			
Combi Tube 41fr	PX-272000018	CDM			272	RC		outpatient			355.52	355.52	96.31				percent of total billed charges		355.52				other	OPPS APC	355.52				fee schedule		355.52				other	OPPS APC	355.52				other	OPPS APC	96.31				percent of total billed charges		98.23				percent of total billed charges		355.52				other	OPPS APC	96.31	355.52	
Combi Tube 41fr	PX-272000018	CDM			272	RC		inpatient			355.52	355.52																																																			
ROD REAMING TITANIUM L850 MM OD2.5 MM CALIBRATED STERILE	SUP-359.083S	CDM	270010022	LOCAL	270	RC		outpatient			355.3	355.31	96.25				percent of total billed charges		355.3				other	OPPS APC	262.92				percent of total billed charges		355.3				other	OPPS APC	355.3				other	OPPS APC	96.25				percent of total billed charges		98.17				percent of total billed charges		355.31				other	OPPS APC	96.25	355.31	
ROD REAMING TITANIUM L850 MM OD2.5 MM CALIBRATED STERILE	SUP-359.083S	CDM	270010022	LOCAL	270	RC		inpatient			355.3	355.3																																																			
HC Vascular Closure Device Insertion	PX-481G02691	CDM			481	RC		inpatient			355	355																																																			
HC Vascular Closure Device Insertion	PX-481G02691	CDM			481	RC		outpatient			355	355					fee schedule						other	OPPS APC	262.7				percent of total billed charges						other	OPPS APC					other	OPPS APC	173.95				percent of total billed charges		181.05				percent of total billed charges						other	OPPS APC	262.7	262.7	
SUPER D BIOPSY FORCEP	SUP-95-23363	CDM			272	RC		outpatient			354.9	354.9	96.14				percent of total billed charges		354.9				other	OPPS APC	262.63				percent of total billed charges		354.9				other	OPPS APC	354.9				other	OPPS APC	96.14				percent of total billed charges		98.06				percent of total billed charges		354.9				other	OPPS APC	96.14	354.9	
SUPER D BIOPSY FORCEP	SUP-95-23363	CDM			272	RC		inpatient			354.9	354.9																																																			
PROBE LASER IRIDEX OD23 GA ENDOOCULAR DIRECTIONAL ILLUMINATED CURVED STERILE DISPOSABLE	SUP-55.26.23	CDM			270	RC		outpatient			354.54	354.54	96.04				percent of total billed charges		354.54				other	OPPS APC	262.36				percent of total billed charges		354.54				other	OPPS APC	354.54				other	OPPS APC	96.04				percent of total billed charges		97.96				percent of total billed charges		354.54				other	OPPS APC	96.04	354.54	
PROBE LASER IRIDEX OD23 GA ENDOOCULAR DIRECTIONAL ILLUMINATED CURVED STERILE DISPOSABLE	SUP-55.26.23	CDM			270	RC		inpatient			354.54	354.54																																																			
SCREW SYNTHES SET FOR TROCK NAIL 130 DEG	SUP-04.032.001S	CDM	270010022	LOCAL	270	RC		outpatient			354.2	354.2	95.95				percent of total billed charges		354.2				other	OPPS APC	262.11				percent of total billed charges		354.2				other	OPPS APC	354.2				other	OPPS APC	95.95				percent of total billed charges		97.87				percent of total billed charges		354.2				other	OPPS APC	95.95	354.2	
SCREW SYNTHES SET FOR TROCK NAIL 130 DEG	SUP-04.032.001S	CDM	270010022	LOCAL	270	RC		inpatient			354.2	354.2																																																			
12.0MM OUTER PROTECTION SLEEVE	SUP-97-00427	CDM			278	RC		outpatient			354.2	354.2	354.2				fee schedule		354.2				other	OPPS APC	201.89				percent of total billed charges		354.2				other	OPPS APC	354.2				other	OPPS APC	173.56				percent of total billed charges		180.64				percent of total billed charges		354.2				other	OPPS APC	173.56	354.2	
12.0MM OUTER PROTECTION SLEEVE	SUP-97-00427	CDM			278	RC		inpatient			354.2	354.2																																																			
HC Hips Bilateral W Pelvis 3 4 Views	PX-320735221	CDM	73522	CPT	320	RC		outpatient			354	112.57	49.45				fee schedule		112.57				other	OPPS APC	97.04				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	53.79				fee schedule		39.59				fee schedule		112.57				other	OPPS APC	39.59	112.57	
HC Hips Bilateral W Pelvis 3 4 Views	PX-320735221	CDM	73522	CPT	320	RC		inpatient			354	354																																																			
CUTTER SURGICAL CORNERSTONE SR D11 MM OD5 MM DISPOSABLE MIDAS G8	SUP-874-405	CDM			270	RC		outpatient			354	354	95.9				percent of total billed charges		354				other	OPPS APC	261.96				percent of total billed charges		354				other	OPPS APC	354				other	OPPS APC	95.9				percent of total billed charges		97.81				percent of total billed charges		354				other	OPPS APC	95.9	354	
CUTTER SURGICAL CORNERSTONE SR D11 MM OD5 MM DISPOSABLE MIDAS G8	SUP-874-405	CDM			270	RC		inpatient			354	354																																																			
COUNTERSINK 1.2MM SCREW 53MM	SUP-97-02273	CDM			272	RC		outpatient			353.68	353.68	95.81				percent of total billed charges		353.68				other	OPPS APC	261.72				percent of total billed charges		353.68				other	OPPS APC	353.68				other	OPPS APC	95.81				percent of total billed charges		97.72				percent of total billed charges		353.68				other	OPPS APC	95.81	353.68	
COUNTERSINK 1.2MM SCREW 53MM	SUP-97-02273	CDM			272	RC		inpatient			353.68	353.68																																																			
PIN FIXATION EVOS L 40 MM OD 2.5 MM PROVISIONAL STERILE	SUP-71175095	CDM			270	RC		outpatient			353.6	353.62	95.79				percent of total billed charges		353.6				other	OPPS APC	261.66				percent of total billed charges		353.6				other	OPPS APC	353.6				other	OPPS APC	95.79				percent of total billed charges		97.7				percent of total billed charges		353.62				other	OPPS APC	95.79	353.62	
PIN FIXATION EVOS L 40 MM OD 2.5 MM PROVISIONAL STERILE	SUP-71175095	CDM			270	RC		inpatient			353.6	353.6																																																			
PLAT BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L 22MM X W9.5MM X H 1.5MM 2-HOLE LOCK STERILE 3.5MM SCREW	SUP-72440502	CDM			270	RC		outpatient			353.6	353.62	95.79				percent of total billed charges		353.6				other	OPPS APC	261.66				percent of total billed charges		353.6				other	OPPS APC	353.6				other	OPPS APC	95.79				percent of total billed charges		97.7				percent of total billed charges		353.62				other	OPPS APC	95.79	353.62	
PLAT BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L 22MM X W9.5MM X H 1.5MM 2-HOLE LOCK STERILE 3.5MM SCREW	SUP-72440502	CDM			270	RC		inpatient			353.6	353.6																																																			
PLATE BONE EVOS STAINLESS STEEL 12.5MM SPACE L 102 MM X W 10.7 MM X H 3.4MM 8 HOLE COMPRESSION STERILE 3.5 MM SCREW	SUP-72441008	CDM			270	RC		outpatient			353.6	353.62	95.79				percent of total billed charges		353.6				other	OPPS APC	261.66				percent of total billed charges		353.6				other	OPPS APC	353.6				other	OPPS APC	95.79				percent of total billed charges		97.7				percent of total billed charges		353.62				other	OPPS APC	95.79	353.62	
PLATE BONE EVOS STAINLESS STEEL 12.5MM SPACE L 102 MM X W 10.7 MM X H 3.4MM 8 HOLE COMPRESSION STERILE 3.5 MM SCREW	SUP-72441008	CDM			270	RC		inpatient			353.6	353.6																																																			
BRUSH CYTOLOGY SUPERDIMENSION 115MM 10MM 1.9MM 3 NEEDLE	SUP-SDTNB1000	CDM			270	RC		outpatient			353.6	353.62	95.79				percent of total billed charges		353.6				other	OPPS APC	261.66				percent of total billed charges		353.6				other	OPPS APC	353.6				other	OPPS APC	95.79				percent of total billed charges		97.7				percent of total billed charges		353.62				other	OPPS APC	95.79	353.62	
BRUSH CYTOLOGY SUPERDIMENSION 115MM 10MM 1.9MM 3 NEEDLE	SUP-SDTNB1000	CDM			270	RC		inpatient			353.6	353.6																																																			
SHAVER ARTHROSCOPY TORPEDO HIP LENGTH 4.2MM X 19CM	SUP-95-05292	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
SHAVER ARTHROSCOPY TORPEDO HIP LENGTH 4.2MM X 19CM	SUP-95-05292	CDM			272	RC		inpatient			353.5	353.5																																																			
SHAVER ARTHROSCOPY TORPEDO CURVED HIP LENGTH 4.2MM X 19CM	SUP-95-05363	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
SHAVER ARTHROSCOPY TORPEDO CURVED HIP LENGTH 4.2MM X 19CM	SUP-95-05363	CDM			272	RC		inpatient			353.5	353.5																																																			
BURR ROUND HIP LENGTH RETRACT 8 FLUTE 5MM X 18CM	SUP-95-05364	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
BURR ROUND HIP LENGTH RETRACT 8 FLUTE 5MM X 18CM	SUP-95-05364	CDM			272	RC		inpatient			353.5	353.5																																																			
TORPEDO 4MM CURVED	SUP-95-05504	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
TORPEDO 4MM CURVED	SUP-95-05504	CDM			272	RC		inpatient			353.5	353.5																																																			
SYNTHES SAW BLADE 70/1.27MM	SUP-97-00336	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
SYNTHES SAW BLADE 70/1.27MM	SUP-97-00336	CDM			272	RC		inpatient			353.5	353.5																																																			
TORPEDO 4.0MM	SUP-97-05373	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
TORPEDO 4.0MM	SUP-97-05373	CDM			272	RC		inpatient			353.5	353.5																																																			
TORPEDO 5.0MM	SUP-97-05377	CDM			272	RC		outpatient			353.5	353.5	95.76				percent of total billed charges		353.5				other	OPPS APC	261.59				percent of total billed charges		353.5				other	OPPS APC	353.5				other	OPPS APC	95.76				percent of total billed charges		97.67				percent of total billed charges		353.5				other	OPPS APC	95.76	353.5	
TORPEDO 5.0MM	SUP-97-05377	CDM			272	RC		inpatient			353.5	353.5																																																			
POOLE SUCTION 5MM	SUP-95-04306	CDM			272	RC		outpatient			353.43	353.43	95.74				percent of total billed charges		353.43				other	OPPS APC	261.54				percent of total billed charges		353.43				other	OPPS APC	353.43				other	OPPS APC	95.74				percent of total billed charges		97.65				percent of total billed charges		353.43				other	OPPS APC	95.74	353.43	
POOLE SUCTION 5MM	SUP-95-04306	CDM			272	RC		inpatient			353.43	353.43																																																			
HC Vitamin D -25 Hydroxy	PX-300823060	CDM	82306	CPT	300	RC		outpatient			353	29.61	39.59				fee schedule		29.6				fee schedule		78.58				fee schedule		29.6				fee schedule		29.6				fee schedule		29.6				fee schedule		29.6				fee schedule		29.61				fee schedule		29.6	78.58	
HC Vitamin D -25 Hydroxy	PX-300823060	CDM	82306	CPT	300	RC		inpatient			353	353																																																			
HC Special Dosimetry (Eg Tld)	PX-333773311	CDM	77331	CPT	333	RC		outpatient			353	353	63.79				fee schedule		353				other	OPPS APC	149.87				fee schedule		353				other	OPPS APC	353				other	OPPS APC	64.43				fee schedule		18.95				fee schedule		353				other	OPPS APC	18.95	353	
HC Special Dosimetry (Eg Tld)	PX-333773311	CDM	77331	CPT	333	RC		inpatient			353	353																																																			
HC Physics  Consult.  Cont.	PX-333773360	CDM	77336	CPT	333	RC		outpatient			353	14.48	76.11				fee schedule		140.48				other	OPPS APC	294.02				fee schedule		140.48				other	OPPS APC	140.48				other	OPPS APC	86.09				fee schedule		85.71				fee schedule		14.48				other	OPPS APC	14.48	294.02	
HC Physics  Consult.  Cont.	PX-333773360	CDM	77336	CPT	333	RC		inpatient			353	353																																																			
HC Apply Short Leg Cast	PX-450294051	CDM	29405	CPT	450	RC		outpatient			353	353	195.77				case rate		353				other	OPPS APC	261.22				percent of total billed charges		353				other	OPPS APC	353				other	OPPS APC	195.77				case rate		199.69				case rate		353				other	OPPS APC	195.77	353	
HC Apply Short Leg Cast	PX-450294051	CDM	29405	CPT	450	RC		inpatient			353	353																																																			
HC Apply Tl Contact Leg Cast	PX-761294450	CDM	29445	CPT	761	RC		outpatient			353	252.68	195.77				case rate		252.68				other	OPPS APC	261.22				percent of total billed charges		252.68				other	OPPS APC	252.68				other	OPPS APC	195.77				case rate		180.03				percent of total billed charges		252.68				other	OPPS APC	180.03	261.22	
HC Apply Tl Contact Leg Cast	PX-761294450	CDM	29445	CPT	761	RC		inpatient			353	353																																																			
CABLE ORTHOPEDIC PERI-LOC STAINLESS STEEL SHORT SADDLE	SUP-74800601	CDM			270	RC		outpatient			352.8	352.81	95.57				percent of total billed charges		352.8				other	OPPS APC	261.07				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	95.57				percent of total billed charges		97.48				percent of total billed charges		352.81				other	OPPS APC	95.57	352.81	
CABLE ORTHOPEDIC PERI-LOC STAINLESS STEEL SHORT SADDLE	SUP-74800601	CDM			270	RC		inpatient			352.8	352.8																																																			
DRILL TWIST 1.2MM STOP 4MM	SUP-9112504	CDM			270	RC		outpatient			352.8	352.81	95.57				percent of total billed charges		352.8				other	OPPS APC	261.07				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	95.57				percent of total billed charges		97.48				percent of total billed charges		352.81				other	OPPS APC	95.57	352.81	
DRILL TWIST 1.2MM STOP 4MM	SUP-9112504	CDM			270	RC		inpatient			352.8	352.8																																																			
SCREW GAP PLATE	SUP-97-01887	CDM			278	RC		outpatient			352.8	352.81	352.8				fee schedule		352.8				other	OPPS APC	201.1				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	172.87				percent of total billed charges		179.93				percent of total billed charges		352.81				other	OPPS APC	172.87	352.81	
SCREW GAP PLATE	SUP-97-01887	CDM			278	RC		inpatient			352.8	352.8																																																			
SCREW GAP PLATE	SUP-97-02533	CDM			278	RC		outpatient			352.8	352.81	352.8				fee schedule		352.8				other	OPPS APC	201.1				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	172.87				percent of total billed charges		179.93				percent of total billed charges		352.81				other	OPPS APC	172.87	352.81	
SCREW GAP PLATE	SUP-97-02533	CDM			278	RC		inpatient			352.8	352.8																																																			
SCREW GAP PLATE	SUP-97-03954	CDM			278	RC		outpatient			352.8	352.81	352.8				fee schedule		352.8				other	OPPS APC	201.1				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	172.87				percent of total billed charges		179.93				percent of total billed charges		352.81				other	OPPS APC	172.87	352.81	
SCREW GAP PLATE	SUP-97-03954	CDM			278	RC		inpatient			352.8	352.8																																																			
SCREW GAP PLATE	SUP-97-03955	CDM			278	RC		outpatient			352.8	352.81	352.8				fee schedule		352.8				other	OPPS APC	201.1				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	172.87				percent of total billed charges		179.93				percent of total billed charges		352.81				other	OPPS APC	172.87	352.81	
SCREW GAP PLATE	SUP-97-03955	CDM			278	RC		inpatient			352.8	352.8																																																			
SCREW GAP PLATE	SUP-97-03956	CDM			278	RC		outpatient			352.8	352.81	352.8				fee schedule		352.8				other	OPPS APC	201.1				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	172.87				percent of total billed charges		179.93				percent of total billed charges		352.81				other	OPPS APC	172.87	352.81	
SCREW GAP PLATE	SUP-97-03956	CDM			278	RC		inpatient			352.8	352.8																																																			
SCREW GAP PLATE	SUP-97-23636	CDM			278	RC		outpatient			352.8	352.81	352.8				fee schedule		352.8				other	OPPS APC	201.1				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	172.87				percent of total billed charges		179.93				percent of total billed charges		352.81				other	OPPS APC	172.87	352.81	
SCREW GAP PLATE	SUP-97-23636	CDM			278	RC		inpatient			352.8	352.8																																																			
PORT IMPLANTABLE INFUSION SMART PORT CARBOTHANE TITANIUM POLYURETHANE L55 CM OD6.6 FR ID7 FR IDSEC1.4 MM .4 ML .016 ML DETACH CATHETER INTRODUCER LOW PROFILE CT	SUP-H787CT66LTPDVI1	CDM			270	RC		outpatient			352.8	352.81	95.57				percent of total billed charges		352.8				other	OPPS APC	261.07				percent of total billed charges		352.8				other	OPPS APC	352.8				other	OPPS APC	95.57				percent of total billed charges		97.48				percent of total billed charges		352.81				other	OPPS APC	95.57	352.81	
PORT IMPLANTABLE INFUSION SMART PORT CARBOTHANE TITANIUM POLYURETHANE L55 CM OD6.6 FR ID7 FR IDSEC1.4 MM .4 ML .016 ML DETACH CATHETER INTRODUCER LOW PROFILE CT	SUP-H787CT66LTPDVI1	CDM			270	RC		inpatient			352.8	352.8																																																			
SCREW BONE OPTILINK L55 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE	SUP-42.231.255	CDM			270	RC		outpatient			352.56	352.56	95.51				percent of total billed charges		352.56				other	OPPS APC	260.89				percent of total billed charges		352.56				other	OPPS APC	352.56				other	OPPS APC	95.51				percent of total billed charges		97.41				percent of total billed charges		352.56				other	OPPS APC	95.51	352.56	
SCREW BONE OPTILINK L55 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE	SUP-42.231.255	CDM			270	RC		inpatient			352.56	352.56																																																			
5MM VA LOCKING SCREW 65MM	SUP-42.231.265	CDM			270	RC		outpatient			352.56	352.56	95.51				percent of total billed charges		352.56				other	OPPS APC	260.89				percent of total billed charges		352.56				other	OPPS APC	352.56				other	OPPS APC	95.51				percent of total billed charges		97.41				percent of total billed charges		352.56				other	OPPS APC	95.51	352.56	
5MM VA LOCKING SCREW 65MM	SUP-42.231.265	CDM			270	RC		inpatient			352.56	352.56																																																			
SCREW BONE STAINLESS STEEL L75 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK	SUP-42.231.275	CDM			270	RC		outpatient			352.56	352.56	95.51				percent of total billed charges		352.56				other	OPPS APC	260.89				percent of total billed charges		352.56				other	OPPS APC	352.56				other	OPPS APC	95.51				percent of total billed charges		97.41				percent of total billed charges		352.56				other	OPPS APC	95.51	352.56	
SCREW BONE STAINLESS STEEL L75 MM OD5 MM SELF TAP VARIABLE ANGLE STARDRIVE 25 LOCK	SUP-42.231.275	CDM			270	RC		inpatient			352.56	352.56																																																			
5MM VA LOCKING SCREW 85MM	SUP-42.231.285	CDM			270	RC		outpatient			352.56	352.56	95.51				percent of total billed charges		352.56				other	OPPS APC	260.89				percent of total billed charges		352.56				other	OPPS APC	352.56				other	OPPS APC	95.51				percent of total billed charges		97.41				percent of total billed charges		352.56				other	OPPS APC	95.51	352.56	
5MM VA LOCKING SCREW 85MM	SUP-42.231.285	CDM			270	RC		inpatient			352.56	352.56																																																			
BURR BONE CUTTING DIAMOND ROUND 3.0MM	SUP-277-140-330	CDM			270	RC		outpatient			352.3	352.31	95.44				percent of total billed charges		352.3				other	OPPS APC	260.7				percent of total billed charges		352.3				other	OPPS APC	352.3				other	OPPS APC	95.44				percent of total billed charges		97.34				percent of total billed charges		352.31				other	OPPS APC	95.44	352.31	
BURR BONE CUTTING DIAMOND ROUND 3.0MM	SUP-277-140-330	CDM			270	RC		inpatient			352.3	352.3																																																			
TRAY RHINO TRACH  NBR 6 BLUE	SUP-263567	CDM	270009013	LOCAL	270	RC		outpatient			352.2	352.2	95.41				percent of total billed charges		352.2				other	OPPS APC	260.63				percent of total billed charges		352.2				other	OPPS APC	352.2				other	OPPS APC	95.41				percent of total billed charges		97.31				percent of total billed charges		352.2				other	OPPS APC	95.41	352.2	
TRAY RHINO TRACH  NBR 6 BLUE	SUP-263567	CDM	270009013	LOCAL	270	RC		inpatient			352.2	352.2																																																			
TRAY RHINO TRACH NBR 8 BLUE	SUP-G12565	CDM	270009013	LOCAL	270	RC		outpatient			352.2	352.2	95.41				percent of total billed charges		352.2				other	OPPS APC	260.63				percent of total billed charges		352.2				other	OPPS APC	352.2				other	OPPS APC	95.41				percent of total billed charges		97.31				percent of total billed charges		352.2				other	OPPS APC	95.41	352.2	
TRAY RHINO TRACH NBR 8 BLUE	SUP-G12565	CDM	270009013	LOCAL	270	RC		inpatient			352.2	352.2																																																			
PACK HEART	SUP-DYNJ59280A	CDM	270009194	LOCAL	270	RC		outpatient			352.11	352.11	95.39				percent of total billed charges		352.11				other	OPPS APC	260.56				percent of total billed charges		352.11				other	OPPS APC	352.11				other	OPPS APC	95.39				percent of total billed charges		97.29				percent of total billed charges		352.11				other	OPPS APC	95.39	352.11	
PACK HEART	SUP-DYNJ59280A	CDM	270009194	LOCAL	270	RC		inpatient			352.11	352.11																																																			
HC Removal/Bivalve Cast Gaunt Boot Body	PX-450297001	CDM	29700	CPT	450	RC		outpatient			352	352	195.77				case rate		352				other	OPPS APC	260.48				percent of total billed charges		352				other	OPPS APC	352				other	OPPS APC	195.77				case rate		199.69				case rate		352				other	OPPS APC	195.77	352	
HC Removal/Bivalve Cast Gaunt Boot Body	PX-450297001	CDM	29700	CPT	450	RC		inpatient			352	352																																																			
FILLER BONE VOID G2 AFT STRAIGHT TUBE .5ML SODIUM HYALURONATE TISSUE ALLOGRAFT MORSELIZE	SUP-227010	CDM	270010031	LOCAL	270	RC		outpatient			352	352	95.36				percent of total billed charges		352				other	OPPS APC	260.48				percent of total billed charges		352				other	OPPS APC	352				other	OPPS APC	95.36				percent of total billed charges		97.26				percent of total billed charges		352				other	OPPS APC	95.36	352	
FILLER BONE VOID G2 AFT STRAIGHT TUBE .5ML SODIUM HYALURONATE TISSUE ALLOGRAFT MORSELIZE	SUP-227010	CDM	270010031	LOCAL	270	RC		inpatient			352	352																																																			
SCREW SET STANDARD 32 THREAD OD.25 IN SPINE CAP	SUP-779170005	CDM	270010020	LOCAL	270	RC		outpatient			352	352	95.36				percent of total billed charges		352				other	OPPS APC	260.48				percent of total billed charges		352				other	OPPS APC	352				other	OPPS APC	95.36				percent of total billed charges		97.26				percent of total billed charges		352				other	OPPS APC	95.36	352	
SCREW SET STANDARD 32 THREAD OD.25 IN SPINE CAP	SUP-779170005	CDM	270010020	LOCAL	270	RC		inpatient			352	352																																																			
RETAINER SCREW PRODISC-C L16 MM OD3.5 MM SPINE NONSTERILE	SUP-03.820.104	CDM			270	RC		outpatient			351.8	351.81	95.3				percent of total billed charges		351.8				other	OPPS APC	260.33				percent of total billed charges		351.8				other	OPPS APC	351.8				other	OPPS APC	95.3				percent of total billed charges		97.2				percent of total billed charges		351.81				other	OPPS APC	95.3	351.81	
RETAINER SCREW PRODISC-C L16 MM OD3.5 MM SPINE NONSTERILE	SUP-03.820.104	CDM			270	RC		inpatient			351.8	351.8																																																			
MASK C02 TRI-ANIM	SUP-97-00106	CDM			272	RC		outpatient			351.51	351.6	95.22				percent of total billed charges		351.51				other	OPPS APC	260.12				percent of total billed charges		351.51				other	OPPS APC	351.51				other	OPPS APC	95.22				percent of total billed charges		97.12				percent of total billed charges		351.6				other	OPPS APC	95.22	351.6	
MASK C02 TRI-ANIM	SUP-97-00106	CDM			272	RC		inpatient			351.51	351.51																																																			
CONTRAST - ISOVUE 370 100CC	SUP-95-01426	CDM			255	RC		outpatient			351.47	351.47	85.65				percent of total billed charges		351.47				other	OPPS APC	0.13				fee schedule		351.47				other	OPPS APC	351.47				other	OPPS APC	85.65				percent of total billed charges		87.38				percent of total billed charges		351.47				other	OPPS APC	0.13	351.47	
CONTRAST - ISOVUE 370 100CC	SUP-95-01426	CDM			255	RC		inpatient			351.47	351.47																																																			
BRACE TROM ADVANCE COOL KNEE XL	SUP-79-00070	CDM			271	RC		outpatient			351.19	758.36	95.14				percent of total billed charges		758.36				fee schedule		259.88				percent of total billed charges		758.36				fee schedule		758.36				fee schedule		95.14				percent of total billed charges		97.03				percent of total billed charges		758.36				fee schedule		95.14	758.36	
BRACE TROM ADVANCE COOL KNEE XL	SUP-79-00070	CDM			271	RC		inpatient			351.19	351.19																																																			
RELOAD STAPLER ECHELON ENDOPATH L60 MM X H3.6 MM H1.5 MM REGULAR TISSUE BLUE	SUP-GST60B	CDM			270	RC		outpatient			351.12	351.12	95.12				percent of total billed charges		351.12				other	OPPS APC	259.83				percent of total billed charges		351.12				other	OPPS APC	351.12				other	OPPS APC	95.12				percent of total billed charges		97.01				percent of total billed charges		351.12				other	OPPS APC	95.12	351.12	
RELOAD STAPLER ECHELON ENDOPATH L60 MM X H3.6 MM H1.5 MM REGULAR TISSUE BLUE	SUP-GST60B	CDM			270	RC		inpatient			351.12	351.12																																																			
RELOAD STAPLER ECHELON ENDOPATH L60 MM X H3.8 MM H1.8 MM REGULAR THICK TISSUE GOLD	SUP-GST60D	CDM			270	RC		outpatient			351.12	351.12	95.12				percent of total billed charges		351.12				other	OPPS APC	259.83				percent of total billed charges		351.12				other	OPPS APC	351.12				other	OPPS APC	95.12				percent of total billed charges		97.01				percent of total billed charges		351.12				other	OPPS APC	95.12	351.12	
RELOAD STAPLER ECHELON ENDOPATH L60 MM X H3.8 MM H1.8 MM REGULAR THICK TISSUE GOLD	SUP-GST60D	CDM			270	RC		inpatient			351.12	351.12																																																			
RELOAD STAPLER ECHELON ENDOPATH H4.1 MM THICK TISSUE GREEN	SUP-GST60G	CDM			270	RC		outpatient			351.12	351.12	95.12				percent of total billed charges		351.12				other	OPPS APC	259.83				percent of total billed charges		351.12				other	OPPS APC	351.12				other	OPPS APC	95.12				percent of total billed charges		97.01				percent of total billed charges		351.12				other	OPPS APC	95.12	351.12	
RELOAD STAPLER ECHELON ENDOPATH H4.1 MM THICK TISSUE GREEN	SUP-GST60G	CDM			270	RC		inpatient			351.12	351.12																																																			
RELOAD STAPLER ECHELON ENDOPATH 4.2MM BLACK VERY THICK TISSUE	SUP-GST60T	CDM			270	RC		outpatient			351.12	351.12	95.12				percent of total billed charges		351.12				other	OPPS APC	259.83				percent of total billed charges		351.12				other	OPPS APC	351.12				other	OPPS APC	95.12				percent of total billed charges		97.01				percent of total billed charges		351.12				other	OPPS APC	95.12	351.12	
RELOAD STAPLER ECHELON ENDOPATH 4.2MM BLACK VERY THICK TISSUE	SUP-GST60T	CDM			270	RC		inpatient			351.12	351.12																																																			
RELOAD STAPLER ECHELON ENDOPATH 2.6MM WHITE VASCULAR THIN TISSUE	SUP-GST60W	CDM			270	RC		outpatient			351.12	351.12	95.12				percent of total billed charges		351.12				other	OPPS APC	259.83				percent of total billed charges		351.12				other	OPPS APC	351.12				other	OPPS APC	95.12				percent of total billed charges		97.01				percent of total billed charges		351.12				other	OPPS APC	95.12	351.12	
RELOAD STAPLER ECHELON ENDOPATH 2.6MM WHITE VASCULAR THIN TISSUE	SUP-GST60W	CDM			270	RC		inpatient			351.12	351.12																																																			
HC Eval of Swallowing & Oral Function	PX-444926101	CDM	92610	CPT	444	RC		outpatient			351	69.16	351				percent of total billed charges		69.16				fee schedule		372.4				fee schedule		69.16				fee schedule		69.16				fee schedule		367.29				percent of total billed charges		351				percent of total billed charges		69.16				fee schedule		69.16	372.4	
HC Eval of Swallowing & Oral Function	PX-444926101	CDM	92610	CPT	444	RC		inpatient			351	351																																																			
HC Repair Superf Wound 7.6 - 12.5 Cm	PX-450120151	CDM	12015	CPT	450	RC		outpatient			351	351	195.77				case rate		351				other	OPPS APC	259.74				percent of total billed charges		351				other	OPPS APC	351				other	OPPS APC	195.77				case rate		199.69				case rate		351				other	OPPS APC	195.77	351	
HC Repair Superf Wound 7.6 - 12.5 Cm	PX-450120151	CDM	12015	CPT	450	RC		inpatient			351	351																																																			
HC Layer Closure of Wound 7.6 - 12.5cm	PX-450120341	CDM	12034	CPT	450	RC		outpatient			351	351	195.77				case rate		351				other	OPPS APC	259.74				percent of total billed charges		351				other	OPPS APC	351				other	OPPS APC	195.77				case rate		199.69				case rate		351				other	OPPS APC	195.77	351	
HC Layer Closure of Wound 7.6 - 12.5cm	PX-450120341	CDM	12034	CPT	450	RC		inpatient			351	351																																																			
HC Layer Closure of Wound 2.6 - 5.0 Cm	PX-450120521	CDM	12052	CPT	450	RC		outpatient			351	351	195.77				case rate		351				other	OPPS APC	259.74				percent of total billed charges		351				other	OPPS APC	351				other	OPPS APC	195.77				case rate		199.69				case rate		351				other	OPPS APC	195.77	351	
HC Layer Closure of Wound 2.6 - 5.0 Cm	PX-450120521	CDM	12052	CPT	450	RC		inpatient			351	351																																																			
SHEATH ENDOSCOPIC OD2.6 MM ULTRASOUND CUFF STERILE LATEX DISPOSABLE	SUP-MAJ-643R	CDM			270	RC		outpatient			350.96	35.96	95.08				percent of total billed charges		350.96				other	OPPS APC	259.71				percent of total billed charges		350.96				other	OPPS APC	350.96				other	OPPS APC	95.08				percent of total billed charges		96.97				percent of total billed charges		35.96				other	OPPS APC	35.96	350.96	
SHEATH ENDOSCOPIC OD2.6 MM ULTRASOUND CUFF STERILE LATEX DISPOSABLE	SUP-MAJ-643R	CDM			270	RC		inpatient			350.96	350.96																																																			
KIT CHEST DRAIN EXPRESS MINI	SUP-11-00036	CDM			272	RC		outpatient			350.61	35.61	94.98				percent of total billed charges		350.61				other	OPPS APC	259.45				percent of total billed charges		350.61				other	OPPS APC	350.61				other	OPPS APC	94.98				percent of total billed charges		96.87				percent of total billed charges		35.61				other	OPPS APC	35.61	350.61	
KIT CHEST DRAIN EXPRESS MINI	SUP-11-00036	CDM			272	RC		inpatient			350.61	350.61																																																			
DRILL BIT 2.8 165MM	SUP-97-01846	CDM			272	RC		outpatient			350.42	35.42	94.93				percent of total billed charges		350.42				other	OPPS APC	259.31				percent of total billed charges		350.42				other	OPPS APC	350.42				other	OPPS APC	94.93				percent of total billed charges		96.82				percent of total billed charges		35.42				other	OPPS APC	35.42	350.42	
DRILL BIT 2.8 165MM	SUP-97-01846	CDM			272	RC		inpatient			350.42	350.42																																																			
QUIK-USE FEMORAL BONE CEMENT PREP KIT	SUP-78-00327	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
QUIK-USE FEMORAL BONE CEMENT PREP KIT	SUP-78-00327	CDM			272	RC		inpatient			350	350																																																			
BILLIARY STENT 10-5	SUP-95-02575	CDM			278	RC		outpatient			350	35	350				fee schedule		350				other	OPPS APC	199.5				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	171.5				percent of total billed charges		178.5				percent of total billed charges		35				other	OPPS APC	35	350	
BILLIARY STENT 10-5	SUP-95-02575	CDM			278	RC		inpatient			350	350																																																			
DRILL BIT 2.1MM CANNULATED	SUP-95-03430	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL BIT 2.1MM CANNULATED	SUP-95-03430	CDM			272	RC		inpatient			350	350																																																			
DRILL 1.7MM CANNULATED	SUP-95-05196	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL 1.7MM CANNULATED	SUP-95-05196	CDM			272	RC		inpatient			350	350																																																			
DRILL 3.8 X 180MM CANNULATED 3/16IN CONNECTION	SUP-95-05354	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL 3.8 X 180MM CANNULATED 3/16IN CONNECTION	SUP-95-05354	CDM			272	RC		inpatient			350	350																																																			
DRILL 3.8 X 250MM SOLID TROCAR TIP	SUP-95-05376	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL 3.8 X 250MM SOLID TROCAR TIP	SUP-95-05376	CDM			272	RC		inpatient			350	350																																																			
Z GUIDE WIRE 1.5 X 50	SUP-95-05393	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
Z GUIDE WIRE 1.5 X 50	SUP-95-05393	CDM			272	RC		inpatient			350	350																																																			
DRILL CANNULATED 4.6 X 220MM	SUP-95-05433	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL CANNULATED 4.6 X 220MM	SUP-95-05433	CDM			272	RC		inpatient			350	350																																																			
DRILL CANNULATED AO 3.5 X 160MM	SUP-95-05434	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL CANNULATED AO 3.5 X 160MM	SUP-95-05434	CDM			272	RC		inpatient			350	350																																																			
REAMER BLADE PATELLA SIZE 41	SUP-95-05562	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
REAMER BLADE PATELLA SIZE 41	SUP-95-05562	CDM			272	RC		inpatient			350	350																																																			
COTTON LUNG STENT SET CLSB-7-7	SUP-95-23332	CDM			278	RC		outpatient			350	35	350				fee schedule		350				other	OPPS APC	199.5				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	171.5				percent of total billed charges		178.5				percent of total billed charges		35				other	OPPS APC	35	350	
COTTON LUNG STENT SET CLSB-7-7	SUP-95-23332	CDM			278	RC		inpatient			350	350																																																			
COTTON LUNG STENT SET (CLBS-7-9)	SUP-95-23333	CDM			278	RC		outpatient			350	35	350				fee schedule		350				other	OPPS APC	199.5				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	171.5				percent of total billed charges		178.5				percent of total billed charges		35				other	OPPS APC	35	350	
COTTON LUNG STENT SET (CLBS-7-9)	SUP-95-23333	CDM			278	RC		inpatient			350	350																																																			
COTTON LUNG STENT SET (CLBS-10-7	SUP-95-23334	CDM			278	RC		outpatient			350	35	350				fee schedule		350				other	OPPS APC	199.5				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	171.5				percent of total billed charges		178.5				percent of total billed charges		35				other	OPPS APC	35	350	
COTTON LUNG STENT SET (CLBS-10-7	SUP-95-23334	CDM			278	RC		inpatient			350	350																																																			
PROBE GRAD BLACK 3.5MM TIP	SUP-97-01901	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
PROBE GRAD BLACK 3.5MM TIP	SUP-97-01901	CDM			272	RC		inpatient			350	350																																																			
REAMER BLADE PATELLA W/ PILOT HOLE SZ41	SUP-97-02200	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
REAMER BLADE PATELLA W/ PILOT HOLE SZ41	SUP-97-02200	CDM			272	RC		inpatient			350	350																																																			
DRILLBIT 2.4	SUP-97-02491	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILLBIT 2.4	SUP-97-02491	CDM			272	RC		inpatient			350	350																																																			
DRILLBIT 2.0 SOLID	SUP-97-02820	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILLBIT 2.0 SOLID	SUP-97-02820	CDM			272	RC		inpatient			350	350																																																			
DRILL  2.6 X 130 MM  CANNULATED  AO	SUP-97-02884	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL  2.6 X 130 MM  CANNULATED  AO	SUP-97-02884	CDM			272	RC		inpatient			350	350																																																			
DRILL BIT CANN 2.3 X 120MM	SUP-97-03131	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL BIT CANN 2.3 X 120MM	SUP-97-03131	CDM			272	RC		inpatient			350	350																																																			
RTS IMPLANT SIZE 1-4	SUP-97-03309	CDM			278	RC		outpatient			350	35	350				fee schedule		350				other	OPPS APC	199.5				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	171.5				percent of total billed charges		178.5				percent of total billed charges		35				other	OPPS APC	35	350	
RTS IMPLANT SIZE 1-4	SUP-97-03309	CDM			278	RC		inpatient			350	350																																																			
DRILL 4.6MM	SUP-97-06150	CDM			278	RC		outpatient			350	35	350				fee schedule		350				other	OPPS APC	199.5				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	171.5				percent of total billed charges		178.5				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL 4.6MM	SUP-97-06150	CDM			278	RC		inpatient			350	350																																																			
EMBOLIZATION - COIL MREYE 15MM	SUP-99-00991	CDM			272	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
EMBOLIZATION - COIL MREYE 15MM	SUP-99-00991	CDM			272	RC		inpatient			350	350																																																			
BIT DRILL OD1.7 MM CANNULATED AO CONNECTION	SUP-AR-1201-7DC	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BIT DRILL OD1.7 MM CANNULATED AO CONNECTION	SUP-AR-1201-7DC	CDM			270	RC		inpatient			350	350																																																			
KIT SUTURE DISPOSABLE MINI SUTURETAK	SUP-AR-1322DSC	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
KIT SUTURE DISPOSABLE MINI SUTURETAK	SUP-AR-1322DSC	CDM			270	RC		inpatient			350	350																																																			
KIT INSTRUMENT OD2.9 MM DISPOSABLE 2.9 MM PUSHLOCK	SUP-AR-1923DHS	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
KIT INSTRUMENT OD2.9 MM DISPOSABLE 2.9 MM PUSHLOCK	SUP-AR-1923DHS	CDM			270	RC		inpatient			350	350																																																			
BLADE STRIPPER TENDON 9 MM	SUP-AR-2385-09	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BLADE STRIPPER TENDON 9 MM	SUP-AR-2385-09	CDM			270	RC		inpatient			350	350																																																			
BLADE STRIPPER W10 MM QUADRICEPS TENDON DISPOSABLE	SUP-AR-2385-10	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BLADE STRIPPER W10 MM QUADRICEPS TENDON DISPOSABLE	SUP-AR-2385-10	CDM			270	RC		inpatient			350	350																																																			
BIT DRILL OD 3 MM CANNULATED DISPOSABLE 4.3 MM HEADLESS COMPRESSION SCREW	SUP-AR-8610DB-43C	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BIT DRILL OD 3 MM CANNULATED DISPOSABLE 4.3 MM HEADLESS COMPRESSION SCREW	SUP-AR-8610DB-43C	CDM			270	RC		inpatient			350	350																																																			
BIT DRILL QUICKFIX OD2.5 MM CANNULATED	SUP-AR-8737-09	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BIT DRILL QUICKFIX OD2.5 MM CANNULATED	SUP-AR-8737-09	CDM			270	RC		inpatient			350	350																																																			
BIT DRILL OD2 MM CANNULATED AO	SUP-AR-8933-20C	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BIT DRILL OD2 MM CANNULATED AO	SUP-AR-8933-20C	CDM			270	RC		inpatient			350	350																																																			
BIT DRILL 2.6MM CANNULATED	SUP-AR-8943-02	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
BIT DRILL 2.6MM CANNULATED	SUP-AR-8943-02	CDM			270	RC		inpatient			350	350																																																			
DRILL SURGICAL OD3.5 MM CANNULATED FIFTH METATARSAL FRACTURE SYSTEM	SUP-AR-8956C-35PD	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
DRILL SURGICAL OD3.5 MM CANNULATED FIFTH METATARSAL FRACTURE SYSTEM	SUP-AR-8956C-35PD	CDM			270	RC		inpatient			350	350																																																			
PROBE ELECTROSURGICAL COOLCUT 50 D OD3 MM ASPIRATE ABLATION RADIOFREQUENCY WAND STERILE	SUP-AR-9803A-50	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
PROBE ELECTROSURGICAL COOLCUT 50 D OD3 MM ASPIRATE ABLATION RADIOFREQUENCY WAND STERILE	SUP-AR-9803A-50	CDM			270	RC		inpatient			350	350																																																			
PROBE ELECTROSURGICAL COOLCUT 90 D OD3 MM ASPIRATE ABLATION RADIOFREQUENCY WAND STERILE	SUP-AR-9803A-90	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
PROBE ELECTROSURGICAL COOLCUT 90 D OD3 MM ASPIRATE ABLATION RADIOFREQUENCY WAND STERILE	SUP-AR-9803A-90	CDM			270	RC		inpatient			350	350																																																			
CEMENT BONE HV-R KYPHX MIXER GRADUATE MARK DISPENSE PLUNGER LUER FIT STIR PADDLE	SUP-C01B	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
CEMENT BONE HV-R KYPHX MIXER GRADUATE MARK DISPENSE PLUNGER LUER FIT STIR PADDLE	SUP-C01B	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 10.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 10.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 10.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 10.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 10.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 10.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 10.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 10.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 11.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 11.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 11.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 11.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 11.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 11.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 11.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 11.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 12.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 12.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 12.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 12.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 12.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 12.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 12.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 12.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 13.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 13.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 13.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 13.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 13.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 13.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 13.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 13.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 14.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 14.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 14.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 14.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 14.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 14.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 14.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 14.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 15.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 15.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 15.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 15.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 15.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 15.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 15.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 15.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 16.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 16.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 16.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 16.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 16.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 16.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 16.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 16.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 17.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 17.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 17.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 17.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 17.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 17.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 17.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 17.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 18.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 18.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 18.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 18.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 18.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 18.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 18.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 18.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 19.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 19.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 19.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 19.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 19.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 19.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 19.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 19.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 20.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 20.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 20.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 20.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 20.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 20.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 20.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 20.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 21.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 21.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 21.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 21.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 21.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 21.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 21.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 21.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 22.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 22.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 22.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 22.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 22.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 22.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 22.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 22.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 23.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 23.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 23.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 23.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 23.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 23.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 23.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 23.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 24.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 24.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 24.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 24.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 24.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 24.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 24.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 24.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 25.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 25.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 25.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 25.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 25.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 25.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 25.5 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 25.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 26.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 26.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 26.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 26.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 26.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 26.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 26.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 26.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 27.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 27.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 27.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 27.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 27.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 27.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 27.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 27.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 28.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 28.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 28.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 28.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 28.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 28.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 28.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 28.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL CT LUCIA 602 3-PIECE 29.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 29.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL CT LUCIA 602 3-PIECE 29.0 DIOPTER 6MM 13MM POSTERIOR CHAMBER MONOFOCAL ASPHERIC ACRYLIC PVDF MONOFILAMENT UV ABS MOD-C 5DEG	SUP-CT LUCIA 602 29.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 29.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 29.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 29.5 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 29.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 30.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 30.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 30.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 30.0	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 31.0D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 31.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 31.0D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 31.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 33.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 33.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 33.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 33.0	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 34.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 34.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 34.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUCIA 602 34.0	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 4.0D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 4.00	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 4.0D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 4.00	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 7.5D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 7.50	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 7.5D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 7.50	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 8.0 D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 8.00	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 8.0 D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 8.00	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 8.5 D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 8.50	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 8.5 D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 8.50	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 9.0D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 9.00	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 9.0D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602 9.00	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 4.5D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602.US/+4.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 4.5D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CT LUCIA 602.US/+4.5	CDM			270	RC		inpatient			350	350																																																			
LENS IOL 3-PIECE 6.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUICA 602 06.0	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS IOL 3-PIECE 6.0 DIOPTER 6MM 13MM ACRYLIC POSTERIOR CHAMBER MONOFOCAL ASPHERIC CT LUCIA 602 5DEG	SUP-CT LUICA 602 06.0	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 31.5D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CTLUCIA 602 31.5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 31.5D 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CTLUCIA 602 31.5	CDM			270	RC		inpatient			350	350																																																			
LENS INTRAOCULAR 7.00 DIOPTER 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CTLUCIA602 7.00	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
LENS INTRAOCULAR 7.00 DIOPTER 3-PIECE MONOFOCAL HYDROPHOBIC	SUP-CTLUCIA602 7.00	CDM			270	RC		inpatient			350	350																																																			
GUIDEWIRE VASCULAR TRAXCESS NITINOL STAINLESS STEEL HYDROPHILIC L115 CM OD.014 IN ATRAUMATIC TIP KINK RESISTANT PUSH PULL CONTROL DOCK	SUP-GW14100EX	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
GUIDEWIRE VASCULAR TRAXCESS NITINOL STAINLESS STEEL HYDROPHILIC L115 CM OD.014 IN ATRAUMATIC TIP KINK RESISTANT PUSH PULL CONTROL DOCK	SUP-GW14100EX	CDM			270	RC		inpatient			350	350																																																			
GUIDEWIRE VASCULAR VICTORY STAINLESS STEEL PTFE HYDROPHILIC STRAIGHT L300 CM OD.014 IN ODSEC25 GA BROAD MATRIX PUSHABILITY EXCELLENT CROSS ENHANCE TORQUE RADIOPAQUE DISPOSABLE BLUE	SUP-H74939231300250	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
GUIDEWIRE VASCULAR VICTORY STAINLESS STEEL PTFE HYDROPHILIC STRAIGHT L300 CM OD.014 IN ODSEC25 GA BROAD MATRIX PUSHABILITY EXCELLENT CROSS ENHANCE TORQUE RADIOPAQUE DISPOSABLE BLUE	SUP-H74939231300250	CDM			270	RC		inpatient			350	350																																																			
GUIDEWIRE LIGHT SUPPORT PHOENIX .014 IN 300 CM 5.5 CM FLOPPY TIP	SUP-PG14300XF	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
GUIDEWIRE LIGHT SUPPORT PHOENIX .014 IN 300 CM 5.5 CM FLOPPY TIP	SUP-PG14300XF	CDM			270	RC		inpatient			350	350																																																			
TOOL DISSECTING BLACK MAX FLUTE ACORN OD6 MM NONSTERILE SILVER BURR	SUP-SIL-24	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
TOOL DISSECTING BLACK MAX FLUTE ACORN OD6 MM NONSTERILE SILVER BURR	SUP-SIL-24	CDM			270	RC		inpatient			350	350																																																			
TOOL DISSECTING BLACK MAX STANDARD TAPER STRAIGHT FLUTE BALL L12.6 CM OD5 MM STERILE DISPOSABLE TURQUOISE BURR	SUP-TURQ - L5	CDM			270	RC		outpatient			350	35	94.82				percent of total billed charges		350				other	OPPS APC	259				percent of total billed charges		350				other	OPPS APC	350				other	OPPS APC	94.82				percent of total billed charges		96.71				percent of total billed charges		35				other	OPPS APC	35	350	
TOOL DISSECTING BLACK MAX STANDARD TAPER STRAIGHT FLUTE BALL L12.6 CM OD5 MM STERILE DISPOSABLE TURQUOISE BURR	SUP-TURQ - L5	CDM			270	RC		inpatient			350	350																																																			
TOOL DISSECTING MIDAS REX LEGEND CYLINDER L10 CM OD4 MM STERILE BURR	SUP-10CY40	CDM			270	RC		outpatient			349.74	349.74	94.74				percent of total billed charges		349.74				other	OPPS APC	258.81				percent of total billed charges		349.74				other	OPPS APC	349.74				other	OPPS APC	94.74				percent of total billed charges		96.63				percent of total billed charges		349.74				other	OPPS APC	94.74	349.74	
TOOL DISSECTING MIDAS REX LEGEND CYLINDER L10 CM OD4 MM STERILE BURR	SUP-10CY40	CDM			270	RC		inpatient			349.74	349.74																																																			
TOOL 10CY50 LEGEND 10CM 5MM	SUP-10CY50_64116	CDM			270	RC		outpatient			349.74	349.74	94.74				percent of total billed charges		349.74				other	OPPS APC	258.81				percent of total billed charges		349.74				other	OPPS APC	349.74				other	OPPS APC	94.74				percent of total billed charges		96.63				percent of total billed charges		349.74				other	OPPS APC	94.74	349.74	
TOOL 10CY50 LEGEND 10CM 5MM	SUP-10CY50_64116	CDM			270	RC		inpatient			349.74	349.74																																																			
TOOL DISSECTING MR8 CYLINDER L10 CM OD4 MM	SUP-MR810CY40_71346	CDM			270	RC		outpatient			349.74	349.74	94.74				percent of total billed charges		349.74				other	OPPS APC	258.81				percent of total billed charges		349.74				other	OPPS APC	349.74				other	OPPS APC	94.74				percent of total billed charges		96.63				percent of total billed charges		349.74				other	OPPS APC	94.74	349.74	
TOOL DISSECTING MR8 CYLINDER L10 CM OD4 MM	SUP-MR810CY40_71346	CDM			270	RC		inpatient			349.74	349.74																																																			
TOOL DISSECTING MR8 CYLINDER L10 CM OD5 MM	SUP-MR8-10CY50	CDM			270	RC		outpatient			349.74	349.74	94.74				percent of total billed charges		349.74				other	OPPS APC	258.81				percent of total billed charges		349.74				other	OPPS APC	349.74				other	OPPS APC	94.74				percent of total billed charges		96.63				percent of total billed charges		349.74				other	OPPS APC	94.74	349.74	
TOOL DISSECTING MR8 CYLINDER L10 CM OD5 MM	SUP-MR8-10CY50	CDM			270	RC		inpatient			349.74	349.74																																																			
CENTRALIZER STEM CEMENTRALIZER PMMA OD11 MM HIP FEMUR STERILE ENDURANCE LUSTER EXCEL SUMMIT SYSTEM	SUP-1376-20-000	CDM			270	RC		outpatient			349.44	349.44	94.66				percent of total billed charges		349.44				other	OPPS APC	258.59				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	94.66				percent of total billed charges		96.55				percent of total billed charges		349.44				other	OPPS APC	94.66	349.44	
CENTRALIZER STEM CEMENTRALIZER PMMA OD11 MM HIP FEMUR STERILE ENDURANCE LUSTER EXCEL SUMMIT SYSTEM	SUP-1376-20-000	CDM			270	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 34MM	SUP-97-00143	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 34MM	SUP-97-00143	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 44MM	SUP-97-00144	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 44MM	SUP-97-00144	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 46MM	SUP-97-00145	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 46MM	SUP-97-00145	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 14MM	SUP-97-03068	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 14MM	SUP-97-03068	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 50MM	SUP-97-03071	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 50MM	SUP-97-03071	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 10MM	SUP-97-03190	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 10MM	SUP-97-03190	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 48MM	SUP-97-03191	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 48MM	SUP-97-03191	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 22MM	SUP-97-03312	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 22MM	SUP-97-03312	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 30MM	SUP-97-03315	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 30MM	SUP-97-03315	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 12MM	SUP-97-03463	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 12MM	SUP-97-03463	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 16MM	SUP-97-03681	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 16MM	SUP-97-03681	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 8MM	SUP-97-03685	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 8MM	SUP-97-03685	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 18MM	SUP-97-03686	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 18MM	SUP-97-03686	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 20MM	SUP-97-03687	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 20MM	SUP-97-03687	CDM			278	RC		inpatient			349.44	349.44																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L16MM	SUP-97-03690	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
BONE SCREW T10 FULL THREAD 2.7MM / L16MM	SUP-97-03690	CDM			278	RC		inpatient			349.44	349.44																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L12MM	SUP-97-03776	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
BONE SCREW T10 FULL THREAD 2.7MM / L12MM	SUP-97-03776	CDM			278	RC		inpatient			349.44	349.44																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L14MM	SUP-97-04127	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
BONE SCREW T10 FULL THREAD 2.7MM / L14MM	SUP-97-04127	CDM			278	RC		inpatient			349.44	349.44																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L18MM	SUP-97-04128	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
BONE SCREW T10 FULL THREAD 2.7MM / L18MM	SUP-97-04128	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 55MM	SUP-97-04848	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 55MM	SUP-97-04848	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 32MM	SUP-97-04996	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 32MM	SUP-97-04996	CDM			278	RC		inpatient			349.44	349.44																																																			
2.7 X 10MM NON LKG SCREW	SUP-97-05128	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
2.7 X 10MM NON LKG SCREW	SUP-97-05128	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 26MM T10 FULL THREAD	SUP-97-05816	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 26MM T10 FULL THREAD	SUP-97-05816	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 28MM T10 FULL THREAD	SUP-97-05817	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 28MM T10 FULL THREAD	SUP-97-05817	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 30MM T10 FULL THREAD	SUP-97-05818	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 30MM T10 FULL THREAD	SUP-97-05818	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 32MM T10 FULL THREAD	SUP-97-05819	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 32MM T10 FULL THREAD	SUP-97-05819	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 34MM T10 FULL THREAD	SUP-97-05820	CDM						inpatient			349.44	349.44																																																			
SCREW 2.7 X 34MM T10 FULL THREAD	SUP-97-05820	CDM						outpatient			349.44	349.44	349.44				percent of total billed charges		349.44				other	OPPS APC	349.44				fee schedule		349.44				other	OPPS APC	349.44				other	OPPS APC	349.44				case rate		349.44				case rate		349.44				other	OPPS APC	349.44	349.44	
SCREW 2.7 X 36MM T10 FULL THREAD	SUP-97-05821	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 36MM T10 FULL THREAD	SUP-97-05821	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 38MM T10 FULL THREAD	SUP-97-05822	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 38MM T10 FULL THREAD	SUP-97-05822	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 40MM T10 FULL THREAD	SUP-97-05823	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 40MM T10 FULL THREAD	SUP-97-05823	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 42MM T10 FULL THREAD	SUP-97-05824	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 42MM T10 FULL THREAD	SUP-97-05824	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 44MM T10 FULL THREAD	SUP-97-05825	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 44MM T10 FULL THREAD	SUP-97-05825	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 46MM T10 FULL THREAD	SUP-97-05826	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 46MM T10 FULL THREAD	SUP-97-05826	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 48MM T10 FULL THREAD	SUP-97-05827	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 48MM T10 FULL THREAD	SUP-97-05827	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 65MM T10 FULL THREAD	SUP-97-05828	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 65MM T10 FULL THREAD	SUP-97-05828	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW 2.7 X 70MM T10 FULL THREAD	SUP-97-05829	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW 2.7 X 70MM T10 FULL THREAD	SUP-97-05829	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 36MM	SUP-97-06013	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 36MM	SUP-97-06013	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 38MM	SUP-97-06014	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 38MM	SUP-97-06014	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 65MM	SUP-97-06015	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 65MM	SUP-97-06015	CDM			278	RC		inpatient			349.44	349.44																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 70MM	SUP-97-06016	CDM			278	RC		outpatient			349.44	349.44	349.44				fee schedule		349.44				other	OPPS APC	199.18				percent of total billed charges		349.44				other	OPPS APC	349.44				other	OPPS APC	171.23				percent of total billed charges		178.21				percent of total billed charges		349.44				other	OPPS APC	171.23	349.44	
SCREW BONE T10 NON LCKNG 3.5MM X 70MM	SUP-97-06016	CDM			278	RC		inpatient			349.44	349.44																																																			
SHEATH - 7FX11 MARKER TIP	SUP-99-00789	CDM			272	RC		outpatient			349.13	349.13	94.58				percent of total billed charges		349.13				other	OPPS APC	258.36				percent of total billed charges		349.13				other	OPPS APC	349.13				other	OPPS APC	94.58				percent of total billed charges		96.46				percent of total billed charges		349.13				other	OPPS APC	94.58	349.13	
SHEATH - 7FX11 MARKER TIP	SUP-99-00789	CDM			272	RC		inpatient			349.13	349.13																																																			
BIT DRILL 8 MM STOP L125 MM L8 MM OD1.5 MM J LATCH COUPLING SELF STOP NONSTERILE 1.5 MM SCREW	SUP-310.172	CDM	270010014	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 8 MM STOP L125 MM L8 MM OD1.5 MM J LATCH COUPLING SELF STOP NONSTERILE 1.5 MM SCREW	SUP-310.172	CDM	270010014	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 100MM 1.8MM NS J LATCH STRYKER	SUP-310.512	CDM	270010014	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 100MM 1.8MM NS J LATCH STRYKER	SUP-310.512	CDM	270010014	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL LONG 125MM 1.8MM NS J LATCH STRYKER	SUP-310.522	CDM	270010014	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL LONG 125MM 1.8MM NS J LATCH STRYKER	SUP-310.522	CDM	270010014	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 3 MM STOP L44.5 MM OD.7 MM J LATCH NONSTERILE	SUP-316.13	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 3 MM STOP L44.5 MM OD.7 MM J LATCH NONSTERILE	SUP-316.13	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 44.5MM 5MM .76MM NS J LATCH COUPLING STOP 1MM SCREW STRYKER	SUP-316.15	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 44.5MM 5MM .76MM NS J LATCH COUPLING STOP 1MM SCREW STRYKER	SUP-316.15	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL L44.5 MM L8 MM OD.76 MM J LATCH STOP NONSTERILE 1 MM SCREW	SUP-316.18	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL L44.5 MM L8 MM OD.76 MM J LATCH STOP NONSTERILE 1 MM SCREW	SUP-316.18	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 44.5MM 4MM 1MM NS J LATCH STOP 1.3MM SCREW STRYKER	SUP-316.446	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 44.5MM 4MM 1MM NS J LATCH STOP 1.3MM SCREW STRYKER	SUP-316.446	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 44.5MM 6MM 1MM NS J LATCH STOP 1.3MM SCREW STRYKER	SUP-316.447	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 44.5MM 6MM 1MM NS J LATCH STOP 1.3MM SCREW STRYKER	SUP-316.447	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL L44.5 MM L8 MM OD1 MM J LATCH STOP NONSTERILE 1.3 MM SCREW STRYKER	SUP-316.448	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL L44.5 MM L8 MM OD1 MM J LATCH STOP NONSTERILE 1.3 MM SCREW STRYKER	SUP-316.448	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 44.5MM 6MM 1.1MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.16	CDM	270010014	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 44.5MM 6MM 1.1MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.16	CDM	270010014	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 44.5MM 8MM 1.1MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.18	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 44.5MM 8MM 1.1MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.18	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL 44.5MM 12MM 1.1MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.22	CDM	270010014	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL 44.5MM 12MM 1.1MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.22	CDM	270010014	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL L110 MM OD1.1 MM J LATCH COUPLING 1/1.5 MM SCREW STRYKER	SUP-317.335	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL L110 MM OD1.1 MM J LATCH COUPLING 1/1.5 MM SCREW STRYKER	SUP-317.335	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
BIT DRILL L85 MM L60 MM OD1.5 MM J LATCH STOP STRYKER	SUP-317.435	CDM	270010022	LOCAL	270	RC		outpatient			349.04	349.42	94.55				percent of total billed charges		349.04				other	OPPS APC	258.29				percent of total billed charges		349.04				other	OPPS APC	349.04				other	OPPS APC	94.55				percent of total billed charges		96.44				percent of total billed charges		349.42				other	OPPS APC	94.55	349.42	
BIT DRILL L85 MM L60 MM OD1.5 MM J LATCH STOP STRYKER	SUP-317.435	CDM	270010022	LOCAL	270	RC		inpatient			349.04	349.04																																																			
HC Sleep Study Unattended Watch Pat	PX-740958000	CDM	95800	CPT	740	RC		outpatient			349	153.17	349				fee schedule		153.17				other	OPPS APC	258.26				percent of total billed charges		153.17				other	OPPS APC	153.17				other	OPPS APC	171.01				percent of total billed charges		177.99				percent of total billed charges		153.17				other	OPPS APC	153.17	349	
HC Sleep Study Unattended Watch Pat	PX-740958000	CDM	95800	CPT	740	RC		inpatient			349	349																																																			
WANG NEEDLE  20G	SUP-95-00697	CDM			272	RC		outpatient			348.6	348.62	94.44				percent of total billed charges		348.6				other	OPPS APC	257.96				percent of total billed charges		348.6				other	OPPS APC	348.6				other	OPPS APC	94.44				percent of total billed charges		96.32				percent of total billed charges		348.62				other	OPPS APC	94.44	348.62	
WANG NEEDLE  20G	SUP-95-00697	CDM			272	RC		inpatient			348.6	348.6																																																			
WANG NEEDLE  19G	SUP-95-00827	CDM			272	RC		outpatient			348.6	348.62	94.44				percent of total billed charges		348.6				other	OPPS APC	257.96				percent of total billed charges		348.6				other	OPPS APC	348.6				other	OPPS APC	94.44				percent of total billed charges		96.32				percent of total billed charges		348.62				other	OPPS APC	94.44	348.62	
WANG NEEDLE  19G	SUP-95-00827	CDM			272	RC		inpatient			348.6	348.6																																																			
PIN FIXATION PERI-LOC STAINLESS STEEL L 40MM OD 3.5MM TRIAL TARGETER	SUP-71173408	CDM			270	RC		outpatient			348.4	348.4	94.38				percent of total billed charges		348.4				other	OPPS APC	257.82				percent of total billed charges		348.4				other	OPPS APC	348.4				other	OPPS APC	94.38				percent of total billed charges		96.26				percent of total billed charges		348.4				other	OPPS APC	94.38	348.4	
PIN FIXATION PERI-LOC STAINLESS STEEL L 40MM OD 3.5MM TRIAL TARGETER	SUP-71173408	CDM			270	RC		inpatient			348.4	348.4																																																			
SCREW 5.0MM TI LOCKING SELF TAPING 40MM	SUP-412.214S	CDM			270	RC		outpatient			348.24	348.24	94.34				percent of total billed charges		348.24				other	OPPS APC	257.7				percent of total billed charges		348.24				other	OPPS APC	348.24				other	OPPS APC	94.34				percent of total billed charges		96.22				percent of total billed charges		348.24				other	OPPS APC	94.34	348.24	
SCREW 5.0MM TI LOCKING SELF TAPING 40MM	SUP-412.214S	CDM			270	RC		inpatient			348.24	348.24																																																			
BIT DRILL STANDARD OD2.7 MM AO FITTING CANNULATED NONSTERILE	SUP-702449	CDM			270	RC		outpatient			348	348	94.27				percent of total billed charges		348				other	OPPS APC	257.52				percent of total billed charges		348				other	OPPS APC	348				other	OPPS APC	94.27				percent of total billed charges		96.15				percent of total billed charges		348				other	OPPS APC	94.27	348	
BIT DRILL STANDARD OD2.7 MM AO FITTING CANNULATED NONSTERILE	SUP-702449	CDM			270	RC		inpatient			348	348																																																			
ELECTRODE 24FR POINTED 27050L	SUP-70-00213	CDM			272	RC		outpatient			347.82	347.82	94.22				percent of total billed charges		347.82				other	OPPS APC	257.39				percent of total billed charges		347.82				other	OPPS APC	347.82				other	OPPS APC	94.22				percent of total billed charges		96.1				percent of total billed charges		347.82				other	OPPS APC	94.22	347.82	
ELECTRODE 24FR POINTED 27050L	SUP-70-00213	CDM			272	RC		inpatient			347.82	347.82																																																			
BIT DRILL LCP 248/95 MM OD2.8 MM QUICK COUPLING CALIBRATED NONSTERILE	SUP-03.122.002	CDM	270010022	LOCAL	270	RC		outpatient			347.6	347.62	94.16				percent of total billed charges		347.6				other	OPPS APC	257.22				percent of total billed charges		347.6				other	OPPS APC	347.6				other	OPPS APC	94.16				percent of total billed charges		96.04				percent of total billed charges		347.62				other	OPPS APC	94.16	347.62	
BIT DRILL LCP 248/95 MM OD2.8 MM QUICK COUPLING CALIBRATED NONSTERILE	SUP-03.122.002	CDM	270010022	LOCAL	270	RC		inpatient			347.6	347.6																																																			
KNIFE SICKLE	SUP-95-03089	CDM			272	RC		outpatient			347.59	347.59	94.16				percent of total billed charges		347.59				other	OPPS APC	257.22				percent of total billed charges		347.59				other	OPPS APC	347.59				other	OPPS APC	94.16				percent of total billed charges		96.04				percent of total billed charges		347.59				other	OPPS APC	94.16	347.59	
KNIFE SICKLE	SUP-95-03089	CDM			272	RC		inpatient			347.59	347.59																																																			
WIRE FIXATION KIRSCHNER T2 STAINLESS STEEL L285 MM OD3 MM SUPRACONDYLAR RETROGRADE STERILE	SUP-1806-0050S	CDM			270	RC		outpatient			347.2	347.2	94.06				percent of total billed charges		347.2				other	OPPS APC	256.93				percent of total billed charges		347.2				other	OPPS APC	347.2				other	OPPS APC	94.06				percent of total billed charges		95.93				percent of total billed charges		347.2				other	OPPS APC	94.06	347.2	
WIRE FIXATION KIRSCHNER T2 STAINLESS STEEL L285 MM OD3 MM SUPRACONDYLAR RETROGRADE STERILE	SUP-1806-0050S	CDM			270	RC		inpatient			347.2	347.2																																																			
DRILL BIT 2.8MM 165MM	SUP-95-02140	CDM			272	RC		outpatient			346.92	346.92	93.98				percent of total billed charges		346.92				other	OPPS APC	256.72				percent of total billed charges		346.92				other	OPPS APC	346.92				other	OPPS APC	93.98				percent of total billed charges		95.85				percent of total billed charges		346.92				other	OPPS APC	93.98	346.92	
DRILL BIT 2.8MM 165MM	SUP-95-02140	CDM			272	RC		inpatient			346.92	346.92																																																			
PLATE BONE TITANIUM 3D H.5 MM UPPERFACIAL 2 X 2 HOLE MALLEABLE 3D 1.2 MM SCREW	SUP-5504231	CDM			270	RC		outpatient			346.8	346.81	93.95				percent of total billed charges		346.8				other	OPPS APC	256.63				percent of total billed charges		346.8				other	OPPS APC	346.8				other	OPPS APC	93.95				percent of total billed charges		95.82				percent of total billed charges		346.81				other	OPPS APC	93.95	346.81	
PLATE BONE TITANIUM 3D H.5 MM UPPERFACIAL 2 X 2 HOLE MALLEABLE 3D 1.2 MM SCREW	SUP-5504231	CDM			270	RC		inpatient			346.8	346.8																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD CURVE H.6 MM MIDFACE 6 HOLE BAR 1.7 MM SCREW	SUP-5505188	CDM			270	RC		outpatient			346.8	346.81	93.95				percent of total billed charges		346.8				other	OPPS APC	256.63				percent of total billed charges		346.8				other	OPPS APC	346.8				other	OPPS APC	93.95				percent of total billed charges		95.82				percent of total billed charges		346.81				other	OPPS APC	93.95	346.81	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD CURVE H.6 MM MIDFACE 6 HOLE BAR 1.7 MM SCREW	SUP-5505188	CDM			270	RC		inpatient			346.8	346.8																																																			
PLATE BONE TITANIUM 5 MM ADVANCEMENT L L5 MM X H.8 MM MIDFACE 5 HOLE LOCK 1.7 MM SCREW	SUP-5505763	CDM			270	RC		outpatient			346.8	346.81	93.95				percent of total billed charges		346.8				other	OPPS APC	256.63				percent of total billed charges		346.8				other	OPPS APC	346.8				other	OPPS APC	93.95				percent of total billed charges		95.82				percent of total billed charges		346.81				other	OPPS APC	93.95	346.81	
PLATE BONE TITANIUM 5 MM ADVANCEMENT L L5 MM X H.8 MM MIDFACE 5 HOLE LOCK 1.7 MM SCREW	SUP-5505763	CDM			270	RC		inpatient			346.8	346.8																																																			
CLIP HEMOSTATIC RESOLUTION 2.8MM 11MM OPEN 235CM DISPOSABLE STERILE RADIOPAQUE PRELOAD	SUP-M00522611	CDM			270	RC		outpatient			346.65	346.65	93.91				percent of total billed charges		346.65				other	OPPS APC	256.52				percent of total billed charges		346.65				other	OPPS APC	346.65				other	OPPS APC	93.91				percent of total billed charges		95.78				percent of total billed charges		346.65				other	OPPS APC	93.91	346.65	
CLIP HEMOSTATIC RESOLUTION 2.8MM 11MM OPEN 235CM DISPOSABLE STERILE RADIOPAQUE PRELOAD	SUP-M00522611	CDM			270	RC		inpatient			346.65	346.65																																																			
FELT	SUP-75-00002	CDM			272	RC		outpatient			346.5	346.5	93.87				percent of total billed charges		346.5				other	OPPS APC	256.41				percent of total billed charges		346.5				other	OPPS APC	346.5				other	OPPS APC	93.87				percent of total billed charges		95.74				percent of total billed charges		346.5				other	OPPS APC	93.87	346.5	
FELT	SUP-75-00002	CDM			272	RC		inpatient			346.5	346.5																																																			
MALYUGIN RING MANIPULATOR	SUP-97-02079	CDM						inpatient			346.5	346.5																																																			
MALYUGIN RING MANIPULATOR	SUP-97-02079	CDM						outpatient			346.5	346.5	346.5				percent of total billed charges		346.5				other	OPPS APC	346.5				fee schedule		346.5				other	OPPS APC	346.5				other	OPPS APC	346.5				case rate		346.5				case rate		346.5				other	OPPS APC	346.5	346.5	
6.5MM LOW PROFILE HEX SCREW 45MM	SUP-97-05029	CDM			278	RC		outpatient			346.5	346.5	346.5				fee schedule		346.5				other	OPPS APC	197.51				percent of total billed charges		346.5				other	OPPS APC	346.5				other	OPPS APC	169.79				percent of total billed charges		176.72				percent of total billed charges		346.5				other	OPPS APC	169.79	346.5	
6.5MM LOW PROFILE HEX SCREW 45MM	SUP-97-05029	CDM			278	RC		inpatient			346.5	346.5																																																			
SINGLE USE SKIN STAPLER 35W	SUP-95-23608	CDM			272	RC		outpatient			345.85	345.85	93.69				percent of total billed charges		345.85				other	OPPS APC	255.93				percent of total billed charges		345.85				other	OPPS APC	345.85				other	OPPS APC	93.69				percent of total billed charges		95.56				percent of total billed charges		345.85				other	OPPS APC	93.69	345.85	
SINGLE USE SKIN STAPLER 35W	SUP-95-23608	CDM			272	RC		inpatient			345.85	345.85																																																			
8 TRIAL BASEPLATE	SUP-97-02266	CDM			278	RC		outpatient			345.8	345.81	345.8				fee schedule		345.8				other	OPPS APC	197.11				percent of total billed charges		345.8				other	OPPS APC	345.8				other	OPPS APC	169.44				percent of total billed charges		176.36				percent of total billed charges		345.81				other	OPPS APC	169.44	345.81	
8 TRIAL BASEPLATE	SUP-97-02266	CDM			278	RC		inpatient			345.8	345.8																																																			
BUTTON CABLE TI6AL4V OD2.5 MM FEMUR POLYAXIAL HEXAGON DRIVE STERILE BLUE NCB LOCK PLATE	SUP-47-2232-060-01	CDM			270	RC		outpatient			345.6	345.62	93.62				percent of total billed charges		345.6				other	OPPS APC	255.74				percent of total billed charges		345.6				other	OPPS APC	345.6				other	OPPS APC	93.62				percent of total billed charges		95.49				percent of total billed charges		345.62				other	OPPS APC	93.62	345.62	
BUTTON CABLE TI6AL4V OD2.5 MM FEMUR POLYAXIAL HEXAGON DRIVE STERILE BLUE NCB LOCK PLATE	SUP-47-2232-060-01	CDM			270	RC		inpatient			345.6	345.6																																																			
PIN HALF L15 MM OD3 MM RADIUS DISTAL	SUP-71063152	CDM			270	RC		outpatient			345.6	345.62	93.62				percent of total billed charges		345.6				other	OPPS APC	255.74				percent of total billed charges		345.6				other	OPPS APC	345.6				other	OPPS APC	93.62				percent of total billed charges		95.49				percent of total billed charges		345.62				other	OPPS APC	93.62	345.62	
PIN HALF L15 MM OD3 MM RADIUS DISTAL	SUP-71063152	CDM			270	RC		inpatient			345.6	345.6																																																			
PIN HALF L20 MM OD3 MM RADIUS DISTAL	SUP-71063202	CDM			270	RC		outpatient			345.6	345.62	93.62				percent of total billed charges		345.6				other	OPPS APC	255.74				percent of total billed charges		345.6				other	OPPS APC	345.6				other	OPPS APC	93.62				percent of total billed charges		95.49				percent of total billed charges		345.62				other	OPPS APC	93.62	345.62	
PIN HALF L20 MM OD3 MM RADIUS DISTAL	SUP-71063202	CDM			270	RC		inpatient			345.6	345.6																																																			
TUBING HIGH FLOW SONASTAR AND IRRIGATION	SUP-MXA-HF	CDM			270	RC		outpatient			345.6	345.62	93.62				percent of total billed charges		345.6				other	OPPS APC	255.74				percent of total billed charges		345.6				other	OPPS APC	345.6				other	OPPS APC	93.62				percent of total billed charges		95.49				percent of total billed charges		345.62				other	OPPS APC	93.62	345.62	
TUBING HIGH FLOW SONASTAR AND IRRIGATION	SUP-MXA-HF	CDM			270	RC		inpatient			345.6	345.6																																																			
SET TUBING ULTRASONIC ASPIRATOR SONASTAR	SUP-MXA-PA	CDM			270	RC		outpatient			345.6	345.62	93.62				percent of total billed charges		345.6				other	OPPS APC	255.74				percent of total billed charges		345.6				other	OPPS APC	345.6				other	OPPS APC	93.62				percent of total billed charges		95.49				percent of total billed charges		345.62				other	OPPS APC	93.62	345.62	
SET TUBING ULTRASONIC ASPIRATOR SONASTAR	SUP-MXA-PA	CDM			270	RC		inpatient			345.6	345.6																																																			
SET DRAINAGE STANDARD 29CM 20CM 9FR 18GA SS VINYL PTFE DISPOSABLE STERILE LF THORACIC 1 WAY STOPCOCK CATHETER NEEDLE	SUP-G03301	CDM			270	RC		outpatient			345.42	345.42	93.57				percent of total billed charges		345.42				other	OPPS APC	255.61				percent of total billed charges		345.42				other	OPPS APC	345.42				other	OPPS APC	93.57				percent of total billed charges		95.44				percent of total billed charges		345.42				other	OPPS APC	93.57	345.42	
SET DRAINAGE STANDARD 29CM 20CM 9FR 18GA SS VINYL PTFE DISPOSABLE STERILE LF THORACIC 1 WAY STOPCOCK CATHETER NEEDLE	SUP-G03301	CDM			270	RC		inpatient			345.42	345.42																																																			
SCREW BONE 4MM PARTIAL THREAD 40MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.240	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE 4MM PARTIAL THREAD 40MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.240	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE 4MM PARTIAL THREAD 45MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.245	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE 4MM PARTIAL THREAD 45MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.245	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE 4MM PARTIAL THREAD 50MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.250	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE 4MM PARTIAL THREAD 50MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.250	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE LCP STAINLESS STEEL 4 MM PARTIAL THREAD CONE HEXAGON L75 MM OD5 MM ODSEC4.4 MM TIBIA MEDIAL PROXIMAL SELF DRILL SELF TAP CANNULATED SOCKET SMOOTH HEAD NONSTERILE	SUP-02.205.275	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE LCP STAINLESS STEEL 4 MM PARTIAL THREAD CONE HEXAGON L75 MM OD5 MM ODSEC4.4 MM TIBIA MEDIAL PROXIMAL SELF DRILL SELF TAP CANNULATED SOCKET SMOOTH HEAD NONSTERILE	SUP-02.205.275	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE LCP STAINLESS STEEL 4 MM PARTIAL THREAD CONE HEXAGON L80 MM OD5 MM ODSEC4.4 MM TIBIA MEDIAL PROXIMAL SELF DRILL SELF TAP CANNULATED SOCKET SMOOTH HEAD NONSTERILE	SUP-02.205.280	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE LCP STAINLESS STEEL 4 MM PARTIAL THREAD CONE HEXAGON L80 MM OD5 MM ODSEC4.4 MM TIBIA MEDIAL PROXIMAL SELF DRILL SELF TAP CANNULATED SOCKET SMOOTH HEAD NONSTERILE	SUP-02.205.280	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L85 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL CONICAL HEAD NONSTERILE	SUP-02.205.285	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L85 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL CONICAL HEAD NONSTERILE	SUP-02.205.285	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE 4MM PARTIAL THREAD 90MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.290	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE 4MM PARTIAL THREAD 90MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.290	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
SCREW BONE 4MM PARTIAL THREAD 95MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.295	CDM	270010022	LOCAL	270	RC		outpatient			345.4	345.4	93.57				percent of total billed charges		345.4				other	OPPS APC	255.6				percent of total billed charges		345.4				other	OPPS APC	345.4				other	OPPS APC	93.57				percent of total billed charges		95.43				percent of total billed charges		345.4				other	OPPS APC	93.57	345.4	
SCREW BONE 4MM PARTIAL THREAD 95MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.295	CDM	270010022	LOCAL	270	RC		inpatient			345.4	345.4																																																			
CATHETER PACING BARD 1CM PROXIMAL 110CM 5FR NATURAL RUBBER DISPOSABLE STERILE LATEX ELECTRODE BIPOLAR DISTAL TIP BALLOON	SUP-006173P	CDM			270	RC		outpatient			345.25	345.25	93.53				percent of total billed charges		345.25				other	OPPS APC	255.49				percent of total billed charges		345.25				other	OPPS APC	345.25				other	OPPS APC	93.53				percent of total billed charges		95.39				percent of total billed charges		345.25				other	OPPS APC	93.53	345.25	
CATHETER PACING BARD 1CM PROXIMAL 110CM 5FR NATURAL RUBBER DISPOSABLE STERILE LATEX ELECTRODE BIPOLAR DISTAL TIP BALLOON	SUP-006173P	CDM			270	RC		inpatient			345.25	345.25																																																			
EXTRACTION BOLT 2.7	SUP-97-02967	CDM			278	RC		outpatient			345.21	345.3	345.21				fee schedule		345.21				other	OPPS APC	196.77				percent of total billed charges		345.21				other	OPPS APC	345.21				other	OPPS APC	169.15				percent of total billed charges		176.06				percent of total billed charges		345.3				other	OPPS APC	169.15	345.3	
EXTRACTION BOLT 2.7	SUP-97-02967	CDM			278	RC		inpatient			345.21	345.21																																																			
IRIS RETRACTORS	SUP-73-00059	CDM			272	RC		outpatient			344.75	344.75	93.39				percent of total billed charges		344.75				other	OPPS APC	255.12				percent of total billed charges		344.75				other	OPPS APC	344.75				other	OPPS APC	93.39				percent of total billed charges		95.25				percent of total billed charges		344.75				other	OPPS APC	93.39	344.75	
IRIS RETRACTORS	SUP-73-00059	CDM			272	RC		inpatient			344.75	344.75																																																			
SUTURE KIT STERNUM DOUBLE WIRE STAINLESS STEEL	SUP-95-05403	CDM			272	RC		outpatient			344.75	344.75	93.39				percent of total billed charges		344.75				other	OPPS APC	255.12				percent of total billed charges		344.75				other	OPPS APC	344.75				other	OPPS APC	93.39				percent of total billed charges		95.25				percent of total billed charges		344.75				other	OPPS APC	93.39	344.75	
SUTURE KIT STERNUM DOUBLE WIRE STAINLESS STEEL	SUP-95-05403	CDM			272	RC		inpatient			344.75	344.75																																																			
SCREW BONE 4MM FULL THREAD 30MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.030	CDM	270010022	LOCAL	270	RC		outpatient			344.36	344.36	93.29				percent of total billed charges		344.36				other	OPPS APC	254.83				percent of total billed charges		344.36				other	OPPS APC	344.36				other	OPPS APC	93.29				percent of total billed charges		95.15				percent of total billed charges		344.36				other	OPPS APC	93.29	344.36	
SCREW BONE 4MM FULL THREAD 30MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL LOCK PERIARTICULAR PLATE SYSTEM	SUP-02.205.030	CDM	270010022	LOCAL	270	RC		inpatient			344.36	344.36																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L60 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.060	CDM	270010022	LOCAL	270	RC		outpatient			344.36	344.36	93.29				percent of total billed charges		344.36				other	OPPS APC	254.83				percent of total billed charges		344.36				other	OPPS APC	344.36				other	OPPS APC	93.29				percent of total billed charges		95.15				percent of total billed charges		344.36				other	OPPS APC	93.29	344.36	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L60 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.060	CDM	270010022	LOCAL	270	RC		inpatient			344.36	344.36																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L70 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.070	CDM	270010022	LOCAL	270	RC		outpatient			344.36	344.36	93.29				percent of total billed charges		344.36				other	OPPS APC	254.83				percent of total billed charges		344.36				other	OPPS APC	344.36				other	OPPS APC	93.29				percent of total billed charges		95.15				percent of total billed charges		344.36				other	OPPS APC	93.29	344.36	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L70 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.070	CDM	270010022	LOCAL	270	RC		inpatient			344.36	344.36																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L75 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.075	CDM	270010022	LOCAL	270	RC		outpatient			344.36	344.36	93.29				percent of total billed charges		344.36				other	OPPS APC	254.83				percent of total billed charges		344.36				other	OPPS APC	344.36				other	OPPS APC	93.29				percent of total billed charges		95.15				percent of total billed charges		344.36				other	OPPS APC	93.29	344.36	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L75 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL LOCK NONSTERILE	SUP-02.205.075	CDM	270010022	LOCAL	270	RC		inpatient			344.36	344.36																																																			
SCREW BONE LCP STAINLESS STEEL 4 MM FULL THREAD L85 MM OD5 MM ODSEC4.4 MM PROXIMAL MEDIAL TIBIA CANNULATED LOCKING SELF DRILLING SELF TAPPING TIP THREADED CONICAL HEAD NONSTERILE	SUP-02.205.085	CDM	270010022	LOCAL	270	RC		outpatient			344.36	344.36	93.29				percent of total billed charges		344.36				other	OPPS APC	254.83				percent of total billed charges		344.36				other	OPPS APC	344.36				other	OPPS APC	93.29				percent of total billed charges		95.15				percent of total billed charges		344.36				other	OPPS APC	93.29	344.36	
SCREW BONE LCP STAINLESS STEEL 4 MM FULL THREAD L85 MM OD5 MM ODSEC4.4 MM PROXIMAL MEDIAL TIBIA CANNULATED LOCKING SELF DRILLING SELF TAPPING TIP THREADED CONICAL HEAD NONSTERILE	SUP-02.205.085	CDM	270010022	LOCAL	270	RC		inpatient			344.36	344.36																																																			
HC Hla Class II Typing High Res 1 Locus	PX-301813820	CDM	81382	CPT	301	RC		outpatient			344	123.68	344				fee schedule		123.68				fee schedule		178.87				fee schedule		123.68				fee schedule		123.68				fee schedule		123.68				fee schedule		123.68				fee schedule		123.68				fee schedule		123.68	344	
HC Hla Class II Typing High Res 1 Locus	PX-301813820	CDM	81382	CPT	301	RC		inpatient			344	344																																																			
HC Apply Long Arm Splint	PX-450291051	CDM	29105	CPT	450	RC		outpatient			344	344	195.77				case rate		344				other	OPPS APC	254.56				percent of total billed charges		344				other	OPPS APC	344				other	OPPS APC	195.77				case rate		199.69				case rate		344				other	OPPS APC	195.77	344	
HC Apply Long Arm Splint	PX-450291051	CDM	29105	CPT	450	RC		inpatient			344	344																																																			
HC Apply Forearm Splint	PX-450291251	CDM	29125	CPT	450	RC		outpatient			344	344	195.77				case rate		344				other	OPPS APC	254.56				percent of total billed charges		344				other	OPPS APC	344				other	OPPS APC	195.77				case rate		199.69				case rate		344				other	OPPS APC	195.77	344	
HC Apply Forearm Splint	PX-450291251	CDM	29125	CPT	450	RC		inpatient			344	344																																																			
HC Apply Forearm Splint  Dynamic	PX-450291261	CDM	29126	CPT	450	RC		outpatient			344	344	195.77				case rate		344				other	OPPS APC	254.56				percent of total billed charges		344				other	OPPS APC	344				other	OPPS APC	195.77				case rate		199.69				case rate		344				other	OPPS APC	195.77	344	
HC Apply Forearm Splint  Dynamic	PX-450291261	CDM	29126	CPT	450	RC		inpatient			344	344																																																			
HC Application Finger Splint  Static	PX-450291301	CDM	29130	CPT	450	RC		outpatient			344	344	195.77				case rate		344				other	OPPS APC	254.56				percent of total billed charges		344				other	OPPS APC	344				other	OPPS APC	195.77				case rate		199.69				case rate		344				other	OPPS APC	195.77	344	
HC Application Finger Splint  Static	PX-450291301	CDM	29130	CPT	450	RC		inpatient			344	344																																																			
HC Strapping of Shoulder	PX-450292401	CDM	29240	CPT	450	RC		outpatient			344	344	195.77				case rate		344				other	OPPS APC	254.56				percent of total billed charges		344				other	OPPS APC	344				other	OPPS APC	195.77				case rate		199.69				case rate		344				other	OPPS APC	195.77	344	
HC Strapping of Shoulder	PX-450292401	CDM	29240	CPT	450	RC		inpatient			344	344																																																			
HC Debride Open Wound W/Mod	PX-761975970	CDM	97597	CPT	761	RC		outpatient			344	19.19	195.77				case rate		190.19				other	OPPS APC	135.37				fee schedule		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		175.44				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC Debride Open Wound W/Mod	PX-761975970	CDM	97597	CPT	761	RC		inpatient			344	344																																																			
DRILBIT FOR OVERDRILL 3.5MM X 122MM	SUP-45-35020	CDM			270	RC		outpatient			344	344	93.19				percent of total billed charges		344				other	OPPS APC	254.56				percent of total billed charges		344				other	OPPS APC	344				other	OPPS APC	93.19				percent of total billed charges		95.05				percent of total billed charges		344				other	OPPS APC	93.19	344	
DRILBIT FOR OVERDRILL 3.5MM X 122MM	SUP-45-35020	CDM			270	RC		inpatient			344	344																																																			
SCREW BONE LCP STAINLESS STEEL L80 MM OD5 MM PROXIMAL PERIARTICULAR FEMUR TIBIA CANNULATED LOCKING NONSTERILE	SUP-222.546	CDM	270010022	LOCAL	270	RC		outpatient			343.8	343.81	93.14				percent of total billed charges		343.8				other	OPPS APC	254.41				percent of total billed charges		343.8				other	OPPS APC	343.8				other	OPPS APC	93.14				percent of total billed charges		94.99				percent of total billed charges		343.81				other	OPPS APC	93.14	343.81	
SCREW BONE LCP STAINLESS STEEL L80 MM OD5 MM PROXIMAL PERIARTICULAR FEMUR TIBIA CANNULATED LOCKING NONSTERILE	SUP-222.546	CDM	270010022	LOCAL	270	RC		inpatient			343.8	343.8																																																			
BIT DRILL 10MM .76MM MINI SS QUICK COUPLING NS	SUP-316.290	CDM	270010022	LOCAL	270	RC		outpatient			343.8	343.81	93.14				percent of total billed charges		343.8				other	OPPS APC	254.41				percent of total billed charges		343.8				other	OPPS APC	343.8				other	OPPS APC	93.14				percent of total billed charges		94.99				percent of total billed charges		343.81				other	OPPS APC	93.14	343.81	
BIT DRILL 10MM .76MM MINI SS QUICK COUPLING NS	SUP-316.290	CDM	270010022	LOCAL	270	RC		inpatient			343.8	343.8																																																			
14FR NEPHROSTOMY TUBE	SUP-95-04066	CDM			272	RC		outpatient			343.49	343.49	93.05				percent of total billed charges		343.49				other	OPPS APC	254.18				percent of total billed charges		343.49				other	OPPS APC	343.49				other	OPPS APC	93.05				percent of total billed charges		94.91				percent of total billed charges		343.49				other	OPPS APC	93.05	343.49	
14FR NEPHROSTOMY TUBE	SUP-95-04066	CDM			272	RC		inpatient			343.49	343.49																																																			
TUBE MNPLR 33CM 5MM OUTER	SUP-97-02648	CDM			278	RC		outpatient			343.39	343.39	343.39				fee schedule		343.39				other	OPPS APC	195.73				percent of total billed charges		343.39				other	OPPS APC	343.39				other	OPPS APC	168.26				percent of total billed charges		175.13				percent of total billed charges		343.39				other	OPPS APC	168.26	343.39	
TUBE MNPLR 33CM 5MM OUTER	SUP-97-02648	CDM			278	RC		inpatient			343.39	343.39																																																			
RELOAD STAPLER ECHELON FLEX ENDOPATH 4.1MM 60MM 2MM GREEN SS DISPOSABLE STERILE LF THICK TISSUE 6 ROW	SUP-ECR60G	CDM			270	RC		outpatient			343.32	343.32	93.01				percent of total billed charges		343.32				other	OPPS APC	254.06				percent of total billed charges		343.32				other	OPPS APC	343.32				other	OPPS APC	93.01				percent of total billed charges		94.86				percent of total billed charges		343.32				other	OPPS APC	93.01	343.32	
RELOAD STAPLER ECHELON FLEX ENDOPATH 4.1MM 60MM 2MM GREEN SS DISPOSABLE STERILE LF THICK TISSUE 6 ROW	SUP-ECR60G	CDM			270	RC		inpatient			343.32	343.32																																																			
SCREW BONE STAINLESS STEEL T25 L20 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.220	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L20 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.220	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L22 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.222	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L22 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.222	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L24 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.224	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L24 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.224	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L26 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.226	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L26 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.226	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L28 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.228	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L28 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.228	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L30 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.230	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L30 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.230	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L32 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.232	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L32 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.232	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L34 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.234	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L34 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.234	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L36 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.236	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L36 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.236	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L38 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.238	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L38 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.238	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L38 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.240	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L38 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.240	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L44 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.244	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L44 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.244	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L60 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.260	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L60 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.260	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
SCREW BONE STAINLESS STEEL T25 L75 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.275	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
SCREW BONE STAINLESS STEEL T25 L75 MM OD5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE CURVE CONDYLAR PLATE SYSTEM	SUP-02.231.275	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
5.0MM VARIABLE ANGLE LOCKNG SCREW/SLF-TPNG/STRDRV/80MM	SUP-02.231.280	CDM	270010022	LOCAL	270	RC		outpatient			343.2	343.2	92.97				percent of total billed charges		343.2				other	OPPS APC	253.97				percent of total billed charges		343.2				other	OPPS APC	343.2				other	OPPS APC	92.97				percent of total billed charges		94.83				percent of total billed charges		343.2				other	OPPS APC	92.97	343.2	
5.0MM VARIABLE ANGLE LOCKNG SCREW/SLF-TPNG/STRDRV/80MM	SUP-02.231.280	CDM	270010022	LOCAL	270	RC		inpatient			343.2	343.2																																																			
MESH SURGICAL BARD 3DMAX LG 3D CURVE CONTOUR 6X4IN POLYPROPYLENE STERILE GROIN LEFT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115311	CDM			270	RC		outpatient			343	343	92.92				percent of total billed charges		343				other	OPPS APC	253.82				percent of total billed charges		343				other	OPPS APC	343				other	OPPS APC	92.92				percent of total billed charges		94.77				percent of total billed charges		343				other	OPPS APC	92.92	343	
MESH SURGICAL BARD 3DMAX LG 3D CURVE CONTOUR 6X4IN POLYPROPYLENE STERILE GROIN LEFT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115311	CDM			270	RC		inpatient			343	343																																																			
MESH SURGICAL BARD 3DMAX LG 3D CURVE CONTOUR 6X4IN POLYPROPYLENE STERILE GROIN RIGHT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115321	CDM			270	RC		outpatient			343	343	92.92				percent of total billed charges		343				other	OPPS APC	253.82				percent of total billed charges		343				other	OPPS APC	343				other	OPPS APC	92.92				percent of total billed charges		94.77				percent of total billed charges		343				other	OPPS APC	92.92	343	
MESH SURGICAL BARD 3DMAX LG 3D CURVE CONTOUR 6X4IN POLYPROPYLENE STERILE GROIN RIGHT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115321	CDM			270	RC		inpatient			343	343																																																			
SCREW BONE TITANIUM L10 MM OD3 MM STERNUM SELF TAP LOCK STERILE FIXATION SYSTEM SET	SUP-413.580E	CDM			270	RC		outpatient			342.94	342.94	92.9				percent of total billed charges		342.94				other	OPPS APC	253.78				percent of total billed charges		342.94				other	OPPS APC	342.94				other	OPPS APC	92.9				percent of total billed charges		94.75				percent of total billed charges		342.94				other	OPPS APC	92.9	342.94	
SCREW BONE TITANIUM L10 MM OD3 MM STERNUM SELF TAP LOCK STERILE FIXATION SYSTEM SET	SUP-413.580E	CDM			270	RC		inpatient			342.94	342.94																																																			
BIT DRILL MATRIXRIB TITANIUM L88 MM L24 MM OD1.5 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE	SUP-03.501.024	CDM			270	RC		outpatient			342.74	342.74	92.85				percent of total billed charges		342.74				other	OPPS APC	253.63				percent of total billed charges		342.74				other	OPPS APC	342.74				other	OPPS APC	92.85				percent of total billed charges		94.7				percent of total billed charges		342.74				other	OPPS APC	92.85	342.74	
BIT DRILL MATRIXRIB TITANIUM L88 MM L24 MM OD1.5 MM STERNUM J LATCH COUPLING SELF STOP NONSTERILE	SUP-03.501.024	CDM			270	RC		inpatient			342.74	342.74																																																			
TRAY CATHETER HD MAHURKAR ELITE ACUTE PASS 13.5 FR DIAMETER 16 CM 450 ML/MIN CURVED EXTENSION SYMMETRIC TIP	SUP-8888212416	CDM			270	RC		outpatient			342.56	342.56	92.8				percent of total billed charges		342.56				other	OPPS APC	253.49				percent of total billed charges		342.56				other	OPPS APC	342.56				other	OPPS APC	92.8				percent of total billed charges		94.65				percent of total billed charges		342.56				other	OPPS APC	92.8	342.56	
TRAY CATHETER HD MAHURKAR ELITE ACUTE PASS 13.5 FR DIAMETER 16 CM 450 ML/MIN CURVED EXTENSION SYMMETRIC TIP	SUP-8888212416	CDM			270	RC		inpatient			342.56	342.56																																																			
CATHETER STRAIGHTENING STYLET 61CM	SUP-76-00146	CDM			272	RC		outpatient			342.2	342.2	92.7				percent of total billed charges		342.2				other	OPPS APC	253.23				percent of total billed charges		342.2				other	OPPS APC	342.2				other	OPPS APC	92.7				percent of total billed charges		94.55				percent of total billed charges		342.2				other	OPPS APC	92.7	342.2	
CATHETER STRAIGHTENING STYLET 61CM	SUP-76-00146	CDM			272	RC		inpatient			342.2	342.2																																																			
SCREW BONE NCB PROTASUL-64 L55 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.055	CDM			270	RC		outpatient			342.08	342.8	92.67				percent of total billed charges		342.08				other	OPPS APC	253.14				percent of total billed charges		342.08				other	OPPS APC	342.08				other	OPPS APC	92.67				percent of total billed charges		94.52				percent of total billed charges		342.8				other	OPPS APC	92.67	342.8	
SCREW BONE NCB PROTASUL-64 L55 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.055	CDM			270	RC		inpatient			342.08	342.08																																																			
SCREW BONE NCB TI-6AL-4V L65 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF TAP HEXAGONAL DRIVE	SUP-02.03150.065	CDM			270	RC		outpatient			342.08	342.8	92.67				percent of total billed charges		342.08				other	OPPS APC	253.14				percent of total billed charges		342.08				other	OPPS APC	342.08				other	OPPS APC	92.67				percent of total billed charges		94.52				percent of total billed charges		342.8				other	OPPS APC	92.67	342.8	
SCREW BONE NCB TI-6AL-4V L65 MM OD5 MM ODSEC3.5 MM FEMUR DISTAL SELF TAP HEXAGONAL DRIVE	SUP-02.03150.065	CDM			270	RC		inpatient			342.08	342.08																																																			
SCREW BONE NCB TI6AL4V L70 MM OD5 MM ODSEC3.5 MM SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.070	CDM			270	RC		outpatient			342.08	342.8	92.67				percent of total billed charges		342.08				other	OPPS APC	253.14				percent of total billed charges		342.08				other	OPPS APC	342.08				other	OPPS APC	92.67				percent of total billed charges		94.52				percent of total billed charges		342.8				other	OPPS APC	92.67	342.8	
SCREW BONE NCB TI6AL4V L70 MM OD5 MM ODSEC3.5 MM SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.070	CDM			270	RC		inpatient			342.08	342.08																																																			
SCREW BONE NCB PROTASUL-64 L80 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.080	CDM			270	RC		outpatient			342.08	342.8	92.67				percent of total billed charges		342.08				other	OPPS APC	253.14				percent of total billed charges		342.08				other	OPPS APC	342.08				other	OPPS APC	92.67				percent of total billed charges		94.52				percent of total billed charges		342.8				other	OPPS APC	92.67	342.8	
SCREW BONE NCB PROTASUL-64 L80 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.080	CDM			270	RC		inpatient			342.08	342.08																																																			
PROBE LAPAROSCOPIC SONASTAR PLASTIC SILICONE RUBBER 23KHZ STANDARD L30 CM ID1.9 MM RIGID SHEATH STRAIGHT ASPIRATION TIP REPOSABLE	SUP-MXA-L002	CDM			270	RC		outpatient			342	342	92.65				percent of total billed charges		342				other	OPPS APC	253.08				percent of total billed charges		342				other	OPPS APC	342				other	OPPS APC	92.65				percent of total billed charges		94.49				percent of total billed charges		342				other	OPPS APC	92.65	342	
PROBE LAPAROSCOPIC SONASTAR PLASTIC SILICONE RUBBER 23KHZ STANDARD L30 CM ID1.9 MM RIGID SHEATH STRAIGHT ASPIRATION TIP REPOSABLE	SUP-MXA-L002	CDM			270	RC		inpatient			342	342																																																			
CATHETER SUPPORT NAVICROSS STAINLESS STEEL HYDROPHILIC 12 MM L65 CM L40 CM PERIPHERAL 2 BRAID RADIOPAQUE STRAIGHT TAPER TIP STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 4 FR INTRODUCER SHEATH	SUP-NC35650	CDM			270	RC		outpatient			342	342	92.65				percent of total billed charges		342				other	OPPS APC	253.08				percent of total billed charges		342				other	OPPS APC	342				other	OPPS APC	92.65				percent of total billed charges		94.49				percent of total billed charges		342				other	OPPS APC	92.65	342	
CATHETER SUPPORT NAVICROSS STAINLESS STEEL HYDROPHILIC 12 MM L65 CM L40 CM PERIPHERAL 2 BRAID RADIOPAQUE STRAIGHT TAPER TIP STERILE LATEX FREE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE 4 FR INTRODUCER SHEATH	SUP-NC35650	CDM			270	RC		inpatient			342	342																																																			
RELOAD STAPLER ENDO GIA ROTICULATOR TITANIUM UNIVERSAL L45 MM X H2.5 MM OD12 MM VASCULAR TISSUE 6 ROW KNIFE BLADE CARTRIDGE GAP CONTROL STERILE LATEX FREE DISPOSABLE WHITE ENDOSCOPIC	SUP-030454	CDM			270	RC		outpatient			341.95	341.95	92.63				percent of total billed charges		341.95				other	OPPS APC	253.04				percent of total billed charges		341.95				other	OPPS APC	341.95				other	OPPS APC	92.63				percent of total billed charges		94.48				percent of total billed charges		341.95				other	OPPS APC	92.63	341.95	
RELOAD STAPLER ENDO GIA ROTICULATOR TITANIUM UNIVERSAL L45 MM X H2.5 MM OD12 MM VASCULAR TISSUE 6 ROW KNIFE BLADE CARTRIDGE GAP CONTROL STERILE LATEX FREE DISPOSABLE WHITE ENDOSCOPIC	SUP-030454	CDM			270	RC		inpatient			341.95	341.95																																																			
STAPLER RELOAD ENDOWRIST 30 RELOAD BLUE	SUP-48630B	CDM			270	RC		outpatient			341.67	341.67	92.56				percent of total billed charges		341.67				other	OPPS APC	252.84				percent of total billed charges		341.67				other	OPPS APC	341.67				other	OPPS APC	92.56				percent of total billed charges		94.4				percent of total billed charges		341.67				other	OPPS APC	92.56	341.67	
STAPLER RELOAD ENDOWRIST 30 RELOAD BLUE	SUP-48630B	CDM			270	RC		inpatient			341.67	341.67																																																			
STAPLER RELOAD ENDOWRIST 30 RELOAD GREEN	SUP-48630G	CDM			270	RC		outpatient			341.67	341.67	92.56				percent of total billed charges		341.67				other	OPPS APC	252.84				percent of total billed charges		341.67				other	OPPS APC	341.67				other	OPPS APC	92.56				percent of total billed charges		94.4				percent of total billed charges		341.67				other	OPPS APC	92.56	341.67	
STAPLER RELOAD ENDOWRIST 30 RELOAD GREEN	SUP-48630G	CDM			270	RC		inpatient			341.67	341.67																																																			
STAPLER RELOAD ENDOWRIST 30 RELOAD GRAY	SUP-48630M	CDM			270	RC		outpatient			341.67	341.67	92.56				percent of total billed charges		341.67				other	OPPS APC	252.84				percent of total billed charges		341.67				other	OPPS APC	341.67				other	OPPS APC	92.56				percent of total billed charges		94.4				percent of total billed charges		341.67				other	OPPS APC	92.56	341.67	
STAPLER RELOAD ENDOWRIST 30 RELOAD GRAY	SUP-48630M	CDM			270	RC		inpatient			341.67	341.67																																																			
STAPLER RELOAD ENDOWRIST 30 RELOAD WHITE	SUP-48630W	CDM			270	RC		outpatient			341.67	341.67	92.56				percent of total billed charges		341.67				other	OPPS APC	252.84				percent of total billed charges		341.67				other	OPPS APC	341.67				other	OPPS APC	92.56				percent of total billed charges		94.4				percent of total billed charges		341.67				other	OPPS APC	92.56	341.67	
STAPLER RELOAD ENDOWRIST 30 RELOAD WHITE	SUP-48630W	CDM			270	RC		inpatient			341.67	341.67																																																			
TOGA SURGICAL T7 PLUS ZIPPER PEEL AWAY FACE SHIELD STERILE LATEX FREE DISPOSABLE	SUP-23-00111	CDM			272	RC		outpatient			341.4	341.4	92.49				percent of total billed charges		341.4				other	OPPS APC	252.64				percent of total billed charges		341.4				other	OPPS APC	341.4				other	OPPS APC	92.49				percent of total billed charges		94.33				percent of total billed charges		341.4				other	OPPS APC	92.49	341.4	
TOGA SURGICAL T7 PLUS ZIPPER PEEL AWAY FACE SHIELD STERILE LATEX FREE DISPOSABLE	SUP-23-00111	CDM			272	RC		inpatient			341.4	341.4																																																			
PIN SCHANZ 5.0MM AO CONNECT	SUP-95-05594	CDM			272	RC		outpatient			341.25	341.25	92.44				percent of total billed charges		341.25				other	OPPS APC	252.53				percent of total billed charges		341.25				other	OPPS APC	341.25				other	OPPS APC	92.44				percent of total billed charges		94.29				percent of total billed charges		341.25				other	OPPS APC	92.44	341.25	
PIN SCHANZ 5.0MM AO CONNECT	SUP-95-05594	CDM			272	RC		inpatient			341.25	341.25																																																			
K-WIRE FIXATION	SUP-97-01363	CDM			278	RC		outpatient			341.25	341.25	341.25				fee schedule		341.25				other	OPPS APC	194.51				percent of total billed charges		341.25				other	OPPS APC	341.25				other	OPPS APC	167.21				percent of total billed charges		174.04				percent of total billed charges		341.25				other	OPPS APC	167.21	341.25	
K-WIRE FIXATION	SUP-97-01363	CDM			278	RC		inpatient			341.25	341.25																																																			
PLATE BONE TITANIUM 3D BOX CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE 1.5 MM SCREW	SUP-5305228	CDM			270	RC		outpatient			341.08	341.8	92.4				percent of total billed charges		341.08				other	OPPS APC	252.4				percent of total billed charges		341.08				other	OPPS APC	341.08				other	OPPS APC	92.4				percent of total billed charges		94.24				percent of total billed charges		341.8				other	OPPS APC	92.4	341.8	
PLATE BONE TITANIUM 3D BOX CRANIOMAXILLOFACIAL 2 X 2 HOLE LOW PROFILE 1.5 MM SCREW	SUP-5305228	CDM			270	RC		inpatient			341.08	341.08																																																			
HC Renal Path Level IV Wet Ts	PX-310883054	CDM	88305	CPT	310	RC		outpatient			341	52.81	97.57				fee schedule		52.81				other	OPPS APC	88.8				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	167.09				percent of total billed charges		173.91				percent of total billed charges		52.81				other	OPPS APC	52.81	173.91	
HC Renal Path Level IV Wet Ts	PX-310883054	CDM	88305	CPT	310	RC		inpatient			341	341																																																			
HC Oper Cholangiogrm	PX-320743000	CDM	74300	CPT	320	RC		outpatient			341	341	167.09				percent of total billed charges		341				other	OPPS APC	112.36				fee schedule		341				other	OPPS APC	341				other	OPPS APC	167.09				percent of total billed charges		173.91				percent of total billed charges		341				other	OPPS APC	112.36	341	
HC Oper Cholangiogrm	PX-320743000	CDM	74300	CPT	320	RC		inpatient			341	341																																																			
HC Anesthesiology	PX-370000000	CDM	370000000	LOCAL	370	RC		outpatient			341	341	96.23				percent of total billed charges		341				other	OPPS APC	252.34				percent of total billed charges		341				other	OPPS APC	341				other	OPPS APC	96.23				percent of total billed charges		98.14				percent of total billed charges		341				other	OPPS APC	96.23	341	
HC Anesthesiology	PX-370000000	CDM	370000000	LOCAL	370	RC		inpatient			341	341																																																			
HC Endotracheal Tube Care Non Vented	PX-410947992	CDM	94799	CPT	410	RC		outpatient			341	153.17	104.48				percent of total billed charges		153.17				other	OPPS APC	95.86				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	104.48				percent of total billed charges		106.56				percent of total billed charges		153.17				other	OPPS APC	95.86	153.17	
HC Endotracheal Tube Care Non Vented	PX-410947992	CDM	94799	CPT	410	RC		inpatient			341	341																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 49X9X1MM .5MM 12MM SS NS 4 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.34	CDM	270010022	LOCAL	270	RC		outpatient			341	341	92.38				percent of total billed charges		341				other	OPPS APC	252.34				percent of total billed charges		341				other	OPPS APC	341				other	OPPS APC	92.38				percent of total billed charges		94.22				percent of total billed charges		341				other	OPPS APC	92.38	341	
PLATE BONE LC-DCP 1/3 TUBULAR 49X9X1MM .5MM 12MM SS NS 4 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.34	CDM	270010022	LOCAL	270	RC		inpatient			341	341																																																			
PLATE 1/3 TUBE 61X9X1MM SS 3.5MM SCREW SM FRAGMENT SET 5 HOLE COLLAR DCP LC-DCP BONE	SUP-241.35	CDM	270010022	LOCAL	270	RC		outpatient			341	341	92.38				percent of total billed charges		341				other	OPPS APC	252.34				percent of total billed charges		341				other	OPPS APC	341				other	OPPS APC	92.38				percent of total billed charges		94.22				percent of total billed charges		341				other	OPPS APC	92.38	341	
PLATE 1/3 TUBE 61X9X1MM SS 3.5MM SCREW SM FRAGMENT SET 5 HOLE COLLAR DCP LC-DCP BONE	SUP-241.35	CDM	270010022	LOCAL	270	RC		inpatient			341	341																																																			
DRILL TWIST VARIAX L102 MM L50 MM OD2 MM AO SHAFT END NONSTERILE	SUP-45-27010	CDM			270	RC		outpatient			340.8	34.81	92.32				percent of total billed charges		340.8				other	OPPS APC	252.19				percent of total billed charges		340.8				other	OPPS APC	340.8				other	OPPS APC	92.32				percent of total billed charges		94.16				percent of total billed charges		34.81				other	OPPS APC	34.81	340.8	
DRILL TWIST VARIAX L102 MM L50 MM OD2 MM AO SHAFT END NONSTERILE	SUP-45-27010	CDM			270	RC		inpatient			340.8	340.8																																																			
8817791002 TUNNELING DEVICE KIT	SUP-8817791002	CDM			270	RC		outpatient			340.66	34.66	92.28				percent of total billed charges		340.66				other	OPPS APC	252.09				percent of total billed charges		340.66				other	OPPS APC	340.66				other	OPPS APC	92.28				percent of total billed charges		94.12				percent of total billed charges		34.66				other	OPPS APC	34.66	340.66	
8817791002 TUNNELING DEVICE KIT	SUP-8817791002	CDM			270	RC		inpatient			340.66	340.66																																																			
FORCEPS SURGICAL SHARKSKIN OD25+ GA ILLUMINATE STERILE DISPOSABLE	SUP-705.88P	CDM			270	RC		outpatient			340.22	34.22	92.17				percent of total billed charges		340.22				other	OPPS APC	251.76				percent of total billed charges		340.22				other	OPPS APC	340.22				other	OPPS APC	92.17				percent of total billed charges		94				percent of total billed charges		34.22				other	OPPS APC	34.22	340.22	
FORCEPS SURGICAL SHARKSKIN OD25+ GA ILLUMINATE STERILE DISPOSABLE	SUP-705.88P	CDM			270	RC		inpatient			340.22	340.22																																																			
SCREW BONE STAINLESS STEEL L70 MM OD5 MM PROXIMAL FEMUR TIBIA PERIARTICULAR CANNULATED CONICAL HEAD NONSTERILE	SUP-222.560	CDM	270010022	LOCAL	270	RC		outpatient			340.2	34.2	92.16				percent of total billed charges		340.2				other	OPPS APC	251.75				percent of total billed charges		340.2				other	OPPS APC	340.2				other	OPPS APC	92.16				percent of total billed charges		94				percent of total billed charges		34.2				other	OPPS APC	34.2	340.2	
SCREW BONE STAINLESS STEEL L70 MM OD5 MM PROXIMAL FEMUR TIBIA PERIARTICULAR CANNULATED CONICAL HEAD NONSTERILE	SUP-222.560	CDM	270010022	LOCAL	270	RC		inpatient			340.2	340.2																																																			
HYDROMARK T3 BIOPSY MARKER - ULTRASOUND	SUP-95-04976	CDM			278	RC		outpatient			340.04	34.42	340.04				fee schedule		340.04				other	OPPS APC	193.82				percent of total billed charges		340.04				other	OPPS APC	340.04				other	OPPS APC	166.62				percent of total billed charges		173.42				percent of total billed charges		34.42				other	OPPS APC	34.42	340.04	
HYDROMARK T3 BIOPSY MARKER - ULTRASOUND	SUP-95-04976	CDM			278	RC		inpatient			340.04	340.04																																																			
HC Hla Class II Typing Low Res 1 Locus	PX-301813760	CDM	81376	CPT	301	RC		outpatient			340	122.22	340				fee schedule		122.22				fee schedule		191.22				fee schedule		122.22				fee schedule		122.22				fee schedule		122.22				fee schedule		122.22				fee schedule		122.22				fee schedule		122.22	340	
HC Hla Class II Typing Low Res 1 Locus	PX-301813760	CDM	81376	CPT	301	RC		inpatient			340	340																																																			
HC WC Negative Pressure <=50 Cm	PX-761976052	CDM	97605	CPT	761	RC		outpatient			340	19.19	195.77				case rate		190.19				other	OPPS APC	89.2				fee schedule		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		173.4				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC WC Negative Pressure <=50 Cm	PX-761976052	CDM	97605	CPT	761	RC		inpatient			340	340																																																			
KIT SEPARATOR BASIC PLATELET MAGELLAN	SUP-AMS305	CDM			270	RC		outpatient			340	34	92.11				percent of total billed charges		340				other	OPPS APC	251.6				percent of total billed charges		340				other	OPPS APC	340				other	OPPS APC	92.11				percent of total billed charges		93.94				percent of total billed charges		34				other	OPPS APC	34	340	
KIT SEPARATOR BASIC PLATELET MAGELLAN	SUP-AMS305	CDM			270	RC		inpatient			340	340																																																			
NEEDLE SUTURE MULTIFIRE SCORPION	SUP-AR-13995N	CDM			270	RC		outpatient			340	34	92.11				percent of total billed charges		340				other	OPPS APC	251.6				percent of total billed charges		340				other	OPPS APC	340				other	OPPS APC	92.11				percent of total billed charges		93.94				percent of total billed charges		34				other	OPPS APC	34	340	
NEEDLE SUTURE MULTIFIRE SCORPION	SUP-AR-13995N	CDM			270	RC		inpatient			340	340																																																			
GUIDEWIRE - THRU WAY .014 X 300CM S.T.	SUP-99-02156	CDM			272	RC		outpatient			339.71	339.8	92.03				percent of total billed charges		339.71				other	OPPS APC	251.39				percent of total billed charges		339.71				other	OPPS APC	339.71				other	OPPS APC	92.03				percent of total billed charges		93.86				percent of total billed charges		339.8				other	OPPS APC	92.03	339.8	
GUIDEWIRE - THRU WAY .014 X 300CM S.T.	SUP-99-02156	CDM			272	RC		inpatient			339.71	339.71																																																			
BIT DRILL MATRIXRIB 82MM 10MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.010	CDM			270	RC		outpatient			339.64	339.64	92.01				percent of total billed charges		339.64				other	OPPS APC	251.33				percent of total billed charges		339.64				other	OPPS APC	339.64				other	OPPS APC	92.01				percent of total billed charges		93.84				percent of total billed charges		339.64				other	OPPS APC	92.01	339.64	
BIT DRILL MATRIXRIB 82MM 10MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.010	CDM			270	RC		inpatient			339.64	339.64																																																			
BIT DRILL MATRIXRIB 82MM 14MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.014	CDM			270	RC		outpatient			339.64	339.64	92.01				percent of total billed charges		339.64				other	OPPS APC	251.33				percent of total billed charges		339.64				other	OPPS APC	339.64				other	OPPS APC	92.01				percent of total billed charges		93.84				percent of total billed charges		339.64				other	OPPS APC	92.01	339.64	
BIT DRILL MATRIXRIB 82MM 14MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.014	CDM			270	RC		inpatient			339.64	339.64																																																			
BIT DRILL MATRIXRIB 82MM 12MM 1.8MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.212	CDM			270	RC		outpatient			339.64	339.64	92.01				percent of total billed charges		339.64				other	OPPS APC	251.33				percent of total billed charges		339.64				other	OPPS APC	339.64				other	OPPS APC	92.01				percent of total billed charges		93.84				percent of total billed charges		339.64				other	OPPS APC	92.01	339.64	
BIT DRILL MATRIXRIB 82MM 12MM 1.8MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.212	CDM			270	RC		inpatient			339.64	339.64																																																			
PONTO STEAMER BLACK	SUP-97-00403	CDM			272	RC		outpatient			339.5	339.5	91.97				percent of total billed charges		339.5				other	OPPS APC	251.23				percent of total billed charges		339.5				other	OPPS APC	339.5				other	OPPS APC	91.97				percent of total billed charges		93.8				percent of total billed charges		339.5				other	OPPS APC	91.97	339.5	
PONTO STEAMER BLACK	SUP-97-00403	CDM			272	RC		inpatient			339.5	339.5																																																			
GUIDEWIRE - LUNDERQUIST	SUP-99-00139	CDM			272	RC		outpatient			339.5	339.5	91.97				percent of total billed charges		339.5				other	OPPS APC	251.23				percent of total billed charges		339.5				other	OPPS APC	339.5				other	OPPS APC	91.97				percent of total billed charges		93.8				percent of total billed charges		339.5				other	OPPS APC	91.97	339.5	
GUIDEWIRE - LUNDERQUIST	SUP-99-00139	CDM			272	RC		inpatient			339.5	339.5																																																			
GUIDEWIRE - GRAND SLAM 300CM	SUP-99-00786	CDM			272	RC		outpatient			339.5	339.5	91.97				percent of total billed charges		339.5				other	OPPS APC	251.23				percent of total billed charges		339.5				other	OPPS APC	339.5				other	OPPS APC	91.97				percent of total billed charges		93.8				percent of total billed charges		339.5				other	OPPS APC	91.97	339.5	
GUIDEWIRE - GRAND SLAM 300CM	SUP-99-00786	CDM			272	RC		inpatient			339.5	339.5																																																			
GUIDEWIRE - SION BLACK 190CM STRAIGHT	SUP-99-04785	CDM			272	RC		outpatient			339.5	339.5	91.97				percent of total billed charges		339.5				other	OPPS APC	251.23				percent of total billed charges		339.5				other	OPPS APC	339.5				other	OPPS APC	91.97				percent of total billed charges		93.8				percent of total billed charges		339.5				other	OPPS APC	91.97	339.5	
GUIDEWIRE - SION BLACK 190CM STRAIGHT	SUP-99-04785	CDM			272	RC		inpatient			339.5	339.5																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L10 CM OD2 MM BURR	SUP-10BA20	CDM	270010028	LOCAL	270	RC		outpatient			339.3	339.31	91.92				percent of total billed charges		339.3				other	OPPS APC	251.08				percent of total billed charges		339.3				other	OPPS APC	339.3				other	OPPS APC	91.92				percent of total billed charges		93.75				percent of total billed charges		339.31				other	OPPS APC	91.92	339.31	
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L10 CM OD2 MM BURR	SUP-10BA20	CDM	270010028	LOCAL	270	RC		inpatient			339.3	339.3																																																			
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L10 CM OD3 MM BURR	SUP-10BA30	CDM	270010028	LOCAL	270	RC		outpatient			339.3	339.31	91.92				percent of total billed charges		339.3				other	OPPS APC	251.08				percent of total billed charges		339.3				other	OPPS APC	339.3				other	OPPS APC	91.92				percent of total billed charges		93.75				percent of total billed charges		339.31				other	OPPS APC	91.92	339.31	
TOOL DISSECTING MIDAS REX LEGEND BALL FLUTE L10 CM OD3 MM BURR	SUP-10BA30	CDM	270010028	LOCAL	270	RC		inpatient			339.3	339.3																																																			
TOOL DISSECTING MR8 BALL L10 CM OD2 MM	SUP-MR810BA20_71344	CDM			270	RC		outpatient			339.3	339.31	91.92				percent of total billed charges		339.3				other	OPPS APC	251.08				percent of total billed charges		339.3				other	OPPS APC	339.3				other	OPPS APC	91.92				percent of total billed charges		93.75				percent of total billed charges		339.31				other	OPPS APC	91.92	339.31	
TOOL DISSECTING MR8 BALL L10 CM OD2 MM	SUP-MR810BA20_71344	CDM			270	RC		inpatient			339.3	339.3																																																			
TOOL DISSECTING MR8 BALL L10 CM OD3 MM	SUP-MR810BA30_71345	CDM			270	RC		outpatient			339.3	339.31	91.92				percent of total billed charges		339.3				other	OPPS APC	251.08				percent of total billed charges		339.3				other	OPPS APC	339.3				other	OPPS APC	91.92				percent of total billed charges		93.75				percent of total billed charges		339.31				other	OPPS APC	91.92	339.31	
TOOL DISSECTING MR8 BALL L10 CM OD3 MM	SUP-MR810BA30_71345	CDM			270	RC		inpatient			339.3	339.3																																																			
BIT DRILL STAINLESS STEEL L100 MM OD1.8 MM QUICK COUPLING DEPTH MARK	SUP-310.51	CDM	270010022	LOCAL	270	RC		outpatient			338.88	338.88	91.8				percent of total billed charges		338.88				other	OPPS APC	250.77				percent of total billed charges		338.88				other	OPPS APC	338.88				other	OPPS APC	91.8				percent of total billed charges		93.63				percent of total billed charges		338.88				other	OPPS APC	91.8	338.88	
BIT DRILL STAINLESS STEEL L100 MM OD1.8 MM QUICK COUPLING DEPTH MARK	SUP-310.51	CDM	270010022	LOCAL	270	RC		inpatient			338.88	338.88																																																			
BIT DRILL 100MM 1.8MM SS QUICK COUPLING DEPTH MARK NS	SUP-310.510	CDM	270010022	LOCAL	270	RC		outpatient			338.88	338.88	91.8				percent of total billed charges		338.88				other	OPPS APC	250.77				percent of total billed charges		338.88				other	OPPS APC	338.88				other	OPPS APC	91.8				percent of total billed charges		93.63				percent of total billed charges		338.88				other	OPPS APC	91.8	338.88	
BIT DRILL 100MM 1.8MM SS QUICK COUPLING DEPTH MARK NS	SUP-310.510	CDM	270010022	LOCAL	270	RC		inpatient			338.88	338.88																																																			
BIT DRILL LCP 100MM 2.4MM SS NS MINI QUICK COUPLING	SUP-310.53	CDM	270010022	LOCAL	270	RC		outpatient			338.88	338.88	91.8				percent of total billed charges		338.88				other	OPPS APC	250.77				percent of total billed charges		338.88				other	OPPS APC	338.88				other	OPPS APC	91.8				percent of total billed charges		93.63				percent of total billed charges		338.88				other	OPPS APC	91.8	338.88	
BIT DRILL LCP 100MM 2.4MM SS NS MINI QUICK COUPLING	SUP-310.53	CDM	270010022	LOCAL	270	RC		inpatient			338.88	338.88																																																			
SCREW BONE NCB TI6AL4V 3.5 MM L28 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.028	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB TI6AL4V 3.5 MM L28 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.028	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB TI6AL4V 3.5 MM L30 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.030	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB TI6AL4V 3.5 MM L30 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.030	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB TI6AL4V 3.5 MM L32 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.032	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB TI6AL4V 3.5 MM L32 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.032	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB TI6AL4V 3.5 MM L34 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.034	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB TI6AL4V 3.5 MM L34 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.034	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB TI6AL4V 3.5 MM L38 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.038	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB TI6AL4V 3.5 MM L38 MM OD5 MM ODSEC6.2 MM FEMUR CORTICAL 2 LEAD THREAD SELF TAP HEXAGONAL DRIVE SHALLOW PROFILE LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03150.038	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB PROTASUL-64 L40 MM OD5 MM ODSEC4.4 MM FEMUR SELF TAP HEXAGONAL DRIVE NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.040	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB PROTASUL-64 L40 MM OD5 MM ODSEC4.4 MM FEMUR SELF TAP HEXAGONAL DRIVE NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.040	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB TI6AL4V L44 MM OD5 MM ODSEC3.5 MM SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.044	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB TI6AL4V L44 MM OD5 MM ODSEC3.5 MM SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.044	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB PROTASUL-64 L60 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.060	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB PROTASUL-64 L60 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.060	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB PROTASUL-64 L75 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.075	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB PROTASUL-64 L75 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.075	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW BONE NCB PROTASUL-64 L85 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.085	CDM			270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW BONE NCB PROTASUL-64 L85 MM OD5 MM ODSEC3.5 MM FEMUR SELF TAP HEXAGON HEAD NONSTERILE LARGE FRAGMENT SYSTEM	SUP-02.03150.085	CDM			270	RC		inpatient			338.4	338.4																																																			
SCREW SELF DRILL SCHANZ	SUP-297.784	CDM	270010022	LOCAL	270	RC		outpatient			338.4	338.4	91.67				percent of total billed charges		338.4				other	OPPS APC	250.42				percent of total billed charges		338.4				other	OPPS APC	338.4				other	OPPS APC	91.67				percent of total billed charges		93.5				percent of total billed charges		338.4				other	OPPS APC	91.67	338.4	
SCREW SELF DRILL SCHANZ	SUP-297.784	CDM	270010022	LOCAL	270	RC		inpatient			338.4	338.4																																																			
HC Inject IV Therp Prophyl Dx Sgl Initi	PX-450963741	CDM	96374	CPT	450	RC		outpatient			338	217.56	195.77				case rate		217.56				other	OPPS APC	271.91				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	195.77				case rate		199.69				case rate		217.56				other	OPPS APC	195.77	271.91	
HC Inject IV Therp Prophyl Dx Sgl Initi	PX-450963741	CDM	96374	CPT	450	RC		inpatient			338	338																																																			
SET DILATOR HYDROPHILIC .035 IN L45 CM OD14 FR ENDOVASCULAR LONG TAPERED	SUP-G52833	CDM			270	RC		outpatient			338	338	91.56				percent of total billed charges		338				other	OPPS APC	250.12				percent of total billed charges		338				other	OPPS APC	338				other	OPPS APC	91.56				percent of total billed charges		93.39				percent of total billed charges		338				other	OPPS APC	91.56	338	
SET DILATOR HYDROPHILIC .035 IN L45 CM OD14 FR ENDOVASCULAR LONG TAPERED	SUP-G52833	CDM			270	RC		inpatient			338	338																																																			
RELOAD STAPLER ENDOPATH ECHELON TITANIUM L35 MM X H2.5 MM H1 MM THIN VASCULAR TISSUE 4 ROW WHITE ADVANCE PLACEMENT TIP	SUP-VASECR35	CDM			270	RC		outpatient			337.95	337.95	91.55				percent of total billed charges		337.95				other	OPPS APC	250.08				percent of total billed charges		337.95				other	OPPS APC	337.95				other	OPPS APC	91.55				percent of total billed charges		93.38				percent of total billed charges		337.95				other	OPPS APC	91.55	337.95	
RELOAD STAPLER ENDOPATH ECHELON TITANIUM L35 MM X H2.5 MM H1 MM THIN VASCULAR TISSUE 4 ROW WHITE ADVANCE PLACEMENT TIP	SUP-VASECR35	CDM			270	RC		inpatient			337.95	337.95																																																			
PLATE BONE LEVEL ONE TITANIUM CRANIOFACIAL 4 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-01-09	CDM			270	RC		outpatient			337.84	337.84	91.52				percent of total billed charges		337.84				other	OPPS APC	250				percent of total billed charges		337.84				other	OPPS APC	337.84				other	OPPS APC	91.52				percent of total billed charges		93.35				percent of total billed charges		337.84				other	OPPS APC	91.52	337.84	
PLATE BONE LEVEL ONE TITANIUM CRANIOFACIAL 4 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-01-09	CDM			270	RC		inpatient			337.84	337.84																																																			
PLATE BONE LEVEL ONE TITANIUM CRANIOFACIAL 6 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-06-09	CDM			270	RC		outpatient			337.84	337.84	91.52				percent of total billed charges		337.84				other	OPPS APC	250				percent of total billed charges		337.84				other	OPPS APC	337.84				other	OPPS APC	91.52				percent of total billed charges		93.35				percent of total billed charges		337.84				other	OPPS APC	91.52	337.84	
PLATE BONE LEVEL ONE TITANIUM CRANIOFACIAL 6 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-06-09	CDM			270	RC		inpatient			337.84	337.84																																																			
PLATE BONE LEVEL ONE TITANIUM Y CRANIOFACIAL ULTRA LOW PROFILE NONSTERILE	SUP-25-153-07-09	CDM			270	RC		outpatient			337.84	337.84	91.52				percent of total billed charges		337.84				other	OPPS APC	250				percent of total billed charges		337.84				other	OPPS APC	337.84				other	OPPS APC	91.52				percent of total billed charges		93.35				percent of total billed charges		337.84				other	OPPS APC	91.52	337.84	
PLATE BONE LEVEL ONE TITANIUM Y CRANIOFACIAL ULTRA LOW PROFILE NONSTERILE	SUP-25-153-07-09	CDM			270	RC		inpatient			337.84	337.84																																																			
URETE CATH FLEXI OPEN TIP NON-PORTED EYE	SUP-97-02654	CDM			272	RC		outpatient			337.82	337.82	91.52				percent of total billed charges		337.82				other	OPPS APC	249.99				percent of total billed charges		337.82				other	OPPS APC	337.82				other	OPPS APC	91.52				percent of total billed charges		93.34				percent of total billed charges		337.82				other	OPPS APC	91.52	337.82	
URETE CATH FLEXI OPEN TIP NON-PORTED EYE	SUP-97-02654	CDM			272	RC		inpatient			337.82	337.82																																																			
URETE CATH FLEXI OPEN TIP NON-PORTED EYE	SUP-97-02655	CDM			272	RC		outpatient			337.82	337.82	91.52				percent of total billed charges		337.82				other	OPPS APC	249.99				percent of total billed charges		337.82				other	OPPS APC	337.82				other	OPPS APC	91.52				percent of total billed charges		93.34				percent of total billed charges		337.82				other	OPPS APC	91.52	337.82	
URETE CATH FLEXI OPEN TIP NON-PORTED EYE	SUP-97-02655	CDM			272	RC		inpatient			337.82	337.82																																																			
BIT DRILL LCP L300/200 MM OD4.3 MM PERCUTANEOUS QUICK COUPLING CALIBRATED NONSTERILE	SUP-324.213	CDM	270010022	LOCAL	270	RC		outpatient			337.56	337.56	91.45				percent of total billed charges		337.56				other	OPPS APC	249.79				percent of total billed charges		337.56				other	OPPS APC	337.56				other	OPPS APC	91.45				percent of total billed charges		93.27				percent of total billed charges		337.56				other	OPPS APC	91.45	337.56	
BIT DRILL LCP L300/200 MM OD4.3 MM PERCUTANEOUS QUICK COUPLING CALIBRATED NONSTERILE	SUP-324.213	CDM	270010022	LOCAL	270	RC		inpatient			337.56	337.56																																																			
PLATE BONE UNIVERSAL 2 TITANIUM CURVE H.5 MM UPPERFACE ORBITAL 10 HOLE MALLEABLE 1.2 MM SCREW	SUP-5504250	CDM			270	RC		outpatient			337.2	337.2	91.35				percent of total billed charges		337.2				other	OPPS APC	249.53				percent of total billed charges		337.2				other	OPPS APC	337.2				other	OPPS APC	91.35				percent of total billed charges		93.17				percent of total billed charges		337.2				other	OPPS APC	91.35	337.2	
PLATE BONE UNIVERSAL 2 TITANIUM CURVE H.5 MM UPPERFACE ORBITAL 10 HOLE MALLEABLE 1.2 MM SCREW	SUP-5504250	CDM			270	RC		inpatient			337.2	337.2																																																			
PLATE BONE STANDARD CURVE .6MM GOLD TITANIUM UPPER FACE 10 HOLE 1.2MM SCREW	SUP-5506250	CDM			270	RC		outpatient			337.2	337.2	91.35				percent of total billed charges		337.2				other	OPPS APC	249.53				percent of total billed charges		337.2				other	OPPS APC	337.2				other	OPPS APC	91.35				percent of total billed charges		93.17				percent of total billed charges		337.2				other	OPPS APC	91.35	337.2	
PLATE BONE STANDARD CURVE .6MM GOLD TITANIUM UPPER FACE 10 HOLE 1.2MM SCREW	SUP-5506250	CDM			270	RC		inpatient			337.2	337.2																																																			
PLATE BONE 4 HOLE PROFILE	SUP-9203804	CDM			270	RC		outpatient			337.16	337.16	91.34				percent of total billed charges		337.16				other	OPPS APC	249.5				percent of total billed charges		337.16				other	OPPS APC	337.16				other	OPPS APC	91.34				percent of total billed charges		93.16				percent of total billed charges		337.16				other	OPPS APC	91.34	337.16	
PLATE BONE 4 HOLE PROFILE	SUP-9203804	CDM			270	RC		inpatient			337.16	337.16																																																			
HALF PIN SELF DRILLING HYBRID 3/5 X 20 X 120MM	SUP-97-06116	CDM			278	RC		outpatient			337.05	337.51	337.05				fee schedule		337.05				other	OPPS APC	192.12				percent of total billed charges		337.05				other	OPPS APC	337.05				other	OPPS APC	165.15				percent of total billed charges		171.9				percent of total billed charges		337.51				other	OPPS APC	165.15	337.51	
HALF PIN SELF DRILLING HYBRID 3/5 X 20 X 120MM	SUP-97-06116	CDM			278	RC		inpatient			337.05	337.05																																																			
HALF PIN SELF DRILLING HYBRID 4/5 X 40 X 150MM	SUP-97-06117	CDM			278	RC		outpatient			337.05	337.51	337.05				fee schedule		337.05				other	OPPS APC	192.12				percent of total billed charges		337.05				other	OPPS APC	337.05				other	OPPS APC	165.15				percent of total billed charges		171.9				percent of total billed charges		337.51				other	OPPS APC	165.15	337.51	
HALF PIN SELF DRILLING HYBRID 4/5 X 40 X 150MM	SUP-97-06117	CDM			278	RC		inpatient			337.05	337.05																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 22MM	SUP-97-03804	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 22MM	SUP-97-03804	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 26MM	SUP-97-04096	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 26MM	SUP-97-04096	CDM			278	RC		inpatient			336.7	336.7																																																			
BONE SCREW T8 FULL THREAD 2.4MM / L20MM	SUP-97-04131	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
BONE SCREW T8 FULL THREAD 2.4MM / L20MM	SUP-97-04131	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 14MM	SUP-97-04137	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 14MM	SUP-97-04137	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 18MM	SUP-97-04138	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 18MM	SUP-97-04138	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 20MM	SUP-97-04139	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 20MM	SUP-97-04139	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 16MM	SUP-97-04142	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 16MM	SUP-97-04142	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 24MM	SUP-97-04393	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW BONE T8 NON LCKNG 2.7MM X 24MM	SUP-97-04393	CDM			278	RC		inpatient			336.7	336.7																																																			
2.4 X 12MM LOCKING SCREW	SUP-97-04417	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
2.4 X 12MM LOCKING SCREW	SUP-97-04417	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 28MM T8 FULL THREAD	SUP-97-05697	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 28MM T8 FULL THREAD	SUP-97-05697	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 30MM T8 FULL THREAD	SUP-97-05698	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 30MM T8 FULL THREAD	SUP-97-05698	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 32MM T8 FULL THREAD	SUP-97-05699	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 32MM T8 FULL THREAD	SUP-97-05699	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 34MM T8 FULL THREAD	SUP-97-05700	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 34MM T8 FULL THREAD	SUP-97-05700	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 36MM T8 FULL THREAD	SUP-97-05701	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 36MM T8 FULL THREAD	SUP-97-05701	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 38MM T8 FULL THREAD	SUP-97-05702	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 38MM T8 FULL THREAD	SUP-97-05702	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 40MM T8 FULL THREAD	SUP-97-05703	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 40MM T8 FULL THREAD	SUP-97-05703	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 45MM T8 FULL THREAD	SUP-97-05704	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 45MM T8 FULL THREAD	SUP-97-05704	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW 2.7 X 50MM T8 FULL THREAD	SUP-97-05705	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW 2.7 X 50MM T8 FULL THREAD	SUP-97-05705	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 10MM	SUP-97-06070	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 10MM	SUP-97-06070	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 22MM	SUP-97-06071	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 22MM	SUP-97-06071	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 24MM	SUP-97-06072	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 24MM	SUP-97-06072	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 26MM	SUP-97-06073	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 26MM	SUP-97-06073	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 28MM	SUP-97-06074	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 28MM	SUP-97-06074	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 30MM	SUP-97-06075	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 30MM	SUP-97-06075	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 32MM	SUP-97-06076	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 32MM	SUP-97-06076	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 34MM	SUP-97-06077	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 34MM	SUP-97-06077	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 36MM	SUP-97-06078	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 36MM	SUP-97-06078	CDM			278	RC		inpatient			336.7	336.7																																																			
SCREW T8 FULL THREAD 2.4 X 38MM	SUP-97-06079	CDM			278	RC		outpatient			336.7	336.7	336.7				fee schedule		336.7				other	OPPS APC	191.92				percent of total billed charges		336.7				other	OPPS APC	336.7				other	OPPS APC	164.98				percent of total billed charges		171.72				percent of total billed charges		336.7				other	OPPS APC	164.98	336.7	
SCREW T8 FULL THREAD 2.4 X 38MM	SUP-97-06079	CDM			278	RC		inpatient			336.7	336.7																																																			
BIT DRILL 3 FLUTE 230MM 200MM 2.5MM NS CALIBRATED QUICK COUPLING	SUP-315.92	CDM	270010022	LOCAL	270	RC		outpatient			336.6	336.62	91.18				percent of total billed charges		336.6				other	OPPS APC	249.08				percent of total billed charges		336.6				other	OPPS APC	336.6				other	OPPS APC	91.18				percent of total billed charges		93				percent of total billed charges		336.62				other	OPPS APC	91.18	336.62	
BIT DRILL 3 FLUTE 230MM 200MM 2.5MM NS CALIBRATED QUICK COUPLING	SUP-315.92	CDM	270010022	LOCAL	270	RC		inpatient			336.6	336.6																																																			
SCREW EXTERNAL FIXATION DFS TAPER L120 MM L40 MM OD4.5-3.5 MM ODSEC6 MM CORTICAL SHANK NONSTERILE PIN TO BAR SYSTEM 3.2 MM DRILL	SUP-A45-12040	CDM			270	RC		outpatient			336.6	336.62	91.18				percent of total billed charges		336.6				other	OPPS APC	249.08				percent of total billed charges		336.6				other	OPPS APC	336.6				other	OPPS APC	91.18				percent of total billed charges		93				percent of total billed charges		336.62				other	OPPS APC	91.18	336.62	
SCREW EXTERNAL FIXATION DFS TAPER L120 MM L40 MM OD4.5-3.5 MM ODSEC6 MM CORTICAL SHANK NONSTERILE PIN TO BAR SYSTEM 3.2 MM DRILL	SUP-A45-12040	CDM			270	RC		inpatient			336.6	336.6																																																			
SCREW EXTERNAL FIXATION DFS TAPER L130 MM L40 MM OD6-5 MM ODSEC6 MM CORTICAL NONSTERILE 4.8 MM DRILL	SUP-A60-13040	CDM			270	RC		outpatient			336.6	336.62	91.18				percent of total billed charges		336.6				other	OPPS APC	249.08				percent of total billed charges		336.6				other	OPPS APC	336.6				other	OPPS APC	91.18				percent of total billed charges		93				percent of total billed charges		336.62				other	OPPS APC	91.18	336.62	
SCREW EXTERNAL FIXATION DFS TAPER L130 MM L40 MM OD6-5 MM ODSEC6 MM CORTICAL NONSTERILE 4.8 MM DRILL	SUP-A60-13040	CDM			270	RC		inpatient			336.6	336.6																																																			
TRAY PERICARDIOCENTESIS PIGTAIL CURVE L40 CM L15 CM OD8.3 FR ODSEC18 GA PERICARDIAL SAC 6 SIDEPORT LOCK CATHETER ALLIGATOR CLIP CABLE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G04507	CDM			270	RC		outpatient			336.4	336.4	91.13				percent of total billed charges		336.4				other	OPPS APC	248.94				percent of total billed charges		336.4				other	OPPS APC	336.4				other	OPPS APC	91.13				percent of total billed charges		92.95				percent of total billed charges		336.4				other	OPPS APC	91.13	336.4	
TRAY PERICARDIOCENTESIS PIGTAIL CURVE L40 CM L15 CM OD8.3 FR ODSEC18 GA PERICARDIAL SAC 6 SIDEPORT LOCK CATHETER ALLIGATOR CLIP CABLE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G04507	CDM			270	RC		inpatient			336.4	336.4																																																			
PROBE LASER IRIDEX DIRECTIONAL 90 D STRAIGHT L89 CM OD20 GA ENDOOCULAR STERILE DISPOSABLE	SUP-55.26	CDM			270	RC		outpatient			336.17	336.17	91.07				percent of total billed charges		336.17				other	OPPS APC	248.77				percent of total billed charges		336.17				other	OPPS APC	336.17				other	OPPS APC	91.07				percent of total billed charges		92.88				percent of total billed charges		336.17				other	OPPS APC	91.07	336.17	
PROBE LASER IRIDEX DIRECTIONAL 90 D STRAIGHT L89 CM OD20 GA ENDOOCULAR STERILE DISPOSABLE	SUP-55.26	CDM			270	RC		inpatient			336.17	336.17																																																			
SYSTEM CABLE STAINLESS STEEL TITANIUM STERNUM CUTTING EDGE NEEDLE MULTISTRAND SMOOTH FLEXIBLE MONOFILAMENT STERILE	SUP-400-689	CDM			270	RC		outpatient			336	336	91.02				percent of total billed charges		336				other	OPPS APC	248.64				percent of total billed charges		336				other	OPPS APC	336				other	OPPS APC	91.02				percent of total billed charges		92.84				percent of total billed charges		336				other	OPPS APC	91.02	336	
SYSTEM CABLE STAINLESS STEEL TITANIUM STERNUM CUTTING EDGE NEEDLE MULTISTRAND SMOOTH FLEXIBLE MONOFILAMENT STERILE	SUP-400-689	CDM			270	RC		inpatient			336	336																																																			
DRILL BIT 3.2MM PERIPHERAL SCREW	SUP-95-04778	CDM			272	RC		outpatient			336	336	91.02				percent of total billed charges		336				other	OPPS APC	248.64				percent of total billed charges		336				other	OPPS APC	336				other	OPPS APC	91.02				percent of total billed charges		92.84				percent of total billed charges		336				other	OPPS APC	91.02	336	
DRILL BIT 3.2MM PERIPHERAL SCREW	SUP-95-04778	CDM			272	RC		inpatient			336	336																																																			
BONE SCREW 6.5X15 SELF-TAP	SUP-97-00094	CDM			278	RC		outpatient			336	336	336				fee schedule		336				other	OPPS APC	191.52				percent of total billed charges		336				other	OPPS APC	336				other	OPPS APC	164.64				percent of total billed charges		171.36				percent of total billed charges		336				other	OPPS APC	164.64	336	
BONE SCREW 6.5X15 SELF-TAP	SUP-97-00094	CDM			278	RC		inpatient			336	336																																																			
ALIGNMENT PIN L 200 2.5MM	SUP-97-03736	CDM			272	RC		outpatient			336	336	91.02				percent of total billed charges		336				other	OPPS APC	248.64				percent of total billed charges		336				other	OPPS APC	336				other	OPPS APC	91.02				percent of total billed charges		92.84				percent of total billed charges		336				other	OPPS APC	91.02	336	
ALIGNMENT PIN L 200 2.5MM	SUP-97-03736	CDM			272	RC		inpatient			336	336																																																			
BIT DRILL L 300MM OD 3.2 MM QUICK COUPLING	SUP-71177202	CDM			270	RC		outpatient			335.92	335.92	91				percent of total billed charges		335.92				other	OPPS APC	248.58				percent of total billed charges		335.92				other	OPPS APC	335.92				other	OPPS APC	91				percent of total billed charges		92.81				percent of total billed charges		335.92				other	OPPS APC	91	335.92	
BIT DRILL L 300MM OD 3.2 MM QUICK COUPLING	SUP-71177202	CDM			270	RC		inpatient			335.92	335.92																																																			
SCREW BONE SCHANZ STAINLESS STEEL L125 MM L40 MM OD4 MM HIP CONDYLE RADIUS SELF DRILL NONSTERILE LARGE EXTERNAL FIXATION SYSTEM	SUP-294.777	CDM	270010022	LOCAL	270	RC		outpatient			335.5	335.5	90.89				percent of total billed charges		335.5				other	OPPS APC	248.27				percent of total billed charges		335.5				other	OPPS APC	335.5				other	OPPS APC	90.89				percent of total billed charges		92.7				percent of total billed charges		335.5				other	OPPS APC	90.89	335.5	
SCREW BONE SCHANZ STAINLESS STEEL L125 MM L40 MM OD4 MM HIP CONDYLE RADIUS SELF DRILL NONSTERILE LARGE EXTERNAL FIXATION SYSTEM	SUP-294.777	CDM	270010022	LOCAL	270	RC		inpatient			335.5	335.5																																																			
SCREW EXTERNAL FIXATION SCHANZ STAINLESS STEEL L150 MM L40 MM OD4 MM HIP CONDYLE SELF DRILL NONSTERILE	SUP-294.778	CDM	270010022	LOCAL	270	RC		outpatient			335.5	335.5	90.89				percent of total billed charges		335.5				other	OPPS APC	248.27				percent of total billed charges		335.5				other	OPPS APC	335.5				other	OPPS APC	90.89				percent of total billed charges		92.7				percent of total billed charges		335.5				other	OPPS APC	90.89	335.5	
SCREW EXTERNAL FIXATION SCHANZ STAINLESS STEEL L150 MM L40 MM OD4 MM HIP CONDYLE SELF DRILL NONSTERILE	SUP-294.778	CDM	270010022	LOCAL	270	RC		inpatient			335.5	335.5																																																			
SCREW 2.8 X 26MM TRILOCK	SUP-97-05889	CDM			278	RC		outpatient			334.64	334.64	334.64				fee schedule		334.64				other	OPPS APC	190.74				percent of total billed charges		334.64				other	OPPS APC	334.64				other	OPPS APC	163.97				percent of total billed charges		170.67				percent of total billed charges		334.64				other	OPPS APC	163.97	334.64	
SCREW 2.8 X 26MM TRILOCK	SUP-97-05889	CDM			278	RC		inpatient			334.64	334.64																																																			
SCREW 2.8 X 28MM TRILOCK	SUP-97-05890	CDM			278	RC		outpatient			334.64	334.64	334.64				fee schedule		334.64				other	OPPS APC	190.74				percent of total billed charges		334.64				other	OPPS APC	334.64				other	OPPS APC	163.97				percent of total billed charges		170.67				percent of total billed charges		334.64				other	OPPS APC	163.97	334.64	
SCREW 2.8 X 28MM TRILOCK	SUP-97-05890	CDM			278	RC		inpatient			334.64	334.64																																																			
K WIRE 1.0	SUP-97-00999	CDM			278	RC		outpatient			334.53	334.53	334.53				fee schedule		334.53				other	OPPS APC	190.68				percent of total billed charges		334.53				other	OPPS APC	334.53				other	OPPS APC	163.92				percent of total billed charges		170.61				percent of total billed charges		334.53				other	OPPS APC	163.92	334.53	
K WIRE 1.0	SUP-97-00999	CDM			278	RC		inpatient			334.53	334.53																																																			
PLATE NARROW LC-DCP 4 HOLE	SUP-222.54	CDM	270010022	LOCAL	270	RC		outpatient			334.4	334.4	90.59				percent of total billed charges		334.4				other	OPPS APC	247.46				percent of total billed charges		334.4				other	OPPS APC	334.4				other	OPPS APC	90.59				percent of total billed charges		92.39				percent of total billed charges		334.4				other	OPPS APC	90.59	334.4	
PLATE NARROW LC-DCP 4 HOLE	SUP-222.54	CDM	270010022	LOCAL	270	RC		inpatient			334.4	334.4																																																			
PLATE NARROW LC-DCP 5 HOLE	SUP-224.55	CDM	270010022	LOCAL	270	RC		outpatient			334.4	334.4	90.59				percent of total billed charges		334.4				other	OPPS APC	247.46				percent of total billed charges		334.4				other	OPPS APC	334.4				other	OPPS APC	90.59				percent of total billed charges		92.39				percent of total billed charges		334.4				other	OPPS APC	90.59	334.4	
PLATE NARROW LC-DCP 5 HOLE	SUP-224.55	CDM	270010022	LOCAL	270	RC		inpatient			334.4	334.4																																																			
PACK SURGICAL CUSTOM GYN LAPAROSCOPY LF HAZARDOUS	SUP-SMAHDGYPNA	CDM	270009174	LOCAL	270	RC		outpatient			334.07	334.7	90.5				percent of total billed charges		334.07				other	OPPS APC	247.21				percent of total billed charges		334.07				other	OPPS APC	334.07				other	OPPS APC	90.5				percent of total billed charges		92.3				percent of total billed charges		334.7				other	OPPS APC	90.5	334.7	
PACK SURGICAL CUSTOM GYN LAPAROSCOPY LF HAZARDOUS	SUP-SMAHDGYPNA	CDM	270009174	LOCAL	270	RC		inpatient			334.07	334.07																																																			
HC Excision of Nail Fold  Toe	PX-450117651	CDM	11765	CPT	450	RC		outpatient			334	334	195.77				case rate		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	195.77				case rate		199.69				case rate		334				other	OPPS APC	195.77	334	
HC Excision of Nail Fold  Toe	PX-450117651	CDM	11765	CPT	450	RC		inpatient			334	334																																																			
HC Repair Superf. Wound 12.6 - 20.0 Cm	PX-450120051	CDM	12005	CPT	450	RC		outpatient			334	334	195.77				case rate		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	195.77				case rate		199.69				case rate		334				other	OPPS APC	195.77	334	
HC Repair Superf. Wound 12.6 - 20.0 Cm	PX-450120051	CDM	12005	CPT	450	RC		inpatient			334	334																																																			
HC Layer Closure of Wound 2.6 - 7.5 Cm	PX-450120321	CDM	12032	CPT	450	RC		outpatient			334	334	195.77				case rate		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	195.77				case rate		199.69				case rate		334				other	OPPS APC	195.77	334	
HC Layer Closure of Wound 2.6 - 7.5 Cm	PX-450120321	CDM	12032	CPT	450	RC		inpatient			334	334																																																			
Repair Intermediate Neck/Hands/Feet/Xtrnl Gent 2.5 Cm/<	PX-450120411	CDM	12041	CPT	450	RC		outpatient			334	334	195.77				case rate		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	195.77				case rate		199.69				case rate		334				other	OPPS APC	195.77	334	
Repair Intermediate Neck/Hands/Feet/Xtrnl Gent 2.5 Cm/<	PX-450120411	CDM	12041	CPT	450	RC		inpatient			334	334																																																			
HC Layer Closure of Wound 2.6 - 7.5 Cm	PX-450120421	CDM	12042	CPT	450	RC		outpatient			334	334	195.77				case rate		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	195.77				case rate		199.69				case rate		334				other	OPPS APC	195.77	334	
HC Layer Closure of Wound 2.6 - 7.5 Cm	PX-450120421	CDM	12042	CPT	450	RC		inpatient			334	334																																																			
HC Layer Closure of Wound 2.5cm or Less	PX-450120511	CDM	12051	CPT	450	RC		outpatient			334	334	195.77				case rate		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	195.77				case rate		199.69				case rate		334				other	OPPS APC	195.77	334	
HC Layer Closure of Wound 2.5cm or Less	PX-450120511	CDM	12051	CPT	450	RC		inpatient			334	334																																																			
BURR SURGICAL MEDIUM ROUND FINE L67 MM OD2 MM DIAMOND CUTTING STERILE	SUP-31132065	CDM			270	RC		outpatient			334	334	90.48				percent of total billed charges		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	90.48				percent of total billed charges		92.28				percent of total billed charges		334				other	OPPS APC	90.48	334	
BURR SURGICAL MEDIUM ROUND FINE L67 MM OD2 MM DIAMOND CUTTING STERILE	SUP-31132065	CDM			270	RC		inpatient			334	334																																																			
CATHETER GUIDING QUICK-CROSS .014 IN 15 MM SPACE L135 CM OD1.5 FR RADIOPAQUE MARKER SEAMLESS LOW PROFILE TAPER TIP GUIDEWIRE	SUP-518-032	CDM			270	RC		outpatient			334	334	90.48				percent of total billed charges		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	90.48				percent of total billed charges		92.28				percent of total billed charges		334				other	OPPS APC	90.48	334	
CATHETER GUIDING QUICK-CROSS .014 IN 15 MM SPACE L135 CM OD1.5 FR RADIOPAQUE MARKER SEAMLESS LOW PROFILE TAPER TIP GUIDEWIRE	SUP-518-032	CDM			270	RC		inpatient			334	334																																																			
CATHETER GUIDING QUICK-CROSS .018 IN L135 CM OD3.4-2.3 FR RADIOPAQUE MARKER GUIDEWIRE SHAFT INJECTION PRESSURE INFUSION	SUP-518-034	CDM			270	RC		outpatient			334	334	90.48				percent of total billed charges		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	90.48				percent of total billed charges		92.28				percent of total billed charges		334				other	OPPS APC	90.48	334	
CATHETER GUIDING QUICK-CROSS .018 IN L135 CM OD3.4-2.3 FR RADIOPAQUE MARKER GUIDEWIRE SHAFT INJECTION PRESSURE INFUSION	SUP-518-034	CDM			270	RC		inpatient			334	334																																																			
CATHETER GUIDING QUICK-CROSS .035 IN 50 MM SPACE L135 CM OD3.1 FR RADIOPAQUE MARKER SEAMLESS LOW PROFILE TAPER TIP GUIDEWIRE	SUP-518-037	CDM			270	RC		outpatient			334	334	90.48				percent of total billed charges		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	90.48				percent of total billed charges		92.28				percent of total billed charges		334				other	OPPS APC	90.48	334	
CATHETER GUIDING QUICK-CROSS .035 IN 50 MM SPACE L135 CM OD3.1 FR RADIOPAQUE MARKER SEAMLESS LOW PROFILE TAPER TIP GUIDEWIRE	SUP-518-037	CDM			270	RC		inpatient			334	334																																																			
TOOL DISSECTING MICROMAX STANDARD LENGTH DIAMOND BALL L8 CM OD2 MM NONSTERILE MEDIUM QD11	SUP-M-2SD-G1	CDM			270	RC		outpatient			334	334	90.48				percent of total billed charges		334				other	OPPS APC	247.16				percent of total billed charges		334				other	OPPS APC	334				other	OPPS APC	90.48				percent of total billed charges		92.28				percent of total billed charges		334				other	OPPS APC	90.48	334	
TOOL DISSECTING MICROMAX STANDARD LENGTH DIAMOND BALL L8 CM OD2 MM NONSTERILE MEDIUM QD11	SUP-M-2SD-G1	CDM			270	RC		inpatient			334	334																																																			
TRAY LAPAROSCOPIC BARIATRIC	SUP-XBB77S	CDM			270	RC		outpatient			333.47	333.47	90.34				percent of total billed charges		333.47				other	OPPS APC	246.77				percent of total billed charges		333.47				other	OPPS APC	333.47				other	OPPS APC	90.34				percent of total billed charges		92.14				percent of total billed charges		333.47				other	OPPS APC	90.34	333.47	
TRAY LAPAROSCOPIC BARIATRIC	SUP-XBB77S	CDM			270	RC		inpatient			333.47	333.47																																																			
REINFORCEMENT STAPLE LINE SEAMGUARD BIOABSORBABLE STERILE LATEX FREE DISPOSABLE BLUE GOLD GREEN WHITE ENDOPATH ECHELON FLEX 60	SUP-12BSGEC60A	CDM			270	RC		outpatient			333.33	333.33	90.3				percent of total billed charges		333.33				other	OPPS APC	246.66				percent of total billed charges		333.33				other	OPPS APC	333.33				other	OPPS APC	90.3				percent of total billed charges		92.1				percent of total billed charges		333.33				other	OPPS APC	90.3	333.33	
REINFORCEMENT STAPLE LINE SEAMGUARD BIOABSORBABLE STERILE LATEX FREE DISPOSABLE BLUE GOLD GREEN WHITE ENDOPATH ECHELON FLEX 60	SUP-12BSGEC60A	CDM			270	RC		inpatient			333.33	333.33																																																			
MESH BARD PERFIX BARD POLYPROPYLENE EXTRA LARGE L1.6 IN X W 2 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR 3D KNITTED TRIMMABLE	SUP-0112980	CDM			270	RC		outpatient			333.2	333.2	90.26				percent of total billed charges		333.2				other	OPPS APC	246.57				percent of total billed charges		333.2				other	OPPS APC	333.2				other	OPPS APC	90.26				percent of total billed charges		92.06				percent of total billed charges		333.2				other	OPPS APC	90.26	333.2	
MESH BARD PERFIX BARD POLYPROPYLENE EXTRA LARGE L1.6 IN X W 2 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR 3D KNITTED TRIMMABLE	SUP-0112980	CDM			270	RC		inpatient			333.2	333.2																																																			
GUIDEWIRE - GLIDEWIRE .035X400 STF ANG	SUP-99-03553	CDM			272	RC		outpatient			333.2	333.2	90.26				percent of total billed charges		333.2				other	OPPS APC	246.57				percent of total billed charges		333.2				other	OPPS APC	333.2				other	OPPS APC	90.26				percent of total billed charges		92.06				percent of total billed charges		333.2				other	OPPS APC	90.26	333.2	
GUIDEWIRE - GLIDEWIRE .035X400 STF ANG	SUP-99-03553	CDM			272	RC		inpatient			333.2	333.2																																																			
GUIDEWIRE - GLIDEWIRE .035X400 STF STR	SUP-99-03554	CDM			272	RC		outpatient			333.2	333.2	90.26				percent of total billed charges		333.2				other	OPPS APC	246.57				percent of total billed charges		333.2				other	OPPS APC	333.2				other	OPPS APC	90.26				percent of total billed charges		92.06				percent of total billed charges		333.2				other	OPPS APC	90.26	333.2	
GUIDEWIRE - GLIDEWIRE .035X400 STF STR	SUP-99-03554	CDM			272	RC		inpatient			333.2	333.2																																																			
HC Spinal Canal	PX-402768000	CDM	76800	CPT	402	RC		outpatient			333	112.57	141.53				fee schedule		112.57				other	OPPS APC	269.22				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	156.74				fee schedule		96.52				fee schedule		112.57				other	OPPS APC	96.52	269.22	
HC Spinal Canal	PX-402768000	CDM	76800	CPT	402	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L14 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.580	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L14 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.580	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L16 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.581	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L16 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.581	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L18 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.582	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L18 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.582	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L22 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.583	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L22 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.583	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L26 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.584	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L26 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.584	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L30 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.585	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L30 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.585	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L34 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.586	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L34 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.586	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L38 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.587	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L38 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.587	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L42 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.588	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L42 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.588	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L46 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.589	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L46 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.589	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L50 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.590	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L50 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.590	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L54 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.591	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L54 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.591	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L58 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.592	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L58 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.592	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L62 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.593	CDM	270010022	LOCAL	270	RC		outpatient			333	333	90.21				percent of total billed charges		333				other	OPPS APC	246.42				percent of total billed charges		333				other	OPPS APC	333				other	OPPS APC	90.21				percent of total billed charges		92.01				percent of total billed charges		333				other	OPPS APC	90.21	333	
SCREW BONE LCP STAINLESS STEEL LARGE CONE HEXAGON L62 MM OD4 MM ODSEC3.4 MM FEMUR TIBIA PROXIMAL SELF TAP NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-222.593	CDM	270010022	LOCAL	270	RC		inpatient			333	333																																																			
SCREW BONE TITANIUM L16 MM OD3 MM STERNUM SELF TAP LOCK STERILE STABLE INTERNAL FIXATION	SUP-413.586E	CDM			270	RC		outpatient			332.96	332.96	90.2				percent of total billed charges		332.96				other	OPPS APC	246.39				percent of total billed charges		332.96				other	OPPS APC	332.96				other	OPPS APC	90.2				percent of total billed charges		92				percent of total billed charges		332.96				other	OPPS APC	90.2	332.96	
SCREW BONE TITANIUM L16 MM OD3 MM STERNUM SELF TAP LOCK STERILE STABLE INTERNAL FIXATION	SUP-413.586E	CDM			270	RC		inpatient			332.96	332.96																																																			
SCREW 3.0MM LOCKING TI STERNAL 22MM	SUP-413.592E	CDM			270	RC		outpatient			332.96	332.96	90.2				percent of total billed charges		332.96				other	OPPS APC	246.39				percent of total billed charges		332.96				other	OPPS APC	332.96				other	OPPS APC	90.2				percent of total billed charges		92				percent of total billed charges		332.96				other	OPPS APC	90.2	332.96	
SCREW 3.0MM LOCKING TI STERNAL 22MM	SUP-413.592E	CDM			270	RC		inpatient			332.96	332.96																																																			
UMBILICUP	SUP-95-01126	CDM			272	RC		outpatient			332.57	332.57	90.09				percent of total billed charges		332.57				other	OPPS APC	246.1				percent of total billed charges		332.57				other	OPPS APC	332.57				other	OPPS APC	90.09				percent of total billed charges		91.89				percent of total billed charges		332.57				other	OPPS APC	90.09	332.57	
UMBILICUP	SUP-95-01126	CDM			272	RC		inpatient			332.57	332.57																																																			
CEMENT BONE PALACOS R+G GENTAMICIN 40 GM LATEX FREE GREEN	SUP-5036964	CDM			270	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
CEMENT BONE PALACOS R+G GENTAMICIN 40 GM LATEX FREE GREEN	SUP-5036964	CDM			270	RC		inpatient			332.5	332.5																																																			
PALACOS LVG 1 X 40 SINGLE	SUP-5036966	CDM			270	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
PALACOS LVG 1 X 40 SINGLE	SUP-5036966	CDM			270	RC		inpatient			332.5	332.5																																																			
DRILL BIT 2.5MM FIBULOCK	SUP-95-05187	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
DRILL BIT 2.5MM FIBULOCK	SUP-95-05187	CDM			272	RC		inpatient			332.5	332.5																																																			
CALDERA WINGS - #CAL-WI	SUP-97-00159	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
CALDERA WINGS - #CAL-WI	SUP-97-00159	CDM			272	RC		inpatient			332.5	332.5																																																			
SCREW POLYAXIAL  LOC CANN 2.5MM X 18MM	SUP-97-01622	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
SCREW POLYAXIAL  LOC CANN 2.5MM X 18MM	SUP-97-01622	CDM			278	RC		inpatient			332.5	332.5																																																			
SCREW POLYAXIAL  LOC CANN 2.5MM X 14MM	SUP-97-01735	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
SCREW POLYAXIAL  LOC CANN 2.5MM X 14MM	SUP-97-01735	CDM			278	RC		inpatient			332.5	332.5																																																			
SCREW POLYAXIAL  LOC CANN 2.5MM X 22MM	SUP-97-01736	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
SCREW POLYAXIAL  LOC CANN 2.5MM X 22MM	SUP-97-01736	CDM			278	RC		inpatient			332.5	332.5																																																			
SCREW POLYAXIAL  LOC CANN 2.5MM X 24MM	SUP-97-01737	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
SCREW POLYAXIAL  LOC CANN 2.5MM X 24MM	SUP-97-01737	CDM			278	RC		inpatient			332.5	332.5																																																			
SCREW POLYAXIAL  LOC CANN 2.5MM X 26MM	SUP-97-01738	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
SCREW POLYAXIAL  LOC CANN 2.5MM X 26MM	SUP-97-01738	CDM			278	RC		inpatient			332.5	332.5																																																			
DRILL BIT CALIBRATED 2.0	SUP-97-02033	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
DRILL BIT CALIBRATED 2.0	SUP-97-02033	CDM			272	RC		inpatient			332.5	332.5																																																			
PROSTOP PLUS  GUIDE WIRE	SUP-97-02440	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
PROSTOP PLUS  GUIDE WIRE	SUP-97-02440	CDM			272	RC		inpatient			332.5	332.5																																																			
SCREW 2.4 MM CORTEX SLF T8 18MM	SUP-97-03441	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
SCREW 2.4 MM CORTEX SLF T8 18MM	SUP-97-03441	CDM			278	RC		inpatient			332.5	332.5																																																			
BONE SCREW 6.5X15 SELF-TAP	SUP-97-04023	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
BONE SCREW 6.5X15 SELF-TAP	SUP-97-04023	CDM			278	RC		inpatient			332.5	332.5																																																			
BONE SCREW 6.5X25 SELF-TAP	SUP-97-04024	CDM			278	RC		outpatient			332.5	332.5	332.5				fee schedule		332.5				other	OPPS APC	189.53				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	162.93				percent of total billed charges		169.58				percent of total billed charges		332.5				other	OPPS APC	162.93	332.5	
BONE SCREW 6.5X25 SELF-TAP	SUP-97-04024	CDM			278	RC		inpatient			332.5	332.5																																																			
GUIDEWIRE - PROWATER - 180CM	SUP-99-00460	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
GUIDEWIRE - PROWATER - 180CM	SUP-99-00460	CDM			272	RC		inpatient			332.5	332.5																																																			
GUIDEWIRE - PROWATER - 300CM	SUP-99-00648	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
GUIDEWIRE - PROWATER - 300CM	SUP-99-00648	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 4.5X20	SUP-99-03750	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 4.5X20	SUP-99-03750	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - EUPHORA 2.5 X 6	SUP-99-03781	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - EUPHORA 2.5 X 6	SUP-99-03781	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - EUPHORA 3.0 X 6	SUP-99-03782	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - EUPHORA 3.0 X 6	SUP-99-03782	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 2.0X15	SUP-99-03853	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 2.0X15	SUP-99-03853	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 2.0X20	SUP-99-03854	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 2.0X20	SUP-99-03854	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 2.0X6	SUP-99-03855	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 2.0X6	SUP-99-03855	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 2.25X6	SUP-99-03857	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 2.25X6	SUP-99-03857	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 2.5X6	SUP-99-03858	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 2.5X6	SUP-99-03858	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 2.75X27	SUP-99-03859	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 2.75X27	SUP-99-03859	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 3.5X6	SUP-99-03860	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 3.5X6	SUP-99-03860	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 3.75X12	SUP-99-03861	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 3.75X12	SUP-99-03861	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 3.75X6	SUP-99-03862	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 3.75X6	SUP-99-03862	CDM			272	RC		inpatient			332.5	332.5																																																			
BALLOON - NC EUPHORA 5.0X8	SUP-99-03864	CDM			272	RC		outpatient			332.5	332.5	90.07				percent of total billed charges		332.5				other	OPPS APC	246.05				percent of total billed charges		332.5				other	OPPS APC	332.5				other	OPPS APC	90.07				percent of total billed charges		91.87				percent of total billed charges		332.5				other	OPPS APC	90.07	332.5	
BALLOON - NC EUPHORA 5.0X8	SUP-99-03864	CDM			272	RC		inpatient			332.5	332.5																																																			
CAP INTEGRA LOCKING	SUP-185200	CDM			270	RC		outpatient			332	332	89.94				percent of total billed charges		332				other	OPPS APC	245.68				percent of total billed charges		332				other	OPPS APC	332				other	OPPS APC	89.94				percent of total billed charges		91.73				percent of total billed charges		332				other	OPPS APC	89.94	332	
CAP INTEGRA LOCKING	SUP-185200	CDM			270	RC		inpatient			332	332																																																			
GASTROSTOMY FEEDING TUBE KIT WITH BALLOON LOW PROFILE MIC KEY 16FR 2.0CM STOMA LENGTH	SUP-95-05440	CDM						inpatient			331.87	331.87																																																			
GASTROSTOMY FEEDING TUBE KIT WITH BALLOON LOW PROFILE MIC KEY 16FR 2.0CM STOMA LENGTH	SUP-95-05440	CDM						outpatient			331.87	331.87	331.87				percent of total billed charges		331.87				other	OPPS APC	331.87				fee schedule		331.87				other	OPPS APC	331.87				other	OPPS APC	331.87				case rate		331.87				case rate		331.87				other	OPPS APC	331.87	331.87	
ROD EXTERNAL FIXATION 250MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.840	CDM	270010022	LOCAL	270	RC		outpatient			331.8	331.81	89.88				percent of total billed charges		331.8				other	OPPS APC	245.53				percent of total billed charges		331.8				other	OPPS APC	331.8				other	OPPS APC	89.88				percent of total billed charges		91.68				percent of total billed charges		331.81				other	OPPS APC	89.88	331.81	
ROD EXTERNAL FIXATION 250MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.840	CDM	270010022	LOCAL	270	RC		inpatient			331.8	331.8																																																			
ROD EXTERNAL FIXATION CARBON FIBER L300 MM OD11 MM MR CONDITIONAL NONSTERILE	SUP-394.85	CDM	270010022	LOCAL	270	RC		outpatient			331.8	331.81	89.88				percent of total billed charges		331.8				other	OPPS APC	245.53				percent of total billed charges		331.8				other	OPPS APC	331.8				other	OPPS APC	89.88				percent of total billed charges		91.68				percent of total billed charges		331.81				other	OPPS APC	89.88	331.81	
ROD EXTERNAL FIXATION CARBON FIBER L300 MM OD11 MM MR CONDITIONAL NONSTERILE	SUP-394.85	CDM	270010022	LOCAL	270	RC		inpatient			331.8	331.8																																																			
ROD EXTERNAL FIXATION 350MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.86	CDM	270010022	LOCAL	270	RC		outpatient			331.8	331.81	89.88				percent of total billed charges		331.8				other	OPPS APC	245.53				percent of total billed charges		331.8				other	OPPS APC	331.8				other	OPPS APC	89.88				percent of total billed charges		91.68				percent of total billed charges		331.81				other	OPPS APC	89.88	331.81	
ROD EXTERNAL FIXATION 350MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.86	CDM	270010022	LOCAL	270	RC		inpatient			331.8	331.8																																																			
SHEATH INTRODUCER PINNACLE STAINLESS STEEL .035 IN L10 CM L2.5 CM ID5 FR PERIPHERAL SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE	SUP-RSS501	CDM			270	RC		outpatient			331.6	331.62	89.83				percent of total billed charges		331.6				other	OPPS APC	245.38				percent of total billed charges		331.6				other	OPPS APC	331.6				other	OPPS APC	89.83				percent of total billed charges		91.62				percent of total billed charges		331.62				other	OPPS APC	89.83	331.62	
SHEATH INTRODUCER PINNACLE STAINLESS STEEL .035 IN L10 CM L2.5 CM ID5 FR PERIPHERAL SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE	SUP-RSS501	CDM			270	RC		inpatient			331.6	331.6																																																			
SHEATH INTRODUCER PINNACLE STAINLESS STEEL .035 IN L10 CM L2.5 CM ID6 FR PERIPHERAL SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE	SUP-RSS601	CDM			270	RC		outpatient			331.6	331.62	89.83				percent of total billed charges		331.6				other	OPPS APC	245.38				percent of total billed charges		331.6				other	OPPS APC	331.6				other	OPPS APC	89.83				percent of total billed charges		91.62				percent of total billed charges		331.62				other	OPPS APC	89.83	331.62	
SHEATH INTRODUCER PINNACLE STAINLESS STEEL .035 IN L10 CM L2.5 CM ID6 FR PERIPHERAL SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE	SUP-RSS601	CDM			270	RC		inpatient			331.6	331.6																																																			
STENT URETERAL LITHOSTENT RAMROD TECOFLEX NYLON HYDROPHILIC SPIRAL GROVE L24CM OD 7FR RADIOPAQUE OPEN TIP DRAIN HOLE BRAID TETHER STERILE DISPOSABLE	SUP-5637024	CDM			270	RC		outpatient			331.2	331.2	89.72				percent of total billed charges		331.2				other	OPPS APC	245.09				percent of total billed charges		331.2				other	OPPS APC	331.2				other	OPPS APC	89.72				percent of total billed charges		91.51				percent of total billed charges		331.2				other	OPPS APC	89.72	331.2	
STENT URETERAL LITHOSTENT RAMROD TECOFLEX NYLON HYDROPHILIC SPIRAL GROVE L24CM OD 7FR RADIOPAQUE OPEN TIP DRAIN HOLE BRAID TETHER STERILE DISPOSABLE	SUP-5637024	CDM			270	RC		inpatient			331.2	331.2																																																			
STENT URETERAL LITHOSTENT RAMROD TECOFLEX NYLON HYDROPHILIC SPIRAL GROVE L 26CM OD 7FR RADIOPAQUE OPEN TIP DRAIN HOLE STERILE DISPOSABLE BRAID TETHER	SUP-5637026	CDM			270	RC		outpatient			331.2	331.2	89.72				percent of total billed charges		331.2				other	OPPS APC	245.09				percent of total billed charges		331.2				other	OPPS APC	331.2				other	OPPS APC	89.72				percent of total billed charges		91.51				percent of total billed charges		331.2				other	OPPS APC	89.72	331.2	
STENT URETERAL LITHOSTENT RAMROD TECOFLEX NYLON HYDROPHILIC SPIRAL GROVE L 26CM OD 7FR RADIOPAQUE OPEN TIP DRAIN HOLE STERILE DISPOSABLE BRAID TETHER	SUP-5637026	CDM			270	RC		inpatient			331.2	331.2																																																			
3.6 DRILL	SUP-97-02105	CDM			272	RC		outpatient			330.96	33.96	89.66				percent of total billed charges		330.96				other	OPPS APC	244.91				percent of total billed charges		330.96				other	OPPS APC	330.96				other	OPPS APC	89.66				percent of total billed charges		91.44				percent of total billed charges		33.96				other	OPPS APC	33.96	330.96	
3.6 DRILL	SUP-97-02105	CDM			272	RC		inpatient			330.96	330.96																																																			
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L141 MM X W9 MM X H1 MM H.7 MM OD12 MM 12 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.421	CDM	270010022	LOCAL	270	RC		outpatient			330.78	33.78	89.61				percent of total billed charges		330.78				other	OPPS APC	244.78				percent of total billed charges		330.78				other	OPPS APC	330.78				other	OPPS APC	89.61				percent of total billed charges		91.39				percent of total billed charges		33.78				other	OPPS APC	33.78	330.78	
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L141 MM X W9 MM X H1 MM H.7 MM OD12 MM 12 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.421	CDM	270010022	LOCAL	270	RC		inpatient			330.78	330.78																																																			
GUIDE WIRE 3.2 X 230 THREADED	SUP-95-04737	CDM			272	RC		outpatient			330.75	33.75	89.6				percent of total billed charges		330.75				other	OPPS APC	244.76				percent of total billed charges		330.75				other	OPPS APC	330.75				other	OPPS APC	89.6				percent of total billed charges		91.39				percent of total billed charges		33.75				other	OPPS APC	33.75	330.75	
GUIDE WIRE 3.2 X 230 THREADED	SUP-95-04737	CDM			272	RC		inpatient			330.75	330.75																																																			
CATHETER DRAINAGE EDS II SILICONE L35 CM CSF VENTRICULAR STRAIGHT STYLET CURVED TROCAR LUER LOCK CONNECTOR SET STERILE LATEX FREE DISPOSABLE	SUP-821705	CDM			270	RC		outpatient			330.6	33.62	89.56				percent of total billed charges		330.6				other	OPPS APC	244.64				percent of total billed charges		330.6				other	OPPS APC	330.6				other	OPPS APC	89.56				percent of total billed charges		91.34				percent of total billed charges		33.62				other	OPPS APC	33.62	330.6	
CATHETER DRAINAGE EDS II SILICONE L35 CM CSF VENTRICULAR STRAIGHT STYLET CURVED TROCAR LUER LOCK CONNECTOR SET STERILE LATEX FREE DISPOSABLE	SUP-821705	CDM			270	RC		inpatient			330.6	330.6																																																			
ROD SPINAL AXON TITANIUM L40 MM OD3.5 MM CURVED NONSTERILE	SUP-498.136	CDM	270010022	LOCAL	270	RC		outpatient			330.4	33.4	89.51				percent of total billed charges		330.4				other	OPPS APC	244.5				percent of total billed charges		330.4				other	OPPS APC	330.4				other	OPPS APC	89.51				percent of total billed charges		91.29				percent of total billed charges		33.4				other	OPPS APC	33.4	330.4	
ROD SPINAL AXON TITANIUM L40 MM OD3.5 MM CURVED NONSTERILE	SUP-498.136	CDM	270010022	LOCAL	270	RC		inpatient			330.4	330.4																																																			
ROD SPINAL AXON TITANIUM CURVE L80 MM OD3.5 MM PREBENT NONSTERILE	SUP-498.137	CDM	270010020	LOCAL	270	RC		outpatient			330.4	33.4	89.51				percent of total billed charges		330.4				other	OPPS APC	244.5				percent of total billed charges		330.4				other	OPPS APC	330.4				other	OPPS APC	89.51				percent of total billed charges		91.29				percent of total billed charges		33.4				other	OPPS APC	33.4	330.4	
ROD SPINAL AXON TITANIUM CURVE L80 MM OD3.5 MM PREBENT NONSTERILE	SUP-498.137	CDM	270010020	LOCAL	270	RC		inpatient			330.4	330.4																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L32 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM LONG BONE CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET NONSTERILE	SUP-214.732	CDM	270010022	LOCAL	270	RC		outpatient			330.12	33.12	89.43				percent of total billed charges		330.12				other	OPPS APC	244.29				percent of total billed charges		330.12				other	OPPS APC	330.12				other	OPPS APC	89.43				percent of total billed charges		91.21				percent of total billed charges		33.12				other	OPPS APC	33.12	330.12	
SCREW BONE STAINLESS STEEL FULL THREAD L32 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM LONG BONE CANNULATED SELF TAP SELF DRILL LARGE HEXAGONAL SOCKET NONSTERILE	SUP-214.732	CDM	270010022	LOCAL	270	RC		inpatient			330.12	330.12																																																			
PHENOBARBITAL PER 120 MG	636000000	CDM	54288-137-01	NDC	J2560	HCPCS		inpatient			330	330																																																			
PHENOBARBITAL PER 120 MG	636000000	CDM	54288-137-01	NDC	J2560	HCPCS		outpatient			330	330																																															other	OPPS APC			
HC Simulation Simple Initial	PX-333772801	CDM	77280	CPT	333	RC		outpatient			330	14.48	275.35				fee schedule		140.48				other	OPPS APC	423.27				fee schedule		140.48				other	OPPS APC	140.48				other	OPPS APC	269.76				fee schedule		231.02				fee schedule		14.48				other	OPPS APC	14.48	423.27	
HC Simulation Simple Initial	PX-333772801	CDM	77280	CPT	333	RC		inpatient			330	330																																																			
HC Hbo per 30 Mins	PX-413991831	CDM	99183	CPT	413	RC		outpatient			330	131.73	215.1				fee schedule		103.94				fee schedule		244.2				percent of total billed charges		103.94				fee schedule		103.94				fee schedule		104.41				fee schedule		168.3				percent of total billed charges		131.73				other	OPPS APC	103.94	244.2	
HC Hbo per 30 Mins	PX-413991831	CDM	99183	CPT	413	RC		inpatient			330	330																																																			
GUIDEWIRE VASCULAR BAREWIRE L 190 CM OD .014 IN DISTAL ACCESS FILTER DELIVERY	SUP-22439-19	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
GUIDEWIRE VASCULAR BAREWIRE L 190 CM OD .014 IN DISTAL ACCESS FILTER DELIVERY	SUP-22439-19	CDM			270	RC		inpatient			330	330																																																			
GUIDEWIRE VASCULAR NITINOL L 315CM OD .014 IN WORKHORSE FILTER DELIVERY RADIOPAQUE FRAME COIL	SUP-22440-31	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
GUIDEWIRE VASCULAR NITINOL L 315CM OD .014 IN WORKHORSE FILTER DELIVERY RADIOPAQUE FRAME COIL	SUP-22440-31	CDM			270	RC		inpatient			330	330																																																			
GUIDEWIRE VASCULAR BAREWIRE L190CM SUPPORT FILTER DELIVERY	SUP-22441-19	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
GUIDEWIRE VASCULAR BAREWIRE L190CM SUPPORT FILTER DELIVERY	SUP-22441-19	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 135CM 60MM 6MM 5FR NYBAX MEDIGLIDE HIGH PRESSURE	SUP-39171-06061	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 135CM 60MM 6MM 5FR NYBAX MEDIGLIDE HIGH PRESSURE	SUP-39171-06061	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG LOW PROFILE 75CM 80MM 5.3FR 7MM NYBAX HIGH	SUP-39171-07087	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG LOW PROFILE 75CM 80MM 5.3FR 7MM NYBAX HIGH	SUP-39171-07087	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 135CM 20MM 8MM 6FR NYBAX MEDIGLIDE HIGH PRESSURE	SUP-39171-08021	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 135CM 20MM 8MM 6FR NYBAX MEDIGLIDE HIGH PRESSURE	SUP-39171-08021	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 135CM 40MM 8MM 6FR NYBAX MEDIGLIDE HIGH PRESSURE	SUP-39171-08041	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 135CM 40MM 8MM 6FR NYBAX MEDIGLIDE HIGH PRESSURE	SUP-39171-08041	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG .035IN 75CM 60MM 8MM NYBAX HIGH PRESSURE LOW	SUP-39171-08067	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG .035IN 75CM 60MM 8MM NYBAX HIGH PRESSURE LOW	SUP-39171-08067	CDM			270	RC		inpatient			330	330																																																			
ROD EXTERNAL FIXATION CARBON FIBER MEDIUM L160 MM OD8 MM NONSTERILE	SUP-395.779	CDM	270010022	LOCAL	270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
ROD EXTERNAL FIXATION CARBON FIBER MEDIUM L160 MM OD8 MM NONSTERILE	SUP-395.779	CDM	270010022	LOCAL	270	RC		inpatient			330	330																																																			
ROD EXTERNAL FIXATION CARBON FIBER MEDIUM L120 MM OD8 MM NONSTERILE MEDIUM EXTERNAL FIXATOR	SUP-395.780	CDM	270010022	LOCAL	270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
ROD EXTERNAL FIXATION CARBON FIBER MEDIUM L120 MM OD8 MM NONSTERILE MEDIUM EXTERNAL FIXATOR	SUP-395.780	CDM	270010022	LOCAL	270	RC		inpatient			330	330																																																			
ROD EXTERNAL FIXATION CARBON FIBER L280 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.788	CDM	270010022	LOCAL	270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
ROD EXTERNAL FIXATION CARBON FIBER L280 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.788	CDM	270010022	LOCAL	270	RC		inpatient			330	330																																																			
ROD EXTERNAL FIXATION CARBON FIBER MEDIUM L320 MM OD8 MM NONSTERILE	SUP-395.792	CDM	270010022	LOCAL	270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
ROD EXTERNAL FIXATION CARBON FIBER MEDIUM L320 MM OD8 MM NONSTERILE	SUP-395.792	CDM	270010022	LOCAL	270	RC		inpatient			330	330																																																			
SCREW BONE QUICKFIX T15 SHORT THREAD 48MM 4MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053IN	SUP-48557312	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE QUICKFIX T15 SHORT THREAD 48MM 4MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053IN	SUP-48557312	CDM			270	RC		inpatient			330	330																																																			
PLATE BONE TITANIUM 100 D 12 MM ADVANCEMENT H.55 MM LEFT MIDFACIAL 6 HOLE L 1.7 MM SCREW	SUP-5507766	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
PLATE BONE TITANIUM 100 D 12 MM ADVANCEMENT H.55 MM LEFT MIDFACIAL 6 HOLE L 1.7 MM SCREW	SUP-5507766	CDM			270	RC		inpatient			330	330																																																			
PLATE BONE TITANIUM 100 D 12 MM ADVANCEMENT H.55 MM RIGHT MIDFACIAL 6 HOLE L 1.7 MM SCREW	SUP-5507767	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
PLATE BONE TITANIUM 100 D 12 MM ADVANCEMENT H.55 MM RIGHT MIDFACIAL 6 HOLE L 1.7 MM SCREW	SUP-5507767	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 14MM	SUP-604614	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 14MM	SUP-604614	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 16MM	SUP-604616	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 16MM	SUP-604616	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 18MM	SUP-604618	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 18MM	SUP-604618	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 20MM	SUP-604620	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 20MM	SUP-604620	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 22MM	SUP-604622	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 22MM	SUP-604622	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 24MM	SUP-604624	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 24MM	SUP-604624	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 26MM	SUP-604626	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 26MM	SUP-604626	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 28MM	SUP-604628	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 28MM	SUP-604628	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM 1/3 THREAD REVERSE CUT FLUTE L32 MM OD4 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-604630S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM 1/3 THREAD REVERSE CUT FLUTE L32 MM OD4 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-604630S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L32 MM OD4 MM TARSUS METATARSAL CANNULATED SELF DRILL LOW PROFILE	SUP-604632	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L32 MM OD4 MM TARSUS METATARSAL CANNULATED SELF DRILL LOW PROFILE	SUP-604632	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 34MM	SUP-604634S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 34MM	SUP-604634S	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 36MM	SUP-604636	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 36MM	SUP-604636	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 38MM	SUP-604638	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 38MM	SUP-604638	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 40MM	SUP-604640	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 40MM	SUP-604640	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 42MM	SUP-604642	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 42MM	SUP-604642	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 44MM	SUP-604644S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 44MM	SUP-604644S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM 1/3 THREAD REVERSE CUT FLUTE L46 MM OD4 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-604646S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM 1/3 THREAD REVERSE CUT FLUTE L46 MM OD4 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-604646S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD L48 MM OD4 MM DISTAL CANCELLOUS RADIUS TIBIA FIBULA CANNULATED REVERSE CUTTING FLUTE SELF DRILLING SELF TAPPING STERILE	SUP-604648S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD L48 MM OD4 MM DISTAL CANCELLOUS RADIUS TIBIA FIBULA CANNULATED REVERSE CUTTING FLUTE SELF DRILLING SELF TAPPING STERILE	SUP-604648S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM 1/3 THREAD REVERSE CUT FLUTE L50 MM OD4 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-604650S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM 1/3 THREAD REVERSE CUT FLUTE L50 MM OD4 MM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE	SUP-604650S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L55 MM OD4 MM TARSUS METATARSAL CANNULATED SELF DRILL LOW PROFILE	SUP-604655	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L55 MM OD4 MM TARSUS METATARSAL CANNULATED SELF DRILL LOW PROFILE	SUP-604655	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L50 MM OD4 MM TARSUS METATARSAL CANNULATED SELF DRILL LOW PROFILE	SUP-604660	CDM	270010020	LOCAL	270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L50 MM OD4 MM TARSUS METATARSAL CANNULATED SELF DRILL LOW PROFILE	SUP-604660	CDM	270010020	LOCAL	270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 65MM	SUP-604665	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 65MM	SUP-604665	CDM			270	RC		inpatient			330	330																																																			
SCREW STRYKER 4.0MM PARTIALLY THREADED 70MM	SUP-604670	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW STRYKER 4.0MM PARTIALLY THREADED 70MM	SUP-604670	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 12MM	SUP-604712S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 12MM	SUP-604712S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 14MM	SUP-604714S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 14MM	SUP-604714S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 16MM	SUP-604716S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 16MM	SUP-604716S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 18MM	SUP-604718S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 18MM	SUP-604718S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 20MM	SUP-604720S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 20MM	SUP-604720S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 22MM	SUP-604722S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 22MM	SUP-604722S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 24MM	SUP-604724S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 24MM	SUP-604724S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 26MM	SUP-604726S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 26MM	SUP-604726S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 28MM	SUP-604728S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 28MM	SUP-604728S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 30MM	SUP-604730S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 30MM	SUP-604730S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 32MM	SUP-604732S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 32MM	SUP-604732S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 34MM	SUP-604734S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 34MM	SUP-604734S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 36MM	SUP-604736S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 36MM	SUP-604736S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 38MM	SUP-604738S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 38MM	SUP-604738S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM FULL THREAD REVERSE CUT FLUTE L40 MM OD4 MM TARSAL METATARSAL CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD STERILE	SUP-604740S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM FULL THREAD REVERSE CUT FLUTE L40 MM OD4 MM TARSAL METATARSAL CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD STERILE	SUP-604740S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 42MM	SUP-604742S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 42MM	SUP-604742S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 44MM	SUP-604744S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 44MM	SUP-604744S	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM FULLY THREADED 48MM	SUP-604748S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM FULLY THREADED 48MM	SUP-604748S	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L50 MM OD4 MM PELVIS CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD STERILE	SUP-604750S	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE L50 MM OD4 MM PELVIS CANNULATED SELF DRILL SELF TAP LOW PROFILE HEAD STERILE	SUP-604750S	CDM			270	RC		inpatient			330	330																																																			
ANCHOR SUTURE CORKSCREW FIBERWIRE 2 12MM 3.5MM TITANIUM DISPOSABLE STERILE ROTATOR CUFF SELF TAP EYELET HANDLE INSERTER	SUP-AR-1915SF	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
ANCHOR SUTURE CORKSCREW FIBERWIRE 2 12MM 3.5MM TITANIUM DISPOSABLE STERILE ROTATOR CUFF SELF TAP EYELET HANDLE INSERTER	SUP-AR-1915SF	CDM			270	RC		inpatient			330	330																																																			
ANCHOR SUTURE CORKSCREW FIBERWIRE 2 15.5MM 5MM TITANIUM DISPOSABLE STERILE ROTATOR CUFF SELF TAP EYELET HANDLE INSERTER	SUP-AR-1920SF	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
ANCHOR SUTURE CORKSCREW FIBERWIRE 2 15.5MM 5MM TITANIUM DISPOSABLE STERILE ROTATOR CUFF SELF TAP EYELET HANDLE INSERTER	SUP-AR-1920SF	CDM			270	RC		inpatient			330	330																																																			
PASSER SUTURE SUTURELASSO CRESCENT STERILE DISPOSABLE HIP ARTHROSCOPY	SUP-AR-4068CH	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
PASSER SUTURE SUTURELASSO CRESCENT STERILE DISPOSABLE HIP ARTHROSCOPY	SUP-AR-4068CH	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE QUICKFIX TITANIUM SHORT PARTIAL THREAD T15 HEXALOBE LOW PROFILE L20 MM OD4 MM SMALL BONE CANCELLOUS BIOCOMPATIBLE SELF DRILL SELF TAP CANNULATED ACCEPTS .053 IN GUIDEWIRE	SUP-AR-8740-20PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE QUICKFIX TITANIUM SHORT PARTIAL THREAD T15 HEXALOBE LOW PROFILE L20 MM OD4 MM SMALL BONE CANCELLOUS BIOCOMPATIBLE SELF DRILL SELF TAP CANNULATED ACCEPTS .053 IN GUIDEWIRE	SUP-AR-8740-20PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE QUICKFIX TITANIUM T15 SHORT THREAD L24 MM OD4 MM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE	SUP-AR-8740-24PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE QUICKFIX TITANIUM T15 SHORT THREAD L24 MM OD4 MM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053 IN GUIDEWIRE	SUP-AR-8740-24PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW QUICKFIX CANNULATED 4.0MM X 28	SUP-AR-8740-28-PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW QUICKFIX CANNULATED 4.0MM X 28	SUP-AR-8740-28-PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE QUICKFIX T15 SHORT THREAD 32MM 4MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053IN	SUP-AR-8740-32PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE QUICKFIX T15 SHORT THREAD 32MM 4MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053IN	SUP-AR-8740-32PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE TITANIAM 4.0X34MM	SUP-AR-8740-34PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE TITANIAM 4.0X34MM	SUP-AR-8740-34PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW QUICKFIX CANNULATED 4.0MM X 39	SUP-AR-8740-38-PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW QUICKFIX CANNULATED 4.0MM X 39	SUP-AR-8740-38-PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW TITANIUM CANNULATED QUICKFIX 4.0X40MM	SUP-AR-8740-40PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW TITANIUM CANNULATED QUICKFIX 4.0X40MM	SUP-AR-8740-40PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW ARTHREX QUICKFIX TI CAN 4.0 X 42MM	SUP-AR-8740-42PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW ARTHREX QUICKFIX TI CAN 4.0 X 42MM	SUP-AR-8740-42PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW BONE QUICKFIX T15 SHORT THREAD 46MM 4MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053IN	SUP-AR-8740-46PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW BONE QUICKFIX T15 SHORT THREAD 46MM 4MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .053IN	SUP-AR-8740-46PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW ARTHREX QUICKFIX TI CAN 4.0 X 50MM	SUP-AR-8740-50PTS	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW ARTHREX QUICKFIX TI CAN 4.0 X 50MM	SUP-AR-8740-50PTS	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 38MM	SUP-AR-8840C-38	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANNULATED 38MM	SUP-AR-8840C-38	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 42MM	SUP-AR-8840C-42	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANNULATED 42MM	SUP-AR-8840C-42	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 50MM	SUP-AR-8840C-50	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANNULATED 50MM	SUP-AR-8840C-50	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 30MM	SUP-AR-8840CL-30	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 30MM	SUP-AR-8840CL-30	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 32MM	SUP-AR-8840CL-32	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 32MM	SUP-AR-8840CL-32	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 34MM	SUP-AR-8840CL-34	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 34MM	SUP-AR-8840CL-34	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 35MM	SUP-AR-8840CL-35	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 35MM	SUP-AR-8840CL-35	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 36MM	SUP-AR-8840CL-36	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 36MM	SUP-AR-8840CL-36	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 38MM	SUP-AR-8840CL-38	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 38MM	SUP-AR-8840CL-38	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 40MM	SUP-AR-8840CL-40	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 40MM	SUP-AR-8840CL-40	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 42MM	SUP-AR-8840CL-42	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 42MM	SUP-AR-8840CL-42	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 44MM	SUP-AR-8840CL-44	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 44MM	SUP-AR-8840CL-44	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 45MM	SUP-AR-8840CL-45	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 45MM	SUP-AR-8840CL-45	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 46MM	SUP-AR-8840CL-46	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 46MM	SUP-AR-8840CL-46	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 48MM	SUP-AR-8840CL-48	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 48MM	SUP-AR-8840CL-48	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 50MM	SUP-AR-8840CL-50	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 50MM	SUP-AR-8840CL-50	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 55MM	SUP-AR-8840CL-55	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 55MM	SUP-AR-8840CL-55	CDM			270	RC		inpatient			330	330																																																			
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 60MM	SUP-AR-8840CL-60	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4MM LOW PROFILE LONG THREAD CANNULTED 60MM	SUP-AR-8840CL-60	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 30MM	SUP-AR-8840P-30	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 30MM	SUP-AR-8840P-30	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 32MM	SUP-AR-8840P-32	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 32MM	SUP-AR-8840P-32	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 34MM	SUP-AR-8840P-34	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 34MM	SUP-AR-8840P-34	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 36MM	SUP-AR-8840P-36	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 36MM	SUP-AR-8840P-36	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 38MM	SUP-AR-8840P-39	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 38MM	SUP-AR-8840P-39	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 40MM	SUP-AR-8840P-40	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 40MM	SUP-AR-8840P-40	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 42MM	SUP-AR-8840P-42	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 42MM	SUP-AR-8840P-42	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 46MM	SUP-AR-8840P-46	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 46MM	SUP-AR-8840P-46	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 48MM	SUP-AR-8840P-48	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 48MM	SUP-AR-8840P-48	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 50MM	SUP-AR-8840P-50	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 50MM	SUP-AR-8840P-50	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 55MM	SUP-AR-8840P-55	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 55MM	SUP-AR-8840P-55	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 60MM	SUP-AR-8840P-60	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 60MM	SUP-AR-8840P-60	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 30MM	SUP-AR-8840PL-30	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 30MM	SUP-AR-8840PL-30	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 32MM	SUP-AR-8840PL-32	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 32MM	SUP-AR-8840PL-32	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 34MM	SUP-AR-8840PL-34	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 34MM	SUP-AR-8840PL-34	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 36MM	SUP-AR-8840PL-36	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 36MM	SUP-AR-8840PL-36	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 38MM	SUP-AR-8840PL-38	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 38MM	SUP-AR-8840PL-38	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 40MM	SUP-AR-8840PL-40	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 40MM	SUP-AR-8840PL-40	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 42MM	SUP-AR-8840PL-42	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 42MM	SUP-AR-8840PL-42	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 44MM	SUP-AR-8840PL-44	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 44MM	SUP-AR-8840PL-44	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 46MM	SUP-AR-8840PL-46	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 46MM	SUP-AR-8840PL-46	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 48MM	SUP-AR-8840PL-48	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 48MM	SUP-AR-8840PL-48	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 50MM	SUP-AR-8840PL-50	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 50MM	SUP-AR-8840PL-50	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 55MM	SUP-AR-8840PL-55	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 55MM	SUP-AR-8840PL-55	CDM			270	RC		inpatient			330	330																																																			
SCREW 4.0MM LP LONG THREAD CANCELLOUS 60MM	SUP-AR-8840PL-60	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
SCREW 4.0MM LP LONG THREAD CANCELLOUS 60MM	SUP-AR-8840PL-60	CDM			270	RC		inpatient			330	330																																																			
CATHETER DRAINAGE SILICONE L110 CM OD2.5 MM ID1.1 MM OPEN END MULTIPERFORATE DISTAL TIP RADIOPAQUE CSF	SUP-B905S_72548	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER DRAINAGE SILICONE L110 CM OD2.5 MM ID1.1 MM OPEN END MULTIPERFORATE DISTAL TIP RADIOPAQUE CSF	SUP-B905S_72548	CDM			270	RC		inpatient			330	330																																																			
CATHETER DRAINAGE TANTALUM SILICONE STANDARD STRAIGHT OD2.5 MM ID1.3 MM RIGHT ANGLE ADAPTER RADIOPAQUE DEPTH MARK INTRODUCE STYLET CSF	SUP-BO1910_72547	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER DRAINAGE TANTALUM SILICONE STANDARD STRAIGHT OD2.5 MM ID1.3 MM RIGHT ANGLE ADAPTER RADIOPAQUE DEPTH MARK INTRODUCE STYLET CSF	SUP-BO1910_72547	CDM			270	RC		inpatient			330	330																																																			
CONNECTOR CATHETER 1MM ID 2.1MM OD 12.7MM STRAIGHT SYMMETRICAL 2-WAY 316L STEEL	SUP-CS1_72550	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CONNECTOR CATHETER 1MM ID 2.1MM OD 12.7MM STRAIGHT SYMMETRICAL 2-WAY 316L STEEL	SUP-CS1_72550	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC3 MM HIGH PRESSURE	SUP-H74939171030210	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC3 MM HIGH PRESSURE	SUP-H74939171030210	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX L135 CM L40 MM ODSEC3 MM HIGH PRESSURE ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH	SUP-H74939171030410	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX L135 CM L40 MM ODSEC3 MM HIGH PRESSURE ACCEPTS .035 IN GUIDEWIRE 5 FR INTRODUCER SHEATH	SUP-H74939171030410	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION .035IN 4MM 135CM 20MM HIGH PRESSURE LOW PROFILE GUIDEWIRE	SUP-H74939171040210	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION .035IN 4MM 135CM 20MM HIGH PRESSURE LOW PROFILE GUIDEWIRE	SUP-H74939171040210	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 135CM 20MM 4MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171040210	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 135CM 20MM 4MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171040210	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L150 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171041510	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L150 MM ODSEC4 MM HIGH PRESSURE	SUP-H74939171041510	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050210	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171050210	CDM			270	RC		inpatient			330	330																																																			
BALLOON- MUSTANG OTW 5X150X135	SUP-H74939171051510	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
BALLOON- MUSTANG OTW 5X150X135	SUP-H74939171051510	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L150 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171051510	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L150 MM ODSEC5 MM HIGH PRESSURE	SUP-H74939171051510	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L150 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171061510	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L150 MM ODSEC6 MM HIGH PRESSURE	SUP-H74939171061510	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070270	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070270	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 7MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171070470	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 7MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 5FR INTRODUCER SHEATH	SUP-H74939171070470	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L80 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070870	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L80 MM ODSEC7 MM HIGH PRESSURE	SUP-H74939171070870	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080210	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L20 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080210	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080410	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L135 CM L40 MM ODSEC8 MM HIGH PRESSURE	SUP-H74939171080410	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 8MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH	SUP-H74939171080470	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 8MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE 6FR INTRODUCER SHEATH	SUP-H74939171080470	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC9 MM HIGH PRESSURE	SUP-H74939171090270	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC9 MM HIGH PRESSURE	SUP-H74939171090270	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 9MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE	SUP-H74939171090470	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG 75CM 40MM 9MM NYBAX HIGH PRESSURE ACCEPTS .035IN GUIDEWIRE	SUP-H74939171090470	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC10 MM HIGH PRESSURE	SUP-H74939171100270	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L20 MM ODSEC10 MM HIGH PRESSURE	SUP-H74939171100270	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC10 MM HIGH PRESSURE	SUP-H74939171100470	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION MUSTANG NYBAX .035 IN L75 CM L40 MM ODSEC10 MM HIGH PRESSURE	SUP-H74939171100470	CDM			270	RC		inpatient			330	330																																																			
CATHETER BALLOON DILATATION .035IN STANDARD 5.3FR 6MM 135CM 40MM PERIPHERAL OTW	SUP-M001176280	CDM			270	RC		outpatient			330	33	89.4				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	89.4				percent of total billed charges		91.18				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER BALLOON DILATATION .035IN STANDARD 5.3FR 6MM 135CM 40MM PERIPHERAL OTW	SUP-M001176280	CDM			270	RC		inpatient			330	330																																																			
CATHETER ARTERIAL LINE SWAN-GANZ L100 CM L24 CM OD5 FR PULMONARY ARTERY THERMODILUTION PORT	SUP-TS105F5	CDM			481	RC		outpatient			330	33	161.7				percent of total billed charges		330				other	OPPS APC	244.2				percent of total billed charges		330				other	OPPS APC	330				other	OPPS APC	161.7				percent of total billed charges		168.3				percent of total billed charges		33				other	OPPS APC	33	330	
CATHETER ARTERIAL LINE SWAN-GANZ L100 CM L24 CM OD5 FR PULMONARY ARTERY THERMODILUTION PORT	SUP-TS105F5	CDM			481	RC		inpatient			330	330																																																			
CATHETER PERITONEAL ARGYLE SWAN NECK CURL CATH 180D 62.5CM 15FR SILICONE STERILE LATEX LEFT 2 CUFF RADIOPAQUE PREFORM	SUP-8888413807	CDM			270	RC		outpatient			329.96	329.96	89.39				percent of total billed charges		329.96				other	OPPS APC	244.17				percent of total billed charges		329.96				other	OPPS APC	329.96				other	OPPS APC	89.39				percent of total billed charges		91.17				percent of total billed charges		329.96				other	OPPS APC	89.39	329.96	
CATHETER PERITONEAL ARGYLE SWAN NECK CURL CATH 180D 62.5CM 15FR SILICONE STERILE LATEX LEFT 2 CUFF RADIOPAQUE PREFORM	SUP-8888413807	CDM			270	RC		inpatient			329.96	329.96																																																			
INVRAD HICKMAN 6F	SUP-99-00032	CDM			272	RC		outpatient			329.84	329.84	89.35				percent of total billed charges		329.84				other	OPPS APC	244.08				percent of total billed charges		329.84				other	OPPS APC	329.84				other	OPPS APC	89.35				percent of total billed charges		91.13				percent of total billed charges		329.84				other	OPPS APC	89.35	329.84	
INVRAD HICKMAN 6F	SUP-99-00032	CDM			272	RC		inpatient			329.84	329.84																																																			
BIT DRILL MATRIXRIB 82MM 12MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.012	CDM			270	RC		outpatient			329.74	329.74	89.33				percent of total billed charges		329.74				other	OPPS APC	244.01				percent of total billed charges		329.74				other	OPPS APC	329.74				other	OPPS APC	89.33				percent of total billed charges		91.11				percent of total billed charges		329.74				other	OPPS APC	89.33	329.74	
BIT DRILL MATRIXRIB 82MM 12MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.012	CDM			270	RC		inpatient			329.74	329.74																																																			
BIT DRILL MATRIXRIB 82MM 16MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.016	CDM			270	RC		outpatient			329.74	329.74	89.33				percent of total billed charges		329.74				other	OPPS APC	244.01				percent of total billed charges		329.74				other	OPPS APC	329.74				other	OPPS APC	89.33				percent of total billed charges		91.11				percent of total billed charges		329.74				other	OPPS APC	89.33	329.74	
BIT DRILL MATRIXRIB 82MM 16MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.016	CDM			270	RC		inpatient			329.74	329.74																																																			
BIT DRILL MATRIXRIB 82MM 18MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.018	CDM			270	RC		outpatient			329.74	329.74	89.33				percent of total billed charges		329.74				other	OPPS APC	244.01				percent of total billed charges		329.74				other	OPPS APC	329.74				other	OPPS APC	89.33				percent of total billed charges		91.11				percent of total billed charges		329.74				other	OPPS APC	89.33	329.74	
BIT DRILL MATRIXRIB 82MM 18MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.018	CDM			270	RC		inpatient			329.74	329.74																																																			
BIT DRILL MATRIXRIB 88MM 20MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.020	CDM			270	RC		outpatient			329.74	329.74	89.33				percent of total billed charges		329.74				other	OPPS APC	244.01				percent of total billed charges		329.74				other	OPPS APC	329.74				other	OPPS APC	89.33				percent of total billed charges		91.11				percent of total billed charges		329.74				other	OPPS APC	89.33	329.74	
BIT DRILL MATRIXRIB 88MM 20MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.020	CDM			270	RC		inpatient			329.74	329.74																																																			
BIT DRILL MATRIXRIB 88MM 22MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.022	CDM			270	RC		outpatient			329.74	329.74	89.33				percent of total billed charges		329.74				other	OPPS APC	244.01				percent of total billed charges		329.74				other	OPPS APC	329.74				other	OPPS APC	89.33				percent of total billed charges		91.11				percent of total billed charges		329.74				other	OPPS APC	89.33	329.74	
BIT DRILL MATRIXRIB 88MM 22MM 1.5MM NS STERNUM J LATCH COUPLING SELF STOP STRYKER	SUP-03.501.022	CDM			270	RC		inpatient			329.74	329.74																																																			
PROBE LASER PUREPOINT NITINOL 40 D L6 MM OD23 GA RETINA RFID FLEXIBLE NITINOL TIP EASY INSERTION ANGLED STERILE DISPOSABLE	SUP-8065751113	CDM			270	RC		outpatient			329.6	329.62	89.29				percent of total billed charges		329.6				other	OPPS APC	243.9				percent of total billed charges		329.6				other	OPPS APC	329.6				other	OPPS APC	89.29				percent of total billed charges		91.07				percent of total billed charges		329.62				other	OPPS APC	89.29	329.62	
PROBE LASER PUREPOINT NITINOL 40 D L6 MM OD23 GA RETINA RFID FLEXIBLE NITINOL TIP EASY INSERTION ANGLED STERILE DISPOSABLE	SUP-8065751113	CDM			270	RC		inpatient			329.6	329.6																																																			
SHEATH ACCESS FLEXOR 55CM 12FR AQ DISPOSABLE STERILE LATEX URETERAL DILATION CONTINUOUS WORK CHANNEL FLEXIBLE SCOPE	SUP-G19169	CDM			270	RC		outpatient			329.56	329.56	89.28				percent of total billed charges		329.56				other	OPPS APC	243.87				percent of total billed charges		329.56				other	OPPS APC	329.56				other	OPPS APC	89.28				percent of total billed charges		91.06				percent of total billed charges		329.56				other	OPPS APC	89.28	329.56	
SHEATH ACCESS FLEXOR 55CM 12FR AQ DISPOSABLE STERILE LATEX URETERAL DILATION CONTINUOUS WORK CHANNEL FLEXIBLE SCOPE	SUP-G19169	CDM			270	RC		inpatient			329.56	329.56																																																			
FORCEPS LENS GRIESHABER MAXGRIP OD25+ GA MICRO TEXTURE BROAD GRASP SURFACE BLUNT DISTAL END HEAVY MEMBRANE STERILE DISPOSABLE	SUP-705.13P	CDM			270	RC		outpatient			329.2	329.2	89.18				percent of total billed charges		329.2				other	OPPS APC	243.61				percent of total billed charges		329.2				other	OPPS APC	329.2				other	OPPS APC	89.18				percent of total billed charges		90.96				percent of total billed charges		329.2				other	OPPS APC	89.18	329.2	
FORCEPS LENS GRIESHABER MAXGRIP OD25+ GA MICRO TEXTURE BROAD GRASP SURFACE BLUNT DISTAL END HEAVY MEMBRANE STERILE DISPOSABLE	SUP-705.13P	CDM			270	RC		inpatient			329.2	329.2																																																			
HC Homocysteine  Tl Plasma (Hcp)	PX-300830900	CDM	83090	CPT	301	RC		outpatient			329	17.92	22.55				fee schedule		17.92				fee schedule		44.78				fee schedule		17.92				fee schedule		17.92				fee schedule		17.92				fee schedule		17.92				fee schedule		17.92				fee schedule		17.92	44.78	
HC Homocysteine  Tl Plasma (Hcp)	PX-300830900	CDM	83090	CPT	301	RC		inpatient			329	329																																																			
HC Testoserone  Free	PX-300844020	CDM	84402	CPT	300	RC		outpatient			329	25.47	34.05				fee schedule		25.47				fee schedule		67.58				fee schedule		25.47				fee schedule		25.47				fee schedule		25.47				fee schedule		25.47				fee schedule		25.47				fee schedule		25.47	67.58	
HC Testoserone  Free	PX-300844020	CDM	84402	CPT	300	RC		inpatient			329	329																																																			
HC Testosterone (Tes)	PX-300844030	CDM	84403	CPT	301	RC		outpatient			329	25.9	34.52				fee schedule		25.81				fee schedule		68.55				fee schedule		25.81				fee schedule		25.81				fee schedule		25.81				fee schedule		25.81				fee schedule		25.9				fee schedule		25.81	68.55	
HC Testosterone (Tes)	PX-300844030	CDM	84403	CPT	301	RC		inpatient			329	329																																																			
HC Hla B27 (Hla)	PX-300868120	CDM	86812	CPT	302	RC		outpatient			329	25.9	34.51				fee schedule		25.81				fee schedule		68.51				fee schedule		25.81				fee schedule		25.81				fee schedule		25.81				fee schedule		25.81				fee schedule		25.9				fee schedule		25.81	68.51	
HC Hla B27 (Hla)	PX-300868120	CDM	86812	CPT	302	RC		inpatient			329	329																																																			
HC Xr C Spine 4 or 5 Views	PX-320720500	CDM	72050	CPT	320	RC		outpatient			329	112.57	50.15				fee schedule		112.57				other	OPPS APC	124.41				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	53.46				fee schedule		40.26				fee schedule		112.57				other	OPPS APC	40.26	124.41	
HC Xr C Spine 4 or 5 Views	PX-320720500	CDM	72050	CPT	320	RC		inpatient			329	329																																																			
HC US Guidance Intraoperative	PX-402769980	CDM	76998	CPT	402	RC		inpatient			329	329																																																			
HC US Guidance Intraoperative	PX-402769980	CDM	76998	CPT	402	RC		outpatient			329	329					fee schedule						other	OPPS APC	243.46				percent of total billed charges						other	OPPS APC					other	OPPS APC	161.21				percent of total billed charges		167.79				percent of total billed charges						other	OPPS APC	243.46	243.46	
HC Vl Uea Multiple Level Unilat	PX-921939230	CDM	93923	CPT	921	RC		outpatient			329	153.17	141.79				fee schedule		153.17				other	OPPS APC	492.82				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	128.23				fee schedule		167.79				percent of total billed charges		153.17				other	OPPS APC	128.23	492.82	
HC Vl Uea Multiple Level Unilat	PX-921939230	CDM	93923	CPT	921	RC		inpatient			329	329																																																			
BIT DRILL L65 MM OD3.2 MM QUICK COUPLING STOP NONSTERILE	SUP-03.614.010	CDM	270010022	LOCAL	270	RC		outpatient			329	329	89.13				percent of total billed charges		329				other	OPPS APC	243.46				percent of total billed charges		329				other	OPPS APC	329				other	OPPS APC	89.13				percent of total billed charges		90.9				percent of total billed charges		329				other	OPPS APC	89.13	329	
BIT DRILL L65 MM OD3.2 MM QUICK COUPLING STOP NONSTERILE	SUP-03.614.010	CDM	270010022	LOCAL	270	RC		inpatient			329	329																																																			
DRILL 2.7MMX80MM	SUP-97-03275	CDM			272	RC		outpatient			329	329	89.13				percent of total billed charges		329				other	OPPS APC	243.46				percent of total billed charges		329				other	OPPS APC	329				other	OPPS APC	89.13				percent of total billed charges		90.9				percent of total billed charges		329				other	OPPS APC	89.13	329	
DRILL 2.7MMX80MM	SUP-97-03275	CDM			272	RC		inpatient			329	329																																																			
DRILL 2.7MMX40MM	SUP-97-03276	CDM			272	RC		outpatient			329	329	89.13				percent of total billed charges		329				other	OPPS APC	243.46				percent of total billed charges		329				other	OPPS APC	329				other	OPPS APC	89.13				percent of total billed charges		90.9				percent of total billed charges		329				other	OPPS APC	89.13	329	
DRILL 2.7MMX40MM	SUP-97-03276	CDM			272	RC		inpatient			329	329																																																			
CPT LAPARASCOPIC TUBAL LIG PAC	SUP-77-00015	CDM			272	RC		outpatient			328.97	328.97	89.12				percent of total billed charges		328.97				other	OPPS APC	243.44				percent of total billed charges		328.97				other	OPPS APC	328.97				other	OPPS APC	89.12				percent of total billed charges		90.89				percent of total billed charges		328.97				other	OPPS APC	89.12	328.97	
CPT LAPARASCOPIC TUBAL LIG PAC	SUP-77-00015	CDM			272	RC		inpatient			328.97	328.97																																																			
PACK VITRECTOMY ACCURUS TOTAL PLUS PROBE 2500	SUP-8065741017	CDM	270009186	LOCAL	270	RC		outpatient			328.8	328.81	89.07				percent of total billed charges		328.8				other	OPPS APC	243.31				percent of total billed charges		328.8				other	OPPS APC	328.8				other	OPPS APC	89.07				percent of total billed charges		90.85				percent of total billed charges		328.81				other	OPPS APC	89.07	328.81	
PACK VITRECTOMY ACCURUS TOTAL PLUS PROBE 2500	SUP-8065741017	CDM	270009186	LOCAL	270	RC		inpatient			328.8	328.8																																																			
PROBE NERVE STIMULATOR NIM-RESPONSE STANDARD OD.33 MM PRASS MONOPOLAR FLUSH TIP SLIMLINE HANDLE STERILE	SUP-8225103	CDM			270	RC		outpatient			328.8	328.81	89.07				percent of total billed charges		328.8				other	OPPS APC	243.31				percent of total billed charges		328.8				other	OPPS APC	328.8				other	OPPS APC	89.07				percent of total billed charges		90.85				percent of total billed charges		328.81				other	OPPS APC	89.07	328.81	
PROBE NERVE STIMULATOR NIM-RESPONSE STANDARD OD.33 MM PRASS MONOPOLAR FLUSH TIP SLIMLINE HANDLE STERILE	SUP-8225103	CDM			270	RC		inpatient			328.8	328.8																																																			
NEEDLE SPROTTE CANNULA	SUP-97-00779	CDM			272	RC		outpatient			328.65	328.65	89.03				percent of total billed charges		328.65				other	OPPS APC	243.2				percent of total billed charges		328.65				other	OPPS APC	328.65				other	OPPS APC	89.03				percent of total billed charges		90.81				percent of total billed charges		328.65				other	OPPS APC	89.03	328.65	
NEEDLE SPROTTE CANNULA	SUP-97-00779	CDM			272	RC		inpatient			328.65	328.65																																																			
KIT MIC-KEY GASTRO W/BALLOON 24 FR 2CM	SUP-95-05485	CDM			272	RC		outpatient			328.58	328.58	89.01				percent of total billed charges		328.58				other	OPPS APC	243.15				percent of total billed charges		328.58				other	OPPS APC	328.58				other	OPPS APC	89.01				percent of total billed charges		90.79				percent of total billed charges		328.58				other	OPPS APC	89.01	328.58	
KIT MIC-KEY GASTRO W/BALLOON 24 FR 2CM	SUP-95-05485	CDM			272	RC		inpatient			328.58	328.58																																																			
KIT MICK-KEY GASTRO W/BALLOON 20FR 2CM	SUP-95-05486	CDM			272	RC		outpatient			328.58	328.58	89.01				percent of total billed charges		328.58				other	OPPS APC	243.15				percent of total billed charges		328.58				other	OPPS APC	328.58				other	OPPS APC	89.01				percent of total billed charges		90.79				percent of total billed charges		328.58				other	OPPS APC	89.01	328.58	
KIT MICK-KEY GASTRO W/BALLOON 20FR 2CM	SUP-95-05486	CDM			272	RC		inpatient			328.58	328.58																																																			
HC Treat Knuckle Dislocation	PX-450267001	CDM	26700	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Treat Knuckle Dislocation	PX-450267001	CDM	26700	CPT	450	RC		inpatient			328	328																																																			
HC Treat Finger Fx  Ea W/Manipulation	PX-450267251	CDM	26725	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Treat Finger Fx  Ea W/Manipulation	PX-450267251	CDM	26725	CPT	450	RC		inpatient			328	328																																																			
HC Finger IP Joint Dislocation WO Anes	PX-450267701	CDM	26770	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Finger IP Joint Dislocation WO Anes	PX-450267701	CDM	26770	CPT	450	RC		inpatient			328	328																																																			
HC Closed Trt of Big Toe Fx W/ Manipula	PX-450284951	CDM	28495	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Closed Trt of Big Toe Fx W/ Manipula	PX-450284951	CDM	28495	CPT	450	RC		inpatient			328	328																																																			
HC Closed Trtmt Toe Disloc W/O Anesthes	PX-450286301	CDM	28630	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Closed Trtmt Toe Disloc W/O Anesthes	PX-450286301	CDM	28630	CPT	450	RC		inpatient			328	328																																																			
HC Closed Trtmt of Disloc Toe W/O Anes	PX-450286601	CDM	28660	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Closed Trtmt of Disloc Toe W/O Anes	PX-450286601	CDM	28660	CPT	450	RC		inpatient			328	328																																																			
HC Remove Nasal Foreign Body	PX-450303001	CDM	30300	CPT	450	RC		outpatient			328	328	195.77				case rate		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	195.77				case rate		199.69				case rate		328				other	OPPS APC	195.77	328	
HC Remove Nasal Foreign Body	PX-450303001	CDM	30300	CPT	450	RC		inpatient			328	328																																																			
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 250MM	SUP-5029-8-825	CDM	270010022	LOCAL	270	RC		outpatient			328	328	88.86				percent of total billed charges		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	88.86				percent of total billed charges		90.63				percent of total billed charges		328				other	OPPS APC	88.86	328	
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 250MM	SUP-5029-8-825	CDM	270010022	LOCAL	270	RC		inpatient			328	328																																																			
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 300MM	SUP-5029-8-830	CDM	270010022	LOCAL	270	RC		outpatient			328	328	88.86				percent of total billed charges		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	88.86				percent of total billed charges		90.63				percent of total billed charges		328				other	OPPS APC	88.86	328	
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 300MM	SUP-5029-8-830	CDM	270010022	LOCAL	270	RC		inpatient			328	328																																																			
CABLE CATHETER INQUIRY L1.5 MR 10 PIN CONNECTING DIAGNOSTIC	SUP-IBI-85954	CDM			270	RC		outpatient			328	328	88.86				percent of total billed charges		328				other	OPPS APC	242.72				percent of total billed charges		328				other	OPPS APC	328				other	OPPS APC	88.86				percent of total billed charges		90.63				percent of total billed charges		328				other	OPPS APC	88.86	328	
CABLE CATHETER INQUIRY L1.5 MR 10 PIN CONNECTING DIAGNOSTIC	SUP-IBI-85954	CDM			270	RC		inpatient			328	328																																																			
PACK FEMPOP BYPASS	SUP-DYNJ59278	CDM	270009163	LOCAL	270	RC		outpatient			327.73	327.73	88.78				percent of total billed charges		327.73				other	OPPS APC	242.52				percent of total billed charges		327.73				other	OPPS APC	327.73				other	OPPS APC	88.78				percent of total billed charges		90.55				percent of total billed charges		327.73				other	OPPS APC	88.78	327.73	
PACK FEMPOP BYPASS	SUP-DYNJ59278	CDM	270009163	LOCAL	270	RC		inpatient			327.73	327.73																																																			
SCREW BONE LCP TITANIUM T8 L16 MM OD2.4 MM RADIUS DISTAL VOLAR VARIABLE ANGLE LOCK STARDRIVE NONSTERILE	SUP-04.210.116	CDM	270010022	LOCAL	270	RC		outpatient			327.6	327.62	88.75				percent of total billed charges		327.6				other	OPPS APC	242.42				percent of total billed charges		327.6				other	OPPS APC	327.6				other	OPPS APC	88.75				percent of total billed charges		90.52				percent of total billed charges		327.62				other	OPPS APC	88.75	327.62	
SCREW BONE LCP TITANIUM T8 L16 MM OD2.4 MM RADIUS DISTAL VOLAR VARIABLE ANGLE LOCK STARDRIVE NONSTERILE	SUP-04.210.116	CDM	270010022	LOCAL	270	RC		inpatient			327.6	327.6																																																			
PLATE BONE TITANIUM 2 MM ADVANCEMENT L2 MM X H.8 MM MIDFACIAL 5 HOLE L LOCKING 1.7 MM SCREWS	SUP-5505761	CDM			270	RC		outpatient			327.6	327.62	88.75				percent of total billed charges		327.6				other	OPPS APC	242.42				percent of total billed charges		327.6				other	OPPS APC	327.6				other	OPPS APC	88.75				percent of total billed charges		90.52				percent of total billed charges		327.62				other	OPPS APC	88.75	327.62	
PLATE BONE TITANIUM 2 MM ADVANCEMENT L2 MM X H.8 MM MIDFACIAL 5 HOLE L LOCKING 1.7 MM SCREWS	SUP-5505761	CDM			270	RC		inpatient			327.6	327.6																																																			
TOOL DISSECTING MR8 MATCH HEAD L10 CM OD3 MM STERILE DISPOSABLE	SUP-MR8-10MH30	CDM			270	RC		outpatient			327.12	327.12	88.62				percent of total billed charges		327.12				other	OPPS APC	242.07				percent of total billed charges		327.12				other	OPPS APC	327.12				other	OPPS APC	88.62				percent of total billed charges		90.38				percent of total billed charges		327.12				other	OPPS APC	88.62	327.12	
TOOL DISSECTING MR8 MATCH HEAD L10 CM OD3 MM STERILE DISPOSABLE	SUP-MR8-10MH30	CDM			270	RC		inpatient			327.12	327.12																																																			
MANIPULATOR SURGICAL ACCURUS INFINITECH 1 MM OD20 GA ODSEC28 GA TISSUE 3 FUNCTION ILLUMINATION ASPIRATION COAGULATION STERILE DISPOSABLE	SUP-8065020100	CDM			270	RC		outpatient			327.06	327.6	88.6				percent of total billed charges		327.06				other	OPPS APC	242.02				percent of total billed charges		327.06				other	OPPS APC	327.06				other	OPPS APC	88.6				percent of total billed charges		90.37				percent of total billed charges		327.6				other	OPPS APC	88.6	327.6	
MANIPULATOR SURGICAL ACCURUS INFINITECH 1 MM OD20 GA ODSEC28 GA TISSUE 3 FUNCTION ILLUMINATION ASPIRATION COAGULATION STERILE DISPOSABLE	SUP-8065020100	CDM			270	RC		inpatient			327.06	327.06																																																			
TIP APPLICATOR PROGEL L29 CM SPRAYER EXTENDED	SUP-PGEN00511	CDM			270	RC		outpatient			327.04	327.42	88.6				percent of total billed charges		327.04				other	OPPS APC	242.01				percent of total billed charges		327.04				other	OPPS APC	327.04				other	OPPS APC	88.6				percent of total billed charges		90.36				percent of total billed charges		327.42				other	OPPS APC	88.6	327.42	
TIP APPLICATOR PROGEL L29 CM SPRAYER EXTENDED	SUP-PGEN00511	CDM			270	RC		inpatient			327.04	327.04																																																			
PIN POSITIONING LCP STAINLESS STEEL OD4.5 MM CERCLAGE THREADED STERILE	SUP-298.803S	CDM	270010022	LOCAL	270	RC		outpatient			326.9	326.9	88.56				percent of total billed charges		326.9				other	OPPS APC	241.91				percent of total billed charges		326.9				other	OPPS APC	326.9				other	OPPS APC	88.56				percent of total billed charges		90.32				percent of total billed charges		326.9				other	OPPS APC	88.56	326.9	
PIN POSITIONING LCP STAINLESS STEEL OD4.5 MM CERCLAGE THREADED STERILE	SUP-298.803S	CDM	270010022	LOCAL	270	RC		inpatient			326.9	326.9																																																			
BIT DRILL 44.5MM 6MM .76MM NS MINI QUICK COUPLING SELF STOP MODULAR HAND SYSTEM	SUP-316.286	CDM	270010022	LOCAL	270	RC		outpatient			326.7	326.7	88.5				percent of total billed charges		326.7				other	OPPS APC	241.76				percent of total billed charges		326.7				other	OPPS APC	326.7				other	OPPS APC	88.5				percent of total billed charges		90.27				percent of total billed charges		326.7				other	OPPS APC	88.5	326.7	
BIT DRILL 44.5MM 6MM .76MM NS MINI QUICK COUPLING SELF STOP MODULAR HAND SYSTEM	SUP-316.286	CDM	270010022	LOCAL	270	RC		inpatient			326.7	326.7																																																			
BIT DRILL 44.5MM 8MM .76MM NS MINI QUICK COUPLING SELF STOP MODULAR HAND SYSTEM	SUP-316.288	CDM	270010022	LOCAL	270	RC		outpatient			326.7	326.7	88.5				percent of total billed charges		326.7				other	OPPS APC	241.76				percent of total billed charges		326.7				other	OPPS APC	326.7				other	OPPS APC	88.5				percent of total billed charges		90.27				percent of total billed charges		326.7				other	OPPS APC	88.5	326.7	
BIT DRILL 44.5MM 8MM .76MM NS MINI QUICK COUPLING SELF STOP MODULAR HAND SYSTEM	SUP-316.288	CDM	270010022	LOCAL	270	RC		inpatient			326.7	326.7																																																			
BIT DRILL 44.5MM 12MM .76MM NS MINI QUICK COUPLING SELF STOP 1MM SCREW MODULAR HAND SYSTEM	SUP-316.292	CDM	270010022	LOCAL	270	RC		outpatient			326.7	326.7	88.5				percent of total billed charges		326.7				other	OPPS APC	241.76				percent of total billed charges		326.7				other	OPPS APC	326.7				other	OPPS APC	88.5				percent of total billed charges		90.27				percent of total billed charges		326.7				other	OPPS APC	88.5	326.7	
BIT DRILL 44.5MM 12MM .76MM NS MINI QUICK COUPLING SELF STOP 1MM SCREW MODULAR HAND SYSTEM	SUP-316.292	CDM	270010022	LOCAL	270	RC		inpatient			326.7	326.7																																																			
BIT DRILL 44.5MM 14MM .76MM NS MINI QUICK COUPLING SELF STOP 1MM SCREW MODULAR HAND SYSTEM	SUP-316.294	CDM	270010022	LOCAL	270	RC		outpatient			326.7	326.7	88.5				percent of total billed charges		326.7				other	OPPS APC	241.76				percent of total billed charges		326.7				other	OPPS APC	326.7				other	OPPS APC	88.5				percent of total billed charges		90.27				percent of total billed charges		326.7				other	OPPS APC	88.5	326.7	
BIT DRILL 44.5MM 14MM .76MM NS MINI QUICK COUPLING SELF STOP 1MM SCREW MODULAR HAND SYSTEM	SUP-316.294	CDM	270010022	LOCAL	270	RC		inpatient			326.7	326.7																																																			
PLATE BONE STANDARD 3D .6MM GOLD TITANIUM UPPER FACE 2X2 HOLE 1.2MM SCREW	SUP-5506231	CDM			270	RC		outpatient			326.4	326.4	88.42				percent of total billed charges		326.4				other	OPPS APC	241.54				percent of total billed charges		326.4				other	OPPS APC	326.4				other	OPPS APC	88.42				percent of total billed charges		90.18				percent of total billed charges		326.4				other	OPPS APC	88.42	326.4	
PLATE BONE STANDARD 3D .6MM GOLD TITANIUM UPPER FACE 2X2 HOLE 1.2MM SCREW	SUP-5506231	CDM			270	RC		inpatient			326.4	326.4																																																			
WIRE STRYKER 2.0 FENESTRATED	SUP-702453	CDM			270	RC		outpatient			326.4	326.4	88.42				percent of total billed charges		326.4				other	OPPS APC	241.54				percent of total billed charges		326.4				other	OPPS APC	326.4				other	OPPS APC	88.42				percent of total billed charges		90.18				percent of total billed charges		326.4				other	OPPS APC	88.42	326.4	
WIRE STRYKER 2.0 FENESTRATED	SUP-702453	CDM			270	RC		inpatient			326.4	326.4																																																			
BALLOON RETRIEVAL EXTRACTOR PRO RX L200 CM OD6-7 FR ODSEC9-12 MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER STERILE LATEX DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00547000	CDM			270	RC		outpatient			325.54	325.54	88.19				percent of total billed charges		325.54				other	OPPS APC	240.9				percent of total billed charges		325.54				other	OPPS APC	325.54				other	OPPS APC	88.19				percent of total billed charges		89.95				percent of total billed charges		325.54				other	OPPS APC	88.19	325.54	
BALLOON RETRIEVAL EXTRACTOR PRO RX L200 CM OD6-7 FR ODSEC9-12 MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER STERILE LATEX DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00547000	CDM			270	RC		inpatient			325.54	325.54																																																			
BALLOON RETRIEVAL EXTRACTOR PRO RX L200 CM OD6-7 FR ODSEC12-15 MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER STERILE LATEX DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00547010	CDM			270	RC		outpatient			325.54	325.54	88.19				percent of total billed charges		325.54				other	OPPS APC	240.9				percent of total billed charges		325.54				other	OPPS APC	325.54				other	OPPS APC	88.19				percent of total billed charges		89.95				percent of total billed charges		325.54				other	OPPS APC	88.19	325.54	
BALLOON RETRIEVAL EXTRACTOR PRO RX L200 CM OD6-7 FR ODSEC12-15 MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER STERILE LATEX DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00547010	CDM			270	RC		inpatient			325.54	325.54																																																			
BALLOON RETRIEVAL EXTRACTOR PRO RX L200 CM OD6-7 FR ODSEC15-18 MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER STERILE LATEX DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00547020	CDM			270	RC		outpatient			325.54	325.54	88.19				percent of total billed charges		325.54				other	OPPS APC	240.9				percent of total billed charges		325.54				other	OPPS APC	325.54				other	OPPS APC	88.19				percent of total billed charges		89.95				percent of total billed charges		325.54				other	OPPS APC	88.19	325.54	
BALLOON RETRIEVAL EXTRACTOR PRO RX L200 CM OD6-7 FR ODSEC15-18 MM BILIARY 3 LUMEN ABOVE INJECTION SQUARE SHOULDER STERILE LATEX DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00547020	CDM			270	RC		inpatient			325.54	325.54																																																			
SHEATH - SHUTTLE 6F	SUP-99-00989	CDM			272	RC		outpatient			325.5	325.5	88.18				percent of total billed charges		325.5				other	OPPS APC	240.87				percent of total billed charges		325.5				other	OPPS APC	325.5				other	OPPS APC	88.18				percent of total billed charges		89.94				percent of total billed charges		325.5				other	OPPS APC	88.18	325.5	
SHEATH - SHUTTLE 6F	SUP-99-00989	CDM			272	RC		inpatient			325.5	325.5																																																			
HC OB Exam Room - Level III	PX-761992131	CDM	99213	CPT	761	RC		outpatient			325	127.29	195.77				case rate		127.29				other	OPPS APC	240.5				percent of total billed charges		127.29				other	OPPS APC	127.29				other	OPPS APC	195.77				case rate		165.75				percent of total billed charges		127.29				other	OPPS APC	127.29	240.5	
HC OB Exam Room - Level III	PX-761992131	CDM	99213	CPT	761	RC		inpatient			325	325																																																			
Office Visit Level 3 Est 99213	PX-988992131	CDM	99213	CPT	988	RC		outpatient			325	64.69	73.06				fee schedule		64.69				fee schedule		240.5				percent of total billed charges		64.69				fee schedule		64.69				fee schedule		64.98				fee schedule		165.75				percent of total billed charges		64.69				fee schedule		64.69	240.5	
Office Visit Level 3 Est 99213	PX-988992131	CDM	99213	CPT	988	RC		inpatient			325	325																																																			
RELOAD STAPLER ECHELON ENDOPATH L45 MM X H3.6 MM H1.5 MM REGULAR TISSUE BLUE	SUP-GST45B	CDM			270	RC		outpatient			324.72	324.72	87.97				percent of total billed charges		324.72				other	OPPS APC	240.29				percent of total billed charges		324.72				other	OPPS APC	324.72				other	OPPS APC	87.97				percent of total billed charges		89.72				percent of total billed charges		324.72				other	OPPS APC	87.97	324.72	
RELOAD STAPLER ECHELON ENDOPATH L45 MM X H3.6 MM H1.5 MM REGULAR TISSUE BLUE	SUP-GST45B	CDM			270	RC		inpatient			324.72	324.72																																																			
RELOAD STAPLER ECHELON ENDOPATH H4.1 MM THICK TISSUE GREEN	SUP-GST45G	CDM			270	RC		outpatient			324.72	324.72	87.97				percent of total billed charges		324.72				other	OPPS APC	240.29				percent of total billed charges		324.72				other	OPPS APC	324.72				other	OPPS APC	87.97				percent of total billed charges		89.72				percent of total billed charges		324.72				other	OPPS APC	87.97	324.72	
RELOAD STAPLER ECHELON ENDOPATH H4.1 MM THICK TISSUE GREEN	SUP-GST45G	CDM			270	RC		inpatient			324.72	324.72																																																			
RELOAD STAPLER ECHELON ENDOPATH H2.6 MM VASCULAR THIN TISSUE WHITE	SUP-GST45W	CDM			270	RC		outpatient			324.72	324.72	87.97				percent of total billed charges		324.72				other	OPPS APC	240.29				percent of total billed charges		324.72				other	OPPS APC	324.72				other	OPPS APC	87.97				percent of total billed charges		89.72				percent of total billed charges		324.72				other	OPPS APC	87.97	324.72	
RELOAD STAPLER ECHELON ENDOPATH H2.6 MM VASCULAR THIN TISSUE WHITE	SUP-GST45W	CDM			270	RC		inpatient			324.72	324.72																																																			
SHEATH - 7F X 23CM MARKER TIP	SUP-99-01313	CDM			272	RC		outpatient			324.63	324.63	87.94				percent of total billed charges		324.63				other	OPPS APC	240.23				percent of total billed charges		324.63				other	OPPS APC	324.63				other	OPPS APC	87.94				percent of total billed charges		89.7				percent of total billed charges		324.63				other	OPPS APC	87.94	324.63	
SHEATH - 7F X 23CM MARKER TIP	SUP-99-01313	CDM			272	RC		inpatient			324.63	324.63																																																			
PEG MULTIDIRECTIONAL THREADED 14MM	SUP-131211114	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 14MM	SUP-131211114	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 16MM	SUP-131211116	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 16MM	SUP-131211116	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 18MM	SUP-131211118	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 18MM	SUP-131211118	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 20MM	SUP-131211120	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 20MM	SUP-131211120	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 22MM	SUP-131211122	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 22MM	SUP-131211122	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 24MM	SUP-131211124	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 24MM	SUP-131211124	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 26MM	SUP-131211126	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 26MM	SUP-131211126	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 28MM	SUP-131211128	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 28MM	SUP-131211128	CDM			270	RC		inpatient			324.36	324.36																																																			
PEG MULTIDIRECTIONAL THREADED 30MM	SUP-131211130	CDM			270	RC		outpatient			324.36	324.36	87.87				percent of total billed charges		324.36				other	OPPS APC	240.03				percent of total billed charges		324.36				other	OPPS APC	324.36				other	OPPS APC	87.87				percent of total billed charges		89.62				percent of total billed charges		324.36				other	OPPS APC	87.87	324.36	
PEG MULTIDIRECTIONAL THREADED 30MM	SUP-131211130	CDM			270	RC		inpatient			324.36	324.36																																																			
TRAY BIOPSY ARROW ONCONTROL L102 MM	SUP-9408-VC-006	CDM			270	RC		outpatient			324.33	324.33	87.86				percent of total billed charges		324.33				other	OPPS APC	240				percent of total billed charges		324.33				other	OPPS APC	324.33				other	OPPS APC	87.86				percent of total billed charges		89.61				percent of total billed charges		324.33				other	OPPS APC	87.86	324.33	
TRAY BIOPSY ARROW ONCONTROL L102 MM	SUP-9408-VC-006	CDM			270	RC		inpatient			324.33	324.33																																																			
TRAY BIOPSY ARROW ONCONTROL L152 MM	SUP-9411-VC-006	CDM			270	RC		outpatient			324.33	324.33	87.86				percent of total billed charges		324.33				other	OPPS APC	240				percent of total billed charges		324.33				other	OPPS APC	324.33				other	OPPS APC	87.86				percent of total billed charges		89.61				percent of total billed charges		324.33				other	OPPS APC	87.86	324.33	
TRAY BIOPSY ARROW ONCONTROL L152 MM	SUP-9411-VC-006	CDM			270	RC		inpatient			324.33	324.33																																																			
DRILL GRAY PT 4MM X 200MM	SUP-97-03396	CDM			278	RC		outpatient			324.24	324.24	324.24				fee schedule		324.24				other	OPPS APC	184.82				percent of total billed charges		324.24				other	OPPS APC	324.24				other	OPPS APC	158.88				percent of total billed charges		165.36				percent of total billed charges		324.24				other	OPPS APC	158.88	324.24	
DRILL GRAY PT 4MM X 200MM	SUP-97-03396	CDM			278	RC		inpatient			324.24	324.24																																																			
PLATE BONE TITANIUM 100 D 8 MM ADVANCEMENT H.8 MM LEFT MIDFACIAL 6 HOLE L GRADUATED STABILIZATION	SUP-5507764	CDM			270	RC		outpatient			324	324	87.77				percent of total billed charges		324				other	OPPS APC	239.76				percent of total billed charges		324				other	OPPS APC	324				other	OPPS APC	87.77				percent of total billed charges		89.52				percent of total billed charges		324				other	OPPS APC	87.77	324	
PLATE BONE TITANIUM 100 D 8 MM ADVANCEMENT H.8 MM LEFT MIDFACIAL 6 HOLE L GRADUATED STABILIZATION	SUP-5507764	CDM			270	RC		inpatient			324	324																																																			
PLATE BONE TITANIUM 100 D 8 MM ADVANCEMENT H.8 MM RIGHT MIDFACIAL 6 HOLE L 1.7 MM SCREWS	SUP-5507765	CDM			270	RC		outpatient			324	324	87.77				percent of total billed charges		324				other	OPPS APC	239.76				percent of total billed charges		324				other	OPPS APC	324				other	OPPS APC	87.77				percent of total billed charges		89.52				percent of total billed charges		324				other	OPPS APC	87.77	324	
PLATE BONE TITANIUM 100 D 8 MM ADVANCEMENT H.8 MM RIGHT MIDFACIAL 6 HOLE L 1.7 MM SCREWS	SUP-5507765	CDM			270	RC		inpatient			324	324																																																			
PIN FIXATION EVOS L 25MM  OD 2.5MM PROVISIONAL STERILE	SUP-71175094	CDM			270	RC		outpatient			324	324	87.77				percent of total billed charges		324				other	OPPS APC	239.76				percent of total billed charges		324				other	OPPS APC	324				other	OPPS APC	87.77				percent of total billed charges		89.52				percent of total billed charges		324				other	OPPS APC	87.77	324	
PIN FIXATION EVOS L 25MM  OD 2.5MM PROVISIONAL STERILE	SUP-71175094	CDM			270	RC		inpatient			324	324																																																			
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 77 MM X W 10.7MM X H 3.4MM 6 HOLE COMPRESSION STERILE 3.5MM SCREW	SUP-72441006	CDM			270	RC		outpatient			324	324	87.77				percent of total billed charges		324				other	OPPS APC	239.76				percent of total billed charges		324				other	OPPS APC	324				other	OPPS APC	87.77				percent of total billed charges		89.52				percent of total billed charges		324				other	OPPS APC	87.77	324	
PLATE BONE EVOS STAINLESS STEEL 12.5 MM SPACE L 77 MM X W 10.7MM X H 3.4MM 6 HOLE COMPRESSION STERILE 3.5MM SCREW	SUP-72441006	CDM			270	RC		inpatient			324	324																																																			
HYDROMARK T1 BIOPSY MARKER - STEREO	SUP-95-05588	CDM			272	RC		outpatient			323.85	323.85	87.73				percent of total billed charges		323.85				other	OPPS APC	239.65				percent of total billed charges		323.85				other	OPPS APC	323.85				other	OPPS APC	87.73				percent of total billed charges		89.48				percent of total billed charges		323.85				other	OPPS APC	87.73	323.85	
HYDROMARK T1 BIOPSY MARKER - STEREO	SUP-95-05588	CDM			272	RC		inpatient			323.85	323.85																																																			
MICS IRRIGATION CLIP STERILE	SUP-69631	CDM			272	RC		outpatient			323.75	323.75	87.7				percent of total billed charges		323.75				other	OPPS APC	239.58				percent of total billed charges		323.75				other	OPPS APC	323.75				other	OPPS APC	87.7				percent of total billed charges		89.45				percent of total billed charges		323.75				other	OPPS APC	87.7	323.75	
MICS IRRIGATION CLIP STERILE	SUP-69631	CDM			272	RC		inpatient			323.75	323.75																																																			
MAKO MICS IRRIGATION TUBING	SUP-78-00406	CDM			272	RC		outpatient			323.75	323.75	87.7				percent of total billed charges		323.75				other	OPPS APC	239.58				percent of total billed charges		323.75				other	OPPS APC	323.75				other	OPPS APC	87.7				percent of total billed charges		89.45				percent of total billed charges		323.75				other	OPPS APC	87.7	323.75	
MAKO MICS IRRIGATION TUBING	SUP-78-00406	CDM			272	RC		inpatient			323.75	323.75																																																			
MAKO MICS IRRIGATION CLIP	SUP-78-00408	CDM			272	RC		outpatient			323.75	323.75	87.7				percent of total billed charges		323.75				other	OPPS APC	239.58				percent of total billed charges		323.75				other	OPPS APC	323.75				other	OPPS APC	87.7				percent of total billed charges		89.45				percent of total billed charges		323.75				other	OPPS APC	87.7	323.75	
MAKO MICS IRRIGATION CLIP	SUP-78-00408	CDM			272	RC		inpatient			323.75	323.75																																																			
K-WIRE 2MM W/STOP-FOR T10 SC HEAD	SUP-95-03516	CDM			278	RC		outpatient			323.75	323.75	323.75				fee schedule		323.75				other	OPPS APC	184.54				percent of total billed charges		323.75				other	OPPS APC	323.75				other	OPPS APC	158.64				percent of total billed charges		165.11				percent of total billed charges		323.75				other	OPPS APC	158.64	323.75	
K-WIRE 2MM W/STOP-FOR T10 SC HEAD	SUP-95-03516	CDM			278	RC		inpatient			323.75	323.75																																																			
BIT DRILL 3 FLUTE 195MM 4MM NS QUICK COUPLING	SUP-315.40	CDM	270010022	LOCAL	270	RC		outpatient			323.4	323.4	87.61				percent of total billed charges		323.4				other	OPPS APC	239.32				percent of total billed charges		323.4				other	OPPS APC	323.4				other	OPPS APC	87.61				percent of total billed charges		89.36				percent of total billed charges		323.4				other	OPPS APC	87.61	323.4	
BIT DRILL 3 FLUTE 195MM 4MM NS QUICK COUPLING	SUP-315.40	CDM	270010022	LOCAL	270	RC		inpatient			323.4	323.4																																																			
GUIDEWIRE 2.8MM X 350MM	SUP-97-04677	CDM			278	RC		outpatient			323.4	323.4	323.4				fee schedule		323.4				other	OPPS APC	184.34				percent of total billed charges		323.4				other	OPPS APC	323.4				other	OPPS APC	158.47				percent of total billed charges		164.93				percent of total billed charges		323.4				other	OPPS APC	158.47	323.4	
GUIDEWIRE 2.8MM X 350MM	SUP-97-04677	CDM			278	RC		inpatient			323.4	323.4																																																			
SCREW 3.5 X 16MM CORTICAL SCREW	SUP-97-05852	CDM			278	RC		outpatient			323.4	323.4	323.4				fee schedule		323.4				other	OPPS APC	184.34				percent of total billed charges		323.4				other	OPPS APC	323.4				other	OPPS APC	158.47				percent of total billed charges		164.93				percent of total billed charges		323.4				other	OPPS APC	158.47	323.4	
SCREW 3.5 X 16MM CORTICAL SCREW	SUP-97-05852	CDM			278	RC		inpatient			323.4	323.4																																																			
SCREW 2.7 X 12MM CORTICAL LOW PROFILE	SUP-97-05855	CDM			278	RC		outpatient			323.4	323.4	323.4				fee schedule		323.4				other	OPPS APC	184.34				percent of total billed charges		323.4				other	OPPS APC	323.4				other	OPPS APC	158.47				percent of total billed charges		164.93				percent of total billed charges		323.4				other	OPPS APC	158.47	323.4	
SCREW 2.7 X 12MM CORTICAL LOW PROFILE	SUP-97-05855	CDM			278	RC		inpatient			323.4	323.4																																																			
SCREW BONE VARIAX TITANIUM T7 L24 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27624	CDM			270	RC		outpatient			323.2	323.2	87.55				percent of total billed charges		323.2				other	OPPS APC	239.17				percent of total billed charges		323.2				other	OPPS APC	323.2				other	OPPS APC	87.55				percent of total billed charges		89.3				percent of total billed charges		323.2				other	OPPS APC	87.55	323.2	
SCREW BONE VARIAX TITANIUM T7 L24 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27624	CDM			270	RC		inpatient			323.2	323.2																																																			
SCREW BONE VARIAX TITANIUM T7 L30 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27630	CDM			270	RC		outpatient			323.2	323.2	87.55				percent of total billed charges		323.2				other	OPPS APC	239.17				percent of total billed charges		323.2				other	OPPS APC	323.2				other	OPPS APC	87.55				percent of total billed charges		89.3				percent of total billed charges		323.2				other	OPPS APC	87.55	323.2	
SCREW BONE VARIAX TITANIUM T7 L30 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27630	CDM			270	RC		inpatient			323.2	323.2																																																			
RELOAD STAPLER ECHELON FLEX ENDOPATH 3.5MM 60MM 1.5MM BLUE SS DISPOSABLE STERILE LF REGULAR TISSUE 6 ROW	SUP-ECR60B	CDM			270	RC		outpatient			323.19	323.19	87.55				percent of total billed charges		323.19				other	OPPS APC	239.16				percent of total billed charges		323.19				other	OPPS APC	323.19				other	OPPS APC	87.55				percent of total billed charges		89.3				percent of total billed charges		323.19				other	OPPS APC	87.55	323.19	
RELOAD STAPLER ECHELON FLEX ENDOPATH 3.5MM 60MM 1.5MM BLUE SS DISPOSABLE STERILE LF REGULAR TISSUE 6 ROW	SUP-ECR60B	CDM			270	RC		inpatient			323.19	323.19																																																			
HC Thoracic Spine 3 Views	PX-320720720	CDM	72072	CPT	320	RC		outpatient			323	112.57	38.68				fee schedule		112.57				other	OPPS APC	98.28				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	39.42				fee schedule		28.61				fee schedule		112.57				other	OPPS APC	28.61	112.57	
HC Thoracic Spine 3 Views	PX-320720720	CDM	72072	CPT	320	RC		inpatient			323	323																																																			
CATHETER - TEMPORARY PACEMAKER	SUP-99-03149	CDM			272	RC		outpatient			323	323	87.5				percent of total billed charges		323				other	OPPS APC	239.02				percent of total billed charges		323				other	OPPS APC	323				other	OPPS APC	87.5				percent of total billed charges		89.24				percent of total billed charges		323				other	OPPS APC	87.5	323	
CATHETER - TEMPORARY PACEMAKER	SUP-99-03149	CDM			272	RC		inpatient			323	323																																																			
DRILL SURGICAL VLP MINI-MOD LONG L 1.8MM AO QUICK COUPLING STERILE LATEX FREE DISPOSABLE	SUP-74462404	CDM			270	RC		outpatient			322.8	322.81	87.45				percent of total billed charges		322.8				other	OPPS APC	238.87				percent of total billed charges		322.8				other	OPPS APC	322.8				other	OPPS APC	87.45				percent of total billed charges		89.19				percent of total billed charges		322.81				other	OPPS APC	87.45	322.81	
DRILL SURGICAL VLP MINI-MOD LONG L 1.8MM AO QUICK COUPLING STERILE LATEX FREE DISPOSABLE	SUP-74462404	CDM			270	RC		inpatient			322.8	322.8																																																			
GUIDE - RENAL MACH 1 C1	SUP-99-01122	CDM			272	RC		outpatient			322.53	322.53	87.37				percent of total billed charges		322.53				other	OPPS APC	238.67				percent of total billed charges		322.53				other	OPPS APC	322.53				other	OPPS APC	87.37				percent of total billed charges		89.12				percent of total billed charges		322.53				other	OPPS APC	87.37	322.53	
GUIDE - RENAL MACH 1 C1	SUP-99-01122	CDM			272	RC		inpatient			322.53	322.53																																																			
GUIDE - RENAL MACH 1 LIMA	SUP-99-01495	CDM			272	RC		outpatient			322.53	322.53	87.37				percent of total billed charges		322.53				other	OPPS APC	238.67				percent of total billed charges		322.53				other	OPPS APC	322.53				other	OPPS APC	87.37				percent of total billed charges		89.12				percent of total billed charges		322.53				other	OPPS APC	87.37	322.53	
GUIDE - RENAL MACH 1 LIMA	SUP-99-01495	CDM			272	RC		inpatient			322.53	322.53																																																			
NUT ORTHOPEDIC 12MM 4MM SS NS SELF CUT SERRATE TIP LCP 5MM SCREW	SUP-222.578	CDM	270010022	LOCAL	270	RC		outpatient			322.3	322.31	87.31				percent of total billed charges		322.3				other	OPPS APC	238.5				percent of total billed charges		322.3				other	OPPS APC	322.3				other	OPPS APC	87.31				percent of total billed charges		89.05				percent of total billed charges		322.31				other	OPPS APC	87.31	322.31	
NUT ORTHOPEDIC 12MM 4MM SS NS SELF CUT SERRATE TIP LCP 5MM SCREW	SUP-222.578	CDM	270010022	LOCAL	270	RC		inpatient			322.3	322.3																																																			
SCREW BONE TITANIUM T25 FULL THREAD L30 MM OD5 MM ODSEC4.4 MM SELF TAP LOCK STARDRIVE CONICAL STERILE LARGE FRAGMENT SET	SUP-412.209S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 FULL THREAD L30 MM OD5 MM ODSEC4.4 MM SELF TAP LOCK STARDRIVE CONICAL STERILE LARGE FRAGMENT SET	SUP-412.209S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L32 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.210S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L32 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.210S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L34 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.211S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L34 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.211S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L36 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.212S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L36 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.212S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L38 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.213S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L38 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.213S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L42 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.215S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L42 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.215S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L44 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.216S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L44 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.216S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L46 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.217S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L46 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.217S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L48 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.218S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L48 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.218S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L50 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.219S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L50 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.219S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L55 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.220S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L55 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.220S	CDM			270	RC		inpatient			322	322																																																			
SCREW BONE TITANIUM T25 L60 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.221S	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SCREW BONE TITANIUM T25 L60 MM OD5 MM SELF TAP LOCK STARDRIVE STERILE	SUP-412.221S	CDM			270	RC		inpatient			322	322																																																			
GRAFT HERNIA 10 X 14 (0112660)	SUP-75-00152	CDM			278	RC		outpatient			322	322	322				fee schedule		322				other	OPPS APC	183.54				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	157.78				percent of total billed charges		164.22				percent of total billed charges		322				other	OPPS APC	157.78	322	
GRAFT HERNIA 10 X 14 (0112660)	SUP-75-00152	CDM			278	RC		inpatient			322	322																																																			
ROTH NET RETRIEVER	SUP-95-00811	CDM			272	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
ROTH NET RETRIEVER	SUP-95-00811	CDM			272	RC		inpatient			322	322																																																			
SHEATH - PINNACLE DESTINATION 6FX90CM STRAIGHT TIP	SUP-99-00974	CDM			272	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SHEATH - PINNACLE DESTINATION 6FX90CM STRAIGHT TIP	SUP-99-00974	CDM			272	RC		inpatient			322	322																																																			
SHEATH - PINNACLE DEST 6FX45 TUOUY	SUP-99-03006	CDM			272	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SHEATH - PINNACLE DEST 6FX45 TUOUY	SUP-99-03006	CDM			272	RC		inpatient			322	322																																																			
SHEATH - PINNACLE DEST 8FX45 TUOUY	SUP-99-03007	CDM			272	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SHEATH - PINNACLE DEST 8FX45 TUOUY	SUP-99-03007	CDM			272	RC		inpatient			322	322																																																			
SHEATH - PINNACLE DESTINATION 7FX90CM STRAIGHT TIP	SUP-99-04609	CDM			272	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
SHEATH - PINNACLE DESTINATION 7FX90CM STRAIGHT TIP	SUP-99-04609	CDM			272	RC		inpatient			322	322																																																			
CATHETER SPECIMEN RETRIEVAL TRI-EX .035IN 200CM 7-5FR 8.5MM 1.5ML PURPLE DISPOSABLE STERILE LATEX BILE DUCT 3 LUMEN	SUP-G22530	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
CATHETER SPECIMEN RETRIEVAL TRI-EX .035IN 200CM 7-5FR 8.5MM 1.5ML PURPLE DISPOSABLE STERILE LATEX BILE DUCT 3 LUMEN	SUP-G22530	CDM			270	RC		inpatient			322	322																																																			
GUIDEWIRE VASCULAR LUNDERQUIST TAPER 260CM 11CM .035IN SS PTFE DISPOSABLE STERILE EXTRA STIFF FLOPPY CURVE TIP EXCHANGE	SUP-G45353	CDM			270	RC		outpatient			322	322	87.23				percent of total billed charges		322				other	OPPS APC	238.28				percent of total billed charges		322				other	OPPS APC	322				other	OPPS APC	87.23				percent of total billed charges		88.97				percent of total billed charges		322				other	OPPS APC	87.23	322	
GUIDEWIRE VASCULAR LUNDERQUIST TAPER 260CM 11CM .035IN SS PTFE DISPOSABLE STERILE EXTRA STIFF FLOPPY CURVE TIP EXCHANGE	SUP-G45353	CDM			270	RC		inpatient			322	322																																																			
BALLOON APPLICATOR	SUP-95-23479	CDM			272	RC		outpatient			321.37	321.37	87.06				percent of total billed charges		321.37				other	OPPS APC	237.81				percent of total billed charges		321.37				other	OPPS APC	321.37				other	OPPS APC	87.06				percent of total billed charges		88.79				percent of total billed charges		321.37				other	OPPS APC	87.06	321.37	
BALLOON APPLICATOR	SUP-95-23479	CDM			272	RC		inpatient			321.37	321.37																																																			
12X16 CATH KIT LG BORE MULTILUMEN (SUB)	SUP-95-04351	CDM			272	RC		outpatient			321.3	321.31	87.04				percent of total billed charges		321.3				other	OPPS APC	237.76				percent of total billed charges		321.3				other	OPPS APC	321.3				other	OPPS APC	87.04				percent of total billed charges		88.78				percent of total billed charges		321.31				other	OPPS APC	87.04	321.31	
12X16 CATH KIT LG BORE MULTILUMEN (SUB)	SUP-95-04351	CDM			272	RC		inpatient			321.3	321.3																																																			
BAG EMESIS 6.5X15 1.35ML	SUP-97-00132	CDM			271	RC		outpatient			321.3	321.31	87.04				percent of total billed charges		321.3				other	OPPS APC	237.76				percent of total billed charges		321.3				other	OPPS APC	321.3				other	OPPS APC	87.04				percent of total billed charges		88.78				percent of total billed charges		321.31				other	OPPS APC	87.04	321.31	
BAG EMESIS 6.5X15 1.35ML	SUP-97-00132	CDM			271	RC		inpatient			321.3	321.3																																																			
PARTICLES EMBOLIZATION CONTOUR PVA 355-500 UM	SUP-M0017600421	CDM			270	RC		outpatient			321.3	321.31	87.04				percent of total billed charges		321.3				other	OPPS APC	237.76				percent of total billed charges		321.3				other	OPPS APC	321.3				other	OPPS APC	87.04				percent of total billed charges		88.78				percent of total billed charges		321.31				other	OPPS APC	87.04	321.31	
PARTICLES EMBOLIZATION CONTOUR PVA 355-500 UM	SUP-M0017600421	CDM			270	RC		inpatient			321.3	321.3																																																			
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L93 MM X W9 MM X H1 MM H.7 MM OD12 MM 8 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.381	CDM	270010022	LOCAL	270	RC		outpatient			321.08	321.8	86.98				percent of total billed charges		321.08				other	OPPS APC	237.6				percent of total billed charges		321.08				other	OPPS APC	321.08				other	OPPS APC	86.98				percent of total billed charges		88.71				percent of total billed charges		321.8				other	OPPS APC	86.98	321.8	
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L93 MM X W9 MM X H1 MM H.7 MM OD12 MM 8 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.381	CDM	270010022	LOCAL	270	RC		inpatient			321.08	321.08																																																			
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L117 MM X W9 MM X H1 MM H.7 MM OD12 MM 10 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.401	CDM	270010022	LOCAL	270	RC		outpatient			321.08	321.8	86.98				percent of total billed charges		321.08				other	OPPS APC	237.6				percent of total billed charges		321.08				other	OPPS APC	321.08				other	OPPS APC	86.98				percent of total billed charges		88.71				percent of total billed charges		321.8				other	OPPS APC	86.98	321.8	
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L117 MM X W9 MM X H1 MM H.7 MM OD12 MM 10 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.401	CDM	270010022	LOCAL	270	RC		inpatient			321.08	321.08																																																			
GUIDEWIRE VASCULAR APPROACH STAINLESS STEEL TAPER L300 CM OD.014 IN 25 GM TIP LOAD	SUP-CMW-14-300-25G	CDM			270	RC		outpatient			321	321	86.96				percent of total billed charges		321				other	OPPS APC	237.54				percent of total billed charges		321				other	OPPS APC	321				other	OPPS APC	86.96				percent of total billed charges		88.69				percent of total billed charges		321				other	OPPS APC	86.96	321	
GUIDEWIRE VASCULAR APPROACH STAINLESS STEEL TAPER L300 CM OD.014 IN 25 GM TIP LOAD	SUP-CMW-14-300-25G	CDM			270	RC		inpatient			321	321																																																			
GUIDEWIRE VASCULAR APPROACH STAINLESS STEEL TAPER L300 CM OD.014 IN 12 GM TIP LOAD	SUP-G50791	CDM			270	RC		outpatient			321	321	86.96				percent of total billed charges		321				other	OPPS APC	237.54				percent of total billed charges		321				other	OPPS APC	321				other	OPPS APC	86.96				percent of total billed charges		88.69				percent of total billed charges		321				other	OPPS APC	86.96	321	
GUIDEWIRE VASCULAR APPROACH STAINLESS STEEL TAPER L300 CM OD.014 IN 12 GM TIP LOAD	SUP-G50791	CDM			270	RC		inpatient			321	321																																																			
ROD REAMING 950MM 3MM STERILE STRAIGHT BALL TIP EXPERT NAIL SYSTEM	SUP-351.76S	CDM	270010022	LOCAL	270	RC		outpatient			320.16	32.16	86.73				percent of total billed charges		320.16				other	OPPS APC	236.92				percent of total billed charges		320.16				other	OPPS APC	320.16				other	OPPS APC	86.73				percent of total billed charges		88.46				percent of total billed charges		32.16				other	OPPS APC	32.16	320.16	
ROD REAMING 950MM 3MM STERILE STRAIGHT BALL TIP EXPERT NAIL SYSTEM	SUP-351.76S	CDM	270010022	LOCAL	270	RC		inpatient			320.16	320.16																																																			
RELOAD STAPLER ECHELON FLEX ENDOPATH STAINLESS STEEL H2.5 MM L45 MM H1 MM THIN VASCULAR TISSUE 6 ROW STERILE LATEX FREE DISPOSABLE WHITE	SUP-ECR45W	CDM			270	RC		outpatient			320.12	32.12	86.72				percent of total billed charges		320.12				other	OPPS APC	236.89				percent of total billed charges		320.12				other	OPPS APC	320.12				other	OPPS APC	86.72				percent of total billed charges		88.45				percent of total billed charges		32.12				other	OPPS APC	32.12	320.12	
RELOAD STAPLER ECHELON FLEX ENDOPATH STAINLESS STEEL H2.5 MM L45 MM H1 MM THIN VASCULAR TISSUE 6 ROW STERILE LATEX FREE DISPOSABLE WHITE	SUP-ECR45W	CDM			270	RC		inpatient			320.12	320.12																																																			
LIGATOR ENDOSCOPIC SPEEDBAND SUPERVIEW SUPER 7 2.8 MM L2.8 MM OD8.6-11.5 MM ESOPHAGEAL 1 STRING MULTIPLE BAND ERGONOMIC HANDLE AUDIBLE CLICK STERILE LATEX FREE DISPOSABLE HEMOSTASIS	SUP-M00542253	CDM			270	RC		outpatient			320.09	32.9	86.71				percent of total billed charges		320.09				other	OPPS APC	236.87				percent of total billed charges		320.09				other	OPPS APC	320.09				other	OPPS APC	86.71				percent of total billed charges		88.44				percent of total billed charges		32.9				other	OPPS APC	32.9	320.09	
LIGATOR ENDOSCOPIC SPEEDBAND SUPERVIEW SUPER 7 2.8 MM L2.8 MM OD8.6-11.5 MM ESOPHAGEAL 1 STRING MULTIPLE BAND ERGONOMIC HANDLE AUDIBLE CLICK STERILE LATEX FREE DISPOSABLE HEMOSTASIS	SUP-M00542253	CDM			270	RC		inpatient			320.09	320.09																																																			
SMOOTH BITE SHAVER BLADE 3.5	SUP-74-00455	CDM			272	RC		outpatient			320.02	32.2	86.69				percent of total billed charges		320.02				other	OPPS APC	236.81				percent of total billed charges		320.02				other	OPPS APC	320.02				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32.2				other	OPPS APC	32.2	320.02	
SMOOTH BITE SHAVER BLADE 3.5	SUP-74-00455	CDM			272	RC		inpatient			320.02	320.02																																																			
NEUROMONITORING CHARGES	SUP-123-2967	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
NEUROMONITORING CHARGES	SUP-123-2967	CDM			270	RC		inpatient			320	320																																																			
GUIDEWIRE VASCULAR EMBOSHIELD NAV6 BAREWIRE WORKHORSE STAINLESS STEEL L190 CM OD.014 IN	SUP-22440-19	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
GUIDEWIRE VASCULAR EMBOSHIELD NAV6 BAREWIRE WORKHORSE STAINLESS STEEL L190 CM OD.014 IN	SUP-22440-19	CDM			270	RC		inpatient			320	320																																																			
APPLIER INTERNAL CLIP MALLEABLE GRAFT RETRACTOR DEPLOYMENT GUN OMNISPAN MENISCAL	SUP-228143	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
APPLIER INTERNAL CLIP MALLEABLE GRAFT RETRACTOR DEPLOYMENT GUN OMNISPAN MENISCAL	SUP-228143	CDM			270	RC		inpatient			320	320																																																			
DRILL BIT INTEGRA	SUP-502015206	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
DRILL BIT INTEGRA	SUP-502015206	CDM			270	RC		inpatient			320	320																																																			
KIT ARTHROSCOPIC FIXATION DISPOSABLE 3MM SUTURETAK	SUP-AR-1934DS-2	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
KIT ARTHROSCOPIC FIXATION DISPOSABLE 3MM SUTURETAK	SUP-AR-1934DS-2	CDM			270	RC		inpatient			320	320																																																			
PASSER SUTURE SUTURELASSO SD NITINOL 25 D TIGHT LEFT CURVE OD1.8 MM ODSEC3.8 MM STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-6068-25TL	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
PASSER SUTURE SUTURELASSO SD NITINOL 25 D TIGHT LEFT CURVE OD1.8 MM ODSEC3.8 MM STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-6068-25TL	CDM			270	RC		inpatient			320	320																																																			
PASSER SUTURE SUTURELASSO SD NITINOL 25 D TIGHT RIGHT CURVE OD1.8 MM ODSEC3.8 MM THUMB PAD STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-6068-25TR	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
PASSER SUTURE SUTURELASSO SD NITINOL 25 D TIGHT RIGHT CURVE OD1.8 MM ODSEC3.8 MM THUMB PAD STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-6068-25TR	CDM			270	RC		inpatient			320	320																																																			
GUIDEWIRE VASCULAR GLIDEWIRE ADVANTAGE PTFE NITINOL HYDROPHILIC ANGLE L180 CM L25 CM OD.035 IN	SUP-GA3501	CDM			481	RC		outpatient			320	32	156.8				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	156.8				percent of total billed charges		163.2				percent of total billed charges		32				other	OPPS APC	32	320	
GUIDEWIRE VASCULAR GLIDEWIRE ADVANTAGE PTFE NITINOL HYDROPHILIC ANGLE L180 CM L25 CM OD.035 IN	SUP-GA3501	CDM			481	RC		inpatient			320	320																																																			
NEUROMONITORING CHARGES	SUP-NA	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
NEUROMONITORING CHARGES	SUP-NA	CDM			270	RC		inpatient			320	320																																																			
NEUROMONITORING CHARGES	SUP-NA2	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
NEUROMONITORING CHARGES	SUP-NA2	CDM			270	RC		inpatient			320	320																																																			
CHARGE NEUROMONITORING PROCEDURE-NEURO	SUP-NMPROCCHG	CDM	270010017	LOCAL	270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
CHARGE NEUROMONITORING PROCEDURE-NEURO	SUP-NMPROCCHG	CDM	270010017	LOCAL	270	RC		inpatient			320	320																																																			
CHARGE NEUROMONITORING PROCEDURE-ALL SERVICES EXCEPT NEURO	SUP-NMPROCCHG-ALL	CDM	270010017	LOCAL	270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
CHARGE NEUROMONITORING PROCEDURE-ALL SERVICES EXCEPT NEURO	SUP-NMPROCCHG-ALL	CDM	270010017	LOCAL	270	RC		inpatient			320	320																																																			
PATCH  PHOTOFIX CAROTID 0.8X8	SUP-PFP0.8X8	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
PATCH  PHOTOFIX CAROTID 0.8X8	SUP-PFP0.8X8	CDM			270	RC		inpatient			320	320																																																			
ON Q PAIN BUSTER 400ML	SUP-PM400XD	CDM			270	RC		outpatient			320	32	86.69				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	86.69				percent of total billed charges		88.42				percent of total billed charges		32				other	OPPS APC	32	320	
ON Q PAIN BUSTER 400ML	SUP-PM400XD	CDM			270	RC		inpatient			320	320																																																			
8F  45 DEGREE FIXED-CURVE TRANSSEPTAL GUIDING SHEATH	SUP-TF85-32-63-45	CDM			481	RC		outpatient			320	32	156.8				percent of total billed charges		320				other	OPPS APC	236.8				percent of total billed charges		320				other	OPPS APC	320				other	OPPS APC	156.8				percent of total billed charges		163.2				percent of total billed charges		32				other	OPPS APC	32	320	
8F  45 DEGREE FIXED-CURVE TRANSSEPTAL GUIDING SHEATH	SUP-TF85-32-63-45	CDM			481	RC		inpatient			320	320																																																			
Combitube 37 F	PX-272000020	CDM			272	RC		outpatient			319.88	319.88	86.66				percent of total billed charges		319.88				other	OPPS APC	319.88				fee schedule		319.88				other	OPPS APC	319.88				other	OPPS APC	86.66				percent of total billed charges		88.38				percent of total billed charges		319.88				other	OPPS APC	86.66	319.88	
Combitube 37 F	PX-272000020	CDM			272	RC		inpatient			319.88	319.88																																																			
SCREW BONE STAINLESS STEEL L 40 MM L 16 MM OD 7 MM CANNULATED	SUP-71127040	CDM			270	RC		outpatient			319.5	319.5	86.55				percent of total billed charges		319.5				other	OPPS APC	236.43				percent of total billed charges		319.5				other	OPPS APC	319.5				other	OPPS APC	86.55				percent of total billed charges		88.28				percent of total billed charges		319.5				other	OPPS APC	86.55	319.5	
SCREW BONE STAINLESS STEEL L 40 MM L 16 MM OD 7 MM CANNULATED	SUP-71127040	CDM			270	RC		inpatient			319.5	319.5																																																			
SCREW BONE STAINLESS STEEL L 45 MM L 16 MM OD 7MM CANNULATED STERILE	SUP-71127045	CDM			270	RC		outpatient			319.5	319.5	86.55				percent of total billed charges		319.5				other	OPPS APC	236.43				percent of total billed charges		319.5				other	OPPS APC	319.5				other	OPPS APC	86.55				percent of total billed charges		88.28				percent of total billed charges		319.5				other	OPPS APC	86.55	319.5	
SCREW BONE STAINLESS STEEL L 45 MM L 16 MM OD 7MM CANNULATED STERILE	SUP-71127045	CDM			270	RC		inpatient			319.5	319.5																																																			
SCREW BONE STAINLESS STEEL L 80 MM L 16 MM OD 7MM CORTICAL CANNULATED STERILE	SUP-71127080	CDM			270	RC		outpatient			319.5	319.5	86.55				percent of total billed charges		319.5				other	OPPS APC	236.43				percent of total billed charges		319.5				other	OPPS APC	319.5				other	OPPS APC	86.55				percent of total billed charges		88.28				percent of total billed charges		319.5				other	OPPS APC	86.55	319.5	
SCREW BONE STAINLESS STEEL L 80 MM L 16 MM OD 7MM CORTICAL CANNULATED STERILE	SUP-71127080	CDM			270	RC		inpatient			319.5	319.5																																																			
SCREW BONE STAINLESS STEEL L 70 MM L 32 MM OD 7 MM CORTICAL CANNULATED STERILE	SUP-71128070	CDM			270	RC		outpatient			319.5	319.5	86.55				percent of total billed charges		319.5				other	OPPS APC	236.43				percent of total billed charges		319.5				other	OPPS APC	319.5				other	OPPS APC	86.55				percent of total billed charges		88.28				percent of total billed charges		319.5				other	OPPS APC	86.55	319.5	
SCREW BONE STAINLESS STEEL L 70 MM L 32 MM OD 7 MM CORTICAL CANNULATED STERILE	SUP-71128070	CDM			270	RC		inpatient			319.5	319.5																																																			
SCREW BONE STAINLESS STEEL L 95 MM L 32MM OD 7 MM CANNULATED	SUP-71128095	CDM			270	RC		outpatient			319.5	319.5	86.55				percent of total billed charges		319.5				other	OPPS APC	236.43				percent of total billed charges		319.5				other	OPPS APC	319.5				other	OPPS APC	86.55				percent of total billed charges		88.28				percent of total billed charges		319.5				other	OPPS APC	86.55	319.5	
SCREW BONE STAINLESS STEEL L 95 MM L 32MM OD 7 MM CANNULATED	SUP-71128095	CDM			270	RC		inpatient			319.5	319.5																																																			
SCREW BONE STAINLESS STEEL L 115 MM L 32 MM OD 7 MM CANNUALTED	SUP-71128115	CDM			270	RC		outpatient			319.5	319.5	86.55				percent of total billed charges		319.5				other	OPPS APC	236.43				percent of total billed charges		319.5				other	OPPS APC	319.5				other	OPPS APC	86.55				percent of total billed charges		88.28				percent of total billed charges		319.5				other	OPPS APC	86.55	319.5	
SCREW BONE STAINLESS STEEL L 115 MM L 32 MM OD 7 MM CANNUALTED	SUP-71128115	CDM			270	RC		inpatient			319.5	319.5																																																			
CATHETER PERITONEAL ARGYLE SWAN NECK CURL CATH 180D 62.5CM 15FR SILICONE STERILE LF ADULT PERITONEAL RIGHT 2 CUFF 2 DISC	SUP-8888413815	CDM			270	RC		outpatient			319.3	319.31	86.5				percent of total billed charges		319.3				other	OPPS APC	236.28				percent of total billed charges		319.3				other	OPPS APC	319.3				other	OPPS APC	86.5				percent of total billed charges		88.22				percent of total billed charges		319.31				other	OPPS APC	86.5	319.31	
CATHETER PERITONEAL ARGYLE SWAN NECK CURL CATH 180D 62.5CM 15FR SILICONE STERILE LF ADULT PERITONEAL RIGHT 2 CUFF 2 DISC	SUP-8888413815	CDM			270	RC		inpatient			319.3	319.3																																																			
MESH SURGICAL VITAMESH POLYPROPYLENE MACROPOROUS FLAT L12 IN X W12 IN	SUP-PPBF3030	CDM			270	RC		outpatient			319.2	319.2	86.47				percent of total billed charges		319.2				other	OPPS APC	236.21				percent of total billed charges		319.2				other	OPPS APC	319.2				other	OPPS APC	86.47				percent of total billed charges		88.19				percent of total billed charges		319.2				other	OPPS APC	86.47	319.2	
MESH SURGICAL VITAMESH POLYPROPYLENE MACROPOROUS FLAT L12 IN X W12 IN	SUP-PPBF3030	CDM			270	RC		inpatient			319.2	319.2																																																			
SCREW CROSSPIN LOCKING 2.3 X 15MM	SUP-97-00139	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW CROSSPIN LOCKING 2.3 X 15MM	SUP-97-00139	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 8MM	SUP-97-03724	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW BONE LCKG CRSSPIN ST 2.3 X 8MM	SUP-97-03724	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 10MM	SUP-97-03725	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW BONE LCKG CRSSPIN ST 2.3 X 10MM	SUP-97-03725	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 6MM	SUP-97-03995	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW BONE LCKG CRSSPIN ST 2.3 X 6MM	SUP-97-03995	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 9MM	SUP-97-04126	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW BONE LCKG CRSSPIN ST 2.3 X 9MM	SUP-97-04126	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW LOCKING CROSSPIN ST 2.3 X 13MM	SUP-97-04387	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW LOCKING CROSSPIN ST 2.3 X 13MM	SUP-97-04387	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW LOCKING CROSSPIN 2.3 X 14MM	SUP-97-04449	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW LOCKING CROSSPIN 2.3 X 14MM	SUP-97-04449	CDM			278	RC		inpatient			318.99	318.99																																																			
SCREW 2.3 X 11MM LOCKING VARIAX	SUP-97-06179	CDM			278	RC		outpatient			318.99	318.99	318.99				fee schedule		318.99				other	OPPS APC	181.82				percent of total billed charges		318.99				other	OPPS APC	318.99				other	OPPS APC	156.31				percent of total billed charges		162.68				percent of total billed charges		318.99				other	OPPS APC	156.31	318.99	
SCREW 2.3 X 11MM LOCKING VARIAX	SUP-97-06179	CDM			278	RC		inpatient			318.99	318.99																																																			
PLATE BONE LEVEL ONE TITANIUM SQUARE CRANIOFACIAL 2 X 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-22-09	CDM			270	RC		outpatient			318.98	318.98	86.41				percent of total billed charges		318.98				other	OPPS APC	236.05				percent of total billed charges		318.98				other	OPPS APC	318.98				other	OPPS APC	86.41				percent of total billed charges		88.13				percent of total billed charges		318.98				other	OPPS APC	86.41	318.98	
PLATE BONE LEVEL ONE TITANIUM SQUARE CRANIOFACIAL 2 X 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-22-09	CDM			270	RC		inpatient			318.98	318.98																																																			
SCREW T10 3.5 X 12MM NON LOCKING	SUP-97-01337	CDM			278	RC		outpatient			318.64	318.64	318.64				fee schedule		318.64				other	OPPS APC	181.62				percent of total billed charges		318.64				other	OPPS APC	318.64				other	OPPS APC	156.13				percent of total billed charges		162.51				percent of total billed charges		318.64				other	OPPS APC	156.13	318.64	
SCREW T10 3.5 X 12MM NON LOCKING	SUP-97-01337	CDM			278	RC		inpatient			318.64	318.64																																																			
SCREW T10 3.5 X 14MM NON LOCKING	SUP-97-02451	CDM			278	RC		outpatient			318.64	318.64	318.64				fee schedule		318.64				other	OPPS APC	181.62				percent of total billed charges		318.64				other	OPPS APC	318.64				other	OPPS APC	156.13				percent of total billed charges		162.51				percent of total billed charges		318.64				other	OPPS APC	156.13	318.64	
SCREW T10 3.5 X 14MM NON LOCKING	SUP-97-02451	CDM			278	RC		inpatient			318.64	318.64																																																			
SCREW T10 3.5 X 22MM NON LOCKING	SUP-97-02453	CDM			278	RC		outpatient			318.64	318.64	318.64				fee schedule		318.64				other	OPPS APC	181.62				percent of total billed charges		318.64				other	OPPS APC	318.64				other	OPPS APC	156.13				percent of total billed charges		162.51				percent of total billed charges		318.64				other	OPPS APC	156.13	318.64	
SCREW T10 3.5 X 22MM NON LOCKING	SUP-97-02453	CDM			278	RC		inpatient			318.64	318.64																																																			
GUIDE PIN 2.5 X 220MM PERFORM+	SUP-95-05410	CDM			272	RC		outpatient			318.5	318.5	86.28				percent of total billed charges		318.5				other	OPPS APC	235.69				percent of total billed charges		318.5				other	OPPS APC	318.5				other	OPPS APC	86.28				percent of total billed charges		88				percent of total billed charges		318.5				other	OPPS APC	86.28	318.5	
GUIDE PIN 2.5 X 220MM PERFORM+	SUP-95-05410	CDM			272	RC		inpatient			318.5	318.5																																																			
TRAY ARTICULAR SURFACE INSERTER TIP	SUP-97-01013	CDM			278	RC		outpatient			318.5	318.5	318.5				fee schedule		318.5				other	OPPS APC	181.55				percent of total billed charges		318.5				other	OPPS APC	318.5				other	OPPS APC	156.07				percent of total billed charges		162.44				percent of total billed charges		318.5				other	OPPS APC	156.07	318.5	
TRAY ARTICULAR SURFACE INSERTER TIP	SUP-97-01013	CDM			278	RC		inpatient			318.5	318.5																																																			
CLOSURE DEVICE - FEMOSTOP	SUP-99-00857	CDM			272	RC		outpatient			318.5	318.5	86.28				percent of total billed charges		318.5				other	OPPS APC	235.69				percent of total billed charges		318.5				other	OPPS APC	318.5				other	OPPS APC	86.28				percent of total billed charges		88				percent of total billed charges		318.5				other	OPPS APC	86.28	318.5	
CLOSURE DEVICE - FEMOSTOP	SUP-99-00857	CDM			272	RC		inpatient			318.5	318.5																																																			
TAP SURGICAL L50 MM SPINE CANCELLOUS CALIBRATE NONSTERILE 3.5 MM CANCELLOUS SCREW	SUP-311.349	CDM	270010022	LOCAL	270	RC		outpatient			318.4	318.4	86.25				percent of total billed charges		318.4				other	OPPS APC	235.62				percent of total billed charges		318.4				other	OPPS APC	318.4				other	OPPS APC	86.25				percent of total billed charges		87.97				percent of total billed charges		318.4				other	OPPS APC	86.25	318.4	
TAP SURGICAL L50 MM SPINE CANCELLOUS CALIBRATE NONSTERILE 3.5 MM CANCELLOUS SCREW	SUP-311.349	CDM	270010022	LOCAL	270	RC		inpatient			318.4	318.4																																																			
ACCUSTICK II .038 J-TIP .018 NIT INVRAD	SUP-95-01779	CDM			272	RC		outpatient			318.33	318.33	86.24				percent of total billed charges		318.33				other	OPPS APC	235.56				percent of total billed charges		318.33				other	OPPS APC	318.33				other	OPPS APC	86.24				percent of total billed charges		87.95				percent of total billed charges		318.33				other	OPPS APC	86.24	318.33	
ACCUSTICK II .038 J-TIP .018 NIT INVRAD	SUP-95-01779	CDM			272	RC		inpatient			318.33	318.33																																																			
GUIDE ROD ORTHOPEDIC TRIGEN L 600 MM OD 2 MM HUMERUS BALL TIP GRADUATE DISPOSABLE INTERAMEDULLARY NAIL	SUP-71751146	CDM			270	RC		outpatient			318.24	318.24	86.21				percent of total billed charges		318.24				other	OPPS APC	235.5				percent of total billed charges		318.24				other	OPPS APC	318.24				other	OPPS APC	86.21				percent of total billed charges		87.93				percent of total billed charges		318.24				other	OPPS APC	86.21	318.24	
GUIDE ROD ORTHOPEDIC TRIGEN L 600 MM OD 2 MM HUMERUS BALL TIP GRADUATE DISPOSABLE INTERAMEDULLARY NAIL	SUP-71751146	CDM			270	RC		inpatient			318.24	318.24																																																			
SCREW BONE TRIGEN TITANIUM L 22MM OD 4MM HUMERUS CORTICAL SELF TAP INTRAMEDULLARY NAIL SYSTEM	SUP-71754022	CDM			270	RC		outpatient			318.24	318.24	86.21				percent of total billed charges		318.24				other	OPPS APC	235.5				percent of total billed charges		318.24				other	OPPS APC	318.24				other	OPPS APC	86.21				percent of total billed charges		87.93				percent of total billed charges		318.24				other	OPPS APC	86.21	318.24	
SCREW BONE TRIGEN TITANIUM L 22MM OD 4MM HUMERUS CORTICAL SELF TAP INTRAMEDULLARY NAIL SYSTEM	SUP-71754022	CDM			270	RC		inpatient			318.24	318.24																																																			
SCREW BONE TRIGEN TITANIUM L 24 MM OD 4 MM HUMERUS CORTICAL SELF TAP INTRAMEDULLARY NAIL SYSTEM	SUP-71754024	CDM			270	RC		outpatient			318.24	318.24	86.21				percent of total billed charges		318.24				other	OPPS APC	235.5				percent of total billed charges		318.24				other	OPPS APC	318.24				other	OPPS APC	86.21				percent of total billed charges		87.93				percent of total billed charges		318.24				other	OPPS APC	86.21	318.24	
SCREW BONE TRIGEN TITANIUM L 24 MM OD 4 MM HUMERUS CORTICAL SELF TAP INTRAMEDULLARY NAIL SYSTEM	SUP-71754024	CDM			270	RC		inpatient			318.24	318.24																																																			
SYSTEM FECAL MANAGEMENT FLEXI-SEAL SIGNAL KIT CATHETER SYRINGE COLLECTION BAG LATEX FREE	SUP-418000	CDM	270009014	LOCAL	270	RC		outpatient			318	318	86.15				percent of total billed charges		318				other	OPPS APC	235.32				percent of total billed charges		318				other	OPPS APC	318				other	OPPS APC	86.15				percent of total billed charges		87.86				percent of total billed charges		318				other	OPPS APC	86.15	318	
SYSTEM FECAL MANAGEMENT FLEXI-SEAL SIGNAL KIT CATHETER SYRINGE COLLECTION BAG LATEX FREE	SUP-418000	CDM	270009014	LOCAL	270	RC		inpatient			318	318																																																			
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 350MM	SUP-5029-8-835	CDM	270010022	LOCAL	270	RC		outpatient			318	318	86.15				percent of total billed charges		318				other	OPPS APC	235.32				percent of total billed charges		318				other	OPPS APC	318				other	OPPS APC	86.15				percent of total billed charges		87.86				percent of total billed charges		318				other	OPPS APC	86.15	318	
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 350MM	SUP-5029-8-835	CDM	270010022	LOCAL	270	RC		inpatient			318	318																																																			
VACUUM CANNISTER	SUP-95-01221	CDM			272	RC		outpatient			317.98	317.98	86.14				percent of total billed charges		317.98				other	OPPS APC	235.31				percent of total billed charges		317.98				other	OPPS APC	317.98				other	OPPS APC	86.14				percent of total billed charges		87.86				percent of total billed charges		317.98				other	OPPS APC	86.14	317.98	
VACUUM CANNISTER	SUP-95-01221	CDM			272	RC		inpatient			317.98	317.98																																																			
SCREW LOCKING VARIAX 1.7 X 7MM	SUP-97-00148	CDM			278	RC		outpatient			317.52	317.52	317.52				fee schedule		317.52				other	OPPS APC	180.99				percent of total billed charges		317.52				other	OPPS APC	317.52				other	OPPS APC	155.58				percent of total billed charges		161.94				percent of total billed charges		317.52				other	OPPS APC	155.58	317.52	
SCREW LOCKING VARIAX 1.7 X 7MM	SUP-97-00148	CDM			278	RC		inpatient			317.52	317.52																																																			
SCREW VARIAX LOCKING 1.7 X 8MM	SUP-97-06036	CDM			278	RC		outpatient			317.52	317.52	317.52				fee schedule		317.52				other	OPPS APC	180.99				percent of total billed charges		317.52				other	OPPS APC	317.52				other	OPPS APC	155.58				percent of total billed charges		161.94				percent of total billed charges		317.52				other	OPPS APC	155.58	317.52	
SCREW VARIAX LOCKING 1.7 X 8MM	SUP-97-06036	CDM			278	RC		inpatient			317.52	317.52																																																			
SCREW 1.7 X 6MM LOCKING VARIAX	SUP-97-06178	CDM			278	RC		outpatient			317.52	317.52	317.52				fee schedule		317.52				other	OPPS APC	180.99				percent of total billed charges		317.52				other	OPPS APC	317.52				other	OPPS APC	155.58				percent of total billed charges		161.94				percent of total billed charges		317.52				other	OPPS APC	155.58	317.52	
SCREW 1.7 X 6MM LOCKING VARIAX	SUP-97-06178	CDM			278	RC		inpatient			317.52	317.52																																																			
Puraply Am 1.6 Cm Disc; per Sq Cm	PX-636Q41960	CDM			636	RC		outpatient			317.47	317.47	155.56				percent of total billed charges		317.47				other	OPPS APC	124.93				fee schedule		317.47				other	OPPS APC	317.47				other	OPPS APC	155.56				percent of total billed charges		78.92				percent of total billed charges		317.47				other	OPPS APC	78.92	317.47	
Puraply Am 1.6 Cm Disc; per Sq Cm	PX-636Q41960	CDM			636	RC		inpatient			317.47	317.47																																																			
DENTAL WIRE 22G	SUP-97-02472	CDM			278	RC		outpatient			317.35	317.35	317.35				fee schedule		317.35				other	OPPS APC	180.89				percent of total billed charges		317.35				other	OPPS APC	317.35				other	OPPS APC	155.5				percent of total billed charges		161.85				percent of total billed charges		317.35				other	OPPS APC	155.5	317.35	
DENTAL WIRE 22G	SUP-97-02472	CDM			278	RC		inpatient			317.35	317.35																																																			
Aerosol Mask	PX-270A70151	CDM			270	RC		outpatient			317	317	85.88				percent of total billed charges		317				other	OPPS APC	234.58				percent of total billed charges		317				other	OPPS APC	317				other	OPPS APC	85.88				percent of total billed charges		87.59				percent of total billed charges		317				other	OPPS APC	85.88	317	
Aerosol Mask	PX-270A70151	CDM			270	RC		inpatient			317	317																																																			
HC Sinuses	PX-320702200	CDM	70220	CPT	320	RC		outpatient			317	91.5	40.11				fee schedule		91.5				other	OPPS APC	106.44				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	37.74				fee schedule		27.28				fee schedule		91.5				other	OPPS APC	27.28	106.44	
HC Sinuses	PX-320702200	CDM	70220	CPT	320	RC		inpatient			317	317																																																			
HC Skull - Complete Min 4 Views	PX-320702600	CDM	70260	CPT	320	RC		outpatient			317	112.57	49.14				fee schedule		112.57				other	OPPS APC	128.55				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	44.77				fee schedule		31.27				fee schedule		112.57				other	OPPS APC	31.27	128.55	
HC Skull - Complete Min 4 Views	PX-320702600	CDM	70260	CPT	320	RC		inpatient			317	317																																																			
HC Oxygen Therapy Subseq Day	PX-410947998	CDM	94799	CPT	410	RC		outpatient			317	153.17	97.13				percent of total billed charges		153.17				other	OPPS APC	95.86				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	97.13				percent of total billed charges		99.06				percent of total billed charges		153.17				other	OPPS APC	95.86	153.17	
HC Oxygen Therapy Subseq Day	PX-410947998	CDM	94799	CPT	410	RC		inpatient			317	317																																																			
HC St Eval Oral/Pharyn Swallow 8-22	PX-440926100	CDM	92610	CPT	440	RC		outpatient			317	69.16	317				percent of total billed charges		69.16				fee schedule		372.4				fee schedule		69.16				fee schedule		69.16				fee schedule		331.71				percent of total billed charges		317				percent of total billed charges		69.16				fee schedule		69.16	372.4	
HC St Eval Oral/Pharyn Swallow 8-22	PX-440926100	CDM	92610	CPT	440	RC		inpatient			317	317																																																			
HC St Eval Oral/Pharyn Swallow 23-37	PX-440926101	CDM	92610	CPT	440	RC		outpatient			317	69.16	317				percent of total billed charges		69.16				fee schedule		372.4				fee schedule		69.16				fee schedule		69.16				fee schedule		331.71				percent of total billed charges		317				percent of total billed charges		69.16				fee schedule		69.16	372.4	
HC St Eval Oral/Pharyn Swallow 23-37	PX-440926101	CDM	92610	CPT	440	RC		inpatient			317	317																																																			
HC St Eval Oral/Pharyn Swallow 38-52	PX-440926102	CDM	92610	CPT	440	RC		outpatient			317	69.16	317				percent of total billed charges		69.16				fee schedule		372.4				fee schedule		69.16				fee schedule		69.16				fee schedule		331.71				percent of total billed charges		317				percent of total billed charges		69.16				fee schedule		69.16	372.4	
HC St Eval Oral/Pharyn Swallow 38-52	PX-440926102	CDM	92610	CPT	440	RC		inpatient			317	317																																																			
HC St Eval Oral/Pharyn Swallow 53-67	PX-440926103	CDM	92610	CPT	440	RC		outpatient			317	69.16	317				percent of total billed charges		69.16				fee schedule		372.4				fee schedule		69.16				fee schedule		69.16				fee schedule		331.71				percent of total billed charges		317				percent of total billed charges		69.16				fee schedule		69.16	372.4	
HC St Eval Oral/Pharyn Swallow 53-67	PX-440926103	CDM	92610	CPT	440	RC		inpatient			317	317																																																			
CONTRAST - VISIPAQUE 320 150CC	SUP-99-03397	CDM			255	RC		outpatient			316.86	316.86	77.22				percent of total billed charges		316.86				other	OPPS APC	0.13				fee schedule		316.86				other	OPPS APC	316.86				other	OPPS APC	77.22				percent of total billed charges		78.77				percent of total billed charges		316.86				other	OPPS APC	0.13	316.86	
CONTRAST - VISIPAQUE 320 150CC	SUP-99-03397	CDM			255	RC		inpatient			316.86	316.86																																																			
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0CV-331 L30IN 2 ARM BRAID 8 STRAND COATED BLUE WHITE	SUP-3091-56	CDM			270	RC		outpatient			316.82	316.82	85.83				percent of total billed charges		316.82				other	OPPS APC	234.45				percent of total billed charges		316.82				other	OPPS APC	316.82				other	OPPS APC	85.83				percent of total billed charges		87.54				percent of total billed charges		316.82				other	OPPS APC	85.83	316.82	
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0CV-331 L30IN 2 ARM BRAID 8 STRAND COATED BLUE WHITE	SUP-3091-56	CDM			270	RC		inpatient			316.82	316.82																																																			
WASHER INTEGRA LOCKING	SUP-195100	CDM			270	RC		outpatient			316.8	316.81	85.82				percent of total billed charges		316.8				other	OPPS APC	234.43				percent of total billed charges		316.8				other	OPPS APC	316.8				other	OPPS APC	85.82				percent of total billed charges		87.53				percent of total billed charges		316.81				other	OPPS APC	85.82	316.81	
WASHER INTEGRA LOCKING	SUP-195100	CDM			270	RC		inpatient			316.8	316.8																																																			
LEVOTHYROXINE 100 MCG RECON SOLN 1 EACH VIAL	250000000	CDM	42023-201-01	NDC				inpatient			316.75	316.75																																																			
LEVOTHYROXINE 100 MCG RECON SOLN 1 EACH VIAL	250000000	CDM	42023-201-01	NDC				outpatient			316.75	316.75																																															other	OPPS APC			
SCREW BONE SHORT THREAD REVERSE CUT FLUTE 22MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.622	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE SHORT THREAD REVERSE CUT FLUTE 22MM 4MM 5MM 1.35MM SS NS CANNULATED SELF TAP SELF DRILL SM HEXAGONAL SOCKET	SUP-207.622	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE SHORT THREAD 30MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.630	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE SHORT THREAD 30MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.630	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE SHORT THREAD 32MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.632	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE SHORT THREAD 32MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.632	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE SHORT THREAD 34MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.634	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE SHORT THREAD 34MM 4MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL ACCEPTS 1.25MM GUIDEWIRE	SUP-207.634	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L36 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.636	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L36 MM OD4 MM RADIUS ULNA PELVIS CANNULATED NONSTERILE SMALL FRAGMENT SET	SUP-207.636	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L38 MM OD4 MM CANCELLOUS CANNULATED NONSTERILE SMALL FRAGMENT	SUP-207.638	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL SHORT THREAD L38 MM OD4 MM CANCELLOUS CANNULATED NONSTERILE SMALL FRAGMENT	SUP-207.638	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L30 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.73	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L30 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.73	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L32 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.732	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L32 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.732	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LONG THREAD 34MM 17MM 4MM 1.35MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-207.734	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LONG THREAD 34MM 17MM 4MM 1.35MM SS NS SM BONE CANNULATED SELF TAP SELF DRILL HEXAGONAL	SUP-207.734	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L36 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.736	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L36 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.736	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L38 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.738	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L38 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.738	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L40 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.740	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L40 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.740	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L42 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.742	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L42 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.742	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL LONG THREAD L44 MM OD4 MM ODSEC5 MM CANCELLOUS SMALL BONE CANNULATED SELF DRILLING SELF TAPPING SMALL HEXAGONAL SOCKET LOW PROFILE HEAD NONSTERILE SMALL FRAGMENT	SUP-207.744	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL LONG THREAD L44 MM OD4 MM ODSEC5 MM CANCELLOUS SMALL BONE CANNULATED SELF DRILLING SELF TAPPING SMALL HEXAGONAL SOCKET LOW PROFILE HEAD NONSTERILE SMALL FRAGMENT	SUP-207.744	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L46 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.746	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL 1/2 THREAD SMALL HEXAGON REVERSE CUT FLUTE L46 MM OD4 MM ODSEC5 MM ID1.35 MM SMALL BONE SELF DRILL SELF TAP CANNULATED SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.746	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
SCREW BONE LCP STAINLESS STEEL LONG THREAD L50 MM OD4 MM ODSEC5 MM CANCELLOUS SMALL BONE CANNULATED SELF DRILLING SELF TAPPING SMALL HEXAGONAL SOCKET LOW PROFILE HEAD NONSTERILE SMALL FRAGMENT	SUP-207.750	CDM	270010022	LOCAL	270	RC		outpatient			316.68	316.68	85.79				percent of total billed charges		316.68				other	OPPS APC	234.34				percent of total billed charges		316.68				other	OPPS APC	316.68				other	OPPS APC	85.79				percent of total billed charges		87.5				percent of total billed charges		316.68				other	OPPS APC	85.79	316.68	
SCREW BONE LCP STAINLESS STEEL LONG THREAD L50 MM OD4 MM ODSEC5 MM CANCELLOUS SMALL BONE CANNULATED SELF DRILLING SELF TAPPING SMALL HEXAGONAL SOCKET LOW PROFILE HEAD NONSTERILE SMALL FRAGMENT	SUP-207.750	CDM	270010022	LOCAL	270	RC		inpatient			316.68	316.68																																																			
PEG TUBE 14FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-05272	CDM			278	RC		outpatient			316.61	316.61	316.61				fee schedule		316.61				other	OPPS APC	180.47				percent of total billed charges		316.61				other	OPPS APC	316.61				other	OPPS APC	155.14				percent of total billed charges		161.47				percent of total billed charges		316.61				other	OPPS APC	155.14	316.61	
PEG TUBE 14FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-05272	CDM			278	RC		inpatient			316.61	316.61																																																			
PEG TUBE 12FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-05273	CDM			278	RC		outpatient			316.61	316.61	316.61				fee schedule		316.61				other	OPPS APC	180.47				percent of total billed charges		316.61				other	OPPS APC	316.61				other	OPPS APC	155.14				percent of total billed charges		161.47				percent of total billed charges		316.61				other	OPPS APC	155.14	316.61	
PEG TUBE 12FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-05273	CDM			278	RC		inpatient			316.61	316.61																																																			
PEG TUBE 28FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-05274	CDM			278	RC		outpatient			316.61	316.61	316.61				fee schedule		316.61				other	OPPS APC	180.47				percent of total billed charges		316.61				other	OPPS APC	316.61				other	OPPS APC	155.14				percent of total billed charges		161.47				percent of total billed charges		316.61				other	OPPS APC	155.14	316.61	
PEG TUBE 28FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-05274	CDM			278	RC		inpatient			316.61	316.61																																																			
HC Hip W Pelvis 4 or More Views	PX-320350302	CDM	73503	CPT	320	RC		outpatient			316	112.57	52.36				fee schedule		112.57				other	OPPS APC	84.81				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	59.48				fee schedule		46.25				fee schedule		112.57				other	OPPS APC	46.25	112.57	
HC Hip W Pelvis 4 or More Views	PX-320350302	CDM	73503	CPT	320	RC		inpatient			316	316																																																			
HC Breast Cyst Asp Each Add'l	PX-361190011	CDM	19001	CPT	361	RC		outpatient			316	316	99.79				percent of total billed charges		316				other	OPPS APC	316				fee schedule		316				other	OPPS APC	316				other	OPPS APC	99.79				percent of total billed charges		101.78				percent of total billed charges		316				other	OPPS APC	99.79	316	
HC Breast Cyst Asp Each Add'l	PX-361190011	CDM	19001	CPT	361	RC		inpatient			316	316																																																			
PASSER SURGICAL STRAIGHTSHOT OD9.5 MM ACL GRAFT	SUP-232210	CDM			270	RC		outpatient			316	316	85.6				percent of total billed charges		316				other	OPPS APC	233.84				percent of total billed charges		316				other	OPPS APC	316				other	OPPS APC	85.6				percent of total billed charges		87.31				percent of total billed charges		316				other	OPPS APC	85.6	316	
PASSER SURGICAL STRAIGHTSHOT OD9.5 MM ACL GRAFT	SUP-232210	CDM			270	RC		inpatient			316	316																																																			
CATH PERCUTANEOUS NEPHROSTOMY W/LOOP	SUP-95-01736	CDM			278	RC		outpatient			315.88	315.88	315.88				fee schedule		315.88				other	OPPS APC	180.05				percent of total billed charges		315.88				other	OPPS APC	315.88				other	OPPS APC	154.78				percent of total billed charges		161.1				percent of total billed charges		315.88				other	OPPS APC	154.78	315.88	
CATH PERCUTANEOUS NEPHROSTOMY W/LOOP	SUP-95-01736	CDM			278	RC		inpatient			315.88	315.88																																																			
SUTURE SILK 2-0 CR/CT-2 8-18 BLK BR	SUP-97-00155	CDM			272	RC		outpatient			315.88	315.88	85.57				percent of total billed charges		315.88				other	OPPS APC	233.75				percent of total billed charges		315.88				other	OPPS APC	315.88				other	OPPS APC	85.57				percent of total billed charges		87.28				percent of total billed charges		315.88				other	OPPS APC	85.57	315.88	
SUTURE SILK 2-0 CR/CT-2 8-18 BLK BR	SUP-97-00155	CDM			272	RC		inpatient			315.88	315.88																																																			
FORCEPS SURGICAL SKLAR HARTMANN ALLIGATOR STAINLESS STEEL L3 1/2 IN EAR SERRATE TIP STRAIGHT JAW ANGLE SHANK NONSTERILE REUSABLE MYRINGOTOMY	SUP-67-1035	CDM						inpatient			315.6	315.6																																																			
FORCEPS SURGICAL SKLAR HARTMANN ALLIGATOR STAINLESS STEEL L3 1/2 IN EAR SERRATE TIP STRAIGHT JAW ANGLE SHANK NONSTERILE REUSABLE MYRINGOTOMY	SUP-67-1035	CDM						outpatient			315.6	315.62	315.6				percent of total billed charges		315.6				other	OPPS APC	315.6				fee schedule		315.6				other	OPPS APC	315.6				other	OPPS APC	315.6				case rate		315.6				case rate		315.62				other	OPPS APC	315.6	315.62	
LANGSTON 6F 145 PIGTAIL DIAGNOSTIC CATHETER	SUP-5540	CDM			481	RC		outpatient			315.2	315.2	154.45				percent of total billed charges		315.2				other	OPPS APC	233.25				percent of total billed charges		315.2				other	OPPS APC	315.2				other	OPPS APC	154.45				percent of total billed charges		160.75				percent of total billed charges		315.2				other	OPPS APC	154.45	315.2	
LANGSTON 6F 145 PIGTAIL DIAGNOSTIC CATHETER	SUP-5540	CDM			481	RC		inpatient			315.2	315.2																																																			
GUIDEWIRE VASCULAR LUNDERQUIST STRAIGHT 260CM 15CM .035IN SS PTFE LF EXTRA STIFF FLEXIBLE TIP EXCHANGE	SUP-G31453	CDM			270	RC		outpatient			315.2	315.2	85.39				percent of total billed charges		315.2				other	OPPS APC	233.25				percent of total billed charges		315.2				other	OPPS APC	315.2				other	OPPS APC	85.39				percent of total billed charges		87.09				percent of total billed charges		315.2				other	OPPS APC	85.39	315.2	
GUIDEWIRE VASCULAR LUNDERQUIST STRAIGHT 260CM 15CM .035IN SS PTFE LF EXTRA STIFF FLEXIBLE TIP EXCHANGE	SUP-G31453	CDM			270	RC		inpatient			315.2	315.2																																																			
SCREW SELF DRILLING SCHANZ 5.0 X 175	SUP-294.285	CDM	270010022	LOCAL	270	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
SCREW SELF DRILLING SCHANZ 5.0 X 175	SUP-294.285	CDM	270010022	LOCAL	270	RC		inpatient			315	315																																																			
MAKO CHECKPOINT 3.5 HEX IMPACTION	SUP-78-00414	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
MAKO CHECKPOINT 3.5 HEX IMPACTION	SUP-78-00414	CDM			272	RC		inpatient			315	315																																																			
CANNULATED DRILL 7MMX200MM	SUP-95-03694	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
CANNULATED DRILL 7MMX200MM	SUP-95-03694	CDM			272	RC		inpatient			315	315																																																			
DRILL BIT 3.8MM	SUP-97-00083	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
DRILL BIT 3.8MM	SUP-97-00083	CDM			272	RC		inpatient			315	315																																																			
K-WIRE W/TROCAR 3.2X320	SUP-97-03866	CDM			278	RC		outpatient			315	315	315				fee schedule		315				other	OPPS APC	179.55				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	154.35				percent of total billed charges		160.65				percent of total billed charges		315				other	OPPS APC	154.35	315	
K-WIRE W/TROCAR 3.2X320	SUP-97-03866	CDM			278	RC		inpatient			315	315																																																			
CATHETER - MARKER PIGTAIL 5F X 100	SUP-99-00172	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
CATHETER - MARKER PIGTAIL 5F X 100	SUP-99-00172	CDM			272	RC		inpatient			315	315																																																			
SHEATH - PINNACLE DESTINATION 6FX60CM STRAIGHT TIP	SUP-99-00608	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
SHEATH - PINNACLE DESTINATION 6FX60CM STRAIGHT TIP	SUP-99-00608	CDM			272	RC		inpatient			315	315																																																			
CLOSURE - SAFEGUARD FOCUS	SUP-99-04251	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
CLOSURE - SAFEGUARD FOCUS	SUP-99-04251	CDM			272	RC		inpatient			315	315																																																			
SHEATH - PINNACLE DESTINATION 7FX60CM STRAIGHT TIP	SUP-99-04608	CDM			272	RC		outpatient			315	315	85.33				percent of total billed charges		315				other	OPPS APC	233.1				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	85.33				percent of total billed charges		87.03				percent of total billed charges		315				other	OPPS APC	85.33	315	
SHEATH - PINNACLE DESTINATION 7FX60CM STRAIGHT TIP	SUP-99-04608	CDM			272	RC		inpatient			315	315																																																			
ULTRASOUND ACUSON ACUNAV PROBE COVERS	SUP-99-04761	CDM			278	RC		outpatient			315	315	315				fee schedule		315				other	OPPS APC	179.55				percent of total billed charges		315				other	OPPS APC	315				other	OPPS APC	154.35				percent of total billed charges		160.65				percent of total billed charges		315				other	OPPS APC	154.35	315	
ULTRASOUND ACUSON ACUNAV PROBE COVERS	SUP-99-04761	CDM			278	RC		inpatient			315	315																																																			
ELECTRODE ELECTROSURGICAL HARMONIC SCALPEL ULTRACISION TITANIUM HOOK L14 CM OD5 MM DISSECT STERILE LATEX FREE DISPOSABLE	SUP-DH145	CDM			270	RC		outpatient			314.87	314.87	85.3				percent of total billed charges		314.87				other	OPPS APC	233				percent of total billed charges		314.87				other	OPPS APC	314.87				other	OPPS APC	85.3				percent of total billed charges		87				percent of total billed charges		314.87				other	OPPS APC	85.3	314.87	
ELECTRODE ELECTROSURGICAL HARMONIC SCALPEL ULTRACISION TITANIUM HOOK L14 CM OD5 MM DISSECT STERILE LATEX FREE DISPOSABLE	SUP-DH145	CDM			270	RC		inpatient			314.87	314.87																																																			
BRACE TROM ADVANCE COOL KNEE	SUP-79-00068	CDM			272	RC		outpatient			314.44	758.36	85.18				percent of total billed charges		758.36				fee schedule		232.69				percent of total billed charges		758.36				fee schedule		758.36				fee schedule		85.18				percent of total billed charges		86.88				percent of total billed charges		758.36				fee schedule		85.18	758.36	
BRACE TROM ADVANCE COOL KNEE	SUP-79-00068	CDM			272	RC		inpatient			314.44	314.44																																																			
HC Cpu First 30 Minutes	PX-361000006	CDM	361000006	LOCAL	361	RC		outpatient			314	314	99.16				percent of total billed charges		314				other	OPPS APC	314				fee schedule		314				other	OPPS APC	314				other	OPPS APC	99.16				percent of total billed charges		101.14				percent of total billed charges		314				other	OPPS APC	99.16	314	
HC Cpu First 30 Minutes	PX-361000006	CDM	361000006	LOCAL	361	RC		inpatient			314	314																																																			
HC Cpu First 30 Minutes	PX-361365890	CDM	36589	CPT	361	RC		outpatient			314	69.29	99.16				percent of total billed charges		609.29				other	OPPS APC	1876				fee schedule		609.29				other	OPPS APC	609.29				other	OPPS APC	99.16				percent of total billed charges		101.14				percent of total billed charges		69.29				other	OPPS APC	69.29	1876	
HC Cpu First 30 Minutes	PX-361365890	CDM	36589	CPT	361	RC		inpatient			314	314																																																			
CATHETER GUIDING 15MM SPACE 4FR 1.7FR 135CM RADIOPAQUE STRAIGHT TIP HUB SHAFT NYLON	SUP-H74939239018131	CDM			270	RC		outpatient			313.96	313.96	85.05				percent of total billed charges		313.96				other	OPPS APC	232.33				percent of total billed charges		313.96				other	OPPS APC	313.96				other	OPPS APC	85.05				percent of total billed charges		86.75				percent of total billed charges		313.96				other	OPPS APC	85.05	313.96	
CATHETER GUIDING 15MM SPACE 4FR 1.7FR 135CM RADIOPAQUE STRAIGHT TIP HUB SHAFT NYLON	SUP-H74939239018131	CDM			270	RC		inpatient			313.96	313.96																																																			
2.0 DRILL BIT	SUP-97-04450	CDM			272	RC		outpatient			313.88	313.88	85.03				percent of total billed charges		313.88				other	OPPS APC	232.27				percent of total billed charges		313.88				other	OPPS APC	313.88				other	OPPS APC	85.03				percent of total billed charges		86.73				percent of total billed charges		313.88				other	OPPS APC	85.03	313.88	
2.0 DRILL BIT	SUP-97-04450	CDM			272	RC		inpatient			313.88	313.88																																																			
TRIATHLON CS INSERT SZ4 16MM	SUP-95-04004	CDM			278	RC		outpatient			313.78	313.78	313.78				fee schedule		313.78				other	OPPS APC	178.85				percent of total billed charges		313.78				other	OPPS APC	313.78				other	OPPS APC	153.75				percent of total billed charges		160.03				percent of total billed charges		313.78				other	OPPS APC	153.75	313.78	
TRIATHLON CS INSERT SZ4 16MM	SUP-95-04004	CDM			278	RC		inpatient			313.78	313.78																																																			
TRIATHLON CS INSERT SZ4 19MM	SUP-95-04005	CDM			278	RC		outpatient			313.78	313.78	313.78				fee schedule		313.78				other	OPPS APC	178.85				percent of total billed charges		313.78				other	OPPS APC	313.78				other	OPPS APC	153.75				percent of total billed charges		160.03				percent of total billed charges		313.78				other	OPPS APC	153.75	313.78	
TRIATHLON CS INSERT SZ4 19MM	SUP-95-04005	CDM			278	RC		inpatient			313.78	313.78																																																			
TRIATHLON CS INSERT SZ3 9MM	SUP-95-04008	CDM			278	RC		outpatient			313.78	313.78	313.78				fee schedule		313.78				other	OPPS APC	178.85				percent of total billed charges		313.78				other	OPPS APC	313.78				other	OPPS APC	153.75				percent of total billed charges		160.03				percent of total billed charges		313.78				other	OPPS APC	153.75	313.78	
TRIATHLON CS INSERT SZ3 9MM	SUP-95-04008	CDM			278	RC		inpatient			313.78	313.78																																																			
TRIATHLON CS INSERT SZ4 5MM	SUP-95-04140	CDM			278	RC		outpatient			313.78	313.78	313.78				fee schedule		313.78				other	OPPS APC	178.85				percent of total billed charges		313.78				other	OPPS APC	313.78				other	OPPS APC	153.75				percent of total billed charges		160.03				percent of total billed charges		313.78				other	OPPS APC	153.75	313.78	
TRIATHLON CS INSERT SZ4 5MM	SUP-95-04140	CDM			278	RC		inpatient			313.78	313.78																																																			
MICROKNIFE XL TRIPLE-LUMEN NEEDLE KNIFE	SUP-M00532810	CDM			270	RC		outpatient			313.76	313.76	85				percent of total billed charges		313.76				other	OPPS APC	232.18				percent of total billed charges		313.76				other	OPPS APC	313.76				other	OPPS APC	85				percent of total billed charges		86.69				percent of total billed charges		313.76				other	OPPS APC	85	313.76	
MICROKNIFE XL TRIPLE-LUMEN NEEDLE KNIFE	SUP-M00532810	CDM			270	RC		inpatient			313.76	313.76																																																			
MESH SURGICAL BARD 3DMAX MED 3D CURVE CONTOUR 5X3IN POLYPROPYLENE STERILE GROIN LEFT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115310	CDM			270	RC		outpatient			313.6	313.62	84.95				percent of total billed charges		313.6				other	OPPS APC	232.06				percent of total billed charges		313.6				other	OPPS APC	313.6				other	OPPS APC	84.95				percent of total billed charges		86.65				percent of total billed charges		313.62				other	OPPS APC	84.95	313.62	
MESH SURGICAL BARD 3DMAX MED 3D CURVE CONTOUR 5X3IN POLYPROPYLENE STERILE GROIN LEFT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115310	CDM			270	RC		inpatient			313.6	313.6																																																			
MESH SURGICAL BARD 3DMAX MED 3D CURVE CONTOUR 5X3IN POLYPROPYLENE STERILE GROIN RIGHT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115320	CDM			270	RC		outpatient			313.6	313.62	84.95				percent of total billed charges		313.6				other	OPPS APC	232.06				percent of total billed charges		313.6				other	OPPS APC	313.6				other	OPPS APC	84.95				percent of total billed charges		86.65				percent of total billed charges		313.62				other	OPPS APC	84.95	313.62	
MESH SURGICAL BARD 3DMAX MED 3D CURVE CONTOUR 5X3IN POLYPROPYLENE STERILE GROIN RIGHT SEAL EDGE LAPAROSCOPIC INGUINAL	SUP-0115320	CDM			270	RC		inpatient			313.6	313.6																																																			
BIT DRILL NANOTACK FLEX ANATOMIC LABRUM RESTORATION SYSTEM	SUP-CAT01859	CDM			270	RC		outpatient			313.5	313.5	84.93				percent of total billed charges		313.5				other	OPPS APC	231.99				percent of total billed charges		313.5				other	OPPS APC	313.5				other	OPPS APC	84.93				percent of total billed charges		86.62				percent of total billed charges		313.5				other	OPPS APC	84.93	313.5	
BIT DRILL NANOTACK FLEX ANATOMIC LABRUM RESTORATION SYSTEM	SUP-CAT01859	CDM			270	RC		inpatient			313.5	313.5																																																			
FORCEPS SURGICAL GRIESHABER MAXGRIP OD23 GA STERILE DISPOSABLE	SUP-706.13	CDM			270	RC		outpatient			313.42	313.42	84.91				percent of total billed charges		313.42				other	OPPS APC	231.93				percent of total billed charges		313.42				other	OPPS APC	313.42				other	OPPS APC	84.91				percent of total billed charges		86.6				percent of total billed charges		313.42				other	OPPS APC	84.91	313.42	
FORCEPS SURGICAL GRIESHABER MAXGRIP OD23 GA STERILE DISPOSABLE	SUP-706.13	CDM			270	RC		inpatient			313.42	313.42																																																			
TRENGUARD 450 PROCEDURE PACK	SUP-95-05317	CDM			272	RC		outpatient			313.25	313.25	84.86				percent of total billed charges		313.25				other	OPPS APC	231.81				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	84.86				percent of total billed charges		86.55				percent of total billed charges		313.25				other	OPPS APC	84.86	313.25	
TRENGUARD 450 PROCEDURE PACK	SUP-95-05317	CDM			272	RC		inpatient			313.25	313.25																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L8MM	SUP-97-03193	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
BONE SCREW T10 FULL THREAD 2.7MM / L8MM	SUP-97-03193	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 42MM	SUP-97-03221	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 42MM	SUP-97-03221	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 26MM	SUP-97-03313	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 26MM	SUP-97-03313	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 28MM	SUP-97-03314	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 28MM	SUP-97-03314	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 44MM	SUP-97-03688	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 44MM	SUP-97-03688	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 46MM	SUP-97-03689	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 46MM	SUP-97-03689	CDM			278	RC		inpatient			313.25	313.25																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L20MM	SUP-97-04141	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
BONE SCREW T10 FULL THREAD 2.7MM / L20MM	SUP-97-04141	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 40MM	SUP-97-04192	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 40MM	SUP-97-04192	CDM			278	RC		inpatient			313.25	313.25																																																			
BONE SCREW T10 FULL THREAD 2.7MM / L24MM	SUP-97-04217	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
BONE SCREW T10 FULL THREAD 2.7MM / L24MM	SUP-97-04217	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 65MM	SUP-97-04514	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 65MM	SUP-97-04514	CDM			278	RC		inpatient			313.25	313.25																																																			
SCREW BONE T10 NON LCKNG 3.5MM X 24MM	SUP-97-04763	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
SCREW BONE T10 NON LCKNG 3.5MM X 24MM	SUP-97-04763	CDM			278	RC		inpatient			313.25	313.25																																																			
BONE SCREW T10 NON LCKNG 3.5MM X 60MM	SUP-97-04910	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
BONE SCREW T10 NON LCKNG 3.5MM X 60MM	SUP-97-04910	CDM			278	RC		inpatient			313.25	313.25																																																			
2.7X50MM NON LKNG SCREW	SUP-97-04927	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
2.7X50MM NON LKNG SCREW	SUP-97-04927	CDM			278	RC		inpatient			313.25	313.25																																																			
2.7X55MM NON LKNG SCREW	SUP-97-04928	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
2.7X55MM NON LKNG SCREW	SUP-97-04928	CDM			278	RC		inpatient			313.25	313.25																																																			
2.7X60MM NON LKNG SCREW	SUP-97-04929	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
2.7X60MM NON LKNG SCREW	SUP-97-04929	CDM			278	RC		inpatient			313.25	313.25																																																			
HALF PIN 3 X 110MM 25MM THREAD APEX	SUP-97-05923	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
HALF PIN 3 X 110MM 25MM THREAD APEX	SUP-97-05923	CDM			278	RC		inpatient			313.25	313.25																																																			
2.7 X 22 MM NON-LKNG SCREW	SUP-97-23845	CDM			278	RC		outpatient			313.25	313.25	313.25				fee schedule		313.25				other	OPPS APC	178.55				percent of total billed charges		313.25				other	OPPS APC	313.25				other	OPPS APC	153.49				percent of total billed charges		159.76				percent of total billed charges		313.25				other	OPPS APC	153.49	313.25	
2.7 X 22 MM NON-LKNG SCREW	SUP-97-23845	CDM			278	RC		inpatient			313.25	313.25																																																			
HC Insicional Biospy of Skin	PX-761111060	CDM	11106	CPT	761	RC		outpatient			313	313	195.77				case rate		313				other	OPPS APC	231.62				percent of total billed charges		313				other	OPPS APC	313				other	OPPS APC	195.77				case rate		159.63				percent of total billed charges		313				other	OPPS APC	159.63	313	
HC Insicional Biospy of Skin	PX-761111060	CDM	11106	CPT	761	RC		inpatient			313	313																																																			
12X16 CATH KIT LG BORE MULTILUMEN NU0123	SUP-95-01441	CDM			272	RC		outpatient			312.71	312.8	84.71				percent of total billed charges		312.71				other	OPPS APC	231.41				percent of total billed charges		312.71				other	OPPS APC	312.71				other	OPPS APC	84.71				percent of total billed charges		86.4				percent of total billed charges		312.8				other	OPPS APC	84.71	312.8	
12X16 CATH KIT LG BORE MULTILUMEN NU0123	SUP-95-01441	CDM			272	RC		inpatient			312.71	312.71																																																			
BIT DRILL LCP L200 MM OD2.8 MM PERCUTANEOUS 3 FLUTE SCALE QUICK COUPLING CALIBRATED NONSTERILE	SUP-324.214	CDM	270010022	LOCAL	270	RC		outpatient			312.34	312.34	84.61				percent of total billed charges		312.34				other	OPPS APC	231.13				percent of total billed charges		312.34				other	OPPS APC	312.34				other	OPPS APC	84.61				percent of total billed charges		86.3				percent of total billed charges		312.34				other	OPPS APC	84.61	312.34	
BIT DRILL LCP L200 MM OD2.8 MM PERCUTANEOUS 3 FLUTE SCALE QUICK COUPLING CALIBRATED NONSTERILE	SUP-324.214	CDM	270010022	LOCAL	270	RC		inpatient			312.34	312.34																																																			
PACK BATTERY SCREWDRIVER STERILE SINGLE USE	SUP-530.407.01S	CDM	270010013	LOCAL	270	RC		outpatient			312.08	312.8	84.54				percent of total billed charges		312.08				other	OPPS APC	230.94				percent of total billed charges		312.08				other	OPPS APC	312.08				other	OPPS APC	84.54				percent of total billed charges		86.23				percent of total billed charges		312.8				other	OPPS APC	84.54	312.8	
PACK BATTERY SCREWDRIVER STERILE SINGLE USE	SUP-530.407.01S	CDM	270010013	LOCAL	270	RC		inpatient			312.08	312.08																																																			
TOOL DISSECTING MR8 MATCH HEAD L10 CM OD2.2 MM STERILE DISPOSABLE	SUP-MR8-10MH22	CDM			270	RC		outpatient			312	312	84.52				percent of total billed charges		312				other	OPPS APC	230.88				percent of total billed charges		312				other	OPPS APC	312				other	OPPS APC	84.52				percent of total billed charges		86.21				percent of total billed charges		312				other	OPPS APC	84.52	312	
TOOL DISSECTING MR8 MATCH HEAD L10 CM OD2.2 MM STERILE DISPOSABLE	SUP-MR8-10MH22	CDM			270	RC		inpatient			312	312																																																			
DEVICE FIXATION TACKER TITANIUM OD5 MM 5 FULL HELICAL TACK REPOSABLE SYSTEM DISPOSABLE LAPAROSCOPIC HERNIA REPAIR	SUP-OMS-TTSD	CDM	270009199	LOCAL	270	RC		outpatient			312	312	84.52				percent of total billed charges		312				other	OPPS APC	230.88				percent of total billed charges		312				other	OPPS APC	312				other	OPPS APC	84.52				percent of total billed charges		86.21				percent of total billed charges		312				other	OPPS APC	84.52	312	
DEVICE FIXATION TACKER TITANIUM OD5 MM 5 FULL HELICAL TACK REPOSABLE SYSTEM DISPOSABLE LAPAROSCOPIC HERNIA REPAIR	SUP-OMS-TTSD	CDM	270009199	LOCAL	270	RC		inpatient			312	312																																																			
BIT DRILL 145MM 4.2MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE	SUP-03.010.104	CDM	270010022	LOCAL	270	RC		outpatient			311.4	311.4	84.36				percent of total billed charges		311.4				other	OPPS APC	230.44				percent of total billed charges		311.4				other	OPPS APC	311.4				other	OPPS APC	84.36				percent of total billed charges		86.04				percent of total billed charges		311.4				other	OPPS APC	84.36	311.4	
BIT DRILL 145MM 4.2MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE	SUP-03.010.104	CDM	270010022	LOCAL	270	RC		inpatient			311.4	311.4																																																			
SODA SORB	SUP-97-00200	CDM			271	RC		outpatient			311.12	311.12	84.28				percent of total billed charges		311.12				other	OPPS APC	230.23				percent of total billed charges		311.12				other	OPPS APC	311.12				other	OPPS APC	84.28				percent of total billed charges		85.96				percent of total billed charges		311.12				other	OPPS APC	84.28	311.12	
SODA SORB	SUP-97-00200	CDM			271	RC		inpatient			311.12	311.12																																																			
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 6 L285 MM X W77 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31260	CDM						inpatient			311.08	311.08																																																			
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 6 L285 MM X W77 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31260	CDM						outpatient			311.08	311.8	311.08				percent of total billed charges		311.08				other	OPPS APC	311.08				fee schedule		311.08				other	OPPS APC	311.08				other	OPPS APC	311.08				case rate		311.08				case rate		311.8				other	OPPS APC	311.08	311.8	
HC Stereoscopic Guide Vol Rad Ther	PX-333773870	CDM	77387	CPT	333	RC		outpatient			311	311	23.5				fee schedule		311				other	OPPS APC	278.89				fee schedule		311				other	OPPS APC	311				other	OPPS APC	152.39				percent of total billed charges		158.61				percent of total billed charges		311				other	OPPS APC	23.5	311	
HC Stereoscopic Guide Vol Rad Ther	PX-333773870	CDM	77387	CPT	333	RC		inpatient			311	311																																																			
HC CT Scan for Therapy Guide	PX-333773871	CDM	77387	CPT	333	RC		outpatient			311	311	23.5				fee schedule		311				other	OPPS APC	278.89				fee schedule		311				other	OPPS APC	311				other	OPPS APC	152.39				percent of total billed charges		158.61				percent of total billed charges		311				other	OPPS APC	23.5	311	
HC CT Scan for Therapy Guide	PX-333773871	CDM	77387	CPT	333	RC		inpatient			311	311																																																			
HC Critical Care  Addl 30 Min	PX-450992921	CDM	99292	CPT	450	RC		outpatient			311	311	195.77				case rate		311				other	OPPS APC	2726				case rate		311				other	OPPS APC	311				other	OPPS APC	195.77				case rate		199.69				case rate		311				other	OPPS APC	195.77	2726	
HC Critical Care  Addl 30 Min	PX-450992921	CDM	99292	CPT	450	RC		inpatient			311	311																																																			
BIOPSY SITE IDENTIFIER  14G CERAMIC	SUP-95-02405	CDM			272	RC		outpatient			310.93	31.93	84.23				percent of total billed charges		310.93				other	OPPS APC	230.09				percent of total billed charges		310.93				other	OPPS APC	310.93				other	OPPS APC	84.23				percent of total billed charges		85.91				percent of total billed charges		31.93				other	OPPS APC	31.93	310.93	
BIOPSY SITE IDENTIFIER  14G CERAMIC	SUP-95-02405	CDM			272	RC		inpatient			310.93	310.93																																																			
ROTABLATOR - ROTAGLIDE LUBRICANT 20ML	SUP-99-02093	CDM			272	RC		outpatient			310.92	31.92	84.23				percent of total billed charges		310.92				other	OPPS APC	230.08				percent of total billed charges		310.92				other	OPPS APC	310.92				other	OPPS APC	84.23				percent of total billed charges		85.91				percent of total billed charges		31.92				other	OPPS APC	31.92	310.92	
ROTABLATOR - ROTAGLIDE LUBRICANT 20ML	SUP-99-02093	CDM			272	RC		inpatient			310.92	310.92																																																			
PLATE BONE TITANIUM 100 D 5 MM ADVANCEMENT H.6 MM RIGHT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507763	CDM			270	RC		outpatient			310.8	31.81	84.2				percent of total billed charges		310.8				other	OPPS APC	229.99				percent of total billed charges		310.8				other	OPPS APC	310.8				other	OPPS APC	84.2				percent of total billed charges		85.87				percent of total billed charges		31.81				other	OPPS APC	31.81	310.8	
PLATE BONE TITANIUM 100 D 5 MM ADVANCEMENT H.6 MM RIGHT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507763	CDM			270	RC		inpatient			310.8	310.8																																																			
SCREW 5.0MM TI RECON 75MM	SUP-04.031.025	CDM	270010022	LOCAL	270	RC		outpatient			310.4	31.4	84.09				percent of total billed charges		310.4				other	OPPS APC	229.7				percent of total billed charges		310.4				other	OPPS APC	310.4				other	OPPS APC	84.09				percent of total billed charges		85.76				percent of total billed charges		31.4				other	OPPS APC	31.4	310.4	
SCREW 5.0MM TI RECON 75MM	SUP-04.031.025	CDM	270010022	LOCAL	270	RC		inpatient			310.4	310.4																																																			
HC Hiv Rna by Pcr (Pcrhiv)	PX-300875360	CDM	87536	CPT	306	RC		outpatient			310	86	113.77				fee schedule		85.1				fee schedule		225.89				fee schedule		85.1				fee schedule		85.1				fee schedule		85.1				fee schedule		85.1				fee schedule		86				fee schedule		85.1	225.89	
HC Hiv Rna by Pcr (Pcrhiv)	PX-300875360	CDM	87536	CPT	306	RC		inpatient			310	310																																																			
PIN EXTERNAL FIXATION L4 MM ANKLE	SUP-00-4501-040-04	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
PIN EXTERNAL FIXATION L4 MM ANKLE	SUP-00-4501-040-04	CDM			270	RC		inpatient			310	310																																																			
STENT URETERAL CONTOUR PIGTAIL CURVE 26CM 7FR PERCUFLEX HYDROPLUS LF TAPER TIP	SUP-180-233	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
STENT URETERAL CONTOUR PIGTAIL CURVE 26CM 7FR PERCUFLEX HYDROPLUS LF TAPER TIP	SUP-180-233	CDM			270	RC		inpatient			310	310																																																			
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 500MM	SUP-5029-8-850	CDM	270010022	LOCAL	270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II 8 X 500MM	SUP-5029-8-850	CDM	270010022	LOCAL	270	RC		inpatient			310	310																																																			
LANGSTON 6F MULTIPURPOSE DIAGNOSTIC CATHETER	SUP-5550	CDM			481	RC		outpatient			310	31	151.9				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	151.9				percent of total billed charges		158.1				percent of total billed charges		31				other	OPPS APC	31	310	
LANGSTON 6F MULTIPURPOSE DIAGNOSTIC CATHETER	SUP-5550	CDM			481	RC		inpatient			310	310																																																			
PACK THERAPEUTIC LACTOSORB AIR ACTIVATE HEAT SOURCE	SUP-915-2055	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
PACK THERAPEUTIC LACTOSORB AIR ACTIVATE HEAT SOURCE	SUP-915-2055	CDM			270	RC		inpatient			310	310																																																			
KIT DECOMPRESSION MARCON .035 IN L350 CM OD10 FR COLON DISPOSABLE	SUP-CDSM-10	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
KIT DECOMPRESSION MARCON .035 IN L350 CM OD10 FR COLON DISPOSABLE	SUP-CDSM-10	CDM			270	RC		inpatient			310	310																																																			
CATHETER ANGIOGRAPHIC BEACON TIP .035 IN VANSCHIE4 CURVE L65 CM OD5 FR BIFURCATED STERILE	SUP-G13792	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
CATHETER ANGIOGRAPHIC BEACON TIP .035 IN VANSCHIE4 CURVE L65 CM OD5 FR BIFURCATED STERILE	SUP-G13792	CDM			270	RC		inpatient			310	310																																																			
CABLE DECA BARD SURELINK	SUP-M004560004AO	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
CABLE DECA BARD SURELINK	SUP-M004560004AO	CDM			270	RC		inpatient			310	310																																																			
LENS INTRAOCULAR POSTERIOR CHAMBER FOLDABLE BICONVEX MODIFIED PROLATE TECNIS SOFT ACRYLIC	SUP-ZA9003	CDM			270	RC		outpatient			310	31	83.98				percent of total billed charges		310				other	OPPS APC	229.4				percent of total billed charges		310				other	OPPS APC	310				other	OPPS APC	83.98				percent of total billed charges		85.65				percent of total billed charges		31				other	OPPS APC	31	310	
LENS INTRAOCULAR POSTERIOR CHAMBER FOLDABLE BICONVEX MODIFIED PROLATE TECNIS SOFT ACRYLIC	SUP-ZA9003	CDM			270	RC		inpatient			310	310																																																			
CAP END NCB 8MM 3.5MM TI6AL4V LOCK	SUP-02.03150.300	CDM			270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
CAP END NCB 8MM 3.5MM TI6AL4V LOCK	SUP-02.03150.300	CDM			270	RC		inpatient			309.6	309.6																																																			
SCREW BONE NCB TI6AL4V L12 MM OD5 MM ODSEC6.2 MM 2 LEAD THREAD SHALLOW PROFILE UNICORTICAL LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03151.012	CDM			270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE NCB TI6AL4V L12 MM OD5 MM ODSEC6.2 MM 2 LEAD THREAD SHALLOW PROFILE UNICORTICAL LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03151.012	CDM			270	RC		inpatient			309.6	309.6																																																			
SCREW BONE NCB TI6AL4V L14 MM OD5 MM ODSEC6.2 MM 2 LEAD THREAD SHALLOW PROFILE UNICORTICAL LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03151.014	CDM			270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE NCB TI6AL4V L14 MM OD5 MM ODSEC6.2 MM 2 LEAD THREAD SHALLOW PROFILE UNICORTICAL LARGE FRAGMENT SYSTEM PERIPROSTHETIC	SUP-02.03151.014	CDM			270	RC		inpatient			309.6	309.6																																																			
SCREW BONE NCB PROTASUL-64 L20 MM OD5 MM FEMUR UNICORTICAL LARGE FRAGMENT SYSTEM	SUP-02.03151.020	CDM			270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE NCB PROTASUL-64 L20 MM OD5 MM FEMUR UNICORTICAL LARGE FRAGMENT SYSTEM	SUP-02.03151.020	CDM			270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 34MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.034	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 34MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.034	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 36MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.036	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 36MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.036	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 38MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.038	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 38MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.038	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 40MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.040	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 40MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.040	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 42MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.042	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 42MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.042	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 56MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.056	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 56MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.056	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
SCREW BONE T8 58MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.058	CDM	270010022	LOCAL	270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
SCREW BONE T8 58MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.058	CDM	270010022	LOCAL	270	RC		inpatient			309.6	309.6																																																			
DRILL SURGICAL VLP MINI-MOD OD 1.1 MM MINI QC	SUP-74461500	CDM			270	RC		outpatient			309.6	39.62	83.87				percent of total billed charges		309.6				other	OPPS APC	229.1				percent of total billed charges		309.6				other	OPPS APC	309.6				other	OPPS APC	83.87				percent of total billed charges		85.54				percent of total billed charges		39.62				other	OPPS APC	39.62	309.6	
DRILL SURGICAL VLP MINI-MOD OD 1.1 MM MINI QC	SUP-74461500	CDM			270	RC		inpatient			309.6	309.6																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 73X9X1MM .5MM 12MM SS NS 6 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.36	CDM	270010022	LOCAL	270	RC		outpatient			309.44	39.44	83.83				percent of total billed charges		309.44				other	OPPS APC	228.99				percent of total billed charges		309.44				other	OPPS APC	309.44				other	OPPS APC	83.83				percent of total billed charges		85.5				percent of total billed charges		39.44				other	OPPS APC	39.44	309.44	
PLATE BONE LC-DCP 1/3 TUBULAR 73X9X1MM .5MM 12MM SS NS 6 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.36	CDM	270010022	LOCAL	270	RC		inpatient			309.44	309.44																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 85X9X1MM .5MM 12MM SS NS 7 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.37	CDM	270010022	LOCAL	270	RC		outpatient			309.44	39.44	83.83				percent of total billed charges		309.44				other	OPPS APC	228.99				percent of total billed charges		309.44				other	OPPS APC	309.44				other	OPPS APC	83.83				percent of total billed charges		85.5				percent of total billed charges		39.44				other	OPPS APC	39.44	309.44	
PLATE BONE LC-DCP 1/3 TUBULAR 85X9X1MM .5MM 12MM SS NS 7 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.37	CDM	270010022	LOCAL	270	RC		inpatient			309.44	309.44																																																			
ROD EXTERNAL FIXATION 200MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.83	CDM	270010022	LOCAL	270	RC		outpatient			309.4	39.4	83.82				percent of total billed charges		309.4				other	OPPS APC	228.96				percent of total billed charges		309.4				other	OPPS APC	309.4				other	OPPS APC	83.82				percent of total billed charges		85.49				percent of total billed charges		39.4				other	OPPS APC	39.4	309.4	
ROD EXTERNAL FIXATION 200MM 11MM CARBON FIBER NS MR CONDITIONAL	SUP-394.83	CDM	270010022	LOCAL	270	RC		inpatient			309.4	309.4																																																			
SCISSORS OPHTHALMIC GRIESHABER OD23 GA VERTICAL ADVANCE TIP DISPOSABLE MPS	SUP-723.26	CDM			270	RC		outpatient			309	39	83.71				percent of total billed charges		309				other	OPPS APC	228.66				percent of total billed charges		309				other	OPPS APC	309				other	OPPS APC	83.71				percent of total billed charges		85.38				percent of total billed charges		39				other	OPPS APC	39	309	
SCISSORS OPHTHALMIC GRIESHABER OD23 GA VERTICAL ADVANCE TIP DISPOSABLE MPS	SUP-723.26	CDM			270	RC		inpatient			309	309																																																			
SCREW GUIDE PERSONA L25 MM OD2.5 MM KNEE FEMALE HEX HEAD STERILE DISPOSABLE	SUP-42-5099-025-25	CDM	270010025	LOCAL	270	RC		outpatient			308.76	38.76	83.64				percent of total billed charges		308.76				other	OPPS APC	228.48				percent of total billed charges		308.76				other	OPPS APC	308.76				other	OPPS APC	83.64				percent of total billed charges		85.31				percent of total billed charges		38.76				other	OPPS APC	38.76	308.76	
SCREW GUIDE PERSONA L25 MM OD2.5 MM KNEE FEMALE HEX HEAD STERILE DISPOSABLE	SUP-42-5099-025-25	CDM	270010025	LOCAL	270	RC		inpatient			308.76	308.76																																																			
TWIST DRILL 9/64	SUP-95-04010	CDM						inpatient			308.74	308.74																																																			
TWIST DRILL 9/64	SUP-95-04010	CDM						outpatient			308.74	38.74	308.74				percent of total billed charges		308.74				other	OPPS APC	308.74				fee schedule		308.74				other	OPPS APC	308.74				other	OPPS APC	308.74				case rate		308.74				case rate		38.74				other	OPPS APC	38.74	308.74	
SCHANZ SCREW 4.0	SUP-97-01214	CDM			278	RC		outpatient			308.7	38.7	308.7				fee schedule		308.7				other	OPPS APC	175.96				percent of total billed charges		308.7				other	OPPS APC	308.7				other	OPPS APC	151.26				percent of total billed charges		157.44				percent of total billed charges		38.7				other	OPPS APC	38.7	308.7	
SCHANZ SCREW 4.0	SUP-97-01214	CDM			278	RC		inpatient			308.7	308.7																																																			
4.0 3.0MM X 80MM SHANZ SCREW	SUP-97-04722	CDM			278	RC		outpatient			308.7	38.7	308.7				fee schedule		308.7				other	OPPS APC	175.96				percent of total billed charges		308.7				other	OPPS APC	308.7				other	OPPS APC	151.26				percent of total billed charges		157.44				percent of total billed charges		38.7				other	OPPS APC	38.7	308.7	
4.0 3.0MM X 80MM SHANZ SCREW	SUP-97-04722	CDM			278	RC		inpatient			308.7	308.7																																																			
SCREW SCHANZ SPADE POINT 4.0 MM X 100MM	SUP-97-04980	CDM			278	RC		outpatient			308.7	38.7	308.7				fee schedule		308.7				other	OPPS APC	175.96				percent of total billed charges		308.7				other	OPPS APC	308.7				other	OPPS APC	151.26				percent of total billed charges		157.44				percent of total billed charges		38.7				other	OPPS APC	38.7	308.7	
SCREW SCHANZ SPADE POINT 4.0 MM X 100MM	SUP-97-04980	CDM			278	RC		inpatient			308.7	308.7																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD 2Y H.6 MM MIDFACE 7 HOLE MALLEABLE 1.7 MM SCREW	SUP-5505164	CDM			270	RC		outpatient			308.4	38.4	83.55				percent of total billed charges		308.4				other	OPPS APC	228.22				percent of total billed charges		308.4				other	OPPS APC	308.4				other	OPPS APC	83.55				percent of total billed charges		85.21				percent of total billed charges		38.4				other	OPPS APC	38.4	308.4	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD 2Y H.6 MM MIDFACE 7 HOLE MALLEABLE 1.7 MM SCREW	SUP-5505164	CDM			270	RC		inpatient			308.4	308.4																																																			
EASY RED TAG	SUP-97-01115	CDM			271	RC		outpatient			308.35	38.35	83.53				percent of total billed charges		308.35				other	OPPS APC	228.18				percent of total billed charges		308.35				other	OPPS APC	308.35				other	OPPS APC	83.53				percent of total billed charges		85.2				percent of total billed charges		38.35				other	OPPS APC	38.35	308.35	
EASY RED TAG	SUP-97-01115	CDM			271	RC		inpatient			308.35	308.35																																																			
HC Chromosome Analysis 20-25 Cells	PX-300882640	CDM	88264	CPT	300	RC		outpatient			308.1	144.61	166.64				fee schedule		144.61				fee schedule		330.87				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61	330.87	
HC Chromosome Analysis 20-25 Cells	PX-300882640	CDM	88264	CPT	300	RC		inpatient			308.1	308.1																																																			
HC Metaphases  20-25 (Bill Only	PX-300882641	CDM	88264	CPT	300	RC		outpatient			308.1	144.61	166.64				fee schedule		144.61				fee schedule		330.87				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61				fee schedule		144.61	330.87	
HC Metaphases  20-25 (Bill Only	PX-300882641	CDM	88264	CPT	300	RC		inpatient			308.1	308.1																																																			
LUMEN DOUBLE SIZE 37	SUP-95-01214	CDM			272	RC		outpatient			308.07	38.7	83.46				percent of total billed charges		308.07				other	OPPS APC	227.97				percent of total billed charges		308.07				other	OPPS APC	308.07				other	OPPS APC	83.46				percent of total billed charges		85.12				percent of total billed charges		38.7				other	OPPS APC	38.7	308.07	
LUMEN DOUBLE SIZE 37	SUP-95-01214	CDM			272	RC		inpatient			308.07	308.07																																																			
OLIVE  K WIRE  1.6 X8	SUP-95-03339	CDM			278	RC		outpatient			308	38	308				fee schedule		308				other	OPPS APC	175.56				percent of total billed charges		308				other	OPPS APC	308				other	OPPS APC	150.92				percent of total billed charges		157.08				percent of total billed charges		38				other	OPPS APC	38	308	
OLIVE  K WIRE  1.6 X8	SUP-95-03339	CDM			278	RC		inpatient			308	308																																																			
ANCHOR KNOTLESS 1.8 FIBERTAK SHOULDER	SUP-97-05942	CDM			278	RC		outpatient			308	38	308				fee schedule		308				other	OPPS APC	175.56				percent of total billed charges		308				other	OPPS APC	308				other	OPPS APC	150.92				percent of total billed charges		157.08				percent of total billed charges		38				other	OPPS APC	38	308	
ANCHOR KNOTLESS 1.8 FIBERTAK SHOULDER	SUP-97-05942	CDM			278	RC		inpatient			308	308																																																			
RNGLC REPLC LOCKING RING SZ24	SUP-97-06284	CDM			278	RC		outpatient			308	38	308				fee schedule		308				other	OPPS APC	175.56				percent of total billed charges		308				other	OPPS APC	308				other	OPPS APC	150.92				percent of total billed charges		157.08				percent of total billed charges		38				other	OPPS APC	38	308	
RNGLC REPLC LOCKING RING SZ24	SUP-97-06284	CDM			278	RC		inpatient			308	308																																																			
LENS INTRAOCULAR ACRYSOF NATURAL STABLEFORCE ACRYLIC 0 D MODIFIED L BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER STERILE APHAKIA 118.4 A-CONSTANT	SUP-SN60AT	CDM			270	RC		outpatient			308	38	83.44				percent of total billed charges		308				other	OPPS APC	227.92				percent of total billed charges		308				other	OPPS APC	308				other	OPPS APC	83.44				percent of total billed charges		85.1				percent of total billed charges		38				other	OPPS APC	38	308	
LENS INTRAOCULAR ACRYSOF NATURAL STABLEFORCE ACRYLIC 0 D MODIFIED L BICONVEX L13 MM OD6 MM POSTERIOR CHAMBER 1 PIECE FOLDABLE ANTERIOR ASYMMETRIC UV BLUE LIGHT FILTER STERILE APHAKIA 118.4 A-CONSTANT	SUP-SN60AT	CDM			270	RC		inpatient			308	308																																																			
LENS IOL 0 D +14 DIOPTER MODIFIED L BICONVEX 13MM 6MM POSTERIOR CHAMBER 1 PIECE	SUP-SN60AT.140	CDM			270	RC		outpatient			308	38	83.44				percent of total billed charges		308				other	OPPS APC	227.92				percent of total billed charges		308				other	OPPS APC	308				other	OPPS APC	83.44				percent of total billed charges		85.1				percent of total billed charges		38				other	OPPS APC	38	308	
LENS IOL 0 D +14 DIOPTER MODIFIED L BICONVEX 13MM 6MM POSTERIOR CHAMBER 1 PIECE	SUP-SN60AT.140	CDM			270	RC		inpatient			308	308																																																			
TROCAR SURGICAL ARGYLE L18 3/4 CM FALLER TUNNEL STERILE LATEX FREE PERITONEAL DIALYSIS	SUP-8888415679	CDM			270	RC		outpatient			306.9	36.9	83.14				percent of total billed charges		306.9				other	OPPS APC	227.11				percent of total billed charges		306.9				other	OPPS APC	306.9				other	OPPS APC	83.14				percent of total billed charges		84.8				percent of total billed charges		36.9				other	OPPS APC	36.9	306.9	
TROCAR SURGICAL ARGYLE L18 3/4 CM FALLER TUNNEL STERILE LATEX FREE PERITONEAL DIALYSIS	SUP-8888415679	CDM			270	RC		inpatient			306.9	306.9																																																			
DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML DROPS 10 ML DROP BTL	637000000	CDM	71921-226-10	NDC	A9270	HCPCS		inpatient			306.5	306.5																																																			
DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML DROPS 10 ML DROP BTL	637000000	CDM	71921-226-10	NDC	A9270	HCPCS		outpatient			306.5	306.5																																															other	OPPS APC			
GUIDEWIRE VASCULAR LUNDERQUIST .035IN CURVE 260CM 4CM SS PTFE 2 END FLOPPY TIP	SUP-G45208	CDM			481	RC		outpatient			306.28	36.28	150.08				percent of total billed charges		306.28				other	OPPS APC	226.65				percent of total billed charges		306.28				other	OPPS APC	306.28				other	OPPS APC	150.08				percent of total billed charges		156.2				percent of total billed charges		36.28				other	OPPS APC	36.28	306.28	
GUIDEWIRE VASCULAR LUNDERQUIST .035IN CURVE 260CM 4CM SS PTFE 2 END FLOPPY TIP	SUP-G45208	CDM			481	RC		inpatient			306.28	306.28																																																			
ELECTRODE COAGULATION 3FR 110CM	SUP-95-05118	CDM			272	RC		outpatient			306.25	36.25	82.96				percent of total billed charges		306.25				other	OPPS APC	226.63				percent of total billed charges		306.25				other	OPPS APC	306.25				other	OPPS APC	82.96				percent of total billed charges		84.62				percent of total billed charges		36.25				other	OPPS APC	36.25	306.25	
ELECTRODE COAGULATION 3FR 110CM	SUP-95-05118	CDM			272	RC		inpatient			306.25	306.25																																																			
SCREW MIS HEADED 48MM	SUP-97-01012	CDM			278	RC		outpatient			306.25	36.25	306.25				fee schedule		306.25				other	OPPS APC	174.56				percent of total billed charges		306.25				other	OPPS APC	306.25				other	OPPS APC	150.06				percent of total billed charges		156.19				percent of total billed charges		36.25				other	OPPS APC	36.25	306.25	
SCREW MIS HEADED 48MM	SUP-97-01012	CDM			278	RC		inpatient			306.25	306.25																																																			
MIS HEADED SCREW 48MM	SUP-97-01456	CDM			278	RC		outpatient			306.25	36.25	306.25				fee schedule		306.25				other	OPPS APC	174.56				percent of total billed charges		306.25				other	OPPS APC	306.25				other	OPPS APC	150.06				percent of total billed charges		156.19				percent of total billed charges		36.25				other	OPPS APC	36.25	306.25	
MIS HEADED SCREW 48MM	SUP-97-01456	CDM			278	RC		inpatient			306.25	306.25																																																			
REAMER BLADEPATELLA W/ PILOT HOLE SZ38	SUP-97-02041	CDM			272	RC		outpatient			306.25	36.25	82.96				percent of total billed charges		306.25				other	OPPS APC	226.63				percent of total billed charges		306.25				other	OPPS APC	306.25				other	OPPS APC	82.96				percent of total billed charges		84.62				percent of total billed charges		36.25				other	OPPS APC	36.25	306.25	
REAMER BLADEPATELLA W/ PILOT HOLE SZ38	SUP-97-02041	CDM			272	RC		inpatient			306.25	306.25																																																			
SHEATH - 4F X 4CM	SUP-99-00962	CDM			272	RC		outpatient			306.25	36.25	82.96				percent of total billed charges		306.25				other	OPPS APC	226.63				percent of total billed charges		306.25				other	OPPS APC	306.25				other	OPPS APC	82.96				percent of total billed charges		84.62				percent of total billed charges		36.25				other	OPPS APC	36.25	306.25	
SHEATH - 4F X 4CM	SUP-99-00962	CDM			272	RC		inpatient			306.25	306.25																																																			
TOOL DISSECTING MIDAS REX LEGEND TAPER L8 CM L15.9 MM OD2.3 MM BURR FOOT ATTACHMENT	SUP-F2/8TA23	CDM	270010028	LOCAL	270	RC		outpatient			306.24	36.24	82.96				percent of total billed charges		306.24				other	OPPS APC	226.62				percent of total billed charges		306.24				other	OPPS APC	306.24				other	OPPS APC	82.96				percent of total billed charges		84.61				percent of total billed charges		36.24				other	OPPS APC	36.24	306.24	
TOOL DISSECTING MIDAS REX LEGEND TAPER L8 CM L15.9 MM OD2.3 MM BURR FOOT ATTACHMENT	SUP-F2/8TA23	CDM	270010028	LOCAL	270	RC		inpatient			306.24	306.24																																																			
TOOL DISSECTING MIDAS REX MR8 7 CM TAPER OD2.3 MM STERILE LATEX FREE DISPOSABLE	SUP-MR8-F2/7TA23	CDM			270	RC		outpatient			306.24	36.24	82.96				percent of total billed charges		306.24				other	OPPS APC	226.62				percent of total billed charges		306.24				other	OPPS APC	306.24				other	OPPS APC	82.96				percent of total billed charges		84.61				percent of total billed charges		36.24				other	OPPS APC	36.24	306.24	
TOOL DISSECTING MIDAS REX MR8 7 CM TAPER OD2.3 MM STERILE LATEX FREE DISPOSABLE	SUP-MR8-F2/7TA23	CDM			270	RC		inpatient			306.24	306.24																																																			
CATH IV INTROCAN 18 X 1.75	SUP-95-02976	CDM			272	RC		outpatient			306.15	36.15	82.94				percent of total billed charges		306.15				other	OPPS APC	226.55				percent of total billed charges		306.15				other	OPPS APC	306.15				other	OPPS APC	82.94				percent of total billed charges		84.59				percent of total billed charges		36.15				other	OPPS APC	36.15	306.15	
CATH IV INTROCAN 18 X 1.75	SUP-95-02976	CDM			272	RC		inpatient			306.15	306.15																																																			
CATH IV INTROCAN 20 X 1.75	SUP-95-02977	CDM			272	RC		outpatient			306.15	36.15	82.94				percent of total billed charges		306.15				other	OPPS APC	226.55				percent of total billed charges		306.15				other	OPPS APC	306.15				other	OPPS APC	82.94				percent of total billed charges		84.59				percent of total billed charges		36.15				other	OPPS APC	36.15	306.15	
CATH IV INTROCAN 20 X 1.75	SUP-95-02977	CDM			272	RC		inpatient			306.15	306.15																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L 150MM OD 1.6MM TROCAR POINT STERILE	SUP-71161016	CDM			270	RC		outpatient			306	36	82.9				percent of total billed charges		306				other	OPPS APC	226.44				percent of total billed charges		306				other	OPPS APC	306				other	OPPS APC	82.9				percent of total billed charges		84.55				percent of total billed charges		36				other	OPPS APC	36	306	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L 150MM OD 1.6MM TROCAR POINT STERILE	SUP-71161016	CDM			270	RC		inpatient			306	306																																																			
HC Chest	PX-402766040	CDM	76604	CPT	402	RC		outpatient			305	112.57	90.38				fee schedule		112.57				other	OPPS APC	193.01				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	56.73				fee schedule		29.27				fee schedule		112.57				other	OPPS APC	29.27	193.01	
HC Chest	PX-402766040	CDM	76604	CPT	402	RC		inpatient			305	305																																																			
HC US Guide for Vascular Access	PX-921769371	CDM	76937	CPT	402	RC		outpatient			305	35	36.67				fee schedule		305				other	OPPS APC	79.61				fee schedule		305				other	OPPS APC	305				other	OPPS APC	39.37				fee schedule		25.3				fee schedule		35				other	OPPS APC	25.3	305	
HC US Guide for Vascular Access	PX-921769371	CDM	76937	CPT	402	RC		inpatient			305	305																																																			
K WIRE 1.25 PK/10	SUP-97-02156	CDM			278	RC		outpatient			304.82	34.82	304.82				fee schedule		304.82				other	OPPS APC	173.75				percent of total billed charges		304.82				other	OPPS APC	304.82				other	OPPS APC	149.36				percent of total billed charges		155.46				percent of total billed charges		34.82				other	OPPS APC	34.82	304.82	
K WIRE 1.25 PK/10	SUP-97-02156	CDM			278	RC		inpatient			304.82	304.82																																																			
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L7 CM OD7 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 3.2 MM WORK CHANNEL	SUP-M00534210	CDM			270	RC		outpatient			304.8	34.81	82.57				percent of total billed charges		304.8				other	OPPS APC	225.55				percent of total billed charges		304.8				other	OPPS APC	304.8				other	OPPS APC	82.57				percent of total billed charges		84.22				percent of total billed charges		34.81				other	OPPS APC	34.81	304.8	
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L7 CM OD7 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 3.2 MM WORK CHANNEL	SUP-M00534210	CDM			270	RC		inpatient			304.8	304.8																																																			
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L9 CM OD7 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 3.2 MM WORK CHANNEL	SUP-M00534220	CDM			270	RC		outpatient			304.8	34.81	82.57				percent of total billed charges		304.8				other	OPPS APC	225.55				percent of total billed charges		304.8				other	OPPS APC	304.8				other	OPPS APC	82.57				percent of total billed charges		84.22				percent of total billed charges		34.81				other	OPPS APC	34.81	304.8	
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L9 CM OD7 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 3.2 MM WORK CHANNEL	SUP-M00534220	CDM			270	RC		inpatient			304.8	304.8																																																			
STENT BILIARY ADVANIX NAVIFLEX PLASTIC DUODENAL BEND L10 CM OD5 FR PRELOAD TEMPORARY RAPID EXCHANGE ACCEPTS .035 IN GUIDEWIRE	SUP-M00534320	CDM			270	RC		outpatient			304.8	34.81	82.57				percent of total billed charges		304.8				other	OPPS APC	225.55				percent of total billed charges		304.8				other	OPPS APC	304.8				other	OPPS APC	82.57				percent of total billed charges		84.22				percent of total billed charges		34.81				other	OPPS APC	34.81	304.8	
STENT BILIARY ADVANIX NAVIFLEX PLASTIC DUODENAL BEND L10 CM OD5 FR PRELOAD TEMPORARY RAPID EXCHANGE ACCEPTS .035 IN GUIDEWIRE	SUP-M00534320	CDM			270	RC		inpatient			304.8	304.8																																																			
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L7 CM OD10 FR DELIVERY SYSTEM RADIOPAQUE PRELOAD RAPID EXCHANGE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00534330	CDM			270	RC		outpatient			304.8	34.81	82.57				percent of total billed charges		304.8				other	OPPS APC	225.55				percent of total billed charges		304.8				other	OPPS APC	304.8				other	OPPS APC	82.57				percent of total billed charges		84.22				percent of total billed charges		34.81				other	OPPS APC	34.81	304.8	
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L7 CM OD10 FR DELIVERY SYSTEM RADIOPAQUE PRELOAD RAPID EXCHANGE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00534330	CDM			270	RC		inpatient			304.8	304.8																																																			
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L9 CM OD10 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 4.2 MM WORK CHANNEL	SUP-M00534340	CDM			270	RC		outpatient			304.8	34.81	82.57				percent of total billed charges		304.8				other	OPPS APC	225.55				percent of total billed charges		304.8				other	OPPS APC	304.8				other	OPPS APC	82.57				percent of total billed charges		84.22				percent of total billed charges		34.81				other	OPPS APC	34.81	304.8	
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L9 CM OD10 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 4.2 MM WORK CHANNEL	SUP-M00534340	CDM			270	RC		inpatient			304.8	304.8																																																			
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L12 CM OD10 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 4.2 MM WORK CHANNEL	SUP-M00534350	CDM			270	RC		outpatient			304.8	34.81	82.57				percent of total billed charges		304.8				other	OPPS APC	225.55				percent of total billed charges		304.8				other	OPPS APC	304.8				other	OPPS APC	82.57				percent of total billed charges		84.22				percent of total billed charges		34.81				other	OPPS APC	34.81	304.8	
STENT BILIARY ADVANIX PLASTIC DUODENAL BEND L12 CM OD10 FR DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD 4.2 MM WORK CHANNEL	SUP-M00534350	CDM			270	RC		inpatient			304.8	304.8																																																			
SCREW BONE 4MM PARTIAL THREAD 55MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.255	CDM	270010022	LOCAL	270	RC		outpatient			304.58	34.58	82.51				percent of total billed charges		304.58				other	OPPS APC	225.39				percent of total billed charges		304.58				other	OPPS APC	304.58				other	OPPS APC	82.51				percent of total billed charges		84.16				percent of total billed charges		34.58				other	OPPS APC	34.58	304.58	
SCREW BONE 4MM PARTIAL THREAD 55MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.255	CDM	270010022	LOCAL	270	RC		inpatient			304.58	304.58																																																			
SCREW BONE 4MM PARTIAL THREAD 60MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.260	CDM	270010022	LOCAL	270	RC		outpatient			304.58	34.58	82.51				percent of total billed charges		304.58				other	OPPS APC	225.39				percent of total billed charges		304.58				other	OPPS APC	304.58				other	OPPS APC	82.51				percent of total billed charges		84.16				percent of total billed charges		34.58				other	OPPS APC	34.58	304.58	
SCREW BONE 4MM PARTIAL THREAD 60MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.260	CDM	270010022	LOCAL	270	RC		inpatient			304.58	304.58																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L65 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL CONICAL HEAD NONSTERILE	SUP-02.205.265	CDM	270010022	LOCAL	270	RC		outpatient			304.58	34.58	82.51				percent of total billed charges		304.58				other	OPPS APC	225.39				percent of total billed charges		304.58				other	OPPS APC	304.58				other	OPPS APC	82.51				percent of total billed charges		84.16				percent of total billed charges		34.58				other	OPPS APC	34.58	304.58	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L65 MM OD5 MM ODSEC4.4 MM PERIARTICULAR FEMORAL CONDYLAR DISTAL FIX ANGLE CANNULATED SELF DRILL CONICAL HEAD NONSTERILE	SUP-02.205.265	CDM	270010022	LOCAL	270	RC		inpatient			304.58	304.58																																																			
SCREW BONE 4MM PARTIAL THREAD 70MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.270	CDM	270010022	LOCAL	270	RC		outpatient			304.58	34.58	82.51				percent of total billed charges		304.58				other	OPPS APC	225.39				percent of total billed charges		304.58				other	OPPS APC	304.58				other	OPPS APC	82.51				percent of total billed charges		84.16				percent of total billed charges		34.58				other	OPPS APC	34.58	304.58	
SCREW BONE 4MM PARTIAL THREAD 70MM 5MM 4.4MM SS NS CANNULATED SELF TAP SELF DRILL SMOOTH CONICAL HEAD PERIARTICULAR	SUP-02.205.270	CDM	270010022	LOCAL	270	RC		inpatient			304.58	304.58																																																			
PACK CUSTOM SHAKUR	SUP-DYNJ62390	CDM			270	RC		outpatient			304.38	34.38	82.46				percent of total billed charges		304.38				other	OPPS APC	225.24				percent of total billed charges		304.38				other	OPPS APC	304.38				other	OPPS APC	82.46				percent of total billed charges		84.1				percent of total billed charges		34.38				other	OPPS APC	34.38	304.38	
PACK CUSTOM SHAKUR	SUP-DYNJ62390	CDM			270	RC		inpatient			304.38	304.38																																																			
FORCEPS OPHTHALMIC GRIESHABER REVOLUTION 25GA DISPOSABLE STERILE RETINAL INTERNAL LIMIT MEMBRANE	SUP-705.44	CDM			270	RC		outpatient			304.3	34.31	82.43				percent of total billed charges		304.3				other	OPPS APC	225.18				percent of total billed charges		304.3				other	OPPS APC	304.3				other	OPPS APC	82.43				percent of total billed charges		84.08				percent of total billed charges		34.31				other	OPPS APC	34.31	304.3	
FORCEPS OPHTHALMIC GRIESHABER REVOLUTION 25GA DISPOSABLE STERILE RETINAL INTERNAL LIMIT MEMBRANE	SUP-705.44	CDM			270	RC		inpatient			304.3	304.3																																																			
NEEDLE ACUVANCE PLUS 22G	SUP-97-00164	CDM			272	RC		outpatient			304.29	34.29	82.43				percent of total billed charges		304.29				other	OPPS APC	225.17				percent of total billed charges		304.29				other	OPPS APC	304.29				other	OPPS APC	82.43				percent of total billed charges		84.08				percent of total billed charges		34.29				other	OPPS APC	34.29	304.29	
NEEDLE ACUVANCE PLUS 22G	SUP-97-00164	CDM			272	RC		inpatient			304.29	304.29																																																			
BURR DRILL CUTTER CRANIAL FAST CUTTING ROUND 4.0MM	SUP-277-140-240	CDM			270	RC		outpatient			304.2	34.2	82.41				percent of total billed charges		304.2				other	OPPS APC	225.11				percent of total billed charges		304.2				other	OPPS APC	304.2				other	OPPS APC	82.41				percent of total billed charges		84.05				percent of total billed charges		34.2				other	OPPS APC	34.2	304.2	
BURR DRILL CUTTER CRANIAL FAST CUTTING ROUND 4.0MM	SUP-277-140-240	CDM			270	RC		inpatient			304.2	304.2																																																			
BURR BONE CUTTING CRANIAL FAST ROUND 6.0MM	SUP-277-140-260	CDM			270	RC		outpatient			304.2	34.2	82.41				percent of total billed charges		304.2				other	OPPS APC	225.11				percent of total billed charges		304.2				other	OPPS APC	304.2				other	OPPS APC	82.41				percent of total billed charges		84.05				percent of total billed charges		34.2				other	OPPS APC	34.2	304.2	
BURR BONE CUTTING CRANIAL FAST ROUND 6.0MM	SUP-277-140-260	CDM			270	RC		inpatient			304.2	304.2																																																			
HC Treat Shoulder Dislocation W/Manipul	PX-450236501	CDM	23650	CPT	450	RC		outpatient			304	34	195.77				case rate		304				other	OPPS APC	224.96				percent of total billed charges		304				other	OPPS APC	304				other	OPPS APC	195.77				case rate		199.69				case rate		34				other	OPPS APC	34	304	
HC Treat Shoulder Dislocation W/Manipul	PX-450236501	CDM	23650	CPT	450	RC		inpatient			304	304																																																			
HC Cardiac Doppler Follow-Up	PX-480933210	CDM	93321	CPT	480	RC		outpatient			304	34	31.46				fee schedule		304				other	OPPS APC	146.04				fee schedule		304				other	OPPS APC	304				other	OPPS APC	25.06				fee schedule		155.04				percent of total billed charges		34				other	OPPS APC	25.06	304	
HC Cardiac Doppler Follow-Up	PX-480933210	CDM	93321	CPT	480	RC		inpatient			304	304																																																			
SUTURE OVERSTITCH 2-0 POLYDIOXANONE ABSORBABLE	SUP-95-04209	CDM			272	RC		outpatient			303.63	33.63	82.25				percent of total billed charges		303.63				other	OPPS APC	224.69				percent of total billed charges		303.63				other	OPPS APC	303.63				other	OPPS APC	82.25				percent of total billed charges		83.89				percent of total billed charges		33.63				other	OPPS APC	33.63	303.63	
SUTURE OVERSTITCH 2-0 POLYDIOXANONE ABSORBABLE	SUP-95-04209	CDM			272	RC		inpatient			303.63	303.63																																																			
SCREW BONE PINNACLE 30MM 6.5MM ACETABULAR CANCELLOUS REVISION SYSTEM	SUP-1217-30-500	CDM	270010024	LOCAL	270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
SCREW BONE PINNACLE 30MM 6.5MM ACETABULAR CANCELLOUS REVISION SYSTEM	SUP-1217-30-500	CDM	270010024	LOCAL	270	RC		inpatient			303.6	303.6																																																			
SCREW PINNACLE CANCELLOUS BONE 6.5MM X 35MM	SUP-1217-35-500	CDM	270010024	LOCAL	270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
SCREW PINNACLE CANCELLOUS BONE 6.5MM X 35MM	SUP-1217-35-500	CDM	270010024	LOCAL	270	RC		inpatient			303.6	303.6																																																			
SCREW BONE PINNACLE 45MM 6.5MM STERILE ACETABULAR CANCELLOUS REVISION SYSTEM	SUP-1217-45-500	CDM	270010024	LOCAL	270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
SCREW BONE PINNACLE 45MM 6.5MM STERILE ACETABULAR CANCELLOUS REVISION SYSTEM	SUP-1217-45-500	CDM	270010024	LOCAL	270	RC		inpatient			303.6	303.6																																																			
BIT DRILL STAINLESS STEEL L195 MM OD3.2 MM 3 FLUTE QUICK COUPLING NONSTERILE	SUP-315.29	CDM	270010022	LOCAL	270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
BIT DRILL STAINLESS STEEL L195 MM OD3.2 MM 3 FLUTE QUICK COUPLING NONSTERILE	SUP-315.29	CDM	270010022	LOCAL	270	RC		inpatient			303.6	303.6																																																			
BIT DRILL STAINLESS STEEL L195 MM OD4.5 MM 3 FLUTE QUICK COUPLING NONSTERILE	SUP-315.48	CDM	270010022	LOCAL	270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
BIT DRILL STAINLESS STEEL L195 MM OD4.5 MM 3 FLUTE QUICK COUPLING NONSTERILE	SUP-315.48	CDM	270010022	LOCAL	270	RC		inpatient			303.6	303.6																																																			
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT H.6 MM RIGHT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507761	CDM			270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT H.6 MM RIGHT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507761	CDM			270	RC		inpatient			303.6	303.6																																																			
PLATE BONE TITANIUM 100 D 5 MM ADVANCEMENT H.6 MM LEFT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507762	CDM			270	RC		outpatient			303.6	33.62	82.25				percent of total billed charges		303.6				other	OPPS APC	224.66				percent of total billed charges		303.6				other	OPPS APC	303.6				other	OPPS APC	82.25				percent of total billed charges		83.88				percent of total billed charges		33.62				other	OPPS APC	33.62	303.6	
PLATE BONE TITANIUM 100 D 5 MM ADVANCEMENT H.6 MM LEFT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507762	CDM			270	RC		inpatient			303.6	303.6																																																			
SCREW PERIPHERAL NON LOCKING 4.5MM X 40MM	SUP-54850	CDM			278	RC		outpatient			303.38	33.38	303.38				fee schedule		303.38				other	OPPS APC	172.93				percent of total billed charges		303.38				other	OPPS APC	303.38				other	OPPS APC	148.66				percent of total billed charges		154.72				percent of total billed charges		33.38				other	OPPS APC	33.38	303.38	
SCREW PERIPHERAL NON LOCKING 4.5MM X 40MM	SUP-54850	CDM			278	RC		inpatient			303.38	303.38																																																			
SCREW PERIPHERAL LOCKING 5.5MM X 16MM	SUP-54855	CDM			278	RC		outpatient			303.38	33.38	303.38				fee schedule		303.38				other	OPPS APC	172.93				percent of total billed charges		303.38				other	OPPS APC	303.38				other	OPPS APC	148.66				percent of total billed charges		154.72				percent of total billed charges		33.38				other	OPPS APC	33.38	303.38	
SCREW PERIPHERAL LOCKING 5.5MM X 16MM	SUP-54855	CDM			278	RC		inpatient			303.38	303.38																																																			
SCREW BONE L20 MM OD5.5 MM LOCK PERIPHERAL STERILE	SUP-57408	CDM			278	RC		outpatient			303.38	33.38	303.38				fee schedule		303.38				other	OPPS APC	172.93				percent of total billed charges		303.38				other	OPPS APC	303.38				other	OPPS APC	148.66				percent of total billed charges		154.72				percent of total billed charges		33.38				other	OPPS APC	33.38	303.38	
SCREW BONE L20 MM OD5.5 MM LOCK PERIPHERAL STERILE	SUP-57408	CDM			278	RC		inpatient			303.38	303.38																																																			
GC FUGICEM AUTOMIX (CARTRIDGE ONLY)	SUP-333-3665	CDM						inpatient			302.99	302.99																																																			
GC FUGICEM AUTOMIX (CARTRIDGE ONLY)	SUP-333-3665	CDM						outpatient			302.99	32.99	302.99				percent of total billed charges		302.99				other	OPPS APC	302.99				fee schedule		302.99				other	OPPS APC	302.99				other	OPPS APC	302.99				case rate		302.99				case rate		32.99				other	OPPS APC	32.99	302.99	
GUIDE WIRE 3.2 X 230MM UNTHREADED	SUP-95-04713	CDM			272	RC		outpatient			302.75	32.75	82.01				percent of total billed charges		302.75				other	OPPS APC	224.04				percent of total billed charges		302.75				other	OPPS APC	302.75				other	OPPS APC	82.01				percent of total billed charges		83.65				percent of total billed charges		32.75				other	OPPS APC	32.75	302.75	
GUIDE WIRE 3.2 X 230MM UNTHREADED	SUP-95-04713	CDM			272	RC		inpatient			302.75	302.75																																																			
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L81 MM X W9 MM X H1 MM H.7 MM OD12 MM 7 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.371	CDM	270010022	LOCAL	270	RC		outpatient			302.64	32.64	81.99				percent of total billed charges		302.64				other	OPPS APC	223.95				percent of total billed charges		302.64				other	OPPS APC	302.64				other	OPPS APC	81.99				percent of total billed charges		83.62				percent of total billed charges		32.64				other	OPPS APC	32.64	302.64	
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L81 MM X W9 MM X H1 MM H.7 MM OD12 MM 7 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.371	CDM	270010022	LOCAL	270	RC		inpatient			302.64	302.64																																																			
INDOCYANINE GREEN 25 MG RECON SOLN	250000000	CDM	70100-424-02	NDC				inpatient			302.61	302.61																																																			
INDOCYANINE GREEN 25 MG RECON SOLN	250000000	CDM	70100-424-02	NDC				outpatient			302.61	302.61																																															other	OPPS APC			
CATHETER PHILLIPS  16 FR	SUP-02-00062	CDM			272	RC		outpatient			302.56	32.56	81.96				percent of total billed charges		302.56				other	OPPS APC	223.89				percent of total billed charges		302.56				other	OPPS APC	302.56				other	OPPS APC	81.96				percent of total billed charges		83.6				percent of total billed charges		32.56				other	OPPS APC	32.56	302.56	
CATHETER PHILLIPS  16 FR	SUP-02-00062	CDM			272	RC		inpatient			302.56	302.56																																																			
BAR EXTERNAL FIXATION L225 MM OD6 MM	SUP-71065225	CDM			270	RC		outpatient			302.4	32.4	81.92				percent of total billed charges		302.4				other	OPPS APC	223.78				percent of total billed charges		302.4				other	OPPS APC	302.4				other	OPPS APC	81.92				percent of total billed charges		83.55				percent of total billed charges		32.4				other	OPPS APC	32.4	302.4	
BAR EXTERNAL FIXATION L225 MM OD6 MM	SUP-71065225	CDM			270	RC		inpatient			302.4	302.4																																																			
CANNULA OPHTHALMIC OD25 GA CHANDELIER STERILE	SUP-8065751577	CDM			270	RC		outpatient			302.24	32.24	81.88				percent of total billed charges		302.24				other	OPPS APC	223.66				percent of total billed charges		302.24				other	OPPS APC	302.24				other	OPPS APC	81.88				percent of total billed charges		83.51				percent of total billed charges		32.24				other	OPPS APC	32.24	302.24	
CANNULA OPHTHALMIC OD25 GA CHANDELIER STERILE	SUP-8065751577	CDM			270	RC		inpatient			302.24	302.24																																																			
SLING SAM SMALL 27-47	SUP-95-00080	CDM			271	RC		outpatient			302.09	32.9	81.84				percent of total billed charges		302.09				other	OPPS APC	223.55				percent of total billed charges		302.09				other	OPPS APC	302.09				other	OPPS APC	81.84				percent of total billed charges		83.47				percent of total billed charges		32.9				other	OPPS APC	32.9	302.09	
SLING SAM SMALL 27-47	SUP-95-00080	CDM			271	RC		inpatient			302.09	302.09																																																			
CATHETER PHILLIPS  20 FR	SUP-02-00064	CDM			272	RC		outpatient			302.02	32.2	81.82				percent of total billed charges		302.02				other	OPPS APC	223.49				percent of total billed charges		302.02				other	OPPS APC	302.02				other	OPPS APC	81.82				percent of total billed charges		83.45				percent of total billed charges		32.2				other	OPPS APC	32.2	302.02	
CATHETER PHILLIPS  20 FR	SUP-02-00064	CDM			272	RC		inpatient			302.02	302.02																																																			
HC Oper Cholagiogram Additional Images	PX-320743010	CDM	74301	CPT	320	RC		inpatient			302	302																																																			
HC Oper Cholagiogram Additional Images	PX-320743010	CDM	74301	CPT	320	RC		outpatient			302	302					fee schedule						other	OPPS APC	223.48				percent of total billed charges						other	OPPS APC					other	OPPS APC	147.98				percent of total billed charges		154.02				percent of total billed charges						other	OPPS APC	223.48	223.48	
SCREW BONE VARIAX TITANIUM T7 L10 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27610	CDM			270	RC		outpatient			301.6	31.62	81.7				percent of total billed charges		301.6				other	OPPS APC	223.18				percent of total billed charges		301.6				other	OPPS APC	301.6				other	OPPS APC	81.7				percent of total billed charges		83.33				percent of total billed charges		31.62				other	OPPS APC	31.62	301.6	
SCREW BONE VARIAX TITANIUM T7 L10 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27610	CDM			270	RC		inpatient			301.6	301.6																																																			
SCREW BONE VARIAX TITANIUM T7 L12 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27612	CDM			270	RC		outpatient			301.6	31.62	81.7				percent of total billed charges		301.6				other	OPPS APC	223.18				percent of total billed charges		301.6				other	OPPS APC	301.6				other	OPPS APC	81.7				percent of total billed charges		83.33				percent of total billed charges		31.62				other	OPPS APC	31.62	301.6	
SCREW BONE VARIAX TITANIUM T7 L12 MM OD2.7 MM FOOT LOCK SELF TAP SCREWDRIVER BLUE LOCK PLATE SYSTEM	SUP-40-27612	CDM			270	RC		inpatient			301.6	301.6																																																			
ELEVIEW 10ML SUBMUCOSAL INJECTABLE	SUP-94-00183	CDM			272	RC		outpatient			301.38	31.38	81.64				percent of total billed charges		301.38				other	OPPS APC	223.02				percent of total billed charges		301.38				other	OPPS APC	301.38				other	OPPS APC	81.64				percent of total billed charges		83.27				percent of total billed charges		31.38				other	OPPS APC	31.38	301.38	
ELEVIEW 10ML SUBMUCOSAL INJECTABLE	SUP-94-00183	CDM			272	RC		inpatient			301.38	301.38																																																			
2.0 DRILL WIRE	SUP-97-23823	CDM			278	RC		outpatient			301.35	31.35	301.35				fee schedule		301.35				other	OPPS APC	171.77				percent of total billed charges		301.35				other	OPPS APC	301.35				other	OPPS APC	147.66				percent of total billed charges		153.69				percent of total billed charges		31.35				other	OPPS APC	31.35	301.35	
2.0 DRILL WIRE	SUP-97-23823	CDM			278	RC		inpatient			301.35	301.35																																																			
GUIDE ROD ORTHOPEDIC TRIGEN L1000 MM OD3 MM INTRAMEDULLARY BALL TIP STERILE DISPOSABLE 8.5 MM FEMORAL ANTEGRADE NAIL SYSTEM	SUP-71631126	CDM			270	RC		outpatient			301.12	31.12	81.57				percent of total billed charges		301.12				other	OPPS APC	222.83				percent of total billed charges		301.12				other	OPPS APC	301.12				other	OPPS APC	81.57				percent of total billed charges		83.2				percent of total billed charges		31.12				other	OPPS APC	31.12	301.12	
GUIDE ROD ORTHOPEDIC TRIGEN L1000 MM OD3 MM INTRAMEDULLARY BALL TIP STERILE DISPOSABLE 8.5 MM FEMORAL ANTEGRADE NAIL SYSTEM	SUP-71631126	CDM			270	RC		inpatient			301.12	301.12																																																			
SMALL BRONCH CYTOLOGY BRUSH	SUP-BC-203D-2006	CDM			270	RC		outpatient			301.02	31.2	81.55				percent of total billed charges		301.02				other	OPPS APC	222.75				percent of total billed charges		301.02				other	OPPS APC	301.02				other	OPPS APC	81.55				percent of total billed charges		83.17				percent of total billed charges		31.2				other	OPPS APC	31.2	301.02	
SMALL BRONCH CYTOLOGY BRUSH	SUP-BC-203D-2006	CDM			270	RC		inpatient			301.02	301.02																																																			
HC Shunt Series	PX-320758090	CDM	75809	CPT	320	RC		outpatient			301	31	105.75				fee schedule		301				other	OPPS APC	131.9				fee schedule		301				other	OPPS APC	301				other	OPPS APC	82.49				fee schedule		59.24				fee schedule		31				other	OPPS APC	31	301	
HC Shunt Series	PX-320758090	CDM	75809	CPT	320	RC		inpatient			301	301																																																			
LO PRO SCRW3.5X 18MM	SUP-97-01144	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
LO PRO SCRW3.5X 18MM	SUP-97-01144	CDM			278	RC		inpatient			301	301																																																			
LO PRO SCRW3.5X 16MM	SUP-97-01555	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
LO PRO SCRW3.5X 16MM	SUP-97-01555	CDM			278	RC		inpatient			301	301																																																			
CANNULA BUTTON PASSPORT 12MM ID X 5CM	SUP-97-03652	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
CANNULA BUTTON PASSPORT 12MM ID X 5CM	SUP-97-03652	CDM			278	RC		inpatient			301	301																																																			
LO- PRO SCRWTI 3.5MMX 26MM	SUP-97-03875	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
LO- PRO SCRWTI 3.5MMX 26MM	SUP-97-03875	CDM			278	RC		inpatient			301	301																																																			
BONE SCREW T8 FULL THREAD 2.4MM / L10MM	SUP-97-04129	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
BONE SCREW T8 FULL THREAD 2.4MM / L10MM	SUP-97-04129	CDM			278	RC		inpatient			301	301																																																			
BONE SCREW T8 FULL THREAD 2.4MM / L16MM	SUP-97-04130	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
BONE SCREW T8 FULL THREAD 2.4MM / L16MM	SUP-97-04130	CDM			278	RC		inpatient			301	301																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 12MM	SUP-97-04136	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
SCREW BONE T8 NON LCKNG 2.7MM X 12MM	SUP-97-04136	CDM			278	RC		inpatient			301	301																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 28MM	SUP-97-04403	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
SCREW BONE T8 NON LCKNG 2.7MM X 28MM	SUP-97-04403	CDM			278	RC		inpatient			301	301																																																			
2.4 X 14MM LOCKING SCREW	SUP-97-04418	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
2.4 X 14MM LOCKING SCREW	SUP-97-04418	CDM			278	RC		inpatient			301	301																																																			
2.4 X 18 MM NON LKNG SCREW	SUP-97-04871	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
2.4 X 18 MM NON LKNG SCREW	SUP-97-04871	CDM			278	RC		inpatient			301	301																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 10MM	SUP-97-04912	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
SCREW BONE T8 NON LCKNG 2.7MM X 10MM	SUP-97-04912	CDM			278	RC		inpatient			301	301																																																			
SCREW BONE T8 NON LCKNG 2.7MM X 8MM	SUP-97-05154	CDM			278	RC		outpatient			301	31	301				fee schedule		301				other	OPPS APC	171.57				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	147.49				percent of total billed charges		153.51				percent of total billed charges		31				other	OPPS APC	31	301	
SCREW BONE T8 NON LCKNG 2.7MM X 8MM	SUP-97-05154	CDM			278	RC		inpatient			301	301																																																			
GUIDEWIRE - VERSACORE FLOPPY	SUP-99-01243	CDM			272	RC		outpatient			301	31	81.54				percent of total billed charges		301				other	OPPS APC	222.74				percent of total billed charges		301				other	OPPS APC	301				other	OPPS APC	81.54				percent of total billed charges		83.17				percent of total billed charges		31				other	OPPS APC	31	301	
GUIDEWIRE - VERSACORE FLOPPY	SUP-99-01243	CDM			272	RC		inpatient			301	301																																																			
KIT INSERTION FOR IABP	SUP-0884-00-0019-22	CDM			270	RC		outpatient			300.84	3.84	81.5				percent of total billed charges		300.84				other	OPPS APC	222.62				percent of total billed charges		300.84				other	OPPS APC	300.84				other	OPPS APC	81.5				percent of total billed charges		83.12				percent of total billed charges		3.84				other	OPPS APC	3.84	300.84	
KIT INSERTION FOR IABP	SUP-0884-00-0019-22	CDM			270	RC		inpatient			300.84	300.84																																																			
KIT CATHETER INSERTION SENSATION PLUS L6 IN OD8 FR 50 ML REINFORCED SHEATH INTRODUCER MALE LUER CAP DILATOR	SUP-0884-00-0019-23	CDM			270	RC		outpatient			300.84	3.84	81.5				percent of total billed charges		300.84				other	OPPS APC	222.62				percent of total billed charges		300.84				other	OPPS APC	300.84				other	OPPS APC	81.5				percent of total billed charges		83.12				percent of total billed charges		3.84				other	OPPS APC	3.84	300.84	
KIT CATHETER INSERTION SENSATION PLUS L6 IN OD8 FR 50 ML REINFORCED SHEATH INTRODUCER MALE LUER CAP DILATOR	SUP-0884-00-0019-23	CDM			270	RC		inpatient			300.84	300.84																																																			
DRILL BIT 3.3	SUP-95-03133	CDM			272	RC		outpatient			300.48	3.48	81.4				percent of total billed charges		300.48				other	OPPS APC	222.36				percent of total billed charges		300.48				other	OPPS APC	300.48				other	OPPS APC	81.4				percent of total billed charges		83.02				percent of total billed charges		3.48				other	OPPS APC	3.48	300.48	
DRILL BIT 3.3	SUP-95-03133	CDM			272	RC		inpatient			300.48	300.48																																																			
CLAW II PLATE TACK	SUP-95-05851	CDM			272	RC		outpatient			300.3	3.31	81.35				percent of total billed charges		300.3				other	OPPS APC	222.22				percent of total billed charges		300.3				other	OPPS APC	300.3				other	OPPS APC	81.35				percent of total billed charges		82.97				percent of total billed charges		3.31				other	OPPS APC	3.31	300.3	
CLAW II PLATE TACK	SUP-95-05851	CDM			272	RC		inpatient			300.3	300.3																																																			
LUMEN DOUBLE SIZE 39	SUP-95-01213	CDM			272	RC		outpatient			300.27	3.27	81.34				percent of total billed charges		300.27				other	OPPS APC	222.2				percent of total billed charges		300.27				other	OPPS APC	300.27				other	OPPS APC	81.34				percent of total billed charges		82.96				percent of total billed charges		3.27				other	OPPS APC	3.27	300.27	
LUMEN DOUBLE SIZE 39	SUP-95-01213	CDM			272	RC		inpatient			300.27	300.27																																																			
HC Xr Scoliosis Series 4-5 View	PX-320720830	CDM	72083	CPT	320	RC		outpatient			300	112.57	31.02				fee schedule		112.57				other	OPPS APC	98.7				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	79.21				fee schedule		61.9				fee schedule		112.57				other	OPPS APC	31.02	112.57	
HC Xr Scoliosis Series 4-5 View	PX-320720830	CDM	72083	CPT	320	RC		inpatient			300	300																																																			
HC CT-Therapy Plan	PX-352770140	CDM	77014	CPT	352	RC		outpatient			300	3	125.03				fee schedule		300				other	OPPS APC	452.85				fee schedule		300				other	OPPS APC	300				other	OPPS APC	120.61				fee schedule		75.88				fee schedule		3				other	OPPS APC	3	452.85	
HC CT-Therapy Plan	PX-352770140	CDM	77014	CPT	352	RC		inpatient			300	300																																																			
Anesth Supplies 0-30 Mins	PX-370000003	CDM			370	RC		outpatient			300	3	84.66				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	84.66				percent of total billed charges		86.34				percent of total billed charges		3				other	OPPS APC	3	300	
Anesth Supplies 0-30 Mins	PX-370000003	CDM			370	RC		inpatient			300	300																																																			
HC Cc Ivus Initial Vessel	PX-481929781	CDM	92978	CPT	481	RC		outpatient			300	3	300				fee schedule		300				other	OPPS APC	753.41				fee schedule		300				other	OPPS APC	300				other	OPPS APC	147				percent of total billed charges		153				percent of total billed charges		3				other	OPPS APC	3	753.41	
HC Cc Ivus Initial Vessel	PX-481929781	CDM	92978	CPT	481	RC		inpatient			300	300																																																			
HC Cc Intravascular Dopler Initial Vessel	PX-481935711	CDM	93571	CPT	481	RC		outpatient			300	3	300				fee schedule		300				other	OPPS APC	750.19				fee schedule		300				other	OPPS APC	300				other	OPPS APC	147				percent of total billed charges		153				percent of total billed charges		3				other	OPPS APC	3	750.19	
HC Cc Intravascular Dopler Initial Vessel	PX-481935711	CDM	93571	CPT	481	RC		inpatient			300	300																																																			
SCREW BONE VECTRA 16MM 4MM PURPLE TITANIUM NS SPINE CERVICAL ANTERIOR SELF DRILL SELF RETAINING VARIABLE ANGLE	SUP-04.613.516	CDM	270010013	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE VECTRA 16MM 4MM PURPLE TITANIUM NS SPINE CERVICAL ANTERIOR SELF DRILL SELF RETAINING VARIABLE ANGLE	SUP-04.613.516	CDM	270010013	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE VECTRA 16MM 4MM BROWN TITANIUM NS SPINE CERVICAL ANTERIOR SELF DRILL SELF RETAINING FIXED ANGLE	SUP-04.613.716	CDM	270010013	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE VECTRA 16MM 4MM BROWN TITANIUM NS SPINE CERVICAL ANTERIOR SELF DRILL SELF RETAINING FIXED ANGLE	SUP-04.613.716	CDM	270010013	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE ZERO-P TITANIUM L14 MM OD3 MM SPINE CERVICAL SELF TAP LOCK SELF CENTER STERILE GOLD	SUP-04.617.814	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE ZERO-P TITANIUM L14 MM OD3 MM SPINE CERVICAL SELF TAP LOCK SELF CENTER STERILE GOLD	SUP-04.617.814	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
TREK BALLOON 4.0 X 30 MM	SUP-1012278-30	CDM			481	RC		outpatient			300	3	147				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	147				percent of total billed charges		153				percent of total billed charges		3				other	OPPS APC	3	300	
TREK BALLOON 4.0 X 30 MM	SUP-1012278-30	CDM			481	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM STRAIGHT L85 MM OD5.5MM	SUP-1119.5085	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM STRAIGHT L85 MM OD5.5MM	SUP-1119.5085	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L35 MM OD5.5 MM	SUP-1119.7035	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L35 MM OD5.5 MM	SUP-1119.7035	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L40 MM OD5.5 MM	SUP-1119.7040	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L40 MM OD5.5 MM	SUP-1119.7040	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L45 MM OD5.5 MM	SUP-1119.7045	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L45 MM OD5.5 MM	SUP-1119.7045	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L50 MM OD5.5 MM	SUP-1119.7050	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L50 MM OD5.5 MM	SUP-1119.7050	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L55 MM OD5.5 MM	SUP-1119.7055	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L55 MM OD5.5 MM	SUP-1119.7055	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L60 MM OD5.5 MM NONSTERILE	SUP-1119.7060	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L60 MM OD5.5 MM NONSTERILE	SUP-1119.7060	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL CREO TITANIUM CURVE L70 MM OD5.5 MM	SUP-1119.7070	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL CREO TITANIUM CURVE L70 MM OD5.5 MM	SUP-1119.7070	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
IMPLANT SPARTAN LOCKING SCREW	SUP-11-3000	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
IMPLANT SPARTAN LOCKING SCREW	SUP-11-3000	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ANCHOR SPINAL COALITION MIS L12 MM	SUP-1136.2012	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ANCHOR SPINAL COALITION MIS L12 MM	SUP-1136.2012	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE STRAIGHT 125MM 5.5MM TITANIUM NS PEDICLE	SUP-124.512	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE STRAIGHT 125MM 5.5MM TITANIUM NS PEDICLE	SUP-124.512	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE STRAIGHT 150MM 5.5MM TITANIUM NS PEDICLE	SUP-124.515	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE STRAIGHT 150MM 5.5MM TITANIUM NS PEDICLE	SUP-124.515	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE TITANIUM L45 MM OD5.5 MM PEDICLE STRAIGHT	SUP-124.545	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE TITANIUM L45 MM OD5.5 MM PEDICLE STRAIGHT	SUP-124.545	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD GLOBUS 125MM REVERE	SUP-124.612	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD GLOBUS 125MM REVERE	SUP-124.612	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE TITANIUM L45 MM OD5.5 MM PEDICLE CURVED	SUP-124.645	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE TITANIUM L45 MM OD5.5 MM PEDICLE CURVED	SUP-124.645	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE TITANIUM L55 MM OD5.5 MM PEDICLE CURVED	SUP-124.655	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE TITANIUM L55 MM OD5.5 MM PEDICLE CURVED	SUP-124.655	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE TITANIUM L75 MM OD5.5 MM PEDICLE CURVED	SUP-124.675	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE TITANIUM L75 MM OD5.5 MM PEDICLE CURVED	SUP-124.675	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE TITANIUM L85 MM OD5.5 MM PEDICLE CURVED	SUP-124.685	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE TITANIUM L85 MM OD5.5 MM PEDICLE CURVED	SUP-124.685	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL REVERE TITANIUM L90 MM OD5.5 MM CURVED	SUP-124.690	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL REVERE TITANIUM L90 MM OD5.5 MM CURVED	SUP-124.690	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
ROD SPINAL TITANIUM L95 MM OD5.5 MM CURVED	SUP-124.695	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL TITANIUM L95 MM OD5.5 MM CURVED	SUP-124.695	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE L12 MM OD4.2 MM SPINE SELF DRILLING VARIABLE ANGLE	SUP-184.052	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE L12 MM OD4.2 MM SPINE SELF DRILLING VARIABLE ANGLE	SUP-184.052	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE COALITION L14 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE NONSTERILE	SUP-184.054	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE COALITION L14 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE NONSTERILE	SUP-184.054	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE COALITION L18 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE NONSTERILE	SUP-184.058	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE COALITION L18 MM OD4.2 MM SPINE SELF DRILL VARIABLE ANGLE NONSTERILE	SUP-184.058	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE L12 MM OD4.2 MM SPINE SELF DRILLING FIXED ANGLE	SUP-184.072	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE L12 MM OD4.2 MM SPINE SELF DRILLING FIXED ANGLE	SUP-184.072	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE COALITION L14 MM OD4.2 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-184.074	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE COALITION L14 MM OD4.2 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-184.074	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE STANDARD L12 MM OD3.6 MM SPINE VARIABLE ANGLE SELF DRILL STERILE	SUP-184.152	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE STANDARD L12 MM OD3.6 MM SPINE VARIABLE ANGLE SELF DRILL STERILE	SUP-184.152	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE STANDARD L14 MM OD3.6 MM SPINE VARIABLE ANGLE SELF DRILL STERILE	SUP-184.154	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE STANDARD L14 MM OD3.6 MM SPINE VARIABLE ANGLE SELF DRILL STERILE	SUP-184.154	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE L16 MM OD3.6 MM SPINE SELF DRILLING VARIABLE ANGLE	SUP-184.156	CDM	270010022	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE L16 MM OD3.6 MM SPINE SELF DRILLING VARIABLE ANGLE	SUP-184.156	CDM	270010022	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE L18 MM OD3.6 MM SPINE SELF DRILLING VARIABLE ANGLE	SUP-184.158	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE L18 MM OD3.6 MM SPINE SELF DRILLING VARIABLE ANGLE	SUP-184.158	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
SCREW BONE COALITION L16 MM OD3.6 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-184.176	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE COALITION L16 MM OD3.6 MM SPINE SELF DRILL FIX ANGLE NONSTERILE	SUP-184.176	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
KIT ABLATION ARCTIC FRONT MANUAL RETRACTION LATEX FREE	SUP-20MRK	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
KIT ABLATION ARCTIC FRONT MANUAL RETRACTION LATEX FREE	SUP-20MRK	CDM			270	RC		inpatient			300	300																																																			
ROD SPINAL ES2 TITANIUM STRAIGHT HEXAGON L110 MM OD5.5 MM	SUP-482807110	CDM	270010020	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
ROD SPINAL ES2 TITANIUM STRAIGHT HEXAGON L110 MM OD5.5 MM	SUP-482807110	CDM	270010020	LOCAL	270	RC		inpatient			300	300																																																			
PLATE BONE UNIVERSAL 2 TITANIUM 2Y LOW PROFILE H.5 MM UPPERFACE 7 HOLE MALLEABLE 1.2 MM SCREW	SUP-5504240	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PLATE BONE UNIVERSAL 2 TITANIUM 2Y LOW PROFILE H.5 MM UPPERFACE 7 HOLE MALLEABLE 1.2 MM SCREW	SUP-5504240	CDM			270	RC		inpatient			300	300																																																			
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT LEFT MIDFACIAL 5 HOLE L MALLEABLE 1.7 MM SCREW	SUP-5504760	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT LEFT MIDFACIAL 5 HOLE L MALLEABLE 1.7 MM SCREW	SUP-5504760	CDM			270	RC		inpatient			300	300																																																			
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT L MIDFACIAL 5 HOLE MALLEABLE RIGHT ANGLED 1.7 MM SCREW	SUP-5504761	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT L MIDFACIAL 5 HOLE MALLEABLE RIGHT ANGLED 1.7 MM SCREW	SUP-5504761	CDM			270	RC		inpatient			300	300																																																			
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT H.6 MM LEFT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507760	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PLATE BONE TITANIUM 100 D 2 MM ADVANCEMENT H.6 MM LEFT MIDFACIAL 5 HOLE L 1.7 MM SCREWS	SUP-5507760	CDM			270	RC		inpatient			300	300																																																			
SLEEVE CENTERING UNITRAX V40 -4 MM HIP UNIPOLAR	SUP-6942-6-060	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING UNITRAX V40 -4 MM HIP UNIPOLAR	SUP-6942-6-060	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING UNITRAX V40 EXETER +0 MM TAPER HIP UNIPOLAR	SUP-6942-6-065	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING UNITRAX V40 EXETER +0 MM TAPER HIP UNIPOLAR	SUP-6942-6-065	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING UNITRAX V40 EXETER +4 MM TAPER HIP UNIPOLAR	SUP-6942-6-070	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING UNITRAX V40 EXETER +4 MM TAPER HIP UNIPOLAR	SUP-6942-6-070	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING UNITRAX V40 EXETER +8 MM TAPER HIP UNIPOLAR	SUP-6942-6-075	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING UNITRAX V40 EXETER +8 MM TAPER HIP UNIPOLAR	SUP-6942-6-075	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING UNITRAX V40 +12 MM HIP UNIPOLAR	SUP-6942-6-080	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING UNITRAX V40 +12 MM HIP UNIPOLAR	SUP-6942-6-080	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING UNITRAX +0 MM C TAPER HIP FEMUR	SUP-6942-7-065	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING UNITRAX +0 MM C TAPER HIP FEMUR	SUP-6942-7-065	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING V-40 UNITRAX +5 MM C TAPER HIP FEMUR	SUP-6942-7-075	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING V-40 UNITRAX +5 MM C TAPER HIP FEMUR	SUP-6942-7-075	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
SLEEVE CENTERING V-40 UNITRAX +10 MM C TAPER HIP FEMUR	SUP-6942-7-085	CDM	270010024	LOCAL	270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SLEEVE CENTERING V-40 UNITRAX +10 MM C TAPER HIP FEMUR	SUP-6942-7-085	CDM	270010024	LOCAL	270	RC		inpatient			300	300																																																			
VASCULAR SOLUTIONS 2.75 IN. SMART NEEDLE	SUP-78050	CDM			481	RC		outpatient			300	3	147				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	147				percent of total billed charges		153				percent of total billed charges		3				other	OPPS APC	3	300	
VASCULAR SOLUTIONS 2.75 IN. SMART NEEDLE	SUP-78050	CDM			481	RC		inpatient			300	300																																																			
VASCULAR SOLUTIONS 3.5 IN. SMART NEEDLE	SUP-78060	CDM			481	RC		outpatient			300	3	147				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	147				percent of total billed charges		153				percent of total billed charges		3				other	OPPS APC	3	300	
VASCULAR SOLUTIONS 3.5 IN. SMART NEEDLE	SUP-78060	CDM			481	RC		inpatient			300	300																																																			
BURR BALL EMM TUNGSTEN	SUP-82960.3730	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
BURR BALL EMM TUNGSTEN	SUP-82960.3730	CDM			270	RC		inpatient			300	300																																																			
BURR BALL 3MM DIAMOND	SUP-82960.3930	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
BURR BALL 3MM DIAMOND	SUP-82960.3930	CDM			270	RC		inpatient			300	300																																																			
BURR BALL 4MM DIAMOND	SUP-82960.3940	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
BURR BALL 4MM DIAMOND	SUP-82960.3940	CDM			270	RC		inpatient			300	300																																																			
SYRINGE BLOOD COLLECTION ACP 2 CAP STERILE	SUP-ABS-10010S	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SYRINGE BLOOD COLLECTION ACP 2 CAP STERILE	SUP-ABS-10010S	CDM			270	RC		inpatient			300	300																																																			
GRASPER SURGICAL AHMED MICRO 25 GM DISPOSABLE	SUP-AMG-1001	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
GRASPER SURGICAL AHMED MICRO 25 GM DISPOSABLE	SUP-AMG-1001	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE QUICKFIX TITANIUM T10 PARTIAL THREAD HEXALOBE LOW PROFILE L14 MM OD3 MM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8730-14PT	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE QUICKFIX TITANIUM T10 PARTIAL THREAD HEXALOBE LOW PROFILE L14 MM OD3 MM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8730-14PT	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE QUICKFIX TITANIUM T10 PARTIAL THREAD HEXALOBE LOW PROFILE L16 MM OD3 MM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8730-16PT	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE QUICKFIX TITANIUM T10 PARTIAL THREAD HEXALOBE LOW PROFILE L16 MM OD3 MM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8730-16PT	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE QUICKFIX TITANIUM T10 PARTIAL THREAD HEXALOBE LOW PROFILE L18 MM OD3 MM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8730-18PT	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE QUICKFIX TITANIUM T10 PARTIAL THREAD HEXALOBE LOW PROFILE L18 MM OD3 MM SMALL BONE CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8730-18PT	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE QUICKFIX T10 PARTIAL THREAD 26MM 3MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .045	SUP-AR-8730-26PT	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE QUICKFIX T10 PARTIAL THREAD 26MM 3MM TITANIUM CANCELLOUS CANNULATED SELF TAP SELF DRILL HEXALOBE ACCEPTS .045	SUP-AR-8730-26PT	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L14 MM OD3.5 MM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM	SUP-AR-8935L-14	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L14 MM OD3.5 MM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM	SUP-AR-8935L-14	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L16 MM OD3.5 MM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM	SUP-AR-8935L-16	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L16 MM OD3.5 MM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM	SUP-AR-8935L-16	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L20 MM OD3.5 MM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM	SUP-AR-8935L-20	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L20 MM OD3.5 MM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK COMPREHENSIVE FOOT SYSTEM	SUP-AR-8935L-20	CDM			270	RC		inpatient			300	300																																																			
SCREW BONE LOW PROFILE SCREWS PARTIAL THREAD 60MM 4.5MM TITANIUM MALLEOLAR CORTICAL SELF DRILL SELF TAP CANNULATED HEX	SUP-AR-8945-60PT	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
SCREW BONE LOW PROFILE SCREWS PARTIAL THREAD 60MM 4.5MM TITANIUM MALLEOLAR CORTICAL SELF DRILL SELF TAP CANNULATED HEX	SUP-AR-8945-60PT	CDM			270	RC		inpatient			300	300																																																			
PROBE ELECTROSURGICAL ARTHREX APOLLORF 90 D 1 PIECE HAND CONTROL MULTIPLE PORT PLASMA BASE BIPOLAR RF TECHNOLOGY	SUP-AR-9821	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PROBE ELECTROSURGICAL ARTHREX APOLLORF 90 D 1 PIECE HAND CONTROL MULTIPLE PORT PLASMA BASE BIPOLAR RF TECHNOLOGY	SUP-AR-9821	CDM			270	RC		inpatient			300	300																																																			
PROBE ARTHROSCOPIC APOLLORF 90 D HOOK L2 MM OD.75 MM TISSUE 1 PIECE ACTIVE ELECTRODE HANDCONTROL NONASPIRATE STERILE LATEX FREE DISPOSABLE SYNERGYRF	SUP-AR-9825	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PROBE ARTHROSCOPIC APOLLORF 90 D HOOK L2 MM OD.75 MM TISSUE 1 PIECE ACTIVE ELECTRODE HANDCONTROL NONASPIRATE STERILE LATEX FREE DISPOSABLE SYNERGYRF	SUP-AR-9825	CDM			270	RC		inpatient			300	300																																																			
PATCH VASCULAR XENOSURE BOVINE PERICARDIUM THK.45 MM TAPER L8 CM X W.8 CM BIOLOGIC STERILE DISPOSABLE	SUP-E0.8P8	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
PATCH VASCULAR XENOSURE BOVINE PERICARDIUM THK.45 MM TAPER L8 CM X W.8 CM BIOLOGIC STERILE DISPOSABLE	SUP-E0.8P8	CDM			270	RC		inpatient			300	300																																																			
DEVICE CLOSURE EXOSEAL OD5 FR FEMORAL ARTERY ABSORBABLE PLUG APPLIER HANDLE DELIVERY SHAFT STERILE LATEX FREE	SUP-EX500_49624	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
DEVICE CLOSURE EXOSEAL OD5 FR FEMORAL ARTERY ABSORBABLE PLUG APPLIER HANDLE DELIVERY SHAFT STERILE LATEX FREE	SUP-EX500_49624	CDM			270	RC		inpatient			300	300																																																			
DEVICE CLOSURE EXOSEAL OD6 FR FEMORAL ARTERY ABSORBABLE PLUG APPLIER HANDLE DELIVERY SHAFT STERILE LATEX FREE	SUP-EX600	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
DEVICE CLOSURE EXOSEAL OD6 FR FEMORAL ARTERY ABSORBABLE PLUG APPLIER HANDLE DELIVERY SHAFT STERILE LATEX FREE	SUP-EX600	CDM			270	RC		inpatient			300	300																																																			
GUIDEWIRE VASCULAR 300CM .014IN 12GA BROAD MATRIX PUSHABILITY EXCELLENT CROSS ENHANCE	SUP-H74939230300120	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
GUIDEWIRE VASCULAR 300CM .014IN 12GA BROAD MATRIX PUSHABILITY EXCELLENT CROSS ENHANCE	SUP-H74939230300120	CDM			270	RC		inpatient			300	300																																																			
GUIDEWIRE VASCULAR 300CM .014IN 18GA BROAD MATRIX EXCELLENT CROSS ENHANCE TORQUE	SUP-H74939230300180	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
GUIDEWIRE VASCULAR 300CM .014IN 18GA BROAD MATRIX EXCELLENT CROSS ENHANCE TORQUE	SUP-H74939230300180	CDM			270	RC		inpatient			300	300																																																			
CABLE CONNECTOR RFP-100A	SUP-RFX-BAY-TS	CDM			481	RC		outpatient			300	3	147				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	147				percent of total billed charges		153				percent of total billed charges		3				other	OPPS APC	3	300	
CABLE CONNECTOR RFP-100A	SUP-RFX-BAY-TS	CDM			481	RC		inpatient			300	300																																																			
LENS IOL ACRYSOF IQ 0D MODIFIED L BICONVEX 13MM 6MM NATURAL 1 PIECE ANTERIOR ASPHERIC 118.7A-CONSTANT	SUP-SN60WF	CDM			270	RC		outpatient			300	3	81.27				percent of total billed charges		300				other	OPPS APC	222				percent of total billed charges		300				other	OPPS APC	300				other	OPPS APC	81.27				percent of total billed charges		82.89				percent of total billed charges		3				other	OPPS APC	3	300	
LENS IOL ACRYSOF IQ 0D MODIFIED L BICONVEX 13MM 6MM NATURAL 1 PIECE ANTERIOR ASPHERIC 118.7A-CONSTANT	SUP-SN60WF	CDM			270	RC		inpatient			300	300																																																			
STAPLER INTERNAL PROXIMATE ACCESS STANDARD 55MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 2 ROW	SUP-AX55B	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL PROXIMATE ACCESS STANDARD 55MMX3.5MM 1.5MM BLUE TITANIUM DISPOSABLE STERILE LF REGULAR TISSUE 2 ROW	SUP-AX55B	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE L18 CM L5.5 MM X H1-2.5 MM OD21 MM INTRALUMINAL STERILE LATEX FREE DISPOSABLE 12.4 MM LUMEN	SUP-CDH21A	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE L18 CM L5.5 MM X H1-2.5 MM OD21 MM INTRALUMINAL STERILE LATEX FREE DISPOSABLE 12.4 MM LUMEN	SUP-CDH21A	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-CDH25A	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-CDH25A	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD29 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 20.4 MM LUMEN ENDOSCOPIC	SUP-CDH29A	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD29 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 20.4 MM LUMEN ENDOSCOPIC	SUP-CDH29A	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD33 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 24.4 MM LUMEN ENDOSCOPIC	SUP-CDH33A	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE H5.5 MM L18 CM X H1-2.5 MM OD33 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 24.4 MM LUMEN ENDOSCOPIC	SUP-CDH33A	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
STAPLER INTERNAL ENDOPATH L45 MM L300 MM THICK TISSUE 8 FIRING LINEAR CUTTER RELOAD NO ARTICULATION STERILE LATEX FREE DISPOSABLE GREEN ENDOSCOPIC	SUP-EZ45G	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL ENDOPATH L45 MM L300 MM THICK TISSUE 8 FIRING LINEAR CUTTER RELOAD NO ARTICULATION STERILE LATEX FREE DISPOSABLE GREEN ENDOSCOPIC	SUP-EZ45G	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
STAPLER INTERNAL PROXIMATE TITANIUM L100 MM X H3.85 MM H1.5 MM REGULAR TISSUE 2 ROW LINEAR CUTTER SAFETY LOCKOUT HEAVY WIRE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TLC10	CDM	270009089	LOCAL	270	RC		outpatient			299.84	299.84	81.23				percent of total billed charges		299.84				other	OPPS APC	221.88				percent of total billed charges		299.84				other	OPPS APC	299.84				other	OPPS APC	81.23				percent of total billed charges		82.85				percent of total billed charges		299.84				other	OPPS APC	81.23	299.84	
STAPLER INTERNAL PROXIMATE TITANIUM L100 MM X H3.85 MM H1.5 MM REGULAR TISSUE 2 ROW LINEAR CUTTER SAFETY LOCKOUT HEAVY WIRE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TLC10	CDM	270009089	LOCAL	270	RC		inpatient			299.84	299.84																																																			
SHOULDER SUSPENSION KIT	SUP-23-00161	CDM			272	RC		outpatient			299.67	299.67	81.18				percent of total billed charges		299.67				other	OPPS APC	221.76				percent of total billed charges		299.67				other	OPPS APC	299.67				other	OPPS APC	81.18				percent of total billed charges		82.8				percent of total billed charges		299.67				other	OPPS APC	81.18	299.67	
SHOULDER SUSPENSION KIT	SUP-23-00161	CDM			272	RC		inpatient			299.67	299.67																																																			
DRILL BIT 2.7MM 100MM	SUP-97-01310	CDM			272	RC		outpatient			299.43	299.43	81.12				percent of total billed charges		299.43				other	OPPS APC	221.58				percent of total billed charges		299.43				other	OPPS APC	299.43				other	OPPS APC	81.12				percent of total billed charges		82.73				percent of total billed charges		299.43				other	OPPS APC	81.12	299.43	
DRILL BIT 2.7MM 100MM	SUP-97-01310	CDM			272	RC		inpatient			299.43	299.43																																																			
Initial Hospital Care/Day 50 Minutes 99222	PX-988992221	CDM	99222	CPT	988	RC		outpatient			299	299	137.46				fee schedule		299				other	OPPS APC	221.26				percent of total billed charges		299				other	OPPS APC	299				fee schedule		128.24				fee schedule		152.49				percent of total billed charges		299				fee schedule		128.24	299	
Initial Hospital Care/Day 50 Minutes 99222	PX-988992221	CDM	99222	CPT	988	RC		inpatient			299	299																																																			
FORCEPS OPHTHALMIC GRIESHABER REVOLUTION OD25+ GA ILLUMINATOR MULTIPURPOSE END GRASP FINE MEMBRANE STERILE DISPOSABLE	SUP-705.44P	CDM			270	RC		outpatient			298.7	298.7	80.92				percent of total billed charges		298.7				other	OPPS APC	221.04				percent of total billed charges		298.7				other	OPPS APC	298.7				other	OPPS APC	80.92				percent of total billed charges		82.53				percent of total billed charges		298.7				other	OPPS APC	80.92	298.7	
FORCEPS OPHTHALMIC GRIESHABER REVOLUTION OD25+ GA ILLUMINATOR MULTIPURPOSE END GRASP FINE MEMBRANE STERILE DISPOSABLE	SUP-705.44P	CDM			270	RC		inpatient			298.7	298.7																																																			
GUIDEWIRE ARTHROSCOPIC ACUFEX LONG L10 IN OD2.4 MM PCL CALIBRATED NO EYELET STERILE DISPOSABLE	SUP-7207284	CDM			270	RC		outpatient			298.5	298.5	80.86				percent of total billed charges		298.5				other	OPPS APC	220.89				percent of total billed charges		298.5				other	OPPS APC	298.5				other	OPPS APC	80.86				percent of total billed charges		82.48				percent of total billed charges		298.5				other	OPPS APC	80.86	298.5	
GUIDEWIRE ARTHROSCOPIC ACUFEX LONG L10 IN OD2.4 MM PCL CALIBRATED NO EYELET STERILE DISPOSABLE	SUP-7207284	CDM			270	RC		inpatient			298.5	298.5																																																			
HEADED NAIL 1/1/2	SUP-95-03623	CDM			278	RC		outpatient			298.38	298.38	298.38				fee schedule		298.38				other	OPPS APC	170.08				percent of total billed charges		298.38				other	OPPS APC	298.38				other	OPPS APC	146.21				percent of total billed charges		152.17				percent of total billed charges		298.38				other	OPPS APC	146.21	298.38	
HEADED NAIL 1/1/2	SUP-95-03623	CDM			278	RC		inpatient			298.38	298.38																																																			
HEADED NAIL PIM 1/1/2	SUP-97-02417	CDM			278	RC		outpatient			298.38	298.38	298.38				fee schedule		298.38				other	OPPS APC	170.08				percent of total billed charges		298.38				other	OPPS APC	298.38				other	OPPS APC	146.21				percent of total billed charges		152.17				percent of total billed charges		298.38				other	OPPS APC	146.21	298.38	
HEADED NAIL PIM 1/1/2	SUP-97-02417	CDM			278	RC		inpatient			298.38	298.38																																																			
VARI-STIM III	SUP-95-03914	CDM			272	RC		outpatient			298.2	298.2	80.78				percent of total billed charges		298.2				other	OPPS APC	220.67				percent of total billed charges		298.2				other	OPPS APC	298.2				other	OPPS APC	80.78				percent of total billed charges		82.39				percent of total billed charges		298.2				other	OPPS APC	80.78	298.2	
VARI-STIM III	SUP-95-03914	CDM			272	RC		inpatient			298.2	298.2																																																			
APEX TRANSFIX 4X250 PIN 5X50THR	SUP-97-03597	CDM			278	RC		outpatient			298.2	298.2	298.2				fee schedule		298.2				other	OPPS APC	169.97				percent of total billed charges		298.2				other	OPPS APC	298.2				other	OPPS APC	146.12				percent of total billed charges		152.08				percent of total billed charges		298.2				other	OPPS APC	146.12	298.2	
APEX TRANSFIX 4X250 PIN 5X50THR	SUP-97-03597	CDM			278	RC		inpatient			298.2	298.2																																																			
HC Aldosterone	PX-300820880	CDM	82088	CPT	301	RC		outpatient			298	4.75	54.49				fee schedule		40.75				fee schedule		108.19				fee schedule		40.75				fee schedule		40.75				fee schedule		40.75				fee schedule		40.75				fee schedule		4.75				fee schedule		4.75	108.19	
HC Aldosterone	PX-300820880	CDM	82088	CPT	301	RC		inpatient			298	298																																																			
HC Ca 199 (Ca199)	PX-300863010	CDM	86301	CPT	300	RC		outpatient			298	2.9	27.82				fee schedule		20.81				fee schedule		55.23				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		2.9				fee schedule		2.9	55.23	
HC Ca 199 (Ca199)	PX-300863010	CDM	86301	CPT	300	RC		inpatient			298	298																																																			
HC Dna Ploidy	PX-310881820	CDM	88182	CPT	310	RC		outpatient			298	52.81	93.14				fee schedule		52.81				other	OPPS APC	75.38				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	146.02				percent of total billed charges		151.98				percent of total billed charges		52.81				other	OPPS APC	52.81	151.98	
HC Dna Ploidy	PX-310881820	CDM	88182	CPT	310	RC		inpatient			298	298																																																			
HC Flow Cytometry  Cell Cycle or Dna Analysis	PX-310881821	CDM	88182	CPT	310	RC		outpatient			298	52.81	93.14				fee schedule		52.81				other	OPPS APC	75.38				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	146.02				percent of total billed charges		151.98				percent of total billed charges		52.81				other	OPPS APC	52.81	151.98	
HC Flow Cytometry  Cell Cycle or Dna Analysis	PX-310881821	CDM	88182	CPT	310	RC		inpatient			298	298																																																			
CENTRALIZER STEM CEMENTRALIZER PMMA OD13 MM HIP FEMUR STERILE ENDURANCE LUSTER EXCEL SUMMIT SYSTEM	SUP-1376-22-000	CDM	270010014	LOCAL	270	RC		outpatient			298	298	80.73				percent of total billed charges		298				other	OPPS APC	220.52				percent of total billed charges		298				other	OPPS APC	298				other	OPPS APC	80.73				percent of total billed charges		82.34				percent of total billed charges		298				other	OPPS APC	80.73	298	
CENTRALIZER STEM CEMENTRALIZER PMMA OD13 MM HIP FEMUR STERILE ENDURANCE LUSTER EXCEL SUMMIT SYSTEM	SUP-1376-22-000	CDM	270010014	LOCAL	270	RC		inpatient			298	298																																																			
DEVICE BRACHYTHERAPY MAMMOSITE BREAST CAVITY EVALUATION TARGET	SUP-9031	CDM			270	RC		outpatient			298	298	80.73				percent of total billed charges		298				other	OPPS APC	220.52				percent of total billed charges		298				other	OPPS APC	298				other	OPPS APC	80.73				percent of total billed charges		82.34				percent of total billed charges		298				other	OPPS APC	80.73	298	
DEVICE BRACHYTHERAPY MAMMOSITE BREAST CAVITY EVALUATION TARGET	SUP-9031	CDM			270	RC		inpatient			298	298																																																			
SET STENT ZIMMON POLYETHYLENE 2 PIGTAIL CURVE L5 CM OD10 FR BILIARY PUSH CATHETER SMOOTH CANNULATION TAPER TIP STERILE PURPLE ACCEPTS .035 IN GUIDEWIRE	SUP-G21783	CDM			270	RC		outpatient			298	298	80.73				percent of total billed charges		298				other	OPPS APC	220.52				percent of total billed charges		298				other	OPPS APC	298				other	OPPS APC	80.73				percent of total billed charges		82.34				percent of total billed charges		298				other	OPPS APC	80.73	298	
SET STENT ZIMMON POLYETHYLENE 2 PIGTAIL CURVE L5 CM OD10 FR BILIARY PUSH CATHETER SMOOTH CANNULATION TAPER TIP STERILE PURPLE ACCEPTS .035 IN GUIDEWIRE	SUP-G21783	CDM			270	RC		inpatient			298	298																																																			
LENS TECHNIS IOL	SUP-ZCB00	CDM			270	RC		outpatient			298	298	80.73				percent of total billed charges		298				other	OPPS APC	220.52				percent of total billed charges		298				other	OPPS APC	298				other	OPPS APC	80.73				percent of total billed charges		82.34				percent of total billed charges		298				other	OPPS APC	80.73	298	
LENS TECHNIS IOL	SUP-ZCB00	CDM			270	RC		inpatient			298	298																																																			
STENT BILIARY ZIMMON L5 CM OD7 FR 2 PIGTAIL	SUP-ZEBD-7-5	CDM			270	RC		outpatient			298	298	80.73				percent of total billed charges		298				other	OPPS APC	220.52				percent of total billed charges		298				other	OPPS APC	298				other	OPPS APC	80.73				percent of total billed charges		82.34				percent of total billed charges		298				other	OPPS APC	80.73	298	
STENT BILIARY ZIMMON L5 CM OD7 FR 2 PIGTAIL	SUP-ZEBD-7-5	CDM			270	RC		inpatient			298	298																																																			
DRILL BIT 2.0MM	SUP-97-02157	CDM			272	RC		outpatient			297.85	297.85	80.69				percent of total billed charges		297.85				other	OPPS APC	220.41				percent of total billed charges		297.85				other	OPPS APC	297.85				other	OPPS APC	80.69				percent of total billed charges		82.3				percent of total billed charges		297.85				other	OPPS APC	80.69	297.85	
DRILL BIT 2.0MM	SUP-97-02157	CDM			272	RC		inpatient			297.85	297.85																																																			
PLATE BONE LCP STAINLESS STEEL 1/3 TUBULAR L57 MM X W9 MM X H1 MM H.7 MM OD12 MM 5 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.351	CDM	270010022	LOCAL	270	RC		outpatient			297.8	297.81	80.67				percent of total billed charges		297.8				other	OPPS APC	220.37				percent of total billed charges		297.8				other	OPPS APC	297.8				other	OPPS APC	80.67				percent of total billed charges		82.28				percent of total billed charges		297.81				other	OPPS APC	80.67	297.81	
PLATE BONE LCP STAINLESS STEEL 1/3 TUBULAR L57 MM X W9 MM X H1 MM H.7 MM OD12 MM 5 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.351	CDM	270010022	LOCAL	270	RC		inpatient			297.8	297.8																																																			
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L69 MM X W9 MM X H1 MM H.7 MM OD12 MM 6 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.361	CDM	270010022	LOCAL	270	RC		outpatient			297.8	297.81	80.67				percent of total billed charges		297.8				other	OPPS APC	220.37				percent of total billed charges		297.8				other	OPPS APC	297.8				other	OPPS APC	80.67				percent of total billed charges		82.28				percent of total billed charges		297.81				other	OPPS APC	80.67	297.81	
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L69 MM X W9 MM X H1 MM H.7 MM OD12 MM 6 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.361	CDM	270010022	LOCAL	270	RC		inpatient			297.8	297.8																																																			
ELEMENT WORKING ANGLE OD24 FR CUT SHEATH YELLOW RESECTOSCOPE	SUP-26050G-S	CDM			270	RC		outpatient			297.65	297.65	80.63				percent of total billed charges		297.65				other	OPPS APC	220.26				percent of total billed charges		297.65				other	OPPS APC	297.65				other	OPPS APC	80.63				percent of total billed charges		82.24				percent of total billed charges		297.65				other	OPPS APC	80.63	297.65	
ELEMENT WORKING ANGLE OD24 FR CUT SHEATH YELLOW RESECTOSCOPE	SUP-26050G-S	CDM			270	RC		inpatient			297.65	297.65																																																			
ROD SPINAL TI-6AL-7NB STRAIGHT L80 MM OD3.5 MM CERVICAL EXTRA HARD	SUP-498.12	CDM	270010013	LOCAL	270	RC		outpatient			297.6	297.62	80.62				percent of total billed charges		297.6				other	OPPS APC	220.22				percent of total billed charges		297.6				other	OPPS APC	297.6				other	OPPS APC	80.62				percent of total billed charges		82.23				percent of total billed charges		297.62				other	OPPS APC	80.62	297.62	
ROD SPINAL TI-6AL-7NB STRAIGHT L80 MM OD3.5 MM CERVICAL EXTRA HARD	SUP-498.12	CDM	270010013	LOCAL	270	RC		inpatient			297.6	297.6																																																			
ROD SPINAL 80MM 3.5MM STRAIGHT CERVICAL TI-6AL-7NB EXTRA HARD NS	SUP-498.120	CDM	270010013	LOCAL	270	RC		outpatient			297.6	297.62	80.62				percent of total billed charges		297.6				other	OPPS APC	220.22				percent of total billed charges		297.6				other	OPPS APC	297.6				other	OPPS APC	80.62				percent of total billed charges		82.23				percent of total billed charges		297.62				other	OPPS APC	80.62	297.62	
ROD SPINAL 80MM 3.5MM STRAIGHT CERVICAL TI-6AL-7NB EXTRA HARD NS	SUP-498.120	CDM	270010013	LOCAL	270	RC		inpatient			297.6	297.6																																																			
BIT DRILL STP 1.5X105MM	SUP-71-00211	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
BIT DRILL STP 1.5X105MM	SUP-71-00211	CDM			272	RC		inpatient			297.5	297.5																																																			
DRILL 2.0 CANNULATED POLYAXIAL	SUP-95-04708	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRILL 2.0 CANNULATED POLYAXIAL	SUP-95-04708	CDM			272	RC		inpatient			297.5	297.5																																																			
DRILL BIT 2.5MM	SUP-95-04762	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRILL BIT 2.5MM	SUP-95-04762	CDM			272	RC		inpatient			297.5	297.5																																																			
OLIVE WIRE 1.4MM THREADED	SUP-95-04768	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
OLIVE WIRE 1.4MM THREADED	SUP-95-04768	CDM			272	RC		inpatient			297.5	297.5																																																			
QUICKPASS TENDON SHUTTLE SMALL	SUP-95-04961	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
QUICKPASS TENDON SHUTTLE SMALL	SUP-95-04961	CDM			272	RC		inpatient			297.5	297.5																																																			
DRILL BIT 2.5MM CALIBRATED	SUP-95-05149	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRILL BIT 2.5MM CALIBRATED	SUP-95-05149	CDM			272	RC		inpatient			297.5	297.5																																																			
SCREW LOCKING TITANIUM 3.5MM 30MM	SUP-97-002875	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
SCREW LOCKING TITANIUM 3.5MM 30MM	SUP-97-002875	CDM			278	RC		inpatient			297.5	297.5																																																			
DRILL BIT 2.5	SUP-97-01556	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRILL BIT 2.5	SUP-97-01556	CDM			272	RC		inpatient			297.5	297.5																																																			
DRILL BIT 2.0MM	SUP-97-01565	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRILL BIT 2.0MM	SUP-97-01565	CDM			272	RC		inpatient			297.5	297.5																																																			
DRILL SOLID SIDE CUTTING 2.5MM X 40MM	SUP-97-01628	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRILL SOLID SIDE CUTTING 2.5MM X 40MM	SUP-97-01628	CDM			272	RC		inpatient			297.5	297.5																																																			
DRIVER SHAFT CANNULATED QC T15 HEXALOBE	SUP-97-01674	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRIVER SHAFT CANNULATED QC T15 HEXALOBE	SUP-97-01674	CDM			272	RC		inpatient			297.5	297.5																																																			
2.5 DRILL BIT  CALIBRATED	SUP-97-02034	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
2.5 DRILL BIT  CALIBRATED	SUP-97-02034	CDM			272	RC		inpatient			297.5	297.5																																																			
DRIVER AO CONN SQUARE TIP 20MM	SUP-97-02510	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRIVER AO CONN SQUARE TIP 20MM	SUP-97-02510	CDM			272	RC		inpatient			297.5	297.5																																																			
OLIVE WIRE SMOOTH 1.4	SUP-97-02824	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
OLIVE WIRE SMOOTH 1.4	SUP-97-02824	CDM			272	RC		inpatient			297.5	297.5																																																			
BB-TAK THREADED	SUP-97-02868	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
BB-TAK THREADED	SUP-97-02868	CDM			278	RC		inpatient			297.5	297.5																																																			
LOCKING SCREW TITANIUM 3.5MM 16MM	SUP-97-02874	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
LOCKING SCREW TITANIUM 3.5MM 16MM	SUP-97-02874	CDM			278	RC		inpatient			297.5	297.5																																																			
LO PRO LOCK SCRW3.5X 14MM	SUP-97-03171	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
LO PRO LOCK SCRW3.5X 14MM	SUP-97-03171	CDM			278	RC		inpatient			297.5	297.5																																																			
DRIVER AO CONN SQUARE TIP 10MM	SUP-97-03655	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
DRIVER AO CONN SQUARE TIP 10MM	SUP-97-03655	CDM			272	RC		inpatient			297.5	297.5																																																			
BEAD TIP GD WIRE 2.6MMX80CM	SUP-97-03859	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
BEAD TIP GD WIRE 2.6MMX80CM	SUP-97-03859	CDM			272	RC		inpatient			297.5	297.5																																																			
SUTURETAPE FIBERLINK 1.3MM WH/BL BX/12	SUP-97-04155	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
SUTURETAPE FIBERLINK 1.3MM WH/BL BX/12	SUP-97-04155	CDM			278	RC		inpatient			297.5	297.5																																																			
SCREW LOCKING TITANIUM 3.5MM X 12MM	SUP-97-05515	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
SCREW LOCKING TITANIUM 3.5MM X 12MM	SUP-97-05515	CDM			278	RC		inpatient			297.5	297.5																																																			
SCREW 3.5 X 14MM LOW PROFILE LOCKING	SUP-97-06430	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
SCREW 3.5 X 14MM LOW PROFILE LOCKING	SUP-97-06430	CDM			278	RC		inpatient			297.5	297.5																																																			
SCREW 3.5 X 20MM LOW PROFILE LOCKING	SUP-97-06431	CDM			278	RC		outpatient			297.5	297.5	297.5				fee schedule		297.5				other	OPPS APC	169.58				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	145.78				percent of total billed charges		151.73				percent of total billed charges		297.5				other	OPPS APC	145.78	297.5	
SCREW 3.5 X 20MM LOW PROFILE LOCKING	SUP-97-06431	CDM			278	RC		inpatient			297.5	297.5																																																			
GUIDEWIRE - DOC EXTENSION	SUP-99-00461	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDEWIRE - DOC EXTENSION	SUP-99-00461	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDEWIRE - FIELDER FC - 180CM	SUP-99-00600	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDEWIRE - FIELDER FC - 180CM	SUP-99-00600	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL3.5SH	SUP-99-03186	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL3.5SH	SUP-99-03186	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL3.75	SUP-99-03187	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL3.75	SUP-99-03187	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL3.75SH	SUP-99-03188	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL3.75SH	SUP-99-03188	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL4.0	SUP-99-03189	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL4.0	SUP-99-03189	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL4.0SH	SUP-99-03190	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL4.0SH	SUP-99-03190	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL4.5	SUP-99-03191	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL4.5	SUP-99-03191	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL4.5SH	SUP-99-03192	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL4.5SH	SUP-99-03192	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI RIGHT IR1.0SH	SUP-99-03194	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI RIGHT IR1.0SH	SUP-99-03194	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI RIGHT IR1.5	SUP-99-03195	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI RIGHT IR1.5	SUP-99-03195	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI RIGHT IR1.5SH	SUP-99-03196	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI RIGHT IR1.5SH	SUP-99-03196	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI RIGHT IR2.0	SUP-99-03197	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI RIGHT IR2.0	SUP-99-03197	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI RIGHT IR2.0SH	SUP-99-03198	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI RIGHT IR2.0SH	SUP-99-03198	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDE - IKARI LEFT IL3.5	SUP-99-03199	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDE - IKARI LEFT IL3.5	SUP-99-03199	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDEWIRE - GLIDEWIRE .035X400 STD STR	SUP-99-03551	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDEWIRE - GLIDEWIRE .035X400 STD STR	SUP-99-03551	CDM			272	RC		inpatient			297.5	297.5																																																			
GUIDEWIRE - GLIDEWIRE .035X400 STD ANG	SUP-99-03552	CDM			272	RC		outpatient			297.5	297.5	80.59				percent of total billed charges		297.5				other	OPPS APC	220.15				percent of total billed charges		297.5				other	OPPS APC	297.5				other	OPPS APC	80.59				percent of total billed charges		82.2				percent of total billed charges		297.5				other	OPPS APC	80.59	297.5	
GUIDEWIRE - GLIDEWIRE .035X400 STD ANG	SUP-99-03552	CDM			272	RC		inpatient			297.5	297.5																																																			
SCREW BONE PERI-LOC T25 L 10 MM OD 4.5 MM BLUNT TIP	SUP-73827010	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L 10 MM OD 4.5 MM BLUNT TIP	SUP-73827010	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L20MM OD 4.5MM SELF TAP LOCK	SUP-73827020	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L20MM OD 4.5MM SELF TAP LOCK	SUP-73827020	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L 26 MM OD 4.5 MM SELf-TAP LOCK	SUP-73827026	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L 26 MM OD 4.5 MM SELf-TAP LOCK	SUP-73827026	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L30MM OD 4.5MM SELF TAP LOCK	SUP-73827030	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L30MM OD 4.5MM SELF TAP LOCK	SUP-73827030	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L32MM OD 4.5MM SELF TAP LOCK	SUP-73827032	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L32MM OD 4.5MM SELF TAP LOCK	SUP-73827032	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L34MM OD 4.5MM SELF TAP LOCK	SUP-73827034	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L34MM OD 4.5MM SELF TAP LOCK	SUP-73827034	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L 36 MM OD 4.5 MM SELF TAP LOCK	SUP-73827036	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L 36 MM OD 4.5 MM SELF TAP LOCK	SUP-73827036	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L66MM OD 4.5MM SELF TAP LOCK	SUP-73827066	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L66MM OD 4.5MM SELF TAP LOCK	SUP-73827066	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L70MM OD 4.5MM SELF TAP LOCK	SUP-73827070	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L70MM OD 4.5MM SELF TAP LOCK	SUP-73827070	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI LOC t 25 L 72 MM OD 4.5 MM SELF TAP LOCK	SUP-73827072	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI LOC t 25 L 72 MM OD 4.5 MM SELF TAP LOCK	SUP-73827072	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T20 CUT FLUTE L76 MM OD 4.5 MM ODSEC 3.5MM CORTICAL SELF TAP LOCK 3 LEAD THREAD 3 FLUTE	SUP-73827076	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T20 CUT FLUTE L76 MM OD 4.5 MM ODSEC 3.5MM CORTICAL SELF TAP LOCK 3 LEAD THREAD 3 FLUTE	SUP-73827076	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L 78 MM OD 4.5 MM SELF TAP LOCK	SUP-73827078	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L 78 MM OD 4.5 MM SELF TAP LOCK	SUP-73827078	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L80MM OD 4.5MM SELF TAP LOCK	SUP-73827080	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L80MM OD 4.5MM SELF TAP LOCK	SUP-73827080	CDM			270	RC		inpatient			297.44	297.44																																																			
SCREW BONE PERI-LOC T25 L85MM OD 4.5MM SELF TAP LOCK	SUP-73827085	CDM			270	RC		outpatient			297.44	297.44	80.58				percent of total billed charges		297.44				other	OPPS APC	220.11				percent of total billed charges		297.44				other	OPPS APC	297.44				other	OPPS APC	80.58				percent of total billed charges		82.18				percent of total billed charges		297.44				other	OPPS APC	80.58	297.44	
SCREW BONE PERI-LOC T25 L85MM OD 4.5MM SELF TAP LOCK	SUP-73827085	CDM			270	RC		inpatient			297.44	297.44																																																			
MALECOT NEPH CATH 7 X 24	SUP-70-00226	CDM			272	RC		outpatient			297.36	297.36	80.55				percent of total billed charges		297.36				other	OPPS APC	220.05				percent of total billed charges		297.36				other	OPPS APC	297.36				other	OPPS APC	80.55				percent of total billed charges		82.16				percent of total billed charges		297.36				other	OPPS APC	80.55	297.36	
MALECOT NEPH CATH 7 X 24	SUP-70-00226	CDM			272	RC		inpatient			297.36	297.36																																																			
DRILL BIT 3.5MM X 110MM	SUP-95-02452	CDM			272	RC		outpatient			297.36	297.36	80.55				percent of total billed charges		297.36				other	OPPS APC	220.05				percent of total billed charges		297.36				other	OPPS APC	297.36				other	OPPS APC	80.55				percent of total billed charges		82.16				percent of total billed charges		297.36				other	OPPS APC	80.55	297.36	
DRILL BIT 3.5MM X 110MM	SUP-95-02452	CDM			272	RC		inpatient			297.36	297.36																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 12MM	SUP-97-03726	CDM			278	RC		outpatient			296.94	296.94	296.94				fee schedule		296.94				other	OPPS APC	169.26				percent of total billed charges		296.94				other	OPPS APC	296.94				other	OPPS APC	145.5				percent of total billed charges		151.44				percent of total billed charges		296.94				other	OPPS APC	145.5	296.94	
SCREW BONE LCKG CRSSPIN ST 2.3 X 12MM	SUP-97-03726	CDM			278	RC		inpatient			296.94	296.94																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 14MM	SUP-97-03727	CDM			278	RC		outpatient			296.94	296.94	296.94				fee schedule		296.94				other	OPPS APC	169.26				percent of total billed charges		296.94				other	OPPS APC	296.94				other	OPPS APC	145.5				percent of total billed charges		151.44				percent of total billed charges		296.94				other	OPPS APC	145.5	296.94	
SCREW BONE LCKG CRSSPIN ST 2.3 X 14MM	SUP-97-03727	CDM			278	RC		inpatient			296.94	296.94																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 11MM	SUP-97-04388	CDM			278	RC		outpatient			296.94	296.94	296.94				fee schedule		296.94				other	OPPS APC	169.26				percent of total billed charges		296.94				other	OPPS APC	296.94				other	OPPS APC	145.5				percent of total billed charges		151.44				percent of total billed charges		296.94				other	OPPS APC	145.5	296.94	
SCREW BONE LCKG CRSSPIN ST 2.3 X 11MM	SUP-97-04388	CDM			278	RC		inpatient			296.94	296.94																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 16MM	SUP-97-04542	CDM			278	RC		inpatient			296.94	296.94																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 16MM	SUP-97-04542	CDM			278	RC		outpatient			296.94	23.75					fee schedule		230.75				other	OPPS APC	169.26				percent of total billed charges		230.75				other	OPPS APC	230.75				other	OPPS APC	145.5				percent of total billed charges		151.44				percent of total billed charges		23.75				other	OPPS APC	230.75	230.75	
SCREW BONE LCKG CRSSPIN ST 2.3 X 18MM	SUP-97-04543	CDM			278	RC		outpatient			296.94	296.94	145.5				percent of total billed charges		296.94				other	OPPS APC	169.26				percent of total billed charges		296.94				other	OPPS APC	296.94				other	OPPS APC	145.5				percent of total billed charges		151.44				percent of total billed charges		296.94				other	OPPS APC	145.5	296.94	
SCREW BONE LCKG CRSSPIN ST 2.3 X 18MM	SUP-97-04543	CDM			278	RC		inpatient			296.94	296.94																																																			
ELECTRODE ONESTEP CPR COMPLETE	SUP-26-00024	CDM			272	RC		outpatient			296.7	296.7	80.38				percent of total billed charges		296.7				other	OPPS APC	219.56				percent of total billed charges		296.7				other	OPPS APC	296.7				other	OPPS APC	80.38				percent of total billed charges		81.98				percent of total billed charges		296.7				other	OPPS APC	80.38	296.7	
ELECTRODE ONESTEP CPR COMPLETE	SUP-26-00024	CDM			272	RC		inpatient			296.7	296.7																																																			
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 55MM	SUP-611055	CDM			270	RC		outpatient			296.64	296.64	80.36				percent of total billed charges		296.64				other	OPPS APC	219.51				percent of total billed charges		296.64				other	OPPS APC	296.64				other	OPPS APC	80.36				percent of total billed charges		81.96				percent of total billed charges		296.64				other	OPPS APC	80.36	296.64	
SCREW ASNIS 8.0MM CANNULATED PARTIALLY THREAD 55MM	SUP-611055	CDM			270	RC		inpatient			296.64	296.64																																																			
SCREW BONE T8 14MM 2.4MM SS NS LOCK VARIABLE ANGLE STARDRIVE	SUP-02.210.114	CDM	270010022	LOCAL	270	RC		outpatient			296.4	296.4	80.29				percent of total billed charges		296.4				other	OPPS APC	219.34				percent of total billed charges		296.4				other	OPPS APC	296.4				other	OPPS APC	80.29				percent of total billed charges		81.9				percent of total billed charges		296.4				other	OPPS APC	80.29	296.4	
SCREW BONE T8 14MM 2.4MM SS NS LOCK VARIABLE ANGLE STARDRIVE	SUP-02.210.114	CDM	270010022	LOCAL	270	RC		inpatient			296.4	296.4																																																			
GUIDEWIRE VASCULAR VICTORY STAINLESS STEEL PTFE HYDROPHILIC STRAIGHT L300 CM OD.014 IN ODSEC12 GA BROAD MATRIX PUSHABILITY EXCELLENT CROSS ENHANCE TORQUE RADIOPAQUE	SUP-39230-30012	CDM			270	RC		outpatient			296.2	296.2	80.24				percent of total billed charges		296.2				other	OPPS APC	219.19				percent of total billed charges		296.2				other	OPPS APC	296.2				other	OPPS APC	80.24				percent of total billed charges		81.84				percent of total billed charges		296.2				other	OPPS APC	80.24	296.2	
GUIDEWIRE VASCULAR VICTORY STAINLESS STEEL PTFE HYDROPHILIC STRAIGHT L300 CM OD.014 IN ODSEC12 GA BROAD MATRIX PUSHABILITY EXCELLENT CROSS ENHANCE TORQUE RADIOPAQUE	SUP-39230-30012	CDM			270	RC		inpatient			296.2	296.2																																																			
GUIDEWIRE VASCULAR VICTORY STAINLESS STEEL PTFE HYDROPHILIC STRAIGHT L300 CM OD.014 IN ODSEC18 GA PERIPHERAL BROAD MATRIX EXCELLENT CROSS ENHANCE TORQUE RADIOPAQUE	SUP-39230-30018	CDM			270	RC		outpatient			296.2	296.2	80.24				percent of total billed charges		296.2				other	OPPS APC	219.19				percent of total billed charges		296.2				other	OPPS APC	296.2				other	OPPS APC	80.24				percent of total billed charges		81.84				percent of total billed charges		296.2				other	OPPS APC	80.24	296.2	
GUIDEWIRE VASCULAR VICTORY STAINLESS STEEL PTFE HYDROPHILIC STRAIGHT L300 CM OD.014 IN ODSEC18 GA PERIPHERAL BROAD MATRIX EXCELLENT CROSS ENHANCE TORQUE RADIOPAQUE	SUP-39230-30018	CDM			270	RC		inpatient			296.2	296.2																																																			
RELOAD STAPLER ECHELON FLEX ENDOPATH STAINLESS STEEL H3.5 MM L45 MM H1.5 MM REGULAR TISSUE 6 ROW STERILE LATEX FREE DISPOSABLE BLUE	SUP-ECR45B	CDM			270	RC		outpatient			296.16	296.16	80.23				percent of total billed charges		296.16				other	OPPS APC	219.16				percent of total billed charges		296.16				other	OPPS APC	296.16				other	OPPS APC	80.23				percent of total billed charges		81.83				percent of total billed charges		296.16				other	OPPS APC	80.23	296.16	
RELOAD STAPLER ECHELON FLEX ENDOPATH STAINLESS STEEL H3.5 MM L45 MM H1.5 MM REGULAR TISSUE 6 ROW STERILE LATEX FREE DISPOSABLE BLUE	SUP-ECR45B	CDM			270	RC		inpatient			296.16	296.16																																																			
HC St Standard Cognitive Performance Testing	PX-440961250	CDM	96125	CPT	440	RC		outpatient			296	13.94	296				percent of total billed charges		103.94				fee schedule		219.04				percent of total billed charges		103.94				fee schedule		103.94				fee schedule		309.73				percent of total billed charges		296				percent of total billed charges		13.94				fee schedule		13.94	309.73	
HC St Standard Cognitive Performance Testing	PX-440961250	CDM	96125	CPT	440	RC		inpatient			296	296																																																			
TOOL DISSECTING BLACK MAX STANDARD STRAIGHT OD25.4 MM DIAMOND DISK STERILE SILVER BURR	SUP-SIL-14	CDM	270010027	LOCAL	270	RC		outpatient			296	296	80.19				percent of total billed charges		296				other	OPPS APC	219.04				percent of total billed charges		296				other	OPPS APC	296				other	OPPS APC	80.19				percent of total billed charges		81.78				percent of total billed charges		296				other	OPPS APC	80.19	296	
TOOL DISSECTING BLACK MAX STANDARD STRAIGHT OD25.4 MM DIAMOND DISK STERILE SILVER BURR	SUP-SIL-14	CDM	270010027	LOCAL	270	RC		inpatient			296	296																																																			
GUIDE WIRE 2 X 200MM UNTHREADED	SUP-95-04793	CDM			272	RC		outpatient			295.75	295.75	80.12				percent of total billed charges		295.75				other	OPPS APC	218.86				percent of total billed charges		295.75				other	OPPS APC	295.75				other	OPPS APC	80.12				percent of total billed charges		81.72				percent of total billed charges		295.75				other	OPPS APC	80.12	295.75	
GUIDE WIRE 2 X 200MM UNTHREADED	SUP-95-04793	CDM			272	RC		inpatient			295.75	295.75																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD T25 L55 MM OD5 MM PERIARTICULAR LOCK SELF TAP TIP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.22	CDM	270010022	LOCAL	270	RC		outpatient			295.68	295.68	80.1				percent of total billed charges		295.68				other	OPPS APC	218.8				percent of total billed charges		295.68				other	OPPS APC	295.68				other	OPPS APC	80.1				percent of total billed charges		81.7				percent of total billed charges		295.68				other	OPPS APC	80.1	295.68	
SCREW BONE LCP STAINLESS STEEL FULL THREAD T25 L55 MM OD5 MM PERIARTICULAR LOCK SELF TAP TIP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.22	CDM	270010022	LOCAL	270	RC		inpatient			295.68	295.68																																																			
SCREW BONE 5MM 55MM LCP SS FULL THREAD T25 PERIARTICULAR LOCK SELF TAP TIP STARDRIVE	SUP-212.220	CDM	270010022	LOCAL	270	RC		outpatient			295.68	295.68	80.1				percent of total billed charges		295.68				other	OPPS APC	218.8				percent of total billed charges		295.68				other	OPPS APC	295.68				other	OPPS APC	80.1				percent of total billed charges		81.7				percent of total billed charges		295.68				other	OPPS APC	80.1	295.68	
SCREW BONE 5MM 55MM LCP SS FULL THREAD T25 PERIARTICULAR LOCK SELF TAP TIP STARDRIVE	SUP-212.220	CDM	270010022	LOCAL	270	RC		inpatient			295.68	295.68																																																			
1.7 X 13MM LKNG SCREW	SUP-97-04999	CDM			278	RC		outpatient			295.47	295.47	295.47				fee schedule		295.47				other	OPPS APC	168.42				percent of total billed charges		295.47				other	OPPS APC	295.47				other	OPPS APC	144.78				percent of total billed charges		150.69				percent of total billed charges		295.47				other	OPPS APC	144.78	295.47	
1.7 X 13MM LKNG SCREW	SUP-97-04999	CDM			278	RC		inpatient			295.47	295.47																																																			
1.7 X 15MM LKNG SCREW	SUP-97-05000	CDM			278	RC		outpatient			295.47	295.47	295.47				fee schedule		295.47				other	OPPS APC	168.42				percent of total billed charges		295.47				other	OPPS APC	295.47				other	OPPS APC	144.78				percent of total billed charges		150.69				percent of total billed charges		295.47				other	OPPS APC	144.78	295.47	
1.7 X 15MM LKNG SCREW	SUP-97-05000	CDM			278	RC		inpatient			295.47	295.47																																																			
1.5 X 5 MM LKNG SCREW	SUP-97-05001	CDM			278	RC		outpatient			295.47	295.47	295.47				fee schedule		295.47				other	OPPS APC	168.42				percent of total billed charges		295.47				other	OPPS APC	295.47				other	OPPS APC	144.78				percent of total billed charges		150.69				percent of total billed charges		295.47				other	OPPS APC	144.78	295.47	
1.5 X 5 MM LKNG SCREW	SUP-97-05001	CDM			278	RC		inpatient			295.47	295.47																																																			
1.7 X 9MM LKNG SCREW	SUP-97-05002	CDM			278	RC		outpatient			295.47	295.47	295.47				fee schedule		295.47				other	OPPS APC	168.42				percent of total billed charges		295.47				other	OPPS APC	295.47				other	OPPS APC	144.78				percent of total billed charges		150.69				percent of total billed charges		295.47				other	OPPS APC	144.78	295.47	
1.7 X 9MM LKNG SCREW	SUP-97-05002	CDM			278	RC		inpatient			295.47	295.47																																																			
PIN FIXATION EVOS L 14 MM OD 2.5 MM PROVISIONAL STERILE	SUP-71175093	CDM			270	RC		outpatient			295.2	295.2	79.97				percent of total billed charges		295.2				other	OPPS APC	218.45				percent of total billed charges		295.2				other	OPPS APC	295.2				other	OPPS APC	79.97				percent of total billed charges		81.56				percent of total billed charges		295.2				other	OPPS APC	79.97	295.2	
PIN FIXATION EVOS L 14 MM OD 2.5 MM PROVISIONAL STERILE	SUP-71175093	CDM			270	RC		inpatient			295.2	295.2																																																			
NEEDLE BIOPSY SUPERDIMENSION SHORT L130 MM L2 MM OD21 GA ODSEC1.8 MM PREMARK ASPIRATE CATHETER	SUP-SDAN1000	CDM			270	RC		outpatient			295.2	295.2	79.97				percent of total billed charges		295.2				other	OPPS APC	218.45				percent of total billed charges		295.2				other	OPPS APC	295.2				other	OPPS APC	79.97				percent of total billed charges		81.56				percent of total billed charges		295.2				other	OPPS APC	79.97	295.2	
NEEDLE BIOPSY SUPERDIMENSION SHORT L130 MM L2 MM OD21 GA ODSEC1.8 MM PREMARK ASPIRATE CATHETER	SUP-SDAN1000	CDM			270	RC		inpatient			295.2	295.2																																																			
FORCEPS SURGICAL L25 CM END GRASPING TIP POSITIVE	SUP-705.43P	CDM			270	RC		outpatient			295.14	295.14	79.95				percent of total billed charges		295.14				other	OPPS APC	218.4				percent of total billed charges		295.14				other	OPPS APC	295.14				other	OPPS APC	79.95				percent of total billed charges		81.55				percent of total billed charges		295.14				other	OPPS APC	79.95	295.14	
FORCEPS SURGICAL L25 CM END GRASPING TIP POSITIVE	SUP-705.43P	CDM			270	RC		inpatient			295.14	295.14																																																			
GUIDEWIRE - GOLD  .018X300	SUP-99-03297	CDM			272	RC		outpatient			294.88	294.88	79.88				percent of total billed charges		294.88				other	OPPS APC	218.21				percent of total billed charges		294.88				other	OPPS APC	294.88				other	OPPS APC	79.88				percent of total billed charges		81.48				percent of total billed charges		294.88				other	OPPS APC	79.88	294.88	
GUIDEWIRE - GOLD  .018X300	SUP-99-03297	CDM			272	RC		inpatient			294.88	294.88																																																			
MALECOT NEPH CATH 7 X 22	SUP-70-00225	CDM			272	RC		outpatient			294.63	294.63	79.82				percent of total billed charges		294.63				other	OPPS APC	218.03				percent of total billed charges		294.63				other	OPPS APC	294.63				other	OPPS APC	79.82				percent of total billed charges		81.41				percent of total billed charges		294.63				other	OPPS APC	79.82	294.63	
MALECOT NEPH CATH 7 X 22	SUP-70-00225	CDM			272	RC		inpatient			294.63	294.63																																																			
DRESSING GAUZE QUICK C LOT CONTROL + 3IN X 2 YD Z-FOLD	SUP-4020	CDM			270	RC		outpatient			294.55	294.55	79.79				percent of total billed charges		294.55				other	OPPS APC	217.97				percent of total billed charges		294.55				other	OPPS APC	294.55				other	OPPS APC	79.79				percent of total billed charges		81.38				percent of total billed charges		294.55				other	OPPS APC	79.79	294.55	
DRESSING GAUZE QUICK C LOT CONTROL + 3IN X 2 YD Z-FOLD	SUP-4020	CDM			270	RC		inpatient			294.55	294.55																																																			
"SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 354 ML BOTTLE"	250000000	CDM	64380-116-01	NDC				inpatient			294.4	294.4																																																			
"SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 354 ML BOTTLE"	250000000	CDM	64380-116-01	NDC				outpatient			294.4	294.4																																															other	OPPS APC			
SCREW BONE TITANIUM T6 L11 MM OD2 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.311	CDM	270010022	LOCAL	270	RC		outpatient			294	294	79.64				percent of total billed charges		294				other	OPPS APC	217.56				percent of total billed charges		294				other	OPPS APC	294				other	OPPS APC	79.64				percent of total billed charges		81.23				percent of total billed charges		294				other	OPPS APC	79.64	294	
SCREW BONE TITANIUM T6 L11 MM OD2 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.311	CDM	270010022	LOCAL	270	RC		inpatient			294	294																																																			
SCREW BONE TITANIUM T6 L12 MM OD2 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.312	CDM	270010022	LOCAL	270	RC		outpatient			294	294	79.64				percent of total billed charges		294				other	OPPS APC	217.56				percent of total billed charges		294				other	OPPS APC	294				other	OPPS APC	79.64				percent of total billed charges		81.23				percent of total billed charges		294				other	OPPS APC	79.64	294	
SCREW BONE TITANIUM T6 L12 MM OD2 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.312	CDM	270010022	LOCAL	270	RC		inpatient			294	294																																																			
SCREW BONE TITANIUM T6 L13 MM OD2 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.313	CDM	270010022	LOCAL	270	RC		outpatient			294	294	79.64				percent of total billed charges		294				other	OPPS APC	217.56				percent of total billed charges		294				other	OPPS APC	294				other	OPPS APC	79.64				percent of total billed charges		81.23				percent of total billed charges		294				other	OPPS APC	79.64	294	
SCREW BONE TITANIUM T6 L13 MM OD2 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.313	CDM	270010022	LOCAL	270	RC		inpatient			294	294																																																			
SET SUTURE MENDER II MENISCAL STERILE DISPOSABLE	SUP-7209485	CDM			270	RC		outpatient			294	294	79.64				percent of total billed charges		294				other	OPPS APC	217.56				percent of total billed charges		294				other	OPPS APC	294				other	OPPS APC	79.64				percent of total billed charges		81.23				percent of total billed charges		294				other	OPPS APC	79.64	294	
SET SUTURE MENDER II MENISCAL STERILE DISPOSABLE	SUP-7209485	CDM			270	RC		inpatient			294	294																																																			
GUIDEWIRE - TRUEPATH EXTENSION	SUP-99-01415	CDM			272	RC		outpatient			294	294	79.64				percent of total billed charges		294				other	OPPS APC	217.56				percent of total billed charges		294				other	OPPS APC	294				other	OPPS APC	79.64				percent of total billed charges		81.23				percent of total billed charges		294				other	OPPS APC	79.64	294	
GUIDEWIRE - TRUEPATH EXTENSION	SUP-99-01415	CDM			272	RC		inpatient			294	294																																																			
Swan Tubing 10/Cs	PX-270000036	CDM			270	RC		outpatient			293.56	293.56	79.53				percent of total billed charges		293.56				other	OPPS APC	293.56				fee schedule		293.56				other	OPPS APC	293.56				other	OPPS APC	79.53				percent of total billed charges		81.11				percent of total billed charges		293.56				other	OPPS APC	79.53	293.56	
Swan Tubing 10/Cs	PX-270000036	CDM			270	RC		inpatient			293.56	293.56																																																			
RELOAD STAPLER 60MMX2MM ECHELON FLEX ENDOPATH SS MESENTERY STERILE .75MM LF	SUP-ECR60M	CDM			270	RC		outpatient			293.41	293.41	79.48				percent of total billed charges		293.41				other	OPPS APC	217.12				percent of total billed charges		293.41				other	OPPS APC	293.41				other	OPPS APC	79.48				percent of total billed charges		81.07				percent of total billed charges		293.41				other	OPPS APC	79.48	293.41	
RELOAD STAPLER 60MMX2MM ECHELON FLEX ENDOPATH SS MESENTERY STERILE .75MM LF	SUP-ECR60M	CDM			270	RC		inpatient			293.41	293.41																																																			
HC Ribs With Chest	PX-320711010	CDM	71101	CPT	320	RC		outpatient			293	112.57	41.18				fee schedule		112.57				other	OPPS APC	97.87				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	42.42				fee schedule		29.61				fee schedule		112.57				other	OPPS APC	29.61	112.57	
HC Ribs With Chest	PX-320711010	CDM	71101	CPT	320	RC		inpatient			293	293																																																			
HC Elect Analysis Impant Neurostimul Complx	PX-920959771	CDM	95977	CPT	920	RC		outpatient			293	293	143.57				percent of total billed charges		293				other	OPPS APC	216.82				percent of total billed charges		293				other	OPPS APC	293				other	OPPS APC	51.27				fee schedule		149.43				percent of total billed charges		293				other	OPPS APC	51.27	293	
HC Elect Analysis Impant Neurostimul Complx	PX-920959771	CDM	95977	CPT	920	RC		inpatient			293	293																																																			
CATHETER - MARKER PIG (20) 5F X 65	SUP-99-00174	CDM			272	RC		outpatient			292.95	292.95	79.36				percent of total billed charges		292.95				other	OPPS APC	216.78				percent of total billed charges		292.95				other	OPPS APC	292.95				other	OPPS APC	79.36				percent of total billed charges		80.94				percent of total billed charges		292.95				other	OPPS APC	79.36	292.95	
CATHETER - MARKER PIG (20) 5F X 65	SUP-99-00174	CDM			272	RC		inpatient			292.95	292.95																																																			
BIT DRILL L65 MM OD2.4 MM 2 FLUTE QUICK COUPLING STOP NONSTERILE 3.5/4 MM ROD	SUP-388.394	CDM	270010020	LOCAL	270	RC		outpatient			292.6	292.62	79.27				percent of total billed charges		292.6				other	OPPS APC	216.52				percent of total billed charges		292.6				other	OPPS APC	292.6				other	OPPS APC	79.27				percent of total billed charges		80.85				percent of total billed charges		292.62				other	OPPS APC	79.27	292.62	
BIT DRILL L65 MM OD2.4 MM 2 FLUTE QUICK COUPLING STOP NONSTERILE 3.5/4 MM ROD	SUP-388.394	CDM	270010020	LOCAL	270	RC		inpatient			292.6	292.6																																																			
NEEDLE FASTFIX ST	SUP-7207876	CDM			270	RC		outpatient			292.5	292.5	79.24				percent of total billed charges		292.5				other	OPPS APC	216.45				percent of total billed charges		292.5				other	OPPS APC	292.5				other	OPPS APC	79.24				percent of total billed charges		80.82				percent of total billed charges		292.5				other	OPPS APC	79.24	292.5	
NEEDLE FASTFIX ST	SUP-7207876	CDM			270	RC		inpatient			292.5	292.5																																																			
LIGATOR ENDOSCOPIC REALIZE GASTRIC	SUP-RGCT360	CDM			270	RC		outpatient			292.12	292.12	79.14				percent of total billed charges		292.12				other	OPPS APC	216.17				percent of total billed charges		292.12				other	OPPS APC	292.12				other	OPPS APC	79.14				percent of total billed charges		80.71				percent of total billed charges		292.12				other	OPPS APC	79.14	292.12	
LIGATOR ENDOSCOPIC REALIZE GASTRIC	SUP-RGCT360	CDM			270	RC		inpatient			292.12	292.12																																																			
HC Infectious Agent Dna/Rna Influenza 1st 2 Types	PX-306875020	CDM	87502	CPT	306	RC		outpatient			292	95.8	113.77				fee schedule		95.8				fee schedule		228.99				fee schedule		95.8				fee schedule		95.8				fee schedule		95.8				fee schedule		95.8				fee schedule		95.8				fee schedule		95.8	228.99	
HC Infectious Agent Dna/Rna Influenza 1st 2 Types	PX-306875020	CDM	87502	CPT	306	RC		inpatient			292	292																																																			
APPLICATOR EXTENDED SPRAY TIP FOR PROGEL 16CM	SUP-PGEN005-06	CDM			270	RC		outpatient			292	292	79.1				percent of total billed charges		292				other	OPPS APC	216.08				percent of total billed charges		292				other	OPPS APC	292				other	OPPS APC	79.1				percent of total billed charges		80.68				percent of total billed charges		292				other	OPPS APC	79.1	292	
APPLICATOR EXTENDED SPRAY TIP FOR PROGEL 16CM	SUP-PGEN005-06	CDM			270	RC		inpatient			292	292																																																			
GUIDE WIRE TROCAR TIP 1.4MM X150MM	SUP-97-04559	CDM			272	RC		outpatient			291.9	291.9	79.08				percent of total billed charges		291.9				other	OPPS APC	216.01				percent of total billed charges		291.9				other	OPPS APC	291.9				other	OPPS APC	79.08				percent of total billed charges		80.65				percent of total billed charges		291.9				other	OPPS APC	79.08	291.9	
GUIDE WIRE TROCAR TIP 1.4MM X150MM	SUP-97-04559	CDM			272	RC		inpatient			291.9	291.9																																																			
SCREW BONE FULL THREAD T25 48MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.218	CDM	270010022	LOCAL	270	RC		outpatient			291.5	291.5	78.97				percent of total billed charges		291.5				other	OPPS APC	215.71				percent of total billed charges		291.5				other	OPPS APC	291.5				other	OPPS APC	78.97				percent of total billed charges		80.54				percent of total billed charges		291.5				other	OPPS APC	78.97	291.5	
SCREW BONE FULL THREAD T25 48MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.218	CDM	270010022	LOCAL	270	RC		inpatient			291.5	291.5																																																			
SCREW BONE FULL THREAD T25 60MM 5MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD	SUP-212.221	CDM	270010022	LOCAL	270	RC		outpatient			291.5	291.5	78.97				percent of total billed charges		291.5				other	OPPS APC	215.71				percent of total billed charges		291.5				other	OPPS APC	291.5				other	OPPS APC	78.97				percent of total billed charges		80.54				percent of total billed charges		291.5				other	OPPS APC	78.97	291.5	
SCREW BONE FULL THREAD T25 60MM 5MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD	SUP-212.221	CDM	270010022	LOCAL	270	RC		inpatient			291.5	291.5																																																			
DERMABOND PRINEO 22CM	SUP-74-00421	CDM			272	RC		outpatient			291.41	291.41	78.94				percent of total billed charges		291.41				other	OPPS APC	215.64				percent of total billed charges		291.41				other	OPPS APC	291.41				other	OPPS APC	78.94				percent of total billed charges		80.52				percent of total billed charges		291.41				other	OPPS APC	78.94	291.41	
DERMABOND PRINEO 22CM	SUP-74-00421	CDM			272	RC		inpatient			291.41	291.41																																																			
INVRAD PICC 5F POWER	SUP-95-01385	CDM			272	RC		outpatient			291.06	291.6	78.85				percent of total billed charges		291.06				other	OPPS APC	215.38				percent of total billed charges		291.06				other	OPPS APC	291.06				other	OPPS APC	78.85				percent of total billed charges		80.42				percent of total billed charges		291.6				other	OPPS APC	78.85	291.6	
INVRAD PICC 5F POWER	SUP-95-01385	CDM			272	RC		inpatient			291.06	291.06																																																			
ACUFEX ACCESS POSITIONING KIT	SUP-72205102	CDM			270	RC		outpatient			291	291	78.83				percent of total billed charges		291				other	OPPS APC	215.34				percent of total billed charges		291				other	OPPS APC	291				other	OPPS APC	78.83				percent of total billed charges		80.4				percent of total billed charges		291				other	OPPS APC	78.83	291	
ACUFEX ACCESS POSITIONING KIT	SUP-72205102	CDM			270	RC		inpatient			291	291																																																			
GUIDEWIRE - HI-TORQUE STEELCORE 18 300CM	SUP-99-00787	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - HI-TORQUE STEELCORE 18 300CM	SUP-99-00787	CDM			272	RC		inpatient			290.5	290.5																																																			
GUIDEWIRE - SPARTACOR 14 300CM	SUP-99-00788	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - SPARTACOR 14 300CM	SUP-99-00788	CDM			272	RC		inpatient			290.5	290.5																																																			
GUIDEWIRE - SUPRA CORE 35	SUP-99-00996	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - SUPRA CORE 35	SUP-99-00996	CDM			272	RC		inpatient			290.5	290.5																																																			
GUIDEWIRE - WHISPER LS 190CM STRAIGHT TIP	SUP-99-04839	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - WHISPER LS 190CM STRAIGHT TIP	SUP-99-04839	CDM			272	RC		inpatient			290.5	290.5																																																			
GUIDEWIRE - WHISPER LS 300CM STRAIGHT TIP	SUP-99-04840	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - WHISPER LS 300CM STRAIGHT TIP	SUP-99-04840	CDM			272	RC		inpatient			290.5	290.5																																																			
GUIDEWIRE - WHISPER MS 190CM STRAIGHT TIP	SUP-99-04841	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - WHISPER MS 190CM STRAIGHT TIP	SUP-99-04841	CDM			272	RC		inpatient			290.5	290.5																																																			
GUIDEWIRE - WHISPER MS 300CM STRAIGHT TIP	SUP-99-04842	CDM			272	RC		outpatient			290.5	29.5	78.7				percent of total billed charges		290.5				other	OPPS APC	214.97				percent of total billed charges		290.5				other	OPPS APC	290.5				other	OPPS APC	78.7				percent of total billed charges		80.27				percent of total billed charges		29.5				other	OPPS APC	29.5	290.5	
GUIDEWIRE - WHISPER MS 300CM STRAIGHT TIP	SUP-99-04842	CDM			272	RC		inpatient			290.5	290.5																																																			
GRAFT ACL KNIFE 9 MM	SUP-232109	CDM			270	RC		outpatient			290.4	29.4	78.67				percent of total billed charges		290.4				other	OPPS APC	214.9				percent of total billed charges		290.4				other	OPPS APC	290.4				other	OPPS APC	78.67				percent of total billed charges		80.24				percent of total billed charges		29.4				other	OPPS APC	29.4	290.4	
GRAFT ACL KNIFE 9 MM	SUP-232109	CDM			270	RC		inpatient			290.4	290.4																																																			
PLATE BONE LEVEL ONE TITANIUM CRANIOFACIAL 8 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-08-09	CDM			270	RC		outpatient			290.28	29.28	78.64				percent of total billed charges		290.28				other	OPPS APC	214.81				percent of total billed charges		290.28				other	OPPS APC	290.28				other	OPPS APC	78.64				percent of total billed charges		80.2				percent of total billed charges		29.28				other	OPPS APC	29.28	290.28	
PLATE BONE LEVEL ONE TITANIUM CRANIOFACIAL 8 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-08-09	CDM			270	RC		inpatient			290.28	290.28																																																			
BIT DRILL OD2.7 MM PERIPHERAL SCREW COMPREHENSIVE REVERSE SHOULDER SYSTEM	SUP-405889	CDM	270010030	LOCAL	270	RC		outpatient			290	29	78.56				percent of total billed charges		290				other	OPPS APC	214.6				percent of total billed charges		290				other	OPPS APC	290				other	OPPS APC	78.56				percent of total billed charges		80.13				percent of total billed charges		29				other	OPPS APC	29	290	
BIT DRILL OD2.7 MM PERIPHERAL SCREW COMPREHENSIVE REVERSE SHOULDER SYSTEM	SUP-405889	CDM	270010030	LOCAL	270	RC		inpatient			290	290																																																			
FORCEPS LENS GRIESHABER REVOLUTION DSP OD27+ GA ILLUMINATOR END GRASP MULTIPURPOSE STERILE DISPOSABLE FINE MEMBRANE	SUP-711.44	CDM			270	RC		outpatient			290	29	78.56				percent of total billed charges		290				other	OPPS APC	214.6				percent of total billed charges		290				other	OPPS APC	290				other	OPPS APC	78.56				percent of total billed charges		80.13				percent of total billed charges		29				other	OPPS APC	29	290	
FORCEPS LENS GRIESHABER REVOLUTION DSP OD27+ GA ILLUMINATOR END GRASP MULTIPURPOSE STERILE DISPOSABLE FINE MEMBRANE	SUP-711.44	CDM			270	RC		inpatient			290	290																																																			
KIT ASPIRATION 60 ML BONE MARROW 1 PREP TRAY SYRINGE STERILE DISPOSABLE	SUP-AR-1101DS	CDM			270	RC		outpatient			290	29	78.56				percent of total billed charges		290				other	OPPS APC	214.6				percent of total billed charges		290				other	OPPS APC	290				other	OPPS APC	78.56				percent of total billed charges		80.13				percent of total billed charges		29				other	OPPS APC	29	290	
KIT ASPIRATION 60 ML BONE MARROW 1 PREP TRAY SYRINGE STERILE DISPOSABLE	SUP-AR-1101DS	CDM			270	RC		inpatient			290	290																																																			
POWERPICK 1.5MM	SUP-AR-8150PP-45	CDM			270	RC		outpatient			290	29	78.56				percent of total billed charges		290				other	OPPS APC	214.6				percent of total billed charges		290				other	OPPS APC	290				other	OPPS APC	78.56				percent of total billed charges		80.13				percent of total billed charges		29				other	OPPS APC	29	290	
POWERPICK 1.5MM	SUP-AR-8150PP-45	CDM			270	RC		inpatient			290	290																																																			
BLADE SHAVER POWERASP COOLCUT PARTIAL THREAD LOW PROFILE L13 CM X W5.5 MM STERILE	SUP-AR-8550PR	CDM			270	RC		outpatient			290	29	78.56				percent of total billed charges		290				other	OPPS APC	214.6				percent of total billed charges		290				other	OPPS APC	290				other	OPPS APC	78.56				percent of total billed charges		80.13				percent of total billed charges		29				other	OPPS APC	29	290	
BLADE SHAVER POWERASP COOLCUT PARTIAL THREAD LOW PROFILE L13 CM X W5.5 MM STERILE	SUP-AR-8550PR	CDM			270	RC		inpatient			290	290																																																			
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC STANDARD STRAIGHT L150 CM L3 CM OD.038 IN RADIOPAQUE FLEXIBLE SHAPEABLE KINK RESISTANCE	SUP-GR3801	CDM						inpatient			290	290																																																			
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC STANDARD STRAIGHT L150 CM L3 CM OD.038 IN RADIOPAQUE FLEXIBLE SHAPEABLE KINK RESISTANCE	SUP-GR3801	CDM						outpatient			290	29	290				percent of total billed charges		290				other	OPPS APC	290				fee schedule		290				other	OPPS APC	290				other	OPPS APC	290				case rate		290				case rate		29				other	OPPS APC	29	290	
ENVISTA IOL	SUP-MX60E	CDM			276	RC		outpatient			290	29	290				fee schedule		290				other	OPPS APC	165.3				percent of total billed charges		290				other	OPPS APC	290				other	OPPS APC	142.1				percent of total billed charges		147.9				percent of total billed charges		29				other	OPPS APC	29	290	
ENVISTA IOL	SUP-MX60E	CDM			276	RC		inpatient			290	290																																																			
CATH PROTECTIV-W  IV 24G X 5/8	SUP-20-00057	CDM			272	RC		outpatient			289.66	289.66	78.47				percent of total billed charges		289.66				other	OPPS APC	214.35				percent of total billed charges		289.66				other	OPPS APC	289.66				other	OPPS APC	78.47				percent of total billed charges		80.03				percent of total billed charges		289.66				other	OPPS APC	78.47	289.66	
CATH PROTECTIV-W  IV 24G X 5/8	SUP-20-00057	CDM			272	RC		inpatient			289.66	289.66																																																			
BRACE ORTHOPEDIC REGULAR FOAM KNEE STREAMLINED HINGE TELE-FIT: SLIDING MECHANISM POSTOPERATIVE BREATHABLE TROM ADVANCE	SUP-11-9114-9	CDM			270	RC		outpatient			289.56	289.56	78.44				percent of total billed charges		289.56				other	OPPS APC	214.27				percent of total billed charges		289.56				other	OPPS APC	289.56				other	OPPS APC	78.44				percent of total billed charges		80.01				percent of total billed charges		289.56				other	OPPS APC	78.44	289.56	
BRACE ORTHOPEDIC REGULAR FOAM KNEE STREAMLINED HINGE TELE-FIT: SLIDING MECHANISM POSTOPERATIVE BREATHABLE TROM ADVANCE	SUP-11-9114-9	CDM			270	RC		inpatient			289.56	289.56																																																			
KIT CATHETER L6 IN OD7 FR CENTRAL VENOUS 3 LUMEN PRESSURE INJECTABLE	SUP-12-00082	CDM			272	RC		outpatient			289.55	289.55	78.44				percent of total billed charges		289.55				other	OPPS APC	214.27				percent of total billed charges		289.55				other	OPPS APC	289.55				other	OPPS APC	78.44				percent of total billed charges		80				percent of total billed charges		289.55				other	OPPS APC	78.44	289.55	
KIT CATHETER L6 IN OD7 FR CENTRAL VENOUS 3 LUMEN PRESSURE INJECTABLE	SUP-12-00082	CDM			272	RC		inpatient			289.55	289.55																																																			
PACK SURGICAL 175 MM 200 MM 1 WIDE FIELD LENS 1 CORRECTION LENS BIOM THUMBSCREW CAP STERILE DISPOSABLE	SUP-40411	CDM			270	RC		outpatient			289.14	289.14	78.33				percent of total billed charges		289.14				other	OPPS APC	213.96				percent of total billed charges		289.14				other	OPPS APC	289.14				other	OPPS APC	78.33				percent of total billed charges		79.89				percent of total billed charges		289.14				other	OPPS APC	78.33	289.14	
PACK SURGICAL 175 MM 200 MM 1 WIDE FIELD LENS 1 CORRECTION LENS BIOM THUMBSCREW CAP STERILE DISPOSABLE	SUP-40411	CDM			270	RC		inpatient			289.14	289.14																																																			
BLOCKER SPINAL OASYS OCCIPITO CERVICO THORACIC	SUP-48551000	CDM	270010020	LOCAL	270	RC		outpatient			288.96	288.96	78.28				percent of total billed charges		288.96				other	OPPS APC	213.83				percent of total billed charges		288.96				other	OPPS APC	288.96				other	OPPS APC	78.28				percent of total billed charges		79.84				percent of total billed charges		288.96				other	OPPS APC	78.28	288.96	
BLOCKER SPINAL OASYS OCCIPITO CERVICO THORACIC	SUP-48551000	CDM	270010020	LOCAL	270	RC		inpatient			288.96	288.96																																																			
MALECOT NEPH CATH 7 X 18	SUP-70-00224	CDM			272	RC		outpatient			288.91	288.91	78.27				percent of total billed charges		288.91				other	OPPS APC	213.79				percent of total billed charges		288.91				other	OPPS APC	288.91				other	OPPS APC	78.27				percent of total billed charges		79.83				percent of total billed charges		288.91				other	OPPS APC	78.27	288.91	
MALECOT NEPH CATH 7 X 18	SUP-70-00224	CDM			272	RC		inpatient			288.91	288.91																																																			
VANCOMYCIN 250 MG CAPSULE	637000000	CDM	0121-0890-20	NDC	A9270	HCPCS		inpatient			288.58	288.58																																																			
VANCOMYCIN 250 MG CAPSULE	637000000	CDM	0121-0890-20	NDC	A9270	HCPCS		outpatient			288.58	288.58																																															other	OPPS APC			
CATHETER ELECTROHEMOSTASIS GOLD PROBE 300CM 7FR HEMOGLIDE DISPOSABLE STERILE BIPOLAR ROUND DISTAL TIP FIRM SHAFT	SUP-6007	CDM			270	RC		outpatient			288.4	288.4	78.13				percent of total billed charges		288.4				other	OPPS APC	213.42				percent of total billed charges		288.4				other	OPPS APC	288.4				other	OPPS APC	78.13				percent of total billed charges		79.68				percent of total billed charges		288.4				other	OPPS APC	78.13	288.4	
CATHETER ELECTROHEMOSTASIS GOLD PROBE 300CM 7FR HEMOGLIDE DISPOSABLE STERILE BIPOLAR ROUND DISTAL TIP FIRM SHAFT	SUP-6007	CDM			270	RC		inpatient			288.4	288.4																																																			
GUIDEWIRE - CHOICE FLOPPY - 182CM	SUP-99-03753	CDM			272	RC		outpatient			288.4	288.4	78.13				percent of total billed charges		288.4				other	OPPS APC	213.42				percent of total billed charges		288.4				other	OPPS APC	288.4				other	OPPS APC	78.13				percent of total billed charges		79.68				percent of total billed charges		288.4				other	OPPS APC	78.13	288.4	
GUIDEWIRE - CHOICE FLOPPY - 182CM	SUP-99-03753	CDM			272	RC		inpatient			288.4	288.4																																																			
1.5 WIRW OLIVE STOP	SUP-97-03817	CDM			278	RC		outpatient			288.12	288.12	288.12				fee schedule		288.12				other	OPPS APC	164.23				percent of total billed charges		288.12				other	OPPS APC	288.12				other	OPPS APC	141.18				percent of total billed charges		146.94				percent of total billed charges		288.12				other	OPPS APC	141.18	288.12	
1.5 WIRW OLIVE STOP	SUP-97-03817	CDM			278	RC		inpatient			288.12	288.12																																																			
WIRE W/OLIVE  DIA 1.8X450MM	SUP-97-04182	CDM			272	RC		outpatient			288.12	288.12	78.05				percent of total billed charges		288.12				other	OPPS APC	213.21				percent of total billed charges		288.12				other	OPPS APC	288.12				other	OPPS APC	78.05				percent of total billed charges		79.61				percent of total billed charges		288.12				other	OPPS APC	78.05	288.12	
WIRE W/OLIVE  DIA 1.8X450MM	SUP-97-04182	CDM			272	RC		inpatient			288.12	288.12																																																			
POST SHORT LENGHT 44MM	SUP-97-04185	CDM			278	RC		outpatient			288.12	288.12	288.12				fee schedule		288.12				other	OPPS APC	164.23				percent of total billed charges		288.12				other	OPPS APC	288.12				other	OPPS APC	141.18				percent of total billed charges		146.94				percent of total billed charges		288.12				other	OPPS APC	141.18	288.12	
POST SHORT LENGHT 44MM	SUP-97-04185	CDM			278	RC		inpatient			288.12	288.12																																																			
MEDIUM ROCKER SHE LONG	SUP-97-04186	CDM			278	RC		outpatient			288.12	288.12	288.12				fee schedule		288.12				other	OPPS APC	164.23				percent of total billed charges		288.12				other	OPPS APC	288.12				other	OPPS APC	141.18				percent of total billed charges		146.94				percent of total billed charges		288.12				other	OPPS APC	141.18	288.12	
MEDIUM ROCKER SHE LONG	SUP-97-04186	CDM			278	RC		inpatient			288.12	288.12																																																			
WIRE W/OLIVE-DIA 2.0 X 450MM	SUP-97-23686	CDM			278	RC		outpatient			288.12	288.12	288.12				fee schedule		288.12				other	OPPS APC	164.23				percent of total billed charges		288.12				other	OPPS APC	288.12				other	OPPS APC	141.18				percent of total billed charges		146.94				percent of total billed charges		288.12				other	OPPS APC	141.18	288.12	
WIRE W/OLIVE-DIA 2.0 X 450MM	SUP-97-23686	CDM			278	RC		inpatient			288.12	288.12																																																			
BIT DRILL 44.5MM 10MM .76MM NS MINI QUICK COUPLING SELF STOP 1MM SCREW MODULAR HAND SYSTEM	SUP-316.29	CDM	270010022	LOCAL	270	RC		outpatient			288.1	288.12	78.05				percent of total billed charges		288.1				other	OPPS APC	213.19				percent of total billed charges		288.1				other	OPPS APC	288.1				other	OPPS APC	78.05				percent of total billed charges		79.6				percent of total billed charges		288.12				other	OPPS APC	78.05	288.12	
BIT DRILL 44.5MM 10MM .76MM NS MINI QUICK COUPLING SELF STOP 1MM SCREW MODULAR HAND SYSTEM	SUP-316.29	CDM	270010022	LOCAL	270	RC		inpatient			288.1	288.1																																																			
ADULT 2-IN-1 TPN INFUSION	250000000	CDM	0338-0013-04	NDC				inpatient			288	288																																																			
ADULT 2-IN-1 TPN INFUSION	250000000	CDM	0990-7990-09	NDC				inpatient			288	288																																																			
ADULT 2-IN-1 TPN INFUSION	250000000	CDM	0338-0013-04	NDC				outpatient			288	288																																															other	OPPS APC			
ADULT 2-IN-1 TPN INFUSION	250000000	CDM	0990-7990-09	NDC				outpatient			288	288																																															other	OPPS APC			
ADULT CYCLIC 2-IN-1 TPN INFUSION	250000000	CDM	0338-0013-04	NDC				inpatient			288	288																																																			
ADULT CYCLIC 2-IN-1 TPN INFUSION	250000000	CDM	0338-0013-04	NDC				outpatient			288	288																																															other	OPPS APC			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-10	NDC	P9047	HCPCS		inpatient			288	288																																																			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-11	NDC	P9047	HCPCS		inpatient			288	288																																																			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-10	NDC	P9047	HCPCS		outpatient			288	56.54																																											56.54				other	OPPS APC	56.54	56.54	
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-11	NDC	P9047	HCPCS		outpatient			288	56.54																																											56.54				other	OPPS APC	56.54	56.54	
KIT SYRINGE STERILE TRAUMACEM (TM) V	SUP-03.702.150S	CDM			270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
KIT SYRINGE STERILE TRAUMACEM (TM) V	SUP-03.702.150S	CDM			270	RC		inpatient			288	288																																																			
SCREW BONE MATRIXNEURO 3MM 1.55MM 2.55MM TITANIUM NS CRANIOMAXILLOFACIAL SELF DRILL	SUP-04.503.103.05	CDM	270010013	LOCAL	270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
SCREW BONE MATRIXNEURO 3MM 1.55MM 2.55MM TITANIUM NS CRANIOMAXILLOFACIAL SELF DRILL	SUP-04.503.103.05	CDM	270010013	LOCAL	270	RC		inpatient			288	288																																																			
SCREW BONE MATRIXNEURO TITANIUM L4 MM OD1.55 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL SELF DRILL	SUP-04.503.104.05	CDM	270010013	LOCAL	270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
SCREW BONE MATRIXNEURO TITANIUM L4 MM OD1.55 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL SELF DRILL	SUP-04.503.104.05	CDM	270010013	LOCAL	270	RC		inpatient			288	288																																																			
SCREW BONE MATRIXNEURO TITANIUM L5 MM OD1.55 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL SELF DRILL NONSTERILE	SUP-04.503.105.01	CDM	270010013	LOCAL	270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
SCREW BONE MATRIXNEURO TITANIUM L5 MM OD1.55 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL SELF DRILL NONSTERILE	SUP-04.503.105.01	CDM	270010013	LOCAL	270	RC		inpatient			288	288																																																			
SCREW BONE MATRIXNEURO TITANIUM L5 MM OD1.55 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL SELF DRILL NONSTERILE	SUP-04.503.105.05	CDM	270010022	LOCAL	270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
SCREW BONE MATRIXNEURO TITANIUM L5 MM OD1.55 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL SELF DRILL NONSTERILE	SUP-04.503.105.05	CDM	270010022	LOCAL	270	RC		inpatient			288	288																																																			
SCREW BONE MATRIXNEURO TITANIUM L3 MM OD1.85 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL EMERGENCY	SUP-04.503.113.05	CDM	270010013	LOCAL	270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
SCREW BONE MATRIXNEURO TITANIUM L3 MM OD1.85 MM ODSEC2.55 MM CRANIOMAXILLOFACIAL EMERGENCY	SUP-04.503.113.05	CDM	270010013	LOCAL	270	RC		inpatient			288	288																																																			
SCREW BONE MATRIXNEURO TITANIUM L4 MM OD1.55 MM ODSEC2.65 MM CRANIOMAXILLOFACIAL EMERGENCY SELF TAP NONSTERILE	SUP-04.503.114.05	CDM	270010013	LOCAL	270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
SCREW BONE MATRIXNEURO TITANIUM L4 MM OD1.55 MM ODSEC2.65 MM CRANIOMAXILLOFACIAL EMERGENCY SELF TAP NONSTERILE	SUP-04.503.114.05	CDM	270010013	LOCAL	270	RC		inpatient			288	288																																																			
PLATE BONE LEOS 10MM TACK	SUP-7624-2210	CDM			270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
PLATE BONE LEOS 10MM TACK	SUP-7624-2210	CDM			270	RC		inpatient			288	288																																																			
PLATE TACK LEOS 20MM	SUP-76242220	CDM			270	RC		outpatient			288	288	78.02				percent of total billed charges		288				other	OPPS APC	213.12				percent of total billed charges		288				other	OPPS APC	288				other	OPPS APC	78.02				percent of total billed charges		79.57				percent of total billed charges		288				other	OPPS APC	78.02	288	
PLATE TACK LEOS 20MM	SUP-76242220	CDM			270	RC		inpatient			288	288																																																			
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR COLLAGEN THK.76 MM L6 IN X W1 IN KNIT IMPREGNATE STERILE	SUP-M002000195170	CDM			270	RC		outpatient			287.92	287.92	78				percent of total billed charges		287.92				other	OPPS APC	213.06				percent of total billed charges		287.92				other	OPPS APC	287.92				other	OPPS APC	78				percent of total billed charges		79.55				percent of total billed charges		287.92				other	OPPS APC	78	287.92	
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR COLLAGEN THK.76 MM L6 IN X W1 IN KNIT IMPREGNATE STERILE	SUP-M002000195170	CDM			270	RC		inpatient			287.92	287.92																																																			
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR COLLAGEN POLYESTER THK.46 MM L6 IN X W1 IN WOVEN IMPREGNATE BLOOD TIGHT SEAL KNIT STERILE	SUP-M002000196170	CDM			270	RC		outpatient			287.92	287.92	78				percent of total billed charges		287.92				other	OPPS APC	213.06				percent of total billed charges		287.92				other	OPPS APC	287.92				other	OPPS APC	78				percent of total billed charges		79.55				percent of total billed charges		287.92				other	OPPS APC	78	287.92	
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR COLLAGEN POLYESTER THK.46 MM L6 IN X W1 IN WOVEN IMPREGNATE BLOOD TIGHT SEAL KNIT STERILE	SUP-M002000196170	CDM			270	RC		inpatient			287.92	287.92																																																			
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR COLLAGEN POLYESTER THK.46 IN L3 IN X W2 IN WOVEN IMPREGNATE	SUP-M002000196240	CDM			270	RC		outpatient			287.92	287.92	78				percent of total billed charges		287.92				other	OPPS APC	213.06				percent of total billed charges		287.92				other	OPPS APC	287.92				other	OPPS APC	78				percent of total billed charges		79.55				percent of total billed charges		287.92				other	OPPS APC	78	287.92	
FABRIC CARDIOVASCULAR HEMASHIELD 2 VELOUR COLLAGEN POLYESTER THK.46 IN L3 IN X W2 IN WOVEN IMPREGNATE	SUP-M002000196240	CDM			270	RC		inpatient			287.92	287.92																																																			
2.0 DRILL	SUP-97-01933	CDM			272	RC		outpatient			287.74	287.74	77.95				percent of total billed charges		287.74				other	OPPS APC	212.93				percent of total billed charges		287.74				other	OPPS APC	287.74				other	OPPS APC	77.95				percent of total billed charges		79.5				percent of total billed charges		287.74				other	OPPS APC	77.95	287.74	
2.0 DRILL	SUP-97-01933	CDM			272	RC		inpatient			287.74	287.74																																																			
ADVANCED CEMENT MIXING BOWL	SUP-78-00345	CDM			272	RC		outpatient			287	287	77.75				percent of total billed charges		287				other	OPPS APC	212.38				percent of total billed charges		287				other	OPPS APC	287				other	OPPS APC	77.75				percent of total billed charges		79.3				percent of total billed charges		287				other	OPPS APC	77.75	287	
ADVANCED CEMENT MIXING BOWL	SUP-78-00345	CDM			272	RC		inpatient			287	287																																																			
TRUEGUIDE (17 8CM) 20G X 20CM	SUP-95-00945	CDM						inpatient			287	287																																																			
TRUEGUIDE (17 8CM) 20G X 20CM	SUP-95-00945	CDM						outpatient			287	287	287				percent of total billed charges		287				other	OPPS APC	287				fee schedule		287				other	OPPS APC	287				other	OPPS APC	287				case rate		287				case rate		287				other	OPPS APC	287	287	
DRIVER AO CONN POLAXIAL LOCKING SC	SUP-97-03656	CDM			272	RC		outpatient			287	287	77.75				percent of total billed charges		287				other	OPPS APC	212.38				percent of total billed charges		287				other	OPPS APC	287				other	OPPS APC	77.75				percent of total billed charges		79.3				percent of total billed charges		287				other	OPPS APC	77.75	287	
DRIVER AO CONN POLAXIAL LOCKING SC	SUP-97-03656	CDM			272	RC		inpatient			287	287																																																			
SHEATH - PINNACLE DESTINATION 6FX45CM STRAIGHT TIP	SUP-99-00245	CDM			272	RC		outpatient			287	287	77.75				percent of total billed charges		287				other	OPPS APC	212.38				percent of total billed charges		287				other	OPPS APC	287				other	OPPS APC	77.75				percent of total billed charges		79.3				percent of total billed charges		287				other	OPPS APC	77.75	287	
SHEATH - PINNACLE DESTINATION 6FX45CM STRAIGHT TIP	SUP-99-00245	CDM			272	RC		inpatient			287	287																																																			
SHEATH - PINNACLE DESTINATION 7FX45CM STRAIGHT TIP	SUP-99-00246	CDM			272	RC		outpatient			287	287	77.75				percent of total billed charges		287				other	OPPS APC	212.38				percent of total billed charges		287				other	OPPS APC	287				other	OPPS APC	77.75				percent of total billed charges		79.3				percent of total billed charges		287				other	OPPS APC	77.75	287	
SHEATH - PINNACLE DESTINATION 7FX45CM STRAIGHT TIP	SUP-99-00246	CDM			272	RC		inpatient			287	287																																																			
FILTER - JUGULAR DELIVERY SHEATH	SUP-99-01309	CDM			272	RC		outpatient			287	287	77.75				percent of total billed charges		287				other	OPPS APC	212.38				percent of total billed charges		287				other	OPPS APC	287				other	OPPS APC	77.75				percent of total billed charges		79.3				percent of total billed charges		287				other	OPPS APC	77.75	287	
FILTER - JUGULAR DELIVERY SHEATH	SUP-99-01309	CDM			272	RC		inpatient			287	287																																																			
FILTER - FEMORAL DELIVERY SHEATH	SUP-99-02096	CDM			272	RC		outpatient			287	287	77.75				percent of total billed charges		287				other	OPPS APC	212.38				percent of total billed charges		287				other	OPPS APC	287				other	OPPS APC	77.75				percent of total billed charges		79.3				percent of total billed charges		287				other	OPPS APC	77.75	287	
FILTER - FEMORAL DELIVERY SHEATH	SUP-99-02096	CDM			272	RC		inpatient			287	287																																																			
SPHINCTEROTOME ENDOSCOPIC ULTRATOME XL L5 MM L200 CM L5 MM OD5.5 FR BILIARY PANCREAS 3 LUMEN CUT WIRE SHORT NOSE STERILE DISPOSABLE ACCEPTS .035 IN DREAMWIRE	SUP-3590	CDM			270	RC		outpatient			286.94	286.94	77.73				percent of total billed charges		286.94				other	OPPS APC	212.34				percent of total billed charges		286.94				other	OPPS APC	286.94				other	OPPS APC	77.73				percent of total billed charges		79.28				percent of total billed charges		286.94				other	OPPS APC	77.73	286.94	
SPHINCTEROTOME ENDOSCOPIC ULTRATOME XL L5 MM L200 CM L5 MM OD5.5 FR BILIARY PANCREAS 3 LUMEN CUT WIRE SHORT NOSE STERILE DISPOSABLE ACCEPTS .035 IN DREAMWIRE	SUP-3590	CDM			270	RC		inpatient			286.94	286.94																																																			
FORCEPS SURGICAL GRIESHABER REVOLUTION OD23 GA END GRASPING FINE TIP MULTIPURPOSE STERILE DISPOSABLE	SUP-706.43	CDM			270	RC		outpatient			286.54	286.54	77.62				percent of total billed charges		286.54				other	OPPS APC	212.04				percent of total billed charges		286.54				other	OPPS APC	286.54				other	OPPS APC	77.62				percent of total billed charges		79.17				percent of total billed charges		286.54				other	OPPS APC	77.62	286.54	
FORCEPS SURGICAL GRIESHABER REVOLUTION OD23 GA END GRASPING FINE TIP MULTIPURPOSE STERILE DISPOSABLE	SUP-706.43	CDM			270	RC		inpatient			286.54	286.54																																																			
FORCEPS OPHTHALMIC GRIESHABER REVOLUTION 23GA DISPOSABLE STERILE RETINAL INTERNAL LIMIT MEMBRANE	SUP-706.44	CDM			270	RC		outpatient			286.54	286.54	77.62				percent of total billed charges		286.54				other	OPPS APC	212.04				percent of total billed charges		286.54				other	OPPS APC	286.54				other	OPPS APC	77.62				percent of total billed charges		79.17				percent of total billed charges		286.54				other	OPPS APC	77.62	286.54	
FORCEPS OPHTHALMIC GRIESHABER REVOLUTION 23GA DISPOSABLE STERILE RETINAL INTERNAL LIMIT MEMBRANE	SUP-706.44	CDM			270	RC		inpatient			286.54	286.54																																																			
SCREW BONE TITANIUM T25 FULL THREAD L34 MM OD5 MM ODSEC4.3 MM TIBIAL STARDRIVE BLUNT TIP SELF TAP LOCK LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.524	CDM	270010022	LOCAL	270	RC		outpatient			286.2	286.2	77.53				percent of total billed charges		286.2				other	OPPS APC	211.79				percent of total billed charges		286.2				other	OPPS APC	286.2				other	OPPS APC	77.53				percent of total billed charges		79.08				percent of total billed charges		286.2				other	OPPS APC	77.53	286.2	
SCREW BONE TITANIUM T25 FULL THREAD L34 MM OD5 MM ODSEC4.3 MM TIBIAL STARDRIVE BLUNT TIP SELF TAP LOCK LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.524	CDM	270010022	LOCAL	270	RC		inpatient			286.2	286.2																																																			
SCREW BONE TITANIUM T25 FULL THREAD L36 MM OD5 MM ODSEC4.3 MM TIBIAL STARDRIVE BLUNT TIP SELF TAP LOCK LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.526	CDM	270010022	LOCAL	270	RC		outpatient			286.2	286.2	77.53				percent of total billed charges		286.2				other	OPPS APC	211.79				percent of total billed charges		286.2				other	OPPS APC	286.2				other	OPPS APC	77.53				percent of total billed charges		79.08				percent of total billed charges		286.2				other	OPPS APC	77.53	286.2	
SCREW BONE TITANIUM T25 FULL THREAD L36 MM OD5 MM ODSEC4.3 MM TIBIAL STARDRIVE BLUNT TIP SELF TAP LOCK LIGHT GREEN INTRAMEDULLARY NAIL	SUP-04.005.526	CDM	270010022	LOCAL	270	RC		inpatient			286.2	286.2																																																			
PLATE 25X11X3.3MM SS 3.5MM SCREW 2 HOLE LC-DCP BONE NS	SUP-223.52	CDM						inpatient			286.2	286.2																																																			
PLATE 25X11X3.3MM SS 3.5MM SCREW 2 HOLE LC-DCP BONE NS	SUP-223.52	CDM						outpatient			286.2	286.2	286.2				percent of total billed charges		286.2				other	OPPS APC	286.2				fee schedule		286.2				other	OPPS APC	286.2				other	OPPS APC	286.2				case rate		286.2				case rate		286.2				other	OPPS APC	286.2	286.2	
PLATE BONE LC-DCP STAINLESS STEEL L25 MM X W11 MM X H3.3 MM 2 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.520	CDM	270010022	LOCAL	270	RC		outpatient			286.2	286.2	77.53				percent of total billed charges		286.2				other	OPPS APC	211.79				percent of total billed charges		286.2				other	OPPS APC	286.2				other	OPPS APC	77.53				percent of total billed charges		79.08				percent of total billed charges		286.2				other	OPPS APC	77.53	286.2	
PLATE BONE LC-DCP STAINLESS STEEL L25 MM X W11 MM X H3.3 MM 2 HOLE NONSTERILE 3.5 MM SCREW SMALL FRAGMENT	SUP-223.520	CDM	270010022	LOCAL	270	RC		inpatient			286.2	286.2																																																			
KIT INTRODUCER SILICONE L115 CM OD2 MM GUIDE SHEATH BIOPSY FORCEPS STOPPER DISPOSABLE CYTOLOGY BRUSH	SUP-K-201	CDM			270	RC		outpatient			286.16	286.16	77.52				percent of total billed charges		286.16				other	OPPS APC	211.76				percent of total billed charges		286.16				other	OPPS APC	286.16				other	OPPS APC	77.52				percent of total billed charges		79.07				percent of total billed charges		286.16				other	OPPS APC	77.52	286.16	
KIT INTRODUCER SILICONE L115 CM OD2 MM GUIDE SHEATH BIOPSY FORCEPS STOPPER DISPOSABLE CYTOLOGY BRUSH	SUP-K-201	CDM			270	RC		inpatient			286.16	286.16																																																			
HC Drainage of Skin Abscess	PX-450100601	CDM	10060	CPT	450	RC		outpatient			286	286	195.77				case rate		286				other	OPPS APC	211.64				percent of total billed charges		286				other	OPPS APC	286				other	OPPS APC	195.77				case rate		199.69				case rate		286				other	OPPS APC	195.77	286	
HC Drainage of Skin Abscess	PX-450100601	CDM	10060	CPT	450	RC		inpatient			286	286																																																			
I & D Abscess	PX-510100601	CDM	10060	CPT	510	RC		outpatient			286	286	169.66				case rate		286				other	OPPS APC	101				case rate		286				other	OPPS APC	286				fee schedule		169.66				case rate		173.05				case rate		286				other	OPPS APC	101	286	
I & D Abscess	PX-510100601	CDM	10060	CPT	510	RC		inpatient			286	286																																																			
HC I&D Abscess-Single	PX-761100600	CDM	10060	CPT	761	RC		outpatient			286	286	195.77				case rate		286				other	OPPS APC	211.64				percent of total billed charges		286				other	OPPS APC	286				other	OPPS APC	195.77				case rate		145.86				percent of total billed charges		286				other	OPPS APC	145.86	286	
HC I&D Abscess-Single	PX-761100600	CDM	10060	CPT	761	RC		inpatient			286	286																																																			
SCREW BONE TITANIUM L18 MM OD2.3 MM VARIABLE ANGLE LOCK NONSTERILE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM	SUP-30-2318	CDM			270	RC		outpatient			286	286	77.48				percent of total billed charges		286				other	OPPS APC	211.64				percent of total billed charges		286				other	OPPS APC	286				other	OPPS APC	77.48				percent of total billed charges		79.02				percent of total billed charges		286				other	OPPS APC	77.48	286	
SCREW BONE TITANIUM L18 MM OD2.3 MM VARIABLE ANGLE LOCK NONSTERILE ORANGE ACU-LOC 2 WRIST PLATE SYSTEM	SUP-30-2318	CDM			270	RC		inpatient			286	286																																																			
BUTTON FIXATION TIGHTROPE 12MM 8MM ACL ATTACHABLE SLOT	SUP-AR-1588TB	CDM			270	RC		outpatient			286	286	77.48				percent of total billed charges		286				other	OPPS APC	211.64				percent of total billed charges		286				other	OPPS APC	286				other	OPPS APC	77.48				percent of total billed charges		79.02				percent of total billed charges		286				other	OPPS APC	77.48	286	
BUTTON FIXATION TIGHTROPE 12MM 8MM ACL ATTACHABLE SLOT	SUP-AR-1588TB	CDM			270	RC		inpatient			286	286																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22-32 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-US-500-RTI	CDM			270	RC		outpatient			285.58	285.58	77.36				percent of total billed charges		285.58				other	OPPS APC	211.33				percent of total billed charges		285.58				other	OPPS APC	285.58				other	OPPS APC	77.36				percent of total billed charges		78.91				percent of total billed charges		285.58				other	OPPS APC	77.36	285.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22-32 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-US-500-RTI	CDM			270	RC		inpatient			285.58	285.58																																																			
GUIDEWIRE VASCULAR V-14 CONTROLWIRE SHORT TAPER STRAIGHT 300CM 8CM .014IN SCITANIUM ICE POLYMER PERIPHERAL RADIOPAQUE	SUP-H74939216730020	CDM			270	RC		outpatient			285.3	285.31	77.29				percent of total billed charges		285.3				other	OPPS APC	211.12				percent of total billed charges		285.3				other	OPPS APC	285.3				other	OPPS APC	77.29				percent of total billed charges		78.83				percent of total billed charges		285.31				other	OPPS APC	77.29	285.31	
GUIDEWIRE VASCULAR V-14 CONTROLWIRE SHORT TAPER STRAIGHT 300CM 8CM .014IN SCITANIUM ICE POLYMER PERIPHERAL RADIOPAQUE	SUP-H74939216730020	CDM			270	RC		inpatient			285.3	285.3																																																			
GRAFT PP MACRO 30X30CM	SUP-97-02685	CDM			278	RC		outpatient			285.29	285.29	285.29				fee schedule		285.29				other	OPPS APC	162.62				percent of total billed charges		285.29				other	OPPS APC	285.29				other	OPPS APC	139.79				percent of total billed charges		145.5				percent of total billed charges		285.29				other	OPPS APC	139.79	285.29	
GRAFT PP MACRO 30X30CM	SUP-97-02685	CDM			278	RC		inpatient			285.29	285.29																																																			
SCREW BONE STAINLESS STEEL T15 L36 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.136	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L36 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.136	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L44 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.144	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L44 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.144	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L48 MM OD3.5 MM SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE	SUP-02.127.148	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L48 MM OD3.5 MM SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE	SUP-02.127.148	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L50 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.150	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L50 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.150	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L60 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.160	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L60 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.160	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L65 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.165	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L65 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.165	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L70 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.170	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L70 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PERIARTICULAR PLATE SYSTEM	SUP-02.127.170	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L75 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.175	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L75 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.175	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L80 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.180	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L80 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.180	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L85 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.185	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L85 MM OD3.5 MM TIBIA PROXIMAL SELF TAP VARIABLE ANGLE LOCK STARDRIVE	SUP-02.127.185	CDM			270	RC		inpatient			284.96	284.96																																																			
SCREW BONE STAINLESS STEEL T15 L90 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE	SUP-02.127.190	CDM			270	RC		outpatient			284.96	284.96	77.2				percent of total billed charges		284.96				other	OPPS APC	210.87				percent of total billed charges		284.96				other	OPPS APC	284.96				other	OPPS APC	77.2				percent of total billed charges		78.73				percent of total billed charges		284.96				other	OPPS APC	77.2	284.96	
SCREW BONE STAINLESS STEEL T15 L90 MM OD3.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE	SUP-02.127.190	CDM			270	RC		inpatient			284.96	284.96																																																			
LUMEN DOUBLE SIZE 35	SUP-95-01212	CDM			272	RC		outpatient			284.59	284.59	77.1				percent of total billed charges		284.59				other	OPPS APC	210.6				percent of total billed charges		284.59				other	OPPS APC	284.59				other	OPPS APC	77.1				percent of total billed charges		78.63				percent of total billed charges		284.59				other	OPPS APC	77.1	284.59	
LUMEN DOUBLE SIZE 35	SUP-95-01212	CDM			272	RC		inpatient			284.59	284.59																																																			
HC Factor VIII Antigen (F8ag)	PX-300852400	CDM	85240	CPT	305	RC		outpatient			284	17.9	23.94				fee schedule		17.9				fee schedule		47.54				fee schedule		17.9				fee schedule		17.9				fee schedule		17.9				fee schedule		17.9				fee schedule		17.9				fee schedule		17.9	47.54	
HC Factor VIII Antigen (F8ag)	PX-300852400	CDM	85240	CPT	305	RC		inpatient			284	284																																																			
PADS CLOSURE D-STAT 4000	SUP-4000	CDM			270	RC		outpatient			284	284	76.94				percent of total billed charges		284				other	OPPS APC	210.16				percent of total billed charges		284				other	OPPS APC	284				other	OPPS APC	76.94				percent of total billed charges		78.47				percent of total billed charges		284				other	OPPS APC	76.94	284	
PADS CLOSURE D-STAT 4000	SUP-4000	CDM			270	RC		inpatient			284	284																																																			
CATHETER BALLOON DILATATION POWERFLEX PRO DURALYN L135 CM L150 MM OD5 FR ODSEC4 MM PERIPHERAL OTW LOW PROFILE MODERATE TO HIGH PRESSURE MARKER BAND ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-4400415X	CDM			270	RC		outpatient			284	284	76.94				percent of total billed charges		284				other	OPPS APC	210.16				percent of total billed charges		284				other	OPPS APC	284				other	OPPS APC	76.94				percent of total billed charges		78.47				percent of total billed charges		284				other	OPPS APC	76.94	284	
CATHETER BALLOON DILATATION POWERFLEX PRO DURALYN L135 CM L150 MM OD5 FR ODSEC4 MM PERIPHERAL OTW LOW PROFILE MODERATE TO HIGH PRESSURE MARKER BAND ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-4400415X	CDM			270	RC		inpatient			284	284																																																			
DRILL SURGICAL OD2.8 MM QUICK RELEASE 3.5 MM SCREW	SUP-80-0387	CDM			270	RC		outpatient			284	284	76.94				percent of total billed charges		284				other	OPPS APC	210.16				percent of total billed charges		284				other	OPPS APC	284				other	OPPS APC	76.94				percent of total billed charges		78.47				percent of total billed charges		284				other	OPPS APC	76.94	284	
DRILL SURGICAL OD2.8 MM QUICK RELEASE 3.5 MM SCREW	SUP-80-0387	CDM			270	RC		inpatient			284	284																																																			
SCREW INTERFERENCE BIO-INTERFERENCE 23MM 8MM POLY-L-LACTIC ACID STERILE ACL PCL CANNULATED SHEATH	SUP-AR-1380B	CDM			270	RC		outpatient			284	284	76.94				percent of total billed charges		284				other	OPPS APC	210.16				percent of total billed charges		284				other	OPPS APC	284				other	OPPS APC	76.94				percent of total billed charges		78.47				percent of total billed charges		284				other	OPPS APC	76.94	284	
SCREW INTERFERENCE BIO-INTERFERENCE 23MM 8MM POLY-L-LACTIC ACID STERILE ACL PCL CANNULATED SHEATH	SUP-AR-1380B	CDM			270	RC		inpatient			284	284																																																			
DRILL SURGICAL WAVE CANNULATED TOP TRAY	SUP-ZPCDR27	CDM			270	RC		outpatient			284	284	76.94				percent of total billed charges		284				other	OPPS APC	210.16				percent of total billed charges		284				other	OPPS APC	284				other	OPPS APC	76.94				percent of total billed charges		78.47				percent of total billed charges		284				other	OPPS APC	76.94	284	
DRILL SURGICAL WAVE CANNULATED TOP TRAY	SUP-ZPCDR27	CDM			270	RC		inpatient			284	284																																																			
PLUG SURGICAL PERFIX LG TAPER 1.6IN 1.9IN POLYPROPYLENE STERILE GROIN MONOFILAMENT NONABSORBABLE HERNIA REPAIR	SUP-0112770	CDM			270	RC		outpatient			283.6	283.62	76.83				percent of total billed charges		283.6				other	OPPS APC	209.86				percent of total billed charges		283.6				other	OPPS APC	283.6				other	OPPS APC	76.83				percent of total billed charges		78.36				percent of total billed charges		283.62				other	OPPS APC	76.83	283.62	
PLUG SURGICAL PERFIX LG TAPER 1.6IN 1.9IN POLYPROPYLENE STERILE GROIN MONOFILAMENT NONABSORBABLE HERNIA REPAIR	SUP-0112770	CDM			270	RC		inpatient			283.6	283.6																																																			
BIT DRILL MULTILOC L145 MM OD3.2 MM 3 FLUTED NEEDLE POINT	SUP-03.010.103	CDM	270010022	LOCAL	270	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
BIT DRILL MULTILOC L145 MM OD3.2 MM 3 FLUTED NEEDLE POINT	SUP-03.010.103	CDM	270010022	LOCAL	270	RC		inpatient			283.5	283.5																																																			
BIT DRILL L145 MM OD4.2 MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE	SUP-03.010.104	CDM	270010022	LOCAL	270	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
BIT DRILL L145 MM OD4.2 MM 3 FLUTE QUICK COUPLING NEEDLE POINT STERILE	SUP-03.010.104	CDM	270010022	LOCAL	270	RC		inpatient			283.5	283.5																																																			
LMA SIZE 5 FASTRACH	SUP-95-02579	CDM			272	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
LMA SIZE 5 FASTRACH	SUP-95-02579	CDM			272	RC		inpatient			283.5	283.5																																																			
LMA SIZE 4 FASTRACH	SUP-95-02580	CDM			272	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
LMA SIZE 4 FASTRACH	SUP-95-02580	CDM			272	RC		inpatient			283.5	283.5																																																			
DRILL  CANNULATED  POLYAXIAL LOCKING SCR	SUP-95-03718	CDM			272	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
DRILL  CANNULATED  POLYAXIAL LOCKING SCR	SUP-95-03718	CDM			272	RC		inpatient			283.5	283.5																																																			
DRILL SOLID SIDE CUTTING 2MM X 40MM	SUP-97-01627	CDM			272	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
DRILL SOLID SIDE CUTTING 2MM X 40MM	SUP-97-01627	CDM			272	RC		inpatient			283.5	283.5																																																			
DRIVER PEG	SUP-97-05120	CDM			272	RC		outpatient			283.5	283.5	76.8				percent of total billed charges		283.5				other	OPPS APC	209.79				percent of total billed charges		283.5				other	OPPS APC	283.5				other	OPPS APC	76.8				percent of total billed charges		78.33				percent of total billed charges		283.5				other	OPPS APC	76.8	283.5	
DRIVER PEG	SUP-97-05120	CDM			272	RC		inpatient			283.5	283.5																																																			
SCREW BONE TITANIUM T4 L11 MM OD1.5 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.211	CDM	270010022	LOCAL	270	RC		outpatient			283.2	283.2	76.72				percent of total billed charges		283.2				other	OPPS APC	209.57				percent of total billed charges		283.2				other	OPPS APC	283.2				other	OPPS APC	76.72				percent of total billed charges		78.25				percent of total billed charges		283.2				other	OPPS APC	76.72	283.2	
SCREW BONE TITANIUM T4 L11 MM OD1.5 MM HAND SELF TAP VARIABLE ANGLE LOCK STARDRIVE NONSTERILE PURPLE	SUP-04.130.211	CDM	270010022	LOCAL	270	RC		inpatient			283.2	283.2																																																			
PRISMA MATRIX 28CM 2 4.34SQ IN	SUP-95-01490	CDM			272	RC		outpatient			283.12	283.12	76.7				percent of total billed charges		283.12				other	OPPS APC	209.51				percent of total billed charges		283.12				other	OPPS APC	283.12				other	OPPS APC	76.7				percent of total billed charges		78.23				percent of total billed charges		283.12				other	OPPS APC	76.7	283.12	
PRISMA MATRIX 28CM 2 4.34SQ IN	SUP-95-01490	CDM			272	RC		inpatient			283.12	283.12																																																			
HC Clsed Red Disloc Post Hip Arthr WO A	PX-450272651	CDM	27265	CPT	450	RC		outpatient			283	283	195.77				case rate		283				other	OPPS APC	209.42				percent of total billed charges		283				other	OPPS APC	283				other	OPPS APC	195.77				case rate		199.69				case rate		283				other	OPPS APC	195.77	283	
HC Clsed Red Disloc Post Hip Arthr WO A	PX-450272651	CDM	27265	CPT	450	RC		inpatient			283	283																																																			
RELTACK 5R	SUP-76-00166	CDM			272	RC		outpatient			282.98	282.98	76.66				percent of total billed charges		282.98				other	OPPS APC	209.41				percent of total billed charges		282.98				other	OPPS APC	282.98				other	OPPS APC	76.66				percent of total billed charges		78.19				percent of total billed charges		282.98				other	OPPS APC	76.66	282.98	
RELTACK 5R	SUP-76-00166	CDM			272	RC		inpatient			282.98	282.98																																																			
DRILL BIT 3.3 40MM	SUP-95-03458	CDM			272	RC		outpatient			282.98	282.98	76.66				percent of total billed charges		282.98				other	OPPS APC	209.41				percent of total billed charges		282.98				other	OPPS APC	282.98				other	OPPS APC	76.66				percent of total billed charges		78.19				percent of total billed charges		282.98				other	OPPS APC	76.66	282.98	
DRILL BIT 3.3 40MM	SUP-95-03458	CDM			272	RC		inpatient			282.98	282.98																																																			
DRILL BIT 3.3X60MM	SUP-95-03459	CDM			272	RC		outpatient			282.98	282.98	76.66				percent of total billed charges		282.98				other	OPPS APC	209.41				percent of total billed charges		282.98				other	OPPS APC	282.98				other	OPPS APC	76.66				percent of total billed charges		78.19				percent of total billed charges		282.98				other	OPPS APC	76.66	282.98	
DRILL BIT 3.3X60MM	SUP-95-03459	CDM			272	RC		inpatient			282.98	282.98																																																			
WASHER ORTHOPEDIC 3MM 5.5MM SS NS THREAD INTERNAL HEXAGONAL DRIVE 3MM CANNULATED SCREW	SUP-219.89	CDM	270010022	LOCAL	270	RC		outpatient			282.7	282.7	76.58				percent of total billed charges		282.7				other	OPPS APC	209.2				percent of total billed charges		282.7				other	OPPS APC	282.7				other	OPPS APC	76.58				percent of total billed charges		78.11				percent of total billed charges		282.7				other	OPPS APC	76.58	282.7	
WASHER ORTHOPEDIC 3MM 5.5MM SS NS THREAD INTERNAL HEXAGONAL DRIVE 3MM CANNULATED SCREW	SUP-219.89	CDM	270010022	LOCAL	270	RC		inpatient			282.7	282.7																																																			
HOLDER NEEDLE CARB-BITE TUNGSTEN CARBIDE STRAIGHT MICRO L7 IN SERRATED LOCK NONSTERILE	SUP-121229	CDM						inpatient			282.6	282.6																																																			
HOLDER NEEDLE CARB-BITE TUNGSTEN CARBIDE STRAIGHT MICRO L7 IN SERRATED LOCK NONSTERILE	SUP-121229	CDM						outpatient			282.6	282.62	282.6				percent of total billed charges		282.6				other	OPPS APC	282.6				fee schedule		282.6				other	OPPS APC	282.6				other	OPPS APC	282.6				case rate		282.6				case rate		282.62				other	OPPS APC	282.6	282.62	
CATHETER - JR 4.0 5F	SUP-99-01564	CDM			272	RC		outpatient			282.45	282.45	76.52				percent of total billed charges		282.45				other	OPPS APC	209.01				percent of total billed charges		282.45				other	OPPS APC	282.45				other	OPPS APC	76.52				percent of total billed charges		78.04				percent of total billed charges		282.45				other	OPPS APC	76.52	282.45	
CATHETER - JR 4.0 5F	SUP-99-01564	CDM			272	RC		inpatient			282.45	282.45																																																			
HC OB Exam Room - Level II	PX-761992121	CDM	99212	CPT	761	RC		outpatient			282	127.29	195.77				case rate		127.29				other	OPPS APC	208.68				percent of total billed charges		127.29				other	OPPS APC	127.29				other	OPPS APC	195.77				case rate		143.82				percent of total billed charges		127.29				other	OPPS APC	127.29	208.68	
HC OB Exam Room - Level II	PX-761992121	CDM	99212	CPT	761	RC		inpatient			282	282																																																			
KIT PREP QUIK USE FEMORAL BONE CEMENT	SUP-00504905510	CDM			270	RC		outpatient			282	282	76.39				percent of total billed charges		282				other	OPPS APC	208.68				percent of total billed charges		282				other	OPPS APC	282				other	OPPS APC	76.39				percent of total billed charges		77.92				percent of total billed charges		282				other	OPPS APC	76.39	282	
KIT PREP QUIK USE FEMORAL BONE CEMENT	SUP-00504905510	CDM			270	RC		inpatient			282	282																																																			
NUT ORTHOPEDIC OD 3.5 MM COMPRESSION NONSTERILE LATEX FREE	SUP-71175605	CDM			270	RC		outpatient			282	282	76.39				percent of total billed charges		282				other	OPPS APC	208.68				percent of total billed charges		282				other	OPPS APC	282				other	OPPS APC	76.39				percent of total billed charges		77.92				percent of total billed charges		282				other	OPPS APC	76.39	282	
NUT ORTHOPEDIC OD 3.5 MM COMPRESSION NONSTERILE LATEX FREE	SUP-71175605	CDM			270	RC		inpatient			282	282																																																			
TOOL DISSECTING DIAMOND BALL OD4 MM NONSTERILE BURR 6.1 CM ATTACHMENT	SUP-SIL-17-4	CDM			270	RC		outpatient			282	282	76.39				percent of total billed charges		282				other	OPPS APC	208.68				percent of total billed charges		282				other	OPPS APC	282				other	OPPS APC	76.39				percent of total billed charges		77.92				percent of total billed charges		282				other	OPPS APC	76.39	282	
TOOL DISSECTING DIAMOND BALL OD4 MM NONSTERILE BURR 6.1 CM ATTACHMENT	SUP-SIL-17-4	CDM			270	RC		inpatient			282	282																																																			
BIT DRILL PERI-LOC L 220  MM OD 3.5 MM AO QUICK CONNECT CALIBRATED STERILE DISPOSABLE	SUP-71173505	CDM			270	RC		outpatient			281.84	281.84	76.35				percent of total billed charges		281.84				other	OPPS APC	208.56				percent of total billed charges		281.84				other	OPPS APC	281.84				other	OPPS APC	76.35				percent of total billed charges		77.87				percent of total billed charges		281.84				other	OPPS APC	76.35	281.84	
BIT DRILL PERI-LOC L 220  MM OD 3.5 MM AO QUICK CONNECT CALIBRATED STERILE DISPOSABLE	SUP-71173505	CDM			270	RC		inpatient			281.84	281.84																																																			
BIT DRILL PERI-LOC OD 4.5 MM AO QUICK CONNECT CALIBRATE  DISPOSABLE	SUP-71173506	CDM			270	RC		outpatient			281.84	281.84	76.35				percent of total billed charges		281.84				other	OPPS APC	208.56				percent of total billed charges		281.84				other	OPPS APC	281.84				other	OPPS APC	76.35				percent of total billed charges		77.87				percent of total billed charges		281.84				other	OPPS APC	76.35	281.84	
BIT DRILL PERI-LOC OD 4.5 MM AO QUICK CONNECT CALIBRATE  DISPOSABLE	SUP-71173506	CDM			270	RC		inpatient			281.84	281.84																																																			
DRILL BIT 2.5MM 3FLUTE 110MM	SUP-97-00340	CDM			272	RC		outpatient			281.75	281.75	76.33				percent of total billed charges		281.75				other	OPPS APC	208.5				percent of total billed charges		281.75				other	OPPS APC	281.75				other	OPPS APC	76.33				percent of total billed charges		77.85				percent of total billed charges		281.75				other	OPPS APC	76.33	281.75	
DRILL BIT 2.5MM 3FLUTE 110MM	SUP-97-00340	CDM			272	RC		inpatient			281.75	281.75																																																			
DRILL BIT 1.5MM	SUP-97-00950	CDM			272	RC		outpatient			281.75	281.75	76.33				percent of total billed charges		281.75				other	OPPS APC	208.5				percent of total billed charges		281.75				other	OPPS APC	281.75				other	OPPS APC	76.33				percent of total billed charges		77.85				percent of total billed charges		281.75				other	OPPS APC	76.33	281.75	
DRILL BIT 1.5MM	SUP-97-00950	CDM			272	RC		inpatient			281.75	281.75																																																			
DRILL BIT 1.1MM	SUP-97-01930	CDM			272	RC		outpatient			281.75	281.75	76.33				percent of total billed charges		281.75				other	OPPS APC	208.5				percent of total billed charges		281.75				other	OPPS APC	281.75				other	OPPS APC	76.33				percent of total billed charges		77.85				percent of total billed charges		281.75				other	OPPS APC	76.33	281.75	
DRILL BIT 1.1MM	SUP-97-01930	CDM			272	RC		inpatient			281.75	281.75																																																			
SCREW BONE SYNAPSE TITANIUM L8 MM OD4.5 MM SPINE LOCK NONSTERILE	SUP-04.614.508	CDM	270010020	LOCAL	270	RC		outpatient			281.4	281.4	76.23				percent of total billed charges		281.4				other	OPPS APC	208.24				percent of total billed charges		281.4				other	OPPS APC	281.4				other	OPPS APC	76.23				percent of total billed charges		77.75				percent of total billed charges		281.4				other	OPPS APC	76.23	281.4	
SCREW BONE SYNAPSE TITANIUM L8 MM OD4.5 MM SPINE LOCK NONSTERILE	SUP-04.614.508	CDM	270010020	LOCAL	270	RC		inpatient			281.4	281.4																																																			
CUFF PROXIMAL 8.00MM CUFFED	SUP-95-03753	CDM			272	RC		outpatient			281.4	281.4	76.23				percent of total billed charges		281.4				other	OPPS APC	208.24				percent of total billed charges		281.4				other	OPPS APC	281.4				other	OPPS APC	76.23				percent of total billed charges		77.75				percent of total billed charges		281.4				other	OPPS APC	76.23	281.4	
CUFF PROXIMAL 8.00MM CUFFED	SUP-95-03753	CDM			272	RC		inpatient			281.4	281.4																																																			
BIT DRILL ENDOBUTTON CL OD4.5 MM CANNULATED ENDOSCOPIC	SUP-7207315	CDM			270	RC		outpatient			281.2	281.2	76.18				percent of total billed charges		281.2				other	OPPS APC	208.09				percent of total billed charges		281.2				other	OPPS APC	281.2				other	OPPS APC	76.18				percent of total billed charges		77.7				percent of total billed charges		281.2				other	OPPS APC	76.18	281.2	
BIT DRILL ENDOBUTTON CL OD4.5 MM CANNULATED ENDOSCOPIC	SUP-7207315	CDM			270	RC		inpatient			281.2	281.2																																																			
CATHETER SUPPORT CROSSCATH .035 IN L135 CM OD4.8-3.7 FR	SUP-G51581	CDM			270	RC		outpatient			281.14	281.14	76.16				percent of total billed charges		281.14				other	OPPS APC	208.04				percent of total billed charges		281.14				other	OPPS APC	281.14				other	OPPS APC	76.16				percent of total billed charges		77.68				percent of total billed charges		281.14				other	OPPS APC	76.16	281.14	
CATHETER SUPPORT CROSSCATH .035 IN L135 CM OD4.8-3.7 FR	SUP-G51581	CDM			270	RC		inpatient			281.14	281.14																																																			
HC Tissue in-Situ Hybridization	PX-310883650	CDM	88365	CPT	312	RC		outpatient			281	165.62	122.58				fee schedule		165.62				other	OPPS APC	112.47				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	137.69				percent of total billed charges		143.31				percent of total billed charges		165.62				other	OPPS APC	112.47	165.62	
HC Tissue in-Situ Hybridization	PX-310883650	CDM	88365	CPT	312	RC		inpatient			281	281																																																			
HC St Eval Sound/Lang Compre 8-22	PX-440925230	CDM	92523	CPT	444	RC		outpatient			281	231.47	281				percent of total billed charges		231.47				fee schedule		174.66				fee schedule		231.47				fee schedule		231.47				fee schedule		294.04				percent of total billed charges		281				percent of total billed charges		231.47				fee schedule		174.66	294.04	
HC St Eval Sound/Lang Compre 8-22	PX-440925230	CDM	92523	CPT	444	RC		inpatient			281	281																																																			
HC St Eval Sound/Lang Compre 23-37	PX-440925231	CDM	92523	CPT	440	RC		outpatient			281	231.47	281				percent of total billed charges		231.47				fee schedule		174.66				fee schedule		231.47				fee schedule		231.47				fee schedule		294.04				percent of total billed charges		281				percent of total billed charges		231.47				fee schedule		174.66	294.04	
HC St Eval Sound/Lang Compre 23-37	PX-440925231	CDM	92523	CPT	440	RC		inpatient			281	281																																																			
HC Eval Speech Sound Prod W/Lang Comp&Expr	PX-444925231	CDM	92523	CPT	444	RC		outpatient			281	231.47	281				percent of total billed charges		231.47				fee schedule		174.66				fee schedule		231.47				fee schedule		231.47				fee schedule		294.04				percent of total billed charges		281				percent of total billed charges		231.47				fee schedule		174.66	294.04	
HC Eval Speech Sound Prod W/Lang Comp&Expr	PX-444925231	CDM	92523	CPT	444	RC		inpatient			281	281																																																			
DRAINAGE CATH 8F FLEXIM APD INVRAD CTSUP	SUP-95-01489	CDM			272	RC		outpatient			280.88	28.88	76.09				percent of total billed charges		280.88				other	OPPS APC	207.85				percent of total billed charges		280.88				other	OPPS APC	280.88				other	OPPS APC	76.09				percent of total billed charges		77.61				percent of total billed charges		28.88				other	OPPS APC	28.88	280.88	
DRAINAGE CATH 8F FLEXIM APD INVRAD CTSUP	SUP-95-01489	CDM			272	RC		inpatient			280.88	280.88																																																			
DRAINAGE CATH - 6.3F FLEXIMA APD  CTSUP	SUP-95-01626	CDM			278	RC		outpatient			280.88	28.88	280.88				fee schedule		280.88				other	OPPS APC	160.1				percent of total billed charges		280.88				other	OPPS APC	280.88				other	OPPS APC	137.63				percent of total billed charges		143.25				percent of total billed charges		28.88				other	OPPS APC	28.88	280.88	
DRAINAGE CATH - 6.3F FLEXIMA APD  CTSUP	SUP-95-01626	CDM			278	RC		inpatient			280.88	280.88																																																			
DRAINAGE CATH - 10F FLEXIMA APD  CTSUP	SUP-95-01627	CDM			278	RC		outpatient			280.88	28.88	280.88				fee schedule		280.88				other	OPPS APC	160.1				percent of total billed charges		280.88				other	OPPS APC	280.88				other	OPPS APC	137.63				percent of total billed charges		143.25				percent of total billed charges		28.88				other	OPPS APC	28.88	280.88	
DRAINAGE CATH - 10F FLEXIMA APD  CTSUP	SUP-95-01627	CDM			278	RC		inpatient			280.88	280.88																																																			
PLATE BONE TITANIUM MIDFACIAL 8 HOLE CURVED LOCKING 1.7 MM SCREW	SUP-5505758	CDM			270	RC		outpatient			280.8	28.81	76.07				percent of total billed charges		280.8				other	OPPS APC	207.79				percent of total billed charges		280.8				other	OPPS APC	280.8				other	OPPS APC	76.07				percent of total billed charges		77.59				percent of total billed charges		28.81				other	OPPS APC	28.81	280.8	
PLATE BONE TITANIUM MIDFACIAL 8 HOLE CURVED LOCKING 1.7 MM SCREW	SUP-5505758	CDM			270	RC		inpatient			280.8	280.8																																																			
DRILL SURGICAL VLP MINI-MOD SHORT L 122 MM OD 1.8MM	SUP-74462402	CDM			270	RC		outpatient			280.8	28.81	76.07				percent of total billed charges		280.8				other	OPPS APC	207.79				percent of total billed charges		280.8				other	OPPS APC	280.8				other	OPPS APC	76.07				percent of total billed charges		77.59				percent of total billed charges		28.81				other	OPPS APC	28.81	280.8	
DRILL SURGICAL VLP MINI-MOD SHORT L 122 MM OD 1.8MM	SUP-74462402	CDM			270	RC		inpatient			280.8	280.8																																																			
BIT DRILL VLP MINI-MOD OD 2.4 MM AO QUICK COUPLING OVER	SUP-74462410	CDM			270	RC		outpatient			280.8	28.81	76.07				percent of total billed charges		280.8				other	OPPS APC	207.79				percent of total billed charges		280.8				other	OPPS APC	280.8				other	OPPS APC	76.07				percent of total billed charges		77.59				percent of total billed charges		28.81				other	OPPS APC	28.81	280.8	
BIT DRILL VLP MINI-MOD OD 2.4 MM AO QUICK COUPLING OVER	SUP-74462410	CDM			270	RC		inpatient			280.8	280.8																																																			
PEG TUBE 18FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00796	CDM			278	RC		outpatient			280.7	28.7	280.7				fee schedule		280.7				other	OPPS APC	160				percent of total billed charges		280.7				other	OPPS APC	280.7				other	OPPS APC	137.54				percent of total billed charges		143.16				percent of total billed charges		28.7				other	OPPS APC	28.7	280.7	
PEG TUBE 18FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00796	CDM			278	RC		inpatient			280.7	280.7																																																			
IMPLANT WASHER	SUP-186300	CDM			270	RC		outpatient			280.5	28.5	75.99				percent of total billed charges		280.5				other	OPPS APC	207.57				percent of total billed charges		280.5				other	OPPS APC	280.5				other	OPPS APC	75.99				percent of total billed charges		77.5				percent of total billed charges		28.5				other	OPPS APC	28.5	280.5	
IMPLANT WASHER	SUP-186300	CDM			270	RC		inpatient			280.5	280.5																																																			
HC Renin (Ren)	PX-300842440	CDM	84244	CPT	301	RC		outpatient			280	21.99	29.41				fee schedule		21.99				fee schedule		58.39				fee schedule		21.99				fee schedule		21.99				fee schedule		21.99				fee schedule		21.99				fee schedule		21.99				fee schedule		21.99	58.39	
HC Renin (Ren)	PX-300842440	CDM	84244	CPT	301	RC		inpatient			280	280																																																			
HC Antibody Elution  RBC  Ea Elution	PX-300868600	CDM	86860	CPT	300	RC		outpatient			280	165.62	24.37				fee schedule		165.62				other	OPPS APC	49.37				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		165.62				other	OPPS APC	24.37	165.62	
HC Antibody Elution  RBC  Ea Elution	PX-300868600	CDM	86860	CPT	300	RC		inpatient			280	280																																																			
HC Ahg Phase Crossmatch Antiglobulin	PX-300869220	CDM	86922	CPT	300	RC		outpatient			280	165.62	36				fee schedule		165.62				other	OPPS APC	51.07				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		165.62				other	OPPS APC	36	165.62	
HC Ahg Phase Crossmatch Antiglobulin	PX-300869220	CDM	86922	CPT	300	RC		inpatient			280	280																																																			
HC Crossmatch (Xm)	PX-300869230	CDM	86923	CPT	300	RC		outpatient			280	165.62	280				fee schedule		165.62				other	OPPS APC	29.64				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		165.62				other	OPPS APC	29.64	280	
HC Crossmatch (Xm)	PX-300869230	CDM	86923	CPT	300	RC		inpatient			280	280																																																			
HC Facial Bones	PX-320701500	CDM	70150	CPT	320	RC		outpatient			280	112.57	44.11				fee schedule		112.57				other	OPPS APC	107.25				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	47.11				fee schedule		34.6				fee schedule		112.57				other	OPPS APC	34.6	112.57	
HC Facial Bones	PX-320701500	CDM	70150	CPT	320	RC		inpatient			280	280																																																			
HC Chest-Decubitus	PX-320710350	CDM	71048	CPT	320	RC		outpatient			280	28	137.2				percent of total billed charges		280				other	OPPS APC	196.73				fee schedule		280				other	OPPS APC	280				other	OPPS APC	46.44				fee schedule		31.6				fee schedule		28				other	OPPS APC	28	280	
HC Chest-Decubitus	PX-320710350	CDM	71048	CPT	320	RC		inpatient			280	280																																																			
HC Knee Complete	PX-320735640	CDM	73564	CPT	320	RC		outpatient			280	112.57	44.76				fee schedule		112.57				other	OPPS APC	87.13				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	46.78				fee schedule		35.6				fee schedule		112.57				other	OPPS APC	35.6	112.57	
HC Knee Complete	PX-320735640	CDM	73564	CPT	320	RC		inpatient			280	280																																																			
HC Doppler Color Flow	PX-480933250	CDM	93325	CPT	480	RC		outpatient			280	28	26.42				fee schedule		280				other	OPPS APC	337.01				fee schedule		280				other	OPPS APC	280				other	OPPS APC	23.41				fee schedule		142.8				percent of total billed charges		28				other	OPPS APC	23.41	337.01	
HC Doppler Color Flow	PX-480933250	CDM	93325	CPT	480	RC		inpatient			280	280																																																			
BRUSH ERCP ENDOSCOPIC INFINITY NITINOL L200 CM OD3 MM DRIVE WIRE STIFFER SOFTER BRISTLE STERILE LATEX FREE DISPOSABLE LONG SHORT GUIDEWIRE	SUP-00711652	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
BRUSH ERCP ENDOSCOPIC INFINITY NITINOL L200 CM OD3 MM DRIVE WIRE STIFFER SOFTER BRISTLE STERILE LATEX FREE DISPOSABLE LONG SHORT GUIDEWIRE	SUP-00711652	CDM			270	RC		inpatient			280	280																																																			
ROD SPINEWAVE 60MM	SUP-11-4060	CDM	270010020	LOCAL	270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
ROD SPINEWAVE 60MM	SUP-11-4060	CDM	270010020	LOCAL	270	RC		inpatient			280	280																																																			
ROD SPINEWAVE 80MM	SUP-11-4080	CDM	270010020	LOCAL	270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
ROD SPINEWAVE 80MM	SUP-11-4080	CDM	270010020	LOCAL	270	RC		inpatient			280	280																																																			
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L25 MM OD4.75 MM LOCK FIX ANGLE HEXAGONAL STERILE REVERSE SHOULDER SYSTEM	SUP-180552	CDM	270010030	LOCAL	270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L25 MM OD4.75 MM LOCK FIX ANGLE HEXAGONAL STERILE REVERSE SHOULDER SYSTEM	SUP-180552	CDM	270010030	LOCAL	270	RC		inpatient			280	280																																																			
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L30 MM OD4.75 MM LOCK FIX ANGLE HEXAGONAL STERILE REVERSE SHOULDER SYSTEM	SUP-180553	CDM	270010030	LOCAL	270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L30 MM OD4.75 MM LOCK FIX ANGLE HEXAGONAL STERILE REVERSE SHOULDER SYSTEM	SUP-180553	CDM	270010030	LOCAL	270	RC		inpatient			280	280																																																			
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L25 MM OD4.75 MM VARIABLE ANGLE HEXAGONAL STERILE REVERSE SHOULDER SYSTEM	SUP-180559	CDM	270010030	LOCAL	270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L25 MM OD4.75 MM VARIABLE ANGLE HEXAGONAL STERILE REVERSE SHOULDER SYSTEM	SUP-180559	CDM	270010030	LOCAL	270	RC		inpatient			280	280																																																			
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L35 MM OD4.75 MM VARIABLE ANGLE HEX HEAD STERILE REVERSE SHOULDER SYSTEM	SUP-180561	CDM	270010025	LOCAL	270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
SCREW BONE COMPREHENSIVE TITANIUM 3.5 MM L35 MM OD4.75 MM VARIABLE ANGLE HEX HEAD STERILE REVERSE SHOULDER SYSTEM	SUP-180561	CDM	270010025	LOCAL	270	RC		inpatient			280	280																																																			
CATHETER SUPPORT MINNIE .035IN 25MM SPACING 90CM 6FR GUIDEWIRE RADIOPAQUE	SUP-5706	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
CATHETER SUPPORT MINNIE .035IN 25MM SPACING 90CM 6FR GUIDEWIRE RADIOPAQUE	SUP-5706	CDM			270	RC		inpatient			280	280																																																			
PLATE 1.5 4-HOLE MED ST	SUP-71-00204	CDM			278	RC		outpatient			280	28	280				fee schedule		280				other	OPPS APC	159.6				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		28				other	OPPS APC	28	280	
PLATE 1.5 4-HOLE MED ST	SUP-71-00204	CDM			278	RC		inpatient			280	280																																																			
PLATE 1.5 4-HOLE REG ST	SUP-71-00205	CDM			278	RC		outpatient			280	28	280				fee schedule		280				other	OPPS APC	159.6				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		28				other	OPPS APC	28	280	
PLATE 1.5 4-HOLE REG ST	SUP-71-00205	CDM			278	RC		inpatient			280	280																																																			
PACK PHACOEMULSIFICATION INTREPID 30 D OD.9 MM ULTRA	SUP-8065751039	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
PACK PHACOEMULSIFICATION INTREPID 30 D OD.9 MM ULTRA	SUP-8065751039	CDM			270	RC		inpatient			280	280																																																			
K-WIRE SMOOTH 2.3 FLOURO BAND	SUP-95-03940	CDM			278	RC		outpatient			280	28	280				fee schedule		280				other	OPPS APC	159.6				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		28				other	OPPS APC	28	280	
K-WIRE SMOOTH 2.3 FLOURO BAND	SUP-95-03940	CDM			278	RC		inpatient			280	280																																																			
DRILL LONG CANNUATED 4.6X340MM	SUP-95-04058	CDM			272	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
DRILL LONG CANNUATED 4.6X340MM	SUP-95-04058	CDM			272	RC		inpatient			280	280																																																			
SWITCHING STICK 2.6MM X 305MM	SUP-95-05352	CDM			272	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
SWITCHING STICK 2.6MM X 305MM	SUP-95-05352	CDM			272	RC		inpatient			280	280																																																			
SUTURE ANCH BIO SWIVELOCK 3.5 X 14.8MM	SUP-97-04506	CDM			278	RC		outpatient			280	28	280				fee schedule		280				other	OPPS APC	159.6				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		28				other	OPPS APC	28	280	
SUTURE ANCH BIO SWIVELOCK 3.5 X 14.8MM	SUP-97-04506	CDM			278	RC		inpatient			280	280																																																			
K-WIRE SINGLE END SMOOTH 1.6 X 200MM	SUP-97-05575	CDM			278	RC		outpatient			280	28	280				fee schedule		280				other	OPPS APC	159.6				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	137.2				percent of total billed charges		142.8				percent of total billed charges		28				other	OPPS APC	28	280	
K-WIRE SINGLE END SMOOTH 1.6 X 200MM	SUP-97-05575	CDM			278	RC		inpatient			280	280																																																			
PERCARDIOCENTESIS TRAY	SUP-99-00548	CDM			272	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
PERCARDIOCENTESIS TRAY	SUP-99-00548	CDM			272	RC		inpatient			280	280																																																			
GUIDEWIRE- RUNTHROUGH EXTENSION	SUP-99-03314	CDM			272	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
GUIDEWIRE- RUNTHROUGH EXTENSION	SUP-99-03314	CDM			272	RC		inpatient			280	280																																																			
NEEDLE SUTURE SCORPION SUREFIRE ROTATOR CUFF	SUP-AR-13991N	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
NEEDLE SUTURE SCORPION SUREFIRE ROTATOR CUFF	SUP-AR-13991N	CDM			270	RC		inpatient			280	280																																																			
SCREW INTERFERENCE BIO-INTERFERENCE POLY L LACTIC ACID FULL THREAD L28 MM OD10 MM ACL PCL CANNULATED STERILE	SUP-AR-1400TB	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
SCREW INTERFERENCE BIO-INTERFERENCE POLY L LACTIC ACID FULL THREAD L28 MM OD10 MM ACL PCL CANNULATED STERILE	SUP-AR-1400TB	CDM			270	RC		inpatient			280	280																																																			
PASSER SUTURE SUTURELASSO SD NITINOL 90 D LEFT CURVE OD1.8 MM ODSEC3.8 MM THUMB PAD STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-4068-90L	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
PASSER SUTURE SUTURELASSO SD NITINOL 90 D LEFT CURVE OD1.8 MM ODSEC3.8 MM THUMB PAD STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-4068-90L	CDM			270	RC		inpatient			280	280																																																			
PASSER SUTURE SUTURELASSO SD NITINOL 90 D RIGHT CURVE OD1.8 MM ODSEC3.8 MM THUMB PAD STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-4068-90R	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
PASSER SUTURE SUTURELASSO SD NITINOL 90 D RIGHT CURVE OD1.8 MM ODSEC3.8 MM THUMB PAD STERILE DISPOSABLE LABRAL ARTHROSCOPY ROTATOR CUFF REPAIR	SUP-AR-4068-90R	CDM			270	RC		inpatient			280	280																																																			
BIT DRILL CANNULATED BIO-COMPRESSION SCREW	SUP-AR-5025TDC	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
BIT DRILL CANNULATED BIO-COMPRESSION SCREW	SUP-AR-5025TDC	CDM			270	RC		inpatient			280	280																																																			
TROCAR ZTHREAD 15MM X 100MM	SUP-C0R37	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
TROCAR ZTHREAD 15MM X 100MM	SUP-C0R37	CDM			270	RC		inpatient			280	280																																																			
GUIDEWIRE VASCULAR V-18 CONTROLWIRE SCITANIUM ICE STRAIGHT L110 CM L8 CM OD.018 IN RADIOPAQUE	SUP-M001468480	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
GUIDEWIRE VASCULAR V-18 CONTROLWIRE SCITANIUM ICE STRAIGHT L110 CM L8 CM OD.018 IN RADIOPAQUE	SUP-M001468480	CDM			270	RC		inpatient			280	280																																																			
STENT BILIARY ZIMMON L4 CM OD7 FR 2 PIGTAIL	SUP-ZEBD-7-4	CDM			270	RC		outpatient			280	28	75.85				percent of total billed charges		280				other	OPPS APC	207.2				percent of total billed charges		280				other	OPPS APC	280				other	OPPS APC	75.85				percent of total billed charges		77.36				percent of total billed charges		28				other	OPPS APC	28	280	
STENT BILIARY ZIMMON L4 CM OD7 FR 2 PIGTAIL	SUP-ZEBD-7-4	CDM			270	RC		inpatient			280	280																																																			
AIRWAY LMA  SIZE 2.5	SUP-97-00751	CDM			272	RC		outpatient			279.48	279.48	75.71				percent of total billed charges		279.48				other	OPPS APC	206.82				percent of total billed charges		279.48				other	OPPS APC	279.48				other	OPPS APC	75.71				percent of total billed charges		77.22				percent of total billed charges		279.48				other	OPPS APC	75.71	279.48	
AIRWAY LMA  SIZE 2.5	SUP-97-00751	CDM			272	RC		inpatient			279.48	279.48																																																			
SCREW BONE TITANIUM T15 FULL THREAD L18 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.105	CDM			270	RC		outpatient			279.4	279.4	75.69				percent of total billed charges		279.4				other	OPPS APC	206.76				percent of total billed charges		279.4				other	OPPS APC	279.4				other	OPPS APC	75.69				percent of total billed charges		77.2				percent of total billed charges		279.4				other	OPPS APC	75.69	279.4	
SCREW BONE TITANIUM T15 FULL THREAD L18 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.105	CDM			270	RC		inpatient			279.4	279.4																																																			
SCREW BONE TITANIUM T15 FULL THREAD L38 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.116	CDM			270	RC		outpatient			279.4	279.4	75.69				percent of total billed charges		279.4				other	OPPS APC	206.76				percent of total billed charges		279.4				other	OPPS APC	279.4				other	OPPS APC	75.69				percent of total billed charges		77.2				percent of total billed charges		279.4				other	OPPS APC	75.69	279.4	
SCREW BONE TITANIUM T15 FULL THREAD L38 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.116	CDM			270	RC		inpatient			279.4	279.4																																																			
SCREW BONE TITANIUM T15 FULL THREAD L40 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.117	CDM			270	RC		outpatient			279.4	279.4	75.69				percent of total billed charges		279.4				other	OPPS APC	206.76				percent of total billed charges		279.4				other	OPPS APC	279.4				other	OPPS APC	75.69				percent of total billed charges		77.2				percent of total billed charges		279.4				other	OPPS APC	75.69	279.4	
SCREW BONE TITANIUM T15 FULL THREAD L40 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.117	CDM			270	RC		inpatient			279.4	279.4																																																			
SCREW BONE TITANIUM T15 FULL THREAD L45 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.119	CDM			270	RC		outpatient			279.4	279.4	75.69				percent of total billed charges		279.4				other	OPPS APC	206.76				percent of total billed charges		279.4				other	OPPS APC	279.4				other	OPPS APC	75.69				percent of total billed charges		77.2				percent of total billed charges		279.4				other	OPPS APC	75.69	279.4	
SCREW BONE TITANIUM T15 FULL THREAD L45 MM OD3.5 MM ID2.9 MM SELF TAP LOCK CONICAL HEAD STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-412.119	CDM			270	RC		inpatient			279.4	279.4																																																			
FIXATION POST 25MM	SUP-013140	CDM			270	RC		outpatient			279.02	279.2	75.59				percent of total billed charges		279.02				other	OPPS APC	206.47				percent of total billed charges		279.02				other	OPPS APC	279.02				other	OPPS APC	75.59				percent of total billed charges		77.09				percent of total billed charges		279.2				other	OPPS APC	75.59	279.2	
FIXATION POST 25MM	SUP-013140	CDM			270	RC		inpatient			279.02	279.02																																																			
HC Immuno Sendout Addl	PX-300883410	CDM	88341	CPT	300	RC		outpatient			279	279	56.64				fee schedule		279				other	OPPS APC	206.46				percent of total billed charges		279				other	OPPS APC	279				other	OPPS APC	136.71				percent of total billed charges		142.29				percent of total billed charges		279				other	OPPS APC	56.64	279	
HC Immuno Sendout Addl	PX-300883410	CDM	88341	CPT	300	RC		inpatient			279	279																																																			
HC Morphometric in Situ Multiplex Prob Stai	PX-300883771	CDM	88377	CPT	300	RC		outpatient			279	165.62	136.71				percent of total billed charges		165.62				other	OPPS APC	738.42				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	136.71				percent of total billed charges		142.29				percent of total billed charges		165.62				other	OPPS APC	136.71	738.42	
HC Morphometric in Situ Multiplex Prob Stai	PX-300883771	CDM	88377	CPT	300	RC		inpatient			279	279																																																			
HC Immunoperoxidase Stain Addl	PX-310883410	CDM	88341	CPT	310	RC		outpatient			279	279	56.64				fee schedule		279				other	OPPS APC	206.46				percent of total billed charges		279				other	OPPS APC	279				other	OPPS APC	136.71				percent of total billed charges		142.29				percent of total billed charges		279				other	OPPS APC	56.64	279	
HC Immunoperoxidase Stain Addl	PX-310883410	CDM	88341	CPT	310	RC		inpatient			279	279																																																			
HC Morphometric in Situ Multiplex Prob Stai	PX-310883771	CDM	88377	CPT	310	RC		outpatient			279	165.62	136.71				percent of total billed charges		165.62				other	OPPS APC	738.42				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	136.71				percent of total billed charges		142.29				percent of total billed charges		165.62				other	OPPS APC	136.71	738.42	
HC Morphometric in Situ Multiplex Prob Stai	PX-310883771	CDM	88377	CPT	310	RC		inpatient			279	279																																																			
HC Repair Superf Wound 5.1 - 7.5 Cm	PX-450120141	CDM	12014	CPT	450	RC		outpatient			279	279	195.77				case rate		279				other	OPPS APC	206.46				percent of total billed charges		279				other	OPPS APC	279				other	OPPS APC	195.77				case rate		199.69				case rate		279				other	OPPS APC	195.77	279	
HC Repair Superf Wound 5.1 - 7.5 Cm	PX-450120141	CDM	12014	CPT	450	RC		inpatient			279	279																																																			
DRILL BIT 2.5MM QC/GOLD 180MM	SUP-97-01959	CDM			272	RC		outpatient			278.99	278.99	75.58				percent of total billed charges		278.99				other	OPPS APC	206.45				percent of total billed charges		278.99				other	OPPS APC	278.99				other	OPPS APC	75.58				percent of total billed charges		77.08				percent of total billed charges		278.99				other	OPPS APC	75.58	278.99	
DRILL BIT 2.5MM QC/GOLD 180MM	SUP-97-01959	CDM			272	RC		inpatient			278.99	278.99																																																			
DRILL BIT 2.5MM 110MM	SUP-95-02139	CDM			272	RC		outpatient			278.78	278.78	75.52				percent of total billed charges		278.78				other	OPPS APC	206.3				percent of total billed charges		278.78				other	OPPS APC	278.78				other	OPPS APC	75.52				percent of total billed charges		77.03				percent of total billed charges		278.78				other	OPPS APC	75.52	278.78	
DRILL BIT 2.5MM 110MM	SUP-95-02139	CDM			272	RC		inpatient			278.78	278.78																																																			
RETAINER SCREW PRODISC-C L12 MM OD3.5 MM SPINE NONSTERILE	SUP-03.820-102	CDM	270010022	LOCAL	270	RC		outpatient			278.52	278.52	75.45				percent of total billed charges		278.52				other	OPPS APC	206.1				percent of total billed charges		278.52				other	OPPS APC	278.52				other	OPPS APC	75.45				percent of total billed charges		76.96				percent of total billed charges		278.52				other	OPPS APC	75.45	278.52	
RETAINER SCREW PRODISC-C L12 MM OD3.5 MM SPINE NONSTERILE	SUP-03.820-102	CDM	270010022	LOCAL	270	RC		inpatient			278.52	278.52																																																			
CATHETER NPHSTM 25CM 8FR	SUP-97-01301	CDM			278	RC		outpatient			278.39	278.39	278.39				fee schedule		278.39				other	OPPS APC	158.68				percent of total billed charges		278.39				other	OPPS APC	278.39				other	OPPS APC	136.41				percent of total billed charges		141.98				percent of total billed charges		278.39				other	OPPS APC	136.41	278.39	
CATHETER NPHSTM 25CM 8FR	SUP-97-01301	CDM			278	RC		inpatient			278.39	278.39																																																			
SCREW AIRLOCK NON LOCKING 3MM X 14MM	SUP-97-04663	CDM			278	RC		outpatient			278.25	278.25	278.25				fee schedule		278.25				other	OPPS APC	158.6				percent of total billed charges		278.25				other	OPPS APC	278.25				other	OPPS APC	136.34				percent of total billed charges		141.91				percent of total billed charges		278.25				other	OPPS APC	136.34	278.25	
SCREW AIRLOCK NON LOCKING 3MM X 14MM	SUP-97-04663	CDM			278	RC		inpatient			278.25	278.25																																																			
SCREW AIRLOCK NON-LOCKING 3MM X 12MM	SUP-97-04666	CDM			278	RC		outpatient			278.25	278.25	278.25				fee schedule		278.25				other	OPPS APC	158.6				percent of total billed charges		278.25				other	OPPS APC	278.25				other	OPPS APC	136.34				percent of total billed charges		141.91				percent of total billed charges		278.25				other	OPPS APC	136.34	278.25	
SCREW AIRLOCK NON-LOCKING 3MM X 12MM	SUP-97-04666	CDM			278	RC		inpatient			278.25	278.25																																																			
PLUG SURGICAL PERFIX MED TAPER 1.3IN 1.55IN POLYPROPYLENE STERILE GROIN MONOFILAMENT NONABSORBABLE HERNIA REPAIR	SUP-0112760	CDM			270	RC		outpatient			278.2	278.2	75.36				percent of total billed charges		278.2				other	OPPS APC	205.87				percent of total billed charges		278.2				other	OPPS APC	278.2				other	OPPS APC	75.36				percent of total billed charges		76.87				percent of total billed charges		278.2				other	OPPS APC	75.36	278.2	
PLUG SURGICAL PERFIX MED TAPER 1.3IN 1.55IN POLYPROPYLENE STERILE GROIN MONOFILAMENT NONABSORBABLE HERNIA REPAIR	SUP-0112760	CDM			270	RC		inpatient			278.2	278.2																																																			
MESH BARD PERFIX BARD POLYPROPYLENE LARGE L1.6 IN X W 1.9 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR	SUP-0112970	CDM			270	RC		outpatient			278.2	278.2	75.36				percent of total billed charges		278.2				other	OPPS APC	205.87				percent of total billed charges		278.2				other	OPPS APC	278.2				other	OPPS APC	75.36				percent of total billed charges		76.87				percent of total billed charges		278.2				other	OPPS APC	75.36	278.2	
MESH BARD PERFIX BARD POLYPROPYLENE LARGE L1.6 IN X W 1.9 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR	SUP-0112970	CDM			270	RC		inpatient			278.2	278.2																																																			
ACTIVA PEDO	SUP-3840164	CDM	27000000	LOCAL	270	RC		outpatient			277.98	277.98	75.3				percent of total billed charges		277.98				other	OPPS APC	205.71				percent of total billed charges		277.98				other	OPPS APC	277.98				other	OPPS APC	75.3				percent of total billed charges		76.81				percent of total billed charges		277.98				other	OPPS APC	75.3	277.98	
ACTIVA PEDO	SUP-3840164	CDM	27000000	LOCAL	270	RC		inpatient			277.98	277.98																																																			
PLATE LOW PROFILE 8 HOLE	SUP-5305804	CDM			270	RC		outpatient			277.5	277.5	75.17				percent of total billed charges		277.5				other	OPPS APC	205.35				percent of total billed charges		277.5				other	OPPS APC	277.5				other	OPPS APC	75.17				percent of total billed charges		76.67				percent of total billed charges		277.5				other	OPPS APC	75.17	277.5	
PLATE LOW PROFILE 8 HOLE	SUP-5305804	CDM			270	RC		inpatient			277.5	277.5																																																			
DRILL BIT 3.2MM	SUP-97-01540	CDM			272	RC		outpatient			277.41	277.41	75.15				percent of total billed charges		277.41				other	OPPS APC	205.28				percent of total billed charges		277.41				other	OPPS APC	277.41				other	OPPS APC	75.15				percent of total billed charges		76.65				percent of total billed charges		277.41				other	OPPS APC	75.15	277.41	
DRILL BIT 3.2MM	SUP-97-01540	CDM			272	RC		inpatient			277.41	277.41																																																			
NEEDLE ENDOSCOPIC SUERTRAX 130CM 21GA 1.8MM CLEAR ASPIRATE EXTEND WORKING CHANNEL CATHETER	SUP-AKI00101-01	CDM						inpatient			277.2	277.2																																																			
NEEDLE ENDOSCOPIC SUERTRAX 130CM 21GA 1.8MM CLEAR ASPIRATE EXTEND WORKING CHANNEL CATHETER	SUP-AKI00101-01	CDM						outpatient			277.2	277.2	277.2				percent of total billed charges		277.2				other	OPPS APC	277.2				fee schedule		277.2				other	OPPS APC	277.2				other	OPPS APC	277.2				case rate		277.2				case rate		277.2				other	OPPS APC	277.2	277.2	
HC Pregnancy Exam Multiple Gestation	PX-402768100	CDM	76810	CPT	402	RC		inpatient			277	277																																																			
HC Pregnancy Exam Multiple Gestation	PX-402768100	CDM	76810	CPT	402	RC		outpatient			277	277	98.73				fee schedule						other	OPPS APC	231.26				fee schedule						other	OPPS APC					other	OPPS APC	88.5				fee schedule		41.59				fee schedule						other	OPPS APC	231.26	231.26	
HC US  Pregnant Uterus  Transvaginal	PX-402768170	CDM	76817	CPT	402	RC		outpatient			277	112.57	103.67				fee schedule		112.57				other	OPPS APC	236.93				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	93.19				fee schedule		57.24				fee schedule		112.57				other	OPPS APC	57.24	236.93	
HC US  Pregnant Uterus  Transvaginal	PX-402768170	CDM	76817	CPT	402	RC		inpatient			277	277																																																			
VCARE PLUS MED 34MM CERVICAL CUP	SUP-81-00016	CDM			272	RC		outpatient			276.99	276.99	75.04				percent of total billed charges		276.99				other	OPPS APC	204.97				percent of total billed charges		276.99				other	OPPS APC	276.99				other	OPPS APC	75.04				percent of total billed charges		76.53				percent of total billed charges		276.99				other	OPPS APC	75.04	276.99	
VCARE PLUS MED 34MM CERVICAL CUP	SUP-81-00016	CDM			272	RC		inpatient			276.99	276.99																																																			
VCARE PLUS LG 37MM CERVICAL CUP	SUP-81-00017	CDM			272	RC		outpatient			276.99	276.99	75.04				percent of total billed charges		276.99				other	OPPS APC	204.97				percent of total billed charges		276.99				other	OPPS APC	276.99				other	OPPS APC	75.04				percent of total billed charges		76.53				percent of total billed charges		276.99				other	OPPS APC	75.04	276.99	
VCARE PLUS LG 37MM CERVICAL CUP	SUP-81-00017	CDM			272	RC		inpatient			276.99	276.99																																																			
VCARE PLUS SM 32MM CERVICAL CUP	SUP-81-00018	CDM			272	RC		outpatient			276.99	276.99	75.04				percent of total billed charges		276.99				other	OPPS APC	204.97				percent of total billed charges		276.99				other	OPPS APC	276.99				other	OPPS APC	75.04				percent of total billed charges		76.53				percent of total billed charges		276.99				other	OPPS APC	75.04	276.99	
VCARE PLUS SM 32MM CERVICAL CUP	SUP-81-00018	CDM			272	RC		inpatient			276.99	276.99																																																			
CATHETER - JL 4.5 6F	SUP-99-00183	CDM			272	RC		outpatient			276.85	276.85	75				percent of total billed charges		276.85				other	OPPS APC	204.87				percent of total billed charges		276.85				other	OPPS APC	276.85				other	OPPS APC	75				percent of total billed charges		76.49				percent of total billed charges		276.85				other	OPPS APC	75	276.85	
CATHETER - JL 4.5 6F	SUP-99-00183	CDM			272	RC		inpatient			276.85	276.85																																																			
TOOL DISSECTING MIDAS REX LEGEND TAPER FLUTE L8 CM L6.4 MM OD1.1 MM	SUP-8TA11_57642	CDM			270	RC		outpatient			276.66	276.66	74.95				percent of total billed charges		276.66				other	OPPS APC	204.73				percent of total billed charges		276.66				other	OPPS APC	276.66				other	OPPS APC	74.95				percent of total billed charges		76.44				percent of total billed charges		276.66				other	OPPS APC	74.95	276.66	
TOOL DISSECTING MIDAS REX LEGEND TAPER FLUTE L8 CM L6.4 MM OD1.1 MM	SUP-8TA11_57642	CDM			270	RC		inpatient			276.66	276.66																																																			
DRILL TWIST MIDAS REX LEGEND L8 CM L4 MM OD1 MM STOP STERILE	SUP-8TD104	CDM	270010028	LOCAL	270	RC		outpatient			276.66	276.66	74.95				percent of total billed charges		276.66				other	OPPS APC	204.73				percent of total billed charges		276.66				other	OPPS APC	276.66				other	OPPS APC	74.95				percent of total billed charges		76.44				percent of total billed charges		276.66				other	OPPS APC	74.95	276.66	
DRILL TWIST MIDAS REX LEGEND L8 CM L4 MM OD1 MM STOP STERILE	SUP-8TD104	CDM	270010028	LOCAL	270	RC		inpatient			276.66	276.66																																																			
TOOL DISSECTING MR8 TAPER L7 CM OD1.1 MM	SUP-MR8-7TA11	CDM			270	RC		outpatient			276.66	276.66	74.95				percent of total billed charges		276.66				other	OPPS APC	204.73				percent of total billed charges		276.66				other	OPPS APC	276.66				other	OPPS APC	74.95				percent of total billed charges		76.44				percent of total billed charges		276.66				other	OPPS APC	74.95	276.66	
TOOL DISSECTING MR8 TAPER L7 CM OD1.1 MM	SUP-MR8-7TA11	CDM			270	RC		inpatient			276.66	276.66																																																			
TOOL DISSECTING MR8 L7 CM L4 MM OD1 MM TWIST DRILL	SUP-MR8-7TD104	CDM			270	RC		outpatient			276.66	276.66	74.95				percent of total billed charges		276.66				other	OPPS APC	204.73				percent of total billed charges		276.66				other	OPPS APC	276.66				other	OPPS APC	74.95				percent of total billed charges		76.44				percent of total billed charges		276.66				other	OPPS APC	74.95	276.66	
TOOL DISSECTING MR8 L7 CM L4 MM OD1 MM TWIST DRILL	SUP-MR8-7TD104	CDM			270	RC		inpatient			276.66	276.66																																																			
STAPLE SPIKED 8MM X 20MM	SUP-95-02899	CDM			278	RC		outpatient			276.5	276.5	276.5				fee schedule		276.5				other	OPPS APC	157.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	135.49				percent of total billed charges		141.02				percent of total billed charges		276.5				other	OPPS APC	135.49	276.5	
STAPLE SPIKED 8MM X 20MM	SUP-95-02899	CDM			278	RC		inpatient			276.5	276.5																																																			
DRILL BIT  4.5MM	SUP-95-03729	CDM			272	RC		outpatient			276.5	276.5	74.9				percent of total billed charges		276.5				other	OPPS APC	204.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	74.9				percent of total billed charges		76.4				percent of total billed charges		276.5				other	OPPS APC	74.9	276.5	
DRILL BIT  4.5MM	SUP-95-03729	CDM			272	RC		inpatient			276.5	276.5																																																			
DRILL BIT 1.7MM	SUP-95-05184	CDM			272	RC		outpatient			276.5	276.5	74.9				percent of total billed charges		276.5				other	OPPS APC	204.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	74.9				percent of total billed charges		76.4				percent of total billed charges		276.5				other	OPPS APC	74.9	276.5	
DRILL BIT 1.7MM	SUP-95-05184	CDM			272	RC		inpatient			276.5	276.5																																																			
ADAPTER	SUP-95-23325	CDM			272	RC		outpatient			276.5	276.5	74.9				percent of total billed charges		276.5				other	OPPS APC	204.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	74.9				percent of total billed charges		76.4				percent of total billed charges		276.5				other	OPPS APC	74.9	276.5	
ADAPTER	SUP-95-23325	CDM			272	RC		inpatient			276.5	276.5																																																			
DRILL BIT 3.5MM	SUP-97-01553	CDM			272	RC		outpatient			276.5	276.5	74.9				percent of total billed charges		276.5				other	OPPS APC	204.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	74.9				percent of total billed charges		76.4				percent of total billed charges		276.5				other	OPPS APC	74.9	276.5	
DRILL BIT 3.5MM	SUP-97-01553	CDM			272	RC		inpatient			276.5	276.5																																																			
DRILL BIT1.7MM AO	SUP-97-02365	CDM			272	RC		outpatient			276.5	276.5	74.9				percent of total billed charges		276.5				other	OPPS APC	204.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	74.9				percent of total billed charges		76.4				percent of total billed charges		276.5				other	OPPS APC	74.9	276.5	
DRILL BIT1.7MM AO	SUP-97-02365	CDM			272	RC		inpatient			276.5	276.5																																																			
GUIDEWIRE - V-18	SUP-99-02262	CDM			272	RC		outpatient			276.5	276.5	74.9				percent of total billed charges		276.5				other	OPPS APC	204.61				percent of total billed charges		276.5				other	OPPS APC	276.5				other	OPPS APC	74.9				percent of total billed charges		76.4				percent of total billed charges		276.5				other	OPPS APC	74.9	276.5	
GUIDEWIRE - V-18	SUP-99-02262	CDM			272	RC		inpatient			276.5	276.5																																																			
ENDO SUCTION/IRRIGATION W/TUBING STRYKER	SUP-76-00170	CDM			272	RC		outpatient			276.43	276.43	74.88				percent of total billed charges		276.43				other	OPPS APC	204.56				percent of total billed charges		276.43				other	OPPS APC	276.43				other	OPPS APC	74.88				percent of total billed charges		76.38				percent of total billed charges		276.43				other	OPPS APC	74.88	276.43	
ENDO SUCTION/IRRIGATION W/TUBING STRYKER	SUP-76-00170	CDM			272	RC		inpatient			276.43	276.43																																																			
TRAY PACK 8	SUP-12-00033	CDM			272	RC		outpatient			276.18	276.18	74.82				percent of total billed charges		276.18				other	OPPS APC	204.37				percent of total billed charges		276.18				other	OPPS APC	276.18				other	OPPS APC	74.82				percent of total billed charges		76.31				percent of total billed charges		276.18				other	OPPS APC	74.82	276.18	
TRAY PACK 8	SUP-12-00033	CDM			272	RC		inpatient			276.18	276.18																																																			
GRAFT PP MACRO 20X20CM	SUP-97-02686	CDM			278	RC		outpatient			276.12	276.12	276.12				fee schedule		276.12				other	OPPS APC	157.39				percent of total billed charges		276.12				other	OPPS APC	276.12				other	OPPS APC	135.3				percent of total billed charges		140.82				percent of total billed charges		276.12				other	OPPS APC	135.3	276.12	
GRAFT PP MACRO 20X20CM	SUP-97-02686	CDM			278	RC		inpatient			276.12	276.12																																																			
HC Sinuses	PX-320702100	CDM	70210	CPT	320	RC		outpatient			276	91.5	31.8				fee schedule		91.5				other	OPPS APC	82.05				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.39				fee schedule		23.95				fee schedule		91.5				other	OPPS APC	23.95	91.5	
HC Sinuses	PX-320702100	CDM	70210	CPT	320	RC		inpatient			276	276																																																			
HC Repair Superf.Wound 2.6 - 7.5 Cm	PX-450120021	CDM	12002	CPT	450	RC		outpatient			276	276	195.77				case rate		276				other	OPPS APC	204.24				percent of total billed charges		276				other	OPPS APC	276				other	OPPS APC	195.77				case rate		199.69				case rate		276				other	OPPS APC	195.77	276	
HC Repair Superf.Wound 2.6 - 7.5 Cm	PX-450120021	CDM	12002	CPT	450	RC		inpatient			276	276																																																			
HC Repair Superf.Wound 7.6 - 12.5 Cm	PX-450120041	CDM	12004	CPT	450	RC		outpatient			276	276	195.77				case rate		276				other	OPPS APC	204.24				percent of total billed charges		276				other	OPPS APC	276				other	OPPS APC	195.77				case rate		199.69				case rate		276				other	OPPS APC	195.77	276	
HC Repair Superf.Wound 7.6 - 12.5 Cm	PX-450120041	CDM	12004	CPT	450	RC		inpatient			276	276																																																			
HC Repair Superf Wound 2.5 Cm or Less	PX-450120111	CDM	12011	CPT	450	RC		outpatient			276	276	195.77				case rate		276				other	OPPS APC	204.24				percent of total billed charges		276				other	OPPS APC	276				other	OPPS APC	195.77				case rate		199.69				case rate		276				other	OPPS APC	195.77	276	
HC Repair Superf Wound 2.5 Cm or Less	PX-450120111	CDM	12011	CPT	450	RC		inpatient			276	276																																																			
HC Repair Superf Wound 2.6 - 5.0 Cm	PX-450120131	CDM	12013	CPT	450	RC		outpatient			276	276	195.77				case rate		276				other	OPPS APC	204.24				percent of total billed charges		276				other	OPPS APC	276				other	OPPS APC	195.77				case rate		199.69				case rate		276				other	OPPS APC	195.77	276	
HC Repair Superf Wound 2.6 - 5.0 Cm	PX-450120131	CDM	12013	CPT	450	RC		inpatient			276	276																																																			
SCREW BONE LOW PROFILE SCREWS 2.5MM PARTIAL THREAD 28MM 3MM TITANIUM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED	SUP-AR-8933-28PT	CDM			270	RC		outpatient			276	276	74.77				percent of total billed charges		276				other	OPPS APC	204.24				percent of total billed charges		276				other	OPPS APC	276				other	OPPS APC	74.77				percent of total billed charges		76.26				percent of total billed charges		276				other	OPPS APC	74.77	276	
SCREW BONE LOW PROFILE SCREWS 2.5MM PARTIAL THREAD 28MM 3MM TITANIUM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED	SUP-AR-8933-28PT	CDM			270	RC		inpatient			276	276																																																			
STENT BILIARY SOLUS .035 IN 2 PIGTAIL CURVE L5 CM L210 CM OD10 FR ODSEC5 FR INTRODUCER GUIDING CATHETER TRACER METRO DIRECT GUIDEWIRE STERILE DISPOSABLE PURPLE	SUP-G25672	CDM			270	RC		outpatient			276	276	74.77				percent of total billed charges		276				other	OPPS APC	204.24				percent of total billed charges		276				other	OPPS APC	276				other	OPPS APC	74.77				percent of total billed charges		76.26				percent of total billed charges		276				other	OPPS APC	74.77	276	
STENT BILIARY SOLUS .035 IN 2 PIGTAIL CURVE L5 CM L210 CM OD10 FR ODSEC5 FR INTRODUCER GUIDING CATHETER TRACER METRO DIRECT GUIDEWIRE STERILE DISPOSABLE PURPLE	SUP-G25672	CDM			270	RC		inpatient			276	276																																																			
CLIP APPLIER LAPAROSCOPIC LARGE	SUP-76-00157	CDM			272	RC		outpatient			275.71	275.8	74.69				percent of total billed charges		275.71				other	OPPS APC	204.03				percent of total billed charges		275.71				other	OPPS APC	275.71				other	OPPS APC	74.69				percent of total billed charges		76.18				percent of total billed charges		275.8				other	OPPS APC	74.69	275.8	
CLIP APPLIER LAPAROSCOPIC LARGE	SUP-76-00157	CDM			272	RC		inpatient			275.71	275.71																																																			
BURR ROUND FLUTED SOFT TOUCH 2.0 MM	SUP-5820010120	CDM			270	RC		outpatient			275.46	275.46	74.62				percent of total billed charges		275.46				other	OPPS APC	203.84				percent of total billed charges		275.46				other	OPPS APC	275.46				other	OPPS APC	74.62				percent of total billed charges		76.11				percent of total billed charges		275.46				other	OPPS APC	74.62	275.46	
BURR ROUND FLUTED SOFT TOUCH 2.0 MM	SUP-5820010120	CDM			270	RC		inpatient			275.46	275.46																																																			
BURR DIAMOND ROUND 3.0 MM	SUP-5820012030	CDM			270	RC		outpatient			275.46	275.46	74.62				percent of total billed charges		275.46				other	OPPS APC	203.84				percent of total billed charges		275.46				other	OPPS APC	275.46				other	OPPS APC	74.62				percent of total billed charges		76.11				percent of total billed charges		275.46				other	OPPS APC	74.62	275.46	
BURR DIAMOND ROUND 3.0 MM	SUP-5820012030	CDM			270	RC		inpatient			275.46	275.46																																																			
BURR 4.0MM ROUND DIAMOND	SUP-5820-012-040D	CDM			270	RC		outpatient			275.46	275.46	74.62				percent of total billed charges		275.46				other	OPPS APC	203.84				percent of total billed charges		275.46				other	OPPS APC	275.46				other	OPPS APC	74.62				percent of total billed charges		76.11				percent of total billed charges		275.46				other	OPPS APC	74.62	275.46	
BURR 4.0MM ROUND DIAMOND	SUP-5820-012-040D	CDM			270	RC		inpatient			275.46	275.46																																																			
BARREL 4.0MM	SUP-5820017040	CDM			270	RC		outpatient			275.46	275.46	74.62				percent of total billed charges		275.46				other	OPPS APC	203.84				percent of total billed charges		275.46				other	OPPS APC	275.46				other	OPPS APC	74.62				percent of total billed charges		76.11				percent of total billed charges		275.46				other	OPPS APC	74.62	275.46	
BARREL 4.0MM	SUP-5820017040	CDM			270	RC		inpatient			275.46	275.46																																																			
HEAD MATCH 3.0MM PRECISION NEURO	SUP-5820-107-530	CDM			270	RC		outpatient			275.46	275.46	74.62				percent of total billed charges		275.46				other	OPPS APC	203.84				percent of total billed charges		275.46				other	OPPS APC	275.46				other	OPPS APC	74.62				percent of total billed charges		76.11				percent of total billed charges		275.46				other	OPPS APC	74.62	275.46	
HEAD MATCH 3.0MM PRECISION NEURO	SUP-5820-107-530	CDM			270	RC		inpatient			275.46	275.46																																																			
HC Z NM Tc99m Tag Rrc per Dose 30mci	PX-343095600	CDM			343	RC		outpatient			275.44	275.44	67.12				percent of total billed charges		275.44				other	OPPS APC	203.83				percent of total billed charges		275.44				other	OPPS APC	275.44				other	OPPS APC	67.12				percent of total billed charges		68.47				percent of total billed charges		275.44				other	OPPS APC	67.12	275.44	
HC Z NM Tc99m Tag Rrc per Dose 30mci	PX-343095600	CDM			343	RC		inpatient			275.44	275.44																																																			
CATH PROTECTIV PLUS IV 20 X 1	SUP-20-00074	CDM			272	RC		outpatient			275.25	275.25	74.57				percent of total billed charges		275.25				other	OPPS APC	203.69				percent of total billed charges		275.25				other	OPPS APC	275.25				other	OPPS APC	74.57				percent of total billed charges		76.05				percent of total billed charges		275.25				other	OPPS APC	74.57	275.25	
CATH PROTECTIV PLUS IV 20 X 1	SUP-20-00074	CDM			272	RC		inpatient			275.25	275.25																																																			
KNIFE EYE 3.5MM	SUP-8065993561	CDM			270	RC		outpatient			275.22	275.22	74.56				percent of total billed charges		275.22				other	OPPS APC	203.66				percent of total billed charges		275.22				other	OPPS APC	275.22				other	OPPS APC	74.56				percent of total billed charges		76.04				percent of total billed charges		275.22				other	OPPS APC	74.56	275.22	
KNIFE EYE 3.5MM	SUP-8065993561	CDM			270	RC		inpatient			275.22	275.22																																																			
HC Aep Scr Auditory Potential W/Stimuli Auto Alysl	PX-471926500	CDM	92650	CPT	471	RC		outpatient			275.18	275.18	134.84				percent of total billed charges		275.18				other	OPPS APC	208.79				fee schedule		275.18				other	OPPS APC	275.18				other	OPPS APC	27.71				fee schedule		140.34				percent of total billed charges		275.18				other	OPPS APC	27.71	275.18	
HC Aep Scr Auditory Potential W/Stimuli Auto Alysl	PX-471926500	CDM	92650	CPT	471	RC		inpatient			275.18	275.18																																																			
HC Anesthesia Lo/Reg 0-30 Mins	PX-370000001	CDM	370000001	LOCAL	370	RC		outpatient			275	275	77.61				percent of total billed charges		275				other	OPPS APC	203.5				percent of total billed charges		275				other	OPPS APC	275				other	OPPS APC	77.61				percent of total billed charges		79.15				percent of total billed charges		275				other	OPPS APC	77.61	275	
HC Anesthesia Lo/Reg 0-30 Mins	PX-370000001	CDM	370000001	LOCAL	370	RC		inpatient			275	275																																																			
HC ER Level II	PX-450992821	CDM	99282	CPT	450	RC		outpatient			275	275	195.77				case rate		275				other	OPPS APC	350				case rate		275				other	OPPS APC	275				other	OPPS APC	195.77				case rate		199.69				case rate		275				other	OPPS APC	195.77	350	
HC ER Level II	PX-450992821	CDM	99282	CPT	450	RC		inpatient			275	275																																																			
HC MC Bh Psych Assessment	PX-900907919	CDM	90791	CPT	900	RC		outpatient			275	153.45	132.93				fee schedule		153.45				other	OPPS APC	203.5				percent of total billed charges		153.45				other	OPPS APC	153.45				other	OPPS APC	148.59				fee schedule		140.25				percent of total billed charges		153.45				other	OPPS APC	132.93	203.5	
HC MC Bh Psych Assessment	PX-900907919	CDM	90791	CPT	900	RC		inpatient			275	275																																																			
APREPITANT PER 5 MG	637000000	CDM	0781-2321-06	NDC	A9270	HCPCS		inpatient			274.85	274.85																																																			
APREPITANT PER 5 MG	637000000	CDM	68462-583-40	NDC	A9270	HCPCS		inpatient			274.85	274.85																																																			
APREPITANT PER 5 MG	637000000	CDM	0781-2321-06	NDC	A9270	HCPCS		outpatient			274.85	274.85																																															other	OPPS APC			
APREPITANT PER 5 MG	637000000	CDM	68462-583-40	NDC	A9270	HCPCS		outpatient			274.85	274.85																																															other	OPPS APC			
STAPLER 60MM	SUP-74-00068	CDM			272	RC		outpatient			274.84	274.84	74.45				percent of total billed charges		274.84				other	OPPS APC	203.38				percent of total billed charges		274.84				other	OPPS APC	274.84				other	OPPS APC	74.45				percent of total billed charges		75.94				percent of total billed charges		274.84				other	OPPS APC	74.45	274.84	
STAPLER 60MM	SUP-74-00068	CDM			272	RC		inpatient			274.84	274.84																																																			
THREADED GUIDE WIRE 1.4X1.5MM	SUP-97-03182	CDM			272	RC		outpatient			274.75	274.75	74.43				percent of total billed charges		274.75				other	OPPS APC	203.32				percent of total billed charges		274.75				other	OPPS APC	274.75				other	OPPS APC	74.43				percent of total billed charges		75.91				percent of total billed charges		274.75				other	OPPS APC	74.43	274.75	
THREADED GUIDE WIRE 1.4X1.5MM	SUP-97-03182	CDM			272	RC		inpatient			274.75	274.75																																																			
SUTURE ENDOSTITCH VLOCA008L	SUP-97-02707	CDM			272	RC		outpatient			274.73	274.73	74.42				percent of total billed charges		274.73				other	OPPS APC	203.3				percent of total billed charges		274.73				other	OPPS APC	274.73				other	OPPS APC	74.42				percent of total billed charges		75.91				percent of total billed charges		274.73				other	OPPS APC	74.42	274.73	
SUTURE ENDOSTITCH VLOCA008L	SUP-97-02707	CDM			272	RC		inpatient			274.73	274.73																																																			
MESH BARD PERFIX BARD POLYPROPYLENE MEDIUM L1.55 IN X W 1.3 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR	SUP-0112960	CDM			270	RC		outpatient			274.2	274.2	74.28				percent of total billed charges		274.2				other	OPPS APC	202.91				percent of total billed charges		274.2				other	OPPS APC	274.2				other	OPPS APC	74.28				percent of total billed charges		75.76				percent of total billed charges		274.2				other	OPPS APC	74.28	274.2	
MESH BARD PERFIX BARD POLYPROPYLENE MEDIUM L1.55 IN X W 1.3 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR	SUP-0112960	CDM			270	RC		inpatient			274.2	274.2																																																			
HC Rt Blood Gas Puncture	PX-460366000	CDM	36600	CPT	460	RC		outpatient			274	122.29	31.61				fee schedule		122.29				other	OPPS APC	202.76				percent of total billed charges		122.29				other	OPPS APC	122.29				other	OPPS APC	14.67				fee schedule		139.74				percent of total billed charges		122.29				other	OPPS APC	14.67	202.76	
HC Rt Blood Gas Puncture	PX-460366000	CDM	36600	CPT	460	RC		inpatient			274	274																																																			
SCREW BONE TITANIUM L12 MM OD3.5 MM CORTEX LOCK HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0234	CDM			270	RC		outpatient			274	274	74.23				percent of total billed charges		274				other	OPPS APC	202.76				percent of total billed charges		274				other	OPPS APC	274				other	OPPS APC	74.23				percent of total billed charges		75.71				percent of total billed charges		274				other	OPPS APC	74.23	274	
SCREW BONE TITANIUM L12 MM OD3.5 MM CORTEX LOCK HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0234	CDM			270	RC		inpatient			274	274																																																			
SCREW BONE TITANIUM L14 MM OD3.5 MM CORTEX LOCK HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0235	CDM			270	RC		outpatient			274	274	74.23				percent of total billed charges		274				other	OPPS APC	202.76				percent of total billed charges		274				other	OPPS APC	274				other	OPPS APC	74.23				percent of total billed charges		75.71				percent of total billed charges		274				other	OPPS APC	74.23	274	
SCREW BONE TITANIUM L14 MM OD3.5 MM CORTEX LOCK HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0235	CDM			270	RC		inpatient			274	274																																																			
RELOAD STAPLER ECHELON FLEX ENDOPATH 4.1MM 45MM 2MM GREEN SS DISPOSABLE STERILE LF THICK TISSUE 6 ROW	SUP-ECR45G	CDM			270	RC		outpatient			273.95	273.95	74.21				percent of total billed charges		273.95				other	OPPS APC	202.72				percent of total billed charges		273.95				other	OPPS APC	273.95				other	OPPS APC	74.21				percent of total billed charges		75.69				percent of total billed charges		273.95				other	OPPS APC	74.21	273.95	
RELOAD STAPLER ECHELON FLEX ENDOPATH 4.1MM 45MM 2MM GREEN SS DISPOSABLE STERILE LF THICK TISSUE 6 ROW	SUP-ECR45G	CDM			270	RC		inpatient			273.95	273.95																																																			
SCREW BONE T15 FULL THREAD 95MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.331	CDM	270010022	LOCAL	270	RC		outpatient			273.9	273.9	74.2				percent of total billed charges		273.9				other	OPPS APC	202.69				percent of total billed charges		273.9				other	OPPS APC	273.9				other	OPPS APC	74.2				percent of total billed charges		75.68				percent of total billed charges		273.9				other	OPPS APC	74.2	273.9	
SCREW BONE T15 FULL THREAD 95MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.331	CDM	270010022	LOCAL	270	RC		inpatient			273.9	273.9																																																			
SCREW BONE T15 PARTIAL THREAD 80MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.428	CDM	270010022	LOCAL	270	RC		outpatient			273.9	273.9	74.2				percent of total billed charges		273.9				other	OPPS APC	202.69				percent of total billed charges		273.9				other	OPPS APC	273.9				other	OPPS APC	74.2				percent of total billed charges		75.68				percent of total billed charges		273.9				other	OPPS APC	74.2	273.9	
SCREW BONE T15 PARTIAL THREAD 80MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.428	CDM	270010022	LOCAL	270	RC		inpatient			273.9	273.9																																																			
SCREW BONE T15 PARTIAL THREAD 85MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.429	CDM	270010022	LOCAL	270	RC		outpatient			273.9	273.9	74.2				percent of total billed charges		273.9				other	OPPS APC	202.69				percent of total billed charges		273.9				other	OPPS APC	273.9				other	OPPS APC	74.2				percent of total billed charges		75.68				percent of total billed charges		273.9				other	OPPS APC	74.2	273.9	
SCREW BONE T15 PARTIAL THREAD 85MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.429	CDM	270010022	LOCAL	270	RC		inpatient			273.9	273.9																																																			
SCREW BONE T15 PARTIAL THREAD 90MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.430	CDM	270010022	LOCAL	270	RC		outpatient			273.9	273.9	74.2				percent of total billed charges		273.9				other	OPPS APC	202.69				percent of total billed charges		273.9				other	OPPS APC	273.9				other	OPPS APC	74.2				percent of total billed charges		75.68				percent of total billed charges		273.9				other	OPPS APC	74.2	273.9	
SCREW BONE T15 PARTIAL THREAD 90MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.430	CDM	270010022	LOCAL	270	RC		inpatient			273.9	273.9																																																			
SCREW BONE T15 PARTIAL THREAD 95MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.431	CDM	270010022	LOCAL	270	RC		outpatient			273.9	273.9	74.2				percent of total billed charges		273.9				other	OPPS APC	202.69				percent of total billed charges		273.9				other	OPPS APC	273.9				other	OPPS APC	74.2				percent of total billed charges		75.68				percent of total billed charges		273.9				other	OPPS APC	74.2	273.9	
SCREW BONE T15 PARTIAL THREAD 95MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.431	CDM	270010022	LOCAL	270	RC		inpatient			273.9	273.9																																																			
SCREW BONE LOCKING SELF TAPPING WITH T8 STARDRIVE RECESS STAINLESS STEEL 2.7 X 10MM	SUP-202.21	CDM	270010022	LOCAL	270	RC		outpatient			273.6	273.62	74.12				percent of total billed charges		273.6				other	OPPS APC	202.46				percent of total billed charges		273.6				other	OPPS APC	273.6				other	OPPS APC	74.12				percent of total billed charges		75.6				percent of total billed charges		273.62				other	OPPS APC	74.12	273.62	
SCREW BONE LOCKING SELF TAPPING WITH T8 STARDRIVE RECESS STAINLESS STEEL 2.7 X 10MM	SUP-202.21	CDM	270010022	LOCAL	270	RC		inpatient			273.6	273.6																																																			
SCREW BONE 2.7MM 20MM LCP SS T8 SM BONE LOCK SELF TAP SELF RETAINING STARDRIVE	SUP-202.220	CDM	270010022	LOCAL	270	RC		outpatient			273.6	273.62	74.12				percent of total billed charges		273.6				other	OPPS APC	202.46				percent of total billed charges		273.6				other	OPPS APC	273.6				other	OPPS APC	74.12				percent of total billed charges		75.6				percent of total billed charges		273.62				other	OPPS APC	74.12	273.62	
SCREW BONE 2.7MM 20MM LCP SS T8 SM BONE LOCK SELF TAP SELF RETAINING STARDRIVE	SUP-202.220	CDM	270010022	LOCAL	270	RC		inpatient			273.6	273.6																																																			
ELECTRODES  ADULT	SUP-26-00004	CDM			272	RC		outpatient			273.39	273.39	74.06				percent of total billed charges		273.39				other	OPPS APC	202.31				percent of total billed charges		273.39				other	OPPS APC	273.39				other	OPPS APC	74.06				percent of total billed charges		75.54				percent of total billed charges		273.39				other	OPPS APC	74.06	273.39	
ELECTRODES  ADULT	SUP-26-00004	CDM			272	RC		inpatient			273.39	273.39																																																			
ANCHOR TISSUE RETRIEVAL BAG W/15MM INTRODUCER	SUP-TRS-175S-B2	CDM			270	RC		outpatient			273.33	273.33	74.05				percent of total billed charges		273.33				other	OPPS APC	202.26				percent of total billed charges		273.33				other	OPPS APC	273.33				other	OPPS APC	74.05				percent of total billed charges		75.52				percent of total billed charges		273.33				other	OPPS APC	74.05	273.33	
ANCHOR TISSUE RETRIEVAL BAG W/15MM INTRODUCER	SUP-TRS-175S-B2	CDM			270	RC		inpatient			273.33	273.33																																																			
PASSER SURGICAL UNI-SHUNT ADULT XL L65 CM PERITONEUM CATHETER MALLEABLE STERILE LATEX FREE DISPSABLE HYDROCEPHALUS SHUNT SYSTEM	SUP-821517	CDM			270	RC		outpatient			273.28	273.28	74.03				percent of total billed charges		273.28				other	OPPS APC	202.23				percent of total billed charges		273.28				other	OPPS APC	273.28				other	OPPS APC	74.03				percent of total billed charges		75.51				percent of total billed charges		273.28				other	OPPS APC	74.03	273.28	
PASSER SURGICAL UNI-SHUNT ADULT XL L65 CM PERITONEUM CATHETER MALLEABLE STERILE LATEX FREE DISPSABLE HYDROCEPHALUS SHUNT SYSTEM	SUP-821517	CDM			270	RC		inpatient			273.28	273.28																																																			
SYNTHES SAW BLADE 68MM	SUP-97-00194	CDM			272	RC		outpatient			273.07	273.7	73.97				percent of total billed charges		273.07				other	OPPS APC	202.07				percent of total billed charges		273.07				other	OPPS APC	273.07				other	OPPS APC	73.97				percent of total billed charges		75.45				percent of total billed charges		273.7				other	OPPS APC	73.97	273.7	
SYNTHES SAW BLADE 68MM	SUP-97-00194	CDM			272	RC		inpatient			273.07	273.07																																																			
HC Ultrasound Guide Needle Place	PX-402769420	CDM	76942	CPT	402	RC		outpatient			273	273	74.54				fee schedule		273				other	OPPS APC	351.71				fee schedule		273				other	OPPS APC	273				other	OPPS APC	58.07				fee schedule		27.94				fee schedule		273				other	OPPS APC	27.94	351.71	
HC Ultrasound Guide Needle Place	PX-402769420	CDM	76942	CPT	402	RC		inpatient			273	273																																																			
HC Vl Psa Injection U/S Guide	PX-402769421	CDM	76942	CPT	402	RC		outpatient			273	273	74.54				fee schedule		273				other	OPPS APC	351.71				fee schedule		273				other	OPPS APC	273				other	OPPS APC	58.07				fee schedule		27.94				fee schedule		273				other	OPPS APC	27.94	351.71	
HC Vl Psa Injection U/S Guide	PX-402769421	CDM	76942	CPT	402	RC		inpatient			273	273																																																			
HC Liver Bx - US Guide	PX-402769422	CDM	76942	CPT	402	RC		outpatient			273	273	74.54				fee schedule		273				other	OPPS APC	351.71				fee schedule		273				other	OPPS APC	273				other	OPPS APC	58.07				fee schedule		27.94				fee schedule		273				other	OPPS APC	27.94	351.71	
HC Liver Bx - US Guide	PX-402769422	CDM	76942	CPT	402	RC		inpatient			273	273																																																			
HC Renal Bx - US Guide	PX-402769423	CDM	76942	CPT	402	RC		outpatient			273	273	74.54				fee schedule		273				other	OPPS APC	351.71				fee schedule		273				other	OPPS APC	273				other	OPPS APC	58.07				fee schedule		27.94				fee schedule		273				other	OPPS APC	27.94	351.71	
HC Renal Bx - US Guide	PX-402769423	CDM	76942	CPT	402	RC		inpatient			273	273																																																			
HC US Biopsy Soft Tissue/Muscle Guide	PX-402769424	CDM	76942	CPT	402	RC		outpatient			273	273	74.54				fee schedule		273				other	OPPS APC	351.71				fee schedule		273				other	OPPS APC	273				other	OPPS APC	58.07				fee schedule		27.94				fee schedule		273				other	OPPS APC	27.94	351.71	
HC US Biopsy Soft Tissue/Muscle Guide	PX-402769424	CDM	76942	CPT	402	RC		inpatient			273	273																																																			
HC Cyst  Any Location Skin - US	PX-402769428	CDM	76942	CPT	402	RC		outpatient			273	273	74.54				fee schedule		273				other	OPPS APC	351.71				fee schedule		273				other	OPPS APC	273				other	OPPS APC	58.07				fee schedule		27.94				fee schedule		273				other	OPPS APC	27.94	351.71	
HC Cyst  Any Location Skin - US	PX-402769428	CDM	76942	CPT	402	RC		inpatient			273	273																																																			
BALLOON PYLORIC COLONIC 12MM	SUP-95-00359	CDM			272	RC		outpatient			273	273	73.96				percent of total billed charges		273				other	OPPS APC	202.02				percent of total billed charges		273				other	OPPS APC	273				other	OPPS APC	73.96				percent of total billed charges		75.43				percent of total billed charges		273				other	OPPS APC	73.96	273	
BALLOON PYLORIC COLONIC 12MM	SUP-95-00359	CDM			272	RC		inpatient			273	273																																																			
BALLOON PYLORIC COLONIC 15MM	SUP-95-00360	CDM			272	RC		outpatient			273	273	73.96				percent of total billed charges		273				other	OPPS APC	202.02				percent of total billed charges		273				other	OPPS APC	273				other	OPPS APC	73.96				percent of total billed charges		75.43				percent of total billed charges		273				other	OPPS APC	73.96	273	
BALLOON PYLORIC COLONIC 15MM	SUP-95-00360	CDM			272	RC		inpatient			273	273																																																			
BALLOON PYLORIC COLONIC 18MM	SUP-95-00361	CDM			272	RC		outpatient			273	273	73.96				percent of total billed charges		273				other	OPPS APC	202.02				percent of total billed charges		273				other	OPPS APC	273				other	OPPS APC	73.96				percent of total billed charges		75.43				percent of total billed charges		273				other	OPPS APC	73.96	273	
BALLOON PYLORIC COLONIC 18MM	SUP-95-00361	CDM			272	RC		inpatient			273	273																																																			
GUIDE WIRE TROCAR TIP 1.1MM X 150MM	SUP-95-05112	CDM			272	RC		outpatient			273	273	73.96				percent of total billed charges		273				other	OPPS APC	202.02				percent of total billed charges		273				other	OPPS APC	273				other	OPPS APC	73.96				percent of total billed charges		75.43				percent of total billed charges		273				other	OPPS APC	73.96	273	
GUIDE WIRE TROCAR TIP 1.1MM X 150MM	SUP-95-05112	CDM			272	RC		inpatient			273	273																																																			
SCREW BONE LCKG CRSSPIN ST 2.3 X 13MM	SUP-97-01491	CDM			278	RC		outpatient			273	273	273				fee schedule		273				other	OPPS APC	155.61				percent of total billed charges		273				other	OPPS APC	273				other	OPPS APC	133.77				percent of total billed charges		139.23				percent of total billed charges		273				other	OPPS APC	133.77	273	
SCREW BONE LCKG CRSSPIN ST 2.3 X 13MM	SUP-97-01491	CDM			278	RC		inpatient			273	273																																																			
K-WIRE 3.2 X 450MM	SUP-97-01743	CDM			278	RC		outpatient			273	273	273				fee schedule		273				other	OPPS APC	155.61				percent of total billed charges		273				other	OPPS APC	273				other	OPPS APC	133.77				percent of total billed charges		139.23				percent of total billed charges		273				other	OPPS APC	133.77	273	
K-WIRE 3.2 X 450MM	SUP-97-01743	CDM			278	RC		inpatient			273	273																																																			
PLATE BONE TITANIUM L16 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR 1.5 MM SCREW	SUP-5305216	CDM			270	RC		outpatient			272.88	272.88	73.92				percent of total billed charges		272.88				other	OPPS APC	201.93				percent of total billed charges		272.88				other	OPPS APC	272.88				other	OPPS APC	73.92				percent of total billed charges		75.4				percent of total billed charges		272.88				other	OPPS APC	73.92	272.88	
PLATE BONE TITANIUM L16 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR 1.5 MM SCREW	SUP-5305216	CDM			270	RC		inpatient			272.88	272.88																																																			
DRAINAGE CATH - 12F FLEXIMA APD  CTSUP	SUP-95-02392	CDM			272	RC		outpatient			272.69	272.69	73.87				percent of total billed charges		272.69				other	OPPS APC	201.79				percent of total billed charges		272.69				other	OPPS APC	272.69				other	OPPS APC	73.87				percent of total billed charges		75.34				percent of total billed charges		272.69				other	OPPS APC	73.87	272.69	
DRAINAGE CATH - 12F FLEXIMA APD  CTSUP	SUP-95-02392	CDM			272	RC		inpatient			272.69	272.69																																																			
DRAINAGE CATH - 14F FLEXIMA APD  CTSUP	SUP-95-02393	CDM			272	RC		outpatient			272.69	272.69	73.87				percent of total billed charges		272.69				other	OPPS APC	201.79				percent of total billed charges		272.69				other	OPPS APC	272.69				other	OPPS APC	73.87				percent of total billed charges		75.34				percent of total billed charges		272.69				other	OPPS APC	73.87	272.69	
DRAINAGE CATH - 14F FLEXIMA APD  CTSUP	SUP-95-02393	CDM			272	RC		inpatient			272.69	272.69																																																			
DRAINAGE CATHETER - 8F BILIARY  CTSUP	SUP-99-02258	CDM			272	RC		outpatient			272.69	272.69	73.87				percent of total billed charges		272.69				other	OPPS APC	201.79				percent of total billed charges		272.69				other	OPPS APC	272.69				other	OPPS APC	73.87				percent of total billed charges		75.34				percent of total billed charges		272.69				other	OPPS APC	73.87	272.69	
DRAINAGE CATHETER - 8F BILIARY  CTSUP	SUP-99-02258	CDM			272	RC		inpatient			272.69	272.69																																																			
DRAINAGE CATHETER - 12F BILIARY  CTSUP	SUP-99-02259	CDM			272	RC		outpatient			272.69	272.69	73.87				percent of total billed charges		272.69				other	OPPS APC	201.79				percent of total billed charges		272.69				other	OPPS APC	272.69				other	OPPS APC	73.87				percent of total billed charges		75.34				percent of total billed charges		272.69				other	OPPS APC	73.87	272.69	
DRAINAGE CATHETER - 12F BILIARY  CTSUP	SUP-99-02259	CDM			272	RC		inpatient			272.69	272.69																																																			
DRAINAGE CATHETER - 14F BILIARY  CTSUP	SUP-99-02260	CDM			272	RC		outpatient			272.69	272.69	73.87				percent of total billed charges		272.69				other	OPPS APC	201.79				percent of total billed charges		272.69				other	OPPS APC	272.69				other	OPPS APC	73.87				percent of total billed charges		75.34				percent of total billed charges		272.69				other	OPPS APC	73.87	272.69	
DRAINAGE CATHETER - 14F BILIARY  CTSUP	SUP-99-02260	CDM			272	RC		inpatient			272.69	272.69																																																			
SCREW BONE VLP TITANIUM T7 L 6 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412406	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 6 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412406	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L7 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412407	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L7 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412407	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 8 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412408	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 8 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412408	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 10 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412410	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 10 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412410	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM L 11 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412411	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM L 11 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412411	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 12 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412412	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 12 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412412	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM L 13 MM OD 2.4 MM FOOT LOCK SELF TAP T7 DRIVER	SUP-74412413	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM L 13 MM OD 2.4 MM FOOT LOCK SELF TAP T7 DRIVER	SUP-74412413	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM L 14 MM OD 2.4 MM FOOT LOCK SELF TAP T7 DRIVER	SUP-74412414	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM L 14 MM OD 2.4 MM FOOT LOCK SELF TAP T7 DRIVER	SUP-74412414	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 15 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412415	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 15 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412415	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 16 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412416	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 16 MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412416	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 19MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412419	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 19MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412419	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM L 20 MM OD 2.4MM FOOT LOCK SELF TAP	SUP-74412420	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM L 20 MM OD 2.4MM FOOT LOCK SELF TAP	SUP-74412420	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE VLP TITANIUM T7 L 38MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412438	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE VLP TITANIUM T7 L 38MM OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412438	CDM			270	RC		inpatient			272.4	272.4																																																			
SCREW BONE  VLP TITANIUM T7 L 44M OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412444	CDM			270	RC		outpatient			272.4	272.4	73.79				percent of total billed charges		272.4				other	OPPS APC	201.58				percent of total billed charges		272.4				other	OPPS APC	272.4				other	OPPS APC	73.79				percent of total billed charges		75.26				percent of total billed charges		272.4				other	OPPS APC	73.79	272.4	
SCREW BONE  VLP TITANIUM T7 L 44M OD 2.4 MM FOOT LOCK SELF TAP	SUP-74412444	CDM			270	RC		inpatient			272.4	272.4																																																			
DRILL BIT LUPINE	SUP-211042	CDM			270	RC		outpatient			272	272	73.68				percent of total billed charges		272				other	OPPS APC	201.28				percent of total billed charges		272				other	OPPS APC	272				other	OPPS APC	73.68				percent of total billed charges		75.15				percent of total billed charges		272				other	OPPS APC	73.68	272	
DRILL BIT LUPINE	SUP-211042	CDM			270	RC		inpatient			272	272																																																			
F05A BIOPSY DEVICE	SUP-F05A	CDM			270	RC		outpatient			272	272	73.68				percent of total billed charges		272				other	OPPS APC	201.28				percent of total billed charges		272				other	OPPS APC	272				other	OPPS APC	73.68				percent of total billed charges		75.15				percent of total billed charges		272				other	OPPS APC	73.68	272	
F05A BIOPSY DEVICE	SUP-F05A	CDM			270	RC		inpatient			272	272																																																			
END BAC II	SUP-100-0108	CDM			272	RC		outpatient			271.92	271.92	73.66				percent of total billed charges		271.92				other	OPPS APC	201.22				percent of total billed charges		271.92				other	OPPS APC	271.92				other	OPPS APC	73.66				percent of total billed charges		75.13				percent of total billed charges		271.92				other	OPPS APC	73.66	271.92	
END BAC II	SUP-100-0108	CDM			272	RC		inpatient			271.92	271.92																																																			
TWIST DRILL 2.5X26 MM	SUP-97-02272	CDM			272	RC		outpatient			271.43	271.43	73.53				percent of total billed charges		271.43				other	OPPS APC	200.86				percent of total billed charges		271.43				other	OPPS APC	271.43				other	OPPS APC	73.53				percent of total billed charges		75				percent of total billed charges		271.43				other	OPPS APC	73.53	271.43	
TWIST DRILL 2.5X26 MM	SUP-97-02272	CDM			272	RC		inpatient			271.43	271.43																																																			
MAKO FEM /TIBIAL CH/POINT KIT -(STERILE)	SUP-78-00404	CDM			272	RC		outpatient			271.25	271.25	73.48				percent of total billed charges		271.25				other	OPPS APC	200.73				percent of total billed charges		271.25				other	OPPS APC	271.25				other	OPPS APC	73.48				percent of total billed charges		74.95				percent of total billed charges		271.25				other	OPPS APC	73.48	271.25	
MAKO FEM /TIBIAL CH/POINT KIT -(STERILE)	SUP-78-00404	CDM			272	RC		inpatient			271.25	271.25																																																			
MAKO FEM /TIBIAL CH/POINT KIT -(STERILE)	SUP-95-03481	CDM			272	RC		outpatient			271.25	271.25	73.48				percent of total billed charges		271.25				other	OPPS APC	200.73				percent of total billed charges		271.25				other	OPPS APC	271.25				other	OPPS APC	73.48				percent of total billed charges		74.95				percent of total billed charges		271.25				other	OPPS APC	73.48	271.25	
MAKO FEM /TIBIAL CH/POINT KIT -(STERILE)	SUP-95-03481	CDM			272	RC		inpatient			271.25	271.25																																																			
FIXATION POST 35MM	SUP-013142	CDM			270	RC		outpatient			270.9	27.9	73.39				percent of total billed charges		270.9				other	OPPS APC	200.47				percent of total billed charges		270.9				other	OPPS APC	270.9				other	OPPS APC	73.39				percent of total billed charges		74.85				percent of total billed charges		27.9				other	OPPS APC	27.9	270.9	
FIXATION POST 35MM	SUP-013142	CDM			270	RC		inpatient			270.9	270.9																																																			
FIXATION POST 40MM	SUP-013143	CDM			270	RC		outpatient			270.9	27.9	73.39				percent of total billed charges		270.9				other	OPPS APC	200.47				percent of total billed charges		270.9				other	OPPS APC	270.9				other	OPPS APC	73.39				percent of total billed charges		74.85				percent of total billed charges		27.9				other	OPPS APC	27.9	270.9	
FIXATION POST 40MM	SUP-013143	CDM			270	RC		inpatient			270.9	270.9																																																			
FIXATION POST 55MM	SUP-013146	CDM			270	RC		outpatient			270.9	27.9	73.39				percent of total billed charges		270.9				other	OPPS APC	200.47				percent of total billed charges		270.9				other	OPPS APC	270.9				other	OPPS APC	73.39				percent of total billed charges		74.85				percent of total billed charges		27.9				other	OPPS APC	27.9	270.9	
FIXATION POST 55MM	SUP-013146	CDM			270	RC		inpatient			270.9	270.9																																																			
CATH PROTECTIV PLUS IV 22 X 1	SUP-20-00055	CDM			272	RC		outpatient			270.89	27.89	73.38				percent of total billed charges		270.89				other	OPPS APC	200.46				percent of total billed charges		270.89				other	OPPS APC	270.89				other	OPPS APC	73.38				percent of total billed charges		74.85				percent of total billed charges		27.89				other	OPPS APC	27.89	270.89	
CATH PROTECTIV PLUS IV 22 X 1	SUP-20-00055	CDM			272	RC		inpatient			270.89	270.89																																																			
SUMATRIPTAN 25 MG TABLET	637000000	CDM	65862-146-36	NDC	A9270	HCPCS		inpatient			270.53	270.53																																																			
SUMATRIPTAN 25 MG TABLET	637000000	CDM	65862-146-36	NDC	A9270	HCPCS		outpatient			270.53	270.53																																															other	OPPS APC			
DIPHENHYDRAMINE-LIDO-AL HYDROX-MAG HYDROX-SIMETHICONE 119 ML BOTTLE	637000000	CDM	65628-050-04	NDC	A9270	HCPCS		inpatient			270	270																																																			
DIPHENHYDRAMINE-LIDO-AL HYDROX-MAG HYDROX-SIMETHICONE 119 ML BOTTLE	637000000	CDM	65628-050-04	NDC	A9270	HCPCS		outpatient			270	270																																															other	OPPS APC			
TETRACAINE 0.5 % DROPS 15 ML DROP BTL	637000000	CDM	68682-920-64	NDC	A9270	HCPCS		inpatient			270	270																																																			
TETRACAINE 0.5 % DROPS 15 ML DROP BTL	637000000	CDM	68682-920-64	NDC	A9270	HCPCS		outpatient			270	270																																															other	OPPS APC			
SCREW COMP REVERSE SHOULDER CENTRAL 6.5MM X 30	SUP-115396	CDM	270010030	LOCAL	270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
SCREW COMP REVERSE SHOULDER CENTRAL 6.5MM X 30	SUP-115396	CDM	270010030	LOCAL	270	RC		inpatient			270	270																																																			
CATHETER GUIDING RUBICON NYLON HYDROPHILIC 15 MM SPACE L135 CM OD4 FR ODSEC1.7 FR RADIOPAQUE STRAIGHT TIP HUB SHAFT CLEAR PURPLE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH	SUP-39239-01813	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
CATHETER GUIDING RUBICON NYLON HYDROPHILIC 15 MM SPACE L135 CM OD4 FR ODSEC1.7 FR RADIOPAQUE STRAIGHT TIP HUB SHAFT CLEAR PURPLE ACCEPTS .018 IN GUIDEWIRE 4 FR SHEATH	SUP-39239-01813	CDM			270	RC		inpatient			270	270																																																			
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II STRAIGHT 8 X 400MM	SUP-5029-8-840	CDM	270010022	LOCAL	270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
ROD BONE CONNECTING EXTERNAL FIXATION CARBON BRAIDED HOFFMAN II STRAIGHT 8 X 400MM	SUP-5029-8-840	CDM	270010022	LOCAL	270	RC		inpatient			270	270																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD 2Y H.6 MM UPPERFACE 7 HOLE 1.2 MM SCREW	SUP-5506240	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD 2Y H.6 MM UPPERFACE 7 HOLE 1.2 MM SCREW	SUP-5506240	CDM			270	RC		inpatient			270	270																																																			
WASHER ORTHOPEDIC ACUFEX OD17 MM ACL PCL SPIKE STERILE TIBIAL ANCHOR	SUP-7207725	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
WASHER ORTHOPEDIC ACUFEX OD17 MM ACL PCL SPIKE STERILE TIBIAL ANCHOR	SUP-7207725	CDM			270	RC		inpatient			270	270																																																			
ASAHI SION BLUE STRAIGHT TIP GUIDEWIRE 180CM	SUP-AHW14R004S	CDM			481	RC		outpatient			270	27	132.3				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	132.3				percent of total billed charges		137.7				percent of total billed charges		27				other	OPPS APC	27	270	
ASAHI SION BLUE STRAIGHT TIP GUIDEWIRE 180CM	SUP-AHW14R004S	CDM			481	RC		inpatient			270	270																																																			
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 44MM	SUP-AR-8840P-44	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
SCREW 4.0MM LP SHORT THREAD CANCELLOUS 44MM	SUP-AR-8840P-44	CDM			270	RC		inpatient			270	270																																																			
GRAFT PATCH VASCULAR CAROTID KNITTED 6 X 75MM	SUP-CP0675	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
GRAFT PATCH VASCULAR CAROTID KNITTED 6 X 75MM	SUP-CP0675	CDM			270	RC		inpatient			270	270																																																			
CATHETER SUPPORT RUBICON 150CM STRAIGHT TIP ACCEPTS .014IN GUIDEWIRE 4FR SHEATH	SUP-H74939212014151	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
CATHETER SUPPORT RUBICON 150CM STRAIGHT TIP ACCEPTS .014IN GUIDEWIRE 4FR SHEATH	SUP-H74939212014151	CDM			270	RC		inpatient			270	270																																																			
CATHETER GUIDING RUBICON BIOSLIDE ULTRA LOW PROFILE TAPER L65 CM OD5 FR 3 RADIOPAQUE SUPPORT PURPLE ACCPTS .035 IN GUIDEWIRE	SUP-H74939240035061	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
CATHETER GUIDING RUBICON BIOSLIDE ULTRA LOW PROFILE TAPER L65 CM OD5 FR 3 RADIOPAQUE SUPPORT PURPLE ACCPTS .035 IN GUIDEWIRE	SUP-H74939240035061	CDM			270	RC		inpatient			270	270																																																			
CATHETER GUIDING RUBICON 50MM SPACE 90CM 5.1FR 2.84FR CLEAR PURPLE NYLON HYDROPHILIC RADIOPAQUE STRAIGHT TIP HUB SHAFT	SUP-H74939240035091	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
CATHETER GUIDING RUBICON 50MM SPACE 90CM 5.1FR 2.84FR CLEAR PURPLE NYLON HYDROPHILIC RADIOPAQUE STRAIGHT TIP HUB SHAFT	SUP-H74939240035091	CDM			270	RC		inpatient			270	270																																																			
CATHETER GUIDING RUBICON NYLON HYDROPHILIC 50 MM SPACE L135 CM OD5.1 FR ODSEC2.84 FR RADIOPAQUE STRAIGHT TIP HUB SHAFT CLEAR PURPLE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH	SUP-H74939240035131	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
CATHETER GUIDING RUBICON NYLON HYDROPHILIC 50 MM SPACE L135 CM OD5.1 FR ODSEC2.84 FR RADIOPAQUE STRAIGHT TIP HUB SHAFT CLEAR PURPLE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH	SUP-H74939240035131	CDM			270	RC		inpatient			270	270																																																			
INTRODUCER CATHETER CHECK-FLO FLEXOR 40CM 6FR BALKIN UP AND OVER CONTRALATERAL DESIGN WITHOUT GUIDEWIRE RADIOPAQUE BAND	SUP-RCFW-6.0-38-40-BLKN	CDM			270	RC		outpatient			270	27	73.14				percent of total billed charges		270				other	OPPS APC	199.8				percent of total billed charges		270				other	OPPS APC	270				other	OPPS APC	73.14				percent of total billed charges		74.6				percent of total billed charges		27				other	OPPS APC	27	270	
INTRODUCER CATHETER CHECK-FLO FLEXOR 40CM 6FR BALKIN UP AND OVER CONTRALATERAL DESIGN WITHOUT GUIDEWIRE RADIOPAQUE BAND	SUP-RCFW-6.0-38-40-BLKN	CDM			270	RC		inpatient			270	270																																																			
CATHETER ELECTROHEMOSTASIS GOLD PROBE HEMOGLIDE L300 CM OD10 FR BIPOLAR STANDARD PLUG CONNECTOR STERILE DISPOSABLE	SUP-M00560101	CDM			270	RC		outpatient			269.62	269.62	73.04				percent of total billed charges		269.62				other	OPPS APC	199.52				percent of total billed charges		269.62				other	OPPS APC	269.62				other	OPPS APC	73.04				percent of total billed charges		74.5				percent of total billed charges		269.62				other	OPPS APC	73.04	269.62	
CATHETER ELECTROHEMOSTASIS GOLD PROBE HEMOGLIDE L300 CM OD10 FR BIPOLAR STANDARD PLUG CONNECTOR STERILE DISPOSABLE	SUP-M00560101	CDM			270	RC		inpatient			269.62	269.62																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L20 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23365	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L20 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23365	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23366	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23366	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L24 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23367	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L24 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23367	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L26 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23368	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L26 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23368	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L28 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23369	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L28 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23369	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L30 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23370	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L30 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-G23370	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22-32 CM L145 CM OD5 FR RADIOPAQUE MULTILENGTH GRADUATE MARK POSITIONER STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-G23511	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22-32 CM L145 CM OD5 FR RADIOPAQUE MULTILENGTH GRADUATE MARK POSITIONER STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-G23511	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22-32 CM L145 CM OD5 FR RADIOPAQUE MULTILENGTH GRADUATE MARK POSITIONER STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-USH-500-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22-32 CM L145 CM OD5 FR RADIOPAQUE MULTILENGTH GRADUATE MARK POSITIONER STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-USH-500-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L20 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-520-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L20 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-520-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-522-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L22 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-522-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L24 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-524-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L24 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-524-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L26 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-526-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L26 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-526-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L28 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-528-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L28 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-528-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L30 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-530-RT1	CDM			270	RC		outpatient			269.58	269.58	73.03				percent of total billed charges		269.58				other	OPPS APC	199.49				percent of total billed charges		269.58				other	OPPS APC	269.58				other	OPPS APC	73.03				percent of total billed charges		74.48				percent of total billed charges		269.58				other	OPPS APC	73.03	269.58	
STENT URETERAL UNIVERSA AQ 2 PIGTAIL CURVE L30 CM OD5 FR RADIOPAQUE POSITIONER MONOFILAMENT TETHER STRAIGHTENER STERILE	SUP-USH-530-RT1	CDM			270	RC		inpatient			269.58	269.58																																																			
TWIST DILL 2.0	SUP-71-00004	CDM			272	RC		outpatient			269.5	269.5	73.01				percent of total billed charges		269.5				other	OPPS APC	199.43				percent of total billed charges		269.5				other	OPPS APC	269.5				other	OPPS APC	73.01				percent of total billed charges		74.46				percent of total billed charges		269.5				other	OPPS APC	73.01	269.5	
TWIST DILL 2.0	SUP-71-00004	CDM			272	RC		inpatient			269.5	269.5																																																			
BONE CUTTER HIP LENGTH 4.2MM X 19CM	SUP-95-05365	CDM			272	RC		outpatient			269.5	269.5	73.01				percent of total billed charges		269.5				other	OPPS APC	199.43				percent of total billed charges		269.5				other	OPPS APC	269.5				other	OPPS APC	73.01				percent of total billed charges		74.46				percent of total billed charges		269.5				other	OPPS APC	73.01	269.5	
BONE CUTTER HIP LENGTH 4.2MM X 19CM	SUP-95-05365	CDM			272	RC		inpatient			269.5	269.5																																																			
BONE CUTTER CURVED HIP LENGTH 4.2MM X 19CM	SUP-95-05366	CDM			272	RC		outpatient			269.5	269.5	73.01				percent of total billed charges		269.5				other	OPPS APC	199.43				percent of total billed charges		269.5				other	OPPS APC	269.5				other	OPPS APC	73.01				percent of total billed charges		74.46				percent of total billed charges		269.5				other	OPPS APC	73.01	269.5	
BONE CUTTER CURVED HIP LENGTH 4.2MM X 19CM	SUP-95-05366	CDM			272	RC		inpatient			269.5	269.5																																																			
GUIDEWIRE - GLIDEWIRE .018X260 ANGLED	SUP-99-00242	CDM			272	RC		outpatient			269.5	269.5	73.01				percent of total billed charges		269.5				other	OPPS APC	199.43				percent of total billed charges		269.5				other	OPPS APC	269.5				other	OPPS APC	73.01				percent of total billed charges		74.46				percent of total billed charges		269.5				other	OPPS APC	73.01	269.5	
GUIDEWIRE - GLIDEWIRE .018X260 ANGLED	SUP-99-00242	CDM			272	RC		inpatient			269.5	269.5																																																			
HC Progesterone (Prog)	PX-300841440	CDM	84144	CPT	300	RC		outpatient			269	2.86	27.89				fee schedule		20.86				fee schedule		55.39				fee schedule		20.86				fee schedule		20.86				fee schedule		20.86				fee schedule		20.86				fee schedule		2.86				fee schedule		2.86	55.39	
HC Progesterone (Prog)	PX-300841440	CDM	84144	CPT	300	RC		inpatient			269	269																																																			
HC C-Peptide (Cpep)	PX-300846810	CDM	84681	CPT	301	RC		outpatient			269	2.9	27.82				fee schedule		20.81				fee schedule		55.23				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		2.9				fee schedule		2.9	55.23	
HC C-Peptide (Cpep)	PX-300846810	CDM	84681	CPT	301	RC		inpatient			269	269																																																			
HC Ca 125 Ag (C125)	PX-300863040	CDM	86304	CPT	300	RC		outpatient			269	2.9	27.82				fee schedule		20.81				fee schedule		55.23				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		2.9				fee schedule		2.9	55.23	
HC Ca 125 Ag (C125)	PX-300863040	CDM	86304	CPT	300	RC		inpatient			269	269																																																			
HC Lumbar Spine 2 Views	PX-320721000	CDM	72100	CPT	320	RC		outpatient			269	112.57	37.11				fee schedule		112.57				other	OPPS APC	91.87				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	40.08				fee schedule		29.27				fee schedule		112.57				other	OPPS APC	29.27	112.57	
HC Lumbar Spine 2 Views	PX-320721000	CDM	72100	CPT	320	RC		inpatient			269	269																																																			
HC Lumb Spine Bending Views 2 or 3	PX-320721200	CDM	72120	CPT	320	RC		outpatient			269	112.57	41.85				fee schedule		112.57				other	OPPS APC	114.16				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	40.76				fee schedule		29.94				fee schedule		112.57				other	OPPS APC	29.94	114.16	
HC Lumb Spine Bending Views 2 or 3	PX-320721200	CDM	72120	CPT	320	RC		inpatient			269	269																																																			
HC Hips Bilaeral W Pelvis 2 Views	PX-320735211	CDM	73521	CPT	320	RC		outpatient			269	112.57	17.29				fee schedule		112.57				other	OPPS APC	97.04				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	41.42				fee schedule		30.61				fee schedule		112.57				other	OPPS APC	17.29	112.57	
HC Hips Bilaeral W Pelvis 2 Views	PX-320735211	CDM	73521	CPT	320	RC		inpatient			269	269																																																			
HC Knees 3 Views	PX-320735621	CDM	73562	CPT	320	RC		outpatient			269	91.5	38.6				fee schedule		91.5				other	OPPS APC	78.14				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	40.76				fee schedule		31.6				fee schedule		91.5				other	OPPS APC	31.6	91.5	
HC Knees 3 Views	PX-320735621	CDM	73562	CPT	320	RC		inpatient			269	269																																																			
HC Chemo Admin IV Push-Singl/Initial	PX-331964090	CDM	96409	CPT	331	RC		outpatient			269	217.56	110.28				fee schedule		217.56				other	OPPS APC	340.74				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	100.52				fee schedule		100.07				fee schedule		217.56				other	OPPS APC	100.07	340.74	
HC Chemo Admin IV Push-Singl/Initial	PX-331964090	CDM	96409	CPT	331	RC		inpatient			269	269																																																			
HC Chemo Admin IV Push-Each Add Drug	PX-331964110	CDM	96411	CPT	331	RC		outpatient			269	71.62	61.97				fee schedule		71.06				other	OPPS APC	174.03				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	55.09				fee schedule		54.84				fee schedule		71.62				other	OPPS APC	54.84	174.03	
HC Chemo Admin IV Push-Each Add Drug	PX-331964110	CDM	96411	CPT	331	RC		inpatient			269	269																																																			
HC Repair Superf.Wound 2.5cm or Less	PX-450120011	CDM	12001	CPT	450	RC		outpatient			269	269	195.77				case rate		269				other	OPPS APC	199.06				percent of total billed charges		269				other	OPPS APC	269				other	OPPS APC	195.77				case rate		199.69				case rate		269				other	OPPS APC	195.77	269	
HC Repair Superf.Wound 2.5cm or Less	PX-450120011	CDM	12001	CPT	450	RC		inpatient			269	269																																																			
MESH BARD PERFIX BARD POLYPROPYLENE SMALL L1 IN X W 1.35 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR	SUP-0112950	CDM			270	RC		outpatient			268.8	268.81	72.82				percent of total billed charges		268.8				other	OPPS APC	198.91				percent of total billed charges		268.8				other	OPPS APC	268.8				other	OPPS APC	72.82				percent of total billed charges		74.27				percent of total billed charges		268.81				other	OPPS APC	72.82	268.81	
MESH BARD PERFIX BARD POLYPROPYLENE SMALL L1 IN X W 1.35 IN PLUG MONOFILAMENT STERILE PREPERITONEAL REPAIR	SUP-0112950	CDM			270	RC		inpatient			268.8	268.8																																																			
DRILL BIT W/STOP	SUP-97-04652	CDM			272	RC		outpatient			268.8	268.81	72.82				percent of total billed charges		268.8				other	OPPS APC	198.91				percent of total billed charges		268.8				other	OPPS APC	268.8				other	OPPS APC	72.82				percent of total billed charges		74.27				percent of total billed charges		268.81				other	OPPS APC	72.82	268.81	
DRILL BIT W/STOP	SUP-97-04652	CDM			272	RC		inpatient			268.8	268.8																																																			
GUIDEWIRE - CHOICE PT - STRAIGHT - 182CM	SUP-99-03291	CDM			272	RC		outpatient			268.73	268.73	72.8				percent of total billed charges		268.73				other	OPPS APC	198.86				percent of total billed charges		268.73				other	OPPS APC	268.73				other	OPPS APC	72.8				percent of total billed charges		74.25				percent of total billed charges		268.73				other	OPPS APC	72.8	268.73	
GUIDEWIRE - CHOICE PT - STRAIGHT - 182CM	SUP-99-03291	CDM			272	RC		inpatient			268.73	268.73																																																			
GUIDEWIRE - CHOICE PT - J-TIP - 182CM	SUP-99-03328	CDM			272	RC		outpatient			268.73	268.73	72.8				percent of total billed charges		268.73				other	OPPS APC	198.86				percent of total billed charges		268.73				other	OPPS APC	268.73				other	OPPS APC	72.8				percent of total billed charges		74.25				percent of total billed charges		268.73				other	OPPS APC	72.8	268.73	
GUIDEWIRE - CHOICE PT - J-TIP - 182CM	SUP-99-03328	CDM			272	RC		inpatient			268.73	268.73																																																			
GUIDEWIRE - CHOICE PT - STRAIGHT - 300CM	SUP-99-03292	CDM			272	RC		outpatient			268.72	268.72	72.8				percent of total billed charges		268.72				other	OPPS APC	198.85				percent of total billed charges		268.72				other	OPPS APC	268.72				other	OPPS APC	72.8				percent of total billed charges		74.25				percent of total billed charges		268.72				other	OPPS APC	72.8	268.72	
GUIDEWIRE - CHOICE PT - STRAIGHT - 300CM	SUP-99-03292	CDM			272	RC		inpatient			268.72	268.72																																																			
GUIDEWIRE - CHOICE PT - J-TIP - 300CM	SUP-99-03329	CDM			272	RC		outpatient			268.72	268.72	72.8				percent of total billed charges		268.72				other	OPPS APC	198.85				percent of total billed charges		268.72				other	OPPS APC	268.72				other	OPPS APC	72.8				percent of total billed charges		74.25				percent of total billed charges		268.72				other	OPPS APC	72.8	268.72	
GUIDEWIRE - CHOICE PT - J-TIP - 300CM	SUP-99-03329	CDM			272	RC		inpatient			268.72	268.72																																																			
BIT DRILL LCP STAINLESS STEEL L96 MM OD1.5 MM MINI QUICK COUPLING DEPTH MARK NONSTERILE	SUP-310.507	CDM	270010022	LOCAL	270	RC		outpatient			268.7	268.7	72.79				percent of total billed charges		268.7				other	OPPS APC	198.84				percent of total billed charges		268.7				other	OPPS APC	268.7				other	OPPS APC	72.79				percent of total billed charges		74.24				percent of total billed charges		268.7				other	OPPS APC	72.79	268.7	
BIT DRILL LCP STAINLESS STEEL L96 MM OD1.5 MM MINI QUICK COUPLING DEPTH MARK NONSTERILE	SUP-310.507	CDM	270010022	LOCAL	270	RC		inpatient			268.7	268.7																																																			
BIT DRILL LCP STAINLESS STEEL L110 MM OD1.8 MM MINI QUICK COUPLING DEPTH MARK NONSTERILE	SUP-310.509	CDM	270010022	LOCAL	270	RC		outpatient			268.7	268.7	72.79				percent of total billed charges		268.7				other	OPPS APC	198.84				percent of total billed charges		268.7				other	OPPS APC	268.7				other	OPPS APC	72.79				percent of total billed charges		74.24				percent of total billed charges		268.7				other	OPPS APC	72.79	268.7	
BIT DRILL LCP STAINLESS STEEL L110 MM OD1.8 MM MINI QUICK COUPLING DEPTH MARK NONSTERILE	SUP-310.509	CDM	270010022	LOCAL	270	RC		inpatient			268.7	268.7																																																			
BIT DRILL 3 FLUTE L140 MM OD2 MM QUICK COUPLING DEPTH MARK	SUP-323.062	CDM			270	RC		outpatient			268.7	268.7	72.79				percent of total billed charges		268.7				other	OPPS APC	198.84				percent of total billed charges		268.7				other	OPPS APC	268.7				other	OPPS APC	72.79				percent of total billed charges		74.24				percent of total billed charges		268.7				other	OPPS APC	72.79	268.7	
BIT DRILL 3 FLUTE L140 MM OD2 MM QUICK COUPLING DEPTH MARK	SUP-323.062	CDM			270	RC		inpatient			268.7	268.7																																																			
CATHETER PHILLIPS  24 FR	SUP-02-00066	CDM			272	RC		outpatient			268.69	268.69	72.79				percent of total billed charges		268.69				other	OPPS APC	198.83				percent of total billed charges		268.69				other	OPPS APC	268.69				other	OPPS APC	72.79				percent of total billed charges		74.24				percent of total billed charges		268.69				other	OPPS APC	72.79	268.69	
CATHETER PHILLIPS  24 FR	SUP-02-00066	CDM			272	RC		inpatient			268.69	268.69																																																			
2.5MM GUIDE ROD W/STOPTROCAR TIP 230MM	SUP-97-01993	CDM			272	RC		outpatient			268.66	268.66	72.78				percent of total billed charges		268.66				other	OPPS APC	198.81				percent of total billed charges		268.66				other	OPPS APC	268.66				other	OPPS APC	72.78				percent of total billed charges		74.23				percent of total billed charges		268.66				other	OPPS APC	72.78	268.66	
2.5MM GUIDE ROD W/STOPTROCAR TIP 230MM	SUP-97-01993	CDM			272	RC		inpatient			268.66	268.66																																																			
INVRAD PICC 4F	SUP-95-01377	CDM			272	RC		outpatient			268.45	268.45	72.72				percent of total billed charges		268.45				other	OPPS APC	198.65				percent of total billed charges		268.45				other	OPPS APC	268.45				other	OPPS APC	72.72				percent of total billed charges		74.17				percent of total billed charges		268.45				other	OPPS APC	72.72	268.45	
INVRAD PICC 4F	SUP-95-01377	CDM			272	RC		inpatient			268.45	268.45																																																			
HC Abdomen 2 Views	PX-320740200	CDM	74019	CPT	320	RC		outpatient			268	112.57	22.4				fee schedule		112.57				other	OPPS APC	93.13				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	37.07				fee schedule		25.95				fee schedule		112.57				other	OPPS APC	22.4	112.57	
HC Abdomen 2 Views	PX-320740200	CDM	74019	CPT	320	RC		inpatient			268	268																																																			
CATHETER ELECTROPHYSIOLOGY 5MM SPACE A CURVE L 115CM L 1MM OD 6FR QUADRAPOLAR AUTO ID	SUP-F6QA005CT	CDM			270	RC		outpatient			268	268	72.6				percent of total billed charges		268				other	OPPS APC	198.32				percent of total billed charges		268				other	OPPS APC	268				other	OPPS APC	72.6				percent of total billed charges		74.05				percent of total billed charges		268				other	OPPS APC	72.6	268	
CATHETER ELECTROPHYSIOLOGY 5MM SPACE A CURVE L 115CM L 1MM OD 6FR QUADRAPOLAR AUTO ID	SUP-F6QA005CT	CDM			270	RC		inpatient			268	268																																																			
LENS IOL ACRYSOF 10D MODIFIED C BICONVEX 13MM 6MM BLUE MONOFLEX STERILE POSTERIOR CHAMBER MULTIPIECE FOLDABLE ANTERIOR	SUP-MA60AC	CDM			276	RC		outpatient			268	268	268				fee schedule		268				other	OPPS APC	152.76				percent of total billed charges		268				other	OPPS APC	268				other	OPPS APC	131.32				percent of total billed charges		136.68				percent of total billed charges		268				other	OPPS APC	131.32	268	
LENS IOL ACRYSOF 10D MODIFIED C BICONVEX 13MM 6MM BLUE MONOFLEX STERILE POSTERIOR CHAMBER MULTIPIECE FOLDABLE ANTERIOR	SUP-MA60AC	CDM			276	RC		inpatient			268	268																																																			
LENS INTRAOCULAR POSTERIOR OVAL FOLDABLE ACRYSOF	SUP-SA60AT	CDM						inpatient			268	268																																																			
LENS INTRAOCULAR POSTERIOR OVAL FOLDABLE ACRYSOF	SUP-SA60AT	CDM						outpatient			268	268	268				percent of total billed charges		268				other	OPPS APC	268				fee schedule		268				other	OPPS APC	268				other	OPPS APC	268				case rate		268				case rate		268				other	OPPS APC	268	268	
Temp PACING NO Balloon BARD 1CM PROXIMAL L115 CM OD5 FR BIPOLAR DISTAL TIP SEMI FLOATING CATHETER LATEX FREE	SUP-006225P	CDM			270	RC		outpatient			267.79	267.79	72.54				percent of total billed charges		267.79				other	OPPS APC	198.16				percent of total billed charges		267.79				other	OPPS APC	267.79				other	OPPS APC	72.54				percent of total billed charges		73.99				percent of total billed charges		267.79				other	OPPS APC	72.54	267.79	
Temp PACING NO Balloon BARD 1CM PROXIMAL L115 CM OD5 FR BIPOLAR DISTAL TIP SEMI FLOATING CATHETER LATEX FREE	SUP-006225P	CDM			270	RC		inpatient			267.79	267.79																																																			
SAF-T INTIMA 22G	SUP-95-00829	CDM						inpatient			267.68	267.68																																																			
SAF-T INTIMA 22G	SUP-95-00829	CDM						outpatient			267.68	267.68	267.68				percent of total billed charges		267.68				other	OPPS APC	267.68				fee schedule		267.68				other	OPPS APC	267.68				other	OPPS APC	267.68				case rate		267.68				case rate		267.68				other	OPPS APC	267.68	267.68	
SCREW BONE STAINLESS STEEL T6 L11 MM OD2 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.311	CDM	270010022	LOCAL	270	RC		outpatient			267.6	267.62	72.49				percent of total billed charges		267.6				other	OPPS APC	198.02				percent of total billed charges		267.6				other	OPPS APC	267.6				other	OPPS APC	72.49				percent of total billed charges		73.94				percent of total billed charges		267.62				other	OPPS APC	72.49	267.62	
SCREW BONE STAINLESS STEEL T6 L11 MM OD2 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.311	CDM	270010022	LOCAL	270	RC		inpatient			267.6	267.6																																																			
SCREW BONE STAINLESS STEEL T6 L13 MM OD2 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.313	CDM	270010022	LOCAL	270	RC		outpatient			267.6	267.62	72.49				percent of total billed charges		267.6				other	OPPS APC	198.02				percent of total billed charges		267.6				other	OPPS APC	267.6				other	OPPS APC	72.49				percent of total billed charges		73.94				percent of total billed charges		267.62				other	OPPS APC	72.49	267.62	
SCREW BONE STAINLESS STEEL T6 L13 MM OD2 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.313	CDM	270010022	LOCAL	270	RC		inpatient			267.6	267.6																																																			
SCREW BONE STAINLESS STEEL T6 L15 MM OD2 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.315	CDM	270010022	LOCAL	270	RC		outpatient			267.6	267.62	72.49				percent of total billed charges		267.6				other	OPPS APC	198.02				percent of total billed charges		267.6				other	OPPS APC	267.6				other	OPPS APC	72.49				percent of total billed charges		73.94				percent of total billed charges		267.62				other	OPPS APC	72.49	267.62	
SCREW BONE STAINLESS STEEL T6 L15 MM OD2 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.315	CDM	270010022	LOCAL	270	RC		inpatient			267.6	267.6																																																			
HC Vl Duplex Art/Ven Pre-OP Vessel Mapping  Unilateral	PX-921939860	CDM	93986	CPT	921	RC		outpatient			267.2	112.57	130.93				percent of total billed charges		112.57				other	OPPS APC	261.15				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	128.88				fee schedule		136.27				percent of total billed charges		112.57				other	OPPS APC	112.57	261.15	
HC Vl Duplex Art/Ven Pre-OP Vessel Mapping  Unilateral	PX-921939860	CDM	93986	CPT	921	RC		inpatient			267.2	267.2																																																			
DRESSING MELGISORB AG 1.2 X 18	SUP-95-02165	CDM			272	RC		outpatient			267.19	267.19	72.38				percent of total billed charges		267.19				other	OPPS APC	197.72				percent of total billed charges		267.19				other	OPPS APC	267.19				other	OPPS APC	72.38				percent of total billed charges		73.82				percent of total billed charges		267.19				other	OPPS APC	72.38	267.19	
DRESSING MELGISORB AG 1.2 X 18	SUP-95-02165	CDM			272	RC		inpatient			267.19	267.19																																																			
BURR METAL CUTTING HELIOCOIDAL RASP 3.2 X 18.3 MM	SUP-5120080030	CDM			270	RC		outpatient			267.16	267.16	72.37				percent of total billed charges		267.16				other	OPPS APC	197.7				percent of total billed charges		267.16				other	OPPS APC	267.16				other	OPPS APC	72.37				percent of total billed charges		73.82				percent of total billed charges		267.16				other	OPPS APC	72.37	267.16	
BURR METAL CUTTING HELIOCOIDAL RASP 3.2 X 18.3 MM	SUP-5120080030	CDM			270	RC		inpatient			267.16	267.16																																																			
VISION BLUE	SUP-73-00067	CDM			272	RC		outpatient			267.05	267.51	72.34				percent of total billed charges		267.05				other	OPPS APC	197.62				percent of total billed charges		267.05				other	OPPS APC	267.05				other	OPPS APC	72.34				percent of total billed charges		73.79				percent of total billed charges		267.51				other	OPPS APC	72.34	267.51	
VISION BLUE	SUP-73-00067	CDM			272	RC		inpatient			267.05	267.05																																																			
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L33 MM X W9 MM X H1 MM H.7 MM OD12 MM 3 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.331	CDM	270010022	LOCAL	270	RC		outpatient			266.76	266.76	72.27				percent of total billed charges		266.76				other	OPPS APC	197.4				percent of total billed charges		266.76				other	OPPS APC	266.76				other	OPPS APC	72.27				percent of total billed charges		73.71				percent of total billed charges		266.76				other	OPPS APC	72.27	266.76	
PLATE BONE LCP COMBI STAINLESS STEEL 1/3 TUBULAR L33 MM X W9 MM X H1 MM H.7 MM OD12 MM 3 HOLE COLLAR NONSTERILE 2.7/3.5 MM CORTEX 3.5 MM LOCK SCREW SMALL FRAGMENT SET	SUP-241.331	CDM	270010022	LOCAL	270	RC		inpatient			266.76	266.76																																																			
DRILL SURGICAL STANDARD OD2.7 MM LATEX FREE	SUP-00-2360-205-27	CDM			270	RC		outpatient			266.4	266.4	72.17				percent of total billed charges		266.4				other	OPPS APC	197.14				percent of total billed charges		266.4				other	OPPS APC	266.4				other	OPPS APC	72.17				percent of total billed charges		73.61				percent of total billed charges		266.4				other	OPPS APC	72.17	266.4	
DRILL SURGICAL STANDARD OD2.7 MM LATEX FREE	SUP-00-2360-205-27	CDM			270	RC		inpatient			266.4	266.4																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD T H.6 MM UPPERFACE 7 HOLE 1.2 MM SCREW	SUP-5506270	CDM			270	RC		outpatient			266.4	266.4	72.17				percent of total billed charges		266.4				other	OPPS APC	197.14				percent of total billed charges		266.4				other	OPPS APC	266.4				other	OPPS APC	72.17				percent of total billed charges		73.61				percent of total billed charges		266.4				other	OPPS APC	72.17	266.4	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD T H.6 MM UPPERFACE 7 HOLE 1.2 MM SCREW	SUP-5506270	CDM			270	RC		inpatient			266.4	266.4																																																			
ELEMENT WORKING ANGLE OD24 FR CUT SHEATH YELLOW RESECTOSCOPE	SUP-26050 G	CDM			270	RC		outpatient			266.33	266.33	72.15				percent of total billed charges		266.33				other	OPPS APC	197.08				percent of total billed charges		266.33				other	OPPS APC	266.33				other	OPPS APC	72.15				percent of total billed charges		73.59				percent of total billed charges		266.33				other	OPPS APC	72.15	266.33	
ELEMENT WORKING ANGLE OD24 FR CUT SHEATH YELLOW RESECTOSCOPE	SUP-26050 G	CDM			270	RC		inpatient			266.33	266.33																																																			
Kit Epistat	PX-270000001	CDM			270	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	266				fee schedule		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
Kit Epistat	PX-270000001	CDM			270	RC		inpatient			266	266																																																			
DRILL BIT 2.6 X 220MM AO	SUP-95-05565	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
DRILL BIT 2.6 X 220MM AO	SUP-95-05565	CDM			272	RC		inpatient			266	266																																																			
HANDLE CANNULATED AO MICA SCREW SYSTEM	SUP-95-05566	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
HANDLE CANNULATED AO MICA SCREW SYSTEM	SUP-95-05566	CDM			272	RC		inpatient			266	266																																																			
SURGICAL IRRIGATION TUBE	SUP-95-05574	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
SURGICAL IRRIGATION TUBE	SUP-95-05574	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - FIELDER FC - 300CM	SUP-99-00649	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - FIELDER FC - 300CM	SUP-99-00649	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - WHISPER EXTRA .014X300	SUP-99-00784	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - WHISPER EXTRA .014X300	SUP-99-00784	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - WHISPER EXTRA .014X190	SUP-99-00823	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - WHISPER EXTRA .014X190	SUP-99-00823	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - WIGGLE 190CM	SUP-99-01607	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - WIGGLE 190CM	SUP-99-01607	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - WIGGLE 300CM	SUP-99-01608	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - WIGGLE 300CM	SUP-99-01608	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - SOFT - 180CM	SUP-99-03278	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - SOFT - 180CM	SUP-99-03278	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE - PROWATERFLEX - 180CM	SUP-99-03375	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE - PROWATERFLEX - 180CM	SUP-99-03375	CDM			272	RC		inpatient			266	266																																																			
GUIDEWIRE- RG3 330CM	SUP-99-04255	CDM			272	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
GUIDEWIRE- RG3 330CM	SUP-99-04255	CDM			272	RC		inpatient			266	266																																																			
TAKERU BALLOON 1.5 X 6 MM	SUP-DC-RY1506UA1	CDM			481	RC		outpatient			266	266	130.34				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	130.34				percent of total billed charges		135.66				percent of total billed charges		266				other	OPPS APC	130.34	266	
TAKERU BALLOON 1.5 X 6 MM	SUP-DC-RY1506UA1	CDM			481	RC		inpatient			266	266																																																			
CATHETER BALLOON DILATATION TAKERU L12MMOD SEC 1.5MM RAPID EXCHANGE LOW ENTRY PROFILE PTCA	SUP-DC-RY1512UA1	CDM			481	RC		outpatient			266	266	130.34				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	130.34				percent of total billed charges		135.66				percent of total billed charges		266				other	OPPS APC	130.34	266	
CATHETER BALLOON DILATATION TAKERU L12MMOD SEC 1.5MM RAPID EXCHANGE LOW ENTRY PROFILE PTCA	SUP-DC-RY1512UA1	CDM			481	RC		inpatient			266	266																																																			
TAKERU BALLOON 1.5 X 15 MM	SUP-DC-RY1515UA1	CDM			481	RC		outpatient			266	266	130.34				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	130.34				percent of total billed charges		135.66				percent of total billed charges		266				other	OPPS APC	130.34	266	
TAKERU BALLOON 1.5 X 15 MM	SUP-DC-RY1515UA1	CDM			481	RC		inpatient			266	266																																																			
INTRODUCER CATHETER 65CM 12FR CHECK-FLO SHEATH	SUP-RCFW-12.0-38-65-RB	CDM			270	RC		outpatient			266	266	72.06				percent of total billed charges		266				other	OPPS APC	196.84				percent of total billed charges		266				other	OPPS APC	266				other	OPPS APC	72.06				percent of total billed charges		73.5				percent of total billed charges		266				other	OPPS APC	72.06	266	
INTRODUCER CATHETER 65CM 12FR CHECK-FLO SHEATH	SUP-RCFW-12.0-38-65-RB	CDM			270	RC		inpatient			266	266																																																			
SCREW BONE MATRIXRIB TITANIUM L10 MM OD2.9 MM RIB SELF TAP NONSTERILE	SUP-04.501.040.01	CDM			270	RC		outpatient			265.26	265.26	71.86				percent of total billed charges		265.26				other	OPPS APC	196.29				percent of total billed charges		265.26				other	OPPS APC	265.26				other	OPPS APC	71.86				percent of total billed charges		73.29				percent of total billed charges		265.26				other	OPPS APC	71.86	265.26	
SCREW BONE MATRIXRIB TITANIUM L10 MM OD2.9 MM RIB SELF TAP NONSTERILE	SUP-04.501.040.01	CDM			270	RC		inpatient			265.26	265.26																																																			
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 7 X 25MM	SUP-7207554	CDM			270	RC		outpatient			265.2	265.2	71.84				percent of total billed charges		265.2				other	OPPS APC	196.25				percent of total billed charges		265.2				other	OPPS APC	265.2				other	OPPS APC	71.84				percent of total billed charges		73.27				percent of total billed charges		265.2				other	OPPS APC	71.84	265.2	
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 7 X 25MM	SUP-7207554	CDM			270	RC		inpatient			265.2	265.2																																																			
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 8 X 25MM	SUP-7207560	CDM			270	RC		outpatient			265.2	265.2	71.84				percent of total billed charges		265.2				other	OPPS APC	196.25				percent of total billed charges		265.2				other	OPPS APC	265.2				other	OPPS APC	71.84				percent of total billed charges		73.27				percent of total billed charges		265.2				other	OPPS APC	71.84	265.2	
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 8 X 25MM	SUP-7207560	CDM			270	RC		inpatient			265.2	265.2																																																			
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 9 X 25MM	SUP-7207563	CDM			270	RC		outpatient			265.2	265.2	71.84				percent of total billed charges		265.2				other	OPPS APC	196.25				percent of total billed charges		265.2				other	OPPS APC	265.2				other	OPPS APC	71.84				percent of total billed charges		73.27				percent of total billed charges		265.2				other	OPPS APC	71.84	265.2	
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 9 X 25MM	SUP-7207563	CDM			270	RC		inpatient			265.2	265.2																																																			
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 9 X 35MM	SUP-7207565	CDM			270	RC		outpatient			265.2	265.2	71.84				percent of total billed charges		265.2				other	OPPS APC	196.25				percent of total billed charges		265.2				other	OPPS APC	265.2				other	OPPS APC	71.84				percent of total billed charges		73.27				percent of total billed charges		265.2				other	OPPS APC	71.84	265.2	
SCREW BONE CANNULATED BIORCI 1.5MM CANNULATION STERILE 9 X 35MM	SUP-7207565	CDM			270	RC		inpatient			265.2	265.2																																																			
STAPLE CARTRIDGE RELOAD ENDOPATH LINEAR CUTTER THICK TISSUE GREEN 44 PER PACKAGE 45MM	SUP-ZR45G	CDM			270	RC		outpatient			265.15	265.15	71.83				percent of total billed charges		265.15				other	OPPS APC	196.21				percent of total billed charges		265.15				other	OPPS APC	265.15				other	OPPS APC	71.83				percent of total billed charges		73.26				percent of total billed charges		265.15				other	OPPS APC	71.83	265.15	
STAPLE CARTRIDGE RELOAD ENDOPATH LINEAR CUTTER THICK TISSUE GREEN 44 PER PACKAGE 45MM	SUP-ZR45G	CDM			270	RC		inpatient			265.15	265.15																																																			
MANIPULATOR UTERINE CLEARVIEW	SUP-77-00030	CDM			272	RC		outpatient			265.13	265.13	71.82				percent of total billed charges		265.13				other	OPPS APC	196.2				percent of total billed charges		265.13				other	OPPS APC	265.13				other	OPPS APC	71.82				percent of total billed charges		73.26				percent of total billed charges		265.13				other	OPPS APC	71.82	265.13	
MANIPULATOR UTERINE CLEARVIEW	SUP-77-00030	CDM			272	RC		inpatient			265.13	265.13																																																			
HC Removal Embedded FB Eyelid	PX-450679381	CDM	67938	CPT	450	RC		outpatient			265	265	195.77				case rate		265				other	OPPS APC	196.1				percent of total billed charges		265				other	OPPS APC	265				other	OPPS APC	195.77				case rate		199.69				case rate		265				other	OPPS APC	195.77	265	
HC Removal Embedded FB Eyelid	PX-450679381	CDM	67938	CPT	450	RC		inpatient			265	265																																																			
TUBE JEJUNOSTOMY MIC SECUR-LOK SILICONE STANDARD J OD16 FR 7-10 ML TRIMMABLE DISTAL TIP RADIOPAQUE STRIPE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON STERILE LATEX FREE DISPOSABLE	SUP-0200-16	CDM			270	RC		outpatient			265	265	71.79				percent of total billed charges		265				other	OPPS APC	196.1				percent of total billed charges		265				other	OPPS APC	265				other	OPPS APC	71.79				percent of total billed charges		73.22				percent of total billed charges		265				other	OPPS APC	71.79	265	
TUBE JEJUNOSTOMY MIC SECUR-LOK SILICONE STANDARD J OD16 FR 7-10 ML TRIMMABLE DISTAL TIP RADIOPAQUE STRIPE UNIVERSAL FEED PORT CONNECTOR INTERNAL RETENTION BALLOON STERILE LATEX FREE DISPOSABLE	SUP-0200-16	CDM			270	RC		inpatient			265	265																																																			
WIRE BOLT (SHORT)	SUP-97-03815	CDM			278	RC		outpatient			264.6	264.62	264.6				fee schedule		264.6				other	OPPS APC	150.82				percent of total billed charges		264.6				other	OPPS APC	264.6				other	OPPS APC	129.65				percent of total billed charges		134.95				percent of total billed charges		264.62				other	OPPS APC	129.65	264.62	
WIRE BOLT (SHORT)	SUP-97-03815	CDM			278	RC		inpatient			264.6	264.6																																																			
WIRE BOLT MEDIUM	SUP-97-03822	CDM			278	RC		outpatient			264.6	264.62	264.6				fee schedule		264.6				other	OPPS APC	150.82				percent of total billed charges		264.6				other	OPPS APC	264.6				other	OPPS APC	129.65				percent of total billed charges		134.95				percent of total billed charges		264.62				other	OPPS APC	129.65	264.62	
WIRE BOLT MEDIUM	SUP-97-03822	CDM			278	RC		inpatient			264.6	264.6																																																			
WIRE BOLT LONG	SUP-97-03823	CDM			278	RC		outpatient			264.6	264.62	264.6				fee schedule		264.6				other	OPPS APC	150.82				percent of total billed charges		264.6				other	OPPS APC	264.6				other	OPPS APC	129.65				percent of total billed charges		134.95				percent of total billed charges		264.62				other	OPPS APC	129.65	264.62	
WIRE BOLT LONG	SUP-97-03823	CDM			278	RC		inpatient			264.6	264.6																																																			
DEVICE SPECIMEN RETRIEVAL RAPTOR L230 CM OD2.4 MM HYBRID JAW CONFIGURATION FLEXIBLE DISTAL WIRE GRASP STERILE DISPOSABLE	SUP-BX00711177	CDM			270	RC		outpatient			264	264	71.52				percent of total billed charges		264				other	OPPS APC	195.36				percent of total billed charges		264				other	OPPS APC	264				other	OPPS APC	71.52				percent of total billed charges		72.94				percent of total billed charges		264				other	OPPS APC	71.52	264	
DEVICE SPECIMEN RETRIEVAL RAPTOR L230 CM OD2.4 MM HYBRID JAW CONFIGURATION FLEXIBLE DISTAL WIRE GRASP STERILE DISPOSABLE	SUP-BX00711177	CDM			270	RC		inpatient			264	264																																																			
FOSPHENYTOIN 500 MG PE/10 ML SOLUTION 10 ML VIAL	636000000	CDM	63323-403-04	NDC	Q2009	HCPCS		inpatient			263.25	263.25																																																			
FOSPHENYTOIN 500 MG PE/10 ML SOLUTION 10 ML VIAL	636000000	CDM	63323-403-04	NDC	Q2009	HCPCS		outpatient			263.25	5.87																																											5.87				other	OPPS APC	5.87	5.87	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 13MM	SUP-97-01484	CDM			278	RC		outpatient			263.13	263.13	263.13				fee schedule		263.13				other	OPPS APC	149.98				percent of total billed charges		263.13				other	OPPS APC	263.13				other	OPPS APC	128.93				percent of total billed charges		134.2				percent of total billed charges		263.13				other	OPPS APC	128.93	263.13	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 13MM	SUP-97-01484	CDM			278	RC		inpatient			263.13	263.13																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 12MM	SUP-97-01487	CDM			278	RC		outpatient			263.13	263.13	263.13				fee schedule		263.13				other	OPPS APC	149.98				percent of total billed charges		263.13				other	OPPS APC	263.13				other	OPPS APC	128.93				percent of total billed charges		134.2				percent of total billed charges		263.13				other	OPPS APC	128.93	263.13	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 12MM	SUP-97-01487	CDM			278	RC		inpatient			263.13	263.13																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 9MM	SUP-97-04125	CDM			278	RC		outpatient			263.13	263.13	263.13				fee schedule		263.13				other	OPPS APC	149.98				percent of total billed charges		263.13				other	OPPS APC	263.13				other	OPPS APC	128.93				percent of total billed charges		134.2				percent of total billed charges		263.13				other	OPPS APC	128.93	263.13	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 9MM	SUP-97-04125	CDM			278	RC		inpatient			263.13	263.13																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 8MM	SUP-97-05208	CDM			278	RC		outpatient			263.13	263.13	263.13				fee schedule		263.13				other	OPPS APC	149.98				percent of total billed charges		263.13				other	OPPS APC	263.13				other	OPPS APC	128.93				percent of total billed charges		134.2				percent of total billed charges		263.13				other	OPPS APC	128.93	263.13	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 8MM	SUP-97-05208	CDM			278	RC		inpatient			263.13	263.13																																																			
SCREW VARIAX NON LOCKING 2.3 X 22MM	SUP-97-06087	CDM			278	RC		outpatient			263.13	263.13	263.13				fee schedule		263.13				other	OPPS APC	149.98				percent of total billed charges		263.13				other	OPPS APC	263.13				other	OPPS APC	128.93				percent of total billed charges		134.2				percent of total billed charges		263.13				other	OPPS APC	128.93	263.13	
SCREW VARIAX NON LOCKING 2.3 X 22MM	SUP-97-06087	CDM			278	RC		inpatient			263.13	263.13																																																			
HC Removal of Nail Plate Simple	PX-450117301	CDM	11730	CPT	450	RC		outpatient			263	19.19	195.77				case rate		190.19				other	OPPS APC	194.62				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		199.69				case rate		19.19				other	OPPS APC	19.19	199.69	
HC Removal of Nail Plate Simple	PX-450117301	CDM	11730	CPT	450	RC		inpatient			263	263																																																			
HC Pulmonary Stress Testing	PX-460946204	CDM	94618	CPT	460	RC		outpatient			263	122.29	33.06				fee schedule		122.29				other	OPPS APC	335.52				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	33.37				fee schedule		134.13				percent of total billed charges		122.29				other	OPPS APC	33.06	335.52	
HC Pulmonary Stress Testing	PX-460946204	CDM	94618	CPT	460	RC		inpatient			263	263																																																			
HC Avulsion of Nail Plate Single	PX-761117300	CDM	11730	CPT	761	RC		outpatient			263	19.19	195.77				case rate		190.19				other	OPPS APC	194.62				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		134.13				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC Avulsion of Nail Plate Single	PX-761117300	CDM	11730	CPT	761	RC		inpatient			263	263																																																			
HC Chemical Cauterization	PX-761172500	CDM	17250	CPT	761	RC		outpatient			263	19.19	195.77				case rate		190.19				other	OPPS APC	194.62				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		134.13				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC Chemical Cauterization	PX-761172500	CDM	17250	CPT	761	RC		inpatient			263	263																																																			
STONE CATCHER W/TUBING	SUP-70-00239	CDM			272	RC		outpatient			262.74	262.74	71.18				percent of total billed charges		262.74				other	OPPS APC	194.43				percent of total billed charges		262.74				other	OPPS APC	262.74				other	OPPS APC	71.18				percent of total billed charges		72.6				percent of total billed charges		262.74				other	OPPS APC	71.18	262.74	
STONE CATCHER W/TUBING	SUP-70-00239	CDM			272	RC		inpatient			262.74	262.74																																																			
REAMER FOR TENOLOCK ANCHOR	SUP-8593	CDM			270	RC		outpatient			262.66	262.66	71.15				percent of total billed charges		262.66				other	OPPS APC	194.37				percent of total billed charges		262.66				other	OPPS APC	262.66				other	OPPS APC	71.15				percent of total billed charges		72.57				percent of total billed charges		262.66				other	OPPS APC	71.15	262.66	
REAMER FOR TENOLOCK ANCHOR	SUP-8593	CDM			270	RC		inpatient			262.66	262.66																																																			
DRILL TWIST STP 1.5X50MM	SUP-71-00212	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
DRILL TWIST STP 1.5X50MM	SUP-71-00212	CDM			272	RC		inpatient			262.5	262.5																																																			
COMPACT MIXING SYSTEM	SUP-78-00326	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
COMPACT MIXING SYSTEM	SUP-78-00326	CDM			272	RC		inpatient			262.5	262.5																																																			
TRIMANO BEACH CHAIR KIT/6	SUP-95-05322	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
TRIMANO BEACH CHAIR KIT/6	SUP-95-05322	CDM			272	RC		inpatient			262.5	262.5																																																			
ASPIRATION ASSEMBLY	SUP-97-00856	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
ASPIRATION ASSEMBLY	SUP-97-00856	CDM			272	RC		inpatient			262.5	262.5																																																			
K-WIRE 03X285	SUP-97-02051	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
K-WIRE 03X285	SUP-97-02051	CDM			278	RC		inpatient			262.5	262.5																																																			
REAMER BLADE PATELLA W/ PILOT HOLE SZ46	SUP-97-03684	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
REAMER BLADE PATELLA W/ PILOT HOLE SZ46	SUP-97-03684	CDM			272	RC		inpatient			262.5	262.5																																																			
LOW PROFILE SCREW  TI  4.5 X 26MM	SUP-97-03921	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
LOW PROFILE SCREW  TI  4.5 X 26MM	SUP-97-03921	CDM			278	RC		inpatient			262.5	262.5																																																			
LOW PROFILE SCREW  TI  4.5 X 32MM	SUP-97-03922	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
LOW PROFILE SCREW  TI  4.5 X 32MM	SUP-97-03922	CDM			278	RC		inpatient			262.5	262.5																																																			
LOW PROFILE SCREW  TI  4.5 X 36MM	SUP-97-03923	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
LOW PROFILE SCREW  TI  4.5 X 36MM	SUP-97-03923	CDM			278	RC		inpatient			262.5	262.5																																																			
LOW PROFILE SCREW  TI  4.5 X 38MM	SUP-97-03924	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
LOW PROFILE SCREW  TI  4.5 X 38MM	SUP-97-03924	CDM			278	RC		inpatient			262.5	262.5																																																			
LOW PROFILE SCREW  TI  4.5 X 40MM	SUP-97-03925	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
LOW PROFILE SCREW  TI  4.5 X 40MM	SUP-97-03925	CDM			278	RC		inpatient			262.5	262.5																																																			
LOW PROFILE SCREW  TI  4.5 X 45MM	SUP-97-03926	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
LOW PROFILE SCREW  TI  4.5 X 45MM	SUP-97-03926	CDM			278	RC		inpatient			262.5	262.5																																																			
2.0 K-WIRE	SUP-97-23835	CDM			278	RC		outpatient			262.5	262.5	262.5				fee schedule		262.5				other	OPPS APC	149.63				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	128.63				percent of total billed charges		133.88				percent of total billed charges		262.5				other	OPPS APC	128.63	262.5	
2.0 K-WIRE	SUP-97-23835	CDM			278	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.0X15	SUP-99-02081	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.0X15	SUP-99-02081	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.25X12	SUP-99-02091	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.25X12	SUP-99-02091	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.0X27	SUP-99-02092	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.0X27	SUP-99-02092	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.75X15	SUP-99-02150	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.75X15	SUP-99-02150	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.25X20	SUP-99-02178	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.25X20	SUP-99-02178	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.5X15	SUP-99-02180	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.5X15	SUP-99-02180	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.5X8	SUP-99-02208	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.5X8	SUP-99-02208	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 2.0X12	SUP-99-02214	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 2.0X12	SUP-99-02214	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.0X20	SUP-99-02236	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.0X20	SUP-99-02236	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.25X27	SUP-99-02237	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.25X27	SUP-99-02237	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.75X20	SUP-99-02241	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.75X20	SUP-99-02241	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 2.5 X 10	SUP-99-02242	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 2.5 X 10	SUP-99-02242	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.75X15	SUP-99-02284	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.75X15	SUP-99-02284	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.75X12	SUP-99-03002	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.75X12	SUP-99-03002	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 2.5 X 15	SUP-99-03004	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 2.5 X 15	SUP-99-03004	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.5X12	SUP-99-03005	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.5X12	SUP-99-03005	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 2.0X15	SUP-99-03119	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 2.0X15	SUP-99-03119	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.0X12	SUP-99-03146	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.0X12	SUP-99-03146	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 3.0X15	SUP-99-03150	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 3.0X15	SUP-99-03150	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.5X8	SUP-99-03152	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.5X8	SUP-99-03152	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 2.5X20	SUP-99-03158	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 2.5X20	SUP-99-03158	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.25X8	SUP-99-03161	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.25X8	SUP-99-03161	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.5X12	SUP-99-03170	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.5X12	SUP-99-03170	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.0X12	SUP-99-03204	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.0X12	SUP-99-03204	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.75X27	SUP-99-03224	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.75X27	SUP-99-03224	CDM			272	RC		inpatient			262.5	262.5																																																			
SHEATH - GLIDESHEATH SLENDER 6F DOUBLE W	SUP-99-03262	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
SHEATH - GLIDESHEATH SLENDER 6F DOUBLE W	SUP-99-03262	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.0X12	SUP-99-03299	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.0X12	SUP-99-03299	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.0 X 20	SUP-99-03322	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.0 X 20	SUP-99-03322	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.0X6	SUP-99-03332	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.0X6	SUP-99-03332	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.0X8	SUP-99-03333	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.0X8	SUP-99-03333	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.75X8	SUP-99-03342	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.75X8	SUP-99-03342	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.5X27	SUP-99-03407	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.5X27	SUP-99-03407	CDM			272	RC		inpatient			262.5	262.5																																																			
SHEATH - 6F - PRELUDE IDEAL - SLENDER	SUP-99-03452	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
SHEATH - 6F - PRELUDE IDEAL - SLENDER	SUP-99-03452	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 1.5X6	SUP-99-03489	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 1.5X6	SUP-99-03489	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.0X6	SUP-99-03501	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.0X6	SUP-99-03501	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.25X15	SUP-99-03702	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.25X15	SUP-99-03702	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.5X15	SUP-99-03703	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.5X15	SUP-99-03703	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 4.5 X 8	SUP-99-03774	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 4.5 X 8	SUP-99-03774	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 2.25X20	SUP-99-03856	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 2.25X20	SUP-99-03856	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 2.5X25	SUP-99-04209	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 2.5X25	SUP-99-04209	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 3.0X30	SUP-99-04223	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 3.0X30	SUP-99-04223	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE .035 6.0X150	SUP-99-04237	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE .035 6.0X150	SUP-99-04237	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE .035 4.0X150	SUP-99-04238	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE .035 4.0X150	SUP-99-04238	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 4.0X40	SUP-99-04430	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 4.0X40	SUP-99-04430	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 4.0X80	SUP-99-04431	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 4.0X80	SUP-99-04431	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 4.0X240	SUP-99-04432	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 4.0X240	SUP-99-04432	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X20	SUP-99-04433	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X20	SUP-99-04433	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X40	SUP-99-04434	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X40	SUP-99-04434	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X80	SUP-99-04435	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X80	SUP-99-04435	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X150	SUP-99-04436	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X150	SUP-99-04436	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 6.0X40	SUP-99-04437	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 6.0X40	SUP-99-04437	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 6.0X80	SUP-99-04438	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 6.0X80	SUP-99-04438	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 6.0X100	SUP-99-04439	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 6.0X100	SUP-99-04439	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 6.0X240	SUP-99-04440	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 6.0X240	SUP-99-04440	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 7.0X20	SUP-99-04441	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 7.0X20	SUP-99-04441	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 7.0X40	SUP-99-04442	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 7.0X40	SUP-99-04442	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 7.0X60	SUP-99-04443	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 7.0X60	SUP-99-04443	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 7.0X80	SUP-99-04444	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 7.0X80	SUP-99-04444	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 7.0X100	SUP-99-04445	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 7.0X100	SUP-99-04445	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 7.0X150	SUP-99-04446	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 7.0X150	SUP-99-04446	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X240	SUP-99-04464	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X240	SUP-99-04464	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X100	SUP-99-04465	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X100	SUP-99-04465	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 5.0X60	SUP-99-04466	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 5.0X60	SUP-99-04466	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - JADE 0.35 6.0X60	SUP-99-04467	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - JADE 0.35 6.0X60	SUP-99-04467	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - NC EUPHORA 3.5X20	SUP-99-04543	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - NC EUPHORA 3.5X20	SUP-99-04543	CDM			272	RC		inpatient			262.5	262.5																																																			
BALLOON - EUPHORA 1.5X20	SUP-99-04567	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
BALLOON - EUPHORA 1.5X20	SUP-99-04567	CDM			272	RC		inpatient			262.5	262.5																																																			
GUIDEWIRE - FIELDER PTCA GW 180CM	SUP-99-04850	CDM			272	RC		outpatient			262.5	262.5	71.11				percent of total billed charges		262.5				other	OPPS APC	194.25				percent of total billed charges		262.5				other	OPPS APC	262.5				other	OPPS APC	71.11				percent of total billed charges		72.53				percent of total billed charges		262.5				other	OPPS APC	71.11	262.5	
GUIDEWIRE - FIELDER PTCA GW 180CM	SUP-99-04850	CDM			272	RC		inpatient			262.5	262.5																																																			
WIRE DENTAL 20G (SUTURE WIRE)	SUP-71-00230	CDM			272	RC		outpatient			262.26	262.26	71.05				percent of total billed charges		262.26				other	OPPS APC	194.07				percent of total billed charges		262.26				other	OPPS APC	262.26				other	OPPS APC	71.05				percent of total billed charges		72.46				percent of total billed charges		262.26				other	OPPS APC	71.05	262.26	
WIRE DENTAL 20G (SUTURE WIRE)	SUP-71-00230	CDM			272	RC		inpatient			262.26	262.26																																																			
DRESSING WOUND VAC VERAFLO CLEANSE CHOICE MEDIUM TUBULAR FLEXIBLE COMPLEX GEOMETRY MOISTURE RESISTANCE LATEX FREE	SUP-ULTVCC05MD.S	CDM			270	RC		outpatient			262.2	262.2	71.03				percent of total billed charges		262.2				other	OPPS APC	194.03				percent of total billed charges		262.2				other	OPPS APC	262.2				other	OPPS APC	71.03				percent of total billed charges		72.45				percent of total billed charges		262.2				other	OPPS APC	71.03	262.2	
DRESSING WOUND VAC VERAFLO CLEANSE CHOICE MEDIUM TUBULAR FLEXIBLE COMPLEX GEOMETRY MOISTURE RESISTANCE LATEX FREE	SUP-ULTVCC05MD.S	CDM			270	RC		inpatient			262.2	262.2																																																			
SCREW PERSONA 2.5MM FEMAL 48MM PK/2	SUP-42-5099-025-48	CDM	270010025	LOCAL	270	RC		outpatient			262.12	262.12	71.01				percent of total billed charges		262.12				other	OPPS APC	193.97				percent of total billed charges		262.12				other	OPPS APC	262.12				other	OPPS APC	71.01				percent of total billed charges		72.42				percent of total billed charges		262.12				other	OPPS APC	71.01	262.12	
SCREW PERSONA 2.5MM FEMAL 48MM PK/2	SUP-42-5099-025-48	CDM	270010025	LOCAL	270	RC		inpatient			262.12	262.12																																																			
CATHETER BALLOON DILATATION CORDIS POWERFLEX PRO DURALYN MDX L135 CM L100 MM OD5 FR ODSEC5 MM PERIPHERAL 2 LUMEN OTW LOW PROFILE RADIOPAQUE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-4400510X	CDM			270	RC		outpatient			262	262	70.98				percent of total billed charges		262				other	OPPS APC	193.88				percent of total billed charges		262				other	OPPS APC	262				other	OPPS APC	70.98				percent of total billed charges		72.39				percent of total billed charges		262				other	OPPS APC	70.98	262	
CATHETER BALLOON DILATATION CORDIS POWERFLEX PRO DURALYN MDX L135 CM L100 MM OD5 FR ODSEC5 MM PERIPHERAL 2 LUMEN OTW LOW PROFILE RADIOPAQUE LATEX FREE ACCEPTS .035 IN GUIDEWIRE 5 FR SHEATH PTA	SUP-4400510X	CDM			270	RC		inpatient			262	262																																																			
CATHETER BALLOON DILATATION POWERFLEX PRO DURALYN .035 IN LOW PROFILE L135 CM L80 MM OD5 FR ODSEC7 MM PERIPHERAL OTW MODERATE TO HIGH PRESSURE GUIDEWIRE MARKER BAND PTA	SUP-4400708X	CDM			270	RC		outpatient			262	262	70.98				percent of total billed charges		262				other	OPPS APC	193.88				percent of total billed charges		262				other	OPPS APC	262				other	OPPS APC	70.98				percent of total billed charges		72.39				percent of total billed charges		262				other	OPPS APC	70.98	262	
CATHETER BALLOON DILATATION POWERFLEX PRO DURALYN .035 IN LOW PROFILE L135 CM L80 MM OD5 FR ODSEC7 MM PERIPHERAL OTW MODERATE TO HIGH PRESSURE GUIDEWIRE MARKER BAND PTA	SUP-4400708X	CDM			270	RC		inpatient			262	262																																																			
BIT DRILL SURGIBIT OD2 MM QUICK COUPLER NONSTERILE	SUP-80-0318	CDM			270	RC		outpatient			262	262	70.98				percent of total billed charges		262				other	OPPS APC	193.88				percent of total billed charges		262				other	OPPS APC	262				other	OPPS APC	70.98				percent of total billed charges		72.39				percent of total billed charges		262				other	OPPS APC	70.98	262	
BIT DRILL SURGIBIT OD2 MM QUICK COUPLER NONSTERILE	SUP-80-0318	CDM			270	RC		inpatient			262	262																																																			
BIT DRILL 195MM 3.2MM NS QUICK COUPLING	SUP-310.29	CDM	270010013	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
BIT DRILL 195MM 3.2MM NS QUICK COUPLING	SUP-310.29	CDM	270010013	LOCAL	270	RC		inpatient			261.8	261.8																																																			
BIT DRILL STAINLESS STEEL L195 MM OD4.5 MM QUICK COUPLING NONSTERILE	SUP-310.48	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
BIT DRILL STAINLESS STEEL L195 MM OD4.5 MM QUICK COUPLING NONSTERILE	SUP-310.48	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE TITANIUM T8 L16 MM OD2.7 MM ID2.1 MM SELF TAP LOCK STARDRIVE THREAD HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.216	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE TITANIUM T8 L16 MM OD2.7 MM ID2.1 MM SELF TAP LOCK STARDRIVE THREAD HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.216	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW  LOCKING  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 18MM  W/ T8 STARDRIVE	SUP-402.218	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW  LOCKING  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 18MM  W/ T8 STARDRIVE	SUP-402.218	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE TITANIUM T8 L20 MM OD2.7 MM ID2.1 MM SELF TAP LOCK STARDRIVE THREAD HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.220	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE TITANIUM T8 L20 MM OD2.7 MM ID2.1 MM SELF TAP LOCK STARDRIVE THREAD HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.220	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW  LOCKING  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 22MM  W/ T8 STARDRIVE	SUP-402.222	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW  LOCKING  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 22MM  W/ T8 STARDRIVE	SUP-402.222	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE TITANIUM T8 L24 MM OD2.7 MM ID2.1 MM SELF TAP LOCK STARDRIVE THREAD HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.224	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE TITANIUM T8 L24 MM OD2.7 MM ID2.1 MM SELF TAP LOCK STARDRIVE THREAD HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.224	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L26 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS STERILE	SUP-402.226	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L26 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS STERILE	SUP-402.226	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L28 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS NONSTERILE	SUP-402.228	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L28 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS NONSTERILE	SUP-402.228	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L30 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.230	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L30 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.230	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L32 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS NONSTERILE	SUP-402.232	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L32 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS NONSTERILE	SUP-402.232	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L34 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.234	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L34 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.234	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L36 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS NONSTERILE	SUP-402.236	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L36 MM OD2.7 MM HUMERUS DISTAL CANNULATED SELF TAP LOCK STARDRIVE RECESS NONSTERILE	SUP-402.236	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L38 MM OD2.7 MM SELF TAPPING LOCKING T8 STARDRIVE RECESS	SUP-402.238	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L38 MM OD2.7 MM SELF TAPPING LOCKING T8 STARDRIVE RECESS	SUP-402.238	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE TITANIUM T8 L40 MM OD2.7 MM SELF TAP LOCK STARDRIVE NONSTERILE	SUP-402.240	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE TITANIUM T8 L40 MM OD2.7 MM SELF TAP LOCK STARDRIVE NONSTERILE	SUP-402.240	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L42 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.242	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L42 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.242	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L44 MM OD2.7 MM SELF TAPPING LOCKING T8 STARDRIVE RECESS	SUP-402.244	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L44 MM OD2.7 MM SELF TAPPING LOCKING T8 STARDRIVE RECESS	SUP-402.244	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L48 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.248	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L48 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.248	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
SCREW BONE LCP TITANIUM L55 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.255	CDM	270010022	LOCAL	270	RC		outpatient			261.8	261.81	70.92				percent of total billed charges		261.8				other	OPPS APC	193.73				percent of total billed charges		261.8				other	OPPS APC	261.8				other	OPPS APC	70.92				percent of total billed charges		72.34				percent of total billed charges		261.81				other	OPPS APC	70.92	261.81	
SCREW BONE LCP TITANIUM L55 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE	SUP-402.255	CDM	270010022	LOCAL	270	RC		inpatient			261.8	261.8																																																			
"SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 354 ML KIT"	250000000	CDM	10572-012-01	NDC				inpatient			261.7	261.7																																																			
"SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 354 ML KIT"	250000000	CDM	10572-012-01	NDC				outpatient			261.7	261.7																																															other	OPPS APC			
SCREW BONE 1.7 X 8MM CROSSPIN ST	SUP-97-04008	CDM			278	RC		outpatient			261.66	261.66	261.66				fee schedule		261.66				other	OPPS APC	149.15				percent of total billed charges		261.66				other	OPPS APC	261.66				other	OPPS APC	128.21				percent of total billed charges		133.45				percent of total billed charges		261.66				other	OPPS APC	128.21	261.66	
SCREW BONE 1.7 X 8MM CROSSPIN ST	SUP-97-04008	CDM			278	RC		inpatient			261.66	261.66																																																			
SCREW BONE 1.7 X 10MM CROSSPIN ST	SUP-97-05004	CDM			278	RC		outpatient			261.66	261.66	261.66				fee schedule		261.66				other	OPPS APC	149.15				percent of total billed charges		261.66				other	OPPS APC	261.66				other	OPPS APC	128.21				percent of total billed charges		133.45				percent of total billed charges		261.66				other	OPPS APC	128.21	261.66	
SCREW BONE 1.7 X 10MM CROSSPIN ST	SUP-97-05004	CDM			278	RC		inpatient			261.66	261.66																																																			
SCRWE 1.7 X 22MM VARIAX NON LOCKING	SUP-97-05717	CDM			278	RC		outpatient			261.66	261.66	261.66				fee schedule		261.66				other	OPPS APC	149.15				percent of total billed charges		261.66				other	OPPS APC	261.66				other	OPPS APC	128.21				percent of total billed charges		133.45				percent of total billed charges		261.66				other	OPPS APC	128.21	261.66	
SCRWE 1.7 X 22MM VARIAX NON LOCKING	SUP-97-05717	CDM			278	RC		inpatient			261.66	261.66																																																			
SCREW 1.7 X 6MM NON LOCKING VARIAX	SUP-97-06180	CDM			278	RC		outpatient			261.66	261.66	261.66				fee schedule		261.66				other	OPPS APC	149.15				percent of total billed charges		261.66				other	OPPS APC	261.66				other	OPPS APC	128.21				percent of total billed charges		133.45				percent of total billed charges		261.66				other	OPPS APC	128.21	261.66	
SCREW 1.7 X 6MM NON LOCKING VARIAX	SUP-97-06180	CDM			278	RC		inpatient			261.66	261.66																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD Y L4 MM X H.6 MM MIDFACE 5 HOLE BAR 1.7 MM SCREW	SUP-5505151	CDM			270	RC		outpatient			261.6	261.62	70.87				percent of total billed charges		261.6				other	OPPS APC	193.58				percent of total billed charges		261.6				other	OPPS APC	261.6				other	OPPS APC	70.87				percent of total billed charges		72.28				percent of total billed charges		261.62				other	OPPS APC	70.87	261.62	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD Y L4 MM X H.6 MM MIDFACE 5 HOLE BAR 1.7 MM SCREW	SUP-5505151	CDM			270	RC		inpatient			261.6	261.6																																																			
PLATE BONE TITANIUM 90 D H.6 MM LEFT UPPERFACIAL 8 HOLE L 1.2 MM SCREWS	SUP-5506260	CDM			270	RC		outpatient			261.6	261.62	70.87				percent of total billed charges		261.6				other	OPPS APC	193.58				percent of total billed charges		261.6				other	OPPS APC	261.6				other	OPPS APC	70.87				percent of total billed charges		72.28				percent of total billed charges		261.62				other	OPPS APC	70.87	261.62	
PLATE BONE TITANIUM 90 D H.6 MM LEFT UPPERFACIAL 8 HOLE L 1.2 MM SCREWS	SUP-5506260	CDM			270	RC		inpatient			261.6	261.6																																																			
PLATE BONE UNIVERSAL 2 TITANIUM 90 D STANDARD L H.6 MM UPPERFACE RIGHT 8 HOLE 1.2 MM SCREW	SUP-5506261	CDM			270	RC		outpatient			261.6	261.62	70.87				percent of total billed charges		261.6				other	OPPS APC	193.58				percent of total billed charges		261.6				other	OPPS APC	261.6				other	OPPS APC	70.87				percent of total billed charges		72.28				percent of total billed charges		261.62				other	OPPS APC	70.87	261.62	
PLATE BONE UNIVERSAL 2 TITANIUM 90 D STANDARD L H.6 MM UPPERFACE RIGHT 8 HOLE 1.2 MM SCREW	SUP-5506261	CDM			270	RC		inpatient			261.6	261.6																																																			
"MEASLES, MUMPS & RUBELLA VAC PER 0.5 ML"	636000000	CDM	0006-4681-01	NDC	90707	HCPCS		inpatient			260.82	260.82																																																			
"MEASLES, MUMPS & RUBELLA VAC PER 0.5 ML"	636000000	CDM	0006-4681-01	NDC	90707	HCPCS		outpatient			260.82	260.82																																															other	OPPS APC			
SCREW BONE EQUINOXE L26 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE ORANGE	SUP-320-20-26	CDM	270010030	LOCAL	270	RC		outpatient			260.1	26.12	70.46				percent of total billed charges		260.1				other	OPPS APC	192.47				percent of total billed charges		260.1				other	OPPS APC	260.1				other	OPPS APC	70.46				percent of total billed charges		71.87				percent of total billed charges		26.12				other	OPPS APC	26.12	260.1	
SCREW BONE EQUINOXE L26 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE ORANGE	SUP-320-20-26	CDM	270010030	LOCAL	270	RC		inpatient			260.1	260.1																																																			
HC Cpap	PX-410946600	CDM	94660	CPT	410	RC		outpatient			260	21.69	79.66				percent of total billed charges		201.69				other	OPPS APC	142.99				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	79.66				percent of total billed charges		81.25				percent of total billed charges		21.69				other	OPPS APC	21.69	201.69	
HC Cpap	PX-410946600	CDM	94660	CPT	410	RC		inpatient			260	260																																																			
HC Bipap/Cpap	PX-410946601	CDM	94660	CPT	410	RC		outpatient			260	21.69	79.66				percent of total billed charges		201.69				other	OPPS APC	142.99				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	79.66				percent of total billed charges		81.25				percent of total billed charges		21.69				other	OPPS APC	21.69	201.69	
HC Bipap/Cpap	PX-410946601	CDM	94660	CPT	410	RC		inpatient			260	260																																																			
Menactra (Meningococcal)	PX-636907341	CDM	90734	CPT	636	RC		outpatient			260	26	110.7				fee schedule		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	260				fee schedule		260				fee schedule		26				other	OPPS APC	26	260	
Menactra (Meningococcal)	PX-636907341	CDM	90734	CPT	636	RC		inpatient			260	260																																																			
HC Tn Theraskin 1x2= 13 Cm per Sq Cm	PX-636Q41210	CDM			636	RC		outpatient			260	26	260				fee schedule		260				other	OPPS APC	49.33				fee schedule		260				other	OPPS APC	260				other	OPPS APC	127.4				percent of total billed charges		64.64				percent of total billed charges		26				other	OPPS APC	26	260	
HC Tn Theraskin 1x2= 13 Cm per Sq Cm	PX-636Q41210	CDM			636	RC		inpatient			260	260																																																			
CATHETER ANGIOGRAPHIC ACCU-VU PLATINUM .035 IN PIGTAIL CURVE L70 CM L20 CM OD5 FR 21 BAND SIZING FLUSH RADIOPAQUE GUIDEWIRE STERILE DISPOSABLE	SUP-13709801	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
CATHETER ANGIOGRAPHIC ACCU-VU PLATINUM .035 IN PIGTAIL CURVE L70 CM L20 CM OD5 FR 21 BAND SIZING FLUSH RADIOPAQUE GUIDEWIRE STERILE DISPOSABLE	SUP-13709801	CDM			270	RC		inpatient			260	260																																																			
CATHETER ANGIOGRAPHIC ACCU-VU .035 IN PIGTAIL FLUSH L100 CM L20 CM OD5 FR SIZING 21 PLATINUM BAND	SUP-13709803	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
CATHETER ANGIOGRAPHIC ACCU-VU .035 IN PIGTAIL FLUSH L100 CM L20 CM OD5 FR SIZING 21 PLATINUM BAND	SUP-13709803	CDM			270	RC		inpatient			260	260																																																			
CATHETER GUIDING MINNIE HYDROPHILIC .014 IN L150 CM OD6 FR 1 LUMEN INECTION PRESSURE SUPPORT GUIDEWIRE	SUP-5701	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
CATHETER GUIDING MINNIE HYDROPHILIC .014 IN L150 CM OD6 FR 1 LUMEN INECTION PRESSURE SUPPORT GUIDEWIRE	SUP-5701	CDM			270	RC		inpatient			260	260																																																			
SLEEVE CENTERING G7 TITANIUM +6 MM OFFSET TAPER HIP TYPE 1 BIOLOX DELTA BIOLOX OPTION FEMORAL HEAD	SUP-650-1068	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
SLEEVE CENTERING G7 TITANIUM +6 MM OFFSET TAPER HIP TYPE 1 BIOLOX DELTA BIOLOX OPTION FEMORAL HEAD	SUP-650-1068	CDM			270	RC		inpatient			260	260																																																			
PIN HOLDING PREMIER ANTERIOR CERVICAL SPINE PLATE EASY INSERTION TEMPORARY FIXATION STERILE DISPOSABLE ANTERIOR CERVICAL SYSTEM	SUP-6860404	CDM	270010020	LOCAL	270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
PIN HOLDING PREMIER ANTERIOR CERVICAL SPINE PLATE EASY INSERTION TEMPORARY FIXATION STERILE DISPOSABLE ANTERIOR CERVICAL SYSTEM	SUP-6860404	CDM	270010020	LOCAL	270	RC		inpatient			260	260																																																			
FIELDER XT STRAIGHT TIP GUIDEWIRE 190CM	SUP-AGP140002	CDM			481	RC		outpatient			260	26	127.4				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	127.4				percent of total billed charges		132.6				percent of total billed charges		26				other	OPPS APC	26	260	
FIELDER XT STRAIGHT TIP GUIDEWIRE 190CM	SUP-AGP140002	CDM			481	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 16.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-16.5	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 16.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-16.5	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 17.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-17.0	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 17.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-17.0	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 17.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-17.5	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 17.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-17.5	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 18.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-18.0	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 18.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-18.0	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 18.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-18.5	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 18.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-18.5	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 19.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-19.0	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 19.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-19.0	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 19.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-19.5	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 19.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-19.5	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 20.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-20.0	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 20.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-20.0	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 20.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-20.5	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 20.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-20.5	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKREOS AO 26% HYDROPHILIC ACRYLIC 0 D +20 DIOPTER BICONVEX L10.7 MM OD6 MM POSTERIOR CHAMBER	SUP-AO60P2000	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKREOS AO 26% HYDROPHILIC ACRYLIC 0 D +20 DIOPTER BICONVEX L10.7 MM OD6 MM POSTERIOR CHAMBER	SUP-AO60P2000	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 21.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-21.0	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 21.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-21.0	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 21.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-21.5	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 21.5 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-21.5	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKRESO AO 22.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-22.0	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKRESO AO 22.0 DIOIPTER POSTERIOR CHAMBER	SUP-AO60P-22.0	CDM			270	RC		inpatient			260	260																																																			
LENS INTRAOCULAR AKREOS AO 26% HYDROPHILIC ACRYLIC 0 D +22 DIOPTER BICONVEX L10.7 MM OD6 MM POSTERIOR CHAMBER	SUP-AO60P2200	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
LENS INTRAOCULAR AKREOS AO 26% HYDROPHILIC ACRYLIC 0 D +22 DIOPTER BICONVEX L10.7 MM OD6 MM POSTERIOR CHAMBER	SUP-AO60P2200	CDM			270	RC		inpatient			260	260																																																			
RASP SURGICAL POWERASP COOLCUT FLAT L13 CM X W4 MM SMOOTH	SUP-AR-8400PR	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
RASP SURGICAL POWERASP COOLCUT FLAT L13 CM X W4 MM SMOOTH	SUP-AR-8400PR	CDM			270	RC		inpatient			260	260																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L26 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-26PT	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L26 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-26PT	CDM			270	RC		inpatient			260	260																																																			
DEVICE SPECIMEN RETRIEVAL TALON STAINLESS STEEL L160CM OD2.5MM 4 PRONG GRASP INWARD FACE ATRAUMATIC HOOK SHEATH LATEX FREE DISPOSABLE	SUP-BX00711175	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
DEVICE SPECIMEN RETRIEVAL TALON STAINLESS STEEL L160CM OD2.5MM 4 PRONG GRASP INWARD FACE ATRAUMATIC HOOK SHEATH LATEX FREE DISPOSABLE	SUP-BX00711175	CDM			270	RC		inpatient			260	260																																																			
CLIP INTERNAL DURACLIP SMALL L165 CM X W11 MM L10 MM OD2.8 MM REPOSITIONABLE GASTROSCOPE HEMOSTASIS	SUP-DC0165	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
CLIP INTERNAL DURACLIP SMALL L165 CM X W11 MM L10 MM OD2.8 MM REPOSITIONABLE GASTROSCOPE HEMOSTASIS	SUP-DC0165	CDM			270	RC		inpatient			260	260																																																			
CLIP INTERNAL DURACLIP SMALL L235 CM X W11 MM L10 MM OD2.8 MM REPOSITIONABLE COLONOSCOPE HEMOSTASIS	SUP-DC0235	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
CLIP INTERNAL DURACLIP SMALL L235 CM X W11 MM L10 MM OD2.8 MM REPOSITIONABLE COLONOSCOPE HEMOSTASIS	SUP-DC0235	CDM			270	RC		inpatient			260	260																																																			
CLIP HEMOSTATIC DURACLIP L235 CM L16 MM OD2.8 MM REPOSITIONABLE COLONOSCOPE	SUP-DC0235W	CDM			270	RC		outpatient			260	26	70.43				percent of total billed charges		260				other	OPPS APC	192.4				percent of total billed charges		260				other	OPPS APC	260				other	OPPS APC	70.43				percent of total billed charges		71.84				percent of total billed charges		26				other	OPPS APC	26	260	
CLIP HEMOSTATIC DURACLIP L235 CM L16 MM OD2.8 MM REPOSITIONABLE COLONOSCOPE	SUP-DC0235W	CDM			270	RC		inpatient			260	260																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 37X9X1MM .5MM 12MM SS NS 3 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.33	CDM	270010022	LOCAL	270	RC		outpatient			259.96	259.96	70.42				percent of total billed charges		259.96				other	OPPS APC	192.37				percent of total billed charges		259.96				other	OPPS APC	259.96				other	OPPS APC	70.42				percent of total billed charges		71.83				percent of total billed charges		259.96				other	OPPS APC	70.42	259.96	
PLATE BONE LC-DCP 1/3 TUBULAR 37X9X1MM .5MM 12MM SS NS 3 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.33	CDM	270010022	LOCAL	270	RC		inpatient			259.96	259.96																																																			
TUBE JEJUNOSTOMY MIC SECUR-LOK 45CM 12FR 2-3ML SILICONE DISPOSABLE STERILE LF UNIVERSAL FEEDING PORT CONNECTOR TAPER	SUP-0200-12LV	CDM			270	RC		outpatient			259.8	259.81	70.38				percent of total billed charges		259.8				other	OPPS APC	192.25				percent of total billed charges		259.8				other	OPPS APC	259.8				other	OPPS APC	70.38				percent of total billed charges		71.78				percent of total billed charges		259.81				other	OPPS APC	70.38	259.81	
TUBE JEJUNOSTOMY MIC SECUR-LOK 45CM 12FR 2-3ML SILICONE DISPOSABLE STERILE LF UNIVERSAL FEEDING PORT CONNECTOR TAPER	SUP-0200-12LV	CDM			270	RC		inpatient			259.8	259.8																																																			
TUBE JEJUNOSTOMY MIC SECUR-LOK 45CM 14FR 7-10ML SILICONE DISPOSABLE STERILE LF UNIVERSAL FEEDING PORT CONNECTOR TAPER	SUP-0200-14	CDM			270	RC		outpatient			259.8	259.81	70.38				percent of total billed charges		259.8				other	OPPS APC	192.25				percent of total billed charges		259.8				other	OPPS APC	259.8				other	OPPS APC	70.38				percent of total billed charges		71.78				percent of total billed charges		259.81				other	OPPS APC	70.38	259.81	
TUBE JEJUNOSTOMY MIC SECUR-LOK 45CM 14FR 7-10ML SILICONE DISPOSABLE STERILE LF UNIVERSAL FEEDING PORT CONNECTOR TAPER	SUP-0200-14	CDM			270	RC		inpatient			259.8	259.8																																																			
BURR METAL CUTTING DIAMOND DISC 25.4 X 0.8 MM	SUP-5120130250	CDM			270	RC		outpatient			259.66	259.66	70.34				percent of total billed charges		259.66				other	OPPS APC	192.15				percent of total billed charges		259.66				other	OPPS APC	259.66				other	OPPS APC	70.34				percent of total billed charges		71.74				percent of total billed charges		259.66				other	OPPS APC	70.34	259.66	
BURR METAL CUTTING DIAMOND DISC 25.4 X 0.8 MM	SUP-5120130250	CDM			270	RC		inpatient			259.66	259.66																																																			
CAP END TITANIUM STERILE GREEN 3-4 MM ELASTIC INTRAMEDULLARY NAILS	SUP-475.900S	CDM	270010022	LOCAL	270	RC		outpatient			259.6	259.62	70.33				percent of total billed charges		259.6				other	OPPS APC	192.1				percent of total billed charges		259.6				other	OPPS APC	259.6				other	OPPS APC	70.33				percent of total billed charges		71.73				percent of total billed charges		259.62				other	OPPS APC	70.33	259.62	
CAP END TITANIUM STERILE GREEN 3-4 MM ELASTIC INTRAMEDULLARY NAILS	SUP-475.900S	CDM	270010022	LOCAL	270	RC		inpatient			259.6	259.6																																																			
DRILLBIT NEEDLE YKNOT RC DISPOSABLE	SUP-97-02408	CDM						inpatient			259	259																																																			
DRILLBIT NEEDLE YKNOT RC DISPOSABLE	SUP-97-02408	CDM						outpatient			259	259	259				percent of total billed charges		259				other	OPPS APC	259				fee schedule		259				other	OPPS APC	259				other	OPPS APC	259				case rate		259				case rate		259				other	OPPS APC	259	259	
GUIDEWIRE - PILOT 200 300CM	SUP-99-04206	CDM			272	RC		outpatient			259	259	70.16				percent of total billed charges		259				other	OPPS APC	191.66				percent of total billed charges		259				other	OPPS APC	259				other	OPPS APC	70.16				percent of total billed charges		71.56				percent of total billed charges		259				other	OPPS APC	70.16	259	
GUIDEWIRE - PILOT 200 300CM	SUP-99-04206	CDM			272	RC		inpatient			259	259																																																			
GUIDEWIRE - PILOT 50 HI-TORQUE 190CM	SUP-99-04340	CDM			272	RC		outpatient			259	259	70.16				percent of total billed charges		259				other	OPPS APC	191.66				percent of total billed charges		259				other	OPPS APC	259				other	OPPS APC	70.16				percent of total billed charges		71.56				percent of total billed charges		259				other	OPPS APC	70.16	259	
GUIDEWIRE - PILOT 50 HI-TORQUE 190CM	SUP-99-04340	CDM			272	RC		inpatient			259	259																																																			
GUIDEWIRE - PILOT 200 J TIP 300CM	SUP-99-04487	CDM			272	RC		outpatient			259	259	70.16				percent of total billed charges		259				other	OPPS APC	191.66				percent of total billed charges		259				other	OPPS APC	259				other	OPPS APC	70.16				percent of total billed charges		71.56				percent of total billed charges		259				other	OPPS APC	70.16	259	
GUIDEWIRE - PILOT 200 J TIP 300CM	SUP-99-04487	CDM			272	RC		inpatient			259	259																																																			
GUIDEWIRE- BMW 190J HYDROPHILLIC	SUP-99-04562	CDM			272	RC		outpatient			259	259	70.16				percent of total billed charges		259				other	OPPS APC	191.66				percent of total billed charges		259				other	OPPS APC	259				other	OPPS APC	70.16				percent of total billed charges		71.56				percent of total billed charges		259				other	OPPS APC	70.16	259	
GUIDEWIRE- BMW 190J HYDROPHILLIC	SUP-99-04562	CDM			272	RC		inpatient			259	259																																																			
DRAINAGE CATH - 8.5F MULTIPURPOSE  CTSUP	SUP-95-01342	CDM			272	RC		outpatient			258.72	258.72	70.09				percent of total billed charges		258.72				other	OPPS APC	191.45				percent of total billed charges		258.72				other	OPPS APC	258.72				other	OPPS APC	70.09				percent of total billed charges		71.48				percent of total billed charges		258.72				other	OPPS APC	70.09	258.72	
DRAINAGE CATH - 8.5F MULTIPURPOSE  CTSUP	SUP-95-01342	CDM			272	RC		inpatient			258.72	258.72																																																			
DRAINAGE CATH - 10.2F MULTIPURPOSE CTSUP	SUP-95-01344	CDM			272	RC		outpatient			258.72	258.72	70.09				percent of total billed charges		258.72				other	OPPS APC	191.45				percent of total billed charges		258.72				other	OPPS APC	258.72				other	OPPS APC	70.09				percent of total billed charges		71.48				percent of total billed charges		258.72				other	OPPS APC	70.09	258.72	
DRAINAGE CATH - 10.2F MULTIPURPOSE CTSUP	SUP-95-01344	CDM			272	RC		inpatient			258.72	258.72																																																			
NEEDLE WEISS 17G X 5	SUP-97-00272	CDM			272	RC		outpatient			258.65	258.65	70.07				percent of total billed charges		258.65				other	OPPS APC	191.4				percent of total billed charges		258.65				other	OPPS APC	258.65				other	OPPS APC	70.07				percent of total billed charges		71.46				percent of total billed charges		258.65				other	OPPS APC	70.07	258.65	
NEEDLE WEISS 17G X 5	SUP-97-00272	CDM			272	RC		inpatient			258.65	258.65																																																			
ROUTER TAPERED 2.3 MM	SUP-5407FA2023	CDM			270	RC		outpatient			258.62	258.62	70.06				percent of total billed charges		258.62				other	OPPS APC	191.38				percent of total billed charges		258.62				other	OPPS APC	258.62				other	OPPS APC	70.06				percent of total billed charges		71.46				percent of total billed charges		258.62				other	OPPS APC	70.06	258.62	
ROUTER TAPERED 2.3 MM	SUP-5407FA2023	CDM			270	RC		inpatient			258.62	258.62																																																			
ROUTER SPIRAL 2.3 MM	SUP-5407FA2023SP	CDM			270	RC		outpatient			258.62	258.62	70.06				percent of total billed charges		258.62				other	OPPS APC	191.38				percent of total billed charges		258.62				other	OPPS APC	258.62				other	OPPS APC	70.06				percent of total billed charges		71.46				percent of total billed charges		258.62				other	OPPS APC	70.06	258.62	
ROUTER SPIRAL 2.3 MM	SUP-5407FA2023SP	CDM			270	RC		inpatient			258.62	258.62																																																			
LEUCOVORIN CALCIUM PER 50 MG	636000000	CDM	71288-164-50	NDC	J0640	HCPCS		inpatient			258.58	258.58																																																			
LEUCOVORIN CALCIUM PER 50 MG	636000000	CDM	71288-164-50	NDC	J0640	HCPCS		outpatient			258.58	258.58																																															other	OPPS APC			
SCREW BONE LCP TITANIUM T8 L16 MM OD2.4 MM ODSEC1.9 MM RADIUS DISTAL SELF TAP LOCK STARDRIVE CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.816	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW BONE LCP TITANIUM T8 L16 MM OD2.4 MM ODSEC1.9 MM RADIUS DISTAL SELF TAP LOCK STARDRIVE CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.816	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
SCREW SYNTHES 2.4MM LOCKING 20MM	SUP-412.820	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW SYNTHES 2.4MM LOCKING 20MM	SUP-412.820	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
SCREW SYNTHES 2.4MM LOCKING 22MM	SUP-412.822	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW SYNTHES 2.4MM LOCKING 22MM	SUP-412.822	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
SCREW SYNTHES 2.4MM LOCKING 24MM	SUP-412.824	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW SYNTHES 2.4MM LOCKING 24MM	SUP-412.824	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
SCREW SYNTHES 2.4MM LOCKING 26MM	SUP-412.826	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW SYNTHES 2.4MM LOCKING 26MM	SUP-412.826	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
SCREW SYNTHES 2.4MM LOCKING 28MM	SUP-412.828	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW SYNTHES 2.4MM LOCKING 28MM	SUP-412.828	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
SCREW SYNTHES 2.4MM LOCKING MM	SUP-412.830	CDM	270010022	LOCAL	270	RC		outpatient			258.5	258.5	70.03				percent of total billed charges		258.5				other	OPPS APC	191.29				percent of total billed charges		258.5				other	OPPS APC	258.5				other	OPPS APC	70.03				percent of total billed charges		71.42				percent of total billed charges		258.5				other	OPPS APC	70.03	258.5	
SCREW SYNTHES 2.4MM LOCKING MM	SUP-412.830	CDM	270010022	LOCAL	270	RC		inpatient			258.5	258.5																																																			
ADHESIVE SKIN CLOSURE DERMABOND PRINEO 2 OCTYL CYANOACRYLATE L60 CM 3.8 ML TOPICAL MESH APPLICATOR LIQUID DISPENSER STERILE DISPOSABLE	SUP-CLR602US	CDM			270	RC		outpatient			258.47	258.47	70.02				percent of total billed charges		258.47				other	OPPS APC	191.27				percent of total billed charges		258.47				other	OPPS APC	258.47				other	OPPS APC	70.02				percent of total billed charges		71.42				percent of total billed charges		258.47				other	OPPS APC	70.02	258.47	
ADHESIVE SKIN CLOSURE DERMABOND PRINEO 2 OCTYL CYANOACRYLATE L60 CM 3.8 ML TOPICAL MESH APPLICATOR LIQUID DISPENSER STERILE DISPOSABLE	SUP-CLR602US	CDM			270	RC		inpatient			258.47	258.47																																																			
HEMOSTAT ABSORBABLE SURGICEL NU-KNIT L9 IN X W6 IN PLIABLE WEAVE	SUP-1946	CDM			270	RC		outpatient			258.05	258.51	69.91				percent of total billed charges		258.05				other	OPPS APC	190.96				percent of total billed charges		258.05				other	OPPS APC	258.05				other	OPPS APC	69.91				percent of total billed charges		71.3				percent of total billed charges		258.51				other	OPPS APC	69.91	258.51	
HEMOSTAT ABSORBABLE SURGICEL NU-KNIT L9 IN X W6 IN PLIABLE WEAVE	SUP-1946	CDM			270	RC		inpatient			258.05	258.05																																																			
"THROMBIN (RECOMBINANT) 5,000 UNIT RECON SOLN"	250000000	CDM	0338-0322-01	NDC				inpatient			258	258																																																			
"THROMBIN (RECOMBINANT) 5,000 UNIT RECON SOLN"	250000000	CDM	0338-0322-01	NDC				outpatient			258	258																																															other	OPPS APC			
FIXATION POST 30MM	SUP-013141	CDM			270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
FIXATION POST 30MM	SUP-013141	CDM			270	RC		inpatient			258	258																																																			
POST FIXATION 45MM 4.5MM TITANIUM SUTURE ACL/PCL SYSTEM STERILE	SUP-013144	CDM			270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
POST FIXATION 45MM 4.5MM TITANIUM SUTURE ACL/PCL SYSTEM STERILE	SUP-013144	CDM			270	RC		inpatient			258	258																																																			
FIXATION POST 50MM	SUP-013145	CDM			270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
FIXATION POST 50MM	SUP-013145	CDM			270	RC		inpatient			258	258																																																			
POST FIXATION TITANIUM L45 MM OD4.5 MM SUTURE STERILE ACL/PCL SYSTEM	SUP-13144	CDM			270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
POST FIXATION TITANIUM L45 MM OD4.5 MM SUTURE STERILE ACL/PCL SYSTEM	SUP-13144	CDM			270	RC		inpatient			258	258																																																			
SCREW BONE EQUINOXE L42 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE YELLOW	SUP-320-20-42	CDM	270010030	LOCAL	270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
SCREW BONE EQUINOXE L42 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE YELLOW	SUP-320-20-42	CDM	270010030	LOCAL	270	RC		inpatient			258	258																																																			
SCREW BONE VLP MINI-MOD TITANIUM T4 L 8MM OD 1.5MM LOCK SELF TAP	SUP-74411508	CDM			270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
SCREW BONE VLP MINI-MOD TITANIUM T4 L 8MM OD 1.5MM LOCK SELF TAP	SUP-74411508	CDM			270	RC		inpatient			258	258																																																			
PIN HOLDING ATLANTIS TITANIUM SPINE CERVICAL ANTERIOR PLATE STERILE	SUP-876-404	CDM	270010020	LOCAL	270	RC		outpatient			258	258	69.89				percent of total billed charges		258				other	OPPS APC	190.92				percent of total billed charges		258				other	OPPS APC	258				other	OPPS APC	69.89				percent of total billed charges		71.29				percent of total billed charges		258				other	OPPS APC	69.89	258	
PIN HOLDING ATLANTIS TITANIUM SPINE CERVICAL ANTERIOR PLATE STERILE	SUP-876-404	CDM	270010020	LOCAL	270	RC		inpatient			258	258																																																			
TUBE TRACHEOSTOMY BIVONA AIRE-CUF HYPERFLEX SILICONE ADULT L100 MM OD9.2 MM ID6.0 MM FIX NECK FLANGE WIRE REINFORCE CLIP IN OBTURATOR FLEXIBLE STERILE LATEX FREE	SUP-75FHXL60	CDM			270	RC		outpatient			257.88	257.88	69.86				percent of total billed charges		257.88				other	OPPS APC	190.83				percent of total billed charges		257.88				other	OPPS APC	257.88				other	OPPS APC	69.86				percent of total billed charges		71.25				percent of total billed charges		257.88				other	OPPS APC	69.86	257.88	
TUBE TRACHEOSTOMY BIVONA AIRE-CUF HYPERFLEX SILICONE ADULT L100 MM OD9.2 MM ID6.0 MM FIX NECK FLANGE WIRE REINFORCE CLIP IN OBTURATOR FLEXIBLE STERILE LATEX FREE	SUP-75FHXL60	CDM			270	RC		inpatient			257.88	257.88																																																			
PACK SURGICAL MAJOR ABDOMINAL PENINSULA REGIONAL MEDICAL CENTER DR IM	SUP-112158-005	CDM			270	RC		outpatient			257.75	257.75	69.82				percent of total billed charges		257.75				other	OPPS APC	190.74				percent of total billed charges		257.75				other	OPPS APC	257.75				other	OPPS APC	69.82				percent of total billed charges		71.22				percent of total billed charges		257.75				other	OPPS APC	69.82	257.75	
PACK SURGICAL MAJOR ABDOMINAL PENINSULA REGIONAL MEDICAL CENTER DR IM	SUP-112158-005	CDM			270	RC		inpatient			257.75	257.75																																																			
DOYLE  NASAL SEPTAL SPLINT	SUP-72-00062	CDM			272	RC		outpatient			257.6	257.62	69.78				percent of total billed charges		257.6				other	OPPS APC	190.62				percent of total billed charges		257.6				other	OPPS APC	257.6				other	OPPS APC	69.78				percent of total billed charges		71.17				percent of total billed charges		257.62				other	OPPS APC	69.78	257.62	
DOYLE  NASAL SEPTAL SPLINT	SUP-72-00062	CDM			272	RC		inpatient			257.6	257.6																																																			
SCREW BONE MATRIXRIB TITANIUM L6 MM OD2.9 MM SELF TAPPING LOCKING NONSTERILE	SUP-04.501.036.01	CDM			270	RC		outpatient			257.56	257.56	69.77				percent of total billed charges		257.56				other	OPPS APC	190.59				percent of total billed charges		257.56				other	OPPS APC	257.56				other	OPPS APC	69.77				percent of total billed charges		71.16				percent of total billed charges		257.56				other	OPPS APC	69.77	257.56	
SCREW BONE MATRIXRIB TITANIUM L6 MM OD2.9 MM SELF TAPPING LOCKING NONSTERILE	SUP-04.501.036.01	CDM			270	RC		inpatient			257.56	257.56																																																			
SCREW T10 3.5 X 18MM NON LOCKING	SUP-97-01336	CDM			278	RC		outpatient			257.25	257.25	257.25				fee schedule		257.25				other	OPPS APC	146.63				percent of total billed charges		257.25				other	OPPS APC	257.25				other	OPPS APC	126.05				percent of total billed charges		131.2				percent of total billed charges		257.25				other	OPPS APC	126.05	257.25	
SCREW T10 3.5 X 18MM NON LOCKING	SUP-97-01336	CDM			278	RC		inpatient			257.25	257.25																																																			
SCREW T10 3.5 X 28MM NON LOCKING	SUP-97-02454	CDM			278	RC		outpatient			257.25	257.25	257.25				fee schedule		257.25				other	OPPS APC	146.63				percent of total billed charges		257.25				other	OPPS APC	257.25				other	OPPS APC	126.05				percent of total billed charges		131.2				percent of total billed charges		257.25				other	OPPS APC	126.05	257.25	
SCREW T10 3.5 X 28MM NON LOCKING	SUP-97-02454	CDM			278	RC		inpatient			257.25	257.25																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L14 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD NONSTERILE LARGE FRAGMENT SET	SUP-212.201	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L14 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD NONSTERILE LARGE FRAGMENT SET	SUP-212.201	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L16 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.202	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L16 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.202	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 18MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.203	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 18MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.203	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 20MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.204	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 20MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.204	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 22MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.205	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 22MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.205	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L24 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD NONSTERILE LARGE FRAGMENT SET	SUP-212.206	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L24 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD NONSTERILE LARGE FRAGMENT SET	SUP-212.206	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 26MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.207	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 26MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.207	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 28MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.208	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 28MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.208	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 30MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.209	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 30MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.209	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 32MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.210	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 32MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.210	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 34MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.211	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 34MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.211	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 36MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.212	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 36MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.212	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 38MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.213	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 38MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.213	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L40 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.214	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L40 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.214	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 42MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.215	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 42MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.215	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 44MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.216	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 44MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.216	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 46MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.217	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 46MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.217	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE 5MM 50MM LCP SS T25 FULL THREAD CONE PERIARTICULAR CORTICAL FIX ANGLE SELF	SUP-212.219	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE 5MM 50MM LCP SS T25 FULL THREAD CONE PERIARTICULAR CORTICAL FIX ANGLE SELF	SUP-212.219	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE FULL THREAD T25 65MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.222	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE FULL THREAD T25 65MM 5MM SS NS SELF TAP LOCK STARDRIVE LG FRAGMENT SET	SUP-212.222	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L70 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.223	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L70 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.223	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L75 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.224	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L75 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD LARGE FRAGMENT SET	SUP-212.224	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE T25 FULL THREAD 80MM 5MM 4.4MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD	SUP-212.225	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE T25 FULL THREAD 80MM 5MM 4.4MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD	SUP-212.225	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L85 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD NONSTERILE LARGE FRAGMENT SET	SUP-212.226	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE LCP STAINLESS STEEL T25 FULL THREAD L85 MM OD5 MM ODSEC4.4 MM LOCK SELF TAP STARDRIVE CONICAL HEAD NONSTERILE LARGE FRAGMENT SET	SUP-212.226	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
SCREW BONE T25 FULL THREAD 90MM 5MM 4.4MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD	SUP-212.227	CDM	270010022	LOCAL	270	RC		outpatient			257.06	257.6	69.64				percent of total billed charges		257.06				other	OPPS APC	190.22				percent of total billed charges		257.06				other	OPPS APC	257.06				other	OPPS APC	69.64				percent of total billed charges		71.03				percent of total billed charges		257.6				other	OPPS APC	69.64	257.6	
SCREW BONE T25 FULL THREAD 90MM 5MM 4.4MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD	SUP-212.227	CDM	270010022	LOCAL	270	RC		inpatient			257.06	257.06																																																			
KIT SUTURE HEART IN-HOUSE CUSTOM	SUP-HEART CUSTOM	CDM			270	RC		outpatient			256.96	256.96	69.61				percent of total billed charges		256.96				other	OPPS APC	190.15				percent of total billed charges		256.96				other	OPPS APC	256.96				other	OPPS APC	69.61				percent of total billed charges		71				percent of total billed charges		256.96				other	OPPS APC	69.61	256.96	
KIT SUTURE HEART IN-HOUSE CUSTOM	SUP-HEART CUSTOM	CDM			270	RC		inpatient			256.96	256.96																																																			
SCREW BONE STAINLESS STEEL T4 L6 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.206	CDM						inpatient			256.8	256.8																																																			
SCREW BONE STAINLESS STEEL T4 L6 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.206	CDM						outpatient			256.8	256.81	256.8				percent of total billed charges		256.8				other	OPPS APC	256.8				fee schedule		256.8				other	OPPS APC	256.8				other	OPPS APC	256.8				case rate		256.8				case rate		256.81				other	OPPS APC	256.8	256.81	
SCREW BONE STAINLESS STEEL T4 L7 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.207	CDM	270010022	LOCAL	270	RC		outpatient			256.8	256.81	69.57				percent of total billed charges		256.8				other	OPPS APC	190.03				percent of total billed charges		256.8				other	OPPS APC	256.8				other	OPPS APC	69.57				percent of total billed charges		70.95				percent of total billed charges		256.81				other	OPPS APC	69.57	256.81	
SCREW BONE STAINLESS STEEL T4 L7 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.207	CDM	270010022	LOCAL	270	RC		inpatient			256.8	256.8																																																			
SCREW BONE STAINLESS STEEL T4 L11 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.211	CDM	270010022	LOCAL	270	RC		outpatient			256.8	256.81	69.57				percent of total billed charges		256.8				other	OPPS APC	190.03				percent of total billed charges		256.8				other	OPPS APC	256.8				other	OPPS APC	69.57				percent of total billed charges		70.95				percent of total billed charges		256.81				other	OPPS APC	69.57	256.81	
SCREW BONE STAINLESS STEEL T4 L11 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.211	CDM	270010022	LOCAL	270	RC		inpatient			256.8	256.8																																																			
SCREW BONE STAINLESS STEEL T4 L14 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.214	CDM	270010022	LOCAL	270	RC		outpatient			256.8	256.81	69.57				percent of total billed charges		256.8				other	OPPS APC	190.03				percent of total billed charges		256.8				other	OPPS APC	256.8				other	OPPS APC	69.57				percent of total billed charges		70.95				percent of total billed charges		256.81				other	OPPS APC	69.57	256.81	
SCREW BONE STAINLESS STEEL T4 L14 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.214	CDM	270010022	LOCAL	270	RC		inpatient			256.8	256.8																																																			
SCREW BONE STAINLESS STEEL T4 L20 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.220	CDM	270010022	LOCAL	270	RC		outpatient			256.8	256.81	69.57				percent of total billed charges		256.8				other	OPPS APC	190.03				percent of total billed charges		256.8				other	OPPS APC	256.8				other	OPPS APC	69.57				percent of total billed charges		70.95				percent of total billed charges		256.81				other	OPPS APC	69.57	256.81	
SCREW BONE STAINLESS STEEL T4 L20 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02.130.220	CDM	270010022	LOCAL	270	RC		inpatient			256.8	256.8																																																			
SCREW BONE STAINLESS STEEL T4 L8 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02-130-208	CDM	270010022	LOCAL	270	RC		outpatient			256.8	256.81	69.57				percent of total billed charges		256.8				other	OPPS APC	190.03				percent of total billed charges		256.8				other	OPPS APC	256.8				other	OPPS APC	69.57				percent of total billed charges		70.95				percent of total billed charges		256.81				other	OPPS APC	69.57	256.81	
SCREW BONE STAINLESS STEEL T4 L8 MM OD1.5 MM SELF TAP LOCK VARIABLE ANGLE STARDRIVE NONSTERILE PURPLE HAND PLATE SYSTEM	SUP-02-130-208	CDM	270010022	LOCAL	270	RC		inpatient			256.8	256.8																																																			
CLEVIDIPINE 25 MG/50 ML EMULSION	250000000	CDM	10122-610-01	NDC				inpatient			256.7	256.7																																																			
CLEVIDIPINE 25 MG/50 ML EMULSION	250000000	CDM	10122-610-01	NDC				outpatient			256.7	256.7																																															other	OPPS APC			
CATHETER FILIFORM 4 FR	SUP-02-00016	CDM			272	RC		outpatient			256.26	256.26	69.42				percent of total billed charges		256.26				other	OPPS APC	189.63				percent of total billed charges		256.26				other	OPPS APC	256.26				other	OPPS APC	69.42				percent of total billed charges		70.8				percent of total billed charges		256.26				other	OPPS APC	69.42	256.26	
CATHETER FILIFORM 4 FR	SUP-02-00016	CDM			272	RC		inpatient			256.26	256.26																																																			
HC Acetaminophen (Ace)	PX-300803021	CDM	80143	CPT	300	RC		outpatient			256	18.64	18.27				fee schedule		18.64				fee schedule		43.43				fee schedule		18.64				fee schedule		18.64				fee schedule		18.64				fee schedule		18.64				fee schedule		18.64				fee schedule		18.27	43.43	
HC Acetaminophen (Ace)	PX-300803021	CDM	80143	CPT	300	RC		inpatient			256	256																																																			
HC Prolactin (Prol)	PX-300841460	CDM	84146	CPT	301	RC		outpatient			256	19.38	25.91				fee schedule		19.38				fee schedule		51.45				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38	51.45	
HC Prolactin (Prol)	PX-300841460	CDM	84146	CPT	301	RC		inpatient			256	256																																																			
HC Prolactin  Diluted	PX-300841461	CDM	84146	CPT	300	RC		outpatient			256	19.38	25.91				fee schedule		19.38				fee schedule		51.45				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38				fee schedule		19.38	51.45	
HC Prolactin  Diluted	PX-300841461	CDM	84146	CPT	300	RC		inpatient			256	256																																																			
HC Orbit-Fracture	PX-320702000	CDM	70200	CPT	320	RC		outpatient			256	112.57	45.18				fee schedule		112.57				other	OPPS APC	109.85				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	48.11				fee schedule		34.6				fee schedule		112.57				other	OPPS APC	34.6	112.57	
HC Orbit-Fracture	PX-320702000	CDM	70200	CPT	320	RC		inpatient			256	256																																																			
HC Im Chest Apical Lordtic	PX-320710210	CDM	71021	CPT	324	RC		outpatient			256	256	38.63				fee schedule		256				other	OPPS APC	104.29				fee schedule		256				other	OPPS APC	256				other	OPPS APC	125.44				percent of total billed charges		130.56				percent of total billed charges		256				other	OPPS APC	38.63	256	
HC Im Chest Apical Lordtic	PX-320710210	CDM	71021	CPT	324	RC		inpatient			256	256																																																			
HC Chest & Obliques	PX-320710220	CDM	71022	CPT	324	RC		outpatient			256	256	48.07				fee schedule		256				other	OPPS APC	108.53				fee schedule		256				other	OPPS APC	256				other	OPPS APC	125.44				percent of total billed charges		130.56				percent of total billed charges		256				other	OPPS APC	48.07	256	
HC Chest & Obliques	PX-320710220	CDM	71022	CPT	324	RC		inpatient			256	256																																																			
HC Acromio-Clav Joints	PX-320730500	CDM	73050	CPT	320	RC		outpatient			256	91.5	41.13				fee schedule		91.5				other	OPPS APC	90.21				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	28.71				fee schedule		19.62				fee schedule		91.5				other	OPPS APC	19.62	91.5	
HC Acromio-Clav Joints	PX-320730500	CDM	73050	CPT	320	RC		inpatient			256	256																																																			
HC Acute Abd Multiviews W 1 View Cxr	PX-320740220	CDM	74022	CPT	320	RC		outpatient			256	112.57	50.62				fee schedule		112.57				other	OPPS APC	109.34				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	50.1				fee schedule		34.6				fee schedule		112.57				other	OPPS APC	34.6	112.57	
HC Acute Abd Multiviews W 1 View Cxr	PX-320740220	CDM	74022	CPT	320	RC		inpatient			256	256																																																			
HC Fluoro Only -Up to 1 Hr	PX-320760000	CDM	76000	CPT	320	RC		outpatient			256	245.95	51.84				fee schedule		245.95				other	OPPS APC	148.69				fee schedule		245.95				other	OPPS APC	245.95				other	OPPS APC	43.36				fee schedule		27.94				fee schedule		245.95				other	OPPS APC	27.94	245.95	
HC Fluoro Only -Up to 1 Hr	PX-320760000	CDM	76000	CPT	320	RC		inpatient			256	256																																																			
HC Chest - W/Apical Lordotic 3 Views	PX-324710471	CDM	71047	CPT	324	RC		outpatient			256	91.5	125.44				percent of total billed charges		91.5				other	OPPS APC	196.73				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	42.42				fee schedule		29.27				fee schedule		91.5				other	OPPS APC	29.27	196.73	
HC Chest - W/Apical Lordotic 3 Views	PX-324710471	CDM	71047	CPT	324	RC		inpatient			256	256																																																			
HC Laryngoscopy  Flexible Fiberoptic; Diagn	PX-510315751	CDM	31575	CPT	510	RC		outpatient			256	256	169.66				case rate		256				other	OPPS APC	101				case rate		256				other	OPPS APC	256				fee schedule		169.66				case rate		173.05				case rate		256				other	OPPS APC	101	256	
HC Laryngoscopy  Flexible Fiberoptic; Diagn	PX-510315751	CDM	31575	CPT	510	RC		inpatient			256	256																																																			
SCREW BONE VARIAX TITANIUM T7 L10 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER YELLOW LOCK PLATE SYSTEM	SUP-70-27010	CDM			270	RC		outpatient			256	256	69.35				percent of total billed charges		256				other	OPPS APC	189.44				percent of total billed charges		256				other	OPPS APC	256				other	OPPS APC	69.35				percent of total billed charges		70.73				percent of total billed charges		256				other	OPPS APC	69.35	256	
SCREW BONE VARIAX TITANIUM T7 L10 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER YELLOW LOCK PLATE SYSTEM	SUP-70-27010	CDM			270	RC		inpatient			256	256																																																			
GRIPPER MEDENVISION	SUP-ME-GR1000	CDM			270	RC		outpatient			256	256	69.35				percent of total billed charges		256				other	OPPS APC	189.44				percent of total billed charges		256				other	OPPS APC	256				other	OPPS APC	69.35				percent of total billed charges		70.73				percent of total billed charges		256				other	OPPS APC	69.35	256	
GRIPPER MEDENVISION	SUP-ME-GR1000	CDM			270	RC		inpatient			256	256																																																			
ROD REAMING L1150 MM OD2.5 MM BALL TIP STERILE	SUP-351.708S	CDM			270	RC		outpatient			255.76	255.76	69.29				percent of total billed charges		255.76				other	OPPS APC	189.26				percent of total billed charges		255.76				other	OPPS APC	255.76				other	OPPS APC	69.29				percent of total billed charges		70.67				percent of total billed charges		255.76				other	OPPS APC	69.29	255.76	
ROD REAMING L1150 MM OD2.5 MM BALL TIP STERILE	SUP-351.708S	CDM			270	RC		inpatient			255.76	255.76																																																			
SCREW 2.0 X 5MM IMF	SUP-71-00188	CDM			278	RC		outpatient			255.5	255.5	255.5				fee schedule		255.5				other	OPPS APC	145.64				percent of total billed charges		255.5				other	OPPS APC	255.5				other	OPPS APC	125.2				percent of total billed charges		130.31				percent of total billed charges		255.5				other	OPPS APC	125.2	255.5	
SCREW 2.0 X 5MM IMF	SUP-71-00188	CDM			278	RC		inpatient			255.5	255.5																																																			
SCREW 2.0 X 7MM IMF	SUP-71-00189	CDM			278	RC		outpatient			255.5	255.5	255.5				fee schedule		255.5				other	OPPS APC	145.64				percent of total billed charges		255.5				other	OPPS APC	255.5				other	OPPS APC	125.2				percent of total billed charges		130.31				percent of total billed charges		255.5				other	OPPS APC	125.2	255.5	
SCREW 2.0 X 7MM IMF	SUP-71-00189	CDM			278	RC		inpatient			255.5	255.5																																																			
SCREW 2.0 X 9MM IMF	SUP-71-00190	CDM			278	RC		outpatient			255.5	255.5	255.5				fee schedule		255.5				other	OPPS APC	145.64				percent of total billed charges		255.5				other	OPPS APC	255.5				other	OPPS APC	125.2				percent of total billed charges		130.31				percent of total billed charges		255.5				other	OPPS APC	125.2	255.5	
SCREW 2.0 X 9MM IMF	SUP-71-00190	CDM			278	RC		inpatient			255.5	255.5																																																			
DRAINAGE CATHETER - 10F BILIARY  CTSUP	SUP-95-01667	CDM			272	RC		outpatient			255.5	255.5	69.21				percent of total billed charges		255.5				other	OPPS APC	189.07				percent of total billed charges		255.5				other	OPPS APC	255.5				other	OPPS APC	69.21				percent of total billed charges		70.59				percent of total billed charges		255.5				other	OPPS APC	69.21	255.5	
DRAINAGE CATHETER - 10F BILIARY  CTSUP	SUP-95-01667	CDM			272	RC		inpatient			255.5	255.5																																																			
KIT INTRODUCER SILICONE L115 CM OD2.6 MM GUIDE SHEATH BIOPSY FORCEPS STOPPER DISPOSABLE CYTOLOGY BRUSH	SUP-K-204	CDM			270	RC		outpatient			255.5	255.5	69.21				percent of total billed charges		255.5				other	OPPS APC	189.07				percent of total billed charges		255.5				other	OPPS APC	255.5				other	OPPS APC	69.21				percent of total billed charges		70.59				percent of total billed charges		255.5				other	OPPS APC	69.21	255.5	
KIT INTRODUCER SILICONE L115 CM OD2.6 MM GUIDE SHEATH BIOPSY FORCEPS STOPPER DISPOSABLE CYTOLOGY BRUSH	SUP-K-204	CDM			270	RC		inpatient			255.5	255.5																																																			
GUIDEWIRE ENDOSCOPIC JAGWIRE L180 CM OD.035 IN PULMONARY DISPOSABLE	SUP-M00515171	CDM			270	RC		outpatient			255.47	255.47	69.21				percent of total billed charges		255.47				other	OPPS APC	189.05				percent of total billed charges		255.47				other	OPPS APC	255.47				other	OPPS APC	69.21				percent of total billed charges		70.59				percent of total billed charges		255.47				other	OPPS APC	69.21	255.47	
GUIDEWIRE ENDOSCOPIC JAGWIRE L180 CM OD.035 IN PULMONARY DISPOSABLE	SUP-M00515171	CDM			270	RC		inpatient			255.47	255.47																																																			
CATHETER FILIFORM 5 FR	SUP-02-00017	CDM			272	RC		outpatient			255.18	255.18	69.13				percent of total billed charges		255.18				other	OPPS APC	188.83				percent of total billed charges		255.18				other	OPPS APC	255.18				other	OPPS APC	69.13				percent of total billed charges		70.51				percent of total billed charges		255.18				other	OPPS APC	69.13	255.18	
CATHETER FILIFORM 5 FR	SUP-02-00017	CDM			272	RC		inpatient			255.18	255.18																																																			
GUIDEWIRE VASCULAR ROADRUNNER TAPER FLOPPY ANGLE SPRING COIL 300CM 8.5CM .014IN PLATINUM NITINOL PTFE DISPOSABLE STERILE	SUP-G08801	CDM			270	RC		outpatient			254.98	254.98	69.07				percent of total billed charges		254.98				other	OPPS APC	188.69				percent of total billed charges		254.98				other	OPPS APC	254.98				other	OPPS APC	69.07				percent of total billed charges		70.45				percent of total billed charges		254.98				other	OPPS APC	69.07	254.98	
GUIDEWIRE VASCULAR ROADRUNNER TAPER FLOPPY ANGLE SPRING COIL 300CM 8.5CM .014IN PLATINUM NITINOL PTFE DISPOSABLE STERILE	SUP-G08801	CDM			270	RC		inpatient			254.98	254.98																																																			
KIT PLEURA-SEAL THORACENTESIS	SUP-12-00073	CDM			272	RC		outpatient			254.92	254.92	69.06				percent of total billed charges		254.92				other	OPPS APC	188.64				percent of total billed charges		254.92				other	OPPS APC	254.92				other	OPPS APC	69.06				percent of total billed charges		70.43				percent of total billed charges		254.92				other	OPPS APC	69.06	254.92	
KIT PLEURA-SEAL THORACENTESIS	SUP-12-00073	CDM			272	RC		inpatient			254.92	254.92																																																			
APPLIER INTERNAL CLIP LIGAMAX MED LG 5MM TITANIUM DISPOSABLE STERILE ANGLE JAW DISTAL TIP CLOSE ANTIBACKUP LAST LOCKOUT	SUP-EL5ML	CDM			270	RC		outpatient			254.67	254.67	68.99				percent of total billed charges		254.67				other	OPPS APC	188.46				percent of total billed charges		254.67				other	OPPS APC	254.67				other	OPPS APC	68.99				percent of total billed charges		70.37				percent of total billed charges		254.67				other	OPPS APC	68.99	254.67	
APPLIER INTERNAL CLIP LIGAMAX MED LG 5MM TITANIUM DISPOSABLE STERILE ANGLE JAW DISTAL TIP CLOSE ANTIBACKUP LAST LOCKOUT	SUP-EL5ML	CDM			270	RC		inpatient			254.67	254.67																																																			
CLIP APPLIER LAPAROSCOPIC 10MM	SUP-76-00005	CDM			272	RC		outpatient			254.5	254.5	68.94				percent of total billed charges		254.5				other	OPPS APC	188.33				percent of total billed charges		254.5				other	OPPS APC	254.5				other	OPPS APC	68.94				percent of total billed charges		70.32				percent of total billed charges		254.5				other	OPPS APC	68.94	254.5	
CLIP APPLIER LAPAROSCOPIC 10MM	SUP-76-00005	CDM			272	RC		inpatient			254.5	254.5																																																			
KIT SYRINGE ORISE INTERJECT OD23 GA 10 ML 1 PACK GEL PREFILL PREDYE CLEAR	SUP-M00519231	CDM			270	RC		outpatient			254.4	254.41	68.92				percent of total billed charges		254.4				other	OPPS APC	188.26				percent of total billed charges		254.4				other	OPPS APC	254.4				other	OPPS APC	68.92				percent of total billed charges		70.29				percent of total billed charges		254.41				other	OPPS APC	68.92	254.41	
KIT SYRINGE ORISE INTERJECT OD23 GA 10 ML 1 PACK GEL PREFILL PREDYE CLEAR	SUP-M00519231	CDM			270	RC		inpatient			254.4	254.4																																																			
GRAFT BONE 1-8MM 5CC CANCELLOUS ALLOGRAFT CHIP CRUSHED PRESERVON	SUP-PCAN5	CDM	270010031	LOCAL	270	RC		outpatient			254.28	254.28	68.88				percent of total billed charges		254.28				other	OPPS APC	188.17				percent of total billed charges		254.28				other	OPPS APC	254.28				other	OPPS APC	68.88				percent of total billed charges		70.26				percent of total billed charges		254.28				other	OPPS APC	68.88	254.28	
GRAFT BONE 1-8MM 5CC CANCELLOUS ALLOGRAFT CHIP CRUSHED PRESERVON	SUP-PCAN5	CDM	270010031	LOCAL	270	RC		inpatient			254.28	254.28																																																			
HEMOSTAT ABSORBABLE SURGICEL NU-KNIT L9 IN X W6 IN PLIABLE WEAVE	SUP-1946	CDM			270	RC		outpatient			254.2	254.2	68.86				percent of total billed charges		254.2				other	OPPS APC	188.11				percent of total billed charges		254.2				other	OPPS APC	254.2				other	OPPS APC	68.86				percent of total billed charges		70.24				percent of total billed charges		254.2				other	OPPS APC	68.86	254.2	
HEMOSTAT ABSORBABLE SURGICEL NU-KNIT L9 IN X W6 IN PLIABLE WEAVE	SUP-1946	CDM			270	RC		inpatient			254.2	254.2																																																			
PLATE BONE LC-DCP 1/3 TUBULAR 25X9X1MM .5MM 12MM SS NS 2 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.32	CDM	270010022	LOCAL	270	RC		outpatient			254.14	254.14	68.85				percent of total billed charges		254.14				other	OPPS APC	188.06				percent of total billed charges		254.14				other	OPPS APC	254.14				other	OPPS APC	68.85				percent of total billed charges		70.22				percent of total billed charges		254.14				other	OPPS APC	68.85	254.14	
PLATE BONE LC-DCP 1/3 TUBULAR 25X9X1MM .5MM 12MM SS NS 2 HOLE COLLAR 3.5MM SCREW SM FRAGMENT	SUP-241.32	CDM	270010022	LOCAL	270	RC		inpatient			254.14	254.14																																																			
VASCULAR SOLUTIONS 1.875 IN. SMART NEEDLE 22G	SUP-78030	CDM			481	RC		outpatient			254	254	124.46				percent of total billed charges		254				other	OPPS APC	187.96				percent of total billed charges		254				other	OPPS APC	254				other	OPPS APC	124.46				percent of total billed charges		129.54				percent of total billed charges		254				other	OPPS APC	124.46	254	
VASCULAR SOLUTIONS 1.875 IN. SMART NEEDLE 22G	SUP-78030	CDM			481	RC		inpatient			254	254																																																			
HC Mycoplasma Genitalium Amplified Probe	PX-300875630	CDM	87563	CPT	300	RC		outpatient			253	35.93	63.25				fee schedule		35.09				fee schedule		81.76				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	81.76	
HC Mycoplasma Genitalium Amplified Probe	PX-300875630	CDM	87563	CPT	300	RC		inpatient			253	253																																																			
ROD REAMING L950 MM OD2.5 MM BALL TIP EXTENSION STERILE DISPOSABLE INTRAMEDULLARY NAIL	SUP-351.707S	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
ROD REAMING L950 MM OD2.5 MM BALL TIP EXTENSION STERILE DISPOSABLE INTRAMEDULLARY NAIL	SUP-351.707S	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW BONE LCP TITANIUM L7 MM OD2 MM ORTHOPEDIC SELF TAPPING LOCKING  MINI FRAGMENT SET	SUP-401.877	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW BONE LCP TITANIUM L7 MM OD2 MM ORTHOPEDIC SELF TAPPING LOCKING  MINI FRAGMENT SET	SUP-401.877	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 9MM	SUP-401.879	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 9MM	SUP-401.879	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW BONE LCP TITANIUM L10 MM OD2 MM SMALL BONE CORTICAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.880	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW BONE LCP TITANIUM L10 MM OD2 MM SMALL BONE CORTICAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.880	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 12MM	SUP-401.882	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 12MM	SUP-401.882	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 13MM	SUP-401.883	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 13MM	SUP-401.883	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW BONE LCP TITANIUM L14 MM OD2 MM SMALL BONE CORTICAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.884	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW BONE LCP TITANIUM L14 MM OD2 MM SMALL BONE CORTICAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.884	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 16MM	SUP-401.886	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 16MM	SUP-401.886	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X18MM	SUP-401.888	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X18MM	SUP-401.888	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 20MM	SUP-401.890	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 20MM	SUP-401.890	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 22MM	SUP-401.892	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 22MM	SUP-401.892	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 24MM	SUP-401.894	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 24MM	SUP-401.894	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 26MM	SUP-401.896	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 26MM	SUP-401.896	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 28MM	SUP-401.898	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 28MM	SUP-401.898	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 30MM	SUP-401.900	CDM	270010022	LOCAL	270	RC		outpatient			253	253	68.54				percent of total billed charges		253				other	OPPS APC	187.22				percent of total billed charges		253				other	OPPS APC	253				other	OPPS APC	68.54				percent of total billed charges		69.9				percent of total billed charges		253				other	OPPS APC	68.54	253	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 30MM	SUP-401.900	CDM	270010022	LOCAL	270	RC		inpatient			253	253																																																			
PROTECTOR HEELMEDIX W/WEDGE	SUP-38-00016	CDM			271	RC		outpatient			252.32	252.32	68.35				percent of total billed charges		252.32				other	OPPS APC	186.72				percent of total billed charges		252.32				other	OPPS APC	252.32				other	OPPS APC	68.35				percent of total billed charges		69.72				percent of total billed charges		252.32				other	OPPS APC	68.35	252.32	
PROTECTOR HEELMEDIX W/WEDGE	SUP-38-00016	CDM			271	RC		inpatient			252.32	252.32																																																			
DRAPE BRACHIAL ANGIOGRAPHY	SUP-95-01744	CDM			272	RC		outpatient			252.25	252.25	68.33				percent of total billed charges		252.25				other	OPPS APC	186.67				percent of total billed charges		252.25				other	OPPS APC	252.25				other	OPPS APC	68.33				percent of total billed charges		69.7				percent of total billed charges		252.25				other	OPPS APC	68.33	252.25	
DRAPE BRACHIAL ANGIOGRAPHY	SUP-95-01744	CDM			272	RC		inpatient			252.25	252.25																																																			
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0 CV-305 L36 IN 2 ARM BRAID 10 STRAND COATED VLUE WHITE	SUP-88862981-56	CDM			270	RC		outpatient			252.22	252.22	68.33				percent of total billed charges		252.22				other	OPPS APC	186.64				percent of total billed charges		252.22				other	OPPS APC	252.22				other	OPPS APC	68.33				percent of total billed charges		69.69				percent of total billed charges		252.22				other	OPPS APC	68.33	252.22	
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0 CV-305 L36 IN 2 ARM BRAID 10 STRAND COATED VLUE WHITE	SUP-88862981-56	CDM			270	RC		inpatient			252.22	252.22																																																			
BURR  PFJ MILL   STANDARD	SUP-5927-050-00	CDM			270	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BURR  PFJ MILL   STANDARD	SUP-5927-050-00	CDM			270	RC		inpatient			252	252																																																			
OLIVE K WIRE	SUP-95-03068	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
OLIVE K WIRE	SUP-95-03068	CDM			278	RC		inpatient			252	252																																																			
PEG THREADED LOCKING 2.3MM X 18MM	SUP-97-01619	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
PEG THREADED LOCKING 2.3MM X 18MM	SUP-97-01619	CDM			278	RC		inpatient			252	252																																																			
PEG THREADED LOCKING 2.3MM X 20MM	SUP-97-01620	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
PEG THREADED LOCKING 2.3MM X 20MM	SUP-97-01620	CDM			278	RC		inpatient			252	252																																																			
SCREW CORTICAL NON-LOC 3.5MM X 11MM	SUP-97-01623	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
SCREW CORTICAL NON-LOC 3.5MM X 11MM	SUP-97-01623	CDM			278	RC		inpatient			252	252																																																			
SCREW CORTICAL NON-LOC 3.5MM X 12MM	SUP-97-01624	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
SCREW CORTICAL NON-LOC 3.5MM X 12MM	SUP-97-01624	CDM			278	RC		inpatient			252	252																																																			
K WIRE SMOOTH OLIVE	SUP-97-02355	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
K WIRE SMOOTH OLIVE	SUP-97-02355	CDM			278	RC		inpatient			252	252																																																			
PEG THREADED LOCKING 2.3MM X 19MM	SUP-97-02485	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
PEG THREADED LOCKING 2.3MM X 19MM	SUP-97-02485	CDM			278	RC		inpatient			252	252																																																			
WIRE 1.3 SMOOTH OLIVE	SUP-97-02723	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
WIRE 1.3 SMOOTH OLIVE	SUP-97-02723	CDM			272	RC		inpatient			252	252																																																			
UNTHREADED GUIDE WIRE 3.2MM X 230MM	SUP-97-04163	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
UNTHREADED GUIDE WIRE 3.2MM X 230MM	SUP-97-04163	CDM			278	RC		inpatient			252	252																																																			
SCREW CORTICAL LOCKING 3.5MMX13MM	SUP-97-05754	CDM			278	RC		outpatient			252	252	252				fee schedule		252				other	OPPS APC	143.64				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	123.48				percent of total billed charges		128.52				percent of total billed charges		252				other	OPPS APC	123.48	252	
SCREW CORTICAL LOCKING 3.5MMX13MM	SUP-97-05754	CDM			278	RC		inpatient			252	252																																																			
GUIDEWIRE - BMW 190CM	SUP-99-00494	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
GUIDEWIRE - BMW 190CM	SUP-99-00494	CDM			272	RC		inpatient			252	252																																																			
GUIDEWIRE - BMW 300CM	SUP-99-00577	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
GUIDEWIRE - BMW 300CM	SUP-99-00577	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 3.0X20	SUP-99-01027	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 3.0X20	SUP-99-01027	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 2.5X20	SUP-99-01054	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 2.5X20	SUP-99-01054	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK 2.0X20	SUP-99-01055	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK 2.0X20	SUP-99-01055	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 2.5X12	SUP-99-01070	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 2.5X12	SUP-99-01070	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK 1.5X12	SUP-99-01071	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK 1.5X12	SUP-99-01071	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK 2.0X12	SUP-99-01072	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK 2.0X12	SUP-99-01072	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK 2.0X15	SUP-99-01083	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK 2.0X15	SUP-99-01083	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 2.5X15	SUP-99-01085	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 2.5X15	SUP-99-01085	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINITREK 1.50 X 20	SUP-99-01086	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINITREK 1.50 X 20	SUP-99-01086	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK 1.5X6	SUP-99-01131	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK 1.5X6	SUP-99-01131	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 3.0X15	SUP-99-01170	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 3.0X15	SUP-99-01170	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK 1.5X15	SUP-99-01197	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK 1.5X15	SUP-99-01197	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.75X15	SUP-99-01219	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.75X15	SUP-99-01219	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.25X20	SUP-99-01220	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.25X20	SUP-99-01220	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.25X15	SUP-99-01223	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.25X15	SUP-99-01223	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.75X12	SUP-99-01234	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.75X12	SUP-99-01234	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.0X15	SUP-99-01235	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.0X15	SUP-99-01235	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.75X12	SUP-99-01236	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.75X12	SUP-99-01236	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.25X8	SUP-99-01238	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.25X8	SUP-99-01238	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.25X12	SUP-99-01242	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.25X12	SUP-99-01242	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.5X12	SUP-99-01245	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.5X12	SUP-99-01245	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 4.0X12	SUP-99-01246	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 4.0X12	SUP-99-01246	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.0X20	SUP-99-01247	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.0X20	SUP-99-01247	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.0X12	SUP-99-01272	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.0X12	SUP-99-01272	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.0X8	SUP-99-01339	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.0X8	SUP-99-01339	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.5X20	SUP-99-01441	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.5X20	SUP-99-01441	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.5X8	SUP-99-01446	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.5X8	SUP-99-01446	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.0X12	SUP-99-01502	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.0X12	SUP-99-01502	CDM			272	RC		inpatient			252	252																																																			
BALLOON - MINI TREK II 2.0X15 OTW	SUP-99-01507	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - MINI TREK II 2.0X15 OTW	SUP-99-01507	CDM			272	RC		inpatient			252	252																																																			
BALLOON- NC TREK NEO 3.75 X 20	SUP-99-01533	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON- NC TREK NEO 3.75 X 20	SUP-99-01533	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.5X15	SUP-99-01574	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.5X15	SUP-99-01574	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 4.5X8	SUP-99-01598	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 4.5X8	SUP-99-01598	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.5X15	SUP-99-01606	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.5X15	SUP-99-01606	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.25X15	SUP-99-01653	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.25X15	SUP-99-01653	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 3.5X15	SUP-99-01698	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 3.5X15	SUP-99-01698	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 2.75X12	SUP-99-01967	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 2.75X12	SUP-99-01967	CDM			272	RC		inpatient			252	252																																																			
BALLOON-MINI TREK II 2.0 X 8 OTW	SUP-99-02184	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON-MINI TREK II 2.0 X 8 OTW	SUP-99-02184	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 4.0X8	SUP-99-03129	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 4.0X8	SUP-99-03129	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.5X6	SUP-99-03313	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.5X6	SUP-99-03313	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 1.5X8	SUP-99-03736	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 1.5X8	SUP-99-03736	CDM			272	RC		inpatient			252	252																																																			
BALLOON - TREK 2.5X6	SUP-99-03873	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - TREK 2.5X6	SUP-99-03873	CDM			272	RC		inpatient			252	252																																																			
GUIDEWIRE - PILOT 200 190CM	SUP-99-04205	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
GUIDEWIRE - PILOT 200 190CM	SUP-99-04205	CDM			272	RC		inpatient			252	252																																																			
GUIDEWIRE - HI TORGUE BALANCE J TIP .014 X 190	SUP-99-04239	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
GUIDEWIRE - HI TORGUE BALANCE J TIP .014 X 190	SUP-99-04239	CDM			272	RC		inpatient			252	252																																																			
GUIDEWIRE - HI TORQUE PILOT 150 .014 X 190	SUP-99-04240	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
GUIDEWIRE - HI TORQUE PILOT 150 .014 X 190	SUP-99-04240	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 1.5X12	SUP-99-04722	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 1.5X12	SUP-99-04722	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 1.5X15	SUP-99-04723	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 1.5X15	SUP-99-04723	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 1.5X20	SUP-99-04724	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 1.5X20	SUP-99-04724	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.0X6	SUP-99-04725	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.0X6	SUP-99-04725	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.25X6	SUP-99-04726	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.25X6	SUP-99-04726	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.25X12	SUP-99-04727	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.25X12	SUP-99-04727	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.5X25	SUP-99-04728	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.5X25	SUP-99-04728	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 2.75X6	SUP-99-04729	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 2.75X6	SUP-99-04729	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.0X25	SUP-99-04730	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.0X25	SUP-99-04730	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.25X6	SUP-99-04731	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.25X6	SUP-99-04731	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.5X25	SUP-99-04732	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.5X25	SUP-99-04732	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 3.75X8	SUP-99-04733	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 3.75X8	SUP-99-04733	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 5.5X12	SUP-99-04734	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 5.5X12	SUP-99-04734	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 5.5X15	SUP-99-04735	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 5.5X15	SUP-99-04735	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 5.5X20	SUP-99-04736	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 5.5X20	SUP-99-04736	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 6.0X12	SUP-99-04737	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 6.0X12	SUP-99-04737	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 6.0X15	SUP-99-04738	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 6.0X15	SUP-99-04738	CDM			272	RC		inpatient			252	252																																																			
BALLOON - NC TREK NEO 6.0X20	SUP-99-04739	CDM			272	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
BALLOON - NC TREK NEO 6.0X20	SUP-99-04739	CDM			272	RC		inpatient			252	252																																																			
SCREW BONE WAVE 30MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS30	CDM			270	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
SCREW BONE WAVE 30MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS30	CDM			270	RC		inpatient			252	252																																																			
SCREW BONE WAVE 32MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS32	CDM			270	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
SCREW BONE WAVE 32MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS32	CDM			270	RC		inpatient			252	252																																																			
SCREW BONE WAVE 34MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS34	CDM			270	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
SCREW BONE WAVE 34MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS34	CDM			270	RC		inpatient			252	252																																																			
SCREW BONE WAVE 40MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS40	CDM			270	RC		outpatient			252	252	68.27				percent of total billed charges		252				other	OPPS APC	186.48				percent of total billed charges		252				other	OPPS APC	252				other	OPPS APC	68.27				percent of total billed charges		69.63				percent of total billed charges		252				other	OPPS APC	68.27	252	
SCREW BONE WAVE 40MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS40	CDM			270	RC		inpatient			252	252																																																			
SCREW BONE LCP STAINLESS STEEL T25 L95 MM OD3.5 MM PELVIC TIBIA PROXIMAL MEDIAL LOCK SELF TAP STARDRIVE THREAD CONICAL HEAD NONSTERILE SMALL FRAGMENT SET	SUP-212.131	CDM	270010022	LOCAL	270	RC		outpatient			251.9	251.91	68.24				percent of total billed charges		251.9				other	OPPS APC	186.41				percent of total billed charges		251.9				other	OPPS APC	251.9				other	OPPS APC	68.24				percent of total billed charges		69.6				percent of total billed charges		251.91				other	OPPS APC	68.24	251.91	
SCREW BONE LCP STAINLESS STEEL T25 L95 MM OD3.5 MM PELVIC TIBIA PROXIMAL MEDIAL LOCK SELF TAP STARDRIVE THREAD CONICAL HEAD NONSTERILE SMALL FRAGMENT SET	SUP-212.131	CDM	270010022	LOCAL	270	RC		inpatient			251.9	251.9																																																			
VISIPAQUE 320 100CC V045	SUP-95-00648	CDM			255	RC		outpatient			251.2	251.2	61.22				percent of total billed charges		251.2				other	OPPS APC	0.13				fee schedule		251.2				other	OPPS APC	251.2				other	OPPS APC	61.22				percent of total billed charges		62.45				percent of total billed charges		251.2				other	OPPS APC	0.13	251.2	
VISIPAQUE 320 100CC V045	SUP-95-00648	CDM			255	RC		inpatient			251.2	251.2																																																			
PUSHER KNOT ULTRA FAST-FIX STRAIGHT SUTURE CUTTER STERILE DISPOSABLE MENISCAL REPAIR SYSTEM	SUP-72201537	CDM			270	RC		outpatient			251.08	251.81	68.02				percent of total billed charges		251.08				other	OPPS APC	185.8				percent of total billed charges		251.08				other	OPPS APC	251.08				other	OPPS APC	68.02				percent of total billed charges		69.37				percent of total billed charges		251.81				other	OPPS APC	68.02	251.81	
PUSHER KNOT ULTRA FAST-FIX STRAIGHT SUTURE CUTTER STERILE DISPOSABLE MENISCAL REPAIR SYSTEM	SUP-72201537	CDM			270	RC		inpatient			251.08	251.08																																																			
FOSFOMYCIN 3 GRAM PACKET	637000000	CDM	70700-268-94	NDC	A9270	HCPCS		inpatient			251	251																																																			
FOSFOMYCIN 3 GRAM PACKET	637000000	CDM	70700-268-94	NDC	A9270	HCPCS		outpatient			251	251																																															other	OPPS APC			
HC Infectious Agent  Multiple Orgs  Amplified Probe	PX-300878010	CDM	87801	CPT	302	RC		outpatient			251	7.23	93.84				fee schedule		70.2				fee schedule		186.33				fee schedule		70.2				fee schedule		70.2				fee schedule		70.2				fee schedule		70.2				fee schedule		7.23				fee schedule		7.23	186.33	
HC Infectious Agent  Multiple Orgs  Amplified Probe	PX-300878010	CDM	87801	CPT	302	RC		inpatient			251	251																																																			
GUAGE	SUP-97-04653	CDM			272	RC		outpatient			250.32	25.32	67.81				percent of total billed charges		250.32				other	OPPS APC	185.24				percent of total billed charges		250.32				other	OPPS APC	250.32				other	OPPS APC	67.81				percent of total billed charges		69.16				percent of total billed charges		25.32				other	OPPS APC	25.32	250.32	
GUAGE	SUP-97-04653	CDM			272	RC		inpatient			250.32	250.32																																																			
PACK HEART CABG ACCESSORY	SUP-DYNJ59265	CDM			270	RC		outpatient			250.31	25.31	67.81				percent of total billed charges		250.31				other	OPPS APC	185.23				percent of total billed charges		250.31				other	OPPS APC	250.31				other	OPPS APC	67.81				percent of total billed charges		69.16				percent of total billed charges		25.31				other	OPPS APC	25.31	250.31	
PACK HEART CABG ACCESSORY	SUP-DYNJ59265	CDM			270	RC		inpatient			250.31	250.31																																																			
SCREW BONE T8 10MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.010	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 10MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.010	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 12MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.012	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 12MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.012	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 14MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.014	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 14MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.014	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 16MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.016	CDM			270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 16MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.016	CDM			270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 18MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.018	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 18MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.018	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 20MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.020	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 20MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.020	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 22MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.022	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 22MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.022	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 24MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.024	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 24MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.024	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 26MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.026	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 26MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.026	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.7 MM ELBOW VARIABLE ANGLE LOCK SELF TAP TIP STARDRIVE NONSTERILE	SUP-02.211.028	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.7 MM ELBOW VARIABLE ANGLE LOCK SELF TAP TIP STARDRIVE NONSTERILE	SUP-02.211.028	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 30MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.030	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 30MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.030	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE LCP STAINLESS STEEL T8 L32 MM OD2.7 MM CLAVICLE ANTERIOR VARIABLE ANGLE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR PLATE SYSTEM	SUP-02.211.032	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE LCP STAINLESS STEEL T8 L32 MM OD2.7 MM CLAVICLE ANTERIOR VARIABLE ANGLE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR PLATE SYSTEM	SUP-02.211.032	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 44MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.044	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 44MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.044	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 46MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.046	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 46MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.046	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 48MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.048	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 48MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.048	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 50MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.050	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 50MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.050	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 52MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.052	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 52MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.052	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 54MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.054	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 54MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.054	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
SCREW BONE T8 60MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.060	CDM	270010022	LOCAL	270	RC		outpatient			250.26	25.26	67.8				percent of total billed charges		250.26				other	OPPS APC	185.19				percent of total billed charges		250.26				other	OPPS APC	250.26				other	OPPS APC	67.8				percent of total billed charges		69.15				percent of total billed charges		25.26				other	OPPS APC	25.26	250.26	
SCREW BONE T8 60MM 2.7MM SS NS SELF TAP LOCK VARIABLE ANGLE STARDRIVE	SUP-02.211.060	CDM	270010022	LOCAL	270	RC		inpatient			250.26	250.26																																																			
FIBERTAPE 17'W/STR NDL	SUP-95-03444	CDM						inpatient			250.25	250.25																																																			
FIBERTAPE 17'W/STR NDL	SUP-95-03444	CDM						outpatient			250.25	25.25	250.25				percent of total billed charges		250.25				other	OPPS APC	250.25				fee schedule		250.25				other	OPPS APC	250.25				other	OPPS APC	250.25				case rate		250.25				case rate		25.25				other	OPPS APC	25.25	250.25	
SCREW MIS HEADED 33MM	SUP-97-01011	CDM			278	RC		outpatient			250.25	25.25	250.25				fee schedule		250.25				other	OPPS APC	142.64				percent of total billed charges		250.25				other	OPPS APC	250.25				other	OPPS APC	122.62				percent of total billed charges		127.63				percent of total billed charges		25.25				other	OPPS APC	25.25	250.25	
SCREW MIS HEADED 33MM	SUP-97-01011	CDM			278	RC		inpatient			250.25	250.25																																																			
MIS HEADED SCREW 33MM	SUP-97-01895	CDM			278	RC		outpatient			250.25	25.25	250.25				fee schedule		250.25				other	OPPS APC	142.64				percent of total billed charges		250.25				other	OPPS APC	250.25				other	OPPS APC	122.62				percent of total billed charges		127.63				percent of total billed charges		25.25				other	OPPS APC	25.25	250.25	
MIS HEADED SCREW 33MM	SUP-97-01895	CDM			278	RC		inpatient			250.25	250.25																																																			
BIT DRILL PERI-LOC SHORT OD 3.5 MM QUICK CONNECT STERILE LATEX FREE DISPOSABLE	SUP-71173504	CDM			270	RC		outpatient			250.12	25.12	67.76				percent of total billed charges		250.12				other	OPPS APC	185.09				percent of total billed charges		250.12				other	OPPS APC	250.12				other	OPPS APC	67.76				percent of total billed charges		69.11				percent of total billed charges		25.12				other	OPPS APC	25.12	250.12	
BIT DRILL PERI-LOC SHORT OD 3.5 MM QUICK CONNECT STERILE LATEX FREE DISPOSABLE	SUP-71173504	CDM			270	RC		inpatient			250.12	250.12																																																			
SCREW BONE SCHANZ STAINLESS STEEL L80 MM L20 MM OD4 MM ODSEC3 MM HIP CONDYLE RADIUS SELF DRILL NONSTERILE LARGE EXTERNAL FIXATION SYSTEM	SUP-294.771	CDM	270010022	LOCAL	270	RC		outpatient			250.1	26	67.75				percent of total billed charges		250.1				other	OPPS APC	185.07				percent of total billed charges		250.1				other	OPPS APC	250.1				other	OPPS APC	67.75				percent of total billed charges		69.1				percent of total billed charges		26				other	OPPS APC	26	250.1	
SCREW BONE SCHANZ STAINLESS STEEL L80 MM L20 MM OD4 MM ODSEC3 MM HIP CONDYLE RADIUS SELF DRILL NONSTERILE LARGE EXTERNAL FIXATION SYSTEM	SUP-294.771	CDM	270010022	LOCAL	270	RC		inpatient			250.1	250.1																																																			
HC Insulin Antibodies (Inab)	PX-300863370	CDM	86337	CPT	300	RC		outpatient			250	21.41	19.53				fee schedule		21.41				fee schedule		46.19				fee schedule		21.41				fee schedule		21.41				fee schedule		21.41				fee schedule		21.41				fee schedule		21.41				fee schedule		19.53	46.19	
HC Insulin Antibodies (Inab)	PX-300863370	CDM	86337	CPT	300	RC		inpatient			250	250																																																			
HC Chg Tissue Culture  Placenta	PX-300882350	CDM	88235	CPT	300	RC		outpatient			250	25	196.88				fee schedule		250				fee schedule		390.91				fee schedule		250				fee schedule		250				fee schedule		150.3				fee schedule		150.3				fee schedule		25				fee schedule		25	390.91	
HC Chg Tissue Culture  Placenta	PX-300882350	CDM	88235	CPT	300	RC		inpatient			250	250																																																			
HC Femur	PX-320735520	CDM	73552	CPT	320	RC		outpatient			250	91.5	14.18				fee schedule		91.5				other	OPPS APC	77.31				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	35.74				fee schedule		26.94				fee schedule		91.5				other	OPPS APC	14.18	91.5	
HC Femur	PX-320735520	CDM	73552	CPT	320	RC		inpatient			250	250																																																			
HC ER-Extended Visit	PX-452992830	CDM	99283	CPT	450	RC		outpatient			250	25	195.77				case rate		250				other	OPPS APC	749				case rate		250				other	OPPS APC	250				other	OPPS APC	70.81				fee schedule		199.69				case rate		25				other	OPPS APC	25	749	
HC ER-Extended Visit	PX-452992830	CDM	99283	CPT	450	RC		inpatient			250	250																																																			
DRILL TWIST 1.1 X 50MM 3.5MM W/STOP	SUP-01-7141	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
DRILL TWIST 1.1 X 50MM 3.5MM W/STOP	SUP-01-7141	CDM			270	RC		inpatient			250	250																																																			
STENT MONOCANA LICULAR	SUP-1085	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
STENT MONOCANA LICULAR	SUP-1085	CDM			270	RC		inpatient			250	250																																																			
BAR BIOMET TIBIAL LOCKING	SUP-141205	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
BAR BIOMET TIBIAL LOCKING	SUP-141205	CDM			270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120213	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120213	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE	SUP-3120214	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP FIX ANGLE	SUP-3120214	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120216	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120216	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120217	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120217	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE DISPOSABLE	SUP-3120314	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR SELF TAP VARIABLE ANGLE DISPOSABLE	SUP-3120314	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE 4MM 16MM ATLANTIS TITANIUM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3120316	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE 4MM 16MM ATLANTIS TITANIUM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3120316	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120513	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120513	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3125317	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3125317	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4.5 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3125413	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4.5 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3125413	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3125513	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3125513	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE HPS TITANIUM PARTIAL THREAD LOW PROFILE L18 MM OD3 MM HAND LAG CANNULATED SELF RETAIN	SUP-319-3018	CDM	27000000	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE HPS TITANIUM PARTIAL THREAD LOW PROFILE L18 MM OD3 MM HAND LAG CANNULATED SELF RETAIN	SUP-319-3018	CDM	27000000	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE PREMIER TITANIUM L14 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860014	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE PREMIER TITANIUM L14 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860014	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE PREMIER TITANIUM L15 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860015	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE PREMIER TITANIUM L15 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-6860015	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW SET CD HORIZON LEGACY PEEK SPINE EXTERNAL HEXAGONAL HEAD STERILE 8.5 MM ROD	SUP-7220850	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW SET CD HORIZON LEGACY PEEK SPINE EXTERNAL HEXAGONAL HEAD STERILE 8.5 MM ROD	SUP-7220850	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW SEASPINE FIXED 4.0MM X 14MM	SUP-811114	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW SEASPINE FIXED 4.0MM X 14MM	SUP-811114	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW SEASPINE VARIABLE 4.0MM X 14MM	SUP-811214	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW SEASPINE VARIABLE 4.0MM X 14MM	SUP-811214	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW SEASPINE FIXED 4.3MM X 14MM	SUP-811714	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW SEASPINE FIXED 4.3MM X 14MM	SUP-811714	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ZEPHIR TITANIUM L13 MM OD3.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR SELF TAP STERILE	SUP-8792113	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ZEPHIR TITANIUM L13 MM OD3.5 MM SPINE CERVICAL CANCELLOUS ANTERIOR SELF TAP STERILE	SUP-8792113	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE ZEPHIR TITANIUM L13 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-8792713	CDM	270010020	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE ZEPHIR TITANIUM L13 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF TAP STERILE	SUP-8792713	CDM	270010020	LOCAL	270	RC		inpatient			250	250																																																			
OBTURATOR ARTHROSCOPIC FLEXIBLE	SUP-AR-2275	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
OBTURATOR ARTHROSCOPIC FLEXIBLE	SUP-AR-2275	CDM			270	RC		inpatient			250	250																																																			
SUTURE NONABSORBABLE FIBERLOOP FIBERTAG SWAGE STRAIGHT NEEDLE	SUP-AR-7266	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SUTURE NONABSORBABLE FIBERLOOP FIBERTAG SWAGE STRAIGHT NEEDLE	SUP-AR-7266	CDM			270	RC		inpatient			250	250																																																			
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 8HOLE	SUP-AR-8943TNL-08	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 8HOLE	SUP-AR-8943TNL-08	CDM			270	RC		inpatient			250	250																																																			
SCREW ARTHREX CENTRAL NL UNI REV 6.5MM X 20MM	SUP-AR-9145-20NL	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW ARTHREX CENTRAL NL UNI REV 6.5MM X 20MM	SUP-AR-9145-20NL	CDM			270	RC		inpatient			250	250																																																			
SCREW BONE UNIVERS REVERS L15 MM OD6.5 MM SHOULDER GLENOID CENTRAL VARIABLE ANGLE	SUP-AR-9165-15	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE UNIVERS REVERS L15 MM OD6.5 MM SHOULDER GLENOID CENTRAL VARIABLE ANGLE	SUP-AR-9165-15	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
SCREW ARTHREX CENTRAL NL UNI REV 6.5 X 15MM	SUP-AR-9165-15NL	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW ARTHREX CENTRAL NL UNI REV 6.5 X 15MM	SUP-AR-9165-15NL	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
SCREW BONE UNIVERS REVERS L20 MM OD6.5 MM SHOULDER GLENOID CENTRAL VARIABLE ANGLE	SUP-AR-9165-20	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW BONE UNIVERS REVERS L20 MM OD6.5 MM SHOULDER GLENOID CENTRAL VARIABLE ANGLE	SUP-AR-9165-20	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
SCREW ARTHREX PERIPHERAL NL UNI REV 6.5MM X 20MM	SUP-AR-9165-20NL	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW ARTHREX PERIPHERAL NL UNI REV 6.5MM X 20MM	SUP-AR-9165-20NL	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
SCREW ARTHREX CENTRAL GLENOID 25MM	SUP-AR-9165-25	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW ARTHREX CENTRAL GLENOID 25MM	SUP-AR-9165-25	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
SCREW ARTHREX CENTRAL NL UNI REV 6.5 X 25MM	SUP-AR-9165-25NL	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW ARTHREX CENTRAL NL UNI REV 6.5 X 25MM	SUP-AR-9165-25NL	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
SCREW CENTRAL NL 6 .5MM	SUP-AR-9165-35NL	CDM	270010030	LOCAL	270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
SCREW CENTRAL NL 6 .5MM	SUP-AR-9165-35NL	CDM	270010030	LOCAL	270	RC		inpatient			250	250																																																			
TUBE CALIBRATION LAP-BAND AP SILICONE L157 CM OD13 MM 15-25 CC 2 LUMEN TRANSLUCENT BALLOON SENSOR TIP NONSTERILE LATEX FREE	SUP-B-2017	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
TUBE CALIBRATION LAP-BAND AP SILICONE L157 CM OD13 MM 15-25 CC 2 LUMEN TRANSLUCENT BALLOON SENSOR TIP NONSTERILE LATEX FREE	SUP-B-2017	CDM			270	RC		inpatient			250	250																																																			
LENS EYE	SUP-CZ70BD	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS EYE	SUP-CZ70BD	CDM			276	RC		inpatient			250	250																																																			
INTRODUCER CATHETER CHECK-FLO PERFORMER .038IN 45CM 12FR 4MM RADIOPAQUE BAND	SUP-G28433	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
INTRODUCER CATHETER CHECK-FLO PERFORMER .038IN 45CM 12FR 4MM RADIOPAQUE BAND	SUP-G28433	CDM			270	RC		inpatient			250	250																																																			
GUIDEWIRE VASCULAR V-14 CONTROLWIRE SCITANIUM ICE POLYMER SHORT TAPER L300 CM L8 CM OD.014 IN PERIPHERAL STRAIGHT TIP RADIOPAQUE TORQUE CONTROL RAIL SUPPORT	SUP-H74939216730010	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
GUIDEWIRE VASCULAR V-14 CONTROLWIRE SCITANIUM ICE POLYMER SHORT TAPER L300 CM L8 CM OD.014 IN PERIPHERAL STRAIGHT TIP RADIOPAQUE TORQUE CONTROL RAIL SUPPORT	SUP-H74939216730010	CDM			270	RC		inpatient			250	250																																																			
LENS INTRAOCULAR ACRYSOF EXPAND MONOFLEX 5 D +2.5 DIOPTER MODIFIED C MENISCUS L13 MM OD6 MM POSTERIOR CHAMBER MULTIPIECE FOLDABLE UV ABSORBENT STERILE BLUE APHAKIA 118.9 A-CONSTANT	SUP-MA60MA.025	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR ACRYSOF EXPAND MONOFLEX 5 D +2.5 DIOPTER MODIFIED C MENISCUS L13 MM OD6 MM POSTERIOR CHAMBER MULTIPIECE FOLDABLE UV ABSORBENT STERILE BLUE APHAKIA 118.9 A-CONSTANT	SUP-MA60MA.025	CDM			276	RC		inpatient			250	250																																																			
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA	SUP-MTA3U0	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA	SUP-MTA3U0	CDM			276	RC		inpatient			250	250																																																			
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA +21 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA3U0.210	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA +21 DIOPTER CONVEXOPLANO L12.5 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA3U0.210	CDM			276	RC		inpatient			250	250																																																			
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA CONVEXOPLANO L13 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA4U0	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA CONVEXOPLANO L13 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA4U0	CDM			276	RC		inpatient			250	250																																																			
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA +6.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA4U0.065	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA +6.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA4U0.065	CDM			276	RC		inpatient			250	250																																																			
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA +13.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA5U0.135	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA +13.5 DIOPTER CONVEXOPLANO L13.5 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA5U0.135	CDM			276	RC		inpatient			250	250																																																			
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA CONVEXOPLANO L13.5 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA5UO	CDM			276	RC		outpatient			250	25	250				fee schedule		250				other	OPPS APC	142.5				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	122.5				percent of total billed charges		127.5				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR KELMAN MULTIFLEX III PMMA CONVEXOPLANO L13.5 MM OD5.5 MM ANTERIOR CHAMBER 1 PIECE UV ABSORBENT STERILE CLEAR APHAKIA 115.3 A-CONSTANT	SUP-MTA5UO	CDM			276	RC		inpatient			250	250																																																			
CATHETER THROMBECTOMY NEURON L120 CM	SUP-PNS5F120BER	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
CATHETER THROMBECTOMY NEURON L120 CM	SUP-PNS5F120BER	CDM			270	RC		inpatient			250	250																																																			
CATHETER DELIVERY SYSTEM NEURON SELECT STAINLESS STEEL POLYMER BERENSTEIN CURVE L130 CM L9 CM OD5 FR ID.04 IN LUMEN SOFT SHAFT RADIOPAQUE ACCEPTS .035/.038 IN GUIDEWIRE	SUP-PNS5F130BER	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
CATHETER DELIVERY SYSTEM NEURON SELECT STAINLESS STEEL POLYMER BERENSTEIN CURVE L130 CM L9 CM OD5 FR ID.04 IN LUMEN SOFT SHAFT RADIOPAQUE ACCEPTS .035/.038 IN GUIDEWIRE	SUP-PNS5F130BER	CDM			270	RC		inpatient			250	250																																																			
CATHETER DELIVERY SYSTEM NEURON STAINLESS STEEL .038 IN SIMS CURVE L130 CM L9 CM OD5 FR ID.04 IN PROXIMAL DISTAL INTRACRANIAL LUMEN FULL LENGTHRADIOPAQUE MARKER	SUP-PNS5F130SIM	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
CATHETER DELIVERY SYSTEM NEURON STAINLESS STEEL .038 IN SIMS CURVE L130 CM L9 CM OD5 FR ID.04 IN PROXIMAL DISTAL INTRACRANIAL LUMEN FULL LENGTHRADIOPAQUE MARKER	SUP-PNS5F130SIM	CDM			270	RC		inpatient			250	250																																																			
CATHETER DELIVERY SYSTEM NEURON STAINLESS STEEL BERENSTEIN CURVE L125 CM L9 CM OD6 FR ODSEC5.6 FR ID.04 IN SELECT LATEX FREE ACCEPTS .035-.038 IN GUIDEWIRE	SUP-PNS6F125BER	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
CATHETER DELIVERY SYSTEM NEURON STAINLESS STEEL BERENSTEIN CURVE L125 CM L9 CM OD6 FR ODSEC5.6 FR ID.04 IN SELECT LATEX FREE ACCEPTS .035-.038 IN GUIDEWIRE	SUP-PNS6F125BER	CDM			270	RC		inpatient			250	250																																																			
CATHETER DELIVERY SYSTEM NEURON SELECT STAINLESS STEEL H1 CURVE L125 CM L9 CM OD6 FR ODSEC5-5.6 FR ID.04 IN ACCEPTS .035/.038 IN GUIDEWIRE	SUP-PNS6F125H1	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
CATHETER DELIVERY SYSTEM NEURON SELECT STAINLESS STEEL H1 CURVE L125 CM L9 CM OD6 FR ODSEC5-5.6 FR ID.04 IN ACCEPTS .035/.038 IN GUIDEWIRE	SUP-PNS6F125H1	CDM			270	RC		inpatient			250	250																																																			
LENS INTRAOCULAR SILICONE 3PIECE	SUP-SI40NB	CDM			270	RC		outpatient			250	25	67.73				percent of total billed charges		250				other	OPPS APC	185				percent of total billed charges		250				other	OPPS APC	250				other	OPPS APC	67.73				percent of total billed charges		69.08				percent of total billed charges		25				other	OPPS APC	25	250	
LENS INTRAOCULAR SILICONE 3PIECE	SUP-SI40NB	CDM			270	RC		inpatient			250	250																																																			
Sheath16 Fr x 45CM CHECK-FLO	SUP-RCFW-16.0P-38-45-RB	CDM			481	RC		outpatient			249.74	249.74	122.37				percent of total billed charges		249.74				other	OPPS APC	184.81				percent of total billed charges		249.74				other	OPPS APC	249.74				other	OPPS APC	122.37				percent of total billed charges		127.37				percent of total billed charges		249.74				other	OPPS APC	122.37	249.74	
Sheath16 Fr x 45CM CHECK-FLO	SUP-RCFW-16.0P-38-45-RB	CDM			481	RC		inpatient			249.74	249.74																																																			
CATHETER FILIFORM 3 FR	SUP-02-00015	CDM			272	RC		outpatient			249.6	249.6	67.62				percent of total billed charges		249.6				other	OPPS APC	184.7				percent of total billed charges		249.6				other	OPPS APC	249.6				other	OPPS APC	67.62				percent of total billed charges		68.96				percent of total billed charges		249.6				other	OPPS APC	67.62	249.6	
CATHETER FILIFORM 3 FR	SUP-02-00015	CDM			272	RC		inpatient			249.6	249.6																																																			
STAPLER INTERNAL ENDO GIA ULTRA TRI-STAPLE UNIVERSAL STANDARD 16CMX4MM PVC DISPOSABLE STERILE LF EXTRA THICK TISSUE	SUP-EGIAUSTND	CDM			270	RC		outpatient			249.43	249.43	67.57				percent of total billed charges		249.43				other	OPPS APC	184.58				percent of total billed charges		249.43				other	OPPS APC	249.43				other	OPPS APC	67.57				percent of total billed charges		68.92				percent of total billed charges		249.43				other	OPPS APC	67.57	249.43	
STAPLER INTERNAL ENDO GIA ULTRA TRI-STAPLE UNIVERSAL STANDARD 16CMX4MM PVC DISPOSABLE STERILE LF EXTRA THICK TISSUE	SUP-EGIAUSTND	CDM			270	RC		inpatient			249.43	249.43																																																			
SUTURE OVERSTITCH 2-0 POLYPROPYLENE	SUP-95-04208	CDM			272	RC		outpatient			249.38	249.38	67.56				percent of total billed charges		249.38				other	OPPS APC	184.54				percent of total billed charges		249.38				other	OPPS APC	249.38				other	OPPS APC	67.56				percent of total billed charges		68.9				percent of total billed charges		249.38				other	OPPS APC	67.56	249.38	
SUTURE OVERSTITCH 2-0 POLYPROPYLENE	SUP-95-04208	CDM			272	RC		inpatient			249.38	249.38																																																			
DEVICE INFLATION CADENCE PRECISION 1 ML SYRINGE INJECTOR THREAD PLUNGER	SUP-103-0304	CDM			270	RC		outpatient			248.8	248.81	67.4				percent of total billed charges		248.8				other	OPPS APC	184.11				percent of total billed charges		248.8				other	OPPS APC	248.8				other	OPPS APC	67.4				percent of total billed charges		68.74				percent of total billed charges		248.81				other	OPPS APC	67.4	248.81	
DEVICE INFLATION CADENCE PRECISION 1 ML SYRINGE INJECTOR THREAD PLUNGER	SUP-103-0304	CDM			270	RC		inpatient			248.8	248.8																																																			
CONTRAST - OMNIPAQUE 350 10 X 50ML Y540	SUP-99-04089	CDM			255	RC		outpatient			248.43	248.43	60.54				percent of total billed charges		248.43				other	OPPS APC	0.13				fee schedule		248.43				other	OPPS APC	248.43				other	OPPS APC	60.54				percent of total billed charges		61.76				percent of total billed charges		248.43				other	OPPS APC	0.13	248.43	
CONTRAST - OMNIPAQUE 350 10 X 50ML Y540	SUP-99-04089	CDM			255	RC		inpatient			248.43	248.43																																																			
PLATE BONE LOW PROFILE CRANIUM 2 HOLE TAP	SUP-9203210	CDM			270	RC		outpatient			248.3	248.31	67.26				percent of total billed charges		248.3				other	OPPS APC	183.74				percent of total billed charges		248.3				other	OPPS APC	248.3				other	OPPS APC	67.26				percent of total billed charges		68.61				percent of total billed charges		248.31				other	OPPS APC	67.26	248.31	
PLATE BONE LOW PROFILE CRANIUM 2 HOLE TAP	SUP-9203210	CDM			270	RC		inpatient			248.3	248.3																																																			
HC Screening Spiro. C Bd	PX-460940600	CDM	94060	CPT	460	RC		outpatient			248	294.96	61.59				fee schedule		294.96				other	OPPS APC	148.58				fee schedule		294.96				other	OPPS APC	294.96				other	OPPS APC	38.42				fee schedule		126.48				percent of total billed charges		294.96				other	OPPS APC	38.42	294.96	
HC Screening Spiro. C Bd	PX-460940600	CDM	94060	CPT	460	RC		inpatient			248	248																																																			
SURGICEL 2X3 (1953)	SUP-95-04138	CDM			272	RC		outpatient			247.52	247.52	67.05				percent of total billed charges		247.52				other	OPPS APC	183.16				percent of total billed charges		247.52				other	OPPS APC	247.52				other	OPPS APC	67.05				percent of total billed charges		68.39				percent of total billed charges		247.52				other	OPPS APC	67.05	247.52	
SURGICEL 2X3 (1953)	SUP-95-04138	CDM			272	RC		inpatient			247.52	247.52																																																			
CONNECTOR DIALYSIS ARGYLE TITANIUM PERITONEAL 2 PART LUER ADAPTER STERILE LATEX FREE	SUP-8888415604	CDM			270	RC		outpatient			247.5	247.5	67.05				percent of total billed charges		247.5				other	OPPS APC	183.15				percent of total billed charges		247.5				other	OPPS APC	247.5				other	OPPS APC	67.05				percent of total billed charges		68.38				percent of total billed charges		247.5				other	OPPS APC	67.05	247.5	
CONNECTOR DIALYSIS ARGYLE TITANIUM PERITONEAL 2 PART LUER ADAPTER STERILE LATEX FREE	SUP-8888415604	CDM			270	RC		inpatient			247.5	247.5																																																			
INSULIN LISPRO (HUMAN) PER 5 UNITS	637000000	CDM	0002-7510-17	NDC	A9270	HCPCS		inpatient			247.23	247.23																																																			
INSULIN LISPRO (HUMAN) PER 5 UNITS	637000000	CDM	0002-7510-17	NDC	A9270	HCPCS		outpatient			247.23	247.23																																															other	OPPS APC			
DRILL BIT FAST 2.0MM	SUP-97-01154	CDM			272	RC		outpatient			246.72	246.72	66.84				percent of total billed charges		246.72				other	OPPS APC	182.57				percent of total billed charges		246.72				other	OPPS APC	246.72				other	OPPS APC	66.84				percent of total billed charges		68.17				percent of total billed charges		246.72				other	OPPS APC	66.84	246.72	
DRILL BIT FAST 2.0MM	SUP-97-01154	CDM			272	RC		inpatient			246.72	246.72																																																			
DRILL BIT FAST 2.5MM NS	SUP-97-01155	CDM			272	RC		outpatient			246.72	246.72	66.84				percent of total billed charges		246.72				other	OPPS APC	182.57				percent of total billed charges		246.72				other	OPPS APC	246.72				other	OPPS APC	66.84				percent of total billed charges		68.17				percent of total billed charges		246.72				other	OPPS APC	66.84	246.72	
DRILL BIT FAST 2.5MM NS	SUP-97-01155	CDM			272	RC		inpatient			246.72	246.72																																																			
TUBE TRACHEOSTOMY PORTEX BIVONA AIRE-CUF HYPERFLEX SILICONE ADULT XLENGTH L110 MM OD10.6 MM ID7.0 MM FIX NECK FLANGE MID RANGE CLIP IN OBTURATOR HOLLOW TIP STERILE LATEX FREE	SUP-75FHXL70	CDM			270	RC		outpatient			246.66	246.66	66.82				percent of total billed charges		246.66				other	OPPS APC	182.53				percent of total billed charges		246.66				other	OPPS APC	246.66				other	OPPS APC	66.82				percent of total billed charges		68.15				percent of total billed charges		246.66				other	OPPS APC	66.82	246.66	
TUBE TRACHEOSTOMY PORTEX BIVONA AIRE-CUF HYPERFLEX SILICONE ADULT XLENGTH L110 MM OD10.6 MM ID7.0 MM FIX NECK FLANGE MID RANGE CLIP IN OBTURATOR HOLLOW TIP STERILE LATEX FREE	SUP-75FHXL70	CDM			270	RC		inpatient			246.66	246.66																																																			
SCREW 2.0 HT X-DR 13MM	SUP-71-00229	CDM			278	RC		outpatient			246.43	246.43	246.43				fee schedule		246.43				other	OPPS APC	140.47				percent of total billed charges		246.43				other	OPPS APC	246.43				other	OPPS APC	120.75				percent of total billed charges		125.68				percent of total billed charges		246.43				other	OPPS APC	120.75	246.43	
SCREW 2.0 HT X-DR 13MM	SUP-71-00229	CDM			278	RC		inpatient			246.43	246.43																																																			
BARREL BURR 4.0MM	SUP-79-00053	CDM			272	RC		outpatient			246.25	246.25	66.71				percent of total billed charges		246.25				other	OPPS APC	182.23				percent of total billed charges		246.25				other	OPPS APC	246.25				other	OPPS APC	66.71				percent of total billed charges		68.04				percent of total billed charges		246.25				other	OPPS APC	66.71	246.25	
BARREL BURR 4.0MM	SUP-79-00053	CDM			272	RC		inpatient			246.25	246.25																																																			
BURR ROUND 4.0	SUP-79-00069	CDM			272	RC		outpatient			246.25	246.25	66.71				percent of total billed charges		246.25				other	OPPS APC	182.23				percent of total billed charges		246.25				other	OPPS APC	246.25				other	OPPS APC	66.71				percent of total billed charges		68.04				percent of total billed charges		246.25				other	OPPS APC	66.71	246.25	
BURR ROUND 4.0	SUP-79-00069	CDM			272	RC		inpatient			246.25	246.25																																																			
PACK SURGICAL LAP BAND PENINSULA REGIONAL MEDICAL CENTER	SUP-88750-013	CDM			270	RC		outpatient			246.23	246.23	66.7				percent of total billed charges		246.23				other	OPPS APC	182.21				percent of total billed charges		246.23				other	OPPS APC	246.23				other	OPPS APC	66.7				percent of total billed charges		68.03				percent of total billed charges		246.23				other	OPPS APC	66.7	246.23	
PACK SURGICAL LAP BAND PENINSULA REGIONAL MEDICAL CENTER	SUP-88750-013	CDM			270	RC		inpatient			246.23	246.23																																																			
WIRE FIXATION ORTHOLOC 1.1MM FOREFOOT TEMPORARY	SUP-DC4212	CDM			270	RC		outpatient			246	246	66.64				percent of total billed charges		246				other	OPPS APC	182.04				percent of total billed charges		246				other	OPPS APC	246				other	OPPS APC	66.64				percent of total billed charges		67.97				percent of total billed charges		246				other	OPPS APC	66.64	246	
WIRE FIXATION ORTHOLOC 1.1MM FOREFOOT TEMPORARY	SUP-DC4212	CDM			270	RC		inpatient			246	246																																																			
MARKER RADIOLOGY SUPERDIMENSION L125 CM OD5 FR ID.04 IN DELIVERY TOOL KIT CATHETER	SUP-SDMDK1000	CDM			270	RC		outpatient			246	246	66.64				percent of total billed charges		246				other	OPPS APC	182.04				percent of total billed charges		246				other	OPPS APC	246				other	OPPS APC	66.64				percent of total billed charges		67.97				percent of total billed charges		246				other	OPPS APC	66.64	246	
MARKER RADIOLOGY SUPERDIMENSION L125 CM OD5 FR ID.04 IN DELIVERY TOOL KIT CATHETER	SUP-SDMDK1000	CDM			270	RC		inpatient			246	246																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 10MM	SUP-97-03722	CDM			278	RC		outpatient			245.49	245.49	245.49				fee schedule		245.49				other	OPPS APC	139.93				percent of total billed charges		245.49				other	OPPS APC	245.49				other	OPPS APC	120.29				percent of total billed charges		125.2				percent of total billed charges		245.49				other	OPPS APC	120.29	245.49	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 10MM	SUP-97-03722	CDM			278	RC		inpatient			245.49	245.49																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 16MM	SUP-97-03723	CDM			278	RC		outpatient			245.49	245.49	245.49				fee schedule		245.49				other	OPPS APC	139.93				percent of total billed charges		245.49				other	OPPS APC	245.49				other	OPPS APC	120.29				percent of total billed charges		125.2				percent of total billed charges		245.49				other	OPPS APC	120.29	245.49	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 16MM	SUP-97-03723	CDM			278	RC		inpatient			245.49	245.49																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 6MM	SUP-97-03994	CDM			278	RC		outpatient			245.49	245.49	245.49				fee schedule		245.49				other	OPPS APC	139.93				percent of total billed charges		245.49				other	OPPS APC	245.49				other	OPPS APC	120.29				percent of total billed charges		125.2				percent of total billed charges		245.49				other	OPPS APC	120.29	245.49	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 6MM	SUP-97-03994	CDM			278	RC		inpatient			245.49	245.49																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 18MM	SUP-97-04541	CDM			278	RC		inpatient			245.49	245.49																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 18MM	SUP-97-04541	CDM			278	RC		outpatient			245.49	245.49					fee schedule						other	OPPS APC	139.93				percent of total billed charges						other	OPPS APC					other	OPPS APC	120.29				percent of total billed charges		125.2				percent of total billed charges						other	OPPS APC	139.93	139.93	
GUIDEWIRE ORTHOPEDIC 300MM 3.2MM SS NS CALIBRATED	SUP-292.69	CDM	270010022	LOCAL	270	RC		outpatient			245.3	245.31	66.45				percent of total billed charges		245.3				other	OPPS APC	181.52				percent of total billed charges		245.3				other	OPPS APC	245.3				other	OPPS APC	66.45				percent of total billed charges		67.78				percent of total billed charges		245.31				other	OPPS APC	66.45	245.31	
GUIDEWIRE ORTHOPEDIC 300MM 3.2MM SS NS CALIBRATED	SUP-292.69	CDM	270010022	LOCAL	270	RC		inpatient			245.3	245.3																																																			
THREADED GUIDE WIRE 1.4X1.5MM	SUP-97-03594	CDM			278	RC		outpatient			245.28	245.28	245.28				fee schedule		245.28				other	OPPS APC	139.81				percent of total billed charges		245.28				other	OPPS APC	245.28				other	OPPS APC	120.19				percent of total billed charges		125.09				percent of total billed charges		245.28				other	OPPS APC	120.19	245.28	
THREADED GUIDE WIRE 1.4X1.5MM	SUP-97-03594	CDM			278	RC		inpatient			245.28	245.28																																																			
HC Tn Placental Alpha Microglobulin-1  Cervical Vaginal Secretion Qual	PX-301841120	CDM	84112	CPT	301	RC		outpatient			245	98.2	84.7				fee schedule		98.11				fee schedule		173.34				fee schedule		98.11				fee schedule		98.11				fee schedule		98.11				fee schedule		98.11				fee schedule		98.2				fee schedule		84.7	173.34	
HC Tn Placental Alpha Microglobulin-1  Cervical Vaginal Secretion Qual	PX-301841120	CDM	84112	CPT	301	RC		inpatient			245	245																																																			
HC MC Bh Psychotherapy Crisis 60 Min	PX-900908399	CDM	90839	CPT	914	RC		outpatient			245	245	120.05				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				fee schedule		120.05				percent of total billed charges		124.95				percent of total billed charges		245				fee schedule		120.05	245	
HC MC Bh Psychotherapy Crisis 60 Min	PX-900908399	CDM	90839	CPT	914	RC		inpatient			245	245																																																			
BIT DRILL 44.5MM 12MM 1.5MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.720	CDM	270010022	LOCAL	270	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BIT DRILL 44.5MM 12MM 1.5MM NS SELF STOP STRYKER J LATCH COUPLING	SUP-317.720	CDM	270010022	LOCAL	270	RC		inpatient			245	245																																																			
KII BALLOON BLUNT TIP SYSTEM	SUP-76-00133	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
KII BALLOON BLUNT TIP SYSTEM	SUP-76-00133	CDM			272	RC		inpatient			245	245																																																			
ARTHREX LABRAL TAPE	SUP-79-00073	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
ARTHREX LABRAL TAPE	SUP-79-00073	CDM			272	RC		inpatient			245	245																																																			
MINI MONOKA	SUP-95-04680	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
MINI MONOKA	SUP-95-04680	CDM			272	RC		inpatient			245	245																																																			
DRILL BIT 3.1	SUP-97-01865	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
DRILL BIT 3.1	SUP-97-01865	CDM			272	RC		inpatient			245	245																																																			
CATHETER - SWAN GANZ THERMO	SUP-99-00543	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
CATHETER - SWAN GANZ THERMO	SUP-99-00543	CDM			272	RC		inpatient			245	245																																																			
SHEATH - 4F PEDAL ACCESS KIT	SUP-99-02206	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
SHEATH - 4F PEDAL ACCESS KIT	SUP-99-02206	CDM			272	RC		inpatient			245	245																																																			
GUIDE - IKARI RIGHT IR1.0	SUP-99-03193	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
GUIDE - IKARI RIGHT IR1.0	SUP-99-03193	CDM			272	RC		inpatient			245	245																																																			
BALLOON - NC TREK NEO 5.0X8	SUP-99-03603	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - NC TREK NEO 5.0X8	SUP-99-03603	CDM			272	RC		inpatient			245	245																																																			
BALLOON - MINI TREK II 1.5X12 OTW	SUP-99-03840	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - MINI TREK II 1.5X12 OTW	SUP-99-03840	CDM			272	RC		inpatient			245	245																																																			
BALLOON - NC TREK NEO 1.5X6	SUP-99-03863	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - NC TREK NEO 1.5X6	SUP-99-03863	CDM			272	RC		inpatient			245	245																																																			
BALLOON - NC TREK NEO 5.0X12	SUP-99-03865	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - NC TREK NEO 5.0X12	SUP-99-03865	CDM			272	RC		inpatient			245	245																																																			
BALLOON - TREK 2.75X20	SUP-99-03874	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - TREK 2.75X20	SUP-99-03874	CDM			272	RC		inpatient			245	245																																																			
BALLOON - TREK 2.75X8	SUP-99-03875	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - TREK 2.75X8	SUP-99-03875	CDM			272	RC		inpatient			245	245																																																			
BALLOON - EUPHORA 3 X 20	SUP-99-04566	CDM			272	RC		outpatient			245	245	66.37				percent of total billed charges		245				other	OPPS APC	181.3				percent of total billed charges		245				other	OPPS APC	245				other	OPPS APC	66.37				percent of total billed charges		67.69				percent of total billed charges		245				other	OPPS APC	66.37	245	
BALLOON - EUPHORA 3 X 20	SUP-99-04566	CDM			272	RC		inpatient			245	245																																																			
GUIDEWIRE ORTHOPEDIC L100 CM OD3 MM BALL TIP STERILE LATEX FREE NATURAL NAIL SYSTEM	SUP-47-2255-008-01	CDM			270	RC		outpatient			244.8	244.81	66.32				percent of total billed charges		244.8				other	OPPS APC	181.15				percent of total billed charges		244.8				other	OPPS APC	244.8				other	OPPS APC	66.32				percent of total billed charges		67.64				percent of total billed charges		244.81				other	OPPS APC	66.32	244.81	
GUIDEWIRE ORTHOPEDIC L100 CM OD3 MM BALL TIP STERILE LATEX FREE NATURAL NAIL SYSTEM	SUP-47-2255-008-01	CDM			270	RC		inpatient			244.8	244.8																																																			
GUIDE WIRE 2.0MM X 150MM	SUP-95-03595	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
GUIDE WIRE 2.0MM X 150MM	SUP-95-03595	CDM			278	RC		inpatient			244.65	244.65																																																			
DISTAL SPACER	SUP-97-01077	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
DISTAL SPACER	SUP-97-01077	CDM			278	RC		inpatient			244.65	244.65																																																			
DISTAL CEMENT SPACER	SUP-97-01986	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
DISTAL CEMENT SPACER	SUP-97-01986	CDM			278	RC		inpatient			244.65	244.65																																																			
SPACER OSTEONICS UNIV DISTAL 11MM	SUP-97-02620	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
SPACER OSTEONICS UNIV DISTAL 11MM	SUP-97-02620	CDM			278	RC		inpatient			244.65	244.65																																																			
SPACER OSTEONICS UNIV DISTAL 11MM	SUP-97-03392	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
SPACER OSTEONICS UNIV DISTAL 11MM	SUP-97-03392	CDM			278	RC		inpatient			244.65	244.65																																																			
ACCOLADE DISTAL SPACER	SUP-97-04479	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
ACCOLADE DISTAL SPACER	SUP-97-04479	CDM			278	RC		inpatient			244.65	244.65																																																			
OSTEONICS UNIV.DISTAL SPACER	SUP-97-04688	CDM			278	RC		outpatient			244.65	244.65	244.65				fee schedule		244.65				other	OPPS APC	139.45				percent of total billed charges		244.65				other	OPPS APC	244.65				other	OPPS APC	119.88				percent of total billed charges		124.77				percent of total billed charges		244.65				other	OPPS APC	119.88	244.65	
OSTEONICS UNIV.DISTAL SPACER	SUP-97-04688	CDM			278	RC		inpatient			244.65	244.65																																																			
SCREW BONE 1.7 X 7MM CROSSPIN ST	SUP-0	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
SCREW BONE 1.7 X 7MM CROSSPIN ST	SUP-0	CDM			278	RC		inpatient			244.02	244.02																																																			
SCREW BONE 1.7 X 6MM CROSSPIN ST	SUP-97-04006	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
SCREW BONE 1.7 X 6MM CROSSPIN ST	SUP-97-04006	CDM			278	RC		inpatient			244.02	244.02																																																			
SCREW BONE 1.7 X 7MM CROSSPIN ST	SUP-97-04007	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
SCREW BONE 1.7 X 7MM CROSSPIN ST	SUP-97-04007	CDM			278	RC		inpatient			244.02	244.02																																																			
SCREW BONE 1.4 X 3MM CROSSPIN LEFT	SUP-97-04009	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
SCREW BONE 1.4 X 3MM CROSSPIN LEFT	SUP-97-04009	CDM			278	RC		inpatient			244.02	244.02																																																			
1.2 X 8MM NON LKNG SCREW	SUP-97-05003	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
1.2 X 8MM NON LKNG SCREW	SUP-97-05003	CDM			278	RC		inpatient			244.02	244.02																																																			
1.2 X 18MM NON LKG SCREW	SUP-97-05036	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
1.2 X 18MM NON LKG SCREW	SUP-97-05036	CDM			278	RC		inpatient			244.02	244.02																																																			
1.2 X 20MM NON LKG SCREW	SUP-97-05037	CDM			278	RC		outpatient			244.02	244.21	244.02				fee schedule		244.02				other	OPPS APC	139.09				percent of total billed charges		244.02				other	OPPS APC	244.02				other	OPPS APC	119.57				percent of total billed charges		124.45				percent of total billed charges		244.21				other	OPPS APC	119.57	244.21	
1.2 X 20MM NON LKG SCREW	SUP-97-05037	CDM			278	RC		inpatient			244.02	244.02																																																			
SUBSTITUTE BONE GRAFT PROGENIX DEMINERALIZED BONE MATRIX BOVINE COLLAGEN .5 ML PUTTY	SUP-000505	CDM	270010031	LOCAL	270	RC		outpatient			244	244	66.1				percent of total billed charges		244				other	OPPS APC	180.56				percent of total billed charges		244				other	OPPS APC	244				other	OPPS APC	66.1				percent of total billed charges		67.42				percent of total billed charges		244				other	OPPS APC	66.1	244	
SUBSTITUTE BONE GRAFT PROGENIX DEMINERALIZED BONE MATRIX BOVINE COLLAGEN .5 ML PUTTY	SUP-000505	CDM	270010031	LOCAL	270	RC		inpatient			244	244																																																			
CENTRALIZER STEM CEMENTRALIZER PMMA OD9.25 MM HIP FEMUR CEMENT STERILE LATEX FREE SUMMIT SYSTEM	SUP-137647000	CDM	270010024	LOCAL	270	RC		outpatient			244	244	66.1				percent of total billed charges		244				other	OPPS APC	180.56				percent of total billed charges		244				other	OPPS APC	244				other	OPPS APC	66.1				percent of total billed charges		67.42				percent of total billed charges		244				other	OPPS APC	66.1	244	
CENTRALIZER STEM CEMENTRALIZER PMMA OD9.25 MM HIP FEMUR CEMENT STERILE LATEX FREE SUMMIT SYSTEM	SUP-137647000	CDM	270010024	LOCAL	270	RC		inpatient			244	244																																																			
DRESSING OPTIFOAM ADH AG+ 4 X 4	SUP-95-02131	CDM			272	RC		outpatient			243.81	243.81	66.05				percent of total billed charges		243.81				other	OPPS APC	180.42				percent of total billed charges		243.81				other	OPPS APC	243.81				other	OPPS APC	66.05				percent of total billed charges		67.36				percent of total billed charges		243.81				other	OPPS APC	66.05	243.81	
DRESSING OPTIFOAM ADH AG+ 4 X 4	SUP-95-02131	CDM			272	RC		inpatient			243.81	243.81																																																			
PLATE BONE TITANIUM STANDARD T MIDFACIAL 5 HOLE T 1.7 MM SCREWS	SUP-5506771	CDM			270	RC		outpatient			243.6	243.6	65.99				percent of total billed charges		243.6				other	OPPS APC	180.26				percent of total billed charges		243.6				other	OPPS APC	243.6				other	OPPS APC	65.99				percent of total billed charges		67.31				percent of total billed charges		243.6				other	OPPS APC	65.99	243.6	
PLATE BONE TITANIUM STANDARD T MIDFACIAL 5 HOLE T 1.7 MM SCREWS	SUP-5506771	CDM			270	RC		inpatient			243.6	243.6																																																			
3.0MM ASNIS MICRO SOLID DRILL2.1MM AO	SUP-97-04716	CDM			278	RC		outpatient			243.6	243.6	243.6				fee schedule		243.6				other	OPPS APC	138.85				percent of total billed charges		243.6				other	OPPS APC	243.6				other	OPPS APC	119.36				percent of total billed charges		124.24				percent of total billed charges		243.6				other	OPPS APC	119.36	243.6	
3.0MM ASNIS MICRO SOLID DRILL2.1MM AO	SUP-97-04716	CDM			278	RC		inpatient			243.6	243.6																																																			
2.1MM DRILL	SUP-97-23695	CDM			272	RC		outpatient			243.6	243.6	65.99				percent of total billed charges		243.6				other	OPPS APC	180.26				percent of total billed charges		243.6				other	OPPS APC	243.6				other	OPPS APC	65.99				percent of total billed charges		67.31				percent of total billed charges		243.6				other	OPPS APC	65.99	243.6	
2.1MM DRILL	SUP-97-23695	CDM			272	RC		inpatient			243.6	243.6																																																			
FORCEPS BIOPSY SUPERDIMENSION L110 CM OD1.7 MM PREMARK	SUP-SDBF1000	CDM			270	RC		outpatient			243.6	243.6	65.99				percent of total billed charges		243.6				other	OPPS APC	180.26				percent of total billed charges		243.6				other	OPPS APC	243.6				other	OPPS APC	65.99				percent of total billed charges		67.31				percent of total billed charges		243.6				other	OPPS APC	65.99	243.6	
FORCEPS BIOPSY SUPERDIMENSION L110 CM OD1.7 MM PREMARK	SUP-SDBF1000	CDM			270	RC		inpatient			243.6	243.6																																																			
BIOPSY BASIN PACK     CATSUP	SUP-95-04859	CDM			272	RC		outpatient			243.32	243.32	65.92				percent of total billed charges		243.32				other	OPPS APC	180.06				percent of total billed charges		243.32				other	OPPS APC	243.32				other	OPPS APC	65.92				percent of total billed charges		67.23				percent of total billed charges		243.32				other	OPPS APC	65.92	243.32	
BIOPSY BASIN PACK     CATSUP	SUP-95-04859	CDM			272	RC		inpatient			243.32	243.32																																																			
DEVICE FIXATION ENDOANCHOR 20IN 5MM NITINOL STERILE HERNIA REPAIR	SUP-EANCHR5	CDM			270	RC		outpatient			243.12	243.12	65.86				percent of total billed charges		243.12				other	OPPS APC	179.91				percent of total billed charges		243.12				other	OPPS APC	243.12				other	OPPS APC	65.86				percent of total billed charges		67.17				percent of total billed charges		243.12				other	OPPS APC	65.86	243.12	
DEVICE FIXATION ENDOANCHOR 20IN 5MM NITINOL STERILE HERNIA REPAIR	SUP-EANCHR5	CDM			270	RC		inpatient			243.12	243.12																																																			
HC Cea (Ceam)	PX-300823780	CDM	82378	CPT	300	RC		outpatient			243	18.96	25.36				fee schedule		18.96				fee schedule		50.37				fee schedule		18.96				fee schedule		18.96				fee schedule		18.96				fee schedule		18.96				fee schedule		18.96				fee schedule		18.96	50.37	
HC Cea (Ceam)	PX-300823780	CDM	82378	CPT	300	RC		inpatient			243	243																																																			
HC Fsh (Fsh)	PX-300830010	CDM	83001	CPT	301	RC		outpatient			243	18.58	24.84				fee schedule		18.58				fee schedule		49.34				fee schedule		18.58				fee schedule		18.58				fee schedule		18.58				fee schedule		18.58				fee schedule		18.58				fee schedule		18.58	49.34	
HC Fsh (Fsh)	PX-300830010	CDM	83001	CPT	301	RC		inpatient			243	243																																																			
HC Lh (Lh)	PX-300830021	CDM	83002	CPT	301	RC		outpatient			243	18.52	24.75				fee schedule		18.52				fee schedule		49.17				fee schedule		18.52				fee schedule		18.52				fee schedule		18.52				fee schedule		18.52				fee schedule		18.52				fee schedule		18.52	49.17	
HC Lh (Lh)	PX-300830021	CDM	83002	CPT	301	RC		inpatient			243	243																																																			
HC Glom.Basement Ab (Agbm)	PX-300835207	CDM	83520	CPT	300	RC		outpatient			243	17.27	17.31				fee schedule		17.27				fee schedule		34.37				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	34.37	
HC Glom.Basement Ab (Agbm)	PX-300835207	CDM	83520	CPT	300	RC		inpatient			243	243																																																			
HC Immunoassay for Analyte  Quantitative Not Specified	PX-300835210	CDM	83520	CPT	300	RC		outpatient			243	17.27	17.31				fee schedule		17.27				fee schedule		34.37				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	34.37	
HC Immunoassay for Analyte  Quantitative Not Specified	PX-300835210	CDM	83520	CPT	300	RC		inpatient			243	243																																																			
HC Thyrotropin Receptor Antibody Serum	PX-300835216	CDM	83520	CPT	300	RC		outpatient			243	17.27	17.31				fee schedule		17.27				fee schedule		34.37				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	34.37	
HC Thyrotropin Receptor Antibody Serum	PX-300835216	CDM	83520	CPT	300	RC		inpatient			243	243																																																			
HC Pancreatic Elastase  Feces	PX-300835220	CDM	83520	CPT	300	RC		outpatient			243	17.27	17.31				fee schedule		17.27				fee schedule		34.37				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	34.37	
HC Pancreatic Elastase  Feces	PX-300835220	CDM	83520	CPT	300	RC		inpatient			243	243																																																			
HC Immunoassay Quant Nos Nanab	PX-301835201	CDM	83520	CPT	301	RC		outpatient			243	17.27	17.31				fee schedule		17.27				fee schedule		34.37				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	34.37	
HC Immunoassay Quant Nos Nanab	PX-301835201	CDM	83520	CPT	301	RC		inpatient			243	243																																																			
HC Surg Path  Level I	PX-310883040	CDM	88300	CPT	310	RC		outpatient			243	26.29	14.46				fee schedule		26.29				other	OPPS APC	27.75				fee schedule		26.29				other	OPPS APC	26.29				other	OPPS APC	119.07				percent of total billed charges		123.93				percent of total billed charges		26.29				other	OPPS APC	14.46	123.93	
HC Surg Path  Level I	PX-310883040	CDM	88300	CPT	310	RC		inpatient			243	243																																																			
HC Sternum	PX-320711200	CDM	71120	CPT	320	RC		outpatient			243	91.5	32.87				fee schedule		91.5				other	OPPS APC	88.33				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	33.73				fee schedule		24.28				fee schedule		91.5				other	OPPS APC	24.28	91.5	
HC Sternum	PX-320711200	CDM	71120	CPT	320	RC		inpatient			243	243																																																			
HC Spine-Thoracolumbar	PX-320720800	CDM	72080	CPT	320	RC		outpatient			243	91.5	37.48				fee schedule		91.5				other	OPPS APC	91.87				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	34.73				fee schedule		24.61				fee schedule		91.5				other	OPPS APC	24.61	91.87	
HC Spine-Thoracolumbar	PX-320720800	CDM	72080	CPT	320	RC		inpatient			243	243																																																			
HC Xr Scoliosis Series 2-3 View	PX-320720820	CDM	72082	CPT	320	RC		outpatient			243	112.57	28.58				fee schedule		112.57				other	OPPS APC	153.72				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	70.49				fee schedule		55.24				fee schedule		112.57				other	OPPS APC	28.58	153.72	
HC Xr Scoliosis Series 2-3 View	PX-320720820	CDM	72082	CPT	320	RC		inpatient			243	243																																																			
HC Xr Port Thor/Lumb Spine 2-3 View	PX-320720821	CDM	72082	CPT	320	RC		outpatient			243	112.57	28.58				fee schedule		112.57				other	OPPS APC	153.72				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	70.49				fee schedule		55.24				fee schedule		112.57				other	OPPS APC	28.58	153.72	
HC Xr Port Thor/Lumb Spine 2-3 View	PX-320720821	CDM	72082	CPT	320	RC		inpatient			243	243																																																			
HC Hip for Progress  1 View	PX-320735010	CDM	73501	CPT	320	RC		outpatient			243	91.5	119.07				percent of total billed charges		91.5				other	OPPS APC	84.81				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	33.07				fee schedule		23.95				fee schedule		91.5				other	OPPS APC	23.95	119.07	
HC Hip for Progress  1 View	PX-320735010	CDM	73501	CPT	320	RC		inpatient			243	243																																																			
HC Holter Monitor Hook-Up	PX-731932250	CDM	93225	CPT	731	RC		outpatient			243	122.29	27.27				fee schedule		122.29				other	OPPS APC	138.8				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	18.38				fee schedule		123.93				percent of total billed charges		122.29				other	OPPS APC	18.38	138.8	
HC Holter Monitor Hook-Up	PX-731932250	CDM	93225	CPT	731	RC		inpatient			243	243																																																			
TIP INSERTER PRODISC-C H6 MM SPINE STERILE MEDIUM DEEP	SUP-03.820.131S	CDM	270010020	LOCAL	270	RC		outpatient			242.96	242.96	65.82				percent of total billed charges		242.96				other	OPPS APC	179.79				percent of total billed charges		242.96				other	OPPS APC	242.96				other	OPPS APC	65.82				percent of total billed charges		67.13				percent of total billed charges		242.96				other	OPPS APC	65.82	242.96	
TIP INSERTER PRODISC-C H6 MM SPINE STERILE MEDIUM DEEP	SUP-03.820.131S	CDM	270010020	LOCAL	270	RC		inpatient			242.96	242.96																																																			
TIP INSERTER PRODISC-C H5 MM SPINE STERILE LARGE DEEP	SUP-03.820.133S	CDM			270	RC		outpatient			242.96	242.96	65.82				percent of total billed charges		242.96				other	OPPS APC	179.79				percent of total billed charges		242.96				other	OPPS APC	242.96				other	OPPS APC	65.82				percent of total billed charges		67.13				percent of total billed charges		242.96				other	OPPS APC	65.82	242.96	
TIP INSERTER PRODISC-C H5 MM SPINE STERILE LARGE DEEP	SUP-03.820.133S	CDM			270	RC		inpatient			242.96	242.96																																																			
TIP INSERTER PRODISC-C H6 MM SPINE STERILE LARGE DEEP	SUP-03.820.134S	CDM			270	RC		outpatient			242.96	242.96	65.82				percent of total billed charges		242.96				other	OPPS APC	179.79				percent of total billed charges		242.96				other	OPPS APC	242.96				other	OPPS APC	65.82				percent of total billed charges		67.13				percent of total billed charges		242.96				other	OPPS APC	65.82	242.96	
TIP INSERTER PRODISC-C H6 MM SPINE STERILE LARGE DEEP	SUP-03.820.134S	CDM			270	RC		inpatient			242.96	242.96																																																			
25+ FINESSE FLEX LOOP	SUP-338.25P	CDM			270	RC		outpatient			242.94	242.94	65.81				percent of total billed charges		242.94				other	OPPS APC	179.78				percent of total billed charges		242.94				other	OPPS APC	242.94				other	OPPS APC	65.81				percent of total billed charges		67.12				percent of total billed charges		242.94				other	OPPS APC	65.81	242.94	
25+ FINESSE FLEX LOOP	SUP-338.25P	CDM			270	RC		inpatient			242.94	242.94																																																			
KIT CATHETERIZATION ARROW-HOWES BLUE FLEXTIP ARROWG+ARD SHARPSAWAY II POLYURETHANE .035 IN L6 IN L2 1/2 IN OD12 FR ODSEC18 GA CENTRAL VENOUS MULTILUMEN CATHETER GUIDEWIRE NEEDLE	SUP-AK-22123-SK	CDM			270	RC		outpatient			242.8	242.81	65.77				percent of total billed charges		242.8				other	OPPS APC	179.67				percent of total billed charges		242.8				other	OPPS APC	242.8				other	OPPS APC	65.77				percent of total billed charges		67.09				percent of total billed charges		242.81				other	OPPS APC	65.77	242.81	
KIT CATHETERIZATION ARROW-HOWES BLUE FLEXTIP ARROWG+ARD SHARPSAWAY II POLYURETHANE .035 IN L6 IN L2 1/2 IN OD12 FR ODSEC18 GA CENTRAL VENOUS MULTILUMEN CATHETER GUIDEWIRE NEEDLE	SUP-AK-22123-SK	CDM			270	RC		inpatient			242.8	242.8																																																			
SHEATH - SAFESHEATH 10.5 F 25CM	SUP-99-03779	CDM			272	RC		outpatient			242.73	242.73	65.76				percent of total billed charges		242.73				other	OPPS APC	179.62				percent of total billed charges		242.73				other	OPPS APC	242.73				other	OPPS APC	65.76				percent of total billed charges		67.07				percent of total billed charges		242.73				other	OPPS APC	65.76	242.73	
SHEATH - SAFESHEATH 10.5 F 25CM	SUP-99-03779	CDM			272	RC		inpatient			242.73	242.73																																																			
SHEATH - SAFESHEATH 9F 25CM	SUP-99-04163	CDM			272	RC		outpatient			242.73	242.73	65.76				percent of total billed charges		242.73				other	OPPS APC	179.62				percent of total billed charges		242.73				other	OPPS APC	242.73				other	OPPS APC	65.76				percent of total billed charges		67.07				percent of total billed charges		242.73				other	OPPS APC	65.76	242.73	
SHEATH - SAFESHEATH 9F 25CM	SUP-99-04163	CDM			272	RC		inpatient			242.73	242.73																																																			
ROD EXTERNAL FIXATION CARBON FIBER L200 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.782	CDM	270010022	LOCAL	270	RC		outpatient			242.72	242.72	65.75				percent of total billed charges		242.72				other	OPPS APC	179.61				percent of total billed charges		242.72				other	OPPS APC	242.72				other	OPPS APC	65.75				percent of total billed charges		67.06				percent of total billed charges		242.72				other	OPPS APC	65.75	242.72	
ROD EXTERNAL FIXATION CARBON FIBER L200 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.782	CDM	270010022	LOCAL	270	RC		inpatient			242.72	242.72																																																			
ROD EXTERNAL FIXATION CARBON FIBER L220 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.784	CDM	270010022	LOCAL	270	RC		outpatient			242.72	242.72	65.75				percent of total billed charges		242.72				other	OPPS APC	179.61				percent of total billed charges		242.72				other	OPPS APC	242.72				other	OPPS APC	65.75				percent of total billed charges		67.06				percent of total billed charges		242.72				other	OPPS APC	65.75	242.72	
ROD EXTERNAL FIXATION CARBON FIBER L220 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.784	CDM	270010022	LOCAL	270	RC		inpatient			242.72	242.72																																																			
ROD EXTERNAL FIXATION CARBON FIBER L240 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.786	CDM	270010022	LOCAL	270	RC		outpatient			242.72	242.72	65.75				percent of total billed charges		242.72				other	OPPS APC	179.61				percent of total billed charges		242.72				other	OPPS APC	242.72				other	OPPS APC	65.75				percent of total billed charges		67.06				percent of total billed charges		242.72				other	OPPS APC	65.75	242.72	
ROD EXTERNAL FIXATION CARBON FIBER L240 MM OD8 MM DISTAL RADIUS NONSTERILE	SUP-395.786	CDM	270010022	LOCAL	270	RC		inpatient			242.72	242.72																																																			
SURGICEL 4X8 (1952S)	SUP-75-00102	CDM			272	RC		outpatient			242.68	242.68	65.74				percent of total billed charges		242.68				other	OPPS APC	179.58				percent of total billed charges		242.68				other	OPPS APC	242.68				other	OPPS APC	65.74				percent of total billed charges		67.05				percent of total billed charges		242.68				other	OPPS APC	65.74	242.68	
SURGICEL 4X8 (1952S)	SUP-75-00102	CDM			272	RC		inpatient			242.68	242.68																																																			
VLOC 180 ABSORBABLE RELOAD 10MM	SUP-VLOCA008L	CDM			270	RC		outpatient			242.56	242.56	65.71				percent of total billed charges		242.56				other	OPPS APC	179.49				percent of total billed charges		242.56				other	OPPS APC	242.56				other	OPPS APC	65.71				percent of total billed charges		67.02				percent of total billed charges		242.56				other	OPPS APC	65.71	242.56	
VLOC 180 ABSORBABLE RELOAD 10MM	SUP-VLOCA008L	CDM			270	RC		inpatient			242.56	242.56																																																			
COOK 18F CHECK-FLO SHEATH 13CM	SUP-RCF-18.0P-38-J	CDM			481	RC		outpatient			242.46	242.46	118.81				percent of total billed charges		242.46				other	OPPS APC	179.42				percent of total billed charges		242.46				other	OPPS APC	242.46				other	OPPS APC	118.81				percent of total billed charges		123.65				percent of total billed charges		242.46				other	OPPS APC	118.81	242.46	
COOK 18F CHECK-FLO SHEATH 13CM	SUP-RCF-18.0P-38-J	CDM			481	RC		inpatient			242.46	242.46																																																			
COOK 16F CHECK-FLO PERFORMER SHEATH 30CM	SUP-RCFW-16.0P-38-30-RB	CDM			270	RC		outpatient			242.46	242.46	65.68				percent of total billed charges		242.46				other	OPPS APC	179.42				percent of total billed charges		242.46				other	OPPS APC	242.46				other	OPPS APC	65.68				percent of total billed charges		66.99				percent of total billed charges		242.46				other	OPPS APC	65.68	242.46	
COOK 16F CHECK-FLO PERFORMER SHEATH 30CM	SUP-RCFW-16.0P-38-30-RB	CDM			270	RC		inpatient			242.46	242.46																																																			
MESH SURGICAL PROLOOP POLYPROPYLENE XL W2 IN X H1.6 IN L3.5 IN X W1.8 IN 3 DIMENSIONAL PLUG PREFORMED ONLAY NONABSORBABLE STERILE HERNIA	SUP-30903	CDM			270	RC		outpatient			242.17	242.17	65.6				percent of total billed charges		242.17				other	OPPS APC	179.21				percent of total billed charges		242.17				other	OPPS APC	242.17				other	OPPS APC	65.6				percent of total billed charges		66.91				percent of total billed charges		242.17				other	OPPS APC	65.6	242.17	
MESH SURGICAL PROLOOP POLYPROPYLENE XL W2 IN X H1.6 IN L3.5 IN X W1.8 IN 3 DIMENSIONAL PLUG PREFORMED ONLAY NONABSORBABLE STERILE HERNIA	SUP-30903	CDM			270	RC		inpatient			242.17	242.17																																																			
PLATE 1/3 TUBE 12 HOLE SS	SUP-97-01593	CDM			278	RC		outpatient			242.06	242.6	242.06				fee schedule		242.06				other	OPPS APC	137.97				percent of total billed charges		242.06				other	OPPS APC	242.06				other	OPPS APC	118.61				percent of total billed charges		123.45				percent of total billed charges		242.6				other	OPPS APC	118.61	242.6	
PLATE 1/3 TUBE 12 HOLE SS	SUP-97-01593	CDM			278	RC		inpatient			242.06	242.06																																																			
PIN BONE STEINMANN HEADLESS THREADED GOLD NEXGEN 75MM	SUP-00-5997-084-00	CDM	270010025	LOCAL	270	RC		outpatient			242	242	65.56				percent of total billed charges		242				other	OPPS APC	179.08				percent of total billed charges		242				other	OPPS APC	242				other	OPPS APC	65.56				percent of total billed charges		66.86				percent of total billed charges		242				other	OPPS APC	65.56	242	
PIN BONE STEINMANN HEADLESS THREADED GOLD NEXGEN 75MM	SUP-00-5997-084-00	CDM	270010025	LOCAL	270	RC		inpatient			242	242																																																			
ESYSUIT MEDENVISION	SUP-301-641-S	CDM			270	RC		outpatient			242	242	65.56				percent of total billed charges		242				other	OPPS APC	179.08				percent of total billed charges		242				other	OPPS APC	242				other	OPPS APC	65.56				percent of total billed charges		66.86				percent of total billed charges		242				other	OPPS APC	65.56	242	
ESYSUIT MEDENVISION	SUP-301-641-S	CDM			270	RC		inpatient			242	242																																																			
DART FIXATION CHONDRAL DART POLY L LACTIC ACID L18 MM OD1.3 MM STERILE	SUP-AR-4005B-18	CDM			270	RC		outpatient			242	242	65.56				percent of total billed charges		242				other	OPPS APC	179.08				percent of total billed charges		242				other	OPPS APC	242				other	OPPS APC	65.56				percent of total billed charges		66.86				percent of total billed charges		242				other	OPPS APC	65.56	242	
DART FIXATION CHONDRAL DART POLY L LACTIC ACID L18 MM OD1.3 MM STERILE	SUP-AR-4005B-18	CDM			270	RC		inpatient			242	242																																																			
CLIP INTERNAL FILSHIE SILASTIC TITANIUM SMALL FALLOPIAN TUBE SOFT LINE UPPER JAW STERILE LATEX FREE TUBAL LIGATION SYSTEM	SUP-AVM-851J	CDM			270	RC		outpatient			242	242	65.56				percent of total billed charges		242				other	OPPS APC	179.08				percent of total billed charges		242				other	OPPS APC	242				other	OPPS APC	65.56				percent of total billed charges		66.86				percent of total billed charges		242				other	OPPS APC	65.56	242	
CLIP INTERNAL FILSHIE SILASTIC TITANIUM SMALL FALLOPIAN TUBE SOFT LINE UPPER JAW STERILE LATEX FREE TUBAL LIGATION SYSTEM	SUP-AVM-851J	CDM			270	RC		inpatient			242	242																																																			
EMERGE MR PUSH 12X1.5	SUP-H7493919012150	CDM			481	RC		outpatient			242	242	118.58				percent of total billed charges		242				other	OPPS APC	179.08				percent of total billed charges		242				other	OPPS APC	242				other	OPPS APC	118.58				percent of total billed charges		123.42				percent of total billed charges		242				other	OPPS APC	118.58	242	
EMERGE MR PUSH 12X1.5	SUP-H7493919012150	CDM			481	RC		inpatient			242	242																																																			
DRAINAGE CATHETER - 6.3F DAWSON  CTSUP	SUP-95-01343	CDM			272	RC		outpatient			241.64	241.64	65.46				percent of total billed charges		241.64				other	OPPS APC	178.81				percent of total billed charges		241.64				other	OPPS APC	241.64				other	OPPS APC	65.46				percent of total billed charges		66.77				percent of total billed charges		241.64				other	OPPS APC	65.46	241.64	
DRAINAGE CATHETER - 6.3F DAWSON  CTSUP	SUP-95-01343	CDM			272	RC		inpatient			241.64	241.64																																																			
SCREW BONE T15 FULL THREAD 65MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.325	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 FULL THREAD 65MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.325	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 FULL THREAD 70MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.326	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 FULL THREAD 70MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.326	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 FULL THREAD 75MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.327	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 FULL THREAD 75MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.327	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 FULL THREAD 80MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.328	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 FULL THREAD 80MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.328	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 FULL THREAD 85MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.329	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 FULL THREAD 85MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.329	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 FULL THREAD 90MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.330	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 FULL THREAD 90MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE CONICAL HEAD	SUP-212.330	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 PARTIAL THREAD 65MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.425	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 PARTIAL THREAD 65MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.425	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD CONICAL L70 MM OD3.5 MM TIBIA PROXIMAL SELF TAP STARDRIVE NONSTERILE	SUP-212.426	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD CONICAL L70 MM OD3.5 MM TIBIA PROXIMAL SELF TAP STARDRIVE NONSTERILE	SUP-212.426	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
SCREW BONE T15 PARTIAL THREAD 75MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.427	CDM	270010022	LOCAL	270	RC		outpatient			241.54	241.54	65.43				percent of total billed charges		241.54				other	OPPS APC	178.74				percent of total billed charges		241.54				other	OPPS APC	241.54				other	OPPS APC	65.43				percent of total billed charges		66.74				percent of total billed charges		241.54				other	OPPS APC	65.43	241.54	
SCREW BONE T15 PARTIAL THREAD 75MM 3.5MM 2.9MM SS NS SELF TAP STARDRIVE SMOOTH CONICAL HEAD	SUP-212.427	CDM	270010022	LOCAL	270	RC		inpatient			241.54	241.54																																																			
THE ECOSUCTIONER	SUP-95-02772	CDM			271	RC		outpatient			241.5	241.5	65.42				percent of total billed charges		241.5				other	OPPS APC	178.71				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	65.42				percent of total billed charges		66.73				percent of total billed charges		241.5				other	OPPS APC	65.42	241.5	
THE ECOSUCTIONER	SUP-95-02772	CDM			271	RC		inpatient			241.5	241.5																																																			
RETRACTOR C-SECTION XLARGE ALEXIS	SUP-95-05258	CDM			272	RC		outpatient			241.5	241.5	65.42				percent of total billed charges		241.5				other	OPPS APC	178.71				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	65.42				percent of total billed charges		66.73				percent of total billed charges		241.5				other	OPPS APC	65.42	241.5	
RETRACTOR C-SECTION XLARGE ALEXIS	SUP-95-05258	CDM			272	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL NON LOC 3.5MMX14MM	SUP-97-01739	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL NON LOC 3.5MMX14MM	SUP-97-01739	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL NON LOC 3.5MMX15MM	SUP-97-01740	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL NON LOC 3.5MMX15MM	SUP-97-01740	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL NON-LOC 3.5MM X 10MM	SUP-97-02247	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL NON-LOC 3.5MM X 10MM	SUP-97-02247	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 21MM	SUP-97-02248	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 21MM	SUP-97-02248	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 22MM	SUP-97-02249	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 22MM	SUP-97-02249	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 19MM	SUP-97-02462	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 19MM	SUP-97-02462	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X 20MM	SUP-97-02484	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X 20MM	SUP-97-02484	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL NON LOC 3.5MMX13MM	SUP-97-02858	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL NON LOC 3.5MMX13MM	SUP-97-02858	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL NON LOC 3.5MMX16MM	SUP-97-02859	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL NON LOC 3.5MMX16MM	SUP-97-02859	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL LOCKING 3.5MMX12MM	SUP-97-03066	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL LOCKING 3.5MMX12MM	SUP-97-03066	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW POLYAXIAL NON LOC 3.5MM X 18MM	SUP-97-03278	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW POLYAXIAL NON LOC 3.5MM X 18MM	SUP-97-03278	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 12MM	SUP-97-03433	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 12MM	SUP-97-03433	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 16MM	SUP-97-03434	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 16MM	SUP-97-03434	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL LOCKING 3.5MMX10MM	SUP-97-03435	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL LOCKING 3.5MMX10MM	SUP-97-03435	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL LOCKING 3.5MMX12MM	SUP-97-03436	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL LOCKING 3.5MMX12MM	SUP-97-03436	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X 22MM	SUP-97-03499	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X 22MM	SUP-97-03499	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X 22MM	SUP-97-03500	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X 22MM	SUP-97-03500	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL LOCKING 3.5MMX15MM	SUP-97-03610	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL LOCKING 3.5MMX15MM	SUP-97-03610	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL NON LOCKING 3.5MMX9MM	SUP-97-03611	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL NON LOCKING 3.5MMX9MM	SUP-97-03611	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X 21MM	SUP-97-03612	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X 21MM	SUP-97-03612	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 14MM	SUP-97-03790	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 14MM	SUP-97-03790	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 17MM	SUP-97-03791	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 17MM	SUP-97-03791	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW  POLYAXIAL LOCKING  2.5MM X 16MM	SUP-97-03906	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW  POLYAXIAL LOCKING  2.5MM X 16MM	SUP-97-03906	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X 24MM	SUP-97-03990	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X 24MM	SUP-97-03990	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X 26MM	SUP-97-03991	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X 26MM	SUP-97-03991	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG HIGH COMPRESSION 2.7MM X16MM	SUP-97-04219	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG HIGH COMPRESSION 2.7MM X16MM	SUP-97-04219	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG LOCKING THREADED 2.3MM X 10MM	SUP-97-04220	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG LOCKING THREADED 2.3MM X 10MM	SUP-97-04220	CDM			278	RC		inpatient			241.5	241.5																																																			
POLYAXIAL LOCKING 2.5MM X 16MM SCREW	SUP-97-04433	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
POLYAXIAL LOCKING 2.5MM X 16MM SCREW	SUP-97-04433	CDM			278	RC		inpatient			241.5	241.5																																																			
CORTICAL NON-LOCKING 3.5MM X 22MM TI	SUP-97-04434	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
CORTICAL NON-LOCKING 3.5MM X 22MM TI	SUP-97-04434	CDM			278	RC		inpatient			241.5	241.5																																																			
HIGH COMPRESSION LKNG PEG 2.7MM X 23MM	SUP-97-04549	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
HIGH COMPRESSION LKNG PEG 2.7MM X 23MM	SUP-97-04549	CDM			278	RC		inpatient			241.5	241.5																																																			
THREADED PEG LOCKING 2.3MM X 24MM	SUP-97-04585	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
THREADED PEG LOCKING 2.3MM X 24MM	SUP-97-04585	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3MM X 24MM	SUP-97-06029	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3MM X 24MM	SUP-97-06029	CDM			278	RC		inpatient			241.5	241.5																																																			
SCREW CORTICAL LOCKING 3.5MM X 10MM	SUP-97-06050	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
SCREW CORTICAL LOCKING 3.5MM X 10MM	SUP-97-06050	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG SMOOTH LOCKING 2.0 X 17MM	SUP-97-06052	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG SMOOTH LOCKING 2.0 X 17MM	SUP-97-06052	CDM			278	RC		inpatient			241.5	241.5																																																			
PEG THREADED LOCKING 2.3 X 10MM	SUP-97-06053	CDM			278	RC		outpatient			241.5	241.5	241.5				fee schedule		241.5				other	OPPS APC	137.66				percent of total billed charges		241.5				other	OPPS APC	241.5				other	OPPS APC	118.34				percent of total billed charges		123.17				percent of total billed charges		241.5				other	OPPS APC	118.34	241.5	
PEG THREADED LOCKING 2.3 X 10MM	SUP-97-06053	CDM			278	RC		inpatient			241.5	241.5																																																			
KNIFE GRAFT ACL 11MM	SUP-232111	CDM			270	RC		outpatient			241.4	241.41	65.4				percent of total billed charges		241.4				other	OPPS APC	178.64				percent of total billed charges		241.4				other	OPPS APC	241.4				other	OPPS APC	65.4				percent of total billed charges		66.7				percent of total billed charges		241.41				other	OPPS APC	65.4	241.41	
KNIFE GRAFT ACL 11MM	SUP-232111	CDM			270	RC		inpatient			241.4	241.4																																																			
GUIDEWIRE VASCULAR JOURNEY NITINOL HYDROPHILIC L300 CM L2 CM OD.014 IN PERIPHERAL FLEXIBLE CONVENTION STRAIGHT TIP	SUP-M001391280	CDM			270	RC		outpatient			241.26	241.26	65.36				percent of total billed charges		241.26				other	OPPS APC	178.53				percent of total billed charges		241.26				other	OPPS APC	241.26				other	OPPS APC	65.36				percent of total billed charges		66.66				percent of total billed charges		241.26				other	OPPS APC	65.36	241.26	
GUIDEWIRE VASCULAR JOURNEY NITINOL HYDROPHILIC L300 CM L2 CM OD.014 IN PERIPHERAL FLEXIBLE CONVENTION STRAIGHT TIP	SUP-M001391280	CDM			270	RC		inpatient			241.26	241.26																																																			
HINGLE BOLT MEDIUM	SUP-97-03821	CDM			278	RC		outpatient			241.08	241.81	241.08				fee schedule		241.08				other	OPPS APC	137.42				percent of total billed charges		241.08				other	OPPS APC	241.08				other	OPPS APC	118.13				percent of total billed charges		122.95				percent of total billed charges		241.81				other	OPPS APC	118.13	241.81	
HINGLE BOLT MEDIUM	SUP-97-03821	CDM			278	RC		inpatient			241.08	241.08																																																			
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L10 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539320	CDM			270	RC		outpatient			241.02	241.21	65.29				percent of total billed charges		241.02				other	OPPS APC	178.35				percent of total billed charges		241.02				other	OPPS APC	241.02				other	OPPS APC	65.29				percent of total billed charges		66.59				percent of total billed charges		241.21				other	OPPS APC	65.29	241.21	
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L10 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539320	CDM			270	RC		inpatient			241.02	241.02																																																			
SLING SAM MEDIUM 32-50	SUP-95-00078	CDM			271	RC		outpatient			240.91	24.91	65.26				percent of total billed charges		240.91				other	OPPS APC	178.27				percent of total billed charges		240.91				other	OPPS APC	240.91				other	OPPS APC	65.26				percent of total billed charges		66.56				percent of total billed charges		24.91				other	OPPS APC	24.91	240.91	
SLING SAM MEDIUM 32-50	SUP-95-00078	CDM			271	RC		inpatient			240.91	240.91																																																			
SLING SAM LARGE 36-60	SUP-95-00079	CDM			271	RC		outpatient			240.91	24.91	65.26				percent of total billed charges		240.91				other	OPPS APC	178.27				percent of total billed charges		240.91				other	OPPS APC	240.91				other	OPPS APC	65.26				percent of total billed charges		66.56				percent of total billed charges		24.91				other	OPPS APC	24.91	240.91	
SLING SAM LARGE 36-60	SUP-95-00079	CDM			271	RC		inpatient			240.91	240.91																																																			
SCREW T10 3.5 X 10MM NON LOCKING	SUP-97-03353	CDM			278	RC		outpatient			240.52	24.52	240.52				fee schedule		240.52				other	OPPS APC	137.1				percent of total billed charges		240.52				other	OPPS APC	240.52				other	OPPS APC	117.85				percent of total billed charges		122.67				percent of total billed charges		24.52				other	OPPS APC	24.52	240.52	
SCREW T10 3.5 X 10MM NON LOCKING	SUP-97-03353	CDM			278	RC		inpatient			240.52	240.52																																																			
SCREW T10 3.5 X 26MM NON LOCKING	SUP-97-03354	CDM			278	RC		outpatient			240.52	24.52	240.52				fee schedule		240.52				other	OPPS APC	137.1				percent of total billed charges		240.52				other	OPPS APC	240.52				other	OPPS APC	117.85				percent of total billed charges		122.67				percent of total billed charges		24.52				other	OPPS APC	24.52	240.52	
SCREW T10 3.5 X 26MM NON LOCKING	SUP-97-03354	CDM			278	RC		inpatient			240.52	240.52																																																			
SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L28 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC	SUP-M0062502210	CDM			270	RC		outpatient			240.4	24.41	65.12				percent of total billed charges		240.4				other	OPPS APC	177.9				percent of total billed charges		240.4				other	OPPS APC	240.4				other	OPPS APC	65.12				percent of total billed charges		66.42				percent of total billed charges		24.41				other	OPPS APC	24.41	240.4	
SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L28 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC	SUP-M0062502210	CDM			270	RC		inpatient			240.4	240.4																																																			
SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L36 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC	SUP-M0062502220	CDM			270	RC		outpatient			240.4	24.41	65.12				percent of total billed charges		240.4				other	OPPS APC	177.9				percent of total billed charges		240.4				other	OPPS APC	240.4				other	OPPS APC	65.12				percent of total billed charges		66.42				percent of total billed charges		24.41				other	OPPS APC	24.41	240.4	
SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L36 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC	SUP-M0062502220	CDM			270	RC		inpatient			240.4	240.4																																																			
SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L46 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC	SUP-M0062502230	CDM			270	RC		outpatient			240.4	24.41	65.12				percent of total billed charges		240.4				other	OPPS APC	177.9				percent of total billed charges		240.4				other	OPPS APC	240.4				other	OPPS APC	65.12				percent of total billed charges		66.42				percent of total billed charges		24.41				other	OPPS APC	24.41	240.4	
SHEATH ACCESS NAVIGATOR HD STAINLESS STEEL HYDROPHILIC L46 CM OD11-13 FR URETERAL 2 DUROMETER DILATOR RADIOPAQUE INNOVATIVE HUB LATEX FREE URETEROSCOPIC	SUP-M0062502230	CDM			270	RC		inpatient			240.4	240.4																																																			
TROCAR SURGICAL STAINLESS STEEL PROTECTOR SHEATH	SUP-25123	CDM			270	RC		outpatient			240.16	24.16	65.06				percent of total billed charges		240.16				other	OPPS APC	177.72				percent of total billed charges		240.16				other	OPPS APC	240.16				other	OPPS APC	65.06				percent of total billed charges		66.36				percent of total billed charges		24.16				other	OPPS APC	24.16	240.16	
TROCAR SURGICAL STAINLESS STEEL PROTECTOR SHEATH	SUP-25123	CDM			270	RC		inpatient			240.16	240.16																																																			
SCREW BONE SCHANZ 150MM 60MM 5MM SS NS SELF DRILL EXTERNAL FIXATION	SUP-294.784	CDM	270010022	LOCAL	270	RC		outpatient			240.1	25	65.04				percent of total billed charges		240.1				other	OPPS APC	177.67				percent of total billed charges		240.1				other	OPPS APC	240.1				other	OPPS APC	65.04				percent of total billed charges		66.34				percent of total billed charges		25				other	OPPS APC	25	240.1	
SCREW BONE SCHANZ 150MM 60MM 5MM SS NS SELF DRILL EXTERNAL FIXATION	SUP-294.784	CDM	270010022	LOCAL	270	RC		inpatient			240.1	240.1																																																			
SCREW BONE SCHANZ STAINLESS STEEL L175 MM L60 MM OD5 MM RADIUS DISTAL SELF DRILL NONSTERILE	SUP-294.785	CDM	270010022	LOCAL	270	RC		outpatient			240.1	25	65.04				percent of total billed charges		240.1				other	OPPS APC	177.67				percent of total billed charges		240.1				other	OPPS APC	240.1				other	OPPS APC	65.04				percent of total billed charges		66.34				percent of total billed charges		25				other	OPPS APC	25	240.1	
SCREW BONE SCHANZ STAINLESS STEEL L175 MM L60 MM OD5 MM RADIUS DISTAL SELF DRILL NONSTERILE	SUP-294.785	CDM	270010022	LOCAL	270	RC		inpatient			240.1	240.1																																																			
SCREW FIXATION SCHANZ STAINLESS STEEL L200 MM L80 MM OD5 MM SELF DRILLING NONSTERILE	SUP-294.786	CDM	270010022	LOCAL	270	RC		outpatient			240.1	25	65.04				percent of total billed charges		240.1				other	OPPS APC	177.67				percent of total billed charges		240.1				other	OPPS APC	240.1				other	OPPS APC	65.04				percent of total billed charges		66.34				percent of total billed charges		25				other	OPPS APC	25	240.1	
SCREW FIXATION SCHANZ STAINLESS STEEL L200 MM L80 MM OD5 MM SELF DRILLING NONSTERILE	SUP-294.786	CDM	270010022	LOCAL	270	RC		inpatient			240.1	240.1																																																			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	0338-9557-12	NDC				inpatient			240	240																																																			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	42023-187-01	NDC				inpatient			240	240																																																			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	43598-975-11	NDC				inpatient			240	240																																																			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	0338-9557-12	NDC				outpatient			240	240																																															other	OPPS APC			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	42023-187-01	NDC				outpatient			240	240																																															other	OPPS APC			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	43598-975-11	NDC				outpatient			240	240																																															other	OPPS APC			
DAPTOMYCIN PER 1 MG	636000000	CDM	43598-476-11	NDC	J0878	HCPCS		inpatient			240	240																																																			
DAPTOMYCIN PER 1 MG	636000000	CDM	43598-476-11	NDC	J0878	HCPCS		outpatient			240	240																																															other	OPPS APC			
HC Inj. Non Chemo IV Push Initial	PX-260963740	CDM	96374	CPT	260	RC		outpatient			240	217.56	146.59				percent of total billed charges		217.56				other	OPPS APC	271.91				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	146.59				percent of total billed charges		149.52				percent of total billed charges		217.56				other	OPPS APC	146.59	271.91	
HC Inj. Non Chemo IV Push Initial	PX-260963740	CDM	96374	CPT	260	RC		inpatient			240	240																																																			
PASTE BONE OSTEOFIL 0.5CC	SUP-024005	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
PASTE BONE OSTEOFIL 0.5CC	SUP-024005	CDM			270	RC		inpatient			240	240																																																			
INTERSTIM NEEDLES 5IN	SUP-041839	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
INTERSTIM NEEDLES 5IN	SUP-041839	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE EQUINOXE L46 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE PURPLE	SUP-320-20-46	CDM	270010025	LOCAL	270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE EQUINOXE L46 MM OD4.5 MM SHOULDER KIT COMPRESSION LOCK CAP REVERSE PURPLE	SUP-320-20-46	CDM	270010025	LOCAL	270	RC		inpatient			240	240																																																			
GUIDEWIRE VASCULAR VISIONWIRE STERILE LATEX FREE DISPOSABLE	SUP-352023_72343	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
GUIDEWIRE VASCULAR VISIONWIRE STERILE LATEX FREE DISPOSABLE	SUP-352023_72343	CDM			270	RC		inpatient			240	240																																																			
KIT IMPLANT CPS	SUP-410190	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
KIT IMPLANT CPS	SUP-410190	CDM			270	RC		inpatient			240	240																																																			
KIT ACCESSORY LIMB LEAD LOCKING DEVICE	SUP-518027	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
KIT ACCESSORY LIMB LEAD LOCKING DEVICE	SUP-518027	CDM			270	RC		inpatient			240	240																																																			
INTRODUCER LEAD WORLEY VERTEBRAL CURVE TAPER L75 CM OD5 FR ID.046 IN ERGONOMIC WING HUB BRAID SHAFT HOOK VEIN SELECTOR	SUP-57538CSV-WOR	CDM						inpatient			240	240																																																			
INTRODUCER LEAD WORLEY VERTEBRAL CURVE TAPER L75 CM OD5 FR ID.046 IN ERGONOMIC WING HUB BRAID SHAFT HOOK VEIN SELECTOR	SUP-57538CSV-WOR	CDM						outpatient			240	24	240				percent of total billed charges		240				other	OPPS APC	240				fee schedule		240				other	OPPS APC	240				other	OPPS APC	240				case rate		240				case rate		24				other	OPPS APC	24	240	
WORLEY STANDARD VEIN SELECTER 5FR X 75CM _62561_	SUP-57538CS-WOR	CDM			275	RC		outpatient			240	24	117.6				percent of total billed charges		240				other	OPPS APC	136.8				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	117.6				percent of total billed charges		122.4				percent of total billed charges		24				other	OPPS APC	24	240	
WORLEY STANDARD VEIN SELECTER 5FR X 75CM _62561_	SUP-57538CS-WOR	CDM			275	RC		inpatient			240	240																																																			
SCREW BONE STAINLESS STEEL L 16 MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823116	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE STAINLESS STEEL L 16 MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823116	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE STAINLESS STEEL L 18 MM OF 2.7 MM FOREFOOT MIDFOOT CORTEX SELF TAP LOCK LOW PROFILE HEXAGONAL NONSTERILE PERI-LOC VLP	SUP-72823118	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE STAINLESS STEEL L 18 MM OF 2.7 MM FOREFOOT MIDFOOT CORTEX SELF TAP LOCK LOW PROFILE HEXAGONAL NONSTERILE PERI-LOC VLP	SUP-72823118	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE STAINLESS STEEL L22 MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823122	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE STAINLESS STEEL L22 MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823122	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE STAINLESS STEEL L 24 MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823124	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE STAINLESS STEEL L 24 MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823124	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE STAINLESS STEEL L 26 MM OD 2.7MM CORTICAL SELF TAP LOCK	SUP-72823126	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE STAINLESS STEEL L 26 MM OD 2.7MM CORTICAL SELF TAP LOCK	SUP-72823126	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE STAINLESS STEEL L 28MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823128	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE STAINLESS STEEL L 28MM OD 2.7 MM CORTICAL SELF TAP LOCK	SUP-72823128	CDM			270	RC		inpatient			240	240																																																			
CATHETER ANGIOGRAPHIC ARROW L60 CM OD5 FR ODSEC7 MM .75 CC 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP ACCEPTS .025 IN GUIDEWIRE 5 FR INTRODUCER	SUP-AI-07123	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
CATHETER ANGIOGRAPHIC ARROW L60 CM OD5 FR ODSEC7 MM .75 CC 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP ACCEPTS .025 IN GUIDEWIRE 5 FR INTRODUCER	SUP-AI-07123	CDM			270	RC		inpatient			240	240																																																			
SCREW ARTHREX LOW PROFILE TI 3 X 14MM CANNULATED	SUP-AR-8933-14PT	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW ARTHREX LOW PROFILE TI 3 X 14MM CANNULATED	SUP-AR-8933-14PT	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L16 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-16PT	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L16 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-16PT	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L18 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-18PT	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L18 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-18PT	CDM			270	RC		inpatient			240	240																																																			
SCREW ARTHREX LOW PROFILE TI 3 X 22MM CANNULATED	SUP-AR-8933-22PT	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW ARTHREX LOW PROFILE TI 3 X 22MM CANNULATED	SUP-AR-8933-22PT	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L24 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-24PT	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L24 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-24PT	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE LOW PROFILE SCREWS 2.5MM PARTIAL THREAD 32MM 3MM TITANIUM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED	SUP-AR-8933-32PT	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE LOW PROFILE SCREWS 2.5MM PARTIAL THREAD 32MM 3MM TITANIUM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED	SUP-AR-8933-32PT	CDM			270	RC		inpatient			240	240																																																			
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 7HOLE	SUP-AR-8943TNL-07	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 7HOLE	SUP-AR-8943TNL-07	CDM			270	RC		inpatient			240	240																																																			
TROCAR HASSON 12MM	SUP-C0R47	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
TROCAR HASSON 12MM	SUP-C0R47	CDM			270	RC		inpatient			240	240																																																			
TROCAR HASSON 12MMX130 BLUNT TIP	SUP-C0R50	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
TROCAR HASSON 12MMX130 BLUNT TIP	SUP-C0R50	CDM			270	RC		inpatient			240	240																																																			
CLIP ANEURYSM YASARGIL TITANIUM STANDARD 7 MM OPENING L9 MM CEREBRAL STRAIGHT PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT750T	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
CLIP ANEURYSM YASARGIL TITANIUM STANDARD 7 MM OPENING L9 MM CEREBRAL STRAIGHT PERMANENT STERILE LATEX FREE DISPOSABLE	SUP-FT750T	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE WAVE L14 MM OD4 MM CALCANEUS LOCK	SUP-WPLTS14	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE WAVE L14 MM OD4 MM CALCANEUS LOCK	SUP-WPLTS14	CDM			270	RC		inpatient			240	240																																																			
SCREW BONE WAVE 36MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS36	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW BONE WAVE 36MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS36	CDM			270	RC		inpatient			240	240																																																			
SCREW TORNIER 4.0MM LOCKING 44MM	SUP-WPTLS44	CDM			270	RC		outpatient			240	24	65.02				percent of total billed charges		240				other	OPPS APC	177.6				percent of total billed charges		240				other	OPPS APC	240				other	OPPS APC	65.02				percent of total billed charges		66.31				percent of total billed charges		24				other	OPPS APC	24	240	
SCREW TORNIER 4.0MM LOCKING 44MM	SUP-WPTLS44	CDM			270	RC		inpatient			240	240																																																			
INTRODUCER CATHETER CHECK-FLO PERFORMER .038IN 30CM 16FR 5.3MM RADIOPAQUE BAND	SUP-G09691	CDM			270	RC		outpatient			239.63	239.63	64.92				percent of total billed charges		239.63				other	OPPS APC	177.33				percent of total billed charges		239.63				other	OPPS APC	239.63				other	OPPS APC	64.92				percent of total billed charges		66.21				percent of total billed charges		239.63				other	OPPS APC	64.92	239.63	
INTRODUCER CATHETER CHECK-FLO PERFORMER .038IN 30CM 16FR 5.3MM RADIOPAQUE BAND	SUP-G09691	CDM			270	RC		inpatient			239.63	239.63																																																			
CONCIN EXT. SCREW	SUP-97-23696	CDM			278	RC		outpatient			239.4	239.41	239.4				fee schedule		239.4				other	OPPS APC	136.46				percent of total billed charges		239.4				other	OPPS APC	239.4				other	OPPS APC	117.31				percent of total billed charges		122.09				percent of total billed charges		239.41				other	OPPS APC	117.31	239.41	
CONCIN EXT. SCREW	SUP-97-23696	CDM			278	RC		inpatient			239.4	239.4																																																			
SCREW BONE TITANIUM T8 L46 MM OD2.7 MM SELF TAP LOCK STARDRIVE NONSTERILE	SUP-402.246	CDM	270010022	LOCAL	270	RC		outpatient			239.36	239.36	64.84				percent of total billed charges		239.36				other	OPPS APC	177.13				percent of total billed charges		239.36				other	OPPS APC	239.36				other	OPPS APC	64.84				percent of total billed charges		66.14				percent of total billed charges		239.36				other	OPPS APC	64.84	239.36	
SCREW BONE TITANIUM T8 L46 MM OD2.7 MM SELF TAP LOCK STARDRIVE NONSTERILE	SUP-402.246	CDM	270010022	LOCAL	270	RC		inpatient			239.36	239.36																																																			
SCREW BONE LCP TITANIUM L50 MM OD2 MM CORTICAL T6 STARDRIVE RECESS SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-402.250	CDM	270010022	LOCAL	270	RC		outpatient			239.36	239.36	64.84				percent of total billed charges		239.36				other	OPPS APC	177.13				percent of total billed charges		239.36				other	OPPS APC	239.36				other	OPPS APC	64.84				percent of total billed charges		66.14				percent of total billed charges		239.36				other	OPPS APC	64.84	239.36	
SCREW BONE LCP TITANIUM L50 MM OD2 MM CORTICAL T6 STARDRIVE RECESS SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-402.250	CDM	270010022	LOCAL	270	RC		inpatient			239.36	239.36																																																			
SCREW BONE LCP TITANIUM L60 MM OD2 MM CORTICAL T6 STARDRIVE RECESS SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-402.260	CDM	270010022	LOCAL	270	RC		outpatient			239.36	239.36	64.84				percent of total billed charges		239.36				other	OPPS APC	177.13				percent of total billed charges		239.36				other	OPPS APC	239.36				other	OPPS APC	64.84				percent of total billed charges		66.14				percent of total billed charges		239.36				other	OPPS APC	64.84	239.36	
SCREW BONE LCP TITANIUM L60 MM OD2 MM CORTICAL T6 STARDRIVE RECESS SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-402.260	CDM	270010022	LOCAL	270	RC		inpatient			239.36	239.36																																																			
DEVICE CLOSURE CARTER-THOMASON XL PILOT GUIDES 5MM 10-12 MM	SUP-PG-5/10	CDM			270	RC		outpatient			239.33	239.33	64.83				percent of total billed charges		239.33				other	OPPS APC	177.1				percent of total billed charges		239.33				other	OPPS APC	239.33				other	OPPS APC	64.83				percent of total billed charges		66.13				percent of total billed charges		239.33				other	OPPS APC	64.83	239.33	
DEVICE CLOSURE CARTER-THOMASON XL PILOT GUIDES 5MM 10-12 MM	SUP-PG-5/10	CDM			270	RC		inpatient			239.33	239.33																																																			
STENT URETERAL FLEXIMA GLIDEX LARGE REGULAR PIGTAIL CURVE L22 CM OD8 FR NEPHROURETERAL DUROMETER DRAINAGE HOLE CATHETER FLEXIBLE STIFFEN CANNULA	SUP-M001274010	CDM			270	RC		outpatient			239.2	239.2	64.8				percent of total billed charges		239.2				other	OPPS APC	177.01				percent of total billed charges		239.2				other	OPPS APC	239.2				other	OPPS APC	64.8				percent of total billed charges		66.09				percent of total billed charges		239.2				other	OPPS APC	64.8	239.2	
STENT URETERAL FLEXIMA GLIDEX LARGE REGULAR PIGTAIL CURVE L22 CM OD8 FR NEPHROURETERAL DUROMETER DRAINAGE HOLE CATHETER FLEXIBLE STIFFEN CANNULA	SUP-M001274010	CDM			270	RC		inpatient			239.2	239.2																																																			
STENT URETERAL FLEXIMA .038 IN LARGE REGULAR PIGTAIL CURVE L24 CM OD8 FR NEPHROURETERAL DUROMETER GUIDEWIRE STABILIZER FLEXIBLE STIFF CANNULA	SUP-M001274020	CDM			270	RC		outpatient			239.2	239.2	64.8				percent of total billed charges		239.2				other	OPPS APC	177.01				percent of total billed charges		239.2				other	OPPS APC	239.2				other	OPPS APC	64.8				percent of total billed charges		66.09				percent of total billed charges		239.2				other	OPPS APC	64.8	239.2	
STENT URETERAL FLEXIMA .038 IN LARGE REGULAR PIGTAIL CURVE L24 CM OD8 FR NEPHROURETERAL DUROMETER GUIDEWIRE STABILIZER FLEXIBLE STIFF CANNULA	SUP-M001274020	CDM			270	RC		inpatient			239.2	239.2																																																			
STENT URETERAL FLEXIMA .038 IN LARGE REGULAR PIGTAIL CURVE L26 CM OD8 FR NEPHROURETERAL DUROMETER GUIDEWIRE STABILIZER FLEXIBLE STIFF CANNULA	SUP-M001274030	CDM			270	RC		outpatient			239.2	239.2	64.8				percent of total billed charges		239.2				other	OPPS APC	177.01				percent of total billed charges		239.2				other	OPPS APC	239.2				other	OPPS APC	64.8				percent of total billed charges		66.09				percent of total billed charges		239.2				other	OPPS APC	64.8	239.2	
STENT URETERAL FLEXIMA .038 IN LARGE REGULAR PIGTAIL CURVE L26 CM OD8 FR NEPHROURETERAL DUROMETER GUIDEWIRE STABILIZER FLEXIBLE STIFF CANNULA	SUP-M001274030	CDM			270	RC		inpatient			239.2	239.2																																																			
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L7 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539210	CDM			270	RC		outpatient			238.84	238.84	64.7				percent of total billed charges		238.84				other	OPPS APC	176.74				percent of total billed charges		238.84				other	OPPS APC	238.84				other	OPPS APC	64.7				percent of total billed charges		65.99				percent of total billed charges		238.84				other	OPPS APC	64.7	238.84	
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L7 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539210	CDM			270	RC		inpatient			238.84	238.84																																																			
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L10 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539220	CDM			270	RC		outpatient			238.84	238.84	64.7				percent of total billed charges		238.84				other	OPPS APC	176.74				percent of total billed charges		238.84				other	OPPS APC	238.84				other	OPPS APC	64.7				percent of total billed charges		65.99				percent of total billed charges		238.84				other	OPPS APC	64.7	238.84	
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L10 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539220	CDM			270	RC		inpatient			238.84	238.84																																																			
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L5 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539300	CDM			270	RC		outpatient			238.84	238.84	64.7				percent of total billed charges		238.84				other	OPPS APC	176.74				percent of total billed charges		238.84				other	OPPS APC	238.84				other	OPPS APC	64.7				percent of total billed charges		65.99				percent of total billed charges		238.84				other	OPPS APC	64.7	238.84	
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L5 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539300	CDM			270	RC		inpatient			238.84	238.84																																																			
STENT BILIARY FLEXIMA PLASTIC L12 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539330	CDM			270	RC		outpatient			238.84	238.84	64.7				percent of total billed charges		238.84				other	OPPS APC	176.74				percent of total billed charges		238.84				other	OPPS APC	238.84				other	OPPS APC	64.7				percent of total billed charges		65.99				percent of total billed charges		238.84				other	OPPS APC	64.7	238.84	
STENT BILIARY FLEXIMA PLASTIC L12 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539330	CDM			270	RC		inpatient			238.84	238.84																																																			
STENT BILIARY FLEXIMA PLASTIC L15 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539340	CDM			270	RC		outpatient			238.84	238.84	64.7				percent of total billed charges		238.84				other	OPPS APC	176.74				percent of total billed charges		238.84				other	OPPS APC	238.84				other	OPPS APC	64.7				percent of total billed charges		65.99				percent of total billed charges		238.84				other	OPPS APC	64.7	238.84	
STENT BILIARY FLEXIMA PLASTIC L15 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539340	CDM			270	RC		inpatient			238.84	238.84																																																			
FABRIC CARDIOVASCULAR 3X1IN HEMASHIELD THK.76MM 2 VELOUR KNITTED ULTRATHIN WOVEN	SUP-M002000195140	CDM			270	RC		outpatient			238.26	238.26	64.54				percent of total billed charges		238.26				other	OPPS APC	176.31				percent of total billed charges		238.26				other	OPPS APC	238.26				other	OPPS APC	64.54				percent of total billed charges		65.83				percent of total billed charges		238.26				other	OPPS APC	64.54	238.26	
FABRIC CARDIOVASCULAR 3X1IN HEMASHIELD THK.76MM 2 VELOUR KNITTED ULTRATHIN WOVEN	SUP-M002000195140	CDM			270	RC		inpatient			238.26	238.26																																																			
BRACE ORTHOPEDIC TELESCOPING TROM UNIVERSAL STANDARD KNEE FLEXION EXTENSION STOP QUICK RELEASE BUCKLE LOCK MECHANISM BLACK	SUP-11-0961-9-06000	CDM			270	RC		outpatient			238.14	238.14	64.51				percent of total billed charges		238.14				other	OPPS APC	176.22				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	64.51				percent of total billed charges		65.8				percent of total billed charges		238.14				other	OPPS APC	64.51	238.14	
BRACE ORTHOPEDIC TELESCOPING TROM UNIVERSAL STANDARD KNEE FLEXION EXTENSION STOP QUICK RELEASE BUCKLE LOCK MECHANISM BLACK	SUP-11-0961-9-06000	CDM			270	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 10MM NON LOCKING	SUP-97-05897	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 10MM NON LOCKING	SUP-97-05897	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 12MM NON LOCKING	SUP-97-05898	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 12MM NON LOCKING	SUP-97-05898	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 14MM NON LOCKING	SUP-97-05899	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 14MM NON LOCKING	SUP-97-05899	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 16MM NON LOCKING	SUP-97-05900	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 16MM NON LOCKING	SUP-97-05900	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 18MM NON LOCKING	SUP-97-05901	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 18MM NON LOCKING	SUP-97-05901	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 20MM NON LOCKING	SUP-97-05902	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 20MM NON LOCKING	SUP-97-05902	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 22MM NON LOCKING	SUP-97-05903	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 22MM NON LOCKING	SUP-97-05903	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 24MM NON LOCKING	SUP-97-05904	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 24MM NON LOCKING	SUP-97-05904	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 26MM NON LOCKING	SUP-97-05905	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 26MM NON LOCKING	SUP-97-05905	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 28MM NON LOCKING	SUP-97-05906	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 28MM NON LOCKING	SUP-97-05906	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 30MM NON LOCKING	SUP-97-05907	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 30MM NON LOCKING	SUP-97-05907	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 32MM NON LOCKING	SUP-97-05908	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 32MM NON LOCKING	SUP-97-05908	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 34MM NON LOCKING	SUP-97-05909	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 34MM NON LOCKING	SUP-97-05909	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 36MM NON LOCKING	SUP-97-05910	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 36MM NON LOCKING	SUP-97-05910	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 38MM NON LOCKING	SUP-97-05911	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 38MM NON LOCKING	SUP-97-05911	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 40MM NON LOCKING	SUP-97-05912	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 40MM NON LOCKING	SUP-97-05912	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 45MM NON LOCKING	SUP-97-05913	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 45MM NON LOCKING	SUP-97-05913	CDM			278	RC		inpatient			238.14	238.14																																																			
SCREW T7 2.7 X 50MM NON LOCKING	SUP-97-05914	CDM			278	RC		outpatient			238.14	238.14	238.14				fee schedule		238.14				other	OPPS APC	135.74				percent of total billed charges		238.14				other	OPPS APC	238.14				other	OPPS APC	116.69				percent of total billed charges		121.45				percent of total billed charges		238.14				other	OPPS APC	116.69	238.14	
SCREW T7 2.7 X 50MM NON LOCKING	SUP-97-05914	CDM			278	RC		inpatient			238.14	238.14																																																			
HC Alpha-Fetoprotein (Afp) Serum	PX-300821050	CDM	82105	CPT	301	RC		outpatient			238	16.77	22.43				fee schedule		16.77				fee schedule		44.54				fee schedule		16.77				fee schedule		16.77				fee schedule		16.77				fee schedule		16.77				fee schedule		16.77				fee schedule		16.77	44.54	
HC Alpha-Fetoprotein (Afp) Serum	PX-300821050	CDM	82105	CPT	301	RC		inpatient			238	238																																																			
HC Trichomonas Vaginalis	PX-300876610	CDM	87661	CPT	300	RC		outpatient			238	35.93	46.91				fee schedule		35.09				fee schedule		90.95				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	90.95	
HC Trichomonas Vaginalis	PX-300876610	CDM	87661	CPT	300	RC		inpatient			238	238																																																			
HC Dexa Scan Axial W Vert Fracture Assessme	PX-320770851	CDM	77085	CPT	320	RC		outpatient			238	112.57	116.62				percent of total billed charges		112.57				other	OPPS APC	208.43				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	116.62				percent of total billed charges		37.26				fee schedule		112.57				other	OPPS APC	37.26	208.43	
HC Dexa Scan Axial W Vert Fracture Assessme	PX-320770851	CDM	77085	CPT	320	RC		inpatient			238	238																																																			
DEVICE LAPAROSCOPIC PRECISIONPASS ID20 MM MESH	SUP-0118101	CDM			270	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
DEVICE LAPAROSCOPIC PRECISIONPASS ID20 MM MESH	SUP-0118101	CDM			270	RC		inpatient			238	238																																																			
DRILL BIT 2.5MM CANNULATED	SUP-95-05183	CDM			272	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
DRILL BIT 2.5MM CANNULATED	SUP-95-05183	CDM			272	RC		inpatient			238	238																																																			
HEX DRIVER SET SCREW 2MM	SUP-95-05561	CDM			272	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
HEX DRIVER SET SCREW 2MM	SUP-95-05561	CDM			272	RC		inpatient			238	238																																																			
DRIVER 2MM SCREW HEX SET	SUP-97-02040	CDM			272	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
DRIVER 2MM SCREW HEX SET	SUP-97-02040	CDM			272	RC		inpatient			238	238																																																			
BENCOX BONE SCREW 25MM	SUP-97-04310	CDM			278	RC		outpatient			238	238	238				fee schedule		238				other	OPPS APC	135.66				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	116.62				percent of total billed charges		121.38				percent of total billed charges		238				other	OPPS APC	116.62	238	
BENCOX BONE SCREW 25MM	SUP-97-04310	CDM			278	RC		inpatient			238	238																																																			
BENCOX BONE SCREW 20MM	SUP-97-04494	CDM			278	RC		outpatient			238	238	238				fee schedule		238				other	OPPS APC	135.66				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	116.62				percent of total billed charges		121.38				percent of total billed charges		238				other	OPPS APC	116.62	238	
BENCOX BONE SCREW 20MM	SUP-97-04494	CDM			278	RC		inpatient			238	238																																																			
SCREW BONE 6.5 X 30MM PINNACLE CANCELLOUS	SUP-97-05915	CDM			278	RC		outpatient			238	238	238				fee schedule		238				other	OPPS APC	135.66				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	116.62				percent of total billed charges		121.38				percent of total billed charges		238				other	OPPS APC	116.62	238	
SCREW BONE 6.5 X 30MM PINNACLE CANCELLOUS	SUP-97-05915	CDM			278	RC		inpatient			238	238																																																			
BONE SCREW 6.5 X 15MM	SUP-97-06385	CDM			278	RC		outpatient			238	238	238				fee schedule		238				other	OPPS APC	135.66				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	116.62				percent of total billed charges		121.38				percent of total billed charges		238				other	OPPS APC	116.62	238	
BONE SCREW 6.5 X 15MM	SUP-97-06385	CDM			278	RC		inpatient			238	238																																																			
6.5MM LOW PROFILE HEX SCREW 55MM	SUP-97-23631	CDM			278	RC		outpatient			238	238	238				fee schedule		238				other	OPPS APC	135.66				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	116.62				percent of total billed charges		121.38				percent of total billed charges		238				other	OPPS APC	116.62	238	
6.5MM LOW PROFILE HEX SCREW 55MM	SUP-97-23631	CDM			278	RC		inpatient			238	238																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 40CM 3FR 5MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-E1651-34	CDM			270	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 40CM 3FR 5MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-E1651-34	CDM			270	RC		inpatient			238	238																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 80CM 3FR 5MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-E1651-38	CDM			270	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 80CM 3FR 5MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-E1651-38	CDM			270	RC		inpatient			238	238																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 40CM 4FR 9MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-E1651-44	CDM			270	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 40CM 4FR 9MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-E1651-44	CDM			270	RC		inpatient			238	238																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 40CM 5.5FR 11MM SS SILICONE NATURAL RUBBER LATEX ARTERIAL OTW RADIOPAQUE ACCEPTS	SUP-E1651-84	CDM			270	RC		outpatient			238	238	64.47				percent of total billed charges		238				other	OPPS APC	176.12				percent of total billed charges		238				other	OPPS APC	238				other	OPPS APC	64.47				percent of total billed charges		65.76				percent of total billed charges		238				other	OPPS APC	64.47	238	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 40CM 5.5FR 11MM SS SILICONE NATURAL RUBBER LATEX ARTERIAL OTW RADIOPAQUE ACCEPTS	SUP-E1651-84	CDM			270	RC		inpatient			238	238																																																			
BRACE ORTHOPEDIC TELESCOPING TROM FOAM XL UNIVERSAL KNEE ENHANCE LOCK MECHANISM FLEXION EXTENSION STOP QUICK RELEASE BUCKLE BLACK	SUP-11-0964-9-06000	CDM			270	RC		outpatient			237.96	237.96	64.46				percent of total billed charges		237.96				other	OPPS APC	176.09				percent of total billed charges		237.96				other	OPPS APC	237.96				other	OPPS APC	64.46				percent of total billed charges		65.75				percent of total billed charges		237.96				other	OPPS APC	64.46	237.96	
BRACE ORTHOPEDIC TELESCOPING TROM FOAM XL UNIVERSAL KNEE ENHANCE LOCK MECHANISM FLEXION EXTENSION STOP QUICK RELEASE BUCKLE BLACK	SUP-11-0964-9-06000	CDM			270	RC		inpatient			237.96	237.96																																																			
EDGE ADAPTER  FOR 180 KIT	SUP-95-23366	CDM			272	RC		outpatient			237.65	237.65	64.38				percent of total billed charges		237.65				other	OPPS APC	175.86				percent of total billed charges		237.65				other	OPPS APC	237.65				other	OPPS APC	64.38				percent of total billed charges		65.66				percent of total billed charges		237.65				other	OPPS APC	64.38	237.65	
EDGE ADAPTER  FOR 180 KIT	SUP-95-23366	CDM			272	RC		inpatient			237.65	237.65																																																			
INTRODUCER CATHETER CHECK-FLO PERFORMER L35 CM OD16 FR ID5.3 MM RADIOPAQUE BAND SET LARGE VALVE SHEATH STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE RCFW	SUP-G27023	CDM			270	RC		outpatient			237.6	237.6	64.37				percent of total billed charges		237.6				other	OPPS APC	175.82				percent of total billed charges		237.6				other	OPPS APC	237.6				other	OPPS APC	64.37				percent of total billed charges		65.65				percent of total billed charges		237.6				other	OPPS APC	64.37	237.6	
INTRODUCER CATHETER CHECK-FLO PERFORMER L35 CM OD16 FR ID5.3 MM RADIOPAQUE BAND SET LARGE VALVE SHEATH STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE RCFW	SUP-G27023	CDM			270	RC		inpatient			237.6	237.6																																																			
SET INTRODUCER PERFORMER L13 CM OD16 FR ACCEPTS .038 IN GUIDEWIRE	SUP-G28322	CDM			272	RC		outpatient			237.6	237.6	64.37				percent of total billed charges		237.6				other	OPPS APC	175.82				percent of total billed charges		237.6				other	OPPS APC	237.6				other	OPPS APC	64.37				percent of total billed charges		65.65				percent of total billed charges		237.6				other	OPPS APC	64.37	237.6	
SET INTRODUCER PERFORMER L13 CM OD16 FR ACCEPTS .038 IN GUIDEWIRE	SUP-G28322	CDM			272	RC		inpatient			237.6	237.6																																																			
LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL	637000000	CDM	61314-547-03	NDC	A9270	HCPCS		inpatient			237.5	237.5																																																			
LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL	637000000	CDM	70069-421-01	NDC	A9270	HCPCS		inpatient			237.5	237.5																																																			
LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL	637000000	CDM	61314-547-03	NDC	A9270	HCPCS		outpatient			237.5	237.5																																															other	OPPS APC			
LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL	637000000	CDM	70069-421-01	NDC	A9270	HCPCS		outpatient			237.5	237.5																																															other	OPPS APC			
ANCHOR SUTURE BIO-CORKSCREW FIBERWIRE 2 FULL THREAD 14.7MM 5.5MM POLY-L-LACTIC ACID DISPOSABLE STERILE	SUP-AR-1927BF	CDM			270	RC		outpatient			237.5	237.5	64.34				percent of total billed charges		237.5				other	OPPS APC	175.75				percent of total billed charges		237.5				other	OPPS APC	237.5				other	OPPS APC	64.34				percent of total billed charges		65.62				percent of total billed charges		237.5				other	OPPS APC	64.34	237.5	
ANCHOR SUTURE BIO-CORKSCREW FIBERWIRE 2 FULL THREAD 14.7MM 5.5MM POLY-L-LACTIC ACID DISPOSABLE STERILE	SUP-AR-1927BF	CDM			270	RC		inpatient			237.5	237.5																																																			
DAPTOMYCIN PER 1 MG	636000000	CDM	16729-434-05	NDC	J0878	HCPCS		inpatient			237.43	237.43																																																			
DAPTOMYCIN PER 1 MG	636000000	CDM	16729-434-05	NDC	J0878	HCPCS		outpatient			237.43	237.43																																															other	OPPS APC			
1.8 SMOOTH WIRE	SUP-97-03814	CDM			278	RC		outpatient			237.16	237.16	237.16				fee schedule		237.16				other	OPPS APC	135.18				percent of total billed charges		237.16				other	OPPS APC	237.16				other	OPPS APC	116.21				percent of total billed charges		120.95				percent of total billed charges		237.16				other	OPPS APC	116.21	237.16	
1.8 SMOOTH WIRE	SUP-97-03814	CDM			278	RC		inpatient			237.16	237.16																																																			
HC Fluro Guide Needle Placement	PX-320770020	CDM	77002	CPT	320	RC		outpatient			237	237	104.23				fee schedule		237				other	OPPS APC	170.09				fee schedule		237				other	OPPS APC	237				other	OPPS APC	116.93				fee schedule		89.87				fee schedule		237				other	OPPS APC	89.87	237	
HC Fluro Guide Needle Placement	PX-320770020	CDM	77002	CPT	320	RC		inpatient			237	237																																																			
HC Foot Arthrogram	PX-320770021	CDM	77002	CPT	320	RC		outpatient			237	237	104.23				fee schedule		237				other	OPPS APC	170.09				fee schedule		237				other	OPPS APC	237				other	OPPS APC	116.93				fee schedule		89.87				fee schedule		237				other	OPPS APC	89.87	237	
HC Foot Arthrogram	PX-320770021	CDM	77002	CPT	320	RC		inpatient			237	237																																																			
HC Toe Arthrogram	PX-320770022	CDM	77002	CPT	320	RC		outpatient			237	237	104.23				fee schedule		237				other	OPPS APC	170.09				fee schedule		237				other	OPPS APC	237				other	OPPS APC	116.93				fee schedule		89.87				fee schedule		237				other	OPPS APC	89.87	237	
HC Toe Arthrogram	PX-320770022	CDM	77002	CPT	320	RC		inpatient			237	237																																																			
SCREW BONE TORX L15 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0015	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L15 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0015	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX L20 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0020	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L20 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0020	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX L25 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0025	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L25 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0025	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX L30 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0030	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L30 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0030	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX L35 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0035	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L35 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0035	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX L40 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0040	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L40 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0040	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX L45 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0045	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX L45 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2080-0045	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE TORX GAP L50 MM OD6.5 MM HIP CANCELLOUS PLATE TRITANIUM MULTIHOLE SHELL	SUP-2080-0050	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE TORX GAP L50 MM OD6.5 MM HIP CANCELLOUS PLATE TRITANIUM MULTIHOLE SHELL	SUP-2080-0050	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE GAP II L55 MM OD6.5 MM ACETABULAR CANCELLOUS PLATE TORX	SUP-2080-0055	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE GAP II L55 MM OD6.5 MM ACETABULAR CANCELLOUS PLATE TORX	SUP-2080-0055	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
SCREW BONE MDM X3 RESTORATION L60 MM OD6.5 MM ACETABULAR CANCELLOUS TORX DRIVE TRITANIUM MULTIHOLE SHELL	SUP-2080-0060	CDM	270010024	LOCAL	270	RC		outpatient			237	237	64.2				percent of total billed charges		237				other	OPPS APC	175.38				percent of total billed charges		237				other	OPPS APC	237				other	OPPS APC	64.2				percent of total billed charges		65.48				percent of total billed charges		237				other	OPPS APC	64.2	237	
SCREW BONE MDM X3 RESTORATION L60 MM OD6.5 MM ACETABULAR CANCELLOUS TORX DRIVE TRITANIUM MULTIHOLE SHELL	SUP-2080-0060	CDM	270010024	LOCAL	270	RC		inpatient			237	237																																																			
PIN FIXATION EVO L 14 MM OD 2 MM PROVISIONAL STERILE	SUP-71175090	CDM			270	RC		outpatient			236.8	236.81	64.15				percent of total billed charges		236.8				other	OPPS APC	175.23				percent of total billed charges		236.8				other	OPPS APC	236.8				other	OPPS APC	64.15				percent of total billed charges		65.43				percent of total billed charges		236.81				other	OPPS APC	64.15	236.81	
PIN FIXATION EVO L 14 MM OD 2 MM PROVISIONAL STERILE	SUP-71175090	CDM			270	RC		inpatient			236.8	236.8																																																			
CATHETER DUAL LUMEN	SUP-70-00189	CDM			272	RC		outpatient			236.64	236.64	64.11				percent of total billed charges		236.64				other	OPPS APC	175.11				percent of total billed charges		236.64				other	OPPS APC	236.64				other	OPPS APC	64.11				percent of total billed charges		65.38				percent of total billed charges		236.64				other	OPPS APC	64.11	236.64	
CATHETER DUAL LUMEN	SUP-70-00189	CDM			272	RC		inpatient			236.64	236.64																																																			
SCREW BONE  T10  2.7X12MM	SUP-97-01431	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE  T10  2.7X12MM	SUP-97-01431	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE  T10  2.7X16MM	SUP-97-01433	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE  T10  2.7X16MM	SUP-97-01433	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE  T10  2.7X14MM	SUP-97-01434	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE  T10  2.7X14MM	SUP-97-01434	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE  T10  2.7X10MM	SUP-97-01435	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE  T10  2.7X10MM	SUP-97-01435	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE 1.2 X 12MM CROSSPIN LEFT	SUP-97-01482	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE 1.2 X 12MM CROSSPIN LEFT	SUP-97-01482	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 11MM	SUP-97-01483	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 11MM	SUP-97-01483	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE 2.3 X 14MM CROSSPIN ST	SUP-97-01485	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE 2.3 X 14MM CROSSPIN ST	SUP-97-01485	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE NON LOK CRSSPIN ST 2.3 X 15MM	SUP-97-01486	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE NON LOK CRSSPIN ST 2.3 X 15MM	SUP-97-01486	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE 1.2 X 9MM CROSSPIN LEFT	SUP-97-01488	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE 1.2 X 9MM CROSSPIN LEFT	SUP-97-01488	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE 1.2 X 10MM CROSSPIN LEFT	SUP-97-01489	CDM			278	RC		outpatient			236.6	236.6	236.6				fee schedule		236.6				other	OPPS APC	134.86				percent of total billed charges		236.6				other	OPPS APC	236.6				other	OPPS APC	115.93				percent of total billed charges		120.67				percent of total billed charges		236.6				other	OPPS APC	115.93	236.6	
SCREW BONE 1.2 X 10MM CROSSPIN LEFT	SUP-97-01489	CDM			278	RC		inpatient			236.6	236.6																																																			
SCREW BONE LCP STAINLESS STEEL T8 L50 MM OD2.7 MM SMALL BONE SELF TAP STARDRIVE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.250	CDM	270010022	LOCAL	270	RC		outpatient			236.5	236.5	64.07				percent of total billed charges		236.5				other	OPPS APC	175.01				percent of total billed charges		236.5				other	OPPS APC	236.5				other	OPPS APC	64.07				percent of total billed charges		65.34				percent of total billed charges		236.5				other	OPPS APC	64.07	236.5	
SCREW BONE LCP STAINLESS STEEL T8 L50 MM OD2.7 MM SMALL BONE SELF TAP STARDRIVE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.250	CDM	270010022	LOCAL	270	RC		inpatient			236.5	236.5																																																			
SHEATH - 12F	SUP-99-00942	CDM			272	RC		outpatient			236.25	236.25	64				percent of total billed charges		236.25				other	OPPS APC	174.83				percent of total billed charges		236.25				other	OPPS APC	236.25				other	OPPS APC	64				percent of total billed charges		65.28				percent of total billed charges		236.25				other	OPPS APC	64	236.25	
SHEATH - 12F	SUP-99-00942	CDM			272	RC		inpatient			236.25	236.25																																																			
SHEATH - 14F	SUP-99-00943	CDM			272	RC		outpatient			236.25	236.25	64				percent of total billed charges		236.25				other	OPPS APC	174.83				percent of total billed charges		236.25				other	OPPS APC	236.25				other	OPPS APC	64				percent of total billed charges		65.28				percent of total billed charges		236.25				other	OPPS APC	64	236.25	
SHEATH - 14F	SUP-99-00943	CDM			272	RC		inpatient			236.25	236.25																																																			
SUTURE NONABSORBABLE ETHIBOND 2-0 CT-2 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX26D	CDM			270	RC		outpatient			236.12	236.12	63.96				percent of total billed charges		236.12				other	OPPS APC	174.73				percent of total billed charges		236.12				other	OPPS APC	236.12				other	OPPS APC	63.96				percent of total billed charges		65.24				percent of total billed charges		236.12				other	OPPS APC	63.96	236.12	
SUTURE NONABSORBABLE ETHIBOND 2-0 CT-2 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX26D	CDM			270	RC		inpatient			236.12	236.12																																																			
KIT INSTRUMENT ACL TRANSTIBIAL DISPOSABLE	SUP-AR-1898S	CDM			270	RC		outpatient			236	236	63.93				percent of total billed charges		236				other	OPPS APC	174.64				percent of total billed charges		236				other	OPPS APC	236				other	OPPS APC	63.93				percent of total billed charges		65.21				percent of total billed charges		236				other	OPPS APC	63.93	236	
KIT INSTRUMENT ACL TRANSTIBIAL DISPOSABLE	SUP-AR-1898S	CDM			270	RC		inpatient			236	236																																																			
DRAIN ROUND SILICONE HUBLESS 19FR	SUP-74-00349	CDM			272	RC		outpatient			235.38	235.38	63.76				percent of total billed charges		235.38				other	OPPS APC	174.18				percent of total billed charges		235.38				other	OPPS APC	235.38				other	OPPS APC	63.76				percent of total billed charges		65.04				percent of total billed charges		235.38				other	OPPS APC	63.76	235.38	
DRAIN ROUND SILICONE HUBLESS 19FR	SUP-74-00349	CDM			272	RC		inpatient			235.38	235.38																																																			
SCREW T10 3.5 X 20MM NON LOCKING	SUP-97-02840	CDM			278	RC		outpatient			235.2	235.2	235.2				fee schedule		235.2				other	OPPS APC	134.06				percent of total billed charges		235.2				other	OPPS APC	235.2				other	OPPS APC	115.25				percent of total billed charges		119.95				percent of total billed charges		235.2				other	OPPS APC	115.25	235.2	
SCREW T10 3.5 X 20MM NON LOCKING	SUP-97-02840	CDM			278	RC		inpatient			235.2	235.2																																																			
FOGARTY EMBOLECTOMY CATH 2 FR	SUP-83-00012	CDM			272	RC		outpatient			235.06	235.6	63.68				percent of total billed charges		235.06				other	OPPS APC	173.94				percent of total billed charges		235.06				other	OPPS APC	235.06				other	OPPS APC	63.68				percent of total billed charges		64.95				percent of total billed charges		235.6				other	OPPS APC	63.68	235.6	
FOGARTY EMBOLECTOMY CATH 2 FR	SUP-83-00012	CDM			272	RC		inpatient			235.06	235.06																																																			
HC Mdi Initial	PX-410946404	CDM	94640	CPT	410	RC		outpatient			235	21.69	72				percent of total billed charges		201.69				other	OPPS APC	33.65				fee schedule		201.69				other	OPPS APC	201.69				other	OPPS APC	72				percent of total billed charges		73.44				percent of total billed charges		21.69				other	OPPS APC	21.69	201.69	
HC Mdi Initial	PX-410946404	CDM	94640	CPT	410	RC		inpatient			235	235																																																			
Nebulizer Treatment	PX-510946401	CDM	94640	CPT	510	RC		outpatient			235	21.69	169.66				case rate		201.69				other	OPPS APC	101				case rate		201.69				other	OPPS APC	201.69				other	OPPS APC	169.66				case rate		173.05				case rate		21.69				other	OPPS APC	21.69	201.69	
Nebulizer Treatment	PX-510946401	CDM	94640	CPT	510	RC		inpatient			235	235																																																			
SAW BLADE SAGITTAL 90L  X 18MM X 1.27MM	SUP-95-05091	CDM			272	RC		outpatient			234.61	234.61	63.56				percent of total billed charges		234.61				other	OPPS APC	173.61				percent of total billed charges		234.61				other	OPPS APC	234.61				other	OPPS APC	63.56				percent of total billed charges		64.82				percent of total billed charges		234.61				other	OPPS APC	63.56	234.61	
SAW BLADE SAGITTAL 90L  X 18MM X 1.27MM	SUP-95-05091	CDM			272	RC		inpatient			234.61	234.61																																																			
GUIDE PIN 2.0MM TARGETING MICA	SUP-95-05351	CDM			272	RC		outpatient			234.5	234.5	63.53				percent of total billed charges		234.5				other	OPPS APC	173.53				percent of total billed charges		234.5				other	OPPS APC	234.5				other	OPPS APC	63.53				percent of total billed charges		64.79				percent of total billed charges		234.5				other	OPPS APC	63.53	234.5	
GUIDE PIN 2.0MM TARGETING MICA	SUP-95-05351	CDM			272	RC		inpatient			234.5	234.5																																																			
TISSUE RETENTION SYSTEM	SUP-97-00393	CDM			272	RC		outpatient			234.5	234.5	63.53				percent of total billed charges		234.5				other	OPPS APC	173.53				percent of total billed charges		234.5				other	OPPS APC	234.5				other	OPPS APC	63.53				percent of total billed charges		64.79				percent of total billed charges		234.5				other	OPPS APC	63.53	234.5	
TISSUE RETENTION SYSTEM	SUP-97-00393	CDM			272	RC		inpatient			234.5	234.5																																																			
ANESTHESIA EXTENSION SET 180IN	SUP-97-00183	CDM			272	RC		outpatient			234.43	234.43	63.51				percent of total billed charges		234.43				other	OPPS APC	173.48				percent of total billed charges		234.43				other	OPPS APC	234.43				other	OPPS APC	63.51				percent of total billed charges		64.77				percent of total billed charges		234.43				other	OPPS APC	63.51	234.43	
ANESTHESIA EXTENSION SET 180IN	SUP-97-00183	CDM			272	RC		inpatient			234.43	234.43																																																			
PUMP PAIN	SUP-PM012	CDM			270	RC		outpatient			234.4	234.41	63.5				percent of total billed charges		234.4				other	OPPS APC	173.46				percent of total billed charges		234.4				other	OPPS APC	234.4				other	OPPS APC	63.5				percent of total billed charges		64.76				percent of total billed charges		234.41				other	OPPS APC	63.5	234.41	
PUMP PAIN	SUP-PM012	CDM			270	RC		inpatient			234.4	234.4																																																			
SCREW BONE T8 7MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.807	CDM	270010022	LOCAL	270	RC		outpatient			234.3	234.31	63.47				percent of total billed charges		234.3				other	OPPS APC	173.38				percent of total billed charges		234.3				other	OPPS APC	234.3				other	OPPS APC	63.47				percent of total billed charges		64.74				percent of total billed charges		234.31				other	OPPS APC	63.47	234.31	
SCREW BONE T8 7MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.807	CDM	270010022	LOCAL	270	RC		inpatient			234.3	234.3																																																			
SCREW BONE LCP STAINLESS STEEL T8 CONE L11 MM OD2.4 MM ODSEC1.9 MM FIBULA RADIUS DISTAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-212.811	CDM	270010022	LOCAL	270	RC		outpatient			234.3	234.31	63.47				percent of total billed charges		234.3				other	OPPS APC	173.38				percent of total billed charges		234.3				other	OPPS APC	234.3				other	OPPS APC	63.47				percent of total billed charges		64.74				percent of total billed charges		234.31				other	OPPS APC	63.47	234.31	
SCREW BONE LCP STAINLESS STEEL T8 CONE L11 MM OD2.4 MM ODSEC1.9 MM FIBULA RADIUS DISTAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-212.811	CDM	270010022	LOCAL	270	RC		inpatient			234.3	234.3																																																			
SUIT STRYKER LG FLYTE T7 PLUS	SUP-23-00173	CDM			272	RC		outpatient			234.28	234.28	63.47				percent of total billed charges		234.28				other	OPPS APC	173.37				percent of total billed charges		234.28				other	OPPS APC	234.28				other	OPPS APC	63.47				percent of total billed charges		64.73				percent of total billed charges		234.28				other	OPPS APC	63.47	234.28	
SUIT STRYKER LG FLYTE T7 PLUS	SUP-23-00173	CDM			272	RC		inpatient			234.28	234.28																																																			
FORCEPS  DISPOSABLE TRIPOD	SUP-95-00810	CDM			272	RC		outpatient			234.1	235	63.42				percent of total billed charges		234.1				other	OPPS APC	173.23				percent of total billed charges		234.1				other	OPPS APC	234.1				other	OPPS APC	63.42				percent of total billed charges		64.68				percent of total billed charges		235				other	OPPS APC	63.42	235	
FORCEPS  DISPOSABLE TRIPOD	SUP-95-00810	CDM			272	RC		inpatient			234.1	234.1																																																			
MICAFUNGIN 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	70710-1725-1	NDC	J2248	HCPCS		inpatient			234	234																																																			
MICAFUNGIN 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	70710-1725-1	NDC	J2248	HCPCS		outpatient			234	234																																															other	OPPS APC			
HC Sono Pelvis Limited	PX-402768570	CDM	76857	CPT	402	RC		outpatient			234	112.57	54.82				fee schedule		112.57				other	OPPS APC	210.5				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	48.76				fee schedule		25.28				fee schedule		112.57				other	OPPS APC	25.28	210.5	
HC Sono Pelvis Limited	PX-402768570	CDM	76857	CPT	402	RC		inpatient			234	234																																																			
HC Pulse Oximetry Continuous	PX-410947620	CDM	94762	CPT	410	RC		outpatient			234	153.17	71.7				percent of total billed charges		153.17				other	OPPS APC	58.32				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	71.7				percent of total billed charges		73.13				percent of total billed charges		153.17				other	OPPS APC	58.32	153.17	
HC Pulse Oximetry Continuous	PX-410947620	CDM	94762	CPT	410	RC		inpatient			234	234																																																			
SCREW BONE TRILOGY TIVANIUM L30 MM OD4.5 MM HIP ACETABULAR SELF TAP STERILE	SUP-00-6250-045-30	CDM	270010024	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
SCREW BONE TRILOGY TIVANIUM L30 MM OD4.5 MM HIP ACETABULAR SELF TAP STERILE	SUP-00-6250-045-30	CDM	270010024	LOCAL	270	RC		inpatient			234	234																																																			
SCREW BONE TRILOGY TRABECULAR METAL L20 MM OD6.5 MM HIP STERILE	SUP-00-6250-065-20	CDM	270010024	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
SCREW BONE TRILOGY TRABECULAR METAL L20 MM OD6.5 MM HIP STERILE	SUP-00-6250-065-20	CDM	270010024	LOCAL	270	RC		inpatient			234	234																																																			
SCREW BONE TRILOGY TRABECULAR METAL L25 MM OD6.5 MM HIP STERILE	SUP-00-6250-065-25	CDM	270010024	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
SCREW BONE TRILOGY TRABECULAR METAL L25 MM OD6.5 MM HIP STERILE	SUP-00-6250-065-25	CDM	270010024	LOCAL	270	RC		inpatient			234	234																																																			
SCREW BONE TRILOGY TRABECULAR METAL L30 MM OD6.5 MM HIP ACETABULAR	SUP-00-6250-065-30	CDM	270010024	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
SCREW BONE TRILOGY TRABECULAR METAL L30 MM OD6.5 MM HIP ACETABULAR	SUP-00-6250-065-30	CDM	270010024	LOCAL	270	RC		inpatient			234	234																																																			
SCREW BONE L40 MM OD6.5 MM HIP SELF TAP	SUP-00-6250-065-40	CDM	270010024	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
SCREW BONE L40 MM OD6.5 MM HIP SELF TAP	SUP-00-6250-065-40	CDM	270010024	LOCAL	270	RC		inpatient			234	234																																																			
PLATE BONE MATRIXNEURO TITANIUM STRAIGHT L12 MM X H.4 MM CRANIAL 2 HOLE CENTER SPACE RIGID NONSTERILE BLUE	SUP-04.503.062	CDM	270010013	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
PLATE BONE MATRIXNEURO TITANIUM STRAIGHT L12 MM X H.4 MM CRANIAL 2 HOLE CENTER SPACE RIGID NONSTERILE BLUE	SUP-04.503.062	CDM	270010013	LOCAL	270	RC		inpatient			234	234																																																			
BIT DRILL PERI-LOC OD 3.5MM TARGETER	SUP-71173402	CDM			270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
BIT DRILL PERI-LOC OD 3.5MM TARGETER	SUP-71173402	CDM			270	RC		inpatient			234	234																																																			
KIT DRAINAGE L6.44 IN OD8 FR ODSEC22 GA 10 ML PNEUMOTHORAX CATHETER RADIOPAQUE NEEDLE SHARP SAFETY LATEX FREE	SUP-AK-01500	CDM	270009127	LOCAL	270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
KIT DRAINAGE L6.44 IN OD8 FR ODSEC22 GA 10 ML PNEUMOTHORAX CATHETER RADIOPAQUE NEEDLE SHARP SAFETY LATEX FREE	SUP-AK-01500	CDM	270009127	LOCAL	270	RC		inpatient			234	234																																																			
DRILL BIT 3.3MM	SUP-DB-3.3	CDM			270	RC		outpatient			234	234	63.39				percent of total billed charges		234				other	OPPS APC	173.16				percent of total billed charges		234				other	OPPS APC	234				other	OPPS APC	63.39				percent of total billed charges		64.65				percent of total billed charges		234				other	OPPS APC	63.39	234	
DRILL BIT 3.3MM	SUP-DB-3.3	CDM			270	RC		inpatient			234	234																																																			
SUTURE ENDOSTITCH 0 48IN VIOLET	SUP-74-00361	CDM			272	RC		outpatient			233.84	233.84	63.35				percent of total billed charges		233.84				other	OPPS APC	173.04				percent of total billed charges		233.84				other	OPPS APC	233.84				other	OPPS APC	63.35				percent of total billed charges		64.61				percent of total billed charges		233.84				other	OPPS APC	63.35	233.84	
SUTURE ENDOSTITCH 0 48IN VIOLET	SUP-74-00361	CDM			272	RC		inpatient			233.84	233.84																																																			
SCREW BONE  T10  3.5X12MM	SUP-97-03779	CDM			278	RC		outpatient			233.73	233.73	233.73				fee schedule		233.73				other	OPPS APC	133.23				percent of total billed charges		233.73				other	OPPS APC	233.73				other	OPPS APC	114.53				percent of total billed charges		119.2				percent of total billed charges		233.73				other	OPPS APC	114.53	233.73	
SCREW BONE  T10  3.5X12MM	SUP-97-03779	CDM			278	RC		inpatient			233.73	233.73																																																			
SCREW BONE  T10  3.5X14MM	SUP-97-03969	CDM			278	RC		outpatient			233.73	233.73	233.73				fee schedule		233.73				other	OPPS APC	133.23				percent of total billed charges		233.73				other	OPPS APC	233.73				other	OPPS APC	114.53				percent of total billed charges		119.2				percent of total billed charges		233.73				other	OPPS APC	114.53	233.73	
SCREW BONE  T10  3.5X14MM	SUP-97-03969	CDM			278	RC		inpatient			233.73	233.73																																																			
SCREW BONE  T10  3.5X14MM	SUP-97-03970	CDM			278	RC		outpatient			233.73	233.73	233.73				fee schedule		233.73				other	OPPS APC	133.23				percent of total billed charges		233.73				other	OPPS APC	233.73				other	OPPS APC	114.53				percent of total billed charges		119.2				percent of total billed charges		233.73				other	OPPS APC	114.53	233.73	
SCREW BONE  T10  3.5X14MM	SUP-97-03970	CDM			278	RC		inpatient			233.73	233.73																																																			
BLADE SHAVER MCDEB OD4 MM AGGRESSIVE IRRIGATE SERRATE STERILE	SUP-290645000	CDM			270	RC		outpatient			233.72	233.72	63.31				percent of total billed charges		233.72				other	OPPS APC	172.95				percent of total billed charges		233.72				other	OPPS APC	233.72				other	OPPS APC	63.31				percent of total billed charges		64.58				percent of total billed charges		233.72				other	OPPS APC	63.31	233.72	
BLADE SHAVER MCDEB OD4 MM AGGRESSIVE IRRIGATE SERRATE STERILE	SUP-290645000	CDM			270	RC		inpatient			233.72	233.72																																																			
SUTURE NONABSORBABLE ETHIBOND 0 CTX 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX31D	CDM			270	RC		outpatient			233.62	233.62	63.29				percent of total billed charges		233.62				other	OPPS APC	172.88				percent of total billed charges		233.62				other	OPPS APC	233.62				other	OPPS APC	63.29				percent of total billed charges		64.55				percent of total billed charges		233.62				other	OPPS APC	63.29	233.62	
SUTURE NONABSORBABLE ETHIBOND 0 CTX 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX31D	CDM			270	RC		inpatient			233.62	233.62																																																			
CATHETER FILIFORM 18 6 FR	SUP-02-00014	CDM			272	RC		outpatient			233.61	233.61	63.28				percent of total billed charges		233.61				other	OPPS APC	172.87				percent of total billed charges		233.61				other	OPPS APC	233.61				other	OPPS APC	63.28				percent of total billed charges		64.55				percent of total billed charges		233.61				other	OPPS APC	63.28	233.61	
CATHETER FILIFORM 18 6 FR	SUP-02-00014	CDM			272	RC		inpatient			233.61	233.61																																																			
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPRAY,SUSPENSION 16 G AER W/ADAP"	637000000	CDM	0054-3270-99	NDC	A9270	HCPCS		inpatient			233.33	233.33																																																			
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPRAY,SUSPENSION 16 G AER W/ADAP"	637000000	CDM	0054-3270-99	NDC	A9270	HCPCS		outpatient			233.33	233.33																																															other	OPPS APC			
KIT CATHETER AVA 3XI STANDARD OD8.5 FR 3 L STERILE LATEX FREE DISPOSABLE	SUP-M3L85FKIC	CDM	270009030	LOCAL	270	RC		outpatient			233.24	233.24	63.18				percent of total billed charges		233.24				other	OPPS APC	172.6				percent of total billed charges		233.24				other	OPPS APC	233.24				other	OPPS APC	63.18				percent of total billed charges		64.44				percent of total billed charges		233.24				other	OPPS APC	63.18	233.24	
KIT CATHETER AVA 3XI STANDARD OD8.5 FR 3 L STERILE LATEX FREE DISPOSABLE	SUP-M3L85FKIC	CDM	270009030	LOCAL	270	RC		inpatient			233.24	233.24																																																			
CATHETER KIT TRIPLE 8.5F	SUP-SM3L85FHKI	CDM	270009030	LOCAL	270	RC		outpatient			233.24	233.24	63.18				percent of total billed charges		233.24				other	OPPS APC	172.6				percent of total billed charges		233.24				other	OPPS APC	233.24				other	OPPS APC	63.18				percent of total billed charges		64.44				percent of total billed charges		233.24				other	OPPS APC	63.18	233.24	
CATHETER KIT TRIPLE 8.5F	SUP-SM3L85FHKI	CDM	270009030	LOCAL	270	RC		inpatient			233.24	233.24																																																			
RESECTOR 4.0MM	SUP-79-00054	CDM			272	RC		outpatient			233.12	233.12	63.15				percent of total billed charges		233.12				other	OPPS APC	172.51				percent of total billed charges		233.12				other	OPPS APC	233.12				other	OPPS APC	63.15				percent of total billed charges		64.41				percent of total billed charges		233.12				other	OPPS APC	63.15	233.12	
RESECTOR 4.0MM	SUP-79-00054	CDM			272	RC		inpatient			233.12	233.12																																																			
CATHETER DRAINAGE MAC-LOC ULTRATHANE AQ L45 CM OD8.5 FR 6 SIDEPORT TROCAR MULTIPURPOSE RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G09765	CDM			270	RC		outpatient			233.06	233.6	63.14				percent of total billed charges		233.06				other	OPPS APC	172.46				percent of total billed charges		233.06				other	OPPS APC	233.06				other	OPPS APC	63.14				percent of total billed charges		64.39				percent of total billed charges		233.6				other	OPPS APC	63.14	233.6	
CATHETER DRAINAGE MAC-LOC ULTRATHANE AQ L45 CM OD8.5 FR 6 SIDEPORT TROCAR MULTIPURPOSE RADIOPAQUE STERILE LATEX FREE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G09765	CDM			270	RC		inpatient			233.06	233.06																																																			
KIT PERICARDIOCENTESIS PIGTAIL CURVE L40 CM OD8 FR CATHETER	SUP-PC801	CDM			481	RC		outpatient			232	232	113.68				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	113.68				percent of total billed charges		118.32				percent of total billed charges		232				other	OPPS APC	113.68	232	
KIT PERICARDIOCENTESIS PIGTAIL CURVE L40 CM OD8 FR CATHETER	SUP-PC801	CDM			481	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 28MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS28	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 28MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS28	CDM			270	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 30MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS30	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 30MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS30	CDM			270	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 32MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS32	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 32MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS32	CDM			270	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 34MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS34	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 34MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS34	CDM			270	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 36MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS36	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 36MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS36	CDM			270	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 38MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS38	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 38MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS38	CDM			270	RC		inpatient			232	232																																																			
SCREW BONE WAVE FULL THREAD 40MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS40	CDM			270	RC		outpatient			232	232	62.85				percent of total billed charges		232				other	OPPS APC	171.68				percent of total billed charges		232				other	OPPS APC	232				other	OPPS APC	62.85				percent of total billed charges		64.1				percent of total billed charges		232				other	OPPS APC	62.85	232	
SCREW BONE WAVE FULL THREAD 40MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS40	CDM			270	RC		inpatient			232	232																																																			
SUTURE ENDOSTITCH 0 48IN GREEN (ORANGE)	SUP-74-00362	CDM			272	RC		outpatient			231.53	231.53	62.72				percent of total billed charges		231.53				other	OPPS APC	171.33				percent of total billed charges		231.53				other	OPPS APC	231.53				other	OPPS APC	62.72				percent of total billed charges		63.97				percent of total billed charges		231.53				other	OPPS APC	62.72	231.53	
SUTURE ENDOSTITCH 0 48IN GREEN (ORANGE)	SUP-74-00362	CDM			272	RC		inpatient			231.53	231.53																																																			
SUTURE ENDOSTITCH SILK 0 170003	SUP-95-05078	CDM			272	RC		outpatient			231.53	231.53	62.72				percent of total billed charges		231.53				other	OPPS APC	171.33				percent of total billed charges		231.53				other	OPPS APC	231.53				other	OPPS APC	62.72				percent of total billed charges		63.97				percent of total billed charges		231.53				other	OPPS APC	62.72	231.53	
SUTURE ENDOSTITCH SILK 0 170003	SUP-95-05078	CDM			272	RC		inpatient			231.53	231.53																																																			
SUTURE ENDOSTITCH SILK 2-0 170004	SUP-95-05079	CDM			272	RC		outpatient			231.53	231.53	62.72				percent of total billed charges		231.53				other	OPPS APC	171.33				percent of total billed charges		231.53				other	OPPS APC	231.53				other	OPPS APC	62.72				percent of total billed charges		63.97				percent of total billed charges		231.53				other	OPPS APC	62.72	231.53	
SUTURE ENDOSTITCH SILK 2-0 170004	SUP-95-05079	CDM			272	RC		inpatient			231.53	231.53																																																			
SUTURE ENDOSTITCH POLYSORB 2-0 170053	SUP-95-05080	CDM			272	RC		outpatient			231.53	231.53	62.72				percent of total billed charges		231.53				other	OPPS APC	171.33				percent of total billed charges		231.53				other	OPPS APC	231.53				other	OPPS APC	62.72				percent of total billed charges		63.97				percent of total billed charges		231.53				other	OPPS APC	62.72	231.53	
SUTURE ENDOSTITCH POLYSORB 2-0 170053	SUP-95-05080	CDM			272	RC		inpatient			231.53	231.53																																																			
HC Cyclosporin (Cyclo)	PX-300801580	CDM	80158	CPT	301	RC		outpatient			231	18.51	24.14				fee schedule		18.05				fee schedule		47.94				fee schedule		18.05				fee schedule		18.05				fee schedule		18.05				fee schedule		18.05				fee schedule		18.51				fee schedule		18.05	47.94	
HC Cyclosporin (Cyclo)	PX-300801580	CDM	80158	CPT	301	RC		inpatient			231	231																																																			
HC Fetal Fibronectin (Ffn)	PX-300827310	CDM	82731	CPT	301	RC		outpatient			231	64.5	84.7				fee schedule		64.41				fee schedule		170.98				fee schedule		64.41				fee schedule		64.41				fee schedule		64.41				fee schedule		64.41				fee schedule		64.5				fee schedule		64.41	170.98	
HC Fetal Fibronectin (Ffn)	PX-300827310	CDM	82731	CPT	301	RC		inpatient			231	231																																																			
HC Rt Blood Gas Analysis	PX-300828030	CDM	82803	CPT	300	RC		outpatient			231	26.7	25.87				fee schedule		26.07				fee schedule		51.38				fee schedule		26.07				fee schedule		26.07				fee schedule		26.07				fee schedule		26.07				fee schedule		26.7				fee schedule		25.87	51.38	
HC Rt Blood Gas Analysis	PX-300828030	CDM	82803	CPT	300	RC		inpatient			231	231																																																			
HC Chg Clot Inhib Protein C  Activ	PX-300853030	CDM	85303	CPT	305	RC		outpatient			231	13.84	18.49				fee schedule		13.84				fee schedule		36.71				fee schedule		13.84				fee schedule		13.84				fee schedule		13.84				fee schedule		13.84				fee schedule		13.84				fee schedule		13.84	36.71	
HC Chg Clot Inhib Protein C  Activ	PX-300853030	CDM	85303	CPT	305	RC		inpatient			231	231																																																			
HC Protein S Free	PX-300853060	CDM	85306	CPT	305	RC		outpatient			231	15.32	20.49				fee schedule		15.32				fee schedule		40.68				fee schedule		15.32				fee schedule		15.32				fee schedule		15.32				fee schedule		15.32				fee schedule		15.32				fee schedule		15.32	40.68	
HC Protein S Free	PX-300853060	CDM	85306	CPT	305	RC		inpatient			231	231																																																			
HC Fna  Interpretation]	PX-310881730	CDM	88173	CPT	310	RC		outpatient			231	52.81	122.91				fee schedule		52.81				other	OPPS APC	78.52				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	113.19				percent of total billed charges		117.81				percent of total billed charges		52.81				other	OPPS APC	52.81	122.91	
HC Fna  Interpretation]	PX-310881730	CDM	88173	CPT	310	RC		inpatient			231	231																																																			
HC Sacrum and/or Coccyx	PX-320722200	CDM	72220	CPT	320	RC		outpatient			231	91.5	29.98				fee schedule		91.5				other	OPPS APC	77.31				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.73				fee schedule		24.28				fee schedule		91.5				other	OPPS APC	24.28	91.5	
HC Sacrum and/or Coccyx	PX-320722200	CDM	72220	CPT	320	RC		inpatient			231	231																																																			
HC Shoulder	PX-320730300	CDM	73030	CPT	320	RC		outpatient			231	91.5	32.05				fee schedule		91.5				other	OPPS APC	78.14				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	34.73				fee schedule		25.61				fee schedule		91.5				other	OPPS APC	25.61	91.5	
HC Shoulder	PX-320730300	CDM	73030	CPT	320	RC		inpatient			231	231																																																			
HC Elbow 3 Views	PX-320730800	CDM	73080	CPT	320	RC		outpatient			231	91.5	34.71				fee schedule		91.5				other	OPPS APC	77.31				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.73				fee schedule		24.28				fee schedule		91.5				other	OPPS APC	24.28	91.5	
HC Elbow 3 Views	PX-320730800	CDM	73080	CPT	320	RC		inpatient			231	231																																																			
HC Hip for Fx  2 or 3 Views	PX-320735020	CDM	73502	CPT	320	RC		outpatient			231	91.5	41.89				fee schedule		91.5				other	OPPS APC	84.81				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	47.11				fee schedule		36.27				fee schedule		91.5				other	OPPS APC	36.27	91.5	
HC Hip for Fx  2 or 3 Views	PX-320735020	CDM	73502	CPT	320	RC		inpatient			231	231																																																			
HC Port Films	PX-333774170	CDM	77417	CPT	333	RC		outpatient			231	231	14.15				fee schedule		231				other	OPPS APC	58.81				fee schedule		231				other	OPPS APC	231				other	OPPS APC	13.69				fee schedule		13.63				fee schedule		231				other	OPPS APC	13.63	231	
HC Port Films	PX-333774170	CDM	77417	CPT	333	RC		inpatient			231	231																																																			
BONE CUTTER 4MM X 13CM BX/5	SUP-79-00016	CDM			272	RC		outpatient			231	231	62.58				percent of total billed charges		231				other	OPPS APC	170.94				percent of total billed charges		231				other	OPPS APC	231				other	OPPS APC	62.58				percent of total billed charges		63.83				percent of total billed charges		231				other	OPPS APC	62.58	231	
BONE CUTTER 4MM X 13CM BX/5	SUP-79-00016	CDM			272	RC		inpatient			231	231																																																			
DISSECTOR 3.0MM  BX5	SUP-97-05378	CDM			272	RC		outpatient			231	231	62.58				percent of total billed charges		231				other	OPPS APC	170.94				percent of total billed charges		231				other	OPPS APC	231				other	OPPS APC	62.58				percent of total billed charges		63.83				percent of total billed charges		231				other	OPPS APC	62.58	231	
DISSECTOR 3.0MM  BX5	SUP-97-05378	CDM			272	RC		inpatient			231	231																																																			
SHEATH - MAK-NV 6F	SUP-99-00217	CDM			272	RC		outpatient			231	231	62.58				percent of total billed charges		231				other	OPPS APC	170.94				percent of total billed charges		231				other	OPPS APC	231				other	OPPS APC	62.58				percent of total billed charges		63.83				percent of total billed charges		231				other	OPPS APC	62.58	231	
SHEATH - MAK-NV 6F	SUP-99-00217	CDM			272	RC		inpatient			231	231																																																			
CATHETER PHILLIPS  22 FR	SUP-02-00065	CDM			272	RC		outpatient			230.41	23.41	62.42				percent of total billed charges		230.41				other	OPPS APC	170.5				percent of total billed charges		230.41				other	OPPS APC	230.41				other	OPPS APC	62.42				percent of total billed charges		63.66				percent of total billed charges		23.41				other	OPPS APC	23.41	230.41	
CATHETER PHILLIPS  22 FR	SUP-02-00065	CDM			272	RC		inpatient			230.41	230.41																																																			
SCREW BONE VARIAX TITANIUM T7 L20 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER NONSTERILE YELLOW LOCK PLATE SYSTEM	SUP-40-27020	CDM			270	RC		outpatient			230.4	23.41	62.42				percent of total billed charges		230.4				other	OPPS APC	170.5				percent of total billed charges		230.4				other	OPPS APC	230.4				other	OPPS APC	62.42				percent of total billed charges		63.66				percent of total billed charges		23.41				other	OPPS APC	23.41	230.4	
SCREW BONE VARIAX TITANIUM T7 L20 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER NONSTERILE YELLOW LOCK PLATE SYSTEM	SUP-40-27020	CDM			270	RC		inpatient			230.4	230.4																																																			
SCREW BONE VARIAX TITANIUM T7 L22 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER NONSTERILE YELLOW LOCK PLATE SYSTEM	SUP-40-27022	CDM			270	RC		outpatient			230.4	23.41	62.42				percent of total billed charges		230.4				other	OPPS APC	170.5				percent of total billed charges		230.4				other	OPPS APC	230.4				other	OPPS APC	62.42				percent of total billed charges		63.66				percent of total billed charges		23.41				other	OPPS APC	23.41	230.4	
SCREW BONE VARIAX TITANIUM T7 L22 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER NONSTERILE YELLOW LOCK PLATE SYSTEM	SUP-40-27022	CDM			270	RC		inpatient			230.4	230.4																																																			
HC Bd Breast Ultrasound Uni Rt	PX-402766415	CDM	76641	CPT	402	RC		outpatient			230	112.57	44.47				fee schedule		112.57				other	OPPS APC	166.8				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	103.89				fee schedule		68.89				fee schedule		112.57				other	OPPS APC	44.47	166.8	
HC Bd Breast Ultrasound Uni Rt	PX-402766415	CDM	76641	CPT	402	RC		inpatient			230	230																																																			
HC Bd Breast Ultrasound Uni Lt	PX-402766416	CDM	76641	CPT	402	RC		outpatient			230	112.57	44.47				fee schedule		112.57				other	OPPS APC	166.8				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	103.89				fee schedule		68.89				fee schedule		112.57				other	OPPS APC	44.47	166.8	
HC Bd Breast Ultrasound Uni Lt	PX-402766416	CDM	76641	CPT	402	RC		inpatient			230	230																																																			
HC Bd US Breast Uni Limited Focus	PX-402766420	CDM	76642	CPT	402	RC		outpatient			230	91.5	34.07				fee schedule		91.5				other	OPPS APC	166.8				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	85.5				fee schedule		52.91				fee schedule		91.5				other	OPPS APC	34.07	166.8	
HC Bd US Breast Uni Limited Focus	PX-402766420	CDM	76642	CPT	402	RC		inpatient			230	230																																																			
HC Bd Breast Ultrasound Limited Rt	PX-402766425	CDM	76642	CPT	402	RC		outpatient			230	91.5	34.07				fee schedule		91.5				other	OPPS APC	166.8				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	85.5				fee schedule		52.91				fee schedule		91.5				other	OPPS APC	34.07	166.8	
HC Bd Breast Ultrasound Limited Rt	PX-402766425	CDM	76642	CPT	402	RC		inpatient			230	230																																																			
HC Bd Breast Ultrasound Limited Lt	PX-402766426	CDM	76642	CPT	402	RC		outpatient			230	91.5	34.07				fee schedule		91.5				other	OPPS APC	166.8				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	85.5				fee schedule		52.91				fee schedule		91.5				other	OPPS APC	34.07	166.8	
HC Bd Breast Ultrasound Limited Lt	PX-402766426	CDM	76642	CPT	402	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 12MM	SUP-#AR-8827L-12	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 12MM	SUP-#AR-8827L-12	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 14MM	SUP-#AR-8827L-14	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 14MM	SUP-#AR-8827L-14	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 16MM	SUP-#AR-8827L-16	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 16MM	SUP-#AR-8827L-16	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 18MM	SUP-#AR-8827L-18	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 18MM	SUP-#AR-8827L-18	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 20MM	SUP-#AR-8827L-20	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 20MM	SUP-#AR-8827L-20	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 22MM	SUP-#AR-8827L-22	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 22MM	SUP-#AR-8827L-22	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 24MM	SUP-#AR-8827L-24	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 24MM	SUP-#AR-8827L-24	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 26MM  #AR-8827L-26	SUP-#AR-8827L-26	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 26MM  #AR-8827L-26	SUP-#AR-8827L-26	CDM			270	RC		inpatient			230	230																																																			
CATHETER BALLOON DILATATION VOYAGER LOFOLD SHORT LOW PROFILE TAPER 143CM 8MM 2-2.4FR	SUP-1011392-08	CDM			481	RC		outpatient			230	23	112.7				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	112.7				percent of total billed charges		117.3				percent of total billed charges		23				other	OPPS APC	23	230	
CATHETER BALLOON DILATATION VOYAGER LOFOLD SHORT LOW PROFILE TAPER 143CM 8MM 2-2.4FR	SUP-1011392-08	CDM			481	RC		inpatient			230	230																																																			
TREK BALLOON 1.2 X 15 MM	SUP-1012268-15U	CDM			481	RC		outpatient			230	23	112.7				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	112.7				percent of total billed charges		117.3				percent of total billed charges		23				other	OPPS APC	23	230	
TREK BALLOON 1.2 X 15 MM	SUP-1012268-15U	CDM			481	RC		inpatient			230	230																																																			
GRAND SLAM STRAIGHT TIP GUIDEWIRE 180CM	SUP-12781-01	CDM			481	RC		outpatient			230	23	112.7				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	112.7				percent of total billed charges		117.3				percent of total billed charges		23				other	OPPS APC	23	230	
GRAND SLAM STRAIGHT TIP GUIDEWIRE 180CM	SUP-12781-01	CDM			481	RC		inpatient			230	230																																																			
DRILL BIT NON CANNULATED	SUP-AR-1204D	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
DRILL BIT NON CANNULATED	SUP-AR-1204D	CDM			270	RC		inpatient			230	230																																																			
SCREW LAG CANNULATED 2.3 X 16MM	SUP-AR-13120T-16C	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW LAG CANNULATED 2.3 X 16MM	SUP-AR-13120T-16C	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS 1.5MM PARTIAL THREAD HEXAGON 18MM 2.3MM TITANIUM STERILE FOREFOOT CANCELLOUS LAG	SUP-AR-13120T-18C	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS 1.5MM PARTIAL THREAD HEXAGON 18MM 2.3MM TITANIUM STERILE FOREFOOT CANCELLOUS LAG	SUP-AR-13120T-18C	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHRES LAG CANNULATED 2.S X 20MM	SUP-AR-13120T-20C	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHRES LAG CANNULATED 2.S X 20MM	SUP-AR-13120T-20C	CDM			270	RC		inpatient			230	230																																																			
SCREW INTERFERENCE TITANIUM L20 MM OD7 MM ACL PCL CANNULATED SHEATH STERILE ACCEPTS 2 MM NITINOL GUIDEPIN	SUP-AR-1370E	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW INTERFERENCE TITANIUM L20 MM OD7 MM ACL PCL CANNULATED SHEATH STERILE ACCEPTS 2 MM NITINOL GUIDEPIN	SUP-AR-1370E	CDM			270	RC		inpatient			230	230																																																			
SCREW INTERFERENCE TITANIUM L20 MM OD8 MM ACL PCL CANNULATED SHEATH STERILE ACCEPTS 2 MM NITINOL GUIDEPIN	SUP-AR-1380E	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW INTERFERENCE TITANIUM L20 MM OD8 MM ACL PCL CANNULATED SHEATH STERILE ACCEPTS 2 MM NITINOL GUIDEPIN	SUP-AR-1380E	CDM			270	RC		inpatient			230	230																																																			
SCREW INTERFERENCE TITANIUM L20 MM OD9 MM ACL PCL CANNULATED SHEATH STERILE ACCEPTS 2 MM NITINOL GUIDEPIN	SUP-AR-1390E	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW INTERFERENCE TITANIUM L20 MM OD9 MM ACL PCL CANNULATED SHEATH STERILE ACCEPTS 2 MM NITINOL GUIDEPIN	SUP-AR-1390E	CDM			270	RC		inpatient			230	230																																																			
PASSER SUTURE SUTURELASSO NITINOL 90 D OD2.3 MM ELBOW SHOULDER STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-4065-90S	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
PASSER SUTURE SUTURELASSO NITINOL 90 D OD2.3 MM ELBOW SHOULDER STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-4065-90S	CDM			270	RC		inpatient			230	230																																																			
NEEDLE SUTURE 2-0 MINI MENISCUS TAPE REPAIR	SUP-AR-7523	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
NEEDLE SUTURE 2-0 MINI MENISCUS TAPE REPAIR	SUP-AR-7523	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 10MM	SUP-AR-8827L-10	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 10MM	SUP-AR-8827L-10	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 12MM	SUP-AR-8827L-12	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 12MM	SUP-AR-8827L-12	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 14MM	SUP-AR-8827L-14	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 14MM	SUP-AR-8827L-14	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 16MM	SUP-AR-8827L-16	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 16MM	SUP-AR-8827L-16	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 18MM	SUP-AR-8827L-18	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 18MM	SUP-AR-8827L-18	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 20MM	SUP-AR-8827L-20	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 20MM	SUP-AR-8827L-20	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 22MM	SUP-AR-8827L-22	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 22MM	SUP-AR-8827L-22	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 24MM	SUP-AR-8827L-24	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 24MM	SUP-AR-8827L-24	CDM			270	RC		inpatient			230	230																																																			
SCREW ARTHREX 2.7MM LP LOCKING 26MM	SUP-AR-8827L-26	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW ARTHREX 2.7MM LP LOCKING 26MM	SUP-AR-8827L-26	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L10 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-10	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L10 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-10	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 12MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-12	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 12MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-12	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 14MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-14	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 14MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-14	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 16MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-16	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 16MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-16	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L18 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-18	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L18 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-18	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 20MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-20	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 20MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-20	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 22MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-22	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 22MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-22	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L24 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-24	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L24 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-24	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L26 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-26	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L26 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-26	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L28 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-28	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L28 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-28	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L30 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-30	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L30 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-30	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 32MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-32	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 32MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-32	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L34 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-34	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L34 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-34	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-36	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-36	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 38MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-38	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 38MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-38	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 40MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-40	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 40MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE LOCK TIGHTROPE	SUP-AR-8835L-40	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L45 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-45	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L45 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID LOCK MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-45	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L50 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-50	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L50 MM OD3.5 MM ANKLE CORTICAL LOCK MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835L-50	CDM			270	RC		inpatient			230	230																																																			
BIT DRILL 3MM	SUP-AR-8943-36	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
BIT DRILL 3MM	SUP-AR-8943-36	CDM			270	RC		inpatient			230	230																																																			
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 6HOLE	SUP-AR-8943TNL-06	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 6HOLE	SUP-AR-8943TNL-06	CDM			270	RC		inpatient			230	230																																																			
ELECTRODE ELECTROSURGICAL COOLCUT 45 D BALL ARTHROSCOPY	SUP-AR-9808-45	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
ELECTRODE ELECTROSURGICAL COOLCUT 45 D BALL ARTHROSCOPY	SUP-AR-9808-45	CDM			270	RC		inpatient			230	230																																																			
NC QUANTUM APEX BALLOON 4.5 X 12	SUP-H7493912412450	CDM			481	RC		outpatient			230	23	112.7				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	112.7				percent of total billed charges		117.3				percent of total billed charges		23				other	OPPS APC	23	230	
NC QUANTUM APEX BALLOON 4.5 X 12	SUP-H7493912412450	CDM			481	RC		inpatient			230	230																																																			
ERCP BALLOON RETRIEVAL EXTRACTOR XL 11.5 MM	SUP-M00550460	CDM			270	RC		outpatient			230	23	62.31				percent of total billed charges		230				other	OPPS APC	170.2				percent of total billed charges		230				other	OPPS APC	230				other	OPPS APC	62.31				percent of total billed charges		63.55				percent of total billed charges		23				other	OPPS APC	23	230	
ERCP BALLOON RETRIEVAL EXTRACTOR XL 11.5 MM	SUP-M00550460	CDM			270	RC		inpatient			230	230																																																			
SCREW BONE STAINLESS STEEL L14 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-014-02	CDM			270	RC		outpatient			229.9	229.91	62.28				percent of total billed charges		229.9				other	OPPS APC	170.13				percent of total billed charges		229.9				other	OPPS APC	229.9				other	OPPS APC	62.28				percent of total billed charges		63.52				percent of total billed charges		229.91				other	OPPS APC	62.28	229.91	
SCREW BONE STAINLESS STEEL L14 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-014-02	CDM			270	RC		inpatient			229.9	229.9																																																			
SCREW BONE STAINLESS STEEL L16 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-016-02	CDM			270	RC		outpatient			229.9	229.91	62.28				percent of total billed charges		229.9				other	OPPS APC	170.13				percent of total billed charges		229.9				other	OPPS APC	229.9				other	OPPS APC	62.28				percent of total billed charges		63.52				percent of total billed charges		229.91				other	OPPS APC	62.28	229.91	
SCREW BONE STAINLESS STEEL L16 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-016-02	CDM			270	RC		inpatient			229.9	229.9																																																			
SCREW BONE STAINLESS STEEL L18 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-018-02	CDM			270	RC		outpatient			229.9	229.91	62.28				percent of total billed charges		229.9				other	OPPS APC	170.13				percent of total billed charges		229.9				other	OPPS APC	229.9				other	OPPS APC	62.28				percent of total billed charges		63.52				percent of total billed charges		229.91				other	OPPS APC	62.28	229.91	
SCREW BONE STAINLESS STEEL L18 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-018-02	CDM			270	RC		inpatient			229.9	229.9																																																			
SCREW BONE T6 16MM 2MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.886	CDM	270010022	LOCAL	270	RC		outpatient			229.9	229.91	62.28				percent of total billed charges		229.9				other	OPPS APC	170.13				percent of total billed charges		229.9				other	OPPS APC	229.9				other	OPPS APC	62.28				percent of total billed charges		63.52				percent of total billed charges		229.91				other	OPPS APC	62.28	229.91	
SCREW BONE T6 16MM 2MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.886	CDM	270010022	LOCAL	270	RC		inpatient			229.9	229.9																																																			
SCREW BONE T6 30MM 2MM SS NS SM BONE SELF TAP LOCK THREAD HEAD PROFILE STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.900	CDM	270010022	LOCAL	270	RC		outpatient			229.9	229.91	62.28				percent of total billed charges		229.9				other	OPPS APC	170.13				percent of total billed charges		229.9				other	OPPS APC	229.9				other	OPPS APC	62.28				percent of total billed charges		63.52				percent of total billed charges		229.91				other	OPPS APC	62.28	229.91	
SCREW BONE T6 30MM 2MM SS NS SM BONE SELF TAP LOCK THREAD HEAD PROFILE STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.900	CDM	270010022	LOCAL	270	RC		inpatient			229.9	229.9																																																			
IRRISEPT	SUP-95-04115	CDM			272	RC		outpatient			229.78	229.78	62.25				percent of total billed charges		229.78				other	OPPS APC	170.04				percent of total billed charges		229.78				other	OPPS APC	229.78				other	OPPS APC	62.25				percent of total billed charges		63.49				percent of total billed charges		229.78				other	OPPS APC	62.25	229.78	
IRRISEPT	SUP-95-04115	CDM			272	RC		inpatient			229.78	229.78																																																			
PLATE STRAIGHT 4HOLE 2MM	SUP-97-00952	CDM			278	RC		outpatient			229.64	229.64	229.64				fee schedule		229.64				other	OPPS APC	130.89				percent of total billed charges		229.64				other	OPPS APC	229.64				other	OPPS APC	112.52				percent of total billed charges		117.12				percent of total billed charges		229.64				other	OPPS APC	112.52	229.64	
PLATE STRAIGHT 4HOLE 2MM	SUP-97-00952	CDM			278	RC		inpatient			229.64	229.64																																																			
ELECTRODE ELECTROSURGICAL LG 22-24FR DISPOSABLE STERILE ROLLER BALL RESECTOSCOPE	SUP-8423.0205	CDM			270	RC		outpatient			229.63	229.63	62.21				percent of total billed charges		229.63				other	OPPS APC	169.93				percent of total billed charges		229.63				other	OPPS APC	229.63				other	OPPS APC	62.21				percent of total billed charges		63.45				percent of total billed charges		229.63				other	OPPS APC	62.21	229.63	
ELECTRODE ELECTROSURGICAL LG 22-24FR DISPOSABLE STERILE ROLLER BALL RESECTOSCOPE	SUP-8423.0205	CDM			270	RC		inpatient			229.63	229.63																																																			
SUTURE ABSORBABLE VICRYL 2-0 CT-2 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J726D	CDM			270	RC		outpatient			229.56	229.56	62.19				percent of total billed charges		229.56				other	OPPS APC	169.87				percent of total billed charges		229.56				other	OPPS APC	229.56				other	OPPS APC	62.19				percent of total billed charges		63.43				percent of total billed charges		229.56				other	OPPS APC	62.19	229.56	
SUTURE ABSORBABLE VICRYL 2-0 CT-2 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J726D	CDM			270	RC		inpatient			229.56	229.56																																																			
CLIP FIXATION TITANIUM CRANIAL 1.5 MM 1.7 MM SCREW	SUP-5405100	CDM	270010029	LOCAL	270	RC		outpatient			229.5	229.5	62.17				percent of total billed charges		229.5				other	OPPS APC	169.83				percent of total billed charges		229.5				other	OPPS APC	229.5				other	OPPS APC	62.17				percent of total billed charges		63.41				percent of total billed charges		229.5				other	OPPS APC	62.17	229.5	
CLIP FIXATION TITANIUM CRANIAL 1.5 MM 1.7 MM SCREW	SUP-5405100	CDM	270010029	LOCAL	270	RC		inpatient			229.5	229.5																																																			
PACK SURGICAL CUSTOM CAROTID LATEX FREE	SUP-SCVHDCPPNC	CDM	270009166	LOCAL	270	RC		outpatient			229.3	229.31	62.12				percent of total billed charges		229.3				other	OPPS APC	169.68				percent of total billed charges		229.3				other	OPPS APC	229.3				other	OPPS APC	62.12				percent of total billed charges		63.36				percent of total billed charges		229.31				other	OPPS APC	62.12	229.31	
PACK SURGICAL CUSTOM CAROTID LATEX FREE	SUP-SCVHDCPPNC	CDM	270009166	LOCAL	270	RC		inpatient			229.3	229.3																																																			
SAW BLADE DUAL CUT 90L X 25MM	SUP-95-05092	CDM			272	RC		outpatient			229.22	229.22	62.1				percent of total billed charges		229.22				other	OPPS APC	169.62				percent of total billed charges		229.22				other	OPPS APC	229.22				other	OPPS APC	62.1				percent of total billed charges		63.33				percent of total billed charges		229.22				other	OPPS APC	62.1	229.22	
SAW BLADE DUAL CUT 90L X 25MM	SUP-95-05092	CDM			272	RC		inpatient			229.22	229.22																																																			
HC Drug Screening  Fentanyl	PX-300803540	CDM	80354	CPT	301	RC		outpatient			229	229	14.4				fee schedule		229				fee schedule		169.46				percent of total billed charges		229				fee schedule		229				fee schedule		112.21				percent of total billed charges		116.79				percent of total billed charges		229				fee schedule		14.4	229	
HC Drug Screening  Fentanyl	PX-300803540	CDM	80354	CPT	301	RC		inpatient			229	229																																																			
HC H. Pylori Urea Breath Test (Ubt)	PX-300830130	CDM	83013	CPT	301	RC		outpatient			229	67.36	90.05				fee schedule		67.36				fee schedule		178.81				fee schedule		67.36				fee schedule		67.36				fee schedule		67.36				fee schedule		67.36				fee schedule		67.36				fee schedule		67.36	178.81	
HC H. Pylori Urea Breath Test (Ubt)	PX-300830130	CDM	83013	CPT	301	RC		inpatient			229	229																																																			
HC Antibody Identification	PX-300868700	CDM	86870	CPT	300	RC		outpatient			229	341.36	15				fee schedule		341.36				other	OPPS APC	66.06				fee schedule		341.36				other	OPPS APC	341.36				other	OPPS APC	112.21				percent of total billed charges		116.79				percent of total billed charges		341.36				other	OPPS APC	15	341.36	
HC Antibody Identification	PX-300868700	CDM	86870	CPT	300	RC		inpatient			229	229																																																			
HC Tn Screening Heroine Metabolite	PX-301803560	CDM	80356	CPT	301	RC		outpatient			229	229	112.21				percent of total billed charges		229				fee schedule		169.46				percent of total billed charges		229				fee schedule		229				fee schedule		112.21				percent of total billed charges		116.79				percent of total billed charges		229				fee schedule		112.21	229	
HC Tn Screening Heroine Metabolite	PX-301803560	CDM	80356	CPT	301	RC		inpatient			229	229																																																			
Subsequent Hospital Care 99233	PX-988992331	CDM	99233	CPT	988	RC		outpatient			229	229	103.6				fee schedule		229				other	OPPS APC	169.46				percent of total billed charges		229				other	OPPS APC	229				fee schedule		117.31				fee schedule		116.79				percent of total billed charges		229				fee schedule		103.6	229	
Subsequent Hospital Care 99233	PX-988992331	CDM	99233	CPT	988	RC		inpatient			229	229																																																			
SCRAPER OPHTHALMIC DDMS L80 MM OD20 GA DIAMOND DUSTED MEMBRANE SOFT SILICONEE TIP STERILE DISPOSABLE	SUP-20.07	CDM			270	RC		outpatient			228.8	228.81	61.98				percent of total billed charges		228.8				other	OPPS APC	169.31				percent of total billed charges		228.8				other	OPPS APC	228.8				other	OPPS APC	61.98				percent of total billed charges		63.22				percent of total billed charges		228.81				other	OPPS APC	61.98	228.81	
SCRAPER OPHTHALMIC DDMS L80 MM OD20 GA DIAMOND DUSTED MEMBRANE SOFT SILICONEE TIP STERILE DISPOSABLE	SUP-20.07	CDM			270	RC		inpatient			228.8	228.8																																																			
SCREW BONE TITANIUM L10 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.110.01	CDM			270	RC		outpatient			228.66	228.66	61.94				percent of total billed charges		228.66				other	OPPS APC	169.21				percent of total billed charges		228.66				other	OPPS APC	228.66				other	OPPS APC	61.94				percent of total billed charges		63.18				percent of total billed charges		228.66				other	OPPS APC	61.94	228.66	
SCREW BONE TITANIUM L10 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.110.01	CDM			270	RC		inpatient			228.66	228.66																																																			
SCREW BONE TITANIUM L12 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.112.01	CDM			270	RC		outpatient			228.66	228.66	61.94				percent of total billed charges		228.66				other	OPPS APC	169.21				percent of total billed charges		228.66				other	OPPS APC	228.66				other	OPPS APC	61.94				percent of total billed charges		63.18				percent of total billed charges		228.66				other	OPPS APC	61.94	228.66	
SCREW BONE TITANIUM L12 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.112.01	CDM			270	RC		inpatient			228.66	228.66																																																			
SCREW BONE TITANIUM L14 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.114.01	CDM			270	RC		outpatient			228.66	228.66	61.94				percent of total billed charges		228.66				other	OPPS APC	169.21				percent of total billed charges		228.66				other	OPPS APC	228.66				other	OPPS APC	61.94				percent of total billed charges		63.18				percent of total billed charges		228.66				other	OPPS APC	61.94	228.66	
SCREW BONE TITANIUM L14 MM OD3 MM STERNAL SELF DRILL LOCK NONSTERILE FIXATION SYSTEM	SUP-04.501.114.01	CDM			270	RC		inpatient			228.66	228.66																																																			
PLATE BONE TITANIUM L12 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR 1.5 MM SCREW	SUP-5305212	CDM			270	RC		outpatient			228	228	61.77				percent of total billed charges		228				other	OPPS APC	168.72				percent of total billed charges		228				other	OPPS APC	228				other	OPPS APC	61.77				percent of total billed charges		63				percent of total billed charges		228				other	OPPS APC	61.77	228	
PLATE BONE TITANIUM L12 MM CRANIOMAXILLOFACIAL 2 HOLE LOW PROFILE BAR 1.5 MM SCREW	SUP-5305212	CDM			270	RC		inpatient			228	228																																																			
EP DYNAMIC DECA XT LARGE Reproc	SUP-BAR201102	CDM			270	RC		outpatient			228	228	61.77				percent of total billed charges		228				other	OPPS APC	168.72				percent of total billed charges		228				other	OPPS APC	228				other	OPPS APC	61.77				percent of total billed charges		63				percent of total billed charges		228				other	OPPS APC	61.77	228	
EP DYNAMIC DECA XT LARGE Reproc	SUP-BAR201102	CDM			270	RC		inpatient			228	228																																																			
EP Decapolar STEERABLE DECAPOLAR LARGE CURVE reproc	SUP-IRV81104	CDM			270	RC		outpatient			228	228	61.77				percent of total billed charges		228				other	OPPS APC	168.72				percent of total billed charges		228				other	OPPS APC	228				other	OPPS APC	61.77				percent of total billed charges		63				percent of total billed charges		228				other	OPPS APC	61.77	228	
EP Decapolar STEERABLE DECAPOLAR LARGE CURVE reproc	SUP-IRV81104	CDM			270	RC		inpatient			228	228																																																			
EP STEERABLE QUAD LARGE CURVE reproc	SUP-IRV81404	CDM			270	RC		outpatient			228	228	61.77				percent of total billed charges		228				other	OPPS APC	168.72				percent of total billed charges		228				other	OPPS APC	228				other	OPPS APC	61.77				percent of total billed charges		63				percent of total billed charges		228				other	OPPS APC	61.77	228	
EP STEERABLE QUAD LARGE CURVE reproc	SUP-IRV81404	CDM			270	RC		inpatient			228	228																																																			
EP STEERABLE OCTAPOLAR LARGE CURVE reproc	SUP-IRV81809	CDM			270	RC		outpatient			228	228	61.77				percent of total billed charges		228				other	OPPS APC	168.72				percent of total billed charges		228				other	OPPS APC	228				other	OPPS APC	61.77				percent of total billed charges		63				percent of total billed charges		228				other	OPPS APC	61.77	228	
EP STEERABLE OCTAPOLAR LARGE CURVE reproc	SUP-IRV81809	CDM			270	RC		inpatient			228	228																																																			
RETRACTOR SURGICAL IRIS GRIESHABER FLEXIBLE STERILE LATEX FREE DISPOSABLE	SUP-611.75	CDM			270	RC		outpatient			227.98	227.98	61.76				percent of total billed charges		227.98				other	OPPS APC	168.71				percent of total billed charges		227.98				other	OPPS APC	227.98				other	OPPS APC	61.76				percent of total billed charges		62.99				percent of total billed charges		227.98				other	OPPS APC	61.76	227.98	
RETRACTOR SURGICAL IRIS GRIESHABER FLEXIBLE STERILE LATEX FREE DISPOSABLE	SUP-611.75	CDM			270	RC		inpatient			227.98	227.98																																																			
SCREW BONE LCP TITANIUM L6 MM OD2.4 MM DISTAL RADIUS T8 STARDRIVE RECESS SELF TAPPING LOCKING THREADED CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.806	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW BONE LCP TITANIUM L6 MM OD2.4 MM DISTAL RADIUS T8 STARDRIVE RECESS SELF TAPPING LOCKING THREADED CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.806	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW BONE LCP TITANIUM L7 MM OD2.4 MM ORTHOPEDIC SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-412.807	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW BONE LCP TITANIUM L7 MM OD2.4 MM ORTHOPEDIC SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-412.807	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW BONE LCP TITANIUM L8 MM OD2.4 MM DISTAL RADIUS T8 STARDRIVE RECESS SELF TAPPING LOCKING THREADED CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.808	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW BONE LCP TITANIUM L8 MM OD2.4 MM DISTAL RADIUS T8 STARDRIVE RECESS SELF TAPPING LOCKING THREADED CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.808	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW BONE LCP TITANIUM L9 MM OD2.4 MM ORTHOPEDIC SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-412.809	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW BONE LCP TITANIUM L9 MM OD2.4 MM ORTHOPEDIC SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-412.809	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW BONE LCP TITANIUM T8 CONE L10 MM OD2.4 MM RADIUS DISTAL SELF TAP THREAD STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-412.810	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW BONE LCP TITANIUM T8 CONE L10 MM OD2.4 MM RADIUS DISTAL SELF TAP THREAD STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-412.810	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW SYNTHES 2.4MM LOCKING 11MM	SUP-412.811	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW SYNTHES 2.4MM LOCKING 11MM	SUP-412.811	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW SYNTHES 2.4MM LOCKING 12MM	SUP-412.812	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW SYNTHES 2.4MM LOCKING 12MM	SUP-412.812	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW BONE LCP TITANIUM T8 L14 MM OD2.4 MM ODSEC1.9 MM RADIUS DISTAL SELF TAP LOCK STARDRIVE CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.814	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW BONE LCP TITANIUM T8 L14 MM OD2.4 MM ODSEC1.9 MM RADIUS DISTAL SELF TAP LOCK STARDRIVE CONICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-412.814	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
SCREW SYNTHES 2.4MM LOCKING 18MM	SUP-412.818	CDM	270010022	LOCAL	270	RC		outpatient			227.96	227.96	61.75				percent of total billed charges		227.96				other	OPPS APC	168.69				percent of total billed charges		227.96				other	OPPS APC	227.96				other	OPPS APC	61.75				percent of total billed charges		62.99				percent of total billed charges		227.96				other	OPPS APC	61.75	227.96	
SCREW SYNTHES 2.4MM LOCKING 18MM	SUP-412.818	CDM	270010022	LOCAL	270	RC		inpatient			227.96	227.96																																																			
CEMENT R HV SIMPLEX	SUP-78-00353	CDM			278	RC		outpatient			227.5	227.5	227.5				fee schedule		227.5				other	OPPS APC	129.68				percent of total billed charges		227.5				other	OPPS APC	227.5				other	OPPS APC	111.48				percent of total billed charges		116.03				percent of total billed charges		227.5				other	OPPS APC	111.48	227.5	
CEMENT R HV SIMPLEX	SUP-78-00353	CDM			278	RC		inpatient			227.5	227.5																																																			
CANNULA TRIM IT CUSTOM HIP	SUP-95-05290	CDM			272	RC		outpatient			227.5	227.5	61.63				percent of total billed charges		227.5				other	OPPS APC	168.35				percent of total billed charges		227.5				other	OPPS APC	227.5				other	OPPS APC	61.63				percent of total billed charges		62.86				percent of total billed charges		227.5				other	OPPS APC	61.63	227.5	
CANNULA TRIM IT CUSTOM HIP	SUP-95-05290	CDM			272	RC		inpatient			227.5	227.5																																																			
GPS PINS	SUP-97-00682	CDM			272	RC		outpatient			227.5	227.5	61.63				percent of total billed charges		227.5				other	OPPS APC	168.35				percent of total billed charges		227.5				other	OPPS APC	227.5				other	OPPS APC	61.63				percent of total billed charges		62.86				percent of total billed charges		227.5				other	OPPS APC	61.63	227.5	
GPS PINS	SUP-97-00682	CDM			272	RC		inpatient			227.5	227.5																																																			
SHORT THREADED PIN /SHORT INSERTER	SUP-97-01256	CDM			278	RC		outpatient			227.5	227.5	227.5				fee schedule		227.5				other	OPPS APC	129.68				percent of total billed charges		227.5				other	OPPS APC	227.5				other	OPPS APC	111.48				percent of total billed charges		116.03				percent of total billed charges		227.5				other	OPPS APC	111.48	227.5	
SHORT THREADED PIN /SHORT INSERTER	SUP-97-01256	CDM			278	RC		inpatient			227.5	227.5																																																			
SCREW 2.7MM CORTEX 16MM	SUP-97-02177	CDM			278	RC		outpatient			227.5	227.5	227.5				fee schedule		227.5				other	OPPS APC	129.68				percent of total billed charges		227.5				other	OPPS APC	227.5				other	OPPS APC	111.48				percent of total billed charges		116.03				percent of total billed charges		227.5				other	OPPS APC	111.48	227.5	
SCREW 2.7MM CORTEX 16MM	SUP-97-02177	CDM			278	RC		inpatient			227.5	227.5																																																			
SHEATH - 11F X 11CM	SUP-99-00954	CDM			272	RC		outpatient			227.5	227.5	61.63				percent of total billed charges		227.5				other	OPPS APC	168.35				percent of total billed charges		227.5				other	OPPS APC	227.5				other	OPPS APC	61.63				percent of total billed charges		62.86				percent of total billed charges		227.5				other	OPPS APC	61.63	227.5	
SHEATH - 11F X 11CM	SUP-99-00954	CDM			272	RC		inpatient			227.5	227.5																																																			
TIP ACCS VISTASEAL 45CM LAP AIRLESS SPRA	SUP-95-04872	CDM			272	RC		outpatient			227.45	227.45	61.62				percent of total billed charges		227.45				other	OPPS APC	168.31				percent of total billed charges		227.45				other	OPPS APC	227.45				other	OPPS APC	61.62				percent of total billed charges		62.84				percent of total billed charges		227.45				other	OPPS APC	61.62	227.45	
TIP ACCS VISTASEAL 45CM LAP AIRLESS SPRA	SUP-95-04872	CDM			272	RC		inpatient			227.45	227.45																																																			
RX LOCKING DEVICE BX PORT CAP PROTECTOR/SYSTEM	SUP-M00545261	CDM			270	RC		outpatient			227.24	227.24	61.56				percent of total billed charges		227.24				other	OPPS APC	168.16				percent of total billed charges		227.24				other	OPPS APC	227.24				other	OPPS APC	61.56				percent of total billed charges		62.79				percent of total billed charges		227.24				other	OPPS APC	61.56	227.24	
RX LOCKING DEVICE BX PORT CAP PROTECTOR/SYSTEM	SUP-M00545261	CDM			270	RC		inpatient			227.24	227.24																																																			
PLATE BONE THINFLAP TITANIUM LONG CRANIOMAXILLOFACIAL 4 HOLE STRAIGHT	SUP-19-1045	CDM			270	RC		outpatient			226.8	226.81	61.44				percent of total billed charges		226.8				other	OPPS APC	167.83				percent of total billed charges		226.8				other	OPPS APC	226.8				other	OPPS APC	61.44				percent of total billed charges		62.66				percent of total billed charges		226.81				other	OPPS APC	61.44	226.81	
PLATE BONE THINFLAP TITANIUM LONG CRANIOMAXILLOFACIAL 4 HOLE STRAIGHT	SUP-19-1045	CDM			270	RC		inpatient			226.8	226.8																																																			
SOLID DRILL 1.7MM	SUP-97-01042	CDM			272	RC		outpatient			226.52	226.52	61.36				percent of total billed charges		226.52				other	OPPS APC	167.62				percent of total billed charges		226.52				other	OPPS APC	226.52				other	OPPS APC	61.36				percent of total billed charges		62.59				percent of total billed charges		226.52				other	OPPS APC	61.36	226.52	
SOLID DRILL 1.7MM	SUP-97-01042	CDM			272	RC		inpatient			226.52	226.52																																																			
INTRODUCER SHEATH CHECK-FLO PERFORMER LG 30CM 42CM 18FR 5.9MM AQ DISPOSABLE STERILE RADIOPAQUE DILATOR NONTAPER END	SUP-G11672	CDM			481	RC		outpatient			225.72	225.72	110.6				percent of total billed charges		225.72				other	OPPS APC	167.03				percent of total billed charges		225.72				other	OPPS APC	225.72				other	OPPS APC	110.6				percent of total billed charges		115.12				percent of total billed charges		225.72				other	OPPS APC	110.6	225.72	
INTRODUCER SHEATH CHECK-FLO PERFORMER LG 30CM 42CM 18FR 5.9MM AQ DISPOSABLE STERILE RADIOPAQUE DILATOR NONTAPER END	SUP-G11672	CDM			481	RC		inpatient			225.72	225.72																																																			
GUIDEWIRE ENDOSCOPIC WALLSTENT TAPER 500CM .035IN DISPOSABLE SUPER STIFF	SUP-H965180011	CDM			270	RC		outpatient			225.6	225.6	61.12				percent of total billed charges		225.6				other	OPPS APC	166.94				percent of total billed charges		225.6				other	OPPS APC	225.6				other	OPPS APC	61.12				percent of total billed charges		62.33				percent of total billed charges		225.6				other	OPPS APC	61.12	225.6	
GUIDEWIRE ENDOSCOPIC WALLSTENT TAPER 500CM .035IN DISPOSABLE SUPER STIFF	SUP-H965180011	CDM			270	RC		inpatient			225.6	225.6																																																			
GUIDE WIRE DRILL TIP 2.5	SUP-95-03342	CDM			272	RC		outpatient			225.44	225.44	61.07				percent of total billed charges		225.44				other	OPPS APC	166.83				percent of total billed charges		225.44				other	OPPS APC	225.44				other	OPPS APC	61.07				percent of total billed charges		62.29				percent of total billed charges		225.44				other	OPPS APC	61.07	225.44	
GUIDE WIRE DRILL TIP 2.5	SUP-95-03342	CDM			272	RC		inpatient			225.44	225.44																																																			
STENT BILIARY FLEXIMA PLASTIC L12 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539230_158914	CDM			270	RC		outpatient			225.32	225.32	61.04				percent of total billed charges		225.32				other	OPPS APC	166.74				percent of total billed charges		225.32				other	OPPS APC	225.32				other	OPPS APC	61.04				percent of total billed charges		62.26				percent of total billed charges		225.32				other	OPPS APC	61.04	225.32	
STENT BILIARY FLEXIMA PLASTIC L12 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539230_158914	CDM			270	RC		inpatient			225.32	225.32																																																			
STENT BILIARY FLEXIMA PLASTIC L15 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539240	CDM			270	RC		outpatient			225.32	225.32	61.04				percent of total billed charges		225.32				other	OPPS APC	166.74				percent of total billed charges		225.32				other	OPPS APC	225.32				other	OPPS APC	61.04				percent of total billed charges		62.26				percent of total billed charges		225.32				other	OPPS APC	61.04	225.32	
STENT BILIARY FLEXIMA PLASTIC L15 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539240	CDM			270	RC		inpatient			225.32	225.32																																																			
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L7 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539310	CDM			270	RC		outpatient			225.32	225.32	61.04				percent of total billed charges		225.32				other	OPPS APC	166.74				percent of total billed charges		225.32				other	OPPS APC	225.32				other	OPPS APC	61.04				percent of total billed charges		62.26				percent of total billed charges		225.32				other	OPPS APC	61.04	225.32	
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L7 CM OD10 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539310	CDM			270	RC		inpatient			225.32	225.32																																																			
WRENCH PIN 4.5 X 120MM	SUP-95-04722	CDM			272	RC		outpatient			225.23	225.23	61.01				percent of total billed charges		225.23				other	OPPS APC	166.67				percent of total billed charges		225.23				other	OPPS APC	225.23				other	OPPS APC	61.01				percent of total billed charges		62.23				percent of total billed charges		225.23				other	OPPS APC	61.01	225.23	
WRENCH PIN 4.5 X 120MM	SUP-95-04722	CDM			272	RC		inpatient			225.23	225.23																																																			
GUIDEWIRE - FILTERWIRE RETREIVAL SHEATH	SUP-99-01100	CDM			272	RC		outpatient			225.12	225.12	60.99				percent of total billed charges		225.12				other	OPPS APC	166.59				percent of total billed charges		225.12				other	OPPS APC	225.12				other	OPPS APC	60.99				percent of total billed charges		62.2				percent of total billed charges		225.12				other	OPPS APC	60.99	225.12	
GUIDEWIRE - FILTERWIRE RETREIVAL SHEATH	SUP-99-01100	CDM			272	RC		inpatient			225.12	225.12																																																			
TIOTROPIUM 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP	250000000	CDM	0597-0100-51	NDC				inpatient			225	225																																																			
TIOTROPIUM 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP	250000000	CDM	0597-0100-51	NDC				outpatient			225	225																																															other	OPPS APC			
TRIAMCINOLONE 0.1 % LOTION 60 ML BOTTLE	637000000	CDM	0713-0676-53	NDC	A9270	HCPCS		inpatient			225	225																																																			
TRIAMCINOLONE 0.1 % LOTION 60 ML BOTTLE	637000000	CDM	0713-0676-53	NDC	A9270	HCPCS		outpatient			225	225																																															other	OPPS APC			
HC Vitamin B-1 (Vitb1)	PX-300844250	CDM	84425	CPT	301	RC		outpatient			225	21.23	28.38				fee schedule		21.23				fee schedule		56.37				fee schedule		21.23				fee schedule		21.23				fee schedule		21.23				fee schedule		21.23				fee schedule		21.23				fee schedule		21.23	56.37	
HC Vitamin B-1 (Vitb1)	PX-300844250	CDM	84425	CPT	301	RC		inpatient			225	225																																																			
HC Flow Cyto Interp 16 or Great Mark	PX-300881890	CDM	88189	CPT	300	RC		outpatient			225	81.72	109.59				fee schedule		81.72				fee schedule		65.92				fee schedule		81.72				fee schedule		81.72				fee schedule		110.25				percent of total billed charges		114.75				percent of total billed charges		81.72				fee schedule		65.92	114.75	
HC Flow Cyto Interp 16 or Great Mark	PX-300881890	CDM	88189	CPT	300	RC		inpatient			225	225																																																			
TREK BALLOON 1.5 X 12 MM	SUP-1012269-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 1.5 X 12 MM	SUP-1012269-12	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 1.5 X 15 MM	SUP-1012269-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 1.5 X 15 MM	SUP-1012269-15	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 2.0 X 30 MM	SUP-1012270-30	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 2.0 X 30 MM	SUP-1012270-30	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 2.25 X 20 MM	SUP-1012271-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 2.25 X 20 MM	SUP-1012271-20	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 2.5 X 6 MM	SUP-1012272-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 2.5 X 6 MM	SUP-1012272-06	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 2.5 X 20 MM	SUP-1012272-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 2.5 X 20 MM	SUP-1012272-20	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 2.5 X 30 MM	SUP-1012272-30	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 2.5 X 30 MM	SUP-1012272-30	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 2.75 X 12 MM	SUP-1012273-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 2.75 X 12 MM	SUP-1012273-12	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.0 X 6 MM	SUP-1012274-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.0 X 6 MM	SUP-1012274-06	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.0 X 12 MM	SUP-1012274-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.0 X 12 MM	SUP-1012274-12	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.0 X 20 MM	SUP-1012274-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.0 X 20 MM	SUP-1012274-20	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.0 X 30 MM	SUP-1012274-30	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.0 X 30 MM	SUP-1012274-30	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.25 X 6 MM	SUP-1012275-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.25 X 6 MM	SUP-1012275-06	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.5 X 12 MM	SUP-1012276-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.5 X 12 MM	SUP-1012276-12	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.5 X 15 MM	SUP-1012276-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.5 X 15 MM	SUP-1012276-15	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.5 X 20 MM	SUP-1012276-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.5 X 20 MM	SUP-1012276-20	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.5 X 30 MM	SUP-1012276-30	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.5 X 30 MM	SUP-1012276-30	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 3.75 X 15 MM	SUP-1012277-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 3.75 X 15 MM	SUP-1012277-15	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 4.0 X 6 MM	SUP-1012278-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 4.0 X 6 MM	SUP-1012278-06	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 4.0 X 12 MM	SUP-1012278-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 4.0 X 12 MM	SUP-1012278-12	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 4.0 X 20 MM	SUP-1012278-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 4.0 X 20 MM	SUP-1012278-20	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 4.5 X 15 MM	SUP-1012279-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 4.5 X 15 MM	SUP-1012279-15	CDM			481	RC		inpatient			225	225																																																			
TREK BALLOON 5.0 X 12 MM	SUP-1012280-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
TREK BALLOON 5.0 X 12 MM	SUP-1012280-12	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 1.5 X 6 MM	SUP-1012444-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 1.5 X 6 MM	SUP-1012444-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 1.5 X 8 MM	SUP-1012444-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 1.5 X 8 MM	SUP-1012444-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 1.5 X 12 MM	SUP-1012444-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 1.5 X 12 MM	SUP-1012444-12	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 1.5 X 15 MM	SUP-1012444-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 1.5 X 15 MM	SUP-1012444-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 1.5 X 20 MM	SUP-1012444-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 1.5 X 20 MM	SUP-1012444-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.0 X 6 MM	SUP-1012445-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.0 X 6 MM	SUP-1012445-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.0 X 8 MM	SUP-1012445-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.0 X 8 MM	SUP-1012445-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.0 X 15 MM	SUP-1012445-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.0 X 15 MM	SUP-1012445-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.0 X 20 MM	SUP-1012445-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.0 X 20 MM	SUP-1012445-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.25 X 6 MM	SUP-1012446-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.25 X 6 MM	SUP-1012446-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.25 X 8 MM	SUP-1012446-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.25 X 8 MM	SUP-1012446-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.25 X 12 MM	SUP-1012446-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.25 X 12 MM	SUP-1012446-12	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.25 X 15 MM	SUP-1012446-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.25 X 15 MM	SUP-1012446-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.25 X 20 MM	SUP-1012446-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.25 X 20 MM	SUP-1012446-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.5 X 6 MM	SUP-1012447-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.5 X 6 MM	SUP-1012447-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.5 X 8 MM	SUP-1012447-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.5 X 8 MM	SUP-1012447-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.5 X 15 MM	SUP-1012447-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.5 X 15 MM	SUP-1012447-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.5 X 20 MM	SUP-1012447-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.5 X 20 MM	SUP-1012447-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.75 X 6 MM	SUP-1012448-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.75 X 6 MM	SUP-1012448-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.75 X 15 MM	SUP-1012448-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.75 X 15 MM	SUP-1012448-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 2.75 X 20 MM	SUP-1012448-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 2.75 X 20 MM	SUP-1012448-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.0 X 6 MM	SUP-1012449-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.0 X 6 MM	SUP-1012449-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.0 X 8 MM	SUP-1012449-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.0 X 8 MM	SUP-1012449-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.0 X 15 MM	SUP-1012449-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.0 X 15 MM	SUP-1012449-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.0 X 20 MM	SUP-1012449-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.0 X 20 MM	SUP-1012449-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.25 X 6 MM	SUP-1012450-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.25 X 6 MM	SUP-1012450-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.25 X 20 MM	SUP-1012450-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.25 X 20 MM	SUP-1012450-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.5 X 6 MM	SUP-1012451-06	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.5 X 6 MM	SUP-1012451-06	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.5 X 8 MM	SUP-1012451-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.5 X 8 MM	SUP-1012451-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.5 X 20 MM	SUP-1012451-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.5 X 20 MM	SUP-1012451-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.5 X 25 MM	SUP-1012451-25	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.5 X 25 MM	SUP-1012451-25	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.75 X 12 MM	SUP-1012452-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.75 X 12 MM	SUP-1012452-12	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.75 X 15 MM	SUP-1012452-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.75 X 15 MM	SUP-1012452-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 3.75 X 20 MM	SUP-1012452-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 3.75 X 20 MM	SUP-1012452-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 4.0 X 15 MM	SUP-1012453-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 4.0 X 15 MM	SUP-1012453-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 4.0 X 20 MM	SUP-1012453-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 4.0 X 20 MM	SUP-1012453-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 4.5 X 8 MM	SUP-1012454-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 4.5 X 8 MM	SUP-1012454-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 4.5 X 12 MM	SUP-1012454-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 4.5 X 12 MM	SUP-1012454-12	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 4.5 X 15 MM	SUP-1012454-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 4.5 X 15 MM	SUP-1012454-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 4.5 X 20 MM	SUP-1012454-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 4.5 X 20 MM	SUP-1012454-20	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 5.0 X 8 MM	SUP-1012455-08	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 5.0 X 8 MM	SUP-1012455-08	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 5.0 X 12 MM	SUP-1012455-12	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 5.0 X 12 MM	SUP-1012455-12	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 5.0 X 15 MM	SUP-1012455-15	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 5.0 X 15 MM	SUP-1012455-15	CDM			481	RC		inpatient			225	225																																																			
NC TREK BALLOON 5.0 X 20 MM	SUP-1012455-20	CDM			481	RC		outpatient			225	225	110.25				percent of total billed charges		225				other	OPPS APC	166.5				percent of total billed charges		225				other	OPPS APC	225				other	OPPS APC	110.25				percent of total billed charges		114.75				percent of total billed charges		225				other	OPPS APC	110.25	225	
NC TREK BALLOON 5.0 X 20 MM	SUP-1012455-20	CDM			481	RC		inpatient			225	225																																																			
COMPRESSION SCREW	SUP-97-04115	CDM			278	RC		outpatient			224.84	224.84	224.84				fee schedule		224.84				other	OPPS APC	128.16				percent of total billed charges		224.84				other	OPPS APC	224.84				other	OPPS APC	110.17				percent of total billed charges		114.67				percent of total billed charges		224.84				other	OPPS APC	110.17	224.84	
COMPRESSION SCREW	SUP-97-04115	CDM			278	RC		inpatient			224.84	224.84																																																			
HANDPIECE VITREORETINAL CONSTELLATION PNEUMATIC LIGHT WEIGHT ERGONOMIC HANDLE STERILE DISPOSABLE	SUP-725.03	CDM						inpatient			224.82	224.82																																																			
HANDPIECE VITREORETINAL CONSTELLATION PNEUMATIC LIGHT WEIGHT ERGONOMIC HANDLE STERILE DISPOSABLE	SUP-725.03	CDM						outpatient			224.82	224.82	224.82				percent of total billed charges		224.82				other	OPPS APC	224.82				fee schedule		224.82				other	OPPS APC	224.82				other	OPPS APC	224.82				case rate		224.82				case rate		224.82				other	OPPS APC	224.82	224.82	
Tracy Central Quad 8.5fr X 16cm Arrow	PX-278C17512	CDM			278	RC		outpatient			224.72	224.72	224.72				fee schedule		224.72				other	OPPS APC	128.09				percent of total billed charges		224.72				other	OPPS APC	224.72				other	OPPS APC	110.11				percent of total billed charges		114.61				percent of total billed charges		224.72				other	OPPS APC	110.11	224.72	
Tracy Central Quad 8.5fr X 16cm Arrow	PX-278C17512	CDM			278	RC		inpatient			224.72	224.72																																																			
STAPLER INTERNAL ENDO GIA ULTRA TRI-STAPLE SHORT UNIVERSAL 6CM 12MM TITANIUM DISPOSABLE STERILE LF THIN VASCULAR TISSUE	SUP-EGIAUSHORT	CDM			270	RC		outpatient			224.52	224.52	60.82				percent of total billed charges		224.52				other	OPPS APC	166.14				percent of total billed charges		224.52				other	OPPS APC	224.52				other	OPPS APC	60.82				percent of total billed charges		62.03				percent of total billed charges		224.52				other	OPPS APC	60.82	224.52	
STAPLER INTERNAL ENDO GIA ULTRA TRI-STAPLE SHORT UNIVERSAL 6CM 12MM TITANIUM DISPOSABLE STERILE LF THIN VASCULAR TISSUE	SUP-EGIAUSHORT	CDM			270	RC		inpatient			224.52	224.52																																																			
NEEDLE ASPIRATION VIZISHOT L70 CM L40 MM OD21 GA ID1.9 MM ECHOGENIC DIMPLED TIP DESIGN MAXIMUM EXTRUDING STROKE STERILE DISPOSABLE	SUP-NA-210SX-4021	CDM			270	RC		outpatient			224.46	224.46	60.81				percent of total billed charges		224.46				other	OPPS APC	166.1				percent of total billed charges		224.46				other	OPPS APC	224.46				other	OPPS APC	60.81				percent of total billed charges		62.02				percent of total billed charges		224.46				other	OPPS APC	60.81	224.46	
NEEDLE ASPIRATION VIZISHOT L70 CM L40 MM OD21 GA ID1.9 MM ECHOGENIC DIMPLED TIP DESIGN MAXIMUM EXTRUDING STROKE STERILE DISPOSABLE	SUP-NA-210SX-4021	CDM			270	RC		inpatient			224.46	224.46																																																			
DISPOSABLE BALLOON CATHETER 5FR 11MM 1050MM KINK RESISTANT EXCELLENT XRAY VISIBILITY DILATATION	SUP-B5-2C	CDM			270	RC		outpatient			224.24	224.24	60.75				percent of total billed charges		224.24				other	OPPS APC	165.94				percent of total billed charges		224.24				other	OPPS APC	224.24				other	OPPS APC	60.75				percent of total billed charges		61.96				percent of total billed charges		224.24				other	OPPS APC	60.75	224.24	
DISPOSABLE BALLOON CATHETER 5FR 11MM 1050MM KINK RESISTANT EXCELLENT XRAY VISIBILITY DILATATION	SUP-B5-2C	CDM			270	RC		inpatient			224.24	224.24																																																			
TREK BALLOON 1.2 X 6 MM	SUP-1012268-06U	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 1.2 X 6 MM	SUP-1012268-06U	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 1.2 X 12 MM	SUP-1012268-12U	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 1.2 X 12 MM	SUP-1012268-12U	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK 6MM 1.5MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE	SUP-1012269-06	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK 6MM 1.5MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE	SUP-1012269-06	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK 8MM 1.5MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE	SUP-1012269-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK 8MM 1.5MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE	SUP-1012269-08	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK 20MM 1.5MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE	SUP-1012269-20	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK 20MM 1.5MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE FLEXIBLE	SUP-1012269-20	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 6MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-06	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 6MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-06	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 8MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 8MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-08	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 12MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 12MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-12	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 2.0 X 15 MM	SUP-1012270-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 2.0 X 15 MM	SUP-1012270-15	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 20MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-20	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION MINI TREK SLIM SEAL 20MM 2MM TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE RADIOPAQUE	SUP-1012270-20	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 2.25MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012271-06	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 2.25MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012271-06	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 2.25 X 12 MM	SUP-1012271-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 2.25 X 12 MM	SUP-1012271-12	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 2.25 X 15 MM	SUP-1012271-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 2.25 X 15 MM	SUP-1012271-15	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 8MM 2.5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012272-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 8MM 2.5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012272-08	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 12MM 2.5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012272-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 12MM 2.5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012272-12	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 2.5 X 15 MM	SUP-1012272-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 2.5 X 15 MM	SUP-1012272-15	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 2.75MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012273-06	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 2.75MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012273-06	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 2.75 X 15 MM	SUP-1012273-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 2.75 X 15 MM	SUP-1012273-15	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 2.75 X 20 MM	SUP-1012273-20	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 2.75 X 20 MM	SUP-1012273-20	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 8MM 3MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012274-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 8MM 3MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012274-08	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 3.0 X 15 MM	SUP-1012274-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 3.0 X 15 MM	SUP-1012274-15	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 15MM 3.25MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012275-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 15MM 3.25MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012275-15	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 20MM 3.25MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012275-20	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 20MM 3.25MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012275-20	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 3.5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012276-06	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 3.5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012276-06	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 3.5 X 8 MM	SUP-1012276-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 3.5 X 8 MM	SUP-1012276-08	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 3.75MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012277-06	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 6MM 3.75MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012277-06	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 20MM 3.75MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012277-20	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 20MM 3.75MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012277-20	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 8MM 4MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012278-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 8MM 4MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012278-08	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 15MM 4MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012278-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 15MM 4MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012278-15	CDM			481	RC		inpatient			224	224																																																			
TREK BALLOON 4.5 X 12 MM	SUP-1012279-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
TREK BALLOON 4.5 X 12 MM	SUP-1012279-12	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION TREK SLIM SEAL 15MM 5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012280-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION TREK SLIM SEAL 15MM 5MM CROSSFLEX2 TUNGSTEN CORONARY RAPID EXCHANGE ULTRA LOW PROFILE	SUP-1012280-15	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 2.0 X 12 MM	SUP-1012445-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 2.0 X 12 MM	SUP-1012445-12	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 2.5 X 12 MM	SUP-1012447-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 2.5 X 12 MM	SUP-1012447-12	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 2.75 X 8 MM	SUP-1012448-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 2.75 X 8 MM	SUP-1012448-08	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 2.75 X 12 MM	SUP-1012448-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 2.75 X 12 MM	SUP-1012448-12	CDM			481	RC		inpatient			224	224																																																			
CATHETER BALLOON DILATATION NC TREK 12MM 3MM TUNGSTEN CORONARY RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP PTCA	SUP-1012449-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
CATHETER BALLOON DILATATION NC TREK 12MM 3MM TUNGSTEN CORONARY RAPID EXCHANGE RADIOPAQUE SMOOTH ROUND TIP PTCA	SUP-1012449-12	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 3.25 X 8 MM	SUP-1012450-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 3.25 X 8 MM	SUP-1012450-08	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 3.25 X 12 MM	SUP-1012450-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 3.25 X 12 MM	SUP-1012450-12	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 3.25 X 15 MM	SUP-1012450-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 3.25 X 15 MM	SUP-1012450-15	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 3.5 X 12 MM	SUP-1012451-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 3.5 X 12 MM	SUP-1012451-12	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 3.5 X 15 MM	SUP-1012451-15	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 3.5 X 15 MM	SUP-1012451-15	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 3.75 X 8 MM	SUP-1012452-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 3.75 X 8 MM	SUP-1012452-08	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 4.0 X 8 MM	SUP-1012453-08	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 4.0 X 8 MM	SUP-1012453-08	CDM			481	RC		inpatient			224	224																																																			
NC TREK BALLOON 4.0 X 12 MM	SUP-1012453-12	CDM			481	RC		outpatient			224	224	109.76				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
NC TREK BALLOON 4.0 X 12 MM	SUP-1012453-12	CDM			481	RC		inpatient			224	224																																																			
GUIDEWIRE- COUGAR 190CM	SUP-99-04765	CDM			278	RC		outpatient			224	224	224				fee schedule		224				other	OPPS APC	127.68				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	109.76				percent of total billed charges		114.24				percent of total billed charges		224				other	OPPS APC	109.76	224	
GUIDEWIRE- COUGAR 190CM	SUP-99-04765	CDM			278	RC		inpatient			224	224																																																			
CABLE CATHETER INQUIRY L1.5 MR 4 PIN CONNECTING DIAGNOSTIC	SUP-IBI-85953	CDM			270	RC		outpatient			224	224	60.68				percent of total billed charges		224				other	OPPS APC	165.76				percent of total billed charges		224				other	OPPS APC	224				other	OPPS APC	60.68				percent of total billed charges		61.89				percent of total billed charges		224				other	OPPS APC	60.68	224	
CABLE CATHETER INQUIRY L1.5 MR 4 PIN CONNECTING DIAGNOSTIC	SUP-IBI-85953	CDM			270	RC		inpatient			224	224																																																			
SCREW BONE L 12 MM OD 4.5 MM LOCK BLUNT TIP	SUP-71827012	CDM			270	RC		outpatient			223.82	223.82	60.63				percent of total billed charges		223.82				other	OPPS APC	165.63				percent of total billed charges		223.82				other	OPPS APC	223.82				other	OPPS APC	60.63				percent of total billed charges		61.84				percent of total billed charges		223.82				other	OPPS APC	60.63	223.82	
SCREW BONE L 12 MM OD 4.5 MM LOCK BLUNT TIP	SUP-71827012	CDM			270	RC		inpatient			223.82	223.82																																																			
SCREW BONE L 36 MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827036	CDM			270	RC		outpatient			223.82	223.82	60.63				percent of total billed charges		223.82				other	OPPS APC	165.63				percent of total billed charges		223.82				other	OPPS APC	223.82				other	OPPS APC	60.63				percent of total billed charges		61.84				percent of total billed charges		223.82				other	OPPS APC	60.63	223.82	
SCREW BONE L 36 MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827036	CDM			270	RC		inpatient			223.82	223.82																																																			
SCREW BONE L 50 MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827050	CDM			270	RC		outpatient			223.82	223.82	60.63				percent of total billed charges		223.82				other	OPPS APC	165.63				percent of total billed charges		223.82				other	OPPS APC	223.82				other	OPPS APC	60.63				percent of total billed charges		61.84				percent of total billed charges		223.82				other	OPPS APC	60.63	223.82	
SCREW BONE L 50 MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827050	CDM			270	RC		inpatient			223.82	223.82																																																			
SCREW BONE PERI-LOC STAINLESS STEEL L 78  MM OD 4.5 MM CORTEX SELF TAP LOCK LOW PROFILE	SUP-71827068	CDM			270	RC		outpatient			223.82	223.82	60.63				percent of total billed charges		223.82				other	OPPS APC	165.63				percent of total billed charges		223.82				other	OPPS APC	223.82				other	OPPS APC	60.63				percent of total billed charges		61.84				percent of total billed charges		223.82				other	OPPS APC	60.63	223.82	
SCREW BONE PERI-LOC STAINLESS STEEL L 78  MM OD 4.5 MM CORTEX SELF TAP LOCK LOW PROFILE	SUP-71827068	CDM			270	RC		inpatient			223.82	223.82																																																			
SCREW BONE L 70 MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827070	CDM			270	RC		outpatient			223.82	223.82	60.63				percent of total billed charges		223.82				other	OPPS APC	165.63				percent of total billed charges		223.82				other	OPPS APC	223.82				other	OPPS APC	60.63				percent of total billed charges		61.84				percent of total billed charges		223.82				other	OPPS APC	60.63	223.82	
SCREW BONE L 70 MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827070	CDM			270	RC		inpatient			223.82	223.82																																																			
SCREW BONE L 72MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827072	CDM			270	RC		outpatient			223.82	223.82	60.63				percent of total billed charges		223.82				other	OPPS APC	165.63				percent of total billed charges		223.82				other	OPPS APC	223.82				other	OPPS APC	60.63				percent of total billed charges		61.84				percent of total billed charges		223.82				other	OPPS APC	60.63	223.82	
SCREW BONE L 72MM OD 4.5 MM CORTEX SELF TAP LOCK	SUP-71827072	CDM			270	RC		inpatient			223.82	223.82																																																			
MESH SURGICAL PROLOOP POLYPROPYLENE SMALL W1.1 IN X H1.3 IN L3.5 IN X W1.8 IN 3 DIMENSIONAL PLUG PREFORMED ONLAY NONABSORBABLE STERILE HERNIA	SUP-30900	CDM			270	RC		outpatient			223.7	223.7	60.6				percent of total billed charges		223.7				other	OPPS APC	165.54				percent of total billed charges		223.7				other	OPPS APC	223.7				other	OPPS APC	60.6				percent of total billed charges		61.81				percent of total billed charges		223.7				other	OPPS APC	60.6	223.7	
MESH SURGICAL PROLOOP POLYPROPYLENE SMALL W1.1 IN X H1.3 IN L3.5 IN X W1.8 IN 3 DIMENSIONAL PLUG PREFORMED ONLAY NONABSORBABLE STERILE HERNIA	SUP-30900	CDM			270	RC		inpatient			223.7	223.7																																																			
MESH SURGICAL PROLOOP POLYPROPYLENE MEDIUM W1.55 IN X H1.3 IN L3.5 IN X W1.8 IN PREFORMED PLUG ONLAY NONABSORBABLE STERILE HERNIA	SUP-30901	CDM			270	RC		outpatient			223.7	223.7	60.6				percent of total billed charges		223.7				other	OPPS APC	165.54				percent of total billed charges		223.7				other	OPPS APC	223.7				other	OPPS APC	60.6				percent of total billed charges		61.81				percent of total billed charges		223.7				other	OPPS APC	60.6	223.7	
MESH SURGICAL PROLOOP POLYPROPYLENE MEDIUM W1.55 IN X H1.3 IN L3.5 IN X W1.8 IN PREFORMED PLUG ONLAY NONABSORBABLE STERILE HERNIA	SUP-30901	CDM			270	RC		inpatient			223.7	223.7																																																			
MESH SURGICAL PROLOOP POLYPROPYLENE LARGE W1.9 IN X H1.6 IN L3.5 IN X W1.8 IN 3 DIMENSIONAL PLUG PREFORMED ONLAY NONABSORBABLE STERILE HERNIA	SUP-30902	CDM			270	RC		outpatient			223.7	223.7	60.6				percent of total billed charges		223.7				other	OPPS APC	165.54				percent of total billed charges		223.7				other	OPPS APC	223.7				other	OPPS APC	60.6				percent of total billed charges		61.81				percent of total billed charges		223.7				other	OPPS APC	60.6	223.7	
MESH SURGICAL PROLOOP POLYPROPYLENE LARGE W1.9 IN X H1.6 IN L3.5 IN X W1.8 IN 3 DIMENSIONAL PLUG PREFORMED ONLAY NONABSORBABLE STERILE HERNIA	SUP-30902	CDM			270	RC		inpatient			223.7	223.7																																																			
Positioner Arterial Line	PX-272000021	CDM			272	RC		outpatient			223.4	223.41	60.52				percent of total billed charges		223.4				other	OPPS APC	223.4				fee schedule		223.4				other	OPPS APC	223.4				other	OPPS APC	60.52				percent of total billed charges		61.73				percent of total billed charges		223.41				other	OPPS APC	60.52	223.41	
Positioner Arterial Line	PX-272000021	CDM			272	RC		inpatient			223.4	223.4																																																			
SCREW BONE STAINLESS STEEL L10 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL SYSTEM	SUP-00-4828-010-02	CDM			270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SCREW BONE STAINLESS STEEL L10 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL SYSTEM	SUP-00-4828-010-02	CDM			270	RC		inpatient			223.2	223.2																																																			
SCREW BONE STAINLESS STEEL L12 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-012-02	CDM			270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SCREW BONE STAINLESS STEEL L12 MM OD2.7 MM ELBOW PERIARTICULAR LOCK NONSTERILE SMALL FRAGMENT UNIVERSAL LOCK SYSTEM	SUP-00-4828-012-02	CDM			270	RC		inpatient			223.2	223.2																																																			
DRILLBIT ZIMMER NCB	SUP-02.00024.002	CDM			270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
DRILLBIT ZIMMER NCB	SUP-02.00024.002	CDM			270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE C SMALL OD12 MM HIP RING STYLE CEMENTED 2 3 STEM	SUP-1059-2312	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE C SMALL OD12 MM HIP RING STYLE CEMENTED 2 3 STEM	SUP-1059-2312	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE C MEDIUM OD12 MM HIP RING STYLE CEMENTED 4 5 STEM	SUP-1059-4512	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE C MEDIUM OD12 MM HIP RING STYLE CEMENTED 4 5 STEM	SUP-1059-4512	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE C LARGE OD14 MM HIP RING STYLE CEMENTED 6 7 STEM	SUP-1059-6714	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE C LARGE OD14 MM HIP RING STYLE CEMENTED 6 7 STEM	SUP-1059-6714	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD8 MM HIP CEMENTED	SUP-1067-0008	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD8 MM HIP CEMENTED	SUP-1067-0008	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD9 MM HIP CEMENTED	SUP-1067-0009	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD9 MM HIP CEMENTED	SUP-1067-0009	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD10 MM HIP DISTAL CEMENTED	SUP-1067-0010	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD10 MM HIP DISTAL CEMENTED	SUP-1067-0010	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD11 MM HIP DISTAL CEMENTED	SUP-1067-0011	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD11 MM HIP DISTAL CEMENTED	SUP-1067-0011	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD12 MM HIP DISTAL CEMENTED	SUP-1067-0012	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD12 MM HIP DISTAL CEMENTED	SUP-1067-0012	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD13 MM HIP DISTAL CEMENTED	SUP-1067-0013	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD13 MM HIP DISTAL CEMENTED	SUP-1067-0013	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD14 MM HIP DISTAL CEMENTED	SUP-1067-0014	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD14 MM HIP DISTAL CEMENTED	SUP-1067-0014	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD15 MM HIP CEMENTED	SUP-1067-0015	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD15 MM HIP CEMENTED	SUP-1067-0015	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD16 MM HIP CEMENTED	SUP-1067-0016	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD16 MM HIP CEMENTED	SUP-1067-0016	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL ACCOLADE UNIVERSAL OD18 MM HIP CEMENTED	SUP-1067-0018	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL ACCOLADE UNIVERSAL OD18 MM HIP CEMENTED	SUP-1067-0018	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL C-STEM ACCOLADE OMNIFIT UNIVERSAL OD19 MM HIP CEMENT	SUP-1067-0019	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL C-STEM ACCOLADE OMNIFIT UNIVERSAL OD19 MM HIP CEMENT	SUP-1067-0019	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL C-STEM UNIVERSAL OD20 MM HIP DISTAL PRIMARY	SUP-1067-0020	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL C-STEM UNIVERSAL OD20 MM HIP DISTAL PRIMARY	SUP-1067-0020	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL C-STEM ACCOLADE OMNIFIT UNIVERSAL OD21 MM HIP CEMENT	SUP-1067-0021	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL C-STEM ACCOLADE OMNIFIT UNIVERSAL OD21 MM HIP CEMENT	SUP-1067-0021	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
SPACER FEMORAL C-STEM ACCOLADE OMNIFIT UNIVERSAL OD22 MM HIP CEMENT	SUP-1067-0022	CDM	270010024	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
SPACER FEMORAL C-STEM ACCOLADE OMNIFIT UNIVERSAL OD22 MM HIP CEMENT	SUP-1067-0022	CDM	270010024	LOCAL	270	RC		inpatient			223.2	223.2																																																			
INSERT SCREW HOLE LISS 5MM TITANIUM NS	SUP-422.39	CDM	270010022	LOCAL	270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
INSERT SCREW HOLE LISS 5MM TITANIUM NS	SUP-422.39	CDM	270010022	LOCAL	270	RC		inpatient			223.2	223.2																																																			
INSERT SCREW HOLE 5MM LISS FEMUR TITANIUM NS	SUP-422.390	CDM						inpatient			223.2	223.2																																																			
INSERT SCREW HOLE 5MM LISS FEMUR TITANIUM NS	SUP-422.390	CDM						outpatient			223.2	223.2	223.2				percent of total billed charges		223.2				other	OPPS APC	223.2				fee schedule		223.2				other	OPPS APC	223.2				other	OPPS APC	223.2				case rate		223.2				case rate		223.2				other	OPPS APC	223.2	223.2	
APPLIER INTERNAL CLIP WECK HEM-O-LOK AUTO ENDO5 POLYMER 5 MM BOW STRAIGHT L33 CM AUTOMATIC CLOSURE MEDIUM LARGE CLIP LOCK NONABSORBABLE STERILE LATEX FREE DISPOSABLE ENDO SURGERY	SUP-AE05ML	CDM			270	RC		outpatient			223.2	223.2	60.46				percent of total billed charges		223.2				other	OPPS APC	165.17				percent of total billed charges		223.2				other	OPPS APC	223.2				other	OPPS APC	60.46				percent of total billed charges		61.67				percent of total billed charges		223.2				other	OPPS APC	60.46	223.2	
APPLIER INTERNAL CLIP WECK HEM-O-LOK AUTO ENDO5 POLYMER 5 MM BOW STRAIGHT L33 CM AUTOMATIC CLOSURE MEDIUM LARGE CLIP LOCK NONABSORBABLE STERILE LATEX FREE DISPOSABLE ENDO SURGERY	SUP-AE05ML	CDM			270	RC		inpatient			223.2	223.2																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 6MM	SUP-401.876	CDM	270010022	LOCAL	270	RC		outpatient			223.1	224	60.44				percent of total billed charges		223.1				other	OPPS APC	165.09				percent of total billed charges		223.1				other	OPPS APC	223.1				other	OPPS APC	60.44				percent of total billed charges		61.64				percent of total billed charges		224				other	OPPS APC	60.44	224	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 6MM	SUP-401.876	CDM	270010022	LOCAL	270	RC		inpatient			223.1	223.1																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 8MM	SUP-401.878	CDM	270010022	LOCAL	270	RC		outpatient			223.1	224	60.44				percent of total billed charges		223.1				other	OPPS APC	165.09				percent of total billed charges		223.1				other	OPPS APC	223.1				other	OPPS APC	60.44				percent of total billed charges		61.64				percent of total billed charges		224				other	OPPS APC	60.44	224	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 8MM	SUP-401.878	CDM	270010022	LOCAL	270	RC		inpatient			223.1	223.1																																																			
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 11MM	SUP-401.881	CDM	270010022	LOCAL	270	RC		outpatient			223.1	224	60.44				percent of total billed charges		223.1				other	OPPS APC	165.09				percent of total billed charges		223.1				other	OPPS APC	223.1				other	OPPS APC	60.44				percent of total billed charges		61.64				percent of total billed charges		224				other	OPPS APC	60.44	224	
SCREW SYNTHES LOCKING TITANIUM 2.0MM X 11MM	SUP-401.881	CDM	270010022	LOCAL	270	RC		inpatient			223.1	223.1																																																			
HC Hemochromatosis Hfe Gene Analysis	PX-300812560	CDM	81256	CPT	300	RC		outpatient			222.93	65.36	222.93				fee schedule		65.36				fee schedule		134.9				fee schedule		65.36				fee schedule		65.36				fee schedule		65.36				fee schedule		65.36				fee schedule		65.36				fee schedule		65.36	222.93	
HC Hemochromatosis Hfe Gene Analysis	PX-300812560	CDM	81256	CPT	300	RC		inpatient			222.93	222.93																																																			
ONDANSETRON 4 (FOUR) 4 MG TABLETS	637000000	CDM	57237-077-10	NDC	A9270	HCPCS		inpatient			222.84	222.84																																																			
ONDANSETRON 4 (FOUR) 4 MG TABLETS	637000000	CDM	57237-077-10	NDC	A9270	HCPCS		outpatient			222.84	222.84																																															other	OPPS APC			
CATHETER PH MONITORING VERSAFLEX Z ZNIS+8R 6FR DISPOSABLE 8 RING	SUP-955907	CDM			270	RC		outpatient			222.8	222.81	60.36				percent of total billed charges		222.8				other	OPPS APC	164.87				percent of total billed charges		222.8				other	OPPS APC	222.8				other	OPPS APC	60.36				percent of total billed charges		61.56				percent of total billed charges		222.81				other	OPPS APC	60.36	222.81	
CATHETER PH MONITORING VERSAFLEX Z ZNIS+8R 6FR DISPOSABLE 8 RING	SUP-955907	CDM			270	RC		inpatient			222.8	222.8																																																			
LOOP SPLINT VELCRO L25 YD X W2 IN ADHESIVE BACK REMOTE CONTROL XRAY CASSETTE BLACK	SUP-4634	CDM						inpatient			222.76	222.76																																																			
LOOP SPLINT VELCRO L25 YD X W2 IN ADHESIVE BACK REMOTE CONTROL XRAY CASSETTE BLACK	SUP-4634	CDM						outpatient			222.76	222.76	222.76				percent of total billed charges		222.76				other	OPPS APC	222.76				fee schedule		222.76				other	OPPS APC	222.76				other	OPPS APC	222.76				case rate		222.76				case rate		222.76				other	OPPS APC	222.76	222.76	
LONE STAR RECTAL RETRACTOR 3/B	SUP-74-00034	CDM			272	RC		outpatient			222.62	222.62	60.31				percent of total billed charges		222.62				other	OPPS APC	164.74				percent of total billed charges		222.62				other	OPPS APC	222.62				other	OPPS APC	60.31				percent of total billed charges		61.51				percent of total billed charges		222.62				other	OPPS APC	60.31	222.62	
LONE STAR RECTAL RETRACTOR 3/B	SUP-74-00034	CDM			272	RC		inpatient			222.62	222.62																																																			
OXALIPLATIN PER 0.5 MG	636000000	CDM	72603-301-01	NDC	J9263	HCPCS		inpatient			222.56	222.56																																																			
OXALIPLATIN PER 0.5 MG	636000000	CDM	72603-301-01	NDC	J9263	HCPCS		outpatient			222.56	222.56																																															other	OPPS APC			
CUTTER S.J FULL RADIUS	SUP-95-03215	CDM						inpatient			222.18	222.18																																																			
CUTTER S.J FULL RADIUS	SUP-95-03215	CDM						outpatient			222.18	222.18	222.18				percent of total billed charges		222.18				other	OPPS APC	222.18				fee schedule		222.18				other	OPPS APC	222.18				other	OPPS APC	222.18				case rate		222.18				case rate		222.18				other	OPPS APC	222.18	222.18	
SMALL JOINT BLADE 2.5	SUP-95-03255	CDM			272	RC		outpatient			222.18	222.18	60.19				percent of total billed charges		222.18				other	OPPS APC	164.41				percent of total billed charges		222.18				other	OPPS APC	222.18				other	OPPS APC	60.19				percent of total billed charges		61.39				percent of total billed charges		222.18				other	OPPS APC	60.19	222.18	
SMALL JOINT BLADE 2.5	SUP-95-03255	CDM			272	RC		inpatient			222.18	222.18																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L10 MM OD3.5 MM ODSEC2.9 MM PELVIS T15 STARDRIVE RECESS LOCKING SELF TAPPING THREADED CONICAL HEAD NONSTERILE SMALL FRAGMENT COMPRESSION PLATE	SUP-212.101	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L10 MM OD3.5 MM ODSEC2.9 MM PELVIS T15 STARDRIVE RECESS LOCKING SELF TAPPING THREADED CONICAL HEAD NONSTERILE SMALL FRAGMENT COMPRESSION PLATE	SUP-212.101	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L12 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.102	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L12 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.102	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L14 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.103	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L14 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.103	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L16 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.104	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L16 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.104	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL L18 MM OD3.5 MM PROXIMAL MEDIAL TIBIA LOCKING SELF TAPPING T15 STAR DRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.105	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL L18 MM OD3.5 MM PROXIMAL MEDIAL TIBIA LOCKING SELF TAPPING T15 STAR DRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.105	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL L20 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING SELF TAPPING STARDRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.106	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL L20 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING SELF TAPPING STARDRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.106	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD CONE LOW PROFILE L22 MM OD3.5 MM PELVIS TIBIA MEDIAL PROXIMAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.107	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD CONE LOW PROFILE L22 MM OD3.5 MM PELVIS TIBIA MEDIAL PROXIMAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.107	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE T15 24MM 3.5MM SS NS SELF TAP LOCK STARDRIVE SM FRAGMENT SET	SUP-212.108	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE T15 24MM 3.5MM SS NS SELF TAP LOCK STARDRIVE SM FRAGMENT SET	SUP-212.108	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L26 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.109	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L26 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.109	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL L28 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING STARDRIVE SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-212.110	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL L28 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING STARDRIVE SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-212.110	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL L30 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING SELF TAPPING STARDRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.111	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL L30 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING SELF TAPPING STARDRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.111	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L32 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.112	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L32 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.112	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE T15 34MM 3.5MM SS NS SELF TAP LOCK STARDRIVE SM FRAGMENT SET	SUP-212.113	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE T15 34MM 3.5MM SS NS SELF TAP LOCK STARDRIVE SM FRAGMENT SET	SUP-212.113	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L36 MM OD3.5 MM PELVIS T15 STARDRIVE SELF TAP FIX ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.115	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L36 MM OD3.5 MM PELVIS T15 STARDRIVE SELF TAP FIX ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.115	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L38 MM OD3.5 MM PELVIS T15 STARDRIVE SELF TAP FIX ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.116	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L38 MM OD3.5 MM PELVIS T15 STARDRIVE SELF TAP FIX ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.116	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL L40 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING STARDRIVE SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-212.117	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL L40 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCKING STARDRIVE SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-212.117	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L45 MM OD3.5 MM TIBIA STARDRIVE SELF TAP LOCK LOW PROFILE NONSTERILE SMALL FRAGMENT SET	SUP-212.119	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L45 MM OD3.5 MM TIBIA STARDRIVE SELF TAP LOCK LOW PROFILE NONSTERILE SMALL FRAGMENT SET	SUP-212.119	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL L50 MM OD3.5 MM PROXIMAL MEDIAL TIBIA LOCKING SELF TAPPING T15 STAR DRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.121	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL L50 MM OD3.5 MM PROXIMAL MEDIAL TIBIA LOCKING SELF TAPPING T15 STAR DRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-212.121	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD CONE LOW PROFILE L55 MM OD3.5 MM PELVIS TIBIA MEDIAL PROXIMAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.123	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD CONE LOW PROFILE L55 MM OD3.5 MM PELVIS TIBIA MEDIAL PROXIMAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.123	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L60 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.124	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L60 MM OD3.5 MM PELVIS STARDRIVE RECESS SELF TAPPING TIP LOCKING FIXED ANGLE LOW PROFILE NONSTERILE SMALL FRAGMENT	SUP-212.124	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L65 MM OD3.5 MM TIBIAL PROXIMAL MEDIAL FIX ANGLE LOCK SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.125	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L65 MM OD3.5 MM TIBIAL PROXIMAL MEDIAL FIX ANGLE LOCK SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.125	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L70 MM OD3.5 MM TIBIAL PROXIMAL MEDIAL FIX ANGLE LOCK SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.126	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L70 MM OD3.5 MM TIBIAL PROXIMAL MEDIAL FIX ANGLE LOCK SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.126	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L75 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCK SELF TAP STARDRIVE COMPRESSION NONSTERILE SMALL FRAGMENT	SUP-212.127	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L75 MM OD3.5 MM TIBIA PROXIMAL MEDIAL LOCK SELF TAP STARDRIVE COMPRESSION NONSTERILE SMALL FRAGMENT	SUP-212.127	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L80 MM OD3.5 MM TIBIAL PROXIMAL MEDIAL FIX ANGLE LOCK SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.128	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L80 MM OD3.5 MM TIBIAL PROXIMAL MEDIAL FIX ANGLE LOCK SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.128	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD CONE LOW PROFILE L85 MM OD3.5 MM PELVIS TIBIA MEDIAL PROXIMAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.129	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD CONE LOW PROFILE L85 MM OD3.5 MM PELVIS TIBIA MEDIAL PROXIMAL FIX ANGLE SELF TAP STARDRIVE NONSTERILE SMALL FRAGMENT SET	SUP-212.129	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L90 MM OD3.5 MM TIBIA PROXIMAL MEDIAL SELF TAP LOCK STARDRIVE CONICAL HEAD NONSTERILE SMALL FRAGMENT	SUP-212.130	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
SCREW BONE LCP STAINLESS STEEL T15 FULL THREAD L90 MM OD3.5 MM TIBIA PROXIMAL MEDIAL SELF TAP LOCK STARDRIVE CONICAL HEAD NONSTERILE SMALL FRAGMENT	SUP-212.130	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
BIT DRILL LCP L180 MM OD4.3 MM QUICK COUPLING 5 MM LOCK SCREW LARGE FRAGMENT SET	SUP-310.431	CDM	270010022	LOCAL	270	RC		outpatient			222.14	222.14	60.18				percent of total billed charges		222.14				other	OPPS APC	164.38				percent of total billed charges		222.14				other	OPPS APC	222.14				other	OPPS APC	60.18				percent of total billed charges		61.38				percent of total billed charges		222.14				other	OPPS APC	60.18	222.14	
BIT DRILL LCP L180 MM OD4.3 MM QUICK COUPLING 5 MM LOCK SCREW LARGE FRAGMENT SET	SUP-310.431	CDM	270010022	LOCAL	270	RC		inpatient			222.14	222.14																																																			
CATHETER GUIDING MINNIE HYDROPHILIC .018 IN L150 CM OD6 FR 1 LUMEN INECTION PRESSURE SUPPORT GUIDEWIRE	SUP-5704	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
CATHETER GUIDING MINNIE HYDROPHILIC .018 IN L150 CM OD6 FR 1 LUMEN INECTION PRESSURE SUPPORT GUIDEWIRE	SUP-5704	CDM			270	RC		inpatient			222	222																																																			
SCREW TORNIER 4.0MM LOCKING 20MM	SUP-WPLTS20	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW TORNIER 4.0MM LOCKING 20MM	SUP-WPLTS20	CDM			270	RC		inpatient			222	222																																																			
SCREW TORNIER 4.0MM LOCKING 14MM	SUP-WPTLS14	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW TORNIER 4.0MM LOCKING 14MM	SUP-WPTLS14	CDM			270	RC		inpatient			222	222																																																			
SCREW TORNIER 4.0MM LOCKING 16MM	SUP-WPTLS16	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW TORNIER 4.0MM LOCKING 16MM	SUP-WPTLS16	CDM			270	RC		inpatient			222	222																																																			
SCREW TORNIER 4.0MM LOCKING 18MM	SUP-WPTLS18	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW TORNIER 4.0MM LOCKING 18MM	SUP-WPTLS18	CDM			270	RC		inpatient			222	222																																																			
SCREW TORNIER 4.0MM LOCKING 22MM	SUP-WPTLS22	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW TORNIER 4.0MM LOCKING 22MM	SUP-WPTLS22	CDM			270	RC		inpatient			222	222																																																			
SCREW BONE WAVE 26MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS26	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW BONE WAVE 26MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS26	CDM			270	RC		inpatient			222	222																																																			
SCREW BONE WAVE 28MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS28	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW BONE WAVE 28MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS28	CDM			270	RC		inpatient			222	222																																																			
SCREW BONE WAVE 38MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS38	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW BONE WAVE 38MM 4MM NS LOWER EXTREMITY LOCK	SUP-WPTLS38	CDM			270	RC		inpatient			222	222																																																			
SCREW TORNIER 4.0MM LOCKING 42MM	SUP-WPTLS42	CDM			270	RC		outpatient			222	222	60.14				percent of total billed charges		222				other	OPPS APC	164.28				percent of total billed charges		222				other	OPPS APC	222				other	OPPS APC	60.14				percent of total billed charges		61.34				percent of total billed charges		222				other	OPPS APC	60.14	222	
SCREW TORNIER 4.0MM LOCKING 42MM	SUP-WPTLS42	CDM			270	RC		inpatient			222	222																																																			
FORCEPS BIOPSY SUPERTRAX L110 CM L2 MM OD1.7 MM SHAFT REINFORCED STACKED COIL DESIGN PROPRIETARY SHEATH SMOOTH BILATERAL CUP STERILE DISPOSABLE	SUP-AKI00133-01	CDM			270	RC		outpatient			221.2	221.2	59.92				percent of total billed charges		221.2				other	OPPS APC	163.69				percent of total billed charges		221.2				other	OPPS APC	221.2				other	OPPS APC	59.92				percent of total billed charges		61.12				percent of total billed charges		221.2				other	OPPS APC	59.92	221.2	
FORCEPS BIOPSY SUPERTRAX L110 CM L2 MM OD1.7 MM SHAFT REINFORCED STACKED COIL DESIGN PROPRIETARY SHEATH SMOOTH BILATERAL CUP STERILE DISPOSABLE	SUP-AKI00133-01	CDM			270	RC		inpatient			221.2	221.2																																																			
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L22 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752510	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L22 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752510	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L24 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752520	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L24 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752520	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L26 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752530	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L26 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752530	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L28 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752540	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L28 CM OD4.8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE DISPOSABLE	SUP-M0061752540	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR  PERCUFLEX HYDROPLUS PIGTAIL CURVE L 22 CM OD 6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN	SUP-M0061752610	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR  PERCUFLEX HYDROPLUS PIGTAIL CURVE L 22 CM OD 6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN	SUP-M0061752610	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL PERCUFLEX 8X24CM	SUP-M0061752820	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX 8X24CM	SUP-M0061752820	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L26 CM OD8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061752830	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L26 CM OD8 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061752830	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL PERCUFLEX 8X24CM	SUP-M0061752920	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL PERCUFLEX 8X24CM	SUP-M0061752920	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L24 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802220	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L24 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802220	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L26 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802230	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L26 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802230	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L28 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802240	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L28 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802240	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L30 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802250	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L30 CM OD6 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802250	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L24 CM OD7 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802320	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L24 CM OD7 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802320	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L26 CM OD7 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802330	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX HYDROPLUS PIGTAIL CURVE L26 CM OD7 FR TAPER TIP BLADDER MARK LOW PROFILE LARGE INNER LUMEN LATEX FREE	SUP-M0061802330	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L24 CM OD8 FR LARGE INNER LUMEN LOW PROFILE BLADDER MARK TAPER TIP LATEX FREE	SUP-M0061802420	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L24 CM OD8 FR LARGE INNER LUMEN LOW PROFILE BLADDER MARK TAPER TIP LATEX FREE	SUP-M0061802420	CDM			270	RC		inpatient			221.16	221.16																																																			
STENT URETERAL CONTOUR PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L26 CM OD8 FR LARGE INNER LUMEN LOW PROFILE BLADDER MARK TAPER TIP LATEX FREE	SUP-M0061802430	CDM			270	RC		outpatient			221.16	221.16	59.91				percent of total billed charges		221.16				other	OPPS APC	163.66				percent of total billed charges		221.16				other	OPPS APC	221.16				other	OPPS APC	59.91				percent of total billed charges		61.11				percent of total billed charges		221.16				other	OPPS APC	59.91	221.16	
STENT URETERAL CONTOUR PERCUFLEX PLUS HYDROPLUS PIGTAIL CURVE L26 CM OD8 FR LARGE INNER LUMEN LOW PROFILE BLADDER MARK TAPER TIP LATEX FREE	SUP-M0061802430	CDM			270	RC		inpatient			221.16	221.16																																																			
THORACIC CATHETER 20FR PVC	SUP-95-23743	CDM			278	RC		outpatient			220.99	22.99	220.99				fee schedule		220.99				other	OPPS APC	125.96				percent of total billed charges		220.99				other	OPPS APC	220.99				other	OPPS APC	108.29				percent of total billed charges		112.7				percent of total billed charges		22.99				other	OPPS APC	22.99	220.99	
THORACIC CATHETER 20FR PVC	SUP-95-23743	CDM			278	RC		inpatient			220.99	220.99																																																			
INTRODUCER CATHETER CHECK-FLO FLEXOR 38.5CM 10FR DISPOSABLE STERILE TRANSJUGULAR INTRAHEPATIC RING GUIDE SHEATH	SUP-G13081	CDM			270	RC		outpatient			220.96	22.96	59.86				percent of total billed charges		220.96				other	OPPS APC	163.51				percent of total billed charges		220.96				other	OPPS APC	220.96				other	OPPS APC	59.86				percent of total billed charges		61.05				percent of total billed charges		22.96				other	OPPS APC	22.96	220.96	
INTRODUCER CATHETER CHECK-FLO FLEXOR 38.5CM 10FR DISPOSABLE STERILE TRANSJUGULAR INTRAHEPATIC RING GUIDE SHEATH	SUP-G13081	CDM			270	RC		inpatient			220.96	220.96																																																			
IRON SUCROSE PER 1 MG	636000000	CDM	0517-2340-99	NDC	J1756	HCPCS		inpatient			220.8	220.8																																																			
IRON SUCROSE PER 1 MG	636000000	CDM	0517-2340-99	NDC	J1756	HCPCS		outpatient			220.8	220.8																																															other	OPPS APC			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 38MM	SUP-40-30538	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 38MM	SUP-40-30538	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 10MM	SUP-40-35010	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 10MM	SUP-40-35010	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 12MM	SUP-40-35012	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 12MM	SUP-40-35012	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 14MM	SUP-40-35014	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 14MM	SUP-40-35014	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 16MM	SUP-40-35016	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 16MM	SUP-40-35016	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 18MM	SUP-40-35018	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 18MM	SUP-40-35018	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 20MM	SUP-40-35020	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 20MM	SUP-40-35020	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 22MM	SUP-40-35022	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 22MM	SUP-40-35022	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 24MM	SUP-40-35024	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 24MM	SUP-40-35024	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 26MM	SUP-40-35026	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 26MM	SUP-40-35026	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 28MM	SUP-40-35028	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 28MM	SUP-40-35028	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 30MM	SUP-40-35030	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 30MM	SUP-40-35030	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 32MM	SUP-40-35032	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 32MM	SUP-40-35032	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 34MM	SUP-40-35034	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 34MM	SUP-40-35034	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 36MM	SUP-40-35036	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 36MM	SUP-40-35036	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 40MM	SUP-40-35040	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 40MM	SUP-40-35040	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 42MM	SUP-40-35042	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 42MM	SUP-40-35042	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 46MM	SUP-40-35046	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 46MM	SUP-40-35046	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 48MM	SUP-40-35048	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 48MM	SUP-40-35048	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 50MM	SUP-40-35050	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 50MM	SUP-40-35050	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 55MM	SUP-40-35055	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 55MM	SUP-40-35055	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 60MM	SUP-40-35060	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 60MM	SUP-40-35060	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 65MM	SUP-40-35065	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 65MM	SUP-40-35065	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM NON LOCKING 70MM	SUP-40-35070	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM NON LOCKING 70MM	SUP-40-35070	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 46MM	SUP-40-35646	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM LOCKING 46MM	SUP-40-35646	CDM			270	RC		inpatient			220.8	220.8																																																			
SCREW STRYKER VARIAX 3.5MM LOCKING 48MM	SUP-40-35648	CDM			270	RC		outpatient			220.8	22.81	59.81				percent of total billed charges		220.8				other	OPPS APC	163.39				percent of total billed charges		220.8				other	OPPS APC	220.8				other	OPPS APC	59.81				percent of total billed charges		61.01				percent of total billed charges		22.81				other	OPPS APC	22.81	220.8	
SCREW STRYKER VARIAX 3.5MM LOCKING 48MM	SUP-40-35648	CDM			270	RC		inpatient			220.8	220.8																																																			
CANNULA  INFFOW ADAPTOR	SUP-97-01948	CDM			272	RC		outpatient			220.5	22.5	59.73				percent of total billed charges		220.5				other	OPPS APC	163.17				percent of total billed charges		220.5				other	OPPS APC	220.5				other	OPPS APC	59.73				percent of total billed charges		60.92				percent of total billed charges		22.5				other	OPPS APC	22.5	220.5	
CANNULA  INFFOW ADAPTOR	SUP-97-01948	CDM			272	RC		inpatient			220.5	220.5																																																			
BRUSH CYTOLOGY COMBO CATH L200 CM X W2.1 MM OD8 FR BILIARY RAPID EXCHANGE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00545000	CDM			270	RC		outpatient			220.42	22.42	59.71				percent of total billed charges		220.42				other	OPPS APC	163.11				percent of total billed charges		220.42				other	OPPS APC	220.42				other	OPPS APC	59.71				percent of total billed charges		60.9				percent of total billed charges		22.42				other	OPPS APC	22.42	220.42	
BRUSH CYTOLOGY COMBO CATH L200 CM X W2.1 MM OD8 FR BILIARY RAPID EXCHANGE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00545000	CDM			270	RC		inpatient			220.42	220.42																																																			
HC Scanogram	PX-320770730	CDM	77073	CPT	320	RC		outpatient			220	112.57	38.83				fee schedule		112.57				other	OPPS APC	125.92				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	45.08				fee schedule		31.94				fee schedule		112.57				other	OPPS APC	31.94	125.92	
HC Scanogram	PX-320770730	CDM	77073	CPT	320	RC		inpatient			220	220																																																			
HC Infant Osseous Survey	PX-320770760	CDM	77076	CPT	320	RC		outpatient			220	22	109.86				fee schedule		220				other	OPPS APC	281.02				fee schedule		220				other	OPPS APC	220				other	OPPS APC	107.88				fee schedule		74.2				fee schedule		22				other	OPPS APC	22	281.02	
HC Infant Osseous Survey	PX-320770760	CDM	77076	CPT	320	RC		inpatient			220	220																																																			
HC Bone Length  Scanogram	PX-352770731	CDM	77073	CPT	352	RC		outpatient			220	112.57	38.83				fee schedule		112.57				other	OPPS APC	125.92				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	45.08				fee schedule		31.94				fee schedule		112.57				other	OPPS APC	31.94	125.92	
HC Bone Length  Scanogram	PX-352770731	CDM	77073	CPT	352	RC		inpatient			220	220																																																			
Initial Hospital Care/Day	PX-988992211	CDM	99221	CPT	988	RC		outpatient			220	22	101.15				fee schedule		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				fee schedule		81.86				fee schedule		112.2				percent of total billed charges		22				fee schedule		22	220	
Initial Hospital Care/Day	PX-988992211	CDM	99221	CPT	988	RC		inpatient			220	220																																																			
SCREW HEADED KNEE INSTRUMENTATION UNICOMPARTMENTAL SET STAINLESS STEEL STERILE 48MM	SUP-00-5791-041-00	CDM	270010025	LOCAL	270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW HEADED KNEE INSTRUMENTATION UNICOMPARTMENTAL SET STAINLESS STEEL STERILE 48MM	SUP-00-5791-041-00	CDM	270010025	LOCAL	270	RC		inpatient			220	220																																																			
MESH SURGICAL BARD POLYPROPYLENE  L6IN X W6 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112720	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
MESH SURGICAL BARD POLYPROPYLENE  L6IN X W6 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112720	CDM			270	RC		inpatient			220	220																																																			
GUIDEWIRE VASCULAR 300CM .035IN STEERABLE STRAIGHT HI-TORQUE SUPRA CORE MICROGLIDE	SUP-1002703-02	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
GUIDEWIRE VASCULAR 300CM .035IN STEERABLE STRAIGHT HI-TORQUE SUPRA CORE MICROGLIDE	SUP-1002703-02	CDM			270	RC		inpatient			220	220																																																			
BIT DRILL OD3.2 MM CENTRAL SCREW COMPREHENSIVE REVERSE SHOULDER SYSTEM	SUP-405883	CDM	270010030	LOCAL	270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
BIT DRILL OD3.2 MM CENTRAL SCREW COMPREHENSIVE REVERSE SHOULDER SYSTEM	SUP-405883	CDM	270010030	LOCAL	270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 10 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413510	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 10 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413510	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 11 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413511	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 11 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413511	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 12 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413512	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 12 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413512	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 13 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413513	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 13 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413513	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 14 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413514	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 14 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413514	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 15 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413515	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 15 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413515	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 16 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413516	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 16 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413516	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 17 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413517	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 17 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413517	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 18 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413518	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 18 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413518	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 20 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413520	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 20 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413520	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 22 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413522	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 22 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413522	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 24 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413524	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 24 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413524	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 26 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413526	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 26 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413526	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 28 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413528	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 28 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413528	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 30 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413530	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 30 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413530	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 32 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413532	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 32 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413532	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 34 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413534	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 34 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413534	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 36 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413536	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 36 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413536	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 38 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413538	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 38 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413538	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 40 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413540	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 40 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413540	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 42 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413542	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 42 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413542	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 44 MM OD 3.5 MM LOCKING SCREW  SELF TAP STERILE	SUP-72413544	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 44 MM OD 3.5 MM LOCKING SCREW  SELF TAP STERILE	SUP-72413544	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 46 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413546	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 46 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413546	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 48 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413548	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 48 MM OD 3.5 MM  SELF TAP LOCK STERILE	SUP-72413548	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 50 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413550	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 50 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413550	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 50 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413550	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 50 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413550	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 5 5MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413555	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 5 5MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413555	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L 60 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413560	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L 60 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413560	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS L65 MM OD3.5 MM SELF TAP LOCK STERILE	SUP-72413565	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS L65 MM OD3.5 MM SELF TAP LOCK STERILE	SUP-72413565	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS  L 70 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413570	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS  L 70 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413570	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS  L 75 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413575	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS  L 75 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413575	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE EVOS  L 80 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413580	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE EVOS  L 80 MM OD 3.5 MM SELF TAP LOCK STERILE	SUP-72413580	CDM			270	RC		inpatient			220	220																																																			
CATHETER ANGIOGRAPHIC ARROW L110 CM OD5 FR ODSEC8 MM .75 CC 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP STERILE ACCEPTS .025 IN GUIDEWIRE 5 FR INTRODUCER	SUP-AI-07124	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
CATHETER ANGIOGRAPHIC ARROW L110 CM OD5 FR ODSEC8 MM .75 CC 1 LUMEN BALLOON WEDGE PRESSURE TAPER TIP STERILE ACCEPTS .025 IN GUIDEWIRE 5 FR INTRODUCER	SUP-AI-07124	CDM			270	RC		inpatient			220	220																																																			
STAPLE BONE STAINLESS STEEL SMALL L8 MM SUTURE	SUP-AR-8708	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
STAPLE BONE STAINLESS STEEL SMALL L8 MM SUTURE	SUP-AR-8708	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE QUICKFIX TITANIUM T8 PARTIAL THREAD HEXALOBE LOW PROFILE L14 MM OD2.4 MM SMALL BONE CORTICAL SELF DRILL SELF TAP CANNULATED SNAP OFF ACCEPTS .034 IN GUIDEWIRE	SUP-AR-8724-14	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE QUICKFIX TITANIUM T8 PARTIAL THREAD HEXALOBE LOW PROFILE L14 MM OD2.4 MM SMALL BONE CORTICAL SELF DRILL SELF TAP CANNULATED SNAP OFF ACCEPTS .034 IN GUIDEWIRE	SUP-AR-8724-14	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 16MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-16	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 16MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-16	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 18MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-18	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 18MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-18	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 20MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-20	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 20MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-20	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 22MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-22	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 22MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-22	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 24MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-24	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 24MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-24	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 26MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-26	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 26MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-26	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 28MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-28	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 28MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-28	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 30MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-30	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T8 FULL THREAD 30MM 2.4MM TITANIUM CORTICAL SELF DRILL SELF TAP CANNULATED HEXALOBE	SUP-AR-8724-30	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE QUICKFIX T8 PARTIAL THREAD HEXALOBE LOW PROFILE 12MM 2.4MM TITANIUM SM	SUP-AR-8924-12	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE QUICKFIX T8 PARTIAL THREAD HEXALOBE LOW PROFILE 12MM 2.4MM TITANIUM SM	SUP-AR-8924-12	CDM			270	RC		inpatient			220	220																																																			
SCREW ARTHREX LOW PROFILE 2.4MM X 28	SUP-AR-8924-28	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW ARTHREX LOW PROFILE 2.4MM X 28	SUP-AR-8924-28	CDM			270	RC		inpatient			220	220																																																			
SCREW ARTHREX LOW PROFILE 2.4MM X 30	SUP-AR-8924-30	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW ARTHREX LOW PROFILE 2.4MM X 30	SUP-AR-8924-30	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS FULL THREAD 12MM 3MM TITANIUM FOREFOOT	SUP-AR-8933-12	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS FULL THREAD 12MM 3MM TITANIUM FOREFOOT	SUP-AR-8933-12	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 14MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8933-14	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 14MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8933-14	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 16MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8933-16	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 16MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8933-16	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 18MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8933-18	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 18MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8933-18	CDM			270	RC		inpatient			220	220																																																			
SCREW LO-PRO 3.0MMX20	SUP-AR-8933-20	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW LO-PRO 3.0MMX20	SUP-AR-8933-20	CDM			270	RC		inpatient			220	220																																																			
SCREW LO-PRO TITANIUM 3.0X22	SUP-AR-8933-22	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW LO-PRO TITANIUM 3.0X22	SUP-AR-8933-22	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM FULL THREAD T10 HEXALOBE L24 MM OD3 MM FOREFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8933-24	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS TITANIUM FULL THREAD T10 HEXALOBE L24 MM OD3 MM FOREFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8933-24	CDM			270	RC		inpatient			220	220																																																			
SCREW ARTHREX LOW PROFILE TI 3MM X 26MM	SUP-AR-8933-26	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW ARTHREX LOW PROFILE TI 3MM X 26MM	SUP-AR-8933-26	CDM			270	RC		inpatient			220	220																																																			
SCREW ARTHREX LOW PROFILE TI 3MM X 28MM	SUP-AR-8933-28	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW ARTHREX LOW PROFILE TI 3MM X 28MM	SUP-AR-8933-28	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 18MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-18	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 18MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-18	CDM			270	RC		inpatient			220	220																																																			
CATH BALLOON	SUP-BVCS6180	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
CATH BALLOON	SUP-BVCS6180	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE WAVE FULL THREAD 26MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS26	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE WAVE FULL THREAD 26MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS26	CDM			270	RC		inpatient			220	220																																																			
SCREW BONE WAVE FULL THREAD 44MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS44	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW BONE WAVE FULL THREAD 44MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS44	CDM			270	RC		inpatient			220	220																																																			
SCREW TORNIER FULLY THREADED 46MM	SUP-ZPFTS46	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW TORNIER FULLY THREADED 46MM	SUP-ZPFTS46	CDM			270	RC		inpatient			220	220																																																			
SCREW TORNIER FULLY THREADED 75MM	SUP-ZPFTS75	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW TORNIER FULLY THREADED 75MM	SUP-ZPFTS75	CDM			270	RC		inpatient			220	220																																																			
SCREW TORNIER FULLY THREADED 85MM	SUP-ZPFTS85	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW TORNIER FULLY THREADED 85MM	SUP-ZPFTS85	CDM			270	RC		inpatient			220	220																																																			
SCREW TORNIER FULLY THREADED 90MM	SUP-ZPFTS90	CDM			270	RC		outpatient			220	22	59.6				percent of total billed charges		220				other	OPPS APC	162.8				percent of total billed charges		220				other	OPPS APC	220				other	OPPS APC	59.6				percent of total billed charges		60.79				percent of total billed charges		22				other	OPPS APC	22	220	
SCREW TORNIER FULLY THREADED 90MM	SUP-ZPFTS90	CDM			270	RC		inpatient			220	220																																																			
PACK SURGICAL CUSTOM CHEST	SUP-DYNJ59269A	CDM			270	RC		outpatient			219.94	219.94	59.58				percent of total billed charges		219.94				other	OPPS APC	162.76				percent of total billed charges		219.94				other	OPPS APC	219.94				other	OPPS APC	59.58				percent of total billed charges		60.77				percent of total billed charges		219.94				other	OPPS APC	59.58	219.94	
PACK SURGICAL CUSTOM CHEST	SUP-DYNJ59269A	CDM			270	RC		inpatient			219.94	219.94																																																			
HEPATITIS B IMMUNE GLOBULIN PER 0.5 ML	636000000	CDM	69800-4203-1	NDC	90371	HCPCS		inpatient			219.25	219.25																																																			
HEPATITIS B IMMUNE GLOBULIN PER 0.5 ML	636000000	CDM	69800-4203-1	NDC	90371	HCPCS		outpatient			219.25	219.25																																															other	OPPS APC			
GIA75 RELOAD	SUP-76-00022	CDM			272	RC		outpatient			219.25	219.25	59.39				percent of total billed charges		219.25				other	OPPS APC	162.25				percent of total billed charges		219.25				other	OPPS APC	219.25				other	OPPS APC	59.39				percent of total billed charges		60.58				percent of total billed charges		219.25				other	OPPS APC	59.39	219.25	
GIA75 RELOAD	SUP-76-00022	CDM			272	RC		inpatient			219.25	219.25																																																			
HC Cortisol Free	PX-300825300	CDM	82530	CPT	301	RC		outpatient			219	16.71	22.34				fee schedule		16.71				fee schedule		44.37				fee schedule		16.71				fee schedule		16.71				fee schedule		16.71				fee schedule		16.71				fee schedule		16.71				fee schedule		16.71	44.37	
HC Cortisol Free	PX-300825300	CDM	82530	CPT	301	RC		inpatient			219	219																																																			
HC Free T3 (Ft3)	PX-300844810	CDM	84481	CPT	300	RC		outpatient			219	16.94	22.65				fee schedule		16.94				fee schedule		44.97				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94	44.97	
HC Free T3 (Ft3)	PX-300844810	CDM	84481	CPT	300	RC		inpatient			219	219																																																			
HC Borrelia Burgdorferi(Lyme Disease)	PX-300866180	CDM	86618	CPT	300	RC		outpatient			219	17.31	22.78				fee schedule		17.03				fee schedule		45.22				fee schedule		17.03				fee schedule		17.03				fee schedule		17.03				fee schedule		17.03				fee schedule		17.31				fee schedule		17.03	45.22	
HC Borrelia Burgdorferi(Lyme Disease)	PX-300866180	CDM	86618	CPT	300	RC		inpatient			219	219																																																			
HC Antibody Cytomegalovirus (Cmv)	PX-300866450	CDM	86645	CPT	302	RC		outpatient			219	16.85	22.52				fee schedule		16.85				fee schedule		44.73				fee schedule		16.85				fee schedule		16.85				fee schedule		16.85				fee schedule		16.85				fee schedule		16.85				fee schedule		16.85	44.73	
HC Antibody Cytomegalovirus (Cmv)	PX-300866450	CDM	86645	CPT	302	RC		inpatient			219	219																																																			
HC Eb Virus Serology (Ebvs)	PX-300866630	CDM	86663	CPT	302	RC		outpatient			219	13.12	17.54				fee schedule		13.12				fee schedule		34.83				fee schedule		13.12				fee schedule		13.12				fee schedule		13.12				fee schedule		13.12				fee schedule		13.12				fee schedule		13.12	34.83	
HC Eb Virus Serology (Ebvs)	PX-300866630	CDM	86663	CPT	302	RC		inpatient			219	219																																																			
HC Mandible	PX-320701100	CDM	70110	CPT	320	RC		outpatient			219	112.57	41.2				fee schedule		112.57				other	OPPS APC	90.54				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	43.42				fee schedule		31.6				fee schedule		112.57				other	OPPS APC	31.6	112.57	
HC Mandible	PX-320701100	CDM	70110	CPT	320	RC		inpatient			219	219																																																			
HC Facial Bones	PX-320701400	CDM	70140	CPT	320	RC		outpatient			219	219	31.06				fee schedule		219				other	OPPS APC	83.71				fee schedule		219				other	OPPS APC	219				other	OPPS APC	32.39				fee schedule		22.62				fee schedule		219				other	OPPS APC	22.62	219	
HC Facial Bones	PX-320701400	CDM	70140	CPT	320	RC		inpatient			219	219																																																			
HC Skull < 4 Views	PX-320702500	CDM	70250	CPT	320	RC		outpatient			219	112.57	38.66				fee schedule		112.57				other	OPPS APC	89.71				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	36.07				fee schedule		27.28				fee schedule		112.57				other	OPPS APC	27.28	112.57	
HC Skull < 4 Views	PX-320702500	CDM	70250	CPT	320	RC		inpatient			219	219																																																			
HC Pelvis : Comp > 3 Views	PX-320721901	CDM	72190	CPT	320	RC		outpatient			219	112.57	44.4				fee schedule		112.57				other	OPPS APC	91.04				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	42.42				fee schedule		30.27				fee schedule		112.57				other	OPPS APC	30.27	112.57	
HC Pelvis : Comp > 3 Views	PX-320721901	CDM	72190	CPT	320	RC		inpatient			219	219																																																			
HC Sacro-Iliac Joints	PX-320722020	CDM	72202	CPT	320	RC		outpatient			219	112.57	36.15				fee schedule		112.57				other	OPPS APC	83.71				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	39.42				fee schedule		28.61				fee schedule		112.57				other	OPPS APC	28.61	112.57	
HC Sacro-Iliac Joints	PX-320722020	CDM	72202	CPT	320	RC		inpatient			219	219																																																			
HC Wrist 3 View	PX-320731100	CDM	73110	CPT	320	RC		outpatient			219	91.5	39.09				fee schedule		91.5				other	OPPS APC	72.08				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	41.09				fee schedule		32.6				fee schedule		91.5				other	OPPS APC	32.6	91.5	
HC Wrist 3 View	PX-320731100	CDM	73110	CPT	320	RC		inpatient			219	219																																																			
HC Xr Hand  3 Views	PX-320731300	CDM	73130	CPT	320	RC		outpatient			219	91.5	33.99				fee schedule		91.5				other	OPPS APC	72.08				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	37.07				fee schedule		28.61				fee schedule		91.5				other	OPPS APC	28.61	91.5	
HC Xr Hand  3 Views	PX-320731300	CDM	73130	CPT	320	RC		inpatient			219	219																																																			
HC Xr Ankle  3 Views	PX-320736100	CDM	73610	CPT	320	RC		outpatient			219	91.5	34.71				fee schedule		91.5				other	OPPS APC	72.08				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	37.07				fee schedule		28.61				fee schedule		91.5				other	OPPS APC	28.61	91.5	
HC Xr Ankle  3 Views	PX-320736100	CDM	73610	CPT	320	RC		inpatient			219	219																																																			
HC Xr Foot 3 Views	PX-320736300	CDM	73630	CPT	320	RC		outpatient			219	91.5	32.53				fee schedule		91.5				other	OPPS APC	72.08				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	34.4				fee schedule		26.28				fee schedule		91.5				other	OPPS APC	26.28	91.5	
HC Xr Foot 3 Views	PX-320736300	CDM	73630	CPT	320	RC		inpatient			219	219																																																			
HC Application Long Leg Splint	PX-450295051	CDM	29505	CPT	450	RC		outpatient			219	219	195.77				case rate		219				other	OPPS APC	162.06				percent of total billed charges		219				other	OPPS APC	219				other	OPPS APC	195.77				case rate		199.69				case rate		219				other	OPPS APC	162.06	219	
HC Application Long Leg Splint	PX-450295051	CDM	29505	CPT	450	RC		inpatient			219	219																																																			
HC Application Lower Leg Splint	PX-450295151	CDM	29515	CPT	450	RC		outpatient			219	219	195.77				case rate		219				other	OPPS APC	162.06				percent of total billed charges		219				other	OPPS APC	219				other	OPPS APC	195.77				case rate		199.69				case rate		219				other	OPPS APC	162.06	219	
HC Application Lower Leg Splint	PX-450295151	CDM	29515	CPT	450	RC		inpatient			219	219																																																			
HC Strapping of Knee	PX-450295301	CDM	29530	CPT	450	RC		outpatient			219	219	195.77				case rate		219				other	OPPS APC	162.06				percent of total billed charges		219				other	OPPS APC	219				other	OPPS APC	195.77				case rate		199.69				case rate		219				other	OPPS APC	162.06	219	
HC Strapping of Knee	PX-450295301	CDM	29530	CPT	450	RC		inpatient			219	219																																																			
HC Strapping of Ankle	PX-450295401	CDM	29540	CPT	450	RC		outpatient			219	219	195.77				case rate		219				other	OPPS APC	162.06				percent of total billed charges		219				other	OPPS APC	219				other	OPPS APC	195.77				case rate		199.69				case rate		219				other	OPPS APC	162.06	219	
HC Strapping of Ankle	PX-450295401	CDM	29540	CPT	450	RC		inpatient			219	219																																																			
HC Electrocardiogram	PX-730930050	CDM	93005	CPT	730	RC		outpatient			219	6.54	8.33				fee schedule		60.54				other	OPPS APC	49.63				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	6.33				fee schedule		111.69				percent of total billed charges		6.54				other	OPPS APC	6.33	111.69	
HC Electrocardiogram	PX-730930050	CDM	93005	CPT	730	RC		inpatient			219	219																																																			
FILLER BONE VOID .5CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038005	CDM	270010031	LOCAL	270	RC		outpatient			218.88	218.88	59.29				percent of total billed charges		218.88				other	OPPS APC	161.97				percent of total billed charges		218.88				other	OPPS APC	218.88				other	OPPS APC	59.29				percent of total billed charges		60.48				percent of total billed charges		218.88				other	OPPS APC	59.29	218.88	
FILLER BONE VOID .5CC DBX ALLOGRAFT PUTTY FREEZE DRIED	SUP-038005	CDM	270010031	LOCAL	270	RC		inpatient			218.88	218.88																																																			
PACK SURGICAL CUSTOM CAROTID	SUP-DYNJ59267	CDM	270009166	LOCAL	270	RC		outpatient			218.7	218.7	59.25				percent of total billed charges		218.7				other	OPPS APC	161.84				percent of total billed charges		218.7				other	OPPS APC	218.7				other	OPPS APC	59.25				percent of total billed charges		60.43				percent of total billed charges		218.7				other	OPPS APC	59.25	218.7	
PACK SURGICAL CUSTOM CAROTID	SUP-DYNJ59267	CDM	270009166	LOCAL	270	RC		inpatient			218.7	218.7																																																			
SCREW SET LEGACY CD HORIZON TITANIUM SPINE BREAK OFF 6.35 MM ROD	SUP-7640020	CDM	270010020	LOCAL	270	RC		outpatient			218.08	218.81	59.08				percent of total billed charges		218.08				other	OPPS APC	161.38				percent of total billed charges		218.08				other	OPPS APC	218.08				other	OPPS APC	59.08				percent of total billed charges		60.26				percent of total billed charges		218.81				other	OPPS APC	59.08	218.81	
SCREW SET LEGACY CD HORIZON TITANIUM SPINE BREAK OFF 6.35 MM ROD	SUP-7640020	CDM	270010020	LOCAL	270	RC		inpatient			218.08	218.08																																																			
HC Sputum Collected	PX-300892200	CDM	89220	CPT	300	RC		outpatient			218	218	16.06				fee schedule		218				fee schedule		69.34				fee schedule		218				fee schedule		218				fee schedule		106.82				percent of total billed charges		111.18				percent of total billed charges		218				fee schedule		16.06	218	
HC Sputum Collected	PX-300892200	CDM	89220	CPT	300	RC		inpatient			218	218																																																			
HC MC Prolonged First Hour	PX-510993549	CDM	99354	CPT	510	RC		outpatient			218	218	169.66				case rate		218				other	OPPS APC	101				case rate		218				other	OPPS APC	218				fee schedule		169.66				case rate		173.05				case rate		218				other	OPPS APC	101	218	
HC MC Prolonged First Hour	PX-510993549	CDM	99354	CPT	510	RC		inpatient			218	218																																																			
SHEATH GUIDING FLEXOR SHUTTLE-SL 90CM 6FR .087IN HYDROPHILIC DISPOSABLE STERILE TUOHY BORST SIDEARM RADIOPAQUE STIFFEN	SUP-G31138	CDM			270	RC		outpatient			217.96	217.96	59.05				percent of total billed charges		217.96				other	OPPS APC	161.29				percent of total billed charges		217.96				other	OPPS APC	217.96				other	OPPS APC	59.05				percent of total billed charges		60.22				percent of total billed charges		217.96				other	OPPS APC	59.05	217.96	
SHEATH GUIDING FLEXOR SHUTTLE-SL 90CM 6FR .087IN HYDROPHILIC DISPOSABLE STERILE TUOHY BORST SIDEARM RADIOPAQUE STIFFEN	SUP-G31138	CDM			270	RC		inpatient			217.96	217.96																																																			
SHEATH GUIDING CHECK-FLO HYDROPHILIC ANL0 CURVE STRAIGHT L90 CM OD5 FR ID.074 IN CHECK-FLO VALVE GUIDING SHEATH STIFF SHAFT SOFT TIP RADIOPAQUE BAND .018/.035 IN GUIDEWIRE	SUP-G48189	CDM			270	RC		outpatient			217.96	217.96	59.05				percent of total billed charges		217.96				other	OPPS APC	161.29				percent of total billed charges		217.96				other	OPPS APC	217.96				other	OPPS APC	59.05				percent of total billed charges		60.22				percent of total billed charges		217.96				other	OPPS APC	59.05	217.96	
SHEATH GUIDING CHECK-FLO HYDROPHILIC ANL0 CURVE STRAIGHT L90 CM OD5 FR ID.074 IN CHECK-FLO VALVE GUIDING SHEATH STIFF SHAFT SOFT TIP RADIOPAQUE BAND .018/.035 IN GUIDEWIRE	SUP-G48189	CDM			270	RC		inpatient			217.96	217.96																																																			
SHEATH GUIDING FLEXOR AQ ANL0 CURVE L110 CM OD4 FR ID.059 IN RADIOPAQUE BAND KINK RESISTANT LOW FRICTION CHECK-FLO VALVE STERILE DISPOSABLE ACCEPTS .035/.018 IN GUIDEWIRE	SUP-G48191	CDM			270	RC		outpatient			217.96	217.96	59.05				percent of total billed charges		217.96				other	OPPS APC	161.29				percent of total billed charges		217.96				other	OPPS APC	217.96				other	OPPS APC	59.05				percent of total billed charges		60.22				percent of total billed charges		217.96				other	OPPS APC	59.05	217.96	
SHEATH GUIDING FLEXOR AQ ANL0 CURVE L110 CM OD4 FR ID.059 IN RADIOPAQUE BAND KINK RESISTANT LOW FRICTION CHECK-FLO VALVE STERILE DISPOSABLE ACCEPTS .035/.018 IN GUIDEWIRE	SUP-G48191	CDM			270	RC		inpatient			217.96	217.96																																																			
CATHETER FILIFORM 6FR	SUP-02-00018	CDM			272	RC		outpatient			217.29	217.29	58.86				percent of total billed charges		217.29				other	OPPS APC	160.79				percent of total billed charges		217.29				other	OPPS APC	217.29				other	OPPS APC	58.86				percent of total billed charges		60.04				percent of total billed charges		217.29				other	OPPS APC	58.86	217.29	
CATHETER FILIFORM 6FR	SUP-02-00018	CDM			272	RC		inpatient			217.29	217.29																																																			
HC Fibro Test Acti Test  S (Fibro)	PX-300815960	CDM	81596	CPT	300	RC		outpatient			217	72.19	64.97				fee schedule		72.19				fee schedule		160.58				percent of total billed charges		72.19				fee schedule		72.19				fee schedule		72.19				fee schedule		72.19				fee schedule		72.19				fee schedule		64.97	160.58	
HC Fibro Test Acti Test  S (Fibro)	PX-300815960	CDM	81596	CPT	300	RC		inpatient			217	217																																																			
COLLAGEN PURACOL PLUS 2X2	SUP-95-01973	CDM			272	RC		outpatient			217	217	58.79				percent of total billed charges		217				other	OPPS APC	160.58				percent of total billed charges		217				other	OPPS APC	217				other	OPPS APC	58.79				percent of total billed charges		59.96				percent of total billed charges		217				other	OPPS APC	58.79	217	
COLLAGEN PURACOL PLUS 2X2	SUP-95-01973	CDM			272	RC		inpatient			217	217																																																			
PESSARY DOUNT 2-3/4IN #3	SUP-95-04145	CDM			272	RC		outpatient			217	217	58.79				percent of total billed charges		217				other	OPPS APC	160.58				percent of total billed charges		217				other	OPPS APC	217				other	OPPS APC	58.79				percent of total billed charges		59.96				percent of total billed charges		217				other	OPPS APC	58.79	217	
PESSARY DOUNT 2-3/4IN #3	SUP-95-04145	CDM			272	RC		inpatient			217	217																																																			
PESSARY DOUNT 3IN #4	SUP-95-04146	CDM			272	RC		outpatient			217	217	58.79				percent of total billed charges		217				other	OPPS APC	160.58				percent of total billed charges		217				other	OPPS APC	217				other	OPPS APC	58.79				percent of total billed charges		59.96				percent of total billed charges		217				other	OPPS APC	58.79	217	
PESSARY DOUNT 3IN #4	SUP-95-04146	CDM			272	RC		inpatient			217	217																																																			
PESSARY DOUNT 3-1/4IN #5	SUP-95-04147	CDM			272	RC		outpatient			217	217	58.79				percent of total billed charges		217				other	OPPS APC	160.58				percent of total billed charges		217				other	OPPS APC	217				other	OPPS APC	58.79				percent of total billed charges		59.96				percent of total billed charges		217				other	OPPS APC	58.79	217	
PESSARY DOUNT 3-1/4IN #5	SUP-95-04147	CDM			272	RC		inpatient			217	217																																																			
PESSARY DOUNT 3-1/2IN #6	SUP-95-04148	CDM			272	RC		outpatient			217	217	58.79				percent of total billed charges		217				other	OPPS APC	160.58				percent of total billed charges		217				other	OPPS APC	217				other	OPPS APC	58.79				percent of total billed charges		59.96				percent of total billed charges		217				other	OPPS APC	58.79	217	
PESSARY DOUNT 3-1/2IN #6	SUP-95-04148	CDM			272	RC		inpatient			217	217																																																			
RETRACTOR ALEXIS LARGE	SUP-97-00268	CDM			272	RC		outpatient			217	217	58.79				percent of total billed charges		217				other	OPPS APC	160.58				percent of total billed charges		217				other	OPPS APC	217				other	OPPS APC	58.79				percent of total billed charges		59.96				percent of total billed charges		217				other	OPPS APC	58.79	217	
RETRACTOR ALEXIS LARGE	SUP-97-00268	CDM			272	RC		inpatient			217	217																																																			
KIT PEG ENDOVIVE SAFETYGLIDE CHLORAPREP XYLOCAINE SILICONE 11 L1 1/2 IN OD20 FR ODSEC22 GA PUSH METHOD AMPULE 2 EXTERNAL BOLSTER SPRING LOAD BLADE STERILE LATEX FREE DISPOSABLE	SUP-M00566471	CDM			270	RC		outpatient			216.66	216.66	58.69				percent of total billed charges		216.66				other	OPPS APC	160.33				percent of total billed charges		216.66				other	OPPS APC	216.66				other	OPPS APC	58.69				percent of total billed charges		59.86				percent of total billed charges		216.66				other	OPPS APC	58.69	216.66	
KIT PEG ENDOVIVE SAFETYGLIDE CHLORAPREP XYLOCAINE SILICONE 11 L1 1/2 IN OD20 FR ODSEC22 GA PUSH METHOD AMPULE 2 EXTERNAL BOLSTER SPRING LOAD BLADE STERILE LATEX FREE DISPOSABLE	SUP-M00566471	CDM			270	RC		inpatient			216.66	216.66																																																			
Catheter Phillips 10fr	PX-272000004	CDM			272	RC		outpatient			216.42	216.42	58.63				percent of total billed charges		216.42				other	OPPS APC	216.42				fee schedule		216.42				other	OPPS APC	216.42				other	OPPS APC	58.63				percent of total billed charges		59.8				percent of total billed charges		216.42				other	OPPS APC	58.63	216.42	
Catheter Phillips 10fr	PX-272000004	CDM			272	RC		inpatient			216.42	216.42																																																			
PROTECTIVE CAPS FOR 4.0MM BARS & RODS	SUP-97-04113	CDM			278	RC		outpatient			216.3	216.31	216.3				fee schedule		216.3				other	OPPS APC	123.29				percent of total billed charges		216.3				other	OPPS APC	216.3				other	OPPS APC	105.99				percent of total billed charges		110.31				percent of total billed charges		216.31				other	OPPS APC	105.99	216.31	
PROTECTIVE CAPS FOR 4.0MM BARS & RODS	SUP-97-04113	CDM			278	RC		inpatient			216.3	216.3																																																			
HC Dexa Bone Density Axial	PX-320770801	CDM	77080	CPT	320	RC		outpatient			216	112.57	49.99				fee schedule		112.57				other	OPPS APC	152.06				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	38.08				fee schedule		28.61				fee schedule		112.57				other	OPPS APC	28.61	152.06	
HC Dexa Bone Density Axial	PX-320770801	CDM	77080	CPT	320	RC		inpatient			216	216																																																			
Individ Psych W/ Eval & Mgnt 60 Mins (53+) Mins	PX-510908381	CDM	90838	CPT	510	RC		outpatient			216	216	169.66				case rate		216				other	OPPS APC	101				case rate		216				other	OPPS APC	216				fee schedule		169.66				case rate		173.05				case rate		216				other	OPPS APC	101	216	
Individ Psych W/ Eval & Mgnt 60 Mins (53+) Mins	PX-510908381	CDM	90838	CPT	510	RC		inpatient			216	216																																																			
SCREW BONE L35 MM OD6.5 MM HIP SELF TAP	SUP-00-6250-065-35	CDM	270010024	LOCAL	270	RC		outpatient			216	216	58.51				percent of total billed charges		216				other	OPPS APC	159.84				percent of total billed charges		216				other	OPPS APC	216				other	OPPS APC	58.51				percent of total billed charges		59.68				percent of total billed charges		216				other	OPPS APC	58.51	216	
SCREW BONE L35 MM OD6.5 MM HIP SELF TAP	SUP-00-6250-065-35	CDM	270010024	LOCAL	270	RC		inpatient			216	216																																																			
COIL EMBOLIZATION MREYE PLATINUM L 5CM OD 10MM 1.6 LOOP ACCEPTS .035 IN CATHETER	SUP-G19908	CDM			270	RC		outpatient			215.98	215.98	58.51				percent of total billed charges		215.98				other	OPPS APC	159.83				percent of total billed charges		215.98				other	OPPS APC	215.98				other	OPPS APC	58.51				percent of total billed charges		59.68				percent of total billed charges		215.98				other	OPPS APC	58.51	215.98	
COIL EMBOLIZATION MREYE PLATINUM L 5CM OD 10MM 1.6 LOOP ACCEPTS .035 IN CATHETER	SUP-G19908	CDM			270	RC		inpatient			215.98	215.98																																																			
COIL EMBOLIZATION MREYE PLATINUM L5 CM OD10 MM 1.6 LOOP ACCEPTS .035 IN CATHETER	SUP-G19908	CDM			270	RC		outpatient			215.98	215.98	58.51				percent of total billed charges		215.98				other	OPPS APC	159.83				percent of total billed charges		215.98				other	OPPS APC	215.98				other	OPPS APC	58.51				percent of total billed charges		59.68				percent of total billed charges		215.98				other	OPPS APC	58.51	215.98	
COIL EMBOLIZATION MREYE PLATINUM L5 CM OD10 MM 1.6 LOOP ACCEPTS .035 IN CATHETER	SUP-G19908	CDM			270	RC		inpatient			215.98	215.98																																																			
COIL EMBOLIZATION MREYE PLATINUM L5 CM OD6 MM 2.7 LOOP END HOLE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-G20291	CDM			270	RC		outpatient			215.98	215.98	58.51				percent of total billed charges		215.98				other	OPPS APC	159.83				percent of total billed charges		215.98				other	OPPS APC	215.98				other	OPPS APC	58.51				percent of total billed charges		59.68				percent of total billed charges		215.98				other	OPPS APC	58.51	215.98	
COIL EMBOLIZATION MREYE PLATINUM L5 CM OD6 MM 2.7 LOOP END HOLE STERILE ACCEPTS .035 IN GUIDEWIRE	SUP-G20291	CDM			270	RC		inpatient			215.98	215.98																																																			
COIL EMBOLIZATION MREYE .038IN 15CM 15MM PLATINUM STERILE ARTERIAL VENOUS 3.2 LOOP ACCEPTS .038IN GUIDEWIRE	SUP-G42419	CDM			270	RC		outpatient			215.98	215.98	58.51				percent of total billed charges		215.98				other	OPPS APC	159.83				percent of total billed charges		215.98				other	OPPS APC	215.98				other	OPPS APC	58.51				percent of total billed charges		59.68				percent of total billed charges		215.98				other	OPPS APC	58.51	215.98	
COIL EMBOLIZATION MREYE .038IN 15CM 15MM PLATINUM STERILE ARTERIAL VENOUS 3.2 LOOP ACCEPTS .038IN GUIDEWIRE	SUP-G42419	CDM			270	RC		inpatient			215.98	215.98																																																			
COIL EMBOLIZATION MREYE 5CM 8MM PLATINUM STERILE ARTERIAL VENOUS 2 LOOP ACCEPTS .038IN GUIDEWIRE	SUP-G42463	CDM			270	RC		outpatient			215.98	215.98	58.51				percent of total billed charges		215.98				other	OPPS APC	159.83				percent of total billed charges		215.98				other	OPPS APC	215.98				other	OPPS APC	58.51				percent of total billed charges		59.68				percent of total billed charges		215.98				other	OPPS APC	58.51	215.98	
COIL EMBOLIZATION MREYE 5CM 8MM PLATINUM STERILE ARTERIAL VENOUS 2 LOOP ACCEPTS .038IN GUIDEWIRE	SUP-G42463	CDM			270	RC		inpatient			215.98	215.98																																																			
BLADE SHAVER 4MM MCDEB AGGRESSIVE IRRIGATE SERRATE STERILE	SUP-0290645000	CDM			270	RC		outpatient			215.53	215.53	58.39				percent of total billed charges		215.53				other	OPPS APC	159.49				percent of total billed charges		215.53				other	OPPS APC	215.53				other	OPPS APC	58.39				percent of total billed charges		59.55				percent of total billed charges		215.53				other	OPPS APC	58.39	215.53	
BLADE SHAVER 4MM MCDEB AGGRESSIVE IRRIGATE SERRATE STERILE	SUP-0290645000	CDM			270	RC		inpatient			215.53	215.53																																																			
RASP MICRORECIPRICATING LARGE CROSSCUT	SUP-84-00011	CDM			272	RC		outpatient			215.11	215.11	58.27				percent of total billed charges		215.11				other	OPPS APC	159.18				percent of total billed charges		215.11				other	OPPS APC	215.11				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.11				other	OPPS APC	58.27	215.11	
RASP MICRORECIPRICATING LARGE CROSSCUT	SUP-84-00011	CDM			272	RC		inpatient			215.11	215.11																																																			
J-HOOK TIPS	SUP-95-23607	CDM			272	RC		outpatient			215.11	215.11	58.27				percent of total billed charges		215.11				other	OPPS APC	159.18				percent of total billed charges		215.11				other	OPPS APC	215.11				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.11				other	OPPS APC	58.27	215.11	
J-HOOK TIPS	SUP-95-23607	CDM			272	RC		inpatient			215.11	215.11																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 8FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021508	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 8FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021508	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 10FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021510	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 10FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021510	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 12FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021512	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 12FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021512	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 14FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021514	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 14FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021514	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 16FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021516	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 16FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021516	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 18FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021518	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 18FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021518	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 20FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021520	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 20FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021520	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS 13.5IN 22FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021522	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS 13.5IN 22FR PLASTIC REUSABLE STERILE LF DILATION CATHETER WOVEN	SUP-021522	CDM			270	RC		inpatient			215.08	215.08																																																			
FOLLOWER URETHRAL PHILLIPS L13.5 IN OD24 FR WOVEN DILATION CATHETER STERILE LATEX FREE REUSABLE	SUP-021524	CDM			270	RC		outpatient			215.08	215.81	58.27				percent of total billed charges		215.08				other	OPPS APC	159.16				percent of total billed charges		215.08				other	OPPS APC	215.08				other	OPPS APC	58.27				percent of total billed charges		59.43				percent of total billed charges		215.81				other	OPPS APC	58.27	215.81	
FOLLOWER URETHRAL PHILLIPS L13.5 IN OD24 FR WOVEN DILATION CATHETER STERILE LATEX FREE REUSABLE	SUP-021524	CDM			270	RC		inpatient			215.08	215.08																																																			
HC Culture Refer for ID  Fungus&Culture ID (Funid(Dsf)	PX-300871530	CDM	87153	CPT	300	RC		outpatient			215.05	115.36	154.23				fee schedule		115.36				fee schedule		310.44				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36	310.44	
HC Culture Refer for ID  Fungus&Culture ID (Funid(Dsf)	PX-300871530	CDM	87153	CPT	300	RC		inpatient			215.05	215.05																																																			
HC Organism Referred for ID  Anaerobic Bacteria(Isan Isae)	PX-300871532	CDM	87153	CPT	300	RC		outpatient			215.05	115.36	154.23				fee schedule		115.36				fee schedule		310.44				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36				fee schedule		115.36	310.44	
HC Organism Referred for ID  Anaerobic Bacteria(Isan Isae)	PX-300871532	CDM	87153	CPT	300	RC		inpatient			215.05	215.05																																																			
Preventive Med Service	PX-510994291	CDM	99429	CPT	510	RC		outpatient			215	215	169.66				case rate		215				other	OPPS APC	101				case rate		215				other	OPPS APC	215				fee schedule		169.66				case rate		173.05				case rate		215				other	OPPS APC	101	215	
Preventive Med Service	PX-510994291	CDM	99429	CPT	510	RC		inpatient			215	215																																																			
WASHER FOR 2.7MM SCREW	SUP-97-03352	CDM			278	RC		outpatient			214.62	214.62	214.62				fee schedule		214.62				other	OPPS APC	122.33				percent of total billed charges		214.62				other	OPPS APC	214.62				other	OPPS APC	105.16				percent of total billed charges		109.46				percent of total billed charges		214.62				other	OPPS APC	105.16	214.62	
WASHER FOR 2.7MM SCREW	SUP-97-03352	CDM			278	RC		inpatient			214.62	214.62																																																			
K-WIRE 3.2	SUP-705235S	CDM			270	RC		outpatient			214.2	214.2	58.03				percent of total billed charges		214.2				other	OPPS APC	158.51				percent of total billed charges		214.2				other	OPPS APC	214.2				other	OPPS APC	58.03				percent of total billed charges		59.18				percent of total billed charges		214.2				other	OPPS APC	58.03	214.2	
K-WIRE 3.2	SUP-705235S	CDM			270	RC		inpatient			214.2	214.2																																																			
NEEDLES 8GAX10CM	SUP-95-03730	CDM						inpatient			214.2	214.2																																																			
NEEDLES 8GAX10CM	SUP-95-03730	CDM						outpatient			214.2	214.2	214.2				percent of total billed charges		214.2				other	OPPS APC	214.2				fee schedule		214.2				other	OPPS APC	214.2				other	OPPS APC	214.2				case rate		214.2				case rate		214.2				other	OPPS APC	214.2	214.2	
COVER ENDOSCOPE DISTAL STERILE LATEX FREE DISPOSABLE	SUP-MAJ-2315	CDM			270	RC		outpatient			214.2	214.2	58.03				percent of total billed charges		214.2				other	OPPS APC	158.51				percent of total billed charges		214.2				other	OPPS APC	214.2				other	OPPS APC	58.03				percent of total billed charges		59.18				percent of total billed charges		214.2				other	OPPS APC	58.03	214.2	
COVER ENDOSCOPE DISTAL STERILE LATEX FREE DISPOSABLE	SUP-MAJ-2315	CDM			270	RC		inpatient			214.2	214.2																																																			
HC Infectious Detection Sars-Cov2 Influenza a/B  Rsv	PX-300024100	CDM			300	RC		outpatient			214	142.63	142.63				fee schedule		142.63				fee schedule		158.36				percent of total billed charges		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63	158.36	
HC Infectious Detection Sars-Cov2 Influenza a/B  Rsv	PX-300024100	CDM			300	RC		inpatient			214	214																																																			
Respiratory Virus  Influenza Type a&Bm 3-5 Targets	PX-300876310	CDM	87631	CPT	300	RC		inpatient			214	214																																																			
Respiratory Virus  Influenza Type a&Bm 3-5 Targets	PX-300876310	CDM	87631	CPT	300	RC		outpatient			214	142.63					fee schedule		142.63				fee schedule		335.05				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		142.63				fee schedule		335.05	335.05	
HC MC Bh Therapy 60 Min Ind	PX-900908379	CDM	90837	CPT	914	RC		inpatient			214	214																																																			
HC MC Bh Therapy 60 Min Ind	PX-900908379	CDM	90837	CPT	914	RC		outpatient			214	126.99	127.47				fee schedule		126.99				fee schedule		390.51				fee schedule		126.99				fee schedule		126.99				fee schedule		127.57				fee schedule								126.99				fee schedule		390.51	390.51	
ANSEL SHEATH 7F 55 CM .035	SUP-G13132	CDM			270	RC		outpatient			214	214	57.97				percent of total billed charges		214				other	OPPS APC	158.36				percent of total billed charges		214				other	OPPS APC	214				other	OPPS APC	57.97				percent of total billed charges		59.13				percent of total billed charges		214				other	OPPS APC	57.97	214	
ANSEL SHEATH 7F 55 CM .035	SUP-G13132	CDM			270	RC		inpatient			214	214																																																			
CAROTID PATCH KNITTED  HEK06/75CPUT  EA	SUP-HEK06/75CUT	CDM			270	RC		outpatient			214	214	57.97				percent of total billed charges		214				other	OPPS APC	158.36				percent of total billed charges		214				other	OPPS APC	214				other	OPPS APC	57.97				percent of total billed charges		59.13				percent of total billed charges		214				other	OPPS APC	57.97	214	
CAROTID PATCH KNITTED  HEK06/75CPUT  EA	SUP-HEK06/75CUT	CDM			270	RC		inpatient			214	214																																																			
PATCH CARDIOVASCULAR HEMACAROTID COLLAGEN POLYESTER THK.41 MM ULTRA THIN WALL L75 MM X W8 MM KNITTED COATED REVERSE LOCKNIT	SUP-HEK08/75CPUT	CDM			270	RC		outpatient			214	214	57.97				percent of total billed charges		214				other	OPPS APC	158.36				percent of total billed charges		214				other	OPPS APC	214				other	OPPS APC	57.97				percent of total billed charges		59.13				percent of total billed charges		214				other	OPPS APC	57.97	214	
PATCH CARDIOVASCULAR HEMACAROTID COLLAGEN POLYESTER THK.41 MM ULTRA THIN WALL L75 MM X W8 MM KNITTED COATED REVERSE LOCKNIT	SUP-HEK08/75CPUT	CDM			270	RC		inpatient			214	214																																																			
PATCH CARDIOVASCULAR HEMACAROTID PATCH ULTRATHIN INTERVASCULAR POLYESTER COLLAGEN THK.65 MM L75 MM X W8 MM KNIT REVERSE LOCKNIT	SUP-HEK08/75CPUT1	CDM			270	RC		outpatient			214	214	57.97				percent of total billed charges		214				other	OPPS APC	158.36				percent of total billed charges		214				other	OPPS APC	214				other	OPPS APC	57.97				percent of total billed charges		59.13				percent of total billed charges		214				other	OPPS APC	57.97	214	
PATCH CARDIOVASCULAR HEMACAROTID PATCH ULTRATHIN INTERVASCULAR POLYESTER COLLAGEN THK.65 MM L75 MM X W8 MM KNIT REVERSE LOCKNIT	SUP-HEK08/75CPUT1	CDM			270	RC		inpatient			214	214																																																			
HEADED NAIL PIM 3/4	SUP-97-02418	CDM			278	RC		outpatient			213.68	213.68	213.68				fee schedule		213.68				other	OPPS APC	121.8				percent of total billed charges		213.68				other	OPPS APC	213.68				other	OPPS APC	104.7				percent of total billed charges		108.98				percent of total billed charges		213.68				other	OPPS APC	104.7	213.68	
HEADED NAIL PIM 3/4	SUP-97-02418	CDM			278	RC		inpatient			213.68	213.68																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD CURVE H.6 MM MIDFACE 4 HOLE BAR 1.7 MM SCREW	SUP-5506754	CDM			270	RC		outpatient			213.6	213.6	57.86				percent of total billed charges		213.6				other	OPPS APC	158.06				percent of total billed charges		213.6				other	OPPS APC	213.6				other	OPPS APC	57.86				percent of total billed charges		59.02				percent of total billed charges		213.6				other	OPPS APC	57.86	213.6	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD CURVE H.6 MM MIDFACE 4 HOLE BAR 1.7 MM SCREW	SUP-5506754	CDM			270	RC		inpatient			213.6	213.6																																																			
3.5MM CRTX SCREWLOW PROF 30MM	SUP-97-03446	CDM			278	RC		outpatient			213.5	213.5	213.5				fee schedule		213.5				other	OPPS APC	121.7				percent of total billed charges		213.5				other	OPPS APC	213.5				other	OPPS APC	104.62				percent of total billed charges		108.89				percent of total billed charges		213.5				other	OPPS APC	104.62	213.5	
3.5MM CRTX SCREWLOW PROF 30MM	SUP-97-03446	CDM			278	RC		inpatient			213.5	213.5																																																			
3.5MM CRTX SCREWLOW PROF28MM	SUP-97-03448	CDM			278	RC		outpatient			213.5	213.5	213.5				fee schedule		213.5				other	OPPS APC	121.7				percent of total billed charges		213.5				other	OPPS APC	213.5				other	OPPS APC	104.62				percent of total billed charges		108.89				percent of total billed charges		213.5				other	OPPS APC	104.62	213.5	
3.5MM CRTX SCREWLOW PROF28MM	SUP-97-03448	CDM			278	RC		inpatient			213.5	213.5																																																			
3.5MM CRTX SCREWLOW PROF HDSE DRIVE42M	SUP-97-03450	CDM			278	RC		outpatient			213.5	213.5	213.5				fee schedule		213.5				other	OPPS APC	121.7				percent of total billed charges		213.5				other	OPPS APC	213.5				other	OPPS APC	104.62				percent of total billed charges		108.89				percent of total billed charges		213.5				other	OPPS APC	104.62	213.5	
3.5MM CRTX SCREWLOW PROF HDSE DRIVE42M	SUP-97-03450	CDM			278	RC		inpatient			213.5	213.5																																																			
KIT INTRODUCER GLIDESHEATH PLASTIC HYDROPHILIC .021 IN L80 CM L25 CM L1.25 IN OD6 FR ODSEC22 GA NEEDLE JACKET SHORT TAPER ANGLE GUIDEWIRE STERILE DISPOSABLE 2 WALL PUNCTURE RADIAL ACCESS	SUP-30-2560	CDM			270	RC		outpatient			213.4	213.41	57.81				percent of total billed charges		213.4				other	OPPS APC	157.92				percent of total billed charges		213.4				other	OPPS APC	213.4				other	OPPS APC	57.81				percent of total billed charges		58.96				percent of total billed charges		213.41				other	OPPS APC	57.81	213.41	
KIT INTRODUCER GLIDESHEATH PLASTIC HYDROPHILIC .021 IN L80 CM L25 CM L1.25 IN OD6 FR ODSEC22 GA NEEDLE JACKET SHORT TAPER ANGLE GUIDEWIRE STERILE DISPOSABLE 2 WALL PUNCTURE RADIAL ACCESS	SUP-30-2560	CDM			270	RC		inpatient			213.4	213.4																																																			
BLADE 4.0MM AGGRESSIVE PLUS	SUP-79-00057	CDM			272	RC		outpatient			213.17	213.17	57.75				percent of total billed charges		213.17				other	OPPS APC	157.75				percent of total billed charges		213.17				other	OPPS APC	213.17				other	OPPS APC	57.75				percent of total billed charges		58.9				percent of total billed charges		213.17				other	OPPS APC	57.75	213.17	
BLADE 4.0MM AGGRESSIVE PLUS	SUP-79-00057	CDM			272	RC		inpatient			213.17	213.17																																																			
HC Patient Blood Type (Bty)	PX-300869000	CDM	86900	CPT	300	RC		outpatient			213	122.29	3.99				fee schedule		122.29				other	OPPS APC	7.92				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	2.99				fee schedule		2.99				fee schedule		122.29				other	OPPS APC	2.99	122.29	
HC Patient Blood Type (Bty)	PX-300869000	CDM	86900	CPT	300	RC		inpatient			213	213																																																			
HC Blood Typing  Abo	PX-300869001	CDM	86900	CPT	300	RC		outpatient			213	122.29	3.99				fee schedule		122.29				other	OPPS APC	7.92				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	2.99				fee schedule		2.99				fee schedule		122.29				other	OPPS APC	2.99	122.29	
HC Blood Typing  Abo	PX-300869001	CDM	86900	CPT	300	RC		inpatient			213	213																																																			
HC Holter 24 Hour	PX-731932260	CDM	93226	CPT	731	RC		outpatient			213	122.29	38.57				fee schedule		122.29				other	OPPS APC	243.97				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	36.09				fee schedule		108.63				percent of total billed charges		122.29				other	OPPS APC	36.09	243.97	
HC Holter 24 Hour	PX-731932260	CDM	93226	CPT	731	RC		inpatient			213	213																																																			
HC Apply Unna Boot	PX-761295800	CDM	29580	CPT	761	RC		outpatient			213	153.52	195.77				case rate		153.52				other	OPPS APC	157.62				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	195.77				case rate		108.63				percent of total billed charges		153.52				other	OPPS APC	108.63	195.77	
HC Apply Unna Boot	PX-761295800	CDM	29580	CPT	761	RC		inpatient			213	213																																																			
CATHETER DRAINAGE AMPLATZ ULTRATHANE UNIVERSAL L50 CM OD10.2 FR 6 SIDEPORT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G11974	CDM			270	RC		outpatient			212.92	212.92	57.68				percent of total billed charges		212.92				other	OPPS APC	157.56				percent of total billed charges		212.92				other	OPPS APC	212.92				other	OPPS APC	57.68				percent of total billed charges		58.83				percent of total billed charges		212.92				other	OPPS APC	57.68	212.92	
CATHETER DRAINAGE AMPLATZ ULTRATHANE UNIVERSAL L50 CM OD10.2 FR 6 SIDEPORT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G11974	CDM			270	RC		inpatient			212.92	212.92																																																			
SHEATH GUIDING CHECK-FLO FLEXOR HYDROPHILIC .018/.035 IN ANL0 CURVE L90 CM OD4 FR ID.059 IN RADIOPAQUE BAND HEMOSTASIS VALVE SHORT DILATOR TIP GUIDING SHEATH ANSEL MODIFICATION STERILE DISPOSABLE	SUP-G48188	CDM			270	RC		outpatient			212.6	212.6	57.59				percent of total billed charges		212.6				other	OPPS APC	157.32				percent of total billed charges		212.6				other	OPPS APC	212.6				other	OPPS APC	57.59				percent of total billed charges		58.74				percent of total billed charges		212.6				other	OPPS APC	57.59	212.6	
SHEATH GUIDING CHECK-FLO FLEXOR HYDROPHILIC .018/.035 IN ANL0 CURVE L90 CM OD4 FR ID.059 IN RADIOPAQUE BAND HEMOSTASIS VALVE SHORT DILATOR TIP GUIDING SHEATH ANSEL MODIFICATION STERILE DISPOSABLE	SUP-G48188	CDM			270	RC		inpatient			212.6	212.6																																																			
TUBES SOILEAU SINGLE	SUP-72-00023	CDM			272	RC		outpatient			212.46	212.46	57.56				percent of total billed charges		212.46				other	OPPS APC	157.22				percent of total billed charges		212.46				other	OPPS APC	212.46				other	OPPS APC	57.56				percent of total billed charges		58.7				percent of total billed charges		212.46				other	OPPS APC	57.56	212.46	
TUBES SOILEAU SINGLE	SUP-72-00023	CDM			272	RC		inpatient			212.46	212.46																																																			
Dispense Male Condom to Male or Female	PX-270A42671	CDM			270	RC		outpatient			212	212	57.43				percent of total billed charges		212				other	OPPS APC	156.88				percent of total billed charges		212				other	OPPS APC	212				other	OPPS APC	57.43				percent of total billed charges		58.58				percent of total billed charges		212				other	OPPS APC	57.43	212	
Dispense Male Condom to Male or Female	PX-270A42671	CDM			270	RC		inpatient			212	212																																																			
HC Cpt&Postual Drain Subseq Rx 4 POS	PX-410946681	CDM	94668	CPT	410	RC		outpatient			212	212	64.96				percent of total billed charges		212				other	OPPS APC	56.27				fee schedule		212				other	OPPS APC	212				other	OPPS APC	64.96				percent of total billed charges		66.25				percent of total billed charges		212				other	OPPS APC	56.27	212	
HC Cpt&Postual Drain Subseq Rx 4 POS	PX-410946681	CDM	94668	CPT	410	RC		inpatient			212	212																																																			
HC Acapella Sub Rx	PX-410946682	CDM	94668	CPT	410	RC		outpatient			212	212	64.96				percent of total billed charges		212				other	OPPS APC	56.27				fee schedule		212				other	OPPS APC	212				other	OPPS APC	64.96				percent of total billed charges		66.25				percent of total billed charges		212				other	OPPS APC	56.27	212	
HC Acapella Sub Rx	PX-410946682	CDM	94668	CPT	410	RC		inpatient			212	212																																																			
HC Vl Uea Single Level Unilateral	PX-921939220	CDM	93922	CPT	921	RC		outpatient			212	122.29	90.4				fee schedule		122.29				other	OPPS APC	321.28				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	82.13				fee schedule		108.12				percent of total billed charges		122.29				other	OPPS APC	82.13	321.28	
HC Vl Uea Single Level Unilateral	PX-921939220	CDM	93922	CPT	921	RC		inpatient			212	212																																																			
HC Phlebotomy-Therapeutic	PX-940991591	CDM	99195	CPT	940	RC		outpatient			212	122.29	100.29				fee schedule		122.29				other	OPPS APC	199.28				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	96.84				fee schedule		108.12				percent of total billed charges		122.29				other	OPPS APC	96.84	199.28	
HC Phlebotomy-Therapeutic	PX-940991591	CDM	99195	CPT	940	RC		inpatient			212	212																																																			
HC Phlebotomy (Phle)	PX-940991950	CDM	99195	CPT	940	RC		outpatient			212	122.29	100.29				fee schedule		122.29				other	OPPS APC	199.28				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	96.84				fee schedule		108.12				percent of total billed charges		122.29				other	OPPS APC	96.84	199.28	
HC Phlebotomy (Phle)	PX-940991950	CDM	99195	CPT	940	RC		inpatient			212	212																																																			
PROBE VASCULAR POLYMER STANDARD L45 CM OD1-1.5 MM BULB FLEXIBLE SHAFT EXTRA SUPPLE STERILE DISPOSABLE	SUP-7451015ES	CDM			270	RC		outpatient			211.8	211.81	57.38				percent of total billed charges		211.8				other	OPPS APC	156.73				percent of total billed charges		211.8				other	OPPS APC	211.8				other	OPPS APC	57.38				percent of total billed charges		58.52				percent of total billed charges		211.81				other	OPPS APC	57.38	211.81	
PROBE VASCULAR POLYMER STANDARD L45 CM OD1-1.5 MM BULB FLEXIBLE SHAFT EXTRA SUPPLE STERILE DISPOSABLE	SUP-7451015ES	CDM			270	RC		inpatient			211.8	211.8																																																			
SHEATH - GLIDESHEATH SLENDER 6F	SUP-99-03132	CDM			272	RC		outpatient			211.75	211.75	57.36				percent of total billed charges		211.75				other	OPPS APC	156.7				percent of total billed charges		211.75				other	OPPS APC	211.75				other	OPPS APC	57.36				percent of total billed charges		58.51				percent of total billed charges		211.75				other	OPPS APC	57.36	211.75	
SHEATH - GLIDESHEATH SLENDER 6F	SUP-99-03132	CDM			272	RC		inpatient			211.75	211.75																																																			
SHEATH - GLIDESHEATH SLENDER 5F	SUP-99-03133	CDM			272	RC		outpatient			211.75	211.75	57.36				percent of total billed charges		211.75				other	OPPS APC	156.7				percent of total billed charges		211.75				other	OPPS APC	211.75				other	OPPS APC	57.36				percent of total billed charges		58.51				percent of total billed charges		211.75				other	OPPS APC	57.36	211.75	
SHEATH - GLIDESHEATH SLENDER 5F	SUP-99-03133	CDM			272	RC		inpatient			211.75	211.75																																																			
SHEATH - GLIDESHEATH SLENDER 7F	SUP-99-03167	CDM			272	RC		outpatient			211.75	211.75	57.36				percent of total billed charges		211.75				other	OPPS APC	156.7				percent of total billed charges		211.75				other	OPPS APC	211.75				other	OPPS APC	57.36				percent of total billed charges		58.51				percent of total billed charges		211.75				other	OPPS APC	57.36	211.75	
SHEATH - GLIDESHEATH SLENDER 7F	SUP-99-03167	CDM			272	RC		inpatient			211.75	211.75																																																			
TRACH CUFF LOW PRESSURE 4	SUP-31-00005	CDM			272	RC		outpatient			211.69	211.69	57.35				percent of total billed charges		211.69				other	OPPS APC	156.65				percent of total billed charges		211.69				other	OPPS APC	211.69				other	OPPS APC	57.35				percent of total billed charges		58.49				percent of total billed charges		211.69				other	OPPS APC	57.35	211.69	
TRACH CUFF LOW PRESSURE 4	SUP-31-00005	CDM			272	RC		inpatient			211.69	211.69																																																			
ROD REAMING L950 MM OD2.5 MM BALL TIP STERILE DISPOSABLE	SUP-351.706S	CDM	270010022	LOCAL	270	RC		outpatient			211.6	211.6	57.32				percent of total billed charges		211.6				other	OPPS APC	156.58				percent of total billed charges		211.6				other	OPPS APC	211.6				other	OPPS APC	57.32				percent of total billed charges		58.47				percent of total billed charges		211.6				other	OPPS APC	57.32	211.6	
ROD REAMING L950 MM OD2.5 MM BALL TIP STERILE DISPOSABLE	SUP-351.706S	CDM	270010022	LOCAL	270	RC		inpatient			211.6	211.6																																																			
DRILL LARGE HEX 1.1 X 3.5MM STOP	SUP-15-1723	CDM			270	RC		outpatient			211.4	211.41	57.27				percent of total billed charges		211.4				other	OPPS APC	156.44				percent of total billed charges		211.4				other	OPPS APC	211.4				other	OPPS APC	57.27				percent of total billed charges		58.41				percent of total billed charges		211.41				other	OPPS APC	57.27	211.41	
DRILL LARGE HEX 1.1 X 3.5MM STOP	SUP-15-1723	CDM			270	RC		inpatient			211.4	211.4																																																			
SHEATH - DESTINATION SLENDER 119CM	SUP-99-03555	CDM			272	RC		outpatient			211.23	211.23	57.22				percent of total billed charges		211.23				other	OPPS APC	156.31				percent of total billed charges		211.23				other	OPPS APC	211.23				other	OPPS APC	57.22				percent of total billed charges		58.36				percent of total billed charges		211.23				other	OPPS APC	57.22	211.23	
SHEATH - DESTINATION SLENDER 119CM	SUP-99-03555	CDM			272	RC		inpatient			211.23	211.23																																																			
DRILL SURGICAL EVOS LONG OD1.8MM AO QUICK CONNECT DISPOSABLE	SUP-71174906	CDM			270	RC		outpatient			211.2	211.2	57.21				percent of total billed charges		211.2				other	OPPS APC	156.29				percent of total billed charges		211.2				other	OPPS APC	211.2				other	OPPS APC	57.21				percent of total billed charges		58.35				percent of total billed charges		211.2				other	OPPS APC	57.21	211.2	
DRILL SURGICAL EVOS LONG OD1.8MM AO QUICK CONNECT DISPOSABLE	SUP-71174906	CDM			270	RC		inpatient			211.2	211.2																																																			
DRILL SURGICAL EVOS LONG OD 2MM AO QUICK CONNECT DISPOSABLE	SUP-71174911	CDM			270	RC		outpatient			211.2	211.2	57.21				percent of total billed charges		211.2				other	OPPS APC	156.29				percent of total billed charges		211.2				other	OPPS APC	211.2				other	OPPS APC	57.21				percent of total billed charges		58.35				percent of total billed charges		211.2				other	OPPS APC	57.21	211.2	
DRILL SURGICAL EVOS LONG OD 2MM AO QUICK CONNECT DISPOSABLE	SUP-71174911	CDM			270	RC		inpatient			211.2	211.2																																																			
DEVICE PUSHER KNOT SUTURE ARTHROSCOPY MENISCAL FAST FIX CURVED	SUP-7210076	CDM			270	RC		outpatient			211.04	211.4	57.17				percent of total billed charges		211.04				other	OPPS APC	156.17				percent of total billed charges		211.04				other	OPPS APC	211.04				other	OPPS APC	57.17				percent of total billed charges		58.31				percent of total billed charges		211.4				other	OPPS APC	57.17	211.4	
DEVICE PUSHER KNOT SUTURE ARTHROSCOPY MENISCAL FAST FIX CURVED	SUP-7210076	CDM			270	RC		inpatient			211.04	211.04																																																			
CHAMBER REPL TISSUE 8G MGMT SYSTEM	SUP-95-05589	CDM			272	RC		outpatient			210.85	21.85	57.12				percent of total billed charges		210.85				other	OPPS APC	156.03				percent of total billed charges		210.85				other	OPPS APC	210.85				other	OPPS APC	57.12				percent of total billed charges		58.26				percent of total billed charges		21.85				other	OPPS APC	21.85	210.85	
CHAMBER REPL TISSUE 8G MGMT SYSTEM	SUP-95-05589	CDM			272	RC		inpatient			210.85	210.85																																																			
SCREW CORTEX SELF TAPPING 2.4 X 14MM	SUP-97-03740	CDM			278	RC		outpatient			210.63	21.63	210.63				fee schedule		210.63				other	OPPS APC	120.06				percent of total billed charges		210.63				other	OPPS APC	210.63				other	OPPS APC	103.21				percent of total billed charges		107.42				percent of total billed charges		21.63				other	OPPS APC	21.63	210.63	
SCREW CORTEX SELF TAPPING 2.4 X 14MM	SUP-97-03740	CDM			278	RC		inpatient			210.63	210.63																																																			
SCREW CORTEX SELF TAPPING 2.4 X 16MM	SUP-97-06088	CDM			278	RC		outpatient			210.63	21.63	210.63				fee schedule		210.63				other	OPPS APC	120.06				percent of total billed charges		210.63				other	OPPS APC	210.63				other	OPPS APC	103.21				percent of total billed charges		107.42				percent of total billed charges		21.63				other	OPPS APC	21.63	210.63	
SCREW CORTEX SELF TAPPING 2.4 X 16MM	SUP-97-06088	CDM			278	RC		inpatient			210.63	210.63																																																			
SCREW CORTEX SELF TAPPING 2.4 X 20MM	SUP-97-06120	CDM			278	RC		outpatient			210.63	21.63	210.63				fee schedule		210.63				other	OPPS APC	120.06				percent of total billed charges		210.63				other	OPPS APC	210.63				other	OPPS APC	103.21				percent of total billed charges		107.42				percent of total billed charges		21.63				other	OPPS APC	21.63	210.63	
SCREW CORTEX SELF TAPPING 2.4 X 20MM	SUP-97-06120	CDM			278	RC		inpatient			210.63	210.63																																																			
CATHETER SUPPORT SURECROSS HYDROPHILIC 15 MM SPACE L90 CM L40 CM OD5 FR ODSEC.039 IN VISIBLE MARKER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH	SUP-SC1490	CDM			270	RC		outpatient			210.2	21.2	56.94				percent of total billed charges		210.2				other	OPPS APC	155.55				percent of total billed charges		210.2				other	OPPS APC	210.2				other	OPPS APC	56.94				percent of total billed charges		58.08				percent of total billed charges		21.2				other	OPPS APC	21.2	210.2	
CATHETER SUPPORT SURECROSS HYDROPHILIC 15 MM SPACE L90 CM L40 CM OD5 FR ODSEC.039 IN VISIBLE MARKER ACCEPTS .014 IN GUIDEWIRE 4 FR SHEATH	SUP-SC1490	CDM			270	RC		inpatient			210.2	210.2																																																			
HC Pulmonary Stress Testing Simple	PX-460946201	CDM	94618	CPT	460	RC		outpatient			210	122.29	33.06				fee schedule		122.29				other	OPPS APC	335.52				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	33.37				fee schedule		107.1				percent of total billed charges		122.29				other	OPPS APC	33.06	335.52	
HC Pulmonary Stress Testing Simple	PX-460946201	CDM	94618	CPT	460	RC		inpatient			210	210																																																			
HC Apply Profore Bilateral	PX-761295810	CDM	29581	CPT	761	RC		outpatient			210	153.52	195.77				case rate		153.52				other	OPPS APC	155.4				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	195.77				case rate		107.1				percent of total billed charges		153.52				other	OPPS APC	107.1	195.77	
HC Apply Profore Bilateral	PX-761295810	CDM	29581	CPT	761	RC		inpatient			210	210																																																			
SCREW SELF DRILLING LAMINA 2.7MM X 5MM	SUP-522705	CDM	270010020	LOCAL	270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW SELF DRILLING LAMINA 2.7MM X 5MM	SUP-522705	CDM	270010020	LOCAL	270	RC		inpatient			210	210																																																			
SCREW SELF DRILLING LAMINA 2.7MM X 7MM	SUP-522707	CDM	270010020	LOCAL	270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW SELF DRILLING LAMINA 2.7MM X 7MM	SUP-522707	CDM	270010020	LOCAL	270	RC		inpatient			210	210																																																			
DRILL 5MM STOP STRYK END 1.35X60MM	SUP-6013505	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
DRILL 5MM STOP STRYK END 1.35X60MM	SUP-6013505	CDM			270	RC		inpatient			210	210																																																			
DRILL STOP STRYK END 8MM 1.4X54MM	SUP-6014008	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
DRILL STOP STRYK END 8MM 1.4X54MM	SUP-6014008	CDM			270	RC		inpatient			210	210																																																			
LAMINAR PHACO TIP& INFUSION  SLEEVE	SUP-73-00076	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
LAMINAR PHACO TIP& INFUSION  SLEEVE	SUP-73-00076	CDM			272	RC		inpatient			210	210																																																			
TUBING OUTFLOW W/ REDEUCE 10 EA	SUP-79-00094	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
TUBING OUTFLOW W/ REDEUCE 10 EA	SUP-79-00094	CDM			272	RC		inpatient			210	210																																																			
FOGARTY IRRIGATION CATH 4 FR	SUP-83-00017	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
FOGARTY IRRIGATION CATH 4 FR	SUP-83-00017	CDM			272	RC		inpatient			210	210																																																			
CATHETER PULMONARY ARTERY SWAN-GANZ VIP STANDARD L110 CM OD7.5 FR 5 LUMEN THERMODILUTION VOLUMETRIC LATEX	SUP-831F75P	CDM	270009129	LOCAL	270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
CATHETER PULMONARY ARTERY SWAN-GANZ VIP STANDARD L110 CM OD7.5 FR 5 LUMEN THERMODILUTION VOLUMETRIC LATEX	SUP-831F75P	CDM	270009129	LOCAL	270	RC		inpatient			210	210																																																			
FIXATION PIN HEADED 7/8 1.75	SUP-95-03129	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
FIXATION PIN HEADED 7/8 1.75	SUP-95-03129	CDM			278	RC		inpatient			210	210																																																			
FIXATION PIN HEADED 7/8 1	SUP-95-03130	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
FIXATION PIN HEADED 7/8 1	SUP-95-03130	CDM			278	RC		inpatient			210	210																																																			
SHORT PIN	SUP-95-03219	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
SHORT PIN	SUP-95-03219	CDM			272	RC		inpatient			210	210																																																			
INFLATION DEVICE	SUP-95-23861	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
INFLATION DEVICE	SUP-95-23861	CDM			272	RC		inpatient			210	210																																																			
LO- PRO SCRWTI 3.5MMX 28MM	SUP-97-02873	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LO- PRO SCRWTI 3.5MMX 28MM	SUP-97-02873	CDM			278	RC		inpatient			210	210																																																			
CANNULA PASSPORT 12 MM ID X 3 CM	SUP-97-04148	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
CANNULA PASSPORT 12 MM ID X 3 CM	SUP-97-04148	CDM			272	RC		inpatient			210	210																																																			
CANNULA PASSPORT 12 MM ID X 4 CM	SUP-97-04149	CDM			272	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
CANNULA PASSPORT 12 MM ID X 4 CM	SUP-97-04149	CDM			272	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TITANIUM 3.5X24MM	SUP-97-04232	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TITANIUM 3.5X24MM	SUP-97-04232	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TITANIUM 3.5X30MM	SUP-97-04233	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TITANIUM 3.5X30MM	SUP-97-04233	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TITANIUM 3.5X38MM	SUP-97-04234	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TITANIUM 3.5X38MM	SUP-97-04234	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TITANIUM 3.5MMX22MM	SUP-97-04382	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TITANIUM 3.5MMX22MM	SUP-97-04382	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TITANIUM 3.5MM X42MM	SUP-97-04383	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TITANIUM 3.5MM X42MM	SUP-97-04383	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TI-3.5MM X 46MM	SUP-97-04586	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TI-3.5MM X 46MM	SUP-97-04586	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW TITAN.3.5MM X 14MM	SUP-97-05323	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW TITAN.3.5MM X 14MM	SUP-97-05323	CDM			278	RC		inpatient			210	210																																																			
SCREW LOW PROFILE TITANIUM 3.5 X 38MM	SUP-97-06158	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW LOW PROFILE TITANIUM 3.5 X 38MM	SUP-97-06158	CDM			278	RC		inpatient			210	210																																																			
SCREW 3.5 X 14MM LOW PROFILE CORTICAL	SUP-97-06197	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW 3.5 X 14MM LOW PROFILE CORTICAL	SUP-97-06197	CDM			278	RC		inpatient			210	210																																																			
SCREW 3.5 X 16MM LOW PROFILE CORTICAL	SUP-97-06198	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW 3.5 X 16MM LOW PROFILE CORTICAL	SUP-97-06198	CDM			278	RC		inpatient			210	210																																																			
SCREW 3.5 X 16MM LOW PROFILE TITANIUM	SUP-97-06309	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW 3.5 X 16MM LOW PROFILE TITANIUM	SUP-97-06309	CDM			278	RC		inpatient			210	210																																																			
LOW PROFILE SCREW 3.5MM X 34MM	SUP-97-23646	CDM			278	RC		outpatient			210	21	210				fee schedule		210				other	OPPS APC	119.7				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
LOW PROFILE SCREW 3.5MM X 34MM	SUP-97-23646	CDM			278	RC		inpatient			210	210																																																			
BIT DRILL 1.8 MM HIP FLEXIBLE STERILE REUSABLE FIBERTAK	SUP-AR-3600ND-2	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
BIT DRILL 1.8 MM HIP FLEXIBLE STERILE REUSABLE FIBERTAK	SUP-AR-3600ND-2	CDM			270	RC		inpatient			210	210																																																			
SUTURE NONABSORBABLE FIBERTAPE FIBERWIRE 2 TAPER L54 IN L36 IN X W2 MM BRAID BLUE	SUP-AR-7237	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
SUTURE NONABSORBABLE FIBERTAPE FIBERWIRE 2 TAPER L54 IN L36 IN X W2 MM BRAID BLUE	SUP-AR-7237	CDM			270	RC		inpatient			210	210																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L20 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-20PT	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L20 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-20PT	CDM			270	RC		inpatient			210	210																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L30 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-30PT	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
SCREW BONE LOW PROFILE SCREWS TITANIUM 2.5 MM PARTIAL THREAD HEXAGON L30 MM OD3 MM FOREFOOT CANCELLOUS SELF DRILL SELF TAP CANNULATED ACCEPTS .045 IN GUIDEWIRE	SUP-AR-8933-30PT	CDM			270	RC		inpatient			210	210																																																			
NET SPECIMEN RETRIEVAL ROTH NET PLATINUM UNIVERSAL L230 CM L5.5 CM X W4 CM OD2.5 MM NONSTERILE LATEX FREE DISPOSABLE	SUP-BX00715050	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
NET SPECIMEN RETRIEVAL ROTH NET PLATINUM UNIVERSAL L230 CM L5.5 CM X W4 CM OD2.5 MM NONSTERILE LATEX FREE DISPOSABLE	SUP-BX00715050	CDM			270	RC		inpatient			210	210																																																			
GUIDEWIRE VASCULAR ANGLE L180 CM L12 CM OD.035 IN STEERABLE SHAFT FLOPPY TIP	SUP-C405086	CDM			481	RC		outpatient			210	21	102.9				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	102.9				percent of total billed charges		107.1				percent of total billed charges		21				other	OPPS APC	21	210	
GUIDEWIRE VASCULAR ANGLE L180 CM L12 CM OD.035 IN STEERABLE SHAFT FLOPPY TIP	SUP-C405086	CDM			481	RC		inpatient			210	210																																																			
ADPATER TITANIUM FOR TRANSFER KIT	SUP-TA-200	CDM			270	RC		outpatient			210	21	56.89				percent of total billed charges		210				other	OPPS APC	155.4				percent of total billed charges		210				other	OPPS APC	210				other	OPPS APC	56.89				percent of total billed charges		58.02				percent of total billed charges		21				other	OPPS APC	21	210	
ADPATER TITANIUM FOR TRANSFER KIT	SUP-TA-200	CDM			270	RC		inpatient			210	210																																																			
SPACER FEMORAL ACCOLADE C RING SMALL OD10 MM HIP CEMENT 2 3 STEM	SUP-1059-2310	CDM	270010024	LOCAL	270	RC		outpatient			209.7	29.7	56.81				percent of total billed charges		209.7				other	OPPS APC	155.18				percent of total billed charges		209.7				other	OPPS APC	209.7				other	OPPS APC	56.81				percent of total billed charges		57.94				percent of total billed charges		29.7				other	OPPS APC	29.7	209.7	
SPACER FEMORAL ACCOLADE C RING SMALL OD10 MM HIP CEMENT 2 3 STEM	SUP-1059-2310	CDM	270010024	LOCAL	270	RC		inpatient			209.7	209.7																																																			
SPACER FEMORAL ACCOLADE C RING SMALL OD11 MM HIP CEMENT 2 3 STEM	SUP-1059-2311	CDM	270010024	LOCAL	270	RC		outpatient			209.7	29.7	56.81				percent of total billed charges		209.7				other	OPPS APC	155.18				percent of total billed charges		209.7				other	OPPS APC	209.7				other	OPPS APC	56.81				percent of total billed charges		57.94				percent of total billed charges		29.7				other	OPPS APC	29.7	209.7	
SPACER FEMORAL ACCOLADE C RING SMALL OD11 MM HIP CEMENT 2 3 STEM	SUP-1059-2311	CDM	270010024	LOCAL	270	RC		inpatient			209.7	209.7																																																			
TRACH CUFFED- FENESTRATED 4	SUP-31-00056	CDM			272	RC		outpatient			209.67	29.67	56.8				percent of total billed charges		209.67				other	OPPS APC	155.16				percent of total billed charges		209.67				other	OPPS APC	209.67				other	OPPS APC	56.8				percent of total billed charges		57.93				percent of total billed charges		29.67				other	OPPS APC	29.67	209.67	
TRACH CUFFED- FENESTRATED 4	SUP-31-00056	CDM			272	RC		inpatient			209.67	209.67																																																			
TRACH CUFFED- FENESTRATED 6	SUP-31-00057	CDM			272	RC		outpatient			209.65	29.65	56.79				percent of total billed charges		209.65				other	OPPS APC	155.14				percent of total billed charges		209.65				other	OPPS APC	209.65				other	OPPS APC	56.79				percent of total billed charges		57.93				percent of total billed charges		29.65				other	OPPS APC	29.65	209.65	
TRACH CUFFED- FENESTRATED 6	SUP-31-00057	CDM			272	RC		inpatient			209.65	209.65																																																			
HC St Eval Use/Fit Voice Prost 23-37	PX-440925971	CDM	92597	CPT	440	RC		outpatient			209	72.94	209				percent of total billed charges		72.93				fee schedule		179.58				fee schedule		72.93				fee schedule		72.93				fee schedule		218.7				percent of total billed charges		209				percent of total billed charges		72.94				fee schedule		72.93	218.7	
HC St Eval Use/Fit Voice Prost 23-37	PX-440925971	CDM	92597	CPT	440	RC		inpatient			209	209																																																			
HC St Eval Use/Fit Voice Pros 38-52	PX-440925972	CDM	92597	CPT	440	RC		outpatient			209	72.94	209				percent of total billed charges		72.93				fee schedule		179.58				fee schedule		72.93				fee schedule		72.93				fee schedule		218.7				percent of total billed charges		209				percent of total billed charges		72.94				fee schedule		72.93	218.7	
HC St Eval Use/Fit Voice Pros 38-52	PX-440925972	CDM	92597	CPT	440	RC		inpatient			209	209																																																			
HC St Eval Use/Fit Voice Pros 53-67	PX-440925973	CDM	92597	CPT	440	RC		outpatient			209	72.94	209				percent of total billed charges		72.93				fee schedule		179.58				fee schedule		72.93				fee schedule		72.93				fee schedule		218.7				percent of total billed charges		209				percent of total billed charges		72.94				fee schedule		72.93	218.7	
HC St Eval Use/Fit Voice Pros 53-67	PX-440925973	CDM	92597	CPT	440	RC		inpatient			209	209																																																			
STAPLER INTERNAL PROXIMATE PX STAINLESS STEEL TITANIUM WIDE L3.9 MM X W6.9 MM X H1 MM OD.58 MM 35 COUNT FIX HEAD ERGONOMIC PISTOL GRIP HANDLE RELOADABLE STERILE LATEX FREE DISPOSABLE	SUP-TL90	CDM	270009225	LOCAL	270	RC		outpatient			208.98	28.98	56.61				percent of total billed charges		208.98				other	OPPS APC	154.65				percent of total billed charges		208.98				other	OPPS APC	208.98				other	OPPS APC	56.61				percent of total billed charges		57.74				percent of total billed charges		28.98				other	OPPS APC	28.98	208.98	
STAPLER INTERNAL PROXIMATE PX STAINLESS STEEL TITANIUM WIDE L3.9 MM X W6.9 MM X H1 MM OD.58 MM 35 COUNT FIX HEAD ERGONOMIC PISTOL GRIP HANDLE RELOADABLE STERILE LATEX FREE DISPOSABLE	SUP-TL90	CDM	270009225	LOCAL	270	RC		inpatient			208.98	208.98																																																			
PACK BASIC NEURO	SUP-DYNJ59263A	CDM	270009164	LOCAL	270	RC		outpatient			208.79	28.79	56.56				percent of total billed charges		208.79				other	OPPS APC	154.5				percent of total billed charges		208.79				other	OPPS APC	208.79				other	OPPS APC	56.56				percent of total billed charges		57.69				percent of total billed charges		28.79				other	OPPS APC	28.79	208.79	
PACK BASIC NEURO	SUP-DYNJ59263A	CDM	270009164	LOCAL	270	RC		inpatient			208.79	208.79																																																			
BALLOON RETRIEVAL EXTRACTOR PRO XL 200CM 6-7FR 9-12MM DISPOSABLE STERILE LATEX BILIARY 3 LUMEN ABOVE INJECTION SQUARE	SUP-M00547100	CDM			270	RC		outpatient			208.68	28.68	56.53				percent of total billed charges		208.68				other	OPPS APC	154.42				percent of total billed charges		208.68				other	OPPS APC	208.68				other	OPPS APC	56.53				percent of total billed charges		57.66				percent of total billed charges		28.68				other	OPPS APC	28.68	208.68	
BALLOON RETRIEVAL EXTRACTOR PRO XL 200CM 6-7FR 9-12MM DISPOSABLE STERILE LATEX BILIARY 3 LUMEN ABOVE INJECTION SQUARE	SUP-M00547100	CDM			270	RC		inpatient			208.68	208.68																																																			
BALLOON RETRIEVAL EXTRACTOR PRO XL 12-15MM	SUP-M00547110	CDM			270	RC		outpatient			208.68	28.68	56.53				percent of total billed charges		208.68				other	OPPS APC	154.42				percent of total billed charges		208.68				other	OPPS APC	208.68				other	OPPS APC	56.53				percent of total billed charges		57.66				percent of total billed charges		28.68				other	OPPS APC	28.68	208.68	
BALLOON RETRIEVAL EXTRACTOR PRO XL 12-15MM	SUP-M00547110	CDM			270	RC		inpatient			208.68	208.68																																																			
SCREW BONE T8 8MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.208	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE T8 8MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.208	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL L10 MM OD2.7 MM DISTAL FIBULA LOCKING SELF TAPPING T8 STARDRIVE RECESS NONSTERILE	SUP-202.210	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL L10 MM OD2.7 MM DISTAL FIBULA LOCKING SELF TAPPING T8 STARDRIVE RECESS NONSTERILE	SUP-202.210	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L12 MM OD2.7 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.212	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L12 MM OD2.7 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.212	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L14 MM OD2.7 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.214	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L14 MM OD2.7 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.214	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE T8 16MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.216	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE T8 16MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.216	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L18 MM OD2.7 MM ODSEC2.1 MM FEMUR HUMERUS DISTAL SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.218	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L18 MM OD2.7 MM ODSEC2.1 MM FEMUR HUMERUS DISTAL SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.218	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L20 MM OD2.7 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.220	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L20 MM OD2.7 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.220	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L22 MM OD2.7 MM ODSEC2.1 MM FEMUR HUMERUS DISTAL SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.222	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L22 MM OD2.7 MM ODSEC2.1 MM FEMUR HUMERUS DISTAL SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.222	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE T8 24MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.224	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE T8 24MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.224	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL L26 MM OD2.7 MM DISTAL FIBULA LOCKING SELF TAPPING T8 STARDRIVE RECESS NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.226	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL L26 MM OD2.7 MM DISTAL FIBULA LOCKING SELF TAPPING T8 STARDRIVE RECESS NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.226	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE 2.7MM 28MM LCP SS T8 SM BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE	SUP-202.228	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE 2.7MM 28MM LCP SS T8 SM BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE	SUP-202.228	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L30 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.230	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L30 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.230	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE 2.7MM 32MM LCP SS T8 SM BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE	SUP-202.232	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE 2.7MM 32MM LCP SS T8 SM BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE	SUP-202.232	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE 2.7MM 2.1MM 34MM LCP SS T8 HUMERUS FEMUR DISTAL SELF TAP LOCK STARDRIVE NS	SUP-202.234	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE 2.7MM 2.1MM 34MM LCP SS T8 HUMERUS FEMUR DISTAL SELF TAP LOCK STARDRIVE NS	SUP-202.234	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L36 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.236	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L36 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.236	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L38 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.238	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L38 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.238	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L40 MM OD2.7 MM SMALL BONE SELF TAP STARDRIVE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.240	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L40 MM OD2.7 MM SMALL BONE SELF TAP STARDRIVE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.240	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE 2.7MM 42MM LCP SS ULNA T8 STARDRIVE RECESS SELF TAPPING LOCKING NS MODULAR	SUP-202.242	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE 2.7MM 42MM LCP SS ULNA T8 STARDRIVE RECESS SELF TAPPING LOCKING NS MODULAR	SUP-202.242	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L44 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.244	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L44 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.244	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE 2.7MM 46MM LCP SS T8 SM BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE	SUP-202.246	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE 2.7MM 46MM LCP SS T8 SM BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE	SUP-202.246	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L48 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.248	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L48 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.248	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE LCP STAINLESS STEEL T8 L55 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.255	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE LCP STAINLESS STEEL T8 L55 MM OD2.7 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.255	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
SCREW BONE T8 60MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.260	CDM	270010022	LOCAL	270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
SCREW BONE T8 60MM 2.7MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.260	CDM	270010022	LOCAL	270	RC		inpatient			208.56	208.56																																																			
BIT DRILL 3 FLUTE 125MM 2.7MM QUICK COUPLING OSCILLATE ATTACHMENT	SUP-315.28	CDM			270	RC		outpatient			208.56	28.56	56.5				percent of total billed charges		208.56				other	OPPS APC	154.33				percent of total billed charges		208.56				other	OPPS APC	208.56				other	OPPS APC	56.5				percent of total billed charges		57.63				percent of total billed charges		28.56				other	OPPS APC	28.56	208.56	
BIT DRILL 3 FLUTE 125MM 2.7MM QUICK COUPLING OSCILLATE ATTACHMENT	SUP-315.28	CDM			270	RC		inpatient			208.56	208.56																																																			
MAKO MICS BURR	SUP-78-00409	CDM			272	RC		outpatient			208.25	28.25	56.41				percent of total billed charges		208.25				other	OPPS APC	154.11				percent of total billed charges		208.25				other	OPPS APC	208.25				other	OPPS APC	56.41				percent of total billed charges		57.54				percent of total billed charges		28.25				other	OPPS APC	28.25	208.25	
MAKO MICS BURR	SUP-78-00409	CDM			272	RC		inpatient			208.25	208.25																																																			
MAKO MICS BURR	SUP-95-03486	CDM			272	RC		outpatient			208.25	28.25	56.41				percent of total billed charges		208.25				other	OPPS APC	154.11				percent of total billed charges		208.25				other	OPPS APC	208.25				other	OPPS APC	56.41				percent of total billed charges		57.54				percent of total billed charges		28.25				other	OPPS APC	28.25	208.25	
MAKO MICS BURR	SUP-95-03486	CDM			272	RC		inpatient			208.25	208.25																																																			
HC Gentamicin	PX-300801700	CDM	80170	CPT	301	RC		outpatient			208	16.38	21.91				fee schedule		16.38				fee schedule		43.51				fee schedule		16.38				fee schedule		16.38				fee schedule		16.38				fee schedule		16.38				fee schedule		16.38				fee schedule		16.38	43.51	
HC Gentamicin	PX-300801700	CDM	80170	CPT	301	RC		inpatient			208	208																																																			
HC Fk506(Tacrolimus)	PX-300801970	CDM	80197	CPT	300	RC		outpatient			208	13.73	18.36				fee schedule		13.73				fee schedule		36.42				fee schedule		13.73				fee schedule		13.73				fee schedule		13.73				fee schedule		13.73				fee schedule		13.73				fee schedule		13.73	36.42	
HC Fk506(Tacrolimus)	PX-300801970	CDM	80197	CPT	300	RC		inpatient			208	208																																																			
HC Cortisol Total	PX-300825330	CDM	82533	CPT	301	RC		outpatient			208	16.31	21.8				fee schedule		16.3				fee schedule		43.28				fee schedule		16.3				fee schedule		16.3				fee schedule		16.3				fee schedule		16.3				fee schedule		16.31				fee schedule		16.3	43.28	
HC Cortisol Total	PX-300825330	CDM	82533	CPT	301	RC		inpatient			208	208																																																			
HC Erthropoietin (Erytp)	PX-300826680	CDM	82668	CPT	301	RC		outpatient			208	18.79	23.26				fee schedule		18.79				fee schedule		46.19				fee schedule		18.79				fee schedule		18.79				fee schedule		18.79				fee schedule		18.79				fee schedule		18.79				fee schedule		18.79	46.19	
HC Erthropoietin (Erytp)	PX-300826680	CDM	82668	CPT	301	RC		inpatient			208	208																																																			
HC Tsh	PX-300844430	CDM	84443	CPT	300	RC		outpatient			208	16.81	22.47				fee schedule		16.8				fee schedule		44.59				fee schedule		16.8				fee schedule		16.8				fee schedule		16.8				fee schedule		16.8				fee schedule		16.81				fee schedule		16.8	44.59	
HC Tsh	PX-300844430	CDM	84443	CPT	300	RC		inpatient			208	208																																																			
HC Anti-Thyroglobulin Ab (Athyr)	PX-300868000	CDM	86800	CPT	302	RC		outpatient			208	15.91	21.27				fee schedule		15.91				fee schedule		42.22				fee schedule		15.91				fee schedule		15.91				fee schedule		15.91				fee schedule		15.91				fee schedule		15.91				fee schedule		15.91	42.22	
HC Anti-Thyroglobulin Ab (Athyr)	PX-300868000	CDM	86800	CPT	302	RC		inpatient			208	208																																																			
GUIDEWIRE ORTHOPEDIC L220 MM OD2.8 MM	SUP-03.333.004	CDM	270010022	LOCAL	270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
GUIDEWIRE ORTHOPEDIC L220 MM OD2.8 MM	SUP-03.333.004	CDM	270010022	LOCAL	270	RC		inpatient			208	208																																																			
PLUG DOME HOLE ACETABULUM	SUP-2060-0000-1	CDM	270010024	LOCAL	270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
PLUG DOME HOLE ACETABULUM	SUP-2060-0000-1	CDM	270010024	LOCAL	270	RC		inpatient			208	208																																																			
SCREW BONE CENTERPIECE TITANIUM L5 MM OD2.6 MM SPINE SELF TAPPING STAB GRAB COLOR CODED LAMINOPLASTY	SUP-853-465	CDM	270010020	LOCAL	270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
SCREW BONE CENTERPIECE TITANIUM L5 MM OD2.6 MM SPINE SELF TAPPING STAB GRAB COLOR CODED LAMINOPLASTY	SUP-853-465	CDM	270010020	LOCAL	270	RC		inpatient			208	208																																																			
SCREW BONE CENTERPIECE TITANIUM L7 MM OD2.6 MM SPINE SELF TAP STAB GRAB COLOR CODED LAMINOPLASTY	SUP-853-467	CDM	270010020	LOCAL	270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
SCREW BONE CENTERPIECE TITANIUM L7 MM OD2.6 MM SPINE SELF TAP STAB GRAB COLOR CODED LAMINOPLASTY	SUP-853-467	CDM	270010020	LOCAL	270	RC		inpatient			208	208																																																			
SCREW BONE WAVE FULL THREAD L42 MM OD4 MM CALCANEAL NONLOCKING	SUP-ZPFTS42	CDM			270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
SCREW BONE WAVE FULL THREAD L42 MM OD4 MM CALCANEAL NONLOCKING	SUP-ZPFTS42	CDM			270	RC		inpatient			208	208																																																			
SCREW BONE WAVE FULL THREAD 48MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS48	CDM			270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
SCREW BONE WAVE FULL THREAD 48MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS48	CDM			270	RC		inpatient			208	208																																																			
SCREW BONE WAVE FULL THREAD 80MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS80	CDM			270	RC		outpatient			208	28	56.35				percent of total billed charges		208				other	OPPS APC	153.92				percent of total billed charges		208				other	OPPS APC	208				other	OPPS APC	56.35				percent of total billed charges		57.47				percent of total billed charges		28				other	OPPS APC	28	208	
SCREW BONE WAVE FULL THREAD 80MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS80	CDM			270	RC		inpatient			208	208																																																			
GUIDEWIRE ORTHOPEDIC 300MM 150MM 2.8MM SS NS CALIBRATED FLUTE DRILL POINT TIP NONTHREAD 6.5/7.3MM CANNULATED SCREW	SUP-292.81	CDM	270010022	LOCAL	270	RC		outpatient			207.9	27.91	56.32				percent of total billed charges		207.9				other	OPPS APC	153.85				percent of total billed charges		207.9				other	OPPS APC	207.9				other	OPPS APC	56.32				percent of total billed charges		57.44				percent of total billed charges		27.91				other	OPPS APC	27.91	207.9	
GUIDEWIRE ORTHOPEDIC 300MM 150MM 2.8MM SS NS CALIBRATED FLUTE DRILL POINT TIP NONTHREAD 6.5/7.3MM CANNULATED SCREW	SUP-292.81	CDM	270010022	LOCAL	270	RC		inpatient			207.9	207.9																																																			
SCREW CORTICAL 3.5X12MM	SUP-97-01156	CDM			278	RC		outpatient			207.48	27.48	207.48				fee schedule		207.48				other	OPPS APC	118.26				percent of total billed charges		207.48				other	OPPS APC	207.48				other	OPPS APC	101.67				percent of total billed charges		105.81				percent of total billed charges		27.48				other	OPPS APC	27.48	207.48	
SCREW CORTICAL 3.5X12MM	SUP-97-01156	CDM			278	RC		inpatient			207.48	207.48																																																			
PEG PARTIAL THEARD 2.5X18MM	SUP-97-01157	CDM			278	RC		outpatient			207.48	27.48	207.48				fee schedule		207.48				other	OPPS APC	118.26				percent of total billed charges		207.48				other	OPPS APC	207.48				other	OPPS APC	101.67				percent of total billed charges		105.81				percent of total billed charges		27.48				other	OPPS APC	27.48	207.48	
PEG PARTIAL THEARD 2.5X18MM	SUP-97-01157	CDM			278	RC		inpatient			207.48	207.48																																																			
PEG PARTIAL THEARD 2.5X20MM	SUP-97-01158	CDM			278	RC		outpatient			207.48	27.48	207.48				fee schedule		207.48				other	OPPS APC	118.26				percent of total billed charges		207.48				other	OPPS APC	207.48				other	OPPS APC	101.67				percent of total billed charges		105.81				percent of total billed charges		27.48				other	OPPS APC	27.48	207.48	
PEG PARTIAL THEARD 2.5X20MM	SUP-97-01158	CDM			278	RC		inpatient			207.48	207.48																																																			
PEG PARTIAL THEARD 2.5X22MM	SUP-97-01159	CDM			278	RC		outpatient			207.48	27.48	207.48				fee schedule		207.48				other	OPPS APC	118.26				percent of total billed charges		207.48				other	OPPS APC	207.48				other	OPPS APC	101.67				percent of total billed charges		105.81				percent of total billed charges		27.48				other	OPPS APC	27.48	207.48	
PEG PARTIAL THEARD 2.5X22MM	SUP-97-01159	CDM			278	RC		inpatient			207.48	207.48																																																			
PEG PARTIAL THEARD 2.5X24MM	SUP-97-01160	CDM			278	RC		outpatient			207.48	27.48	207.48				fee schedule		207.48				other	OPPS APC	118.26				percent of total billed charges		207.48				other	OPPS APC	207.48				other	OPPS APC	101.67				percent of total billed charges		105.81				percent of total billed charges		27.48				other	OPPS APC	27.48	207.48	
PEG PARTIAL THEARD 2.5X24MM	SUP-97-01160	CDM			278	RC		inpatient			207.48	207.48																																																			
PACK DENTAL RELYX AUTOMIX GLASS IONOMER 3-8.5 GM 36 MIX TIP LUTE PLUS RESIN MODIFY	SUP-7770454	CDM	27000000	LOCAL	270	RC		outpatient			207.33	27.33	56.17				percent of total billed charges		207.33				other	OPPS APC	153.42				percent of total billed charges		207.33				other	OPPS APC	207.33				other	OPPS APC	56.17				percent of total billed charges		57.29				percent of total billed charges		27.33				other	OPPS APC	27.33	207.33	
PACK DENTAL RELYX AUTOMIX GLASS IONOMER 3-8.5 GM 36 MIX TIP LUTE PLUS RESIN MODIFY	SUP-7770454	CDM	27000000	LOCAL	270	RC		inpatient			207.33	207.33																																																			
PACK SURGICAL BASIN CUSTOM CV DRAPE	SUP-DYNJ59272	CDM			270	RC		outpatient			207.21	27.21	56.13				percent of total billed charges		207.21				other	OPPS APC	153.34				percent of total billed charges		207.21				other	OPPS APC	207.21				other	OPPS APC	56.13				percent of total billed charges		57.25				percent of total billed charges		27.21				other	OPPS APC	27.21	207.21	
PACK SURGICAL BASIN CUSTOM CV DRAPE	SUP-DYNJ59272	CDM			270	RC		inpatient			207.21	207.21																																																			
DRESSING BIOPATCH 3/4' (1.9CM-1.5MM)	SUP-10-00148	CDM			272	RC		outpatient			207.07	27.7	56.1				percent of total billed charges		207.07				other	OPPS APC	153.23				percent of total billed charges		207.07				other	OPPS APC	207.07				other	OPPS APC	56.1				percent of total billed charges		57.21				percent of total billed charges		27.7				other	OPPS APC	27.7	207.07	
DRESSING BIOPATCH 3/4' (1.9CM-1.5MM)	SUP-10-00148	CDM			272	RC		inpatient			207.07	207.07																																																			
THORACIC CATHETER 12FR PVC	SUP-95-23742	CDM			278	RC		outpatient			207.06	27.6	207.06				fee schedule		207.06				other	OPPS APC	118.02				percent of total billed charges		207.06				other	OPPS APC	207.06				other	OPPS APC	101.46				percent of total billed charges		105.6				percent of total billed charges		27.6				other	OPPS APC	27.6	207.06	
THORACIC CATHETER 12FR PVC	SUP-95-23742	CDM			278	RC		inpatient			207.06	207.06																																																			
GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLUTION	636000000	CDM	0270-5164-14	NDC	A9577	HCPCS		inpatient			207	207																																																			
GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLUTION	636000000	CDM	0270-5164-14	NDC	A9577	HCPCS		outpatient			207	207																																															other	OPPS APC			
TIP INTERUTERINE RUMI II LAVENDAR	SUP-95-04643	CDM						inpatient			206.93	206.93																																																			
TIP INTERUTERINE RUMI II LAVENDAR	SUP-95-04643	CDM						outpatient			206.93	26.93	206.93				percent of total billed charges		206.93				other	OPPS APC	206.93				fee schedule		206.93				other	OPPS APC	206.93				other	OPPS APC	206.93				case rate		206.93				case rate		26.93				other	OPPS APC	26.93	206.93	
TIP INTERUTERINE RUMI II BLUE	SUP-95-04644	CDM			272	RC		outpatient			206.93	26.93	56.06				percent of total billed charges		206.93				other	OPPS APC	153.13				percent of total billed charges		206.93				other	OPPS APC	206.93				other	OPPS APC	56.06				percent of total billed charges		57.17				percent of total billed charges		26.93				other	OPPS APC	26.93	206.93	
TIP INTERUTERINE RUMI II BLUE	SUP-95-04644	CDM			272	RC		inpatient			206.93	206.93																																																			
TIP INTERUTERINE RUMI II GREEN	SUP-95-04645	CDM			272	RC		outpatient			206.93	26.93	56.06				percent of total billed charges		206.93				other	OPPS APC	153.13				percent of total billed charges		206.93				other	OPPS APC	206.93				other	OPPS APC	56.06				percent of total billed charges		57.17				percent of total billed charges		26.93				other	OPPS APC	26.93	206.93	
TIP INTERUTERINE RUMI II GREEN	SUP-95-04645	CDM			272	RC		inpatient			206.93	206.93																																																			
BALLOON RETRIEVAL EXTRACTOR PRO XL 200CM 6-7FR 9-12MM DISPOSABLE STERILE LATEX BILIARY 3 LUMEN BELOW INJECTION SQUARE	SUP-M00547130	CDM			270	RC		outpatient			206.88	26.88	56.04				percent of total billed charges		206.88				other	OPPS APC	153.09				percent of total billed charges		206.88				other	OPPS APC	206.88				other	OPPS APC	56.04				percent of total billed charges		57.16				percent of total billed charges		26.88				other	OPPS APC	26.88	206.88	
BALLOON RETRIEVAL EXTRACTOR PRO XL 200CM 6-7FR 9-12MM DISPOSABLE STERILE LATEX BILIARY 3 LUMEN BELOW INJECTION SQUARE	SUP-M00547130	CDM			270	RC		inpatient			206.88	206.88																																																			
BALLOON RETRIEVAL EXTRACTOR PRO XL 200CM 6-7FR 12-15MM DISPOSABLE STERILE LATEX BILIARY 3 LUMEN BELOW INJECTION SQUARE	SUP-M00547140	CDM			270	RC		outpatient			206.88	26.88	56.04				percent of total billed charges		206.88				other	OPPS APC	153.09				percent of total billed charges		206.88				other	OPPS APC	206.88				other	OPPS APC	56.04				percent of total billed charges		57.16				percent of total billed charges		26.88				other	OPPS APC	26.88	206.88	
BALLOON RETRIEVAL EXTRACTOR PRO XL 200CM 6-7FR 12-15MM DISPOSABLE STERILE LATEX BILIARY 3 LUMEN BELOW INJECTION SQUARE	SUP-M00547140	CDM			270	RC		inpatient			206.88	206.88																																																			
PROLENE MESH 3 X 6	SUP-71-00129	CDM			278	RC		outpatient			206.72	26.72	206.72				fee schedule		206.72				other	OPPS APC	117.83				percent of total billed charges		206.72				other	OPPS APC	206.72				other	OPPS APC	101.29				percent of total billed charges		105.43				percent of total billed charges		26.72				other	OPPS APC	26.72	206.72	
PROLENE MESH 3 X 6	SUP-71-00129	CDM			278	RC		inpatient			206.72	206.72																																																			
SCREW BONE T8 6MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.806	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 6MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.806	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 8MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.808	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 8MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.808	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 9MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.809	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 9MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.809	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 10MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.810	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 10MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.810	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 12MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.812	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 12MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.812	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 13MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.813	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 13MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.813	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 14MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.814	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 14MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.814	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 16MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.816	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 16MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.816	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 18MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.818	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 18MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.818	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 20MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.820	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 20MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.820	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 22MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.822	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 22MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.822	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 24MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.824	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 24MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.824	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 26MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.826	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 26MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.826	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 28MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.828	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 28MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.828	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
SCREW BONE T8 30MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.830	CDM	270010022	LOCAL	270	RC		outpatient			206.62	26.62	55.97				percent of total billed charges		206.62				other	OPPS APC	152.9				percent of total billed charges		206.62				other	OPPS APC	206.62				other	OPPS APC	55.97				percent of total billed charges		57.09				percent of total billed charges		26.62				other	OPPS APC	26.62	206.62	
SCREW BONE T8 30MM 2.4MM 1.9MM SS NS SELF TAP LOCK STARDRIVE CONICAL HEAD MINI FRAGMENT SET	SUP-212.830	CDM	270010022	LOCAL	270	RC		inpatient			206.62	206.62																																																			
HC Urine Drug Screen  Instrument Chem Analyzer	PX-300803043	CDM	80307	CPT	300	RC		outpatient			206.56	62.14	15.41				fee schedule		62.14				fee schedule		47.35				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		15.41	62.14	
HC Urine Drug Screen  Instrument Chem Analyzer	PX-300803043	CDM	80307	CPT	300	RC		inpatient			206.56	206.56																																																			
LUMEN DOUBLE SIZE 28	SUP-95-02584	CDM			272	RC		outpatient			206.54	26.54	55.95				percent of total billed charges		206.54				other	OPPS APC	152.84				percent of total billed charges		206.54				other	OPPS APC	206.54				other	OPPS APC	55.95				percent of total billed charges		57.07				percent of total billed charges		26.54				other	OPPS APC	26.54	206.54	
LUMEN DOUBLE SIZE 28	SUP-95-02584	CDM			272	RC		inpatient			206.54	206.54																																																			
PLEURX BULB KIT	SUP-95-01746	CDM			272	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PLEURX BULB KIT	SUP-95-01746	CDM			272	RC		inpatient			206.5	206.5																																																			
OVAL BURR ARTHROSOPIC 5.5MM	SUP-95-04956	CDM			272	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
OVAL BURR ARTHROSOPIC 5.5MM	SUP-95-04956	CDM			272	RC		inpatient			206.5	206.5																																																			
ARTHREX 5.5MM EXCALIBUR	SUP-97-00230	CDM			272	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
ARTHREX 5.5MM EXCALIBUR	SUP-97-00230	CDM			272	RC		inpatient			206.5	206.5																																																			
PEG HIGH COMPRESSION 2.7MM X 18MM	SUP-97-01618	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG HIGH COMPRESSION 2.7MM X 18MM	SUP-97-01618	CDM			278	RC		inpatient			206.5	206.5																																																			
PEG THREADED LOCKING 2.7MM X 20MM	SUP-97-01621	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG THREADED LOCKING 2.7MM X 20MM	SUP-97-01621	CDM			278	RC		inpatient			206.5	206.5																																																			
THREADED PEG NON LOCKING 2.7X14MM	SUP-97-01734	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
THREADED PEG NON LOCKING 2.7X14MM	SUP-97-01734	CDM			278	RC		inpatient			206.5	206.5																																																			
SCREW CORTICAL LOCKING 3.5MMX11MM	SUP-97-02463	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
SCREW CORTICAL LOCKING 3.5MMX11MM	SUP-97-02463	CDM			278	RC		inpatient			206.5	206.5																																																			
PEG HIGH COMPRESSION 2.7MM X 19MM	SUP-97-02483	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG HIGH COMPRESSION 2.7MM X 19MM	SUP-97-02483	CDM			278	RC		inpatient			206.5	206.5																																																			
PEG THREADED LOCKING 2.3MM X 24MM	SUP-97-02507	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG THREADED LOCKING 2.3MM X 24MM	SUP-97-02507	CDM			278	RC		inpatient			206.5	206.5																																																			
PEG THREADED LOCKING 2.3MM X 26MM	SUP-97-02508	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG THREADED LOCKING 2.3MM X 26MM	SUP-97-02508	CDM			278	RC		inpatient			206.5	206.5																																																			
SCREW CORTICAL LOCKING 3.5MMX16MM	SUP-97-02509	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
SCREW CORTICAL LOCKING 3.5MMX16MM	SUP-97-02509	CDM			278	RC		inpatient			206.5	206.5																																																			
SMOOTH PEG LOCKING 2.0MMX20	SUP-97-02856	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
SMOOTH PEG LOCKING 2.0MMX20	SUP-97-02856	CDM			278	RC		inpatient			206.5	206.5																																																			
PEG THREADED LOCKING 2.3MM X 28MM	SUP-97-02857	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG THREADED LOCKING 2.3MM X 28MM	SUP-97-02857	CDM			278	RC		inpatient			206.5	206.5																																																			
PEG THREADED LOCKING 2.3MM X 23MM	SUP-97-02860	CDM			278	RC		outpatient			206.5	26.5	206.5				fee schedule		206.5				other	OPPS APC	117.71				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	101.19				percent of total billed charges		105.32				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
PEG THREADED LOCKING 2.3MM X 23MM	SUP-97-02860	CDM			278	RC		inpatient			206.5	206.5																																																			
EXCALIBUR 4MM X 13CM	SUP-97-05374	CDM			272	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
EXCALIBUR 4MM X 13CM	SUP-97-05374	CDM			272	RC		inpatient			206.5	206.5																																																			
STENT NEPHROURETERAL PIGTAIL 22CM 8FR PERCUFLEX METAL STIFFEN CANNULA NONCOATED INTERNAL EXTERNAL DRAINAGE	SUP-M001221360	CDM			270	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
STENT NEPHROURETERAL PIGTAIL 22CM 8FR PERCUFLEX METAL STIFFEN CANNULA NONCOATED INTERNAL EXTERNAL DRAINAGE	SUP-M001221360	CDM			270	RC		inpatient			206.5	206.5																																																			
STENT NEPHROURETERAL PERCUFLEX METAL PIGTAIL L24 CM OD8 FR STIFFEN CANNULA NONCOATED INTERNAL EXTERNAL DRAINAGE	SUP-M001221370	CDM			270	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
STENT NEPHROURETERAL PERCUFLEX METAL PIGTAIL L24 CM OD8 FR STIFFEN CANNULA NONCOATED INTERNAL EXTERNAL DRAINAGE	SUP-M001221370	CDM			270	RC		inpatient			206.5	206.5																																																			
STENT NEPHROURETERAL PIGTAIL 26CM 8FR PERCUFLEX METAL STIFFEN CANNULA NONCOATED INTERNAL EXTERNAL DRAINAGE	SUP-M001221380	CDM			270	RC		outpatient			206.5	26.5	55.94				percent of total billed charges		206.5				other	OPPS APC	152.81				percent of total billed charges		206.5				other	OPPS APC	206.5				other	OPPS APC	55.94				percent of total billed charges		57.06				percent of total billed charges		26.5				other	OPPS APC	26.5	206.5	
STENT NEPHROURETERAL PIGTAIL 26CM 8FR PERCUFLEX METAL STIFFEN CANNULA NONCOATED INTERNAL EXTERNAL DRAINAGE	SUP-M001221380	CDM			270	RC		inpatient			206.5	206.5																																																			
TRACH CUFFED SHILEY FLEX 8.0MM	SUP-31-00003	CDM			272	RC		outpatient			206.08	26.81	55.83				percent of total billed charges		206.08				other	OPPS APC	152.5				percent of total billed charges		206.08				other	OPPS APC	206.08				other	OPPS APC	55.83				percent of total billed charges		56.94				percent of total billed charges		26.81				other	OPPS APC	26.81	206.08	
TRACH CUFFED SHILEY FLEX 8.0MM	SUP-31-00003	CDM			272	RC		inpatient			206.08	206.08																																																			
TRACH CUFFED SHILEY FLEX 7.5MM	SUP-31-00006	CDM			272	RC		outpatient			206.08	26.81	55.83				percent of total billed charges		206.08				other	OPPS APC	152.5				percent of total billed charges		206.08				other	OPPS APC	206.08				other	OPPS APC	55.83				percent of total billed charges		56.94				percent of total billed charges		26.81				other	OPPS APC	26.81	206.08	
TRACH CUFFED SHILEY FLEX 7.5MM	SUP-31-00006	CDM			272	RC		inpatient			206.08	206.08																																																			
HC Clinic Service	PX-510T10150	CDM			510	RC		outpatient			206	26	51.5				fee schedule		206				other	OPPS APC	152.44				percent of total billed charges		206				other	OPPS APC	206				fee schedule		206				case rate		206				fee schedule		26				other	OPPS APC	26	206	
HC Clinic Service	PX-510T10150	CDM			510	RC		inpatient			206	206																																																			
GUIDE ROD ORTHOPEDIC TRIGEN STAINLESS STEEL BALL L 1000MM OD 3MM BALL TIP STERILE DISPOSABLE	SUP-71631626	CDM			270	RC		outpatient			206	26	55.81				percent of total billed charges		206				other	OPPS APC	152.44				percent of total billed charges		206				other	OPPS APC	206				other	OPPS APC	55.81				percent of total billed charges		56.92				percent of total billed charges		26				other	OPPS APC	26	206	
GUIDE ROD ORTHOPEDIC TRIGEN STAINLESS STEEL BALL L 1000MM OD 3MM BALL TIP STERILE DISPOSABLE	SUP-71631626	CDM			270	RC		inpatient			206	206																																																			
GUIDEWIRE VASCULAR WHOLEY PLATINUM TUNGSTEN L175 CM OD.035 IN STANDARD STRAIGHT TIP EXTENSION TORQUEABLE LUBRICITY STERILE	SUP-WWSS35175	CDM			481	RC		outpatient			206	26	100.94				percent of total billed charges		206				other	OPPS APC	152.44				percent of total billed charges		206				other	OPPS APC	206				other	OPPS APC	100.94				percent of total billed charges		105.06				percent of total billed charges		26				other	OPPS APC	26	206	
GUIDEWIRE VASCULAR WHOLEY PLATINUM TUNGSTEN L175 CM OD.035 IN STANDARD STRAIGHT TIP EXTENSION TORQUEABLE LUBRICITY STERILE	SUP-WWSS35175	CDM			481	RC		inpatient			206	206																																																			
CUTTER SUTURE MENISCAL KNOT PUSHER FAST FIX DELIVERY SYSTEM	SUP-7209084	CDM			270	RC		outpatient			205.86	25.86	55.77				percent of total billed charges		205.86				other	OPPS APC	152.34				percent of total billed charges		205.86				other	OPPS APC	205.86				other	OPPS APC	55.77				percent of total billed charges		56.88				percent of total billed charges		25.86				other	OPPS APC	25.86	205.86	
CUTTER SUTURE MENISCAL KNOT PUSHER FAST FIX DELIVERY SYSTEM	SUP-7209084	CDM			270	RC		inpatient			205.86	205.86																																																			
OCCLUDER SHUNT AXIUS L16.25 MM OD1.5 MM CORONARY TEMPORARY	SUP-OF-1500	CDM			270	RC		outpatient			205.48	25.48	55.66				percent of total billed charges		205.48				other	OPPS APC	152.06				percent of total billed charges		205.48				other	OPPS APC	205.48				other	OPPS APC	55.66				percent of total billed charges		56.77				percent of total billed charges		25.48				other	OPPS APC	25.48	205.48	
OCCLUDER SHUNT AXIUS L16.25 MM OD1.5 MM CORONARY TEMPORARY	SUP-OF-1500	CDM			270	RC		inpatient			205.48	205.48																																																			
SHUNT CARDIOVASCULAR AXIUS STANDARD TAPER L17.5 MM OD1.75 MM CORONARY ARTERY INTERNAL COIL OFFSET THREADED TAB VISUALIZATION OF ANASTOMOTIC SITE	SUP-OF-1750	CDM			270	RC		outpatient			205.48	25.48	55.66				percent of total billed charges		205.48				other	OPPS APC	152.06				percent of total billed charges		205.48				other	OPPS APC	205.48				other	OPPS APC	55.66				percent of total billed charges		56.77				percent of total billed charges		25.48				other	OPPS APC	25.48	205.48	
SHUNT CARDIOVASCULAR AXIUS STANDARD TAPER L17.5 MM OD1.75 MM CORONARY ARTERY INTERNAL COIL OFFSET THREADED TAB VISUALIZATION OF ANASTOMOTIC SITE	SUP-OF-1750	CDM			270	RC		inpatient			205.48	205.48																																																			
OCCLUDER SHUNT AXIUS L19 MM OD2.5 MM CORONARY TEMPORARY	SUP-OF-2500	CDM			270	RC		outpatient			205.48	25.48	55.66				percent of total billed charges		205.48				other	OPPS APC	152.06				percent of total billed charges		205.48				other	OPPS APC	205.48				other	OPPS APC	55.66				percent of total billed charges		56.77				percent of total billed charges		25.48				other	OPPS APC	25.48	205.48	
OCCLUDER SHUNT AXIUS L19 MM OD2.5 MM CORONARY TEMPORARY	SUP-OF-2500	CDM			270	RC		inpatient			205.48	205.48																																																			
DISP 27G REPLACEMENT INSERTER	SUP-1272.EDPP4	CDM			270	RC		outpatient			205.33	25.33	55.62				percent of total billed charges		205.33				other	OPPS APC	151.94				percent of total billed charges		205.33				other	OPPS APC	205.33				other	OPPS APC	55.62				percent of total billed charges		56.73				percent of total billed charges		25.33				other	OPPS APC	25.33	205.33	
DISP 27G REPLACEMENT INSERTER	SUP-1272.EDPP4	CDM			270	RC		inpatient			205.33	205.33																																																			
7FR STENT INTRODUCER (ERCP)	SUP-95-01013	CDM			278	RC		outpatient			205.28	25.28	205.28				fee schedule		205.28				other	OPPS APC	117.01				percent of total billed charges		205.28				other	OPPS APC	205.28				other	OPPS APC	100.59				percent of total billed charges		104.69				percent of total billed charges		25.28				other	OPPS APC	25.28	205.28	
7FR STENT INTRODUCER (ERCP)	SUP-95-01013	CDM			278	RC		inpatient			205.28	205.28																																																			
BLADE SAG SAW	SUP-95-04255	CDM			272	RC		outpatient			205.21	25.21	55.59				percent of total billed charges		205.21				other	OPPS APC	151.86				percent of total billed charges		205.21				other	OPPS APC	205.21				other	OPPS APC	55.59				percent of total billed charges		56.7				percent of total billed charges		25.21				other	OPPS APC	25.21	205.21	
BLADE SAG SAW	SUP-95-04255	CDM			272	RC		inpatient			205.21	205.21																																																			
Trach Tube Foam Cuffed #8	PX-270000034	CDM			270	RC		outpatient			205.2	25.2	55.59				percent of total billed charges		205.2				other	OPPS APC	205.2				fee schedule		205.2				other	OPPS APC	205.2				other	OPPS APC	55.59				percent of total billed charges		56.7				percent of total billed charges		25.2				other	OPPS APC	25.2	205.2	
Trach Tube Foam Cuffed #8	PX-270000034	CDM			270	RC		inpatient			205.2	205.2																																																			
CATHETER THORACIC 24FR RT ANGLE	SUP-95-01651	CDM			272	RC		outpatient			205.1	26	55.56				percent of total billed charges		205.1				other	OPPS APC	151.77				percent of total billed charges		205.1				other	OPPS APC	205.1				other	OPPS APC	55.56				percent of total billed charges		56.67				percent of total billed charges		26				other	OPPS APC	26	205.1	
CATHETER THORACIC 24FR RT ANGLE	SUP-95-01651	CDM			272	RC		inpatient			205.1	205.1																																																			
CATHETER THORACIC 20FR RT ANGLE	SUP-95-01652	CDM			272	RC		outpatient			205.1	26	55.56				percent of total billed charges		205.1				other	OPPS APC	151.77				percent of total billed charges		205.1				other	OPPS APC	205.1				other	OPPS APC	55.56				percent of total billed charges		56.67				percent of total billed charges		26				other	OPPS APC	26	205.1	
CATHETER THORACIC 20FR RT ANGLE	SUP-95-01652	CDM			272	RC		inpatient			205.1	205.1																																																			
CANNULATOR CSL	SUP-410140	CDM			275	RC		outpatient			205	25	100.45				percent of total billed charges		205				other	OPPS APC	116.85				percent of total billed charges		205				other	OPPS APC	205				other	OPPS APC	100.45				percent of total billed charges		104.55				percent of total billed charges		25				other	OPPS APC	25	205	
CANNULATOR CSL	SUP-410140	CDM			275	RC		inpatient			205	205																																																			
1.5 SMOOTH WIRE	SUP-97-03818	CDM			278	RC		outpatient			204.96	24.96	204.96				fee schedule		204.96				other	OPPS APC	116.83				percent of total billed charges		204.96				other	OPPS APC	204.96				other	OPPS APC	100.43				percent of total billed charges		104.53				percent of total billed charges		24.96				other	OPPS APC	24.96	204.96	
1.5 SMOOTH WIRE	SUP-97-03818	CDM			278	RC		inpatient			204.96	204.96																																																			
K-WIRE 2MM X 450MM	SUP-97-23687	CDM			278	RC		outpatient			204.96	24.96	204.96				fee schedule		204.96				other	OPPS APC	116.83				percent of total billed charges		204.96				other	OPPS APC	204.96				other	OPPS APC	100.43				percent of total billed charges		104.53				percent of total billed charges		24.96				other	OPPS APC	24.96	204.96	
K-WIRE 2MM X 450MM	SUP-97-23687	CDM			278	RC		inpatient			204.96	204.96																																																			
BIT DRILL 3 FLUTE 145MM 3.2MM NS QUICK COUPLING	SUP-315.31	CDM	270010022	LOCAL	270	RC		outpatient			204.6	24.6	55.43				percent of total billed charges		204.6				other	OPPS APC	151.4				percent of total billed charges		204.6				other	OPPS APC	204.6				other	OPPS APC	55.43				percent of total billed charges		56.53				percent of total billed charges		24.6				other	OPPS APC	24.6	204.6	
BIT DRILL 3 FLUTE 145MM 3.2MM NS QUICK COUPLING	SUP-315.31	CDM	270010022	LOCAL	270	RC		inpatient			204.6	204.6																																																			
Trach Tube Foam Cuffed #7	PX-270000027	CDM			270	RC		outpatient			204.44	24.44	55.38				percent of total billed charges		204.44				other	OPPS APC	204.44				fee schedule		204.44				other	OPPS APC	204.44				other	OPPS APC	55.38				percent of total billed charges		56.49				percent of total billed charges		24.44				other	OPPS APC	24.44	204.44	
Trach Tube Foam Cuffed #7	PX-270000027	CDM			270	RC		inpatient			204.44	204.44																																																			
SWEAT BAND FOR STRYKER HOOD	SUP-97-01191	CDM			271	RC		outpatient			204.12	24.12	55.3				percent of total billed charges		204.12				other	OPPS APC	151.05				percent of total billed charges		204.12				other	OPPS APC	204.12				other	OPPS APC	55.3				percent of total billed charges		56.4				percent of total billed charges		24.12				other	OPPS APC	24.12	204.12	
SWEAT BAND FOR STRYKER HOOD	SUP-97-01191	CDM			271	RC		inpatient			204.12	204.12																																																			
HC Blood Specimen From Implanted Device	PX-260365911	CDM	36591	CPT	260	RC		outpatient			204	122.29	124.6				percent of total billed charges		122.29				other	OPPS APC	150.96				percent of total billed charges		122.29				other	OPPS APC	122.29				other	OPPS APC	124.6				percent of total billed charges		127.09				percent of total billed charges		122.29				other	OPPS APC	122.29	150.96	
HC Blood Specimen From Implanted Device	PX-260365911	CDM	36591	CPT	260	RC		inpatient			204	204																																																			
HC Infusion Therpay Concurrent	PX-260963680	CDM	96368	CPT	260	RC		outpatient			204	24	124.6				percent of total billed charges		204				other	OPPS APC	150.96				percent of total billed charges		204				other	OPPS APC	204				other	OPPS APC	124.6				percent of total billed charges		127.09				percent of total billed charges		24				other	OPPS APC	24	204	
HC Infusion Therpay Concurrent	PX-260963680	CDM	96368	CPT	260	RC		inpatient			204	204																																																			
HC Inj. Non Chemo Intramuscular/Sub	PX-260963720	CDM	96372	CPT	761	RC		outpatient			204	71.62	195.77				case rate		71.06				other	OPPS APC	144.18				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	195.77				case rate		104.04				percent of total billed charges		71.62				other	OPPS APC	71.06	195.77	
HC Inj. Non Chemo Intramuscular/Sub	PX-260963720	CDM	96372	CPT	761	RC		inpatient			204	204																																																			
HC Coll of Blood Venous Access Dev	PX-510365910	CDM	36591	CPT	510	RC		outpatient			204	122.29	169.66				case rate		122.29				other	OPPS APC	101				case rate		122.29				other	OPPS APC	122.29				other	OPPS APC	169.66				case rate		173.05				case rate		122.29				other	OPPS APC	101	173.05	
HC Coll of Blood Venous Access Dev	PX-510365910	CDM	36591	CPT	510	RC		inpatient			204	204																																																			
CATHETER ELECTROPHYSIOLOGY RESPONSE 1 MM 5 MM SPACE JSN CURVE L120 CM OD6 FR QUADRIPOLAR SUPERB TORQUE CONTROL BAND ELECTRODE CONVENIENT CABLE	SUP-401227	CDM			270	RC		outpatient			204	24	55.26				percent of total billed charges		204				other	OPPS APC	150.96				percent of total billed charges		204				other	OPPS APC	204				other	OPPS APC	55.26				percent of total billed charges		56.37				percent of total billed charges		24				other	OPPS APC	24	204	
CATHETER ELECTROPHYSIOLOGY RESPONSE 1 MM 5 MM SPACE JSN CURVE L120 CM OD6 FR QUADRIPOLAR SUPERB TORQUE CONTROL BAND ELECTRODE CONVENIENT CABLE	SUP-401227	CDM			270	RC		inpatient			204	204																																																			
PLATE BONE TITANIUM L6 MM CRANIUM 4 HOLE LOW PROFILE BAR 1.5 MM SCREW	SUP-5305406	CDM			270	RC		outpatient			204	24	55.26				percent of total billed charges		204				other	OPPS APC	150.96				percent of total billed charges		204				other	OPPS APC	204				other	OPPS APC	55.26				percent of total billed charges		56.37				percent of total billed charges		24				other	OPPS APC	24	204	
PLATE BONE TITANIUM L6 MM CRANIUM 4 HOLE LOW PROFILE BAR 1.5 MM SCREW	SUP-5305406	CDM			270	RC		inpatient			204	204																																																			
WIRE CATHETER TRUEPATH EXTENSION CHRONIC TOTAL OCCLUSION DEVICE	SUP-H74939208001601	CDM			270	RC		outpatient			204	24	55.26				percent of total billed charges		204				other	OPPS APC	150.96				percent of total billed charges		204				other	OPPS APC	204				other	OPPS APC	55.26				percent of total billed charges		56.37				percent of total billed charges		24				other	OPPS APC	24	204	
WIRE CATHETER TRUEPATH EXTENSION CHRONIC TOTAL OCCLUSION DEVICE	SUP-H74939208001601	CDM			270	RC		inpatient			204	204																																																			
HC Bcr/Abl  Rna  Other  Qual  Diagnostic	PX-300812081	CDM	81208	CPT	300	RC		inpatient			203.99	203.99																																																			
HC Bcr/Abl  Rna  Other  Qual  Diagnostic	PX-300812081	CDM	81208	CPT	300	RC		outpatient			203.99	214.62	203.99				fee schedule		214.62				fee schedule		243.12				fee schedule		214.62				fee schedule		214.62				fee schedule		214.62				fee schedule		214.62				fee schedule		214.62				fee schedule		203.99	243.12	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 145MM	SUP-02.200.145	CDM	270010025	LOCAL	270	RC		outpatient			203.5	23.5	55.13				percent of total billed charges		203.5				other	OPPS APC	150.59				percent of total billed charges		203.5				other	OPPS APC	203.5				other	OPPS APC	55.13				percent of total billed charges		56.23				percent of total billed charges		23.5				other	OPPS APC	23.5	203.5	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 145MM	SUP-02.200.145	CDM	270010025	LOCAL	270	RC		inpatient			203.5	203.5																																																			
COVER INLINE CAMERA	SUP-LT-CO2	CDM						inpatient			203.08	203.08																																																			
COVER INLINE CAMERA	SUP-LT-CO2	CDM						outpatient			203.08	23.81	203.08				percent of total billed charges		203.08				other	OPPS APC	203.08				fee schedule		203.08				other	OPPS APC	203.08				other	OPPS APC	203.08				case rate		203.08				case rate		23.81				other	OPPS APC	23.81	203.08	
BIT DRILL FAST OD2 MM ULNA ANATOMIC STERILE DISPOSABLE ANATOMIC VOLAR PLATING SYSTEM	SUP-FDB20	CDM			270	RC		outpatient			203.04	23.4	55				percent of total billed charges		203.04				other	OPPS APC	150.25				percent of total billed charges		203.04				other	OPPS APC	203.04				other	OPPS APC	55				percent of total billed charges		56.1				percent of total billed charges		23.4				other	OPPS APC	23.4	203.04	
BIT DRILL FAST OD2 MM ULNA ANATOMIC STERILE DISPOSABLE ANATOMIC VOLAR PLATING SYSTEM	SUP-FDB20	CDM			270	RC		inpatient			203.04	203.04																																																			
HC Chemo Subq/Intra Non Hor Anti Neo	PX-331964010	CDM	96401	CPT	331	RC		outpatient			203	71.62	74.65				fee schedule		71.06				other	OPPS APC	91.17				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	72.48				fee schedule		72.15				fee schedule		71.62				other	OPPS APC	71.06	91.17	
HC Chemo Subq/Intra Non Hor Anti Neo	PX-331964010	CDM	96401	CPT	331	RC		inpatient			203	203																																																			
HC Chemo Subq/Intra Hor Anti Neo	PX-331964020	CDM	96402	CPT	331	RC		outpatient			203	71.62	32.2				fee schedule		71.06				other	OPPS APC	91.17				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	33.73				fee schedule		33.58				fee schedule		71.62				other	OPPS APC	32.2	91.17	
HC Chemo Subq/Intra Hor Anti Neo	PX-331964020	CDM	96402	CPT	331	RC		inpatient			203	203																																																			
SHEATH - RAINSHEATH 6F - 20G ANGIOCATH NEEDLE	SUP-99-04234	CDM			272	RC		outpatient			203	23	54.99				percent of total billed charges		203				other	OPPS APC	150.22				percent of total billed charges		203				other	OPPS APC	203				other	OPPS APC	54.99				percent of total billed charges		56.09				percent of total billed charges		23				other	OPPS APC	23	203	
SHEATH - RAINSHEATH 6F - 20G ANGIOCATH NEEDLE	SUP-99-04234	CDM			272	RC		inpatient			203	203																																																			
SCREW BONE T6 6MM 2MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.876	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE T6 6MM 2MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.876	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L7 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.877	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L7 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.877	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L8 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.878	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L8 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.878	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L9 MM OD2 MM SMALL BONE SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.879	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L9 MM OD2 MM SMALL BONE SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.879	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE T6 10MM 2MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.880	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE T6 10MM 2MM SS NS SM BONE SELF TAP LOCK STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.880	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L11 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.881	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L11 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.881	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L12 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.882	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L12 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.882	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L13 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.883	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L13 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.883	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L14 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.884	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L14 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.884	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L18 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.888	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L18 MM OD2 MM SMALL BONE LOCK SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.888	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE T6 20MM 2MM SS NS SM BONE SELF TAP LOCK SELF RETAINING STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.890	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE T6 20MM 2MM SS NS SM BONE SELF TAP LOCK SELF RETAINING STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.890	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L22 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.892	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L22 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.892	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L24 MM OD2 MM SMALL BONE SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.894	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L24 MM OD2 MM SMALL BONE SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.894	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L26 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.896	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L26 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.896	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW BONE LCP STAINLESS STEEL T6 L28 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.898	CDM	270010022	LOCAL	270	RC		outpatient			202.74	22.74	54.92				percent of total billed charges		202.74				other	OPPS APC	150.03				percent of total billed charges		202.74				other	OPPS APC	202.74				other	OPPS APC	54.92				percent of total billed charges		56.02				percent of total billed charges		22.74				other	OPPS APC	22.74	202.74	
SCREW BONE LCP STAINLESS STEEL T6 L28 MM OD2 MM SMALL BONE SELF TAP SELF RETAINING STARDRIVE THREAD HEAD PROFILE LOCK NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.898	CDM	270010022	LOCAL	270	RC		inpatient			202.74	202.74																																																			
SCREW T10 3.5 X 70MM NON LOCKING	SUP-97-03154	CDM			278	RC		outpatient			202.58	22.58	202.58				fee schedule		202.58				other	OPPS APC	115.47				percent of total billed charges		202.58				other	OPPS APC	202.58				other	OPPS APC	99.26				percent of total billed charges		103.32				percent of total billed charges		22.58				other	OPPS APC	22.58	202.58	
SCREW T10 3.5 X 70MM NON LOCKING	SUP-97-03154	CDM			278	RC		inpatient			202.58	202.58																																																			
SHEATH GUIDING FLEXOR SHUTTLE AQ L80 CM OD6 FR ID2.2 MM SOFT TIP RADIOPAQUE BAND STIFF SHAFT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G13539	CDM			270	RC		outpatient			202.48	22.48	54.85				percent of total billed charges		202.48				other	OPPS APC	149.84				percent of total billed charges		202.48				other	OPPS APC	202.48				other	OPPS APC	54.85				percent of total billed charges		55.95				percent of total billed charges		22.48				other	OPPS APC	22.48	202.48	
SHEATH GUIDING FLEXOR SHUTTLE AQ L80 CM OD6 FR ID2.2 MM SOFT TIP RADIOPAQUE BAND STIFF SHAFT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G13539	CDM			270	RC		inpatient			202.48	202.48																																																			
SHEATH - FLEXOR 45CM 6F MP TIP	SUP-99-04499	CDM			272	RC		outpatient			202.44	22.44	54.84				percent of total billed charges		202.44				other	OPPS APC	149.81				percent of total billed charges		202.44				other	OPPS APC	202.44				other	OPPS APC	54.84				percent of total billed charges		55.93				percent of total billed charges		22.44				other	OPPS APC	22.44	202.44	
SHEATH - FLEXOR 45CM 6F MP TIP	SUP-99-04499	CDM			272	RC		inpatient			202.44	202.44																																																			
SHEATH - FLEXOR 45CM 6F DOUBLE TIP	SUP-99-04500	CDM			272	RC		outpatient			202.44	22.44	54.84				percent of total billed charges		202.44				other	OPPS APC	149.81				percent of total billed charges		202.44				other	OPPS APC	202.44				other	OPPS APC	54.84				percent of total billed charges		55.93				percent of total billed charges		22.44				other	OPPS APC	22.44	202.44	
SHEATH - FLEXOR 45CM 6F DOUBLE TIP	SUP-99-04500	CDM			272	RC		inpatient			202.44	202.44																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T 7 L 6MM OD 2.4MM OD SEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412406	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T 7 L 6MM OD 2.4MM OD SEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412406	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 7 MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412407	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 7 MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412407	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE STAINLESS STEEL L 8 MM OD 2.4 MM LOCK STERLE	SUP-72412408	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE STAINLESS STEEL L 8 MM OD 2.4 MM LOCK STERLE	SUP-72412408	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 9MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412409	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 9MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412409	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 10 MM OD 2.4 MM SELF-TAP LOCK STERILE	SUP-72412410	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 10 MM OD 2.4 MM SELF-TAP LOCK STERILE	SUP-72412410	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 11MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412411	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 11MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412411	CDM			270	RC		inpatient			202.4	202.4																																																			
EVOS 2.4MM X 12MM LOCKING SCREW T7 SELF EVOS	SUP-72412412	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
EVOS 2.4MM X 12MM LOCKING SCREW T7 SELF EVOS	SUP-72412412	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI T7 L13MM OD 2.4 MM LONG BONE SMALL BONE LOCK DRIVER STERILE	SUP-72412413	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI T7 L13MM OD 2.4 MM LONG BONE SMALL BONE LOCK DRIVER STERILE	SUP-72412413	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 14MM OD2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412414	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 14MM OD2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412414	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 15MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412415	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 15MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412415	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 16MM OD2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412416	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 16MM OD2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412416	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 17 MM OD 2.4 MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412417	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 17 MM OD 2.4 MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412417	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI T7 L18 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK DRIVER STERILE	SUP-72412418	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI T7 L18 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK DRIVER STERILE	SUP-72412418	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7L 19 MM OD 2.4 MM OD SEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412419	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7L 19 MM OD 2.4 MM OD SEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412419	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI T7 L20 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK DRIVER STERILE	SUP-72412420	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI T7 L20 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK DRIVER STERILE	SUP-72412420	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 21 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412421	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 21 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412421	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 22MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412422	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 22MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412422	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 24MM OD 2.4 MM SELF TAP LOCK	SUP-72412424	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 24MM OD 2.4 MM SELF TAP LOCK	SUP-72412424	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 26 MM OD 2.4 MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412426	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 26 MM OD 2.4 MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412426	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 28 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412428	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 28 MM OD 2.4 MM ODSEC 3.8 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412428	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 30 MM OD 2.4 MM OD SEC 3.8 MMLONG BONE SMALL BONE LOCK STERILE	SUP-72412430	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 30 MM OD 2.4 MM OD SEC 3.8 MMLONG BONE SMALL BONE LOCK STERILE	SUP-72412430	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 32 MM OD 2.4 MM SELF TAP LOCK	SUP-72412432	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 32 MM OD 2.4 MM SELF TAP LOCK	SUP-72412432	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 34 MM OD 2.4 MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412434	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 34 MM OD 2.4 MM ODSEC 3.8MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412434	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS MINI T7 L36 MM OD2.4 MM ODSEC3.8 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412436	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS MINI T7 L36 MM OD2.4 MM ODSEC3.8 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412436	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 40MM OD 2.4 MM SELF TAP LOCK	SUP-72412440	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 40MM OD 2.4 MM SELF TAP LOCK	SUP-72412440	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L46 MM OD2.4 MM SELF TAP LOCK	SUP-72412446	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L46 MM OD2.4 MM SELF TAP LOCK	SUP-72412446	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 50MM OD 2.4 MM SELF TAP LOCK	SUP-72412450	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 50MM OD 2.4 MM SELF TAP LOCK	SUP-72412450	CDM			270	RC		inpatient			202.4	202.4																																																			
SCREW BONE EVOS T7 L 60MM OD 2.4 MM SELF TAP LOCK	SUP-72412460	CDM			270	RC		outpatient			202.4	22.41	54.83				percent of total billed charges		202.4				other	OPPS APC	149.78				percent of total billed charges		202.4				other	OPPS APC	202.4				other	OPPS APC	54.83				percent of total billed charges		55.92				percent of total billed charges		22.41				other	OPPS APC	22.41	202.4	
SCREW BONE EVOS T7 L 60MM OD 2.4 MM SELF TAP LOCK	SUP-72412460	CDM			270	RC		inpatient			202.4	202.4																																																			
POWER PICK 45 DEG	SUP-AR-1850PP-45	CDM			270	RC		outpatient			202	22	54.72				percent of total billed charges		202				other	OPPS APC	149.48				percent of total billed charges		202				other	OPPS APC	202				other	OPPS APC	54.72				percent of total billed charges		55.81				percent of total billed charges		22				other	OPPS APC	22	202	
POWER PICK 45 DEG	SUP-AR-1850PP-45	CDM			270	RC		inpatient			202	202																																																			
BURR ROUND CONCAVE HL	SUP-AR-6500VBE	CDM			270	RC		outpatient			202	22	54.72				percent of total billed charges		202				other	OPPS APC	149.48				percent of total billed charges		202				other	OPPS APC	202				other	OPPS APC	54.72				percent of total billed charges		55.81				percent of total billed charges		22				other	OPPS APC	22	202	
BURR ROUND CONCAVE HL	SUP-AR-6500VBE	CDM			270	RC		inpatient			202	202																																																			
POWER PICK 30DEG	SUP-AR-8150PP-30	CDM			270	RC		outpatient			202	22	54.72				percent of total billed charges		202				other	OPPS APC	149.48				percent of total billed charges		202				other	OPPS APC	202				other	OPPS APC	54.72				percent of total billed charges		55.81				percent of total billed charges		22				other	OPPS APC	22	202	
POWER PICK 30DEG	SUP-AR-8150PP-30	CDM			270	RC		inpatient			202	202																																																			
PROBE VASCULAR GLOBAL L45 CM OD1.5-2 MM BULB	SUP-7451520ES	CDM			270	RC		outpatient			201.71	21.71	54.64				percent of total billed charges		201.71				other	OPPS APC	149.27				percent of total billed charges		201.71				other	OPPS APC	201.71				other	OPPS APC	54.64				percent of total billed charges		55.73				percent of total billed charges		21.71				other	OPPS APC	21.71	201.71	
PROBE VASCULAR GLOBAL L45 CM OD1.5-2 MM BULB	SUP-7451520ES	CDM			270	RC		inpatient			201.71	201.71																																																			
BIT DRILL L48 MM OD1.5 MM MINI QUICK COUPLING NONSTERILE GLIDE HOLE	SUP-03.130.212	CDM	270010022	LOCAL	270	RC		outpatient			201.6	21.6	54.61				percent of total billed charges		201.6				other	OPPS APC	149.18				percent of total billed charges		201.6				other	OPPS APC	201.6				other	OPPS APC	54.61				percent of total billed charges		55.7				percent of total billed charges		21.6				other	OPPS APC	21.6	201.6	
BIT DRILL L48 MM OD1.5 MM MINI QUICK COUPLING NONSTERILE GLIDE HOLE	SUP-03.130.212	CDM	270010022	LOCAL	270	RC		inpatient			201.6	201.6																																																			
BIT DRILL L74 MM OD1.5 MM MINI QUICK COUPLING NONSTERILE THREAD HOLE	SUP-03.130.302	CDM	270010022	LOCAL	270	RC		outpatient			201.6	21.6	54.61				percent of total billed charges		201.6				other	OPPS APC	149.18				percent of total billed charges		201.6				other	OPPS APC	201.6				other	OPPS APC	54.61				percent of total billed charges		55.7				percent of total billed charges		21.6				other	OPPS APC	21.6	201.6	
BIT DRILL L74 MM OD1.5 MM MINI QUICK COUPLING NONSTERILE THREAD HOLE	SUP-03.130.302	CDM	270010022	LOCAL	270	RC		inpatient			201.6	201.6																																																			
CARBON ROD 100MM 4MM	SUP-97-04143	CDM			278	RC		outpatient			201.6	21.6	201.6				fee schedule		201.6				other	OPPS APC	114.91				percent of total billed charges		201.6				other	OPPS APC	201.6				other	OPPS APC	98.78				percent of total billed charges		102.82				percent of total billed charges		21.6				other	OPPS APC	21.6	201.6	
CARBON ROD 100MM 4MM	SUP-97-04143	CDM			278	RC		inpatient			201.6	201.6																																																			
SHEATH - PEDAL MICROPUNCTURE 4F	SUP-99-01981	CDM			272	RC		outpatient			201.6	21.6	54.61				percent of total billed charges		201.6				other	OPPS APC	149.18				percent of total billed charges		201.6				other	OPPS APC	201.6				other	OPPS APC	54.61				percent of total billed charges		55.7				percent of total billed charges		21.6				other	OPPS APC	21.6	201.6	
SHEATH - PEDAL MICROPUNCTURE 4F	SUP-99-01981	CDM			272	RC		inpatient			201.6	201.6																																																			
KIT DRAINAGE PLEURX ALCOHOL PLASTIC GAUZE FOAM L4 IN X W4 IN 1000 ML THORACIC CATHETER VACUUM BOTTLE SELF ADHESIVE DRESSING VALVE CAP STERILE LATEX FREE DISPOSABLE BLUE PLEURAL EFFUSION	SUP-50-7510	CDM			270	RC		outpatient			201.48	21.48	54.58				percent of total billed charges		201.48				other	OPPS APC	149.1				percent of total billed charges		201.48				other	OPPS APC	201.48				other	OPPS APC	54.58				percent of total billed charges		55.67				percent of total billed charges		21.48				other	OPPS APC	21.48	201.48	
KIT DRAINAGE PLEURX ALCOHOL PLASTIC GAUZE FOAM L4 IN X W4 IN 1000 ML THORACIC CATHETER VACUUM BOTTLE SELF ADHESIVE DRESSING VALVE CAP STERILE LATEX FREE DISPOSABLE BLUE PLEURAL EFFUSION	SUP-50-7510	CDM			270	RC		inpatient			201.48	201.48																																																			
BRUSH CYTOLOGY L115 CM OD3.2 FR URETERAL BIOPSY SET STRAIGHT TIP OCCLUSIVE	SUP-G14919	CDM	270009191	LOCAL	270	RC		outpatient			201.48	21.48	54.58				percent of total billed charges		201.48				other	OPPS APC	149.1				percent of total billed charges		201.48				other	OPPS APC	201.48				other	OPPS APC	54.58				percent of total billed charges		55.67				percent of total billed charges		21.48				other	OPPS APC	21.48	201.48	
BRUSH CYTOLOGY L115 CM OD3.2 FR URETERAL BIOPSY SET STRAIGHT TIP OCCLUSIVE	SUP-G14919	CDM	270009191	LOCAL	270	RC		inpatient			201.48	201.48																																																			
New Pat: Age 12-17 Years	PX-510993841	CDM	99384	CPT	510	RC		inpatient			201	201																																																			
New Pat: Age 12-17 Years	PX-510993841	CDM	99384	CPT	510	RC		outpatient			201	201	136.34				fee schedule						other	OPPS APC	148.74				percent of total billed charges						other	OPPS APC					fee schedule		96.37				fee schedule												other	OPPS APC	148.74	148.74	
New Pat: Age 18+ Years	PX-510993851	CDM	99385	CPT	510	RC		outpatient			201	21	169.66				case rate		201				other	OPPS APC	101				case rate		201				other	OPPS APC	201				fee schedule		169.66				case rate		173.05				case rate		21				other	OPPS APC	21	201	
New Pat: Age 18+ Years	PX-510993851	CDM	99385	CPT	510	RC		inpatient			201	201																																																			
Est. Pat: 5-11 Years	PX-510993931	CDM	99393	CPT	510	RC		inpatient			201	201																																																			
Est. Pat: 5-11 Years	PX-510993931	CDM	99393	CPT	510	RC		outpatient			201	201	106.3				fee schedule						other	OPPS APC	148.74				percent of total billed charges						other	OPPS APC					fee schedule		72.68				fee schedule												other	OPPS APC	148.74	148.74	
Est. Pat: Age 18+Years	PX-510993951	CDM	99395	CPT	510	RC		outpatient			201	21	118.83				fee schedule		201				other	OPPS APC	148.74				percent of total billed charges		201				other	OPPS APC	201				fee schedule		84.69				fee schedule		201				fee schedule		21				other	OPPS APC	21	201	
Est. Pat: Age 18+Years	PX-510993951	CDM	99395	CPT	510	RC		inpatient			201	201																																																			
HC 45 Min. Indiv	PX-510994031	CDM	99403	CPT	510	RC		inpatient			201	201																																																			
HC 45 Min. Indiv	PX-510994031	CDM	99403	CPT	510	RC		outpatient			201	201					fee schedule						other	OPPS APC	148.74				percent of total billed charges						other	OPPS APC					fee schedule						case rate												other	OPPS APC	148.74	148.74	
SHEATH - GLIDESHEATH 5F	SUP-99-01656	CDM			272	RC		outpatient			200.9	2.91	54.42				percent of total billed charges		200.9				other	OPPS APC	148.67				percent of total billed charges		200.9				other	OPPS APC	200.9				other	OPPS APC	54.42				percent of total billed charges		55.51				percent of total billed charges		2.91				other	OPPS APC	2.91	200.9	
SHEATH - GLIDESHEATH 5F	SUP-99-01656	CDM			272	RC		inpatient			200.9	200.9																																																			
CATHETER - SHUTTLE SELECT 6.5F X 125CM	SUP-99-01744	CDM			272	RC		outpatient			200.38	2.38	54.28				percent of total billed charges		200.38				other	OPPS APC	148.28				percent of total billed charges		200.38				other	OPPS APC	200.38				other	OPPS APC	54.28				percent of total billed charges		55.36				percent of total billed charges		2.38				other	OPPS APC	2.38	200.38	
CATHETER - SHUTTLE SELECT 6.5F X 125CM	SUP-99-01744	CDM			272	RC		inpatient			200.38	200.38																																																			
SCREW LORENZ IMF 2.0 X 5MM	SUP-71-00006	CDM			278	RC		outpatient			200.2	2.2	200.2				fee schedule		200.2				other	OPPS APC	114.11				percent of total billed charges		200.2				other	OPPS APC	200.2				other	OPPS APC	98.1				percent of total billed charges		102.1				percent of total billed charges		2.2				other	OPPS APC	2.2	200.2	
SCREW LORENZ IMF 2.0 X 5MM	SUP-71-00006	CDM			278	RC		inpatient			200.2	200.2																																																			
SCREW LORENZ IMF 2.0 X 7MM	SUP-71-00007	CDM			278	RC		outpatient			200.2	2.2	200.2				fee schedule		200.2				other	OPPS APC	114.11				percent of total billed charges		200.2				other	OPPS APC	200.2				other	OPPS APC	98.1				percent of total billed charges		102.1				percent of total billed charges		2.2				other	OPPS APC	2.2	200.2	
SCREW LORENZ IMF 2.0 X 7MM	SUP-71-00007	CDM			278	RC		inpatient			200.2	200.2																																																			
CANCELELLOUS BONE SCREW	SUP-97-02961	CDM			278	RC		outpatient			200.2	2.2	200.2				fee schedule		200.2				other	OPPS APC	114.11				percent of total billed charges		200.2				other	OPPS APC	200.2				other	OPPS APC	98.1				percent of total billed charges		102.1				percent of total billed charges		2.2				other	OPPS APC	2.2	200.2	
CANCELELLOUS BONE SCREW	SUP-97-02961	CDM			278	RC		inpatient			200.2	200.2																																																			
HC Pacu Recovery 1st 15 Mins	PX-710000001	CDM	710000001	LOCAL	710	RC		outpatient			200	2	181.72				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	181.72				percent of total billed charges		185.36				percent of total billed charges		2				other	OPPS APC	2	200	
HC Pacu Recovery 1st 15 Mins	PX-710000001	CDM	710000001	LOCAL	710	RC		inpatient			200	200																																																			
PATELLA REAMER BLADE WITH PILOT HOLE  SIZE 38	SUP-00-5979-095-38	CDM	270010025	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
PATELLA REAMER BLADE WITH PILOT HOLE  SIZE 38	SUP-00-5979-095-38	CDM	270010025	LOCAL	270	RC		inpatient			200	200																																																			
BLADE REAMER NEXGEN STAINLESS STEEL OD41 MM KNEE PATELLA PILOT HOLE NONSTERILE	SUP-00597909541	CDM	270010025	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BLADE REAMER NEXGEN STAINLESS STEEL OD41 MM KNEE PATELLA PILOT HOLE NONSTERILE	SUP-00597909541	CDM	270010025	LOCAL	270	RC		inpatient			200	200																																																			
BLADE REAMER PATELLA WITH PILOT HOLE SIZE 41	SUP-00-5979-095-41	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BLADE REAMER PATELLA WITH PILOT HOLE SIZE 41	SUP-00-5979-095-41	CDM			270	RC		inpatient			200	200																																																			
PATELLA REAMER BLADE WITH PILOT HOLE SIZE 51	SUP-00597909551	CDM	270010025	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
PATELLA REAMER BLADE WITH PILOT HOLE SIZE 51	SUP-00597909551	CDM	270010025	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE VIRAGE SPINE LOCK CAP	SUP-07-01728-001	CDM	270010022	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE VIRAGE SPINE LOCK CAP	SUP-07-01728-001	CDM	270010022	LOCAL	270	RC		inpatient			200	200																																																			
PLUG SPINAL LINEUM HELICAL FLANGE TITANIUM SPINE CERVICAL UPPER THORACIC NONSTERILE	SUP-14-524038	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
PLUG SPINAL LINEUM HELICAL FLANGE TITANIUM SPINE CERVICAL UPPER THORACIC NONSTERILE	SUP-14-524038	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
WIRE FIXATION KIRSCHNER L9 IN OD.035 IN 2 END BAYONET POINT	SUP-160138000	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
WIRE FIXATION KIRSCHNER L9 IN OD.035 IN 2 END BAYONET POINT	SUP-160138000	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L12 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120212	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L12 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120212	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120215	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF TAP	SUP-3120215	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3120315	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3120315	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
IMPLANT MEDTRONIC SCREW FIXED ANGLE 4MM 11MM	SUP-3120411	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
IMPLANT MEDTRONIC SCREW FIXED ANGLE 4MM 11MM	SUP-3120411	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
IMPLANT MEDTRONIC SCREW FIXED ANGLE 4MM 12MM	SUP-3120412	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
IMPLANT MEDTRONIC SCREW FIXED ANGLE 4MM 12MM	SUP-3120412	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120413	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120413	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120414	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120414	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120415	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120415	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120416	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3120416	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE	SUP-3120417	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE	SUP-3120417	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE L18 MM OD4 MM SPINE SELF DRILLING FIXED ANGLE	SUP-3120418	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE L18 MM OD4 MM SPINE SELF DRILLING FIXED ANGLE	SUP-3120418	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM ANGLE FIX L19 MM OD1 MM SPINE CERVICAL ANTERIOR SELF DRILL	SUP-3120419	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM ANGLE FIX L19 MM OD1 MM SPINE CERVICAL ANTERIOR SELF DRILL	SUP-3120419	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM ANGLE FIX L20 MM OD1 MM SPINE CERVICAL ANTERIOR SELF DRILL	SUP-3120420	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM ANGLE FIX L20 MM OD1 MM SPINE CERVICAL ANTERIOR SELF DRILL	SUP-3120420	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
IMPLANT MEDTRONIC SCREW VARIABLE ANGLE 4MM 11MM	SUP-3120511	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
IMPLANT MEDTRONIC SCREW VARIABLE ANGLE 4MM 11MM	SUP-3120511	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
IMPLANT MEDTRONIC SCREW VARIABLE ANGLE 4MM 12MM	SUP-3120512	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
IMPLANT MEDTRONIC SCREW VARIABLE ANGLE 4MM 12MM	SUP-3120512	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120514	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L14 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120514	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120515	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120515	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120516	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L16 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120516	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120517	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3120517	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L13 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3125313	CDM	270010024	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L13 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF TAP	SUP-3125313	CDM	270010024	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L11 MM OD4.5 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE	SUP-3125411	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L11 MM OD4.5 MM SPINE CERVICAL ANTERIOR SELF DRILL FIX ANGLE	SUP-3125411	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4.5 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3125415	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4.5 MM SPINE CERVICAL ANTERIOR FIX ANGLE SELF DRILL	SUP-3125415	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L15 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3125515	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L15 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3125515	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ATLANTIS TITANIUM L17 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3125517	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ATLANTIS TITANIUM L17 MM OD4.5 MM SPINE CERVICAL ANTERIOR VARIABLE ANGLE SELF DRILL	SUP-3125517	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SUPPORT WRIST EXTEND	SUP-3262	CDM			481	RC		outpatient			200	2	98				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SUPPORT WRIST EXTEND	SUP-3262	CDM			481	RC		inpatient			200	200																																																			
SCREW STRYKER NON LOCKING 2.7MM X 24MM	SUP-40-27024	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW STRYKER NON LOCKING 2.7MM X 24MM	SUP-40-27024	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE VARIAX TITANIUM T7 L26 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER NONSTERILE YELLOW LOCK PLATE SYSTEM	SUP-40-27026	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE VARIAX TITANIUM T7 L26 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER NONSTERILE YELLOW LOCK PLATE SYSTEM	SUP-40-27026	CDM			270	RC		inpatient			200	200																																																			
SCREW STRYKER VARIAX 2.7MM LOCKING 8MM	SUP-40-27608	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW STRYKER VARIAX 2.7MM LOCKING 8MM	SUP-40-27608	CDM			270	RC		inpatient			200	200																																																			
CATHETER GUIDING HEARTRAIL III IL3.5 CURVE L100 CM OD6 FR CORONARY FLEXIBLE SHAFT DESIGN SUPERIOR TORQUE CONTROL HIGH RADIOPACITY ATRAUMATIC TIP	SUP-40-6370	CDM			481	RC		outpatient			200	2	98				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
CATHETER GUIDING HEARTRAIL III IL3.5 CURVE L100 CM OD6 FR CORONARY FLEXIBLE SHAFT DESIGN SUPERIOR TORQUE CONTROL HIGH RADIOPACITY ATRAUMATIC TIP	SUP-40-6370	CDM			481	RC		inpatient			200	200																																																			
6F IKARI LEFT 4.0 GUIDE	SUP-40-6373	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
6F IKARI LEFT 4.0 GUIDE	SUP-40-6373	CDM			270	RC		inpatient			200	200																																																			
SET MARINER SCREWS	SUP-41-1000	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SET MARINER SCREWS	SUP-41-1000	CDM			270	RC		inpatient			200	200																																																			
SET MARINER SCREWS	SUP-41-1010	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SET MARINER SCREWS	SUP-41-1010	CDM			270	RC		inpatient			200	200																																																			
CAP LOCKING SIERRA	SUP-50-1000	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
CAP LOCKING SIERRA	SUP-50-1000	CDM			270	RC		inpatient			200	200																																																			
PATELLA REAMING BLADE 41MM	SUP-5979-95-41	CDM	270010025	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
PATELLA REAMING BLADE 41MM	SUP-5979-95-41	CDM	270010025	LOCAL	270	RC		inpatient			200	200																																																			
PATELLA REAMING BLADE 46MM	SUP-5979-95-46	CDM	270010025	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
PATELLA REAMING BLADE 46MM	SUP-5979-95-46	CDM	270010025	LOCAL	270	RC		inpatient			200	200																																																			
GLIDESHEATH SLENDER 6FR 10CM	SUP-60-1060	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GLIDESHEATH SLENDER 6FR 10CM	SUP-60-1060	CDM			270	RC		inpatient			200	200																																																			
GLIDESHEATH SLENDER 7FR 10 CM DOUBLEWALL	SUP-60-1070	CDM			481	RC		outpatient			200	2	98				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
GLIDESHEATH SLENDER 7FR 10 CM DOUBLEWALL	SUP-60-1070	CDM			481	RC		inpatient			200	200																																																			
GLIDESHEATH SLENDER 6FR 16CM DOUBLE WALL	SUP-60-1660	CDM			481	RC		outpatient			200	2	98				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
GLIDESHEATH SLENDER 6FR 16CM DOUBLE WALL	SUP-60-1660	CDM			481	RC		inpatient			200	200																																																			
GLIDESHEATH SLENDER 7 FR 16 CM DOUBLE WALL	SUP-60-1670	CDM			481	RC		outpatient			200	2	98				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
GLIDESHEATH SLENDER 7 FR 16 CM DOUBLE WALL	SUP-60-1670	CDM			481	RC		inpatient			200	200																																																			
SCREW SET VERTEX MAX TITANIUM M6 BUTTRESS THREAD SPINE POSTERIOR RECONSTRUCTION SYSTEM	SUP-6950315	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW SET VERTEX MAX TITANIUM M6 BUTTRESS THREAD SPINE POSTERIOR RECONSTRUCTION SYSTEM	SUP-6950315	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW HT SDX-DR 1.5X4MM	SUP-71-00191	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW HT SDX-DR 1.5X4MM	SUP-71-00191	CDM			278	RC		inpatient			200	200																																																			
SCREW SELF DRILLING 16MM	SUP-7120416	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW SELF DRILLING 16MM	SUP-7120416	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
BIT DRILL TRIGEN LONG OD4 MM PILOT STERILE DISPOSABLE	SUP-71631110	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BIT DRILL TRIGEN LONG OD4 MM PILOT STERILE DISPOSABLE	SUP-71631110	CDM			270	RC		inpatient			200	200																																																			
BIT DRILL TRIGEN SHORT OD4 MM PILOT STERILE DISPOSABLE	SUP-71631117	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BIT DRILL TRIGEN SHORT OD4 MM PILOT STERILE DISPOSABLE	SUP-71631117	CDM			270	RC		inpatient			200	200																																																			
BIT DRILL TRIGEN LONG OD 4 MM AO PILOT STERILE DISPOSABLE	SUP-71631121	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BIT DRILL TRIGEN LONG OD 4 MM AO PILOT STERILE DISPOSABLE	SUP-71631121	CDM			270	RC		inpatient			200	200																																																			
DRILL SURGICAL TRIGEN SHORT L 161MM OD 4MM TROCHANTER FEMUR AO PILOT STERILE DISPOSABLE	SUP-71631123	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
DRILL SURGICAL TRIGEN SHORT L 161MM OD 4MM TROCHANTER FEMUR AO PILOT STERILE DISPOSABLE	SUP-71631123	CDM			270	RC		inpatient			200	200																																																			
GUIDE PIN ORTHOPEDIC TRIGEN META-TAN L 343MM OD 3.2MM	SUP-71631436	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE PIN ORTHOPEDIC TRIGEN META-TAN L 343MM OD 3.2MM	SUP-71631436	CDM			270	RC		inpatient			200	200																																																			
4-0 FIBER LOOP	SUP-74-00229	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
4-0 FIBER LOOP	SUP-74-00229	CDM			272	RC		inpatient			200	200																																																			
SCREW BONE ZEVO TITANIUM L13 MM OD3.5 MM SPINE CERVICAL ANTERIOR VARIABLE SELF DRILL	SUP-7713513	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEVO TITANIUM L13 MM OD3.5 MM SPINE CERVICAL ANTERIOR VARIABLE SELF DRILL	SUP-7713513	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ZEVO TITANIUM L15 MM OD3.5 MM SPINE CERVICAL ANTERIOR VARIABLE SELF DRILL	SUP-7713515	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEVO TITANIUM L15 MM OD3.5 MM SPINE CERVICAL ANTERIOR VARIABLE SELF DRILL	SUP-7713515	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ZEVO TITANIUM L17 MM OD3.5 MM SPINE CERVICAL ANTERIOR VARIABLE SELF DRILL	SUP-7713517	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEVO TITANIUM L17 MM OD3.5 MM SPINE CERVICAL ANTERIOR VARIABLE SELF DRILL	SUP-7713517	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW MEDTRONIC 3.5MM X 15MM	SUP-7723515	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW MEDTRONIC 3.5MM X 15MM	SUP-7723515	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE ZEVO TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE SELF TAP	SUP-7724013	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEVO TITANIUM L13 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE SELF TAP	SUP-7724013	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE ZEVO TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE SELF TAP	SUP-7724015	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEVO TITANIUM L15 MM OD4 MM SPINE CERVICAL ANTERIOR VARIABLE SELF TAP	SUP-7724015	CDM			270	RC		inpatient			200	200																																																			
FIBERTAPE 2MM BX/6	SUP-79-00038	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
FIBERTAPE 2MM BX/6	SUP-79-00038	CDM			272	RC		inpatient			200	200																																																			
TIGERTAPE 2MM	SUP-79-00039	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
TIGERTAPE 2MM	SUP-79-00039	CDM			272	RC		inpatient			200	200																																																			
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD7.5 MM SPINE	SUP-83575559	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE TSRH OSTEOGRIP THINLINE TITANIUM L55 MM OD7.5 MM SPINE	SUP-83575559	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW MEDTRONIC 3.5MM X 15MM	SUP-8792815	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW MEDTRONIC 3.5MM X 15MM	SUP-8792815	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ZEPHIR TITANIUM SMALL L13 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF DRILL STERILE	SUP-8792913	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEPHIR TITANIUM SMALL L13 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF DRILL STERILE	SUP-8792913	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE ZEPHIR TITANIUM SMALL L15 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF DRILL STERILE	SUP-8792915	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE ZEPHIR TITANIUM SMALL L15 MM OD4 MM SPINE CERVICAL CANCELLOUS ANTERIOR VARIABLE ANGLE SELF DRILL STERILE	SUP-8792915	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
SAW BLADE LAPIPLASTY 40 X 11MM	SUP-95-05394	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SAW BLADE LAPIPLASTY 40 X 11MM	SUP-95-05394	CDM			272	RC		inpatient			200	200																																																			
SCREW LO-PRO LOCK SS 4.0X 30MM CANCL	SUP-97-01504	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW LO-PRO LOCK SS 4.0X 30MM CANCL	SUP-97-01504	CDM			278	RC		inpatient			200	200																																																			
LO PRO SCRW3.5X 14MM	SUP-97-01554	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
LO PRO SCRW3.5X 14MM	SUP-97-01554	CDM			278	RC		inpatient			200	200																																																			
LO- PRO SCRW TMSS 3.5X24MMCRT	SUP-97-01669	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
LO- PRO SCRW TMSS 3.5X24MMCRT	SUP-97-01669	CDM			278	RC		inpatient			200	200																																																			
LO- PRO SCRWSS 4.0X42MM SHT THD	SUP-97-01672	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
LO- PRO SCRWSS 4.0X42MM SHT THD	SUP-97-01672	CDM			278	RC		inpatient			200	200																																																			
BB-TAK	SUP-97-02023	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BB-TAK	SUP-97-02023	CDM			272	RC		inpatient			200	200																																																			
LO PRO SCRW3.5X 26MM	SUP-97-02030	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
LO PRO SCRW3.5X 26MM	SUP-97-02030	CDM			278	RC		inpatient			200	200																																																			
FIBERWIRE #2 FIBERSTICK	SUP-97-02121	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
FIBERWIRE #2 FIBERSTICK	SUP-97-02121	CDM			272	RC		inpatient			200	200																																																			
FIBERLOOP #2 BLUE	SUP-97-02122	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
FIBERLOOP #2 BLUE	SUP-97-02122	CDM			272	RC		inpatient			200	200																																																			
AWL TAPERED 3 .8MM DISPOSABLE	SUP-97-02306	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
AWL TAPERED 3 .8MM DISPOSABLE	SUP-97-02306	CDM			272	RC		inpatient			200	200																																																			
TIGERSTICK #2 TIGERWIRE	SUP-97-02444	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
TIGERSTICK #2 TIGERWIRE	SUP-97-02444	CDM			278	RC		inpatient			200	200																																																			
WASHER 7.0 MMTI	SUP-97-02872	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
WASHER 7.0 MMTI	SUP-97-02872	CDM			278	RC		inpatient			200	200																																																			
2-0FL 26 W/MOND PNT ST NDL	SUP-97-03731	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
2-0FL 26 W/MOND PNT ST NDL	SUP-97-03731	CDM			272	RC		inpatient			200	200																																																			
2-0 FIBERWIRE LOOP 60'W/DIA.NEEDLE 48MM	SUP-97-04267	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
2-0 FIBERWIRE LOOP 60'W/DIA.NEEDLE 48MM	SUP-97-04267	CDM			278	RC		inpatient			200	200																																																			
#2 FIBERLOOP BLUE W/CURVED NEEDLES	SUP-97-04623	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
#2 FIBERLOOP BLUE W/CURVED NEEDLES	SUP-97-04623	CDM			272	RC		inpatient			200	200																																																			
FIBERLOOP 2-0 WITH NEEDLE	SUP-97-05887	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
FIBERLOOP 2-0 WITH NEEDLE	SUP-97-05887	CDM			278	RC		inpatient			200	200																																																			
BB TAK MTP	SUP-97-05950	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
BB TAK MTP	SUP-97-05950	CDM			278	RC		inpatient			200	200																																																			
SCREW LOCKING 2.7 X 16MM ZERO PROFILE FLEX THREAD	SUP-97-06303	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW LOCKING 2.7 X 16MM ZERO PROFILE FLEX THREAD	SUP-97-06303	CDM			278	RC		inpatient			200	200																																																			
SCREW LOCKING 2.7 X 18MM ZERO PROFILE FLEX THREAD	SUP-97-06304	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW LOCKING 2.7 X 18MM ZERO PROFILE FLEX THREAD	SUP-97-06304	CDM			278	RC		inpatient			200	200																																																			
SCREW LOCKING 2.7 X 14MM ZERO THREAD FLEX THREAD	SUP-97-06306	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW LOCKING 2.7 X 14MM ZERO THREAD FLEX THREAD	SUP-97-06306	CDM			278	RC		inpatient			200	200																																																			
SCREW LOCKING 2.7 X 20MM ZERO PROFILE	SUP-97-06368	CDM			278	RC		outpatient			200	2	200				fee schedule		200				other	OPPS APC	114				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	98				percent of total billed charges		102				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW LOCKING 2.7 X 20MM ZERO PROFILE	SUP-97-06368	CDM			278	RC		inpatient			200	200																																																			
GUIDE - JR4 (BS)	SUP-99-00579	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JR4 (BS)	SUP-99-00579	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JL3.5 (BS)	SUP-99-00967	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JL3.5 (BS)	SUP-99-00967	CDM			272	RC		inpatient			200	200																																																			
GUIDE - RCB (CORDIS)	SUP-99-01016	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - RCB (CORDIS)	SUP-99-01016	CDM			272	RC		inpatient			200	200																																																			
GUIDE - IM SH (BS)	SUP-99-01178	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - IM SH (BS)	SUP-99-01178	CDM			272	RC		inpatient			200	200																																																			
GUIDE - 5F JR4  (BS)	SUP-99-01781	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - 5F JR4  (BS)	SUP-99-01781	CDM			272	RC		inpatient			200	200																																																			
GUIDE- 5F CLS3.5 (BS)	SUP-99-01876	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE- 5F CLS3.5 (BS)	SUP-99-01876	CDM			272	RC		inpatient			200	200																																																			
GUIDE - CLS 3.5SH (BS)	SUP-99-04015	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - CLS 3.5SH (BS)	SUP-99-04015	CDM			272	RC		inpatient			200	200																																																			
GUIDE - CLS 3.5 (BS)	SUP-99-04016	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - CLS 3.5 (BS)	SUP-99-04016	CDM			272	RC		inpatient			200	200																																																			
GUIDE - FL4  (BS)	SUP-99-04017	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - FL4  (BS)	SUP-99-04017	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JR3.5  (BS)	SUP-99-04018	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JR3.5  (BS)	SUP-99-04018	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JR4.0 SH  (BS)	SUP-99-04019	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JR4.0 SH  (BS)	SUP-99-04019	CDM			272	RC		inpatient			200	200																																																			
GUIDE - LEFT BU3.5 SH  (BS)	SUP-99-04020	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - LEFT BU3.5 SH  (BS)	SUP-99-04020	CDM			272	RC		inpatient			200	200																																																			
GUIDE - LEFT BU4.0  (BS)	SUP-99-04021	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - LEFT BU4.0  (BS)	SUP-99-04021	CDM			272	RC		inpatient			200	200																																																			
GUIDE - LEFT BU4.0 SH  (BS)	SUP-99-04022	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - LEFT BU4.0 SH  (BS)	SUP-99-04022	CDM			272	RC		inpatient			200	200																																																			
GUIDE - AL 2 SH	SUP-99-04023	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - AL 2 SH	SUP-99-04023	CDM			272	RC		inpatient			200	200																																																			
GUIDE - AL 3	SUP-99-04024	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - AL 3	SUP-99-04024	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JCR4	SUP-99-04025	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JCR4	SUP-99-04025	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JCR4 SH	SUP-99-04026	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JCR4 SH	SUP-99-04026	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JL3.0 (CORDIS)	SUP-99-04027	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JL3.0 (CORDIS)	SUP-99-04027	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JL3.5 SH	SUP-99-04029	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JL3.5 SH	SUP-99-04029	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JL4.0ST	SUP-99-04030	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JL4.0ST	SUP-99-04030	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JL4.5	SUP-99-04031	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JL4.5	SUP-99-04031	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XB4.5	SUP-99-04033	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XB4.5	SUP-99-04033	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XB4.5 SH	SUP-99-04034	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XB4.5 SH	SUP-99-04034	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XBC3	SUP-99-04035	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XBC3	SUP-99-04035	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XBC3.5	SUP-99-04036	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XBC3.5	SUP-99-04036	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XBC4	SUP-99-04037	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XBC4	SUP-99-04037	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XBC4 SH	SUP-99-04038	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XBC4 SH	SUP-99-04038	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XBC4.5	SUP-99-04039	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XBC4.5	SUP-99-04039	CDM			272	RC		inpatient			200	200																																																			
GUIDE - XBC4.5 SH	SUP-99-04040	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - XBC4.5 SH	SUP-99-04040	CDM			272	RC		inpatient			200	200																																																			
GUIDE - JL4.5ST	SUP-99-0432	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDE - JL4.5ST	SUP-99-0432	CDM			272	RC		inpatient			200	200																																																			
CUTTER - ACUITY UNIVERSAL CUTTER	SUP-99-04717	CDM			272	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
CUTTER - ACUITY UNIVERSAL CUTTER	SUP-99-04717	CDM			272	RC		inpatient			200	200																																																			
WASHER ORTHOPEDIC 14MM TITANIUM STERILE LOW PROFILE SPIKE CANCELLOUS SCREW	SUP-AR-1349	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
WASHER ORTHOPEDIC 14MM TITANIUM STERILE LOW PROFILE SPIKE CANCELLOUS SCREW	SUP-AR-1349	CDM			270	RC		inpatient			200	200																																																			
WASHER ORTHOPEDIC TITANIUM SPIKE LOW PROFILE OD14 MM ACL PCL CANCELLOUS SCREW	SUP-AR-1349NS	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
WASHER ORTHOPEDIC TITANIUM SPIKE LOW PROFILE OD14 MM ACL PCL CANCELLOUS SCREW	SUP-AR-1349NS	CDM			270	RC		inpatient			200	200																																																			
DEVICE POSITIONING STAR SLEEVE VELCRO FOAM ARM FOREARM WRIST TRACTION SLING STERILE DISPOSABLE	SUP-AR-1606V	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
DEVICE POSITIONING STAR SLEEVE VELCRO FOAM ARM FOREARM WRIST TRACTION SLING STERILE DISPOSABLE	SUP-AR-1606V	CDM			270	RC		inpatient			200	200																																																			
BUTTON SUTURE OD12 MM STERILE	SUP-AR-8922	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
BUTTON SUTURE OD12 MM STERILE	SUP-AR-8922	CDM			270	RC		inpatient			200	200																																																			
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 5HOLE	SUP-AR-8943TNL-05	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
PLATE ARTHREX NON- LOCKING THIRD TUBULAR 5HOLE	SUP-AR-8943TNL-05	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE UNIVERS REVERS 18 D L24 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-24	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE UNIVERS REVERS 18 D L24 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-24	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE UNIVERS REVERS L24 MM OD4.5 MM PERIPHERAL NONLOCK	SUP-AR-9145-24NL	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE UNIVERS REVERS L24 MM OD4.5 MM PERIPHERAL NONLOCK	SUP-AR-9145-24NL	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE UNIVERS REVERS 18 D L30 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-30	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE UNIVERS REVERS 18 D L30 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-30	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW ARTHREX PERIPHERAL NL UNI REV 4.5MM X 30MM	SUP-AR-9145-30NL	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW ARTHREX PERIPHERAL NL UNI REV 4.5MM X 30MM	SUP-AR-9145-30NL	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE UNIVERS REVERS 18 D L36 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-36	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE UNIVERS REVERS 18 D L36 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-36	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE UNIVERS REVERS L36 MM OD4.5 MM PERIPHERAL NONLOCK	SUP-AR-9145-36NL	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE UNIVERS REVERS L36 MM OD4.5 MM PERIPHERAL NONLOCK	SUP-AR-9145-36NL	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE UNIVERS REVERS 18 D L42 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-42	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE UNIVERS REVERS 18 D L42 MM OD4.5 MM SHOULDER GLENOID PERIPHERAL LOCK VARIABLE ANGLE	SUP-AR-9145-42	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW UNI GLENOID PERIPHERAL 4.5MM	SUP-AR-9145-42NL	CDM	270010030	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW UNI GLENOID PERIPHERAL 4.5MM	SUP-AR-9145-42NL	CDM	270010030	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE CERVICAL SPINE TRUSS SYSTEM L14 MM OD3.5 MM SPINE VARIABLE ANGLE SELF DRILL STERILE LATEX FREE	SUP-CSCR-3514-SD-SP	CDM	270010020	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE CERVICAL SPINE TRUSS SYSTEM L14 MM OD3.5 MM SPINE VARIABLE ANGLE SELF DRILL STERILE LATEX FREE	SUP-CSCR-3514-SD-SP	CDM	270010020	LOCAL	270	RC		inpatient			200	200																																																			
GUIDEWIRE VASCULAR CPS COURIER MEDIUM L195 CM STERILE LATEX FREE DISPOSABLE	SUP-DS2G002	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDEWIRE VASCULAR CPS COURIER MEDIUM L195 CM STERILE LATEX FREE DISPOSABLE	SUP-DS2G002	CDM			270	RC		inpatient			200	200																																																			
GUIDEWIRE VASCULAR CPS COURIER STAINLESS STEEL OD.014 IN FIRM TIP	SUP-DS2G003	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDEWIRE VASCULAR CPS COURIER STAINLESS STEEL OD.014 IN FIRM TIP	SUP-DS2G003	CDM			270	RC		inpatient			200	200																																																			
COIL EMBOLIZATION MREYE PLATINUM .035 IN L3 CM OD2 MM 4.8 LOOP STERILE	SUP-G47900	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
COIL EMBOLIZATION MREYE PLATINUM .035 IN L3 CM OD2 MM 4.8 LOOP STERILE	SUP-G47900	CDM			270	RC		inpatient			200	200																																																			
SCREW BONE 6.4MM X 15MM	SUP-H1.B11.0015	CDM	270010024	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE 6.4MM X 15MM	SUP-H1.B11.0015	CDM	270010024	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE 6.4MM X 20MM	SUP-H1.B11.0020	CDM	270010024	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE 6.4MM X 20MM	SUP-H1.B11.0020	CDM	270010024	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE 6.4MM X 25MM	SUP-H1.B11.0025	CDM	270010024	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE 6.4MM X 25MM	SUP-H1.B11.0025	CDM	270010024	LOCAL	270	RC		inpatient			200	200																																																			
SCREW BONE 6.4MM X 30MM	SUP-H1.B11.0030	CDM	270010024	LOCAL	270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
SCREW BONE 6.4MM X 30MM	SUP-H1.B11.0030	CDM	270010024	LOCAL	270	RC		inpatient			200	200																																																			
GUIDEWIRE LIGHT SUPPORT PHOENIX .014 IN 300 CM 5.5 CM FLOPPY TIP	SUP-PG14300LF	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GUIDEWIRE LIGHT SUPPORT PHOENIX .014 IN 300 CM 5.5 CM FLOPPY TIP	SUP-PG14300LF	CDM			270	RC		inpatient			200	200																																																			
GLIDESHEATH SLENDER 6FR 10CM	SUP-RM*ES6F10HAU	CDM			270	RC		outpatient			200	2	54.18				percent of total billed charges		200				other	OPPS APC	148				percent of total billed charges		200				other	OPPS APC	200				other	OPPS APC	54.18				percent of total billed charges		55.26				percent of total billed charges		2				other	OPPS APC	2	200	
GLIDESHEATH SLENDER 6FR 10CM	SUP-RM*ES6F10HAU	CDM			270	RC		inpatient			200	200																																																			
HEMOSTAT ABSORBABLE FIBRILLAR SURGICEL L4 IN X W2 IN LIGHTWEIGHT LAYER STERILE DISPOSABLE	SUP-1962	CDM			270	RC		outpatient			199.94	199.94	54.16				percent of total billed charges		199.94				other	OPPS APC	147.96				percent of total billed charges		199.94				other	OPPS APC	199.94				other	OPPS APC	54.16				percent of total billed charges		55.24				percent of total billed charges		199.94				other	OPPS APC	54.16	199.94	
HEMOSTAT ABSORBABLE FIBRILLAR SURGICEL L4 IN X W2 IN LIGHTWEIGHT LAYER STERILE DISPOSABLE	SUP-1962	CDM			270	RC		inpatient			199.94	199.94																																																			
STAPLE BONE ZIMALOY L25 MM X W16.2 MM EPIPHYSIS NONSTERILE	SUP-00-4060-002-00	CDM			270	RC		outpatient			199.52	199.52	54.05				percent of total billed charges		199.52				other	OPPS APC	147.64				percent of total billed charges		199.52				other	OPPS APC	199.52				other	OPPS APC	54.05				percent of total billed charges		55.13				percent of total billed charges		199.52				other	OPPS APC	54.05	199.52	
STAPLE BONE ZIMALOY L25 MM X W16.2 MM EPIPHYSIS NONSTERILE	SUP-00-4060-002-00	CDM			270	RC		inpatient			199.52	199.52																																																			
KIT CATHETER UROMAX ULTRA QUADRA-FOLD ENCORE HYDROPLUS POLYMER L75 CM L4 CM OD5.8 FR ODSEC15 FR URINARY TRACT HIGH PRESSURE KINK RESISTANT SHAFT RADIOPAQUE TAPER DISTAL END LATEX FREE ACCEPTS .038 IN GUIDEWIRE RADIAL DILATATION	SUP-M0062251210	CDM	270009094	LOCAL	270	RC		outpatient			199.49	199.49	54.04				percent of total billed charges		199.49				other	OPPS APC	147.62				percent of total billed charges		199.49				other	OPPS APC	199.49				other	OPPS APC	54.04				percent of total billed charges		55.12				percent of total billed charges		199.49				other	OPPS APC	54.04	199.49	
KIT CATHETER UROMAX ULTRA QUADRA-FOLD ENCORE HYDROPLUS POLYMER L75 CM L4 CM OD5.8 FR ODSEC15 FR URINARY TRACT HIGH PRESSURE KINK RESISTANT SHAFT RADIOPAQUE TAPER DISTAL END LATEX FREE ACCEPTS .038 IN GUIDEWIRE RADIAL DILATATION	SUP-M0062251210	CDM	270009094	LOCAL	270	RC		inpatient			199.49	199.49																																																			
SCREW BONE TITANIUM L3 MM OD1.2 MM ODSEC1.6 MM CRANIOFACIAL SELF TAPPING EMERGENCY CRUCIFORM RECESS STERILE TEAL	SUP-400.603E	CDM	270010022	LOCAL	270	RC		outpatient			199.44	199.44	54.03				percent of total billed charges		199.44				other	OPPS APC	147.59				percent of total billed charges		199.44				other	OPPS APC	199.44				other	OPPS APC	54.03				percent of total billed charges		55.11				percent of total billed charges		199.44				other	OPPS APC	54.03	199.44	
SCREW BONE TITANIUM L3 MM OD1.2 MM ODSEC1.6 MM CRANIOFACIAL SELF TAPPING EMERGENCY CRUCIFORM RECESS STERILE TEAL	SUP-400.603E	CDM	270010022	LOCAL	270	RC		inpatient			199.44	199.44																																																			
SCREW BONE TITANIUM L4 MM OD1.2 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL EMERGENCY CRUCIFORM RECESS THREADED STERILE TEAL	SUP-400.604E	CDM	270010022	LOCAL	270	RC		outpatient			199.44	199.44	54.03				percent of total billed charges		199.44				other	OPPS APC	147.59				percent of total billed charges		199.44				other	OPPS APC	199.44				other	OPPS APC	54.03				percent of total billed charges		55.11				percent of total billed charges		199.44				other	OPPS APC	54.03	199.44	
SCREW BONE TITANIUM L4 MM OD1.2 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL EMERGENCY CRUCIFORM RECESS THREADED STERILE TEAL	SUP-400.604E	CDM	270010022	LOCAL	270	RC		inpatient			199.44	199.44																																																			
SCREW BONE TITANIUM L5 MM OD1.2 MM ODSEC1.6 MM CRANIOFACIAL SELF TAPPING EMERGENCY CRUCIFORM RECESS STERILE TEAL	SUP-400.605E	CDM	270010022	LOCAL	270	RC		outpatient			199.44	199.44	54.03				percent of total billed charges		199.44				other	OPPS APC	147.59				percent of total billed charges		199.44				other	OPPS APC	199.44				other	OPPS APC	54.03				percent of total billed charges		55.11				percent of total billed charges		199.44				other	OPPS APC	54.03	199.44	
SCREW BONE TITANIUM L5 MM OD1.2 MM ODSEC1.6 MM CRANIOFACIAL SELF TAPPING EMERGENCY CRUCIFORM RECESS STERILE TEAL	SUP-400.605E	CDM	270010022	LOCAL	270	RC		inpatient			199.44	199.44																																																			
SCREW BONE TITANIUM L6 MM OD1.2 MM ODSEC1.6 MM CRANIOMAXILLOFACIAL FLUTED TIP EMERGENCY CRUCIFORM RECESS STERILE TEAL	SUP-400.606E	CDM	270010022	LOCAL	270	RC		outpatient			199.44	199.44	54.03				percent of total billed charges		199.44				other	OPPS APC	147.59				percent of total billed charges		199.44				other	OPPS APC	199.44				other	OPPS APC	54.03				percent of total billed charges		55.11				percent of total billed charges		199.44				other	OPPS APC	54.03	199.44	
SCREW BONE TITANIUM L6 MM OD1.2 MM ODSEC1.6 MM CRANIOMAXILLOFACIAL FLUTED TIP EMERGENCY CRUCIFORM RECESS STERILE TEAL	SUP-400.606E	CDM	270010022	LOCAL	270	RC		inpatient			199.44	199.44																																																			
WILLSCHER VAS REAPPROXIMATOR SET	SUP-77-00048	CDM			272	RC		outpatient			199.33	199.33	54				percent of total billed charges		199.33				other	OPPS APC	147.5				percent of total billed charges		199.33				other	OPPS APC	199.33				other	OPPS APC	54				percent of total billed charges		55.07				percent of total billed charges		199.33				other	OPPS APC	54	199.33	
WILLSCHER VAS REAPPROXIMATOR SET	SUP-77-00048	CDM			272	RC		inpatient			199.33	199.33																																																			
DILATOR 6FR	SUP-70-00192	CDM			272	RC		outpatient			199.25	199.25	53.98				percent of total billed charges		199.25				other	OPPS APC	147.45				percent of total billed charges		199.25				other	OPPS APC	199.25				other	OPPS APC	53.98				percent of total billed charges		55.05				percent of total billed charges		199.25				other	OPPS APC	53.98	199.25	
DILATOR 6FR	SUP-70-00192	CDM			272	RC		inpatient			199.25	199.25																																																			
PACK SURGICAL CUSTOM AAA LF	SUP-SCVHDAZPNA	CDM	270009162	LOCAL	270	RC		outpatient			199.13	199.13	53.94				percent of total billed charges		199.13				other	OPPS APC	147.36				percent of total billed charges		199.13				other	OPPS APC	199.13				other	OPPS APC	53.94				percent of total billed charges		55.02				percent of total billed charges		199.13				other	OPPS APC	53.94	199.13	
PACK SURGICAL CUSTOM AAA LF	SUP-SCVHDAZPNA	CDM	270009162	LOCAL	270	RC		inpatient			199.13	199.13																																																			
PACK SURGICAL CUSTOM AAA LATEX FREE	SUP-SCVHDAZPNC	CDM	270009162	LOCAL	270	RC		outpatient			199.13	199.13	53.94				percent of total billed charges		199.13				other	OPPS APC	147.36				percent of total billed charges		199.13				other	OPPS APC	199.13				other	OPPS APC	53.94				percent of total billed charges		55.02				percent of total billed charges		199.13				other	OPPS APC	53.94	199.13	
PACK SURGICAL CUSTOM AAA LATEX FREE	SUP-SCVHDAZPNC	CDM	270009162	LOCAL	270	RC		inpatient			199.13	199.13																																																			
HC OP Visit Est 0-10 Min	PX-510992110	CDM	99211	CPT	510	RC		outpatient			199	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit Est 0-10 Min	PX-510992110	CDM	99211	CPT	510	RC		inpatient			199	199																																																			
HC OB Exam Room - Level I	PX-761992111	CDM	99211	CPT	761	RC		outpatient			199	127.29	195.77				case rate		127.29				other	OPPS APC	147.26				percent of total billed charges		127.29				other	OPPS APC	127.29				other	OPPS APC	195.77				case rate		101.49				percent of total billed charges		127.29				other	OPPS APC	101.49	195.77	
HC OB Exam Room - Level I	PX-761992111	CDM	99211	CPT	761	RC		inpatient			199	199																																																			
HC Individual 30 Min Dsmt	PX-942992111	CDM	99211	CPT	942	RC		outpatient			199	127.29	20.19				fee schedule		127.29				other	OPPS APC	147.26				percent of total billed charges		127.29				other	OPPS APC	127.29				other	OPPS APC	8.67				fee schedule		101.49				percent of total billed charges		127.29				other	OPPS APC	8.67	147.26	
HC Individual 30 Min Dsmt	PX-942992111	CDM	99211	CPT	942	RC		inpatient			199	199																																																			
CLEAR RENAL SHEATH	SUP-70-00240	CDM			272	RC		outpatient			198.7	198.7	53.83				percent of total billed charges		198.7				other	OPPS APC	147.04				percent of total billed charges		198.7				other	OPPS APC	198.7				other	OPPS APC	53.83				percent of total billed charges		54.9				percent of total billed charges		198.7				other	OPPS APC	53.83	198.7	
CLEAR RENAL SHEATH	SUP-70-00240	CDM			272	RC		inpatient			198.7	198.7																																																			
PACK KNEE ARTHROSCOPY	SUP-85-00006	CDM			272	RC		outpatient			198.64	198.64	53.81				percent of total billed charges		198.64				other	OPPS APC	146.99				percent of total billed charges		198.64				other	OPPS APC	198.64				other	OPPS APC	53.81				percent of total billed charges		54.88				percent of total billed charges		198.64				other	OPPS APC	53.81	198.64	
PACK KNEE ARTHROSCOPY	SUP-85-00006	CDM			272	RC		inpatient			198.64	198.64																																																			
HC CT Lung Cancer Screening	PX-352002970	CDM	71271	CPT	352	RC		outpatient			198	112.57	97.02				percent of total billed charges		112.57				other	OPPS APC	167.46				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	142.64				fee schedule		91.2				fee schedule		112.57				other	OPPS APC	91.2	167.46	
HC CT Lung Cancer Screening	PX-352002970	CDM	71271	CPT	352	RC		inpatient			198	198																																																			
SCREW BONE TRIDENT II L15 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6515	CDM	270010024	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
SCREW BONE TRIDENT II L15 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6515	CDM	270010024	LOCAL	270	RC		inpatient			198	198																																																			
SCREW ACETABULAR TRIDENT II TRITANIUM 6.5MM X 25MM SCREW HOLE CLUSTER STERILE	SUP-7030-6525	CDM	270010024	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
SCREW ACETABULAR TRIDENT II TRITANIUM 6.5MM X 25MM SCREW HOLE CLUSTER STERILE	SUP-7030-6525	CDM	270010024	LOCAL	270	RC		inpatient			198	198																																																			
SCREW BONE TRIDENT II L30 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6530	CDM	270010024	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
SCREW BONE TRIDENT II L30 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6530	CDM	270010024	LOCAL	270	RC		inpatient			198	198																																																			
6.5MM LOW PROFILE HEX SCREW 45MM	SUP-7030-6545	CDM	270010024	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
6.5MM LOW PROFILE HEX SCREW 45MM	SUP-7030-6545	CDM	270010024	LOCAL	270	RC		inpatient			198	198																																																			
SCREW BONE TRIDENT II L50 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6550	CDM	270010024	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
SCREW BONE TRIDENT II L50 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6550	CDM	270010024	LOCAL	270	RC		inpatient			198	198																																																			
GUIDE - 8F AL 1 SH	SUP-99-00828	CDM			272	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
GUIDE - 8F AL 1 SH	SUP-99-00828	CDM			272	RC		inpatient			198	198																																																			
GUIDE - 8F AR 1 SH	SUP-99-00829	CDM			272	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
GUIDE - 8F AR 1 SH	SUP-99-00829	CDM			272	RC		inpatient			198	198																																																			
GUIDE - 8F AR 2 SH	SUP-99-01822	CDM			272	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
GUIDE - 8F AR 2 SH	SUP-99-01822	CDM			272	RC		inpatient			198	198																																																			
7 FR SWAN S-TIP THERMODILUTION CATHETER	SUP-S144F7	CDM			481	RC		outpatient			198	198	97.02				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	97.02				percent of total billed charges		100.98				percent of total billed charges		198				other	OPPS APC	97.02	198	
7 FR SWAN S-TIP THERMODILUTION CATHETER	SUP-S144F7	CDM			481	RC		inpatient			198	198																																																			
TUBING ABLATION CARTO SMARTABLATE PUMP STERILE	SUP-SAT001	CDM			270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
TUBING ABLATION CARTO SMARTABLATE PUMP STERILE	SUP-SAT001	CDM			270	RC		inpatient			198	198																																																			
STAPLER INTERNAL PROXIMATE TITANIUM STANDARD H1.5 MM L75 MM X H4.5 MM H2 MM REGULAR TISSUE 4 ROW LINEAR CUTTER SAFETY LOCKOUT HEAVY WIRE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TLC75	CDM	270009226	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
STAPLER INTERNAL PROXIMATE TITANIUM STANDARD H1.5 MM L75 MM X H4.5 MM H2 MM REGULAR TISSUE 4 ROW LINEAR CUTTER SAFETY LOCKOUT HEAVY WIRE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TLC75	CDM	270009226	LOCAL	270	RC		inpatient			198	198																																																			
RELOAD STAPLER ENDOPATH ETS 35MMX2.5MM 1MM WHITE DISPOSABLE STERILE LF THIN VASCULAR TISSUE 6 STAPLE LINEAR	SUP-TR35W	CDM	270009226	LOCAL	270	RC		outpatient			198	198	53.64				percent of total billed charges		198				other	OPPS APC	146.52				percent of total billed charges		198				other	OPPS APC	198				other	OPPS APC	53.64				percent of total billed charges		54.71				percent of total billed charges		198				other	OPPS APC	53.64	198	
RELOAD STAPLER ENDOPATH ETS 35MMX2.5MM 1MM WHITE DISPOSABLE STERILE LF THIN VASCULAR TISSUE 6 STAPLE LINEAR	SUP-TR35W	CDM	270009226	LOCAL	270	RC		inpatient			198	198																																																			
TUBE LARYNGECTOMY SIZE  10	SUP-01-00077	CDM			272	RC		outpatient			197.47	197.47	53.49				percent of total billed charges		197.47				other	OPPS APC	146.13				percent of total billed charges		197.47				other	OPPS APC	197.47				other	OPPS APC	53.49				percent of total billed charges		54.56				percent of total billed charges		197.47				other	OPPS APC	53.49	197.47	
TUBE LARYNGECTOMY SIZE  10	SUP-01-00077	CDM			272	RC		inpatient			197.47	197.47																																																			
TIBIAL STEM SCREW	SUP-97-01119	CDM			278	RC		outpatient			197.4	197.41	197.4				fee schedule		197.4				other	OPPS APC	112.52				percent of total billed charges		197.4				other	OPPS APC	197.4				other	OPPS APC	96.73				percent of total billed charges		100.67				percent of total billed charges		197.41				other	OPPS APC	96.73	197.41	
TIBIAL STEM SCREW	SUP-97-01119	CDM			278	RC		inpatient			197.4	197.4																																																			
SEALING CAP	SUP-95-23415	CDM			272	RC		outpatient			196.88	196.88	53.33				percent of total billed charges		196.88				other	OPPS APC	145.69				percent of total billed charges		196.88				other	OPPS APC	196.88				other	OPPS APC	53.33				percent of total billed charges		54.4				percent of total billed charges		196.88				other	OPPS APC	53.33	196.88	
SEALING CAP	SUP-95-23415	CDM			272	RC		inpatient			196.88	196.88																																																			
SUTURE 5-0 18' MONOCRYL PLUS P-3 UD	SUP-97-00146	CDM			272	RC		outpatient			196.88	196.88	53.33				percent of total billed charges		196.88				other	OPPS APC	145.69				percent of total billed charges		196.88				other	OPPS APC	196.88				other	OPPS APC	53.33				percent of total billed charges		54.4				percent of total billed charges		196.88				other	OPPS APC	53.33	196.88	
SUTURE 5-0 18' MONOCRYL PLUS P-3 UD	SUP-97-00146	CDM			272	RC		inpatient			196.88	196.88																																																			
SCREW BONE T6 L 7MM OD 2MM ODSEC 3.3MM SMALL BONE LONG BONE LOCK SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72412007	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE T6 L 7MM OD 2MM ODSEC 3.3MM SMALL BONE LONG BONE LOCK SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72412007	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE STAINLESS STEEL L 8 MM OD 2 MM LOCK STERILE	SUP-72412008	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE STAINLESS STEEL L 8 MM OD 2 MM LOCK STERILE	SUP-72412008	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE T6 L 9 MM OD 2MM ODSEC 3.3MM SMALL BONE LONG BONE LOCK SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72412009	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE T6 L 9 MM OD 2MM ODSEC 3.3MM SMALL BONE LONG BONE LOCK SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72412009	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE STAINLESS STEEL 10 MM OD 2 MM LOCK STERILE	SUP-72412010	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE STAINLESS STEEL 10 MM OD 2 MM LOCK STERILE	SUP-72412010	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE STAINLESS STEEL 11MM OD 2 MM LOCK STERILE	SUP-72412011	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE STAINLESS STEEL 11MM OD 2 MM LOCK STERILE	SUP-72412011	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE STAINLESS STEEL L 12 MM OD 2 MM LOCK STERILE	SUP-72412012	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE STAINLESS STEEL L 12 MM OD 2 MM LOCK STERILE	SUP-72412012	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE EVOS MINI T6 L 13 MM OD 2 MM ODSEC  3.3 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412013	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE EVOS MINI T6 L 13 MM OD 2 MM ODSEC  3.3 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412013	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE EVOS MINI T6 L 14 MM OD 2 MM ODSEC 3.3 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412014	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE EVOS MINI T6 L 14 MM OD 2 MM ODSEC 3.3 MM LONG BONE SMALL BONE LOCK STERILE	SUP-72412014	CDM			270	RC		inpatient			196.8	196.8																																																			
SCREW BONE STAINLESS STEEL L 22MM OD 2 MM LOCK STERILE	SUP-72412022	CDM			270	RC		outpatient			196.8	196.81	53.31				percent of total billed charges		196.8				other	OPPS APC	145.63				percent of total billed charges		196.8				other	OPPS APC	196.8				other	OPPS APC	53.31				percent of total billed charges		54.38				percent of total billed charges		196.81				other	OPPS APC	53.31	196.81	
SCREW BONE STAINLESS STEEL L 22MM OD 2 MM LOCK STERILE	SUP-72412022	CDM			270	RC		inpatient			196.8	196.8																																																			
INTRODUCER  PEEL-AWAY 10FR 073	SUP-70-00125	CDM			272	RC		outpatient			196.56	196.56	53.25				percent of total billed charges		196.56				other	OPPS APC	145.45				percent of total billed charges		196.56				other	OPPS APC	196.56				other	OPPS APC	53.25				percent of total billed charges		54.31				percent of total billed charges		196.56				other	OPPS APC	53.25	196.56	
INTRODUCER  PEEL-AWAY 10FR 073	SUP-70-00125	CDM			272	RC		inpatient			196.56	196.56																																																			
LACOSAMIDE 200 MG/20 ML SOLUTION	636000000	CDM	72603-140-01	NDC	C9254	HCPCS		inpatient			196.54	196.54																																																			
LACOSAMIDE 200 MG/20 ML SOLUTION	636000000	CDM	72603-140-01	NDC	C9254	HCPCS		outpatient			196.54	196.54																																															other	OPPS APC			
KIT DRAINAGE PLEURAGUIDE THORACIC ALL IN ONE CHEST TUBE STERILE LATEX FREE DISPOSABLE	SUP-17200	CDM	270009127	LOCAL	270	RC		outpatient			196.5	196.5	53.23				percent of total billed charges		196.5				other	OPPS APC	145.41				percent of total billed charges		196.5				other	OPPS APC	196.5				other	OPPS APC	53.23				percent of total billed charges		54.29				percent of total billed charges		196.5				other	OPPS APC	53.23	196.5	
KIT DRAINAGE PLEURAGUIDE THORACIC ALL IN ONE CHEST TUBE STERILE LATEX FREE DISPOSABLE	SUP-17200	CDM	270009127	LOCAL	270	RC		inpatient			196.5	196.5																																																			
ZIMMER BLUE CLIPS	SUP-97-01245	CDM			272	RC		outpatient			196.35	196.35	53.19				percent of total billed charges		196.35				other	OPPS APC	145.3				percent of total billed charges		196.35				other	OPPS APC	196.35				other	OPPS APC	53.19				percent of total billed charges		54.25				percent of total billed charges		196.35				other	OPPS APC	53.19	196.35	
ZIMMER BLUE CLIPS	SUP-97-01245	CDM			272	RC		inpatient			196.35	196.35																																																			
KIT MONITOR SINGLE LINE VAMP	SUP-12-00016	CDM			272	RC		outpatient			196.2	196.2	53.15				percent of total billed charges		196.2				other	OPPS APC	145.19				percent of total billed charges		196.2				other	OPPS APC	196.2				other	OPPS APC	53.15				percent of total billed charges		54.21				percent of total billed charges		196.2				other	OPPS APC	53.15	196.2	
KIT MONITOR SINGLE LINE VAMP	SUP-12-00016	CDM			272	RC		inpatient			196.2	196.2																																																			
GRIPPER MEDENVISION	SUP-US-ITEM02385	CDM			270	RC		outpatient			196.2	196.2	53.15				percent of total billed charges		196.2				other	OPPS APC	145.19				percent of total billed charges		196.2				other	OPPS APC	196.2				other	OPPS APC	53.15				percent of total billed charges		54.21				percent of total billed charges		196.2				other	OPPS APC	53.15	196.2	
GRIPPER MEDENVISION	SUP-US-ITEM02385	CDM			270	RC		inpatient			196.2	196.2																																																			
HC Factor V Leiden (F5dna)	PX-300812410	CDM	81241	CPT	302	RC		outpatient			196	73.38	196				fee schedule		73.37				fee schedule		77.37				fee schedule		73.37				fee schedule		73.37				fee schedule		73.37				fee schedule		73.37				fee schedule		73.38				fee schedule		73.37	196	
HC Factor V Leiden (F5dna)	PX-300812410	CDM	81241	CPT	302	RC		inpatient			196	196																																																			
BURR SURGICAL STAINLESS STEEL MEDIUM OD2 MM STERILE	SUP-31312070	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
BURR SURGICAL STAINLESS STEEL MEDIUM OD2 MM STERILE	SUP-31312070	CDM			270	RC		inpatient			196	196																																																			
LARGE BONE OSCILLATING SAW BLADE	SUP-95-04191	CDM			272	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
LARGE BONE OSCILLATING SAW BLADE	SUP-95-04191	CDM			272	RC		inpatient			196	196																																																			
GUIDEWIRE 1.6MM BEVELED FT	SUP-95-05055	CDM			272	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
GUIDEWIRE 1.6MM BEVELED FT	SUP-95-05055	CDM			272	RC		inpatient			196	196																																																			
GUIDEWIRE 1.6X150MM CAPITAL FRAG	SUP-95-05056	CDM			272	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
GUIDEWIRE 1.6X150MM CAPITAL FRAG	SUP-95-05056	CDM			272	RC		inpatient			196	196																																																			
GUIDEWIRE 1.4MM BEVELED FT	SUP-95-05074	CDM			272	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
GUIDEWIRE 1.4MM BEVELED FT	SUP-95-05074	CDM			272	RC		inpatient			196	196																																																			
AIR MATT DISPOSABLE SINGLE  39'	SUP-95-05129	CDM			272	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
AIR MATT DISPOSABLE SINGLE  39'	SUP-95-05129	CDM			272	RC		inpatient			196	196																																																			
TIGER WIRE 260CM ANGLED FLOPPY	SUP-C405085	CDM			481	RC		outpatient			196	196	96.04				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	96.04				percent of total billed charges		99.96				percent of total billed charges		196				other	OPPS APC	96.04	196	
TIGER WIRE 260CM ANGLED FLOPPY	SUP-C405085	CDM			481	RC		inpatient			196	196																																																			
PEG FIXATION ACU-LOC 2 TITANIUM L12 MM OD2.3 MM CORTICAL LOCK STERILE	SUP-CO-S2312	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
PEG FIXATION ACU-LOC 2 TITANIUM L12 MM OD2.3 MM CORTICAL LOCK STERILE	SUP-CO-S2312	CDM			270	RC		inpatient			196	196																																																			
PEG FIXATION ACU-LOC TITANIUM L14 MM OD2.3 MM CORTICAL SMOOTH LOCK NONSTERILE BRONZE	SUP-CO-S2314	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
PEG FIXATION ACU-LOC TITANIUM L14 MM OD2.3 MM CORTICAL SMOOTH LOCK NONSTERILE BRONZE	SUP-CO-S2314	CDM			270	RC		inpatient			196	196																																																			
PEG FIXATION ACU-LOC TITANIUM L16 MM OD2.3 MM CORTICAL SMOOTH LOCK NONSTERILE BRONZE	SUP-CO-S2316	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
PEG FIXATION ACU-LOC TITANIUM L16 MM OD2.3 MM CORTICAL SMOOTH LOCK NONSTERILE BRONZE	SUP-CO-S2316	CDM			270	RC		inpatient			196	196																																																			
PEG FIXATION ACU-LOC TITANIUM L18 MM OD2.3 MM CORTICAL SMOOTH LOCK NONSTERILE BRONZE	SUP-CO-S2318	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
PEG FIXATION ACU-LOC TITANIUM L18 MM OD2.3 MM CORTICAL SMOOTH LOCK NONSTERILE BRONZE	SUP-CO-S2318	CDM			270	RC		inpatient			196	196																																																			
SCREW LOCKING 2.3MM X 18MM	SUP-CO-T02318	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW LOCKING 2.3MM X 18MM	SUP-CO-T02318	CDM			270	RC		inpatient			196	196																																																			
SCREW BONE TITANIUM FULL THREAD L12 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2312	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW BONE TITANIUM FULL THREAD L12 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2312	CDM			270	RC		inpatient			196	196																																																			
SCREW BONE TITANIUM FULL THREAD L14 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2314	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW BONE TITANIUM FULL THREAD L14 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2314	CDM			270	RC		inpatient			196	196																																																			
SCREW LOCKING 2.3MM X 16MM	SUP-CO-T2316	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW LOCKING 2.3MM X 16MM	SUP-CO-T2316	CDM			270	RC		inpatient			196	196																																																			
SCREW BONE TITANIUM FULL THREAD L18 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2318	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW BONE TITANIUM FULL THREAD L18 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2318	CDM			270	RC		inpatient			196	196																																																			
SCREW BONE TITANIUM FULL THREAD L20 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2320	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW BONE TITANIUM FULL THREAD L20 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2320	CDM			270	RC		inpatient			196	196																																																			
SCREW BONE TITANIUM FULL THREAD L22 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2322	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
SCREW BONE TITANIUM FULL THREAD L22 MM OD2.3 MM CORTEX LOCK HEXAGONAL NONSTERILE GOLD WRIST PLATE SYSTEM	SUP-CO-T2322	CDM			270	RC		inpatient			196	196																																																			
INTRODUCER CATHETER FLEXOR SHUTTLE 90CM 7FR 2.5MM AQ DISPOSABLE STERILE TUOHY BORST SIDEARM DILATOR RADIOPAQUE ACCEPTS	SUP-G12835	CDM			270	RC		outpatient			196	196	53.1				percent of total billed charges		196				other	OPPS APC	145.04				percent of total billed charges		196				other	OPPS APC	196				other	OPPS APC	53.1				percent of total billed charges		54.15				percent of total billed charges		196				other	OPPS APC	53.1	196	
INTRODUCER CATHETER FLEXOR SHUTTLE 90CM 7FR 2.5MM AQ DISPOSABLE STERILE TUOHY BORST SIDEARM DILATOR RADIOPAQUE ACCEPTS	SUP-G12835	CDM			270	RC		inpatient			196	196																																																			
SCREW 2.7 X 12MM META	SUP-97-05217	CDM			278	RC		outpatient			195.88	195.88	195.88				fee schedule		195.88				other	OPPS APC	111.65				percent of total billed charges		195.88				other	OPPS APC	195.88				other	OPPS APC	95.98				percent of total billed charges		99.9				percent of total billed charges		195.88				other	OPPS APC	95.98	195.88	
SCREW 2.7 X 12MM META	SUP-97-05217	CDM			278	RC		inpatient			195.88	195.88																																																			
SCREW 2.7 X 70MM METAPHYSEAL	SUP-97-06382	CDM			278	RC		outpatient			195.88	195.88	195.88				fee schedule		195.88				other	OPPS APC	111.65				percent of total billed charges		195.88				other	OPPS APC	195.88				other	OPPS APC	95.98				percent of total billed charges		99.9				percent of total billed charges		195.88				other	OPPS APC	95.98	195.88	
SCREW 2.7 X 70MM METAPHYSEAL	SUP-97-06382	CDM			278	RC		inpatient			195.88	195.88																																																			
CATHETER - SWAN GANZ 7.5FR PACEPORT	SUP-95-00972	CDM			272	RC		outpatient			195.72	195.72	53.02				percent of total billed charges		195.72				other	OPPS APC	144.83				percent of total billed charges		195.72				other	OPPS APC	195.72				other	OPPS APC	53.02				percent of total billed charges		54.08				percent of total billed charges		195.72				other	OPPS APC	53.02	195.72	
CATHETER - SWAN GANZ 7.5FR PACEPORT	SUP-95-00972	CDM			272	RC		inpatient			195.72	195.72																																																			
TAPE SURGICAL 24IN ENDOBUTTON ACL PCL PASSING NEEDLE ARTHROSCOPIC ACCESSORY STERILE	SUP-014868	CDM			270	RC		outpatient			195.67	195.67	53.01				percent of total billed charges		195.67				other	OPPS APC	144.8				percent of total billed charges		195.67				other	OPPS APC	195.67				other	OPPS APC	53.01				percent of total billed charges		54.06				percent of total billed charges		195.67				other	OPPS APC	53.01	195.67	
TAPE SURGICAL 24IN ENDOBUTTON ACL PCL PASSING NEEDLE ARTHROSCOPIC ACCESSORY STERILE	SUP-014868	CDM			270	RC		inpatient			195.67	195.67																																																			
TAPE SURGICAL ENDOBUTTON L24 IN ACL PCL PASSING NEEDLE ARTHROSCOPIC STERILE ACCESSORY	SUP-14868	CDM			270	RC		outpatient			195.67	195.67	53.01				percent of total billed charges		195.67				other	OPPS APC	144.8				percent of total billed charges		195.67				other	OPPS APC	195.67				other	OPPS APC	53.01				percent of total billed charges		54.06				percent of total billed charges		195.67				other	OPPS APC	53.01	195.67	
TAPE SURGICAL ENDOBUTTON L24 IN ACL PCL PASSING NEEDLE ARTHROSCOPIC STERILE ACCESSORY	SUP-14868	CDM			270	RC		inpatient			195.67	195.67																																																			
SUTURE VLOC 90 3-0 P-12  VLOCM0134	SUP-97-05489	CDM			272	RC		outpatient			195.64	195.64	53				percent of total billed charges		195.64				other	OPPS APC	144.77				percent of total billed charges		195.64				other	OPPS APC	195.64				other	OPPS APC	53				percent of total billed charges		54.06				percent of total billed charges		195.64				other	OPPS APC	53	195.64	
SUTURE VLOC 90 3-0 P-12  VLOCM0134	SUP-97-05489	CDM			272	RC		inpatient			195.64	195.64																																																			
LINEZOLID PER 200 MG	636000000	CDM	57664-683-31	NDC	J2020	HCPCS		inpatient			195.33	195.33																																																			
LINEZOLID PER 200 MG	636000000	CDM	57664-683-31	NDC	J2020	HCPCS		outpatient			195.33	195.33																																															other	OPPS APC			
LINEZOLID PER 200 MG	636000000	CDM	0781-3433-46	NDC	J2020	HCPCS		inpatient			195.32	195.32																																																			
LINEZOLID PER 200 MG	636000000	CDM	0781-3433-46	NDC	J2020	HCPCS		outpatient			195.32	195.32																																															other	OPPS APC			
GUIDEWIRE ORTHOPEDIC TFN-ADVANCED L475 MM OD3.2 MM FEMORAL PROXIMAL NONSTERILE	SUP-09.037.010	CDM	270010022	LOCAL	270	RC		outpatient			195.3	195.31	52.91				percent of total billed charges		195.3				other	OPPS APC	144.52				percent of total billed charges		195.3				other	OPPS APC	195.3				other	OPPS APC	52.91				percent of total billed charges		53.96				percent of total billed charges		195.31				other	OPPS APC	52.91	195.31	
GUIDEWIRE ORTHOPEDIC TFN-ADVANCED L475 MM OD3.2 MM FEMORAL PROXIMAL NONSTERILE	SUP-09.037.010	CDM	270010022	LOCAL	270	RC		inpatient			195.3	195.3																																																			
SLEEVE PROTECTION OD12 MM OUTER STERILE SUPRAPATELLAR	SUP-03.010.437S	CDM			270	RC		outpatient			195.04	195.4	52.84				percent of total billed charges		195.04				other	OPPS APC	144.33				percent of total billed charges		195.04				other	OPPS APC	195.04				other	OPPS APC	52.84				percent of total billed charges		53.89				percent of total billed charges		195.4				other	OPPS APC	52.84	195.4	
SLEEVE PROTECTION OD12 MM OUTER STERILE SUPRAPATELLAR	SUP-03.010.437S	CDM			270	RC		inpatient			195.04	195.04																																																			
SLEEVE PROTECTION OD14.5 MM OUTER STERILE SUPRAPATELLAR	SUP-03.010.438S	CDM			270	RC		outpatient			195.04	195.4	52.84				percent of total billed charges		195.04				other	OPPS APC	144.33				percent of total billed charges		195.04				other	OPPS APC	195.04				other	OPPS APC	52.84				percent of total billed charges		53.89				percent of total billed charges		195.4				other	OPPS APC	52.84	195.4	
SLEEVE PROTECTION OD14.5 MM OUTER STERILE SUPRAPATELLAR	SUP-03.010.438S	CDM			270	RC		inpatient			195.04	195.04																																																			
AZTREONAM 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0409-0830-11	NDC	J0457	HCPCS		inpatient			195	195																																																			
AZTREONAM 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0409-0830-11	NDC	J0457	HCPCS		outpatient			195	2.74																																											2.74				other	OPPS APC	2.74	2.74	
HC Angiotensin I Convert Enzyme	PX-300821640	CDM	82164	CPT	301	RC		outpatient			195	14.6	19.52				fee schedule		14.6				fee schedule		38.74				fee schedule		14.6				fee schedule		14.6				fee schedule		14.6				fee schedule		14.6				fee schedule		14.6				fee schedule		14.6	38.74	
HC Angiotensin I Convert Enzyme	PX-300821640	CDM	82164	CPT	301	RC		inpatient			195	195																																																			
HC Rt Co-Ox Analysis	PX-300823750	CDM	82375	CPT	301	RC		outpatient			195	12.32	16.47				fee schedule		12.32				fee schedule		32.72				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32	32.72	
HC Rt Co-Ox Analysis	PX-300823750	CDM	82375	CPT	301	RC		inpatient			195	195																																																			
HC B-12 (B12)	PX-300826071	CDM	82607	CPT	301	RC		outpatient			195	15.8	20.15				fee schedule		15.08				fee schedule		40.01				fee schedule		15.08				fee schedule		15.08				fee schedule		15.08				fee schedule		15.08				fee schedule		15.8				fee schedule		15.08	40.01	
HC B-12 (B12)	PX-300826071	CDM	82607	CPT	301	RC		inpatient			195	195																																																			
HC Folic Acid (Fol)	PX-300827460	CDM	82746	CPT	300	RC		outpatient			195	14.7	19.66				fee schedule		14.7				fee schedule		39.03				fee schedule		14.7				fee schedule		14.7				fee schedule		14.7				fee schedule		14.7				fee schedule		14.7				fee schedule		14.7	39.03	
HC Folic Acid (Fol)	PX-300827460	CDM	82746	CPT	300	RC		inpatient			195	195																																																			
HC 17 Hydroxy Progesterone (17hpg)	PX-300834980	CDM	83498	CPT	301	RC		outpatient			195	27.17	36.33				fee schedule		27.17				fee schedule		72.11				fee schedule		27.17				fee schedule		27.17				fee schedule		27.17				fee schedule		27.17				fee schedule		27.17				fee schedule		27.17	72.11	
HC 17 Hydroxy Progesterone (17hpg)	PX-300834980	CDM	83498	CPT	301	RC		inpatient			195	195																																																			
HC Pre-Albumin	PX-300841340	CDM	84134	CPT	301	RC		outpatient			195	14.59	19.49				fee schedule		14.59				fee schedule		38.72				fee schedule		14.59				fee schedule		14.59				fee schedule		14.59				fee schedule		14.59				fee schedule		14.59				fee schedule		14.59	38.72	
HC Pre-Albumin	PX-300841340	CDM	84134	CPT	301	RC		inpatient			195	195																																																			
HC Microsomal Antibodies(Thyroid/Kidney/Liver) Ea.	PX-300863760	CDM	86376	CPT	302	RC		outpatient			195	14.55	19.45				fee schedule		14.55				fee schedule		38.63				fee schedule		14.55				fee schedule		14.55				fee schedule		14.55				fee schedule		14.55				fee schedule		14.55				fee schedule		14.55	38.63	
HC Microsomal Antibodies(Thyroid/Kidney/Liver) Ea.	PX-300863760	CDM	86376	CPT	302	RC		inpatient			195	195																																																			
HC Carboxyhemoglobin - Pft Outpt	PX-301823752	CDM	82375	CPT	301	RC		outpatient			195	12.32	16.47				fee schedule		12.32				fee schedule		32.72				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32				fee schedule		12.32	32.72	
HC Carboxyhemoglobin - Pft Outpt	PX-301823752	CDM	82375	CPT	301	RC		inpatient			195	195																																																			
HC Xr C Spine 3 Views or Less	PX-320720400	CDM	72040	CPT	320	RC		outpatient			195	91.5	37.11				fee schedule		91.5				other	OPPS APC	85.22				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	39.75				fee schedule		28.94				fee schedule		91.5				other	OPPS APC	28.94	91.5	
HC Xr C Spine 3 Views or Less	PX-320720400	CDM	72040	CPT	320	RC		inpatient			195	195																																																			
HC Clavicle	PX-320730000	CDM	73000	CPT	320	RC		outpatient			195	91.5	29.99				fee schedule		91.5				other	OPPS APC	69.37				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.39				fee schedule		24.28				fee schedule		91.5				other	OPPS APC	24.28	91.5	
HC Clavicle	PX-320730000	CDM	73000	CPT	320	RC		inpatient			195	195																																																			
HC Scapula	PX-320730100	CDM	73010	CPT	320	RC		outpatient			195	112.57	33.14				fee schedule		112.57				other	OPPS APC	71.13				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	23.7				fee schedule		14.96				fee schedule		112.57				other	OPPS APC	14.96	112.57	
HC Scapula	PX-320730100	CDM	73010	CPT	320	RC		inpatient			195	195																																																			
HC Humerus	PX-320730600	CDM	73060	CPT	320	RC		outpatient			195	91.5	29.98				fee schedule		91.5				other	OPPS APC	77.31				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.39				fee schedule		24.28				fee schedule		91.5				other	OPPS APC	24.28	91.5	
HC Humerus	PX-320730600	CDM	73060	CPT	320	RC		inpatient			195	195																																																			
HC Forearm	PX-320730900	CDM	73090	CPT	320	RC		outpatient			195	91.5	28.89				fee schedule		91.5				other	OPPS APC	69.37				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	29.38				fee schedule		21.62				fee schedule		91.5				other	OPPS APC	21.62	91.5	
HC Forearm	PX-320730900	CDM	73090	CPT	320	RC		inpatient			195	195																																																			
HC Xr Femur (1)View	PX-320735510	CDM	73551	CPT	320	RC		outpatient			195	195	95.55				percent of total billed charges		195				other	OPPS APC	77.31				fee schedule		195				other	OPPS APC	195				other	OPPS APC	29.38				fee schedule		21.28				fee schedule		195				other	OPPS APC	21.28	195	
HC Xr Femur (1)View	PX-320735510	CDM	73551	CPT	320	RC		inpatient			195	195																																																			
HC Knee	PX-320735600	CDM	73560	CPT	320	RC		outpatient			195	91.5	31.68				fee schedule		91.5				other	OPPS APC	71.13				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	34.4				fee schedule		26.28				fee schedule		91.5				other	OPPS APC	26.28	91.5	
HC Knee	PX-320735600	CDM	73560	CPT	320	RC		inpatient			195	195																																																			
HC Leg	PX-320735900	CDM	73590	CPT	320	RC		outpatient			195	91.5	28.52				fee schedule		91.5				other	OPPS APC	71.13				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	31.72				fee schedule		23.95				fee schedule		91.5				other	OPPS APC	23.95	91.5	
HC Leg	PX-320735900	CDM	73590	CPT	320	RC		inpatient			195	195																																																			
NEEDLE ANGIOGRAPHIC 18G X 3.5	SUP-95-01541	CDM			272	RC		outpatient			195	195	52.83				percent of total billed charges		195				other	OPPS APC	144.3				percent of total billed charges		195				other	OPPS APC	195				other	OPPS APC	52.83				percent of total billed charges		53.88				percent of total billed charges		195				other	OPPS APC	52.83	195	
NEEDLE ANGIOGRAPHIC 18G X 3.5	SUP-95-01541	CDM			272	RC		inpatient			195	195																																																			
NEEDLE WANG BIOPSY 21G	SUP-95-00561	CDM			272	RC		outpatient			194.92	194.92	52.8				percent of total billed charges		194.92				other	OPPS APC	144.24				percent of total billed charges		194.92				other	OPPS APC	194.92				other	OPPS APC	52.8				percent of total billed charges		53.86				percent of total billed charges		194.92				other	OPPS APC	52.8	194.92	
NEEDLE WANG BIOPSY 21G	SUP-95-00561	CDM			272	RC		inpatient			194.92	194.92																																																			
TRACH CUFF FENSTRATED LOW PRES	SUP-31-00004	CDM			272	RC		outpatient			194.76	194.76	52.76				percent of total billed charges		194.76				other	OPPS APC	144.12				percent of total billed charges		194.76				other	OPPS APC	194.76				other	OPPS APC	52.76				percent of total billed charges		53.81				percent of total billed charges		194.76				other	OPPS APC	52.76	194.76	
TRACH CUFF FENSTRATED LOW PRES	SUP-31-00004	CDM			272	RC		inpatient			194.76	194.76																																																			
GUIDEWIRE ORTHOPEDIC L290 MM OD3.2 MM	SUP-03.010.115	CDM	270010022	LOCAL	270	RC		outpatient			194.7	194.7	52.74				percent of total billed charges		194.7				other	OPPS APC	144.08				percent of total billed charges		194.7				other	OPPS APC	194.7				other	OPPS APC	52.74				percent of total billed charges		53.8				percent of total billed charges		194.7				other	OPPS APC	52.74	194.7	
GUIDEWIRE ORTHOPEDIC L290 MM OD3.2 MM	SUP-03.010.115	CDM	270010022	LOCAL	270	RC		inpatient			194.7	194.7																																																			
PLATE BONE SEMITUBULAR 103X12X1MM SS NS 6 HOLE 3.5/4.5MM SCREW LG FRAGMENT	SUP-222.06	CDM	270010022	LOCAL	270	RC		outpatient			194.4	194.41	52.66				percent of total billed charges		194.4				other	OPPS APC	143.86				percent of total billed charges		194.4				other	OPPS APC	194.4				other	OPPS APC	52.66				percent of total billed charges		53.71				percent of total billed charges		194.41				other	OPPS APC	52.66	194.41	
PLATE BONE SEMITUBULAR 103X12X1MM SS NS 6 HOLE 3.5/4.5MM SCREW LG FRAGMENT	SUP-222.06	CDM	270010022	LOCAL	270	RC		inpatient			194.4	194.4																																																			
CATHETER - ANGLED TAPER GLIDECATH 5FX65CM	SUP-99-04718	CDM			272	RC		outpatient			194.2	194.2	52.61				percent of total billed charges		194.2				other	OPPS APC	143.71				percent of total billed charges		194.2				other	OPPS APC	194.2				other	OPPS APC	52.61				percent of total billed charges		53.66				percent of total billed charges		194.2				other	OPPS APC	52.61	194.2	
CATHETER - ANGLED TAPER GLIDECATH 5FX65CM	SUP-99-04718	CDM			272	RC		inpatient			194.2	194.2																																																			
HC Plasma Processing Fee	PX-391000000	CDM			390	RC		outpatient			194	194	95.06				percent of total billed charges		194				other	OPPS APC	143.56				percent of total billed charges		194				other	OPPS APC	194				other	OPPS APC	95.06				percent of total billed charges		96.96				percent of total billed charges		194				other	OPPS APC	95.06	194	
HC Plasma Processing Fee	PX-391000000	CDM			390	RC		inpatient			194	194																																																			
HC Cont Neb W/Bronchodilator First Hr	PX-410946407	CDM	94644	CPT	410	RC		outpatient			194	194	59.44				percent of total billed charges		194				other	OPPS APC	95.9				fee schedule		194				other	OPPS APC	194				other	OPPS APC	59.44				percent of total billed charges		60.63				percent of total billed charges		194				other	OPPS APC	59.44	194	
HC Cont Neb W/Bronchodilator First Hr	PX-410946407	CDM	94644	CPT	410	RC		inpatient			194	194																																																			
HC Cont Neb W/Bronchodilat Addl Hr	PX-410946408	CDM	94645	CPT	410	RC		outpatient			194	194	59.44				percent of total billed charges		194				other	OPPS APC	125.21				fee schedule		194				other	OPPS APC	194				other	OPPS APC	59.44				percent of total billed charges		60.63				percent of total billed charges		194				other	OPPS APC	59.44	194	
HC Cont Neb W/Bronchodilat Addl Hr	PX-410946408	CDM	94645	CPT	410	RC		inpatient			194	194																																																			
HC Vl Aaa Screen Initial	PX-921003890	CDM	76706	CPT	402	RC		outpatient			194	112.57	95.06				percent of total billed charges		112.57				other	OPPS APC	261.9				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	107.23				fee schedule		80.88				fee schedule		112.57				other	OPPS APC	80.88	261.9	
HC Vl Aaa Screen Initial	PX-921003890	CDM	76706	CPT	402	RC		inpatient			194	194																																																			
BLADE SAW SAG SYSTEM 2000MT	SUP-78-00368	CDM			272	RC		outpatient			193.98	193.98	52.55				percent of total billed charges		193.98				other	OPPS APC	143.55				percent of total billed charges		193.98				other	OPPS APC	193.98				other	OPPS APC	52.55				percent of total billed charges		53.6				percent of total billed charges		193.98				other	OPPS APC	52.55	193.98	
BLADE SAW SAG SYSTEM 2000MT	SUP-78-00368	CDM			272	RC		inpatient			193.98	193.98																																																			
TIP PHACOEMULSIFICATION GRIESHABER REVOLUTION DSP POLYMERIC 360 D OD 25 GA TISSUE BACK FLUSH LIGHTWEIGHT ERGONOMIC HANDLE STERILE DISPOSABLE	SUP-337.84	CDM			270	RC		outpatient			193.96	193.96	52.54				percent of total billed charges		193.96				other	OPPS APC	143.53				percent of total billed charges		193.96				other	OPPS APC	193.96				other	OPPS APC	52.54				percent of total billed charges		53.59				percent of total billed charges		193.96				other	OPPS APC	52.54	193.96	
TIP PHACOEMULSIFICATION GRIESHABER REVOLUTION DSP POLYMERIC 360 D OD 25 GA TISSUE BACK FLUSH LIGHTWEIGHT ERGONOMIC HANDLE STERILE DISPOSABLE	SUP-337.84	CDM			270	RC		inpatient			193.96	193.96																																																			
PLATE BONE TITANIUM L12 MM CRANIOMAXILLOFACIAL 2 HOLE BAR EXTRA RIGID LOW PROFILE 1.5 MM SCREW	SUP-5306212	CDM			270	RC		outpatient			193.88	193.88	52.52				percent of total billed charges		193.88				other	OPPS APC	143.47				percent of total billed charges		193.88				other	OPPS APC	193.88				other	OPPS APC	52.52				percent of total billed charges		53.57				percent of total billed charges		193.88				other	OPPS APC	52.52	193.88	
PLATE BONE TITANIUM L12 MM CRANIOMAXILLOFACIAL 2 HOLE BAR EXTRA RIGID LOW PROFILE 1.5 MM SCREW	SUP-5306212	CDM			270	RC		inpatient			193.88	193.88																																																			
SCREW CORTEX 2.4 X 8MM STAR DRIVE	SUP-97-05038	CDM			278	RC		outpatient			193.73	193.73	193.73				fee schedule		193.73				other	OPPS APC	110.43				percent of total billed charges		193.73				other	OPPS APC	193.73				other	OPPS APC	94.93				percent of total billed charges		98.8				percent of total billed charges		193.73				other	OPPS APC	94.93	193.73	
SCREW CORTEX 2.4 X 8MM STAR DRIVE	SUP-97-05038	CDM			278	RC		inpatient			193.73	193.73																																																			
GUIDE - AL 1 SH	SUP-99-00528	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - AL 1 SH	SUP-99-00528	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - XBC 3.5 SH	SUP-99-00906	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - XBC 3.5 SH	SUP-99-00906	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - XBC 3 SH	SUP-99-00916	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - XBC 3 SH	SUP-99-00916	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - RCB SH	SUP-99-00923	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - RCB SH	SUP-99-00923	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - 8F JR3.5 SH	SUP-99-00928	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - 8F JR3.5 SH	SUP-99-00928	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - XB 3.5 SH 8F	SUP-99-01155	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - XB 3.5 SH 8F	SUP-99-01155	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - JCL 4 SH	SUP-99-01158	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - JCL 4 SH	SUP-99-01158	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - 8F JCL 3.5	SUP-99-01522	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - 8F JCL 3.5	SUP-99-01522	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - 8F JCL 3.5 SH	SUP-99-01523	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - 8F JCL 3.5 SH	SUP-99-01523	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - 8F JCL 4.0 SH	SUP-99-01524	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - 8F JCL 4.0 SH	SUP-99-01524	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - 8F JCL 4.0	SUP-99-01525	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - 8F JCL 4.0	SUP-99-01525	CDM			272	RC		inpatient			193.6	193.6																																																			
GUIDE - HOCKEY STICK SH	SUP-99-01536	CDM			272	RC		outpatient			193.6	193.6	52.45				percent of total billed charges		193.6				other	OPPS APC	143.26				percent of total billed charges		193.6				other	OPPS APC	193.6				other	OPPS APC	52.45				percent of total billed charges		53.49				percent of total billed charges		193.6				other	OPPS APC	52.45	193.6	
GUIDE - HOCKEY STICK SH	SUP-99-01536	CDM			272	RC		inpatient			193.6	193.6																																																			
PIN BONE DISTRACTION NEURO STERILE CASPAR 14MM	SUP-FF904SB	CDM			270	RC		outpatient			193.43	193.43	52.4				percent of total billed charges		193.43				other	OPPS APC	143.14				percent of total billed charges		193.43				other	OPPS APC	193.43				other	OPPS APC	52.4				percent of total billed charges		53.44				percent of total billed charges		193.43				other	OPPS APC	52.4	193.43	
PIN BONE DISTRACTION NEURO STERILE CASPAR 14MM	SUP-FF904SB	CDM			270	RC		inpatient			193.43	193.43																																																			
PIN BONE DISTRACTION NEURO STERILE CASPAR 16MM	SUP-FF905SB	CDM			270	RC		outpatient			193.43	193.43	52.4				percent of total billed charges		193.43				other	OPPS APC	143.14				percent of total billed charges		193.43				other	OPPS APC	193.43				other	OPPS APC	52.4				percent of total billed charges		53.44				percent of total billed charges		193.43				other	OPPS APC	52.4	193.43	
PIN BONE DISTRACTION NEURO STERILE CASPAR 16MM	SUP-FF905SB	CDM			270	RC		inpatient			193.43	193.43																																																			
CLONIDINE 0.3 MG/24 HR PATCH WEEKLY	637000000	CDM	0378-0873-16	NDC	A9270	HCPCS		inpatient			193.4	193.4																																																			
CLONIDINE 0.3 MG/24 HR PATCH WEEKLY	637000000	CDM	0378-0873-16	NDC	A9270	HCPCS		outpatient			193.4	193.4																																															other	OPPS APC			
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0CV-331 L30IN 2 ARM BRAID 8 STRAND COATED BLUE WHITE	SUP-88863083-56	CDM			270	RC		outpatient			193.36	193.36	52.38				percent of total billed charges		193.36				other	OPPS APC	143.09				percent of total billed charges		193.36				other	OPPS APC	193.36				other	OPPS APC	52.38				percent of total billed charges		53.43				percent of total billed charges		193.36				other	OPPS APC	52.38	193.36	
SUTURE NONABSORBABLE TI-CRON CARDIOPOINT 2-0CV-331 L30IN 2 ARM BRAID 8 STRAND COATED BLUE WHITE	SUP-88863083-56	CDM			270	RC		inpatient			193.36	193.36																																																			
BRUSH CYTOLOGY NEEDLE L120 MM L2 MM OD1.7 MM ASPIRATE PORT	SUP-SDNB2000	CDM			270	RC		outpatient			193.2	193.2	52.34				percent of total billed charges		193.2				other	OPPS APC	142.97				percent of total billed charges		193.2				other	OPPS APC	193.2				other	OPPS APC	52.34				percent of total billed charges		53.38				percent of total billed charges		193.2				other	OPPS APC	52.34	193.2	
BRUSH CYTOLOGY NEEDLE L120 MM L2 MM OD1.7 MM ASPIRATE PORT	SUP-SDNB2000	CDM			270	RC		inpatient			193.2	193.2																																																			
BLADE SAGITTAL 90 X 12.7 X 1.19	SUP-78-00359	CDM			272	RC		outpatient			193.13	193.13	52.32				percent of total billed charges		193.13				other	OPPS APC	142.92				percent of total billed charges		193.13				other	OPPS APC	193.13				other	OPPS APC	52.32				percent of total billed charges		53.36				percent of total billed charges		193.13				other	OPPS APC	52.32	193.13	
BLADE SAGITTAL 90 X 12.7 X 1.19	SUP-78-00359	CDM			272	RC		inpatient			193.13	193.13																																																			
SAW BLADE SAGITTAL 90L X 25MM X 1.19MM  6125-119-090	SUP-78-00360	CDM			272	RC		outpatient			193.13	193.13	52.32				percent of total billed charges		193.13				other	OPPS APC	142.92				percent of total billed charges		193.13				other	OPPS APC	193.13				other	OPPS APC	52.32				percent of total billed charges		53.36				percent of total billed charges		193.13				other	OPPS APC	52.32	193.13	
SAW BLADE SAGITTAL 90L X 25MM X 1.19MM  6125-119-090	SUP-78-00360	CDM			272	RC		inpatient			193.13	193.13																																																			
BLADE SAG SAW SYSTEM 6	SUP-95-04287	CDM			272	RC		outpatient			193.13	193.13	52.32				percent of total billed charges		193.13				other	OPPS APC	142.92				percent of total billed charges		193.13				other	OPPS APC	193.13				other	OPPS APC	52.32				percent of total billed charges		53.36				percent of total billed charges		193.13				other	OPPS APC	52.32	193.13	
BLADE SAG SAW SYSTEM 6	SUP-95-04287	CDM			272	RC		inpatient			193.13	193.13																																																			
TRACH CUFFLESS FENESTRATED 4	SUP-31-00061	CDM			272	RC		outpatient			192.88	192.88	52.25				percent of total billed charges		192.88				other	OPPS APC	142.73				percent of total billed charges		192.88				other	OPPS APC	192.88				other	OPPS APC	52.25				percent of total billed charges		53.29				percent of total billed charges		192.88				other	OPPS APC	52.25	192.88	
TRACH CUFFLESS FENESTRATED 4	SUP-31-00061	CDM			272	RC		inpatient			192.88	192.88																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	0338-3580-48	NDC	J3370	HCPCS		inpatient			192.75	192.75																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	0338-3580-48	NDC	J3370	HCPCS		outpatient			192.75	192.75																																															other	OPPS APC			
CPT CARDIAC CATH	SUP-23-00094	CDM			272	RC		outpatient			192.52	192.52	52.15				percent of total billed charges		192.52				other	OPPS APC	142.46				percent of total billed charges		192.52				other	OPPS APC	192.52				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.52				other	OPPS APC	52.15	192.52	
CPT CARDIAC CATH	SUP-23-00094	CDM			272	RC		inpatient			192.52	192.52																																																			
COMPACT MIXING SYSTEM CEMENT	SUP-78-00321	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
COMPACT MIXING SYSTEM CEMENT	SUP-78-00321	CDM			272	RC		inpatient			192.5	192.5																																																			
SURG SIMPLEX P BONE CEMENT	SUP-78-00328	CDM			278	RC		outpatient			192.5	192.5	192.5				fee schedule		192.5				other	OPPS APC	109.73				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	94.33				percent of total billed charges		98.18				percent of total billed charges		192.5				other	OPPS APC	94.33	192.5	
SURG SIMPLEX P BONE CEMENT	SUP-78-00328	CDM			278	RC		inpatient			192.5	192.5																																																			
ELIMINATOR HOLE  PS	SUP-97-01805	CDM			278	RC		outpatient			192.5	192.5	192.5				fee schedule		192.5				other	OPPS APC	109.73				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	94.33				percent of total billed charges		98.18				percent of total billed charges		192.5				other	OPPS APC	94.33	192.5	
ELIMINATOR HOLE  PS	SUP-97-01805	CDM			278	RC		inpatient			192.5	192.5																																																			
SIMPLEX P SPEEDSET FULL DOSE	SUP-97-04986	CDM			278	RC		outpatient			192.5	192.5	192.5				fee schedule		192.5				other	OPPS APC	109.73				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	94.33				percent of total billed charges		98.18				percent of total billed charges		192.5				other	OPPS APC	94.33	192.5	
SIMPLEX P SPEEDSET FULL DOSE	SUP-97-04986	CDM			278	RC		inpatient			192.5	192.5																																																			
GUIDE - IM (BS)	SUP-99-00522	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - IM (BS)	SUP-99-00522	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - JR3.5 SH (BS)	SUP-99-00757	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - JR3.5 SH (BS)	SUP-99-00757	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - JL3.5SH (BS)	SUP-99-00966	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - JL3.5SH (BS)	SUP-99-00966	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - WRP	SUP-99-01052	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - WRP	SUP-99-01052	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - RCB SH (BS)	SUP-99-01108	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - RCB SH (BS)	SUP-99-01108	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - LEFTBU3.5 (BS)	SUP-99-01471	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - LEFTBU3.5 (BS)	SUP-99-01471	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - 5F CLS3.75 (BS)	SUP-99-01587	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - 5F CLS3.75 (BS)	SUP-99-01587	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDE - 5F CLS4 (BS)	SUP-99-02171	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDE - 5F CLS4 (BS)	SUP-99-02171	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDEWIRE- HI-TORQUE SUPRA CORE .035 X 190	SUP-99-04488	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDEWIRE- HI-TORQUE SUPRA CORE .035 X 190	SUP-99-04488	CDM			272	RC		inpatient			192.5	192.5																																																			
GUIDEWIRE- HI-TORQUE SUPRA CORE .035 X 300	SUP-99-04489	CDM			272	RC		outpatient			192.5	192.5	52.15				percent of total billed charges		192.5				other	OPPS APC	142.45				percent of total billed charges		192.5				other	OPPS APC	192.5				other	OPPS APC	52.15				percent of total billed charges		53.19				percent of total billed charges		192.5				other	OPPS APC	52.15	192.5	
GUIDEWIRE- HI-TORQUE SUPRA CORE .035 X 300	SUP-99-04489	CDM			272	RC		inpatient			192.5	192.5																																																			
BIT DRILL L60 MM OD1.1 MM QUICK COUPLING 1.3 MM SCREW	SUP-310.11.98	CDM	270010022	LOCAL	270	RC		outpatient			192.46	192.46	52.14				percent of total billed charges		192.46				other	OPPS APC	142.42				percent of total billed charges		192.46				other	OPPS APC	192.46				other	OPPS APC	52.14				percent of total billed charges		53.18				percent of total billed charges		192.46				other	OPPS APC	52.14	192.46	
BIT DRILL L60 MM OD1.1 MM QUICK COUPLING 1.3 MM SCREW	SUP-310.11.98	CDM	270010022	LOCAL	270	RC		inpatient			192.46	192.46																																																			
BIT DRILL L85 MM OD1.5 MM QUICK COUPLING 2 MM SCREW	SUP-310.15.98	CDM	270010022	LOCAL	270	RC		outpatient			192.46	192.46	52.14				percent of total billed charges		192.46				other	OPPS APC	142.42				percent of total billed charges		192.46				other	OPPS APC	192.46				other	OPPS APC	52.14				percent of total billed charges		53.18				percent of total billed charges		192.46				other	OPPS APC	52.14	192.46	
BIT DRILL L85 MM OD1.5 MM QUICK COUPLING 2 MM SCREW	SUP-310.15.98	CDM	270010022	LOCAL	270	RC		inpatient			192.46	192.46																																																			
DILATOR SHEATH HALYARD PEEL-AWAY OD18 FR ENTERAL ACCESS SYSTEM SERIAL TELESCOPE ACCEPTS 14 FR FEEDING TUBE	SUP-98703	CDM			270	RC		outpatient			192.4	192.41	52.12				percent of total billed charges		192.4				other	OPPS APC	142.38				percent of total billed charges		192.4				other	OPPS APC	192.4				other	OPPS APC	52.12				percent of total billed charges		53.16				percent of total billed charges		192.41				other	OPPS APC	52.12	192.41	
DILATOR SHEATH HALYARD PEEL-AWAY OD18 FR ENTERAL ACCESS SYSTEM SERIAL TELESCOPE ACCEPTS 14 FR FEEDING TUBE	SUP-98703	CDM			270	RC		inpatient			192.4	192.4																																																			
DILATOR SHEATH HALYARD PEEL-AWAY OD20 FR ENTERAL ACCESS SYSTEM SERIAL TELESCOPE ACCEPTS 16 FR FEEDING TUBE	SUP-98704	CDM			270	RC		outpatient			192.4	192.41	52.12				percent of total billed charges		192.4				other	OPPS APC	142.38				percent of total billed charges		192.4				other	OPPS APC	192.4				other	OPPS APC	52.12				percent of total billed charges		53.16				percent of total billed charges		192.41				other	OPPS APC	52.12	192.41	
DILATOR SHEATH HALYARD PEEL-AWAY OD20 FR ENTERAL ACCESS SYSTEM SERIAL TELESCOPE ACCEPTS 16 FR FEEDING TUBE	SUP-98704	CDM			270	RC		inpatient			192.4	192.4																																																			
DILATOR SHEATH PEEL-AWAY OD22 FR BUILT IN STERILE LATEX FREE DISPOSABLE MIC MIC-KEY 18 FR FEEDING TUBE	SUP-98705	CDM			270	RC		outpatient			192.4	192.41	52.12				percent of total billed charges		192.4				other	OPPS APC	142.38				percent of total billed charges		192.4				other	OPPS APC	192.4				other	OPPS APC	52.12				percent of total billed charges		53.16				percent of total billed charges		192.41				other	OPPS APC	52.12	192.41	
DILATOR SHEATH PEEL-AWAY OD22 FR BUILT IN STERILE LATEX FREE DISPOSABLE MIC MIC-KEY 18 FR FEEDING TUBE	SUP-98705	CDM			270	RC		inpatient			192.4	192.4																																																			
WAX BONE OSTENE ALKALINE OXIDE 2.5 GM WATER SOLUBLE HEMOSTATIC AGENT STERILE LATEX FREE	SUP-1503832	CDM			270	RC		outpatient			192.36	192.36	52.11				percent of total billed charges		192.36				other	OPPS APC	142.35				percent of total billed charges		192.36				other	OPPS APC	192.36				other	OPPS APC	52.11				percent of total billed charges		53.15				percent of total billed charges		192.36				other	OPPS APC	52.11	192.36	
WAX BONE OSTENE ALKALINE OXIDE 2.5 GM WATER SOLUBLE HEMOSTATIC AGENT STERILE LATEX FREE	SUP-1503832	CDM			270	RC		inpatient			192.36	192.36																																																			
AFO MULTI PODUS BOOT M/L	SUP-35-00041	CDM			271	RC		outpatient			192.24	192.24	52.08				percent of total billed charges		192.24				other	OPPS APC	142.26				percent of total billed charges		192.24				other	OPPS APC	192.24				other	OPPS APC	52.08				percent of total billed charges		53.12				percent of total billed charges		192.24				other	OPPS APC	52.08	192.24	
AFO MULTI PODUS BOOT M/L	SUP-35-00041	CDM			271	RC		inpatient			192.24	192.24																																																			
LIPOSUCTION KITS	SUP-81-00002	CDM			272	RC		outpatient			192.06	192.6	52.03				percent of total billed charges		192.06				other	OPPS APC	142.12				percent of total billed charges		192.06				other	OPPS APC	192.06				other	OPPS APC	52.03				percent of total billed charges		53.07				percent of total billed charges		192.6				other	OPPS APC	52.03	192.6	
LIPOSUCTION KITS	SUP-81-00002	CDM			272	RC		inpatient			192.06	192.06																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN STAINLESS STEEL SILICONE NATURAL RUBBER L80 CM OD5.5 FR ODSEC11 MM ARTERIAL OTW RADIOPAQUE STERILE LATEX ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER	SUP-12TLW805F35	CDM			270	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN STAINLESS STEEL SILICONE NATURAL RUBBER L80 CM OD5.5 FR ODSEC11 MM ARTERIAL OTW RADIOPAQUE STERILE LATEX ACCEPTS .035 IN GUIDEWIRE 6 FR INTRODUCER	SUP-12TLW805F35	CDM			270	RC		inpatient			192	192																																																			
MAKO MICS IRRIGATION CLIP	SUP-95-03485	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
MAKO MICS IRRIGATION CLIP	SUP-95-03485	CDM			272	RC		inpatient			192	192																																																			
DRILL BIT 3.3	SUP-95-03750	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
DRILL BIT 3.3	SUP-95-03750	CDM			272	RC		inpatient			192	192																																																			
GUIDE - JCL 4	SUP-99-00477	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - JCL 4	SUP-99-00477	CDM			272	RC		inpatient			192	192																																																			
GUIDE - JCL 3.5 SH	SUP-99-00487	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - JCL 3.5 SH	SUP-99-00487	CDM			272	RC		inpatient			192	192																																																			
GUIDE - LCB SH	SUP-99-00566	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - LCB SH	SUP-99-00566	CDM			272	RC		inpatient			192	192																																																			
GUIDE - AR 1	SUP-99-00575	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - AR 1	SUP-99-00575	CDM			272	RC		inpatient			192	192																																																			
GUIDE - 8F JR4 SH	SUP-99-00586	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - 8F JR4 SH	SUP-99-00586	CDM			272	RC		inpatient			192	192																																																			
GUIDE - IM 8F	SUP-99-00598	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - IM 8F	SUP-99-00598	CDM			272	RC		inpatient			192	192																																																			
GUIDE - 8F IM SH	SUP-99-00599	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - 8F IM SH	SUP-99-00599	CDM			272	RC		inpatient			192	192																																																			
GUIDE - XB 3.5 SH	SUP-99-00612	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - XB 3.5 SH	SUP-99-00612	CDM			272	RC		inpatient			192	192																																																			
GUIDE - JR3.5 SH	SUP-99-00657	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - JR3.5 SH	SUP-99-00657	CDM			272	RC		inpatient			192	192																																																			
GUIDE - MPA 1 SH	SUP-99-00737	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - MPA 1 SH	SUP-99-00737	CDM			272	RC		inpatient			192	192																																																			
SHEATH - FLEXOR 45CM 5F	SUP-99-01008	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
SHEATH - FLEXOR 45CM 5F	SUP-99-01008	CDM			272	RC		inpatient			192	192																																																			
GUIDE - 3DRC SH	SUP-99-01465	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - 3DRC SH	SUP-99-01465	CDM			272	RC		inpatient			192	192																																																			
SHEATH - OPTISEAL 7F 13CM (VS)	SUP-99-01624	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
SHEATH - OPTISEAL 7F 13CM (VS)	SUP-99-01624	CDM			272	RC		inpatient			192	192																																																			
SHEATH - OPTISEAL 8F 13CM (VS)	SUP-99-01642	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
SHEATH - OPTISEAL 8F 13CM (VS)	SUP-99-01642	CDM			272	RC		inpatient			192	192																																																			
GUIDE - JL4 (CORDIS)	SUP-99-02110	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - JL4 (CORDIS)	SUP-99-02110	CDM			272	RC		inpatient			192	192																																																			
GUIDE - ULTIMATE 3     5F	SUP-99-03171	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - ULTIMATE 3     5F	SUP-99-03171	CDM			272	RC		inpatient			192	192																																																			
GUIDE - ULTIMATE 3     6F	SUP-99-03172	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - ULTIMATE 3     6F	SUP-99-03172	CDM			272	RC		inpatient			192	192																																																			
GUIDE - ULTIMATE 4-T40     5F	SUP-99-03173	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - ULTIMATE 4-T40     5F	SUP-99-03173	CDM			272	RC		inpatient			192	192																																																			
GUIDE - ULTIMATE 4-T40     6F	SUP-99-03174	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - ULTIMATE 4-T40     6F	SUP-99-03174	CDM			272	RC		inpatient			192	192																																																			
GUIDE - ULTIMATE 4-T45     5F	SUP-99-03175	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - ULTIMATE 4-T45     5F	SUP-99-03175	CDM			272	RC		inpatient			192	192																																																			
GUIDE - ULTIMATE 4-T45     6F	SUP-99-03176	CDM			272	RC		outpatient			192	192	52.01				percent of total billed charges		192				other	OPPS APC	142.08				percent of total billed charges		192				other	OPPS APC	192				other	OPPS APC	52.01				percent of total billed charges		53.05				percent of total billed charges		192				other	OPPS APC	52.01	192	
GUIDE - ULTIMATE 4-T45     6F	SUP-99-03176	CDM			272	RC		inpatient			192	192																																																			
CATHETER PHILLIPS 8 FR	SUP-02-00067	CDM			272	RC		outpatient			191.82	191.82	51.96				percent of total billed charges		191.82				other	OPPS APC	141.95				percent of total billed charges		191.82				other	OPPS APC	191.82				other	OPPS APC	51.96				percent of total billed charges		53				percent of total billed charges		191.82				other	OPPS APC	51.96	191.82	
CATHETER PHILLIPS 8 FR	SUP-02-00067	CDM			272	RC		inpatient			191.82	191.82																																																			
K WIRE 1.4X150	SUP-705233S	CDM			270	RC		outpatient			191.8	191.81	51.96				percent of total billed charges		191.8				other	OPPS APC	141.93				percent of total billed charges		191.8				other	OPPS APC	191.8				other	OPPS APC	51.96				percent of total billed charges		52.99				percent of total billed charges		191.81				other	OPPS APC	51.96	191.81	
K WIRE 1.4X150	SUP-705233S	CDM			270	RC		inpatient			191.8	191.8																																																			
BRACE ORTHOPEDIC  XL 6IN ABOVE MID-PATELLA 26INL FOAM KNEE PADDED STRAPS STREAMLINED HINGE TELESCOPING BARS SNAP BUCKLE STRAPS	SUP-11-9116-9	CDM			270	RC		outpatient			191.7	191.7	51.93				percent of total billed charges		191.7				other	OPPS APC	141.86				percent of total billed charges		191.7				other	OPPS APC	191.7				other	OPPS APC	51.93				percent of total billed charges		52.97				percent of total billed charges		191.7				other	OPPS APC	51.93	191.7	
BRACE ORTHOPEDIC  XL 6IN ABOVE MID-PATELLA 26INL FOAM KNEE PADDED STRAPS STREAMLINED HINGE TELESCOPING BARS SNAP BUCKLE STRAPS	SUP-11-9116-9	CDM			270	RC		inpatient			191.7	191.7																																																			
CORSON PROBE /ASSY STRYKEFLOW 2W/TIP	SUP-76-00007	CDM			272	RC		outpatient			191.6	191.6	51.9				percent of total billed charges		191.6				other	OPPS APC	141.78				percent of total billed charges		191.6				other	OPPS APC	191.6				other	OPPS APC	51.9				percent of total billed charges		52.94				percent of total billed charges		191.6				other	OPPS APC	51.9	191.6	
CORSON PROBE /ASSY STRYKEFLOW 2W/TIP	SUP-76-00007	CDM			272	RC		inpatient			191.6	191.6																																																			
STENT NEPHROURETERAL	SUP-22-138	CDM			270	RC		outpatient			191.54	191.54	51.89				percent of total billed charges		191.54				other	OPPS APC	141.74				percent of total billed charges		191.54				other	OPPS APC	191.54				other	OPPS APC	51.89				percent of total billed charges		52.92				percent of total billed charges		191.54				other	OPPS APC	51.89	191.54	
STENT NEPHROURETERAL	SUP-22-138	CDM			270	RC		inpatient			191.54	191.54																																																			
SCREW BONE TITANIUM L10 MM OD1.7 MM MANDIBLE EMERGENCY PLUSDRIVE STERILE TEAL ORTHOGNATHIC MODULAR FIXATION SYSTEM	SUP-400.490E	CDM	270010022	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM L10 MM OD1.7 MM MANDIBLE EMERGENCY PLUSDRIVE STERILE TEAL ORTHOGNATHIC MODULAR FIXATION SYSTEM	SUP-400.490E	CDM	270010022	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM FLUTE L3 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAPPING STERILE GOLD	SUP-400.503E	CDM	270010022	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM FLUTE L3 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAPPING STERILE GOLD	SUP-400.503E	CDM	270010022	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM L4 MM OD1 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP STERILE GOLD	SUP-400.504E	CDM	270010014	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM L4 MM OD1 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP STERILE GOLD	SUP-400.504E	CDM	270010014	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM FLUTE L4 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAPPING STERILE GOLD	SUP-400.505E	CDM	270010022	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM FLUTE L4 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAPPING STERILE GOLD	SUP-400.505E	CDM	270010022	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM FLUTE L6 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAPPING STERILE GOLD	SUP-400.506E	CDM	270010022	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM FLUTE L6 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAPPING STERILE GOLD	SUP-400.506E	CDM	270010022	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM L7 MM OD1 MM MAXILLOFACIAL CORTEX SELF TAP FLUTE TIP	SUP-400.507E	CDM	270010022	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM L7 MM OD1 MM MAXILLOFACIAL CORTEX SELF TAP FLUTE TIP	SUP-400.507E	CDM	270010022	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM FLUTE L8 MM OD1 MM MAXILLOFACIAL CORTEX SELF TAP	SUP-400.508E	CDM	270010022	LOCAL	270	RC		outpatient			191.48	191.48	51.87				percent of total billed charges		191.48				other	OPPS APC	141.7				percent of total billed charges		191.48				other	OPPS APC	191.48				other	OPPS APC	51.87				percent of total billed charges		52.91				percent of total billed charges		191.48				other	OPPS APC	51.87	191.48	
SCREW BONE TITANIUM FLUTE L8 MM OD1 MM MAXILLOFACIAL CORTEX SELF TAP	SUP-400.508E	CDM	270010022	LOCAL	270	RC		inpatient			191.48	191.48																																																			
SCREW BONE TITANIUM FLUTE L4 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM GOLD	SUP-400.504	CDM	270010014	LOCAL	270	RC		outpatient			191.47	191.47	51.87				percent of total billed charges		191.47				other	OPPS APC	141.69				percent of total billed charges		191.47				other	OPPS APC	191.47				other	OPPS APC	51.87				percent of total billed charges		52.9				percent of total billed charges		191.47				other	OPPS APC	51.87	191.47	
SCREW BONE TITANIUM FLUTE L4 MM OD1 MM ODSEC1.6 MM CRANIOFACIAL CORTICAL SELF TAP CRUCIFORM GOLD	SUP-400.504	CDM	270010014	LOCAL	270	RC		inpatient			191.47	191.47																																																			
OCCLUDER SHUNT AXIUS L18 MM OD2 MM CORONARY TEMPORARY	SUP-OF-2000	CDM			270	RC		outpatient			191.27	191.27	51.82				percent of total billed charges		191.27				other	OPPS APC	141.54				percent of total billed charges		191.27				other	OPPS APC	191.27				other	OPPS APC	51.82				percent of total billed charges		52.85				percent of total billed charges		191.27				other	OPPS APC	51.82	191.27	
OCCLUDER SHUNT AXIUS L18 MM OD2 MM CORONARY TEMPORARY	SUP-OF-2000	CDM			270	RC		inpatient			191.27	191.27																																																			
TERUMO 6F IL 3.75 IKARI LEFT GUIDE CATHETER	SUP-40-6372	CDM			481	RC		outpatient			190.96	19.96	93.57				percent of total billed charges		190.96				other	OPPS APC	141.31				percent of total billed charges		190.96				other	OPPS APC	190.96				other	OPPS APC	93.57				percent of total billed charges		97.39				percent of total billed charges		19.96				other	OPPS APC	19.96	190.96	
TERUMO 6F IL 3.75 IKARI LEFT GUIDE CATHETER	SUP-40-6372	CDM			481	RC		inpatient			190.96	190.96																																																			
SCREW 4 X 38MM CANCELLOUS	SUP-97-02658	CDM			278	RC		outpatient			190.76	19.76	190.76				fee schedule		190.76				other	OPPS APC	108.73				percent of total billed charges		190.76				other	OPPS APC	190.76				other	OPPS APC	93.47				percent of total billed charges		97.29				percent of total billed charges		19.76				other	OPPS APC	19.76	190.76	
SCREW 4 X 38MM CANCELLOUS	SUP-97-02658	CDM			278	RC		inpatient			190.76	190.76																																																			
SCREW STRYKER NON LOCKING 2.7MM X 14MM	SUP-40-27014	CDM			270	RC		outpatient			190.4	19.41	51.58				percent of total billed charges		190.4				other	OPPS APC	140.9				percent of total billed charges		190.4				other	OPPS APC	190.4				other	OPPS APC	51.58				percent of total billed charges		52.61				percent of total billed charges		19.41				other	OPPS APC	19.41	190.4	
SCREW STRYKER NON LOCKING 2.7MM X 14MM	SUP-40-27014	CDM			270	RC		inpatient			190.4	190.4																																																			
SCREW BONE VARIAX TITANIUM T7 L16 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER YELLOW LOCK PLATE SYSTEM	SUP-40-27016	CDM			270	RC		outpatient			190.4	19.41	51.58				percent of total billed charges		190.4				other	OPPS APC	140.9				percent of total billed charges		190.4				other	OPPS APC	190.4				other	OPPS APC	51.58				percent of total billed charges		52.61				percent of total billed charges		19.41				other	OPPS APC	19.41	190.4	
SCREW BONE VARIAX TITANIUM T7 L16 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER YELLOW LOCK PLATE SYSTEM	SUP-40-27016	CDM			270	RC		inpatient			190.4	190.4																																																			
SCREW STRYKER NON LOCKING 2.7MM X 18MM	SUP-70-27018	CDM			270	RC		outpatient			190.4	19.41	51.58				percent of total billed charges		190.4				other	OPPS APC	140.9				percent of total billed charges		190.4				other	OPPS APC	190.4				other	OPPS APC	51.58				percent of total billed charges		52.61				percent of total billed charges		19.41				other	OPPS APC	19.41	190.4	
SCREW STRYKER NON LOCKING 2.7MM X 18MM	SUP-70-27018	CDM			270	RC		inpatient			190.4	190.4																																																			
SCREW LORENZ IMF 2.0 X 9MM	SUP-71-00008	CDM			278	RC		outpatient			190.4	19.41	190.4				fee schedule		190.4				other	OPPS APC	108.53				percent of total billed charges		190.4				other	OPPS APC	190.4				other	OPPS APC	93.3				percent of total billed charges		97.1				percent of total billed charges		19.41				other	OPPS APC	19.41	190.4	
SCREW LORENZ IMF 2.0 X 9MM	SUP-71-00008	CDM			278	RC		inpatient			190.4	190.4																																																			
SCREW LORENZ IMF 2.0 X 11MM	SUP-71-00009	CDM			278	RC		outpatient			190.4	19.41	190.4				fee schedule		190.4				other	OPPS APC	108.53				percent of total billed charges		190.4				other	OPPS APC	190.4				other	OPPS APC	93.3				percent of total billed charges		97.1				percent of total billed charges		19.41				other	OPPS APC	19.41	190.4	
SCREW LORENZ IMF 2.0 X 11MM	SUP-71-00009	CDM			278	RC		inpatient			190.4	190.4																																																			
SCREW SYNTHES COMPRESSION	SUP-211.890S	CDM	270010022	LOCAL	270	RC		outpatient			190.3	19.31	51.55				percent of total billed charges		190.3				other	OPPS APC	140.82				percent of total billed charges		190.3				other	OPPS APC	190.3				other	OPPS APC	51.55				percent of total billed charges		52.58				percent of total billed charges		19.31				other	OPPS APC	19.31	190.3	
SCREW SYNTHES COMPRESSION	SUP-211.890S	CDM	270010022	LOCAL	270	RC		inpatient			190.3	190.3																																																			
SCREW BONE DHS/DCS STAINLESS STEEL L36 MM OD12.7 MM HIP CONDYLE COMPRESSION SOCKET STERILE 1 STEP SYSTEM	SUP-280.990S	CDM	270010022	LOCAL	270	RC		outpatient			190.3	19.31	51.55				percent of total billed charges		190.3				other	OPPS APC	140.82				percent of total billed charges		190.3				other	OPPS APC	190.3				other	OPPS APC	51.55				percent of total billed charges		52.58				percent of total billed charges		19.31				other	OPPS APC	19.31	190.3	
SCREW BONE DHS/DCS STAINLESS STEEL L36 MM OD12.7 MM HIP CONDYLE COMPRESSION SOCKET STERILE 1 STEP SYSTEM	SUP-280.990S	CDM	270010022	LOCAL	270	RC		inpatient			190.3	190.3																																																			
2.0X 234 K-WIRE	SUP-97-02656	CDM			278	RC		outpatient			190.3	19.31	190.3				fee schedule		190.3				other	OPPS APC	108.47				percent of total billed charges		190.3				other	OPPS APC	190.3				other	OPPS APC	93.25				percent of total billed charges		97.05				percent of total billed charges		19.31				other	OPPS APC	19.31	190.3	
2.0X 234 K-WIRE	SUP-97-02656	CDM			278	RC		inpatient			190.3	190.3																																																			
RING ACETABULAR RINGLOC OD22 MM HIP LOCK	SUP-105422	CDM	270010025	LOCAL	270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
RING ACETABULAR RINGLOC OD22 MM HIP LOCK	SUP-105422	CDM	270010025	LOCAL	270	RC		inpatient			190	190																																																			
RING ACETABULAR RINGLOC OD24 MM HIP LOCK	SUP-105424	CDM	270010024	LOCAL	270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
RING ACETABULAR RINGLOC OD24 MM HIP LOCK	SUP-105424	CDM	270010024	LOCAL	270	RC		inpatient			190	190																																																			
CABLE CATHETER COAXIAL UMBILICAL DISPOSABLE	SUP-203CXC	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
CABLE CATHETER COAXIAL UMBILICAL DISPOSABLE	SUP-203CXC	CDM			270	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.0 X 10MM SEMICOMPLIANT	SUP-220-103-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.0 X 10MM SEMICOMPLIANT	SUP-220-103-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.0 X 12MM SEMICOMPLIANT	SUP-220-123-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.0 X 12MM SEMICOMPLIANT	SUP-220-123-5UU	CDM			481	RC		inpatient			190	190																																																			
SAPPHIRE II PRO BALLOON 2.0 X 15 MM	SUP-220-153-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
SAPPHIRE II PRO BALLOON 2.0 X 15 MM	SUP-220-153-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.0 X 20MM SEMICOMPLIANT	SUP-220-203-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.0 X 20MM SEMICOMPLIANT	SUP-220-203-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 8MM NON COMPLIANT PLUS	SUP-222-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 8MM NON COMPLIANT PLUS	SUP-222-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 10MM NON COMPLIANT PLUS	SUP-222-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 10MM NON COMPLIANT PLUS	SUP-222-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 12MM NON COMPLIANT PLUS	SUP-222-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 12MM NON COMPLIANT PLUS	SUP-222-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 15MM NON COMPLIANT PLUS	SUP-222-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 15MM NON COMPLIANT PLUS	SUP-222-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 18MM NON COMPLIANT PLUS	SUP-222-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.25 X 18MM NON COMPLIANT PLUS	SUP-222-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 8MM NON COMPLIANT PLUS	SUP-225-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 8MM NON COMPLIANT PLUS	SUP-225-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 10MM NON COMPLIANT PLUS	SUP-225-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 10MM NON COMPLIANT PLUS	SUP-225-103-2U	CDM			481	RC		inpatient			190	190																																																			
SAPPHIRE II PRO BALLOON 2.5 X 10 MM	SUP-225-103-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
SAPPHIRE II PRO BALLOON 2.5 X 10 MM	SUP-225-103-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 12MM NON COMPLIANT PLUS	SUP-225-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 12MM NON COMPLIANT PLUS	SUP-225-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 12MM SEMICOMPLIANT	SUP-225-123-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 12MM SEMICOMPLIANT	SUP-225-123-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 15MM NON COMPLIANT PLUS	SUP-225-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 15MM NON COMPLIANT PLUS	SUP-225-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 15MM SEMICOMPLIANT	SUP-225-153-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 15MM SEMICOMPLIANT	SUP-225-153-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 18MM NON COMPLIANT PLUS	SUP-225-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 18MM NON COMPLIANT PLUS	SUP-225-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 20MM SEMICOMPLIANT	SUP-225-203-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.5 X 20MM SEMICOMPLIANT	SUP-225-203-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 8MM NON COMPLIANT PLUS	SUP-227-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 8MM NON COMPLIANT PLUS	SUP-227-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 10MM NON COMPLIANT PLUS	SUP-227-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 10MM NON COMPLIANT PLUS	SUP-227-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 12MM NON COMPLIANT PLUS	SUP-227-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 12MM NON COMPLIANT PLUS	SUP-227-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 15MM NON COMPLIANT PLUS	SUP-227-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 15MM NON COMPLIANT PLUS	SUP-227-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 18MM NON COMPLIANT PLUS	SUP-227-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 2.75 X 18MM NON COMPLIANT PLUS	SUP-227-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 8MM NON COMPLIANT PLUS	SUP-230-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 8MM NON COMPLIANT PLUS	SUP-230-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 10MM NON COMPLIANT PLUS	SUP-230-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 10MM NON COMPLIANT PLUS	SUP-230-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 10MM SEMICOMPLIANT	SUP-230-103-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 10MM SEMICOMPLIANT	SUP-230-103-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 12MM NON COMPLIANT PLUS	SUP-230-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 12MM NON COMPLIANT PLUS	SUP-230-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 12MM SEMICOMPLIANT	SUP-230-123-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 12MM SEMICOMPLIANT	SUP-230-123-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 15MM NON COMPLIANT PLUS	SUP-230-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 15MM NON COMPLIANT PLUS	SUP-230-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 15MM SEMICOMPLIANT	SUP-230-153-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 15MM SEMICOMPLIANT	SUP-230-153-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 18MM NON COMPLIANT PLUS	SUP-230-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 18MM NON COMPLIANT PLUS	SUP-230-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 20MM SEMICOMPLIANT	SUP-230-203-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.0 X 20MM SEMICOMPLIANT	SUP-230-203-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 8MM NON COMPLIANT PLUS	SUP-232-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 8MM NON COMPLIANT PLUS	SUP-232-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 10MM NON COMPLIANT PLUS	SUP-232-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 10MM NON COMPLIANT PLUS	SUP-232-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 12MM NON COMPLIANT PLUS	SUP-232-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 12MM NON COMPLIANT PLUS	SUP-232-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 15MM NON COMPLIANT PLUS	SUP-232-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 15MM NON COMPLIANT PLUS	SUP-232-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 18MM NON COMPLIANT PLUS	SUP-232-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.25 X 18MM NON COMPLIANT PLUS	SUP-232-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 8MM NON COMPLIANT PLUS	SUP-235-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 8MM NON COMPLIANT PLUS	SUP-235-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 10MM NON COMPLIANT PLUS	SUP-235-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 10MM NON COMPLIANT PLUS	SUP-235-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 10MM SEMICOMPLIANT	SUP-235-103-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 10MM SEMICOMPLIANT	SUP-235-103-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 12MM NON COMPLIANT PLUS	SUP-235-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 12MM NON COMPLIANT PLUS	SUP-235-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 15MM NON COMPLIANT PLUS	SUP-235-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 15MM NON COMPLIANT PLUS	SUP-235-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 15MM SEMICOMPLIANT	SUP-235-153-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 15MM SEMICOMPLIANT	SUP-235-153-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 18MM NON COMPLIANT PLUS	SUP-235-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 18MM NON COMPLIANT PLUS	SUP-235-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 20MM SEMICOMPLIANT	SUP-235-203-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.5 X 20MM SEMICOMPLIANT	SUP-235-203-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 8MM NON COMPLIANT PLUS	SUP-237-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 8MM NON COMPLIANT PLUS	SUP-237-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 10MM NON COMPLIANT PLUS	SUP-237-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 10MM NON COMPLIANT PLUS	SUP-237-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 12MM NON COMPLIANT PLUS	SUP-237-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 12MM NON COMPLIANT PLUS	SUP-237-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 15MM NON COMPLIANT PLUS	SUP-237-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 15MM NON COMPLIANT PLUS	SUP-237-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 18MM NON COMPLIANT PLUS	SUP-237-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 3.75 X 18MM NON COMPLIANT PLUS	SUP-237-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 8MM NON COMPLIANT PLUS	SUP-240-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 8MM NON COMPLIANT PLUS	SUP-240-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 10MM NON COMPLIANT PLUS	SUP-240-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 10MM NON COMPLIANT PLUS	SUP-240-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 10MM SEMICOMPLIANT	SUP-240-103-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 10MM SEMICOMPLIANT	SUP-240-103-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 12MM NON COMPLIANT PLUS	SUP-240-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 12MM NON COMPLIANT PLUS	SUP-240-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 15MM NON COMPLIANT PLUS	SUP-240-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 15MM NON COMPLIANT PLUS	SUP-240-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 15MM SEMICOMPLIANT	SUP-240-153-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 15MM SEMICOMPLIANT	SUP-240-153-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 18MM NON COMPLIANT PLUS	SUP-240-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 18MM NON COMPLIANT PLUS	SUP-240-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 20MM SEMICOMPLIANT	SUP-240-203-5UU	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE II PRO 4.0 X 20MM SEMICOMPLIANT	SUP-240-203-5UU	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 8MM NON COMPLIANT	SUP-245-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 8MM NON COMPLIANT	SUP-245-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 10MM NON COMPLIANT	SUP-245-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 10MM NON COMPLIANT	SUP-245-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 12 MM NON COMPLIANT	SUP-245-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 12 MM NON COMPLIANT	SUP-245-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 15 MM NON COMPLIANT	SUP-245-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 15 MM NON COMPLIANT	SUP-245-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 18 MM NON COMPLIANT	SUP-245-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 4.5 X 18 MM NON COMPLIANT	SUP-245-183-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 8 MM NON COMPLIANT	SUP-250-083-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 8 MM NON COMPLIANT	SUP-250-083-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 10 MM NON COMPLIANT	SUP-250-103-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 10 MM NON COMPLIANT	SUP-250-103-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 12 MM NON COMPLIANT	SUP-250-123-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 12 MM NON COMPLIANT	SUP-250-123-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 15 MM NON COMPLIANT	SUP-250-153-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 15 MM NON COMPLIANT	SUP-250-153-2U	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 18 MM NON COMPLIANT	SUP-250-183-2U	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION SAPPHIRE PRO 5.0 X 18 MM NON COMPLIANT	SUP-250-183-2U	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.0 X 8 MM	SUP-366991_65345	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.0 X 8 MM	SUP-366991_65345	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.25 X 8 MM	SUP-366992_65346	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.25 X 8 MM	SUP-366992_65346	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.5 X 8 MM	SUP-366993_65347	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.5 X 8 MM	SUP-366993_65347	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.75 X 8 MM	SUP-366994_65348	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.75 X 8 MM	SUP-366994_65348	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.0 X 8 MM	SUP-366995_65349	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.0 X 8 MM	SUP-366995_65349	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.25 X 8 MM	SUP-366996_65350	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.25 X 8 MM	SUP-366996_65350	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.5 X 8 MM	SUP-366997_65351	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.5 X 8 MM	SUP-366997_65351	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.75 X 8 MM	SUP-366998_65352	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.75 X 8 MM	SUP-366998_65352	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.0 X 8 MM	SUP-366999_65353	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.0 X 8 MM	SUP-366999_65353	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.5 X 8 MM	SUP-367000_65354	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.5 X 8 MM	SUP-367000_65354	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 5.0 X 8 MM	SUP-367001_65355	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 5.0 X 8 MM	SUP-367001_65355	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.0 X 12 MM	SUP-367002_65356	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.0 X 12 MM	SUP-367002_65356	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA LEO NON-COMPLAINT SEMI-CRYSTALLINE COPOLYMER HYDROPHILIC L12 MM OD 2.25	SUP-367003_65357	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA LEO NON-COMPLAINT SEMI-CRYSTALLINE COPOLYMER HYDROPHILIC L12 MM OD 2.25	SUP-367003_65357	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA LEO NON-COMPLAINT SEMI-CRYSTALLINE COPOLYMER HYDROPHILIC L12MM OD 2.5	SUP-367004_65358	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA LEO NON-COMPLAINT SEMI-CRYSTALLINE COPOLYMER HYDROPHILIC L12MM OD 2.5	SUP-367004_65358	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.75 X 12 MM	SUP-367005_65359	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.75 X 12 MM	SUP-367005_65359	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.0 X 12 MM	SUP-367006_65360	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.0 X 12 MM	SUP-367006_65360	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.25 X 12 MM	SUP-367007_65361	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.25 X 12 MM	SUP-367007_65361	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.5 X 12 MM	SUP-367008_65362	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.5 X 12 MM	SUP-367008_65362	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.75 X 12 MM	SUP-367009_65363	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.75 X 12 MM	SUP-367009_65363	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.0 X 12 MM	SUP-367010_65364	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.0 X 12 MM	SUP-367010_65364	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.5 X 12 MM	SUP-367011_65369	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.5 X 12 MM	SUP-367011_65369	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 5.0 X 12 MM	SUP-367012_65370	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 5.0 X 12 MM	SUP-367012_65370	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.0 X 15 MM	SUP-367013_65371	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.0 X 15 MM	SUP-367013_65371	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.25 X 15 MM	SUP-367014_65372	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.25 X 15 MM	SUP-367014_65372	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.5 X 15 MM	SUP-367015_65373	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.5 X 15 MM	SUP-367015_65373	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.75 X 15 MM	SUP-367016_65374	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.75 X 15 MM	SUP-367016_65374	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.0 X 15 MM	SUP-367017_65375	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.0 X 15 MM	SUP-367017_65375	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.25 X 15 MM	SUP-367018_65376	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.25 X 15 MM	SUP-367018_65376	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.5 X 15 MM	SUP-367019_65377	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.5 X 15 MM	SUP-367019_65377	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.75 X 15 MM	SUP-367020_65378	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.75 X 15 MM	SUP-367020_65378	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.0 X 15 MM	SUP-367021_65379	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.0 X 15 MM	SUP-367021_65379	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.5 X 15 MM	SUP-367022_65380	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.5 X 15 MM	SUP-367022_65380	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 5.0 X 15 MM	SUP-367023_65381	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 5.0 X 15 MM	SUP-367023_65381	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.0 X 20 MM	SUP-367024_65382	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.0 X 20 MM	SUP-367024_65382	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.25 X 20 MM	SUP-367025_65383	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.25 X 20 MM	SUP-367025_65383	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.5 X 20 MM	SUP-367026_65384	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.5 X 20 MM	SUP-367026_65384	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.75 X 20 MM	SUP-367027_65385	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.75 X 20 MM	SUP-367027_65385	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.0 X 20 MM	SUP-367028_65386	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.0 X 20 MM	SUP-367028_65386	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.25 X 20 MM	SUP-367029_65387	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.25 X 20 MM	SUP-367029_65387	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.5 X 20 MM	SUP-367030_65388	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.5 X 20 MM	SUP-367030_65388	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.75 X 20 MM	SUP-367031_65389	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.75 X 20 MM	SUP-367031_65389	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA LEO NON-COMPLIANT SEMICRYSTALLINE COPOLYMER HYDROPHILIC L20 MM OD 4.0	SUP-367032_65390	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA LEO NON-COMPLIANT SEMICRYSTALLINE COPOLYMER HYDROPHILIC L20 MM OD 4.0	SUP-367032_65390	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.5 X 20 MM	SUP-367033_65391	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.5 X 20 MM	SUP-367033_65391	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 5.0 X 20 MM	SUP-367034_65392	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 5.0 X 20 MM	SUP-367034_65392	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.0 X 30 MM	SUP-367035_65393	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.0 X 30 MM	SUP-367035_65393	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.25 X 30 MM	SUP-367036_65394	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.25 X 30 MM	SUP-367036_65394	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.5 X 30 MM	SUP-367037_65395	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.5 X 30 MM	SUP-367037_65395	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 2.75 X 30 MM	SUP-367038_65396	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 2.75 X 30 MM	SUP-367038_65396	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.0 X 30 MM	SUP-367039_65397	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.0 X 30 MM	SUP-367039_65397	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.25 X 30 MM	SUP-367040_65398	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.25 X 30 MM	SUP-367040_65398	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.5 X 30 MM	SUP-367041_65399	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.5 X 30 MM	SUP-367041_65399	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 3.75 X 30 MM	SUP-367042_65400	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 3.75 X 30 MM	SUP-367042_65400	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.0 X 30 MM	SUP-367043_65401	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.0 X 30 MM	SUP-367043_65401	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 4.5 X 30 MM	SUP-367044_65402	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 4.5 X 30 MM	SUP-367044_65402	CDM			481	RC		inpatient			190	190																																																			
PANTERA LEO NC BALLOON 5.0 X 30 MM	SUP-367045_65403	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA LEO NC BALLOON 5.0 X 30 MM	SUP-367045_65403	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.25 x 6 MM	SUP-393289_57339	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.25 x 6 MM	SUP-393289_57339	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.5 x 6 MM	SUP-393290_57340	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.5 x 6 MM	SUP-393290_57340	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.25 x 10 MM	SUP-393291_57341	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.25 x 10 MM	SUP-393291_57341	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.5 x 10 MM	SUP-393292_57342	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.5 x 10 MM	SUP-393292_57342	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.0 x 10 MM	SUP-393293_57343	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.0 x 10 MM	SUP-393293_57343	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.5 x 10 MM	SUP-393294_57344	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.5 x 10 MM	SUP-393294_57344	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.0 x 10 MM	SUP-393295_57345	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.0 x 10 MM	SUP-393295_57345	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.5 x 10 MM	SUP-393296_57346	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.5 x 10 MM	SUP-393296_57346	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 4.0 x 10 MM	SUP-393297_57347	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 4.0 x 10 MM	SUP-393297_57347	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.25 x 15 MM	SUP-393298_57348	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.25 x 15 MM	SUP-393298_57348	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.5 x 15 MM	SUP-393299_57349	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.5 x 15 MM	SUP-393299_57349	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.0 x 15 MM	SUP-393300_57350	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.0 x 15 MM	SUP-393300_57350	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.5 x 15 MM	SUP-393301_57351	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.5 x 15 MM	SUP-393301_57351	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.0 x 15 MM	SUP-393302_57352	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.0 x 15 MM	SUP-393302_57352	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L15MM ODSEC 3.50MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393303_57353	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L15MM ODSEC 3.50MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393303_57353	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 4.0 x 15 MM	SUP-393304_57354	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 4.0 x 15 MM	SUP-393304_57354	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L20MM ODSEC 1.25MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393305_57355	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L20MM ODSEC 1.25MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393305_57355	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 1.5 x 20 MM	SUP-393306_57356	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 1.5 x 20 MM	SUP-393306_57356	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.0 x 20 MM	SUP-393307_57357	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.0 x 20 MM	SUP-393307_57357	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L20MM ODSEC 2.50MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393308_57358	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L20MM ODSEC 2.50MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393308_57358	CDM			481	RC		inpatient			190	190																																																			
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L20MM ODSEC 3.00MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393309_57359	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
CATHETER BALLOON DILATATION PANTERA PRO SEMICRYSTALLINE COPOLYMER HYDROPHILIC .014 IN L 140 CM L20MM ODSEC 3.00MM 2 FOLD HYPO TUBE GUIDEWIRE RADIOPAQUE LATEX FREE ACCEPTS 5 FRENCH GUIDE CATHETER PTCA	SUP-393309_57359	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.5 x 20 MM	SUP-393310_57360	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.5 x 20 MM	SUP-393310_57360	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 4.0 x 20 MM	SUP-393311_57361	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 4.0 x 20 MM	SUP-393311_57361	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.0 x 25 MM	SUP-393312_57362	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.0 x 25 MM	SUP-393312_57362	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.5 x 25 MM	SUP-393313_57363	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.5 x 25 MM	SUP-393313_57363	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.0 x 25 MM	SUP-393314_57364	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.0 x 25 MM	SUP-393314_57364	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.5 x 25 MM	SUP-393315_57365	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.5 x 25 MM	SUP-393315_57365	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 4.0 x 25 MM	SUP-393316_57366	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 4.0 x 25 MM	SUP-393316_57366	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.0 x 30 MM	SUP-393317_57367	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.0 x 30 MM	SUP-393317_57367	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 2.5 x 30 MM	SUP-393318_57368	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 2.5 x 30 MM	SUP-393318_57368	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.0 x 30 MM	SUP-393319_57369	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.0 x 30 MM	SUP-393319_57369	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 3.5 x 30 MM	SUP-393320_57370	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 3.5 x 30 MM	SUP-393320_57370	CDM			481	RC		inpatient			190	190																																																			
PANTERA BALLOON 4.0 x 30 MM	SUP-393321_57371	CDM			481	RC		outpatient			190	19	93.1				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	93.1				percent of total billed charges		96.9				percent of total billed charges		19				other	OPPS APC	19	190	
PANTERA BALLOON 4.0 x 30 MM	SUP-393321_57371	CDM			481	RC		inpatient			190	190																																																			
SAW BLADE 12.5 X 7.6	SUP-78-00350	CDM			272	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
SAW BLADE 12.5 X 7.6	SUP-78-00350	CDM			272	RC		inpatient			190	190																																																			
KIT INTRATHECAL PUMP REPAIR DRUG DELIVERY SYSTEM	SUP-8590-9	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
KIT INTRATHECAL PUMP REPAIR DRUG DELIVERY SYSTEM	SUP-8590-9	CDM			270	RC		inpatient			190	190																																																			
PASSER SURGICAL ON-Q PAINBUSTER L38 CM CATHETER	SUP-8591-38	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
PASSER SURGICAL ON-Q PAINBUSTER L38 CM CATHETER	SUP-8591-38	CDM			270	RC		inpatient			190	190																																																			
SET SUTURING CURVE PROTECTOR NITINOL CANNULA MALLEABLE NEEDLE HOLDER WIRE LOOP	SUP-AR-4060S	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
SET SUTURING CURVE PROTECTOR NITINOL CANNULA MALLEABLE NEEDLE HOLDER WIRE LOOP	SUP-AR-4060S	CDM			270	RC		inpatient			190	190																																																			
BIT DRILL 2MM	SUP-AR-8943-16	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
BIT DRILL 2MM	SUP-AR-8943-16	CDM			270	RC		inpatient			190	190																																																			
BIT DRILL L2.5 MM SYNDESMOSIS	SUP-AR-8973-25	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
BIT DRILL L2.5 MM SYNDESMOSIS	SUP-AR-8973-25	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.25 X 8	SUP-MNC22508_52226	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.25 X 8	SUP-MNC22508_52226	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.25 X 10	SUP-MNC22510_52227	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.25 X 10	SUP-MNC22510_52227	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.25 X 13	SUP-MNC22513_52228	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.25 X 13	SUP-MNC22513_52228	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.25 X 15	SUP-MNC22515_52229	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.25 X 15	SUP-MNC22515_52229	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.5 X 8	SUP-MNC25008_52230	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.5 X 8	SUP-MNC25008_52230	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.5 X 10	SUP-MNC25010_52231	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.5 X 10	SUP-MNC25010_52231	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.5 X 13	SUP-MNC25013_52232	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.5 X 13	SUP-MNC25013_52232	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.5 X 15	SUP-MNC25015_52233	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.5 X 15	SUP-MNC25015_52233	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.75 X 8	SUP-MNC27508_52234	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.75 X 8	SUP-MNC27508_52234	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.75 X 10	SUP-MNC27510_52235	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.75 X 10	SUP-MNC27510_52235	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 2.75 X 15	SUP-MNC27515_52237	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 2.75 X 15	SUP-MNC27515_52237	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 3.0 X 13	SUP-MNC30013_52240	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 3.0 X 13	SUP-MNC30013_52240	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 3.0 X 15	SUP-MNC30015_52241	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 3.0 X 15	SUP-MNC30015_52241	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 3.0 X 18	SUP-MNC30018_52242	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 3.0 X 18	SUP-MNC30018_52242	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 3.5 X 10	SUP-MNC35010_52244	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 3.5 X 10	SUP-MNC35010_52244	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 3.5 X 13	SUP-MNC35013_52245	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 3.5 X 13	SUP-MNC35013_52245	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 3.5 X 15	SUP-MNC35015_52246	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 3.5 X 15	SUP-MNC35015_52246	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.0 X 8	SUP-MNC40008_52247	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.0 X 8	SUP-MNC40008_52247	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.0 X 10	SUP-MNC40010_52248	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.0 X 10	SUP-MNC40010_52248	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.0 X 13	SUP-MNC40013_52249	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.0 X 13	SUP-MNC40013_52249	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.0 X 15	SUP-MNC40015_52250	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.0 X 15	SUP-MNC40015_52250	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.5 X 8	SUP-MNC45008_52251	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.5 X 8	SUP-MNC45008_52251	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.5 X 10	SUP-MNC45010_52252	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.5 X 10	SUP-MNC45010_52252	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.5 X 13	SUP-MNC45013_52253	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.5 X 13	SUP-MNC45013_52253	CDM			270	RC		inpatient			190	190																																																			
MOZEC NC BALLOON 4.5 X 15	SUP-MNC45015_52254	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC NC BALLOON 4.5 X 15	SUP-MNC45015_52254	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 1.50 X 9	SUP-MOZ15009_52193	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 1.50 X 9	SUP-MOZ15009_52193	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 1.50 X 15	SUP-MOZ15015_52195	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 1.50 X 15	SUP-MOZ15015_52195	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 2.0 X 9	SUP-MOZ20009_52196	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 2.0 X 9	SUP-MOZ20009_52196	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 2.0 X 15	SUP-MOZ20015_52198	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 2.0 X 15	SUP-MOZ20015_52198	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 2.5 X 14	SUP-MOZ25014_52200	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 2.5 X 14	SUP-MOZ25014_52200	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.0 X 14	SUP-MOZ30014_52213	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.0 X 14	SUP-MOZ30014_52213	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.0 X 17	SUP-MOZ30017_52214	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.0 X 17	SUP-MOZ30017_52214	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.0 X 25	SUP-MOZ30025_52216	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.0 X 25	SUP-MOZ30025_52216	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.0 X 30	SUP-MOZ30030_52217	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.0 X 30	SUP-MOZ30030_52217	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.0 X 38	SUP-MOZ30038_52218	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.0 X 38	SUP-MOZ30038_52218	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.0 X 41	SUP-MOZ30041_52219	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.0 X 41	SUP-MOZ30041_52219	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.5 X 9	SUP-MOZ35009_52220	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.5 X 9	SUP-MOZ35009_52220	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.5 X 14	SUP-MOZ35014_52221	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.5 X 14	SUP-MOZ35014_52221	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.5 X 17	SUP-MOZ35017_52222	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.5 X 17	SUP-MOZ35017_52222	CDM			270	RC		inpatient			190	190																																																			
MOZEC BALLOON 3.5 X 20	SUP-MOZ35020_52223	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
MOZEC BALLOON 3.5 X 20	SUP-MOZ35020_52223	CDM			270	RC		inpatient			190	190																																																			
BALLOON MOZEC 3.5X25 RAPID EXCHANGE ELONGATE TIP PTCA	SUP-MOZ35025_52224	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
BALLOON MOZEC 3.5X25 RAPID EXCHANGE ELONGATE TIP PTCA	SUP-MOZ35025_52224	CDM			270	RC		inpatient			190	190																																																			
BALLOON MOZEC 3.5X30 RAPID EXCHANGE ELONGATE TIP PTCA	SUP-MOZ35030_52225	CDM			270	RC		outpatient			190	19	51.47				percent of total billed charges		190				other	OPPS APC	140.6				percent of total billed charges		190				other	OPPS APC	190				other	OPPS APC	51.47				percent of total billed charges		52.5				percent of total billed charges		19				other	OPPS APC	19	190	
BALLOON MOZEC 3.5X30 RAPID EXCHANGE ELONGATE TIP PTCA	SUP-MOZ35030_52225	CDM			270	RC		inpatient			190	190																																																			
PLATE 2.0MM HOLDING FORCEPS ANGLED 18CM	SUP-0108110	CDM			270	RC		outpatient			189.6	189.6	51.36				percent of total billed charges		189.6				other	OPPS APC	140.3				percent of total billed charges		189.6				other	OPPS APC	189.6				other	OPPS APC	51.36				percent of total billed charges		52.39				percent of total billed charges		189.6				other	OPPS APC	51.36	189.6	
PLATE 2.0MM HOLDING FORCEPS ANGLED 18CM	SUP-0108110	CDM			270	RC		inpatient			189.6	189.6																																																			
DRILL STOP STRYKER END 12MM 1.4X54MM	SUP-6013512	CDM			270	RC		outpatient			189.6	189.6	51.36				percent of total billed charges		189.6				other	OPPS APC	140.3				percent of total billed charges		189.6				other	OPPS APC	189.6				other	OPPS APC	51.36				percent of total billed charges		52.39				percent of total billed charges		189.6				other	OPPS APC	51.36	189.6	
DRILL STOP STRYKER END 12MM 1.4X54MM	SUP-6013512	CDM			270	RC		inpatient			189.6	189.6																																																			
DRILL 122 STOP STRYKER END 1.3X79MM	SUP-6013570	CDM			270	RC		outpatient			189.6	189.6	51.36				percent of total billed charges		189.6				other	OPPS APC	140.3				percent of total billed charges		189.6				other	OPPS APC	189.6				other	OPPS APC	51.36				percent of total billed charges		52.39				percent of total billed charges		189.6				other	OPPS APC	51.36	189.6	
DRILL 122 STOP STRYKER END 1.3X79MM	SUP-6013570	CDM			270	RC		inpatient			189.6	189.6																																																			
SCREW BONE TITANIUM FLUTE L5 MM OD1.7 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.655E	CDM	270010022	LOCAL	270	RC		outpatient			189.48	189.48	51.33				percent of total billed charges		189.48				other	OPPS APC	140.22				percent of total billed charges		189.48				other	OPPS APC	189.48				other	OPPS APC	51.33				percent of total billed charges		52.35				percent of total billed charges		189.48				other	OPPS APC	51.33	189.48	
SCREW BONE TITANIUM FLUTE L5 MM OD1.7 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.655E	CDM	270010022	LOCAL	270	RC		inpatient			189.48	189.48																																																			
SCREW BONE TITANIUM FLUTE L6 MM OD1.7 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.656E	CDM	270010022	LOCAL	270	RC		outpatient			189.48	189.48	51.33				percent of total billed charges		189.48				other	OPPS APC	140.22				percent of total billed charges		189.48				other	OPPS APC	189.48				other	OPPS APC	51.33				percent of total billed charges		52.35				percent of total billed charges		189.48				other	OPPS APC	51.33	189.48	
SCREW BONE TITANIUM FLUTE L6 MM OD1.7 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.656E	CDM	270010022	LOCAL	270	RC		inpatient			189.48	189.48																																																			
SCREW BONE TITANIUM L8 MM OD1.7 MM EMERGENCY FLUTED TIP NONSTERILE	SUP-400.658E	CDM	270010022	LOCAL	270	RC		outpatient			189.48	189.48	51.33				percent of total billed charges		189.48				other	OPPS APC	140.22				percent of total billed charges		189.48				other	OPPS APC	189.48				other	OPPS APC	51.33				percent of total billed charges		52.35				percent of total billed charges		189.48				other	OPPS APC	51.33	189.48	
SCREW BONE TITANIUM L8 MM OD1.7 MM EMERGENCY FLUTED TIP NONSTERILE	SUP-400.658E	CDM	270010022	LOCAL	270	RC		inpatient			189.48	189.48																																																			
DRESSING WOUND ABTHERA FOAM OPEN ABDOMEN PAD STERILE LATEX FREE DISPOSABLE	SUP-M8275026/5.S	CDM			270	RC		outpatient			189.41	189.41	51.31				percent of total billed charges		189.41				other	OPPS APC	140.16				percent of total billed charges		189.41				other	OPPS APC	189.41				other	OPPS APC	51.31				percent of total billed charges		52.33				percent of total billed charges		189.41				other	OPPS APC	51.31	189.41	
DRESSING WOUND ABTHERA FOAM OPEN ABDOMEN PAD STERILE LATEX FREE DISPOSABLE	SUP-M8275026/5.S	CDM			270	RC		inpatient			189.41	189.41																																																			
ORAL RAE W/TAPERGUARD 8.0	SUP-95-03132	CDM			272	RC		outpatient			189.36	189.36	51.3				percent of total billed charges		189.36				other	OPPS APC	140.13				percent of total billed charges		189.36				other	OPPS APC	189.36				other	OPPS APC	51.3				percent of total billed charges		52.32				percent of total billed charges		189.36				other	OPPS APC	51.3	189.36	
ORAL RAE W/TAPERGUARD 8.0	SUP-95-03132	CDM			272	RC		inpatient			189.36	189.36																																																			
NALOXONE 1 MG/ML 1 MG/ML SYRINGE	636000000	CDM	0641-6205-01	NDC	J2310	HCPCS		inpatient			189	189																																																			
NALOXONE 1 MG/ML 1 MG/ML SYRINGE	636000000	CDM	0641-6205-01	NDC	J2310	HCPCS		outpatient			189	189																																															other	OPPS APC			
SCREW HT SDX-DR 1.5X7MM	SUP-71-00194	CDM			278	RC		outpatient			189	189	189				fee schedule		189				other	OPPS APC	107.73				percent of total billed charges		189				other	OPPS APC	189				other	OPPS APC	92.61				percent of total billed charges		96.39				percent of total billed charges		189				other	OPPS APC	92.61	189	
SCREW HT SDX-DR 1.5X7MM	SUP-71-00194	CDM			278	RC		inpatient			189	189																																																			
PIN DISTRACTOR L14 MM OD14 MM NONSTERILE ANTERIOR CERVICAL FUSION	SUP-U44-640-14	CDM	270010013	LOCAL	270	RC		outpatient			189	189	51.2				percent of total billed charges		189				other	OPPS APC	139.86				percent of total billed charges		189				other	OPPS APC	189				other	OPPS APC	51.2				percent of total billed charges		52.22				percent of total billed charges		189				other	OPPS APC	51.2	189	
PIN DISTRACTOR L14 MM OD14 MM NONSTERILE ANTERIOR CERVICAL FUSION	SUP-U44-640-14	CDM	270010013	LOCAL	270	RC		inpatient			189	189																																																			
ROD EXTERNAL FIXATION CARBON FIBER L75 MM OD3 MM CONNECTING RADIOLUCENT NONSTERILE MINI EXTERNAL FIXATOR	SUP-31292	CDM			278	RC		outpatient			188.8	188.81	188.8				fee schedule		188.8				other	OPPS APC	107.62				percent of total billed charges		188.8				other	OPPS APC	188.8				other	OPPS APC	92.51				percent of total billed charges		96.29				percent of total billed charges		188.81				other	OPPS APC	92.51	188.81	
ROD EXTERNAL FIXATION CARBON FIBER L75 MM OD3 MM CONNECTING RADIOLUCENT NONSTERILE MINI EXTERNAL FIXATOR	SUP-31292	CDM			278	RC		inpatient			188.8	188.8																																																			
BLADE SAW SAG 85 X 21 X .9MM	SUP-78-00366	CDM			272	RC		outpatient			188.66	188.66	51.11				percent of total billed charges		188.66				other	OPPS APC	139.61				percent of total billed charges		188.66				other	OPPS APC	188.66				other	OPPS APC	51.11				percent of total billed charges		52.13				percent of total billed charges		188.66				other	OPPS APC	51.11	188.66	
BLADE SAW SAG 85 X 21 X .9MM	SUP-78-00366	CDM			272	RC		inpatient			188.66	188.66																																																			
FUSION OP071	SUP-73-00072	CDM			272	RC		outpatient			188.38	188.38	51.03				percent of total billed charges		188.38				other	OPPS APC	139.4				percent of total billed charges		188.38				other	OPPS APC	188.38				other	OPPS APC	51.03				percent of total billed charges		52.05				percent of total billed charges		188.38				other	OPPS APC	51.03	188.38	
FUSION OP071	SUP-73-00072	CDM			272	RC		inpatient			188.38	188.38																																																			
CATHETER INFUSION CRAGG-MCNAMARA CRAGG MICROVALVE .035 IN L65 CM L5 CM OD4 FR 1 LUMEN RADIOPAQUE MARKER SIDEHOLE VALVE TIP	SUP-41034-01	CDM			270	RC		outpatient			188.22	188.22	50.99				percent of total billed charges		188.22				other	OPPS APC	139.28				percent of total billed charges		188.22				other	OPPS APC	188.22				other	OPPS APC	50.99				percent of total billed charges		52.01				percent of total billed charges		188.22				other	OPPS APC	50.99	188.22	
CATHETER INFUSION CRAGG-MCNAMARA CRAGG MICROVALVE .035 IN L65 CM L5 CM OD4 FR 1 LUMEN RADIOPAQUE MARKER SIDEHOLE VALVE TIP	SUP-41034-01	CDM			270	RC		inpatient			188.22	188.22																																																			
CATHETER INFUSION CRAGG-MCNAMARA CRAGG MICROVALVE L65 CM L10 CM OD4 FR 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .035 IN GUIDEWIRE	SUP-4103501_32441	CDM			270	RC		outpatient			188.22	188.22	50.99				percent of total billed charges		188.22				other	OPPS APC	139.28				percent of total billed charges		188.22				other	OPPS APC	188.22				other	OPPS APC	50.99				percent of total billed charges		52.01				percent of total billed charges		188.22				other	OPPS APC	50.99	188.22	
CATHETER INFUSION CRAGG-MCNAMARA CRAGG MICROVALVE L65 CM L10 CM OD4 FR 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .035 IN GUIDEWIRE	SUP-4103501_32441	CDM			270	RC		inpatient			188.22	188.22																																																			
CATHETER INFUSION CRAGG-MCNAMARA CRAGG MICROVALVE L100 CM L5 CM OD4 FR 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .035 IN GUIDEWIRE	SUP-41037-01	CDM			270	RC		outpatient			188.22	188.22	50.99				percent of total billed charges		188.22				other	OPPS APC	139.28				percent of total billed charges		188.22				other	OPPS APC	188.22				other	OPPS APC	50.99				percent of total billed charges		52.01				percent of total billed charges		188.22				other	OPPS APC	50.99	188.22	
CATHETER INFUSION CRAGG-MCNAMARA CRAGG MICROVALVE L100 CM L5 CM OD4 FR 1 LUMEN RADIOPAQUE VALVE TIP LARGE INNER DIAMETER ACCEPTS .035 IN GUIDEWIRE	SUP-41037-01	CDM			270	RC		inpatient			188.22	188.22																																																			
CATHETER INFUSION CRAGG-MCNAMARA CRAGG-MICROVALVE L135 CM L20 CM OD4 FR 1 LUMEN RADIOPAQUE SIDEHOLE VALVE TIP ACCEPTS .035 IN GUIDEWIRE	SUP-4104201_66888	CDM			270	RC		outpatient			188.22	188.22	50.99				percent of total billed charges		188.22				other	OPPS APC	139.28				percent of total billed charges		188.22				other	OPPS APC	188.22				other	OPPS APC	50.99				percent of total billed charges		52.01				percent of total billed charges		188.22				other	OPPS APC	50.99	188.22	
CATHETER INFUSION CRAGG-MCNAMARA CRAGG-MICROVALVE L135 CM L20 CM OD4 FR 1 LUMEN RADIOPAQUE SIDEHOLE VALVE TIP ACCEPTS .035 IN GUIDEWIRE	SUP-4104201_66888	CDM			270	RC		inpatient			188.22	188.22																																																			
CATHETER INFUSION CRAGG-MCNAMARA .038 IN L100 CM L40 CM OD5 FR 1 LUMEN RADIOPAQUE VALVE TIP	SUP-41053-01	CDM			270	RC		outpatient			188.22	188.22	50.99				percent of total billed charges		188.22				other	OPPS APC	139.28				percent of total billed charges		188.22				other	OPPS APC	188.22				other	OPPS APC	50.99				percent of total billed charges		52.01				percent of total billed charges		188.22				other	OPPS APC	50.99	188.22	
CATHETER INFUSION CRAGG-MCNAMARA .038 IN L100 CM L40 CM OD5 FR 1 LUMEN RADIOPAQUE VALVE TIP	SUP-41053-01	CDM			270	RC		inpatient			188.22	188.22																																																			
CATHETER INFUSION CRAGG-MCNAMARA L100 CM L50 CM OD5 FR 1 LUMEN RADIOPAQUE VALVE TIP	SUP-41054-01	CDM			270	RC		outpatient			188.22	188.22	50.99				percent of total billed charges		188.22				other	OPPS APC	139.28				percent of total billed charges		188.22				other	OPPS APC	188.22				other	OPPS APC	50.99				percent of total billed charges		52.01				percent of total billed charges		188.22				other	OPPS APC	50.99	188.22	
CATHETER INFUSION CRAGG-MCNAMARA L100 CM L50 CM OD5 FR 1 LUMEN RADIOPAQUE VALVE TIP	SUP-41054-01	CDM			270	RC		inpatient			188.22	188.22																																																			
GUIDE - JL4 (BS)	SUP-99-00968	CDM			272	RC		outpatient			188.12	188.12	50.96				percent of total billed charges		188.12				other	OPPS APC	139.21				percent of total billed charges		188.12				other	OPPS APC	188.12				other	OPPS APC	50.96				percent of total billed charges		51.98				percent of total billed charges		188.12				other	OPPS APC	50.96	188.12	
GUIDE - JL4 (BS)	SUP-99-00968	CDM			272	RC		inpatient			188.12	188.12																																																			
GUIDE - AL 1 (BS)	SUP-99-01077	CDM			272	RC		outpatient			188.12	188.12	50.96				percent of total billed charges		188.12				other	OPPS APC	139.21				percent of total billed charges		188.12				other	OPPS APC	188.12				other	OPPS APC	50.96				percent of total billed charges		51.98				percent of total billed charges		188.12				other	OPPS APC	50.96	188.12	
GUIDE - AL 1 (BS)	SUP-99-01077	CDM			272	RC		inpatient			188.12	188.12																																																			
GUIDE - 5F JL3.5 (BS)	SUP-99-01578	CDM			272	RC		outpatient			188.12	188.12	50.96				percent of total billed charges		188.12				other	OPPS APC	139.21				percent of total billed charges		188.12				other	OPPS APC	188.12				other	OPPS APC	50.96				percent of total billed charges		51.98				percent of total billed charges		188.12				other	OPPS APC	50.96	188.12	
GUIDE - 5F JL3.5 (BS)	SUP-99-01578	CDM			272	RC		inpatient			188.12	188.12																																																			
GUIDE - 5F JL4  (BS)	SUP-99-01580	CDM			272	RC		outpatient			188.12	188.12	50.96				percent of total billed charges		188.12				other	OPPS APC	139.21				percent of total billed charges		188.12				other	OPPS APC	188.12				other	OPPS APC	50.96				percent of total billed charges		51.98				percent of total billed charges		188.12				other	OPPS APC	50.96	188.12	
GUIDE - 5F JL4  (BS)	SUP-99-01580	CDM			272	RC		inpatient			188.12	188.12																																																			
HC Molecular Cytogenetics;Dna Probe Each	PX-300882710	CDM	88271	CPT	300	RC		outpatient			188	21.42	28.64				fee schedule		21.42				fee schedule		56.87				fee schedule		21.42				fee schedule		21.42				fee schedule		21.42				fee schedule		21.42				fee schedule		21.42				fee schedule		21.42	56.87	
HC Molecular Cytogenetics;Dna Probe Each	PX-300882710	CDM	88271	CPT	300	RC		inpatient			188	188																																																			
HC Bd Mammo Diag Digital 2d Bilat	PX-401002050	CDM	77066	CPT	401	RC		outpatient			188	111.17	47				fee schedule		111.17				fee schedule		258.36				fee schedule		111.17				fee schedule		111.17				fee schedule		158.4				fee schedule		111.17				fee schedule		111.17				fee schedule		47	258.36	
HC Bd Mammo Diag Digital 2d Bilat	PX-401002050	CDM	77066	CPT	401	RC		inpatient			188	188																																																			
SYSTEM BONE CEMENT REVOLUTION FEMORAL MIX BREAKAWAY NOZZLE LATEX	SUP-0606563000	CDM			270	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SYSTEM BONE CEMENT REVOLUTION FEMORAL MIX BREAKAWAY NOZZLE LATEX	SUP-0606563000	CDM			270	RC		inpatient			188	188																																																			
SYSTEM DRAINAGE PLEUR-EVAC 2500 CC COLLECTION CHAMBER SELF SEAL SAMPLE PORT CONNECTOR STERILE LATEX FREE DISPOSABLE A-6000 CACTUS	SUP-11-00024	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SYSTEM DRAINAGE PLEUR-EVAC 2500 CC COLLECTION CHAMBER SELF SEAL SAMPLE PORT CONNECTOR STERILE LATEX FREE DISPOSABLE A-6000 CACTUS	SUP-11-00024	CDM			272	RC		inpatient			188	188																																																			
SUTURE SZ 2-0 SILK 623H	SUP-22-00009	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SUTURE SZ 2-0 SILK 623H	SUP-22-00009	CDM			272	RC		inpatient			188	188																																																			
TRACH CUFFLESS FENSTRATED 6CFN	SUP-31-00007	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
TRACH CUFFLESS FENSTRATED 6CFN	SUP-31-00007	CDM			272	RC		inpatient			188	188																																																			
TRACH CUFFLESS FENSTRATED 8CFN	SUP-31-00008	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
TRACH CUFFLESS FENSTRATED 8CFN	SUP-31-00008	CDM			272	RC		inpatient			188	188																																																			
TRACH PEDIATRIC 4.0	SUP-31-00046	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
TRACH PEDIATRIC 4.0	SUP-31-00046	CDM			272	RC		inpatient			188	188																																																			
ZIPWIRE STIFF ANGLED .35	SUP-70-00072	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
ZIPWIRE STIFF ANGLED .35	SUP-70-00072	CDM			272	RC		inpatient			188	188																																																			
DILATOR 8FR	SUP-70-00191	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
DILATOR 8FR	SUP-70-00191	CDM			272	RC		inpatient			188	188																																																			
DISPOSABLE CORE BIOPSY INSTRUMENT	SUP-70-00245	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
DISPOSABLE CORE BIOPSY INSTRUMENT	SUP-70-00245	CDM			272	RC		inpatient			188	188																																																			
SCREW HT X-DRIVE 2.0 X 15MM	SUP-71-00185	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SCREW HT X-DRIVE 2.0 X 15MM	SUP-71-00185	CDM			272	RC		inpatient			188	188																																																			
SCREW HT SDX-DR 1.5X5MM	SUP-71-00192	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HT SDX-DR 1.5X5MM	SUP-71-00192	CDM			278	RC		inpatient			188	188																																																			
SCREW HT SDX-DR 1.5X6MM	SUP-71-00193	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HT SDX-DR 1.5X6MM	SUP-71-00193	CDM			278	RC		inpatient			188	188																																																			
SCREW HTX-DR 1.5X9MM	SUP-71-00195	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HTX-DR 1.5X9MM	SUP-71-00195	CDM			278	RC		inpatient			188	188																																																			
SCREW HTX-DR 1.5X11MM	SUP-71-00196	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HTX-DR 1.5X11MM	SUP-71-00196	CDM			278	RC		inpatient			188	188																																																			
SCREW HTX-DR 1.5X13MM	SUP-71-00197	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HTX-DR 1.5X13MM	SUP-71-00197	CDM			278	RC		inpatient			188	188																																																			
SCREW HTX-DR 1.5X15MM	SUP-71-00198	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HTX-DR 1.5X15MM	SUP-71-00198	CDM			278	RC		inpatient			188	188																																																			
SCREW HTX-DR 1.8X5MM	SUP-71-00199	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HTX-DR 1.8X5MM	SUP-71-00199	CDM			278	RC		inpatient			188	188																																																			
SCREW HTX-DR 1.8X7MM	SUP-71-00200	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW HTX-DR 1.8X7MM	SUP-71-00200	CDM			278	RC		inpatient			188	188																																																			
DISSOLVABLE DRESSING SINU-KNIT	SUP-72-00060	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
DISSOLVABLE DRESSING SINU-KNIT	SUP-72-00060	CDM			272	RC		inpatient			188	188																																																			
DEXTRUS FIXED LENGTH ACES RETRACTOR-MED	SUP-74-00115	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
DEXTRUS FIXED LENGTH ACES RETRACTOR-MED	SUP-74-00115	CDM			272	RC		inpatient			188	188																																																			
ENDO APPLICATOR FOR SURGIFLO	SUP-74-00420	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
ENDO APPLICATOR FOR SURGIFLO	SUP-74-00420	CDM			272	RC		inpatient			188	188																																																			
GRAFT HERNIA 6 X 6 (0112720)	SUP-75-00150	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
GRAFT HERNIA 6 X 6 (0112720)	SUP-75-00150	CDM			278	RC		inpatient			188	188																																																			
RETRIEVER ENDOPOUCH	SUP-76-00119	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
RETRIEVER ENDOPOUCH	SUP-76-00119	CDM			272	RC		inpatient			188	188																																																			
TUNNELER SHEATH BLUE BULLET	SUP-76-00156	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
TUNNELER SHEATH BLUE BULLET	SUP-76-00156	CDM			272	RC		inpatient			188	188																																																			
ANKLE DISTRACTOR FOOT STRAP	SUP-78-00259	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
ANKLE DISTRACTOR FOOT STRAP	SUP-78-00259	CDM			272	RC		inpatient			188	188																																																			
CEMENT PALACOS R	SUP-78-00319	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
CEMENT PALACOS R	SUP-78-00319	CDM			278	RC		inpatient			188	188																																																			
VACUUM SET	SUP-95-00531	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
VACUUM SET	SUP-95-00531	CDM			272	RC		inpatient			188	188																																																			
COVER  EYE GUARD DISPOSABLE	SUP-95-01154	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
COVER  EYE GUARD DISPOSABLE	SUP-95-01154	CDM			272	RC		inpatient			188	188																																																			
NEEDLE  SPINAL 25GX1 1/2	SUP-95-01200	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
NEEDLE  SPINAL 25GX1 1/2	SUP-95-01200	CDM			272	RC		inpatient			188	188																																																			
DRESSING OPTIFOAM 4X4 NONADH	SUP-95-03421	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
DRESSING OPTIFOAM 4X4 NONADH	SUP-95-03421	CDM			272	RC		inpatient			188	188																																																			
KWIRE 1.4	SUP-95-04817	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
KWIRE 1.4	SUP-95-04817	CDM			278	RC		inpatient			188	188																																																			
ALISTRAP 1.5X30 (OR/XRAY)	SUP-97-00127	CDM			271	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
ALISTRAP 1.5X30 (OR/XRAY)	SUP-97-00127	CDM			271	RC		inpatient			188	188																																																			
ASPIRATOR KIT	SUP-97-00365	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
ASPIRATOR KIT	SUP-97-00365	CDM			272	RC		inpatient			188	188																																																			
SURGICAL SNOW 1 X 2 SMALL	SUP-97-00689	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SURGICAL SNOW 1 X 2 SMALL	SUP-97-00689	CDM			272	RC		inpatient			188	188																																																			
1.6MM COMPRESSION WIRE 15MM THREAD	SUP-97-01169	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
1.6MM COMPRESSION WIRE 15MM THREAD	SUP-97-01169	CDM			278	RC		inpatient			188	188																																																			
SCREW 2.7MM METASEAL SCR SLF TPNWT8 14MM	SUP-97-01954	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW 2.7MM METASEAL SCR SLF TPNWT8 14MM	SUP-97-01954	CDM			278	RC		inpatient			188	188																																																			
SCREW 2.7MM METAPHYSEAL SLF TPNWT8 18MM	SUP-97-01956	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
SCREW 2.7MM METAPHYSEAL SLF TPNWT8 18MM	SUP-97-01956	CDM			278	RC		inpatient			188	188																																																			
THREADED ROD 200MM	SUP-97-03809	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
THREADED ROD 200MM	SUP-97-03809	CDM			278	RC		inpatient			188	188																																																			
THREADED ROD LENGTH 150MM	SUP-97-04179	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
THREADED ROD LENGTH 150MM	SUP-97-04179	CDM			278	RC		inpatient			188	188																																																			
WASHER FOR 4 - 8MM SCREW	SUP-97-05875	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
WASHER FOR 4 - 8MM SCREW	SUP-97-05875	CDM			278	RC		inpatient			188	188																																																			
K-WIRE 1.6 X 100 THREADED TIP 10/PK	SUP-97-06235	CDM			278	RC		outpatient			188	188	188				fee schedule		188				other	OPPS APC	107.16				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	92.12				percent of total billed charges		95.88				percent of total billed charges		188				other	OPPS APC	92.12	188	
K-WIRE 1.6 X 100 THREADED TIP 10/PK	SUP-97-06235	CDM			278	RC		inpatient			188	188																																																			
DRIVER UNIVERSAL QC T-20	SUP-97-23678	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
DRIVER UNIVERSAL QC T-20	SUP-97-23678	CDM			272	RC		inpatient			188	188																																																			
CATHETER - SWAN GANZ S TIP MONITORING	SUP-99-00150	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
CATHETER - SWAN GANZ S TIP MONITORING	SUP-99-00150	CDM			272	RC		inpatient			188	188																																																			
SHEATH - SAFESHEATH 7F 13CM	SUP-99-00161	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - SAFESHEATH 7F 13CM	SUP-99-00161	CDM			272	RC		inpatient			188	188																																																			
SHEATH - SAFESHEATH 9F 13CM	SUP-99-00163	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - SAFESHEATH 9F 13CM	SUP-99-00163	CDM			272	RC		inpatient			188	188																																																			
GUIDEWIRE-GLIDE SPLASH .018X150 ANGLED	SUP-99-00202	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDEWIRE-GLIDE SPLASH .018X150 ANGLED	SUP-99-00202	CDM			272	RC		inpatient			188	188																																																			
GUIDE - IM (CORDIS)	SUP-99-00435	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - IM (CORDIS)	SUP-99-00435	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XB 3.5	SUP-99-00440	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XB 3.5	SUP-99-00440	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XB 3	SUP-99-00451	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XB 3	SUP-99-00451	CDM			272	RC		inpatient			188	188																																																			
GUIDE - JR4	SUP-99-00452	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - JR4	SUP-99-00452	CDM			272	RC		inpatient			188	188																																																			
GUIDE - JR4 SH	SUP-99-00508	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - JR4 SH	SUP-99-00508	CDM			272	RC		inpatient			188	188																																																			
GUIDE - MPA 1	SUP-99-00509	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - MPA 1	SUP-99-00509	CDM			272	RC		inpatient			188	188																																																			
GUIDE - AL 1	SUP-99-00640	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - AL 1	SUP-99-00640	CDM			272	RC		inpatient			188	188																																																			
GUIDE - LCB	SUP-99-00758	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - LCB	SUP-99-00758	CDM			272	RC		inpatient			188	188																																																			
CATHETER - VERTEBRAL 4F	SUP-99-00811	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
CATHETER - VERTEBRAL 4F	SUP-99-00811	CDM			272	RC		inpatient			188	188																																																			
GUIDE - AL 2	SUP-99-01006	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - AL 2	SUP-99-01006	CDM			272	RC		inpatient			188	188																																																			
GUIDE - JR5	SUP-99-01007	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - JR5	SUP-99-01007	CDM			272	RC		inpatient			188	188																																																			
SHEATH - FLEXOR 45CM 6F	SUP-99-01009	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - FLEXOR 45CM 6F	SUP-99-01009	CDM			272	RC		inpatient			188	188																																																			
GUIDE - 3DRC	SUP-99-01015	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - 3DRC	SUP-99-01015	CDM			272	RC		inpatient			188	188																																																			
SHEATH - FLEXOR 45CM 7F	SUP-99-01292	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - FLEXOR 45CM 7F	SUP-99-01292	CDM			272	RC		inpatient			188	188																																																			
SHEATH - OPTISEAL 8F 13CM	SUP-99-01516	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - OPTISEAL 8F 13CM	SUP-99-01516	CDM			272	RC		inpatient			188	188																																																			
SHEATH - OPTISEAL 9F 13CM	SUP-99-01517	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - OPTISEAL 9F 13CM	SUP-99-01517	CDM			272	RC		inpatient			188	188																																																			
GUIDE - AR 2 SH	SUP-99-03289	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - AR 2 SH	SUP-99-03289	CDM			272	RC		inpatient			188	188																																																			
SHEATH - SAFESHEATH 10.5 F 13CM	SUP-99-03780	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
SHEATH - SAFESHEATH 10.5 F 13CM	SUP-99-03780	CDM			272	RC		inpatient			188	188																																																			
GUIDE - JL3.5 (CORDIS)	SUP-99-04028	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - JL3.5 (CORDIS)	SUP-99-04028	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 3.5 7F	SUP-99-04527	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 3.5 7F	SUP-99-04527	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 4.0 7F	SUP-99-04528	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 4.0 7F	SUP-99-04528	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 4.5 7F	SUP-99-04529	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 4.5 7F	SUP-99-04529	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 3.0 6F	SUP-99-04530	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 3.0 6F	SUP-99-04530	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 3.5 6F	SUP-99-04531	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 3.5 6F	SUP-99-04531	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 4.0 6F	SUP-99-04532	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 4.0 6F	SUP-99-04532	CDM			272	RC		inpatient			188	188																																																			
GUIDE - XBLAD 4.5 6F	SUP-99-04533	CDM			272	RC		outpatient			188	188	50.93				percent of total billed charges		188				other	OPPS APC	139.12				percent of total billed charges		188				other	OPPS APC	188				other	OPPS APC	50.93				percent of total billed charges		51.94				percent of total billed charges		188				other	OPPS APC	50.93	188	
GUIDE - XBLAD 4.5 6F	SUP-99-04533	CDM			272	RC		inpatient			188	188																																																			
CPT PODIATRY PACK	SUP-84-00020	CDM			272	RC		outpatient			187.74	187.74	50.86				percent of total billed charges		187.74				other	OPPS APC	138.93				percent of total billed charges		187.74				other	OPPS APC	187.74				other	OPPS APC	50.86				percent of total billed charges		51.87				percent of total billed charges		187.74				other	OPPS APC	50.86	187.74	
CPT PODIATRY PACK	SUP-84-00020	CDM			272	RC		inpatient			187.74	187.74																																																			
"NALOXONE 4 MG/ACTUATION SPRAY,NON-AEROSOL"	637000000	CDM	69547-353-02	NDC	A9270	HCPCS		inpatient			187.5	187.5																																																			
"NALOXONE 4 MG/ACTUATION SPRAY,NON-AEROSOL"	637000000	CDM	69547-353-02	NDC	A9270	HCPCS		outpatient			187.5	187.5																																															other	OPPS APC			
PIN HALF APEX HOFFMANN II STAINLESS STEEL MICRO L45 MM L12 MM OD1.65 MM SELF DRILL SELF TAP THREAD	SUP-5080-1-612	CDM	270010022	LOCAL	270	RC		outpatient			187.2	187.2	50.71				percent of total billed charges		187.2				other	OPPS APC	138.53				percent of total billed charges		187.2				other	OPPS APC	187.2				other	OPPS APC	50.71				percent of total billed charges		51.72				percent of total billed charges		187.2				other	OPPS APC	50.71	187.2	
PIN HALF APEX HOFFMANN II STAINLESS STEEL MICRO L45 MM L12 MM OD1.65 MM SELF DRILL SELF TAP THREAD	SUP-5080-1-612	CDM	270010022	LOCAL	270	RC		inpatient			187.2	187.2																																																			
PIN HALF HOFFMANN II APEX STAINLESS STEEL MICRO L45 MM L12 MM OD2 MM SELF DRILLING SELF TAPPING	SUP-5080-2-012	CDM	270010022	LOCAL	270	RC		outpatient			187.2	187.2	50.71				percent of total billed charges		187.2				other	OPPS APC	138.53				percent of total billed charges		187.2				other	OPPS APC	187.2				other	OPPS APC	50.71				percent of total billed charges		51.72				percent of total billed charges		187.2				other	OPPS APC	50.71	187.2	
PIN HALF HOFFMANN II APEX STAINLESS STEEL MICRO L45 MM L12 MM OD2 MM SELF DRILLING SELF TAPPING	SUP-5080-2-012	CDM	270010022	LOCAL	270	RC		inpatient			187.2	187.2																																																			
SCREW SET CD HORIZON SEXTANT II STAINLESS STEEL SPINE PEDICLE BREAKOFF ROD INSERTION	SUP-7570955	CDM	270010020	LOCAL	270	RC		outpatient			187.2	187.2	50.71				percent of total billed charges		187.2				other	OPPS APC	138.53				percent of total billed charges		187.2				other	OPPS APC	187.2				other	OPPS APC	50.71				percent of total billed charges		51.72				percent of total billed charges		187.2				other	OPPS APC	50.71	187.2	
SCREW SET CD HORIZON SEXTANT II STAINLESS STEEL SPINE PEDICLE BREAKOFF ROD INSERTION	SUP-7570955	CDM	270010020	LOCAL	270	RC		inpatient			187.2	187.2																																																			
"AMINO ACID 8 % IN D14W (CLINIMIX) 8-14 % PARENTERAL SOLUTION 1,000 ML BAG"	250000000	CDM	0338-0180-01	NDC				inpatient			187.08	187.08																																																			
"AMINO ACID 8 % IN D14W (CLINIMIX) 8-14 % PARENTERAL SOLUTION 1,000 ML BAG"	250000000	CDM	0338-0180-01	NDC				outpatient			187.08	187.08																																															other	OPPS APC			
HC Tissue Culture Neoplastic Disorders;Bone Marrow  Blood Cells	PX-300882370	CDM	88237	CPT	300	RC		outpatient			187.05	143.75	168.87				fee schedule		143.75				fee schedule		335.29				fee schedule		143.75				fee schedule		143.75				fee schedule		143.75				fee schedule		143.75				fee schedule		143.75				fee schedule		143.75	335.29	
HC Tissue Culture Neoplastic Disorders;Bone Marrow  Blood Cells	PX-300882370	CDM	88237	CPT	300	RC		inpatient			187.05	187.05																																																			
HC Viral Hepatitis Study	PX-300800741	CDM	80074	CPT	300	RC		outpatient			187	47.63	63.45				fee schedule		47.63				fee schedule		126.43				fee schedule		47.63				fee schedule		47.63				fee schedule		47.63				fee schedule		47.63				fee schedule		47.63				fee schedule		47.63	126.43	
HC Viral Hepatitis Study	PX-300800741	CDM	80074	CPT	300	RC		inpatient			187	187																																																			
HC Antibody Titer (Abti)	PX-300868860	CDM	86886	CPT	302	RC		outpatient			187	165.62	6.92				fee schedule		165.62				other	OPPS APC	13.74				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	5.18				fee schedule		5.18				fee schedule		165.62				other	OPPS APC	5.18	165.62	
HC Antibody Titer (Abti)	PX-300868860	CDM	86886	CPT	302	RC		inpatient			187	187																																																			
HC Tx Burn Debrid Dress Par Thick <5%	PX-450160201	CDM	16020	CPT	450	RC		outpatient			187	19.19	195.77				case rate		190.19				other	OPPS APC	138.38				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		199.69				case rate		19.19				other	OPPS APC	19.19	199.69	
HC Tx Burn Debrid Dress Par Thick <5%	PX-450160201	CDM	16020	CPT	450	RC		inpatient			187	187																																																			
SUTURE ENDOSTITCH VLOC 90 3-0  VLOCM0224	SUP-95-05107	CDM						inpatient			186.84	186.84																																																			
SUTURE ENDOSTITCH VLOC 90 3-0  VLOCM0224	SUP-95-05107	CDM						outpatient			186.84	186.84	186.84				percent of total billed charges		186.84				other	OPPS APC	186.84				fee schedule		186.84				other	OPPS APC	186.84				other	OPPS APC	186.84				case rate		186.84				case rate		186.84				other	OPPS APC	186.84	186.84	
PLATE BONE LEVEL ONE TITANIUM SHORT CRANIOFACIAL 4 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-14-09	CDM			270	RC		outpatient			186.14	186.14	50.43				percent of total billed charges		186.14				other	OPPS APC	137.74				percent of total billed charges		186.14				other	OPPS APC	186.14				other	OPPS APC	50.43				percent of total billed charges		51.43				percent of total billed charges		186.14				other	OPPS APC	50.43	186.14	
PLATE BONE LEVEL ONE TITANIUM SHORT CRANIOFACIAL 4 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-14-09	CDM			270	RC		inpatient			186.14	186.14																																																			
HC Immuno Sendout	PX-300883420	CDM	88342	CPT	300	RC		outpatient			186	165.62	86.31				fee schedule		165.62				other	OPPS APC	78.59				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	91.14				percent of total billed charges		94.86				percent of total billed charges		165.62				other	OPPS APC	78.59	165.62	
HC Immuno Sendout	PX-300883420	CDM	88342	CPT	300	RC		inpatient			186	186																																																			
HC Immunoperoxidase Stain	PX-310883420	CDM	88342	CPT	310	RC		outpatient			186	165.62	86.31				fee schedule		165.62				other	OPPS APC	78.59				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	91.14				percent of total billed charges		94.86				percent of total billed charges		165.62				other	OPPS APC	78.59	165.62	
HC Immunoperoxidase Stain	PX-310883420	CDM	88342	CPT	310	RC		inpatient			186	186																																																			
HC Immunohistochemistry  Each Antibody	PX-310883422	CDM	88342	CPT	310	RC		outpatient			186	165.62	86.31				fee schedule		165.62				other	OPPS APC	78.59				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	91.14				percent of total billed charges		94.86				percent of total billed charges		165.62				other	OPPS APC	78.59	165.62	
HC Immunohistochemistry  Each Antibody	PX-310883422	CDM	88342	CPT	310	RC		inpatient			186	186																																																			
HC Tumor Ihc Quant or Semi Quant  Ea Antibody	PX-310883600	CDM	88360	CPT	312	RC		outpatient			186	165.62	106.57				fee schedule		165.62				other	OPPS APC	92.41				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	91.14				percent of total billed charges		94.86				percent of total billed charges		165.62				other	OPPS APC	91.14	165.62	
HC Tumor Ihc Quant or Semi Quant  Ea Antibody	PX-310883600	CDM	88360	CPT	312	RC		inpatient			186	186																																																			
HC Tumor Immunohistochem  Ea Ab  Manual	PX-312883602	CDM	88360	CPT	312	RC		outpatient			186	165.62	106.57				fee schedule		165.62				other	OPPS APC	92.41				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	91.14				percent of total billed charges		94.86				percent of total billed charges		165.62				other	OPPS APC	91.14	165.62	
HC Tumor Immunohistochem  Ea Ab  Manual	PX-312883602	CDM	88360	CPT	312	RC		inpatient			186	186																																																			
HC Scoliosis Series	PX-320720810	CDM	72081	CPT	320	RC		outpatient			186	91.5	91.14				percent of total billed charges		91.5				other	OPPS APC	98.7				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	42.76				fee schedule		30.27				fee schedule		91.5				other	OPPS APC	30.27	98.7	
HC Scoliosis Series	PX-320720810	CDM	72081	CPT	320	RC		inpatient			186	186																																																			
HC Xr Thor & Lum Spine Port 1 View	PX-320720811	CDM	72081	CPT	320	RC		outpatient			186	91.5	91.14				percent of total billed charges		91.5				other	OPPS APC	98.7				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	42.76				fee schedule		30.27				fee schedule		91.5				other	OPPS APC	30.27	98.7	
HC Xr Thor & Lum Spine Port 1 View	PX-320720811	CDM	72081	CPT	320	RC		inpatient			186	186																																																			
HC MC Bh Family Psychotherapy W/ Patient	PX-916908479	CDM	90847	CPT	916	RC		outpatient			186	153.45	106.54				fee schedule		153.45				other	OPPS APC	137.64				percent of total billed charges		153.45				other	OPPS APC	153.45				other	OPPS APC	97.82				fee schedule		94.86				percent of total billed charges		153.45				other	OPPS APC	94.86	153.45	
HC MC Bh Family Psychotherapy W/ Patient	PX-916908479	CDM	90847	CPT	916	RC		inpatient			186	186																																																			
GUIDEWIRE ORTHOPEDIC ASNIS III L300 MM L5 MM OD3.2 MM FEMUR HIP STERILE DISPOSABLE 6.5/8 MM SCREW	SUP-702462	CDM			270	RC		outpatient			186	186	50.39				percent of total billed charges		186				other	OPPS APC	137.64				percent of total billed charges		186				other	OPPS APC	186				other	OPPS APC	50.39				percent of total billed charges		51.39				percent of total billed charges		186				other	OPPS APC	50.39	186	
GUIDEWIRE ORTHOPEDIC ASNIS III L300 MM L5 MM OD3.2 MM FEMUR HIP STERILE DISPOSABLE 6.5/8 MM SCREW	SUP-702462	CDM			270	RC		inpatient			186	186																																																			
BATTERY BIOMET THINFLAP PLATING SYSTEM	SUP-72-1010	CDM			270	RC		outpatient			186	186	50.39				percent of total billed charges		186				other	OPPS APC	137.64				percent of total billed charges		186				other	OPPS APC	186				other	OPPS APC	50.39				percent of total billed charges		51.39				percent of total billed charges		186				other	OPPS APC	50.39	186	
BATTERY BIOMET THINFLAP PLATING SYSTEM	SUP-72-1010	CDM			270	RC		inpatient			186	186																																																			
TRAY CATHETER MAHURKAR L24 CM OD13.5 FR 2 LUMEN HIGH FLOW STRAIGHT EXTENSION STERILE HEMODIALYSIS	SUP-8888135247	CDM	270009212	LOCAL	270	RC		outpatient			186	186	50.39				percent of total billed charges		186				other	OPPS APC	137.64				percent of total billed charges		186				other	OPPS APC	186				other	OPPS APC	50.39				percent of total billed charges		51.39				percent of total billed charges		186				other	OPPS APC	50.39	186	
TRAY CATHETER MAHURKAR L24 CM OD13.5 FR 2 LUMEN HIGH FLOW STRAIGHT EXTENSION STERILE HEMODIALYSIS	SUP-8888135247	CDM	270009212	LOCAL	270	RC		inpatient			186	186																																																			
ESYSUIT MEDENVISION	SUP-US-ITEM02386	CDM			270	RC		outpatient			185.51	185.6	50.25				percent of total billed charges		185.51				other	OPPS APC	137.28				percent of total billed charges		185.51				other	OPPS APC	185.51				other	OPPS APC	50.25				percent of total billed charges		51.26				percent of total billed charges		185.6				other	OPPS APC	50.25	185.6	
ESYSUIT MEDENVISION	SUP-US-ITEM02386	CDM			270	RC		inpatient			185.51	185.51																																																			
CATHETER DRAINAGE BILIARY L40 CM OD16 FR .038 IN ULTRATHANE HYDROPHILIC	SUP-G09205	CDM			270	RC		outpatient			185.36	185.36	50.21				percent of total billed charges		185.36				other	OPPS APC	137.17				percent of total billed charges		185.36				other	OPPS APC	185.36				other	OPPS APC	50.21				percent of total billed charges		51.21				percent of total billed charges		185.36				other	OPPS APC	50.21	185.36	
CATHETER DRAINAGE BILIARY L40 CM OD16 FR .038 IN ULTRATHANE HYDROPHILIC	SUP-G09205	CDM			270	RC		inpatient			185.36	185.36																																																			
PUMPING SYSTEM  SINGLE ACTION	SUP-70-00118	CDM			272	RC		outpatient			185.3	185.31	50.2				percent of total billed charges		185.3				other	OPPS APC	137.12				percent of total billed charges		185.3				other	OPPS APC	185.3				other	OPPS APC	50.2				percent of total billed charges		51.2				percent of total billed charges		185.31				other	OPPS APC	50.2	185.31	
PUMPING SYSTEM  SINGLE ACTION	SUP-70-00118	CDM			272	RC		inpatient			185.3	185.3																																																			
KIT SUTURE VALVE IN-HOUSE CUSTOM	SUP-VALVE CUSTOM	CDM			270	RC		outpatient			185.02	185.21	50.12				percent of total billed charges		185.02				other	OPPS APC	136.91				percent of total billed charges		185.02				other	OPPS APC	185.02				other	OPPS APC	50.12				percent of total billed charges		51.12				percent of total billed charges		185.21				other	OPPS APC	50.12	185.21	
KIT SUTURE VALVE IN-HOUSE CUSTOM	SUP-VALVE CUSTOM	CDM			270	RC		inpatient			185.02	185.02																																																			
HC Sella Turcica	PX-320702400	CDM	70240	CPT	320	RC		outpatient			185	185	31.78				fee schedule		185				other	OPPS APC	63.3				fee schedule		185				other	OPPS APC	185				other	OPPS APC	33.07				fee schedule		23.95				fee schedule		185				other	OPPS APC	23.95	185	
HC Sella Turcica	PX-320702400	CDM	70240	CPT	320	RC		inpatient			185	185																																																			
HC New Pt Visit Level 4	PX-510992041	CDM	99204	HCPCS	510	RC		outpatient			185	127.29	169.66				case rate		130.65				fee schedule		101				case rate		130.65				fee schedule		130.65				fee schedule		169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC New Pt Visit Level 4	PX-510992041	CDM	99204	HCPCS	510	RC		inpatient			185	185																																																			
HC OP Visit New 90 Min or >	PX-510992050	CDM	99205	CPT	510	RC		outpatient			185	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit New 90 Min or >	PX-510992050	CDM	99205	CPT	510	RC		inpatient			185	185																																																			
HC New Pt Visit Level 5	PX-510992051	CDM	99205	HCPCS	510	RC		outpatient			185	177.41	169.66				case rate		177.41				fee schedule		101				case rate		177.41				fee schedule		177.41				fee schedule		169.66				case rate		173.05				case rate		177.41				fee schedule		101	177.41	
HC New Pt Visit Level 5	PX-510992051	CDM	99205	HCPCS	510	RC		inpatient			185	185																																																			
HC 60 Min. Indiv	PX-510994041	CDM	99404	CPT	510	RC		outpatient			185	185	169.66				case rate		185				other	OPPS APC	101				case rate		185				other	OPPS APC	185				fee schedule		169.66				case rate		173.05				case rate		185				other	OPPS APC	101	185	
HC 60 Min. Indiv	PX-510994041	CDM	99404	CPT	510	RC		inpatient			185	185																																																			
0.9 X 46MM DRILL 4MM STOP STRYKER END	SUP-6009504	CDM			270	RC		outpatient			184.8	184.81	50.06				percent of total billed charges		184.8				other	OPPS APC	136.75				percent of total billed charges		184.8				other	OPPS APC	184.8				other	OPPS APC	50.06				percent of total billed charges		51.06				percent of total billed charges		184.81				other	OPPS APC	50.06	184.81	
0.9 X 46MM DRILL 4MM STOP STRYKER END	SUP-6009504	CDM			270	RC		inpatient			184.8	184.8																																																			
1.0 X 50MM DRILL 6MM STOP STRYKER END	SUP-6010506	CDM			270	RC		outpatient			184.8	184.81	50.06				percent of total billed charges		184.8				other	OPPS APC	136.75				percent of total billed charges		184.8				other	OPPS APC	184.8				other	OPPS APC	50.06				percent of total billed charges		51.06				percent of total billed charges		184.81				other	OPPS APC	50.06	184.81	
1.0 X 50MM DRILL 6MM STOP STRYKER END	SUP-6010506	CDM			270	RC		inpatient			184.8	184.8																																																			
1.0 X 54MM DRILL 12MM STOP STRYKER END	SUP-6010512	CDM			270	RC		outpatient			184.8	184.81	50.06				percent of total billed charges		184.8				other	OPPS APC	136.75				percent of total billed charges		184.8				other	OPPS APC	184.8				other	OPPS APC	50.06				percent of total billed charges		51.06				percent of total billed charges		184.81				other	OPPS APC	50.06	184.81	
1.0 X 54MM DRILL 12MM STOP STRYKER END	SUP-6010512	CDM			270	RC		inpatient			184.8	184.8																																																			
Tray Central Line Triple 7fr X 20 Arrow	PX-278C17511	CDM			278	RC		outpatient			184.77	184.77	184.77				fee schedule		184.77				other	OPPS APC	105.32				percent of total billed charges		184.77				other	OPPS APC	184.77				other	OPPS APC	90.54				percent of total billed charges		94.23				percent of total billed charges		184.77				other	OPPS APC	90.54	184.77	
Tray Central Line Triple 7fr X 20 Arrow	PX-278C17511	CDM			278	RC		inpatient			184.77	184.77																																																			
SHEATH GUIDING FLEXOR CHECK-FLO MULTIPURPOSE CURVE 90CM 6FR 2.2MM ACCEPTS .018/.038IN GUIDEWIRE	SUP-KCFW6.0183890RBANL1H	CDM			270	RC		outpatient			184.4	184.41	49.95				percent of total billed charges		184.4				other	OPPS APC	136.46				percent of total billed charges		184.4				other	OPPS APC	184.4				other	OPPS APC	49.95				percent of total billed charges		50.95				percent of total billed charges		184.41				other	OPPS APC	49.95	184.41	
SHEATH GUIDING FLEXOR CHECK-FLO MULTIPURPOSE CURVE 90CM 6FR 2.2MM ACCEPTS .018/.038IN GUIDEWIRE	SUP-KCFW6.0183890RBANL1H	CDM			270	RC		inpatient			184.4	184.4																																																			
RING RETRACTOR LONE STAR NORYL PLASTIC L32.5 CM X W18.3 CM SELF RETAIN 2 CATHETER CLIP STERILE LATEX FREE DISPOSABLE	SUP-3304G	CDM			270	RC		outpatient			184.36	184.36	49.94				percent of total billed charges		184.36				other	OPPS APC	136.43				percent of total billed charges		184.36				other	OPPS APC	184.36				other	OPPS APC	49.94				percent of total billed charges		50.94				percent of total billed charges		184.36				other	OPPS APC	49.94	184.36	
RING RETRACTOR LONE STAR NORYL PLASTIC L32.5 CM X W18.3 CM SELF RETAIN 2 CATHETER CLIP STERILE LATEX FREE DISPOSABLE	SUP-3304G	CDM			270	RC		inpatient			184.36	184.36																																																			
RING RETRACTOR LONE STAR NORYL PLASTIC L14.1 CM X W14.1 CM 2 PEEL POUCH SELF RETAINING FLEXIBLE LIGHTWEIGHT ELASTIC STAY STERILE LATEX FREE DISPOSABLE	SUP-3307G	CDM			270	RC		outpatient			184.36	184.36	49.94				percent of total billed charges		184.36				other	OPPS APC	136.43				percent of total billed charges		184.36				other	OPPS APC	184.36				other	OPPS APC	49.94				percent of total billed charges		50.94				percent of total billed charges		184.36				other	OPPS APC	49.94	184.36	
RING RETRACTOR LONE STAR NORYL PLASTIC L14.1 CM X W14.1 CM 2 PEEL POUCH SELF RETAINING FLEXIBLE LIGHTWEIGHT ELASTIC STAY STERILE LATEX FREE DISPOSABLE	SUP-3307G	CDM			270	RC		inpatient			184.36	184.36																																																			
DEVICE INFLATION ACCLARENT SE TUBE PRESSURE GAUGE VACUUM LINE DISPOSABLE BLUE BALLOON SINUPLASTY	SUP-SEID	CDM	270010000	LOCAL	270	RC		outpatient			184.28	184.28	49.92				percent of total billed charges		184.28				other	OPPS APC	136.37				percent of total billed charges		184.28				other	OPPS APC	184.28				other	OPPS APC	49.92				percent of total billed charges		50.92				percent of total billed charges		184.28				other	OPPS APC	49.92	184.28	
DEVICE INFLATION ACCLARENT SE TUBE PRESSURE GAUGE VACUUM LINE DISPOSABLE BLUE BALLOON SINUPLASTY	SUP-SEID	CDM	270010000	LOCAL	270	RC		inpatient			184.28	184.28																																																			
MIC-KEY LOW PROFILE GASTROSTOMY FEEDING 12FR 2.5CM STOMA	SUP-0120-12-2.5	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
MIC-KEY LOW PROFILE GASTROSTOMY FEEDING 12FR 2.5CM STOMA	SUP-0120-12-2.5	CDM			270	RC		inpatient			184.08	184.08																																																			
MIC-KEY LOW PROFILE GASTROSTOMY FEEDING 12FR 4.0CM STOMA	SUP-0120-12-4.0	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
MIC-KEY LOW PROFILE GASTROSTOMY FEEDING 12FR 4.0CM STOMA	SUP-0120-12-4.0	CDM			270	RC		inpatient			184.08	184.08																																																			
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 2CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-2.0	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 2CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-2.0	CDM			270	RC		inpatient			184.08	184.08																																																			
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 2.5CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-2.5	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 2.5CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-2.5	CDM			270	RC		inpatient			184.08	184.08																																																			
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 3CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-3.0	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 3CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-3.0	CDM			270	RC		inpatient			184.08	184.08																																																			
KIT GASTROSTOMY MIC-KEY SECUR-LOK TAPER 3.5CM 20FR 5ML SILICONE STERILE ENTERAL FEEDING TUBE RADIOPAQUE LOW PROFILE DEHP	SUP-8140-20-3.5	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
KIT GASTROSTOMY MIC-KEY SECUR-LOK TAPER 3.5CM 20FR 5ML SILICONE STERILE ENTERAL FEEDING TUBE RADIOPAQUE LOW PROFILE DEHP	SUP-8140-20-3.5	CDM			270	RC		inpatient			184.08	184.08																																																			
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 4CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-4.0	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 4CM 20FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-20-4.0	CDM			270	RC		inpatient			184.08	184.08																																																			
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 2.5CM 24FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-24-2.5	CDM			270	RC		outpatient			184.08	184.81	49.87				percent of total billed charges		184.08				other	OPPS APC	136.22				percent of total billed charges		184.08				other	OPPS APC	184.08				other	OPPS APC	49.87				percent of total billed charges		50.86				percent of total billed charges		184.81				other	OPPS APC	49.87	184.81	
BUTTON GASTROSTOMY MIC-KEY SECUR-LOK 2.5CM 24FR 5ML SILICONE DISPOSABLE STERILE LF ENTERAL RADIOPAQUE LOW PROFILE TAPER	SUP-8140-24-2.5	CDM			270	RC		inpatient			184.08	184.08																																																			
SHEATH GUIDING PINNACLE DESTINATION STAINLESS STEEL PTFE NYLON HYDROPHILIC STRAIGHT L90 CM L60 CM OD8 FR RADIOPAQUE CROSS CUT VALVE	SUP-54-89001	CDM			270	RC		outpatient			184	184	49.85				percent of total billed charges		184				other	OPPS APC	136.16				percent of total billed charges		184				other	OPPS APC	184				other	OPPS APC	49.85				percent of total billed charges		50.84				percent of total billed charges		184				other	OPPS APC	49.85	184	
SHEATH GUIDING PINNACLE DESTINATION STAINLESS STEEL PTFE NYLON HYDROPHILIC STRAIGHT L90 CM L60 CM OD8 FR RADIOPAQUE CROSS CUT VALVE	SUP-54-89001	CDM			270	RC		inpatient			184	184																																																			
GUIDEWIRE ORTHOPEDIC SEXTANT TITANIUM SPINE BLUNT INSTRUMENT DISPOSABLE ROD INSERTION SYSTEM	SUP-8670001	CDM	270010020	LOCAL	270	RC		outpatient			184	184	49.85				percent of total billed charges		184				other	OPPS APC	136.16				percent of total billed charges		184				other	OPPS APC	184				other	OPPS APC	49.85				percent of total billed charges		50.84				percent of total billed charges		184				other	OPPS APC	49.85	184	
GUIDEWIRE ORTHOPEDIC SEXTANT TITANIUM SPINE BLUNT INSTRUMENT DISPOSABLE ROD INSERTION SYSTEM	SUP-8670001	CDM	270010020	LOCAL	270	RC		inpatient			184	184																																																			
GUIDEWIRE ORTHOPEDIC CD HORIZON TITANIUM SPINE SHARP DISPOSABLE ROD INSERTION SYSTEM	SUP-8670002	CDM	270010020	LOCAL	270	RC		outpatient			184	184	49.85				percent of total billed charges		184				other	OPPS APC	136.16				percent of total billed charges		184				other	OPPS APC	184				other	OPPS APC	49.85				percent of total billed charges		50.84				percent of total billed charges		184				other	OPPS APC	49.85	184	
GUIDEWIRE ORTHOPEDIC CD HORIZON TITANIUM SPINE SHARP DISPOSABLE ROD INSERTION SYSTEM	SUP-8670002	CDM	270010020	LOCAL	270	RC		inpatient			184	184																																																			
CANNULA BUTTON PASSPORT 10MM ID X 4CM	SUP-97-03551	CDM			278	RC		outpatient			184	184	184				fee schedule		184				other	OPPS APC	104.88				percent of total billed charges		184				other	OPPS APC	184				other	OPPS APC	90.16				percent of total billed charges		93.84				percent of total billed charges		184				other	OPPS APC	90.16	184	
CANNULA BUTTON PASSPORT 10MM ID X 4CM	SUP-97-03551	CDM			278	RC		inpatient			184	184																																																			
GUIDEWIRE - GLIDEWIRE .035X260 1.5MM J	SUP-99-03169	CDM			272	RC		outpatient			184	184	49.85				percent of total billed charges		184				other	OPPS APC	136.16				percent of total billed charges		184				other	OPPS APC	184				other	OPPS APC	49.85				percent of total billed charges		50.84				percent of total billed charges		184				other	OPPS APC	49.85	184	
GUIDEWIRE - GLIDEWIRE .035X260 1.5MM J	SUP-99-03169	CDM			272	RC		inpatient			184	184																																																			
SHEATH GUIDING PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL HYDROPHILIC STRAIGHT L90 CM L15 CM OD7 FR ODSEC.122 IN ID.101 IN RADIOPAQUE CROSS CUT VALVE	SUP-RSC06	CDM			270	RC		outpatient			184	184	49.85				percent of total billed charges		184				other	OPPS APC	136.16				percent of total billed charges		184				other	OPPS APC	184				other	OPPS APC	49.85				percent of total billed charges		50.84				percent of total billed charges		184				other	OPPS APC	49.85	184	
SHEATH GUIDING PINNACLE DESTINATION TUOHY-BORST STAINLESS STEEL HYDROPHILIC STRAIGHT L90 CM L15 CM OD7 FR ODSEC.122 IN ID.101 IN RADIOPAQUE CROSS CUT VALVE	SUP-RSC06	CDM			270	RC		inpatient			184	184																																																			
THREADED ROD 60MM	SUP-97-03810	CDM			278	RC		outpatient			183.68	183.68	183.68				fee schedule		183.68				other	OPPS APC	104.7				percent of total billed charges		183.68				other	OPPS APC	183.68				other	OPPS APC	90				percent of total billed charges		93.68				percent of total billed charges		183.68				other	OPPS APC	90	183.68	
THREADED ROD 60MM	SUP-97-03810	CDM			278	RC		inpatient			183.68	183.68																																																			
THREADED ROD-LENGTH: 80MM	SUP-97-23685	CDM			278	RC		outpatient			183.68	183.68	183.68				fee schedule		183.68				other	OPPS APC	104.7				percent of total billed charges		183.68				other	OPPS APC	183.68				other	OPPS APC	90				percent of total billed charges		93.68				percent of total billed charges		183.68				other	OPPS APC	90	183.68	
THREADED ROD-LENGTH: 80MM	SUP-97-23685	CDM			278	RC		inpatient			183.68	183.68																																																			
SET TUBING AIRSEAL ACTIVATE CHARCOAL 3 LUMEN FILTER STERILE LATEX FREE DISPOSABLE	SUP-ASM-EVAC1	CDM			270	RC		outpatient			183.68	183.68	49.76				percent of total billed charges		183.68				other	OPPS APC	135.92				percent of total billed charges		183.68				other	OPPS APC	183.68				other	OPPS APC	49.76				percent of total billed charges		50.75				percent of total billed charges		183.68				other	OPPS APC	49.76	183.68	
SET TUBING AIRSEAL ACTIVATE CHARCOAL 3 LUMEN FILTER STERILE LATEX FREE DISPOSABLE	SUP-ASM-EVAC1	CDM			270	RC		inpatient			183.68	183.68																																																			
PORT ACCESS AIRSEAL L120 MM OD12 MM 2 WALL CANNULA PALM GRIP OBTURATOR BLADELESS OPTICAL TIP VALVELESS TROCAR	SUP-IAS12-120LPI	CDM			270	RC		outpatient			183.68	183.68	49.76				percent of total billed charges		183.68				other	OPPS APC	135.92				percent of total billed charges		183.68				other	OPPS APC	183.68				other	OPPS APC	49.76				percent of total billed charges		50.75				percent of total billed charges		183.68				other	OPPS APC	49.76	183.68	
PORT ACCESS AIRSEAL L120 MM OD12 MM 2 WALL CANNULA PALM GRIP OBTURATOR BLADELESS OPTICAL TIP VALVELESS TROCAR	SUP-IAS12-120LPI	CDM			270	RC		inpatient			183.68	183.68																																																			
RETRIEVER ENDOSCOPIC RESCUENET PROMESH OMNILOOP L5.5 CM X W3CM L230CM OD2.5MM RETRIEVAL NET FOREIGN BODY REMOVAL GREATER VISIBILITY ULTRA STRONG BLUE	SUP-DGN-538-5	CDM			270	RC		outpatient			183.62	183.62	49.74				percent of total billed charges		183.62				other	OPPS APC	135.88				percent of total billed charges		183.62				other	OPPS APC	183.62				other	OPPS APC	49.74				percent of total billed charges		50.73				percent of total billed charges		183.62				other	OPPS APC	49.74	183.62	
RETRIEVER ENDOSCOPIC RESCUENET PROMESH OMNILOOP L5.5 CM X W3CM L230CM OD2.5MM RETRIEVAL NET FOREIGN BODY REMOVAL GREATER VISIBILITY ULTRA STRONG BLUE	SUP-DGN-538-5	CDM			270	RC		inpatient			183.62	183.62																																																			
FORCEPS GRASPING RESCUE L230CM W8MM OD2.4MM RAT TOOTH ALLIGATOR JAW CATHETER COMBO 2.8CM MINIMUM WORKING CHANNEL	SUP-M00538351	CDM			270	RC		outpatient			183.62	183.62	49.74				percent of total billed charges		183.62				other	OPPS APC	135.88				percent of total billed charges		183.62				other	OPPS APC	183.62				other	OPPS APC	49.74				percent of total billed charges		50.73				percent of total billed charges		183.62				other	OPPS APC	49.74	183.62	
FORCEPS GRASPING RESCUE L230CM W8MM OD2.4MM RAT TOOTH ALLIGATOR JAW CATHETER COMBO 2.8CM MINIMUM WORKING CHANNEL	SUP-M00538351	CDM			270	RC		inpatient			183.62	183.62																																																			
CANNULA ARTHROSCOPIC TRANSPORT 7 8MM POLYMER PROXIMAL SECUREMENT THREAD	SUP-CAT00224	CDM			270	RC		outpatient			183.6	183.6	49.74				percent of total billed charges		183.6				other	OPPS APC	135.86				percent of total billed charges		183.6				other	OPPS APC	183.6				other	OPPS APC	49.74				percent of total billed charges		50.73				percent of total billed charges		183.6				other	OPPS APC	49.74	183.6	
CANNULA ARTHROSCOPIC TRANSPORT 7 8MM POLYMER PROXIMAL SECUREMENT THREAD	SUP-CAT00224	CDM			270	RC		inpatient			183.6	183.6																																																			
CARBON ROD 100MM 4MM	SUP-97-01215	CDM			278	RC		outpatient			183.56	183.56	183.56				fee schedule		183.56				other	OPPS APC	104.63				percent of total billed charges		183.56				other	OPPS APC	183.56				other	OPPS APC	89.94				percent of total billed charges		93.62				percent of total billed charges		183.56				other	OPPS APC	89.94	183.56	
CARBON ROD 100MM 4MM	SUP-97-01215	CDM			278	RC		inpatient			183.56	183.56																																																			
SCREW BONE DVR TITANIUM L18 MM OD3.5 MM RADIUS CORTICAL DISTAL ANATOMIC VOLAR PLATE SYSTEM	SUP-CS18000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE DVR TITANIUM L18 MM OD3.5 MM RADIUS CORTICAL DISTAL ANATOMIC VOLAR PLATE SYSTEM	SUP-CS18000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 FULL THREAD L10 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP10	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 FULL THREAD L10 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP10	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 FULL THREAD 12MM 2.5MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED	SUP-FP12	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 FULL THREAD 12MM 2.5MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED	SUP-FP12	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 FULL THREAD L14 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT PLATE SYSTEM	SUP-FP14	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 FULL THREAD L14 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT PLATE SYSTEM	SUP-FP14	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 TIMAX FULL THREAD L16 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP16	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 TIMAX FULL THREAD L16 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP16	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 FULL THREAD L20 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT PLATE SYSTEM	SUP-FP20	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 FULL THREAD L20 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT PLATE SYSTEM	SUP-FP20	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 FULL THREAD L22 MM OD2.5 MM HAND LOCK SCREW NONSTERILE ANATOMIC PLATING SYSTEM	SUP-FP22	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 FULL THREAD L22 MM OD2.5 MM HAND LOCK SCREW NONSTERILE ANATOMIC PLATING SYSTEM	SUP-FP22	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION F3 FULL THREAD L26 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP26	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION F3 FULL THREAD L26 MM OD2.5 MM FOOT LOCKING SCREW FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP26	CDM			270	RC		inpatient			183.16	183.16																																																			
SMOOTH PEG	SUP-P1000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SMOOTH PEG	SUP-P1000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR L12 MM OD2 MM SMOOTH LOCKING ANATOMIC VOLAR PLATING SYSTEM	SUP-P12000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR L12 MM OD2 MM SMOOTH LOCKING ANATOMIC VOLAR PLATING SYSTEM	SUP-P12000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR L30 MM OD2 MM SMOOTH NONLOCKING SCREW NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P30000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR L30 MM OD2 MM SMOOTH NONLOCKING SCREW NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P30000	CDM			270	RC		inpatient			183.16	183.16																																																			
SCREW BONE DVR TITANIUM 1.3 MM SQUARE L10 MM OD2.5 MM ELBOW RADIUS CANCELLOUS VOLAR PEG SELF TAP  ANATOMIC LOCK PLATE SYSTEM	SUP-SP10000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE DVR TITANIUM 1.3 MM SQUARE L10 MM OD2.5 MM ELBOW RADIUS CANCELLOUS VOLAR PEG SELF TAP  ANATOMIC LOCK PLATE SYSTEM	SUP-SP10000	CDM			270	RC		inpatient			183.16	183.16																																																			
SCREW BONE 1.3MM 18MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP18000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE 1.3MM 18MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP18000	CDM			270	RC		inpatient			183.16	183.16																																																			
SCREW BONE 1.3MM 20MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP20000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE 1.3MM 20MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP20000	CDM			270	RC		inpatient			183.16	183.16																																																			
SCREW BONE 1.3MM 22MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP22000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE 1.3MM 22MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP22000	CDM			270	RC		inpatient			183.16	183.16																																																			
SCREW BONE 1.3MM 24MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP24000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE 1.3MM 24MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP24000	CDM			270	RC		inpatient			183.16	183.16																																																			
SCREW BONE DVR TITANIUM 1.3 MM SQUARE L26 MM OD2.5 MM ELBOW RADIUS CANCELLOUS VOLAR PEG SELF TAP ANATOMIC LOCK PLATE SYSTEM	SUP-SP26000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
SCREW BONE DVR TITANIUM 1.3 MM SQUARE L26 MM OD2.5 MM ELBOW RADIUS CANCELLOUS VOLAR PEG SELF TAP ANATOMIC LOCK PLATE SYSTEM	SUP-SP26000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION L30 MM OD2.5 MM	SUP-SP30000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION L30 MM OD2.5 MM	SUP-SP30000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L10 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP10000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L10 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP10000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L12 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP12000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L12 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP12000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L14 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP14000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L14 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP14000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION PARTIAL THREAD 18MM 2.5MM NS ANATOMIC PLATE SYSTEM	SUP-TP18000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION PARTIAL THREAD 18MM 2.5MM NS ANATOMIC PLATE SYSTEM	SUP-TP18000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L22 MM OD2.5 MM RADIUS DISTAL VOLAR LOCK ANATOMIC PLATING SYSTEM	SUP-TP22000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L22 MM OD2.5 MM RADIUS DISTAL VOLAR LOCK ANATOMIC PLATING SYSTEM	SUP-TP22000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L24 MM OD2.5 MM RADIUS DISTAL VOLAR LOCK ANATOMIC PLATING SYSTEM	SUP-TP24000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L24 MM OD2.5 MM RADIUS DISTAL VOLAR LOCK ANATOMIC PLATING SYSTEM	SUP-TP24000	CDM			270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L26 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP26000	CDM	270010022	LOCAL	270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L26 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP26000	CDM	270010022	LOCAL	270	RC		inpatient			183.16	183.16																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L30 MM OD2.5 MM DISTAL VOLAR RADIAL LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP30000	CDM			270	RC		outpatient			183.16	183.16	49.62				percent of total billed charges		183.16				other	OPPS APC	135.54				percent of total billed charges		183.16				other	OPPS APC	183.16				other	OPPS APC	49.62				percent of total billed charges		50.61				percent of total billed charges		183.16				other	OPPS APC	49.62	183.16	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L30 MM OD2.5 MM DISTAL VOLAR RADIAL LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP30000	CDM			270	RC		inpatient			183.16	183.16																																																			
HC Carbamazepine (Teg)	PX-300801560	CDM	80156	CPT	301	RC		outpatient			183	14.57	19.47				fee schedule		14.57				fee schedule		38.65				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57	38.65	
HC Carbamazepine (Teg)	PX-300801560	CDM	80156	CPT	301	RC		inpatient			183	183																																																			
HC Aminophylline (Theo)(Amfn)	PX-300801980	CDM	80198	CPT	300	RC		outpatient			183	14.14	18.91				fee schedule		14.14				fee schedule		37.56				fee schedule		14.14				fee schedule		14.14				fee schedule		14.14				fee schedule		14.14				fee schedule		14.14				fee schedule		14.14	37.56	
HC Aminophylline (Theo)(Amfn)	PX-300801980	CDM	80198	CPT	300	RC		inpatient			183	183																																																			
HC Ammonia	PX-300821400	CDM	82140	CPT	301	RC		outpatient			183	14.57	19.48				fee schedule		14.57				fee schedule		38.68				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57				fee schedule		14.57	38.68	
HC Ammonia	PX-300821400	CDM	82140	CPT	301	RC		inpatient			183	183																																																			
HC Gonadotropin  Chorionic(Hcg);Quantitative	PX-300847020	CDM	84702	CPT	301	RC		outpatient			183	15.51	19.39				fee schedule		15.05				fee schedule		38.51				fee schedule		15.05				fee schedule		15.05				fee schedule		15.05				fee schedule		15.05				fee schedule		15.51				fee schedule		15.05	38.51	
HC Gonadotropin  Chorionic(Hcg);Quantitative	PX-300847020	CDM	84702	CPT	301	RC		inpatient			183	183																																																			
HC Anti-Dna Antibody (Adna)	PX-300862250	CDM	86225	CPT	300	RC		outpatient			183	13.74	18.37				fee schedule		13.74				fee schedule		36.48				fee schedule		13.74				fee schedule		13.74				fee schedule		13.74				fee schedule		13.74				fee schedule		13.74				fee schedule		13.74	36.48	
HC Anti-Dna Antibody (Adna)	PX-300862250	CDM	86225	CPT	300	RC		inpatient			183	183																																																			
HC Ant-Hepatitits C (Ahcv)	PX-300868030	CDM	86803	CPT	300	RC		outpatient			183	14.27	19.08				fee schedule		14.27				fee schedule		37.89				fee schedule		14.27				fee schedule		14.27				fee schedule		14.27				fee schedule		14.27				fee schedule		14.27				fee schedule		14.27	37.89	
HC Ant-Hepatitits C (Ahcv)	PX-300868030	CDM	86803	CPT	300	RC		inpatient			183	183																																																			
HC Nose-Nasal Bones	PX-320701600	CDM	70160	CPT	320	RC		outpatient			183	91.5	35.08				fee schedule		91.5				other	OPPS APC	71.13				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	38.42				fee schedule		29.94				fee schedule		91.5				other	OPPS APC	29.94	91.5	
HC Nose-Nasal Bones	PX-320701600	CDM	70160	CPT	320	RC		inpatient			183	183																																																			
HC Foot	PX-320736200	CDM	73620	CPT	320	RC		outpatient			183	91.5	28.17				fee schedule		91.5				other	OPPS APC	66.51				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	28.38				fee schedule		20.95				fee schedule		91.5				other	OPPS APC	20.95	91.5	
HC Foot	PX-320736200	CDM	73620	CPT	320	RC		inpatient			183	183																																																			
HC Xr Cysto/Litho Abdomen	PX-320740000	CDM	74018	CPT	320	RC		outpatient			183	91.5	18.36				fee schedule		91.5				other	OPPS APC	93.13				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	30.06				fee schedule		21.28				fee schedule		91.5				other	OPPS APC	18.36	93.13	
HC Xr Cysto/Litho Abdomen	PX-320740000	CDM	74018	CPT	320	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swallow8-22	PX-440926110	CDM	92611	CPT	444	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swallow8-22	PX-440926110	CDM	92611	CPT	444	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swall 23-37	PX-440926111	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swall 23-37	PX-440926111	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swall 38-52	PX-440926112	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swall 38-52	PX-440926112	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swall 53-67	PX-440926113	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swall 53-67	PX-440926113	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC St Motion Fluoro Swal 68-82	PX-440926114	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Swal 68-82	PX-440926114	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swal 83-97	PX-440926115	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swal 83-97	PX-440926115	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swal 98-112	PX-440926116	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swal 98-112	PX-440926116	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC St Motion Fluoro Eval Swal113-127	PX-440926117	CDM	92611	CPT	440	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC St Motion Fluoro Eval Swal113-127	PX-440926117	CDM	92611	CPT	440	RC		inpatient			183	183																																																			
HC Modify Barium Swallow Study	PX-444926111	CDM	92611	CPT	444	RC		outpatient			183	9.8	183				percent of total billed charges		90.71				fee schedule		372.4				fee schedule		90.71				fee schedule		90.71				fee schedule		191.49				percent of total billed charges		183				percent of total billed charges		9.8				fee schedule		9.8	372.4	
HC Modify Barium Swallow Study	PX-444926111	CDM	92611	CPT	444	RC		inpatient			183	183																																																			
HC Screening Spirometry	PX-460940101	CDM	94010	CPT	460	RC		outpatient			183	153.17	36.53				fee schedule		153.17				other	OPPS APC	89.66				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	26.71				fee schedule		93.33				percent of total billed charges		153.17				other	OPPS APC	26.71	153.17	
HC Screening Spirometry	PX-460940101	CDM	94010	CPT	460	RC		inpatient			183	183																																																			
HC Gas Dilution or Washout	PX-460947271	CDM	94727	CPT	460	RC		outpatient			183	153.17	42.65				fee schedule		153.17				other	OPPS APC	109.23				fee schedule		153.17				other	OPPS APC	153.17				other	OPPS APC	43.42				fee schedule		93.33				percent of total billed charges		153.17				other	OPPS APC	42.65	153.17	
HC Gas Dilution or Washout	PX-460947271	CDM	94727	CPT	460	RC		inpatient			183	183																																																			
HC Diffusion/Volume	PX-460947290	CDM	94729	CPT	460	RC		outpatient			183	183	55.11				fee schedule		183				other	OPPS APC	345.12				fee schedule		183				other	OPPS APC	183				other	OPPS APC	56.47				fee schedule		93.33				percent of total billed charges		183				other	OPPS APC	55.11	345.12	
HC Diffusion/Volume	PX-460947290	CDM	94729	CPT	460	RC		inpatient			183	183																																																			
NEEDLE ASPIRATION L40 MM L700 MM OD22 GA ODSEC1.8 MM ECHOGENIC DIMPLE FLEXIBLE PRESTERILIZE SAFE RELIABLE STERILE DISPOSABLE	SUP-NA-201SX-4022-A	CDM			270	RC		outpatient			182.74	182.74	49.5				percent of total billed charges		182.74				other	OPPS APC	135.23				percent of total billed charges		182.74				other	OPPS APC	182.74				other	OPPS APC	49.5				percent of total billed charges		50.49				percent of total billed charges		182.74				other	OPPS APC	49.5	182.74	
NEEDLE ASPIRATION L40 MM L700 MM OD22 GA ODSEC1.8 MM ECHOGENIC DIMPLE FLEXIBLE PRESTERILIZE SAFE RELIABLE STERILE DISPOSABLE	SUP-NA-201SX-4022-A	CDM			270	RC		inpatient			182.74	182.74																																																			
GUIDE - 7F JR4 SH	SUP-99-04793	CDM						inpatient			182.72	182.72																																																			
GUIDE - 7F JR4 SH	SUP-99-04793	CDM						outpatient			182.72	182.72	182.72				percent of total billed charges		182.72				other	OPPS APC	182.72				fee schedule		182.72				other	OPPS APC	182.72				other	OPPS APC	182.72				case rate		182.72				case rate		182.72				other	OPPS APC	182.72	182.72	
GUIDE - XB 2.5	SUP-99-04852	CDM			272	RC		outpatient			182.72	182.72	49.5				percent of total billed charges		182.72				other	OPPS APC	135.21				percent of total billed charges		182.72				other	OPPS APC	182.72				other	OPPS APC	49.5				percent of total billed charges		50.49				percent of total billed charges		182.72				other	OPPS APC	49.5	182.72	
GUIDE - XB 2.5	SUP-99-04852	CDM			272	RC		inpatient			182.72	182.72																																																			
GUIDE - 5F JL4 (CORDIS)	SUP-99-04895	CDM						inpatient			182.72	182.72																																																			
GUIDE - 5F JL4 (CORDIS)	SUP-99-04895	CDM						outpatient			182.72	182.72	182.72				percent of total billed charges		182.72				other	OPPS APC	182.72				fee schedule		182.72				other	OPPS APC	182.72				other	OPPS APC	182.72				case rate		182.72				case rate		182.72				other	OPPS APC	182.72	182.72	
GUIDE - 5F JR4 (CORDIS)	SUP-99-04896	CDM						inpatient			182.72	182.72																																																			
GUIDE - 5F JR4 (CORDIS)	SUP-99-04896	CDM						outpatient			182.72	182.72	182.72				percent of total billed charges		182.72				other	OPPS APC	182.72				fee schedule		182.72				other	OPPS APC	182.72				other	OPPS APC	182.72				case rate		182.72				case rate		182.72				other	OPPS APC	182.72	182.72	
GUIDE - 5F JL3.5 (CORDIS)	SUP-99-04897	CDM						inpatient			182.72	182.72																																																			
GUIDE - 5F JL3.5 (CORDIS)	SUP-99-04897	CDM						outpatient			182.72	182.72	182.72				percent of total billed charges		182.72				other	OPPS APC	182.72				fee schedule		182.72				other	OPPS APC	182.72				other	OPPS APC	182.72				case rate		182.72				case rate		182.72				other	OPPS APC	182.72	182.72	
PIN FIXATION STEINMANN STAINLESS STEEL L225 MM OD6 MM TRANSFIXATION NONSTERILE	SUP-294.950	CDM	270010022	LOCAL	270	RC		outpatient			182.7	182.7	49.49				percent of total billed charges		182.7				other	OPPS APC	135.2				percent of total billed charges		182.7				other	OPPS APC	182.7				other	OPPS APC	49.49				percent of total billed charges		50.48				percent of total billed charges		182.7				other	OPPS APC	49.49	182.7	
PIN FIXATION STEINMANN STAINLESS STEEL L225 MM OD6 MM TRANSFIXATION NONSTERILE	SUP-294.950	CDM	270010022	LOCAL	270	RC		inpatient			182.7	182.7																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD2.5 MM TROCAR POINT NONSTERILE	SUP-292.25	CDM	270010022	LOCAL	270	RC		outpatient			182.6	182.6	49.47				percent of total billed charges		182.6				other	OPPS APC	135.12				percent of total billed charges		182.6				other	OPPS APC	182.6				other	OPPS APC	49.47				percent of total billed charges		50.45				percent of total billed charges		182.6				other	OPPS APC	49.47	182.6	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD2.5 MM TROCAR POINT NONSTERILE	SUP-292.25	CDM	270010022	LOCAL	270	RC		inpatient			182.6	182.6																																																			
SCREW BONE TITANIUM FLUTE CRUCIFORM L3 MM OD1.3 MM ODSEC2.4 MM CORTICAL CRANIOFACIAL SELF TAP STERILE GOLD	SUP-400.623E	CDM	270010022	LOCAL	270	RC		outpatient			182.5	182.5	49.44				percent of total billed charges		182.5				other	OPPS APC	135.05				percent of total billed charges		182.5				other	OPPS APC	182.5				other	OPPS APC	49.44				percent of total billed charges		50.42				percent of total billed charges		182.5				other	OPPS APC	49.44	182.5	
SCREW BONE TITANIUM FLUTE CRUCIFORM L3 MM OD1.3 MM ODSEC2.4 MM CORTICAL CRANIOFACIAL SELF TAP STERILE GOLD	SUP-400.623E	CDM	270010022	LOCAL	270	RC		inpatient			182.5	182.5																																																			
SCREW BONE TITANIUM FLUTE L4 MM OD1.3 MM CORTICAL MAXILLOFACIAL SELF TAPPING STERILE	SUP-400.624E	CDM	270010022	LOCAL	270	RC		outpatient			182.5	182.5	49.44				percent of total billed charges		182.5				other	OPPS APC	135.05				percent of total billed charges		182.5				other	OPPS APC	182.5				other	OPPS APC	49.44				percent of total billed charges		50.42				percent of total billed charges		182.5				other	OPPS APC	49.44	182.5	
SCREW BONE TITANIUM FLUTE L4 MM OD1.3 MM CORTICAL MAXILLOFACIAL SELF TAPPING STERILE	SUP-400.624E	CDM	270010022	LOCAL	270	RC		inpatient			182.5	182.5																																																			
SCREW BONE TITANIUM L5 MM OD1.3 MM CRANIOMAXILLOFACIAL CORTICAL SELF TAP FLUTE TIP STERILE	SUP-400.625E	CDM	270010022	LOCAL	270	RC		outpatient			182.5	182.5	49.44				percent of total billed charges		182.5				other	OPPS APC	135.05				percent of total billed charges		182.5				other	OPPS APC	182.5				other	OPPS APC	49.44				percent of total billed charges		50.42				percent of total billed charges		182.5				other	OPPS APC	49.44	182.5	
SCREW BONE TITANIUM L5 MM OD1.3 MM CRANIOMAXILLOFACIAL CORTICAL SELF TAP FLUTE TIP STERILE	SUP-400.625E	CDM	270010022	LOCAL	270	RC		inpatient			182.5	182.5																																																			
SCREW BONE TITANIUM L8 MM OD1.3 MM CRANIOFACIAL SELF TAPPING FLUTED TIP CRUCIFORM STERILE	SUP-400.628E	CDM	270010022	LOCAL	270	RC		outpatient			182.5	182.5	49.44				percent of total billed charges		182.5				other	OPPS APC	135.05				percent of total billed charges		182.5				other	OPPS APC	182.5				other	OPPS APC	49.44				percent of total billed charges		50.42				percent of total billed charges		182.5				other	OPPS APC	49.44	182.5	
SCREW BONE TITANIUM L8 MM OD1.3 MM CRANIOFACIAL SELF TAPPING FLUTED TIP CRUCIFORM STERILE	SUP-400.628E	CDM	270010022	LOCAL	270	RC		inpatient			182.5	182.5																																																			
SCREW BONE TITANIUM L12 MM OD1.3 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP CRUCIFORM STERILE	SUP-400.632E	CDM	270010022	LOCAL	270	RC		outpatient			182.5	182.5	49.44				percent of total billed charges		182.5				other	OPPS APC	135.05				percent of total billed charges		182.5				other	OPPS APC	182.5				other	OPPS APC	49.44				percent of total billed charges		50.42				percent of total billed charges		182.5				other	OPPS APC	49.44	182.5	
SCREW BONE TITANIUM L12 MM OD1.3 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP CRUCIFORM STERILE	SUP-400.632E	CDM	270010022	LOCAL	270	RC		inpatient			182.5	182.5																																																			
TUBE CUFFLESS TRACH #6	SUP-31-00019	CDM			272	RC		outpatient			182.16	182.16	49.35				percent of total billed charges		182.16				other	OPPS APC	134.8				percent of total billed charges		182.16				other	OPPS APC	182.16				other	OPPS APC	49.35				percent of total billed charges		50.33				percent of total billed charges		182.16				other	OPPS APC	49.35	182.16	
TUBE CUFFLESS TRACH #6	SUP-31-00019	CDM			272	RC		inpatient			182.16	182.16																																																			
PIN FIXATION STEINMANN STAINLESS STEEL L200 MM OD5 MM ODSEC5.5 MM CENTRAL THREAD NONSTERILE LARGE EXTERNAL FIXATOR	SUP-293.74	CDM	270010022	LOCAL	270	RC		outpatient			182	182	49.3				percent of total billed charges		182				other	OPPS APC	134.68				percent of total billed charges		182				other	OPPS APC	182				other	OPPS APC	49.3				percent of total billed charges		50.29				percent of total billed charges		182				other	OPPS APC	49.3	182	
PIN FIXATION STEINMANN STAINLESS STEEL L200 MM OD5 MM ODSEC5.5 MM CENTRAL THREAD NONSTERILE LARGE EXTERNAL FIXATOR	SUP-293.74	CDM	270010022	LOCAL	270	RC		inpatient			182	182																																																			
PIN FIXATION STEINMANN STAINLESS STEEL CENTRAL THREAD L225 MM OD5 MM ODSEC5.5 MM NONSTERILE LARGE EXTERNAL FIXATOR	SUP-293.790	CDM	270010022	LOCAL	270	RC		outpatient			182	182	49.3				percent of total billed charges		182				other	OPPS APC	134.68				percent of total billed charges		182				other	OPPS APC	182				other	OPPS APC	49.3				percent of total billed charges		50.29				percent of total billed charges		182				other	OPPS APC	49.3	182	
PIN FIXATION STEINMANN STAINLESS STEEL CENTRAL THREAD L225 MM OD5 MM ODSEC5.5 MM NONSTERILE LARGE EXTERNAL FIXATOR	SUP-293.790	CDM	270010022	LOCAL	270	RC		inpatient			182	182																																																			
PIN FIXATION STEINMANN STAINLESS STEEL L250 MM OD5 MM ODSEC5.5 MM 3 FLAT END CENTRAL THREAD ROUND TROCAR POINT NONSTERILE LARGE EXTERNAL FIXATOR	SUP-293.840	CDM	270010022	LOCAL	270	RC		outpatient			182	182	49.3				percent of total billed charges		182				other	OPPS APC	134.68				percent of total billed charges		182				other	OPPS APC	182				other	OPPS APC	49.3				percent of total billed charges		50.29				percent of total billed charges		182				other	OPPS APC	49.3	182	
PIN FIXATION STEINMANN STAINLESS STEEL L250 MM OD5 MM ODSEC5.5 MM 3 FLAT END CENTRAL THREAD ROUND TROCAR POINT NONSTERILE LARGE EXTERNAL FIXATOR	SUP-293.840	CDM	270010022	LOCAL	270	RC		inpatient			182	182																																																			
PIN TRACTION STEINMANN L275 MM OD5 MM ODSEC5.5 MM CENTRAL THREAD LARGE EXTERNAL FIXATOR	SUP-293.890	CDM	270010022	LOCAL	270	RC		outpatient			182	182	49.3				percent of total billed charges		182				other	OPPS APC	134.68				percent of total billed charges		182				other	OPPS APC	182				other	OPPS APC	49.3				percent of total billed charges		50.29				percent of total billed charges		182				other	OPPS APC	49.3	182	
PIN TRACTION STEINMANN L275 MM OD5 MM ODSEC5.5 MM CENTRAL THREAD LARGE EXTERNAL FIXATOR	SUP-293.890	CDM	270010022	LOCAL	270	RC		inpatient			182	182																																																			
SHEATH - FLEXOR 55CM 6F RAABE	SUP-99-01957	CDM			272	RC		outpatient			182	182	49.3				percent of total billed charges		182				other	OPPS APC	134.68				percent of total billed charges		182				other	OPPS APC	182				other	OPPS APC	49.3				percent of total billed charges		50.29				percent of total billed charges		182				other	OPPS APC	49.3	182	
SHEATH - FLEXOR 55CM 6F RAABE	SUP-99-01957	CDM			272	RC		inpatient			182	182																																																			
TORPEDO HL 4 2MM X 19CM	SUP-AR-6420TD	CDM			270	RC		outpatient			182	182	49.3				percent of total billed charges		182				other	OPPS APC	134.68				percent of total billed charges		182				other	OPPS APC	182				other	OPPS APC	49.3				percent of total billed charges		50.29				percent of total billed charges		182				other	OPPS APC	49.3	182	
TORPEDO HL 4 2MM X 19CM	SUP-AR-6420TD	CDM			270	RC		inpatient			182	182																																																			
KIT LAPAROSCOPIC LIGATOR FALOPE-RING 2 RING 2 INCISION APPLICATOR RADIOPAQUE STERILE REUSABLE 30 PROCEDURE	SUP-FRB-30	CDM			270	RC		outpatient			181.97	181.97	49.3				percent of total billed charges		181.97				other	OPPS APC	134.66				percent of total billed charges		181.97				other	OPPS APC	181.97				other	OPPS APC	49.3				percent of total billed charges		50.28				percent of total billed charges		181.97				other	OPPS APC	49.3	181.97	
KIT LAPAROSCOPIC LIGATOR FALOPE-RING 2 RING 2 INCISION APPLICATOR RADIOPAQUE STERILE REUSABLE 30 PROCEDURE	SUP-FRB-30	CDM			270	RC		inpatient			181.97	181.97																																																			
PLATE BONE SEMITUBULAR 87X12X1MM SS NS 5 HOLE 3.5/4.5MM SCREW LG FRAGMENT	SUP-222.05	CDM	270010022	LOCAL	270	RC		outpatient			181.8	181.81	49.25				percent of total billed charges		181.8				other	OPPS APC	134.53				percent of total billed charges		181.8				other	OPPS APC	181.8				other	OPPS APC	49.25				percent of total billed charges		50.23				percent of total billed charges		181.81				other	OPPS APC	49.25	181.81	
PLATE BONE SEMITUBULAR 87X12X1MM SS NS 5 HOLE 3.5/4.5MM SCREW LG FRAGMENT	SUP-222.05	CDM	270010022	LOCAL	270	RC		inpatient			181.8	181.8																																																			
GUIDEWIRE 3.2 290MM	SUP-290.69	CDM	270010022	LOCAL	270	RC		outpatient			181.8	181.81	49.25				percent of total billed charges		181.8				other	OPPS APC	134.53				percent of total billed charges		181.8				other	OPPS APC	181.8				other	OPPS APC	49.25				percent of total billed charges		50.23				percent of total billed charges		181.81				other	OPPS APC	49.25	181.81	
GUIDEWIRE 3.2 290MM	SUP-290.69	CDM	270010022	LOCAL	270	RC		inpatient			181.8	181.8																																																			
CATHETER STAMEY SUPRAPUBIC 12	SUP-70-00010	CDM			272	RC		outpatient			181.76	181.76	49.24				percent of total billed charges		181.76				other	OPPS APC	134.5				percent of total billed charges		181.76				other	OPPS APC	181.76				other	OPPS APC	49.24				percent of total billed charges		50.22				percent of total billed charges		181.76				other	OPPS APC	49.24	181.76	
CATHETER STAMEY SUPRAPUBIC 12	SUP-70-00010	CDM			272	RC		inpatient			181.76	181.76																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL L130 MM OD3.5 MM ODSEC6 MM CORTEX PELVIS SELF TAPPING LOW PROFILE SMALL HEXAGONAL SOCKET NONSTERILE	SUP-204.730	CDM	270010022	LOCAL	270	RC		outpatient			181.26	181.26	49.1				percent of total billed charges		181.26				other	OPPS APC	134.13				percent of total billed charges		181.26				other	OPPS APC	181.26				other	OPPS APC	49.1				percent of total billed charges		50.08				percent of total billed charges		181.26				other	OPPS APC	49.1	181.26	
SCREW BONE DCP LC-DCP STAINLESS STEEL L130 MM OD3.5 MM ODSEC6 MM CORTEX PELVIS SELF TAPPING LOW PROFILE SMALL HEXAGONAL SOCKET NONSTERILE	SUP-204.730	CDM	270010022	LOCAL	270	RC		inpatient			181.26	181.26																																																			
SCREW BONE L135 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.735	CDM	270010022	LOCAL	270	RC		outpatient			181.26	181.26	49.1				percent of total billed charges		181.26				other	OPPS APC	134.13				percent of total billed charges		181.26				other	OPPS APC	181.26				other	OPPS APC	49.1				percent of total billed charges		50.08				percent of total billed charges		181.26				other	OPPS APC	49.1	181.26	
SCREW BONE L135 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.735	CDM	270010022	LOCAL	270	RC		inpatient			181.26	181.26																																																			
SCREW BONE L140 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.740	CDM	270010022	LOCAL	270	RC		outpatient			181.26	181.26	49.1				percent of total billed charges		181.26				other	OPPS APC	134.13				percent of total billed charges		181.26				other	OPPS APC	181.26				other	OPPS APC	49.1				percent of total billed charges		50.08				percent of total billed charges		181.26				other	OPPS APC	49.1	181.26	
SCREW BONE L140 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.740	CDM	270010022	LOCAL	270	RC		inpatient			181.26	181.26																																																			
SCREW BONE L145 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.745	CDM	270010022	LOCAL	270	RC		outpatient			181.26	181.26	49.1				percent of total billed charges		181.26				other	OPPS APC	134.13				percent of total billed charges		181.26				other	OPPS APC	181.26				other	OPPS APC	49.1				percent of total billed charges		50.08				percent of total billed charges		181.26				other	OPPS APC	49.1	181.26	
SCREW BONE L145 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.745	CDM	270010022	LOCAL	270	RC		inpatient			181.26	181.26																																																			
STRYKER PULSA-VAC SYSTEM	SUP-74-00089	CDM			272	RC		outpatient			181.21	181.21	49.09				percent of total billed charges		181.21				other	OPPS APC	134.1				percent of total billed charges		181.21				other	OPPS APC	181.21				other	OPPS APC	49.09				percent of total billed charges		50.07				percent of total billed charges		181.21				other	OPPS APC	49.09	181.21	
STRYKER PULSA-VAC SYSTEM	SUP-74-00089	CDM			272	RC		inpatient			181.21	181.21																																																			
1.6MM GUIDE WIRE/220MM LENGTH	SUP-97-04780	CDM			278	RC		outpatient			181.2	181.2	181.2				fee schedule		181.2				other	OPPS APC	103.28				percent of total billed charges		181.2				other	OPPS APC	181.2				other	OPPS APC	88.79				percent of total billed charges		92.41				percent of total billed charges		181.2				other	OPPS APC	88.79	181.2	
1.6MM GUIDE WIRE/220MM LENGTH	SUP-97-04780	CDM			278	RC		inpatient			181.2	181.2																																																			
TUBE SUCTION 3FR BARON	SUP-95-03546	CDM			272	RC		outpatient			180.96	18.96	49.02				percent of total billed charges		180.96				other	OPPS APC	133.91				percent of total billed charges		180.96				other	OPPS APC	180.96				other	OPPS APC	49.02				percent of total billed charges		50				percent of total billed charges		18.96				other	OPPS APC	18.96	180.96	
TUBE SUCTION 3FR BARON	SUP-95-03546	CDM			272	RC		inpatient			180.96	180.96																																																			
PACK CPT NASAL-SMR	SUP-72-00032	CDM			272	RC		outpatient			180.64	18.64	48.94				percent of total billed charges		180.64				other	OPPS APC	133.67				percent of total billed charges		180.64				other	OPPS APC	180.64				other	OPPS APC	48.94				percent of total billed charges		49.91				percent of total billed charges		18.64				other	OPPS APC	18.64	180.64	
PACK CPT NASAL-SMR	SUP-72-00032	CDM			272	RC		inpatient			180.64	180.64																																																			
GLIDEWIRE - 0.035' X 150CM  ANGLED STIFF	SUP-95-06019	CDM			272	RC		outpatient			180.6	18.6	48.92				percent of total billed charges		180.6				other	OPPS APC	133.64				percent of total billed charges		180.6				other	OPPS APC	180.6				other	OPPS APC	48.92				percent of total billed charges		49.9				percent of total billed charges		18.6				other	OPPS APC	18.6	180.6	
GLIDEWIRE - 0.035' X 150CM  ANGLED STIFF	SUP-95-06019	CDM			272	RC		inpatient			180.6	180.6																																																			
MIC-KEY LOW PROFILE GASTROSTOMY FEEDING 12FR 3.0CM STOMA	SUP-0120-12-3.0	CDM			270	RC		outpatient			180.5	18.5	48.9				percent of total billed charges		180.5				other	OPPS APC	133.57				percent of total billed charges		180.5				other	OPPS APC	180.5				other	OPPS APC	48.9				percent of total billed charges		49.87				percent of total billed charges		18.5				other	OPPS APC	18.5	180.5	
MIC-KEY LOW PROFILE GASTROSTOMY FEEDING 12FR 3.0CM STOMA	SUP-0120-12-3.0	CDM			270	RC		inpatient			180.5	180.5																																																			
CONNECTOR SHUNT ACCU-FLO STRAIGHT CSF RADIOPAQUE CATHETER PLASTIC STERILE	SUP-45103	CDM						inpatient			180.48	180.48																																																			
CONNECTOR SHUNT ACCU-FLO STRAIGHT CSF RADIOPAQUE CATHETER PLASTIC STERILE	SUP-45103	CDM						outpatient			180.48	18.48	180.48				percent of total billed charges		180.48				other	OPPS APC	180.48				fee schedule		180.48				other	OPPS APC	180.48				other	OPPS APC	180.48				case rate		180.48				case rate		18.48				other	OPPS APC	18.48	180.48	
TRACH CUFFED NONFEN 4	SUP-31-00060	CDM			272	RC		outpatient			180.44	18.44	48.88				percent of total billed charges		180.44				other	OPPS APC	133.53				percent of total billed charges		180.44				other	OPPS APC	180.44				other	OPPS APC	48.88				percent of total billed charges		49.86				percent of total billed charges		18.44				other	OPPS APC	18.44	180.44	
TRACH CUFFED NONFEN 4	SUP-31-00060	CDM			272	RC		inpatient			180.44	180.44																																																			
2.7MM METAPHYSEAL SCR SLF TPNWT8 16MM	SUP-97-01955	CDM			278	RC		outpatient			180.08	18.81	180.08				fee schedule		180.08				other	OPPS APC	102.65				percent of total billed charges		180.08				other	OPPS APC	180.08				other	OPPS APC	88.24				percent of total billed charges		91.84				percent of total billed charges		18.81				other	OPPS APC	18.81	180.08	
2.7MM METAPHYSEAL SCR SLF TPNWT8 16MM	SUP-97-01955	CDM			278	RC		inpatient			180.08	180.08																																																			
1.6MM COMPRESSION WIRE 10MM THREAD	SUP-97-03568	CDM			278	RC		outpatient			180.08	18.81	180.08				fee schedule		180.08				other	OPPS APC	102.65				percent of total billed charges		180.08				other	OPPS APC	180.08				other	OPPS APC	88.24				percent of total billed charges		91.84				percent of total billed charges		18.81				other	OPPS APC	18.81	180.08	
1.6MM COMPRESSION WIRE 10MM THREAD	SUP-97-03568	CDM			278	RC		inpatient			180.08	180.08																																																			
1.6MM COMPRESSION WIRE 25MM THREAD	SUP-97-03569	CDM			278	RC		outpatient			180.08	18.81	180.08				fee schedule		180.08				other	OPPS APC	102.65				percent of total billed charges		180.08				other	OPPS APC	180.08				other	OPPS APC	88.24				percent of total billed charges		91.84				percent of total billed charges		18.81				other	OPPS APC	18.81	180.08	
1.6MM COMPRESSION WIRE 25MM THREAD	SUP-97-03569	CDM			278	RC		inpatient			180.08	180.08																																																			
CHLOROTHIAZIDE PER 500 MG	636000000	CDM	25021-305-20	NDC	J1205	HCPCS		inpatient			180	180																																																			
CHLOROTHIAZIDE PER 500 MG	636000000	CDM	25021-305-20	NDC	J1205	HCPCS		outpatient			180	180																																															other	OPPS APC			
ERTAPENEM PER 500 MG	636000000	CDM	55150-282-20	NDC	J1335	HCPCS		inpatient			180	180																																																			
ERTAPENEM PER 500 MG	636000000	CDM	55150-282-20	NDC	J1335	HCPCS		outpatient			180	180																																															other	OPPS APC			
HC Strapping Unna Boot Bilateral	PX-761295804	CDM	29580	CPT	761	RC		outpatient			180	153.52	195.77				case rate		153.52				other	OPPS APC	133.2				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	195.77				case rate		91.8				percent of total billed charges		153.52				other	OPPS APC	91.8	195.77	
HC Strapping Unna Boot Bilateral	PX-761295804	CDM	29580	CPT	761	RC		inpatient			180	180																																																			
SCREW AUGMENTATION NEXGEN KNEE STEM EXTENSION REPLACEMENT STERILE	SUP-00-5980-090-00	CDM	270010025	LOCAL	270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW AUGMENTATION NEXGEN KNEE STEM EXTENSION REPLACEMENT STERILE	SUP-00-5980-090-00	CDM	270010025	LOCAL	270	RC		inpatient			180	180																																																			
DOC GUIDEWIRE EXTENSION 145CM	SUP-22260S	CDM			481	RC		outpatient			180	18	88.2				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
DOC GUIDEWIRE EXTENSION 145CM	SUP-22260S	CDM			481	RC		inpatient			180	180																																																			
GUIDEWIRE CORONARY RUNTHROUGH EXTRA FLOPPY 180 CM	SUP-25-1011	CDM			481	RC		outpatient			180	18	88.2				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDEWIRE CORONARY RUNTHROUGH EXTRA FLOPPY 180 CM	SUP-25-1011	CDM			481	RC		inpatient			180	180																																																			
GUIDEWIRE CORONARY EXTRA FLOPPY 300CM	SUP-25-1013	CDM			481	RC		outpatient			180	18	88.2				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDEWIRE CORONARY EXTRA FLOPPY 300CM	SUP-25-1013	CDM			481	RC		inpatient			180	180																																																			
CATHETER ANGIOGRAPHIC PERFORMA PEBAX POLYCARBONATE NYLON PIGTAIL CURVE L100 CM OD5 FR PERIPHERAL 2 SIDEHOLE RADIOPAQUE VESSEL SIZING STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-510035AVS20PIG	CDM			270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
CATHETER ANGIOGRAPHIC PERFORMA PEBAX POLYCARBONATE NYLON PIGTAIL CURVE L100 CM OD5 FR PERIPHERAL 2 SIDEHOLE RADIOPAQUE VESSEL SIZING STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-510035AVS20PIG	CDM			270	RC		inpatient			180	180																																																			
PIN FIXATION HEXAGON KIT	SUP-531-78-20	CDM	270010030	LOCAL	270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
PIN FIXATION HEXAGON KIT	SUP-531-78-20	CDM	270010030	LOCAL	270	RC		inpatient			180	180																																																			
SCREW 2.0 HT X-DR X19MM	SUP-71-00221	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.0 HT X-DR X19MM	SUP-71-00221	CDM			278	RC		inpatient			180	180																																																			
WIRE FIXATION LEOS 2MM KIRSCHNER	SUP-7624-2020	CDM			270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
WIRE FIXATION LEOS 2MM KIRSCHNER	SUP-7624-2020	CDM			270	RC		inpatient			180	180																																																			
ADAPTER SEAL CAP	SUP-95-02561	CDM			272	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
ADAPTER SEAL CAP	SUP-95-02561	CDM			272	RC		inpatient			180	180																																																			
PIN STEINMANN 2.4	SUP-95-04818	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
PIN STEINMANN 2.4	SUP-95-04818	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 16MM LOW PROFILE CORTEX	SUP-97-05616	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 16MM LOW PROFILE CORTEX	SUP-97-05616	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 22MM LOW PROFILE CORTEX	SUP-97-05617	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 22MM LOW PROFILE CORTEX	SUP-97-05617	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 12MM CORTEX LO PRO TM SS	SUP-97-05726	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 12MM CORTEX LO PRO TM SS	SUP-97-05726	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 14MM CORTEX LO PRO TM SS	SUP-97-05727	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 14MM CORTEX LO PRO TM SS	SUP-97-05727	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 18MM CORTEX LO PRO TM SS	SUP-97-05728	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 18MM CORTEX LO PRO TM SS	SUP-97-05728	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 20MM CORTEX LO PRO TM SS	SUP-97-05729	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 20MM CORTEX LO PRO TM SS	SUP-97-05729	CDM			278	RC		inpatient			180	180																																																			
SCREW 2.7 X 24MM CORTEX LO PRO TM SS	SUP-97-05730	CDM			278	RC		outpatient			180	18	180				fee schedule		180				other	OPPS APC	102.6				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
SCREW 2.7 X 24MM CORTEX LO PRO TM SS	SUP-97-05730	CDM			278	RC		inpatient			180	180																																																			
GUIDE- 7F JR4 (MEDTRONIC)	SUP-99-04257	CDM			272	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDE- 7F JR4 (MEDTRONIC)	SUP-99-04257	CDM			272	RC		inpatient			180	180																																																			
GUIDE- 7F AL.75	SUP-99-04258	CDM			272	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDE- 7F AL.75	SUP-99-04258	CDM			272	RC		inpatient			180	180																																																			
GUIDE- 7F AL1.0	SUP-99-04259	CDM			272	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDE- 7F AL1.0	SUP-99-04259	CDM			272	RC		inpatient			180	180																																																			
DRILL BIT 2.7MM TORNIER	SUP-BA0010349	CDM			270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
DRILL BIT 2.7MM TORNIER	SUP-BA0010349	CDM			270	RC		inpatient			180	180																																																			
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 300CM 35CM TIP 2.1GM STRAIGHT TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 1EA	SUP-H74912154011	CDM			270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 300CM 35CM TIP 2.1GM STRAIGHT TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 1EA	SUP-H74912154011	CDM			270	RC		inpatient			180	180																																																			
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 185CM 35CM TIP 2.1GM STRAIGHT TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 1EA	SUP-H74912160011	CDM			270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 185CM 35CM TIP 2.1GM STRAIGHT TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 1EA	SUP-H74912160011	CDM			270	RC		inpatient			180	180																																																			
PAIN PUMP DELIVER DIRECTLY TO AMERI-DOSE 205 FLANDERS ROAD WESTBOROUGH MA 01581	SUP-P100X2	CDM			270	RC		outpatient			180	18	48.76				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	48.76				percent of total billed charges		49.73				percent of total billed charges		18				other	OPPS APC	18	180	
PAIN PUMP DELIVER DIRECTLY TO AMERI-DOSE 205 FLANDERS ROAD WESTBOROUGH MA 01581	SUP-P100X2	CDM			270	RC		inpatient			180	180																																																			
7 FR SWAN S-TIP MONITORING CATHETER	SUP-S111F7	CDM			481	RC		outpatient			180	18	88.2				percent of total billed charges		180				other	OPPS APC	133.2				percent of total billed charges		180				other	OPPS APC	180				other	OPPS APC	88.2				percent of total billed charges		91.8				percent of total billed charges		18				other	OPPS APC	18	180	
7 FR SWAN S-TIP MONITORING CATHETER	SUP-S111F7	CDM			481	RC		inpatient			180	180																																																			
TUBE VENTILATION DONALDSON SILICONE L.9 MM ID1.14 MM IDSEC2.3 MM EAR SEMIPERMEABLE MEMBRANE SHORT TERM RESIDENCE TIME TEMPORARY GREEN	SUP-1012015	CDM			270	RC		outpatient			179.6	179.6	48.65				percent of total billed charges		179.6				other	OPPS APC	132.9				percent of total billed charges		179.6				other	OPPS APC	179.6				other	OPPS APC	48.65				percent of total billed charges		49.62				percent of total billed charges		179.6				other	OPPS APC	48.65	179.6	
TUBE VENTILATION DONALDSON SILICONE L.9 MM ID1.14 MM IDSEC2.3 MM EAR SEMIPERMEABLE MEMBRANE SHORT TERM RESIDENCE TIME TEMPORARY GREEN	SUP-1012015	CDM			270	RC		inpatient			179.6	179.6																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 130MM	SUP-02.200.130	CDM	270010025	LOCAL	270	RC		outpatient			179.46	179.46	48.62				percent of total billed charges		179.46				other	OPPS APC	132.8				percent of total billed charges		179.46				other	OPPS APC	179.46				other	OPPS APC	48.62				percent of total billed charges		49.58				percent of total billed charges		179.46				other	OPPS APC	48.62	179.46	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 130MM	SUP-02.200.130	CDM	270010025	LOCAL	270	RC		inpatient			179.46	179.46																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 135MM	SUP-02.200.135	CDM	270010025	LOCAL	270	RC		outpatient			179.46	179.46	48.62				percent of total billed charges		179.46				other	OPPS APC	132.8				percent of total billed charges		179.46				other	OPPS APC	179.46				other	OPPS APC	48.62				percent of total billed charges		49.58				percent of total billed charges		179.46				other	OPPS APC	48.62	179.46	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 135MM	SUP-02.200.135	CDM	270010025	LOCAL	270	RC		inpatient			179.46	179.46																																																			
SCREW 3.5MM STARDRIVE CORTEX SELF TAPPING 140MM	SUP-02.200.140	CDM	270010025	LOCAL	270	RC		outpatient			179.46	179.46	48.62				percent of total billed charges		179.46				other	OPPS APC	132.8				percent of total billed charges		179.46				other	OPPS APC	179.46				other	OPPS APC	48.62				percent of total billed charges		49.58				percent of total billed charges		179.46				other	OPPS APC	48.62	179.46	
SCREW 3.5MM STARDRIVE CORTEX SELF TAPPING 140MM	SUP-02.200.140	CDM	270010025	LOCAL	270	RC		inpatient			179.46	179.46																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 150MM	SUP-02.200.150	CDM	270010025	LOCAL	270	RC		outpatient			179.46	179.46	48.62				percent of total billed charges		179.46				other	OPPS APC	132.8				percent of total billed charges		179.46				other	OPPS APC	179.46				other	OPPS APC	48.62				percent of total billed charges		49.58				percent of total billed charges		179.46				other	OPPS APC	48.62	179.46	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 150MM	SUP-02.200.150	CDM	270010025	LOCAL	270	RC		inpatient			179.46	179.46																																																			
TRAY UMBILICAL VESSEL W/O CATH	SUP-12-00095	CDM			272	RC		outpatient			179.33	179.33	48.58				percent of total billed charges		179.33				other	OPPS APC	132.7				percent of total billed charges		179.33				other	OPPS APC	179.33				other	OPPS APC	48.58				percent of total billed charges		49.55				percent of total billed charges		179.33				other	OPPS APC	48.58	179.33	
TRAY UMBILICAL VESSEL W/O CATH	SUP-12-00095	CDM			272	RC		inpatient			179.33	179.33																																																			
HC Pregnancy Comp 2+ Fetus Under 14 Wks	PX-402768021	CDM	76802	CPT	402	RC		inpatient			179	179																																																			
HC Pregnancy Comp 2+ Fetus Under 14 Wks	PX-402768021	CDM	76802	CPT	402	RC		outpatient			179	179	68.26				fee schedule						other	OPPS APC	206.92				fee schedule						other	OPPS APC					other	OPPS APC	61.1				fee schedule		21.31				fee schedule						other	OPPS APC	206.92	206.92	
HC MC Bh Family Psychotherapy W/O Patient	PX-916908469	CDM	90846	CPT	916	RC		outpatient			179	179	103.34				fee schedule		179				other	OPPS APC	132.46				percent of total billed charges		179				other	OPPS APC	179				fee schedule		93.82				fee schedule		91.29				percent of total billed charges		179				fee schedule		91.29	179	
HC MC Bh Family Psychotherapy W/O Patient	PX-916908469	CDM	90846	CPT	916	RC		inpatient			179	179																																																			
WIRE SUTURE DOUBLEWIRE 6 BE-3 1/2 CIRCLE BALL L54 MM STERNOTOMY	SUP-046-297	CDM			270	RC		outpatient			178.83	178.83	48.45				percent of total billed charges		178.83				other	OPPS APC	132.33				percent of total billed charges		178.83				other	OPPS APC	178.83				other	OPPS APC	48.45				percent of total billed charges		49.41				percent of total billed charges		178.83				other	OPPS APC	48.45	178.83	
WIRE SUTURE DOUBLEWIRE 6 BE-3 1/2 CIRCLE BALL L54 MM STERNOTOMY	SUP-046-297	CDM			270	RC		inpatient			178.83	178.83																																																			
SUTURE NONABSORBABLE DOUBLEWIRE 8 BE-3 14IN 2 WIRE HIGH STRENGTH STERNOTOMY	SUP-048-297	CDM			270	RC		outpatient			178.83	178.83	48.45				percent of total billed charges		178.83				other	OPPS APC	132.33				percent of total billed charges		178.83				other	OPPS APC	178.83				other	OPPS APC	48.45				percent of total billed charges		49.41				percent of total billed charges		178.83				other	OPPS APC	48.45	178.83	
SUTURE NONABSORBABLE DOUBLEWIRE 8 BE-3 14IN 2 WIRE HIGH STRENGTH STERNOTOMY	SUP-048-297	CDM			270	RC		inpatient			178.83	178.83																																																			
OMEGA PLUS 2.8MM THREADED TIP GUIDE PIN	SUP-95-04077	CDM			272	RC		outpatient			178.56	178.56	48.37				percent of total billed charges		178.56				other	OPPS APC	132.13				percent of total billed charges		178.56				other	OPPS APC	178.56				other	OPPS APC	48.37				percent of total billed charges		49.34				percent of total billed charges		178.56				other	OPPS APC	48.37	178.56	
OMEGA PLUS 2.8MM THREADED TIP GUIDE PIN	SUP-95-04077	CDM			272	RC		inpatient			178.56	178.56																																																			
RING RETRACTOR LONE STAR NORYL RESIN L25 CM X W25 CM ELASTIC STAY SELF RETAINING STERILE LATEX FREE DISPOSABLE	SUP-3310G	CDM			270	RC		outpatient			178.14	178.14	48.26				percent of total billed charges		178.14				other	OPPS APC	131.82				percent of total billed charges		178.14				other	OPPS APC	178.14				other	OPPS APC	48.26				percent of total billed charges		49.22				percent of total billed charges		178.14				other	OPPS APC	48.26	178.14	
RING RETRACTOR LONE STAR NORYL RESIN L25 CM X W25 CM ELASTIC STAY SELF RETAINING STERILE LATEX FREE DISPOSABLE	SUP-3310G	CDM			270	RC		inpatient			178.14	178.14																																																			
PORT ACCESS AIRSEAL L100 MM OD12 MM OBTURATOR BLADELESS OPTICAL TIP STERILE LATEX FREE DISPOSABLE	SUP-IAS12-100LPI	CDM			270	RC		outpatient			178.11	178.11	48.25				percent of total billed charges		178.11				other	OPPS APC	131.8				percent of total billed charges		178.11				other	OPPS APC	178.11				other	OPPS APC	48.25				percent of total billed charges		49.21				percent of total billed charges		178.11				other	OPPS APC	48.25	178.11	
PORT ACCESS AIRSEAL L100 MM OD12 MM OBTURATOR BLADELESS OPTICAL TIP STERILE LATEX FREE DISPOSABLE	SUP-IAS12-100LPI	CDM			270	RC		inpatient			178.11	178.11																																																			
BIT DRILL BONE 3.2MM	SUP-2129-57-012	CDM			270	RC		outpatient			178	178	48.22				percent of total billed charges		178				other	OPPS APC	131.72				percent of total billed charges		178				other	OPPS APC	178				other	OPPS APC	48.22				percent of total billed charges		49.18				percent of total billed charges		178				other	OPPS APC	48.22	178	
BIT DRILL BONE 3.2MM	SUP-2129-57-012	CDM			270	RC		inpatient			178	178																																																			
DILATOR 8FR SEQUENTIAL	SUP-70-00183	CDM			272	RC		outpatient			178	178	48.22				percent of total billed charges		178				other	OPPS APC	131.72				percent of total billed charges		178				other	OPPS APC	178				other	OPPS APC	48.22				percent of total billed charges		49.18				percent of total billed charges		178				other	OPPS APC	48.22	178	
DILATOR 8FR SEQUENTIAL	SUP-70-00183	CDM			272	RC		inpatient			178	178																																																			
SHEATH ARTHROSCOPIC DART 15 D UP MENISCUS CANNULA STERILE DISPOSABLE	SUP-AR-3007-15	CDM			270	RC		outpatient			178	178	48.22				percent of total billed charges		178				other	OPPS APC	131.72				percent of total billed charges		178				other	OPPS APC	178				other	OPPS APC	48.22				percent of total billed charges		49.18				percent of total billed charges		178				other	OPPS APC	48.22	178	
SHEATH ARTHROSCOPIC DART 15 D UP MENISCUS CANNULA STERILE DISPOSABLE	SUP-AR-3007-15	CDM			270	RC		inpatient			178	178																																																			
SCREW BONE 5MM CALCANEUS	SUP-ZPSS5	CDM			270	RC		outpatient			178	178	48.22				percent of total billed charges		178				other	OPPS APC	131.72				percent of total billed charges		178				other	OPPS APC	178				other	OPPS APC	48.22				percent of total billed charges		49.18				percent of total billed charges		178				other	OPPS APC	48.22	178	
SCREW BONE 5MM CALCANEUS	SUP-ZPSS5	CDM			270	RC		inpatient			178	178																																																			
DRAPE C-ARMOR	SUP-78-00349	CDM			272	RC		outpatient			177.76	177.76	48.16				percent of total billed charges		177.76				other	OPPS APC	131.54				percent of total billed charges		177.76				other	OPPS APC	177.76				other	OPPS APC	48.16				percent of total billed charges		49.12				percent of total billed charges		177.76				other	OPPS APC	48.16	177.76	
DRAPE C-ARMOR	SUP-78-00349	CDM			272	RC		inpatient			177.76	177.76																																																			
LUBRICANT INSTRUMENT ROTAGLIDE 20 CC PERIPHERAL VIAL ROTABLATOR	SUP-H7492354800162	CDM			270	RC		outpatient			177.67	177.67	48.13				percent of total billed charges		177.67				other	OPPS APC	131.48				percent of total billed charges		177.67				other	OPPS APC	177.67				other	OPPS APC	48.13				percent of total billed charges		49.09				percent of total billed charges		177.67				other	OPPS APC	48.13	177.67	
LUBRICANT INSTRUMENT ROTAGLIDE 20 CC PERIPHERAL VIAL ROTABLATOR	SUP-H7492354800162	CDM			270	RC		inpatient			177.67	177.67																																																			
LUBRICANT ATHERECTOMY CATHETER ROTAGLIDE PERIPHERAL 6/BX	SUP-M00114100062	CDM			270	RC		outpatient			177.67	177.67	48.13				percent of total billed charges		177.67				other	OPPS APC	131.48				percent of total billed charges		177.67				other	OPPS APC	177.67				other	OPPS APC	48.13				percent of total billed charges		49.09				percent of total billed charges		177.67				other	OPPS APC	48.13	177.67	
LUBRICANT ATHERECTOMY CATHETER ROTAGLIDE PERIPHERAL 6/BX	SUP-M00114100062	CDM			270	RC		inpatient			177.67	177.67																																																			
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR  L 94 MM X H 1.1 MM 8 HOLE STERILE 3.5 MM SCREW	SUP-72440808	CDM			270	RC		outpatient			177.6	177.6	48.11				percent of total billed charges		177.6				other	OPPS APC	131.42				percent of total billed charges		177.6				other	OPPS APC	177.6				other	OPPS APC	48.11				percent of total billed charges		49.07				percent of total billed charges		177.6				other	OPPS APC	48.11	177.6	
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR  L 94 MM X H 1.1 MM 8 HOLE STERILE 3.5 MM SCREW	SUP-72440808	CDM			270	RC		inpatient			177.6	177.6																																																			
TUBE SUCTION FRAZIER 8FR	SUP-95-02939	CDM			272	RC		outpatient			177.2	177.2	48				percent of total billed charges		177.2				other	OPPS APC	131.13				percent of total billed charges		177.2				other	OPPS APC	177.2				other	OPPS APC	48				percent of total billed charges		48.96				percent of total billed charges		177.2				other	OPPS APC	48	177.2	
TUBE SUCTION FRAZIER 8FR	SUP-95-02939	CDM			272	RC		inpatient			177.2	177.2																																																			
CLIP APPLIER  LARGE OPEN	SUP-76-00006	CDM			272	RC		outpatient			177.15	177.15	47.99				percent of total billed charges		177.15				other	OPPS APC	131.09				percent of total billed charges		177.15				other	OPPS APC	177.15				other	OPPS APC	47.99				percent of total billed charges		48.95				percent of total billed charges		177.15				other	OPPS APC	47.99	177.15	
CLIP APPLIER  LARGE OPEN	SUP-76-00006	CDM			272	RC		inpatient			177.15	177.15																																																			
PACK TRENGUARD PROCEDURE 600 PAC UP TO 550 LBS	SUP-56401	CDM			270	RC		outpatient			177	177	47.95				percent of total billed charges		177				other	OPPS APC	130.98				percent of total billed charges		177				other	OPPS APC	177				other	OPPS APC	47.95				percent of total billed charges		48.91				percent of total billed charges		177				other	OPPS APC	47.95	177	
PACK TRENGUARD PROCEDURE 600 PAC UP TO 550 LBS	SUP-56401	CDM			270	RC		inpatient			177	177																																																			
ELECTRODE ELECTROSURGICAL OD22-24 FR KNIFE	SUP-8423.1905	CDM			270	RC		outpatient			176.58	176.58	47.84				percent of total billed charges		176.58				other	OPPS APC	130.67				percent of total billed charges		176.58				other	OPPS APC	176.58				other	OPPS APC	47.84				percent of total billed charges		48.79				percent of total billed charges		176.58				other	OPPS APC	47.84	176.58	
ELECTRODE ELECTROSURGICAL OD22-24 FR KNIFE	SUP-8423.1905	CDM			270	RC		inpatient			176.58	176.58																																																			
HC Microdissection  Manual	PX-300883810	CDM	88381	CPT	301	RC		outpatient			176.56	176.56	176.56				fee schedule		176.56				other	OPPS APC	130.65				percent of total billed charges		176.56				other	OPPS APC	176.56				other	OPPS APC	86.51				percent of total billed charges		90.05				percent of total billed charges		176.56				other	OPPS APC	86.51	176.56	
HC Microdissection  Manual	PX-300883810	CDM	88381	CPT	301	RC		inpatient			176.56	176.56																																																			
HC Mlh1 Hypermehtylation Braf Mutation Analys  Tumor	PX-300883811	CDM	88381	CPT	300	RC		outpatient			176.56	176.56	176.56				fee schedule		176.56				other	OPPS APC	130.65				percent of total billed charges		176.56				other	OPPS APC	176.56				other	OPPS APC	86.51				percent of total billed charges		90.05				percent of total billed charges		176.56				other	OPPS APC	86.51	176.56	
HC Mlh1 Hypermehtylation Braf Mutation Analys  Tumor	PX-300883811	CDM	88381	CPT	300	RC		inpatient			176.56	176.56																																																			
TUBE ORTHOPEDIC MEDULLA	SUP-355.01	CDM	270010022	LOCAL	270	RC		outpatient			176.4	176.41	47.79				percent of total billed charges		176.4				other	OPPS APC	130.54				percent of total billed charges		176.4				other	OPPS APC	176.4				other	OPPS APC	47.79				percent of total billed charges		48.74				percent of total billed charges		176.41				other	OPPS APC	47.79	176.41	
TUBE ORTHOPEDIC MEDULLA	SUP-355.01	CDM	270010022	LOCAL	270	RC		inpatient			176.4	176.4																																																			
SCREW BONE 1.3MM 2.4MM 10MM TITANIUM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NS	SUP-400.690	CDM	270010022	LOCAL	270	RC		outpatient			176.4	176.41	47.79				percent of total billed charges		176.4				other	OPPS APC	130.54				percent of total billed charges		176.4				other	OPPS APC	176.4				other	OPPS APC	47.79				percent of total billed charges		48.74				percent of total billed charges		176.41				other	OPPS APC	47.79	176.41	
SCREW BONE 1.3MM 2.4MM 10MM TITANIUM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NS	SUP-400.690	CDM	270010022	LOCAL	270	RC		inpatient			176.4	176.4																																																			
NEEDLE ASPIRATION EXCELON L15 MM L130 CM OD19 GA ODSEC1.8 MM TRANSBRONCHIAL 1 HAND LOCK ERGONOMIC HANDLE STERILE DISPOSABLE	SUP-M00564101	CDM			270	RC		outpatient			176.34	176.34	47.77				percent of total billed charges		176.34				other	OPPS APC	130.49				percent of total billed charges		176.34				other	OPPS APC	176.34				other	OPPS APC	47.77				percent of total billed charges		48.72				percent of total billed charges		176.34				other	OPPS APC	47.77	176.34	
NEEDLE ASPIRATION EXCELON L15 MM L130 CM OD19 GA ODSEC1.8 MM TRANSBRONCHIAL 1 HAND LOCK ERGONOMIC HANDLE STERILE DISPOSABLE	SUP-M00564101	CDM			270	RC		inpatient			176.34	176.34																																																			
NEEDLE ASPIRATION EXCELON 15MM 130CM 21GA 1.8MM 20ML DISPOSABLE TRANSBRONCHIAL SYRINGE LOCK ERGONOMIC HANDLE CATHETER	SUP-M00564121	CDM			270	RC		outpatient			176.34	176.34	47.77				percent of total billed charges		176.34				other	OPPS APC	130.49				percent of total billed charges		176.34				other	OPPS APC	176.34				other	OPPS APC	47.77				percent of total billed charges		48.72				percent of total billed charges		176.34				other	OPPS APC	47.77	176.34	
NEEDLE ASPIRATION EXCELON 15MM 130CM 21GA 1.8MM 20ML DISPOSABLE TRANSBRONCHIAL SYRINGE LOCK ERGONOMIC HANDLE CATHETER	SUP-M00564121	CDM			270	RC		inpatient			176.34	176.34																																																			
SCREW BONE EVOS  L 6 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412706	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS  L 6 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412706	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 7 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412707	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 7 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412707	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L8 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412708	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L8 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412708	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 9 MMOD 2.7 MM SELF TAP LOCK STERILE	SUP-72412709	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 9 MMOD 2.7 MM SELF TAP LOCK STERILE	SUP-72412709	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 10 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412710	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 10 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412710	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 11 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412711	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 11 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412711	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 12 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412712	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 12 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412712	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 13 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412713	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 13 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412713	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L14 MM  OD 2.7 MM L 14MM SELF TAP LOCK STERILE	SUP-72412714	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L14 MM  OD 2.7 MM L 14MM SELF TAP LOCK STERILE	SUP-72412714	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 15 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412715	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 15 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412715	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 16 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412716	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 16 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412716	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 18 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412718	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 18 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412718	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS  L 19 MM OD 2.7MM SELF TAP LOCK STERILE	SUP-72412719	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS  L 19 MM OD 2.7MM SELF TAP LOCK STERILE	SUP-72412719	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 20 MM OD 2.7MM SELF TAP LOCK STERILE	SUP-72412720	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 20 MM OD 2.7MM SELF TAP LOCK STERILE	SUP-72412720	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 22 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412722	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 22 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412722	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 24 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412724	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 24 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412724	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 26 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412726	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 26 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412726	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 28 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412728	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 28 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412728	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 30 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412730	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 30 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412730	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 32 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412732	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 32 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412732	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 34 MM OD 2.7 MM  SELF TAP LOCK STERILE	SUP-72412734	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 34 MM OD 2.7 MM  SELF TAP LOCK STERILE	SUP-72412734	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L36 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412736	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L36 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412736	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 38 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412738	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 38 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412738	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 40 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412740	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 40 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412740	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 44MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412744	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 44MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412744	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L46 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412746	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L46 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412746	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 48 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412748	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 48 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412748	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 50 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412750	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 50 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412750	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 55bMM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412755	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 55bMM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412755	CDM			270	RC		inpatient			176.12	176.12																																																			
SCREW BONE EVOS L 60 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412760	CDM			270	RC		outpatient			176.12	176.12	47.71				percent of total billed charges		176.12				other	OPPS APC	130.33				percent of total billed charges		176.12				other	OPPS APC	176.12				other	OPPS APC	47.71				percent of total billed charges		48.66				percent of total billed charges		176.12				other	OPPS APC	47.71	176.12	
SCREW BONE EVOS L 60 MM OD 2.7 MM SELF TAP LOCK STERILE	SUP-72412760	CDM			270	RC		inpatient			176.12	176.12																																																			
HC Parathormone	PX-300839700	CDM	83970	CPT	300	RC		outpatient			176	41.28	55.18				fee schedule		41.28				fee schedule		109.57				fee schedule		41.28				fee schedule		41.28				fee schedule		41.28				fee schedule		41.28				fee schedule		41.28				fee schedule		41.28	109.57	
HC Parathormone	PX-300839700	CDM	83970	CPT	300	RC		inpatient			176	176																																																			
HC Bd Mammo Diag Digital 2drt	PX-401002065	CDM	77065	CPT	401	RC		outpatient			176	87.23	44				fee schedule		87.2				fee schedule		203.5				fee schedule		87.2				fee schedule		87.2				fee schedule		125.63				fee schedule		87.2				fee schedule		87.23				fee schedule		44	203.5	
HC Bd Mammo Diag Digital 2drt	PX-401002065	CDM	77065	CPT	401	RC		inpatient			176	176																																																			
HC Bd Mammo Diag Digital 2d Lt	PX-401002067	CDM	77065	CPT	401	RC		outpatient			176	87.23	44				fee schedule		87.2				fee schedule		203.5				fee schedule		87.2				fee schedule		87.2				fee schedule		125.63				fee schedule		87.2				fee schedule		87.23				fee schedule		44	203.5	
HC Bd Mammo Diag Digital 2d Lt	PX-401002067	CDM	77065	CPT	401	RC		inpatient			176	176																																																			
HC Unlisted E/M Service	PX-510994990	CDM	99499	CPT	510	RC		outpatient			176	176	176				fee schedule		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				fee schedule		176				case rate		176				fee schedule		176				other	OPPS APC	130.24	176	
HC Unlisted E/M Service	PX-510994990	CDM	99499	CPT	510	RC		inpatient			176	176																																																			
RETRACTOR/ELEVATOR LAPAROSCOPIC VCARE LG 37MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP HOLE MANIPULATOR INFLATABLE	SUP-60-6085-202	CDM			270	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
RETRACTOR/ELEVATOR LAPAROSCOPIC VCARE LG 37MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP HOLE MANIPULATOR INFLATABLE	SUP-60-6085-202	CDM			270	RC		inpatient			176	176																																																			
SCREW 2.0 HT SD X-DR X5MM	SUP-71-00216	CDM			278	RC		outpatient			176	176	176				fee schedule		176				other	OPPS APC	100.32				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	86.24				percent of total billed charges		89.76				percent of total billed charges		176				other	OPPS APC	86.24	176	
SCREW 2.0 HT SD X-DR X5MM	SUP-71-00216	CDM			278	RC		inpatient			176	176																																																			
SCREW 2.0 HT SD X-DR X7MM	SUP-71-00217	CDM			278	RC		outpatient			176	176	176				fee schedule		176				other	OPPS APC	100.32				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	86.24				percent of total billed charges		89.76				percent of total billed charges		176				other	OPPS APC	86.24	176	
SCREW 2.0 HT SD X-DR X7MM	SUP-71-00217	CDM			278	RC		inpatient			176	176																																																			
SEALING CAP (LATEX FREE)	SUP-95-23337	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
SEALING CAP (LATEX FREE)	SUP-95-23337	CDM			272	RC		inpatient			176	176																																																			
GUIDE - 8F EBU3.5 SH	SUP-99-00607	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - 8F EBU3.5 SH	SUP-99-00607	CDM			272	RC		inpatient			176	176																																																			
GUIDE - EBU3.75 SH	SUP-99-00617	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - EBU3.75 SH	SUP-99-00617	CDM			272	RC		inpatient			176	176																																																			
GUIDE - 8F EBU3.75	SUP-99-00651	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - 8F EBU3.75	SUP-99-00651	CDM			272	RC		inpatient			176	176																																																			
GUIDE - 8F EBU3.75 SH	SUP-99-00656	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - 8F EBU3.75 SH	SUP-99-00656	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL4 SH (MEDTRONIC)	SUP-99-00903	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL4 SH (MEDTRONIC)	SUP-99-00903	CDM			272	RC		inpatient			176	176																																																			
GUIDE - EBU4.5	SUP-99-00917	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - EBU4.5	SUP-99-00917	CDM			272	RC		inpatient			176	176																																																			
GUIDE - EBU4.0 SH	SUP-99-00948	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - EBU4.0 SH	SUP-99-00948	CDM			272	RC		inpatient			176	176																																																			
GUIDE - AL 1 SH (MEDTRONIC)	SUP-99-01053	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - AL 1 SH (MEDTRONIC)	SUP-99-01053	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL4.5  (MEDTRONIC)	SUP-99-01162	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL4.5  (MEDTRONIC)	SUP-99-01162	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL3.5 SH (MEDTRONIC)	SUP-99-01254	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL3.5 SH (MEDTRONIC)	SUP-99-01254	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JR4 (MEDTRONIC)	SUP-99-01286	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JR4 (MEDTRONIC)	SUP-99-01286	CDM			272	RC		inpatient			176	176																																																			
GUIDE - AR 1 (MEDTRONIC)	SUP-99-01434	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - AR 1 (MEDTRONIC)	SUP-99-01434	CDM			272	RC		inpatient			176	176																																																			
GUIDE - SL 3.0	SUP-99-01630	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - SL 3.0	SUP-99-01630	CDM			272	RC		inpatient			176	176																																																			
GUIDE - SL 3.0 SH	SUP-99-01631	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - SL 3.0 SH	SUP-99-01631	CDM			272	RC		inpatient			176	176																																																			
GUIDE - SL 3.5	SUP-99-01632	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - SL 3.5	SUP-99-01632	CDM			272	RC		inpatient			176	176																																																			
GUIDE - SL 3.5 SH	SUP-99-01633	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - SL 3.5 SH	SUP-99-01633	CDM			272	RC		inpatient			176	176																																																			
GUIDE - SL 4.0	SUP-99-01634	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - SL 4.0	SUP-99-01634	CDM			272	RC		inpatient			176	176																																																			
GUIDE - SL 4.0 SH	SUP-99-01635	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - SL 4.0 SH	SUP-99-01635	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL4.5 SH  (MEDTRONIC)	SUP-99-01648	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL4.5 SH  (MEDTRONIC)	SUP-99-01648	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL5.SH  (MEDTRONIC)	SUP-99-01649	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL5.SH  (MEDTRONIC)	SUP-99-01649	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL5 6F (CORDIS)	SUP-99-01650	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL5 6F (CORDIS)	SUP-99-01650	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JL6 SH (MEDTRONIC)	SUP-99-01651	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JL6 SH (MEDTRONIC)	SUP-99-01651	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JR4.5  (MEDTRONIC)	SUP-99-01724	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JR4.5  (MEDTRONIC)	SUP-99-01724	CDM			272	RC		inpatient			176	176																																																			
GUIDE - JR4.5 SH (MEDTRONIC)	SUP-99-01725	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - JR4.5 SH (MEDTRONIC)	SUP-99-01725	CDM			272	RC		inpatient			176	176																																																			
GUIDE - RBU3.5SH	SUP-99-03200	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - RBU3.5SH	SUP-99-03200	CDM			272	RC		inpatient			176	176																																																			
GUIDE - 5 F AR1 (MEDTRONIC)	SUP-99-03362	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - 5 F AR1 (MEDTRONIC)	SUP-99-03362	CDM			272	RC		inpatient			176	176																																																			
GUIDE - 5 F AR2  (MEDTRONIC)	SUP-99-03363	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - 5 F AR2  (MEDTRONIC)	SUP-99-03363	CDM			272	RC		inpatient			176	176																																																			
GUIDE - 8F JR4	SUP-99-03648	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE - 8F JR4	SUP-99-03648	CDM			272	RC		inpatient			176	176																																																			
GUIDE-8F MPST	SUP-99-03650	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
GUIDE-8F MPST	SUP-99-03650	CDM			272	RC		inpatient			176	176																																																			
SHEATH-  RAINSHEATH 6F 21G BARE NEEDLE	SUP-99-04233	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
SHEATH-  RAINSHEATH 6F 21G BARE NEEDLE	SUP-99-04233	CDM			272	RC		inpatient			176	176																																																			
SHEATH - RAINSHEATH 7F	SUP-99-04336	CDM			272	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
SHEATH - RAINSHEATH 7F	SUP-99-04336	CDM			272	RC		inpatient			176	176																																																			
SHEATH GUIDING PINNACLE DESTINATION PTFE NYLON HYDROPHILIC STRAIGHT CURVE L45 CM L5 CM OD7 FR 3 RADIOPAQUE CROSSCUT VALVE SMOOTH DILATOR ACCEPTS .038 IN GUIDEWIRE	SUP-RSR04	CDM			270	RC		outpatient			176	176	47.68				percent of total billed charges		176				other	OPPS APC	130.24				percent of total billed charges		176				other	OPPS APC	176				other	OPPS APC	47.68				percent of total billed charges		48.63				percent of total billed charges		176				other	OPPS APC	47.68	176	
SHEATH GUIDING PINNACLE DESTINATION PTFE NYLON HYDROPHILIC STRAIGHT CURVE L45 CM L5 CM OD7 FR 3 RADIOPAQUE CROSSCUT VALVE SMOOTH DILATOR ACCEPTS .038 IN GUIDEWIRE	SUP-RSR04	CDM			270	RC		inpatient			176	176																																																			
PACK SURGICAL CARTICEL TRANSPLANT ACCESS PENINSULA REGIONAL MEDICAL CENTER	SUP-914879-009	CDM			270	RC		outpatient			175.95	175.95	47.66				percent of total billed charges		175.95				other	OPPS APC	130.2				percent of total billed charges		175.95				other	OPPS APC	175.95				other	OPPS APC	47.66				percent of total billed charges		48.61				percent of total billed charges		175.95				other	OPPS APC	47.66	175.95	
PACK SURGICAL CARTICEL TRANSPLANT ACCESS PENINSULA REGIONAL MEDICAL CENTER	SUP-914879-009	CDM			270	RC		inpatient			175.95	175.95																																																			
TUBE SUCTION FRAZIER 7FR	SUP-95-02940	CDM			272	RC		outpatient			175.84	175.84	47.64				percent of total billed charges		175.84				other	OPPS APC	130.12				percent of total billed charges		175.84				other	OPPS APC	175.84				other	OPPS APC	47.64				percent of total billed charges		48.58				percent of total billed charges		175.84				other	OPPS APC	47.64	175.84	
TUBE SUCTION FRAZIER 7FR	SUP-95-02940	CDM			272	RC		inpatient			175.84	175.84																																																			
AIRSEAL 8MM ACCESS PORT AND OBTURATOR	SUP-IAS8-100LP	CDM			270	RC		outpatient			175.58	175.58	47.56				percent of total billed charges		175.58				other	OPPS APC	129.93				percent of total billed charges		175.58				other	OPPS APC	175.58				other	OPPS APC	47.56				percent of total billed charges		48.51				percent of total billed charges		175.58				other	OPPS APC	47.56	175.58	
AIRSEAL 8MM ACCESS PORT AND OBTURATOR	SUP-IAS8-100LP	CDM			270	RC		inpatient			175.58	175.58																																																			
SCREW 2.0 HT X-DR X17MM	SUP-71-00220	CDM			278	RC		outpatient			175.5	175.5	175.5				fee schedule		175.5				other	OPPS APC	100.04				percent of total billed charges		175.5				other	OPPS APC	175.5				other	OPPS APC	86				percent of total billed charges		89.51				percent of total billed charges		175.5				other	OPPS APC	86	175.5	
SCREW 2.0 HT X-DR X17MM	SUP-71-00220	CDM			278	RC		inpatient			175.5	175.5																																																			
CATHETER - 5F JL3.5 INFINITI DX	SUP-99-04794	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JL3.5 INFINITI DX	SUP-99-04794	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JR3.5 INFINITI DX	SUP-99-04795	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JR3.5 INFINITI DX	SUP-99-04795	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JL4 INFINITI DX	SUP-99-04796	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JL4 INFINITI DX	SUP-99-04796	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JR4 INFINITI DX	SUP-99-04797	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JR4 INFINITI DX	SUP-99-04797	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JL5 INFINITI DX	SUP-99-04798	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JL5 INFINITI DX	SUP-99-04798	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JR5 INFINITI DX	SUP-99-04799	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JR5 INFINITI DX	SUP-99-04799	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JL6 INFINITI DX	SUP-99-04800	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JL6 INFINITI DX	SUP-99-04800	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JR6 INFINITI DX	SUP-99-04801	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JR6 INFINITI DX	SUP-99-04801	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JR4 ST INFINITI DX	SUP-99-04802	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JR4 ST INFINITI DX	SUP-99-04802	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F IM INFINITI DX	SUP-99-04803	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F IM INFINITI DX	SUP-99-04803	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 6F AL1 INFINITI DX	SUP-99-04804	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 6F AL1 INFINITI DX	SUP-99-04804	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 6F AL2 INFINITI DX	SUP-99-04805	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 6F AL2 INFINITI DX	SUP-99-04805	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 6F IM INFINITI DX	SUP-99-04806	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 6F IM INFINITI DX	SUP-99-04806	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F JL3.5 INFINITI DX	SUP-99-04827	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F JL3.5 INFINITI DX	SUP-99-04827	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 4F JL4 INFINITI DX	SUP-99-04863	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 4F JL4 INFINITI DX	SUP-99-04863	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F STRAIGHT PIGTAIL  CORDIS	SUP-99-04873	CDM						inpatient			175.4	175.4																																																			
CATHETER - 5F STRAIGHT PIGTAIL  CORDIS	SUP-99-04873	CDM						outpatient			175.4	175.41	175.4				percent of total billed charges		175.4				other	OPPS APC	175.4				fee schedule		175.4				other	OPPS APC	175.4				other	OPPS APC	175.4				case rate		175.4				case rate		175.41				other	OPPS APC	175.4	175.41	
CATHETER - 5F LCB (CORDIS)	SUP-99-04874	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F LCB (CORDIS)	SUP-99-04874	CDM			272	RC		inpatient			175.4	175.4																																																			
CATHETER - 5F RCB (CORDIS)	SUP-99-04875	CDM			272	RC		outpatient			175.4	175.41	47.52				percent of total billed charges		175.4				other	OPPS APC	129.8				percent of total billed charges		175.4				other	OPPS APC	175.4				other	OPPS APC	47.52				percent of total billed charges		48.46				percent of total billed charges		175.41				other	OPPS APC	47.52	175.41	
CATHETER - 5F RCB (CORDIS)	SUP-99-04875	CDM			272	RC		inpatient			175.4	175.4																																																			
SCREW 2.7MM CORTEX	SUP-97-02128	CDM			278	RC		outpatient			175.32	175.32	175.32				fee schedule		175.32				other	OPPS APC	99.93				percent of total billed charges		175.32				other	OPPS APC	175.32				other	OPPS APC	85.91				percent of total billed charges		89.41				percent of total billed charges		175.32				other	OPPS APC	85.91	175.32	
SCREW 2.7MM CORTEX	SUP-97-02128	CDM			278	RC		inpatient			175.32	175.32																																																			
CLIP APPLIER MEDIUM OPEN	SUP-76-00101	CDM			272	RC		outpatient			175.21	175.21	47.46				percent of total billed charges		175.21				other	OPPS APC	129.66				percent of total billed charges		175.21				other	OPPS APC	175.21				other	OPPS APC	47.46				percent of total billed charges		48.41				percent of total billed charges		175.21				other	OPPS APC	47.46	175.21	
CLIP APPLIER MEDIUM OPEN	SUP-76-00101	CDM			272	RC		inpatient			175.21	175.21																																																			
PLATE BONE SEMITUBULAR 119X12X1MM SS NS 7 HOLE 3.5/4.5MM SCREW LG FRAGMENT	SUP-222.07	CDM	270010022	LOCAL	270	RC		outpatient			175.12	175.12	47.44				percent of total billed charges		175.12				other	OPPS APC	129.59				percent of total billed charges		175.12				other	OPPS APC	175.12				other	OPPS APC	47.44				percent of total billed charges		48.39				percent of total billed charges		175.12				other	OPPS APC	47.44	175.12	
PLATE BONE SEMITUBULAR 119X12X1MM SS NS 7 HOLE 3.5/4.5MM SCREW LG FRAGMENT	SUP-222.07	CDM	270010022	LOCAL	270	RC		inpatient			175.12	175.12																																																			
PORT AIRSEAL 5MM ACCESS PORT AND OBTURATOR	SUP-IAS5-120LP	CDM			270	RC		outpatient			175.04	175.4	47.42				percent of total billed charges		175.04				other	OPPS APC	129.53				percent of total billed charges		175.04				other	OPPS APC	175.04				other	OPPS APC	47.42				percent of total billed charges		48.36				percent of total billed charges		175.4				other	OPPS APC	47.42	175.4	
PORT AIRSEAL 5MM ACCESS PORT AND OBTURATOR	SUP-IAS5-120LP	CDM			270	RC		inpatient			175.04	175.04																																																			
HC Chemo Admin by Infus Ea Add 1hr	PX-335964150	CDM	96415	CPT	335	RC		outpatient			175	71.62	28.19				fee schedule		71.06				other	OPPS APC	91.17				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	28.05				fee schedule		27.92				fee schedule		71.62				other	OPPS APC	27.92	91.17	
HC Chemo Admin by Infus Ea Add 1hr	PX-335964150	CDM	96415	CPT	335	RC		inpatient			175	175																																																			
HC Bd Mammo Screen Digital 2d	PX-403002050	CDM	77067	CPT	403	RC		outpatient			175	92.23	43.75				fee schedule		92.2				fee schedule		195.18				fee schedule		92.2				fee schedule		92.2				fee schedule		128.63				fee schedule		92.2				fee schedule		92.23				fee schedule		43.75	195.18	
HC Bd Mammo Screen Digital 2d	PX-403002050	CDM	77067	CPT	403	RC		inpatient			175	175																																																			
HC ER Level I	PX-450992811	CDM	99281	CPT	450	RC		inpatient			175	175																																																			
HC ER Level I	PX-450992811	CDM	99281	CPT	450	RC		outpatient			175	175	195.77				case rate		175				other	OPPS APC	202				case rate		175				other	OPPS APC	175				other	OPPS APC	195.77				case rate		199.69				case rate		175				other	OPPS APC	175	202	
HC ER-Screening	PX-451992811	CDM	99281	CPT	450	RC		outpatient			175	175	195.77				case rate		175				other	OPPS APC	63				case rate		175				other	OPPS APC	175				other	OPPS APC	11.61				fee schedule		199.69				case rate		175				other	OPPS APC	11.61	199.69	
HC ER-Screening	PX-451992811	CDM	99281	CPT	450	RC		inpatient			175	175																																																			
Est. Pat: 12-17 Years	PX-510993941	CDM	99394	CPT	510	RC		outpatient			175	175	116.32				fee schedule		175				other	OPPS APC	129.5				percent of total billed charges		175				other	OPPS APC	175				fee schedule		82.04				fee schedule		175				fee schedule		175				other	OPPS APC	82.04	175	
Est. Pat: 12-17 Years	PX-510993941	CDM	99394	CPT	510	RC		inpatient			175	175																																																			
SCREW PERIPHERAL NON-LOCKING 4.5MM X 20MM	SUP-AR-9562-20NL	CDM			270	RC		outpatient			174.94	174.94	47.39				percent of total billed charges		174.94				other	OPPS APC	129.46				percent of total billed charges		174.94				other	OPPS APC	174.94				other	OPPS APC	47.39				percent of total billed charges		48.34				percent of total billed charges		174.94				other	OPPS APC	47.39	174.94	
SCREW PERIPHERAL NON-LOCKING 4.5MM X 20MM	SUP-AR-9562-20NL	CDM			270	RC		inpatient			174.94	174.94																																																			
SCREW PERIPHERAL NON-LOCKING 4.5MM X 24MM	SUP-AR-9562-24NL	CDM			270	RC		outpatient			174.94	174.94	47.39				percent of total billed charges		174.94				other	OPPS APC	129.46				percent of total billed charges		174.94				other	OPPS APC	174.94				other	OPPS APC	47.39				percent of total billed charges		48.34				percent of total billed charges		174.94				other	OPPS APC	47.39	174.94	
SCREW PERIPHERAL NON-LOCKING 4.5MM X 24MM	SUP-AR-9562-24NL	CDM			270	RC		inpatient			174.94	174.94																																																			
SCREW PERIPHERAL NON LOCKING 4.5MM X 32MM	SUP-AR-9562-32NL	CDM	270010030	LOCAL	270	RC		outpatient			174.94	174.94	47.39				percent of total billed charges		174.94				other	OPPS APC	129.46				percent of total billed charges		174.94				other	OPPS APC	174.94				other	OPPS APC	47.39				percent of total billed charges		48.34				percent of total billed charges		174.94				other	OPPS APC	47.39	174.94	
SCREW PERIPHERAL NON LOCKING 4.5MM X 32MM	SUP-AR-9562-32NL	CDM	270010030	LOCAL	270	RC		inpatient			174.94	174.94																																																			
SCREW PERIPHERAL NON LOCKING 4.5MM X 40MM	SUP-AR-9562-40NL	CDM	270010030	LOCAL	270	RC		outpatient			174.94	174.94	47.39				percent of total billed charges		174.94				other	OPPS APC	129.46				percent of total billed charges		174.94				other	OPPS APC	174.94				other	OPPS APC	47.39				percent of total billed charges		48.34				percent of total billed charges		174.94				other	OPPS APC	47.39	174.94	
SCREW PERIPHERAL NON LOCKING 4.5MM X 40MM	SUP-AR-9562-40NL	CDM	270010030	LOCAL	270	RC		inpatient			174.94	174.94																																																			
SCREW PERIPHERAL LOCKING 5.5MM X 16MM	SUP-AR-9563-16	CDM	270010030	LOCAL	270	RC		outpatient			174.94	174.94	47.39				percent of total billed charges		174.94				other	OPPS APC	129.46				percent of total billed charges		174.94				other	OPPS APC	174.94				other	OPPS APC	47.39				percent of total billed charges		48.34				percent of total billed charges		174.94				other	OPPS APC	47.39	174.94	
SCREW PERIPHERAL LOCKING 5.5MM X 16MM	SUP-AR-9563-16	CDM	270010030	LOCAL	270	RC		inpatient			174.94	174.94																																																			
SCREW PERIPHERAL LOCKING 5.5MM X 24MM	SUP-AR-9563-24	CDM	270010030	LOCAL	270	RC		outpatient			174.94	174.94	47.39				percent of total billed charges		174.94				other	OPPS APC	129.46				percent of total billed charges		174.94				other	OPPS APC	174.94				other	OPPS APC	47.39				percent of total billed charges		48.34				percent of total billed charges		174.94				other	OPPS APC	47.39	174.94	
SCREW PERIPHERAL LOCKING 5.5MM X 24MM	SUP-AR-9563-24	CDM	270010030	LOCAL	270	RC		inpatient			174.94	174.94																																																			
L HOOKS=CORSON PROBE ATTACHMEN	SUP-76-00064	CDM			272	RC		outpatient			174.72	174.72	47.33				percent of total billed charges		174.72				other	OPPS APC	129.29				percent of total billed charges		174.72				other	OPPS APC	174.72				other	OPPS APC	47.33				percent of total billed charges		48.28				percent of total billed charges		174.72				other	OPPS APC	47.33	174.72	
L HOOKS=CORSON PROBE ATTACHMEN	SUP-76-00064	CDM			272	RC		inpatient			174.72	174.72																																																			
NEEDLE ACHIEVE BIOPSY 14G X 15	SUP-74-00231	CDM			272	RC		outpatient			174.68	174.68	47.32				percent of total billed charges		174.68				other	OPPS APC	129.26				percent of total billed charges		174.68				other	OPPS APC	174.68				other	OPPS APC	47.32				percent of total billed charges		48.26				percent of total billed charges		174.68				other	OPPS APC	47.32	174.68	
NEEDLE ACHIEVE BIOPSY 14G X 15	SUP-74-00231	CDM			272	RC		inpatient			174.68	174.68																																																			
BIT DRILL BONE 3.2 X 130MM	SUP-DB32	CDM			270	RC		outpatient			174.6	174.6	47.3				percent of total billed charges		174.6				other	OPPS APC	129.2				percent of total billed charges		174.6				other	OPPS APC	174.6				other	OPPS APC	47.3				percent of total billed charges		48.24				percent of total billed charges		174.6				other	OPPS APC	47.3	174.6	
BIT DRILL BONE 3.2 X 130MM	SUP-DB32	CDM			270	RC		inpatient			174.6	174.6																																																			
ELECTRODE ELECTROSURGICAL ARGON PLUS VALLEYLAB 10FT 1IN DISPOSABLE STERILE LF HANDSET RETRACTABLE BLADE HOLSTER	SUP-E3520H_105966	CDM			270	RC		outpatient			174.35	174.35	47.23				percent of total billed charges		174.35				other	OPPS APC	129.02				percent of total billed charges		174.35				other	OPPS APC	174.35				other	OPPS APC	47.23				percent of total billed charges		48.17				percent of total billed charges		174.35				other	OPPS APC	47.23	174.35	
ELECTRODE ELECTROSURGICAL ARGON PLUS VALLEYLAB 10FT 1IN DISPOSABLE STERILE LF HANDSET RETRACTABLE BLADE HOLSTER	SUP-E3520H_105966	CDM			270	RC		inpatient			174.35	174.35																																																			
THREADED STEINMAN PIN 3/32	SUP-95-23680	CDM			278	RC		outpatient			174.04	174.4	174.04				fee schedule		174.04				other	OPPS APC	99.2				percent of total billed charges		174.04				other	OPPS APC	174.04				other	OPPS APC	85.28				percent of total billed charges		88.76				percent of total billed charges		174.4				other	OPPS APC	85.28	174.4	
THREADED STEINMAN PIN 3/32	SUP-95-23680	CDM			278	RC		inpatient			174.04	174.04																																																			
BURR SURGICAL STEEL MEDIUM LENGTH OD3 MM ULTRA	SUP-31313065UE	CDM			270	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
BURR SURGICAL STEEL MEDIUM LENGTH OD3 MM ULTRA	SUP-31313065UE	CDM			270	RC		inpatient			174	174																																																			
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT H.55 MM MIDFACE 4 HOLE BAR 1.7 MM SCREW	SUP-5506704	CDM			270	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
PLATE BONE UNIVERSAL 2 TITANIUM STANDARD STRAIGHT H.55 MM MIDFACE 4 HOLE BAR 1.7 MM SCREW	SUP-5506704	CDM			270	RC		inpatient			174	174																																																			
GUIDE - IM SH	SUP-99-00499	CDM			272	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
GUIDE - IM SH	SUP-99-00499	CDM			272	RC		inpatient			174	174																																																			
GUIDE - JR3.5	SUP-99-00593	CDM			272	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
GUIDE - JR3.5	SUP-99-00593	CDM			272	RC		inpatient			174	174																																																			
GUIDE - XB 4	SUP-99-01082	CDM			272	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
GUIDE - XB 4	SUP-99-01082	CDM			272	RC		inpatient			174	174																																																			
GUIDE - HOCKEY STICK	SUP-99-01535	CDM			272	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
GUIDE - HOCKEY STICK	SUP-99-01535	CDM			272	RC		inpatient			174	174																																																			
GUIDE - AR 2	SUP-99-01859	CDM			272	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
GUIDE - AR 2	SUP-99-01859	CDM			272	RC		inpatient			174	174																																																			
GUIDE- RBU4.5	SUP-99-03382	CDM			272	RC		outpatient			174	174	47.14				percent of total billed charges		174				other	OPPS APC	128.76				percent of total billed charges		174				other	OPPS APC	174				other	OPPS APC	47.14				percent of total billed charges		48.08				percent of total billed charges		174				other	OPPS APC	47.14	174	
GUIDE- RBU4.5	SUP-99-03382	CDM			272	RC		inpatient			174	174																																																			
PAPARELLA VENT TUBES	SUP-72-00034	CDM			272	RC		outpatient			173.6	173.6	47.03				percent of total billed charges		173.6				other	OPPS APC	128.46				percent of total billed charges		173.6				other	OPPS APC	173.6				other	OPPS APC	47.03				percent of total billed charges		47.97				percent of total billed charges		173.6				other	OPPS APC	47.03	173.6	
PAPARELLA VENT TUBES	SUP-72-00034	CDM			272	RC		inpatient			173.6	173.6																																																			
TUBE CUFFLESS TRACH #8	SUP-31-00020	CDM			272	RC		outpatient			173.54	173.54	47.01				percent of total billed charges		173.54				other	OPPS APC	128.42				percent of total billed charges		173.54				other	OPPS APC	173.54				other	OPPS APC	47.01				percent of total billed charges		47.95				percent of total billed charges		173.54				other	OPPS APC	47.01	173.54	
TUBE CUFFLESS TRACH #8	SUP-31-00020	CDM			272	RC		inpatient			173.54	173.54																																																			
BOLT EXTERNAL FIXATION RING XS FIXATOR	SUP-15245	CDM			270	RC		outpatient			173.4	173.41	46.97				percent of total billed charges		173.4				other	OPPS APC	128.32				percent of total billed charges		173.4				other	OPPS APC	173.4				other	OPPS APC	46.97				percent of total billed charges		47.91				percent of total billed charges		173.41				other	OPPS APC	46.97	173.41	
BOLT EXTERNAL FIXATION RING XS FIXATOR	SUP-15245	CDM			270	RC		inpatient			173.4	173.4																																																			
SCREW BONE L28 MM OD4.5 MM PERIPHERAL STERILE	SUP-AR-9562-28NL	CDM			270	RC		outpatient			173.36	173.36	46.96				percent of total billed charges		173.36				other	OPPS APC	128.29				percent of total billed charges		173.36				other	OPPS APC	173.36				other	OPPS APC	46.96				percent of total billed charges		47.9				percent of total billed charges		173.36				other	OPPS APC	46.96	173.36	
SCREW BONE L28 MM OD4.5 MM PERIPHERAL STERILE	SUP-AR-9562-28NL	CDM			270	RC		inpatient			173.36	173.36																																																			
SCREW BONE L44 MM OD4.5 MM PERIPHERAL STERILE	SUP-AR-9562-44NL	CDM	270010030	LOCAL	270	RC		outpatient			173.36	173.36	46.96				percent of total billed charges		173.36				other	OPPS APC	128.29				percent of total billed charges		173.36				other	OPPS APC	173.36				other	OPPS APC	46.96				percent of total billed charges		47.9				percent of total billed charges		173.36				other	OPPS APC	46.96	173.36	
SCREW BONE L44 MM OD4.5 MM PERIPHERAL STERILE	SUP-AR-9562-44NL	CDM	270010030	LOCAL	270	RC		inpatient			173.36	173.36																																																			
SCREW BONE L20 MM OD5.5 MM LOCK PERIPHERAL STERILE	SUP-AR-9563-20	CDM	270010030	LOCAL	270	RC		outpatient			173.36	173.36	46.96				percent of total billed charges		173.36				other	OPPS APC	128.29				percent of total billed charges		173.36				other	OPPS APC	173.36				other	OPPS APC	46.96				percent of total billed charges		47.9				percent of total billed charges		173.36				other	OPPS APC	46.96	173.36	
SCREW BONE L20 MM OD5.5 MM LOCK PERIPHERAL STERILE	SUP-AR-9563-20	CDM	270010030	LOCAL	270	RC		inpatient			173.36	173.36																																																			
SKIN CLOSURE ZIP 4	SUP-95-05142	CDM			272	RC		outpatient			173.17	173.17	46.91				percent of total billed charges		173.17				other	OPPS APC	128.15				percent of total billed charges		173.17				other	OPPS APC	173.17				other	OPPS APC	46.91				percent of total billed charges		47.85				percent of total billed charges		173.17				other	OPPS APC	46.91	173.17	
SKIN CLOSURE ZIP 4	SUP-95-05142	CDM			272	RC		inpatient			173.17	173.17																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	55150-386-01	NDC	J9045	HCPCS		inpatient			173.13	173.13																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	55150-386-01	NDC	J9045	HCPCS		outpatient			173.13	173.13																																															other	OPPS APC			
SCREW BONE T8 18MM 2.4MM SS NS LOCK VARIABLE ANGLE STARDRIVE	SUP-02.210.118	CDM	270010022	LOCAL	270	RC		outpatient			172.9	172.91	46.84				percent of total billed charges		172.9				other	OPPS APC	127.95				percent of total billed charges		172.9				other	OPPS APC	172.9				other	OPPS APC	46.84				percent of total billed charges		47.77				percent of total billed charges		172.91				other	OPPS APC	46.84	172.91	
SCREW BONE T8 18MM 2.4MM SS NS LOCK VARIABLE ANGLE STARDRIVE	SUP-02.210.118	CDM	270010022	LOCAL	270	RC		inpatient			172.9	172.9																																																			
DRILL SURGICAL EVOSO SHORT OD1.8MM AO QUICK CONNECT DISPOSABLE	SUP-71174905	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
DRILL SURGICAL EVOSO SHORT OD1.8MM AO QUICK CONNECT DISPOSABLE	SUP-71174905	CDM			270	RC		inpatient			172.8	172.8																																																			
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L70MM X W 9 MM H 1.1 MM 6 HOLE STERILE 3.5 MM SCREW	SUP-72440806	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
PLATE BONE EVOS STAINLESS STEEL 12 MM SPACE 1/3 TUBULAR L70MM X W 9 MM H 1.1 MM 6 HOLE STERILE 3.5 MM SCREW	SUP-72440806	CDM			270	RC		inpatient			172.8	172.8																																																			
AIMING BLOCK SET SCREW  M6X0.75	SUP-97-04224	CDM			278	RC		outpatient			172.8	172.81	172.8				fee schedule		172.8				other	OPPS APC	98.5				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	84.67				percent of total billed charges		88.13				percent of total billed charges		172.81				other	OPPS APC	84.67	172.81	
AIMING BLOCK SET SCREW  M6X0.75	SUP-97-04224	CDM			278	RC		inpatient			172.8	172.8																																																			
GUIDE - AR 1 SH (MEDTRONIC)	SUP-99-00979	CDM			272	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
GUIDE - AR 1 SH (MEDTRONIC)	SUP-99-00979	CDM			272	RC		inpatient			172.8	172.8																																																			
CATHETER - NAVICROSS 150CM STRAIGHT	SUP-99-03273	CDM			272	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
CATHETER - NAVICROSS 150CM STRAIGHT	SUP-99-03273	CDM			272	RC		inpatient			172.8	172.8																																																			
GUIDE - 5F EBU3.0	SUP-99-03358	CDM			272	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
GUIDE - 5F EBU3.0	SUP-99-03358	CDM			272	RC		inpatient			172.8	172.8																																																			
GUIDE - RBU4.0 5F	SUP-99-03380	CDM			272	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
GUIDE - RBU4.0 5F	SUP-99-03380	CDM			272	RC		inpatient			172.8	172.8																																																			
SCREW BONE CORTICAL TITANIUM 3.5 X 12MM	SUP-CS12	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
SCREW BONE CORTICAL TITANIUM 3.5 X 12MM	SUP-CS12	CDM			270	RC		inpatient			172.8	172.8																																																			
SCREW BONE CORTICAL TITANIUM 3.5 X 16MM	SUP-CS16	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
SCREW BONE CORTICAL TITANIUM 3.5 X 16MM	SUP-CS16	CDM			270	RC		inpatient			172.8	172.8																																																			
SCREW BONE L18 MM OD3.5 MM CORTICAL DISTAL VOLAR RADIAL	SUP-CS18	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
SCREW BONE L18 MM OD3.5 MM CORTICAL DISTAL VOLAR RADIAL	SUP-CS18	CDM			270	RC		inpatient			172.8	172.8																																																			
SCREW BONE 1.3MM 16MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP16000	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
SCREW BONE 1.3MM 16MM 2.5MM TITANIUM NS PEG SELF TAP TIP SQUARE DVR ALPS HAND FRACTURE SYSTEM	SUP-SP16000	CDM			270	RC		inpatient			172.8	172.8																																																			
SCREW 2.5MM THREADED PEG 20MM	SUP-TP-20	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
SCREW 2.5MM THREADED PEG 20MM	SUP-TP-20	CDM			270	RC		inpatient			172.8	172.8																																																			
SCREW 2.5MM THREADED PEG 24MM	SUP-TP-24	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
SCREW 2.5MM THREADED PEG 24MM	SUP-TP-24	CDM			270	RC		inpatient			172.8	172.8																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L28 MM OD2.5 MM VOLAR DISTAL RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP28000	CDM			270	RC		outpatient			172.8	172.81	46.81				percent of total billed charges		172.8				other	OPPS APC	127.87				percent of total billed charges		172.8				other	OPPS APC	172.8				other	OPPS APC	46.81				percent of total billed charges		47.74				percent of total billed charges		172.81				other	OPPS APC	46.81	172.81	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L28 MM OD2.5 MM VOLAR DISTAL RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP28000	CDM			270	RC		inpatient			172.8	172.8																																																			
TUBE TOUMA T-TYPE	SUP-72-00061	CDM			272	RC		outpatient			172.67	172.67	46.78				percent of total billed charges		172.67				other	OPPS APC	127.78				percent of total billed charges		172.67				other	OPPS APC	172.67				other	OPPS APC	46.78				percent of total billed charges		47.71				percent of total billed charges		172.67				other	OPPS APC	46.78	172.67	
TUBE TOUMA T-TYPE	SUP-72-00061	CDM			272	RC		inpatient			172.67	172.67																																																			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	68982-643-01	NDC	P9047	HCPCS		inpatient			172.2	172.2																																																			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	68982-643-01	NDC	P9047	HCPCS		outpatient			172.2	56.54																																											56.54				other	OPPS APC	56.54	56.54	
NEEDLE ACHIEVE BIOPSY 16G X 20	SUP-95-03146	CDM			272	RC		outpatient			172.09	172.9	46.62				percent of total billed charges		172.09				other	OPPS APC	127.35				percent of total billed charges		172.09				other	OPPS APC	172.09				other	OPPS APC	46.62				percent of total billed charges		47.55				percent of total billed charges		172.9				other	OPPS APC	46.62	172.9	
NEEDLE ACHIEVE BIOPSY 16G X 20	SUP-95-03146	CDM			272	RC		inpatient			172.09	172.09																																																			
SCREW 2.3 HT X-DR X5MM	SUP-71-00222	CDM			278	RC		outpatient			172	172	172				fee schedule		172				other	OPPS APC	98.04				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	84.28				percent of total billed charges		87.72				percent of total billed charges		172				other	OPPS APC	84.28	172	
SCREW 2.3 HT X-DR X5MM	SUP-71-00222	CDM			278	RC		inpatient			172	172																																																			
SCREW 2.3 HT X-DR X7MM	SUP-71-00223	CDM			278	RC		outpatient			172	172	172				fee schedule		172				other	OPPS APC	98.04				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	84.28				percent of total billed charges		87.72				percent of total billed charges		172				other	OPPS APC	84.28	172	
SCREW 2.3 HT X-DR X7MM	SUP-71-00223	CDM			278	RC		inpatient			172	172																																																			
RETRACTOR C-SECTION ALEXIS	SUP-74-00138	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
RETRACTOR C-SECTION ALEXIS	SUP-74-00138	CDM			272	RC		inpatient			172	172																																																			
TOMCAT 4.0MM	SUP-79-00050	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
TOMCAT 4.0MM	SUP-79-00050	CDM			272	RC		inpatient			172	172																																																			
TOMCAT 5.5MM	SUP-79-00051	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
TOMCAT 5.5MM	SUP-79-00051	CDM			272	RC		inpatient			172	172																																																			
BARREL BURR 5.5MM	SUP-79-00052	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
BARREL BURR 5.5MM	SUP-79-00052	CDM			272	RC		inpatient			172	172																																																			
BLADE 4.0MM ANGLED ADD PLUS	SUP-79-00056	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
BLADE 4.0MM ANGLED ADD PLUS	SUP-79-00056	CDM			272	RC		inpatient			172	172																																																			
NEEDLE  ACHIEVE BIOPSY 20GX15CM USSUP	SUP-95-01527	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
NEEDLE  ACHIEVE BIOPSY 20GX15CM USSUP	SUP-95-01527	CDM			272	RC		inpatient			172	172																																																			
GUIDEWIRE THREADED 2.8MM	SUP-97-00361	CDM			272	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
GUIDEWIRE THREADED 2.8MM	SUP-97-00361	CDM			272	RC		inpatient			172	172																																																			
FORCE FIBER SUTURE SIZE 3-4-C	SUP-97-01981	CDM						inpatient			172	172																																																			
FORCE FIBER SUTURE SIZE 3-4-C	SUP-97-01981	CDM						outpatient			172	172	172				percent of total billed charges		172				other	OPPS APC	172				fee schedule		172				other	OPPS APC	172				other	OPPS APC	172				case rate		172				case rate		172				other	OPPS APC	172	172	
SCREW ARTHREX LOCKING TI 3.5MM X 40MM	SUP-AR-8935L-40	CDM			270	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
SCREW ARTHREX LOCKING TI 3.5MM X 40MM	SUP-AR-8935L-40	CDM			270	RC		inpatient			172	172																																																			
ADAPTER BRONCHOSCOPE ILLUMISITE STERILE LATEX FREE REUSABLE OLYMPUS BRONCHOSCOPE	SUP-ILS-2000-PK	CDM			270	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
ADAPTER BRONCHOSCOPE ILLUMISITE STERILE LATEX FREE REUSABLE OLYMPUS BRONCHOSCOPE	SUP-ILS-2000-PK	CDM			270	RC		inpatient			172	172																																																			
ADAPTER BRONCHOSCOPE EDGE OLYMPUS	SUP-SD300BAPK	CDM			270	RC		outpatient			172	172	46.59				percent of total billed charges		172				other	OPPS APC	127.28				percent of total billed charges		172				other	OPPS APC	172				other	OPPS APC	46.59				percent of total billed charges		47.52				percent of total billed charges		172				other	OPPS APC	46.59	172	
ADAPTER BRONCHOSCOPE EDGE OLYMPUS	SUP-SD300BAPK	CDM			270	RC		inpatient			172	172																																																			
J-SPLINT 4X20FT PLASTER	SUP-95-00572	CDM			271	RC		outpatient			171.96	171.96	46.58				percent of total billed charges		171.96				other	OPPS APC	127.25				percent of total billed charges		171.96				other	OPPS APC	171.96				other	OPPS APC	46.58				percent of total billed charges		47.51				percent of total billed charges		171.96				other	OPPS APC	46.58	171.96	
J-SPLINT 4X20FT PLASTER	SUP-95-00572	CDM			271	RC		inpatient			171.96	171.96																																																			
SUTURE RETRIEVER	SUP-78-00258	CDM			272	RC		outpatient			171.6	171.6	46.49				percent of total billed charges		171.6				other	OPPS APC	126.98				percent of total billed charges		171.6				other	OPPS APC	171.6				other	OPPS APC	46.49				percent of total billed charges		47.41				percent of total billed charges		171.6				other	OPPS APC	46.49	171.6	
SUTURE RETRIEVER	SUP-78-00258	CDM			272	RC		inpatient			171.6	171.6																																																			
SCREW CANCELLOUS FULL THRD 6MM X 30MM	SUP-97-03056	CDM			278	RC		outpatient			171.36	171.36	171.36				fee schedule		171.36				other	OPPS APC	97.68				percent of total billed charges		171.36				other	OPPS APC	171.36				other	OPPS APC	83.97				percent of total billed charges		87.39				percent of total billed charges		171.36				other	OPPS APC	83.97	171.36	
SCREW CANCELLOUS FULL THRD 6MM X 30MM	SUP-97-03056	CDM			278	RC		inpatient			171.36	171.36																																																			
SCREW 6 X 40MM CANCELLOUS FULL THREAD	SUP-97-03224	CDM			278	RC		outpatient			171.36	171.36	171.36				fee schedule		171.36				other	OPPS APC	97.68				percent of total billed charges		171.36				other	OPPS APC	171.36				other	OPPS APC	83.97				percent of total billed charges		87.39				percent of total billed charges		171.36				other	OPPS APC	83.97	171.36	
SCREW 6 X 40MM CANCELLOUS FULL THREAD	SUP-97-03224	CDM			278	RC		inpatient			171.36	171.36																																																			
TROCAR LAPAROSCOPIC AUTOSUTURE WOODFORD SPIKE PEDIPORT SHORT OD5.5 MM LOCK CANNULA HUB STERILE DISPOSABLE	SUP-24055	CDM			270	RC		outpatient			171.14	171.14	46.36				percent of total billed charges		171.14				other	OPPS APC	126.64				percent of total billed charges		171.14				other	OPPS APC	171.14				other	OPPS APC	46.36				percent of total billed charges		47.29				percent of total billed charges		171.14				other	OPPS APC	46.36	171.14	
TROCAR LAPAROSCOPIC AUTOSUTURE WOODFORD SPIKE PEDIPORT SHORT OD5.5 MM LOCK CANNULA HUB STERILE DISPOSABLE	SUP-24055	CDM			270	RC		inpatient			171.14	171.14																																																			
HC Paring Benign Lesion - One	PX-761110550	CDM	11055	CPT	761	RC		outpatient			171	19.19	195.77				case rate		190.19				other	OPPS APC	126.54				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		87.21				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC Paring Benign Lesion - One	PX-761110550	CDM	11055	CPT	761	RC		inpatient			171	171																																																			
HC Paring Benign Lesion - 2-4	PX-761110560	CDM	11056	CPT	761	RC		outpatient			171	19.19	195.77				case rate		190.19				other	OPPS APC	126.54				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		87.21				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC Paring Benign Lesion - 2-4	PX-761110560	CDM	11056	CPT	761	RC		inpatient			171	171																																																			
HC Tangential Biopsy of Skin	PX-761111020	CDM	11102	CPT	761	RC		outpatient			171	19.19	195.77				case rate		190.19				other	OPPS APC	126.54				percent of total billed charges		190.19				other	OPPS APC	190.19				other	OPPS APC	195.77				case rate		87.21				percent of total billed charges		19.19				other	OPPS APC	19.19	195.77	
HC Tangential Biopsy of Skin	PX-761111020	CDM	11102	CPT	761	RC		inpatient			171	171																																																			
HC Punch Biopsy of Skin	PX-761111040	CDM	11104	CPT	761	RC		outpatient			171	392.92	195.77				case rate		392.92				other	OPPS APC	126.54				percent of total billed charges		392.92				other	OPPS APC	392.92				other	OPPS APC	195.77				case rate		87.21				percent of total billed charges		392.92				other	OPPS APC	87.21	392.92	
HC Punch Biopsy of Skin	PX-761111040	CDM	11104	CPT	761	RC		inpatient			171	171																																																			
SCREW CANCELLOUS FULL THRD 6MM X 60MM	SUP-97-04729	CDM			278	RC		outpatient			170.24	17.24	170.24				fee schedule		170.24				other	OPPS APC	97.04				percent of total billed charges		170.24				other	OPPS APC	170.24				other	OPPS APC	83.42				percent of total billed charges		86.82				percent of total billed charges		17.24				other	OPPS APC	17.24	170.24	
SCREW CANCELLOUS FULL THRD 6MM X 60MM	SUP-97-04729	CDM			278	RC		inpatient			170.24	170.24																																																			
SCREW CANCELLOUS FULL THRD 6MM X 65MM	SUP-97-04730	CDM			278	RC		outpatient			170.24	17.24	170.24				fee schedule		170.24				other	OPPS APC	97.04				percent of total billed charges		170.24				other	OPPS APC	170.24				other	OPPS APC	83.42				percent of total billed charges		86.82				percent of total billed charges		17.24				other	OPPS APC	17.24	170.24	
SCREW CANCELLOUS FULL THRD 6MM X 65MM	SUP-97-04730	CDM			278	RC		inpatient			170.24	170.24																																																			
SCREW CANCELLOUS FULL THRD 6MM X 85MM	SUP-97-04731	CDM			278	RC		outpatient			170.24	17.24	170.24				fee schedule		170.24				other	OPPS APC	97.04				percent of total billed charges		170.24				other	OPPS APC	170.24				other	OPPS APC	83.42				percent of total billed charges		86.82				percent of total billed charges		17.24				other	OPPS APC	17.24	170.24	
SCREW CANCELLOUS FULL THRD 6MM X 85MM	SUP-97-04731	CDM			278	RC		inpatient			170.24	170.24																																																			
SCREW CORTEX SLF TPN W/ STAR DRV 2.7 22M	SUP-97-01252	CDM			278	RC		outpatient			170.2	17.2	170.2				fee schedule		170.2				other	OPPS APC	97.01				percent of total billed charges		170.2				other	OPPS APC	170.2				other	OPPS APC	83.4				percent of total billed charges		86.8				percent of total billed charges		17.2				other	OPPS APC	17.2	170.2	
SCREW CORTEX SLF TPN W/ STAR DRV 2.7 22M	SUP-97-01252	CDM			278	RC		inpatient			170.2	170.2																																																			
SCREW  2.7 CORTEX 20MM	SUP-97-01631	CDM			278	RC		outpatient			170.2	17.2	170.2				fee schedule		170.2				other	OPPS APC	97.01				percent of total billed charges		170.2				other	OPPS APC	170.2				other	OPPS APC	83.4				percent of total billed charges		86.8				percent of total billed charges		17.2				other	OPPS APC	17.2	170.2	
SCREW  2.7 CORTEX 20MM	SUP-97-01631	CDM			278	RC		inpatient			170.2	170.2																																																			
SCREW  2.7 CORTEX 28MM	SUP-97-01632	CDM			278	RC		outpatient			170.2	17.2	170.2				fee schedule		170.2				other	OPPS APC	97.01				percent of total billed charges		170.2				other	OPPS APC	170.2				other	OPPS APC	83.4				percent of total billed charges		86.8				percent of total billed charges		17.2				other	OPPS APC	17.2	170.2	
SCREW  2.7 CORTEX 28MM	SUP-97-01632	CDM			278	RC		inpatient			170.2	170.2																																																			
SCREW CORTEX SLF TPN W/ STAR DRV 2.7 18M	SUP-97-02148	CDM			278	RC		outpatient			170.2	17.2	170.2				fee schedule		170.2				other	OPPS APC	97.01				percent of total billed charges		170.2				other	OPPS APC	170.2				other	OPPS APC	83.4				percent of total billed charges		86.8				percent of total billed charges		17.2				other	OPPS APC	17.2	170.2	
SCREW CORTEX SLF TPN W/ STAR DRV 2.7 18M	SUP-97-02148	CDM			278	RC		inpatient			170.2	170.2																																																			
SCREW CORTEX SLF TPN W/ STAR DRV 2.7 12M	SUP-97-02150	CDM			278	RC		outpatient			170.2	17.2	170.2				fee schedule		170.2				other	OPPS APC	97.01				percent of total billed charges		170.2				other	OPPS APC	170.2				other	OPPS APC	83.4				percent of total billed charges		86.8				percent of total billed charges		17.2				other	OPPS APC	17.2	170.2	
SCREW CORTEX SLF TPN W/ STAR DRV 2.7 12M	SUP-97-02150	CDM			278	RC		inpatient			170.2	170.2																																																			
HC Lipid Profile (Lipd)	PX-300800610	CDM	80061	CPT	301	RC		outpatient			170	13.39	17.9				fee schedule		13.39				fee schedule		35.57				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39	35.57	
HC Lipid Profile (Lipd)	PX-300800610	CDM	80061	CPT	301	RC		inpatient			170	170																																																			
HC Digoxin  Serum (Dig)	PX-300801620	CDM	80162	CPT	301	RC		outpatient			170	13.28	17.76				fee schedule		13.28				fee schedule		35.25				fee schedule		13.28				fee schedule		13.28				fee schedule		13.28				fee schedule		13.28				fee schedule		13.28				fee schedule		13.28	35.25	
HC Digoxin  Serum (Dig)	PX-300801620	CDM	80162	CPT	301	RC		inpatient			170	170																																																			
HC Depakene (Depk)(VA)	PX-300801640	CDM	80164	CPT	301	RC		outpatient			170	13.54	18.12				fee schedule		13.54				fee schedule		35.97				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54	35.97	
HC Depakene (Depk)(VA)	PX-300801640	CDM	80164	CPT	301	RC		inpatient			170	170																																																			
HC Dilantin (Ptn)	PX-300801850	CDM	80185	CPT	300	RC		outpatient			170	13.25	17.73				fee schedule		13.25				fee schedule		35.19				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25	35.19	
HC Dilantin (Ptn)	PX-300801850	CDM	80185	CPT	300	RC		inpatient			170	170																																																			
HC Vancomycin	PX-300802020	CDM	80202	CPT	301	RC		outpatient			170	13.54	18.12				fee schedule		13.54				fee schedule		35.97				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54				fee schedule		13.54	35.97	
HC Vancomycin	PX-300802020	CDM	80202	CPT	301	RC		inpatient			170	170																																																			
HC Alpha-1-Antitrypsin (Ala)	PX-300821030	CDM	82103	CPT	301	RC		outpatient			170	13.44	17.96				fee schedule		13.44				fee schedule		35.66				fee schedule		13.44				fee schedule		13.44				fee schedule		13.44				fee schedule		13.44				fee schedule		13.44				fee schedule		13.44	35.66	
HC Alpha-1-Antitrypsin (Ala)	PX-300821030	CDM	82103	CPT	301	RC		inpatient			170	170																																																			
HC Ferritin (Fer)	PX-300827280	CDM	82728	CPT	301	RC		outpatient			170	13.63	18.22				fee schedule		13.63				fee schedule		36.16				fee schedule		13.63				fee schedule		13.63				fee schedule		13.63				fee schedule		13.63				fee schedule		13.63				fee schedule		13.63	36.16	
HC Ferritin (Fer)	PX-300827280	CDM	82728	CPT	301	RC		inpatient			170	170																																																			
HC Glucose Tolerance Test 3 Specimens	PX-300829511	CDM	82951	CPT	301	RC		outpatient			170	12.87	17.21				fee schedule		12.87				fee schedule		34.18				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87	34.18	
HC Glucose Tolerance Test 3 Specimens	PX-300829511	CDM	82951	CPT	301	RC		inpatient			170	170																																																			
HC Hgb Investigation (Hin)(Helec)	PX-300830200	CDM	83020	CPT	300	RC		outpatient			170	12.87	17.21				fee schedule		12.87				fee schedule		34.18				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87				fee schedule		12.87	34.18	
HC Hgb Investigation (Hin)(Helec)	PX-300830200	CDM	83020	CPT	300	RC		inpatient			170	170																																																			
HC 5-Hiaa (Hiaa)	PX-300834970	CDM	83497	CPT	301	RC		outpatient			170	12.9	17.24				fee schedule		12.9				fee schedule		34.22				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9	34.22	
HC 5-Hiaa (Hiaa)	PX-300834970	CDM	83497	CPT	301	RC		inpatient			170	170																																																			
HC Myoglobin	PX-300838740	CDM	83874	CPT	301	RC		outpatient			170	12.92	17.27				fee schedule		12.92				fee schedule		34.28				fee schedule		12.92				fee schedule		12.92				fee schedule		12.92				fee schedule		12.92				fee schedule		12.92				fee schedule		12.92	34.28	
HC Myoglobin	PX-300838740	CDM	83874	CPT	301	RC		inpatient			170	170																																																			
HC Transferrin (Tranf)	PX-300844660	CDM	84466	CPT	301	RC		outpatient			170	12.76	17.07				fee schedule		12.76				fee schedule		28.37				fee schedule		12.76				fee schedule		12.76				fee schedule		12.76				fee schedule		12.76				fee schedule		12.76				fee schedule		12.76	28.37	
HC Transferrin (Tranf)	PX-300844660	CDM	84466	CPT	301	RC		inpatient			170	170																																																			
HC Platelet Antibodies	PX-300860220	CDM	86022	CPT	302	RC		outpatient			170	18.37	17.78				fee schedule		18.37				fee schedule		27.66				fee schedule		18.37				fee schedule		18.37				fee schedule		18.37				fee schedule		18.37				fee schedule		18.37				fee schedule		17.78	27.66	
HC Platelet Antibodies	PX-300860220	CDM	86022	CPT	302	RC		inpatient			170	170																																																			
HC Mumps Titer (Muse)	PX-300867350	CDM	86735	CPT	300	RC		outpatient			170	13.51	17.44				fee schedule		13.05				fee schedule		34.64				fee schedule		13.05				fee schedule		13.05				fee schedule		13.05				fee schedule		13.05				fee schedule		13.51				fee schedule		13.05	34.64	
HC Mumps Titer (Muse)	PX-300867350	CDM	86735	CPT	300	RC		inpatient			170	170																																																			
HC Rubella Test (Rube)	PX-300867620	CDM	86762	CPT	300	RC		outpatient			170	14.39	19.25				fee schedule		14.39				fee schedule		38.21				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39	38.21	
HC Rubella Test (Rube)	PX-300867620	CDM	86762	CPT	300	RC		inpatient			170	170																																																			
HC Cpk Isoenzymes	PX-301825521	CDM	82552	CPT	301	RC		outpatient			170	13.39	17.91				fee schedule		13.39				fee schedule		35.55				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39				fee schedule		13.39	35.55	
HC Cpk Isoenzymes	PX-301825521	CDM	82552	CPT	301	RC		inpatient			170	170																																																			
HC Soft Tissues of Neck	PX-320703600	CDM	70360	CPT	320	RC		outpatient			170	91.5	29.98				fee schedule		91.5				other	OPPS APC	61.67				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	31.72				fee schedule		22.95				fee schedule		91.5				other	OPPS APC	22.95	91.5	
HC Soft Tissues of Neck	PX-320703600	CDM	70360	CPT	320	RC		inpatient			170	170																																																			
HC Chest Single Ap View	PX-320710100	CDM	71045	CPT	320	RC		outpatient			170	91.5	13.35				fee schedule		91.5				other	OPPS APC	196.73				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	26.04				fee schedule		17.29				fee schedule		91.5				other	OPPS APC	13.35	196.73	
HC Chest Single Ap View	PX-320710100	CDM	71045	CPT	320	RC		inpatient			170	170																																																			
HC Pelvis	PX-320721700	CDM	72170	CPT	320	RC		outpatient			170	112.57	29.87				fee schedule		112.57				other	OPPS APC	71.13				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	28.05				fee schedule		19.62				fee schedule		112.57				other	OPPS APC	19.62	112.57	
HC Pelvis	PX-320721700	CDM	72170	CPT	320	RC		inpatient			170	170																																																			
HC Hand	PX-320731200	CDM	73120	CPT	320	RC		outpatient			170	112.57	28.53				fee schedule		112.57				other	OPPS APC	66.51				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	31.39				fee schedule		23.28				fee schedule		112.57				other	OPPS APC	23.28	112.57	
HC Hand	PX-320731200	CDM	73120	CPT	320	RC		inpatient			170	170																																																			
HC Bone Age Survey	PX-320770720	CDM	77072	CPT	320	RC		outpatient			170	112.57	24.13				fee schedule		112.57				other	OPPS APC	97.83				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	26.04				fee schedule		16.96				fee schedule		112.57				other	OPPS APC	16.96	112.57	
HC Bone Age Survey	PX-320770720	CDM	77072	CPT	320	RC		inpatient			170	170																																																			
SLEEVE ORTHOPEDIC PROTECTIVE	SUP-00-4501-065-01	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SLEEVE ORTHOPEDIC PROTECTIVE	SUP-00-4501-065-01	CDM			270	RC		inpatient			170	170																																																			
BAG SPECIMEN RETRIEVAL GENISTRONG NYLON PLASTIC POLYMER LARGE L22 CM L12 MM OD11 CM 750 ML RADIOPAQUE TRANSPARENT INTRODUCER PRELOAD SPRING RIGID SHAFT LATEX FREE DISPOSABLE	SUP-550-000-005	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BAG SPECIMEN RETRIEVAL GENISTRONG NYLON PLASTIC POLYMER LARGE L22 CM L12 MM OD11 CM 750 ML RADIOPAQUE TRANSPARENT INTRODUCER PRELOAD SPRING RIGID SHAFT LATEX FREE DISPOSABLE	SUP-550-000-005	CDM			270	RC		inpatient			170	170																																																			
BAG SPECIMEN RETRIEVAL GENISTRONG METAL NYLON XL L29 CM L15 MM OD15 CM 2000 ML RIGID SHAFT PRELOAD SPRING RING INTRODUCER LATEX FREE DISPOSABLE TRANSPARENT	SUP-550-000-008	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BAG SPECIMEN RETRIEVAL GENISTRONG METAL NYLON XL L29 CM L15 MM OD15 CM 2000 ML RIGID SHAFT PRELOAD SPRING RING INTRODUCER LATEX FREE DISPOSABLE TRANSPARENT	SUP-550-000-008	CDM			270	RC		inpatient			170	170																																																			
CATHETER - AR 1 6F	SUP-99-00180	CDM			272	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
CATHETER - AR 1 6F	SUP-99-00180	CDM			272	RC		inpatient			170	170																																																			
CATHETER - JL 5.0 6F	SUP-99-00184	CDM			272	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
CATHETER - JL 5.0 6F	SUP-99-00184	CDM			272	RC		inpatient			170	170																																																			
CATHETER - MULTIPURPOSE A-2 6F	SUP-99-00191	CDM			272	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
CATHETER - MULTIPURPOSE A-2 6F	SUP-99-00191	CDM			272	RC		inpatient			170	170																																																			
CATHETER - MULTIPURPOSE B-2 6F	SUP-99-00192	CDM			272	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
CATHETER - MULTIPURPOSE B-2 6F	SUP-99-00192	CDM			272	RC		inpatient			170	170																																																			
CATHETER - AL 3 6F	SUP-99-00415	CDM			272	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
CATHETER - AL 3 6F	SUP-99-00415	CDM			272	RC		inpatient			170	170																																																			
CATHETER - PRC 6F	SUP-99-00761	CDM			272	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
CATHETER - PRC 6F	SUP-99-00761	CDM			272	RC		inpatient			170	170																																																			
HOLDER PLATE BB-TAK THREAD DISPOSABLE	SUP-AR-13226T	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
HOLDER PLATE BB-TAK THREAD DISPOSABLE	SUP-AR-13226T	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L35 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-35	CDM	270010020	LOCAL	270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L35 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-35	CDM	270010020	LOCAL	270	RC		inpatient			170	170																																																			
SCREW BONE 6.5MM 40MM TITANIUM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-40	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE 6.5MM 40MM TITANIUM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-40	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L45 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-45	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L45 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-45	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L50 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-50	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L50 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-50	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L55 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-55	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L55 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-55	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L60 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-60	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L60 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-60	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L65 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-65	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L65 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-65	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L70 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-70	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L70 MM OD6.5 MM TIBIA CANCELLOUS OPENING WEDGE OSTEOTOMY	SUP-AR-13280-70	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L52 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-133380-52	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L52 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-133380-52	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L34 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-34	CDM	270010031	LOCAL	270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L34 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-34	CDM	270010031	LOCAL	270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L36 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-36	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L36 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-36	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L38 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-38	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L38 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-38	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L40 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-40	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L40 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-40	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L42 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-42	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L42 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-42	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L44 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-44	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L44 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-44	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L46 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-46	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L46 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-46	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L48 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-48	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L48 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-48	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L50 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-50	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L50 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-50	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM L52 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-52	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM L52 MM OD4.5 MM TIBIA CORTICAL OPENING WEDGE OSTEOTOMY	SUP-AR-13380-52	CDM			270	RC		inpatient			170	170																																																			
BIT DRILL OD2.7 MM 2.7/3 MM SCREW ANKLE FRACTURE MANAGEMENT SYSTEM	SUP-AR-8827D-01	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BIT DRILL OD2.7 MM 2.7/3 MM SCREW ANKLE FRACTURE MANAGEMENT SYSTEM	SUP-AR-8827D-01	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 12MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-12	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 12MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-12	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 14MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-14	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 14MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-14	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 16MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-16	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T10 FULL THREAD 16MM 3MM TITANIUM FOREFOOT CORTICAL SELF TAP SOLID LOCK HEXALOBE	SUP-AR-8933L-16	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM T15 FULL THREAD HEXALOBE L28 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID LOCK	SUP-AR-8935L-28	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM T15 FULL THREAD HEXALOBE L28 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID LOCK	SUP-AR-8935L-28	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 30MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-30	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 30MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-30	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM T15 FULL THREAD HEXALOBE L32 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID LOCK	SUP-AR-8935L-32	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM T15 FULL THREAD HEXALOBE L32 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID LOCK	SUP-AR-8935L-32	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 34MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-34	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 34MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-34	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-36	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-36	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 38MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-38	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 38MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE LOCK	SUP-AR-8935L-38	CDM			270	RC		inpatient			170	170																																																			
SCREW BONE TITANIUM T15 FULL THREAD HEXALOBE L42 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID LOCK	SUP-AR-8935L-42	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SCREW BONE TITANIUM T15 FULL THREAD HEXALOBE L42 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID LOCK	SUP-AR-8935L-42	CDM			270	RC		inpatient			170	170																																																			
BIT DRILL 2.5MM CALIBRATE	SUP-AR-8943-13	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BIT DRILL 2.5MM CALIBRATE	SUP-AR-8943-13	CDM			270	RC		inpatient			170	170																																																			
BIT DRILL 2.5MM	SUP-AR-8943-30	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BIT DRILL 2.5MM	SUP-AR-8943-30	CDM			270	RC		inpatient			170	170																																																			
BIT DRILL 2.5MM	SUP-AR-8943-42	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BIT DRILL 2.5MM	SUP-AR-8943-42	CDM			270	RC		inpatient			170	170																																																			
BIT DRILL 2MM AO	SUP-AR-8944-22	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
BIT DRILL 2MM AO	SUP-AR-8944-22	CDM			270	RC		inpatient			170	170																																																			
PATCH CARDIOVASCULAR COLLAGEN L75 CM X W8 MM CAROTID	SUP-CP0875	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
PATCH CARDIOVASCULAR COLLAGEN L75 CM X W8 MM CAROTID	SUP-CP0875	CDM			270	RC		inpatient			170	170																																																			
TROCAR FALLER TUNNELER	SUP-FS-401	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
TROCAR FALLER TUNNELER	SUP-FS-401	CDM			270	RC		inpatient			170	170																																																			
MOZEC NC BALLOON 2.75 X 13	SUP-MNC27513_52236	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC NC BALLOON 2.75 X 13	SUP-MNC27513_52236	CDM			270	RC		inpatient			170	170																																																			
MOZEC NC BALLOON 3.0 X 8	SUP-MNC30008_52238	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC NC BALLOON 3.0 X 8	SUP-MNC30008_52238	CDM			270	RC		inpatient			170	170																																																			
MOZEC NC BALLOON 3.0 X 10	SUP-MNC30010_52239	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC NC BALLOON 3.0 X 10	SUP-MNC30010_52239	CDM			270	RC		inpatient			170	170																																																			
MOZEC NC BALLOON 3.5 X 8	SUP-MNC35008_52243	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC NC BALLOON 3.5 X 8	SUP-MNC35008_52243	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 1.50 X 12	SUP-MOZ15012_52194	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 1.50 X 12	SUP-MOZ15012_52194	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 2.0 X 12	SUP-MOZ20012_52197	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 2.0 X 12	SUP-MOZ20012_52197	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 2.5 X 9	SUP-MOZ25009_52199	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 2.5 X 9	SUP-MOZ25009_52199	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 2.5 X 17	SUP-MOZ25017_52201	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 2.5 X 17	SUP-MOZ25017_52201	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 2.5 X 20	SUP-MOZ25020_52202	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 2.5 X 20	SUP-MOZ25020_52202	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 3.0 X 9	SUP-MOZ30009_52212	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 3.0 X 9	SUP-MOZ30009_52212	CDM			270	RC		inpatient			170	170																																																			
MOZEC BALLOON 3.0 X 20	SUP-MOZ30020_52215	CDM			270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
MOZEC BALLOON 3.0 X 20	SUP-MOZ30020_52215	CDM			270	RC		inpatient			170	170																																																			
SHEATH INTRODUCER     PG123000	SUP-PG123000	CDM	270010015	LOCAL	270	RC		outpatient			170	17	46.05				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	46.05				percent of total billed charges		46.97				percent of total billed charges		17				other	OPPS APC	17	170	
SHEATH INTRODUCER     PG123000	SUP-PG123000	CDM	270010015	LOCAL	270	RC		inpatient			170	170																																																			
SHEATH SAFE 6 FRENCH	SUP-PLS-1006	CDM			275	RC		outpatient			170	17	83.3				percent of total billed charges		170				other	OPPS APC	96.9				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	83.3				percent of total billed charges		86.7				percent of total billed charges		17				other	OPPS APC	17	170	
SHEATH SAFE 6 FRENCH	SUP-PLS-1006	CDM			275	RC		inpatient			170	170																																																			
SHEATH SAFE 7 FRENCH	SUP-PLS-1007	CDM			275	RC		outpatient			170	17	83.3				percent of total billed charges		170				other	OPPS APC	96.9				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	83.3				percent of total billed charges		86.7				percent of total billed charges		17				other	OPPS APC	17	170	
SHEATH SAFE 7 FRENCH	SUP-PLS-1007	CDM			275	RC		inpatient			170	170																																																			
INTRODUCER SHEATH PRELUDE SNAP L13 CM OD8 FR ROBUST VALVE SPLITTABLE SIDEPORT HUB BLUE	SUP-PLS-1008	CDM			275	RC		outpatient			170	17	83.3				percent of total billed charges		170				other	OPPS APC	96.9				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	83.3				percent of total billed charges		86.7				percent of total billed charges		17				other	OPPS APC	17	170	
INTRODUCER SHEATH PRELUDE SNAP L13 CM OD8 FR ROBUST VALVE SPLITTABLE SIDEPORT HUB BLUE	SUP-PLS-1008	CDM			275	RC		inpatient			170	170																																																			
INTRODUCER SHEATH PRELUDE SNAP L13 CM OD9 FR ID.118 IN ROBUST VALVE SPLITTABLE SIDEPORT HUB BLACK	SUP-PLS-1009	CDM			275	RC		outpatient			170	17	83.3				percent of total billed charges		170				other	OPPS APC	96.9				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	83.3				percent of total billed charges		86.7				percent of total billed charges		17				other	OPPS APC	17	170	
INTRODUCER SHEATH PRELUDE SNAP L13 CM OD9 FR ID.118 IN ROBUST VALVE SPLITTABLE SIDEPORT HUB BLACK	SUP-PLS-1009	CDM			275	RC		inpatient			170	170																																																			
SHEATH SAFE 10 FRENCH	SUP-PLS-1010	CDM			275	RC		outpatient			170	17	83.3				percent of total billed charges		170				other	OPPS APC	96.9				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	83.3				percent of total billed charges		86.7				percent of total billed charges		17				other	OPPS APC	17	170	
SHEATH SAFE 10 FRENCH	SUP-PLS-1010	CDM			275	RC		inpatient			170	170																																																			
DEVICE SKIN CLOSURE ZIP NON INVASIVE FLEXIBLE 16 CM	SUP-PS1160	CDM			481	RC		outpatient			170	17	83.3				percent of total billed charges		170				other	OPPS APC	125.8				percent of total billed charges		170				other	OPPS APC	170				other	OPPS APC	83.3				percent of total billed charges		86.7				percent of total billed charges		17				other	OPPS APC	17	170	
DEVICE SKIN CLOSURE ZIP NON INVASIVE FLEXIBLE 16 CM	SUP-PS1160	CDM			481	RC		inpatient			170	170																																																			
CATHETER ANGIOGRAPHIC AUROUS BEACON TIP PIGTAIL 70CM 5FR NYLON 10 SIDEPORT RADIOPAQUE GOLD BAND ACCEPTS .035IN GUIDEWIRE	SUP-NR5.03570P105PIGCSC2	CDM			270	RC		outpatient			169.67	169.67	45.96				percent of total billed charges		169.67				other	OPPS APC	125.56				percent of total billed charges		169.67				other	OPPS APC	169.67				other	OPPS APC	45.96				percent of total billed charges		46.88				percent of total billed charges		169.67				other	OPPS APC	45.96	169.67	
CATHETER ANGIOGRAPHIC AUROUS BEACON TIP PIGTAIL 70CM 5FR NYLON 10 SIDEPORT RADIOPAQUE GOLD BAND ACCEPTS .035IN GUIDEWIRE	SUP-NR5.03570P105PIGCSC2	CDM			270	RC		inpatient			169.67	169.67																																																			
POST EXTERNAL FIXATION STRAIGHT 11MM NS OUTRIGGER MR SAFE	SUP-390.011	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
POST EXTERNAL FIXATION STRAIGHT 11MM NS OUTRIGGER MR SAFE	SUP-390.011	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
POST EXTERNAL FIXATION 30 D OD11 MM OUTRIGGER MR SAFE NONSTERILE	SUP-390.012	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
POST EXTERNAL FIXATION 30 D OD11 MM OUTRIGGER MR SAFE NONSTERILE	SUP-390.012	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 6MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.686	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE 6MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.686	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE TITANIUM L7 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.687	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE TITANIUM L7 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.687	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE TITANIUM L8 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.688	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE TITANIUM L8 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.688	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 9MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.689	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE 9MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.689	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 11MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.691	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE 11MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.691	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE TITANIUM L12 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.692	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE TITANIUM L12 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.692	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE TITANIUM L13 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.693	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE TITANIUM L13 MM OD1.3 MM ODSEC2.4 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-400.693	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 14MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.694	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE 14MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.694	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 16MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.696	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE 16MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.696	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 18MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.698	CDM	270010022	LOCAL	270	RC		outpatient			169.4	169.41	45.89				percent of total billed charges		169.4				other	OPPS APC	125.36				percent of total billed charges		169.4				other	OPPS APC	169.4				other	OPPS APC	45.89				percent of total billed charges		46.81				percent of total billed charges		169.41				other	OPPS APC	45.89	169.41	
SCREW BONE 18MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.698	CDM	270010022	LOCAL	270	RC		inpatient			169.4	169.4																																																			
SCREW BONE 10MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.53	CDM	270010022	LOCAL	270	RC		outpatient			169.2	169.2	45.84				percent of total billed charges		169.2				other	OPPS APC	125.21				percent of total billed charges		169.2				other	OPPS APC	169.2				other	OPPS APC	45.84				percent of total billed charges		46.75				percent of total billed charges		169.2				other	OPPS APC	45.84	169.2	
SCREW BONE 10MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.53	CDM	270010022	LOCAL	270	RC		inpatient			169.2	169.2																																																			
SCREW BONE 1MM 1.6MM 10MM TITANIUM HAND CORTICAL SELF TAP CRUCIFORM NS	SUP-400.530	CDM	270010022	LOCAL	270	RC		outpatient			169.2	169.2	45.84				percent of total billed charges		169.2				other	OPPS APC	125.21				percent of total billed charges		169.2				other	OPPS APC	169.2				other	OPPS APC	45.84				percent of total billed charges		46.75				percent of total billed charges		169.2				other	OPPS APC	45.84	169.2	
SCREW BONE 1MM 1.6MM 10MM TITANIUM HAND CORTICAL SELF TAP CRUCIFORM NS	SUP-400.530	CDM	270010022	LOCAL	270	RC		inpatient			169.2	169.2																																																			
AEROBIKA OPEP	SUP-30-00112	CDM						inpatient			169.12	169.12																																																			
AEROBIKA OPEP	SUP-30-00112	CDM						outpatient			169.12	169.12	169.12				percent of total billed charges		169.12				other	OPPS APC	169.12				fee schedule		169.12				other	OPPS APC	169.12				other	OPPS APC	169.12				case rate		169.12				case rate		169.12				other	OPPS APC	169.12	169.12	
HC Infus Non Chemo Sequential 0-1hr	PX-260963670	CDM	96367	CPT	761	RC		outpatient			169	71.62	195.77				case rate		71.06				other	OPPS APC	125.06				percent of total billed charges		71.06				other	OPPS APC	71.06				other	OPPS APC	195.77				case rate		86.19				percent of total billed charges		71.62				other	OPPS APC	71.06	195.77	
HC Infus Non Chemo Sequential 0-1hr	PX-260963670	CDM	96367	CPT	761	RC		inpatient			169	169																																																			
HC Inject Ivther Prophyl Dx Ea Add Drug	PX-450963751	CDM	96375	CPT	450	RC		outpatient			169	44.62	195.77				case rate		44.62				other	OPPS APC	164.13				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	195.77				case rate		199.69				case rate		44.62				other	OPPS APC	44.62	199.69	
HC Inject Ivther Prophyl Dx Ea Add Drug	PX-450963751	CDM	96375	CPT	450	RC		inpatient			169	169																																																			
HC OP Recovery Up to 1st 30 Minutes	PX-710000003	CDM	710000003	LOCAL	710	RC		outpatient			169	169	153.55				percent of total billed charges		169				other	OPPS APC	125.06				percent of total billed charges		169				other	OPPS APC	169				other	OPPS APC	153.55				percent of total billed charges		156.63				percent of total billed charges		169				other	OPPS APC	125.06	169	
HC OP Recovery Up to 1st 30 Minutes	PX-710000003	CDM	710000003	LOCAL	710	RC		inpatient			169	169																																																			
STRAIGHT SENSOR WIRE .035	SUP-70-00207	CDM			272	RC		outpatient			168.62	168.62	45.68				percent of total billed charges		168.62				other	OPPS APC	124.78				percent of total billed charges		168.62				other	OPPS APC	168.62				other	OPPS APC	45.68				percent of total billed charges		46.59				percent of total billed charges		168.62				other	OPPS APC	45.68	168.62	
STRAIGHT SENSOR WIRE .035	SUP-70-00207	CDM			272	RC		inpatient			168.62	168.62																																																			
STAPLER INTERNAL PROXIMATE TITANIUM L30 MM X H1-2.5 MM H1 MM STANDARD TISSUE 2 ROW LINEAR CUTTER ADJUSTABLE HEAVY WIRE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-TX30B	CDM	270009088	LOCAL	270	RC		outpatient			168.61	168.61	45.68				percent of total billed charges		168.61				other	OPPS APC	124.77				percent of total billed charges		168.61				other	OPPS APC	168.61				other	OPPS APC	45.68				percent of total billed charges		46.59				percent of total billed charges		168.61				other	OPPS APC	45.68	168.61	
STAPLER INTERNAL PROXIMATE TITANIUM L30 MM X H1-2.5 MM H1 MM STANDARD TISSUE 2 ROW LINEAR CUTTER ADJUSTABLE HEAVY WIRE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-TX30B	CDM	270009088	LOCAL	270	RC		inpatient			168.61	168.61																																																			
GUIDE - JCL 3.5	SUP-99-00678	CDM			272	RC		outpatient			168.6	168.6	45.67				percent of total billed charges		168.6				other	OPPS APC	124.76				percent of total billed charges		168.6				other	OPPS APC	168.6				other	OPPS APC	45.67				percent of total billed charges		46.58				percent of total billed charges		168.6				other	OPPS APC	45.67	168.6	
GUIDE - JCL 3.5	SUP-99-00678	CDM			272	RC		inpatient			168.6	168.6																																																			
GUIDE - XB 3 SH	SUP-99-01021	CDM			272	RC		outpatient			168.6	168.6	45.67				percent of total billed charges		168.6				other	OPPS APC	124.76				percent of total billed charges		168.6				other	OPPS APC	168.6				other	OPPS APC	45.67				percent of total billed charges		46.58				percent of total billed charges		168.6				other	OPPS APC	45.67	168.6	
GUIDE - XB 3 SH	SUP-99-01021	CDM			272	RC		inpatient			168.6	168.6																																																			
GUIDE - JL6 (CORDIS)	SUP-99-03008	CDM			272	RC		outpatient			168.6	168.6	45.67				percent of total billed charges		168.6				other	OPPS APC	124.76				percent of total billed charges		168.6				other	OPPS APC	168.6				other	OPPS APC	45.67				percent of total billed charges		46.58				percent of total billed charges		168.6				other	OPPS APC	45.67	168.6	
GUIDE - JL6 (CORDIS)	SUP-99-03008	CDM			272	RC		inpatient			168.6	168.6																																																			
K-WIRE THREADED	SUP-97-01542	CDM			278	RC		outpatient			168.52	168.52	168.52				fee schedule		168.52				other	OPPS APC	96.06				percent of total billed charges		168.52				other	OPPS APC	168.52				other	OPPS APC	82.57				percent of total billed charges		85.95				percent of total billed charges		168.52				other	OPPS APC	82.57	168.52	
K-WIRE THREADED	SUP-97-01542	CDM			278	RC		inpatient			168.52	168.52																																																			
SCREW BONE 6MM 2.4MM 4MM TITANIUM NS HAND CORTEX SELF TAP CRUCIFORM MODULAR SYSTEM	SUP-401.506.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 6MM 2.4MM 4MM TITANIUM NS HAND CORTEX SELF TAP CRUCIFORM MODULAR SYSTEM	SUP-401.506.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE 7MM 2.4MM 4MM TITANIUM NS HAND CORTEX SELF TAP CRUCIFORM MODULAR SYSTEM	SUP-401.507.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 7MM 2.4MM 4MM TITANIUM NS HAND CORTEX SELF TAP CRUCIFORM MODULAR SYSTEM	SUP-401.507.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L8 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE	SUP-401.508.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L8 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE	SUP-401.508.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE FULL THREAD 9MM 2.4MM 4.5MM TITANIUM NS HAND CORTEX SELF TAP CRUCIFORM MODULAR SYSTEM	SUP-401.509.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE FULL THREAD 9MM 2.4MM 4.5MM TITANIUM NS HAND CORTEX SELF TAP CRUCIFORM MODULAR SYSTEM	SUP-401.509.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L10 MM OD2.4 MM ODSEC4.5 MM HAND CORTEX SELF TAP CRUCIFORM RECESS NONSTERILE MODULAR SYSTEM	SUP-401.510.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L10 MM OD2.4 MM ODSEC4.5 MM HAND CORTEX SELF TAP CRUCIFORM RECESS NONSTERILE MODULAR SYSTEM	SUP-401.510.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L11 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.511.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L11 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.511.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L12 MM OD2.4 MM ODSEC4.5 MM HAND CORTEX SELF TAP CRUCIFORM RECESS NONSTERILE MODULAR SYSTEM	SUP-401.512.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L12 MM OD2.4 MM ODSEC4.5 MM HAND CORTEX SELF TAP CRUCIFORM RECESS NONSTERILE MODULAR SYSTEM	SUP-401.512.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L13 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE	SUP-401.513.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L13 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE	SUP-401.513.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L14 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.514.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L14 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.514.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L16 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE	SUP-401.516.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L16 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE	SUP-401.516.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE 18MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.518.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 18MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.518.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L20 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.520.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L20 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.520.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L22 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.522.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L22 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.522.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE 24MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.524.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 24MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.524.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE 26MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.526.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 26MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.526.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE 28MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.528.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 28MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.528.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE TITANIUM L30 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.530.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE TITANIUM L30 MM OD2.4 MM ODSEC4.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.530.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
SCREW BONE 32MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.532.96	CDM	270010022	LOCAL	270	RC		outpatient			168.3	168.31	45.59				percent of total billed charges		168.3				other	OPPS APC	124.54				percent of total billed charges		168.3				other	OPPS APC	168.3				other	OPPS APC	45.59				percent of total billed charges		46.5				percent of total billed charges		168.31				other	OPPS APC	45.59	168.31	
SCREW BONE 32MM 2.4MM 4.5MM TITANIUM NS CORTICAL SELF TAP CRUCIFORM	SUP-401.532.96	CDM	270010022	LOCAL	270	RC		inpatient			168.3	168.3																																																			
METHYLERGONOVINE 0.2 MG TABLET	637000000	CDM	69238-1605-2	NDC	A9270	HCPCS		inpatient			168.08	168.08																																																			
METHYLERGONOVINE 0.2 MG TABLET	637000000	CDM	69238-1605-2	NDC	A9270	HCPCS		outpatient			168.08	168.08																																															other	OPPS APC			
TIP INSERTER HIGH FLEX STAINLESS STEEL KNEE ARTICULAR SURFACE UNICOMPARTMENTAL NONSTERILE DISPOSABLE	SUP-00-5843-052-01	CDM	270010025	LOCAL	270	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
TIP INSERTER HIGH FLEX STAINLESS STEEL KNEE ARTICULAR SURFACE UNICOMPARTMENTAL NONSTERILE DISPOSABLE	SUP-00-5843-052-01	CDM	270010025	LOCAL	270	RC		inpatient			168	168																																																			
NUT LOCK FIX RETAINER SCREW SYSTEM	SUP-03.820.110	CDM	270010020	LOCAL	270	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
NUT LOCK FIX RETAINER SCREW SYSTEM	SUP-03.820.110	CDM	270010020	LOCAL	270	RC		inpatient			168	168																																																			
SCREW 2.0 HT X-DR X9MM	SUP-71-00218	CDM			278	RC		outpatient			168	168	168				fee schedule		168				other	OPPS APC	95.76				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	82.32				percent of total billed charges		85.68				percent of total billed charges		168				other	OPPS APC	82.32	168	
SCREW 2.0 HT X-DR X9MM	SUP-71-00218	CDM			278	RC		inpatient			168	168																																																			
SCREW 2.0 HT X-DR X11MM	SUP-71-00219	CDM			278	RC		outpatient			168	168	168				fee schedule		168				other	OPPS APC	95.76				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	82.32				percent of total billed charges		85.68				percent of total billed charges		168				other	OPPS APC	82.32	168	
SCREW 2.0 HT X-DR X11MM	SUP-71-00219	CDM			278	RC		inpatient			168	168																																																			
DRILL SURGICAL VLP L 130 MM OD 2MM	SUP-71173801	CDM			270	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
DRILL SURGICAL VLP L 130 MM OD 2MM	SUP-71173801	CDM			270	RC		inpatient			168	168																																																			
DRILL SURGICAL L 130 MM OD 2.7 MM	SUP-71173803	CDM			270	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
DRILL SURGICAL L 130 MM OD 2.7 MM	SUP-71173803	CDM			270	RC		inpatient			168	168																																																			
PINEAPPLE FLAME BUR	SUP-78-00200	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
PINEAPPLE FLAME BUR	SUP-78-00200	CDM			272	RC		inpatient			168	168																																																			
SCREW CORTEX SELF TAP 3.5MM X 20MM	SUP-95-02325	CDM			278	RC		outpatient			168	168	168				fee schedule		168				other	OPPS APC	95.76				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	82.32				percent of total billed charges		85.68				percent of total billed charges		168				other	OPPS APC	82.32	168	
SCREW CORTEX SELF TAP 3.5MM X 20MM	SUP-95-02325	CDM			278	RC		inpatient			168	168																																																			
CARBON ROD 120MM 4MM	SUP-97-01216	CDM			278	RC		outpatient			168	168	168				fee schedule		168				other	OPPS APC	95.76				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	82.32				percent of total billed charges		85.68				percent of total billed charges		168				other	OPPS APC	82.32	168	
CARBON ROD 120MM 4MM	SUP-97-01216	CDM			278	RC		inpatient			168	168																																																			
GUIDE - EBU3.75	SUP-99-00445	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU3.75	SUP-99-00445	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU3.5	SUP-99-00458	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU3.5	SUP-99-00458	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU3.5 SH	SUP-99-00539	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU3.5 SH	SUP-99-00539	CDM			272	RC		inpatient			168	168																																																			
GUIDE - 8F EBU3.5	SUP-99-00609	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - 8F EBU3.5	SUP-99-00609	CDM			272	RC		inpatient			168	168																																																			
GUIDE - MP1	SUP-99-00660	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - MP1	SUP-99-00660	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU4.0	SUP-99-00680	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU4.0	SUP-99-00680	CDM			272	RC		inpatient			168	168																																																			
GUIDE - RBU3.5	SUP-99-01407	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - RBU3.5	SUP-99-01407	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JL4 (MEDTRONIC)	SUP-99-01705	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JL4 (MEDTRONIC)	SUP-99-01705	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JL3.5 (MEDTRONIC)	SUP-99-02007	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JL3.5 (MEDTRONIC)	SUP-99-02007	CDM			272	RC		inpatient			168	168																																																			
GUIDE - MP B2	SUP-99-03268	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - MP B2	SUP-99-03268	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU3.0	SUP-99-03355	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU3.0	SUP-99-03355	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JL3.0 (MEDTRONIC)	SUP-99-03356	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JL3.0 (MEDTRONIC)	SUP-99-03356	CDM			272	RC		inpatient			168	168																																																			
GUIDE - 5F EBU3.5	SUP-99-03357	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - 5F EBU3.5	SUP-99-03357	CDM			272	RC		inpatient			168	168																																																			
GUIDE - 5F JL3 (MEDTRONIC)	SUP-99-03359	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - 5F JL3 (MEDTRONIC)	SUP-99-03359	CDM			272	RC		inpatient			168	168																																																			
GUIDE - RBU4.0	SUP-99-03381	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - RBU4.0	SUP-99-03381	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AL 0.75  (MEDTRONIC)	SUP-99-03385	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AL 0.75  (MEDTRONIC)	SUP-99-03385	CDM			272	RC		inpatient			168	168																																																			
GUIDE - 8F MP1	SUP-99-03649	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - 8F MP1	SUP-99-03649	CDM			272	RC		inpatient			168	168																																																			
GUIDE - 8F MB1	SUP-99-03651	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - 8F MB1	SUP-99-03651	CDM			272	RC		inpatient			168	168																																																			
GUIDE - RBU4.0 SH	SUP-99-04041	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - RBU4.0 SH	SUP-99-04041	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AL1	SUP-99-04042	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AL1	SUP-99-04042	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AR2	SUP-99-04043	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AR2	SUP-99-04043	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AR2 SH	SUP-99-04044	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AR2 SH	SUP-99-04044	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU4.5 SH	SUP-99-04045	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU4.5 SH	SUP-99-04045	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JR3.5	SUP-99-04046	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JR3.5	SUP-99-04046	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JR3.5 SH	SUP-99-04047	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JR3.5 SH	SUP-99-04047	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JR4 SH	SUP-99-04048	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JR4 SH	SUP-99-04048	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU3.5 7F 100CM	SUP-99-04492	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU3.5 7F 100CM	SUP-99-04492	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU3.0 7F 100CM	SUP-99-04493	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU3.0 7F 100CM	SUP-99-04493	CDM			272	RC		inpatient			168	168																																																			
GUIDE - EBU4.0 7F 100CM	SUP-99-04494	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - EBU4.0 7F 100CM	SUP-99-04494	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AR2 7F 100CM	SUP-99-04495	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AR2 7F 100CM	SUP-99-04495	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AL1 7F 100CM	SUP-99-04496	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AL1 7F 100CM	SUP-99-04496	CDM			272	RC		inpatient			168	168																																																			
GUIDE - AL2 7F 100CM	SUP-99-04497	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - AL2 7F 100CM	SUP-99-04497	CDM			272	RC		inpatient			168	168																																																			
GUIDE - JR4 7F 100CM	SUP-99-04498	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - JR4 7F 100CM	SUP-99-04498	CDM			272	RC		inpatient			168	168																																																			
CATHETER - EBU5.0 6F LAUNCHER	SUP-99-04699	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
CATHETER - EBU5.0 6F LAUNCHER	SUP-99-04699	CDM			272	RC		inpatient			168	168																																																			
CATHETER - EBU5.0 7F LAUNCHER	SUP-99-04700	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
CATHETER - EBU5.0 7F LAUNCHER	SUP-99-04700	CDM			272	RC		inpatient			168	168																																																			
GUIDE - ALR1-2 6F	SUP-99-04786	CDM			272	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
GUIDE - ALR1-2 6F	SUP-99-04786	CDM			272	RC		inpatient			168	168																																																			
LUBRICANT INSTRUMENT VIPERSLIDE 100 ML BAG ATHERECTOMY STERILE LATEX FREE DISPOSABLE	SUP-VPR-SLD2	CDM			270	RC		outpatient			168	168	45.51				percent of total billed charges		168				other	OPPS APC	124.32				percent of total billed charges		168				other	OPPS APC	168				other	OPPS APC	45.51				percent of total billed charges		46.42				percent of total billed charges		168				other	OPPS APC	45.51	168	
LUBRICANT INSTRUMENT VIPERSLIDE 100 ML BAG ATHERECTOMY STERILE LATEX FREE DISPOSABLE	SUP-VPR-SLD2	CDM			270	RC		inpatient			168	168																																																			
SYR 3ML SAFETY 25GX 5/8 INT	SUP-06-00045	CDM			272	RC		outpatient			167.87	167.87	45.48				percent of total billed charges		167.87				other	OPPS APC	124.22				percent of total billed charges		167.87				other	OPPS APC	167.87				other	OPPS APC	45.48				percent of total billed charges		46.38				percent of total billed charges		167.87				other	OPPS APC	45.48	167.87	
SYR 3ML SAFETY 25GX 5/8 INT	SUP-06-00045	CDM			272	RC		inpatient			167.87	167.87																																																			
DERMACARRIER	SUP-74-00021	CDM			272	RC		outpatient			167.6	167.6	45.4				percent of total billed charges		167.6				other	OPPS APC	124.02				percent of total billed charges		167.6				other	OPPS APC	167.6				other	OPPS APC	45.4				percent of total billed charges		46.31				percent of total billed charges		167.6				other	OPPS APC	45.4	167.6	
DERMACARRIER	SUP-74-00021	CDM			272	RC		inpatient			167.6	167.6																																																			
BIT DRILL 4.8 MM	SUP-03.266.003	CDM	270010022	LOCAL	270	RC		outpatient			167.2	167.2	45.29				percent of total billed charges		167.2				other	OPPS APC	123.73				percent of total billed charges		167.2				other	OPPS APC	167.2				other	OPPS APC	45.29				percent of total billed charges		46.2				percent of total billed charges		167.2				other	OPPS APC	45.29	167.2	
BIT DRILL 4.8 MM	SUP-03.266.003	CDM	270010022	LOCAL	270	RC		inpatient			167.2	167.2																																																			
BIT DRILL 180MM 2.5MM GOLD NS QUICK COUPLING	SUP-310.23	CDM	270010022	LOCAL	270	RC		outpatient			167.2	167.2	45.29				percent of total billed charges		167.2				other	OPPS APC	123.73				percent of total billed charges		167.2				other	OPPS APC	167.2				other	OPPS APC	45.29				percent of total billed charges		46.2				percent of total billed charges		167.2				other	OPPS APC	45.29	167.2	
BIT DRILL 180MM 2.5MM GOLD NS QUICK COUPLING	SUP-310.23	CDM	270010022	LOCAL	270	RC		inpatient			167.2	167.2																																																			
SYRINGE  INTEGRATED INFLATION SYSTEM	SUP-95-00828	CDM			272	RC		outpatient			167.2	167.2	45.29				percent of total billed charges		167.2				other	OPPS APC	123.73				percent of total billed charges		167.2				other	OPPS APC	167.2				other	OPPS APC	45.29				percent of total billed charges		46.2				percent of total billed charges		167.2				other	OPPS APC	45.29	167.2	
SYRINGE  INTEGRATED INFLATION SYSTEM	SUP-95-00828	CDM			272	RC		inpatient			167.2	167.2																																																			
DORZOLAMIDE 2 % DROPS 10 ML DROP BTL	637000000	CDM	42571-141-26	NDC	A9270	HCPCS		inpatient			167	167																																																			
DORZOLAMIDE 2 % DROPS 10 ML DROP BTL	637000000	CDM	42571-141-26	NDC	A9270	HCPCS		outpatient			167	167																																															other	OPPS APC			
HC Acapella Initial Rx	PX-410946672	CDM	94667	CPT	410	RC		outpatient			167	122.29	51.17				percent of total billed charges		122.29				other	OPPS APC	57.55				fee schedule		122.29				other	OPPS APC	122.29				other	OPPS APC	51.17				percent of total billed charges		52.19				percent of total billed charges		122.29				other	OPPS APC	51.17	122.29	
HC Acapella Initial Rx	PX-410946672	CDM	94667	CPT	410	RC		inpatient			167	167																																																			
HC Evaluation of Speech Fluency	PX-444925211	CDM	92521	CPT	444	RC		inpatient			167	167																																																			
HC Evaluation of Speech Fluency	PX-444925211	CDM	92521	CPT	444	RC		outpatient			167	167	167				percent of total billed charges		167				other	OPPS APC	174.66				fee schedule		167				fee schedule		167				fee schedule		174.75				percent of total billed charges		167				percent of total billed charges		167				fee schedule		167	174.75	
NEEDLE TEMNO COAXIAL 20GX15 CTSUP USSUP	SUP-95-01329	CDM			272	RC		outpatient			167	167	45.24				percent of total billed charges		167				other	OPPS APC	123.58				percent of total billed charges		167				other	OPPS APC	167				other	OPPS APC	45.24				percent of total billed charges		46.14				percent of total billed charges		167				other	OPPS APC	45.24	167	
NEEDLE TEMNO COAXIAL 20GX15 CTSUP USSUP	SUP-95-01329	CDM			272	RC		inpatient			167	167																																																			
DORZOLAMIDE 2 % DROPS 10 ML DROP BTL	637000000	CDM	61314-019-10	NDC	A9270	HCPCS		inpatient			166.88	166.88																																																			
DORZOLAMIDE 2 % DROPS 10 ML DROP BTL	637000000	CDM	61314-019-10	NDC	A9270	HCPCS		outpatient			166.88	166.88																																															other	OPPS APC			
PLATE BONE LEIBINGER UNIVERSAL 2 TITANIUM STANDARD CURVE H.6 MM UPPERFACE ORBITAL 4 HOLE 1.2 MM SCREW	SUP-5506254	CDM			270	RC		outpatient			166.8	166.81	45.19				percent of total billed charges		166.8				other	OPPS APC	123.43				percent of total billed charges		166.8				other	OPPS APC	166.8				other	OPPS APC	45.19				percent of total billed charges		46.09				percent of total billed charges		166.81				other	OPPS APC	45.19	166.81	
PLATE BONE LEIBINGER UNIVERSAL 2 TITANIUM STANDARD CURVE H.6 MM UPPERFACE ORBITAL 4 HOLE 1.2 MM SCREW	SUP-5506254	CDM			270	RC		inpatient			166.8	166.8																																																			
TUBING O2 EXTENSION	SUP-95-02863	CDM			272	RC		outpatient			166.8	166.81	45.19				percent of total billed charges		166.8				other	OPPS APC	123.43				percent of total billed charges		166.8				other	OPPS APC	166.8				other	OPPS APC	45.19				percent of total billed charges		46.09				percent of total billed charges		166.81				other	OPPS APC	45.19	166.81	
TUBING O2 EXTENSION	SUP-95-02863	CDM			272	RC		inpatient			166.8	166.8																																																			
GUIDEWIRE - MAGIC TORQUE 260CM	SUP-99-01280	CDM			272	RC		outpatient			166.67	166.67	45.15				percent of total billed charges		166.67				other	OPPS APC	123.34				percent of total billed charges		166.67				other	OPPS APC	166.67				other	OPPS APC	45.15				percent of total billed charges		46.05				percent of total billed charges		166.67				other	OPPS APC	45.15	166.67	
GUIDEWIRE - MAGIC TORQUE 260CM	SUP-99-01280	CDM			272	RC		inpatient			166.67	166.67																																																			
SCREW BONE LCP TITANIUM L10 MM OD2.7 MM CORTICAL T8 STARDRIVE RECESS SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-402.210	CDM	270010022	LOCAL	270	RC		outpatient			166.6	166.6	45.13				percent of total billed charges		166.6				other	OPPS APC	123.28				percent of total billed charges		166.6				other	OPPS APC	166.6				other	OPPS APC	45.13				percent of total billed charges		46.03				percent of total billed charges		166.6				other	OPPS APC	45.13	166.6	
SCREW BONE LCP TITANIUM L10 MM OD2.7 MM CORTICAL T8 STARDRIVE RECESS SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-402.210	CDM	270010022	LOCAL	270	RC		inpatient			166.6	166.6																																																			
SCREW BONE TITANIUM L12 MM OD2.7 MM CORTICAL T8 STARDRIVE RECESS SELF TAP LOCK NONSTERILE	SUP-402.212	CDM	270010022	LOCAL	270	RC		outpatient			166.6	166.6	45.13				percent of total billed charges		166.6				other	OPPS APC	123.28				percent of total billed charges		166.6				other	OPPS APC	166.6				other	OPPS APC	45.13				percent of total billed charges		46.03				percent of total billed charges		166.6				other	OPPS APC	45.13	166.6	
SCREW BONE TITANIUM L12 MM OD2.7 MM CORTICAL T8 STARDRIVE RECESS SELF TAP LOCK NONSTERILE	SUP-402.212	CDM	270010022	LOCAL	270	RC		inpatient			166.6	166.6																																																			
SCREW BONE LCP TITANIUM L14 MM OD2.7 MM CORTICAL T8 STARDRIVE RECESS SELF TAP LOCK NONSTERILE	SUP-402.214	CDM	270010022	LOCAL	270	RC		outpatient			166.6	166.6	45.13				percent of total billed charges		166.6				other	OPPS APC	123.28				percent of total billed charges		166.6				other	OPPS APC	166.6				other	OPPS APC	45.13				percent of total billed charges		46.03				percent of total billed charges		166.6				other	OPPS APC	45.13	166.6	
SCREW BONE LCP TITANIUM L14 MM OD2.7 MM CORTICAL T8 STARDRIVE RECESS SELF TAP LOCK NONSTERILE	SUP-402.214	CDM	270010022	LOCAL	270	RC		inpatient			166.6	166.6																																																			
TUBE TRACH ORAL RAE 4.5MM CUFFED	SUP-95-01766	CDM			272	RC		outpatient			166.44	166.44	45.09				percent of total billed charges		166.44				other	OPPS APC	123.17				percent of total billed charges		166.44				other	OPPS APC	166.44				other	OPPS APC	45.09				percent of total billed charges		45.99				percent of total billed charges		166.44				other	OPPS APC	45.09	166.44	
TUBE TRACH ORAL RAE 4.5MM CUFFED	SUP-95-01766	CDM			272	RC		inpatient			166.44	166.44																																																			
ORAL RAE W/TAPERGUARD 6.0	SUP-97-02389	CDM			272	RC		outpatient			166.44	166.44	45.09				percent of total billed charges		166.44				other	OPPS APC	123.17				percent of total billed charges		166.44				other	OPPS APC	166.44				other	OPPS APC	45.09				percent of total billed charges		45.99				percent of total billed charges		166.44				other	OPPS APC	45.09	166.44	
ORAL RAE W/TAPERGUARD 6.0	SUP-97-02389	CDM			272	RC		inpatient			166.44	166.44																																																			
RING DRAINAGE SET - 25CM INVRAD	SUP-95-02132	CDM			272	RC		outpatient			166.36	166.36	45.07				percent of total billed charges		166.36				other	OPPS APC	123.11				percent of total billed charges		166.36				other	OPPS APC	166.36				other	OPPS APC	45.07				percent of total billed charges		45.97				percent of total billed charges		166.36				other	OPPS APC	45.07	166.36	
RING DRAINAGE SET - 25CM INVRAD	SUP-95-02132	CDM			272	RC		inpatient			166.36	166.36																																																			
KIT POSITIONING COBAN S SHOULDER STABILIZATION ARM DRAPE HOOK SUSPENSION STERILE LATEX FREE DISPOSABLE ARTHROSCOPY	SUP-72200195	CDM			270	RC		outpatient			166.25	166.25	45.04				percent of total billed charges		166.25				other	OPPS APC	123.03				percent of total billed charges		166.25				other	OPPS APC	166.25				other	OPPS APC	45.04				percent of total billed charges		45.93				percent of total billed charges		166.25				other	OPPS APC	45.04	166.25	
KIT POSITIONING COBAN S SHOULDER STABILIZATION ARM DRAPE HOOK SUSPENSION STERILE LATEX FREE DISPOSABLE ARTHROSCOPY	SUP-72200195	CDM			270	RC		inpatient			166.25	166.25																																																			
STAPLER INTERNAL PROXIMATE TX TITANIUM L30 MM X H2.5 MM H1 MM VASCULAR TISSUE 3 ROW LINEAR RELOAD STERILE LATEX FREE DISPOSABLE WHITE	SUP-TX30V	CDM	270009088	LOCAL	270	RC		outpatient			166.25	166.25	45.04				percent of total billed charges		166.25				other	OPPS APC	123.03				percent of total billed charges		166.25				other	OPPS APC	166.25				other	OPPS APC	45.04				percent of total billed charges		45.93				percent of total billed charges		166.25				other	OPPS APC	45.04	166.25	
STAPLER INTERNAL PROXIMATE TX TITANIUM L30 MM X H2.5 MM H1 MM VASCULAR TISSUE 3 ROW LINEAR RELOAD STERILE LATEX FREE DISPOSABLE WHITE	SUP-TX30V	CDM	270009088	LOCAL	270	RC		inpatient			166.25	166.25																																																			
SYR 3ML SAFETY 23GX1 INT	SUP-06-00044	CDM			272	RC		outpatient			166.16	166.16	45.01				percent of total billed charges		166.16				other	OPPS APC	122.96				percent of total billed charges		166.16				other	OPPS APC	166.16				other	OPPS APC	45.01				percent of total billed charges		45.91				percent of total billed charges		166.16				other	OPPS APC	45.01	166.16	
SYR 3ML SAFETY 23GX1 INT	SUP-06-00044	CDM			272	RC		inpatient			166.16	166.16																																																			
SHUNT CARDIOVASCULAR CLEARVIEW SILICONE L14 MM OD1 MM INTRACORONARY BULB TAPERED TIP RADIOPAQUE STERILE ARTERIOTOMY	SUP-31100	CDM			270	RC		outpatient			166	166	44.97				percent of total billed charges		166				other	OPPS APC	122.84				percent of total billed charges		166				other	OPPS APC	166				other	OPPS APC	44.97				percent of total billed charges		45.87				percent of total billed charges		166				other	OPPS APC	44.97	166	
SHUNT CARDIOVASCULAR CLEARVIEW SILICONE L14 MM OD1 MM INTRACORONARY BULB TAPERED TIP RADIOPAQUE STERILE ARTERIOTOMY	SUP-31100	CDM			270	RC		inpatient			166	166																																																			
CATHETER - MULTIPURPOSE A-2 6F X 125CM	SUP-99-03563	CDM			272	RC		outpatient			166	166	44.97				percent of total billed charges		166				other	OPPS APC	122.84				percent of total billed charges		166				other	OPPS APC	166				other	OPPS APC	44.97				percent of total billed charges		45.87				percent of total billed charges		166				other	OPPS APC	44.97	166	
CATHETER - MULTIPURPOSE A-2 6F X 125CM	SUP-99-03563	CDM			272	RC		inpatient			166	166																																																			
CATHETER - MULTIPURPOSE B-2 6F X 125CM	SUP-99-03564	CDM			272	RC		outpatient			166	166	44.97				percent of total billed charges		166				other	OPPS APC	122.84				percent of total billed charges		166				other	OPPS APC	166				other	OPPS APC	44.97				percent of total billed charges		45.87				percent of total billed charges		166				other	OPPS APC	44.97	166	
CATHETER - MULTIPURPOSE B-2 6F X 125CM	SUP-99-03564	CDM			272	RC		inpatient			166	166																																																			
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD5 FR ODSEC11 MM 1.5 ML DISTAL 1 LUMEN BALLOON OTW SYRINGE STERILE LATEX DISPOSABLE WHITE	SUP-E1651-58	CDM			270	RC		outpatient			166	166	44.97				percent of total billed charges		166				other	OPPS APC	122.84				percent of total billed charges		166				other	OPPS APC	166				other	OPPS APC	44.97				percent of total billed charges		45.87				percent of total billed charges		166				other	OPPS APC	44.97	166	
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD5 FR ODSEC11 MM 1.5 ML DISTAL 1 LUMEN BALLOON OTW SYRINGE STERILE LATEX DISPOSABLE WHITE	SUP-E1651-58	CDM			270	RC		inpatient			166	166																																																			
TOOL DISSECTING BLACK MAX STANDARD STRAIGHT FLUTE ACORN L6.1 CM OD7.5 MM ATTACHMENT NONSTERILE SILVER BURR	SUP-SIL-32	CDM			270	RC		outpatient			166	166	44.97				percent of total billed charges		166				other	OPPS APC	122.84				percent of total billed charges		166				other	OPPS APC	166				other	OPPS APC	44.97				percent of total billed charges		45.87				percent of total billed charges		166				other	OPPS APC	44.97	166	
TOOL DISSECTING BLACK MAX STANDARD STRAIGHT FLUTE ACORN L6.1 CM OD7.5 MM ATTACHMENT NONSTERILE SILVER BURR	SUP-SIL-32	CDM			270	RC		inpatient			166	166																																																			
SUTURE STRATAFIX SPIRAL PDS PLUS VIOLET 2-0 6IN	SUP-97-05634	CDM			272	RC		outpatient			165.89	165.89	44.94				percent of total billed charges		165.89				other	OPPS APC	122.76				percent of total billed charges		165.89				other	OPPS APC	165.89				other	OPPS APC	44.94				percent of total billed charges		45.84				percent of total billed charges		165.89				other	OPPS APC	44.94	165.89	
SUTURE STRATAFIX SPIRAL PDS PLUS VIOLET 2-0 6IN	SUP-97-05634	CDM			272	RC		inpatient			165.89	165.89																																																			
SCREW BONE CORTICAL ENDOFIX 3.0 X 7MM	SUP-UCS7	CDM			270	RC		outpatient			165.6	165.6	44.86				percent of total billed charges		165.6				other	OPPS APC	122.54				percent of total billed charges		165.6				other	OPPS APC	165.6				other	OPPS APC	44.86				percent of total billed charges		45.76				percent of total billed charges		165.6				other	OPPS APC	44.86	165.6	
SCREW BONE CORTICAL ENDOFIX 3.0 X 7MM	SUP-UCS7	CDM			270	RC		inpatient			165.6	165.6																																																			
SYSTEM NEGATIVE PRESSURE PICO 7 L20 CM X W10 CM STERILE LATEX FREE DISPOSABLE	SUP-66022002	CDM			270	RC		outpatient			165.36	165.36	44.8				percent of total billed charges		165.36				other	OPPS APC	122.37				percent of total billed charges		165.36				other	OPPS APC	165.36				other	OPPS APC	44.8				percent of total billed charges		45.69				percent of total billed charges		165.36				other	OPPS APC	44.8	165.36	
SYSTEM NEGATIVE PRESSURE PICO 7 L20 CM X W10 CM STERILE LATEX FREE DISPOSABLE	SUP-66022002	CDM			270	RC		inpatient			165.36	165.36																																																			
NEEDLE SPINAL WHITACRE 22G X 3.5	SUP-95-01459	CDM			272	RC		outpatient			165.36	165.36	44.8				percent of total billed charges		165.36				other	OPPS APC	122.37				percent of total billed charges		165.36				other	OPPS APC	165.36				other	OPPS APC	44.8				percent of total billed charges		45.69				percent of total billed charges		165.36				other	OPPS APC	44.8	165.36	
NEEDLE SPINAL WHITACRE 22G X 3.5	SUP-95-01459	CDM			272	RC		inpatient			165.36	165.36																																																			
PLATE BONE THINFLAP TITANIUM WIDE CRANIOMAXILLOFACIAL 2 HOLE	SUP-19-1010	CDM			270	RC		outpatient			165.2	165.2	44.75				percent of total billed charges		165.2				other	OPPS APC	122.25				percent of total billed charges		165.2				other	OPPS APC	165.2				other	OPPS APC	44.75				percent of total billed charges		45.64				percent of total billed charges		165.2				other	OPPS APC	44.75	165.2	
PLATE BONE THINFLAP TITANIUM WIDE CRANIOMAXILLOFACIAL 2 HOLE	SUP-19-1010	CDM			270	RC		inpatient			165.2	165.2																																																			
SCREW SELF TAPPING T8 STARDRIVE RECESS 2.7 X 16MM	SUP-97-06156	CDM			278	RC		outpatient			165.2	165.2	165.2				fee schedule		165.2				other	OPPS APC	94.16				percent of total billed charges		165.2				other	OPPS APC	165.2				other	OPPS APC	80.95				percent of total billed charges		84.25				percent of total billed charges		165.2				other	OPPS APC	80.95	165.2	
SCREW SELF TAPPING T8 STARDRIVE RECESS 2.7 X 16MM	SUP-97-06156	CDM			278	RC		inpatient			165.2	165.2																																																			
HC OP Visit New 46-90 Min	PX-510992040	CDM	99204	CPT	510	RC		outpatient			165	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit New 46-90 Min	PX-510992040	CDM	99204	CPT	510	RC		inpatient			165	165																																																			
CATHETER UMBILICAL 8 FR TRIPLE LUMEN	SUP-02-00085	CDM			272	RC		outpatient			165	165	44.7				percent of total billed charges		165				other	OPPS APC	122.1				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	44.7				percent of total billed charges		45.59				percent of total billed charges		165				other	OPPS APC	44.7	165	
CATHETER UMBILICAL 8 FR TRIPLE LUMEN	SUP-02-00085	CDM			272	RC		inpatient			165	165																																																			
SCREW PT 4.0X 70	SUP-97-01352	CDM			278	RC		outpatient			165	165	165				fee schedule		165				other	OPPS APC	94.05				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
SCREW PT 4.0X 70	SUP-97-01352	CDM			278	RC		inpatient			165	165																																																			
SCREW FT 4.0X55	SUP-97-01358	CDM			278	RC		outpatient			165	165	165				fee schedule		165				other	OPPS APC	94.05				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
SCREW FT 4.0X55	SUP-97-01358	CDM			278	RC		inpatient			165	165																																																			
SCREW 4 X 32MM CANCELLOUS	SUP-97-01587	CDM			278	RC		outpatient			165	165	165				fee schedule		165				other	OPPS APC	94.05				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
SCREW 4 X 32MM CANCELLOUS	SUP-97-01587	CDM			278	RC		inpatient			165	165																																																			
SCREW 4 X 42MM CANCELLOUS	SUP-97-01595	CDM			278	RC		outpatient			165	165	165				fee schedule		165				other	OPPS APC	94.05				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
SCREW 4 X 42MM CANCELLOUS	SUP-97-01595	CDM			278	RC		inpatient			165	165																																																			
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE16M	SUP-97-01957	CDM			278	RC		outpatient			165	165	165				fee schedule		165				other	OPPS APC	94.05				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE16M	SUP-97-01957	CDM			278	RC		inpatient			165	165																																																			
3.5MM CRTX SCREWLOW PROF	SUP-97-02813	CDM			278	RC		outpatient			165	165	165				fee schedule		165				other	OPPS APC	94.05				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
3.5MM CRTX SCREWLOW PROF	SUP-97-02813	CDM			278	RC		inpatient			165	165																																																			
COIL EMBOLIZATION MREYE 5CM 12MM PLATINUM STERILE ARTERIAL VENOUS 1.3 LOOP ACCEPTS .038IN GUIDEWIRE	SUP-G20825	CDM			270	RC		outpatient			165	165	44.7				percent of total billed charges		165				other	OPPS APC	122.1				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	44.7				percent of total billed charges		45.59				percent of total billed charges		165				other	OPPS APC	44.7	165	
COIL EMBOLIZATION MREYE 5CM 12MM PLATINUM STERILE ARTERIAL VENOUS 1.3 LOOP ACCEPTS .038IN GUIDEWIRE	SUP-G20825	CDM			270	RC		inpatient			165	165																																																			
FILTERWIRE EZ BENT TIP RETRIEVAL SHEATH 1.40MM X 150CM	SUP-H749501001500	CDM			481	RC		outpatient			165	165	80.85				percent of total billed charges		165				other	OPPS APC	122.1				percent of total billed charges		165				other	OPPS APC	165				other	OPPS APC	80.85				percent of total billed charges		84.15				percent of total billed charges		165				other	OPPS APC	80.85	165	
FILTERWIRE EZ BENT TIP RETRIEVAL SHEATH 1.40MM X 150CM	SUP-H749501001500	CDM			481	RC		inpatient			165	165																																																			
SUTURE STRATAFIX MONOCRYL BIDIRECTIONAL 2-0 CT-1 SXMP2B401	SUP-95-05438	CDM			272	RC		outpatient			164.95	164.95	44.68				percent of total billed charges		164.95				other	OPPS APC	122.06				percent of total billed charges		164.95				other	OPPS APC	164.95				other	OPPS APC	44.68				percent of total billed charges		45.58				percent of total billed charges		164.95				other	OPPS APC	44.68	164.95	
SUTURE STRATAFIX MONOCRYL BIDIRECTIONAL 2-0 CT-1 SXMP2B401	SUP-95-05438	CDM			272	RC		inpatient			164.95	164.95																																																			
MARKER BREAST BIOPSY CELERO SYSTEM	SUP-SMARK-CELERO	CDM			270	RC		outpatient			164.9	164.91	44.67				percent of total billed charges		164.9				other	OPPS APC	122.03				percent of total billed charges		164.9				other	OPPS APC	164.9				other	OPPS APC	44.67				percent of total billed charges		45.56				percent of total billed charges		164.91				other	OPPS APC	44.67	164.91	
MARKER BREAST BIOPSY CELERO SYSTEM	SUP-SMARK-CELERO	CDM			270	RC		inpatient			164.9	164.9																																																			
ADHESIVE SKIN CLOSURE DERMABOND PRINEO 2 OCTYL CYANOACRYLATE L22 CM 3.8 ML TOPICAL MESH APPLICATOR LIQUID DISPENSER STERILE DISPOSABLE	SUP-CLR222US-15	CDM			270	RC		outpatient			164.87	164.87	44.66				percent of total billed charges		164.87				other	OPPS APC	122				percent of total billed charges		164.87				other	OPPS APC	164.87				other	OPPS APC	44.66				percent of total billed charges		45.55				percent of total billed charges		164.87				other	OPPS APC	44.66	164.87	
ADHESIVE SKIN CLOSURE DERMABOND PRINEO 2 OCTYL CYANOACRYLATE L22 CM 3.8 ML TOPICAL MESH APPLICATOR LIQUID DISPENSER STERILE DISPOSABLE	SUP-CLR222US-15	CDM			270	RC		inpatient			164.87	164.87																																																			
ELECTRODE ELECTROSURGICAL ARGON PLUS VALLEYLAB 10FT 1IN DISPOSABLE STERILE LF HANDSET RETRACTABLE BLADE HOLSTER	SUP-E2520H	CDM			270	RC		outpatient			164.49	164.49	44.56				percent of total billed charges		164.49				other	OPPS APC	121.72				percent of total billed charges		164.49				other	OPPS APC	164.49				other	OPPS APC	44.56				percent of total billed charges		45.45				percent of total billed charges		164.49				other	OPPS APC	44.56	164.49	
ELECTRODE ELECTROSURGICAL ARGON PLUS VALLEYLAB 10FT 1IN DISPOSABLE STERILE LF HANDSET RETRACTABLE BLADE HOLSTER	SUP-E2520H	CDM			270	RC		inpatient			164.49	164.49																																																			
APPLIER INTERNAL CLIP LIGAMAX LIGACLIP LG 12MM TITANIUM DISPOSABLE STERILE LF VASCULAR ANGLE JAW DISTAL TIP CLOSE	SUP-ER420	CDM			270	RC		outpatient			164.47	164.47	44.55				percent of total billed charges		164.47				other	OPPS APC	121.71				percent of total billed charges		164.47				other	OPPS APC	164.47				other	OPPS APC	44.55				percent of total billed charges		45.44				percent of total billed charges		164.47				other	OPPS APC	44.55	164.47	
APPLIER INTERNAL CLIP LIGAMAX LIGACLIP LG 12MM TITANIUM DISPOSABLE STERILE LF VASCULAR ANGLE JAW DISTAL TIP CLOSE	SUP-ER420	CDM			270	RC		inpatient			164.47	164.47																																																			
TRAY CATHETER POWERPICC NITINOL .018 IN L70 CM OD5 FR 2 LUMEN GUIDEWIRE	SUP-3275355	CDM			270	RC		outpatient			164.34	164.34	44.52				percent of total billed charges		164.34				other	OPPS APC	121.61				percent of total billed charges		164.34				other	OPPS APC	164.34				other	OPPS APC	44.52				percent of total billed charges		45.41				percent of total billed charges		164.34				other	OPPS APC	44.52	164.34	
TRAY CATHETER POWERPICC NITINOL .018 IN L70 CM OD5 FR 2 LUMEN GUIDEWIRE	SUP-3275355	CDM			270	RC		inpatient			164.34	164.34																																																			
NEEDLE SPINAL WHITACRE 25G X 3.5	SUP-95-01675	CDM			272	RC		outpatient			164.12	164.12	44.46				percent of total billed charges		164.12				other	OPPS APC	121.45				percent of total billed charges		164.12				other	OPPS APC	164.12				other	OPPS APC	44.46				percent of total billed charges		45.35				percent of total billed charges		164.12				other	OPPS APC	44.46	164.12	
NEEDLE SPINAL WHITACRE 25G X 3.5	SUP-95-01675	CDM			272	RC		inpatient			164.12	164.12																																																			
Individ Pscyh W/ Eval & Mgnt 45 Mins (38-52) Mins	PX-510908361	CDM	90836	CPT	510	RC		inpatient			164	164																																																			
Individ Pscyh W/ Eval & Mgnt 45 Mins (38-52) Mins	PX-510908361	CDM	90836	CPT	510	RC		outpatient			164	164	83.14				fee schedule						other	OPPS APC	390.51				fee schedule						other	OPPS APC					other	OPPS APC	77.4				fee schedule												other	OPPS APC	390.51	390.51	
SCREW BONE TITANIUM L10 MM OD3.5 MM CORTEX LOCK HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0233	CDM			270	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
SCREW BONE TITANIUM L10 MM OD3.5 MM CORTEX LOCK HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0233	CDM			270	RC		inpatient			164	164																																																			
SCREW BONE TITANIUM L10 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0256	CDM			270	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
SCREW BONE TITANIUM L10 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0256	CDM			270	RC		inpatient			164	164																																																			
SCREW BONE TITANIUM L12 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0257	CDM			270	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
SCREW BONE TITANIUM L12 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0257	CDM			270	RC		inpatient			164	164																																																			
SCREW BONE TITANIUM L14 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0258	CDM			270	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
SCREW BONE TITANIUM L14 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0258	CDM			270	RC		inpatient			164	164																																																			
SCREW BONE TITANIUM L16 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0259	CDM			270	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
SCREW BONE TITANIUM L16 MM OD3.5 MM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET	SUP-30-0259	CDM			270	RC		inpatient			164	164																																																			
MAKO TIBIAL CHECKPOINT	SUP-78-00416	CDM			272	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
MAKO TIBIAL CHECKPOINT	SUP-78-00416	CDM			272	RC		inpatient			164	164																																																			
GUIDE WIRE DUAL TROCAR 1.35MM BX/6	SUP-95-03442	CDM			272	RC		outpatient			164	164	44.43				percent of total billed charges		164				other	OPPS APC	121.36				percent of total billed charges		164				other	OPPS APC	164				other	OPPS APC	44.43				percent of total billed charges		45.31				percent of total billed charges		164				other	OPPS APC	44.43	164	
GUIDE WIRE DUAL TROCAR 1.35MM BX/6	SUP-95-03442	CDM			272	RC		inpatient			164	164																																																			
WARMER DRAPE	SUP-97-01634	CDM						inpatient			164	164																																																			
WARMER DRAPE	SUP-97-01634	CDM						outpatient			164	164	164				percent of total billed charges		164				other	OPPS APC	164				fee schedule		164				other	OPPS APC	164				other	OPPS APC	164				case rate		164				case rate		164				other	OPPS APC	164	164	
SUTURE STRATAFIX PDS CT-1 45CM	SUP-74-00422	CDM			272	RC		outpatient			163.54	163.54	44.3				percent of total billed charges		163.54				other	OPPS APC	121.02				percent of total billed charges		163.54				other	OPPS APC	163.54				other	OPPS APC	44.3				percent of total billed charges		45.19				percent of total billed charges		163.54				other	OPPS APC	44.3	163.54	
SUTURE STRATAFIX PDS CT-1 45CM	SUP-74-00422	CDM			272	RC		inpatient			163.54	163.54																																																			
12x20 Cath Kit Lg Bore Mult-Lumen Nu0125	PX-278C17513	CDM			278	RC		outpatient			163.5	163.5	163.5				fee schedule		163.5				other	OPPS APC	93.2				percent of total billed charges		163.5				other	OPPS APC	163.5				other	OPPS APC	80.12				percent of total billed charges		83.39				percent of total billed charges		163.5				other	OPPS APC	80.12	163.5	
12x20 Cath Kit Lg Bore Mult-Lumen Nu0125	PX-278C17513	CDM			278	RC		inpatient			163.5	163.5																																																			
RIFAXIMIN 550 MG TABLET	637000000	CDM	65649-303-03	NDC	A9270	HCPCS		inpatient			163.37	163.37																																																			
RIFAXIMIN 550 MG TABLET	637000000	CDM	65649-303-03	NDC	A9270	HCPCS		outpatient			163.37	163.37																																															other	OPPS APC			
PACK BATTERY STERILE LATEX FREE DISPOSABLE	SUP-50-800-02-71	CDM			270	RC		outpatient			163.2	163.2	44.21				percent of total billed charges		163.2				other	OPPS APC	120.77				percent of total billed charges		163.2				other	OPPS APC	163.2				other	OPPS APC	44.21				percent of total billed charges		45.09				percent of total billed charges		163.2				other	OPPS APC	44.21	163.2	
PACK BATTERY STERILE LATEX FREE DISPOSABLE	SUP-50-800-02-71	CDM			270	RC		inpatient			163.2	163.2																																																			
SYR 3ML SAFETY 21GX1 1/2 INT	SUP-06-00043	CDM			272	RC		outpatient			163.14	163.14	44.19				percent of total billed charges		163.14				other	OPPS APC	120.72				percent of total billed charges		163.14				other	OPPS APC	163.14				other	OPPS APC	44.19				percent of total billed charges		45.08				percent of total billed charges		163.14				other	OPPS APC	44.19	163.14	
SYR 3ML SAFETY 21GX1 1/2 INT	SUP-06-00043	CDM			272	RC		inpatient			163.14	163.14																																																			
SPLINTS SILICONE NASAL	SUP-72-00017	CDM			272	RC		outpatient			163.1	164	44.18				percent of total billed charges		163.1				other	OPPS APC	120.69				percent of total billed charges		163.1				other	OPPS APC	163.1				other	OPPS APC	44.18				percent of total billed charges		45.06				percent of total billed charges		164				other	OPPS APC	44.18	164	
SPLINTS SILICONE NASAL	SUP-72-00017	CDM			272	RC		inpatient			163.1	163.1																																																			
HC Rhogam (Uf)	PX-390903840	CDM	90384	CPT	390	RC		inpatient			163	163																																																			
HC Rhogam (Uf)	PX-390903840	CDM	90384	CPT	390	RC		outpatient			163	163	79.87				percent of total billed charges						other	OPPS APC	120.62				percent of total billed charges						other	OPPS APC					other	OPPS APC	79.87				percent of total billed charges		81.47				percent of total billed charges						other	OPPS APC	120.62	120.62	
SCREW BONE L150 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.750	CDM	270010022	LOCAL	270	RC		outpatient			162.96	162.96	44.15				percent of total billed charges		162.96				other	OPPS APC	120.59				percent of total billed charges		162.96				other	OPPS APC	162.96				other	OPPS APC	44.15				percent of total billed charges		45.03				percent of total billed charges		162.96				other	OPPS APC	44.15	162.96	
SCREW BONE L150 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.750	CDM	270010022	LOCAL	270	RC		inpatient			162.96	162.96																																																			
BIT DRILL LCP TITANIUM L165 MM OD2.8 MM QUICK COUPLING NONSTERILE	SUP-310.288	CDM	270010022	LOCAL	270	RC		outpatient			162.96	162.96	44.15				percent of total billed charges		162.96				other	OPPS APC	120.59				percent of total billed charges		162.96				other	OPPS APC	162.96				other	OPPS APC	44.15				percent of total billed charges		45.03				percent of total billed charges		162.96				other	OPPS APC	44.15	162.96	
BIT DRILL LCP TITANIUM L165 MM OD2.8 MM QUICK COUPLING NONSTERILE	SUP-310.288	CDM	270010022	LOCAL	270	RC		inpatient			162.96	162.96																																																			
BLADE SAW THK.38 MM L15 MM X W6 MM SAGITTAL STERILE SAGITTAL ATTACHMENT	SUP-03.000.301S	CDM	270010022	LOCAL	270	RC		outpatient			162.9	162.91	44.13				percent of total billed charges		162.9				other	OPPS APC	120.55				percent of total billed charges		162.9				other	OPPS APC	162.9				other	OPPS APC	44.13				percent of total billed charges		45.01				percent of total billed charges		162.91				other	OPPS APC	44.13	162.91	
BLADE SAW THK.38 MM L15 MM X W6 MM SAGITTAL STERILE SAGITTAL ATTACHMENT	SUP-03.000.301S	CDM	270010022	LOCAL	270	RC		inpatient			162.9	162.9																																																			
BIT DRILL MINI L55 MM OD1.1 MM QUICK COUPLING NONSTERILE	SUP-310.111	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
BIT DRILL MINI L55 MM OD1.1 MM QUICK COUPLING NONSTERILE	SUP-310.111	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
BIT DRILL 55MM 1.3MM NS MINI QUICK COUPLING SELF STOP 2.4MM SCREW MODULAR HAND SYSTEM	SUP-316.402	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
BIT DRILL 55MM 1.3MM NS MINI QUICK COUPLING SELF STOP 2.4MM SCREW MODULAR HAND SYSTEM	SUP-316.402	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 6MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.526	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 6MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.526	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 7MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.527	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 7MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.527	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 8MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.528	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 8MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.528	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 9MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.529	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 9MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.529	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 11MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.531	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 11MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.531	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 1MM 1.6MM 12MM TITANIUM HAND CORTICAL SELF TAP CRUCIFORM NS	SUP-400.532	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 1MM 1.6MM 12MM TITANIUM HAND CORTICAL SELF TAP CRUCIFORM NS	SUP-400.532	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 1MM 1.6MM 13MM TITANIUM HAND CORTICAL SELF TAP CRUCIFORM NS	SUP-400.533	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 1MM 1.6MM 13MM TITANIUM HAND CORTICAL SELF TAP CRUCIFORM NS	SUP-400.533	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
SCREW BONE 14MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.534	CDM	270010022	LOCAL	270	RC		outpatient			162.8	162.81	44.1				percent of total billed charges		162.8				other	OPPS APC	120.47				percent of total billed charges		162.8				other	OPPS APC	162.8				other	OPPS APC	44.1				percent of total billed charges		44.98				percent of total billed charges		162.81				other	OPPS APC	44.1	162.81	
SCREW BONE 14MM 1MM 1.6MM TITANIUM NS CORTEX SELF TAP CRUCIFORM	SUP-400.534	CDM	270010022	LOCAL	270	RC		inpatient			162.8	162.8																																																			
CATHETER ARTERIAL LINE SWAN-GANZ CONTROLCATH HEPARIN POLYMER S L110 CM OD7 FR PULMONARY	SUP-151F7	CDM			481	RC		outpatient			162.74	162.74	79.74				percent of total billed charges		162.74				other	OPPS APC	120.43				percent of total billed charges		162.74				other	OPPS APC	162.74				other	OPPS APC	79.74				percent of total billed charges		83				percent of total billed charges		162.74				other	OPPS APC	79.74	162.74	
CATHETER ARTERIAL LINE SWAN-GANZ CONTROLCATH HEPARIN POLYMER S L110 CM OD7 FR PULMONARY	SUP-151F7	CDM			481	RC		inpatient			162.74	162.74																																																			
NEEDLE ACHIEVE BIOPSY 18G X20	SUP-74-00215	CDM			272	RC		outpatient			162.62	162.62	44.05				percent of total billed charges		162.62				other	OPPS APC	120.34				percent of total billed charges		162.62				other	OPPS APC	162.62				other	OPPS APC	44.05				percent of total billed charges		44.93				percent of total billed charges		162.62				other	OPPS APC	44.05	162.62	
NEEDLE ACHIEVE BIOPSY 18G X20	SUP-74-00215	CDM			272	RC		inpatient			162.62	162.62																																																			
AIRWAY 30FR  7.5MM	SUP-97-00198	CDM			272	RC		outpatient			162.6	162.6	44.05				percent of total billed charges		162.6				other	OPPS APC	120.32				percent of total billed charges		162.6				other	OPPS APC	162.6				other	OPPS APC	44.05				percent of total billed charges		44.93				percent of total billed charges		162.6				other	OPPS APC	44.05	162.6	
AIRWAY 30FR  7.5MM	SUP-97-00198	CDM			272	RC		inpatient			162.6	162.6																																																			
KNIFE ELECTRODE 22-24FR	SUP-46782204	CDM			270	RC		outpatient			162.56	162.56	44.04				percent of total billed charges		162.56				other	OPPS APC	120.29				percent of total billed charges		162.56				other	OPPS APC	162.56				other	OPPS APC	44.04				percent of total billed charges		44.92				percent of total billed charges		162.56				other	OPPS APC	44.04	162.56	
KNIFE ELECTRODE 22-24FR	SUP-46782204	CDM			270	RC		inpatient			162.56	162.56																																																			
PILOT WIRE	SUP-97-01866	CDM						inpatient			162.4	162.4																																																			
PILOT WIRE	SUP-97-01866	CDM						outpatient			162.4	162.41	162.4				percent of total billed charges		162.4				other	OPPS APC	162.4				fee schedule		162.4				other	OPPS APC	162.4				other	OPPS APC	162.4				case rate		162.4				case rate		162.41				other	OPPS APC	162.4	162.41	
CARBOPLATIN PER 50 MG	636000000	CDM	63323-172-60	NDC	J9045	HCPCS		inpatient			162	162																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	63323-172-60	NDC	J9045	HCPCS		outpatient			162	162																																															other	OPPS APC			
PAMIDRONATE DISODIUM PER 30 MG	636000000	CDM	67457-430-10	NDC	J2430	HCPCS		inpatient			162	162																																																			
PAMIDRONATE DISODIUM PER 30 MG	636000000	CDM	67457-430-10	NDC	J2430	HCPCS		outpatient			162	162																																															other	OPPS APC			
WIRE FIXATION KIRSCHNER TRABECULAR METAL OD1.6 MM ANKLE	SUP-00-4501-040-01	CDM			270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
WIRE FIXATION KIRSCHNER TRABECULAR METAL OD1.6 MM ANKLE	SUP-00-4501-040-01	CDM			270	RC		inpatient			162	162																																																			
ELEVIEW SUBMUCOSAL INJECTABLE COMPOSITION (10ML)	SUP-05391530190015	CDM			270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
ELEVIEW SUBMUCOSAL INJECTABLE COMPOSITION (10ML)	SUP-05391530190015	CDM			270	RC		inpatient			162	162																																																			
GUIDEWIRE ORTHOPEDIC L400 MM OD3.2 MM TIBIA THREAD NONSTERILE	SUP-357.399	CDM	270010022	LOCAL	270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
GUIDEWIRE ORTHOPEDIC L400 MM OD3.2 MM TIBIA THREAD NONSTERILE	SUP-357.399	CDM	270010022	LOCAL	270	RC		inpatient			162	162																																																			
SET TUBING COOL POINT L2.6 MR 2 WAY COMMUNICATION IRRIGATION PUMP CATHETER	SUP-85785	CDM			270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
SET TUBING COOL POINT L2.6 MR 2 WAY COMMUNICATION IRRIGATION PUMP CATHETER	SUP-85785	CDM			270	RC		inpatient			162	162																																																			
BALLOON DISSECTOR LAPAROSCOPIC PDB SPACEMAKER EXTRA VIEW LG KIDNEY PVC DISPOSABLE STERILE LF PREPERITONEAL DISTENTION	SUP-OMS-PDBS2	CDM	270009200	LOCAL	270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
BALLOON DISSECTOR LAPAROSCOPIC PDB SPACEMAKER EXTRA VIEW LG KIDNEY PVC DISPOSABLE STERILE LF PREPERITONEAL DISTENTION	SUP-OMS-PDBS2	CDM	270009200	LOCAL	270	RC		inpatient			162	162																																																			
TROCAR LAPAROSCOPIC SPACEMAKER 5MM 7/8 MM LARGE TRIANGLE OD10 MM PREPERITONEUM BALLOON BUILT IN CONVERTER DISTAL END SYRINGE STERILE DISPOSABLE HERNIA	SUP-OMST10SB	CDM	270009200	LOCAL	270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
TROCAR LAPAROSCOPIC SPACEMAKER 5MM 7/8 MM LARGE TRIANGLE OD10 MM PREPERITONEUM BALLOON BUILT IN CONVERTER DISTAL END SYRINGE STERILE DISPOSABLE HERNIA	SUP-OMST10SB	CDM	270009200	LOCAL	270	RC		inpatient			162	162																																																			
SCREW 2.5MM THREADED PEG 26MM	SUP-TP26	CDM			270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
SCREW 2.5MM THREADED PEG 26MM	SUP-TP26	CDM			270	RC		inpatient			162	162																																																			
SCREW 2.5MM THREADED PEGS 26MM	SUP-TP-26	CDM			270	RC		outpatient			162	162	43.89				percent of total billed charges		162				other	OPPS APC	119.88				percent of total billed charges		162				other	OPPS APC	162				other	OPPS APC	43.89				percent of total billed charges		44.76				percent of total billed charges		162				other	OPPS APC	43.89	162	
SCREW 2.5MM THREADED PEGS 26MM	SUP-TP-26	CDM			270	RC		inpatient			162	162																																																			
STRATAFIX PDS 0 CT-1 30CM VIOLET	SUP-97-06228	CDM			272	RC		outpatient			161.83	161.83	43.84				percent of total billed charges		161.83				other	OPPS APC	119.75				percent of total billed charges		161.83				other	OPPS APC	161.83				other	OPPS APC	43.84				percent of total billed charges		44.71				percent of total billed charges		161.83				other	OPPS APC	43.84	161.83	
STRATAFIX PDS 0 CT-1 30CM VIOLET	SUP-97-06228	CDM			272	RC		inpatient			161.83	161.83																																																			
DEXAMETHASONE 0.1 % DROPS 5 ML DROP BTL	637000000	CDM	24208-720-02	NDC	A9270	HCPCS		inpatient			161.7	161.7																																																			
DEXAMETHASONE 0.1 % DROPS 5 ML DROP BTL	637000000	CDM	24208-720-02	NDC	A9270	HCPCS		outpatient			161.7	161.7																																															other	OPPS APC			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L350 MM OD2 MM SPADE POINT NONSTERILE	SUP-292.40	CDM	270010022	LOCAL	270	RC		outpatient			161.7	161.7	43.8				percent of total billed charges		161.7				other	OPPS APC	119.66				percent of total billed charges		161.7				other	OPPS APC	161.7				other	OPPS APC	43.8				percent of total billed charges		44.68				percent of total billed charges		161.7				other	OPPS APC	43.8	161.7	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L350 MM OD2 MM SPADE POINT NONSTERILE	SUP-292.40	CDM	270010022	LOCAL	270	RC		inpatient			161.7	161.7																																																			
TROCAR 15MM ENDOPATH EXCEL BLADELESS B15LT	SUP-95-04878	CDM			272	RC		outpatient			161.6	161.6	43.78				percent of total billed charges		161.6				other	OPPS APC	119.58				percent of total billed charges		161.6				other	OPPS APC	161.6				other	OPPS APC	43.78				percent of total billed charges		44.65				percent of total billed charges		161.6				other	OPPS APC	43.78	161.6	
TROCAR 15MM ENDOPATH EXCEL BLADELESS B15LT	SUP-95-04878	CDM			272	RC		inpatient			161.6	161.6																																																			
CATHETER - AL1 5F	SUP-99-01567	CDM			272	RC		outpatient			161.4	161.41	43.72				percent of total billed charges		161.4				other	OPPS APC	119.44				percent of total billed charges		161.4				other	OPPS APC	161.4				other	OPPS APC	43.72				percent of total billed charges		44.59				percent of total billed charges		161.41				other	OPPS APC	43.72	161.41	
CATHETER - AL1 5F	SUP-99-01567	CDM			272	RC		inpatient			161.4	161.4																																																			
SET INTRODUCER PEEL-AWAY MICROPUNCTURE ECHOTIP TORQ-FLEX STAINLESS STEEL .018 IN T L65 CM L9 CM OD5.5 FR LUER LOCK SHEATH ENTRY NEEDLE GUIDEWIRE PICC DENNY MODIFICATION STERILE DISPOSABLE	SUP-G11567	CDM			270	RC		outpatient			161.02	161.21	43.62				percent of total billed charges		161.02				other	OPPS APC	119.15				percent of total billed charges		161.02				other	OPPS APC	161.02				other	OPPS APC	43.62				percent of total billed charges		44.49				percent of total billed charges		161.21				other	OPPS APC	43.62	161.21	
SET INTRODUCER PEEL-AWAY MICROPUNCTURE ECHOTIP TORQ-FLEX STAINLESS STEEL .018 IN T L65 CM L9 CM OD5.5 FR LUER LOCK SHEATH ENTRY NEEDLE GUIDEWIRE PICC DENNY MODIFICATION STERILE DISPOSABLE	SUP-G11567	CDM			270	RC		inpatient			161.02	161.02																																																			
2.5MM GUIDE ROD W/STOPTROCAR TIP 230MM	SUP-97-04065	CDM			272	RC		outpatient			160.8	16.81	43.56				percent of total billed charges		160.8				other	OPPS APC	118.99				percent of total billed charges		160.8				other	OPPS APC	160.8				other	OPPS APC	43.56				percent of total billed charges		44.43				percent of total billed charges		16.81				other	OPPS APC	16.81	160.8	
2.5MM GUIDE ROD W/STOPTROCAR TIP 230MM	SUP-97-04065	CDM			272	RC		inpatient			160.8	160.8																																																			
NEEDLE ANESTHESIA EPIDURAL TUOHY	SUP-95-01155	CDM			272	RC		outpatient			160.76	16.76	43.55				percent of total billed charges		160.76				other	OPPS APC	118.96				percent of total billed charges		160.76				other	OPPS APC	160.76				other	OPPS APC	43.55				percent of total billed charges		44.42				percent of total billed charges		16.76				other	OPPS APC	16.76	160.76	
NEEDLE ANESTHESIA EPIDURAL TUOHY	SUP-95-01155	CDM			272	RC		inpatient			160.76	160.76																																																			
SUTURE STRATAFIX MONOCRYL 4-0 18IN	SUP-95-05414	CDM			272	RC		outpatient			160.64	16.64	43.52				percent of total billed charges		160.64				other	OPPS APC	118.87				percent of total billed charges		160.64				other	OPPS APC	160.64				other	OPPS APC	43.52				percent of total billed charges		44.38				percent of total billed charges		16.64				other	OPPS APC	16.64	160.64	
SUTURE STRATAFIX MONOCRYL 4-0 18IN	SUP-95-05414	CDM			272	RC		inpatient			160.64	160.64																																																			
SUTURE STRATAFIX MONOCRYL 2-0 18IN	SUP-95-05415	CDM			272	RC		outpatient			160.64	16.64	43.52				percent of total billed charges		160.64				other	OPPS APC	118.87				percent of total billed charges		160.64				other	OPPS APC	160.64				other	OPPS APC	43.52				percent of total billed charges		44.38				percent of total billed charges		16.64				other	OPPS APC	16.64	160.64	
SUTURE STRATAFIX MONOCRYL 2-0 18IN	SUP-95-05415	CDM			272	RC		inpatient			160.64	160.64																																																			
PACK SURGICAL CUSTOM TAVR	SUP-DYNJ59291	CDM	270009161	LOCAL	270	RC		outpatient			160.51	16.6	43.48				percent of total billed charges		160.51				other	OPPS APC	118.78				percent of total billed charges		160.51				other	OPPS APC	160.51				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.6				other	OPPS APC	16.6	160.51	
PACK SURGICAL CUSTOM TAVR	SUP-DYNJ59291	CDM	270009161	LOCAL	270	RC		inpatient			160.51	160.51																																																			
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD6 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN STERILE DISPOSABLE	SUP-M001271330	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD6 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN STERILE DISPOSABLE	SUP-M001271330	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE APD FLEXIMA LOOP 25CM 8FR METAL HYDROPHILIC DISPOSABLE STERILE REGULAR DUROMETER STIFF CANNULA LG	SUP-M001271340	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE APD FLEXIMA LOOP 25CM 8FR METAL HYDROPHILIC DISPOSABLE STERILE REGULAR DUROMETER STIFF CANNULA LG	SUP-M001271340	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD10 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN STERILE DISPOSABLE	SUP-M001271350	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD10 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN STERILE DISPOSABLE	SUP-M001271350	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD12 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN STERILE DISPOSABLE	SUP-M001271380	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD12 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN STERILE DISPOSABLE	SUP-M001271380	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD14 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN ABSCESS STERILE DISPOSABLE	SUP-M001271390	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE APD FLEXIMA METAL HYDROPHILIC LOOP L25 CM OD14 FR REGULAR DUROMETER FLEXIBLE STIFF CANNULA LARGE LUMEN ABSCESS STERILE DISPOSABLE	SUP-M001271390	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD8 FR BILIARY FLEXIBLE STIFF CANNULA LOCK DUROMETER LARGE HOLE	SUP-M001271540	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD8 FR BILIARY FLEXIBLE STIFF CANNULA LOCK DUROMETER LARGE HOLE	SUP-M001271540	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD8 FR BILIARY REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK LARGE HOLE	SUP-M001271560	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD8 FR BILIARY REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK LARGE HOLE	SUP-M001271560	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD10 FR BILIARY REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK LARGE HOLE	SUP-M001271570	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD10 FR BILIARY REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK LARGE HOLE	SUP-M001271570	CDM			270	RC		inpatient			160.5	160.5																																																			
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD12 FR BILIARY FLEXIBLE STIFF CANNULA LOCK REGULAR DUROMETER LARGE HOLE	SUP-M001271580	CDM			270	RC		outpatient			160.5	16.5	43.48				percent of total billed charges		160.5				other	OPPS APC	118.77				percent of total billed charges		160.5				other	OPPS APC	160.5				other	OPPS APC	43.48				percent of total billed charges		44.35				percent of total billed charges		16.5				other	OPPS APC	16.5	160.5	
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD12 FR BILIARY FLEXIBLE STIFF CANNULA LOCK REGULAR DUROMETER LARGE HOLE	SUP-M001271580	CDM			270	RC		inpatient			160.5	160.5																																																			
HANDLE LIGHT HALOGEN 6V L3 FT RECTUM CORD LATEX FREE DISPOSABLE ANOSCOPE SIGMOIDOSCOPE	SUP-73211	CDM						inpatient			160.46	160.46																																																			
HANDLE LIGHT HALOGEN 6V L3 FT RECTUM CORD LATEX FREE DISPOSABLE ANOSCOPE SIGMOIDOSCOPE	SUP-73211	CDM						outpatient			160.46	16.46	160.46				percent of total billed charges		160.46				other	OPPS APC	160.46				fee schedule		160.46				other	OPPS APC	160.46				other	OPPS APC	160.46				case rate		160.46				case rate		16.46				other	OPPS APC	16.46	160.46	
EPOETIN ALFA PER 1000 UNITS	636000000	CDM	59676-302-00	NDC	J0885	HCPCS		inpatient			160.38	160.38																																																			
EPOETIN ALFA PER 1000 UNITS	636000000	CDM	59676-302-00	NDC	J0885	HCPCS		outpatient			160.38	8.81																																											8.81				other	OPPS APC	8.81	8.81	
HOOD STRYKER PEEL AWAY FACE SHIELD	SUP-97-00603	CDM			272	RC		outpatient			160.38	16.38	43.45				percent of total billed charges		160.38				other	OPPS APC	118.68				percent of total billed charges		160.38				other	OPPS APC	160.38				other	OPPS APC	43.45				percent of total billed charges		44.31				percent of total billed charges		16.38				other	OPPS APC	16.38	160.38	
HOOD STRYKER PEEL AWAY FACE SHIELD	SUP-97-00603	CDM			272	RC		inpatient			160.38	160.38																																																			
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE40M	SUP-97-01932	CDM			278	RC		outpatient			160.2	16.2	160.2				fee schedule		160.2				other	OPPS APC	91.31				percent of total billed charges		160.2				other	OPPS APC	160.2				other	OPPS APC	78.5				percent of total billed charges		81.7				percent of total billed charges		16.2				other	OPPS APC	16.2	160.2	
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE40M	SUP-97-01932	CDM			278	RC		inpatient			160.2	160.2																																																			
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE60M	SUP-97-01958	CDM			278	RC		outpatient			160.2	16.2	160.2				fee schedule		160.2				other	OPPS APC	91.31				percent of total billed charges		160.2				other	OPPS APC	160.2				other	OPPS APC	78.5				percent of total billed charges		81.7				percent of total billed charges		16.2				other	OPPS APC	16.2	160.2	
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE60M	SUP-97-01958	CDM			278	RC		inpatient			160.2	160.2																																																			
Subsequent Hospital Care 99232	PX-988992321	CDM	99232	CPT	988	RC		outpatient			160	16	71.89				fee schedule		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				fee schedule		77.98				fee schedule		81.6				percent of total billed charges		16				fee schedule		16	160	
Subsequent Hospital Care 99232	PX-988992321	CDM	99232	CPT	988	RC		inpatient			160	160																																																			
SYSTEM BONE CEMENT COMPACT VACUUM MIXING STERILE	SUP-00504903501	CDM			270	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
SYSTEM BONE CEMENT COMPACT VACUUM MIXING STERILE	SUP-00504903501	CDM			270	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE HEAVYWEIGHT STRAIGHT 190CM 4.5CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE	SUP-1000462H	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE HEAVYWEIGHT STRAIGHT 190CM 4.5CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE	SUP-1000462H	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE HEAVYWEIGHT J CURVE 190CM 4.5CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1000462HJ	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE HEAVYWEIGHT J CURVE 190CM 4.5CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1000462HJ	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE HEAVYWEIGHT J CURVE 300CM 4.5CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1000463HJ	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE HEAVYWEIGHT J CURVE 300CM 4.5CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1000463HJ	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT 190CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1001780-HC	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT 190CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1001780-HC	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT J CURVE 190CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1001780J-HC	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT J CURVE 190CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1001780J-HC	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT 300CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1001782-HC	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT STRAIGHT 300CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE STERILE LF	SUP-1001782-HC	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT J RIBBON 300CM 3CM .014IN	SUP-1001782J-HC	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT J RIBBON 300CM 3CM .014IN	SUP-1001782J-HC	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II STRAIGHT 190CM 3CM .014IN ELASTINITE HYDROPHILIC	SUP-1009664	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL II STRAIGHT 190CM 3CM .014IN ELASTINITE HYDROPHILIC	SUP-1009664	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE PILOT 50 J CURVE 190CM 3CM .014IN DURASTEEL POLYMER HYDROPHILIC DISPOSABLE STERILE LF CORE	SUP-1010480-HJ	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE PILOT 50 J CURVE 190CM 3CM .014IN DURASTEEL POLYMER HYDROPHILIC DISPOSABLE STERILE LF CORE	SUP-1010480-HJ	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE PILOT 150 J CURVE 190CM 3CM .014IN DURASTEEL POLYMER HYDROPHILIC DISPOSABLE STERILE LF CORE	SUP-1010481-HJ	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE PILOT 150 J CURVE 190CM 3CM .014IN DURASTEEL POLYMER HYDROPHILIC DISPOSABLE STERILE LF CORE	SUP-1010481-HJ	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE PILOT 200 DURASTEEL POLYMER HYDROPHILIC L190 CM OD.014 IN CORONARY J TIP CORE TO TIP RADIOPAQUE	SUP-1010482-HJ	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE PILOT 200 DURASTEEL POLYMER HYDROPHILIC L190 CM OD.014 IN CORONARY J TIP CORE TO TIP RADIOPAQUE	SUP-1010482-HJ	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT ELITE J CURVE 190CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE	SUP-1011880J	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE BALANCE MIDDLEWEIGHT ELITE J CURVE 190CM 3CM .014IN ELASTINITE HYDROPHILIC DISPOSABLE	SUP-1011880J	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE POWERTURN FLEX DURASTEEL HYDROPHILIC STRAIGHT L190 CM L3 CM OD.014 IN	SUP-1044592	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE POWERTURN FLEX DURASTEEL HYDROPHILIC STRAIGHT L190 CM L3 CM OD.014 IN	SUP-1044592	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE POWERTURN DURASTEEL HYDROPHILIC J CURVE L190 CM OD.014 IN	SUP-1044592J	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE POWERTURN DURASTEEL HYDROPHILIC J CURVE L190 CM OD.014 IN	SUP-1044592J	CDM			481	RC		inpatient			160	160																																																			
PROWATER STRAIGHT TIP GUIDEWIRE 180CM	SUP-12776-01	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
PROWATER STRAIGHT TIP GUIDEWIRE 180CM	SUP-12776-01	CDM			481	RC		inpatient			160	160																																																			
PROWATER WIRE 300CM STRAIGHT	SUP-14935-01	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
PROWATER WIRE 300CM STRAIGHT	SUP-14935-01	CDM			481	RC		inpatient			160	160																																																			
GRANDSLAM WIRE 300CM	SUP-14940-01	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GRANDSLAM WIRE 300CM	SUP-14940-01	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE EXTRA SPORT STAINLESS STEEL HYDROPHOBIC STRAIGHT L175 CM L3 CM OD.014	SUP-22225M	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE EXTRA SPORT STAINLESS STEEL HYDROPHOBIC STRAIGHT L175 CM L3 CM OD.014	SUP-22225M	CDM			481	RC		inpatient			160	160																																																			
WIGGLE STRAIGHT TIP GUIDEWIRE 190CM	SUP-22299MW30	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
WIGGLE STRAIGHT TIP GUIDEWIRE 190CM	SUP-22299MW30	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE TRAVERSE STRAIGHT SPRING TAPER 190CM 3CM .014IN MICROGLIDE SS PTFE LF PTCA	SUP-22349M	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE TRAVERSE STRAIGHT SPRING TAPER 190CM 3CM .014IN MICROGLIDE SS PTFE LF PTCA	SUP-22349M	CDM			481	RC		inpatient			160	160																																																			
GUIDEWIRE VASCULAR HI-TORQUE TRAVERSE STRAIGHT SPRING TAPER 300CM 3CM .014IN HYDROCOAT SS PTFE LF PTCA	SUP-22379H	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE VASCULAR HI-TORQUE TRAVERSE STRAIGHT SPRING TAPER 300CM 3CM .014IN HYDROCOAT SS PTFE LF PTCA	SUP-22379H	CDM			481	RC		inpatient			160	160																																																			
CABLE VERIFY TWIST LOCK	SUP-357625	CDM			270	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
CABLE VERIFY TWIST LOCK	SUP-357625	CDM			270	RC		inpatient			160	160																																																			
PROGRAMMER NEUROSTIMULATOR ACTIVA PATIENT ANTENNA EXTERNAL TELEMETRY STERILE DEEP BRAIN STIMULATION SYSTEM	SUP-37092	CDM			270	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
PROGRAMMER NEUROSTIMULATOR ACTIVA PATIENT ANTENNA EXTERNAL TELEMETRY STERILE DEEP BRAIN STIMULATION SYSTEM	SUP-37092	CDM			270	RC		inpatient			160	160																																																			
KIT MICROBIOLOGY TEST PLATELET RICH PLASMA APPLICATOR ACCELERATE	SUP-620-00-02	CDM			270	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
KIT MICROBIOLOGY TEST PLATELET RICH PLASMA APPLICATOR ACCELERATE	SUP-620-00-02	CDM			270	RC		inpatient			160	160																																																			
END CAP SPINAL X-CORE 2 22MM 18MM TITANIUM NS LOCK	SUP-7110003	CDM	270010020	LOCAL	270	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
END CAP SPINAL X-CORE 2 22MM 18MM TITANIUM NS LOCK	SUP-7110003	CDM	270010020	LOCAL	270	RC		inpatient			160	160																																																			
FIBERWIRE 5 AR-7211	SUP-74-00230	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
FIBERWIRE 5 AR-7211	SUP-74-00230	CDM			272	RC		inpatient			160	160																																																			
K-WIRE  DOUBLE ENDED TROCAR TIP  1.40MM	SUP-95-03507	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
K-WIRE  DOUBLE ENDED TROCAR TIP  1.40MM	SUP-95-03507	CDM			272	RC		inpatient			160	160																																																			
K-WIRE  DOUBLE ENDED TROCAR TIP  1.40MM	SUP-95-03509	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
K-WIRE  DOUBLE ENDED TROCAR TIP  1.40MM	SUP-95-03509	CDM			272	RC		inpatient			160	160																																																			
K WIRE  DOUBLE ENDED 1.4X150MM	SUP-95-03717	CDM			278	RC		outpatient			160	16	160				fee schedule		160				other	OPPS APC	91.2				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
K WIRE  DOUBLE ENDED 1.4X150MM	SUP-95-03717	CDM			278	RC		inpatient			160	160																																																			
KNEE KIT TRIMANO	SUP-95-05442	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
KNEE KIT TRIMANO	SUP-95-05442	CDM			272	RC		inpatient			160	160																																																			
WASHER 8.0MM	SUP-97-00084	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
WASHER 8.0MM	SUP-97-00084	CDM			272	RC		inpatient			160	160																																																			
K WIRE 1.4	SUP-97-02940	CDM			278	RC		outpatient			160	16	160				fee schedule		160				other	OPPS APC	91.2				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
K WIRE 1.4	SUP-97-02940	CDM			278	RC		inpatient			160	160																																																			
WIRE LOOP SD NITINOL	SUP-97-03653	CDM			278	RC		outpatient			160	16	160				fee schedule		160				other	OPPS APC	91.2				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
WIRE LOOP SD NITINOL	SUP-97-03653	CDM			278	RC		inpatient			160	160																																																			
K-WIRE 1.6 X 200 MM	SUP-97-04406	CDM			278	RC		outpatient			160	16	160				fee schedule		160				other	OPPS APC	91.2				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
K-WIRE 1.6 X 200 MM	SUP-97-04406	CDM			278	RC		inpatient			160	160																																																			
GUIDE - 8F JR3.5	SUP-99-00827	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDE - 8F JR3.5	SUP-99-00827	CDM			272	RC		inpatient			160	160																																																			
GUIDE - JL4 SH (CORDIS)	SUP-99-00995	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDE - JL4 SH (CORDIS)	SUP-99-00995	CDM			272	RC		inpatient			160	160																																																			
SHEATH - 8F PEEL-AWAY	SUP-99-01726	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
SHEATH - 8F PEEL-AWAY	SUP-99-01726	CDM			272	RC		inpatient			160	160																																																			
GUIDEWIRE - SILVERWAY 1.5J 260CM	SUP-99-04476	CDM			272	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
GUIDEWIRE - SILVERWAY 1.5J 260CM	SUP-99-04476	CDM			272	RC		inpatient			160	160																																																			
DRILL SURGICAL OD2.4 MM STEP 3 MM SUTURETAK	SUP-AR-1250LT	CDM			270	RC		outpatient			160	16	43.34				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	43.34				percent of total billed charges		44.21				percent of total billed charges		16				other	OPPS APC	16	160	
DRILL SURGICAL OD2.4 MM STEP 3 MM SUTURETAK	SUP-AR-1250LT	CDM			270	RC		inpatient			160	160																																																			
IQ MARKER WIRE 185 STRAIGHT	SUP-H74938950012	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
IQ MARKER WIRE 185 STRAIGHT	SUP-H74938950012	CDM			481	RC		inpatient			160	160																																																			
IQ MARKER WIRE 185 J	SUP-H7493895001J2	CDM			481	RC		outpatient			160	16	78.4				percent of total billed charges		160				other	OPPS APC	118.4				percent of total billed charges		160				other	OPPS APC	160				other	OPPS APC	78.4				percent of total billed charges		81.6				percent of total billed charges		16				other	OPPS APC	16	160	
IQ MARKER WIRE 185 J	SUP-H7493895001J2	CDM			481	RC		inpatient			160	160																																																			
ORAL RAE W/TAPERGUARD 7.0	SUP-97-01827	CDM			272	RC		outpatient			159.76	159.76	43.28				percent of total billed charges		159.76				other	OPPS APC	118.22				percent of total billed charges		159.76				other	OPPS APC	159.76				other	OPPS APC	43.28				percent of total billed charges		44.14				percent of total billed charges		159.76				other	OPPS APC	43.28	159.76	
ORAL RAE W/TAPERGUARD 7.0	SUP-97-01827	CDM			272	RC		inpatient			159.76	159.76																																																			
ORAL RAE W/TAPERGUARD 5.5	SUP-97-02388	CDM			272	RC		outpatient			159.76	159.76	43.28				percent of total billed charges		159.76				other	OPPS APC	118.22				percent of total billed charges		159.76				other	OPPS APC	159.76				other	OPPS APC	43.28				percent of total billed charges		44.14				percent of total billed charges		159.76				other	OPPS APC	43.28	159.76	
ORAL RAE W/TAPERGUARD 5.5	SUP-97-02388	CDM			272	RC		inpatient			159.76	159.76																																																			
ORAL RAE W/ TAPERGUARD 6.5	SUP-97-02488	CDM			272	RC		outpatient			159.76	159.76	43.28				percent of total billed charges		159.76				other	OPPS APC	118.22				percent of total billed charges		159.76				other	OPPS APC	159.76				other	OPPS APC	43.28				percent of total billed charges		44.14				percent of total billed charges		159.76				other	OPPS APC	43.28	159.76	
ORAL RAE W/ TAPERGUARD 6.5	SUP-97-02488	CDM			272	RC		inpatient			159.76	159.76																																																			
ORAL RAE W/TAPERGUARD 5.0	SUP-97-02639	CDM			272	RC		outpatient			159.76	159.76	43.28				percent of total billed charges		159.76				other	OPPS APC	118.22				percent of total billed charges		159.76				other	OPPS APC	159.76				other	OPPS APC	43.28				percent of total billed charges		44.14				percent of total billed charges		159.76				other	OPPS APC	43.28	159.76	
ORAL RAE W/TAPERGUARD 5.0	SUP-97-02639	CDM			272	RC		inpatient			159.76	159.76																																																			
BIT DRILL 85MM 1.5MM NS QUICK COUPLING	SUP-310.15	CDM	270010022	LOCAL	270	RC		outpatient			159.5	159.5	43.21				percent of total billed charges		159.5				other	OPPS APC	118.03				percent of total billed charges		159.5				other	OPPS APC	159.5				other	OPPS APC	43.21				percent of total billed charges		44.07				percent of total billed charges		159.5				other	OPPS APC	43.21	159.5	
BIT DRILL 85MM 1.5MM NS QUICK COUPLING	SUP-310.15	CDM	270010022	LOCAL	270	RC		inpatient			159.5	159.5																																																			
BIT DRILL 110MM 1.5MM NS QUICK COUPLING	SUP-310.16	CDM	270010022	LOCAL	270	RC		outpatient			159.5	159.5	43.21				percent of total billed charges		159.5				other	OPPS APC	118.03				percent of total billed charges		159.5				other	OPPS APC	159.5				other	OPPS APC	43.21				percent of total billed charges		44.07				percent of total billed charges		159.5				other	OPPS APC	43.21	159.5	
BIT DRILL 110MM 1.5MM NS QUICK COUPLING	SUP-310.16	CDM	270010022	LOCAL	270	RC		inpatient			159.5	159.5																																																			
BIT DRILL JACOBS CHUCK STAINLESS STEEL STANDARD L85 MM OD2 MM SET BASIC ARTICULATE TENSION DEVICE NONSTERILE	SUP-310.20	CDM	270010022	LOCAL	270	RC		outpatient			159.5	159.5	43.21				percent of total billed charges		159.5				other	OPPS APC	118.03				percent of total billed charges		159.5				other	OPPS APC	159.5				other	OPPS APC	43.21				percent of total billed charges		44.07				percent of total billed charges		159.5				other	OPPS APC	43.21	159.5	
BIT DRILL JACOBS CHUCK STAINLESS STEEL STANDARD L85 MM OD2 MM SET BASIC ARTICULATE TENSION DEVICE NONSTERILE	SUP-310.20	CDM	270010022	LOCAL	270	RC		inpatient			159.5	159.5																																																			
BIT DRILL STAINLESS STEEL L80 MM OD1.8 MM MINI QUICK COUPLING NONSTERILE MODULAR HAND SYSTEM 2.4 MM SCREW	SUP-317.861	CDM	270010022	LOCAL	270	RC		outpatient			159.5	159.5	43.21				percent of total billed charges		159.5				other	OPPS APC	118.03				percent of total billed charges		159.5				other	OPPS APC	159.5				other	OPPS APC	43.21				percent of total billed charges		44.07				percent of total billed charges		159.5				other	OPPS APC	43.21	159.5	
BIT DRILL STAINLESS STEEL L80 MM OD1.8 MM MINI QUICK COUPLING NONSTERILE MODULAR HAND SYSTEM 2.4 MM SCREW	SUP-317.861	CDM	270010022	LOCAL	270	RC		inpatient			159.5	159.5																																																			
BIT DRILL STAINLESS STEEL L80 MM OD2.4 MM MINI QUICK COUPLING NONSTERILE MODULAR HAND SYSTEM 2.4 MM SCREW	SUP-317.871	CDM	270010022	LOCAL	270	RC		outpatient			159.5	159.5	43.21				percent of total billed charges		159.5				other	OPPS APC	118.03				percent of total billed charges		159.5				other	OPPS APC	159.5				other	OPPS APC	43.21				percent of total billed charges		44.07				percent of total billed charges		159.5				other	OPPS APC	43.21	159.5	
BIT DRILL STAINLESS STEEL L80 MM OD2.4 MM MINI QUICK COUPLING NONSTERILE MODULAR HAND SYSTEM 2.4 MM SCREW	SUP-317.871	CDM	270010022	LOCAL	270	RC		inpatient			159.5	159.5																																																			
TUBE LARYNGECTOMY SIZE 8	SUP-01-00079	CDM			272	RC		outpatient			159.49	159.49	43.21				percent of total billed charges		159.49				other	OPPS APC	118.02				percent of total billed charges		159.49				other	OPPS APC	159.49				other	OPPS APC	43.21				percent of total billed charges		44.07				percent of total billed charges		159.49				other	OPPS APC	43.21	159.49	
TUBE LARYNGECTOMY SIZE 8	SUP-01-00079	CDM			272	RC		inpatient			159.49	159.49																																																			
ELECTRODE MONOPOLAR 12 D 30 D OD.8 IN TRANSPARENT STEM CUT DISPOSABLE YELLOW	SUP-46782480	CDM			270	RC		outpatient			159.31	159.31	43.16				percent of total billed charges		159.31				other	OPPS APC	117.89				percent of total billed charges		159.31				other	OPPS APC	159.31				other	OPPS APC	43.16				percent of total billed charges		44.02				percent of total billed charges		159.31				other	OPPS APC	43.16	159.31	
ELECTRODE MONOPOLAR 12 D 30 D OD.8 IN TRANSPARENT STEM CUT DISPOSABLE YELLOW	SUP-46782480	CDM			270	RC		inpatient			159.31	159.31																																																			
MICAFUNGIN 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	71288-029-10	NDC	J2248	HCPCS		inpatient			159.21	159.21																																																			
MICAFUNGIN 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	71288-029-10	NDC	J2248	HCPCS		outpatient			159.21	159.21																																															other	OPPS APC			
7X9 STENT (ERCP)	SUP-95-01011	CDM			278	RC		outpatient			159.2	159.2	159.2				fee schedule		159.2				other	OPPS APC	90.74				percent of total billed charges		159.2				other	OPPS APC	159.2				other	OPPS APC	78.01				percent of total billed charges		81.19				percent of total billed charges		159.2				other	OPPS APC	78.01	159.2	
7X9 STENT (ERCP)	SUP-95-01011	CDM			278	RC		inpatient			159.2	159.2																																																			
7X7 STENT (ERCP)	SUP-95-01012	CDM			278	RC		outpatient			159.2	159.2	159.2				fee schedule		159.2				other	OPPS APC	90.74				percent of total billed charges		159.2				other	OPPS APC	159.2				other	OPPS APC	78.01				percent of total billed charges		81.19				percent of total billed charges		159.2				other	OPPS APC	78.01	159.2	
7X7 STENT (ERCP)	SUP-95-01012	CDM			278	RC		inpatient			159.2	159.2																																																			
GUIDEWIRE - GLIDEWIRE 180CM BABY-J 1.5MMJ	SUP-99-04893	CDM			272	RC		outpatient			158.8	158.81	43.02				percent of total billed charges		158.8				other	OPPS APC	117.51				percent of total billed charges		158.8				other	OPPS APC	158.8				other	OPPS APC	43.02				percent of total billed charges		43.88				percent of total billed charges		158.81				other	OPPS APC	43.02	158.81	
GUIDEWIRE - GLIDEWIRE 180CM BABY-J 1.5MMJ	SUP-99-04893	CDM			272	RC		inpatient			158.8	158.8																																																			
OSC BLADE 19.5 X 90X 1.27MM	SUP-78-00337	CDM			272	RC		outpatient			158.68	158.68	42.99				percent of total billed charges		158.68				other	OPPS APC	117.42				percent of total billed charges		158.68				other	OPPS APC	158.68				other	OPPS APC	42.99				percent of total billed charges		43.84				percent of total billed charges		158.68				other	OPPS APC	42.99	158.68	
OSC BLADE 19.5 X 90X 1.27MM	SUP-78-00337	CDM			272	RC		inpatient			158.68	158.68																																																			
APDYNE PHENOL APPLICATOR KIT MULTIPLE DOSE	SUP-95-05600	CDM			272	RC		outpatient			158.61	158.61	42.97				percent of total billed charges		158.61				other	OPPS APC	117.37				percent of total billed charges		158.61				other	OPPS APC	158.61				other	OPPS APC	42.97				percent of total billed charges		43.82				percent of total billed charges		158.61				other	OPPS APC	42.97	158.61	
APDYNE PHENOL APPLICATOR KIT MULTIPLE DOSE	SUP-95-05600	CDM			272	RC		inpatient			158.61	158.61																																																			
MANIPULATOR ENDOSCOPIC VCARE SM 32MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP LOCK SCREW HOLE INFLATE BALLOON	SUP-60-6085-200A	CDM			270	RC		outpatient			158.28	158.28	42.88				percent of total billed charges		158.28				other	OPPS APC	117.13				percent of total billed charges		158.28				other	OPPS APC	158.28				other	OPPS APC	42.88				percent of total billed charges		43.73				percent of total billed charges		158.28				other	OPPS APC	42.88	158.28	
MANIPULATOR ENDOSCOPIC VCARE SM 32MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP LOCK SCREW HOLE INFLATE BALLOON	SUP-60-6085-200A	CDM			270	RC		inpatient			158.28	158.28																																																			
RETRACTOR/ELEVATOR LAPAROSCOPIC VCARE MED 34MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP LOCK SCREW HYSTERECTOMY	SUP-60-6085-201A	CDM			270	RC		outpatient			158.28	158.28	42.88				percent of total billed charges		158.28				other	OPPS APC	117.13				percent of total billed charges		158.28				other	OPPS APC	158.28				other	OPPS APC	42.88				percent of total billed charges		43.73				percent of total billed charges		158.28				other	OPPS APC	42.88	158.28	
RETRACTOR/ELEVATOR LAPAROSCOPIC VCARE MED 34MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP LOCK SCREW HYSTERECTOMY	SUP-60-6085-201A	CDM			270	RC		inpatient			158.28	158.28																																																			
RETRACTOR/ELEVATOR LAPAROSCOPIC VCARE LG 37MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP HOLE MANIPULATOR INFLATABLE	SUP-60-6085-202A	CDM			270	RC		outpatient			158.28	158.28	42.88				percent of total billed charges		158.28				other	OPPS APC	117.13				percent of total billed charges		158.28				other	OPPS APC	158.28				other	OPPS APC	42.88				percent of total billed charges		43.73				percent of total billed charges		158.28				other	OPPS APC	42.88	158.28	
RETRACTOR/ELEVATOR LAPAROSCOPIC VCARE LG 37MM DISPOSABLE STERILE LF CERVIX UTERUS 2 CUP HOLE MANIPULATOR INFLATABLE	SUP-60-6085-202A	CDM			270	RC		inpatient			158.28	158.28																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON STRAIGHT CURVE L90 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67028090	CDM			481	RC		outpatient			158.2	158.2	77.52				percent of total billed charges		158.2				other	OPPS APC	117.07				percent of total billed charges		158.2				other	OPPS APC	158.2				other	OPPS APC	77.52				percent of total billed charges		80.68				percent of total billed charges		158.2				other	OPPS APC	77.52	158.2	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON STRAIGHT CURVE L90 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67028090	CDM			481	RC		inpatient			158.2	158.2																																																			
CATHETER - AR 3 6F	SUP-99-03377	CDM			272	RC		outpatient			158.2	158.2	42.86				percent of total billed charges		158.2				other	OPPS APC	117.07				percent of total billed charges		158.2				other	OPPS APC	158.2				other	OPPS APC	42.86				percent of total billed charges		43.71				percent of total billed charges		158.2				other	OPPS APC	42.86	158.2	
CATHETER - AR 3 6F	SUP-99-03377	CDM			272	RC		inpatient			158.2	158.2																																																			
CATHETER - AR 3 5F	SUP-99-03378	CDM			272	RC		outpatient			158.2	158.2	42.86				percent of total billed charges		158.2				other	OPPS APC	117.07				percent of total billed charges		158.2				other	OPPS APC	158.2				other	OPPS APC	42.86				percent of total billed charges		43.71				percent of total billed charges		158.2				other	OPPS APC	42.86	158.2	
CATHETER - AR 3 5F	SUP-99-03378	CDM			272	RC		inpatient			158.2	158.2																																																			
MESH SURGICAL PROLITE POLYPROPYLENE RECTANGLE OVAL FLAT L14 IN X W10 IN STRONG KNIT SEE THRU CLARITY TRIMMABLE HERNIA	SUP-1001014-00	CDM			270	RC		outpatient			158.09	158.9	42.83				percent of total billed charges		158.09				other	OPPS APC	116.99				percent of total billed charges		158.09				other	OPPS APC	158.09				other	OPPS APC	42.83				percent of total billed charges		43.68				percent of total billed charges		158.9				other	OPPS APC	42.83	158.9	
MESH SURGICAL PROLITE POLYPROPYLENE RECTANGLE OVAL FLAT L14 IN X W10 IN STRONG KNIT SEE THRU CLARITY TRIMMABLE HERNIA	SUP-1001014-00	CDM			270	RC		inpatient			158.09	158.09																																																			
AWL TAPERED 3 .8MM DISPOSABLE	SUP-97-02288	CDM						inpatient			158.08	158.08																																																			
AWL TAPERED 3 .8MM DISPOSABLE	SUP-97-02288	CDM						outpatient			158.08	158.81	158.08				percent of total billed charges		158.08				other	OPPS APC	158.08				fee schedule		158.08				other	OPPS APC	158.08				other	OPPS APC	158.08				case rate		158.08				case rate		158.81				other	OPPS APC	158.08	158.81	
HC Drug Screen  Abbrev. (Adrug)	PX-300803011	CDM	80307	CPT	301	RC		outpatient			158	62.14	15.41				fee schedule		62.14				fee schedule		47.35				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		15.41	62.14	
HC Drug Screen  Abbrev. (Adrug)	PX-300803011	CDM	80307	CPT	301	RC		inpatient			158	158																																																			
HC Drug Screen Meconium	PX-300803012	CDM	80307	CPT	300	RC		outpatient			158	62.14	15.41				fee schedule		62.14				fee schedule		47.35				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		15.41	62.14	
HC Drug Screen Meconium	PX-300803012	CDM	80307	CPT	300	RC		inpatient			158	158																																																			
HC Prenatal Drug Scrn. (Pnds)	PX-300803015	CDM	80307	CPT	301	RC		outpatient			158	62.14	15.41				fee schedule		62.14				fee schedule		47.35				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		62.14				fee schedule		15.41	62.14	
HC Prenatal Drug Scrn. (Pnds)	PX-300803015	CDM	80307	CPT	301	RC		inpatient			158	158																																																			
HC Beta 2 Microglobulin (B2m)	PX-300822320	CDM	82232	CPT	300	RC		outpatient			158	16.18	21.63				fee schedule		16.18				fee schedule		42.96				fee schedule		16.18				fee schedule		16.18				fee schedule		16.18				fee schedule		16.18				fee schedule		16.18				fee schedule		16.18	42.96	
HC Beta 2 Microglobulin (B2m)	PX-300822320	CDM	82232	CPT	300	RC		inpatient			158	158																																																			
HC Stone Analysis (Stone)	PX-300823650	CDM	82365	CPT	301	RC		outpatient			158	12.9	17.24				fee schedule		12.9				fee schedule		34.22				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9				fee schedule		12.9	34.22	
HC Stone Analysis (Stone)	PX-300823650	CDM	82365	CPT	301	RC		inpatient			158	158																																																			
HC Haptoglobin  Bld. (Hap)	PX-300830100	CDM	83010	CPT	301	RC		outpatient			158	12.58	16.82				fee schedule		12.58				fee schedule		33.4				fee schedule		12.58				fee schedule		12.58				fee schedule		12.58				fee schedule		12.58				fee schedule		12.58				fee schedule		12.58	33.4	
HC Haptoglobin  Bld. (Hap)	PX-300830100	CDM	83010	CPT	301	RC		inpatient			158	158																																																			
HC Complement;Antigen Each Component	PX-300861600	CDM	86160	CPT	302	RC		outpatient			158	12	16.05				fee schedule		12				fee schedule		31.88				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12	31.88	
HC Complement;Antigen Each Component	PX-300861600	CDM	86160	CPT	302	RC		inpatient			158	158																																																			
HC Complement C4 (C4)	PX-300861601	CDM	86160	CPT	300	RC		outpatient			158	12	16.05				fee schedule		12				fee schedule		31.88				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12	31.88	
HC Complement C4 (C4)	PX-300861601	CDM	86160	CPT	300	RC		inpatient			158	158																																																			
HC Complement C3 (C3)	PX-300861602	CDM	86160	CPT	300	RC		outpatient			158	12	16.05				fee schedule		12				fee schedule		31.88				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12				fee schedule		12	31.88	
HC Complement C3 (C3)	PX-300861602	CDM	86160	CPT	300	RC		inpatient			158	158																																																			
HC Anti-HB Core (Core)	PX-300867040	CDM	86704	CPT	302	RC		outpatient			158	12.51	16.11				fee schedule		12.05				fee schedule		32				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		12.05	32	
HC Anti-HB Core (Core)	PX-300867040	CDM	86704	CPT	302	RC		inpatient			158	158																																																			
HC Anti-Core Igm (Corem)	PX-300867050	CDM	86705	CPT	302	RC		outpatient			158	11.77	15.75				fee schedule		11.77				fee schedule		31.24				fee schedule		11.77				fee schedule		11.77				fee schedule		11.77				fee schedule		11.77				fee schedule		11.77				fee schedule		11.77	31.24	
HC Anti-Core Igm (Corem)	PX-300867050	CDM	86705	CPT	302	RC		inpatient			158	158																																																			
HC Wrist	PX-320731000	CDM	73100	CPT	320	RC		outpatient			158	91.5	32.43				fee schedule		91.5				other	OPPS APC	66.51				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	34.06				fee schedule		25.95				fee schedule		91.5				other	OPPS APC	25.95	91.5	
HC Wrist	PX-320731000	CDM	73100	CPT	320	RC		inpatient			158	158																																																			
HC Wrist 2 Views	PX-320731002	CDM	73100	CPT	320	RC		outpatient			158	91.5	32.43				fee schedule		91.5				other	OPPS APC	66.51				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	34.06				fee schedule		25.95				fee schedule		91.5				other	OPPS APC	25.95	91.5	
HC Wrist 2 Views	PX-320731002	CDM	73100	CPT	320	RC		inpatient			158	158																																																			
STAPLE BONE 20X6MM COCR STERILE ACL PCL LOW PROFILE SPIKE LIGAMENT	SUP-AR-1006	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
STAPLE BONE 20X6MM COCR STERILE ACL PCL LOW PROFILE SPIKE LIGAMENT	SUP-AR-1006	CDM			270	RC		inpatient			158	158																																																			
STAPLE BONE COCR SPIKE L20 MM X W8 MM ACL PCL LOW PROFILE LIGAMENT STERILE	SUP-AR-1008	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
STAPLE BONE COCR SPIKE L20 MM X W8 MM ACL PCL LOW PROFILE LIGAMENT STERILE	SUP-AR-1008	CDM			270	RC		inpatient			158	158																																																			
STAPLE BONE 20X11MM COCR STERILE ACL PCL LOW PROFILE SPIKE LIGAMENT	SUP-AR-1011	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
STAPLE BONE 20X11MM COCR STERILE ACL PCL LOW PROFILE SPIKE LIGAMENT	SUP-AR-1011	CDM			270	RC		inpatient			158	158																																																			
STAPLE BONE COCR SPIKE L20 MM X W16 MM ACL PCL STERILE	SUP-AR-1016	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
STAPLE BONE COCR SPIKE L20 MM X W16 MM ACL PCL STERILE	SUP-AR-1016	CDM			270	RC		inpatient			158	158																																																			
BIT DRILL TRIM-IT OD3.5 MM	SUP-AR-4160-35	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
BIT DRILL TRIM-IT OD3.5 MM	SUP-AR-4160-35	CDM			270	RC		inpatient			158	158																																																			
BIT DRILL 1.7MM	SUP-AR-8916-14	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
BIT DRILL 1.7MM	SUP-AR-8916-14	CDM			270	RC		inpatient			158	158																																																			
TIP ASPIRATION SONASTAR MONOPOLAR RF CABLE HANDPIECE	SUP-CFSM6-D050	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
TIP ASPIRATION SONASTAR MONOPOLAR RF CABLE HANDPIECE	SUP-CFSM6-D050	CDM			270	RC		inpatient			158	158																																																			
SCREW TORNIER 4.0MM LOCKING 24MM	SUP-WPTLS24	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
SCREW TORNIER 4.0MM LOCKING 24MM	SUP-WPTLS24	CDM			270	RC		inpatient			158	158																																																			
SCREW TORNIER 4.0MM LOCKING 42MM	SUP-WTPLS42	CDM			270	RC		outpatient			158	158	42.8				percent of total billed charges		158				other	OPPS APC	116.92				percent of total billed charges		158				other	OPPS APC	158				other	OPPS APC	42.8				percent of total billed charges		43.66				percent of total billed charges		158				other	OPPS APC	42.8	158	
SCREW TORNIER 4.0MM LOCKING 42MM	SUP-WTPLS42	CDM			270	RC		inpatient			158	158																																																			
SUTURE STRATAFIX CT-1 60CM	SUP-95-04953	CDM			272	RC		outpatient			157.91	157.91	42.78				percent of total billed charges		157.91				other	OPPS APC	116.85				percent of total billed charges		157.91				other	OPPS APC	157.91				other	OPPS APC	42.78				percent of total billed charges		43.63				percent of total billed charges		157.91				other	OPPS APC	42.78	157.91	
SUTURE STRATAFIX CT-1 60CM	SUP-95-04953	CDM			272	RC		inpatient			157.91	157.91																																																			
GLOVES- BIOGEL 7 1/2 LATEX UNDERGLOVE	SUP-99-04491	CDM						inpatient			157.84	157.84																																																			
GLOVES- BIOGEL 7 1/2 LATEX UNDERGLOVE	SUP-99-04491	CDM						outpatient			157.84	157.84	157.84				percent of total billed charges		157.84				other	OPPS APC	157.84				fee schedule		157.84				other	OPPS APC	157.84				other	OPPS APC	157.84				case rate		157.84				case rate		157.84				other	OPPS APC	157.84	157.84	
TUBE LARYNGECTOMY SIZE 6	SUP-01-00078	CDM			272	RC		outpatient			157.76	157.76	42.74				percent of total billed charges		157.76				other	OPPS APC	116.74				percent of total billed charges		157.76				other	OPPS APC	157.76				other	OPPS APC	42.74				percent of total billed charges		43.59				percent of total billed charges		157.76				other	OPPS APC	42.74	157.76	
TUBE LARYNGECTOMY SIZE 6	SUP-01-00078	CDM			272	RC		inpatient			157.76	157.76																																																			
TUBE ENDO TRACH 6.5  NASAL CUFF	SUP-97-00688	CDM			272	RC		outpatient			157.64	157.64	42.7				percent of total billed charges		157.64				other	OPPS APC	116.65				percent of total billed charges		157.64				other	OPPS APC	157.64				other	OPPS APC	42.7				percent of total billed charges		43.56				percent of total billed charges		157.64				other	OPPS APC	42.7	157.64	
TUBE ENDO TRACH 6.5  NASAL CUFF	SUP-97-00688	CDM			272	RC		inpatient			157.64	157.64																																																			
ELECTRODE CUTTING 26FR	SUP-46762635	CDM			270	RC		outpatient			157.54	157.54	42.68				percent of total billed charges		157.54				other	OPPS APC	116.58				percent of total billed charges		157.54				other	OPPS APC	157.54				other	OPPS APC	42.68				percent of total billed charges		43.53				percent of total billed charges		157.54				other	OPPS APC	42.68	157.54	
ELECTRODE CUTTING 26FR	SUP-46762635	CDM			270	RC		inpatient			157.54	157.54																																																			
PROBE BALLOON DILATATION FOGARTY L23 CM OD6 FR 1.25 ML BILIARY LIQUID	SUP-410236F	CDM			270	RC		outpatient			157.5	157.5	42.67				percent of total billed charges		157.5				other	OPPS APC	116.55				percent of total billed charges		157.5				other	OPPS APC	157.5				other	OPPS APC	42.67				percent of total billed charges		43.52				percent of total billed charges		157.5				other	OPPS APC	42.67	157.5	
PROBE BALLOON DILATATION FOGARTY L23 CM OD6 FR 1.25 ML BILIARY LIQUID	SUP-410236F	CDM			270	RC		inpatient			157.5	157.5																																																			
GUIDEWIRE VASCULAR SAMURAI SENTAI STRAIGHT L190 CM WORKHORS	SUP-H749393021902	CDM			481	RC		outpatient			157.44	157.44	77.15				percent of total billed charges		157.44				other	OPPS APC	116.51				percent of total billed charges		157.44				other	OPPS APC	157.44				other	OPPS APC	77.15				percent of total billed charges		80.29				percent of total billed charges		157.44				other	OPPS APC	77.15	157.44	
GUIDEWIRE VASCULAR SAMURAI SENTAI STRAIGHT L190 CM WORKHORS	SUP-H749393021902	CDM			481	RC		inpatient			157.44	157.44																																																			
GUIDEWIRE VASCULAR SAMURAI SENTAI J CURVE L190 CM WORKHORSE	SUP-H74939302190J2	CDM			481	RC		outpatient			157.44	157.44	77.15				percent of total billed charges		157.44				other	OPPS APC	116.51				percent of total billed charges		157.44				other	OPPS APC	157.44				other	OPPS APC	77.15				percent of total billed charges		80.29				percent of total billed charges		157.44				other	OPPS APC	77.15	157.44	
GUIDEWIRE VASCULAR SAMURAI SENTAI J CURVE L190 CM WORKHORSE	SUP-H74939302190J2	CDM			481	RC		inpatient			157.44	157.44																																																			
TRAC MED. DRESSING KIT	SUP-15-00007	CDM			272	RC		outpatient			157.17	157.17	42.58				percent of total billed charges		157.17				other	OPPS APC	116.31				percent of total billed charges		157.17				other	OPPS APC	157.17				other	OPPS APC	42.58				percent of total billed charges		43.43				percent of total billed charges		157.17				other	OPPS APC	42.58	157.17	
TRAC MED. DRESSING KIT	SUP-15-00007	CDM			272	RC		inpatient			157.17	157.17																																																			
GUIDEWIRE VASCULAR V-18 CONTROLWIRE SCITANIUM ICE TAPER L300 CM L8 CM OD.018 IN PERIPHERAL RADIOPAQUE STRAIGHT TIP	SUP-M001468540	CDM			270	RC		outpatient			157.14	157.14	42.57				percent of total billed charges		157.14				other	OPPS APC	116.28				percent of total billed charges		157.14				other	OPPS APC	157.14				other	OPPS APC	42.57				percent of total billed charges		43.42				percent of total billed charges		157.14				other	OPPS APC	42.57	157.14	
GUIDEWIRE VASCULAR V-18 CONTROLWIRE SCITANIUM ICE TAPER L300 CM L8 CM OD.018 IN PERIPHERAL RADIOPAQUE STRAIGHT TIP	SUP-M001468540	CDM			270	RC		inpatient			157.14	157.14																																																			
COOK 5F PIGTAIL SIZING CATHETER	SUP-G11916	CDM			270	RC		outpatient			157.09	157.9	42.56				percent of total billed charges		157.09				other	OPPS APC	116.25				percent of total billed charges		157.09				other	OPPS APC	157.09				other	OPPS APC	42.56				percent of total billed charges		43.4				percent of total billed charges		157.9				other	OPPS APC	42.56	157.9	
COOK 5F PIGTAIL SIZING CATHETER	SUP-G11916	CDM			270	RC		inpatient			157.09	157.09																																																			
GUIDEWIRE ORTHOPEDIC L220 MM OD1.6 MM	SUP-03.333.003	CDM	270010022	LOCAL	270	RC		outpatient			157.04	157.4	42.54				percent of total billed charges		157.04				other	OPPS APC	116.21				percent of total billed charges		157.04				other	OPPS APC	157.04				other	OPPS APC	42.54				percent of total billed charges		43.39				percent of total billed charges		157.4				other	OPPS APC	42.54	157.4	
GUIDEWIRE ORTHOPEDIC L220 MM OD1.6 MM	SUP-03.333.003	CDM	270010022	LOCAL	270	RC		inpatient			157.04	157.04																																																			
XR60 RELOAD	SUP-74-00071	CDM			272	RC		outpatient			157.04	157.4	42.54				percent of total billed charges		157.04				other	OPPS APC	116.21				percent of total billed charges		157.04				other	OPPS APC	157.04				other	OPPS APC	42.54				percent of total billed charges		43.39				percent of total billed charges		157.4				other	OPPS APC	42.54	157.4	
XR60 RELOAD	SUP-74-00071	CDM			272	RC		inpatient			157.04	157.04																																																			
HC Borrelia Burgdorferi  Amplified Probe Technique	PX-300874760	CDM	87476	CPT	300	RC		outpatient			157.03	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Borrelia Burgdorferi  Amplified Probe Technique	PX-300874760	CDM	87476	CPT	300	RC		inpatient			157.03	157.03																																																			
HC Epstein Barr Nuclear Antigen	PX-302866641	CDM	86664	CPT	302	RC		outpatient			157	15.29	20.45				fee schedule		15.29				fee schedule		40.62				fee schedule		15.29				fee schedule		15.29				fee schedule		15.29				fee schedule		15.29				fee schedule		15.29				fee schedule		15.29	40.62	
HC Epstein Barr Nuclear Antigen	PX-302866641	CDM	86664	CPT	302	RC		inpatient			157	157																																																			
HC Sterno-Clavicular Jt	PX-320711300	CDM	71130	CPT	320	RC		outpatient			157	91.5	38.68				fee schedule		91.5				other	OPPS APC	95.65				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	41.42				fee schedule		30.94				fee schedule		91.5				other	OPPS APC	30.94	95.65	
HC Sterno-Clavicular Jt	PX-320711300	CDM	71130	CPT	320	RC		inpatient			157	157																																																			
HC Drain Blood From Under Nail	PX-450117401	CDM	11740	CPT	450	RC		outpatient			157	157	195.77				case rate		157				other	OPPS APC	116.18				percent of total billed charges		157				other	OPPS APC	157				other	OPPS APC	195.77				case rate		199.69				case rate		157				other	OPPS APC	116.18	199.69	
HC Drain Blood From Under Nail	PX-450117401	CDM	11740	CPT	450	RC		inpatient			157	157																																																			
1.3MM TI CORTEX SCREW SLF DRLG WITH STARDRIVE TM RECESS 4MM	SUP-400.124E	CDM	270010022	LOCAL	270	RC		outpatient			156.98	156.98	42.53				percent of total billed charges		156.98				other	OPPS APC	116.17				percent of total billed charges		156.98				other	OPPS APC	156.98				other	OPPS APC	42.53				percent of total billed charges		43.37				percent of total billed charges		156.98				other	OPPS APC	42.53	156.98	
1.3MM TI CORTEX SCREW SLF DRLG WITH STARDRIVE TM RECESS 4MM	SUP-400.124E	CDM	270010022	LOCAL	270	RC		inpatient			156.98	156.98																																																			
TCR10 RELOAD	SUP-74-00073	CDM			272	RC		outpatient			156.86	156.86	42.49				percent of total billed charges		156.86				other	OPPS APC	116.08				percent of total billed charges		156.86				other	OPPS APC	156.86				other	OPPS APC	42.49				percent of total billed charges		43.34				percent of total billed charges		156.86				other	OPPS APC	42.49	156.86	
TCR10 RELOAD	SUP-74-00073	CDM			272	RC		inpatient			156.86	156.86																																																			
SHEATH - 5F HYDROPHYPHILIC	SUP-99-02185	CDM			272	RC		outpatient			156.56	156.56	42.41				percent of total billed charges		156.56				other	OPPS APC	115.85				percent of total billed charges		156.56				other	OPPS APC	156.56				other	OPPS APC	42.41				percent of total billed charges		43.26				percent of total billed charges		156.56				other	OPPS APC	42.41	156.56	
SHEATH - 5F HYDROPHYPHILIC	SUP-99-02185	CDM			272	RC		inpatient			156.56	156.56																																																			
SUTURE STRATAFIX PDS CT-1 30CM	SUP-97-05352	CDM			272	RC		outpatient			156.51	156.6	42.4				percent of total billed charges		156.51				other	OPPS APC	115.82				percent of total billed charges		156.51				other	OPPS APC	156.51				other	OPPS APC	42.4				percent of total billed charges		43.24				percent of total billed charges		156.6				other	OPPS APC	42.4	156.6	
SUTURE STRATAFIX PDS CT-1 30CM	SUP-97-05352	CDM			272	RC		inpatient			156.51	156.51																																																			
NEEDLE ACHIEVE BIOPSY 16G X 20	SUP-74-00214	CDM			272	RC		outpatient			156.31	156.31	42.34				percent of total billed charges		156.31				other	OPPS APC	115.67				percent of total billed charges		156.31				other	OPPS APC	156.31				other	OPPS APC	42.34				percent of total billed charges		43.19				percent of total billed charges		156.31				other	OPPS APC	42.34	156.31	
NEEDLE ACHIEVE BIOPSY 16G X 20	SUP-74-00214	CDM			272	RC		inpatient			156.31	156.31																																																			
HC Interphases  25-99 (Bill Only)	PX-300882740	CDM	88274	CPT	300	RC		outpatient			156.25	42.38	46.54				fee schedule		42.38				fee schedule		92.4				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38	92.4	
HC Interphases  25-99 (Bill Only)	PX-300882740	CDM	88274	CPT	300	RC		inpatient			156.25	156.25																																																			
HC Interphases  <25 (Bill Only)	PX-300882741	CDM	88274	CPT	300	RC		outpatient			156.25	42.38	46.54				fee schedule		42.38				fee schedule		92.4				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38				fee schedule		42.38	92.4	
HC Interphases  <25 (Bill Only)	PX-300882741	CDM	88274	CPT	300	RC		inpatient			156.25	156.25																																																			
TUBE ORTHOPEDIC MEDULLARY NONSTERILE	SUP-355.006	CDM	270010022	LOCAL	270	RC		outpatient			156.2	156.2	42.31				percent of total billed charges		156.2				other	OPPS APC	115.59				percent of total billed charges		156.2				other	OPPS APC	156.2				other	OPPS APC	42.31				percent of total billed charges		43.16				percent of total billed charges		156.2				other	OPPS APC	42.31	156.2	
TUBE ORTHOPEDIC MEDULLARY NONSTERILE	SUP-355.006	CDM	270010022	LOCAL	270	RC		inpatient			156.2	156.2																																																			
CORTEX SCREW 4.5 32MM	SUP-97-03012	CDM			278	RC		outpatient			156.08	156.81	156.08				fee schedule		156.08				other	OPPS APC	88.97				percent of total billed charges		156.08				other	OPPS APC	156.08				other	OPPS APC	76.48				percent of total billed charges		79.6				percent of total billed charges		156.81				other	OPPS APC	76.48	156.81	
CORTEX SCREW 4.5 32MM	SUP-97-03012	CDM			278	RC		inpatient			156.08	156.08																																																			
5.0MM COMPRESSION BOARD 245MM	SUP-97-03013	CDM			278	RC		outpatient			156.08	156.81	156.08				fee schedule		156.08				other	OPPS APC	88.97				percent of total billed charges		156.08				other	OPPS APC	156.08				other	OPPS APC	76.48				percent of total billed charges		79.6				percent of total billed charges		156.81				other	OPPS APC	76.48	156.81	
5.0MM COMPRESSION BOARD 245MM	SUP-97-03013	CDM			278	RC		inpatient			156.08	156.08																																																			
SCREW BONE UNIVERS REVERS L44 MM OD5.5 MM GLENOID PERIPHERAL LOCK MODULAR	SUP-AR-9563-44	CDM	270010030	LOCAL	270	RC		outpatient			156.02	156.21	42.27				percent of total billed charges		156.02				other	OPPS APC	115.45				percent of total billed charges		156.02				other	OPPS APC	156.02				other	OPPS APC	42.27				percent of total billed charges		43.11				percent of total billed charges		156.21				other	OPPS APC	42.27	156.21	
SCREW BONE UNIVERS REVERS L44 MM OD5.5 MM GLENOID PERIPHERAL LOCK MODULAR	SUP-AR-9563-44	CDM	270010030	LOCAL	270	RC		inpatient			156.02	156.02																																																			
GW VSI TRU-TORQUE WIRE 260CM	SUP-7474	CDM			481	RC		outpatient			156	156	76.44				percent of total billed charges		156				other	OPPS APC	115.44				percent of total billed charges		156				other	OPPS APC	156				other	OPPS APC	76.44				percent of total billed charges		79.56				percent of total billed charges		156				other	OPPS APC	76.44	156	
GW VSI TRU-TORQUE WIRE 260CM	SUP-7474	CDM			481	RC		inpatient			156	156																																																			
MAKO RIO-« DRAPE KIT-ONE PIECE W/POCKETS	SUP-78-00410	CDM			272	RC		outpatient			156	156	42.26				percent of total billed charges		156				other	OPPS APC	115.44				percent of total billed charges		156				other	OPPS APC	156				other	OPPS APC	42.26				percent of total billed charges		43.1				percent of total billed charges		156				other	OPPS APC	42.26	156	
MAKO RIO-« DRAPE KIT-ONE PIECE W/POCKETS	SUP-78-00410	CDM			272	RC		inpatient			156	156																																																			
MAKO RIO? DRAPE KIT-ONE PIECE W/POCKETS	SUP-95-03477	CDM			272	RC		outpatient			156	156	42.26				percent of total billed charges		156				other	OPPS APC	115.44				percent of total billed charges		156				other	OPPS APC	156				other	OPPS APC	42.26				percent of total billed charges		43.1				percent of total billed charges		156				other	OPPS APC	42.26	156	
MAKO RIO? DRAPE KIT-ONE PIECE W/POCKETS	SUP-95-03477	CDM			272	RC		inpatient			156	156																																																			
CATHETER-JACKY 5F	SUP-99-03205	CDM			272	RC		outpatient			156	156	42.26				percent of total billed charges		156				other	OPPS APC	115.44				percent of total billed charges		156				other	OPPS APC	156				other	OPPS APC	42.26				percent of total billed charges		43.1				percent of total billed charges		156				other	OPPS APC	42.26	156	
CATHETER-JACKY 5F	SUP-99-03205	CDM			272	RC		inpatient			156	156																																																			
PACK LAPAROSCOPIC	SUP-DYNJ59282	CDM			270	RC		outpatient			155.86	155.86	42.22				percent of total billed charges		155.86				other	OPPS APC	115.34				percent of total billed charges		155.86				other	OPPS APC	155.86				other	OPPS APC	42.22				percent of total billed charges		43.06				percent of total billed charges		155.86				other	OPPS APC	42.22	155.86	
PACK LAPAROSCOPIC	SUP-DYNJ59282	CDM			270	RC		inpatient			155.86	155.86																																																			
SHEATH - 5F	SUP-99-00223	CDM			272	RC		outpatient			155.8	155.81	42.21				percent of total billed charges		155.8				other	OPPS APC	115.29				percent of total billed charges		155.8				other	OPPS APC	155.8				other	OPPS APC	42.21				percent of total billed charges		43.05				percent of total billed charges		155.81				other	OPPS APC	42.21	155.81	
SHEATH - 5F	SUP-99-00223	CDM			272	RC		inpatient			155.8	155.8																																																			
COVER POSITIONING BOW FRAME SKIN CARE STANDARD	SUP-A-70810	CDM			270	RC		outpatient			155.8	155.81	42.21				percent of total billed charges		155.8				other	OPPS APC	115.29				percent of total billed charges		155.8				other	OPPS APC	155.8				other	OPPS APC	42.21				percent of total billed charges		43.05				percent of total billed charges		155.81				other	OPPS APC	42.21	155.81	
COVER POSITIONING BOW FRAME SKIN CARE STANDARD	SUP-A-70810	CDM			270	RC		inpatient			155.8	155.8																																																			
BIT DRILL STAINLESS STEEL L110 MM OD2.5 MM QUICK CONNECT NONSTERILE	SUP-00-4806-110-25	CDM			270	RC		outpatient			155.74	155.74	42.19				percent of total billed charges		155.74				other	OPPS APC	115.25				percent of total billed charges		155.74				other	OPPS APC	155.74				other	OPPS APC	42.19				percent of total billed charges		43.03				percent of total billed charges		155.74				other	OPPS APC	42.19	155.74	
BIT DRILL STAINLESS STEEL L110 MM OD2.5 MM QUICK CONNECT NONSTERILE	SUP-00-4806-110-25	CDM			270	RC		inpatient			155.74	155.74																																																			
GUIDEWIRE - GLIDEWIRE .035X180 1.5MM J	SUP-99-03168	CDM			272	RC		outpatient			155.4	155.41	42.1				percent of total billed charges		155.4				other	OPPS APC	115				percent of total billed charges		155.4				other	OPPS APC	155.4				other	OPPS APC	42.1				percent of total billed charges		42.94				percent of total billed charges		155.41				other	OPPS APC	42.1	155.41	
GUIDEWIRE - GLIDEWIRE .035X180 1.5MM J	SUP-99-03168	CDM			272	RC		inpatient			155.4	155.4																																																			
PEG DRIVER FAST 2.0MM	SUP-97-01153	CDM			272	RC		outpatient			155.24	155.24	42.05				percent of total billed charges		155.24				other	OPPS APC	114.88				percent of total billed charges		155.24				other	OPPS APC	155.24				other	OPPS APC	42.05				percent of total billed charges		42.89				percent of total billed charges		155.24				other	OPPS APC	42.05	155.24	
PEG DRIVER FAST 2.0MM	SUP-97-01153	CDM			272	RC		inpatient			155.24	155.24																																																			
RANGER IRRIGATION FLUID WARMING SET	SUP-70-00215	CDM			272	RC		outpatient			155.22	155.22	42.05				percent of total billed charges		155.22				other	OPPS APC	114.86				percent of total billed charges		155.22				other	OPPS APC	155.22				other	OPPS APC	42.05				percent of total billed charges		42.89				percent of total billed charges		155.22				other	OPPS APC	42.05	155.22	
RANGER IRRIGATION FLUID WARMING SET	SUP-70-00215	CDM			272	RC		inpatient			155.22	155.22																																																			
BIT DRILL STAINLESS STEEL L130 MM OD3.2 MM NONSTERILE JACOBS CHUCK	SUP-310.32	CDM	270010022	LOCAL	270	RC		outpatient			155.1	156	42.02				percent of total billed charges		155.1				other	OPPS APC	114.77				percent of total billed charges		155.1				other	OPPS APC	155.1				other	OPPS APC	42.02				percent of total billed charges		42.85				percent of total billed charges		156				other	OPPS APC	42.02	156	
BIT DRILL STAINLESS STEEL L130 MM OD3.2 MM NONSTERILE JACOBS CHUCK	SUP-310.32	CDM	270010022	LOCAL	270	RC		inpatient			155.1	155.1																																																			
BIT DRILL STAINLESS STEEL L130 MM OD4.5 MM JACOBS CHUCK COUPLING NONSTERILE JACOB CHUCK	SUP-310.45	CDM	270010022	LOCAL	270	RC		outpatient			155.1	156	42.02				percent of total billed charges		155.1				other	OPPS APC	114.77				percent of total billed charges		155.1				other	OPPS APC	155.1				other	OPPS APC	42.02				percent of total billed charges		42.85				percent of total billed charges		156				other	OPPS APC	42.02	156	
BIT DRILL STAINLESS STEEL L130 MM OD4.5 MM JACOBS CHUCK COUPLING NONSTERILE JACOB CHUCK	SUP-310.45	CDM	270010022	LOCAL	270	RC		inpatient			155.1	155.1																																																			
INTRODUCER SHEATH CHECK-FLO FLEXOR .035 IN L70 CM OD4 FR ID.059 IN ANL0 CURVE STRAIGHT TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56219	CDM			270	RC		outpatient			155.08	155.81	42.01				percent of total billed charges		155.08				other	OPPS APC	114.76				percent of total billed charges		155.08				other	OPPS APC	155.08				other	OPPS APC	42.01				percent of total billed charges		42.85				percent of total billed charges		155.81				other	OPPS APC	42.01	155.81	
INTRODUCER SHEATH CHECK-FLO FLEXOR .035 IN L70 CM OD4 FR ID.059 IN ANL0 CURVE STRAIGHT TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56219	CDM			270	RC		inpatient			155.08	155.08																																																			
INTRODUCER SHEATH CHECK-FLO FLEXOR .035 IN L70 CM OD7 FR ID.1 IN ANL0 CURVE STRAIGHT TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56222	CDM			270	RC		outpatient			155.08	155.81	42.01				percent of total billed charges		155.08				other	OPPS APC	114.76				percent of total billed charges		155.08				other	OPPS APC	155.08				other	OPPS APC	42.01				percent of total billed charges		42.85				percent of total billed charges		155.81				other	OPPS APC	42.01	155.81	
INTRODUCER SHEATH CHECK-FLO FLEXOR .035 IN L70 CM OD7 FR ID.1 IN ANL0 CURVE STRAIGHT TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56222	CDM			270	RC		inpatient			155.08	155.08																																																			
SHEATH GUIDING FLEXOR CHECK-FLO HYDROPHILIC ANL0 CURVE L70 CM OD8 FR ID2.9 MM RADIOPAQUE HIGH FLEX DILATOR STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-G56223	CDM			270	RC		outpatient			155.08	155.81	42.01				percent of total billed charges		155.08				other	OPPS APC	114.76				percent of total billed charges		155.08				other	OPPS APC	155.08				other	OPPS APC	42.01				percent of total billed charges		42.85				percent of total billed charges		155.81				other	OPPS APC	42.01	155.81	
SHEATH GUIDING FLEXOR CHECK-FLO HYDROPHILIC ANL0 CURVE L70 CM OD8 FR ID2.9 MM RADIOPAQUE HIGH FLEX DILATOR STERILE DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-G56223	CDM			270	RC		inpatient			155.08	155.08																																																			
DRILL SURGICAL EVOS SMALL LONG OD 2MM AO QUICK CONNECT STERILE LATEX FREE REUSABLE	SUP-71175020	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL LONG OD 2MM AO QUICK CONNECT STERILE LATEX FREE REUSABLE	SUP-71175020	CDM			270	RC		inpatient			155.04	155.04																																																			
DRILL SURGICAL EVOS SMALL SHORT OD 2MM AO QUICK CONNECT DISPOSABLE	SUP-71175021	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL SHORT OD 2MM AO QUICK CONNECT DISPOSABLE	SUP-71175021	CDM			270	RC		inpatient			155.04	155.04																																																			
DRILL SURGICAL EVOS SMALL LONG OD 2.5MM AO QUICK CONNECT STERILE LATEX FREE REUSABLE	SUP-71175022	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL LONG OD 2.5MM AO QUICK CONNECT STERILE LATEX FREE REUSABLE	SUP-71175022	CDM			270	RC		inpatient			155.04	155.04																																																			
DRILL SURGICAL EVOS SMALL SHORT OD2.5MM AO QUICK CONNECT DISPOSABLE	SUP-71175023	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL SHORT OD2.5MM AO QUICK CONNECT DISPOSABLE	SUP-71175023	CDM			270	RC		inpatient			155.04	155.04																																																			
DRILL SURGICAL EVOS SMALL LONG OD 2.7 MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175024	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL LONG OD 2.7 MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175024	CDM			270	RC		inpatient			155.04	155.04																																																			
DRILL SURGICAL EVOS SMALL SHORT OD 2.7MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175025	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL SHORT OD 2.7MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175025	CDM			270	RC		inpatient			155.04	155.04																																																			
DRILL SURGICAL EVOS SMALL SHORT OD 3.5 MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175027	CDM			270	RC		outpatient			155.04	155.4	42				percent of total billed charges		155.04				other	OPPS APC	114.73				percent of total billed charges		155.04				other	OPPS APC	155.04				other	OPPS APC	42				percent of total billed charges		42.84				percent of total billed charges		155.4				other	OPPS APC	42	155.4	
DRILL SURGICAL EVOS SMALL SHORT OD 3.5 MM AO QUICK CONNECT OVER STERILE LATEX FREE DISPOSABLE	SUP-71175027	CDM			270	RC		inpatient			155.04	155.04																																																			
HC Cytology  Cytospins	PX-310881080	CDM	88108	CPT	310	RC		outpatient			155	35.77	53.81				fee schedule		35.77				other	OPPS APC	48.6				fee schedule		35.77				other	OPPS APC	35.77				other	OPPS APC	75.95				percent of total billed charges		79.05				percent of total billed charges		35.77				other	OPPS APC	35.77	79.05	
HC Cytology  Cytospins	PX-310881080	CDM	88108	CPT	310	RC		inpatient			155	155																																																			
HC CT Heart Wout Contrst Coro Calc	PX-352755710	CDM	75571	CPT	352	RC		outpatient			155	91.5	155				fee schedule		91.5				other	OPPS APC	118.36				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	75.95				percent of total billed charges		75.22				fee schedule		91.5				other	OPPS APC	75.22	155	
HC CT Heart Wout Contrst Coro Calc	PX-352755710	CDM	75571	CPT	352	RC		inpatient			155	155																																																			
HC Debride Open Each Add. 20sq	PX-761975980	CDM	97598	CPT	761	RC		outpatient			155	155	195.77				case rate		155				other	OPPS APC	171.51				fee schedule		155				other	OPPS APC	155				other	OPPS APC	195.77				case rate		79.05				percent of total billed charges		155				other	OPPS APC	79.05	195.77	
HC Debride Open Each Add. 20sq	PX-761975980	CDM	97598	CPT	761	RC		inpatient			155	155																																																			
MATTRESS TRANSFER HOVERMATT 120 D W39 IN BREATHABLE NONSTERILE LATEX FREE DISPOSABLE	SUP-HM39SPU-B	CDM			270	RC		outpatient			155	155	41.99				percent of total billed charges		155				other	OPPS APC	114.7				percent of total billed charges		155				other	OPPS APC	155				other	OPPS APC	41.99				percent of total billed charges		42.83				percent of total billed charges		155				other	OPPS APC	41.99	155	
MATTRESS TRANSFER HOVERMATT 120 D W39 IN BREATHABLE NONSTERILE LATEX FREE DISPOSABLE	SUP-HM39SPU-B	CDM			270	RC		inpatient			155	155																																																			
WASHER T8 & T10 SCREWS 2.4MM / 2.7MM / 3	SUP-97-03192	CDM			278	RC		outpatient			154.96	154.96	154.96				fee schedule		154.96				other	OPPS APC	88.33				percent of total billed charges		154.96				other	OPPS APC	154.96				other	OPPS APC	75.93				percent of total billed charges		79.03				percent of total billed charges		154.96				other	OPPS APC	75.93	154.96	
WASHER T8 & T10 SCREWS 2.4MM / 2.7MM / 3	SUP-97-03192	CDM			278	RC		inpatient			154.96	154.96																																																			
ELECTRODE CUTTING 24FR	SUP-46782435	CDM			270	RC		outpatient			154.39	154.39	41.82				percent of total billed charges		154.39				other	OPPS APC	114.25				percent of total billed charges		154.39				other	OPPS APC	154.39				other	OPPS APC	41.82				percent of total billed charges		42.66				percent of total billed charges		154.39				other	OPPS APC	41.82	154.39	
ELECTRODE CUTTING 24FR	SUP-46782435	CDM			270	RC		inpatient			154.39	154.39																																																			
SURGICEL 2X3 (1953S)	SUP-75-00101	CDM			272	RC		outpatient			154.06	154.6	41.73				percent of total billed charges		154.06				other	OPPS APC	114				percent of total billed charges		154.06				other	OPPS APC	154.06				other	OPPS APC	41.73				percent of total billed charges		42.57				percent of total billed charges		154.6				other	OPPS APC	41.73	154.6	
SURGICEL 2X3 (1953S)	SUP-75-00101	CDM			272	RC		inpatient			154.06	154.06																																																			
CATHETER PULMONARY ARTERY SWAN-GANZ 110CM 7FR DISPOSABLE STERILE PULMONARY 2 LUMEN MONITOR	SUP-111F7P	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
CATHETER PULMONARY ARTERY SWAN-GANZ 110CM 7FR DISPOSABLE STERILE PULMONARY 2 LUMEN MONITOR	SUP-111F7P	CDM			270	RC		inpatient			154	154																																																			
WIRE FIXATION KIRSCHNER EVOS L 350 MM OD 2 MM TROCAR TIP	SUP-71177719	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
WIRE FIXATION KIRSCHNER EVOS L 350 MM OD 2 MM TROCAR TIP	SUP-71177719	CDM			270	RC		inpatient			154	154																																																			
BLADE DERMATOME	SUP-74-00018	CDM			272	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
BLADE DERMATOME	SUP-74-00018	CDM			272	RC		inpatient			154	154																																																			
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 300CM 35CM TIP 2.1GM STRAIGHT TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 5/BX	SUP-H74912154012	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 300CM 35CM TIP 2.1GM STRAIGHT TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 5/BX	SUP-H74912154012	CDM			270	RC		inpatient			154	154																																																			
GUIDEWIRE VASCULAR CHOICE PT STRAIGHT L185 CM L35 CM OD.014 IN FLOPPY RADIOPAQUE LIGHT RAIL SUPPORT	SUP-H74912160012	CDM						inpatient			154	154																																																			
GUIDEWIRE VASCULAR CHOICE PT STRAIGHT L185 CM L35 CM OD.014 IN FLOPPY RADIOPAQUE LIGHT RAIL SUPPORT	SUP-H74912160012	CDM						outpatient			154	154	154				percent of total billed charges		154				other	OPPS APC	154				fee schedule		154				other	OPPS APC	154				other	OPPS APC	154				case rate		154				case rate		154				other	OPPS APC	154	154	
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 185CM 35CM TIP 2.1GM J-TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 5/BX	SUP-H7491216001J2	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 185CM 35CM TIP 2.1GM J-TIP FLOPPY LIGHT SUPPORT SS POLYMER HYDROPHILIC 5/BX	SUP-H7491216001J2	CDM			270	RC		inpatient			154	154																																																			
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 182CM 35CM TIP 2GM STRAIGHT TIP EXTRA SUPPORT SS POLYMER HYDROPHILIC 5/BX	SUP-H74912161012	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
GUIDEWIRE VASCULAR CHOICE PT SECONDLINE 0.014IN 182CM 35CM TIP 2GM STRAIGHT TIP EXTRA SUPPORT SS POLYMER HYDROPHILIC 5/BX	SUP-H74912161012	CDM			270	RC		inpatient			154	154																																																			
CATHETER NEPHROSTOMY MALECOT L35 CM OD14 FR DRAINAGE STERILE LATEX FREE DISPOSABLE	SUP-M0064101000	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
CATHETER NEPHROSTOMY MALECOT L35 CM OD14 FR DRAINAGE STERILE LATEX FREE DISPOSABLE	SUP-M0064101000	CDM			270	RC		inpatient			154	154																																																			
TOOL DISSECTING BLACK MAX STANDARD STRAIGHT FLUTE BALL L6.1 CM OD4 MM ATTACHMENT NONSTERILE SILVER BURR	SUP-SIL-4	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
TOOL DISSECTING BLACK MAX STANDARD STRAIGHT FLUTE BALL L6.1 CM OD4 MM ATTACHMENT NONSTERILE SILVER BURR	SUP-SIL-4	CDM			270	RC		inpatient			154	154																																																			
TOOL DISSECTING BLACK MAX STRAIGHT COARSE DIAMOND BALL L6.1 CM OD5 MM ATTACHMENT NONSTERILE BURR	SUP-SIL-5	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
TOOL DISSECTING BLACK MAX STRAIGHT COARSE DIAMOND BALL L6.1 CM OD5 MM ATTACHMENT NONSTERILE BURR	SUP-SIL-5	CDM			270	RC		inpatient			154	154																																																			
TOOL DISSECTING TURQUOISE 12.6CM 5MM BLACK MAX STANDARD TAPER STRAIGHT FLUTE BALL	SUP-TURQ-L5	CDM			270	RC		outpatient			154	154	41.72				percent of total billed charges		154				other	OPPS APC	113.96				percent of total billed charges		154				other	OPPS APC	154				other	OPPS APC	41.72				percent of total billed charges		42.55				percent of total billed charges		154				other	OPPS APC	41.72	154	
TOOL DISSECTING TURQUOISE 12.6CM 5MM BLACK MAX STANDARD TAPER STRAIGHT FLUTE BALL	SUP-TURQ-L5	CDM			270	RC		inpatient			154	154																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	60505-6282-3	NDC	J9045	HCPCS		inpatient			153.75	153.75																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	60505-6282-3	NDC	J9045	HCPCS		outpatient			153.75	153.75																																															other	OPPS APC			
KIT CATHETER MAHURKAR POLYURETHANE .038 IN STRAIGHT J L19.5 CM L70 CM OD13.5 FR 1.7 ML 2 LUMEN HIGH FLOW CURVE EXTENSION GUIDEWIRE STERILE HEMODIALYSIS	SUP-8888135192	CDM			270	RC		outpatient			153.73	153.73	41.65				percent of total billed charges		153.73				other	OPPS APC	113.76				percent of total billed charges		153.73				other	OPPS APC	153.73				other	OPPS APC	41.65				percent of total billed charges		42.48				percent of total billed charges		153.73				other	OPPS APC	41.65	153.73	
KIT CATHETER MAHURKAR POLYURETHANE .038 IN STRAIGHT J L19.5 CM L70 CM OD13.5 FR 1.7 ML 2 LUMEN HIGH FLOW CURVE EXTENSION GUIDEWIRE STERILE HEMODIALYSIS	SUP-8888135192	CDM			270	RC		inpatient			153.73	153.73																																																			
CATHETER DRAINAGE EDS II SILICONE L46 CM OD1.65 MM ID.76 MM LUMBAR LUER LOCK CONNECTOR TUOHY NEEDLE KIT STERILE LATEX FREE DISPOSABLE	SUP-82-1706	CDM	270009132	LOCAL	270	RC		outpatient			153.6	153.6	41.61				percent of total billed charges		153.6				other	OPPS APC	113.66				percent of total billed charges		153.6				other	OPPS APC	153.6				other	OPPS APC	41.61				percent of total billed charges		42.44				percent of total billed charges		153.6				other	OPPS APC	41.61	153.6	
CATHETER DRAINAGE EDS II SILICONE L46 CM OD1.65 MM ID.76 MM LUMBAR LUER LOCK CONNECTOR TUOHY NEEDLE KIT STERILE LATEX FREE DISPOSABLE	SUP-82-1706	CDM	270009132	LOCAL	270	RC		inpatient			153.6	153.6																																																			
SYSTEM DRAINAGE EDS III CSF VENTRICULAR CATHETER STERILE LATEX FREE DISPOSABLE	SUP-821730	CDM	270009132	LOCAL	270	RC		outpatient			153.6	153.6	41.61				percent of total billed charges		153.6				other	OPPS APC	113.66				percent of total billed charges		153.6				other	OPPS APC	153.6				other	OPPS APC	41.61				percent of total billed charges		42.44				percent of total billed charges		153.6				other	OPPS APC	41.61	153.6	
SYSTEM DRAINAGE EDS III CSF VENTRICULAR CATHETER STERILE LATEX FREE DISPOSABLE	SUP-821730	CDM	270009132	LOCAL	270	RC		inpatient			153.6	153.6																																																			
PACK VITRECTOMY CONSTELLATION OD20 GA PROBE FRAGMENTATION HANDPIECE LIGHTWEIGHT LATEX FREE	SUP-8065750958	CDM			270	RC		outpatient			153.58	153.58	41.6				percent of total billed charges		153.58				other	OPPS APC	113.65				percent of total billed charges		153.58				other	OPPS APC	153.58				other	OPPS APC	41.6				percent of total billed charges		42.43				percent of total billed charges		153.58				other	OPPS APC	41.6	153.58	
PACK VITRECTOMY CONSTELLATION OD20 GA PROBE FRAGMENTATION HANDPIECE LIGHTWEIGHT LATEX FREE	SUP-8065750958	CDM			270	RC		inpatient			153.58	153.58																																																			
CATHETER GUIDING MACH1 PTFE LIMA CURVE L55 CM OD6 FR ID.07 IN PERIPHERAL	SUP-M001196620	CDM			270	RC		outpatient			153.58	153.58	41.6				percent of total billed charges		153.58				other	OPPS APC	113.65				percent of total billed charges		153.58				other	OPPS APC	153.58				other	OPPS APC	41.6				percent of total billed charges		42.43				percent of total billed charges		153.58				other	OPPS APC	41.6	153.58	
CATHETER GUIDING MACH1 PTFE LIMA CURVE L55 CM OD6 FR ID.07 IN PERIPHERAL	SUP-M001196620	CDM			270	RC		inpatient			153.58	153.58																																																			
CATHETER GUIDING MACH1 PTFE MULTIPURPOSE CURVE L90 CM OD8 FR ID.091 IN PERIPHERAL FLEXIBLE DISTAL SHAFT SMOOTH INNER LINER LARGE LUMEN ATRAUMATIC RADIOPAQUE TIP	SUP-M001198260	CDM			270	RC		outpatient			153.58	153.58	41.6				percent of total billed charges		153.58				other	OPPS APC	113.65				percent of total billed charges		153.58				other	OPPS APC	153.58				other	OPPS APC	41.6				percent of total billed charges		42.43				percent of total billed charges		153.58				other	OPPS APC	41.6	153.58	
CATHETER GUIDING MACH1 PTFE MULTIPURPOSE CURVE L90 CM OD8 FR ID.091 IN PERIPHERAL FLEXIBLE DISTAL SHAFT SMOOTH INNER LINER LARGE LUMEN ATRAUMATIC RADIOPAQUE TIP	SUP-M001198260	CDM			270	RC		inpatient			153.58	153.58																																																			
NEEDLE ACHIEVE BIOPSY 16G X 11	SUP-74-00213	CDM			272	RC		outpatient			153.45	153.45	41.57				percent of total billed charges		153.45				other	OPPS APC	113.55				percent of total billed charges		153.45				other	OPPS APC	153.45				other	OPPS APC	41.57				percent of total billed charges		42.4				percent of total billed charges		153.45				other	OPPS APC	41.57	153.45	
NEEDLE ACHIEVE BIOPSY 16G X 11	SUP-74-00213	CDM			272	RC		inpatient			153.45	153.45																																																			
CPT TONSIL PACK	SUP-72-00031	CDM			272	RC		outpatient			153.41	153.41	41.56				percent of total billed charges		153.41				other	OPPS APC	113.52				percent of total billed charges		153.41				other	OPPS APC	153.41				other	OPPS APC	41.56				percent of total billed charges		42.39				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CPT TONSIL PACK	SUP-72-00031	CDM			272	RC		inpatient			153.41	153.41																																																			
CATHETER - AL 1 6F	SUP-99-00177	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - AL 1 6F	SUP-99-00177	CDM			272	RC		inpatient			153.4	153.4																																																			
CATHETER - AL 2  6F	SUP-99-00178	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - AL 2  6F	SUP-99-00178	CDM			272	RC		inpatient			153.4	153.4																																																			
CATHETER - RCB 6F	SUP-99-00194	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - RCB 6F	SUP-99-00194	CDM			272	RC		inpatient			153.4	153.4																																																			
SHEATH - 7FX11CM	SUP-99-00227	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
SHEATH - 7FX11CM	SUP-99-00227	CDM			272	RC		inpatient			153.4	153.4																																																			
CATHETER - JL 3.5 6F	SUP-99-00652	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - JL 3.5 6F	SUP-99-00652	CDM			272	RC		inpatient			153.4	153.4																																																			
CATHETER - AR 2 6F	SUP-99-01203	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - AR 2 6F	SUP-99-01203	CDM			272	RC		inpatient			153.4	153.4																																																			
CATHETER - MULTIPURPOSE A-1 6F	SUP-99-03303	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - MULTIPURPOSE A-1 6F	SUP-99-03303	CDM			272	RC		inpatient			153.4	153.4																																																			
CATHETER - MULTIPURPOSE A-1 5F	SUP-99-03419	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
CATHETER - MULTIPURPOSE A-1 5F	SUP-99-03419	CDM			272	RC		inpatient			153.4	153.4																																																			
SHEATH - 5F MICROPUNCTURE 11CM	SUP-99-04085	CDM			272	RC		outpatient			153.4	153.41	41.56				percent of total billed charges		153.4				other	OPPS APC	113.52				percent of total billed charges		153.4				other	OPPS APC	153.4				other	OPPS APC	41.56				percent of total billed charges		42.38				percent of total billed charges		153.41				other	OPPS APC	41.56	153.41	
SHEATH - 5F MICROPUNCTURE 11CM	SUP-99-04085	CDM			272	RC		inpatient			153.4	153.4																																																			
SCREW 4.5 X 44MM CORTEX	SUP-97-03215	CDM			278	RC		outpatient			153.32	153.32	153.32				fee schedule		153.32				other	OPPS APC	87.39				percent of total billed charges		153.32				other	OPPS APC	153.32				other	OPPS APC	75.13				percent of total billed charges		78.19				percent of total billed charges		153.32				other	OPPS APC	75.13	153.32	
SCREW 4.5 X 44MM CORTEX	SUP-97-03215	CDM			278	RC		inpatient			153.32	153.32																																																			
4.5MM CORTEX TI SCREW ?4.5MM / 26MM	SUP-97-03386	CDM			278	RC		outpatient			153.32	153.32	153.32				fee schedule		153.32				other	OPPS APC	87.39				percent of total billed charges		153.32				other	OPPS APC	153.32				other	OPPS APC	75.13				percent of total billed charges		78.19				percent of total billed charges		153.32				other	OPPS APC	75.13	153.32	
4.5MM CORTEX TI SCREW ?4.5MM / 26MM	SUP-97-03386	CDM			278	RC		inpatient			153.32	153.32																																																			
4.5MM CORTEX TI SCREW ?4.5MM / 28MM	SUP-97-03387	CDM			278	RC		outpatient			153.32	153.32	153.32				fee schedule		153.32				other	OPPS APC	87.39				percent of total billed charges		153.32				other	OPPS APC	153.32				other	OPPS APC	75.13				percent of total billed charges		78.19				percent of total billed charges		153.32				other	OPPS APC	75.13	153.32	
4.5MM CORTEX TI SCREW ?4.5MM / 28MM	SUP-97-03387	CDM			278	RC		inpatient			153.32	153.32																																																			
NEEDLE ACHIEVE BIOPSY 14GX11CM USSUP	SUP-95-00990	CDM			272	RC		outpatient			153.16	153.16	41.49				percent of total billed charges		153.16				other	OPPS APC	113.34				percent of total billed charges		153.16				other	OPPS APC	153.16				other	OPPS APC	41.49				percent of total billed charges		42.32				percent of total billed charges		153.16				other	OPPS APC	41.49	153.16	
NEEDLE ACHIEVE BIOPSY 14GX11CM USSUP	SUP-95-00990	CDM			272	RC		inpatient			153.16	153.16																																																			
NEEDLE ACHIEVE BIOPSY 16GX11CM	SUP-95-00991	CDM			272	RC		outpatient			153.16	153.16	41.49				percent of total billed charges		153.16				other	OPPS APC	113.34				percent of total billed charges		153.16				other	OPPS APC	153.16				other	OPPS APC	41.49				percent of total billed charges		42.32				percent of total billed charges		153.16				other	OPPS APC	41.49	153.16	
NEEDLE ACHIEVE BIOPSY 16GX11CM	SUP-95-00991	CDM			272	RC		inpatient			153.16	153.16																																																			
NEEDLE  ACHIEVE BIOPSY 18G X 15CM USSUP	SUP-95-01337	CDM			272	RC		outpatient			153.16	153.16	41.49				percent of total billed charges		153.16				other	OPPS APC	113.34				percent of total billed charges		153.16				other	OPPS APC	153.16				other	OPPS APC	41.49				percent of total billed charges		42.32				percent of total billed charges		153.16				other	OPPS APC	41.49	153.16	
NEEDLE  ACHIEVE BIOPSY 18G X 15CM USSUP	SUP-95-01337	CDM			272	RC		inpatient			153.16	153.16																																																			
"NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75 MG-10,000 UNIT-0.025MG/ML DROPS 10 ML DROP BTL"	637000000	CDM	24208-790-62	NDC	A9270	HCPCS		inpatient			153.15	153.15																																																			
"NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75 MG-10,000 UNIT-0.025MG/ML DROPS 10 ML DROP BTL"	637000000	CDM	24208-790-62	NDC	A9270	HCPCS		outpatient			153.15	153.15																																															other	OPPS APC			
SCREW BONE 10MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.69	CDM	270010022	LOCAL	270	RC		outpatient			153.12	153.12	41.48				percent of total billed charges		153.12				other	OPPS APC	113.31				percent of total billed charges		153.12				other	OPPS APC	153.12				other	OPPS APC	41.48				percent of total billed charges		42.31				percent of total billed charges		153.12				other	OPPS APC	41.48	153.12	
SCREW BONE 10MM 1.3MM 2.4MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-400.69	CDM	270010022	LOCAL	270	RC		inpatient			153.12	153.12																																																			
HC Islet Cell Antibody	PX-300863410	CDM	86341	CPT	302	RC		outpatient			153	23.57	26.45				fee schedule		23.57				fee schedule		52.54				fee schedule		23.57				fee schedule		23.57				fee schedule		23.57				fee schedule		23.57				fee schedule		23.57				fee schedule		23.57	52.54	
HC Islet Cell Antibody	PX-300863410	CDM	86341	CPT	302	RC		inpatient			153	153																																																			
HC Infectious Agent Quantification  Ea Organism	PX-300877990	CDM	87799	CPT	300	RC		outpatient			153	42.84	57.27				fee schedule		42.84				fee schedule		113.72				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84	113.72	
HC Infectious Agent Quantification  Ea Organism	PX-300877990	CDM	87799	CPT	300	RC		inpatient			153	153																																																			
HC Inf Agent by Nucleic Acid  Quantificatio	PX-306877992	CDM	87799	CPT	306	RC		outpatient			153	42.84	57.27				fee schedule		42.84				fee schedule		113.72				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84	113.72	
HC Inf Agent by Nucleic Acid  Quantificatio	PX-306877992	CDM	87799	CPT	306	RC		inpatient			153	153																																																			
CATHETER - AR 2 5F	SUP-99-03379	CDM			272	RC		outpatient			153	153	41.45				percent of total billed charges		153				other	OPPS APC	113.22				percent of total billed charges		153				other	OPPS APC	153				other	OPPS APC	41.45				percent of total billed charges		42.27				percent of total billed charges		153				other	OPPS APC	41.45	153	
CATHETER - AR 2 5F	SUP-99-03379	CDM			272	RC		inpatient			153	153																																																			
ARIPIPRAZOLE 2 MG TABLET	637000000	CDM	50268-087-11	NDC	A9270	HCPCS		inpatient			152.94	152.94																																																			
ARIPIPRAZOLE 2 MG TABLET	637000000	CDM	50268-087-11	NDC	A9270	HCPCS		outpatient			152.94	152.94																																															other	OPPS APC			
AMPHOTERICIN B LIPOSOME PER 10 MG	636000000	CDM	55150-365-01	NDC	J0289	HCPCS		inpatient			152.85	152.85																																																			
AMPHOTERICIN B LIPOSOME PER 10 MG	636000000	CDM	55150-365-01	NDC	J0289	HCPCS		outpatient			152.85	29.49																																											29.49				other	OPPS APC	29.49	29.49	
SCREW BONE PARTIAL THREAD L 55 MM OD 4 MM SELF-RETAINING  EVOS MINI OSTEOPENIA	SUP-72434055	CDM			270	RC		outpatient			152.8	152.81	41.39				percent of total billed charges		152.8				other	OPPS APC	113.07				percent of total billed charges		152.8				other	OPPS APC	152.8				other	OPPS APC	41.39				percent of total billed charges		42.22				percent of total billed charges		152.81				other	OPPS APC	41.39	152.81	
SCREW BONE PARTIAL THREAD L 55 MM OD 4 MM SELF-RETAINING  EVOS MINI OSTEOPENIA	SUP-72434055	CDM			270	RC		inpatient			152.8	152.8																																																			
STAPLER RELOAD LINEAR CUTTER ENDOPATH BLUE 45MM	SUP-ATB45	CDM			270	RC		outpatient			152.79	152.79	41.39				percent of total billed charges		152.79				other	OPPS APC	113.06				percent of total billed charges		152.79				other	OPPS APC	152.79				other	OPPS APC	41.39				percent of total billed charges		42.22				percent of total billed charges		152.79				other	OPPS APC	41.39	152.79	
STAPLER RELOAD LINEAR CUTTER ENDOPATH BLUE 45MM	SUP-ATB45	CDM			270	RC		inpatient			152.79	152.79																																																			
CANNULA INFUSION CONSTELLATION OD25 GA ENHANCE PRIMING TRAY	SUP-8065752151	CDM			270	RC		outpatient			152.76	152.76	41.38				percent of total billed charges		152.76				other	OPPS APC	113.04				percent of total billed charges		152.76				other	OPPS APC	152.76				other	OPPS APC	41.38				percent of total billed charges		42.21				percent of total billed charges		152.76				other	OPPS APC	41.38	152.76	
CANNULA INFUSION CONSTELLATION OD25 GA ENHANCE PRIMING TRAY	SUP-8065752151	CDM			270	RC		inpatient			152.76	152.76																																																			
J-HOOK E-Z CLEAN 33CM	SUP-95-04846	CDM			272	RC		outpatient			152.5	152.5	41.31				percent of total billed charges		152.5				other	OPPS APC	112.85				percent of total billed charges		152.5				other	OPPS APC	152.5				other	OPPS APC	41.31				percent of total billed charges		42.14				percent of total billed charges		152.5				other	OPPS APC	41.31	152.5	
J-HOOK E-Z CLEAN 33CM	SUP-95-04846	CDM			272	RC		inpatient			152.5	152.5																																																			
CORTEX SCREW 4.5 30MM	SUP-97-03011	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
CORTEX SCREW 4.5 30MM	SUP-97-03011	CDM			278	RC		inpatient			152.32	152.32																																																			
4.5MM CORTEX TI SCREW +ÿ4.5MM / 22MM	SUP-97-03384	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
4.5MM CORTEX TI SCREW +ÿ4.5MM / 22MM	SUP-97-03384	CDM			278	RC		inpatient			152.32	152.32																																																			
4.5MM CORTEX TI SCREW +ÿ4.5MM / 24MM	SUP-97-03385	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
4.5MM CORTEX TI SCREW +ÿ4.5MM / 24MM	SUP-97-03385	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 16MM	SUP-97-04732	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 16MM	SUP-97-04732	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 46MM	SUP-97-04733	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 46MM	SUP-97-04733	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 48MM	SUP-97-04734	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 48MM	SUP-97-04734	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 75MM	SUP-97-04735	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 75MM	SUP-97-04735	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 14MM	SUP-97-05544	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 14MM	SUP-97-05544	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 34MM	SUP-97-05550	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 34MM	SUP-97-05550	CDM			278	RC		inpatient			152.32	152.32																																																			
SCREW CORTEX 4.5MM X 42MM	SUP-97-05551	CDM			278	RC		outpatient			152.32	152.32	152.32				fee schedule		152.32				other	OPPS APC	86.82				percent of total billed charges		152.32				other	OPPS APC	152.32				other	OPPS APC	74.64				percent of total billed charges		77.68				percent of total billed charges		152.32				other	OPPS APC	74.64	152.32	
SCREW CORTEX 4.5MM X 42MM	SUP-97-05551	CDM			278	RC		inpatient			152.32	152.32																																																			
OCCLUDER VASCULAR FLO-RESTER SILICONE L30 MM OD4 MM VESSEL 2 RUBBER BULB RADIOPAQUE FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60400	CDM			270	RC		outpatient			152.11	152.11	41.21				percent of total billed charges		152.11				other	OPPS APC	112.56				percent of total billed charges		152.11				other	OPPS APC	152.11				other	OPPS APC	41.21				percent of total billed charges		42.03				percent of total billed charges		152.11				other	OPPS APC	41.21	152.11	
OCCLUDER VASCULAR FLO-RESTER SILICONE L30 MM OD4 MM VESSEL 2 RUBBER BULB RADIOPAQUE FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60400	CDM			270	RC		inpatient			152.11	152.11																																																			
PLATE BONE LORENZ TITANIUM STRAIGHT MIDFACE 6 HOLE 1.5 MM SCREW	SUP-01-7050	CDM			270	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
PLATE BONE LORENZ TITANIUM STRAIGHT MIDFACE 6 HOLE 1.5 MM SCREW	SUP-01-7050	CDM			270	RC		inpatient			152	152																																																			
SCREW BONE VARIAX TITANIUM T7 L18 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER YELLOW LOCK PLATE SYSTEM	SUP-40-27018	CDM			270	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
SCREW BONE VARIAX TITANIUM T7 L18 MM OD2.7 MM FOOT NONLOCK SELF TAP SCREWDRIVER YELLOW LOCK PLATE SYSTEM	SUP-40-27018	CDM			270	RC		inpatient			152	152																																																			
BIOPSY NEEDLE - CHIBA 20G X 20CM  CTSUP	SUP-95-03396	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
BIOPSY NEEDLE - CHIBA 20G X 20CM  CTSUP	SUP-95-03396	CDM			272	RC		inpatient			152	152																																																			
BIOPSY NEEDLE - CHIBA 22G X 20CM  CTSUP	SUP-95-03399	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
BIOPSY NEEDLE - CHIBA 22G X 20CM  CTSUP	SUP-95-03399	CDM			272	RC		inpatient			152	152																																																			
VRT AI INFUSION PACK VERITAS ADVANCED	SUP-95-04965	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
VRT AI INFUSION PACK VERITAS ADVANCED	SUP-95-04965	CDM			272	RC		inpatient			152	152																																																			
TUBNG PACK PHACO WHITESTAR SIGNATURE PRO DUAL PUMP	SUP-95-05143	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
TUBNG PACK PHACO WHITESTAR SIGNATURE PRO DUAL PUMP	SUP-95-05143	CDM			272	RC		inpatient			152	152																																																			
NEEDLEMASTER 5MM X 25G LOWER	SUP-95-23731	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
NEEDLEMASTER 5MM X 25G LOWER	SUP-95-23731	CDM			272	RC		inpatient			152	152																																																			
AI TUBING PHACO PACK	SUP-95-23937	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
AI TUBING PHACO PACK	SUP-95-23937	CDM			272	RC		inpatient			152	152																																																			
SHEATH - 6F HYDROPHYPHILIC	SUP-99-02186	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
SHEATH - 6F HYDROPHYPHILIC	SUP-99-02186	CDM			272	RC		inpatient			152	152																																																			
GUIDEWIRE - ROADRUNNER 0.035X260	SUP-99-03540	CDM			272	RC		outpatient			152	152	41.18				percent of total billed charges		152				other	OPPS APC	112.48				percent of total billed charges		152				other	OPPS APC	152				other	OPPS APC	41.18				percent of total billed charges		42				percent of total billed charges		152				other	OPPS APC	41.18	152	
GUIDEWIRE - ROADRUNNER 0.035X260	SUP-99-03540	CDM			272	RC		inpatient			152	152																																																			
HC Cmv by Rapid Pcr (Cmvpcr)	PX-300874960	CDM	87496	CPT	300	RC		outpatient			151.95	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Cmv by Rapid Pcr (Cmvpcr)	PX-300874960	CDM	87496	CPT	300	RC		inpatient			151.95	151.95																																																			
SWITCH DRAPE TENET 7633	SUP-97-01390	CDM			272	RC		outpatient			151.2	151.2	40.96				percent of total billed charges		151.2				other	OPPS APC	111.89				percent of total billed charges		151.2				other	OPPS APC	151.2				other	OPPS APC	40.96				percent of total billed charges		41.78				percent of total billed charges		151.2				other	OPPS APC	40.96	151.2	
SWITCH DRAPE TENET 7633	SUP-97-01390	CDM			272	RC		inpatient			151.2	151.2																																																			
K-WIRE	SUP-97-23820	CDM			278	RC		outpatient			151.2	151.2	151.2				fee schedule		151.2				other	OPPS APC	86.18				percent of total billed charges		151.2				other	OPPS APC	151.2				other	OPPS APC	74.09				percent of total billed charges		77.11				percent of total billed charges		151.2				other	OPPS APC	74.09	151.2	
K-WIRE	SUP-97-23820	CDM			278	RC		inpatient			151.2	151.2																																																			
TAPE INDICATOR 3M COMPLY 55MRX24MM BLUE LF LEAD FREE INK STRETCHABLE BACK STEAM STERILIZATION DISPOSABLE WRAP	SUP-M1355-24MA	CDM						inpatient			151.1	151.1																																																			
TAPE INDICATOR 3M COMPLY 55MRX24MM BLUE LF LEAD FREE INK STRETCHABLE BACK STEAM STERILIZATION DISPOSABLE WRAP	SUP-M1355-24MA	CDM						outpatient			151.1	152	151.1				percent of total billed charges		151.1				other	OPPS APC	151.1				fee schedule		151.1				other	OPPS APC	151.1				other	OPPS APC	151.1				case rate		151.1				case rate		152				other	OPPS APC	151.1	152	
HC Insicional Biospy of Skin Each Add'l	PX-761111070	CDM	11107	CPT	761	RC		outpatient			151	151	195.77				case rate		151				other	OPPS APC	111.74				percent of total billed charges		151				other	OPPS APC	151				other	OPPS APC	195.77				case rate		77.01				percent of total billed charges		151				other	OPPS APC	77.01	195.77	
HC Insicional Biospy of Skin Each Add'l	PX-761111070	CDM	11107	CPT	761	RC		inpatient			151	151																																																			
SET AIRSEAL BIFURCATED SMOKE EVAC FILTERED TUBE SET	SUP-SEM-EVAC	CDM			270	RC		outpatient			150.38	15.38	40.74				percent of total billed charges		150.38				other	OPPS APC	111.28				percent of total billed charges		150.38				other	OPPS APC	150.38				other	OPPS APC	40.74				percent of total billed charges		41.55				percent of total billed charges		15.38				other	OPPS APC	15.38	150.38	
SET AIRSEAL BIFURCATED SMOKE EVAC FILTERED TUBE SET	SUP-SEM-EVAC	CDM			270	RC		inpatient			150.38	150.38																																																			
PACK SURGICAL CUSTOM C SECTION	SUP-DYNJ59271	CDM	270009192	LOCAL	270	RC		outpatient			150.19	15.19	40.69				percent of total billed charges		150.19				other	OPPS APC	111.14				percent of total billed charges		150.19				other	OPPS APC	150.19				other	OPPS APC	40.69				percent of total billed charges		41.5				percent of total billed charges		15.19				other	OPPS APC	15.19	150.19	
PACK SURGICAL CUSTOM C SECTION	SUP-DYNJ59271	CDM	270009192	LOCAL	270	RC		inpatient			150.19	150.19																																																			
PACK SURGICAL CUSTOM C SECTION	SUP-DYNJ59271A	CDM	270009192	LOCAL	270	RC		outpatient			150.19	15.19	40.69				percent of total billed charges		150.19				other	OPPS APC	111.14				percent of total billed charges		150.19				other	OPPS APC	150.19				other	OPPS APC	40.69				percent of total billed charges		41.5				percent of total billed charges		15.19				other	OPPS APC	15.19	150.19	
PACK SURGICAL CUSTOM C SECTION	SUP-DYNJ59271A	CDM	270009192	LOCAL	270	RC		inpatient			150.19	150.19																																																			
SUTURE GORE-TEX CV-7 TTC-13 24IN 2 ARM MONOFILAMENT WHITE NONABSORBABLE	SUP-7K06B	CDM			270	RC		outpatient			150.17	15.17	40.68				percent of total billed charges		150.17				other	OPPS APC	111.13				percent of total billed charges		150.17				other	OPPS APC	150.17				other	OPPS APC	40.68				percent of total billed charges		41.49				percent of total billed charges		15.17				other	OPPS APC	15.17	150.17	
SUTURE GORE-TEX CV-7 TTC-13 24IN 2 ARM MONOFILAMENT WHITE NONABSORBABLE	SUP-7K06B	CDM			270	RC		inpatient			150.17	150.17																																																			
KWIRE 2.5	SUP-97-01282	CDM			278	RC		outpatient			150.16	15.16	150.16				fee schedule		150.16				other	OPPS APC	85.59				percent of total billed charges		150.16				other	OPPS APC	150.16				other	OPPS APC	73.58				percent of total billed charges		76.58				percent of total billed charges		15.16				other	OPPS APC	15.16	150.16	
KWIRE 2.5	SUP-97-01282	CDM			278	RC		inpatient			150.16	150.16																																																			
FORCEPS BIPOLAR 33CM 5MM ENDOPATH BABCOCK 360D RATCHET HANDLE ROTATION KNOB LARGER	SUP-5BB	CDM			270	RC		outpatient			150.11	15.11	40.66				percent of total billed charges		150.11				other	OPPS APC	111.08				percent of total billed charges		150.11				other	OPPS APC	150.11				other	OPPS APC	40.66				percent of total billed charges		41.48				percent of total billed charges		15.11				other	OPPS APC	15.11	150.11	
FORCEPS BIPOLAR 33CM 5MM ENDOPATH BABCOCK 360D RATCHET HANDLE ROTATION KNOB LARGER	SUP-5BB	CDM			270	RC		inpatient			150.11	150.11																																																			
IODIXANOL PER 1 ML	636000000	CDM	0407-2223-19	NDC	Q9967	HCPCS		inpatient			150	150																																																			
IODIXANOL PER 1 ML	636000000	CDM	0407-2223-19	NDC	Q9967	HCPCS		outpatient			150	150																																															other	OPPS APC			
HC Human Papillomavirus(Hpv)	PX-300876240	CDM	87624	CPT	300	RC		outpatient			150	35.93	46.8				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Human Papillomavirus(Hpv)	PX-300876240	CDM	87624	CPT	300	RC		inpatient			150	150																																																			
HC Hmd Screening	PX-301840301	CDM	84030	CPT	301	RC		outpatient			150	15	7.35				fee schedule		150				fee schedule		14.61				fee schedule		150				fee schedule		150				fee schedule		5.5				fee schedule		5.5				fee schedule		15				fee schedule		5.5	150	
HC Hmd Screening	PX-301840301	CDM	84030	CPT	301	RC		inpatient			150	150																																																			
HC Anesthesia Gen Add'l 15 Mins	PX-370000005	CDM	370000005	LOCAL	370	RC		outpatient			150	15	42.33				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	42.33				percent of total billed charges		43.17				percent of total billed charges		15				other	OPPS APC	15	150	
HC Anesthesia Gen Add'l 15 Mins	PX-370000005	CDM	370000005	LOCAL	370	RC		inpatient			150	150																																																			
HC Avulsion of Nail Plate Addl (Ea)	PX-450117321	CDM	11732	CPT	450	RC		outpatient			150	15	195.77				case rate		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	195.77				case rate		199.69				case rate		15				other	OPPS APC	15	199.69	
HC Avulsion of Nail Plate Addl (Ea)	PX-450117321	CDM	11732	CPT	450	RC		inpatient			150	150																																																			
HC Cc Ivus Additional Vessel	PX-481929791	CDM	92979	CPT	481	RC		inpatient			150	150																																																			
HC Cc Ivus Additional Vessel	PX-481929791	CDM	92979	CPT	481	RC		outpatient			150	150					fee schedule						other	OPPS APC	452.93				fee schedule						other	OPPS APC					other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges						other	OPPS APC	452.93	452.93	
HC Cc Intravascular Dopler Addl Vessel	PX-481935721	CDM	93572	CPT	481	RC		outpatient			150	15	150				fee schedule		150				other	OPPS APC	445.71				fee schedule		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	445.71	
HC Cc Intravascular Dopler Addl Vessel	PX-481935721	CDM	93572	CPT	481	RC		inpatient			150	150																																																			
HC Avulsion of Nail Plate  Ea Addl	PX-761117320	CDM	11732	CPT	761	RC		outpatient			150	15	195.77				case rate		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	195.77				case rate		76.5				percent of total billed charges		15				other	OPPS APC	15	195.77	
HC Avulsion of Nail Plate  Ea Addl	PX-761117320	CDM	11732	CPT	761	RC		inpatient			150	150																																																			
HC Strapping Unna Boot Lt	PX-761295801	CDM	29580	CPT	761	RC		outpatient			150	153.52	195.77				case rate		153.52				other	OPPS APC	111				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	195.77				case rate		76.5				percent of total billed charges		153.52				other	OPPS APC	76.5	195.77	
HC Strapping Unna Boot Lt	PX-761295801	CDM	29580	CPT	761	RC		inpatient			150	150																																																			
HC Strapping Unna Boot Rt	PX-761295803	CDM	29580	CPT	761	RC		outpatient			150	153.52	195.77				case rate		153.52				other	OPPS APC	111				percent of total billed charges		153.52				other	OPPS APC	153.52				other	OPPS APC	195.77				case rate		76.5				percent of total billed charges		153.52				other	OPPS APC	76.5	195.77	
HC Strapping Unna Boot Rt	PX-761295803	CDM	29580	CPT	761	RC		inpatient			150	150																																																			
CATHETER ARTERIAL LINE SWAN-GANZ HEPARIN POLYMER L110 CM OD5 FR PULMONARY 2 LUMEN	SUP-110F5	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER ARTERIAL LINE SWAN-GANZ HEPARIN POLYMER L110 CM OD5 FR PULMONARY 2 LUMEN	SUP-110F5	CDM			270	RC		inpatient			150	150																																																			
CATHETER EMBOLECTOMY LEMAITRE .035 IN C1.6 ML L80 CM OD6 FR ODSEC13 MM 1 LUMEN BALLOON OTW GUIDEWIRE RAPID EXCHANGE STERILE LATEX DISPOSABLE BLUE	SUP-1651-68	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER EMBOLECTOMY LEMAITRE .035 IN C1.6 ML L80 CM OD6 FR ODSEC13 MM 1 LUMEN BALLOON OTW GUIDEWIRE RAPID EXCHANGE STERILE LATEX DISPOSABLE BLUE	SUP-1651-68	CDM			270	RC		inpatient			150	150																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 80CM 5.5FR 11MM SS SILICONE NATURAL RUBBER LATEX ARTERIAL OTW RADIOPAQUE ACCEPTS	SUP-1651-88	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 80CM 5.5FR 11MM SS SILICONE NATURAL RUBBER LATEX ARTERIAL OTW RADIOPAQUE ACCEPTS	SUP-1651-88	CDM			270	RC		inpatient			150	150																																																			
SPECTRE STRAIGHT TIP GUIDEWIRE 190CM	SUP-7386	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
SPECTRE STRAIGHT TIP GUIDEWIRE 190CM	SUP-7386	CDM			481	RC		inpatient			150	150																																																			
TIP PHACOEMULSIFICATION KELMAN ABS 30 D MINI FLARED	SUP-8065750852	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
TIP PHACOEMULSIFICATION KELMAN ABS 30 D MINI FLARED	SUP-8065750852	CDM			270	RC		inpatient			150	150																																																			
5MM  LOCKING COVER	SUP-85-2105	CDM	270010020	LOCAL	270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
5MM  LOCKING COVER	SUP-85-2105	CDM	270010020	LOCAL	270	RC		inpatient			150	150																																																			
6MM  LOCKING COVER	SUP-85-2106	CDM	270010020	LOCAL	270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
6MM  LOCKING COVER	SUP-85-2106	CDM	270010020	LOCAL	270	RC		inpatient			150	150																																																			
SCREW SPINAL SHORELINE ACS 3.5MM 14MM SELF-DRILLING VARIABLE ANGLE TITANIUM ANTERIOR CERVICAL	SUP-85-3214	CDM	270010020	LOCAL	270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW SPINAL SHORELINE ACS 3.5MM 14MM SELF-DRILLING VARIABLE ANGLE TITANIUM ANTERIOR CERVICAL	SUP-85-3214	CDM	270010020	LOCAL	270	RC		inpatient			150	150																																																			
Fix This	SUP-AGH146000	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
Fix This	SUP-AGH146000	CDM			481	RC		inpatient			150	150																																																			
PROWATER STRAIGHT TIP GUIDEWIRE 180CM	SUP-AJH146000	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
PROWATER STRAIGHT TIP GUIDEWIRE 180CM	SUP-AJH146000	CDM			481	RC		inpatient			150	150																																																			
PASSER SUTURE FIBERWIRE NITINOL OD18 GA STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-1255-18	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
PASSER SUTURE FIBERWIRE NITINOL OD18 GA STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-1255-18	CDM			270	RC		inpatient			150	150																																																			
KIT POSITIONING TRIMANO BEACH CHAIR ARM HOLDER DRAPE LIGHTWEIGHT DISPOSABLE	SUP-AR-1644	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
KIT POSITIONING TRIMANO BEACH CHAIR ARM HOLDER DRAPE LIGHTWEIGHT DISPOSABLE	SUP-AR-1644	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM L26 MM OD4.5 MM ANKLE	SUP-AR-8545-26	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS TITANIUM L26 MM OD4.5 MM ANKLE	SUP-AR-8545-26	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM L28 MM OD4.5 MM ANKLE FUSION PLATE SYSTEM	SUP-AR-8545-28	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS TITANIUM L28 MM OD4.5 MM ANKLE FUSION PLATE SYSTEM	SUP-AR-8545-28	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM L30 MM OD4.5 MM ANKLE	SUP-AR-8545-30	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS TITANIUM L30 MM OD4.5 MM ANKLE	SUP-AR-8545-30	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE L32 MM OD4.5 MM ANKLE	SUP-AR-8545-32	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE L32 MM OD4.5 MM ANKLE	SUP-AR-8545-32	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS 36MM 4.5MM TITANIUM ANKLE	SUP-AR-8545-36	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS 36MM 4.5MM TITANIUM ANKLE	SUP-AR-8545-36	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE L38 MM OD4.5 MM ANKLE	SUP-AR-8545-38	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE L38 MM OD4.5 MM ANKLE	SUP-AR-8545-38	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS 40MM 4.5MM TITANIUM ANKLE	SUP-AR-8545-40	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS 40MM 4.5MM TITANIUM ANKLE	SUP-AR-8545-40	CDM			270	RC		inpatient			150	150																																																			
SCREW ARTHREX LOW PROFILE TI 4.5MM X 44MM	SUP-AR-8545-44	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW ARTHREX LOW PROFILE TI 4.5MM X 44MM	SUP-AR-8545-44	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE TITANIUM L50 MM OD4.5 MM ANKLE FUSION PLATE SYSTEM	SUP-AR-8545-50	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE TITANIUM L50 MM OD4.5 MM ANKLE FUSION PLATE SYSTEM	SUP-AR-8545-50	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM L25 MM OD5.5 MM CANCELLOUS ANKLE FUSION PLATE SYSTEM	SUP-AR-8555-25	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS TITANIUM L25 MM OD5.5 MM CANCELLOUS ANKLE FUSION PLATE SYSTEM	SUP-AR-8555-25	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM L40 MM OD5.5 MM ANKLE CANCELLOUS	SUP-AR-8555-40	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE LOW PROFILE SCREWS TITANIUM L40 MM OD5.5 MM ANKLE CANCELLOUS	SUP-AR-8555-40	CDM			270	RC		inpatient			150	150																																																			
KIT STYLET J L46 CM OD.014 IN ATRIAL	SUP-DS06001/46	CDM			275	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	85.5				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
KIT STYLET J L46 CM OD.014 IN ATRIAL	SUP-DS06001/46	CDM			275	RC		inpatient			150	150																																																			
CATHETER EMBOLECTOMY LEMAITRE .035 IN C1.6 ML L40 CM OD7 FR ODSEC13 MM 2 LUMEN OTW IRRIGATION RAPID EXCHANGE GUIDEWIRE LATEX BLUE	SUP-E1651-64	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER EMBOLECTOMY LEMAITRE .035 IN C1.6 ML L40 CM OD7 FR ODSEC13 MM 2 LUMEN OTW IRRIGATION RAPID EXCHANGE GUIDEWIRE LATEX BLUE	SUP-E1651-64	CDM			270	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA 142CM 6MM 1.5MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE	SUP-EUP1506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA 142CM 6MM 1.5MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE	SUP-EUP1506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA 142CM 10MM 1.5MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE	SUP-EUP1510X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA 142CM 10MM 1.5MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE	SUP-EUP1510X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L12 MM OD2.1-2.5 FR ODSEC1.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP1512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L12 MM OD2.1-2.5 FR ODSEC1.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP1512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC1.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP1515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC1.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP1515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 1.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP1520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 1.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP1520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA 142CM 6MM 2MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP2006X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA 142CM 6MM 2MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP2006X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L10 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2010X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L10 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2010X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L12 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L12 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2015X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L20 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2020X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L20 MM OD2.1-2.5 FR ODSEC2 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2020X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 2.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2025X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 2.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2025X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 2.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2030X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 2.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2030X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142 CM L10 MM ODSEC2.25 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP22510X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142 CM L10 MM ODSEC2.25 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP22510X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 12 MM ODSEC 2.25 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP22512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 12 MM ODSEC 2.25 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP22512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 2.25 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP22515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 2.25 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP22515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L6 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L6 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L10 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2510X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L10 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2510X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L12 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L12 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L20 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L20 MM OD2.1-2.5 FR ODSEC2.5 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP2520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 2.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2525X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 2.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2525X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 2.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2530X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 2.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP2530X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 2.75 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP27515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 2.75 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP27515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA 142CM 6MM 3MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP3006X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA 142CM 6MM 3MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP3006X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA 142CM 10MM 3MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP3010X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA 142CM 10MM 3MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP3010X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA 142CM 12MM 3MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP3012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA 142CM 12MM 3MM ULTRA-SLIM DURA-TRAC STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE LUER	SUP-EUP3012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC3 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP3015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA POWERTRAC ULTRA-SLIM DURA-TRAC L142 CM L15 MM OD2.1-2.5 FR ODSEC3 MM RAPID EXCHANGE TAPER SHAFT RADIOPAQUE FEMALE LUER PTCA	SUP-EUP3015X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 3.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3020X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 3.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3020X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 3.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3025X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 3.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3025X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 3.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3030X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 3.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3030X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142 CM L6 MM ODSEC3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3506X_65940	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142 CM L6 MM ODSEC3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3506X_65940	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142CM L 10MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHIFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3510X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142CM L 10MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHIFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3510X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 12 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 12 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3525X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3525X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3530X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 3.5 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP3530X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142 CM L6 MM ODSEC4 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4006X_65941	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA-SLIM DURA-TRAC L142 CM L6 MM ODSEC4 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4006X_65941	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 10 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4010X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 10 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4010X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 12 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 12 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 15 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4015X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4020X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 20 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4020X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4025X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 25 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4025X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4030X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EUPHORA ULTRA SLIM DURA TRAC 142CM L 30 MM ODSEC 4.0 MM RAPID EXCHANGE TAPER SHAFT LOW PROFILE RADIOPAQUE LATEX FREE PTCA	SUP-EUP4030X	CDM			481	RC		inpatient			150	150																																																			
6FR OPTISEAL 13CM	SUP-EXT-1000093-001	CDM			275	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	85.5				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
6FR OPTISEAL 13CM	SUP-EXT-1000093-001	CDM			275	RC		inpatient			150	150																																																			
7FR OPTISEAL 13CM	SUP-EXT-1000093-002	CDM			275	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	85.5				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
7FR OPTISEAL 13CM	SUP-EXT-1000093-002	CDM			275	RC		inpatient			150	150																																																			
8FR OPTISEAL 13CM	SUP-EXT-1000093-003	CDM			275	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	85.5				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
8FR OPTISEAL 13CM	SUP-EXT-1000093-003	CDM			275	RC		inpatient			150	150																																																			
STENT PANCREATIC ZIMMON POLYETHYLENE PIGTAIL CURVE TAPER L7 CM OD7 FR STERILE DISPOSABLE PURPLE	SUP-G22353	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
STENT PANCREATIC ZIMMON POLYETHYLENE PIGTAIL CURVE TAPER L7 CM OD7 FR STERILE DISPOSABLE PURPLE	SUP-G22353	CDM			270	RC		inpatient			150	150																																																			
STENT PANCREATIC ZIMMON POLYETHYLENE PIGTAIL CURVE TAPER SPIRAL L7 CM OD5 FR RADIOPAQUE MARKER SIDEHOLE STERILE DISPOSABLE BLUE ACCEPTS .025 IN GUIDEWIRE	SUP-G22360	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
STENT PANCREATIC ZIMMON POLYETHYLENE PIGTAIL CURVE TAPER SPIRAL L7 CM OD5 FR RADIOPAQUE MARKER SIDEHOLE STERILE DISPOSABLE BLUE ACCEPTS .025 IN GUIDEWIRE	SUP-G22360	CDM			270	RC		inpatient			150	150																																																			
STENT PANCREATIC ZIMMON POLYETHYLENE TAPER PIGTAIL CURVE SPIRAL L5 CM OD5 FR STERILE DISPOSABLE BLUE	SUP-G24574	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
STENT PANCREATIC ZIMMON POLYETHYLENE TAPER PIGTAIL CURVE SPIRAL L5 CM OD5 FR STERILE DISPOSABLE BLUE	SUP-G24574	CDM			270	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7439912412450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7439912412450	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406220	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC2.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC2.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406320	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L6 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912406370	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408220	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 2.5MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 2.5MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 2.75MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 2.75MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC3 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC3 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408320	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 3.5MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 3.5MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 3.75MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 3.75MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408370	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 4MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 8MM 4MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912408400	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408450	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L8 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912408500	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412220	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC2.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC2.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412320	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412370	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC4 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC4 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412400	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L12 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912412500	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC2 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC2 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415200	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415220	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 2.5MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 2.5MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 2.75MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 2.75MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 3MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 3MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415320	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415370	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 4MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 15MM 4MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912415400	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415450	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L15 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912415500	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC2.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420220	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC2.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC2.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 20MM 3MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912420300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 20MM 3MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912420300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 20MM 3.25MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912420320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 20MM 3.25MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912420320	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC3.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420370	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 20MM 4MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912420400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 20MM 4MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912420400	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC4.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420450	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L20 MM ODSEC5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912420500	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L30 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912430270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L30 MM ODSEC2.75 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912430270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 30MM 3MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912430300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX MONORAIL 143CM 30MM 3MM PLATINUM IRIDIUM RAPID EXCHANGE ACCEPTS .014IN	SUP-H7493912430300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L30 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912430320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L30 MM ODSEC3.25 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912430320	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L30 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912430350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC QUANTUM APEX PLATINUM IRIDIUM L143 CM L30 MM ODSEC3.5 MM MONORAIL RAPID EXCHANGE ACCEPTS .014 IN GUIDEWIRE PTCA	SUP-H7493912430350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA ZGLIDE L144 CM L8 MM ODSEC1.2 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908120	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA ZGLIDE L144 CM L8 MM ODSEC1.2 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908120	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL 144CM 8MM 6FR 1.5MM .07IN OPTILEAP ZGLIDE XTRA PLATINUM 2 SHAFT RAPID	SUP-H7493918908150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL 144CM 8MM 6FR 1.5MM .07IN OPTILEAP ZGLIDE XTRA PLATINUM 2 SHAFT RAPID	SUP-H7493918908150	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA PLATINUM L144 CM L8 MM OD6 FR ODSEC2 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA	SUP-H7493918908200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA PLATINUM L144 CM L8 MM OD6 FR ODSEC2 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA	SUP-H7493918908200	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA L144 CM L8 MM ODSEC2.25 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA L144 CM L8 MM ODSEC2.25 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908220	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORIAL OPTILEAP XTRA L144CM L8MM ODSEC 2.5MM 2LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORIAL OPTILEAP XTRA L144CM L8MM ODSEC 2.5MM 2LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA L144 CM L8 MM ODSEC2.75 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA L144 CM L8 MM ODSEC2.75 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908270	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L8 MM OD6 FR ODSEC3 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918908300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L8 MM OD6 FR ODSEC3 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918908300	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L8 MM OD6 FR ODSEC3.5 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918908350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L8 MM OD6 FR ODSEC3.5 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918908350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA L144CM L8MM ODSEC 4MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA L144CM L8MM ODSEC 4MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918908400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 1.20 X 12MM	SUP-H7493918912120	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 1.20 X 12MM	SUP-H7493918912120	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 1.50 X 12MM	SUP-H7493918912150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 1.50 X 12MM	SUP-H7493918912150	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 12MM	SUP-H7493918912200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 12MM	SUP-H7493918912200	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL 144CM 12MM 6FR 2.25MM .07IN OPTILEAP ZGLIDE XTRA PLATINUM 2 SHAFT RAPID	SUP-H7493918912220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL 144CM 12MM 6FR 2.25MM .07IN OPTILEAP ZGLIDE XTRA PLATINUM 2 SHAFT RAPID	SUP-H7493918912220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 12MM	SUP-H7493918912250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 12MM	SUP-H7493918912250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L12 MM OD6 FR ODSEC2.75 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918912270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L12 MM OD6 FR ODSEC2.75 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918912270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 12MM	SUP-H7493918912300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 12MM	SUP-H7493918912300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 12MM	SUP-H7493918912350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 12MM	SUP-H7493918912350	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L12 MM OD6 FR ODSEC3.75 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918912370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L12 MM OD6 FR ODSEC3.75 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918912370	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 12MM	SUP-H7493918912400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 12MM	SUP-H7493918912400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 1.20 X 15MM	SUP-H7493918915120	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 1.20 X 15MM	SUP-H7493918915120	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 1.50 X 15MM	SUP-H7493918915150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 1.50 X 15MM	SUP-H7493918915150	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 15MM	SUP-H7493918915200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 15MM	SUP-H7493918915200	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L15 MM OD6 FR ODSEC2.25 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918915220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L15 MM OD6 FR ODSEC2.25 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918915220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 15MM	SUP-H7493918915250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 15MM	SUP-H7493918915250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L15 MM OD6 FR ODSEC2.75 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918915270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L15 MM OD6 FR ODSEC2.75 MM ID.07 IN 2 SHAFT RAPID EXCHANGE RADIOPAQUE ULTRA LOW PROFILE PTCA FG	SUP-H7493918915270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 15MM	SUP-H7493918915300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 15MM	SUP-H7493918915300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 15MM	SUP-H7493918915350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 15MM	SUP-H7493918915350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 15MM	SUP-H7493918915400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 15MM	SUP-H7493918915400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 1.20 X 20MM	SUP-H7493918920120	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 1.20 X 20MM	SUP-H7493918920120	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 1.50 X 20MM	SUP-H7493918920150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 1.50 X 20MM	SUP-H7493918920150	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 20MM	SUP-H7493918920200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 20MM	SUP-H7493918920200	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA ZGLIDE L144 CM L20 MM ODSEC2.25 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918920220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA ZGLIDE L144 CM L20 MM ODSEC2.25 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918920220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 20MM	SUP-H7493918920250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 20MM	SUP-H7493918920250	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA ZGLIDE L144 CM L20 MM ODSEC2.75 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918920270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP XTRA ZGLIDE L144 CM L20 MM ODSEC2.75 MM 2 LUMEN ULTRA LOW PROFILE WORKHORSE RADIOPAQUE ACCEPTS 6 FR GUIDE CATHETER PTCA	SUP-H7493918920270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 20MM	SUP-H7493918920300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 20MM	SUP-H7493918920300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 20MM	SUP-H7493918920350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 20MM	SUP-H7493918920350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 20MM	SUP-H7493918920400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 20MM	SUP-H7493918920400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 30MM	SUP-H7493918930200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.00 X 30MM	SUP-H7493918930200	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 30MM	SUP-H7493918930250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 2.50 X 30MM	SUP-H7493918930250	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 30MM	SUP-H7493918930300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.00 X 30MM	SUP-H7493918930300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 30MM	SUP-H7493918930350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 3.50 X 30MM	SUP-H7493918930350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 30MM	SUP-H7493918930400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC EMERGE BALLOON 4.00 X 30MM	SUP-H7493918930400	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L8 MM OD6 FR ODSEC1.5 MM ID.07 IN RAPID EXCHANGE PUSH MARKER BAND ULTRA LOW PROFILE PTCA FG	SUP-H7493919008150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L8 MM OD6 FR ODSEC1.5 MM ID.07 IN RAPID EXCHANGE PUSH MARKER BAND ULTRA LOW PROFILE PTCA FG	SUP-H7493919008150	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L15 MM OD6 FR ODSEC1.5 MM ID.07 IN RAPID EXCHANGE PUSH MARKER BAND ULTRA LOW PROFILE PTCA FG	SUP-H7493919015150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L15 MM OD6 FR ODSEC1.5 MM ID.07 IN RAPID EXCHANGE PUSH MARKER BAND ULTRA LOW PROFILE PTCA FG	SUP-H7493919015150	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L20 MM OD6 FR ODSEC1.5 MM ID.07 IN RAPID EXCHANGE PUSH MARKER BAND ULTRA LOW PROFILE PTCA FG	SUP-H7493919020150	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION EMERGE MONORAIL OPTILEAP ZGLIDE XTRA L144 CM L20 MM OD6 FR ODSEC1.5 MM ID.07 IN RAPID EXCHANGE PUSH MARKER BAND ULTRA LOW PROFILE PTCA FG	SUP-H7493919020150	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.00 X 8MM	SUP-H7493926708200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.00 X 8MM	SUP-H7493926708200	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.25 X 8MM	SUP-H7493926708220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.25 X 8MM	SUP-H7493926708220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.50 X 8MM	SUP-H7493926708250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.50 X 8MM	SUP-H7493926708250	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.75 X 8MM	SUP-H7493926708270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.75 X 8MM	SUP-H7493926708270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.00 X 8MM	SUP-H7493926708300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.00 X 8MM	SUP-H7493926708300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.25 X 8MM	SUP-H7493926708320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.25 X 8MM	SUP-H7493926708320	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.50 X 8MM	SUP-H7493926708350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.50 X 8MM	SUP-H7493926708350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.75 X 8MM	SUP-H7493926708370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.75 X 8MM	SUP-H7493926708370	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.00 X 8MM	SUP-H7493926708400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.00 X 8MM	SUP-H7493926708400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.50 X 8MM	SUP-H7493926708450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.50 X 8MM	SUP-H7493926708450	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 5.00 X 8MM	SUP-H7493926708500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 5.00 X 8MM	SUP-H7493926708500	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.00 X 12MM	SUP-H7493926712200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.00 X 12MM	SUP-H7493926712200	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.25 X 12MM	SUP-H7493926712220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.25 X 12MM	SUP-H7493926712220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.50 X 12MM	SUP-H7493926712250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.50 X 12MM	SUP-H7493926712250	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.75 X 12MM	SUP-H7493926712270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.75 X 12MM	SUP-H7493926712270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.00 X 12MM	SUP-H7493926712300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.00 X 12MM	SUP-H7493926712300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.25 X 12MM	SUP-H7493926712320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.25 X 12MM	SUP-H7493926712320	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.50 X 12MM	SUP-H7493926712350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.50 X 12MM	SUP-H7493926712350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.75 X 12MM	SUP-H7493926712370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.75 X 12MM	SUP-H7493926712370	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.00 X 12MM	SUP-H7493926712400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.00 X 12MM	SUP-H7493926712400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.50 X 12MM	SUP-H7493926712450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.50 X 12MM	SUP-H7493926712450	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 5.00 X 12MM	SUP-H7493926712500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 5.00 X 12MM	SUP-H7493926712500	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.00 X 15MM	SUP-H7493926715200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.00 X 15MM	SUP-H7493926715200	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.25 X 15MM	SUP-H7493926715220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.25 X 15MM	SUP-H7493926715220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.50 X 15MM	SUP-H7493926715250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.50 X 15MM	SUP-H7493926715250	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.75 X 15MM	SUP-H7493926715270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.75 X 15MM	SUP-H7493926715270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.00 X 15MM	SUP-H7493926715300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.00 X 15MM	SUP-H7493926715300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.25 X 15MM	SUP-H7493926715320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.25 X 15MM	SUP-H7493926715320	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.50 X 15MM	SUP-H7493926715350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.50 X 15MM	SUP-H7493926715350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.75 X 15MM	SUP-H7493926715370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.75 X 15MM	SUP-H7493926715370	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.00 X 15MM	SUP-H7493926715400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.00 X 15MM	SUP-H7493926715400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.50 X 15MM	SUP-H7493926715450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.50 X 15MM	SUP-H7493926715450	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 5.00 X 15MM	SUP-H7493926715500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 5.00 X 15MM	SUP-H7493926715500	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.00 X 20MM	SUP-H7493926720200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.00 X 20MM	SUP-H7493926720200	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.25 X 20MM	SUP-H7493926720220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.25 X 20MM	SUP-H7493926720220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.50 X 20MM	SUP-H7493926720250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.50 X 20MM	SUP-H7493926720250	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.75 X 20MM	SUP-H7493926720270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.75 X 20MM	SUP-H7493926720270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.00 X 20MM	SUP-H7493926720300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.00 X 20MM	SUP-H7493926720300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.25 X 20MM	SUP-H7493926720320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.25 X 20MM	SUP-H7493926720320	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.50 X 20MM	SUP-H7493926720350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.50 X 20MM	SUP-H7493926720350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.75 X 20MM	SUP-H7493926720370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.75 X 20MM	SUP-H7493926720370	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.00 X 20MM	SUP-H7493926720400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.00 X 20MM	SUP-H7493926720400	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.50 X 20MM	SUP-H7493926720450	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.50 X 20MM	SUP-H7493926720450	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 5.00 X 20MM	SUP-H7493926720500	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 5.00 X 20MM	SUP-H7493926720500	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.00 X 30MM	SUP-H7493926730200	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.00 X 30MM	SUP-H7493926730200	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.25 X 30MM	SUP-H7493926730220	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.25 X 30MM	SUP-H7493926730220	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.50 X 30MM	SUP-H7493926730250	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.50 X 30MM	SUP-H7493926730250	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 2.75 X 30MM	SUP-H7493926730270	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 2.75 X 30MM	SUP-H7493926730270	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.00 X 30MM	SUP-H7493926730300	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.00 X 30MM	SUP-H7493926730300	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.25 X 30MM	SUP-H7493926730320	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.25 X 30MM	SUP-H7493926730320	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.50 X 30MM	SUP-H7493926730350	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.50 X 30MM	SUP-H7493926730350	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 3.75 X 30MM	SUP-H7493926730370	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 3.75 X 30MM	SUP-H7493926730370	CDM			481	RC		inpatient			150	150																																																			
BOSTON SCIENTIFIC NC EMERGE 4.00 X 30MM	SUP-H7493926730400	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BOSTON SCIENTIFIC NC EMERGE 4.00 X 30MM	SUP-H7493926730400	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2006X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2006X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2008X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2008X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2015X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2020X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2020X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP22520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2527X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 2.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP2527X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2.75MM DURA-TRAC NYLON STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE	SUP-NCEUP27520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 2.75MM DURA-TRAC NYLON STERILE LF RAPID EXCHANGE RADIOPAQUE FEMALE	SUP-NCEUP27520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27527X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 2.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP27527X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3006X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3006X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3008X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3008X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3015X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3020X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3020X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3027X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3027X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32527X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3.25MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP32527X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3527X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP3527X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37506X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37506X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37512X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37527X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 3.75MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP37527X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4006X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 6MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4006X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4008X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4008X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4015X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4020X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4020X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4027X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 27MM 4MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4027X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 4.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4508X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 4.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4508X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 4.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4512X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 4.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4512X	CDM			481	RC		inpatient			150	150																																																			
BALLOON NCEUPHORA	SUP-NCEUP4515X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
BALLOON NCEUPHORA	SUP-NCEUP4515X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 4.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4520X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 20MM 4.5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP4520X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP5008X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 8MM 5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP5008X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP5012X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 12MM 5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP5012X	CDM			481	RC		inpatient			150	150																																																			
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP5015X	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
CATHETER BALLOON DILATATION NC EUPHORA 142CM 15MM 5MM DURATRAC NYLON PLATINUM IRIDIUM STERILE LF RAPID EXCHANGE	SUP-NCEUP5015X	CDM			481	RC		inpatient			150	150																																																			
SCRAPER MEBRANE 23 G	SUP-PD800.23	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCRAPER MEBRANE 23 G	SUP-PD800.23	CDM			270	RC		inpatient			150	150																																																			
ZIPLINE ZIP 8I SURGICAL CLOSURE DEVICE	SUP-PS2080	CDM			481	RC		outpatient			150	15	73.5				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	73.5				percent of total billed charges		76.5				percent of total billed charges		15				other	OPPS APC	15	150	
ZIPLINE ZIP 8I SURGICAL CLOSURE DEVICE	SUP-PS2080	CDM			481	RC		inpatient			150	150																																																			
STENT PANCREATIC ZIMMON L5 CM X OD 7F SINGLE PIGTAIL	SUP-SPSOF-7-5	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
STENT PANCREATIC ZIMMON L5 CM X OD 7F SINGLE PIGTAIL	SUP-SPSOF-7-5	CDM			270	RC		inpatient			150	150																																																			
STYLET STRAIGHTENING	SUP-SST-650	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
STYLET STRAIGHTENING	SUP-SST-650	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE WAVE L32 MM OD4 MM CALCANEAL LOCKING NONCANNULATED	SUP-ZPLS32	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE WAVE L32 MM OD4 MM CALCANEAL LOCKING NONCANNULATED	SUP-ZPLS32	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE WAVE L34 MM OD4 MM CALCANEUS LOCK	SUP-ZPLS34	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE WAVE L34 MM OD4 MM CALCANEUS LOCK	SUP-ZPLS34	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE WAVE L36 MM OD4 MM CALCANEUS LOCK	SUP-ZPLS36	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE WAVE L36 MM OD4 MM CALCANEUS LOCK	SUP-ZPLS36	CDM			270	RC		inpatient			150	150																																																			
SCREW BONE WAVE L38 MM OD4 MM CALCANEUS LOCK	SUP-ZPLS38	CDM			270	RC		outpatient			150	15	40.64				percent of total billed charges		150				other	OPPS APC	111				percent of total billed charges		150				other	OPPS APC	150				other	OPPS APC	40.64				percent of total billed charges		41.45				percent of total billed charges		15				other	OPPS APC	15	150	
SCREW BONE WAVE L38 MM OD4 MM CALCANEUS LOCK	SUP-ZPLS38	CDM			270	RC		inpatient			150	150																																																			
FOGARTY EMBOLECTOMY CATH 3 FR	SUP-83-00013	CDM			272	RC		outpatient			149.96	149.96	40.62				percent of total billed charges		149.96				other	OPPS APC	110.97				percent of total billed charges		149.96				other	OPPS APC	149.96				other	OPPS APC	40.62				percent of total billed charges		41.43				percent of total billed charges		149.96				other	OPPS APC	40.62	149.96	
FOGARTY EMBOLECTOMY CATH 3 FR	SUP-83-00013	CDM			272	RC		inpatient			149.96	149.96																																																			
FOGARTY EMBOLECTOMY CATH 4 FR	SUP-83-00014	CDM			272	RC		outpatient			149.96	149.96	40.62				percent of total billed charges		149.96				other	OPPS APC	110.97				percent of total billed charges		149.96				other	OPPS APC	149.96				other	OPPS APC	40.62				percent of total billed charges		41.43				percent of total billed charges		149.96				other	OPPS APC	40.62	149.96	
FOGARTY EMBOLECTOMY CATH 4 FR	SUP-83-00014	CDM			272	RC		inpatient			149.96	149.96																																																			
FOGARTY EMBOLECTOMY CATH 6 FR	SUP-83-00016	CDM			272	RC		outpatient			149.96	149.96	40.62				percent of total billed charges		149.96				other	OPPS APC	110.97				percent of total billed charges		149.96				other	OPPS APC	149.96				other	OPPS APC	40.62				percent of total billed charges		41.43				percent of total billed charges		149.96				other	OPPS APC	40.62	149.96	
FOGARTY EMBOLECTOMY CATH 6 FR	SUP-83-00016	CDM			272	RC		inpatient			149.96	149.96																																																			
IMMOBILIZER SHOULDER LG W/ABDUCT	SUP-36-00047	CDM			271	RC		outpatient			149.76	149.76	40.57				percent of total billed charges		149.76				other	OPPS APC	110.82				percent of total billed charges		149.76				other	OPPS APC	149.76				other	OPPS APC	40.57				percent of total billed charges		41.38				percent of total billed charges		149.76				other	OPPS APC	40.57	149.76	
IMMOBILIZER SHOULDER LG W/ABDUCT	SUP-36-00047	CDM			271	RC		inpatient			149.76	149.76																																																			
PACK SHOULDER ARTHROSCOPY	SUP-DYNJ59289A	CDM	270009121	LOCAL	270	RC		outpatient			149.7	149.7	40.55				percent of total billed charges		149.7				other	OPPS APC	110.78				percent of total billed charges		149.7				other	OPPS APC	149.7				other	OPPS APC	40.55				percent of total billed charges		41.36				percent of total billed charges		149.7				other	OPPS APC	40.55	149.7	
PACK SHOULDER ARTHROSCOPY	SUP-DYNJ59289A	CDM	270009121	LOCAL	270	RC		inpatient			149.7	149.7																																																			
PLATE SEMI TUBULAR 4 HOLE	SUP-222.04	CDM	270010022	LOCAL	270	RC		outpatient			149.6	149.6	40.53				percent of total billed charges		149.6				other	OPPS APC	110.7				percent of total billed charges		149.6				other	OPPS APC	149.6				other	OPPS APC	40.53				percent of total billed charges		41.33				percent of total billed charges		149.6				other	OPPS APC	40.53	149.6	
PLATE SEMI TUBULAR 4 HOLE	SUP-222.04	CDM	270010022	LOCAL	270	RC		inpatient			149.6	149.6																																																			
HEMATURIA CATHETER 22FR 30CC 3	SUP-70-00033	CDM			272	RC		outpatient			149.57	149.57	40.52				percent of total billed charges		149.57				other	OPPS APC	110.68				percent of total billed charges		149.57				other	OPPS APC	149.57				other	OPPS APC	40.52				percent of total billed charges		41.33				percent of total billed charges		149.57				other	OPPS APC	40.52	149.57	
HEMATURIA CATHETER 22FR 30CC 3	SUP-70-00033	CDM			272	RC		inpatient			149.57	149.57																																																			
BACTI-STAT	SUP-100-0111	CDM			272	RC		outpatient			149.4	149.41	40.47				percent of total billed charges		149.4				other	OPPS APC	110.56				percent of total billed charges		149.4				other	OPPS APC	149.4				other	OPPS APC	40.47				percent of total billed charges		41.28				percent of total billed charges		149.41				other	OPPS APC	40.47	149.41	
BACTI-STAT	SUP-100-0111	CDM			272	RC		inpatient			149.4	149.4																																																			
DRAPE EQUIPMENT VELYS STERILE	SUP-451570018	CDM			270	RC		outpatient			149.1	150	40.39				percent of total billed charges		149.1				other	OPPS APC	110.33				percent of total billed charges		149.1				other	OPPS APC	149.1				other	OPPS APC	40.39				percent of total billed charges		41.2				percent of total billed charges		150				other	OPPS APC	40.39	150	
DRAPE EQUIPMENT VELYS STERILE	SUP-451570018	CDM			270	RC		inpatient			149.1	149.1																																																			
SUTURE STRATAFIX CTX 36CM	SUP-74-00444	CDM			272	RC		outpatient			149.02	149.21	40.37				percent of total billed charges		149.02				other	OPPS APC	110.27				percent of total billed charges		149.02				other	OPPS APC	149.02				other	OPPS APC	40.37				percent of total billed charges		41.17				percent of total billed charges		149.21				other	OPPS APC	40.37	149.21	
SUTURE STRATAFIX CTX 36CM	SUP-74-00444	CDM			272	RC		inpatient			149.02	149.02																																																			
HC Immunofixation  Blood	PX-300863340	CDM	86334	CPT	300	RC		outpatient			149	22.34	29.87				fee schedule		22.34				fee schedule		59.3				fee schedule		22.34				fee schedule		22.34				fee schedule		22.34				fee schedule		22.34				fee schedule		22.34				fee schedule		22.34	59.3	
HC Immunofixation  Blood	PX-300863340	CDM	86334	CPT	300	RC		inpatient			149	149																																																			
HC Mandible - Limited < 4 Views	PX-320701001	CDM	70100	CPT	320	RC		outpatient			149	91.5	35.8				fee schedule		91.5				other	OPPS APC	71.95				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	38.75				fee schedule		29.94				fee schedule		91.5				other	OPPS APC	29.94	91.5	
HC Mandible - Limited < 4 Views	PX-320701001	CDM	70100	CPT	320	RC		inpatient			149	149																																																			
SCREW BONE 12MM 2.3MM SS STERILE CORTICAL	SUP-AR-13123-12	CDM			270	RC		outpatient			149	149	40.36				percent of total billed charges		149				other	OPPS APC	110.26				percent of total billed charges		149				other	OPPS APC	149				other	OPPS APC	40.36				percent of total billed charges		41.17				percent of total billed charges		149				other	OPPS APC	40.36	149	
SCREW BONE 12MM 2.3MM SS STERILE CORTICAL	SUP-AR-13123-12	CDM			270	RC		inpatient			149	149																																																			
CATHETER ANGIOGRAPHIC ROYAL FLUSH PLUS BEACON TIP NYLON PLASTIC VERRILL CONTRALATERAL FLUSH CURVE L65 CM OD5 FR 8 SPIRAL SIDEPORT HIGH FLOW ACCEPTS .035 IN GUIDEWIRE	SUP-HNR5.03565P8SVCF	CDM			270	RC		outpatient			148.6	148.6	40.26				percent of total billed charges		148.6				other	OPPS APC	109.96				percent of total billed charges		148.6				other	OPPS APC	148.6				other	OPPS APC	40.26				percent of total billed charges		41.06				percent of total billed charges		148.6				other	OPPS APC	40.26	148.6	
CATHETER ANGIOGRAPHIC ROYAL FLUSH PLUS BEACON TIP NYLON PLASTIC VERRILL CONTRALATERAL FLUSH CURVE L65 CM OD5 FR 8 SPIRAL SIDEPORT HIGH FLOW ACCEPTS .035 IN GUIDEWIRE	SUP-HNR5.03565P8SVCF	CDM			270	RC		inpatient			148.6	148.6																																																			
TUBE MOSS G 20FR	SUP-95-02102	CDM			278	RC		outpatient			148.58	148.58	148.58				fee schedule		148.58				other	OPPS APC	84.69				percent of total billed charges		148.58				other	OPPS APC	148.58				other	OPPS APC	72.8				percent of total billed charges		75.78				percent of total billed charges		148.58				other	OPPS APC	72.8	148.58	
TUBE MOSS G 20FR	SUP-95-02102	CDM			278	RC		inpatient			148.58	148.58																																																			
TUBE MOSS G 24FR	SUP-95-02103	CDM			278	RC		outpatient			148.58	148.58	148.58				fee schedule		148.58				other	OPPS APC	84.69				percent of total billed charges		148.58				other	OPPS APC	148.58				other	OPPS APC	72.8				percent of total billed charges		75.78				percent of total billed charges		148.58				other	OPPS APC	72.8	148.58	
TUBE MOSS G 24FR	SUP-95-02103	CDM			278	RC		inpatient			148.58	148.58																																																			
KIT CATHETER MAHURKAR L16 CM OD13.5 FR 2 LUMEN HIGH FLOW PRECURVE EXTENSION HEMODIALYSIS	SUP-8888135163	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR L16 CM OD13.5 FR 2 LUMEN HIGH FLOW PRECURVE EXTENSION HEMODIALYSIS	SUP-8888135163	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT CATHETER MAHURKAR QPLUS POLYURETHANE L19.5 CM OD13.5 FR STRAIGHT EXTENSION STERILE HEMODIALYSIS	SUP-8888135191	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR QPLUS POLYURETHANE L19.5 CM OD13.5 FR STRAIGHT EXTENSION STERILE HEMODIALYSIS	SUP-8888135191	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT 13.5FR X 24CM MAHURKAR	SUP-8888135241	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT 13.5FR X 24CM MAHURKAR	SUP-8888135241	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT CATHETER MAHURKAR ELITE L20 CM OD13.5 FR STRAIGHT EXTENSION	SUP-8888211220	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR ELITE L20 CM OD13.5 FR STRAIGHT EXTENSION	SUP-8888211220	CDM			270	RC		inpatient			148.5	148.5																																																			
MAHURKAR 20CM	SUP-8888211220	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
MAHURKAR 20CM	SUP-8888211220	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT CATHETER MAHURKAR ELITE L24 CM OD13.5 FR STRAIGHT EXTENSION	SUP-8888211224	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR ELITE L24 CM OD13.5 FR STRAIGHT EXTENSION	SUP-8888211224	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT CATHETER MAHURKAR ELITE POLYURETHANE LARGE L16 CM OD13.5 FR 2 LUMEN HIGH FLOW ATRAUMATIC TIP CURVE EXTENSION GREEN HEMODIALYSIS	SUP-8888212216	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR ELITE POLYURETHANE LARGE L16 CM OD13.5 FR 2 LUMEN HIGH FLOW ATRAUMATIC TIP CURVE EXTENSION GREEN HEMODIALYSIS	SUP-8888212216	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT CATHETER MAHURKAR ELITE POLYURETHANE LARGE L20 CM OD13.5 FR 2 LUMEN HIGH FLOW ATRAUMATIC TIP CURVE EXTENSION GREEN HEMODIALYSIS	SUP-8888212220	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR ELITE POLYURETHANE LARGE L20 CM OD13.5 FR 2 LUMEN HIGH FLOW ATRAUMATIC TIP CURVE EXTENSION GREEN HEMODIALYSIS	SUP-8888212220	CDM			270	RC		inpatient			148.5	148.5																																																			
KIT CATHETER MAHURKAR ELITE POLYURETHANE LARGE L16 CM OD13.5 FR 2 LUMEN HIGH FLOW ATRAUMATIC TIP CURVE EXTENSION GREEN HEMODIALYSIS	SUP-8888213216	CDM			270	RC		outpatient			148.5	148.5	40.23				percent of total billed charges		148.5				other	OPPS APC	109.89				percent of total billed charges		148.5				other	OPPS APC	148.5				other	OPPS APC	40.23				percent of total billed charges		41.03				percent of total billed charges		148.5				other	OPPS APC	40.23	148.5	
KIT CATHETER MAHURKAR ELITE POLYURETHANE LARGE L16 CM OD13.5 FR 2 LUMEN HIGH FLOW ATRAUMATIC TIP CURVE EXTENSION GREEN HEMODIALYSIS	SUP-8888213216	CDM			270	RC		inpatient			148.5	148.5																																																			
CATHETER PULMONARY ARTERY SWAN-GANZ CCO VIP 110CM 7.5FR HEPARIN POLYMER PULMONARY	SUP-139F75	CDM			481	RC		outpatient			148.18	148.18	72.61				percent of total billed charges		148.18				other	OPPS APC	109.65				percent of total billed charges		148.18				other	OPPS APC	148.18				other	OPPS APC	72.61				percent of total billed charges		75.57				percent of total billed charges		148.18				other	OPPS APC	72.61	148.18	
CATHETER PULMONARY ARTERY SWAN-GANZ CCO VIP 110CM 7.5FR HEPARIN POLYMER PULMONARY	SUP-139F75	CDM			481	RC		inpatient			148.18	148.18																																																			
DRAPE SURGICAL DEVON HANDS-FREE TRANSFER FOAM L16 IN X W10 IN FLEXIBLE MAGNET NONSLIP BACK LATEX FREE REUSABLE 116	SUP-31140588	CDM						inpatient			148.15	148.15																																																			
DRAPE SURGICAL DEVON HANDS-FREE TRANSFER FOAM L16 IN X W10 IN FLEXIBLE MAGNET NONSLIP BACK LATEX FREE REUSABLE 116	SUP-31140588	CDM						outpatient			148.15	148.15	148.15				percent of total billed charges		148.15				other	OPPS APC	148.15				fee schedule		148.15				other	OPPS APC	148.15				other	OPPS APC	148.15				case rate		148.15				case rate		148.15				other	OPPS APC	148.15	148.15	
Catheter Phillips 16fr	PX-272000005	CDM			272	RC		outpatient			148.08	148.81	40.11				percent of total billed charges		148.08				other	OPPS APC	148.08				fee schedule		148.08				other	OPPS APC	148.08				other	OPPS APC	40.11				percent of total billed charges		40.91				percent of total billed charges		148.81				other	OPPS APC	40.11	148.81	
Catheter Phillips 16fr	PX-272000005	CDM			272	RC		inpatient			148.08	148.08																																																			
PIN BONE HOLDING HEX HEAD	SUP-00-5061-063-00	CDM			270	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
PIN BONE HOLDING HEX HEAD	SUP-00-5061-063-00	CDM			270	RC		inpatient			148	148																																																			
UROPLASTY ENDOSCOPIC  NEEDLE	SUP-77-00050	CDM			272	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
UROPLASTY ENDOSCOPIC  NEEDLE	SUP-77-00050	CDM			272	RC		inpatient			148	148																																																			
RESECTOR FORMULA 3.5MM	SUP-79-00074	CDM			272	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
RESECTOR FORMULA 3.5MM	SUP-79-00074	CDM			272	RC		inpatient			148	148																																																			
TOMCAT 3.5	SUP-79-00075	CDM			272	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
TOMCAT 3.5	SUP-79-00075	CDM			272	RC		inpatient			148	148																																																			
K-WIRE ASNIS 3MM 1.2MM X 100MM	SUP-95-03063	CDM			278	RC		outpatient			148	148	148				fee schedule		148				other	OPPS APC	84.36				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	72.52				percent of total billed charges		75.48				percent of total billed charges		148				other	OPPS APC	72.52	148	
K-WIRE ASNIS 3MM 1.2MM X 100MM	SUP-95-03063	CDM			278	RC		inpatient			148	148																																																			
PLS AIMING GUIDES	SUP-95-04707	CDM			272	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
PLS AIMING GUIDES	SUP-95-04707	CDM			272	RC		inpatient			148	148																																																			
0.9MM X 70MM K-WIRE	SUP-97-04895	CDM			278	RC		outpatient			148	148	148				fee schedule		148				other	OPPS APC	84.36				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	72.52				percent of total billed charges		75.48				percent of total billed charges		148				other	OPPS APC	72.52	148	
0.9MM X 70MM K-WIRE	SUP-97-04895	CDM			278	RC		inpatient			148	148																																																			
SCREW BONE WAVE FULL THREAD L50 MM OD4 MM CALCANEAL NONLOCKING	SUP-ZPFTS50	CDM			270	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
SCREW BONE WAVE FULL THREAD L50 MM OD4 MM CALCANEAL NONLOCKING	SUP-ZPFTS50	CDM			270	RC		inpatient			148	148																																																			
SCREW BONE WAVE FULL THREAD 55MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS55	CDM			270	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
SCREW BONE WAVE FULL THREAD 55MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS55	CDM			270	RC		inpatient			148	148																																																			
SCREW BONE WAVE FULL THREAD 60MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS60	CDM			270	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
SCREW BONE WAVE FULL THREAD 60MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS60	CDM			270	RC		inpatient			148	148																																																			
SCREW BONE WAVE FULL THREAD 65MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS65	CDM			270	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
SCREW BONE WAVE FULL THREAD 65MM 4MM NS LOWER EXTREMITY NONLOCK	SUP-ZPFTS65	CDM			270	RC		inpatient			148	148																																																			
SCREW BONE WAVE FULL THREAD L70 MM OD4 MM CALCANEAL NONLOCKING	SUP-ZPFTS70	CDM			270	RC		outpatient			148	148	40.09				percent of total billed charges		148				other	OPPS APC	109.52				percent of total billed charges		148				other	OPPS APC	148				other	OPPS APC	40.09				percent of total billed charges		40.89				percent of total billed charges		148				other	OPPS APC	40.09	148	
SCREW BONE WAVE FULL THREAD L70 MM OD4 MM CALCANEAL NONLOCKING	SUP-ZPFTS70	CDM			270	RC		inpatient			148	148																																																			
SUTURE ABSORBABLE MONOCRYL 5-0 RB-1 L27 IN MONOFILAMENT UNDYED	SUP-Y213H	CDM			270	RC		outpatient			147.84	147.84	40.05				percent of total billed charges		147.84				other	OPPS APC	109.4				percent of total billed charges		147.84				other	OPPS APC	147.84				other	OPPS APC	40.05				percent of total billed charges		40.85				percent of total billed charges		147.84				other	OPPS APC	40.05	147.84	
SUTURE ABSORBABLE MONOCRYL 5-0 RB-1 L27 IN MONOFILAMENT UNDYED	SUP-Y213H	CDM			270	RC		inpatient			147.84	147.84																																																			
BIT DRILL 195MM 3.5MM NS QUICK COUPLING	SUP-310.37	CDM	270010022	LOCAL	270	RC		outpatient			147.44	147.44	39.94				percent of total billed charges		147.44				other	OPPS APC	109.11				percent of total billed charges		147.44				other	OPPS APC	147.44				other	OPPS APC	39.94				percent of total billed charges		40.74				percent of total billed charges		147.44				other	OPPS APC	39.94	147.44	
BIT DRILL 195MM 3.5MM NS QUICK COUPLING	SUP-310.37	CDM	270010022	LOCAL	270	RC		inpatient			147.44	147.44																																																			
CONTRAST - VISIPAQUE 320 100CC	SUP-99-03398	CDM			255	RC		outpatient			147.36	147.36	35.91				percent of total billed charges		147.36				other	OPPS APC	0.13				fee schedule		147.36				other	OPPS APC	147.36				other	OPPS APC	35.91				percent of total billed charges		36.63				percent of total billed charges		147.36				other	OPPS APC	0.13	147.36	
CONTRAST - VISIPAQUE 320 100CC	SUP-99-03398	CDM			255	RC		inpatient			147.36	147.36																																																			
WIRE FIXATION KIRSCHNER FULL THREAD L200 MM OD1.6 MM FOOT NONSTERILE VARIAX LOCK PLATE SYSTEM	SUP-45-80100	CDM			270	RC		outpatient			147.2	147.2	39.88				percent of total billed charges		147.2				other	OPPS APC	108.93				percent of total billed charges		147.2				other	OPPS APC	147.2				other	OPPS APC	39.88				percent of total billed charges		40.67				percent of total billed charges		147.2				other	OPPS APC	39.88	147.2	
WIRE FIXATION KIRSCHNER FULL THREAD L200 MM OD1.6 MM FOOT NONSTERILE VARIAX LOCK PLATE SYSTEM	SUP-45-80100	CDM			270	RC		inpatient			147.2	147.2																																																			
SCREW BONE 4MM 1.5MM CRANIOMAXILLOFACIAL TITANIUM SELF DRILL	SUP-9215904	CDM			270	RC		outpatient			147.08	147.81	39.84				percent of total billed charges		147.08				other	OPPS APC	108.84				percent of total billed charges		147.08				other	OPPS APC	147.08				other	OPPS APC	39.84				percent of total billed charges		40.64				percent of total billed charges		147.81				other	OPPS APC	39.84	147.81	
SCREW BONE 4MM 1.5MM CRANIOMAXILLOFACIAL TITANIUM SELF DRILL	SUP-9215904	CDM			270	RC		inpatient			147.08	147.08																																																			
SCREW TITANIUM 5MM 1.5MM CRANIOMAXILLOFACIAL SELF DRILL BONE	SUP-9215905	CDM			270	RC		outpatient			147.08	147.81	39.84				percent of total billed charges		147.08				other	OPPS APC	108.84				percent of total billed charges		147.08				other	OPPS APC	147.08				other	OPPS APC	39.84				percent of total billed charges		40.64				percent of total billed charges		147.81				other	OPPS APC	39.84	147.81	
SCREW TITANIUM 5MM 1.5MM CRANIOMAXILLOFACIAL SELF DRILL BONE	SUP-9215905	CDM			270	RC		inpatient			147.08	147.08																																																			
HC Tn Theraskin 2x2= 26 Cm per Sq Cm	PX-636Q41214	CDM			636	RC		outpatient			147	147	147				fee schedule		147				other	OPPS APC	49.33				fee schedule		147				other	OPPS APC	147				other	OPPS APC	72.03				percent of total billed charges		36.54				percent of total billed charges		147				other	OPPS APC	36.54	147	
HC Tn Theraskin 2x2= 26 Cm per Sq Cm	PX-636Q41214	CDM			636	RC		inpatient			147	147																																																			
TRACH PEDIATRIC 3.5	SUP-31-00045	CDM			272	RC		outpatient			147	147	39.82				percent of total billed charges		147				other	OPPS APC	108.78				percent of total billed charges		147				other	OPPS APC	147				other	OPPS APC	39.82				percent of total billed charges		40.62				percent of total billed charges		147				other	OPPS APC	39.82	147	
TRACH PEDIATRIC 3.5	SUP-31-00045	CDM			272	RC		inpatient			147	147																																																			
CURETTE 7MM CURVED CANNULA	SUP-95-04090	CDM			272	RC		outpatient			147	147	39.82				percent of total billed charges		147				other	OPPS APC	108.78				percent of total billed charges		147				other	OPPS APC	147				other	OPPS APC	39.82				percent of total billed charges		40.62				percent of total billed charges		147				other	OPPS APC	39.82	147	
CURETTE 7MM CURVED CANNULA	SUP-95-04090	CDM			272	RC		inpatient			147	147																																																			
CANNULA BONE CEMENT VERTEPORT OD10 GA PRECISE CONTROL TACTILE FEEL STERILE LATEX FREE DISPOSABLE	SUP-0306-410-000	CDM			270	RC		outpatient			146.93	146.93	39.8				percent of total billed charges		146.93				other	OPPS APC	108.73				percent of total billed charges		146.93				other	OPPS APC	146.93				other	OPPS APC	39.8				percent of total billed charges		40.6				percent of total billed charges		146.93				other	OPPS APC	39.8	146.93	
CANNULA BONE CEMENT VERTEPORT OD10 GA PRECISE CONTROL TACTILE FEEL STERILE LATEX FREE DISPOSABLE	SUP-0306-410-000	CDM			270	RC		inpatient			146.93	146.93																																																			
BATTERY SURGICAL DRIVER POWER DRIVER STERNALOCK 1.5 MM RAPIDFIRE TECHNOLOGY	SUP-50-1010	CDM			270	RC		outpatient			146.88	146.88	39.79				percent of total billed charges		146.88				other	OPPS APC	108.69				percent of total billed charges		146.88				other	OPPS APC	146.88				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.88				other	OPPS APC	39.79	146.88	
BATTERY SURGICAL DRIVER POWER DRIVER STERNALOCK 1.5 MM RAPIDFIRE TECHNOLOGY	SUP-50-1010	CDM			270	RC		inpatient			146.88	146.88																																																			
DRILL SURGICAL EVOS OD 1.5MM AO QUICK CONNECT DISPOSABLE	SUP-71174901	CDM			270	RC		outpatient			146.88	146.88	39.79				percent of total billed charges		146.88				other	OPPS APC	108.69				percent of total billed charges		146.88				other	OPPS APC	146.88				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.88				other	OPPS APC	39.79	146.88	
DRILL SURGICAL EVOS OD 1.5MM AO QUICK CONNECT DISPOSABLE	SUP-71174901	CDM			270	RC		inpatient			146.88	146.88																																																			
DRILL SURGICAL EVOS MINI OD 2MM AO QUICK CONNECT COUPLING DISPOSABLE	SUP-71174902	CDM			270	RC		outpatient			146.88	146.88	39.79				percent of total billed charges		146.88				other	OPPS APC	108.69				percent of total billed charges		146.88				other	OPPS APC	146.88				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.88				other	OPPS APC	39.79	146.88	
DRILL SURGICAL EVOS MINI OD 2MM AO QUICK CONNECT COUPLING DISPOSABLE	SUP-71174902	CDM			270	RC		inpatient			146.88	146.88																																																			
DRILL SURGICAL EVOS OD 2.4MM AO QUICK CONNECT DISPOSABLE	SUP-71174907	CDM			270	RC		outpatient			146.88	146.88	39.79				percent of total billed charges		146.88				other	OPPS APC	108.69				percent of total billed charges		146.88				other	OPPS APC	146.88				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.88				other	OPPS APC	39.79	146.88	
DRILL SURGICAL EVOS OD 2.4MM AO QUICK CONNECT DISPOSABLE	SUP-71174907	CDM			270	RC		inpatient			146.88	146.88																																																			
DRILL SURGICAL EVOS SHORT OD 2MM AO QUICK CONNECT DISPOSABLE	SUP-71174910	CDM			270	RC		outpatient			146.88	146.88	39.79				percent of total billed charges		146.88				other	OPPS APC	108.69				percent of total billed charges		146.88				other	OPPS APC	146.88				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.88				other	OPPS APC	39.79	146.88	
DRILL SURGICAL EVOS SHORT OD 2MM AO QUICK CONNECT DISPOSABLE	SUP-71174910	CDM			270	RC		inpatient			146.88	146.88																																																			
DRILL SURGICAL EVOS OD 2.7MM AO QUICK CONNECT DISPOSABLE	SUP-71174912	CDM			270	RC		outpatient			146.88	146.88	39.79				percent of total billed charges		146.88				other	OPPS APC	108.69				percent of total billed charges		146.88				other	OPPS APC	146.88				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.88				other	OPPS APC	39.79	146.88	
DRILL SURGICAL EVOS OD 2.7MM AO QUICK CONNECT DISPOSABLE	SUP-71174912	CDM			270	RC		inpatient			146.88	146.88																																																			
DRAIN INCISION EXPRESS C500 ML MINI CHEST 1 WAY VALVE VACUUM INDICATOR AIR LEAK DETECTOR WINDOW NEEDLELESS ACCESS SAMPLE PORT STERILE LATEX FREE DISPOSABLE	SUP-16400	CDM	270009063	LOCAL	270	RC		outpatient			146.87	146.87	39.79				percent of total billed charges		146.87				other	OPPS APC	108.68				percent of total billed charges		146.87				other	OPPS APC	146.87				other	OPPS APC	39.79				percent of total billed charges		40.58				percent of total billed charges		146.87				other	OPPS APC	39.79	146.87	
DRAIN INCISION EXPRESS C500 ML MINI CHEST 1 WAY VALVE VACUUM INDICATOR AIR LEAK DETECTOR WINDOW NEEDLELESS ACCESS SAMPLE PORT STERILE LATEX FREE DISPOSABLE	SUP-16400	CDM	270009063	LOCAL	270	RC		inpatient			146.87	146.87																																																			
KIT BLADE IBALANCE 2 FINISH PATELLOFEMORAL JOINT ARTHROPLASTY	SUP-AR-602-27	CDM			270	RC		outpatient			146.66	146.66	39.73				percent of total billed charges		146.66				other	OPPS APC	108.53				percent of total billed charges		146.66				other	OPPS APC	146.66				other	OPPS APC	39.73				percent of total billed charges		40.52				percent of total billed charges		146.66				other	OPPS APC	39.73	146.66	
KIT BLADE IBALANCE 2 FINISH PATELLOFEMORAL JOINT ARTHROPLASTY	SUP-AR-602-27	CDM			270	RC		inpatient			146.66	146.66																																																			
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD10 FR BILIARY FLEXIBLE STIFF CANNULA LOCK DUROMETER LARGE HOLE	SUP-M001271550	CDM			270	RC		outpatient			146.62	146.62	39.72				percent of total billed charges		146.62				other	OPPS APC	108.5				percent of total billed charges		146.62				other	OPPS APC	146.62				other	OPPS APC	39.72				percent of total billed charges		40.51				percent of total billed charges		146.62				other	OPPS APC	39.72	146.62	
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD10 FR BILIARY FLEXIBLE STIFF CANNULA LOCK DUROMETER LARGE HOLE	SUP-M001271550	CDM			270	RC		inpatient			146.62	146.62																																																			
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD14 FR BILIARY REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK LARGE HOLE	SUP-M001271590	CDM			270	RC		outpatient			146.62	146.62	39.72				percent of total billed charges		146.62				other	OPPS APC	108.5				percent of total billed charges		146.62				other	OPPS APC	146.62				other	OPPS APC	39.72				percent of total billed charges		40.51				percent of total billed charges		146.62				other	OPPS APC	39.72	146.62	
CATHETER DRAINAGE FLEXIMA PIGTAIL CURVE L35 CM OD14 FR BILIARY REGULAR DUROMETER FLEXIBLE STIFF CANNULA LOCK LARGE HOLE	SUP-M001271590	CDM			270	RC		inpatient			146.62	146.62																																																			
FOGARTY EMBOLECTOMY CATH 5 FR	SUP-83-00015	CDM			272	RC		outpatient			146.52	146.52	39.69				percent of total billed charges		146.52				other	OPPS APC	108.42				percent of total billed charges		146.52				other	OPPS APC	146.52				other	OPPS APC	39.69				percent of total billed charges		40.48				percent of total billed charges		146.52				other	OPPS APC	39.69	146.52	
FOGARTY EMBOLECTOMY CATH 5 FR	SUP-83-00015	CDM			272	RC		inpatient			146.52	146.52																																																			
ADHESIVE SKIN CLOSURE DERMABOND PROPEN 2 OCTYL CYANOACRYLATE XL .75 ML HIGH VISCOSITY LIQUID STRONG FLEXIBLE STERILE LATEX FREE DISPOSABLE	SUP-DPPXL6	CDM			270	RC		outpatient			146.44	146.44	39.67				percent of total billed charges		146.44				other	OPPS APC	108.37				percent of total billed charges		146.44				other	OPPS APC	146.44				other	OPPS APC	39.67				percent of total billed charges		40.46				percent of total billed charges		146.44				other	OPPS APC	39.67	146.44	
ADHESIVE SKIN CLOSURE DERMABOND PROPEN 2 OCTYL CYANOACRYLATE XL .75 ML HIGH VISCOSITY LIQUID STRONG FLEXIBLE STERILE LATEX FREE DISPOSABLE	SUP-DPPXL6	CDM			270	RC		inpatient			146.44	146.44																																																			
ZIPWIRE FLEX STRAIGHT .035	SUP-70-00070	CDM			272	RC		outpatient			146.34	146.34	39.64				percent of total billed charges		146.34				other	OPPS APC	108.29				percent of total billed charges		146.34				other	OPPS APC	146.34				other	OPPS APC	39.64				percent of total billed charges		40.43				percent of total billed charges		146.34				other	OPPS APC	39.64	146.34	
ZIPWIRE FLEX STRAIGHT .035	SUP-70-00070	CDM			272	RC		inpatient			146.34	146.34																																																			
ZIPWIRE FLEX STRAIGHT .038	SUP-70-00073	CDM			272	RC		outpatient			146.34	146.34	39.64				percent of total billed charges		146.34				other	OPPS APC	108.29				percent of total billed charges		146.34				other	OPPS APC	146.34				other	OPPS APC	39.64				percent of total billed charges		40.43				percent of total billed charges		146.34				other	OPPS APC	39.64	146.34	
ZIPWIRE FLEX STRAIGHT .038	SUP-70-00073	CDM			272	RC		inpatient			146.34	146.34																																																			
PIN FIXATION 18MM 1.8MM TITANIUM NS BUTTRESS	SUP-401.968.96	CDM	270010022	LOCAL	270	RC		outpatient			146.3	146.31	39.63				percent of total billed charges		146.3				other	OPPS APC	108.26				percent of total billed charges		146.3				other	OPPS APC	146.3				other	OPPS APC	39.63				percent of total billed charges		40.42				percent of total billed charges		146.31				other	OPPS APC	39.63	146.31	
PIN FIXATION 18MM 1.8MM TITANIUM NS BUTTRESS	SUP-401.968.96	CDM	270010022	LOCAL	270	RC		inpatient			146.3	146.3																																																			
CAUTERY I STAT WHITE DISPOSABLE	SUP-79-4100	CDM			270	RC		outpatient			146.26	146.26	39.62				percent of total billed charges		146.26				other	OPPS APC	108.23				percent of total billed charges		146.26				other	OPPS APC	146.26				other	OPPS APC	39.62				percent of total billed charges		40.41				percent of total billed charges		146.26				other	OPPS APC	39.62	146.26	
CAUTERY I STAT WHITE DISPOSABLE	SUP-79-4100	CDM			270	RC		inpatient			146.26	146.26																																																			
HC Phenobarbital (Phen)	PX-300801840	CDM	80184	CPT	301	RC		outpatient			146	15.31	15.31				fee schedule		15.3				fee schedule		30.42				fee schedule		15.3				fee schedule		15.3				fee schedule		15.3				fee schedule		15.3				fee schedule		15.31				fee schedule		15.3	30.42	
HC Phenobarbital (Phen)	PX-300801840	CDM	80184	CPT	301	RC		inpatient			146	146																																																			
HC Insulin (Inln)	PX-300835250	CDM	83525	CPT	301	RC		outpatient			146	11.43	15.28				fee schedule		11.43				fee schedule		30.36				fee schedule		11.43				fee schedule		11.43				fee schedule		11.43				fee schedule		11.43				fee schedule		11.43				fee schedule		11.43	30.36	
HC Insulin (Inln)	PX-300835250	CDM	83525	CPT	301	RC		inpatient			146	146																																																			
HC D Dimer Quantitative	PX-300853790	CDM	85379	CPT	305	RC		outpatient			146	1.18	10.83				fee schedule		10.18				fee schedule		21.49				fee schedule		10.18				fee schedule		10.18				fee schedule		10.18				fee schedule		10.18				fee schedule		1.18				fee schedule		1.18	21.49	
HC D Dimer Quantitative	PX-300853790	CDM	85379	CPT	305	RC		inpatient			146	146																																																			
HC Anti-Hav  Igm (Hav)	PX-300867090	CDM	86709	CPT	300	RC		outpatient			146	11.26	15.05				fee schedule		11.26				fee schedule		29.89				fee schedule		11.26				fee schedule		11.26				fee schedule		11.26				fee schedule		11.26				fee schedule		11.26				fee schedule		11.26	29.89	
HC Anti-Hav  Igm (Hav)	PX-300867090	CDM	86709	CPT	300	RC		inpatient			146	146																																																			
HC Orbit-Foreign Body	PX-320700300	CDM	70030	CPT	320	RC		outpatient			146	91.5	30.34				fee schedule		91.5				other	OPPS APC	61.67				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.73				fee schedule		23.95				fee schedule		91.5				other	OPPS APC	23.95	91.5	
HC Orbit-Foreign Body	PX-320700300	CDM	70030	CPT	320	RC		inpatient			146	146																																																			
HC Ribs	PX-320711000	CDM	71100	CPT	320	RC		outpatient			146	91.5	33.94				fee schedule		91.5				other	OPPS APC	82.39				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	37.07				fee schedule		26.28				fee schedule		91.5				other	OPPS APC	26.28	91.5	
HC Ribs	PX-320711000	CDM	71100	CPT	320	RC		inpatient			146	146																																																			
HC Spine 1 View	PX-320720200	CDM	72020	CPT	320	RC		outpatient			146	91.5	23.8				fee schedule		91.5				other	OPPS APC	59.06				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	24.71				fee schedule		16.96				fee schedule		91.5				other	OPPS APC	16.96	91.5	
HC Spine 1 View	PX-320720200	CDM	72020	CPT	320	RC		inpatient			146	146																																																			
HC Thoracic Spine 2 Views	PX-320720700	CDM	72070	CPT	320	RC		outpatient			146	112.57	34.67				fee schedule		112.57				other	OPPS APC	89.96				fee schedule		112.57				other	OPPS APC	112.57				other	OPPS APC	33.07				fee schedule		23.28				fee schedule		112.57				other	OPPS APC	23.28	112.57	
HC Thoracic Spine 2 Views	PX-320720700	CDM	72070	CPT	320	RC		inpatient			146	146																																																			
HC Shoulder 1 View	PX-320730202	CDM	73020	CPT	320	RC		outpatient			146	146	24.53				fee schedule		146				other	OPPS APC	63.8				fee schedule		146				other	OPPS APC	146				other	OPPS APC	21.69				fee schedule		14.29				fee schedule		146				other	OPPS APC	14.29	146	
HC Shoulder 1 View	PX-320730202	CDM	73020	CPT	320	RC		inpatient			146	146																																																			
HC Elbow	PX-320730700	CDM	73070	CPT	320	RC		outpatient			146	91.5	29.26				fee schedule		91.5				other	OPPS APC	68.54				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	29.38				fee schedule		21.28				fee schedule		91.5				other	OPPS APC	21.28	91.5	
HC Elbow	PX-320730700	CDM	73070	CPT	320	RC		inpatient			146	146																																																			
HC Knees Weight Bear Both	PX-320735650	CDM	73565	CPT	320	RC		outpatient			146	91.5	36.79				fee schedule		91.5				other	OPPS APC	68.29				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	40.08				fee schedule		31.6				fee schedule		91.5				other	OPPS APC	31.6	91.5	
HC Knees Weight Bear Both	PX-320735650	CDM	73565	CPT	320	RC		inpatient			146	146																																																			
HC Ankle	PX-320736000	CDM	73600	CPT	320	RC		outpatient			146	91.5	29.63				fee schedule		91.5				other	OPPS APC	66.51				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	32.73				fee schedule		24.61				fee schedule		91.5				other	OPPS APC	24.61	91.5	
HC Ankle	PX-320736000	CDM	73600	CPT	320	RC		inpatient			146	146																																																			
HC Heel	PX-320736500	CDM	73650	CPT	320	RC		outpatient			146	91.5	29.26				fee schedule		91.5				other	OPPS APC	64.63				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	28.71				fee schedule		20.95				fee schedule		91.5				other	OPPS APC	20.95	91.5	
HC Heel	PX-320736500	CDM	73650	CPT	320	RC		inpatient			146	146																																																			
HC Foreign Body Localization	PX-320760100	CDM	76010	CPT	320	RC		outpatient			146	146	28.15				fee schedule		146				other	OPPS APC	71.95				fee schedule		146				other	OPPS APC	146				other	OPPS APC	30.06				fee schedule		21.28				fee schedule		146				other	OPPS APC	21.28	146	
HC Foreign Body Localization	PX-320760100	CDM	76010	CPT	320	RC		inpatient			146	146																																																			
HC Place Needle in Vein	PX-450360001	CDM	36000	CPT	450	RC		outpatient			146	146	195.77				case rate		146				other	OPPS APC	108.04				percent of total billed charges		146				other	OPPS APC	146				other	OPPS APC	195.77				case rate		199.69				case rate		146				other	OPPS APC	108.04	199.69	
HC Place Needle in Vein	PX-450360001	CDM	36000	CPT	450	RC		inpatient			146	146																																																			
HC MC Bh Therapy 45 Min Ind	PX-900908349	CDM	90834	CPT	914	RC		outpatient			146	86.42	85.18				fee schedule		86.42				fee schedule		390.51				fee schedule		86.42				fee schedule		86.42				fee schedule		86.81				fee schedule		146				fee schedule		86.42				fee schedule		85.18	390.51	
HC MC Bh Therapy 45 Min Ind	PX-900908349	CDM	90834	CPT	914	RC		inpatient			146	146																																																			
VSI TRU-TORQUE STRAIGHT TIP GUIDEWIRE 180CM	SUP-7473	CDM			481	RC		outpatient			146	146	71.54				percent of total billed charges		146				other	OPPS APC	108.04				percent of total billed charges		146				other	OPPS APC	146				other	OPPS APC	71.54				percent of total billed charges		74.46				percent of total billed charges		146				other	OPPS APC	71.54	146	
VSI TRU-TORQUE STRAIGHT TIP GUIDEWIRE 180CM	SUP-7473	CDM			481	RC		inpatient			146	146																																																			
INTRODUCER SHEATH FLEXOR CHECK-FLO L90 CM OD8 FR ID2.9 MM RADIOPAQUE SMALL VALVE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G09602	CDM			270	RC		outpatient			146	146	39.55				percent of total billed charges		146				other	OPPS APC	108.04				percent of total billed charges		146				other	OPPS APC	146				other	OPPS APC	39.55				percent of total billed charges		40.34				percent of total billed charges		146				other	OPPS APC	39.55	146	
INTRODUCER SHEATH FLEXOR CHECK-FLO L90 CM OD8 FR ID2.9 MM RADIOPAQUE SMALL VALVE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G09602	CDM			270	RC		inpatient			146	146																																																			
SPECIMEN RETRIEVAL BAG 5MM	SUP-95-05192	CDM			272	RC		outpatient			145.96	145.96	39.54				percent of total billed charges		145.96				other	OPPS APC	108.01				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	39.54				percent of total billed charges		40.33				percent of total billed charges		145.96				other	OPPS APC	39.54	145.96	
SPECIMEN RETRIEVAL BAG 5MM	SUP-95-05192	CDM			272	RC		inpatient			145.96	145.96																																																			
SCREW 2.0 MM CORTEX SLF TAP 10	SUP-97-00919	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.0 MM CORTEX SLF TAP 10	SUP-97-00919	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW 2.0 MM CORTEX SLF TAP 10	SUP-97-00920	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.0 MM CORTEX SLF TAP 10	SUP-97-00920	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW 2.0 CORTEX	SUP-97-00949	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.0 CORTEX	SUP-97-00949	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW CORTEX SLF TAPPING 2.7MM 22M	SUP-97-01171	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW CORTEX SLF TAPPING 2.7MM 22M	SUP-97-01171	CDM			278	RC		inpatient			145.96	145.96																																																			
CORTEX SCREWSELF 2.7MM 12MM	SUP-97-01224	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
CORTEX SCREWSELF 2.7MM 12MM	SUP-97-01224	CDM			278	RC		inpatient			145.96	145.96																																																			
CORTEX SCREWSELF 2.7MM 18MM	SUP-97-01226	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
CORTEX SCREWSELF 2.7MM 18MM	SUP-97-01226	CDM			278	RC		inpatient			145.96	145.96																																																			
CORTEX SCREWSELF TAPPING 2.7 18MM	SUP-97-01227	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
CORTEX SCREWSELF TAPPING 2.7 18MM	SUP-97-01227	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW 2.7 CORTEX	SUP-97-01607	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.7 CORTEX	SUP-97-01607	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW 2.7MM 5MM/14MM	SUP-97-01608	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.7MM 5MM/14MM	SUP-97-01608	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW 2.7MM 5MM/16MM	SUP-97-01609	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.7MM 5MM/16MM	SUP-97-01609	CDM			278	RC		inpatient			145.96	145.96																																																			
SCREW 2.7MM 5MM/20MM	SUP-97-01610	CDM			278	RC		outpatient			145.96	145.96	145.96				fee schedule		145.96				other	OPPS APC	83.2				percent of total billed charges		145.96				other	OPPS APC	145.96				other	OPPS APC	71.52				percent of total billed charges		74.44				percent of total billed charges		145.96				other	OPPS APC	71.52	145.96	
SCREW 2.7MM 5MM/20MM	SUP-97-01610	CDM			278	RC		inpatient			145.96	145.96																																																			
ATROPINE 1 % DROPS 5 ML DROP BTL	637000000	CDM	60219-1749-3	NDC	A9270	HCPCS		inpatient			145.95	145.95																																																			
ATROPINE 1 % DROPS 5 ML DROP BTL	637000000	CDM	60219-1749-3	NDC	A9270	HCPCS		outpatient			145.95	145.95																																															other	OPPS APC			
WASHER	SUP-97-04922	CDM			278	RC		outpatient			145.92	145.92	145.92				fee schedule		145.92				other	OPPS APC	83.17				percent of total billed charges		145.92				other	OPPS APC	145.92				other	OPPS APC	71.5				percent of total billed charges		74.42				percent of total billed charges		145.92				other	OPPS APC	71.5	145.92	
WASHER	SUP-97-04922	CDM			278	RC		inpatient			145.92	145.92																																																			
CATHETER 10FR 2WAY 5ML	SUP-95-01980	CDM			272	RC		outpatient			145.68	145.68	39.46				percent of total billed charges		145.68				other	OPPS APC	107.8				percent of total billed charges		145.68				other	OPPS APC	145.68				other	OPPS APC	39.46				percent of total billed charges		40.25				percent of total billed charges		145.68				other	OPPS APC	39.46	145.68	
CATHETER 10FR 2WAY 5ML	SUP-95-01980	CDM			272	RC		inpatient			145.68	145.68																																																			
SHEATH - 6F MICROPUNCTURE 11CM	SUP-99-04086	CDM			272	RC		outpatient			145.6	145.6	39.44				percent of total billed charges		145.6				other	OPPS APC	107.74				percent of total billed charges		145.6				other	OPPS APC	145.6				other	OPPS APC	39.44				percent of total billed charges		40.23				percent of total billed charges		145.6				other	OPPS APC	39.44	145.6	
SHEATH - 6F MICROPUNCTURE 11CM	SUP-99-04086	CDM			272	RC		inpatient			145.6	145.6																																																			
BIT DRILL TRIGEN SHORT OD 3.2MM PILOT STERILE	SUP-71631112	CDM			270	RC		outpatient			145.46	145.46	39.41				percent of total billed charges		145.46				other	OPPS APC	107.64				percent of total billed charges		145.46				other	OPPS APC	145.46				other	OPPS APC	39.41				percent of total billed charges		40.19				percent of total billed charges		145.46				other	OPPS APC	39.41	145.46	
BIT DRILL TRIGEN SHORT OD 3.2MM PILOT STERILE	SUP-71631112	CDM			270	RC		inpatient			145.46	145.46																																																			
HC Afp Maternal 4 Marker	PX-300815110	CDM	81511	CPT	300	RC		outpatient			145.44	153.5	145.44				fee schedule		153.5				fee schedule		107.63				percent of total billed charges		153.5				fee schedule		153.5				fee schedule		153.5				fee schedule		153.5				fee schedule		153.5				fee schedule		107.63	153.5	
HC Afp Maternal 4 Marker	PX-300815110	CDM	81511	CPT	300	RC		inpatient			145.44	145.44																																																			
GUIDEWIRE ORTHOPEDIC COCR L300 MM L12 MM OD2.5 MM DRILL TIP THREAD NONSTERILE	SUP-338.002	CDM	270010022	LOCAL	270	RC		outpatient			145.2	145.2	39.33				percent of total billed charges		145.2				other	OPPS APC	107.45				percent of total billed charges		145.2				other	OPPS APC	145.2				other	OPPS APC	39.33				percent of total billed charges		40.12				percent of total billed charges		145.2				other	OPPS APC	39.33	145.2	
GUIDEWIRE ORTHOPEDIC COCR L300 MM L12 MM OD2.5 MM DRILL TIP THREAD NONSTERILE	SUP-338.002	CDM	270010022	LOCAL	270	RC		inpatient			145.2	145.2																																																			
GUIDEWIRE-GLIDE SPLASH .035X260 ANGLED STANDARD	SUP-99-00209	CDM			272	RC		outpatient			145.2	145.2	39.33				percent of total billed charges		145.2				other	OPPS APC	107.45				percent of total billed charges		145.2				other	OPPS APC	145.2				other	OPPS APC	39.33				percent of total billed charges		40.12				percent of total billed charges		145.2				other	OPPS APC	39.33	145.2	
GUIDEWIRE-GLIDE SPLASH .035X260 ANGLED STANDARD	SUP-99-00209	CDM			272	RC		inpatient			145.2	145.2																																																			
HC OP Visit New 26-45 Min	PX-510992030	CDM	99203	CPT	510	RC		outpatient			145	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit New 26-45 Min	PX-510992030	CDM	99203	CPT	510	RC		inpatient			145	145																																																			
HC New Pt Visit Level 3	PX-510992032	CDM	99203	HCPCS	510	RC		outpatient			145	127.29	169.66				case rate		81.18				fee schedule		101				case rate		81.18				fee schedule		81.18				fee schedule		169.66				case rate		173.05				case rate		127.29				other	OPPS APC	81.18	173.05	
HC New Pt Visit Level 3	PX-510992032	CDM	99203	HCPCS	510	RC		inpatient			145	145																																																			
HC OP Visit Est 46-90 Min	PX-510992140	CDM	99214	CPT	510	RC		outpatient			145	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit Est 46-90 Min	PX-510992140	CDM	99214	CPT	510	RC		inpatient			145	145																																																			
PANNUS RETENTION SYSTEM 4 PAD 2 STRAP STERILE	SUP-CZ-PRS-04	CDM			270	RC		outpatient			145	145	39.28				percent of total billed charges		145				other	OPPS APC	107.3				percent of total billed charges		145				other	OPPS APC	145				other	OPPS APC	39.28				percent of total billed charges		40.06				percent of total billed charges		145				other	OPPS APC	39.28	145	
PANNUS RETENTION SYSTEM 4 PAD 2 STRAP STERILE	SUP-CZ-PRS-04	CDM			270	RC		inpatient			145	145																																																			
BAG SPECIMEN RETRIEVAL AMI L5 MM 100 ML ABDOMEN TROCAR STERILE DISPOSABLE	SUP-TBI1031	CDM			270	RC		outpatient			145	145	39.28				percent of total billed charges		145				other	OPPS APC	107.3				percent of total billed charges		145				other	OPPS APC	145				other	OPPS APC	39.28				percent of total billed charges		40.06				percent of total billed charges		145				other	OPPS APC	39.28	145	
BAG SPECIMEN RETRIEVAL AMI L5 MM 100 ML ABDOMEN TROCAR STERILE DISPOSABLE	SUP-TBI1031	CDM			270	RC		inpatient			145	145																																																			
SPLINT NASAL REUTER FLUOROPLASTIC THK.5 MM STANDARD SEPTUM PREPUNCH HOLE	SUP-1527005	CDM			270	RC		outpatient			144.8	144.81	39.23				percent of total billed charges		144.8				other	OPPS APC	107.15				percent of total billed charges		144.8				other	OPPS APC	144.8				other	OPPS APC	39.23				percent of total billed charges		40.01				percent of total billed charges		144.81				other	OPPS APC	39.23	144.81	
SPLINT NASAL REUTER FLUOROPLASTIC THK.5 MM STANDARD SEPTUM PREPUNCH HOLE	SUP-1527005	CDM			270	RC		inpatient			144.8	144.8																																																			
FILIFORM URETHRAL L12.5 IN OD3 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022103	CDM			270	RC		outpatient			144.76	144.76	39.22				percent of total billed charges		144.76				other	OPPS APC	107.12				percent of total billed charges		144.76				other	OPPS APC	144.76				other	OPPS APC	39.22				percent of total billed charges		40				percent of total billed charges		144.76				other	OPPS APC	39.22	144.76	
FILIFORM URETHRAL L12.5 IN OD3 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022103	CDM			270	RC		inpatient			144.76	144.76																																																			
FILIFORM URETHRAL L12.5 IN OD4 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022104	CDM			270	RC		outpatient			144.76	144.76	39.22				percent of total billed charges		144.76				other	OPPS APC	107.12				percent of total billed charges		144.76				other	OPPS APC	144.76				other	OPPS APC	39.22				percent of total billed charges		40				percent of total billed charges		144.76				other	OPPS APC	39.22	144.76	
FILIFORM URETHRAL L12.5 IN OD4 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022104	CDM			270	RC		inpatient			144.76	144.76																																																			
FILIFORM URETHRAL L12.5 IN OD5 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022105	CDM			270	RC		outpatient			144.76	144.76	39.22				percent of total billed charges		144.76				other	OPPS APC	107.12				percent of total billed charges		144.76				other	OPPS APC	144.76				other	OPPS APC	39.22				percent of total billed charges		40				percent of total billed charges		144.76				other	OPPS APC	39.22	144.76	
FILIFORM URETHRAL L12.5 IN OD5 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022105	CDM			270	RC		inpatient			144.76	144.76																																																			
FILIFORM URETHRAL L12.5 IN OD6 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022106	CDM			270	RC		outpatient			144.76	144.76	39.22				percent of total billed charges		144.76				other	OPPS APC	107.12				percent of total billed charges		144.76				other	OPPS APC	144.76				other	OPPS APC	39.22				percent of total billed charges		40				percent of total billed charges		144.76				other	OPPS APC	39.22	144.76	
FILIFORM URETHRAL L12.5 IN OD6 FR DILATION CATHETER WOVEN SPIRAL TIP STERILE LATEX FREE REUSABLE	SUP-BRD022106	CDM			270	RC		inpatient			144.76	144.76																																																			
HC Bd Mammo Diag Gigital Tomo	PX-401002790	CDM			401	RC		outpatient			144.75	23.97	70.93				percent of total billed charges		23.97				fee schedule		107.12				percent of total billed charges		23.97				fee schedule		23.97				fee schedule		52.74				fee schedule		73.82				percent of total billed charges		23.97				fee schedule		23.97	107.12	
HC Bd Mammo Diag Gigital Tomo	PX-401002790	CDM			401	RC		inpatient			144.75	144.75																																																			
GUIDEWIRE ORTHOPEDIC L150 MM OD1.4 MM	SUP-03.333.002	CDM	270010022	LOCAL	270	RC		outpatient			144.56	144.56	39.16				percent of total billed charges		144.56				other	OPPS APC	106.97				percent of total billed charges		144.56				other	OPPS APC	144.56				other	OPPS APC	39.16				percent of total billed charges		39.94				percent of total billed charges		144.56				other	OPPS APC	39.16	144.56	
GUIDEWIRE ORTHOPEDIC L150 MM OD1.4 MM	SUP-03.333.002	CDM	270010022	LOCAL	270	RC		inpatient			144.56	144.56																																																			
RELOAD PROXIMATE TX 30MM BLUE	SUP-74-00063	CDM			272	RC		outpatient			144.36	144.36	39.11				percent of total billed charges		144.36				other	OPPS APC	106.83				percent of total billed charges		144.36				other	OPPS APC	144.36				other	OPPS APC	39.11				percent of total billed charges		39.89				percent of total billed charges		144.36				other	OPPS APC	39.11	144.36	
RELOAD PROXIMATE TX 30MM BLUE	SUP-74-00063	CDM			272	RC		inpatient			144.36	144.36																																																			
SPLINT ORTHOPEDIC ORTHO-GLASS 15FTX5IN FIBERGLASS LF WRIST WRINKLE FREE STRETCH PAD COVER ROLL	SUP-OG-5L2	CDM						inpatient			144.22	144.22																																																			
SPLINT ORTHOPEDIC ORTHO-GLASS 15FTX5IN FIBERGLASS LF WRIST WRINKLE FREE STRETCH PAD COVER ROLL	SUP-OG-5L2	CDM						outpatient			144.22	144.22	144.22				percent of total billed charges		144.22				other	OPPS APC	144.22				fee schedule		144.22				other	OPPS APC	144.22				other	OPPS APC	144.22				case rate		144.22				case rate		144.22				other	OPPS APC	144.22	144.22	
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-25	NDC	P9047	HCPCS		inpatient			144	144																																																			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-26	NDC	P9047	HCPCS		inpatient			144	144																																																			
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-25	NDC	P9047	HCPCS		outpatient			144	56.54																																											56.54				other	OPPS APC	56.54	56.54	
ALBUMIN HUMAN 25% PER 50 ML	636000000	CDM	76125-792-26	NDC	P9047	HCPCS		outpatient			144	56.54																																											56.54				other	OPPS APC	56.54	56.54	
GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLUTION	636000000	CDM	0270-5164-15	NDC	A9577	HCPCS		inpatient			144	144																																																			
GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLUTION	636000000	CDM	0270-5164-15	NDC	A9577	HCPCS		outpatient			144	144																																															other	OPPS APC			
HC 30 Min. Indiv	PX-510994021	CDM	99402	CPT	510	RC		outpatient			144	144	144				fee schedule		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				fee schedule		144				case rate		144				fee schedule		144				other	OPPS APC	106.56	144	
HC 30 Min. Indiv	PX-510994021	CDM	99402	CPT	510	RC		inpatient			144	144																																																			
GUIDEWIRE ORTHOPEDIC ASNIS III L150 MM OD1.4 MM HIP FEMUR THREAD 4 MM SCREW	SUP-702459S	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
GUIDEWIRE ORTHOPEDIC ASNIS III L150 MM OD1.4 MM HIP FEMUR THREAD 4 MM SCREW	SUP-702459S	CDM			270	RC		inpatient			144	144																																																			
WIRE FIXATION LEOS 1.6MM KIRSCHNER SMOOTH	SUP-7624-2016	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
WIRE FIXATION LEOS 1.6MM KIRSCHNER SMOOTH	SUP-7624-2016	CDM			270	RC		inpatient			144	144																																																			
SPOT	SUP-95-00840	CDM			272	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
SPOT	SUP-95-00840	CDM			272	RC		inpatient			144	144																																																			
GUIDE WIRE	SUP-97-02101	CDM			272	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
GUIDE WIRE	SUP-97-02101	CDM			272	RC		inpatient			144	144																																																			
GUIDEWIRE - GLIDEWIRE .035X250 STRAIGHT	SUP-99-01793	CDM			272	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
GUIDEWIRE - GLIDEWIRE .035X250 STRAIGHT	SUP-99-01793	CDM			272	RC		inpatient			144	144																																																			
DRILL SURGICAL HIGH TIBIAL OSTEOTOMY TITANIUM SCREW	SUP-AR-13319	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
DRILL SURGICAL HIGH TIBIAL OSTEOTOMY TITANIUM SCREW	SUP-AR-13319	CDM			270	RC		inpatient			144	144																																																			
CANNULA TRANSPORT 8MM	SUP-CAT00222	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
CANNULA TRANSPORT 8MM	SUP-CAT00222	CDM			270	RC		inpatient			144	144																																																			
CANNULA ARTHROSCOPIC TRANSPORT 4 8MM POLYMER PROXIMAL SECUREMENT THREAD	SUP-CAT00223	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
CANNULA ARTHROSCOPIC TRANSPORT 4 8MM POLYMER PROXIMAL SECUREMENT THREAD	SUP-CAT00223	CDM			270	RC		inpatient			144	144																																																			
GUIDE DRILL STANDARD 2.0MM	SUP-DG20	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
GUIDE DRILL STANDARD 2.0MM	SUP-DG20	CDM			270	RC		inpatient			144	144																																																			
PEG SMOOTH 2.0MM 12MM LONG	SUP-P12	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
PEG SMOOTH 2.0MM 12MM LONG	SUP-P12	CDM			270	RC		inpatient			144	144																																																			
PEG FIXATION L28 MM OD2 MM ORTHOPEDIC SMOOTH	SUP-P28	CDM			270	RC		outpatient			144	144	39.01				percent of total billed charges		144				other	OPPS APC	106.56				percent of total billed charges		144				other	OPPS APC	144				other	OPPS APC	39.01				percent of total billed charges		39.79				percent of total billed charges		144				other	OPPS APC	39.01	144	
PEG FIXATION L28 MM OD2 MM ORTHOPEDIC SMOOTH	SUP-P28	CDM			270	RC		inpatient			144	144																																																			
Tray Pack 8	PX-270000040	CDM			270	RC		outpatient			143.94	143.94	38.99				percent of total billed charges		143.94				other	OPPS APC	143.94				fee schedule		143.94				other	OPPS APC	143.94				other	OPPS APC	38.99				percent of total billed charges		39.77				percent of total billed charges		143.94				other	OPPS APC	38.99	143.94	
Tray Pack 8	PX-270000040	CDM			270	RC		inpatient			143.94	143.94																																																			
SET INTRODUCER CHECK-FLO 30CM 41CM 12FR 4MM DISPOSABLE STERILE ACCEPTS .038IN GUIDEWIRE	SUP-G08956	CDM			270	RC		outpatient			143.88	143.88	38.98				percent of total billed charges		143.88				other	OPPS APC	106.47				percent of total billed charges		143.88				other	OPPS APC	143.88				other	OPPS APC	38.98				percent of total billed charges		39.75				percent of total billed charges		143.88				other	OPPS APC	38.98	143.88	
SET INTRODUCER CHECK-FLO 30CM 41CM 12FR 4MM DISPOSABLE STERILE ACCEPTS .038IN GUIDEWIRE	SUP-G08956	CDM			270	RC		inpatient			143.88	143.88																																																			
INTRODUCER CATHETER CHECK-FLO PERFORMER .038IN 30CM 14FR 4.6MM RADIOPAQUE BAND	SUP-G08957	CDM			481	RC		outpatient			143.88	143.88	70.5				percent of total billed charges		143.88				other	OPPS APC	106.47				percent of total billed charges		143.88				other	OPPS APC	143.88				other	OPPS APC	70.5				percent of total billed charges		73.38				percent of total billed charges		143.88				other	OPPS APC	70.5	143.88	
INTRODUCER CATHETER CHECK-FLO PERFORMER .038IN 30CM 14FR 4.6MM RADIOPAQUE BAND	SUP-G08957	CDM			481	RC		inpatient			143.88	143.88																																																			
HC Irrigation Implanted Venous Acces	PX-260965230	CDM	96523	CPT	260	RC		outpatient			143.7	6.54	87.77				percent of total billed charges		60.54				other	OPPS APC	114.47				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	87.77				percent of total billed charges		89.53				percent of total billed charges		6.54				other	OPPS APC	6.54	114.47	
HC Irrigation Implanted Venous Acces	PX-260965230	CDM	96523	CPT	260	RC		inpatient			143.7	143.7																																																			
HC Port Flush	PX-761965231	CDM	96523	CPT	761	RC		outpatient			143.7	6.54	195.77				case rate		60.54				other	OPPS APC	114.47				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	195.77				case rate		73.29				percent of total billed charges		6.54				other	OPPS APC	6.54	195.77	
HC Port Flush	PX-761965231	CDM	96523	CPT	761	RC		inpatient			143.7	143.7																																																			
BIT DRILL STAINLESS STEEL L65 MM OD1.5 MM MINI QUICK COUPLING NONSTERILE LCP MODULAR MINI FRAGMENT SYSTEM	SUP-310.141	CDM	270010022	LOCAL	270	RC		outpatient			143.56	143.56	38.89				percent of total billed charges		143.56				other	OPPS APC	106.23				percent of total billed charges		143.56				other	OPPS APC	143.56				other	OPPS APC	38.89				percent of total billed charges		39.67				percent of total billed charges		143.56				other	OPPS APC	38.89	143.56	
BIT DRILL STAINLESS STEEL L65 MM OD1.5 MM MINI QUICK COUPLING NONSTERILE LCP MODULAR MINI FRAGMENT SYSTEM	SUP-310.141	CDM	270010022	LOCAL	270	RC		inpatient			143.56	143.56																																																			
BIT DRILL LCP STAINLESS STEEL L65 MM OD2 MM MINI QUICK COUPLING NONSTERILE	SUP-310.201	CDM	270010022	LOCAL	270	RC		outpatient			143.56	143.56	38.89				percent of total billed charges		143.56				other	OPPS APC	106.23				percent of total billed charges		143.56				other	OPPS APC	143.56				other	OPPS APC	38.89				percent of total billed charges		39.67				percent of total billed charges		143.56				other	OPPS APC	38.89	143.56	
BIT DRILL LCP STAINLESS STEEL L65 MM OD2 MM MINI QUICK COUPLING NONSTERILE	SUP-310.201	CDM	270010022	LOCAL	270	RC		inpatient			143.56	143.56																																																			
BIT DRILL 50MM 1MM NS MINI QUICK COUPLING SELF STOP 2.4MM SCREW MODULAR HAND SYSTEM	SUP-316.396	CDM	270010022	LOCAL	270	RC		outpatient			143.56	143.56	38.89				percent of total billed charges		143.56				other	OPPS APC	106.23				percent of total billed charges		143.56				other	OPPS APC	143.56				other	OPPS APC	38.89				percent of total billed charges		39.67				percent of total billed charges		143.56				other	OPPS APC	38.89	143.56	
BIT DRILL 50MM 1MM NS MINI QUICK COUPLING SELF STOP 2.4MM SCREW MODULAR HAND SYSTEM	SUP-316.396	CDM	270010022	LOCAL	270	RC		inpatient			143.56	143.56																																																			
MARKER WIRE 195CM J	SUP-595MEJ014	CDM			481	RC		outpatient			143.5	143.5	70.32				percent of total billed charges		143.5				other	OPPS APC	106.19				percent of total billed charges		143.5				other	OPPS APC	143.5				other	OPPS APC	70.32				percent of total billed charges		73.19				percent of total billed charges		143.5				other	OPPS APC	70.32	143.5	
MARKER WIRE 195CM J	SUP-595MEJ014	CDM			481	RC		inpatient			143.5	143.5																																																			
MARKER WIRE 300CM STRAIGHT	SUP-595MX014	CDM			481	RC		outpatient			143.5	143.5	70.32				percent of total billed charges		143.5				other	OPPS APC	106.19				percent of total billed charges		143.5				other	OPPS APC	143.5				other	OPPS APC	70.32				percent of total billed charges		73.19				percent of total billed charges		143.5				other	OPPS APC	70.32	143.5	
MARKER WIRE 300CM STRAIGHT	SUP-595MX014	CDM			481	RC		inpatient			143.5	143.5																																																			
ELECTRODE MONOPOLAR SPATULA TIP MODULAR DURABILITY ENHANCED SAFETY	SUP-GK386R	CDM	270010015	LOCAL	270	RC		outpatient			143.48	143.48	38.87				percent of total billed charges		143.48				other	OPPS APC	106.18				percent of total billed charges		143.48				other	OPPS APC	143.48				other	OPPS APC	38.87				percent of total billed charges		39.64				percent of total billed charges		143.48				other	OPPS APC	38.87	143.48	
ELECTRODE MONOPOLAR SPATULA TIP MODULAR DURABILITY ENHANCED SAFETY	SUP-GK386R	CDM	270010015	LOCAL	270	RC		inpatient			143.48	143.48																																																			
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD1.5 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12150	CDM			270	RC		outpatient			143.38	143.38	38.84				percent of total billed charges		143.38				other	OPPS APC	106.1				percent of total billed charges		143.38				other	OPPS APC	143.38				other	OPPS APC	38.84				percent of total billed charges		39.62				percent of total billed charges		143.38				other	OPPS APC	38.84	143.38	
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD1.5 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12150	CDM			270	RC		inpatient			143.38	143.38																																																			
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD1.75 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12175	CDM			270	RC		outpatient			143.38	143.38	38.84				percent of total billed charges		143.38				other	OPPS APC	106.1				percent of total billed charges		143.38				other	OPPS APC	143.38				other	OPPS APC	38.84				percent of total billed charges		39.62				percent of total billed charges		143.38				other	OPPS APC	38.84	143.38	
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD1.75 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12175	CDM			270	RC		inpatient			143.38	143.38																																																			
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD2 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12200	CDM			270	RC		outpatient			143.38	143.38	38.84				percent of total billed charges		143.38				other	OPPS APC	106.1				percent of total billed charges		143.38				other	OPPS APC	143.38				other	OPPS APC	38.84				percent of total billed charges		39.62				percent of total billed charges		143.38				other	OPPS APC	38.84	143.38	
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD2 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12200	CDM			270	RC		inpatient			143.38	143.38																																																			
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD2.25 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12225	CDM			270	RC		outpatient			143.38	143.38	38.84				percent of total billed charges		143.38				other	OPPS APC	106.1				percent of total billed charges		143.38				other	OPPS APC	143.38				other	OPPS APC	38.84				percent of total billed charges		39.62				percent of total billed charges		143.38				other	OPPS APC	38.84	143.38	
SHUNT CARDIOVASCULAR FLO-THRU SILICONE TAPER L18 MM OD2.25 MM INTRALUMINAL 1 PIECE RADIOPAQUE TUBE FLEXIBLE ATRAUMATIC BULB EASY INSERTION STERILE DISPOSABLE	SUP-FT12225	CDM			270	RC		inpatient			143.38	143.38																																																			
SHUNT CARDIOVASCULAR FLO-THRU L18 MM OD2.75 MM INTRALUMINAL GLOBAL	SUP-FT12275	CDM			270	RC		outpatient			143.38	143.38	38.84				percent of total billed charges		143.38				other	OPPS APC	106.1				percent of total billed charges		143.38				other	OPPS APC	143.38				other	OPPS APC	38.84				percent of total billed charges		39.62				percent of total billed charges		143.38				other	OPPS APC	38.84	143.38	
SHUNT CARDIOVASCULAR FLO-THRU L18 MM OD2.75 MM INTRALUMINAL GLOBAL	SUP-FT12275	CDM			270	RC		inpatient			143.38	143.38																																																			
SCREW CORTEX LOCKING 3.5MM X 36MM	SUP-97-04279	CDM			278	RC		outpatient			143.36	143.36	143.36				fee schedule		143.36				other	OPPS APC	81.72				percent of total billed charges		143.36				other	OPPS APC	143.36				other	OPPS APC	70.25				percent of total billed charges		73.11				percent of total billed charges		143.36				other	OPPS APC	70.25	143.36	
SCREW CORTEX LOCKING 3.5MM X 36MM	SUP-97-04279	CDM			278	RC		inpatient			143.36	143.36																																																			
SCREW CORTEX LOCKING 4.0MM X 40MM	SUP-97-04280	CDM			278	RC		outpatient			143.36	143.36	143.36				fee schedule		143.36				other	OPPS APC	81.72				percent of total billed charges		143.36				other	OPPS APC	143.36				other	OPPS APC	70.25				percent of total billed charges		73.11				percent of total billed charges		143.36				other	OPPS APC	70.25	143.36	
SCREW CORTEX LOCKING 4.0MM X 40MM	SUP-97-04280	CDM			278	RC		inpatient			143.36	143.36																																																			
SCREW BONE EVOS FULL THREAD L 65 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424765	CDM			270	RC		outpatient			143.2	143.2	38.79				percent of total billed charges		143.2				other	OPPS APC	105.97				percent of total billed charges		143.2				other	OPPS APC	143.2				other	OPPS APC	38.79				percent of total billed charges		39.57				percent of total billed charges		143.2				other	OPPS APC	38.79	143.2	
SCREW BONE EVOS FULL THREAD L 65 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424765	CDM			270	RC		inpatient			143.2	143.2																																																			
SCREW BONE EVOS FULL THREAD L 70 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424770	CDM			270	RC		outpatient			143.2	143.2	38.79				percent of total billed charges		143.2				other	OPPS APC	105.97				percent of total billed charges		143.2				other	OPPS APC	143.2				other	OPPS APC	38.79				percent of total billed charges		39.57				percent of total billed charges		143.2				other	OPPS APC	38.79	143.2	
SCREW BONE EVOS FULL THREAD L 70 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424770	CDM			270	RC		inpatient			143.2	143.2																																																			
SCREW BONE EVOS FULL THREAD L 75 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424775	CDM			270	RC		outpatient			143.2	143.2	38.79				percent of total billed charges		143.2				other	OPPS APC	105.97				percent of total billed charges		143.2				other	OPPS APC	143.2				other	OPPS APC	38.79				percent of total billed charges		39.57				percent of total billed charges		143.2				other	OPPS APC	38.79	143.2	
SCREW BONE EVOS FULL THREAD L 75 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424775	CDM			270	RC		inpatient			143.2	143.2																																																			
SCREW BONE PARTIAL THREAD L 70 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434770	CDM			270	RC		outpatient			143.2	143.2	38.79				percent of total billed charges		143.2				other	OPPS APC	105.97				percent of total billed charges		143.2				other	OPPS APC	143.2				other	OPPS APC	38.79				percent of total billed charges		39.57				percent of total billed charges		143.2				other	OPPS APC	38.79	143.2	
SCREW BONE PARTIAL THREAD L 70 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434770	CDM			270	RC		inpatient			143.2	143.2																																																			
SCREW BONE EVOS PARTIAL THREAD L 75MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434775	CDM			270	RC		outpatient			143.2	143.2	38.79				percent of total billed charges		143.2				other	OPPS APC	105.97				percent of total billed charges		143.2				other	OPPS APC	143.2				other	OPPS APC	38.79				percent of total billed charges		39.57				percent of total billed charges		143.2				other	OPPS APC	38.79	143.2	
SCREW BONE EVOS PARTIAL THREAD L 75MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434775	CDM			270	RC		inpatient			143.2	143.2																																																			
SUTURE VLOC CV-23 3-0  VLOCL0804	SUP-95-04951	CDM			272	RC		outpatient			143.15	143.15	38.78				percent of total billed charges		143.15				other	OPPS APC	105.93				percent of total billed charges		143.15				other	OPPS APC	143.15				other	OPPS APC	38.78				percent of total billed charges		39.55				percent of total billed charges		143.15				other	OPPS APC	38.78	143.15	
SUTURE VLOC CV-23 3-0  VLOCL0804	SUP-95-04951	CDM			272	RC		inpatient			143.15	143.15																																																			
SUTURE VLOC 180 3-0 VLOCL0644	SUP-95-05119	CDM			272	RC		outpatient			143.15	143.15	38.78				percent of total billed charges		143.15				other	OPPS APC	105.93				percent of total billed charges		143.15				other	OPPS APC	143.15				other	OPPS APC	38.78				percent of total billed charges		39.55				percent of total billed charges		143.15				other	OPPS APC	38.78	143.15	
SUTURE VLOC 180 3-0 VLOCL0644	SUP-95-05119	CDM			272	RC		inpatient			143.15	143.15																																																			
SCREW 2.8 X 34MM CORTICAL	SUP-97-05888	CDM			278	RC		outpatient			142.6	142.6	142.6				fee schedule		142.6				other	OPPS APC	81.28				percent of total billed charges		142.6				other	OPPS APC	142.6				other	OPPS APC	69.87				percent of total billed charges		72.73				percent of total billed charges		142.6				other	OPPS APC	69.87	142.6	
SCREW 2.8 X 34MM CORTICAL	SUP-97-05888	CDM			278	RC		inpatient			142.6	142.6																																																			
TRAY STERLIZATION SPHERES	SUP-8801075	CDM			270	RC		outpatient			142.5	142.5	38.6				percent of total billed charges		142.5				other	OPPS APC	105.45				percent of total billed charges		142.5				other	OPPS APC	142.5				other	OPPS APC	38.6				percent of total billed charges		39.37				percent of total billed charges		142.5				other	OPPS APC	38.6	142.5	
TRAY STERLIZATION SPHERES	SUP-8801075	CDM			270	RC		inpatient			142.5	142.5																																																			
NEEDLE TEMNO COAXIAL 18GX20 CTSUP USSUP	SUP-95-01327	CDM			272	RC		outpatient			142.24	142.24	38.53				percent of total billed charges		142.24				other	OPPS APC	105.26				percent of total billed charges		142.24				other	OPPS APC	142.24				other	OPPS APC	38.53				percent of total billed charges		39.3				percent of total billed charges		142.24				other	OPPS APC	38.53	142.24	
NEEDLE TEMNO COAXIAL 18GX20 CTSUP USSUP	SUP-95-01327	CDM			272	RC		inpatient			142.24	142.24																																																			
PACK SURGICAL CUSTOM AV FISTULA LATEX FREE	SUP-SCVHDAFPNB	CDM			270	RC		outpatient			142.18	142.18	38.52				percent of total billed charges		142.18				other	OPPS APC	105.21				percent of total billed charges		142.18				other	OPPS APC	142.18				other	OPPS APC	38.52				percent of total billed charges		39.28				percent of total billed charges		142.18				other	OPPS APC	38.52	142.18	
PACK SURGICAL CUSTOM AV FISTULA LATEX FREE	SUP-SCVHDAFPNB	CDM			270	RC		inpatient			142.18	142.18																																																			
HC Ext Ecg Connection >48hr Up to 7 Days	PX-730932410	CDM	93242	CPT	731	RC		outpatient			142.12	35.77	69.64				percent of total billed charges		35.77				other	OPPS APC	78.85				fee schedule		35.77				other	OPPS APC	35.77				other	OPPS APC	12.01				fee schedule		72.48				percent of total billed charges		35.77				other	OPPS APC	12.01	78.85	
HC Ext Ecg Connection >48hr Up to 7 Days	PX-730932410	CDM	93242	CPT	731	RC		inpatient			142.12	142.12																																																			
HC Ext Ecg Connection >7 Up to 15 Days	PX-730932450	CDM	93246	CPT	731	RC		outpatient			142.12	6.54	14.57				fee schedule		60.54				other	OPPS APC	129.69				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	12.01				fee schedule		72.48				percent of total billed charges		6.54				other	OPPS APC	6.54	129.69	
HC Ext Ecg Connection >7 Up to 15 Days	PX-730932450	CDM	93246	CPT	731	RC		inpatient			142.12	142.12																																																			
HC Glucose Monitor Continous Pt Equip	PX-942952490	CDM	95249	CPT	942	RC		outpatient			142.12	6.54	69.64				percent of total billed charges		60.54				other	OPPS APC	105.17				percent of total billed charges		60.54				other	OPPS APC	60.54				other	OPPS APC	60.77				fee schedule		72.48				percent of total billed charges		6.54				other	OPPS APC	6.54	105.17	
HC Glucose Monitor Continous Pt Equip	PX-942952490	CDM	95249	CPT	942	RC		inpatient			142.12	142.12																																																			
Dtap Hepb-Ipv	PX-636907231	CDM	90723	CPT	636	RC		outpatient			142	142	142				fee schedule		142				other	OPPS APC	105.08				percent of total billed charges		142				other	OPPS APC	142				other	OPPS APC	69.58				percent of total billed charges		35.3				percent of total billed charges		142				other	OPPS APC	35.3	142	
Dtap Hepb-Ipv	PX-636907231	CDM	90723	CPT	636	RC		inpatient			142	142																																																			
HC Pulmonary Rehab W/O Continuous Oximetry Monitor	PX-948946250	CDM	94625	CPT	948	RC		outpatient			142	6.54	69.58				percent of total billed charges		60.54				other	OPPS APC	132.46				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	16.63				fee schedule		72.42				percent of total billed charges		6.54				other	OPPS APC	6.54	132.46	
HC Pulmonary Rehab W/O Continuous Oximetry Monitor	PX-948946250	CDM	94625	CPT	948	RC		inpatient			142	142																																																			
HC Pulmonary Rehab W/ Continuous Oximetry Monitor	PX-948946260	CDM	94626	CPT	948	RC		outpatient			142	6.54	69.58				percent of total billed charges		60.54				other	OPPS APC	132.46				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	26.67				fee schedule		72.42				percent of total billed charges		6.54				other	OPPS APC	6.54	132.46	
HC Pulmonary Rehab W/ Continuous Oximetry Monitor	PX-948946260	CDM	94626	CPT	948	RC		inpatient			142	142																																																			
TOOL DISSECTING BALL FLUTE OD5 MM BURR MEDIUM STRAIGHT ATTACHMENT	SUP-M-5B-G1	CDM			270	RC		outpatient			142	142	38.47				percent of total billed charges		142				other	OPPS APC	105.08				percent of total billed charges		142				other	OPPS APC	142				other	OPPS APC	38.47				percent of total billed charges		39.23				percent of total billed charges		142				other	OPPS APC	38.47	142	
TOOL DISSECTING BALL FLUTE OD5 MM BURR MEDIUM STRAIGHT ATTACHMENT	SUP-M-5B-G1	CDM			270	RC		inpatient			142	142																																																			
LITHOTRIPTER SURGICAL SWISS LITHOCLAST 1 PIECE STONE CATCHER STERILE	SUP-M0068407501	CDM			270	RC		outpatient			141.91	141.91	38.44				percent of total billed charges		141.91				other	OPPS APC	105.01				percent of total billed charges		141.91				other	OPPS APC	141.91				other	OPPS APC	38.44				percent of total billed charges		39.21				percent of total billed charges		141.91				other	OPPS APC	38.44	141.91	
LITHOTRIPTER SURGICAL SWISS LITHOCLAST 1 PIECE STONE CATCHER STERILE	SUP-M0068407501	CDM			270	RC		inpatient			141.91	141.91																																																			
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE14M	SUP-97-01931	CDM			278	RC		outpatient			141.72	141.72	141.72				fee schedule		141.72				other	OPPS APC	80.78				percent of total billed charges		141.72				other	OPPS APC	141.72				other	OPPS APC	69.44				percent of total billed charges		72.28				percent of total billed charges		141.72				other	OPPS APC	69.44	141.72	
3.5MM CRTX SCREWLOW PROF HDSELF DRIVE14M	SUP-97-01931	CDM			278	RC		inpatient			141.72	141.72																																																			
3.5MM CRTX SCREWLOW PROF	SUP-97-02812	CDM			278	RC		outpatient			141.72	141.72	141.72				fee schedule		141.72				other	OPPS APC	80.78				percent of total billed charges		141.72				other	OPPS APC	141.72				other	OPPS APC	69.44				percent of total billed charges		72.28				percent of total billed charges		141.72				other	OPPS APC	69.44	141.72	
3.5MM CRTX SCREWLOW PROF	SUP-97-02812	CDM			278	RC		inpatient			141.72	141.72																																																			
3.5MM CRTX SCREW/LOW S.TAP.STAR 48MM	SUP-97-05222	CDM			278	RC		outpatient			141.72	141.72	141.72				fee schedule		141.72				other	OPPS APC	80.78				percent of total billed charges		141.72				other	OPPS APC	141.72				other	OPPS APC	69.44				percent of total billed charges		72.28				percent of total billed charges		141.72				other	OPPS APC	69.44	141.72	
3.5MM CRTX SCREW/LOW S.TAP.STAR 48MM	SUP-97-05222	CDM			278	RC		inpatient			141.72	141.72																																																			
FAT EMULSION 20 % EMULSION 250 ML BAG	250000000	CDM	0338-0519-09	NDC				inpatient			141.36	141.36																																																			
FAT EMULSION 20 % EMULSION 250 ML BAG	250000000	CDM	0338-0519-09	NDC				outpatient			141.36	141.36																																															other	OPPS APC			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SUSPENSION"	636000000	CDM	58160-842-01	NDC	90715	HCPCS		inpatient			141.05	141.05																																																			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SUSPENSION"	636000000	CDM	58160-842-11	NDC	90715	HCPCS		inpatient			141.05	141.05																																																			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SUSPENSION"	636000000	CDM	58160-842-01	NDC	90715	HCPCS		outpatient			141.05	141.05																																															other	OPPS APC			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SUSPENSION"	636000000	CDM	58160-842-11	NDC	90715	HCPCS		outpatient			141.05	141.05																																															other	OPPS APC			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE"	636000000	CDM	58160-842-43	NDC	90715	HCPCS		inpatient			141.05	141.05																																																			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE"	636000000	CDM	58160-842-52	NDC	90715	HCPCS		inpatient			141.05	141.05																																																			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE"	636000000	CDM	58160-842-43	NDC	90715	HCPCS		outpatient			141.05	141.05																																															other	OPPS APC			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE"	636000000	CDM	58160-842-52	NDC	90715	HCPCS		outpatient			141.05	141.05																																															other	OPPS APC			
ZIPRASIDONE MESYLATE PER 10 MG	636000000	CDM	43598-848-11	NDC	J3486	HCPCS		inpatient			141	141																																																			
ZIPRASIDONE MESYLATE PER 10 MG	636000000	CDM	43598-848-11	NDC	J3486	HCPCS		outpatient			141	141																																															other	OPPS APC			
HC St Eval Behav Qual Voice 8-22	PX-440925240	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC St Eval Behav Qual Voice 8-22	PX-440925240	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC St Eval Behav Qual Voice 23-37	PX-440925241	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC St Eval Behav Qual Voice 23-37	PX-440925241	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC St Eval Behav Qual Voice 38-52	PX-440925242	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC St Eval Behav Qual Voice 38-52	PX-440925242	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC St Eval Behav Qual Voice 53-67	PX-440925243	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC St Eval Behav Qual Voice 53-67	PX-440925243	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC St Eval Behav Qual Voice 68-82	PX-440925244	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC St Eval Behav Qual Voice 68-82	PX-440925244	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC St Eval Behav Qual Voice 83-97	PX-440925245	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC St Eval Behav Qual Voice 83-97	PX-440925245	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC Behavior&Qualitative Analysys Voice&Reso	PX-444925241	CDM	92524	CPT	440	RC		outpatient			141	111.42	141				percent of total billed charges		111.42				fee schedule		174.66				fee schedule		111.42				fee schedule		111.42				fee schedule		147.54				percent of total billed charges		141				percent of total billed charges		111.42				fee schedule		111.42	174.66	
HC Behavior&Qualitative Analysys Voice&Reso	PX-444925241	CDM	92524	CPT	440	RC		inpatient			141	141																																																			
HC Diabetes OP Self Mgmt Group 2-4	PX-942990781	CDM	98961	CPT	942	RC		outpatient			141	53.84	141				fee schedule		141				other	OPPS APC	104.34				percent of total billed charges		53.84				fee schedule		53.84				fee schedule		69.09				percent of total billed charges		71.91				percent of total billed charges		53.84				fee schedule		53.84	141	
HC Diabetes OP Self Mgmt Group 2-4	PX-942990781	CDM	98961	CPT	942	RC		inpatient			141	141																																																			
SHOE HEEL OFF LOADING	SUP-95-03632	CDM			271	RC		outpatient			141	141	38.2				percent of total billed charges		141				other	OPPS APC	104.34				percent of total billed charges		141				other	OPPS APC	141				other	OPPS APC	38.2				percent of total billed charges		38.96				percent of total billed charges		141				other	OPPS APC	38.2	141	
SHOE HEEL OFF LOADING	SUP-95-03632	CDM			271	RC		inpatient			141	141																																																			
6.5 SELF TAPPING	SUP-97-00914	CDM			278	RC		outpatient			140.92	14.92	140.92				fee schedule		140.92				other	OPPS APC	80.32				percent of total billed charges		140.92				other	OPPS APC	140.92				other	OPPS APC	69.05				percent of total billed charges		71.87				percent of total billed charges		14.92				other	OPPS APC	14.92	140.92	
6.5 SELF TAPPING	SUP-97-00914	CDM			278	RC		inpatient			140.92	140.92																																																			
FISH LG VISCERA RETAINER	SUP-74-00046	CDM			272	RC		outpatient			140.8	14.81	38.14				percent of total billed charges		140.8				other	OPPS APC	104.19				percent of total billed charges		140.8				other	OPPS APC	140.8				other	OPPS APC	38.14				percent of total billed charges		38.9				percent of total billed charges		14.81				other	OPPS APC	14.81	140.8	
FISH LG VISCERA RETAINER	SUP-74-00046	CDM			272	RC		inpatient			140.8	140.8																																																			
BIT DRILL 100MM 2.7MM NS QUICK COUPLING	SUP-310.26	CDM	270010022	LOCAL	270	RC		outpatient			140.66	14.66	38.1				percent of total billed charges		140.66				other	OPPS APC	104.09				percent of total billed charges		140.66				other	OPPS APC	140.66				other	OPPS APC	38.1				percent of total billed charges		38.86				percent of total billed charges		14.66				other	OPPS APC	14.66	140.66	
BIT DRILL 100MM 2.7MM NS QUICK COUPLING	SUP-310.26	CDM	270010022	LOCAL	270	RC		inpatient			140.66	140.66																																																			
FIXATION BUTTON 17MM ACUFEX	SUP-013636	CDM			270	RC		outpatient			140.27	14.27	38				percent of total billed charges		140.27				other	OPPS APC	103.8				percent of total billed charges		140.27				other	OPPS APC	140.27				other	OPPS APC	38				percent of total billed charges		38.76				percent of total billed charges		14.27				other	OPPS APC	14.27	140.27	
FIXATION BUTTON 17MM ACUFEX	SUP-013636	CDM			270	RC		inpatient			140.27	140.27																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO POLYISOPRENE 7 1/2	SUP-47675	CDM						inpatient			140.22	140.22																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO POLYISOPRENE 7 1/2	SUP-47675	CDM						outpatient			140.22	14.22	140.22				percent of total billed charges		140.22				other	OPPS APC	140.22				fee schedule		140.22				other	OPPS APC	140.22				other	OPPS APC	140.22				case rate		140.22				case rate		14.22				other	OPPS APC	14.22	140.22	
SCREW CORTEX 2.0	SUP-97-00646	CDM			278	RC		outpatient			140.12	14.12	140.12				fee schedule		140.12				other	OPPS APC	79.87				percent of total billed charges		140.12				other	OPPS APC	140.12				other	OPPS APC	68.66				percent of total billed charges		71.46				percent of total billed charges		14.12				other	OPPS APC	14.12	140.12	
SCREW CORTEX 2.0	SUP-97-00646	CDM			278	RC		inpatient			140.12	140.12																																																			
NEEDLE BONE MARROW STERILE	SUP-06-00001	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
NEEDLE BONE MARROW STERILE	SUP-06-00001	CDM			272	RC		inpatient			140	140																																																			
SCREW SPINEWAVE LOCK	SUP-11-4001	CDM	270010020	LOCAL	270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW SPINEWAVE LOCK	SUP-11-4001	CDM	270010020	LOCAL	270	RC		inpatient			140	140																																																			
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 80CM 3FR 5MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-1651-48	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
CATHETER EMBOLECTOMY FOGARTY THRULUMEN 80CM 3FR 5MM SS SILICONE NATURAL RUBBER STERILE LATEX ARTERY OTW RADIOPAQUE	SUP-1651-48	CDM			270	RC		inpatient			140	140																																																			
SCREW BONE SCHANZ 170MM 50MM 5MM SS NS BLUNT TROCAR POINT LG EXTERNAL FIXATOR	SUP-294.55	CDM	270010022	LOCAL	270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW BONE SCHANZ 170MM 50MM 5MM SS NS BLUNT TROCAR POINT LG EXTERNAL FIXATOR	SUP-294.55	CDM	270010022	LOCAL	270	RC		inpatient			140	140																																																			
KINETIX STRAIGHT TIP GUIDEWIRE 185CM	SUP-39122-01	CDM			481	RC		outpatient			140	14	68.6				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
KINETIX STRAIGHT TIP GUIDEWIRE 185CM	SUP-39122-01	CDM			481	RC		inpatient			140	140																																																			
KINETIX J-TIP GUIDEWIRE 185CM	SUP-39122-01J	CDM			481	RC		outpatient			140	14	68.6				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
KINETIX J-TIP GUIDEWIRE 185CM	SUP-39122-01J	CDM			481	RC		inpatient			140	140																																																			
FIBERWIRE 2 AR-7201 BX/12	SUP-74-00244	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
FIBERWIRE 2 AR-7201 BX/12	SUP-74-00244	CDM			272	RC		inpatient			140	140																																																			
ILLUMINATOR OPHTHALMIC ACCURUS WIDE ANGLE OD20 GA PROBE WIDE ANGLE PERIPHERAL VISUALIZATION NONRFID STERILE DISPOSABLE SAPPHIRE	SUP-8065750425	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
ILLUMINATOR OPHTHALMIC ACCURUS WIDE ANGLE OD20 GA PROBE WIDE ANGLE PERIPHERAL VISUALIZATION NONRFID STERILE DISPOSABLE SAPPHIRE	SUP-8065750425	CDM			270	RC		inpatient			140	140																																																			
ILLUMINATOR OPHTHALMIC ACCURUS PROBE WIDE ANGLE STERILE DISPOSABLE SAPPHIRE	SUP-8065751183	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
ILLUMINATOR OPHTHALMIC ACCURUS PROBE WIDE ANGLE STERILE DISPOSABLE SAPPHIRE	SUP-8065751183	CDM			270	RC		inpatient			140	140																																																			
CARR-LOCKE INJECTION NEEDLE 25G	SUP-95-00812	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
CARR-LOCKE INJECTION NEEDLE 25G	SUP-95-00812	CDM			272	RC		inpatient			140	140																																																			
LMA GASTRO AIRWAY SIZE 3	SUP-95-04226	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
LMA GASTRO AIRWAY SIZE 3	SUP-95-04226	CDM			272	RC		inpatient			140	140																																																			
LMA GASTRO AIRWAY SIZE 4	SUP-95-04227	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
LMA GASTRO AIRWAY SIZE 4	SUP-95-04227	CDM			272	RC		inpatient			140	140																																																			
LMA GASTRO AIRWAY SIZE 5	SUP-95-04228	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
LMA GASTRO AIRWAY SIZE 5	SUP-95-04228	CDM			272	RC		inpatient			140	140																																																			
BLOOD FILTER	SUP-97-00857	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
BLOOD FILTER	SUP-97-00857	CDM			272	RC		inpatient			140	140																																																			
SCREW LO-PRO TMSS 3.5 X 28MM CORT	SUP-97-01498	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW LO-PRO TMSS 3.5 X 28MM CORT	SUP-97-01498	CDM			278	RC		inpatient			140	140																																																			
LO PRO SCRW3.5X 20MM	SUP-97-02028	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
LO PRO SCRW3.5X 20MM	SUP-97-02028	CDM			278	RC		inpatient			140	140																																																			
LO PRO SCRW3.5X 22MM	SUP-97-02029	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
LO PRO SCRW3.5X 22MM	SUP-97-02029	CDM			278	RC		inpatient			140	140																																																			
SCREW LO-PRO TMSS 3.5 X 30MM CORT	SUP-97-02350	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW LO-PRO TMSS 3.5 X 30MM CORT	SUP-97-02350	CDM			278	RC		inpatient			140	140																																																			
A.I.M ING GUIDES	SUP-97-03613	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
A.I.M ING GUIDES	SUP-97-03613	CDM			272	RC		inpatient			140	140																																																			
SUTURETAPE 1.3MM W/TAILS WHITE/BLUE	SUP-97-04334	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SUTURETAPE 1.3MM W/TAILS WHITE/BLUE	SUP-97-04334	CDM			278	RC		inpatient			140	140																																																			
LOW PROFILE TM SS3.5X35MM CORTICAL	SUP-97-04751	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
LOW PROFILE TM SS3.5X35MM CORTICAL	SUP-97-04751	CDM			278	RC		inpatient			140	140																																																			
SCREW LOW PROFILE TM 3.5 X 18MM CORTICAL	SUP-97-06105	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW LOW PROFILE TM 3.5 X 18MM CORTICAL	SUP-97-06105	CDM			278	RC		inpatient			140	140																																																			
SCREW LOW PROFILE TM 3.5 X 20MM	SUP-97-06106	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW LOW PROFILE TM 3.5 X 20MM	SUP-97-06106	CDM			278	RC		inpatient			140	140																																																			
SCREW LOW PROFILE TM 3.5 X 22MM CORTICAL	SUP-97-06107	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW LOW PROFILE TM 3.5 X 22MM CORTICAL	SUP-97-06107	CDM			278	RC		inpatient			140	140																																																			
SCREW LOW PROFILE TM 3.5 X 26MM CORTICAL	SUP-97-06108	CDM			278	RC		outpatient			140	14	140				fee schedule		140				other	OPPS APC	79.8				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
SCREW LOW PROFILE TM 3.5 X 26MM CORTICAL	SUP-97-06108	CDM			278	RC		inpatient			140	140																																																			
CATHETER - 5F TG 4.0 100CM INFINITI AMBI	SUP-99-04876	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
CATHETER - 5F TG 4.0 100CM INFINITI AMBI	SUP-99-04876	CDM			272	RC		inpatient			140	140																																																			
CATHETER -  5F TG 4.0 125CM INFINITI AMBI	SUP-99-04881	CDM			272	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
CATHETER -  5F TG 4.0 125CM INFINITI AMBI	SUP-99-04881	CDM			272	RC		inpatient			140	140																																																			
CARTRIDGE GRASPER DIRECT DRIVE L38 CM L20 MM OD5 MM ATRAUMATIC STERILE DISPOSABLE	SUP-C4120	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
CARTRIDGE GRASPER DIRECT DRIVE L38 CM L20 MM OD5 MM ATRAUMATIC STERILE DISPOSABLE	SUP-C4120	CDM			270	RC		inpatient			140	140																																																			
TROCAR W/BALLOON BLADED 11MMX100MM	SUP-CFB33	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR W/BALLOON BLADED 11MMX100MM	SUP-CFB33	CDM			270	RC		inpatient			140	140																																																			
TROCAR SHEILD/BLADED W/BALLOON 12MM X 100MM	SUP-CFB73	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR SHEILD/BLADED W/BALLOON 12MM X 100MM	SUP-CFB73	CDM			270	RC		inpatient			140	140																																																			
TROCAR W/BALLOON 11MM X 100MM	SUP-CFR33	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR W/BALLOON 11MM X 100MM	SUP-CFR33	CDM			270	RC		inpatient			140	140																																																			
TROCAR BLADLESS W/BALLOOON 12MM X 150MM	SUP-CFR71	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR BLADLESS W/BALLOOON 12MM X 150MM	SUP-CFR71	CDM			270	RC		inpatient			140	140																																																			
TROCAR BLADELESS W/BALLOON 12MMX100MM	SUP-CFR73	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR BLADELESS W/BALLOON 12MMX100MM	SUP-CFR73	CDM			270	RC		inpatient			140	140																																																			
TROCAR HASSON 12MM	SUP-COR47	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR HASSON 12MM	SUP-COR47	CDM			270	RC		inpatient			140	140																																																			
TROCAR HASSON 12MMX130 BLUNT TIP	SUP-COR50	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR HASSON 12MMX130 BLUNT TIP	SUP-COR50	CDM			270	RC		inpatient			140	140																																																			
TROCAR BLADED Z THREAD 11MM X 100MM	SUP-CTB33	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR BLADED Z THREAD 11MM X 100MM	SUP-CTB33	CDM			270	RC		inpatient			140	140																																																			
TROCAR ZTHREAD 11MM X 100	SUP-CTR33	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR ZTHREAD 11MM X 100	SUP-CTR33	CDM			270	RC		inpatient			140	140																																																			
TROCAR Z THREAD 12MM X 150MM	SUP-CTR71	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR Z THREAD 12MM X 150MM	SUP-CTR71	CDM			270	RC		inpatient			140	140																																																			
TROCAR OPTICAL ZTHREAD 12MM X 10MM	SUP-CTR73	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
TROCAR OPTICAL ZTHREAD 12MM X 10MM	SUP-CTR73	CDM			270	RC		inpatient			140	140																																																			
AGENT LIFTING SUBMUCOSAL EVERLIFT 10 ML	SUP-GIS-59	CDM			270	RC		outpatient			140	14	37.93				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	37.93				percent of total billed charges		38.68				percent of total billed charges		14				other	OPPS APC	14	140	
AGENT LIFTING SUBMUCOSAL EVERLIFT 10 ML	SUP-GIS-59	CDM			270	RC		inpatient			140	140																																																			
GUIDEWIRE VASCULAR 185CM .014IN SLEEVE MODERATE RAIL SUPPORT HYBRID J MICRO CUT	SUP-H7493912201J0	CDM			481	RC		outpatient			140	14	68.6				percent of total billed charges		140				other	OPPS APC	103.6				percent of total billed charges		140				other	OPPS APC	140				other	OPPS APC	68.6				percent of total billed charges		71.4				percent of total billed charges		14				other	OPPS APC	14	140	
GUIDEWIRE VASCULAR 185CM .014IN SLEEVE MODERATE RAIL SUPPORT HYBRID J MICRO CUT	SUP-H7493912201J0	CDM			481	RC		inpatient			140	140																																																			
CANISTER WOUND DRAIN VAC ATS 500 ML TUBING CLAMP CONNECTOR GEL STERILE LATEX FREE DISPOSABLE	SUP-M6275063	CDM			270	RC		outpatient			139.9	139.91	37.9				percent of total billed charges		139.9				other	OPPS APC	103.53				percent of total billed charges		139.9				other	OPPS APC	139.9				other	OPPS APC	37.9				percent of total billed charges		38.65				percent of total billed charges		139.91				other	OPPS APC	37.9	139.91	
CANISTER WOUND DRAIN VAC ATS 500 ML TUBING CLAMP CONNECTOR GEL STERILE LATEX FREE DISPOSABLE	SUP-M6275063	CDM			270	RC		inpatient			139.9	139.9																																																			
WILSON FRAME KIT	SUP-78-00198	CDM			272	RC		outpatient			139.81	139.81	37.87				percent of total billed charges		139.81				other	OPPS APC	103.46				percent of total billed charges		139.81				other	OPPS APC	139.81				other	OPPS APC	37.87				percent of total billed charges		38.63				percent of total billed charges		139.81				other	OPPS APC	37.87	139.81	
WILSON FRAME KIT	SUP-78-00198	CDM			272	RC		inpatient			139.81	139.81																																																			
BIT DRILL 100MM 2MM NS QUICK COUPLING	SUP-310.19	CDM	270010022	LOCAL	270	RC		outpatient			139.68	139.68	37.84				percent of total billed charges		139.68				other	OPPS APC	103.36				percent of total billed charges		139.68				other	OPPS APC	139.68				other	OPPS APC	37.84				percent of total billed charges		38.59				percent of total billed charges		139.68				other	OPPS APC	37.84	139.68	
BIT DRILL 100MM 2MM NS QUICK COUPLING	SUP-310.19	CDM	270010022	LOCAL	270	RC		inpatient			139.68	139.68																																																			
BIT DRILL 110MM 3.5MM NS QUICK COUPLING	SUP-310.35	CDM	270010022	LOCAL	270	RC		outpatient			139.68	139.68	37.84				percent of total billed charges		139.68				other	OPPS APC	103.36				percent of total billed charges		139.68				other	OPPS APC	139.68				other	OPPS APC	37.84				percent of total billed charges		38.59				percent of total billed charges		139.68				other	OPPS APC	37.84	139.68	
BIT DRILL 110MM 3.5MM NS QUICK COUPLING	SUP-310.35	CDM	270010022	LOCAL	270	RC		inpatient			139.68	139.68																																																			
KIT PEG ENDOVIVE SILICONE STANDARD UNIVERSAL OD20 FR 5 ML PULL FENESTRATE DRAPE CLAMP STERILE DISPOSABLE ENTERAL ACCESS DEVICE	SUP-M00568201	CDM			270	RC		outpatient			139.62	139.62	37.82				percent of total billed charges		139.62				other	OPPS APC	103.32				percent of total billed charges		139.62				other	OPPS APC	139.62				other	OPPS APC	37.82				percent of total billed charges		38.58				percent of total billed charges		139.62				other	OPPS APC	37.82	139.62	
KIT PEG ENDOVIVE SILICONE STANDARD UNIVERSAL OD20 FR 5 ML PULL FENESTRATE DRAPE CLAMP STERILE DISPOSABLE ENTERAL ACCESS DEVICE	SUP-M00568201	CDM			270	RC		inpatient			139.62	139.62																																																			
DRESSING WOUND VACUUM CLOSURE GRANUFOAM SILVER LARGE	SUP-M6275099-10	CDM			270	RC		outpatient			139.5	139.5	37.79				percent of total billed charges		139.5				other	OPPS APC	103.23				percent of total billed charges		139.5				other	OPPS APC	139.5				other	OPPS APC	37.79				percent of total billed charges		38.54				percent of total billed charges		139.5				other	OPPS APC	37.79	139.5	
DRESSING WOUND VACUUM CLOSURE GRANUFOAM SILVER LARGE	SUP-M6275099-10	CDM			270	RC		inpatient			139.5	139.5																																																			
TEMNO EVOLUT COAX 18GX11 CTSUP USSUP	SUP-95-01331	CDM			272	RC		outpatient			139.48	139.48	37.79				percent of total billed charges		139.48				other	OPPS APC	103.22				percent of total billed charges		139.48				other	OPPS APC	139.48				other	OPPS APC	37.79				percent of total billed charges		38.54				percent of total billed charges		139.48				other	OPPS APC	37.79	139.48	
TEMNO EVOLUT COAX 18GX11 CTSUP USSUP	SUP-95-01331	CDM			272	RC		inpatient			139.48	139.48																																																			
SCREW CANN THREAD 4.0MM/40MM	SUP-97-03892	CDM			278	RC		outpatient			139.48	139.48	139.48				fee schedule		139.48				other	OPPS APC	79.5				percent of total billed charges		139.48				other	OPPS APC	139.48				other	OPPS APC	68.35				percent of total billed charges		71.13				percent of total billed charges		139.48				other	OPPS APC	68.35	139.48	
SCREW CANN THREAD 4.0MM/40MM	SUP-97-03892	CDM			278	RC		inpatient			139.48	139.48																																																			
Bougie Endotracheal Tube Introducer	PX-272000011	CDM			272	RC		outpatient			139.42	139.42	37.77				percent of total billed charges		139.42				other	OPPS APC	139.42				fee schedule		139.42				other	OPPS APC	139.42				other	OPPS APC	37.77				percent of total billed charges		38.52				percent of total billed charges		139.42				other	OPPS APC	37.77	139.42	
Bougie Endotracheal Tube Introducer	PX-272000011	CDM			272	RC		inpatient			139.42	139.42																																																			
SCREW BONE MATRIXNEURO TITANIUM L3 MM CRANIOMAXILLOFACIAL SELF DRILL NONSTERILE	SUP-04.503.103.01	CDM	270010020	LOCAL	270	RC		outpatient			139.3	139.31	37.74				percent of total billed charges		139.3				other	OPPS APC	103.08				percent of total billed charges		139.3				other	OPPS APC	139.3				other	OPPS APC	37.74				percent of total billed charges		38.49				percent of total billed charges		139.31				other	OPPS APC	37.74	139.31	
SCREW BONE MATRIXNEURO TITANIUM L3 MM CRANIOMAXILLOFACIAL SELF DRILL NONSTERILE	SUP-04.503.103.01	CDM	270010020	LOCAL	270	RC		inpatient			139.3	139.3																																																			
SCREW BONE MATRIXNEURO TITANIUM L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILLING NONSTERILE	SUP-04.503.104.01	CDM	270010013	LOCAL	270	RC		outpatient			139.3	139.31	37.74				percent of total billed charges		139.3				other	OPPS APC	103.08				percent of total billed charges		139.3				other	OPPS APC	139.3				other	OPPS APC	37.74				percent of total billed charges		38.49				percent of total billed charges		139.31				other	OPPS APC	37.74	139.31	
SCREW BONE MATRIXNEURO TITANIUM L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILLING NONSTERILE	SUP-04.503.104.01	CDM	270010013	LOCAL	270	RC		inpatient			139.3	139.3																																																			
SCREW BONE MATRIXNEURO TITANIUM L3 MM OD1.55 MM ODSEC2.65 MM CRANIOMAXILLOFACIAL EMERGENCY SELF TAP NONSTERILE	SUP-04.503.113.01	CDM	270010013	LOCAL	270	RC		outpatient			139.3	139.31	37.74				percent of total billed charges		139.3				other	OPPS APC	103.08				percent of total billed charges		139.3				other	OPPS APC	139.3				other	OPPS APC	37.74				percent of total billed charges		38.49				percent of total billed charges		139.31				other	OPPS APC	37.74	139.31	
SCREW BONE MATRIXNEURO TITANIUM L3 MM OD1.55 MM ODSEC2.65 MM CRANIOMAXILLOFACIAL EMERGENCY SELF TAP NONSTERILE	SUP-04.503.113.01	CDM	270010013	LOCAL	270	RC		inpatient			139.3	139.3																																																			
OCCLUDER VASCULAR 30MM 4MM FLO-RESTER VESSEL SILICONE 2 RUBBER BULB RADIOPAQUE	SUP-60400BIOS	CDM			270	RC		outpatient			139.2	139.2	37.71				percent of total billed charges		139.2				other	OPPS APC	103.01				percent of total billed charges		139.2				other	OPPS APC	139.2				other	OPPS APC	37.71				percent of total billed charges		38.46				percent of total billed charges		139.2				other	OPPS APC	37.71	139.2	
OCCLUDER VASCULAR 30MM 4MM FLO-RESTER VESSEL SILICONE 2 RUBBER BULB RADIOPAQUE	SUP-60400BIOS	CDM			270	RC		inpatient			139.2	139.2																																																			
SET TUBING ARTHROSCOPY PUMP INTEGRATED FLOCONTROL DISPOSABLE	SUP-350-600-006	CDM			270	RC		outpatient			139	139	37.66				percent of total billed charges		139				other	OPPS APC	102.86				percent of total billed charges		139				other	OPPS APC	139				other	OPPS APC	37.66				percent of total billed charges		38.41				percent of total billed charges		139				other	OPPS APC	37.66	139	
SET TUBING ARTHROSCOPY PUMP INTEGRATED FLOCONTROL DISPOSABLE	SUP-350-600-006	CDM			270	RC		inpatient			139	139																																																			
THERAPY COLD	SUP-T800	CDM			270	RC		outpatient			139	139	37.66				percent of total billed charges		139				other	OPPS APC	102.86				percent of total billed charges		139				other	OPPS APC	139				other	OPPS APC	37.66				percent of total billed charges		38.41				percent of total billed charges		139				other	OPPS APC	37.66	139	
THERAPY COLD	SUP-T800	CDM			270	RC		inpatient			139	139																																																			
MANIPULATOR ENDOSCOPIC VCARE DX CURVE UTERINE GRADUATED SHAFT LUER CHANNEL LOCK SCREW LAPAROSCOPIC HYSTERECTOMY	SUP-60-6080-000A	CDM			270	RC		outpatient			138.88	138.88	37.62				percent of total billed charges		138.88				other	OPPS APC	102.77				percent of total billed charges		138.88				other	OPPS APC	138.88				other	OPPS APC	37.62				percent of total billed charges		38.37				percent of total billed charges		138.88				other	OPPS APC	37.62	138.88	
MANIPULATOR ENDOSCOPIC VCARE DX CURVE UTERINE GRADUATED SHAFT LUER CHANNEL LOCK SCREW LAPAROSCOPIC HYSTERECTOMY	SUP-60-6080-000A	CDM			270	RC		inpatient			138.88	138.88																																																			
BIT DRILL 145MM 4.5MM NS QUICK COUPLING	SUP-310.44	CDM	270010022	LOCAL	270	RC		outpatient			138.72	138.72	37.58				percent of total billed charges		138.72				other	OPPS APC	102.65				percent of total billed charges		138.72				other	OPPS APC	138.72				other	OPPS APC	37.58				percent of total billed charges		38.33				percent of total billed charges		138.72				other	OPPS APC	37.58	138.72	
BIT DRILL 145MM 4.5MM NS QUICK COUPLING	SUP-310.44	CDM	270010022	LOCAL	270	RC		inpatient			138.72	138.72																																																			
"AMIODARONE IN DEXTROSE,ISO-OSM 360 MG/200 ML (1.8 MG/ML) SOLUTION"	636000000	CDM	43066-360-20	NDC	J0283	HCPCS		inpatient			138.42	138.42																																																			
"AMIODARONE IN DEXTROSE,ISO-OSM 360 MG/200 ML (1.8 MG/ML) SOLUTION"	636000000	CDM	43066-360-20	NDC	J0283	HCPCS		outpatient			138.42	138.42																																															other	OPPS APC			
PACK ANKLE	SUP-DYNJ59259A	CDM			270	RC		outpatient			138.33	138.33	37.47				percent of total billed charges		138.33				other	OPPS APC	102.36				percent of total billed charges		138.33				other	OPPS APC	138.33				other	OPPS APC	37.47				percent of total billed charges		38.22				percent of total billed charges		138.33				other	OPPS APC	37.47	138.33	
PACK ANKLE	SUP-DYNJ59259A	CDM			270	RC		inpatient			138.33	138.33																																																			
PACK SURGICAL CUSTOM TOTAL SHOULDER ACCESSORY	SUP-DYNJ59295A	CDM			270	RC		outpatient			138.31	138.31	37.47				percent of total billed charges		138.31				other	OPPS APC	102.35				percent of total billed charges		138.31				other	OPPS APC	138.31				other	OPPS APC	37.47				percent of total billed charges		38.22				percent of total billed charges		138.31				other	OPPS APC	37.47	138.31	
PACK SURGICAL CUSTOM TOTAL SHOULDER ACCESSORY	SUP-DYNJ59295A	CDM			270	RC		inpatient			138.31	138.31																																																			
"PREDNISOLONE ACETATE 1 % DROPS,SUSPENSION 5 ML DROP BTL"	637000000	CDM	61314-637-05	NDC	A9270	HCPCS		inpatient			138.3	138.3																																																			
"PREDNISOLONE ACETATE 1 % DROPS,SUSPENSION 5 ML DROP BTL"	637000000	CDM	61314-637-05	NDC	A9270	HCPCS		outpatient			138.3	138.3																																															other	OPPS APC			
ELECTRODE ELECTROSURGICAL ARGONPLUS L11 IN FLEXIBLE LAPAROSCOPIC STERILE DISPOSABLE	SUP-E2530-28	CDM			270	RC		outpatient			138.2	138.2	37.44				percent of total billed charges		138.2				other	OPPS APC	102.27				percent of total billed charges		138.2				other	OPPS APC	138.2				other	OPPS APC	37.44				percent of total billed charges		38.18				percent of total billed charges		138.2				other	OPPS APC	37.44	138.2	
ELECTRODE ELECTROSURGICAL ARGONPLUS L11 IN FLEXIBLE LAPAROSCOPIC STERILE DISPOSABLE	SUP-E2530-28	CDM			270	RC		inpatient			138.2	138.2																																																			
GUIDEWIRE VASCULAR CORDIS SV STRAIGHT DISTAL TAPER 180CM 5CM .018IN PLATINUM NICKEL SS PTFE DISPOSABLE STERILE LF	SUP-503558	CDM			270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
GUIDEWIRE VASCULAR CORDIS SV STRAIGHT DISTAL TAPER 180CM 5CM .018IN PLATINUM NICKEL SS PTFE DISPOSABLE STERILE LF	SUP-503558	CDM			270	RC		inpatient			138	138																																																			
GUIDEWIRE VASCULAR CORDIS SV STRAIGHT DISTAL TAPER 300CM 5CM .018IN PLATINUM NICKEL SS PTFE DISPOSABLE STERILE LF	SUP-503558X	CDM			270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
GUIDEWIRE VASCULAR CORDIS SV STRAIGHT DISTAL TAPER 300CM 5CM .018IN PLATINUM NICKEL SS PTFE DISPOSABLE STERILE LF	SUP-503558X	CDM			270	RC		inpatient			138	138																																																			
HIGH OUTPUT FISTULA KIT - RENASYS WOUND VAC	SUP-66800932	CDM			270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
HIGH OUTPUT FISTULA KIT - RENASYS WOUND VAC	SUP-66800932	CDM			270	RC		inpatient			138	138																																																			
STYLET  3FR	SUP-97-00089	CDM			272	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
STYLET  3FR	SUP-97-00089	CDM			272	RC		inpatient			138	138																																																			
CATHETER EMBOLECTOMY L60 CM OD2 FR ODSEC4.5 MM .5 ML 1 LUMEN BALLOON LATEX	SUP-E1601-26	CDM			270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
CATHETER EMBOLECTOMY L60 CM OD2 FR ODSEC4.5 MM .5 ML 1 LUMEN BALLOON LATEX	SUP-E1601-26	CDM			270	RC		inpatient			138	138																																																			
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD3 FR ODSEC8 MM .20 ML STERILE LATEX DISPOSABLE	SUP-E1601-38	CDM			270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD3 FR ODSEC8 MM .20 ML STERILE LATEX DISPOSABLE	SUP-E1601-38	CDM			270	RC		inpatient			138	138																																																			
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD4 FR ODSEC10.5 MM 75 ML STERILE LATEX DISPOSABLE	SUP-E1601-48	CDM			270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD4 FR ODSEC10.5 MM 75 ML STERILE LATEX DISPOSABLE	SUP-E1601-48	CDM			270	RC		inpatient			138	138																																																			
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD5 FR ODSEC13 MM 15 ML STERILE LATEX DISPOSABLE	SUP-E1601-58	CDM	270009142	LOCAL	270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD5 FR ODSEC13 MM 15 ML STERILE LATEX DISPOSABLE	SUP-E1601-58	CDM	270009142	LOCAL	270	RC		inpatient			138	138																																																			
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD6 FR ODSEC13.5 MM 16 ML STERILE LATEX DISPOSABLE	SUP-E1601-68	CDM	270009142	LOCAL	270	RC		outpatient			138	138	37.38				percent of total billed charges		138				other	OPPS APC	102.12				percent of total billed charges		138				other	OPPS APC	138				other	OPPS APC	37.38				percent of total billed charges		38.13				percent of total billed charges		138				other	OPPS APC	37.38	138	
CATHETER EMBOLECTOMY LEMAITRE L80 CM OD6 FR ODSEC13.5 MM 16 ML STERILE LATEX DISPOSABLE	SUP-E1601-68	CDM	270009142	LOCAL	270	RC		inpatient			138	138																																																			
PLATE BONE MATRIXNEURO TITANIUM STRAIGHT L24 MM X H.4 MM CRANIUM 4 HOLE NONSTERILE BLUE	SUP-04.503.063	CDM	270010013	LOCAL	270	RC		outpatient			137.8	137.81	37.33				percent of total billed charges		137.8				other	OPPS APC	101.97				percent of total billed charges		137.8				other	OPPS APC	137.8				other	OPPS APC	37.33				percent of total billed charges		38.07				percent of total billed charges		137.81				other	OPPS APC	37.33	137.81	
PLATE BONE MATRIXNEURO TITANIUM STRAIGHT L24 MM X H.4 MM CRANIUM 4 HOLE NONSTERILE BLUE	SUP-04.503.063	CDM	270010013	LOCAL	270	RC		inpatient			137.8	137.8																																																			
COIL EMBOLIZATION MREYE .PLATINUM .035IN L15CM OD15MM 3.2 LOOP STERILE	SUP-G20055	CDM			270	RC		outpatient			137.8	137.81	37.33				percent of total billed charges		137.8				other	OPPS APC	101.97				percent of total billed charges		137.8				other	OPPS APC	137.8				other	OPPS APC	37.33				percent of total billed charges		38.07				percent of total billed charges		137.81				other	OPPS APC	37.33	137.81	
COIL EMBOLIZATION MREYE .PLATINUM .035IN L15CM OD15MM 3.2 LOOP STERILE	SUP-G20055	CDM			270	RC		inpatient			137.8	137.8																																																			
KIT CYSTO	SUP-85-00001	CDM			272	RC		outpatient			137.66	137.66	37.29				percent of total billed charges		137.66				other	OPPS APC	101.87				percent of total billed charges		137.66				other	OPPS APC	137.66				other	OPPS APC	37.29				percent of total billed charges		38.04				percent of total billed charges		137.66				other	OPPS APC	37.29	137.66	
KIT CYSTO	SUP-85-00001	CDM			272	RC		inpatient			137.66	137.66																																																			
SCREW BONE TITANIUM L4 MM OD2 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.784E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L4 MM OD2 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.784E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L6 MM OD2 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.786E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L6 MM OD2 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.786E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L8 MM OD2 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.788E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L8 MM OD2 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE	SUP-400.788E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM FULL THREAD L12 MM OD2 MM MAXILLOFACIAL EMERGENCY STERILE	SUP-400.792E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM FULL THREAD L12 MM OD2 MM MAXILLOFACIAL EMERGENCY STERILE	SUP-400.792E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L6 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE TEAL 2 MM STRIP	SUP-401.306E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L6 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE TEAL 2 MM STRIP	SUP-401.306E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L8 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE TEAL 2 MM STRIP	SUP-401.308E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L8 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM STERILE TEAL 2 MM STRIP	SUP-401.308E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L12 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL 2 MM STRIPPED	SUP-401.312E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L12 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE TEAL 2 MM STRIPPED	SUP-401.312E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L14 MM OD2.4 MM MANDIBLE EMERGENCY CRUCIFORM STERILE TEAL 2 MM STRIP	SUP-401.314E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L14 MM OD2.4 MM MANDIBLE EMERGENCY CRUCIFORM STERILE TEAL 2 MM STRIP	SUP-401.314E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L16 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE	SUP-401.316E	CDM	270010022	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L16 MM OD2.4 MM CRANIOFACIAL EMERGENCY CRUCIFORM RECESS NONSTERILE	SUP-401.316E	CDM	270010022	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SCREW BONE TITANIUM L18 MM OD2.4 MM EMERGENCY CRUCIFORM RECESS	SUP-401.318E	CDM	270010014	LOCAL	270	RC		outpatient			137.62	137.62	37.28				percent of total billed charges		137.62				other	OPPS APC	101.84				percent of total billed charges		137.62				other	OPPS APC	137.62				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.62				other	OPPS APC	37.28	137.62	
SCREW BONE TITANIUM L18 MM OD2.4 MM EMERGENCY CRUCIFORM RECESS	SUP-401.318E	CDM	270010014	LOCAL	270	RC		inpatient			137.62	137.62																																																			
SPLINT NASAL DOYLE II SILICONE SEPTUM COMPRESS ANTERIOR TIP INTEGRAL AIRWAY STERILE LATEX FREE DISPOSABLE WHITE	SUP-1524050	CDM			270	RC		outpatient			137.6	137.6	37.28				percent of total billed charges		137.6				other	OPPS APC	101.82				percent of total billed charges		137.6				other	OPPS APC	137.6				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.6				other	OPPS APC	37.28	137.6	
SPLINT NASAL DOYLE II SILICONE SEPTUM COMPRESS ANTERIOR TIP INTEGRAL AIRWAY STERILE LATEX FREE DISPOSABLE WHITE	SUP-1524050	CDM			270	RC		inpatient			137.6	137.6																																																			
STYLET  5 FR	SUP-97-00088	CDM			272	RC		outpatient			137.6	137.6	37.28				percent of total billed charges		137.6				other	OPPS APC	101.82				percent of total billed charges		137.6				other	OPPS APC	137.6				other	OPPS APC	37.28				percent of total billed charges		38.02				percent of total billed charges		137.6				other	OPPS APC	37.28	137.6	
STYLET  5 FR	SUP-97-00088	CDM			272	RC		inpatient			137.6	137.6																																																			
VITALSTIM LEADWIRE	SUP-95-00352	CDM			272	RC		outpatient			137.36	137.36	37.21				percent of total billed charges		137.36				other	OPPS APC	101.65				percent of total billed charges		137.36				other	OPPS APC	137.36				other	OPPS APC	37.21				percent of total billed charges		37.95				percent of total billed charges		137.36				other	OPPS APC	37.21	137.36	
VITALSTIM LEADWIRE	SUP-95-00352	CDM			272	RC		inpatient			137.36	137.36																																																			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE"	636000000	CDM	50090-1377-2	NDC	90715	HCPCS		inpatient			137.1	137.1																																																			
"DIPHTH,PERTUS(ACELL),TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYRINGE"	636000000	CDM	50090-1377-2	NDC	90715	HCPCS		outpatient			137.1	137.1																																															other	OPPS APC			
PACK SURGICAL CUSTOM AV FISTULA LF	SUP-SCVHDAFPNA	CDM			270	RC		outpatient			137.09	137.9	37.14				percent of total billed charges		137.09				other	OPPS APC	101.45				percent of total billed charges		137.09				other	OPPS APC	137.09				other	OPPS APC	37.14				percent of total billed charges		37.88				percent of total billed charges		137.9				other	OPPS APC	37.14	137.9	
PACK SURGICAL CUSTOM AV FISTULA LF	SUP-SCVHDAFPNA	CDM			270	RC		inpatient			137.09	137.09																																																			
HC Sex Hormone Binding Globulin (Shbg)	PX-300842700	CDM	84270	CPT	301	RC		outpatient			137	21.73	26.38				fee schedule		21.73				fee schedule		52.36				fee schedule		21.73				fee schedule		21.73				fee schedule		21.73				fee schedule		21.73				fee schedule		21.73				fee schedule		21.73	52.36	
HC Sex Hormone Binding Globulin (Shbg)	PX-300842700	CDM	84270	CPT	301	RC		inpatient			137	137																																																			
MATTRESS TRANSFER HOVERMATT W34 IN BREATHABLE NONSTERILE LATEX FREE DISPOSABLE	SUP-HM34SPU-B	CDM			270	RC		outpatient			137	137	37.11				percent of total billed charges		137				other	OPPS APC	101.38				percent of total billed charges		137				other	OPPS APC	137				other	OPPS APC	37.11				percent of total billed charges		37.85				percent of total billed charges		137				other	OPPS APC	37.11	137	
MATTRESS TRANSFER HOVERMATT W34 IN BREATHABLE NONSTERILE LATEX FREE DISPOSABLE	SUP-HM34SPU-B	CDM			270	RC		inpatient			137	137																																																			
PUNCH SURGICAL 3MM 14FR REUSABLE NS FOLEY CATHETER TIP	SUP-G14241	CDM			270	RC		outpatient			136.8	136.81	37.06				percent of total billed charges		136.8				other	OPPS APC	101.23				percent of total billed charges		136.8				other	OPPS APC	136.8				other	OPPS APC	37.06				percent of total billed charges		37.8				percent of total billed charges		136.81				other	OPPS APC	37.06	136.81	
PUNCH SURGICAL 3MM 14FR REUSABLE NS FOLEY CATHETER TIP	SUP-G14241	CDM			270	RC		inpatient			136.8	136.8																																																			
SUTURE VLOC 180 GS-21 2-0  VLOCL0305	SUP-95-04948	CDM			272	RC		outpatient			136.34	136.34	36.93				percent of total billed charges		136.34				other	OPPS APC	100.89				percent of total billed charges		136.34				other	OPPS APC	136.34				other	OPPS APC	36.93				percent of total billed charges		37.67				percent of total billed charges		136.34				other	OPPS APC	36.93	136.34	
SUTURE VLOC 180 GS-21 2-0  VLOCL0305	SUP-95-04948	CDM			272	RC		inpatient			136.34	136.34																																																			
HC MC Cerumen Removal	PX-361692098	CDM	69209	CPT	361	RC		outpatient			136	6.54	42.95				percent of total billed charges		60.54				other	OPPS APC	136				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	42.95				percent of total billed charges		43.81				percent of total billed charges		6.54				other	OPPS APC	6.54	136	
HC MC Cerumen Removal	PX-361692098	CDM	69209	CPT	361	RC		inpatient			136	136																																																			
SCREW BONE MPACT L15 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD NONSTERILE	SUP-01.32.6515	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE MPACT L15 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD NONSTERILE	SUP-01.32.6515	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE MPACT L20 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD	SUP-01.32.6520	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE MPACT L20 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD	SUP-01.32.6520	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE MPACT L25 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD NONSTERILE	SUP-01.32.6525	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE MPACT L25 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD NONSTERILE	SUP-01.32.6525	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE MPACT L30 MM OD6.5 MM HIP CANCELLOUS FLAT HEAD NONSTERILE	SUP-01.32.6530	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE MPACT L30 MM OD6.5 MM HIP CANCELLOUS FLAT HEAD NONSTERILE	SUP-01.32.6530	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE MPACT L35 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD	SUP-01.32.6535	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE MPACT L35 MM OD6.5 MM CANCELLOUS HIP FLAT HEAD	SUP-01.32.6535	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE MPACT L40 MM OD6.5 MM HIP CANCELLOUS FLAT HEAD NONSTERILE	SUP-01.32.6540	CDM	270010025	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE MPACT L40 MM OD6.5 MM HIP CANCELLOUS FLAT HEAD NONSTERILE	SUP-01.32.6540	CDM	270010025	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT TITANIUM HEMISPHERE L16 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6516-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT TITANIUM HEMISPHERE L16 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6516-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TORX TITANIUM L20 MM OD6.5 MM ACETABULAR CANCELLOUS FLUSH SEAT	SUP-2030-6520-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TORX TITANIUM L20 MM OD6.5 MM ACETABULAR CANCELLOUS FLUSH SEAT	SUP-2030-6520-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE SECUR-FIT TRIDENT TITANIUM L25 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6525-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE SECUR-FIT TRIDENT TITANIUM L25 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6525-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT SECUR-FIT TORX TITANIUM L30 MM OD6.5 MM ACETABULAR STERILE	SUP-2030-6530-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT SECUR-FIT TORX TITANIUM L30 MM OD6.5 MM ACETABULAR STERILE	SUP-2030-6530-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TORX TITANIUM L35 MM OD6.5 MM CANCELLOUS	SUP-2030-6535-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TORX TITANIUM L35 MM OD6.5 MM CANCELLOUS	SUP-2030-6535-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE SECUR-FIT TRIDENT TITANIUM L40 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6540-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE SECUR-FIT TRIDENT TITANIUM L40 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6540-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW CANCELLOUS 6.5MM X 45MM	SUP-2030-6545-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW CANCELLOUS 6.5MM X 45MM	SUP-2030-6545-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT TITANIUM HEMISPHERE L50 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6550-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT TITANIUM HEMISPHERE L50 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6550-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT TITANIUM HEMISPHERE L55 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6555-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT TITANIUM HEMISPHERE L55 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6555-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT TITANIUM HEMISPHERE L60 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6560-1	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT TITANIUM HEMISPHERE L60 MM OD6.5 MM ACETABULAR CANCELLOUS	SUP-2030-6560-1	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT II L20 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6520	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT II L20 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6520	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT II L35 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6535	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT II L35 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6535	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT II L40 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6540	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT II L40 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7030-6540	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE TRIDENT II L35 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7060-6515	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE TRIDENT II L35 MM OD6.5 MM LOW PROFILE HEXAGONAL STERILE	SUP-7060-6515	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW 6.5MM LOW PROFILE 25MM	SUP-7060-6525	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW 6.5MM LOW PROFILE 25MM	SUP-7060-6525	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE REFLECTION R3 CONTOUR L15 MM OD6.5 MM HIP ACETABULAR SPHERICAL HEAD	SUP-71332515	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE REFLECTION R3 CONTOUR L15 MM OD6.5 MM HIP ACETABULAR SPHERICAL HEAD	SUP-71332515	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW ACETABULAR REFLECTION R3 CONTOUR L20 MM OD6.5 MM HIP CANCELLOUS SPHERICAL HEAD	SUP-71332520	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW ACETABULAR REFLECTION R3 CONTOUR L20 MM OD6.5 MM HIP CANCELLOUS SPHERICAL HEAD	SUP-71332520	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW BONE REFLECTION R3 CONTOUR L25 MM OD6.5 MM HIP ACETABULAR CANCELLOUS SPHERICAL HEAD	SUP-71332525	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BONE REFLECTION R3 CONTOUR L25 MM OD6.5 MM HIP ACETABULAR CANCELLOUS SPHERICAL HEAD	SUP-71332525	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
CREW ACETABULAR REFLECTION UNIVERSAL FULL THREAD L20 MM OD6.5 MM HIP CANCELLOUS	SUP-71336520	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
CREW ACETABULAR REFLECTION UNIVERSAL FULL THREAD L20 MM OD6.5 MM HIP CANCELLOUS	SUP-71336520	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
SCREW ACETABULAR REFLECTION UNIVERSAL FULL THREAD L25 MM OD6.5 MM HIP CANCELLOUS SELF TAP	SUP-71336525	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW ACETABULAR REFLECTION UNIVERSAL FULL THREAD L25 MM OD6.5 MM HIP CANCELLOUS SELF TAP	SUP-71336525	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
K-WIRE 0.9 X 150MM BLUNT TROCAR	SUP-95-05139	CDM			272	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
K-WIRE 0.9 X 150MM BLUNT TROCAR	SUP-95-05139	CDM			272	RC		inpatient			136	136																																																			
WIRE TROCAR 1.6 X 150MM SINGLE	SUP-95-05397	CDM			272	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
WIRE TROCAR 1.6 X 150MM SINGLE	SUP-95-05397	CDM			272	RC		inpatient			136	136																																																			
K-WIRE 0.9 X 150MM BLUNT TROCAR	SUP-95-05569	CDM			272	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
K-WIRE 0.9 X 150MM BLUNT TROCAR	SUP-95-05569	CDM			272	RC		inpatient			136	136																																																			
K-WIRE 1.4 X 150MM BLUNT TROCAR	SUP-95-05572	CDM			272	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
K-WIRE 1.4 X 150MM BLUNT TROCAR	SUP-95-05572	CDM			272	RC		inpatient			136	136																																																			
K-WIRE 0.9 X 102MM PHALINX HAMMERTOE	SUP-95-05583	CDM			272	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
K-WIRE 0.9 X 102MM PHALINX HAMMERTOE	SUP-95-05583	CDM			272	RC		inpatient			136	136																																																			
KWIRE  1.6X 150MM	SUP-97-02917	CDM			278	RC		outpatient			136	136	136				fee schedule		136				other	OPPS APC	77.52				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	66.64				percent of total billed charges		69.36				percent of total billed charges		136				other	OPPS APC	66.64	136	
KWIRE  1.6X 150MM	SUP-97-02917	CDM			278	RC		inpatient			136	136																																																			
SCREW BENCOX BONE 6.4 X 35MM	SUP-H1.B11.0035	CDM	270010024	LOCAL	270	RC		outpatient			136	136	36.84				percent of total billed charges		136				other	OPPS APC	100.64				percent of total billed charges		136				other	OPPS APC	136				other	OPPS APC	36.84				percent of total billed charges		37.58				percent of total billed charges		136				other	OPPS APC	36.84	136	
SCREW BENCOX BONE 6.4 X 35MM	SUP-H1.B11.0035	CDM	270010024	LOCAL	270	RC		inpatient			136	136																																																			
BURR SURGICAL L45 MM L8 MM OD4 MM EGG SHAPE STERILE	SUP-03.000.070S	CDM	270010022	LOCAL	270	RC		outpatient			135.9	135.91	36.82				percent of total billed charges		135.9				other	OPPS APC	100.57				percent of total billed charges		135.9				other	OPPS APC	135.9				other	OPPS APC	36.82				percent of total billed charges		37.55				percent of total billed charges		135.91				other	OPPS APC	36.82	135.91	
BURR SURGICAL L45 MM L8 MM OD4 MM EGG SHAPE STERILE	SUP-03.000.070S	CDM	270010022	LOCAL	270	RC		inpatient			135.9	135.9																																																			
GUIDEWIRE 1.1MM 150MM THRD CANN N/S	SUP-97-02590	CDM			278	RC		outpatient			135.76	135.76	135.76				fee schedule		135.76				other	OPPS APC	77.38				percent of total billed charges		135.76				other	OPPS APC	135.76				other	OPPS APC	66.52				percent of total billed charges		69.24				percent of total billed charges		135.76				other	OPPS APC	66.52	135.76	
GUIDEWIRE 1.1MM 150MM THRD CANN N/S	SUP-97-02590	CDM			278	RC		inpatient			135.76	135.76																																																			
KIT CATHETER ARROWG+ARD BLUE BLUE FLEXTIP POLYURETHANE .038 IN L20 CM L2.5 IN OD14 FR ODSEC18 GA 2 LUMEN GUIDEWIRE NEEDLE SHARP SAFETY LATEX FREE HEMODIALYSIS	SUP-AK-25142-CDC	CDM	270009216	LOCAL	270	RC		outpatient			135.64	135.64	36.74				percent of total billed charges		135.64				other	OPPS APC	100.37				percent of total billed charges		135.64				other	OPPS APC	135.64				other	OPPS APC	36.74				percent of total billed charges		37.48				percent of total billed charges		135.64				other	OPPS APC	36.74	135.64	
KIT CATHETER ARROWG+ARD BLUE BLUE FLEXTIP POLYURETHANE .038 IN L20 CM L2.5 IN OD14 FR ODSEC18 GA 2 LUMEN GUIDEWIRE NEEDLE SHARP SAFETY LATEX FREE HEMODIALYSIS	SUP-AK-25142-CDC	CDM	270009216	LOCAL	270	RC		inpatient			135.64	135.64																																																			
BOWL BONE CEMENT QUICK-VAC VACUUM MIX LATEX FREE DISPOSABLE	SUP-00504900115	CDM			270	RC		outpatient			135.47	135.47	36.7				percent of total billed charges		135.47				other	OPPS APC	100.25				percent of total billed charges		135.47				other	OPPS APC	135.47				other	OPPS APC	36.7				percent of total billed charges		37.43				percent of total billed charges		135.47				other	OPPS APC	36.7	135.47	
BOWL BONE CEMENT QUICK-VAC VACUUM MIX LATEX FREE DISPOSABLE	SUP-00504900115	CDM			270	RC		inpatient			135.47	135.47																																																			
SCREW CORTEX NON LOCKING 3.5MM X 38MM	SUP-97-01592	CDM			278	RC		outpatient			135.24	135.24	135.24				fee schedule		135.24				other	OPPS APC	77.09				percent of total billed charges		135.24				other	OPPS APC	135.24				other	OPPS APC	66.27				percent of total billed charges		68.97				percent of total billed charges		135.24				other	OPPS APC	66.27	135.24	
SCREW CORTEX NON LOCKING 3.5MM X 38MM	SUP-97-01592	CDM			278	RC		inpatient			135.24	135.24																																																			
SCREW CORTEX NON LOCKING 3.5MM X 26MM	SUP-97-02554	CDM			278	RC		outpatient			135.24	135.24	135.24				fee schedule		135.24				other	OPPS APC	77.09				percent of total billed charges		135.24				other	OPPS APC	135.24				other	OPPS APC	66.27				percent of total billed charges		68.97				percent of total billed charges		135.24				other	OPPS APC	66.27	135.24	
SCREW CORTEX NON LOCKING 3.5MM X 26MM	SUP-97-02554	CDM			278	RC		inpatient			135.24	135.24																																																			
SCREW CORTEX NON LOCKING 3.5MM X 24MM	SUP-97-02563	CDM			278	RC		outpatient			135.24	135.24	135.24				fee schedule		135.24				other	OPPS APC	77.09				percent of total billed charges		135.24				other	OPPS APC	135.24				other	OPPS APC	66.27				percent of total billed charges		68.97				percent of total billed charges		135.24				other	OPPS APC	66.27	135.24	
SCREW CORTEX NON LOCKING 3.5MM X 24MM	SUP-97-02563	CDM			278	RC		inpatient			135.24	135.24																																																			
SCREW CORTEX NON LOCKING 3.5MM X 28MM	SUP-97-02660	CDM			278	RC		outpatient			135.24	135.24	135.24				fee schedule		135.24				other	OPPS APC	77.09				percent of total billed charges		135.24				other	OPPS APC	135.24				other	OPPS APC	66.27				percent of total billed charges		68.97				percent of total billed charges		135.24				other	OPPS APC	66.27	135.24	
SCREW CORTEX NON LOCKING 3.5MM X 28MM	SUP-97-02660	CDM			278	RC		inpatient			135.24	135.24																																																			
SCREW MATRIXNEURO EMERGENCY TITANIUM 5MM	SUP-04.503.115	CDM	270010013	LOCAL	270	RC		outpatient			135.2	135.2	36.63				percent of total billed charges		135.2				other	OPPS APC	100.05				percent of total billed charges		135.2				other	OPPS APC	135.2				other	OPPS APC	36.63				percent of total billed charges		37.36				percent of total billed charges		135.2				other	OPPS APC	36.63	135.2	
SCREW MATRIXNEURO EMERGENCY TITANIUM 5MM	SUP-04.503.115	CDM	270010013	LOCAL	270	RC		inpatient			135.2	135.2																																																			
HC Comp Metabolic Panel (Cmp)	PX-300800530	CDM	80053	CPT	301	RC		outpatient			135	1.56	14.12				fee schedule		10.56				fee schedule		28.06				fee schedule		10.56				fee schedule		10.56				fee schedule		10.56				fee schedule		10.56				fee schedule		1.56				fee schedule		1.56	28.06	
HC Comp Metabolic Panel (Cmp)	PX-300800530	CDM	80053	CPT	301	RC		inpatient			135	135																																																			
HC Blood Alcohol (Alco)	PX-300803200	CDM	80320	CPT	301	RC		outpatient			135	114.43	2.44				fee schedule		135				other	OPPS APC	56.27				fee schedule		114.43				fee schedule		114.43				fee schedule		135				fee schedule		135				fee schedule		114.43				fee schedule		2.44	135	
HC Blood Alcohol (Alco)	PX-300803200	CDM	80320	CPT	301	RC		inpatient			135	135																																																			
HC Ceruloplasmin (Cermn)	PX-300823900	CDM	82390	CPT	301	RC		outpatient			135	1.74	14.36				fee schedule		10.74				fee schedule		28.52				fee schedule		10.74				fee schedule		10.74				fee schedule		10.74				fee schedule		10.74				fee schedule		1.74				fee schedule		1.74	28.52	
HC Ceruloplasmin (Cermn)	PX-300823900	CDM	82390	CPT	301	RC		inpatient			135	135																																																			
HC Lactic Acid (Lact)	PX-300836050	CDM	83605	CPT	301	RC		outpatient			135	11.57	14.28				fee schedule		11.57				fee schedule		28.35				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57	28.35	
HC Lactic Acid (Lact)	PX-300836050	CDM	83605	CPT	301	RC		inpatient			135	135																																																			
HC T3 by Ria (T3r)	PX-300844800	CDM	84480	CPT	300	RC		outpatient			135	14.18	18.95				fee schedule		14.18				fee schedule		37.64				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18	37.64	
HC T3 by Ria (T3r)	PX-300844800	CDM	84480	CPT	300	RC		inpatient			135	135																																																			
HC Anti-Hbsag (Hab)	PX-300867060	CDM	86706	CPT	300	RC		outpatient			135	1.74	14.36				fee schedule		10.74				fee schedule		28.52				fee schedule		10.74				fee schedule		10.74				fee schedule		10.74				fee schedule		10.74				fee schedule		1.74				fee schedule		1.74	28.52	
HC Anti-Hbsag (Hab)	PX-300867060	CDM	86706	CPT	300	RC		inpatient			135	135																																																			
HC Rubeola Screen (Rbola)	PX-300867650	CDM	86765	CPT	300	RC		outpatient			135	12.88	13.09				fee schedule		12.88				fee schedule		25.99				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88	25.99	
HC Rubeola Screen (Rbola)	PX-300867650	CDM	86765	CPT	300	RC		inpatient			135	135																																																			
HC Toxoplasma Serology (Tose)	PX-300867770	CDM	86777	CPT	302	RC		outpatient			135	14.39	19.25				fee schedule		14.39				fee schedule		38.21				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39	38.21	
HC Toxoplasma Serology (Tose)	PX-300867770	CDM	86777	CPT	302	RC		inpatient			135	135																																																			
HC Culture Bacterial Aerobic Isolate. Add ID Ea Isolate	PX-300870770	CDM	87077	CPT	300	RC		outpatient			135	8.81	10.81				fee schedule		8.08				fee schedule		21.45				fee schedule		8.08				fee schedule		8.08				fee schedule		8.08				fee schedule		8.08				fee schedule		8.81				fee schedule		8.08	21.45	
HC Culture Bacterial Aerobic Isolate. Add ID Ea Isolate	PX-300870770	CDM	87077	CPT	300	RC		inpatient			135	135																																																			
HC Bacterial Identification X 1	PX-300870771	CDM	87077	CPT	306	RC		outpatient			135	8.81	10.81				fee schedule		8.08				fee schedule		21.45				fee schedule		8.08				fee schedule		8.08				fee schedule		8.08				fee schedule		8.08				fee schedule		8.81				fee schedule		8.08	21.45	
HC Bacterial Identification X 1	PX-300870771	CDM	87077	CPT	306	RC		inpatient			135	135																																																			
HC Hepatitis B Surface Antigen	PX-300873400	CDM	87340	CPT	300	RC		outpatient			135	1.33	13.57				fee schedule		10.33				fee schedule		27.42				fee schedule		10.33				fee schedule		10.33				fee schedule		10.33				fee schedule		10.33				fee schedule		1.33				fee schedule		1.33	27.42	
HC Hepatitis B Surface Antigen	PX-300873400	CDM	87340	CPT	300	RC		inpatient			135	135																																																			
HC Evaluation of Speech Sound Production	PX-444925221	CDM	92522	CPT	444	RC		outpatient			135	112.79	135				percent of total billed charges		112.79				fee schedule		174.66				fee schedule		112.79				fee schedule		112.79				fee schedule		141.26				percent of total billed charges		135				percent of total billed charges		112.79				fee schedule		112.79	174.66	
HC Evaluation of Speech Sound Production	PX-444925221	CDM	92522	CPT	444	RC		inpatient			135	135																																																			
BLADE SAW L18 MM X W4 MM X H.38 MM SAGITTAL STERILE	SUP-03.000.300S	CDM	270010022	LOCAL	270	RC		outpatient			135	135	36.57				percent of total billed charges		135				other	OPPS APC	99.9				percent of total billed charges		135				other	OPPS APC	135				other	OPPS APC	36.57				percent of total billed charges		37.3				percent of total billed charges		135				other	OPPS APC	36.57	135	
BLADE SAW L18 MM X W4 MM X H.38 MM SAGITTAL STERILE	SUP-03.000.300S	CDM	270010022	LOCAL	270	RC		inpatient			135	135																																																			
KIT INTRODUCER GLIDESHEATH SLENDER NITINOL L10 CM OD5 FR RADIAL	SUP-50-1050	CDM			270	RC		outpatient			135	135	36.57				percent of total billed charges		135				other	OPPS APC	99.9				percent of total billed charges		135				other	OPPS APC	135				other	OPPS APC	36.57				percent of total billed charges		37.3				percent of total billed charges		135				other	OPPS APC	36.57	135	
KIT INTRODUCER GLIDESHEATH SLENDER NITINOL L10 CM OD5 FR RADIAL	SUP-50-1050	CDM			270	RC		inpatient			135	135																																																			
KIT INTRODUCER GLIDESHEATH SLENDER NITINOL L10 CM OD6 FR RADIAL	SUP-50-1060	CDM			270	RC		outpatient			135	135	36.57				percent of total billed charges		135				other	OPPS APC	99.9				percent of total billed charges		135				other	OPPS APC	135				other	OPPS APC	36.57				percent of total billed charges		37.3				percent of total billed charges		135				other	OPPS APC	36.57	135	
KIT INTRODUCER GLIDESHEATH SLENDER NITINOL L10 CM OD6 FR RADIAL	SUP-50-1060	CDM			270	RC		inpatient			135	135																																																			
KIT INTRODUCER GLIDESHEATH SLENDER TERUMO GLIDE TECHNOLOGY NITINOL L10 CM OD7 FR	SUP-50-1070	CDM			270	RC		outpatient			135	135	36.57				percent of total billed charges		135				other	OPPS APC	99.9				percent of total billed charges		135				other	OPPS APC	135				other	OPPS APC	36.57				percent of total billed charges		37.3				percent of total billed charges		135				other	OPPS APC	36.57	135	
KIT INTRODUCER GLIDESHEATH SLENDER TERUMO GLIDE TECHNOLOGY NITINOL L10 CM OD7 FR	SUP-50-1070	CDM			270	RC		inpatient			135	135																																																			
CATHETER - 5F JR4 125CM	SUP-99-04858	CDM			272	RC		outpatient			135	135	36.57				percent of total billed charges		135				other	OPPS APC	99.9				percent of total billed charges		135				other	OPPS APC	135				other	OPPS APC	36.57				percent of total billed charges		37.3				percent of total billed charges		135				other	OPPS APC	36.57	135	
CATHETER - 5F JR4 125CM	SUP-99-04858	CDM			272	RC		inpatient			135	135																																																			
CATHETER - 5F JL4 125CM	SUP-99-04859	CDM			272	RC		outpatient			135	135	36.57				percent of total billed charges		135				other	OPPS APC	99.9				percent of total billed charges		135				other	OPPS APC	135				other	OPPS APC	36.57				percent of total billed charges		37.3				percent of total billed charges		135				other	OPPS APC	36.57	135	
CATHETER - 5F JL4 125CM	SUP-99-04859	CDM			272	RC		inpatient			135	135																																																			
STAPLER INTERNAL PURSTRING MONOSOF STAINLESS STEEL NYLON 2-0 L65 MM NONABSORBABLE RING HANDLE STERILE LATEX FREE DISPOSABLE	SUP-020242	CDM	270009086	LOCAL	270	RC		outpatient			134.98	134.98	36.57				percent of total billed charges		134.98				other	OPPS APC	99.89				percent of total billed charges		134.98				other	OPPS APC	134.98				other	OPPS APC	36.57				percent of total billed charges		37.29				percent of total billed charges		134.98				other	OPPS APC	36.57	134.98	
STAPLER INTERNAL PURSTRING MONOSOF STAINLESS STEEL NYLON 2-0 L65 MM NONABSORBABLE RING HANDLE STERILE LATEX FREE DISPOSABLE	SUP-020242	CDM	270009086	LOCAL	270	RC		inpatient			134.98	134.98																																																			
RELOAD STAPLER PROXIMATE TITANIUM L55 MM X H3.81 MM H3.81 MM REGULAR TISSUE 4 ROW LINEAR CUTTER CARTRIDGE SAFETY LOCK OUT DISPOSABLE BLUE	SUP-TCR55	CDM	270009086	LOCAL	270	RC		outpatient			134.98	134.98	36.57				percent of total billed charges		134.98				other	OPPS APC	99.89				percent of total billed charges		134.98				other	OPPS APC	134.98				other	OPPS APC	36.57				percent of total billed charges		37.29				percent of total billed charges		134.98				other	OPPS APC	36.57	134.98	
RELOAD STAPLER PROXIMATE TITANIUM L55 MM X H3.81 MM H3.81 MM REGULAR TISSUE 4 ROW LINEAR CUTTER CARTRIDGE SAFETY LOCK OUT DISPOSABLE BLUE	SUP-TCR55	CDM	270009086	LOCAL	270	RC		inpatient			134.98	134.98																																																			
RELOAD STAPLER PROXIMATE TITANIUM H3.85 MM H1.5 MM REGULAR TISSUE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TCR75	CDM	270009086	LOCAL	270	RC		outpatient			134.98	134.98	36.57				percent of total billed charges		134.98				other	OPPS APC	99.89				percent of total billed charges		134.98				other	OPPS APC	134.98				other	OPPS APC	36.57				percent of total billed charges		37.29				percent of total billed charges		134.98				other	OPPS APC	36.57	134.98	
RELOAD STAPLER PROXIMATE TITANIUM H3.85 MM H1.5 MM REGULAR TISSUE STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TCR75	CDM	270009086	LOCAL	270	RC		inpatient			134.98	134.98																																																			
DISCONTINUED AS OF 10/1/16 - RELOAD STAPLER ENDOPATH ETS 3.5MM 1.5MM BLUE DISPOSABLE STERILE LF REGULAR TISSUE 6	SUP-TR35B	CDM	270009086	LOCAL	270	RC		outpatient			134.98	134.98	36.57				percent of total billed charges		134.98				other	OPPS APC	99.89				percent of total billed charges		134.98				other	OPPS APC	134.98				other	OPPS APC	36.57				percent of total billed charges		37.29				percent of total billed charges		134.98				other	OPPS APC	36.57	134.98	
DISCONTINUED AS OF 10/1/16 - RELOAD STAPLER ENDOPATH ETS 3.5MM 1.5MM BLUE DISPOSABLE STERILE LF REGULAR TISSUE 6	SUP-TR35B	CDM	270009086	LOCAL	270	RC		inpatient			134.98	134.98																																																			
RELOAD STAPLER ENDOPATH TITANIUM L45 MM X H4.1 MM H2 MM THICK TISSUE 44 COUNT 4 ROW DISPOSABLE GREEN LAPAROSCOPIC	SUP-TR45G	CDM	270009086	LOCAL	270	RC		outpatient			134.98	134.98	36.57				percent of total billed charges		134.98				other	OPPS APC	99.89				percent of total billed charges		134.98				other	OPPS APC	134.98				other	OPPS APC	36.57				percent of total billed charges		37.29				percent of total billed charges		134.98				other	OPPS APC	36.57	134.98	
RELOAD STAPLER ENDOPATH TITANIUM L45 MM X H4.1 MM H2 MM THICK TISSUE 44 COUNT 4 ROW DISPOSABLE GREEN LAPAROSCOPIC	SUP-TR45G	CDM	270009086	LOCAL	270	RC		inpatient			134.98	134.98																																																			
LIGATOR ENDOSCOPIC POLYLOOP NYLON L230 CM OD30 MM PREASSEMBLE PRELOAD DEVICE DISPOSABLE POLYPECTOMY	SUP-HX-400U-30	CDM			270	RC		outpatient			134.78	134.78	36.51				percent of total billed charges		134.78				other	OPPS APC	99.74				percent of total billed charges		134.78				other	OPPS APC	134.78				other	OPPS APC	36.51				percent of total billed charges		37.24				percent of total billed charges		134.78				other	OPPS APC	36.51	134.78	
LIGATOR ENDOSCOPIC POLYLOOP NYLON L230 CM OD30 MM PREASSEMBLE PRELOAD DEVICE DISPOSABLE POLYPECTOMY	SUP-HX-400U-30	CDM			270	RC		inpatient			134.78	134.78																																																			
IMMOBILIZER SHOULDER MED W/ABDUCT	SUP-36-00046	CDM			271	RC		outpatient			134.6	134.6	36.46				percent of total billed charges		134.6				other	OPPS APC	99.6				percent of total billed charges		134.6				other	OPPS APC	134.6				other	OPPS APC	36.46				percent of total billed charges		37.19				percent of total billed charges		134.6				other	OPPS APC	36.46	134.6	
IMMOBILIZER SHOULDER MED W/ABDUCT	SUP-36-00046	CDM			271	RC		inpatient			134.6	134.6																																																			
SCREW CORTEX NON LOCKING 3.5MM X 70MM	SUP-97-02399	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 70MM	SUP-97-02399	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 40MM	SUP-97-02404	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 40MM	SUP-97-02404	CDM			278	RC		inpatient			134.4	134.4																																																			
K-WIRE FULLY THREADED 1.6MM X 200MM	SUP-97-02448	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
K-WIRE FULLY THREADED 1.6MM X 200MM	SUP-97-02448	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 44MM	SUP-97-03669	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 44MM	SUP-97-03669	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 46MM	SUP-97-03670	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 46MM	SUP-97-03670	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 80MM	SUP-97-03671	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 80MM	SUP-97-03671	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 48MM	SUP-97-04715	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 48MM	SUP-97-04715	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 60MM	SUP-97-05381	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 60MM	SUP-97-05381	CDM			278	RC		inpatient			134.4	134.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 42MM	SUP-97-23808	CDM			278	RC		outpatient			134.4	134.41	134.4				fee schedule		134.4				other	OPPS APC	76.61				percent of total billed charges		134.4				other	OPPS APC	134.4				other	OPPS APC	65.86				percent of total billed charges		68.54				percent of total billed charges		134.41				other	OPPS APC	65.86	134.41	
SCREW CORTEX NON LOCKING 3.5MM X 42MM	SUP-97-23808	CDM			278	RC		inpatient			134.4	134.4																																																			
SUTURE VLOC PBT V-20 3-0  VLOCN0604	SUP-95-04952	CDM			272	RC		outpatient			134.37	134.37	36.4				percent of total billed charges		134.37				other	OPPS APC	99.43				percent of total billed charges		134.37				other	OPPS APC	134.37				other	OPPS APC	36.4				percent of total billed charges		37.13				percent of total billed charges		134.37				other	OPPS APC	36.4	134.37	
SUTURE VLOC PBT V-20 3-0  VLOCN0604	SUP-95-04952	CDM			272	RC		inpatient			134.37	134.37																																																			
INTRODUCER SHEATH CHECK-FLO FLEXOR .035 IN L45 CM OD10 FR ID.134 IN ANL0 CURVE STRAIGHT TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56278	CDM			270	RC		outpatient			134.14	134.14	36.34				percent of total billed charges		134.14				other	OPPS APC	99.26				percent of total billed charges		134.14				other	OPPS APC	134.14				other	OPPS APC	36.34				percent of total billed charges		37.06				percent of total billed charges		134.14				other	OPPS APC	36.34	134.14	
INTRODUCER SHEATH CHECK-FLO FLEXOR .035 IN L45 CM OD10 FR ID.134 IN ANL0 CURVE STRAIGHT TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56278	CDM			270	RC		inpatient			134.14	134.14																																																			
SYSTEM VITRECTOMY EDGEPLUS SILICONE 6 MM OD23 GA 1 COUNT VALVE ENTRY LOCK MECHANISM CANNULA	SUP-8065751800	CDM			270	RC		outpatient			134.1	135	36.33				percent of total billed charges		134.1				other	OPPS APC	99.23				percent of total billed charges		134.1				other	OPPS APC	134.1				other	OPPS APC	36.33				percent of total billed charges		37.05				percent of total billed charges		135				other	OPPS APC	36.33	135	
SYSTEM VITRECTOMY EDGEPLUS SILICONE 6 MM OD23 GA 1 COUNT VALVE ENTRY LOCK MECHANISM CANNULA	SUP-8065751800	CDM			270	RC		inpatient			134.1	134.1																																																			
WASHER 6.5 CANN TI 3MM N/S	SUP-97-02589	CDM			278	RC		outpatient			134.08	134.81	134.08				fee schedule		134.08				other	OPPS APC	76.43				percent of total billed charges		134.08				other	OPPS APC	134.08				other	OPPS APC	65.7				percent of total billed charges		68.38				percent of total billed charges		134.81				other	OPPS APC	65.7	134.81	
WASHER 6.5 CANN TI 3MM N/S	SUP-97-02589	CDM			278	RC		inpatient			134.08	134.08																																																			
HC Insert Non-Indwelling Bladder Cath	PX-450517011	CDM	51701	CPT	450	RC		outpatient			134	122.29	195.77				case rate		122.29				other	OPPS APC	99.16				percent of total billed charges		122.29				other	OPPS APC	122.29				other	OPPS APC	195.77				case rate		199.69				case rate		122.29				other	OPPS APC	99.16	199.69	
HC Insert Non-Indwelling Bladder Cath	PX-450517011	CDM	51701	CPT	450	RC		inpatient			134	134																																																			
HC Insert Urinary Catheter	PX-450517021	CDM	51702	CPT	450	RC		outpatient			134	122.29	228.31				case rate		122.29				other	OPPS APC	99.16				percent of total billed charges		122.29				other	OPPS APC	122.29				other	OPPS APC	228.31				case rate		199.69				case rate		122.29				other	OPPS APC	99.16	228.31	
HC Insert Urinary Catheter	PX-450517021	CDM	51702	CPT	450	RC		inpatient			134	134																																																			
HC Insertion Straight Bladder Cath	PX-761517011	CDM	51701	CPT	761	RC		outpatient			134	122.29	195.77				case rate		122.29				other	OPPS APC	99.16				percent of total billed charges		122.29				other	OPPS APC	122.29				other	OPPS APC	195.77				case rate		68.34				percent of total billed charges		122.29				other	OPPS APC	68.34	195.77	
HC Insertion Straight Bladder Cath	PX-761517011	CDM	51701	CPT	761	RC		inpatient			134	134																																																			
INTRODUCER HEMOSTASIS FAST CATH LUER LOCK GUIDEWIRE AND REPOSITIONING SLEEVE 7 FR 12CM 0.038 IN	SUP-406107	CDM			481	RC		outpatient			134	134	65.66				percent of total billed charges		134				other	OPPS APC	99.16				percent of total billed charges		134				other	OPPS APC	134				other	OPPS APC	65.66				percent of total billed charges		68.34				percent of total billed charges		134				other	OPPS APC	65.66	134	
INTRODUCER HEMOSTASIS FAST CATH LUER LOCK GUIDEWIRE AND REPOSITIONING SLEEVE 7 FR 12CM 0.038 IN	SUP-406107	CDM			481	RC		inpatient			134	134																																																			
INTRODUCER HEMOSTATSIS FAST CATH LUER LOCK GUIDEWIRE AND REPOSITIONING SLEEVE 8.5 FR 12 CM 0.038 IN	SUP-406137	CDM			481	RC		outpatient			134	134	65.66				percent of total billed charges		134				other	OPPS APC	99.16				percent of total billed charges		134				other	OPPS APC	134				other	OPPS APC	65.66				percent of total billed charges		68.34				percent of total billed charges		134				other	OPPS APC	65.66	134	
INTRODUCER HEMOSTATSIS FAST CATH LUER LOCK GUIDEWIRE AND REPOSITIONING SLEEVE 8.5 FR 12 CM 0.038 IN	SUP-406137	CDM			481	RC		inpatient			134	134																																																			
PACK VITRECTOMY CONSTELLATION ENGAUGE RUBBER OD25 GA OD20 GA ODSEC23 GA 10 CC VISCUOUS FLUID CONTROL SYRINGE NEEDLE CANNULA STERILE LATEX FREE DISPOSABLE VFC	SUP-8065750957	CDM			270	RC		outpatient			133.94	133.94	36.28				percent of total billed charges		133.94				other	OPPS APC	99.12				percent of total billed charges		133.94				other	OPPS APC	133.94				other	OPPS APC	36.28				percent of total billed charges		37.01				percent of total billed charges		133.94				other	OPPS APC	36.28	133.94	
PACK VITRECTOMY CONSTELLATION ENGAUGE RUBBER OD25 GA OD20 GA ODSEC23 GA 10 CC VISCUOUS FLUID CONTROL SYRINGE NEEDLE CANNULA STERILE LATEX FREE DISPOSABLE VFC	SUP-8065750957	CDM			270	RC		inpatient			133.94	133.94																																																			
PACK VITRECTOMY CONSTELLATION ENGAUGE V-LOCITY C3F8 SF6 GAS FILL SYRINGE RFID AUTOMATIC PURGE STERILE LATEX FREE DISPOSABLE	SUP-8065751014	CDM			270	RC		outpatient			133.94	133.94	36.28				percent of total billed charges		133.94				other	OPPS APC	99.12				percent of total billed charges		133.94				other	OPPS APC	133.94				other	OPPS APC	36.28				percent of total billed charges		37.01				percent of total billed charges		133.94				other	OPPS APC	36.28	133.94	
PACK VITRECTOMY CONSTELLATION ENGAUGE V-LOCITY C3F8 SF6 GAS FILL SYRINGE RFID AUTOMATIC PURGE STERILE LATEX FREE DISPOSABLE	SUP-8065751014	CDM			270	RC		inpatient			133.94	133.94																																																			
CATHETER UMBILICAL 3.5 FR DOUBLE LUMEN	SUP-02-00140	CDM			272	RC		outpatient			133.93	133.93	36.28				percent of total billed charges		133.93				other	OPPS APC	99.11				percent of total billed charges		133.93				other	OPPS APC	133.93				other	OPPS APC	36.28				percent of total billed charges		37				percent of total billed charges		133.93				other	OPPS APC	36.28	133.93	
CATHETER UMBILICAL 3.5 FR DOUBLE LUMEN	SUP-02-00140	CDM			272	RC		inpatient			133.93	133.93																																																			
PACK SURGICAL CUSTOM AV FISTULA	SUP-DYNJ59262	CDM			270	RC		outpatient			133.91	133.91	36.28				percent of total billed charges		133.91				other	OPPS APC	99.09				percent of total billed charges		133.91				other	OPPS APC	133.91				other	OPPS APC	36.28				percent of total billed charges		37				percent of total billed charges		133.91				other	OPPS APC	36.28	133.91	
PACK SURGICAL CUSTOM AV FISTULA	SUP-DYNJ59262	CDM			270	RC		inpatient			133.91	133.91																																																			
INSULIN ISOPHANE HUMAN PER 5 UNITS	637000000	CDM	0002-8315-01	NDC	A9270	HCPCS		inpatient			133.83	133.83																																																			
INSULIN ISOPHANE HUMAN PER 5 UNITS	637000000	CDM	0002-8315-01	NDC	A9270	HCPCS		outpatient			133.83	133.83																																															other	OPPS APC			
SCREW CORTEX NON LOCKING 3.5MM X 22MM	SUP-97-03388	CDM			278	RC		outpatient			133.76	133.76	133.76				fee schedule		133.76				other	OPPS APC	76.24				percent of total billed charges		133.76				other	OPPS APC	133.76				other	OPPS APC	65.54				percent of total billed charges		68.22				percent of total billed charges		133.76				other	OPPS APC	65.54	133.76	
SCREW CORTEX NON LOCKING 3.5MM X 22MM	SUP-97-03388	CDM			278	RC		inpatient			133.76	133.76																																																			
UNIT DRAINAGE PLEUR-EVAC 2350 CC BALANCE LARGE CAPACITY COLLECTION CHAMBER ACCURATE PRESSURE CONTROL STERILE LATEX FREE BLUE RED WHITE PNEUMONECTOMY	SUP-A-4301-08LF	CDM	270009126	LOCAL	270	RC		outpatient			133.63	133.63	36.2				percent of total billed charges		133.63				other	OPPS APC	98.89				percent of total billed charges		133.63				other	OPPS APC	133.63				other	OPPS APC	36.2				percent of total billed charges		36.92				percent of total billed charges		133.63				other	OPPS APC	36.2	133.63	
UNIT DRAINAGE PLEUR-EVAC 2350 CC BALANCE LARGE CAPACITY COLLECTION CHAMBER ACCURATE PRESSURE CONTROL STERILE LATEX FREE BLUE RED WHITE PNEUMONECTOMY	SUP-A-4301-08LF	CDM	270009126	LOCAL	270	RC		inpatient			133.63	133.63																																																			
RELOAD SUTURE ASSISTANT ENDO STITCH SOFSILK FIBROIN STAINLESS STEEL 2-0 ES-9 L48 IN NONABSORBABLE NONMUTAGENIC STERILE DISPOSABLE BLACK	SUP-170004	CDM			270	RC		outpatient			133.62	133.62	36.2				percent of total billed charges		133.62				other	OPPS APC	98.88				percent of total billed charges		133.62				other	OPPS APC	133.62				other	OPPS APC	36.2				percent of total billed charges		36.92				percent of total billed charges		133.62				other	OPPS APC	36.2	133.62	
RELOAD SUTURE ASSISTANT ENDO STITCH SOFSILK FIBROIN STAINLESS STEEL 2-0 ES-9 L48 IN NONABSORBABLE NONMUTAGENIC STERILE DISPOSABLE BLACK	SUP-170004	CDM			270	RC		inpatient			133.62	133.62																																																			
RELOAD SUTURE ASSISTANT ENDO STITCH POLYSORB BRALON LACTOMER NYLON 3-0 ES-9 L48 IN 1 STITCH STERILE DISPOSABLE VIOLET	SUP-170071	CDM			270	RC		outpatient			133.62	133.62	36.2				percent of total billed charges		133.62				other	OPPS APC	98.88				percent of total billed charges		133.62				other	OPPS APC	133.62				other	OPPS APC	36.2				percent of total billed charges		36.92				percent of total billed charges		133.62				other	OPPS APC	36.2	133.62	
RELOAD SUTURE ASSISTANT ENDO STITCH POLYSORB BRALON LACTOMER NYLON 3-0 ES-9 L48 IN 1 STITCH STERILE DISPOSABLE VIOLET	SUP-170071	CDM			270	RC		inpatient			133.62	133.62																																																			
RELOAD SUTURE ASSISTANT ENDO STITCH SURGIDAC 0 ES-9 48IN GREEN LACTOMER DISPOSABLE STERILE 1 STITCH	SUP-173024	CDM			270	RC		outpatient			133.62	133.62	36.2				percent of total billed charges		133.62				other	OPPS APC	98.88				percent of total billed charges		133.62				other	OPPS APC	133.62				other	OPPS APC	36.2				percent of total billed charges		36.92				percent of total billed charges		133.62				other	OPPS APC	36.2	133.62	
RELOAD SUTURE ASSISTANT ENDO STITCH SURGIDAC 0 ES-9 48IN GREEN LACTOMER DISPOSABLE STERILE 1 STITCH	SUP-173024	CDM			270	RC		inpatient			133.62	133.62																																																			
GUIDEWIRE VASCULAR PT2 STAINLESS STEEL NITINOL POLYMER HYDROPHILIC STRAIGHT L185 CM OD.014 IN MODERATE SUPPORT INTERMEDIATE TIP	SUP-H74938931032	CDM			481	RC		outpatient			133.59	133.59	65.46				percent of total billed charges		133.59				other	OPPS APC	98.86				percent of total billed charges		133.59				other	OPPS APC	133.59				other	OPPS APC	65.46				percent of total billed charges		68.13				percent of total billed charges		133.59				other	OPPS APC	65.46	133.59	
GUIDEWIRE VASCULAR PT2 STAINLESS STEEL NITINOL POLYMER HYDROPHILIC STRAIGHT L185 CM OD.014 IN MODERATE SUPPORT INTERMEDIATE TIP	SUP-H74938931032	CDM			481	RC		inpatient			133.59	133.59																																																			
GUIDEWIRE VASCULAR PT2 POLYMER HYDROPHILIC L185 CM OD.014 IN MODERATE RAIL SUPPORT INTERMEDIATE J TIP	SUP-H7493893103J2	CDM			481	RC		outpatient			133.59	133.59	65.46				percent of total billed charges		133.59				other	OPPS APC	98.86				percent of total billed charges		133.59				other	OPPS APC	133.59				other	OPPS APC	65.46				percent of total billed charges		68.13				percent of total billed charges		133.59				other	OPPS APC	65.46	133.59	
GUIDEWIRE VASCULAR PT2 POLYMER HYDROPHILIC L185 CM OD.014 IN MODERATE RAIL SUPPORT INTERMEDIATE J TIP	SUP-H7493893103J2	CDM			481	RC		inpatient			133.59	133.59																																																			
CATHETER ANGIOGRAPHIC SOFT-VU OMNI FLUSH 0 CURVE L65 CM OD4 FR HIGH TORQUE SHAFT SOFT RADIOPAQUE TIP ACCEPTS .035 IN GUIDEWIRE	SUP-H787107323015	CDM			270	RC		outpatient			133.2	133.2	36.08				percent of total billed charges		133.2				other	OPPS APC	98.57				percent of total billed charges		133.2				other	OPPS APC	133.2				other	OPPS APC	36.08				percent of total billed charges		36.8				percent of total billed charges		133.2				other	OPPS APC	36.08	133.2	
CATHETER ANGIOGRAPHIC SOFT-VU OMNI FLUSH 0 CURVE L65 CM OD4 FR HIGH TORQUE SHAFT SOFT RADIOPAQUE TIP ACCEPTS .035 IN GUIDEWIRE	SUP-H787107323015	CDM			270	RC		inpatient			133.2	133.2																																																			
BALLOON EBUS	SUP-95-04610	CDM			272	RC		outpatient			133.08	133.81	36.05				percent of total billed charges		133.08				other	OPPS APC	98.48				percent of total billed charges		133.08				other	OPPS APC	133.08				other	OPPS APC	36.05				percent of total billed charges		36.77				percent of total billed charges		133.81				other	OPPS APC	36.05	133.81	
BALLOON EBUS	SUP-95-04610	CDM			272	RC		inpatient			133.08	133.08																																																			
HC Finger	PX-320731400	CDM	73140	CPT	320	RC		outpatient			133	91.5	34.39				fee schedule		91.5				other	OPPS APC	56.47				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	38.08				fee schedule		31.27				fee schedule		91.5				other	OPPS APC	31.27	91.5	
HC Finger	PX-320731400	CDM	73140	CPT	320	RC		inpatient			133	133																																																			
HC Toe	PX-320736600	CDM	73660	CPT	320	RC		outpatient			133	91.5	31.47				fee schedule		91.5				other	OPPS APC	56.47				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	29.38				fee schedule		22.95				fee schedule		91.5				other	OPPS APC	22.95	91.5	
HC Toe	PX-320736600	CDM	73660	CPT	320	RC		inpatient			133	133																																																			
APPLIER INTERNAL CLIP LIGAMAX LIGACLIP MED LG 8.8MM 10MM TITANIUM DISPOSABLE STERILE LF VASCULAR ANGLE JAW DISTAL TIP	SUP-ER320	CDM	270009088	LOCAL	270	RC		outpatient			132.68	132.68	35.94				percent of total billed charges		132.68				other	OPPS APC	98.18				percent of total billed charges		132.68				other	OPPS APC	132.68				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.68				other	OPPS APC	35.94	132.68	
APPLIER INTERNAL CLIP LIGAMAX LIGACLIP MED LG 8.8MM 10MM TITANIUM DISPOSABLE STERILE LF VASCULAR ANGLE JAW DISTAL TIP	SUP-ER320	CDM	270009088	LOCAL	270	RC		inpatient			132.68	132.68																																																			
APPLIER INTERNAL CLIP LIGAMAX LIGACLIP MED LG 8.8MM 10MM TITANIUM DISPOSABLE STERILE LF VASCULAR ANGLE JAW DISTAL TIP	SUP-ESER320	CDM	270009088	LOCAL	270	RC		outpatient			132.68	132.68	35.94				percent of total billed charges		132.68				other	OPPS APC	98.18				percent of total billed charges		132.68				other	OPPS APC	132.68				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.68				other	OPPS APC	35.94	132.68	
APPLIER INTERNAL CLIP LIGAMAX LIGACLIP MED LG 8.8MM 10MM TITANIUM DISPOSABLE STERILE LF VASCULAR ANGLE JAW DISTAL TIP	SUP-ESER320	CDM	270009088	LOCAL	270	RC		inpatient			132.68	132.68																																																			
STAPLER INTERNAL ENDOPATH 45MM 300MM BLUE DISPOSABLE STERILE LF 8 FIRING LINEAR CUTTER RELOAD NO ARTICULATION	SUP-EZ45B	CDM	270009088	LOCAL	270	RC		outpatient			132.68	132.68	35.94				percent of total billed charges		132.68				other	OPPS APC	98.18				percent of total billed charges		132.68				other	OPPS APC	132.68				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.68				other	OPPS APC	35.94	132.68	
STAPLER INTERNAL ENDOPATH 45MM 300MM BLUE DISPOSABLE STERILE LF 8 FIRING LINEAR CUTTER RELOAD NO ARTICULATION	SUP-EZ45B	CDM	270009088	LOCAL	270	RC		inpatient			132.68	132.68																																																			
STAPLER INTERNAL PROXIMATE TITANIUM STANDARD L55 MM X H3.81 MM H1.5 MM REGULAR TISSUE 4 ROW LINEAR CUTTER CARTRIDGE SAFETY LOCK OUT STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TLC55	CDM	270009088	LOCAL	270	RC		outpatient			132.68	132.68	35.94				percent of total billed charges		132.68				other	OPPS APC	98.18				percent of total billed charges		132.68				other	OPPS APC	132.68				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.68				other	OPPS APC	35.94	132.68	
STAPLER INTERNAL PROXIMATE TITANIUM STANDARD L55 MM X H3.81 MM H1.5 MM REGULAR TISSUE 4 ROW LINEAR CUTTER CARTRIDGE SAFETY LOCK OUT STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-TLC55	CDM	270009088	LOCAL	270	RC		inpatient			132.68	132.68																																																			
STAPLER INTERNAL PROXIMATE TITANIUM STANDARD L60 MM X H3.5 MM H1.5 MM REGULAR TISSUE 2 ROW LINEAR RELOADABLE PARALLEL JAW CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-TX60B	CDM	270009088	LOCAL	270	RC		outpatient			132.68	132.68	35.94				percent of total billed charges		132.68				other	OPPS APC	98.18				percent of total billed charges		132.68				other	OPPS APC	132.68				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.68				other	OPPS APC	35.94	132.68	
STAPLER INTERNAL PROXIMATE TITANIUM STANDARD L60 MM X H3.5 MM H1.5 MM REGULAR TISSUE 2 ROW LINEAR RELOADABLE PARALLEL JAW CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-TX60B	CDM	270009088	LOCAL	270	RC		inpatient			132.68	132.68																																																			
RELOAD STAPLER ENDOPATH L300 MM X H3.5 MM H1.5 MM REGULAR TISSUE 4 ROW LINEAR CUTTER LOCK OUT STERILE LATEX FREE DISPOSABLE BLUE LAPAROSCOPIC	SUP-ZR45B	CDM	270009088	LOCAL	270	RC		outpatient			132.68	132.68	35.94				percent of total billed charges		132.68				other	OPPS APC	98.18				percent of total billed charges		132.68				other	OPPS APC	132.68				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.68				other	OPPS APC	35.94	132.68	
RELOAD STAPLER ENDOPATH L300 MM X H3.5 MM H1.5 MM REGULAR TISSUE 4 ROW LINEAR CUTTER LOCK OUT STERILE LATEX FREE DISPOSABLE BLUE LAPAROSCOPIC	SUP-ZR45B	CDM	270009088	LOCAL	270	RC		inpatient			132.68	132.68																																																			
KIT PATIENT PRONEVIEW WING ACP TUBE BILATERAL CHEST PAD HIP THIGH HINGE COVER ARM CRADLE AXIS JACKSON	SUP-6980PV	CDM			270	RC		outpatient			132.67	132.67	35.94				percent of total billed charges		132.67				other	OPPS APC	98.18				percent of total billed charges		132.67				other	OPPS APC	132.67				other	OPPS APC	35.94				percent of total billed charges		36.66				percent of total billed charges		132.67				other	OPPS APC	35.94	132.67	
KIT PATIENT PRONEVIEW WING ACP TUBE BILATERAL CHEST PAD HIP THIGH HINGE COVER ARM CRADLE AXIS JACKSON	SUP-6980PV	CDM			270	RC		inpatient			132.67	132.67																																																			
HEMOSTAT ABSORBABLE L14 IN X W2 IN	SUP-1951S	CDM	270009023	LOCAL	270	RC		outpatient			132.54	132.54	35.91				percent of total billed charges		132.54				other	OPPS APC	98.08				percent of total billed charges		132.54				other	OPPS APC	132.54				other	OPPS APC	35.91				percent of total billed charges		36.62				percent of total billed charges		132.54				other	OPPS APC	35.91	132.54	
HEMOSTAT ABSORBABLE L14 IN X W2 IN	SUP-1951S	CDM	270009023	LOCAL	270	RC		inpatient			132.54	132.54																																																			
CANGRELOR 50 MG RECON SOLN	636000000	CDM	10122-620-01	NDC	C9460	HCPCS		inpatient			132.46	132.46																																																			
CANGRELOR 50 MG RECON SOLN	636000000	CDM	10122-620-01	NDC	C9460	HCPCS		outpatient			132.46	18.79																																											18.79				other	OPPS APC	18.79	18.79	
Trach Cuffless Fenstrated 6cfn	PX-270000026	CDM			270	RC		outpatient			132.46	132.46	35.88				percent of total billed charges		132.46				other	OPPS APC	132.46				fee schedule		132.46				other	OPPS APC	132.46				other	OPPS APC	35.88				percent of total billed charges		36.6				percent of total billed charges		132.46				other	OPPS APC	35.88	132.46	
Trach Cuffless Fenstrated 6cfn	PX-270000026	CDM			270	RC		inpatient			132.46	132.46																																																			
SUTURE ABSORBABLE MONOCRYL 3-0 SH L27 IN MONOFILAMENT UNDYED	SUP-Y416H	CDM			270	RC		outpatient			132.36	132.36	35.86				percent of total billed charges		132.36				other	OPPS APC	97.95				percent of total billed charges		132.36				other	OPPS APC	132.36				other	OPPS APC	35.86				percent of total billed charges		36.57				percent of total billed charges		132.36				other	OPPS APC	35.86	132.36	
SUTURE ABSORBABLE MONOCRYL 3-0 SH L27 IN MONOFILAMENT UNDYED	SUP-Y416H	CDM			270	RC		inpatient			132.36	132.36																																																			
CANISTER INFO VAC	SUP-15-00024	CDM			272	RC		outpatient			132.27	132.27	35.83				percent of total billed charges		132.27				other	OPPS APC	97.88				percent of total billed charges		132.27				other	OPPS APC	132.27				other	OPPS APC	35.83				percent of total billed charges		36.55				percent of total billed charges		132.27				other	OPPS APC	35.83	132.27	
CANISTER INFO VAC	SUP-15-00024	CDM			272	RC		inpatient			132.27	132.27																																																			
FAT EMULSION 20 % EMULSION 250 ML FLEX CONT	250000000	CDM	65219-533-01	NDC				inpatient			132.12	132.12																																																			
FAT EMULSION 20 % EMULSION 250 ML FLEX CONT	250000000	CDM	65219-533-01	NDC				outpatient			132.12	132.12																																															other	OPPS APC			
HC Tn Biofeedback	PX-420909010	CDM	90901	CPT	420	RC		outpatient			132	18.62	132				percent of total billed charges		18.62				fee schedule		97.68				percent of total billed charges		18.62				fee schedule		18.62				fee schedule		138.12				percent of total billed charges		132				percent of total billed charges		18.62				fee schedule		18.62	138.12	
HC Tn Biofeedback	PX-420909010	CDM	90901	CPT	420	RC		inpatient			132	132																																																			
HC Debride Nail 1-5	PX-761117200	CDM	11720	CPT	761	RC		outpatient			132	132	195.77				case rate		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	195.77				case rate		67.32				percent of total billed charges		132				other	OPPS APC	67.32	195.77	
HC Debride Nail 1-5	PX-761117200	CDM	11720	CPT	761	RC		inpatient			132	132																																																			
PIN FIXATION STAINLESS STEEL L16 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.966	CDM	270010022	LOCAL	270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
PIN FIXATION STAINLESS STEEL L16 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.966	CDM	270010022	LOCAL	270	RC		inpatient			132	132																																																			
PIN FIXATION LCP STAINLESS STEEL L18 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.968	CDM	270010022	LOCAL	270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
PIN FIXATION LCP STAINLESS STEEL L18 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.968	CDM	270010022	LOCAL	270	RC		inpatient			132	132																																																			
PIN FIXATION LCP STAINLESS STEEL L20 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.970	CDM	270010022	LOCAL	270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
PIN FIXATION LCP STAINLESS STEEL L20 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.970	CDM	270010022	LOCAL	270	RC		inpatient			132	132																																																			
PIN FIXATION STAINLESS STEEL L22 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.972	CDM	270010022	LOCAL	270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
PIN FIXATION STAINLESS STEEL L22 MM OD1.8 MM DISTAL RADIUS BUTTRESS NONSTERILE	SUP-201.972	CDM	270010022	LOCAL	270	RC		inpatient			132	132																																																			
CABLE CATHETER RESPONSE L150 CM ELECTROPHYSIOLOGY BIPOLAR TRIPOLAR QUADRIPOLAR BLUE	SUP-401973	CDM			270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
CABLE CATHETER RESPONSE L150 CM ELECTROPHYSIOLOGY BIPOLAR TRIPOLAR QUADRIPOLAR BLUE	SUP-401973	CDM			270	RC		inpatient			132	132																																																			
K-WIRE 1.4 LG150	SUP-95-04540	CDM			278	RC		outpatient			132	132	132				fee schedule		132				other	OPPS APC	75.24				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	64.68				percent of total billed charges		67.32				percent of total billed charges		132				other	OPPS APC	64.68	132	
K-WIRE 1.4 LG150	SUP-95-04540	CDM			278	RC		inpatient			132	132																																																			
BALLOON - MUSTANG OTW 4X150X135	SUP-99-01380	CDM			272	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
BALLOON - MUSTANG OTW 4X150X135	SUP-99-01380	CDM			272	RC		inpatient			132	132																																																			
BALLOON - MUSTANG OTW 6X100X135	SUP-99-01381	CDM			272	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
BALLOON - MUSTANG OTW 6X100X135	SUP-99-01381	CDM			272	RC		inpatient			132	132																																																			
BLADE SHAVER COOLCUT L7 CM OD3 MM SMALL JOINT ARTHROSCOPIC DISSECTOR STERILE DISPOSABLE	SUP-AR-7300DS	CDM			270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
BLADE SHAVER COOLCUT L7 CM OD3 MM SMALL JOINT ARTHROSCOPIC DISSECTOR STERILE DISPOSABLE	SUP-AR-7300DS	CDM			270	RC		inpatient			132	132																																																			
NEEDLE INJECTION INJETAK ANGLE L 35 CM OD 4.8 FR 3 BEVEL INDICATOR TIP CANNULA BLACK CYSTOSCOPY	SUP-DIS199	CDM			270	RC		outpatient			132	132	35.76				percent of total billed charges		132				other	OPPS APC	97.68				percent of total billed charges		132				other	OPPS APC	132				other	OPPS APC	35.76				percent of total billed charges		36.47				percent of total billed charges		132				other	OPPS APC	35.76	132	
NEEDLE INJECTION INJETAK ANGLE L 35 CM OD 4.8 FR 3 BEVEL INDICATOR TIP CANNULA BLACK CYSTOSCOPY	SUP-DIS199	CDM			270	RC		inpatient			132	132																																																			
TRAY FOLEY LF 16FR TEMP SENSING	SUP-03-00035	CDM			272	RC		outpatient			131.82	131.82	35.71				percent of total billed charges		131.82				other	OPPS APC	97.55				percent of total billed charges		131.82				other	OPPS APC	131.82				other	OPPS APC	35.71				percent of total billed charges		36.42				percent of total billed charges		131.82				other	OPPS APC	35.71	131.82	
TRAY FOLEY LF 16FR TEMP SENSING	SUP-03-00035	CDM			272	RC		inpatient			131.82	131.82																																																			
Catheter Phillips 22fr	PX-272000006	CDM			272	RC		outpatient			131.66	131.66	35.67				percent of total billed charges		131.66				other	OPPS APC	131.66				fee schedule		131.66				other	OPPS APC	131.66				other	OPPS APC	35.67				percent of total billed charges		36.38				percent of total billed charges		131.66				other	OPPS APC	35.67	131.66	
Catheter Phillips 22fr	PX-272000006	CDM			272	RC		inpatient			131.66	131.66																																																			
SCREW BONE TITANIUM FLUTE L4 MM OD2 MM ODSEC3.5 MM CORTICAL CRANIOMAXILLOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.154E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM FLUTE L4 MM OD2 MM ODSEC3.5 MM CORTICAL CRANIOMAXILLOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.154E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM L6 MM OD2 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP NONSTERILE	SUP-401.156E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM L6 MM OD2 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP NONSTERILE	SUP-401.156E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM L8 MM OD2 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP NONSTERILE	SUP-401.158E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM L8 MM OD2 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP NONSTERILE	SUP-401.158E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM FLUTE L10 MM OD2 MM ODSEC3.5 MM CORTICAL CRANIOMAXILLOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.160E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM FLUTE L10 MM OD2 MM ODSEC3.5 MM CORTICAL CRANIOMAXILLOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.160E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM L12 MM OD2 MM ODSEC3.5 MM MAXILLOFACIAL CORTICAL SELF TAP STERILE MODULAR FIXATION SYSTEM	SUP-401.162E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM L12 MM OD2 MM ODSEC3.5 MM MAXILLOFACIAL CORTICAL SELF TAP STERILE MODULAR FIXATION SYSTEM	SUP-401.162E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM FLUTE L14 MM OD2 MM ODSEC3.5 MM CORTICAL CRANIOMAXILLOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.164E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM FLUTE L14 MM OD2 MM ODSEC3.5 MM CORTICAL CRANIOMAXILLOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.164E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM L16 MM OD2 MM ODSEC3.5 MM CRANIOMAXILLOFACIAL CORTICAL SELF TAPPING TRIFLUTED TIP FINE PITCH CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.166E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE TITANIUM L16 MM OD2 MM ODSEC3.5 MM CRANIOMAXILLOFACIAL CORTICAL SELF TAPPING TRIFLUTED TIP FINE PITCH CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-401.166E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE L18 MM OD2 MM CORTICAL SELF TAPPING	SUP-401.168E	CDM	270010022	LOCAL	270	RC		outpatient			131.64	131.64	35.66				percent of total billed charges		131.64				other	OPPS APC	97.41				percent of total billed charges		131.64				other	OPPS APC	131.64				other	OPPS APC	35.66				percent of total billed charges		36.37				percent of total billed charges		131.64				other	OPPS APC	35.66	131.64	
SCREW BONE L18 MM OD2 MM CORTICAL SELF TAPPING	SUP-401.168E	CDM	270010022	LOCAL	270	RC		inpatient			131.64	131.64																																																			
SCREW BONE TITANIUM L4 MM OD1.5 MM CORTICAL CRANIOFACIAL SELF DRILLING STARDRIVE RECESS STERILE	SUP-400.754E	CDM	270010022	LOCAL	270	RC		outpatient			131.6	131.6	35.65				percent of total billed charges		131.6				other	OPPS APC	97.38				percent of total billed charges		131.6				other	OPPS APC	131.6				other	OPPS APC	35.65				percent of total billed charges		36.36				percent of total billed charges		131.6				other	OPPS APC	35.65	131.6	
SCREW BONE TITANIUM L4 MM OD1.5 MM CORTICAL CRANIOFACIAL SELF DRILLING STARDRIVE RECESS STERILE	SUP-400.754E	CDM	270010022	LOCAL	270	RC		inpatient			131.6	131.6																																																			
PACK TRENGUARD PROCEDURE 450 PAC 450LBS	SUP-55201	CDM			270	RC		outpatient			131.47	131.47	35.62				percent of total billed charges		131.47				other	OPPS APC	97.29				percent of total billed charges		131.47				other	OPPS APC	131.47				other	OPPS APC	35.62				percent of total billed charges		36.33				percent of total billed charges		131.47				other	OPPS APC	35.62	131.47	
PACK TRENGUARD PROCEDURE 450 PAC 450LBS	SUP-55201	CDM			270	RC		inpatient			131.47	131.47																																																			
KIT POSITIONING PROAXIS PRONEVIEW	SUP-6988A-PV	CDM			270	RC		outpatient			131.42	131.42	35.6				percent of total billed charges		131.42				other	OPPS APC	97.25				percent of total billed charges		131.42				other	OPPS APC	131.42				other	OPPS APC	35.6				percent of total billed charges		36.31				percent of total billed charges		131.42				other	OPPS APC	35.6	131.42	
KIT POSITIONING PROAXIS PRONEVIEW	SUP-6988A-PV	CDM			270	RC		inpatient			131.42	131.42																																																			
SYSTEM WOUND IRRIGATION IRRISEPT 0.05% CHLORHEXIDINE GLUCONATE 99.95% WATER 450ML BOTTLE STERILE	SUP-IRCEPT450USA	CDM			270	RC		outpatient			131.3	131.31	35.57				percent of total billed charges		131.3				other	OPPS APC	97.16				percent of total billed charges		131.3				other	OPPS APC	131.3				other	OPPS APC	35.57				percent of total billed charges		36.28				percent of total billed charges		131.31				other	OPPS APC	35.57	131.31	
SYSTEM WOUND IRRIGATION IRRISEPT 0.05% CHLORHEXIDINE GLUCONATE 99.95% WATER 450ML BOTTLE STERILE	SUP-IRCEPT450USA	CDM			270	RC		inpatient			131.3	131.3																																																			
SYR/NDL INSULIN 1CC 29GX 1/2	SUP-06-00047	CDM			272	RC		outpatient			131.2	131.2	35.54				percent of total billed charges		131.2				other	OPPS APC	97.09				percent of total billed charges		131.2				other	OPPS APC	131.2				other	OPPS APC	35.54				percent of total billed charges		36.25				percent of total billed charges		131.2				other	OPPS APC	35.54	131.2	
SYR/NDL INSULIN 1CC 29GX 1/2	SUP-06-00047	CDM			272	RC		inpatient			131.2	131.2																																																			
BARON SINUS PK	SUP-72-00001	CDM			272	RC		outpatient			131.2	131.2	35.54				percent of total billed charges		131.2				other	OPPS APC	97.09				percent of total billed charges		131.2				other	OPPS APC	131.2				other	OPPS APC	35.54				percent of total billed charges		36.25				percent of total billed charges		131.2				other	OPPS APC	35.54	131.2	
BARON SINUS PK	SUP-72-00001	CDM			272	RC		inpatient			131.2	131.2																																																			
Fluorescein Stain	PX-510922301	CDM	92230	CPT	510	RC		outpatient			131	131	169.66				case rate		131				other	OPPS APC	101				case rate		131				other	OPPS APC	131				fee schedule		169.66				case rate		173.05				case rate		131				other	OPPS APC	101	173.05	
Fluorescein Stain	PX-510922301	CDM	92230	CPT	510	RC		inpatient			131	131																																																			
SUPERBAG 15 2XL NYLON SPECIMEN RETRIEVAL BAG	SUP-PNI2000	CDM			270	RC		outpatient			130.98	13.98	35.48				percent of total billed charges		130.98				other	OPPS APC	96.93				percent of total billed charges		130.98				other	OPPS APC	130.98				other	OPPS APC	35.48				percent of total billed charges		36.19				percent of total billed charges		13.98				other	OPPS APC	13.98	130.98	
SUPERBAG 15 2XL NYLON SPECIMEN RETRIEVAL BAG	SUP-PNI2000	CDM			270	RC		inpatient			130.98	130.98																																																			
BIT DRILL 110MM 2.5MM GOLD NS QUICK COUPLING	SUP-310.25	CDM	270010022	LOCAL	270	RC		outpatient			130.96	13.96	35.48				percent of total billed charges		130.96				other	OPPS APC	96.91				percent of total billed charges		130.96				other	OPPS APC	130.96				other	OPPS APC	35.48				percent of total billed charges		36.18				percent of total billed charges		13.96				other	OPPS APC	13.96	130.96	
BIT DRILL 110MM 2.5MM GOLD NS QUICK COUPLING	SUP-310.25	CDM	270010022	LOCAL	270	RC		inpatient			130.96	130.96																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO POLYISOPRENE 8.5	SUP-47685	CDM			270	RC		outpatient			130.9	13.91	35.46				percent of total billed charges		130.9				other	OPPS APC	96.87				percent of total billed charges		130.9				other	OPPS APC	130.9				other	OPPS APC	35.46				percent of total billed charges		36.17				percent of total billed charges		13.91				other	OPPS APC	13.91	130.9	
GLOVE SURGICAL BIOGEL ORTHOPRO POLYISOPRENE 8.5	SUP-47685	CDM			270	RC		inpatient			130.9	130.9																																																			
CHOLANGIOGRAPHY CANNULA UNIT R	SUP-74-00055	CDM			272	RC		outpatient			130.9	13.91	35.46				percent of total billed charges		130.9				other	OPPS APC	96.87				percent of total billed charges		130.9				other	OPPS APC	130.9				other	OPPS APC	35.46				percent of total billed charges		36.17				percent of total billed charges		13.91				other	OPPS APC	13.91	130.9	
CHOLANGIOGRAPHY CANNULA UNIT R	SUP-74-00055	CDM			272	RC		inpatient			130.9	130.9																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO 7 298X91MM BROWN POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-MHC47670	CDM						inpatient			130.9	130.9																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO 7 298X91MM BROWN POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-MHC47670	CDM						outpatient			130.9	13.91	130.9				percent of total billed charges		130.9				other	OPPS APC	130.9				fee schedule		130.9				other	OPPS APC	130.9				other	OPPS APC	130.9				case rate		130.9				case rate		13.91				other	OPPS APC	13.91	130.9	
SUTURE ENDOLOOP PDSII EZ10G	SUP-74-00233	CDM			272	RC		outpatient			130.87	13.87	35.45				percent of total billed charges		130.87				other	OPPS APC	96.84				percent of total billed charges		130.87				other	OPPS APC	130.87				other	OPPS APC	35.45				percent of total billed charges		36.16				percent of total billed charges		13.87				other	OPPS APC	13.87	130.87	
SUTURE ENDOLOOP PDSII EZ10G	SUP-74-00233	CDM			272	RC		inpatient			130.87	130.87																																																			
"SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 177 ML BOTTLE"	250000000	CDM	10572-011-01	NDC				inpatient			130.85	130.85																																																			
"SODIUM, POTASSIUM, AND MAGNESIUM SULFATES 17.5-3.13-1.6 GRAM RECON SOLN 177 ML BOTTLE"	250000000	CDM	10572-011-01	NDC				outpatient			130.85	130.85																																															other	OPPS APC			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL	250000000	CDM	63323-089-50	NDC				inpatient			130.74	130.74																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL	250000000	CDM	63323-089-50	NDC				outpatient			130.74	130.74																																															other	OPPS APC			
RECEPTACLE DRAIN THORACIC WATERSEAL PLASTIC DOUBLE CHAMBER SUCTION CONTROL 2 TUBES 200ML	SUP-3620-100	CDM	270009032	LOCAL	270	RC		outpatient			130.45	13.45	35.34				percent of total billed charges		130.45				other	OPPS APC	96.53				percent of total billed charges		130.45				other	OPPS APC	130.45				other	OPPS APC	35.34				percent of total billed charges		36.04				percent of total billed charges		13.45				other	OPPS APC	13.45	130.45	
RECEPTACLE DRAIN THORACIC WATERSEAL PLASTIC DOUBLE CHAMBER SUCTION CONTROL 2 TUBES 200ML	SUP-3620-100	CDM	270009032	LOCAL	270	RC		inpatient			130.45	130.45																																																			
DRAIN INCISION OASIS PLASTIC THORACIC BLOOD RECOVERY DRY SUCTION ATS COMPATIBLE 1 PATIENT TUBE STERILE LATEX FREE DISPOSABLE	SUP-3650-100	CDM	270009032	LOCAL	270	RC		outpatient			130.45	13.45	35.34				percent of total billed charges		130.45				other	OPPS APC	96.53				percent of total billed charges		130.45				other	OPPS APC	130.45				other	OPPS APC	35.34				percent of total billed charges		36.04				percent of total billed charges		13.45				other	OPPS APC	13.45	130.45	
DRAIN INCISION OASIS PLASTIC THORACIC BLOOD RECOVERY DRY SUCTION ATS COMPATIBLE 1 PATIENT TUBE STERILE LATEX FREE DISPOSABLE	SUP-3650-100	CDM	270009032	LOCAL	270	RC		inpatient			130.45	130.45																																																			
SHEATH GUIDING FLEXOR CHECK-FLO MULTIPURPOSE CURVE 55CM 7FR 2.5MM HIGH FLEX DILATOR ACCEPTS .035IN GUIDEWIRE	SUP-G49043	CDM			270	RC		outpatient			130.36	13.36	35.31				percent of total billed charges		130.36				other	OPPS APC	96.47				percent of total billed charges		130.36				other	OPPS APC	130.36				other	OPPS APC	35.31				percent of total billed charges		36.02				percent of total billed charges		13.36				other	OPPS APC	13.36	130.36	
SHEATH GUIDING FLEXOR CHECK-FLO MULTIPURPOSE CURVE 55CM 7FR 2.5MM HIGH FLEX DILATOR ACCEPTS .035IN GUIDEWIRE	SUP-G49043	CDM			270	RC		inpatient			130.36	130.36																																																			
SHEATH GUIDING FLEXOR 5FR 55CM	SUP-G56230	CDM			270	RC		outpatient			130.36	13.36	35.31				percent of total billed charges		130.36				other	OPPS APC	96.47				percent of total billed charges		130.36				other	OPPS APC	130.36				other	OPPS APC	35.31				percent of total billed charges		36.02				percent of total billed charges		13.36				other	OPPS APC	13.36	130.36	
SHEATH GUIDING FLEXOR 5FR 55CM	SUP-G56230	CDM			270	RC		inpatient			130.36	130.36																																																			
SPLINT ORTHOPEDIC ORTHO-GLASS FIBERGLASS L15 FT X W4 IN WRIST IMMOBILIZER WRINKLE FREE STRETCH PAD COVER INTERLOCK PERFORMANCE TECHNOLOGY LATEX FREE	SUP-OG-4L2	CDM						inpatient			130.11	130.11																																																			
SPLINT ORTHOPEDIC ORTHO-GLASS FIBERGLASS L15 FT X W4 IN WRIST IMMOBILIZER WRINKLE FREE STRETCH PAD COVER INTERLOCK PERFORMANCE TECHNOLOGY LATEX FREE	SUP-OG-4L2	CDM						outpatient			130.11	13.11	130.11				percent of total billed charges		130.11				other	OPPS APC	130.11				fee schedule		130.11				other	OPPS APC	130.11				other	OPPS APC	130.11				case rate		130.11				case rate		13.11				other	OPPS APC	13.11	130.11	
APPLICATOR SILVER NITRATE 47-1	SUP-29-00003	CDM			272	RC		outpatient			130.07	13.7	35.24				percent of total billed charges		130.07				other	OPPS APC	96.25				percent of total billed charges		130.07				other	OPPS APC	130.07				other	OPPS APC	35.24				percent of total billed charges		35.94				percent of total billed charges		13.7				other	OPPS APC	13.7	130.07	
APPLICATOR SILVER NITRATE 47-1	SUP-29-00003	CDM			272	RC		inpatient			130.07	130.07																																																			
TRANS-ORAL NEEDLE	SUP-5030496	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
TRANS-ORAL NEEDLE	SUP-5030496	CDM			270	RC		inpatient			130	130																																																			
AR-200 IRRIGATION TUBING SET	SUP-97-04909	CDM			272	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
AR-200 IRRIGATION TUBING SET	SUP-97-04909	CDM			272	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS 1.5MM FULL THREAD HEXAGON 12MM 2.3MM TITANIUM STERILE FOREFOOT CORTICAL SELF DRILL SELF	SUP-AR-13120T-12	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS 1.5MM FULL THREAD HEXAGON 12MM 2.3MM TITANIUM STERILE FOREFOOT CORTICAL SELF DRILL SELF	SUP-AR-13120T-12	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L14 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-14	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L14 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-14	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L16 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-16	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L16 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-16	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L18 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-18	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L18 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-18	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L20 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-20	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L20 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-20	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L22 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-22	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L22 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-22	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS 1.5MM FULL THREAD HEXAGON 24MM 2.3MM TITANIUM STERILE FOREFOOT CORTICAL SELF DRILL SELF	SUP-AR-13120T-24	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS 1.5MM FULL THREAD HEXAGON 24MM 2.3MM TITANIUM STERILE FOREFOOT CORTICAL SELF DRILL SELF	SUP-AR-13120T-24	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L26 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-26	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L26 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-26	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L28 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-28	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE LOW PROFILE SCREWS TITANIUM 1.5 MM FULL THREAD HEXAGON L28 MM OD2.3 MM FOREFOOT CORTICAL SELF DRILL SELF TAP SOLID STERILE PROXIMAL OPENING WEDGE OSTEOTOMY	SUP-AR-13120T-28	CDM			270	RC		inpatient			130	130																																																			
SCREW BONE 14MM 2.3MM SS STERILE CORTICAL	SUP-AR-13123-14	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW BONE 14MM 2.3MM SS STERILE CORTICAL	SUP-AR-13123-14	CDM			270	RC		inpatient			130	130																																																			
SCREW ARTHREX CORTICAL 2.3MM	SUP-AR-13123-16	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SCREW ARTHREX CORTICAL 2.3MM	SUP-AR-13123-16	CDM			270	RC		inpatient			130	130																																																			
SUTURE NONABSORBABLE SUTURETAPE L40 IN OD1.3 MM X 2 STRAND BLACK BLUE WHITE	SUP-AR-7501	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
SUTURE NONABSORBABLE SUTURETAPE L40 IN OD1.3 MM X 2 STRAND BLACK BLUE WHITE	SUP-AR-7501	CDM			270	RC		inpatient			130	130																																																			
PAD POSITIONING UNIVERSAL PERINEAL POST	SUP-AT092000	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
PAD POSITIONING UNIVERSAL PERINEAL POST	SUP-AT092000	CDM			270	RC		inpatient			130	130																																																			
CATHETER ANGIOGRAPHIC SLIP-CATH BEACON TIP STAINLESS STEEL NYLON HYDROPHILIC VTK CURVE L125 CM OD5 FR CEREBRAL RADIOPAQUE BRAID KINK RESISTANCE STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-G12082	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
CATHETER ANGIOGRAPHIC SLIP-CATH BEACON TIP STAINLESS STEEL NYLON HYDROPHILIC VTK CURVE L125 CM OD5 FR CEREBRAL RADIOPAQUE BRAID KINK RESISTANCE STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-G12082	CDM			270	RC		inpatient			130	130																																																			
CANNULA ERCP TAPER TIP COOK	SUP-GT-1-T	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
CANNULA ERCP TAPER TIP COOK	SUP-GT-1-T	CDM			270	RC		inpatient			130	130																																																			
GW DIAGNOSTIC AMPLATZ INQWIRE .0035 IN 180 CM L 3MM J-TIP _62243_	SUP-IQA506	CDM			481	RC		outpatient			130	13	63.7				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	63.7				percent of total billed charges		66.3				percent of total billed charges		13				other	OPPS APC	13	130	
GW DIAGNOSTIC AMPLATZ INQWIRE .0035 IN 180 CM L 3MM J-TIP _62243_	SUP-IQA506	CDM			481	RC		inpatient			130	130																																																			
NEEDLE BONE MARROW ASPIRATE 11GUAGE	SUP-RAN-1115H5T-BNT	CDM			270	RC		outpatient			130	13	35.22				percent of total billed charges		130				other	OPPS APC	96.2				percent of total billed charges		130				other	OPPS APC	130				other	OPPS APC	35.22				percent of total billed charges		35.92				percent of total billed charges		13				other	OPPS APC	13	130	
NEEDLE BONE MARROW ASPIRATE 11GUAGE	SUP-RAN-1115H5T-BNT	CDM			270	RC		inpatient			130	130																																																			
APPLICATOR LAPROSCOPIC VISTASEAL L 35CM DUAL	SUP-VSTL35	CDM			270	RC		outpatient			129.97	129.97	35.21				percent of total billed charges		129.97				other	OPPS APC	96.18				percent of total billed charges		129.97				other	OPPS APC	129.97				other	OPPS APC	35.21				percent of total billed charges		35.91				percent of total billed charges		129.97				other	OPPS APC	35.21	129.97	
APPLICATOR LAPROSCOPIC VISTASEAL L 35CM DUAL	SUP-VSTL35	CDM			270	RC		inpatient			129.97	129.97																																																			
APPLICATOR LAPAROSCOPIC VISTASEAL L45 CM DUAL APPLICATOR FLEXIBLE	SUP-VSTL45	CDM			270	RC		outpatient			129.97	129.97	35.21				percent of total billed charges		129.97				other	OPPS APC	96.18				percent of total billed charges		129.97				other	OPPS APC	129.97				other	OPPS APC	35.21				percent of total billed charges		35.91				percent of total billed charges		129.97				other	OPPS APC	35.21	129.97	
APPLICATOR LAPAROSCOPIC VISTASEAL L45 CM DUAL APPLICATOR FLEXIBLE	SUP-VSTL45	CDM			270	RC		inpatient			129.97	129.97																																																			
GUIDE WIRE 2.0MMX240MM	SUP-95-03941	CDM			272	RC		outpatient			129.8	129.81	35.16				percent of total billed charges		129.8				other	OPPS APC	96.05				percent of total billed charges		129.8				other	OPPS APC	129.8				other	OPPS APC	35.16				percent of total billed charges		35.86				percent of total billed charges		129.81				other	OPPS APC	35.16	129.81	
GUIDE WIRE 2.0MMX240MM	SUP-95-03941	CDM			272	RC		inpatient			129.8	129.8																																																			
SCREW BONE TITANIUM FLUTE L4 MM OD1.5 MM CRANIOMAXILLOFACIAL CORTEX SELF TAP CRUCIFORM STERILE	SUP-400.734E	CDM	270010022	LOCAL	270	RC		outpatient			129.64	129.64	35.12				percent of total billed charges		129.64				other	OPPS APC	95.93				percent of total billed charges		129.64				other	OPPS APC	129.64				other	OPPS APC	35.12				percent of total billed charges		35.82				percent of total billed charges		129.64				other	OPPS APC	35.12	129.64	
SCREW BONE TITANIUM FLUTE L4 MM OD1.5 MM CRANIOMAXILLOFACIAL CORTEX SELF TAP CRUCIFORM STERILE	SUP-400.734E	CDM	270010022	LOCAL	270	RC		inpatient			129.64	129.64																																																			
SCREW BONE TITANIUM FLUTE L6 MM OD1.5 MM CRANIOMAXILLOFACIAL CORTEX SELF TAP CRUCIFORM STERILE	SUP-400.736E	CDM	270010022	LOCAL	270	RC		outpatient			129.64	129.64	35.12				percent of total billed charges		129.64				other	OPPS APC	95.93				percent of total billed charges		129.64				other	OPPS APC	129.64				other	OPPS APC	35.12				percent of total billed charges		35.82				percent of total billed charges		129.64				other	OPPS APC	35.12	129.64	
SCREW BONE TITANIUM FLUTE L6 MM OD1.5 MM CRANIOMAXILLOFACIAL CORTEX SELF TAP CRUCIFORM STERILE	SUP-400.736E	CDM	270010022	LOCAL	270	RC		inpatient			129.64	129.64																																																			
SCREW BONE TITANIUM L10 MM OD1.5 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP NONSTERILE	SUP-400.740E	CDM	270010022	LOCAL	270	RC		outpatient			129.64	129.64	35.12				percent of total billed charges		129.64				other	OPPS APC	95.93				percent of total billed charges		129.64				other	OPPS APC	129.64				other	OPPS APC	35.12				percent of total billed charges		35.82				percent of total billed charges		129.64				other	OPPS APC	35.12	129.64	
SCREW BONE TITANIUM L10 MM OD1.5 MM CORTICAL CRANIOFACIAL SELF TAPPING FLUTED TIP NONSTERILE	SUP-400.740E	CDM	270010022	LOCAL	270	RC		inpatient			129.64	129.64																																																			
SCREW BONE TITANIUM FLUTE L12 MM OD1.5 MM ODSEC3 MM CORTICAL CRANIOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-400.742E	CDM			270	RC		outpatient			129.64	129.64	35.12				percent of total billed charges		129.64				other	OPPS APC	95.93				percent of total billed charges		129.64				other	OPPS APC	129.64				other	OPPS APC	35.12				percent of total billed charges		35.82				percent of total billed charges		129.64				other	OPPS APC	35.12	129.64	
SCREW BONE TITANIUM FLUTE L12 MM OD1.5 MM ODSEC3 MM CORTICAL CRANIOFACIAL SELF TAPPING CRUCIFORM RECESS STERILE GOLD MODULAR FIXATION SYSTEM	SUP-400.742E	CDM			270	RC		inpatient			129.64	129.64																																																			
FORCEPS BIPOLAR ENDOPATH BABCOCK 360D 33CM 5MM DISPOSABLE STERILE LF RATCHET HANDLE ROTATION KNOB	SUP-ES5BB	CDM			270	RC		outpatient			129.62	129.62	35.11				percent of total billed charges		129.62				other	OPPS APC	95.92				percent of total billed charges		129.62				other	OPPS APC	129.62				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.62				other	OPPS APC	35.11	129.62	
FORCEPS BIPOLAR ENDOPATH BABCOCK 360D 33CM 5MM DISPOSABLE STERILE LF RATCHET HANDLE ROTATION KNOB	SUP-ES5BB	CDM			270	RC		inpatient			129.62	129.62																																																			
SCREW BONE VLP TITANIUM T7 L 6 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402406	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 6 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402406	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 7 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402407	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 7 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402407	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 8 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402408	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 8 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402408	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM L 10 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402410	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM L 10 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402410	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L11 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402411	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L11 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402411	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIAUM L 12 MM OD 2.4MM FOOT CORTICAL SELF TAP	SUP-74402412	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIAUM L 12 MM OD 2.4MM FOOT CORTICAL SELF TAP	SUP-74402412	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 13 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402413	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 13 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402413	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L !$ MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402414	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L !$ MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402414	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 16 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402416	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 16 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402416	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM L 20 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402420	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM L 20 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402420	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 22MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402422	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 22MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402422	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 24MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402424	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 24MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402424	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 26MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402426	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 26MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402426	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 28 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402428	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 28 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402428	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 30 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402430	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 30 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402430	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP MINI-MOD TITANIUM T7 L 32 MM OD 2.4 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-74402432	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP MINI-MOD TITANIUM T7 L 32 MM OD 2.4 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-74402432	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 34 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402434	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 34 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402434	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 36MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402436	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 36MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402436	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 38 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402438	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 38 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402438	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 40MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402440	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 40MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402440	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 42 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402442	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 42 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402442	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 46 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402446	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 46 MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402446	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 48MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402448	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 48MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402448	CDM			270	RC		inpatient			129.6	129.6																																																			
SCREW BONE VLP TITANIUM T7 L 55MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402455	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
SCREW BONE VLP TITANIUM T7 L 55MM OD 2.4 MM FOOT CORTICAL SELF TAP	SUP-74402455	CDM			270	RC		inpatient			129.6	129.6																																																			
INTRODUCER SHEATH CHECK-FLO FLEXOR 6 FR 1 CURVE MULTIPURPOSE TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56236	CDM			270	RC		outpatient			129.6	129.6	35.11				percent of total billed charges		129.6				other	OPPS APC	95.9				percent of total billed charges		129.6				other	OPPS APC	129.6				other	OPPS APC	35.11				percent of total billed charges		35.81				percent of total billed charges		129.6				other	OPPS APC	35.11	129.6	
INTRODUCER SHEATH CHECK-FLO FLEXOR 6 FR 1 CURVE MULTIPURPOSE TIP ANSEL MODIFICATION HIGH FLEX DILATOR GUIDEWIRE	SUP-G56236	CDM			270	RC		inpatient			129.6	129.6																																																			
INTRODUCER SHEATH CHECK-FLO FLEXOR 40CM 10FR 3.4MM DISPOSABLE STERILE PERIPHERAL LG VALVE RADIOPAQUE NONTAPER END	SUP-G32233	CDM			270	RC		outpatient			129.16	129.16	34.99				percent of total billed charges		129.16				other	OPPS APC	95.58				percent of total billed charges		129.16				other	OPPS APC	129.16				other	OPPS APC	34.99				percent of total billed charges		35.69				percent of total billed charges		129.16				other	OPPS APC	34.99	129.16	
INTRODUCER SHEATH CHECK-FLO FLEXOR 40CM 10FR 3.4MM DISPOSABLE STERILE PERIPHERAL LG VALVE RADIOPAQUE NONTAPER END	SUP-G32233	CDM			270	RC		inpatient			129.16	129.16																																																			
TROCAR ENDOSCOPIC ENDOPATH BLADELESS 10 TO 12MM	SUP-512HT	CDM			270	RC		outpatient			129.08	129.81	34.97				percent of total billed charges		129.08				other	OPPS APC	95.52				percent of total billed charges		129.08				other	OPPS APC	129.08				other	OPPS APC	34.97				percent of total billed charges		35.66				percent of total billed charges		129.81				other	OPPS APC	34.97	129.81	
TROCAR ENDOSCOPIC ENDOPATH BLADELESS 10 TO 12MM	SUP-512HT	CDM			270	RC		inpatient			129.08	129.08																																																			
SUTURE VLOC 1 GS-21 VLOCN0327	SUP-74-00443	CDM			272	RC		outpatient			129.07	129.7	34.97				percent of total billed charges		129.07				other	OPPS APC	95.51				percent of total billed charges		129.07				other	OPPS APC	129.07				other	OPPS APC	34.97				percent of total billed charges		35.66				percent of total billed charges		129.7				other	OPPS APC	34.97	129.7	
SUTURE VLOC 1 GS-21 VLOCN0327	SUP-74-00443	CDM			272	RC		inpatient			129.07	129.07																																																			
BIT DRILL CRANIAL 5.8MM	SUP-826608	CDM			270	RC		outpatient			129.04	129.4	34.96				percent of total billed charges		129.04				other	OPPS APC	95.49				percent of total billed charges		129.04				other	OPPS APC	129.04				other	OPPS APC	34.96				percent of total billed charges		35.65				percent of total billed charges		129.4				other	OPPS APC	34.96	129.4	
BIT DRILL CRANIAL 5.8MM	SUP-826608	CDM			270	RC		inpatient			129.04	129.04																																																			
BIT DRILL 145MM 3.2MM NS QUICK COUPLING	SUP-310.31	CDM	270010022	LOCAL	270	RC		outpatient			129.02	129.21	34.95				percent of total billed charges		129.02				other	OPPS APC	95.47				percent of total billed charges		129.02				other	OPPS APC	129.02				other	OPPS APC	34.95				percent of total billed charges		35.65				percent of total billed charges		129.21				other	OPPS APC	34.95	129.21	
BIT DRILL 145MM 3.2MM NS QUICK COUPLING	SUP-310.31	CDM	270010022	LOCAL	270	RC		inpatient			129.02	129.02																																																			
HC Thoracic Spine 4 Views	PX-320720741	CDM	72074	CPT	320	RC		outpatient			129	129	45.96				fee schedule		129				other	OPPS APC	116.06				fee schedule		129				other	OPPS APC	129				other	OPPS APC	44.43				fee schedule		32.6				fee schedule		129				other	OPPS APC	32.6	129	
HC Thoracic Spine 4 Views	PX-320720741	CDM	72074	CPT	320	RC		inpatient			129	129																																																			
Individ Psych W. Eval & Mgnt 30 Mins (16-37) Mins	PX-510908331	CDM	90833	CPT	510	RC		inpatient			129	129																																																			
Individ Psych W. Eval & Mgnt 30 Mins (16-37) Mins	PX-510908331	CDM	90833	CPT	510	RC		outpatient			129	129	65.71				fee schedule						other	OPPS APC	390.51				fee schedule						other	OPPS APC					other	OPPS APC	61.06				fee schedule												other	OPPS APC	390.51	390.51	
WASHER 13MM	SUP-97-00378	CDM			278	RC		outpatient			128.88	128.88	128.88				fee schedule		128.88				other	OPPS APC	73.46				percent of total billed charges		128.88				other	OPPS APC	128.88				other	OPPS APC	63.15				percent of total billed charges		65.73				percent of total billed charges		128.88				other	OPPS APC	63.15	128.88	
WASHER 13MM	SUP-97-00378	CDM			278	RC		inpatient			128.88	128.88																																																			
GUIDE WIRE 1.1MM X 150MM NON-THREADED	SUP-97-02699	CDM			278	RC		outpatient			128.88	128.88	128.88				fee schedule		128.88				other	OPPS APC	73.46				percent of total billed charges		128.88				other	OPPS APC	128.88				other	OPPS APC	63.15				percent of total billed charges		65.73				percent of total billed charges		128.88				other	OPPS APC	63.15	128.88	
GUIDE WIRE 1.1MM X 150MM NON-THREADED	SUP-97-02699	CDM			278	RC		inpatient			128.88	128.88																																																			
SCREW BONE T8 FULL THREAD L 14MM OD 4 MM SELF RETAINING TAP EVOS MINI OSTEOPENIA	SUP-72424014	CDM			270	RC		outpatient			128.8	128.81	34.89				percent of total billed charges		128.8				other	OPPS APC	95.31				percent of total billed charges		128.8				other	OPPS APC	128.8				other	OPPS APC	34.89				percent of total billed charges		35.59				percent of total billed charges		128.81				other	OPPS APC	34.89	128.81	
SCREW BONE T8 FULL THREAD L 14MM OD 4 MM SELF RETAINING TAP EVOS MINI OSTEOPENIA	SUP-72424014	CDM			270	RC		inpatient			128.8	128.8																																																			
SCREW BONE T8 FULL THREAD L 28 MM OD 4 MM SELF RETAINING TAP EVOS MINI OSTEOPENIA	SUP-72424028	CDM			270	RC		outpatient			128.8	128.81	34.89				percent of total billed charges		128.8				other	OPPS APC	95.31				percent of total billed charges		128.8				other	OPPS APC	128.8				other	OPPS APC	34.89				percent of total billed charges		35.59				percent of total billed charges		128.81				other	OPPS APC	34.89	128.81	
SCREW BONE T8 FULL THREAD L 28 MM OD 4 MM SELF RETAINING TAP EVOS MINI OSTEOPENIA	SUP-72424028	CDM			270	RC		inpatient			128.8	128.8																																																			
DRILL BIT 5/64 2.0MM	SUP-78-00343	CDM			272	RC		outpatient			128.8	128.81	34.89				percent of total billed charges		128.8				other	OPPS APC	95.31				percent of total billed charges		128.8				other	OPPS APC	128.8				other	OPPS APC	34.89				percent of total billed charges		35.59				percent of total billed charges		128.81				other	OPPS APC	34.89	128.81	
DRILL BIT 5/64 2.0MM	SUP-78-00343	CDM			272	RC		inpatient			128.8	128.8																																																			
TWIST DRILL 3/32   3.2 X 12.7	SUP-95-02827	CDM			272	RC		outpatient			128.8	128.81	34.89				percent of total billed charges		128.8				other	OPPS APC	95.31				percent of total billed charges		128.8				other	OPPS APC	128.8				other	OPPS APC	34.89				percent of total billed charges		35.59				percent of total billed charges		128.81				other	OPPS APC	34.89	128.81	
TWIST DRILL 3/32   3.2 X 12.7	SUP-95-02827	CDM			272	RC		inpatient			128.8	128.8																																																			
DRILL BIT 2.5	SUP-95-02841	CDM			272	RC		outpatient			128.8	128.81	34.89				percent of total billed charges		128.8				other	OPPS APC	95.31				percent of total billed charges		128.8				other	OPPS APC	128.8				other	OPPS APC	34.89				percent of total billed charges		35.59				percent of total billed charges		128.81				other	OPPS APC	34.89	128.81	
DRILL BIT 2.5	SUP-95-02841	CDM			272	RC		inpatient			128.8	128.8																																																			
BOWL BONE CEMENT QUICK-VAC VACUUM MIX LATEX FREE DISPOSABLE	SUP-00-5049-001-00	CDM			270	RC		outpatient			128.77	128.77	34.88				percent of total billed charges		128.77				other	OPPS APC	95.29				percent of total billed charges		128.77				other	OPPS APC	128.77				other	OPPS APC	34.88				percent of total billed charges		35.58				percent of total billed charges		128.77				other	OPPS APC	34.88	128.77	
BOWL BONE CEMENT QUICK-VAC VACUUM MIX LATEX FREE DISPOSABLE	SUP-00-5049-001-00	CDM			270	RC		inpatient			128.77	128.77																																																			
RETRACTOR LAPAROSCOPIC DEXTRUS MEDIUM LOW PROFILE FIX LENGTH ADJUSTABLE VALVE REMOVABLE SEAL CAP STERILE DISPOSABLE HAND ASSISTED LAPAROSCOPY	SUP-FLR02	CDM			270	RC		outpatient			128.53	128.53	34.82				percent of total billed charges		128.53				other	OPPS APC	95.11				percent of total billed charges		128.53				other	OPPS APC	128.53				other	OPPS APC	34.82				percent of total billed charges		35.51				percent of total billed charges		128.53				other	OPPS APC	34.82	128.53	
RETRACTOR LAPAROSCOPIC DEXTRUS MEDIUM LOW PROFILE FIX LENGTH ADJUSTABLE VALVE REMOVABLE SEAL CAP STERILE DISPOSABLE HAND ASSISTED LAPAROSCOPY	SUP-FLR02	CDM			270	RC		inpatient			128.53	128.53																																																			
HEMOSTAT ABSORBABLE SURGICEL L8 IN X W4 IN SHEER WEAVE STERILE DISPOSABLE	SUP-1952S	CDM	270009023	LOCAL	270	RC		outpatient			128.44	128.44	34.79				percent of total billed charges		128.44				other	OPPS APC	95.05				percent of total billed charges		128.44				other	OPPS APC	128.44				other	OPPS APC	34.79				percent of total billed charges		35.49				percent of total billed charges		128.44				other	OPPS APC	34.79	128.44	
HEMOSTAT ABSORBABLE SURGICEL L8 IN X W4 IN SHEER WEAVE STERILE DISPOSABLE	SUP-1952S	CDM	270009023	LOCAL	270	RC		inpatient			128.44	128.44																																																			
WASHER 7.0 MM STAINLESS STEEL	SUP-97-23841	CDM			278	RC		outpatient			128.4	128.41	128.4				fee schedule		128.4				other	OPPS APC	73.19				percent of total billed charges		128.4				other	OPPS APC	128.4				other	OPPS APC	62.92				percent of total billed charges		65.48				percent of total billed charges		128.41				other	OPPS APC	62.92	128.41	
WASHER 7.0 MM STAINLESS STEEL	SUP-97-23841	CDM			278	RC		inpatient			128.4	128.4																																																			
FORCEPS SURGICAL HOEN STAINLESS STEEL L7 3/4 IN L19 MM BAYONET HANDLE SERRATE NONSTERILE	SUP-285116	CDM			270	RC		outpatient			128.08	128.81	34.7				percent of total billed charges		128.08				other	OPPS APC	94.78				percent of total billed charges		128.08				other	OPPS APC	128.08				other	OPPS APC	34.7				percent of total billed charges		35.39				percent of total billed charges		128.81				other	OPPS APC	34.7	128.81	
FORCEPS SURGICAL HOEN STAINLESS STEEL L7 3/4 IN L19 MM BAYONET HANDLE SERRATE NONSTERILE	SUP-285116	CDM			270	RC		inpatient			128.08	128.08																																																			
BRA SMALL PINK ELIZABETH SURGICAL 30-33'	SUP-95-04785	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
BRA SMALL PINK ELIZABETH SURGICAL 30-33'	SUP-95-04785	CDM			272	RC		inpatient			128	128																																																			
BRA MEDIUM PINK ELIZABETH SURGICAL 33-36'	SUP-95-04786	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
BRA MEDIUM PINK ELIZABETH SURGICAL 33-36'	SUP-95-04786	CDM			272	RC		inpatient			128	128																																																			
BRA LARGE PINK ELIZABETH SURGICAL 36-39'	SUP-95-04787	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
BRA LARGE PINK ELIZABETH SURGICAL 36-39'	SUP-95-04787	CDM			272	RC		inpatient			128	128																																																			
BRA XLARGE PINK ELIZABETH SURGICAL 39-42'	SUP-95-04788	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
BRA XLARGE PINK ELIZABETH SURGICAL 39-42'	SUP-95-04788	CDM			272	RC		inpatient			128	128																																																			
BRA 2XL PINK ELIZABETH SURGICAL 42-45'	SUP-95-04789	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
BRA 2XL PINK ELIZABETH SURGICAL 42-45'	SUP-95-04789	CDM			272	RC		inpatient			128	128																																																			
BRA 3XL  PINK ELIZABETH SURGICAL 45-48'	SUP-95-04790	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
BRA 3XL  PINK ELIZABETH SURGICAL 45-48'	SUP-95-04790	CDM			272	RC		inpatient			128	128																																																			
CANNULA PASSPORT BUTTON 8MM ID X 3CM	SUP-95-05347	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
CANNULA PASSPORT BUTTON 8MM ID X 3CM	SUP-95-05347	CDM			272	RC		inpatient			128	128																																																			
CANNULA PASSPORT BUTTON 8MM ID X 4CM	SUP-95-05348	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
CANNULA PASSPORT BUTTON 8MM ID X 4CM	SUP-95-05348	CDM			272	RC		inpatient			128	128																																																			
CANNULA PASSPORT BUTTON 10MM ID X 3CM	SUP-95-05349	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
CANNULA PASSPORT BUTTON 10MM ID X 3CM	SUP-95-05349	CDM			272	RC		inpatient			128	128																																																			
CANNULA GEMINI SR8 8.25MM X 9CM	SUP-95-05350	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
CANNULA GEMINI SR8 8.25MM X 9CM	SUP-95-05350	CDM			272	RC		inpatient			128	128																																																			
K-WIRE 0.9MM X 152MM	SUP-97-03264	CDM			278	RC		outpatient			128	128	128				fee schedule		128				other	OPPS APC	72.96				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	62.72				percent of total billed charges		65.28				percent of total billed charges		128				other	OPPS APC	62.72	128	
K-WIRE 0.9MM X 152MM	SUP-97-03264	CDM			278	RC		inpatient			128	128																																																			
PACEMAKER - STYLET STRAIGHT	SUP-99-00024	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
PACEMAKER - STYLET STRAIGHT	SUP-99-00024	CDM			272	RC		inpatient			128	128																																																			
PACEMAKER - STYLET J	SUP-99-00025	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
PACEMAKER - STYLET J	SUP-99-00025	CDM			272	RC		inpatient			128	128																																																			
PACEMAKER - STYLET STIFF	SUP-99-00026	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
PACEMAKER - STYLET STIFF	SUP-99-00026	CDM			272	RC		inpatient			128	128																																																			
GUIDEWIRE- GLIDE SPLASH .035 STRAIGHT	SUP-99-00206	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
GUIDEWIRE- GLIDE SPLASH .035 STRAIGHT	SUP-99-00206	CDM			272	RC		inpatient			128	128																																																			
SHEATH - MICROPUNCTURE 4F	SUP-99-00999	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
SHEATH - MICROPUNCTURE 4F	SUP-99-00999	CDM			272	RC		inpatient			128	128																																																			
SHEATH - MICROPUNCTURE 5F	SUP-99-01000	CDM			272	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
SHEATH - MICROPUNCTURE 5F	SUP-99-01000	CDM			272	RC		inpatient			128	128																																																			
WIRE FIXATION KIRSCHNER FIXOS L150 MM OD1.4 MM FOOT ANKLE SMOOTH TROCAR TIP	SUP-AGK0214150	CDM			270	RC		outpatient			128	128	34.68				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	34.68				percent of total billed charges		35.37				percent of total billed charges		128				other	OPPS APC	34.68	128	
WIRE FIXATION KIRSCHNER FIXOS L150 MM OD1.4 MM FOOT ANKLE SMOOTH TROCAR TIP	SUP-AGK0214150	CDM			270	RC		inpatient			128	128																																																			
GUIDEWIRE VASCULAR COUGAR XT HYDRO-TRACK J L190 CM OD.014 IN EXTRA SUPPORT	SUP-CGRXT190HJ	CDM			481	RC		outpatient			128	128	62.72				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	62.72				percent of total billed charges		65.28				percent of total billed charges		128				other	OPPS APC	62.72	128	
GUIDEWIRE VASCULAR COUGAR XT HYDRO-TRACK J L190 CM OD.014 IN EXTRA SUPPORT	SUP-CGRXT190HJ	CDM			481	RC		inpatient			128	128																																																			
GUIDEWIRE VASCULAR COUGAR XT HYDRO-TRACK STRAIGHT L190 CM OD.014 IN EXTRA SUPPORT	SUP-CGRXT190HS	CDM			481	RC		outpatient			128	128	62.72				percent of total billed charges		128				other	OPPS APC	94.72				percent of total billed charges		128				other	OPPS APC	128				other	OPPS APC	62.72				percent of total billed charges		65.28				percent of total billed charges		128				other	OPPS APC	62.72	128	
GUIDEWIRE VASCULAR COUGAR XT HYDRO-TRACK STRAIGHT L190 CM OD.014 IN EXTRA SUPPORT	SUP-CGRXT190HS	CDM			481	RC		inpatient			128	128																																																			
TWIST DRILL 3/32   3.2 X 12.7	SUP-78-00143	CDM			272	RC		outpatient			127.98	127.98	34.67				percent of total billed charges		127.98				other	OPPS APC	94.71				percent of total billed charges		127.98				other	OPPS APC	127.98				other	OPPS APC	34.67				percent of total billed charges		35.36				percent of total billed charges		127.98				other	OPPS APC	34.67	127.98	
TWIST DRILL 3/32   3.2 X 12.7	SUP-78-00143	CDM			272	RC		inpatient			127.98	127.98																																																			
ELECTRODE CUTTING LOOP RESECTOSCOPE ROLLER BALL 24 TO 28FR	SUP-A22255C	CDM			270	RC		outpatient			127.92	127.92	34.65				percent of total billed charges		127.92				other	OPPS APC	94.66				percent of total billed charges		127.92				other	OPPS APC	127.92				other	OPPS APC	34.65				percent of total billed charges		35.34				percent of total billed charges		127.92				other	OPPS APC	34.65	127.92	
ELECTRODE CUTTING LOOP RESECTOSCOPE ROLLER BALL 24 TO 28FR	SUP-A22255C	CDM			270	RC		inpatient			127.92	127.92																																																			
SCREW BONE CORTICAL SELF TAPPING STARDRIVE RECESS MANDIBULAR 2.0 X 5.0MM	SUP-401.135E	CDM	270010022	LOCAL	270	RC		outpatient			127.84	127.84	34.63				percent of total billed charges		127.84				other	OPPS APC	94.6				percent of total billed charges		127.84				other	OPPS APC	127.84				other	OPPS APC	34.63				percent of total billed charges		35.32				percent of total billed charges		127.84				other	OPPS APC	34.63	127.84	
SCREW BONE CORTICAL SELF TAPPING STARDRIVE RECESS MANDIBULAR 2.0 X 5.0MM	SUP-401.135E	CDM	270010022	LOCAL	270	RC		inpatient			127.84	127.84																																																			
FORCE FIBER SIZE #5	SUP-97-02077	CDM			272	RC		outpatient			127.84	127.84	34.63				percent of total billed charges		127.84				other	OPPS APC	94.6				percent of total billed charges		127.84				other	OPPS APC	127.84				other	OPPS APC	34.63				percent of total billed charges		35.32				percent of total billed charges		127.84				other	OPPS APC	34.63	127.84	
FORCE FIBER SIZE #5	SUP-97-02077	CDM			272	RC		inpatient			127.84	127.84																																																			
TRAY EPIDURAL	SUP-12-00048	CDM			272	RC		outpatient			127.2	127.2	34.46				percent of total billed charges		127.2				other	OPPS APC	94.13				percent of total billed charges		127.2				other	OPPS APC	127.2				other	OPPS APC	34.46				percent of total billed charges		35.15				percent of total billed charges		127.2				other	OPPS APC	34.46	127.2	
TRAY EPIDURAL	SUP-12-00048	CDM			272	RC		inpatient			127.2	127.2																																																			
HC Direct Coombs	PX-300868800	CDM	86880	CPT	300	RC		outpatient			127	6.54	7.19				fee schedule		60.54				other	OPPS APC	14.25				fee schedule		60.54				other	OPPS APC	60.54				other	OPPS APC	5.39				fee schedule		5.39				fee schedule		6.54				other	OPPS APC	5.39	60.54	
HC Direct Coombs	PX-300868800	CDM	86880	CPT	300	RC		inpatient			127	127																																																			
BUR ROUND 1.5MM	SUP-71-00186	CDM			272	RC		outpatient			127	127	34.4				percent of total billed charges		127				other	OPPS APC	93.98				percent of total billed charges		127				other	OPPS APC	127				other	OPPS APC	34.4				percent of total billed charges		35.09				percent of total billed charges		127				other	OPPS APC	34.4	127	
BUR ROUND 1.5MM	SUP-71-00186	CDM			272	RC		inpatient			127	127																																																			
BIT DRILL DVR STAINLESS STEEL OD2.5 MM STERILE DISPOSABLE ANATOMIC VOLAR PLATING SYSTEM	SUP-DB25	CDM			270	RC		outpatient			126.9	126.91	34.38				percent of total billed charges		126.9				other	OPPS APC	93.91				percent of total billed charges		126.9				other	OPPS APC	126.9				other	OPPS APC	34.38				percent of total billed charges		35.06				percent of total billed charges		126.91				other	OPPS APC	34.38	126.91	
BIT DRILL DVR STAINLESS STEEL OD2.5 MM STERILE DISPOSABLE ANATOMIC VOLAR PLATING SYSTEM	SUP-DB25	CDM			270	RC		inpatient			126.9	126.9																																																			
KWIRE SMOOTH 1.4 X150MM	SUP-95-03060	CDM			278	RC		outpatient			126.8	126.8	126.8				fee schedule		126.8				other	OPPS APC	72.28				percent of total billed charges		126.8				other	OPPS APC	126.8				other	OPPS APC	62.13				percent of total billed charges		64.67				percent of total billed charges		126.8				other	OPPS APC	62.13	126.8	
KWIRE SMOOTH 1.4 X150MM	SUP-95-03060	CDM			278	RC		inpatient			126.8	126.8																																																			
ANCHORAGE 1.2MM X 70MM GUIDE WIRE	SUP-95-04183	CDM			278	RC		outpatient			126.72	126.72	126.72				fee schedule		126.72				other	OPPS APC	72.23				percent of total billed charges		126.72				other	OPPS APC	126.72				other	OPPS APC	62.09				percent of total billed charges		64.63				percent of total billed charges		126.72				other	OPPS APC	62.09	126.72	
ANCHORAGE 1.2MM X 70MM GUIDE WIRE	SUP-95-04183	CDM			278	RC		inpatient			126.72	126.72																																																			
ANCHORAGE 1.6MM X 100MM GUIDE WIRE	SUP-95-04184	CDM			278	RC		outpatient			126.72	126.72	126.72				fee schedule		126.72				other	OPPS APC	72.23				percent of total billed charges		126.72				other	OPPS APC	126.72				other	OPPS APC	62.09				percent of total billed charges		64.63				percent of total billed charges		126.72				other	OPPS APC	62.09	126.72	
ANCHORAGE 1.6MM X 100MM GUIDE WIRE	SUP-95-04184	CDM			278	RC		inpatient			126.72	126.72																																																			
K-WIRE ASNIS 3MM 1.2MM X 100MM STERLIE	SUP-97-02060	CDM			278	RC		outpatient			126.48	126.48	126.48				fee schedule		126.48				other	OPPS APC	72.09				percent of total billed charges		126.48				other	OPPS APC	126.48				other	OPPS APC	61.98				percent of total billed charges		64.5				percent of total billed charges		126.48				other	OPPS APC	61.98	126.48	
K-WIRE ASNIS 3MM 1.2MM X 100MM STERLIE	SUP-97-02060	CDM			278	RC		inpatient			126.48	126.48																																																			
K-WIRE ASNIS 2MM 0.8 X 100	SUP-97-02067	CDM			272	RC		outpatient			126.48	126.48	34.26				percent of total billed charges		126.48				other	OPPS APC	93.6				percent of total billed charges		126.48				other	OPPS APC	126.48				other	OPPS APC	34.26				percent of total billed charges		34.95				percent of total billed charges		126.48				other	OPPS APC	34.26	126.48	
K-WIRE ASNIS 2MM 0.8 X 100	SUP-97-02067	CDM			272	RC		inpatient			126.48	126.48																																																			
TRAY PACK 5/6 FR	SUP-12-00031	CDM			272	RC		outpatient			126.4	126.41	34.24				percent of total billed charges		126.4				other	OPPS APC	93.54				percent of total billed charges		126.4				other	OPPS APC	126.4				other	OPPS APC	34.24				percent of total billed charges		34.92				percent of total billed charges		126.41				other	OPPS APC	34.24	126.41	
TRAY PACK 5/6 FR	SUP-12-00031	CDM			272	RC		inpatient			126.4	126.4																																																			
HC Clostridium Difficile  Toxin Gene	PX-306874931	CDM	87493	CPT	306	RC		outpatient			126	37.27	46.91				fee schedule		37.27				fee schedule		94.45				fee schedule		37.27				fee schedule		37.27				fee schedule		37.27				fee schedule		37.27				fee schedule		37.27				fee schedule		37.27	94.45	
HC Clostridium Difficile  Toxin Gene	PX-306874931	CDM	87493	CPT	306	RC		inpatient			126	126																																																			
PACK ACCESSORY FRAGMATOME	SUP-1021HP	CDM			270	RC		outpatient			126	126	34.13				percent of total billed charges		126				other	OPPS APC	93.24				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	34.13				percent of total billed charges		34.81				percent of total billed charges		126				other	OPPS APC	34.13	126	
PACK ACCESSORY FRAGMATOME	SUP-1021HP	CDM			270	RC		inpatient			126	126																																																			
SHUNT CAROTID PRUITT INAHARA BALLOON OUTLYING 9FR X 31CM	SUP-2012-11	CDM	270009143	LOCAL	270	RC		outpatient			126	126	34.13				percent of total billed charges		126				other	OPPS APC	93.24				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	34.13				percent of total billed charges		34.81				percent of total billed charges		126				other	OPPS APC	34.13	126	
SHUNT CAROTID PRUITT INAHARA BALLOON OUTLYING 9FR X 31CM	SUP-2012-11	CDM	270009143	LOCAL	270	RC		inpatient			126	126																																																			
SCREW BONE OPTETRAK OD7 MM TIBIAL KNEE EXTENSION EXTENSION STEM	SUP-204-70-00	CDM	270010025	LOCAL	270	RC		outpatient			126	126	34.13				percent of total billed charges		126				other	OPPS APC	93.24				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	34.13				percent of total billed charges		34.81				percent of total billed charges		126				other	OPPS APC	34.13	126	
SCREW BONE OPTETRAK OD7 MM TIBIAL KNEE EXTENSION EXTENSION STEM	SUP-204-70-00	CDM	270010025	LOCAL	270	RC		inpatient			126	126																																																			
SCREW EXTERNAL FIXATION SCHANZ STAINLESS STEEL BLUNT SPADE L160 MM L50 MM OD6 MM TROCAR NONSTERILE LARGE EXTERNAL FIXATOR	SUP-294.67	CDM	270010022	LOCAL	270	RC		outpatient			126	126	34.13				percent of total billed charges		126				other	OPPS APC	93.24				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	34.13				percent of total billed charges		34.81				percent of total billed charges		126				other	OPPS APC	34.13	126	
SCREW EXTERNAL FIXATION SCHANZ STAINLESS STEEL BLUNT SPADE L160 MM L50 MM OD6 MM TROCAR NONSTERILE LARGE EXTERNAL FIXATOR	SUP-294.67	CDM	270010022	LOCAL	270	RC		inpatient			126	126																																																			
SCREW EXTERNAL FIXATION SCHANZ STAINLESS STEEL BLUNT SPADE L190 MM L50 MM OD6 MM TROCAR NONSTERILE LARGE EXTERNAL FIXATOR	SUP-294.68	CDM	270010022	LOCAL	270	RC		outpatient			126	126	34.13				percent of total billed charges		126				other	OPPS APC	93.24				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	34.13				percent of total billed charges		34.81				percent of total billed charges		126				other	OPPS APC	34.13	126	
SCREW EXTERNAL FIXATION SCHANZ STAINLESS STEEL BLUNT SPADE L190 MM L50 MM OD6 MM TROCAR NONSTERILE LARGE EXTERNAL FIXATOR	SUP-294.68	CDM	270010022	LOCAL	270	RC		inpatient			126	126																																																			
K-WIRE 1.2	SUP-95-03699	CDM			278	RC		outpatient			126	126	126				fee schedule		126				other	OPPS APC	71.82				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	61.74				percent of total billed charges		64.26				percent of total billed charges		126				other	OPPS APC	61.74	126	
K-WIRE 1.2	SUP-95-03699	CDM			278	RC		inpatient			126	126																																																			
WIRE G W/TRCR THRDED TIP .062	SUP-97-01508	CDM			272	RC		outpatient			126	126	34.13				percent of total billed charges		126				other	OPPS APC	93.24				percent of total billed charges		126				other	OPPS APC	126				other	OPPS APC	34.13				percent of total billed charges		34.81				percent of total billed charges		126				other	OPPS APC	34.13	126	
WIRE G W/TRCR THRDED TIP .062	SUP-97-01508	CDM			272	RC		inpatient			126	126																																																			
ELECTRODE MONOPOLAR 12 D 30 D OD.35 IN TRANSPARENT STEM CUT DISPOSABLE BLACK	SUP-46782635	CDM			270	RC		outpatient			125.46	125.46	33.99				percent of total billed charges		125.46				other	OPPS APC	92.84				percent of total billed charges		125.46				other	OPPS APC	125.46				other	OPPS APC	33.99				percent of total billed charges		34.66				percent of total billed charges		125.46				other	OPPS APC	33.99	125.46	
ELECTRODE MONOPOLAR 12 D 30 D OD.35 IN TRANSPARENT STEM CUT DISPOSABLE BLACK	SUP-46782635	CDM			270	RC		inpatient			125.46	125.46																																																			
ELECTRODE ELECTROSURGICAL OD24 FR LOOP WIRE STERILE	SUP-8424.1410	CDM			270	RC		outpatient			125.46	125.46	33.99				percent of total billed charges		125.46				other	OPPS APC	92.84				percent of total billed charges		125.46				other	OPPS APC	125.46				other	OPPS APC	33.99				percent of total billed charges		34.66				percent of total billed charges		125.46				other	OPPS APC	33.99	125.46	
ELECTRODE ELECTROSURGICAL OD24 FR LOOP WIRE STERILE	SUP-8424.1410	CDM			270	RC		inpatient			125.46	125.46																																																			
ELECTRODE ELECTROSURGICAL PEDIATRIC OD26 FR ODSEC.4 MM CUTTING LOOP WIRE STERILE	SUP-8426.1420	CDM			270	RC		outpatient			125.46	125.46	33.99				percent of total billed charges		125.46				other	OPPS APC	92.84				percent of total billed charges		125.46				other	OPPS APC	125.46				other	OPPS APC	33.99				percent of total billed charges		34.66				percent of total billed charges		125.46				other	OPPS APC	33.99	125.46	
ELECTRODE ELECTROSURGICAL PEDIATRIC OD26 FR ODSEC.4 MM CUTTING LOOP WIRE STERILE	SUP-8426.1420	CDM			270	RC		inpatient			125.46	125.46																																																			
CATHETER UMBILICAL 5 FR DOUBLE LUMEN	SUP-02-00141	CDM			272	RC		outpatient			125.42	125.42	33.98				percent of total billed charges		125.42				other	OPPS APC	92.81				percent of total billed charges		125.42				other	OPPS APC	125.42				other	OPPS APC	33.98				percent of total billed charges		34.65				percent of total billed charges		125.42				other	OPPS APC	33.98	125.42	
CATHETER UMBILICAL 5 FR DOUBLE LUMEN	SUP-02-00141	CDM			272	RC		inpatient			125.42	125.42																																																			
4F JL4 CORDIS DIAGNOSTIC CATHETER	SUP-538420	CDM			481	RC		outpatient			125.2	125.2	61.35				percent of total billed charges		125.2				other	OPPS APC	92.65				percent of total billed charges		125.2				other	OPPS APC	125.2				other	OPPS APC	61.35				percent of total billed charges		63.85				percent of total billed charges		125.2				other	OPPS APC	61.35	125.2	
4F JL4 CORDIS DIAGNOSTIC CATHETER	SUP-538420	CDM			481	RC		inpatient			125.2	125.2																																																			
PHENYLEPHRINE 10 % DROPS 5 ML DROP BTL	637000000	CDM	70756-614-30	NDC	A9270	HCPCS		inpatient			125	125																																																			
PHENYLEPHRINE 10 % DROPS 5 ML DROP BTL	637000000	CDM	70756-614-30	NDC	A9270	HCPCS		outpatient			125	125																																															other	OPPS APC			
HC Therapeutic Prophylatic Diag Inj Ea Add'l Push New Drug	PX-260963760	CDM	96376	CPT	260	RC		outpatient			125	125	76.35				percent of total billed charges		125				other	OPPS APC	92.5				percent of total billed charges		125				other	OPPS APC	125				other	OPPS APC	76.35				percent of total billed charges		77.88				percent of total billed charges		125				other	OPPS APC	76.35	125	
HC Therapeutic Prophylatic Diag Inj Ea Add'l Push New Drug	PX-260963760	CDM	96376	CPT	260	RC		inpatient			125	125																																																			
HC Hla Class I Typing  Low Resolution  One Antigen Equiv	PX-300813740	CDM	81374	CPT	300	RC		outpatient			125	74.33	125				fee schedule		74.33				fee schedule		314.6				fee schedule		74.33				fee schedule		74.33				fee schedule		74.33				fee schedule		74.33				fee schedule		74.33				fee schedule		74.33	314.6	
HC Hla Class I Typing  Low Resolution  One Antigen Equiv	PX-300813740	CDM	81374	CPT	300	RC		inpatient			125	125																																																			
HC Immunofixation Electrophoresis  Other Fluid	PX-300863350	CDM	86335	CPT	302	RC		outpatient			125	29.35	39.24				fee schedule		29.35				fee schedule		77.9				fee schedule		29.35				fee schedule		29.35				fee schedule		29.35				fee schedule		29.35				fee schedule		29.35				fee schedule		29.35	77.9	
HC Immunofixation Electrophoresis  Other Fluid	PX-300863350	CDM	86335	CPT	302	RC		inpatient			125	125																																																			
HC Moderate Sedation < 5yrs First 15 Min	PX-370991511	CDM	99151	CPT	370	RC		outpatient			125	125	35.28				percent of total billed charges		125				other	OPPS APC	92.5				percent of total billed charges		125				other	OPPS APC	125				other	OPPS APC	35.28				percent of total billed charges		35.98				percent of total billed charges		125				other	OPPS APC	35.28	125	
HC Moderate Sedation < 5yrs First 15 Min	PX-370991511	CDM	99151	CPT	370	RC		inpatient			125	125																																																			
HC Moderate Sedation Same Phys >5 Initial 15 Min	PX-370991521	CDM	99152	CPT	370	RC		outpatient			125	125	35.28				percent of total billed charges		125				other	OPPS APC	92.5				percent of total billed charges		125				other	OPPS APC	125				other	OPPS APC	35.28				percent of total billed charges		35.98				percent of total billed charges		125				other	OPPS APC	35.28	125	
HC Moderate Sedation Same Phys >5 Initial 15 Min	PX-370991521	CDM	99152	CPT	370	RC		inpatient			125	125																																																			
HC IV Push Ea Seq Same Drug After 30 Mins	PX-450963761	CDM	96376	CPT	450	RC		outpatient			125	125	195.77				case rate		125				other	OPPS APC	92.5				percent of total billed charges		125				other	OPPS APC	125				other	OPPS APC	195.77				case rate		199.69				case rate		125				other	OPPS APC	92.5	199.69	
HC IV Push Ea Seq Same Drug After 30 Mins	PX-450963761	CDM	96376	CPT	450	RC		inpatient			125	125																																																			
HC OP Visit Est 26-45 Min	PX-510992130	CDM	99213	CPT	510	RC		outpatient			125	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit Est 26-45 Min	PX-510992130	CDM	99213	CPT	510	RC		inpatient			125	125																																																			
HC IV Push Each Add of Same Drug	PX-761963761	CDM	96376	CPT	761	RC		outpatient			125	125	195.77				case rate		125				other	OPPS APC	92.5				percent of total billed charges		125				other	OPPS APC	125				other	OPPS APC	195.77				case rate		63.75				percent of total billed charges		125				other	OPPS APC	63.75	195.77	
HC IV Push Each Add of Same Drug	PX-761963761	CDM	96376	CPT	761	RC		inpatient			125	125																																																			
HC IV Push Ea Seq Same Drug After 30 Mins	PX-761963762	CDM	96376	CPT	761	RC		outpatient			125	125	195.77				case rate		125				other	OPPS APC	92.5				percent of total billed charges		125				other	OPPS APC	125				other	OPPS APC	195.77				case rate		63.75				percent of total billed charges		125				other	OPPS APC	63.75	195.77	
HC IV Push Ea Seq Same Drug After 30 Mins	PX-761963762	CDM	96376	CPT	761	RC		inpatient			125	125																																																			
GUIDEWIRE ORTHOPEDIC L150 MM OD1.1 MM	SUP-03.333.001	CDM			270	RC		outpatient			124.8	124.8	33.81				percent of total billed charges		124.8				other	OPPS APC	92.35				percent of total billed charges		124.8				other	OPPS APC	124.8				other	OPPS APC	33.81				percent of total billed charges		34.48				percent of total billed charges		124.8				other	OPPS APC	33.81	124.8	
GUIDEWIRE ORTHOPEDIC L150 MM OD1.1 MM	SUP-03.333.001	CDM			270	RC		inpatient			124.8	124.8																																																			
SCREW BONE FULL THREAD L 26 MM OD 4 MM CORTICAL OSTEOPENIA	SUP-72823226	CDM			270	RC		outpatient			124.8	124.8	33.81				percent of total billed charges		124.8				other	OPPS APC	92.35				percent of total billed charges		124.8				other	OPPS APC	124.8				other	OPPS APC	33.81				percent of total billed charges		34.48				percent of total billed charges		124.8				other	OPPS APC	33.81	124.8	
SCREW BONE FULL THREAD L 26 MM OD 4 MM CORTICAL OSTEOPENIA	SUP-72823226	CDM			270	RC		inpatient			124.8	124.8																																																			
SCREW BONE FULL THREAD L 28 MM OD 4 MM COTRICAL OSTEOPENIA	SUP-72823228	CDM			270	RC		outpatient			124.8	124.8	33.81				percent of total billed charges		124.8				other	OPPS APC	92.35				percent of total billed charges		124.8				other	OPPS APC	124.8				other	OPPS APC	33.81				percent of total billed charges		34.48				percent of total billed charges		124.8				other	OPPS APC	33.81	124.8	
SCREW BONE FULL THREAD L 28 MM OD 4 MM COTRICAL OSTEOPENIA	SUP-72823228	CDM			270	RC		inpatient			124.8	124.8																																																			
SCREW BONE FULL THREAD L 30 MM OD 4 MM ODSEC 4.9MM FOOT LOW PROFILE HEXAGONAL NONSTERILE PERI-LOC VLP OSTEOPENIA	SUP-72823230	CDM			270	RC		outpatient			124.8	124.8	33.81				percent of total billed charges		124.8				other	OPPS APC	92.35				percent of total billed charges		124.8				other	OPPS APC	124.8				other	OPPS APC	33.81				percent of total billed charges		34.48				percent of total billed charges		124.8				other	OPPS APC	33.81	124.8	
SCREW BONE FULL THREAD L 30 MM OD 4 MM ODSEC 4.9MM FOOT LOW PROFILE HEXAGONAL NONSTERILE PERI-LOC VLP OSTEOPENIA	SUP-72823230	CDM			270	RC		inpatient			124.8	124.8																																																			
SCREW BONE FULL THREAD L32 MM OD4 MM CORTICAL OSTEOPENIA	SUP-72823232	CDM			270	RC		outpatient			124.8	124.8	33.81				percent of total billed charges		124.8				other	OPPS APC	92.35				percent of total billed charges		124.8				other	OPPS APC	124.8				other	OPPS APC	33.81				percent of total billed charges		34.48				percent of total billed charges		124.8				other	OPPS APC	33.81	124.8	
SCREW BONE FULL THREAD L32 MM OD4 MM CORTICAL OSTEOPENIA	SUP-72823232	CDM			270	RC		inpatient			124.8	124.8																																																			
SCREW BONE FULL THREAD L34 MM OD4 MM CORTICAL OSTEOPENIA	SUP-72823234	CDM			270	RC		outpatient			124.8	124.8	33.81				percent of total billed charges		124.8				other	OPPS APC	92.35				percent of total billed charges		124.8				other	OPPS APC	124.8				other	OPPS APC	33.81				percent of total billed charges		34.48				percent of total billed charges		124.8				other	OPPS APC	33.81	124.8	
SCREW BONE FULL THREAD L34 MM OD4 MM CORTICAL OSTEOPENIA	SUP-72823234	CDM			270	RC		inpatient			124.8	124.8																																																			
PLATE BONE LEVEL ONE TITANIUM LONG CRANIOFACIAL 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-12-09	CDM			270	RC		outpatient			124.64	124.64	33.76				percent of total billed charges		124.64				other	OPPS APC	92.23				percent of total billed charges		124.64				other	OPPS APC	124.64				other	OPPS APC	33.76				percent of total billed charges		34.44				percent of total billed charges		124.64				other	OPPS APC	33.76	124.64	
PLATE BONE LEVEL ONE TITANIUM LONG CRANIOFACIAL 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-12-09	CDM			270	RC		inpatient			124.64	124.64																																																			
SCREW CANCELLOUS FULL THRD 6MM X 75MM	SUP-97-05543	CDM			278	RC		outpatient			124.64	124.64	124.64				fee schedule		124.64				other	OPPS APC	71.04				percent of total billed charges		124.64				other	OPPS APC	124.64				other	OPPS APC	61.07				percent of total billed charges		63.57				percent of total billed charges		124.64				other	OPPS APC	61.07	124.64	
SCREW CANCELLOUS FULL THRD 6MM X 75MM	SUP-97-05543	CDM			278	RC		inpatient			124.64	124.64																																																			
SCREW CANCELLOUS FULL THRD 6MM X 80MM	SUP-97-05990	CDM			278	RC		outpatient			124.64	124.64	124.64				fee schedule		124.64				other	OPPS APC	71.04				percent of total billed charges		124.64				other	OPPS APC	124.64				other	OPPS APC	61.07				percent of total billed charges		63.57				percent of total billed charges		124.64				other	OPPS APC	61.07	124.64	
SCREW CANCELLOUS FULL THRD 6MM X 80MM	SUP-97-05990	CDM			278	RC		inpatient			124.64	124.64																																																			
SCREW 6 X 95MM CANCELLOUS FULL THREAD	SUP-97-06435	CDM			278	RC		outpatient			124.64	124.64	124.64				fee schedule		124.64				other	OPPS APC	71.04				percent of total billed charges		124.64				other	OPPS APC	124.64				other	OPPS APC	61.07				percent of total billed charges		63.57				percent of total billed charges		124.64				other	OPPS APC	61.07	124.64	
SCREW 6 X 95MM CANCELLOUS FULL THREAD	SUP-97-06435	CDM			278	RC		inpatient			124.64	124.64																																																			
WASHER ORTHOPEDIC ROUND	SUP-71101690S	CDM			270	RC		outpatient			124.56	124.56	33.74				percent of total billed charges		124.56				other	OPPS APC	92.17				percent of total billed charges		124.56				other	OPPS APC	124.56				other	OPPS APC	33.74				percent of total billed charges		34.42				percent of total billed charges		124.56				other	OPPS APC	33.74	124.56	
WASHER ORTHOPEDIC ROUND	SUP-71101690S	CDM			270	RC		inpatient			124.56	124.56																																																			
GUIDEWIRE-GLIDE SPLASH .035X260 STRAIGHT	SUP-99-00208	CDM			272	RC		outpatient			124.52	124.52	33.73				percent of total billed charges		124.52				other	OPPS APC	92.14				percent of total billed charges		124.52				other	OPPS APC	124.52				other	OPPS APC	33.73				percent of total billed charges		34.4				percent of total billed charges		124.52				other	OPPS APC	33.73	124.52	
GUIDEWIRE-GLIDE SPLASH .035X260 STRAIGHT	SUP-99-00208	CDM			272	RC		inpatient			124.52	124.52																																																			
GUIDEWIRE ORTHOPEDIC L450 MM L300 MM OD2.8 MM TROCAR POINT THREADED CALIBRATED NONSTERILE 6.5/7.3 CANNULATED SCREW SYSTEM	SUP-900.726	CDM	270010022	LOCAL	270	RC		outpatient			124.32	124.32	33.68				percent of total billed charges		124.32				other	OPPS APC	92				percent of total billed charges		124.32				other	OPPS APC	124.32				other	OPPS APC	33.68				percent of total billed charges		34.35				percent of total billed charges		124.32				other	OPPS APC	33.68	124.32	
GUIDEWIRE ORTHOPEDIC L450 MM L300 MM OD2.8 MM TROCAR POINT THREADED CALIBRATED NONSTERILE 6.5/7.3 CANNULATED SCREW SYSTEM	SUP-900.726	CDM	270010022	LOCAL	270	RC		inpatient			124.32	124.32																																																			
WIRE GUIDE NON-THREAD 1.25MM/150MM	SUP-97-00988	CDM			278	RC		outpatient			124.32	124.32	124.32				fee schedule		124.32				other	OPPS APC	70.86				percent of total billed charges		124.32				other	OPPS APC	124.32				other	OPPS APC	60.92				percent of total billed charges		63.4				percent of total billed charges		124.32				other	OPPS APC	60.92	124.32	
WIRE GUIDE NON-THREAD 1.25MM/150MM	SUP-97-00988	CDM			278	RC		inpatient			124.32	124.32																																																			
SET ORTHOPEDIC 5 MM STOPPER	SUP-324.019	CDM	270010022	LOCAL	270	RC		outpatient			124.3	124.3	33.67				percent of total billed charges		124.3				other	OPPS APC	91.98				percent of total billed charges		124.3				other	OPPS APC	124.3				other	OPPS APC	33.67				percent of total billed charges		34.34				percent of total billed charges		124.3				other	OPPS APC	33.67	124.3	
SET ORTHOPEDIC 5 MM STOPPER	SUP-324.019	CDM	270010022	LOCAL	270	RC		inpatient			124.3	124.3																																																			
PACK SURGICAL CUSTOM GYN LAPAROSCOPY	SUP-DYNJ59279	CDM	270009174	LOCAL	270	RC		outpatient			124.21	124.3	33.65				percent of total billed charges		124.21				other	OPPS APC	91.92				percent of total billed charges		124.21				other	OPPS APC	124.21				other	OPPS APC	33.65				percent of total billed charges		34.32				percent of total billed charges		124.3				other	OPPS APC	33.65	124.3	
PACK SURGICAL CUSTOM GYN LAPAROSCOPY	SUP-DYNJ59279	CDM	270009174	LOCAL	270	RC		inpatient			124.21	124.21																																																			
PERCUTANEOUS ACCESS NEEDLE 18GA X 20CM	SUP-97-00908	CDM			272	RC		outpatient			124.08	124.8	33.61				percent of total billed charges		124.08				other	OPPS APC	91.82				percent of total billed charges		124.08				other	OPPS APC	124.08				other	OPPS APC	33.61				percent of total billed charges		34.28				percent of total billed charges		124.8				other	OPPS APC	33.61	124.8	
PERCUTANEOUS ACCESS NEEDLE 18GA X 20CM	SUP-97-00908	CDM			272	RC		inpatient			124.08	124.08																																																			
SCREW BONE STERILETRAC TITANIUM L5 MM OD1.8 MM MIDFACE SELF TAP EMERGENCY HIGH TORQUE CROSS DRIVE MAGENTA 1.5 MM LORENZ PLATE SYSTEM	SUP-91-1805	CDM			270	RC		outpatient			124	124	33.59				percent of total billed charges		124				other	OPPS APC	91.76				percent of total billed charges		124				other	OPPS APC	124				other	OPPS APC	33.59				percent of total billed charges		34.26				percent of total billed charges		124				other	OPPS APC	33.59	124	
SCREW BONE STERILETRAC TITANIUM L5 MM OD1.8 MM MIDFACE SELF TAP EMERGENCY HIGH TORQUE CROSS DRIVE MAGENTA 1.5 MM LORENZ PLATE SYSTEM	SUP-91-1805	CDM			270	RC		inpatient			124	124																																																			
TUBE CONNECTING L13 FT CUFF LATEX FREE DISPOSABLE BLUE ACUTRONIC MONSOON III JET VENTILATOR	SUP-ACU-7720T-PK5	CDM			270	RC		outpatient			124	124	33.59				percent of total billed charges		124				other	OPPS APC	91.76				percent of total billed charges		124				other	OPPS APC	124				other	OPPS APC	33.59				percent of total billed charges		34.26				percent of total billed charges		124				other	OPPS APC	33.59	124	
TUBE CONNECTING L13 FT CUFF LATEX FREE DISPOSABLE BLUE ACUTRONIC MONSOON III JET VENTILATOR	SUP-ACU-7720T-PK5	CDM			270	RC		inpatient			124	124																																																			
PACK SURGICAL ARTHROSCOPY	SUP-DYNJ59261A	CDM	270009167	LOCAL	270	RC		outpatient			123.81	123.81	33.54				percent of total billed charges		123.81				other	OPPS APC	91.62				percent of total billed charges		123.81				other	OPPS APC	123.81				other	OPPS APC	33.54				percent of total billed charges		34.21				percent of total billed charges		123.81				other	OPPS APC	33.54	123.81	
PACK SURGICAL ARTHROSCOPY	SUP-DYNJ59261A	CDM	270009167	LOCAL	270	RC		inpatient			123.81	123.81																																																			
SHEATH GUIDING FLEXOR RAABE AQ L90 CM OD6 FR ID2.2 MM CHECK-FLO VALVE SOFT TIP RADIOPAQUE BAND STIFF SHAFT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G12266	CDM			270	RC		outpatient			123.8	123.8	33.54				percent of total billed charges		123.8				other	OPPS APC	91.61				percent of total billed charges		123.8				other	OPPS APC	123.8				other	OPPS APC	33.54				percent of total billed charges		34.21				percent of total billed charges		123.8				other	OPPS APC	33.54	123.8	
SHEATH GUIDING FLEXOR RAABE AQ L90 CM OD6 FR ID2.2 MM CHECK-FLO VALVE SOFT TIP RADIOPAQUE BAND STIFF SHAFT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G12266	CDM			270	RC		inpatient			123.8	123.8																																																			
SHEATH GUIDING FLEXOR CHECK-FLO L70 CM OD9 FR ID3.2 MM RAABE MODIFICATION RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G12606	CDM			270	RC		outpatient			123.8	123.8	33.54				percent of total billed charges		123.8				other	OPPS APC	91.61				percent of total billed charges		123.8				other	OPPS APC	123.8				other	OPPS APC	33.54				percent of total billed charges		34.21				percent of total billed charges		123.8				other	OPPS APC	33.54	123.8	
SHEATH GUIDING FLEXOR CHECK-FLO L70 CM OD9 FR ID3.2 MM RAABE MODIFICATION RADIOPAQUE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G12606	CDM			270	RC		inpatient			123.8	123.8																																																			
BIT DRILL BONE 2.8MM	SUP-2129-57-010	CDM			270	RC		outpatient			123.6	123.6	33.48				percent of total billed charges		123.6				other	OPPS APC	91.46				percent of total billed charges		123.6				other	OPPS APC	123.6				other	OPPS APC	33.48				percent of total billed charges		34.15				percent of total billed charges		123.6				other	OPPS APC	33.48	123.6	
BIT DRILL BONE 2.8MM	SUP-2129-57-010	CDM			270	RC		inpatient			123.6	123.6																																																			
SCREW BONE VLP MINI-MOD TITANIUM T4 L 8MM OD 1.5MM CORTEX SELF TAP	SUP-74401508	CDM			270	RC		outpatient			123.6	123.6	33.48				percent of total billed charges		123.6				other	OPPS APC	91.46				percent of total billed charges		123.6				other	OPPS APC	123.6				other	OPPS APC	33.48				percent of total billed charges		34.15				percent of total billed charges		123.6				other	OPPS APC	33.48	123.6	
SCREW BONE VLP MINI-MOD TITANIUM T4 L 8MM OD 1.5MM CORTEX SELF TAP	SUP-74401508	CDM			270	RC		inpatient			123.6	123.6																																																			
SCREW BONE VLP MINI-MOD TITANIUM T4 L 9MM OD 1.5MM CORTEX SELF TAP	SUP-74401509	CDM			270	RC		outpatient			123.6	123.6	33.48				percent of total billed charges		123.6				other	OPPS APC	91.46				percent of total billed charges		123.6				other	OPPS APC	123.6				other	OPPS APC	33.48				percent of total billed charges		34.15				percent of total billed charges		123.6				other	OPPS APC	33.48	123.6	
SCREW BONE VLP MINI-MOD TITANIUM T4 L 9MM OD 1.5MM CORTEX SELF TAP	SUP-74401509	CDM			270	RC		inpatient			123.6	123.6																																																			
SCREW BONE VLP MINI-MOD TITANIUM T4 L 12MM OD 1.5MM CORTEX SELF TAP	SUP-74401512	CDM			270	RC		outpatient			123.6	123.6	33.48				percent of total billed charges		123.6				other	OPPS APC	91.46				percent of total billed charges		123.6				other	OPPS APC	123.6				other	OPPS APC	33.48				percent of total billed charges		34.15				percent of total billed charges		123.6				other	OPPS APC	33.48	123.6	
SCREW BONE VLP MINI-MOD TITANIUM T4 L 12MM OD 1.5MM CORTEX SELF TAP	SUP-74401512	CDM			270	RC		inpatient			123.6	123.6																																																			
BLADE SAG SAW 20.7 X .88 X .85	SUP-95-04288	CDM			272	RC		outpatient			123.6	123.6	33.48				percent of total billed charges		123.6				other	OPPS APC	91.46				percent of total billed charges		123.6				other	OPPS APC	123.6				other	OPPS APC	33.48				percent of total billed charges		34.15				percent of total billed charges		123.6				other	OPPS APC	33.48	123.6	
BLADE SAG SAW 20.7 X .88 X .85	SUP-95-04288	CDM			272	RC		inpatient			123.6	123.6																																																			
RETRACTOR LAPAROSCOPIC DEXTRUS SMALL LOW PROFILE FIX LENGTH ADJUSTABLE VALVE REMOVABLE SEAL CAP STERILE DISPOSABLE HAND ASSISTED LAPAROSCOPY	SUP-FLR01	CDM			270	RC		outpatient			123.59	123.59	33.48				percent of total billed charges		123.59				other	OPPS APC	91.46				percent of total billed charges		123.59				other	OPPS APC	123.59				other	OPPS APC	33.48				percent of total billed charges		34.15				percent of total billed charges		123.59				other	OPPS APC	33.48	123.59	
RETRACTOR LAPAROSCOPIC DEXTRUS SMALL LOW PROFILE FIX LENGTH ADJUSTABLE VALVE REMOVABLE SEAL CAP STERILE DISPOSABLE HAND ASSISTED LAPAROSCOPY	SUP-FLR01	CDM			270	RC		inpatient			123.59	123.59																																																			
MASK FACE DISPOSABLE	SUP-97-01389	CDM			271	RC		outpatient			123.28	123.28	33.4				percent of total billed charges		123.28				other	OPPS APC	91.23				percent of total billed charges		123.28				other	OPPS APC	123.28				other	OPPS APC	33.4				percent of total billed charges		34.06				percent of total billed charges		123.28				other	OPPS APC	33.4	123.28	
MASK FACE DISPOSABLE	SUP-97-01389	CDM			271	RC		inpatient			123.28	123.28																																																			
BLADE SAGITTAL	SUP-6118-89-75	CDM			270	RC		outpatient			123.22	123.22	33.38				percent of total billed charges		123.22				other	OPPS APC	91.18				percent of total billed charges		123.22				other	OPPS APC	123.22				other	OPPS APC	33.38				percent of total billed charges		34.05				percent of total billed charges		123.22				other	OPPS APC	33.38	123.22	
BLADE SAGITTAL	SUP-6118-89-75	CDM			270	RC		inpatient			123.22	123.22																																																			
SCREW SYNTHES TI 2.4MM CORTEX 13MM	SUP-401.763	CDM	270010022	LOCAL	270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW SYNTHES TI 2.4MM CORTEX 13MM	SUP-401.763	CDM	270010022	LOCAL	270	RC		inpatient			123.2	123.2																																																			
SCREW BONE LCP TITANIUM T8 L16 MM OD2.4 MM RADIUS CORTEX DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.766	CDM	270010022	LOCAL	270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE LCP TITANIUM T8 L16 MM OD2.4 MM RADIUS CORTEX DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.766	CDM	270010022	LOCAL	270	RC		inpatient			123.2	123.2																																																			
SCREW SYNTHES TI 2.4MM CORTEX 18MM	SUP-401.768	CDM	270010022	LOCAL	270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW SYNTHES TI 2.4MM CORTEX 18MM	SUP-401.768	CDM	270010022	LOCAL	270	RC		inpatient			123.2	123.2																																																			
SCREW BONE LCP TITANIUM L22 MM OD2.4 MM ODSEC4 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.772	CDM	270010022	LOCAL	270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE LCP TITANIUM L22 MM OD2.4 MM ODSEC4 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.772	CDM	270010022	LOCAL	270	RC		inpatient			123.2	123.2																																																			
SCREW SYNTHES TI 2.4MM CORTEX 28MM	SUP-401.778	CDM	270010022	LOCAL	270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW SYNTHES TI 2.4MM CORTEX 28MM	SUP-401.778	CDM	270010022	LOCAL	270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 10 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424710	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 10 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424710	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 12MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424712	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 12MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424712	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 14MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424714	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 14MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424714	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 16 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424716	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 16 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424716	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 18MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424718	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 18MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424718	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 24 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424724	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 24 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424724	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 26MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424726	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 26MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424726	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 28 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424728	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 28 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424728	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 30 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424730	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 30 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424730	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 32 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424732	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 32 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424732	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 34 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424734	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 34 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424734	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 36 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424736	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 36 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424736	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 38 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424738	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 38 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424738	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 40 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424740	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 40 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424740	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 42 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424742	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 42 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424742	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 44 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424744	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 44 MM OD 4.7MM STERILE OSTEOPENIA	SUP-72424744	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L46 MM OD4.7 MM STERILE OSTEOPENIA	SUP-72424746	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L46 MM OD4.7 MM STERILE OSTEOPENIA	SUP-72424746	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 50 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424750	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 50 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424750	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS FULL THREAD L 55 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424755	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS FULL THREAD L 55 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72424755	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS PARTIAL THREAD L 38 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434738	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS PARTIAL THREAD L 38 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434738	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS PARTIAL THREAD L44 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434744	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS PARTIAL THREAD L44 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434744	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS PARTIAL THREAD L 46 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434746	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS PARTIAL THREAD L 46 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434746	CDM			270	RC		inpatient			123.2	123.2																																																			
SCREW BONE EVOS PARTIAL THREAD L 60 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434760	CDM			270	RC		outpatient			123.2	123.2	33.37				percent of total billed charges		123.2				other	OPPS APC	91.17				percent of total billed charges		123.2				other	OPPS APC	123.2				other	OPPS APC	33.37				percent of total billed charges		34.04				percent of total billed charges		123.2				other	OPPS APC	33.37	123.2	
SCREW BONE EVOS PARTIAL THREAD L 60 MM OD 4.7 MM STERILE OSTEOPENIA	SUP-72434760	CDM			270	RC		inpatient			123.2	123.2																																																			
HC Chlamydia Trachomatis  Amplified Probe	PX-300874910	CDM	87491	CPT	306	RC		outpatient			123	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Chlamydia Trachomatis  Amplified Probe	PX-300874910	CDM	87491	CPT	306	RC		inpatient			123	123																																																			
HC Herpes by Pcr (Hsvpcr)	PX-300875290	CDM	87529	CPT	306	RC		outpatient			123	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Herpes by Pcr (Hsvpcr)	PX-300875290	CDM	87529	CPT	306	RC		inpatient			123	123																																																			
HC N. Gono  Amplified Probe	PX-300875910	CDM	87591	CPT	306	RC		outpatient			123	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC N. Gono  Amplified Probe	PX-300875910	CDM	87591	CPT	306	RC		inpatient			123	123																																																			
HC Lower Extremity Infant 2 Views	PX-320735921	CDM	73592	CPT	320	RC		outpatient			123	91.5	29.26				fee schedule		91.5				other	OPPS APC	66.51				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	31.72				fee schedule		23.95				fee schedule		91.5				other	OPPS APC	23.95	91.5	
HC Lower Extremity Infant 2 Views	PX-320735921	CDM	73592	CPT	320	RC		inpatient			123	123																																																			
Subst Abuse Screen  > 30mins	PX-510994091	CDM	99409	CPT	510	RC		outpatient			123	123	169.66				case rate		123				other	OPPS APC	101				case rate		123				other	OPPS APC	123				fee schedule		169.66				case rate		173.05				case rate		123				other	OPPS APC	101	173.05	
Subst Abuse Screen  > 30mins	PX-510994091	CDM	99409	CPT	510	RC		inpatient			123	123																																																			
MESH SURGICAL VITAMESH POLYPROPYLENE MACROPOROUS SQUARE FLAT L6 IN X W6 IN	SUP-PPBF1515	CDM			270	RC		outpatient			123	123	33.32				percent of total billed charges		123				other	OPPS APC	91.02				percent of total billed charges		123				other	OPPS APC	123				other	OPPS APC	33.32				percent of total billed charges		33.98				percent of total billed charges		123				other	OPPS APC	33.32	123	
MESH SURGICAL VITAMESH POLYPROPYLENE MACROPOROUS SQUARE FLAT L6 IN X W6 IN	SUP-PPBF1515	CDM			270	RC		inpatient			123	123																																																			
K-WIRE 2MM 0.8 X 100	SUP-95-04500	CDM			278	RC		outpatient			122.88	122.88	122.88				fee schedule		122.88				other	OPPS APC	70.04				percent of total billed charges		122.88				other	OPPS APC	122.88				other	OPPS APC	60.21				percent of total billed charges		62.67				percent of total billed charges		122.88				other	OPPS APC	60.21	122.88	
K-WIRE 2MM 0.8 X 100	SUP-95-04500	CDM			278	RC		inpatient			122.88	122.88																																																			
DRAIN ABRAMSON TRIPLE LUMEN SUMP	SUP-74-00216	CDM			272	RC		outpatient			122.84	122.84	33.28				percent of total billed charges		122.84				other	OPPS APC	90.9				percent of total billed charges		122.84				other	OPPS APC	122.84				other	OPPS APC	33.28				percent of total billed charges		33.94				percent of total billed charges		122.84				other	OPPS APC	33.28	122.84	
DRAIN ABRAMSON TRIPLE LUMEN SUMP	SUP-74-00216	CDM			272	RC		inpatient			122.84	122.84																																																			
STYLET SURGICAL INSTRUMENT IVAS OD 10 GA BEVEL STERILE LATEX FREE DISPOSABLE	SUP-0306-531-000	CDM			270	RC		outpatient			122.82	122.82	33.27				percent of total billed charges		122.82				other	OPPS APC	90.89				percent of total billed charges		122.82				other	OPPS APC	122.82				other	OPPS APC	33.27				percent of total billed charges		33.94				percent of total billed charges		122.82				other	OPPS APC	33.27	122.82	
STYLET SURGICAL INSTRUMENT IVAS OD 10 GA BEVEL STERILE LATEX FREE DISPOSABLE	SUP-0306-531-000	CDM			270	RC		inpatient			122.82	122.82																																																			
SPIRAL FLEX TRACH 8FR CUFFED	SUP-95-01741	CDM			272	RC		outpatient			122.58	122.58	33.21				percent of total billed charges		122.58				other	OPPS APC	90.71				percent of total billed charges		122.58				other	OPPS APC	122.58				other	OPPS APC	33.21				percent of total billed charges		33.87				percent of total billed charges		122.58				other	OPPS APC	33.21	122.58	
SPIRAL FLEX TRACH 8FR CUFFED	SUP-95-01741	CDM			272	RC		inpatient			122.58	122.58																																																			
HC Infusion Therapy Non Chemo 0-1hr	PX-260963650	CDM	96365	CPT	260	RC		outpatient			122	217.56	74.52				percent of total billed charges		217.56				other	OPPS APC	635.2				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	74.52				percent of total billed charges		76.01				percent of total billed charges		217.56				other	OPPS APC	74.52	635.2	
HC Infusion Therapy Non Chemo 0-1hr	PX-260963650	CDM	96365	CPT	260	RC		inpatient			122	122																																																			
HC Infusion Non Chemo Each Add Hr	PX-260963660	CDM	96366	CPT	260	RC		outpatient			122	44.62	74.52				percent of total billed charges		44.62				other	OPPS APC	146.09				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	74.52				percent of total billed charges		76.01				percent of total billed charges		44.62				other	OPPS APC	44.62	146.09	
HC Infusion Non Chemo Each Add Hr	PX-260963660	CDM	96366	CPT	260	RC		inpatient			122	122																																																			
HC Aldolase (Alse)	PX-300820850	CDM	82085	CPT	301	RC		outpatient			122	9.72	12.98				fee schedule		9.71				fee schedule		25.76				fee schedule		9.71				fee schedule		9.71				fee schedule		9.71				fee schedule		9.71				fee schedule		9.72				fee schedule		9.71	25.76	
HC Aldolase (Alse)	PX-300820850	CDM	82085	CPT	301	RC		inpatient			122	122																																																			
HC Creat Clear 24 Hr (Crcl)	PX-300825750	CDM	82575	CPT	301	RC		outpatient			122	9.47	12.63				fee schedule		9.46				fee schedule		25.08				fee schedule		9.46				fee schedule		9.46				fee schedule		9.46				fee schedule		9.46				fee schedule		9.47				fee schedule		9.46	25.08	
HC Creat Clear 24 Hr (Crcl)	PX-300825750	CDM	82575	CPT	301	RC		inpatient			122	122																																																			
HC Hemoglobin A1c (A1c)	PX-300830360	CDM	83036	CPT	301	RC		outpatient			122	9.72	12.98				fee schedule		9.71				fee schedule		25.76				fee schedule		9.71				fee schedule		9.71				fee schedule		9.71				fee schedule		9.71				fee schedule		9.72				fee schedule		9.71	25.76	
HC Hemoglobin A1c (A1c)	PX-300830360	CDM	83036	CPT	301	RC		inpatient			122	122																																																			
HC Chg Antithrombin II Test  Activ	PX-300853000	CDM	85300	CPT	305	RC		outpatient			122	11.85	12.95				fee schedule		11.85				fee schedule		25.69				fee schedule		11.85				fee schedule		11.85				fee schedule		11.85				fee schedule		11.85				fee schedule		11.85				fee schedule		11.85	25.69	
HC Chg Antithrombin II Test  Activ	PX-300853000	CDM	85300	CPT	305	RC		inpatient			122	122																																																			
HC Herpes Simplex  Type 1  Antibody	PX-300866950	CDM	86695	CPT	302	RC		outpatient			122	13.19	17.64				fee schedule		13.19				fee schedule		35.02				fee schedule		13.19				fee schedule		13.19				fee schedule		13.19				fee schedule		13.19				fee schedule		13.19				fee schedule		13.19	35.02	
HC Herpes Simplex  Type 1  Antibody	PX-300866950	CDM	86695	CPT	302	RC		inpatient			122	122																																																			
HC Culture Blood (Blc)	PX-300870400	CDM	87040	CPT	306	RC		outpatient			122	1.32	13.81				fee schedule		10.32				fee schedule		27.4				fee schedule		10.32				fee schedule		10.32				fee schedule		10.32				fee schedule		10.32				fee schedule		1.32				fee schedule		1.32	27.4	
HC Culture Blood (Blc)	PX-300870400	CDM	87040	CPT	306	RC		inpatient			122	122																																																			
HC Cytology Washing  Smears	PX-310881040	CDM	88104	CPT	310	RC		outpatient			122	35.77	51.49				fee schedule		35.77				other	OPPS APC	43.52				fee schedule		35.77				other	OPPS APC	35.77				other	OPPS APC	59.78				percent of total billed charges		62.22				percent of total billed charges		35.77				other	OPPS APC	35.77	62.22	
HC Cytology Washing  Smears	PX-310881040	CDM	88104	CPT	310	RC		inpatient			122	122																																																			
HC Cytology Select Enhancement	PX-311881120	CDM	88112	CPT	311	RC		outpatient			122	52.81	123.81				fee schedule		52.81				other	OPPS APC	64.03				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	59.78				percent of total billed charges		62.22				percent of total billed charges		52.81				other	OPPS APC	52.81	123.81	
HC Cytology Select Enhancement	PX-311881120	CDM	88112	CPT	311	RC		inpatient			122	122																																																			
HC IR Fluoroscopic Guidance Cvad	PX-320770011	CDM	77001	CPT	320	RC		outpatient			122	122	80.69				fee schedule		122				other	OPPS APC	255.5				fee schedule		122				other	OPPS APC	122				other	OPPS APC	100.88				fee schedule		82.87				fee schedule		122				other	OPPS APC	80.69	255.5	
HC IR Fluoroscopic Guidance Cvad	PX-320770011	CDM	77001	CPT	320	RC		inpatient			122	122																																																			
HC IV Infus Ea New Med 16-90 Min W Mod59	PX-450963671	CDM	96367	CPT	450	RC		outpatient			122	71.62	195.77				case rate		71.06				other	OPPS APC	90.28				percent of total billed charges		71.06				other	OPPS APC	71.06				other	OPPS APC	195.77				case rate		199.69				case rate		71.62				other	OPPS APC	71.06	199.69	
HC IV Infus Ea New Med 16-90 Min W Mod59	PX-450963671	CDM	96367	CPT	450	RC		inpatient			122	122																																																			
HC IV Infuse Addl Seq Infusion 1st Hr	PX-450963672	CDM	96367	CPT	450	RC		outpatient			122	71.62	195.77				case rate		71.06				other	OPPS APC	90.28				percent of total billed charges		71.06				other	OPPS APC	71.06				other	OPPS APC	195.77				case rate		199.69				case rate		71.62				other	OPPS APC	71.06	199.69	
HC IV Infuse Addl Seq Infusion 1st Hr	PX-450963672	CDM	96367	CPT	450	RC		inpatient			122	122																																																			
SPECIMEN RETRIEVAL BAG 10MM 240ML	SUP-95-05193	CDM			272	RC		outpatient			121.96	121.96	33.04				percent of total billed charges		121.96				other	OPPS APC	90.25				percent of total billed charges		121.96				other	OPPS APC	121.96				other	OPPS APC	33.04				percent of total billed charges		33.7				percent of total billed charges		121.96				other	OPPS APC	33.04	121.96	
SPECIMEN RETRIEVAL BAG 10MM 240ML	SUP-95-05193	CDM			272	RC		inpatient			121.96	121.96																																																			
Tube Cuffless Trach #6	PX-270000028	CDM			270	RC		outpatient			121.94	121.94	33.03				percent of total billed charges		121.94				other	OPPS APC	121.94				fee schedule		121.94				other	OPPS APC	121.94				other	OPPS APC	33.03				percent of total billed charges		33.69				percent of total billed charges		121.94				other	OPPS APC	33.03	121.94	
Tube Cuffless Trach #6	PX-270000028	CDM			270	RC		inpatient			121.94	121.94																																																			
SUTURE ENDOKNOT ETHILON  EX10G	SUP-71-00177	CDM			272	RC		outpatient			121.72	121.72	32.97				percent of total billed charges		121.72				other	OPPS APC	90.07				percent of total billed charges		121.72				other	OPPS APC	121.72				other	OPPS APC	32.97				percent of total billed charges		33.63				percent of total billed charges		121.72				other	OPPS APC	32.97	121.72	
SUTURE ENDOKNOT ETHILON  EX10G	SUP-71-00177	CDM			272	RC		inpatient			121.72	121.72																																																			
LONE STAR RETRACTOR STAYS-5MM	SUP-74-00033	CDM			272	RC		outpatient			121.15	121.15	32.82				percent of total billed charges		121.15				other	OPPS APC	89.65				percent of total billed charges		121.15				other	OPPS APC	121.15				other	OPPS APC	32.82				percent of total billed charges		33.47				percent of total billed charges		121.15				other	OPPS APC	32.82	121.15	
LONE STAR RETRACTOR STAYS-5MM	SUP-74-00033	CDM			272	RC		inpatient			121.15	121.15																																																			
DRAIN ABRAMSON TRIPLE LUMEN SUMP	SUP-95-04301	CDM			272	RC		outpatient			121.04	121.41	32.79				percent of total billed charges		121.04				other	OPPS APC	89.57				percent of total billed charges		121.04				other	OPPS APC	121.04				other	OPPS APC	32.79				percent of total billed charges		33.44				percent of total billed charges		121.41				other	OPPS APC	32.79	121.41	
DRAIN ABRAMSON TRIPLE LUMEN SUMP	SUP-95-04301	CDM			272	RC		inpatient			121.04	121.04																																																			
HC Hepatitis C  Reverse Transcription & Quantification	PX-300875220	CDM	87522	CPT	306	RC		outpatient			121	42.84	37.94				fee schedule		42.84				fee schedule		75.34				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		37.94	75.34	
HC Hepatitis C  Reverse Transcription & Quantification	PX-300875220	CDM	87522	CPT	306	RC		inpatient			121	121																																																			
HC Strep a by Pcr	PX-306876511	CDM	87651	CPT	306	RC		outpatient			121	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Strep a by Pcr	PX-306876511	CDM	87651	CPT	306	RC		inpatient			121	121																																																			
KIT INTRODUCER GLIDESHEATH SLENDER .021IN 35MM 10CM 45CM 5FR 21GA SS HYDROPHILIC DISPOSABLE STERILE NEEDLE DILATOR	SUP-80-1050	CDM			270	RC		outpatient			121	121	32.78				percent of total billed charges		121				other	OPPS APC	89.54				percent of total billed charges		121				other	OPPS APC	121				other	OPPS APC	32.78				percent of total billed charges		33.43				percent of total billed charges		121				other	OPPS APC	32.78	121	
KIT INTRODUCER GLIDESHEATH SLENDER .021IN 35MM 10CM 45CM 5FR 21GA SS HYDROPHILIC DISPOSABLE STERILE NEEDLE DILATOR	SUP-80-1050	CDM			270	RC		inpatient			121	121																																																			
KIT INTRODUCER GLIDESHEATH SLENDER .021IN 35MM 10CM 45CM 6FR 21GA SS HYDROPHILIC DISPOSABLE STERILE NEEDLE DILATOR	SUP-80-1060	CDM			270	RC		outpatient			121	121	32.78				percent of total billed charges		121				other	OPPS APC	89.54				percent of total billed charges		121				other	OPPS APC	121				other	OPPS APC	32.78				percent of total billed charges		33.43				percent of total billed charges		121				other	OPPS APC	32.78	121	
KIT INTRODUCER GLIDESHEATH SLENDER .021IN 35MM 10CM 45CM 6FR 21GA SS HYDROPHILIC DISPOSABLE STERILE NEEDLE DILATOR	SUP-80-1060	CDM			270	RC		inpatient			121	121																																																			
PACK  EYE DR MUNRO	SUP-73-00044	CDM			272	RC		outpatient			120.84	12.84	32.74				percent of total billed charges		120.84				other	OPPS APC	89.42				percent of total billed charges		120.84				other	OPPS APC	120.84				other	OPPS APC	32.74				percent of total billed charges		33.39				percent of total billed charges		12.84				other	OPPS APC	12.84	120.84	
PACK  EYE DR MUNRO	SUP-73-00044	CDM			272	RC		inpatient			120.84	120.84																																																			
ELECTRODE DEFIBRILLATOR ONESTEP CODE-READY PEDIATRIC RESUSCITATION COMPLETE SPEED PACK CONNECTOR R SERIES	SUP-8900-0215-40	CDM			270	RC		outpatient			120.71	12.8	32.7				percent of total billed charges		120.71				other	OPPS APC	89.33				percent of total billed charges		120.71				other	OPPS APC	120.71				other	OPPS APC	32.7				percent of total billed charges		33.35				percent of total billed charges		12.8				other	OPPS APC	12.8	120.71	
ELECTRODE DEFIBRILLATOR ONESTEP CODE-READY PEDIATRIC RESUSCITATION COMPLETE SPEED PACK CONNECTOR R SERIES	SUP-8900-0215-40	CDM			270	RC		inpatient			120.71	120.71																																																			
TUBE VENTILATION TYTAN PEDIATRIC ID.76 MM	SUP-1056101	CDM			270	RC		outpatient			120.4	12.41	32.62				percent of total billed charges		120.4				other	OPPS APC	89.1				percent of total billed charges		120.4				other	OPPS APC	120.4				other	OPPS APC	32.62				percent of total billed charges		33.27				percent of total billed charges		12.41				other	OPPS APC	12.41	120.4	
TUBE VENTILATION TYTAN PEDIATRIC ID.76 MM	SUP-1056101	CDM			270	RC		inpatient			120.4	120.4																																																			
GUIDEWIRE ORTHOPEDIC SHARP DISPOSABLE ARIA SPINAL SYSTEM	SUP-48755007	CDM	270010020	LOCAL	270	RC		outpatient			120.36	12.36	32.61				percent of total billed charges		120.36				other	OPPS APC	89.07				percent of total billed charges		120.36				other	OPPS APC	120.36				other	OPPS APC	32.61				percent of total billed charges		33.26				percent of total billed charges		12.36				other	OPPS APC	12.36	120.36	
GUIDEWIRE ORTHOPEDIC SHARP DISPOSABLE ARIA SPINAL SYSTEM	SUP-48755007	CDM	270010020	LOCAL	270	RC		inpatient			120.36	120.36																																																			
PLUG OPHTHALMIC ACCURUS OD23 GA SET	SUP-8065750837	CDM						inpatient			120.36	120.36																																																			
PLUG OPHTHALMIC ACCURUS OD23 GA SET	SUP-8065750837	CDM						outpatient			120.36	12.36	120.36				percent of total billed charges		120.36				other	OPPS APC	120.36				fee schedule		120.36				other	OPPS APC	120.36				other	OPPS APC	120.36				case rate		120.36				case rate		12.36				other	OPPS APC	12.36	120.36	
PERITONEAL DIALYSATE 2.5% CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLUTION	250000000	CDM	0941-0457-01	NDC				inpatient			120	120																																																			
PERITONEAL DIALYSATE 2.5% CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLUTION	250000000	CDM	0941-0457-01	NDC				outpatient			120	120																																															other	OPPS APC			
LACOSAMIDE 200 MG/20 ML SOLUTION	636000000	CDM	72205-220-01	NDC	C9254	HCPCS		inpatient			120	120																																																			
LACOSAMIDE 200 MG/20 ML SOLUTION	636000000	CDM	72205-220-07	NDC	C9254	HCPCS		inpatient			120	120																																																			
LACOSAMIDE 200 MG/20 ML SOLUTION	636000000	CDM	72205-220-01	NDC	C9254	HCPCS		outpatient			120	120																																															other	OPPS APC			
LACOSAMIDE 200 MG/20 ML SOLUTION	636000000	CDM	72205-220-07	NDC	C9254	HCPCS		outpatient			120	120																																															other	OPPS APC			
LINEZOLID PER 200 MG	636000000	CDM	63323-713-13	NDC	J2020	HCPCS		inpatient			120	120																																																			
LINEZOLID PER 200 MG	636000000	CDM	63323-713-13	NDC	J2020	HCPCS		outpatient			120	120																																															other	OPPS APC			
HC Culture Typing  ID Nucleic Acid(Dna or Rna)Probe	PX-300871500	CDM	87150	CPT	306	RC		outpatient			120	35.93	46.91				fee schedule		35.09				fee schedule		94.45				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	94.45	
HC Culture Typing  ID Nucleic Acid(Dna or Rna)Probe	PX-300871500	CDM	87150	CPT	306	RC		inpatient			120	120																																																			
HC Candida Species Amplified Probe	PX-300874810	CDM	87481	CPT	306	RC		outpatient			120	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Candida Species Amplified Probe	PX-300874810	CDM	87481	CPT	306	RC		inpatient			120	120																																																			
HC Surgey Mrsa Screen (Sxmr)	PX-300876410	CDM	87641	CPT	306	RC		outpatient			120	35.93	46.91				fee schedule		35.09				fee schedule		94.45				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	94.45	
HC Surgey Mrsa Screen (Sxmr)	PX-300876410	CDM	87641	CPT	306	RC		inpatient			120	120																																																			
HC Infectious Agent Amplified Probe  Ea Organism	PX-300877980	CDM	87798	CPT	306	RC		outpatient			120	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Infectious Agent Amplified Probe  Ea Organism	PX-300877980	CDM	87798	CPT	306	RC		inpatient			120	120																																																			
HC Mssa by Pcr	PX-306876401	CDM	87640	CPT	306	RC		outpatient			120	35.93	46.91				fee schedule		35.09				fee schedule		94.45				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	94.45	
HC Mssa by Pcr	PX-306876401	CDM	87640	CPT	306	RC		inpatient			120	120																																																			
Tdap > 7 Years	PX-636907151	CDM	90715	CPT	636	RC		outpatient			120	12	31.84				fee schedule		120				other	OPPS APC	41.96				fee schedule		120				other	OPPS APC	120				other	OPPS APC	120				fee schedule		120				fee schedule		12				other	OPPS APC	12	120	
Tdap > 7 Years	PX-636907151	CDM	90715	CPT	636	RC		inpatient			120	120																																																			
BLADE SAW RECIP 70 X 12.5 X .8MM	SUP-78-00365	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
BLADE SAW RECIP 70 X 12.5 X .8MM	SUP-78-00365	CDM			272	RC		inpatient			120	120																																																			
DRESSING PRESSURE SAFEGUARD L24 CM HEMOSTASIS	SUP-82000	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
DRESSING PRESSURE SAFEGUARD L24 CM HEMOSTASIS	SUP-82000	CDM			270	RC		inpatient			120	120																																																			
MAKO STRYKER LEG POSITIONER DISP KIT	SUP-95-03482	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
MAKO STRYKER LEG POSITIONER DISP KIT	SUP-95-03482	CDM			272	RC		inpatient			120	120																																																			
OBURATOR BLADELESS 8MM DAVINCI	SUP-95-23849	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
OBURATOR BLADELESS 8MM DAVINCI	SUP-95-23849	CDM			272	RC		inpatient			120	120																																																			
WASHER 6.5MM	SUP-97-00085	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
WASHER 6.5MM	SUP-97-00085	CDM			272	RC		inpatient			120	120																																																			
GUIDE PIN 3.2MMX9'	SUP-97-00087	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
GUIDE PIN 3.2MMX9'	SUP-97-00087	CDM			272	RC		inpatient			120	120																																																			
WIRE GUIDE W/TRCR THRDED TIP 8	SUP-97-01685	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
WIRE GUIDE W/TRCR THRDED TIP 8	SUP-97-01685	CDM			272	RC		inpatient			120	120																																																			
GUIDE WIRE THREADED ASNIS III 3.2 X 300M	SUP-97-03211	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
GUIDE WIRE THREADED ASNIS III 3.2 X 300M	SUP-97-03211	CDM			272	RC		inpatient			120	120																																																			
NITINOL PILOT WIRE	SUP-97-03945	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
NITINOL PILOT WIRE	SUP-97-03945	CDM			272	RC		inpatient			120	120																																																			
GUIDE WIRE DOUBLE ENDED TROCAR .045IN	SUP-97-05101	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
GUIDE WIRE DOUBLE ENDED TROCAR .045IN	SUP-97-05101	CDM			272	RC		inpatient			120	120																																																			
GUIDEWIRE - AMPLATZ SUP STIF 260 1CM TIP	SUP-99-01745	CDM			272	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
GUIDEWIRE - AMPLATZ SUP STIF 260 1CM TIP	SUP-99-01745	CDM			272	RC		inpatient			120	120																																																			
COVERS ALLEN COMFORT COVERS - SEE PMM# 54030	SUP-A-70260-A5	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
COVERS ALLEN COMFORT COVERS - SEE PMM# 54030	SUP-A-70260-A5	CDM			270	RC		inpatient			120	120																																																			
CANNULA BUTTON PASSPORT	SUP-AR-6592-12-30	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
CANNULA BUTTON PASSPORT	SUP-AR-6592-12-30	CDM			270	RC		inpatient			120	120																																																			
CANNULA PASSPORT	SUP-AR-6592-12-40	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
CANNULA PASSPORT	SUP-AR-6592-12-40	CDM			270	RC		inpatient			120	120																																																			
SCREW LOW PROFILE 3.5MM X 14MM	SUP-AR8935-14	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW LOW PROFILE 3.5MM X 14MM	SUP-AR8935-14	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE TITANIUM T 15 FULL THREAD L 14 MM OD 3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID HEXALOBE	SUP-AR-8935-14	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE TITANIUM T 15 FULL THREAD L 14 MM OD 3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID HEXALOBE	SUP-AR-8935-14	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L16 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-16	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L16 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-16	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L18 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-18	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L18 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-18	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L20 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-20	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L20 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-20	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L26 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-26	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L26 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-26	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L28 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-28	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L28 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-28	CDM			270	RC		inpatient			120	120																																																			
SCREW ARTHREX LOW PROFILE TI 3.5MM X 30MM	SUP-AR-8935-30	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW ARTHREX LOW PROFILE TI 3.5MM X 30MM	SUP-AR-8935-30	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 32MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-32	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 32MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-32	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 34MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-34	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 34MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-34	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-36	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-36	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 38MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-38	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 38MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-38	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 40MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-40	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 40MM 3.5MM TITANIUM MIDFOOT CORTICAL SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8935-40	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L42 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-42	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L42 MM OD3.5 MM MIDFOOT CORTICAL SELF DRILL SOLID	SUP-AR-8935-42	CDM			270	RC		inpatient			120	120																																																			
SCREW ARTHREX LOW PROFILE TI 3.5MM X 44MM	SUP-AR-8935-44	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW ARTHREX LOW PROFILE TI 3.5MM X 44MM	SUP-AR-8935-44	CDM			270	RC		inpatient			120	120																																																			
SCREW ARTHREX LOW PROFILE TI 3.5MM X 46MM	SUP-AR-8935-46	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW ARTHREX LOW PROFILE TI 3.5MM X 46MM	SUP-AR-8935-46	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L18 MM OD4 MM MIDFOOT CANCELLOUS SELF DRILL SOLID	SUP-AR-8940-18	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L18 MM OD4 MM MIDFOOT CANCELLOUS SELF DRILL SOLID	SUP-AR-8940-18	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L28 MM OD4 MM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM	SUP-AR-8940-28	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L28 MM OD4 MM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM	SUP-AR-8940-28	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L30 MM OD4 MM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM	SUP-AR-8940-30	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L30 MM OD4 MM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM	SUP-AR-8940-30	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L34 MM OD4 MM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM	SUP-AR-8940-34	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD L34 MM OD4 MM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE FOOT SYSTEM	SUP-AR-8940-34	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 4MM TITANIUM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8940-36	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 4MM TITANIUM MIDFOOT CANCELLOUS SELF TAP SOLID HEXALOBE COMPREHENSIVE	SUP-AR-8940-36	CDM			270	RC		inpatient			120	120																																																			
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L38 MM OD4 MM MIDFOOT CANCELLOUS SELF DRILL SOLID	SUP-AR-8940-38	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
SCREW BONE LOW PROFILE SCREWS TITANIUM T15 FULL THREAD HEXALOBE L38 MM OD4 MM MIDFOOT CANCELLOUS SELF DRILL SOLID	SUP-AR-8940-38	CDM			270	RC		inpatient			120	120																																																			
RETRACTOR DISPOSABLE LIGHTED 135MM X 30MM	SUP-C100110	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
RETRACTOR DISPOSABLE LIGHTED 135MM X 30MM	SUP-C100110	CDM			270	RC		inpatient			120	120																																																			
TROCAR W BALLOON 5MM X 100MM	SUP-CFR03	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
TROCAR W BALLOON 5MM X 100MM	SUP-CFR03	CDM			270	RC		inpatient			120	120																																																			
TROCAR BLADED Z THREAD/SHIELDED	SUP-CTBO3	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
TROCAR BLADED Z THREAD/SHIELDED	SUP-CTBO3	CDM			270	RC		inpatient			120	120																																																			
TROCAR ZTHREAD 5MM X 100MM	SUP-CTR03	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
TROCAR ZTHREAD 5MM X 100MM	SUP-CTR03	CDM			270	RC		inpatient			120	120																																																			
6F GLIDESHEATH W/ NEEDLE	SUP-RM RF6F10PA	CDM			270	RC		outpatient			120	12	32.51				percent of total billed charges		120				other	OPPS APC	88.8				percent of total billed charges		120				other	OPPS APC	120				other	OPPS APC	32.51				percent of total billed charges		33.16				percent of total billed charges		12				other	OPPS APC	12	120	
6F GLIDESHEATH W/ NEEDLE	SUP-RM RF6F10PA	CDM			270	RC		inpatient			120	120																																																			
KIT CATHETER VANTEX L20 CM OD7 FR 3 LUMEN STERILE LATEX FREE DISPOSABLE CDP	SUP-SA3720KINL	CDM	270009030	LOCAL	270	RC		outpatient			119.95	119.95	32.49				percent of total billed charges		119.95				other	OPPS APC	88.76				percent of total billed charges		119.95				other	OPPS APC	119.95				other	OPPS APC	32.49				percent of total billed charges		33.14				percent of total billed charges		119.95				other	OPPS APC	32.49	119.95	
KIT CATHETER VANTEX L20 CM OD7 FR 3 LUMEN STERILE LATEX FREE DISPOSABLE CDP	SUP-SA3720KINL	CDM	270009030	LOCAL	270	RC		inpatient			119.95	119.95																																																			
SHOE TALON II MEN'S BLACK	SUP-95-00566	CDM			271	RC		outpatient			119.92	119.92	32.49				percent of total billed charges		119.92				other	OPPS APC	88.74				percent of total billed charges		119.92				other	OPPS APC	119.92				other	OPPS APC	32.49				percent of total billed charges		33.13				percent of total billed charges		119.92				other	OPPS APC	32.49	119.92	
SHOE TALON II MEN'S BLACK	SUP-95-00566	CDM			271	RC		inpatient			119.92	119.92																																																			
TAPE RADIOPAQUE GLOW N TELL VASCUTAPE L30 CM CENTIMETER MARKINGS 20 STRIPS NONSTERILE LATEX FREE	SUP-1100-20	CDM			270	RC		outpatient			119.9	119.91	32.48				percent of total billed charges		119.9				other	OPPS APC	88.73				percent of total billed charges		119.9				other	OPPS APC	119.9				other	OPPS APC	32.48				percent of total billed charges		33.13				percent of total billed charges		119.91				other	OPPS APC	32.48	119.91	
TAPE RADIOPAQUE GLOW N TELL VASCUTAPE L30 CM CENTIMETER MARKINGS 20 STRIPS NONSTERILE LATEX FREE	SUP-1100-20	CDM			270	RC		inpatient			119.9	119.9																																																			
NEEDLE BONE CEMENT L7.5 CM OD12 GA DELIVERY STERILE	SUP-DLS-7122-01S	CDM			270	RC		outpatient			119.9	119.91	32.48				percent of total billed charges		119.9				other	OPPS APC	88.73				percent of total billed charges		119.9				other	OPPS APC	119.9				other	OPPS APC	32.48				percent of total billed charges		33.13				percent of total billed charges		119.91				other	OPPS APC	32.48	119.91	
NEEDLE BONE CEMENT L7.5 CM OD12 GA DELIVERY STERILE	SUP-DLS-7122-01S	CDM			270	RC		inpatient			119.9	119.9																																																			
DOBUTAMINE PER 250 MG	636000000	CDM	0338-1075-02	NDC	J1250	HCPCS		inpatient			119.84	119.84																																																			
DOBUTAMINE PER 250 MG	636000000	CDM	0338-1075-02	NDC	J1250	HCPCS		outpatient			119.84	119.84																																															other	OPPS APC			
LIGHT MAT	SUP-UA2550	CDM			270	RC		outpatient			119.6	119.6	32.4				percent of total billed charges		119.6				other	OPPS APC	88.5				percent of total billed charges		119.6				other	OPPS APC	119.6				other	OPPS APC	32.4				percent of total billed charges		33.05				percent of total billed charges		119.6				other	OPPS APC	32.4	119.6	
LIGHT MAT	SUP-UA2550	CDM			270	RC		inpatient			119.6	119.6																																																			
GUIDEWIRE VASCULAR NITREX NITINOL 0 D STRAIGHT L60 CM L5 CM OD.018 IN PERIPHERAL CORONARY ATRAUMATIC RADIOPAQUE INTERMEDIATE TIP KINK RESISTANT	SUP-N180601_72902	CDM			270	RC		outpatient			119.56	119.56	32.39				percent of total billed charges		119.56				other	OPPS APC	88.47				percent of total billed charges		119.56				other	OPPS APC	119.56				other	OPPS APC	32.39				percent of total billed charges		33.03				percent of total billed charges		119.56				other	OPPS APC	32.39	119.56	
GUIDEWIRE VASCULAR NITREX NITINOL 0 D STRAIGHT L60 CM L5 CM OD.018 IN PERIPHERAL CORONARY ATRAUMATIC RADIOPAQUE INTERMEDIATE TIP KINK RESISTANT	SUP-N180601_72902	CDM			270	RC		inpatient			119.56	119.56																																																			
GUIDEWIRE VASCULAR NITREX NITINOL TUNGSTEN SILICONE GOLD 45 D L180 CM L4 CM OD.035 IN STANDARD TIP STIFF SHAFT KINK RESISTANT STEERABLE	SUP-N351805	CDM			270	RC		outpatient			119.56	119.56	32.39				percent of total billed charges		119.56				other	OPPS APC	88.47				percent of total billed charges		119.56				other	OPPS APC	119.56				other	OPPS APC	32.39				percent of total billed charges		33.03				percent of total billed charges		119.56				other	OPPS APC	32.39	119.56	
GUIDEWIRE VASCULAR NITREX NITINOL TUNGSTEN SILICONE GOLD 45 D L180 CM L4 CM OD.035 IN STANDARD TIP STIFF SHAFT KINK RESISTANT STEERABLE	SUP-N351805	CDM			270	RC		inpatient			119.56	119.56																																																			
HC Immunoassay Infectious Agent Antibody(Ies)  Qualit/Semiquant  Multi-Step Covid-19	PX-300867691	CDM	86769	CPT	300	RC		outpatient			119	42.13	58.31				percent of total billed charges		42.13				fee schedule		98.16				fee schedule		42.13				fee schedule		42.13				fee schedule		42.13				fee schedule		42.13				fee schedule		42.13				fee schedule		42.13	98.16	
HC Immunoassay Infectious Agent Antibody(Ies)  Qualit/Semiquant  Multi-Step Covid-19	PX-300867691	CDM	86769	CPT	300	RC		inpatient			119	119																																																			
HC Interphases  >=100 (Bill Only)	PX-300882750	CDM	88275	CPT	300	RC		outpatient			119	51.19	53.69				fee schedule		51.19				fee schedule		106.61				fee schedule		51.19				fee schedule		51.19				fee schedule		51.19				fee schedule		51.19				fee schedule		51.19				fee schedule		51.19	106.61	
HC Interphases  >=100 (Bill Only)	PX-300882750	CDM	88275	CPT	300	RC		inpatient			119	119																																																			
BAG PRESSURE INFUSION MEDEX C-FUSOR CRYSTAL LARGE 1000 ML INTRAVENOUS 3 WAY STOPCOCK EXTENSION SQUEEZE BULB SECURE FASTEN NONSTERILE LATEX FREE CLEAR	SUP-MX4810	CDM						inpatient			118.98	118.98																																																			
BAG PRESSURE INFUSION MEDEX C-FUSOR CRYSTAL LARGE 1000 ML INTRAVENOUS 3 WAY STOPCOCK EXTENSION SQUEEZE BULB SECURE FASTEN NONSTERILE LATEX FREE CLEAR	SUP-MX4810	CDM						outpatient			118.98	118.98	118.98				percent of total billed charges		118.98				other	OPPS APC	118.98				fee schedule		118.98				other	OPPS APC	118.98				other	OPPS APC	118.98				case rate		118.98				case rate		118.98				other	OPPS APC	118.98	118.98	
PACK EMBOLECTOMY FOGARTY SILICONE STAINLESS STEEL L80 CM OD4 FR SYRINGE FLAT LATEX FREE	SUP-NL4EMB80	CDM			270	RC		outpatient			118.96	118.96	32.23				percent of total billed charges		118.96				other	OPPS APC	88.03				percent of total billed charges		118.96				other	OPPS APC	118.96				other	OPPS APC	32.23				percent of total billed charges		32.87				percent of total billed charges		118.96				other	OPPS APC	32.23	118.96	
PACK EMBOLECTOMY FOGARTY SILICONE STAINLESS STEEL L80 CM OD4 FR SYRINGE FLAT LATEX FREE	SUP-NL4EMB80	CDM			270	RC		inpatient			118.96	118.96																																																			
CATHETER EMBOLECTOMY STAINLESS STEEL SILICONE L80 CM OD5 FR ODSEC11 MM .75 ML SMOOTH BALLOON ATTACHMENT SYRINGE FLAT PACK LATEX FREE	SUP-NL5EMB80	CDM			270	RC		outpatient			118.96	118.96	32.23				percent of total billed charges		118.96				other	OPPS APC	88.03				percent of total billed charges		118.96				other	OPPS APC	118.96				other	OPPS APC	32.23				percent of total billed charges		32.87				percent of total billed charges		118.96				other	OPPS APC	32.23	118.96	
CATHETER EMBOLECTOMY STAINLESS STEEL SILICONE L80 CM OD5 FR ODSEC11 MM .75 ML SMOOTH BALLOON ATTACHMENT SYRINGE FLAT PACK LATEX FREE	SUP-NL5EMB80	CDM			270	RC		inpatient			118.96	118.96																																																			
PACK EMBOLECTOMY FOGARTY SILICONE STAINLESS STEEL L80 CM OD6 FR SYRINGE FLAT LATEX FREE	SUP-NL6EMB80	CDM			270	RC		outpatient			118.96	118.96	32.23				percent of total billed charges		118.96				other	OPPS APC	88.03				percent of total billed charges		118.96				other	OPPS APC	118.96				other	OPPS APC	32.23				percent of total billed charges		32.87				percent of total billed charges		118.96				other	OPPS APC	32.23	118.96	
PACK EMBOLECTOMY FOGARTY SILICONE STAINLESS STEEL L80 CM OD6 FR SYRINGE FLAT LATEX FREE	SUP-NL6EMB80	CDM			270	RC		inpatient			118.96	118.96																																																			
BLADE SAW THK.6 MM L27 MM X W6 MM SMOOTH COARSE TEETH SAGITTAL SLOTTED STERILE SMALL BATTERY DRIVE	SUP-532.061S	CDM			270	RC		outpatient			118.68	118.68	32.15				percent of total billed charges		118.68				other	OPPS APC	87.82				percent of total billed charges		118.68				other	OPPS APC	118.68				other	OPPS APC	32.15				percent of total billed charges		32.79				percent of total billed charges		118.68				other	OPPS APC	32.15	118.68	
BLADE SAW THK.6 MM L27 MM X W6 MM SMOOTH COARSE TEETH SAGITTAL SLOTTED STERILE SMALL BATTERY DRIVE	SUP-532.061S	CDM			270	RC		inpatient			118.68	118.68																																																			
CISPLATIN PER 50 MG	636000000	CDM	63323-103-65	NDC	J9060	HCPCS		inpatient			118.51	118.51																																																			
CISPLATIN PER 50 MG	636000000	CDM	63323-103-65	NDC	J9060	HCPCS		outpatient			118.51	118.51																																															other	OPPS APC			
CALCIUM GLUCONATE IN NACL 2 GRAM/100 ML SOLUTION	250000000	CDM	44567-621-01	NDC	J0613	HCPCS		inpatient			118.5	118.5																																																			
CALCIUM GLUCONATE IN NACL 2 GRAM/100 ML SOLUTION	250000000	CDM	65219-164-01	NDC	J0612	HCPCS		inpatient			118.5	118.5																																																			
CALCIUM GLUCONATE IN NACL 2 GRAM/100 ML SOLUTION	250000000	CDM	44567-621-01	NDC	J0613	HCPCS		outpatient			118.5	0.92																																											0.92				other	OPPS APC	0.92	0.92	
CALCIUM GLUCONATE IN NACL 2 GRAM/100 ML SOLUTION	250000000	CDM	65219-164-01	NDC	J0612	HCPCS		outpatient			118.5	0.52																																											0.52				other	OPPS APC	0.52	0.52	
CIPROFLOXACIN 0.3 % DROPS 5 ML DROP BTL	637000000	CDM	61314-656-05	NDC	A9270	HCPCS		inpatient			118.28	118.28																																																			
CIPROFLOXACIN 0.3 % DROPS 5 ML DROP BTL	637000000	CDM	61314-656-05	NDC	A9270	HCPCS		outpatient			118.28	118.28																																															other	OPPS APC			
CANNULA ERCP CONTOUR TAPER L210 CM OD5 FR BILIARY DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00530860	CDM			270	RC		outpatient			118.24	118.24	32.03				percent of total billed charges		118.24				other	OPPS APC	87.5				percent of total billed charges		118.24				other	OPPS APC	118.24				other	OPPS APC	32.03				percent of total billed charges		32.67				percent of total billed charges		118.24				other	OPPS APC	32.03	118.24	
CANNULA ERCP CONTOUR TAPER L210 CM OD5 FR BILIARY DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00530860	CDM			270	RC		inpatient			118.24	118.24																																																			
DRESSING MEPILEX AG 4X12 (SILVER)	SUP-10-00143	CDM			272	RC		outpatient			118.08	118.8	31.99				percent of total billed charges		118.08				other	OPPS APC	87.38				percent of total billed charges		118.08				other	OPPS APC	118.08				other	OPPS APC	31.99				percent of total billed charges		32.63				percent of total billed charges		118.8				other	OPPS APC	31.99	118.8	
DRESSING MEPILEX AG 4X12 (SILVER)	SUP-10-00143	CDM			272	RC		inpatient			118.08	118.08																																																			
Kit Pleura-Seal Thoracentesis	PX-270000011	CDM			270	RC		outpatient			118	118	31.97				percent of total billed charges		118				other	OPPS APC	118				fee schedule		118				other	OPPS APC	118				other	OPPS APC	31.97				percent of total billed charges		32.6				percent of total billed charges		118				other	OPPS APC	31.97	118	
Kit Pleura-Seal Thoracentesis	PX-270000011	CDM			270	RC		inpatient			118	118																																																			
HC Punch Biopsy of Skin Each Add'l	PX-761111050	CDM	11105	CPT	761	RC		inpatient			118	118																																																			
HC Punch Biopsy of Skin Each Add'l	PX-761111050	CDM	11105	CPT	761	RC		outpatient			118	118	195.77				case rate						other	OPPS APC	87.32				percent of total billed charges						other	OPPS APC					other	OPPS APC	195.77				case rate		60.18				percent of total billed charges						other	OPPS APC	195.77	195.77	
SCREW BONE THINFLAP L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL CROSS DRIVE	SUP-91-6704	CDM			270	RC		outpatient			118	118	31.97				percent of total billed charges		118				other	OPPS APC	87.32				percent of total billed charges		118				other	OPPS APC	118				other	OPPS APC	31.97				percent of total billed charges		32.6				percent of total billed charges		118				other	OPPS APC	31.97	118	
SCREW BONE THINFLAP L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL CROSS DRIVE	SUP-91-6704	CDM			270	RC		inpatient			118	118																																																			
SCREW BONE STERILETRAC THINFLAP LORENZ TITANIUM L4 MM OD1.8 MM CRANIOMAXILLOFACIAL EMERGENCY CROSS DRIVE	SUP-91-6904	CDM			270	RC		outpatient			118	118	31.97				percent of total billed charges		118				other	OPPS APC	87.32				percent of total billed charges		118				other	OPPS APC	118				other	OPPS APC	31.97				percent of total billed charges		32.6				percent of total billed charges		118				other	OPPS APC	31.97	118	
SCREW BONE STERILETRAC THINFLAP LORENZ TITANIUM L4 MM OD1.8 MM CRANIOMAXILLOFACIAL EMERGENCY CROSS DRIVE	SUP-91-6904	CDM			270	RC		inpatient			118	118																																																			
NEEDLE  DISPOSABLE INJECTION	SUP-95-00839	CDM			272	RC		outpatient			118	118	31.97				percent of total billed charges		118				other	OPPS APC	87.32				percent of total billed charges		118				other	OPPS APC	118				other	OPPS APC	31.97				percent of total billed charges		32.6				percent of total billed charges		118				other	OPPS APC	31.97	118	
NEEDLE  DISPOSABLE INJECTION	SUP-95-00839	CDM			272	RC		inpatient			118	118																																																			
SHOULDER POSITIONER PACK     3	SUP-23-00064	CDM			272	RC		outpatient			117.95	117.95	31.95				percent of total billed charges		117.95				other	OPPS APC	87.28				percent of total billed charges		117.95				other	OPPS APC	117.95				other	OPPS APC	31.95				percent of total billed charges		32.59				percent of total billed charges		117.95				other	OPPS APC	31.95	117.95	
SHOULDER POSITIONER PACK     3	SUP-23-00064	CDM			272	RC		inpatient			117.95	117.95																																																			
HOOK RETRACTOR LONE STAR STAINLESS STEEL 5 MM SHARP ELASTIC STAY STERILE LATEX FREE DISPOSABLE	SUP-3311-8G	CDM			270	RC		outpatient			117.94	117.94	31.95				percent of total billed charges		117.94				other	OPPS APC	87.28				percent of total billed charges		117.94				other	OPPS APC	117.94				other	OPPS APC	31.95				percent of total billed charges		32.59				percent of total billed charges		117.94				other	OPPS APC	31.95	117.94	
HOOK RETRACTOR LONE STAR STAINLESS STEEL 5 MM SHARP ELASTIC STAY STERILE LATEX FREE DISPOSABLE	SUP-3311-8G	CDM			270	RC		inpatient			117.94	117.94																																																			
Trach Cuff Low Pressure 4	PX-270000017	CDM			270	RC		outpatient			117.89	117.89	31.94				percent of total billed charges		117.89				other	OPPS APC	117.89				fee schedule		117.89				other	OPPS APC	117.89				other	OPPS APC	31.94				percent of total billed charges		32.57				percent of total billed charges		117.89				other	OPPS APC	31.94	117.89	
Trach Cuff Low Pressure 4	PX-270000017	CDM			270	RC		inpatient			117.89	117.89																																																			
BOWL CEMENT MIXING ORTHOPAEDIC STERILE WITH SPATULA DISPOSABLE	SUP-00-5049-001-15	CDM	270009196	LOCAL	270	RC		outpatient			117.88	117.88	31.93				percent of total billed charges		117.88				other	OPPS APC	87.23				percent of total billed charges		117.88				other	OPPS APC	117.88				other	OPPS APC	31.93				percent of total billed charges		32.57				percent of total billed charges		117.88				other	OPPS APC	31.93	117.88	
BOWL CEMENT MIXING ORTHOPAEDIC STERILE WITH SPATULA DISPOSABLE	SUP-00-5049-001-15	CDM	270009196	LOCAL	270	RC		inpatient			117.88	117.88																																																			
SCREW SELF DRILLING 1.5MM 3.5MM	SUP-91-6103	CDM			270	RC		outpatient			117.6	117.6	31.86				percent of total billed charges		117.6				other	OPPS APC	87.02				percent of total billed charges		117.6				other	OPPS APC	117.6				other	OPPS APC	31.86				percent of total billed charges		32.49				percent of total billed charges		117.6				other	OPPS APC	31.86	117.6	
SCREW SELF DRILLING 1.5MM 3.5MM	SUP-91-6103	CDM			270	RC		inpatient			117.6	117.6																																																			
SCREW SELF DRILLING 1.5MM 4MM	SUP-91-6104	CDM			270	RC		outpatient			117.6	117.6	31.86				percent of total billed charges		117.6				other	OPPS APC	87.02				percent of total billed charges		117.6				other	OPPS APC	117.6				other	OPPS APC	31.86				percent of total billed charges		32.49				percent of total billed charges		117.6				other	OPPS APC	31.86	117.6	
SCREW SELF DRILLING 1.5MM 4MM	SUP-91-6104	CDM			270	RC		inpatient			117.6	117.6																																																			
SCREW BONE TRAUMAONE LORENZ TITANIUM L5 MM OD1.5 MM MIDFACE SELF DRILL HIGH TORQUE CROSS DRIVE GREEN	SUP-91-6105	CDM			270	RC		outpatient			117.6	117.6	31.86				percent of total billed charges		117.6				other	OPPS APC	87.02				percent of total billed charges		117.6				other	OPPS APC	117.6				other	OPPS APC	31.86				percent of total billed charges		32.49				percent of total billed charges		117.6				other	OPPS APC	31.86	117.6	
SCREW BONE TRAUMAONE LORENZ TITANIUM L5 MM OD1.5 MM MIDFACE SELF DRILL HIGH TORQUE CROSS DRIVE GREEN	SUP-91-6105	CDM			270	RC		inpatient			117.6	117.6																																																			
HC Theraskin 2x3	PX-270041210	CDM			270	RC		outpatient			117.58	117.58	31.85				percent of total billed charges		117.58				other	OPPS APC	49.33				fee schedule		117.58				other	OPPS APC	117.58				other	OPPS APC	31.85				percent of total billed charges		32.49				percent of total billed charges		117.58				other	OPPS APC	31.85	117.58	
HC Theraskin 2x3	PX-270041210	CDM			270	RC		inpatient			117.58	117.58																																																			
GUIDEWIRE ORTHOPEDIC LCP STAINLESS STEEL L200 MM OD2.5 MM DRILL TIP TOMOFIX OSTEOTOMY SYSTEM	SUP-310.243	CDM	270010022	LOCAL	270	RC		outpatient			117.38	117.38	31.8				percent of total billed charges		117.38				other	OPPS APC	86.86				percent of total billed charges		117.38				other	OPPS APC	117.38				other	OPPS APC	31.8				percent of total billed charges		32.43				percent of total billed charges		117.38				other	OPPS APC	31.8	117.38	
GUIDEWIRE ORTHOPEDIC LCP STAINLESS STEEL L200 MM OD2.5 MM DRILL TIP TOMOFIX OSTEOTOMY SYSTEM	SUP-310.243	CDM	270010022	LOCAL	270	RC		inpatient			117.38	117.38																																																			
SAW BLADE SAGITTAL	SUP-6221-100-090	CDM			270	RC		outpatient			117.26	117.26	31.77				percent of total billed charges		117.26				other	OPPS APC	86.77				percent of total billed charges		117.26				other	OPPS APC	117.26				other	OPPS APC	31.77				percent of total billed charges		32.4				percent of total billed charges		117.26				other	OPPS APC	31.77	117.26	
SAW BLADE SAGITTAL	SUP-6221-100-090	CDM			270	RC		inpatient			117.26	117.26																																																			
BLADE SAW L90 MM X W21 MM X H1.19 MM SAGITTAL	SUP-6221119090	CDM			270	RC		outpatient			117.26	117.26	31.77				percent of total billed charges		117.26				other	OPPS APC	86.77				percent of total billed charges		117.26				other	OPPS APC	117.26				other	OPPS APC	31.77				percent of total billed charges		32.4				percent of total billed charges		117.26				other	OPPS APC	31.77	117.26	
BLADE SAW L90 MM X W21 MM X H1.19 MM SAGITTAL	SUP-6221119090	CDM			270	RC		inpatient			117.26	117.26																																																			
K WIRE W/17MM STOP	SUP-95-03466	CDM			278	RC		outpatient			117.12	117.12	117.12				fee schedule		117.12				other	OPPS APC	66.76				percent of total billed charges		117.12				other	OPPS APC	117.12				other	OPPS APC	57.39				percent of total billed charges		59.73				percent of total billed charges		117.12				other	OPPS APC	57.39	117.12	
K WIRE W/17MM STOP	SUP-95-03466	CDM			278	RC		inpatient			117.12	117.12																																																			
PACK TROCH NAIL	SUP-DYNJ59296	CDM			270	RC		outpatient			117.1	118	31.72				percent of total billed charges		117.1				other	OPPS APC	86.65				percent of total billed charges		117.1				other	OPPS APC	117.1				other	OPPS APC	31.72				percent of total billed charges		32.35				percent of total billed charges		118				other	OPPS APC	31.72	118	
PACK TROCH NAIL	SUP-DYNJ59296	CDM			270	RC		inpatient			117.1	117.1																																																			
HC Pulse Oximetry Multiple Readings	PX-460947612	CDM	94761	CPT	460	RC		outpatient			117	117	5.05				fee schedule		117				other	OPPS APC	12.37				fee schedule		117				other	OPPS APC	117				other	OPPS APC	3.66				fee schedule		59.67				percent of total billed charges		117				other	OPPS APC	3.66	117	
HC Pulse Oximetry Multiple Readings	PX-460947612	CDM	94761	CPT	460	RC		inpatient			117	117																																																			
HC MC Bh Psychotherapy Crisis Add 30 Min	PX-900908409	CDM	90840	CPT	914	RC		outpatient			117	117	57.33				percent of total billed charges		117				other	OPPS APC	86.58				percent of total billed charges		117				other	OPPS APC	117				fee schedule		57.33				percent of total billed charges		59.67				percent of total billed charges		117				fee schedule		57.33	117	
HC MC Bh Psychotherapy Crisis Add 30 Min	PX-900908409	CDM	90840	CPT	914	RC		inpatient			117	117																																																			
SCREW SELF DRILLING 1.5MM X 4MM	SUP-01-6104	CDM			270	RC		outpatient			117	117	31.7				percent of total billed charges		117				other	OPPS APC	86.58				percent of total billed charges		117				other	OPPS APC	117				other	OPPS APC	31.7				percent of total billed charges		32.33				percent of total billed charges		117				other	OPPS APC	31.7	117	
SCREW SELF DRILLING 1.5MM X 4MM	SUP-01-6104	CDM			270	RC		inpatient			117	117																																																			
SCREW CORTEX NON LOCKING 3.5MM X 50MM	SUP-97-01585	CDM			278	RC		outpatient			117	117	117				fee schedule		117				other	OPPS APC	66.69				percent of total billed charges		117				other	OPPS APC	117				other	OPPS APC	57.33				percent of total billed charges		59.67				percent of total billed charges		117				other	OPPS APC	57.33	117	
SCREW CORTEX NON LOCKING 3.5MM X 50MM	SUP-97-01585	CDM			278	RC		inpatient			117	117																																																			
SCREW CORTEX NON LOCKING 3.5MM X 34MM	SUP-97-02398	CDM			278	RC		outpatient			117	117	117				fee schedule		117				other	OPPS APC	66.69				percent of total billed charges		117				other	OPPS APC	117				other	OPPS APC	57.33				percent of total billed charges		59.67				percent of total billed charges		117				other	OPPS APC	57.33	117	
SCREW CORTEX NON LOCKING 3.5MM X 34MM	SUP-97-02398	CDM			278	RC		inpatient			117	117																																																			
SCREW CORTEX NON LOCKING 3.5MM X 20MM	SUP-97-02560	CDM			278	RC		outpatient			117	117	117				fee schedule		117				other	OPPS APC	66.69				percent of total billed charges		117				other	OPPS APC	117				other	OPPS APC	57.33				percent of total billed charges		59.67				percent of total billed charges		117				other	OPPS APC	57.33	117	
SCREW CORTEX NON LOCKING 3.5MM X 20MM	SUP-97-02560	CDM			278	RC		inpatient			117	117																																																			
KIRSHNER WIRE .062	SUP-97-02755	CDM			278	RC		outpatient			117	117	117				fee schedule		117				other	OPPS APC	66.69				percent of total billed charges		117				other	OPPS APC	117				other	OPPS APC	57.33				percent of total billed charges		59.67				percent of total billed charges		117				other	OPPS APC	57.33	117	
KIRSHNER WIRE .062	SUP-97-02755	CDM			278	RC		inpatient			117	117																																																			
"AMINO ACID 4.25%-DEXTROSE 10 % (CLINIMIX) 4.25 % PARENTERAL SOLUTION 1,000 ML BAG"	250000000	CDM	0338-1134-03	NDC				inpatient			116.91	116.91																																																			
"AMINO ACID 4.25%-DEXTROSE 10 % (CLINIMIX) 4.25 % PARENTERAL SOLUTION 1,000 ML BAG"	250000000	CDM	0338-1134-03	NDC				outpatient			116.91	116.91																																															other	OPPS APC			
INVRAD GUIDEWIRE - .018X80CM	SUP-95-04468	CDM			272	RC		outpatient			116.8	116.8	31.64				percent of total billed charges		116.8				other	OPPS APC	86.43				percent of total billed charges		116.8				other	OPPS APC	116.8				other	OPPS APC	31.64				percent of total billed charges		32.27				percent of total billed charges		116.8				other	OPPS APC	31.64	116.8	
INVRAD GUIDEWIRE - .018X80CM	SUP-95-04468	CDM			272	RC		inpatient			116.8	116.8																																																			
PACK TROCH NAIL	SUP-SOPHDTNPNC	CDM			270	RC		outpatient			116.8	116.8	31.64				percent of total billed charges		116.8				other	OPPS APC	86.43				percent of total billed charges		116.8				other	OPPS APC	116.8				other	OPPS APC	31.64				percent of total billed charges		32.27				percent of total billed charges		116.8				other	OPPS APC	31.64	116.8	
PACK TROCH NAIL	SUP-SOPHDTNPNC	CDM			270	RC		inpatient			116.8	116.8																																																			
NEEDLE BIOPSY TRU-CUT THIN WALL L4 1/2 IN OD14 GA DEPTH MARK REMOVABLE STYLET SCALPEL SHARP EDGE STANDARD HANDLE STERILE LATEX FREE DISPOSABLE	SUP-2N2702X	CDM						inpatient			116.6	116.6																																																			
NEEDLE BIOPSY TRU-CUT THIN WALL L4 1/2 IN OD14 GA DEPTH MARK REMOVABLE STYLET SCALPEL SHARP EDGE STANDARD HANDLE STERILE LATEX FREE DISPOSABLE	SUP-2N2702X	CDM						outpatient			116.6	116.6	116.6				percent of total billed charges		116.6				other	OPPS APC	116.6				fee schedule		116.6				other	OPPS APC	116.6				other	OPPS APC	116.6				case rate		116.6				case rate		116.6				other	OPPS APC	116.6	116.6	
CLEARVISION TUBING SET (FESS )	SUP-72-00063	CDM			272	RC		outpatient			116.48	116.48	31.55				percent of total billed charges		116.48				other	OPPS APC	86.2				percent of total billed charges		116.48				other	OPPS APC	116.48				other	OPPS APC	31.55				percent of total billed charges		32.18				percent of total billed charges		116.48				other	OPPS APC	31.55	116.48	
CLEARVISION TUBING SET (FESS )	SUP-72-00063	CDM			272	RC		inpatient			116.48	116.48																																																			
"NYSTATIN 100,000 UNIT/GRAM POWDER 30 G SQUEEZ BTL"	637000000	CDM	69315-306-30	NDC	A9270	HCPCS		inpatient			116.43	116.43																																																			
"NYSTATIN 100,000 UNIT/GRAM POWDER 30 G SQUEEZ BTL"	637000000	CDM	69315-306-30	NDC	A9270	HCPCS		outpatient			116.43	116.43																																															other	OPPS APC			
BIOPSY PUNCH 3MM	SUP-95-01703	CDM			272	RC		outpatient			116.08	116.8	31.45				percent of total billed charges		116.08				other	OPPS APC	85.9				percent of total billed charges		116.08				other	OPPS APC	116.08				other	OPPS APC	31.45				percent of total billed charges		32.07				percent of total billed charges		116.8				other	OPPS APC	31.45	116.8	
BIOPSY PUNCH 3MM	SUP-95-01703	CDM			272	RC		inpatient			116.08	116.08																																																			
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE JACKY RADIAL 3.5 CURVE L110 CM OD5 FR CORONARY 2 SIDE TIP	SUP-40-5023	CDM			481	RC		outpatient			116	116	56.84				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	56.84				percent of total billed charges		59.16				percent of total billed charges		116				other	OPPS APC	56.84	116	
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE JACKY RADIAL 3.5 CURVE L110 CM OD5 FR CORONARY 2 SIDE TIP	SUP-40-5023	CDM			481	RC		inpatient			116	116																																																			
BAG DRAINAGE BECKER EDMS 700 ML VENTRICULAR EXTERNAL MONITOR SYSTEM STERILE LATEX FREE DISPOSABLE	SUP-46124_72881	CDM			270	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
BAG DRAINAGE BECKER EDMS 700 ML VENTRICULAR EXTERNAL MONITOR SYSTEM STERILE LATEX FREE DISPOSABLE	SUP-46124_72881	CDM			270	RC		inpatient			116	116																																																			
CEMENT BONE SIMPLEX P RADIOPAQUE FULL DOSE STERILE	SUP-6191-1-010	CDM			270	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
CEMENT BONE SIMPLEX P RADIOPAQUE FULL DOSE STERILE	SUP-6191-1-010	CDM			270	RC		inpatient			116	116																																																			
CEMENT BONE SIMPLEX P SPEEDSET RADIOPAQUE STERILE	SUP-6192-1-010	CDM			270	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
CEMENT BONE SIMPLEX P SPEEDSET RADIOPAQUE STERILE	SUP-6192-1-010	CDM			270	RC		inpatient			116	116																																																			
CEMENT BONE SIMPLEX 20ML STERILE 40GM HIGH VISCOSITY	SUP-6194-1-010	CDM			270	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
CEMENT BONE SIMPLEX 20ML STERILE 40GM HIGH VISCOSITY	SUP-6194-1-010	CDM			270	RC		inpatient			116	116																																																			
COMPONENT BUCKLING SCLERAL SLEEVE SILICONE STYLE 72	SUP-72	CDM			270	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
COMPONENT BUCKLING SCLERAL SLEEVE SILICONE STYLE 72	SUP-72	CDM			270	RC		inpatient			116	116																																																			
MAKO STRYKER LEG POSITIONER DISP KIT	SUP-78-00405	CDM			272	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
MAKO STRYKER LEG POSITIONER DISP KIT	SUP-78-00405	CDM			272	RC		inpatient			116	116																																																			
MAKO STRYKER LEG POSITIONER DISP KIT	SUP-78-00412	CDM			272	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
MAKO STRYKER LEG POSITIONER DISP KIT	SUP-78-00412	CDM			272	RC		inpatient			116	116																																																			
GUIDEWIRE - GLIDEWIRE .035X150CM ANGLED	SUP-95-01774	CDM			272	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
GUIDEWIRE - GLIDEWIRE .035X150CM ANGLED	SUP-95-01774	CDM			272	RC		inpatient			116	116																																																			
DISPS KITTRANS-TIB ACL W/P SAWBLD	SUP-97-02120	CDM			278	RC		outpatient			116	116	116				fee schedule		116				other	OPPS APC	66.12				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	56.84				percent of total billed charges		59.16				percent of total billed charges		116				other	OPPS APC	56.84	116	
DISPS KITTRANS-TIB ACL W/P SAWBLD	SUP-97-02120	CDM			278	RC		inpatient			116	116																																																			
GUIDEWIRE - AMPLATZ ULTRASTIFF 180CM	SUP-99-00930	CDM			272	RC		outpatient			116	116	31.42				percent of total billed charges		116				other	OPPS APC	85.84				percent of total billed charges		116				other	OPPS APC	116				other	OPPS APC	31.42				percent of total billed charges		32.05				percent of total billed charges		116				other	OPPS APC	31.42	116	
GUIDEWIRE - AMPLATZ ULTRASTIFF 180CM	SUP-99-00930	CDM			272	RC		inpatient			116	116																																																			
ROPIVACAINE PER 1 MG	636000000	CDM	25021-671-82	NDC	J2795	HCPCS		inpatient			115.89	115.89																																																			
ROPIVACAINE PER 1 MG	636000000	CDM	25021-671-82	NDC	J2795	HCPCS		outpatient			115.89	115.89																																															other	OPPS APC			
KIWI OMNICUP PALM PUMP	SUP-95-02352	CDM			272	RC		outpatient			115.58	115.58	31.31				percent of total billed charges		115.58				other	OPPS APC	85.53				percent of total billed charges		115.58				other	OPPS APC	115.58				other	OPPS APC	31.31				percent of total billed charges		31.93				percent of total billed charges		115.58				other	OPPS APC	31.31	115.58	
KIWI OMNICUP PALM PUMP	SUP-95-02352	CDM			272	RC		inpatient			115.58	115.58																																																			
SHEATH - MICROPUNCTURE 6F	SUP-99-01792	CDM			272	RC		outpatient			115.48	115.48	31.28				percent of total billed charges		115.48				other	OPPS APC	85.46				percent of total billed charges		115.48				other	OPPS APC	115.48				other	OPPS APC	31.28				percent of total billed charges		31.91				percent of total billed charges		115.48				other	OPPS APC	31.28	115.48	
SHEATH - MICROPUNCTURE 6F	SUP-99-01792	CDM			272	RC		inpatient			115.48	115.48																																																			
PIN FIXATION STEINMANN L178 MM OD3.2 MM STERILE	SUP-319-01-32	CDM	270010030	LOCAL	270	RC		outpatient			115.2	115.2	31.21				percent of total billed charges		115.2				other	OPPS APC	85.25				percent of total billed charges		115.2				other	OPPS APC	115.2				other	OPPS APC	31.21				percent of total billed charges		31.83				percent of total billed charges		115.2				other	OPPS APC	31.21	115.2	
PIN FIXATION STEINMANN L178 MM OD3.2 MM STERILE	SUP-319-01-32	CDM	270010030	LOCAL	270	RC		inpatient			115.2	115.2																																																			
SYRINGE 1CC LL W/O NEEDLE	SUP-06-00065	CDM			272	RC		outpatient			115.05	115.5	31.17				percent of total billed charges		115.05				other	OPPS APC	85.14				percent of total billed charges		115.05				other	OPPS APC	115.05				other	OPPS APC	31.17				percent of total billed charges		31.79				percent of total billed charges		115.5				other	OPPS APC	31.17	115.5	
SYRINGE 1CC LL W/O NEEDLE	SUP-06-00065	CDM			272	RC		inpatient			115.05	115.05																																																			
HC Arbovirus	PX-300866520	CDM	86652	CPT	300	RC		outpatient			115	115	17.64				fee schedule		115				fee schedule		35.02				fee schedule		115				fee schedule		115				fee schedule		13.19				fee schedule		13.19				fee schedule		115				fee schedule		13.19	115	
HC Arbovirus	PX-300866520	CDM	86652	CPT	300	RC		inpatient			115	115																																																			
MESH SURGICAL MARLEX 6X3IN GROIN PATCH FLAT SHEET KNIT STERILE POLYPROPYLENE HERNIA	SUP-0112680	CDM	270009092	LOCAL	270	RC		outpatient			114.9	114.91	31.13				percent of total billed charges		114.9				other	OPPS APC	85.03				percent of total billed charges		114.9				other	OPPS APC	114.9				other	OPPS APC	31.13				percent of total billed charges		31.75				percent of total billed charges		114.91				other	OPPS APC	31.13	114.91	
MESH SURGICAL MARLEX 6X3IN GROIN PATCH FLAT SHEET KNIT STERILE POLYPROPYLENE HERNIA	SUP-0112680	CDM	270009092	LOCAL	270	RC		inpatient			114.9	114.9																																																			
MESH SURGICAL VICRYL L6 IN X W6 IN KNIT WOVEN	SUP-VKMM	CDM	270009092	LOCAL	270	RC		outpatient			114.9	114.91	31.13				percent of total billed charges		114.9				other	OPPS APC	85.03				percent of total billed charges		114.9				other	OPPS APC	114.9				other	OPPS APC	31.13				percent of total billed charges		31.75				percent of total billed charges		114.91				other	OPPS APC	31.13	114.91	
MESH SURGICAL VICRYL L6 IN X W6 IN KNIT WOVEN	SUP-VKMM	CDM	270009092	LOCAL	270	RC		inpatient			114.9	114.9																																																			
SCREW BONE TITANIUM PEDIATRIC T8 L22 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.882	CDM	270010022	LOCAL	270	RC		outpatient			114.4	114.41	30.99				percent of total billed charges		114.4				other	OPPS APC	84.66				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	30.99				percent of total billed charges		31.61				percent of total billed charges		114.41				other	OPPS APC	30.99	114.41	
SCREW BONE TITANIUM PEDIATRIC T8 L22 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.882	CDM	270010022	LOCAL	270	RC		inpatient			114.4	114.4																																																			
SCREW BONE TITANIUM PEDIATRIC T8 L28 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-402.888	CDM	270010022	LOCAL	270	RC		outpatient			114.4	114.41	30.99				percent of total billed charges		114.4				other	OPPS APC	84.66				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	30.99				percent of total billed charges		31.61				percent of total billed charges		114.41				other	OPPS APC	30.99	114.41	
SCREW BONE TITANIUM PEDIATRIC T8 L28 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-402.888	CDM	270010022	LOCAL	270	RC		inpatient			114.4	114.4																																																			
SCREW BONE TITANIUM T8 L46 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.965	CDM	270010022	LOCAL	270	RC		outpatient			114.4	114.41	30.99				percent of total billed charges		114.4				other	OPPS APC	84.66				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	30.99				percent of total billed charges		31.61				percent of total billed charges		114.41				other	OPPS APC	30.99	114.41	
SCREW BONE TITANIUM T8 L46 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.965	CDM	270010022	LOCAL	270	RC		inpatient			114.4	114.4																																																			
SCREW BONE LCP TITANIUM T8 L48 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.966	CDM	270010022	LOCAL	270	RC		outpatient			114.4	114.41	30.99				percent of total billed charges		114.4				other	OPPS APC	84.66				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	30.99				percent of total billed charges		31.61				percent of total billed charges		114.41				other	OPPS APC	30.99	114.41	
SCREW BONE LCP TITANIUM T8 L48 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.966	CDM	270010022	LOCAL	270	RC		inpatient			114.4	114.4																																																			
SCREW BONE LCP TITANIUM L50 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-402.967	CDM	270010022	LOCAL	270	RC		outpatient			114.4	114.41	30.99				percent of total billed charges		114.4				other	OPPS APC	84.66				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	30.99				percent of total billed charges		31.61				percent of total billed charges		114.41				other	OPPS APC	30.99	114.41	
SCREW BONE LCP TITANIUM L50 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-402.967	CDM	270010022	LOCAL	270	RC		inpatient			114.4	114.4																																																			
SCREW BONE LCP TITANIUM L55 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-402.968	CDM	270010022	LOCAL	270	RC		outpatient			114.4	114.41	30.99				percent of total billed charges		114.4				other	OPPS APC	84.66				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	30.99				percent of total billed charges		31.61				percent of total billed charges		114.41				other	OPPS APC	30.99	114.41	
SCREW BONE LCP TITANIUM L55 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-402.968	CDM	270010022	LOCAL	270	RC		inpatient			114.4	114.4																																																			
SCREW CORTICAL ST 4.5 X 38MM	SUP-97-02106	CDM			278	RC		outpatient			114.4	114.41	114.4				fee schedule		114.4				other	OPPS APC	65.21				percent of total billed charges		114.4				other	OPPS APC	114.4				other	OPPS APC	56.06				percent of total billed charges		58.34				percent of total billed charges		114.41				other	OPPS APC	56.06	114.41	
SCREW CORTICAL ST 4.5 X 38MM	SUP-97-02106	CDM			278	RC		inpatient			114.4	114.4																																																			
SHEATH - 5F CHECK-FLO MICROPUNCTURE	SUP-99-01573	CDM			272	RC		outpatient			114.32	114.32	30.97				percent of total billed charges		114.32				other	OPPS APC	84.6				percent of total billed charges		114.32				other	OPPS APC	114.32				other	OPPS APC	30.97				percent of total billed charges		31.59				percent of total billed charges		114.32				other	OPPS APC	30.97	114.32	
SHEATH - 5F CHECK-FLO MICROPUNCTURE	SUP-99-01573	CDM			272	RC		inpatient			114.32	114.32																																																			
HC MC Bh Therapy 30 Min Ind	PX-900908329	CDM	90832	CPT	914	RC		outpatient			114	65.16	64.25				fee schedule		65.16				fee schedule		390.51				fee schedule		65.16				fee schedule		65.16				fee schedule		65.45				fee schedule		114				fee schedule		65.16				fee schedule		64.25	390.51	
HC MC Bh Therapy 30 Min Ind	PX-900908329	CDM	90832	CPT	914	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L7 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-07-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L7 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-07-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L11 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-09-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L11 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-09-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L11 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-11-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L11 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-11-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L13 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-13-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L13 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-13-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L15 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-15-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L15 MM OD2.3 MM STERNAL LOCK SELF RETAIN NONSTERILE	SUP-24-023-15-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE THREADLOCK TS TITANIUM L17 MM OD2.3 MM MANDIBLE SELF RETAINING EMERGENCY	SUP-24-023-17-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE THREADLOCK TS TITANIUM L17 MM OD2.3 MM MANDIBLE SELF RETAINING EMERGENCY	SUP-24-023-17-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L9 MM OD2.5 MM STERNAL SELF RETAIN EMERGENCY NONSTERILE	SUP-24-024-09-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L9 MM OD2.5 MM STERNAL SELF RETAIN EMERGENCY NONSTERILE	SUP-24-024-09-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L13 MM OD2.5 MM STERNAL SELF RETAIN EMERGENCY NONSTERILE	SUP-24-024-13-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L13 MM OD2.5 MM STERNAL SELF RETAIN EMERGENCY NONSTERILE	SUP-24-024-13-91	CDM			270	RC		inpatient			114	114																																																			
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L17 MM OD2.5 MM STERNAL SELF RETAIN EMERGENCY NONSTERILE	SUP-24-024-17-91	CDM			270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
SCREW BONE DRILL-FREE MAXDRIVE TITANIUM L17 MM OD2.5 MM STERNAL SELF RETAIN EMERGENCY NONSTERILE	SUP-24-024-17-91	CDM			270	RC		inpatient			114	114																																																			
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L5 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539200	CDM	270009083	LOCAL	270	RC		outpatient			114	114	30.88				percent of total billed charges		114				other	OPPS APC	84.36				percent of total billed charges		114				other	OPPS APC	114				other	OPPS APC	30.88				percent of total billed charges		31.5				percent of total billed charges		114				other	OPPS APC	30.88	114	
STENT BILIARY FLEXIMA PLASTIC DUODENAL BEND L5 CM OD7 FR TEMPORARY DELIVERY SYSTEM DISPOSABLE ACCEPTS .035 IN GUIDEWIRE	SUP-M00539200	CDM	270009083	LOCAL	270	RC		inpatient			114	114																																																			
RIVAROXABAN 2.5 MG TABLET	637000000	CDM	50458-577-01	NDC	A9270	HCPCS		inpatient			113.92	113.92																																																			
RIVAROXABAN 2.5 MG TABLET	637000000	CDM	50458-577-01	NDC	A9270	HCPCS		outpatient			113.92	113.92																																															other	OPPS APC			
NOREPINEPHRINE BITARTRATE 1 MG/ML SOLUTION	250000000	CDM	0781-3755-75	NDC				inpatient			113.8	113.8																																																			
NOREPINEPHRINE BITARTRATE 1 MG/ML SOLUTION	250000000	CDM	0781-3755-75	NDC				outpatient			113.8	113.8																																															other	OPPS APC			
SCREW BONE PERI LOCK VLP FULL THREAD L 34MM OD 5MM OSTEOPENIA	SUP-71822034	CDM			270	RC		outpatient			113.76	113.76	30.82				percent of total billed charges		113.76				other	OPPS APC	84.18				percent of total billed charges		113.76				other	OPPS APC	113.76				other	OPPS APC	30.82				percent of total billed charges		31.43				percent of total billed charges		113.76				other	OPPS APC	30.82	113.76	
SCREW BONE PERI LOCK VLP FULL THREAD L 34MM OD 5MM OSTEOPENIA	SUP-71822034	CDM			270	RC		inpatient			113.76	113.76																																																			
SCREW BONE PERI LOCK VLP FULL THREAD L 36MM OD 5MM OSTEOPENIA	SUP-71822036	CDM			270	RC		outpatient			113.76	113.76	30.82				percent of total billed charges		113.76				other	OPPS APC	84.18				percent of total billed charges		113.76				other	OPPS APC	113.76				other	OPPS APC	30.82				percent of total billed charges		31.43				percent of total billed charges		113.76				other	OPPS APC	30.82	113.76	
SCREW BONE PERI LOCK VLP FULL THREAD L 36MM OD 5MM OSTEOPENIA	SUP-71822036	CDM			270	RC		inpatient			113.76	113.76																																																			
SUTURE #2 BRAID 1/2 CURCLE K-POINT	SUP-97-02116	CDM			272	RC		outpatient			113.64	113.64	30.79				percent of total billed charges		113.64				other	OPPS APC	84.09				percent of total billed charges		113.64				other	OPPS APC	113.64				other	OPPS APC	30.79				percent of total billed charges		31.4				percent of total billed charges		113.64				other	OPPS APC	30.79	113.64	
SUTURE #2 BRAID 1/2 CURCLE K-POINT	SUP-97-02116	CDM			272	RC		inpatient			113.64	113.64																																																			
LOOP EAR 5.2 BILLEAU MED 7IN SURG 7.7MM	SUP-97-02587	CDM			271	RC		outpatient			113.52	113.52	30.75				percent of total billed charges		113.52				other	OPPS APC	84				percent of total billed charges		113.52				other	OPPS APC	113.52				other	OPPS APC	30.75				percent of total billed charges		31.37				percent of total billed charges		113.52				other	OPPS APC	30.75	113.52	
LOOP EAR 5.2 BILLEAU MED 7IN SURG 7.7MM	SUP-97-02587	CDM			271	RC		inpatient			113.52	113.52																																																			
ROD EXTERNAL FIXATION CARBON FIBER L140 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.64	CDM	270010022	LOCAL	270	RC		outpatient			113.3	113.3	30.69				percent of total billed charges		113.3				other	OPPS APC	83.84				percent of total billed charges		113.3				other	OPPS APC	113.3				other	OPPS APC	30.69				percent of total billed charges		31.3				percent of total billed charges		113.3				other	OPPS APC	30.69	113.3	
ROD EXTERNAL FIXATION CARBON FIBER L140 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.64	CDM	270010022	LOCAL	270	RC		inpatient			113.3	113.3																																																			
ROD EXTERNAL FIXATION CARBON FIBER L160 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.65	CDM	270010022	LOCAL	270	RC		outpatient			113.3	113.3	30.69				percent of total billed charges		113.3				other	OPPS APC	83.84				percent of total billed charges		113.3				other	OPPS APC	113.3				other	OPPS APC	30.69				percent of total billed charges		31.3				percent of total billed charges		113.3				other	OPPS APC	30.69	113.3	
ROD EXTERNAL FIXATION CARBON FIBER L160 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.65	CDM	270010022	LOCAL	270	RC		inpatient			113.3	113.3																																																			
ROD EXTERNAL FIXATION CARBON FIBER L180 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.66	CDM	270010022	LOCAL	270	RC		outpatient			113.3	113.3	30.69				percent of total billed charges		113.3				other	OPPS APC	83.84				percent of total billed charges		113.3				other	OPPS APC	113.3				other	OPPS APC	30.69				percent of total billed charges		31.3				percent of total billed charges		113.3				other	OPPS APC	30.69	113.3	
ROD EXTERNAL FIXATION CARBON FIBER L180 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.66	CDM	270010022	LOCAL	270	RC		inpatient			113.3	113.3																																																			
ROD EXTERNAL FIXATION CARBON FIBER L200 MM OD4 MM NONSTERILE	SUP-395.67	CDM	270010022	LOCAL	270	RC		outpatient			113.3	113.3	30.69				percent of total billed charges		113.3				other	OPPS APC	83.84				percent of total billed charges		113.3				other	OPPS APC	113.3				other	OPPS APC	30.69				percent of total billed charges		31.3				percent of total billed charges		113.3				other	OPPS APC	30.69	113.3	
ROD EXTERNAL FIXATION CARBON FIBER L200 MM OD4 MM NONSTERILE	SUP-395.67	CDM	270010022	LOCAL	270	RC		inpatient			113.3	113.3																																																			
CATHETER EMBOLECTOMY STAINLESS STEEL SILICONE L80 CM OD3 FR ODSEC5 MM .1 ML SMOOTH BALLOON ATTACHMENT SYRINGE FLAT PACK LATEX FREE	SUP-NL3EMB80	CDM			270	RC		outpatient			113.3	113.3	30.69				percent of total billed charges		113.3				other	OPPS APC	83.84				percent of total billed charges		113.3				other	OPPS APC	113.3				other	OPPS APC	30.69				percent of total billed charges		31.3				percent of total billed charges		113.3				other	OPPS APC	30.69	113.3	
CATHETER EMBOLECTOMY STAINLESS STEEL SILICONE L80 CM OD3 FR ODSEC5 MM .1 ML SMOOTH BALLOON ATTACHMENT SYRINGE FLAT PACK LATEX FREE	SUP-NL3EMB80	CDM			270	RC		inpatient			113.3	113.3																																																			
HC Special Stain II	PX-310883130	CDM	88313	CPT	310	RC		outpatient			113	35.77	51.85				fee schedule		35.77				other	OPPS APC	42.71				fee schedule		35.77				other	OPPS APC	35.77				other	OPPS APC	55.37				percent of total billed charges		57.63				percent of total billed charges		35.77				other	OPPS APC	35.77	57.63	
HC Special Stain II	PX-310883130	CDM	88313	CPT	310	RC		inpatient			113	113																																																			
HC Removal FB Ex Aud Canal	PX-450692001	CDM	69200	CPT	450	RC		outpatient			113	113	195.77				case rate		113				other	OPPS APC	83.62				percent of total billed charges		113				other	OPPS APC	113				other	OPPS APC	195.77				case rate		199.69				case rate		113				other	OPPS APC	83.62	199.69	
HC Removal FB Ex Aud Canal	PX-450692001	CDM	69200	CPT	450	RC		inpatient			113	113																																																			
NEXT STEP SHORTIE WALKER LG BOOT	SUP-35-00006	CDM			271	RC		outpatient			112.92	112.92	30.59				percent of total billed charges		112.92				other	OPPS APC	83.56				percent of total billed charges		112.92				other	OPPS APC	112.92				other	OPPS APC	30.59				percent of total billed charges		31.2				percent of total billed charges		112.92				other	OPPS APC	30.59	112.92	
NEXT STEP SHORTIE WALKER LG BOOT	SUP-35-00006	CDM			271	RC		inpatient			112.92	112.92																																																			
SET DRAINAGE L25 CM L26.5 CM OD5 FR RING CATHETER TROCAR NEEDLE STERILE DISPOSABLE	SUP-DLPN-40-25-RING	CDM			270	RC		outpatient			112.86	112.86	30.57				percent of total billed charges		112.86				other	OPPS APC	83.52				percent of total billed charges		112.86				other	OPPS APC	112.86				other	OPPS APC	30.57				percent of total billed charges		31.18				percent of total billed charges		112.86				other	OPPS APC	30.57	112.86	
SET DRAINAGE L25 CM L26.5 CM OD5 FR RING CATHETER TROCAR NEEDLE STERILE DISPOSABLE	SUP-DLPN-40-25-RING	CDM			270	RC		inpatient			112.86	112.86																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.2 MM UPPERFACE SELF DRILL CROSS PIN NONSTERILE	SUP-5012903	CDM			270	RC		outpatient			112.8	112.8	30.56				percent of total billed charges		112.8				other	OPPS APC	83.47				percent of total billed charges		112.8				other	OPPS APC	112.8				other	OPPS APC	30.56				percent of total billed charges		31.17				percent of total billed charges		112.8				other	OPPS APC	30.56	112.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.2 MM UPPERFACE SELF DRILL CROSS PIN NONSTERILE	SUP-5012903	CDM			270	RC		inpatient			112.8	112.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.2 MM UPPERFACE SELF DRILL CROSS PIN NONSTERILE	SUP-5012904	CDM			270	RC		outpatient			112.8	112.8	30.56				percent of total billed charges		112.8				other	OPPS APC	83.47				percent of total billed charges		112.8				other	OPPS APC	112.8				other	OPPS APC	30.56				percent of total billed charges		31.17				percent of total billed charges		112.8				other	OPPS APC	30.56	112.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.2 MM UPPERFACE SELF DRILL CROSS PIN NONSTERILE	SUP-5012904	CDM			270	RC		inpatient			112.8	112.8																																																			
SCRAPPER CURVED MEMBRANE 27G	SUP-338.27	CDM			270	RC		outpatient			112.76	112.76	30.55				percent of total billed charges		112.76				other	OPPS APC	83.44				percent of total billed charges		112.76				other	OPPS APC	112.76				other	OPPS APC	30.55				percent of total billed charges		31.16				percent of total billed charges		112.76				other	OPPS APC	30.55	112.76	
SCRAPPER CURVED MEMBRANE 27G	SUP-338.27	CDM			270	RC		inpatient			112.76	112.76																																																			
ELECTRODE ELECTROSURGICAL ARGONPLUS L6 IN HANDSET COAGULATION FLEXIBLE STERILE DISPOSABLE	SUP-E2530-6	CDM			270	RC		outpatient			112.74	112.74	30.54				percent of total billed charges		112.74				other	OPPS APC	83.43				percent of total billed charges		112.74				other	OPPS APC	112.74				other	OPPS APC	30.54				percent of total billed charges		31.15				percent of total billed charges		112.74				other	OPPS APC	30.54	112.74	
ELECTRODE ELECTROSURGICAL ARGONPLUS L6 IN HANDSET COAGULATION FLEXIBLE STERILE DISPOSABLE	SUP-E2530-6	CDM			270	RC		inpatient			112.74	112.74																																																			
ET TUBE SPIRAL-FLEX 7MM	SUP-95-02001	CDM			272	RC		outpatient			112.7	112.7	30.53				percent of total billed charges		112.7				other	OPPS APC	83.4				percent of total billed charges		112.7				other	OPPS APC	112.7				other	OPPS APC	30.53				percent of total billed charges		31.14				percent of total billed charges		112.7				other	OPPS APC	30.53	112.7	
ET TUBE SPIRAL-FLEX 7MM	SUP-95-02001	CDM			272	RC		inpatient			112.7	112.7																																																			
ET TUBE SPIRAL-FLEX 6MM	SUP-95-02002	CDM			272	RC		outpatient			112.7	112.7	30.53				percent of total billed charges		112.7				other	OPPS APC	83.4				percent of total billed charges		112.7				other	OPPS APC	112.7				other	OPPS APC	30.53				percent of total billed charges		31.14				percent of total billed charges		112.7				other	OPPS APC	30.53	112.7	
ET TUBE SPIRAL-FLEX 6MM	SUP-95-02002	CDM			272	RC		inpatient			112.7	112.7																																																			
4.0MM RAD60 BLADE	SUP-1884016HR	CDM						inpatient			112.64	112.64																																																			
4.0MM RAD60 BLADE	SUP-1884016HR	CDM						outpatient			112.64	112.64	112.64				percent of total billed charges		112.64				other	OPPS APC	112.64				fee schedule		112.64				other	OPPS APC	112.64				other	OPPS APC	112.64				case rate		112.64				case rate		112.64				other	OPPS APC	112.64	112.64	
CATHETER MALECOT 26 FR	SUP-02-00050	CDM			272	RC		outpatient			112.43	112.43	30.46				percent of total billed charges		112.43				other	OPPS APC	83.2				percent of total billed charges		112.43				other	OPPS APC	112.43				other	OPPS APC	30.46				percent of total billed charges		31.06				percent of total billed charges		112.43				other	OPPS APC	30.46	112.43	
CATHETER MALECOT 26 FR	SUP-02-00050	CDM			272	RC		inpatient			112.43	112.43																																																			
BALLOON (FOR ULTRASONIC ENDOSCOPE)	SUP-95-04085	CDM			272	RC		outpatient			112.4	112.41	30.45				percent of total billed charges		112.4				other	OPPS APC	83.18				percent of total billed charges		112.4				other	OPPS APC	112.4				other	OPPS APC	30.45				percent of total billed charges		31.06				percent of total billed charges		112.41				other	OPPS APC	30.45	112.41	
BALLOON (FOR ULTRASONIC ENDOSCOPE)	SUP-95-04085	CDM			272	RC		inpatient			112.4	112.4																																																			
GUIDEWIRE ORTHOPEDIC L100 MM OD.8 MM	SUP-03.333.000	CDM			270	RC		outpatient			112.32	112.32	30.43				percent of total billed charges		112.32				other	OPPS APC	83.12				percent of total billed charges		112.32				other	OPPS APC	112.32				other	OPPS APC	30.43				percent of total billed charges		31.03				percent of total billed charges		112.32				other	OPPS APC	30.43	112.32	
GUIDEWIRE ORTHOPEDIC L100 MM OD.8 MM	SUP-03.333.000	CDM			270	RC		inpatient			112.32	112.32																																																			
SCREW BONE LCP STAINLESS STEEL T8 L7 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.757	CDM	270010022	LOCAL	270	RC		outpatient			112.2	112.2	30.39				percent of total billed charges		112.2				other	OPPS APC	83.03				percent of total billed charges		112.2				other	OPPS APC	112.2				other	OPPS APC	30.39				percent of total billed charges		31				percent of total billed charges		112.2				other	OPPS APC	30.39	112.2	
SCREW BONE LCP STAINLESS STEEL T8 L7 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.757	CDM	270010022	LOCAL	270	RC		inpatient			112.2	112.2																																																			
GUIDEWIRE ORTHOPEDIC L410 MM OD1.6 MM	SUP-292.655	CDM	270010022	LOCAL	270	RC		outpatient			112.2	112.2	30.39				percent of total billed charges		112.2				other	OPPS APC	83.03				percent of total billed charges		112.2				other	OPPS APC	112.2				other	OPPS APC	30.39				percent of total billed charges		31				percent of total billed charges		112.2				other	OPPS APC	30.39	112.2	
GUIDEWIRE ORTHOPEDIC L410 MM OD1.6 MM	SUP-292.655	CDM	270010022	LOCAL	270	RC		inpatient			112.2	112.2																																																			
BAR EXTERNAL FIXATION ANGLE 3MM NS CONNECT	SUP-395.103	CDM	270010022	LOCAL	270	RC		outpatient			112.2	112.2	30.39				percent of total billed charges		112.2				other	OPPS APC	83.03				percent of total billed charges		112.2				other	OPPS APC	112.2				other	OPPS APC	30.39				percent of total billed charges		31				percent of total billed charges		112.2				other	OPPS APC	30.39	112.2	
BAR EXTERNAL FIXATION ANGLE 3MM NS CONNECT	SUP-395.103	CDM	270010022	LOCAL	270	RC		inpatient			112.2	112.2																																																			
Hep a Peds/Adol 2 Dose Schedule	PX-636906331	CDM	90633	CPT	636	RC		outpatient			112	112	112				fee schedule		112				other	OPPS APC	82.88				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	112				fee schedule		112				fee schedule		112				other	OPPS APC	82.88	112	
Hep a Peds/Adol 2 Dose Schedule	PX-636906331	CDM	90633	CPT	636	RC		inpatient			112	112																																																			
HC Cardiac Rehab Therapy	PX-943937981	CDM	93798	CPT	943	RC		outpatient			112	126.46	24.83				fee schedule		126.46				other	OPPS APC	82.88				percent of total billed charges		126.46				other	OPPS APC	126.46				other	OPPS APC	13.33				fee schedule		57.12				percent of total billed charges		126.46				other	OPPS APC	13.33	126.46	
HC Cardiac Rehab Therapy	PX-943937981	CDM	93798	CPT	943	RC		inpatient			112	112																																																			
BLADE SAW VELYS	SUP-451570000	CDM	270010025	LOCAL	270	RC		outpatient			112	112	30.34				percent of total billed charges		112				other	OPPS APC	82.88				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	30.34				percent of total billed charges		30.95				percent of total billed charges		112				other	OPPS APC	30.34	112	
BLADE SAW VELYS	SUP-451570000	CDM	270010025	LOCAL	270	RC		inpatient			112	112																																																			
CATHETER GUIDING RDC1 VISTA BRITE TIP 55CM X 6FR	SUP-670-210-55	CDM			481	RC		outpatient			112	112	54.88				percent of total billed charges		112				other	OPPS APC	82.88				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	54.88				percent of total billed charges		57.12				percent of total billed charges		112				other	OPPS APC	54.88	112	
CATHETER GUIDING RDC1 VISTA BRITE TIP 55CM X 6FR	SUP-670-210-55	CDM			481	RC		inpatient			112	112																																																			
RETRACTOR ALEXIS SMALL	SUP-74-00388	CDM			272	RC		outpatient			112	112	30.34				percent of total billed charges		112				other	OPPS APC	82.88				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	30.34				percent of total billed charges		30.95				percent of total billed charges		112				other	OPPS APC	30.34	112	
RETRACTOR ALEXIS SMALL	SUP-74-00388	CDM			272	RC		inpatient			112	112																																																			
ILLUMINATOR OPHTHALMIC OD23 GA ENDO PROBE	SUP-8065750802	CDM			270	RC		outpatient			112	112	30.34				percent of total billed charges		112				other	OPPS APC	82.88				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	30.34				percent of total billed charges		30.95				percent of total billed charges		112				other	OPPS APC	30.34	112	
ILLUMINATOR OPHTHALMIC OD23 GA ENDO PROBE	SUP-8065750802	CDM			270	RC		inpatient			112	112																																																			
GUIDEWIRE THREADED 1.25MM X 150MM	SUP-95-03415	CDM			278	RC		outpatient			112	112	112				fee schedule		112				other	OPPS APC	63.84				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	54.88				percent of total billed charges		57.12				percent of total billed charges		112				other	OPPS APC	54.88	112	
GUIDEWIRE THREADED 1.25MM X 150MM	SUP-95-03415	CDM			278	RC		inpatient			112	112																																																			
RETRACTOR ALEXIS XXS	SUP-95-05061	CDM			272	RC		outpatient			112	112	30.34				percent of total billed charges		112				other	OPPS APC	82.88				percent of total billed charges		112				other	OPPS APC	112				other	OPPS APC	30.34				percent of total billed charges		30.95				percent of total billed charges		112				other	OPPS APC	30.34	112	
RETRACTOR ALEXIS XXS	SUP-95-05061	CDM			272	RC		inpatient			112	112																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.7 MM MIDFACE LOCK CROSS PIN GRAY	SUP-5017504	CDM			270	RC		outpatient			111.6	111.6	30.23				percent of total billed charges		111.6				other	OPPS APC	82.58				percent of total billed charges		111.6				other	OPPS APC	111.6				other	OPPS APC	30.23				percent of total billed charges		30.84				percent of total billed charges		111.6				other	OPPS APC	30.23	111.6	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.7 MM MIDFACE LOCK CROSS PIN GRAY	SUP-5017504	CDM			270	RC		inpatient			111.6	111.6																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.7 MM MIDFACE LOCK CROSS PIN GRAY	SUP-5017505	CDM			270	RC		outpatient			111.6	111.6	30.23				percent of total billed charges		111.6				other	OPPS APC	82.58				percent of total billed charges		111.6				other	OPPS APC	111.6				other	OPPS APC	30.23				percent of total billed charges		30.84				percent of total billed charges		111.6				other	OPPS APC	30.23	111.6	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.7 MM MIDFACE LOCK CROSS PIN GRAY	SUP-5017505	CDM			270	RC		inpatient			111.6	111.6																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L6 MM OD1.7 MM MIDFACE LOCK CROSS PIN GRAY	SUP-5017506	CDM			270	RC		outpatient			111.6	111.6	30.23				percent of total billed charges		111.6				other	OPPS APC	82.58				percent of total billed charges		111.6				other	OPPS APC	111.6				other	OPPS APC	30.23				percent of total billed charges		30.84				percent of total billed charges		111.6				other	OPPS APC	30.23	111.6	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L6 MM OD1.7 MM MIDFACE LOCK CROSS PIN GRAY	SUP-5017506	CDM			270	RC		inpatient			111.6	111.6																																																			
PETITE WOUND DRAINAGE KIT 7FR.	SUP-84-00009	CDM			272	RC		outpatient			111.6	111.6	30.23				percent of total billed charges		111.6				other	OPPS APC	82.58				percent of total billed charges		111.6				other	OPPS APC	111.6				other	OPPS APC	30.23				percent of total billed charges		30.84				percent of total billed charges		111.6				other	OPPS APC	30.23	111.6	
PETITE WOUND DRAINAGE KIT 7FR.	SUP-84-00009	CDM			272	RC		inpatient			111.6	111.6																																																			
HC Flow Cyto Interp 9 to 15 Markers	PX-300881880	CDM	88188	CPT	300	RC		outpatient			111.5	6.45	83.19				fee schedule		60.45				fee schedule		67.34				fee schedule		60.45				fee schedule		60.45				fee schedule		54.64				percent of total billed charges		56.87				percent of total billed charges		6.45				fee schedule		6.45	83.19	
HC Flow Cyto Interp 9 to 15 Markers	PX-300881880	CDM	88188	CPT	300	RC		inpatient			111.5	111.5																																																			
BIT DRILL 4.0MM	SUP-2129-57-014	CDM			270	RC		outpatient			111.24	111.24	30.13				percent of total billed charges		111.24				other	OPPS APC	82.32				percent of total billed charges		111.24				other	OPPS APC	111.24				other	OPPS APC	30.13				percent of total billed charges		30.74				percent of total billed charges		111.24				other	OPPS APC	30.13	111.24	
BIT DRILL 4.0MM	SUP-2129-57-014	CDM			270	RC		inpatient			111.24	111.24																																																			
ET TUBE PREFORMED UNCUFF TRACH TUBE ORAL	SUP-97-01036	CDM			272	RC		outpatient			111.2	111.2	30.12				percent of total billed charges		111.2				other	OPPS APC	82.29				percent of total billed charges		111.2				other	OPPS APC	111.2				other	OPPS APC	30.12				percent of total billed charges		30.72				percent of total billed charges		111.2				other	OPPS APC	30.12	111.2	
ET TUBE PREFORMED UNCUFF TRACH TUBE ORAL	SUP-97-01036	CDM			272	RC		inpatient			111.2	111.2																																																			
SKIN STAPLER X35 PMR35	SUP-95-23584	CDM			272	RC		outpatient			111.12	111.12	30.1				percent of total billed charges		111.12				other	OPPS APC	82.23				percent of total billed charges		111.12				other	OPPS APC	111.12				other	OPPS APC	30.1				percent of total billed charges		30.7				percent of total billed charges		111.12				other	OPPS APC	30.1	111.12	
SKIN STAPLER X35 PMR35	SUP-95-23584	CDM			272	RC		inpatient			111.12	111.12																																																			
HC Quantitative Assay Drug	PX-301802991	CDM	80299	CPT	301	RC		outpatient			111	18.64	18.31				fee schedule		18.64				fee schedule		36.35				fee schedule		18.64				fee schedule		18.64				fee schedule		18.64				fee schedule		18.64				fee schedule		18.64				fee schedule		18.31	36.35	
HC Quantitative Assay Drug	PX-301802991	CDM	80299	CPT	301	RC		inpatient			111	111																																																			
HC Tc99m Oxidronate Up to 30 Mci	PX-343A95610	CDM			343	RC		outpatient			111	111	27.05				percent of total billed charges		111				other	OPPS APC	82.14				percent of total billed charges		111				other	OPPS APC	111				other	OPPS APC	27.05				percent of total billed charges		27.59				percent of total billed charges		111				other	OPPS APC	27.05	111	
HC Tc99m Oxidronate Up to 30 Mci	PX-343A95610	CDM			343	RC		inpatient			111	111																																																			
VISTACAL	SUP-1071860	CDM						inpatient			110.98	110.98																																																			
VISTACAL	SUP-1071860	CDM						outpatient			110.98	11.98	110.98				percent of total billed charges		110.98				other	OPPS APC	110.98				fee schedule		110.98				other	OPPS APC	110.98				other	OPPS APC	110.98				case rate		110.98				case rate		11.98				other	OPPS APC	11.98	110.98	
TROCAR ENDOSCOPIC ID8 MM FLEXIBLE STERILE DISPOSABLE LTF-160/240 PLEURAVIDEOSCOPE	SUP-MAJ-1058	CDM			270	RC		outpatient			110.97	11.97	30.06				percent of total billed charges		110.97				other	OPPS APC	82.12				percent of total billed charges		110.97				other	OPPS APC	110.97				other	OPPS APC	30.06				percent of total billed charges		30.66				percent of total billed charges		11.97				other	OPPS APC	11.97	110.97	
TROCAR ENDOSCOPIC ID8 MM FLEXIBLE STERILE DISPOSABLE LTF-160/240 PLEURAVIDEOSCOPE	SUP-MAJ-1058	CDM			270	RC		inpatient			110.97	110.97																																																			
4.5MM CORTEX TI SCREW 4.5MM / L36MM	SUP-97-03216	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
4.5MM CORTEX TI SCREW 4.5MM / L36MM	SUP-97-03216	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX LCKNG 4.5MM X 38MM	SUP-97-05778	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX LCKNG 4.5MM X 38MM	SUP-97-05778	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX LCKNG 4.5MM X 40MM	SUP-97-05779	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX LCKNG 4.5MM X 40MM	SUP-97-05779	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX TI 4.5MM X 42MM	SUP-97-05994	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX TI 4.5MM X 42MM	SUP-97-05994	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX TI 4.5MM X 46MM	SUP-97-05995	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX TI 4.5MM X 46MM	SUP-97-05995	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX TI 4.5MM X 65MM	SUP-97-05996	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX TI 4.5MM X 65MM	SUP-97-05996	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX TI 4.5MM X 75MM	SUP-97-05997	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX TI 4.5MM X 75MM	SUP-97-05997	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX TI 4.5MM X 80MM	SUP-97-05998	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX TI 4.5MM X 80MM	SUP-97-05998	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW CORTEX 4.5 X 34MM	SUP-97-06086	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW CORTEX 4.5 X 34MM	SUP-97-06086	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW 4.5 X 55MM CORTEX	SUP-97-06436	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW 4.5 X 55MM CORTEX	SUP-97-06436	CDM			278	RC		inpatient			110.96	110.96																																																			
SCREW 4.5 X 70MM CORTEX	SUP-97-06437	CDM			278	RC		outpatient			110.96	11.96	110.96				fee schedule		110.96				other	OPPS APC	63.25				percent of total billed charges		110.96				other	OPPS APC	110.96				other	OPPS APC	54.37				percent of total billed charges		56.59				percent of total billed charges		11.96				other	OPPS APC	11.96	110.96	
SCREW 4.5 X 70MM CORTEX	SUP-97-06437	CDM			278	RC		inpatient			110.96	110.96																																																			
PIN FIXATION STEINMANN STAINLESS STEEL DIAMOND L22.9 CM OD3.2 MM 1 END POINT STYLE 6 NONSTERILE LATEX FREE	SUP-00018700469	CDM			270	RC		outpatient			110.76	11.76	30				percent of total billed charges		110.76				other	OPPS APC	81.96				percent of total billed charges		110.76				other	OPPS APC	110.76				other	OPPS APC	30				percent of total billed charges		30.6				percent of total billed charges		11.76				other	OPPS APC	11.76	110.76	
PIN FIXATION STEINMANN STAINLESS STEEL DIAMOND L22.9 CM OD3.2 MM 1 END POINT STYLE 6 NONSTERILE LATEX FREE	SUP-00018700469	CDM			270	RC		inpatient			110.76	110.76																																																			
SCREW BONE 30MM 2.4MM 3.5MM SS NS CORTEX SELF TAP CRUCIFORM	SUP-201.63	CDM	270010022	LOCAL	270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
SCREW BONE 30MM 2.4MM 3.5MM SS NS CORTEX SELF TAP CRUCIFORM	SUP-201.63	CDM	270010022	LOCAL	270	RC		inpatient			110.7	110.7																																																			
SCREW BONE 2.4MM 3.5MM 30MM SS CORTICAL SELF TAPPING CRUCIFORM RECESS NS	SUP-201.630	CDM	270010022	LOCAL	270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
SCREW BONE 2.4MM 3.5MM 30MM SS CORTICAL SELF TAPPING CRUCIFORM RECESS NS	SUP-201.630	CDM	270010022	LOCAL	270	RC		inpatient			110.7	110.7																																																			
SCREW BONE DVR TITANIUM L10 MM OD3.5 MM RADIUS CORTICAL DISTAL NONSTERILE ANATOMIC VOLAR PLATE SYSTEM	SUP-CS10000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
SCREW BONE DVR TITANIUM L10 MM OD3.5 MM RADIUS CORTICAL DISTAL NONSTERILE ANATOMIC VOLAR PLATE SYSTEM	SUP-CS10000	CDM			270	RC		inpatient			110.7	110.7																																																			
SCREW BONE DVR TITANIUM L12 MM OD3.5 MM RADIUS CORTICAL DISTAL NONSTERILE ANATOMIC VOLAR PLATE SYSTEM	SUP-CS12000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
SCREW BONE DVR TITANIUM L12 MM OD3.5 MM RADIUS CORTICAL DISTAL NONSTERILE ANATOMIC VOLAR PLATE SYSTEM	SUP-CS12000	CDM			270	RC		inpatient			110.7	110.7																																																			
SCREW BONE 14MM 3.5MM TITANIUM NS CORTICAL DVR ANATOMIC VOLAR PLATE SYSTEM	SUP-CS14000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
SCREW BONE 14MM 3.5MM TITANIUM NS CORTICAL DVR ANATOMIC VOLAR PLATE SYSTEM	SUP-CS14000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION F3 TITANIUM FULL THREAD L18 MM OD2.5 MM FOOT LOCKING SCREW NONSTERILE FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP18	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION F3 TITANIUM FULL THREAD L18 MM OD2.5 MM FOOT LOCKING SCREW NONSTERILE FRAGMENT ANATOMIC LOCKED PLATING SYSTEM	SUP-FP18	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR L14 MM OD2 MM SMOOTH LOCKING ANATOMIC VOLAR PLATING SYSTEM	SUP-P14000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR L14 MM OD2 MM SMOOTH LOCKING ANATOMIC VOLAR PLATING SYSTEM	SUP-P14000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR L16 MM OD2 MM SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P16000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR L16 MM OD2 MM SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P16000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR L18 MM OD2 MM SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P18000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR L18 MM OD2 MM SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P18000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR BLUNT L20 MM OD2 MM SMOOTH LOCK NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P20000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR BLUNT L20 MM OD2 MM SMOOTH LOCK NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P20000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR L22 MM OD2 MM SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P22000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR L22 MM OD2 MM SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P22000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR FULL THREAD L24 MM OD2 MM FOOT SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P24000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR FULL THREAD L24 MM OD2 MM FOOT SMOOTH LOCKING NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P24000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR L26 MM OD2 MM SMOOTH NONLOCKING SCREW NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P26000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR L26 MM OD2 MM SMOOTH NONLOCKING SCREW NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P26000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR L28 MM OD2 MM SMOOTH NONLOCKING SCREW NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P28000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR L28 MM OD2 MM SMOOTH NONLOCKING SCREW NONSTERILE ANATOMIC VOLAR PLATING SYSTEM	SUP-P28000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION DVR TITANIUM PARTIAL THREAD L16 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP16000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION DVR TITANIUM PARTIAL THREAD L16 MM OD2.5 MM DISTAL VOLAR RADIUS LOCK BLUE ANATOMIC PLATING SYSTEM	SUP-TP16000	CDM			270	RC		inpatient			110.7	110.7																																																			
PEG FIXATION PARTIAL THREAD 20MM 2.5MM NS ANATOMIC PLATE SYSTEM	SUP-TP20000	CDM			270	RC		outpatient			110.7	11.7	29.99				percent of total billed charges		110.7				other	OPPS APC	81.92				percent of total billed charges		110.7				other	OPPS APC	110.7				other	OPPS APC	29.99				percent of total billed charges		30.59				percent of total billed charges		11.7				other	OPPS APC	11.7	110.7	
PEG FIXATION PARTIAL THREAD 20MM 2.5MM NS ANATOMIC PLATE SYSTEM	SUP-TP20000	CDM			270	RC		inpatient			110.7	110.7																																																			
PLATE BONE THINFLAP TITANIUM THIN CRANIOMAXILLOFACIAL 2 HOLE STRAIGHT	SUP-19-1005	CDM			270	RC		outpatient			110.6	11.6	29.96				percent of total billed charges		110.6				other	OPPS APC	81.84				percent of total billed charges		110.6				other	OPPS APC	110.6				other	OPPS APC	29.96				percent of total billed charges		30.56				percent of total billed charges		11.6				other	OPPS APC	11.6	110.6	
PLATE BONE THINFLAP TITANIUM THIN CRANIOMAXILLOFACIAL 2 HOLE STRAIGHT	SUP-19-1005	CDM			270	RC		inpatient			110.6	110.6																																																			
TETANUS AND DIPHTHERIA TOXIN 5-2 LF UNIT/0.5 ML SYRINGE	636000000	CDM	49281-215-88	NDC	90714	HCPCS		inpatient			110.56	110.56																																																			
TETANUS AND DIPHTHERIA TOXIN 5-2 LF UNIT/0.5 ML SYRINGE	636000000	CDM	49281-215-88	NDC	90714	HCPCS		outpatient			110.56	110.56																																															other	OPPS APC			
FORCEPS  DISPOSABLE BIOPSY ALLGTR JAW	SUP-95-00927	CDM			272	RC		outpatient			110.47	11.47	29.93				percent of total billed charges		110.47				other	OPPS APC	81.75				percent of total billed charges		110.47				other	OPPS APC	110.47				other	OPPS APC	29.93				percent of total billed charges		30.52				percent of total billed charges		11.47				other	OPPS APC	11.47	110.47	
FORCEPS  DISPOSABLE BIOPSY ALLGTR JAW	SUP-95-00927	CDM			272	RC		inpatient			110.47	110.47																																																			
SET VITRECTOMY INFUSION ACCESS NGVS	SUP-8065750914	CDM			270	RC		outpatient			110.32	11.32	29.89				percent of total billed charges		110.32				other	OPPS APC	81.64				percent of total billed charges		110.32				other	OPPS APC	110.32				other	OPPS APC	29.89				percent of total billed charges		30.48				percent of total billed charges		11.32				other	OPPS APC	11.32	110.32	
SET VITRECTOMY INFUSION ACCESS NGVS	SUP-8065750914	CDM			270	RC		inpatient			110.32	110.32																																																			
TUBING ASPIRATION CONSTELLATION OPHTHALMIC AUXILLARY	SUP-8065750917	CDM			270	RC		outpatient			110.32	11.32	29.89				percent of total billed charges		110.32				other	OPPS APC	81.64				percent of total billed charges		110.32				other	OPPS APC	110.32				other	OPPS APC	29.89				percent of total billed charges		30.48				percent of total billed charges		11.32				other	OPPS APC	11.32	110.32	
TUBING ASPIRATION CONSTELLATION OPHTHALMIC AUXILLARY	SUP-8065750917	CDM			270	RC		inpatient			110.32	110.32																																																			
BIOPTY 18G X 16CM	SUP-70-00003	CDM			272	RC		outpatient			110.29	11.29	29.88				percent of total billed charges		110.29				other	OPPS APC	81.61				percent of total billed charges		110.29				other	OPPS APC	110.29				other	OPPS APC	29.88				percent of total billed charges		30.47				percent of total billed charges		11.29				other	OPPS APC	11.29	110.29	
BIOPTY 18G X 16CM	SUP-70-00003	CDM			272	RC		inpatient			110.29	110.29																																																			
KIT DRESSING GRANUFOAM SILVER SENSATRAC VAC POLYURETHANE FOAM THK3.3 CM MEDIUM L18 CM X W12.5 CM ADHESIVE DRAPE PAD WASHABLE STERILE BLACK	SUP-M8275096/10	CDM			270	RC		outpatient			110.19	11.19	29.85				percent of total billed charges		110.19				other	OPPS APC	81.54				percent of total billed charges		110.19				other	OPPS APC	110.19				other	OPPS APC	29.85				percent of total billed charges		30.45				percent of total billed charges		11.19				other	OPPS APC	11.19	110.19	
KIT DRESSING GRANUFOAM SILVER SENSATRAC VAC POLYURETHANE FOAM THK3.3 CM MEDIUM L18 CM X W12.5 CM ADHESIVE DRAPE PAD WASHABLE STERILE BLACK	SUP-M8275096/10	CDM			270	RC		inpatient			110.19	110.19																																																			
HC Chem8(Basic Metabolic)	PX-300800480	CDM	80048	CPT	301	RC		outpatient			110	8.47	11.31				fee schedule		8.46				fee schedule		22.48				fee schedule		8.46				fee schedule		8.46				fee schedule		8.46				fee schedule		8.46				fee schedule		8.47				fee schedule		8.46	22.48	
HC Chem8(Basic Metabolic)	PX-300800480	CDM	80048	CPT	301	RC		inpatient			110	110																																																			
HC Hepatic Panel (Livr)	PX-300800760	CDM	80076	CPT	301	RC		outpatient			110	8.17	10.92				fee schedule		8.17				fee schedule		21.7				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17	21.7	
HC Hepatic Panel (Livr)	PX-300800760	CDM	80076	CPT	301	RC		inpatient			110	110																																																			
HC Hdl Cholesterol (Hdl)	PX-300837181	CDM	83718	CPT	300	RC		outpatient			110	8.19	10.95				fee schedule		8.19				fee schedule		21.74				fee schedule		8.19				fee schedule		8.19				fee schedule		8.19				fee schedule		8.19				fee schedule		8.19				fee schedule		8.19	21.74	
HC Hdl Cholesterol (Hdl)	PX-300837181	CDM	83718	CPT	300	RC		inpatient			110	110																																																			
HC Direct Low Density Lipoprotein	PX-300837210	CDM	83721	CPT	301	RC		outpatient			110	1.5	12.76				fee schedule		10.5				fee schedule		25.33				fee schedule		10.5				fee schedule		10.5				fee schedule		10.5				fee schedule		10.5				fee schedule		1.5				fee schedule		1.5	25.33	
HC Direct Low Density Lipoprotein	PX-300837210	CDM	83721	CPT	301	RC		inpatient			110	110																																																			
HC Thyroxine Free	PX-300844390	CDM	84439	CPT	301	RC		outpatient			110	9.2	12.05				fee schedule		9.02				fee schedule		23.94				fee schedule		9.02				fee schedule		9.02				fee schedule		9.02				fee schedule		9.02				fee schedule		9.2				fee schedule		9.02	23.94	
HC Thyroxine Free	PX-300844390	CDM	84439	CPT	301	RC		inpatient			110	110																																																			
HC Troponin-I(Tni)	PX-300844840	CDM	84484	CPT	301	RC		outpatient			110	12.47	11.65				fee schedule		12.47				fee schedule		23.12				fee schedule		12.47				fee schedule		12.47				fee schedule		12.47				fee schedule		12.47				fee schedule		12.47				fee schedule		11.65	23.12	
HC Troponin-I(Tni)	PX-300844840	CDM	84484	CPT	301	RC		inpatient			110	110																																																			
HC Iron Binding Capacity  % Sat	PX-301835501	CDM	83550	CPT	301	RC		outpatient			110	8.74	11.69				fee schedule		8.74				fee schedule		23.2				fee schedule		8.74				fee schedule		8.74				fee schedule		8.74				fee schedule		8.74				fee schedule		8.74				fee schedule		8.74	23.2	
HC Iron Binding Capacity  % Sat	PX-301835501	CDM	83550	CPT	301	RC		inpatient			110	110																																																			
HC Hiv -1	PX-302867011	CDM	86701	CPT	302	RC		outpatient			110	8.9	11.88				fee schedule		8.89				fee schedule		23.58				fee schedule		8.89				fee schedule		8.89				fee schedule		8.89				fee schedule		8.89				fee schedule		8.9				fee schedule		8.89	23.58	
HC Hiv -1	PX-302867011	CDM	86701	CPT	302	RC		inpatient			110	110																																																			
HC Canalith Repositioning Proc	PX-420959920	CDM	95992	CPT	420	RC		outpatient			110	35.53	110				percent of total billed charges		35.53				fee schedule		81.4				percent of total billed charges		35.53				fee schedule		35.53				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		35.53				fee schedule		35.53	115.1	
HC Canalith Repositioning Proc	PX-420959920	CDM	95992	CPT	420	RC		inpatient			110	110																																																			
HC Iontophoresis 15 Mins	PX-420970331	CDM	420970331	LOCAL	420	RC		outpatient			110	11	110				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				fee schedule		110				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		11				fee schedule		11	115.1	
HC Iontophoresis 15 Mins	PX-420970331	CDM	420970331	LOCAL	420	RC		inpatient			110	110																																																			
HC Iontophoresis 15 Mins	PX-430970331	CDM	97033	CPT	430	RC		outpatient			110	2.2	110				percent of total billed charges		20.11				fee schedule		50.43				fee schedule		20.11				fee schedule		20.11				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		2.2				fee schedule		2.2	115.1	
HC Iontophoresis 15 Mins	PX-430970331	CDM	97033	CPT	430	RC		inpatient			110	110																																																			
HC St Basic Treatment/8-22 Min Ind	PX-440925070	CDM	92507	CPT	440	RC		outpatient			110	77.8	110				percent of total billed charges		77.71				fee schedule		103.32				fee schedule		77.71				fee schedule		77.71				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		77.8				fee schedule		77.71	115.1	
HC St Basic Treatment/8-22 Min Ind	PX-440925070	CDM	92507	CPT	440	RC		inpatient			110	110																																																			
HC St Basic Treatment/23-37 Min Ind	PX-440925071	CDM	92507	CPT	440	RC		outpatient			110	77.8	110				percent of total billed charges		77.71				fee schedule		103.32				fee schedule		77.71				fee schedule		77.71				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		77.8				fee schedule		77.71	115.1	
HC St Basic Treatment/23-37 Min Ind	PX-440925071	CDM	92507	CPT	440	RC		inpatient			110	110																																																			
HC St Basic Treatment/38-52 Min Ind	PX-440925072	CDM	92507	CPT	440	RC		outpatient			110	77.8	110				percent of total billed charges		77.71				fee schedule		103.32				fee schedule		77.71				fee schedule		77.71				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		77.8				fee schedule		77.71	115.1	
HC St Basic Treatment/38-52 Min Ind	PX-440925072	CDM	92507	CPT	440	RC		inpatient			110	110																																																			
HC St Basic Treatment/53-67 Min Ind	PX-440925073	CDM	92507	CPT	440	RC		outpatient			110	77.8	110				percent of total billed charges		77.71				fee schedule		103.32				fee schedule		77.71				fee schedule		77.71				fee schedule		115.1				percent of total billed charges		110				percent of total billed charges		77.8				fee schedule		77.71	115.1	
HC St Basic Treatment/53-67 Min Ind	PX-440925073	CDM	92507	CPT	440	RC		inpatient			110	110																																																			
GEL-FLOW NT .55G PWDR 1X6 SYR KIT	SUP-0009104006	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
GEL-FLOW NT .55G PWDR 1X6 SYR KIT	SUP-0009104006	CDM			270	RC		inpatient			110	110																																																			
PLUG DOME HOLE MPACT ACETABULAR SCREW SHELL	SUP-01.31.55TP	CDM	270010024	LOCAL	270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
PLUG DOME HOLE MPACT ACETABULAR SCREW SHELL	SUP-01.31.55TP	CDM	270010024	LOCAL	270	RC		inpatient			110	110																																																			
PUNCH AORTIC VEIN 2.7MM	SUP-1001-608	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
PUNCH AORTIC VEIN 2.7MM	SUP-1001-608	CDM			270	RC		inpatient			110	110																																																			
SPACER DISTAL CEMENT 17MM	SUP-1067-0017	CDM	270010024	LOCAL	270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
SPACER DISTAL CEMENT 17MM	SUP-1067-0017	CDM	270010024	LOCAL	270	RC		inpatient			110	110																																																			
INSERT NEEDLE HOLDER SUTURE RETENTION SLOT DISPOSABLE OCTOBASE RETRACTOR	SUP-28707	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
INSERT NEEDLE HOLDER SUTURE RETENTION SLOT DISPOSABLE OCTOBASE RETRACTOR	SUP-28707	CDM			270	RC		inpatient			110	110																																																			
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE RADIAL TIGER 4.1 CURVE L110 CM OD5 FR CORONARY 1 SIDE TIP	SUP-40-5013	CDM			481	RC		outpatient			110	11	53.9				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	53.9				percent of total billed charges		56.1				percent of total billed charges		11				other	OPPS APC	11	110	
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE RADIAL TIGER 4.1 CURVE L110 CM OD5 FR CORONARY 1 SIDE TIP	SUP-40-5013	CDM			481	RC		inpatient			110	110																																																			
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE SARAH RADIAL 4.0 CURVE L110 CM OD5 FR CORONARY 2 SIDE TIP	SUP-40-5024	CDM			481	RC		outpatient			110	11	53.9				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	53.9				percent of total billed charges		56.1				percent of total billed charges		11				other	OPPS APC	11	110	
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE SARAH RADIAL 4.0 CURVE L110 CM OD5 FR CORONARY 2 SIDE TIP	SUP-40-5024	CDM			481	RC		inpatient			110	110																																																			
6F RADIAL TIG 4.0 DIAGNOSTIC CATHETER 100CM	SUP-40-6011	CDM			481	RC		outpatient			110	11	53.9				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	53.9				percent of total billed charges		56.1				percent of total billed charges		11				other	OPPS APC	11	110	
6F RADIAL TIG 4.0 DIAGNOSTIC CATHETER 100CM	SUP-40-6011	CDM			481	RC		inpatient			110	110																																																			
6F JACKY RADIAL DIAGNOSTIC CATHETER	SUP-40-6021	CDM			481	RC		outpatient			110	11	53.9				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	53.9				percent of total billed charges		56.1				percent of total billed charges		11				other	OPPS APC	11	110	
6F JACKY RADIAL DIAGNOSTIC CATHETER	SUP-40-6021	CDM			481	RC		inpatient			110	110																																																			
PLUG BONE 9-12MM	SUP-6215-5-001	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
PLUG BONE 9-12MM	SUP-6215-5-001	CDM			270	RC		inpatient			110	110																																																			
DOME HOLE PLUG	SUP-7060-0000	CDM	270010024	LOCAL	270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
DOME HOLE PLUG	SUP-7060-0000	CDM	270010024	LOCAL	270	RC		inpatient			110	110																																																			
SUTURE NONABSORBABLE FIBERLINK FIBERWIRE 2 L26 IN L1.5 IN BRAID TIES MULTISTRAND CLOSE LOOP BLUE	SUP-AR-7235	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
SUTURE NONABSORBABLE FIBERLINK FIBERWIRE 2 L26 IN L1.5 IN BRAID TIES MULTISTRAND CLOSE LOOP BLUE	SUP-AR-7235	CDM			270	RC		inpatient			110	110																																																			
SUTURE NONABSORBABLE TIGERLINK FIBERWIRE 2 L26 IN CLOSED LOOP BLACK WHITE	SUP-AR-7235T	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
SUTURE NONABSORBABLE TIGERLINK FIBERWIRE 2 L26 IN CLOSED LOOP BLACK WHITE	SUP-AR-7235T	CDM			270	RC		inpatient			110	110																																																			
CUSP LOCK INSTRUMENT 4IN	SUP-CLPI1	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
CUSP LOCK INSTRUMENT 4IN	SUP-CLPI1	CDM			270	RC		inpatient			110	110																																																			
IMPLANT STERILE ORBITAL 16MM	SUP-S6.1016	CDM			270	RC		outpatient			110	11	29.8				percent of total billed charges		110				other	OPPS APC	81.4				percent of total billed charges		110				other	OPPS APC	110				other	OPPS APC	29.8				percent of total billed charges		30.39				percent of total billed charges		11				other	OPPS APC	11	110	
IMPLANT STERILE ORBITAL 16MM	SUP-S6.1016	CDM			270	RC		inpatient			110	110																																																			
MEDROXYPROGESTERONE 150 MG/ML SUSPENSION	636000000	CDM	55150-329-01	NDC	J1050	HCPCS		inpatient			109.93	109.93																																																			
MEDROXYPROGESTERONE 150 MG/ML SUSPENSION	636000000	CDM	55150-329-01	NDC	J1050	HCPCS		outpatient			109.93	109.93																																															other	OPPS APC			
PLATE BONE LEVEL ONE TITANIUM SHORT CRANIOFACIAL 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-02-09	CDM			270	RC		outpatient			109.88	19.88	29.77				percent of total billed charges		109.88				other	OPPS APC	81.31				percent of total billed charges		109.88				other	OPPS APC	109.88				other	OPPS APC	29.77				percent of total billed charges		30.36				percent of total billed charges		19.88				other	OPPS APC	19.88	109.88	
PLATE BONE LEVEL ONE TITANIUM SHORT CRANIOFACIAL 2 HOLE ULTRA LOW PROFILE NONSTERILE	SUP-25-153-02-09	CDM			270	RC		inpatient			109.88	109.88																																																			
SHEATH - 6F X 7CM	SUP-99-01321	CDM			272	RC		outpatient			109.88	19.88	29.77				percent of total billed charges		109.88				other	OPPS APC	81.31				percent of total billed charges		109.88				other	OPPS APC	109.88				other	OPPS APC	29.77				percent of total billed charges		30.36				percent of total billed charges		19.88				other	OPPS APC	19.88	109.88	
SHEATH - 6F X 7CM	SUP-99-01321	CDM			272	RC		inpatient			109.88	109.88																																																			
PACK PLIF ACCESSORY	SUP-DYNJ59288	CDM			270	RC		outpatient			109.79	19.79	29.74				percent of total billed charges		109.79				other	OPPS APC	81.24				percent of total billed charges		109.79				other	OPPS APC	109.79				other	OPPS APC	29.74				percent of total billed charges		30.33				percent of total billed charges		19.79				other	OPPS APC	19.79	109.79	
PACK PLIF ACCESSORY	SUP-DYNJ59288	CDM			270	RC		inpatient			109.79	109.79																																																			
INSTRUMENT BIOPSY BARD MAX-CORE L16 CM OD14 GA 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR ANGLE NOTCH STERILE LATEX FREE DISPOSABLE	SUP-IPRMC1416	CDM			270	RC		outpatient			109.75	19.75	29.73				percent of total billed charges		109.75				other	OPPS APC	81.22				percent of total billed charges		109.75				other	OPPS APC	109.75				other	OPPS APC	29.73				percent of total billed charges		30.32				percent of total billed charges		19.75				other	OPPS APC	19.75	109.75	
INSTRUMENT BIOPSY BARD MAX-CORE L16 CM OD14 GA 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR ANGLE NOTCH STERILE LATEX FREE DISPOSABLE	SUP-IPRMC1416	CDM			270	RC		inpatient			109.75	109.75																																																			
INSTRUMENT BIOPSY BARD MAX-CORE L16 CM OD14 GA 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR ANGLE NOTCH STERILE LATEX FREE DISPOSABLE	SUP-MC1416	CDM			270	RC		outpatient			109.75	19.75	29.73				percent of total billed charges		109.75				other	OPPS APC	81.22				percent of total billed charges		109.75				other	OPPS APC	109.75				other	OPPS APC	29.73				percent of total billed charges		30.32				percent of total billed charges		19.75				other	OPPS APC	19.75	109.75	
INSTRUMENT BIOPSY BARD MAX-CORE L16 CM OD14 GA 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR ANGLE NOTCH STERILE LATEX FREE DISPOSABLE	SUP-MC1416	CDM			270	RC		inpatient			109.75	109.75																																																			
Catheter Phillips 8fr	PX-272000007	CDM			272	RC		outpatient			109.61	19.61	29.69				percent of total billed charges		109.61				other	OPPS APC	109.61				fee schedule		109.61				other	OPPS APC	109.61				other	OPPS APC	29.69				percent of total billed charges		30.29				percent of total billed charges		19.61				other	OPPS APC	19.61	109.61	
Catheter Phillips 8fr	PX-272000007	CDM			272	RC		inpatient			109.61	109.61																																																			
SYSTEM INTRODUCER ACCUSTICK II OD6 FR STERILE DISPOSABLE	SUP-M001207050	CDM			270	RC		outpatient			109.14	19.14	29.57				percent of total billed charges		109.14				other	OPPS APC	80.76				percent of total billed charges		109.14				other	OPPS APC	109.14				other	OPPS APC	29.57				percent of total billed charges		30.16				percent of total billed charges		19.14				other	OPPS APC	19.14	109.14	
SYSTEM INTRODUCER ACCUSTICK II OD6 FR STERILE DISPOSABLE	SUP-M001207050	CDM			270	RC		inpatient			109.14	109.14																																																			
APPLIER INTERNAL CLIP ENDO CLIP TITANIUM 19 MEDIUM LARGE L10 MM CARTRIDGE STERILE LATEX FREE DISPOSABLE K2	SUP-1112	CDM			270	RC		outpatient			109	19	29.53				percent of total billed charges		109				other	OPPS APC	80.66				percent of total billed charges		109				other	OPPS APC	109				other	OPPS APC	29.53				percent of total billed charges		30.12				percent of total billed charges		19				other	OPPS APC	19	109	
APPLIER INTERNAL CLIP ENDO CLIP TITANIUM 19 MEDIUM LARGE L10 MM CARTRIDGE STERILE LATEX FREE DISPOSABLE K2	SUP-1112	CDM			270	RC		inpatient			109	109																																																			
SHIELD RADIOLOGY LEG COVER	SUP-5110AO	CDM			270	RC		outpatient			109	19	29.53				percent of total billed charges		109				other	OPPS APC	80.66				percent of total billed charges		109				other	OPPS APC	109				other	OPPS APC	29.53				percent of total billed charges		30.12				percent of total billed charges		19				other	OPPS APC	19	109	
SHIELD RADIOLOGY LEG COVER	SUP-5110AO	CDM			270	RC		inpatient			109	109																																																			
RADPAD SHIELD	SUP-WT5110AO	CDM			481	RC		outpatient			109	19	53.41				percent of total billed charges		109				other	OPPS APC	80.66				percent of total billed charges		109				other	OPPS APC	109				other	OPPS APC	53.41				percent of total billed charges		55.59				percent of total billed charges		19				other	OPPS APC	19	109	
RADPAD SHIELD	SUP-WT5110AO	CDM			481	RC		inpatient			109	109																																																			
HEMOSTAT ABSORBABLE SURGICEL FIBRILLAR 2X1IN STERILE LIGHTWEIGHT LAYER TUFT	SUP-1961	CDM			270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
HEMOSTAT ABSORBABLE SURGICEL FIBRILLAR 2X1IN STERILE LIGHTWEIGHT LAYER TUFT	SUP-1961	CDM			270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L6 MM OD2.4 MM RADIUS HUMERUS CORTICAL DISTAL SELF TAPPING STARDRIVE RECESS NONSTERILE MINI FRAGMENT SET	SUP-401.756	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L6 MM OD2.4 MM RADIUS HUMERUS CORTICAL DISTAL SELF TAPPING STARDRIVE RECESS NONSTERILE MINI FRAGMENT SET	SUP-401.756	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L7 MM OD2.4 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.757	CDM	270010024	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L7 MM OD2.4 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.757	CDM	270010024	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L8 MM OD2.4 MM RADIUS HUMERUS CORTICAL DISTAL SELF TAPPING STARDRIVE RECESS NONSTERILE MINI FRAGMENT SET	SUP-401.758	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L8 MM OD2.4 MM RADIUS HUMERUS CORTICAL DISTAL SELF TAPPING STARDRIVE RECESS NONSTERILE MINI FRAGMENT SET	SUP-401.758	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L9 MM OD2.4 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.759	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L9 MM OD2.4 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.759	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L10 MM OD2.4 MM ODSEC4 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.760	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L10 MM OD2.4 MM ODSEC4 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.760	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L11 MM OD2.4 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.761	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L11 MM OD2.4 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.761	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM T8 L12 MM OD2.4 MM RADIUS CORTEX DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.762	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM T8 L12 MM OD2.4 MM RADIUS CORTEX DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.762	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM T8 L14 MM OD2.4 MM RADIUS CORTEX DISTAL SELF TAP STARDRIVE NONSTERILE	SUP-401.764	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM T8 L14 MM OD2.4 MM RADIUS CORTEX DISTAL SELF TAP STARDRIVE NONSTERILE	SUP-401.764	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW SYNTHES TI 2.4MM CORTEX 20MM	SUP-401.770	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW SYNTHES TI 2.4MM CORTEX 20MM	SUP-401.770	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW SYNTHES TI 2.4MM CORTEX 24MM	SUP-401.774	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW SYNTHES TI 2.4MM CORTEX 24MM	SUP-401.774	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW SYNTHES TI 2.4MM CORTEX 26MM	SUP-401.776	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW SYNTHES TI 2.4MM CORTEX 26MM	SUP-401.776	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L36 MM OD2.4 MM HUMERUS CORTICAL DISTAL SELF TAPPING STARDRIVE RECESS	SUP-401.786	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L36 MM OD2.4 MM HUMERUS CORTICAL DISTAL SELF TAPPING STARDRIVE RECESS	SUP-401.786	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L38 MM OD2.4 MM ODSEC4 MM HUMERUS CORTEX DISTAL T8 STARDRIVE RECESS SELF TAP	SUP-401.788	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L38 MM OD2.4 MM ODSEC4 MM HUMERUS CORTEX DISTAL T8 STARDRIVE RECESS SELF TAP	SUP-401.788	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
SCREW BONE LCP TITANIUM L40 MM OD2 MM CORTICAL SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-401.790	CDM	270010022	LOCAL	270	RC		outpatient			108.64	18.64	29.43				percent of total billed charges		108.64				other	OPPS APC	80.39				percent of total billed charges		108.64				other	OPPS APC	108.64				other	OPPS APC	29.43				percent of total billed charges		30.02				percent of total billed charges		18.64				other	OPPS APC	18.64	108.64	
SCREW BONE LCP TITANIUM L40 MM OD2 MM CORTICAL SELF TAPPING LOCKING NONSTERILE MINI FRAGMENT SET	SUP-401.790	CDM	270010022	LOCAL	270	RC		inpatient			108.64	108.64																																																			
WASHER	SUP-97-00322	CDM			278	RC		outpatient			108.56	18.56	108.56				fee schedule		108.56				other	OPPS APC	61.88				percent of total billed charges		108.56				other	OPPS APC	108.56				other	OPPS APC	53.19				percent of total billed charges		55.37				percent of total billed charges		18.56				other	OPPS APC	18.56	108.56	
WASHER	SUP-97-00322	CDM			278	RC		inpatient			108.56	108.56																																																			
SCREW 3.5 X 20MM CORTEX SELF TAPPING	SUP-97-06355	CDM			278	RC		outpatient			108.56	18.56	108.56				fee schedule		108.56				other	OPPS APC	61.88				percent of total billed charges		108.56				other	OPPS APC	108.56				other	OPPS APC	53.19				percent of total billed charges		55.37				percent of total billed charges		18.56				other	OPPS APC	18.56	108.56	
SCREW 3.5 X 20MM CORTEX SELF TAPPING	SUP-97-06355	CDM			278	RC		inpatient			108.56	108.56																																																			
SCREW 3.5 X 26MM CORTEX SELF TAPPING	SUP-97-06356	CDM			278	RC		outpatient			108.56	18.56	108.56				fee schedule		108.56				other	OPPS APC	61.88				percent of total billed charges		108.56				other	OPPS APC	108.56				other	OPPS APC	53.19				percent of total billed charges		55.37				percent of total billed charges		18.56				other	OPPS APC	18.56	108.56	
SCREW 3.5 X 26MM CORTEX SELF TAPPING	SUP-97-06356	CDM			278	RC		inpatient			108.56	108.56																																																			
SCREW 3.5 X 20MM CORTEX SELF TAPPING	SUP-97-06357	CDM			278	RC		outpatient			108.56	18.56	108.56				fee schedule		108.56				other	OPPS APC	61.88				percent of total billed charges		108.56				other	OPPS APC	108.56				other	OPPS APC	53.19				percent of total billed charges		55.37				percent of total billed charges		18.56				other	OPPS APC	18.56	108.56	
SCREW 3.5 X 20MM CORTEX SELF TAPPING	SUP-97-06357	CDM			278	RC		inpatient			108.56	108.56																																																			
SODIUM PHOSPHATE 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	63323-881-16	NDC				inpatient			108.45	108.45																																																			
SODIUM PHOSPHATE 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	63323-881-16	NDC				outpatient			108.45	108.45																																															other	OPPS APC			
TRACH PEDIATRIC 5.0	SUP-31-00047	CDM			272	RC		outpatient			108.04	18.41	29.27				percent of total billed charges		108.04				other	OPPS APC	79.95				percent of total billed charges		108.04				other	OPPS APC	108.04				other	OPPS APC	29.27				percent of total billed charges		29.85				percent of total billed charges		18.41				other	OPPS APC	18.41	108.04	
TRACH PEDIATRIC 5.0	SUP-31-00047	CDM			272	RC		inpatient			108.04	108.04																																																			
HC Remove Impacted Ear Wax	PX-450692101	CDM	69210	CPT	450	RC		outpatient			108	18	195.77				case rate		108				other	OPPS APC	79.92				percent of total billed charges		108				other	OPPS APC	108				other	OPPS APC	195.77				case rate		199.69				case rate		18				other	OPPS APC	18	199.69	
HC Remove Impacted Ear Wax	PX-450692101	CDM	69210	CPT	450	RC		inpatient			108	108																																																			
Remove Impacted Cerument (Single Side)	PX-510692101	CDM	69210	CPT	510	RC		outpatient			108	18	169.66				case rate		108				other	OPPS APC	101				case rate		108				other	OPPS APC	108				fee schedule		169.66				case rate		173.05				case rate		18				other	OPPS APC	18	173.05	
Remove Impacted Cerument (Single Side)	PX-510692101	CDM	69210	CPT	510	RC		inpatient			108	108																																																			
CEMENT BONE PALACOS R 40 GM GREEN	SUP-5036963	CDM			270	RC		outpatient			108	18	29.26				percent of total billed charges		108				other	OPPS APC	79.92				percent of total billed charges		108				other	OPPS APC	108				other	OPPS APC	29.26				percent of total billed charges		29.84				percent of total billed charges		18				other	OPPS APC	18	108	
CEMENT BONE PALACOS R 40 GM GREEN	SUP-5036963	CDM			270	RC		inpatient			108	108																																																			
K-WIRE STANDARD TIP 2.0MM X 152MM	SUP-97-03274	CDM			278	RC		outpatient			108	18	108				fee schedule		108				other	OPPS APC	61.56				percent of total billed charges		108				other	OPPS APC	108				other	OPPS APC	52.92				percent of total billed charges		55.08				percent of total billed charges		18				other	OPPS APC	18	108	
K-WIRE STANDARD TIP 2.0MM X 152MM	SUP-97-03274	CDM			278	RC		inpatient			108	108																																																			
CATHETER - RBL-TG 5F INFINITI TIGER	SUP-99-04812	CDM			272	RC		outpatient			108	18	29.26				percent of total billed charges		108				other	OPPS APC	79.92				percent of total billed charges		108				other	OPPS APC	108				other	OPPS APC	29.26				percent of total billed charges		29.84				percent of total billed charges		18				other	OPPS APC	18	108	
CATHETER - RBL-TG 5F INFINITI TIGER	SUP-99-04812	CDM			272	RC		inpatient			108	108																																																			
RETRACTOR SURGICAL ALEXIS 360 D XL FLEXIBLE RING ATRAUMATIC SELF RETAINING WOUND PROTECTOR 11-17 CM INCISION	SUP-C8304	CDM			270	RC		outpatient			108	18	29.26				percent of total billed charges		108				other	OPPS APC	79.92				percent of total billed charges		108				other	OPPS APC	108				other	OPPS APC	29.26				percent of total billed charges		29.84				percent of total billed charges		18				other	OPPS APC	18	108	
RETRACTOR SURGICAL ALEXIS 360 D XL FLEXIBLE RING ATRAUMATIC SELF RETAINING WOUND PROTECTOR 11-17 CM INCISION	SUP-C8304	CDM			270	RC		inpatient			108	108																																																			
NEXT STEP SHORTIE WALKER MD BOOT	SUP-35-00005	CDM			271	RC		outpatient			107.56	17.56	29.14				percent of total billed charges		107.56				other	OPPS APC	79.59				percent of total billed charges		107.56				other	OPPS APC	107.56				other	OPPS APC	29.14				percent of total billed charges		29.72				percent of total billed charges		17.56				other	OPPS APC	17.56	107.56	
NEXT STEP SHORTIE WALKER MD BOOT	SUP-35-00005	CDM			271	RC		inpatient			107.56	107.56																																																			
GUIDEWIRE VASCULAR GLIDEWIRE TERUMO GLIDE TECHNOLOGY STANDARD ANGLE 180CM 3CM .018IN NITINOL HYDROPHILIC CORE TO TIP	SUP-GR1806	CDM			270	RC		outpatient			107.5	17.5	29.12				percent of total billed charges		107.5				other	OPPS APC	79.55				percent of total billed charges		107.5				other	OPPS APC	107.5				other	OPPS APC	29.12				percent of total billed charges		29.7				percent of total billed charges		17.5				other	OPPS APC	17.5	107.5	
GUIDEWIRE VASCULAR GLIDEWIRE TERUMO GLIDE TECHNOLOGY STANDARD ANGLE 180CM 3CM .018IN NITINOL HYDROPHILIC CORE TO TIP	SUP-GR1806	CDM			270	RC		inpatient			107.5	107.5																																																			
SCISSORS SURGICAL CARB-EDGE METZENBAUM STAINLESS STEEL CURVE L7 IN L33 MM TONSIL SATIN FINISH NONSTERILE	SUP-101258	CDM						inpatient			107.36	107.36																																																			
SCISSORS SURGICAL CARB-EDGE METZENBAUM STAINLESS STEEL CURVE L7 IN L33 MM TONSIL SATIN FINISH NONSTERILE	SUP-101258	CDM						outpatient			107.36	17.36	107.36				percent of total billed charges		107.36				other	OPPS APC	107.36				fee schedule		107.36				other	OPPS APC	107.36				other	OPPS APC	107.36				case rate		107.36				case rate		17.36				other	OPPS APC	17.36	107.36	
MINI OVAL SNARE BX/10EA	SUP-95-00793	CDM			272	RC		outpatient			107.2	17.2	29.04				percent of total billed charges		107.2				other	OPPS APC	79.33				percent of total billed charges		107.2				other	OPPS APC	107.2				other	OPPS APC	29.04				percent of total billed charges		29.62				percent of total billed charges		17.2				other	OPPS APC	17.2	107.2	
MINI OVAL SNARE BX/10EA	SUP-95-00793	CDM			272	RC		inpatient			107.2	107.2																																																			
CANCELLOUS SCREW 4.0X20MM	SUP-97-00597	CDM			278	RC		outpatient			107.16	17.16	107.16				fee schedule		107.16				other	OPPS APC	61.08				percent of total billed charges		107.16				other	OPPS APC	107.16				other	OPPS APC	52.51				percent of total billed charges		54.65				percent of total billed charges		17.16				other	OPPS APC	17.16	107.16	
CANCELLOUS SCREW 4.0X20MM	SUP-97-00597	CDM			278	RC		inpatient			107.16	107.16																																																			
BLADE SAW MEDIUM LONG SAGITTAL STERILE SYSTEM 2000 MT	SUP-2108-109-000S8	CDM			270	RC		outpatient			107.08	17.8	29.01				percent of total billed charges		107.08				other	OPPS APC	79.24				percent of total billed charges		107.08				other	OPPS APC	107.08				other	OPPS APC	29.01				percent of total billed charges		29.59				percent of total billed charges		17.8				other	OPPS APC	17.8	107.08	
BLADE SAW MEDIUM LONG SAGITTAL STERILE SYSTEM 2000 MT	SUP-2108-109-000S8	CDM			270	RC		inpatient			107.08	107.08																																																			
SHEATH GUIDING CHECK-FLO FLEXOR AQ HYDROPHILIC ANL1 CURVE L45 CM OD7 FR	SUP-G29985	CDM			270	RC		outpatient			106.96	16.96	28.98				percent of total billed charges		106.96				other	OPPS APC	79.15				percent of total billed charges		106.96				other	OPPS APC	106.96				other	OPPS APC	28.98				percent of total billed charges		29.55				percent of total billed charges		16.96				other	OPPS APC	16.96	106.96	
SHEATH GUIDING CHECK-FLO FLEXOR AQ HYDROPHILIC ANL1 CURVE L45 CM OD7 FR	SUP-G29985	CDM			270	RC		inpatient			106.96	106.96																																																			
Sheath 8Fr x 63cm Cook 210338 _106142_	SUP-210338	CDM			270	RC		outpatient			106.92	16.92	28.96				percent of total billed charges		106.92				other	OPPS APC	79.12				percent of total billed charges		106.92				other	OPPS APC	106.92				other	OPPS APC	28.96				percent of total billed charges		29.54				percent of total billed charges		16.92				other	OPPS APC	16.92	106.92	
Sheath 8Fr x 63cm Cook 210338 _106142_	SUP-210338	CDM			270	RC		inpatient			106.92	106.92																																																			
NEEDLE SHARPSHOOTER	SUP-RS2535	CDM			270	RC		outpatient			106.92	16.92	28.96				percent of total billed charges		106.92				other	OPPS APC	79.12				percent of total billed charges		106.92				other	OPPS APC	106.92				other	OPPS APC	28.96				percent of total billed charges		29.54				percent of total billed charges		16.92				other	OPPS APC	16.92	106.92	
NEEDLE SHARPSHOOTER	SUP-RS2535	CDM			270	RC		inpatient			106.92	106.92																																																			
MUPIROCIN 2 % OINTMENT 22 G TUBE	637000000	CDM	68462-180-22	NDC	A9270	HCPCS		inpatient			106.88	106.88																																																			
MUPIROCIN 2 % OINTMENT 22 G TUBE	637000000	CDM	68462-180-22	NDC	A9270	HCPCS		outpatient			106.88	106.88																																															other	OPPS APC			
SCREW FT 4.0X70	SUP-97-01356	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW FT 4.0X70	SUP-97-01356	CDM			278	RC		inpatient			106.4	106.4																																																			
SCRES 4 X 65MM CANCELLOUS	SUP-97-02664	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCRES 4 X 65MM CANCELLOUS	SUP-97-02664	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW CANN FULL THREAD 4.0 X 44MM	SUP-97-03852	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW CANN FULL THREAD 4.0 X 44MM	SUP-97-03852	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW CANN FULL THREAD 4.0 X 48MM	SUP-97-03853	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW CANN FULL THREAD 4.0 X 48MM	SUP-97-03853	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW 4 X 30MM CANCELLOUS TI	SUP-97-05867	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW 4 X 30MM CANCELLOUS TI	SUP-97-05867	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW 4 X 30MM FULLY THREADED CANCELLOUS	SUP-97-05894	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW 4 X 30MM FULLY THREADED CANCELLOUS	SUP-97-05894	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW CANCELLOUS PARTIALLY THREADED 4.0 X 42MM	SUP-97-06081	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW CANCELLOUS PARTIALLY THREADED 4.0 X 42MM	SUP-97-06081	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW CANCELLOUS PARTIALLY TRHEADED 4.0 X 46MM	SUP-97-06082	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW CANCELLOUS PARTIALLY TRHEADED 4.0 X 46MM	SUP-97-06082	CDM			278	RC		inpatient			106.4	106.4																																																			
SCREW 4 X 46MM CANCELLOUS FULL THREAD	SUP-97-06239	CDM			278	RC		outpatient			106.4	16.41	106.4				fee schedule		106.4				other	OPPS APC	60.65				percent of total billed charges		106.4				other	OPPS APC	106.4				other	OPPS APC	52.14				percent of total billed charges		54.26				percent of total billed charges		16.41				other	OPPS APC	16.41	106.4	
SCREW 4 X 46MM CANCELLOUS FULL THREAD	SUP-97-06239	CDM			278	RC		inpatient			106.4	106.4																																																			
CABLE DISP W/IRRIGATION	SUP-6790100001	CDM			270	RC		outpatient			106.39	16.39	28.82				percent of total billed charges		106.39				other	OPPS APC	78.73				percent of total billed charges		106.39				other	OPPS APC	106.39				other	OPPS APC	28.82				percent of total billed charges		29.4				percent of total billed charges		16.39				other	OPPS APC	16.39	106.39	
CABLE DISP W/IRRIGATION	SUP-6790100001	CDM			270	RC		inpatient			106.39	106.39																																																			
SET IRRIGATION MALIS BIPOLAR CORD INTEGRATE TUBE ROTARY DISPOSABLE	SUP-6790-100-003	CDM			270	RC		outpatient			106.39	16.39	28.82				percent of total billed charges		106.39				other	OPPS APC	78.73				percent of total billed charges		106.39				other	OPPS APC	106.39				other	OPPS APC	28.82				percent of total billed charges		29.4				percent of total billed charges		16.39				other	OPPS APC	16.39	106.39	
SET IRRIGATION MALIS BIPOLAR CORD INTEGRATE TUBE ROTARY DISPOSABLE	SUP-6790-100-003	CDM			270	RC		inpatient			106.39	106.39																																																			
SCREW 3.5MM CORTEX F THREAD 16MM	SUP-95-02147	CDM			278	RC		outpatient			106.2	16.2	106.2				fee schedule		106.2				other	OPPS APC	60.53				percent of total billed charges		106.2				other	OPPS APC	106.2				other	OPPS APC	52.04				percent of total billed charges		54.16				percent of total billed charges		16.2				other	OPPS APC	16.2	106.2	
SCREW 3.5MM CORTEX F THREAD 16MM	SUP-95-02147	CDM			278	RC		inpatient			106.2	106.2																																																			
SCREW 3.5MM CORTEX SELF TAPPING  14MM	SUP-97-01221	CDM			278	RC		outpatient			106.2	16.2	106.2				fee schedule		106.2				other	OPPS APC	60.53				percent of total billed charges		106.2				other	OPPS APC	106.2				other	OPPS APC	52.04				percent of total billed charges		54.16				percent of total billed charges		16.2				other	OPPS APC	16.2	106.2	
SCREW 3.5MM CORTEX SELF TAPPING  14MM	SUP-97-01221	CDM			278	RC		inpatient			106.2	106.2																																																			
SCREW CORTEX F THREAD 3.5MM X 18MM	SUP-97-02240	CDM			278	RC		outpatient			106.2	16.2	106.2				fee schedule		106.2				other	OPPS APC	60.53				percent of total billed charges		106.2				other	OPPS APC	106.2				other	OPPS APC	52.04				percent of total billed charges		54.16				percent of total billed charges		16.2				other	OPPS APC	16.2	106.2	
SCREW CORTEX F THREAD 3.5MM X 18MM	SUP-97-02240	CDM			278	RC		inpatient			106.2	106.2																																																			
SCREW CORTEX SELF TAP 3.5MM X 24MM	SUP-97-03759	CDM			278	RC		outpatient			106.2	16.2	106.2				fee schedule		106.2				other	OPPS APC	60.53				percent of total billed charges		106.2				other	OPPS APC	106.2				other	OPPS APC	52.04				percent of total billed charges		54.16				percent of total billed charges		16.2				other	OPPS APC	16.2	106.2	
SCREW CORTEX SELF TAP 3.5MM X 24MM	SUP-97-03759	CDM			278	RC		inpatient			106.2	106.2																																																			
SCREW CORTEX 3.5MM X 26MM	SUP-97-06026	CDM			278	RC		outpatient			106.2	16.2	106.2				fee schedule		106.2				other	OPPS APC	60.53				percent of total billed charges		106.2				other	OPPS APC	106.2				other	OPPS APC	52.04				percent of total billed charges		54.16				percent of total billed charges		16.2				other	OPPS APC	16.2	106.2	
SCREW CORTEX 3.5MM X 26MM	SUP-97-06026	CDM			278	RC		inpatient			106.2	106.2																																																			
SCREW CORTEX 3.5 X 32MM	SUP-97-06202	CDM			278	RC		outpatient			106.2	16.2	106.2				fee schedule		106.2				other	OPPS APC	60.53				percent of total billed charges		106.2				other	OPPS APC	106.2				other	OPPS APC	52.04				percent of total billed charges		54.16				percent of total billed charges		16.2				other	OPPS APC	16.2	106.2	
SCREW CORTEX 3.5 X 32MM	SUP-97-06202	CDM			278	RC		inpatient			106.2	106.2																																																			
SHOE HEEL OFFLOADING LG	SUP-35-00054	CDM			271	RC		outpatient			106.12	16.12	28.75				percent of total billed charges		106.12				other	OPPS APC	78.53				percent of total billed charges		106.12				other	OPPS APC	106.12				other	OPPS APC	28.75				percent of total billed charges		29.32				percent of total billed charges		16.12				other	OPPS APC	16.12	106.12	
SHOE HEEL OFFLOADING LG	SUP-35-00054	CDM			271	RC		inpatient			106.12	106.12																																																			
NEEDLE BRONCHOSCOPIC WANG L15 MM OD21 GA TRANSBRONCHIAL LUMEN ASPIRATE BIOPSY STERILE LATEX FREE DISPOSABLE CENTRAL	SUP-SW-221	CDM			270	RC		outpatient			106.11	16.11	28.75				percent of total billed charges		106.11				other	OPPS APC	78.52				percent of total billed charges		106.11				other	OPPS APC	106.11				other	OPPS APC	28.75				percent of total billed charges		29.32				percent of total billed charges		16.11				other	OPPS APC	16.11	106.11	
NEEDLE BRONCHOSCOPIC WANG L15 MM OD21 GA TRANSBRONCHIAL LUMEN ASPIRATE BIOPSY STERILE LATEX FREE DISPOSABLE CENTRAL	SUP-SW-221	CDM			270	RC		inpatient			106.11	106.11																																																			
KNIFE OPHTHALMIC INTREPID ANGLE 2 BEVEL W2.4 MM MICRO COAXIAL SLIT STERILE DISPOSABLE	SUP-8065982465	CDM			270	RC		outpatient			105.98	15.98	28.71				percent of total billed charges		105.98				other	OPPS APC	78.43				percent of total billed charges		105.98				other	OPPS APC	105.98				other	OPPS APC	28.71				percent of total billed charges		29.28				percent of total billed charges		15.98				other	OPPS APC	15.98	105.98	
KNIFE OPHTHALMIC INTREPID ANGLE 2 BEVEL W2.4 MM MICRO COAXIAL SLIT STERILE DISPOSABLE	SUP-8065982465	CDM			270	RC		inpatient			105.98	105.98																																																			
SCREW MATRIXNEURO EMERGENCY TITANIUM 5MM	SUP-04.503.115.01	CDM	270010013	LOCAL	270	RC		outpatient			105.96	15.96	28.7				percent of total billed charges		105.96				other	OPPS APC	78.41				percent of total billed charges		105.96				other	OPPS APC	105.96				other	OPPS APC	28.7				percent of total billed charges		29.28				percent of total billed charges		15.96				other	OPPS APC	15.96	105.96	
SCREW MATRIXNEURO EMERGENCY TITANIUM 5MM	SUP-04.503.115.01	CDM	270010013	LOCAL	270	RC		inpatient			105.96	105.96																																																			
CLIP WECK HEMOLOK MED/LG	SUP-95-04928	CDM			272	RC		outpatient			105.62	15.62	28.61				percent of total billed charges		105.62				other	OPPS APC	78.16				percent of total billed charges		105.62				other	OPPS APC	105.62				other	OPPS APC	28.61				percent of total billed charges		29.18				percent of total billed charges		15.62				other	OPPS APC	15.62	105.62	
CLIP WECK HEMOLOK MED/LG	SUP-95-04928	CDM			272	RC		inpatient			105.62	105.62																																																			
WIRE FIXATION LCP L150 MM L35 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.435	CDM	270010022	LOCAL	270	RC		outpatient			105.6	15.6	28.61				percent of total billed charges		105.6				other	OPPS APC	78.14				percent of total billed charges		105.6				other	OPPS APC	105.6				other	OPPS APC	28.61				percent of total billed charges		29.18				percent of total billed charges		15.6				other	OPPS APC	15.6	105.6	
WIRE FIXATION LCP L150 MM L35 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.435	CDM	270010022	LOCAL	270	RC		inpatient			105.6	105.6																																																			
WIRE FIXATION LCP L150 MM L40 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.440	CDM	270010022	LOCAL	270	RC		outpatient			105.6	15.6	28.61				percent of total billed charges		105.6				other	OPPS APC	78.14				percent of total billed charges		105.6				other	OPPS APC	105.6				other	OPPS APC	28.61				percent of total billed charges		29.18				percent of total billed charges		15.6				other	OPPS APC	15.6	105.6	
WIRE FIXATION LCP L150 MM L40 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.440	CDM	270010022	LOCAL	270	RC		inpatient			105.6	105.6																																																			
STEINMANN PIN SMOOTH 2.5MM X 100MM	SUP-97-02449	CDM			278	RC		outpatient			105.6	15.6	105.6				fee schedule		105.6				other	OPPS APC	60.19				percent of total billed charges		105.6				other	OPPS APC	105.6				other	OPPS APC	51.74				percent of total billed charges		53.86				percent of total billed charges		15.6				other	OPPS APC	15.6	105.6	
STEINMANN PIN SMOOTH 2.5MM X 100MM	SUP-97-02449	CDM			278	RC		inpatient			105.6	105.6																																																			
SET SUPRAPUBIC STAMEY MALECOT STAINLESS STEEL POLYETHYLENE PVC L30 CM OD14 FR PERCUTANEOUS NEEDLE OBTURATOR CONNECT TUBE 1 WAY STOPCOCK STERILE DISPOSABLE	SUP-G55824	CDM			270	RC		outpatient			105.3	15.3	28.53				percent of total billed charges		105.3				other	OPPS APC	77.92				percent of total billed charges		105.3				other	OPPS APC	105.3				other	OPPS APC	28.53				percent of total billed charges		29.09				percent of total billed charges		15.3				other	OPPS APC	15.3	105.3	
SET SUPRAPUBIC STAMEY MALECOT STAINLESS STEEL POLYETHYLENE PVC L30 CM OD14 FR PERCUTANEOUS NEEDLE OBTURATOR CONNECT TUBE 1 WAY STOPCOCK STERILE DISPOSABLE	SUP-G55824	CDM			270	RC		inpatient			105.3	105.3																																																			
FORCEPS ENDOSCOPIC RADIAL JAW 4 JUMBO L240 CM OD2.8 MM NEEDLE STERILE DISPOSABLE ORANGE	SUP-M00513373	CDM			270	RC		outpatient			105.06	15.6	28.46				percent of total billed charges		105.06				other	OPPS APC	77.74				percent of total billed charges		105.06				other	OPPS APC	105.06				other	OPPS APC	28.46				percent of total billed charges		29.03				percent of total billed charges		15.6				other	OPPS APC	15.6	105.06	
FORCEPS ENDOSCOPIC RADIAL JAW 4 JUMBO L240 CM OD2.8 MM NEEDLE STERILE DISPOSABLE ORANGE	SUP-M00513373	CDM			270	RC		inpatient			105.06	105.06																																																			
NOREPINEPHRINE IN D5W 8 MG/250 ML (32 MCG/ML) SOLUTION	250000000	CDM	0338-0108-20	NDC				inpatient			105	105																																																			
NOREPINEPHRINE IN D5W 8 MG/250 ML (32 MCG/ML) SOLUTION	250000000	CDM	0338-0108-20	NDC				outpatient			105	105																																															other	OPPS APC			
DOXORUBICIN 50 MG/25 ML SOLUTION	636000000	CDM	0143-9086-01	NDC	J9000	HCPCS		inpatient			105	105																																																			
DOXORUBICIN 50 MG/25 ML SOLUTION	636000000	CDM	0143-9086-01	NDC	J9000	HCPCS		outpatient			105	105																																															other	OPPS APC			
OCTREOTIDE PER 25 MCG	636000000	CDM	0641-6176-01	NDC	J2354	HCPCS		inpatient			105	105																																																			
OCTREOTIDE PER 25 MCG	636000000	CDM	0641-6176-01	NDC	J2354	HCPCS		outpatient			105	105																																															other	OPPS APC			
INSULIN REGULAR HUMAN PER 5 UNITS	637000000	CDM	0338-0126-12	NDC	A9270	HCPCS		inpatient			105	105																																																			
INSULIN REGULAR HUMAN PER 5 UNITS	637000000	CDM	0338-0126-12	NDC	A9270	HCPCS		outpatient			105	105																																															other	OPPS APC			
HC Cpu Procedure Each Addl 15 Minutes	PX-361000007	CDM	361000007	LOCAL	361	RC		outpatient			105	15	33.16				percent of total billed charges		105				other	OPPS APC	105				fee schedule		105				other	OPPS APC	105				other	OPPS APC	33.16				percent of total billed charges		33.82				percent of total billed charges		15				other	OPPS APC	15	105	
HC Cpu Procedure Each Addl 15 Minutes	PX-361000007	CDM	361000007	LOCAL	361	RC		inpatient			105	105																																																			
HC OP Visit New 11-25 Min	PX-510992020	CDM	99202	CPT	510	RC		outpatient			105	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit New 11-25 Min	PX-510992020	CDM	99202	CPT	510	RC		inpatient			105	105																																																			
HC New Pt Visit Level 2	PX-510992022	CDM	99202	HCPCS	510	RC		outpatient			105	47.93	169.66				case rate		47.09				fee schedule		101				case rate		47.09				fee schedule		47.09				fee schedule		169.66				case rate		173.05				case rate		47.93				fee schedule		47.09	173.05	
HC New Pt Visit Level 2	PX-510992022	CDM	99202	HCPCS	510	RC		inpatient			105	105																																																			
GUIDEWIRE UROLOGICAL ZIPWIRE NITINOL POLYURETHANE HYDROPHILIC STRAIGHT L150 CM L3 CM OD.038 IN URETERAL RADIOPAQUE STANDARD SHAFT STEERABLE KINK RESISTANT	SUP-M0066802001	CDM			270	RC		outpatient			104.99	14.99	28.44				percent of total billed charges		104.99				other	OPPS APC	77.69				percent of total billed charges		104.99				other	OPPS APC	104.99				other	OPPS APC	28.44				percent of total billed charges		29.01				percent of total billed charges		14.99				other	OPPS APC	14.99	104.99	
GUIDEWIRE UROLOGICAL ZIPWIRE NITINOL POLYURETHANE HYDROPHILIC STRAIGHT L150 CM L3 CM OD.038 IN URETERAL RADIOPAQUE STANDARD SHAFT STEERABLE KINK RESISTANT	SUP-M0066802001	CDM			270	RC		inpatient			104.99	104.99																																																			
BRUSH CYTOLOGY L11 MM L140 CM OD1.7 MM ODSEC1.9 MM NEEDLE TIP STERILE DISPOSABLE	SUP-NB-120	CDM			270	RC		outpatient			104.96	14.96	28.43				percent of total billed charges		104.96				other	OPPS APC	77.67				percent of total billed charges		104.96				other	OPPS APC	104.96				other	OPPS APC	28.43				percent of total billed charges		29				percent of total billed charges		14.96				other	OPPS APC	14.96	104.96	
BRUSH CYTOLOGY L11 MM L140 CM OD1.7 MM ODSEC1.9 MM NEEDLE TIP STERILE DISPOSABLE	SUP-NB-120	CDM			270	RC		inpatient			104.96	104.96																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 6MM	SUP-401.356.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 6MM	SUP-401.356.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 7MM	SUP-401.357.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 7MM	SUP-401.357.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 8MM	SUP-401.358.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 8MM	SUP-401.358.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 9MM	SUP-401.359.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 9MM	SUP-401.359.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW BONE LCP TITANIUM T6 L10 MM OD2 MM RADIUS CORTICAL PROXIMAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.360.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW BONE LCP TITANIUM T6 L10 MM OD2 MM RADIUS CORTICAL PROXIMAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.360.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 11MM	SUP-401.361.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 11MM	SUP-401.361.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW BONE LCP TITANIUM T6 L12 MM OD2 MM RADIUS CORTICAL PROXIMAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.362.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW BONE LCP TITANIUM T6 L12 MM OD2 MM RADIUS CORTICAL PROXIMAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.362.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW BONE LCP TITANIUM T6 L13 MM OD2 MM RADIUS CORTICAL PROXIMAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.363.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW BONE LCP TITANIUM T6 L13 MM OD2 MM RADIUS CORTICAL PROXIMAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-401.363.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW BONE LCP TITANIUM L14 MM OD2 MM CORTICAL T6 STARDRIVE RECESS SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.364.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW BONE LCP TITANIUM L14 MM OD2 MM CORTICAL T6 STARDRIVE RECESS SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-401.364.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW 2.0MM CORTEX 16MM	SUP-401.366.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW 2.0MM CORTEX 16MM	SUP-401.366.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 18MM	SUP-401.368.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 18MM	SUP-401.368.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 20MM	SUP-401.370.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 20MM	SUP-401.370.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 22MM	SUP-401.372.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 22MM	SUP-401.372.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 24MM	SUP-401.374.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 24MM	SUP-401.374.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x26MM	SUP-401.375.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x26MM	SUP-401.375.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 28MM	SUP-401.376.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 28MM	SUP-401.376.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 30MM	SUP-401.377.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 30MM	SUP-401.377.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 32MM	SUP-401.378.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 32MM	SUP-401.378.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 34MM	SUP-401.379.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 34MM	SUP-401.379.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 36MM	SUP-401.380.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 36MM	SUP-401.380.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x38MM	SUP-401.381.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x38MM	SUP-401.381.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 40MM	SUP-401.382.97	CDM	270010022	LOCAL	270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
SCREW SYNTHES CORTEX TITANIUM 2.0MM x 40MM	SUP-401.382.97	CDM	270010022	LOCAL	270	RC		inpatient			104.5	104.5																																																			
CASSETTE WOUND DRAINAGE VAC VERALINK NON-STERILE DISPOSABLE	SUP-ULTLNK0500.S	CDM			270	RC		outpatient			104.5	14.5	28.31				percent of total billed charges		104.5				other	OPPS APC	77.33				percent of total billed charges		104.5				other	OPPS APC	104.5				other	OPPS APC	28.31				percent of total billed charges		28.87				percent of total billed charges		14.5				other	OPPS APC	14.5	104.5	
CASSETTE WOUND DRAINAGE VAC VERALINK NON-STERILE DISPOSABLE	SUP-ULTLNK0500.S	CDM			270	RC		inpatient			104.5	104.5																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.4 MM UPPERFACE SELF TAP EMERGENCY CROSS PIN NONSTERILE	SUP-5014003	CDM			270	RC		outpatient			104.4	14.41	28.28				percent of total billed charges		104.4				other	OPPS APC	77.26				percent of total billed charges		104.4				other	OPPS APC	104.4				other	OPPS APC	28.28				percent of total billed charges		28.85				percent of total billed charges		14.41				other	OPPS APC	14.41	104.4	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.4 MM UPPERFACE SELF TAP EMERGENCY CROSS PIN NONSTERILE	SUP-5014003	CDM			270	RC		inpatient			104.4	104.4																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.4 MM UPPER FACIAL CRANIOMAXILLOFACIAL SELF TAP CROSS PIN HEAD EMERGENCY NONSTERILE	SUP-5014005	CDM			270	RC		outpatient			104.4	14.41	28.28				percent of total billed charges		104.4				other	OPPS APC	77.26				percent of total billed charges		104.4				other	OPPS APC	104.4				other	OPPS APC	28.28				percent of total billed charges		28.85				percent of total billed charges		14.41				other	OPPS APC	14.41	104.4	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.4 MM UPPER FACIAL CRANIOMAXILLOFACIAL SELF TAP CROSS PIN HEAD EMERGENCY NONSTERILE	SUP-5014005	CDM			270	RC		inpatient			104.4	104.4																																																			
BLADE SAW THK1.27 MM L90 MM X W18 MM SAGITTAL STERILE	SUP-6118-127-090	CDM			270	RC		outpatient			104.4	14.41	28.28				percent of total billed charges		104.4				other	OPPS APC	77.26				percent of total billed charges		104.4				other	OPPS APC	104.4				other	OPPS APC	28.28				percent of total billed charges		28.85				percent of total billed charges		14.41				other	OPPS APC	14.41	104.4	
BLADE SAW THK1.27 MM L90 MM X W18 MM SAGITTAL STERILE	SUP-6118-127-090	CDM			270	RC		inpatient			104.4	104.4																																																			
GUIDEWIRE-GLIDE SPLASH .035X150 ANGLED	SUP-99-00204	CDM			272	RC		outpatient			104.24	14.24	28.24				percent of total billed charges		104.24				other	OPPS APC	77.14				percent of total billed charges		104.24				other	OPPS APC	104.24				other	OPPS APC	28.24				percent of total billed charges		28.8				percent of total billed charges		14.24				other	OPPS APC	14.24	104.24	
GUIDEWIRE-GLIDE SPLASH .035X150 ANGLED	SUP-99-00204	CDM			272	RC		inpatient			104.24	104.24																																																			
"AMIODARONE IN DEXTROSE,ISO-OSM 150 MG/100 ML (1.5 MG/ML) SOLUTION"	636000000	CDM	43066-150-10	NDC	J0283	HCPCS		inpatient			104.07	104.07																																																			
"AMIODARONE IN DEXTROSE,ISO-OSM 150 MG/100 ML (1.5 MG/ML) SOLUTION"	636000000	CDM	43066-150-10	NDC	J0283	HCPCS		outpatient			104.07	104.07																																															other	OPPS APC			
SILVER SULFADIAZINE 1 % CREAM 400 G JAR	637000000	CDM	63629-8773-1	NDC	A9270	HCPCS		inpatient			104.05	104.05																																																			
SILVER SULFADIAZINE 1 % CREAM 400 G JAR	637000000	CDM	63629-8773-1	NDC	A9270	HCPCS		outpatient			104.05	104.05																																															other	OPPS APC			
PALACOS LV 1 X 40 SINGLE	SUP-5036965	CDM			270	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
PALACOS LV 1 X 40 SINGLE	SUP-5036965	CDM			270	RC		inpatient			104	104																																																			
NEEDLE TEMNO 20G X 6 CM   CTSUP  USSUP	SUP-95-01653	CDM			272	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
NEEDLE TEMNO 20G X 6 CM   CTSUP  USSUP	SUP-95-01653	CDM			272	RC		inpatient			104	104																																																			
.86 GULDE WIRE  TROCAR THEADED	SUP-97-01667	CDM			272	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
.86 GULDE WIRE  TROCAR THEADED	SUP-97-01667	CDM			272	RC		inpatient			104	104																																																			
ADHESIVE SURGICAL BIOGLUE L 12 MM SYRINGE SPREADER TIP	SUP-BGST-12	CDM			270	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
ADHESIVE SURGICAL BIOGLUE L 12 MM SYRINGE SPREADER TIP	SUP-BGST-12	CDM			270	RC		inpatient			104	104																																																			
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 150CM 5IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3515SSA_41397	CDM			270	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 150CM 5IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3515SSA_41397	CDM			270	RC		inpatient			104	104																																																			
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 260CM 8IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3526RSA	CDM			270	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 260CM 8IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3526RSA	CDM			270	RC		inpatient			104	104																																																			
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 260CM 5IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3526SSA	CDM			270	RC		outpatient			104	14	28.17				percent of total billed charges		104				other	OPPS APC	76.96				percent of total billed charges		104				other	OPPS APC	104				other	OPPS APC	28.17				percent of total billed charges		28.74				percent of total billed charges		14				other	OPPS APC	14	104	
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 260CM 5IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3526SSA	CDM			270	RC		inpatient			104	104																																																			
FOAM PORT LARGE RENASYS	SUP-66800641	CDM			270	RC		outpatient			103.94	13.94	28.16				percent of total billed charges		103.94				other	OPPS APC	76.92				percent of total billed charges		103.94				other	OPPS APC	103.94				other	OPPS APC	28.16				percent of total billed charges		28.72				percent of total billed charges		13.94				other	OPPS APC	13.94	103.94	
FOAM PORT LARGE RENASYS	SUP-66800641	CDM			270	RC		inpatient			103.94	103.94																																																			
OLANZAPINE 10 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0781-3159-72	NDC	J2359	HCPCS		inpatient			103.75	103.75																																																			
OLANZAPINE 10 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0781-3159-72	NDC	J2359	HCPCS		outpatient			103.75	1.18																																											1.18				other	OPPS APC	1.18	1.18	
EVICEL FLEXIBLE TIP	SUP-74-00418	CDM			272	RC		outpatient			103.73	13.73	28.1				percent of total billed charges		103.73				other	OPPS APC	76.76				percent of total billed charges		103.73				other	OPPS APC	103.73				other	OPPS APC	28.1				percent of total billed charges		28.66				percent of total billed charges		13.73				other	OPPS APC	13.73	103.73	
EVICEL FLEXIBLE TIP	SUP-74-00418	CDM			272	RC		inpatient			103.73	103.73																																																			
DRESSING MEPILEX AG 4X10 (SILVER)	SUP-10-00142	CDM			272	RC		outpatient			103.32	13.32	27.99				percent of total billed charges		103.32				other	OPPS APC	76.46				percent of total billed charges		103.32				other	OPPS APC	103.32				other	OPPS APC	27.99				percent of total billed charges		28.55				percent of total billed charges		13.32				other	OPPS APC	13.32	103.32	
DRESSING MEPILEX AG 4X10 (SILVER)	SUP-10-00142	CDM			272	RC		inpatient			103.32	103.32																																																			
WIRE FIXATION LCP L150 MM L10 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.410	CDM	270010022	LOCAL	270	RC		outpatient			103.2	13.2	27.96				percent of total billed charges		103.2				other	OPPS APC	76.37				percent of total billed charges		103.2				other	OPPS APC	103.2				other	OPPS APC	27.96				percent of total billed charges		28.51				percent of total billed charges		13.2				other	OPPS APC	13.2	103.2	
WIRE FIXATION LCP L150 MM L10 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.410	CDM	270010022	LOCAL	270	RC		inpatient			103.2	103.2																																																			
HC Prothrombin 20210 Mutation (Ptgm)	PX-300812401	CDM	81240	CPT	300	RC		outpatient			103	65.69	103				fee schedule		65.69				fee schedule		110.52				fee schedule		65.69				fee schedule		65.69				fee schedule		65.69				fee schedule		65.69				fee schedule		65.69				fee schedule		65.69	110.52	
HC Prothrombin 20210 Mutation (Ptgm)	PX-300812401	CDM	81240	CPT	300	RC		inpatient			103	103																																																			
SPLINT TIBIA/FIBULA W/PADDING	SUP-35-00039	CDM			271	RC		outpatient			102.6	12.6	27.79				percent of total billed charges		102.6				other	OPPS APC	75.92				percent of total billed charges		102.6				other	OPPS APC	102.6				other	OPPS APC	27.79				percent of total billed charges		28.35				percent of total billed charges		12.6				other	OPPS APC	12.6	102.6	
SPLINT TIBIA/FIBULA W/PADDING	SUP-35-00039	CDM			271	RC		inpatient			102.6	102.6																																																			
PLUG DECANNULATION 7 FULL CLOSURE TRACHEOSTOMY LATEX WHITE	SUP-1037837	CDM			270	RC		outpatient			102.5	12.5	27.77				percent of total billed charges		102.5				other	OPPS APC	75.85				percent of total billed charges		102.5				other	OPPS APC	102.5				other	OPPS APC	27.77				percent of total billed charges		28.32				percent of total billed charges		12.5				other	OPPS APC	12.5	102.5	
PLUG DECANNULATION 7 FULL CLOSURE TRACHEOSTOMY LATEX WHITE	SUP-1037837	CDM			270	RC		inpatient			102.5	102.5																																																			
"NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML SOLUTION 1 ML AMPUL"	250000000	CDM	39822-1201-1	NDC				inpatient			102.42	102.42																																																			
"NEOMYCIN-POLYMYXIN B GU 40 MG-200,000 UNIT/ML SOLUTION 1 ML AMPUL"	250000000	CDM	39822-1201-1	NDC				outpatient			102.42	102.42																																															other	OPPS APC			
INTRODUCER MICRO STIFFEN 4FR	SUP-G48004	CDM			270	RC		outpatient			102.4	12.41	27.74				percent of total billed charges		102.4				other	OPPS APC	75.78				percent of total billed charges		102.4				other	OPPS APC	102.4				other	OPPS APC	27.74				percent of total billed charges		28.29				percent of total billed charges		12.41				other	OPPS APC	12.41	102.4	
INTRODUCER MICRO STIFFEN 4FR	SUP-G48004	CDM			270	RC		inpatient			102.4	102.4																																																			
INTRODUCER MICRO STIFFEN 5FR	SUP-G48008	CDM			270	RC		outpatient			102.4	12.41	27.74				percent of total billed charges		102.4				other	OPPS APC	75.78				percent of total billed charges		102.4				other	OPPS APC	102.4				other	OPPS APC	27.74				percent of total billed charges		28.29				percent of total billed charges		12.41				other	OPPS APC	12.41	102.4	
INTRODUCER MICRO STIFFEN 5FR	SUP-G48008	CDM			270	RC		inpatient			102.4	102.4																																																			
SHOE HEEL OFFLOADING SM	SUP-35-00052	CDM			271	RC		outpatient			102.36	12.36	27.73				percent of total billed charges		102.36				other	OPPS APC	75.75				percent of total billed charges		102.36				other	OPPS APC	102.36				other	OPPS APC	27.73				percent of total billed charges		28.28				percent of total billed charges		12.36				other	OPPS APC	12.36	102.36	
SHOE HEEL OFFLOADING SM	SUP-35-00052	CDM			271	RC		inpatient			102.36	102.36																																																			
GUIDE PIN ORTHOPEDIC L300 MM OD 3.2MM THREAD	SUP-71177201	CDM			270	RC		outpatient			102.34	12.34	27.72				percent of total billed charges		102.34				other	OPPS APC	75.73				percent of total billed charges		102.34				other	OPPS APC	102.34				other	OPPS APC	27.72				percent of total billed charges		28.28				percent of total billed charges		12.34				other	OPPS APC	12.34	102.34	
GUIDE PIN ORTHOPEDIC L300 MM OD 3.2MM THREAD	SUP-71177201	CDM			270	RC		inpatient			102.34	102.34																																																			
SCISSORS LAPAROSCOPIC ENDOPATH 360D CURVE 21CM 5MM DISPOSABLE STERILE LF RATCHET HANDLE MONOPOLAR CAUTERY INSULATE SHAFT	SUP-5DCS	CDM			270	RC		outpatient			102.24	12.24	27.7				percent of total billed charges		102.24				other	OPPS APC	75.66				percent of total billed charges		102.24				other	OPPS APC	102.24				other	OPPS APC	27.7				percent of total billed charges		28.25				percent of total billed charges		12.24				other	OPPS APC	12.24	102.24	
SCISSORS LAPAROSCOPIC ENDOPATH 360D CURVE 21CM 5MM DISPOSABLE STERILE LF RATCHET HANDLE MONOPOLAR CAUTERY INSULATE SHAFT	SUP-5DCS	CDM			270	RC		inpatient			102.24	102.24																																																			
HC Concurrent Chemo Infusion	PX-335965490	CDM	96549	CPT	335	RC		outpatient			102.17	44.62	102.17				fee schedule		44.62				other	OPPS APC	75.61				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	50.06				percent of total billed charges		102.17				fee schedule		44.62				other	OPPS APC	44.62	102.17	
HC Concurrent Chemo Infusion	PX-335965490	CDM	96549	CPT	335	RC		inpatient			102.17	102.17																																																			
COHEN-BENNER CONTACT LENS	SUP-54013	CDM			270	RC		outpatient			102.17	12.17	27.68				percent of total billed charges		102.17				other	OPPS APC	75.61				percent of total billed charges		102.17				other	OPPS APC	102.17				other	OPPS APC	27.68				percent of total billed charges		28.23				percent of total billed charges		12.17				other	OPPS APC	12.17	102.17	
COHEN-BENNER CONTACT LENS	SUP-54013	CDM			270	RC		inpatient			102.17	102.17																																																			
CONTRAST - ISOVUE 370 200CC	SUP-99-01067	CDM			255	RC		outpatient			102.08	12.8	24.88				percent of total billed charges		102.08				other	OPPS APC	0.13				fee schedule		102.08				other	OPPS APC	102.08				other	OPPS APC	24.88				percent of total billed charges		25.38				percent of total billed charges		12.8				other	OPPS APC	0.13	102.08	
CONTRAST - ISOVUE 370 200CC	SUP-99-01067	CDM			255	RC		inpatient			102.08	102.08																																																			
PLATE BONE TITANIUM STRAIGHT H.5 MM CRANIOMAXILLOFACIAL 4 HOLE CENTRE SPACE LOW PROFILE	SUP-421.504	CDM	270010013	LOCAL	270	RC		outpatient			102.06	12.6	27.65				percent of total billed charges		102.06				other	OPPS APC	75.52				percent of total billed charges		102.06				other	OPPS APC	102.06				other	OPPS APC	27.65				percent of total billed charges		28.2				percent of total billed charges		12.6				other	OPPS APC	12.6	102.06	
PLATE BONE TITANIUM STRAIGHT H.5 MM CRANIOMAXILLOFACIAL 4 HOLE CENTRE SPACE LOW PROFILE	SUP-421.504	CDM	270010013	LOCAL	270	RC		inpatient			102.06	102.06																																																			
TUBING SUCTION/IRRIGATION SET STERILE DISPOSABLE JET UNIT	SUP-GN094	CDM			270	RC		outpatient			102.02	12.2	27.64				percent of total billed charges		102.02				other	OPPS APC	75.49				percent of total billed charges		102.02				other	OPPS APC	102.02				other	OPPS APC	27.64				percent of total billed charges		28.19				percent of total billed charges		12.2				other	OPPS APC	12.2	102.02	
TUBING SUCTION/IRRIGATION SET STERILE DISPOSABLE JET UNIT	SUP-GN094	CDM			270	RC		inpatient			102.02	102.02																																																			
HC Cmv  Quant  Pcr  Plasma	PX-300874970	CDM	87497	CPT	306	RC		outpatient			102	42.84	37.94				fee schedule		42.84				fee schedule		75.34				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		42.84				fee schedule		37.94	75.34	
HC Cmv  Quant  Pcr  Plasma	PX-300874970	CDM	87497	CPT	306	RC		inpatient			102	102																																																			
HC Application on-Body Injector Timed Subcutaneous Inj	PX-361963770	CDM	96377	CPT	361	RC		outpatient			102	44.62	32.21				percent of total billed charges		44.62				other	OPPS APC	102				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	32.21				percent of total billed charges		32.85				percent of total billed charges		44.62				other	OPPS APC	32.21	102	
HC Application on-Body Injector Timed Subcutaneous Inj	PX-361963770	CDM	96377	CPT	361	RC		inpatient			102	102																																																			
INJECTOR FORCE MAX 3MM	SUP-95-04037	CDM			272	RC		outpatient			102	12	27.63				percent of total billed charges		102				other	OPPS APC	75.48				percent of total billed charges		102				other	OPPS APC	102				other	OPPS APC	27.63				percent of total billed charges		28.18				percent of total billed charges		12				other	OPPS APC	12	102	
INJECTOR FORCE MAX 3MM	SUP-95-04037	CDM			272	RC		inpatient			102	102																																																			
KIT ETCHING 1.2 ML SYRINGE 40% GEL	SUP-FPSCHEIN095	CDM						inpatient			101.98	101.98																																																			
KIT ETCHING 1.2 ML SYRINGE 40% GEL	SUP-FPSCHEIN095	CDM						outpatient			101.98	11.98	101.98				percent of total billed charges		101.98				other	OPPS APC	101.98				fee schedule		101.98				other	OPPS APC	101.98				other	OPPS APC	101.98				case rate		101.98				case rate		11.98				other	OPPS APC	11.98	101.98	
SCREW CORTICAL ST 4.5 X 36MM	SUP-97-02103	CDM			278	RC		outpatient			101.92	11.92	101.92				fee schedule		101.92				other	OPPS APC	58.09				percent of total billed charges		101.92				other	OPPS APC	101.92				other	OPPS APC	49.94				percent of total billed charges		51.98				percent of total billed charges		11.92				other	OPPS APC	11.92	101.92	
SCREW CORTICAL ST 4.5 X 36MM	SUP-97-02103	CDM			278	RC		inpatient			101.92	101.92																																																			
SCREW CORTICAL ST 4.5 X 32MM	SUP-97-02104	CDM			278	RC		outpatient			101.92	11.92	101.92				fee schedule		101.92				other	OPPS APC	58.09				percent of total billed charges		101.92				other	OPPS APC	101.92				other	OPPS APC	49.94				percent of total billed charges		51.98				percent of total billed charges		11.92				other	OPPS APC	11.92	101.92	
SCREW CORTICAL ST 4.5 X 32MM	SUP-97-02104	CDM			278	RC		inpatient			101.92	101.92																																																			
WIRE .038 AMPLATZ	SUP-70-00179	CDM			272	RC		outpatient			101.81	11.81	27.58				percent of total billed charges		101.81				other	OPPS APC	75.34				percent of total billed charges		101.81				other	OPPS APC	101.81				other	OPPS APC	27.58				percent of total billed charges		28.13				percent of total billed charges		11.81				other	OPPS APC	11.81	101.81	
WIRE .038 AMPLATZ	SUP-70-00179	CDM			272	RC		inpatient			101.81	101.81																																																			
ELECTRODE DEFIBRILLATOR ONESTEP CODE-READY PEDIATRIC RESUSCITATION COMPLETE SPEED PACK CONNECTOR R SERIES	SUP-8900-0215-40	CDM						inpatient			101.4	101.4																																																			
ELECTRODE DEFIBRILLATOR ONESTEP CODE-READY PEDIATRIC RESUSCITATION COMPLETE SPEED PACK CONNECTOR R SERIES	SUP-8900-0215-40	CDM						outpatient			101.4	11.41	101.4				percent of total billed charges		101.4				other	OPPS APC	101.4				fee schedule		101.4				other	OPPS APC	101.4				other	OPPS APC	101.4				case rate		101.4				case rate		11.41				other	OPPS APC	11.41	101.4	
SCD FOOT CUFF REG	SUP-01-00240	CDM			271	RC		outpatient			101.25	11.25	27.43				percent of total billed charges		101.25				other	OPPS APC	74.93				percent of total billed charges		101.25				other	OPPS APC	101.25				other	OPPS APC	27.43				percent of total billed charges		27.98				percent of total billed charges		11.25				other	OPPS APC	11.25	101.25	
SCD FOOT CUFF REG	SUP-01-00240	CDM			271	RC		inpatient			101.25	101.25																																																			
SCD FOOT CUFF LG	SUP-01-00241	CDM			271	RC		outpatient			101.25	11.25	27.43				percent of total billed charges		101.25				other	OPPS APC	74.93				percent of total billed charges		101.25				other	OPPS APC	101.25				other	OPPS APC	27.43				percent of total billed charges		27.98				percent of total billed charges		11.25				other	OPPS APC	11.25	101.25	
SCD FOOT CUFF LG	SUP-01-00241	CDM			271	RC		inpatient			101.25	101.25																																																			
HC Infusion Hydration Each Add Hr	PX-260963610	CDM	96361	CPT	761	RC		outpatient			101	44.62	195.77				case rate		44.62				other	OPPS APC	120.55				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	195.77				case rate		51.51				percent of total billed charges		44.62				other	OPPS APC	44.62	195.77	
HC Infusion Hydration Each Add Hr	PX-260963610	CDM	96361	CPT	761	RC		inpatient			101	101																																																			
BAG SPECIMEN RETRIEVAL ENDOPOUCH PLASTIC LARGE L6 IN X W4 IN OD10 MM 224 ML INTRODUCER TUBE FLEXIBLE THUMB RING HANDLE SYRINGE MOTION DEPLOYMENT STERILE LATEX FREE DISPOSABLE	SUP-POUCH	CDM			270	RC		outpatient			101	11	27.36				percent of total billed charges		101				other	OPPS APC	74.74				percent of total billed charges		101				other	OPPS APC	101				other	OPPS APC	27.36				percent of total billed charges		27.91				percent of total billed charges		11				other	OPPS APC	11	101	
BAG SPECIMEN RETRIEVAL ENDOPOUCH PLASTIC LARGE L6 IN X W4 IN OD10 MM 224 ML INTRODUCER TUBE FLEXIBLE THUMB RING HANDLE SYRINGE MOTION DEPLOYMENT STERILE LATEX FREE DISPOSABLE	SUP-POUCH	CDM			270	RC		inpatient			101	101																																																			
SUTURE NONABSORBABLE ETHIBOND EXCEL THK1.5 MM 0 SH L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX87	CDM			270	RC		outpatient			100.94	1.94	27.34				percent of total billed charges		100.94				other	OPPS APC	74.7				percent of total billed charges		100.94				other	OPPS APC	100.94				other	OPPS APC	27.34				percent of total billed charges		27.89				percent of total billed charges		1.94				other	OPPS APC	1.94	100.94	
SUTURE NONABSORBABLE ETHIBOND EXCEL THK1.5 MM 0 SH L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX87	CDM			270	RC		inpatient			100.94	100.94																																																			
SUTURE NONABSORBABLE ETHIBOND EXCEL THK1.5 MM 0 SH L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX87N	CDM			270	RC		outpatient			100.94	1.94	27.34				percent of total billed charges		100.94				other	OPPS APC	74.7				percent of total billed charges		100.94				other	OPPS APC	100.94				other	OPPS APC	27.34				percent of total billed charges		27.89				percent of total billed charges		1.94				other	OPPS APC	1.94	100.94	
SUTURE NONABSORBABLE ETHIBOND EXCEL THK1.5 MM 0 SH L30 IN L7 MM X W3 MM 2 ARM BRAID 10 STRAND FIRM PLEDGET GREEN WHITE	SUP-PXX87N	CDM			270	RC		inpatient			100.94	100.94																																																			
APPLICATOR ENDOSCOPIC SURGIFLO 34CM DISPOSABLE STERILE LF	SUP-MS1995	CDM			270	RC		outpatient			100.93	1.93	27.34				percent of total billed charges		100.93				other	OPPS APC	74.69				percent of total billed charges		100.93				other	OPPS APC	100.93				other	OPPS APC	27.34				percent of total billed charges		27.89				percent of total billed charges		1.93				other	OPPS APC	1.93	100.93	
APPLICATOR ENDOSCOPIC SURGIFLO 34CM DISPOSABLE STERILE LF	SUP-MS1995	CDM			270	RC		inpatient			100.93	100.93																																																			
INSTRUMENT BIOPSY BARD MAX-CORE ANGLE 22MM 20CM 13.8CM 18GA PINK DISPOSABLE STERILE LF PROSTATIC 2 TRIGGER ULTRA SHARP	SUP-MC1820	CDM			270	RC		outpatient			100.9	1.91	27.33				percent of total billed charges		100.9				other	OPPS APC	74.67				percent of total billed charges		100.9				other	OPPS APC	100.9				other	OPPS APC	27.33				percent of total billed charges		27.88				percent of total billed charges		1.91				other	OPPS APC	1.91	100.9	
INSTRUMENT BIOPSY BARD MAX-CORE ANGLE 22MM 20CM 13.8CM 18GA PINK DISPOSABLE STERILE LF PROSTATIC 2 TRIGGER ULTRA SHARP	SUP-MC1820	CDM			270	RC		inpatient			100.9	100.9																																																			
STAPLE BONE STAINLESS STEEL L19 MM X W8.7 IN OD2 MM BARB NONSTERILE	SUP-00-2229-002-00	CDM			270	RC		outpatient			100.86	1.86	27.32				percent of total billed charges		100.86				other	OPPS APC	74.64				percent of total billed charges		100.86				other	OPPS APC	100.86				other	OPPS APC	27.32				percent of total billed charges		27.87				percent of total billed charges		1.86				other	OPPS APC	1.86	100.86	
STAPLE BONE STAINLESS STEEL L19 MM X W8.7 IN OD2 MM BARB NONSTERILE	SUP-00-2229-002-00	CDM			270	RC		inpatient			100.86	100.86																																																			
STAPLE BONE STAINLESS STEEL L22 MM X W8.7 MM OD2 MM BARB NONSTERILE	SUP-00-2229-003-00	CDM			270	RC		outpatient			100.86	1.86	27.32				percent of total billed charges		100.86				other	OPPS APC	74.64				percent of total billed charges		100.86				other	OPPS APC	100.86				other	OPPS APC	27.32				percent of total billed charges		27.87				percent of total billed charges		1.86				other	OPPS APC	1.86	100.86	
STAPLE BONE STAINLESS STEEL L22 MM X W8.7 MM OD2 MM BARB NONSTERILE	SUP-00-2229-003-00	CDM			270	RC		inpatient			100.86	100.86																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN GOLD	SUP-5012003	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN GOLD	SUP-5012003	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN GOLD	SUP-5012004	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN GOLD	SUP-5012004	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN GOLD	SUP-5012005	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN GOLD	SUP-5012005	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L6 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012006	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L6 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012006	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L8 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012008	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L8 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012008	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L10 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012010	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L10 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012010	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L12 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012012	CDM			270	RC		outpatient			100.8	1.8	27.31				percent of total billed charges		100.8				other	OPPS APC	74.59				percent of total billed charges		100.8				other	OPPS APC	100.8				other	OPPS APC	27.31				percent of total billed charges		27.85				percent of total billed charges		1.8				other	OPPS APC	1.8	100.8	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L12 MM OD1.2 MM UPPERFACE SELF TAP CROSS PIN NONSTERILE GOLD	SUP-5012012	CDM			270	RC		inpatient			100.8	100.8																																																			
SCREW MATRIXNEURO EMERGENCY TITANIUM 4MM	SUP-04.503.114	CDM	270010013	LOCAL	270	RC		outpatient			100.42	1.42	27.2				percent of total billed charges		100.42				other	OPPS APC	74.31				percent of total billed charges		100.42				other	OPPS APC	100.42				other	OPPS APC	27.2				percent of total billed charges		27.75				percent of total billed charges		1.42				other	OPPS APC	1.42	100.42	
SCREW MATRIXNEURO EMERGENCY TITANIUM 4MM	SUP-04.503.114	CDM	270010013	LOCAL	270	RC		inpatient			100.42	100.42																																																			
BLADE SAW L90 MM X W18 MM X H1.19 MM SAGITTAL 2 CUT STERILE	SUP-4118-119-090	CDM			270	RC		outpatient			100.36	1.36	27.19				percent of total billed charges		100.36				other	OPPS APC	74.27				percent of total billed charges		100.36				other	OPPS APC	100.36				other	OPPS APC	27.19				percent of total billed charges		27.73				percent of total billed charges		1.36				other	OPPS APC	1.36	100.36	
BLADE SAW L90 MM X W18 MM X H1.19 MM SAGITTAL 2 CUT STERILE	SUP-4118-119-090	CDM			270	RC		inpatient			100.36	100.36																																																			
BLADE SAW STAINLESS STEEL THK.038 IN MEDIUM L3.543 IN X W.984 IN 2 CUT SAGITTAL STERILE	SUP-4125-097-090	CDM			270	RC		outpatient			100.36	1.36	27.19				percent of total billed charges		100.36				other	OPPS APC	74.27				percent of total billed charges		100.36				other	OPPS APC	100.36				other	OPPS APC	27.19				percent of total billed charges		27.73				percent of total billed charges		1.36				other	OPPS APC	1.36	100.36	
BLADE SAW STAINLESS STEEL THK.038 IN MEDIUM L3.543 IN X W.984 IN 2 CUT SAGITTAL STERILE	SUP-4125-097-090	CDM			270	RC		inpatient			100.36	100.36																																																			
BLADE SAW STAINLESS STEEL THK1.37 MM L90 MM X W25 MM SAGITTAL 2 CUT STERILE LATEX FREE DISPOSABLE	SUP-4125-137-090	CDM			270	RC		outpatient			100.36	1.36	27.19				percent of total billed charges		100.36				other	OPPS APC	74.27				percent of total billed charges		100.36				other	OPPS APC	100.36				other	OPPS APC	27.19				percent of total billed charges		27.73				percent of total billed charges		1.36				other	OPPS APC	1.36	100.36	
BLADE SAW STAINLESS STEEL THK1.37 MM L90 MM X W25 MM SAGITTAL 2 CUT STERILE LATEX FREE DISPOSABLE	SUP-4125-137-090	CDM			270	RC		inpatient			100.36	100.36																																																			
ZOLEDRONIC ACID PER 1 MG	636000000	CDM	67457-390-54	NDC	J3489	HCPCS		inpatient			100.32	100.32																																																			
ZOLEDRONIC ACID PER 1 MG	636000000	CDM	67457-390-54	NDC	J3489	HCPCS		outpatient			100.32	100.32																																															other	OPPS APC			
SCREW BONE STAINLESS STEEL T8 L52 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.552	CDM	270010022	LOCAL	270	RC		outpatient			100.32	1.32	27.18				percent of total billed charges		100.32				other	OPPS APC	74.24				percent of total billed charges		100.32				other	OPPS APC	100.32				other	OPPS APC	27.18				percent of total billed charges		27.72				percent of total billed charges		1.32				other	OPPS APC	1.32	100.32	
SCREW BONE STAINLESS STEEL T8 L52 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.552	CDM	270010022	LOCAL	270	RC		inpatient			100.32	100.32																																																			
FORCEPS RADIAL JAW 4 HOT BIOPSY FORCEPS	SUP-M00515031	CDM			270	RC		outpatient			100.14	1.14	27.13				percent of total billed charges		100.14				other	OPPS APC	74.1				percent of total billed charges		100.14				other	OPPS APC	100.14				other	OPPS APC	27.13				percent of total billed charges		27.67				percent of total billed charges		1.14				other	OPPS APC	1.14	100.14	
FORCEPS RADIAL JAW 4 HOT BIOPSY FORCEPS	SUP-M00515031	CDM			270	RC		inpatient			100.14	100.14																																																			
GUIDEWIRE ORTHOPEDIC LCP DHHS SPADE L230 MM OD2.5 MM THREAD NONSTERILE	SUP-900.723	CDM	270010022	LOCAL	270	RC		outpatient			100.1	2	27.12				percent of total billed charges		100.1				other	OPPS APC	74.07				percent of total billed charges		100.1				other	OPPS APC	100.1				other	OPPS APC	27.12				percent of total billed charges		27.66				percent of total billed charges		2				other	OPPS APC	2	100.1	
GUIDEWIRE ORTHOPEDIC LCP DHHS SPADE L230 MM OD2.5 MM THREAD NONSTERILE	SUP-900.723	CDM	270010022	LOCAL	270	RC		inpatient			100.1	100.1																																																			
STERI-STRIP 1/2 X 3 3M	SUP-97-01264	CDM			272	RC		outpatient			100.08	1.8	27.11				percent of total billed charges		100.08				other	OPPS APC	74.06				percent of total billed charges		100.08				other	OPPS APC	100.08				other	OPPS APC	27.11				percent of total billed charges		27.65				percent of total billed charges		1.8				other	OPPS APC	1.8	100.08	
STERI-STRIP 1/2 X 3 3M	SUP-97-01264	CDM			272	RC		inpatient			100.08	100.08																																																			
DOXORUBICIN 50 MG/25 ML SOLUTION	636000000	CDM	63323-883-30	NDC	J9000	HCPCS		inpatient			100	100																																																			
DOXORUBICIN 50 MG/25 ML SOLUTION	636000000	CDM	63323-883-30	NDC	J9000	HCPCS		outpatient			100	100																																															other	OPPS APC			
IOHEXOL 300 MG IODINE/ML SOLUTION 100 ML BOTTLE	636000000	CDM	0407-1413-60	NDC	Q9967	HCPCS		inpatient			100	100																																																			
IOHEXOL 300 MG IODINE/ML SOLUTION 100 ML BOTTLE	636000000	CDM	0407-1413-60	NDC	Q9967	HCPCS		outpatient			100	100																																															other	OPPS APC			
HC Lacosamide  S	PX-300802350	CDM	80235	CPT	300	RC		outpatient			100	27.2	49				percent of total billed charges		27.11				fee schedule		63.17				fee schedule		27.11				fee schedule		27.11				fee schedule		27.11				fee schedule		27.11				fee schedule		27.2				fee schedule		27.11	63.17	
HC Lacosamide  S	PX-300802350	CDM	80235	CPT	300	RC		inpatient			100	100																																																			
HC Cardiolipin Antibody  Ea Ig Class	PX-300861470	CDM	86147	CPT	302	RC		outpatient			100	25.45	34.02				fee schedule		25.45				fee schedule		67.53				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45	67.53	
HC Cardiolipin Antibody  Ea Ig Class	PX-300861470	CDM	86147	CPT	302	RC		inpatient			100	100																																																			
HC M Tuberculosis by Quantiferon	PX-300864800	CDM	86480	CPT	302	RC		outpatient			100	61.98	82.87				fee schedule		61.98				fee schedule		166.8				fee schedule		61.98				fee schedule		61.98				fee schedule		61.98				fee schedule		61.98				fee schedule		61.98				fee schedule		61.98	166.8	
HC M Tuberculosis by Quantiferon	PX-300864800	CDM	86480	CPT	302	RC		inpatient			100	100																																																			
HC Herpes Simplex  Type 2  Antibody	PX-300866960	CDM	86696	CPT	302	RC		outpatient			100	19.35	25.87				fee schedule		19.35				fee schedule		51.4				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35	51.4	
HC Herpes Simplex  Type 2  Antibody	PX-300866960	CDM	86696	CPT	302	RC		inpatient			100	100																																																			
HC Hpv Genotypes 16&18	PX-300876250	CDM	87625	CPT	300	RC		outpatient			100	4.55	100				percent of total billed charges		40.55				fee schedule		93.18				fee schedule		40.55				fee schedule		40.55				fee schedule		40.55				fee schedule		40.55				fee schedule		4.55				fee schedule		4.55	100	
HC Hpv Genotypes 16&18	PX-300876250	CDM	87625	CPT	300	RC		inpatient			100	100																																																			
HC Infectious Agent Detection by Nucleic Acid  Respiratory Syndrome	PX-300876350	CDM			300	RC		outpatient			100	51.31	50.28				fee schedule		51.31				fee schedule		119.6				fee schedule		51.31				fee schedule		51.31				fee schedule		51.31				fee schedule		51.31				fee schedule		51.31				fee schedule		50.28	119.6	
HC Infectious Agent Detection by Nucleic Acid  Respiratory Syndrome	PX-300876350	CDM			300	RC		inpatient			100	100																																																			
Anesth. Supplies Add'l 15 Mins	PX-370000006	CDM			370	RC		outpatient			100	1	28.22				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	28.22				percent of total billed charges		28.78				percent of total billed charges		1				other	OPPS APC	1	100	
Anesth. Supplies Add'l 15 Mins	PX-370000006	CDM			370	RC		inpatient			100	100																																																			
HC ER-Intermediate Visit	PX-452992820	CDM	99282	CPT	450	RC		outpatient			100	1	195.77				case rate		100				other	OPPS APC	350				case rate		100				other	OPPS APC	100				other	OPPS APC	41.24				fee schedule		199.69				case rate		1				other	OPPS APC	1	350	
HC ER-Intermediate Visit	PX-452992820	CDM	99282	CPT	450	RC		inpatient			100	100																																																			
HC Pulmonary Rehab-Copd	PX-948004240	CDM			948	RC		inpatient			100	100																																																			
HC Pulmonary Rehab-Copd	PX-948004240	CDM			948	RC		outpatient			100	100					fee schedule						other	OPPS APC	74				percent of total billed charges						other	OPPS APC					fee schedule		49				percent of total billed charges		51				percent of total billed charges						fee schedule		74	74	
CAP LOCKING CREO 5.5MM NS SPINAL	SUP-1119.0000	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CAP LOCKING CREO 5.5MM NS SPINAL	SUP-1119.0000	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
CAP LOCKING CREO NS SPINAL THREAD	SUP-1119.0010	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CAP LOCKING CREO NS SPINAL THREAD	SUP-1119.0010	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
TOOL TUNNELING SPINAL CORD STIM	SUP-1120	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
TOOL TUNNELING SPINAL CORD STIM	SUP-1120	CDM			270	RC		inpatient			100	100																																																			
CAP QUARTEX THREADED LOCKING	SUP-1149.001	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CAP QUARTEX THREADED LOCKING	SUP-1149.001	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
CAP LOCKING REVERE NS SPINAL	SUP-124.000	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CAP LOCKING REVERE NS SPINAL	SUP-124.000	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
CAP LOCKING ELLIPSE TITANIUM SPINE OCCIPITOCERVICOTHORACIC POSTERIOR NONTHREAD	SUP-182.500	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CAP LOCKING ELLIPSE TITANIUM SPINE OCCIPITOCERVICOTHORACIC POSTERIOR NONTHREAD	SUP-182.500	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
DEVICE CLOSURE MANTA OD8 FR DEPTH LOCATOR	SUP-188F	CDM			481	RC		outpatient			100	1	49				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
DEVICE CLOSURE MANTA OD8 FR DEPTH LOCATOR	SUP-188F	CDM			481	RC		inpatient			100	100																																																			
XBRAID 1.2MM TT	SUP-3910900017	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
XBRAID 1.2MM TT	SUP-3910900017	CDM			270	RC		inpatient			100	100																																																			
WIRE FIXATION CHARLOTTE 150MM 1.6MM DISPOSABLE NS 1 TROCAR MULTIUSE COMPRESSION	SUP-44112008	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
WIRE FIXATION CHARLOTTE 150MM 1.6MM DISPOSABLE NS 1 TROCAR MULTIUSE COMPRESSION	SUP-44112008	CDM			270	RC		inpatient			100	100																																																			
SCREW SET TITANIUM OD4.75 MM SPINE	SUP-5440030	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW SET TITANIUM OD4.75 MM SPINE	SUP-5440030	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
SCREW SET SOLERA SEXTANT CD HORIZON TITANIUM SPINE BREAKOFF 4.75 MM ROD	SUP-5440430	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW SET SOLERA SEXTANT CD HORIZON TITANIUM SPINE BREAKOFF 4.75 MM ROD	SUP-5440430	CDM			270	RC		inpatient			100	100																																																			
SCREW SET CD HORIZON TITANIUM SPINAL BREAK OFF 5.5 MM ROD	SUP-5540030	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW SET CD HORIZON TITANIUM SPINAL BREAK OFF 5.5 MM ROD	SUP-5540030	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
SCREW SET SOLERA SEXTANT CD HORIZON TITANIUM OD5.5-6 MM NONSTERILE	SUP-5540430	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW SET SOLERA SEXTANT CD HORIZON TITANIUM OD5.5-6 MM NONSTERILE	SUP-5540430	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
8F VISTA GUIDE IM S/H	SUP-588802	CDM			481	RC		outpatient			100	1	49				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
8F VISTA GUIDE IM S/H	SUP-588802	CDM			481	RC		inpatient			100	100																																																			
8F VISTA GUIDE JL 4.5	SUP-588852	CDM			481	RC		outpatient			100	1	49				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
8F VISTA GUIDE JL 4.5	SUP-588852	CDM			481	RC		inpatient			100	100																																																			
WRENCH PACEMAKER 2 BIDRECTIONAL TORQUE STERILE	SUP-6628	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
WRENCH PACEMAKER 2 BIDRECTIONAL TORQUE STERILE	SUP-6628	CDM			270	RC		inpatient			100	100																																																			
SCREW NUVASIVE MAD FIXATION LOCK	SUP-7070003	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW NUVASIVE MAD FIXATION LOCK	SUP-7070003	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
POSITIONER IMPLANT SPINE PIN PLATE HOLD	SUP-7080902	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
POSITIONER IMPLANT SPINE PIN PLATE HOLD	SUP-7080902	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
GUIDE PIN ORTHOPEDIC L 300MM OD 1.9 MM THREAD STERILE 5.5 MM CANNUALTED SCREW	SUP-71110400	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
GUIDE PIN ORTHOPEDIC L 300MM OD 1.9 MM THREAD STERILE 5.5 MM CANNUALTED SCREW	SUP-71110400	CDM			270	RC		inpatient			100	100																																																			
INTRODUCER SHEATH SAFESHEATH II OD9.5 FR HEMOSTASIS VALVE SIDEPORT	SUP-7464	CDM			481	RC		outpatient			100	1	49				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
INTRODUCER SHEATH SAFESHEATH II OD9.5 FR HEMOSTASIS VALVE SIDEPORT	SUP-7464	CDM			481	RC		inpatient			100	100																																																			
SCREW LOCK SPHERX PPS OD5.5 MM SPINE	SUP-7782001	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW LOCK SPHERX PPS OD5.5 MM SPINE	SUP-7782001	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
CANNULA TWIST 8.25MM X 7CM	SUP-79-00009	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CANNULA TWIST 8.25MM X 7CM	SUP-79-00009	CDM			272	RC		inpatient			100	100																																																			
SCREW SET TSRH-3D TITANIUM L32 MM OD6.35 MM SPINE BREAKOFF LOCK 2 HEX HEAD	SUP-8281246	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SCREW SET TSRH-3D TITANIUM L32 MM OD6.35 MM SPINE BREAKOFF LOCK 2 HEX HEAD	SUP-8281246	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
SET SCREW  TSRH 3DX FLUSH BREAK	SUP-8351500	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SET SCREW  TSRH 3DX FLUSH BREAK	SUP-8351500	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
PIN FIXATION ZEPHIR SPINE CERVICAL ANTERIOR PREFIXATION DISPOSABLE	SUP-8796003	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
PIN FIXATION ZEPHIR SPINE CERVICAL ANTERIOR PREFIXATION DISPOSABLE	SUP-8796003	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
BIT DRILL ZEPHIR L11 MM OD2 MM SPINE TRIFLAT STERILE	SUP-8796909	CDM	270010020	LOCAL	270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
BIT DRILL ZEPHIR L11 MM OD2 MM SPINE TRIFLAT STERILE	SUP-8796909	CDM	270010020	LOCAL	270	RC		inpatient			100	100																																																			
AHA CORE INSTRUCTOR COURSE	SUP-95-00727	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
AHA CORE INSTRUCTOR COURSE	SUP-95-00727	CDM			272	RC		inpatient			100	100																																																			
REDUCER 12-8MM DAVINCI	SUP-95-04875	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
REDUCER 12-8MM DAVINCI	SUP-95-04875	CDM			272	RC		inpatient			100	100																																																			
TWITCHVIEW ADULT ELECTRODE ARRAY	SUP-95-05412	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
TWITCHVIEW ADULT ELECTRODE ARRAY	SUP-95-05412	CDM			272	RC		inpatient			100	100																																																			
TWITCHVIEW MEDIUM ELECTRODE ARRAY	SUP-95-05413	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
TWITCHVIEW MEDIUM ELECTRODE ARRAY	SUP-95-05413	CDM			272	RC		inpatient			100	100																																																			
GUIDEWIRE 1.6MM FLEX THREAD	SUP-95-05447	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
GUIDEWIRE 1.6MM FLEX THREAD	SUP-95-05447	CDM			272	RC		inpatient			100	100																																																			
GUIDEWIRE 1.1 X 22MM FRACTURE FINGER	SUP-95-05502	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
GUIDEWIRE 1.1 X 22MM FRACTURE FINGER	SUP-95-05502	CDM			272	RC		inpatient			100	100																																																			
CENTER SCREW	SUP-97-01868	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
CENTER SCREW	SUP-97-01868	CDM			278	RC		inpatient			100	100																																																			
PERIPHERAL SCREW	SUP-97-01869	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
PERIPHERAL SCREW	SUP-97-01869	CDM			278	RC		inpatient			100	100																																																			
PERIPHERAL SCREW 4.5	SUP-97-01870	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
PERIPHERAL SCREW 4.5	SUP-97-01870	CDM			278	RC		inpatient			100	100																																																			
PERIPHERAL SCREW 4.5 32MM	SUP-97-01871	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
PERIPHERAL SCREW 4.5 32MM	SUP-97-01871	CDM			278	RC		inpatient			100	100																																																			
BONE SCREWS	SUP-97-03227	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
BONE SCREWS	SUP-97-03227	CDM			278	RC		inpatient			100	100																																																			
PERIPHERAL SCREW 4.5X16MM	SUP-97-03228	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
PERIPHERAL SCREW 4.5X16MM	SUP-97-03228	CDM			278	RC		inpatient			100	100																																																			
PERIPHERAL SCREW 4.5MMX28MM	SUP-97-03946	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
PERIPHERAL SCREW 4.5MMX28MM	SUP-97-03946	CDM			278	RC		inpatient			100	100																																																			
6.5MM CENTER SCREW 24MM	SUP-97-04765	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
6.5MM CENTER SCREW 24MM	SUP-97-04765	CDM			278	RC		inpatient			100	100																																																			
4.5MM PERIPHERAL SCREW 36MM	SUP-97-04882	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
4.5MM PERIPHERAL SCREW 36MM	SUP-97-04882	CDM			278	RC		inpatient			100	100																																																			
JUMPSTART 4X4 ANTIMICROBIAL DRESSING	SUP-97-05883	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
JUMPSTART 4X4 ANTIMICROBIAL DRESSING	SUP-97-05883	CDM			272	RC		inpatient			100	100																																																			
6.5MM CENTER SCREW 36MM	SUP-97-23784	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
6.5MM CENTER SCREW 36MM	SUP-97-23784	CDM			278	RC		inpatient			100	100																																																			
4.5MM PERIPHERAL SCREW 44MM	SUP-97-23785	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
4.5MM PERIPHERAL SCREW 44MM	SUP-97-23785	CDM			278	RC		inpatient			100	100																																																			
6.5MM CENTER SCREW 44MM	SUP-97-23789	CDM			278	RC		outpatient			100	1	100				fee schedule		100				other	OPPS APC	57				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	49				percent of total billed charges		51				percent of total billed charges		1				other	OPPS APC	1	100	
6.5MM CENTER SCREW 44MM	SUP-97-23789	CDM			278	RC		inpatient			100	100																																																			
CATHETER - KUMPE	SUP-99-00134	CDM			272	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER - KUMPE	SUP-99-00134	CDM			272	RC		inpatient			100	100																																																			
HOLDER PLATE BB TAK DISPOSABLE	SUP-AR-13226	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
HOLDER PLATE BB TAK DISPOSABLE	SUP-AR-13226	CDM			270	RC		inpatient			100	100																																																			
BIT DRILL TRIM-IT OD4 MM	SUP-AR-4160-40	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
BIT DRILL TRIM-IT OD4 MM	SUP-AR-4160-40	CDM			270	RC		inpatient			100	100																																																			
WASHER ORTHOPEDIC TITANIUM 3.75 MM SCREW	SUP-AR-7000-15	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
WASHER ORTHOPEDIC TITANIUM 3.75 MM SCREW	SUP-AR-7000-15	CDM			270	RC		inpatient			100	100																																																			
SUTURE NONABSORBABLE FIBERSTICK TIGERSTICK 2 L50 IN L12 IN 1 END STIFFEN BRAID MONOFILAMENT TIES BLUE	SUP-AR-7209	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SUTURE NONABSORBABLE FIBERSTICK TIGERSTICK 2 L50 IN L12 IN 1 END STIFFEN BRAID MONOFILAMENT TIES BLUE	SUP-AR-7209	CDM			270	RC		inpatient			100	100																																																			
SUTURE NONABSORBABLE TIGERSTICK TIGERWIRE 2 50IN 12IN BLACK WHITE 1 END STIFFEN	SUP-AR-7209T	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SUTURE NONABSORBABLE TIGERSTICK TIGERWIRE 2 50IN 12IN BLACK WHITE 1 END STIFFEN	SUP-AR-7209T	CDM			270	RC		inpatient			100	100																																																			
SUTURE NONABSORBABLE FIBERLOOP 2-0 SD-2 L13 IN 2 ARM MULTISTRAND BLUE	SUP-AR-7232-03	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SUTURE NONABSORBABLE FIBERLOOP 2-0 SD-2 L13 IN 2 ARM MULTISTRAND BLUE	SUP-AR-7232-03	CDM			270	RC		inpatient			100	100																																																			
SUTURE NONABSORBABLE FIBERLOOP 2 L7 MM STRAIGHT L20 IN L76 MM BRAID MULTISTRAND NEEDLE BLUE	SUP-AR-7234	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SUTURE NONABSORBABLE FIBERLOOP 2 L7 MM STRAIGHT L20 IN L76 MM BRAID MULTISTRAND NEEDLE BLUE	SUP-AR-7234	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH HYDROPHILIC NYLON SIM2 CURVE L100 CM L15 CM OD4 FR 2 STAINLESS STEEL BRAIDED POLYURETHANE JACKET ACCEPTS .038 IN GUIDEWIRE	SUP-CG402	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH HYDROPHILIC NYLON SIM2 CURVE L100 CM L15 CM OD4 FR 2 STAINLESS STEEL BRAIDED POLYURETHANE JACKET ACCEPTS .038 IN GUIDEWIRE	SUP-CG402	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC COBRA 2 CURVE L65 CM OD4 FR ID.041 IN 2 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG409	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC COBRA 2 CURVE L65 CM OD4 FR ID.041 IN 2 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG409	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC STRAIGHT CURVE L65 CM OD4 FR ID.041 IN 2 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG412	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC STRAIGHT CURVE L65 CM OD4 FR ID.041 IN 2 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG412	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH STAINLESS STEEL HYDROPHILIC L100 CM L15 CM OD4 FR ID.041 IN 2 BRAID ANGLE TIP STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-CG416	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH STAINLESS STEEL HYDROPHILIC L100 CM L15 CM OD4 FR ID.041 IN 2 BRAID ANGLE TIP STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-CG416	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC COBRA 2 CURVE L65 CM L25 CM OD5 FR ID.047 IN 1 BRAID	SUP-CG502	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC COBRA 2 CURVE L65 CM L25 CM OD5 FR ID.047 IN 1 BRAID	SUP-CG502	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC STRAIGHT CURVE L65 CM OD5 FR ID.047 IN 1 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG505	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC STRAIGHT CURVE L65 CM OD5 FR ID.047 IN 1 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG505	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L65 CM L25 CM OD5 FR ID.047 IN 1 BRAID	SUP-CG507	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L65 CM L25 CM OD5 FR ID.047 IN 1 BRAID	SUP-CG507	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L100 CM L25 CM OD5 FR ID.047 IN 1 BRAID	SUP-CG508	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L100 CM L25 CM OD5 FR ID.047 IN 1 BRAID	SUP-CG508	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC SIMMONS 2 CURVE L100 CM OD5 FR ID.047 IN 1 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG511	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC SIMMONS 2 CURVE L100 CM OD5 FR ID.047 IN 1 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG511	CDM			270	RC		inpatient			100	100																																																			
SLITTER CATHETER CPS UNIVERSAL ERGONOMIC DESIGN ACCEPTS 4-6 FR LEAD	SUP-DS2A003	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
SLITTER CATHETER CPS UNIVERSAL ERGONOMIC DESIGN ACCEPTS 4-6 FR LEAD	SUP-DS2A003	CDM			270	RC		inpatient			100	100																																																			
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL HYDROPHILIC STRAIGHT L260 CM L3 CM OD.035 IN STIFF SHAFT FLEXIBLE	SUP-GS3504	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL HYDROPHILIC STRAIGHT L260 CM L3 CM OD.035 IN STIFF SHAFT FLEXIBLE	SUP-GS3504	CDM			270	RC		inpatient			100	100																																																			
PROSTATE SEEDS THERAGENICS	SUP-ISOTOPE PD-103	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
PROSTATE SEEDS THERAGENICS	SUP-ISOTOPE PD-103	CDM			270	RC		inpatient			100	100																																																			
TIP 25G GRIESHABER ADVANCED BACKFLUSH TIP	SUP-S9.3010.25	CDM			270	RC		outpatient			100	1	27.09				percent of total billed charges		100				other	OPPS APC	74				percent of total billed charges		100				other	OPPS APC	100				other	OPPS APC	27.09				percent of total billed charges		27.63				percent of total billed charges		1				other	OPPS APC	1	100	
TIP 25G GRIESHABER ADVANCED BACKFLUSH TIP	SUP-S9.3010.25	CDM			270	RC		inpatient			100	100																																																			
CATHETER ANGIOGRAPHIC BERENSTEIN CURVE 5FR 65CM CEREBRAL BRAID TORQUE SELECTIVE	SUP-M001314101	CDM			270	RC		outpatient			99.82	99.82	27.04				percent of total billed charges		99.82				other	OPPS APC	73.87				percent of total billed charges		99.82				other	OPPS APC	99.82				other	OPPS APC	27.04				percent of total billed charges		27.58				percent of total billed charges		99.82				other	OPPS APC	27.04	99.82	
CATHETER ANGIOGRAPHIC BERENSTEIN CURVE 5FR 65CM CEREBRAL BRAID TORQUE SELECTIVE	SUP-M001314101	CDM			270	RC		inpatient			99.82	99.82																																																			
POTASSIUM PHOSPHATES 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	65219-054-09	NDC				inpatient			99.76	99.76																																																			
POTASSIUM PHOSPHATES 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	65219-054-09	NDC				outpatient			99.76	99.76																																															other	OPPS APC			
GUIDEWIRE VASCULAR GLIDEWIRE HYDROPHILIC ANGLE L260 CM L3 CM OD.035 IN STIFF SHAFT	SUP-GS3509	CDM						inpatient			99.7	99.7																																																			
GUIDEWIRE VASCULAR GLIDEWIRE HYDROPHILIC ANGLE L260 CM L3 CM OD.035 IN STIFF SHAFT	SUP-GS3509	CDM						outpatient			99.7	99.73	99.7				percent of total billed charges		99.7				other	OPPS APC	99.7				fee schedule		99.7				other	OPPS APC	99.7				other	OPPS APC	99.7				case rate		99.7				case rate		99.73				other	OPPS APC	99.7	99.73	
SCREW BONE STAINLESS STEEL T8 L16 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.516	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE STAINLESS STEEL T8 L16 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.516	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE LCP STAINLESS STEEL T8 L20 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.520	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE LCP STAINLESS STEEL T8 L20 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.520	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE LCP STAINLESS STEEL T8 L30 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.530	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE LCP STAINLESS STEEL T8 L30 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.530	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE STAINLESS STEEL T8 L48 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.548	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE STAINLESS STEEL T8 L48 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.548	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE LCP STAINLESS STEEL T8 L50 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.550	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE LCP STAINLESS STEEL T8 L50 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.550	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE LCP T8 58MM 2.7MM SS NS ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE	SUP-02.118.558	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE LCP T8 58MM 2.7MM SS NS ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE	SUP-02.118.558	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE LCP STAINLESS STEEL T8 L62 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.562	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE LCP STAINLESS STEEL T8 L62 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.562	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SCREW BONE STAINLESS STEEL T8 L66 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP LOW PROFILE HEAD STARDRIVE NONSTERILE	SUP-02.118.566	CDM	270010022	LOCAL	270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SCREW BONE STAINLESS STEEL T8 L66 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP LOW PROFILE HEAD STARDRIVE NONSTERILE	SUP-02.118.566	CDM	270010022	LOCAL	270	RC		inpatient			99.6	99.6																																																			
SOLUTION OPHTHALMIC VISIONBLUE .5ML TRYPAN VIAL	SUP-VBL-10-S-USA	CDM			270	RC		outpatient			99.6	99.6	26.98				percent of total billed charges		99.6				other	OPPS APC	73.7				percent of total billed charges		99.6				other	OPPS APC	99.6				other	OPPS APC	26.98				percent of total billed charges		27.52				percent of total billed charges		99.6				other	OPPS APC	26.98	99.6	
SOLUTION OPHTHALMIC VISIONBLUE .5ML TRYPAN VIAL	SUP-VBL-10-S-USA	CDM			270	RC		inpatient			99.6	99.6																																																			
ARTERIAL A-LINE KIT	SUP-12-00072	CDM			272	RC		outpatient			99.54	99.55	26.97				percent of total billed charges		99.54				other	OPPS APC	73.66				percent of total billed charges		99.54				other	OPPS APC	99.54				other	OPPS APC	26.97				percent of total billed charges		27.5				percent of total billed charges		99.55				other	OPPS APC	26.97	99.55	
ARTERIAL A-LINE KIT	SUP-12-00072	CDM			272	RC		inpatient			99.54	99.54																																																			
INTRODUCER SHEATH PEEL-AWAY LG 13CM 20CM 22FR DISPOSABLE STERILE PERCUTANEOUS DILATOR ACCEPTS .038IN GUIDEWIRE	SUP-G04096	CDM			270	RC		outpatient			99.52	99.52	26.96				percent of total billed charges		99.52				other	OPPS APC	73.64				percent of total billed charges		99.52				other	OPPS APC	99.52				other	OPPS APC	26.96				percent of total billed charges		27.5				percent of total billed charges		99.52				other	OPPS APC	26.96	99.52	
INTRODUCER SHEATH PEEL-AWAY LG 13CM 20CM 22FR DISPOSABLE STERILE PERCUTANEOUS DILATOR ACCEPTS .038IN GUIDEWIRE	SUP-G04096	CDM			270	RC		inpatient			99.52	99.52																																																			
DRAPE CRANIOTOMY	SUP-74-00439	CDM			272	RC		outpatient			99.21	99.3	26.88				percent of total billed charges		99.21				other	OPPS APC	73.42				percent of total billed charges		99.21				other	OPPS APC	99.21				other	OPPS APC	26.88				percent of total billed charges		27.41				percent of total billed charges		99.3				other	OPPS APC	26.88	99.3	
DRAPE CRANIOTOMY	SUP-74-00439	CDM			272	RC		inpatient			99.21	99.21																																																			
AZTREONAM 1 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0409-0829-11	NDC	J0457	HCPCS		inpatient			99	99																																																			
AZTREONAM 1 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0409-0829-11	NDC	J0457	HCPCS		outpatient			99	2.74																																											2.74				other	OPPS APC	2.74	2.74	
HC Diabetes OP Self Mgmt Indiv.	PX-942001080	CDM			942	RC		outpatient			99	53.84	99				fee schedule		53.84				fee schedule		73.26				percent of total billed charges		53.84				fee schedule		53.84				fee schedule		48.51				percent of total billed charges		50.49				percent of total billed charges		53.84				fee schedule		48.51	99	
HC Diabetes OP Self Mgmt Indiv.	PX-942001080	CDM			942	RC		inpatient			99	99																																																			
BURR SURGICAL L45 MM OD3 MM STERILE	SUP-03.000.009S	CDM	270010022	LOCAL	270	RC		outpatient			99	99	26.82				percent of total billed charges		99				other	OPPS APC	73.26				percent of total billed charges		99				other	OPPS APC	99				other	OPPS APC	26.82				percent of total billed charges		27.35				percent of total billed charges		99				other	OPPS APC	26.82	99	
BURR SURGICAL L45 MM OD3 MM STERILE	SUP-03.000.009S	CDM	270010022	LOCAL	270	RC		inpatient			99	99																																																			
BURR SURGICAL SMALL OD2 MM ROUND STERILE	SUP-03.000.230S	CDM	270010022	LOCAL	270	RC		outpatient			99	99	26.82				percent of total billed charges		99				other	OPPS APC	73.26				percent of total billed charges		99				other	OPPS APC	99				other	OPPS APC	26.82				percent of total billed charges		27.35				percent of total billed charges		99				other	OPPS APC	26.82	99	
BURR SURGICAL SMALL OD2 MM ROUND STERILE	SUP-03.000.230S	CDM	270010022	LOCAL	270	RC		inpatient			99	99																																																			
CHAMBER HUMIDIFYING MOISTAR	SUP-20010	CDM			270	RC		outpatient			99	99	26.82				percent of total billed charges		99				other	OPPS APC	73.26				percent of total billed charges		99				other	OPPS APC	99				other	OPPS APC	26.82				percent of total billed charges		27.35				percent of total billed charges		99				other	OPPS APC	26.82	99	
CHAMBER HUMIDIFYING MOISTAR	SUP-20010	CDM			270	RC		inpatient			99	99																																																			
8F VISTA GUIDE JL 4.0 90CM	SUP-588823T	CDM			481	RC		outpatient			99	99	48.51				percent of total billed charges		99				other	OPPS APC	73.26				percent of total billed charges		99				other	OPPS APC	99				other	OPPS APC	48.51				percent of total billed charges		50.49				percent of total billed charges		99				other	OPPS APC	48.51	99	
8F VISTA GUIDE JL 4.0 90CM	SUP-588823T	CDM			481	RC		inpatient			99	99																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 4 CURVE L100 CM L.1 IN OD6 FR ID.07 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67005600	CDM			481	RC		outpatient			99	99	48.51				percent of total billed charges		99				other	OPPS APC	73.26				percent of total billed charges		99				other	OPPS APC	99				other	OPPS APC	48.51				percent of total billed charges		50.49				percent of total billed charges		99				other	OPPS APC	48.51	99	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 4 CURVE L100 CM L.1 IN OD6 FR ID.07 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67005600	CDM			481	RC		inpatient			99	99																																																			
6F LAUNCHER GUIDE JL 6.0	SUP-LA6JL60	CDM			481	RC		outpatient			99	99	48.51				percent of total billed charges		99				other	OPPS APC	73.26				percent of total billed charges		99				other	OPPS APC	99				other	OPPS APC	48.51				percent of total billed charges		50.49				percent of total billed charges		99				other	OPPS APC	48.51	99	
6F LAUNCHER GUIDE JL 6.0	SUP-LA6JL60	CDM			481	RC		inpatient			99	99																																																			
SCREW BONE LCP STAINLESS STEEL T8 L6 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.756	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L6 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.756	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L8 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.758	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L8 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.758	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L9 MM OD2.4 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.759	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L9 MM OD2.4 MM SMALL BONE STARDRIVE SELF TAP LOCK THREAD HEAD PROFILE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.759	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L10 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.760	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L10 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.760	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L11 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.761	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L11 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.761	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L12 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.762	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L12 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.762	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L13 MM OD2.4 MM RADIUS CORTEX DISTAL VOLAR SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-201.763	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L13 MM OD2.4 MM RADIUS CORTEX DISTAL VOLAR SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-201.763	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L14 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.764	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L14 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.764	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL L16 MM OD2.4 MM ODSEC4 MM RADIUS CORTEX DISTAL T8 STARDRIVE SELF TAP LOW PROFILE HEAD VARIABLE ANGLE NONSTERILE PLATE SYSTEM	SUP-201.766	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL L16 MM OD2.4 MM ODSEC4 MM RADIUS CORTEX DISTAL T8 STARDRIVE SELF TAP LOW PROFILE HEAD VARIABLE ANGLE NONSTERILE PLATE SYSTEM	SUP-201.766	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L18 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.768	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L18 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.768	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L20 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.770	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L20 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.770	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE T8 22MM 2.4MM SS NS CORTEX SM BONE SELF TAP SELF RETAINING STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.772	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE T8 22MM 2.4MM SS NS CORTEX SM BONE SELF TAP SELF RETAINING STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-201.772	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L24 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.774	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L24 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.774	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L26 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.776	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L26 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.776	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.778	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.778	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L30 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.780	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L30 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.780	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL L32 MM OD2.4 MM ODSEC3.5 MM FOREFOOT MIDFOOT CORTICAL SELF TAP CRUCIFORM T8 STARDRIVE RECESS NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.782	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL L32 MM OD2.4 MM ODSEC3.5 MM FOREFOOT MIDFOOT CORTICAL SELF TAP CRUCIFORM T8 STARDRIVE RECESS NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.782	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L34 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.784	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L34 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.784	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 L36 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.786	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 L36 MM OD2.4 MM SMALL BONE CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.786	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL L38 MM OD2.4 MM ODSEC4 MM CORTICAL SMALL BONE VARIABLESELF TAPPING T8 STARDRIVE RECESS NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.788	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL L38 MM OD2.4 MM ODSEC4 MM CORTICAL SMALL BONE VARIABLESELF TAPPING T8 STARDRIVE RECESS NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-201.788	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L40 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.790	CDM	270010022	LOCAL	270	RC		outpatient			98.94	98.94	26.8				percent of total billed charges		98.94				other	OPPS APC	73.22				percent of total billed charges		98.94				other	OPPS APC	98.94				other	OPPS APC	26.8				percent of total billed charges		27.34				percent of total billed charges		98.94				other	OPPS APC	26.8	98.94	
SCREW BONE LCP STAINLESS STEEL T8 LOW PROFILE L40 MM OD2.4 MM ODSEC4 MM RADIUS CORTICAL DISTAL VOLAR SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.790	CDM	270010022	LOCAL	270	RC		inpatient			98.94	98.94																																																			
COVER POSITIONING BOW FRAME SKIN CARE STANDARD	SUP-A-70810C	CDM			270	RC		outpatient			98.8	98.8	26.76				percent of total billed charges		98.8				other	OPPS APC	73.11				percent of total billed charges		98.8				other	OPPS APC	98.8				other	OPPS APC	26.76				percent of total billed charges		27.3				percent of total billed charges		98.8				other	OPPS APC	26.76	98.8	
COVER POSITIONING BOW FRAME SKIN CARE STANDARD	SUP-A-70810C	CDM			270	RC		inpatient			98.8	98.8																																																			
SCREW BONE CORTICAL SELF TAPPING MODULAR HAND SYSTEM TITANIUM 1.5 X 20MM	SUP-400-820.96	CDM	270010022	LOCAL	270	RC		outpatient			98.56	98.56	26.7				percent of total billed charges		98.56				other	OPPS APC	72.93				percent of total billed charges		98.56				other	OPPS APC	98.56				other	OPPS APC	26.7				percent of total billed charges		27.23				percent of total billed charges		98.56				other	OPPS APC	26.7	98.56	
SCREW BONE CORTICAL SELF TAPPING MODULAR HAND SYSTEM TITANIUM 1.5 X 20MM	SUP-400-820.96	CDM	270010022	LOCAL	270	RC		inpatient			98.56	98.56																																																			
SET INTRODUCER MICROPUNCTURE PUSH-PLUS NITINOL .018 IN L40 CM L10 CM OD4 FR TRANSITIONLESS STIFFENED CANNULA PLATINUM TIP NITINOL WIREGUIDE COAXIAL CATHETER STERILE DISPOSABLE	SUP-MPIS401-10.0SCNTSST	CDM			270	RC		outpatient			98.34	98.34	26.64				percent of total billed charges		98.34				other	OPPS APC	72.77				percent of total billed charges		98.34				other	OPPS APC	98.34				other	OPPS APC	26.64				percent of total billed charges		27.17				percent of total billed charges		98.34				other	OPPS APC	26.64	98.34	
SET INTRODUCER MICROPUNCTURE PUSH-PLUS NITINOL .018 IN L40 CM L10 CM OD4 FR TRANSITIONLESS STIFFENED CANNULA PLATINUM TIP NITINOL WIREGUIDE COAXIAL CATHETER STERILE DISPOSABLE	SUP-MPIS401-10.0SCNTSST	CDM			270	RC		inpatient			98.34	98.34																																																			
BLADE SAW STAINLESS STEEL THK.05 IN L3.543 IN X W.709 IN 2 CUT SAGITTAL STERILE LATEX FREE	SUP-4118-127-090	CDM			270	RC		outpatient			98.32	98.32	26.63				percent of total billed charges		98.32				other	OPPS APC	72.76				percent of total billed charges		98.32				other	OPPS APC	98.32				other	OPPS APC	26.63				percent of total billed charges		27.17				percent of total billed charges		98.32				other	OPPS APC	26.63	98.32	
BLADE SAW STAINLESS STEEL THK.05 IN L3.543 IN X W.709 IN 2 CUT SAGITTAL STERILE LATEX FREE	SUP-4118-127-090	CDM			270	RC		inpatient			98.32	98.32																																																			
REPIC SAW BLADE 277-96-277	SUP-78-00361	CDM			272	RC		outpatient			98.32	98.32	26.63				percent of total billed charges		98.32				other	OPPS APC	72.76				percent of total billed charges		98.32				other	OPPS APC	98.32				other	OPPS APC	26.63				percent of total billed charges		27.17				percent of total billed charges		98.32				other	OPPS APC	26.63	98.32	
REPIC SAW BLADE 277-96-277	SUP-78-00361	CDM			272	RC		inpatient			98.32	98.32																																																			
SCREW BONE PARTIAL THREAD 90MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.09	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE PARTIAL THREAD 90MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.09	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 90MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.090	CDM						inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 90MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.090	CDM						outpatient			98.1	99	98.1				percent of total billed charges		98.1				other	OPPS APC	98.1				fee schedule		98.1				other	OPPS APC	98.1				other	OPPS APC	98.1				case rate		98.1				case rate		99				other	OPPS APC	98.1	99	
SCREW BONE PARTIAL THREAD 100MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.1	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE PARTIAL THREAD 100MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.1	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 100MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.100	CDM						inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 100MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.100	CDM						outpatient			98.1	99	98.1				percent of total billed charges		98.1				other	OPPS APC	98.1				fee schedule		98.1				other	OPPS APC	98.1				other	OPPS APC	98.1				case rate		98.1				case rate		99				other	OPPS APC	98.1	99	
SCREW BONE PARTIAL THREAD 110MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.11	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE PARTIAL THREAD 110MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.11	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
SCREW BONE PARTIAL THREAD 110MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.110	CDM						inpatient			98.1	98.1																																																			
SCREW BONE PARTIAL THREAD 110MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.110	CDM						outpatient			98.1	99	98.1				percent of total billed charges		98.1				other	OPPS APC	98.1				fee schedule		98.1				other	OPPS APC	98.1				other	OPPS APC	98.1				case rate		98.1				case rate		99				other	OPPS APC	98.1	99	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L90 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.09	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L90 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.09	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 90MM 32MM LCP DCP LC-DCP SS LG HEXAGON LONG BONE CANCELLOUS	SUP-217.090	CDM						inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 90MM 32MM LCP DCP LC-DCP SS LG HEXAGON LONG BONE CANCELLOUS	SUP-217.090	CDM						outpatient			98.1	99	98.1				percent of total billed charges		98.1				other	OPPS APC	98.1				fee schedule		98.1				other	OPPS APC	98.1				other	OPPS APC	98.1				case rate		98.1				case rate		99				other	OPPS APC	98.1	99	
SCREW BONE PARTIAL THREAD 100MM 32MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-217.1	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE PARTIAL THREAD 100MM 32MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-217.1	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 100MM 32MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-217.100	CDM						inpatient			98.1	98.1																																																			
SCREW BONE 6.5MM 8MM 100MM 32MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-217.100	CDM						outpatient			98.1	99	98.1				percent of total billed charges		98.1				other	OPPS APC	98.1				fee schedule		98.1				other	OPPS APC	98.1				other	OPPS APC	98.1				case rate		98.1				case rate		99				other	OPPS APC	98.1	99	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L110 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.11	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L110 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.11	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L110 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.110	CDM	270010022	LOCAL	270	RC		outpatient			98.1	99	26.58				percent of total billed charges		98.1				other	OPPS APC	72.59				percent of total billed charges		98.1				other	OPPS APC	98.1				other	OPPS APC	26.58				percent of total billed charges		27.11				percent of total billed charges		99				other	OPPS APC	26.58	99	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L110 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.110	CDM	270010022	LOCAL	270	RC		inpatient			98.1	98.1																																																			
PROBE HEMOSTATIC ERASER WET-FIELD 150 D ANGLE TAPER OD25 GA BIPOLAR FINE TIP HOLLOW CORE TARGET COAGULATION STERILE LATEX FREE	SUP-221267	CDM			270	RC		outpatient			98	98	26.55				percent of total billed charges		98				other	OPPS APC	72.52				percent of total billed charges		98				other	OPPS APC	98				other	OPPS APC	26.55				percent of total billed charges		27.08				percent of total billed charges		98				other	OPPS APC	26.55	98	
PROBE HEMOSTATIC ERASER WET-FIELD 150 D ANGLE TAPER OD25 GA BIPOLAR FINE TIP HOLLOW CORE TARGET COAGULATION STERILE LATEX FREE	SUP-221267	CDM			270	RC		inpatient			98	98																																																			
KNIFE SURGICAL CLEARCUT HP2 W2.8 MM CUT ANGLED SLIT STERILE DISPOSABLE CLEAR HP2DB	SUP-8065982865	CDM			270	RC		outpatient			98	98	26.55				percent of total billed charges		98				other	OPPS APC	72.52				percent of total billed charges		98				other	OPPS APC	98				other	OPPS APC	26.55				percent of total billed charges		27.08				percent of total billed charges		98				other	OPPS APC	26.55	98	
KNIFE SURGICAL CLEARCUT HP2 W2.8 MM CUT ANGLED SLIT STERILE DISPOSABLE CLEAR HP2DB	SUP-8065982865	CDM			270	RC		inpatient			98	98																																																			
SYSTEM DRAINAGE PLEUR-EVAC PLASTIC SMALL STATURE 2500 ML 16 LPM CONTINUOUS REINFUSION DRY SUCTION LATEX FREE	SUP-A-9250LF	CDM	270009032	LOCAL	270	RC		outpatient			98	98	26.55				percent of total billed charges		98				other	OPPS APC	72.52				percent of total billed charges		98				other	OPPS APC	98				other	OPPS APC	26.55				percent of total billed charges		27.08				percent of total billed charges		98				other	OPPS APC	26.55	98	
SYSTEM DRAINAGE PLEUR-EVAC PLASTIC SMALL STATURE 2500 ML 16 LPM CONTINUOUS REINFUSION DRY SUCTION LATEX FREE	SUP-A-9250LF	CDM	270009032	LOCAL	270	RC		inpatient			98	98																																																			
SLEEVE LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW UNIVERSAL L100 MM OD11 MM BLUNT TIP RADIOPAQUE TROCAR CANNULA STERILE LATEX FREE DISPOSABLE	SUP-CB11LT	CDM			270	RC		outpatient			98	98	26.55				percent of total billed charges		98				other	OPPS APC	72.52				percent of total billed charges		98				other	OPPS APC	98				other	OPPS APC	26.55				percent of total billed charges		27.08				percent of total billed charges		98				other	OPPS APC	26.55	98	
SLEEVE LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW UNIVERSAL L100 MM OD11 MM BLUNT TIP RADIOPAQUE TROCAR CANNULA STERILE LATEX FREE DISPOSABLE	SUP-CB11LT	CDM			270	RC		inpatient			98	98																																																			
TROCAR ZTHREAD 15MM X 100MM	SUP-COR37	CDM			270	RC		outpatient			98	98	26.55				percent of total billed charges		98				other	OPPS APC	72.52				percent of total billed charges		98				other	OPPS APC	98				other	OPPS APC	26.55				percent of total billed charges		27.08				percent of total billed charges		98				other	OPPS APC	26.55	98	
TROCAR ZTHREAD 15MM X 100MM	SUP-COR37	CDM			270	RC		inpatient			98	98																																																			
SAGITTAL SAW BLADE LARGE	SUP-MA-2108-109	CDM			270	RC		outpatient			98	98	26.55				percent of total billed charges		98				other	OPPS APC	72.52				percent of total billed charges		98				other	OPPS APC	98				other	OPPS APC	26.55				percent of total billed charges		27.08				percent of total billed charges		98				other	OPPS APC	26.55	98	
SAGITTAL SAW BLADE LARGE	SUP-MA-2108-109	CDM			270	RC		inpatient			98	98																																																			
SCREW BONE STAINLESS STEEL L18 MM OD2.4 MM ODSEC3.5 MM RADIUS CORTICAL DISTAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.618	CDM	270010022	LOCAL	270	RC		outpatient			97.9	97.96	26.52				percent of total billed charges		97.9				other	OPPS APC	72.45				percent of total billed charges		97.9				other	OPPS APC	97.9				other	OPPS APC	26.52				percent of total billed charges		27.05				percent of total billed charges		97.96				other	OPPS APC	26.52	97.96	
SCREW BONE STAINLESS STEEL L18 MM OD2.4 MM ODSEC3.5 MM RADIUS CORTICAL DISTAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.618	CDM	270010022	LOCAL	270	RC		inpatient			97.9	97.9																																																			
Catheter-Swan Ganz 7.5fr Paceport	PX-270000029	CDM			270	RC		outpatient			97.86	97.86	26.51				percent of total billed charges		97.86				other	OPPS APC	97.86				fee schedule		97.86				other	OPPS APC	97.86				other	OPPS APC	26.51				percent of total billed charges		27.04				percent of total billed charges		97.86				other	OPPS APC	26.51	97.86	
Catheter-Swan Ganz 7.5fr Paceport	PX-270000029	CDM			270	RC		inpatient			97.86	97.86																																																			
Trach Cuffless Fenstrated 8cfn	PX-270000039	CDM			270	RC		outpatient			97.81	97.81	26.5				percent of total billed charges		97.81				other	OPPS APC	97.81				fee schedule		97.81				other	OPPS APC	97.81				other	OPPS APC	26.5				percent of total billed charges		27.02				percent of total billed charges		97.81				other	OPPS APC	26.5	97.81	
Trach Cuffless Fenstrated 8cfn	PX-270000039	CDM			270	RC		inpatient			97.81	97.81																																																			
BLADE SAW MEDIUM LONG L85 MM X W21 MM X H.9 MM SAGITTAL STERILE	SUP-2108109000S9	CDM			270	RC		outpatient			97.56	97.56	26.43				percent of total billed charges		97.56				other	OPPS APC	72.19				percent of total billed charges		97.56				other	OPPS APC	97.56				other	OPPS APC	26.43				percent of total billed charges		26.96				percent of total billed charges		97.56				other	OPPS APC	26.43	97.56	
BLADE SAW MEDIUM LONG L85 MM X W21 MM X H.9 MM SAGITTAL STERILE	SUP-2108109000S9	CDM			270	RC		inpatient			97.56	97.56																																																			
METHYLPREDNISOLONE PER 125 MG	636000000	CDM	43598-130-74	NDC	J2919	HCPCS		inpatient			97.5	97.5																																																			
METHYLPREDNISOLONE PER 125 MG	636000000	CDM	43598-130-74	NDC	J2919	HCPCS		outpatient			97.5	97.5																																															other	OPPS APC			
SCREW BONE THINFLAP L3.5 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL CROSS DRIVE	SUP-91-6703	CDM			270	RC		outpatient			97.5	97.5	26.41				percent of total billed charges		97.5				other	OPPS APC	72.15				percent of total billed charges		97.5				other	OPPS APC	97.5				other	OPPS APC	26.41				percent of total billed charges		26.94				percent of total billed charges		97.5				other	OPPS APC	26.41	97.5	
SCREW BONE THINFLAP L3.5 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILL CROSS DRIVE	SUP-91-6703	CDM			270	RC		inpatient			97.5	97.5																																																			
SCREW BONE STERILETRAC THINFLAP LORENZ TITANIUM L3.5 MM OD1.8 MM CRANIOMAXILLOFACIAL EMERGENCY CROSS DRIVE	SUP-91-6903	CDM			270	RC		outpatient			97.5	97.5	26.41				percent of total billed charges		97.5				other	OPPS APC	72.15				percent of total billed charges		97.5				other	OPPS APC	97.5				other	OPPS APC	26.41				percent of total billed charges		26.94				percent of total billed charges		97.5				other	OPPS APC	26.41	97.5	
SCREW BONE STERILETRAC THINFLAP LORENZ TITANIUM L3.5 MM OD1.8 MM CRANIOMAXILLOFACIAL EMERGENCY CROSS DRIVE	SUP-91-6903	CDM			270	RC		inpatient			97.5	97.5																																																			
MATERIAL FILLING 35% CRESOL 19% FORMOCRESOL 17.5% GLYCERIN 1 OZ DEVITALIZE BUCKLEYS	SUP-3120158	CDM						inpatient			97.49	97.49																																																			
MATERIAL FILLING 35% CRESOL 19% FORMOCRESOL 17.5% GLYCERIN 1 OZ DEVITALIZE BUCKLEYS	SUP-3120158	CDM						outpatient			97.49	97.49	97.49				percent of total billed charges		97.49				other	OPPS APC	97.49				fee schedule		97.49				other	OPPS APC	97.49				other	OPPS APC	97.49				case rate		97.49				case rate		97.49				other	OPPS APC	97.49	97.49	
DRAPE EQUIPMENT VELYS SATELLITE STATION STERILE	SUP-451570019	CDM			270	RC		outpatient			97.4	97.46	26.39				percent of total billed charges		97.4				other	OPPS APC	72.08				percent of total billed charges		97.4				other	OPPS APC	97.4				other	OPPS APC	26.39				percent of total billed charges		26.91				percent of total billed charges		97.46				other	OPPS APC	26.39	97.46	
DRAPE EQUIPMENT VELYS SATELLITE STATION STERILE	SUP-451570019	CDM			270	RC		inpatient			97.4	97.4																																																			
SCREW CORTEX NON LOCKING 3.5MM X 30MM	SUP-97-01353	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5MM X 30MM	SUP-97-01353	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX NON LOCKING 3.5MM X 32MM	SUP-97-01588	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5MM X 32MM	SUP-97-01588	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX NON LOCKING 3.5MM X 75MM	SUP-97-02400	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5MM X 75MM	SUP-97-02400	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX NON LOCKING 3.5MM X 65MM	SUP-97-03488	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5MM X 65MM	SUP-97-03488	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX NON LOCKING 3.5MM X 36MM	SUP-97-03562	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5MM X 36MM	SUP-97-03562	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW 3.5 X 18MM CORTEX TI	SUP-97-05866	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW 3.5 X 18MM CORTEX TI	SUP-97-05866	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX NON LOCKING 3.5 X 38MM	SUP-97-06111	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5 X 38MM	SUP-97-06111	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX NON LOCKING 3.5MM X 85MM	SUP-97-06388	CDM			278	RC		outpatient			97.28	97.28	97.28				fee schedule		97.28				other	OPPS APC	55.45				percent of total billed charges		97.28				other	OPPS APC	97.28				other	OPPS APC	47.67				percent of total billed charges		49.61				percent of total billed charges		97.28				other	OPPS APC	47.67	97.28	
SCREW CORTEX NON LOCKING 3.5MM X 85MM	SUP-97-06388	CDM			278	RC		inpatient			97.28	97.28																																																			
SCREW CORTEX 3.5 X 30MM	SUP-97-01347	CDM			278	RC		outpatient			97.12	97.13	97.12				fee schedule		97.12				other	OPPS APC	55.36				percent of total billed charges		97.12				other	OPPS APC	97.12				other	OPPS APC	47.59				percent of total billed charges		49.53				percent of total billed charges		97.13				other	OPPS APC	47.59	97.13	
SCREW CORTEX 3.5 X 30MM	SUP-97-01347	CDM			278	RC		inpatient			97.12	97.12																																																			
SCREW CORTEX 3.5 X 28MM	SUP-97-02769	CDM			278	RC		outpatient			97.12	97.13	97.12				fee schedule		97.12				other	OPPS APC	55.36				percent of total billed charges		97.12				other	OPPS APC	97.12				other	OPPS APC	47.59				percent of total billed charges		49.53				percent of total billed charges		97.13				other	OPPS APC	47.59	97.13	
SCREW CORTEX 3.5 X 28MM	SUP-97-02769	CDM			278	RC		inpatient			97.12	97.12																																																			
CATHETER - GLIDECATH 4F 65CM ANGLED	SUP-CG415	CDM			270	RC		outpatient			97.1	98	26.3				percent of total billed charges		97.1				other	OPPS APC	71.85				percent of total billed charges		97.1				other	OPPS APC	97.1				other	OPPS APC	26.3				percent of total billed charges		26.83				percent of total billed charges		98				other	OPPS APC	26.3	98	
CATHETER - GLIDECATH 4F 65CM ANGLED	SUP-CG415	CDM			270	RC		inpatient			97.1	97.1																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L65 CM L15 CM OD4 FR ID.041 IN 2 BRAID	SUP-CG415	CDM			270	RC		outpatient			97.1	98	26.3				percent of total billed charges		97.1				other	OPPS APC	71.85				percent of total billed charges		97.1				other	OPPS APC	97.1				other	OPPS APC	26.3				percent of total billed charges		26.83				percent of total billed charges		98				other	OPPS APC	26.3	98	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L65 CM L15 CM OD4 FR ID.041 IN 2 BRAID	SUP-CG415	CDM			270	RC		inpatient			97.1	97.1																																																			
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L120 CM OD4 FR ID.041 IN 2 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG417	CDM			270	RC		outpatient			97.1	98	26.3				percent of total billed charges		97.1				other	OPPS APC	71.85				percent of total billed charges		97.1				other	OPPS APC	97.1				other	OPPS APC	26.3				percent of total billed charges		26.83				percent of total billed charges		98				other	OPPS APC	26.3	98	
CATHETER ANGIOGRAPHIC GLIDECATH GLIDE TECHNOLOGY STAINLESS STEEL HYDROPHILIC ANGLE L120 CM OD4 FR ID.041 IN 2 BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-CG417	CDM			270	RC		inpatient			97.1	97.1																																																			
CATHETER ANGIOGRAPHIC GLIDECATH RADIFOCUS STAINLESS STEEL HYDROPHILIC SIM1 CURVE L100 CM OD5 FR PERIPHERAL BRAID STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-CG510	CDM			270	RC		outpatient			97.1	98	26.3				percent of total billed charges		97.1				other	OPPS APC	71.85				percent of total billed charges		97.1				other	OPPS APC	97.1				other	OPPS APC	26.3				percent of total billed charges		26.83				percent of total billed charges		98				other	OPPS APC	26.3	98	
CATHETER ANGIOGRAPHIC GLIDECATH RADIFOCUS STAINLESS STEEL HYDROPHILIC SIM1 CURVE L100 CM OD5 FR PERIPHERAL BRAID STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-CG510	CDM			270	RC		inpatient			97.1	97.1																																																			
CATHETER ANGIOGRAPHIC GLIDECATH RADIFOCUS STAINLESS STEEL HYDROPHILIC SIM3 CURVE L100 CM OD5 FR CEREBRAL BRAID STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-CG512	CDM			270	RC		outpatient			97.1	98	26.3				percent of total billed charges		97.1				other	OPPS APC	71.85				percent of total billed charges		97.1				other	OPPS APC	97.1				other	OPPS APC	26.3				percent of total billed charges		26.83				percent of total billed charges		98				other	OPPS APC	26.3	98	
CATHETER ANGIOGRAPHIC GLIDECATH RADIFOCUS STAINLESS STEEL HYDROPHILIC SIM3 CURVE L100 CM OD5 FR CEREBRAL BRAID STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-CG512	CDM			270	RC		inpatient			97.1	97.1																																																			
HC Renal Profile (Renal)	PX-300800690	CDM	80069	CPT	301	RC		outpatient			97	8.68	11.61				fee schedule		8.68				fee schedule		23.05				fee schedule		8.68				fee schedule		8.68				fee schedule		8.68				fee schedule		8.68				fee schedule		8.68				fee schedule		8.68	23.05	
HC Renal Profile (Renal)	PX-300800690	CDM	80069	CPT	301	RC		inpatient			97	97																																																			
HC Salicylate Serum (Sali)	PX-300803020	CDM	80179	CPT	300	RC		outpatient			97	97	18.27				fee schedule		97				fee schedule		43.43				fee schedule		97				fee schedule		97				fee schedule		18.64				fee schedule		18.64				fee schedule		97				fee schedule		18.27	97	
HC Salicylate Serum (Sali)	PX-300803020	CDM	80179	CPT	300	RC		inpatient			97	97																																																			
HC Ucg Spot Test (Ucg)	PX-300810250	CDM	81025	CPT	300	RC		outpatient			97	8.7	8.46				fee schedule		8.61				fee schedule		16.8				fee schedule		8.61				fee schedule		8.61				fee schedule		8.61				fee schedule		8.61				fee schedule		8.7				fee schedule		8.46	16.8	
HC Ucg Spot Test (Ucg)	PX-300810250	CDM	81025	CPT	300	RC		inpatient			97	97																																																			
HC Copper	PX-300825250	CDM	82525	CPT	301	RC		outpatient			97	12.41	16.59				fee schedule		12.41				fee schedule		27.66				fee schedule		12.41				fee schedule		12.41				fee schedule		12.41				fee schedule		12.41				fee schedule		12.41				fee schedule		12.41	27.66	
HC Copper	PX-300825250	CDM	82525	CPT	301	RC		inpatient			97	97																																																			
HC Cpk-Mb (CKMB)	PX-300825530	CDM	82553	CPT	301	RC		outpatient			97	11.55	10.14				fee schedule		11.55				fee schedule		20.44				fee schedule		11.55				fee schedule		11.55				fee schedule		11.55				fee schedule		11.55				fee schedule		11.55				fee schedule		10.14	20.44	
HC Cpk-Mb (CKMB)	PX-300825530	CDM	82553	CPT	301	RC		inpatient			97	97																																																			
HC Ige (Ige)	PX-300827850	CDM	82785	CPT	301	RC		outpatient			97	16.46	22.02				fee schedule		16.46				fee schedule		43.72				fee schedule		16.46				fee schedule		16.46				fee schedule		16.46				fee schedule		16.46				fee schedule		16.46				fee schedule		16.46	43.72	
HC Ige (Ige)	PX-300827850	CDM	82785	CPT	301	RC		inpatient			97	97																																																			
HC B Type Naturiuretic Peptide	PX-300838800	CDM	83880	CPT	301	RC		outpatient			97	39.26	45.38				fee schedule		39.26				fee schedule		90.12				fee schedule		39.26				fee schedule		39.26				fee schedule		39.26				fee schedule		39.26				fee schedule		39.26				fee schedule		39.26	90.12	
HC B Type Naturiuretic Peptide	PX-300838800	CDM	83880	CPT	301	RC		inpatient			97	97																																																			
HC Zinc	PX-300846300	CDM	84630	CPT	301	RC		outpatient			97	11.39	15.22				fee schedule		11.39				fee schedule		27.66				fee schedule		11.39				fee schedule		11.39				fee schedule		11.39				fee schedule		11.39				fee schedule		11.39				fee schedule		11.39	27.66	
HC Zinc	PX-300846300	CDM	84630	CPT	301	RC		inpatient			97	97																																																			
HC Cbc W/Diff (Cbcd)	PX-300850250	CDM	85025	CPT	301	RC		outpatient			97	7.77	10.4				fee schedule		7.77				fee schedule		20.63				fee schedule		7.77				fee schedule		7.77				fee schedule		7.77				fee schedule		7.77				fee schedule		7.77				fee schedule		7.77	20.63	
HC Cbc W/Diff (Cbcd)	PX-300850250	CDM	85025	CPT	301	RC		inpatient			97	97																																																			
HC Fibrinogen Activity	PX-300853840	CDM	85384	CPT	305	RC		outpatient			97	9.73	11.35				fee schedule		9.72				fee schedule		22.55				fee schedule		9.72				fee schedule		9.72				fee schedule		9.72				fee schedule		9.72				fee schedule		9.73				fee schedule		9.72	22.55	
HC Fibrinogen Activity	PX-300853840	CDM	85384	CPT	305	RC		inpatient			97	97																																																			
HC Asto Titer (Asto)	PX-300860600	CDM	86060	CPT	300	RC		outpatient			97	7.3	9.76				fee schedule		7.3				fee schedule		19.38				fee schedule		7.3				fee schedule		7.3				fee schedule		7.3				fee schedule		7.3				fee schedule		7.3				fee schedule		7.3	19.38	
HC Asto Titer (Asto)	PX-300860600	CDM	86060	CPT	300	RC		inpatient			97	97																																																			
HC Anti-Hbe (Eab)	PX-300867070	CDM	86707	CPT	302	RC		outpatient			97	11.57	15.46				fee schedule		11.57				fee schedule		30.7				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57				fee schedule		11.57	30.7	
HC Anti-Hbe (Eab)	PX-300867070	CDM	86707	CPT	302	RC		inpatient			97	97																																																			
HC Sm Cult Respir (Resc)	PX-300870700	CDM	87070	CPT	300	RC		outpatient			97	8.62	11.52				fee schedule		8.62				fee schedule		22.86				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62	22.86	
HC Sm Cult Respir (Resc)	PX-300870700	CDM	87070	CPT	300	RC		inpatient			97	97																																																			
HC Sm Cult Genital (Gesc)	PX-300870701	CDM	87070	CPT	300	RC		outpatient			97	8.62	11.52				fee schedule		8.62				fee schedule		22.86				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62	22.86	
HC Sm Cult Genital (Gesc)	PX-300870701	CDM	87070	CPT	300	RC		inpatient			97	97																																																			
HC Sm Cult CSF (Sfsc)	PX-300870702	CDM	87070	CPT	300	RC		outpatient			97	8.62	11.52				fee schedule		8.62				fee schedule		22.86				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62	22.86	
HC Sm Cult CSF (Sfsc)	PX-300870702	CDM	87070	CPT	300	RC		inpatient			97	97																																																			
HC Cult Throat (Thrc)	PX-300870703	CDM	87070	CPT	300	RC		outpatient			97	8.62	11.52				fee schedule		8.62				fee schedule		22.86				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62	22.86	
HC Cult Throat (Thrc)	PX-300870703	CDM	87070	CPT	300	RC		inpatient			97	97																																																			
HC Sm Cult Misc (Misc)	PX-300870705	CDM	87070	CPT	300	RC		outpatient			97	8.62	11.52				fee schedule		8.62				fee schedule		22.86				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62				fee schedule		8.62	22.86	
HC Sm Cult Misc (Misc)	PX-300870705	CDM	87070	CPT	300	RC		inpatient			97	97																																																			
HC Mrsa Screen Culture(Mrsac)	PX-300870816	CDM	87081	CPT	300	RC		outpatient			97	6.63	8.87				fee schedule		6.63				fee schedule		17.59				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63	17.59	
HC Mrsa Screen Culture(Mrsac)	PX-300870816	CDM	87081	CPT	300	RC		inpatient			97	97																																																			
HC Staph. Aureus Screen Ortho	PX-300870817	CDM	87081	CPT	300	RC		outpatient			97	6.63	8.87				fee schedule		6.63				fee schedule		17.59				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63				fee schedule		6.63	17.59	
HC Staph. Aureus Screen Ortho	PX-300870817	CDM	87081	CPT	300	RC		inpatient			97	97																																																			
HC Cult Urine (Urnc)	PX-300870860	CDM	87086	CPT	300	RC		outpatient			97	8.73	10.79				fee schedule		8.07				fee schedule		21.43				fee schedule		8.07				fee schedule		8.07				fee schedule		8.07				fee schedule		8.07				fee schedule		8.73				fee schedule		8.07	21.43	
HC Cult Urine (Urnc)	PX-300870860	CDM	87086	CPT	300	RC		inpatient			97	97																																																			
HC Fungus Sm and Cult (Fusc)	PX-300871020	CDM	87102	CPT	300	RC		outpatient			97	8.41	11.23				fee schedule		8.41				fee schedule		22.31				fee schedule		8.41				fee schedule		8.41				fee schedule		8.41				fee schedule		8.41				fee schedule		8.41				fee schedule		8.41	22.31	
HC Fungus Sm and Cult (Fusc)	PX-300871020	CDM	87102	CPT	300	RC		inpatient			97	97																																																			
HC Hepatitis Be Antigen (Eag)	PX-300873500	CDM	87350	CPT	306	RC		outpatient			97	11.53	15.42				fee schedule		11.53				fee schedule		30.59				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53	30.59	
HC Hepatitis Be Antigen (Eag)	PX-300873500	CDM	87350	CPT	306	RC		inpatient			97	97																																																			
Hcg  Qualitative	PX-301847031	CDM	84703	CPT	301	RC		outpatient			97	7.52	10.05				fee schedule		7.52				fee schedule		19.93				fee schedule		7.52				fee schedule		7.52				fee schedule		7.52				fee schedule		7.52				fee schedule		7.52				fee schedule		7.52	19.93	
Hcg  Qualitative	PX-301847031	CDM	84703	CPT	301	RC		inpatient			97	97																																																			
HC Gardner Vag Dna Quant	PX-306875121	CDM	87512	CPT	306	RC		outpatient			97	41.76	37.94				fee schedule		41.76				fee schedule		75.34				fee schedule		41.76				fee schedule		41.76				fee schedule		41.76				fee schedule		41.76				fee schedule		41.76				fee schedule		37.94	75.34	
HC Gardner Vag Dna Quant	PX-306875121	CDM	87512	CPT	306	RC		inpatient			97	97																																																			
HC Cytology Thin Prep Manual	PX-311881420	CDM	88142	CPT	311	RC		outpatient			97	2.26	27.09				fee schedule		20.26				fee schedule		53.79				fee schedule		20.26				fee schedule		20.26				fee schedule		20.26				fee schedule		20.26				fee schedule		2.26				fee schedule		2.26	53.79	
HC Cytology Thin Prep Manual	PX-311881420	CDM	88142	CPT	311	RC		inpatient			97	97																																																			
Interactive Complexity	PX-900908751	CDM	90875	CPT	900	RC		outpatient			97	97	97				fee schedule		97				other	OPPS APC	71.78				percent of total billed charges		97				other	OPPS APC	97				other	OPPS APC	47.53				percent of total billed charges		49.47				percent of total billed charges		97				other	OPPS APC	47.53	97	
Interactive Complexity	PX-900908751	CDM	90875	CPT	900	RC		inpatient			97	97																																																			
SUTURE POLYPROPOLENE NEEDLE:AUM-5 SIZE:10-0 LENGTH:12IN	SUP-8065304901	CDM			270	RC		outpatient			97	97	26.28				percent of total billed charges		97				other	OPPS APC	71.78				percent of total billed charges		97				other	OPPS APC	97				other	OPPS APC	26.28				percent of total billed charges		26.8				percent of total billed charges		97				other	OPPS APC	26.28	97	
SUTURE POLYPROPOLENE NEEDLE:AUM-5 SIZE:10-0 LENGTH:12IN	SUP-8065304901	CDM			270	RC		inpatient			97	97																																																			
INTRODUCER SHEATH PEEL-AWAY L15.5 CM OD9 FR PERCUTANEOUS STERILE DISPOSABLE	SUP-G01697	CDM			270	RC		outpatient			96.86	96.86	26.24				percent of total billed charges		96.86				other	OPPS APC	71.68				percent of total billed charges		96.86				other	OPPS APC	96.86				other	OPPS APC	26.24				percent of total billed charges		26.76				percent of total billed charges		96.86				other	OPPS APC	26.24	96.86	
INTRODUCER SHEATH PEEL-AWAY L15.5 CM OD9 FR PERCUTANEOUS STERILE DISPOSABLE	SUP-G01697	CDM			270	RC		inpatient			96.86	96.86																																																			
IODINE STRONG 5 % SOLUTION	250000000	CDM	48433-230-15	NDC				inpatient			96.75	96.75																																																			
IODINE STRONG 5 % SOLUTION	250000000	CDM	48433-230-15	NDC				outpatient			96.75	96.75																																															other	OPPS APC			
SHOE HEEL OFFLOADING MED	SUP-35-00053	CDM			271	RC		outpatient			96.64	96.64	26.18				percent of total billed charges		96.64				other	OPPS APC	71.51				percent of total billed charges		96.64				other	OPPS APC	96.64				other	OPPS APC	26.18				percent of total billed charges		26.7				percent of total billed charges		96.64				other	OPPS APC	26.18	96.64	
SHOE HEEL OFFLOADING MED	SUP-35-00053	CDM			271	RC		inpatient			96.64	96.64																																																			
GUIDEWIRE - AMPLATZ STIFF STRAIGHT	SUP-99-00685	CDM			272	RC		outpatient			96.6	96.6	26.17				percent of total billed charges		96.6				other	OPPS APC	71.48				percent of total billed charges		96.6				other	OPPS APC	96.6				other	OPPS APC	26.17				percent of total billed charges		26.69				percent of total billed charges		96.6				other	OPPS APC	26.17	96.6	
GUIDEWIRE - AMPLATZ STIFF STRAIGHT	SUP-99-00685	CDM			272	RC		inpatient			96.6	96.6																																																			
Trach Cuffless Fenstrated 4	PX-270000020	CDM			270	RC		outpatient			96.44	96.44	26.13				percent of total billed charges		96.44				other	OPPS APC	96.44				fee schedule		96.44				other	OPPS APC	96.44				other	OPPS APC	26.13				percent of total billed charges		26.65				percent of total billed charges		96.44				other	OPPS APC	26.13	96.44	
Trach Cuffless Fenstrated 4	PX-270000020	CDM			270	RC		inpatient			96.44	96.44																																																			
MASK  FULL FACE LARGE W/HG	SUP-30-00035	CDM			272	RC		outpatient			96.38	96.38	26.11				percent of total billed charges		96.38				other	OPPS APC	71.32				percent of total billed charges		96.38				other	OPPS APC	96.38				other	OPPS APC	26.11				percent of total billed charges		26.63				percent of total billed charges		96.38				other	OPPS APC	26.11	96.38	
MASK  FULL FACE LARGE W/HG	SUP-30-00035	CDM			272	RC		inpatient			96.38	96.38																																																			
ONDANSETRON PER 8 MG	637000000	CDM	68462-158-40	NDC	A9270	HCPCS		inpatient			96.25	96.25																																																			
ONDANSETRON PER 8 MG	637000000	CDM	68462-158-40	NDC	A9270	HCPCS		outpatient			96.25	96.25																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	16714-309-01	NDC	J3370	HCPCS		inpatient			96.24	96.24																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	16714-309-10	NDC	J3370	HCPCS		inpatient			96.24	96.24																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	16714-309-01	NDC	J3370	HCPCS		outpatient			96.24	96.24																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	16714-309-10	NDC	J3370	HCPCS		outpatient			96.24	96.24																																															other	OPPS APC			
MASK  FULL FACE MED W/HG	SUP-30-00034	CDM			272	RC		outpatient			96.15	96.16	26.05				percent of total billed charges		96.15				other	OPPS APC	71.15				percent of total billed charges		96.15				other	OPPS APC	96.15				other	OPPS APC	26.05				percent of total billed charges		26.57				percent of total billed charges		96.16				other	OPPS APC	26.05	96.16	
MASK  FULL FACE MED W/HG	SUP-30-00034	CDM			272	RC		inpatient			96.15	96.15																																																			
INTRODUCER SHEATH FLEXOR CHECK-FLO L30 CM OD 8 FR ID 2.9MM RADIOPAQUE SMALL VALVE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G07878	CDM			270	RC		outpatient			96.12	96.13	26.04				percent of total billed charges		96.12				other	OPPS APC	71.13				percent of total billed charges		96.12				other	OPPS APC	96.12				other	OPPS APC	26.04				percent of total billed charges		26.56				percent of total billed charges		96.13				other	OPPS APC	26.04	96.13	
INTRODUCER SHEATH FLEXOR CHECK-FLO L30 CM OD 8 FR ID 2.9MM RADIOPAQUE SMALL VALVE STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G07878	CDM			270	RC		inpatient			96.12	96.12																																																			
INTRODUCER CATHETER CHECK-FLO FLEXOR HYDROPHILIC NITINOL PLATINUM .038 IN L70 CM L38 CM OD7 FR RAABE SET STERILE DISPOSABLE	SUP-G11635	CDM			270	RC		outpatient			96.12	96.13	26.04				percent of total billed charges		96.12				other	OPPS APC	71.13				percent of total billed charges		96.12				other	OPPS APC	96.12				other	OPPS APC	26.04				percent of total billed charges		26.56				percent of total billed charges		96.13				other	OPPS APC	26.04	96.13	
INTRODUCER CATHETER CHECK-FLO FLEXOR HYDROPHILIC NITINOL PLATINUM .038 IN L70 CM L38 CM OD7 FR RAABE SET STERILE DISPOSABLE	SUP-G11635	CDM			270	RC		inpatient			96.12	96.12																																																			
ONDANSETRON PER 8 MG	637000000	CDM	16714-201-10	NDC	A9270	HCPCS		inpatient			96.03	96.03																																																			
ONDANSETRON PER 8 MG	637000000	CDM	16714-201-10	NDC	A9270	HCPCS		outpatient			96.03	96.03																																															other	OPPS APC			
NEEDLE BIOPSY TRU-CUT THIN WALL 6IN 20MM 14GA STEEL DISPOSABLE KIDNEY LIVER SPECIMEN NOTCH REMOVABLE STYLET DEPTH MARK	SUP-2N2704XA	CDM	270009055	LOCAL	270	RC		outpatient			96.02	96.2	26.01				percent of total billed charges		96.02				other	OPPS APC	71.05				percent of total billed charges		96.02				other	OPPS APC	96.02				other	OPPS APC	26.01				percent of total billed charges		26.53				percent of total billed charges		96.2				other	OPPS APC	26.01	96.2	
NEEDLE BIOPSY TRU-CUT THIN WALL 6IN 20MM 14GA STEEL DISPOSABLE KIDNEY LIVER SPECIMEN NOTCH REMOVABLE STYLET DEPTH MARK	SUP-2N2704XA	CDM	270009055	LOCAL	270	RC		inpatient			96.02	96.02																																																			
HC Fetaldex Screen (Fedxs)	PX-300854600	CDM	85460	CPT	305	RC		outpatient			96	7.73	10.35				fee schedule		7.73				fee schedule		20.54				fee schedule		7.73				fee schedule		7.73				fee schedule		7.73				fee schedule		7.73				fee schedule		7.73				fee schedule		7.73	20.54	
HC Fetaldex Screen (Fedxs)	PX-300854600	CDM	85460	CPT	305	RC		inpatient			96	96																																																			
HC St Treat Swallow/Oral Feed 8-22mn	PX-440925260	CDM	92526	CPT	440	RC		outpatient			96	86.24	96				percent of total billed charges		86.24				fee schedule		227.52				fee schedule		86.24				fee schedule		86.24				fee schedule		100.45				percent of total billed charges		96				percent of total billed charges		86.24				fee schedule		86.24	227.52	
HC St Treat Swallow/Oral Feed 8-22mn	PX-440925260	CDM	92526	CPT	440	RC		inpatient			96	96																																																			
HC St Treat Swallow/Oral Feed/23-37	PX-440925261	CDM	92526	CPT	440	RC		outpatient			96	86.24	96				percent of total billed charges		86.24				fee schedule		227.52				fee schedule		86.24				fee schedule		86.24				fee schedule		100.45				percent of total billed charges		96				percent of total billed charges		86.24				fee schedule		86.24	227.52	
HC St Treat Swallow/Oral Feed/23-37	PX-440925261	CDM	92526	CPT	440	RC		inpatient			96	96																																																			
HC St Treat Swallow/Oral Feed/38-52	PX-440925262	CDM	92526	CPT	440	RC		outpatient			96	86.24	96				percent of total billed charges		86.24				fee schedule		227.52				fee schedule		86.24				fee schedule		86.24				fee schedule		100.45				percent of total billed charges		96				percent of total billed charges		86.24				fee schedule		86.24	227.52	
HC St Treat Swallow/Oral Feed/38-52	PX-440925262	CDM	92526	CPT	440	RC		inpatient			96	96																																																			
HC St Treat Swallow/Oral Feed/53-67	PX-440925263	CDM	92526	CPT	440	RC		outpatient			96	86.24	96				percent of total billed charges		86.24				fee schedule		227.52				fee schedule		86.24				fee schedule		86.24				fee schedule		100.45				percent of total billed charges		96				percent of total billed charges		86.24				fee schedule		86.24	227.52	
HC St Treat Swallow/Oral Feed/53-67	PX-440925263	CDM	92526	CPT	440	RC		inpatient			96	96																																																			
CANNULA SUCTION/IRRIGATION POLYTIP BLUNT THIN WALL L28 MM L2 MM OD25-38 GA LUER LOCK HUB SEMIFLEXIBLE TIP GREEN	SUP-3255	CDM						inpatient			96	96																																																			
CANNULA SUCTION/IRRIGATION POLYTIP BLUNT THIN WALL L28 MM L2 MM OD25-38 GA LUER LOCK HUB SEMIFLEXIBLE TIP GREEN	SUP-3255	CDM						outpatient			96	96	96				percent of total billed charges		96				other	OPPS APC	96				fee schedule		96				other	OPPS APC	96				other	OPPS APC	96				case rate		96				case rate		96				other	OPPS APC	96	96	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.7 MM MIDFACE SELF DRILL CROSS PIN	SUP-5017903	CDM			270	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.7 MM MIDFACE SELF DRILL CROSS PIN	SUP-5017903	CDM			270	RC		inpatient			96	96																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.7 MM MIDFACE SELF DRILL CROSS PIN	SUP-5017904	CDM			270	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.7 MM MIDFACE SELF DRILL CROSS PIN	SUP-5017904	CDM			270	RC		inpatient			96	96																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.7 MM MIDFACE SELF DRILL CROSS PIN	SUP-5017905	CDM			270	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.7 MM MIDFACE SELF DRILL CROSS PIN	SUP-5017905	CDM			270	RC		inpatient			96	96																																																			
PINK PIN GUARDS	SUP-95-03239	CDM			272	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
PINK PIN GUARDS	SUP-95-03239	CDM			272	RC		inpatient			96	96																																																			
ASNIS III SS WASHER 4.0MM	SUP-97-03595	CDM			278	RC		outpatient			96	96	96				fee schedule		96				other	OPPS APC	54.72				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	47.04				percent of total billed charges		48.96				percent of total billed charges		96				other	OPPS APC	47.04	96	
ASNIS III SS WASHER 4.0MM	SUP-97-03595	CDM			278	RC		inpatient			96	96																																																			
SUTURE NONABSORBABLE FIBERWIRE 2 T-5 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLACK BLUE WHITE	SUP-AR-7208	CDM			270	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
SUTURE NONABSORBABLE FIBERWIRE 2 T-5 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLACK BLUE WHITE	SUP-AR-7208	CDM			270	RC		inpatient			96	96																																																			
SET VENTRICULAR DRAINAGE TRAUMACATH L35 CM OD10 FR ODSEC3.3 MM ID1.9 MM CONNECTOR TROCAR SUTURE COLLAR STYLET STERILE LATEX FREE	SUP-INS8420	CDM	270009149	LOCAL	270	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
SET VENTRICULAR DRAINAGE TRAUMACATH L35 CM OD10 FR ODSEC3.3 MM ID1.9 MM CONNECTOR TROCAR SUTURE COLLAR STYLET STERILE LATEX FREE	SUP-INS8420	CDM	270009149	LOCAL	270	RC		inpatient			96	96																																																			
SHEATH RAABE 5 F 55 CM	SUP-KCFW7.0183845RBANL2H	CDM			270	RC		outpatient			96	96	26.01				percent of total billed charges		96				other	OPPS APC	71.04				percent of total billed charges		96				other	OPPS APC	96				other	OPPS APC	26.01				percent of total billed charges		26.52				percent of total billed charges		96				other	OPPS APC	26.01	96	
SHEATH RAABE 5 F 55 CM	SUP-KCFW7.0183845RBANL2H	CDM			270	RC		inpatient			96	96																																																			
BLADE OSC 253	SUP-78-00177	CDM			272	RC		outpatient			95.96	95.96	26				percent of total billed charges		95.96				other	OPPS APC	71.01				percent of total billed charges		95.96				other	OPPS APC	95.96				other	OPPS APC	26				percent of total billed charges		26.51				percent of total billed charges		95.96				other	OPPS APC	26	95.96	
BLADE OSC 253	SUP-78-00177	CDM			272	RC		inpatient			95.96	95.96																																																			
KIWI PUMPS	SUP-24-00019	CDM			272	RC		outpatient			95.95	95.95	25.99				percent of total billed charges		95.95				other	OPPS APC	71				percent of total billed charges		95.95				other	OPPS APC	95.95				other	OPPS APC	25.99				percent of total billed charges		26.51				percent of total billed charges		95.95				other	OPPS APC	25.99	95.95	
KIWI PUMPS	SUP-24-00019	CDM			272	RC		inpatient			95.95	95.95																																																			
DRESSING MEPILEX AG 4X8 (SILVER)	SUP-10-00141	CDM			272	RC		outpatient			95.94	95.94	25.99				percent of total billed charges		95.94				other	OPPS APC	71				percent of total billed charges		95.94				other	OPPS APC	95.94				other	OPPS APC	25.99				percent of total billed charges		26.51				percent of total billed charges		95.94				other	OPPS APC	25.99	95.94	
DRESSING MEPILEX AG 4X8 (SILVER)	SUP-10-00141	CDM			272	RC		inpatient			95.94	95.94																																																			
12' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00428	CDM			272	RC		outpatient			95.84	95.84	25.96				percent of total billed charges		95.84				other	OPPS APC	70.92				percent of total billed charges		95.84				other	OPPS APC	95.84				other	OPPS APC	25.96				percent of total billed charges		26.48				percent of total billed charges		95.84				other	OPPS APC	25.96	95.84	
12' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00428	CDM			272	RC		inpatient			95.84	95.84																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-195-01	NDC	J1650	HCPCS		inpatient			95.5	95.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-195-01	NDC	J1650	HCPCS		outpatient			95.5	95.5																																															other	OPPS APC			
HOOD SURGEON FLYTE STERI-SHIELD T7 PLUS PEEL AWAY FACE SHIELD STERILE DISPOSABLE	SUP-0416-801-100	CDM			270	RC		outpatient			95.49	95.49	25.87				percent of total billed charges		95.49				other	OPPS APC	70.66				percent of total billed charges		95.49				other	OPPS APC	95.49				other	OPPS APC	25.87				percent of total billed charges		26.38				percent of total billed charges		95.49				other	OPPS APC	25.87	95.49	
HOOD SURGEON FLYTE STERI-SHIELD T7 PLUS PEEL AWAY FACE SHIELD STERILE DISPOSABLE	SUP-0416-801-100	CDM			270	RC		inpatient			95.49	95.49																																																			
PROBE VITRECTOMY CONSTELLATION OD25+ GA TROCAR PLUG SET	SUP-8065751443	CDM			270	RC		outpatient			95.48	95.48	25.87				percent of total billed charges		95.48				other	OPPS APC	70.66				percent of total billed charges		95.48				other	OPPS APC	95.48				other	OPPS APC	25.87				percent of total billed charges		26.38				percent of total billed charges		95.48				other	OPPS APC	25.87	95.48	
PROBE VITRECTOMY CONSTELLATION OD25+ GA TROCAR PLUG SET	SUP-8065751443	CDM			270	RC		inpatient			95.48	95.48																																																			
SET INTRODUCER PEEL-AWAY DISPOSABLE STERILE PERCUTANEOUS SHEATH	SUP-G02997	CDM			270	RC		outpatient			95.42	95.42	25.85				percent of total billed charges		95.42				other	OPPS APC	70.61				percent of total billed charges		95.42				other	OPPS APC	95.42				other	OPPS APC	25.85				percent of total billed charges		26.36				percent of total billed charges		95.42				other	OPPS APC	25.85	95.42	
SET INTRODUCER PEEL-AWAY DISPOSABLE STERILE PERCUTANEOUS SHEATH	SUP-G02997	CDM			270	RC		inpatient			95.42	95.42																																																			
ROD EXTERNAL FIXATION CARBON FIBER L60 MM OD4 MM	SUP-395.6	CDM	270010022	LOCAL	270	RC		outpatient			95.4	95.46	25.84				percent of total billed charges		95.4				other	OPPS APC	70.6				percent of total billed charges		95.4				other	OPPS APC	95.4				other	OPPS APC	25.84				percent of total billed charges		26.36				percent of total billed charges		95.46				other	OPPS APC	25.84	95.46	
ROD EXTERNAL FIXATION CARBON FIBER L60 MM OD4 MM	SUP-395.6	CDM	270010022	LOCAL	270	RC		inpatient			95.4	95.4																																																			
ROD EXTERNAL FIXATION 60MM 4MM CARBON FIBER NS	SUP-395.600	CDM	270010022	LOCAL	270	RC		outpatient			95.4	95.46	25.84				percent of total billed charges		95.4				other	OPPS APC	70.6				percent of total billed charges		95.4				other	OPPS APC	95.4				other	OPPS APC	25.84				percent of total billed charges		26.36				percent of total billed charges		95.46				other	OPPS APC	25.84	95.46	
ROD EXTERNAL FIXATION 60MM 4MM CARBON FIBER NS	SUP-395.600	CDM	270010022	LOCAL	270	RC		inpatient			95.4	95.4																																																			
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE RADIAL TIGER 4.5 CURVE L110 CM OD5 FR CORONARY 1 SIDE TIP	SUP-40-5014	CDM			481	RC		outpatient			95.4	95.46	46.75				percent of total billed charges		95.4				other	OPPS APC	70.6				percent of total billed charges		95.4				other	OPPS APC	95.4				other	OPPS APC	46.75				percent of total billed charges		48.65				percent of total billed charges		95.46				other	OPPS APC	46.75	95.46	
CATHETER ANGIOGRAPHIC OPTITORQUE STAINLESS STEEL NYLON POLYURETHANE RADIAL TIGER 4.5 CURVE L110 CM OD5 FR CORONARY 1 SIDE TIP	SUP-40-5014	CDM			481	RC		inpatient			95.4	95.4																																																			
PROBE VITRECTOMY GRIESHABER 30 D OD25 GA DSP POINTED TIP DIATHERMY ERGONOMIC HANDLE ACCURUS CONSTELLATION	SUP-339.21	CDM			270	RC		outpatient			95.36	95.36	25.83				percent of total billed charges		95.36				other	OPPS APC	70.57				percent of total billed charges		95.36				other	OPPS APC	95.36				other	OPPS APC	25.83				percent of total billed charges		26.35				percent of total billed charges		95.36				other	OPPS APC	25.83	95.36	
PROBE VITRECTOMY GRIESHABER 30 D OD25 GA DSP POINTED TIP DIATHERMY ERGONOMIC HANDLE ACCURUS CONSTELLATION	SUP-339.21	CDM			270	RC		inpatient			95.36	95.36																																																			
PROBE VITRECTOMY EDGEPLUS 4 MM OD25 GA 1 COUNT VALVED ENTRY SYSTEM STAND ALONE LOCKING MECHANISM CANNULA	SUP-8065751586	CDM			270	RC		outpatient			95.36	95.36	25.83				percent of total billed charges		95.36				other	OPPS APC	70.57				percent of total billed charges		95.36				other	OPPS APC	95.36				other	OPPS APC	25.83				percent of total billed charges		26.35				percent of total billed charges		95.36				other	OPPS APC	25.83	95.36	
PROBE VITRECTOMY EDGEPLUS 4 MM OD25 GA 1 COUNT VALVED ENTRY SYSTEM STAND ALONE LOCKING MECHANISM CANNULA	SUP-8065751586	CDM			270	RC		inpatient			95.36	95.36																																																			
SYSTEM VITRECTOMY EDGEPLUS 6 MM OD25 GA 1 COUNT VALVED ENTRY LOCKING MECHANISM CANNULA LOW FRICTION	SUP-8065751782	CDM			270	RC		outpatient			95.36	95.36	25.83				percent of total billed charges		95.36				other	OPPS APC	70.57				percent of total billed charges		95.36				other	OPPS APC	95.36				other	OPPS APC	25.83				percent of total billed charges		26.35				percent of total billed charges		95.36				other	OPPS APC	25.83	95.36	
SYSTEM VITRECTOMY EDGEPLUS 6 MM OD25 GA 1 COUNT VALVED ENTRY LOCKING MECHANISM CANNULA LOW FRICTION	SUP-8065751782	CDM			270	RC		inpatient			95.36	95.36																																																			
NEXT STEP SHORTIE WALKER SM BOOT	SUP-35-00004	CDM			271	RC		outpatient			95.35	95.35	25.83				percent of total billed charges		95.35				other	OPPS APC	70.56				percent of total billed charges		95.35				other	OPPS APC	95.35				other	OPPS APC	25.83				percent of total billed charges		26.35				percent of total billed charges		95.35				other	OPPS APC	25.83	95.35	
NEXT STEP SHORTIE WALKER SM BOOT	SUP-35-00004	CDM			271	RC		inpatient			95.35	95.35																																																			
AMMONIUM LACTATE 12 % LOTION 226 G BOTTLE	637000000	CDM	904598426	NDC	A9270	HCPCS		inpatient			95.3	95.3																																																			
AMMONIUM LACTATE 12 % LOTION 226 G BOTTLE	637000000	CDM	904598426	NDC	A9270	HCPCS		outpatient			95.3	95.3																																															other	OPPS APC			
MASK  FULL FACE SMALL W/HG	SUP-30-00033	CDM			272	RC		outpatient			95.29	95.3	25.81				percent of total billed charges		95.29				other	OPPS APC	70.51				percent of total billed charges		95.29				other	OPPS APC	95.29				other	OPPS APC	25.81				percent of total billed charges		26.33				percent of total billed charges		95.3				other	OPPS APC	25.81	95.3	
MASK  FULL FACE SMALL W/HG	SUP-30-00033	CDM			272	RC		inpatient			95.29	95.29																																																			
INTRODUCER SHEATH PEEL-AWAY LG 13CM 20CM 24FR DISPOSABLE STERILE PERCUTANEOUS ACCEPTS .038IN GUIDEWIRE	SUP-G0446	CDM			270	RC		outpatient			95.24	95.24	25.8				percent of total billed charges		95.24				other	OPPS APC	70.48				percent of total billed charges		95.24				other	OPPS APC	95.24				other	OPPS APC	25.8				percent of total billed charges		26.31				percent of total billed charges		95.24				other	OPPS APC	25.8	95.24	
INTRODUCER SHEATH PEEL-AWAY LG 13CM 20CM 24FR DISPOSABLE STERILE PERCUTANEOUS ACCEPTS .038IN GUIDEWIRE	SUP-G0446	CDM			270	RC		inpatient			95.24	95.24																																																			
TRAY LUMBAR PUNCTURE	SUP-12-00029	CDM			272	RC		outpatient			95.12	95.13	25.77				percent of total billed charges		95.12				other	OPPS APC	70.39				percent of total billed charges		95.12				other	OPPS APC	95.12				other	OPPS APC	25.77				percent of total billed charges		26.28				percent of total billed charges		95.13				other	OPPS APC	25.77	95.13	
TRAY LUMBAR PUNCTURE	SUP-12-00029	CDM			272	RC		inpatient			95.12	95.12																																																			
SHEATH GUIDING FLEXOR CHECK-FLO 70CM 6FR 2.2MM RAABE MODIFICATION ACCEPTS .038IN GUIDEWIRE	SUP-G11636	CDM			270	RC		outpatient			95.1	96	25.76				percent of total billed charges		95.1				other	OPPS APC	70.37				percent of total billed charges		95.1				other	OPPS APC	95.1				other	OPPS APC	25.76				percent of total billed charges		26.28				percent of total billed charges		96				other	OPPS APC	25.76	96	
SHEATH GUIDING FLEXOR CHECK-FLO 70CM 6FR 2.2MM RAABE MODIFICATION ACCEPTS .038IN GUIDEWIRE	SUP-G11636	CDM			270	RC		inpatient			95.1	95.1																																																			
SHEATH GUIDING FLEXOR CHECK-FLO 55CM 6FR 2.2MM RAABE MODIFICATION ACCEPTS .038IN GUIDEWIRE	SUP-G11638	CDM			270	RC		outpatient			95.1	96	25.76				percent of total billed charges		95.1				other	OPPS APC	70.37				percent of total billed charges		95.1				other	OPPS APC	95.1				other	OPPS APC	25.76				percent of total billed charges		26.28				percent of total billed charges		96				other	OPPS APC	25.76	96	
SHEATH GUIDING FLEXOR CHECK-FLO 55CM 6FR 2.2MM RAABE MODIFICATION ACCEPTS .038IN GUIDEWIRE	SUP-G11638	CDM			270	RC		inpatient			95.1	95.1																																																			
SUTURE ABSORBABLE VICRYL 6-0 P-1 18IN VIOLET BRAID COATED D SPECIAL	SUP-D8097	CDM			270	RC		outpatient			95.09	95.93	25.76				percent of total billed charges		95.09				other	OPPS APC	70.37				percent of total billed charges		95.09				other	OPPS APC	95.09				other	OPPS APC	25.76				percent of total billed charges		26.27				percent of total billed charges		95.93				other	OPPS APC	25.76	95.93	
SUTURE ABSORBABLE VICRYL 6-0 P-1 18IN VIOLET BRAID COATED D SPECIAL	SUP-D8097	CDM			270	RC		inpatient			95.09	95.09																																																			
SCREW CORTEX 4.5 52MM	SUP-97-001964	CDM			278	RC		outpatient			95.08	95.8	95.08				fee schedule		95.08				other	OPPS APC	54.2				percent of total billed charges		95.08				other	OPPS APC	95.08				other	OPPS APC	46.59				percent of total billed charges		48.49				percent of total billed charges		95.8				other	OPPS APC	46.59	95.8	
SCREW CORTEX 4.5 52MM	SUP-97-001964	CDM			278	RC		inpatient			95.08	95.08																																																			
SCREW CORTEX 4.5 56MM	SUP-97-01965	CDM			278	RC		outpatient			95.08	95.8	95.08				fee schedule		95.08				other	OPPS APC	54.2				percent of total billed charges		95.08				other	OPPS APC	95.08				other	OPPS APC	46.59				percent of total billed charges		48.49				percent of total billed charges		95.8				other	OPPS APC	46.59	95.8	
SCREW CORTEX 4.5 56MM	SUP-97-01965	CDM			278	RC		inpatient			95.08	95.08																																																			
WASHER ORTHOPEDIC OD 12.7 MM ID 6.5 MM	SUP-121680	CDM			270	RC		outpatient			95.04	95.46	25.75				percent of total billed charges		95.04				other	OPPS APC	70.33				percent of total billed charges		95.04				other	OPPS APC	95.04				other	OPPS APC	25.75				percent of total billed charges		26.26				percent of total billed charges		95.46				other	OPPS APC	25.75	95.46	
WASHER ORTHOPEDIC OD 12.7 MM ID 6.5 MM	SUP-121680	CDM			270	RC		inpatient			95.04	95.04																																																			
GUIDE PIN ORTHOPEDIC L 358MM OD 3.2MM THREAD	SUP-71177123	CDM			270	RC		outpatient			95.04	95.46	25.75				percent of total billed charges		95.04				other	OPPS APC	70.33				percent of total billed charges		95.04				other	OPPS APC	95.04				other	OPPS APC	25.75				percent of total billed charges		26.26				percent of total billed charges		95.46				other	OPPS APC	25.75	95.46	
GUIDE PIN ORTHOPEDIC L 358MM OD 3.2MM THREAD	SUP-71177123	CDM			270	RC		inpatient			95.04	95.04																																																			
HC Cytology Auto Thin Prep Screen	PX-311881750	CDM	88175	CPT	311	RC		outpatient			95	26.7	35.42				fee schedule		26.61				fee schedule		70.32				fee schedule		26.61				fee schedule		26.61				fee schedule		26.61				fee schedule		26.61				fee schedule		26.7				fee schedule		26.61	70.32	
HC Cytology Auto Thin Prep Screen	PX-311881750	CDM	88175	CPT	311	RC		inpatient			95	95																																																			
HC Ot Evaluation Low Complexity 8-22	PX-430971650	CDM	97165	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation Low Complexity 8-22	PX-430971650	CDM	97165	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
HC Ot Evaluation Low Complexity 23-37	PX-430971651	CDM	97165	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation Low Complexity 23-37	PX-430971651	CDM	97165	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
HC Ot Evaluation Low Complexity 38-52	PX-430971652	CDM	97165	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation Low Complexity 38-52	PX-430971652	CDM	97165	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
HC Ot Evaluation High Complexity 8-22	PX-430971670	CDM	97167	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation High Complexity 8-22	PX-430971670	CDM	97167	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
HC Ot Evaluation High Complexity 23-37	PX-430971671	CDM	97167	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation High Complexity 23-37	PX-430971671	CDM	97167	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
HC Ot Evaluation High Complexity 38-52	PX-430971672	CDM	97167	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation High Complexity 38-52	PX-430971672	CDM	97167	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
HC Ot Evaluation High Complexity 53-67	PX-430971673	CDM	97167	CPT	430	RC		inpatient			95	95																																																			
HC Ot Evaluation High Complexity 53-67	PX-430971673	CDM	97167	CPT	430	RC		outpatient			95	95	95				percent of total billed charges		95				fee schedule		147.6				fee schedule		95				fee schedule		95				fee schedule		99.41				percent of total billed charges		95				percent of total billed charges		95				fee schedule		95	147.6	
TUBES TYMPANOPLASTY U	SUP-72-00055	CDM			272	RC		outpatient			95	95	25.74				percent of total billed charges		95				other	OPPS APC	70.3				percent of total billed charges		95				other	OPPS APC	95				other	OPPS APC	25.74				percent of total billed charges		26.25				percent of total billed charges		95				other	OPPS APC	25.74	95	
TUBES TYMPANOPLASTY U	SUP-72-00055	CDM			272	RC		inpatient			95	95																																																			
CATHETER MULTIMED PENINSULA	SUP-3K20C1827NL	CDM	270009030	LOCAL	270	RC		outpatient			94.98	94.98	25.73				percent of total billed charges		94.98				other	OPPS APC	70.29				percent of total billed charges		94.98				other	OPPS APC	94.98				other	OPPS APC	25.73				percent of total billed charges		26.24				percent of total billed charges		94.98				other	OPPS APC	25.73	94.98	
CATHETER MULTIMED PENINSULA	SUP-3K20C1827NL	CDM	270009030	LOCAL	270	RC		inpatient			94.98	94.98																																																			
BAG SPECIMEN RETRIEVAL SUPERBAG NYLON LARGE L12 MM 750 ML REDEPLOYABLE INTRODUCER WIDE MOUTH OPEN	SUP-PNI0750	CDM			270	RC		outpatient			94.98	94.98	25.73				percent of total billed charges		94.98				other	OPPS APC	70.29				percent of total billed charges		94.98				other	OPPS APC	94.98				other	OPPS APC	25.73				percent of total billed charges		26.24				percent of total billed charges		94.98				other	OPPS APC	25.73	94.98	
BAG SPECIMEN RETRIEVAL SUPERBAG NYLON LARGE L12 MM 750 ML REDEPLOYABLE INTRODUCER WIDE MOUTH OPEN	SUP-PNI0750	CDM			270	RC		inpatient			94.98	94.98																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L229 MM OD.9 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018600169	CDM			270	RC		outpatient			94.94	94.94	25.72				percent of total billed charges		94.94				other	OPPS APC	70.26				percent of total billed charges		94.94				other	OPPS APC	94.94				other	OPPS APC	25.72				percent of total billed charges		26.23				percent of total billed charges		94.94				other	OPPS APC	25.72	94.94	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L229 MM OD.9 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018600169	CDM			270	RC		inpatient			94.94	94.94																																																			
WALKER FOLDING WITH WHEELS	SUP-38-00015	CDM			271	RC		outpatient			94.84	94.84	25.69				percent of total billed charges		94.84				other	OPPS APC	70.18				percent of total billed charges		94.84				other	OPPS APC	94.84				other	OPPS APC	25.69				percent of total billed charges		26.2				percent of total billed charges		94.84				other	OPPS APC	25.69	94.84	
WALKER FOLDING WITH WHEELS	SUP-38-00015	CDM			271	RC		inpatient			94.84	94.84																																																			
TUBE ENDO CUFFED 6.5MM MURPHY	SUP-95-01820	CDM			272	RC		outpatient			94.84	94.84	25.69				percent of total billed charges		94.84				other	OPPS APC	70.18				percent of total billed charges		94.84				other	OPPS APC	94.84				other	OPPS APC	25.69				percent of total billed charges		26.2				percent of total billed charges		94.84				other	OPPS APC	25.69	94.84	
TUBE ENDO CUFFED 6.5MM MURPHY	SUP-95-01820	CDM			272	RC		inpatient			94.84	94.84																																																			
CATHETER MALECOT 24 FR	SUP-02-00049	CDM			272	RC		outpatient			94.8	94.8	25.68				percent of total billed charges		94.8				other	OPPS APC	70.15				percent of total billed charges		94.8				other	OPPS APC	94.8				other	OPPS APC	25.68				percent of total billed charges		26.19				percent of total billed charges		94.8				other	OPPS APC	25.68	94.8	
CATHETER MALECOT 24 FR	SUP-02-00049	CDM			272	RC		inpatient			94.8	94.8																																																			
SPLINT ORTHOPEDIC ORTHO-GLASS FIBERGLASS L15 FT X W3 IN WRIST IMMOBILIZER WRINKLE FREE STRETCH PAD COVER INTERLOCK PERFORMANCE TECHNOLOGY LATEX FREE	SUP-OG-3L2	CDM						inpatient			94.75	94.75																																																			
SPLINT ORTHOPEDIC ORTHO-GLASS FIBERGLASS L15 FT X W3 IN WRIST IMMOBILIZER WRINKLE FREE STRETCH PAD COVER INTERLOCK PERFORMANCE TECHNOLOGY LATEX FREE	SUP-OG-3L2	CDM						outpatient			94.75	94.75	94.75				percent of total billed charges		94.75				other	OPPS APC	94.75				fee schedule		94.75				other	OPPS APC	94.75				other	OPPS APC	94.75				case rate		94.75				case rate		94.75				other	OPPS APC	94.75	94.75	
SUTURE VLOC 2-0 18 GREEN VLOCL0625	SUP-95-04797	CDM			272	RC		outpatient			94.67	94.67	25.65				percent of total billed charges		94.67				other	OPPS APC	70.06				percent of total billed charges		94.67				other	OPPS APC	94.67				other	OPPS APC	25.65				percent of total billed charges		26.16				percent of total billed charges		94.67				other	OPPS APC	25.65	94.67	
SUTURE VLOC 2-0 18 GREEN VLOCL0625	SUP-95-04797	CDM			272	RC		inpatient			94.67	94.67																																																			
SCREW BONE STERNALOCK BLU L12 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2712	CDM			270	RC		outpatient			94.66	94.66	25.64				percent of total billed charges		94.66				other	OPPS APC	70.05				percent of total billed charges		94.66				other	OPPS APC	94.66				other	OPPS APC	25.64				percent of total billed charges		26.15				percent of total billed charges		94.66				other	OPPS APC	25.64	94.66	
SCREW BONE STERNALOCK BLU L12 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2712	CDM			270	RC		inpatient			94.66	94.66																																																			
SCREW BONE STAINLESS STEEL T4 L9 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.109	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE STAINLESS STEEL T4 L9 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.109	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE STAINLESS STEEL T4 L10 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.110	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE STAINLESS STEEL T4 L10 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.110	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE STAINLESS STEEL T4 L12 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.112	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE STAINLESS STEEL T4 L12 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.112	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE STAINLESS STEEL T4 L13 MM OD1.5 MM CORTEX SELF TAP RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.113	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE STAINLESS STEEL T4 L13 MM OD1.5 MM CORTEX SELF TAP RETAIN STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.113	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE STAINLESS STEEL T4 L14 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.114	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE STAINLESS STEEL T4 L14 MM OD1.5 MM CORTEX SELF TAP SELF RETAIN STARDRIVE LOW PROFILE HEAD NONSTERILE MODULAR MINI FRAGMENT SET	SUP-02.214.114	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE STAINLESS STEEL T4 L15 MM OD1.5 MM CORTEX SELF TAP STARDRIVE NONSTERILE HAND SYSTEM	SUP-02.214.115	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE STAINLESS STEEL T4 L15 MM OD1.5 MM CORTEX SELF TAP STARDRIVE NONSTERILE HAND SYSTEM	SUP-02.214.115	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE T6 6MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.356.97	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE T6 6MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.356.97	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE T6 7MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.357.97	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE T6 7MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.357.97	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE T6 22MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.372.97	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE T6 22MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.372.97	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
SCREW BONE T6 36MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.380.97	CDM	270010022	LOCAL	270	RC		outpatient			94.6	94.6	25.63				percent of total billed charges		94.6				other	OPPS APC	70				percent of total billed charges		94.6				other	OPPS APC	94.6				other	OPPS APC	25.63				percent of total billed charges		26.14				percent of total billed charges		94.6				other	OPPS APC	25.63	94.6	
SCREW BONE T6 36MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.380.97	CDM	270010022	LOCAL	270	RC		inpatient			94.6	94.6																																																			
KIT THORACENTESIS ARROW-CLARKE PLEURA-SEAL SHARPSAWAY II CHLORAPREP HI-LITE ORANGE POLYURETHANE L7 1/2 IN L1 1/2 IN OD8 FR ODSEC18 GA 5 ML 3 WAY STOPCOCK NEEDLE CATHETER SELF SEAL VALVE LUER LOCK SYRINGE STERILE LATEX	SUP-AK-01000	CDM	270009223	LOCAL	270	RC		outpatient			94.54	94.55	25.61				percent of total billed charges		94.54				other	OPPS APC	69.96				percent of total billed charges		94.54				other	OPPS APC	94.54				other	OPPS APC	25.61				percent of total billed charges		26.12				percent of total billed charges		94.55				other	OPPS APC	25.61	94.55	
KIT THORACENTESIS ARROW-CLARKE PLEURA-SEAL SHARPSAWAY II CHLORAPREP HI-LITE ORANGE POLYURETHANE L7 1/2 IN L1 1/2 IN OD8 FR ODSEC18 GA 5 ML 3 WAY STOPCOCK NEEDLE CATHETER SELF SEAL VALVE LUER LOCK SYRINGE STERILE LATEX	SUP-AK-01000	CDM	270009223	LOCAL	270	RC		inpatient			94.54	94.54																																																			
WEDGE HIP ABDUCTION	SUP-24-00021	CDM			272	RC		outpatient			94.3	94.3	25.55				percent of total billed charges		94.3				other	OPPS APC	69.78				percent of total billed charges		94.3				other	OPPS APC	94.3				other	OPPS APC	25.55				percent of total billed charges		26.06				percent of total billed charges		94.3				other	OPPS APC	25.55	94.3	
WEDGE HIP ABDUCTION	SUP-24-00021	CDM			272	RC		inpatient			94.3	94.3																																																			
WIRE FIXATION KIRSCHNER L150 MM OD1.6 MM	SUP-115116	CDM			270	RC		outpatient			94.28	94.28	25.54				percent of total billed charges		94.28				other	OPPS APC	69.77				percent of total billed charges		94.28				other	OPPS APC	94.28				other	OPPS APC	25.54				percent of total billed charges		26.05				percent of total billed charges		94.28				other	OPPS APC	25.54	94.28	
WIRE FIXATION KIRSCHNER L150 MM OD1.6 MM	SUP-115116	CDM			270	RC		inpatient			94.28	94.28																																																			
SCREW 3.5MM CORTEX SELF TAPPING  26MM	SUP-97-01220	CDM			278	RC		outpatient			94.28	94.28	94.28				fee schedule		94.28				other	OPPS APC	53.74				percent of total billed charges		94.28				other	OPPS APC	94.28				other	OPPS APC	46.2				percent of total billed charges		48.08				percent of total billed charges		94.28				other	OPPS APC	46.2	94.28	
SCREW 3.5MM CORTEX SELF TAPPING  26MM	SUP-97-01220	CDM			278	RC		inpatient			94.28	94.28																																																			
CORTEX SCREW 3.5 X 12MM	SUP-97-01280	CDM			278	RC		outpatient			94.28	94.28	94.28				fee schedule		94.28				other	OPPS APC	53.74				percent of total billed charges		94.28				other	OPPS APC	94.28				other	OPPS APC	46.2				percent of total billed charges		48.08				percent of total billed charges		94.28				other	OPPS APC	46.2	94.28	
CORTEX SCREW 3.5 X 12MM	SUP-97-01280	CDM			278	RC		inpatient			94.28	94.28																																																			
SCREW CORTEX 3.5 X 45MM	SUP-97-01281	CDM			278	RC		outpatient			94.28	94.28	94.28				fee schedule		94.28				other	OPPS APC	53.74				percent of total billed charges		94.28				other	OPPS APC	94.28				other	OPPS APC	46.2				percent of total billed charges		48.08				percent of total billed charges		94.28				other	OPPS APC	46.2	94.28	
SCREW CORTEX 3.5 X 45MM	SUP-97-01281	CDM			278	RC		inpatient			94.28	94.28																																																			
SCREW CORTEX 3.5 X 38MM	SUP-97-01348	CDM			278	RC		outpatient			94.28	94.28	94.28				fee schedule		94.28				other	OPPS APC	53.74				percent of total billed charges		94.28				other	OPPS APC	94.28				other	OPPS APC	46.2				percent of total billed charges		48.08				percent of total billed charges		94.28				other	OPPS APC	46.2	94.28	
SCREW CORTEX 3.5 X 38MM	SUP-97-01348	CDM			278	RC		inpatient			94.28	94.28																																																			
SCREW CORTEX 3.5 X 60MM	SUP-97-03501	CDM			278	RC		outpatient			94.28	94.28	94.28				fee schedule		94.28				other	OPPS APC	53.74				percent of total billed charges		94.28				other	OPPS APC	94.28				other	OPPS APC	46.2				percent of total billed charges		48.08				percent of total billed charges		94.28				other	OPPS APC	46.2	94.28	
SCREW CORTEX 3.5 X 60MM	SUP-97-03501	CDM			278	RC		inpatient			94.28	94.28																																																			
SUTURE VLOC 180 GS21 0 VLOCL0346	SUP-74-00450	CDM			272	RC		outpatient			94.12	94.13	25.5				percent of total billed charges		94.12				other	OPPS APC	69.65				percent of total billed charges		94.12				other	OPPS APC	94.12				other	OPPS APC	25.5				percent of total billed charges		26.01				percent of total billed charges		94.13				other	OPPS APC	25.5	94.13	
SUTURE VLOC 180 GS21 0 VLOCL0346	SUP-74-00450	CDM			272	RC		inpatient			94.12	94.12																																																			
BLADE SAW SAG HEAVY DUTY	SUP-78-00367	CDM			272	RC		outpatient			94.12	94.13	25.5				percent of total billed charges		94.12				other	OPPS APC	69.65				percent of total billed charges		94.12				other	OPPS APC	94.12				other	OPPS APC	25.5				percent of total billed charges		26.01				percent of total billed charges		94.13				other	OPPS APC	25.5	94.13	
BLADE SAW SAG HEAVY DUTY	SUP-78-00367	CDM			272	RC		inpatient			94.12	94.12																																																			
CLIP SURGICAL DLP L3 MM CORONARY ARTERY RETRACTION	SUP-CRC-3	CDM			270	RC		outpatient			94.1	95	25.49				percent of total billed charges		94.1				other	OPPS APC	69.63				percent of total billed charges		94.1				other	OPPS APC	94.1				other	OPPS APC	25.49				percent of total billed charges		26				percent of total billed charges		95				other	OPPS APC	25.49	95	
CLIP SURGICAL DLP L3 MM CORONARY ARTERY RETRACTION	SUP-CRC-3	CDM			270	RC		inpatient			94.1	94.1																																																			
K- WIRE 0.10MM L100MM TIP TROCAR	SUP-97-01714	CDM			272	RC		outpatient			94.08	94.8	25.49				percent of total billed charges		94.08				other	OPPS APC	69.62				percent of total billed charges		94.08				other	OPPS APC	94.08				other	OPPS APC	25.49				percent of total billed charges		25.99				percent of total billed charges		94.8				other	OPPS APC	25.49	94.8	
K- WIRE 0.10MM L100MM TIP TROCAR	SUP-97-01714	CDM			272	RC		inpatient			94.08	94.08																																																			
NALOXONE 1 MG/ML 1 MG/ML SYRINGE	636000000	CDM	43598-750-58	NDC	J2310	HCPCS		inpatient			94.05	94.05																																																			
NALOXONE 1 MG/ML 1 MG/ML SYRINGE	636000000	CDM	43598-750-58	NDC	J2310	HCPCS		outpatient			94.05	94.05																																															other	OPPS APC			
HC Immunoassay Analyte Quantitative by Radioimmunoassay	PX-300835190	CDM	83519	CPT	300	RC		outpatient			94	18.4	18.06				fee schedule		18.4				fee schedule		35.87				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.06	35.87	
HC Immunoassay Analyte Quantitative by Radioimmunoassay	PX-300835190	CDM	83519	CPT	300	RC		inpatient			94	94																																																			
HC Acetycholine Receptor Ab (Aceab)	PX-300835192	CDM	83519	CPT	300	RC		outpatient			94	18.4	18.06				fee schedule		18.4				fee schedule		35.87				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.06	35.87	
HC Acetycholine Receptor Ab (Aceab)	PX-300835192	CDM	83519	CPT	300	RC		inpatient			94	94																																																			
HC Immunoassay Analyte;Qt by Ria	PX-301835194	CDM	83519	CPT	301	RC		outpatient			94	18.4	18.06				fee schedule		18.4				fee schedule		35.87				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.06	35.87	
HC Immunoassay Analyte;Qt by Ria	PX-301835194	CDM	83519	CPT	301	RC		inpatient			94	94																																																			
HC Immunoassay Not Inf Ab/Ag  Quant by Ria	PX-302835191	CDM	83519	CPT	302	RC		outpatient			94	18.4	18.06				fee schedule		18.4				fee schedule		35.87				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.4				fee schedule		18.06	35.87	
HC Immunoassay Not Inf Ab/Ag  Quant by Ria	PX-302835191	CDM	83519	CPT	302	RC		inpatient			94	94																																																			
HC T Cells;Absolute Cd4	PX-302863611	CDM	86361	CPT	302	RC		outpatient			94	26.78	35.8				fee schedule		26.78				fee schedule		71.08				fee schedule		26.78				fee schedule		26.78				fee schedule		26.78				fee schedule		26.78				fee schedule		26.78				fee schedule		26.78	71.08	
HC T Cells;Absolute Cd4	PX-302863611	CDM	86361	CPT	302	RC		inpatient			94	94																																																			
HC Tangential Biopsy of Skin Each Add'l	PX-761111030	CDM	11103	CPT	761	RC		outpatient			94	94	195.77				case rate		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	195.77				case rate		47.94				percent of total billed charges		94				other	OPPS APC	47.94	195.77	
HC Tangential Biopsy of Skin Each Add'l	PX-761111030	CDM	11103	CPT	761	RC		inpatient			94	94																																																			
PLATE CRANIAL 2 HOLE STRAIGHT	SUP-01-7345	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
PLATE CRANIAL 2 HOLE STRAIGHT	SUP-01-7345	CDM			270	RC		inpatient			94	94																																																			
PLATE STRAIGHT 2 HOLE 16MM	SUP-01-7347	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
PLATE STRAIGHT 2 HOLE 16MM	SUP-01-7347	CDM			270	RC		inpatient			94	94																																																			
HIGH PRESSURE INDEFLATOR	SUP-1000184	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
HIGH PRESSURE INDEFLATOR	SUP-1000184	CDM			270	RC		inpatient			94	94																																																			
SPONGE RETINAL SILICONE L80 MM X W5 MM X H2.5 MM SCLERAL HALF CYLINDER STERILE	SUP-510	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
SPONGE RETINAL SILICONE L80 MM X W5 MM X H2.5 MM SCLERAL HALF CYLINDER STERILE	SUP-510	CDM			270	RC		inpatient			94	94																																																			
BLADE MINI MENISCUS BX/6	SUP-70-0075-003	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
BLADE MINI MENISCUS BX/6	SUP-70-0075-003	CDM			270	RC		inpatient			94	94																																																			
BLADE MINI MENISCUS BX/6	SUP-70-0077-003	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
BLADE MINI MENISCUS BX/6	SUP-70-0077-003	CDM			270	RC		inpatient			94	94																																																			
KNIFE ARTHROSCOPIC SHEATHED MENISCUS SERRATED STRAIGHT 2 SIDE POINT BLACK 3.0MM	SUP-70-0077-103	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
KNIFE ARTHROSCOPIC SHEATHED MENISCUS SERRATED STRAIGHT 2 SIDE POINT BLACK 3.0MM	SUP-70-0077-103	CDM			270	RC		inpatient			94	94																																																			
BLADE MINI MENISCUS  BX/6	SUP-70-0078-003	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
BLADE MINI MENISCUS  BX/6	SUP-70-0078-003	CDM			270	RC		inpatient			94	94																																																			
KNIFE ARTHROSCOPIC SHEATHED MENISCUS SERRATED STRAIGHT 2 SIDED ROUND TAN 3.0MM	SUP-70-0078-103	CDM			270	RC		outpatient			94	94	25.46				percent of total billed charges		94				other	OPPS APC	69.56				percent of total billed charges		94				other	OPPS APC	94				other	OPPS APC	25.46				percent of total billed charges		25.97				percent of total billed charges		94				other	OPPS APC	25.46	94	
KNIFE ARTHROSCOPIC SHEATHED MENISCUS SERRATED STRAIGHT 2 SIDED ROUND TAN 3.0MM	SUP-70-0078-103	CDM			270	RC		inpatient			94	94																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L100 MM OD1.25 MM CORTICAL LASER ETCH THREAD TIP NONSTERILE MINI EXTERNAL FIXATOR	SUP-292.600	CDM	270010022	LOCAL	270	RC		outpatient			93.83	93.83	25.42				percent of total billed charges		93.83				other	OPPS APC	69.43				percent of total billed charges		93.83				other	OPPS APC	93.83				other	OPPS APC	25.42				percent of total billed charges		25.93				percent of total billed charges		93.83				other	OPPS APC	25.42	93.83	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L100 MM OD1.25 MM CORTICAL LASER ETCH THREAD TIP NONSTERILE MINI EXTERNAL FIXATOR	SUP-292.600	CDM	270010022	LOCAL	270	RC		inpatient			93.83	93.83																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L100 MM OD1.6 MM THREADED TIP NONSTERILE	SUP-292.708	CDM	270010022	LOCAL	270	RC		outpatient			93.83	93.83	25.42				percent of total billed charges		93.83				other	OPPS APC	69.43				percent of total billed charges		93.83				other	OPPS APC	93.83				other	OPPS APC	25.42				percent of total billed charges		25.93				percent of total billed charges		93.83				other	OPPS APC	25.42	93.83	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L100 MM OD1.6 MM THREADED TIP NONSTERILE	SUP-292.708	CDM	270010022	LOCAL	270	RC		inpatient			93.83	93.83																																																			
IMMOBILIZER SHOULDER XLG W/ABDUCT	SUP-36-00048	CDM			271	RC		outpatient			93.76	93.77	25.4				percent of total billed charges		93.76				other	OPPS APC	69.38				percent of total billed charges		93.76				other	OPPS APC	93.76				other	OPPS APC	25.4				percent of total billed charges		25.91				percent of total billed charges		93.77				other	OPPS APC	25.4	93.77	
IMMOBILIZER SHOULDER XLG W/ABDUCT	SUP-36-00048	CDM			271	RC		inpatient			93.76	93.76																																																			
TUBE TRACHEOSTOMY SHILEY 4 41MM 5.9MM 4MM PVC DISPOSABLE STERILE LF PEDIATRIC GENTLE CYLINDRICAL CUFF SMOOTH ROUND	SUP-4.0PDC	CDM			270	RC		outpatient			93.66	93.66	25.37				percent of total billed charges		93.66				other	OPPS APC	69.31				percent of total billed charges		93.66				other	OPPS APC	93.66				other	OPPS APC	25.37				percent of total billed charges		25.88				percent of total billed charges		93.66				other	OPPS APC	25.37	93.66	
TUBE TRACHEOSTOMY SHILEY 4 41MM 5.9MM 4MM PVC DISPOSABLE STERILE LF PEDIATRIC GENTLE CYLINDRICAL CUFF SMOOTH ROUND	SUP-4.0PDC	CDM			270	RC		inpatient			93.66	93.66																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.9 MM MIDFACE SELF TAP EMERGENCY CROSS PIN	SUP-5019003	CDM			270	RC		outpatient			93.6	93.6	25.36				percent of total billed charges		93.6				other	OPPS APC	69.26				percent of total billed charges		93.6				other	OPPS APC	93.6				other	OPPS APC	25.36				percent of total billed charges		25.86				percent of total billed charges		93.6				other	OPPS APC	25.36	93.6	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.9 MM MIDFACE SELF TAP EMERGENCY CROSS PIN	SUP-5019003	CDM			270	RC		inpatient			93.6	93.6																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.9 MM MIDFACE SELF TAP EMERGENCY CROSS PIN	SUP-5019005	CDM			270	RC		outpatient			93.6	93.6	25.36				percent of total billed charges		93.6				other	OPPS APC	69.26				percent of total billed charges		93.6				other	OPPS APC	93.6				other	OPPS APC	25.36				percent of total billed charges		25.86				percent of total billed charges		93.6				other	OPPS APC	25.36	93.6	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.9 MM MIDFACE SELF TAP EMERGENCY CROSS PIN	SUP-5019005	CDM			270	RC		inpatient			93.6	93.6																																																			
SCREW CORTICAL ST 3.5 X 14	SUP-97-01599	CDM			278	RC		outpatient			93.6	93.6	93.6				fee schedule		93.6				other	OPPS APC	53.35				percent of total billed charges		93.6				other	OPPS APC	93.6				other	OPPS APC	45.86				percent of total billed charges		47.74				percent of total billed charges		93.6				other	OPPS APC	45.86	93.6	
SCREW CORTICAL ST 3.5 X 14	SUP-97-01599	CDM			278	RC		inpatient			93.6	93.6																																																			
BOWL BONE CEMENT QUICK-VAC VACUUM MIX LATEX FREE DISPOSABLE	SUP-5050166	CDM			270	RC		outpatient			93.33	93.33	25.28				percent of total billed charges		93.33				other	OPPS APC	69.06				percent of total billed charges		93.33				other	OPPS APC	93.33				other	OPPS APC	25.28				percent of total billed charges		25.79				percent of total billed charges		93.33				other	OPPS APC	25.28	93.33	
BOWL BONE CEMENT QUICK-VAC VACUUM MIX LATEX FREE DISPOSABLE	SUP-5050166	CDM			270	RC		inpatient			93.33	93.33																																																			
DRAPE EQUIPMENT C-ARMOR EXPANDABLE COLLAPSIBLE STERILE C ARM FLUOROSCOPE	SUP-5523	CDM						inpatient			93.33	93.33																																																			
DRAPE EQUIPMENT C-ARMOR EXPANDABLE COLLAPSIBLE STERILE C ARM FLUOROSCOPE	SUP-5523	CDM						outpatient			93.33	93.33	93.33				percent of total billed charges		93.33				other	OPPS APC	93.33				fee schedule		93.33				other	OPPS APC	93.33				other	OPPS APC	93.33				case rate		93.33				case rate		93.33				other	OPPS APC	93.33	93.33	
DRILOK CANNULA 8MM X 75MM	SUP-79-00001	CDM			272	RC		outpatient			93.31	93.31	25.28				percent of total billed charges		93.31				other	OPPS APC	69.05				percent of total billed charges		93.31				other	OPPS APC	93.31				other	OPPS APC	25.28				percent of total billed charges		25.78				percent of total billed charges		93.31				other	OPPS APC	25.28	93.31	
DRILOK CANNULA 8MM X 75MM	SUP-79-00001	CDM			272	RC		inpatient			93.31	93.31																																																			
INSTRUMENT BIOPSY BARD MAX-CORE ANGLE 22MM 10CM 7.8CM 14GA PINK DISPOSABLE STERILE LF PROSTATIC 2 TRIGGER ULTRA SHARP	SUP-MC1410	CDM			270	RC		outpatient			93.14	93.14	25.23				percent of total billed charges		93.14				other	OPPS APC	68.92				percent of total billed charges		93.14				other	OPPS APC	93.14				other	OPPS APC	25.23				percent of total billed charges		25.73				percent of total billed charges		93.14				other	OPPS APC	25.23	93.14	
INSTRUMENT BIOPSY BARD MAX-CORE ANGLE 22MM 10CM 7.8CM 14GA PINK DISPOSABLE STERILE LF PROSTATIC 2 TRIGGER ULTRA SHARP	SUP-MC1410	CDM			270	RC		inpatient			93.14	93.14																																																			
PACK VITRECTOMY II	SUP-DYNJ59297A	CDM			270	RC		outpatient			93.03	93.31	25.2				percent of total billed charges		93.03				other	OPPS APC	68.84				percent of total billed charges		93.03				other	OPPS APC	93.03				other	OPPS APC	25.2				percent of total billed charges		25.7				percent of total billed charges		93.31				other	OPPS APC	25.2	93.31	
PACK VITRECTOMY II	SUP-DYNJ59297A	CDM			270	RC		inpatient			93.03	93.03																																																			
HC Beta 2 Glycoprotein 1 Antibody Each	PX-300861460	CDM	86146	CPT	306	RC		outpatient			93	25.45	34.02				fee schedule		25.45				fee schedule		67.53				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45	67.53	
HC Beta 2 Glycoprotein 1 Antibody Each	PX-300861460	CDM	86146	CPT	306	RC		inpatient			93	93																																																			
HC Tn Theraskin 3x6= 116 Cm per Sq Cm	PX-636Q41215	CDM			636	RC		outpatient			93	93	93				fee schedule		93				other	OPPS APC	49.33				fee schedule		93				other	OPPS APC	93				other	OPPS APC	45.57				percent of total billed charges		23.12				percent of total billed charges		93				other	OPPS APC	23.12	93	
HC Tn Theraskin 3x6= 116 Cm per Sq Cm	PX-636Q41215	CDM			636	RC		inpatient			93	93																																																			
DRILL BIT 1/16IN	SUP-256-01-21	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 1/16IN	SUP-256-01-21	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 5/64IN	SUP-256-01-22	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 5/64IN	SUP-256-01-22	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 3/32IN	SUP-256-01-23	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 3/32IN	SUP-256-01-23	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 7/64IN	SUP-256-01-24	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 7/64IN	SUP-256-01-24	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 1/8 IN	SUP-256-01-25	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 1/8 IN	SUP-256-01-25	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 9/64IN	SUP-256-01-26	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 9/64IN	SUP-256-01-26	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 5/32IN	SUP-256-01-27	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 5/32IN	SUP-256-01-27	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 11/64IN	SUP-256-01-28	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 11/64IN	SUP-256-01-28	CDM			270	RC		inpatient			93	93																																																			
DRILL BIT 3/16IN	SUP-256-01-29	CDM			270	RC		outpatient			93	93	25.19				percent of total billed charges		93				other	OPPS APC	68.82				percent of total billed charges		93				other	OPPS APC	93				other	OPPS APC	25.19				percent of total billed charges		25.7				percent of total billed charges		93				other	OPPS APC	25.19	93	
DRILL BIT 3/16IN	SUP-256-01-29	CDM			270	RC		inpatient			93	93																																																			
TROCAR 8MM	SUP-76-00048	CDM			272	RC		outpatient			92.92	92.92	25.17				percent of total billed charges		92.92				other	OPPS APC	68.76				percent of total billed charges		92.92				other	OPPS APC	92.92				other	OPPS APC	25.17				percent of total billed charges		25.67				percent of total billed charges		92.92				other	OPPS APC	25.17	92.92	
TROCAR 8MM	SUP-76-00048	CDM			272	RC		inpatient			92.92	92.92																																																			
TROCAR 5MM DILATING TIP 100MM	SUP-76-00108	CDM			272	RC		outpatient			92.92	92.92	25.17				percent of total billed charges		92.92				other	OPPS APC	68.76				percent of total billed charges		92.92				other	OPPS APC	92.92				other	OPPS APC	25.17				percent of total billed charges		25.67				percent of total billed charges		92.92				other	OPPS APC	25.17	92.92	
TROCAR 5MM DILATING TIP 100MM	SUP-76-00108	CDM			272	RC		inpatient			92.92	92.92																																																			
TROCAR 12MM OPTIVIEW DILATING TIP 100MM	SUP-76-00113	CDM			272	RC		outpatient			92.92	92.92	25.17				percent of total billed charges		92.92				other	OPPS APC	68.76				percent of total billed charges		92.92				other	OPPS APC	92.92				other	OPPS APC	25.17				percent of total billed charges		25.67				percent of total billed charges		92.92				other	OPPS APC	25.17	92.92	
TROCAR 12MM OPTIVIEW DILATING TIP 100MM	SUP-76-00113	CDM			272	RC		inpatient			92.92	92.92																																																			
TROCAR 12MM OPTIVIEW BLUNT TIP 100MM	SUP-76-00116	CDM			272	RC		outpatient			92.92	92.92	25.17				percent of total billed charges		92.92				other	OPPS APC	68.76				percent of total billed charges		92.92				other	OPPS APC	92.92				other	OPPS APC	25.17				percent of total billed charges		25.67				percent of total billed charges		92.92				other	OPPS APC	25.17	92.92	
TROCAR 12MM OPTIVIEW BLUNT TIP 100MM	SUP-76-00116	CDM			272	RC		inpatient			92.92	92.92																																																			
SHEATH - 6F X 23CM MARKER TIP	SUP-99-00226	CDM			272	RC		outpatient			92.8	92.8	25.14				percent of total billed charges		92.8				other	OPPS APC	68.67				percent of total billed charges		92.8				other	OPPS APC	92.8				other	OPPS APC	25.14				percent of total billed charges		25.64				percent of total billed charges		92.8				other	OPPS APC	25.14	92.8	
SHEATH - 6F X 23CM MARKER TIP	SUP-99-00226	CDM			272	RC		inpatient			92.8	92.8																																																			
Kit Monitor Single Line Vamp	PX-270000022	CDM			270	RC		outpatient			92.78	92.78	25.13				percent of total billed charges		92.78				other	OPPS APC	92.78				fee schedule		92.78				other	OPPS APC	92.78				other	OPPS APC	25.13				percent of total billed charges		25.64				percent of total billed charges		92.78				other	OPPS APC	25.13	92.78	
Kit Monitor Single Line Vamp	PX-270000022	CDM			270	RC		inpatient			92.78	92.78																																																			
SYSTEM IRRIGATION PUMP SAPS 10 CC 1 ACTION 1 WAY VALVE VACUUM SYRINGE LATEX FREE URETEROSCOPY LASER LITHOTRIPSY	SUP-M0067201001	CDM			270	RC		outpatient			92.65	92.66	25.1				percent of total billed charges		92.65				other	OPPS APC	68.56				percent of total billed charges		92.65				other	OPPS APC	92.65				other	OPPS APC	25.1				percent of total billed charges		25.6				percent of total billed charges		92.66				other	OPPS APC	25.1	92.66	
SYSTEM IRRIGATION PUMP SAPS 10 CC 1 ACTION 1 WAY VALVE VACUUM SYRINGE LATEX FREE URETEROSCOPY LASER LITHOTRIPSY	SUP-M0067201001	CDM			270	RC		inpatient			92.65	92.65																																																			
CATHETER - CROSS-OVER	SUP-99-00717	CDM			272	RC		outpatient			92.48	92.48	25.05				percent of total billed charges		92.48				other	OPPS APC	68.44				percent of total billed charges		92.48				other	OPPS APC	92.48				other	OPPS APC	25.05				percent of total billed charges		25.55				percent of total billed charges		92.48				other	OPPS APC	25.05	92.48	
CATHETER - CROSS-OVER	SUP-99-00717	CDM			272	RC		inpatient			92.48	92.48																																																			
4.5 SELF TAPPING	SUP-97-00913	CDM			278	RC		outpatient			92.32	92.32	92.32				fee schedule		92.32				other	OPPS APC	52.62				percent of total billed charges		92.32				other	OPPS APC	92.32				other	OPPS APC	45.24				percent of total billed charges		47.08				percent of total billed charges		92.32				other	OPPS APC	45.24	92.32	
4.5 SELF TAPPING	SUP-97-00913	CDM			278	RC		inpatient			92.32	92.32																																																			
SCREW 4.5MM/36MM	SUP-97-00926	CDM			278	RC		outpatient			92.32	92.32	92.32				fee schedule		92.32				other	OPPS APC	52.62				percent of total billed charges		92.32				other	OPPS APC	92.32				other	OPPS APC	45.24				percent of total billed charges		47.08				percent of total billed charges		92.32				other	OPPS APC	45.24	92.32	
SCREW 4.5MM/36MM	SUP-97-00926	CDM			278	RC		inpatient			92.32	92.32																																																			
SET IRRIGATION HUMMER II 2 TUBE HOLDER MICRODEBRIDER LF DISPOSABLE	SUP-0290075000	CDM			270	RC		outpatient			92.23	92.23	24.99				percent of total billed charges		92.23				other	OPPS APC	68.25				percent of total billed charges		92.23				other	OPPS APC	92.23				other	OPPS APC	24.99				percent of total billed charges		25.48				percent of total billed charges		92.23				other	OPPS APC	24.99	92.23	
SET IRRIGATION HUMMER II 2 TUBE HOLDER MICRODEBRIDER LF DISPOSABLE	SUP-0290075000	CDM			270	RC		inpatient			92.23	92.23																																																			
DEVICE INFLATION CRE STERI-FLATE DISPOSABLE	SUP-M00550630	CDM			270	RC		outpatient			92.14	92.14	24.96				percent of total billed charges		92.14				other	OPPS APC	68.18				percent of total billed charges		92.14				other	OPPS APC	92.14				other	OPPS APC	24.96				percent of total billed charges		25.46				percent of total billed charges		92.14				other	OPPS APC	24.96	92.14	
DEVICE INFLATION CRE STERI-FLATE DISPOSABLE	SUP-M00550630	CDM			270	RC		inpatient			92.14	92.14																																																			
BINDER BREAST LINED LARGE	SUP-EABLLSDRBGE	CDM			270	RC		outpatient			92.08	92.8	24.94				percent of total billed charges		92.08				other	OPPS APC	68.14				percent of total billed charges		92.08				other	OPPS APC	92.08				other	OPPS APC	24.94				percent of total billed charges		25.44				percent of total billed charges		92.8				other	OPPS APC	24.94	92.8	
BINDER BREAST LINED LARGE	SUP-EABLLSDRBGE	CDM			270	RC		inpatient			92.08	92.08																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE LONG JUDKINS RIGHT CORONARY 4 CURVE L110 CM L.62 IN OD5 FR ID.056 IN PERIPHERAL HYBRID BRAID RADIOPAQUE ULTRA SOFT MULTISEGMENT LATEX FREE DISPOSABLE BLUE YELLOW	SUP-5560820L	CDM			481	RC		outpatient			92	92	45.08				percent of total billed charges		92				other	OPPS APC	68.08				percent of total billed charges		92				other	OPPS APC	92				other	OPPS APC	45.08				percent of total billed charges		46.92				percent of total billed charges		92				other	OPPS APC	45.08	92	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE LONG JUDKINS RIGHT CORONARY 4 CURVE L110 CM L.62 IN OD5 FR ID.056 IN PERIPHERAL HYBRID BRAID RADIOPAQUE ULTRA SOFT MULTISEGMENT LATEX FREE DISPOSABLE BLUE YELLOW	SUP-5560820L	CDM			481	RC		inpatient			92	92																																																			
A.I.M ING GUIDES	SUP-97-03654	CDM			272	RC		outpatient			92	92	24.92				percent of total billed charges		92				other	OPPS APC	68.08				percent of total billed charges		92				other	OPPS APC	92				other	OPPS APC	24.92				percent of total billed charges		25.42				percent of total billed charges		92				other	OPPS APC	24.92	92	
A.I.M ING GUIDES	SUP-97-03654	CDM			272	RC		inpatient			92	92																																																			
SHEATH - 4FX23CM BRITE TIP	SUP-99-04886	CDM			272	RC		outpatient			92	92	24.92				percent of total billed charges		92				other	OPPS APC	68.08				percent of total billed charges		92				other	OPPS APC	92				other	OPPS APC	24.92				percent of total billed charges		25.42				percent of total billed charges		92				other	OPPS APC	24.92	92	
SHEATH - 4FX23CM BRITE TIP	SUP-99-04886	CDM			272	RC		inpatient			92	92																																																			
INTRODUCER CATHETER CHECK-FLO FLEXOR HYDROPHILIC .038 IN L55 CM OD5 FR RAABE MODIFICATION SHORT DILATOR TIP FABRICATED SHEATH RADIOPAQUE BAND HEMOSTASIS VALVE STERILE DISPOSABLE	SUP-G13009	CDM			270	RC		outpatient			92	92	24.92				percent of total billed charges		92				other	OPPS APC	68.08				percent of total billed charges		92				other	OPPS APC	92				other	OPPS APC	24.92				percent of total billed charges		25.42				percent of total billed charges		92				other	OPPS APC	24.92	92	
INTRODUCER CATHETER CHECK-FLO FLEXOR HYDROPHILIC .038 IN L55 CM OD5 FR RAABE MODIFICATION SHORT DILATOR TIP FABRICATED SHEATH RADIOPAQUE BAND HEMOSTASIS VALVE STERILE DISPOSABLE	SUP-G13009	CDM			270	RC		inpatient			92	92																																																			
SHEATH GUIDING FLEXOR RAABE AQ L70 CM OD5 FR ID1.9 MM CHECK-FLO VALVE SOFT TIP RADIOPAQUE BAND STIFF SHAFT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G13091	CDM			270	RC		outpatient			92	92	24.92				percent of total billed charges		92				other	OPPS APC	68.08				percent of total billed charges		92				other	OPPS APC	92				other	OPPS APC	24.92				percent of total billed charges		25.42				percent of total billed charges		92				other	OPPS APC	24.92	92	
SHEATH GUIDING FLEXOR RAABE AQ L70 CM OD5 FR ID1.9 MM CHECK-FLO VALVE SOFT TIP RADIOPAQUE BAND STIFF SHAFT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-G13091	CDM			270	RC		inpatient			92	92																																																			
SYSTEM DRUG DELIVERY SILVERSOAKER ON-Q PAINBUSTER T-PEEL L3.5 IN L2.5 IN CATHETER ANTIMICROBIAL NEEDLE POSTOPERATIVE EXPANSION	SUP-PM010-A	CDM			270	RC		outpatient			92	92	24.92				percent of total billed charges		92				other	OPPS APC	68.08				percent of total billed charges		92				other	OPPS APC	92				other	OPPS APC	24.92				percent of total billed charges		25.42				percent of total billed charges		92				other	OPPS APC	24.92	92	
SYSTEM DRUG DELIVERY SILVERSOAKER ON-Q PAINBUSTER T-PEEL L3.5 IN L2.5 IN CATHETER ANTIMICROBIAL NEEDLE POSTOPERATIVE EXPANSION	SUP-PM010-A	CDM			270	RC		inpatient			92	92																																																			
WALKER ADULT FOLDING	SUP-38-00010	CDM			271	RC		outpatient			91.88	91.88	24.89				percent of total billed charges		91.88				other	OPPS APC	67.99				percent of total billed charges		91.88				other	OPPS APC	91.88				other	OPPS APC	24.89				percent of total billed charges		25.39				percent of total billed charges		91.88				other	OPPS APC	24.89	91.88	
WALKER ADULT FOLDING	SUP-38-00010	CDM			271	RC		inpatient			91.88	91.88																																																			
Trach Cuff TB Lp6	PX-270000018	CDM			270	RC		outpatient			91.7	91.73	24.84				percent of total billed charges		91.7				other	OPPS APC	91.7				fee schedule		91.7				other	OPPS APC	91.7				other	OPPS APC	24.84				percent of total billed charges		25.34				percent of total billed charges		91.73				other	OPPS APC	24.84	91.73	
Trach Cuff TB Lp6	PX-270000018	CDM			270	RC		inpatient			91.7	91.7																																																			
MONOKA MINI	SUP-S11500	CDM			270	RC		outpatient			91.66	91.66	24.83				percent of total billed charges		91.66				other	OPPS APC	67.83				percent of total billed charges		91.66				other	OPPS APC	91.66				other	OPPS APC	24.83				percent of total billed charges		25.33				percent of total billed charges		91.66				other	OPPS APC	24.83	91.66	
MONOKA MINI	SUP-S11500	CDM			270	RC		inpatient			91.66	91.66																																																			
CASSETTE IRRIGATION TPS 2 NONSTERILE LATEX FREE DISPOSABLE	SUP-5100-050-001	CDM			270	RC		outpatient			91.6	91.6	24.81				percent of total billed charges		91.6				other	OPPS APC	67.78				percent of total billed charges		91.6				other	OPPS APC	91.6				other	OPPS APC	24.81				percent of total billed charges		25.31				percent of total billed charges		91.6				other	OPPS APC	24.81	91.6	
CASSETTE IRRIGATION TPS 2 NONSTERILE LATEX FREE DISPOSABLE	SUP-5100-050-001	CDM			270	RC		inpatient			91.6	91.6																																																			
ELECTRODE C-LETZ CONIZATION 11	SUP-77-00017	CDM			272	RC		outpatient			91.52	91.52	24.79				percent of total billed charges		91.52				other	OPPS APC	67.72				percent of total billed charges		91.52				other	OPPS APC	91.52				other	OPPS APC	24.79				percent of total billed charges		25.29				percent of total billed charges		91.52				other	OPPS APC	24.79	91.52	
ELECTRODE C-LETZ CONIZATION 11	SUP-77-00017	CDM			272	RC		inpatient			91.52	91.52																																																			
SCREW CORTEX 3.5 X 40MM	SUP-95-02523	CDM			278	RC		outpatient			91.2	91.23	91.2				fee schedule		91.2				other	OPPS APC	51.98				percent of total billed charges		91.2				other	OPPS APC	91.2				other	OPPS APC	44.69				percent of total billed charges		46.51				percent of total billed charges		91.23				other	OPPS APC	44.69	91.23	
SCREW CORTEX 3.5 X 40MM	SUP-95-02523	CDM			278	RC		inpatient			91.2	91.2																																																			
METHYLERGONOVINE MALEATE PER 0.2 MG	636000000	CDM	0517-0740-20	NDC	J2210	HCPCS		inpatient			91.11	91.11																																																			
METHYLERGONOVINE MALEATE PER 0.2 MG	636000000	CDM	0517-0740-20	NDC	J2210	HCPCS		outpatient			91.11	91.11																																															other	OPPS APC			
GUAR GUM PACKET	637000000	CDM	4390097647	NDC	A9270	HCPCS		inpatient			91.05	91.05																																																			
GUAR GUM PACKET	637000000	CDM	4390097647	NDC	A9270	HCPCS		outpatient			91.05	91.05																																															other	OPPS APC			
HC Cpk (Cpk)	PX-300825500	CDM	82550	CPT	301	RC		outpatient			91	6.6	8.7				fee schedule		6.51				fee schedule		17.29				fee schedule		6.51				fee schedule		6.51				fee schedule		6.51				fee schedule		6.51				fee schedule		6.6				fee schedule		6.51	17.29	
HC Cpk (Cpk)	PX-300825500	CDM	82550	CPT	301	RC		inpatient			91	91																																																			
HC Prosthetics Fitting/Training 15 Mins	PX-420977611	CDM	420977611	LOCAL	420	RC		outpatient			91	91	91				percent of total billed charges		91				other	OPPS APC	67.34				percent of total billed charges		91				fee schedule		91				fee schedule		95.22				percent of total billed charges		91				percent of total billed charges		91				fee schedule		67.34	95.22	
HC Prosthetics Fitting/Training 15 Mins	PX-420977611	CDM	420977611	LOCAL	420	RC		inpatient			91	91																																																			
HC Prosthetics Fitting/Training 15 Mins	PX-430977611	CDM	97761	CPT	430	RC		outpatient			91	91	91				percent of total billed charges		91				other	OPPS APC	81.18				fee schedule		91				fee schedule		91				fee schedule		95.22				percent of total billed charges		91				percent of total billed charges		91				fee schedule		81.18	95.22	
HC Prosthetics Fitting/Training 15 Mins	PX-430977611	CDM	97761	CPT	430	RC		inpatient			91	91																																																			
MMR	PX-510907071	CDM	90707	CPT	510	RC		inpatient			91	91																																																			
MMR	PX-510907071	CDM	90707	CPT	510	RC		outpatient			91	91	169.66				case rate		91				other	OPPS APC	101				case rate		91				other	OPPS APC	91				fee schedule		169.66				case rate		173.05				case rate		91				other	OPPS APC	91	173.05	
HALTER TRACTION HEAD DELUXE XCOMFORTABLE PERSPIRATION ABSORBING PAD DISPOSABLE	SUP-60383	CDM						inpatient			90.9	90.9																																																			
HALTER TRACTION HEAD DELUXE XCOMFORTABLE PERSPIRATION ABSORBING PAD DISPOSABLE	SUP-60383	CDM						outpatient			90.9	9.96	90.9				percent of total billed charges		90.9				other	OPPS APC	90.9				fee schedule		90.9				other	OPPS APC	90.9				other	OPPS APC	90.9				case rate		90.9				case rate		9.96				other	OPPS APC	9.96	90.9	
SUTURE VLOC 180 V-20 2-0  VLOCL0615	SUP-95-04950	CDM			272	RC		outpatient			90.55	9.55	24.53				percent of total billed charges		90.55				other	OPPS APC	67.01				percent of total billed charges		90.55				other	OPPS APC	90.55				other	OPPS APC	24.53				percent of total billed charges		25.02				percent of total billed charges		9.55				other	OPPS APC	9.55	90.55	
SUTURE VLOC 180 V-20 2-0  VLOCL0615	SUP-95-04950	CDM			272	RC		inpatient			90.55	90.55																																																			
SUTURE VLOCL2105 2-0 GREEN GS-22	SUP-97-06030	CDM			272	RC		outpatient			90.55	9.55	24.53				percent of total billed charges		90.55				other	OPPS APC	67.01				percent of total billed charges		90.55				other	OPPS APC	90.55				other	OPPS APC	24.53				percent of total billed charges		25.02				percent of total billed charges		9.55				other	OPPS APC	9.55	90.55	
SUTURE VLOCL2105 2-0 GREEN GS-22	SUP-97-06030	CDM			272	RC		inpatient			90.55	90.55																																																			
SHILEY PEDIATRIC TRACH TUBE  CUFFLESS  4.0MM	SUP-4.0PEF_603625	CDM	270009156	LOCAL	270	RC		outpatient			90.5	9.5	24.52				percent of total billed charges		90.5				other	OPPS APC	66.97				percent of total billed charges		90.5				other	OPPS APC	90.5				other	OPPS APC	24.52				percent of total billed charges		25.01				percent of total billed charges		9.5				other	OPPS APC	9.5	90.5	
SHILEY PEDIATRIC TRACH TUBE  CUFFLESS  4.0MM	SUP-4.0PEF_603625	CDM	270009156	LOCAL	270	RC		inpatient			90.5	90.5																																																			
GUIDEWIRE VASCULAR GLIDEWIRE HYDROPHILIC ANGLE L150 CM L3 CM OD.035 IN FLEXIBLE TIP STIFF SHAFT	SUP-GS3506	CDM			270	RC		outpatient			90.3	9.3	24.46				percent of total billed charges		90.3				other	OPPS APC	66.82				percent of total billed charges		90.3				other	OPPS APC	90.3				other	OPPS APC	24.46				percent of total billed charges		24.95				percent of total billed charges		9.3				other	OPPS APC	9.3	90.3	
GUIDEWIRE VASCULAR GLIDEWIRE HYDROPHILIC ANGLE L150 CM L3 CM OD.035 IN FLEXIBLE TIP STIFF SHAFT	SUP-GS3506	CDM			270	RC		inpatient			90.3	90.3																																																			
BLADE OPHTHALMIC GRIESHABER DSP OD25 GA MVR DISPOSABLE	SUP-8065912501	CDM			270	RC		outpatient			90.26	9.27	24.45				percent of total billed charges		90.26				other	OPPS APC	66.79				percent of total billed charges		90.26				other	OPPS APC	90.26				other	OPPS APC	24.45				percent of total billed charges		24.94				percent of total billed charges		9.27				other	OPPS APC	9.27	90.26	
BLADE OPHTHALMIC GRIESHABER DSP OD25 GA MVR DISPOSABLE	SUP-8065912501	CDM			270	RC		inpatient			90.26	90.26																																																			
Trach Cuff 8dct	PX-270000013	CDM			270	RC		outpatient			90.22	9.22	24.44				percent of total billed charges		90.22				other	OPPS APC	90.22				fee schedule		90.22				other	OPPS APC	90.22				other	OPPS APC	24.44				percent of total billed charges		24.93				percent of total billed charges		9.22				other	OPPS APC	9.22	90.22	
Trach Cuff 8dct	PX-270000013	CDM			270	RC		inpatient			90.22	90.22																																																			
Trach Cuffed Nonfen 4	PX-270000038	CDM			270	RC		outpatient			90.22	9.22	24.44				percent of total billed charges		90.22				other	OPPS APC	90.22				fee schedule		90.22				other	OPPS APC	90.22				other	OPPS APC	24.44				percent of total billed charges		24.93				percent of total billed charges		9.22				other	OPPS APC	9.22	90.22	
Trach Cuffed Nonfen 4	PX-270000038	CDM			270	RC		inpatient			90.22	90.22																																																			
SCREW BONE TITANIUM L8 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM RECESS NONSTERILE MINI FRAGMENT SET	SUP-401.808	CDM	270010022	LOCAL	270	RC		outpatient			90.2	9.23	24.44				percent of total billed charges		90.2				other	OPPS APC	66.75				percent of total billed charges		90.2				other	OPPS APC	90.2				other	OPPS APC	24.44				percent of total billed charges		24.92				percent of total billed charges		9.23				other	OPPS APC	9.23	90.2	
SCREW BONE TITANIUM L8 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM RECESS NONSTERILE MINI FRAGMENT SET	SUP-401.808	CDM	270010022	LOCAL	270	RC		inpatient			90.2	90.2																																																			
SCREW BONE LCP TITANIUM FULL THREAD HEXAGON SPHERE L12 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.812	CDM	270010022	LOCAL	270	RC		outpatient			90.2	9.23	24.44				percent of total billed charges		90.2				other	OPPS APC	66.75				percent of total billed charges		90.2				other	OPPS APC	90.2				other	OPPS APC	24.44				percent of total billed charges		24.92				percent of total billed charges		9.23				other	OPPS APC	9.23	90.2	
SCREW BONE LCP TITANIUM FULL THREAD HEXAGON SPHERE L12 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.812	CDM	270010022	LOCAL	270	RC		inpatient			90.2	90.2																																																			
SCREW BONE LCP TITANIUM FULL THREAD HEXAGON SPHERE L14 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.814	CDM	270010022	LOCAL	270	RC		outpatient			90.2	9.23	24.44				percent of total billed charges		90.2				other	OPPS APC	66.75				percent of total billed charges		90.2				other	OPPS APC	90.2				other	OPPS APC	24.44				percent of total billed charges		24.92				percent of total billed charges		9.23				other	OPPS APC	9.23	90.2	
SCREW BONE LCP TITANIUM FULL THREAD HEXAGON SPHERE L14 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.814	CDM	270010022	LOCAL	270	RC		inpatient			90.2	90.2																																																			
MESH SURGICAL VITAMESH POLYPROPYLENE MACROPOROUS RECTANGLE FLAT L6 IN X W3 IN	SUP-PPBF0715	CDM			270	RC		outpatient			90.2	9.23	24.44				percent of total billed charges		90.2				other	OPPS APC	66.75				percent of total billed charges		90.2				other	OPPS APC	90.2				other	OPPS APC	24.44				percent of total billed charges		24.92				percent of total billed charges		9.23				other	OPPS APC	9.23	90.2	
MESH SURGICAL VITAMESH POLYPROPYLENE MACROPOROUS RECTANGLE FLAT L6 IN X W3 IN	SUP-PPBF0715	CDM			270	RC		inpatient			90.2	90.2																																																			
CONTAINER HISTOLOGY SURE-LOK 10% NEUTRAL BUFFER FORMALIN 95 KPA .6 GL PREFILL	SUP-PFNBF-0.6G	CDM						inpatient			90.18	90.18																																																			
CONTAINER HISTOLOGY SURE-LOK 10% NEUTRAL BUFFER FORMALIN 95 KPA .6 GL PREFILL	SUP-PFNBF-0.6G	CDM						outpatient			90.18	9.19	90.18				percent of total billed charges		90.18				other	OPPS APC	90.18				fee schedule		90.18				other	OPPS APC	90.18				other	OPPS APC	90.18				case rate		90.18				case rate		9.19				other	OPPS APC	9.19	90.18	
Aerobika Opep	PX-270000023	CDM			270	RC		outpatient			90.02	9.2	24.39				percent of total billed charges		90.02				other	OPPS APC	90.02				fee schedule		90.02				other	OPPS APC	90.02				other	OPPS APC	24.39				percent of total billed charges		24.87				percent of total billed charges		9.2				other	OPPS APC	9.2	90.02	
Aerobika Opep	PX-270000023	CDM			270	RC		inpatient			90.02	90.02																																																			
EPINEPHRINE 1 MG/ML SOLUTION	636000000	CDM	76329-9060-0	NDC	J0171	HCPCS		inpatient			90	90																																																			
EPINEPHRINE 1 MG/ML SOLUTION	636000000	CDM	76329-9060-0	NDC	J0171	HCPCS		outpatient			90	90																																															other	OPPS APC			
GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLUTION	636000000	CDM	0270-5164-13	NDC	A9577	HCPCS		inpatient			90	90																																																			
GADOBENATE DIMEGLUMINE 529 MG/ML (0.1MMOL/0.2ML) SOLUTION	636000000	CDM	0270-5164-13	NDC	A9577	HCPCS		outpatient			90	90																																															other	OPPS APC			
REGADENOSON 0.4 MG/5 ML SYRINGE	636000000	CDM	67457-994-05	NDC	J2785	HCPCS		inpatient			90	90																																																			
REGADENOSON 0.4 MG/5 ML SYRINGE	636000000	CDM	67457-994-05	NDC	J2785	HCPCS		outpatient			90	90																																															other	OPPS APC			
ROPIVACAINE PER 1 MG	636000000	CDM	43066-152-01	NDC	J2795	HCPCS		inpatient			90	90																																																			
ROPIVACAINE PER 1 MG	636000000	CDM	43066-152-01	NDC	J2795	HCPCS		outpatient			90	90																																															other	OPPS APC			
TETRACAINE 0.5 % DROPS 5 ML DROP BTL	637000000	CDM	68682-920-05	NDC	A9270	HCPCS		inpatient			90	90																																																			
TETRACAINE 0.5 % DROPS 5 ML DROP BTL	637000000	CDM	68682-920-05	NDC	A9270	HCPCS		outpatient			90	90																																															other	OPPS APC			
HC Fine Needle Aspiration	PX-310881720	CDM	88172	CPT	310	RC		outpatient			90	165.62	49.53				fee schedule		165.62				other	OPPS APC	56.76				fee schedule		165.62				other	OPPS APC	165.62				other	OPPS APC	44.1				percent of total billed charges		45.9				percent of total billed charges		165.62				other	OPPS APC	44.1	165.62	
HC Fine Needle Aspiration	PX-310881720	CDM	88172	CPT	310	RC		inpatient			90	90																																																			
HC Debride Nail >5	PX-761117210	CDM	11721	CPT	761	RC		outpatient			90	9	195.77				case rate		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	195.77				case rate		45.9				percent of total billed charges		9				other	OPPS APC	9	195.77	
HC Debride Nail >5	PX-761117210	CDM	11721	CPT	761	RC		inpatient			90	90																																																			
DEVICE BLOWER/MISTER ACCUMIST ATTACHED TUBING SET	SUP-29150	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
DEVICE BLOWER/MISTER ACCUMIST ATTACHED TUBING SET	SUP-29150	CDM			270	RC		inpatient			90	90																																																			
IMPLANT MAMMARY GEL ROUND MINUS PLUS 50 12.3 X 3.7 275CC	SUP-350-275S	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
IMPLANT MAMMARY GEL ROUND MINUS PLUS 50 12.3 X 3.7 275CC	SUP-350-275S	CDM			270	RC		inpatient			90	90																																																			
SIZER IMPLANT MEMORYGEL SILTEX SALINE P5.3 CM HIGH PROJECTION CONTOUR PROFILE W12.3 CM X H10.5 CM 350-400 ML BREAST 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE DISPOSABLE	SUP-351-0712SZ	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SIZER IMPLANT MEMORYGEL SILTEX SALINE P5.3 CM HIGH PROJECTION CONTOUR PROFILE W12.3 CM X H10.5 CM 350-400 ML BREAST 2 WAY CHECK VALVE SMOOTH INTEGRAL FILL TUBE LUER ADAPTER STERILE DISPOSABLE	SUP-351-0712SZ	CDM			270	RC		inpatient			90	90																																																			
SIZER IMPLANT MEMORYGEL SILTEX SALINE P5.9-7.4 CM HIGH PROFILE ROUND OD13.4-13.8 CM 630-750 ML BREAST STYLE 3000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE REINFORCE FILL TUBE STERILE DISPOSABLE	SUP-3513630SZ	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SIZER IMPLANT MEMORYGEL SILTEX SALINE P5.9-7.4 CM HIGH PROFILE ROUND OD13.4-13.8 CM 630-750 ML BREAST STYLE 3000 SMOOTH SURFACE SHELL ANTERIOR DIAPHRAGM VALVE REINFORCE FILL TUBE STERILE DISPOSABLE	SUP-3513630SZ	CDM			270	RC		inpatient			90	90																																																			
CAP LEAD TERMINAL QUADRIPOLAR IS-1	SUP-4033	CDM			275	RC		outpatient			90	9	44.1				percent of total billed charges		90				other	OPPS APC	51.3				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	44.1				percent of total billed charges		45.9				percent of total billed charges		9				other	OPPS APC	9	90	
CAP LEAD TERMINAL QUADRIPOLAR IS-1	SUP-4033	CDM			275	RC		inpatient			90	90																																																			
DRAPE EQUIPMENT DA VINCI S/SI ARM	SUP-420015	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
DRAPE EQUIPMENT DA VINCI S/SI ARM	SUP-420015	CDM			270	RC		inpatient			90	90																																																			
KWIRE STRYKER 3.2MM	SUP-702462	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
KWIRE STRYKER 3.2MM	SUP-702462	CDM			270	RC		inpatient			90	90																																																			
WIRE GUIDE SMOOTH 3.2 X 300MM	SUP-702463	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
WIRE GUIDE SMOOTH 3.2 X 300MM	SUP-702463	CDM			270	RC		inpatient			90	90																																																			
BUR OVAL 4 X 8MM	SUP-71-00232	CDM			272	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
BUR OVAL 4 X 8MM	SUP-71-00232	CDM			272	RC		inpatient			90	90																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L14 MM OD2.7 MM CORTICAL NONLOCK STERILE ANKLE FRACTURE MANAGEMENT SYSTEM	SUP-AR-8827-14	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L14 MM OD2.7 MM CORTICAL NONLOCK STERILE ANKLE FRACTURE MANAGEMENT SYSTEM	SUP-AR-8827-14	CDM			270	RC		inpatient			90	90																																																			
SCREW BONE STAINLESS STEEL T10 FULL THREAD L18 MM OD2.7 MM CORTEX SELF TAP ANKLE FRACTURE MANAGEMENT	SUP-AR-8827-18	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SCREW BONE STAINLESS STEEL T10 FULL THREAD L18 MM OD2.7 MM CORTEX SELF TAP ANKLE FRACTURE MANAGEMENT	SUP-AR-8827-18	CDM			270	RC		inpatient			90	90																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L34 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-34	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L34 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-34	CDM			270	RC		inpatient			90	90																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L36 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-36	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L36 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-36	CDM			270	RC		inpatient			90	90																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L44 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-44	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L44 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-44	CDM			270	RC		inpatient			90	90																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L46 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-46	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL L46 MM OD2.7 MM FOOT ANKLE CORTICAL SOLID SHAFT KNOTLESS TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8827-46	CDM			270	RC		inpatient			90	90																																																			
GRASPER LAPAROSCOPIC DIRECT DRIVE EPIX LATIS L35 CM L20 MM OD5 MM AUTOMATIC HANDLE PAD STERILE LATEX FREE DISPOSABLE	SUP-C4130	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
GRASPER LAPAROSCOPIC DIRECT DRIVE EPIX LATIS L35 CM L20 MM OD5 MM AUTOMATIC HANDLE PAD STERILE LATEX FREE DISPOSABLE	SUP-C4130	CDM			270	RC		inpatient			90	90																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE AMPLATZ LEFT 1 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6AL10_70270	CDM			481	RC		outpatient			90	9	44.1				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	44.1				percent of total billed charges		45.9				percent of total billed charges		9				other	OPPS APC	9	90	
CATHETER DIAGNOSTIC DXTERITY INSLIDE AMPLATZ LEFT 1 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6AL10_70270	CDM			481	RC		inpatient			90	90																																																			
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE 3 MM J L260 CM L7 CM OD.035 IN FLEXIBLE TIP	SUP-M001465021	CDM			270	RC		outpatient			90	9	24.38				percent of total billed charges		90				other	OPPS APC	66.6				percent of total billed charges		90				other	OPPS APC	90				other	OPPS APC	24.38				percent of total billed charges		24.87				percent of total billed charges		9				other	OPPS APC	9	90	
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE 3 MM J L260 CM L7 CM OD.035 IN FLEXIBLE TIP	SUP-M001465021	CDM			270	RC		inpatient			90	90																																																			
MIDAZOLAM IN 0.9 % NACL 1 MG/ML SOLUTION	636000000	CDM	0143-9380-01	NDC	J2250	HCPCS		inpatient			89.97	89.97																																																			
MIDAZOLAM IN 0.9 % NACL 1 MG/ML SOLUTION	636000000	CDM	0143-9380-10	NDC	J2250	HCPCS		inpatient			89.97	89.97																																																			
MIDAZOLAM IN 0.9 % NACL 1 MG/ML SOLUTION	636000000	CDM	0143-9380-01	NDC	J2250	HCPCS		outpatient			89.97	89.97																																															other	OPPS APC			
MIDAZOLAM IN 0.9 % NACL 1 MG/ML SOLUTION	636000000	CDM	0143-9380-10	NDC	J2250	HCPCS		outpatient			89.97	89.97																																															other	OPPS APC			
IMIPENEM-CILASTATIN PER 250 MG	636000000	CDM	63323-322-01	NDC	J0743	HCPCS		inpatient			89.94	89.94																																																			
IMIPENEM-CILASTATIN PER 250 MG	636000000	CDM	63323-322-01	NDC	J0743	HCPCS		outpatient			89.94	89.94																																															other	OPPS APC			
CATHETER ANGIOGRAPHIC SOFT-VU KUMPE CURVE ANGLE L40 CM OD4 FR NONBRAIDED SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT SELECTIVE STERILE DISPOSABLE .035 IN GUIDEWIRE	SUP-H787107343015	CDM			270	RC		outpatient			89.88	89.88	24.35				percent of total billed charges		89.88				other	OPPS APC	66.51				percent of total billed charges		89.88				other	OPPS APC	89.88				other	OPPS APC	24.35				percent of total billed charges		24.83				percent of total billed charges		89.88				other	OPPS APC	24.35	89.88	
CATHETER ANGIOGRAPHIC SOFT-VU KUMPE CURVE ANGLE L40 CM OD4 FR NONBRAIDED SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT SELECTIVE STERILE DISPOSABLE .035 IN GUIDEWIRE	SUP-H787107343015	CDM			270	RC		inpatient			89.88	89.88																																																			
SCREW BONE LCP DCP STAINLESS STEEL L55 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI/SMALL FRAGMENT SET	SUP-202.855	CDM	270010022	LOCAL	270	RC		outpatient			89.8	89.8	24.33				percent of total billed charges		89.8				other	OPPS APC	66.45				percent of total billed charges		89.8				other	OPPS APC	89.8				other	OPPS APC	24.33				percent of total billed charges		24.81				percent of total billed charges		89.8				other	OPPS APC	24.33	89.8	
SCREW BONE LCP DCP STAINLESS STEEL L55 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI/SMALL FRAGMENT SET	SUP-202.855	CDM	270010022	LOCAL	270	RC		inpatient			89.8	89.8																																																			
12 ' A.T.S. DISP CUFF W/SLEEVE	SUP-74-00092	CDM			272	RC		outpatient			89.79	89.8	24.32				percent of total billed charges		89.79				other	OPPS APC	66.44				percent of total billed charges		89.79				other	OPPS APC	89.79				other	OPPS APC	24.32				percent of total billed charges		24.81				percent of total billed charges		89.8				other	OPPS APC	24.32	89.8	
12 ' A.T.S. DISP CUFF W/SLEEVE	SUP-74-00092	CDM			272	RC		inpatient			89.79	89.79																																																			
METHYLERGONOVINE MALEATE PER 0.2 MG	636000000	CDM	0517-0740-01	NDC	J2210	HCPCS		inpatient			89.76	89.76																																																			
METHYLERGONOVINE MALEATE PER 0.2 MG	636000000	CDM	0517-0740-01	NDC	J2210	HCPCS		outpatient			89.76	89.76																																															other	OPPS APC			
MB NUT (LONG)	SUP-97-03816	CDM			278	RC		outpatient			89.6	89.6	89.6				fee schedule		89.6				other	OPPS APC	51.07				percent of total billed charges		89.6				other	OPPS APC	89.6				other	OPPS APC	43.9				percent of total billed charges		45.7				percent of total billed charges		89.6				other	OPPS APC	43.9	89.6	
MB NUT (LONG)	SUP-97-03816	CDM			278	RC		inpatient			89.6	89.6																																																			
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L30 MM L16 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.03	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L30 MM L16 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.03	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 30MM 16MM LCP DCP LC-DCP SS LG HEXAGON LONG BONE CANCELLOUS	SUP-216.030	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 30MM 16MM LCP DCP LC-DCP SS LG HEXAGON LONG BONE CANCELLOUS	SUP-216.030	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE PARTIAL THREAD 40MM 16MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL LG FRAGMENT SET	SUP-216.04	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE PARTIAL THREAD 40MM 16MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL LG FRAGMENT SET	SUP-216.04	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 40MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LG HEXAGONAL SOCKET	SUP-216.040	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 40MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LG HEXAGONAL SOCKET	SUP-216.040	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE PARTIAL THREAD 70MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.07	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE PARTIAL THREAD 70MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.07	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 70MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.070	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 70MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.070	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE PARTIAL THREAD 80MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.08	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE PARTIAL THREAD 80MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.08	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 80MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.080	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 80MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.080	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L50 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.05	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L50 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.05	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 50MM 32MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-217.050	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 50MM 32MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-217.050	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L60 MM L32 MM OD6.5 MM HUMERUS FEMUR CANCELLOUS NONSTERILE LARGE FRAGMENT SET	SUP-217.06	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L60 MM L32 MM OD6.5 MM HUMERUS FEMUR CANCELLOUS NONSTERILE LARGE FRAGMENT SET	SUP-217.06	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 60MM 32MM LCP SS PARTIAL THREAD HUMERUS FEMUR CANCELLOUS NS LG	SUP-217.060	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 60MM 32MM LCP SS PARTIAL THREAD HUMERUS FEMUR CANCELLOUS NS LG	SUP-217.060	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L70 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.07	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L70 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.07	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 70MM 32MM LCP SS PARTIAL THREAD CANCELLOUS LG HEXAGONAL SOCKET	SUP-217.070	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 70MM 32MM LCP SS PARTIAL THREAD CANCELLOUS LG HEXAGONAL SOCKET	SUP-217.070	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL FULL THREAD LARGE HEXAGON L20 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-218.02	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL FULL THREAD LARGE HEXAGON L20 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-218.02	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 20MM LCP DCP LC-DCP SS FULL THREAD LG HEXAGON LONG BONE	SUP-218.020	CDM						inpatient			89.54	89.54																																																			
SCREW BONE 6.5MM 8MM 20MM LCP DCP LC-DCP SS FULL THREAD LG HEXAGON LONG BONE	SUP-218.020	CDM						outpatient			89.54	89.55	89.54				percent of total billed charges		89.54				other	OPPS APC	89.54				fee schedule		89.54				other	OPPS APC	89.54				other	OPPS APC	89.54				case rate		89.54				case rate		89.55				other	OPPS APC	89.54	89.55	
SCREW BONE FULL THREAD 30MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.03	CDM	270010022	LOCAL	270	RC		outpatient			89.54	89.55	24.26				percent of total billed charges		89.54				other	OPPS APC	66.26				percent of total billed charges		89.54				other	OPPS APC	89.54				other	OPPS APC	24.26				percent of total billed charges		24.74				percent of total billed charges		89.55				other	OPPS APC	24.26	89.55	
SCREW BONE FULL THREAD 30MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.03	CDM	270010022	LOCAL	270	RC		inpatient			89.54	89.54																																																			
DEVICE COMPRESSION FEMOSTOP PNEUMATIC DOME INTEGRATE DIGITAL MANOMETER ADJUSTABLE BELT HEMOSTATIC DRESSING STOPCOCK GOLD	SUP-11165	CDM	270009231	LOCAL	270	RC		outpatient			89.4	89.46	24.22				percent of total billed charges		89.4				other	OPPS APC	66.16				percent of total billed charges		89.4				other	OPPS APC	89.4				other	OPPS APC	24.22				percent of total billed charges		24.7				percent of total billed charges		89.46				other	OPPS APC	24.22	89.46	
DEVICE COMPRESSION FEMOSTOP PNEUMATIC DOME INTEGRATE DIGITAL MANOMETER ADJUSTABLE BELT HEMOSTATIC DRESSING STOPCOCK GOLD	SUP-11165	CDM	270009231	LOCAL	270	RC		inpatient			89.4	89.4																																																			
AZTREONAM 1 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0003-2560-16	NDC	J0457	HCPCS		inpatient			89.18	89.18																																																			
AZTREONAM 1 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0003-2560-16	NDC	J0457	HCPCS		outpatient			89.18	2.74																																											2.74				other	OPPS APC	2.74	2.74	
NUT EXTERNAL FIXATION SPRING LOADED LIGHT TIGHTENING NONSTERILE	SUP-395.58	CDM	270010022	LOCAL	270	RC		outpatient			89.1	90	24.14				percent of total billed charges		89.1				other	OPPS APC	65.93				percent of total billed charges		89.1				other	OPPS APC	89.1				other	OPPS APC	24.14				percent of total billed charges		24.62				percent of total billed charges		90				other	OPPS APC	24.14	90	
NUT EXTERNAL FIXATION SPRING LOADED LIGHT TIGHTENING NONSTERILE	SUP-395.58	CDM	270010022	LOCAL	270	RC		inpatient			89.1	89.1																																																			
TROPICAMIDE 1 % DROPS 15 ML DROP BTL	637000000	CDM	70069-121-01	NDC	A9270	HCPCS		inpatient			89.08	89.08																																																			
TROPICAMIDE 1 % DROPS 15 ML DROP BTL	637000000	CDM	70069-121-01	NDC	A9270	HCPCS		outpatient			89.08	89.08																																															other	OPPS APC			
HC Iadna Dna/Rna Rsv Amplified Probe Technique	PX-306876340	CDM	87634	CPT	306	RC		outpatient			89	7.23	43.61				percent of total billed charges		70.2				fee schedule		201.92				fee schedule		70.2				fee schedule		70.2				fee schedule		70.2				fee schedule		70.2				fee schedule		7.23				fee schedule		7.23	201.92	
HC Iadna Dna/Rna Rsv Amplified Probe Technique	PX-306876340	CDM	87634	CPT	306	RC		inpatient			89	89																																																			
HC Evaluation Low Complexity 8-22 Min	PX-420971610	CDM	97161	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Low Complexity 8-22 Min	PX-420971610	CDM	97161	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Low Complexity 23-37 Min	PX-420971611	CDM	97161	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Low Complexity 23-37 Min	PX-420971611	CDM	97161	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Low Complexity 38-52 Min	PX-420971612	CDM	97161	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Low Complexity 38-52 Min	PX-420971612	CDM	97161	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Mod Complexity 8-22 Min	PX-420971620	CDM	97162	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Mod Complexity 8-22 Min	PX-420971620	CDM	97162	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Mod Complexity 23-37min	PX-420971621	CDM	97162	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Mod Complexity 23-37min	PX-420971621	CDM	97162	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Mod Complexity 38-52 Min	PX-420971622	CDM	97162	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Mod Complexity 38-52 Min	PX-420971622	CDM	97162	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Mod Complexity 53-67 Min	PX-420971623	CDM	97162	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Mod Complexity 53-67 Min	PX-420971623	CDM	97162	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation Mod Complexity 68-82 Min	PX-420971624	CDM	97162	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation Mod Complexity 68-82 Min	PX-420971624	CDM	97162	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation High Complexity 8-22 Min	PX-420971630	CDM	97163	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation High Complexity 8-22 Min	PX-420971630	CDM	97163	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation High Complexity 23-37 Min	PX-420971631	CDM	97163	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation High Complexity 23-37 Min	PX-420971631	CDM	97163	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation High Complexity 38-52 Min	PX-420971632	CDM	97163	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation High Complexity 38-52 Min	PX-420971632	CDM	97163	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Evaluation High Complexity 53-67 Min	PX-420971633	CDM	97163	CPT	420	RC		inpatient			89	89																																																			
HC Evaluation High Complexity 53-67 Min	PX-420971633	CDM	97163	CPT	420	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
HC Pt Evaluatoin Moderate Complexity	PX-424971621	CDM	97162	CPT	424	RC		inpatient			89	89																																																			
HC Pt Evaluatoin Moderate Complexity	PX-424971621	CDM	97162	CPT	424	RC		outpatient			89	89	89				percent of total billed charges		89				fee schedule		147.6				fee schedule		89				fee schedule		89				fee schedule		93.13				percent of total billed charges		89				percent of total billed charges		89				fee schedule		89	147.6	
RECY RESECTOR 4.0MM	SUP-79-00058	CDM			272	RC		outpatient			88.88	88.88	24.08				percent of total billed charges		88.88				other	OPPS APC	65.77				percent of total billed charges		88.88				other	OPPS APC	88.88				other	OPPS APC	24.08				percent of total billed charges		24.56				percent of total billed charges		88.88				other	OPPS APC	24.08	88.88	
RECY RESECTOR 4.0MM	SUP-79-00058	CDM			272	RC		inpatient			88.88	88.88																																																			
RECY TOMCAT 4.0MM	SUP-79-00059	CDM			272	RC		outpatient			88.88	88.88	24.08				percent of total billed charges		88.88				other	OPPS APC	65.77				percent of total billed charges		88.88				other	OPPS APC	88.88				other	OPPS APC	24.08				percent of total billed charges		24.56				percent of total billed charges		88.88				other	OPPS APC	24.08	88.88	
RECY TOMCAT 4.0MM	SUP-79-00059	CDM			272	RC		inpatient			88.88	88.88																																																			
COVER COMPRESSION A-V IMPULSE IMPAD 4.5-8 5.5-9 MED BLADDER LF FOOT RIGID SOLE LG DORSUM WRAP VENT HOLE	SUP-5065	CDM	270009155	LOCAL	270	RC		outpatient			88.8	88.8	24.06				percent of total billed charges		88.8				other	OPPS APC	65.71				percent of total billed charges		88.8				other	OPPS APC	88.8				other	OPPS APC	24.06				percent of total billed charges		24.54				percent of total billed charges		88.8				other	OPPS APC	24.06	88.8	
COVER COMPRESSION A-V IMPULSE IMPAD 4.5-8 5.5-9 MED BLADDER LF FOOT RIGID SOLE LG DORSUM WRAP VENT HOLE	SUP-5065	CDM	270009155	LOCAL	270	RC		inpatient			88.8	88.8																																																			
COVER COMPRESSION IMPAD AV IMPULSE SYSTEM LARGE FOOT RIGID SOLE ANATOMICAL SHAPED LATEX FREE	SUP-5075	CDM	270009155	LOCAL	270	RC		outpatient			88.8	88.8	24.06				percent of total billed charges		88.8				other	OPPS APC	65.71				percent of total billed charges		88.8				other	OPPS APC	88.8				other	OPPS APC	24.06				percent of total billed charges		24.54				percent of total billed charges		88.8				other	OPPS APC	24.06	88.8	
COVER COMPRESSION IMPAD AV IMPULSE SYSTEM LARGE FOOT RIGID SOLE ANATOMICAL SHAPED LATEX FREE	SUP-5075	CDM	270009155	LOCAL	270	RC		inpatient			88.8	88.8																																																			
GUIDEWIRE VASCULAR GLIDEWIRE TUNGSTEN NITINOL POLYURETHANE HYDROPHILIC ANGLE STANDARD L260 CM L3 CM OD.035 IN PERIPHERAL JACKET CORE TO TIP ATRAUMATIC	SUP-GR3509	CDM			481	RC		outpatient			88.8	88.8	43.51				percent of total billed charges		88.8				other	OPPS APC	65.71				percent of total billed charges		88.8				other	OPPS APC	88.8				other	OPPS APC	43.51				percent of total billed charges		45.29				percent of total billed charges		88.8				other	OPPS APC	43.51	88.8	
GUIDEWIRE VASCULAR GLIDEWIRE TUNGSTEN NITINOL POLYURETHANE HYDROPHILIC ANGLE STANDARD L260 CM L3 CM OD.035 IN PERIPHERAL JACKET CORE TO TIP ATRAUMATIC	SUP-GR3509	CDM			481	RC		inpatient			88.8	88.8																																																			
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC 1.5 MM J CURVE STANDARD TAPER L260 CM L3 CM OD.035 IN FLEXIBLE ATRAUMATIC TIP RADIOPAQUE KINK RESISTANCE	SUP-GR3526	CDM			270	RC		outpatient			88.8	88.8	24.06				percent of total billed charges		88.8				other	OPPS APC	65.71				percent of total billed charges		88.8				other	OPPS APC	88.8				other	OPPS APC	24.06				percent of total billed charges		24.54				percent of total billed charges		88.8				other	OPPS APC	24.06	88.8	
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC 1.5 MM J CURVE STANDARD TAPER L260 CM L3 CM OD.035 IN FLEXIBLE ATRAUMATIC TIP RADIOPAQUE KINK RESISTANCE	SUP-GR3526	CDM			270	RC		inpatient			88.8	88.8																																																			
GUIDEWIRE ARTHROSCOPIC CANNU-FLEX L12 IN OD1.5 MM ACL PCL BLUNT TIP STERILE DISPOSABLE	SUP-014859	CDM			270	RC		outpatient			88.68	88.69	24.02				percent of total billed charges		88.68				other	OPPS APC	65.62				percent of total billed charges		88.68				other	OPPS APC	88.68				other	OPPS APC	24.02				percent of total billed charges		24.5				percent of total billed charges		88.69				other	OPPS APC	24.02	88.69	
GUIDEWIRE ARTHROSCOPIC CANNU-FLEX L12 IN OD1.5 MM ACL PCL BLUNT TIP STERILE DISPOSABLE	SUP-014859	CDM			270	RC		inpatient			88.68	88.68																																																			
OSCILLATING SAW BLADE# 5023-26	SUP-78-00204	CDM			272	RC		outpatient			88.41	88.5	23.95				percent of total billed charges		88.41				other	OPPS APC	65.42				percent of total billed charges		88.41				other	OPPS APC	88.41				other	OPPS APC	23.95				percent of total billed charges		24.43				percent of total billed charges		88.5				other	OPPS APC	23.95	88.5	
OSCILLATING SAW BLADE# 5023-26	SUP-78-00204	CDM			272	RC		inpatient			88.41	88.41																																																			
SCREW BONE PERI-LOC STAINLESS STEEL T25 L90MM OD 4.5MM CORTEX SELF TAP	SUP-73826090	CDM			270	RC		outpatient			88.4	88.46	23.95				percent of total billed charges		88.4				other	OPPS APC	65.42				percent of total billed charges		88.4				other	OPPS APC	88.4				other	OPPS APC	23.95				percent of total billed charges		24.42				percent of total billed charges		88.46				other	OPPS APC	23.95	88.46	
SCREW BONE PERI-LOC STAINLESS STEEL T25 L90MM OD 4.5MM CORTEX SELF TAP	SUP-73826090	CDM			270	RC		inpatient			88.4	88.4																																																			
PEG TUBE 24FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00797	CDM			278	RC		outpatient			88.34	88.34	88.34				fee schedule		88.34				other	OPPS APC	50.35				percent of total billed charges		88.34				other	OPPS APC	88.34				other	OPPS APC	43.29				percent of total billed charges		45.05				percent of total billed charges		88.34				other	OPPS APC	43.29	88.34	
PEG TUBE 24FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-00797	CDM			278	RC		inpatient			88.34	88.34																																																			
PEG TUBE ENFIT MAGNA PORT 26FR	SUP-95-00798	CDM			278	RC		outpatient			88.34	88.34	88.34				fee schedule		88.34				other	OPPS APC	50.35				percent of total billed charges		88.34				other	OPPS APC	88.34				other	OPPS APC	43.29				percent of total billed charges		45.05				percent of total billed charges		88.34				other	OPPS APC	43.29	88.34	
PEG TUBE ENFIT MAGNA PORT 26FR	SUP-95-00798	CDM			278	RC		inpatient			88.34	88.34																																																			
RECY TROCAR 12MM OPTIVIEW DILATG TIP 100	SUP-76-00140	CDM			272	RC		outpatient			88.28	88.28	23.92				percent of total billed charges		88.28				other	OPPS APC	65.33				percent of total billed charges		88.28				other	OPPS APC	88.28				other	OPPS APC	23.92				percent of total billed charges		24.39				percent of total billed charges		88.28				other	OPPS APC	23.92	88.28	
RECY TROCAR 12MM OPTIVIEW DILATG TIP 100	SUP-76-00140	CDM			272	RC		inpatient			88.28	88.28																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-066-01	NDC	J1650	HCPCS		inpatient			88.25	88.25																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-225-01	NDC	J1650	HCPCS		inpatient			88.25	88.25																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-066-01	NDC	J1650	HCPCS		outpatient			88.25	88.25																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-225-01	NDC	J1650	HCPCS		outpatient			88.25	88.25																																															other	OPPS APC			
HC Mycoplasma Pneumoniae  Amp Probe	PX-300875810	CDM	87581	CPT	306	RC		outpatient			88	35.93	46.91				fee schedule		35.09				fee schedule		93.18				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		35.09	93.18	
HC Mycoplasma Pneumoniae  Amp Probe	PX-300875810	CDM	87581	CPT	306	RC		inpatient			88	88																																																			
Subsequent Hospital Care 99231	PX-988992311	CDM	99231	CPT	988	RC		outpatient			88	88	39.11				fee schedule		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				fee schedule		48.93				fee schedule		44.88				percent of total billed charges		88				fee schedule		39.11	88	
Subsequent Hospital Care 99231	PX-988992311	CDM	99231	CPT	988	RC		inpatient			88	88																																																			
PROBE VITRECTOMY GRIESHABER 30 D OD27+ GA DSP POINTED TIP DIATHERMY ERGONOMIC HANDLE ACCURUS CONSTELLATION	SUP-339.31	CDM			270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
PROBE VITRECTOMY GRIESHABER 30 D OD27+ GA DSP POINTED TIP DIATHERMY ERGONOMIC HANDLE ACCURUS CONSTELLATION	SUP-339.31	CDM			270	RC		inpatient			88	88																																																			
ROD EXTERNAL FIXATION 25MM 3MM CARBON FIBER NS CONNECT RADIOLUCENT	SUP-395.105	CDM	270010022	LOCAL	270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
ROD EXTERNAL FIXATION 25MM 3MM CARBON FIBER NS CONNECT RADIOLUCENT	SUP-395.105	CDM	270010022	LOCAL	270	RC		inpatient			88	88																																																			
ROD EXTERNAL FIXATION CARBON FIBER L45 MM OD3 MM NONSTERILE MINI EXTERNAL FIXATOR	SUP-395.107	CDM	270010022	LOCAL	270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
ROD EXTERNAL FIXATION CARBON FIBER L45 MM OD3 MM NONSTERILE MINI EXTERNAL FIXATOR	SUP-395.107	CDM	270010022	LOCAL	270	RC		inpatient			88	88																																																			
ROD EXTERNAL FIXATION 60MM 3MM CARBON FIBER NS	SUP-395.109	CDM	270010022	LOCAL	270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
ROD EXTERNAL FIXATION 60MM 3MM CARBON FIBER NS	SUP-395.109	CDM	270010022	LOCAL	270	RC		inpatient			88	88																																																			
ROD EXTERNAL FIXATION CARBON FIBER L75 MM OD3 MM CONNECTING RADIOLUCENT NONSTERILE MINI EXTERNAL FIXATOR	SUP-395.111	CDM	270010022	LOCAL	270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
ROD EXTERNAL FIXATION CARBON FIBER L75 MM OD3 MM CONNECTING RADIOLUCENT NONSTERILE MINI EXTERNAL FIXATOR	SUP-395.111	CDM	270010022	LOCAL	270	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN LONG EXTRA BACKUP 3.5 CURVE 100CM .62IN 5FR .056IN BLUE YELLOW SS NYLON PTFE	SUP-5560540L	CDM			270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN LONG EXTRA BACKUP 3.5 CURVE 100CM .62IN 5FR .056IN BLUE YELLOW SS NYLON PTFE	SUP-5560540L	CDM			270	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE LONG XBACKUP 4 CURVE L100 CM L.62 IN OD5 FR ID.056 IN PERIPHERAL HYBRID BRAID RADIOPAQUE ULTRA SOFT MULTISEGMENT LATEX FREE DISPOSABLE BLUE YELLOW	SUP-5560560L	CDM			270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE LONG XBACKUP 4 CURVE L100 CM L.62 IN OD5 FR ID.056 IN PERIPHERAL HYBRID BRAID RADIOPAQUE ULTRA SOFT MULTISEGMENT LATEX FREE DISPOSABLE BLUE YELLOW	SUP-5560560L	CDM			270	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE LONG HOCKEY STICK CURVE L100 CM L.62 IN OD5 FR ID.056 IN PERIPHERAL HYBRID BRAID RADIOPAQUE ULTRA SOFT MULTISEGMENT LATEX FREE DISPOSABLE BLUE YELLOW	SUP-5562780L	CDM			270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE LONG HOCKEY STICK CURVE L100 CM L.62 IN OD5 FR ID.056 IN PERIPHERAL HYBRID BRAID RADIOPAQUE ULTRA SOFT MULTISEGMENT LATEX FREE DISPOSABLE BLUE YELLOW	SUP-5562780L	CDM			270	RC		inpatient			88	88																																																			
6F VISTA GUIDE JL 4 S/H	SUP-67000500	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE JL 4 S/H	SUP-67000500	CDM			481	RC		inpatient			88	88																																																			
6F VISTA GUIDE JL 5	SUP-67000800	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE JL 5	SUP-67000800	CDM			481	RC		inpatient			88	88																																																			
6F VISTA GUIDE AL 1 S/H	SUP-67003700	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE AL 1 S/H	SUP-67003700	CDM			481	RC		inpatient			88	88																																																			
6F VISTA GUIDE AL 3	SUP-67004200	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE AL 3	SUP-67004200	CDM			481	RC		inpatient			88	88																																																			
6F VISTA GUIDE JR 3.5 S/H	SUP-67008100	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE JR 3.5 S/H	SUP-67008100	CDM			481	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON STANDARD JUDKINS RIGHT CORONARY 4 CURVE L100 CM L.1 IN OD6 FR ID.07 IN 2 SIDEHOLE HYBRID BRAID MULTISEGMENT RADIOPAQUE BLUE YELLOW	SUP-67008300	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON STANDARD JUDKINS RIGHT CORONARY 4 CURVE L100 CM L.1 IN OD6 FR ID.07 IN 2 SIDEHOLE HYBRID BRAID MULTISEGMENT RADIOPAQUE BLUE YELLOW	SUP-67008300	CDM			481	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON AMPLATZ RIGHT 1 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67011000	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON AMPLATZ RIGHT 1 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67011000	CDM			481	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON AMPLATZ RIGHT 2 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67011200	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON AMPLATZ RIGHT 2 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67011200	CDM			481	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON AMPLATZ RIGHT CORONARY 2 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL SIDEHOLE RADIOPAQUE HYBRID BRAID MULTISEGMENT DISPOSABLE BLUE YELLOW	SUP-67011300	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON AMPLATZ RIGHT CORONARY 2 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL SIDEHOLE RADIOPAQUE HYBRID BRAID MULTISEGMENT DISPOSABLE BLUE YELLOW	SUP-67011300	CDM			481	RC		inpatient			88	88																																																			
6F VISTA GUIDE XB RCA	SUP-67012400	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE XB RCA	SUP-67012400	CDM			481	RC		inpatient			88	88																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON REGULAR INTERNAL MAMMARY CURVE L100 CM L.1 IN OD6 FR ID.07 IN HYBRID BRAID MULTISEGMENT RADIOPAQUE BLUE YELLOW	SUP-67019000	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON REGULAR INTERNAL MAMMARY CURVE L100 CM L.1 IN OD6 FR ID.07 IN HYBRID BRAID MULTISEGMENT RADIOPAQUE BLUE YELLOW	SUP-67019000	CDM			481	RC		inpatient			88	88																																																			
6F VISTA GUIDE MPA 1 S/H	SUP-67027100	CDM			481	RC		outpatient			88	88	43.12				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
6F VISTA GUIDE MPA 1 S/H	SUP-67027100	CDM			481	RC		inpatient			88	88																																																			
FIBERWIRE 2 AR-7200 BX/12	SUP-74-00243	CDM			278	RC		outpatient			88	88	88				fee schedule		88				other	OPPS APC	50.16				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
FIBERWIRE 2 AR-7200 BX/12	SUP-74-00243	CDM			278	RC		inpatient			88	88																																																			
FIBERWIRE 2 AR-7206 BX/12	SUP-74-00245	CDM			278	RC		outpatient			88	88	88				fee schedule		88				other	OPPS APC	50.16				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
FIBERWIRE 2 AR-7206 BX/12	SUP-74-00245	CDM			278	RC		inpatient			88	88																																																			
FIBERWIRE 2-0 AR-7220 BX12	SUP-74-00246	CDM			278	RC		outpatient			88	88	88				fee schedule		88				other	OPPS APC	50.16				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
FIBERWIRE 2-0 AR-7220 BX12	SUP-74-00246	CDM			278	RC		inpatient			88	88																																																			
BLADE STERNUM	SUP-78-00311	CDM			272	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
BLADE STERNUM	SUP-78-00311	CDM			272	RC		inpatient			88	88																																																			
GUIDEIWRE 1.2MM	SUP-95-05152	CDM			272	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
GUIDEIWRE 1.2MM	SUP-95-05152	CDM			272	RC		inpatient			88	88																																																			
.86 GULDE WIRE  TROCAR TIP	SUP-97-01666	CDM			272	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
.86 GULDE WIRE  TROCAR TIP	SUP-97-01666	CDM			272	RC		inpatient			88	88																																																			
GUIDE WIRE TROCAR TIP .45IN	SUP-97-02026	CDM			278	RC		outpatient			88	88	88				fee schedule		88				other	OPPS APC	50.16				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	43.12				percent of total billed charges		44.88				percent of total billed charges		88				other	OPPS APC	43.12	88	
GUIDE WIRE TROCAR TIP .45IN	SUP-97-02026	CDM			278	RC		inpatient			88	88																																																			
G-WIRE W/TRCR TIPNON- THREDED12	SUP-97-02036	CDM						inpatient			88	88																																																			
G-WIRE W/TRCR TIPNON- THREDED12	SUP-97-02036	CDM						outpatient			88	88	88				percent of total billed charges		88				other	OPPS APC	88				fee schedule		88				other	OPPS APC	88				other	OPPS APC	88				case rate		88				case rate		88				other	OPPS APC	88	88	
GUIDEWIRE - .018X40CM NITINOL	SUP-99-04342	CDM			272	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
GUIDEWIRE - .018X40CM NITINOL	SUP-99-04342	CDM			272	RC		inpatient			88	88																																																			
BELT SUPPORT MEDTRONIC MEDIUM	SUP-FP9000M	CDM			270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
BELT SUPPORT MEDTRONIC MEDIUM	SUP-FP9000M	CDM			270	RC		inpatient			88	88																																																			
GUIDEWIRE VASCULAR ROADRUNNER HYDROPHILIC NITINOL PLATINUM TAPER L260 CM OD.035 IN RADIOPAQUE FLEXIBLE TIP	SUP-RFSPC-35-260	CDM			270	RC		outpatient			88	88	23.84				percent of total billed charges		88				other	OPPS APC	65.12				percent of total billed charges		88				other	OPPS APC	88				other	OPPS APC	23.84				percent of total billed charges		24.31				percent of total billed charges		88				other	OPPS APC	23.84	88	
GUIDEWIRE VASCULAR ROADRUNNER HYDROPHILIC NITINOL PLATINUM TAPER L260 CM OD.035 IN RADIOPAQUE FLEXIBLE TIP	SUP-RFSPC-35-260	CDM			270	RC		inpatient			88	88																																																			
HC Borrelia Miyamotoi Dna Real Time Pcr Misc	PX-300874780	CDM	87478	CPT	300	RC		inpatient			87.72	87.72																																																			
HC Borrelia Miyamotoi Dna Real Time Pcr Misc	PX-300874780	CDM	87478	CPT	300	RC		outpatient			87.72	35.93					percent of total billed charges		35.09				fee schedule		64.91				percent of total billed charges		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.09				fee schedule		35.93				fee schedule		64.91	64.91	
WIRE FIXATION VLP L 150 MM OD 1.1 MM FOOT DRILL TIP STERILE LATEX FREE	SUP-71101413	CDM			270	RC		outpatient			87.6	87.6	23.73				percent of total billed charges		87.6				other	OPPS APC	64.82				percent of total billed charges		87.6				other	OPPS APC	87.6				other	OPPS APC	23.73				percent of total billed charges		24.2				percent of total billed charges		87.6				other	OPPS APC	23.73	87.6	
WIRE FIXATION VLP L 150 MM OD 1.1 MM FOOT DRILL TIP STERILE LATEX FREE	SUP-71101413	CDM			270	RC		inpatient			87.6	87.6																																																			
WIRE FIXATION KIRSCHNER COCR FLUTE L150MM OD 1.6MM DRILL TIP	SUP-71101502	CDM			270	RC		outpatient			87.6	87.6	23.73				percent of total billed charges		87.6				other	OPPS APC	64.82				percent of total billed charges		87.6				other	OPPS APC	87.6				other	OPPS APC	23.73				percent of total billed charges		24.2				percent of total billed charges		87.6				other	OPPS APC	23.73	87.6	
WIRE FIXATION KIRSCHNER COCR FLUTE L150MM OD 1.6MM DRILL TIP	SUP-71101502	CDM			270	RC		inpatient			87.6	87.6																																																			
CHARGE NEUROMONITORING SET UP	SUP-NMSETUP	CDM	270010017	LOCAL	270	RC		outpatient			87.5	87.5	23.7				percent of total billed charges		87.5				other	OPPS APC	64.75				percent of total billed charges		87.5				other	OPPS APC	87.5				other	OPPS APC	23.7				percent of total billed charges		24.18				percent of total billed charges		87.5				other	OPPS APC	23.7	87.5	
CHARGE NEUROMONITORING SET UP	SUP-NMSETUP	CDM	270010017	LOCAL	270	RC		inpatient			87.5	87.5																																																			
GUIDEWIRE VASCULAR PUSH-PLUS MICROPUNCTURE 40CM 10CM .018IN 5FR SS 1 PART NEEDLE STIFFENED CANNULA COAXIAL CATHETER	SUP-MPIS-501-10.0-SC-SST	CDM			270	RC		outpatient			87.38	87.38	23.67				percent of total billed charges		87.38				other	OPPS APC	64.66				percent of total billed charges		87.38				other	OPPS APC	87.38				other	OPPS APC	23.67				percent of total billed charges		24.14				percent of total billed charges		87.38				other	OPPS APC	23.67	87.38	
GUIDEWIRE VASCULAR PUSH-PLUS MICROPUNCTURE 40CM 10CM .018IN 5FR SS 1 PART NEEDLE STIFFENED CANNULA COAXIAL CATHETER	SUP-MPIS-501-10.0-SC-SST	CDM			270	RC		inpatient			87.38	87.38																																																			
SCREW BN 4MM 45MM SS F-T CANC NS SM	SUP-97-02528	CDM			278	RC		outpatient			87.32	87.32	87.32				fee schedule		87.32				other	OPPS APC	49.77				percent of total billed charges		87.32				other	OPPS APC	87.32				other	OPPS APC	42.79				percent of total billed charges		44.53				percent of total billed charges		87.32				other	OPPS APC	42.79	87.32	
SCREW BN 4MM 45MM SS F-T CANC NS SM	SUP-97-02528	CDM			278	RC		inpatient			87.32	87.32																																																			
4.0 X 35MM FULL THD SCREW	SUP-97-05104	CDM			278	RC		outpatient			87.32	87.32	87.32				fee schedule		87.32				other	OPPS APC	49.77				percent of total billed charges		87.32				other	OPPS APC	87.32				other	OPPS APC	42.79				percent of total billed charges		44.53				percent of total billed charges		87.32				other	OPPS APC	42.79	87.32	
4.0 X 35MM FULL THD SCREW	SUP-97-05104	CDM			278	RC		inpatient			87.32	87.32																																																			
4.0 X 60MM CAN. BONE SCREW	SUP-97-05329	CDM			278	RC		outpatient			87.32	87.32	87.32				fee schedule		87.32				other	OPPS APC	49.77				percent of total billed charges		87.32				other	OPPS APC	87.32				other	OPPS APC	42.79				percent of total billed charges		44.53				percent of total billed charges		87.32				other	OPPS APC	42.79	87.32	
4.0 X 60MM CAN. BONE SCREW	SUP-97-05329	CDM			278	RC		inpatient			87.32	87.32																																																			
SCREW CANCELLOUS 4.0 X 24MM	SUP-97-05991	CDM			278	RC		outpatient			87.32	87.32	87.32				fee schedule		87.32				other	OPPS APC	49.77				percent of total billed charges		87.32				other	OPPS APC	87.32				other	OPPS APC	42.79				percent of total billed charges		44.53				percent of total billed charges		87.32				other	OPPS APC	42.79	87.32	
SCREW CANCELLOUS 4.0 X 24MM	SUP-97-05991	CDM			278	RC		inpatient			87.32	87.32																																																			
SCREW CANCELLOUS FULL THREAD 4.0 X 30MM	SUP-97-06040	CDM			278	RC		outpatient			87.32	87.32	87.32				fee schedule		87.32				other	OPPS APC	49.77				percent of total billed charges		87.32				other	OPPS APC	87.32				other	OPPS APC	42.79				percent of total billed charges		44.53				percent of total billed charges		87.32				other	OPPS APC	42.79	87.32	
SCREW CANCELLOUS FULL THREAD 4.0 X 30MM	SUP-97-06040	CDM			278	RC		inpatient			87.32	87.32																																																			
DART FIXATION DARTSTICK POLY L LACTIDE CO D L LACTIDE ACID L12 MM OD1.3 MM MENISCUS REVERSE BARB STERILE	SUP-AR-3007-B12	CDM			270	RC		outpatient			87.32	87.32	23.65				percent of total billed charges		87.32				other	OPPS APC	64.62				percent of total billed charges		87.32				other	OPPS APC	87.32				other	OPPS APC	23.65				percent of total billed charges		24.13				percent of total billed charges		87.32				other	OPPS APC	23.65	87.32	
DART FIXATION DARTSTICK POLY L LACTIDE CO D L LACTIDE ACID L12 MM OD1.3 MM MENISCUS REVERSE BARB STERILE	SUP-AR-3007-B12	CDM			270	RC		inpatient			87.32	87.32																																																			
SUTURE 0 VICRYL J207	SUP-95-01796	CDM			272	RC		outpatient			87.16	87.16	23.61				percent of total billed charges		87.16				other	OPPS APC	64.5				percent of total billed charges		87.16				other	OPPS APC	87.16				other	OPPS APC	23.61				percent of total billed charges		24.08				percent of total billed charges		87.16				other	OPPS APC	23.61	87.16	
SUTURE 0 VICRYL J207	SUP-95-01796	CDM			272	RC		inpatient			87.16	87.16																																																			
DRESSING GAUZE QUIKCLOT L4 YD X W3 IN Z FOLD HEMOSTATIC	SUP-487	CDM			270	RC		outpatient			87.12	87.13	23.6				percent of total billed charges		87.12				other	OPPS APC	64.47				percent of total billed charges		87.12				other	OPPS APC	87.12				other	OPPS APC	23.6				percent of total billed charges		24.07				percent of total billed charges		87.13				other	OPPS APC	23.6	87.13	
DRESSING GAUZE QUIKCLOT L4 YD X W3 IN Z FOLD HEMOSTATIC	SUP-487	CDM			270	RC		inpatient			87.12	87.12																																																			
SCREW BONE DCP STAINLESS STEEL L12 MM OD2 MM ODSEC3.5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.812	CDM	270010022	LOCAL	270	RC		outpatient			87.1	88	23.6				percent of total billed charges		87.1				other	OPPS APC	64.45				percent of total billed charges		87.1				other	OPPS APC	87.1				other	OPPS APC	23.6				percent of total billed charges		24.07				percent of total billed charges		88				other	OPPS APC	23.6	88	
SCREW BONE DCP STAINLESS STEEL L12 MM OD2 MM ODSEC3.5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-201.812	CDM	270010022	LOCAL	270	RC		inpatient			87.1	87.1																																																			
HC Chlamydia Pneumoniae  Dna  Amp Probe	PX-300874860	CDM	87486	CPT	300	RC		outpatient			87	87	46.91				fee schedule		87				fee schedule		93.18				fee schedule		87				fee schedule		87				fee schedule		35.09				fee schedule		35.09				fee schedule		87				fee schedule		35.09	93.18	
HC Chlamydia Pneumoniae  Dna  Amp Probe	PX-300874860	CDM	87486	CPT	300	RC		inpatient			87	87																																																			
HC Add'l Frozen Section	PX-310883320	CDM	88332	CPT	310	RC		outpatient			87	87	42.97				fee schedule		87				other	OPPS APC	30.08				fee schedule		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	30.08	87	
HC Add'l Frozen Section	PX-310883320	CDM	88332	CPT	310	RC		inpatient			87	87																																																			
FINTER TRAP SMALL	SUP-10170051	CDM			270	RC		outpatient			87	87	23.57				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	23.57				percent of total billed charges		24.04				percent of total billed charges		87				other	OPPS APC	23.57	87	
FINTER TRAP SMALL	SUP-10170051	CDM			270	RC		inpatient			87	87																																																			
FINTER TRAP LARGE	SUP-10170053	CDM			270	RC		outpatient			87	87	23.57				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	23.57				percent of total billed charges		24.04				percent of total billed charges		87				other	OPPS APC	23.57	87	
FINTER TRAP LARGE	SUP-10170053	CDM			270	RC		inpatient			87	87																																																			
FINTER TRAP XL	SUP-10170054	CDM			270	RC		outpatient			87	87	23.57				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	23.57				percent of total billed charges		24.04				percent of total billed charges		87				other	OPPS APC	23.57	87	
FINTER TRAP XL	SUP-10170054	CDM			270	RC		inpatient			87	87																																																			
CATHETER GUIDING CORDIS ADROIT STAINLESS STEEL PTFE JL3 CURVE L 100 CM OD 5 FR CORONARY PERIPHERAL RADIOPAQUE KINK RESISTANCE STERILE LATEX FREE BLUE YELLOW	SUP-55800000_66627	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING CORDIS ADROIT STAINLESS STEEL PTFE JL3 CURVE L 100 CM OD 5 FR CORONARY PERIPHERAL RADIOPAQUE KINK RESISTANCE STERILE LATEX FREE BLUE YELLOW	SUP-55800000_66627	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE XBLAD 4	SUP-5888101	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE XBLAD 4	SUP-5888101	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE XBLAD 3.5 S/H	SUP-5888103	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE XBLAD 3.5 S/H	SUP-5888103	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE XBLAD 4 S/H	SUP-5888104	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE XBLAD 4 S/H	SUP-5888104	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE IM	SUP-588817	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE IM	SUP-588817	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE JL 4	SUP-588823	CDM			270	RC		outpatient			87	87	23.57				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	23.57				percent of total billed charges		24.04				percent of total billed charges		87				other	OPPS APC	23.57	87	
8F VISTA GUIDE JL 4	SUP-588823	CDM			270	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3 CURVE 100CM .1IN 8FR .088IN BLUE YELLOW SS PTFE NYLON	SUP-588829	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3 CURVE 100CM .1IN 8FR .088IN BLUE YELLOW SS PTFE NYLON	SUP-588829	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE JR 4 S/H	SUP-588831	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE JR 4 S/H	SUP-588831	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE JL 3.5 S/H	SUP-588832	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE JL 3.5 S/H	SUP-588832	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE JL 4 S/H	SUP-588834	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE JL 4 S/H	SUP-588834	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AR 1 S/H	SUP-588836	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AR 1 S/H	SUP-588836	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AR 2 S/H	SUP-588837	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AR 2 S/H	SUP-588837	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE H-STICK	SUP-588841	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE H-STICK	SUP-588841	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE MPA 1	SUP-588842	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE MPA 1	SUP-588842	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AL 1	SUP-588843	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AL 1	SUP-588843	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AL 2	SUP-588844	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AL 2	SUP-588844	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AR 1	SUP-588845	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AR 1	SUP-588845	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AR 2	SUP-588846	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AR 2	SUP-588846	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AL 1 S/H	SUP-588847	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AL 1 S/H	SUP-588847	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE AL 2 S/H	SUP-588848	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE AL 2 S/H	SUP-588848	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE H-STICK S/H	SUP-588850	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE H-STICK S/H	SUP-588850	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE JL 3.5	SUP-588851	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE JL 3.5	SUP-588851	CDM			481	RC		inpatient			87	87																																																			
8F GUIDE XB 3.0 S/H	SUP-588875	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F GUIDE XB 3.0 S/H	SUP-588875	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3.5 CURVE 100CM .1IN 8FR .088IN BLUE YELLOW SS PTFE NYLON	SUP-588882	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3.5 CURVE 100CM .1IN 8FR .088IN BLUE YELLOW SS PTFE NYLON	SUP-588882	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3.5 CURVE 100CM .1IN 8FR .088IN BLUE YELLOW SS PTFE NYLON	SUP-588885	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3.5 CURVE 100CM .1IN 8FR .088IN BLUE YELLOW SS PTFE NYLON	SUP-588885	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 4 CURVE L100 CM L.1 IN OD8 FR ID.088 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-588894	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 4 CURVE L100 CM L.1 IN OD8 FR ID.088 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-588894	CDM			481	RC		inpatient			87	87																																																			
8F VISTA GUIDE XB 4.5	SUP-588898	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F VISTA GUIDE XB 4.5	SUP-588898	CDM			481	RC		inpatient			87	87																																																			
8F GUIDE XB 4.5 S/H	SUP-588899	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
8F GUIDE XB 4.5 S/H	SUP-588899	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON STANDARD JUDKINS LEFT CORONARY 3.5 CURVE L100 CM L.1 IN OD6 FR ID.07 IN HYBRID BRAID MULTISEGMENT RADIOPAQUE BLUE YELLOW	SUP-67000200	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON STANDARD JUDKINS LEFT CORONARY 3.5 CURVE L100 CM L.1 IN OD6 FR ID.07 IN HYBRID BRAID MULTISEGMENT RADIOPAQUE BLUE YELLOW	SUP-67000200	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE JL 3.5 S/H	SUP-67000300	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE JL 3.5 S/H	SUP-67000300	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE JL 4	SUP-67000400	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE JL 4	SUP-67000400	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE JL 4.5	SUP-67000600	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE JL 4.5	SUP-67000600	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE AMPLATZ LEFT CORONARY 1 CURVE L100 CM L.1 IN OD6 FR ID.07 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67003600	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL NYLON PTFE AMPLATZ LEFT CORONARY 1 CURVE L100 CM L.1 IN OD6 FR ID.07 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67003600	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE AL 2	SUP-67004000	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE AL 2	SUP-67004000	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE AL 2 S/H	SUP-67004100	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE AL 2 S/H	SUP-67004100	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN XBACKUP 3 CURVE 100CM .1IN 6FR .07IN BLUE YELLOW SS NYLON PTFE DISPOSABLE	SUP-67005200	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN XBACKUP 3 CURVE 100CM .1IN 6FR .07IN BLUE YELLOW SS NYLON PTFE DISPOSABLE	SUP-67005200	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 3 CURVE L100 CM L.1 IN OD6 FR ID.07 IN SIDEHOLE RADIOPAQUE HYBRID BRAID MULTISEGMENT BLUE YELLOW	SUP-67005300	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 3 CURVE L100 CM L.1 IN OD6 FR ID.07 IN SIDEHOLE RADIOPAQUE HYBRID BRAID MULTISEGMENT BLUE YELLOW	SUP-67005300	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3.5 CURVE 100CM .1IN 6FR .07IN BLUE YELLOW SS PTFE NYLON	SUP-67005400	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN EXTRA BACKUP 3.5 CURVE 100CM .1IN 6FR .07IN BLUE YELLOW SS PTFE NYLON	SUP-67005400	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 3.5 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL SIDEHOLE RADIOPAQUE HYBRID BRAID MULTISEGMENT DISPOSABLE BLUE YELLOW	SUP-67005500	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON EXTRA BACKUP 3.5 CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL SIDEHOLE RADIOPAQUE HYBRID BRAID MULTISEGMENT DISPOSABLE BLUE YELLOW	SUP-67005500	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STANDARD EXTRA BACK-UP LEFT ANTERIOR DESCEND CORONARY 3.5 CURVE 100CM .1IN 6	SUP-67006000	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STANDARD EXTRA BACK-UP LEFT ANTERIOR DESCEND CORONARY 3.5 CURVE 100CM .1IN 6	SUP-67006000	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN REGULAR XBLAD4 CURVE 100CM .1IN 6FR .07IN BLUE YELLOW SS NYLON PTFE	SUP-67006200	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN REGULAR XBLAD4 CURVE 100CM .1IN 6FR .07IN BLUE YELLOW SS NYLON PTFE	SUP-67006200	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE JR 3.5	SUP-67008000	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE JR 3.5	SUP-67008000	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON JUDKINS RIGHT 4 CURVE L100 CM L.1 IN OD6 FR ID.07 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67008200	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON JUDKINS RIGHT 4 CURVE L100 CM L.1 IN OD6 FR ID.07 IN RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67008200	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE AR 1 S/H	SUP-67011100	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE AR 1 S/H	SUP-67011100	CDM			481	RC		inpatient			87	87																																																			
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON LEFT CORONARY BYPASS CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67018000	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
CATHETER GUIDING VISTA BRITE TIP TRUELUMEN STAINLESS STEEL PTFE NYLON LEFT CORONARY BYPASS CURVE L100 CM L.1 IN OD6 FR ID.07 IN PERIPHERAL RADIOPAQUE HYBRID BRAID MULTISEGMENT TORQUE CONTROL DISPOSABLE BLUE YELLOW	SUP-67018000	CDM			481	RC		inpatient			87	87																																																			
6FR RCB VISTA GUIDE	SUP-67018200	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6FR RCB VISTA GUIDE	SUP-67018200	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE MPA 1	SUP-67027000	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE MPA 1	SUP-67027000	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE H-STICK	SUP-67027800	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE H-STICK	SUP-67027800	CDM			481	RC		inpatient			87	87																																																			
6F VISTA GUIDE H-STICK S/H	SUP-67027900	CDM			481	RC		outpatient			87	87	42.63				percent of total billed charges		87				other	OPPS APC	64.38				percent of total billed charges		87				other	OPPS APC	87				other	OPPS APC	42.63				percent of total billed charges		44.37				percent of total billed charges		87				other	OPPS APC	42.63	87	
6F VISTA GUIDE H-STICK S/H	SUP-67027900	CDM			481	RC		inpatient			87	87																																																			
SUTURE VLOC 90 VLOCM0124	SUP-74-00371	CDM			272	RC		outpatient			86.84	86.84	23.52				percent of total billed charges		86.84				other	OPPS APC	64.26				percent of total billed charges		86.84				other	OPPS APC	86.84				other	OPPS APC	23.52				percent of total billed charges		23.99				percent of total billed charges		86.84				other	OPPS APC	23.52	86.84	
SUTURE VLOC 90 VLOCM0124	SUP-74-00371	CDM			272	RC		inpatient			86.84	86.84																																																			
CATHETER BARTHOLIN GLAND CH10 5CC	SUP-95-01317	CDM			278	RC		outpatient			86.84	86.84	86.84				fee schedule		86.84				other	OPPS APC	49.5				percent of total billed charges		86.84				other	OPPS APC	86.84				other	OPPS APC	42.55				percent of total billed charges		44.29				percent of total billed charges		86.84				other	OPPS APC	42.55	86.84	
CATHETER BARTHOLIN GLAND CH10 5CC	SUP-95-01317	CDM			278	RC		inpatient			86.84	86.84																																																			
KIT TRACHEOSTOMY PORTEX VLUE LINE ULTRA SUCTIONAID PVC 105 D OD 11.9MM ID 8.0 MM CUFF 2 INNER CANNULA CLEAN BRUSH HOLDER STERILE LATEX FREE DISPOSABLE	SUP-100/875/080	CDM			270	RC		outpatient			86.68	86.69	23.48				percent of total billed charges		86.68				other	OPPS APC	64.14				percent of total billed charges		86.68				other	OPPS APC	86.68				other	OPPS APC	23.48				percent of total billed charges		23.95				percent of total billed charges		86.69				other	OPPS APC	23.48	86.69	
KIT TRACHEOSTOMY PORTEX VLUE LINE ULTRA SUCTIONAID PVC 105 D OD 11.9MM ID 8.0 MM CUFF 2 INNER CANNULA CLEAN BRUSH HOLDER STERILE LATEX FREE DISPOSABLE	SUP-100/875/080	CDM			270	RC		inpatient			86.68	86.68																																																			
URETERAL CATHETER ADAPTOR	SUP-97-00807	CDM			272	RC		outpatient			86.67	86.67	23.48				percent of total billed charges		86.67				other	OPPS APC	64.14				percent of total billed charges		86.67				other	OPPS APC	86.67				other	OPPS APC	23.48				percent of total billed charges		23.95				percent of total billed charges		86.67				other	OPPS APC	23.48	86.67	
URETERAL CATHETER ADAPTOR	SUP-97-00807	CDM			272	RC		inpatient			86.67	86.67																																																			
TIP APPLICATOR EVICEL L35 CM RIGID FIBRIN SEALANT	SUP-3908	CDM			270	RC		outpatient			86.65	86.66	23.47				percent of total billed charges		86.65				other	OPPS APC	64.12				percent of total billed charges		86.65				other	OPPS APC	86.65				other	OPPS APC	23.47				percent of total billed charges		23.94				percent of total billed charges		86.66				other	OPPS APC	23.47	86.66	
TIP APPLICATOR EVICEL L35 CM RIGID FIBRIN SEALANT	SUP-3908	CDM			270	RC		inpatient			86.65	86.65																																																			
D-STAT TOPICAL HEMOSTAT	SUP-3000	CDM			270	RC		outpatient			86.6	86.6	23.46				percent of total billed charges		86.6				other	OPPS APC	64.08				percent of total billed charges		86.6				other	OPPS APC	86.6				other	OPPS APC	23.46				percent of total billed charges		23.93				percent of total billed charges		86.6				other	OPPS APC	23.46	86.6	
D-STAT TOPICAL HEMOSTAT	SUP-3000	CDM			270	RC		inpatient			86.6	86.6																																																			
PROBE VITRECTOMY CONSTELLATION OD23 GA EDGEPLUS TROCAR CANNULA SET	SUP-8065751446	CDM			270	RC		outpatient			86.52	86.52	23.44				percent of total billed charges		86.52				other	OPPS APC	64.02				percent of total billed charges		86.52				other	OPPS APC	86.52				other	OPPS APC	23.44				percent of total billed charges		23.91				percent of total billed charges		86.52				other	OPPS APC	23.44	86.52	
PROBE VITRECTOMY CONSTELLATION OD23 GA EDGEPLUS TROCAR CANNULA SET	SUP-8065751446	CDM			270	RC		inpatient			86.52	86.52																																																			
SUTURE VLOC PBT 0 GS-21 VLOCN0306	SUP-74-00447	CDM			272	RC		outpatient			86.5	86.5	23.43				percent of total billed charges		86.5				other	OPPS APC	64.01				percent of total billed charges		86.5				other	OPPS APC	86.5				other	OPPS APC	23.43				percent of total billed charges		23.9				percent of total billed charges		86.5				other	OPPS APC	23.43	86.5	
SUTURE VLOC PBT 0 GS-21 VLOCN0306	SUP-74-00447	CDM			272	RC		inpatient			86.5	86.5																																																			
RECY BARREL BUR 4.0MM	SUP-79-00061	CDM			272	RC		outpatient			86.12	86.13	23.33				percent of total billed charges		86.12				other	OPPS APC	63.73				percent of total billed charges		86.12				other	OPPS APC	86.12				other	OPPS APC	23.33				percent of total billed charges		23.79				percent of total billed charges		86.13				other	OPPS APC	23.33	86.13	
RECY BARREL BUR 4.0MM	SUP-79-00061	CDM			272	RC		inpatient			86.12	86.12																																																			
RECY BARREL BUR 5.5MM	SUP-79-00062	CDM			272	RC		outpatient			86.12	86.13	23.33				percent of total billed charges		86.12				other	OPPS APC	63.73				percent of total billed charges		86.12				other	OPPS APC	86.12				other	OPPS APC	23.33				percent of total billed charges		23.79				percent of total billed charges		86.13				other	OPPS APC	23.33	86.13	
RECY BARREL BUR 5.5MM	SUP-79-00062	CDM			272	RC		inpatient			86.12	86.12																																																			
CONTRAST - OMNIPAQUE 350 200CC	SUP-99-03400	CDM			255	RC		outpatient			86.1	87	20.98				percent of total billed charges		86.1				other	OPPS APC	0.13				fee schedule		86.1				other	OPPS APC	86.1				other	OPPS APC	20.98				percent of total billed charges		21.4				percent of total billed charges		87				other	OPPS APC	0.13	87	
CONTRAST - OMNIPAQUE 350 200CC	SUP-99-03400	CDM			255	RC		inpatient			86.1	86.1																																																			
HC Apligaf-per 44 Sq Cm	PX-270041010	CDM			270	RC		outpatient			86	86	23.3				percent of total billed charges						other	OPPS APC	34.67				fee schedule						other	OPPS APC					other	OPPS APC	23.3				percent of total billed charges		23.76				percent of total billed charges						other	OPPS APC	34.67	34.67	
HC Apligaf-per 44 Sq Cm	PX-270041010	CDM			270	RC		inpatient			86	86																																																			
HC Electrolytes (Lyte)	PX-300800510	CDM	80051	CPT	301	RC		outpatient			86	8	9.38				fee schedule		7.01				fee schedule		18.62				fee schedule		7.01				fee schedule		7.01				fee schedule		7.01				fee schedule		7.01				fee schedule		8				fee schedule		7.01	18.62	
HC Electrolytes (Lyte)	PX-300800510	CDM	80051	CPT	301	RC		inpatient			86	86																																																			
HC Lithium Serum (Li)	PX-300801780	CDM	80178	CPT	301	RC		outpatient			86	6.61	8.84				fee schedule		6.61				fee schedule		17.56				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61	17.56	
HC Lithium Serum (Li)	PX-300801780	CDM	80178	CPT	301	RC		inpatient			86	86																																																			
HC Amylase	PX-300821500	CDM	82150	CPT	301	RC		outpatient			86	6.48	8.66				fee schedule		6.48				fee schedule		17.21				fee schedule		6.48				fee schedule		6.48				fee schedule		6.48				fee schedule		6.48				fee schedule		6.48				fee schedule		6.48	17.21	
HC Amylase	PX-300821500	CDM	82150	CPT	301	RC		inpatient			86	86																																																			
HC Calcium Ionized	PX-300823300	CDM	82330	CPT	301	RC		outpatient			86	13.68	8.47				fee schedule		13.68				fee schedule		36.27				fee schedule		13.68				fee schedule		13.68				fee schedule		13.68				fee schedule		13.68				fee schedule		13.68				fee schedule		8.47	36.27	
HC Calcium Ionized	PX-300823300	CDM	82330	CPT	301	RC		inpatient			86	86																																																			
HC Cryoglobulin (Cry)	PX-300825950	CDM	82595	CPT	300	RC		outpatient			86	6.47	8.65				fee schedule		6.47				fee schedule		17.18				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47	17.18	
HC Cryoglobulin (Cry)	PX-300825950	CDM	82595	CPT	300	RC		inpatient			86	86																																																			
HC Ggtp (Gt)	PX-300829770	CDM	82977	CPT	301	RC		outpatient			86	7.22	8.95				fee schedule		7.2				fee schedule		19.11				fee schedule		7.2				fee schedule		7.2				fee schedule		7.2				fee schedule		7.2				fee schedule		7.22				fee schedule		7.2	19.11	
HC Ggtp (Gt)	PX-300829770	CDM	82977	CPT	301	RC		inpatient			86	86																																																			
HC Iron Serum (Fee)	PX-300835400	CDM	83540	CPT	301	RC		outpatient			86	6.47	8.65				fee schedule		6.47				fee schedule		17.2				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47	17.2	
HC Iron Serum (Fee)	PX-300835400	CDM	83540	CPT	301	RC		inpatient			86	86																																																			
HC Lipase  Serum (Lpse)	PX-300836900	CDM	83690	CPT	301	RC		outpatient			86	6.89	9.21				fee schedule		6.89				fee schedule		18.28				fee schedule		6.89				fee schedule		6.89				fee schedule		6.89				fee schedule		6.89				fee schedule		6.89				fee schedule		6.89	18.28	
HC Lipase  Serum (Lpse)	PX-300836900	CDM	83690	CPT	301	RC		inpatient			86	86																																																			
HC Magnesium	PX-300837350	CDM	83735	CPT	301	RC		outpatient			86	6.72	8.96				fee schedule		6.7				fee schedule		17.78				fee schedule		6.7				fee schedule		6.7				fee schedule		6.7				fee schedule		6.7				fee schedule		6.72				fee schedule		6.7	17.78	
HC Magnesium	PX-300837350	CDM	83735	CPT	301	RC		inpatient			86	86																																																			
HC Serum Osmolality (Osm)	PX-300839300	CDM	83930	CPT	300	RC		outpatient			86	6.61	8.84				fee schedule		6.61				fee schedule		17.04				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61				fee schedule		6.61	17.04	
HC Serum Osmolality (Osm)	PX-300839300	CDM	83930	CPT	300	RC		inpatient			86	86																																																			
HC Osmolality Urine (Uosm)	PX-300839350	CDM	83935	CPT	300	RC		outpatient			86	6.82	9.11				fee schedule		6.82				fee schedule		18.09				fee schedule		6.82				fee schedule		6.82				fee schedule		6.82				fee schedule		6.82				fee schedule		6.82				fee schedule		6.82	18.09	
HC Osmolality Urine (Uosm)	PX-300839350	CDM	83935	CPT	300	RC		inpatient			86	86																																																			
HC Fluid Crystals (Fldc)	PX-300890600	CDM	89060	CPT	300	RC		outpatient			86	7.33	9.56				fee schedule		7.33				fee schedule		18.98				fee schedule		7.33				fee schedule		7.33				fee schedule		7.33				fee schedule		7.33				fee schedule		7.33				fee schedule		7.33	18.98	
HC Fluid Crystals (Fldc)	PX-300890600	CDM	89060	CPT	300	RC		inpatient			86	86																																																			
HC T4 (Thyroxine)	PX-301844361	CDM	84436	CPT	301	RC		outpatient			86	6.87	9.18				fee schedule		6.87				fee schedule		18.26				fee schedule		6.87				fee schedule		6.87				fee schedule		6.87				fee schedule		6.87				fee schedule		6.87				fee schedule		6.87	18.26	
HC T4 (Thyroxine)	PX-301844361	CDM	84436	CPT	301	RC		inpatient			86	86																																																			
HC T3 Uptake	PX-301844791	CDM	84479	CPT	301	RC		outpatient			86	6.47	8.65				fee schedule		6.47				fee schedule		17.18				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47	17.18	
HC T3 Uptake	PX-301844791	CDM	84479	CPT	301	RC		inpatient			86	86																																																			
HC Epstein-Barr Virus Vca Igg Ab	PX-302866651	CDM	86665	CPT	302	RC		outpatient			86	18.14	24.25				fee schedule		18.14				fee schedule		48.17				fee schedule		18.14				fee schedule		18.14				fee schedule		18.14				fee schedule		18.14				fee schedule		18.14				fee schedule		18.14	48.17	
HC Epstein-Barr Virus Vca Igg Ab	PX-302866651	CDM	86665	CPT	302	RC		inpatient			86	86																																																			
HC Decal	PX-310883110	CDM	88311	CPT	312	RC		outpatient			86	86	17.46				fee schedule		86				other	OPPS APC	25.21				fee schedule		86				other	OPPS APC	86				other	OPPS APC	42.14				percent of total billed charges		43.86				percent of total billed charges		86				other	OPPS APC	17.46	86	
HC Decal	PX-310883110	CDM	88311	CPT	312	RC		inpatient			86	86																																																			
HC Neuromuscular Reeducation	PX-420971120	CDM	97112	CPT	420	RC		outpatient			86	34.44	86				percent of total billed charges		34.44				fee schedule		56.58				fee schedule		34.44				fee schedule		34.44				fee schedule		89.99				percent of total billed charges		86				percent of total billed charges		34.44				fee schedule		34.44	89.99	
HC Neuromuscular Reeducation	PX-420971120	CDM	97112	CPT	420	RC		inpatient			86	86																																																			
HC Ot Neuromuscular Reed 15 Min	PX-430971120	CDM	97112	CPT	430	RC		outpatient			86	34.44	86				percent of total billed charges		34.44				fee schedule		56.58				fee schedule		34.44				fee schedule		34.44				fee schedule		89.99				percent of total billed charges		86				percent of total billed charges		34.44				fee schedule		34.44	89.99	
HC Ot Neuromuscular Reed 15 Min	PX-430971120	CDM	97112	CPT	430	RC		inpatient			86	86																																																			
TD	PX-636907141	CDM	90714	CPT	636	RC		inpatient			86	86																																																			
TD	PX-636907141	CDM	90714	CPT	636	RC		outpatient			86	86	19.3				fee schedule						other	OPPS APC	33.09				fee schedule						other	OPPS APC					other	OPPS APC																	other	OPPS APC	33.09	33.09	
DEVICE SUTURING COR-KNOT QUICK LOAD TITANIUM BLUNT CURVE RELOAD WIRE SNARE LEVER STERILE PURPLE WHITE	SUP-030850	CDM			270	RC		outpatient			86	86	23.3				percent of total billed charges		86				other	OPPS APC	63.64				percent of total billed charges		86				other	OPPS APC	86				other	OPPS APC	23.3				percent of total billed charges		23.76				percent of total billed charges		86				other	OPPS APC	23.3	86	
DEVICE SUTURING COR-KNOT QUICK LOAD TITANIUM BLUNT CURVE RELOAD WIRE SNARE LEVER STERILE PURPLE WHITE	SUP-030850	CDM			270	RC		inpatient			86	86																																																			
EVACUATION PLUME AWAY SMOKE	SUP-74-00121	CDM			272	RC		outpatient			86	86	23.3				percent of total billed charges		86				other	OPPS APC	63.64				percent of total billed charges		86				other	OPPS APC	86				other	OPPS APC	23.3				percent of total billed charges		23.76				percent of total billed charges		86				other	OPPS APC	23.3	86	
EVACUATION PLUME AWAY SMOKE	SUP-74-00121	CDM			272	RC		inpatient			86	86																																																			
PROTECTOR TISSUE ALEXIS LARGE FLEXIBLE RETRACTION RING ATRAUMATIC 360 DEGREE PROTECTION LATEX FREE 9-14 CM INCISION	SUP-C8303	CDM			270	RC		outpatient			86	86	23.3				percent of total billed charges		86				other	OPPS APC	63.64				percent of total billed charges		86				other	OPPS APC	86				other	OPPS APC	23.3				percent of total billed charges		23.76				percent of total billed charges		86				other	OPPS APC	23.3	86	
PROTECTOR TISSUE ALEXIS LARGE FLEXIBLE RETRACTION RING ATRAUMATIC 360 DEGREE PROTECTION LATEX FREE 9-14 CM INCISION	SUP-C8303	CDM			270	RC		inpatient			86	86																																																			
RETRACTOR SURGICAL ALEXIS O 360 D LARGE RIGID RING ATRAUMATIC UNIQUE C SECTION 9-14 CM INCISION	SUP-G6313	CDM			270	RC		outpatient			86	86	23.3				percent of total billed charges		86				other	OPPS APC	63.64				percent of total billed charges		86				other	OPPS APC	86				other	OPPS APC	23.3				percent of total billed charges		23.76				percent of total billed charges		86				other	OPPS APC	23.3	86	
RETRACTOR SURGICAL ALEXIS O 360 D LARGE RIGID RING ATRAUMATIC UNIQUE C SECTION 9-14 CM INCISION	SUP-G6313	CDM			270	RC		inpatient			86	86																																																			
GW DIAGNOSTIC AMPLATZ INQWIRE .0035 IN 145 CM L 3MM J-TIP _62241_	SUP-IQA505	CDM			481	RC		outpatient			86	86	42.14				percent of total billed charges		86				other	OPPS APC	63.64				percent of total billed charges		86				other	OPPS APC	86				other	OPPS APC	42.14				percent of total billed charges		43.86				percent of total billed charges		86				other	OPPS APC	42.14	86	
GW DIAGNOSTIC AMPLATZ INQWIRE .0035 IN 145 CM L 3MM J-TIP _62241_	SUP-IQA505	CDM			481	RC		inpatient			86	86																																																			
RETRIEVER SUTURE ISOTAC STRAIGHT ROTATOR CUFF ISOMETRY STERILE LATEX FREE DISPOSABLE	SUP-013593	CDM			270	RC		outpatient			85.8	85.8	23.24				percent of total billed charges		85.8				other	OPPS APC	63.49				percent of total billed charges		85.8				other	OPPS APC	85.8				other	OPPS APC	23.24				percent of total billed charges		23.71				percent of total billed charges		85.8				other	OPPS APC	23.24	85.8	
RETRIEVER SUTURE ISOTAC STRAIGHT ROTATOR CUFF ISOMETRY STERILE LATEX FREE DISPOSABLE	SUP-013593	CDM			270	RC		inpatient			85.8	85.8																																																			
HC Metaphases Add'l Cells (Bill Only	PX-300882850	CDM	88285	CPT	300	RC		outpatient			85.5	85.5	25.4				fee schedule		85.5				fee schedule		50.43				fee schedule		85.5				fee schedule		85.5				fee schedule		26.91				fee schedule		26.91				fee schedule		85.5				fee schedule		25.4	85.5	
HC Metaphases Add'l Cells (Bill Only	PX-300882850	CDM	88285	CPT	300	RC		inpatient			85.5	85.5																																																			
PACK SURGICAL CUSTOM MAJOR ORTHO HAND	SUP-DYNJ59284	CDM			270	RC		outpatient			85.33	85.33	23.12				percent of total billed charges		85.33				other	OPPS APC	63.14				percent of total billed charges		85.33				other	OPPS APC	85.33				other	OPPS APC	23.12				percent of total billed charges		23.58				percent of total billed charges		85.33				other	OPPS APC	23.12	85.33	
PACK SURGICAL CUSTOM MAJOR ORTHO HAND	SUP-DYNJ59284	CDM			270	RC		inpatient			85.33	85.33																																																			
BINDER BREAST LINED XL	SUP-XLL-BG-DR	CDM			270	RC		outpatient			85.28	85.28	23.1				percent of total billed charges		85.28				other	OPPS APC	63.11				percent of total billed charges		85.28				other	OPPS APC	85.28				other	OPPS APC	23.1				percent of total billed charges		23.56				percent of total billed charges		85.28				other	OPPS APC	23.1	85.28	
BINDER BREAST LINED XL	SUP-XLL-BG-DR	CDM			270	RC		inpatient			85.28	85.28																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017003	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L3 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017003	CDM			270	RC		inpatient			85.2	85.2																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017004	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L4 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017004	CDM			270	RC		inpatient			85.2	85.2																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017005	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L5 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017005	CDM			270	RC		inpatient			85.2	85.2																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L6 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017006	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L6 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017006	CDM			270	RC		inpatient			85.2	85.2																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L8 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017008	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L8 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017008	CDM			270	RC		inpatient			85.2	85.2																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L10 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017010	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L10 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017010	CDM			270	RC		inpatient			85.2	85.2																																																			
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L12 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017012	CDM			270	RC		outpatient			85.2	85.23	23.08				percent of total billed charges		85.2				other	OPPS APC	63.05				percent of total billed charges		85.2				other	OPPS APC	85.2				other	OPPS APC	23.08				percent of total billed charges		23.54				percent of total billed charges		85.23				other	OPPS APC	23.08	85.23	
SCREW BONE LEIBINGER UNIVERSAL 2 TITANIUM L12 MM OD1.7 MM MIDFACE SELF TAP CROSS PIN	SUP-5017012	CDM			270	RC		inpatient			85.2	85.2																																																			
HC OP Visit  New 0-10 Min	PX-510992010	CDM	99202	CPT	510	RC		inpatient			85	85																																																			
HC OP Visit  New 0-10 Min	PX-510992010	CDM	99202	CPT	510	RC		outpatient			85	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
HC OP Visit Est 11-25 Min	PX-510992120	CDM	99212	CPT	510	RC		inpatient			85	85																																																			
HC OP Visit Est 11-25 Min	PX-510992120	CDM	99212	CPT	510	RC		outpatient			85	127.29	169.66				case rate		127.29				other	OPPS APC	101				case rate		127.29				other	OPPS APC	127.29				other	OPPS APC	169.66				case rate		173.05				case rate		127.29				other	OPPS APC	101	173.05	
CATHETER GUIDING LAUNCHER RESS CURVE L100 CM OD6 FR CORONARY	SUP-LA6MRESS	CDM			481	RC		outpatient			85	85	41.65				percent of total billed charges		85				other	OPPS APC	62.9				percent of total billed charges		85				other	OPPS APC	85				other	OPPS APC	41.65				percent of total billed charges		43.35				percent of total billed charges		85				other	OPPS APC	41.65	85	
CATHETER GUIDING LAUNCHER RESS CURVE L100 CM OD6 FR CORONARY	SUP-LA6MRESS	CDM			481	RC		inpatient			85	85																																																			
7F LAUNCHER GUIDE AL .75	SUP-LA7AL75	CDM			481	RC		outpatient			85	85	41.65				percent of total billed charges		85				other	OPPS APC	62.9				percent of total billed charges		85				other	OPPS APC	85				other	OPPS APC	41.65				percent of total billed charges		43.35				percent of total billed charges		85				other	OPPS APC	41.65	85	
7F LAUNCHER GUIDE AL .75	SUP-LA7AL75	CDM			481	RC		inpatient			85	85																																																			
HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML SYRINGE	636000000	CDM	58160-820-43	NDC	90744	HCPCS		inpatient			84.89	84.89																																																			
HEPATITIS B VIRUS VACC.REC(PF) 10 MCG/0.5 ML SYRINGE	636000000	CDM	58160-820-43	NDC	90744	HCPCS		outpatient			84.89	84.89																																															other	OPPS APC			
KIT LEFT HEART	SUP-60160428	CDM			481	RC		outpatient			84.89	84.89	41.6				percent of total billed charges		84.89				other	OPPS APC	62.82				percent of total billed charges		84.89				other	OPPS APC	84.89				other	OPPS APC	41.6				percent of total billed charges		43.29				percent of total billed charges		84.89				other	OPPS APC	41.6	84.89	
KIT LEFT HEART	SUP-60160428	CDM			481	RC		inpatient			84.89	84.89																																																			
CHLORAPREP 3ML APPLICATOR CLEAR	SUP-01-00144	CDM			272	RC		outpatient			84.88	84.88	22.99				percent of total billed charges		84.88				other	OPPS APC	62.81				percent of total billed charges		84.88				other	OPPS APC	84.88				other	OPPS APC	22.99				percent of total billed charges		23.45				percent of total billed charges		84.88				other	OPPS APC	22.99	84.88	
CHLORAPREP 3ML APPLICATOR CLEAR	SUP-01-00144	CDM			272	RC		inpatient			84.88	84.88																																																			
BINDER BREAST LINED 3XL	SUP-3XL-L-BBIND	CDM			270	RC		outpatient			84.88	84.88	22.99				percent of total billed charges		84.88				other	OPPS APC	62.81				percent of total billed charges		84.88				other	OPPS APC	84.88				other	OPPS APC	22.99				percent of total billed charges		23.45				percent of total billed charges		84.88				other	OPPS APC	22.99	84.88	
BINDER BREAST LINED 3XL	SUP-3XL-L-BBIND	CDM			270	RC		inpatient			84.88	84.88																																																			
TUBE TRACHEOSTOMY BLUSELECT SUCTIONAID VELCRO L 70 MM OD 10.5 MM ID 7.0 MM CUFF OBTURATOR 2 INNER CANNULA TRACH HOLDER	SUP-101/875/070	CDM			270	RC		outpatient			84.82	84.82	22.98				percent of total billed charges		84.82				other	OPPS APC	62.77				percent of total billed charges		84.82				other	OPPS APC	84.82				other	OPPS APC	22.98				percent of total billed charges		23.44				percent of total billed charges		84.82				other	OPPS APC	22.98	84.82	
TUBE TRACHEOSTOMY BLUSELECT SUCTIONAID VELCRO L 70 MM OD 10.5 MM ID 7.0 MM CUFF OBTURATOR 2 INNER CANNULA TRACH HOLDER	SUP-101/875/070	CDM			270	RC		inpatient			84.82	84.82																																																			
TUBE TRACHEOSTOMY BLUSELECT SUCTIONAID VELCRO L 75.5 MM OS 11.9 MM ID 8.0 MM  CUFF OBTURATOR 2 INNER CANNULA TRACH HOLDER	SUP-101/875/080	CDM			270	RC		outpatient			84.82	84.82	22.98				percent of total billed charges		84.82				other	OPPS APC	62.77				percent of total billed charges		84.82				other	OPPS APC	84.82				other	OPPS APC	22.98				percent of total billed charges		23.44				percent of total billed charges		84.82				other	OPPS APC	22.98	84.82	
TUBE TRACHEOSTOMY BLUSELECT SUCTIONAID VELCRO L 75.5 MM OS 11.9 MM ID 8.0 MM  CUFF OBTURATOR 2 INNER CANNULA TRACH HOLDER	SUP-101/875/080	CDM			270	RC		inpatient			84.82	84.82																																																			
DRAPE SURGICAL CVARTS CONTROL PLUS SMS L38 IN W84 IN L100 IN X W60 IN L76 IN X W60 IN HEAVY DUTY REINFORCEMENT STERILE LATEX UNIVERSAL SYSTEM	SUP-89454	CDM						inpatient			84.8	84.8																																																			
DRAPE SURGICAL CVARTS CONTROL PLUS SMS L38 IN W84 IN L100 IN X W60 IN L76 IN X W60 IN HEAVY DUTY REINFORCEMENT STERILE LATEX UNIVERSAL SYSTEM	SUP-89454	CDM						outpatient			84.8	84.8	84.8				percent of total billed charges		84.8				other	OPPS APC	84.8				fee schedule		84.8				other	OPPS APC	84.8				other	OPPS APC	84.8				case rate		84.8				case rate		84.8				other	OPPS APC	84.8	84.8	
WIRE FIXATION KIRSCHNER L100 MM OD1.6 MM FOOT ANKLE SMOOTH TROCAR	SUP-AGK16100	CDM			270	RC		outpatient			84.8	84.8	22.97				percent of total billed charges		84.8				other	OPPS APC	62.75				percent of total billed charges		84.8				other	OPPS APC	84.8				other	OPPS APC	22.97				percent of total billed charges		23.43				percent of total billed charges		84.8				other	OPPS APC	22.97	84.8	
WIRE FIXATION KIRSCHNER L100 MM OD1.6 MM FOOT ANKLE SMOOTH TROCAR	SUP-AGK16100	CDM			270	RC		inpatient			84.8	84.8																																																			
SHAVER BURR OVAL CLEARCUT 5.0MM	SUP-AR-8500COY	CDM			270	RC		outpatient			84.8	84.8	22.97				percent of total billed charges		84.8				other	OPPS APC	62.75				percent of total billed charges		84.8				other	OPPS APC	84.8				other	OPPS APC	22.97				percent of total billed charges		23.43				percent of total billed charges		84.8				other	OPPS APC	22.97	84.8	
SHAVER BURR OVAL CLEARCUT 5.0MM	SUP-AR-8500COY	CDM			270	RC		inpatient			84.8	84.8																																																			
IRRIGATION TUBE SET	SUP-MXB-T	CDM			270	RC		outpatient			84.8	84.8	22.97				percent of total billed charges		84.8				other	OPPS APC	62.75				percent of total billed charges		84.8				other	OPPS APC	84.8				other	OPPS APC	22.97				percent of total billed charges		23.43				percent of total billed charges		84.8				other	OPPS APC	22.97	84.8	
IRRIGATION TUBE SET	SUP-MXB-T	CDM			270	RC		inpatient			84.8	84.8																																																			
SCREW BONE 90MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.890	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE 90MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.890	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L280 MM OD2 MM THREAD SPADE POINT TIP NONSTERILE	SUP-292.699	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L280 MM OD2 MM THREAD SPADE POINT TIP NONSTERILE	SUP-292.699	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE LCP TITANIUM T8 L12 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.872	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE LCP TITANIUM T8 L12 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.872	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE TITANIUM PEDIATRIC T8 L20 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.880	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE TITANIUM PEDIATRIC T8 L20 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.880	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW  CORTEX  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 26MM  W/ T8 STARDRIVE	SUP-402.886	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW  CORTEX  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 26MM  W/ T8 STARDRIVE	SUP-402.886	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE LCP TITANIUM L30 MM OD2.7 MM RADIUS CORTEX DISTAL T8 STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.890	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE LCP TITANIUM L30 MM OD2.7 MM RADIUS CORTEX DISTAL T8 STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.890	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE TITANIUM FULL THREAD L32 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-402.892	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE TITANIUM FULL THREAD L32 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET SPHERICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-402.892	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE TITANIUM PEDIATRIC T8 L34 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-402.894	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE TITANIUM PEDIATRIC T8 L34 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-402.894	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW  CORTEX  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 36MM  W/ T8 STARDRIVE	SUP-402.896	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW  CORTEX  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 36MM  W/ T8 STARDRIVE	SUP-402.896	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE TITANIUM PEDIATRIC T8 L38 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-402.898	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE TITANIUM PEDIATRIC T8 L38 MM W2.5 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-402.898	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE LCP TITANIUM L40 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-402.900	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE LCP TITANIUM L40 MM OD2.7 MM HUMERUS DISTAL SELF TAPPING LOCKING STARDRIVE RECESS NONSTERILE SMALL FRAGMENT SET	SUP-402.900	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW  CORTEX  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 42MM  W/ T8 STARDRIVE	SUP-402.962	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW  CORTEX  TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 42MM  W/ T8 STARDRIVE	SUP-402.962	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW  CORTEX TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 44MM  W/ T8 STARDRIVE	SUP-402.963	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW  CORTEX TITANIUM  HEXAGONAL  SELF TAPPING  2.7MM X 44MM  W/ T8 STARDRIVE	SUP-402.963	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
SCREW BONE LCP TITANIUM L60 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-402.969	CDM	270010022	LOCAL	270	RC		outpatient			84.7	84.73	22.95				percent of total billed charges		84.7				other	OPPS APC	62.68				percent of total billed charges		84.7				other	OPPS APC	84.7				other	OPPS APC	22.95				percent of total billed charges		23.4				percent of total billed charges		84.73				other	OPPS APC	22.95	84.73	
SCREW BONE LCP TITANIUM L60 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-402.969	CDM	270010022	LOCAL	270	RC		inpatient			84.7	84.7																																																			
KIT  DELIVERY	SUP-23-00152	CDM			272	RC		outpatient			84.64	84.64	22.93				percent of total billed charges		84.64				other	OPPS APC	62.63				percent of total billed charges		84.64				other	OPPS APC	84.64				other	OPPS APC	22.93				percent of total billed charges		23.39				percent of total billed charges		84.64				other	OPPS APC	22.93	84.64	
KIT  DELIVERY	SUP-23-00152	CDM			272	RC		inpatient			84.64	84.64																																																			
GLIDESHEATH 5FR	SUP-RMBF5F10PA	CDM			481	RC		outpatient			84.6	84.6	41.45				percent of total billed charges		84.6				other	OPPS APC	62.6				percent of total billed charges		84.6				other	OPPS APC	84.6				other	OPPS APC	41.45				percent of total billed charges		43.15				percent of total billed charges		84.6				other	OPPS APC	41.45	84.6	
GLIDESHEATH 5FR	SUP-RMBF5F10PA	CDM			481	RC		inpatient			84.6	84.6																																																			
6F GLIDESHEATH W/O NEEDLE	SUP-RMBF6M10MA	CDM			270	RC		outpatient			84.6	84.6	22.92				percent of total billed charges		84.6				other	OPPS APC	62.6				percent of total billed charges		84.6				other	OPPS APC	84.6				other	OPPS APC	22.92				percent of total billed charges		23.37				percent of total billed charges		84.6				other	OPPS APC	22.92	84.6	
6F GLIDESHEATH W/O NEEDLE	SUP-RMBF6M10MA	CDM			270	RC		inpatient			84.6	84.6																																																			
LAVENDER PIN GUARDS	SUP-97-02498	CDM			272	RC		outpatient			84.4	84.46	22.86				percent of total billed charges		84.4				other	OPPS APC	62.46				percent of total billed charges		84.4				other	OPPS APC	84.4				other	OPPS APC	22.86				percent of total billed charges		23.32				percent of total billed charges		84.46				other	OPPS APC	22.86	84.46	
LAVENDER PIN GUARDS	SUP-97-02498	CDM			272	RC		inpatient			84.4	84.4																																																			
SCREW BONE FULL THREAD 16MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SPHERICAL HEAD SM HEXAGONAL SM FRAGMENT SET	SUP-402.816	CDM	270010022	LOCAL	270	RC		outpatient			84.34	84.34	22.85				percent of total billed charges		84.34				other	OPPS APC	62.41				percent of total billed charges		84.34				other	OPPS APC	84.34				other	OPPS APC	22.85				percent of total billed charges		23.3				percent of total billed charges		84.34				other	OPPS APC	22.85	84.34	
SCREW BONE FULL THREAD 16MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SPHERICAL HEAD SM HEXAGONAL SM FRAGMENT SET	SUP-402.816	CDM	270010022	LOCAL	270	RC		inpatient			84.34	84.34																																																			
SCREW BONE FULL THREAD 18MM 2.5MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SM HEXAGONAL SOCKET SPHERICAL HEAD MINI FRAGMENT	SUP-402.818	CDM	270010022	LOCAL	270	RC		outpatient			84.34	84.34	22.85				percent of total billed charges		84.34				other	OPPS APC	62.41				percent of total billed charges		84.34				other	OPPS APC	84.34				other	OPPS APC	22.85				percent of total billed charges		23.3				percent of total billed charges		84.34				other	OPPS APC	22.85	84.34	
SCREW BONE FULL THREAD 18MM 2.5MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SM HEXAGONAL SOCKET SPHERICAL HEAD MINI FRAGMENT	SUP-402.818	CDM	270010022	LOCAL	270	RC		inpatient			84.34	84.34																																																			
SCREW BONE FULL THREAD 20MM 2.5MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SM HEXAGONAL SOCKET SPHERICAL HEAD MINI FRAGMENT	SUP-402.82	CDM	270010022	LOCAL	270	RC		outpatient			84.34	84.34	22.85				percent of total billed charges		84.34				other	OPPS APC	62.41				percent of total billed charges		84.34				other	OPPS APC	84.34				other	OPPS APC	22.85				percent of total billed charges		23.3				percent of total billed charges		84.34				other	OPPS APC	22.85	84.34	
SCREW BONE FULL THREAD 20MM 2.5MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SM HEXAGONAL SOCKET SPHERICAL HEAD MINI FRAGMENT	SUP-402.82	CDM	270010022	LOCAL	270	RC		inpatient			84.34	84.34																																																			
SCREW BONE LCP TITANIUM FULL THREAD HEXAGON SPHERE L22 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.822	CDM	270010022	LOCAL	270	RC		outpatient			84.34	84.34	22.85				percent of total billed charges		84.34				other	OPPS APC	62.41				percent of total billed charges		84.34				other	OPPS APC	84.34				other	OPPS APC	22.85				percent of total billed charges		23.3				percent of total billed charges		84.34				other	OPPS APC	22.85	84.34	
SCREW BONE LCP TITANIUM FULL THREAD HEXAGON SPHERE L22 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.822	CDM	270010022	LOCAL	270	RC		inpatient			84.34	84.34																																																			
SCREW BONE LCP TITANIUM FULL THREAD L24 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.824	CDM	270010022	LOCAL	270	RC		outpatient			84.34	84.34	22.85				percent of total billed charges		84.34				other	OPPS APC	62.41				percent of total billed charges		84.34				other	OPPS APC	84.34				other	OPPS APC	22.85				percent of total billed charges		23.3				percent of total billed charges		84.34				other	OPPS APC	22.85	84.34	
SCREW BONE LCP TITANIUM FULL THREAD L24 MM OD2.7 MM ODSEC5 MM RADIUS CORTICAL DISTAL SELF TAP SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-402.824	CDM	270010022	LOCAL	270	RC		inpatient			84.34	84.34																																																			
GUIDEWIRE UROLOGICAL SENSOR NITINOL STAINLESS STEEL HYDROPHILIC PTFE STRAIGHT L150 CM L3 CM OD.035 IN URETERAL FLEXIBLE TIP RADIOPAQUE LATEX FREE	SUP-M0066703081	CDM						inpatient			84.31	84.31																																																			
GUIDEWIRE UROLOGICAL SENSOR NITINOL STAINLESS STEEL HYDROPHILIC PTFE STRAIGHT L150 CM L3 CM OD.035 IN URETERAL FLEXIBLE TIP RADIOPAQUE LATEX FREE	SUP-M0066703081	CDM						outpatient			84.31	84.31	84.31				percent of total billed charges		84.31				other	OPPS APC	84.31				fee schedule		84.31				other	OPPS APC	84.31				other	OPPS APC	84.31				case rate		84.31				case rate		84.31				other	OPPS APC	84.31	84.31	
4.5X14MM CORTEX SELF TAP SCREW	SUP-97-04240	CDM			278	RC		outpatient			84.16	84.16	84.16				fee schedule		84.16				other	OPPS APC	47.97				percent of total billed charges		84.16				other	OPPS APC	84.16				other	OPPS APC	41.24				percent of total billed charges		42.92				percent of total billed charges		84.16				other	OPPS APC	41.24	84.16	
4.5X14MM CORTEX SELF TAP SCREW	SUP-97-04240	CDM			278	RC		inpatient			84.16	84.16																																																			
4.5 X 30MM CORTEX SCREW	SUP-97-23772	CDM			278	RC		outpatient			84.16	84.16	84.16				fee schedule		84.16				other	OPPS APC	47.97				percent of total billed charges		84.16				other	OPPS APC	84.16				other	OPPS APC	41.24				percent of total billed charges		42.92				percent of total billed charges		84.16				other	OPPS APC	41.24	84.16	
4.5 X 30MM CORTEX SCREW	SUP-97-23772	CDM			278	RC		inpatient			84.16	84.16																																																			
4.5 X 32MM CORTEX SCREW	SUP-97-23773	CDM			278	RC		outpatient			84.16	84.16	84.16				fee schedule		84.16				other	OPPS APC	47.97				percent of total billed charges		84.16				other	OPPS APC	84.16				other	OPPS APC	41.24				percent of total billed charges		42.92				percent of total billed charges		84.16				other	OPPS APC	41.24	84.16	
4.5 X 32MM CORTEX SCREW	SUP-97-23773	CDM			278	RC		inpatient			84.16	84.16																																																			
4.5 X 34MM CORTEX SCREW	SUP-97-23774	CDM			278	RC		outpatient			84.16	84.16	84.16				fee schedule		84.16				other	OPPS APC	47.97				percent of total billed charges		84.16				other	OPPS APC	84.16				other	OPPS APC	41.24				percent of total billed charges		42.92				percent of total billed charges		84.16				other	OPPS APC	41.24	84.16	
4.5 X 34MM CORTEX SCREW	SUP-97-23774	CDM			278	RC		inpatient			84.16	84.16																																																			
SCREW BONE 25MM 12MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.025	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE 25MM 12MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.025	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L30 MM L15 MM OD4.5 MM ODSEC8 MM MALLEOLUS TIBIA HEXAGONAL SOCKET NONSTERILE	SUP-215.03	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L30 MM L15 MM OD4.5 MM ODSEC8 MM MALLEOLUS TIBIA HEXAGONAL SOCKET NONSTERILE	SUP-215.03	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 8MM 30MM 15MM LCP SS PARTIAL THREAD MALLEOLUS TIBIA HEXAGONAL SOCKET	SUP-215.030	CDM						inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 8MM 30MM 15MM LCP SS PARTIAL THREAD MALLEOLUS TIBIA HEXAGONAL SOCKET	SUP-215.030	CDM						outpatient			84.14	84.14	84.14				percent of total billed charges		84.14				other	OPPS APC	84.14				fee schedule		84.14				other	OPPS APC	84.14				other	OPPS APC	84.14				case rate		84.14				case rate		84.14				other	OPPS APC	84.14	84.14	
SCREW BONE 35MM 12MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.035	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE 35MM 12MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.035	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE 40MM 12MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.04	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE 40MM 12MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.04	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 40MM DCP LC-DCP SS MALLEOLAR NS LG FRAGMENT SET	SUP-215.040	CDM						inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 40MM DCP LC-DCP SS MALLEOLAR NS LG FRAGMENT SET	SUP-215.040	CDM						outpatient			84.14	84.14	84.14				percent of total billed charges		84.14				other	OPPS APC	84.14				fee schedule		84.14				other	OPPS APC	84.14				other	OPPS APC	84.14				case rate		84.14				case rate		84.14				other	OPPS APC	84.14	84.14	
SCREW BONE 45MM 22MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.045	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE 45MM 22MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.045	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE PARTIAL THREAD 50MM 24MM 4.5MM SS NS MALLEOLUS HEXAGONAL LG FRAGMENT SET	SUP-215.05	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE PARTIAL THREAD 50MM 24MM 4.5MM SS NS MALLEOLUS HEXAGONAL LG FRAGMENT SET	SUP-215.05	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 8MM 50MM 24MM LCP SS PARTIAL THREAD MALLEOLAR TIBIA HEXAGONAL SOCKET	SUP-215.050	CDM						inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 8MM 50MM 24MM LCP SS PARTIAL THREAD MALLEOLAR TIBIA HEXAGONAL SOCKET	SUP-215.050	CDM						outpatient			84.14	84.14	84.14				percent of total billed charges		84.14				other	OPPS APC	84.14				fee schedule		84.14				other	OPPS APC	84.14				other	OPPS APC	84.14				case rate		84.14				case rate		84.14				other	OPPS APC	84.14	84.14	
SCREW BONE 55MM 26MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.055	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE 55MM 26MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.055	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE LCP STAINLESS STEEL 3.5 MM L60 MM L28 MM OD4.5 MM ODSEC8 MM MALLEOLAR HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-215.06	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE LCP STAINLESS STEEL 3.5 MM L60 MM L28 MM OD4.5 MM ODSEC8 MM MALLEOLAR HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-215.06	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 8MM 60MM 28MM LCP SS 3.5MM MALLEOLAR HEXAGONAL SOCKET NS LG FRAGMENT	SUP-215.060	CDM						inpatient			84.14	84.14																																																			
SCREW BONE 4.5MM 8MM 60MM 28MM LCP SS 3.5MM MALLEOLAR HEXAGONAL SOCKET NS LG FRAGMENT	SUP-215.060	CDM						outpatient			84.14	84.14	84.14				percent of total billed charges		84.14				other	OPPS APC	84.14				fee schedule		84.14				other	OPPS APC	84.14				other	OPPS APC	84.14				case rate		84.14				case rate		84.14				other	OPPS APC	84.14	84.14	
SCREW BONE 65MM 30MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.065	CDM	270010022	LOCAL	270	RC		outpatient			84.14	84.14	22.79				percent of total billed charges		84.14				other	OPPS APC	62.26				percent of total billed charges		84.14				other	OPPS APC	84.14				other	OPPS APC	22.79				percent of total billed charges		23.25				percent of total billed charges		84.14				other	OPPS APC	22.79	84.14	
SCREW BONE 65MM 30MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.065	CDM	270010022	LOCAL	270	RC		inpatient			84.14	84.14																																																			
SCD SLEEVE KNEE LENGTH XLG	SUP-01-00242	CDM			271	RC		outpatient			84.07	84.7	22.77				percent of total billed charges		84.07				other	OPPS APC	62.21				percent of total billed charges		84.07				other	OPPS APC	84.07				other	OPPS APC	22.77				percent of total billed charges		23.23				percent of total billed charges		84.7				other	OPPS APC	22.77	84.7	
SCD SLEEVE KNEE LENGTH XLG	SUP-01-00242	CDM			271	RC		inpatient			84.07	84.07																																																			
HC Immunoassay Tumor Antigen	PX-300863000	CDM	86300	CPT	302	RC		outpatient			84	2.9	27.82				fee schedule		20.81				fee schedule		55.23				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		2.9				fee schedule		2.9	55.23	
HC Immunoassay Tumor Antigen	PX-300863000	CDM	86300	CPT	302	RC		inpatient			84	84																																																			
HC 15 Min. Indiv	PX-510994011	CDM	99401	CPT	510	RC		inpatient			84	84																																																			
HC 15 Min. Indiv	PX-510994011	CDM	99401	CPT	510	RC		outpatient			84	84					fee schedule						other	OPPS APC	62.16				percent of total billed charges						other	OPPS APC					fee schedule						case rate												other	OPPS APC	62.16	62.16	
RELOAD SUTURE ASSISTANT TK QUICK LOAD TITANIUM KNOT BLUNT CURVE HANDLE WIRE SNARE STERILE DISPOSABLE WHITE	SUP-030510	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
RELOAD SUTURE ASSISTANT TK QUICK LOAD TITANIUM KNOT BLUNT CURVE HANDLE WIRE SNARE STERILE DISPOSABLE WHITE	SUP-030510	CDM			270	RC		inpatient			84	84																																																			
SUTURE QUICK LOAD RUNNING DEVICE 180 COR-KNOT (12 PACKS OF 6 RELOADS)	SUP-030874	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
SUTURE QUICK LOAD RUNNING DEVICE 180 COR-KNOT (12 PACKS OF 6 RELOADS)	SUP-030874	CDM			270	RC		inpatient			84	84																																																			
K WIRE 2.3X150MM	SUP-95-03401	CDM			278	RC		outpatient			84	84	84				fee schedule		84				other	OPPS APC	47.88				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
K WIRE 2.3X150MM	SUP-95-03401	CDM			278	RC		inpatient			84	84																																																			
K-WIRE DOUBLE END TROCAR TIP 1.6X150MM	SUP-95-23635	CDM			278	RC		outpatient			84	84	84				fee schedule		84				other	OPPS APC	47.88				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
K-WIRE DOUBLE END TROCAR TIP 1.6X150MM	SUP-95-23635	CDM			278	RC		inpatient			84	84																																																			
K-WIRE STANDARD TIP 9MM X 152MM	SUP-97-01625	CDM			278	RC		outpatient			84	84	84				fee schedule		84				other	OPPS APC	47.88				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
K-WIRE STANDARD TIP 9MM X 152MM	SUP-97-01625	CDM			278	RC		inpatient			84	84																																																			
K-WIRE STANDARD TIP 1.5MM X 127MM	SUP-97-01626	CDM			278	RC		outpatient			84	84	84				fee schedule		84				other	OPPS APC	47.88				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
K-WIRE STANDARD TIP 1.5MM X 127MM	SUP-97-01626	CDM			278	RC		inpatient			84	84																																																			
K WIRE 1.6X150MM	SUP-97-02668	CDM			278	RC		outpatient			84	84	84				fee schedule		84				other	OPPS APC	47.88				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
K WIRE 1.6X150MM	SUP-97-02668	CDM			278	RC		inpatient			84	84																																																			
1.4X150MM K-WIRE SINGLE TROCAR TIP SMOOT	SUP-97-23716	CDM			278	RC		outpatient			84	84	84				fee schedule		84				other	OPPS APC	47.88				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
1.4X150MM K-WIRE SINGLE TROCAR TIP SMOOT	SUP-97-23716	CDM			278	RC		inpatient			84	84																																																			
SHEATH - 6FRX23CM BRITE TIP	SUP-99-04563	CDM			272	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
SHEATH - 6FRX23CM BRITE TIP	SUP-99-04563	CDM			272	RC		inpatient			84	84																																																			
SHEATH - 7FRX23CM BRITE TIP	SUP-99-04564	CDM			272	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
SHEATH - 7FRX23CM BRITE TIP	SUP-99-04564	CDM			272	RC		inpatient			84	84																																																			
SHEATH - 6FRX55CM BRITE-TIP	SUP-99-04565	CDM			272	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
SHEATH - 6FRX55CM BRITE-TIP	SUP-99-04565	CDM			272	RC		inpatient			84	84																																																			
SHEATH - 5F X 23CM BRITE TIP	SUP-99-04848	CDM			272	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
SHEATH - 5F X 23CM BRITE TIP	SUP-99-04848	CDM			272	RC		inpatient			84	84																																																			
BURR SHAVER SABRETOOTH COOLCUT CURVE HIP LENGTH L19 CM OD4.2 MM STERILE DISPOSABLE	SUP-AR-6420CST	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BURR SHAVER SABRETOOTH COOLCUT CURVE HIP LENGTH L19 CM OD4.2 MM STERILE DISPOSABLE	SUP-AR-6420CST	CDM			270	RC		inpatient			84	84																																																			
BLADE SHAVER EXCALIBUR COOLCUT HIP LENGTH L19 CM OD4.2 MM STERILE DISPOSABLE	SUP-AR-6420EX	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BLADE SHAVER EXCALIBUR COOLCUT HIP LENGTH L19 CM OD4.2 MM STERILE DISPOSABLE	SUP-AR-6420EX	CDM			270	RC		inpatient			84	84																																																			
DISSECTOR ENDOSCOPIC COOLCUT L13 CM OD3.5 MM ARTHROSCOPY	SUP-AR-8350DS	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
DISSECTOR ENDOSCOPIC COOLCUT L13 CM OD3.5 MM ARTHROSCOPY	SUP-AR-8350DS	CDM			270	RC		inpatient			84	84																																																			
CUTTER BONE CUTTING COOLCUT L13 CM OD3.8 MM	SUP-AR-8380BC	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
CUTTER BONE CUTTING COOLCUT L13 CM OD3.8 MM	SUP-AR-8380BC	CDM			270	RC		inpatient			84	84																																																			
BLADE SHAVER COOLCUT L13 CM OD3.8 MM SLOT WHISKER STERILE DISPOSABLE	SUP-AR-8380SW	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BLADE SHAVER COOLCUT L13 CM OD3.8 MM SLOT WHISKER STERILE DISPOSABLE	SUP-AR-8380SW	CDM			270	RC		inpatient			84	84																																																			
CUTTER ARTHROSCOPIC COOLCUT CURVE L13 CM OD4 MM BONE STERILE	SUP-AR-8400BC	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
CUTTER ARTHROSCOPIC COOLCUT CURVE L13 CM OD4 MM BONE STERILE	SUP-AR-8400BC	CDM			270	RC		inpatient			84	84																																																			
DISSECTOR ENDOSCOPIC COOLCUT CURVE L13 CM OD4 MM SERRATE TOOTH STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-8400CDS	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
DISSECTOR ENDOSCOPIC COOLCUT CURVE L13 CM OD4 MM SERRATE TOOTH STERILE DISPOSABLE ARTHROSCOPY	SUP-AR-8400CDS	CDM			270	RC		inpatient			84	84																																																			
BURR SHAVER CLEARCUT COOLCUT 8 FLUTE ROUND L13 CM OD4 MM STERILE	SUP-AR-8400CRE	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BURR SHAVER CLEARCUT COOLCUT 8 FLUTE ROUND L13 CM OD4 MM STERILE	SUP-AR-8400CRE	CDM			270	RC		inpatient			84	84																																																			
BURR SHAVER CLEARCUT COOLCUT 6 FLUTE L13 CM OD4 MM SLAP STERILE	SUP-AR-8400CSS	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BURR SHAVER CLEARCUT COOLCUT 6 FLUTE L13 CM OD4 MM SLAP STERILE	SUP-AR-8400CSS	CDM			270	RC		inpatient			84	84																																																			
BLADE SHAVER SABRETOOTH COOLCUT STAINLESS STEEL CURVE L13 CM OD4 MM RESECTION STERILE DISPOSABLE	SUP-AR-8400CST	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BLADE SHAVER SABRETOOTH COOLCUT STAINLESS STEEL CURVE L13 CM OD4 MM RESECTION STERILE DISPOSABLE	SUP-AR-8400CST	CDM			270	RC		inpatient			84	84																																																			
BLADE SHAVER COOLCUT L13 CM OD4 MM STERILE DISPOSABLE	SUP-AR-8400DS	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BLADE SHAVER COOLCUT L13 CM OD4 MM STERILE DISPOSABLE	SUP-AR-8400DS	CDM			270	RC		inpatient			84	84																																																			
BLADE SHAVER SABRETOOTH COOLCUT L12.5 MM OD4 MM STERILE DISPOSABLE	SUP-AR-8400ST	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BLADE SHAVER SABRETOOTH COOLCUT L12.5 MM OD4 MM STERILE DISPOSABLE	SUP-AR-8400ST	CDM			270	RC		inpatient			84	84																																																			
BURR SHAVER CLEARCUT OVAL L13 CM OD5 MM 12 FLUTE	SUP-AR-8500COT	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BURR SHAVER CLEARCUT OVAL L13 CM OD5 MM 12 FLUTE	SUP-AR-8500COT	CDM			270	RC		inpatient			84	84																																																			
BURR SHAVER COOLCUT FLUSHCUT 12 FLUTE OVAL L13 CM OD5 MM	SUP-AR-8500FOT	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BURR SHAVER COOLCUT FLUSHCUT 12 FLUTE OVAL L13 CM OD5 MM	SUP-AR-8500FOT	CDM			270	RC		inpatient			84	84																																																			
BURR SHAVER CLEARCUT COOLCUT 8 FLUTE ROUND L13 CM OD5.5 MM STERILE DISPOSABLE	SUP-AR-8550CRE	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BURR SHAVER CLEARCUT COOLCUT 8 FLUTE ROUND L13 CM OD5.5 MM STERILE DISPOSABLE	SUP-AR-8550CRE	CDM			270	RC		inpatient			84	84																																																			
BLADE SHAVER EXCALIBUR COOLCUT L13 CM OD5.5 MM STERILE DISPOSABLE	SUP-AR-8550EX	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
BLADE SHAVER EXCALIBUR COOLCUT L13 CM OD5.5 MM STERILE DISPOSABLE	SUP-AR-8550EX	CDM			270	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON 3 DIMENSIONAL RIGHT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA63DRC	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON 3 DIMENSIONAL RIGHT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA63DRC	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER DRC CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA63DRCSH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER DRC CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA63DRCSH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 1 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AL10	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 1 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AL10	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 1 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6AL10SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 1 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6AL10SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 2 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AL20	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 2 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AL20	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 2 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6AL20SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 2 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6AL20SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ .75 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AL75	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ .75 LEFT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AL75	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 1 RIGHT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AR10	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 1 RIGHT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AR10	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AR1 CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6AR10SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AR1 CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6AR10SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 2 RIGHT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AR20	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AMPLATZ 2 RIGHT CORONARY CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6AR20	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AR2 CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6AR20SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AR2 CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6AR20SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU30	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU30	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU35	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU35	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6EBU35SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6EBU35SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.75 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU375	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.75 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU375	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER EBU3.75 LEFT CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6EBU375SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER EBU3.75 LEFT CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6EBU375SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6EBU40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6EBU40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4.5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU45	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4.5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6EBU45	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND	SUP-LA6EBU50	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 5 LEFT CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND	SUP-LA6EBU50	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON STANDARD FR4 CURVE L100CM OD 6 FR CORONARY LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT STERILE LATEX FREE	SUP-LA6FR40_66268	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON STANDARD FR4 CURVE L100CM OD 6 FR CORONARY LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT STERILE LATEX FREE	SUP-LA6FR40_66268	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER HS1 CURVE L100 CM OD6 FR CORONARY	SUP-LA6HSI	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER HS1 CURVE L100 CM OD6 FR CORONARY	SUP-LA6HSI	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON HS2 CURVE OD6 FR ID.071 IN CORONARY MULTIPURPOSE LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND STERILE DISPOSABLE	SUP-LA6HSII	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON HS2 CURVE OD6 FR ID.071 IN CORONARY MULTIPURPOSE LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND STERILE DISPOSABLE	SUP-LA6HSII	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER HS1 CURVE OD6 FR SIDEHOLE	SUP-LA6HSISH	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
CATHETER GUIDING LAUNCHER HS1 CURVE OD6 FR SIDEHOLE	SUP-LA6HSISH	CDM			270	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON INTERNAL MAMMARY ARTERY CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6IMA	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON INTERNAL MAMMARY ARTERY CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6IMA	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON IMA CURVE L90 CM OD6 FR PERIPHERAL LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT STERILE LATEX FREE	SUP-LA6IMAD	CDM						inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON IMA CURVE L90 CM OD6 FR PERIPHERAL LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT STERILE LATEX FREE	SUP-LA6IMAD	CDM						outpatient			84	84	84				percent of total billed charges		84				other	OPPS APC	84				fee schedule		84				other	OPPS APC	84				other	OPPS APC	84				case rate		84				case rate		84				other	OPPS APC	84	84	
CATHETER GUIDING LAUNCHER NYLON INTERNAL MAMMARY ARTERY CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6IMASH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON INTERNAL MAMMARY ARTERY CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6IMASH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON STANDARD JCL4 CURVE L100CM OD 6 FR CORONARY PERIPHERAL LARGE LUMEN RADIOPAQUE FLEXIBLE DISTALSEGMENT STERILE LATEX FREE	SUP-LA6JCL40_66622	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON STANDARD JCL4 CURVE L100CM OD 6 FR CORONARY PERIPHERAL LARGE LUMEN RADIOPAQUE FLEXIBLE DISTALSEGMENT STERILE LATEX FREE	SUP-LA6JCL40_66622	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL30	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL30	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL35	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL35	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JL35SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JL35SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JL40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JL40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4.5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL45	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4.5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL45	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL4.5 CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6JL45SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL4.5 CURVE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6JL45SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL50	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 5 LEFT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JL50	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL5 CURVE SIDEHOLE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6JL50SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL5 CURVE SIDEHOLE L100 CM OD6 FR CORONARY SIDEHOLE	SUP-LA6JL50SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING JL6 CURVE 6FR 100CM CORONARY LAUNCHER	SUP-LA6JL60	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING JL6 CURVE 6FR 100CM CORONARY LAUNCHER	SUP-LA6JL60	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JR30	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JR30	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JR35	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JR35	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JR35SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 3.5 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JR35SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JR40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6JR40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JR40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS CORONARY 4 RIGHT CURVE STANDARD L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL SIDEHOLE STERILE DISPOSABLE	SUP-LA6JR40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON LEFT CORONARY BYPASS CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6LCB	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON LEFT CORONARY BYPASS CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6LCB	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON MULTIPURPOSE 1 CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6MP1	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
CATHETER GUIDING LAUNCHER NYLON MULTIPURPOSE 1 CURVE L100 CM OD6 FR ID.071 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6MP1	CDM			270	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON MUTLIPURPOSE 1 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT SIDEHOLE	SUP-LA6MP1SH	CDM			270	RC		outpatient			84	84	22.76				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	22.76				percent of total billed charges		23.21				percent of total billed charges		84				other	OPPS APC	22.76	84	
CATHETER GUIDING LAUNCHER NYLON MUTLIPURPOSE 1 CURVE OD6 FR LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT SIDEHOLE	SUP-LA6MP1SH	CDM			270	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON RIGHT CORONARY BYPASS CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6RCB	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON RIGHT CORONARY BYPASS CURVE L100 CM OD6 FR ID.071 IN LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA6RCB	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER 3DRC CURVE OD8 FR CORONARY	SUP-LA83DRC	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER 3DRC CURVE OD8 FR CORONARY	SUP-LA83DRC	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER 3DRC CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA83DRCSH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER 3DRC CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA83DRCSH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL10 CURVE L100 CM OD8 FR CORONARY LATEX FREE	SUP-LA8AL10	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL10 CURVE L100 CM OD8 FR CORONARY LATEX FREE	SUP-LA8AL10	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL10 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8AL10SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL10 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8AL10SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON AL2 CURVE L90 CM L55 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND ROBUST	SUP-LA8AL20	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON AL2 CURVE L90 CM L55 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND ROBUST	SUP-LA8AL20	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL20 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8AL20SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL20 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8AL20SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL2.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8AL25	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL2.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8AL25	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL2.5 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AL25SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL2.5 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AL25SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL3 CURVE L100 CM OD8 FR CORONARY	SUP-LA8AL30	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL3 CURVE L100 CM OD8 FR CORONARY	SUP-LA8AL30	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL3 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AL30SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL3 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AL30SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL.75 CURVE L100 CM OD8 FR CORONARY	SUP-LA8AL75	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL.75 CURVE L100 CM OD8 FR CORONARY	SUP-LA8AL75	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AL.75 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AL75SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AL.75 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AL75SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AMPLATZ RIGHT 1 CURVE L100 CM OD8 FR ID.09 IN CORONARY RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT WITHOUT SIDEHOLE BLUE	SUP-LA8AR10	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AMPLATZ RIGHT 1 CURVE L100 CM OD8 FR ID.09 IN CORONARY RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT WITHOUT SIDEHOLE BLUE	SUP-LA8AR10	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AMPLATZ RIGHT 1 CURVE L100 CM OD8 FR ID.09 IN CORONARY RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT SIDEHOLE ORANGE	SUP-LA8AR10SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AMPLATZ RIGHT 1 CURVE L100 CM OD8 FR ID.09 IN CORONARY RADIOPAQUE LARGE LUMEN FLEXIBLE DISTAL SEGMENT SIDEHOLE ORANGE	SUP-LA8AR10SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AR2 CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND NYLON SHAFT STERILE DISPOSABLE	SUP-LA8AR20	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AR2 CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND NYLON SHAFT STERILE DISPOSABLE	SUP-LA8AR20	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER AR2 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AR20SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER AR2 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8AR20SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EBU3 CURVE L 100CM OD 8FR CORONARY LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT STERILE LATEX FREE	SUP-LA8EBU30_66347	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EBU3 CURVE L 100CM OD 8FR CORONARY LARGE LUMEN RADIOPAQUE FLEXIBLE DISTAL SEGMENT STERILE LATEX FREE	SUP-LA8EBU30_66347	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.5 LEFT CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU35	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.5 LEFT CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU35	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER EBU3.5 CURVE SIDEHOLE L100 CM OD8 FR LEFT CORONARY SIDEHOLE	SUP-LA8EBU35SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER EBU3.5 CURVE SIDEHOLE L100 CM OD8 FR LEFT CORONARY SIDEHOLE	SUP-LA8EBU35SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.75 LEFT CURVE L90 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU375	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 3.75 LEFT CURVE L90 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU375	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER EBU3.75 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8EBU375SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER EBU3.75 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8EBU375SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4 LEFT CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4 LEFT CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER EBU4 CURVE SIDEHOLE L100 CM OD8 FR LEFT CORONARY SIDEHOLE	SUP-LA8EBU40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER EBU4 CURVE SIDEHOLE L100 CM OD8 FR LEFT CORONARY SIDEHOLE	SUP-LA8EBU40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4.5 LEFT CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU45	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON EXTRA BACKUP 4.5 LEFT CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE FULL WALL FLEXIBLE DISTAL SEGMENT STERILE DISPOSABLE	SUP-LA8EBU45	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER EBU4.5 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8EBU45SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER EBU4.5 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8EBU45SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER EBU5 CURVE L100 CM OD8 FR LEFT CORONARY	SUP-LA8EBU50	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER EBU5 CURVE L100 CM OD8 FR LEFT CORONARY	SUP-LA8EBU50	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING XB5 CURVE 8FR 100CM CORONARY SIDEHOLE LAUNCHER	SUP-LA8EBU50SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING XB5 CURVE 8FR 100CM CORONARY SIDEHOLE LAUNCHER	SUP-LA8EBU50SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER FR4 CURVE OD8 FR CORONARY	SUP-LA8FR40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER FR4 CURVE OD8 FR CORONARY	SUP-LA8FR40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER FR4 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8FR40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER FR4 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8FR40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER HS2 CURVE OD8 FR MULTIPURPOSE	SUP-LA8HS2	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER HS2 CURVE OD8 FR MULTIPURPOSE	SUP-LA8HS2	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER HS1 CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND FLEXIBLE DISTAL SEGMENT MULTIPURPOSE STERILE DISPOSABLE	SUP-LA8HSI	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER HS1 CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND FLEXIBLE DISTAL SEGMENT MULTIPURPOSE STERILE DISPOSABLE	SUP-LA8HSI	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER HSI CURVE OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8HSIISH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER HSI CURVE OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8HSIISH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER HS1 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8HSISH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER HS1 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8HSISH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER IM CURVE L100 CM OD8 FR CORONARY	SUP-LA8IMA	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER IM CURVE L100 CM OD8 FR CORONARY	SUP-LA8IMA	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER IM CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8IMASH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER IM CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8IMASH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL3 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JL30	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL3 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JL30	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL3 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JL30SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL3 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JL30SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL3.5 CURVE STANDARD L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND NYLON SHAFT STERILE DISPOSABLE	SUP-LA8JL35	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL3.5 CURVE STANDARD L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND NYLON SHAFT STERILE DISPOSABLE	SUP-LA8JL35	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL3.5 CURVE L100 CM OD8 FR CORONARY FLEXIBLE	SUP-LA8JL35SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL3.5 CURVE L100 CM OD8 FR CORONARY FLEXIBLE	SUP-LA8JL35SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER NYLON JUDKINS LEFT 4 CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE MARKER BAND FULL WALL ROBUST STERILE DISPOSABLE	SUP-LA8JL40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER NYLON JUDKINS LEFT 4 CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN RADIOPAQUE MARKER BAND FULL WALL ROBUST STERILE DISPOSABLE	SUP-LA8JL40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL4 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8JL40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL4 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8JL40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL4.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JL45	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL4.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JL45	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL4.5 CURVE L100 CM OD8 FR ID.09 IN CORONARY SIDEHOLE	SUP-LA8JL45SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL4.5 CURVE L100 CM OD8 FR ID.09 IN CORONARY SIDEHOLE	SUP-LA8JL45SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JL50	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JL50	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL5 CURVE L100 CM OD8 FR ID.09 IN CORONARY SIDEHOLE	SUP-LA8JL50SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL5 CURVE L100 CM OD8 FR ID.09 IN CORONARY SIDEHOLE	SUP-LA8JL50SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING JL6 CURVE 8FR 100CM CORONARY LAUNCHER	SUP-LA8JL60	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING JL6 CURVE 8FR 100CM CORONARY LAUNCHER	SUP-LA8JL60	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JL6 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JL60SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JL6 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JL60SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR3.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JR35	CDM						inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR3.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JR35	CDM						outpatient			84	84	84				percent of total billed charges		84				other	OPPS APC	84				fee schedule		84				other	OPPS APC	84				other	OPPS APC	84				case rate		84				case rate		84				other	OPPS APC	84	84	
CATHETER GUIDING LAUNCHER JR3.5 CURVE SIDEHOLE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JR35SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JR3.5 CURVE SIDEHOLE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JR35SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER LARGE JR4 CURVE L100 CM OD8 FR ID.09 IN CORONARY RADIOPAQUE MARKER FLEXIBLE LUMEN FULL WALL TECHNOLOGY STERILE DISPOSABLE	SUP-LA8JR40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER LARGE JR4 CURVE L100 CM OD8 FR ID.09 IN CORONARY RADIOPAQUE MARKER FLEXIBLE LUMEN FULL WALL TECHNOLOGY STERILE DISPOSABLE	SUP-LA8JR40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR4 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8JR40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JR4 CURVE L100 CM OD8 FR CORONARY SIDEHOLE LATEX FREE	SUP-LA8JR40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR4.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JR45	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JR4.5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JR45	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR4.5 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JR45SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JR4.5 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JR45SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JR50	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JR5 CURVE L100 CM OD8 FR CORONARY	SUP-LA8JR50	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER JR5 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JR50SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER JR5 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8JR50SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER LCB CURVE L100 CM OD8 FR CORONARY	SUP-LA8LCB	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER LCB CURVE L100 CM OD8 FR CORONARY	SUP-LA8LCB	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER LCB CURVE SIDEHOLE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8LCBSH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER LCB CURVE SIDEHOLE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8LCBSH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER MB1 CURVE L100 CM OD8 FR CORONARY	SUP-LA8MB1	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER MB1 CURVE L100 CM OD8 FR CORONARY	SUP-LA8MB1	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER MB1 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8MB1SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER MB1 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8MB1SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER MP2 CURVE L100 CM OD8 FR CORONARY	SUP-LA8MB2	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER MP2 CURVE L100 CM OD8 FR CORONARY	SUP-LA8MB2	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER MB2 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8MB2SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER MB2 CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8MB2SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER RCB CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND NYLON SHAFT STERILE DISPOSABLE	SUP-LA8RCB	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER RCB CURVE L100 CM OD8 FR ID.09 IN CORONARY LARGE LUMEN FLEXIBLE DISTAL SEGMENT FULL WALL TECHNOLOGY RADIOPAQUE MARKER BAND NYLON SHAFT STERILE DISPOSABLE	SUP-LA8RCB	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER RCB CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8RCBSH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER RCB CURVE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8RCBSH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER SFR4 CURVE OD8 FR CORONARY	SUP-LA8SFR40	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER SFR4 CURVE OD8 FR CORONARY	SUP-LA8SFR40	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER SFR4 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8SFR40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER SFR4 CURVE OD8 FR CORONARY SIDEHOLE	SUP-LA8SFR40SH	CDM			481	RC		inpatient			84	84																																																			
CATHETER GUIDING LAUNCHER SR4 CURVE SIDEHOLE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8SR40SH	CDM			481	RC		outpatient			84	84	41.16				percent of total billed charges		84				other	OPPS APC	62.16				percent of total billed charges		84				other	OPPS APC	84				other	OPPS APC	41.16				percent of total billed charges		42.84				percent of total billed charges		84				other	OPPS APC	41.16	84	
CATHETER GUIDING LAUNCHER SR4 CURVE SIDEHOLE L100 CM OD8 FR CORONARY SIDEHOLE	SUP-LA8SR40SH	CDM			481	RC		inpatient			84	84																																																			
ARTIFICIAL TEARS(HYPROMELLOSE) 0.5 % DROPS 15 ML DROP BTL	637000000	CDM	0065-0408-72	NDC	A9270	HCPCS		inpatient			83.88	83.88																																																			
ARTIFICIAL TEARS(HYPROMELLOSE) 0.5 % DROPS 15 ML DROP BTL	637000000	CDM	0065-0408-72	NDC	A9270	HCPCS		outpatient			83.88	83.88																																															other	OPPS APC			
PROBE DILATOR VASCULAR PARSONNET 1.0MM X 45CM	SUP-007603	CDM	270009131	LOCAL	270	RC		outpatient			83.69	83.69	22.67				percent of total billed charges		83.69				other	OPPS APC	61.93				percent of total billed charges		83.69				other	OPPS APC	83.69				other	OPPS APC	22.67				percent of total billed charges		23.12				percent of total billed charges		83.69				other	OPPS APC	22.67	83.69	
PROBE DILATOR VASCULAR PARSONNET 1.0MM X 45CM	SUP-007603	CDM	270009131	LOCAL	270	RC		inpatient			83.69	83.69																																																			
PROBE VASCULAR BARD PARSONNET 45CM 1.5MM SS POLYURETHANE DISPOSABLE STERILE SHAFT	SUP-007604	CDM	270009131	LOCAL	270	RC		outpatient			83.69	83.69	22.67				percent of total billed charges		83.69				other	OPPS APC	61.93				percent of total billed charges		83.69				other	OPPS APC	83.69				other	OPPS APC	22.67				percent of total billed charges		23.12				percent of total billed charges		83.69				other	OPPS APC	22.67	83.69	
PROBE VASCULAR BARD PARSONNET 45CM 1.5MM SS POLYURETHANE DISPOSABLE STERILE SHAFT	SUP-007604	CDM	270009131	LOCAL	270	RC		inpatient			83.69	83.69																																																			
GUIDEWIRE ORTHOPEDIC 230MM 2MM SS NS THREAD	SUP-292.65	CDM	270010022	LOCAL	270	RC		outpatient			83.6	83.6	22.65				percent of total billed charges		83.6				other	OPPS APC	61.86				percent of total billed charges		83.6				other	OPPS APC	83.6				other	OPPS APC	22.65				percent of total billed charges		23.1				percent of total billed charges		83.6				other	OPPS APC	22.65	83.6	
GUIDEWIRE ORTHOPEDIC 230MM 2MM SS NS THREAD	SUP-292.65	CDM	270010022	LOCAL	270	RC		inpatient			83.6	83.6																																																			
ADAPTER INTRODUCER SAFESHEATH STANDARD WING SEAL SPLITTABLE HEMOSTATIC VALVE ATTAIN	SUP-SS-SA-09MM	CDM			275	RC		outpatient			83.6	83.6	40.96				percent of total billed charges		83.6				other	OPPS APC	47.65				percent of total billed charges		83.6				other	OPPS APC	83.6				other	OPPS APC	40.96				percent of total billed charges		42.64				percent of total billed charges		83.6				other	OPPS APC	40.96	83.6	
ADAPTER INTRODUCER SAFESHEATH STANDARD WING SEAL SPLITTABLE HEMOSTATIC VALVE ATTAIN	SUP-SS-SA-09MM	CDM			275	RC		inpatient			83.6	83.6																																																			
TRAY FOLEY CATH 18FR LF 350ML URINMETER	SUP-03-00026	CDM			272	RC		outpatient			83.53	83.53	22.63				percent of total billed charges		83.53				other	OPPS APC	61.81				percent of total billed charges		83.53				other	OPPS APC	83.53				other	OPPS APC	22.63				percent of total billed charges		23.08				percent of total billed charges		83.53				other	OPPS APC	22.63	83.53	
TRAY FOLEY CATH 18FR LF 350ML URINMETER	SUP-03-00026	CDM			272	RC		inpatient			83.53	83.53																																																			
Tube Cuffless Trach #8	PX-270000019	CDM			270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	83.42				fee schedule		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
Tube Cuffless Trach #8	PX-270000019	CDM			270	RC		inpatient			83.42	83.42																																																			
WIRE FIXATION LCP L150 MM L15 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.415	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
WIRE FIXATION LCP L150 MM L15 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.415	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
WIRE FIXATION LCP L150 MM L20 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.420	CDM			270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
WIRE FIXATION LCP L150 MM L20 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.420	CDM			270	RC		inpatient			83.42	83.42																																																			
WIRE FIXATION LCP L150 MM L25 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.425	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
WIRE FIXATION LCP L150 MM L25 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.425	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
WIRE FIXATION LCP L150 MM L30 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.430	CDM			270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
WIRE FIXATION LCP L150 MM L30 MM OD1.6 MM THREAD COMPRESSION NONSTERILE	SUP-03.211.430	CDM			270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 8MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.358.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 8MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.358.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 9MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.359.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 9MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.359.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE LCP STAINLESS STEEL T6 L10 MM OD2 MM FOOT HAND WRIST CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.360.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE LCP STAINLESS STEEL T6 L10 MM OD2 MM FOOT HAND WRIST CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.360.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 11MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.361.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 11MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.361.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE LCP STAINLESS STEEL T6 L12 MM OD2 MM FOOT HAND WRIST CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.362.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE LCP STAINLESS STEEL T6 L12 MM OD2 MM FOOT HAND WRIST CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.362.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 13MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.363.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 13MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.363.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE LCP STAINLESS STEEL T6 L14 MM OD2 MM FOOT HAND WRIST CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.364.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE LCP STAINLESS STEEL T6 L14 MM OD2 MM FOOT HAND WRIST CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-201.364.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE STAINLESS STEEL T6 L15 MM OD2 MM SMALL BONE CORTEX STARDRIVE SELF TAP SELF RETAINING	SUP-201.365.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE STAINLESS STEEL T6 L15 MM OD2 MM SMALL BONE CORTEX STARDRIVE SELF TAP SELF RETAINING	SUP-201.365.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 16MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.366.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 16MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.366.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 18MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.368.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 18MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.368.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE LCP STAINLESS STEEL T6 L20 MM OD2 MM HAND CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE	SUP-201.370.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE LCP STAINLESS STEEL T6 L20 MM OD2 MM HAND CORTEX SELF TAP SELF RETAINING STARDRIVE NONSTERILE	SUP-201.370.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 24MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.374.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 24MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.374.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 26MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.375.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 26MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.375.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 28MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.376.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 28MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.376.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 30MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.377.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 30MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.377.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 32MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.378.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 32MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.378.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 34MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.379.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 34MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.379.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 38MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.381.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 38MM 2MM SS NS CORTEX SELF TAP STARDRIVE MINI FRAGMENT SYSTEM	SUP-201.381.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW BONE T6 40MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.382.97	CDM	270010022	LOCAL	270	RC		outpatient			83.42	83.42	22.6				percent of total billed charges		83.42				other	OPPS APC	61.73				percent of total billed charges		83.42				other	OPPS APC	83.42				other	OPPS APC	22.6				percent of total billed charges		23.05				percent of total billed charges		83.42				other	OPPS APC	22.6	83.42	
SCREW BONE T6 40MM 2MM SS NS CORTEX SELF TAP SELF RETAINING STARDRIVE MINI FRAGMENT SET	SUP-201.382.97	CDM	270010022	LOCAL	270	RC		inpatient			83.42	83.42																																																			
SCREW CORTEX 3.5 X 50MM	SUP-97-01427	CDM			278	RC		outpatient			83.4	83.46	83.4				fee schedule		83.4				other	OPPS APC	47.54				percent of total billed charges		83.4				other	OPPS APC	83.4				other	OPPS APC	40.87				percent of total billed charges		42.53				percent of total billed charges		83.46				other	OPPS APC	40.87	83.46	
SCREW CORTEX 3.5 X 50MM	SUP-97-01427	CDM			278	RC		inpatient			83.4	83.4																																																			
3.5 X 36MM CORTEX SCREW	SUP-97-04755	CDM			278	RC		outpatient			83.4	83.46	83.4				fee schedule		83.4				other	OPPS APC	47.54				percent of total billed charges		83.4				other	OPPS APC	83.4				other	OPPS APC	40.87				percent of total billed charges		42.53				percent of total billed charges		83.46				other	OPPS APC	40.87	83.46	
3.5 X 36MM CORTEX SCREW	SUP-97-04755	CDM			278	RC		inpatient			83.4	83.4																																																			
SCREW CORTEX SELF TAP 3.5MM X 22MM	SUP-97-23807	CDM			278	RC		outpatient			83.4	83.46	83.4				fee schedule		83.4				other	OPPS APC	47.54				percent of total billed charges		83.4				other	OPPS APC	83.4				other	OPPS APC	40.87				percent of total billed charges		42.53				percent of total billed charges		83.46				other	OPPS APC	40.87	83.46	
SCREW CORTEX SELF TAP 3.5MM X 22MM	SUP-97-23807	CDM			278	RC		inpatient			83.4	83.4																																																			
GUIDEWIRE VASCULAR MAGIC TORQUE GLIDEX PLATINUM SHAPEABLE CURVE L180 CM L5 CM OD.035 IN STRAIGHT TIP RADIOPAQUE DISTAL MARKER	SUP-M001465911	CDM			270	RC		outpatient			83.33	83.33	22.57				percent of total billed charges		83.33				other	OPPS APC	61.66				percent of total billed charges		83.33				other	OPPS APC	83.33				other	OPPS APC	22.57				percent of total billed charges		23.02				percent of total billed charges		83.33				other	OPPS APC	22.57	83.33	
GUIDEWIRE VASCULAR MAGIC TORQUE GLIDEX PLATINUM SHAPEABLE CURVE L180 CM L5 CM OD.035 IN STRAIGHT TIP RADIOPAQUE DISTAL MARKER	SUP-M001465911	CDM			270	RC		inpatient			83.33	83.33																																																			
GUIDEWIRE VASCULAR MAGIC TORQUE GLIDEX PLATINUM SHAPEABLE CURVE L260 CM L5 CM OD.035 IN STRAIGHT TIP RADIOPAQUE DISTAL MARKER	SUP-M001465921	CDM			270	RC		outpatient			83.33	83.33	22.57				percent of total billed charges		83.33				other	OPPS APC	61.66				percent of total billed charges		83.33				other	OPPS APC	83.33				other	OPPS APC	22.57				percent of total billed charges		23.02				percent of total billed charges		83.33				other	OPPS APC	22.57	83.33	
GUIDEWIRE VASCULAR MAGIC TORQUE GLIDEX PLATINUM SHAPEABLE CURVE L260 CM L5 CM OD.035 IN STRAIGHT TIP RADIOPAQUE DISTAL MARKER	SUP-M001465921	CDM			270	RC		inpatient			83.33	83.33																																																			
WORD CATHETER BARTHOLIN SET	SUP-95-02905	CDM			278	RC		outpatient			83.32	83.32	83.32				fee schedule		83.32				other	OPPS APC	47.49				percent of total billed charges		83.32				other	OPPS APC	83.32				other	OPPS APC	40.83				percent of total billed charges		42.49				percent of total billed charges		83.32				other	OPPS APC	40.83	83.32	
WORD CATHETER BARTHOLIN SET	SUP-95-02905	CDM			278	RC		inpatient			83.32	83.32																																																			
SUTURE VLOC 180 3-0 V-20 6IN VLOCL0604	SUP-95-05279	CDM			272	RC		outpatient			83.31	83.31	22.57				percent of total billed charges		83.31				other	OPPS APC	61.65				percent of total billed charges		83.31				other	OPPS APC	83.31				other	OPPS APC	22.57				percent of total billed charges		23.02				percent of total billed charges		83.31				other	OPPS APC	22.57	83.31	
SUTURE VLOC 180 3-0 V-20 6IN VLOCL0604	SUP-95-05279	CDM			272	RC		inpatient			83.31	83.31																																																			
WASHER ORTHOPEDIC ASNIS III STAINLESS STEEL 4 MM CANNULATED SCREW	SUP-390018	CDM			270	RC		outpatient			83.2	83.23	22.54				percent of total billed charges		83.2				other	OPPS APC	61.57				percent of total billed charges		83.2				other	OPPS APC	83.2				other	OPPS APC	22.54				percent of total billed charges		22.99				percent of total billed charges		83.23				other	OPPS APC	22.54	83.23	
WASHER ORTHOPEDIC ASNIS III STAINLESS STEEL 4 MM CANNULATED SCREW	SUP-390018	CDM			270	RC		inpatient			83.2	83.2																																																			
CLOSURE - VASCBAND -SHORT	SUP-99-01899	CDM			272	RC		outpatient			83.2	83.23	22.54				percent of total billed charges		83.2				other	OPPS APC	61.57				percent of total billed charges		83.2				other	OPPS APC	83.2				other	OPPS APC	22.54				percent of total billed charges		22.99				percent of total billed charges		83.23				other	OPPS APC	22.54	83.23	
CLOSURE - VASCBAND -SHORT	SUP-99-01899	CDM			272	RC		inpatient			83.2	83.2																																																			
NON ABS COATED BRAIDED POLYESTER DOUBLE ARMED WITH TC NEEDLE 36IN SUTURE	SUP-M0068221141	CDM			270	RC		outpatient			83.16	83.16	22.53				percent of total billed charges		83.16				other	OPPS APC	61.54				percent of total billed charges		83.16				other	OPPS APC	83.16				other	OPPS APC	22.53				percent of total billed charges		22.98				percent of total billed charges		83.16				other	OPPS APC	22.53	83.16	
NON ABS COATED BRAIDED POLYESTER DOUBLE ARMED WITH TC NEEDLE 36IN SUTURE	SUP-M0068221141	CDM			270	RC		inpatient			83.16	83.16																																																			
NON ABS COATED BRAIDED POLYESTER DOUBLE ARMED WITH TC NEEDLE 36IN SUTURE	SUP-M0068331141	CDM			270	RC		outpatient			83.16	83.16	22.53				percent of total billed charges		83.16				other	OPPS APC	61.54				percent of total billed charges		83.16				other	OPPS APC	83.16				other	OPPS APC	22.53				percent of total billed charges		22.98				percent of total billed charges		83.16				other	OPPS APC	22.53	83.16	
NON ABS COATED BRAIDED POLYESTER DOUBLE ARMED WITH TC NEEDLE 36IN SUTURE	SUP-M0068331141	CDM			270	RC		inpatient			83.16	83.16																																																			
SUTURE VLOC PBT V-20 2-0  VLOCN0605	SUP-95-04949	CDM			272	RC		outpatient			83.14	83.14	22.52				percent of total billed charges		83.14				other	OPPS APC	61.52				percent of total billed charges		83.14				other	OPPS APC	83.14				other	OPPS APC	22.52				percent of total billed charges		22.97				percent of total billed charges		83.14				other	OPPS APC	22.52	83.14	
SUTURE VLOC PBT V-20 2-0  VLOCN0605	SUP-95-04949	CDM			272	RC		inpatient			83.14	83.14																																																			
CATHETER ANGIOGRAPHIC SLIP-CATH HYDROPHILIC BEACON C2 CURVE L100 CM OD4 FR VISCERA ACCEPTS .038 IN GUIDEWIRE	SUP-G31022	CDM			270	RC		outpatient			83.05	83.5	22.5				percent of total billed charges		83.05				other	OPPS APC	61.46				percent of total billed charges		83.05				other	OPPS APC	83.05				other	OPPS APC	22.5				percent of total billed charges		22.95				percent of total billed charges		83.5				other	OPPS APC	22.5	83.5	
CATHETER ANGIOGRAPHIC SLIP-CATH HYDROPHILIC BEACON C2 CURVE L100 CM OD4 FR VISCERA ACCEPTS .038 IN GUIDEWIRE	SUP-G31022	CDM			270	RC		inpatient			83.05	83.05																																																			
CATHETER ANGIOGRAPHIC SLIP-CATH BEACON TIP HYDROPHILIC .038 IN MPA CURVE L100 CM OD4 FR ANGLED MULTIPURPOSE	SUP-G31023	CDM			270	RC		outpatient			83.05	83.5	22.5				percent of total billed charges		83.05				other	OPPS APC	61.46				percent of total billed charges		83.05				other	OPPS APC	83.05				other	OPPS APC	22.5				percent of total billed charges		22.95				percent of total billed charges		83.5				other	OPPS APC	22.5	83.5	
CATHETER ANGIOGRAPHIC SLIP-CATH BEACON TIP HYDROPHILIC .038 IN MPA CURVE L100 CM OD4 FR ANGLED MULTIPURPOSE	SUP-G31023	CDM			270	RC		inpatient			83.05	83.05																																																			
CATHETER ANGIOGRAPHIC SLIP-CATH BEACON TIP HYDROPHILIC VITEK CURVE L100 CM OD5 FR CEREBRAL ACCEPTS .038 IN GUIDEWIRE	SUP-SCBR5.038100PNSVTK	CDM			270	RC		outpatient			83.05	83.5	22.5				percent of total billed charges		83.05				other	OPPS APC	61.46				percent of total billed charges		83.05				other	OPPS APC	83.05				other	OPPS APC	22.5				percent of total billed charges		22.95				percent of total billed charges		83.5				other	OPPS APC	22.5	83.5	
CATHETER ANGIOGRAPHIC SLIP-CATH BEACON TIP HYDROPHILIC VITEK CURVE L100 CM OD5 FR CEREBRAL ACCEPTS .038 IN GUIDEWIRE	SUP-SCBR5.038100PNSVTK	CDM			270	RC		inpatient			83.05	83.05																																																			
Trac Med. Dressing Kit	PX-270000024	CDM			270	RC		outpatient			83.03	83.31	22.49				percent of total billed charges		83.03				other	OPPS APC	83.03				fee schedule		83.03				other	OPPS APC	83.03				other	OPPS APC	22.49				percent of total billed charges		22.94				percent of total billed charges		83.31				other	OPPS APC	22.49	83.31	
Trac Med. Dressing Kit	PX-270000024	CDM			270	RC		inpatient			83.03	83.03																																																			
HC St Develop Cognitive Skills/15 Mn	PX-440975320	CDM	97129	CPT	440	RC		outpatient			83	21.95	83				percent of total billed charges		21.95				fee schedule		87.33				fee schedule		21.95				fee schedule		21.95				fee schedule		86.85				percent of total billed charges		83				percent of total billed charges		21.95				fee schedule		21.95	87.33	
HC St Develop Cognitive Skills/15 Mn	PX-440975320	CDM	97129	CPT	440	RC		inpatient			83	83																																																			
HC Trim Nondystrophic Nails  Any No.	PX-761117190	CDM	11719	CPT	761	RC		outpatient			83	83	195.77				case rate		83				other	OPPS APC	61.42				percent of total billed charges		83				other	OPPS APC	83				other	OPPS APC	195.77				case rate		42.33				percent of total billed charges		83				other	OPPS APC	42.33	195.77	
HC Trim Nondystrophic Nails  Any No.	PX-761117190	CDM	11719	CPT	761	RC		inpatient			83	83																																																			
SET INTUBATION CRAWFORD OLIVE OD.025 IN ODSEC.016 IN EYE 2 FLEXIBLE STAINLESS STEEL PROBE SUTURE SILICONE TUBING STERILE LATEX FREE	SUP-28-0184	CDM			270	RC		outpatient			83	83	22.48				percent of total billed charges		83				other	OPPS APC	61.42				percent of total billed charges		83				other	OPPS APC	83				other	OPPS APC	22.48				percent of total billed charges		22.93				percent of total billed charges		83				other	OPPS APC	22.48	83	
SET INTUBATION CRAWFORD OLIVE OD.025 IN ODSEC.016 IN EYE 2 FLEXIBLE STAINLESS STEEL PROBE SUTURE SILICONE TUBING STERILE LATEX FREE	SUP-28-0184	CDM			270	RC		inpatient			83	83																																																			
NEEDLE ENDOSCOPIC L10 IN OD1.25 MM ODSEC18 GA SPINE BLUNT GUIDEWIRE DILATOR STERILE DISPOSABLE	SUP-4792.802	CDM			270	RC		outpatient			83	83	22.48				percent of total billed charges		83				other	OPPS APC	61.42				percent of total billed charges		83				other	OPPS APC	83				other	OPPS APC	22.48				percent of total billed charges		22.93				percent of total billed charges		83				other	OPPS APC	22.48	83	
NEEDLE ENDOSCOPIC L10 IN OD1.25 MM ODSEC18 GA SPINE BLUNT GUIDEWIRE DILATOR STERILE DISPOSABLE	SUP-4792.802	CDM			270	RC		inpatient			83	83																																																			
NEEDLE ENDOSCOPIC L6 IN OD1.25 MM ODSEC18 GA SPINE BLUNT GUIDEWIRE DILATOR STERILE DISPOSABLE	SUP-4792.803	CDM			270	RC		outpatient			83	83	22.48				percent of total billed charges		83				other	OPPS APC	61.42				percent of total billed charges		83				other	OPPS APC	83				other	OPPS APC	22.48				percent of total billed charges		22.93				percent of total billed charges		83				other	OPPS APC	22.48	83	
NEEDLE ENDOSCOPIC L6 IN OD1.25 MM ODSEC18 GA SPINE BLUNT GUIDEWIRE DILATOR STERILE DISPOSABLE	SUP-4792.803	CDM			270	RC		inpatient			83	83																																																			
LIGATOR 18IN ENDOLOOP MONOFILAMENT TIES LOOP SUTURE ENDOSCOPIC PDS II 12 LF VIOLET	SUP-EZ10G	CDM			270	RC		outpatient			82.97	82.97	22.48				percent of total billed charges		82.97				other	OPPS APC	61.4				percent of total billed charges		82.97				other	OPPS APC	82.97				other	OPPS APC	22.48				percent of total billed charges		22.92				percent of total billed charges		82.97				other	OPPS APC	22.48	82.97	
LIGATOR 18IN ENDOLOOP MONOFILAMENT TIES LOOP SUTURE ENDOSCOPIC PDS II 12 LF VIOLET	SUP-EZ10G	CDM			270	RC		inpatient			82.97	82.97																																																			
TUBE GASTROSTOMY BARD 20FR 20CC SILICONE 3 FUNNEL BALLOON ADJUSTABLE EXTERNAL BOLSTER RADIOPAQUE	SUP-000720	CDM	270009103	LOCAL	270	RC		outpatient			82.8	82.8	22.43				percent of total billed charges		82.8				other	OPPS APC	61.27				percent of total billed charges		82.8				other	OPPS APC	82.8				other	OPPS APC	22.43				percent of total billed charges		22.88				percent of total billed charges		82.8				other	OPPS APC	22.43	82.8	
TUBE GASTROSTOMY BARD 20FR 20CC SILICONE 3 FUNNEL BALLOON ADJUSTABLE EXTERNAL BOLSTER RADIOPAQUE	SUP-000720	CDM	270009103	LOCAL	270	RC		inpatient			82.8	82.8																																																			
DRILL BIT 5/64 2.0MM 2318-20-06	SUP-95-03388	CDM			272	RC		outpatient			82.74	82.74	22.41				percent of total billed charges		82.74				other	OPPS APC	61.23				percent of total billed charges		82.74				other	OPPS APC	82.74				other	OPPS APC	22.41				percent of total billed charges		22.86				percent of total billed charges		82.74				other	OPPS APC	22.41	82.74	
DRILL BIT 5/64 2.0MM 2318-20-06	SUP-95-03388	CDM			272	RC		inpatient			82.74	82.74																																																			
Needle Spinal Whitacre 22f X 3.5	PX-270000021	CDM			270	RC		outpatient			82.68	82.69	22.4				percent of total billed charges		82.68				other	OPPS APC	82.68				fee schedule		82.68				other	OPPS APC	82.68				other	OPPS APC	22.4				percent of total billed charges		22.84				percent of total billed charges		82.69				other	OPPS APC	22.4	82.69	
Needle Spinal Whitacre 22f X 3.5	PX-270000021	CDM			270	RC		inpatient			82.68	82.68																																																			
PACK SURGICAL CUSTOM PACEMAKER	SUP-DYNJ59287A	CDM			270	RC		outpatient			82.63	82.63	22.38				percent of total billed charges		82.63				other	OPPS APC	61.15				percent of total billed charges		82.63				other	OPPS APC	82.63				other	OPPS APC	22.38				percent of total billed charges		22.83				percent of total billed charges		82.63				other	OPPS APC	22.38	82.63	
PACK SURGICAL CUSTOM PACEMAKER	SUP-DYNJ59287A	CDM			270	RC		inpatient			82.63	82.63																																																			
SUTURE STRATAFIX MONOCRYL 4-0 70CM	SUP-74-00445	CDM			272	RC		outpatient			82.58	82.58	22.37				percent of total billed charges		82.58				other	OPPS APC	61.11				percent of total billed charges		82.58				other	OPPS APC	82.58				other	OPPS APC	22.37				percent of total billed charges		22.82				percent of total billed charges		82.58				other	OPPS APC	22.37	82.58	
SUTURE STRATAFIX MONOCRYL 4-0 70CM	SUP-74-00445	CDM			272	RC		inpatient			82.58	82.58																																																			
KIT TRACHEOSTOMY PORTEX BLUE LINE ULTRA SUCTIONAID PVC 105 D OD 10.5 MM ID 7.0 MM CUFF 2 INNER CANNULA CLEAN BRUSH HOLDER STERILE LATEX FREE DISPOSABLE	SUP-100/875/070	CDM			270	RC		outpatient			82.56	82.56	22.37				percent of total billed charges		82.56				other	OPPS APC	61.09				percent of total billed charges		82.56				other	OPPS APC	82.56				other	OPPS APC	22.37				percent of total billed charges		22.81				percent of total billed charges		82.56				other	OPPS APC	22.37	82.56	
KIT TRACHEOSTOMY PORTEX BLUE LINE ULTRA SUCTIONAID PVC 105 D OD 10.5 MM ID 7.0 MM CUFF 2 INNER CANNULA CLEAN BRUSH HOLDER STERILE LATEX FREE DISPOSABLE	SUP-100/875/070	CDM			270	RC		inpatient			82.56	82.56																																																			
.91 MM KWIRE	SUP-97-04411	CDM			278	RC		outpatient			82.56	82.56	82.56				fee schedule		82.56				other	OPPS APC	47.06				percent of total billed charges		82.56				other	OPPS APC	82.56				other	OPPS APC	40.45				percent of total billed charges		42.11				percent of total billed charges		82.56				other	OPPS APC	40.45	82.56	
.91 MM KWIRE	SUP-97-04411	CDM			278	RC		inpatient			82.56	82.56																																																			
Catheter Umbilical 8 Fr Triple Lumen	PX-272000022	CDM			272	RC		outpatient			82.5	82.5	22.35				percent of total billed charges		82.5				other	OPPS APC	82.5				fee schedule		82.5				other	OPPS APC	82.5				other	OPPS APC	22.35				percent of total billed charges		22.79				percent of total billed charges		82.5				other	OPPS APC	22.35	82.5	
Catheter Umbilical 8 Fr Triple Lumen	PX-272000022	CDM			272	RC		inpatient			82.5	82.5																																																			
ROD EXTERNAL FIXATION CARBON FIBER L80 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.61	CDM	270010022	LOCAL	270	RC		outpatient			82.5	82.5	22.35				percent of total billed charges		82.5				other	OPPS APC	61.05				percent of total billed charges		82.5				other	OPPS APC	82.5				other	OPPS APC	22.35				percent of total billed charges		22.79				percent of total billed charges		82.5				other	OPPS APC	22.35	82.5	
ROD EXTERNAL FIXATION CARBON FIBER L80 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.61	CDM	270010022	LOCAL	270	RC		inpatient			82.5	82.5																																																			
ROD EXTERNAL FIXATION CARBON FIBER L100 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.62	CDM	270010022	LOCAL	270	RC		outpatient			82.5	82.5	22.35				percent of total billed charges		82.5				other	OPPS APC	61.05				percent of total billed charges		82.5				other	OPPS APC	82.5				other	OPPS APC	22.35				percent of total billed charges		22.79				percent of total billed charges		82.5				other	OPPS APC	22.35	82.5	
ROD EXTERNAL FIXATION CARBON FIBER L100 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.62	CDM	270010022	LOCAL	270	RC		inpatient			82.5	82.5																																																			
ROD EXTERNAL FIXATION CARBON FIBER L120 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.63	CDM	270010022	LOCAL	270	RC		outpatient			82.5	82.5	22.35				percent of total billed charges		82.5				other	OPPS APC	61.05				percent of total billed charges		82.5				other	OPPS APC	82.5				other	OPPS APC	22.35				percent of total billed charges		22.79				percent of total billed charges		82.5				other	OPPS APC	22.35	82.5	
ROD EXTERNAL FIXATION CARBON FIBER L120 MM OD4 MM NONSTERILE SMALL EXTERNAL FIXATOR	SUP-395.63	CDM	270010022	LOCAL	270	RC		inpatient			82.5	82.5																																																			
COOK 6F FA2 DIAGNOSTIC CATHETER	SUP-G05990	CDM			481	RC		outpatient			82.4	82.46	40.38				percent of total billed charges		82.4				other	OPPS APC	60.98				percent of total billed charges		82.4				other	OPPS APC	82.4				other	OPPS APC	40.38				percent of total billed charges		42.02				percent of total billed charges		82.46				other	OPPS APC	40.38	82.46	
COOK 6F FA2 DIAGNOSTIC CATHETER	SUP-G05990	CDM			481	RC		inpatient			82.4	82.4																																																			
TAUT PERITONEAL INTRADUCER CAT	SUP-74-00079	CDM			272	RC		outpatient			82.36	82.36	22.31				percent of total billed charges		82.36				other	OPPS APC	60.95				percent of total billed charges		82.36				other	OPPS APC	82.36				other	OPPS APC	22.31				percent of total billed charges		22.76				percent of total billed charges		82.36				other	OPPS APC	22.31	82.36	
TAUT PERITONEAL INTRADUCER CAT	SUP-74-00079	CDM			272	RC		inpatient			82.36	82.36																																																			
"GELATIN SPONGE,ABSORB-PORCINE 100 SPONGE"	250000000	CDM	6371301974	NDC				inpatient			82.26	82.26																																																			
"GELATIN SPONGE,ABSORB-PORCINE 100 SPONGE"	250000000	CDM	6371301974	NDC				outpatient			82.26	82.26																																															other	OPPS APC			
CPT MYRINGOTOMY PACK	SUP-72-00033	CDM			272	RC		outpatient			82.16	82.16	22.26				percent of total billed charges		82.16				other	OPPS APC	60.8				percent of total billed charges		82.16				other	OPPS APC	82.16				other	OPPS APC	22.26				percent of total billed charges		22.7				percent of total billed charges		82.16				other	OPPS APC	22.26	82.16	
CPT MYRINGOTOMY PACK	SUP-72-00033	CDM			272	RC		inpatient			82.16	82.16																																																			
LEFLUNOMIDE 10 MG TABLET	637000000	CDM	70748-129-06	NDC	A9270	HCPCS		inpatient			82.12	82.12																																																			
LEFLUNOMIDE 10 MG TABLET	637000000	CDM	70748-129-06	NDC	A9270	HCPCS		outpatient			82.12	82.12																																															other	OPPS APC			
IMIPENEM-CILASTATIN PER 250 MG	636000000	CDM	44567-705-01	NDC	J0743	HCPCS		inpatient			82.05	82.05																																																			
IMIPENEM-CILASTATIN PER 250 MG	636000000	CDM	44567-705-10	NDC	J0743	HCPCS		inpatient			82.05	82.05																																																			
IMIPENEM-CILASTATIN PER 250 MG	636000000	CDM	44567-705-01	NDC	J0743	HCPCS		outpatient			82.05	82.05																																															other	OPPS APC			
IMIPENEM-CILASTATIN PER 250 MG	636000000	CDM	44567-705-10	NDC	J0743	HCPCS		outpatient			82.05	82.05																																															other	OPPS APC			
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM POWDER IN PACKET	637000000	CDM	0310-1110-01	NDC	A9270	HCPCS		inpatient			82.05	82.05																																																			
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM POWDER IN PACKET	637000000	CDM	0310-1110-30	NDC	A9270	HCPCS		inpatient			82.05	82.05																																																			
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM POWDER IN PACKET	637000000	CDM	0310-1110-01	NDC	A9270	HCPCS		outpatient			82.05	82.05																																															other	OPPS APC			
SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM POWDER IN PACKET	637000000	CDM	0310-1110-30	NDC	A9270	HCPCS		outpatient			82.05	82.05																																															other	OPPS APC			
SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM POWDER IN PACKET	637000000	CDM	0310-1105-01	NDC	A9270	HCPCS		inpatient			82.05	82.05																																																			
SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM POWDER IN PACKET	637000000	CDM	0310-1105-01	NDC	A9270	HCPCS		outpatient			82.05	82.05																																															other	OPPS APC			
GUIDEWIRE ARTHROSCOPIC CANNU-FLEX L12 IN OD1.5 MM ACL PCL BLUNT TIP STERILE DISPOSABLE	SUP-14859	CDM			270	RC		outpatient			82	82	22.21				percent of total billed charges		82				other	OPPS APC	60.68				percent of total billed charges		82				other	OPPS APC	82				other	OPPS APC	22.21				percent of total billed charges		22.66				percent of total billed charges		82				other	OPPS APC	22.21	82	
GUIDEWIRE ARTHROSCOPIC CANNU-FLEX L12 IN OD1.5 MM ACL PCL BLUNT TIP STERILE DISPOSABLE	SUP-14859	CDM			270	RC		inpatient			82	82																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL L100 MM OD15 MM BLADELESS OPTICAL TIP OBTURATOR RADIOLUCENT SLEEVE STERILE DISPOSABLE	SUP-B15LT	CDM			270	RC		outpatient			82	82	22.21				percent of total billed charges		82				other	OPPS APC	60.68				percent of total billed charges		82				other	OPPS APC	82				other	OPPS APC	22.21				percent of total billed charges		22.66				percent of total billed charges		82				other	OPPS APC	22.21	82	
TROCAR LAPAROSCOPIC ENDOPATH XCEL L100 MM OD15 MM BLADELESS OPTICAL TIP OBTURATOR RADIOLUCENT SLEEVE STERILE DISPOSABLE	SUP-B15LT	CDM			270	RC		inpatient			82	82																																																			
TRAY FOLEY CATH 16FR LF 350ML URINEMETER	SUP-03-00027	CDM			272	RC		outpatient			81.97	81.97	22.21				percent of total billed charges		81.97				other	OPPS APC	60.66				percent of total billed charges		81.97				other	OPPS APC	81.97				other	OPPS APC	22.21				percent of total billed charges		22.65				percent of total billed charges		81.97				other	OPPS APC	22.21	81.97	
TRAY FOLEY CATH 16FR LF 350ML URINEMETER	SUP-03-00027	CDM			272	RC		inpatient			81.97	81.97																																																			
GLIDESCOPE COVER #1 COBALT RANGER GLV1	SUP-95-02261	CDM			272	RC		outpatient			81.93	81.94	22.19				percent of total billed charges		81.93				other	OPPS APC	60.63				percent of total billed charges		81.93				other	OPPS APC	81.93				other	OPPS APC	22.19				percent of total billed charges		22.64				percent of total billed charges		81.94				other	OPPS APC	22.19	81.94	
GLIDESCOPE COVER #1 COBALT RANGER GLV1	SUP-95-02261	CDM			272	RC		inpatient			81.93	81.93																																																			
SUTURE 10-0 NYLON DOUBLE ARM	SUP-73-00071	CDM			272	RC		outpatient			81.67	81.67	22.12				percent of total billed charges		81.67				other	OPPS APC	60.44				percent of total billed charges		81.67				other	OPPS APC	81.67				other	OPPS APC	22.12				percent of total billed charges		22.57				percent of total billed charges		81.67				other	OPPS APC	22.12	81.67	
SUTURE 10-0 NYLON DOUBLE ARM	SUP-73-00071	CDM			272	RC		inpatient			81.67	81.67																																																			
DRAPE SLUSH STERILE 44 X 66	SUP-ORS-320	CDM			270	RC		outpatient			81.67	81.67	22.12				percent of total billed charges		81.67				other	OPPS APC	60.44				percent of total billed charges		81.67				other	OPPS APC	81.67				other	OPPS APC	22.12				percent of total billed charges		22.57				percent of total billed charges		81.67				other	OPPS APC	22.12	81.67	
DRAPE SLUSH STERILE 44 X 66	SUP-ORS-320	CDM			270	RC		inpatient			81.67	81.67																																																			
LARGE PRO-STEP WALKER	SUP-35-00003	CDM			271	RC		outpatient			81.64	81.64	22.12				percent of total billed charges		81.64				other	OPPS APC	60.41				percent of total billed charges		81.64				other	OPPS APC	81.64				other	OPPS APC	22.12				percent of total billed charges		22.56				percent of total billed charges		81.64				other	OPPS APC	22.12	81.64	
LARGE PRO-STEP WALKER	SUP-35-00003	CDM			271	RC		inpatient			81.64	81.64																																																			
RELOAD STAPLER PROXIMATE TL TITANIUM H1 MM VASCULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-XR30V	CDM	270009085	LOCAL	270	RC		outpatient			81.62	81.63	22.11				percent of total billed charges		81.62				other	OPPS APC	60.4				percent of total billed charges		81.62				other	OPPS APC	81.62				other	OPPS APC	22.11				percent of total billed charges		22.55				percent of total billed charges		81.63				other	OPPS APC	22.11	81.63	
RELOAD STAPLER PROXIMATE TL TITANIUM H1 MM VASCULAR TISSUE STERILE LATEX FREE DISPOSABLE ENDOSCOPIC	SUP-XR30V	CDM	270009085	LOCAL	270	RC		inpatient			81.62	81.62																																																			
BURR OVAL XLONG	SUP-79-00044	CDM			272	RC		outpatient			81.6	81.6	22.11				percent of total billed charges		81.6				other	OPPS APC	60.38				percent of total billed charges		81.6				other	OPPS APC	81.6				other	OPPS APC	22.11				percent of total billed charges		22.55				percent of total billed charges		81.6				other	OPPS APC	22.11	81.6	
BURR OVAL XLONG	SUP-79-00044	CDM			272	RC		inpatient			81.6	81.6																																																			
KWIRE INTEGRA 100MM	SUP-115101	CDM			270	RC		outpatient			81.48	81.48	22.07				percent of total billed charges		81.48				other	OPPS APC	60.3				percent of total billed charges		81.48				other	OPPS APC	81.48				other	OPPS APC	22.07				percent of total billed charges		22.51				percent of total billed charges		81.48				other	OPPS APC	22.07	81.48	
KWIRE INTEGRA 100MM	SUP-115101	CDM			270	RC		inpatient			81.48	81.48																																																			
DRAPE SURGICAL BASIN DOUBLE DISC SLUSH WARMER MACHINE 44 X 66IN	SUP-ORS320	CDM			270	RC		outpatient			81.25	81.25	22.01				percent of total billed charges		81.25				other	OPPS APC	60.13				percent of total billed charges		81.25				other	OPPS APC	81.25				other	OPPS APC	22.01				percent of total billed charges		22.45				percent of total billed charges		81.25				other	OPPS APC	22.01	81.25	
DRAPE SURGICAL BASIN DOUBLE DISC SLUSH WARMER MACHINE 44 X 66IN	SUP-ORS320	CDM			270	RC		inpatient			81.25	81.25																																																			
SCREW CANCELLOUS4.0X20	SUP-97-01594	CDM			278	RC		outpatient			81.12	81.13	81.12				fee schedule		81.12				other	OPPS APC	46.24				percent of total billed charges		81.12				other	OPPS APC	81.12				other	OPPS APC	39.75				percent of total billed charges		41.37				percent of total billed charges		81.13				other	OPPS APC	39.75	81.13	
SCREW CANCELLOUS4.0X20	SUP-97-01594	CDM			278	RC		inpatient			81.12	81.12																																																			
SCREW CANCELLOUS  4.0X24	SUP-97-01597	CDM			278	RC		outpatient			81.12	81.13	81.12				fee schedule		81.12				other	OPPS APC	46.24				percent of total billed charges		81.12				other	OPPS APC	81.12				other	OPPS APC	39.75				percent of total billed charges		41.37				percent of total billed charges		81.13				other	OPPS APC	39.75	81.13	
SCREW CANCELLOUS  4.0X24	SUP-97-01597	CDM			278	RC		inpatient			81.12	81.12																																																			
SCREW CANCELLOUS  4.0X16	SUP-97-01598	CDM			278	RC		outpatient			81.12	81.13	81.12				fee schedule		81.12				other	OPPS APC	46.24				percent of total billed charges		81.12				other	OPPS APC	81.12				other	OPPS APC	39.75				percent of total billed charges		41.37				percent of total billed charges		81.13				other	OPPS APC	39.75	81.13	
SCREW CANCELLOUS  4.0X16	SUP-97-01598	CDM			278	RC		inpatient			81.12	81.12																																																			
HC Androstenedione (Andrs)	PX-300821570	CDM	82157	CPT	300	RC		outpatient			81	29.28	39.14				fee schedule		29.28				fee schedule		77.71				fee schedule		29.28				fee schedule		29.28				fee schedule		29.28				fee schedule		29.28				fee schedule		29.28				fee schedule		29.28	77.71	
HC Androstenedione (Andrs)	PX-300821570	CDM	82157	CPT	300	RC		inpatient			81	81																																																			
HC Pt Mechanical Tract 8-22	PX-420970120	CDM	97012	CPT	420	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Pt Mechanical Tract 8-22	PX-420970120	CDM	97012	CPT	420	RC		inpatient			81	81																																																			
HC Traction (Mechanical)	PX-420970121	CDM	97012	CPT	420	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Traction (Mechanical)	PX-420970121	CDM	97012	CPT	420	RC		inpatient			81	81																																																			
HC Pt Mechanical Tract 38-52	PX-420970122	CDM	97012	CPT	420	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Pt Mechanical Tract 38-52	PX-420970122	CDM	97012	CPT	420	RC		inpatient			81	81																																																			
HC Pt Mechancial Tract 53-67	PX-420970123	CDM	97012	CPT	420	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Pt Mechancial Tract 53-67	PX-420970123	CDM	97012	CPT	420	RC		inpatient			81	81																																																			
HC Pt Mechanical Tract 68-82	PX-420970124	CDM	97012	CPT	420	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Pt Mechanical Tract 68-82	PX-420970124	CDM	97012	CPT	420	RC		inpatient			81	81																																																			
HC Ot Mechanical Tract 8-22	PX-430970120	CDM	97012	CPT	430	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Ot Mechanical Tract 8-22	PX-430970120	CDM	97012	CPT	430	RC		inpatient			81	81																																																			
HC Ot Mechanical Tract 23-37	PX-430970121	CDM	97012	CPT	430	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Ot Mechanical Tract 23-37	PX-430970121	CDM	97012	CPT	430	RC		inpatient			81	81																																																			
HC Ot Mechanical Tract 38-52	PX-430970122	CDM	97012	CPT	430	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Ot Mechanical Tract 38-52	PX-430970122	CDM	97012	CPT	430	RC		inpatient			81	81																																																			
HC Ot Mechanical Tract 53-67	PX-430970123	CDM	97012	CPT	430	RC		outpatient			81	14.65	81				percent of total billed charges		14.65				fee schedule		49.2				fee schedule		14.65				fee schedule		14.65				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		14.65				fee schedule		14.65	84.76	
HC Ot Mechanical Tract 53-67	PX-430970123	CDM	97012	CPT	430	RC		inpatient			81	81																																																			
HC Ot Evaluation Mod Complexity 8-22	PX-430971660	CDM	97166	CPT	430	RC		inpatient			81	81																																																			
HC Ot Evaluation Mod Complexity 8-22	PX-430971660	CDM	97166	CPT	430	RC		outpatient			81	81	81				percent of total billed charges		81				fee schedule		147.6				fee schedule		81				fee schedule		81				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		81				fee schedule		81	147.6	
HC Ot Evaluation Mod Complexity 23-37	PX-430971661	CDM	97166	CPT	430	RC		inpatient			81	81																																																			
HC Ot Evaluation Mod Complexity 23-37	PX-430971661	CDM	97166	CPT	430	RC		outpatient			81	81	81				percent of total billed charges		81				fee schedule		147.6				fee schedule		81				fee schedule		81				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		81				fee schedule		81	147.6	
HC Ot Evaluation Mod Complexity 38-52	PX-430971662	CDM	97166	CPT	430	RC		inpatient			81	81																																																			
HC Ot Evaluation Mod Complexity 38-52	PX-430971662	CDM	97166	CPT	430	RC		outpatient			81	81	81				percent of total billed charges		81				fee schedule		147.6				fee schedule		81				fee schedule		81				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		81				fee schedule		81	147.6	
HC Ot Evaluation Mod Complexity 53-67	PX-430971663	CDM	97166	CPT	430	RC		inpatient			81	81																																																			
HC Ot Evaluation Mod Complexity 53-67	PX-430971663	CDM	97166	CPT	430	RC		outpatient			81	81	81				percent of total billed charges		81				fee schedule		147.6				fee schedule		81				fee schedule		81				fee schedule		84.76				percent of total billed charges		81				percent of total billed charges		81				fee schedule		81	147.6	
Hep B  3 Doses Ped/Adol	PX-636907441	CDM	90744	CPT	636	RC		outpatient			81	81	81				fee schedule		81				other	OPPS APC	33.15				fee schedule		81				other	OPPS APC	81				other	OPPS APC	39.69				percent of total billed charges		20.14				percent of total billed charges		81				other	OPPS APC	20.14	81	
Hep B  3 Doses Ped/Adol	PX-636907441	CDM	90744	CPT	636	RC		inpatient			81	81																																																			
SCREW BONE LCP 10MM 2.7MM 5MM SS NS FOOT CORTICAL SELF TAPPING SM HEXAGONAL SOCKET	SUP-202.81	CDM	270010022	LOCAL	270	RC		outpatient			81	81	21.94				percent of total billed charges		81				other	OPPS APC	59.94				percent of total billed charges		81				other	OPPS APC	81				other	OPPS APC	21.94				percent of total billed charges		22.38				percent of total billed charges		81				other	OPPS APC	21.94	81	
SCREW BONE LCP 10MM 2.7MM 5MM SS NS FOOT CORTICAL SELF TAPPING SM HEXAGONAL SOCKET	SUP-202.81	CDM	270010022	LOCAL	270	RC		inpatient			81	81																																																			
SMALL PRO-STEP WALKER	SUP-35-00001	CDM			271	RC		outpatient			81	81	21.94				percent of total billed charges		81				other	OPPS APC	59.94				percent of total billed charges		81				other	OPPS APC	81				other	OPPS APC	21.94				percent of total billed charges		22.38				percent of total billed charges		81				other	OPPS APC	21.94	81	
SMALL PRO-STEP WALKER	SUP-35-00001	CDM			271	RC		inpatient			81	81																																																			
SCREW BONE 2.7MM 5MM 10MM LCP TITANIUM RADIUS CORTEX DISTAL SELF TAP SPHERICAL HEAD	SUP-402.810	CDM						inpatient			81	81																																																			
SCREW BONE 2.7MM 5MM 10MM LCP TITANIUM RADIUS CORTEX DISTAL SELF TAP SPHERICAL HEAD	SUP-402.810	CDM						outpatient			81	81	81				percent of total billed charges		81				other	OPPS APC	81				fee schedule		81				other	OPPS APC	81				other	OPPS APC	81				case rate		81				case rate		81				other	OPPS APC	81	81	
GUIDEWIRE - COONS 0.035 180CM	SUP-95-02418	CDM			272	RC		outpatient			81	81	21.94				percent of total billed charges		81				other	OPPS APC	59.94				percent of total billed charges		81				other	OPPS APC	81				other	OPPS APC	21.94				percent of total billed charges		22.38				percent of total billed charges		81				other	OPPS APC	21.94	81	
GUIDEWIRE - COONS 0.035 180CM	SUP-95-02418	CDM			272	RC		inpatient			81	81																																																			
GUIDEWIRE - AMPLATZ XSTIFF 260CM	SUP-99-00138	CDM			272	RC		outpatient			81	81	21.94				percent of total billed charges		81				other	OPPS APC	59.94				percent of total billed charges		81				other	OPPS APC	81				other	OPPS APC	21.94				percent of total billed charges		22.38				percent of total billed charges		81				other	OPPS APC	21.94	81	
GUIDEWIRE - AMPLATZ XSTIFF 260CM	SUP-99-00138	CDM			272	RC		inpatient			81	81																																																			
GUIDEWIRE - AMPLTZ  XSTIFF .035X300CM ST	SUP-99-01748	CDM			272	RC		outpatient			81	81	21.94				percent of total billed charges		81				other	OPPS APC	59.94				percent of total billed charges		81				other	OPPS APC	81				other	OPPS APC	21.94				percent of total billed charges		22.38				percent of total billed charges		81				other	OPPS APC	21.94	81	
GUIDEWIRE - AMPLTZ  XSTIFF .035X300CM ST	SUP-99-01748	CDM			272	RC		inpatient			81	81																																																			
DEVICE SUTURE 0 23CM STRATAFIX SPIRAL PDS PLUS CT-1	SUP-SXPP1B455	CDM			270	RC		outpatient			80.94	8.94	21.93				percent of total billed charges		80.94				other	OPPS APC	59.9				percent of total billed charges		80.94				other	OPPS APC	80.94				other	OPPS APC	21.93				percent of total billed charges		22.36				percent of total billed charges		8.94				other	OPPS APC	8.94	80.94	
DEVICE SUTURE 0 23CM STRATAFIX SPIRAL PDS PLUS CT-1	SUP-SXPP1B455	CDM			270	RC		inpatient			80.94	80.94																																																			
MINI SHANNON BURRS	SUP-84-00012	CDM			272	RC		outpatient			80.9	8.96	21.92				percent of total billed charges		80.9				other	OPPS APC	59.87				percent of total billed charges		80.9				other	OPPS APC	80.9				other	OPPS APC	21.92				percent of total billed charges		22.35				percent of total billed charges		8.96				other	OPPS APC	8.96	80.9	
MINI SHANNON BURRS	SUP-84-00012	CDM			272	RC		inpatient			80.9	80.9																																																			
WRAP SHOULDER W/COLD PACKS 4	SUP-95-03368	CDM			271	RC		outpatient			80.68	8.69	21.86				percent of total billed charges		80.68				other	OPPS APC	59.7				percent of total billed charges		80.68				other	OPPS APC	80.68				other	OPPS APC	21.86				percent of total billed charges		22.29				percent of total billed charges		8.69				other	OPPS APC	8.69	80.68	
WRAP SHOULDER W/COLD PACKS 4	SUP-95-03368	CDM			271	RC		inpatient			80.68	80.68																																																			
STATLOCK - BALLOON PUMP	SUP-99-04550	CDM						inpatient			80.6	80.6																																																			
STATLOCK - BALLOON PUMP	SUP-99-04550	CDM						outpatient			80.6	8.6	80.6				percent of total billed charges		80.6				other	OPPS APC	80.6				fee schedule		80.6				other	OPPS APC	80.6				other	OPPS APC	80.6				case rate		80.6				case rate		8.6				other	OPPS APC	8.6	80.6	
SCREW BONE STAINLESS STEEL T8 L14 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.514	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L14 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.514	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L18 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.518	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L18 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.518	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L22 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.522	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L22 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.522	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE T8 24MM 2.7MM SS NS METAPHYSEAL SELF TAP LOW PROFILE STARDRIVE	SUP-02.118.524	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE T8 24MM 2.7MM SS NS METAPHYSEAL SELF TAP LOW PROFILE STARDRIVE	SUP-02.118.524	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L26 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.526	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L26 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.526	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.528	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.528	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L32 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.532	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L32 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.532	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW 2.7MM X 34MM	SUP-02.118.534	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW 2.7MM X 34MM	SUP-02.118.534	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L36 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.536	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L36 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.536	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L38 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.538	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L38 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.538	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L40 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.540	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L40 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.540	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L42 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.542	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L42 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.542	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L44 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.544	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L44 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.544	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L46 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.546	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L46 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE HEAD NONSTERILE	SUP-02.118.546	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L54 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.554	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L54 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.554	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L56 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.556	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L56 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.556	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE LCP STAINLESS STEEL T8 L60 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.560	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE LCP STAINLESS STEEL T8 L60 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP STARDRIVE LOW PROFILE NONSTERILE	SUP-02.118.560	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L68 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP LOW PROFILE HEAD STARDRIVE NONSTERILE	SUP-02.118.568	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L68 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP LOW PROFILE HEAD STARDRIVE NONSTERILE	SUP-02.118.568	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
SCREW BONE STAINLESS STEEL T8 L70 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP LOW PROFILE HEAD STARDRIVE NONSTERILE	SUP-02.118.570	CDM	270010022	LOCAL	270	RC		outpatient			80.52	8.52	21.81				percent of total billed charges		80.52				other	OPPS APC	59.58				percent of total billed charges		80.52				other	OPPS APC	80.52				other	OPPS APC	21.81				percent of total billed charges		22.25				percent of total billed charges		8.52				other	OPPS APC	8.52	80.52	
SCREW BONE STAINLESS STEEL T8 L70 MM OD2.7 MM ELBOW METAPHYSEAL SELF TAP LOW PROFILE HEAD STARDRIVE NONSTERILE	SUP-02.118.570	CDM	270010022	LOCAL	270	RC		inpatient			80.52	80.52																																																			
NON ABS COATED BRAIDED POLYESTER DOUBLE ARMED WITH TC NEEDLE 36IN SUTURE	SUP-M0068332241	CDM			270	RC		outpatient			80.48	8.48	21.8				percent of total billed charges		80.48				other	OPPS APC	59.56				percent of total billed charges		80.48				other	OPPS APC	80.48				other	OPPS APC	21.8				percent of total billed charges		22.24				percent of total billed charges		8.48				other	OPPS APC	8.48	80.48	
NON ABS COATED BRAIDED POLYESTER DOUBLE ARMED WITH TC NEEDLE 36IN SUTURE	SUP-M0068332241	CDM			270	RC		inpatient			80.48	80.48																																																			
POUCH SPECIMEN RETRIEVAL ENDO CATCH II 34.5CM 29.5CM 15MM METAL POLYURETHANE DISPOSABLE LF FLEXIBLE ERGONOMIC HANDLE	SUP-173049	CDM	270009147	LOCAL	270	RC		outpatient			80.4	8.46	21.78				percent of total billed charges		80.4				other	OPPS APC	59.5				percent of total billed charges		80.4				other	OPPS APC	80.4				other	OPPS APC	21.78				percent of total billed charges		22.21				percent of total billed charges		8.46				other	OPPS APC	8.46	80.4	
POUCH SPECIMEN RETRIEVAL ENDO CATCH II 34.5CM 29.5CM 15MM METAL POLYURETHANE DISPOSABLE LF FLEXIBLE ERGONOMIC HANDLE	SUP-173049	CDM	270009147	LOCAL	270	RC		inpatient			80.4	80.4																																																			
FORCEPS BIOPSY RADIAL JAW 4 PEDIATRIC L160 CM OD1.8 MM ODSEC2 MM NEEDLE CHANNEL DISPOSABLE GASTROSCOPIC	SUP-M00513453	CDM			270	RC		outpatient			80.34	8.34	21.76				percent of total billed charges		80.34				other	OPPS APC	59.45				percent of total billed charges		80.34				other	OPPS APC	80.34				other	OPPS APC	21.76				percent of total billed charges		22.2				percent of total billed charges		8.34				other	OPPS APC	8.34	80.34	
FORCEPS BIOPSY RADIAL JAW 4 PEDIATRIC L160 CM OD1.8 MM ODSEC2 MM NEEDLE CHANNEL DISPOSABLE GASTROSCOPIC	SUP-M00513453	CDM			270	RC		inpatient			80.34	80.34																																																			
SUTURE NONABSORBABLE PERMA-HAND 4-0 SH 30IN BLACK SILK BRAID	SUP-K831H	CDM			270	RC		outpatient			80.3	8.3	21.75				percent of total billed charges		80.3				other	OPPS APC	59.42				percent of total billed charges		80.3				other	OPPS APC	80.3				other	OPPS APC	21.75				percent of total billed charges		22.19				percent of total billed charges		8.3				other	OPPS APC	8.3	80.3	
SUTURE NONABSORBABLE PERMA-HAND 4-0 SH 30IN BLACK SILK BRAID	SUP-K831H	CDM			270	RC		inpatient			80.3	80.3																																																			
VANCOMYCIN 10 GRAM RECON SOLN 1 EACH BOTTLE	636000000	CDM	70436-023-82	NDC	J3370	HCPCS		inpatient			80.25	80.25																																																			
VANCOMYCIN 10 GRAM RECON SOLN 1 EACH BOTTLE	636000000	CDM	70436-023-82	NDC	J3370	HCPCS		outpatient			80.25	80.25																																															other	OPPS APC			
HOOD SURGEON FLYTE STERI-SHIELD PEELAWAY FACE SHIELD LATEX FREE PERSONAL PROTECTION SYSTEM	SUP-0408800100	CDM			270	RC		outpatient			80.19	8.19	21.72				percent of total billed charges		80.19				other	OPPS APC	59.34				percent of total billed charges		80.19				other	OPPS APC	80.19				other	OPPS APC	21.72				percent of total billed charges		22.16				percent of total billed charges		8.19				other	OPPS APC	8.19	80.19	
HOOD SURGEON FLYTE STERI-SHIELD PEELAWAY FACE SHIELD LATEX FREE PERSONAL PROTECTION SYSTEM	SUP-0408800100	CDM			270	RC		inpatient			80.19	80.19																																																			
"ETHYL CHLORIDE 100 % AEROSOL,SPRAY"	637000000	CDM	386000102	NDC	A9270	HCPCS		inpatient			80.01	80.01																																																			
"ETHYL CHLORIDE 100 % AEROSOL,SPRAY"	637000000	CDM	386000102	NDC	A9270	HCPCS		outpatient			80.01	80.01																																															other	OPPS APC			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	70121-1712-3	NDC				inpatient			80	80																																																			
DEXMEDETOMIDINE IN 0.9 % NACL 400 MCG/100 ML (4 MCG/ML) SOLUTION	250000000	CDM	70121-1712-3	NDC				outpatient			80	80																																															other	OPPS APC			
PERITONEAL DIALYSATE 2.5% CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLUTION	250000000	CDM	0941-0457-08	NDC				inpatient			80	80																																																			
PERITONEAL DIALYSATE 2.5% CA 2.5 MEQ/L- MG 0.5 MEQ/L SOLUTION	250000000	CDM	0941-0457-08	NDC				outpatient			80	80																																															other	OPPS APC			
HC Hiv-Q Antigen(S) W Hiv-1/Hiv-2 Antibodies Simple	PX-300873890	CDM	87389	CPT	300	RC		outpatient			80	24.8	32.2				fee schedule		24.08				fee schedule		64.83				fee schedule		24.08				fee schedule		24.08				fee schedule		24.08				fee schedule		24.08				fee schedule		24.8				fee schedule		24.08	64.83	
HC Hiv-Q Antigen(S) W Hiv-1/Hiv-2 Antibodies Simple	PX-300873890	CDM	87389	CPT	300	RC		inpatient			80	80																																																			
IPB	PX-636907131	CDM	90713	CPT	636	RC		outpatient			80	8	39.2				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		19.89				percent of total billed charges		8				other	OPPS APC	8	80	
IPB	PX-636907131	CDM	90713	CPT	636	RC		inpatient			80	80																																																			
RING ACETABULAR TRILOGY TRABECULAR METAL TIVANIUM OD62 MM HIP MODULAR CUP LOCK REPLACEMENT STERILE	SUP-00620106200	CDM	270010025	LOCAL	270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
RING ACETABULAR TRILOGY TRABECULAR METAL TIVANIUM OD62 MM HIP MODULAR CUP LOCK REPLACEMENT STERILE	SUP-00620106200	CDM	270010025	LOCAL	270	RC		inpatient			80	80																																																			
DRILL SURGICAL COMPREHENSIVE SHORT OD2.7 MM STERILE VRS	SUP-110028045	CDM	270010030	LOCAL	270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
DRILL SURGICAL COMPREHENSIVE SHORT OD2.7 MM STERILE VRS	SUP-110028045	CDM	270010030	LOCAL	270	RC		inpatient			80	80																																																			
CABLE VERIFT TEST SIMULATION	SUP-3575	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
CABLE VERIFT TEST SIMULATION	SUP-3575	CDM			270	RC		inpatient			80	80																																																			
CABLE VERIFY TEST STIMULATION CABLE	SUP-357501	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
CABLE VERIFY TEST STIMULATION CABLE	SUP-357501	CDM			270	RC		inpatient			80	80																																																			
SEAL ENDOSCOPIC INSTRUMENT S/SI ENDOWRIST 8.5-13MM CANNULA HD SD VISION SYSTEM	SUP-420206	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
SEAL ENDOSCOPIC INSTRUMENT S/SI ENDOWRIST 8.5-13MM CANNULA HD SD VISION SYSTEM	SUP-420206	CDM			270	RC		inpatient			80	80																																																			
K WIRE 2.3X150MM	SUP-95-03180	CDM			278	RC		outpatient			80	8	80				fee schedule		80				other	OPPS APC	45.6				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		40.8				percent of total billed charges		8				other	OPPS APC	8	80	
K WIRE 2.3X150MM	SUP-95-03180	CDM			278	RC		inpatient			80	80																																																			
K-WIRE 1.1 X 150MM DOUBLE ENDED TROCAR TIP SMOOTH	SUP-95-03235	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE 1.1 X 150MM DOUBLE ENDED TROCAR TIP SMOOTH	SUP-95-03235	CDM			272	RC		inpatient			80	80																																																			
K-WIRE 1.4 X 100MM SINGLE ENDED TROCAR TIP SMOOTH	SUP-95-04761	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE 1.4 X 100MM SINGLE ENDED TROCAR TIP SMOOTH	SUP-95-04761	CDM			272	RC		inpatient			80	80																																																			
GUIDEWIRE THREADED W/ TROCAR TIP 1.35MM	SUP-95-04763	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDEWIRE THREADED W/ TROCAR TIP 1.35MM	SUP-95-04763	CDM			272	RC		inpatient			80	80																																																			
STAPLER CANNULA SEAL 12MM DAVINCI	SUP-95-04876	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
STAPLER CANNULA SEAL 12MM DAVINCI	SUP-95-04876	CDM			272	RC		inpatient			80	80																																																			
ENDOWRIST STAPLER SHEATH DAVINCI	SUP-95-04894	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
ENDOWRIST STAPLER SHEATH DAVINCI	SUP-95-04894	CDM			272	RC		inpatient			80	80																																																			
K-WIRE 0.9 X 150MM DOUBLE ENDED TROCAR TIP SMOOTH	SUP-95-05191	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE 0.9 X 150MM DOUBLE ENDED TROCAR TIP SMOOTH	SUP-95-05191	CDM			272	RC		inpatient			80	80																																																			
K-WIRE 2.3 X 300MM SINGLE ENDED TROCAR TIP	SUP-95-05377	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE 2.3 X 300MM SINGLE ENDED TROCAR TIP	SUP-95-05377	CDM			272	RC		inpatient			80	80																																																			
K-WIRE SINGLE ENDED TROCAR TIP SMOOTH 2.0 X 200MM	SUP-95-05592	CDM			278	RC		outpatient			80	8	80				fee schedule		80				other	OPPS APC	45.6				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		40.8				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE SINGLE ENDED TROCAR TIP SMOOTH 2.0 X 200MM	SUP-95-05592	CDM			278	RC		inpatient			80	80																																																			
K-WIRE 1.4 X 150MM SINGLE ENDED TROCAR TIP SMOOTH	SUP-95-05593	CDM						inpatient			80	80																																																			
K-WIRE 1.4 X 150MM SINGLE ENDED TROCAR TIP SMOOTH	SUP-95-05593	CDM						outpatient			80	8	80				percent of total billed charges		80				other	OPPS APC	80				fee schedule		80				other	OPPS APC	80				other	OPPS APC	80				case rate		80				case rate		8				other	OPPS APC	8	80	
K-WIRE 1.4 X 150MM TREADED	SUP-95-05595	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE 1.4 X 150MM TREADED	SUP-95-05595	CDM			272	RC		inpatient			80	80																																																			
GUIDE WIRE TROCAR TIP 1.35MM	SUP-97-01673	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDE WIRE TROCAR TIP 1.35MM	SUP-97-01673	CDM			272	RC		inpatient			80	80																																																			
K WIRE 1.2X150MM	SUP-97-02379	CDM			278	RC		outpatient			80	8	80				fee schedule		80				other	OPPS APC	45.6				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		40.8				percent of total billed charges		8				other	OPPS APC	8	80	
K WIRE 1.2X150MM	SUP-97-02379	CDM			278	RC		inpatient			80	80																																																			
K WIRE 0.9X150MM	SUP-97-02385	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K WIRE 0.9X150MM	SUP-97-02385	CDM			272	RC		inpatient			80	80																																																			
K WIRE 1.1X150MM	SUP-97-02595	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K WIRE 1.1X150MM	SUP-97-02595	CDM			272	RC		inpatient			80	80																																																			
K-WIRE TROCAR TIP SMOOTH 2.0 X 150 MM	SUP-97-02883	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE TROCAR TIP SMOOTH 2.0 X 150 MM	SUP-97-02883	CDM			272	RC		inpatient			80	80																																																			
K WIRE	SUP-97-02939	CDM			278	RC		outpatient			80	8	80				fee schedule		80				other	OPPS APC	45.6				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		40.8				percent of total billed charges		8				other	OPPS APC	8	80	
K WIRE	SUP-97-02939	CDM			278	RC		inpatient			80	80																																																			
GUIDEWIRE 0.86MM W/LASER LINE THRD. SS	SUP-97-03161	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDEWIRE 0.86MM W/LASER LINE THRD. SS	SUP-97-03161	CDM			272	RC		inpatient			80	80																																																			
GULDE WIRE  TROCAR TIP CR TIP .045	SUP-97-03334	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GULDE WIRE  TROCAR TIP CR TIP .045	SUP-97-03334	CDM			272	RC		inpatient			80	80																																																			
K-WIRE  SINGLE ENDED TRO TIP  THR 1.6	SUP-97-03704	CDM			278	RC		outpatient			80	8	80				fee schedule		80				other	OPPS APC	45.6				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		40.8				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE  SINGLE ENDED TRO TIP  THR 1.6	SUP-97-03704	CDM			278	RC		inpatient			80	80																																																			
K-WIRE 1.35X170MM	SUP-97-04034	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
K-WIRE 1.35X170MM	SUP-97-04034	CDM			272	RC		inpatient			80	80																																																			
THREADED GUIRE WIRE W/TROCAR 1.35MM	SUP-97-04380	CDM			272	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
THREADED GUIRE WIRE W/TROCAR 1.35MM	SUP-97-04380	CDM			272	RC		inpatient			80	80																																																			
GUIDEWIRE ORTHOPEDIC 6IN .062IN	SUP-AR-8941-6	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDEWIRE ORTHOPEDIC 6IN .062IN	SUP-AR-8941-6	CDM			270	RC		inpatient			80	80																																																			
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 150CM 8IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3515RSA	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDEWIRE VASCULAR CORDIS AQUATRACK ANGLE SHORT TAPER 150CM 8IN .035IN NITINOL POLYMER HYDROPHILIC DISPOSABLE STERILE LF	SUP-C3515RSA	CDM			270	RC		inpatient			80	80																																																			
SNARE ENDOSCOPIC ACUSNARE TEFLON NITINOL STAINLESS STEEL DUCKBILL L25 MM L240 CM OD7 FR ESOPHAGEAL COLON 1 PIECE GRADUATED MARK HANDLE ACCESSORY CHANNEL STERILE DISPOSABLE	SUP-G22649	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
SNARE ENDOSCOPIC ACUSNARE TEFLON NITINOL STAINLESS STEEL DUCKBILL L25 MM L240 CM OD7 FR ESOPHAGEAL COLON 1 PIECE GRADUATED MARK HANDLE ACCESSORY CHANNEL STERILE DISPOSABLE	SUP-G22649	CDM			270	RC		inpatient			80	80																																																			
AGENT LIFTING SUBMUCOSAL EVERLIFT 5ML	SUP-GIS-55	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
AGENT LIFTING SUBMUCOSAL EVERLIFT 5ML	SUP-GIS-55	CDM			270	RC		inpatient			80	80																																																			
GUIDEWIRE VASCULAR ZIPWIRE HYDROPHILIC L150 CM L3 CM OD.035 IN STANDARD SHAFT TAPER ANGLE TIP	SUP-M00146151B1	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDEWIRE VASCULAR ZIPWIRE HYDROPHILIC L150 CM L3 CM OD.035 IN STANDARD SHAFT TAPER ANGLE TIP	SUP-M00146151B1	CDM			270	RC		inpatient			80	80																																																			
GUIDEWIRE VASCULAR ZIPWIRE NITINOL POLYMER HYDROPHILIC STANDARD STRAIGHT L150 CM L3 CM OD.035 IN SUPER ELASTIC CORE PRECISE TORQUE CONTROL SUPERIOR VISIBILITY	SUP-M00146155B1	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
GUIDEWIRE VASCULAR ZIPWIRE NITINOL POLYMER HYDROPHILIC STANDARD STRAIGHT L150 CM L3 CM OD.035 IN SUPER ELASTIC CORE PRECISE TORQUE CONTROL SUPERIOR VISIBILITY	SUP-M00146155B1	CDM			270	RC		inpatient			80	80																																																			
INSERTS 66MM	SUP-N10126	CDM			270	RC		outpatient			80	8	21.67				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		8				other	OPPS APC	8	80	
INSERTS 66MM	SUP-N10126	CDM			270	RC		inpatient			80	80																																																			
STENT NIRXCELL 2.75X17 BARE METAL	SUP-NXL27517US	CDM			481	RC		outpatient			80	8	39.2				percent of total billed charges		80				other	OPPS APC	59.2				percent of total billed charges		80				other	OPPS APC	80				other	OPPS APC	39.2				percent of total billed charges		40.8				percent of total billed charges		8				other	OPPS APC	8	80	
STENT NIRXCELL 2.75X17 BARE METAL	SUP-NXL27517US	CDM			481	RC		inpatient			80	80																																																			
PLATE BONE TITANIUM STRAIGHT L12 MM X H.5 MM CRANIOMAXILLOFACIAL 2 HOLE CENTRE SPACE LOW PROFILE NONSTERILE	SUP-421.502	CDM	270010013	LOCAL	270	RC		outpatient			79.98	79.98	21.67				percent of total billed charges		79.98				other	OPPS APC	59.19				percent of total billed charges		79.98				other	OPPS APC	79.98				other	OPPS APC	21.67				percent of total billed charges		22.1				percent of total billed charges		79.98				other	OPPS APC	21.67	79.98	
PLATE BONE TITANIUM STRAIGHT L12 MM X H.5 MM CRANIOMAXILLOFACIAL 2 HOLE CENTRE SPACE LOW PROFILE NONSTERILE	SUP-421.502	CDM	270010013	LOCAL	270	RC		inpatient			79.98	79.98																																																			
SHOE OVERSHOE MEN LARGE	SUP-95-02125	CDM			271	RC		outpatient			79.96	79.96	21.66				percent of total billed charges		79.96				other	OPPS APC	59.17				percent of total billed charges		79.96				other	OPPS APC	79.96				other	OPPS APC	21.66				percent of total billed charges		22.09				percent of total billed charges		79.96				other	OPPS APC	21.66	79.96	
SHOE OVERSHOE MEN LARGE	SUP-95-02125	CDM			271	RC		inpatient			79.96	79.96																																																			
SHOE OVERSHOE MEN X-LARGE	SUP-95-02126	CDM			271	RC		outpatient			79.96	79.96	21.66				percent of total billed charges		79.96				other	OPPS APC	59.17				percent of total billed charges		79.96				other	OPPS APC	79.96				other	OPPS APC	21.66				percent of total billed charges		22.09				percent of total billed charges		79.96				other	OPPS APC	21.66	79.96	
SHOE OVERSHOE MEN X-LARGE	SUP-95-02126	CDM			271	RC		inpatient			79.96	79.96																																																			
SCREW 4.0MM CANN F THREAD 50MM	SUP-95-02149	CDM			278	RC		outpatient			79.88	79.88	79.88				fee schedule		79.88				other	OPPS APC	45.53				percent of total billed charges		79.88				other	OPPS APC	79.88				other	OPPS APC	39.14				percent of total billed charges		40.74				percent of total billed charges		79.88				other	OPPS APC	39.14	79.88	
SCREW 4.0MM CANN F THREAD 50MM	SUP-95-02149	CDM			278	RC		inpatient			79.88	79.88																																																			
HC Pt Group Therapy 8-22 Min 2 Pts	PX-420971500	CDM	97150	CPT	420	RC		outpatient			79.62	18.6	79.62				percent of total billed charges		18.06				fee schedule		46.74				fee schedule		18.06				fee schedule		18.06				fee schedule		83.31				percent of total billed charges		79.62				percent of total billed charges		18.6				fee schedule		18.06	83.31	
HC Pt Group Therapy 8-22 Min 2 Pts	PX-420971500	CDM	97150	CPT	420	RC		inpatient			79.62	79.62																																																			
HC Therapeutic Ex. Group	PX-420971501	CDM	97150	CPT	420	RC		outpatient			79.62	18.6	79.62				percent of total billed charges		18.06				fee schedule		46.74				fee schedule		18.06				fee schedule		18.06				fee schedule		83.31				percent of total billed charges		79.62				percent of total billed charges		18.6				fee schedule		18.06	83.31	
HC Therapeutic Ex. Group	PX-420971501	CDM	97150	CPT	420	RC		inpatient			79.62	79.62																																																			
HC Therapeutic Ex. Group	PX-430971501	CDM	97150	CPT	430	RC		outpatient			79.62	18.6	79.62				percent of total billed charges		18.06				fee schedule		46.74				fee schedule		18.06				fee schedule		18.06				fee schedule		83.31				percent of total billed charges		79.62				percent of total billed charges		18.6				fee schedule		18.06	83.31	
HC Therapeutic Ex. Group	PX-430971501	CDM	97150	CPT	430	RC		inpatient			79.62	79.62																																																			
SHEATH - MICROPUNTURE INTRODUCER 5F	SUP-99-00219	CDM			272	RC		outpatient			79.56	79.56	21.55				percent of total billed charges		79.56				other	OPPS APC	58.87				percent of total billed charges		79.56				other	OPPS APC	79.56				other	OPPS APC	21.55				percent of total billed charges		21.98				percent of total billed charges		79.56				other	OPPS APC	21.55	79.56	
SHEATH - MICROPUNTURE INTRODUCER 5F	SUP-99-00219	CDM			272	RC		inpatient			79.56	79.56																																																			
SHEATH - MICROPUNTURE INTRODUCER 4F	SUP-99-03350	CDM			272	RC		outpatient			79.56	79.56	21.55				percent of total billed charges		79.56				other	OPPS APC	58.87				percent of total billed charges		79.56				other	OPPS APC	79.56				other	OPPS APC	21.55				percent of total billed charges		21.98				percent of total billed charges		79.56				other	OPPS APC	21.55	79.56	
SHEATH - MICROPUNTURE INTRODUCER 4F	SUP-99-03350	CDM			272	RC		inpatient			79.56	79.56																																																			
KIT RIGHT HEART	SUP-60160427	CDM			481	RC		outpatient			79.55	79.55	38.98				percent of total billed charges		79.55				other	OPPS APC	58.87				percent of total billed charges		79.55				other	OPPS APC	79.55				other	OPPS APC	38.98				percent of total billed charges		40.57				percent of total billed charges		79.55				other	OPPS APC	38.98	79.55	
KIT RIGHT HEART	SUP-60160427	CDM			481	RC		inpatient			79.55	79.55																																																			
SCREW BONE FULL THREAD 10MM 2.5MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SM HEXAGONAL SOCKET SPHERICAL HEAD MINI FRAGMENT	SUP-402.81	CDM	270010022	LOCAL	270	RC		outpatient			79.54	79.55	21.55				percent of total billed charges		79.54				other	OPPS APC	58.86				percent of total billed charges		79.54				other	OPPS APC	79.54				other	OPPS APC	21.55				percent of total billed charges		21.98				percent of total billed charges		79.55				other	OPPS APC	21.55	79.55	
SCREW BONE FULL THREAD 10MM 2.5MM 2.7MM 5MM TITANIUM NS CORTEX SELF TAP SM HEXAGONAL SOCKET SPHERICAL HEAD MINI FRAGMENT	SUP-402.81	CDM	270010022	LOCAL	270	RC		inpatient			79.54	79.54																																																			
GUIDEWIRE VASCULAR ROADRUNNER PC HYDROPHILIC NITINOL PLATINUM ANGLE TAPER STANDARD L260 CM OD.035 IN RADIOPAQUE STIFF SHAFT	SUP-G09105	CDM			270	RC		outpatient			79.44	79.44	21.52				percent of total billed charges		79.44				other	OPPS APC	58.79				percent of total billed charges		79.44				other	OPPS APC	79.44				other	OPPS APC	21.52				percent of total billed charges		21.95				percent of total billed charges		79.44				other	OPPS APC	21.52	79.44	
GUIDEWIRE VASCULAR ROADRUNNER PC HYDROPHILIC NITINOL PLATINUM ANGLE TAPER STANDARD L260 CM OD.035 IN RADIOPAQUE STIFF SHAFT	SUP-G09105	CDM			270	RC		inpatient			79.44	79.44																																																			
BURR SURGICAL CARBIDE MICRO OD6.5 MM ROUND 10 FLUTED STERILE	SUP-00509323200	CDM			270	RC		outpatient			79.34	79.34	21.49				percent of total billed charges		79.34				other	OPPS APC	58.71				percent of total billed charges		79.34				other	OPPS APC	79.34				other	OPPS APC	21.49				percent of total billed charges		21.92				percent of total billed charges		79.34				other	OPPS APC	21.49	79.34	
BURR SURGICAL CARBIDE MICRO OD6.5 MM ROUND 10 FLUTED STERILE	SUP-00509323200	CDM			270	RC		inpatient			79.34	79.34																																																			
IRRIGATOR ENDOSCOPIC PATHFINDER PLUS BULB L10 IN UROLOGICAL TUBE LUER LOCK STERILE DISPOSABLE	SUP-PA701	CDM			270	RC		outpatient			79.3	79.3	21.48				percent of total billed charges		79.3				other	OPPS APC	58.68				percent of total billed charges		79.3				other	OPPS APC	79.3				other	OPPS APC	21.48				percent of total billed charges		21.91				percent of total billed charges		79.3				other	OPPS APC	21.48	79.3	
IRRIGATOR ENDOSCOPIC PATHFINDER PLUS BULB L10 IN UROLOGICAL TUBE LUER LOCK STERILE DISPOSABLE	SUP-PA701	CDM			270	RC		inpatient			79.3	79.3																																																			
STAPLE BONE STAINLESS STEEL L25.4 MM X W8.7 MM OD2 MM BARB NONSTERILE	SUP-00-2229-004-00	CDM			270	RC		outpatient			79.12	79.13	21.43				percent of total billed charges		79.12				other	OPPS APC	58.55				percent of total billed charges		79.12				other	OPPS APC	79.12				other	OPPS APC	21.43				percent of total billed charges		21.86				percent of total billed charges		79.13				other	OPPS APC	21.43	79.13	
STAPLE BONE STAINLESS STEEL L25.4 MM X W8.7 MM OD2 MM BARB NONSTERILE	SUP-00-2229-004-00	CDM			270	RC		inpatient			79.12	79.12																																																			
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE SHORT TAPER L260 CM L1 CM OD.035 IN STRAIGHT TIP	SUP-M001465090	CDM			270	RC		outpatient			79.09	79.93	21.43				percent of total billed charges		79.09				other	OPPS APC	58.53				percent of total billed charges		79.09				other	OPPS APC	79.09				other	OPPS APC	21.43				percent of total billed charges		21.85				percent of total billed charges		79.93				other	OPPS APC	21.43	79.93	
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE SHORT TAPER L260 CM L1 CM OD.035 IN STRAIGHT TIP	SUP-M001465090	CDM			270	RC		inpatient			79.09	79.09																																																			
STENT ARGYLE CAROTID	SUP-8888577775	CDM			270	RC		outpatient			78.74	78.74	21.33				percent of total billed charges		78.74				other	OPPS APC	58.27				percent of total billed charges		78.74				other	OPPS APC	78.74				other	OPPS APC	21.33				percent of total billed charges		21.76				percent of total billed charges		78.74				other	OPPS APC	21.33	78.74	
STENT ARGYLE CAROTID	SUP-8888577775	CDM			270	RC		inpatient			78.74	78.74																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0264-3155-11	NDC	J0696	HCPCS		inpatient			78.72	78.72																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0264-3155-11	NDC	J0696	HCPCS		outpatient			78.72	78.72																																															other	OPPS APC			
HC Tryptase (Trypt)	PX-300835204	CDM	83520	CPT	300	RC		outpatient			78.67	17.27	17.31				fee schedule		17.27				fee schedule		34.37				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	34.37	
HC Tryptase (Trypt)	PX-300835204	CDM	83520	CPT	300	RC		inpatient			78.67	78.67																																																			
BAG EXTERNAL DRAINAGE EDS 3 700 ML CSF COLLECTION	SUP-821732	CDM						inpatient			78.63	78.63																																																			
BAG EXTERNAL DRAINAGE EDS 3 700 ML CSF COLLECTION	SUP-821732	CDM						outpatient			78.63	78.63	78.63				percent of total billed charges		78.63				other	OPPS APC	78.63				fee schedule		78.63				other	OPPS APC	78.63				other	OPPS APC	78.63				case rate		78.63				case rate		78.63				other	OPPS APC	78.63	78.63	
GUIDEWIRE VASCULAR GLIDEWIRE TUNGSTEN NITINOL POLYURETHANE HYDROPHILIC ANGLE STANDARD L180 CM L3 CM OD.035 IN PERIPHERAL JACKET CORE TO TIP ATRAUMATIC	SUP-GR3508	CDM			481	RC		outpatient			78.5	78.5	38.47				percent of total billed charges		78.5				other	OPPS APC	58.09				percent of total billed charges		78.5				other	OPPS APC	78.5				other	OPPS APC	38.47				percent of total billed charges		40.04				percent of total billed charges		78.5				other	OPPS APC	38.47	78.5	
GUIDEWIRE VASCULAR GLIDEWIRE TUNGSTEN NITINOL POLYURETHANE HYDROPHILIC ANGLE STANDARD L180 CM L3 CM OD.035 IN PERIPHERAL JACKET CORE TO TIP ATRAUMATIC	SUP-GR3508	CDM			481	RC		inpatient			78.5	78.5																																																			
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC 1.5 MM J CURVE STANDARD L180 CM L3 CM OD.035 IN FLEXIBLE ATRAUMATIC TIP RADIOPAQUE KINK RESISTANCE	SUP-GR3525	CDM			481	RC		outpatient			78.5	78.5	38.47				percent of total billed charges		78.5				other	OPPS APC	58.09				percent of total billed charges		78.5				other	OPPS APC	78.5				other	OPPS APC	38.47				percent of total billed charges		40.04				percent of total billed charges		78.5				other	OPPS APC	38.47	78.5	
GUIDEWIRE VASCULAR GLIDEWIRE NITINOL TUNGSTEN POLYURETHANE HYDROPHILIC 1.5 MM J CURVE STANDARD L180 CM L3 CM OD.035 IN FLEXIBLE ATRAUMATIC TIP RADIOPAQUE KINK RESISTANCE	SUP-GR3525	CDM			481	RC		inpatient			78.5	78.5																																																			
WRAP KNEE W/COLD PACK	SUP-78-00346	CDM			271	RC		outpatient			78.4	78.46	21.24				percent of total billed charges		78.4				other	OPPS APC	58.02				percent of total billed charges		78.4				other	OPPS APC	78.4				other	OPPS APC	21.24				percent of total billed charges		21.66				percent of total billed charges		78.46				other	OPPS APC	21.24	78.46	
WRAP KNEE W/COLD PACK	SUP-78-00346	CDM			271	RC		inpatient			78.4	78.4																																																			
VANCOMYCIN 125 MG CAPSULE	637000000	CDM	0121-0867-20	NDC	A9270	HCPCS		inpatient			78.27	78.27																																																			
VANCOMYCIN 125 MG CAPSULE	637000000	CDM	68180-166-11	NDC	A9270	HCPCS		inpatient			78.27	78.27																																																			
VANCOMYCIN 125 MG CAPSULE	637000000	CDM	0121-0867-20	NDC	A9270	HCPCS		outpatient			78.27	78.27																																															other	OPPS APC			
VANCOMYCIN 125 MG CAPSULE	637000000	CDM	68180-166-11	NDC	A9270	HCPCS		outpatient			78.27	78.27																																															other	OPPS APC			
PACK SURGICAL CUSTOM TOTAL HIP ACCESSORY	SUP-DYNJ59292	CDM	270009120	LOCAL	270	RC		outpatient			78.18	78.19	21.18				percent of total billed charges		78.18				other	OPPS APC	57.85				percent of total billed charges		78.18				other	OPPS APC	78.18				other	OPPS APC	21.18				percent of total billed charges		21.6				percent of total billed charges		78.19				other	OPPS APC	21.18	78.19	
PACK SURGICAL CUSTOM TOTAL HIP ACCESSORY	SUP-DYNJ59292	CDM	270009120	LOCAL	270	RC		inpatient			78.18	78.18																																																			
BLADE SAW STAINLESS STEEL THK.64 MM XSHORT NARROW THIN L24.5 MM X W9 MM SAGITTAL STERILE	SUP-2108145000	CDM			270	RC		outpatient			78.06	78.62	21.15				percent of total billed charges		78.06				other	OPPS APC	57.76				percent of total billed charges		78.06				other	OPPS APC	78.06				other	OPPS APC	21.15				percent of total billed charges		21.57				percent of total billed charges		78.62				other	OPPS APC	21.15	78.62	
BLADE SAW STAINLESS STEEL THK.64 MM XSHORT NARROW THIN L24.5 MM X W9 MM SAGITTAL STERILE	SUP-2108145000	CDM			270	RC		inpatient			78.06	78.06																																																			
SAGITTAL BLADE	SUP-2108151000	CDM			270	RC		outpatient			78.06	78.62	21.15				percent of total billed charges		78.06				other	OPPS APC	57.76				percent of total billed charges		78.06				other	OPPS APC	78.06				other	OPPS APC	21.15				percent of total billed charges		21.57				percent of total billed charges		78.62				other	OPPS APC	21.15	78.62	
SAGITTAL BLADE	SUP-2108151000	CDM			270	RC		inpatient			78.06	78.06																																																			
DRAPE FAMILY FRIENDLY C-SECTION VIEWING	SUP-3464	CDM						inpatient			78.05	78.05																																																			
DRAPE FAMILY FRIENDLY C-SECTION VIEWING	SUP-3464	CDM						outpatient			78.05	78.5	78.05				percent of total billed charges		78.05				other	OPPS APC	78.05				fee schedule		78.05				other	OPPS APC	78.05				other	OPPS APC	78.05				case rate		78.05				case rate		78.5				other	OPPS APC	78.05	78.5	
HC Dhea  Sulfate (Dheas)	PX-300826270	CDM	82627	CPT	301	RC		outpatient			78	22.23	29.72				fee schedule		22.23				fee schedule		59.03				fee schedule		22.23				fee schedule		22.23				fee schedule		22.23				fee schedule		22.23				fee schedule		22.23				fee schedule		22.23	59.03	
HC Dhea  Sulfate (Dheas)	PX-300826270	CDM	82627	CPT	301	RC		inpatient			78	78																																																			
HC Oligoclonal Immune(Oligoclonal Bands)	PX-300839160	CDM	83916	CPT	300	RC		outpatient			78	27.39	26.88				fee schedule		27.39				fee schedule		53.37				fee schedule		27.39				fee schedule		27.39				fee schedule		27.39				fee schedule		27.39				fee schedule		27.39				fee schedule		26.88	53.37	
HC Oligoclonal Immune(Oligoclonal Bands)	PX-300839160	CDM	83916	CPT	300	RC		inpatient			78	78																																																			
HC Psa Total	PX-300841530	CDM	84153	CPT	301	RC		outpatient			78	18.39	24.59				fee schedule		18.39				fee schedule		48.83				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39	48.83	
HC Psa Total	PX-300841530	CDM	84153	CPT	301	RC		inpatient			78	78																																																			
HC Free Psa	PX-300841540	CDM	84154	CPT	301	RC		outpatient			78	18.39	24.59				fee schedule		18.39				fee schedule		48.83				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39				fee schedule		18.39	48.83	
HC Free Psa	PX-300841540	CDM	84154	CPT	301	RC		inpatient			78	78																																																			
HC Antibody Screen (Abst)	PX-300868500	CDM	86850	CPT	300	RC		outpatient			78	52.81	15				fee schedule		52.81				other	OPPS APC	35.02				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	9.77				fee schedule		9.77				fee schedule		52.81				other	OPPS APC	9.77	52.81	
HC Antibody Screen (Abst)	PX-300868500	CDM	86850	CPT	300	RC		inpatient			78	78																																																			
Pap Smear Collection	PX-311Q00911	CDM			311	RC		outpatient			78	78	78				fee schedule		78				fee schedule		57.72				percent of total billed charges		78				fee schedule		78				fee schedule		38.22				percent of total billed charges		39.78				percent of total billed charges		78				fee schedule		38.22	78	
Pap Smear Collection	PX-311Q00911	CDM			311	RC		inpatient			78	78																																																			
CAUTERY NEEDLE 23GA	SUP-14-5007	CDM			270	RC		outpatient			78	78	21.13				percent of total billed charges		78				other	OPPS APC	57.72				percent of total billed charges		78				other	OPPS APC	78				other	OPPS APC	21.13				percent of total billed charges		21.55				percent of total billed charges		78				other	OPPS APC	21.13	78	
CAUTERY NEEDLE 23GA	SUP-14-5007	CDM			270	RC		inpatient			78	78																																																			
CLOSURE - VASCBAND - LONG	SUP-99-01901	CDM			272	RC		outpatient			78	78	21.13				percent of total billed charges		78				other	OPPS APC	57.72				percent of total billed charges		78				other	OPPS APC	78				other	OPPS APC	21.13				percent of total billed charges		21.55				percent of total billed charges		78				other	OPPS APC	21.13	78	
CLOSURE - VASCBAND - LONG	SUP-99-01901	CDM			272	RC		inpatient			78	78																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE STAINLESS STEEL NYLON COBRA 3 CURVE BEACON TIP L65 CM OD5 FR VISCERA ACCEPTS .035 IN GUIDEWIRE	SUP-HNBR5.03565PNSC3	CDM			270	RC		outpatient			78	78	21.13				percent of total billed charges		78				other	OPPS APC	57.72				percent of total billed charges		78				other	OPPS APC	78				other	OPPS APC	21.13				percent of total billed charges		21.55				percent of total billed charges		78				other	OPPS APC	21.13	78	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE STAINLESS STEEL NYLON COBRA 3 CURVE BEACON TIP L65 CM OD5 FR VISCERA ACCEPTS .035 IN GUIDEWIRE	SUP-HNBR5.03565PNSC3	CDM			270	RC		inpatient			78	78																																																			
DISINFECTANT INSTRUMENT ORTHOPHTHALDEHYDE 1 GL HIGH LEVEL LATEX FREE	SUP-MDS88OPA28	CDM						inpatient			77.84	77.84																																																			
DISINFECTANT INSTRUMENT ORTHOPHTHALDEHYDE 1 GL HIGH LEVEL LATEX FREE	SUP-MDS88OPA28	CDM						outpatient			77.84	77.84	77.84				percent of total billed charges		77.84				other	OPPS APC	77.84				fee schedule		77.84				other	OPPS APC	77.84				other	OPPS APC	77.84				case rate		77.84				case rate		77.84				other	OPPS APC	77.84	77.84	
HEMOSTAT ABSORBABLE SURGICEL 3X2IN STERILE FLEXIBLE	SUP-1953S	CDM	270009023	LOCAL	270	RC		outpatient			77.8	77.8	21.08				percent of total billed charges		77.8				other	OPPS APC	57.57				percent of total billed charges		77.8				other	OPPS APC	77.8				other	OPPS APC	21.08				percent of total billed charges		21.5				percent of total billed charges		77.8				other	OPPS APC	21.08	77.8	
HEMOSTAT ABSORBABLE SURGICEL 3X2IN STERILE FLEXIBLE	SUP-1953S	CDM	270009023	LOCAL	270	RC		inpatient			77.8	77.8																																																			
SET ADMINISTRATION LEVEL 1 950 ML/MIN INTRAVENOUS NORMOTHERMIC STERILE LATEX FREE DISPOSABLE FAST FLOW FLUID WARMER	SUP-D-100	CDM	270009203	LOCAL	270	RC		outpatient			77.7	77.73	21.05				percent of total billed charges		77.7				other	OPPS APC	57.5				percent of total billed charges		77.7				other	OPPS APC	77.7				other	OPPS APC	21.05				percent of total billed charges		21.47				percent of total billed charges		77.73				other	OPPS APC	21.05	77.73	
SET ADMINISTRATION LEVEL 1 950 ML/MIN INTRAVENOUS NORMOTHERMIC STERILE LATEX FREE DISPOSABLE FAST FLOW FLUID WARMER	SUP-D-100	CDM	270009203	LOCAL	270	RC		inpatient			77.7	77.7																																																			
CANCELLOUS SCREW 3.5X14MM	SUP-97-00598	CDM			278	RC		outpatient			77.56	77.56	77.56				fee schedule		77.56				other	OPPS APC	44.21				percent of total billed charges		77.56				other	OPPS APC	77.56				other	OPPS APC	38				percent of total billed charges		39.56				percent of total billed charges		77.56				other	OPPS APC	38	77.56	
CANCELLOUS SCREW 3.5X14MM	SUP-97-00598	CDM			278	RC		inpatient			77.56	77.56																																																			
SCREW SMALL FRAGMENT 4.0 CANCELLOUS	SUP-97-01313	CDM			278	RC		outpatient			77.56	77.56	77.56				fee schedule		77.56				other	OPPS APC	44.21				percent of total billed charges		77.56				other	OPPS APC	77.56				other	OPPS APC	38				percent of total billed charges		39.56				percent of total billed charges		77.56				other	OPPS APC	38	77.56	
SCREW SMALL FRAGMENT 4.0 CANCELLOUS	SUP-97-01313	CDM			278	RC		inpatient			77.56	77.56																																																			
DRAIN INCISION OASIS PLASTIC DISPOSABLE STERILE LF CHEST COLLECTION TUBE DRY SUCTION CONTROL CHAMBER	SUP-3600-100	CDM	270009127	LOCAL	270	RC		outpatient			77.52	77.52	21				percent of total billed charges		77.52				other	OPPS APC	57.36				percent of total billed charges		77.52				other	OPPS APC	77.52				other	OPPS APC	21				percent of total billed charges		21.42				percent of total billed charges		77.52				other	OPPS APC	21	77.52	
DRAIN INCISION OASIS PLASTIC DISPOSABLE STERILE LF CHEST COLLECTION TUBE DRY SUCTION CONTROL CHAMBER	SUP-3600-100	CDM	270009127	LOCAL	270	RC		inpatient			77.52	77.52																																																			
CLAMP SURGICAL PEERS STAINLESS STEEL L5 3/4 IN NONPERFORATE TOWEL CURVE JAW NONSTERILE REUSABLE	SUP-G2869-11	CDM			270	RC		outpatient			77.38	77.38	20.96				percent of total billed charges		77.38				other	OPPS APC	57.26				percent of total billed charges		77.38				other	OPPS APC	77.38				other	OPPS APC	20.96				percent of total billed charges		21.38				percent of total billed charges		77.38				other	OPPS APC	20.96	77.38	
CLAMP SURGICAL PEERS STAINLESS STEEL L5 3/4 IN NONPERFORATE TOWEL CURVE JAW NONSTERILE REUSABLE	SUP-G2869-11	CDM			270	RC		inpatient			77.38	77.38																																																			
GUIDEWIRE - 3MM J .021	SUP-99-00137	CDM			272	RC		outpatient			77.28	77.28	20.94				percent of total billed charges		77.28				other	OPPS APC	57.19				percent of total billed charges		77.28				other	OPPS APC	77.28				other	OPPS APC	20.94				percent of total billed charges		21.35				percent of total billed charges		77.28				other	OPPS APC	20.94	77.28	
GUIDEWIRE - 3MM J .021	SUP-99-00137	CDM			272	RC		inpatient			77.28	77.28																																																			
GUIDEWIRE-3MM J .021 X 180	SUP-99-04204	CDM			272	RC		outpatient			77.28	77.28	20.94				percent of total billed charges		77.28				other	OPPS APC	57.19				percent of total billed charges		77.28				other	OPPS APC	77.28				other	OPPS APC	20.94				percent of total billed charges		21.35				percent of total billed charges		77.28				other	OPPS APC	20.94	77.28	
GUIDEWIRE-3MM J .021 X 180	SUP-99-04204	CDM			272	RC		inpatient			77.28	77.28																																																			
TRAY CATHETER SURESTEP LUBRI-SIL IC COMPLETE CARE OD 16 FRENCH 350ML FOLEY URINE METER TEMPERATURE SENSING STERILE LATEX FREE DISPOSABLE	SUP-A319516A	CDM			270	RC		outpatient			77.28	77.28	20.94				percent of total billed charges		77.28				other	OPPS APC	57.19				percent of total billed charges		77.28				other	OPPS APC	77.28				other	OPPS APC	20.94				percent of total billed charges		21.35				percent of total billed charges		77.28				other	OPPS APC	20.94	77.28	
TRAY CATHETER SURESTEP LUBRI-SIL IC COMPLETE CARE OD 16 FRENCH 350ML FOLEY URINE METER TEMPERATURE SENSING STERILE LATEX FREE DISPOSABLE	SUP-A319516A	CDM			270	RC		inpatient			77.28	77.28																																																			
SUMP PUMP	SUP-AN-42	CDM	270009037	LOCAL	270	RC		outpatient			77.22	77.22	20.92				percent of total billed charges		77.22				other	OPPS APC	57.14				percent of total billed charges		77.22				other	OPPS APC	77.22				other	OPPS APC	20.92				percent of total billed charges		21.34				percent of total billed charges		77.22				other	OPPS APC	20.92	77.22	
SUMP PUMP	SUP-AN-42	CDM	270009037	LOCAL	270	RC		inpatient			77.22	77.22																																																			
DRILOK CANNULA  6.5MM X 75MM	SUP-79-00002	CDM			272	RC		outpatient			77.19	77.19	20.91				percent of total billed charges		77.19				other	OPPS APC	57.12				percent of total billed charges		77.19				other	OPPS APC	77.19				other	OPPS APC	20.91				percent of total billed charges		21.33				percent of total billed charges		77.19				other	OPPS APC	20.91	77.19	
DRILOK CANNULA  6.5MM X 75MM	SUP-79-00002	CDM			272	RC		inpatient			77.19	77.19																																																			
SCREW CORTICAL ST 3.5 X 12MM	SUP-97-01596	CDM			278	RC		outpatient			77.16	77.16	77.16				fee schedule		77.16				other	OPPS APC	43.98				percent of total billed charges		77.16				other	OPPS APC	77.16				other	OPPS APC	37.81				percent of total billed charges		39.35				percent of total billed charges		77.16				other	OPPS APC	37.81	77.16	
SCREW CORTICAL ST 3.5 X 12MM	SUP-97-01596	CDM			278	RC		inpatient			77.16	77.16																																																			
SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM ODSEC2.7 MM ELBOW PERIARTICULAR CORTICAL SELF TAP NONSTERILE	SUP-00-2348-010-35	CDM			270	RC		outpatient			77.14	77.14	20.9				percent of total billed charges		77.14				other	OPPS APC	57.08				percent of total billed charges		77.14				other	OPPS APC	77.14				other	OPPS APC	20.9				percent of total billed charges		21.31				percent of total billed charges		77.14				other	OPPS APC	20.9	77.14	
SCREW BONE STAINLESS STEEL L10 MM OD3.5 MM ODSEC2.7 MM ELBOW PERIARTICULAR CORTICAL SELF TAP NONSTERILE	SUP-00-2348-010-35	CDM			270	RC		inpatient			77.14	77.14																																																			
SCREW BONE STAINLESS STEEL L16 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-016-35	CDM			270	RC		outpatient			77.14	77.14	20.9				percent of total billed charges		77.14				other	OPPS APC	57.08				percent of total billed charges		77.14				other	OPPS APC	77.14				other	OPPS APC	20.9				percent of total billed charges		21.31				percent of total billed charges		77.14				other	OPPS APC	20.9	77.14	
SCREW BONE STAINLESS STEEL L16 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-016-35	CDM			270	RC		inpatient			77.14	77.14																																																			
TRAY LATEX FOLEY CATH 18FR W/URINEMETER	SUP-03-00033	CDM			272	RC		outpatient			77.14	77.14	20.9				percent of total billed charges		77.14				other	OPPS APC	57.08				percent of total billed charges		77.14				other	OPPS APC	77.14				other	OPPS APC	20.9				percent of total billed charges		21.31				percent of total billed charges		77.14				other	OPPS APC	20.9	77.14	
TRAY LATEX FOLEY CATH 18FR W/URINEMETER	SUP-03-00033	CDM			272	RC		inpatient			77.14	77.14																																																			
BRACE ANKLE AIR-STIRRUP SM/LEFT	SUP-35-00010	CDM			271	RC		outpatient			77.1	78	20.89				percent of total billed charges		77.1				other	OPPS APC	57.05				percent of total billed charges		77.1				other	OPPS APC	77.1				other	OPPS APC	20.89				percent of total billed charges		21.3				percent of total billed charges		78				other	OPPS APC	20.89	78	
BRACE ANKLE AIR-STIRRUP SM/LEFT	SUP-35-00010	CDM			271	RC		inpatient			77.1	77.1																																																			
HC Blood Typing Rh (D)	PX-300869010	CDM	86901	CPT	300	RC		outpatient			77	35.77	3.99				fee schedule		35.77				other	OPPS APC	8.04				fee schedule		35.77				other	OPPS APC	35.77				other	OPPS APC	2.99				fee schedule		2.99				fee schedule		35.77				other	OPPS APC	2.99	35.77	
HC Blood Typing Rh (D)	PX-300869010	CDM	86901	CPT	300	RC		inpatient			77	77																																																			
HC Orthopoxvirus Amp Prb Each Monkeypox	PX-300875930	CDM	87593	CPT	300	RC		inpatient			77	77																																																			
HC Orthopoxvirus Amp Prb Each Monkeypox	PX-300875930	CDM	87593	CPT	300	RC		outpatient			77	77											fee schedule		56.98				percent of total billed charges						fee schedule						fee schedule						fee schedule						fee schedule						fee schedule		56.98	56.98	
SCREW BONE 48MM 2.7MM CORTEX SELF TAP	SUP-202.966	CDM	270010022	LOCAL	270	RC		outpatient			77	77	20.86				percent of total billed charges		77				other	OPPS APC	56.98				percent of total billed charges		77				other	OPPS APC	77				other	OPPS APC	20.86				percent of total billed charges		21.28				percent of total billed charges		77				other	OPPS APC	20.86	77	
SCREW BONE 48MM 2.7MM CORTEX SELF TAP	SUP-202.966	CDM	270010022	LOCAL	270	RC		inpatient			77	77																																																			
SCREW BONE LCP STAINLESS STEEL T8 L55 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.968	CDM	270010022	LOCAL	270	RC		outpatient			77	77	20.86				percent of total billed charges		77				other	OPPS APC	56.98				percent of total billed charges		77				other	OPPS APC	77				other	OPPS APC	20.86				percent of total billed charges		21.28				percent of total billed charges		77				other	OPPS APC	20.86	77	
SCREW BONE LCP STAINLESS STEEL T8 L55 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.968	CDM	270010022	LOCAL	270	RC		inpatient			77	77																																																			
WIRE FIXATION KIRSCHNER ASNIS MICRO L100 MM OD1.2 MM NONSTERILE 3 MM SCREW	SUP-45-30015	CDM			270	RC		outpatient			76.8	76.8	20.81				percent of total billed charges		76.8				other	OPPS APC	56.83				percent of total billed charges		76.8				other	OPPS APC	76.8				other	OPPS APC	20.81				percent of total billed charges		21.22				percent of total billed charges		76.8				other	OPPS APC	20.81	76.8	
WIRE FIXATION KIRSCHNER ASNIS MICRO L100 MM OD1.2 MM NONSTERILE 3 MM SCREW	SUP-45-30015	CDM			270	RC		inpatient			76.8	76.8																																																			
BLADES ADENOTOME SZ 2	SUP-72-00003	CDM			272	RC		outpatient			76.76	76.77	20.79				percent of total billed charges		76.76				other	OPPS APC	56.8				percent of total billed charges		76.76				other	OPPS APC	76.76				other	OPPS APC	20.79				percent of total billed charges		21.21				percent of total billed charges		76.77				other	OPPS APC	20.79	76.77	
BLADES ADENOTOME SZ 2	SUP-72-00003	CDM			272	RC		inpatient			76.76	76.76																																																			
SYSTEM DRAINAGE PLEUR-EVAC 2500 CC COLLECTION CHAMBER SELF SEAL SAMPLE PORT CONNECTOR STERILE LATEX FREE DISPOSABLE A-6000 CACTUS	SUP-A-6000-08LF	CDM	270009127	LOCAL	270	RC		outpatient			76.67	76.67	20.77				percent of total billed charges		76.67				other	OPPS APC	56.74				percent of total billed charges		76.67				other	OPPS APC	76.67				other	OPPS APC	20.77				percent of total billed charges		21.18				percent of total billed charges		76.67				other	OPPS APC	20.77	76.67	
SYSTEM DRAINAGE PLEUR-EVAC 2500 CC COLLECTION CHAMBER SELF SEAL SAMPLE PORT CONNECTOR STERILE LATEX FREE DISPOSABLE A-6000 CACTUS	SUP-A-6000-08LF	CDM	270009127	LOCAL	270	RC		inpatient			76.67	76.67																																																			
CINACALCET 30 MG TABLET	637000000	CDM	42291-459-30	NDC	A9270	HCPCS		inpatient			76.64	76.64																																																			
CINACALCET 30 MG TABLET	637000000	CDM	42291-459-30	NDC	A9270	HCPCS		outpatient			76.64	76.64																																															other	OPPS APC			
THREADED STEINMAN PIN 5/64	SUP-78-00139	CDM			278	RC		outpatient			76.63	76.63	76.63				fee schedule		76.63				other	OPPS APC	43.68				percent of total billed charges		76.63				other	OPPS APC	76.63				other	OPPS APC	37.55				percent of total billed charges		39.08				percent of total billed charges		76.63				other	OPPS APC	37.55	76.63	
THREADED STEINMAN PIN 5/64	SUP-78-00139	CDM			278	RC		inpatient			76.63	76.63																																																			
SCREW BONE DCP STAINLESS STEEL LOW PROFILE L18 MM OD1.5 MM ODSEC3 MM HAND PHALANX CORTICAL DISTAL MIDDLE SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR SYSTEM	SUP-200.818	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL LOW PROFILE L18 MM OD1.5 MM ODSEC3 MM HAND PHALANX CORTICAL DISTAL MIDDLE SELF TAP CRUCIFORM MINI FRAGMENT SET MODULAR SYSTEM	SUP-200.818	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE 6MM 2MM SS NS CORTEX HAND FOOT SELF TAP CRUCIFORM MODULAR MINI FRAGMENT SYSTEM	SUP-201.806	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE 6MM 2MM SS NS CORTEX HAND FOOT SELF TAP CRUCIFORM MODULAR MINI FRAGMENT SYSTEM	SUP-201.806	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL L6 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.806	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL L6 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.806	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL L8 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.808	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL L8 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.808	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE LCP STAINLESS STEEL L10 MM OD2.7 MM ODSEC5 MM FOOT CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET SPHERICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-202.810	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE LCP STAINLESS STEEL L10 MM OD2.7 MM ODSEC5 MM FOOT CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET SPHERICAL HEAD NONSTERILE MINI FRAGMENT SET	SUP-202.810	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE LC-DCP STAINLESS STEEL L16 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.816	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE LC-DCP STAINLESS STEEL L16 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.816	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE LCP DCP STAINLESS STEEL L22 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI/SMALL FRAGMENT SET	SUP-202.822	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE LCP DCP STAINLESS STEEL L22 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI/SMALL FRAGMENT SET	SUP-202.822	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW CORTEX 2.7MM 24MM	SUP-202.824	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW CORTEX 2.7MM 24MM	SUP-202.824	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L26 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.826	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L26 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.826	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L28 MM OD2.7 MM ODSEC5 MM RADIUS ULNA FIBULA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET SPHERICAL HEAD NONSTERILE	SUP-202.828	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L28 MM OD2.7 MM ODSEC5 MM RADIUS ULNA FIBULA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET SPHERICAL HEAD NONSTERILE	SUP-202.828	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL FULL THREAD SMALL HEXAGON SPHERE L30 MM OD2.7 MM ODSEC5 MM FIBULA RADIUS ULNA CORTICAL SELF TAP SOCKET NONSTERILE MINI FRAGMENT	SUP-202.830	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL FULL THREAD SMALL HEXAGON SPHERE L30 MM OD2.7 MM ODSEC5 MM FIBULA RADIUS ULNA CORTICAL SELF TAP SOCKET NONSTERILE MINI FRAGMENT	SUP-202.830	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL L32 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.832	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL L32 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.832	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL L34 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.834	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL L34 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.834	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL L36 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.836	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL L36 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.836	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL L38 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.838	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL L38 MM OD2.7 MM ODSEC5 MM CLAVICLE SCAPULA OLECRANON HUMERUS CORTICAL SELF TAPPING SPHERICAL HEAD SMALL HEXAGONAL SOCKET NONSTERILE MINI FRAGMENT	SUP-202.838	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE LCP DCP STAINLESS STEEL L40 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-202.840	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE LCP DCP STAINLESS STEEL L40 MM OD2.7 MM CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-202.840	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L50 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.850	CDM	270010022	LOCAL	270	RC		outpatient			76.6	76.6	20.75				percent of total billed charges		76.6				other	OPPS APC	56.68				percent of total billed charges		76.6				other	OPPS APC	76.6				other	OPPS APC	20.75				percent of total billed charges		21.16				percent of total billed charges		76.6				other	OPPS APC	20.75	76.6	
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L50 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.850	CDM	270010022	LOCAL	270	RC		inpatient			76.6	76.6																																																			
CATHETER PULMONARY ARTERY PENTALUMEN MULTIFLEX STANDARD L110 CM OD8 FR 3 LUMEN EXTRA INFUSION PORT THERMODILUTION VENTRICULAR PACE LATEX	SUP-41217-01	CDM			270	RC		outpatient			76.54	76.55	20.73				percent of total billed charges		76.54				other	OPPS APC	56.64				percent of total billed charges		76.54				other	OPPS APC	76.54				other	OPPS APC	20.73				percent of total billed charges		21.15				percent of total billed charges		76.55				other	OPPS APC	20.73	76.55	
CATHETER PULMONARY ARTERY PENTALUMEN MULTIFLEX STANDARD L110 CM OD8 FR 3 LUMEN EXTRA INFUSION PORT THERMODILUTION VENTRICULAR PACE LATEX	SUP-41217-01	CDM			270	RC		inpatient			76.54	76.54																																																			
BLANKET LITHOTOMY UNDERBODY	SUP-97-00134	CDM			272	RC		outpatient			76.46	76.46	20.71				percent of total billed charges		76.46				other	OPPS APC	56.58				percent of total billed charges		76.46				other	OPPS APC	76.46				other	OPPS APC	20.71				percent of total billed charges		21.13				percent of total billed charges		76.46				other	OPPS APC	20.71	76.46	
BLANKET LITHOTOMY UNDERBODY	SUP-97-00134	CDM			272	RC		inpatient			76.46	76.46																																																			
SCREW BONE EVOS L 20 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504520	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 20 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504520	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 22 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504522	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 22 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504522	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 24 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504524	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 24 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504524	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 26 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504526	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 26 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504526	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 28 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504528	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 28 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504528	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 30 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504530	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 30 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504530	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 32 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504532	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 32 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504532	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L34 MM OD4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504534	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L34 MM OD4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504534	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L36 MM OD4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504536	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L36 MM OD4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504536	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 38MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504538	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 38MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504538	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 42 MM OD 4.5MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504542	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 42 MM OD 4.5MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504542	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L 44 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504544	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L 44 MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504544	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW EVOS CTX S-T 4.5MM X 58MM	SUP-72504558	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW EVOS CTX S-T 4.5MM X 58MM	SUP-72504558	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW EVOS 4.5MM X 68MM CTX S-T	SUP-72504568	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW EVOS 4.5MM X 68MM CTX S-T	SUP-72504568	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW EVOS 4.5 X 72 MM CTX S-T	SUP-72504572	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW EVOS 4.5 X 72 MM CTX S-T	SUP-72504572	CDM			270	RC		inpatient			76.4	76.4																																																			
SCREW BONE EVOS L76MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504576	CDM			270	RC		outpatient			76.4	76.46	20.7				percent of total billed charges		76.4				other	OPPS APC	56.54				percent of total billed charges		76.4				other	OPPS APC	76.4				other	OPPS APC	20.7				percent of total billed charges		21.11				percent of total billed charges		76.46				other	OPPS APC	20.7	76.46	
SCREW BONE EVOS L76MM OD 4.5 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72504576	CDM			270	RC		inpatient			76.4	76.4																																																			
GUIDEWIRE K 1.6 150MM	SUP-97-01830	CDM			278	RC		outpatient			76.31	76.31	76.31				fee schedule		76.31				other	OPPS APC	43.5				percent of total billed charges		76.31				other	OPPS APC	76.31				other	OPPS APC	37.39				percent of total billed charges		38.92				percent of total billed charges		76.31				other	OPPS APC	37.39	76.31	
GUIDEWIRE K 1.6 150MM	SUP-97-01830	CDM			278	RC		inpatient			76.31	76.31																																																			
GUIDEWIRE STRAIGHT AMPLATZ 180CM -- USE PMM 100541	SUP-46-525	CDM			270	RC		outpatient			76.26	76.27	20.66				percent of total billed charges		76.26				other	OPPS APC	56.43				percent of total billed charges		76.26				other	OPPS APC	76.26				other	OPPS APC	20.66				percent of total billed charges		21.07				percent of total billed charges		76.27				other	OPPS APC	20.66	76.27	
GUIDEWIRE STRAIGHT AMPLATZ 180CM -- USE PMM 100541	SUP-46-525	CDM			270	RC		inpatient			76.26	76.26																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L9 IN OD.062 IN 2 BAYONET POINT SMOOTH	SUP-160141000	CDM			270	RC		outpatient			76.24	76.24	20.65				percent of total billed charges		76.24				other	OPPS APC	56.42				percent of total billed charges		76.24				other	OPPS APC	76.24				other	OPPS APC	20.65				percent of total billed charges		21.07				percent of total billed charges		76.24				other	OPPS APC	20.65	76.24	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L9 IN OD.062 IN 2 BAYONET POINT SMOOTH	SUP-160141000	CDM			270	RC		inpatient			76.24	76.24																																																			
MEDIUM PRO-STEP WALKER	SUP-35-00002	CDM			271	RC		outpatient			76.19	76.19	20.64				percent of total billed charges		76.19				other	OPPS APC	56.38				percent of total billed charges		76.19				other	OPPS APC	76.19				other	OPPS APC	20.64				percent of total billed charges		21.05				percent of total billed charges		76.19				other	OPPS APC	20.64	76.19	
MEDIUM PRO-STEP WALKER	SUP-35-00002	CDM			271	RC		inpatient			76.19	76.19																																																			
HC Platelet Neutralization	PX-300855970	CDM	85597	CPT	305	RC		outpatient			76	17.98	24.03				fee schedule		17.98				fee schedule		47.73				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98	47.73	
HC Platelet Neutralization	PX-300855970	CDM	85597	CPT	305	RC		inpatient			76	76																																																			
HC Ab to Extractable Nuclear Ag(Ena)	PX-300862350	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Ab to Extractable Nuclear Ag(Ena)	PX-300862350	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Autoantibodies to Ss-a/Ro	PX-300862351	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Autoantibodies to Ss-a/Ro	PX-300862351	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Autoantibodies to Ss-B/La	PX-300862352	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Autoantibodies to Ss-B/La	PX-300862352	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Autoantibodies to Scl 70	PX-300862353	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Autoantibodies to Scl 70	PX-300862353	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Autoantibodies to Sm	PX-300862354	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Autoantibodies to Sm	PX-300862354	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Autoantibodies to U1rnp	PX-300862355	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Autoantibodies to U1rnp	PX-300862355	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Autoantibodies to Jo 1	PX-300862356	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Autoantibodies to Jo 1	PX-300862356	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Histone Antibody (Hista)	PX-300862358	CDM	86235	CPT	300	RC		outpatient			76	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Histone Antibody (Hista)	PX-300862358	CDM	86235	CPT	300	RC		inpatient			76	76																																																			
HC Rickettsia	PX-300867570	CDM	86757	CPT	302	RC		outpatient			76	19.35	25.87				fee schedule		19.35				fee schedule		51.4				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35	51.4	
HC Rickettsia	PX-300867570	CDM	86757	CPT	302	RC		inpatient			76	76																																																			
SHEATH - 11F	SUP-99-01935	CDM			272	RC		outpatient			76	76	20.59				percent of total billed charges		76				other	OPPS APC	56.24				percent of total billed charges		76				other	OPPS APC	76				other	OPPS APC	20.59				percent of total billed charges		21				percent of total billed charges		76				other	OPPS APC	20.59	76	
SHEATH - 11F	SUP-99-01935	CDM			272	RC		inpatient			76	76																																																			
EP JOSEPHSON 5 MM Reproc	SUP-DAI401227	CDM			270	RC		outpatient			76	76	20.59				percent of total billed charges		76				other	OPPS APC	56.24				percent of total billed charges		76				other	OPPS APC	76				other	OPPS APC	20.59				percent of total billed charges		21				percent of total billed charges		76				other	OPPS APC	20.59	76	
EP JOSEPHSON 5 MM Reproc	SUP-DAI401227	CDM			270	RC		inpatient			76	76																																																			
CATHETER ELECTROPHYSIOLOGY RESPONSE 1MM 2-8-2 MM SPACE CORONARY SINUS LEFT CURVE L65CM OD 6 FR ODSEC 2MM DECAPOLAR TORQUE CONTROL BAND ELECTRODE REPROCESSED	SUP-DAI401353	CDM			270	RC		outpatient			76	76	20.59				percent of total billed charges		76				other	OPPS APC	56.24				percent of total billed charges		76				other	OPPS APC	76				other	OPPS APC	20.59				percent of total billed charges		21				percent of total billed charges		76				other	OPPS APC	20.59	76	
CATHETER ELECTROPHYSIOLOGY RESPONSE 1MM 2-8-2 MM SPACE CORONARY SINUS LEFT CURVE L65CM OD 6 FR ODSEC 2MM DECAPOLAR TORQUE CONTROL BAND ELECTRODE REPROCESSED	SUP-DAI401353	CDM			270	RC		inpatient			76	76																																																			
MARKER ENDOSCOPIC SPOT STERILE 5 ML GI TRACT SYRINGE PREFILL	SUP-GIS-45	CDM			270	RC		outpatient			76	76	20.59				percent of total billed charges		76				other	OPPS APC	56.24				percent of total billed charges		76				other	OPPS APC	76				other	OPPS APC	20.59				percent of total billed charges		21				percent of total billed charges		76				other	OPPS APC	20.59	76	
MARKER ENDOSCOPIC SPOT STERILE 5 ML GI TRACT SYRINGE PREFILL	SUP-GIS-45	CDM			270	RC		inpatient			76	76																																																			
NEEDLE BIOPSY TOPNOTCH L21 CM OD18 G AUTOMATE	SUP-M0065101101	CDM			270	RC		outpatient			76	76	20.59				percent of total billed charges		76				other	OPPS APC	56.24				percent of total billed charges		76				other	OPPS APC	76				other	OPPS APC	20.59				percent of total billed charges		21				percent of total billed charges		76				other	OPPS APC	20.59	76	
NEEDLE BIOPSY TOPNOTCH L21 CM OD18 G AUTOMATE	SUP-M0065101101	CDM			270	RC		inpatient			76	76																																																			
TRAY CATHETERIZATION LUBRI SIL ADVANCE 16 FR 2 CONNECTOR FOLEY URINE METER TEMP SENSING LATEX FREE	SUP-319516A	CDM			270	RC		outpatient			75.86	75.86	20.55				percent of total billed charges		75.86				other	OPPS APC	56.14				percent of total billed charges		75.86				other	OPPS APC	75.86				other	OPPS APC	20.55				percent of total billed charges		20.96				percent of total billed charges		75.86				other	OPPS APC	20.55	75.86	
TRAY CATHETERIZATION LUBRI SIL ADVANCE 16 FR 2 CONNECTOR FOLEY URINE METER TEMP SENSING LATEX FREE	SUP-319516A	CDM			270	RC		inpatient			75.86	75.86																																																			
MESH SURGICAL BARD POLYPROPYLENE  L6IN X W3 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112680	CDM			270	RC		outpatient			75.8	75.8	20.53				percent of total billed charges		75.8				other	OPPS APC	56.09				percent of total billed charges		75.8				other	OPPS APC	75.8				other	OPPS APC	20.53				percent of total billed charges		20.94				percent of total billed charges		75.8				other	OPPS APC	20.53	75.8	
MESH SURGICAL BARD POLYPROPYLENE  L6IN X W3 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112680	CDM			270	RC		inpatient			75.8	75.8																																																			
BRACE ANKLE AIR-STIRRUP SM/RIGHT	SUP-35-00011	CDM			271	RC		outpatient			75.79	75.8	20.53				percent of total billed charges		75.79				other	OPPS APC	56.08				percent of total billed charges		75.79				other	OPPS APC	75.79				other	OPPS APC	20.53				percent of total billed charges		20.94				percent of total billed charges		75.8				other	OPPS APC	20.53	75.8	
BRACE ANKLE AIR-STIRRUP SM/RIGHT	SUP-35-00011	CDM			271	RC		inpatient			75.79	75.79																																																			
BRACE ANKLE AIR-STIRRUP STANDA	SUP-35-00007	CDM			271	RC		outpatient			75.73	75.73	20.52				percent of total billed charges		75.73				other	OPPS APC	56.04				percent of total billed charges		75.73				other	OPPS APC	75.73				other	OPPS APC	20.52				percent of total billed charges		20.92				percent of total billed charges		75.73				other	OPPS APC	20.52	75.73	
BRACE ANKLE AIR-STIRRUP STANDA	SUP-35-00007	CDM			271	RC		inpatient			75.73	75.73																																																			
BRACE ANKLE AIR-STIRRUP STANDA	SUP-35-00008	CDM			271	RC		outpatient			75.72	75.72	20.51				percent of total billed charges		75.72				other	OPPS APC	56.03				percent of total billed charges		75.72				other	OPPS APC	75.72				other	OPPS APC	20.51				percent of total billed charges		20.92				percent of total billed charges		75.72				other	OPPS APC	20.51	75.72	
BRACE ANKLE AIR-STIRRUP STANDA	SUP-35-00008	CDM			271	RC		inpatient			75.72	75.72																																																			
HC Fecal Lactoferrin	PX-300836300	CDM	83630	CPT	300	RC		outpatient			75.33	19.7	26.24				fee schedule		19.7				fee schedule		29.24				fee schedule		19.7				fee schedule		19.7				fee schedule		19.7				fee schedule		19.7				fee schedule		19.7				fee schedule		19.7	29.24	
HC Fecal Lactoferrin	PX-300836300	CDM	83630	CPT	300	RC		inpatient			75.33	75.33																																																			
SCREW CANN THREAD 4.0MM/16MM	SUP-97-00987	CDM			278	RC		outpatient			75.32	75.32	75.32				fee schedule		75.32				other	OPPS APC	42.93				percent of total billed charges		75.32				other	OPPS APC	75.32				other	OPPS APC	36.91				percent of total billed charges		38.41				percent of total billed charges		75.32				other	OPPS APC	36.91	75.32	
SCREW CANN THREAD 4.0MM/16MM	SUP-97-00987	CDM			278	RC		inpatient			75.32	75.32																																																			
DOXYCYCLINE 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	66794-237-02	NDC				inpatient			75.3	75.3																																																			
DOXYCYCLINE 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	66794-237-02	NDC				outpatient			75.3	75.3																																															other	OPPS APC			
YUEH CENTESIS DTVN 5.0-19-10.0	SUP-95-00721	CDM			272	RC		outpatient			75.2	75.23	20.37				percent of total billed charges		75.2				other	OPPS APC	55.65				percent of total billed charges		75.2				other	OPPS APC	75.2				other	OPPS APC	20.37				percent of total billed charges		20.78				percent of total billed charges		75.23				other	OPPS APC	20.37	75.23	
YUEH CENTESIS DTVN 5.0-19-10.0	SUP-95-00721	CDM			272	RC		inpatient			75.2	75.2																																																			
SET IRRIGATION LEVEL 1 NORMOFLO 300 MMHG GAS VENT SURGE CHAMBER 2 SPIKE POSTOPERATIVE CBI SETUP STERILE LATEX FREE DISPOSABLE	SUP-IR-600	CDM						inpatient			75.14	75.14																																																			
SET IRRIGATION LEVEL 1 NORMOFLO 300 MMHG GAS VENT SURGE CHAMBER 2 SPIKE POSTOPERATIVE CBI SETUP STERILE LATEX FREE DISPOSABLE	SUP-IR-600	CDM						outpatient			75.14	75.14	75.14				percent of total billed charges		75.14				other	OPPS APC	75.14				fee schedule		75.14				other	OPPS APC	75.14				other	OPPS APC	75.14				case rate		75.14				case rate		75.14				other	OPPS APC	75.14	75.14	
DERMABOND	SUP-01-00223	CDM			272	RC		outpatient			75.07	75.7	20.34				percent of total billed charges		75.07				other	OPPS APC	55.55				percent of total billed charges		75.07				other	OPPS APC	75.07				other	OPPS APC	20.34				percent of total billed charges		20.74				percent of total billed charges		75.7				other	OPPS APC	20.34	75.7	
DERMABOND	SUP-01-00223	CDM			272	RC		inpatient			75.07	75.07																																																			
SUTURE PROLENE  788G	SUP-74-00419	CDM			272	RC		outpatient			75.05	75.5	20.33				percent of total billed charges		75.05				other	OPPS APC	55.54				percent of total billed charges		75.05				other	OPPS APC	75.05				other	OPPS APC	20.33				percent of total billed charges		20.74				percent of total billed charges		75.5				other	OPPS APC	20.33	75.5	
SUTURE PROLENE  788G	SUP-74-00419	CDM			272	RC		inpatient			75.05	75.05																																																			
HC Heavy Metal Quantitative Each	PX-300830180	CDM	83018	CPT	300	RC		outpatient			75	21.96	29.36				fee schedule		21.96				fee schedule		58.29				fee schedule		21.96				fee schedule		21.96				fee schedule		21.96				fee schedule		21.96				fee schedule		21.96				fee schedule		21.96	58.29	
HC Heavy Metal Quantitative Each	PX-300830180	CDM	83018	CPT	300	RC		inpatient			75	75																																																			
HC Protein Electrophoretic  Othe Fluids	PX-300841660	CDM	84166	CPT	301	RC		outpatient			75	17.83	23.84				fee schedule		17.83				fee schedule		47.35				fee schedule		17.83				fee schedule		17.83				fee schedule		17.83				fee schedule		17.83				fee schedule		17.83				fee schedule		17.83	47.35	
HC Protein Electrophoretic  Othe Fluids	PX-300841660	CDM	84166	CPT	301	RC		inpatient			75	75																																																			
HC Rast (Rst1)	PX-300860030	CDM	86003	CPT	302	RC		outpatient			75	5.22	6.98				fee schedule		5.22				fee schedule		13.87				fee schedule		5.22				fee schedule		5.22				fee schedule		5.22				fee schedule		5.22				fee schedule		5.22				fee schedule		5.22	13.87	
HC Rast (Rst1)	PX-300860030	CDM	86003	CPT	302	RC		inpatient			75	75																																																			
HC Chromogranin A	PX-300863160	CDM	86316	CPT	300	RC		outpatient			75	2.9	27.82				fee schedule		20.81				fee schedule		55.23				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		20.81				fee schedule		2.9				fee schedule		2.9	55.23	
HC Chromogranin A	PX-300863160	CDM	86316	CPT	300	RC		inpatient			75	75																																																			
HC Infectious Agent Detection by Nucleic Acid  High Throughput Tech	PX-300876351	CDM			300	RC		inpatient			75	75																																																			
HC Infectious Agent Detection by Nucleic Acid  High Throughput Tech	PX-300876351	CDM			300	RC		outpatient			75	75	75				percent of total billed charges		75				fee schedule		233				fee schedule		75				fee schedule		75				fee schedule		75				fee schedule		75				fee schedule		75				fee schedule		75	233	
HC Anesthesia Lo/Reg Add'l 15 Minutes	PX-370000002	CDM	370000002	LOCAL	370	RC		outpatient			75	75	21.17				percent of total billed charges		75				other	OPPS APC	55.5				percent of total billed charges		75				other	OPPS APC	75				other	OPPS APC	21.17				percent of total billed charges		21.59				percent of total billed charges		75				other	OPPS APC	21.17	75	
HC Anesthesia Lo/Reg Add'l 15 Minutes	PX-370000002	CDM	370000002	LOCAL	370	RC		inpatient			75	75																																																			
HC Pacu Recovery Ea 15 Mins After 1st	PX-710000002	CDM	710000002	LOCAL	710	RC		outpatient			75	75	68.15				percent of total billed charges		75				other	OPPS APC	55.5				percent of total billed charges		75				other	OPPS APC	75				other	OPPS APC	68.15				percent of total billed charges		69.51				percent of total billed charges		75				other	OPPS APC	55.5	75	
HC Pacu Recovery Ea 15 Mins After 1st	PX-710000002	CDM	710000002	LOCAL	710	RC		inpatient			75	75																																																			
BIOGLUE APPLICATOR  BGAT-US	SUP-BGAT-US	CDM			270	RC		outpatient			75	75	20.32				percent of total billed charges		75				other	OPPS APC	55.5				percent of total billed charges		75				other	OPPS APC	75				other	OPPS APC	20.32				percent of total billed charges		20.72				percent of total billed charges		75				other	OPPS APC	20.32	75	
BIOGLUE APPLICATOR  BGAT-US	SUP-BGAT-US	CDM			270	RC		inpatient			75	75																																																			
NEEDLE SCLEROTHERAPY INTERJECT L4 MM L240 CM OD23 GA ODSEC2.3 MM ID.32 MM INNER CATHETER SHEATH STERILE DISPOSABLE CLEAR	SUP-M00518301	CDM			270	RC		outpatient			74.98	74.98	20.31				percent of total billed charges		74.98				other	OPPS APC	55.49				percent of total billed charges		74.98				other	OPPS APC	74.98				other	OPPS APC	20.31				percent of total billed charges		20.72				percent of total billed charges		74.98				other	OPPS APC	20.31	74.98	
NEEDLE SCLEROTHERAPY INTERJECT L4 MM L240 CM OD23 GA ODSEC2.3 MM ID.32 MM INNER CATHETER SHEATH STERILE DISPOSABLE CLEAR	SUP-M00518301	CDM			270	RC		inpatient			74.98	74.98																																																			
SCREW BONE STAINLESS STEEL L12 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-012-35	CDM			270	RC		outpatient			74.88	74.88	20.28				percent of total billed charges		74.88				other	OPPS APC	55.41				percent of total billed charges		74.88				other	OPPS APC	74.88				other	OPPS APC	20.28				percent of total billed charges		20.69				percent of total billed charges		74.88				other	OPPS APC	20.28	74.88	
SCREW BONE STAINLESS STEEL L12 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-012-35	CDM			270	RC		inpatient			74.88	74.88																																																			
SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-014-35	CDM			270	RC		outpatient			74.88	74.88	20.28				percent of total billed charges		74.88				other	OPPS APC	55.41				percent of total billed charges		74.88				other	OPPS APC	74.88				other	OPPS APC	20.28				percent of total billed charges		20.69				percent of total billed charges		74.88				other	OPPS APC	20.28	74.88	
SCREW BONE STAINLESS STEEL L14 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-014-35	CDM			270	RC		inpatient			74.88	74.88																																																			
SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-020-35	CDM			270	RC		outpatient			74.88	74.88	20.28				percent of total billed charges		74.88				other	OPPS APC	55.41				percent of total billed charges		74.88				other	OPPS APC	74.88				other	OPPS APC	20.28				percent of total billed charges		20.69				percent of total billed charges		74.88				other	OPPS APC	20.28	74.88	
SCREW BONE STAINLESS STEEL L20 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-020-35	CDM			270	RC		inpatient			74.88	74.88																																																			
SCREW BONE STAINLESS STEEL L22 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-022-35	CDM			270	RC		outpatient			74.88	74.88	20.28				percent of total billed charges		74.88				other	OPPS APC	55.41				percent of total billed charges		74.88				other	OPPS APC	74.88				other	OPPS APC	20.28				percent of total billed charges		20.69				percent of total billed charges		74.88				other	OPPS APC	20.28	74.88	
SCREW BONE STAINLESS STEEL L22 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-022-35	CDM			270	RC		inpatient			74.88	74.88																																																			
SCREW BONE PERI-LOC T25 PARTIAL THREAD L 75MM OD 6.5 MM CANCELLOUS	SUP-73828175	CDM			270	RC		outpatient			74.88	74.88	20.28				percent of total billed charges		74.88				other	OPPS APC	55.41				percent of total billed charges		74.88				other	OPPS APC	74.88				other	OPPS APC	20.28				percent of total billed charges		20.69				percent of total billed charges		74.88				other	OPPS APC	20.28	74.88	
SCREW BONE PERI-LOC T25 PARTIAL THREAD L 75MM OD 6.5 MM CANCELLOUS	SUP-73828175	CDM			270	RC		inpatient			74.88	74.88																																																			
SCREW BONE PERI-LOC T25 PARTIAL THREAD L 80 MM OD 6.5 MM CANCELLOUS	SUP-73828180	CDM			270	RC		outpatient			74.88	74.88	20.28				percent of total billed charges		74.88				other	OPPS APC	55.41				percent of total billed charges		74.88				other	OPPS APC	74.88				other	OPPS APC	20.28				percent of total billed charges		20.69				percent of total billed charges		74.88				other	OPPS APC	20.28	74.88	
SCREW BONE PERI-LOC T25 PARTIAL THREAD L 80 MM OD 6.5 MM CANCELLOUS	SUP-73828180	CDM			270	RC		inpatient			74.88	74.88																																																			
ARIPIPRAZOLE 10 MG TABLET	637000000	CDM	50268-089-11	NDC	A9270	HCPCS		inpatient			74.82	74.82																																																			
ARIPIPRAZOLE 10 MG TABLET	637000000	CDM	50268-089-11	NDC	A9270	HCPCS		outpatient			74.82	74.82																																															other	OPPS APC			
BARRX CLEANING CAP SMALL	SUP-CP-001A	CDM			270	RC		outpatient			74.8	74.8	20.26				percent of total billed charges		74.8				other	OPPS APC	55.35				percent of total billed charges		74.8				other	OPPS APC	74.8				other	OPPS APC	20.26				percent of total billed charges		20.67				percent of total billed charges		74.8				other	OPPS APC	20.26	74.8	
BARRX CLEANING CAP SMALL	SUP-CP-001A	CDM			270	RC		inpatient			74.8	74.8																																																			
BARRZ CLEANING CAP MEDIUM	SUP-CP-002A	CDM			270	RC		outpatient			74.8	74.8	20.26				percent of total billed charges		74.8				other	OPPS APC	55.35				percent of total billed charges		74.8				other	OPPS APC	74.8				other	OPPS APC	20.26				percent of total billed charges		20.67				percent of total billed charges		74.8				other	OPPS APC	20.26	74.8	
BARRZ CLEANING CAP MEDIUM	SUP-CP-002A	CDM			270	RC		inpatient			74.8	74.8																																																			
POLYETHYLENE GLYCOL 236-22.74-6.74 -5.86 GRAM RECON SOLN	637000000	CDM	52268-100-01	NDC	A9270	HCPCS		inpatient			74.73	74.73																																																			
POLYETHYLENE GLYCOL 236-22.74-6.74 -5.86 GRAM RECON SOLN	637000000	CDM	52268-100-01	NDC	A9270	HCPCS		outpatient			74.73	74.73																																															other	OPPS APC			
SCREW BONE LCP STAINLESS STEEL L76 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.876	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE LCP STAINLESS STEEL L76 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.876	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW BONE 80MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.880	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE 80MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.880	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 95MM	SUP-214.895	CDM	270010025	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW 4.5MM SELF-TAPPING CORTEX 95MM	SUP-214.895	CDM	270010025	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW 4.5 MM SELF-TAPPING CORTEX 100MM	SUP-214.900	CDM	270010025	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW 4.5 MM SELF-TAPPING CORTEX 100MM	SUP-214.900	CDM	270010025	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW 4.5 MM SELF-TAPPING CORTEX 105MM	SUP-214.905	CDM	270010025	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW 4.5 MM SELF-TAPPING CORTEX 105MM	SUP-214.905	CDM	270010025	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 135MM	SUP-214.935	CDM	270010025	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW 4.5MM SELF-TAPPING CORTEX 135MM	SUP-214.935	CDM	270010025	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW BONE LCP TITANIUM T8 L10 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.870	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE LCP TITANIUM T8 L10 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAP STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-402.870	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW BONE LCP TITANIUM T8 L14 MM OD2.7 MM ODSEC5 MM RADIUS CORTEX DISTAL STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.874	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE LCP TITANIUM T8 L14 MM OD2.7 MM ODSEC5 MM RADIUS CORTEX DISTAL STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.874	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW BONE LCP TITANIUM T8 L16 MM OD2.7 MM ODSEC5 MM RADIUS CORTEX DISTAL STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.876	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE LCP TITANIUM T8 L16 MM OD2.7 MM ODSEC5 MM RADIUS CORTEX DISTAL STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.876	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW BONE LCP TITANIUM T8 L18 MM OD2.7 MM ODSEC5 MM RADIUS CORTEX DISTAL STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.878	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE LCP TITANIUM T8 L18 MM OD2.7 MM ODSEC5 MM RADIUS CORTEX DISTAL STARDRIVE SELF TAP NONSTERILE MINI FRAGMENT SET	SUP-402.878	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
SCREW BONE TITANIUM PEDIATRIC T8 L24 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.884	CDM	270010022	LOCAL	270	RC		outpatient			74.7	74.73	20.24				percent of total billed charges		74.7				other	OPPS APC	55.28				percent of total billed charges		74.7				other	OPPS APC	74.7				other	OPPS APC	20.24				percent of total billed charges		20.64				percent of total billed charges		74.73				other	OPPS APC	20.24	74.73	
SCREW BONE TITANIUM PEDIATRIC T8 L24 MM OD2.7 MM ODSEC5 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SET	SUP-402.884	CDM	270010022	LOCAL	270	RC		inpatient			74.7	74.7																																																			
EENT PACK I EVOL	SUP-23-00032	CDM			272	RC		outpatient			74.66	74.66	20.23				percent of total billed charges		74.66				other	OPPS APC	55.25				percent of total billed charges		74.66				other	OPPS APC	74.66				other	OPPS APC	20.23				percent of total billed charges		20.63				percent of total billed charges		74.66				other	OPPS APC	20.23	74.66	
EENT PACK I EVOL	SUP-23-00032	CDM			272	RC		inpatient			74.66	74.66																																																			
HEMATURIA CATHETER COUVELAIRE	SUP-02-00039	CDM			272	RC		outpatient			74.65	74.66	20.22				percent of total billed charges		74.65				other	OPPS APC	55.24				percent of total billed charges		74.65				other	OPPS APC	74.65				other	OPPS APC	20.22				percent of total billed charges		20.63				percent of total billed charges		74.66				other	OPPS APC	20.22	74.66	
HEMATURIA CATHETER COUVELAIRE	SUP-02-00039	CDM			272	RC		inpatient			74.65	74.65																																																			
STOCKING THIGH SHORT XL	SUP-01-00234	CDM			271	RC		outpatient			74.64	74.64	20.22				percent of total billed charges		74.64				other	OPPS APC	55.23				percent of total billed charges		74.64				other	OPPS APC	74.64				other	OPPS APC	20.22				percent of total billed charges		20.62				percent of total billed charges		74.64				other	OPPS APC	20.22	74.64	
STOCKING THIGH SHORT XL	SUP-01-00234	CDM			271	RC		inpatient			74.64	74.64																																																			
ONE-STEP CENTESIS NEEDLE 5F X 7CM	SUP-95-01795	CDM			272	RC		outpatient			74.64	74.64	20.22				percent of total billed charges		74.64				other	OPPS APC	55.23				percent of total billed charges		74.64				other	OPPS APC	74.64				other	OPPS APC	20.22				percent of total billed charges		20.62				percent of total billed charges		74.64				other	OPPS APC	20.22	74.64	
ONE-STEP CENTESIS NEEDLE 5F X 7CM	SUP-95-01795	CDM			272	RC		inpatient			74.64	74.64																																																			
LIGATOR ENDOSCOPIC ENDOLOOP VICRYL 12 L18 IN ABSORBABLE SUTURE BRAID	SUP-EJ10G	CDM			270	RC		outpatient			74.5	74.5	20.18				percent of total billed charges		74.5				other	OPPS APC	55.13				percent of total billed charges		74.5				other	OPPS APC	74.5				other	OPPS APC	20.18				percent of total billed charges		20.58				percent of total billed charges		74.5				other	OPPS APC	20.18	74.5	
LIGATOR ENDOSCOPIC ENDOLOOP VICRYL 12 L18 IN ABSORBABLE SUTURE BRAID	SUP-EJ10G	CDM			270	RC		inpatient			74.5	74.5																																																			
PROBE HEMOSTATIC ERASER WET-FIELD ERASER STRAIGHT TAPER 20-23GA BIPOLAR HOLLOW CORE TARGET COAGULATION FINE TIP	SUP-221265	CDM			270	RC		outpatient			74.49	74.49	20.18				percent of total billed charges		74.49				other	OPPS APC	55.12				percent of total billed charges		74.49				other	OPPS APC	74.49				other	OPPS APC	20.18				percent of total billed charges		20.58				percent of total billed charges		74.49				other	OPPS APC	20.18	74.49	
PROBE HEMOSTATIC ERASER WET-FIELD ERASER STRAIGHT TAPER 20-23GA BIPOLAR HOLLOW CORE TARGET COAGULATION FINE TIP	SUP-221265	CDM			270	RC		inpatient			74.49	74.49																																																			
DEVICE SUTURE 0 30CM STRATAFIX SPIRAL PDS PLUS VIOLET CT-1	SUP-SXPP1B450	CDM			270	RC		outpatient			74.49	74.49	20.18				percent of total billed charges		74.49				other	OPPS APC	55.12				percent of total billed charges		74.49				other	OPPS APC	74.49				other	OPPS APC	20.18				percent of total billed charges		20.58				percent of total billed charges		74.49				other	OPPS APC	20.18	74.49	
DEVICE SUTURE 0 30CM STRATAFIX SPIRAL PDS PLUS VIOLET CT-1	SUP-SXPP1B450	CDM			270	RC		inpatient			74.49	74.49																																																			
EPINEPHRINE PER 0.1 MG	636000000	CDM	54288-103-10	NDC	J0171	HCPCS		inpatient			74.38	74.38																																																			
EPINEPHRINE PER 0.1 MG	636000000	CDM	54288-103-10	NDC	J0171	HCPCS		outpatient			74.38	74.38																																															other	OPPS APC			
ELECTRODE DEFIBRILLATOR EDGE SYSTEM QUIK-PACE ADULT RECTANGLE L15.1 CM X W13.3 CM LEADWIRE RADIOTRANSLUCENT DISPOSABLE	SUP-11996-000090	CDM			270	RC		outpatient			74.38	74.38	20.15				percent of total billed charges		74.38				other	OPPS APC	55.04				percent of total billed charges		74.38				other	OPPS APC	74.38				other	OPPS APC	20.15				percent of total billed charges		20.55				percent of total billed charges		74.38				other	OPPS APC	20.15	74.38	
ELECTRODE DEFIBRILLATOR EDGE SYSTEM QUIK-PACE ADULT RECTANGLE L15.1 CM X W13.3 CM LEADWIRE RADIOTRANSLUCENT DISPOSABLE	SUP-11996-000090	CDM			270	RC		inpatient			74.38	74.38																																																			
HC Blood Culture Gram Positive	PX-300871490	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Positive	PX-300871490	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
HC Blood Culture Gram Negative	PX-300871491	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Negative	PX-300871491	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
HC Blood Culture Gram Negative 6	PX-300871492	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Negative 6	PX-300871492	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
HC Blood Culture Gram Negative 7	PX-300871493	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Negative 7	PX-300871493	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
HC Blood Culture Gram Positive 11	PX-300871494	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Positive 11	PX-300871494	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
HC Blood Culture Gram Positive 2	PX-300871495	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Positive 2	PX-300871495	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
HC Blood Culture Gram Positive 1	PX-300871496	CDM	87149	CPT	300	RC		outpatient			74.28	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Blood Culture Gram Positive 1	PX-300871496	CDM	87149	CPT	300	RC		inpatient			74.28	74.28																																																			
WASHER TI ASNIS III 4.0MM	SUP-97-03252	CDM			278	RC		outpatient			74.24	74.24	74.24				fee schedule		74.24				other	OPPS APC	42.32				percent of total billed charges		74.24				other	OPPS APC	74.24				other	OPPS APC	36.38				percent of total billed charges		37.86				percent of total billed charges		74.24				other	OPPS APC	36.38	74.24	
WASHER TI ASNIS III 4.0MM	SUP-97-03252	CDM			278	RC		inpatient			74.24	74.24																																																			
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SYRINGE	636000000	CDM	76329-1240-1	NDC	J3430	HCPCS		inpatient			74.19	74.19																																																			
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SYRINGE	636000000	CDM	76329-1240-1	NDC	J3430	HCPCS		outpatient			74.19	74.19																																															other	OPPS APC			
TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML SOLUTION 1 ML VIAL	250000000	CDM	0517-9305-01	NDC				inpatient			74.13	74.13																																																			
TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML SOLUTION 1 ML VIAL	250000000	CDM	0517-9305-01	NDC				outpatient			74.13	74.13																																															other	OPPS APC			
5F VISTA GUIDE JL 4  LBT	SUP-5560040L	CDM			481	RC		outpatient			74	74	36.26				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	36.26				percent of total billed charges		37.74				percent of total billed charges		74				other	OPPS APC	36.26	74	
5F VISTA GUIDE JL 4  LBT	SUP-5560040L	CDM			481	RC		inpatient			74	74																																																			
5F VISTA GUIDE AL2 LBT	SUP-5560400L	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
5F VISTA GUIDE AL2 LBT	SUP-5560400L	CDM			270	RC		inpatient			74	74																																																			
5F VISTA GUIDE JFL  LBT	SUP-5561620L	CDM			481	RC		outpatient			74	74	36.26				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	36.26				percent of total billed charges		37.74				percent of total billed charges		74				other	OPPS APC	36.26	74	
5F VISTA GUIDE JFL  LBT	SUP-5561620L	CDM			481	RC		inpatient			74	74																																																			
5F VISTA GUIDE RB LBT	SUP-5561720L	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
5F VISTA GUIDE RB LBT	SUP-5561720L	CDM			270	RC		inpatient			74	74																																																			
5F VISTA GUIDE BARBEAU LBT	SUP-5561740L	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
5F VISTA GUIDE BARBEAU LBT	SUP-5561740L	CDM			270	RC		inpatient			74	74																																																			
GUARDIAN HEMOSTASIS VALVE	SUP-8216	CDM			481	RC		outpatient			74	74	36.26				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	36.26				percent of total billed charges		37.74				percent of total billed charges		74				other	OPPS APC	36.26	74	
GUARDIAN HEMOSTASIS VALVE	SUP-8216	CDM			481	RC		inpatient			74	74																																																			
GUIDE PIN ORTHOPEDIC OD2.4 MM FEMUR BREAK AWAY OSTEOTOMY	SUP-AR-13303-2.4	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
GUIDE PIN ORTHOPEDIC OD2.4 MM FEMUR BREAK AWAY OSTEOTOMY	SUP-AR-13303-2.4	CDM			270	RC		inpatient			74	74																																																			
BURR SHAVER OVAL OD3 MM 10 FLUTE	SUP-AR-7300OBT	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
BURR SHAVER OVAL OD3 MM 10 FLUTE	SUP-AR-7300OBT	CDM			270	RC		inpatient			74	74																																																			
CONFORMER OPHTHALMIC MEDIUM OD23 MM PERFORATE	SUP-S6.2231	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
CONFORMER OPHTHALMIC MEDIUM OD23 MM PERFORATE	SUP-S6.2231	CDM			270	RC		inpatient			74	74																																																			
CONFORMER OPHTHALMIC LARGE OD26 MM PERFORATE	SUP-S6.2232	CDM			270	RC		outpatient			74	74	20.05				percent of total billed charges		74				other	OPPS APC	54.76				percent of total billed charges		74				other	OPPS APC	74				other	OPPS APC	20.05				percent of total billed charges		20.45				percent of total billed charges		74				other	OPPS APC	20.05	74	
CONFORMER OPHTHALMIC LARGE OD26 MM PERFORATE	SUP-S6.2232	CDM			270	RC		inpatient			74	74																																																			
DIAZEPAM 5 MG/ML SYRINGE	636000000	CDM	0641-6244-10	NDC	J3360	HCPCS		inpatient			73.83	73.83																																																			
DIAZEPAM 5 MG/ML SYRINGE	636000000	CDM	0641-6244-10	NDC	J3360	HCPCS		outpatient			73.83	73.83																																															other	OPPS APC			
GUIDEWIRE - AMPLATZ XSTIFF 145CM	SUP-99-03538	CDM			272	RC		outpatient			73.72	73.72	19.97				percent of total billed charges		73.72				other	OPPS APC	54.55				percent of total billed charges		73.72				other	OPPS APC	73.72				other	OPPS APC	19.97				percent of total billed charges		20.37				percent of total billed charges		73.72				other	OPPS APC	19.97	73.72	
GUIDEWIRE - AMPLATZ XSTIFF 145CM	SUP-99-03538	CDM			272	RC		inpatient			73.72	73.72																																																			
GUIDEWIRE - AMPLATZ XSTIFF 3MMJ 145CM	SUP-99-03539	CDM			272	RC		outpatient			73.72	73.72	19.97				percent of total billed charges		73.72				other	OPPS APC	54.55				percent of total billed charges		73.72				other	OPPS APC	73.72				other	OPPS APC	19.97				percent of total billed charges		20.37				percent of total billed charges		73.72				other	OPPS APC	19.97	73.72	
GUIDEWIRE - AMPLATZ XSTIFF 3MMJ 145CM	SUP-99-03539	CDM			272	RC		inpatient			73.72	73.72																																																			
GLIDESCOPE SPECTRUM LO PRO S3	SUP-0270-0938	CDM			270	RC		outpatient			73.6	73.6	19.94				percent of total billed charges		73.6				other	OPPS APC	54.46				percent of total billed charges		73.6				other	OPPS APC	73.6				other	OPPS APC	19.94				percent of total billed charges		20.34				percent of total billed charges		73.6				other	OPPS APC	19.94	73.6	
GLIDESCOPE SPECTRUM LO PRO S3	SUP-0270-0938	CDM			270	RC		inpatient			73.6	73.6																																																			
CANNULA ARTHROSCOPIC POLYCARBONATE L75 MM ID7 MM 3 SEAL DAM THREAD OBTURATOR PRESSURE CONTROL STERILE LATEX FREE DISPOSABLE CLEAR	SUP-214116	CDM			270	RC		outpatient			73.6	73.6	19.94				percent of total billed charges		73.6				other	OPPS APC	54.46				percent of total billed charges		73.6				other	OPPS APC	73.6				other	OPPS APC	19.94				percent of total billed charges		20.34				percent of total billed charges		73.6				other	OPPS APC	19.94	73.6	
CANNULA ARTHROSCOPIC POLYCARBONATE L75 MM ID7 MM 3 SEAL DAM THREAD OBTURATOR PRESSURE CONTROL STERILE LATEX FREE DISPOSABLE CLEAR	SUP-214116	CDM			270	RC		inpatient			73.6	73.6																																																			
CANNULA ARTHROSCOPIC POLYCARBONATE L75 MM ID8.5 MM 3 SEAL DAM THREAD OBTURATOR STABILITY PRESSURE CONTROL STERILE LATEX FREE DISPOSABLE	SUP-214120	CDM			270	RC		outpatient			73.6	73.6	19.94				percent of total billed charges		73.6				other	OPPS APC	54.46				percent of total billed charges		73.6				other	OPPS APC	73.6				other	OPPS APC	19.94				percent of total billed charges		20.34				percent of total billed charges		73.6				other	OPPS APC	19.94	73.6	
CANNULA ARTHROSCOPIC POLYCARBONATE L75 MM ID8.5 MM 3 SEAL DAM THREAD OBTURATOR STABILITY PRESSURE CONTROL STERILE LATEX FREE DISPOSABLE	SUP-214120	CDM			270	RC		inpatient			73.6	73.6																																																			
CANNULA 8.5X90MM	SUP-214122	CDM			270	RC		outpatient			73.6	73.6	19.94				percent of total billed charges		73.6				other	OPPS APC	54.46				percent of total billed charges		73.6				other	OPPS APC	73.6				other	OPPS APC	19.94				percent of total billed charges		20.34				percent of total billed charges		73.6				other	OPPS APC	19.94	73.6	
CANNULA 8.5X90MM	SUP-214122	CDM			270	RC		inpatient			73.6	73.6																																																			
PACK ARTERIOGRAM CUSTOM	SUP-DYNJ59260	CDM			270	RC		outpatient			73.29	73.3	19.85				percent of total billed charges		73.29				other	OPPS APC	54.23				percent of total billed charges		73.29				other	OPPS APC	73.29				other	OPPS APC	19.85				percent of total billed charges		20.25				percent of total billed charges		73.3				other	OPPS APC	19.85	73.3	
PACK ARTERIOGRAM CUSTOM	SUP-DYNJ59260	CDM			270	RC		inpatient			73.29	73.29																																																			
PATCH 1 X 6 HEMOSHIELD	SUP-191616	CDM			270	RC		outpatient			73.08	73.8	19.8				percent of total billed charges		73.08				other	OPPS APC	54.08				percent of total billed charges		73.08				other	OPPS APC	73.08				other	OPPS APC	19.8				percent of total billed charges		20.19				percent of total billed charges		73.8				other	OPPS APC	19.8	73.8	
PATCH 1 X 6 HEMOSHIELD	SUP-191616	CDM			270	RC		inpatient			73.08	73.08																																																			
HC Albumin  Urine/Other Source Quantitative Ea.	PX-300820420	CDM	82042	CPT	301	RC		outpatient			73	7.78	2.36				fee schedule		7.78				fee schedule		4.67				fee schedule		7.78				fee schedule		7.78				fee schedule		7.78				fee schedule		7.78				fee schedule		7.78				fee schedule		2.36	7.78	
HC Albumin  Urine/Other Source Quantitative Ea.	PX-300820420	CDM	82042	CPT	301	RC		inpatient			73	73																																																			
HC Urine Microalbumin	PX-300820430	CDM	82043	CPT	301	RC		outpatient			73	5.78	7.73				fee schedule		5.78				fee schedule		15.37				fee schedule		5.78				fee schedule		5.78				fee schedule		5.78				fee schedule		5.78				fee schedule		5.78				fee schedule		5.78	15.37	
HC Urine Microalbumin	PX-300820430	CDM	82043	CPT	301	RC		inpatient			73	73																																																			
HC Calcium Random Urine	PX-300823400	CDM	82340	CPT	301	RC		outpatient			73	6.32	8.07				fee schedule		6.03				fee schedule		16.02				fee schedule		6.03				fee schedule		6.03				fee schedule		6.03				fee schedule		6.03				fee schedule		6.32				fee schedule		6.03	16.02	
HC Calcium Random Urine	PX-300823400	CDM	82340	CPT	301	RC		inpatient			73	73																																																			
HC Ldh	PX-300836150	CDM	83615	CPT	301	RC		outpatient			73	6.4	7.49				fee schedule		6.04				fee schedule		16.04				fee schedule		6.04				fee schedule		6.04				fee schedule		6.04				fee schedule		6.04				fee schedule		6.4				fee schedule		6.04	16.04	
HC Ldh	PX-300836150	CDM	83615	CPT	301	RC		inpatient			73	73																																																			
HC Ast (Sgot)	PX-300844500	CDM	84450	CPT	301	RC		outpatient			73	5.18	6.92				fee schedule		5.18				fee schedule		13.72				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18	13.72	
HC Ast (Sgot)	PX-300844500	CDM	84450	CPT	301	RC		inpatient			73	73																																																			
HC Alt (Sgpt)	PX-300844600	CDM	84460	CPT	301	RC		outpatient			73	5.3	7.08				fee schedule		5.3				fee schedule		14.06				fee schedule		5.3				fee schedule		5.3				fee schedule		5.3				fee schedule		5.3				fee schedule		5.3				fee schedule		5.3	14.06	
HC Alt (Sgpt)	PX-300844600	CDM	84460	CPT	301	RC		inpatient			73	73																																																			
HC Cbc (Cbc)	PX-300850270	CDM	85027	CPT	305	RC		outpatient			73	6.47	8.65				fee schedule		6.47				fee schedule		17.18				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47	17.18	
HC Cbc (Cbc)	PX-300850270	CDM	85027	CPT	305	RC		inpatient			73	73																																																			
HC Ptt Screening	PX-300857300	CDM	85730	CPT	305	RC		outpatient			73	7	8.03				fee schedule		6.01				fee schedule		15.92				fee schedule		6.01				fee schedule		6.01				fee schedule		6.01				fee schedule		6.01				fee schedule		7				fee schedule		6.01	15.92	
HC Ptt Screening	PX-300857300	CDM	85730	CPT	305	RC		inpatient			73	73																																																			
HC C-Reactive Protein  Inflammatory	PX-300861400	CDM	86140	CPT	302	RC		outpatient			73	5.18	6.92				fee schedule		5.18				fee schedule		13.74				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18	13.74	
HC C-Reactive Protein  Inflammatory	PX-300861400	CDM	86140	CPT	302	RC		inpatient			73	73																																																			
HC Ra Test (Ra)	PX-300864300	CDM	86430	CPT	300	RC		outpatient			73	6.14	7.59				fee schedule		6.14				fee schedule		15.07				fee schedule		6.14				fee schedule		6.14				fee schedule		6.14				fee schedule		6.14				fee schedule		6.14				fee schedule		6.14	15.07	
HC Ra Test (Ra)	PX-300864300	CDM	86430	CPT	300	RC		inpatient			73	73																																																			
HC Rheumatoid Factor; Quantitative	PX-300864310	CDM	86431	CPT	302	RC		outpatient			73	5.67	7.59				fee schedule		5.67				fee schedule		15.07				fee schedule		5.67				fee schedule		5.67				fee schedule		5.67				fee schedule		5.67				fee schedule		5.67				fee schedule		5.67	15.07	
HC Rheumatoid Factor; Quantitative	PX-300864310	CDM	86431	CPT	302	RC		inpatient			73	73																																																			
HC Herpes Simplex  Nonspec Type  Antibody	PX-300866940	CDM	86694	CPT	300	RC		outpatient			73	14.39	19.25				fee schedule		14.39				fee schedule		38.21				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39	38.21	
HC Herpes Simplex  Nonspec Type  Antibody	PX-300866940	CDM	86694	CPT	300	RC		inpatient			73	73																																																			
HC Herpes Serology (Hese)	PX-300866941	CDM	86694	CPT	300	RC		outpatient			73	14.39	19.25				fee schedule		14.39				fee schedule		38.21				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39	38.21	
HC Herpes Serology (Hese)	PX-300866941	CDM	86694	CPT	300	RC		inpatient			73	73																																																			
HC Streptococcus  Group A	PX-300878800	CDM	87880	CPT	300	RC		outpatient			73	16.53	14.72				fee schedule		16.53				fee schedule		29.24				fee schedule		16.53				fee schedule		16.53				fee schedule		16.53				fee schedule		16.53				fee schedule		16.53				fee schedule		14.72	29.24	
HC Streptococcus  Group A	PX-300878800	CDM	87880	CPT	300	RC		inpatient			73	73																																																			
HC Special Stain I	PX-310883120	CDM	88312	CPT	310	RC		outpatient			73	52.81	73.61				fee schedule		52.81				other	OPPS APC	42.71				fee schedule		52.81				other	OPPS APC	52.81				other	OPPS APC	35.77				percent of total billed charges		37.23				percent of total billed charges		52.81				other	OPPS APC	35.77	73.61	
HC Special Stain I	PX-310883120	CDM	88312	CPT	310	RC		inpatient			73	73																																																			
HC Adl Training (15 Mins)	PX-430975351	CDM	97535	CPT	430	RC		outpatient			73	33.42	73				percent of total billed charges		33.42				fee schedule		59.04				fee schedule		33.42				fee schedule		33.42				fee schedule		76.39				percent of total billed charges		73				percent of total billed charges		33.42				fee schedule		33.42	76.39	
HC Adl Training (15 Mins)	PX-430975351	CDM	97535	CPT	430	RC		inpatient			73	73																																																			
HC Ot Daily Living Skills 15 Min	PX-430985350	CDM	97535	CPT	430	RC		outpatient			73	33.42	73				percent of total billed charges		33.42				fee schedule		59.04				fee schedule		33.42				fee schedule		33.42				fee schedule		76.39				percent of total billed charges		73				percent of total billed charges		33.42				fee schedule		33.42	76.39	
HC Ot Daily Living Skills 15 Min	PX-430985350	CDM	97535	CPT	430	RC		inpatient			73	73																																																			
INTRODUCER SHEATH SAFESHEATH II .038 IN L13 CM L19.5 CM OD11 FR VASCULAR 3 WAY STOPCOCK TEAR AWAY HEMOSTATIC VALVE SIDEPORT ELASTOMER SNAP LOCKING DILATOR	SUP-SS11_72373	CDM			270	RC		outpatient			73	73	19.78				percent of total billed charges		73				other	OPPS APC	54.02				percent of total billed charges		73				other	OPPS APC	73				other	OPPS APC	19.78				percent of total billed charges		20.17				percent of total billed charges		73				other	OPPS APC	19.78	73	
INTRODUCER SHEATH SAFESHEATH II .038 IN L13 CM L19.5 CM OD11 FR VASCULAR 3 WAY STOPCOCK TEAR AWAY HEMOSTATIC VALVE SIDEPORT ELASTOMER SNAP LOCKING DILATOR	SUP-SS11_72373	CDM			270	RC		inpatient			73	73																																																			
DEVICE PESSARY 1 L29 MM CUBE DRAIN	SUP-30-CUD1	CDM			270	RC		outpatient			72.94	72.94	19.76				percent of total billed charges		72.94				other	OPPS APC	53.98				percent of total billed charges		72.94				other	OPPS APC	72.94				other	OPPS APC	19.76				percent of total billed charges		20.15				percent of total billed charges		72.94				other	OPPS APC	19.76	72.94	
DEVICE PESSARY 1 L29 MM CUBE DRAIN	SUP-30-CUD1	CDM			270	RC		inpatient			72.94	72.94																																																			
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 18FR BALLOON REPLACEMENT BOLSTER	SUP-M00582070	CDM			270	RC		outpatient			72.92	72.92	19.75				percent of total billed charges		72.92				other	OPPS APC	53.96				percent of total billed charges		72.92				other	OPPS APC	72.92				other	OPPS APC	19.75				percent of total billed charges		20.15				percent of total billed charges		72.92				other	OPPS APC	19.75	72.92	
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 18FR BALLOON REPLACEMENT BOLSTER	SUP-M00582070	CDM			270	RC		inpatient			72.92	72.92																																																			
TUBE GASTROSTOMY ENDOVIVE STRAIGHT OD20 FR STANDARD PROFILE REPLACEMENT BALLOON BOLSTER	SUP-M00582080	CDM			270	RC		outpatient			72.92	72.92	19.75				percent of total billed charges		72.92				other	OPPS APC	53.96				percent of total billed charges		72.92				other	OPPS APC	72.92				other	OPPS APC	19.75				percent of total billed charges		20.15				percent of total billed charges		72.92				other	OPPS APC	19.75	72.92	
TUBE GASTROSTOMY ENDOVIVE STRAIGHT OD20 FR STANDARD PROFILE REPLACEMENT BALLOON BOLSTER	SUP-M00582080	CDM			270	RC		inpatient			72.92	72.92																																																			
TUBE GASTROSTOMY ENDOVIVE RIGHT ANGLE OD20 FR BALLOON REPLACEMENT BOLSTER STANDARD PROFILE	SUP-M00582150	CDM			270	RC		outpatient			72.92	72.92	19.75				percent of total billed charges		72.92				other	OPPS APC	53.96				percent of total billed charges		72.92				other	OPPS APC	72.92				other	OPPS APC	19.75				percent of total billed charges		20.15				percent of total billed charges		72.92				other	OPPS APC	19.75	72.92	
TUBE GASTROSTOMY ENDOVIVE RIGHT ANGLE OD20 FR BALLOON REPLACEMENT BOLSTER STANDARD PROFILE	SUP-M00582150	CDM			270	RC		inpatient			72.92	72.92																																																			
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 22FR BALLOON REPLACEMENT BOLSTER	SUP-M00582860	CDM			270	RC		outpatient			72.92	72.92	19.75				percent of total billed charges		72.92				other	OPPS APC	53.96				percent of total billed charges		72.92				other	OPPS APC	72.92				other	OPPS APC	19.75				percent of total billed charges		20.15				percent of total billed charges		72.92				other	OPPS APC	19.75	72.92	
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 22FR BALLOON REPLACEMENT BOLSTER	SUP-M00582860	CDM			270	RC		inpatient			72.92	72.92																																																			
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L12 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.812	CDM	270010022	LOCAL	270	RC		outpatient			72.76	72.77	19.71				percent of total billed charges		72.76				other	OPPS APC	53.84				percent of total billed charges		72.76				other	OPPS APC	72.76				other	OPPS APC	19.71				percent of total billed charges		20.1				percent of total billed charges		72.77				other	OPPS APC	19.71	72.77	
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L12 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.812	CDM	270010022	LOCAL	270	RC		inpatient			72.76	72.76																																																			
SCREW BONE DCP STAINLESS STEEL L14 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.814	CDM	270010022	LOCAL	270	RC		outpatient			72.76	72.77	19.71				percent of total billed charges		72.76				other	OPPS APC	53.84				percent of total billed charges		72.76				other	OPPS APC	72.76				other	OPPS APC	19.71				percent of total billed charges		20.1				percent of total billed charges		72.77				other	OPPS APC	19.71	72.77	
SCREW BONE DCP STAINLESS STEEL L14 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.814	CDM	270010022	LOCAL	270	RC		inpatient			72.76	72.76																																																			
SCREW BONE DCP STAINLESS STEEL L18 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.818	CDM	270010022	LOCAL	270	RC		outpatient			72.76	72.77	19.71				percent of total billed charges		72.76				other	OPPS APC	53.84				percent of total billed charges		72.76				other	OPPS APC	72.76				other	OPPS APC	19.71				percent of total billed charges		20.1				percent of total billed charges		72.77				other	OPPS APC	19.71	72.77	
SCREW BONE DCP STAINLESS STEEL L18 MM OD2.7 MM ODSEC5 MM FOOT HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET MODULAR SYSTEM	SUP-202.818	CDM	270010022	LOCAL	270	RC		inpatient			72.76	72.76																																																			
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L20 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.820	CDM	270010022	LOCAL	270	RC		outpatient			72.76	72.77	19.71				percent of total billed charges		72.76				other	OPPS APC	53.84				percent of total billed charges		72.76				other	OPPS APC	72.76				other	OPPS APC	19.71				percent of total billed charges		20.1				percent of total billed charges		72.77				other	OPPS APC	19.71	72.77	
SCREW BONE DCP STAINLESS STEEL SHORT THREAD L20 MM OD2.7 MM RADIUS CORTICAL DISTAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-202.820	CDM	270010022	LOCAL	270	RC		inpatient			72.76	72.76																																																			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	25021-682-20	NDC				inpatient			72.75	72.75																																																			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	25021-682-20	NDC				outpatient			72.75	72.75																																															other	OPPS APC			
PACLITAXEL PER 30 MG	636000000	CDM	61703-342-50	NDC	J9267	HCPCS		inpatient			72.73	72.73																																																			
PACLITAXEL PER 30 MG	636000000	CDM	61703-342-50	NDC	J9267	HCPCS		outpatient			72.73	72.73																																															other	OPPS APC			
SCREW BONE TITANIUM LOW PROFILE L6 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.806.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM LOW PROFILE L6 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.806.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L7 MM OD1.5 MM CORTICAL SELF TAP BROW LIFT NONSTERILE ORTHOGNATHIC MODULAR FIXATION SYSTEM	SUP-400.807.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L7 MM OD1.5 MM CORTICAL SELF TAP BROW LIFT NONSTERILE ORTHOGNATHIC MODULAR FIXATION SYSTEM	SUP-400.807.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L8 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-400.808.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L8 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAPPING NONSTERILE MINI FRAGMENT SET	SUP-400.808.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L9 MM OD1.5 MM CORTICAL HAND SELF TAPPING NONSTERILE	SUP-400.809.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L9 MM OD1.5 MM CORTICAL HAND SELF TAPPING NONSTERILE	SUP-400.809.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM LOW PROFILE L10 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.810.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM LOW PROFILE L10 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.810.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE 13MM 1.5MM 3MM TITANIUM NS CORTEX SELF TAP MODULAR HAND SYSTEM	SUP-400.813.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE 13MM 1.5MM 3MM TITANIUM NS CORTEX SELF TAP MODULAR HAND SYSTEM	SUP-400.813.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM LOW PROFILE L14 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.814.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM LOW PROFILE L14 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.814.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM LOW PROFILE L18 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.818.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM LOW PROFILE L18 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.818.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM LOW PROFILE L22 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.822.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM LOW PROFILE L22 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.822.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM LOW PROFILE L24 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.824.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM LOW PROFILE L24 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAP THREAD NONSTERILE PERCUTANEOUS REDUCTION FORCEPS MINI FRAGMENT SET	SUP-400.824.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L6 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM LOW PROFILE HEAD NONSTERILE	SUP-401.806.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L6 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM LOW PROFILE HEAD NONSTERILE	SUP-401.806.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L7 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM NONSTERILE	SUP-401.807.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L7 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM NONSTERILE	SUP-401.807.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L8 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP NONSTERILE MODULAR SYSTEM	SUP-401.808.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L8 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP NONSTERILE MODULAR SYSTEM	SUP-401.808.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L9 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET	SUP-401.809.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L9 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP CRUCIFORM NONSTERILE MINI FRAGMENT SET	SUP-401.809.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L10 MM OD2.0 MM CORTICAL SELF TAPPING NONSTERILE	SUP-401.810.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L10 MM OD2.0 MM CORTICAL SELF TAPPING NONSTERILE	SUP-401.810.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L11 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.811.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L11 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.811.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L12 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP NONSTERILE MODULAR SYSTEM	SUP-401.812.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L12 MM OD2 MM ODSEC3.5 MM HAND CORTEX SELF TAP NONSTERILE MODULAR SYSTEM	SUP-401.812.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L13 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.813.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L13 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.813.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L14 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.814.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L14 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.814.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L16 MM OD2 MM ODSEC3.5 MM CRANIOMAXILLOFACIAL CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE MODULAR HAND SYSTEM	SUP-401.816.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L16 MM OD2 MM ODSEC3.5 MM CRANIOMAXILLOFACIAL CORTICAL SELF TAPPING CRUCIFORM RECESS NONSTERILE MODULAR HAND SYSTEM	SUP-401.816.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L18 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.818.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L18 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.818.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE 20MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.820.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE 20MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.820.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE 22MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.822.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE 22MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.822.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L24 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.824.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L24 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.824.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L26 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.826.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L26 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.826.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE TITANIUM L28 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.828.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE TITANIUM L28 MM OD2 MM ODSEC3.5 MM HAND CORTICAL SELF TAP CRUCIFORM NONSTERILE	SUP-401.828.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE 30MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.830.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE 30MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.830.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
SCREW BONE 32MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.832.96	CDM	270010022	LOCAL	270	RC		outpatient			72.6	72.6	19.67				percent of total billed charges		72.6				other	OPPS APC	53.72				percent of total billed charges		72.6				other	OPPS APC	72.6				other	OPPS APC	19.67				percent of total billed charges		20.06				percent of total billed charges		72.6				other	OPPS APC	19.67	72.6	
SCREW BONE 32MM 2MM 3.5MM TITANIUM NS CORTEX SELF TAP CRUCIFORM MODULAR HAND SYSTEM	SUP-401.832.96	CDM	270010022	LOCAL	270	RC		inpatient			72.6	72.6																																																			
3/16 PERROTA DRAIN	SUP-74-00050	CDM			272	RC		outpatient			72.38	72.38	19.61				percent of total billed charges		72.38				other	OPPS APC	53.56				percent of total billed charges		72.38				other	OPPS APC	72.38				other	OPPS APC	19.61				percent of total billed charges		20				percent of total billed charges		72.38				other	OPPS APC	19.61	72.38	
3/16 PERROTA DRAIN	SUP-74-00050	CDM			272	RC		inpatient			72.38	72.38																																																			
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 16FR BALLOON REPLACEMENT BOLSTER	SUP-M00582060	CDM			270	RC		outpatient			72.28	72.28	19.58				percent of total billed charges		72.28				other	OPPS APC	53.49				percent of total billed charges		72.28				other	OPPS APC	72.28				other	OPPS APC	19.58				percent of total billed charges		19.97				percent of total billed charges		72.28				other	OPPS APC	19.58	72.28	
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 16FR BALLOON REPLACEMENT BOLSTER	SUP-M00582060	CDM			270	RC		inpatient			72.28	72.28																																																			
SHARPS 18GAL NEEDLE & SYRINGE DISPOSAL	SUP-07-00020	CDM			272	RC		outpatient			72.26	72.27	19.58				percent of total billed charges		72.26				other	OPPS APC	53.47				percent of total billed charges		72.26				other	OPPS APC	72.26				other	OPPS APC	19.58				percent of total billed charges		19.97				percent of total billed charges		72.27				other	OPPS APC	19.58	72.27	
SHARPS 18GAL NEEDLE & SYRINGE DISPOSAL	SUP-07-00020	CDM			272	RC		inpatient			72.26	72.26																																																			
CONTAINER HISTOLOGY SURE-LOK 10% NEUTRAL BUFFER FORMALIN 95 KPA C1.25 GL .6 GL PREFILL	SUP-BF125GAZER	CDM						inpatient			72.26	72.26																																																			
CONTAINER HISTOLOGY SURE-LOK 10% NEUTRAL BUFFER FORMALIN 95 KPA C1.25 GL .6 GL PREFILL	SUP-BF125GAZER	CDM						outpatient			72.26	72.27	72.26				percent of total billed charges		72.26				other	OPPS APC	72.26				fee schedule		72.26				other	OPPS APC	72.26				other	OPPS APC	72.26				case rate		72.26				case rate		72.27				other	OPPS APC	72.26	72.27	
GUIDEWIRE ORTHOPEDIC 300MM 2.8MM SS NS THREAD TROCAR POINT	SUP-292.68	CDM	270010022	LOCAL	270	RC		outpatient			72.24	72.24	19.57				percent of total billed charges		72.24				other	OPPS APC	53.46				percent of total billed charges		72.24				other	OPPS APC	72.24				other	OPPS APC	19.57				percent of total billed charges		19.96				percent of total billed charges		72.24				other	OPPS APC	19.57	72.24	
GUIDEWIRE ORTHOPEDIC 300MM 2.8MM SS NS THREAD TROCAR POINT	SUP-292.68	CDM	270010022	LOCAL	270	RC		inpatient			72.24	72.24																																																			
TUBE GASTROSTOMY KANGAROO 18FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-DYND70318	CDM			270	RC		outpatient			72.12	72.13	19.54				percent of total billed charges		72.12				other	OPPS APC	53.37				percent of total billed charges		72.12				other	OPPS APC	72.12				other	OPPS APC	19.54				percent of total billed charges		19.93				percent of total billed charges		72.13				other	OPPS APC	19.54	72.13	
TUBE GASTROSTOMY KANGAROO 18FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-DYND70318	CDM			270	RC		inpatient			72.12	72.12																																																			
TUBE GASTROSTOMY SILICONE L9.5 IN OD20 FR 15 CC 3 PORT GASTRIC BALLOON ROUND TIP LATEX FREE WHITE	SUP-DYND70320	CDM	270009103	LOCAL	270	RC		outpatient			72.12	72.13	19.54				percent of total billed charges		72.12				other	OPPS APC	53.37				percent of total billed charges		72.12				other	OPPS APC	72.12				other	OPPS APC	19.54				percent of total billed charges		19.93				percent of total billed charges		72.13				other	OPPS APC	19.54	72.13	
TUBE GASTROSTOMY SILICONE L9.5 IN OD20 FR 15 CC 3 PORT GASTRIC BALLOON ROUND TIP LATEX FREE WHITE	SUP-DYND70320	CDM	270009103	LOCAL	270	RC		inpatient			72.12	72.12																																																			
OMNI JUGS	SUP-24-00015	CDM			271	RC		outpatient			72.06	72.62	19.52				percent of total billed charges		72.06				other	OPPS APC	53.32				percent of total billed charges		72.06				other	OPPS APC	72.06				other	OPPS APC	19.52				percent of total billed charges		19.91				percent of total billed charges		72.62				other	OPPS APC	19.52	72.62	
OMNI JUGS	SUP-24-00015	CDM			271	RC		inpatient			72.06	72.06																																																			
SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SOLUTION	250000000	CDM	0143-9638-05	NDC				inpatient			72	72																																																			
SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SOLUTION	250000000	CDM	0143-9638-05	NDC				outpatient			72	72																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	0338-3552-48	NDC	J3370	HCPCS		inpatient			72	72																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	0338-3552-48	NDC	J3370	HCPCS		outpatient			72	72																																															other	OPPS APC			
HC Candida  Dna  Dir Probe	PX-306874800	CDM	87480	CPT	306	RC		outpatient			72	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Candida  Dna  Dir Probe	PX-306874800	CDM	87480	CPT	306	RC		inpatient			72	72																																																			
HC Gardner Vag  Dna  Dir Probe	PX-306875100	CDM	87510	CPT	306	RC		outpatient			72	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Gardner Vag  Dna  Dir Probe	PX-306875100	CDM	87510	CPT	306	RC		inpatient			72	72																																																			
HC Trichomonas Vagin  Dir Probe	PX-306876600	CDM	87660	CPT	306	RC		outpatient			72	2.51	26.81				fee schedule		20.05				fee schedule		53.24				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		20.05				fee schedule		2.51				fee schedule		2.51	53.24	
HC Trichomonas Vagin  Dir Probe	PX-306876600	CDM	87660	CPT	306	RC		inpatient			72	72																																																			
HC Extrem Pump 8-22 Min	PX-420970160	CDM	97016	CPT	420	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Extrem Pump 8-22 Min	PX-420970160	CDM	97016	CPT	420	RC		inpatient			72	72																																																			
HC Extrem Pump 23-37	PX-420970161	CDM	97016	CPT	420	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Extrem Pump 23-37	PX-420970161	CDM	97016	CPT	420	RC		inpatient			72	72																																																			
HC Extrem Pump 38-52	PX-420970162	CDM	97016	CPT	420	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Extrem Pump 38-52	PX-420970162	CDM	97016	CPT	420	RC		inpatient			72	72																																																			
HC Extrem Pump 53-67	PX-420970163	CDM	97016	CPT	420	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Extrem Pump 53-67	PX-420970163	CDM	97016	CPT	420	RC		inpatient			72	72																																																			
HC Extrem Pump 68-82 Min	PX-420970164	CDM	97016	CPT	420	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Extrem Pump 68-82 Min	PX-420970164	CDM	97016	CPT	420	RC		inpatient			72	72																																																			
HC Vasopneumatic Device	PX-420970165	CDM	97016	CPT	420	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Vasopneumatic Device	PX-420970165	CDM	97016	CPT	420	RC		inpatient			72	72																																																			
HC Vasopneumatic Device	PX-430970161	CDM	97016	CPT	430	RC		outpatient			72	11.92	72				percent of total billed charges		11.92				fee schedule		52.89				fee schedule		11.92				fee schedule		11.92				fee schedule		75.34				percent of total billed charges		72				percent of total billed charges		11.92				fee schedule		11.92	75.34	
HC Vasopneumatic Device	PX-430970161	CDM	97016	CPT	430	RC		inpatient			72	72																																																			
HC Diabetes OP Self Mgmt Ind. Rn	PX-942990780	CDM	98960	CPT	942	RC		outpatient			72	53.84	72				fee schedule		72				other	OPPS APC	53.28				percent of total billed charges		53.84				fee schedule		53.84				fee schedule		29.05				fee schedule		36.72				percent of total billed charges		53.84				fee schedule		29.05	72	
HC Diabetes OP Self Mgmt Ind. Rn	PX-942990780	CDM	98960	CPT	942	RC		inpatient			72	72																																																			
GLIDESCOPE SPECTRUM LO PRO S4	SUP-0270-0939	CDM			270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
GLIDESCOPE SPECTRUM LO PRO S4	SUP-0270-0939	CDM			270	RC		inpatient			72	72																																																			
SCREW BONE STAINLESS STEEL L60 MM OD2.7 MM CALCANEUS CORTICAL SELF TAPPING NONSTERILE	SUP-202.860	CDM	270010022	LOCAL	270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
SCREW BONE STAINLESS STEEL L60 MM OD2.7 MM CALCANEUS CORTICAL SELF TAPPING NONSTERILE	SUP-202.860	CDM	270010022	LOCAL	270	RC		inpatient			72	72																																																			
GLIDESCOPE COVER #3 COBALT/RANGER	SUP-31-00062	CDM			272	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
GLIDESCOPE COVER #3 COBALT/RANGER	SUP-31-00062	CDM			272	RC		inpatient			72	72																																																			
GLIDESCOPE COVER #4 COBALT/RANGER	SUP-31-00063	CDM			272	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
GLIDESCOPE COVER #4 COBALT/RANGER	SUP-31-00063	CDM			272	RC		inpatient			72	72																																																			
WRAP SHOULDER W/COLD PACKS	SUP-74-00179	CDM			272	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
WRAP SHOULDER W/COLD PACKS	SUP-74-00179	CDM			272	RC		inpatient			72	72																																																			
DISP CEMENT SCULPS	SUP-78-00330	CDM			272	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
DISP CEMENT SCULPS	SUP-78-00330	CDM			272	RC		inpatient			72	72																																																			
TIP PHACOEMULSIFICATION 1.1MM ABS 45D ROUND FLARE STERILE DISPOSABLE	SUP-8065740807	CDM	270009056	LOCAL	270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
TIP PHACOEMULSIFICATION 1.1MM ABS 45D ROUND FLARE STERILE DISPOSABLE	SUP-8065740807	CDM	270009056	LOCAL	270	RC		inpatient			72	72																																																			
TIP PHACOEMULSIFICATION ABS MICROTIP 30 D STRAIGHT ROUND OD.9 MM FACO	SUP-8065790020	CDM	270009056	LOCAL	270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
TIP PHACOEMULSIFICATION ABS MICROTIP 30 D STRAIGHT ROUND OD.9 MM FACO	SUP-8065790020	CDM	270009056	LOCAL	270	RC		inpatient			72	72																																																			
TIP PHACOEMULSIFICATION 45 D ROUND	SUP-8065790021	CDM	270009056	LOCAL	270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
TIP PHACOEMULSIFICATION 45 D ROUND	SUP-8065790021	CDM	270009056	LOCAL	270	RC		inpatient			72	72																																																			
TIP PHACOEMULSIFICATION ABS KELMAN 45 D OD.9 MM EYE CATARACT CUSTOM TRAY STERILE DISPOSABLE	SUP-8065790023	CDM	270009056	LOCAL	270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
TIP PHACOEMULSIFICATION ABS KELMAN 45 D OD.9 MM EYE CATARACT CUSTOM TRAY STERILE DISPOSABLE	SUP-8065790023	CDM	270009056	LOCAL	270	RC		inpatient			72	72																																																			
CANNULA SEAL 5MM-8MM DAVINCI	SUP-95-04877	CDM			272	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
CANNULA SEAL 5MM-8MM DAVINCI	SUP-95-04877	CDM			272	RC		inpatient			72	72																																																			
GUPPIES FLUID DIAMOND	SUP-97-01405	CDM			271	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
GUPPIES FLUID DIAMOND	SUP-97-01405	CDM			271	RC		inpatient			72	72																																																			
K WIRE 2.3X 150MM	SUP-97-02351	CDM			278	RC		outpatient			72	72	72				fee schedule		72				other	OPPS APC	41.04				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	35.28				percent of total billed charges		36.72				percent of total billed charges		72				other	OPPS APC	35.28	72	
K WIRE 2.3X 150MM	SUP-97-02351	CDM			278	RC		inpatient			72	72																																																			
K WIRE 0.9	SUP-97-02951	CDM			278	RC		outpatient			72	72	72				fee schedule		72				other	OPPS APC	41.04				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	35.28				percent of total billed charges		36.72				percent of total billed charges		72				other	OPPS APC	35.28	72	
K WIRE 0.9	SUP-97-02951	CDM			278	RC		inpatient			72	72																																																			
GUIDE PIN ORTHOPEDIC WAVE L130 MM OD1.6 MM TOP TRAY	SUP-ZPGP16	CDM			270	RC		outpatient			72	72	19.5				percent of total billed charges		72				other	OPPS APC	53.28				percent of total billed charges		72				other	OPPS APC	72				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		72				other	OPPS APC	19.5	72	
GUIDE PIN ORTHOPEDIC WAVE L130 MM OD1.6 MM TOP TRAY	SUP-ZPGP16	CDM			270	RC		inpatient			72	72																																																			
GUIDEWIRE VASCULAR COONS STAINLESS STEEL PTFE 3.5 CM STRAIGHT TAPER FLOPPY L260 CM L15 CM OD.035 IN HEAVY DUTY FLEXIBLE TIP INTERVENTIONAL ATRAUMATIC	SUP-G02622	CDM			270	RC		outpatient			71.98	71.98	19.5				percent of total billed charges		71.98				other	OPPS APC	53.27				percent of total billed charges		71.98				other	OPPS APC	71.98				other	OPPS APC	19.5				percent of total billed charges		19.89				percent of total billed charges		71.98				other	OPPS APC	19.5	71.98	
GUIDEWIRE VASCULAR COONS STAINLESS STEEL PTFE 3.5 CM STRAIGHT TAPER FLOPPY L260 CM L15 CM OD.035 IN HEAVY DUTY FLEXIBLE TIP INTERVENTIONAL ATRAUMATIC	SUP-G02622	CDM			270	RC		inpatient			71.98	71.98																																																			
SHEATH - 6FX11 MARKER TIP	SUP-99-00225	CDM			272	RC		outpatient			71.96	71.96	19.49				percent of total billed charges		71.96				other	OPPS APC	53.25				percent of total billed charges		71.96				other	OPPS APC	71.96				other	OPPS APC	19.49				percent of total billed charges		19.88				percent of total billed charges		71.96				other	OPPS APC	19.49	71.96	
SHEATH - 6FX11 MARKER TIP	SUP-99-00225	CDM			272	RC		inpatient			71.96	71.96																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-056-01	NDC	J1650	HCPCS		inpatient			71.75	71.75																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-056-01	NDC	J1650	HCPCS		outpatient			71.75	71.75																																															other	OPPS APC			
SCREW CORTEX 2.0MM 26MM	SUP-210.375.97	CDM	270010022	LOCAL	270	RC		outpatient			71.72	71.72	19.43				percent of total billed charges		71.72				other	OPPS APC	53.07				percent of total billed charges		71.72				other	OPPS APC	71.72				other	OPPS APC	19.43				percent of total billed charges		19.82				percent of total billed charges		71.72				other	OPPS APC	19.43	71.72	
SCREW CORTEX 2.0MM 26MM	SUP-210.375.97	CDM	270010022	LOCAL	270	RC		inpatient			71.72	71.72																																																			
DIRECT SUCTION TUBING SET-UROLOGY	SUP-030647-10	CDM						inpatient			71.68	71.68																																																			
DIRECT SUCTION TUBING SET-UROLOGY	SUP-030647-10	CDM						outpatient			71.68	71.69	71.68				percent of total billed charges		71.68				other	OPPS APC	71.68				fee schedule		71.68				other	OPPS APC	71.68				other	OPPS APC	71.68				case rate		71.68				case rate		71.69				other	OPPS APC	71.68	71.69	
DEVICE TROCLEAN TROCAR CLEANING	SUP-95-04926	CDM			272	RC		outpatient			71.52	71.52	19.37				percent of total billed charges		71.52				other	OPPS APC	52.92				percent of total billed charges		71.52				other	OPPS APC	71.52				other	OPPS APC	19.37				percent of total billed charges		19.76				percent of total billed charges		71.52				other	OPPS APC	19.37	71.52	
DEVICE TROCLEAN TROCAR CLEANING	SUP-95-04926	CDM			272	RC		inpatient			71.52	71.52																																																			
PIN FIXATION STEINMANN STAINLESS STEEL L100 MM OD2.5 MM SMOOTH	SUP-45-80300	CDM			270	RC		outpatient			71.5	71.5	19.37				percent of total billed charges		71.5				other	OPPS APC	52.91				percent of total billed charges		71.5				other	OPPS APC	71.5				other	OPPS APC	19.37				percent of total billed charges		19.76				percent of total billed charges		71.5				other	OPPS APC	19.37	71.5	
PIN FIXATION STEINMANN STAINLESS STEEL L100 MM OD2.5 MM SMOOTH	SUP-45-80300	CDM			270	RC		inpatient			71.5	71.5																																																			
HC Legionella Urinary Antigen	PX-300874490	CDM	87449	CPT	306	RC		outpatient			71.45	11.98	14.72				fee schedule		11.98				fee schedule		29.24				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98	29.24	
HC Legionella Urinary Antigen	PX-300874490	CDM	87449	CPT	306	RC		inpatient			71.45	71.45																																																			
HC Fungitell  Bal	PX-300874491	CDM	87449	CPT	300	RC		outpatient			71.45	11.98	14.72				fee schedule		11.98				fee schedule		29.24				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98	29.24	
HC Fungitell  Bal	PX-300874491	CDM	87449	CPT	300	RC		inpatient			71.45	71.45																																																			
WRAP THERAPEUTIC ACTIVEWRAP PLUSH LARGE XL OD16+ IN LEG KNEE THERMAL SUPPORT GEL PACK POST OPERATIVE NONSTERILE LATEX FREE	SUP-9373-05	CDM			270	RC		outpatient			71.44	71.44	19.35				percent of total billed charges		71.44				other	OPPS APC	52.87				percent of total billed charges		71.44				other	OPPS APC	71.44				other	OPPS APC	19.35				percent of total billed charges		19.74				percent of total billed charges		71.44				other	OPPS APC	19.35	71.44	
WRAP THERAPEUTIC ACTIVEWRAP PLUSH LARGE XL OD16+ IN LEG KNEE THERMAL SUPPORT GEL PACK POST OPERATIVE NONSTERILE LATEX FREE	SUP-9373-05	CDM			270	RC		inpatient			71.44	71.44																																																			
KIT THROMBECTOMY ANGIOJET ULTRA L145 CM L15 MM OD1.5 MM ODSEC3-4 FR ULTRA SYSTEM OTW MARKER BAND CONTRAST INJECTION PORT POWER PULSE LATEX FREE ACCEPTS .014 IN GUIDEWIRE ACCEPTS 4 FR SHEATH	SUP-104834-002	CDM			270	RC		outpatient			71.4	71.46	19.34				percent of total billed charges		71.4				other	OPPS APC	52.84				percent of total billed charges		71.4				other	OPPS APC	71.4				other	OPPS APC	19.34				percent of total billed charges		19.73				percent of total billed charges		71.46				other	OPPS APC	19.34	71.46	
KIT THROMBECTOMY ANGIOJET ULTRA L145 CM L15 MM OD1.5 MM ODSEC3-4 FR ULTRA SYSTEM OTW MARKER BAND CONTRAST INJECTION PORT POWER PULSE LATEX FREE ACCEPTS .014 IN GUIDEWIRE ACCEPTS 4 FR SHEATH	SUP-104834-002	CDM			270	RC		inpatient			71.4	71.4																																																			
GUIDEWIRE VASCULAR ROADRUNNER PC NIMBLE NITINOL PLATINUM HYDROPHILIC L145 CM OD.035 IN ANGLE SHORT TAPER FLEXIBLE SHAFT	SUP-G09607	CDM			270	RC		outpatient			71.26	71.27	19.3				percent of total billed charges		71.26				other	OPPS APC	52.73				percent of total billed charges		71.26				other	OPPS APC	71.26				other	OPPS APC	19.3				percent of total billed charges		19.69				percent of total billed charges		71.27				other	OPPS APC	19.3	71.27	
GUIDEWIRE VASCULAR ROADRUNNER PC NIMBLE NITINOL PLATINUM HYDROPHILIC L145 CM OD.035 IN ANGLE SHORT TAPER FLEXIBLE SHAFT	SUP-G09607	CDM			270	RC		inpatient			71.26	71.26																																																			
RESERVOIR OPHTHALMIC REPLACEMENT BACKFLUSH STERILE	SUP-1281.A1D	CDM			270	RC		outpatient			71.2	71.23	19.29				percent of total billed charges		71.2				other	OPPS APC	52.69				percent of total billed charges		71.2				other	OPPS APC	71.2				other	OPPS APC	19.29				percent of total billed charges		19.67				percent of total billed charges		71.23				other	OPPS APC	19.29	71.23	
RESERVOIR OPHTHALMIC REPLACEMENT BACKFLUSH STERILE	SUP-1281.A1D	CDM			270	RC		inpatient			71.2	71.2																																																			
4F MICROPUNTURE SHEATH 4CM PEDS	SUP-MPIS-401-PED-U-SST	CDM			270	RC		outpatient			71.2	71.23	19.29				percent of total billed charges		71.2				other	OPPS APC	52.69				percent of total billed charges		71.2				other	OPPS APC	71.2				other	OPPS APC	19.29				percent of total billed charges		19.67				percent of total billed charges		71.23				other	OPPS APC	19.29	71.23	
4F MICROPUNTURE SHEATH 4CM PEDS	SUP-MPIS-401-PED-U-SST	CDM			270	RC		inpatient			71.2	71.2																																																			
HC Co2 (Co2)	PX-300823740	CDM	82374	CPT	300	RC		outpatient			71	71	6.54				fee schedule		71				fee schedule		12.98				fee schedule		71				fee schedule		71				fee schedule		4.88				fee schedule		4.88				fee schedule		71				fee schedule		4.88	71	
HC Co2 (Co2)	PX-300823740	CDM	82374	CPT	300	RC		inpatient			71	71																																																			
HC Methylalonic Acid  Serum(Mmas)	PX-300839210	CDM	83921	CPT	301	RC		outpatient			71	21.21	22				fee schedule		21.21				fee schedule		43.7				fee schedule		21.21				fee schedule		21.21				fee schedule		21.21				fee schedule		21.21				fee schedule		21.21				fee schedule		21.21	43.7	
HC Methylalonic Acid  Serum(Mmas)	PX-300839210	CDM	83921	CPT	301	RC		inpatient			71	71																																																			
FORCEPS  HOT BIOPSY	SUP-95-00814	CDM			272	RC		outpatient			71	71	19.23				percent of total billed charges		71				other	OPPS APC	52.54				percent of total billed charges		71				other	OPPS APC	71				other	OPPS APC	19.23				percent of total billed charges		19.62				percent of total billed charges		71				other	OPPS APC	19.23	71	
FORCEPS  HOT BIOPSY	SUP-95-00814	CDM			272	RC		inpatient			71	71																																																			
BRUSH CYTOLOGY SUPERTRAX INREACH L120 CM L2 MM OD1.7 MM METAL TIPPED SHEATH STERILE DISPOSABLE TOOL	SUP-AKI00100-01	CDM			270	RC		outpatient			70.8	7.8	19.18				percent of total billed charges		70.8				other	OPPS APC	52.39				percent of total billed charges		70.8				other	OPPS APC	70.8				other	OPPS APC	19.18				percent of total billed charges		19.56				percent of total billed charges		7.8				other	OPPS APC	7.8	70.8	
BRUSH CYTOLOGY SUPERTRAX INREACH L120 CM L2 MM OD1.7 MM METAL TIPPED SHEATH STERILE DISPOSABLE TOOL	SUP-AKI00100-01	CDM			270	RC		inpatient			70.8	70.8																																																			
HC St Develop Cognitive Skills Ea Add'l 15 Min	PX-440971301	CDM	97130	CPT	440	RC		outpatient			70.75	21.28	70.75				percent of total billed charges		21.28				fee schedule		52.36				percent of total billed charges		21.28				fee schedule		21.28				fee schedule		74.03				percent of total billed charges		70.75				percent of total billed charges		21.28				fee schedule		21.28	74.03	
HC St Develop Cognitive Skills Ea Add'l 15 Min	PX-440971301	CDM	97130	CPT	440	RC		inpatient			70.75	70.75																																																			
ORTHOSIS HAND WRIST LEFT	SUP-95-01704	CDM			272	RC		outpatient			70.72	7.72	19.16				percent of total billed charges		70.72				other	OPPS APC	52.33				percent of total billed charges		70.72				other	OPPS APC	70.72				other	OPPS APC	19.16				percent of total billed charges		19.54				percent of total billed charges		7.72				other	OPPS APC	7.72	70.72	
ORTHOSIS HAND WRIST LEFT	SUP-95-01704	CDM			272	RC		inpatient			70.72	70.72																																																			
ORTHOSIS HAND WRIST RIGHT	SUP-95-01705	CDM			272	RC		outpatient			70.72	7.72	19.16				percent of total billed charges		70.72				other	OPPS APC	52.33				percent of total billed charges		70.72				other	OPPS APC	70.72				other	OPPS APC	19.16				percent of total billed charges		19.54				percent of total billed charges		7.72				other	OPPS APC	7.72	70.72	
ORTHOSIS HAND WRIST RIGHT	SUP-95-01705	CDM			272	RC		inpatient			70.72	70.72																																																			
SKIN STAPLER 35W ROTATOR	SUP-74-00061	CDM			272	RC		outpatient			70.7	7.73	19.15				percent of total billed charges		70.7				other	OPPS APC	52.32				percent of total billed charges		70.7				other	OPPS APC	70.7				other	OPPS APC	19.15				percent of total billed charges		19.53				percent of total billed charges		7.73				other	OPPS APC	7.73	70.7	
SKIN STAPLER 35W ROTATOR	SUP-74-00061	CDM			272	RC		inpatient			70.7	70.7																																																			
SCREW BONE LCP STAINLESS STEEL L85 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.885	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE LCP STAINLESS STEEL L85 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.885	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 110MM	SUP-214.910	CDM	270010025	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW 4.5MM SELF-TAPPING CORTEX 110MM	SUP-214.910	CDM	270010025	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 115MM	SUP-214.915	CDM	270010025	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW 4.5MM SELF-TAPPING CORTEX 115MM	SUP-214.915	CDM	270010025	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 120MM	SUP-214.920	CDM	270010025	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW 4.5MM SELF-TAPPING CORTEX 120MM	SUP-214.920	CDM	270010025	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 125MM	SUP-214.925	CDM	270010025	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW 4.5MM SELF-TAPPING CORTEX 125MM	SUP-214.925	CDM	270010025	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW 4.5MM SELF-TAPPING CORTEX 130MM	SUP-214.930	CDM	270010025	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW 4.5MM SELF-TAPPING CORTEX 130MM	SUP-214.930	CDM	270010025	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW BONE PARTIAL THREAD 85MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.085	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE PARTIAL THREAD 85MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.085	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW BONE PARTIAL THREAD 95MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.095	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE PARTIAL THREAD 95MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.095	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW BONE PARTIAL THREAD 105MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.105	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE PARTIAL THREAD 105MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.105	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L85 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.085	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L85 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.085	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW BONE PARTIAL THREAD 95MM 32MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-217.095	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE PARTIAL THREAD 95MM 32MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-217.095	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L105 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.105	CDM	270010022	LOCAL	270	RC		outpatient			70.58	7.58	19.12				percent of total billed charges		70.58				other	OPPS APC	52.23				percent of total billed charges		70.58				other	OPPS APC	70.58				other	OPPS APC	19.12				percent of total billed charges		19.5				percent of total billed charges		7.58				other	OPPS APC	7.58	70.58	
SCREW BONE LCP DCP LC-DCP STAINLESS STEEL LARGE HEXAGON L105 MM L32 MM OD6.5 MM ODSEC8 MM LONG BONE CANCELLOUS SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.105	CDM	270010022	LOCAL	270	RC		inpatient			70.58	70.58																																																			
TUBING CONNECTING 14 FR URETER	SUP-70-00022	CDM			272	RC		outpatient			70.51	7.52	19.1				percent of total billed charges		70.51				other	OPPS APC	52.18				percent of total billed charges		70.51				other	OPPS APC	70.51				other	OPPS APC	19.1				percent of total billed charges		19.48				percent of total billed charges		7.52				other	OPPS APC	7.52	70.51	
TUBING CONNECTING 14 FR URETER	SUP-70-00022	CDM			272	RC		inpatient			70.51	70.51																																																			
RETAINER INTERNAL ORGAN FISH GLASSMAN XL L10.5 IN X W7 IN VISCERAL RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-3207	CDM						inpatient			70.4	70.4																																																			
RETAINER INTERNAL ORGAN FISH GLASSMAN XL L10.5 IN X W7 IN VISCERAL RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-3207	CDM						outpatient			70.4	7.46	70.4				percent of total billed charges		70.4				other	OPPS APC	70.4				fee schedule		70.4				other	OPPS APC	70.4				other	OPPS APC	70.4				case rate		70.4				case rate		7.46				other	OPPS APC	7.46	70.4	
SUTURE NONABSORBABLE GORE-TEX CV-7 PT-13 L24 IN 2 ARM MONOFILAMENT WHITE	SUP-7K08A	CDM			270	RC		outpatient			70.33	7.33	19.05				percent of total billed charges		70.33				other	OPPS APC	52.04				percent of total billed charges		70.33				other	OPPS APC	70.33				other	OPPS APC	19.05				percent of total billed charges		19.43				percent of total billed charges		7.33				other	OPPS APC	7.33	70.33	
SUTURE NONABSORBABLE GORE-TEX CV-7 PT-13 L24 IN 2 ARM MONOFILAMENT WHITE	SUP-7K08A	CDM			270	RC		inpatient			70.33	70.33																																																			
SPLINT POST TIB/FIB W/ PADDING	SUP-35-00035	CDM			271	RC		outpatient			70.28	7.28	19.04				percent of total billed charges		70.28				other	OPPS APC	52.01				percent of total billed charges		70.28				other	OPPS APC	70.28				other	OPPS APC	19.04				percent of total billed charges		19.42				percent of total billed charges		7.28				other	OPPS APC	7.28	70.28	
SPLINT POST TIB/FIB W/ PADDING	SUP-35-00035	CDM			271	RC		inpatient			70.28	70.28																																																			
NEEDLE SCLEROTHERAPY STAR CATHETER INTERJECT L4 MM L240 CM OD25 GA ODSEC2.3 MM BEVEL STRONG PUSHABLE CONTRAST SHEATH SPACER CLIP DISPOSABLE RED	SUP-1836	CDM			270	RC		outpatient			70.1	8	18.99				percent of total billed charges		70.1				other	OPPS APC	51.87				percent of total billed charges		70.1				other	OPPS APC	70.1				other	OPPS APC	18.99				percent of total billed charges		19.37				percent of total billed charges		8				other	OPPS APC	8	70.1	
NEEDLE SCLEROTHERAPY STAR CATHETER INTERJECT L4 MM L240 CM OD25 GA ODSEC2.3 MM BEVEL STRONG PUSHABLE CONTRAST SHEATH SPACER CLIP DISPOSABLE RED	SUP-1836	CDM			270	RC		inpatient			70.1	70.1																																																			
HC Infusion Hydration 0-1 Hr	PX-260963600	CDM	96360	CPT	761	RC		outpatient			70	217.56	195.77				case rate		217.56				other	OPPS APC	452.44				fee schedule		217.56				other	OPPS APC	217.56				other	OPPS APC	195.77				case rate		35.7				percent of total billed charges		217.56				other	OPPS APC	35.7	452.44	
HC Infusion Hydration 0-1 Hr	PX-260963600	CDM	96360	CPT	761	RC		inpatient			70	70																																																			
HC Calprotectin  Fecal	PX-300839930	CDM	83993	CPT	301	RC		outpatient			70	19.63	26.24				fee schedule		19.63				fee schedule		52.82				fee schedule		19.63				fee schedule		19.63				fee schedule		19.63				fee schedule		19.63				fee schedule		19.63				fee schedule		19.63	52.82	
HC Calprotectin  Fecal	PX-300839930	CDM	83993	CPT	301	RC		inpatient			70	70																																																			
HC Somatomedin C (Somc)	PX-300843050	CDM	84305	CPT	300	RC		outpatient			70	21.26	26.26				fee schedule		21.26				fee schedule		46.17				fee schedule		21.26				fee schedule		21.26				fee schedule		21.26				fee schedule		21.26				fee schedule		21.26				fee schedule		21.26	46.17	
HC Somatomedin C (Somc)	PX-300843050	CDM	84305	CPT	300	RC		inpatient			70	70																																																			
HC Urea Nitrogen Random	PX-300845400	CDM	84540	CPT	301	RC		outpatient			70	5.56	6.35				fee schedule		5.56				fee schedule		12.62				fee schedule		5.56				fee schedule		5.56				fee schedule		5.56				fee schedule		5.56				fee schedule		5.56				fee schedule		5.56	12.62	
HC Urea Nitrogen Random	PX-300845400	CDM	84540	CPT	301	RC		inpatient			70	70																																																			
HC Phospholipid  Hexagonal	PX-300855980	CDM	85598	CPT	300	RC		outpatient			70	17.98	24.03				fee schedule		17.98				fee schedule		48.37				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98				fee schedule		17.98	48.37	
HC Phospholipid  Hexagonal	PX-300855980	CDM	85598	CPT	300	RC		inpatient			70	70																																																			
HC Pulmonary Rehab-Other	PX-410002390	CDM			410	RC		outpatient			70	35.77	21.45				percent of total billed charges		35.77				other	OPPS APC	141.45				fee schedule		35.77				other	OPPS APC	35.77				other	OPPS APC	21.45				percent of total billed charges		21.88				percent of total billed charges		35.77				other	OPPS APC	21.45	141.45	
HC Pulmonary Rehab-Other	PX-410002390	CDM			410	RC		inpatient			70	70																																																			
HC Pulm Treatment for Resp Fx Ea 15 Min	PX-410G02381	CDM			410	RC		outpatient			70	7	21.45				percent of total billed charges		70				other	OPPS APC	130.38				fee schedule		70				other	OPPS APC	70				other	OPPS APC	21.45				percent of total billed charges		21.88				percent of total billed charges		7				other	OPPS APC	7	130.38	
HC Pulm Treatment for Resp Fx Ea 15 Min	PX-410G02381	CDM			410	RC		inpatient			70	70																																																			
HC Inject Sc Imtherp Prophyl Dx	PX-450963721	CDM	96372	CPT	450	RC		inpatient			70	70																																																			
HC Inject Sc Imtherp Prophyl Dx	PX-450963721	CDM	96372	CPT	450	RC		outpatient			70	71.62	195.77				case rate		71.06				other	OPPS APC	144.18				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	195.77				case rate		199.69				case rate		71.62				other	OPPS APC	71.06	199.69	
HC MC Immunization Ea Add	PX-510904729	CDM	90472	CPT	771	RC		outpatient			70	7	34.3				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	34.3				percent of total billed charges		35.7				percent of total billed charges		7				other	OPPS APC	7	70	
HC MC Immunization Ea Add	PX-510904729	CDM	90472	CPT	771	RC		inpatient			70	70																																																			
HC Injection - Sub Q or Im	PX-510963720	CDM	96372	CPT	510	RC		inpatient			70	70																																																			
HC Injection - Sub Q or Im	PX-510963720	CDM	96372	CPT	510	RC		outpatient			70	71.62	169.66				case rate		71.06				other	OPPS APC	101				case rate		71.06				other	OPPS APC	71.06				other	OPPS APC	169.66				case rate		173.05				case rate		71.62				other	OPPS APC	71.06	173.05	
HC Immunization Administration	PX-771904711	CDM	90471	CPT	771	RC		outpatient			70	71.62	70				fee schedule		71.06				other	OPPS APC	78.01				fee schedule		71.06				other	OPPS APC	71.06				other	OPPS APC	20.04				fee schedule		35.7				percent of total billed charges		71.62				other	OPPS APC	20.04	78.01	
HC Immunization Administration	PX-771904711	CDM	90471	CPT	771	RC		inpatient			70	70																																																			
GUIDE WIRE ACCESSORY KIT	SUP-22295	CDM			481	RC		outpatient			70	7	34.3				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	34.3				percent of total billed charges		35.7				percent of total billed charges		7				other	OPPS APC	7	70	
GUIDE WIRE ACCESSORY KIT	SUP-22295	CDM			481	RC		inpatient			70	70																																																			
.065 X 150 6MM EMERALD ROPE J	SUP-502530	CDM			481	RC		outpatient			70	7	34.3				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	34.3				percent of total billed charges		35.7				percent of total billed charges		7				other	OPPS APC	7	70	
.065 X 150 6MM EMERALD ROPE J	SUP-502530	CDM			481	RC		inpatient			70	70																																																			
AXIS JACKSON CONTOUR TUBING SET	SUP-6977-50	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
AXIS JACKSON CONTOUR TUBING SET	SUP-6977-50	CDM			270	RC		inpatient			70	70																																																			
SET OPHTHALMIC EDGEPLUS OD25 GA TROCAR/CANNULA	SUP-8065751448	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SET OPHTHALMIC EDGEPLUS OD25 GA TROCAR/CANNULA	SUP-8065751448	CDM			270	RC		inpatient			70	70																																																			
PLUG DEFIBRILLATOR PHOTON RECEPTACLE DF-1 ATLAS EPIC ICD PORT	SUP-AC-DP-3	CDM			481	RC		outpatient			70	7	34.3				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	34.3				percent of total billed charges		35.7				percent of total billed charges		7				other	OPPS APC	7	70	
PLUG DEFIBRILLATOR PHOTON RECEPTACLE DF-1 ATLAS EPIC ICD PORT	SUP-AC-DP-3	CDM			481	RC		inpatient			70	70																																																			
PLUG DEFIBRILLATOR PHOTON MICRO IS-1 PORT	SUP-AC-IP-2	CDM			275	RC		outpatient			70	7	34.3				percent of total billed charges		70				other	OPPS APC	39.9				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	34.3				percent of total billed charges		35.7				percent of total billed charges		7				other	OPPS APC	7	70	
PLUG DEFIBRILLATOR PHOTON MICRO IS-1 PORT	SUP-AC-IP-2	CDM			275	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 30MM	SUP-AR+8840C-30	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 30MM	SUP-AR+8840C-30	CDM			270	RC		inpatient			70	70																																																			
SUTURE NONABSORBABLE LABRALTAPE 1.5 MM L36 IN WHITE	SUP-AR-7500	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SUTURE NONABSORBABLE LABRALTAPE 1.5 MM L36 IN WHITE	SUP-AR-7500	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 10MM	SUP-AR-8830-10	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 10MM	SUP-AR-8830-10	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 12MM	SUP-AR-8830-12	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 12MM	SUP-AR-8830-12	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 14MM	SUP-AR-8830-14	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 14MM	SUP-AR-8830-14	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 16MM	SUP-AR-8830-16	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 16MM	SUP-AR-8830-16	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 18MM	SUP-AR-8830-18	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 18MM	SUP-AR-8830-18	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 20MM	SUP-AR-8830-20	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 20MM	SUP-AR-8830-20	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 22MM	SUP-AR-8830-22	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 22MM	SUP-AR-8830-22	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 24MM	SUP-AR-8830-24	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 24MM	SUP-AR-8830-24	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 26MM	SUP-AR-8830-26	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 26MM	SUP-AR-8830-26	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 28MM	SUP-AR-8830-28	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 28MM	SUP-AR-8830-28	CDM			270	RC		inpatient			70	70																																																			
SCREW 3.0 CANCELLOUS NON LOCKING LP 30MM	SUP-AR-8830-30	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 3.0 CANCELLOUS NON LOCKING LP 30MM	SUP-AR-8830-30	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 10MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-10	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 10MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-10	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 12MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-12	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 12MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-12	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 14MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-14	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 14MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-14	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 16MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-16	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 16MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-16	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 18MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-18	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 18MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-18	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 20MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-20	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 20MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-20	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 22MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-22	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 22MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-22	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 24MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-24	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 24MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-24	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 26MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-26	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 26MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-26	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 28MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-28	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 28MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-28	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L30 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-30	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L30 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-30	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L30 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-32	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L30 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-32	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 34MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-34	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 34MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-34	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L35 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-35	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L35 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-35	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-36	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 36MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-36	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L38 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-38	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L38 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-38	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 40MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-40	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 40MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-40	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 42MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-42	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS T15 FULL THREAD 42MM 3.5MM SS ANKLE CORTICAL MODULAR SOLID HEXALOBE SELF TAP TIGHTROPE	SUP-AR-8835-42	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L44 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-44	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L44 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-44	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L45 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-45	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L45 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-45	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L46 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-46	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 HEXALOBE FULL THREAD L46 MM OD3.5 MM ANKLE CORTICAL MODULAR SELF DRILL SOLID TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-46	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L50 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-50	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L50 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-50	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L55 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-55	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L55 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-55	CDM			270	RC		inpatient			70	70																																																			
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L60 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-60	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW BONE LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD HEXALOBE L60 MM OD3.5 MM ANKLE CORTICAL SELF DRILL SOLID MODULAR TIGHTROPE SYNDESMOSIS FIXATION	SUP-AR-8835-60	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 10MM	SUP-AR-8840-10	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 10MM	SUP-AR-8840-10	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 12MM	SUP-AR-8840-12	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 12MM	SUP-AR-8840-12	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 14MM	SUP-AR-8840-14	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 14MM	SUP-AR-8840-14	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 16MM	SUP-AR-8840-16	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 16MM	SUP-AR-8840-16	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 18MM	SUP-AR-8840-18	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 18MM	SUP-AR-8840-18	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 20MM	SUP-AR-8840-20	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 20MM	SUP-AR-8840-20	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 22MM	SUP-AR-8840-22	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 22MM	SUP-AR-8840-22	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 24MM	SUP-AR-8840-24	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 24MM	SUP-AR-8840-24	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 26MM	SUP-AR-8840-26	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 26MM	SUP-AR-8840-26	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 30MM	SUP-AR-8840-30	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 30MM	SUP-AR-8840-30	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 32MM	SUP-AR-8840-32	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 32MM	SUP-AR-8840-32	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 34MM	SUP-AR-8840-34	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 34MM	SUP-AR-8840-34	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 36MM	SUP-AR-8840-36	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 36MM	SUP-AR-8840-36	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 38MM	SUP-AR-8840-38	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 38MM	SUP-AR-8840-38	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 40MM	SUP-AR-8840-40	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 40MM	SUP-AR-8840-40	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 42MM	SUP-AR-8840-42	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 42MM	SUP-AR-8840-42	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 44MM	SUP-AR-8840-44	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 44MM	SUP-AR-8840-44	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 45MM	SUP-AR-8840-45	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 45MM	SUP-AR-8840-45	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 46MM	SUP-AR-8840-46	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 46MM	SUP-AR-8840-46	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 48MM	SUP-AR-8840-48	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 48MM	SUP-AR-8840-48	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 50MM	SUP-AR-8840-50	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 50MM	SUP-AR-8840-50	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 55MM	SUP-AR-8840-55	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 55MM	SUP-AR-8840-55	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 60MM	SUP-AR-8840-60	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 60MM	SUP-AR-8840-60	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 30MM	SUP-AR-8840C-30	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 30MM	SUP-AR-8840C-30	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 32MM	SUP-AR-8840C-32	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 32MM	SUP-AR-8840C-32	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 34MM	SUP-AR-8840C-34	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 34MM	SUP-AR-8840C-34	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 35MM	SUP-AR-8840C-35	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 35MM	SUP-AR-8840C-35	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 36MM	SUP-AR-8840C-36	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 36MM	SUP-AR-8840C-36	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 40MM	SUP-AR-8840C-40	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 40MM	SUP-AR-8840C-40	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 44MM	SUP-AR-8840C-44	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 44MM	SUP-AR-8840C-44	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 45MM	SUP-AR-8840C-45	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 45MM	SUP-AR-8840C-45	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 46MM	SUP-AR-8840C-46	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 46MM	SUP-AR-8840C-46	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 48MM	SUP-AR-8840C-48	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 48MM	SUP-AR-8840C-48	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 55MM	SUP-AR-8840C-55	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 55MM	SUP-AR-8840C-55	CDM			270	RC		inpatient			70	70																																																			
SCREW 4.0MM LP SHORT THREAD CANNULATED 60MM	SUP-AR-8840C-60	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SCREW 4.0MM LP SHORT THREAD CANNULATED 60MM	SUP-AR-8840C-60	CDM			270	RC		inpatient			70	70																																																			
SLEEVE BALLOON  11MM X 100MM	SUP-CFS12	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SLEEVE BALLOON  11MM X 100MM	SUP-CFS12	CDM			270	RC		inpatient			70	70																																																			
SLEEVE W/BALLOON 12MM X 100MM	SUP-CFS22	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SLEEVE W/BALLOON 12MM X 100MM	SUP-CFS22	CDM			270	RC		inpatient			70	70																																																			
CORETEMP FLUID WARMING DRAPE 56'X56'	SUP-CTD100	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
CORETEMP FLUID WARMING DRAPE 56'X56'	SUP-CTD100	CDM			270	RC		inpatient			70	70																																																			
SLEEVE ZTHREAD 11MM X 100MM	SUP-CTS12	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SLEEVE ZTHREAD 11MM X 100MM	SUP-CTS12	CDM			270	RC		inpatient			70	70																																																			
SLEEVE ZTHREAD 12MM X 100MM	SUP-CTS22	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
SLEEVE ZTHREAD 12MM X 100MM	SUP-CTS22	CDM			270	RC		inpatient			70	70																																																			
CATHETER GUIDING CPS AIM CARDIAC VALVE BYPASS TOOL	SUP-DS2A002	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
CATHETER GUIDING CPS AIM CARDIAC VALVE BYPASS TOOL	SUP-DS2A002	CDM			270	RC		inpatient			70	70																																																			
TOOL PACEMAKER AGILIGS HISPRO SLITTER	SUP-DS3A001	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
TOOL PACEMAKER AGILIGS HISPRO SLITTER	SUP-DS3A001	CDM			270	RC		inpatient			70	70																																																			
PROSTATE SEEDS ISOAID	SUP-ISOTOPE I-125	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
PROSTATE SEEDS ISOAID	SUP-ISOTOPE I-125	CDM			270	RC		inpatient			70	70																																																			
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE TAPER L180 CM L7 CM OD.035 IN PERIPHERAL STRAIGHT TIP	SUP-M001465251	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE TAPER L180 CM L7 CM OD.035 IN PERIPHERAL STRAIGHT TIP	SUP-M001465251	CDM			270	RC		inpatient			70	70																																																			
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE STRAIGHT L260 CM L7 CM OD.035 IN FLEXIBLE TIP	SUP-M001465261	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE STRAIGHT L260 CM L7 CM OD.035 IN FLEXIBLE TIP	SUP-M001465261	CDM			270	RC		inpatient			70	70																																																			
NEEDLE ENDOSCOPIC MACROPLASTIQUE UROPLASTY L14.5 IN L.54 IN OD3.8 FR ODSEC20 GA URETHRAL INJECTABLE HUB WING SHAFT DISPOSABLE	SUP-MRN-420	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
NEEDLE ENDOSCOPIC MACROPLASTIQUE UROPLASTY L14.5 IN L.54 IN OD3.8 FR ODSEC20 GA URETHRAL INJECTABLE HUB WING SHAFT DISPOSABLE	SUP-MRN-420	CDM			270	RC		inpatient			70	70																																																			
CONFORMER OPHTHALMIC SMALL OD20 MM PERFORATE	SUP-S6.2230	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
CONFORMER OPHTHALMIC SMALL OD20 MM PERFORATE	SUP-S6.2230	CDM			270	RC		inpatient			70	70																																																			
CONFORMER OPHTHALMIC SMALL OD20 MM PERFORATE	SUP-S6.2230U	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
CONFORMER OPHTHALMIC SMALL OD20 MM PERFORATE	SUP-S6.2230U	CDM			270	RC		inpatient			70	70																																																			
CONFORMER OPHTHALMIC MEDIUM OD23 MM PERFORATE	SUP-S6.2231U	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
CONFORMER OPHTHALMIC MEDIUM OD23 MM PERFORATE	SUP-S6.2231U	CDM			270	RC		inpatient			70	70																																																			
CONFORMER OPHTHALMIC LARGE OD26 MM PERFORATE	SUP-S6.2232U	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
CONFORMER OPHTHALMIC LARGE OD26 MM PERFORATE	SUP-S6.2232U	CDM			270	RC		inpatient			70	70																																																			
DEVICE COMPRESSION PRELUDESYNC L24 CM BAND STERILE LATEX FREE DISPOSABLE	SUP-SDRB-REG-LT	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
DEVICE COMPRESSION PRELUDESYNC L24 CM BAND STERILE LATEX FREE DISPOSABLE	SUP-SDRB-REG-LT	CDM			270	RC		inpatient			70	70																																																			
DEVICE COMPRESSION PRELUDESYNC L24 CM RADIAL DISTAL BAND STERILE LATEX FREE DISPOSABLE	SUP-SDRB-REG-RT	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
DEVICE COMPRESSION PRELUDESYNC L24 CM RADIAL DISTAL BAND STERILE LATEX FREE DISPOSABLE	SUP-SDRB-REG-RT	CDM			270	RC		inpatient			70	70																																																			
BAND COMPRESSION TRANSRADIAL BAND STD INFLATOR	SUP-TRB24-REG	CDM			481	RC		outpatient			70	7	34.3				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	34.3				percent of total billed charges		35.7				percent of total billed charges		7				other	OPPS APC	7	70	
BAND COMPRESSION TRANSRADIAL BAND STD INFLATOR	SUP-TRB24-REG	CDM			481	RC		inpatient			70	70																																																			
BAND COMPRESSION TRANSRADIAL BAND LG INFLATOR	SUP-TRB29-LRG	CDM			270	RC		outpatient			70	7	18.96				percent of total billed charges		70				other	OPPS APC	51.8				percent of total billed charges		70				other	OPPS APC	70				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		7				other	OPPS APC	7	70	
BAND COMPRESSION TRANSRADIAL BAND LG INFLATOR	SUP-TRB29-LRG	CDM			270	RC		inpatient			70	70																																																			
CATHETER IMAGER 2 COBRA	SUP-70-00185	CDM			272	RC		outpatient			69.99	69.99	18.96				percent of total billed charges		69.99				other	OPPS APC	51.79				percent of total billed charges		69.99				other	OPPS APC	69.99				other	OPPS APC	18.96				percent of total billed charges		19.34				percent of total billed charges		69.99				other	OPPS APC	18.96	69.99	
CATHETER IMAGER 2 COBRA	SUP-70-00185	CDM			272	RC		inpatient			69.99	69.99																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	71839-113-10	NDC	J1650	HCPCS		inpatient			69.86	69.86																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	71839-113-10	NDC	J1650	HCPCS		outpatient			69.86	69.86																																															other	OPPS APC			
PEAR /FLAME BUR	SUP-95-03412	CDM			272	RC		outpatient			69.6	69.6	18.85				percent of total billed charges		69.6				other	OPPS APC	51.5				percent of total billed charges		69.6				other	OPPS APC	69.6				other	OPPS APC	18.85				percent of total billed charges		19.23				percent of total billed charges		69.6				other	OPPS APC	18.85	69.6	
PEAR /FLAME BUR	SUP-95-03412	CDM			272	RC		inpatient			69.6	69.6																																																			
TRAY SURGICAL INFANT L2.5 IN OD21 GA LUMBAR PUNCTURE NEEDLE MANOMETER LATEX	SUP-DYNJTS07025_705216	CDM	270009046	LOCAL	270	RC		outpatient			69.52	69.52	18.83				percent of total billed charges		69.52				other	OPPS APC	51.44				percent of total billed charges		69.52				other	OPPS APC	69.52				other	OPPS APC	18.83				percent of total billed charges		19.21				percent of total billed charges		69.52				other	OPPS APC	18.83	69.52	
TRAY SURGICAL INFANT L2.5 IN OD21 GA LUMBAR PUNCTURE NEEDLE MANOMETER LATEX	SUP-DYNJTS07025_705216	CDM	270009046	LOCAL	270	RC		inpatient			69.52	69.52																																																			
GUIDEWIRE ORTHOPEDIC EXPERT L240 MM OD2 MM DISPOSABLE	SUP-03.010.025	CDM	270010022	LOCAL	270	RC		outpatient			69.3	69.3	18.77				percent of total billed charges		69.3				other	OPPS APC	51.28				percent of total billed charges		69.3				other	OPPS APC	69.3				other	OPPS APC	18.77				percent of total billed charges		19.15				percent of total billed charges		69.3				other	OPPS APC	18.77	69.3	
GUIDEWIRE ORTHOPEDIC EXPERT L240 MM OD2 MM DISPOSABLE	SUP-03.010.025	CDM	270010022	LOCAL	270	RC		inpatient			69.3	69.3																																																			
GUIDEWIRE ORTHOPEDIC 150MM 1.6MM YELLOW SS NS SPADE POINT THREAD	SUP-292.72	CDM	270010022	LOCAL	270	RC		outpatient			69.3	69.3	18.77				percent of total billed charges		69.3				other	OPPS APC	51.28				percent of total billed charges		69.3				other	OPPS APC	69.3				other	OPPS APC	18.77				percent of total billed charges		19.15				percent of total billed charges		69.3				other	OPPS APC	18.77	69.3	
GUIDEWIRE ORTHOPEDIC 150MM 1.6MM YELLOW SS NS SPADE POINT THREAD	SUP-292.72	CDM	270010022	LOCAL	270	RC		inpatient			69.3	69.3																																																			
WRAP THERAPEUTIC ACTIVEWRAP PLUSH SMALL MEDIUM OD16- IN LEG KNEE THERMAL SUPPORT GEL PACK POST OPERATIVE NONSTERILE LATEX FREE	SUP-9373-04	CDM			270	RC		outpatient			69.3	69.3	18.77				percent of total billed charges		69.3				other	OPPS APC	51.28				percent of total billed charges		69.3				other	OPPS APC	69.3				other	OPPS APC	18.77				percent of total billed charges		19.15				percent of total billed charges		69.3				other	OPPS APC	18.77	69.3	
WRAP THERAPEUTIC ACTIVEWRAP PLUSH SMALL MEDIUM OD16- IN LEG KNEE THERMAL SUPPORT GEL PACK POST OPERATIVE NONSTERILE LATEX FREE	SUP-9373-04	CDM			270	RC		inpatient			69.3	69.3																																																			
CATHETER KUMPE 5FR 65CM	SUP-H787107327015-US	CDM			270	RC		outpatient			69.3	69.3	18.77				percent of total billed charges		69.3				other	OPPS APC	51.28				percent of total billed charges		69.3				other	OPPS APC	69.3				other	OPPS APC	18.77				percent of total billed charges		19.15				percent of total billed charges		69.3				other	OPPS APC	18.77	69.3	
CATHETER KUMPE 5FR 65CM	SUP-H787107327015-US	CDM			270	RC		inpatient			69.3	69.3																																																			
AIRWAY 26FR  6.5MM	SUP-97-00199	CDM			272	RC		outpatient			69.28	69.28	18.77				percent of total billed charges		69.28				other	OPPS APC	51.27				percent of total billed charges		69.28				other	OPPS APC	69.28				other	OPPS APC	18.77				percent of total billed charges		19.14				percent of total billed charges		69.28				other	OPPS APC	18.77	69.28	
AIRWAY 26FR  6.5MM	SUP-97-00199	CDM			272	RC		inpatient			69.28	69.28																																																			
OSCILLATING SAW BLADE 5023-164	SUP-78-00206	CDM			272	RC		outpatient			69.17	69.17	18.74				percent of total billed charges		69.17				other	OPPS APC	51.19				percent of total billed charges		69.17				other	OPPS APC	69.17				other	OPPS APC	18.74				percent of total billed charges		19.11				percent of total billed charges		69.17				other	OPPS APC	18.74	69.17	
OSCILLATING SAW BLADE 5023-164	SUP-78-00206	CDM			272	RC		inpatient			69.17	69.17																																																			
OSTOMY ADAPT BELT LARGE	SUP-95-23583	CDM			271	RC		outpatient			69.12	69.13	18.72				percent of total billed charges		69.12				other	OPPS APC	51.15				percent of total billed charges		69.12				other	OPPS APC	69.12				other	OPPS APC	18.72				percent of total billed charges		19.1				percent of total billed charges		69.13				other	OPPS APC	18.72	69.13	
OSTOMY ADAPT BELT LARGE	SUP-95-23583	CDM			271	RC		inpatient			69.12	69.12																																																			
Canister Info Vac	PX-270000025	CDM			270	RC		outpatient			69.07	69.7	18.71				percent of total billed charges		69.07				other	OPPS APC	69.07				fee schedule		69.07				other	OPPS APC	69.07				other	OPPS APC	18.71				percent of total billed charges		19.08				percent of total billed charges		69.7				other	OPPS APC	18.71	69.7	
Canister Info Vac	PX-270000025	CDM			270	RC		inpatient			69.07	69.07																																																			
NEEDLE 5F CENTESIS	SUP-06-00067	CDM			272	RC		outpatient			69.04	69.46	18.7				percent of total billed charges		69.04				other	OPPS APC	51.09				percent of total billed charges		69.04				other	OPPS APC	69.04				other	OPPS APC	18.7				percent of total billed charges		19.08				percent of total billed charges		69.46				other	OPPS APC	18.7	69.46	
NEEDLE 5F CENTESIS	SUP-06-00067	CDM			272	RC		inpatient			69.04	69.04																																																			
TUBING SUCTION/IRRIGATION FLUID MANAGER INFLOW STERILE DISPOSABLE	SUP-4170.223	CDM			270	RC		outpatient			69.04	69.46	18.7				percent of total billed charges		69.04				other	OPPS APC	51.09				percent of total billed charges		69.04				other	OPPS APC	69.04				other	OPPS APC	18.7				percent of total billed charges		19.08				percent of total billed charges		69.46				other	OPPS APC	18.7	69.46	
TUBING SUCTION/IRRIGATION FLUID MANAGER INFLOW STERILE DISPOSABLE	SUP-4170.223	CDM			270	RC		inpatient			69.04	69.04																																																			
BORTEZOMIB PER 0.1 MG	636000000	CDM	0143-9098-01	NDC	J9041	HCPCS		inpatient			69	69																																																			
BORTEZOMIB PER 0.1 MG	636000000	CDM	0143-9098-01	NDC	J9041	HCPCS		outpatient			69	2.26																																											2.26				other	OPPS APC	2.26	2.26	
VASOPRESSIN 20 UNIT/ML SOLUTION	636000000	CDM	63323-930-01	NDC	J2598	HCPCS		inpatient			69	69																																																			
VASOPRESSIN 20 UNIT/ML SOLUTION	636000000	CDM	63323-930-01	NDC	J2598	HCPCS		outpatient			69	2.73																																											2.73				other	OPPS APC	2.73	2.73	
VASOPRESSIN 20 UNIT/ML SOLUTION 1 ML VIAL	636000000	CDM	63323-930-01	NDC	J2598	HCPCS		inpatient			69	69																																																			
VASOPRESSIN 20 UNIT/ML SOLUTION 1 ML VIAL	636000000	CDM	63323-930-01	NDC	J2598	HCPCS		outpatient			69	2.73																																											2.73				other	OPPS APC	2.73	2.73	
HC Rocky Mtn Spotted Fever (Rmsf)	PX-300867590	CDM	86759	CPT	300	RC		outpatient			69	18.23	17.64				fee schedule		18.23				fee schedule		35.02				fee schedule		18.23				fee schedule		18.23				fee schedule		18.23				fee schedule		18.23				fee schedule		18.23				fee schedule		17.64	35.02	
HC Rocky Mtn Spotted Fever (Rmsf)	PX-300867590	CDM	86759	CPT	300	RC		inpatient			69	69																																																			
PACKING NASAL MEROCEL POPE EPISTAXIS	SUP-440406	CDM			270	RC		outpatient			69	69	18.69				percent of total billed charges		69				other	OPPS APC	51.06				percent of total billed charges		69				other	OPPS APC	69				other	OPPS APC	18.69				percent of total billed charges		19.06				percent of total billed charges		69				other	OPPS APC	18.69	69	
PACKING NASAL MEROCEL POPE EPISTAXIS	SUP-440406	CDM			270	RC		inpatient			69	69																																																			
Tray Foley Lf 16fr Temp Sensing	PX-272000014	CDM			272	RC		outpatient			68.98	68.98	18.69				percent of total billed charges		68.98				other	OPPS APC	68.98				fee schedule		68.98				other	OPPS APC	68.98				other	OPPS APC	18.69				percent of total billed charges		19.06				percent of total billed charges		68.98				other	OPPS APC	18.69	68.98	
Tray Foley Lf 16fr Temp Sensing	PX-272000014	CDM			272	RC		inpatient			68.98	68.98																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	55150-121-50	NDC	J2543	HCPCS		inpatient			68.88	68.88																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	55150-121-50	NDC	J2543	HCPCS		outpatient			68.88	68.88																																															other	OPPS APC			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L65 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.065	CDM	270010022	LOCAL	270	RC		outpatient			68.88	68.88	18.66				percent of total billed charges		68.88				other	OPPS APC	50.97				percent of total billed charges		68.88				other	OPPS APC	68.88				other	OPPS APC	18.66				percent of total billed charges		19.03				percent of total billed charges		68.88				other	OPPS APC	18.66	68.88	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L65 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.065	CDM	270010022	LOCAL	270	RC		inpatient			68.88	68.88																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L80 MM L32 MM OD6.5 MM HUMERUS FEMUR CANCELLOUS NONSTERILE LARGE FRAGMENT SET	SUP-217.080	CDM	270010022	LOCAL	270	RC		outpatient			68.88	68.88	18.66				percent of total billed charges		68.88				other	OPPS APC	50.97				percent of total billed charges		68.88				other	OPPS APC	68.88				other	OPPS APC	18.66				percent of total billed charges		19.03				percent of total billed charges		68.88				other	OPPS APC	18.66	68.88	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L80 MM L32 MM OD6.5 MM HUMERUS FEMUR CANCELLOUS NONSTERILE LARGE FRAGMENT SET	SUP-217.080	CDM	270010022	LOCAL	270	RC		inpatient			68.88	68.88																																																			
CANNULA ARTHROSCOPIC L75 MM ID7 MM	SUP-214115	CDM	270010022	LOCAL	270	RC		outpatient			68.8	68.8	18.64				percent of total billed charges		68.8				other	OPPS APC	50.91				percent of total billed charges		68.8				other	OPPS APC	68.8				other	OPPS APC	18.64				percent of total billed charges		19.01				percent of total billed charges		68.8				other	OPPS APC	18.64	68.8	
CANNULA ARTHROSCOPIC L75 MM ID7 MM	SUP-214115	CDM	270010022	LOCAL	270	RC		inpatient			68.8	68.8																																																			
CATHETER ANGIOGRAPHIC SOFT-VU KUMPE CURVE ANGLE L40 CM OD4 FR NONBRAIDED SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT SELECTIVE STERILE DISPOSABLE .035 IN GUIDEWIRE	SUP-AGDSCH343015	CDM			270	RC		outpatient			68.8	68.8	18.64				percent of total billed charges		68.8				other	OPPS APC	50.91				percent of total billed charges		68.8				other	OPPS APC	68.8				other	OPPS APC	18.64				percent of total billed charges		19.01				percent of total billed charges		68.8				other	OPPS APC	18.64	68.8	
CATHETER ANGIOGRAPHIC SOFT-VU KUMPE CURVE ANGLE L40 CM OD4 FR NONBRAIDED SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT SELECTIVE STERILE DISPOSABLE .035 IN GUIDEWIRE	SUP-AGDSCH343015	CDM			270	RC		inpatient			68.8	68.8																																																			
APPLIER INTERNAL CLIP LIGACLIP 30D LG 13IN TITANIUM DISPOSABLE STERILE LF LIGATE MULTIPLE OPEN	SUP-ESMCL20	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
APPLIER INTERNAL CLIP LIGACLIP 30D LG 13IN TITANIUM DISPOSABLE STERILE LF LIGATE MULTIPLE OPEN	SUP-ESMCL20	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
APPLIER INTERNAL CLIP LIGACLIP 30D MED 11.5IN TITANIUM DISPOSABLE STERILE LF LIGATE MULTIPLE OPEN 20 CLIP	SUP-ESMCM20	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
APPLIER INTERNAL CLIP LIGACLIP 30D MED 11.5IN TITANIUM DISPOSABLE STERILE LF LIGATE MULTIPLE OPEN 20 CLIP	SUP-ESMCM20	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
APPLIER INTERNAL CLIP 30D LG 13IN LIGATE MULTIPLE OPEN STERILE LIGACLIP LF DISPOSABLE	SUP-MCL20	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
APPLIER INTERNAL CLIP 30D LG 13IN LIGATE MULTIPLE OPEN STERILE LIGACLIP LF DISPOSABLE	SUP-MCL20	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
APPLIER INTERNAL CLIP 30D MED 11.5IN TITANIUM MULTIPLE LIGATE LIGACLIP STERILE LF	SUP-MCM20	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
APPLIER INTERNAL CLIP 30D MED 11.5IN TITANIUM MULTIPLE LIGATE LIGACLIP STERILE LF	SUP-MCM20	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
APPLIER INTERNAL CLIP LIGACLIP SM 23.8CM TITANIUM DISPOSABLE STERILE LF LIGATE MULTIPLE OPEN	SUP-MCS20	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
APPLIER INTERNAL CLIP LIGACLIP SM 23.8CM TITANIUM DISPOSABLE STERILE LF LIGATE MULTIPLE OPEN	SUP-MCS20	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
RELOAD STAPLER PROXIMATE TL TITANIUM H2.5 MM H1 MM ENDOSCOPIC LINEAR CUTTER STERILE LATEX FREE DISPOSABLE	SUP-TR30	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
RELOAD STAPLER PROXIMATE TL TITANIUM H2.5 MM H1 MM ENDOSCOPIC LINEAR CUTTER STERILE LATEX FREE DISPOSABLE	SUP-TR30	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
DISCONTINUED - RELOAD STAPLER PROXIMATE TITANIUM STANDARD THICK TISSUE	SUP-TR90	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
DISCONTINUED - RELOAD STAPLER PROXIMATE TITANIUM STANDARD THICK TISSUE	SUP-TR90	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
RELOAD STAPLER PROXIMATE L90 MM	SUP-TRH90	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
RELOAD STAPLER PROXIMATE L90 MM	SUP-TRH90	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
SYSTEM IRRIGATION LATEX FREE CORD ELECTROSURGICAL BI-POLAR SILICONE FLAT ROUND FOOTSWITCH DUAL PIN PLUG	SUP-US352	CDM			270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
SYSTEM IRRIGATION LATEX FREE CORD ELECTROSURGICAL BI-POLAR SILICONE FLAT ROUND FOOTSWITCH DUAL PIN PLUG	SUP-US352	CDM			270	RC		inpatient			68.68	68.68																																																			
RELOAD STAPLER PROXIMATE TX TITANIUM L60 MM X H3.5 MM H1.5 MM REGULAR TISSUE 2 ROW STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-XR60B	CDM	270009085	LOCAL	270	RC		outpatient			68.68	68.69	18.61				percent of total billed charges		68.68				other	OPPS APC	50.82				percent of total billed charges		68.68				other	OPPS APC	68.68				other	OPPS APC	18.61				percent of total billed charges		18.98				percent of total billed charges		68.69				other	OPPS APC	18.61	68.69	
RELOAD STAPLER PROXIMATE TX TITANIUM L60 MM X H3.5 MM H1.5 MM REGULAR TISSUE 2 ROW STERILE LATEX FREE DISPOSABLE BLUE ENDOSCOPIC	SUP-XR60B	CDM	270009085	LOCAL	270	RC		inpatient			68.68	68.68																																																			
SCREW BONE PARTIAL THREAD 50MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.05	CDM	270010022	LOCAL	270	RC		outpatient			68.64	68.64	18.59				percent of total billed charges		68.64				other	OPPS APC	50.79				percent of total billed charges		68.64				other	OPPS APC	68.64				other	OPPS APC	18.59				percent of total billed charges		18.97				percent of total billed charges		68.64				other	OPPS APC	18.59	68.64	
SCREW BONE PARTIAL THREAD 50MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.05	CDM	270010022	LOCAL	270	RC		inpatient			68.64	68.64																																																			
SCREW BONE 6.5MM 8MM 50MM 16MM LCP DCP LC-DCP SS LG HEXAGON LONG BONE CANCELLOUS	SUP-216.050	CDM						inpatient			68.64	68.64																																																			
SCREW BONE 6.5MM 8MM 50MM 16MM LCP DCP LC-DCP SS LG HEXAGON LONG BONE CANCELLOUS	SUP-216.050	CDM						outpatient			68.64	68.64	68.64				percent of total billed charges		68.64				other	OPPS APC	68.64				fee schedule		68.64				other	OPPS APC	68.64				other	OPPS APC	68.64				case rate		68.64				case rate		68.64				other	OPPS APC	68.64	68.64	
SCREW BONE PARTIAL THREAD 60MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.06	CDM	270010022	LOCAL	270	RC		outpatient			68.64	68.64	18.59				percent of total billed charges		68.64				other	OPPS APC	50.79				percent of total billed charges		68.64				other	OPPS APC	68.64				other	OPPS APC	18.59				percent of total billed charges		18.97				percent of total billed charges		68.64				other	OPPS APC	18.59	68.64	
SCREW BONE PARTIAL THREAD 60MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.06	CDM	270010022	LOCAL	270	RC		inpatient			68.64	68.64																																																			
SCREW BONE 6.5MM 8MM 60MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.060	CDM						inpatient			68.64	68.64																																																			
SCREW BONE 6.5MM 8MM 60MM 16MM LCP SS PARTIAL THREAD CANCELLOUS LONG BONE LG	SUP-216.060	CDM						outpatient			68.64	68.64	68.64				percent of total billed charges		68.64				other	OPPS APC	68.64				fee schedule		68.64				other	OPPS APC	68.64				other	OPPS APC	68.64				case rate		68.64				case rate		68.64				other	OPPS APC	68.64	68.64	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L80 MM L32 MM OD6.5 MM HUMERUS FEMUR CANCELLOUS NONSTERILE LARGE FRAGMENT SET	SUP-217.08	CDM	270010022	LOCAL	270	RC		outpatient			68.64	68.64	18.59				percent of total billed charges		68.64				other	OPPS APC	50.79				percent of total billed charges		68.64				other	OPPS APC	68.64				other	OPPS APC	18.59				percent of total billed charges		18.97				percent of total billed charges		68.64				other	OPPS APC	18.59	68.64	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L80 MM L32 MM OD6.5 MM HUMERUS FEMUR CANCELLOUS NONSTERILE LARGE FRAGMENT SET	SUP-217.08	CDM	270010022	LOCAL	270	RC		inpatient			68.64	68.64																																																			
SCREW BONE FULL THREAD 40MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.04	CDM	270010022	LOCAL	270	RC		outpatient			68.64	68.64	18.59				percent of total billed charges		68.64				other	OPPS APC	50.79				percent of total billed charges		68.64				other	OPPS APC	68.64				other	OPPS APC	18.59				percent of total billed charges		18.97				percent of total billed charges		68.64				other	OPPS APC	18.59	68.64	
SCREW BONE FULL THREAD 40MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.04	CDM	270010022	LOCAL	270	RC		inpatient			68.64	68.64																																																			
CANCELLOUS SCREW 4.0 X 26MM	SUP-97-04296	CDM			278	RC		outpatient			68.64	68.64	68.64				fee schedule		68.64				other	OPPS APC	39.12				percent of total billed charges		68.64				other	OPPS APC	68.64				other	OPPS APC	33.63				percent of total billed charges		35.01				percent of total billed charges		68.64				other	OPPS APC	33.63	68.64	
CANCELLOUS SCREW 4.0 X 26MM	SUP-97-04296	CDM			278	RC		inpatient			68.64	68.64																																																			
CALCIUM HYDROXITE	SUP-900-3663	CDM	27000000	LOCAL	270	RC		outpatient			68.58	68.58	18.58				percent of total billed charges		68.58				other	OPPS APC	50.75				percent of total billed charges		68.58				other	OPPS APC	68.58				other	OPPS APC	18.58				percent of total billed charges		18.95				percent of total billed charges		68.58				other	OPPS APC	18.58	68.58	
CALCIUM HYDROXITE	SUP-900-3663	CDM	27000000	LOCAL	270	RC		inpatient			68.58	68.58																																																			
Tray Epidural	PX-270000033	CDM			270	RC		outpatient			68.57	68.57	18.58				percent of total billed charges		68.57				other	OPPS APC	68.57				fee schedule		68.57				other	OPPS APC	68.57				other	OPPS APC	18.58				percent of total billed charges		18.95				percent of total billed charges		68.57				other	OPPS APC	18.58	68.57	
Tray Epidural	PX-270000033	CDM			270	RC		inpatient			68.57	68.57																																																			
SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-018-35	CDM			270	RC		outpatient			68.56	68.56	18.57				percent of total billed charges		68.56				other	OPPS APC	50.73				percent of total billed charges		68.56				other	OPPS APC	68.56				other	OPPS APC	18.57				percent of total billed charges		18.94				percent of total billed charges		68.56				other	OPPS APC	18.57	68.56	
SCREW BONE STAINLESS STEEL L18 MM OD3.5 MM ODSEC2.7 MM ELBOW CORTICAL PERIARTICULAR SELF TAP NONSTERILE	SUP-00-2348-018-35	CDM			270	RC		inpatient			68.56	68.56																																																			
HC Fluorescent Noninfectious Agent Antibody  Screen Ea	PX-300862550	CDM	86255	CPT	302	RC		outpatient			68.55	12.51	16.11				fee schedule		12.05				fee schedule		32				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		12.05	32	
HC Fluorescent Noninfectious Agent Antibody  Screen Ea	PX-300862550	CDM	86255	CPT	302	RC		inpatient			68.55	68.55																																																			
HC Anti-Smooth Muscle Ab (Asmus)	PX-300862551	CDM	86255	CPT	300	RC		outpatient			68.55	12.51	16.11				fee schedule		12.05				fee schedule		32				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		12.05	32	
HC Anti-Smooth Muscle Ab (Asmus)	PX-300862551	CDM	86255	CPT	300	RC		inpatient			68.55	68.55																																																			
SCREW CORTEX 2.0MM 22MM	SUP-210.372.97	CDM	270010022	LOCAL	270	RC		outpatient			68.4	68.46	18.53				percent of total billed charges		68.4				other	OPPS APC	50.62				percent of total billed charges		68.4				other	OPPS APC	68.4				other	OPPS APC	18.53				percent of total billed charges		18.9				percent of total billed charges		68.46				other	OPPS APC	18.53	68.46	
SCREW CORTEX 2.0MM 22MM	SUP-210.372.97	CDM	270010022	LOCAL	270	RC		inpatient			68.4	68.4																																																			
ORBITAL FLOOR PLATE COMPLEX LARGE .3MM BLUE	SUP-5403000	CDM			270	RC		outpatient			68.4	68.46	18.53				percent of total billed charges		68.4				other	OPPS APC	50.62				percent of total billed charges		68.4				other	OPPS APC	68.4				other	OPPS APC	18.53				percent of total billed charges		18.9				percent of total billed charges		68.46				other	OPPS APC	18.53	68.46	
ORBITAL FLOOR PLATE COMPLEX LARGE .3MM BLUE	SUP-5403000	CDM			270	RC		inpatient			68.4	68.4																																																			
PACK CERVICAL ACCESSORY	SUP-DYNJ59268	CDM			270	RC		outpatient			68.24	68.24	18.49				percent of total billed charges		68.24				other	OPPS APC	50.5				percent of total billed charges		68.24				other	OPPS APC	68.24				other	OPPS APC	18.49				percent of total billed charges		18.85				percent of total billed charges		68.24				other	OPPS APC	18.49	68.24	
PACK CERVICAL ACCESSORY	SUP-DYNJ59268	CDM			270	RC		inpatient			68.24	68.24																																																			
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 14FR BALLOON REPLACEMENT BOLSTER	SUP-M00582050	CDM			270	RC		outpatient			68.18	68.19	18.47				percent of total billed charges		68.18				other	OPPS APC	50.45				percent of total billed charges		68.18				other	OPPS APC	68.18				other	OPPS APC	18.47				percent of total billed charges		18.84				percent of total billed charges		68.19				other	OPPS APC	18.47	68.19	
TUBE GASTROSTOMY ENDOVIVE STANDARD STRAIGHT 14FR BALLOON REPLACEMENT BOLSTER	SUP-M00582050	CDM			270	RC		inpatient			68.18	68.18																																																			
ALBUTEROL HFA 90 MCG/ACTUATION HFA AEROSOL INHALER 8 G CANISTER	637000000	CDM	0173-0682-24	NDC	A9270	HCPCS		inpatient			68.15	68.15																																																			
ALBUTEROL HFA 90 MCG/ACTUATION HFA AEROSOL INHALER 8 G CANISTER	637000000	CDM	0173-0682-24	NDC	A9270	HCPCS		outpatient			68.15	68.15																																															other	OPPS APC			
HC Procalcitonin (Pct)	PX-300841450	CDM	84145	CPT	300	RC		outpatient			68	27.22	20.02				fee schedule		27.22				fee schedule		72.07				fee schedule		27.22				fee schedule		27.22				fee schedule		27.22				fee schedule		27.22				fee schedule		27.22				fee schedule		20.02	72.07	
HC Procalcitonin (Pct)	PX-300841450	CDM	84145	CPT	300	RC		inpatient			68	68																																																			
HC Thyroglobulin (Tg)	PX-300844320	CDM	84432	CPT	301	RC		outpatient			68	16.6	21.47				fee schedule		16.06				fee schedule		42.64				fee schedule		16.06				fee schedule		16.06				fee schedule		16.06				fee schedule		16.06				fee schedule		16.6				fee schedule		16.06	42.64	
HC Thyroglobulin (Tg)	PX-300844320	CDM	84432	CPT	301	RC		inpatient			68	68																																																			
HC Bd Mammo Diag Digital Tomo Unilateral	PX-401770610	CDM	77061	CPT	401	RC		outpatient			68	68	33.32				percent of total billed charges		68				other	OPPS APC	48.54				fee schedule		68				other	OPPS APC	68				other	OPPS APC	33.32				percent of total billed charges		34.68				percent of total billed charges		68				other	OPPS APC	33.32	68	
HC Bd Mammo Diag Digital Tomo Unilateral	PX-401770610	CDM	77061	CPT	401	RC		inpatient			68	68																																																			
KIT THROMBECTOMY POWER PULSE ANGIOJET ULTRA CONSOLE	SUP-104834-0021	CDM			270	RC		outpatient			68	68	18.42				percent of total billed charges		68				other	OPPS APC	50.32				percent of total billed charges		68				other	OPPS APC	68				other	OPPS APC	18.42				percent of total billed charges		18.79				percent of total billed charges		68				other	OPPS APC	18.42	68	
KIT THROMBECTOMY POWER PULSE ANGIOJET ULTRA CONSOLE	SUP-104834-0021	CDM			270	RC		inpatient			68	68																																																			
K-WIRE INTEGRA	SUP-115101ND	CDM			270	RC		outpatient			68	68	18.42				percent of total billed charges		68				other	OPPS APC	50.32				percent of total billed charges		68				other	OPPS APC	68				other	OPPS APC	18.42				percent of total billed charges		18.79				percent of total billed charges		68				other	OPPS APC	18.42	68	
K-WIRE INTEGRA	SUP-115101ND	CDM			270	RC		inpatient			68	68																																																			
SCREW BONE VELYS L100 MM OD4 MM STERILE	SUP-451570004	CDM	270010025	LOCAL	270	RC		outpatient			68	68	18.42				percent of total billed charges		68				other	OPPS APC	50.32				percent of total billed charges		68				other	OPPS APC	68				other	OPPS APC	18.42				percent of total billed charges		18.79				percent of total billed charges		68				other	OPPS APC	18.42	68	
SCREW BONE VELYS L100 MM OD4 MM STERILE	SUP-451570004	CDM	270010025	LOCAL	270	RC		inpatient			68	68																																																			
SCREW BONE VELYS L125 MM OD4 MM STERILE	SUP-451570005	CDM	270010025	LOCAL	270	RC		outpatient			68	68	18.42				percent of total billed charges		68				other	OPPS APC	50.32				percent of total billed charges		68				other	OPPS APC	68				other	OPPS APC	18.42				percent of total billed charges		18.79				percent of total billed charges		68				other	OPPS APC	18.42	68	
SCREW BONE VELYS L125 MM OD4 MM STERILE	SUP-451570005	CDM	270010025	LOCAL	270	RC		inpatient			68	68																																																			
CATHETER - JL 4.5 5F	SUP-99-01562	CDM			272	RC		outpatient			68	68	18.42				percent of total billed charges		68				other	OPPS APC	50.32				percent of total billed charges		68				other	OPPS APC	68				other	OPPS APC	18.42				percent of total billed charges		18.79				percent of total billed charges		68				other	OPPS APC	18.42	68	
CATHETER - JL 4.5 5F	SUP-99-01562	CDM			272	RC		inpatient			68	68																																																			
SCREW 4.0MM LP NONLOCKING CANCELLOUS 28MM	SUP-AR-8840-28	CDM			270	RC		outpatient			68	68	18.42				percent of total billed charges		68				other	OPPS APC	50.32				percent of total billed charges		68				other	OPPS APC	68				other	OPPS APC	18.42				percent of total billed charges		18.79				percent of total billed charges		68				other	OPPS APC	18.42	68	
SCREW 4.0MM LP NONLOCKING CANCELLOUS 28MM	SUP-AR-8840-28	CDM			270	RC		inpatient			68	68																																																			
SCREW BONE LCP STAINLESS STEEL T8 L10 MM OD2.7 MM ODSEC5 MM FOREFOOT MIDFOOT CORTICAL VARIABLE ANGLE SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.870	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L10 MM OD2.7 MM ODSEC5 MM FOREFOOT MIDFOOT CORTICAL VARIABLE ANGLE SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.870	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L12 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.872	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L12 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.872	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L14 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.874	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L14 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.874	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L16 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.876	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L16 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.876	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L18 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.878	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L18 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.878	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L20 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.880	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L20 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.880	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L22 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.882	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L22 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.882	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L24 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.884	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L24 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.884	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE T8 26MM 2.7MM SS NS CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.886	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE T8 26MM 2.7MM SS NS CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.886	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.888	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L28 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.888	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L30 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.890	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L30 MM OD2.7 MM CORTEX STARDRIVE SELF TAP NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.890	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L32 MM OD2.7 MM ODSEC5 MM FOREFOOT MIDFOOT CORTEX VARIABLE ANGLE SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.892	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L32 MM OD2.7 MM ODSEC5 MM FOREFOOT MIDFOOT CORTEX VARIABLE ANGLE SELF TAP MODULAR STARDRIVE NONSTERILE MINI FRAGMENT SET	SUP-202.892	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE T8 34MM 2.7MM SS NS CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.894	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE T8 34MM 2.7MM SS NS CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.894	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE 2.7MM 36MM LCP SS T8 CORTEX SELF TAP STARDRIVE NS MODULAR MINI FRAGMENT	SUP-202.896	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE 2.7MM 36MM LCP SS T8 CORTEX SELF TAP STARDRIVE NS MODULAR MINI FRAGMENT	SUP-202.896	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L38 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.898	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L38 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.898	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE T8 40MM 2.7MM SS NS CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.900	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE T8 40MM 2.7MM SS NS CORTEX SELF TAP STARDRIVE MODULAR MINI FRAGMENT SYSTEM	SUP-202.900	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L42 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.962	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L42 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.962	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L44 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.963	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L44 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.963	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L46 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.965	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L46 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.965	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE 2.7MM 50MM LCP SS T8 CORTEX SELF TAP STARDRIVE NS MODULAR MINI FRAGMENT	SUP-202.967	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE 2.7MM 50MM LCP SS T8 CORTEX SELF TAP STARDRIVE NS MODULAR MINI FRAGMENT	SUP-202.967	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
SCREW BONE LCP STAINLESS STEEL T8 L60 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.969	CDM	270010022	LOCAL	270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
SCREW BONE LCP STAINLESS STEEL T8 L60 MM OD2.7 MM CORTEX SELF TAP STARDRIVE NONSTERILE MODULAR MINI FRAGMENT SYSTEM	SUP-202.969	CDM	270010022	LOCAL	270	RC		inpatient			67.9	67.9																																																			
GUIDEWIRE VASCULAR MICROPUNCTURE NITINOL STRAIGHT L80 CM OD.018 IN	SUP-G05822	CDM			270	RC		outpatient			67.9	67.96	18.39				percent of total billed charges		67.9				other	OPPS APC	50.25				percent of total billed charges		67.9				other	OPPS APC	67.9				other	OPPS APC	18.39				percent of total billed charges		18.76				percent of total billed charges		67.96				other	OPPS APC	18.39	67.96	
GUIDEWIRE VASCULAR MICROPUNCTURE NITINOL STRAIGHT L80 CM OD.018 IN	SUP-G05822	CDM			270	RC		inpatient			67.9	67.9																																																			
SCREW BONE 2.7MM 5MM 20MM LCP TITANIUM FULL THREAD HEXAGON SPHERE RADIUS CORTICAL	SUP-402.820	CDM						inpatient			67.76	67.76																																																			
SCREW BONE 2.7MM 5MM 20MM LCP TITANIUM FULL THREAD HEXAGON SPHERE RADIUS CORTICAL	SUP-402.820	CDM						outpatient			67.76	67.77	67.76				percent of total billed charges		67.76				other	OPPS APC	67.76				fee schedule		67.76				other	OPPS APC	67.76				other	OPPS APC	67.76				case rate		67.76				case rate		67.77				other	OPPS APC	67.76	67.77	
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) SOLUTION	636000000	CDM	0338-1049-02	NDC	J2305	HCPCS		inpatient			67.62	67.62																																																			
NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) SOLUTION	636000000	CDM	0338-1049-02	NDC	J2305	HCPCS		outpatient			67.62	1.54																																											1.54				other	OPPS APC	1.54	1.54	
FORCEPS BIOPSY RADIAL JAW 4 STAINLESS STEEL STANDARD CAPACITY L100 CM OD1.8 MM PULMONARY PRECISE BITE CONSISTENT SAMPLE RETENTION STREAMLINE CATHETER POSITION MARKER DISPOSABLE	SUP-M00515181	CDM			270	RC		outpatient			67.51	67.52	18.29				percent of total billed charges		67.51				other	OPPS APC	49.96				percent of total billed charges		67.51				other	OPPS APC	67.51				other	OPPS APC	18.29				percent of total billed charges		18.65				percent of total billed charges		67.52				other	OPPS APC	18.29	67.52	
FORCEPS BIOPSY RADIAL JAW 4 STAINLESS STEEL STANDARD CAPACITY L100 CM OD1.8 MM PULMONARY PRECISE BITE CONSISTENT SAMPLE RETENTION STREAMLINE CATHETER POSITION MARKER DISPOSABLE	SUP-M00515181	CDM			270	RC		inpatient			67.51	67.51																																																			
VERICIGUAT 2.5 MG TABLET	637000000	CDM	0006-5028-01	NDC	A9270	HCPCS		inpatient			67.32	67.32																																																			
VERICIGUAT 2.5 MG TABLET	637000000	CDM	0006-5028-01	NDC	A9270	HCPCS		outpatient			67.32	67.32																																															other	OPPS APC			
FILTER H INLINE NEONATE	SUP-30-00122	CDM			272	RC		outpatient			67.28	67.28	18.23				percent of total billed charges		67.28				other	OPPS APC	49.79				percent of total billed charges		67.28				other	OPPS APC	67.28				other	OPPS APC	18.23				percent of total billed charges		18.59				percent of total billed charges		67.28				other	OPPS APC	18.23	67.28	
FILTER H INLINE NEONATE	SUP-30-00122	CDM			272	RC		inpatient			67.28	67.28																																																			
SUTURE NONABSORBABLE GORE-TEX CV-8 TTC-9 L24 IN 2 ARM MONOFILAMENT WHITE	SUP-8K02A	CDM			270	RC		outpatient			67.17	67.17	18.2				percent of total billed charges		67.17				other	OPPS APC	49.71				percent of total billed charges		67.17				other	OPPS APC	67.17				other	OPPS APC	18.2				percent of total billed charges		18.56				percent of total billed charges		67.17				other	OPPS APC	18.2	67.17	
SUTURE NONABSORBABLE GORE-TEX CV-8 TTC-9 L24 IN 2 ARM MONOFILAMENT WHITE	SUP-8K02A	CDM			270	RC		inpatient			67.17	67.17																																																			
GOWN BAIR PAWS XLG	SUP-23-00160	CDM			272	RC		outpatient			67.1	68	18.18				percent of total billed charges		67.1				other	OPPS APC	49.65				percent of total billed charges		67.1				other	OPPS APC	67.1				other	OPPS APC	18.18				percent of total billed charges		18.54				percent of total billed charges		68				other	OPPS APC	18.18	68	
GOWN BAIR PAWS XLG	SUP-23-00160	CDM			272	RC		inpatient			67.1	67.1																																																			
TUBE SUCTION FRAZIER VMUELLER STAINLESS STEEL ANGLE L3 7/8 IN L3.88 IN OD12 FR FINGER VALVE OBTURATOR NONSTERILE	SUP-NL1903	CDM						inpatient			67.08	67.08																																																			
TUBE SUCTION FRAZIER VMUELLER STAINLESS STEEL ANGLE L3 7/8 IN L3.88 IN OD12 FR FINGER VALVE OBTURATOR NONSTERILE	SUP-NL1903	CDM						outpatient			67.08	67.8	67.08				percent of total billed charges		67.08				other	OPPS APC	67.08				fee schedule		67.08				other	OPPS APC	67.08				other	OPPS APC	67.08				case rate		67.08				case rate		67.8				other	OPPS APC	67.08	67.8	
WASHER ORTHOPEDIC EVOS 3.5 MM SCREW	SUP-72442135	CDM			270	RC		outpatient			67	67	18.15				percent of total billed charges		67				other	OPPS APC	49.58				percent of total billed charges		67				other	OPPS APC	67				other	OPPS APC	18.15				percent of total billed charges		18.51				percent of total billed charges		67				other	OPPS APC	18.15	67	
WASHER ORTHOPEDIC EVOS 3.5 MM SCREW	SUP-72442135	CDM			270	RC		inpatient			67	67																																																			
DARCO MED-SURG SHOE MAN MED	SUP-95-00230	CDM			271	RC		outpatient			66.8	66.8	18.1				percent of total billed charges		66.8				other	OPPS APC	49.43				percent of total billed charges		66.8				other	OPPS APC	66.8				other	OPPS APC	18.1				percent of total billed charges		18.46				percent of total billed charges		66.8				other	OPPS APC	18.1	66.8	
DARCO MED-SURG SHOE MAN MED	SUP-95-00230	CDM			271	RC		inpatient			66.8	66.8																																																			
TRAY CATHETERIZATION BARD OD16 FR 350ML URINE METER	SUP-A319416A	CDM	270009006	LOCAL	270	RC		outpatient			66.8	66.8	18.1				percent of total billed charges		66.8				other	OPPS APC	49.43				percent of total billed charges		66.8				other	OPPS APC	66.8				other	OPPS APC	18.1				percent of total billed charges		18.46				percent of total billed charges		66.8				other	OPPS APC	18.1	66.8	
TRAY CATHETERIZATION BARD OD16 FR 350ML URINE METER	SUP-A319416A	CDM	270009006	LOCAL	270	RC		inpatient			66.8	66.8																																																			
PACK SURGICAL EP	SUP-DYNJ59277	CDM			270	RC		outpatient			66.65	66.66	18.06				percent of total billed charges		66.65				other	OPPS APC	49.32				percent of total billed charges		66.65				other	OPPS APC	66.65				other	OPPS APC	18.06				percent of total billed charges		18.42				percent of total billed charges		66.66				other	OPPS APC	18.06	66.66	
PACK SURGICAL EP	SUP-DYNJ59277	CDM			270	RC		inpatient			66.65	66.65																																																			
CONTRAST - ISOVUE 300 150CC	SUP-99-02123	CDM			255	RC		outpatient			66.64	66.64	16.24				percent of total billed charges		66.64				other	OPPS APC	0.13				fee schedule		66.64				other	OPPS APC	66.64				other	OPPS APC	16.24				percent of total billed charges		16.57				percent of total billed charges		66.64				other	OPPS APC	0.13	66.64	
CONTRAST - ISOVUE 300 150CC	SUP-99-02123	CDM			255	RC		inpatient			66.64	66.64																																																			
CONTRAST - ISOVUE 300 200CC	SUP-99-02124	CDM			255	RC		outpatient			66.64	66.64	16.24				percent of total billed charges		66.64				other	OPPS APC	0.13				fee schedule		66.64				other	OPPS APC	66.64				other	OPPS APC	16.24				percent of total billed charges		16.57				percent of total billed charges		66.64				other	OPPS APC	0.13	66.64	
CONTRAST - ISOVUE 300 200CC	SUP-99-02124	CDM			255	RC		inpatient			66.64	66.64																																																			
KWIRE 0.8 X 100MM	SUP-95-05099	CDM			272	RC		outpatient			66.16	66.16	17.92				percent of total billed charges		66.16				other	OPPS APC	48.96				percent of total billed charges		66.16				other	OPPS APC	66.16				other	OPPS APC	17.92				percent of total billed charges		18.28				percent of total billed charges		66.16				other	OPPS APC	17.92	66.16	
KWIRE 0.8 X 100MM	SUP-95-05099	CDM			272	RC		inpatient			66.16	66.16																																																			
CONRAY 50ML	SUP-95-02986	CDM			272	RC		outpatient			66.15	66.16	17.92				percent of total billed charges		66.15				other	OPPS APC	48.95				percent of total billed charges		66.15				other	OPPS APC	66.15				other	OPPS APC	17.92				percent of total billed charges		18.28				percent of total billed charges		66.16				other	OPPS APC	17.92	66.16	
CONRAY 50ML	SUP-95-02986	CDM			272	RC		inpatient			66.15	66.15																																																			
BETAMETHASONE ACET & SOD PHOS PER 4 MG	636000000	CDM	0517-0720-01	NDC	J0702	HCPCS		inpatient			66.04	66.04																																																			
BETAMETHASONE ACET & SOD PHOS PER 4 MG	636000000	CDM	0517-0720-01	NDC	J0702	HCPCS		outpatient			66.04	66.04																																															other	OPPS APC			
BURR SURGICAL CARBIDE MEDIUM OVAL L48 MM OD5.5 MM 10 FLUTED STERILE	SUP-00509123800	CDM			270	RC		outpatient			66.02	66.2	17.88				percent of total billed charges		66.02				other	OPPS APC	48.85				percent of total billed charges		66.02				other	OPPS APC	66.02				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66.2				other	OPPS APC	17.88	66.2	
BURR SURGICAL CARBIDE MEDIUM OVAL L48 MM OD5.5 MM 10 FLUTED STERILE	SUP-00509123800	CDM			270	RC		inpatient			66.02	66.02																																																			
NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL	250000000	CDM	44567-222-10	NDC				inpatient			66	66																																																			
NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL	250000000	CDM	44567-222-10	NDC				outpatient			66	66																																															other	OPPS APC			
HC Complement-Tl (Tcmp)	PX-300861620	CDM	86162	CPT	300	RC		outpatient			66	2.32	27.17				fee schedule		20.32				fee schedule		53.94				fee schedule		20.32				fee schedule		20.32				fee schedule		20.32				fee schedule		20.32				fee schedule		2.32				fee schedule		2.32	53.94	
HC Complement-Tl (Tcmp)	PX-300861620	CDM	86162	CPT	300	RC		inpatient			66	66																																																			
HC Antibody John Cunningham Virus	PX-300867110	CDM	86711	CPT	300	RC		outpatient			66	16.89	19.25				fee schedule		16.89				fee schedule		37.6				fee schedule		16.89				fee schedule		16.89				fee schedule		16.89				fee schedule		16.89				fee schedule		16.89				fee schedule		16.89	37.6	
HC Antibody John Cunningham Virus	PX-300867110	CDM	86711	CPT	300	RC		inpatient			66	66																																																			
HC Bd Tomosynthesis Bilateral	PX-403770630	CDM	77063	CPT	403	RC		outpatient			66	23.97	15.94				fee schedule		23.97				fee schedule		41.28				fee schedule		23.97				fee schedule		23.97				fee schedule		52.74				fee schedule		23.97				fee schedule		23.97				fee schedule		15.94	52.74	
HC Bd Tomosynthesis Bilateral	PX-403770630	CDM	77063	CPT	403	RC		inpatient			66	66																																																			
Subst Abuse Screen  15-30mins	PX-510994081	CDM	99408	CPT	510	RC		inpatient			66	66																																																			
Subst Abuse Screen  15-30mins	PX-510994081	CDM	99408	CPT	510	RC		outpatient			66	66	35.26				fee schedule						other	OPPS APC	48.84				percent of total billed charges						other	OPPS APC					fee schedule		31.34				fee schedule												other	OPPS APC	48.84	48.84	
WRIST STRAP	SUP-10170060	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
WRIST STRAP	SUP-10170060	CDM			270	RC		inpatient			66	66																																																			
CATHETER KUMPE 5FR 65CM	SUP-10732701	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
CATHETER KUMPE 5FR 65CM	SUP-10732701	CDM			270	RC		inpatient			66	66																																																			
SCREW BONE 70MM 32MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.07	CDM	270010022	LOCAL	270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
SCREW BONE 70MM 32MM 4.5MM 8MM SS NS MALLEOLAR HEXAGONAL SOCKET LG FRAGMENT SET	SUP-215.07	CDM	270010022	LOCAL	270	RC		inpatient			66	66																																																			
SCREW BONE 4.5MM 8MM 70MM 32MM LCP SS 3.5MM MALLEOLAR HEXAGONAL SOCKET NS LG FRAGMENT	SUP-215.070	CDM						inpatient			66	66																																																			
SCREW BONE 4.5MM 8MM 70MM 32MM LCP SS 3.5MM MALLEOLAR HEXAGONAL SOCKET NS LG FRAGMENT	SUP-215.070	CDM						outpatient			66	66	66				percent of total billed charges		66				other	OPPS APC	66				fee schedule		66				other	OPPS APC	66				other	OPPS APC	66				case rate		66				case rate		66				other	OPPS APC	66	66	
ORBITAL FLOOR TEMPLATE LARGE	SUP-5404000	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
ORBITAL FLOOR TEMPLATE LARGE	SUP-5404000	CDM			270	RC		inpatient			66	66																																																			
SUTURE NONABSORBABLE GORE-TEX CV-6 PT-9 L30 IN 2 ARM MONOFILAMENT WHITE	SUP-6M06B	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
SUTURE NONABSORBABLE GORE-TEX CV-6 PT-9 L30 IN 2 ARM MONOFILAMENT WHITE	SUP-6M06B	CDM			270	RC		inpatient			66	66																																																			
WIRE FIXATION L 100 MM OD 1.4 MM TROCAR TIP	SUP-71161014	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
WIRE FIXATION L 100 MM OD 1.4 MM TROCAR TIP	SUP-71161014	CDM			270	RC		inpatient			66	66																																																			
K-WIRE 1.0 X  LG150	SUP-95-04541	CDM			278	RC		outpatient			66	66	66				fee schedule		66				other	OPPS APC	37.62				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	32.34				percent of total billed charges		33.66				percent of total billed charges		66				other	OPPS APC	32.34	66	
K-WIRE 1.0 X  LG150	SUP-95-04541	CDM			278	RC		inpatient			66	66																																																			
CABLE CATHETER CARTO 3 L3 MR 12 34 PIN DARK BLUE LIGHT BLUE DECAPOLAR WEBSTER CS BIDIRECTIONAL AUTO ID REPROCESSED	SUP-BIOCB3412CT	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
CABLE CATHETER CARTO 3 L3 MR 12 34 PIN DARK BLUE LIGHT BLUE DECAPOLAR WEBSTER CS BIDIRECTIONAL AUTO ID REPROCESSED	SUP-BIOCB3412CT	CDM			270	RC		inpatient			66	66																																																			
CABLE CATHETER CARTO 3 L 10FT 20 POLE 34 PIN STERILE LATEX FREE DISPOSABLE DARK BLUE LIGHT BLUE REPROCESSED	SUP-BIOCB3434CT	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
CABLE CATHETER CARTO 3 L 10FT 20 POLE 34 PIN STERILE LATEX FREE DISPOSABLE DARK BLUE LIGHT BLUE REPROCESSED	SUP-BIOCB3434CT	CDM			270	RC		inpatient			66	66																																																			
CABLE CATHETER 3 INTERFACE SPLIT HANDLE STERILE LATEX FREE DISPOSABLE REPROCESSED	SUP-BIOD134401	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
CABLE CATHETER 3 INTERFACE SPLIT HANDLE STERILE LATEX FREE DISPOSABLE REPROCESSED	SUP-BIOD134401	CDM			270	RC		inpatient			66	66																																																			
CUSP LOK 11 MINI LOW PROFILE CURVED	SUP-CLIIMCLP	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
CUSP LOK 11 MINI LOW PROFILE CURVED	SUP-CLIIMCLP	CDM			270	RC		inpatient			66	66																																																			
WIRE LOCALIZATION DUALOCK L10.7 CM OD 20 GA BREAST LESION MARK	SUP-LW0107	CDM			270	RC		outpatient			66	66	17.88				percent of total billed charges		66				other	OPPS APC	48.84				percent of total billed charges		66				other	OPPS APC	66				other	OPPS APC	17.88				percent of total billed charges		18.24				percent of total billed charges		66				other	OPPS APC	17.88	66	
WIRE LOCALIZATION DUALOCK L10.7 CM OD 20 GA BREAST LESION MARK	SUP-LW0107	CDM			270	RC		inpatient			66	66																																																			
SUTURE ETHIBOND 5 MB47G	SUP-74-00235	CDM			272	RC		outpatient			65.99	65.99	17.88				percent of total billed charges		65.99				other	OPPS APC	48.83				percent of total billed charges		65.99				other	OPPS APC	65.99				other	OPPS APC	17.88				percent of total billed charges		18.23				percent of total billed charges		65.99				other	OPPS APC	17.88	65.99	
SUTURE ETHIBOND 5 MB47G	SUP-74-00235	CDM			272	RC		inpatient			65.99	65.99																																																			
Need Marrow Bone Sterile	PX-270000030	CDM			270	RC		outpatient			65.98	65.98	17.87				percent of total billed charges		65.98				other	OPPS APC	65.98				fee schedule		65.98				other	OPPS APC	65.98				other	OPPS APC	17.87				percent of total billed charges		18.23				percent of total billed charges		65.98				other	OPPS APC	17.87	65.98	
Need Marrow Bone Sterile	PX-270000030	CDM			270	RC		inpatient			65.98	65.98																																																			
.018 COPE MANDRIL WIRE	SUP-G05183	CDM			481	RC		outpatient			65.92	65.92	32.3				percent of total billed charges		65.92				other	OPPS APC	48.78				percent of total billed charges		65.92				other	OPPS APC	65.92				other	OPPS APC	32.3				percent of total billed charges		33.62				percent of total billed charges		65.92				other	OPPS APC	32.3	65.92	
.018 COPE MANDRIL WIRE	SUP-G05183	CDM			481	RC		inpatient			65.92	65.92																																																			
Catheter Umbilical 3.5 Fr Double Lumen	PX-272000023	CDM			272	RC		outpatient			65.91	66	17.86				percent of total billed charges		65.91				other	OPPS APC	65.91				fee schedule		65.91				other	OPPS APC	65.91				other	OPPS APC	17.86				percent of total billed charges		18.21				percent of total billed charges		66				other	OPPS APC	17.86	66	
Catheter Umbilical 3.5 Fr Double Lumen	PX-272000023	CDM			272	RC		inpatient			65.91	65.91																																																			
LEAD PACING STREAMLINE L3 MM OD.48 MM ATRIUM UNIPOLAR TEMPORARY PURPLE	SUP-6492F	CDM			270	RC		outpatient			65.84	65.84	17.84				percent of total billed charges		65.84				other	OPPS APC	48.72				percent of total billed charges		65.84				other	OPPS APC	65.84				other	OPPS APC	17.84				percent of total billed charges		18.19				percent of total billed charges		65.84				other	OPPS APC	17.84	65.84	
LEAD PACING STREAMLINE L3 MM OD.48 MM ATRIUM UNIPOLAR TEMPORARY PURPLE	SUP-6492F	CDM			270	RC		inpatient			65.84	65.84																																																			
"OXYCODONE ER 10 MG TABLET,ORAL ONLY,EXT.REL.12 HR"	637000000	CDM	59011-410-20	NDC	A9270	HCPCS		inpatient			65.7	65.7																																																			
"OXYCODONE ER 10 MG TABLET,ORAL ONLY,EXT.REL.12 HR"	637000000	CDM	59011-410-20	NDC	A9270	HCPCS		outpatient			65.7	65.7																																															other	OPPS APC			
SET TUBING DUALWAVE CASSETTE OUTFLOW STERILE DISPOSABLE ARTHROSCOPY PUMP	SUP-AR-6430	CDM			270	RC		outpatient			65.6	65.6	17.77				percent of total billed charges		65.6				other	OPPS APC	48.54				percent of total billed charges		65.6				other	OPPS APC	65.6				other	OPPS APC	17.77				percent of total billed charges		18.13				percent of total billed charges		65.6				other	OPPS APC	17.77	65.6	
SET TUBING DUALWAVE CASSETTE OUTFLOW STERILE DISPOSABLE ARTHROSCOPY PUMP	SUP-AR-6430	CDM			270	RC		inpatient			65.6	65.6																																																			
CATHETER URETHRAL DOVER SILICONE NONPOROUS L16 IN OD12 FR 5 ML 2 WAY FOLEY REINFORCE TIP LATEX FREE	SUP-8887605122	CDM						inpatient			65.58	65.58																																																			
CATHETER URETHRAL DOVER SILICONE NONPOROUS L16 IN OD12 FR 5 ML 2 WAY FOLEY REINFORCE TIP LATEX FREE	SUP-8887605122	CDM						outpatient			65.58	65.58	65.58				percent of total billed charges		65.58				other	OPPS APC	65.58				fee schedule		65.58				other	OPPS APC	65.58				other	OPPS APC	65.58				case rate		65.58				case rate		65.58				other	OPPS APC	65.58	65.58	
SCREW DISTRACTION STAINLESS STEEL L12 MM SPINE CERVICAL ANTERIOR SHARP TIP SELF TAP THREAD PIN UNIVERSAL BULLET HEAD STERILE LATEX FREE DISPOSABLE	SUP-MDS9091212	CDM			270	RC		outpatient			65.44	65.44	17.73				percent of total billed charges		65.44				other	OPPS APC	48.43				percent of total billed charges		65.44				other	OPPS APC	65.44				other	OPPS APC	17.73				percent of total billed charges		18.08				percent of total billed charges		65.44				other	OPPS APC	17.73	65.44	
SCREW DISTRACTION STAINLESS STEEL L12 MM SPINE CERVICAL ANTERIOR SHARP TIP SELF TAP THREAD PIN UNIVERSAL BULLET HEAD STERILE LATEX FREE DISPOSABLE	SUP-MDS9091212	CDM			270	RC		inpatient			65.44	65.44																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION	250000000	CDM	63323-089-50	NDC				inpatient			65.37	65.37																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION	250000000	CDM	63323-089-50	NDC				outpatient			65.37	65.37																																															other	OPPS APC			
PACK MAJOR ABDOMINAL	SUP-DYNJ59283	CDM	270009161	LOCAL	270	RC		outpatient			65.24	65.24	17.67				percent of total billed charges		65.24				other	OPPS APC	48.28				percent of total billed charges		65.24				other	OPPS APC	65.24				other	OPPS APC	17.67				percent of total billed charges		18.03				percent of total billed charges		65.24				other	OPPS APC	17.67	65.24	
PACK MAJOR ABDOMINAL	SUP-DYNJ59283	CDM	270009161	LOCAL	270	RC		inpatient			65.24	65.24																																																			
TUBING IRRIGATION TIP DISPOSABLE	SUP-0250070620	CDM			270	RC		outpatient			65.22	65.22	17.67				percent of total billed charges		65.22				other	OPPS APC	48.26				percent of total billed charges		65.22				other	OPPS APC	65.22				other	OPPS APC	17.67				percent of total billed charges		18.02				percent of total billed charges		65.22				other	OPPS APC	17.67	65.22	
TUBING IRRIGATION TIP DISPOSABLE	SUP-0250070620	CDM			270	RC		inpatient			65.22	65.22																																																			
CATHETER BALLOON DILATATION AMPLATZ L84 CM OD8 FR RENAL GUIDE STERILE	SUP-G57462	CDM						inpatient			65.2	65.2																																																			
CATHETER BALLOON DILATATION AMPLATZ L84 CM OD8 FR RENAL GUIDE STERILE	SUP-G57462	CDM						outpatient			65.2	65.23	65.2				percent of total billed charges		65.2				other	OPPS APC	65.2				fee schedule		65.2				other	OPPS APC	65.2				other	OPPS APC	65.2				case rate		65.2				case rate		65.23				other	OPPS APC	65.2	65.23	
SCREW BONE PARTIAL THREAD 35MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.035	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE PARTIAL THREAD 35MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.035	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L45 MM L16 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.045	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L45 MM L16 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.045	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L55 MM L16 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.055	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L55 MM L16 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.055	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE PARTIAL THREAD 65MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.065	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE PARTIAL THREAD 65MM 16MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-216.065	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L75 MM L16 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.075	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L75 MM L16 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-216.075	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE PARTIAL THREAD 45MM 32MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-217.045	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE PARTIAL THREAD 45MM 32MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-217.045	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE PARTIAL THREAD 55MM 32MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-217.055	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE PARTIAL THREAD 55MM 32MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-217.055	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L75 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.075	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L75 MM L32 MM OD6.5 MM ODSEC8 MM CANCELLOUS LONG BONE LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-217.075	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 35MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.035	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 35MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.035	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 45MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.045	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 45MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.045	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 50MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.050	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 50MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.050	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 55MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.055	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 55MM 6.5MM SS NS CANCELLOUS LG HEXAGONAL	SUP-218.055	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 60MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.060	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 60MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.060	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 65MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.065	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 65MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.065	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 70MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.070	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 70MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.070	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 75MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.075	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 75MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.075	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
SCREW BONE FULL THREAD 80MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.080	CDM	270010022	LOCAL	270	RC		outpatient			65.08	65.8	17.63				percent of total billed charges		65.08				other	OPPS APC	48.16				percent of total billed charges		65.08				other	OPPS APC	65.08				other	OPPS APC	17.63				percent of total billed charges		17.98				percent of total billed charges		65.8				other	OPPS APC	17.63	65.8	
SCREW BONE FULL THREAD 80MM 6.5MM 8MM SS NS CANCELLOUS LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-218.080	CDM	270010022	LOCAL	270	RC		inpatient			65.08	65.08																																																			
NEEDLE SPINAL INTRODUCER 20G X 1 1/4	SUP-97-00273	CDM			272	RC		outpatient			65.04	65.46	17.62				percent of total billed charges		65.04				other	OPPS APC	48.13				percent of total billed charges		65.04				other	OPPS APC	65.04				other	OPPS APC	17.62				percent of total billed charges		17.97				percent of total billed charges		65.46				other	OPPS APC	17.62	65.46	
NEEDLE SPINAL INTRODUCER 20G X 1 1/4	SUP-97-00273	CDM			272	RC		inpatient			65.04	65.04																																																			
TERUMO 6F ANGLED PIGTAIL DIAGNOSTIC CATHETER	SUP-40-6031	CDM			481	RC		outpatient			65.02	65.2	31.86				percent of total billed charges		65.02				other	OPPS APC	48.11				percent of total billed charges		65.02				other	OPPS APC	65.02				other	OPPS APC	31.86				percent of total billed charges		33.16				percent of total billed charges		65.2				other	OPPS APC	31.86	65.2	
TERUMO 6F ANGLED PIGTAIL DIAGNOSTIC CATHETER	SUP-40-6031	CDM			481	RC		inpatient			65.02	65.02																																																			
HC Mass Spectrometry & Tandem Mass Spectr Non Drug Analytes Not Spec.	PX-300837890	CDM	83789	CPT	301	RC		outpatient			65	24.2	24.14				fee schedule		24.11				fee schedule		47.94				fee schedule		24.11				fee schedule		24.11				fee schedule		24.11				fee schedule		24.11				fee schedule		24.2				fee schedule		24.11	47.94	
HC Mass Spectrometry & Tandem Mass Spectr Non Drug Analytes Not Spec.	PX-300837890	CDM	83789	CPT	301	RC		inpatient			65	65																																																			
HC Parvovirus	PX-300867470	CDM	86747	CPT	302	RC		outpatient			65	15.3	20.1				fee schedule		15.03				fee schedule		39.9				fee schedule		15.03				fee schedule		15.03				fee schedule		15.03				fee schedule		15.03				fee schedule		15.3				fee schedule		15.03	39.9	
HC Parvovirus	PX-300867470	CDM	86747	CPT	302	RC		inpatient			65	65																																																			
CATHETER - VTK 125CM	SUP-99-00135	CDM			272	RC		outpatient			65	65	17.61				percent of total billed charges		65				other	OPPS APC	48.1				percent of total billed charges		65				other	OPPS APC	65				other	OPPS APC	17.61				percent of total billed charges		17.96				percent of total billed charges		65				other	OPPS APC	17.61	65	
CATHETER - VTK 125CM	SUP-99-00135	CDM			272	RC		inpatient			65	65																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-4699-54	NDC	J2704	HCPCS		inpatient			64.79	64.79																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-4699-54	NDC	J2704	HCPCS		outpatient			64.79	64.79																																															other	OPPS APC			
ACETYLCYSTEINE PER 100 MG	636000000	CDM	72611-860-01	NDC	J0132	HCPCS		inpatient			64.75	64.75																																																			
ACETYLCYSTEINE PER 100 MG	636000000	CDM	72611-860-01	NDC	J0132	HCPCS		outpatient			64.75	64.75																																															other	OPPS APC			
CANNULA 5MM STABILITY SLEEVE	SUP-76-00111	CDM			272	RC		outpatient			64.64	64.64	17.51				percent of total billed charges		64.64				other	OPPS APC	47.83				percent of total billed charges		64.64				other	OPPS APC	64.64				other	OPPS APC	17.51				percent of total billed charges		17.86				percent of total billed charges		64.64				other	OPPS APC	17.51	64.64	
CANNULA 5MM STABILITY SLEEVE	SUP-76-00111	CDM			272	RC		inpatient			64.64	64.64																																																			
CANNULA 12M STABILITY SLEEVE	SUP-76-00117	CDM			272	RC		outpatient			64.64	64.64	17.51				percent of total billed charges		64.64				other	OPPS APC	47.83				percent of total billed charges		64.64				other	OPPS APC	64.64				other	OPPS APC	17.51				percent of total billed charges		17.86				percent of total billed charges		64.64				other	OPPS APC	17.51	64.64	
CANNULA 12M STABILITY SLEEVE	SUP-76-00117	CDM			272	RC		inpatient			64.64	64.64																																																			
SET FOLLOWER HEYMAN PLASTIC L13.35 IN OD10-24 FR URETHRAL STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-BRD021100PK	CDM			270	RC		outpatient			64.61	64.7	17.5				percent of total billed charges		64.61				other	OPPS APC	47.81				percent of total billed charges		64.61				other	OPPS APC	64.61				other	OPPS APC	17.5				percent of total billed charges		17.85				percent of total billed charges		64.7				other	OPPS APC	17.5	64.7	
SET FOLLOWER HEYMAN PLASTIC L13.35 IN OD10-24 FR URETHRAL STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-BRD021100PK	CDM			270	RC		inpatient			64.61	64.61																																																			
HC Centromere Antibody (Cma)	PX-300862357	CDM	86235	CPT	300	RC		outpatient			64.54	17.93	23.97				fee schedule		17.93				fee schedule		47.61				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93	47.61	
HC Centromere Antibody (Cma)	PX-300862357	CDM	86235	CPT	300	RC		inpatient			64.54	64.54																																																			
SCD SLEEVE KNEE LENGTH LARGE 9	SUP-01-00069	CDM			271	RC		outpatient			64.42	64.42	17.45				percent of total billed charges		64.42				other	OPPS APC	47.67				percent of total billed charges		64.42				other	OPPS APC	64.42				other	OPPS APC	17.45				percent of total billed charges		17.8				percent of total billed charges		64.42				other	OPPS APC	17.45	64.42	
SCD SLEEVE KNEE LENGTH LARGE 9	SUP-01-00069	CDM			271	RC		inpatient			64.42	64.42																																																			
Trach Cuff Fenstrated Lo Press	PX-270000014	CDM			270	RC		outpatient			64.4	64.46	17.45				percent of total billed charges		64.4				other	OPPS APC	64.4				fee schedule		64.4				other	OPPS APC	64.4				other	OPPS APC	17.45				percent of total billed charges		17.79				percent of total billed charges		64.46				other	OPPS APC	17.45	64.46	
Trach Cuff Fenstrated Lo Press	PX-270000014	CDM			270	RC		inpatient			64.4	64.4																																																			
PEG TUBE 16FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-01073	CDM			278	RC		outpatient			64.16	64.16	64.16				fee schedule		64.16				other	OPPS APC	36.57				percent of total billed charges		64.16				other	OPPS APC	64.16				other	OPPS APC	31.44				percent of total billed charges		32.72				percent of total billed charges		64.16				other	OPPS APC	31.44	64.16	
PEG TUBE 16FR REPLACEMENT ENDOVIVE STANDARD STRAIGHT	SUP-95-01073	CDM			278	RC		inpatient			64.16	64.16																																																			
Tray Pack 5/6 Fr	PX-270000002	CDM			270	RC		outpatient			64.09	64.93	17.36				percent of total billed charges		64.09				other	OPPS APC	64.09				fee schedule		64.09				other	OPPS APC	64.09				other	OPPS APC	17.36				percent of total billed charges		17.71				percent of total billed charges		64.93				other	OPPS APC	17.36	64.93	
Tray Pack 5/6 Fr	PX-270000002	CDM			270	RC		inpatient			64.09	64.09																																																			
SCREW BONE TITANIUM L11 MM OD1.5 MM ODSEC3 MM HAND CORTEX SELF TAP LOW PROFILE HEAD THREAD NONSTERILE MINI FRAGMENT SET	SUP-400.811.96	CDM	270010022	LOCAL	270	RC		outpatient			64.02	64.2	17.34				percent of total billed charges		64.02				other	OPPS APC	47.37				percent of total billed charges		64.02				other	OPPS APC	64.02				other	OPPS APC	17.34				percent of total billed charges		17.69				percent of total billed charges		64.2				other	OPPS APC	17.34	64.2	
SCREW BONE TITANIUM L11 MM OD1.5 MM ODSEC3 MM HAND CORTEX SELF TAP LOW PROFILE HEAD THREAD NONSTERILE MINI FRAGMENT SET	SUP-400.811.96	CDM	270010022	LOCAL	270	RC		inpatient			64.02	64.02																																																			
SCREW BONE TITANIUM L12 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAPPING NONSTERILE PERCUTANEOUS REDUCTION FORCEPS	SUP-400.812.96	CDM	270010022	LOCAL	270	RC		outpatient			64.02	64.2	17.34				percent of total billed charges		64.02				other	OPPS APC	47.37				percent of total billed charges		64.02				other	OPPS APC	64.02				other	OPPS APC	17.34				percent of total billed charges		17.69				percent of total billed charges		64.2				other	OPPS APC	17.34	64.2	
SCREW BONE TITANIUM L12 MM OD1.5 MM ODSEC3 MM HAND CORTICAL SELF TAPPING NONSTERILE PERCUTANEOUS REDUCTION FORCEPS	SUP-400.812.96	CDM	270010022	LOCAL	270	RC		inpatient			64.02	64.02																																																			
SCREW BONE TITANIUM L16 MM OD1.5 MM CORTICAL HAND SELF TAPPING NONSTERILE	SUP-400.816.96	CDM	270010022	LOCAL	270	RC		outpatient			64.02	64.2	17.34				percent of total billed charges		64.02				other	OPPS APC	47.37				percent of total billed charges		64.02				other	OPPS APC	64.02				other	OPPS APC	17.34				percent of total billed charges		17.69				percent of total billed charges		64.2				other	OPPS APC	17.34	64.2	
SCREW BONE TITANIUM L16 MM OD1.5 MM CORTICAL HAND SELF TAPPING NONSTERILE	SUP-400.816.96	CDM	270010022	LOCAL	270	RC		inpatient			64.02	64.02																																																			
HC Assay of Androsterone	PX-300821600	CDM	82160	CPT	300	RC		outpatient			64	25.55	33.43				fee schedule		25.55				fee schedule		66.39				fee schedule		25.55				fee schedule		25.55				fee schedule		25.55				fee schedule		25.55				fee schedule		25.55				fee schedule		25.55	66.39	
HC Assay of Androsterone	PX-300821600	CDM	82160	CPT	300	RC		inpatient			64	64																																																			
BRA ELIZABETH PINK SURGICAL SIZE 4XL	SUP-0424XL	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
BRA ELIZABETH PINK SURGICAL SIZE 4XL	SUP-0424XL	CDM			270	RC		inpatient			64	64																																																			
BRA ELIZABETH PINK SURGICAL SIZE 5XL	SUP-0425XL	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
BRA ELIZABETH PINK SURGICAL SIZE 5XL	SUP-0425XL	CDM			270	RC		inpatient			64	64																																																			
CATHETER ANGIOGRAPHIC IMPRESS .038 IN BERN CURVE L100 CM OD4 FR ID.040 IN BRAID	SUP-410038BER-H	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CATHETER ANGIOGRAPHIC IMPRESS .038 IN BERN CURVE L100 CM OD4 FR ID.040 IN BRAID	SUP-410038BER-H	CDM			270	RC		inpatient			64	64																																																			
PONTO AFTER CARE KIT	SUP-97-01574	CDM			272	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
PONTO AFTER CARE KIT	SUP-97-01574	CDM			272	RC		inpatient			64	64																																																			
SHEATH - TEARAWAY - 12F	SUP-99-01409	CDM			272	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
SHEATH - TEARAWAY - 12F	SUP-99-01409	CDM			272	RC		inpatient			64	64																																																			
SHEATH - TEARAWAY - 14F	SUP-99-01410	CDM			272	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
SHEATH - TEARAWAY - 14F	SUP-99-01410	CDM			272	RC		inpatient			64	64																																																			
GUIDE PIN ORTHOPEDIC OD3 MM FEMUR BREAK AWAY OSTEOTOMY	SUP-AR-13303-3.0	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
GUIDE PIN ORTHOPEDIC OD3 MM FEMUR BREAK AWAY OSTEOTOMY	SUP-AR-13303-3.0	CDM			270	RC		inpatient			64	64																																																			
CANNULA GEMINI	SUP-AR-6572	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA GEMINI	SUP-AR-6572	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L3 CM ID8 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-08-30	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L3 CM ID8 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-08-30	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L4 CM ID8 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-08-40	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L4 CM ID8 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-08-40	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L5 CM ID8 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-08-50	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L5 CM ID8 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-08-50	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L2 CM ID10 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-10-20	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L2 CM ID10 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-10-20	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L3 CM ID10 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-10-30	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L3 CM ID10 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-10-30	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT CURVE LOW PROFILE 5CM 10MM SILICONE DISPOSABLE STERILE LF HIP	SUP-AR-6592-10-40	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT CURVE LOW PROFILE 5CM 10MM SILICONE DISPOSABLE STERILE LF HIP	SUP-AR-6592-10-40	CDM			270	RC		inpatient			64	64																																																			
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L5 CM ID10 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-10-50	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CANNULA BUTTON PASSPORT SILICONE CURVE LOW PROFILE L5 CM ID10 MM HIP 1 PIECE MOLD 2 DAM DESIGN 2 FLANGE FLEXIBLE SOFT STERILE LATEX FREE DISPOSABLE	SUP-AR-6592-10-50	CDM			270	RC		inpatient			64	64																																																			
CHICAGO TIP 12FR SELFCLEANING DISP SUCTION	SUP-CT212	CDM			270	RC		outpatient			64	64	17.34				percent of total billed charges		64				other	OPPS APC	47.36				percent of total billed charges		64				other	OPPS APC	64				other	OPPS APC	17.34				percent of total billed charges		17.68				percent of total billed charges		64				other	OPPS APC	17.34	64	
CHICAGO TIP 12FR SELFCLEANING DISP SUCTION	SUP-CT212	CDM			270	RC		inpatient			64	64																																																			
SAGITTAL BLADE	SUP-2108148000	CDM			270	RC		outpatient			63.96	63.96	17.33				percent of total billed charges		63.96				other	OPPS APC	47.33				percent of total billed charges		63.96				other	OPPS APC	63.96				other	OPPS APC	17.33				percent of total billed charges		17.67				percent of total billed charges		63.96				other	OPPS APC	17.33	63.96	
SAGITTAL BLADE	SUP-2108148000	CDM			270	RC		inpatient			63.96	63.96																																																			
CHLOROPROCAINE PER 30 ML	636000000	CDM	0143-9209-10	NDC	J2401	HCPCS		inpatient			63.93	63.93																																																			
CHLOROPROCAINE PER 30 ML	636000000	CDM	0143-9209-10	NDC	J2401	HCPCS		outpatient			63.93	0.42																																											0.42				other	OPPS APC	0.42	0.42	
KNIFE OPHTHALMIC CLEARCUT SATINSLIT ANGLE W3.2 MM SLIT STERILE DISPOSABLE	SUP-8065993245	CDM			270	RC		outpatient			63.84	63.84	17.29				percent of total billed charges		63.84				other	OPPS APC	47.24				percent of total billed charges		63.84				other	OPPS APC	63.84				other	OPPS APC	17.29				percent of total billed charges		17.64				percent of total billed charges		63.84				other	OPPS APC	17.29	63.84	
KNIFE OPHTHALMIC CLEARCUT SATINSLIT ANGLE W3.2 MM SLIT STERILE DISPOSABLE	SUP-8065993245	CDM			270	RC		inpatient			63.84	63.84																																																			
BRUSH BRONCH CYTOLOGY-10EA	SUP-95-01321	CDM			272	RC		outpatient			63.84	63.84	17.29				percent of total billed charges		63.84				other	OPPS APC	47.24				percent of total billed charges		63.84				other	OPPS APC	63.84				other	OPPS APC	17.29				percent of total billed charges		17.64				percent of total billed charges		63.84				other	OPPS APC	17.29	63.84	
BRUSH BRONCH CYTOLOGY-10EA	SUP-95-01321	CDM			272	RC		inpatient			63.84	63.84																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 100MM	SUP-02.200.100	CDM	270010025	LOCAL	270	RC		outpatient			63.8	63.8	17.28				percent of total billed charges		63.8				other	OPPS APC	47.21				percent of total billed charges		63.8				other	OPPS APC	63.8				other	OPPS APC	17.28				percent of total billed charges		17.63				percent of total billed charges		63.8				other	OPPS APC	17.28	63.8	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 100MM	SUP-02.200.100	CDM	270010025	LOCAL	270	RC		inpatient			63.8	63.8																																																			
TUBING IRRIGATION TIP DISPOSABLE	SUP-250070620	CDM			270	RC		outpatient			63.79	63.79	17.28				percent of total billed charges		63.79				other	OPPS APC	47.2				percent of total billed charges		63.79				other	OPPS APC	63.79				other	OPPS APC	17.28				percent of total billed charges		17.63				percent of total billed charges		63.79				other	OPPS APC	17.28	63.79	
TUBING IRRIGATION TIP DISPOSABLE	SUP-250070620	CDM			270	RC		inpatient			63.79	63.79																																																			
SUTURE NONABSORBABLE GORE-TEX CV-6 PT-13 L30 IN 2 ARM MONOFILAMENT WHITE	SUP-6M08B	CDM			270	RC		outpatient			63.72	63.72	17.26				percent of total billed charges		63.72				other	OPPS APC	47.15				percent of total billed charges		63.72				other	OPPS APC	63.72				other	OPPS APC	17.26				percent of total billed charges		17.61				percent of total billed charges		63.72				other	OPPS APC	17.26	63.72	
SUTURE NONABSORBABLE GORE-TEX CV-6 PT-13 L30 IN 2 ARM MONOFILAMENT WHITE	SUP-6M08B	CDM			270	RC		inpatient			63.72	63.72																																																			
HC Mitochondrial Ab  Immunoassay;Multi  Step (AMA)	PX-302863810	CDM	86381	CPT	302	RC		outpatient			63.63	25.45	15.9				fee schedule		25.45				fee schedule		59.3				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		25.45				fee schedule		15.9	59.3	
HC Mitochondrial Ab  Immunoassay;Multi  Step (AMA)	PX-302863810	CDM	86381	CPT	302	RC		inpatient			63.63	63.63																																																			
EVACUATED CONTAINER 1000ML	SUP-21-00073	CDM			272	RC		outpatient			63.53	63.53	17.21				percent of total billed charges		63.53				other	OPPS APC	47.01				percent of total billed charges		63.53				other	OPPS APC	63.53				other	OPPS APC	17.21				percent of total billed charges		17.55				percent of total billed charges		63.53				other	OPPS APC	17.21	63.53	
EVACUATED CONTAINER 1000ML	SUP-21-00073	CDM			272	RC		inpatient			63.53	63.53																																																			
SUTURE VICRYL 9-0 TAPER V402G	SUP-73-00054	CDM			272	RC		outpatient			63.41	63.5	17.18				percent of total billed charges		63.41				other	OPPS APC	46.92				percent of total billed charges		63.41				other	OPPS APC	63.41				other	OPPS APC	17.18				percent of total billed charges		17.52				percent of total billed charges		63.5				other	OPPS APC	17.18	63.5	
SUTURE VICRYL 9-0 TAPER V402G	SUP-73-00054	CDM			272	RC		inpatient			63.41	63.41																																																			
DEVICE INFLATION GATEWAY ENCORE 26 ADVANTAGE Y 20 ML KIT ADAPTER TORQUE GUIDEWIRE INTRODUCER	SUP-H74904527052	CDM			270	RC		outpatient			63.36	63.36	17.16				percent of total billed charges		63.36				other	OPPS APC	46.89				percent of total billed charges		63.36				other	OPPS APC	63.36				other	OPPS APC	17.16				percent of total billed charges		17.51				percent of total billed charges		63.36				other	OPPS APC	17.16	63.36	
DEVICE INFLATION GATEWAY ENCORE 26 ADVANTAGE Y 20 ML KIT ADAPTER TORQUE GUIDEWIRE INTRODUCER	SUP-H74904527052	CDM			270	RC		inpatient			63.36	63.36																																																			
DOXYCYCLINE 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0143-9381-01	NDC				inpatient			63.18	63.18																																																			
DOXYCYCLINE 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0143-9381-01	NDC				outpatient			63.18	63.18																																															other	OPPS APC			
GONIOMETER STANDARD	SUP-95-03889	CDM			272	RC		outpatient			63.16	63.16	17.11				percent of total billed charges		63.16				other	OPPS APC	46.74				percent of total billed charges		63.16				other	OPPS APC	63.16				other	OPPS APC	17.11				percent of total billed charges		17.45				percent of total billed charges		63.16				other	OPPS APC	17.11	63.16	
GONIOMETER STANDARD	SUP-95-03889	CDM			272	RC		inpatient			63.16	63.16																																																			
FORCEPS BIOPSY RADIAL JAW 4 LARGE CAPACITY L100 CM OD2.4 MM PULMONARY PRECISE BITE CONSISTENT SAMPLE RETENTION STREAMLINE CATHETER POSITION MARKER DISPOSABLE	SUP-M00515201	CDM			270	RC		outpatient			63.12	63.12	17.1				percent of total billed charges		63.12				other	OPPS APC	46.71				percent of total billed charges		63.12				other	OPPS APC	63.12				other	OPPS APC	17.1				percent of total billed charges		17.44				percent of total billed charges		63.12				other	OPPS APC	17.1	63.12	
FORCEPS BIOPSY RADIAL JAW 4 LARGE CAPACITY L100 CM OD2.4 MM PULMONARY PRECISE BITE CONSISTENT SAMPLE RETENTION STREAMLINE CATHETER POSITION MARKER DISPOSABLE	SUP-M00515201	CDM			270	RC		inpatient			63.12	63.12																																																			
TUBE TRACHEOSTOMY BLUE LINE ULTRA SILICONE ADULT OD9.2 MM ID6.0 MM 2 INNER CANNULA CUFFED HOLLOW OBTURATOR CLEANING BRUSH HOLDER STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/060	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY BLUE LINE ULTRA SILICONE ADULT OD9.2 MM ID6.0 MM 2 INNER CANNULA CUFFED HOLLOW OBTURATOR CLEANING BRUSH HOLDER STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/060	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL ADULT L70 MM OD10.5 MM ID7.0 MM 2 INNER CANNULA CUFF HOLDER HOLLOW OBTURATOR STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/070	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL ADULT L70 MM OD10.5 MM ID7.0 MM 2 INNER CANNULA CUFF HOLDER HOLLOW OBTURATOR STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/070	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL ADULT L75.5 MM OD11.9 MM ID8.0 MM 2 INNER CANNULA CUFF HOLDER HOLLOW OBTURATOR STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/080	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL ADULT L75.5 MM OD11.9 MM ID8.0 MM 2 INNER CANNULA CUFF HOLDER HOLLOW OBTURATOR STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/080	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX BLUESELECT L 26.74 MM ID 6.0 MM CUFF STERILE LATEX FREE DISPOSABLE	SUP-101/815/060	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX BLUESELECT L 26.74 MM ID 6.0 MM CUFF STERILE LATEX FREE DISPOSABLE	SUP-101/815/060	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT L 26.74 MM ID 7.0 MM CUFF STERILE LATEX FREE DISPOSABLE	SUP-101/815/070	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX BLUSELECT L 26.74 MM ID 7.0 MM CUFF STERILE LATEX FREE DISPOSABLE	SUP-101/815/070	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX  BLUSELECT L 26.74 MM ID 8.0 MM WEDGE CUFF NONFEN STERILE LATEX FREE DISPOSABLE	SUP-101/815/080	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX  BLUSELECT L 26.74 MM ID 8.0 MM WEDGE CUFF NONFEN STERILE LATEX FREE DISPOSABLE	SUP-101/815/080	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT L 26.74 MM ID 9.0 MM WEDGE CUFF NONFEN STERILE LATEX FREE DISPOSABLE	SUP-101/815/090	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX BLUSELECT L 26.74 MM ID 9.0 MM WEDGE CUFF NONFEN STERILE LATEX FREE DISPOSABLE	SUP-101/815/090	CDM			270	RC		inpatient			63.1	63.1																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 10.0 MM CUFF STERILE LATEX FREE DISPOSABLE	SUP-101/815/100	CDM			270	RC		outpatient			63.1	63.11	17.09				percent of total billed charges		63.1				other	OPPS APC	46.69				percent of total billed charges		63.1				other	OPPS APC	63.1				other	OPPS APC	17.09				percent of total billed charges		17.43				percent of total billed charges		63.11				other	OPPS APC	17.09	63.11	
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 10.0 MM CUFF STERILE LATEX FREE DISPOSABLE	SUP-101/815/100	CDM			270	RC		inpatient			63.1	63.1																																																			
DRAPE SURGICAL CONTROL PLUS L172 IN X W100 IN BEACH CHAIR ATTACHABLE FLUID COLLECTION POUCH SUCTION PORT STERILE SHOULDER ARTHROSCOPY	SUP-89066	CDM			270	RC		outpatient			63.06	63.62	17.08				percent of total billed charges		63.06				other	OPPS APC	46.66				percent of total billed charges		63.06				other	OPPS APC	63.06				other	OPPS APC	17.08				percent of total billed charges		17.42				percent of total billed charges		63.62				other	OPPS APC	17.08	63.62	
DRAPE SURGICAL CONTROL PLUS L172 IN X W100 IN BEACH CHAIR ATTACHABLE FLUID COLLECTION POUCH SUCTION PORT STERILE SHOULDER ARTHROSCOPY	SUP-89066	CDM			270	RC		inpatient			63.06	63.06																																																			
CALCIUM CHLORIDE 100 MG/ML (10 %) SYRINGE	250000000	CDM	76329-3304-1	NDC				inpatient			63	63																																																			
CALCIUM CHLORIDE 100 MG/ML (10 %) SYRINGE	250000000	CDM	76329-3304-1	NDC				outpatient			63	63																																															other	OPPS APC			
"TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK"	250000000	CDM	51754-0108-1	NDC				inpatient			63	63																																																			
"TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK"	250000000	CDM	51754-0108-1	NDC				outpatient			63	63																																															other	OPPS APC			
CARBOPLATIN PER 50 MG	636000000	CDM	0703-4246-01	NDC	J9045	HCPCS		inpatient			63	63																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	0703-4246-01	NDC	J9045	HCPCS		outpatient			63	63																																															other	OPPS APC			
NEEDLE ECLIPSE 25G X 1	SUP-95-03329	CDM			272	RC		outpatient			62.96	62.96	17.06				percent of total billed charges		62.96				other	OPPS APC	46.59				percent of total billed charges		62.96				other	OPPS APC	62.96				other	OPPS APC	17.06				percent of total billed charges		17.4				percent of total billed charges		62.96				other	OPPS APC	17.06	62.96	
NEEDLE ECLIPSE 25G X 1	SUP-95-03329	CDM			272	RC		inpatient			62.96	62.96																																																			
LAMINECTOMY PATTIE 1/2 X 1	SUP-74-00005	CDM			272	RC		outpatient			62.8	62.8	17.01				percent of total billed charges		62.8				other	OPPS APC	46.47				percent of total billed charges		62.8				other	OPPS APC	62.8				other	OPPS APC	17.01				percent of total billed charges		17.35				percent of total billed charges		62.8				other	OPPS APC	17.01	62.8	
LAMINECTOMY PATTIE 1/2 X 1	SUP-74-00005	CDM			272	RC		inpatient			62.8	62.8																																																			
MG NUT LONG	SUP-97-03811	CDM			278	RC		outpatient			62.72	62.72	62.72				fee schedule		62.72				other	OPPS APC	35.75				percent of total billed charges		62.72				other	OPPS APC	62.72				other	OPPS APC	30.73				percent of total billed charges		31.99				percent of total billed charges		62.72				other	OPPS APC	30.73	62.72	
MG NUT LONG	SUP-97-03811	CDM			278	RC		inpatient			62.72	62.72																																																			
CONNECTION BOLT	SUP-97-04181	CDM			278	RC		outpatient			62.72	62.72	62.72				fee schedule		62.72				other	OPPS APC	35.75				percent of total billed charges		62.72				other	OPPS APC	62.72				other	OPPS APC	30.73				percent of total billed charges		31.99				percent of total billed charges		62.72				other	OPPS APC	30.73	62.72	
CONNECTION BOLT	SUP-97-04181	CDM			278	RC		inpatient			62.72	62.72																																																			
Catheter Umbilical 5 Fr Double Lumen	PX-272000024	CDM			272	RC		outpatient			62.71	62.71	16.99				percent of total billed charges		62.71				other	OPPS APC	62.71				fee schedule		62.71				other	OPPS APC	62.71				other	OPPS APC	16.99				percent of total billed charges		17.33				percent of total billed charges		62.71				other	OPPS APC	16.99	62.71	
Catheter Umbilical 5 Fr Double Lumen	PX-272000024	CDM			272	RC		inpatient			62.71	62.71																																																			
VALVE DRAINAGE PNEUMOSTAT 30ML THORAX 1 WAY DRY SEAL STERILE DISPOSABLE	SUP-16100	CDM			270	RC		outpatient			62.7	62.73	16.99				percent of total billed charges		62.7				other	OPPS APC	46.4				percent of total billed charges		62.7				other	OPPS APC	62.7				other	OPPS APC	16.99				percent of total billed charges		17.32				percent of total billed charges		62.73				other	OPPS APC	16.99	62.73	
VALVE DRAINAGE PNEUMOSTAT 30ML THORAX 1 WAY DRY SEAL STERILE DISPOSABLE	SUP-16100	CDM			270	RC		inpatient			62.7	62.7																																																			
TRAY SPINAL BUPIVACAINE 25G	SUP-12-00047	CDM			272	RC		outpatient			62.57	62.57	16.95				percent of total billed charges		62.57				other	OPPS APC	46.3				percent of total billed charges		62.57				other	OPPS APC	62.57				other	OPPS APC	16.95				percent of total billed charges		17.29				percent of total billed charges		62.57				other	OPPS APC	16.95	62.57	
TRAY SPINAL BUPIVACAINE 25G	SUP-12-00047	CDM			272	RC		inpatient			62.57	62.57																																																			
NITROPRUSSIDE 25 MG/ML SOLUTION	250000000	CDM	70069-261-01	NDC				inpatient			62.5	62.5																																																			
NITROPRUSSIDE 25 MG/ML SOLUTION	250000000	CDM	70069-261-01	NDC				outpatient			62.5	62.5																																															other	OPPS APC			
HC Special Test Bb	PX-300869990	CDM	86999	CPT	300	RC		inpatient			62.4	62.4																																																			
HC Special Test Bb	PX-300869990	CDM	86999	CPT	300	RC		outpatient			62.4	26.29					fee schedule		26.29				other	OPPS APC	46.25				fee schedule		26.29				other	OPPS APC	26.29				other	OPPS APC	30.58				percent of total billed charges		31.82				percent of total billed charges		26.29				other	OPPS APC	46.25	46.25	
SPLINT NASAL THERMASPLINT THERMOPLASTIC MEDIUM W2.38 IN X H1.53 IN SEPTUM KIT EXTERNAL STERILE LATEX FREE DISPOSABLE WHITE	SUP-1529010_62787	CDM			270	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
SPLINT NASAL THERMASPLINT THERMOPLASTIC MEDIUM W2.38 IN X H1.53 IN SEPTUM KIT EXTERNAL STERILE LATEX FREE DISPOSABLE WHITE	SUP-1529010_62787	CDM			270	RC		inpatient			62.4	62.4																																																			
WIRE FIXATION KIRSCHNER ASNIS MICRO L100 MM OD.8 MM STERILE 2 MM SCREW	SUP-45-20015S	CDM			270	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
WIRE FIXATION KIRSCHNER ASNIS MICRO L100 MM OD.8 MM STERILE 2 MM SCREW	SUP-45-20015S	CDM			270	RC		inpatient			62.4	62.4																																																			
WIRE FIXATION KIRSCHNER ASNIS MICRO L100 MM OD1.2 MM STERILE 3 MM SCREW	SUP-45-30015S	CDM			270	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
WIRE FIXATION KIRSCHNER ASNIS MICRO L100 MM OD1.2 MM STERILE 3 MM SCREW	SUP-45-30015S	CDM			270	RC		inpatient			62.4	62.4																																																			
WIRE FIXATION KIRSCHNER L100 MM OD1.4 MM FOOT SMOOTH NONSTERILE VARIAX LOCK PLATE SYSTEM	SUP-45-80200	CDM			270	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
WIRE FIXATION KIRSCHNER L100 MM OD1.4 MM FOOT SMOOTH NONSTERILE VARIAX LOCK PLATE SYSTEM	SUP-45-80200	CDM			270	RC		inpatient			62.4	62.4																																																			
ELECTRODE  CTZ CONIZATION 20X1	SUP-77-00018	CDM			272	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
ELECTRODE  CTZ CONIZATION 20X1	SUP-77-00018	CDM			272	RC		inpatient			62.4	62.4																																																			
ELECTRODE  C-LETZ CONIZATION 2	SUP-77-00019	CDM			272	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
ELECTRODE  C-LETZ CONIZATION 2	SUP-77-00019	CDM			272	RC		inpatient			62.4	62.4																																																			
ELECTRODE  C-LETZ CONIZATION 1	SUP-77-00020	CDM			272	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
ELECTRODE  C-LETZ CONIZATION 1	SUP-77-00020	CDM			272	RC		inpatient			62.4	62.4																																																			
ELECTRODE  C-LETZ CONIZATION 5	SUP-77-00021	CDM			272	RC		outpatient			62.4	62.4	16.9				percent of total billed charges		62.4				other	OPPS APC	46.18				percent of total billed charges		62.4				other	OPPS APC	62.4				other	OPPS APC	16.9				percent of total billed charges		17.24				percent of total billed charges		62.4				other	OPPS APC	16.9	62.4	
ELECTRODE  C-LETZ CONIZATION 5	SUP-77-00021	CDM			272	RC		inpatient			62.4	62.4																																																			
GUIDEWIRE - .018X40CM	SUP-99-00686	CDM			272	RC		outpatient			62.28	62.28	16.87				percent of total billed charges		62.28				other	OPPS APC	46.09				percent of total billed charges		62.28				other	OPPS APC	62.28				other	OPPS APC	16.87				percent of total billed charges		17.21				percent of total billed charges		62.28				other	OPPS APC	16.87	62.28	
GUIDEWIRE - .018X40CM	SUP-99-00686	CDM			272	RC		inpatient			62.28	62.28																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT SEAL PVC ADULT HOLLOW L4.5 MM OD13.3 MM ID9.0 MM 2 INNER CANNULA HOLDER CLEAN BRUSH OBTURATOR FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-100/816/090	CDM			270	RC		outpatient			62.26	62.26	16.87				percent of total billed charges		62.26				other	OPPS APC	46.07				percent of total billed charges		62.26				other	OPPS APC	62.26				other	OPPS APC	16.87				percent of total billed charges		17.2				percent of total billed charges		62.26				other	OPPS APC	16.87	62.26	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT SEAL PVC ADULT HOLLOW L4.5 MM OD13.3 MM ID9.0 MM 2 INNER CANNULA HOLDER CLEAN BRUSH OBTURATOR FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-100/816/090	CDM			270	RC		inpatient			62.26	62.26																																																			
DEVICE INFLATION L10 IN 20 ML STERILE LATEX FREE DISPOSABLE ROYAL BLUE ANGIO	SUP-DYNJINFLATE	CDM			270	RC		outpatient			62.14	62.14	16.83				percent of total billed charges		62.14				other	OPPS APC	45.98				percent of total billed charges		62.14				other	OPPS APC	62.14				other	OPPS APC	16.83				percent of total billed charges		17.17				percent of total billed charges		62.14				other	OPPS APC	16.83	62.14	
DEVICE INFLATION L10 IN 20 ML STERILE LATEX FREE DISPOSABLE ROYAL BLUE ANGIO	SUP-DYNJINFLATE	CDM			270	RC		inpatient			62.14	62.14																																																			
DRAPE EQUIPMENT SMARTDRAPE STERILE LATEX FREE DISPOSABLE	SUP-306028-0000-000	CDM						inpatient			62.13	62.13																																																			
DRAPE EQUIPMENT SMARTDRAPE STERILE LATEX FREE DISPOSABLE	SUP-306028-0000-000	CDM						outpatient			62.13	62.13	62.13				percent of total billed charges		62.13				other	OPPS APC	62.13				fee schedule		62.13				other	OPPS APC	62.13				other	OPPS APC	62.13				case rate		62.13				case rate		62.13				other	OPPS APC	62.13	62.13	
HC Drug Screen Quantitative Mycophenolate	PX-300801800	CDM	80180	CPT	300	RC		outpatient			62	62	24.14				fee schedule		62				fee schedule		46.8				fee schedule		62				fee schedule		62				fee schedule		18.05				fee schedule		18.05				fee schedule		62				fee schedule		18.05	62	
HC Drug Screen Quantitative Mycophenolate	PX-300801800	CDM	80180	CPT	300	RC		inpatient			62	62																																																			
HC Column Chromatography  Each Specimin	PX-300825420	CDM	82542	CPT	300	RC		outpatient			62	24.9	24.14				fee schedule		24.09				fee schedule		47.94				fee schedule		24.09				fee schedule		24.09				fee schedule		24.09				fee schedule		24.09				fee schedule		24.9				fee schedule		24.09	47.94	
HC Column Chromatography  Each Specimin	PX-300825420	CDM	82542	CPT	300	RC		inpatient			62	62																																																			
HC Metanephrines	PX-300838350	CDM	83835	CPT	301	RC		outpatient			62	16.94	22.65				fee schedule		16.94				fee schedule		44.97				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94				fee schedule		16.94	44.97	
HC Metanephrines	PX-300838350	CDM	83835	CPT	301	RC		inpatient			62	62																																																			
HC Hemoglobin  Fetal  Rosette	PX-300854610	CDM	85461	CPT	300	RC		outpatient			62	62	8.87				fee schedule		62				fee schedule		17.59				fee schedule		62				fee schedule		62				fee schedule		9.36				fee schedule		9.36				fee schedule		62				fee schedule		8.87	62	
HC Hemoglobin  Fetal  Rosette	PX-300854610	CDM	85461	CPT	300	RC		inpatient			62	62																																																			
HC Lyme Disease  Conf. (Lymwb)	PX-300866170	CDM	86617	CPT	300	RC		outpatient			62	15.49	20.71				fee schedule		15.49				fee schedule		41.12				fee schedule		15.49				fee schedule		15.49				fee schedule		15.49				fee schedule		15.49				fee schedule		15.49				fee schedule		15.49	41.12	
HC Lyme Disease  Conf. (Lymwb)	PX-300866170	CDM	86617	CPT	300	RC		inpatient			62	62																																																			
HC Helminth  Antibody	PX-300866820	CDM	86682	CPT	300	RC		outpatient			62	13.1	17.39				fee schedule		13.01				fee schedule		34.52				fee schedule		13.01				fee schedule		13.01				fee schedule		13.01				fee schedule		13.01				fee schedule		13.1				fee schedule		13.01	34.52	
HC Helminth  Antibody	PX-300866820	CDM	86682	CPT	300	RC		inpatient			62	62																																																			
HC Sensitivity Testing	PX-300871860	CDM	87186	CPT	300	RC		outpatient			62	8.65	11.56				fee schedule		8.65				fee schedule		22.95				fee schedule		8.65				fee schedule		8.65				fee schedule		8.65				fee schedule		8.65				fee schedule		8.65				fee schedule		8.65	22.95	
HC Sensitivity Testing	PX-300871860	CDM	87186	CPT	300	RC		inpatient			62	62																																																			
CATHETER ANGIOGRAPHIC IMPRESS LEGATO STAINLESS STEEL POLYURETHANE KA2 CURVE L65 CM OD4 FR PERIPHERAL RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-46538KA2-H	CDM			270	RC		outpatient			62	62	16.8				percent of total billed charges		62				other	OPPS APC	45.88				percent of total billed charges		62				other	OPPS APC	62				other	OPPS APC	16.8				percent of total billed charges		17.13				percent of total billed charges		62				other	OPPS APC	16.8	62	
CATHETER ANGIOGRAPHIC IMPRESS LEGATO STAINLESS STEEL POLYURETHANE KA2 CURVE L65 CM OD4 FR PERIPHERAL RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-46538KA2-H	CDM			270	RC		inpatient			62	62																																																			
CAMERA ENDOSCOPIC PILLCAM ESO CAPSULE	SUP-FGS-0668	CDM			270	RC		outpatient			62	62	16.8				percent of total billed charges		62				other	OPPS APC	45.88				percent of total billed charges		62				other	OPPS APC	62				other	OPPS APC	16.8				percent of total billed charges		17.13				percent of total billed charges		62				other	OPPS APC	16.8	62	
CAMERA ENDOSCOPIC PILLCAM ESO CAPSULE	SUP-FGS-0668	CDM			270	RC		inpatient			62	62																																																			
SCD SLEEVE KNEE LENGTH MEDIUM	SUP-01-00068	CDM			271	RC		outpatient			61.99	61.99	16.79				percent of total billed charges		61.99				other	OPPS APC	45.87				percent of total billed charges		61.99				other	OPPS APC	61.99				other	OPPS APC	16.79				percent of total billed charges		17.13				percent of total billed charges		61.99				other	OPPS APC	16.79	61.99	
SCD SLEEVE KNEE LENGTH MEDIUM	SUP-01-00068	CDM			271	RC		inpatient			61.99	61.99																																																			
MISOPROSTOL 100 MCG TABLET	637000000	CDM	60687-735-01	NDC	A9270	HCPCS		inpatient			61.98	61.98																																																			
MISOPROSTOL 100 MCG TABLET	637000000	CDM	60687-735-01	NDC	A9270	HCPCS		outpatient			61.98	61.98																																															other	OPPS APC			
GUIDEWIRE VASCULAR COONS STAINLESS STEEL PTFE 3.5 CM STRAIGHT TAPER FLOPPY L180 CM L15 CM OD.035 IN HEAVY DUTY FLEXIBLE TIP INTERVENTIONAL ATRAUMATIC	SUP-G02621	CDM			270	RC		outpatient			61.98	61.98	16.79				percent of total billed charges		61.98				other	OPPS APC	45.87				percent of total billed charges		61.98				other	OPPS APC	61.98				other	OPPS APC	16.79				percent of total billed charges		17.13				percent of total billed charges		61.98				other	OPPS APC	16.79	61.98	
GUIDEWIRE VASCULAR COONS STAINLESS STEEL PTFE 3.5 CM STRAIGHT TAPER FLOPPY L180 CM L15 CM OD.035 IN HEAVY DUTY FLEXIBLE TIP INTERVENTIONAL ATRAUMATIC	SUP-G02621	CDM			270	RC		inpatient			61.98	61.98																																																			
CATHETER MEDIASTINAL 34 FR	SUP-83-00003	CDM			272	RC		outpatient			61.76	61.76	16.73				percent of total billed charges		61.76				other	OPPS APC	45.7				percent of total billed charges		61.76				other	OPPS APC	61.76				other	OPPS APC	16.73				percent of total billed charges		17.06				percent of total billed charges		61.76				other	OPPS APC	16.73	61.76	
CATHETER MEDIASTINAL 34 FR	SUP-83-00003	CDM			272	RC		inpatient			61.76	61.76																																																			
RESUSCITATOR INFANT	SUP-30-00089	CDM			272	RC		outpatient			61.64	61.64	16.7				percent of total billed charges		61.64				other	OPPS APC	45.61				percent of total billed charges		61.64				other	OPPS APC	61.64				other	OPPS APC	16.7				percent of total billed charges		17.03				percent of total billed charges		61.64				other	OPPS APC	16.7	61.64	
RESUSCITATOR INFANT	SUP-30-00089	CDM			272	RC		inpatient			61.64	61.64																																																			
LEVOFLOXACIN 750 MG TABLET	637000000	CDM	0904-6353-61	NDC	A9270	HCPCS		inpatient			61.54	61.54																																																			
LEVOFLOXACIN 750 MG TABLET	637000000	CDM	0904-6353-61	NDC	A9270	HCPCS		outpatient			61.54	61.54																																															other	OPPS APC			
PACK SURGICAL CPT ARTHROSCOPY	SUP-SOPHDATPNC	CDM	270009167	LOCAL	270	RC		outpatient			61.49	61.49	16.66				percent of total billed charges		61.49				other	OPPS APC	45.5				percent of total billed charges		61.49				other	OPPS APC	61.49				other	OPPS APC	16.66				percent of total billed charges		16.99				percent of total billed charges		61.49				other	OPPS APC	16.66	61.49	
PACK SURGICAL CPT ARTHROSCOPY	SUP-SOPHDATPNC	CDM	270009167	LOCAL	270	RC		inpatient			61.49	61.49																																																			
"TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK"	250000000	CDM	80830-2329-1	NDC				inpatient			61.44	61.44																																																			
"TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK"	250000000	CDM	80830-2329-2	NDC				inpatient			61.44	61.44																																																			
"TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK"	250000000	CDM	80830-2329-1	NDC				outpatient			61.44	61.44																																															other	OPPS APC			
"TRANEXAMIC ACID IN NACL 1,000 MG/100 ML (10 MG/ML) PIGGYBACK"	250000000	CDM	80830-2329-2	NDC				outpatient			61.44	61.44																																															other	OPPS APC			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL ADULT L81 MM OD13.3 MM ID9.0 MM 2 INNER CANNULA CUFF HOLDER HOLLOW OBTURATOR STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/090	CDM			270	RC		outpatient			61.4	61.4	16.63				percent of total billed charges		61.4				other	OPPS APC	45.44				percent of total billed charges		61.4				other	OPPS APC	61.4				other	OPPS APC	16.63				percent of total billed charges		16.96				percent of total billed charges		61.4				other	OPPS APC	16.63	61.4	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL ADULT L81 MM OD13.3 MM ID9.0 MM 2 INNER CANNULA CUFF HOLDER HOLLOW OBTURATOR STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/815/090	CDM			270	RC		inpatient			61.4	61.4																																																			
DEVICE SUTURE STRATAFIX PDO 1 CTX L36 CM ABSORBABLE KNOTLESS TISSUE CONTROL 2 ARM VIOLET BIDIRECTIONAL	SUP-SXPD2B405	CDM			270	RC		outpatient			61.39	61.39	16.63				percent of total billed charges		61.39				other	OPPS APC	45.43				percent of total billed charges		61.39				other	OPPS APC	61.39				other	OPPS APC	16.63				percent of total billed charges		16.96				percent of total billed charges		61.39				other	OPPS APC	16.63	61.39	
DEVICE SUTURE STRATAFIX PDO 1 CTX L36 CM ABSORBABLE KNOTLESS TISSUE CONTROL 2 ARM VIOLET BIDIRECTIONAL	SUP-SXPD2B405	CDM			270	RC		inpatient			61.39	61.39																																																			
CATHETER OPEN END POLLACK 6 FR	SUP-70-00008	CDM			272	RC		outpatient			61.37	61.37	16.63				percent of total billed charges		61.37				other	OPPS APC	45.41				percent of total billed charges		61.37				other	OPPS APC	61.37				other	OPPS APC	16.63				percent of total billed charges		16.96				percent of total billed charges		61.37				other	OPPS APC	16.63	61.37	
CATHETER OPEN END POLLACK 6 FR	SUP-70-00008	CDM			272	RC		inpatient			61.37	61.37																																																			
KIT PHACOEMULSIFICATION INTREPID MICROSMOOTH OD.9 MM ULTRA INFUSION SLEEVE IRRIGATION ASPIRATION MICRO COAXIAL SYSTEM	SUP-8065750517	CDM			270	RC		outpatient			61.26	61.26	16.6				percent of total billed charges		61.26				other	OPPS APC	45.33				percent of total billed charges		61.26				other	OPPS APC	61.26				other	OPPS APC	16.6				percent of total billed charges		16.93				percent of total billed charges		61.26				other	OPPS APC	16.6	61.26	
KIT PHACOEMULSIFICATION INTREPID MICROSMOOTH OD.9 MM ULTRA INFUSION SLEEVE IRRIGATION ASPIRATION MICRO COAXIAL SYSTEM	SUP-8065750517	CDM			270	RC		inpatient			61.26	61.26																																																			
EMPAGLIFLOZIN 10 MG TABLET	637000000	CDM	0597-0152-30	NDC	A9270	HCPCS		inpatient			61.11	61.11																																																			
EMPAGLIFLOZIN 10 MG TABLET	637000000	CDM	0597-0152-37	NDC	A9270	HCPCS		inpatient			61.11	61.11																																																			
EMPAGLIFLOZIN 10 MG TABLET	637000000	CDM	0597-0152-30	NDC	A9270	HCPCS		outpatient			61.11	61.11																																															other	OPPS APC			
EMPAGLIFLOZIN 10 MG TABLET	637000000	CDM	0597-0152-37	NDC	A9270	HCPCS		outpatient			61.11	61.11																																															other	OPPS APC			
HC Psa Screen (Psas)	PX-300001030	CDM			300	RC		outpatient			61	19.4	24.59				fee schedule		19.31				fee schedule		48.83				fee schedule		19.31				fee schedule		19.31				fee schedule		18.39				fee schedule		19.31				fee schedule		19.4				fee schedule		18.39	48.83	
HC Psa Screen (Psas)	PX-300001030	CDM			300	RC		inpatient			61	61																																																			
HC Albumin;Serum  Plasma or Whole Blood	PX-300820400	CDM	82040	CPT	301	RC		outpatient			61	4.95	6.62				fee schedule		4.95				fee schedule		13.15				fee schedule		4.95				fee schedule		4.95				fee schedule		4.95				fee schedule		4.95				fee schedule		4.95				fee schedule		4.95	13.15	
HC Albumin;Serum  Plasma or Whole Blood	PX-300820400	CDM	82040	CPT	301	RC		inpatient			61	61																																																			
HC Bilirubin Total	PX-300822470	CDM	82247	CPT	301	RC		outpatient			61	5.2	6.7				fee schedule		5.02				fee schedule		13.34				fee schedule		5.02				fee schedule		5.02				fee schedule		5.02				fee schedule		5.02				fee schedule		5.2				fee schedule		5.02	13.34	
HC Bilirubin Total	PX-300822470	CDM	82247	CPT	301	RC		inpatient			61	61																																																			
HC Direct Bilirubin(Dbil)	PX-300822480	CDM	82248	CPT	301	RC		outpatient			61	5.2	6.7				fee schedule		5.02				fee schedule		13.34				fee schedule		5.02				fee schedule		5.02				fee schedule		5.02				fee schedule		5.02				fee schedule		5.2				fee schedule		5.02	13.34	
HC Direct Bilirubin(Dbil)	PX-300822480	CDM	82248	CPT	301	RC		inpatient			61	61																																																			
HC Calcium Total	PX-300823100	CDM	82310	CPT	301	RC		outpatient			61	5.16	6.9				fee schedule		5.16				fee schedule		13.68				fee schedule		5.16				fee schedule		5.16				fee schedule		5.16				fee schedule		5.16				fee schedule		5.16				fee schedule		5.16	13.68	
HC Calcium Total	PX-300823100	CDM	82310	CPT	301	RC		inpatient			61	61																																																			
HC Chloride Urine	PX-300824360	CDM	82436	CPT	301	RC		outpatient			61	5.75	6.72				fee schedule		5.75				fee schedule		13.34				fee schedule		5.75				fee schedule		5.75				fee schedule		5.75				fee schedule		5.75				fee schedule		5.75				fee schedule		5.75	13.34	
HC Chloride Urine	PX-300824360	CDM	82436	CPT	301	RC		inpatient			61	61																																																			
HC Cholesterol (Chol)	PX-300824650	CDM	82465	CPT	301	RC		outpatient			61	4.35	5.81				fee schedule		4.35				fee schedule		11.55				fee schedule		4.35				fee schedule		4.35				fee schedule		4.35				fee schedule		4.35				fee schedule		4.35				fee schedule		4.35	11.55	
HC Cholesterol (Chol)	PX-300824650	CDM	82465	CPT	301	RC		inpatient			61	61																																																			
HC Creatinine Blood	PX-300825650	CDM	82565	CPT	301	RC		outpatient			61	5.12	6.13				fee schedule		5.12				fee schedule		13.6				fee schedule		5.12				fee schedule		5.12				fee schedule		5.12				fee schedule		5.12				fee schedule		5.12				fee schedule		5.12	13.6	
HC Creatinine Blood	PX-300825650	CDM	82565	CPT	301	RC		inpatient			61	61																																																			
HC Glucose  Post Gluc. Dose(Includes Gluc)	PX-300829500	CDM	82950	CPT	300	RC		outpatient			61	4.75	6.35				fee schedule		4.75				fee schedule		12.62				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75	12.62	
HC Glucose  Post Gluc. Dose(Includes Gluc)	PX-300829500	CDM	82950	CPT	300	RC		inpatient			61	61																																																			
HC Gluc. Challenge Screen (Gluc)	PX-300829501	CDM	82950	CPT	300	RC		outpatient			61	4.75	6.35				fee schedule		4.75				fee schedule		12.62				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75				fee schedule		4.75	12.62	
HC Gluc. Challenge Screen (Gluc)	PX-300829501	CDM	82950	CPT	300	RC		inpatient			61	61																																																			
HC Alk Phosphatase (Alkp)	PX-300840750	CDM	84075	CPT	301	RC		outpatient			61	5.18	6.1				fee schedule		5.18				fee schedule		13.74				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18	13.74	
HC Alk Phosphatase (Alkp)	PX-300840750	CDM	84075	CPT	301	RC		inpatient			61	61																																																			
HC Phosphorus Inorganic (Phosphate)	PX-300841000	CDM	84100	CPT	301	RC		outpatient			61	4.74	6.33				fee schedule		4.74				fee schedule		12.6				fee schedule		4.74				fee schedule		4.74				fee schedule		4.74				fee schedule		4.74				fee schedule		4.74				fee schedule		4.74	12.6	
HC Phosphorus Inorganic (Phosphate)	PX-300841000	CDM	84100	CPT	301	RC		inpatient			61	61																																																			
HC Potassium (K)	PX-300841320	CDM	84132	CPT	301	RC		outpatient			61	4.76	6.14				fee schedule		4.76				fee schedule		12.2				fee schedule		4.76				fee schedule		4.76				fee schedule		4.76				fee schedule		4.76				fee schedule		4.76				fee schedule		4.76	12.2	
HC Potassium (K)	PX-300841320	CDM	84132	CPT	301	RC		inpatient			61	61																																																			
HC Potassium Urine	PX-300841330	CDM	84133	CPT	301	RC		outpatient			61	4.73	5.75				fee schedule		4.73				fee schedule		11.42				fee schedule		4.73				fee schedule		4.73				fee schedule		4.73				fee schedule		4.73				fee schedule		4.73				fee schedule		4.73	11.42	
HC Potassium Urine	PX-300841330	CDM	84133	CPT	301	RC		inpatient			61	61																																																			
HC Sodium (Na)	PX-300842950	CDM	84295	CPT	301	RC		outpatient			61	4.9	6.21				fee schedule		4.81				fee schedule		12.77				fee schedule		4.81				fee schedule		4.81				fee schedule		4.81				fee schedule		4.81				fee schedule		4.9				fee schedule		4.81	12.77	
HC Sodium (Na)	PX-300842950	CDM	84295	CPT	301	RC		inpatient			61	61																																																			
HC Sodium Urine	PX-300843000	CDM	84300	CPT	301	RC		outpatient			61	5.6	6.51				fee schedule		5.06				fee schedule		12.35				fee schedule		5.06				fee schedule		5.06				fee schedule		5.06				fee schedule		5.06				fee schedule		5.6				fee schedule		5.06	12.35	
HC Sodium Urine	PX-300843000	CDM	84300	CPT	301	RC		inpatient			61	61																																																			
HC Uric Acid (Uric)	PX-300845500	CDM	84550	CPT	301	RC		outpatient			61	4.52	6.04				fee schedule		4.52				fee schedule		11.99				fee schedule		4.52				fee schedule		4.52				fee schedule		4.52				fee schedule		4.52				fee schedule		4.52				fee schedule		4.52	11.99	
HC Uric Acid (Uric)	PX-300845500	CDM	84550	CPT	301	RC		inpatient			61	61																																																			
HC Mono Test (Mono)	PX-300863080	CDM	86308	CPT	302	RC		outpatient			61	5.18	6.92				fee schedule		5.18				fee schedule		13.74				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18	13.74	
HC Mono Test (Mono)	PX-300863080	CDM	86308	CPT	302	RC		inpatient			61	61																																																			
HC Cytomegalovirus(Cmv)	PX-300866440	CDM	86644	CPT	302	RC		outpatient			61	14.39	19.25				fee schedule		14.39				fee schedule		38.21				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39	38.21	
HC Cytomegalovirus(Cmv)	PX-300866440	CDM	86644	CPT	302	RC		inpatient			61	61																																																			
HC Torch Test (Tort)	PX-300866441	CDM	86644	CPT	300	RC		outpatient			61	14.39	19.25				fee schedule		14.39				fee schedule		38.21				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39				fee schedule		14.39	38.21	
HC Torch Test (Tort)	PX-300866441	CDM	86644	CPT	300	RC		inpatient			61	61																																																			
HC Fluid Cell Count W/Differential (Fdif)	PX-300890510	CDM	89051	CPT	300	RC		outpatient			61	5.6	7.36				fee schedule		5.6				fee schedule		14.63				fee schedule		5.6				fee schedule		5.6				fee schedule		5.6				fee schedule		5.6				fee schedule		5.6				fee schedule		5.6	14.63	
HC Fluid Cell Count W/Differential (Fdif)	PX-300890510	CDM	89051	CPT	300	RC		inpatient			61	61																																																			
HC Chromium	PX-301824951	CDM	82495	CPT	301	RC		outpatient			61	2.28	27.12				fee schedule		20.28				fee schedule		18.56				fee schedule		20.28				fee schedule		20.28				fee schedule		20.28				fee schedule		20.28				fee schedule		2.28				fee schedule		2.28	27.12	
HC Chromium	PX-301824951	CDM	82495	CPT	301	RC		inpatient			61	61																																																			
HC Inject Contrast Knee Arthorgr	PX-320273700	CDM	27369	CPT	320	RC		inpatient			61	61																																																			
HC Inject Contrast Knee Arthorgr	PX-320273700	CDM	27369	CPT	320	RC		outpatient			61	61	29.89				percent of total billed charges						other	OPPS APC	45.14				percent of total billed charges						other	OPPS APC					other	OPPS APC	39.91				fee schedule		31.11				percent of total billed charges						other	OPPS APC	45.14	45.14	
HC Fistula or Sinus Tract Study	PX-361205011	CDM	20501	CPT	361	RC		outpatient			61	61	19.26				percent of total billed charges		61				other	OPPS APC	61				fee schedule		61				other	OPPS APC	61				other	OPPS APC	19.26				percent of total billed charges		19.65				percent of total billed charges		61				other	OPPS APC	19.26	61	
HC Fistula or Sinus Tract Study	PX-361205011	CDM	20501	CPT	361	RC		inpatient			61	61																																																			
HC Rad/Cysto/Vcug Injection	PX-361516001	CDM	51600	CPT	361	RC		outpatient			61	61	19.26				percent of total billed charges		61				other	OPPS APC	61				fee schedule		61				other	OPPS APC	61				other	OPPS APC	19.26				percent of total billed charges		19.65				percent of total billed charges		61				other	OPPS APC	19.26	61	
HC Rad/Cysto/Vcug Injection	PX-361516001	CDM	51600	CPT	361	RC		inpatient			61	61																																																			
HC Urethrocystogram-Retro Inj Proc	PX-361516101	CDM	51610	CPT	361	RC		outpatient			61	61	19.26				percent of total billed charges		61				other	OPPS APC	61				fee schedule		61				other	OPPS APC	61				other	OPPS APC	19.26				percent of total billed charges		19.65				percent of total billed charges		61				other	OPPS APC	19.26	61	
HC Urethrocystogram-Retro Inj Proc	PX-361516101	CDM	51610	CPT	361	RC		inpatient			61	61																																																			
HC Re Evaluation 8-22 Min	PX-420970020	CDM	97164	CPT	420	RC		inpatient			61	61																																																			
HC Re Evaluation 8-22 Min	PX-420970020	CDM	97164	CPT	420	RC		outpatient			61	61	61				percent of total billed charges		61				fee schedule		81.18				fee schedule		61				fee schedule		61				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		61				fee schedule		61	81.18	
HC Re Evaluation 23-37 Min	PX-420970021	CDM	97164	CPT	420	RC		inpatient			61	61																																																			
HC Re Evaluation 23-37 Min	PX-420970021	CDM	97164	CPT	420	RC		outpatient			61	61	61				percent of total billed charges		61				fee schedule		81.18				fee schedule		61				fee schedule		61				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		61				fee schedule		61	81.18	
HC Re Evaluation 38-52 Min	PX-420970022	CDM	97164	CPT	420	RC		inpatient			61	61																																																			
HC Re Evaluation 38-52 Min	PX-420970022	CDM	97164	CPT	420	RC		outpatient			61	61	61				percent of total billed charges		61				fee schedule		81.18				fee schedule		61				fee schedule		61				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		61				fee schedule		61	81.18	
HC Re Evaluation 53-67 Min	PX-420970023	CDM	97164	CPT	420	RC		inpatient			61	61																																																			
HC Re Evaluation 53-67 Min	PX-420970023	CDM	97164	CPT	420	RC		outpatient			61	61	61				percent of total billed charges		61				fee schedule		81.18				fee schedule		61				fee schedule		61				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		61				fee schedule		61	81.18	
HC Ambulation Train	PX-420971160	CDM	97116	CPT	420	RC		outpatient			61	3.12	61				percent of total billed charges		30.01				fee schedule		54.12				fee schedule		30.01				fee schedule		30.01				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		3.12				fee schedule		3.12	63.83	
HC Ambulation Train	PX-420971160	CDM	97116	CPT	420	RC		inpatient			61	61																																																			
HC Massage 15 Min	PX-420971240	CDM	97124	CPT	420	RC		outpatient			61	3.69	61				percent of total billed charges		30.69				fee schedule		49.2				fee schedule		30.69				fee schedule		30.69				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		3.69				fee schedule		3.69	63.83	
HC Massage 15 Min	PX-420971240	CDM	97124	CPT	420	RC		inpatient			61	61																																																			
HC Manual Therapy	PX-420971400	CDM	97140	CPT	420	RC		outpatient			61	27.62	61				percent of total billed charges		27.62				fee schedule		54.12				fee schedule		27.62				fee schedule		27.62				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		27.62				fee schedule		27.62	63.83	
HC Manual Therapy	PX-420971400	CDM	97140	CPT	420	RC		inpatient			61	61																																																			
HC Functional Activity Th	PX-420975300	CDM	97530	CPT	420	RC		outpatient			61	37.85	61				percent of total billed charges		37.85				fee schedule		63.96				fee schedule		37.85				fee schedule		37.85				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		37.85				fee schedule		37.85	63.96	
HC Functional Activity Th	PX-420975300	CDM	97530	CPT	420	RC		inpatient			61	61																																																			
HC Massage	PX-430971241	CDM	97124	CPT	430	RC		outpatient			61	3.69	61				percent of total billed charges		30.69				fee schedule		49.2				fee schedule		30.69				fee schedule		30.69				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		3.69				fee schedule		3.69	63.83	
HC Massage	PX-430971241	CDM	97124	CPT	430	RC		inpatient			61	61																																																			
HC Manual Therapy Techniques	PX-430971401	CDM	97140	CPT	430	RC		outpatient			61	27.62	61				percent of total billed charges		27.62				fee schedule		54.12				fee schedule		27.62				fee schedule		27.62				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		27.62				fee schedule		27.62	63.83	
HC Manual Therapy Techniques	PX-430971401	CDM	97140	CPT	430	RC		inpatient			61	61																																																			
HC Ot Functional Activity 15 Min Th	PX-430975300	CDM	97530	CPT	430	RC		outpatient			61	37.85	61				percent of total billed charges		37.85				fee schedule		63.96				fee schedule		37.85				fee schedule		37.85				fee schedule		63.83				percent of total billed charges		61				percent of total billed charges		37.85				fee schedule		37.85	63.96	
HC Ot Functional Activity 15 Min Th	PX-430975300	CDM	97530	CPT	430	RC		inpatient			61	61																																																			
HC Hydration Infusion Ea Addl Hr	PX-450963611	CDM	96361	CPT	450	RC		outpatient			61	44.62	195.77				case rate		44.62				other	OPPS APC	120.55				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	195.77				case rate		232.88				case rate		44.62				other	OPPS APC	44.62	232.88	
HC Hydration Infusion Ea Addl Hr	PX-450963611	CDM	96361	CPT	450	RC		inpatient			61	61																																																			
HC IV Infuse Ther Prophyl Dx Ea Add Hr	PX-450963661	CDM	96366	CPT	450	RC		outpatient			61	44.62	195.77				case rate		44.62				other	OPPS APC	146.09				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	195.77				case rate		199.69				case rate		44.62				other	OPPS APC	44.62	199.69	
HC IV Infuse Ther Prophyl Dx Ea Add Hr	PX-450963661	CDM	96366	CPT	450	RC		inpatient			61	61																																																			
HC IV Infus Ea Add Hour W 59 Mod	PX-450963662	CDM	96366	CPT	450	RC		outpatient			61	44.62	195.77				case rate		44.62				other	OPPS APC	146.09				fee schedule		44.62				other	OPPS APC	44.62				other	OPPS APC	195.77				case rate		199.69				case rate		44.62				other	OPPS APC	44.62	199.69	
HC IV Infus Ea Add Hour W 59 Mod	PX-450963662	CDM	96366	CPT	450	RC		inpatient			61	61																																																			
SPLINT NASAL THERMASPLINT SM 2.25X1.25IN WHITE THERMOPLASTIC DISPOSABLE STERILE LF SEPTUM KIT EXTERNAL	SUP-1529000	CDM			270	RC		outpatient			61	61	16.52				percent of total billed charges		61				other	OPPS APC	45.14				percent of total billed charges		61				other	OPPS APC	61				other	OPPS APC	16.52				percent of total billed charges		16.85				percent of total billed charges		61				other	OPPS APC	16.52	61	
SPLINT NASAL THERMASPLINT SM 2.25X1.25IN WHITE THERMOPLASTIC DISPOSABLE STERILE LF SEPTUM KIT EXTERNAL	SUP-1529000	CDM			270	RC		inpatient			61	61																																																			
SUPERBAG 1O MED NYLON SPECIMEN RETRIEVAL BAG	SUP-PNI0240	CDM			270	RC		outpatient			60.98	6.98	16.52				percent of total billed charges		60.98				other	OPPS APC	45.13				percent of total billed charges		60.98				other	OPPS APC	60.98				other	OPPS APC	16.52				percent of total billed charges		16.85				percent of total billed charges		6.98				other	OPPS APC	6.98	60.98	
SUPERBAG 1O MED NYLON SPECIMEN RETRIEVAL BAG	SUP-PNI0240	CDM			270	RC		inpatient			60.98	60.98																																																			
GAS VENT LEVEL 1	SUP-95-03328	CDM			272	RC		outpatient			60.87	6.87	16.49				percent of total billed charges		60.87				other	OPPS APC	45.04				percent of total billed charges		60.87				other	OPPS APC	60.87				other	OPPS APC	16.49				percent of total billed charges		16.82				percent of total billed charges		6.87				other	OPPS APC	6.87	60.87	
GAS VENT LEVEL 1	SUP-95-03328	CDM			272	RC		inpatient			60.87	60.87																																																			
SUTURE NONABSORBABLE GORE-TEX CV-3 TH-26 L36IN MONOFILAMENT WHITE	SUP-3N07B	CDM			270	RC		outpatient			60.83	6.83	16.48				percent of total billed charges		60.83				other	OPPS APC	45.01				percent of total billed charges		60.83				other	OPPS APC	60.83				other	OPPS APC	16.48				percent of total billed charges		16.81				percent of total billed charges		6.83				other	OPPS APC	6.83	60.83	
SUTURE NONABSORBABLE GORE-TEX CV-3 TH-26 L36IN MONOFILAMENT WHITE	SUP-3N07B	CDM			270	RC		inpatient			60.83	60.83																																																			
SUTURE PROLENE 10-0 TG140-8 12IN	SUP-95-05472	CDM			272	RC		outpatient			60.82	6.82	16.48				percent of total billed charges		60.82				other	OPPS APC	45.01				percent of total billed charges		60.82				other	OPPS APC	60.82				other	OPPS APC	16.48				percent of total billed charges		16.8				percent of total billed charges		6.82				other	OPPS APC	6.82	60.82	
SUTURE PROLENE 10-0 TG140-8 12IN	SUP-95-05472	CDM			272	RC		inpatient			60.82	60.82																																																			
SYRINGE ORAL AMBER 10ML 305209	SUP-06-00056	CDM			272	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
SYRINGE ORAL AMBER 10ML 305209	SUP-06-00056	CDM			272	RC		inpatient			60.8	60.8																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL 14MM 10MM STERILE LF 2 INNER CANNULA CUFF CLEAN BRUSH HOLDER	SUP-100/815/100	CDM			270	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT-SEAL 14MM 10MM STERILE LF 2 INNER CANNULA CUFF CLEAN BRUSH HOLDER	SUP-100/815/100	CDM			270	RC		inpatient			60.8	60.8																																																			
STYLET LEAD OD.014 IN KIT J TIP BLUNT WHITE KNOB	SUP-6052	CDM			270	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
STYLET LEAD OD.014 IN KIT J TIP BLUNT WHITE KNOB	SUP-6052	CDM			270	RC		inpatient			60.8	60.8																																																			
STYLET LEAD OD.014 IN KIT J TIP BALL TIP EXTENDED TAPER GRAY KNOB	SUP-6091	CDM			270	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
STYLET LEAD OD.014 IN KIT J TIP BALL TIP EXTENDED TAPER GRAY KNOB	SUP-6091	CDM			270	RC		inpatient			60.8	60.8																																																			
STYLET	SUP-6254	CDM			270	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
STYLET	SUP-6254	CDM			270	RC		inpatient			60.8	60.8																																																			
HEALING CAP	SUP-97-00400	CDM			272	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
HEALING CAP	SUP-97-00400	CDM			272	RC		inpatient			60.8	60.8																																																			
SOFT HEALING CAP	SUP-97-01966	CDM			272	RC		outpatient			60.8	6.8	16.47				percent of total billed charges		60.8				other	OPPS APC	44.99				percent of total billed charges		60.8				other	OPPS APC	60.8				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.8				other	OPPS APC	6.8	60.8	
SOFT HEALING CAP	SUP-97-01966	CDM			272	RC		inpatient			60.8	60.8																																																			
TRUCUT 4 IN.	SUP-74-00076	CDM			272	RC		outpatient			60.79	6.79	16.47				percent of total billed charges		60.79				other	OPPS APC	44.98				percent of total billed charges		60.79				other	OPPS APC	60.79				other	OPPS APC	16.47				percent of total billed charges		16.8				percent of total billed charges		6.79				other	OPPS APC	6.79	60.79	
TRUCUT 4 IN.	SUP-74-00076	CDM			272	RC		inpatient			60.79	60.79																																																			
LACOSAMIDE 100 MG TABLET	637000000	CDM	0131-2478-60	NDC	A9270	HCPCS		inpatient			60.77	60.77																																																			
LACOSAMIDE 100 MG TABLET	637000000	CDM	0131-2478-60	NDC	A9270	HCPCS		outpatient			60.77	60.77																																															other	OPPS APC			
FOGARTY IRRIGATION CATH 6 FR	SUP-83-00018	CDM			272	RC		outpatient			60.68	6.68	16.44				percent of total billed charges		60.68				other	OPPS APC	44.9				percent of total billed charges		60.68				other	OPPS APC	60.68				other	OPPS APC	16.44				percent of total billed charges		16.77				percent of total billed charges		6.68				other	OPPS APC	6.68	60.68	
FOGARTY IRRIGATION CATH 6 FR	SUP-83-00018	CDM			272	RC		inpatient			60.68	60.68																																																			
SCREW BONE L45 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.645	CDM	270010022	LOCAL	270	RC		outpatient			60.5	6.5	16.39				percent of total billed charges		60.5				other	OPPS APC	44.77				percent of total billed charges		60.5				other	OPPS APC	60.5				other	OPPS APC	16.39				percent of total billed charges		16.72				percent of total billed charges		6.5				other	OPPS APC	6.5	60.5	
SCREW BONE L45 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.645	CDM	270010022	LOCAL	270	RC		inpatient			60.5	60.5																																																			
SCREW BONE L55 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.655	CDM	270010022	LOCAL	270	RC		outpatient			60.5	6.5	16.39				percent of total billed charges		60.5				other	OPPS APC	44.77				percent of total billed charges		60.5				other	OPPS APC	60.5				other	OPPS APC	16.39				percent of total billed charges		16.72				percent of total billed charges		6.5				other	OPPS APC	6.5	60.5	
SCREW BONE L55 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.655	CDM	270010022	LOCAL	270	RC		inpatient			60.5	60.5																																																			
SCREW BONE 70MM 3.5MM SS NS CORTEX PELVIS SELF TAP SM FRAGMENT SET	SUP-204.670	CDM	270010022	LOCAL	270	RC		outpatient			60.5	6.5	16.39				percent of total billed charges		60.5				other	OPPS APC	44.77				percent of total billed charges		60.5				other	OPPS APC	60.5				other	OPPS APC	16.39				percent of total billed charges		16.72				percent of total billed charges		6.5				other	OPPS APC	6.5	60.5	
SCREW BONE 70MM 3.5MM SS NS CORTEX PELVIS SELF TAP SM FRAGMENT SET	SUP-204.670	CDM	270010022	LOCAL	270	RC		inpatient			60.5	60.5																																																			
NUT ORTHOPEDIC 11MM SS NS 4.5MM CORTEX SCREW	SUP-219.96	CDM	270010022	LOCAL	270	RC		outpatient			60.5	6.5	16.39				percent of total billed charges		60.5				other	OPPS APC	44.77				percent of total billed charges		60.5				other	OPPS APC	60.5				other	OPPS APC	16.39				percent of total billed charges		16.72				percent of total billed charges		6.5				other	OPPS APC	6.5	60.5	
NUT ORTHOPEDIC 11MM SS NS 4.5MM CORTEX SCREW	SUP-219.96	CDM	270010022	LOCAL	270	RC		inpatient			60.5	60.5																																																			
WASHER ORTHOPEDIC LCP STAINLESS STEEL OD6.5 MM ID3.3 MM NONSTERILE 3 MM CANNULATED SCREW	SUP-219.972	CDM	270010022	LOCAL	270	RC		outpatient			60.5	6.5	16.39				percent of total billed charges		60.5				other	OPPS APC	44.77				percent of total billed charges		60.5				other	OPPS APC	60.5				other	OPPS APC	16.39				percent of total billed charges		16.72				percent of total billed charges		6.5				other	OPPS APC	6.5	60.5	
WASHER ORTHOPEDIC LCP STAINLESS STEEL OD6.5 MM ID3.3 MM NONSTERILE 3 MM CANNULATED SCREW	SUP-219.972	CDM	270010022	LOCAL	270	RC		inpatient			60.5	60.5																																																			
WASHER ORTHOPEDIC TITANIUM OD10 MM NONSTERILE 4.5 MM CANNULATED SCREW	SUP-419.91	CDM	270010022	LOCAL	270	RC		outpatient			60.5	6.5	16.39				percent of total billed charges		60.5				other	OPPS APC	44.77				percent of total billed charges		60.5				other	OPPS APC	60.5				other	OPPS APC	16.39				percent of total billed charges		16.72				percent of total billed charges		6.5				other	OPPS APC	6.5	60.5	
WASHER ORTHOPEDIC TITANIUM OD10 MM NONSTERILE 4.5 MM CANNULATED SCREW	SUP-419.91	CDM	270010022	LOCAL	270	RC		inpatient			60.5	60.5																																																			
GUIDEWIRE ORTHOPEDIC 230MM 2MM SS NS NONTHREADED SPADE POINT CANNULATED SCREW SYSTEM	SUP-292.656	CDM	270010022	LOCAL	270	RC		outpatient			60.48	6.48	16.38				percent of total billed charges		60.48				other	OPPS APC	44.76				percent of total billed charges		60.48				other	OPPS APC	60.48				other	OPPS APC	16.38				percent of total billed charges		16.71				percent of total billed charges		6.48				other	OPPS APC	6.48	60.48	
GUIDEWIRE ORTHOPEDIC 230MM 2MM SS NS NONTHREADED SPADE POINT CANNULATED SCREW SYSTEM	SUP-292.656	CDM	270010022	LOCAL	270	RC		inpatient			60.48	60.48																																																			
MG NUT SHORT	SUP-97-03812	CDM			278	RC		outpatient			60.48	6.48	60.48				fee schedule		60.48				other	OPPS APC	34.47				percent of total billed charges		60.48				other	OPPS APC	60.48				other	OPPS APC	29.64				percent of total billed charges		30.84				percent of total billed charges		6.48				other	OPPS APC	6.48	60.48	
MG NUT SHORT	SUP-97-03812	CDM			278	RC		inpatient			60.48	60.48																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-690-10	NDC	J2704	HCPCS		inpatient			60.42	60.42																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-690-10	NDC	J2704	HCPCS		outpatient			60.42	60.42																																															other	OPPS APC			
LAMINECTOMY PATTIE 3/4 X 3/4	SUP-74-00007	CDM			272	RC		outpatient			60.4	6.4	16.36				percent of total billed charges		60.4				other	OPPS APC	44.7				percent of total billed charges		60.4				other	OPPS APC	60.4				other	OPPS APC	16.36				percent of total billed charges		16.69				percent of total billed charges		6.4				other	OPPS APC	6.4	60.4	
LAMINECTOMY PATTIE 3/4 X 3/4	SUP-74-00007	CDM			272	RC		inpatient			60.4	60.4																																																			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	55150-438-01	NDC				inpatient			60.33	60.33																																																			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	55150-438-10	NDC				inpatient			60.33	60.33																																																			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	55150-438-01	NDC				outpatient			60.33	60.33																																															other	OPPS APC			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	55150-438-10	NDC				outpatient			60.33	60.33																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	55150-471-01	NDC	J3370	HCPCS		inpatient			60.3	60.3																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	55150-471-10	NDC	J3370	HCPCS		inpatient			60.3	60.3																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	67457-823-12	NDC	J3371	HCPCS		inpatient			60.3	60.3																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	55150-471-01	NDC	J3370	HCPCS		outpatient			60.3	60.3																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	55150-471-10	NDC	J3370	HCPCS		outpatient			60.3	60.3																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	67457-823-12	NDC	J3371	HCPCS		outpatient			60.3	6.25																																											6.25				other	OPPS APC	6.25	6.25	
PINEAPPLE OVAL MEDIUM BUR	SUP-78-00203	CDM			272	RC		outpatient			60.3	6.3	16.34				percent of total billed charges		60.3				other	OPPS APC	44.62				percent of total billed charges		60.3				other	OPPS APC	60.3				other	OPPS APC	16.34				percent of total billed charges		16.66				percent of total billed charges		6.3				other	OPPS APC	6.3	60.3	
PINEAPPLE OVAL MEDIUM BUR	SUP-78-00203	CDM			272	RC		inpatient			60.3	60.3																																																			
Belt  Security Roll- Universal	PX-270000012	CDM			270	RC		outpatient			60.22	6.22	16.31				percent of total billed charges		60.22				other	OPPS APC	60.22				fee schedule		60.22				other	OPPS APC	60.22				other	OPPS APC	16.31				percent of total billed charges		16.64				percent of total billed charges		6.22				other	OPPS APC	6.22	60.22	
Belt  Security Roll- Universal	PX-270000012	CDM			270	RC		inpatient			60.22	60.22																																																			
DECITABINE PER 1 MG	636000000	CDM	0143-9385-01	NDC	J0894	HCPCS		inpatient			60	60																																																			
DECITABINE PER 1 MG	636000000	CDM	0143-9385-01	NDC	J0894	HCPCS		outpatient			60	60																																															other	OPPS APC			
HC Amikacin	PX-300801500	CDM	80150	CPT	300	RC		outpatient			60	15.8	20.15				fee schedule		15.08				fee schedule		40.01				fee schedule		15.08				fee schedule		15.08				fee schedule		15.08				fee schedule		15.08				fee schedule		15.8				fee schedule		15.08	40.01	
HC Amikacin	PX-300801500	CDM	80150	CPT	300	RC		inpatient			60	60																																																			
HC Assay of Folic Acid  RBC	PX-300827470	CDM	82747	CPT	300	RC		outpatient			60	17.65	23.03				fee schedule		17.65				fee schedule		45.73				fee schedule		17.65				fee schedule		17.65				fee schedule		17.65				fee schedule		17.65				fee schedule		17.65				fee schedule		17.65	45.73	
HC Assay of Folic Acid  RBC	PX-300827470	CDM	82747	CPT	300	RC		inpatient			60	60																																																			
HC Syphilis Test  Non Treponemal Antibody  Qualit(Vdrl Rpr Art)	PX-300865920	CDM	86592	CPT	302	RC		outpatient			60	4.27	5.5				fee schedule		4.27				fee schedule		11.32				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27	11.32	
HC Syphilis Test  Non Treponemal Antibody  Qualit(Vdrl Rpr Art)	PX-300865920	CDM	86592	CPT	302	RC		inpatient			60	60																																																			
HC Moderate Sedation Same Phy Each Addl 15 Min	PX-370991531	CDM	99153	CPT	370	RC		outpatient			60	6	16.93				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.93				percent of total billed charges		17.27				percent of total billed charges		6				other	OPPS APC	6	60	
HC Moderate Sedation Same Phy Each Addl 15 Min	PX-370991531	CDM	99153	CPT	370	RC		inpatient			60	60																																																			
HC Smoking Cessation - Intensive	PX-942994070	CDM	99407	CPT	942	RC		outpatient			60	6	60				fee schedule		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				fee schedule		24.66				fee schedule		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
HC Smoking Cessation - Intensive	PX-942994070	CDM	99407	CPT	942	RC		inpatient			60	60																																																			
KIT PULSED LAVAGE PULSAVAC PLUS FAN SPRAY TIP RETAIN MECHANISM ROCKER SWITCH TEXTURE PISTOL GRIP HANDLE	SUP-00515047500	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
KIT PULSED LAVAGE PULSAVAC PLUS FAN SPRAY TIP RETAIN MECHANISM ROCKER SWITCH TEXTURE PISTOL GRIP HANDLE	SUP-00515047500	CDM			270	RC		inpatient			60	60																																																			
BLADE SAW STAINLESS STEEL L70 MM X W12.5 MM X H.8 MM 2 SIDED RECIPROCATING STERILE LATEX FREE ARTHROPLASTY	SUP-0277096276	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
BLADE SAW STAINLESS STEEL L70 MM X W12.5 MM X H.8 MM 2 SIDED RECIPROCATING STERILE LATEX FREE ARTHROPLASTY	SUP-0277096276	CDM			270	RC		inpatient			60	60																																																			
BLADE SAW STAINLESS STEEL LONG L75 MM X W12 MM X H.8 MM RECIPROCATING HEAVY DUTY STERILE	SUP-0277096325	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
BLADE SAW STAINLESS STEEL LONG L75 MM X W12 MM X H.8 MM RECIPROCATING HEAVY DUTY STERILE	SUP-0277096325	CDM			270	RC		inpatient			60	60																																																			
MESH SURGICAL BARD MARLEX RECTANGLE 6X3IN POLYPROPYLENE STERILE GROIN MONOFILAMENT GOLD STANDARD FLAT SHEET INGUINAL	SUP-112680	CDM	270009093	LOCAL	270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
MESH SURGICAL BARD MARLEX RECTANGLE 6X3IN POLYPROPYLENE STERILE GROIN MONOFILAMENT GOLD STANDARD FLAT SHEET INGUINAL	SUP-112680	CDM	270009093	LOCAL	270	RC		inpatient			60	60																																																			
CABLE PACING SJM L 12FT TEMPORARY EXTENSION STERILE LAXTEX FREE DISPOSABLE	SUP-4051L	CDM			275	RC		outpatient			60	6	29.4				percent of total billed charges		60				other	OPPS APC	34.2				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
CABLE PACING SJM L 12FT TEMPORARY EXTENSION STERILE LAXTEX FREE DISPOSABLE	SUP-4051L	CDM			275	RC		inpatient			60	60																																																			
OBTURATOR 8MM BLADELESS OPTICAL	SUP-470359	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
OBTURATOR 8MM BLADELESS OPTICAL	SUP-470359	CDM			270	RC		inpatient			60	60																																																			
OBTURATOR 8MM BLADELESS OPTICAL LONG	SUP-470360	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
OBTURATOR 8MM BLADELESS OPTICAL LONG	SUP-470360	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L8 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2408	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L8 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2408	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE 2.4MM 10MM STERNALOCK BLU STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY	SUP-73-2410	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE 2.4MM 10MM STERNALOCK BLU STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY	SUP-73-2410	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L12 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2412	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L12 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2412	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L14 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2414	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L14 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2414	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L16 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2416	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L16 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2416	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L18 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2418	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L18 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2418	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L20 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2420	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L20 MM OD2.4 MM STERNUM CANCELLOUS SELF DRILL LOCK GOLD PRIMARY CLOSURE SYSTEM	SUP-73-2420	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L8 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2708	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L8 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2708	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L10 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2710	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L10 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2710	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L14 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2714	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L14 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2714	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L16 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2716	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L16 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2716	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L18 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2718	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L18 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2718	CDM			270	RC		inpatient			60	60																																																			
SCREW BONE STERNALOCK BLU L20 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2720	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SCREW BONE STERNALOCK BLU L20 MM OD2.7 MM STERNUM CANCELLOUS SELF DRILL LOCK MAGENTA PRIMARY CLOSURE SYSTEM	SUP-73-2720	CDM			270	RC		inpatient			60	60																																																			
K-WIRE 2.4MMX170MM	SUP-95-03609	CDM			272	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
K-WIRE 2.4MMX170MM	SUP-95-03609	CDM			272	RC		inpatient			60	60																																																			
G-WIRE W/TRCR TIP0.045X5.91	SUP-97-01465	CDM			278	RC		outpatient			60	6	60				fee schedule		60				other	OPPS APC	34.2				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
G-WIRE W/TRCR TIP0.045X5.91	SUP-97-01465	CDM			278	RC		inpatient			60	60																																																			
WIRE G W/TRCR TIP .094X8	SUP-97-01507	CDM			272	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
WIRE G W/TRCR TIP .094X8	SUP-97-01507	CDM			272	RC		inpatient			60	60																																																			
GULDE WIRE  TROCAR TIP DIA 1.35MM	SUP-97-01559	CDM			278	RC		outpatient			60	6	60				fee schedule		60				other	OPPS APC	34.2				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
GULDE WIRE  TROCAR TIP DIA 1.35MM	SUP-97-01559	CDM			278	RC		inpatient			60	60																																																			
GUIDEWIRE  TROCAR TIP CR TIP .045	SUP-97-01748	CDM			278	RC		outpatient			60	6	60				fee schedule		60				other	OPPS APC	34.2				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
GUIDEWIRE  TROCAR TIP CR TIP .045	SUP-97-01748	CDM			278	RC		inpatient			60	60																																																			
.062 GUIDE WIRE TROCAR TIP	SUP-97-02032	CDM			278	RC		outpatient			60	6	60				fee schedule		60				other	OPPS APC	34.2				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
.062 GUIDE WIRE TROCAR TIP	SUP-97-02032	CDM			278	RC		inpatient			60	60																																																			
SET TBG BEAMER IRR PUMP	SUP-97-02241	CDM			272	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SET TBG BEAMER IRR PUMP	SUP-97-02241	CDM			272	RC		inpatient			60	60																																																			
GULDEWIRE .086 W/LASER LINE SS	SUP-97-03160	CDM			272	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
GULDEWIRE .086 W/LASER LINE SS	SUP-97-03160	CDM			272	RC		inpatient			60	60																																																			
GULDEWIRE W/TRCR TIP 062.X25	SUP-97-03474	CDM			272	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
GULDEWIRE W/TRCR TIP 062.X25	SUP-97-03474	CDM			272	RC		inpatient			60	60																																																			
GD WIRE 2.4 MM X 9.25IN	SUP-97-05034	CDM			272	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
GD WIRE 2.4 MM X 9.25IN	SUP-97-05034	CDM			272	RC		inpatient			60	60																																																			
MASK POSITIONING FOAM PRONE DISPOSABLE C PRONE C FLEX HEAD POSITIONING SYSTEM	SUP-A-70310	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
MASK POSITIONING FOAM PRONE DISPOSABLE C PRONE C FLEX HEAD POSITIONING SYSTEM	SUP-A-70310	CDM			270	RC		inpatient			60	60																																																			
MASK ALLEN COMFORT MASK - SEE PMM# 54031	SUP-A-70310-A6	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
MASK ALLEN COMFORT MASK - SEE PMM# 54031	SUP-A-70310-A6	CDM			270	RC		inpatient			60	60																																																			
SUTURE NONABSORBABLE FIBERWIRE 5 CCS-1 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLUE	SUP-AR-7211	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
SUTURE NONABSORBABLE FIBERWIRE 5 CCS-1 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLUE	SUP-AR-7211	CDM			270	RC		inpatient			60	60																																																			
GUIDEWIRE ORTHOPEDIC OD.045 IN 2 TROCAR TIP LASER MARK	SUP-AR-8737-41KD	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
GUIDEWIRE ORTHOPEDIC OD.045 IN 2 TROCAR TIP LASER MARK	SUP-AR-8737-41KD	CDM			270	RC		inpatient			60	60																																																			
TROCAR SLEEVE W/BALLOON 5MM X 100MM	SUP-CFS02	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
TROCAR SLEEVE W/BALLOON 5MM X 100MM	SUP-CFS02	CDM			270	RC		inpatient			60	60																																																			
TROCAR SLEEVE ZTHREAD 5MM X 100MM	SUP-CTS02	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
TROCAR SLEEVE ZTHREAD 5MM X 100MM	SUP-CTS02	CDM			270	RC		inpatient			60	60																																																			
KIT PILLCAM SENSOR BELT 2 DISPOSABLE	SUP-FGS-0510	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
KIT PILLCAM SENSOR BELT 2 DISPOSABLE	SUP-FGS-0510	CDM			270	RC		inpatient			60	60																																																			
DEVICE INFLATION ENCORE 26 L3 IN OD12 FR 20 ML PRESSURE GAUGE LATEX FREE	SUP-M001151050	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
DEVICE INFLATION ENCORE 26 L3 IN OD12 FR 20 ML PRESSURE GAUGE LATEX FREE	SUP-M001151050	CDM			270	RC		inpatient			60	60																																																			
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE L3 MM SHORT FLAT TAPER L180 CM L7 CM OD.035 IN STRAIGHT TIP	SUP-M001465011	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STAINLESS STEEL PTFE L3 MM SHORT FLAT TAPER L180 CM L7 CM OD.035 IN STRAIGHT TIP	SUP-M001465011	CDM			270	RC		inpatient			60	60																																																			
TUNNELER T17X8 W SHEATH	SUP-T11X10	CDM			270	RC		outpatient			60	6	16.25				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	16.25				percent of total billed charges		16.58				percent of total billed charges		6				other	OPPS APC	6	60	
TUNNELER T17X8 W SHEATH	SUP-T11X10	CDM			270	RC		inpatient			60	60																																																			
CANNULA TRANSSEPTAL 18G 71 CM 38 DEGREE ANGLE	SUP-TSC071	CDM			481	RC		outpatient			60	6	29.4				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
CANNULA TRANSSEPTAL 18G 71 CM 38 DEGREE ANGLE	SUP-TSC071	CDM			481	RC		inpatient			60	60																																																			
CANNULA 71CM  72  DEGREE ANGLE TRANSSEPTAL	SUP-TSC171	CDM			481	RC		outpatient			60	6	29.4				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
CANNULA 71CM  72  DEGREE ANGLE TRANSSEPTAL	SUP-TSC171	CDM			481	RC		inpatient			60	60																																																			
6F DXTERITY ULTRA 3.5 DIAGNOSTIC CATHETER	SUP-U6ULTRA35	CDM			481	RC		outpatient			60	6	29.4				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
6F DXTERITY ULTRA 3.5 DIAGNOSTIC CATHETER	SUP-U6ULTRA35	CDM			481	RC		inpatient			60	60																																																			
6F DXTERITY ULTRA 4.0 DIAGNOSTIC CATHETER	SUP-U6ULTRA40	CDM			481	RC		outpatient			60	6	29.4				percent of total billed charges		60				other	OPPS APC	44.4				percent of total billed charges		60				other	OPPS APC	60				other	OPPS APC	29.4				percent of total billed charges		30.6				percent of total billed charges		6				other	OPPS APC	6	60	
6F DXTERITY ULTRA 4.0 DIAGNOSTIC CATHETER	SUP-U6ULTRA40	CDM			481	RC		inpatient			60	60																																																			
SUTURE NONABSORBABLE MERSILENE 5 MM CTX L12 IN 2 ARM WOVEN WHITE	SUP-RS22	CDM			270	RC		outpatient			59.97	59.97	16.25				percent of total billed charges		59.97				other	OPPS APC	44.38				percent of total billed charges		59.97				other	OPPS APC	59.97				other	OPPS APC	16.25				percent of total billed charges		16.57				percent of total billed charges		59.97				other	OPPS APC	16.25	59.97	
SUTURE NONABSORBABLE MERSILENE 5 MM CTX L12 IN 2 ARM WOVEN WHITE	SUP-RS22	CDM			270	RC		inpatient			59.97	59.97																																																			
SYRINGE 60CC LL COVIDIEN	SUP-95-04202	CDM			272	RC		outpatient			59.88	59.88	16.22				percent of total billed charges		59.88				other	OPPS APC	44.31				percent of total billed charges		59.88				other	OPPS APC	59.88				other	OPPS APC	16.22				percent of total billed charges		16.54				percent of total billed charges		59.88				other	OPPS APC	16.22	59.88	
SYRINGE 60CC LL COVIDIEN	SUP-95-04202	CDM			272	RC		inpatient			59.88	59.88																																																			
EPINEPHRINE HCL IN 0.9 % NACL 4 MG/250 ML (16 MCG/ML) SOLUTION	636000000	CDM	42023-168-01	NDC	J0171	HCPCS		inpatient			59.8	59.8																																																			
EPINEPHRINE HCL IN 0.9 % NACL 4 MG/250 ML (16 MCG/ML) SOLUTION	636000000	CDM	42023-168-01	NDC	J0171	HCPCS		outpatient			59.8	59.8																																															other	OPPS APC			
DRESSING MEPILEX FOAM 4X4	SUP-95-02978	CDM			272	RC		outpatient			59.8	59.8	16.2				percent of total billed charges		59.8				other	OPPS APC	44.25				percent of total billed charges		59.8				other	OPPS APC	59.8				other	OPPS APC	16.2				percent of total billed charges		16.52				percent of total billed charges		59.8				other	OPPS APC	16.2	59.8	
DRESSING MEPILEX FOAM 4X4	SUP-95-02978	CDM			272	RC		inpatient			59.8	59.8																																																			
INSULIN LISPRO (HUMAN) PER 5 UNITS	637000000	CDM	0002-7533-01	NDC	A9270	HCPCS		inpatient			59.76	59.76																																																			
INSULIN LISPRO (HUMAN) PER 5 UNITS	637000000	CDM	0002-7533-01	NDC	A9270	HCPCS		outpatient			59.76	59.76																																															other	OPPS APC			
BOOT CAST SLIMLINE XLG	SUP-35-00046	CDM			271	RC		outpatient			59.7	59.73	16.17				percent of total billed charges		59.7				other	OPPS APC	44.18				percent of total billed charges		59.7				other	OPPS APC	59.7				other	OPPS APC	16.17				percent of total billed charges		16.5				percent of total billed charges		59.73				other	OPPS APC	16.17	59.73	
BOOT CAST SLIMLINE XLG	SUP-35-00046	CDM			271	RC		inpatient			59.7	59.7																																																			
FILTER LINE SET  PHILIPS	SUP-30-00123	CDM			272	RC		outpatient			59.59	59.59	16.14				percent of total billed charges		59.59				other	OPPS APC	44.1				percent of total billed charges		59.59				other	OPPS APC	59.59				other	OPPS APC	16.14				percent of total billed charges		16.46				percent of total billed charges		59.59				other	OPPS APC	16.14	59.59	
FILTER LINE SET  PHILIPS	SUP-30-00123	CDM			272	RC		inpatient			59.59	59.59																																																			
DRAPE MICRO	SUP-M1071	CDM			270	RC		outpatient			59.5	59.5	16.12				percent of total billed charges		59.5				other	OPPS APC	44.03				percent of total billed charges		59.5				other	OPPS APC	59.5				other	OPPS APC	16.12				percent of total billed charges		16.44				percent of total billed charges		59.5				other	OPPS APC	16.12	59.5	
DRAPE MICRO	SUP-M1071	CDM			270	RC		inpatient			59.5	59.5																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL L150 MM OD12 MM STABILITY SLEEVE BLADELESS LOW SYSTEM DRAG FORCE OPTIONAL PISTOL HANDLE STERILE DISPOSABLE	SUP-B12XT	CDM			270	RC		outpatient			59.46	59.46	16.11				percent of total billed charges		59.46				other	OPPS APC	44				percent of total billed charges		59.46				other	OPPS APC	59.46				other	OPPS APC	16.11				percent of total billed charges		16.43				percent of total billed charges		59.46				other	OPPS APC	16.11	59.46	
TROCAR LAPAROSCOPIC ENDOPATH XCEL L150 MM OD12 MM STABILITY SLEEVE BLADELESS LOW SYSTEM DRAG FORCE OPTIONAL PISTOL HANDLE STERILE DISPOSABLE	SUP-B12XT	CDM			270	RC		inpatient			59.46	59.46																																																			
CEFOXITIN PER 1 G	636000000	CDM	0143-9877-01	NDC	J0694	HCPCS		inpatient			59.4	59.4																																																			
CEFOXITIN PER 1 G	636000000	CDM	0143-9877-01	NDC	J0694	HCPCS		outpatient			59.4	59.4																																															other	OPPS APC			
DOPAMINE PER 40 MG	636000000	CDM	0338-1009-02	NDC	J1265	HCPCS		inpatient			59.36	59.36																																																			
DOPAMINE PER 40 MG	636000000	CDM	0338-1009-02	NDC	J1265	HCPCS		outpatient			59.36	59.36																																															other	OPPS APC			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	42023-113-10	NDC				inpatient			59.35	59.35																																																			
KETAMINE 10 MG/ML SOLUTION	250000000	CDM	42023-113-10	NDC				outpatient			59.35	59.35																																															other	OPPS APC			
EMPAGLIFLOZIN 25 MG TABLET	637000000	CDM	0597-0153-37	NDC	A9270	HCPCS		inpatient			59.33	59.33																																																			
EMPAGLIFLOZIN 25 MG TABLET	637000000	CDM	0597-0153-37	NDC	A9270	HCPCS		outpatient			59.33	59.33																																															other	OPPS APC			
SYR/NDL 5CC BLNT LL 18GX1 1/2	SUP-06-00070	CDM			272	RC		outpatient			59.33	59.33	16.07				percent of total billed charges		59.33				other	OPPS APC	43.9				percent of total billed charges		59.33				other	OPPS APC	59.33				other	OPPS APC	16.07				percent of total billed charges		16.39				percent of total billed charges		59.33				other	OPPS APC	16.07	59.33	
SYR/NDL 5CC BLNT LL 18GX1 1/2	SUP-06-00070	CDM			272	RC		inpatient			59.33	59.33																																																			
TRAY LATEX FOLEY CATH 16FR W/URINEMETER	SUP-03-00032	CDM			272	RC		outpatient			59.31	59.31	16.07				percent of total billed charges		59.31				other	OPPS APC	43.89				percent of total billed charges		59.31				other	OPPS APC	59.31				other	OPPS APC	16.07				percent of total billed charges		16.39				percent of total billed charges		59.31				other	OPPS APC	16.07	59.31	
TRAY LATEX FOLEY CATH 16FR W/URINEMETER	SUP-03-00032	CDM			272	RC		inpatient			59.31	59.31																																																			
CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION	250000000	CDM	44567-620-01	NDC	J0613	HCPCS		inpatient			59.25	59.25																																																			
CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION	250000000	CDM	80830-2362-1	NDC	J0612	HCPCS		inpatient			59.25	59.25																																																			
CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION	250000000	CDM	80830-2362-9	NDC	J0612	HCPCS		inpatient			59.25	59.25																																																			
CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION	250000000	CDM	44567-620-01	NDC	J0613	HCPCS		outpatient			59.25	0.92																																											0.92				other	OPPS APC	0.92	0.92	
CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION	250000000	CDM	80830-2362-1	NDC	J0612	HCPCS		outpatient			59.25	0.52																																											0.52				other	OPPS APC	0.52	0.52	
CALCIUM GLUCONATE IN NACL 1 GRAM/50 ML SOLUTION	250000000	CDM	80830-2362-9	NDC	J0612	HCPCS		outpatient			59.25	0.52																																											0.52				other	OPPS APC	0.52	0.52	
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-690-01	NDC	J2704	HCPCS		inpatient			59.24	59.24																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-690-01	NDC	J2704	HCPCS		outpatient			59.24	59.24																																															other	OPPS APC			
KIT INJECTION RS PENINSULA REGIONAL MEDICAL	SUP-60160423	CDM			270	RC		outpatient			59.11	59.2	16.01				percent of total billed charges		59.11				other	OPPS APC	43.74				percent of total billed charges		59.11				other	OPPS APC	59.11				other	OPPS APC	16.01				percent of total billed charges		16.33				percent of total billed charges		59.2				other	OPPS APC	16.01	59.2	
KIT INJECTION RS PENINSULA REGIONAL MEDICAL	SUP-60160423	CDM			270	RC		inpatient			59.11	59.11																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0264-3153-11	NDC	J0696	HCPCS		inpatient			59.04	59.04																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0264-3153-11	NDC	J0696	HCPCS		outpatient			59.04	59.04																																															other	OPPS APC			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	71839-141-10	NDC				inpatient			59	59																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	71839-141-10	NDC				outpatient			59	59																																															other	OPPS APC			
270000042	PX-270000043	CDM			270	RC		outpatient			59	59	15.98				percent of total billed charges		59				other	OPPS APC	59				fee schedule		59				other	OPPS APC	59				other	OPPS APC	15.98				percent of total billed charges		16.3				percent of total billed charges		59				other	OPPS APC	15.98	59	
270000042	PX-270000043	CDM			270	RC		inpatient			59	59																																																			
HC Hiv 1 & 2 Single Assay	PX-302867031	CDM	86703	CPT	302	RC		outpatient			59	59	18.33				fee schedule		59				fee schedule		36.42				fee schedule		59				fee schedule		59				fee schedule		13.71				fee schedule		13.71				fee schedule		59				fee schedule		13.71	59	
HC Hiv 1 & 2 Single Assay	PX-302867031	CDM	86703	CPT	302	RC		inpatient			59	59																																																			
DRAPE EQUIPMENT DA VINCI S CAMERA ARM DISPOSABLE	SUP-420022	CDM			270	RC		outpatient			59	59	15.98				percent of total billed charges		59				other	OPPS APC	43.66				percent of total billed charges		59				other	OPPS APC	59				other	OPPS APC	15.98				percent of total billed charges		16.3				percent of total billed charges		59				other	OPPS APC	15.98	59	
DRAPE EQUIPMENT DA VINCI S CAMERA ARM DISPOSABLE	SUP-420022	CDM			270	RC		inpatient			59	59																																																			
CATHETER ENDOSCOPIC ULTRASOUND BALLOON CUFF LATEX	SUP-MAJ-233	CDM			270	RC		outpatient			58.91	59	15.96				percent of total billed charges		58.91				other	OPPS APC	43.59				percent of total billed charges		58.91				other	OPPS APC	58.91				other	OPPS APC	15.96				percent of total billed charges		16.28				percent of total billed charges		59				other	OPPS APC	15.96	59	
CATHETER ENDOSCOPIC ULTRASOUND BALLOON CUFF LATEX	SUP-MAJ-233	CDM			270	RC		inpatient			58.91	58.91																																																			
CLEANER ELECTRO LUBE ROBOTIC	SUP-EL101	CDM			270	RC		outpatient			58.9	58.9	15.96				percent of total billed charges		58.9				other	OPPS APC	43.59				percent of total billed charges		58.9				other	OPPS APC	58.9				other	OPPS APC	15.96				percent of total billed charges		16.27				percent of total billed charges		58.9				other	OPPS APC	15.96	58.9	
CLEANER ELECTRO LUBE ROBOTIC	SUP-EL101	CDM			270	RC		inpatient			58.9	58.9																																																			
SUTURE NONABSORBABLE GORE-TEX CV-0 THX-36 L36 IN 2 ARM MONOFILAMENT UNDYED	SUP-0N07A	CDM			270	RC		outpatient			58.83	58.83	15.94				percent of total billed charges		58.83				other	OPPS APC	43.53				percent of total billed charges		58.83				other	OPPS APC	58.83				other	OPPS APC	15.94				percent of total billed charges		16.25				percent of total billed charges		58.83				other	OPPS APC	15.94	58.83	
SUTURE NONABSORBABLE GORE-TEX CV-0 THX-36 L36 IN 2 ARM MONOFILAMENT UNDYED	SUP-0N07A	CDM			270	RC		inpatient			58.83	58.83																																																			
SUTURE NONABSORBABLE GORE-TEX CV-0 TH-50 L48 IN	SUP-0U01A	CDM			270	RC		outpatient			58.83	58.83	15.94				percent of total billed charges		58.83				other	OPPS APC	43.53				percent of total billed charges		58.83				other	OPPS APC	58.83				other	OPPS APC	15.94				percent of total billed charges		16.25				percent of total billed charges		58.83				other	OPPS APC	15.94	58.83	
SUTURE NONABSORBABLE GORE-TEX CV-0 TH-50 L48 IN	SUP-0U01A	CDM			270	RC		inpatient			58.83	58.83																																																			
GOODE TUBES	SUP-72-00021	CDM			272	RC		outpatient			58.82	58.82	15.93				percent of total billed charges		58.82				other	OPPS APC	43.53				percent of total billed charges		58.82				other	OPPS APC	58.82				other	OPPS APC	15.93				percent of total billed charges		16.25				percent of total billed charges		58.82				other	OPPS APC	15.93	58.82	
GOODE TUBES	SUP-72-00021	CDM			272	RC		inpatient			58.82	58.82																																																			
K-WIRE TROCAR POINT 2MM  X 150MM PK/10	SUP-97-01432	CDM			278	RC		outpatient			58.8	58.8	58.8				fee schedule		58.8				other	OPPS APC	33.52				percent of total billed charges		58.8				other	OPPS APC	58.8				other	OPPS APC	28.81				percent of total billed charges		29.99				percent of total billed charges		58.8				other	OPPS APC	28.81	58.8	
K-WIRE TROCAR POINT 2MM  X 150MM PK/10	SUP-97-01432	CDM			278	RC		inpatient			58.8	58.8																																																			
SUTURE NONABSORBABLE PERMA-HAND 0 18IN BLACK SILK BRAID TIE 6 STRAND PRECUT	SUP-A186H	CDM			270	RC		outpatient			58.78	58.78	15.92				percent of total billed charges		58.78				other	OPPS APC	43.5				percent of total billed charges		58.78				other	OPPS APC	58.78				other	OPPS APC	15.92				percent of total billed charges		16.24				percent of total billed charges		58.78				other	OPPS APC	15.92	58.78	
SUTURE NONABSORBABLE PERMA-HAND 0 18IN BLACK SILK BRAID TIE 6 STRAND PRECUT	SUP-A186H	CDM			270	RC		inpatient			58.78	58.78																																																			
DRESSING SILVER POST OP MEPILEX 10 X 30 CM (4 X 12 INCH)	SUP-498600	CDM			270	RC		outpatient			58.77	58.77	15.92				percent of total billed charges		58.77				other	OPPS APC	43.49				percent of total billed charges		58.77				other	OPPS APC	58.77				other	OPPS APC	15.92				percent of total billed charges		16.24				percent of total billed charges		58.77				other	OPPS APC	15.92	58.77	
DRESSING SILVER POST OP MEPILEX 10 X 30 CM (4 X 12 INCH)	SUP-498600	CDM			270	RC		inpatient			58.77	58.77																																																			
SWAN TUBING 10/CS	SUP-95-01355	CDM						inpatient			58.71	58.71																																																			
SWAN TUBING 10/CS	SUP-95-01355	CDM						outpatient			58.71	58.71	58.71				percent of total billed charges		58.71				other	OPPS APC	58.71				fee schedule		58.71				other	OPPS APC	58.71				other	OPPS APC	58.71				case rate		58.71				case rate		58.71				other	OPPS APC	58.71	58.71	
DRAPE EQUIPMENT OPMI VISIONGUARD L154 IN X W52 IN MICROSCOPE 2 LONG BRIDGE STEREO OBSERVATION STERILE LATEX FREE DISPOSABLE PENTERO	SUP-306026	CDM						inpatient			58.7	58.7																																																			
DRAPE EQUIPMENT OPMI VISIONGUARD L154 IN X W52 IN MICROSCOPE 2 LONG BRIDGE STEREO OBSERVATION STERILE LATEX FREE DISPOSABLE PENTERO	SUP-306026	CDM						outpatient			58.7	58.73	58.7				percent of total billed charges		58.7				other	OPPS APC	58.7				fee schedule		58.7				other	OPPS APC	58.7				other	OPPS APC	58.7				case rate		58.7				case rate		58.73				other	OPPS APC	58.7	58.73	
FORCEPS SURGICAL GERALD L7 IN DRESSING BAYONET SERRATED	SUP-285122	CDM			270	RC		outpatient			58.68	58.68	15.9				percent of total billed charges		58.68				other	OPPS APC	43.42				percent of total billed charges		58.68				other	OPPS APC	58.68				other	OPPS APC	15.9				percent of total billed charges		16.21				percent of total billed charges		58.68				other	OPPS APC	15.9	58.68	
FORCEPS SURGICAL GERALD L7 IN DRESSING BAYONET SERRATED	SUP-285122	CDM			270	RC		inpatient			58.68	58.68																																																			
PACK SURGICAL CUSTOM CRANI ACCESSORY LF	SUP-SNEHDCSPNA	CDM	270009165	LOCAL	270	RC		outpatient			58.63	58.63	15.88				percent of total billed charges		58.63				other	OPPS APC	43.39				percent of total billed charges		58.63				other	OPPS APC	58.63				other	OPPS APC	15.88				percent of total billed charges		16.2				percent of total billed charges		58.63				other	OPPS APC	15.88	58.63	
PACK SURGICAL CUSTOM CRANI ACCESSORY LF	SUP-SNEHDCSPNA	CDM	270009165	LOCAL	270	RC		inpatient			58.63	58.63																																																			
PACK SURGICAL CUSTOM CRANI ACCESSORY LATEX FREE	SUP-SNEHDCSPNB	CDM	270009165	LOCAL	270	RC		outpatient			58.63	58.63	15.88				percent of total billed charges		58.63				other	OPPS APC	43.39				percent of total billed charges		58.63				other	OPPS APC	58.63				other	OPPS APC	15.88				percent of total billed charges		16.2				percent of total billed charges		58.63				other	OPPS APC	15.88	58.63	
PACK SURGICAL CUSTOM CRANI ACCESSORY LATEX FREE	SUP-SNEHDCSPNB	CDM	270009165	LOCAL	270	RC		inpatient			58.63	58.63																																																			
K-WIRE SS 1.6X127MM NS	SUP-97-01152	CDM			278	RC		outpatient			58.52	58.52	58.52				fee schedule		58.52				other	OPPS APC	33.36				percent of total billed charges		58.52				other	OPPS APC	58.52				other	OPPS APC	28.67				percent of total billed charges		29.85				percent of total billed charges		58.52				other	OPPS APC	28.67	58.52	
K-WIRE SS 1.6X127MM NS	SUP-97-01152	CDM			278	RC		inpatient			58.52	58.52																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-046-01	NDC	J1650	HCPCS		inpatient			58.5	58.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-205-01	NDC	J1650	HCPCS		inpatient			58.5	58.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-205-10	NDC	J1650	HCPCS		inpatient			58.5	58.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-046-01	NDC	J1650	HCPCS		outpatient			58.5	58.5																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-205-01	NDC	J1650	HCPCS		outpatient			58.5	58.5																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-205-10	NDC	J1650	HCPCS		outpatient			58.5	58.5																																															other	OPPS APC			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L229 MM OD1.1 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018600269	CDM			270	RC		outpatient			58.5	58.5	15.85				percent of total billed charges		58.5				other	OPPS APC	43.29				percent of total billed charges		58.5				other	OPPS APC	58.5				other	OPPS APC	15.85				percent of total billed charges		16.16				percent of total billed charges		58.5				other	OPPS APC	15.85	58.5	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L229 MM OD1.1 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018600269	CDM			270	RC		inpatient			58.5	58.5																																																			
TUBE VENTILATION PAPARELLA SILICONE L1.15 MM ID1.52 MM IDSEC4.45 MM EAR TAB NOTCH STERILE MYRINGOTOMY	SUP-1025045	CDM			270	RC		outpatient			58.4	58.4	15.82				percent of total billed charges		58.4				other	OPPS APC	43.22				percent of total billed charges		58.4				other	OPPS APC	58.4				other	OPPS APC	15.82				percent of total billed charges		16.14				percent of total billed charges		58.4				other	OPPS APC	15.82	58.4	
TUBE VENTILATION PAPARELLA SILICONE L1.15 MM ID1.52 MM IDSEC4.45 MM EAR TAB NOTCH STERILE MYRINGOTOMY	SUP-1025045	CDM			270	RC		inpatient			58.4	58.4																																																			
DEVICE VACUUM EXTRACTION PALMPUMP KIWI OMNICUP NEONATE FLEXIBLE STEM LOW PROFILE CUP TRACTION FORCE INDICATOR	SUP-VAC-6000MT	CDM			270	RC		outpatient			58.24	58.24	15.78				percent of total billed charges		58.24				other	OPPS APC	43.1				percent of total billed charges		58.24				other	OPPS APC	58.24				other	OPPS APC	15.78				percent of total billed charges		16.09				percent of total billed charges		58.24				other	OPPS APC	15.78	58.24	
DEVICE VACUUM EXTRACTION PALMPUMP KIWI OMNICUP NEONATE FLEXIBLE STEM LOW PROFILE CUP TRACTION FORCE INDICATOR	SUP-VAC-6000MT	CDM			270	RC		inpatient			58.24	58.24																																																			
MESH SURGICAL BARD POLYPROPYLENE  L4IN X W1 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112640	CDM			270	RC		outpatient			58.2	58.23	15.77				percent of total billed charges		58.2				other	OPPS APC	43.07				percent of total billed charges		58.2				other	OPPS APC	58.2				other	OPPS APC	15.77				percent of total billed charges		16.08				percent of total billed charges		58.23				other	OPPS APC	15.77	58.23	
MESH SURGICAL BARD POLYPROPYLENE  L4IN X W1 IN GROIN MONOFILAMENT VENTRAL INGUINAL HERNIA REPAIR	SUP-0112640	CDM			270	RC		inpatient			58.2	58.2																																																			
CHEST DRAIN ACCESSORY STEP-DOWN CONNECTOR	SUP-95-06021	CDM			272	RC		outpatient			58.15	58.15	15.75				percent of total billed charges		58.15				other	OPPS APC	43.03				percent of total billed charges		58.15				other	OPPS APC	58.15				other	OPPS APC	15.75				percent of total billed charges		16.07				percent of total billed charges		58.15				other	OPPS APC	15.75	58.15	
CHEST DRAIN ACCESSORY STEP-DOWN CONNECTOR	SUP-95-06021	CDM			272	RC		inpatient			58.15	58.15																																																			
KNIFE OPHTHALMIC BD EDGEAHEAD STRAIGHT W1.1 MM OD20 GA MVR SIDEPORT STERILE LATEX FREE DISPOSABLE	SUP-376630	CDM			270	RC		outpatient			58.03	58.31	15.72				percent of total billed charges		58.03				other	OPPS APC	42.94				percent of total billed charges		58.03				other	OPPS APC	58.03				other	OPPS APC	15.72				percent of total billed charges		16.03				percent of total billed charges		58.31				other	OPPS APC	15.72	58.31	
KNIFE OPHTHALMIC BD EDGEAHEAD STRAIGHT W1.1 MM OD20 GA MVR SIDEPORT STERILE LATEX FREE DISPOSABLE	SUP-376630	CDM			270	RC		inpatient			58.03	58.03																																																			
TROCAR LAPAROSCOPIC ENDOPATH LONG L100 MM OD2/3 MM SMOOTH SLEEVE RADIOPAQUE STERILE DISPOSABLE	SUP-23NBL	CDM	27000000	LOCAL	270	RC		outpatient			58	58	15.71				percent of total billed charges		58				other	OPPS APC	42.92				percent of total billed charges		58				other	OPPS APC	58				other	OPPS APC	15.71				percent of total billed charges		16.03				percent of total billed charges		58				other	OPPS APC	15.71	58	
TROCAR LAPAROSCOPIC ENDOPATH LONG L100 MM OD2/3 MM SMOOTH SLEEVE RADIOPAQUE STERILE DISPOSABLE	SUP-23NBL	CDM	27000000	LOCAL	270	RC		inpatient			58	58																																																			
TROCAR LAPAROSCOPIC ENDOPATH SHORT L65 MM OD2/3 MM SMOOTH SLEEVE RADIOPAQUE STERILE DISPOSABLE	SUP-23NBS	CDM	27000000	LOCAL	270	RC		outpatient			58	58	15.71				percent of total billed charges		58				other	OPPS APC	42.92				percent of total billed charges		58				other	OPPS APC	58				other	OPPS APC	15.71				percent of total billed charges		16.03				percent of total billed charges		58				other	OPPS APC	15.71	58	
TROCAR LAPAROSCOPIC ENDOPATH SHORT L65 MM OD2/3 MM SMOOTH SLEEVE RADIOPAQUE STERILE DISPOSABLE	SUP-23NBS	CDM	27000000	LOCAL	270	RC		inpatient			58	58																																																			
WIRE GUIDE .025	SUP-70-00028	CDM			272	RC		outpatient			58	58	15.71				percent of total billed charges		58				other	OPPS APC	42.92				percent of total billed charges		58				other	OPPS APC	58				other	OPPS APC	15.71				percent of total billed charges		16.03				percent of total billed charges		58				other	OPPS APC	15.71	58	
WIRE GUIDE .025	SUP-70-00028	CDM			272	RC		inpatient			58	58																																																			
CUSP LOK  II LOW PROFILE	SUP-CLIILP	CDM			270	RC		outpatient			58	58	15.71				percent of total billed charges		58				other	OPPS APC	42.92				percent of total billed charges		58				other	OPPS APC	58				other	OPPS APC	15.71				percent of total billed charges		16.03				percent of total billed charges		58				other	OPPS APC	15.71	58	
CUSP LOK  II LOW PROFILE	SUP-CLIILP	CDM			270	RC		inpatient			58	58																																																			
GUIDEWIRE VASCULAR GLIDEWIRE ANGLE STANDARD 150CM 3CM .035IN HYDROPHILIC JACKET CORE TO TIP ATRAUMATIC	SUP-GR3506	CDM			270	RC		outpatient			58	58	15.71				percent of total billed charges		58				other	OPPS APC	42.92				percent of total billed charges		58				other	OPPS APC	58				other	OPPS APC	15.71				percent of total billed charges		16.03				percent of total billed charges		58				other	OPPS APC	15.71	58	
GUIDEWIRE VASCULAR GLIDEWIRE ANGLE STANDARD 150CM 3CM .035IN HYDROPHILIC JACKET CORE TO TIP ATRAUMATIC	SUP-GR3506	CDM			270	RC		inpatient			58	58																																																			
GLIDEWIRE.038 X 150CM	SUP-GR3806	CDM			270	RC		outpatient			58	58	15.71				percent of total billed charges		58				other	OPPS APC	42.92				percent of total billed charges		58				other	OPPS APC	58				other	OPPS APC	15.71				percent of total billed charges		16.03				percent of total billed charges		58				other	OPPS APC	15.71	58	
GLIDEWIRE.038 X 150CM	SUP-GR3806	CDM			270	RC		inpatient			58	58																																																			
WIRE GUIDE .032	SUP-70-00029	CDM			272	RC		outpatient			57.93	57.93	15.69				percent of total billed charges		57.93				other	OPPS APC	42.87				percent of total billed charges		57.93				other	OPPS APC	57.93				other	OPPS APC	15.69				percent of total billed charges		16.01				percent of total billed charges		57.93				other	OPPS APC	15.69	57.93	
WIRE GUIDE .032	SUP-70-00029	CDM			272	RC		inpatient			57.93	57.93																																																			
LACTULOSE 10 GRAM/15 ML SOLUTION	637000000	CDM	0527-5125-70	NDC	A9270	HCPCS		inpatient			57.88	57.88																																																			
LACTULOSE 10 GRAM/15 ML SOLUTION	637000000	CDM	0527-5125-70	NDC	A9270	HCPCS		outpatient			57.88	57.88																																															other	OPPS APC			
RESUSCITATION BAG  PEDIATRIC	SUP-30-00098	CDM			272	RC		outpatient			57.87	57.87	15.68				percent of total billed charges		57.87				other	OPPS APC	42.82				percent of total billed charges		57.87				other	OPPS APC	57.87				other	OPPS APC	15.68				percent of total billed charges		15.99				percent of total billed charges		57.87				other	OPPS APC	15.68	57.87	
RESUSCITATION BAG  PEDIATRIC	SUP-30-00098	CDM			272	RC		inpatient			57.87	57.87																																																			
SUTURE VICRYL 8-0 J974G	SUP-73-00051	CDM			272	RC		outpatient			57.75	57.75	15.64				percent of total billed charges		57.75				other	OPPS APC	42.74				percent of total billed charges		57.75				other	OPPS APC	57.75				other	OPPS APC	15.64				percent of total billed charges		15.96				percent of total billed charges		57.75				other	OPPS APC	15.64	57.75	
SUTURE VICRYL 8-0 J974G	SUP-73-00051	CDM			272	RC		inpatient			57.75	57.75																																																			
LEUCOVORIN CALCIUM PER 50 MG	636000000	CDM	71288-162-30	NDC	J0640	HCPCS		inpatient			57.6	57.6																																																			
LEUCOVORIN CALCIUM PER 50 MG	636000000	CDM	71288-162-30	NDC	J0640	HCPCS		outpatient			57.6	57.6																																															other	OPPS APC			
CO2 DETECTORS	SUP-30-00010	CDM			272	RC		outpatient			57.57	57.57	15.6				percent of total billed charges		57.57				other	OPPS APC	42.6				percent of total billed charges		57.57				other	OPPS APC	57.57				other	OPPS APC	15.6				percent of total billed charges		15.91				percent of total billed charges		57.57				other	OPPS APC	15.6	57.57	
CO2 DETECTORS	SUP-30-00010	CDM			272	RC		inpatient			57.57	57.57																																																			
PACK CARDIAC CATHETER	SUP-DYNJ59266A	CDM			481	RC		outpatient			57.51	57.6	28.18				percent of total billed charges		57.51				other	OPPS APC	42.56				percent of total billed charges		57.51				other	OPPS APC	57.51				other	OPPS APC	28.18				percent of total billed charges		29.33				percent of total billed charges		57.6				other	OPPS APC	28.18	57.6	
PACK CARDIAC CATHETER	SUP-DYNJ59266A	CDM			481	RC		inpatient			57.51	57.51																																																			
SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY	637000000	CDM	50742-505-24	NDC	A9270	HCPCS		inpatient			57.44	57.44																																																			
SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY	637000000	CDM	50742-505-24	NDC	A9270	HCPCS		outpatient			57.44	57.44																																															other	OPPS APC			
HC Pancreatic Elastase  Feces	PX-302826530	CDM	82653	CPT	300	RC		outpatient			57.43	22.97	14.35				fee schedule		22.97				fee schedule		53.52				fee schedule		22.97				fee schedule		22.97				fee schedule		22.97				fee schedule		22.97				fee schedule		22.97				fee schedule		14.35	53.52	
HC Pancreatic Elastase  Feces	PX-302826530	CDM	82653	CPT	300	RC		inpatient			57.43	57.43																																																			
SITAGLIPTIN PHOSPHATE 25 MG TABLET	637000000	CDM	0006-0221-01	NDC	A9270	HCPCS		inpatient			57.3	57.3																																																			
SITAGLIPTIN PHOSPHATE 25 MG TABLET	637000000	CDM	0006-0221-01	NDC	A9270	HCPCS		outpatient			57.3	57.3																																															other	OPPS APC			
"WATER FOR INJECTION, STERILE SOLUTION 50 ML VIAL"	636000000	CDM	0409-4887-24	NDC	A4216	HCPCS		inpatient			57.25	57.25																																																			
"WATER FOR INJECTION, STERILE SOLUTION 50 ML VIAL"	636000000	CDM	0409-4887-24	NDC	A4216	HCPCS		outpatient			57.25	57.25																																															other	OPPS APC			
GUIDEWIRE ORTHOPEDIC STAINLESS STEEL L150 MM OD1.1 MM NONTHREADED NONSTERILE CANNULATED SCREW SET	SUP-292.623	CDM	270010022	LOCAL	270	RC		outpatient			57.2	57.23	15.5				percent of total billed charges		57.2				other	OPPS APC	42.33				percent of total billed charges		57.2				other	OPPS APC	57.2				other	OPPS APC	15.5				percent of total billed charges		15.8				percent of total billed charges		57.23				other	OPPS APC	15.5	57.23	
GUIDEWIRE ORTHOPEDIC STAINLESS STEEL L150 MM OD1.1 MM NONTHREADED NONSTERILE CANNULATED SCREW SET	SUP-292.623	CDM	270010022	LOCAL	270	RC		inpatient			57.2	57.2																																																			
GUIDEWIRE ORTHOPEDIC L150 MM OD1.6 MM NONTHREAD SPADE POINT NONSTERILE 4.5 MM CANNULATED SCREW	SUP-292.727	CDM	270010022	LOCAL	270	RC		outpatient			57.2	57.23	15.5				percent of total billed charges		57.2				other	OPPS APC	42.33				percent of total billed charges		57.2				other	OPPS APC	57.2				other	OPPS APC	15.5				percent of total billed charges		15.8				percent of total billed charges		57.23				other	OPPS APC	15.5	57.23	
GUIDEWIRE ORTHOPEDIC L150 MM OD1.6 MM NONTHREAD SPADE POINT NONSTERILE 4.5 MM CANNULATED SCREW	SUP-292.727	CDM	270010022	LOCAL	270	RC		inpatient			57.2	57.2																																																			
HC Fecal Occult Blood Immuno	PX-300822740	CDM	82274	CPT	300	RC		outpatient			57	15.92	21.27				fee schedule		15.92				fee schedule		42.22				fee schedule		15.92				fee schedule		15.92				fee schedule		15.92				fee schedule		15.92				fee schedule		15.92				fee schedule		15.92	42.22	
HC Fecal Occult Blood Immuno	PX-300822740	CDM	82274	CPT	300	RC		inpatient			57	57																																																			
HC Giardia	PX-300872690	CDM	87269	CPT	300	RC		outpatient			57	13.7	14.72				fee schedule		13.61				fee schedule		29.24				fee schedule		13.61				fee schedule		13.61				fee schedule		13.61				fee schedule		13.61				fee schedule		13.7				fee schedule		13.61	29.24	
HC Giardia	PX-300872690	CDM	87269	CPT	300	RC		inpatient			57	57																																																			
HC Rpr Titer	PX-302865931	CDM	86593	CPT	302	RC		outpatient			57	4.44	5.84				fee schedule		4.4				fee schedule		11.7				fee schedule		4.4				fee schedule		4.4				fee schedule		4.4				fee schedule		4.4				fee schedule		4.44				fee schedule		4.4	11.7	
HC Rpr Titer	PX-302865931	CDM	86593	CPT	302	RC		inpatient			57	57																																																			
HC Cc Activated Clotting Time	PX-305853471	CDM	85347	CPT	305	RC		outpatient			57	4.28	5.69				fee schedule		4.28				fee schedule		11.31				fee schedule		4.28				fee schedule		4.28				fee schedule		4.28				fee schedule		4.28				fee schedule		4.28				fee schedule		4.28	11.31	
HC Cc Activated Clotting Time	PX-305853471	CDM	85347	CPT	305	RC		inpatient			57	57																																																			
RIVAROXABAN 10 MG TABLET	637000000	CDM	50458-580-01	NDC	A9270	HCPCS		inpatient			56.96	56.96																																																			
RIVAROXABAN 10 MG TABLET	637000000	CDM	50458-580-01	NDC	A9270	HCPCS		outpatient			56.96	56.96																																															other	OPPS APC			
RIVAROXABAN 15 MG TABLET	637000000	CDM	50458-578-01	NDC	A9270	HCPCS		inpatient			56.96	56.96																																																			
RIVAROXABAN 15 MG TABLET	637000000	CDM	50458-578-01	NDC	A9270	HCPCS		outpatient			56.96	56.96																																															other	OPPS APC			
RIVAROXABAN 20 MG TABLET	637000000	CDM	50458-579-10	NDC	A9270	HCPCS		inpatient			56.96	56.96																																																			
RIVAROXABAN 20 MG TABLET	637000000	CDM	50458-579-10	NDC	A9270	HCPCS		outpatient			56.96	56.96																																															other	OPPS APC			
SCREW BONE L60 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.660	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L60 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.660	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L65 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.665	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L65 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.665	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L75 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.675	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L75 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.675	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L80 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.680	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L80 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.680	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L105 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.705	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L105 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.705	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L110 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.710	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L110 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.710	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL SMALL HEXAGON LOW PROFILE L115 MM OD3.5 MM ODSEC6 MM PELVIS CORTICAL SELF TAP SOCKET NONSTERILE	SUP-204.715	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE LC-DCP DCP STAINLESS STEEL SMALL HEXAGON LOW PROFILE L115 MM OD3.5 MM ODSEC6 MM PELVIS CORTICAL SELF TAP SOCKET NONSTERILE	SUP-204.715	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L120 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.720	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L120 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.720	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
SCREW BONE L125 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.725	CDM	270010022	LOCAL	270	RC		outpatient			56.94	56.94	15.43				percent of total billed charges		56.94				other	OPPS APC	42.14				percent of total billed charges		56.94				other	OPPS APC	56.94				other	OPPS APC	15.43				percent of total billed charges		15.73				percent of total billed charges		56.94				other	OPPS APC	15.43	56.94	
SCREW BONE L125 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.725	CDM	270010022	LOCAL	270	RC		inpatient			56.94	56.94																																																			
NOREPINEPHRINE BITARTRATE 1 MG/ML SOLUTION 4 ML VIAL	250000000	CDM	0781-3755-75	NDC				inpatient			56.9	56.9																																																			
NOREPINEPHRINE BITARTRATE 1 MG/ML SOLUTION 4 ML VIAL	250000000	CDM	0781-3755-75	NDC				outpatient			56.9	56.9																																															other	OPPS APC			
CATHETER - TEMPO 4F UF 90CM 5SH	SUP-99-04883	CDM			272	RC		outpatient			56.72	56.72	15.37				percent of total billed charges		56.72				other	OPPS APC	41.97				percent of total billed charges		56.72				other	OPPS APC	56.72				other	OPPS APC	15.37				percent of total billed charges		15.67				percent of total billed charges		56.72				other	OPPS APC	15.37	56.72	
CATHETER - TEMPO 4F UF 90CM 5SH	SUP-99-04883	CDM			272	RC		inpatient			56.72	56.72																																																			
CATHETER - 5F STR 110CM TEMPO	SUP-99-04860	CDM			272	RC		outpatient			56.7	56.73	15.36				percent of total billed charges		56.7				other	OPPS APC	41.96				percent of total billed charges		56.7				other	OPPS APC	56.7				other	OPPS APC	15.36				percent of total billed charges		15.67				percent of total billed charges		56.73				other	OPPS APC	15.36	56.73	
CATHETER - 5F STR 110CM TEMPO	SUP-99-04860	CDM			272	RC		inpatient			56.7	56.7																																																			
SUTURE NONABSORBABLE GORE-TEX CV-5 TTC-13 L36 IN 2 ARM MONOFILAMENT WHITE	SUP-5N02A	CDM			270	RC		outpatient			56.67	56.67	15.35				percent of total billed charges		56.67				other	OPPS APC	41.94				percent of total billed charges		56.67				other	OPPS APC	56.67				other	OPPS APC	15.35				percent of total billed charges		15.66				percent of total billed charges		56.67				other	OPPS APC	15.35	56.67	
SUTURE NONABSORBABLE GORE-TEX CV-5 TTC-13 L36 IN 2 ARM MONOFILAMENT WHITE	SUP-5N02A	CDM			270	RC		inpatient			56.67	56.67																																																			
HYDROCORTISONE 25 MG SUPPOSITORY	637000000	CDM	0713-0503-06	NDC	A9270	HCPCS		inpatient			56.62	56.62																																																			
HYDROCORTISONE 25 MG SUPPOSITORY	637000000	CDM	0713-0503-06	NDC	A9270	HCPCS		outpatient			56.62	56.62																																															other	OPPS APC			
SUTURE	SUP-7M02A	CDM			270	RC		outpatient			56.5	56.5	15.31				percent of total billed charges		56.5				other	OPPS APC	41.81				percent of total billed charges		56.5				other	OPPS APC	56.5				other	OPPS APC	15.31				percent of total billed charges		15.61				percent of total billed charges		56.5				other	OPPS APC	15.31	56.5	
SUTURE	SUP-7M02A	CDM			270	RC		inpatient			56.5	56.5																																																			
BLADE MCGRATH MAC SIZE 3	SUP-40-00076	CDM			272	RC		outpatient			56.43	56.43	15.29				percent of total billed charges		56.43				other	OPPS APC	41.76				percent of total billed charges		56.43				other	OPPS APC	56.43				other	OPPS APC	15.29				percent of total billed charges		15.59				percent of total billed charges		56.43				other	OPPS APC	15.29	56.43	
BLADE MCGRATH MAC SIZE 3	SUP-40-00076	CDM			272	RC		inpatient			56.43	56.43																																																			
BLADE MCGRATH MAC SIZE 4	SUP-40-00077	CDM			272	RC		outpatient			56.42	56.42	15.28				percent of total billed charges		56.42				other	OPPS APC	41.75				percent of total billed charges		56.42				other	OPPS APC	56.42				other	OPPS APC	15.28				percent of total billed charges		15.59				percent of total billed charges		56.42				other	OPPS APC	15.28	56.42	
BLADE MCGRATH MAC SIZE 4	SUP-40-00077	CDM			272	RC		inpatient			56.42	56.42																																																			
SCREW BONE LEVEL ONE TITANIUM MICRO L3.5 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF RETAIN LOW PROFILE DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-975-03-91	CDM			270	RC		outpatient			56.3	56.3	15.25				percent of total billed charges		56.3				other	OPPS APC	41.66				percent of total billed charges		56.3				other	OPPS APC	56.3				other	OPPS APC	15.25				percent of total billed charges		15.56				percent of total billed charges		56.3				other	OPPS APC	15.25	56.3	
SCREW BONE LEVEL ONE TITANIUM MICRO L3.5 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF RETAIN LOW PROFILE DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-975-03-91	CDM			270	RC		inpatient			56.3	56.3																																																			
SCREW BONE LEVEL ONE TI-6AL-4V MICRO L4 MM OD1.5 MM NEURO DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-975-04-91	CDM			270	RC		outpatient			56.3	56.3	15.25				percent of total billed charges		56.3				other	OPPS APC	41.66				percent of total billed charges		56.3				other	OPPS APC	56.3				other	OPPS APC	15.25				percent of total billed charges		15.56				percent of total billed charges		56.3				other	OPPS APC	15.25	56.3	
SCREW BONE LEVEL ONE TI-6AL-4V MICRO L4 MM OD1.5 MM NEURO DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-975-04-91	CDM			270	RC		inpatient			56.3	56.3																																																			
SCREW BONE LEVEL ONE MAXDRIVE TI-6AL-4V MICRO L5 MM OD1.5 MM NEURO DRILL FREE NONSTERILE	SUP-25-975-05-91	CDM			270	RC		outpatient			56.3	56.3	15.25				percent of total billed charges		56.3				other	OPPS APC	41.66				percent of total billed charges		56.3				other	OPPS APC	56.3				other	OPPS APC	15.25				percent of total billed charges		15.56				percent of total billed charges		56.3				other	OPPS APC	15.25	56.3	
SCREW BONE LEVEL ONE MAXDRIVE TI-6AL-4V MICRO L5 MM OD1.5 MM NEURO DRILL FREE NONSTERILE	SUP-25-975-05-91	CDM			270	RC		inpatient			56.3	56.3																																																			
SCREW BONE LEVEL ONE TI-6AL-4V MICRO L4 MM OD1.8 MM CRANIOMAXILLOFACIAL SELF RETAIN EMERGENCY DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-976-04-91	CDM			270	RC		outpatient			56.3	56.3	15.25				percent of total billed charges		56.3				other	OPPS APC	41.66				percent of total billed charges		56.3				other	OPPS APC	56.3				other	OPPS APC	15.25				percent of total billed charges		15.56				percent of total billed charges		56.3				other	OPPS APC	15.25	56.3	
SCREW BONE LEVEL ONE TI-6AL-4V MICRO L4 MM OD1.8 MM CRANIOMAXILLOFACIAL SELF RETAIN EMERGENCY DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-976-04-91	CDM			270	RC		inpatient			56.3	56.3																																																			
SCREW BONE LEVEL ONE TI-6AL-4V L5 MM OD1.8 MM NEURO EMERGENCY DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-976-05-91	CDM			270	RC		outpatient			56.3	56.3	15.25				percent of total billed charges		56.3				other	OPPS APC	41.66				percent of total billed charges		56.3				other	OPPS APC	56.3				other	OPPS APC	15.25				percent of total billed charges		15.56				percent of total billed charges		56.3				other	OPPS APC	15.25	56.3	
SCREW BONE LEVEL ONE TI-6AL-4V L5 MM OD1.8 MM NEURO EMERGENCY DRILL FREE MAXDRIVE NONSTERILE LATEX FREE	SUP-25-976-05-91	CDM			270	RC		inpatient			56.3	56.3																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 105MM	SUP-02.200.105	CDM	270010025	LOCAL	270	RC		outpatient			56.26	56.26	15.24				percent of total billed charges		56.26				other	OPPS APC	41.63				percent of total billed charges		56.26				other	OPPS APC	56.26				other	OPPS APC	15.24				percent of total billed charges		15.54				percent of total billed charges		56.26				other	OPPS APC	15.24	56.26	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 105MM	SUP-02.200.105	CDM	270010025	LOCAL	270	RC		inpatient			56.26	56.26																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 110MM	SUP-02.200.110	CDM	270010025	LOCAL	270	RC		outpatient			56.26	56.26	15.24				percent of total billed charges		56.26				other	OPPS APC	41.63				percent of total billed charges		56.26				other	OPPS APC	56.26				other	OPPS APC	15.24				percent of total billed charges		15.54				percent of total billed charges		56.26				other	OPPS APC	15.24	56.26	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 110MM	SUP-02.200.110	CDM	270010025	LOCAL	270	RC		inpatient			56.26	56.26																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 115MM	SUP-02.200.115	CDM	270010025	LOCAL	270	RC		outpatient			56.26	56.26	15.24				percent of total billed charges		56.26				other	OPPS APC	41.63				percent of total billed charges		56.26				other	OPPS APC	56.26				other	OPPS APC	15.24				percent of total billed charges		15.54				percent of total billed charges		56.26				other	OPPS APC	15.24	56.26	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 115MM	SUP-02.200.115	CDM	270010025	LOCAL	270	RC		inpatient			56.26	56.26																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 120MM	SUP-02.200.120	CDM	270010025	LOCAL	270	RC		outpatient			56.26	56.26	15.24				percent of total billed charges		56.26				other	OPPS APC	41.63				percent of total billed charges		56.26				other	OPPS APC	56.26				other	OPPS APC	15.24				percent of total billed charges		15.54				percent of total billed charges		56.26				other	OPPS APC	15.24	56.26	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 120MM	SUP-02.200.120	CDM	270010025	LOCAL	270	RC		inpatient			56.26	56.26																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 125MM	SUP-02.200.125	CDM	270010025	LOCAL	270	RC		outpatient			56.26	56.26	15.24				percent of total billed charges		56.26				other	OPPS APC	41.63				percent of total billed charges		56.26				other	OPPS APC	56.26				other	OPPS APC	15.24				percent of total billed charges		15.54				percent of total billed charges		56.26				other	OPPS APC	15.24	56.26	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 125MM	SUP-02.200.125	CDM	270010025	LOCAL	270	RC		inpatient			56.26	56.26																																																			
SCREW DISTRACTION 14MM SS DISPOSABLE STERILE LF SPINE CERVICAL ANTERIOR SHARP TIP SELF TAP THREAD PIN UNIVERSAL BULLET	SUP-MDS9091414	CDM			270	RC		outpatient			56.24	56.24	15.24				percent of total billed charges		56.24				other	OPPS APC	41.62				percent of total billed charges		56.24				other	OPPS APC	56.24				other	OPPS APC	15.24				percent of total billed charges		15.54				percent of total billed charges		56.24				other	OPPS APC	15.24	56.24	
SCREW DISTRACTION 14MM SS DISPOSABLE STERILE LF SPINE CERVICAL ANTERIOR SHARP TIP SELF TAP THREAD PIN UNIVERSAL BULLET	SUP-MDS9091414	CDM			270	RC		inpatient			56.24	56.24																																																			
TUBE TRACHEOSTOMY PORTEX BLUSLECT ID 6.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/060	CDM			270	RC		outpatient			56.22	56.22	15.23				percent of total billed charges		56.22				other	OPPS APC	41.6				percent of total billed charges		56.22				other	OPPS APC	56.22				other	OPPS APC	15.23				percent of total billed charges		15.53				percent of total billed charges		56.22				other	OPPS APC	15.23	56.22	
TUBE TRACHEOSTOMY PORTEX BLUSLECT ID 6.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/060	CDM			270	RC		inpatient			56.22	56.22																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 7.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/070	CDM			270	RC		outpatient			56.22	56.22	15.23				percent of total billed charges		56.22				other	OPPS APC	41.6				percent of total billed charges		56.22				other	OPPS APC	56.22				other	OPPS APC	15.23				percent of total billed charges		15.53				percent of total billed charges		56.22				other	OPPS APC	15.23	56.22	
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 7.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/070	CDM			270	RC		inpatient			56.22	56.22																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 8.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/080	CDM			270	RC		outpatient			56.22	56.22	15.23				percent of total billed charges		56.22				other	OPPS APC	41.6				percent of total billed charges		56.22				other	OPPS APC	56.22				other	OPPS APC	15.23				percent of total billed charges		15.53				percent of total billed charges		56.22				other	OPPS APC	15.23	56.22	
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 8.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/080	CDM			270	RC		inpatient			56.22	56.22																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 9.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/090	CDM			270	RC		outpatient			56.22	56.22	15.23				percent of total billed charges		56.22				other	OPPS APC	41.6				percent of total billed charges		56.22				other	OPPS APC	56.22				other	OPPS APC	15.23				percent of total billed charges		15.53				percent of total billed charges		56.22				other	OPPS APC	15.23	56.22	
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 9.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/090	CDM			270	RC		inpatient			56.22	56.22																																																			
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 10.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/100	CDM			270	RC		outpatient			56.22	56.22	15.23				percent of total billed charges		56.22				other	OPPS APC	41.6				percent of total billed charges		56.22				other	OPPS APC	56.22				other	OPPS APC	15.23				percent of total billed charges		15.53				percent of total billed charges		56.22				other	OPPS APC	15.23	56.22	
TUBE TRACHEOSTOMY PORTEX BLUSELECT ID 10.0 MM UNCUFF STERILE LATEX FREE DISPOSABLE	SUP-101/816/100	CDM			270	RC		inpatient			56.22	56.22																																																			
HC MC Crutch Push Button Adjustable Aluminum Youth 54 to 62in	PX-270800030	CDM			270	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
HC MC Crutch Push Button Adjustable Aluminum Youth 54 to 62in	PX-270800030	CDM			270	RC		inpatient			56	56																																																			
HC Mycoplasma Serology (Myse)	PX-300867380	CDM	86738	CPT	302	RC		outpatient			56	13.24	17.71				fee schedule		13.24				fee schedule		35.17				fee schedule		13.24				fee schedule		13.24				fee schedule		13.24				fee schedule		13.24				fee schedule		13.24				fee schedule		13.24	35.17	
HC Mycoplasma Serology (Myse)	PX-300867380	CDM	86738	CPT	302	RC		inpatient			56	56																																																			
HC Hep B. Surface Ag Neutralization	PX-300873410	CDM	87341	CPT	300	RC		outpatient			56	1.33	13.57				fee schedule		10.33				fee schedule		27.42				fee schedule		10.33				fee schedule		10.33				fee schedule		10.33				fee schedule		10.33				fee schedule		1.33				fee schedule		1.33	27.42	
HC Hep B. Surface Ag Neutralization	PX-300873410	CDM	87341	CPT	300	RC		inpatient			56	56																																																			
HC Wbc Antibody Identification	PX-302860211	CDM	86021	CPT	302	RC		outpatient			56	15.51	17.78				fee schedule		15.05				fee schedule		27.66				fee schedule		15.05				fee schedule		15.05				fee schedule		15.05				fee schedule		15.05				fee schedule		15.51				fee schedule		15.05	27.66	
HC Wbc Antibody Identification	PX-302860211	CDM	86021	CPT	302	RC		inpatient			56	56																																																			
KIT INFUSION PUMP SYNCHROMED .22 UM OD22 GA REFILL NEEDLE FENESTRATED DRAPE FILTER STERILE	SUP-8551	CDM			270	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
KIT INFUSION PUMP SYNCHROMED .22 UM OD22 GA REFILL NEEDLE FENESTRATED DRAPE FILTER STERILE	SUP-8551	CDM			270	RC		inpatient			56	56																																																			
GUIDEWIRE - BENTSON .035 145CM STRAIGHT	SUP-95-01773	CDM			272	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
GUIDEWIRE - BENTSON .035 145CM STRAIGHT	SUP-95-01773	CDM			272	RC		inpatient			56	56																																																			
SHEATH - CHECK-FLO ADAPTER	SUP-99-03352	CDM			272	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
SHEATH - CHECK-FLO ADAPTER	SUP-99-03352	CDM			272	RC		inpatient			56	56																																																			
SYSTEM BONE CEMENT FUNNEL	SUP-ABS-1003	CDM			270	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
SYSTEM BONE CEMENT FUNNEL	SUP-ABS-1003	CDM			270	RC		inpatient			56	56																																																			
RETRACTOR SURGICAL ALEXIS 360D SM ATRAUMATIC SELF RETAIN FLEXIBLE RING WOUND PROTECTOR 2.5-6CM INCISION	SUP-C8301	CDM			270	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
RETRACTOR SURGICAL ALEXIS 360D SM ATRAUMATIC SELF RETAIN FLEXIBLE RING WOUND PROTECTOR 2.5-6CM INCISION	SUP-C8301	CDM			270	RC		inpatient			56	56																																																			
RETRACTOR SURGICAL ALEXIS 360 D MEDIUM FLEXIBLE RING ATRAUMATIC SELF RETAINING WOUND PROTECTOR 5-9 CM INCISION	SUP-C8302	CDM			270	RC		outpatient			56	56	15.17				percent of total billed charges		56				other	OPPS APC	41.44				percent of total billed charges		56				other	OPPS APC	56				other	OPPS APC	15.17				percent of total billed charges		15.47				percent of total billed charges		56				other	OPPS APC	15.17	56	
RETRACTOR SURGICAL ALEXIS 360 D MEDIUM FLEXIBLE RING ATRAUMATIC SELF RETAINING WOUND PROTECTOR 5-9 CM INCISION	SUP-C8302	CDM			270	RC		inpatient			56	56																																																			
OLANZAPINE 2.5 MG TABLET	637000000	CDM	60505-3110-0	NDC	A9270	HCPCS		inpatient			55.99	55.99																																																			
OLANZAPINE 2.5 MG TABLET	637000000	CDM	60505-3110-0	NDC	A9270	HCPCS		outpatient			55.99	55.99																																															other	OPPS APC			
SET INTRODUCER MICROPUNCTURE SILHOUETTE STAINLESS STEEL L40 CM L10 CM OD5 FR OD.018 IN WIRE GUIDE PLATINUM TIP TRANSITIONLESS COAXIAL CATHETER DILATOR STERILE DISPOSABLE	SUP-G43872	CDM			270	RC		outpatient			55.88	55.88	15.14				percent of total billed charges		55.88				other	OPPS APC	41.35				percent of total billed charges		55.88				other	OPPS APC	55.88				other	OPPS APC	15.14				percent of total billed charges		15.44				percent of total billed charges		55.88				other	OPPS APC	15.14	55.88	
SET INTRODUCER MICROPUNCTURE SILHOUETTE STAINLESS STEEL L40 CM L10 CM OD5 FR OD.018 IN WIRE GUIDE PLATINUM TIP TRANSITIONLESS COAXIAL CATHETER DILATOR STERILE DISPOSABLE	SUP-G43872	CDM			270	RC		inpatient			55.88	55.88																																																			
SET ACCESS MICROPUNCTURE STAINLESS STEEL PLATINUM .018 IN L40 CM L10 CM L7 CM OD4 FR ODSEC21 GA GUIDEWIRE PART NEEDLE TRANSITIONLESS TIP COAXIAL CATHETER STERILE DISPOSABLE	SUP-G47950	CDM			270	RC		outpatient			55.88	55.88	15.14				percent of total billed charges		55.88				other	OPPS APC	41.35				percent of total billed charges		55.88				other	OPPS APC	55.88				other	OPPS APC	15.14				percent of total billed charges		15.44				percent of total billed charges		55.88				other	OPPS APC	15.14	55.88	
SET ACCESS MICROPUNCTURE STAINLESS STEEL PLATINUM .018 IN L40 CM L10 CM L7 CM OD4 FR ODSEC21 GA GUIDEWIRE PART NEEDLE TRANSITIONLESS TIP COAXIAL CATHETER STERILE DISPOSABLE	SUP-G47950	CDM			270	RC		inpatient			55.88	55.88																																																			
SYSTEM IMAGING NAVIGATION BATTERY	SUP-6000006000	CDM			270	RC		outpatient			55.84	55.84	15.13				percent of total billed charges		55.84				other	OPPS APC	41.32				percent of total billed charges		55.84				other	OPPS APC	55.84				other	OPPS APC	15.13				percent of total billed charges		15.43				percent of total billed charges		55.84				other	OPPS APC	15.13	55.84	
SYSTEM IMAGING NAVIGATION BATTERY	SUP-6000006000	CDM			270	RC		inpatient			55.84	55.84																																																			
ONDANSETRON PER 8 MG	637000000	CDM	57237-077-10	NDC	A9270	HCPCS		inpatient			55.71	55.71																																																			
ONDANSETRON PER 8 MG	637000000	CDM	57237-077-10	NDC	A9270	HCPCS		outpatient			55.71	55.71																																															other	OPPS APC			
BINDER BREAST LINED 2XL	SUP-2XL-L-BBIND	CDM			270	RC		outpatient			55.7	55.73	15.09				percent of total billed charges		55.7				other	OPPS APC	41.22				percent of total billed charges		55.7				other	OPPS APC	55.7				other	OPPS APC	15.09				percent of total billed charges		15.39				percent of total billed charges		55.73				other	OPPS APC	15.09	55.73	
BINDER BREAST LINED 2XL	SUP-2XL-L-BBIND	CDM			270	RC		inpatient			55.7	55.7																																																			
K-WIRE SMOOTH 1.4MM X 100MM	SUP-97-02450	CDM			278	RC		outpatient			55.68	55.68	55.68				fee schedule		55.68				other	OPPS APC	31.74				percent of total billed charges		55.68				other	OPPS APC	55.68				other	OPPS APC	27.28				percent of total billed charges		28.4				percent of total billed charges		55.68				other	OPPS APC	27.28	55.68	
K-WIRE SMOOTH 1.4MM X 100MM	SUP-97-02450	CDM			278	RC		inpatient			55.68	55.68																																																			
UNIVERSAL FACIAL BAND	SUP-72-00050	CDM			272	RC		outpatient			55.64	55.64	15.07				percent of total billed charges		55.64				other	OPPS APC	41.17				percent of total billed charges		55.64				other	OPPS APC	55.64				other	OPPS APC	15.07				percent of total billed charges		15.37				percent of total billed charges		55.64				other	OPPS APC	15.07	55.64	
UNIVERSAL FACIAL BAND	SUP-72-00050	CDM			272	RC		inpatient			55.64	55.64																																																			
CONTRAST - OMNIPAQUE 350 NOVAPLUS 10 X 100CC Y542	SUP-99-03401	CDM			255	RC		outpatient			55.64	55.64	13.56				percent of total billed charges		55.64				other	OPPS APC	0.13				fee schedule		55.64				other	OPPS APC	55.64				other	OPPS APC	13.56				percent of total billed charges		13.83				percent of total billed charges		55.64				other	OPPS APC	0.13	55.64	
CONTRAST - OMNIPAQUE 350 NOVAPLUS 10 X 100CC Y542	SUP-99-03401	CDM			255	RC		inpatient			55.64	55.64																																																			
TUBE ENDO UNCUFFED 5.5MM MURPHY	SUP-95-01821	CDM			272	RC		outpatient			55.52	55.52	15.04				percent of total billed charges		55.52				other	OPPS APC	41.08				percent of total billed charges		55.52				other	OPPS APC	55.52				other	OPPS APC	15.04				percent of total billed charges		15.34				percent of total billed charges		55.52				other	OPPS APC	15.04	55.52	
TUBE ENDO UNCUFFED 5.5MM MURPHY	SUP-95-01821	CDM			272	RC		inpatient			55.52	55.52																																																			
PACK SURGICAL CUSTOM PACEMAKER DYNJ59287	SUP-DYNJ59287	CDM			270	RC		outpatient			55.48	55.48	15.03				percent of total billed charges		55.48				other	OPPS APC	41.06				percent of total billed charges		55.48				other	OPPS APC	55.48				other	OPPS APC	15.03				percent of total billed charges		15.33				percent of total billed charges		55.48				other	OPPS APC	15.03	55.48	
PACK SURGICAL CUSTOM PACEMAKER DYNJ59287	SUP-DYNJ59287	CDM			270	RC		inpatient			55.48	55.48																																																			
PLAIN STEINMAN PIN 3/16	SUP-95-03380	CDM			278	RC		outpatient			55.44	55.44	55.44				fee schedule		55.44				other	OPPS APC	31.6				percent of total billed charges		55.44				other	OPPS APC	55.44				other	OPPS APC	27.17				percent of total billed charges		28.27				percent of total billed charges		55.44				other	OPPS APC	27.17	55.44	
PLAIN STEINMAN PIN 3/16	SUP-95-03380	CDM			278	RC		inpatient			55.44	55.44																																																			
4F MICROPUNTURE SHEATH 7CM	SUP-G47945	CDM			270	RC		outpatient			55.38	55.38	15				percent of total billed charges		55.38				other	OPPS APC	40.98				percent of total billed charges		55.38				other	OPPS APC	55.38				other	OPPS APC	15				percent of total billed charges		15.3				percent of total billed charges		55.38				other	OPPS APC	15	55.38	
4F MICROPUNTURE SHEATH 7CM	SUP-G47945	CDM			270	RC		inpatient			55.38	55.38																																																			
BLADE SAW STAINLESS STEEL THK.8 MM MEDIUM NARROW L73.8 MM X W18.6 MM SAGITTAL STERILE LATEX FREE DISPOSABLE	SUP-2108-115-000	CDM			270	RC		outpatient			55.36	55.36	15				percent of total billed charges		55.36				other	OPPS APC	40.97				percent of total billed charges		55.36				other	OPPS APC	55.36				other	OPPS APC	15				percent of total billed charges		15.3				percent of total billed charges		55.36				other	OPPS APC	15	55.36	
BLADE SAW STAINLESS STEEL THK.8 MM MEDIUM NARROW L73.8 MM X W18.6 MM SAGITTAL STERILE LATEX FREE DISPOSABLE	SUP-2108-115-000	CDM			270	RC		inpatient			55.36	55.36																																																			
BLADE SAW SHORT THIN XWIDE SAGITTAL	SUP-2108-140-000	CDM			270	RC		outpatient			55.36	55.36	15				percent of total billed charges		55.36				other	OPPS APC	40.97				percent of total billed charges		55.36				other	OPPS APC	55.36				other	OPPS APC	15				percent of total billed charges		15.3				percent of total billed charges		55.36				other	OPPS APC	15	55.36	
BLADE SAW SHORT THIN XWIDE SAGITTAL	SUP-2108-140-000	CDM			270	RC		inpatient			55.36	55.36																																																			
BLADE SAW STAINLESS STEEL THK1.19 MM NARROW THICK L81.5 MM X W12.5 MM SAGITTAL STERILE	SUP-2108152000	CDM			270	RC		outpatient			55.36	55.36	15				percent of total billed charges		55.36				other	OPPS APC	40.97				percent of total billed charges		55.36				other	OPPS APC	55.36				other	OPPS APC	15				percent of total billed charges		15.3				percent of total billed charges		55.36				other	OPPS APC	15	55.36	
BLADE SAW STAINLESS STEEL THK1.19 MM NARROW THICK L81.5 MM X W12.5 MM SAGITTAL STERILE	SUP-2108152000	CDM			270	RC		inpatient			55.36	55.36																																																			
KIT SUCTION AXS UNIVERSAL LINER NONSTERILE LATEX FREE DISPOSABLE	SUP-77.0194	CDM			270	RC		outpatient			55.33	55.33	14.99				percent of total billed charges		55.33				other	OPPS APC	40.94				percent of total billed charges		55.33				other	OPPS APC	55.33				other	OPPS APC	14.99				percent of total billed charges		15.29				percent of total billed charges		55.33				other	OPPS APC	14.99	55.33	
KIT SUCTION AXS UNIVERSAL LINER NONSTERILE LATEX FREE DISPOSABLE	SUP-77.0194	CDM			270	RC		inpatient			55.33	55.33																																																			
DEXTROSE 50 % IN WATER (D50W) 50 % SYRINGE	250000000	CDM	76329-3302-1	NDC				inpatient			55.26	55.26																																																			
DEXTROSE 50 % IN WATER (D50W) 50 % SYRINGE	250000000	CDM	76329-3302-1	NDC				outpatient			55.26	55.26																																															other	OPPS APC			
DEXTROSE 50 % IN WATER (D50W) 50 % SYRINGE 50 ML SYRINGE	250000000	CDM	76329-3302-1	NDC				inpatient			55.26	55.26																																																			
DEXTROSE 50 % IN WATER (D50W) 50 % SYRINGE 50 ML SYRINGE	250000000	CDM	76329-3302-1	NDC				outpatient			55.26	55.26																																															other	OPPS APC			
TRACH ENDO TUBE 3.5 CUFFED	SUP-95-01853	CDM			272	RC		outpatient			55.2	55.23	14.95				percent of total billed charges		55.2				other	OPPS APC	40.85				percent of total billed charges		55.2				other	OPPS APC	55.2				other	OPPS APC	14.95				percent of total billed charges		15.25				percent of total billed charges		55.23				other	OPPS APC	14.95	55.23	
TRACH ENDO TUBE 3.5 CUFFED	SUP-95-01853	CDM			272	RC		inpatient			55.2	55.2																																																			
TRACH ENDO TUBE 4.5 CUFFED	SUP-95-01854	CDM			272	RC		outpatient			55.2	55.23	14.95				percent of total billed charges		55.2				other	OPPS APC	40.85				percent of total billed charges		55.2				other	OPPS APC	55.2				other	OPPS APC	14.95				percent of total billed charges		15.25				percent of total billed charges		55.23				other	OPPS APC	14.95	55.23	
TRACH ENDO TUBE 4.5 CUFFED	SUP-95-01854	CDM			272	RC		inpatient			55.2	55.2																																																			
TRACH ENDO TUBE 5.5 CUFFED	SUP-95-01855	CDM			272	RC		outpatient			55.2	55.23	14.95				percent of total billed charges		55.2				other	OPPS APC	40.85				percent of total billed charges		55.2				other	OPPS APC	55.2				other	OPPS APC	14.95				percent of total billed charges		15.25				percent of total billed charges		55.23				other	OPPS APC	14.95	55.23	
TRACH ENDO TUBE 5.5 CUFFED	SUP-95-01855	CDM			272	RC		inpatient			55.2	55.2																																																			
TRACH ENDO TUBE 6.5 CUFFED	SUP-95-02084	CDM			272	RC		outpatient			55.2	55.23	14.95				percent of total billed charges		55.2				other	OPPS APC	40.85				percent of total billed charges		55.2				other	OPPS APC	55.2				other	OPPS APC	14.95				percent of total billed charges		15.25				percent of total billed charges		55.23				other	OPPS APC	14.95	55.23	
TRACH ENDO TUBE 6.5 CUFFED	SUP-95-02084	CDM			272	RC		inpatient			55.2	55.2																																																			
PACK ORTHO SPLIT SHEET	SUP-23-00164	CDM			272	RC		outpatient			55.1	55.11	14.93				percent of total billed charges		55.1				other	OPPS APC	40.77				percent of total billed charges		55.1				other	OPPS APC	55.1				other	OPPS APC	14.93				percent of total billed charges		15.22				percent of total billed charges		55.11				other	OPPS APC	14.93	55.11	
PACK ORTHO SPLIT SHEET	SUP-23-00164	CDM			272	RC		inpatient			55.1	55.1																																																			
COLLAR CERVICAL BACK PAD ADULT SHORT	SUP-983128	CDM			270	RC		outpatient			55.1	55.11	14.93				percent of total billed charges		55.1				other	OPPS APC	40.77				percent of total billed charges		55.1				other	OPPS APC	55.1				other	OPPS APC	14.93				percent of total billed charges		15.22				percent of total billed charges		55.11				other	OPPS APC	14.93	55.11	
COLLAR CERVICAL BACK PAD ADULT SHORT	SUP-983128	CDM			270	RC		inpatient			55.1	55.1																																																			
COLLAR CERVICAL BACK PAD ADULT TALL	SUP-983132	CDM			270	RC		outpatient			55.1	55.11	14.93				percent of total billed charges		55.1				other	OPPS APC	40.77				percent of total billed charges		55.1				other	OPPS APC	55.1				other	OPPS APC	14.93				percent of total billed charges		15.22				percent of total billed charges		55.11				other	OPPS APC	14.93	55.11	
COLLAR CERVICAL BACK PAD ADULT TALL	SUP-983132	CDM			270	RC		inpatient			55.1	55.1																																																			
HC Estrone	PX-300826790	CDM	82679	CPT	300	RC		outpatient			55	24.95	31.38				fee schedule		24.95				fee schedule		66.27				fee schedule		24.95				fee schedule		24.95				fee schedule		24.95				fee schedule		24.95				fee schedule		24.95				fee schedule		24.95	66.27	
HC Estrone	PX-300826790	CDM	82679	CPT	300	RC		inpatient			55	55																																																			
WASHER ORTHOPEDIC 10MM SS NS 4.5MM CANNULATED SCREW	SUP-219.91	CDM	270010022	LOCAL	270	RC		outpatient			55	55	14.9				percent of total billed charges		55				other	OPPS APC	40.7				percent of total billed charges		55				other	OPPS APC	55				other	OPPS APC	14.9				percent of total billed charges		15.2				percent of total billed charges		55				other	OPPS APC	14.9	55	
WASHER ORTHOPEDIC 10MM SS NS 4.5MM CANNULATED SCREW	SUP-219.91	CDM	270010022	LOCAL	270	RC		inpatient			55	55																																																			
DISP KIT RESECTOSCOPE	SUP-A4525LINS	CDM			270	RC		outpatient			55	55	14.9				percent of total billed charges		55				other	OPPS APC	40.7				percent of total billed charges		55				other	OPPS APC	55				other	OPPS APC	14.9				percent of total billed charges		15.2				percent of total billed charges		55				other	OPPS APC	14.9	55	
DISP KIT RESECTOSCOPE	SUP-A4525LINS	CDM			270	RC		inpatient			55	55																																																			
5F MPA INFINITY	SUP-SR4967	CDM			481	RC		outpatient			55	55	26.95				percent of total billed charges		55				other	OPPS APC	40.7				percent of total billed charges		55				other	OPPS APC	55				other	OPPS APC	26.95				percent of total billed charges		28.05				percent of total billed charges		55				other	OPPS APC	26.95	55	
5F MPA INFINITY	SUP-SR4967	CDM			481	RC		inpatient			55	55																																																			
"NYSTATIN 100,000 UNIT/GRAM POWDER 15 G SQUEEZ BTL"	637000000	CDM	68308-152-15	NDC	A9270	HCPCS		inpatient			54.88	54.88																																																			
"NYSTATIN 100,000 UNIT/GRAM POWDER 15 G SQUEEZ BTL"	637000000	CDM	68308-152-15	NDC	A9270	HCPCS		outpatient			54.88	54.88																																															other	OPPS APC			
MESH SURGICAL PROLITE POLYPROPYLENE SQUARE ROUND L6 IN X W6 IN HERNIA FLAT SHEET SMOOTH LASER CUT EDGE STRONG KNITTED	SUP-1000606-00	CDM			270	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
MESH SURGICAL PROLITE POLYPROPYLENE SQUARE ROUND L6 IN X W6 IN HERNIA FLAT SHEET SMOOTH LASER CUT EDGE STRONG KNITTED	SUP-1000606-00	CDM			270	RC		inpatient			54.88	54.88																																																			
AIRWAY 14FR	SUP-95-01813	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
AIRWAY 14FR	SUP-95-01813	CDM			272	RC		inpatient			54.88	54.88																																																			
NASAL TRUMPET 18FR	SUP-95-01814	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
NASAL TRUMPET 18FR	SUP-95-01814	CDM			272	RC		inpatient			54.88	54.88																																																			
AIRWAY 20FR	SUP-95-01815	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
AIRWAY 20FR	SUP-95-01815	CDM			272	RC		inpatient			54.88	54.88																																																			
AIRWAY 22FR	SUP-95-01816	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
AIRWAY 22FR	SUP-95-01816	CDM			272	RC		inpatient			54.88	54.88																																																			
NASAL TRUMPET 26FR	SUP-95-01817	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
NASAL TRUMPET 26FR	SUP-95-01817	CDM			272	RC		inpatient			54.88	54.88																																																			
AIRWAY 30FR	SUP-95-01818	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
AIRWAY 30FR	SUP-95-01818	CDM			272	RC		inpatient			54.88	54.88																																																			
CATHETER SUCTION 12FR	SUP-95-01819	CDM			272	RC		outpatient			54.88	54.88	14.87				percent of total billed charges		54.88				other	OPPS APC	40.61				percent of total billed charges		54.88				other	OPPS APC	54.88				other	OPPS APC	14.87				percent of total billed charges		15.16				percent of total billed charges		54.88				other	OPPS APC	14.87	54.88	
CATHETER SUCTION 12FR	SUP-95-01819	CDM			272	RC		inpatient			54.88	54.88																																																			
COUNCILL CATHETER 16FR	SUP-70-00034	CDM			272	RC		outpatient			54.83	54.83	14.85				percent of total billed charges		54.83				other	OPPS APC	40.57				percent of total billed charges		54.83				other	OPPS APC	54.83				other	OPPS APC	14.85				percent of total billed charges		15.15				percent of total billed charges		54.83				other	OPPS APC	14.85	54.83	
COUNCILL CATHETER 16FR	SUP-70-00034	CDM			272	RC		inpatient			54.83	54.83																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA 9.2MM 6MM STERILE LF 2 INNER CANNULA UNCUFF CLEAN BRUSH HOLDER	SUP-100/816/060	CDM			270	RC		outpatient			54.68	54.68	14.81				percent of total billed charges		54.68				other	OPPS APC	40.46				percent of total billed charges		54.68				other	OPPS APC	54.68				other	OPPS APC	14.81				percent of total billed charges		15.11				percent of total billed charges		54.68				other	OPPS APC	14.81	54.68	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA 9.2MM 6MM STERILE LF 2 INNER CANNULA UNCUFF CLEAN BRUSH HOLDER	SUP-100/816/060	CDM			270	RC		inpatient			54.68	54.68																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA L70 MM OD10.5 MM ID7.0 MM TAPER ARC HOLLOW OBTURATOR RETAIN CLIP HEMISPHERICAL TIP STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/816/070	CDM			270	RC		outpatient			54.68	54.68	14.81				percent of total billed charges		54.68				other	OPPS APC	40.46				percent of total billed charges		54.68				other	OPPS APC	54.68				other	OPPS APC	14.81				percent of total billed charges		15.11				percent of total billed charges		54.68				other	OPPS APC	14.81	54.68	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA L70 MM OD10.5 MM ID7.0 MM TAPER ARC HOLLOW OBTURATOR RETAIN CLIP HEMISPHERICAL TIP STERILE LATEX FREE DISPOSABLE CLEAR	SUP-100/816/070	CDM			270	RC		inpatient			54.68	54.68																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT SEAL PVC ADULT HOLLOW L4.5 MM OD11.9 MM ID8.0 MM 2 INNER CANNULA HOLDER CLEAN BRUSH OBTURATOR FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-100/816/080	CDM			270	RC		outpatient			54.68	54.68	14.81				percent of total billed charges		54.68				other	OPPS APC	40.46				percent of total billed charges		54.68				other	OPPS APC	54.68				other	OPPS APC	14.81				percent of total billed charges		15.11				percent of total billed charges		54.68				other	OPPS APC	14.81	54.68	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT SEAL PVC ADULT HOLLOW L4.5 MM OD11.9 MM ID8.0 MM 2 INNER CANNULA HOLDER CLEAN BRUSH OBTURATOR FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-100/816/080	CDM			270	RC		inpatient			54.68	54.68																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT SEAL PVC ADULT HOLLOW L4.5 MM OD14.0 MM ID10.0 MM 2 INNER CANNULA HOLDER CLEAN BRUSH OBTURATOR FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-100/816/100	CDM			270	RC		outpatient			54.68	54.68	14.81				percent of total billed charges		54.68				other	OPPS APC	40.46				percent of total billed charges		54.68				other	OPPS APC	54.68				other	OPPS APC	14.81				percent of total billed charges		15.11				percent of total billed charges		54.68				other	OPPS APC	14.81	54.68	
TUBE TRACHEOSTOMY PORTEX BLUE LINE ULTRA SOFT SEAL PVC ADULT HOLLOW L4.5 MM OD14.0 MM ID10.0 MM 2 INNER CANNULA HOLDER CLEAN BRUSH OBTURATOR FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-100/816/100	CDM			270	RC		inpatient			54.68	54.68																																																			
BINDER BREAST LINED 3XL	SUP-EAB3XLFLLAVDR	CDM			270	RC		outpatient			54.56	54.56	14.78				percent of total billed charges		54.56				other	OPPS APC	40.37				percent of total billed charges		54.56				other	OPPS APC	54.56				other	OPPS APC	14.78				percent of total billed charges		15.07				percent of total billed charges		54.56				other	OPPS APC	14.78	54.56	
BINDER BREAST LINED 3XL	SUP-EAB3XLFLLAVDR	CDM			270	RC		inpatient			54.56	54.56																																																			
GLYCOPYRROLATE 0.2 MG/ML SOLUTION	636000000	CDM	71839-124-25	NDC	J1596	HCPCS		inpatient			54.55	54.55																																																			
GLYCOPYRROLATE 0.2 MG/ML SOLUTION	636000000	CDM	71839-124-25	NDC	J1596	HCPCS		outpatient			54.55	54.55																																															other	OPPS APC			
4F MICROPUNCTURE INTRODUCER SET 10CM	SUP-G47940	CDM			481	RC		outpatient			54.46	54.46	26.69				percent of total billed charges		54.46				other	OPPS APC	40.3				percent of total billed charges		54.46				other	OPPS APC	54.46				other	OPPS APC	26.69				percent of total billed charges		27.77				percent of total billed charges		54.46				other	OPPS APC	26.69	54.46	
4F MICROPUNCTURE INTRODUCER SET 10CM	SUP-G47940	CDM			481	RC		inpatient			54.46	54.46																																																			
CANNULA ARTHROSCOPIC L70 MM ID5.5 MM CONICAL TIP THREADED OBTURATOR WITHOUT HOLE SET STERILE LATEX FREE DISPOSABLE ORANGE	SUP-7204895	CDM			270	RC		outpatient			54.44	54.44	14.75				percent of total billed charges		54.44				other	OPPS APC	40.29				percent of total billed charges		54.44				other	OPPS APC	54.44				other	OPPS APC	14.75				percent of total billed charges		15.04				percent of total billed charges		54.44				other	OPPS APC	14.75	54.44	
CANNULA ARTHROSCOPIC L70 MM ID5.5 MM CONICAL TIP THREADED OBTURATOR WITHOUT HOLE SET STERILE LATEX FREE DISPOSABLE ORANGE	SUP-7204895	CDM			270	RC		inpatient			54.44	54.44																																																			
WASHER ORTHOPEDIC STAINLESS STEEL THK 1 MM OD 8 MM ID 4 MM STERILE	SUP-71120006	CDM			270	RC		outpatient			54.32	54.32	14.72				percent of total billed charges		54.32				other	OPPS APC	40.2				percent of total billed charges		54.32				other	OPPS APC	54.32				other	OPPS APC	14.72				percent of total billed charges		15.01				percent of total billed charges		54.32				other	OPPS APC	14.72	54.32	
WASHER ORTHOPEDIC STAINLESS STEEL THK 1 MM OD 8 MM ID 4 MM STERILE	SUP-71120006	CDM			270	RC		inpatient			54.32	54.32																																																			
"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 SOLUTION"	250000000	CDM	63323-489-02	NDC				inpatient			54.24	54.24																																																			
"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 SOLUTION"	250000000	CDM	63323-489-02	NDC				outpatient			54.24	54.24																																															other	OPPS APC			
TRAY EPIDURAL PERIFIX TUOHY PVC DEHP GLASS L3 1/2 IN L1.25 IN OD18 GA ODSEC20 GA 5 ML CLOSED END CATHETER CONTINUOUS NERVE BLOCK HYPODERMIC NEEDLE LUER LOCK SYRINGE STERILE LATEX FREE	SUP-332081	CDM	270009010	LOCAL	270	RC		outpatient			54.2	54.23	14.68				percent of total billed charges		54.2				other	OPPS APC	40.11				percent of total billed charges		54.2				other	OPPS APC	54.2				other	OPPS APC	14.68				percent of total billed charges		14.98				percent of total billed charges		54.23				other	OPPS APC	14.68	54.23	
TRAY EPIDURAL PERIFIX TUOHY PVC DEHP GLASS L3 1/2 IN L1.25 IN OD18 GA ODSEC20 GA 5 ML CLOSED END CATHETER CONTINUOUS NERVE BLOCK HYPODERMIC NEEDLE LUER LOCK SYRINGE STERILE LATEX FREE	SUP-332081	CDM	270009010	LOCAL	270	RC		inpatient			54.2	54.2																																																			
SUTURE ETHIBOND 5 MB66G	SUP-74-00234	CDM			272	RC		outpatient			54.15	54.15	14.67				percent of total billed charges		54.15				other	OPPS APC	40.07				percent of total billed charges		54.15				other	OPPS APC	54.15				other	OPPS APC	14.67				percent of total billed charges		14.96				percent of total billed charges		54.15				other	OPPS APC	14.67	54.15	
SUTURE ETHIBOND 5 MB66G	SUP-74-00234	CDM			272	RC		inpatient			54.15	54.15																																																			
BURR FOR NEURO	SUP-00509326200	CDM			270	RC		outpatient			54.14	54.14	14.67				percent of total billed charges		54.14				other	OPPS APC	40.06				percent of total billed charges		54.14				other	OPPS APC	54.14				other	OPPS APC	14.67				percent of total billed charges		14.96				percent of total billed charges		54.14				other	OPPS APC	14.67	54.14	
BURR FOR NEURO	SUP-00509326200	CDM			270	RC		inpatient			54.14	54.14																																																			
Algo Newborn Hearing Screening	PX-270000044	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	54				fee schedule		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
Algo Newborn Hearing Screening	PX-270000044	CDM			270	RC		inpatient			54	54																																																			
HC Immunoassay Infectious Agent Antibody Quantitative	PX-300863170	CDM	86317	CPT	300	RC		outpatient			54	14.99	20.04				fee schedule		14.99				fee schedule		39.81				fee schedule		14.99				fee schedule		14.99				fee schedule		14.99				fee schedule		14.99				fee schedule		14.99				fee schedule		14.99	39.81	
HC Immunoassay Infectious Agent Antibody Quantitative	PX-300863170	CDM	86317	CPT	300	RC		inpatient			54	54																																																			
HC Aspergillus  Antibody	PX-300866060	CDM	86606	CPT	302	RC		outpatient			54	15.51	20.13				fee schedule		15.05				fee schedule		39.96				fee schedule		15.05				fee schedule		15.05				fee schedule		15.05				fee schedule		15.05				fee schedule		15.51				fee schedule		15.05	39.96	
HC Aspergillus  Antibody	PX-300866060	CDM	86606	CPT	302	RC		inpatient			54	54																																																			
INTRODUCER SHEATH FAST-CATH STRAIGHT J L12 CM OD12 FR INTRACARDIAC LARGE LUMEN HEMOSTASIS VALVE SIDEPORT DILATOR ACCEPTS .038 IN GUIDEWIRE	SUP-406128	CDM			481	RC		outpatient			54	54	26.46				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	26.46				percent of total billed charges		27.54				percent of total billed charges		54				other	OPPS APC	26.46	54	
INTRODUCER SHEATH FAST-CATH STRAIGHT J L12 CM OD12 FR INTRACARDIAC LARGE LUMEN HEMOSTASIS VALVE SIDEPORT DILATOR ACCEPTS .038 IN GUIDEWIRE	SUP-406128	CDM			481	RC		inpatient			54	54																																																			
WASHER 4.0MM ANSIS SCREWS	SUP-619905S	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
WASHER 4.0MM ANSIS SCREWS	SUP-619905S	CDM			270	RC		inpatient			54	54																																																			
CATHETER THERMODIL	SUP-93-132-F5	CDM	270009129	LOCAL	270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
CATHETER THERMODIL	SUP-93-132-F5	CDM	270009129	LOCAL	270	RC		inpatient			54	54																																																			
COLLAR CERVICAL VISTA ADULT UNIVERSAL SET REPLACEMENT PAD LATEX FREE	SUP-984002	CDM	270009108	LOCAL	270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
COLLAR CERVICAL VISTA ADULT UNIVERSAL SET REPLACEMENT PAD LATEX FREE	SUP-984002	CDM	270009108	LOCAL	270	RC		inpatient			54	54																																																			
PAD COLLAR VISTA POLYURETHANE FOAM COTTON UNIVERSAL CERVICAL REPLACEMENT WICK MOISTURE DIAL HEIGHT ADJUSTMENT	SUP-984020	CDM	270009108	LOCAL	270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
PAD COLLAR VISTA POLYURETHANE FOAM COTTON UNIVERSAL CERVICAL REPLACEMENT WICK MOISTURE DIAL HEIGHT ADJUSTMENT	SUP-984020	CDM	270009108	LOCAL	270	RC		inpatient			54	54																																																			
CATHETER - RIM 5F	SUP-99-00141	CDM			272	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
CATHETER - RIM 5F	SUP-99-00141	CDM			272	RC		inpatient			54	54																																																			
ADAPTER CATHETER PITON STERILE LATEX FREE DISPOSABLE	SUP-AC4003M_66562	CDM			481	RC		outpatient			54	54	26.46				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	26.46				percent of total billed charges		27.54				percent of total billed charges		54				other	OPPS APC	26.46	54	
ADAPTER CATHETER PITON STERILE LATEX FREE DISPOSABLE	SUP-AC4003M_66562	CDM			481	RC		inpatient			54	54																																																			
BALLOON PRESTERILIZED LATEX	SUP-B20BU	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
BALLOON PRESTERILIZED LATEX	SUP-B20BU	CDM			270	RC		inpatient			54	54																																																			
CUSP-LOK MINI FLAT	SUP-CLIIM	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
CUSP-LOK MINI FLAT	SUP-CLIIM	CDM			270	RC		inpatient			54	54																																																			
CUSP LOCK MINI CURVED	SUP-CLIIMC	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
CUSP LOCK MINI CURVED	SUP-CLIIMC	CDM			270	RC		inpatient			54	54																																																			
IMPLANT INJECTABLE SIDEKICK COAPTITE L14.6 IN OD21 GA	SUP-M0068903020	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
IMPLANT INJECTABLE SIDEKICK COAPTITE L14.6 IN OD21 GA	SUP-M0068903020	CDM			270	RC		inpatient			54	54																																																			
PIN SKULL TZ MEDICAL STAINLESS STEEL SHARP CLAMP PROTECTIVE CAP STERILE DISPOSABLE	SUP-SP-001	CDM			270	RC		outpatient			54	54	14.63				percent of total billed charges		54				other	OPPS APC	39.96				percent of total billed charges		54				other	OPPS APC	54				other	OPPS APC	14.63				percent of total billed charges		14.92				percent of total billed charges		54				other	OPPS APC	14.63	54	
PIN SKULL TZ MEDICAL STAINLESS STEEL SHARP CLAMP PROTECTIVE CAP STERILE DISPOSABLE	SUP-SP-001	CDM			270	RC		inpatient			54	54																																																			
SCREW BONE FULL THREAD 14MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.814	CDM	270010022	LOCAL	270	RC		outpatient			53.9	53.9	14.6				percent of total billed charges		53.9				other	OPPS APC	39.89				percent of total billed charges		53.9				other	OPPS APC	53.9				other	OPPS APC	14.6				percent of total billed charges		14.89				percent of total billed charges		53.9				other	OPPS APC	14.6	53.9	
SCREW BONE FULL THREAD 14MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.814	CDM	270010022	LOCAL	270	RC		inpatient			53.9	53.9																																																			
SCREW BONE FULL THREAD 16MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.816	CDM	270010022	LOCAL	270	RC		outpatient			53.9	53.9	14.6				percent of total billed charges		53.9				other	OPPS APC	39.89				percent of total billed charges		53.9				other	OPPS APC	53.9				other	OPPS APC	14.6				percent of total billed charges		14.89				percent of total billed charges		53.9				other	OPPS APC	14.6	53.9	
SCREW BONE FULL THREAD 16MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.816	CDM	270010022	LOCAL	270	RC		inpatient			53.9	53.9																																																			
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L18 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.818	CDM	270010022	LOCAL	270	RC		outpatient			53.9	53.9	14.6				percent of total billed charges		53.9				other	OPPS APC	39.89				percent of total billed charges		53.9				other	OPPS APC	53.9				other	OPPS APC	14.6				percent of total billed charges		14.89				percent of total billed charges		53.9				other	OPPS APC	14.6	53.9	
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L18 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.818	CDM	270010022	LOCAL	270	RC		inpatient			53.9	53.9																																																			
BLADE SAW POLYETHYLENE THK.64 MM L73 MM X W12.5 MM HUMERUS HEAD	SUP-2108150000	CDM			270	RC		outpatient			53.82	53.82	14.58				percent of total billed charges		53.82				other	OPPS APC	39.83				percent of total billed charges		53.82				other	OPPS APC	53.82				other	OPPS APC	14.58				percent of total billed charges		14.87				percent of total billed charges		53.82				other	OPPS APC	14.58	53.82	
BLADE SAW POLYETHYLENE THK.64 MM L73 MM X W12.5 MM HUMERUS HEAD	SUP-2108150000	CDM			270	RC		inpatient			53.82	53.82																																																			
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRINGE	250000000	CDM	76329-3352-1	NDC				inpatient			53.76	53.76																																																			
SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYRINGE	250000000	CDM	76329-3352-1	NDC				outpatient			53.76	53.76																																															other	OPPS APC			
SUTURE ETHIBOND 2 MX69G	SUP-74-00236	CDM			272	RC		outpatient			53.63	53.63	14.53				percent of total billed charges		53.63				other	OPPS APC	39.69				percent of total billed charges		53.63				other	OPPS APC	53.63				other	OPPS APC	14.53				percent of total billed charges		14.82				percent of total billed charges		53.63				other	OPPS APC	14.53	53.63	
SUTURE ETHIBOND 2 MX69G	SUP-74-00236	CDM			272	RC		inpatient			53.63	53.63																																																			
MASK FACE CHILD EARLOOP	SUP-23-00140	CDM			272	RC		outpatient			53.61	53.7	14.52				percent of total billed charges		53.61				other	OPPS APC	39.67				percent of total billed charges		53.61				other	OPPS APC	53.61				other	OPPS APC	14.52				percent of total billed charges		14.81				percent of total billed charges		53.7				other	OPPS APC	14.52	53.7	
MASK FACE CHILD EARLOOP	SUP-23-00140	CDM			272	RC		inpatient			53.61	53.61																																																			
PIOGLITAZONE 30 MG TABLET	637000000	CDM	33342-055-07	NDC	A9270	HCPCS		inpatient			53.54	53.54																																																			
PIOGLITAZONE 30 MG TABLET	637000000	CDM	33342-055-07	NDC	A9270	HCPCS		outpatient			53.54	53.54																																															other	OPPS APC			
SUTURE VICRYL TIE 2-0 J911T	SUP-95-04871	CDM						inpatient			53.44	53.44																																																			
SUTURE VICRYL TIE 2-0 J911T	SUP-95-04871	CDM						outpatient			53.44	53.44	53.44				percent of total billed charges		53.44				other	OPPS APC	53.44				fee schedule		53.44				other	OPPS APC	53.44				other	OPPS APC	53.44				case rate		53.44				case rate		53.44				other	OPPS APC	53.44	53.44	
SCREW BONE L40 MM OD3.5 MM ODSEC6 MM PELVIC CORTEX SELF TAP SMALL HEXAGONAL SOCKET	SUP-204.640	CDM	270010022	LOCAL	270	RC		outpatient			53.36	53.36	14.46				percent of total billed charges		53.36				other	OPPS APC	39.49				percent of total billed charges		53.36				other	OPPS APC	53.36				other	OPPS APC	14.46				percent of total billed charges		14.74				percent of total billed charges		53.36				other	OPPS APC	14.46	53.36	
SCREW BONE L40 MM OD3.5 MM ODSEC6 MM PELVIC CORTEX SELF TAP SMALL HEXAGONAL SOCKET	SUP-204.640	CDM	270010022	LOCAL	270	RC		inpatient			53.36	53.36																																																			
SCREW BONE L50 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.650	CDM	270010022	LOCAL	270	RC		outpatient			53.36	53.36	14.46				percent of total billed charges		53.36				other	OPPS APC	39.49				percent of total billed charges		53.36				other	OPPS APC	53.36				other	OPPS APC	14.46				percent of total billed charges		14.74				percent of total billed charges		53.36				other	OPPS APC	14.46	53.36	
SCREW BONE L50 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.650	CDM	270010022	LOCAL	270	RC		inpatient			53.36	53.36																																																			
SCREW BONE 85MM 3.5MM SS NS CORTEX PELVIS SELF TAP SM FRAGMENT SET	SUP-204.685	CDM	270010022	LOCAL	270	RC		outpatient			53.36	53.36	14.46				percent of total billed charges		53.36				other	OPPS APC	39.49				percent of total billed charges		53.36				other	OPPS APC	53.36				other	OPPS APC	14.46				percent of total billed charges		14.74				percent of total billed charges		53.36				other	OPPS APC	14.46	53.36	
SCREW BONE 85MM 3.5MM SS NS CORTEX PELVIS SELF TAP SM FRAGMENT SET	SUP-204.685	CDM	270010022	LOCAL	270	RC		inpatient			53.36	53.36																																																			
SCREW BONE LC-DCP STAINLESS STEEL L90 MM OD3.5 MM ODSEC6 MM PELVIC CORTEX SELF TAP SMALL HEXAGONAL SOCKET LOW PROFILE NONSTERILE	SUP-204.690	CDM	270010022	LOCAL	270	RC		outpatient			53.36	53.36	14.46				percent of total billed charges		53.36				other	OPPS APC	39.49				percent of total billed charges		53.36				other	OPPS APC	53.36				other	OPPS APC	14.46				percent of total billed charges		14.74				percent of total billed charges		53.36				other	OPPS APC	14.46	53.36	
SCREW BONE LC-DCP STAINLESS STEEL L90 MM OD3.5 MM ODSEC6 MM PELVIC CORTEX SELF TAP SMALL HEXAGONAL SOCKET LOW PROFILE NONSTERILE	SUP-204.690	CDM	270010022	LOCAL	270	RC		inpatient			53.36	53.36																																																			
SCREW BONE L95 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.695	CDM	270010022	LOCAL	270	RC		outpatient			53.36	53.36	14.46				percent of total billed charges		53.36				other	OPPS APC	39.49				percent of total billed charges		53.36				other	OPPS APC	53.36				other	OPPS APC	14.46				percent of total billed charges		14.74				percent of total billed charges		53.36				other	OPPS APC	14.46	53.36	
SCREW BONE L95 MM OD3.5 MM PELVIC CORTEX SELF TAP	SUP-204.695	CDM	270010022	LOCAL	270	RC		inpatient			53.36	53.36																																																			
SCREW BONE 3.5MM 6MM 100MM LC-DCP SS PELVIC CORTEX SELF TAP SM HEXAGONAL SOCKET LOW	SUP-204.700	CDM	270010022	LOCAL	270	RC		outpatient			53.36	53.36	14.46				percent of total billed charges		53.36				other	OPPS APC	39.49				percent of total billed charges		53.36				other	OPPS APC	53.36				other	OPPS APC	14.46				percent of total billed charges		14.74				percent of total billed charges		53.36				other	OPPS APC	14.46	53.36	
SCREW BONE 3.5MM 6MM 100MM LC-DCP SS PELVIC CORTEX SELF TAP SM HEXAGONAL SOCKET LOW	SUP-204.700	CDM	270010022	LOCAL	270	RC		inpatient			53.36	53.36																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	67457-621-02	NDC	J3301	HCPCS		inpatient			53.35	53.35																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	67457-621-02	NDC	J3301	HCPCS		outpatient			53.35	53.35																																															other	OPPS APC			
KNIFE ANGLED TAPERED CRESCENT	SUP-95-04313	CDM			272	RC		outpatient			53.33	53.33	14.45				percent of total billed charges		53.33				other	OPPS APC	39.46				percent of total billed charges		53.33				other	OPPS APC	53.33				other	OPPS APC	14.45				percent of total billed charges		14.74				percent of total billed charges		53.33				other	OPPS APC	14.45	53.33	
KNIFE ANGLED TAPERED CRESCENT	SUP-95-04313	CDM			272	RC		inpatient			53.33	53.33																																																			
MANIFOLD SUCTION NEPTUNE 2 4 PORT SPECIMEN COLLECTION	SUP-0702020001	CDM			270	RC		outpatient			53.3	53.3	14.44				percent of total billed charges		53.3				other	OPPS APC	39.44				percent of total billed charges		53.3				other	OPPS APC	53.3				other	OPPS APC	14.44				percent of total billed charges		14.73				percent of total billed charges		53.3				other	OPPS APC	14.44	53.3	
MANIFOLD SUCTION NEPTUNE 2 4 PORT SPECIMEN COLLECTION	SUP-0702020001	CDM			270	RC		inpatient			53.3	53.3																																																			
BLADE SAG 138	SUP-78-00180	CDM			272	RC		outpatient			53.28	53.28	14.43				percent of total billed charges		53.28				other	OPPS APC	39.43				percent of total billed charges		53.28				other	OPPS APC	53.28				other	OPPS APC	14.43				percent of total billed charges		14.72				percent of total billed charges		53.28				other	OPPS APC	14.43	53.28	
BLADE SAG 138	SUP-78-00180	CDM			272	RC		inpatient			53.28	53.28																																																			
BLADE SAG 139	SUP-78-00181	CDM			272	RC		outpatient			53.28	53.28	14.43				percent of total billed charges		53.28				other	OPPS APC	39.43				percent of total billed charges		53.28				other	OPPS APC	53.28				other	OPPS APC	14.43				percent of total billed charges		14.72				percent of total billed charges		53.28				other	OPPS APC	14.43	53.28	
BLADE SAG 139	SUP-78-00181	CDM			272	RC		inpatient			53.28	53.28																																																			
CATHETER UMBILICAL 3.5 FR SINGLE LUMEN	SUP-02-00083	CDM			272	RC		outpatient			53.05	53.5	14.37				percent of total billed charges		53.05				other	OPPS APC	39.26				percent of total billed charges		53.05				other	OPPS APC	53.05				other	OPPS APC	14.37				percent of total billed charges		14.66				percent of total billed charges		53.5				other	OPPS APC	14.37	53.5	
CATHETER UMBILICAL 3.5 FR SINGLE LUMEN	SUP-02-00083	CDM			272	RC		inpatient			53.05	53.05																																																			
HC Fructosamine  Serum	PX-300829850	CDM	82985	CPT	301	RC		outpatient			53	16.76	20.15				fee schedule		16.76				fee schedule		40.01				fee schedule		16.76				fee schedule		16.76				fee schedule		16.76				fee schedule		16.76				fee schedule		16.76				fee schedule		16.76	40.01	
HC Fructosamine  Serum	PX-300829850	CDM	82985	CPT	301	RC		inpatient			53	53																																																			
HC Htlv or Hiv Antibody  Confirmatory Test(Eg. Western Blot)	PX-300866890	CDM	86689	CPT	300	RC		outpatient			53	19.35	25.87				fee schedule		19.35				fee schedule		51.4				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35	51.4	
HC Htlv or Hiv Antibody  Confirmatory Test(Eg. Western Blot)	PX-300866890	CDM	86689	CPT	300	RC		inpatient			53	53																																																			
HC State Hiv Conf Test (Shiv)	PX-300866891	CDM	86689	CPT	300	RC		outpatient			53	19.35	25.87				fee schedule		19.35				fee schedule		51.4				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35				fee schedule		19.35	51.4	
HC State Hiv Conf Test (Shiv)	PX-300866891	CDM	86689	CPT	300	RC		inpatient			53	53																																																			
SUTURE NONABSORBABLE GORE-TEX CV-4 TH-18 L36 IN 2 ARM MONOFILAMENT WHITE	SUP-4N02A	CDM			270	RC		outpatient			53	53	14.36				percent of total billed charges		53				other	OPPS APC	39.22				percent of total billed charges		53				other	OPPS APC	53				other	OPPS APC	14.36				percent of total billed charges		14.64				percent of total billed charges		53				other	OPPS APC	14.36	53	
SUTURE NONABSORBABLE GORE-TEX CV-4 TH-18 L36 IN 2 ARM MONOFILAMENT WHITE	SUP-4N02A	CDM			270	RC		inpatient			53	53																																																			
LENS VITRECTOMY 30 DEG	SUP-ODV3P	CDM			270	RC		outpatient			53	53	14.36				percent of total billed charges		53				other	OPPS APC	39.22				percent of total billed charges		53				other	OPPS APC	53				other	OPPS APC	14.36				percent of total billed charges		14.64				percent of total billed charges		53				other	OPPS APC	14.36	53	
LENS VITRECTOMY 30 DEG	SUP-ODV3P	CDM			270	RC		inpatient			53	53																																																			
LENS VITRECTOMY BICONCAVE	SUP-ODVB	CDM			270	RC		outpatient			53	53	14.36				percent of total billed charges		53				other	OPPS APC	39.22				percent of total billed charges		53				other	OPPS APC	53				other	OPPS APC	14.36				percent of total billed charges		14.64				percent of total billed charges		53				other	OPPS APC	14.36	53	
LENS VITRECTOMY BICONCAVE	SUP-ODVB	CDM			270	RC		inpatient			53	53																																																			
LENS VITRECTOMY FLAT	SUP-ODVF	CDM			270	RC		outpatient			53	53	14.36				percent of total billed charges		53				other	OPPS APC	39.22				percent of total billed charges		53				other	OPPS APC	53				other	OPPS APC	14.36				percent of total billed charges		14.64				percent of total billed charges		53				other	OPPS APC	14.36	53	
LENS VITRECTOMY FLAT	SUP-ODVF	CDM			270	RC		inpatient			53	53																																																			
SUTURE VICRYL 8-0 TAPER J401G	SUP-73-00055	CDM			272	RC		outpatient			52.92	52.92	14.34				percent of total billed charges		52.92				other	OPPS APC	39.16				percent of total billed charges		52.92				other	OPPS APC	52.92				other	OPPS APC	14.34				percent of total billed charges		14.62				percent of total billed charges		52.92				other	OPPS APC	14.34	52.92	
SUTURE VICRYL 8-0 TAPER J401G	SUP-73-00055	CDM			272	RC		inpatient			52.92	52.92																																																			
FORCEPS   BIOPSY DISPOSABLE JUMBO	SUP-95-02308	CDM			272	RC		outpatient			52.86	52.86	14.32				percent of total billed charges		52.86				other	OPPS APC	39.12				percent of total billed charges		52.86				other	OPPS APC	52.86				other	OPPS APC	14.32				percent of total billed charges		14.61				percent of total billed charges		52.86				other	OPPS APC	14.32	52.86	
FORCEPS   BIOPSY DISPOSABLE JUMBO	SUP-95-02308	CDM			272	RC		inpatient			52.86	52.86																																																			
OCCLUDER VASCULAR FLO-RESTER SILICONE L30 MM OD1.25 MM CORONARY ARTERY 2 RADIOPAQUE BULB FLEXIBLE SHAFT STERILE DISPOSABLE	SUP-60125BIOS	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR FLO-RESTER SILICONE L30 MM OD1.25 MM CORONARY ARTERY 2 RADIOPAQUE BULB FLEXIBLE SHAFT STERILE DISPOSABLE	SUP-60125BIOS	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
VESSEL OCCLUDER	SUP-60150BIOS	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
VESSEL OCCLUDER	SUP-60150BIOS	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
VESSEL OCCLUDER	SUP-60175	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
VESSEL OCCLUDER	SUP-60175	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
OCCLUDER VASCULAR FLO-RESTER L30 MM OD2 MM CORONARY ARTERY 2 BULB FLEXIBLE SHAFT STERILE DISPOSABLE	SUP-60200BIOS	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR FLO-RESTER L30 MM OD2 MM CORONARY ARTERY 2 BULB FLEXIBLE SHAFT STERILE DISPOSABLE	SUP-60200BIOS	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
OCCLUDER VASCULAR FLO-RESTER T L30 MM OD2.25 MM VESSEL 2 BULB FLEXIBLE SHAFT RADIOPAQUE STERILE DISPOSABLE	SUP-60225BIOS	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR FLO-RESTER T L30 MM OD2.25 MM VESSEL 2 BULB FLEXIBLE SHAFT RADIOPAQUE STERILE DISPOSABLE	SUP-60225BIOS	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
OCCLUDER VASCULAR FLO-RESTER L30 MM OD2.5 MM CORONARY ARTERY 2 BULB FLEXIBLE SHAFT STERILE DISPOSABLE	SUP-60250BIOS	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR FLO-RESTER L30 MM OD2.5 MM CORONARY ARTERY 2 BULB FLEXIBLE SHAFT STERILE DISPOSABLE	SUP-60250BIOS	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
OCCLUDER VASCULAR SYNOVIS FLO-RESTER GLOBAL SILICONE RUBBER L30 MM OD2.75 MM CORONARY ARTERY RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60275	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR SYNOVIS FLO-RESTER GLOBAL SILICONE RUBBER L30 MM OD2.75 MM CORONARY ARTERY RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60275	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
OCCLUDER VASCULAR SYNOVIS FLO-RESTER GLOBAL SILICONE RUBBER L30 MM OD3 MM CORONARY ARTERY RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60300	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR SYNOVIS FLO-RESTER GLOBAL SILICONE RUBBER L30 MM OD3 MM CORONARY ARTERY RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60300	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
OCCLUDER VASCULAR SYNOVIS FLO-RESTER GLOBAL SILICONE RUBBER L30 MM OD3.5 MM CORONARY ARTERY RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60350	CDM	270009179	LOCAL	270	RC		outpatient			52.8	52.8	14.3				percent of total billed charges		52.8				other	OPPS APC	39.07				percent of total billed charges		52.8				other	OPPS APC	52.8				other	OPPS APC	14.3				percent of total billed charges		14.59				percent of total billed charges		52.8				other	OPPS APC	14.3	52.8	
OCCLUDER VASCULAR SYNOVIS FLO-RESTER GLOBAL SILICONE RUBBER L30 MM OD3.5 MM CORONARY ARTERY RADIOPAQUE ATRAUMATIC BULB FLEXIBLE SHAFT INTERNAL STERILE DISPOSABLE	SUP-60350	CDM	270009179	LOCAL	270	RC		inpatient			52.8	52.8																																																			
PIOGLITAZONE 15 MG TABLET	637000000	CDM	33342-054-07	NDC	A9270	HCPCS		inpatient			52.55	52.55																																																			
PIOGLITAZONE 15 MG TABLET	637000000	CDM	33342-054-07	NDC	A9270	HCPCS		outpatient			52.55	52.55																																															other	OPPS APC			
SCREW BONE STAINLESS STEEL FULL THREAD L40 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.440	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L40 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.440	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L42 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.442	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L42 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.442	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L44 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.444	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L44 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.444	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L46 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.446	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L46 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.446	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L48 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.448	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L48 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.448	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE L50 MM OD4 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET	SUP-206.450	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE L50 MM OD4 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET	SUP-206.450	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L52 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.452	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L52 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.452	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L54 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.454	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L54 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.454	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L56 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.456	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L56 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.456	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L58 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.458	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L58 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.458	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L60 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.460	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L60 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.460	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L65 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.465	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L65 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.465	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L70 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.470	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L70 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.470	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L75 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.475	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L75 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL NONSTERILE SMALL FRAGMENT SET	SUP-206.475	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L80 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.480	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL 2.5 MM FULL THREAD L80 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.480	CDM			270	RC		inpatient			52.54	52.54																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L85 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.485	CDM			270	RC		outpatient			52.54	52.54	14.23				percent of total billed charges		52.54				other	OPPS APC	38.88				percent of total billed charges		52.54				other	OPPS APC	52.54				other	OPPS APC	14.23				percent of total billed charges		14.52				percent of total billed charges		52.54				other	OPPS APC	14.23	52.54	
SCREW BONE STAINLESS STEEL FULL THREAD L85 MM OD4 MM ODSEC6 MM CORTEX SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-206.485	CDM			270	RC		inpatient			52.54	52.54																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION	250000000	CDM	51754-5001-1	NDC				inpatient			52.5	52.5																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION	250000000	CDM	51754-5001-1	NDC				outpatient			52.5	52.5																																															other	OPPS APC			
CLIP LIGATING ENDOSCOPIC HEMOLOK POLYMER GREEN MEDIUM LARGE 5.0MM	SUP-544230	CDM			270	RC		outpatient			52.29	52.29	14.17				percent of total billed charges		52.29				other	OPPS APC	38.69				percent of total billed charges		52.29				other	OPPS APC	52.29				other	OPPS APC	14.17				percent of total billed charges		14.45				percent of total billed charges		52.29				other	OPPS APC	14.17	52.29	
CLIP LIGATING ENDOSCOPIC HEMOLOK POLYMER GREEN MEDIUM LARGE 5.0MM	SUP-544230	CDM			270	RC		inpatient			52.29	52.29																																																			
CLIP INTERNAL WECK HEM-O-LOK XL CHEVRON HEART GOLD POLYMER DISPOSABLE STERILE LF LIGATE NONABSORBABLE CARTRIDGE	SUP-544250	CDM			270	RC		outpatient			52.29	52.29	14.17				percent of total billed charges		52.29				other	OPPS APC	38.69				percent of total billed charges		52.29				other	OPPS APC	52.29				other	OPPS APC	14.17				percent of total billed charges		14.45				percent of total billed charges		52.29				other	OPPS APC	14.17	52.29	
CLIP INTERNAL WECK HEM-O-LOK XL CHEVRON HEART GOLD POLYMER DISPOSABLE STERILE LF LIGATE NONABSORBABLE CARTRIDGE	SUP-544250	CDM			270	RC		inpatient			52.29	52.29																																																			
PAD HEMOSTATIC CLO-SUR PAD POLYPROLATE HYDROPHILIC L4 CM X W4 CM VASCULAR NONWOVEN ANTIMICROBIAL BARRIER SCION	SUP-SCV22P-AB	CDM			270	RC		outpatient			52.28	52.28	14.16				percent of total billed charges		52.28				other	OPPS APC	38.69				percent of total billed charges		52.28				other	OPPS APC	52.28				other	OPPS APC	14.16				percent of total billed charges		14.44				percent of total billed charges		52.28				other	OPPS APC	14.16	52.28	
PAD HEMOSTATIC CLO-SUR PAD POLYPROLATE HYDROPHILIC L4 CM X W4 CM VASCULAR NONWOVEN ANTIMICROBIAL BARRIER SCION	SUP-SCV22P-AB	CDM			270	RC		inpatient			52.28	52.28																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL SMALL HEXAGON L18 MM L6 MM OD3.5 MM ODSEC6 MM TIBIA MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.218	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE DCP LC-DCP STAINLESS STEEL SMALL HEXAGON L18 MM L6 MM OD3.5 MM ODSEC6 MM TIBIA MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.218	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 20MM 6MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.22	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 20MM 6MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.22	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE 3.5MM 6MM 20MM 6MM LC-DCP DCP SS PARTIAL THREAD CLAVICLE SCAPULA OLECRANON	SUP-204.220	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE 3.5MM 6MM 20MM 6MM LC-DCP DCP SS PARTIAL THREAD CLAVICLE SCAPULA OLECRANON	SUP-204.220	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 22MM 6MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.222	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 22MM 6MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.222	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 24MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.224	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 24MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.224	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 26MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.226	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 26MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.226	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 28MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.228	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 28MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.228	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 30MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.23	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 30MM 10MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.23	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE 3.5MM 6MM 30MM 10MM DCP LC-DCP SS SM HEXAGON TIBIA PROXIMAL MEDIAL SELF	SUP-204.230	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE 3.5MM 6MM 30MM 10MM DCP LC-DCP SS SM HEXAGON TIBIA PROXIMAL MEDIAL SELF	SUP-204.230	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 32MM 12MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.232	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 32MM 12MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.232	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 34MM 12MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.234	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 34MM 12MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.234	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE PARTIAL THREAD 36MM 12MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.236	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE PARTIAL THREAD 36MM 12MM 3.5MM 6MM SS NS SHAFT SM HEXAGONAL SOCKET	SUP-204.236	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM CLAVICLE SCAPULA OLECRANON HUMERUS SHAFT SMALL HEXAGONAL SOCKET SMALL FRAGMENT	SUP-204.238	CDM	270010022	LOCAL	270	RC		outpatient			52.2	52.23	14.14				percent of total billed charges		52.2				other	OPPS APC	38.63				percent of total billed charges		52.2				other	OPPS APC	52.2				other	OPPS APC	14.14				percent of total billed charges		14.42				percent of total billed charges		52.23				other	OPPS APC	14.14	52.23	
SCREW BONE LC-DCP DCP STAINLESS STEEL PARTIAL THREAD L38 MM L12 MM OD3.5 MM ODSEC6 MM CLAVICLE SCAPULA OLECRANON HUMERUS SHAFT SMALL HEXAGONAL SOCKET SMALL FRAGMENT	SUP-204.238	CDM	270010022	LOCAL	270	RC		inpatient			52.2	52.2																																																			
CATHETER FOLEY LATEX 18FR 3WAY 5CC	SUP-02-00144	CDM			272	RC		outpatient			52.13	52.13	14.12				percent of total billed charges		52.13				other	OPPS APC	38.58				percent of total billed charges		52.13				other	OPPS APC	52.13				other	OPPS APC	14.12				percent of total billed charges		14.4				percent of total billed charges		52.13				other	OPPS APC	14.12	52.13	
CATHETER FOLEY LATEX 18FR 3WAY 5CC	SUP-02-00144	CDM			272	RC		inpatient			52.13	52.13																																																			
CATHETER FOLEY LATEX 20FR 3WAY 5CC	SUP-02-00145	CDM			272	RC		outpatient			52.13	52.13	14.12				percent of total billed charges		52.13				other	OPPS APC	38.58				percent of total billed charges		52.13				other	OPPS APC	52.13				other	OPPS APC	14.12				percent of total billed charges		14.4				percent of total billed charges		52.13				other	OPPS APC	14.12	52.13	
CATHETER FOLEY LATEX 20FR 3WAY 5CC	SUP-02-00145	CDM			272	RC		inpatient			52.13	52.13																																																			
CATHETER FOLEY LATEX 22FR 3WAY 5CC	SUP-02-00146	CDM			272	RC		outpatient			52.13	52.13	14.12				percent of total billed charges		52.13				other	OPPS APC	38.58				percent of total billed charges		52.13				other	OPPS APC	52.13				other	OPPS APC	14.12				percent of total billed charges		14.4				percent of total billed charges		52.13				other	OPPS APC	14.12	52.13	
CATHETER FOLEY LATEX 22FR 3WAY 5CC	SUP-02-00146	CDM			272	RC		inpatient			52.13	52.13																																																			
CATHETER FOLEY LATEX 16FR 3WAY 5CC	SUP-02-00147	CDM			272	RC		outpatient			52.13	52.13	14.12				percent of total billed charges		52.13				other	OPPS APC	38.58				percent of total billed charges		52.13				other	OPPS APC	52.13				other	OPPS APC	14.12				percent of total billed charges		14.4				percent of total billed charges		52.13				other	OPPS APC	14.12	52.13	
CATHETER FOLEY LATEX 16FR 3WAY 5CC	SUP-02-00147	CDM			272	RC		inpatient			52.13	52.13																																																			
DEVICE CLOSURE V-LOC 90 3-0 SC-2 STRAIGHT L45 CM L60 MM 2 ANGLE CUT ABSORBABLE BARB UNDYED	SUP-VLOCM0224	CDM			270	RC		outpatient			52.08	52.8	14.11				percent of total billed charges		52.08				other	OPPS APC	38.54				percent of total billed charges		52.08				other	OPPS APC	52.08				other	OPPS APC	14.11				percent of total billed charges		14.39				percent of total billed charges		52.8				other	OPPS APC	14.11	52.8	
DEVICE CLOSURE V-LOC 90 3-0 SC-2 STRAIGHT L45 CM L60 MM 2 ANGLE CUT ABSORBABLE BARB UNDYED	SUP-VLOCM0224	CDM			270	RC		inpatient			52.08	52.08																																																			
HC Chg Alpha-1-Antitrypsin  Pheno	PX-300821040	CDM	82104	CPT	301	RC		outpatient			52	14.46	19.34				fee schedule		14.46				fee schedule		38.38				fee schedule		14.46				fee schedule		14.46				fee schedule		14.46				fee schedule		14.46				fee schedule		14.46				fee schedule		14.46	38.38	
HC Chg Alpha-1-Antitrypsin  Pheno	PX-300821040	CDM	82104	CPT	301	RC		inpatient			52	52																																																			
HC Chg Assay of Alpolipoprotein	PX-300821720	CDM	82172	CPT	300	RC		outpatient			52	21.9	20.72				fee schedule		21.09				fee schedule		41.14				fee schedule		21.09				fee schedule		21.09				fee schedule		21.09				fee schedule		21.09				fee schedule		21.9				fee schedule		20.72	41.14	
HC Chg Assay of Alpolipoprotein	PX-300821720	CDM	82172	CPT	300	RC		inpatient			52	52																																																			
HC Alkaline Phos. Isoenzymes (Apiso)	PX-300840800	CDM	84080	CPT	300	RC		outpatient			52	14.78	19.77				fee schedule		14.78				fee schedule		39.25				fee schedule		14.78				fee schedule		14.78				fee schedule		14.78				fee schedule		14.78				fee schedule		14.78				fee schedule		14.78	39.25	
HC Alkaline Phos. Isoenzymes (Apiso)	PX-300840800	CDM	84080	CPT	300	RC		inpatient			52	52																																																			
HC Intrinsic Factor Antibodies	PX-300863400	CDM	86340	CPT	300	RC		outpatient			52	15.8	20.15				fee schedule		15.08				fee schedule		40.01				fee schedule		15.08				fee schedule		15.08				fee schedule		15.08				fee schedule		15.08				fee schedule		15.8				fee schedule		15.08	40.01	
HC Intrinsic Factor Antibodies	PX-300863400	CDM	86340	CPT	300	RC		inpatient			52	52																																																			
HC Hepatitis a Antibody (Haab)	PX-300867080	CDM	86708	CPT	302	RC		outpatient			52	12.39	16.56				fee schedule		12.39				fee schedule		32.89				fee schedule		12.39				fee schedule		12.39				fee schedule		12.39				fee schedule		12.39				fee schedule		12.39				fee schedule		12.39	32.89	
HC Hepatitis a Antibody (Haab)	PX-300867080	CDM	86708	CPT	302	RC		inpatient			52	52																																																			
HC Orthotics Fitting/Training 15 Mins	PX-420977601	CDM	420977601	LOCAL	420	RC		outpatient			52	52	52				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				fee schedule		52				fee schedule		54.41				percent of total billed charges		52				percent of total billed charges		52				fee schedule		38.48	54.41	
HC Orthotics Fitting/Training 15 Mins	PX-420977601	CDM	420977601	LOCAL	420	RC		inpatient			52	52																																																			
CANNULA OPHTHALMIC OD4 MM INFUSION STERILE DISPOSABLE	SUP-8065820101	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
CANNULA OPHTHALMIC OD4 MM INFUSION STERILE DISPOSABLE	SUP-8065820101	CDM			270	RC		inpatient			52	52																																																			
SHEATH - 4FX11CM BRITE TIP	SUP-99-04885	CDM			272	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
SHEATH - 4FX11CM BRITE TIP	SUP-99-04885	CDM			272	RC		inpatient			52	52																																																			
SHEATH - 5FX11CM BRITE TIP	SUP-99-04887	CDM			272	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
SHEATH - 5FX11CM BRITE TIP	SUP-99-04887	CDM			272	RC		inpatient			52	52																																																			
SHEATH - 6FX11CM BRITE TIP	SUP-99-04888	CDM			272	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
SHEATH - 6FX11CM BRITE TIP	SUP-99-04888	CDM			272	RC		inpatient			52	52																																																			
SHEATH - 7FX11CM BRITE TIP	SUP-99-04889	CDM			272	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
SHEATH - 7FX11CM BRITE TIP	SUP-99-04889	CDM			272	RC		inpatient			52	52																																																			
SUTURE NONABSORBABLE FIBERWIRE 2 1/2 CIRCLE STRAIGHT DIAMOND POINT REVERSE CUT L38 IN L36.6 MM BRAID TIES MULTISTRAND 2 STRAND LOWER KNOT PROFILE BLACK BLUE WHITE	SUP-AR-7201	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
SUTURE NONABSORBABLE FIBERWIRE 2 1/2 CIRCLE STRAIGHT DIAMOND POINT REVERSE CUT L38 IN L36.6 MM BRAID TIES MULTISTRAND 2 STRAND LOWER KNOT PROFILE BLACK BLUE WHITE	SUP-AR-7201	CDM			270	RC		inpatient			52	52																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE NYLON STAINLESS STEEL .038 IN SIM2 CURVE L 100 CM OD 5 FR CEREBRAL FLEXIBLE ATRAUMATIC TIP	SUP-G05976	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE NYLON STAINLESS STEEL .038 IN SIM2 CURVE L 100 CM OD 5 FR CEREBRAL FLEXIBLE ATRAUMATIC TIP	SUP-G05976	CDM			270	RC		inpatient			52	52																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGEBEACON TIP STAINLESS STEEL NYLON WEINBERG CEREBRAL CURVE LOW PROFILE TAPER L100CM OD 5FR RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-G07099	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGEBEACON TIP STAINLESS STEEL NYLON WEINBERG CEREBRAL CURVE LOW PROFILE TAPER L100CM OD 5FR RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-G07099	CDM			270	RC		inpatient			52	52																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON STAINLESS STEEL NYLON VTK CURVE L125 CM OD5 FR RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-G11642	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON STAINLESS STEEL NYLON VTK CURVE L125 CM OD5 FR RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-G11642	CDM			270	RC		inpatient			52	52																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP VANSCHIE 4 CURVE ANGLE L65 CM OD5 FR MULTIPURPOSE ACCEPTS .035 IN GUIDEWIRE	SUP-HNBR5.0-35-65-P-NS	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP VANSCHIE 4 CURVE ANGLE L65 CM OD5 FR MULTIPURPOSE ACCEPTS .035 IN GUIDEWIRE	SUP-HNBR5.0-35-65-P-NS	CDM			270	RC		inpatient			52	52																																																			
CANNISTER 150ML REPLACEMENT	SUP-PRE4095	CDM			270	RC		outpatient			52	52	14.09				percent of total billed charges		52				other	OPPS APC	38.48				percent of total billed charges		52				other	OPPS APC	52				other	OPPS APC	14.09				percent of total billed charges		14.37				percent of total billed charges		52				other	OPPS APC	14.09	52	
CANNISTER 150ML REPLACEMENT	SUP-PRE4095	CDM			270	RC		inpatient			52	52																																																			
BLADE SAW MICRO 100 MICROPOWER THK.4MM 5.5MM SS STERILE COARSE TOOTH SAGITTAL	SUP-00502313200	CDM			270	RC		outpatient			51.94	51.94	14.07				percent of total billed charges		51.94				other	OPPS APC	38.44				percent of total billed charges		51.94				other	OPPS APC	51.94				other	OPPS APC	14.07				percent of total billed charges		14.35				percent of total billed charges		51.94				other	OPPS APC	14.07	51.94	
BLADE SAW MICRO 100 MICROPOWER THK.4MM 5.5MM SS STERILE COARSE TOOTH SAGITTAL	SUP-00502313200	CDM			270	RC		inpatient			51.94	51.94																																																			
DEVICE ENDOSCOPIC PLUNGE BOB POLY OD5 MM PORT CLEANER Q TIP ABSORBENT OBTURATOR	SUP-TS-0005	CDM			270	RC		outpatient			51.8	51.8	14.03				percent of total billed charges		51.8				other	OPPS APC	38.33				percent of total billed charges		51.8				other	OPPS APC	51.8				other	OPPS APC	14.03				percent of total billed charges		14.31				percent of total billed charges		51.8				other	OPPS APC	14.03	51.8	
DEVICE ENDOSCOPIC PLUNGE BOB POLY OD5 MM PORT CLEANER Q TIP ABSORBENT OBTURATOR	SUP-TS-0005	CDM			270	RC		inpatient			51.8	51.8																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID10 FR PERIPHERAL DILATOR KINK RESISTANT	SUP-RSS006	CDM			270	RC		outpatient			51.76	51.76	14.02				percent of total billed charges		51.76				other	OPPS APC	38.3				percent of total billed charges		51.76				other	OPPS APC	51.76				other	OPPS APC	14.02				percent of total billed charges		14.3				percent of total billed charges		51.76				other	OPPS APC	14.02	51.76	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID10 FR PERIPHERAL DILATOR KINK RESISTANT	SUP-RSS006	CDM			270	RC		inpatient			51.76	51.76																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID9 FR CORONARY DILATOR KINK RESISTANT	SUP-RSS906	CDM			270	RC		outpatient			51.76	51.76	14.02				percent of total billed charges		51.76				other	OPPS APC	38.3				percent of total billed charges		51.76				other	OPPS APC	51.76				other	OPPS APC	14.02				percent of total billed charges		14.3				percent of total billed charges		51.76				other	OPPS APC	14.02	51.76	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID9 FR CORONARY DILATOR KINK RESISTANT	SUP-RSS906	CDM			270	RC		inpatient			51.76	51.76																																																			
PACK SURGICAL CUSTOM GYN LASER LATEX FREE PENINSULA REGIONAL MEDICAL CENTER	SUP-SMAHDLSPNA	CDM			270	RC		outpatient			51.76	51.76	14.02				percent of total billed charges		51.76				other	OPPS APC	38.3				percent of total billed charges		51.76				other	OPPS APC	51.76				other	OPPS APC	14.02				percent of total billed charges		14.3				percent of total billed charges		51.76				other	OPPS APC	14.02	51.76	
PACK SURGICAL CUSTOM GYN LASER LATEX FREE PENINSULA REGIONAL MEDICAL CENTER	SUP-SMAHDLSPNA	CDM			270	RC		inpatient			51.76	51.76																																																			
PONTO AFTER CASE KIT	SUP-97-00396	CDM			272	RC		outpatient			51.68	51.68	14				percent of total billed charges		51.68				other	OPPS APC	38.24				percent of total billed charges		51.68				other	OPPS APC	51.68				other	OPPS APC	14				percent of total billed charges		14.28				percent of total billed charges		51.68				other	OPPS APC	14	51.68	
PONTO AFTER CASE KIT	SUP-97-00396	CDM			272	RC		inpatient			51.68	51.68																																																			
DEVICE CLOSURE V-LOC 90 SURGALLOY 2-0 P-12 3/8 CIRCLE L 12IN L19MM REVERSE CUT ABSORBABLE 2 ANGLE CUT BARB PATTERN UNDYED	SUP-VLOCM0015	CDM			270	RC		outpatient			51.59	51.59	13.98				percent of total billed charges		51.59				other	OPPS APC	38.18				percent of total billed charges		51.59				other	OPPS APC	51.59				other	OPPS APC	13.98				percent of total billed charges		14.25				percent of total billed charges		51.59				other	OPPS APC	13.98	51.59	
DEVICE CLOSURE V-LOC 90 SURGALLOY 2-0 P-12 3/8 CIRCLE L 12IN L19MM REVERSE CUT ABSORBABLE 2 ANGLE CUT BARB PATTERN UNDYED	SUP-VLOCM0015	CDM			270	RC		inpatient			51.59	51.59																																																			
METHOCARBAMOL 100 MG/ML SOLUTION	636000000	CDM	70069-101-01	NDC	J2800	HCPCS		inpatient			51.57	51.57																																																			
METHOCARBAMOL 100 MG/ML SOLUTION	636000000	CDM	70069-101-01	NDC	J2800	HCPCS		outpatient			51.57	51.57																																															other	OPPS APC			
NEEDLE SPINAL WHITACRE 25G X 4.69	SUP-97-00171	CDM			272	RC		outpatient			51.5	51.5	13.95				percent of total billed charges		51.5				other	OPPS APC	38.11				percent of total billed charges		51.5				other	OPPS APC	51.5				other	OPPS APC	13.95				percent of total billed charges		14.23				percent of total billed charges		51.5				other	OPPS APC	13.95	51.5	
NEEDLE SPINAL WHITACRE 25G X 4.69	SUP-97-00171	CDM			272	RC		inpatient			51.5	51.5																																																			
STOCKING THIGH LONG XL	SUP-01-00236	CDM			271	RC		outpatient			51.47	51.47	13.94				percent of total billed charges		51.47				other	OPPS APC	38.09				percent of total billed charges		51.47				other	OPPS APC	51.47				other	OPPS APC	13.94				percent of total billed charges		14.22				percent of total billed charges		51.47				other	OPPS APC	13.94	51.47	
STOCKING THIGH LONG XL	SUP-01-00236	CDM			271	RC		inpatient			51.47	51.47																																																			
SUTURE NONABSORBABLE PROLENE 7-0 BV175-8 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-EP8755H	CDM			270	RC		outpatient			51.47	51.47	13.94				percent of total billed charges		51.47				other	OPPS APC	38.09				percent of total billed charges		51.47				other	OPPS APC	51.47				other	OPPS APC	13.94				percent of total billed charges		14.22				percent of total billed charges		51.47				other	OPPS APC	13.94	51.47	
SUTURE NONABSORBABLE PROLENE 7-0 BV175-8 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-EP8755H	CDM			270	RC		inpatient			51.47	51.47																																																			
DRESSING SILVER POST OP MEPILEX 10 X 25 CM (4 X 10 INCH)	SUP-498450	CDM			270	RC		outpatient			51.44	51.44	13.94				percent of total billed charges		51.44				other	OPPS APC	38.07				percent of total billed charges		51.44				other	OPPS APC	51.44				other	OPPS APC	13.94				percent of total billed charges		14.21				percent of total billed charges		51.44				other	OPPS APC	13.94	51.44	
DRESSING SILVER POST OP MEPILEX 10 X 25 CM (4 X 10 INCH)	SUP-498450	CDM			270	RC		inpatient			51.44	51.44																																																			
SCREW BONE PARTIAL THREAD L 75 MM OD 6.5 MM CANCELLOUS LOW PROFILE NONSTERILE	SUP-71828175	CDM			270	RC		outpatient			51.38	51.38	13.92				percent of total billed charges		51.38				other	OPPS APC	38.02				percent of total billed charges		51.38				other	OPPS APC	51.38				other	OPPS APC	13.92				percent of total billed charges		14.2				percent of total billed charges		51.38				other	OPPS APC	13.92	51.38	
SCREW BONE PARTIAL THREAD L 75 MM OD 6.5 MM CANCELLOUS LOW PROFILE NONSTERILE	SUP-71828175	CDM			270	RC		inpatient			51.38	51.38																																																			
SCREW BONE STANDARD 42MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.242	CDM	270010022	LOCAL	270	RC		outpatient			51.3	51.3	13.9				percent of total billed charges		51.3				other	OPPS APC	37.96				percent of total billed charges		51.3				other	OPPS APC	51.3				other	OPPS APC	13.9				percent of total billed charges		14.17				percent of total billed charges		51.3				other	OPPS APC	13.9	51.3	
SCREW BONE STANDARD 42MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.242	CDM	270010022	LOCAL	270	RC		inpatient			51.3	51.3																																																			
SCREW BONE STANDARD 44MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.244	CDM	270010022	LOCAL	270	RC		outpatient			51.3	51.3	13.9				percent of total billed charges		51.3				other	OPPS APC	37.96				percent of total billed charges		51.3				other	OPPS APC	51.3				other	OPPS APC	13.9				percent of total billed charges		14.17				percent of total billed charges		51.3				other	OPPS APC	13.9	51.3	
SCREW BONE STANDARD 44MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.244	CDM	270010022	LOCAL	270	RC		inpatient			51.3	51.3																																																			
SCREW BONE STANDARD 50MM 12MM 4.5MM SS NS SHAFT LG HEXAGONAL SOCKET	SUP-214.25	CDM	270010022	LOCAL	270	RC		outpatient			51.3	51.3	13.9				percent of total billed charges		51.3				other	OPPS APC	37.96				percent of total billed charges		51.3				other	OPPS APC	51.3				other	OPPS APC	13.9				percent of total billed charges		14.17				percent of total billed charges		51.3				other	OPPS APC	13.9	51.3	
SCREW BONE STANDARD 50MM 12MM 4.5MM SS NS SHAFT LG HEXAGONAL SOCKET	SUP-214.25	CDM	270010022	LOCAL	270	RC		inpatient			51.3	51.3																																																			
SCREW BONE 4.5MM 8MM 50MM 12MM DCP LC-DCP SS PARTIAL THREAD LONG BONE LG HEXAGONAL	SUP-214.250	CDM						inpatient			51.3	51.3																																																			
SCREW BONE 4.5MM 8MM 50MM 12MM DCP LC-DCP SS PARTIAL THREAD LONG BONE LG HEXAGONAL	SUP-214.250	CDM						outpatient			51.3	51.3	51.3				percent of total billed charges		51.3				other	OPPS APC	51.3				fee schedule		51.3				other	OPPS APC	51.3				other	OPPS APC	51.3				case rate		51.3				case rate		51.3				other	OPPS APC	51.3	51.3	
BRACE WALKING PACESETTER II 3-6.5IN 4-7.5IN STANDARD SM BLACK FOAM NS LF FOOT ANKLE 2 LAMINATE WRAP ROCKER SOLE CLOSED	SUP-CSG53550-A	CDM			270	RC		outpatient			51.24	51.24	13.88				percent of total billed charges		51.24				other	OPPS APC	37.92				percent of total billed charges		51.24				other	OPPS APC	51.24				other	OPPS APC	13.88				percent of total billed charges		14.16				percent of total billed charges		51.24				other	OPPS APC	13.88	51.24	
BRACE WALKING PACESETTER II 3-6.5IN 4-7.5IN STANDARD SM BLACK FOAM NS LF FOOT ANKLE 2 LAMINATE WRAP ROCKER SOLE CLOSED	SUP-CSG53550-A	CDM			270	RC		inpatient			51.24	51.24																																																			
BRACE WALKING PACESETTER II FOAM 7-8.5 8-10 MEDIUM STANDARD FOOT ANKLE 2 LAMINATE WRAP ROCKER SOLE CLOSED HEEL NONSTERILE LATEX FREE BLACK	SUP-CSG53550-B	CDM			270	RC		outpatient			51.24	51.24	13.88				percent of total billed charges		51.24				other	OPPS APC	37.92				percent of total billed charges		51.24				other	OPPS APC	51.24				other	OPPS APC	13.88				percent of total billed charges		14.16				percent of total billed charges		51.24				other	OPPS APC	13.88	51.24	
BRACE WALKING PACESETTER II FOAM 7-8.5 8-10 MEDIUM STANDARD FOOT ANKLE 2 LAMINATE WRAP ROCKER SOLE CLOSED HEEL NONSTERILE LATEX FREE BLACK	SUP-CSG53550-B	CDM			270	RC		inpatient			51.24	51.24																																																			
BRACE WALKING PACESETTER II 11-16 13+ STANDARD XL BLACK FOAM NS LF FOOT ANKLE WRAP LAMINATE ROCKER SOLE CLOSED HEEL	SUP-CSG53550-C	CDM			270	RC		outpatient			51.24	51.24	13.88				percent of total billed charges		51.24				other	OPPS APC	37.92				percent of total billed charges		51.24				other	OPPS APC	51.24				other	OPPS APC	13.88				percent of total billed charges		14.16				percent of total billed charges		51.24				other	OPPS APC	13.88	51.24	
BRACE WALKING PACESETTER II 11-16 13+ STANDARD XL BLACK FOAM NS LF FOOT ANKLE WRAP LAMINATE ROCKER SOLE CLOSED HEEL	SUP-CSG53550-C	CDM			270	RC		inpatient			51.24	51.24																																																			
BRACE WALKING PACESETTER II FOAM 9-10.5 10.5-12.5 LARGE STANDARD FOOT ANKLE 2 LAMINATE WRAP ROCKER SOLE CLOSED HEEL NONSTERILE LATEX FREE BLACK	SUP-CSG53550-D	CDM			270	RC		outpatient			51.24	51.24	13.88				percent of total billed charges		51.24				other	OPPS APC	37.92				percent of total billed charges		51.24				other	OPPS APC	51.24				other	OPPS APC	13.88				percent of total billed charges		14.16				percent of total billed charges		51.24				other	OPPS APC	13.88	51.24	
BRACE WALKING PACESETTER II FOAM 9-10.5 10.5-12.5 LARGE STANDARD FOOT ANKLE 2 LAMINATE WRAP ROCKER SOLE CLOSED HEEL NONSTERILE LATEX FREE BLACK	SUP-CSG53550-D	CDM			270	RC		inpatient			51.24	51.24																																																			
KWIRE STRYKER 1.6MM	SUP-45-80200S	CDM			270	RC		outpatient			51.2	51.23	13.87				percent of total billed charges		51.2				other	OPPS APC	37.89				percent of total billed charges		51.2				other	OPPS APC	51.2				other	OPPS APC	13.87				percent of total billed charges		14.15				percent of total billed charges		51.23				other	OPPS APC	13.87	51.23	
KWIRE STRYKER 1.6MM	SUP-45-80200S	CDM			270	RC		inpatient			51.2	51.2																																																			
BRUSH  DISPOSABLE CYTOLOGY	SUP-95-01006	CDM			272	RC		outpatient			51.17	51.17	13.86				percent of total billed charges		51.17				other	OPPS APC	37.87				percent of total billed charges		51.17				other	OPPS APC	51.17				other	OPPS APC	13.86				percent of total billed charges		14.14				percent of total billed charges		51.17				other	OPPS APC	13.86	51.17	
BRUSH  DISPOSABLE CYTOLOGY	SUP-95-01006	CDM			272	RC		inpatient			51.17	51.17																																																			
HC Immunoglobulin Iga Igd Igc Igm Each	PX-300827840	CDM	82784	CPT	301	RC		outpatient			51.14	9.37	12.43				fee schedule		9.3				fee schedule		24.68				fee schedule		9.3				fee schedule		9.3				fee schedule		9.3				fee schedule		9.3				fee schedule		9.37				fee schedule		9.3	24.68	
HC Immunoglobulin Iga Igd Igc Igm Each	PX-300827840	CDM	82784	CPT	301	RC		inpatient			51.14	51.14																																																			
PACK SURGICAL TOTAL KNEE ACCESSORY	SUP-DYNJ59294	CDM	270009119	LOCAL	270	RC		outpatient			51.13	51.13	13.85				percent of total billed charges		51.13				other	OPPS APC	37.84				percent of total billed charges		51.13				other	OPPS APC	51.13				other	OPPS APC	13.85				percent of total billed charges		14.13				percent of total billed charges		51.13				other	OPPS APC	13.85	51.13	
PACK SURGICAL TOTAL KNEE ACCESSORY	SUP-DYNJ59294	CDM	270009119	LOCAL	270	RC		inpatient			51.13	51.13																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	16714-130-01	NDC	J3301	HCPCS		inpatient			51	51																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	16714-130-01	NDC	J3301	HCPCS		outpatient			51	51																																															other	OPPS APC			
HC Hscrp  Cardiac	PX-300861410	CDM	86141	CPT	302	RC		outpatient			51	12.95	17.31				fee schedule		12.95				fee schedule		34.37				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95	34.37	
HC Hscrp  Cardiac	PX-300861410	CDM	86141	CPT	302	RC		inpatient			51	51																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L 150MM OD 2MM TROCAR POINT STERILE	SUP-71161020	CDM			270	RC		outpatient			51	51	13.82				percent of total billed charges		51				other	OPPS APC	37.74				percent of total billed charges		51				other	OPPS APC	51				other	OPPS APC	13.82				percent of total billed charges		14.09				percent of total billed charges		51				other	OPPS APC	13.82	51	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L 150MM OD 2MM TROCAR POINT STERILE	SUP-71161020	CDM			270	RC		inpatient			51	51																																																			
SHEATH - 6F X 23CM	SUP-99-03562	CDM			272	RC		outpatient			51	51	13.82				percent of total billed charges		51				other	OPPS APC	37.74				percent of total billed charges		51				other	OPPS APC	51				other	OPPS APC	13.82				percent of total billed charges		14.09				percent of total billed charges		51				other	OPPS APC	13.82	51	
SHEATH - 6F X 23CM	SUP-99-03562	CDM			272	RC		inpatient			51	51																																																			
PASSER SUTURE GABBAY-FRATER GUIDE ORGANIZER LATEX FREE VALVE	SUP-GFS-1A	CDM			270	RC		outpatient			51	51	13.82				percent of total billed charges		51				other	OPPS APC	37.74				percent of total billed charges		51				other	OPPS APC	51				other	OPPS APC	13.82				percent of total billed charges		14.09				percent of total billed charges		51				other	OPPS APC	13.82	51	
PASSER SUTURE GABBAY-FRATER GUIDE ORGANIZER LATEX FREE VALVE	SUP-GFS-1A	CDM			270	RC		inpatient			51	51																																																			
Mask  Full Face Xsmall W/Hg	PX-270000037	CDM			270	RC		outpatient			50.94	5.94	13.8				percent of total billed charges		50.94				other	OPPS APC	50.94				fee schedule		50.94				other	OPPS APC	50.94				other	OPPS APC	13.8				percent of total billed charges		14.07				percent of total billed charges		5.94				other	OPPS APC	5.94	50.94	
Mask  Full Face Xsmall W/Hg	PX-270000037	CDM			270	RC		inpatient			50.94	50.94																																																			
GUIDEWIRE UROLOGICAL AMPLATZ SUPER STIFF PTFE STRAIGHT L145 CM L3.5 CM OD.035 IN FLEXIBLE TIP FLAT WIRE OUTER COIL LATEX FREE	SUP-M0066401081	CDM			270	RC		outpatient			50.9	5.9	13.79				percent of total billed charges		50.9				other	OPPS APC	37.67				percent of total billed charges		50.9				other	OPPS APC	50.9				other	OPPS APC	13.79				percent of total billed charges		14.06				percent of total billed charges		5.9				other	OPPS APC	5.9	50.9	
GUIDEWIRE UROLOGICAL AMPLATZ SUPER STIFF PTFE STRAIGHT L145 CM L3.5 CM OD.035 IN FLEXIBLE TIP FLAT WIRE OUTER COIL LATEX FREE	SUP-M0066401081	CDM			270	RC		inpatient			50.9	50.9																																																			
TUBE TRACHEOSTOMY SHILEY 4 41MM 5.9MM 4MM DISPOSABLE STERILE LF PEDIATRIC UNCUFF SOFT FLANGE ROUND TIP OBTURATOR	SUP-4.0PED	CDM	270009156	LOCAL	270	RC		outpatient			50.7	5.73	13.73				percent of total billed charges		50.7				other	OPPS APC	37.52				percent of total billed charges		50.7				other	OPPS APC	50.7				other	OPPS APC	13.73				percent of total billed charges		14.01				percent of total billed charges		5.73				other	OPPS APC	5.73	50.7	
TUBE TRACHEOSTOMY SHILEY 4 41MM 5.9MM 4MM DISPOSABLE STERILE LF PEDIATRIC UNCUFF SOFT FLANGE ROUND TIP OBTURATOR	SUP-4.0PED	CDM	270009156	LOCAL	270	RC		inpatient			50.7	50.7																																																			
ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSPENSION FOR RECONSTITUTION 100 ML BOTTLE	637000000	CDM	75834-295-01	NDC	A9270	HCPCS		inpatient			50.68	50.68																																																			
ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML SUSPENSION FOR RECONSTITUTION 100 ML BOTTLE	637000000	CDM	75834-295-01	NDC	A9270	HCPCS		outpatient			50.68	50.68																																															other	OPPS APC			
LABETALOL 5 MG/ML SOLUTION	636000000	CDM	36000-320-01	NDC	J1920	HCPCS		inpatient			50.64	50.64																																																			
LABETALOL 5 MG/ML SOLUTION	636000000	CDM	36000-320-01	NDC	J1920	HCPCS		outpatient			50.64	0.18																																											0.18				other	OPPS APC	0.18	0.18	
MONSELS	SUP-77-00011	CDM			272	RC		outpatient			50.61	5.7	13.71				percent of total billed charges		50.61				other	OPPS APC	37.45				percent of total billed charges		50.61				other	OPPS APC	50.61				other	OPPS APC	13.71				percent of total billed charges		13.98				percent of total billed charges		5.7				other	OPPS APC	5.7	50.61	
MONSELS	SUP-77-00011	CDM			272	RC		inpatient			50.61	50.61																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 42MM	SUP-02.200.042	CDM	270010025	LOCAL	270	RC		outpatient			50.6	5.61	13.71				percent of total billed charges		50.6				other	OPPS APC	37.44				percent of total billed charges		50.6				other	OPPS APC	50.6				other	OPPS APC	13.71				percent of total billed charges		13.98				percent of total billed charges		5.61				other	OPPS APC	5.61	50.6	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 42MM	SUP-02.200.042	CDM	270010025	LOCAL	270	RC		inpatient			50.6	50.6																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 44MM	SUP-02.200.044	CDM	270010025	LOCAL	270	RC		outpatient			50.6	5.61	13.71				percent of total billed charges		50.6				other	OPPS APC	37.44				percent of total billed charges		50.6				other	OPPS APC	50.6				other	OPPS APC	13.71				percent of total billed charges		13.98				percent of total billed charges		5.61				other	OPPS APC	5.61	50.6	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 44MM	SUP-02.200.044	CDM	270010025	LOCAL	270	RC		inpatient			50.6	50.6																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 46MM	SUP-02.200.046	CDM	270010025	LOCAL	270	RC		outpatient			50.6	5.61	13.71				percent of total billed charges		50.6				other	OPPS APC	37.44				percent of total billed charges		50.6				other	OPPS APC	50.6				other	OPPS APC	13.71				percent of total billed charges		13.98				percent of total billed charges		5.61				other	OPPS APC	5.61	50.6	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 46MM	SUP-02.200.046	CDM	270010025	LOCAL	270	RC		inpatient			50.6	50.6																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 90MM	SUP-02.200.090	CDM	270010025	LOCAL	270	RC		outpatient			50.6	5.61	13.71				percent of total billed charges		50.6				other	OPPS APC	37.44				percent of total billed charges		50.6				other	OPPS APC	50.6				other	OPPS APC	13.71				percent of total billed charges		13.98				percent of total billed charges		5.61				other	OPPS APC	5.61	50.6	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 90MM	SUP-02.200.090	CDM	270010025	LOCAL	270	RC		inpatient			50.6	50.6																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 95MM	SUP-02.200.095	CDM	270010025	LOCAL	270	RC		outpatient			50.6	5.61	13.71				percent of total billed charges		50.6				other	OPPS APC	37.44				percent of total billed charges		50.6				other	OPPS APC	50.6				other	OPPS APC	13.71				percent of total billed charges		13.98				percent of total billed charges		5.61				other	OPPS APC	5.61	50.6	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 95MM	SUP-02.200.095	CDM	270010025	LOCAL	270	RC		inpatient			50.6	50.6																																																			
DIAZEPAM 5 MG/ML SYRINGE	636000000	CDM	0409-1273-03	NDC	J3360	HCPCS		inpatient			50.5	50.5																																																			
DIAZEPAM 5 MG/ML SYRINGE	636000000	CDM	0409-1273-03	NDC	J3360	HCPCS		outpatient			50.5	50.5																																															other	OPPS APC			
SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY	637000000	CDM	50742-505-01	NDC	A9270	HCPCS		inpatient			50.5	50.5																																																			
SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY	637000000	CDM	50742-505-04	NDC	A9270	HCPCS		inpatient			50.5	50.5																																																			
SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY	637000000	CDM	50742-505-01	NDC	A9270	HCPCS		outpatient			50.5	50.5																																															other	OPPS APC			
SCOPOLAMINE BASE 1 MG OVER 3 DAYS PATCH 3 DAY	637000000	CDM	50742-505-04	NDC	A9270	HCPCS		outpatient			50.5	50.5																																															other	OPPS APC			
Mask Full Face Small W/Hg	PX-270000008	CDM			270	RC		outpatient			50.46	5.46	13.67				percent of total billed charges		50.46				other	OPPS APC	50.46				fee schedule		50.46				other	OPPS APC	50.46				other	OPPS APC	13.67				percent of total billed charges		13.94				percent of total billed charges		5.46				other	OPPS APC	5.46	50.46	
Mask Full Face Small W/Hg	PX-270000008	CDM			270	RC		inpatient			50.46	50.46																																																			
CARDIO CONNECTOR 1:1	SUP-95-04960	CDM			272	RC		outpatient			50.37	5.37	13.65				percent of total billed charges		50.37				other	OPPS APC	37.27				percent of total billed charges		50.37				other	OPPS APC	50.37				other	OPPS APC	13.65				percent of total billed charges		13.92				percent of total billed charges		5.37				other	OPPS APC	5.37	50.37	
CARDIO CONNECTOR 1:1	SUP-95-04960	CDM			272	RC		inpatient			50.37	50.37																																																			
TUBING OPERATING TABLE ADVANCE CONTROL PAD SYSTEM QUICK CONNECT	SUP-5996-12	CDM			270	RC		outpatient			50.19	5.19	13.6				percent of total billed charges		50.19				other	OPPS APC	37.14				percent of total billed charges		50.19				other	OPPS APC	50.19				other	OPPS APC	13.6				percent of total billed charges		13.87				percent of total billed charges		5.19				other	OPPS APC	5.19	50.19	
TUBING OPERATING TABLE ADVANCE CONTROL PAD SYSTEM QUICK CONNECT	SUP-5996-12	CDM			270	RC		inpatient			50.19	50.19																																																			
DRAIN LATEX MALECOT 4WING 16FR	SUP-086016	CDM			270	RC		outpatient			50.1	5.11	13.57				percent of total billed charges		50.1				other	OPPS APC	37.07				percent of total billed charges		50.1				other	OPPS APC	50.1				other	OPPS APC	13.57				percent of total billed charges		13.84				percent of total billed charges		5.11				other	OPPS APC	5.11	50.1	
DRAIN LATEX MALECOT 4WING 16FR	SUP-086016	CDM			270	RC		inpatient			50.1	50.1																																																			
ELECTRODE ELECTROSURGICAL ULTRACLEAN TUNGSTEN NEEDLE MICRO STRAIGHT L4 CM DISPOSABLE	SUP-138506-10	CDM			270	RC		outpatient			50.06	5.62	13.56				percent of total billed charges		50.06				other	OPPS APC	37.04				percent of total billed charges		50.06				other	OPPS APC	50.06				other	OPPS APC	13.56				percent of total billed charges		13.83				percent of total billed charges		5.62				other	OPPS APC	5.62	50.06	
ELECTRODE ELECTROSURGICAL ULTRACLEAN TUNGSTEN NEEDLE MICRO STRAIGHT L4 CM DISPOSABLE	SUP-138506-10	CDM			270	RC		inpatient			50.06	50.06																																																			
NAMIC PRECEPTOR DT STANDARD POLE MOUNT KIT TRANSDUCER	SUP-70400052	CDM						inpatient			50.06	50.06																																																			
NAMIC PRECEPTOR DT STANDARD POLE MOUNT KIT TRANSDUCER	SUP-70400052	CDM						outpatient			50.06	5.62	50.06				percent of total billed charges		50.06				other	OPPS APC	50.06				fee schedule		50.06				other	OPPS APC	50.06				other	OPPS APC	50.06				case rate		50.06				case rate		5.62				other	OPPS APC	5.62	50.06	
Mask Full Face Med W/Hg	PX-270000009	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
Mask Full Face Med W/Hg	PX-270000009	CDM			270	RC		inpatient			50	50																																																			
HC Nephelometry  Ea Analyte Not Elsewhere Specified	PX-300838830	CDM	83883	CPT	300	RC		outpatient			50	13.6	18.17				fee schedule		13.6				fee schedule		36.1				fee schedule		13.6				fee schedule		13.6				fee schedule		13.6				fee schedule		13.6				fee schedule		13.6				fee schedule		13.6	36.1	
HC Nephelometry  Ea Analyte Not Elsewhere Specified	PX-300838830	CDM	83883	CPT	300	RC		inpatient			50	50																																																			
HC Vitamin E (Vite)	PX-300844460	CDM	84446	CPT	301	RC		outpatient			50	14.18	18.95				fee schedule		14.18				fee schedule		37.64				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18				fee schedule		14.18	37.64	
HC Vitamin E (Vite)	PX-300844460	CDM	84446	CPT	301	RC		inpatient			50	50																																																			
HC Chest 2 Views	PX-320710200	CDM	71046	CPT	320	RC		outpatient			50	91.5	20.49				fee schedule		91.5				other	OPPS APC	196.73				fee schedule		91.5				other	OPPS APC	91.5				other	OPPS APC	33.73				fee schedule		23.28				fee schedule		91.5				other	OPPS APC	20.49	196.73	
HC Chest 2 Views	PX-320710200	CDM	71046	CPT	320	RC		inpatient			50	50																																																			
HC 60 Min. Group	PX-510994121	CDM	99412	CPT	510	RC		inpatient			50	50																																																			
HC 60 Min. Group	PX-510994121	CDM	99412	CPT	510	RC		outpatient			50	5	169.66				case rate		50				other	OPPS APC	101				case rate		50				other	OPPS APC	50				fee schedule		169.66				case rate		173.05				case rate		5				other	OPPS APC	5	173.05	
HC MC Bh Group Therapy	PX-915908539	CDM	90853	CPT	915	RC		outpatient			50	79.89	26.25				fee schedule		79.89				other	OPPS APC	37				percent of total billed charges		79.89				other	OPPS APC	79.89				other	OPPS APC	23.03				fee schedule		25.5				percent of total billed charges		79.89				other	OPPS APC	23.03	79.89	
HC MC Bh Group Therapy	PX-915908539	CDM	90853	CPT	915	RC		inpatient			50	50																																																			
CR2 BATTERIES-STERILE	SUP-000656-01	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
CR2 BATTERIES-STERILE	SUP-000656-01	CDM			270	RC		inpatient			50	50																																																			
DRAPE EQUIPMENT S ENDOWRIST STANDARD CAMERA HEAD DISPOSABLE	SUP-400027	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
DRAPE EQUIPMENT S ENDOWRIST STANDARD CAMERA HEAD DISPOSABLE	SUP-400027	CDM			270	RC		inpatient			50	50																																																			
OBTURATOR LAPAROSCOPIC DA VINCI S/SI ENDOWRIST SHORT OD8 MM STERILE DISPOSABLE	SUP-420023	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
OBTURATOR LAPAROSCOPIC DA VINCI S/SI ENDOWRIST SHORT OD8 MM STERILE DISPOSABLE	SUP-420023	CDM			270	RC		inpatient			50	50																																																			
OBTURATOR LAPAROSCOPIC DA VINCI S/SI ENDOWRIST LONG OD8 MM STERILE DISPOSABLE	SUP-420024	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
OBTURATOR LAPAROSCOPIC DA VINCI S/SI ENDOWRIST LONG OD8 MM STERILE DISPOSABLE	SUP-420024	CDM			270	RC		inpatient			50	50																																																			
DRAPE EQUIPMENT DA VINCI S MONITOR VISION CART DISPOSABLE	SUP-420026	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
DRAPE EQUIPMENT DA VINCI S MONITOR VISION CART DISPOSABLE	SUP-420026	CDM			270	RC		inpatient			50	50																																																			
WRENCH SURGICAL HEXAGON LEAD	SUP-442-2	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
WRENCH SURGICAL HEXAGON LEAD	SUP-442-2	CDM			270	RC		inpatient			50	50																																																			
OBSOLETE PER VENDOR - OBTURATOR 8MM BLADELESS	SUP-470357	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
OBSOLETE PER VENDOR - OBTURATOR 8MM BLADELESS	SUP-470357	CDM			270	RC		inpatient			50	50																																																			
ENDOWRIST 12-8MM CANNULA REDUCER	SUP-470381	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
ENDOWRIST 12-8MM CANNULA REDUCER	SUP-470381	CDM			270	RC		inpatient			50	50																																																			
TOOL ADJUSTMENT HELIX LOCKING TOOL	SUP-A001HELX	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
TOOL ADJUSTMENT HELIX LOCKING TOOL	SUP-A001HELX	CDM			270	RC		inpatient			50	50																																																			
GUIDEWIRE ARTHROSCOPIC L203.2 MM OD.078 IN TROCAR TIP DISPOSABLE	SUP-AR-8956K-01	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
GUIDEWIRE ARTHROSCOPIC L203.2 MM OD.078 IN TROCAR TIP DISPOSABLE	SUP-AR-8956K-01	CDM			270	RC		inpatient			50	50																																																			
CUSP LOCK II	SUP-CLII	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
CUSP LOCK II	SUP-CLII	CDM			270	RC		inpatient			50	50																																																			
SPREADER ENDOSCOPIC AMPLIFEYE SMALL OD11-12.5 MM FLEXIBLE DETECTION ARM 1 ROW SECURE FIT STERILE DISPOSABLE	SUP-EYE-101	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
SPREADER ENDOSCOPIC AMPLIFEYE SMALL OD11-12.5 MM FLEXIBLE DETECTION ARM 1 ROW SECURE FIT STERILE DISPOSABLE	SUP-EYE-101	CDM			270	RC		inpatient			50	50																																																			
DRAPE G650DL	SUP-G650DL	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
DRAPE G650DL	SUP-G650DL	CDM			270	RC		inpatient			50	50																																																			
ADAPTER CATHETER 8IN 8FR BLUE POLYURETHANE HEMOSTASIS VALVE STOPCOCK SIDE ARM TUBE	SUP-HVA-100	CDM	270010015	LOCAL	270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
ADAPTER CATHETER 8IN 8FR BLUE POLYURETHANE HEMOSTASIS VALVE STOPCOCK SIDE ARM TUBE	SUP-HVA-100	CDM	270010015	LOCAL	270	RC		inpatient			50	50																																																			
DRAPE WARMING STERILE 44 X 44	SUP-ORS-100	CDM			270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
DRAPE WARMING STERILE 44 X 44	SUP-ORS-100	CDM			270	RC		inpatient			50	50																																																			
CLIK ANCHOR HEX WRENCH	SUP-SC-4276	CDM	270010020	LOCAL	270	RC		outpatient			50	5	13.55				percent of total billed charges		50				other	OPPS APC	37				percent of total billed charges		50				other	OPPS APC	50				other	OPPS APC	13.55				percent of total billed charges		13.82				percent of total billed charges		5				other	OPPS APC	5	50	
CLIK ANCHOR HEX WRENCH	SUP-SC-4276	CDM	270010020	LOCAL	270	RC		inpatient			50	50																																																			
BETAMETHASONE ACET & SOD PHOS PER 4 MG	636000000	CDM	78206-118-01	NDC	J0702	HCPCS		inpatient			49.9	49.9																																																			
BETAMETHASONE ACET & SOD PHOS PER 4 MG	636000000	CDM	78206-118-01	NDC	J0702	HCPCS		outpatient			49.9	49.9																																															other	OPPS APC			
SCREW BONE ST360 DEGREE TITANIUM L25 MM OD4.5 MM SPINE PEDICLE POLYAXIAL PIROUETTE TIMED NONSTERILE	SUP-07.00319.011	CDM	270010020	LOCAL	270	RC		outpatient			49.9	49.9	13.52				percent of total billed charges		49.9				other	OPPS APC	36.93				percent of total billed charges		49.9				other	OPPS APC	49.9				other	OPPS APC	13.52				percent of total billed charges		13.79				percent of total billed charges		49.9				other	OPPS APC	13.52	49.9	
SCREW BONE ST360 DEGREE TITANIUM L25 MM OD4.5 MM SPINE PEDICLE POLYAXIAL PIROUETTE TIMED NONSTERILE	SUP-07.00319.011	CDM	270010020	LOCAL	270	RC		inpatient			49.9	49.9																																																			
TRAY LATEX FOLEY CATH 16FR	SUP-03-00031	CDM			272	RC		outpatient			49.85	49.85	13.5				percent of total billed charges		49.85				other	OPPS APC	36.89				percent of total billed charges		49.85				other	OPPS APC	49.85				other	OPPS APC	13.5				percent of total billed charges		13.77				percent of total billed charges		49.85				other	OPPS APC	13.5	49.85	
TRAY LATEX FOLEY CATH 16FR	SUP-03-00031	CDM			272	RC		inpatient			49.85	49.85																																																			
CATHETER PERITONEAL DIALYSIS TENCKHOFF BETA-CAP ARGYLE SILICONE L42 CM OD15 FR 2 CUFF CLAMP ADAPTER RADIOPAQUE	SUP-8810888003	CDM	270009028	LOCAL	270	RC		outpatient			49.8	49.8	13.49				percent of total billed charges		49.8				other	OPPS APC	36.85				percent of total billed charges		49.8				other	OPPS APC	49.8				other	OPPS APC	13.49				percent of total billed charges		13.76				percent of total billed charges		49.8				other	OPPS APC	13.49	49.8	
CATHETER PERITONEAL DIALYSIS TENCKHOFF BETA-CAP ARGYLE SILICONE L42 CM OD15 FR 2 CUFF CLAMP ADAPTER RADIOPAQUE	SUP-8810888003	CDM	270009028	LOCAL	270	RC		inpatient			49.8	49.8																																																			
SUTURE ABSORBABLE VICRYL LIGAPAK 3-0 L54 IN BRAID REEL COATED UNDYED	SUP-J285G	CDM			270	RC		outpatient			49.72	49.72	13.47				percent of total billed charges		49.72				other	OPPS APC	36.79				percent of total billed charges		49.72				other	OPPS APC	49.72				other	OPPS APC	13.47				percent of total billed charges		13.74				percent of total billed charges		49.72				other	OPPS APC	13.47	49.72	
SUTURE ABSORBABLE VICRYL LIGAPAK 3-0 L54 IN BRAID REEL COATED UNDYED	SUP-J285G	CDM			270	RC		inpatient			49.72	49.72																																																			
PACK SURGICAL CUSTOM TOTAL SHOULDER ACCESSORY LF	SUP-SOPHDTSPNA	CDM			270	RC		outpatient			49.63	49.63	13.44				percent of total billed charges		49.63				other	OPPS APC	36.73				percent of total billed charges		49.63				other	OPPS APC	49.63				other	OPPS APC	13.44				percent of total billed charges		13.71				percent of total billed charges		49.63				other	OPPS APC	13.44	49.63	
PACK SURGICAL CUSTOM TOTAL SHOULDER ACCESSORY LF	SUP-SOPHDTSPNA	CDM			270	RC		inpatient			49.63	49.63																																																			
PACK VITRECTOMY 20G	SUP-AS1212101	CDM	270009169	LOCAL	270	RC		outpatient			49.56	49.56	13.43				percent of total billed charges		49.56				other	OPPS APC	36.67				percent of total billed charges		49.56				other	OPPS APC	49.56				other	OPPS APC	13.43				percent of total billed charges		13.69				percent of total billed charges		49.56				other	OPPS APC	13.43	49.56	
PACK VITRECTOMY 20G	SUP-AS1212101	CDM	270009169	LOCAL	270	RC		inpatient			49.56	49.56																																																			
CLIP EXTERNAL DISPOSABLE STERILE SCALP 10 CLIP 20 CARTRIDGE	SUP-FF013P	CDM			270	RC		outpatient			49.55	49.55	13.42				percent of total billed charges		49.55				other	OPPS APC	36.67				percent of total billed charges		49.55				other	OPPS APC	49.55				other	OPPS APC	13.42				percent of total billed charges		13.69				percent of total billed charges		49.55				other	OPPS APC	13.42	49.55	
CLIP EXTERNAL DISPOSABLE STERILE SCALP 10 CLIP 20 CARTRIDGE	SUP-FF013P	CDM			270	RC		inpatient			49.55	49.55																																																			
TWIST DRILL 1/8	SUP-78-00141	CDM			272	RC		outpatient			49.49	49.49	13.41				percent of total billed charges		49.49				other	OPPS APC	36.62				percent of total billed charges		49.49				other	OPPS APC	49.49				other	OPPS APC	13.41				percent of total billed charges		13.67				percent of total billed charges		49.49				other	OPPS APC	13.41	49.49	
TWIST DRILL 1/8	SUP-78-00141	CDM			272	RC		inpatient			49.49	49.49																																																			
WASHER ORTHOPEDIC 13MM SS NS 6.5/7/7.3MM CANNULATED SCREW	SUP-219.99	CDM	270010022	LOCAL	270	RC		outpatient			49.48	49.48	13.4				percent of total billed charges		49.48				other	OPPS APC	36.62				percent of total billed charges		49.48				other	OPPS APC	49.48				other	OPPS APC	13.4				percent of total billed charges		13.67				percent of total billed charges		49.48				other	OPPS APC	13.4	49.48	
WASHER ORTHOPEDIC 13MM SS NS 6.5/7/7.3MM CANNULATED SCREW	SUP-219.99	CDM	270010022	LOCAL	270	RC		inpatient			49.48	49.48																																																			
WASHER ORTHOPEDIC 13MM TITANIUM NS LG SCREW	SUP-419.99	CDM	270010022	LOCAL	270	RC		outpatient			49.48	49.48	13.4				percent of total billed charges		49.48				other	OPPS APC	36.62				percent of total billed charges		49.48				other	OPPS APC	49.48				other	OPPS APC	13.4				percent of total billed charges		13.67				percent of total billed charges		49.48				other	OPPS APC	13.4	49.48	
WASHER ORTHOPEDIC 13MM TITANIUM NS LG SCREW	SUP-419.99	CDM	270010022	LOCAL	270	RC		inpatient			49.48	49.48																																																			
TUBING COMPRESSION KENDALL SCD KENDALL SCD EXPRESS L7 FT SET SLEEVE	SUP-9528	CDM						inpatient			49.4	49.4																																																			
TUBING COMPRESSION KENDALL SCD KENDALL SCD EXPRESS L7 FT SET SLEEVE	SUP-9528	CDM						outpatient			49.4	49.4	49.4				percent of total billed charges		49.4				other	OPPS APC	49.4				fee schedule		49.4				other	OPPS APC	49.4				other	OPPS APC	49.4				case rate		49.4				case rate		49.4				other	OPPS APC	49.4	49.4	
LMA SZ 4 SUPREME	SUP-97-00591	CDM			272	RC		outpatient			49.4	49.4	13.38				percent of total billed charges		49.4				other	OPPS APC	36.56				percent of total billed charges		49.4				other	OPPS APC	49.4				other	OPPS APC	13.38				percent of total billed charges		13.65				percent of total billed charges		49.4				other	OPPS APC	13.38	49.4	
LMA SZ 4 SUPREME	SUP-97-00591	CDM			272	RC		inpatient			49.4	49.4																																																			
LMA SZ 5 SUPREME	SUP-97-00592	CDM			272	RC		outpatient			49.4	49.4	13.38				percent of total billed charges		49.4				other	OPPS APC	36.56				percent of total billed charges		49.4				other	OPPS APC	49.4				other	OPPS APC	13.38				percent of total billed charges		13.65				percent of total billed charges		49.4				other	OPPS APC	13.38	49.4	
LMA SZ 5 SUPREME	SUP-97-00592	CDM			272	RC		inpatient			49.4	49.4																																																			
MASK CONTOUR SMALL DISP NASAL MASK	SUP-30-00036	CDM			272	RC		outpatient			49.24	49.24	13.34				percent of total billed charges		49.24				other	OPPS APC	36.44				percent of total billed charges		49.24				other	OPPS APC	49.24				other	OPPS APC	13.34				percent of total billed charges		13.61				percent of total billed charges		49.24				other	OPPS APC	13.34	49.24	
MASK CONTOUR SMALL DISP NASAL MASK	SUP-30-00036	CDM			272	RC		inpatient			49.24	49.24																																																			
GONIOMETER 12 STANDARD	SUP-95-01685	CDM			272	RC		outpatient			49.12	49.12	13.31				percent of total billed charges		49.12				other	OPPS APC	36.35				percent of total billed charges		49.12				other	OPPS APC	49.12				other	OPPS APC	13.31				percent of total billed charges		13.57				percent of total billed charges		49.12				other	OPPS APC	13.31	49.12	
GONIOMETER 12 STANDARD	SUP-95-01685	CDM			272	RC		inpatient			49.12	49.12																																																			
MASK CONTOUR PETITE DISP NASAL MASK	SUP-30-00037	CDM			272	RC		outpatient			49.04	49.4	13.28				percent of total billed charges		49.04				other	OPPS APC	36.29				percent of total billed charges		49.04				other	OPPS APC	49.04				other	OPPS APC	13.28				percent of total billed charges		13.55				percent of total billed charges		49.4				other	OPPS APC	13.28	49.4	
MASK CONTOUR PETITE DISP NASAL MASK	SUP-30-00037	CDM			272	RC		inpatient			49.04	49.04																																																			
HC Observation Carve Out	PX-762003780	CDM			762	RC		inpatient			49	49																																																			
HC Observation Carve Out	PX-762003780	CDM			762	RC		outpatient			49	49	195.77				case rate		49				other	OPPS APC	641				case rate		49				other	OPPS APC	49				other	OPPS APC	195.77				case rate		1224				case rate		49				other	OPPS APC	49	1224	
HC Observation Service	PX-762003781	CDM			762	RC		inpatient			49	49																																																			
HC Observation Service	PX-762003781	CDM			762	RC		outpatient			49	49	195.77				case rate		49				other	OPPS APC	641				case rate		49				other	OPPS APC	49				other	OPPS APC	195.77				case rate		1224				case rate		49				other	OPPS APC	49	1224	
CATHETER OPEN END POLLACK 5 FR	SUP-70-00007	CDM			272	RC		outpatient			48.96	48.96	13.26				percent of total billed charges		48.96				other	OPPS APC	36.23				percent of total billed charges		48.96				other	OPPS APC	48.96				other	OPPS APC	13.26				percent of total billed charges		13.53				percent of total billed charges		48.96				other	OPPS APC	13.26	48.96	
CATHETER OPEN END POLLACK 5 FR	SUP-70-00007	CDM			272	RC		inpatient			48.96	48.96																																																			
STRAP POSITIONING DEVON L60 IN X W4 IN BODY KNEE LATEX FREE REUSABLE	SUP-31142964	CDM						inpatient			48.83	48.83																																																			
STRAP POSITIONING DEVON L60 IN X W4 IN BODY KNEE LATEX FREE REUSABLE	SUP-31142964	CDM						outpatient			48.83	48.83	48.83				percent of total billed charges		48.83				other	OPPS APC	48.83				fee schedule		48.83				other	OPPS APC	48.83				other	OPPS APC	48.83				case rate		48.83				case rate		48.83				other	OPPS APC	48.83	48.83	
CANNULA INFUSION OD23 GA VISCOUS FLUID HANDS FREE SILICONE OIL BIMANUAL SURGERY	SUP-3246	CDM			270	RC		outpatient			48.8	48.8	13.22				percent of total billed charges		48.8				other	OPPS APC	36.11				percent of total billed charges		48.8				other	OPPS APC	48.8				other	OPPS APC	13.22				percent of total billed charges		13.48				percent of total billed charges		48.8				other	OPPS APC	13.22	48.8	
CANNULA INFUSION OD23 GA VISCOUS FLUID HANDS FREE SILICONE OIL BIMANUAL SURGERY	SUP-3246	CDM			270	RC		inpatient			48.8	48.8																																																			
GUIDE WIRE 3 MM X 40 CM	SUP-29-00001	CDM			272	RC		outpatient			48.76	48.76	13.21				percent of total billed charges		48.76				other	OPPS APC	36.08				percent of total billed charges		48.76				other	OPPS APC	48.76				other	OPPS APC	13.21				percent of total billed charges		13.47				percent of total billed charges		48.76				other	OPPS APC	13.21	48.76	
GUIDE WIRE 3 MM X 40 CM	SUP-29-00001	CDM			272	RC		inpatient			48.76	48.76																																																			
EPINEPHRINE 0.1 MG/ML SYRINGE	636000000	CDM	76329-3318-1	NDC	J0171	HCPCS		inpatient			48.75	48.75																																																			
EPINEPHRINE 0.1 MG/ML SYRINGE	636000000	CDM	76329-3318-1	NDC	J0171	HCPCS		outpatient			48.75	48.75																																															other	OPPS APC			
BRONCH SUCTION BUTTON	SUP-95-00826	CDM			272	RC		outpatient			48.7	48.73	13.19				percent of total billed charges		48.7				other	OPPS APC	36.04				percent of total billed charges		48.7				other	OPPS APC	48.7				other	OPPS APC	13.19				percent of total billed charges		13.46				percent of total billed charges		48.73				other	OPPS APC	13.19	48.73	
BRONCH SUCTION BUTTON	SUP-95-00826	CDM			272	RC		inpatient			48.7	48.7																																																			
SCREW BONE PERI-LOC T25 L30MM OD 4.5MM CORTEX SELF TAP LOCK	SUP-73826030	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
SCREW BONE PERI-LOC T25 L30MM OD 4.5MM CORTEX SELF TAP LOCK	SUP-73826030	CDM			270	RC		inpatient			48.68	48.68																																																			
SCREW BONE PERI-LOC t 25 L 32 MM OD 4.5 MM CORTEX SELF TAP NONSTERILE	SUP-73826032	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
SCREW BONE PERI-LOC t 25 L 32 MM OD 4.5 MM CORTEX SELF TAP NONSTERILE	SUP-73826032	CDM			270	RC		inpatient			48.68	48.68																																																			
SCREW BONE PERI-LOC T25 L 34 MM OD 4.5 MM CORTEX SELF-TAP	SUP-73826034	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
SCREW BONE PERI-LOC T25 L 34 MM OD 4.5 MM CORTEX SELF-TAP	SUP-73826034	CDM			270	RC		inpatient			48.68	48.68																																																			
SCREW BONE PERI-LOC T25 L 36 MM OD 4.5 CORTEX SELF-TAP	SUP-73826036	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
SCREW BONE PERI-LOC T25 L 36 MM OD 4.5 CORTEX SELF-TAP	SUP-73826036	CDM			270	RC		inpatient			48.68	48.68																																																			
SCREW BONE PERI-LOC T25 L42MM OD 4.5MM CORTEX SELF TAP LOCK	SUP-73826042	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
SCREW BONE PERI-LOC T25 L42MM OD 4.5MM CORTEX SELF TAP LOCK	SUP-73826042	CDM			270	RC		inpatient			48.68	48.68																																																			
SCREW BONE PERI-LOCT25 L 48 MM OD 4.5 MM CORTEX SELF TAP	SUP-73826048	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
SCREW BONE PERI-LOCT25 L 48 MM OD 4.5 MM CORTEX SELF TAP	SUP-73826048	CDM			270	RC		inpatient			48.68	48.68																																																			
EVACUATOR UROLOGY UROVAC BLADDER ADAPTER IRRIGATION LATEX DISPOSABLE	SUP-M0067301251	CDM			270	RC		outpatient			48.68	48.68	13.19				percent of total billed charges		48.68				other	OPPS APC	36.02				percent of total billed charges		48.68				other	OPPS APC	48.68				other	OPPS APC	13.19				percent of total billed charges		13.45				percent of total billed charges		48.68				other	OPPS APC	13.19	48.68	
EVACUATOR UROLOGY UROVAC BLADDER ADAPTER IRRIGATION LATEX DISPOSABLE	SUP-M0067301251	CDM			270	RC		inpatient			48.68	48.68																																																			
INTRODUCER SHEATH PINNACLE R/O II L6 CM L2.5 CM ID6 FR DILATOR RADIOPAQUE MARKER	SUP-RSB601	CDM			270	RC		outpatient			48.6	48.61	13.17				percent of total billed charges		48.6				other	OPPS APC	35.96				percent of total billed charges		48.6				other	OPPS APC	48.6				other	OPPS APC	13.17				percent of total billed charges		13.43				percent of total billed charges		48.61				other	OPPS APC	13.17	48.61	
INTRODUCER SHEATH PINNACLE R/O II L6 CM L2.5 CM ID6 FR DILATOR RADIOPAQUE MARKER	SUP-RSB601	CDM			270	RC		inpatient			48.6	48.6																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	0409-6729-11	NDC	J3475	HCPCS		inpatient			48.59	48.59																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	0409-6729-11	NDC	J3475	HCPCS		outpatient			48.59	48.59																																															other	OPPS APC			
IMMOBILIZER ORTHOPEDIC FOAM THK3/8 IN UNIVERSAL L19 IN OD29 IN ODSEC21 IN KNEE CUT AWAY HOOK OUTER LAYER 3 POSTERIOR STAY LATEX FREE	SUP-35-00034	CDM			271	RC		outpatient			48.56	48.56	13.15				percent of total billed charges		48.56				other	OPPS APC	35.93				percent of total billed charges		48.56				other	OPPS APC	48.56				other	OPPS APC	13.15				percent of total billed charges		13.42				percent of total billed charges		48.56				other	OPPS APC	13.15	48.56	
IMMOBILIZER ORTHOPEDIC FOAM THK3/8 IN UNIVERSAL L19 IN OD29 IN ODSEC21 IN KNEE CUT AWAY HOOK OUTER LAYER 3 POSTERIOR STAY LATEX FREE	SUP-35-00034	CDM			271	RC		inpatient			48.56	48.56																																																			
VERRIS NEEDLE 120MM	SUP-76-00051	CDM			272	RC		outpatient			48.48	48.48	13.13				percent of total billed charges		48.48				other	OPPS APC	35.88				percent of total billed charges		48.48				other	OPPS APC	48.48				other	OPPS APC	13.13				percent of total billed charges		13.4				percent of total billed charges		48.48				other	OPPS APC	13.13	48.48	
VERRIS NEEDLE 120MM	SUP-76-00051	CDM			272	RC		inpatient			48.48	48.48																																																			
VERRIS NEEDLE 150MM	SUP-76-00052	CDM			272	RC		outpatient			48.48	48.48	13.13				percent of total billed charges		48.48				other	OPPS APC	35.88				percent of total billed charges		48.48				other	OPPS APC	48.48				other	OPPS APC	13.13				percent of total billed charges		13.4				percent of total billed charges		48.48				other	OPPS APC	13.13	48.48	
VERRIS NEEDLE 150MM	SUP-76-00052	CDM			272	RC		inpatient			48.48	48.48																																																			
MESH SURGICAL PROLITE POLYPROPYLENE STANDARD L6 IN X W3 IN KNIT INGUINAL INCISIONAL HERNIA REPAIR	SUP-1000306-00	CDM			270	RC		outpatient			48.43	48.43	13.12				percent of total billed charges		48.43				other	OPPS APC	35.84				percent of total billed charges		48.43				other	OPPS APC	48.43				other	OPPS APC	13.12				percent of total billed charges		13.38				percent of total billed charges		48.43				other	OPPS APC	13.12	48.43	
MESH SURGICAL PROLITE POLYPROPYLENE STANDARD L6 IN X W3 IN KNIT INGUINAL INCISIONAL HERNIA REPAIR	SUP-1000306-00	CDM			270	RC		inpatient			48.43	48.43																																																			
SCREW BONE TITANIUM L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILLING CROSS PIN	SUP-9215304	CDM			270	RC		outpatient			48.4	48.4	13.11				percent of total billed charges		48.4				other	OPPS APC	35.82				percent of total billed charges		48.4				other	OPPS APC	48.4				other	OPPS APC	13.11				percent of total billed charges		13.37				percent of total billed charges		48.4				other	OPPS APC	13.11	48.4	
SCREW BONE TITANIUM L4 MM OD1.5 MM CRANIOMAXILLOFACIAL SELF DRILLING CROSS PIN	SUP-9215304	CDM			270	RC		inpatient			48.4	48.4																																																			
SHEATH - 8F 23CM	SUP-99-00613	CDM			272	RC		outpatient			48.36	48.36	13.1				percent of total billed charges		48.36				other	OPPS APC	35.79				percent of total billed charges		48.36				other	OPPS APC	48.36				other	OPPS APC	13.1				percent of total billed charges		13.36				percent of total billed charges		48.36				other	OPPS APC	13.1	48.36	
SHEATH - 8F 23CM	SUP-99-00613	CDM			272	RC		inpatient			48.36	48.36																																																			
SUTURE ETHILON 10-0 TG140-8 12IN	SUP-95-05473	CDM			272	RC		outpatient			48.35	48.35	13.1				percent of total billed charges		48.35				other	OPPS APC	35.78				percent of total billed charges		48.35				other	OPPS APC	48.35				other	OPPS APC	13.1				percent of total billed charges		13.36				percent of total billed charges		48.35				other	OPPS APC	13.1	48.35	
SUTURE ETHILON 10-0 TG140-8 12IN	SUP-95-05473	CDM			272	RC		inpatient			48.35	48.35																																																			
SHOE FRONT OFFLOADING SMALL	SUP-35-00048	CDM			271	RC		outpatient			48.34	48.34	13.1				percent of total billed charges		48.34				other	OPPS APC	35.77				percent of total billed charges		48.34				other	OPPS APC	48.34				other	OPPS APC	13.1				percent of total billed charges		13.36				percent of total billed charges		48.34				other	OPPS APC	13.1	48.34	
SHOE FRONT OFFLOADING SMALL	SUP-35-00048	CDM			271	RC		inpatient			48.34	48.34																																																			
KIT POSITIONING WILSON L7 IN PATIENT CARE FRAME	SUP-5326	CDM			270	RC		outpatient			48.33	48.33	13.09				percent of total billed charges		48.33				other	OPPS APC	35.76				percent of total billed charges		48.33				other	OPPS APC	48.33				other	OPPS APC	13.09				percent of total billed charges		13.35				percent of total billed charges		48.33				other	OPPS APC	13.09	48.33	
KIT POSITIONING WILSON L7 IN PATIENT CARE FRAME	SUP-5326	CDM			270	RC		inpatient			48.33	48.33																																																			
"OXYCODONE ER 15 MG TABLET,ORAL ONLY,EXT.REL.12 HR"	637000000	CDM	59011-415-20	NDC	A9270	HCPCS		inpatient			48.32	48.32																																																			
"OXYCODONE ER 15 MG TABLET,ORAL ONLY,EXT.REL.12 HR"	637000000	CDM	59011-415-20	NDC	A9270	HCPCS		outpatient			48.32	48.32																																															other	OPPS APC			
GENTAMICIN PER 80 MG	636000000	CDM	63323-010-03	NDC	J1580	HCPCS		inpatient			48.22	48.22																																																			
GENTAMICIN PER 80 MG	636000000	CDM	63323-010-03	NDC	J1580	HCPCS		outpatient			48.22	48.22																																															other	OPPS APC			
SEVELAMER CARBONATE 0.8 GRAM POWDER IN PACKET	637000000	CDM	0115-1365-30	NDC	A9270	HCPCS		inpatient			48.14	48.14																																																			
SEVELAMER CARBONATE 0.8 GRAM POWDER IN PACKET	637000000	CDM	0115-1365-30	NDC	A9270	HCPCS		outpatient			48.14	48.14																																															other	OPPS APC			
PLUMEPEN ULTRA SURGICAL SMOKE EVAC PENCIL	SUP-PLPUL2020	CDM			270	RC		outpatient			48.13	48.13	13.04				percent of total billed charges		48.13				other	OPPS APC	35.62				percent of total billed charges		48.13				other	OPPS APC	48.13				other	OPPS APC	13.04				percent of total billed charges		13.3				percent of total billed charges		48.13				other	OPPS APC	13.04	48.13	
PLUMEPEN ULTRA SURGICAL SMOKE EVAC PENCIL	SUP-PLPUL2020	CDM			270	RC		inpatient			48.13	48.13																																																			
SHIELD SPLASH TIP W/SOFT CONE	SUP-74-00108	CDM			272	RC		outpatient			48.1	48.11	13.03				percent of total billed charges		48.1				other	OPPS APC	35.59				percent of total billed charges		48.1				other	OPPS APC	48.1				other	OPPS APC	13.03				percent of total billed charges		13.29				percent of total billed charges		48.11				other	OPPS APC	13.03	48.11	
SHIELD SPLASH TIP W/SOFT CONE	SUP-74-00108	CDM			272	RC		inpatient			48.1	48.1																																																			
CATHETER OPEN END POLLACK 4 FR	SUP-70-00006	CDM			272	RC		outpatient			48.05	48.5	13.02				percent of total billed charges		48.05				other	OPPS APC	35.56				percent of total billed charges		48.05				other	OPPS APC	48.05				other	OPPS APC	13.02				percent of total billed charges		13.28				percent of total billed charges		48.5				other	OPPS APC	13.02	48.5	
CATHETER OPEN END POLLACK 4 FR	SUP-70-00006	CDM			272	RC		inpatient			48.05	48.05																																																			
HC Glucose Fluid	PX-300829450	CDM	82945	CPT	301	RC		outpatient			48	3.93	5.25				fee schedule		3.93				fee schedule		10.41				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93	10.41	
HC Glucose Fluid	PX-300829450	CDM	82945	CPT	301	RC		inpatient			48	48																																																			
HC Fluid T. Protein (Fpro)	PX-300841570	CDM	84157	CPT	301	RC		outpatient			48	4	4.48				fee schedule		4				fee schedule		9.73				fee schedule		4				fee schedule		4				fee schedule		4				fee schedule		4				fee schedule		4				fee schedule		4	9.73	
HC Fluid T. Protein (Fpro)	PX-300841570	CDM	84157	CPT	301	RC		inpatient			48	48																																																			
HC Fluid T. Protein (Fpro)	PX-300841571	CDM	84157	CPT	300	RC		outpatient			48	4	4.48				fee schedule		4				fee schedule		9.73				fee schedule		4				fee schedule		4				fee schedule		4				fee schedule		4				fee schedule		4				fee schedule		4	9.73	
HC Fluid T. Protein (Fpro)	PX-300841571	CDM	84157	CPT	300	RC		inpatient			48	48																																																			
HC Bun (Bun)	PX-300845200	CDM	84520	CPT	301	RC		outpatient			48	3.95	5.28				fee schedule		3.95				fee schedule		10.47				fee schedule		3.95				fee schedule		3.95				fee schedule		3.95				fee schedule		3.95				fee schedule		3.95				fee schedule		3.95	10.47	
HC Bun (Bun)	PX-300845200	CDM	84520	CPT	301	RC		inpatient			48	48																																																			
HC Reticulocyte CT (Ret)	PX-300850450	CDM	85045	CPT	305	RC		outpatient			48	3.99	5.34				fee schedule		3.99				fee schedule		10.62				fee schedule		3.99				fee schedule		3.99				fee schedule		3.99				fee schedule		3.99				fee schedule		3.99				fee schedule		3.99	10.62	
HC Reticulocyte CT (Ret)	PX-300850450	CDM	85045	CPT	305	RC		inpatient			48	48																																																			
HC Platelet Count	PX-300850490	CDM	85049	CPT	305	RC		outpatient			48	4.48	5.99				fee schedule		4.48				fee schedule		11.88				fee schedule		4.48				fee schedule		4.48				fee schedule		4.48				fee schedule		4.48				fee schedule		4.48				fee schedule		4.48	11.88	
HC Platelet Count	PX-300850490	CDM	85049	CPT	305	RC		inpatient			48	48																																																			
HC Prothrombin Time (Prot)(Pros)	PX-300856100	CDM	85610	CPT	305	RC		outpatient			48	4.29	5.26				fee schedule		4.29				fee schedule		10.43				fee schedule		4.29				fee schedule		4.29				fee schedule		4.29				fee schedule		4.29				fee schedule		4.29				fee schedule		4.29	10.43	
HC Prothrombin Time (Prot)(Pros)	PX-300856100	CDM	85610	CPT	305	RC		inpatient			48	48																																																			
HC Sickle Cell Prep (Sikl)	PX-300856600	CDM	85660	CPT	300	RC		outpatient			48	5.6	6.03				fee schedule		5.51				fee schedule		14.44				fee schedule		5.51				fee schedule		5.51				fee schedule		5.51				fee schedule		5.51				fee schedule		5.6				fee schedule		5.51	14.44	
HC Sickle Cell Prep (Sikl)	PX-300856600	CDM	85660	CPT	300	RC		inpatient			48	48																																																			
HC Gram Stain (Gram)	PX-300872054	CDM	87205	CPT	306	RC		outpatient			48	4.27	5.7				fee schedule		4.27				fee schedule		11.32				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27	11.32	
HC Gram Stain (Gram)	PX-300872054	CDM	87205	CPT	306	RC		inpatient			48	48																																																			
HC Smear  Wet Mount  Simple Stain	PX-300872100	CDM	87210	CPT	306	RC		outpatient			48	5.82	5.7				fee schedule		5.82				fee schedule		11.32				fee schedule		5.82				fee schedule		5.82				fee schedule		5.82				fee schedule		5.82				fee schedule		5.82				fee schedule		5.7	11.32	
HC Smear  Wet Mount  Simple Stain	PX-300872100	CDM	87210	CPT	306	RC		inpatient			48	48																																																			
HC Fluid Cell Count (Fcc)	PX-300890500	CDM	89050	CPT	300	RC		outpatient			48	4.72	6.32				fee schedule		4.72				fee schedule		12.56				fee schedule		4.72				fee schedule		4.72				fee schedule		4.72				fee schedule		4.72				fee schedule		4.72				fee schedule		4.72	12.56	
HC Fluid Cell Count (Fcc)	PX-300890500	CDM	89050	CPT	300	RC		inpatient			48	48																																																			
HC Vaginal Smear Ferning	PX-306872051	CDM	87205	CPT	306	RC		outpatient			48	4.27	5.7				fee schedule		4.27				fee schedule		11.32				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27	11.32	
HC Vaginal Smear Ferning	PX-306872051	CDM	87205	CPT	306	RC		inpatient			48	48																																																			
HC Electrical Stimulatn Unatt Non Wound	PX-420970141	CDM	97014	CPT	420	RC		outpatient			48	12.26	48				percent of total billed charges		48				other	OPPS APC	45.51				fee schedule		48				fee schedule		48				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		12.26				fee schedule		12.26	50.23	
HC Electrical Stimulatn Unatt Non Wound	PX-420970141	CDM	97014	CPT	420	RC		inpatient			48	48																																																			
HC Pt E-Stim Not WC Manual 8-22	PX-420970320	CDM	97032	CPT	420	RC		outpatient			48	14.65	48				percent of total billed charges		14.65				fee schedule		44.28				fee schedule		14.65				fee schedule		14.65				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		14.65				fee schedule		14.65	50.23	
HC Pt E-Stim Not WC Manual 8-22	PX-420970320	CDM	97032	CPT	420	RC		inpatient			48	48																																																			
HC Ultrasound	PX-420970350	CDM	97035	CPT	420	RC		outpatient			48	14.65	48				percent of total billed charges		14.65				fee schedule		41.82				fee schedule		14.65				fee schedule		14.65				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		14.65				fee schedule		14.65	50.23	
HC Ultrasound	PX-420970350	CDM	97035	CPT	420	RC		inpatient			48	48																																																			
HC Therapeutic Exercises Th	PX-420971100	CDM	97110	CPT	420	RC		outpatient			48	3.12	48				percent of total billed charges		30.01				fee schedule		59.04				fee schedule		30.01				fee schedule		30.01				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		3.12				fee schedule		3.12	59.04	
HC Therapeutic Exercises Th	PX-420971100	CDM	97110	CPT	420	RC		inpatient			48	48																																																			
HC Electrical Stimulatn Unatt Non Wound	PX-430970141	CDM	97014	CPT	430	RC		outpatient			48	12.26	48				percent of total billed charges		48				other	OPPS APC	45.51				fee schedule		48				fee schedule		48				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		12.26				fee schedule		12.26	50.23	
HC Electrical Stimulatn Unatt Non Wound	PX-430970141	CDM	97014	CPT	430	RC		inpatient			48	48																																																			
HC Manual Electrical Stimulation 15 Min	PX-430970321	CDM	97032	CPT	430	RC		outpatient			48	14.65	48				percent of total billed charges		14.65				fee schedule		44.28				fee schedule		14.65				fee schedule		14.65				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		14.65				fee schedule		14.65	50.23	
HC Manual Electrical Stimulation 15 Min	PX-430970321	CDM	97032	CPT	430	RC		inpatient			48	48																																																			
HC Ultrasound (15 Mins.)	PX-430970351	CDM	97035	CPT	430	RC		outpatient			48	14.65	48				percent of total billed charges		14.65				fee schedule		41.82				fee schedule		14.65				fee schedule		14.65				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		14.65				fee schedule		14.65	50.23	
HC Ultrasound (15 Mins.)	PX-430970351	CDM	97035	CPT	430	RC		inpatient			48	48																																																			
HC Ot Therapeutic Exercise 15 Min Th	PX-430971100	CDM	97110	CPT	430	RC		outpatient			48	3.12	48				percent of total billed charges		30.01				fee schedule		59.04				fee schedule		30.01				fee schedule		30.01				fee schedule		50.23				percent of total billed charges		48				percent of total billed charges		3.12				fee schedule		3.12	59.04	
HC Ot Therapeutic Exercise 15 Min Th	PX-430971100	CDM	97110	CPT	430	RC		inpatient			48	48																																																			
HC D Iabetes OP Self Mgmt Group	PX-942001090	CDM			942	RC		outpatient			48	15.29	48				fee schedule		15.29				fee schedule		35.52				percent of total billed charges		15.29				fee schedule		15.29				fee schedule		23.52				percent of total billed charges		24.48				percent of total billed charges		15.29				fee schedule		15.29	48	
HC D Iabetes OP Self Mgmt Group	PX-942001090	CDM			942	RC		inpatient			48	48																																																			
PIN DRILL VELYS L175 MM OD4 MM ARRAY	SUP-451570006	CDM	270010025	LOCAL	270	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
PIN DRILL VELYS L175 MM OD4 MM ARRAY	SUP-451570006	CDM	270010025	LOCAL	270	RC		inpatient			48	48																																																			
CANNULA OPHTHALMIC SILICONE OD25 GA SOFT TIP DISPOSABLE	SUP-8065149525	CDM			270	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
CANNULA OPHTHALMIC SILICONE OD25 GA SOFT TIP DISPOSABLE	SUP-8065149525	CDM			270	RC		inpatient			48	48																																																			
SET TUBING VGFI OD23 GA VENT LATEX FREE DISPOSABLE	SUP-8065808002	CDM	270009187	LOCAL	270	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
SET TUBING VGFI OD23 GA VENT LATEX FREE DISPOSABLE	SUP-8065808002	CDM	270009187	LOCAL	270	RC		inpatient			48	48																																																			
COLD SNARE EXACTO	SUP-95-02005	CDM			272	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
COLD SNARE EXACTO	SUP-95-02005	CDM			272	RC		inpatient			48	48																																																			
CATHETER- MODIFIED HOOK 1 5F	SUP-99-00170	CDM			272	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
CATHETER- MODIFIED HOOK 1 5F	SUP-99-00170	CDM			272	RC		inpatient			48	48																																																			
CATHETER - BERENSTEIN 5F X 125	SUP-99-03560	CDM			272	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
CATHETER - BERENSTEIN 5F X 125	SUP-99-03560	CDM			272	RC		inpatient			48	48																																																			
CATHETER - BERENSTEIN 4F X 125	SUP-99-03561	CDM			272	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
CATHETER - BERENSTEIN 4F X 125	SUP-99-03561	CDM			272	RC		inpatient			48	48																																																			
CATHETER - RIM 5F (MERIT)	SUP-99-03687	CDM			272	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
CATHETER - RIM 5F (MERIT)	SUP-99-03687	CDM			272	RC		inpatient			48	48																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE NYLON STAINLESS STEEL .038 IN H1 CURVE L 100CM OD 5FR CEREBRAL FLEXIBLE ATRAUMATIC TIP	SUP-G06005	CDM			270	RC		outpatient			48	48	13				percent of total billed charges		48				other	OPPS APC	35.52				percent of total billed charges		48				other	OPPS APC	48				other	OPPS APC	13				percent of total billed charges		13.26				percent of total billed charges		48				other	OPPS APC	13	48	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE NYLON STAINLESS STEEL .038 IN H1 CURVE L 100CM OD 5FR CEREBRAL FLEXIBLE ATRAUMATIC TIP	SUP-G06005	CDM			270	RC		inpatient			48	48																																																			
OPSITE DRESSING LG	SUP-4988	CDM	270009208	LOCAL	270	RC		outpatient			47.89	47.89	12.97				percent of total billed charges		47.89				other	OPPS APC	35.44				percent of total billed charges		47.89				other	OPPS APC	47.89				other	OPPS APC	12.97				percent of total billed charges		13.23				percent of total billed charges		47.89				other	OPPS APC	12.97	47.89	
OPSITE DRESSING LG	SUP-4988	CDM	270009208	LOCAL	270	RC		inpatient			47.89	47.89																																																			
KIT DRESSING GRANUFOAM VAC POLYURETHANE FOAM HYDROPHOBIC THK3.3 CM LARGE STANDARD L26 CM X W15 CM 2 ADHESIVE DRAPE SENSATRAC PAD HARD TO REACH FLEXIBLE BLACK	SUP-M8275053/10	CDM	270009208	LOCAL	270	RC		outpatient			47.89	47.89	12.97				percent of total billed charges		47.89				other	OPPS APC	35.44				percent of total billed charges		47.89				other	OPPS APC	47.89				other	OPPS APC	12.97				percent of total billed charges		13.23				percent of total billed charges		47.89				other	OPPS APC	12.97	47.89	
KIT DRESSING GRANUFOAM VAC POLYURETHANE FOAM HYDROPHOBIC THK3.3 CM LARGE STANDARD L26 CM X W15 CM 2 ADHESIVE DRAPE SENSATRAC PAD HARD TO REACH FLEXIBLE BLACK	SUP-M8275053/10	CDM	270009208	LOCAL	270	RC		inpatient			47.89	47.89																																																			
SUTURE NONABSORBABLE PROLENE HEMO-SEAL ULTIMA 10-0 CTC-6L L4 IN 2 ARM MONOFILAMENT BLUE	SUP-9091G	CDM			270	RC		outpatient			47.86	47.86	12.97				percent of total billed charges		47.86				other	OPPS APC	35.42				percent of total billed charges		47.86				other	OPPS APC	47.86				other	OPPS APC	12.97				percent of total billed charges		13.22				percent of total billed charges		47.86				other	OPPS APC	12.97	47.86	
SUTURE NONABSORBABLE PROLENE HEMO-SEAL ULTIMA 10-0 CTC-6L L4 IN 2 ARM MONOFILAMENT BLUE	SUP-9091G	CDM			270	RC		inpatient			47.86	47.86																																																			
SYSTEM DISTENTION VEIN BONCHECK	SUP-BSVD200	CDM	270009148	LOCAL	270	RC		outpatient			47.84	47.84	12.96				percent of total billed charges		47.84				other	OPPS APC	35.4				percent of total billed charges		47.84				other	OPPS APC	47.84				other	OPPS APC	12.96				percent of total billed charges		13.22				percent of total billed charges		47.84				other	OPPS APC	12.96	47.84	
SYSTEM DISTENTION VEIN BONCHECK	SUP-BSVD200	CDM	270009148	LOCAL	270	RC		inpatient			47.84	47.84																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-036-01	NDC	J1650	HCPCS		inpatient			47.75	47.75																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-036-01	NDC	J1650	HCPCS		outpatient			47.75	47.75																																															other	OPPS APC			
BLADE SAW HALL MICROPOWER MICRO100 L41 MM X W9.5 MM X H.4 MM SAGITTAL FINE TOOTH	SUP-00502314400	CDM			270	RC		outpatient			47.74	47.74	12.93				percent of total billed charges		47.74				other	OPPS APC	35.33				percent of total billed charges		47.74				other	OPPS APC	47.74				other	OPPS APC	12.93				percent of total billed charges		13.19				percent of total billed charges		47.74				other	OPPS APC	12.93	47.74	
BLADE SAW HALL MICROPOWER MICRO100 L41 MM X W9.5 MM X H.4 MM SAGITTAL FINE TOOTH	SUP-00502314400	CDM			270	RC		inpatient			47.74	47.74																																																			
CANNISTER NEGATIVE PRESSURE 45ML PREVENA	SUP-PRE1095	CDM			270	RC		outpatient			47.74	47.74	12.93				percent of total billed charges		47.74				other	OPPS APC	35.33				percent of total billed charges		47.74				other	OPPS APC	47.74				other	OPPS APC	12.93				percent of total billed charges		13.19				percent of total billed charges		47.74				other	OPPS APC	12.93	47.74	
CANNISTER NEGATIVE PRESSURE 45ML PREVENA	SUP-PRE1095	CDM			270	RC		inpatient			47.74	47.74																																																			
SELF- SEALING CAP HYSTEROSCOPE	SUP-74-00401	CDM			272	RC		outpatient			47.7	47.73	12.92				percent of total billed charges		47.7				other	OPPS APC	35.3				percent of total billed charges		47.7				other	OPPS APC	47.7				other	OPPS APC	12.92				percent of total billed charges		13.18				percent of total billed charges		47.73				other	OPPS APC	12.92	47.73	
SELF- SEALING CAP HYSTEROSCOPE	SUP-74-00401	CDM			272	RC		inpatient			47.7	47.7																																																			
LMA MASK SZ 2	SUP-30-00096	CDM			272	RC		outpatient			47.62	47.62	12.9				percent of total billed charges		47.62				other	OPPS APC	35.24				percent of total billed charges		47.62				other	OPPS APC	47.62				other	OPPS APC	12.9				percent of total billed charges		13.16				percent of total billed charges		47.62				other	OPPS APC	12.9	47.62	
LMA MASK SZ 2	SUP-30-00096	CDM			272	RC		inpatient			47.62	47.62																																																			
TIRE SCLERAL SILICONE CONVEX OD6 MM ODSEC2.5 MM STYLE 286	SUP-92-22	CDM			270	RC		outpatient			47.6	47.61	12.89				percent of total billed charges		47.6				other	OPPS APC	35.22				percent of total billed charges		47.6				other	OPPS APC	47.6				other	OPPS APC	12.89				percent of total billed charges		13.15				percent of total billed charges		47.61				other	OPPS APC	12.89	47.61	
TIRE SCLERAL SILICONE CONVEX OD6 MM ODSEC2.5 MM STYLE 286	SUP-92-22	CDM			270	RC		inpatient			47.6	47.6																																																			
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE L18 CM L5.5 MM X H1-2.5 MM OD21 MM INTRALUMINAL STERILE LATEX FREE DISPOSABLE 12.4 MM LUMEN	SUP-ECS21B	CDM	270009089	LOCAL	270	RC		outpatient			47.59	47.59	12.89				percent of total billed charges		47.59				other	OPPS APC	35.22				percent of total billed charges		47.59				other	OPPS APC	47.59				other	OPPS APC	12.89				percent of total billed charges		13.15				percent of total billed charges		47.59				other	OPPS APC	12.89	47.59	
STAPLER INTERNAL PROXIMATE TITANIUM CURVE CIRCLE L18 CM L5.5 MM X H1-2.5 MM OD21 MM INTRALUMINAL STERILE LATEX FREE DISPOSABLE 12.4 MM LUMEN	SUP-ECS21B	CDM	270009089	LOCAL	270	RC		inpatient			47.59	47.59																																																			
SURGICAL CAUTERY- BATTERY OPER	SUP-24-00004	CDM			272	RC		outpatient			47.56	47.56	12.88				percent of total billed charges		47.56				other	OPPS APC	35.19				percent of total billed charges		47.56				other	OPPS APC	47.56				other	OPPS APC	12.88				percent of total billed charges		13.14				percent of total billed charges		47.56				other	OPPS APC	12.88	47.56	
SURGICAL CAUTERY- BATTERY OPER	SUP-24-00004	CDM			272	RC		inpatient			47.56	47.56																																																			
HC Arsenic (Arsu)	PX-300821750	CDM	82175	CPT	300	RC		outpatient			47.53	18.97	25.37				fee schedule		18.97				fee schedule		50.37				fee schedule		18.97				fee schedule		18.97				fee schedule		18.97				fee schedule		18.97				fee schedule		18.97				fee schedule		18.97	50.37	
HC Arsenic (Arsu)	PX-300821750	CDM	82175	CPT	300	RC		inpatient			47.53	47.53																																																			
HC Foley Catheter Tray	PX-270009004	CDM	270009004	LOCAL	270	RC		outpatient			47.52	47.52	12.87				percent of total billed charges		47.52				other	OPPS APC	35.16				percent of total billed charges		47.52				other	OPPS APC	47.52				other	OPPS APC	12.87				percent of total billed charges		13.13				percent of total billed charges		47.52				other	OPPS APC	12.87	47.52	
HC Foley Catheter Tray	PX-270009004	CDM	270009004	LOCAL	270	RC		inpatient			47.52	47.52																																																			
ANESTHESIA CIRCUIT ADULT	SUP-40-00067	CDM			272	RC		outpatient			47.49	47.49	12.87				percent of total billed charges		47.49				other	OPPS APC	35.14				percent of total billed charges		47.49				other	OPPS APC	47.49				other	OPPS APC	12.87				percent of total billed charges		13.12				percent of total billed charges		47.49				other	OPPS APC	12.87	47.49	
ANESTHESIA CIRCUIT ADULT	SUP-40-00067	CDM			272	RC		inpatient			47.49	47.49																																																			
RESUSCITATION BAG  ADULT	SUP-30-00097	CDM			272	RC		outpatient			47.45	47.45	12.85				percent of total billed charges		47.45				other	OPPS APC	35.11				percent of total billed charges		47.45				other	OPPS APC	47.45				other	OPPS APC	12.85				percent of total billed charges		13.11				percent of total billed charges		47.45				other	OPPS APC	12.85	47.45	
RESUSCITATION BAG  ADULT	SUP-30-00097	CDM			272	RC		inpatient			47.45	47.45																																																			
HC MC Med Nut Ther  Ind Re Asses	PX-510978039	CDM	97803	CPT	510	RC		inpatient			47.42	47.42																																																			
HC MC Med Nut Ther  Ind Re Asses	PX-510978039	CDM	97803	CPT	510	RC		outpatient			47.42	47.42	169.66				case rate		47.42				other	OPPS APC	101				case rate		47.42				other	OPPS APC	47.42				fee schedule		169.66				case rate		173.05				case rate		47.42				other	OPPS APC	47.42	173.05	
HC Mnt Interv & Reass Ind 15 Min	PX-942978030	CDM	97803	CPT	942	RC		outpatient			47.42	26.94	47.42				fee schedule		26.94				fee schedule		35.09				percent of total billed charges		26.94				fee schedule		26.94				fee schedule		23.24				percent of total billed charges		24.18				percent of total billed charges		26.94				fee schedule		23.24	47.42	
HC Mnt Interv & Reass Ind 15 Min	PX-942978030	CDM	97803	CPT	942	RC		inpatient			47.42	47.42																																																			
HC Mnt Fu 1:1 W Pt Each 15 Mins	PX-942978031	CDM	97803	CPT	942	RC		outpatient			47.42	26.94	47.42				fee schedule		26.94				fee schedule		35.09				percent of total billed charges		26.94				fee schedule		26.94				fee schedule		23.24				percent of total billed charges		24.18				percent of total billed charges		26.94				fee schedule		23.24	47.42	
HC Mnt Fu 1:1 W Pt Each 15 Mins	PX-942978031	CDM	97803	CPT	942	RC		inpatient			47.42	47.42																																																			
LMA DISP SZ 3	SUP-30-00082	CDM			272	RC		outpatient			47.39	47.39	12.84				percent of total billed charges		47.39				other	OPPS APC	35.07				percent of total billed charges		47.39				other	OPPS APC	47.39				other	OPPS APC	12.84				percent of total billed charges		13.09				percent of total billed charges		47.39				other	OPPS APC	12.84	47.39	
LMA DISP SZ 3	SUP-30-00082	CDM			272	RC		inpatient			47.39	47.39																																																			
PYRAZINAMIDE 500 MG TABLET	637000000	CDM	70954-484-10	NDC	A9270	HCPCS		inpatient			47.37	47.37																																																			
PYRAZINAMIDE 500 MG TABLET	637000000	CDM	70954-484-10	NDC	A9270	HCPCS		outpatient			47.37	47.37																																															other	OPPS APC			
18' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00424	CDM			272	RC		outpatient			47.24	47.24	12.8				percent of total billed charges		47.24				other	OPPS APC	34.96				percent of total billed charges		47.24				other	OPPS APC	47.24				other	OPPS APC	12.8				percent of total billed charges		13.05				percent of total billed charges		47.24				other	OPPS APC	12.8	47.24	
18' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00424	CDM			272	RC		inpatient			47.24	47.24																																																			
24' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00425	CDM			272	RC		outpatient			47.24	47.24	12.8				percent of total billed charges		47.24				other	OPPS APC	34.96				percent of total billed charges		47.24				other	OPPS APC	47.24				other	OPPS APC	12.8				percent of total billed charges		13.05				percent of total billed charges		47.24				other	OPPS APC	12.8	47.24	
24' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00425	CDM			272	RC		inpatient			47.24	47.24																																																			
34' A.T.S DISP CUFF W/SLEEVE	SUP-74-00426	CDM			272	RC		outpatient			47.24	47.24	12.8				percent of total billed charges		47.24				other	OPPS APC	34.96				percent of total billed charges		47.24				other	OPPS APC	47.24				other	OPPS APC	12.8				percent of total billed charges		13.05				percent of total billed charges		47.24				other	OPPS APC	12.8	47.24	
34' A.T.S DISP CUFF W/SLEEVE	SUP-74-00426	CDM			272	RC		inpatient			47.24	47.24																																																			
30' A.T.S. DISP CUFF W/SLEEVE	SUP-74-00448	CDM			272	RC		outpatient			47.24	47.24	12.8				percent of total billed charges		47.24				other	OPPS APC	34.96				percent of total billed charges		47.24				other	OPPS APC	47.24				other	OPPS APC	12.8				percent of total billed charges		13.05				percent of total billed charges		47.24				other	OPPS APC	12.8	47.24	
30' A.T.S. DISP CUFF W/SLEEVE	SUP-74-00448	CDM			272	RC		inpatient			47.24	47.24																																																			
TRAY FOLEY CATH 16FR LF DRAINAGE BAG	SUP-03-00028	CDM			272	RC		outpatient			47.19	47.19	12.78				percent of total billed charges		47.19				other	OPPS APC	34.92				percent of total billed charges		47.19				other	OPPS APC	47.19				other	OPPS APC	12.78				percent of total billed charges		13.04				percent of total billed charges		47.19				other	OPPS APC	12.78	47.19	
TRAY FOLEY CATH 16FR LF DRAINAGE BAG	SUP-03-00028	CDM			272	RC		inpatient			47.19	47.19																																																			
DRAINS MINI SYNDER 10 X 20	SUP-74-00022	CDM			272	RC		outpatient			47.17	47.17	12.78				percent of total billed charges		47.17				other	OPPS APC	34.91				percent of total billed charges		47.17				other	OPPS APC	47.17				other	OPPS APC	12.78				percent of total billed charges		13.03				percent of total billed charges		47.17				other	OPPS APC	12.78	47.17	
DRAINS MINI SYNDER 10 X 20	SUP-74-00022	CDM			272	RC		inpatient			47.17	47.17																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW 100MM 5MM DISPOSABLE STERILE STABILITY SLEEVE BLADELESS OBTURATOR RADIOLUCENT	SUP-2B5LT	CDM			270	RC		outpatient			47.16	47.16	12.78				percent of total billed charges		47.16				other	OPPS APC	34.9				percent of total billed charges		47.16				other	OPPS APC	47.16				other	OPPS APC	12.78				percent of total billed charges		13.03				percent of total billed charges		47.16				other	OPPS APC	12.78	47.16	
TROCAR LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW 100MM 5MM DISPOSABLE STERILE STABILITY SLEEVE BLADELESS OBTURATOR RADIOLUCENT	SUP-2B5LT	CDM			270	RC		inpatient			47.16	47.16																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL 100MM 11MM DISPOSABLE STERILE LF STABILITY SLEEVE BLADELESS OBTURATOR OPTIONAL PISTOL	SUP-B11LT	CDM			270	RC		outpatient			47.16	47.16	12.78				percent of total billed charges		47.16				other	OPPS APC	34.9				percent of total billed charges		47.16				other	OPPS APC	47.16				other	OPPS APC	12.78				percent of total billed charges		13.03				percent of total billed charges		47.16				other	OPPS APC	12.78	47.16	
TROCAR LAPAROSCOPIC ENDOPATH XCEL 100MM 11MM DISPOSABLE STERILE LF STABILITY SLEEVE BLADELESS OBTURATOR OPTIONAL PISTOL	SUP-B11LT	CDM			270	RC		inpatient			47.16	47.16																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL 100MM 12MM DISPOSABLE STERILE STABILITY SLEEVE DILATE	SUP-D12LT	CDM			270	RC		outpatient			47.16	47.16	12.78				percent of total billed charges		47.16				other	OPPS APC	34.9				percent of total billed charges		47.16				other	OPPS APC	47.16				other	OPPS APC	12.78				percent of total billed charges		13.03				percent of total billed charges		47.16				other	OPPS APC	12.78	47.16	
TROCAR LAPAROSCOPIC ENDOPATH XCEL 100MM 12MM DISPOSABLE STERILE STABILITY SLEEVE DILATE	SUP-D12LT	CDM			270	RC		inpatient			47.16	47.16																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW 100MM 12MM DISPOSABLE STERILE SMOOTH SLEEVE OBTURATOR BLUNT TIP PISTOL HANDLE	SUP-H12LP	CDM			270	RC		outpatient			47.16	47.16	12.78				percent of total billed charges		47.16				other	OPPS APC	34.9				percent of total billed charges		47.16				other	OPPS APC	47.16				other	OPPS APC	12.78				percent of total billed charges		13.03				percent of total billed charges		47.16				other	OPPS APC	12.78	47.16	
TROCAR LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW 100MM 12MM DISPOSABLE STERILE SMOOTH SLEEVE OBTURATOR BLUNT TIP PISTOL HANDLE	SUP-H12LP	CDM			270	RC		inpatient			47.16	47.16																																																			
LMA DISP SZ 5	SUP-30-00083	CDM			272	RC		outpatient			47.13	47.13	12.77				percent of total billed charges		47.13				other	OPPS APC	34.88				percent of total billed charges		47.13				other	OPPS APC	47.13				other	OPPS APC	12.77				percent of total billed charges		13.02				percent of total billed charges		47.13				other	OPPS APC	12.77	47.13	
LMA DISP SZ 5	SUP-30-00083	CDM			272	RC		inpatient			47.13	47.13																																																			
SHOE FRONT OFFLOADING MEDIUM	SUP-35-00049	CDM			271	RC		outpatient			47.08	47.8	12.75				percent of total billed charges		47.08				other	OPPS APC	34.84				percent of total billed charges		47.08				other	OPPS APC	47.08				other	OPPS APC	12.75				percent of total billed charges		13.01				percent of total billed charges		47.8				other	OPPS APC	12.75	47.8	
SHOE FRONT OFFLOADING MEDIUM	SUP-35-00049	CDM			271	RC		inpatient			47.08	47.08																																																			
SHOE FRONT OFFLOADING LARGE	SUP-35-00050	CDM			271	RC		outpatient			47.08	47.8	12.75				percent of total billed charges		47.08				other	OPPS APC	34.84				percent of total billed charges		47.08				other	OPPS APC	47.08				other	OPPS APC	12.75				percent of total billed charges		13.01				percent of total billed charges		47.8				other	OPPS APC	12.75	47.8	
SHOE FRONT OFFLOADING LARGE	SUP-35-00050	CDM			271	RC		inpatient			47.08	47.08																																																			
SHOE FRONT OFFLOADING  XL	SUP-35-00051	CDM			271	RC		outpatient			47.08	47.8	12.75				percent of total billed charges		47.08				other	OPPS APC	34.84				percent of total billed charges		47.08				other	OPPS APC	47.08				other	OPPS APC	12.75				percent of total billed charges		13.01				percent of total billed charges		47.8				other	OPPS APC	12.75	47.8	
SHOE FRONT OFFLOADING  XL	SUP-35-00051	CDM			271	RC		inpatient			47.08	47.08																																																			
CRUTCHES CHILD	SUP-38-00007	CDM			271	RC		outpatient			47.06	47.62	12.75				percent of total billed charges		47.06				other	OPPS APC	34.82				percent of total billed charges		47.06				other	OPPS APC	47.06				other	OPPS APC	12.75				percent of total billed charges		13				percent of total billed charges		47.62				other	OPPS APC	12.75	47.62	
CRUTCHES CHILD	SUP-38-00007	CDM			271	RC		inpatient			47.06	47.06																																																			
BLADE SAW SAGITTAL HEAVY DUTY	SUP-5301110051	CDM			270	RC		outpatient			47.06	47.62	12.75				percent of total billed charges		47.06				other	OPPS APC	34.82				percent of total billed charges		47.06				other	OPPS APC	47.06				other	OPPS APC	12.75				percent of total billed charges		13				percent of total billed charges		47.62				other	OPPS APC	12.75	47.62	
BLADE SAW SAGITTAL HEAVY DUTY	SUP-5301110051	CDM			270	RC		inpatient			47.06	47.06																																																			
CLIP INTERNAL WECK HEM-O-LOK LG CHEVRON HEART PURPLE POLYMER DISPOSABLE STERILE LF LIGATE NONABSORBABLE CARTRIDGE	SUP-544240	CDM			270	RC		outpatient			47.06	47.62	12.75				percent of total billed charges		47.06				other	OPPS APC	34.82				percent of total billed charges		47.06				other	OPPS APC	47.06				other	OPPS APC	12.75				percent of total billed charges		13				percent of total billed charges		47.62				other	OPPS APC	12.75	47.62	
CLIP INTERNAL WECK HEM-O-LOK LG CHEVRON HEART PURPLE POLYMER DISPOSABLE STERILE LF LIGATE NONABSORBABLE CARTRIDGE	SUP-544240	CDM			270	RC		inpatient			47.06	47.06																																																			
GUIDEWIRE ORTHOPEDIC STAINLESS STEEL L150 MM OD1.1 MM THREAD NONSTERILE 3 MM CANNULATED SCREW	SUP-292.622	CDM	270010022	LOCAL	270	RC		outpatient			47.04	47.4	12.74				percent of total billed charges		47.04				other	OPPS APC	34.81				percent of total billed charges		47.04				other	OPPS APC	47.04				other	OPPS APC	12.74				percent of total billed charges		13				percent of total billed charges		47.4				other	OPPS APC	12.74	47.4	
GUIDEWIRE ORTHOPEDIC STAINLESS STEEL L150 MM OD1.1 MM THREAD NONSTERILE 3 MM CANNULATED SCREW	SUP-292.622	CDM	270010022	LOCAL	270	RC		inpatient			47.04	47.04																																																			
GUIDEWIRE ORTHOPEDIC L150 MM OD1.25 MM THREAD NONSTERILE 3.5 MM CANNULATED SCREW	SUP-900.722	CDM	270010022	LOCAL	270	RC		outpatient			47.04	47.4	12.74				percent of total billed charges		47.04				other	OPPS APC	34.81				percent of total billed charges		47.04				other	OPPS APC	47.04				other	OPPS APC	12.74				percent of total billed charges		13				percent of total billed charges		47.4				other	OPPS APC	12.74	47.4	
GUIDEWIRE ORTHOPEDIC L150 MM OD1.25 MM THREAD NONSTERILE 3.5 MM CANNULATED SCREW	SUP-900.722	CDM	270010022	LOCAL	270	RC		inpatient			47.04	47.04																																																			
DONALDSON TUBE	SUP-72-00022	CDM			272	RC		outpatient			47.03	47.31	12.74				percent of total billed charges		47.03				other	OPPS APC	34.8				percent of total billed charges		47.03				other	OPPS APC	47.03				other	OPPS APC	12.74				percent of total billed charges		12.99				percent of total billed charges		47.31				other	OPPS APC	12.74	47.31	
DONALDSON TUBE	SUP-72-00022	CDM			272	RC		inpatient			47.03	47.03																																																			
HC Cyclic Citrullinated Peptide	PX-300862000	CDM	86200	CPT	302	RC		outpatient			47	12.95	17.31				fee schedule		12.95				fee schedule		34.85				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95				fee schedule		12.95	34.85	
HC Cyclic Citrullinated Peptide	PX-300862000	CDM	86200	CPT	302	RC		inpatient			47	47																																																			
HC Cl Difficile Latex Test (Cdt)	PX-300873240	CDM	87324	CPT	300	RC		outpatient			47	11.98	14.72				fee schedule		11.98				fee schedule		29.24				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98	29.24	
HC Cl Difficile Latex Test (Cdt)	PX-300873240	CDM	87324	CPT	300	RC		inpatient			47	47																																																			
IMPLANT INJECTABLE TRANSURETHRAL NEEDLE	SUP-652200	CDM			270	RC		outpatient			47	47	12.73				percent of total billed charges		47				other	OPPS APC	34.78				percent of total billed charges		47				other	OPPS APC	47				other	OPPS APC	12.73				percent of total billed charges		12.99				percent of total billed charges		47				other	OPPS APC	12.73	47	
IMPLANT INJECTABLE TRANSURETHRAL NEEDLE	SUP-652200	CDM			270	RC		inpatient			47	47																																																			
BRUSH CYTOLOGY COLON	SUP-95-02360	CDM			272	RC		outpatient			47	47	12.73				percent of total billed charges		47				other	OPPS APC	34.78				percent of total billed charges		47				other	OPPS APC	47				other	OPPS APC	12.73				percent of total billed charges		12.99				percent of total billed charges		47				other	OPPS APC	12.73	47	
BRUSH CYTOLOGY COLON	SUP-95-02360	CDM			272	RC		inpatient			47	47																																																			
LMA SIZE 1	SUP-95-02349	CDM			272	RC		outpatient			46.98	46.98	12.73				percent of total billed charges		46.98				other	OPPS APC	34.77				percent of total billed charges		46.98				other	OPPS APC	46.98				other	OPPS APC	12.73				percent of total billed charges		12.98				percent of total billed charges		46.98				other	OPPS APC	12.73	46.98	
LMA SIZE 1	SUP-95-02349	CDM			272	RC		inpatient			46.98	46.98																																																			
CRUTCHES ADULT MEDIUM	SUP-38-00011	CDM			271	RC		outpatient			46.94	46.94	12.72				percent of total billed charges		46.94				other	OPPS APC	34.74				percent of total billed charges		46.94				other	OPPS APC	46.94				other	OPPS APC	12.72				percent of total billed charges		12.97				percent of total billed charges		46.94				other	OPPS APC	12.72	46.94	
CRUTCHES ADULT MEDIUM	SUP-38-00011	CDM			271	RC		inpatient			46.94	46.94																																																			
CRUTCHES ADULT TALL	SUP-38-00012	CDM			271	RC		outpatient			46.94	46.94	12.72				percent of total billed charges		46.94				other	OPPS APC	34.74				percent of total billed charges		46.94				other	OPPS APC	46.94				other	OPPS APC	12.72				percent of total billed charges		12.97				percent of total billed charges		46.94				other	OPPS APC	12.72	46.94	
CRUTCHES ADULT TALL	SUP-38-00012	CDM			271	RC		inpatient			46.94	46.94																																																			
CRUTCHES YOUTH	SUP-38-00013	CDM			271	RC		outpatient			46.94	46.94	12.72				percent of total billed charges		46.94				other	OPPS APC	34.74				percent of total billed charges		46.94				other	OPPS APC	46.94				other	OPPS APC	12.72				percent of total billed charges		12.97				percent of total billed charges		46.94				other	OPPS APC	12.72	46.94	
CRUTCHES YOUTH	SUP-38-00013	CDM			271	RC		inpatient			46.94	46.94																																																			
SCREW BONE FULL THREAD 12MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.812	CDM	270010022	LOCAL	270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE FULL THREAD 12MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.812	CDM	270010022	LOCAL	270	RC		inpatient			46.88	46.88																																																			
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L20 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.82	CDM	270010022	LOCAL	270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L20 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.82	CDM	270010022	LOCAL	270	RC		inpatient			46.88	46.88																																																			
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L22 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.822	CDM	270010022	LOCAL	270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L22 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.822	CDM	270010022	LOCAL	270	RC		inpatient			46.88	46.88																																																			
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L24 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.824	CDM	270010022	LOCAL	270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L24 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.824	CDM	270010022	LOCAL	270	RC		inpatient			46.88	46.88																																																			
SCREW BONE FULL THREAD 26MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.826	CDM	270010022	LOCAL	270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE FULL THREAD 26MM 3.5MM 6MM TITANIUM NS CORTEX SELF TAP HEXAGONAL SM FRAGMENT SET	SUP-404.826	CDM	270010022	LOCAL	270	RC		inpatient			46.88	46.88																																																			
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L28 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.828	CDM	270010022	LOCAL	270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE LCP LC-DCP TITANIUM FULL THREAD HEXAGON L28 MM OD3.5 MM ODSEC6 MM TIBIA CORTICAL MEDIAL PROXIMAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.828	CDM	270010022	LOCAL	270	RC		inpatient			46.88	46.88																																																			
SCREW BONE TITANIUM 2.5 MM FULL THREAD L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.828	CDM			270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE TITANIUM 2.5 MM FULL THREAD L28 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.828	CDM			270	RC		inpatient			46.88	46.88																																																			
SCREW BONE TITANIUM 2.5 MM FULL THREAD L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.830	CDM			270	RC		outpatient			46.88	46.88	12.7				percent of total billed charges		46.88				other	OPPS APC	34.69				percent of total billed charges		46.88				other	OPPS APC	46.88				other	OPPS APC	12.7				percent of total billed charges		12.95				percent of total billed charges		46.88				other	OPPS APC	12.7	46.88	
SCREW BONE TITANIUM 2.5 MM FULL THREAD L30 MM OD3.5 MM ODSEC6 MM CORTEX SELF TAP LOW PROFILE HEAD SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-404.830	CDM			270	RC		inpatient			46.88	46.88																																																			
GUIDE DRILL SHORT OD1.8 MM THREAD NONSTERILE	SUP-323.035	CDM	270010022	LOCAL	270	RC		outpatient			46.86	46.86	12.69				percent of total billed charges		46.86				other	OPPS APC	34.68				percent of total billed charges		46.86				other	OPPS APC	46.86				other	OPPS APC	12.69				percent of total billed charges		12.95				percent of total billed charges		46.86				other	OPPS APC	12.69	46.86	
GUIDE DRILL SHORT OD1.8 MM THREAD NONSTERILE	SUP-323.035	CDM	270010022	LOCAL	270	RC		inpatient			46.86	46.86																																																			
MASK CONTOUR MED/LG DISP NASAL MASK	SUP-30-00038	CDM			272	RC		outpatient			46.78	46.78	12.67				percent of total billed charges		46.78				other	OPPS APC	34.62				percent of total billed charges		46.78				other	OPPS APC	46.78				other	OPPS APC	12.67				percent of total billed charges		12.93				percent of total billed charges		46.78				other	OPPS APC	12.67	46.78	
MASK CONTOUR MED/LG DISP NASAL MASK	SUP-30-00038	CDM			272	RC		inpatient			46.78	46.78																																																			
KIT MICROINTRODUCER STAINLESS STEEL SILICONE NITINOL .018 IN REGULAR TAPER L40 CM L7 CM OD5 FR ODSEC21 GA DILATOR SMOOTH NEEDLE SOFT TIP WIRE MANDREL	SUP-G56202	CDM			481	RC		outpatient			46.78	46.78	22.92				percent of total billed charges		46.78				other	OPPS APC	34.62				percent of total billed charges		46.78				other	OPPS APC	46.78				other	OPPS APC	22.92				percent of total billed charges		23.86				percent of total billed charges		46.78				other	OPPS APC	22.92	46.78	
KIT MICROINTRODUCER STAINLESS STEEL SILICONE NITINOL .018 IN REGULAR TAPER L40 CM L7 CM OD5 FR ODSEC21 GA DILATOR SMOOTH NEEDLE SOFT TIP WIRE MANDREL	SUP-G56202	CDM			481	RC		inpatient			46.78	46.78																																																			
LMA DISP SZ 4	SUP-30-00084	CDM			272	RC		outpatient			46.76	46.76	12.67				percent of total billed charges		46.76				other	OPPS APC	34.6				percent of total billed charges		46.76				other	OPPS APC	46.76				other	OPPS APC	12.67				percent of total billed charges		12.92				percent of total billed charges		46.76				other	OPPS APC	12.67	46.76	
LMA DISP SZ 4	SUP-30-00084	CDM			272	RC		inpatient			46.76	46.76																																																			
LEVETIRACETAM 500 MG/5 ML (5 ML) SOLUTION	637000000	CDM	0121-4799-05	NDC	A9270	HCPCS		inpatient			46.73	46.73																																																			
LEVETIRACETAM 500 MG/5 ML (5 ML) SOLUTION	637000000	CDM	0121-4799-05	NDC	A9270	HCPCS		outpatient			46.73	46.73																																															other	OPPS APC			
CATHETER UMBILICAL 5 FR SINGLE LUMEN	SUP-02-00084	CDM			272	RC		outpatient			46.71	46.71	12.65				percent of total billed charges		46.71				other	OPPS APC	34.57				percent of total billed charges		46.71				other	OPPS APC	46.71				other	OPPS APC	12.65				percent of total billed charges		12.91				percent of total billed charges		46.71				other	OPPS APC	12.65	46.71	
CATHETER UMBILICAL 5 FR SINGLE LUMEN	SUP-02-00084	CDM			272	RC		inpatient			46.71	46.71																																																			
DRAPE SURGICAL CONTROL PLUS STANDARD L124 IN X W112 IN W30 IN FLUID COLLECTION POUCH HOOK LOOP TUBE ARMBOARD COVER LOW LINT STERILE LAPAROSCOPY	SUP-89219	CDM			270	RC		outpatient			46.59	46.59	12.62				percent of total billed charges		46.59				other	OPPS APC	34.48				percent of total billed charges		46.59				other	OPPS APC	46.59				other	OPPS APC	12.62				percent of total billed charges		12.87				percent of total billed charges		46.59				other	OPPS APC	12.62	46.59	
DRAPE SURGICAL CONTROL PLUS STANDARD L124 IN X W112 IN W30 IN FLUID COLLECTION POUCH HOOK LOOP TUBE ARMBOARD COVER LOW LINT STERILE LAPAROSCOPY	SUP-89219	CDM			270	RC		inpatient			46.59	46.59																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW L100 MM OD5 MM STABILITY SLEEVE DILAT TIP STERILE DISPOSABLE	SUP-2D5LT	CDM			270	RC		outpatient			46.46	46.46	12.59				percent of total billed charges		46.46				other	OPPS APC	34.38				percent of total billed charges		46.46				other	OPPS APC	46.46				other	OPPS APC	12.59				percent of total billed charges		12.84				percent of total billed charges		46.46				other	OPPS APC	12.59	46.46	
TROCAR LAPAROSCOPIC ENDOPATH XCEL OPTIVIEW L100 MM OD5 MM STABILITY SLEEVE DILAT TIP STERILE DISPOSABLE	SUP-2D5LT	CDM			270	RC		inpatient			46.46	46.46																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL L100 MM OD12 MM BLADELESS OPTICAL TIP OBTURATOR RADIOLUCENT SLEEVE STERILE DISPOSABLE	SUP-B12LT	CDM			270	RC		outpatient			46.46	46.46	12.59				percent of total billed charges		46.46				other	OPPS APC	34.38				percent of total billed charges		46.46				other	OPPS APC	46.46				other	OPPS APC	12.59				percent of total billed charges		12.84				percent of total billed charges		46.46				other	OPPS APC	12.59	46.46	
TROCAR LAPAROSCOPIC ENDOPATH XCEL L100 MM OD12 MM BLADELESS OPTICAL TIP OBTURATOR RADIOLUCENT SLEEVE STERILE DISPOSABLE	SUP-B12LT	CDM			270	RC		inpatient			46.46	46.46																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL L100 MM OD8 MM STABILITY SLEEVE BLADELESS OPTICAL TIP OBTURATOR STERILE DISPOSABLE	SUP-ESB8LT	CDM			270	RC		outpatient			46.46	46.46	12.59				percent of total billed charges		46.46				other	OPPS APC	34.38				percent of total billed charges		46.46				other	OPPS APC	46.46				other	OPPS APC	12.59				percent of total billed charges		12.84				percent of total billed charges		46.46				other	OPPS APC	12.59	46.46	
TROCAR LAPAROSCOPIC ENDOPATH XCEL L100 MM OD8 MM STABILITY SLEEVE BLADELESS OPTICAL TIP OBTURATOR STERILE DISPOSABLE	SUP-ESB8LT	CDM			270	RC		inpatient			46.46	46.46																																																			
SUTURE ETHIBOND 0 CX45D	SUP-74-00151	CDM			272	RC		outpatient			46.45	46.45	12.58				percent of total billed charges		46.45				other	OPPS APC	34.37				percent of total billed charges		46.45				other	OPPS APC	46.45				other	OPPS APC	12.58				percent of total billed charges		12.83				percent of total billed charges		46.45				other	OPPS APC	12.58	46.45	
SUTURE ETHIBOND 0 CX45D	SUP-74-00151	CDM			272	RC		inpatient			46.45	46.45																																																			
CANNULA OPHTHALMIC ULTRAFLOW SET BIMANUAL POLISHED DISPOSABLE	SUP-170.72	CDM			270	RC		outpatient			46.2	46.23	12.52				percent of total billed charges		46.2				other	OPPS APC	34.19				percent of total billed charges		46.2				other	OPPS APC	46.2				other	OPPS APC	12.52				percent of total billed charges		12.77				percent of total billed charges		46.23				other	OPPS APC	12.52	46.23	
CANNULA OPHTHALMIC ULTRAFLOW SET BIMANUAL POLISHED DISPOSABLE	SUP-170.72	CDM			270	RC		inpatient			46.2	46.2																																																			
WASHER ORTHOPEDIC DCP STAINLESS STEEL OD4.5 MM FRAGMENT NONSTERILE MINI SCREW	SUP-219.97	CDM	270010022	LOCAL	270	RC		outpatient			46.2	46.23	12.52				percent of total billed charges		46.2				other	OPPS APC	34.19				percent of total billed charges		46.2				other	OPPS APC	46.2				other	OPPS APC	12.52				percent of total billed charges		12.77				percent of total billed charges		46.23				other	OPPS APC	12.52	46.23	
WASHER ORTHOPEDIC DCP STAINLESS STEEL OD4.5 MM FRAGMENT NONSTERILE MINI SCREW	SUP-219.97	CDM	270010022	LOCAL	270	RC		inpatient			46.2	46.2																																																			
STRIPPER SURGICAL DISPOSABLE STERILE VEIN 2 CABLE OLIVE HANDLE	SUP-63-4031	CDM			270	RC		outpatient			46.16	46.16	12.5				percent of total billed charges		46.16				other	OPPS APC	34.16				percent of total billed charges		46.16				other	OPPS APC	46.16				other	OPPS APC	12.5				percent of total billed charges		12.75				percent of total billed charges		46.16				other	OPPS APC	12.5	46.16	
STRIPPER SURGICAL DISPOSABLE STERILE VEIN 2 CABLE OLIVE HANDLE	SUP-63-4031	CDM			270	RC		inpatient			46.16	46.16																																																			
WIRE FIXATION KIRSCHNER NCB STAINLESS STEEL STANDARD L280 MM OD2 MM FEMUR DISTAL NONSTERILE	SUP-290.20.280	CDM			270	RC		outpatient			46.08	46.8	12.48				percent of total billed charges		46.08				other	OPPS APC	34.1				percent of total billed charges		46.08				other	OPPS APC	46.08				other	OPPS APC	12.48				percent of total billed charges		12.73				percent of total billed charges		46.8				other	OPPS APC	12.48	46.8	
WIRE FIXATION KIRSCHNER NCB STAINLESS STEEL STANDARD L280 MM OD2 MM FEMUR DISTAL NONSTERILE	SUP-290.20.280	CDM			270	RC		inpatient			46.08	46.08																																																			
CATHETER ANGIOGRAPHIC SOFT-VU SOS OMNI2 CURVE 80CM 5FR DISPOSABLE STERILE VISCERA BRAID ULTRA TORQUE SHAFT RADIOPAQUE	SUP-H787107120025	CDM			270	RC		outpatient			46.08	46.8	12.48				percent of total billed charges		46.08				other	OPPS APC	34.1				percent of total billed charges		46.08				other	OPPS APC	46.08				other	OPPS APC	12.48				percent of total billed charges		12.73				percent of total billed charges		46.8				other	OPPS APC	12.48	46.8	
CATHETER ANGIOGRAPHIC SOFT-VU SOS OMNI2 CURVE 80CM 5FR DISPOSABLE STERILE VISCERA BRAID ULTRA TORQUE SHAFT RADIOPAQUE	SUP-H787107120025	CDM			270	RC		inpatient			46.08	46.08																																																			
SUTURE QUILL 2-0 MONODERM	SUP-VP-1000Q	CDM			270	RC		outpatient			46.04	46.4	12.47				percent of total billed charges		46.04				other	OPPS APC	34.07				percent of total billed charges		46.04				other	OPPS APC	46.04				other	OPPS APC	12.47				percent of total billed charges		12.72				percent of total billed charges		46.4				other	OPPS APC	12.47	46.4	
SUTURE QUILL 2-0 MONODERM	SUP-VP-1000Q	CDM			270	RC		inpatient			46.04	46.04																																																			
HC Protein Total Urine	PX-300841560	CDM	84156	CPT	301	RC		outpatient			46	3.67	4.48				fee schedule		3.67				fee schedule		9.73				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67	9.73	
HC Protein Total Urine	PX-300841560	CDM	84156	CPT	301	RC		inpatient			46	46																																																			
HC Protein E'phores (Pe)	PX-300841650	CDM	84165	CPT	300	RC		outpatient			46	1.74	14.36				fee schedule		10.74				fee schedule		28.52				fee schedule		10.74				fee schedule		10.74				fee schedule		10.74				fee schedule		10.74				fee schedule		1.74				fee schedule		1.74	28.52	
HC Protein E'phores (Pe)	PX-300841650	CDM	84165	CPT	300	RC		inpatient			46	46																																																			
HC Bacterium  Antibody	PX-300866090	CDM	86609	CPT	300	RC		outpatient			46	12.88	17.23				fee schedule		12.88				fee schedule		34.2				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88	34.2	
HC Bacterium  Antibody	PX-300866090	CDM	86609	CPT	300	RC		inpatient			46	46																																																			
CATHETER - BERENSTEIN 5F X 100	SUP-99-00171	CDM			272	RC		outpatient			46	46	12.46				percent of total billed charges		46				other	OPPS APC	34.04				percent of total billed charges		46				other	OPPS APC	46				other	OPPS APC	12.46				percent of total billed charges		12.71				percent of total billed charges		46				other	OPPS APC	12.46	46	
CATHETER - BERENSTEIN 5F X 100	SUP-99-00171	CDM			272	RC		inpatient			46	46																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL 150MM 5MM DISPOSABLE STERILE STABILITY SLEEVE	SUP-B5XT	CDM			270	RC		outpatient			46	46	12.46				percent of total billed charges		46				other	OPPS APC	34.04				percent of total billed charges		46				other	OPPS APC	46				other	OPPS APC	12.46				percent of total billed charges		12.71				percent of total billed charges		46				other	OPPS APC	12.46	46	
TROCAR LAPAROSCOPIC ENDOPATH XCEL 150MM 5MM DISPOSABLE STERILE STABILITY SLEEVE	SUP-B5XT	CDM			270	RC		inpatient			46	46																																																			
TROCAR LAPAROSCOPIC ENDOPATH XCEL 100MM 11MM DISPOSABLE STERILE STABILITY SLEEVE DILATE	SUP-D11LT	CDM			270	RC		outpatient			46	46	12.46				percent of total billed charges		46				other	OPPS APC	34.04				percent of total billed charges		46				other	OPPS APC	46				other	OPPS APC	12.46				percent of total billed charges		12.71				percent of total billed charges		46				other	OPPS APC	12.46	46	
TROCAR LAPAROSCOPIC ENDOPATH XCEL 100MM 11MM DISPOSABLE STERILE STABILITY SLEEVE DILATE	SUP-D11LT	CDM			270	RC		inpatient			46	46																																																			
BAG 1L PRESSURE INFUSER 1000CC LF	SUP-74-00205	CDM			272	RC		outpatient			45.99	45.99	12.46				percent of total billed charges		45.99				other	OPPS APC	34.03				percent of total billed charges		45.99				other	OPPS APC	45.99				other	OPPS APC	12.46				percent of total billed charges		12.71				percent of total billed charges		45.99				other	OPPS APC	12.46	45.99	
BAG 1L PRESSURE INFUSER 1000CC LF	SUP-74-00205	CDM			272	RC		inpatient			45.99	45.99																																																			
ADPATER ANGIOGRAPHY NAMIC OPTION 125 200 PSI 3/8 IN 24 THREAD ID .125 IN STERILE	SUP-91400025	CDM			270	RC		outpatient			45.97	45.97	12.45				percent of total billed charges		45.97				other	OPPS APC	34.02				percent of total billed charges		45.97				other	OPPS APC	45.97				other	OPPS APC	12.45				percent of total billed charges		12.7				percent of total billed charges		45.97				other	OPPS APC	12.45	45.97	
ADPATER ANGIOGRAPHY NAMIC OPTION 125 200 PSI 3/8 IN 24 THREAD ID .125 IN STERILE	SUP-91400025	CDM			270	RC		inpatient			45.97	45.97																																																			
BIOPSY NEEDLE - CHIBA 18G X 20CM  CTSUP	SUP-95-06018	CDM			272	RC		outpatient			45.96	45.96	12.45				percent of total billed charges		45.96				other	OPPS APC	34.01				percent of total billed charges		45.96				other	OPPS APC	45.96				other	OPPS APC	12.45				percent of total billed charges		12.7				percent of total billed charges		45.96				other	OPPS APC	12.45	45.96	
BIOPSY NEEDLE - CHIBA 18G X 20CM  CTSUP	SUP-95-06018	CDM			272	RC		inpatient			45.96	45.96																																																			
PAD POSITIONING SHEEPSKIN KNEE REPLACEMENT NONSTERILE	SUP-ME3333	CDM						inpatient			45.9	45.9																																																			
PAD POSITIONING SHEEPSKIN KNEE REPLACEMENT NONSTERILE	SUP-ME3333	CDM						outpatient			45.9	45.9	45.9				percent of total billed charges		45.9				other	OPPS APC	45.9				fee schedule		45.9				other	OPPS APC	45.9				other	OPPS APC	45.9				case rate		45.9				case rate		45.9				other	OPPS APC	45.9	45.9	
CATHETER EMBOLECTOMY SYNTEL 80CM 3FR LF VASCULAR CYLINDRICAL SYMMETRICAL BALLOON NONFRAGMENT FLEXIBLE SPRING TIP	SUP-A4F03	CDM	270009142	LOCAL	270	RC		outpatient			45.85	45.85	12.42				percent of total billed charges		45.85				other	OPPS APC	33.93				percent of total billed charges		45.85				other	OPPS APC	45.85				other	OPPS APC	12.42				percent of total billed charges		12.67				percent of total billed charges		45.85				other	OPPS APC	12.42	45.85	
CATHETER EMBOLECTOMY SYNTEL 80CM 3FR LF VASCULAR CYLINDRICAL SYMMETRICAL BALLOON NONFRAGMENT FLEXIBLE SPRING TIP	SUP-A4F03	CDM	270009142	LOCAL	270	RC		inpatient			45.85	45.85																																																			
CATHETER EMBOLECTOMY SYNTEL L80 CM OD4 FR VASCULAR NONFRAGMENT CYLINDRICAL SYMMETRICAL BALLOON FLEXIBLE SPRING TIP LATEX FREE	SUP-A4F05	CDM	270009142	LOCAL	270	RC		outpatient			45.85	45.85	12.42				percent of total billed charges		45.85				other	OPPS APC	33.93				percent of total billed charges		45.85				other	OPPS APC	45.85				other	OPPS APC	12.42				percent of total billed charges		12.67				percent of total billed charges		45.85				other	OPPS APC	12.42	45.85	
CATHETER EMBOLECTOMY SYNTEL L80 CM OD4 FR VASCULAR NONFRAGMENT CYLINDRICAL SYMMETRICAL BALLOON FLEXIBLE SPRING TIP LATEX FREE	SUP-A4F05	CDM	270009142	LOCAL	270	RC		inpatient			45.85	45.85																																																			
2.0 MED ROUND BUR CARBIDE	SUP-71-00228	CDM			272	RC		outpatient			45.8	45.8	12.41				percent of total billed charges		45.8				other	OPPS APC	33.89				percent of total billed charges		45.8				other	OPPS APC	45.8				other	OPPS APC	12.41				percent of total billed charges		12.65				percent of total billed charges		45.8				other	OPPS APC	12.41	45.8	
2.0 MED ROUND BUR CARBIDE	SUP-71-00228	CDM			272	RC		inpatient			45.8	45.8																																																			
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L20 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.82	CDM	270010022	LOCAL	270	RC		outpatient			45.76	45.76	12.4				percent of total billed charges		45.76				other	OPPS APC	33.86				percent of total billed charges		45.76				other	OPPS APC	45.76				other	OPPS APC	12.4				percent of total billed charges		12.64				percent of total billed charges		45.76				other	OPPS APC	12.4	45.76	
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L20 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.82	CDM	270010022	LOCAL	270	RC		inpatient			45.76	45.76																																																			
SCREW BONE LCP 30MM 4.5MM 8MM SS NS PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LG	SUP-214.83	CDM						inpatient			45.76	45.76																																																			
SCREW BONE LCP 30MM 4.5MM 8MM SS NS PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LG	SUP-214.83	CDM						outpatient			45.76	45.76	45.76				percent of total billed charges		45.76				other	OPPS APC	45.76				fee schedule		45.76				other	OPPS APC	45.76				other	OPPS APC	45.76				case rate		45.76				case rate		45.76				other	OPPS APC	45.76	45.76	
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L70 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.87	CDM	270010022	LOCAL	270	RC		outpatient			45.76	45.76	12.4				percent of total billed charges		45.76				other	OPPS APC	33.86				percent of total billed charges		45.76				other	OPPS APC	45.76				other	OPPS APC	12.4				percent of total billed charges		12.64				percent of total billed charges		45.76				other	OPPS APC	12.4	45.76	
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L70 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.87	CDM	270010022	LOCAL	270	RC		inpatient			45.76	45.76																																																			
SCREW BONE 4.5MM 8MM 70MM LCP SS LG HEXAGON PERIARTICULAR CONDYLE CORTICAL SELF TAP	SUP-214.870	CDM						inpatient			45.76	45.76																																																			
SCREW BONE 4.5MM 8MM 70MM LCP SS LG HEXAGON PERIARTICULAR CONDYLE CORTICAL SELF TAP	SUP-214.870	CDM						outpatient			45.76	45.76	45.76				percent of total billed charges		45.76				other	OPPS APC	45.76				fee schedule		45.76				other	OPPS APC	45.76				other	OPPS APC	45.76				case rate		45.76				case rate		45.76				other	OPPS APC	45.76	45.76	
PACK MINOR	SUP-DYNJ59286	CDM			270	RC		outpatient			45.74	45.74	12.39				percent of total billed charges		45.74				other	OPPS APC	33.85				percent of total billed charges		45.74				other	OPPS APC	45.74				other	OPPS APC	12.39				percent of total billed charges		12.64				percent of total billed charges		45.74				other	OPPS APC	12.39	45.74	
PACK MINOR	SUP-DYNJ59286	CDM			270	RC		inpatient			45.74	45.74																																																			
SUTURE NONABSORBABLE ETHILON 10-0 BV75-4 L5 IN MONOFILAMENT BLACK	SUP-2850G	CDM			270	RC		outpatient			45.73	45.73	12.39				percent of total billed charges		45.73				other	OPPS APC	33.84				percent of total billed charges		45.73				other	OPPS APC	45.73				other	OPPS APC	12.39				percent of total billed charges		12.64				percent of total billed charges		45.73				other	OPPS APC	12.39	45.73	
SUTURE NONABSORBABLE ETHILON 10-0 BV75-4 L5 IN MONOFILAMENT BLACK	SUP-2850G	CDM			270	RC		inpatient			45.73	45.73																																																			
LMA SIZE 2.5	SUP-95-02350	CDM			272	RC		outpatient			45.48	45.48	12.32				percent of total billed charges		45.48				other	OPPS APC	33.66				percent of total billed charges		45.48				other	OPPS APC	45.48				other	OPPS APC	12.32				percent of total billed charges		12.57				percent of total billed charges		45.48				other	OPPS APC	12.32	45.48	
LMA SIZE 2.5	SUP-95-02350	CDM			272	RC		inpatient			45.48	45.48																																																			
PLAIN STEINMAN PIN 3/16	SUP-78-00121	CDM			278	RC		outpatient			45.47	45.47	45.47				fee schedule		45.47				other	OPPS APC	25.92				percent of total billed charges		45.47				other	OPPS APC	45.47				other	OPPS APC	22.28				percent of total billed charges		23.19				percent of total billed charges		45.47				other	OPPS APC	22.28	45.47	
PLAIN STEINMAN PIN 3/16	SUP-78-00121	CDM			278	RC		inpatient			45.47	45.47																																																			
SPLINT COLLES ALUM/FOAM LEFT SMALL	SUP-95-00620	CDM			272	RC		outpatient			45.4	45.4	12.3				percent of total billed charges		45.4				other	OPPS APC	33.6				percent of total billed charges		45.4				other	OPPS APC	45.4				other	OPPS APC	12.3				percent of total billed charges		12.54				percent of total billed charges		45.4				other	OPPS APC	12.3	45.4	
SPLINT COLLES ALUM/FOAM LEFT SMALL	SUP-95-00620	CDM			272	RC		inpatient			45.4	45.4																																																			
SPLINT COLLES ALUM/FOAM LEFT MEDIUM	SUP-95-00621	CDM			272	RC		outpatient			45.4	45.4	12.3				percent of total billed charges		45.4				other	OPPS APC	33.6				percent of total billed charges		45.4				other	OPPS APC	45.4				other	OPPS APC	12.3				percent of total billed charges		12.54				percent of total billed charges		45.4				other	OPPS APC	12.3	45.4	
SPLINT COLLES ALUM/FOAM LEFT MEDIUM	SUP-95-00621	CDM			272	RC		inpatient			45.4	45.4																																																			
SPLINT COLLES ALUM/FOAM RIGHT SMALL	SUP-95-00623	CDM			272	RC		outpatient			45.4	45.4	12.3				percent of total billed charges		45.4				other	OPPS APC	33.6				percent of total billed charges		45.4				other	OPPS APC	45.4				other	OPPS APC	12.3				percent of total billed charges		12.54				percent of total billed charges		45.4				other	OPPS APC	12.3	45.4	
SPLINT COLLES ALUM/FOAM RIGHT SMALL	SUP-95-00623	CDM			272	RC		inpatient			45.4	45.4																																																			
SPLINT COLLES ALUM/FOAM RIGHT MEDIUM	SUP-95-00624	CDM			272	RC		outpatient			45.4	45.4	12.3				percent of total billed charges		45.4				other	OPPS APC	33.6				percent of total billed charges		45.4				other	OPPS APC	45.4				other	OPPS APC	12.3				percent of total billed charges		12.54				percent of total billed charges		45.4				other	OPPS APC	12.3	45.4	
SPLINT COLLES ALUM/FOAM RIGHT MEDIUM	SUP-95-00624	CDM			272	RC		inpatient			45.4	45.4																																																			
FLUOROURACIL PER 500 MG	636000000	CDM	63323-117-20	NDC	J9190	HCPCS		inpatient			45.35	45.35																																																			
FLUOROURACIL PER 500 MG	636000000	CDM	63323-117-20	NDC	J9190	HCPCS		outpatient			45.35	45.35																																															other	OPPS APC			
DRAPE LIMB BILATERAL	SUP-23-00104	CDM			272	RC		outpatient			45.32	45.32	12.28				percent of total billed charges		45.32				other	OPPS APC	33.54				percent of total billed charges		45.32				other	OPPS APC	45.32				other	OPPS APC	12.28				percent of total billed charges		12.52				percent of total billed charges		45.32				other	OPPS APC	12.28	45.32	
DRAPE LIMB BILATERAL	SUP-23-00104	CDM			272	RC		inpatient			45.32	45.32																																																			
SCREW BONE 3.5MM 6MM 20MM LCP LC-DCP TITANIUM FULL THREAD HEXAGON TIBIA CORTICAL	SUP-404.820	CDM						inpatient			45.32	45.32																																																			
SCREW BONE 3.5MM 6MM 20MM LCP LC-DCP TITANIUM FULL THREAD HEXAGON TIBIA CORTICAL	SUP-404.820	CDM						outpatient			45.32	45.32	45.32				percent of total billed charges		45.32				other	OPPS APC	45.32				fee schedule		45.32				other	OPPS APC	45.32				other	OPPS APC	45.32				case rate		45.32				case rate		45.32				other	OPPS APC	45.32	45.32	
CLINDAMYCIN PER 300 MG	636000000	CDM	0781-3290-09	NDC	J0736	HCPCS		inpatient			45.31	45.31																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0781-3290-91	NDC	J0736	HCPCS		inpatient			45.31	45.31																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0781-3290-09	NDC	J0736	HCPCS		outpatient			45.31	2.41																																											2.41				other	OPPS APC	2.41	2.41	
CLINDAMYCIN PER 300 MG	636000000	CDM	0781-3290-91	NDC	J0736	HCPCS		outpatient			45.31	2.41																																											2.41				other	OPPS APC	2.41	2.41	
SUPPORT MAMMARY SURGI-BRA 42-44IN 2XL 96% COTTON 4% SPANDEX VELCRO LF BREAST PAD	SUP-0422XL	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
SUPPORT MAMMARY SURGI-BRA 42-44IN 2XL 96% COTTON 4% SPANDEX VELCRO LF BREAST PAD	SUP-0422XL	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
SUPPORT MAMMARY SURGI-BRA 44-46IN 3XL 96% COTTON 4% SPANDEX VELCRO LF BREAST PAD	SUP-0423XL	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
SUPPORT MAMMARY SURGI-BRA 44-46IN 3XL 96% COTTON 4% SPANDEX VELCRO LF BREAST PAD	SUP-0423XL	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA ELIZABETH PINK SURGICAL SIZE LARGE	SUP-042L	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA ELIZABETH PINK SURGICAL SIZE LARGE	SUP-042L	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA POST SURGICAL SURGI-BRA MED VELCRO NYLON LF PADDED SHOULDER STRAP MACHINE	SUP-042M	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA POST SURGICAL SURGI-BRA MED VELCRO NYLON LF PADDED SHOULDER STRAP MACHINE	SUP-042M	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
SUPPORT MAMMARY SURGI-BRA 34-36IN SM 96% COTTON 4% SPANDEX VELCRO LF BREAST PAD	SUP-042S	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
SUPPORT MAMMARY SURGI-BRA 34-36IN SM 96% COTTON 4% SPANDEX VELCRO LF BREAST PAD	SUP-042S	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
SUPPORT MAMMARY SURGI-BRA 40-42IN XL VELCRO COTTON SPANDEX LF FRONT CLOSURE REMOVABLE DRAIN BULB HOLDER ADJUSTABLE STRAP	SUP-042XL	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
SUPPORT MAMMARY SURGI-BRA 40-42IN XL VELCRO COTTON SPANDEX LF FRONT CLOSURE REMOVABLE DRAIN BULB HOLDER ADJUSTABLE STRAP	SUP-042XL	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA  ELIZABETH PINK SURGICAL SIZE SMALL	SUP-46518-01LF	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA  ELIZABETH PINK SURGICAL SIZE SMALL	SUP-46518-01LF	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA ELIZABETH PINK SURGICAL SIZE MED	SUP-46518-02LF	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA ELIZABETH PINK SURGICAL SIZE MED	SUP-46518-02LF	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA ELIZABETH PINK SURGICAL SIZE LARGE	SUP-46518-03LF	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA ELIZABETH PINK SURGICAL SIZE LARGE	SUP-46518-03LF	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA ELIZABETH PINK SURGICAL SIZE EXTRA LARGE	SUP-46518-04LF	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA ELIZABETH PINK SURGICAL SIZE EXTRA LARGE	SUP-46518-04LF	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA ELIZABETH PINK SURGICAL SIZE 2XL	SUP-46518-05LF	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA ELIZABETH PINK SURGICAL SIZE 2XL	SUP-46518-05LF	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
BRA ELIZABETH PINK SURGICAL SIZE 3XL	SUP-46518-06LF	CDM	270009195	LOCAL	270	RC		outpatient			45.24	45.24	12.26				percent of total billed charges		45.24				other	OPPS APC	33.48				percent of total billed charges		45.24				other	OPPS APC	45.24				other	OPPS APC	12.26				percent of total billed charges		12.5				percent of total billed charges		45.24				other	OPPS APC	12.26	45.24	
BRA ELIZABETH PINK SURGICAL SIZE 3XL	SUP-46518-06LF	CDM	270009195	LOCAL	270	RC		inpatient			45.24	45.24																																																			
OFLOXACIN 0.3 % DROPS 5 ML DROP BTL	637000000	CDM	72485-613-10	NDC	A9270	HCPCS		inpatient			45.23	45.23																																																			
OFLOXACIN 0.3 % DROPS 5 ML DROP BTL	637000000	CDM	72485-613-10	NDC	A9270	HCPCS		outpatient			45.23	45.23																																															other	OPPS APC			
GUIDEWIRE IABP 145CM .025IN SENSATION PLUS LINEAR MEGA J SS PTFE 3MM CATHETER STERILE	SUP-0684-00-0254-09	CDM			481	RC		outpatient			45.2	45.23	22.15				percent of total billed charges		45.2				other	OPPS APC	33.45				percent of total billed charges		45.2				other	OPPS APC	45.2				other	OPPS APC	22.15				percent of total billed charges		23.05				percent of total billed charges		45.23				other	OPPS APC	22.15	45.23	
GUIDEWIRE IABP 145CM .025IN SENSATION PLUS LINEAR MEGA J SS PTFE 3MM CATHETER STERILE	SUP-0684-00-0254-09	CDM			481	RC		inpatient			45.2	45.2																																																			
SUTURE NONABSORBABLE PROLENE MULTIPASS 8-0 BV130-5 24IN BLUE 2 ARM MONOFILAMENT	SUP-8732H	CDM			270	RC		outpatient			45.2	45.23	12.24				percent of total billed charges		45.2				other	OPPS APC	33.45				percent of total billed charges		45.2				other	OPPS APC	45.2				other	OPPS APC	12.24				percent of total billed charges		12.49				percent of total billed charges		45.23				other	OPPS APC	12.24	45.23	
SUTURE NONABSORBABLE PROLENE MULTIPASS 8-0 BV130-5 24IN BLUE 2 ARM MONOFILAMENT	SUP-8732H	CDM			270	RC		inpatient			45.2	45.2																																																			
SUTURE PROLENE 7/0 24IN BV175-6	SUP-8735H	CDM			270	RC		outpatient			45.2	45.23	12.24				percent of total billed charges		45.2				other	OPPS APC	33.45				percent of total billed charges		45.2				other	OPPS APC	45.2				other	OPPS APC	12.24				percent of total billed charges		12.49				percent of total billed charges		45.23				other	OPPS APC	12.24	45.23	
SUTURE PROLENE 7/0 24IN BV175-6	SUP-8735H	CDM			270	RC		inpatient			45.2	45.2																																																			
TICAGRELOR 60 MG TABLET	250000000	CDM	0186-0776-60	NDC				inpatient			45.13	45.13																																																			
TICAGRELOR 60 MG TABLET	250000000	CDM	0186-0776-60	NDC				outpatient			45.13	45.13																																															other	OPPS APC			
LETROZOLE 2.5 MG TABLET	637000000	CDM	50268-476-11	NDC	A9270	HCPCS		inpatient			45.13	45.13																																																			
LETROZOLE 2.5 MG TABLET	637000000	CDM	50268-476-11	NDC	A9270	HCPCS		outpatient			45.13	45.13																																															other	OPPS APC			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	63323-464-02	NDC	J0665	HCPCS		inpatient			45.12	45.12																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	63323-464-37	NDC	J0665	HCPCS		inpatient			45.12	45.12																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	63323-464-02	NDC	J0665	HCPCS		outpatient			45.12	0.16																																											0.16				other	OPPS APC	0.16	0.16	
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	63323-464-37	NDC	J0665	HCPCS		outpatient			45.12	0.16																																											0.16				other	OPPS APC	0.16	0.16	
DEVICE CLOSURE SYNETURE V-LOC 1 GS-21 L 9IN ABSORBABLE BLUE	SUP-VLOCN0347	CDM			270	RC		outpatient			45.1	45.11	12.22				percent of total billed charges		45.1				other	OPPS APC	33.37				percent of total billed charges		45.1				other	OPPS APC	45.1				other	OPPS APC	12.22				percent of total billed charges		12.46				percent of total billed charges		45.11				other	OPPS APC	12.22	45.11	
DEVICE CLOSURE SYNETURE V-LOC 1 GS-21 L 9IN ABSORBABLE BLUE	SUP-VLOCN0347	CDM			270	RC		inpatient			45.1	45.1																																																			
TIOTROPIUM 2.5 MCG/ACTUATION MIST	250000000	CDM	0597-0100-51	NDC				inpatient			45	45																																																			
TIOTROPIUM 2.5 MCG/ACTUATION MIST	250000000	CDM	0597-0100-51	NDC				outpatient			45	45																																															other	OPPS APC			
HC Lamotrigine (Lamo)	PX-300801750	CDM	80175	CPT	301	RC		outpatient			45	13.25	17.73				fee schedule		13.25				fee schedule		34.37				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25	34.37	
HC Lamotrigine (Lamo)	PX-300801750	CDM	80175	CPT	301	RC		inpatient			45	45																																																			
HC Levetiracetam (Leve)	PX-300801770	CDM	80177	CPT	301	RC		outpatient			45	13.25	17.73				fee schedule		13.25				fee schedule		34.37				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25				fee schedule		13.25	34.37	
HC Levetiracetam (Leve)	PX-300801770	CDM	80177	CPT	301	RC		inpatient			45	45																																																			
HC Heparin Assay	PX-300855200	CDM	85520	CPT	305	RC		outpatient			45	13.9	17.5				fee schedule		13.09				fee schedule		34.75				fee schedule		13.09				fee schedule		13.09				fee schedule		13.09				fee schedule		13.09				fee schedule		13.9				fee schedule		13.09	34.75	
HC Heparin Assay	PX-300855200	CDM	85520	CPT	305	RC		inpatient			45	45																																																			
BURR SURGICAL MICROPOWER MICRO100 HALL CARBIDE 8 MM LONG L8 MM OD4 MM SMALL BONE OVAL FLUTED STERILE	SUP-00509223600	CDM			270	RC		outpatient			45	45	12.19				percent of total billed charges		45				other	OPPS APC	33.3				percent of total billed charges		45				other	OPPS APC	45				other	OPPS APC	12.19				percent of total billed charges		12.43				percent of total billed charges		45				other	OPPS APC	12.19	45	
BURR SURGICAL MICROPOWER MICRO100 HALL CARBIDE 8 MM LONG L8 MM OD4 MM SMALL BONE OVAL FLUTED STERILE	SUP-00509223600	CDM			270	RC		inpatient			45	45																																																			
ELECTRODE ELECTROSURGICAL GOLDVAC ULTRACLEAN BLADE PENCIL 1 IN L10 FT OD11 MM PUSH BUTTON HANDCONTROL TUBE	SUP-60-7520-005	CDM			270	RC		outpatient			45	45	12.19				percent of total billed charges		45				other	OPPS APC	33.3				percent of total billed charges		45				other	OPPS APC	45				other	OPPS APC	12.19				percent of total billed charges		12.43				percent of total billed charges		45				other	OPPS APC	12.19	45	
ELECTRODE ELECTROSURGICAL GOLDVAC ULTRACLEAN BLADE PENCIL 1 IN L10 FT OD11 MM PUSH BUTTON HANDCONTROL TUBE	SUP-60-7520-005	CDM			270	RC		inpatient			45	45																																																			
VSI .018 GUIDEWIRE	SUP-7301	CDM			481	RC		outpatient			45	45	22.05				percent of total billed charges		45				other	OPPS APC	33.3				percent of total billed charges		45				other	OPPS APC	45				other	OPPS APC	22.05				percent of total billed charges		22.95				percent of total billed charges		45				other	OPPS APC	22.05	45	
VSI .018 GUIDEWIRE	SUP-7301	CDM			481	RC		inpatient			45	45																																																			
CATHETER - 5F 3DRC (CORDIS)	SUP-99-04898	CDM			272	RC		outpatient			45	45	12.19				percent of total billed charges		45				other	OPPS APC	33.3				percent of total billed charges		45				other	OPPS APC	45				other	OPPS APC	12.19				percent of total billed charges		12.43				percent of total billed charges		45				other	OPPS APC	12.19	45	
CATHETER - 5F 3DRC (CORDIS)	SUP-99-04898	CDM			272	RC		inpatient			45	45																																																			
PIN DISTRACTION TITANIUM L14 MM SHARP STERILE DISPOSABLE YELLOW ANTERIOR CERVICAL FUSION	SUP-DP-14-TY	CDM			270	RC		outpatient			45	45	12.19				percent of total billed charges		45				other	OPPS APC	33.3				percent of total billed charges		45				other	OPPS APC	45				other	OPPS APC	12.19				percent of total billed charges		12.43				percent of total billed charges		45				other	OPPS APC	12.19	45	
PIN DISTRACTION TITANIUM L14 MM SHARP STERILE DISPOSABLE YELLOW ANTERIOR CERVICAL FUSION	SUP-DP-14-TY	CDM			270	RC		inpatient			45	45																																																			
SHEATH CONTAMINATION TWISTLOCK CATH-GARD 4-7 FR	SUP-SA-09847	CDM			270	RC		outpatient			44.94	44.94	12.17				percent of total billed charges		44.94				other	OPPS APC	33.26				percent of total billed charges		44.94				other	OPPS APC	44.94				other	OPPS APC	12.17				percent of total billed charges		12.42				percent of total billed charges		44.94				other	OPPS APC	12.17	44.94	
SHEATH CONTAMINATION TWISTLOCK CATH-GARD 4-7 FR	SUP-SA-09847	CDM			270	RC		inpatient			44.94	44.94																																																			
SOD CHL IRR. 0.9% 5000ML ARTHROSCOPY	SUP-21-00081	CDM			272	RC		outpatient			44.92	44.92	12.17				percent of total billed charges		44.92				other	OPPS APC	33.24				percent of total billed charges		44.92				other	OPPS APC	44.92				other	OPPS APC	12.17				percent of total billed charges		12.41				percent of total billed charges		44.92				other	OPPS APC	12.17	44.92	
SOD CHL IRR. 0.9% 5000ML ARTHROSCOPY	SUP-21-00081	CDM			272	RC		inpatient			44.92	44.92																																																			
INTRODUCER MICRO STIFFEN 4FR	SUP-G35550	CDM			270	RC		outpatient			44.92	44.92	12.17				percent of total billed charges		44.92				other	OPPS APC	33.24				percent of total billed charges		44.92				other	OPPS APC	44.92				other	OPPS APC	12.17				percent of total billed charges		12.41				percent of total billed charges		44.92				other	OPPS APC	12.17	44.92	
INTRODUCER MICRO STIFFEN 4FR	SUP-G35550	CDM			270	RC		inpatient			44.92	44.92																																																			
INTRODUCER MICRO STIFFEN 5FR	SUP-G35551	CDM			270	RC		outpatient			44.92	44.92	12.17				percent of total billed charges		44.92				other	OPPS APC	33.24				percent of total billed charges		44.92				other	OPPS APC	44.92				other	OPPS APC	12.17				percent of total billed charges		12.41				percent of total billed charges		44.92				other	OPPS APC	12.17	44.92	
INTRODUCER MICRO STIFFEN 5FR	SUP-G35551	CDM			270	RC		inpatient			44.92	44.92																																																			
LANOLIN-MINERAL OIL LOTION 500 ML BOTTLE	637000000	CDM	7214011020	NDC	A9270	HCPCS		inpatient			44.9	44.9																																																			
LANOLIN-MINERAL OIL LOTION 500 ML BOTTLE	637000000	CDM	7214011020	NDC	A9270	HCPCS		outpatient			44.9	44.9																																															other	OPPS APC			
HOOD FLYTE SURGICOOL	SUP-0408801400	CDM			270	RC		outpatient			44.89	44.89	12.16				percent of total billed charges		44.89				other	OPPS APC	33.22				percent of total billed charges		44.89				other	OPPS APC	44.89				other	OPPS APC	12.16				percent of total billed charges		12.4				percent of total billed charges		44.89				other	OPPS APC	12.16	44.89	
HOOD FLYTE SURGICOOL	SUP-0408801400	CDM			270	RC		inpatient			44.89	44.89																																																			
NEEDLE SAFETY GLIDE 25GX 5/8	SUP-06-00021	CDM			272	RC		outpatient			44.88	44.88	12.16				percent of total billed charges		44.88				other	OPPS APC	33.21				percent of total billed charges		44.88				other	OPPS APC	44.88				other	OPPS APC	12.16				percent of total billed charges		12.4				percent of total billed charges		44.88				other	OPPS APC	12.16	44.88	
NEEDLE SAFETY GLIDE 25GX 5/8	SUP-06-00021	CDM			272	RC		inpatient			44.88	44.88																																																			
ASEPTIC TRANSFER SYSTEM - DRAIN-PERROTTA	SUP-81-00001	CDM			272	RC		outpatient			44.85	44.85	12.15				percent of total billed charges		44.85				other	OPPS APC	33.19				percent of total billed charges		44.85				other	OPPS APC	44.85				other	OPPS APC	12.15				percent of total billed charges		12.39				percent of total billed charges		44.85				other	OPPS APC	12.15	44.85	
ASEPTIC TRANSFER SYSTEM - DRAIN-PERROTTA	SUP-81-00001	CDM			272	RC		inpatient			44.85	44.85																																																			
VESSEL  CLUDE	SUP-74-00377	CDM			272	RC		outpatient			44.8	44.8	12.14				percent of total billed charges		44.8				other	OPPS APC	33.15				percent of total billed charges		44.8				other	OPPS APC	44.8				other	OPPS APC	12.14				percent of total billed charges		12.38				percent of total billed charges		44.8				other	OPPS APC	12.14	44.8	
VESSEL  CLUDE	SUP-74-00377	CDM			272	RC		inpatient			44.8	44.8																																																			
SCREW BONE L 18 MM OD 2.7 MM CORTEX SELF TAP	SUP-71823018	CDM			270	RC		outpatient			44.78	44.78	12.13				percent of total billed charges		44.78				other	OPPS APC	33.14				percent of total billed charges		44.78				other	OPPS APC	44.78				other	OPPS APC	12.13				percent of total billed charges		12.37				percent of total billed charges		44.78				other	OPPS APC	12.13	44.78	
SCREW BONE L 18 MM OD 2.7 MM CORTEX SELF TAP	SUP-71823018	CDM			270	RC		inpatient			44.78	44.78																																																			
SCREW BONE L 22 MM OD 2.7 MM CORTEX SELF TAP	SUP-71823022	CDM			270	RC		outpatient			44.78	44.78	12.13				percent of total billed charges		44.78				other	OPPS APC	33.14				percent of total billed charges		44.78				other	OPPS APC	44.78				other	OPPS APC	12.13				percent of total billed charges		12.37				percent of total billed charges		44.78				other	OPPS APC	12.13	44.78	
SCREW BONE L 22 MM OD 2.7 MM CORTEX SELF TAP	SUP-71823022	CDM			270	RC		inpatient			44.78	44.78																																																			
SCREW BONE L 26 MM OD 2.7 MM CORTEX SELF TAP	SUP-71823026	CDM			270	RC		outpatient			44.78	44.78	12.13				percent of total billed charges		44.78				other	OPPS APC	33.14				percent of total billed charges		44.78				other	OPPS APC	44.78				other	OPPS APC	12.13				percent of total billed charges		12.37				percent of total billed charges		44.78				other	OPPS APC	12.13	44.78	
SCREW BONE L 26 MM OD 2.7 MM CORTEX SELF TAP	SUP-71823026	CDM			270	RC		inpatient			44.78	44.78																																																			
SCREW BONE L30 MM OD2.7 MM CORTEX SELF TAP	SUP-71823030	CDM			270	RC		outpatient			44.78	44.78	12.13				percent of total billed charges		44.78				other	OPPS APC	33.14				percent of total billed charges		44.78				other	OPPS APC	44.78				other	OPPS APC	12.13				percent of total billed charges		12.37				percent of total billed charges		44.78				other	OPPS APC	12.13	44.78	
SCREW BONE L30 MM OD2.7 MM CORTEX SELF TAP	SUP-71823030	CDM			270	RC		inpatient			44.78	44.78																																																			
SCREW BONE L 32 MM OD 2.7MM CORTEX SELF TAP	SUP-71823032	CDM			270	RC		outpatient			44.78	44.78	12.13				percent of total billed charges		44.78				other	OPPS APC	33.14				percent of total billed charges		44.78				other	OPPS APC	44.78				other	OPPS APC	12.13				percent of total billed charges		12.37				percent of total billed charges		44.78				other	OPPS APC	12.13	44.78	
SCREW BONE L 32 MM OD 2.7MM CORTEX SELF TAP	SUP-71823032	CDM			270	RC		inpatient			44.78	44.78																																																			
PACK SURGICAL ORTHO LOWER EXTREMITY	SUP-88041	CDM			270	RC		outpatient			44.69	44.69	12.11				percent of total billed charges		44.69				other	OPPS APC	33.07				percent of total billed charges		44.69				other	OPPS APC	44.69				other	OPPS APC	12.11				percent of total billed charges		12.35				percent of total billed charges		44.69				other	OPPS APC	12.11	44.69	
PACK SURGICAL ORTHO LOWER EXTREMITY	SUP-88041	CDM			270	RC		inpatient			44.69	44.69																																																			
BD SAFETY GLIDE 27G X 5/8 NEEDLE	SUP-95-23420	CDM			272	RC		outpatient			44.64	44.64	12.09				percent of total billed charges		44.64				other	OPPS APC	33.03				percent of total billed charges		44.64				other	OPPS APC	44.64				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.64				other	OPPS APC	12.09	44.64	
BD SAFETY GLIDE 27G X 5/8 NEEDLE	SUP-95-23420	CDM			272	RC		inpatient			44.64	44.64																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 48MM	SUP-02.200.048	CDM	270010025	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 48MM	SUP-02.200.048	CDM	270010025	LOCAL	270	RC		inpatient			44.62	44.62																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 65MM	SUP-02.200.065	CDM	270010025	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 65MM	SUP-02.200.065	CDM	270010025	LOCAL	270	RC		inpatient			44.62	44.62																																																			
SCREW 3.5 MM STARDRIVE CORTEX  SELF TAPPING 70MM	SUP-02.200.070	CDM	270010025	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
SCREW 3.5 MM STARDRIVE CORTEX  SELF TAPPING 70MM	SUP-02.200.070	CDM	270010025	LOCAL	270	RC		inpatient			44.62	44.62																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 75MM	SUP-02.200.075	CDM	270010025	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 75MM	SUP-02.200.075	CDM	270010025	LOCAL	270	RC		inpatient			44.62	44.62																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 80MM	SUP-02.200.080	CDM	270010025	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 80MM	SUP-02.200.080	CDM	270010025	LOCAL	270	RC		inpatient			44.62	44.62																																																			
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 85 MM	SUP-02.200.085	CDM	270010025	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
SCREW 3.5 MM STARDRIVE CORTEX SELF TAPPING 85 MM	SUP-02.200.085	CDM	270010025	LOCAL	270	RC		inpatient			44.62	44.62																																																			
WASHER ORTHOPEDIC 7MM SS NS	SUP-219.98	CDM	270010022	LOCAL	270	RC		outpatient			44.62	44.62	12.09				percent of total billed charges		44.62				other	OPPS APC	33.02				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	12.09				percent of total billed charges		12.33				percent of total billed charges		44.62				other	OPPS APC	12.09	44.62	
WASHER ORTHOPEDIC 7MM SS NS	SUP-219.98	CDM	270010022	LOCAL	270	RC		inpatient			44.62	44.62																																																			
CATHETER FOLEY LF 24FR 3WAY 5CC	SUP-02-00035	CDM			272	RC		outpatient			44.55	44.55	12.07				percent of total billed charges		44.55				other	OPPS APC	32.97				percent of total billed charges		44.55				other	OPPS APC	44.55				other	OPPS APC	12.07				percent of total billed charges		12.31				percent of total billed charges		44.55				other	OPPS APC	12.07	44.55	
CATHETER FOLEY LF 24FR 3WAY 5CC	SUP-02-00035	CDM			272	RC		inpatient			44.55	44.55																																																			
GUIDE PIN ORTHOPEDIC BAYONET L 140MM OD 1.3MM STERILE DIPOSABLE 4MM 5MM CANNULATED SCREW	SUP-128039	CDM			270	RC		outpatient			44.54	44.54	12.07				percent of total billed charges		44.54				other	OPPS APC	32.96				percent of total billed charges		44.54				other	OPPS APC	44.54				other	OPPS APC	12.07				percent of total billed charges		12.31				percent of total billed charges		44.54				other	OPPS APC	12.07	44.54	
GUIDE PIN ORTHOPEDIC BAYONET L 140MM OD 1.3MM STERILE DIPOSABLE 4MM 5MM CANNULATED SCREW	SUP-128039	CDM			270	RC		inpatient			44.54	44.54																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE STANDARD L25 CM L2.5 CM ID5 FR CORONARY DILATOR KINK RESISTANT SMOOTH TRANSITION SNAP ON GUIDEWIRE	SUP-RSS506	CDM						inpatient			44.5	44.5																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE STANDARD L25 CM L2.5 CM ID5 FR CORONARY DILATOR KINK RESISTANT SMOOTH TRANSITION SNAP ON GUIDEWIRE	SUP-RSS506	CDM						outpatient			44.5	44.5	44.5				percent of total billed charges		44.5				other	OPPS APC	44.5				fee schedule		44.5				other	OPPS APC	44.5				other	OPPS APC	44.5				case rate		44.5				case rate		44.5				other	OPPS APC	44.5	44.5	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID6 FR CORONARY DILATOR KINK RESISTANT	SUP-RSS606	CDM			270	RC		outpatient			44.5	44.5	12.06				percent of total billed charges		44.5				other	OPPS APC	32.93				percent of total billed charges		44.5				other	OPPS APC	44.5				other	OPPS APC	12.06				percent of total billed charges		12.3				percent of total billed charges		44.5				other	OPPS APC	12.06	44.5	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID6 FR CORONARY DILATOR KINK RESISTANT	SUP-RSS606	CDM			270	RC		inpatient			44.5	44.5																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID8 FR CORONARY DILATOR KINK RESISTANT SMOOTH TRANSITION SNAP ON	SUP-RSS806	CDM	270009215	LOCAL	270	RC		outpatient			44.5	44.5	12.06				percent of total billed charges		44.5				other	OPPS APC	32.93				percent of total billed charges		44.5				other	OPPS APC	44.5				other	OPPS APC	12.06				percent of total billed charges		12.3				percent of total billed charges		44.5				other	OPPS APC	12.06	44.5	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE L25 CM L2.5 CM ID8 FR CORONARY DILATOR KINK RESISTANT SMOOTH TRANSITION SNAP ON	SUP-RSS806	CDM	270009215	LOCAL	270	RC		inpatient			44.5	44.5																																																			
SEVELAMER 800 MG TABLET	637000000	CDM	50268-720-11	NDC	A9270	HCPCS		inpatient			44.49	44.49																																																			
SEVELAMER 800 MG TABLET	637000000	CDM	50268-720-11	NDC	A9270	HCPCS		outpatient			44.49	44.49																																															other	OPPS APC			
CARTRIDGE OIL MAESTRO CORE	SUP-5400-005-000	CDM			270	RC		outpatient			44.46	44.46	12.04				percent of total billed charges		44.46				other	OPPS APC	32.9				percent of total billed charges		44.46				other	OPPS APC	44.46				other	OPPS APC	12.04				percent of total billed charges		12.28				percent of total billed charges		44.46				other	OPPS APC	12.04	44.46	
CARTRIDGE OIL MAESTRO CORE	SUP-5400-005-000	CDM			270	RC		inpatient			44.46	44.46																																																			
CATHETER THORACIC STRT 5 EYE 20FR SIL	SUP-95-05121	CDM			278	RC		outpatient			44.44	44.44	44.44				fee schedule		44.44				other	OPPS APC	25.33				percent of total billed charges		44.44				other	OPPS APC	44.44				other	OPPS APC	21.78				percent of total billed charges		22.66				percent of total billed charges		44.44				other	OPPS APC	21.78	44.44	
CATHETER THORACIC STRT 5 EYE 20FR SIL	SUP-95-05121	CDM			278	RC		inpatient			44.44	44.44																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	0409-5239-01	NDC	J3475	HCPCS		inpatient			44.4	44.4																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	0409-5239-01	NDC	J3475	HCPCS		outpatient			44.4	44.4																																															other	OPPS APC			
SLEEVE COMPRESSION KENDALL SCD KAMBIA MEDIUM THIGH LENGTH OD28- IN TEAR AWAY DISPOSABLE	SUP-9530T	CDM	270009043	LOCAL	270	RC		outpatient			44.36	44.36	12.02				percent of total billed charges		44.36				other	OPPS APC	32.83				percent of total billed charges		44.36				other	OPPS APC	44.36				other	OPPS APC	12.02				percent of total billed charges		12.26				percent of total billed charges		44.36				other	OPPS APC	12.02	44.36	
SLEEVE COMPRESSION KENDALL SCD KAMBIA MEDIUM THIGH LENGTH OD28- IN TEAR AWAY DISPOSABLE	SUP-9530T	CDM	270009043	LOCAL	270	RC		inpatient			44.36	44.36																																																			
POLYETHYLENE GLYCOL 17 GRAM/DOSE POWDER 510 G JAR	637000000	CDM	45802-868-03	NDC	A9270	HCPCS		inpatient			44.28	44.28																																																			
POLYETHYLENE GLYCOL 17 GRAM/DOSE POWDER 510 G JAR	637000000	CDM	45802-868-03	NDC	A9270	HCPCS		outpatient			44.28	44.28																																															other	OPPS APC			
HC Ova and Parasites (Onp)	PX-300871770	CDM	87177	CPT	300	RC		outpatient			44.28	8.94	11.9				fee schedule		8.9				fee schedule		16.3				fee schedule		8.9				fee schedule		8.9				fee schedule		8.9				fee schedule		8.9				fee schedule		8.94				fee schedule		8.9	16.3	
HC Ova and Parasites (Onp)	PX-300871770	CDM	87177	CPT	300	RC		inpatient			44.28	44.28																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	63323-106-02	NDC	J3475	HCPCS		inpatient			44.16	44.16																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	63323-106-02	NDC	J3475	HCPCS		outpatient			44.16	44.16																																															other	OPPS APC			
BERKELEY COLLECTION SYSTEM	SUP-97-00208	CDM						inpatient			44.1	44.1																																																			
BERKELEY COLLECTION SYSTEM	SUP-97-00208	CDM						outpatient			44.1	44.11	44.1				percent of total billed charges		44.1				other	OPPS APC	44.1				fee schedule		44.1				other	OPPS APC	44.1				other	OPPS APC	44.1				case rate		44.1				case rate		44.11				other	OPPS APC	44.1	44.11	
PACK SURGICAL CUSTOM DENTAL	SUP-DYNJ59275A	CDM			270	RC		outpatient			44.09	44.93	11.94				percent of total billed charges		44.09				other	OPPS APC	32.63				percent of total billed charges		44.09				other	OPPS APC	44.09				other	OPPS APC	11.94				percent of total billed charges		12.18				percent of total billed charges		44.93				other	OPPS APC	11.94	44.93	
PACK SURGICAL CUSTOM DENTAL	SUP-DYNJ59275A	CDM			270	RC		inpatient			44.09	44.09																																																			
WRAP SHOULDER FOAM WITH 4 COLD PACK	SUP-9381-00	CDM	270009124	LOCAL	270	RC		outpatient			44.02	44.23	11.93				percent of total billed charges		44.02				other	OPPS APC	32.57				percent of total billed charges		44.02				other	OPPS APC	44.02				other	OPPS APC	11.93				percent of total billed charges		12.16				percent of total billed charges		44.23				other	OPPS APC	11.93	44.23	
WRAP SHOULDER FOAM WITH 4 COLD PACK	SUP-9381-00	CDM	270009124	LOCAL	270	RC		inpatient			44.02	44.02																																																			
HC Varicella-Zoster	PX-300867870	CDM	86787	CPT	300	RC		outpatient			44	12.88	17.23				fee schedule		12.88				fee schedule		34.2				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88				fee schedule		12.88	34.2	
HC Varicella-Zoster	PX-300867870	CDM	86787	CPT	300	RC		inpatient			44	44																																																			
HC Presumptive Identification X 1	PX-300870880	CDM	87088	CPT	300	RC		outpatient			44	8.9	10.83				fee schedule		8.09				fee schedule		21.49				fee schedule		8.09				fee schedule		8.09				fee schedule		8.09				fee schedule		8.09				fee schedule		8.9				fee schedule		8.09	21.49	
HC Presumptive Identification X 1	PX-300870880	CDM	87088	CPT	300	RC		inpatient			44	44																																																			
ADAPTER THREADED CARTRIDGE	SUP-110030122	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
ADAPTER THREADED CARTRIDGE	SUP-110030122	CDM			270	RC		inpatient			44	44																																																			
RAD PADS WITH CUTOUT	SUP-5400A-Y	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
RAD PADS WITH CUTOUT	SUP-5400A-Y	CDM			270	RC		inpatient			44	44																																																			
CATHETER - BERENSTEIN 4F X 35	SUP-95-06008	CDM			272	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
CATHETER - BERENSTEIN 4F X 35	SUP-95-06008	CDM			272	RC		inpatient			44	44																																																			
CATHETER - BERENSTEIN 4F X 65	SUP-95-06009	CDM			272	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
CATHETER - BERENSTEIN 4F X 65	SUP-95-06009	CDM			272	RC		inpatient			44	44																																																			
CATHETER - BERENSTEIN 5F X 65	SUP-99-00173	CDM			272	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
CATHETER - BERENSTEIN 5F X 65	SUP-99-00173	CDM			272	RC		inpatient			44	44																																																			
SUTURE NONABSORBABLE FIBERWIRE 2 T-8 L38 IN 2 ARM BRAID MULTISTRAND LOWER KNOT PROFILE BARB BLUE	SUP-AR-7206	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
SUTURE NONABSORBABLE FIBERWIRE 2 T-8 L38 IN 2 ARM BRAID MULTISTRAND LOWER KNOT PROFILE BARB BLUE	SUP-AR-7206	CDM			270	RC		inpatient			44	44																																																			
SUTURE NONABSORBABLE FIBERWIRE 3-0 T-43 L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLUE	SUP-AR-7227-01	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
SUTURE NONABSORBABLE FIBERWIRE 3-0 T-43 L18 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLUE	SUP-AR-7227-01	CDM			270	RC		inpatient			44	44																																																			
GUIDEWIRE ORTHOPEDIC L100 MM OD1.2 MM FOOT ANKLE THREAD STERILE DISPOSABLE COMPRESSION STAPLE INSTRUMENT SET	SUP-AR-8005K	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
GUIDEWIRE ORTHOPEDIC L100 MM OD1.2 MM FOOT ANKLE THREAD STERILE DISPOSABLE COMPRESSION STAPLE INSTRUMENT SET	SUP-AR-8005K	CDM			270	RC		inpatient			44	44																																																			
GUIDEWIRE ARTHROSCOPIC L12 IN OD.094 IN TROCAR DISPOSABLE	SUP-AR-8967K-12	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
GUIDEWIRE ARTHROSCOPIC L12 IN OD.094 IN TROCAR DISPOSABLE	SUP-AR-8967K-12	CDM			270	RC		inpatient			44	44																																																			
CLIP SURGICAL STEALTH 6MM STERILE ATRAUMATIC OCCLUSION FIBRA SPRING	SUP-G-6050	CDM						inpatient			44	44																																																			
CLIP SURGICAL STEALTH 6MM STERILE ATRAUMATIC OCCLUSION FIBRA SPRING	SUP-G-6050	CDM						outpatient			44	44	44				percent of total billed charges		44				other	OPPS APC	44				fee schedule		44				other	OPPS APC	44				other	OPPS APC	44				case rate		44				case rate		44				other	OPPS APC	44	44	
VALVE HEMOSTASIS PHD METAL POLYCARBONATE SILICONE ID 7.3 FR INSERTION TOOL TORQUE DEVICE COMPRESSION SEAL PUSH RELEASE MECHANISM CLEAR	SUP-MAP802	CDM			481	RC		outpatient			44	44	21.56				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	21.56				percent of total billed charges		22.44				percent of total billed charges		44				other	OPPS APC	21.56	44	
VALVE HEMOSTASIS PHD METAL POLYCARBONATE SILICONE ID 7.3 FR INSERTION TOOL TORQUE DEVICE COMPRESSION SEAL PUSH RELEASE MECHANISM CLEAR	SUP-MAP802	CDM			481	RC		inpatient			44	44																																																			
INTRODUCER MICRO STIFFEN 4FR	SUP-MPIS402-10.0SCNTUSST	CDM			270	RC		outpatient			44	44	11.92				percent of total billed charges		44				other	OPPS APC	32.56				percent of total billed charges		44				other	OPPS APC	44				other	OPPS APC	11.92				percent of total billed charges		12.16				percent of total billed charges		44				other	OPPS APC	11.92	44	
INTRODUCER MICRO STIFFEN 4FR	SUP-MPIS402-10.0SCNTUSST	CDM			270	RC		inpatient			44	44																																																			
DRAPE EQUIPMENT ZEISS CLEARLENS STANDARD L120 IN X W46 IN OD65 MM OCULAR COVER LENS PATENT GLARE REDUCE STEREO STERILE LATEX FREE DISPOSABLE	SUP-4838CL	CDM			270	RC		outpatient			43.99	43.99	11.92				percent of total billed charges		43.99				other	OPPS APC	32.55				percent of total billed charges		43.99				other	OPPS APC	43.99				other	OPPS APC	11.92				percent of total billed charges		12.15				percent of total billed charges		43.99				other	OPPS APC	11.92	43.99	
DRAPE EQUIPMENT ZEISS CLEARLENS STANDARD L120 IN X W46 IN OD65 MM OCULAR COVER LENS PATENT GLARE REDUCE STEREO STERILE LATEX FREE DISPOSABLE	SUP-4838CL	CDM			270	RC		inpatient			43.99	43.99																																																			
FORCEPS SURGICAL L7 IN BRAIN DRESSING SERRATED	SUP-285118	CDM			270	RC		outpatient			43.96	43.96	11.91				percent of total billed charges		43.96				other	OPPS APC	32.53				percent of total billed charges		43.96				other	OPPS APC	43.96				other	OPPS APC	11.91				percent of total billed charges		12.15				percent of total billed charges		43.96				other	OPPS APC	11.91	43.96	
FORCEPS SURGICAL L7 IN BRAIN DRESSING SERRATED	SUP-285118	CDM			270	RC		inpatient			43.96	43.96																																																			
NEEDLE SAFETY GLIDE 23X1	SUP-95-02136	CDM			272	RC		outpatient			43.9	43.9	11.89				percent of total billed charges		43.9				other	OPPS APC	32.49				percent of total billed charges		43.9				other	OPPS APC	43.9				other	OPPS APC	11.89				percent of total billed charges		12.13				percent of total billed charges		43.9				other	OPPS APC	11.89	43.9	
NEEDLE SAFETY GLIDE 23X1	SUP-95-02136	CDM			272	RC		inpatient			43.9	43.9																																																			
CATHETER ANGIOGRAPHIC SOFT-VU SOS OMNI 0 CURVE L80 CM OD4 FR VISCERAL BRAID ULTRA TORQUE SHAFT SOFT RADIOPAQUE TIP SELECTIVE ACCEPTS .035 IN GUIDEWIRE	SUP-H787107114045	CDM			270	RC		outpatient			43.88	43.88	11.89				percent of total billed charges		43.88				other	OPPS APC	32.47				percent of total billed charges		43.88				other	OPPS APC	43.88				other	OPPS APC	11.89				percent of total billed charges		12.12				percent of total billed charges		43.88				other	OPPS APC	11.89	43.88	
CATHETER ANGIOGRAPHIC SOFT-VU SOS OMNI 0 CURVE L80 CM OD4 FR VISCERAL BRAID ULTRA TORQUE SHAFT SOFT RADIOPAQUE TIP SELECTIVE ACCEPTS .035 IN GUIDEWIRE	SUP-H787107114045	CDM			270	RC		inpatient			43.88	43.88																																																			
DEVICE CLOSURE V-LOC 180 3-0 P-14 18IN CLEAR ABSORBABLE PREMIUM REVERSE CUT	SUP-VLOCL0124	CDM			270	RC		outpatient			43.86	43.86	11.88				percent of total billed charges		43.86				other	OPPS APC	32.46				percent of total billed charges		43.86				other	OPPS APC	43.86				other	OPPS APC	11.88				percent of total billed charges		12.12				percent of total billed charges		43.86				other	OPPS APC	11.88	43.86	
DEVICE CLOSURE V-LOC 180 3-0 P-14 18IN CLEAR ABSORBABLE PREMIUM REVERSE CUT	SUP-VLOCL0124	CDM			270	RC		inpatient			43.86	43.86																																																			
DEVICE CLOSURE V-LOC 90 SURGALLOY 3-0 P-12 3/8 CIRCLE L12IN L19MM REVERSE CUT ABSORBABLE 2 ANGLE CUT BARB PATTERN UNDYED	SUP-VLOCM0014	CDM			270	RC		outpatient			43.86	43.86	11.88				percent of total billed charges		43.86				other	OPPS APC	32.46				percent of total billed charges		43.86				other	OPPS APC	43.86				other	OPPS APC	11.88				percent of total billed charges		12.12				percent of total billed charges		43.86				other	OPPS APC	11.88	43.86	
DEVICE CLOSURE V-LOC 90 SURGALLOY 3-0 P-12 3/8 CIRCLE L12IN L19MM REVERSE CUT ABSORBABLE 2 ANGLE CUT BARB PATTERN UNDYED	SUP-VLOCM0014	CDM			270	RC		inpatient			43.86	43.86																																																			
GENTAMICIN PER 80 MG	636000000	CDM	63323-010-20	NDC	J1580	HCPCS		inpatient			43.83	43.83																																																			
GENTAMICIN PER 80 MG	636000000	CDM	63323-010-20	NDC	J1580	HCPCS		outpatient			43.83	43.83																																															other	OPPS APC			
QUETIAPINE XR 200 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50228-382-60	NDC	A9270	HCPCS		inpatient			43.82	43.82																																																			
QUETIAPINE XR 200 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50228-382-60	NDC	A9270	HCPCS		outpatient			43.82	43.82																																															other	OPPS APC			
METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON SOLN	636000000	CDM	0009-0047-22	NDC	J2919	HCPCS		inpatient			43.76	43.76																																																			
METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON SOLN	636000000	CDM	0009-0047-22	NDC	J2919	HCPCS		outpatient			43.76	43.76																																															other	OPPS APC			
"NYSTATIN 100,000 UNIT/GRAM CREAM 15 G TUBE"	637000000	CDM	45802-059-35	NDC	A9270	HCPCS		inpatient			43.76	43.76																																																			
"NYSTATIN 100,000 UNIT/GRAM CREAM 15 G TUBE"	637000000	CDM	45802-059-35	NDC	A9270	HCPCS		outpatient			43.76	43.76																																															other	OPPS APC			
"NYSTATIN 100,000 UNIT/GRAM OINTMENT 15 G TUBE"	637000000	CDM	33342-481-15	NDC	A9270	HCPCS		inpatient			43.76	43.76																																																			
"NYSTATIN 100,000 UNIT/GRAM OINTMENT 15 G TUBE"	637000000	CDM	33342-481-15	NDC	A9270	HCPCS		outpatient			43.76	43.76																																															other	OPPS APC			
"POLYMYXIN B 500,000 UNIT RECON SOLN 1 EACH VIAL"	250000000	CDM	55150-234-10	NDC				inpatient			43.75	43.75																																																			
"POLYMYXIN B 500,000 UNIT RECON SOLN 1 EACH VIAL"	250000000	CDM	55150-234-10	NDC				outpatient			43.75	43.75																																															other	OPPS APC			
SCREW BONE 4.5MM 52MM LC-DCP DHS DCS SS CORTEX SELF TAP NS LG FRAGMENT SET	SUP-214.852	CDM	270010022	LOCAL	270	RC		outpatient			43.68	43.68	11.83				percent of total billed charges		43.68				other	OPPS APC	32.32				percent of total billed charges		43.68				other	OPPS APC	43.68				other	OPPS APC	11.83				percent of total billed charges		12.07				percent of total billed charges		43.68				other	OPPS APC	11.83	43.68	
SCREW BONE 4.5MM 52MM LC-DCP DHS DCS SS CORTEX SELF TAP NS LG FRAGMENT SET	SUP-214.852	CDM	270010022	LOCAL	270	RC		inpatient			43.68	43.68																																																			
GUIDEWIRE ORTHOPEDIC COBALT L150 MM OD1.25 MM NONTHREAD NONSTERILE	SUP-900.721	CDM	270010022	LOCAL	270	RC		outpatient			43.68	43.68	11.83				percent of total billed charges		43.68				other	OPPS APC	32.32				percent of total billed charges		43.68				other	OPPS APC	43.68				other	OPPS APC	11.83				percent of total billed charges		12.07				percent of total billed charges		43.68				other	OPPS APC	11.83	43.68	
GUIDEWIRE ORTHOPEDIC COBALT L150 MM OD1.25 MM NONTHREAD NONSTERILE	SUP-900.721	CDM	270010022	LOCAL	270	RC		inpatient			43.68	43.68																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L10 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.810	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L10 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.810	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.812	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD L12 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.812	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L14 MM OD3.5 MM ODSEC6 MM CORTICAL SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.814	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L14 MM OD3.5 MM ODSEC6 MM CORTICAL SELF TAP SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.814	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.816	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L16 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.816	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LCP STAINLESS STEEL L18 MM OD3.5 MM CORTICAL SELF TAPPING NONSTERILE	SUP-204.818	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LCP STAINLESS STEEL L18 MM OD3.5 MM CORTICAL SELF TAPPING NONSTERILE	SUP-204.818	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L20 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.820	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L20 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.820	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE 22MM 3.5MM SS NS CORTICAL SELF TAPPING SM FRAGMENT SET	SUP-204.822	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE 22MM 3.5MM SS NS CORTICAL SELF TAPPING SM FRAGMENT SET	SUP-204.822	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE 24MM 3.5MM SS NS CORTICAL SELF TAPPING SM FRAGMENT SET	SUP-204.824	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE 24MM 3.5MM SS NS CORTICAL SELF TAPPING SM FRAGMENT SET	SUP-204.824	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE 26MM 3.5MM SS NS CORTICAL SELF TAPPING SM FRAGMENT SET	SUP-204.826	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE 26MM 3.5MM SS NS CORTICAL SELF TAPPING SM FRAGMENT SET	SUP-204.826	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL L28 MM OD3.5 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAPPING HEXAGONAL RECESS NONSTERILE SMALL FRAGMENT SET	SUP-204.828	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE DCP LC-DCP STAINLESS STEEL L28 MM OD3.5 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAPPING HEXAGONAL RECESS NONSTERILE SMALL FRAGMENT SET	SUP-204.828	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L30 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.830	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L30 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.830	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L32 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.832	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L32 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.832	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.834	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L34 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.834	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.836	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L36 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.836	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE 38MM 3.5MM SS NS CORTEX SELF TAP SM FRAGMENT SET	SUP-204.838	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE 38MM 3.5MM SS NS CORTEX SELF TAP SM FRAGMENT SET	SUP-204.838	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L40 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.840	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD HEXAGON L40 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAP NONSTERILE SMALL FRAGMENT SET	SUP-204.840	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LCP STAINLESS STEEL L45 MM OD3.5 MM CORTICAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-204.845	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LCP STAINLESS STEEL L45 MM OD3.5 MM CORTICAL SELF TAPPING NONSTERILE SMALL FRAGMENT SET	SUP-204.845	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L50 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.850	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L50 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.850	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL L55 MM OD3.5 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAPPING HEXAGONAL RECESS SMALL FRAGMENT SET	SUP-204.855	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE DCP LC-DCP STAINLESS STEEL L55 MM OD3.5 MM HUMERUS RADIUS CORTICAL DISTAL SELF TAPPING HEXAGONAL RECESS SMALL FRAGMENT SET	SUP-204.855	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L60 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET	SUP-204.860	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L60 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET	SUP-204.860	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L75 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.875	CDM	270010022	LOCAL	270	RC		outpatient			43.66	43.66	11.83				percent of total billed charges		43.66				other	OPPS APC	32.31				percent of total billed charges		43.66				other	OPPS APC	43.66				other	OPPS APC	11.83				percent of total billed charges		12.06				percent of total billed charges		43.66				other	OPPS APC	11.83	43.66	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L75 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.875	CDM	270010022	LOCAL	270	RC		inpatient			43.66	43.66																																																			
SCREW BONE STANDARD 28MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.228	CDM	270010022	LOCAL	270	RC		outpatient			43.64	43.64	11.82				percent of total billed charges		43.64				other	OPPS APC	32.29				percent of total billed charges		43.64				other	OPPS APC	43.64				other	OPPS APC	11.82				percent of total billed charges		12.06				percent of total billed charges		43.64				other	OPPS APC	11.82	43.64	
SCREW BONE STANDARD 28MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.228	CDM	270010022	LOCAL	270	RC		inpatient			43.64	43.64																																																			
SCREW BONE STANDARD 38MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.238	CDM	270010022	LOCAL	270	RC		outpatient			43.64	43.64	11.82				percent of total billed charges		43.64				other	OPPS APC	32.29				percent of total billed charges		43.64				other	OPPS APC	43.64				other	OPPS APC	11.82				percent of total billed charges		12.06				percent of total billed charges		43.64				other	OPPS APC	11.82	43.64	
SCREW BONE STANDARD 38MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.238	CDM	270010022	LOCAL	270	RC		inpatient			43.64	43.64																																																			
KIT INJECTION RS PENINSULA REGIONAL MEDICAL	SUP-60160423	CDM			270	RC		outpatient			43.6	43.61	11.81				percent of total billed charges		43.6				other	OPPS APC	32.26				percent of total billed charges		43.6				other	OPPS APC	43.6				other	OPPS APC	11.81				percent of total billed charges		12.05				percent of total billed charges		43.61				other	OPPS APC	11.81	43.61	
KIT INJECTION RS PENINSULA REGIONAL MEDICAL	SUP-60160423	CDM			270	RC		inpatient			43.6	43.6																																																			
CATHETER TUBING ADAPTER	SUP-95-06012	CDM	27000000	LOCAL	270	RC		outpatient			43.6	43.61	11.81				percent of total billed charges		43.6				other	OPPS APC	32.26				percent of total billed charges		43.6				other	OPPS APC	43.6				other	OPPS APC	11.81				percent of total billed charges		12.05				percent of total billed charges		43.61				other	OPPS APC	11.81	43.61	
CATHETER TUBING ADAPTER	SUP-95-06012	CDM	27000000	LOCAL	270	RC		inpatient			43.6	43.6																																																			
NEEDLE INSUFFLATION ENDOPATH ULTRA VERESS STAINLESS STEEL PLASTIC L120 MM OD14 GA STOPCOCK LUER LOCK BLUNT STYLET HANDLE STERILE DISPOSABLE PNEUMOPERITONEUM	SUP-ESPN120	CDM	270009197	LOCAL	270	RC		outpatient			43.52	43.52	11.79				percent of total billed charges		43.52				other	OPPS APC	32.2				percent of total billed charges		43.52				other	OPPS APC	43.52				other	OPPS APC	11.79				percent of total billed charges		12.02				percent of total billed charges		43.52				other	OPPS APC	11.79	43.52	
NEEDLE INSUFFLATION ENDOPATH ULTRA VERESS STAINLESS STEEL PLASTIC L120 MM OD14 GA STOPCOCK LUER LOCK BLUNT STYLET HANDLE STERILE DISPOSABLE PNEUMOPERITONEUM	SUP-ESPN120	CDM	270009197	LOCAL	270	RC		inpatient			43.52	43.52																																																			
NEEDLE INSUFFLATION ENDOPATH 150MM 14GA SS DISPOSABLE STERILE SPRING LOAD BLUNT STYLET STOPCOCK LUER LOCK CONNECTOR	SUP-ESPN150	CDM	270009197	LOCAL	270	RC		outpatient			43.52	43.52	11.79				percent of total billed charges		43.52				other	OPPS APC	32.2				percent of total billed charges		43.52				other	OPPS APC	43.52				other	OPPS APC	11.79				percent of total billed charges		12.02				percent of total billed charges		43.52				other	OPPS APC	11.79	43.52	
NEEDLE INSUFFLATION ENDOPATH 150MM 14GA SS DISPOSABLE STERILE SPRING LOAD BLUNT STYLET STOPCOCK LUER LOCK CONNECTOR	SUP-ESPN150	CDM	270009197	LOCAL	270	RC		inpatient			43.52	43.52																																																			
COLLAR PHILADELPHIA LARGE	SUP-37-00007	CDM			271	RC		outpatient			43.49	43.49	11.78				percent of total billed charges		43.49				other	OPPS APC	32.18				percent of total billed charges		43.49				other	OPPS APC	43.49				other	OPPS APC	11.78				percent of total billed charges		12.02				percent of total billed charges		43.49				other	OPPS APC	11.78	43.49	
COLLAR PHILADELPHIA LARGE	SUP-37-00007	CDM			271	RC		inpatient			43.49	43.49																																																			
DEVICE CLOSURE V-LOC 90 4-0 SC-2 STRAIGHT L45 CM L60 MM 2 ANGLE CUT ABSORBABLE BARB UNDYED	SUP-VLOCM0223	CDM			270	RC		outpatient			43.42	43.42	11.76				percent of total billed charges		43.42				other	OPPS APC	32.13				percent of total billed charges		43.42				other	OPPS APC	43.42				other	OPPS APC	11.76				percent of total billed charges		12				percent of total billed charges		43.42				other	OPPS APC	11.76	43.42	
DEVICE CLOSURE V-LOC 90 4-0 SC-2 STRAIGHT L45 CM L60 MM 2 ANGLE CUT ABSORBABLE BARB UNDYED	SUP-VLOCM0223	CDM			270	RC		inpatient			43.42	43.42																																																			
NEEDLE STIM ULTRA 22G X 50MM 2IN	SUP-97-00304	CDM			272	RC		outpatient			43.41	43.5	11.76				percent of total billed charges		43.41				other	OPPS APC	32.12				percent of total billed charges		43.41				other	OPPS APC	43.41				other	OPPS APC	11.76				percent of total billed charges		11.99				percent of total billed charges		43.5				other	OPPS APC	11.76	43.5	
NEEDLE STIM ULTRA 22G X 50MM 2IN	SUP-97-00304	CDM			272	RC		inpatient			43.41	43.41																																																			
DEVICE CLOSURE V-LOC 180 0 GS-21 L15 CM L37 MM ABSORBABLE GREEN	SUP-VLOCL0306	CDM			270	RC		outpatient			43.39	43.39	11.75				percent of total billed charges		43.39				other	OPPS APC	32.11				percent of total billed charges		43.39				other	OPPS APC	43.39				other	OPPS APC	11.75				percent of total billed charges		11.99				percent of total billed charges		43.39				other	OPPS APC	11.75	43.39	
DEVICE CLOSURE V-LOC 180 0 GS-21 L15 CM L37 MM ABSORBABLE GREEN	SUP-VLOCL0306	CDM			270	RC		inpatient			43.39	43.39																																																			
DEVICE CLOSURE V-LOC 180 2-0 GS-21 12IN GREEN ABSORBABLE TAPER POINT	SUP-VLOCL0315	CDM			270	RC		outpatient			43.39	43.39	11.75				percent of total billed charges		43.39				other	OPPS APC	32.11				percent of total billed charges		43.39				other	OPPS APC	43.39				other	OPPS APC	11.75				percent of total billed charges		11.99				percent of total billed charges		43.39				other	OPPS APC	11.75	43.39	
DEVICE CLOSURE V-LOC 180 2-0 GS-21 12IN GREEN ABSORBABLE TAPER POINT	SUP-VLOCL0315	CDM			270	RC		inpatient			43.39	43.39																																																			
DEVICE CLOSURE V-LOC 180 0 GS-21 12IN GREEN ABSORBABLE TAPER POINT	SUP-VLOCL0316	CDM			270	RC		outpatient			43.39	43.39	11.75				percent of total billed charges		43.39				other	OPPS APC	32.11				percent of total billed charges		43.39				other	OPPS APC	43.39				other	OPPS APC	11.75				percent of total billed charges		11.99				percent of total billed charges		43.39				other	OPPS APC	11.75	43.39	
DEVICE CLOSURE V-LOC 180 0 GS-21 12IN GREEN ABSORBABLE TAPER POINT	SUP-VLOCL0316	CDM			270	RC		inpatient			43.39	43.39																																																			
SUTURE VLOC NON ABS DVC 1BL 18'L GS-21	SUP-VLOCN0327	CDM			270	RC		outpatient			43.39	43.39	11.75				percent of total billed charges		43.39				other	OPPS APC	32.11				percent of total billed charges		43.39				other	OPPS APC	43.39				other	OPPS APC	11.75				percent of total billed charges		11.99				percent of total billed charges		43.39				other	OPPS APC	11.75	43.39	
SUTURE VLOC NON ABS DVC 1BL 18'L GS-21	SUP-VLOCN0327	CDM			270	RC		inpatient			43.39	43.39																																																			
AZITHROMYCIN PER 500 MG	636000000	CDM	70436-019-82	NDC	J0456	HCPCS		inpatient			43.25	43.25																																																			
AZITHROMYCIN PER 500 MG	636000000	CDM	70436-019-82	NDC	J0456	HCPCS		outpatient			43.25	43.25																																															other	OPPS APC			
HC Nephelometry  Ea Analyte (Flcp)	PX-301835210	CDM	83521	CPT	301	RC		outpatient			43.18	17.27	21.16				percent of total billed charges		17.27				fee schedule		40.24				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	40.24	
HC Nephelometry  Ea Analyte (Flcp)	PX-301835210	CDM	83521	CPT	301	RC		inpatient			43.18	43.18																																																			
HC Nephelometry  Ea Analyte (Msp3)	PX-301835211	CDM	83521	CPT	301	RC		outpatient			43.18	17.27	21.16				percent of total billed charges		17.27				fee schedule		40.24				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	40.24	
HC Nephelometry  Ea Analyte (Msp3)	PX-301835211	CDM	83521	CPT	301	RC		inpatient			43.18	43.18																																																			
HC Interleukin-6 (Il-6)  Serum	PX-302835290	CDM	83529	CPT	302	RC		outpatient			43.18	17.27	43.18				percent of total billed charges		17.27				fee schedule		40.24				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27				fee schedule		17.27	43.18	
HC Interleukin-6 (Il-6)  Serum	PX-302835290	CDM	83529	CPT	302	RC		inpatient			43.18	43.18																																																			
CATHETER COUDE FOLEY 12 FR 5CC	SUP-02-00008	CDM			272	RC		outpatient			43.11	43.2	11.68				percent of total billed charges		43.11				other	OPPS APC	31.9				percent of total billed charges		43.11				other	OPPS APC	43.11				other	OPPS APC	11.68				percent of total billed charges		11.91				percent of total billed charges		43.2				other	OPPS APC	11.68	43.2	
CATHETER COUDE FOLEY 12 FR 5CC	SUP-02-00008	CDM			272	RC		inpatient			43.11	43.11																																																			
CATHETER 6 EYE 24FR	SUP-02-00137	CDM			272	RC		outpatient			43.04	43.4	11.66				percent of total billed charges		43.04				other	OPPS APC	31.85				percent of total billed charges		43.04				other	OPPS APC	43.04				other	OPPS APC	11.66				percent of total billed charges		11.89				percent of total billed charges		43.4				other	OPPS APC	11.66	43.4	
CATHETER 6 EYE 24FR	SUP-02-00137	CDM			272	RC		inpatient			43.04	43.04																																																			
HC MC Crutch Push Button Adjustable Aluminum Adult Tall 70 to 78in	PX-270800032	CDM			270	RC		outpatient			43	43	11.65				percent of total billed charges		43				other	OPPS APC	31.82				percent of total billed charges		43				other	OPPS APC	43				other	OPPS APC	11.65				percent of total billed charges		11.88				percent of total billed charges		43				other	OPPS APC	11.65	43	
HC MC Crutch Push Button Adjustable Aluminum Adult Tall 70 to 78in	PX-270800032	CDM			270	RC		inpatient			43	43																																																			
HC Protein C (Protc)	PX-300853020	CDM	85302	CPT	300	RC		outpatient			43	12.1	16.07				fee schedule		12.01				fee schedule		31.92				fee schedule		12.01				fee schedule		12.01				fee schedule		12.01				fee schedule		12.01				fee schedule		12.1				fee schedule		12.01	31.92	
HC Protein C (Protc)	PX-300853020	CDM	85302	CPT	300	RC		inpatient			43	43																																																			
Immunodiffusion Ouchterology X5	PX-300863310	CDM	86331	CPT	302	RC		outpatient			43	11.98	16.02				fee schedule		11.98				fee schedule		31.83				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98	31.83	
Immunodiffusion Ouchterology X5	PX-300863310	CDM	86331	CPT	302	RC		inpatient			43	43																																																			
HC Sperm Post Vas (Spck)	PX-300893210	CDM	89321	CPT	300	RC		outpatient			43	12.51	16.11				fee schedule		12.05				fee schedule		32				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		12.05	32	
HC Sperm Post Vas (Spck)	PX-300893210	CDM	89321	CPT	300	RC		inpatient			43	43																																																			
PACK THROAT INTRA OP OROPAK MEROCEL WITH STRING	SUP-400520	CDM			270	RC		outpatient			43	43	11.65				percent of total billed charges		43				other	OPPS APC	31.82				percent of total billed charges		43				other	OPPS APC	43				other	OPPS APC	11.65				percent of total billed charges		11.88				percent of total billed charges		43				other	OPPS APC	11.65	43	
PACK THROAT INTRA OP OROPAK MEROCEL WITH STRING	SUP-400520	CDM			270	RC		inpatient			43	43																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	60505-6157-0	NDC	J2543	HCPCS		inpatient			42.94	42.94																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	60505-6157-4	NDC	J2543	HCPCS		inpatient			42.94	42.94																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	68001-507-53	NDC	J2543	HCPCS		inpatient			42.94	42.94																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	60505-6157-0	NDC	J2543	HCPCS		outpatient			42.94	42.94																																															other	OPPS APC			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	60505-6157-4	NDC	J2543	HCPCS		outpatient			42.94	42.94																																															other	OPPS APC			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	68001-507-53	NDC	J2543	HCPCS		outpatient			42.94	42.94																																															other	OPPS APC			
COLLAR PHILADELPHIA MED	SUP-37-00008	CDM			271	RC		outpatient			42.87	42.87	11.61				percent of total billed charges		42.87				other	OPPS APC	31.72				percent of total billed charges		42.87				other	OPPS APC	42.87				other	OPPS APC	11.61				percent of total billed charges		11.84				percent of total billed charges		42.87				other	OPPS APC	11.61	42.87	
COLLAR PHILADELPHIA MED	SUP-37-00008	CDM			271	RC		inpatient			42.87	42.87																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	72485-403-01	NDC	J2543	HCPCS		inpatient			42.85	42.85																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	72485-403-01	NDC	J2543	HCPCS		outpatient			42.85	42.85																																															other	OPPS APC			
SCREW BONE 14MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.814	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 14MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.814	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 16MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.816	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 16MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.816	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 18MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.818	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 18MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.818	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L20 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.820	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L20 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.820	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 22MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.822	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 22MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.822	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 24MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.824	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 24MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.824	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 26MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.826	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 26MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.826	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 28MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.828	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 28MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.828	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL L30 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.830	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL L30 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.830	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 32MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.832	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 32MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.832	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 34MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.834	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 34MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.834	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 36MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.836	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 36MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.836	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 38MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.838	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 38MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.838	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL STANDARD L40 MM OD4.5 MM CORTICAL SELF TAPPING TIP NONSTERILE	SUP-214.840	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL STANDARD L40 MM OD4.5 MM CORTICAL SELF TAPPING TIP NONSTERILE	SUP-214.840	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 42MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.842	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 42MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.842	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 44MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.844	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 44MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.844	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 46MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.846	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 46MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.846	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 48MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.848	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 48MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.848	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL L50 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.850	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL L50 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.850	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 54MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.854	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 54MM 4.5MM SS NS CORTICAL SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.854	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 56MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.856	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 56MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.856	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L58 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.858	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L58 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.858	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 60MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.860	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 60MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.860	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L62 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.862	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL LARGE HEXAGON L62 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAP SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.862	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL L64 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.864	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL L64 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.864	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 66MM 4.5MM 8MM SS NS CORTEX SELF TAP LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.866	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 66MM 4.5MM 8MM SS NS CORTEX SELF TAP LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.866	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE LCP STAINLESS STEEL L68 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.868	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE LCP STAINLESS STEEL L68 MM OD4.5 MM ODSEC8 MM PERIARTICULAR CONDYLE CORTICAL SELF TAPPING LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.868	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE STAINLESS STEEL L70 MM OD4.5 MM CORTEX SELF TAP LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.870	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE STAINLESS STEEL L70 MM OD4.5 MM CORTEX SELF TAP LARGE HEXAGONAL SOCKET NONSTERILE LARGE FRAGMENT SET	SUP-214.870	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
SCREW BONE 72MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.872	CDM	270010022	LOCAL	270	RC		outpatient			42.68	42.68	11.56				percent of total billed charges		42.68				other	OPPS APC	31.58				percent of total billed charges		42.68				other	OPPS APC	42.68				other	OPPS APC	11.56				percent of total billed charges		11.79				percent of total billed charges		42.68				other	OPPS APC	11.56	42.68	
SCREW BONE 72MM 4.5MM SS NS CORTEX SELF TAP LG HEXAGONAL LG FRAGMENT SET	SUP-214.872	CDM	270010022	LOCAL	270	RC		inpatient			42.68	42.68																																																			
ADAPTER CATHETER GATEWAY PLUS Y	SUP-M001153223	CDM			270	RC		outpatient			42.64	42.64	11.55				percent of total billed charges		42.64				other	OPPS APC	31.55				percent of total billed charges		42.64				other	OPPS APC	42.64				other	OPPS APC	11.55				percent of total billed charges		11.78				percent of total billed charges		42.64				other	OPPS APC	11.55	42.64	
ADAPTER CATHETER GATEWAY PLUS Y	SUP-M001153223	CDM			270	RC		inpatient			42.64	42.64																																																			
WIRE .038 W/3CM TIP FIXED CORE	SUP-70-00181	CDM			272	RC		outpatient			42.6	42.61	11.54				percent of total billed charges		42.6				other	OPPS APC	31.52				percent of total billed charges		42.6				other	OPPS APC	42.6				other	OPPS APC	11.54				percent of total billed charges		11.77				percent of total billed charges		42.61				other	OPPS APC	11.54	42.61	
WIRE .038 W/3CM TIP FIXED CORE	SUP-70-00181	CDM			272	RC		inpatient			42.6	42.6																																																			
WIRE .035 FIXED CORE	SUP-70-00182	CDM			272	RC		outpatient			42.6	42.61	11.54				percent of total billed charges		42.6				other	OPPS APC	31.52				percent of total billed charges		42.6				other	OPPS APC	42.6				other	OPPS APC	11.54				percent of total billed charges		11.77				percent of total billed charges		42.61				other	OPPS APC	11.54	42.61	
WIRE .035 FIXED CORE	SUP-70-00182	CDM			272	RC		inpatient			42.6	42.6																																																			
NEEDLE STIMUPLEX 20G X 6	SUP-97-00246	CDM			272	RC		outpatient			42.6	42.61	11.54				percent of total billed charges		42.6				other	OPPS APC	31.52				percent of total billed charges		42.6				other	OPPS APC	42.6				other	OPPS APC	11.54				percent of total billed charges		11.77				percent of total billed charges		42.61				other	OPPS APC	11.54	42.61	
NEEDLE STIMUPLEX 20G X 6	SUP-97-00246	CDM			272	RC		inpatient			42.6	42.6																																																			
DRAPE SURGICAL EYE-PAK 254X165CM 13X10CM BLUE FABRIC DISPOSABLE STERILE LF FULL BODY 2 FLUID CATCH BAG NOSE BRIDGE	SUP-8065103020	CDM						inpatient			42.5	42.5																																																			
DRAPE SURGICAL EYE-PAK 254X165CM 13X10CM BLUE FABRIC DISPOSABLE STERILE LF FULL BODY 2 FLUID CATCH BAG NOSE BRIDGE	SUP-8065103020	CDM						outpatient			42.5	42.5	42.5				percent of total billed charges		42.5				other	OPPS APC	42.5				fee schedule		42.5				other	OPPS APC	42.5				other	OPPS APC	42.5				case rate		42.5				case rate		42.5				other	OPPS APC	42.5	42.5	
SCREW BONE LC-DCP DCP STAINLESS STEEL STANDARD L55 MM OD3.5 MM ODSEC6 MM CORTEX HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.055	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE LC-DCP DCP STAINLESS STEEL STANDARD L55 MM OD3.5 MM ODSEC6 MM CORTEX HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.055	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
SCREW BONE STANDARD 60MM 3.5MM 6MM SS NS CORTEX SELF TAP SM HEXAGONAL SOCKET	SUP-204.060	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE STANDARD 60MM 3.5MM 6MM SS NS CORTEX SELF TAP SM HEXAGONAL SOCKET	SUP-204.060	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L65 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.865	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L65 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.865	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L70 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.870	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE LC-DCP DCP STAINLESS STEEL FULL THREAD L70 MM OD3.5 MM ODSEC6 MM CLAVICLE HUMERUS TIBIA CORTICAL SELF TAPPING SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.870	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L80 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.880	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L80 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.880	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L85 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.885	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L85 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.885	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L90 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.890	CDM	270010022	LOCAL	270	RC		outpatient			42.42	42.42	11.49				percent of total billed charges		42.42				other	OPPS APC	31.39				percent of total billed charges		42.42				other	OPPS APC	42.42				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.42				other	OPPS APC	11.49	42.42	
SCREW BONE DCP LC-DCP STAINLESS STEEL FULL THREAD HEXAGON L90 MM OD3.5 MM ODSEC6 MM SMALL BONE CORTICAL SELF TAP SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-204.890	CDM	270010022	LOCAL	270	RC		inpatient			42.42	42.42																																																			
CATHETER 6 EYE 20FR	SUP-02-00135	CDM			272	RC		outpatient			42.41	42.5	11.49				percent of total billed charges		42.41				other	OPPS APC	31.38				percent of total billed charges		42.41				other	OPPS APC	42.41				other	OPPS APC	11.49				percent of total billed charges		11.72				percent of total billed charges		42.5				other	OPPS APC	11.49	42.5	
CATHETER 6 EYE 20FR	SUP-02-00135	CDM			272	RC		inpatient			42.41	42.41																																																			
RELOAD SUTURE ASSISTANT ETHIBOND EXCEL 0 SH 6IN PRETIED KNOT	SUP-SW120	CDM			270	RC		outpatient			42.39	42.39	11.48				percent of total billed charges		42.39				other	OPPS APC	31.37				percent of total billed charges		42.39				other	OPPS APC	42.39				other	OPPS APC	11.48				percent of total billed charges		11.71				percent of total billed charges		42.39				other	OPPS APC	11.48	42.39	
RELOAD SUTURE ASSISTANT ETHIBOND EXCEL 0 SH 6IN PRETIED KNOT	SUP-SW120	CDM			270	RC		inpatient			42.39	42.39																																																			
SUTURE DACRON 1/8 X 30IN TIES	SUP-97-05964	CDM			272	RC		outpatient			42.37	42.37	11.48				percent of total billed charges		42.37				other	OPPS APC	31.35				percent of total billed charges		42.37				other	OPPS APC	42.37				other	OPPS APC	11.48				percent of total billed charges		11.71				percent of total billed charges		42.37				other	OPPS APC	11.48	42.37	
SUTURE DACRON 1/8 X 30IN TIES	SUP-97-05964	CDM			272	RC		inpatient			42.37	42.37																																																			
DRAPE SURGICAL 3M STERI-DRAPE IOBAN PLASTIC LARGE L129 IN X W100 IN L27 IN X W12 IN 2 ANTIMICROBIAL INCISE FILM ISOLATION POUCH ADHESIVE STRIP STERILE CLEAR	SUP-6619	CDM						inpatient			42.26	42.26																																																			
DRAPE SURGICAL 3M STERI-DRAPE IOBAN PLASTIC LARGE L129 IN X W100 IN L27 IN X W12 IN 2 ANTIMICROBIAL INCISE FILM ISOLATION POUCH ADHESIVE STRIP STERILE CLEAR	SUP-6619	CDM						outpatient			42.26	42.26	42.26				percent of total billed charges		42.26				other	OPPS APC	42.26				fee schedule		42.26				other	OPPS APC	42.26				other	OPPS APC	42.26				case rate		42.26				case rate		42.26				other	OPPS APC	42.26	42.26	
RIVASTIGMINE 9.5 MG/24 HOUR PATCH 24 HOUR	637000000	CDM	0378-9071-16	NDC	A9270	HCPCS		inpatient			42.25	42.25																																																			
RIVASTIGMINE 9.5 MG/24 HOUR PATCH 24 HOUR	637000000	CDM	0378-9071-16	NDC	A9270	HCPCS		outpatient			42.25	42.25																																															other	OPPS APC			
BLANKET WARMING L10.5 IN X W10.5 IN KNEE SHOULDER COLD MOTORIZED PORTABLE NONSTERILE	SUP-T5035NS	CDM			270	RC		outpatient			42.24	42.24	11.44				percent of total billed charges		42.24				other	OPPS APC	31.26				percent of total billed charges		42.24				other	OPPS APC	42.24				other	OPPS APC	11.44				percent of total billed charges		11.67				percent of total billed charges		42.24				other	OPPS APC	11.44	42.24	
BLANKET WARMING L10.5 IN X W10.5 IN KNEE SHOULDER COLD MOTORIZED PORTABLE NONSTERILE	SUP-T5035NS	CDM			270	RC		inpatient			42.24	42.24																																																			
ADAPTER FIBEROPTIC SWIVEL STERILE	SUP-95-00932	CDM			272	RC		outpatient			42.12	42.12	11.41				percent of total billed charges		42.12				other	OPPS APC	31.17				percent of total billed charges		42.12				other	OPPS APC	42.12				other	OPPS APC	11.41				percent of total billed charges		11.64				percent of total billed charges		42.12				other	OPPS APC	11.41	42.12	
ADAPTER FIBEROPTIC SWIVEL STERILE	SUP-95-00932	CDM			272	RC		inpatient			42.12	42.12																																																			
DEVICE CLOSURE QUILL MONODERM 0 1/2 CIRCLE TAPER L36 CM L36 MM 2 ARM MONOFILAMENT ABSORBABLE SUTURE	SUP-YA-1029Q	CDM			270	RC		outpatient			42.09	42.93	11.4				percent of total billed charges		42.09				other	OPPS APC	31.15				percent of total billed charges		42.09				other	OPPS APC	42.09				other	OPPS APC	11.4				percent of total billed charges		11.63				percent of total billed charges		42.93				other	OPPS APC	11.4	42.93	
DEVICE CLOSURE QUILL MONODERM 0 1/2 CIRCLE TAPER L36 CM L36 MM 2 ARM MONOFILAMENT ABSORBABLE SUTURE	SUP-YA-1029Q	CDM			270	RC		inpatient			42.09	42.09																																																			
LEVOFLOXACIN 500 MG TABLET	637000000	CDM	0904-6352-61	NDC	A9270	HCPCS		inpatient			42.06	42.06																																																			
LEVOFLOXACIN 500 MG TABLET	637000000	CDM	0904-6352-61	NDC	A9270	HCPCS		outpatient			42.06	42.06																																															other	OPPS APC			
INSERT CLAMP EVERCLIP FOGARTY HYDRAGRIP L33 MM ATRAUMATIC OCCLUSION SOFT COMPLIANT TRACTION GENTLE SURROUND VESSEL SET STERILE LATEX FREE DISPOSABLE	SUP-EVERGRIP33	CDM			270	RC		outpatient			42.02	42.23	11.38				percent of total billed charges		42.02				other	OPPS APC	31.09				percent of total billed charges		42.02				other	OPPS APC	42.02				other	OPPS APC	11.38				percent of total billed charges		11.61				percent of total billed charges		42.23				other	OPPS APC	11.38	42.23	
INSERT CLAMP EVERCLIP FOGARTY HYDRAGRIP L33 MM ATRAUMATIC OCCLUSION SOFT COMPLIANT TRACTION GENTLE SURROUND VESSEL SET STERILE LATEX FREE DISPOSABLE	SUP-EVERGRIP33	CDM			270	RC		inpatient			42.02	42.02																																																			
HC Protein S Ag  Tl	PX-300853050	CDM	85305	CPT	300	RC		outpatient			42	11.7	15.51				fee schedule		11.61				fee schedule		30.78				fee schedule		11.61				fee schedule		11.61				fee schedule		11.61				fee schedule		11.61				fee schedule		11.7				fee schedule		11.61	30.78	
HC Protein S Ag  Tl	PX-300853050	CDM	85305	CPT	300	RC		inpatient			42	42																																																			
HC Russell Viper Venom Time Diluted	PX-300856130	CDM	85613	CPT	305	RC		outpatient			42	9.58	12.8				fee schedule		9.58				fee schedule		25.4				fee schedule		9.58				fee schedule		9.58				fee schedule		9.58				fee schedule		9.58				fee schedule		9.58				fee schedule		9.58	25.4	
HC Russell Viper Venom Time Diluted	PX-300856130	CDM	85613	CPT	305	RC		inpatient			42	42																																																			
HC Culture Bacterial Anaerobic Isolate  Add  ID Ea Isolate	PX-300870760	CDM	87076	CPT	300	RC		outpatient			42	8.81	10.81				fee schedule		8.08				fee schedule		21.45				fee schedule		8.08				fee schedule		8.08				fee schedule		8.08				fee schedule		8.08				fee schedule		8.81				fee schedule		8.08	21.45	
HC Culture Bacterial Anaerobic Isolate  Add  ID Ea Isolate	PX-300870760	CDM	87076	CPT	300	RC		inpatient			42	42																																																			
HC Malaria Smear (Mal)	PX-300872070	CDM	87207	CPT	300	RC		outpatient			42	5.99	7.71				fee schedule		5.99				fee schedule		15.9				fee schedule		5.99				fee schedule		5.99				fee schedule		5.99				fee schedule		5.99				fee schedule		5.99				fee schedule		5.99	15.9	
HC Malaria Smear (Mal)	PX-300872070	CDM	87207	CPT	300	RC		inpatient			42	42																																																			
INTRODUCER SHEATH CORDIS BRITE TIP 35CM 25MM 5FR GRAY SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT CANNULA	SUP-401535M	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
INTRODUCER SHEATH CORDIS BRITE TIP 35CM 25MM 5FR GRAY SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT CANNULA	SUP-401535M	CDM			270	RC		inpatient			42	42																																																			
INTRODUCER SHEATH CORDIS BRITE TIP 45CM 25MM 5FR GRAY SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT CANNULA	SUP-401545M	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
INTRODUCER SHEATH CORDIS BRITE TIP 45CM 25MM 5FR GRAY SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT CANNULA	SUP-401545M	CDM			270	RC		inpatient			42	42																																																			
INTRODUCER SHEATH CORDIS BRITE TIP 35CM 35MM 6FR GREEN SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT	SUP-401635M_41405	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
INTRODUCER SHEATH CORDIS BRITE TIP 35CM 35MM 6FR GREEN SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT	SUP-401635M_41405	CDM			270	RC		inpatient			42	42																																																			
INTRODUCER SHEATH CORDIS BRITE TIP 45CM 35MM 6FR GREEN SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT	SUP-401-645M	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
INTRODUCER SHEATH CORDIS BRITE TIP 45CM 35MM 6FR GREEN SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT	SUP-401-645M	CDM			270	RC		inpatient			42	42																																																			
INTRODUCER SHEATH CORDIS BRITE TIP 35CM 35MM 7FR ORANGE SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT	SUP-401735M_41404	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
INTRODUCER SHEATH CORDIS BRITE TIP 35CM 35MM 7FR ORANGE SILICONE DISPOSABLE STERILE LF ENDOVASCULAR KINK RESISTANT	SUP-401735M_41404	CDM			270	RC		inpatient			42	42																																																			
SLEEVE LUER LOCK 60CM	SUP-406503	CDM			481	RC		outpatient			42	42	20.58				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	20.58				percent of total billed charges		21.42				percent of total billed charges		42				other	OPPS APC	20.58	42	
SLEEVE LUER LOCK 60CM	SUP-406503	CDM			481	RC		inpatient			42	42																																																			
SCREW BONE T6 L 7 MM OD 2 MM ODSEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402007	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 7 MM OD 2 MM ODSEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402007	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 8 MM OD 2 MM CORTICAL STERILE	SUP-72402008	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 8 MM OD 2 MM CORTICAL STERILE	SUP-72402008	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L9 MM OD 2 MM ODSEC 3MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402009	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L9 MM OD 2 MM ODSEC 3MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402009	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 10MM OD 2MM CORTICAL STERILE	SUP-72402010	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 10MM OD 2MM CORTICAL STERILE	SUP-72402010	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 11MM OD 2MM CORTICAL STERILE	SUP-72402011	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 11MM OD 2MM CORTICAL STERILE	SUP-72402011	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T6 L 12 MM OD 2 MM ODSEC 3 MM CORTEX SELF TAP STERILE MINI PLATE SYSTEM	SUP-72402012	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T6 L 12 MM OD 2 MM ODSEC 3 MM CORTEX SELF TAP STERILE MINI PLATE SYSTEM	SUP-72402012	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T6 L 13MM OD 2 MM ODSEC 3 MM CORTEX SELF TAP MINI PLATE SYSTEM	SUP-72402013	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T6 L 13MM OD 2 MM ODSEC 3 MM CORTEX SELF TAP MINI PLATE SYSTEM	SUP-72402013	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 14 MM OD 2 MM CORTICAL STERILE	SUP-72402014	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 14 MM OD 2 MM CORTICAL STERILE	SUP-72402014	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T6 L 15MM OD 2MM ODSEC 3MM CORTEX SELF TAP STERILE	SUP-72402015	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T6 L 15MM OD 2MM ODSEC 3MM CORTEX SELF TAP STERILE	SUP-72402015	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L 16 MM OD 2 MM ODSEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402016	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 16 MM OD 2 MM ODSEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402016	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L 17 MM OD 2 MM CORTEX SELF RATAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402017	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 17 MM OD 2 MM CORTEX SELF RATAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402017	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T6 L 18 MM OD 2MM ODSEC 3 MM CORTEX SELF TAP MINI PLATE SYSTEM	SUP-72402018	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T6 L 18 MM OD 2MM ODSEC 3 MM CORTEX SELF TAP MINI PLATE SYSTEM	SUP-72402018	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L 19 MM OD 2 MM OD SEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402019	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 19 MM OD 2 MM OD SEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402019	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 20 MM OD 2 MM CORTICAL STERILE	SUP-72402020	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 20 MM OD 2 MM CORTICAL STERILE	SUP-72402020	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L 21 MM OD 2 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402021	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 21 MM OD 2 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402021	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L 22MMOD 2 MM ODSEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402022	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 22MMOD 2 MM ODSEC 3 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402022	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE T6 L 23 MM OD 2MM ODSEC 3MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402023	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE T6 L 23 MM OD 2MM ODSEC 3MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402023	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 24 MM OD 2.4 MM CORTICAL STERILE	SUP-72402024	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 24 MM OD 2.4 MM CORTICAL STERILE	SUP-72402024	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T6 L 26 MM OD 2 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72402026	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T6 L 26 MM OD 2 MM CORTEX SELF TAP STERILE LATEX FREE	SUP-72402026	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 6MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402406	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 6MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402406	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 7MM OD 2.4MM CORTEX STERILE	SUP-72402407	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 7MM OD 2.4MM CORTEX STERILE	SUP-72402407	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 8 MM OD 2.4 MM ODSEC 3.8 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402408	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 8 MM OD 2.4 MM ODSEC 3.8 MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402408	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 9MM OD 2.4MM CORTEX STERILE	SUP-72402409	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI STAINLESS STEEL T7 L 9MM OD 2.4MM CORTEX STERILE	SUP-72402409	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T7 L 10MM CORTEX SELF TAP STERILE	SUP-72402410	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T7 L 10MM CORTEX SELF TAP STERILE	SUP-72402410	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T7 L 11MM CORTEX SELF TAP STERILE	SUP-72402411	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T7 L 11MM CORTEX SELF TAP STERILE	SUP-72402411	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 12 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402412	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 12 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402412	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 13 MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402413	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 13 MM OD 2.4MM ODSEC 3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402413	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 14 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402414	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 14 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402414	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 15 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402415	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 15 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402415	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 16 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402416	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 16 MM OD 2.4MM ODSEC3.8MM LONG BONE SMALL BONE CORTEX SELF TAP DRIVER STERILE	SUP-72402416	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 17MM  OD 2.4MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402417	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 17MM  OD 2.4MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402417	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 18MM  OD 2.4MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402418	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 18MM  OD 2.4MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402418	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 19 MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402419	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 19 MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402419	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 20 MM OD 2.4 MM CORITCAL STERILE	SUP-72402420	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 20 MM OD 2.4 MM CORITCAL STERILE	SUP-72402420	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 21 MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402421	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 21 MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402421	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 22 MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402422	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 22 MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402422	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L23MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402423	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L23MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402423	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 24 MM OD 2.4 MM CORTICAL STERILE	SUP-72402424	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 24 MM OD 2.4 MM CORTICAL STERILE	SUP-72402424	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS STAINLESS STEEL L 26 MM OD 2.4 MM WRIST CORTEX CADDY STERILE	SUP-72402426	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS STAINLESS STEEL L 26 MM OD 2.4 MM WRIST CORTEX CADDY STERILE	SUP-72402426	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 28 MM OD 2.4 MM CORTICAL STERILE	SUP-72402428	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 28 MM OD 2.4 MM CORTICAL STERILE	SUP-72402428	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L30 MM OD 2.4 MNM CORTEX SELF TAP STERILE	SUP-72402430	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L30 MM OD 2.4 MNM CORTEX SELF TAP STERILE	SUP-72402430	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L 32 MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402432	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L 32 MM OD 2.4 MM CORTEX SELF TAP STERILE	SUP-72402432	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 34 MM OD 2.4 MM CORTICAL STERILE	SUP-72402434	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 34 MM OD 2.4 MM CORTICAL STERILE	SUP-72402434	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 36 MM OD 2.4 MM CORTICAL STERILE	SUP-72402436	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 36 MM OD 2.4 MM CORTICAL STERILE	SUP-72402436	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T7 L 40 MM OD 2.4 MM CORTEX SELF TAP	SUP-72402440	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T7 L 40 MM OD 2.4 MM CORTEX SELF TAP	SUP-72402440	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T7 L42 MM OD2.4 MM CORTEX SELF TAP STERILE	SUP-72402442	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T7 L42 MM OD2.4 MM CORTEX SELF TAP STERILE	SUP-72402442	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 44 MM OD 2.4 MM  CORTICAL STERILE	SUP-72402444	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 44 MM OD 2.4 MM  CORTICAL STERILE	SUP-72402444	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 46 MM OD 2.4 MM  CORTICAL STERILE	SUP-72402446	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 46 MM OD 2.4 MM  CORTICAL STERILE	SUP-72402446	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 50 MM OD 2.4 MM CORTICAL STERILE	SUP-72402450	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 50 MM OD 2.4 MM CORTICAL STERILE	SUP-72402450	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 55 MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402455	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 55 MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402455	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 60 MM OD 2.4 MM CORTICAL STERILE	SUP-72402460	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 60 MM OD 2.4 MM CORTICAL STERILE	SUP-72402460	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 65 MM OD 2.4MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402465	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 65 MM OD 2.4MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402465	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 70 MM OD 2.4 MM OD SEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402470	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 70 MM OD 2.4 MM OD SEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402470	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5 MM T7 L 75MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF-RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402475	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5 MM T7 L 75MM OD 2.4 MM ODSEC 3.8MM CORTEX SELF-RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402475	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD 3.5MM T7 L 80 MM OD 2.4MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402480	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD 3.5MM T7 L 80 MM OD 2.4MM ODSEC 3.8MM CORTEX SELF RETAINING SCREWDRIVER SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402480	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T8 L 8 MM OD 2.7 MM CORTEX SELF TAP MINI PLATE SYSTEM	SUP-72402708	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T8 L 8 MM OD 2.7 MM CORTEX SELF TAP MINI PLATE SYSTEM	SUP-72402708	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS 2.7MM X 9.0MM	SUP-72402709	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS 2.7MM X 9.0MM	SUP-72402709	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 10MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402710	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 10MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402710	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 11MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402711	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 11MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402711	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 12MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402712	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 12MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402712	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 13MM OD 2.7MM M CORTEX SELF TAP	SUP-72402713	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 13MM OD 2.7MM M CORTEX SELF TAP	SUP-72402713	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 14MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402714	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 14MM OD 2.7 MM CORTEX SELF TAP MINI SYSTEM	SUP-72402714	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 15MM OD 2.7MM  CORTEX SELF TAP	SUP-72402715	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 15MM OD 2.7MM  CORTEX SELF TAP	SUP-72402715	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 16 MM OD 2.7 MM CORTICAL STERILE	SUP-72402716	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 16 MM OD 2.7 MM CORTICAL STERILE	SUP-72402716	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS T8 L 17 MM OD 2.7 MM  CORTEX SELF TAP NONSTERILE MINI PLATE SYSTEM	SUP-72402717	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS T8 L 17 MM OD 2.7 MM  CORTEX SELF TAP NONSTERILE MINI PLATE SYSTEM	SUP-72402717	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 18MM OD 2.7MM CORTEX  SELF TAP	SUP-72402718	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 18MM OD 2.7MM CORTEX  SELF TAP	SUP-72402718	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE OD2MM L 19 MM OD 2.7MM CORTEX SELF TAP EVOS	SUP-72402719	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE OD2MM L 19 MM OD 2.7MM CORTEX SELF TAP EVOS	SUP-72402719	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L 20 MM OD 2.7 MM  CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402720	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L 20 MM OD 2.7 MM  CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402720	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L21 MM OD 2.7 MM  CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402721	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L21 MM OD 2.7 MM  CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402721	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 22MM OD 2.7MM CORTICAL STERILE	SUP-72402722	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 22MM OD 2.7MM CORTICAL STERILE	SUP-72402722	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L23 MM OD 2.7 MM CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402723	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L23 MM OD 2.7 MM CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402723	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 24 MM OD 2.7 MM CORTICAL STERILE	SUP-72402724	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 24 MM OD 2.7 MM CORTICAL STERILE	SUP-72402724	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STELL L 26 MM OD 2.7 MM CORTICAL STERILE	SUP-72402726	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STELL L 26 MM OD 2.7 MM CORTICAL STERILE	SUP-72402726	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 28 MM OD 2.7 MM CORTICAL STERILE	SUP-72402728	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 28 MM OD 2.7 MM CORTICAL STERILE	SUP-72402728	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 30 MM OD 2.7 MM CORTICAL STERILE	SUP-72402730	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 30 MM OD 2.7 MM CORTICAL STERILE	SUP-72402730	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 32MM OD 2.7MM CORTICAL STERILE	SUP-72402732	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 32MM OD 2.7MM CORTICAL STERILE	SUP-72402732	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 34MM OD 2.7MM CORTICAL STERILE	SUP-72402734	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 34MM OD 2.7MM CORTICAL STERILE	SUP-72402734	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 36 MM OD 2.7 MM CORTICAL STERILE	SUP-72402736	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 36 MM OD 2.7 MM CORTICAL STERILE	SUP-72402736	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 38MM OD 2.7MM CORTICAL STERILE	SUP-72402738	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 38MM OD 2.7MM CORTICAL STERILE	SUP-72402738	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 40 MM OD 2.7 MM CORTICAL STERILE	SUP-72402740	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 40 MM OD 2.7 MM CORTICAL STERILE	SUP-72402740	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 42 MM OD 2.7 MM CORTEX STERILE	SUP-72402742	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 42 MM OD 2.7 MM CORTEX STERILE	SUP-72402742	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 44 MM OD 2.7MM CORTICAL STERILE	SUP-72402744	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 44 MM OD 2.7MM CORTICAL STERILE	SUP-72402744	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 46 MM ID 2.7 MM CORTICAL STERILE	SUP-72402746	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 46 MM ID 2.7 MM CORTICAL STERILE	SUP-72402746	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L 48 MM OD 2.7 MM  CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402748	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L 48 MM OD 2.7 MM  CORTEX SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402748	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 50 MM OD 2.7 MM CORTICAL STERILE	SUP-72402750	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 50 MM OD 2.7 MM CORTICAL STERILE	SUP-72402750	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L 55MM CORTEX  OD 2.7MM SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402755	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L 55MM CORTEX  OD 2.7MM SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402755	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L 60 MM OD 2.7 MM  CORTEX  SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402760	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L 60 MM OD 2.7 MM  CORTEX  SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402760	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L 65MM OD 2.7MM CORTEX  SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402765	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L 65MM OD 2.7MM CORTEX  SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402765	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE STAINLESS STEEL L 70MM OD 2.7MM CORTICAL STERILE	SUP-72402770	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE STAINLESS STEEL L 70MM OD 2.7MM CORTICAL STERILE	SUP-72402770	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS MINI T8 L75 MM OD 2.7 MM  LONG BONE SMALL BONE CORTEX SELF TAP	SUP-72402775	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS MINI T8 L75 MM OD 2.7 MM  LONG BONE SMALL BONE CORTEX SELF TAP	SUP-72402775	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE L 80MM OD 2.7MM  CORTEX  SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402780	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE L 80MM OD 2.7MM  CORTEX  SELF TAP FLAT HEAD STERILE EVOS MINI	SUP-72402780	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 6 MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403506	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 6 MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403506	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 10MM OD 3.5MM CORTEX STERILE	SUP-72403510	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 10MM OD 3.5MM CORTEX STERILE	SUP-72403510	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 11MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403511	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 11MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403511	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L12 MM OD 3.5 MM CORTEX SELF TAP	SUP-72403512	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L12 MM OD 3.5 MM CORTEX SELF TAP	SUP-72403512	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 13MM OD 3.5MM CORTEX STERILE	SUP-72403513	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 13MM OD 3.5MM CORTEX STERILE	SUP-72403513	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS  L 14MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403514	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS  L 14MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403514	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 15MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403515	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 15MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403515	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS  L 16MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403516	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS  L 16MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403516	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 17 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403517	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 17 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403517	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 18 MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403518	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 18 MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403518	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS  L 19MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403519	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS  L 19MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403519	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS  L 20MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403520	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS  L 20MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403520	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 22MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403522	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 22MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403522	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 24 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403524	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 24 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403524	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 26 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403526	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 26 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403526	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 28 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403528	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 28 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403528	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 30 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403530	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 30 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403530	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 32 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403532	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 32 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403532	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 34 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403534	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 34 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403534	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 36 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403536	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 36 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403536	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 38 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403538	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 38 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403538	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 40 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403540	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 40 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403540	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L42 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403542	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L42 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403542	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 44MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403544	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 44MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403544	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 46 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403546	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 46 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403546	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 48 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403548	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 48 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403548	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 50 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403550	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 50 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403550	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 55MM OD 3.5MM CORTEX SELF-TAP STERILE	SUP-72403555	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 55MM OD 3.5MM CORTEX SELF-TAP STERILE	SUP-72403555	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L60 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403560	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L60 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403560	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L65 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403565	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L65 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403565	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 70 MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403570	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 70 MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403570	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 75MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403575	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 75MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403575	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 80 MM  OD 3.5 M CORTEX SELF TAP STERILE	SUP-72403580	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 80 MM  OD 3.5 M CORTEX SELF TAP STERILE	SUP-72403580	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L85 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403585	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L85 MM OD3.5 MM CORTEX SELF TAP STERILE	SUP-72403585	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 90 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403590	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 90 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403590	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 120 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403620	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 120 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403620	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 135MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403635	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 135MM OD 3.5MM CORTEX SELF TAP STERILE	SUP-72403635	CDM			270	RC		inpatient			42	42																																																			
SCREW BONE EVOS L 150 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403650	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
SCREW BONE EVOS L 150 MM OD 3.5 MM CORTEX SELF TAP STERILE	SUP-72403650	CDM			270	RC		inpatient			42	42																																																			
SUTURE NONABSORBABLE FIBERWIRE 2-0 3/8 CIRCLE TAPER 38IN 18IN BLUE BRAID TIES MULTISTRAND LOWER KNOT PROFILE	SUP-AR-7221	CDM			275	RC		outpatient			42	42	20.58				percent of total billed charges		42				other	OPPS APC	23.94				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	20.58				percent of total billed charges		21.42				percent of total billed charges		42				other	OPPS APC	20.58	42	
SUTURE NONABSORBABLE FIBERWIRE 2-0 3/8 CIRCLE TAPER 38IN 18IN BLUE BRAID TIES MULTISTRAND LOWER KNOT PROFILE	SUP-AR-7221	CDM			275	RC		inpatient			42	42																																																			
PIN DISTRACTION TITANIUM UNIVERSAL 3 FLUTE L12 MM SAFER SHARPER STRONGER STERILE DISPOSABLE BLUE ANTERIOR CERVICAL FUSION	SUP-DP-12-TB	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
PIN DISTRACTION TITANIUM UNIVERSAL 3 FLUTE L12 MM SAFER SHARPER STRONGER STERILE DISPOSABLE BLUE ANTERIOR CERVICAL FUSION	SUP-DP-12-TB	CDM			270	RC		inpatient			42	42																																																			
PIN DISTRACTION TITANIUM L16 MM DISPOSABLE GREEN	SUP-DP-16-TG	CDM			270	RC		outpatient			42	42	11.38				percent of total billed charges		42				other	OPPS APC	31.08				percent of total billed charges		42				other	OPPS APC	42				other	OPPS APC	11.38				percent of total billed charges		11.6				percent of total billed charges		42				other	OPPS APC	11.38	42	
PIN DISTRACTION TITANIUM L16 MM DISPOSABLE GREEN	SUP-DP-16-TG	CDM			270	RC		inpatient			42	42																																																			
GUIDEWIRE VASCULAR AMPLATZ STAINLESS STEEL PTFE 3 MM RADIUS L3 CM CURVE TAPER L180 CM L7 CM OD.035 IN FLOPPY TIP EXTRA STIFF SUPPORT	SUP-G03565	CDM			270	RC		outpatient			41.88	41.88	11.35				percent of total billed charges		41.88				other	OPPS APC	30.99				percent of total billed charges		41.88				other	OPPS APC	41.88				other	OPPS APC	11.35				percent of total billed charges		11.57				percent of total billed charges		41.88				other	OPPS APC	11.35	41.88	
GUIDEWIRE VASCULAR AMPLATZ STAINLESS STEEL PTFE 3 MM RADIUS L3 CM CURVE TAPER L180 CM L7 CM OD.035 IN FLOPPY TIP EXTRA STIFF SUPPORT	SUP-G03565	CDM			270	RC		inpatient			41.88	41.88																																																			
NOZZLE BONE CEMENT MILLER L12 MM OD.25 IN INJECTOR FLEXIBLE STERILE DISPOSABLE	SUP-00-5069-054-00	CDM			270	RC		outpatient			41.6	41.61	11.27				percent of total billed charges		41.6				other	OPPS APC	30.78				percent of total billed charges		41.6				other	OPPS APC	41.6				other	OPPS APC	11.27				percent of total billed charges		11.49				percent of total billed charges		41.61				other	OPPS APC	11.27	41.61	
NOZZLE BONE CEMENT MILLER L12 MM OD.25 IN INJECTOR FLEXIBLE STERILE DISPOSABLE	SUP-00-5069-054-00	CDM			270	RC		inpatient			41.6	41.6																																																			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	63323-496-03	NDC				inpatient			41.58	41.58																																																			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	63323-496-03	NDC				outpatient			41.58	41.58																																															other	OPPS APC			
DEVICE SUTURE V-LOC 180 SURGALLOY 3-0 V-20 TAPER POINT L 6IN ABSORBABLE GREEN	SUP-VLOCL0604	CDM			270	RC		outpatient			41.57	41.57	11.26				percent of total billed charges		41.57				other	OPPS APC	30.76				percent of total billed charges		41.57				other	OPPS APC	41.57				other	OPPS APC	11.26				percent of total billed charges		11.49				percent of total billed charges		41.57				other	OPPS APC	11.26	41.57	
DEVICE SUTURE V-LOC 180 SURGALLOY 3-0 V-20 TAPER POINT L 6IN ABSORBABLE GREEN	SUP-VLOCL0604	CDM			270	RC		inpatient			41.57	41.57																																																			
DEVICE CLOSURE V-LOC 180 SURGALLOY 3-0 V-20 1/2 CIRCLE L9 IN L26 MM TAPER POINT ABSORBABLE GREEN	SUP-VLOCL0644	CDM			270	RC		outpatient			41.57	41.57	11.26				percent of total billed charges		41.57				other	OPPS APC	30.76				percent of total billed charges		41.57				other	OPPS APC	41.57				other	OPPS APC	11.26				percent of total billed charges		11.49				percent of total billed charges		41.57				other	OPPS APC	11.26	41.57	
DEVICE CLOSURE V-LOC 180 SURGALLOY 3-0 V-20 1/2 CIRCLE L9 IN L26 MM TAPER POINT ABSORBABLE GREEN	SUP-VLOCL0644	CDM			270	RC		inpatient			41.57	41.57																																																			
DEVICE CLOSURE V-LOC 180 2-0 GS-22 1/2 CIRCLE L6 IN L27 MM TAPER POINT ABSORBABLE GREEN	SUP-VLOCL2105	CDM			270	RC		outpatient			41.57	41.57	11.26				percent of total billed charges		41.57				other	OPPS APC	30.76				percent of total billed charges		41.57				other	OPPS APC	41.57				other	OPPS APC	11.26				percent of total billed charges		11.49				percent of total billed charges		41.57				other	OPPS APC	11.26	41.57	
DEVICE CLOSURE V-LOC 180 2-0 GS-22 1/2 CIRCLE L6 IN L27 MM TAPER POINT ABSORBABLE GREEN	SUP-VLOCL2105	CDM			270	RC		inpatient			41.57	41.57																																																			
DEVICE CLOSURE V-LOC 3-0 NON ABSORBABLE WOUND CLOSURE DEVICE	SUP-VLOCN0644	CDM			270	RC		outpatient			41.57	41.57	11.26				percent of total billed charges		41.57				other	OPPS APC	30.76				percent of total billed charges		41.57				other	OPPS APC	41.57				other	OPPS APC	11.26				percent of total billed charges		11.49				percent of total billed charges		41.57				other	OPPS APC	11.26	41.57	
DEVICE CLOSURE V-LOC 3-0 NON ABSORBABLE WOUND CLOSURE DEVICE	SUP-VLOCN0644	CDM			270	RC		inpatient			41.57	41.57																																																			
PRESSURE INFUSOR 500CC	SUP-20-00014	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
PRESSURE INFUSOR 500CC	SUP-20-00014	CDM			272	RC		inpatient			41.52	41.52																																																			
BIOPSY NEEDLE - CHIBA 18G X 15CM  CTSUP	SUP-95-02891	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
BIOPSY NEEDLE - CHIBA 18G X 15CM  CTSUP	SUP-95-02891	CDM			272	RC		inpatient			41.52	41.52																																																			
BIOPSY NEEDLE - CHIBA 18G X 10CM  CTSUP	SUP-95-02892	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
BIOPSY NEEDLE - CHIBA 18G X 10CM  CTSUP	SUP-95-02892	CDM			272	RC		inpatient			41.52	41.52																																																			
BIOPSY NEEDLE - CHIBA 20G X 10CM  CTSUP	SUP-95-03394	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
BIOPSY NEEDLE - CHIBA 20G X 10CM  CTSUP	SUP-95-03394	CDM			272	RC		inpatient			41.52	41.52																																																			
BIOPSY NEEDLE - CHIBA 20G X 15CM  CTSUP	SUP-95-03395	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
BIOPSY NEEDLE - CHIBA 20G X 15CM  CTSUP	SUP-95-03395	CDM			272	RC		inpatient			41.52	41.52																																																			
BIOPSY NEEDLE - CHIBA 22G X 10CM  CTSUP	SUP-95-03397	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
BIOPSY NEEDLE - CHIBA 22G X 10CM  CTSUP	SUP-95-03397	CDM			272	RC		inpatient			41.52	41.52																																																			
BIOPSY NEEDLE - CHIBA 22G X 15CM  CTSUP	SUP-95-03398	CDM			272	RC		outpatient			41.52	41.52	11.25				percent of total billed charges		41.52				other	OPPS APC	30.72				percent of total billed charges		41.52				other	OPPS APC	41.52				other	OPPS APC	11.25				percent of total billed charges		11.47				percent of total billed charges		41.52				other	OPPS APC	11.25	41.52	
BIOPSY NEEDLE - CHIBA 22G X 15CM  CTSUP	SUP-95-03398	CDM			272	RC		inpatient			41.52	41.52																																																			
CATHETER FOLEY LF 22FR 3WAY 30CC	SUP-02-00030	CDM			272	RC		outpatient			41.48	41.48	11.24				percent of total billed charges		41.48				other	OPPS APC	30.7				percent of total billed charges		41.48				other	OPPS APC	41.48				other	OPPS APC	11.24				percent of total billed charges		11.46				percent of total billed charges		41.48				other	OPPS APC	11.24	41.48	
CATHETER FOLEY LF 22FR 3WAY 30CC	SUP-02-00030	CDM			272	RC		inpatient			41.48	41.48																																																			
BIOPSY PUNCH 4MM	SUP-97-00399	CDM			272	RC		outpatient			41.4	41.4	11.22				percent of total billed charges		41.4				other	OPPS APC	30.64				percent of total billed charges		41.4				other	OPPS APC	41.4				other	OPPS APC	11.22				percent of total billed charges		11.44				percent of total billed charges		41.4				other	OPPS APC	11.22	41.4	
BIOPSY PUNCH 4MM	SUP-97-00399	CDM			272	RC		inpatient			41.4	41.4																																																			
BIOPSY PUNCH 5MM	SUP-97-01579	CDM			272	RC		outpatient			41.4	41.4	11.22				percent of total billed charges		41.4				other	OPPS APC	30.64				percent of total billed charges		41.4				other	OPPS APC	41.4				other	OPPS APC	11.22				percent of total billed charges		11.44				percent of total billed charges		41.4				other	OPPS APC	11.22	41.4	
BIOPSY PUNCH 5MM	SUP-97-01579	CDM			272	RC		inpatient			41.4	41.4																																																			
STICKERS - FENTANYL	SUP-95-00490	CDM			271	RC		outpatient			41.28	41.28	11.18				percent of total billed charges		41.28				other	OPPS APC	30.55				percent of total billed charges		41.28				other	OPPS APC	41.28				other	OPPS APC	11.18				percent of total billed charges		11.41				percent of total billed charges		41.28				other	OPPS APC	11.18	41.28	
STICKERS - FENTANYL	SUP-95-00490	CDM			271	RC		inpatient			41.28	41.28																																																			
STICKERS - VERSED	SUP-95-00491	CDM			271	RC		outpatient			41.28	41.28	11.18				percent of total billed charges		41.28				other	OPPS APC	30.55				percent of total billed charges		41.28				other	OPPS APC	41.28				other	OPPS APC	11.18				percent of total billed charges		11.41				percent of total billed charges		41.28				other	OPPS APC	11.18	41.28	
STICKERS - VERSED	SUP-95-00491	CDM			271	RC		inpatient			41.28	41.28																																																			
PRASUGREL 10 MG TABLET	637000000	CDM	65862-830-30	NDC	A9270	HCPCS		inpatient			41.27	41.27																																																			
PRASUGREL 10 MG TABLET	637000000	CDM	65862-830-30	NDC	A9270	HCPCS		outpatient			41.27	41.27																																															other	OPPS APC			
CATHETER COUDE FOLEY 14 FR 5 C	SUP-02-00009	CDM			272	RC		outpatient			41.21	41.21	11.16				percent of total billed charges		41.21				other	OPPS APC	30.5				percent of total billed charges		41.21				other	OPPS APC	41.21				other	OPPS APC	11.16				percent of total billed charges		11.39				percent of total billed charges		41.21				other	OPPS APC	11.16	41.21	
CATHETER COUDE FOLEY 14 FR 5 C	SUP-02-00009	CDM			272	RC		inpatient			41.21	41.21																																																			
CATHETER COUDE FOLEY 16 FR	SUP-02-00010	CDM			272	RC		outpatient			41.21	41.21	11.16				percent of total billed charges		41.21				other	OPPS APC	30.5				percent of total billed charges		41.21				other	OPPS APC	41.21				other	OPPS APC	11.16				percent of total billed charges		11.39				percent of total billed charges		41.21				other	OPPS APC	11.16	41.21	
CATHETER COUDE FOLEY 16 FR	SUP-02-00010	CDM			272	RC		inpatient			41.21	41.21																																																			
DEVICE CLOSURE V-LOC 180 2-0 V-20 1/2 CIRCLE L18 IN L26 MM TAPER POINT ABSORBABLE GREEN	SUP-VLOCL0625	CDM			270	RC		outpatient			41.16	41.16	11.15				percent of total billed charges		41.16				other	OPPS APC	30.46				percent of total billed charges		41.16				other	OPPS APC	41.16				other	OPPS APC	11.15				percent of total billed charges		11.37				percent of total billed charges		41.16				other	OPPS APC	11.15	41.16	
DEVICE CLOSURE V-LOC 180 2-0 V-20 1/2 CIRCLE L18 IN L26 MM TAPER POINT ABSORBABLE GREEN	SUP-VLOCL0625	CDM			270	RC		inpatient			41.16	41.16																																																			
SUTURE CLOSURE V-LOC 2-0 V-20 L12IIN NONABSORBABLE BLUE	SUP-VLOCN0615	CDM			270	RC		outpatient			41.16	41.16	11.15				percent of total billed charges		41.16				other	OPPS APC	30.46				percent of total billed charges		41.16				other	OPPS APC	41.16				other	OPPS APC	11.15				percent of total billed charges		11.37				percent of total billed charges		41.16				other	OPPS APC	11.15	41.16	
SUTURE CLOSURE V-LOC 2-0 V-20 L12IIN NONABSORBABLE BLUE	SUP-VLOCN0615	CDM			270	RC		inpatient			41.16	41.16																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	63323-623-76	NDC	J7030	HCPCS		inpatient			41.04	41.04																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	63323-623-76	NDC	J7030	HCPCS		outpatient			41.04	41.04																																															other	OPPS APC			
HC Anti Nuclear Antibody	PX-300860380	CDM	86038	CPT	300	RC		outpatient			41	12.9	16.16				fee schedule		12.09				fee schedule		32.09				fee schedule		12.09				fee schedule		12.09				fee schedule		12.09				fee schedule		12.09				fee schedule		12.9				fee schedule		12.09	32.09	
HC Anti Nuclear Antibody	PX-300860380	CDM	86038	CPT	300	RC		inpatient			41	41																																																			
HC Additional Touch Prep	PX-310883340	CDM	88334	CPT	310	RC		outpatient			41	41	52.97				fee schedule		41				other	OPPS APC	41.96				fee schedule		41				other	OPPS APC	41				other	OPPS APC	20.09				percent of total billed charges		20.91				percent of total billed charges		41				other	OPPS APC	20.09	52.97	
HC Additional Touch Prep	PX-310883340	CDM	88334	CPT	310	RC		inpatient			41	41																																																			
CABLE MYO'LEAD  ATRIAL DISP PT CABLE WHITE	SUP-019-530	CDM			270	RC		outpatient			41	41	11.11				percent of total billed charges		41				other	OPPS APC	30.34				percent of total billed charges		41				other	OPPS APC	41				other	OPPS APC	11.11				percent of total billed charges		11.33				percent of total billed charges		41				other	OPPS APC	11.11	41	
CABLE MYO'LEAD  ATRIAL DISP PT CABLE WHITE	SUP-019-530	CDM			270	RC		inpatient			41	41																																																			
CABLE MYO/LEAD  VENTRICULAR  DISP PT CABLE BLUE	SUP-019-535	CDM			270	RC		outpatient			41	41	11.11				percent of total billed charges		41				other	OPPS APC	30.34				percent of total billed charges		41				other	OPPS APC	41				other	OPPS APC	11.11				percent of total billed charges		11.33				percent of total billed charges		41				other	OPPS APC	11.11	41	
CABLE MYO/LEAD  VENTRICULAR  DISP PT CABLE BLUE	SUP-019-535	CDM			270	RC		inpatient			41	41																																																			
NEEDLE HYPODERMIC BD REGULAR WALL .5IN 30GA TAN POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305106	CDM						inpatient			41	41																																																			
NEEDLE HYPODERMIC BD REGULAR WALL .5IN 30GA TAN POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305106	CDM						outpatient			41	41	41				percent of total billed charges		41				other	OPPS APC	41				fee schedule		41				other	OPPS APC	41				other	OPPS APC	41				case rate		41				case rate		41				other	OPPS APC	41	41	
DRAIN BAG  UROLOGICAL CMS958	SUP-70-00105	CDM			272	RC		outpatient			41	41	11.11				percent of total billed charges		41				other	OPPS APC	30.34				percent of total billed charges		41				other	OPPS APC	41				other	OPPS APC	11.11				percent of total billed charges		11.33				percent of total billed charges		41				other	OPPS APC	11.11	41	
DRAIN BAG  UROLOGICAL CMS958	SUP-70-00105	CDM			272	RC		inpatient			41	41																																																			
DEVICE SUTURING ETHIBOND EXCEL 0 EEN L6 IN STERILE DISPOSABLE	SUP-SW110	CDM			270	RC		outpatient			40.95	4.95	11.09				percent of total billed charges		40.95				other	OPPS APC	30.3				percent of total billed charges		40.95				other	OPPS APC	40.95				other	OPPS APC	11.09				percent of total billed charges		11.31				percent of total billed charges		4.95				other	OPPS APC	4.95	40.95	
DEVICE SUTURING ETHIBOND EXCEL 0 EEN L6 IN STERILE DISPOSABLE	SUP-SW110	CDM			270	RC		inpatient			40.95	40.95																																																			
STOCKING THIGH REG XL	SUP-01-00235	CDM			271	RC		outpatient			40.94	4.94	11.09				percent of total billed charges		40.94				other	OPPS APC	30.3				percent of total billed charges		40.94				other	OPPS APC	40.94				other	OPPS APC	11.09				percent of total billed charges		11.31				percent of total billed charges		4.94				other	OPPS APC	4.94	40.94	
STOCKING THIGH REG XL	SUP-01-00235	CDM			271	RC		inpatient			40.94	40.94																																																			
CANNULA OPHTHALMIC SHORT OD23 GA SOFT TIP STERILE DISPOSABLE	SUP-8065149527	CDM			270	RC		outpatient			40.88	4.88	11.07				percent of total billed charges		40.88				other	OPPS APC	30.25				percent of total billed charges		40.88				other	OPPS APC	40.88				other	OPPS APC	11.07				percent of total billed charges		11.3				percent of total billed charges		4.88				other	OPPS APC	4.88	40.88	
CANNULA OPHTHALMIC SHORT OD23 GA SOFT TIP STERILE DISPOSABLE	SUP-8065149527	CDM			270	RC		inpatient			40.88	40.88																																																			
CANNULA OPHTHALMIC GRIESHABER SHORT OD25 GA ODSEC.8 MM SOFT TIP STERILE DISPOSABLE	SUP-8065149530	CDM			270	RC		outpatient			40.88	4.88	11.07				percent of total billed charges		40.88				other	OPPS APC	30.25				percent of total billed charges		40.88				other	OPPS APC	40.88				other	OPPS APC	11.07				percent of total billed charges		11.3				percent of total billed charges		4.88				other	OPPS APC	4.88	40.88	
CANNULA OPHTHALMIC GRIESHABER SHORT OD25 GA ODSEC.8 MM SOFT TIP STERILE DISPOSABLE	SUP-8065149530	CDM			270	RC		inpatient			40.88	40.88																																																			
CYCLOPENTOLATE 1 % DROPS 2 ML DROP BTL	637000000	CDM	24208-735-01	NDC	A9270	HCPCS		inpatient			40.83	40.83																																																			
CYCLOPENTOLATE 1 % DROPS 2 ML DROP BTL	637000000	CDM	24208-735-01	NDC	A9270	HCPCS		outpatient			40.83	40.83																																															other	OPPS APC			
HC G6pd Quantitative (G6pdq)	PX-300829550	CDM	82955	CPT	300	RC		outpatient			40.79	9.7	12.96				fee schedule		9.7				fee schedule		23.22				fee schedule		9.7				fee schedule		9.7				fee schedule		9.7				fee schedule		9.7				fee schedule		9.7				fee schedule		9.7	23.22	
HC G6pd Quantitative (G6pdq)	PX-300829550	CDM	82955	CPT	300	RC		inpatient			40.79	40.79																																																			
HC Mercury (Hgu)	PX-300838250	CDM	83825	CPT	300	RC		outpatient			40.7	16.26	21.74				fee schedule		16.26				fee schedule		43.17				fee schedule		16.26				fee schedule		16.26				fee schedule		16.26				fee schedule		16.26				fee schedule		16.26				fee schedule		16.26	43.17	
HC Mercury (Hgu)	PX-300838250	CDM	83825	CPT	300	RC		inpatient			40.7	40.7																																																			
DRAINS THORACIC 32 FR	SUP-74-00028	CDM			272	RC		outpatient			40.68	4.68	11.02				percent of total billed charges		40.68				other	OPPS APC	30.1				percent of total billed charges		40.68				other	OPPS APC	40.68				other	OPPS APC	11.02				percent of total billed charges		11.24				percent of total billed charges		4.68				other	OPPS APC	4.68	40.68	
DRAINS THORACIC 32 FR	SUP-74-00028	CDM			272	RC		inpatient			40.68	40.68																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	63323-426-01	NDC				inpatient			40.63	40.63																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	63323-426-01	NDC				outpatient			40.63	40.63																																															other	OPPS APC			
CATHETER URETHRAL LUBRI-SIL IC SILICONE L6 FT OD16 FR 5 CC FOLEY TEMPERATURE SENSE EXTENSION CABLE STERILE LATEX FREE DISPOSABLE 400 SERIES	SUP-119316	CDM			270	RC		outpatient			40.53	4.53	10.98				percent of total billed charges		40.53				other	OPPS APC	29.99				percent of total billed charges		40.53				other	OPPS APC	40.53				other	OPPS APC	10.98				percent of total billed charges		11.2				percent of total billed charges		4.53				other	OPPS APC	4.53	40.53	
CATHETER URETHRAL LUBRI-SIL IC SILICONE L6 FT OD16 FR 5 CC FOLEY TEMPERATURE SENSE EXTENSION CABLE STERILE LATEX FREE DISPOSABLE 400 SERIES	SUP-119316	CDM			270	RC		inpatient			40.53	40.53																																																			
DRAPE SURGICAL LULU L4.5 IN X W3.5 IN X W2.5 IN RADIUS FEMUR ANGIOGRAPHY SHEET APERATURE STERILE	SUP-D2366	CDM	270009119	LOCAL	270	RC		outpatient			40.53	4.53	10.98				percent of total billed charges		40.53				other	OPPS APC	29.99				percent of total billed charges		40.53				other	OPPS APC	40.53				other	OPPS APC	10.98				percent of total billed charges		11.2				percent of total billed charges		4.53				other	OPPS APC	4.53	40.53	
DRAPE SURGICAL LULU L4.5 IN X W3.5 IN X W2.5 IN RADIUS FEMUR ANGIOGRAPHY SHEET APERATURE STERILE	SUP-D2366	CDM	270009119	LOCAL	270	RC		inpatient			40.53	40.53																																																			
BUTORPHANOL PER 1 MG	636000000	CDM	0409-1623-21	NDC	J0595	HCPCS		inpatient			40.47	40.47																																																			
BUTORPHANOL PER 1 MG	636000000	CDM	0409-1623-21	NDC	J0595	HCPCS		outpatient			40.47	40.47																																															other	OPPS APC			
STATLOCK IAB CATHETER STABILIZATION DEVICE	SUP-0684-00-0472	CDM			270	RC		outpatient			40.4	4.4	10.94				percent of total billed charges		40.4				other	OPPS APC	29.9				percent of total billed charges		40.4				other	OPPS APC	40.4				other	OPPS APC	10.94				percent of total billed charges		11.16				percent of total billed charges		4.4				other	OPPS APC	4.4	40.4	
STATLOCK IAB CATHETER STABILIZATION DEVICE	SUP-0684-00-0472	CDM			270	RC		inpatient			40.4	40.4																																																			
SYSTEM INTRODUCER ACCUSTICK II L15 CM OD21 GA NEEDLE STYLET RADIOPAQUE	SUP-M001206041	CDM			270	RC		outpatient			40.35	4.35	10.93				percent of total billed charges		40.35				other	OPPS APC	29.86				percent of total billed charges		40.35				other	OPPS APC	40.35				other	OPPS APC	10.93				percent of total billed charges		11.15				percent of total billed charges		4.35				other	OPPS APC	4.35	40.35	
SYSTEM INTRODUCER ACCUSTICK II L15 CM OD21 GA NEEDLE STYLET RADIOPAQUE	SUP-M001206041	CDM			270	RC		inpatient			40.35	40.35																																																			
BLOOD SOLUTION SET Y TYPE	SUP-20-00068	CDM			272	RC		outpatient			40.34	4.34	10.93				percent of total billed charges		40.34				other	OPPS APC	29.85				percent of total billed charges		40.34				other	OPPS APC	40.34				other	OPPS APC	10.93				percent of total billed charges		11.15				percent of total billed charges		4.34				other	OPPS APC	4.34	40.34	
BLOOD SOLUTION SET Y TYPE	SUP-20-00068	CDM			272	RC		inpatient			40.34	40.34																																																			
"TOLTERODINE LA 2 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	43975-322-03	NDC	A9270	HCPCS		inpatient			40.18	40.18																																																			
"TOLTERODINE LA 2 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	43975-322-03	NDC	A9270	HCPCS		outpatient			40.18	40.18																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 10-0 CS160-6 L12 IN 2 ARM MONOFILAMENT BLUE	SUP-7761G	CDM			270	RC		outpatient			40.18	4.18	10.88				percent of total billed charges		40.18				other	OPPS APC	29.73				percent of total billed charges		40.18				other	OPPS APC	40.18				other	OPPS APC	10.88				percent of total billed charges		11.1				percent of total billed charges		4.18				other	OPPS APC	4.18	40.18	
SUTURE NONABSORBABLE PROLENE 10-0 CS160-6 L12 IN 2 ARM MONOFILAMENT BLUE	SUP-7761G	CDM			270	RC		inpatient			40.18	40.18																																																			
SENSOR INFANT SPO2	SUP-30-00106	CDM			272	RC		outpatient			40.17	4.17	10.88				percent of total billed charges		40.17				other	OPPS APC	29.73				percent of total billed charges		40.17				other	OPPS APC	40.17				other	OPPS APC	10.88				percent of total billed charges		11.1				percent of total billed charges		4.17				other	OPPS APC	4.17	40.17	
SENSOR INFANT SPO2	SUP-30-00106	CDM			272	RC		inpatient			40.17	40.17																																																			
SCREW BONE 15D L30 MM OD 3.5MM CORTEX SELF TAP LOW PROFILE HEAD 2.7MM DRILL BIT	SUP-71821330	CDM			270	RC		outpatient			40.1	4.11	10.86				percent of total billed charges		40.1				other	OPPS APC	29.67				percent of total billed charges		40.1				other	OPPS APC	40.1				other	OPPS APC	10.86				percent of total billed charges		11.08				percent of total billed charges		4.11				other	OPPS APC	4.11	40.1	
SCREW BONE 15D L30 MM OD 3.5MM CORTEX SELF TAP LOW PROFILE HEAD 2.7MM DRILL BIT	SUP-71821330	CDM			270	RC		inpatient			40.1	40.1																																																			
SUTURE ABSORBABLE QUILL PDO 2 1/2 CIRCLE L36 CM L48 MM 2 ARM MONOFILAMENT BARB TAPER POINT VIOLET	SUP-RA-1065Q	CDM			270	RC		outpatient			40.09	4.93	10.86				percent of total billed charges		40.09				other	OPPS APC	29.67				percent of total billed charges		40.09				other	OPPS APC	40.09				other	OPPS APC	10.86				percent of total billed charges		11.08				percent of total billed charges		4.93				other	OPPS APC	4.93	40.09	
SUTURE ABSORBABLE QUILL PDO 2 1/2 CIRCLE L36 CM L48 MM 2 ARM MONOFILAMENT BARB TAPER POINT VIOLET	SUP-RA-1065Q	CDM			270	RC		inpatient			40.09	40.09																																																			
SCREW BONE LC-DCP DCP STAINLESS STEEL PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM CLAVICLE SCAPULA OLECRANON HUMERUS SHAFT SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT	SUP-204.216	CDM	270010022	LOCAL	270	RC		outpatient			40.04	4.4	10.85				percent of total billed charges		40.04				other	OPPS APC	29.63				percent of total billed charges		40.04				other	OPPS APC	40.04				other	OPPS APC	10.85				percent of total billed charges		11.06				percent of total billed charges		4.4				other	OPPS APC	4.4	40.04	
SCREW BONE LC-DCP DCP STAINLESS STEEL PARTIAL THREAD L16 MM L6 MM OD3.5 MM ODSEC6 MM CLAVICLE SCAPULA OLECRANON HUMERUS SHAFT SMALL HEXAGONAL SOCKET NONSTERILE SMALL FRAGMENT	SUP-204.216	CDM	270010022	LOCAL	270	RC		inpatient			40.04	40.04																																																			
HC MC Crutch Adjustable Push Button Aluminum Adult Medium 62 to 70	PX-270800031	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
HC MC Crutch Adjustable Push Button Aluminum Adult Medium 62 to 70	PX-270800031	CDM			270	RC		inpatient			40	40																																																			
HC Immunoassay Non Infectious Disease;Multi  Step	PX-300835160	CDM	83516	CPT	301	RC		outpatient			40	11.53	14.72				fee schedule		11.53				fee schedule		29.24				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53	29.24	
HC Immunoassay Non Infectious Disease;Multi  Step	PX-300835160	CDM	83516	CPT	301	RC		inpatient			40	40																																																			
HC Vitamin a (Vita)	PX-300845900	CDM	84590	CPT	301	RC		outpatient			40	11.7	15.51				fee schedule		11.61				fee schedule		30.78				fee schedule		11.61				fee schedule		11.61				fee schedule		11.61				fee schedule		11.61				fee schedule		11.7				fee schedule		11.61	30.78	
HC Vitamin a (Vita)	PX-300845900	CDM	84590	CPT	301	RC		inpatient			40	40																																																			
HC Thrombin Time  Plasma	PX-300856700	CDM	85670	CPT	300	RC		outpatient			40	5.77	7.71				fee schedule		5.77				fee schedule		13.6				fee schedule		5.77				fee schedule		5.77				fee schedule		5.77				fee schedule		5.77				fee schedule		5.77				fee schedule		5.77	13.6	
HC Thrombin Time  Plasma	PX-300856700	CDM	85670	CPT	300	RC		inpatient			40	40																																																			
HC Aspergilus  Antigen  Bronchoalevolar Lavage	PX-300873050	CDM	87305	CPT	302	RC		outpatient			40	11.98	14.72				fee schedule		11.98				fee schedule		29.62				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98	29.62	
HC Aspergilus  Antigen  Bronchoalevolar Lavage	PX-300873050	CDM	87305	CPT	302	RC		inpatient			40	40																																																			
HC Immunoassay for Analyte Not Inf Ab or Ag	PX-302861481	CDM	86148	CPT	302	RC		outpatient			40	16.7	13.27				fee schedule		16.07				fee schedule		26.35				fee schedule		16.07				fee schedule		16.07				fee schedule		16.07				fee schedule		16.07				fee schedule		16.7				fee schedule		13.27	26.35	
HC Immunoassay for Analyte Not Inf Ab or Ag	PX-302861481	CDM	86148	CPT	302	RC		inpatient			40	40																																																			
HC Paraffin Bath	PX-430970181	CDM	97018	CPT	430	RC		outpatient			40	5.78	40				percent of total billed charges		5.78				fee schedule		46.74				fee schedule		5.78				fee schedule		5.78				fee schedule		41.86				percent of total billed charges		40				percent of total billed charges		5.78				fee schedule		5.78	46.74	
HC Paraffin Bath	PX-430970181	CDM	97018	CPT	430	RC		inpatient			40	40																																																			
HC Pf Pulse Ox	PX-460947600	CDM	94760	CPT	460	RC		outpatient			40	4	3.22				fee schedule		40				other	OPPS APC	5.89				fee schedule		40				other	OPPS APC	40				other	OPPS APC	2.32				fee schedule		20.4				percent of total billed charges		4				other	OPPS APC	2.32	40	
HC Pf Pulse Ox	PX-460947600	CDM	94760	CPT	460	RC		inpatient			40	40																																																			
HC Pulse Oximetry	PX-460947601	CDM	94760	CPT	460	RC		outpatient			40	4	3.22				fee schedule		40				other	OPPS APC	5.89				fee schedule		40				other	OPPS APC	40				other	OPPS APC	2.32				fee schedule		20.4				percent of total billed charges		4				other	OPPS APC	2.32	40	
HC Pulse Oximetry	PX-460947601	CDM	94760	CPT	460	RC		inpatient			40	40																																																			
HC Diabetes OP Self Mgmt Group 5-8	PX-942990782	CDM	98962	CPT	942	RC		outpatient			40	15.29	40				fee schedule		40				other	OPPS APC	29.6				percent of total billed charges		15.29				fee schedule		15.29				fee schedule		19.6				percent of total billed charges		20.4				percent of total billed charges		15.29				fee schedule		15.29	40	
HC Diabetes OP Self Mgmt Group 5-8	PX-942990782	CDM	98962	CPT	942	RC		inpatient			40	40																																																			
PAD DUO THERM 25 X 64	SUP-01-00001	CDM			272	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
PAD DUO THERM 25 X 64	SUP-01-00001	CDM			272	RC		inpatient			40	40																																																			
SAGITTAL BLADE  EA	SUP-21081821	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SAGITTAL BLADE  EA	SUP-21081821	CDM			270	RC		inpatient			40	40																																																			
SET FILTER ACCESSORY HIGH FLOW	SUP-40-00019	CDM			272	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SET FILTER ACCESSORY HIGH FLOW	SUP-40-00019	CDM			272	RC		inpatient			40	40																																																			
COVER ENDOSCOPE TIP HOT SHEARS DA VINCI ENDOWRIST 8 MM STANDARD CAUTERY MONOPOLAR DISPOSABLE	SUP-400180	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
COVER ENDOSCOPE TIP HOT SHEARS DA VINCI ENDOWRIST 8 MM STANDARD CAUTERY MONOPOLAR DISPOSABLE	SUP-400180	CDM			270	RC		inpatient			40	40																																																			
CABLE CRIMPS	SUP-400-401	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
CABLE CRIMPS	SUP-400-401	CDM			270	RC		inpatient			40	40																																																			
SLITTER	SUP-410191	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SLITTER	SUP-410191	CDM			270	RC		inpatient			40	40																																																			
SHEATH LAPAROSCOPIC L45 MM STAPLER	SUP-410370	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SHEATH LAPAROSCOPIC L45 MM STAPLER	SUP-410370	CDM			270	RC		inpatient			40	40																																																			
SEAL 12MM STAPLER CANNULA	SUP-470380	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SEAL 12MM STAPLER CANNULA	SUP-470380	CDM			270	RC		inpatient			40	40																																																			
SEALS ROD LENS SCOPE	SUP-77-00053	CDM			272	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SEALS ROD LENS SCOPE	SUP-77-00053	CDM			272	RC		inpatient			40	40																																																			
GUIDEWIRE ORTHOPEDIC ACUTRAK 2 L6 IN OD.035 IN 2 TROCAR NONSTERILE	SUP-80-1525	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
GUIDEWIRE ORTHOPEDIC ACUTRAK 2 L6 IN OD.035 IN 2 TROCAR NONSTERILE	SUP-80-1525	CDM			270	RC		inpatient			40	40																																																			
CANNULA OPHTHALMIC GRIESHABER OD27+ GA ODSEC.8 MM SOFT TIP STERILE DISPOSABLE	SUP-8065149529	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
CANNULA OPHTHALMIC GRIESHABER OD27+ GA ODSEC.8 MM SOFT TIP STERILE DISPOSABLE	SUP-8065149529	CDM			270	RC		inpatient			40	40																																																			
PHACO IRRIGATION SLEEVE	SUP-97-05370	CDM			272	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
PHACO IRRIGATION SLEEVE	SUP-97-05370	CDM			272	RC		inpatient			40	40																																																			
SHEATH - 10F	SUP-99-01940	CDM			272	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
SHEATH - 10F	SUP-99-01940	CDM			272	RC		inpatient			40	40																																																			
WIRE FIXATION ARTHREX KIRSCHNER L 170 MM OD 1.35 MM NONSTERILE	SUP-AR-8610K-43	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
WIRE FIXATION ARTHREX KIRSCHNER L 170 MM OD 1.35 MM NONSTERILE	SUP-AR-8610K-43	CDM			270	RC		inpatient			40	40																																																			
GUIDEWIRE ORTHOPEDIC L150 MM OD.053 IN ANKLE THREAD TROCAR DISPOSABLE 4 MM CANNULATED SCREW	SUP-AR-8943-38	CDM			270	RC		outpatient			40	4	10.84				percent of total billed charges		40				other	OPPS APC	29.6				percent of total billed charges		40				other	OPPS APC	40				other	OPPS APC	10.84				percent of total billed charges		11.05				percent of total billed charges		4				other	OPPS APC	4	40	
GUIDEWIRE ORTHOPEDIC L150 MM OD.053 IN ANKLE THREAD TROCAR DISPOSABLE 4 MM CANNULATED SCREW	SUP-AR-8943-38	CDM			270	RC		inpatient			40	40																																																			
CANE QUAD OFFSET HANDLE	SUP-38-00005	CDM			271	RC		outpatient			39.98	39.98	10.83				percent of total billed charges		39.98				other	OPPS APC	29.59				percent of total billed charges		39.98				other	OPPS APC	39.98				other	OPPS APC	10.83				percent of total billed charges		11.05				percent of total billed charges		39.98				other	OPPS APC	10.83	39.98	
CANE QUAD OFFSET HANDLE	SUP-38-00005	CDM			271	RC		inpatient			39.98	39.98																																																			
KIT POSITIONING UNIVERSAL HEAD STERILE DISPOSABLE	SUP-AR-1627-06	CDM			270	RC		outpatient			39.98	39.98	10.83				percent of total billed charges		39.98				other	OPPS APC	29.59				percent of total billed charges		39.98				other	OPPS APC	39.98				other	OPPS APC	10.83				percent of total billed charges		11.05				percent of total billed charges		39.98				other	OPPS APC	10.83	39.98	
KIT POSITIONING UNIVERSAL HEAD STERILE DISPOSABLE	SUP-AR-1627-06	CDM			270	RC		inpatient			39.98	39.98																																																			
DRONEDARONE 400 MG TABLET	637000000	CDM	0024-4142-60	NDC	A9270	HCPCS		inpatient			39.91	39.91																																																			
DRONEDARONE 400 MG TABLET	637000000	CDM	0024-4142-60	NDC	A9270	HCPCS		outpatient			39.91	39.91																																															other	OPPS APC			
PHENYLEPHRINE IN 0.9% NACL 40 MG/250 ML (160 MCG/ML) SOLUTION	250000000	CDM	0641-6189-01	NDC	J2371	HCPCS		inpatient			39.9	39.9																																																			
PHENYLEPHRINE IN 0.9% NACL 40 MG/250 ML (160 MCG/ML) SOLUTION	250000000	CDM	0641-6189-01	NDC	J2371	HCPCS		outpatient			39.9	39.9																																															other	OPPS APC			
AMPICILLIN PER 500 MG	636000000	CDM	55150-114-20	NDC	J0290	HCPCS		inpatient			39.79	39.79																																																			
AMPICILLIN PER 500 MG	636000000	CDM	55150-114-20	NDC	J0290	HCPCS		outpatient			39.79	39.79																																															other	OPPS APC			
SENSOR PEDIATRIC SPO2	SUP-30-00105	CDM			272	RC		outpatient			39.79	39.79	10.78				percent of total billed charges		39.79				other	OPPS APC	29.44				percent of total billed charges		39.79				other	OPPS APC	39.79				other	OPPS APC	10.78				percent of total billed charges		10.99				percent of total billed charges		39.79				other	OPPS APC	10.78	39.79	
SENSOR PEDIATRIC SPO2	SUP-30-00105	CDM			272	RC		inpatient			39.79	39.79																																																			
NEEDLE FREE 1/2 CIRCLE SIZE 5 REVERSE CUT	SUP-95-05471	CDM			272	RC		outpatient			39.79	39.79	10.78				percent of total billed charges		39.79				other	OPPS APC	29.44				percent of total billed charges		39.79				other	OPPS APC	39.79				other	OPPS APC	10.78				percent of total billed charges		10.99				percent of total billed charges		39.79				other	OPPS APC	10.78	39.79	
NEEDLE FREE 1/2 CIRCLE SIZE 5 REVERSE CUT	SUP-95-05471	CDM			272	RC		inpatient			39.79	39.79																																																			
SENSOR NEONATAL SPO2	SUP-30-00107	CDM			272	RC		outpatient			39.76	39.76	10.77				percent of total billed charges		39.76				other	OPPS APC	29.42				percent of total billed charges		39.76				other	OPPS APC	39.76				other	OPPS APC	10.77				percent of total billed charges		10.99				percent of total billed charges		39.76				other	OPPS APC	10.77	39.76	
SENSOR NEONATAL SPO2	SUP-30-00107	CDM			272	RC		inpatient			39.76	39.76																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	70069-802-01	NDC	J2371	HCPCS		inpatient			39.75	39.75																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	70069-802-01	NDC	J2371	HCPCS		outpatient			39.75	39.75																																															other	OPPS APC			
EYE CAUTERY	SUP-73-00006	CDM			272	RC		outpatient			39.74	39.74	10.77				percent of total billed charges		39.74				other	OPPS APC	29.41				percent of total billed charges		39.74				other	OPPS APC	39.74				other	OPPS APC	10.77				percent of total billed charges		10.98				percent of total billed charges		39.74				other	OPPS APC	10.77	39.74	
EYE CAUTERY	SUP-73-00006	CDM			272	RC		inpatient			39.74	39.74																																																			
SPRING WIRE .032' X 60CM (C-LINE)	SUP-95-00970	CDM			272	RC		outpatient			39.65	39.65	10.74				percent of total billed charges		39.65				other	OPPS APC	29.34				percent of total billed charges		39.65				other	OPPS APC	39.65				other	OPPS APC	10.74				percent of total billed charges		10.96				percent of total billed charges		39.65				other	OPPS APC	10.74	39.65	
SPRING WIRE .032' X 60CM (C-LINE)	SUP-95-00970	CDM			272	RC		inpatient			39.65	39.65																																																			
ATOMIZATION DEVICE-DISPOSABLE	SUP-97-00812	CDM			272	RC		outpatient			39.6	39.61	10.73				percent of total billed charges		39.6				other	OPPS APC	29.3				percent of total billed charges		39.6				other	OPPS APC	39.6				other	OPPS APC	10.73				percent of total billed charges		10.94				percent of total billed charges		39.61				other	OPPS APC	10.73	39.61	
ATOMIZATION DEVICE-DISPOSABLE	SUP-97-00812	CDM			272	RC		inpatient			39.6	39.6																																																			
SYRINGE ORAL AMBER 3ML   3052	SUP-06-00055	CDM			272	RC		outpatient			39.59	39.59	10.72				percent of total billed charges		39.59				other	OPPS APC	29.3				percent of total billed charges		39.59				other	OPPS APC	39.59				other	OPPS APC	10.72				percent of total billed charges		10.94				percent of total billed charges		39.59				other	OPPS APC	10.72	39.59	
SYRINGE ORAL AMBER 3ML   3052	SUP-06-00055	CDM			272	RC		inpatient			39.59	39.59																																																			
KIT NEEDLE GUIDE CIV FLEX SONOSITE OD21 GA COVER BAND GEL STERILE TEAL L25	SUP-P09073-01	CDM			270	RC		outpatient			39.58	39.58	10.72				percent of total billed charges		39.58				other	OPPS APC	29.29				percent of total billed charges		39.58				other	OPPS APC	39.58				other	OPPS APC	10.72				percent of total billed charges		10.94				percent of total billed charges		39.58				other	OPPS APC	10.72	39.58	
KIT NEEDLE GUIDE CIV FLEX SONOSITE OD21 GA COVER BAND GEL STERILE TEAL L25	SUP-P09073-01	CDM			270	RC		inpatient			39.58	39.58																																																			
INTRODUCER SUPRAPUBIC LAWRENCE SUPRA-FOLEY STAINLESS STEEL OD16 FR SHARP TIP SHIELD TROCAR HANDLE CANNULA LATEX FREE ORANGE	SUP-SF-S16-851	CDM						inpatient			39.52	39.52																																																			
INTRODUCER SUPRAPUBIC LAWRENCE SUPRA-FOLEY STAINLESS STEEL OD16 FR SHARP TIP SHIELD TROCAR HANDLE CANNULA LATEX FREE ORANGE	SUP-SF-S16-851	CDM						outpatient			39.52	39.52	39.52				percent of total billed charges		39.52				other	OPPS APC	39.52				fee schedule		39.52				other	OPPS APC	39.52				other	OPPS APC	39.52				case rate		39.52				case rate		39.52				other	OPPS APC	39.52	39.52	
GUARD CONTAMINATION CATHETER	SUP-CG8580	CDM			481	RC		outpatient			39.5	39.5	19.36				percent of total billed charges		39.5				other	OPPS APC	29.23				percent of total billed charges		39.5				other	OPPS APC	39.5				other	OPPS APC	19.36				percent of total billed charges		20.15				percent of total billed charges		39.5				other	OPPS APC	19.36	39.5	
GUARD CONTAMINATION CATHETER	SUP-CG8580	CDM			481	RC		inpatient			39.5	39.5																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC L15 3/4 IN OD28 FR THORACIC SHARP TROCAR TIP RADIOPAQUE NUMERIC DEPTH MARK INTEGRAL FUNNEL END STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST TUBE THORACOSTOMY	SUP-8888561068	CDM						inpatient			39.46	39.46																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC L15 3/4 IN OD28 FR THORACIC SHARP TROCAR TIP RADIOPAQUE NUMERIC DEPTH MARK INTEGRAL FUNNEL END STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST TUBE THORACOSTOMY	SUP-8888561068	CDM						outpatient			39.46	39.46	39.46				percent of total billed charges		39.46				other	OPPS APC	39.46				fee schedule		39.46				other	OPPS APC	39.46				other	OPPS APC	39.46				case rate		39.46				case rate		39.46				other	OPPS APC	39.46	39.46	
"LANSOPRAZOLE 30 MG TABLET,DISINTEGRAT, DELAY REL"	637000000	CDM	68382-772-30	NDC	A9270	HCPCS		inpatient			39.44	39.44																																																			
"LANSOPRAZOLE 30 MG TABLET,DISINTEGRAT, DELAY REL"	637000000	CDM	68382-772-30	NDC	A9270	HCPCS		outpatient			39.44	39.44																																															other	OPPS APC			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	70594-114-02	NDC	J0665	HCPCS		inpatient			39.36	39.36																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	70594-114-02	NDC	J0665	HCPCS		outpatient			39.36	0.16																																											0.16				other	OPPS APC	0.16	0.16	
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	47335-992-01	NDC	J3475	HCPCS		inpatient			39.33	39.33																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	47335-992-01	NDC	J3475	HCPCS		outpatient			39.33	39.33																																															other	OPPS APC			
TUBE VENTILATION SHEPHARD FLUOROPLASTIC ID1.14 MM IDSEC2.4 MM EAR GROMMET SHORT TERM RESIDENCE TIME TAIL TEMPORARY	SUP-1028010	CDM			270	RC		outpatient			39.2	39.23	10.62				percent of total billed charges		39.2				other	OPPS APC	29.01				percent of total billed charges		39.2				other	OPPS APC	39.2				other	OPPS APC	10.62				percent of total billed charges		10.83				percent of total billed charges		39.23				other	OPPS APC	10.62	39.23	
TUBE VENTILATION SHEPHARD FLUOROPLASTIC ID1.14 MM IDSEC2.4 MM EAR GROMMET SHORT TERM RESIDENCE TIME TAIL TEMPORARY	SUP-1028010	CDM			270	RC		inpatient			39.2	39.2																																																			
SHEATH - 8f x 11cm	SUP-99-03184	CDM			272	RC		outpatient			39.2	39.23	10.62				percent of total billed charges		39.2				other	OPPS APC	29.01				percent of total billed charges		39.2				other	OPPS APC	39.2				other	OPPS APC	10.62				percent of total billed charges		10.83				percent of total billed charges		39.23				other	OPPS APC	10.62	39.23	
SHEATH - 8f x 11cm	SUP-99-03184	CDM			272	RC		inpatient			39.2	39.2																																																			
GUIDEWIRE K 2.0 150MM	SUP-97-01831	CDM			278	RC		outpatient			39.18	39.18	39.18				fee schedule		39.18				other	OPPS APC	22.33				percent of total billed charges		39.18				other	OPPS APC	39.18				other	OPPS APC	19.2				percent of total billed charges		19.98				percent of total billed charges		39.18				other	OPPS APC	19.2	39.18	
GUIDEWIRE K 2.0 150MM	SUP-97-01831	CDM			278	RC		inpatient			39.18	39.18																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0338-3814-50	NDC	J0736	HCPCS		inpatient			39.15	39.15																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0338-3814-50	NDC	J0736	HCPCS		outpatient			39.15	2.41																																											2.41				other	OPPS APC	2.41	2.41	
SUTURE NONABSORBABLE STAINLESS STEEL 2-0 SH SKS-3 L24 IN 2 ARM BRAID DARK BLUE LIGHT BLUE	SUP-TPW32	CDM			270	RC		outpatient			39.13	39.13	10.6				percent of total billed charges		39.13				other	OPPS APC	28.96				percent of total billed charges		39.13				other	OPPS APC	39.13				other	OPPS APC	10.6				percent of total billed charges		10.81				percent of total billed charges		39.13				other	OPPS APC	10.6	39.13	
SUTURE NONABSORBABLE STAINLESS STEEL 2-0 SH SKS-3 L24 IN 2 ARM BRAID DARK BLUE LIGHT BLUE	SUP-TPW32	CDM			270	RC		inpatient			39.13	39.13																																																			
COLLAR PHILADELPHIA SM	SUP-37-00009	CDM			271	RC		outpatient			39.11	39.2	10.59				percent of total billed charges		39.11				other	OPPS APC	28.94				percent of total billed charges		39.11				other	OPPS APC	39.11				other	OPPS APC	10.59				percent of total billed charges		10.81				percent of total billed charges		39.2				other	OPPS APC	10.59	39.2	
COLLAR PHILADELPHIA SM	SUP-37-00009	CDM			271	RC		inpatient			39.11	39.11																																																			
PASTE ENDOSCOPIC CLEANING 5 GM AGENT DISTAL OR PROXIMAL LENS	SUP-27661	CDM						inpatient			39.1	39.1																																																			
PASTE ENDOSCOPIC CLEANING 5 GM AGENT DISTAL OR PROXIMAL LENS	SUP-27661	CDM						outpatient			39.1	39.11	39.1				percent of total billed charges		39.1				other	OPPS APC	39.1				fee schedule		39.1				other	OPPS APC	39.1				other	OPPS APC	39.1				case rate		39.1				case rate		39.11				other	OPPS APC	39.1	39.11	
DRESSING WHITE FOAM SM 10 X 7.5	SUP-15-00031	CDM			272	RC		outpatient			39.07	39.7	10.58				percent of total billed charges		39.07				other	OPPS APC	28.91				percent of total billed charges		39.07				other	OPPS APC	39.07				other	OPPS APC	10.58				percent of total billed charges		10.8				percent of total billed charges		39.7				other	OPPS APC	10.58	39.7	
DRESSING WHITE FOAM SM 10 X 7.5	SUP-15-00031	CDM			272	RC		inpatient			39.07	39.07																																																			
HC Chylmd Trach Ag  Dfa	PX-300872700	CDM	87270	CPT	300	RC		outpatient			39	11.98	14.72				fee schedule		11.98				fee schedule		29.24				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98				fee schedule		11.98	29.24	
HC Chylmd Trach Ag  Dfa	PX-300872700	CDM	87270	CPT	300	RC		inpatient			39	39																																																			
CANNULA OPHTHALMIC SILICONE OD23 GA SOFT TIP DISPOSABLE	SUP-8065149523	CDM			270	RC		outpatient			38.92	38.92	10.54				percent of total billed charges		38.92				other	OPPS APC	28.8				percent of total billed charges		38.92				other	OPPS APC	38.92				other	OPPS APC	10.54				percent of total billed charges		10.75				percent of total billed charges		38.92				other	OPPS APC	10.54	38.92	
CANNULA OPHTHALMIC SILICONE OD23 GA SOFT TIP DISPOSABLE	SUP-8065149523	CDM			270	RC		inpatient			38.92	38.92																																																			
LISDEXAMFETAMINE 10 MG CAPSULE	637000000	CDM	59417-101-10	NDC	A9270	HCPCS		inpatient			38.78	38.78																																																			
LISDEXAMFETAMINE 10 MG CAPSULE	637000000	CDM	59417-101-10	NDC	A9270	HCPCS		outpatient			38.78	38.78																																															other	OPPS APC			
LISDEXAMFETAMINE 30 MG CAPSULE	637000000	CDM	59417-103-10	NDC	A9270	HCPCS		inpatient			38.78	38.78																																																			
LISDEXAMFETAMINE 30 MG CAPSULE	637000000	CDM	59417-103-10	NDC	A9270	HCPCS		outpatient			38.78	38.78																																															other	OPPS APC			
CARBOPLATIN PER 50 MG	636000000	CDM	54288-164-01	NDC	J9045	HCPCS		inpatient			38.75	38.75																																																			
CARBOPLATIN PER 50 MG	636000000	CDM	54288-164-01	NDC	J9045	HCPCS		outpatient			38.75	38.75																																															other	OPPS APC			
CATHETER FOLEY 2WAY COUDE 18FR 5CC	SUP-02-00129	CDM			272	RC		outpatient			38.73	38.73	10.49				percent of total billed charges		38.73				other	OPPS APC	28.66				percent of total billed charges		38.73				other	OPPS APC	38.73				other	OPPS APC	10.49				percent of total billed charges		10.7				percent of total billed charges		38.73				other	OPPS APC	10.49	38.73	
CATHETER FOLEY 2WAY COUDE 18FR 5CC	SUP-02-00129	CDM			272	RC		inpatient			38.73	38.73																																																			
OSELTAMIVIR 75 MG CAPSULE	637000000	CDM	72205-044-11	NDC	A9270	HCPCS		inpatient			38.65	38.65																																																			
OSELTAMIVIR 75 MG CAPSULE	637000000	CDM	72205-044-11	NDC	A9270	HCPCS		outpatient			38.65	38.65																																															other	OPPS APC			
FORCEPS BIOPSY RADIAL JAW 4 2.8 MM LARGE CAPACITY L240 CM OD2.4 MM NEEDLE DISPOSABLE ORANGE	SUP-M00513331	CDM			270	RC		outpatient			38.62	38.62	10.46				percent of total billed charges		38.62				other	OPPS APC	28.58				percent of total billed charges		38.62				other	OPPS APC	38.62				other	OPPS APC	10.46				percent of total billed charges		10.67				percent of total billed charges		38.62				other	OPPS APC	10.46	38.62	
FORCEPS BIOPSY RADIAL JAW 4 2.8 MM LARGE CAPACITY L240 CM OD2.4 MM NEEDLE DISPOSABLE ORANGE	SUP-M00513331	CDM			270	RC		inpatient			38.62	38.62																																																			
SPLINT NASAL EXTERNAL THERMA SINGLE SMALL	SUP-15-29000	CDM			270	RC		outpatient			38.6	38.61	10.46				percent of total billed charges		38.6				other	OPPS APC	28.56				percent of total billed charges		38.6				other	OPPS APC	38.6				other	OPPS APC	10.46				percent of total billed charges		10.67				percent of total billed charges		38.61				other	OPPS APC	10.46	38.61	
SPLINT NASAL EXTERNAL THERMA SINGLE SMALL	SUP-15-29000	CDM			270	RC		inpatient			38.6	38.6																																																			
LAVACUATOR TUBE SZ 36 FR FOR R	SUP-74-00017	CDM			272	RC		outpatient			38.6	38.61	10.46				percent of total billed charges		38.6				other	OPPS APC	28.56				percent of total billed charges		38.6				other	OPPS APC	38.6				other	OPPS APC	10.46				percent of total billed charges		10.67				percent of total billed charges		38.61				other	OPPS APC	10.46	38.61	
LAVACUATOR TUBE SZ 36 FR FOR R	SUP-74-00017	CDM			272	RC		inpatient			38.6	38.6																																																			
SUTURE ABSORBABLE QUILL 2 .5 CIRCLE 36CM 36MM VIOLET POLYDIOXANONE 2 ARM MONOFILAMENT TAPER POINT REINFORCE NEEDLE	SUP-RX-1062Q	CDM			270	RC		outpatient			38.42	38.42	10.41				percent of total billed charges		38.42				other	OPPS APC	28.43				percent of total billed charges		38.42				other	OPPS APC	38.42				other	OPPS APC	10.41				percent of total billed charges		10.62				percent of total billed charges		38.42				other	OPPS APC	10.41	38.42	
SUTURE ABSORBABLE QUILL 2 .5 CIRCLE 36CM 36MM VIOLET POLYDIOXANONE 2 ARM MONOFILAMENT TAPER POINT REINFORCE NEEDLE	SUP-RX-1062Q	CDM			270	RC		inpatient			38.42	38.42																																																			
PIN FIXATION STEINMANN STAINLESS STEEL L229 MM OD2.4 MM 1 END DIAMOND POINT STYLE 6 THREAD NONSTERILE	SUP-00-0262-006-04	CDM			270	RC		outpatient			38.32	38.32	10.38				percent of total billed charges		38.32				other	OPPS APC	28.36				percent of total billed charges		38.32				other	OPPS APC	38.32				other	OPPS APC	10.38				percent of total billed charges		10.59				percent of total billed charges		38.32				other	OPPS APC	10.38	38.32	
PIN FIXATION STEINMANN STAINLESS STEEL L229 MM OD2.4 MM 1 END DIAMOND POINT STYLE 6 THREAD NONSTERILE	SUP-00-0262-006-04	CDM			270	RC		inpatient			38.32	38.32																																																			
SHEATH - 6FX11CM W/0.38X50CM WIRE	SUP-99-04822	CDM			272	RC		outpatient			38.32	38.32	10.38				percent of total billed charges		38.32				other	OPPS APC	28.36				percent of total billed charges		38.32				other	OPPS APC	38.32				other	OPPS APC	10.38				percent of total billed charges		10.59				percent of total billed charges		38.32				other	OPPS APC	10.38	38.32	
SHEATH - 6FX11CM W/0.38X50CM WIRE	SUP-99-04822	CDM			272	RC		inpatient			38.32	38.32																																																			
SCREW BONE 4.5MM 8MM 46MM 12MM DCP LC-DCP SS LG HEXAGON PERIARTICULAR CONDYLE	SUP-214.246	CDM	270010022	LOCAL	270	RC		outpatient			38.28	38.28	10.37				percent of total billed charges		38.28				other	OPPS APC	28.33				percent of total billed charges		38.28				other	OPPS APC	38.28				other	OPPS APC	10.37				percent of total billed charges		10.58				percent of total billed charges		38.28				other	OPPS APC	10.37	38.28	
SCREW BONE 4.5MM 8MM 46MM 12MM DCP LC-DCP SS LG HEXAGON PERIARTICULAR CONDYLE	SUP-214.246	CDM	270010022	LOCAL	270	RC		inpatient			38.28	38.28																																																			
SCREW BONE STANDARD 48MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.248	CDM	270010022	LOCAL	270	RC		outpatient			38.28	38.28	10.37				percent of total billed charges		38.28				other	OPPS APC	28.33				percent of total billed charges		38.28				other	OPPS APC	38.28				other	OPPS APC	10.37				percent of total billed charges		10.58				percent of total billed charges		38.28				other	OPPS APC	10.37	38.28	
SCREW BONE STANDARD 48MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.248	CDM	270010022	LOCAL	270	RC		inpatient			38.28	38.28																																																			
RIFAMPIN 150 MG CAPSULE	637000000	CDM	60687-575-11	NDC	A9270	HCPCS		inpatient			38.22	38.22																																																			
RIFAMPIN 150 MG CAPSULE	637000000	CDM	60687-575-11	NDC	A9270	HCPCS		outpatient			38.22	38.22																																															other	OPPS APC			
"MEMANTINE 21 MG CAPSULE,SPRINKLE,ER 24HR"	637000000	CDM	59651-406-30	NDC	A9270	HCPCS		inpatient			38.2	38.2																																																			
"MEMANTINE 21 MG CAPSULE,SPRINKLE,ER 24HR"	637000000	CDM	59651-406-30	NDC	A9270	HCPCS		outpatient			38.2	38.2																																															other	OPPS APC			
BLADE REPLACEMENT 19.5 X 1.27 X 86MM	SUP-00507210100	CDM			270	RC		outpatient			38.12	38.12	10.33				percent of total billed charges		38.12				other	OPPS APC	28.21				percent of total billed charges		38.12				other	OPPS APC	38.12				other	OPPS APC	10.33				percent of total billed charges		10.53				percent of total billed charges		38.12				other	OPPS APC	10.33	38.12	
BLADE REPLACEMENT 19.5 X 1.27 X 86MM	SUP-00507210100	CDM			270	RC		inpatient			38.12	38.12																																																			
SENSOR RD SET 2FT	SUP-30-00144	CDM			272	RC		outpatient			38.02	38.23	10.3				percent of total billed charges		38.02				other	OPPS APC	28.13				percent of total billed charges		38.02				other	OPPS APC	38.02				other	OPPS APC	10.3				percent of total billed charges		10.5				percent of total billed charges		38.23				other	OPPS APC	10.3	38.23	
SENSOR RD SET 2FT	SUP-30-00144	CDM			272	RC		inpatient			38.02	38.02																																																			
Catheter Filiform 5r	PX-278C17584	CDM			278	RC		outpatient			38	38	38				fee schedule		38				other	OPPS APC	21.66				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	18.62				percent of total billed charges		19.38				percent of total billed charges		38				other	OPPS APC	18.62	38	
Catheter Filiform 5r	PX-278C17584	CDM			278	RC		inpatient			38	38																																																			
HC Yeast Identification X 1	PX-300871060	CDM	87106	CPT	300	RC		outpatient			38	38	13.81				fee schedule		38				fee schedule		27.4				fee schedule		38				fee schedule		38				fee schedule		10.32				fee schedule		10.32				fee schedule		38				fee schedule		10.32	38	
HC Yeast Identification X 1	PX-300871060	CDM	87106	CPT	300	RC		inpatient			38	38																																																			
HC Culture Fungi  Definitive ID  Ea Organism Mold	PX-300871070	CDM	87107	CPT	300	RC		outpatient			38	1.32	13.81				fee schedule		10.32				fee schedule		27.4				fee schedule		10.32				fee schedule		10.32				fee schedule		10.32				fee schedule		10.32				fee schedule		1.32				fee schedule		1.32	27.4	
HC Culture Fungi  Definitive ID  Ea Organism Mold	PX-300871070	CDM	87107	CPT	300	RC		inpatient			38	38																																																			
HC Culture Tubercle Afb  Any Source W/Isol&Presumphc Smear and Culture Acid Fast (Afsc	PX-300871160	CDM	87116	CPT	300	RC		outpatient			38	1.81	14.45				fee schedule		10.8				fee schedule		16.3				fee schedule		10.8				fee schedule		10.8				fee schedule		10.8				fee schedule		10.8				fee schedule		1.81				fee schedule		1.81	16.3	
HC Culture Tubercle Afb  Any Source W/Isol&Presumphc Smear and Culture Acid Fast (Afsc	PX-300871160	CDM	87116	CPT	300	RC		inpatient			38	38																																																			
HC H.Pylori Antigen  Stool	PX-300873380	CDM	87338	CPT	306	RC		outpatient			38	14.38	14.72				fee schedule		14.38				fee schedule		29.24				fee schedule		14.38				fee schedule		14.38				fee schedule		14.38				fee schedule		14.38				fee schedule		14.38				fee schedule		14.38	29.24	
HC H.Pylori Antigen  Stool	PX-300873380	CDM	87338	CPT	306	RC		inpatient			38	38																																																			
HC MC Med Nutr Ther Ind Initial	PX-510978029	CDM	97802	CPT	510	RC		inpatient			38	38																																																			
HC MC Med Nutr Ther Ind Initial	PX-510978029	CDM	97802	CPT	510	RC		outpatient			38	38	169.66				case rate		38				other	OPPS APC	101				case rate		38				other	OPPS APC	38				fee schedule		169.66				case rate		173.05				case rate		38				other	OPPS APC	38	173.05	
HC Mnt Initial Assess Ind 15 Min	PX-942978020	CDM	97802	CPT	942	RC		outpatient			38	31.94	38				fee schedule		31.94				fee schedule		28.12				percent of total billed charges		31.94				fee schedule		31.94				fee schedule		18.62				percent of total billed charges		19.38				percent of total billed charges		31.94				fee schedule		18.62	38	
HC Mnt Initial Assess Ind 15 Min	PX-942978020	CDM	97802	CPT	942	RC		inpatient			38	38																																																			
HC Mnt Initial Assessment per 15 Mins	PX-942978021	CDM	97802	CPT	942	RC		outpatient			38	31.94	38				fee schedule		31.94				fee schedule		28.12				percent of total billed charges		31.94				fee schedule		31.94				fee schedule		18.62				percent of total billed charges		19.38				percent of total billed charges		31.94				fee schedule		18.62	38	
HC Mnt Initial Assessment per 15 Mins	PX-942978021	CDM	97802	CPT	942	RC		inpatient			38	38																																																			
HC Mnt 1:1 15 Min 2nd Ref/Year  Medicare	PX-942G02701	CDM			942	RC		inpatient			38	38																																																			
HC Mnt 1:1 15 Min 2nd Ref/Year  Medicare	PX-942G02701	CDM			942	RC		outpatient			38	26.94					fee schedule		26.94				fee schedule		28.12				percent of total billed charges		26.94				fee schedule		26.94				fee schedule		18.62				percent of total billed charges		19.38				percent of total billed charges		26.94				fee schedule		28.12	28.12	
WASHER ORTHOPEDIC ASNIS III TITANIUM LARGE DISPOSABLE 6.5/8 MM CANNULATED SCREW	SUP-619904	CDM			270	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
WASHER ORTHOPEDIC ASNIS III TITANIUM LARGE DISPOSABLE 6.5/8 MM CANNULATED SCREW	SUP-619904	CDM			270	RC		inpatient			38	38																																																			
WASHER ORTHOPEDIC ASNIS III TITANIUM 4 MM SCREW	SUP-619905	CDM			270	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
WASHER ORTHOPEDIC ASNIS III TITANIUM 4 MM SCREW	SUP-619905	CDM			270	RC		inpatient			38	38																																																			
GUIDEWIRE ORTHOPEDIC ACUTRAK 2 L6 IN OD.035 IN 1 TROCAR NONSTERILE	SUP-80-1524	CDM			270	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
GUIDEWIRE ORTHOPEDIC ACUTRAK 2 L6 IN OD.035 IN 1 TROCAR NONSTERILE	SUP-80-1524	CDM			270	RC		inpatient			38	38																																																			
CATHETER - FR4 MOD	SUP-99-03277	CDM			272	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
CATHETER - FR4 MOD	SUP-99-03277	CDM			272	RC		inpatient			38	38																																																			
CATHETER - 5F FL3	SUP-99-03360	CDM			272	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
CATHETER - 5F FL3	SUP-99-03360	CDM			272	RC		inpatient			38	38																																																			
CATHETER - FL3	SUP-99-03361	CDM			272	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
CATHETER - FL3	SUP-99-03361	CDM			272	RC		inpatient			38	38																																																			
DRESSING WOUND JUMPSTART L8 IN OD1.5 IN ANTIMICROBIAL	SUP-ABS-4005	CDM			270	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
DRESSING WOUND JUMPSTART L8 IN OD1.5 IN ANTIMICROBIAL	SUP-ABS-4005	CDM			270	RC		inpatient			38	38																																																			
TROCAR ZTHREAD 8MM X 100MM	SUP-COQ19	CDM			270	RC		outpatient			38	38	10.29				percent of total billed charges		38				other	OPPS APC	28.12				percent of total billed charges		38				other	OPPS APC	38				other	OPPS APC	10.29				percent of total billed charges		10.5				percent of total billed charges		38				other	OPPS APC	10.29	38	
TROCAR ZTHREAD 8MM X 100MM	SUP-COQ19	CDM			270	RC		inpatient			38	38																																																			
BETADINE SOLUTION 5%	SUP-73-00045	CDM			272	RC		outpatient			37.92	37.92	10.27				percent of total billed charges		37.92				other	OPPS APC	28.06				percent of total billed charges		37.92				other	OPPS APC	37.92				other	OPPS APC	10.27				percent of total billed charges		10.48				percent of total billed charges		37.92				other	OPPS APC	10.27	37.92	
BETADINE SOLUTION 5%	SUP-73-00045	CDM			272	RC		inpatient			37.92	37.92																																																			
SUTURE ABSORBABLE QUILL 0 .5 CIRCLE 14CM 36MM VIOLET POLYDIOXANONE 2 ARM MONOFILAMENT TAPER POINT REINFORCE NEEDLE	SUP-RX-1069Q	CDM			270	RC		outpatient			37.92	37.92	10.27				percent of total billed charges		37.92				other	OPPS APC	28.06				percent of total billed charges		37.92				other	OPPS APC	37.92				other	OPPS APC	10.27				percent of total billed charges		10.48				percent of total billed charges		37.92				other	OPPS APC	10.27	37.92	
SUTURE ABSORBABLE QUILL 0 .5 CIRCLE 14CM 36MM VIOLET POLYDIOXANONE 2 ARM MONOFILAMENT TAPER POINT REINFORCE NEEDLE	SUP-RX-1069Q	CDM			270	RC		inpatient			37.92	37.92																																																			
BANDAGE WEBRIL 2 COTTON	SUP-10-00061	CDM			272	RC		outpatient			37.88	37.88	10.26				percent of total billed charges		37.88				other	OPPS APC	28.03				percent of total billed charges		37.88				other	OPPS APC	37.88				other	OPPS APC	10.26				percent of total billed charges		10.47				percent of total billed charges		37.88				other	OPPS APC	10.26	37.88	
BANDAGE WEBRIL 2 COTTON	SUP-10-00061	CDM			272	RC		inpatient			37.88	37.88																																																			
STICKERS - BENEDRYL	SUP-95-00492	CDM			271	RC		outpatient			37.88	37.88	10.26				percent of total billed charges		37.88				other	OPPS APC	28.03				percent of total billed charges		37.88				other	OPPS APC	37.88				other	OPPS APC	10.26				percent of total billed charges		10.47				percent of total billed charges		37.88				other	OPPS APC	10.26	37.88	
STICKERS - BENEDRYL	SUP-95-00492	CDM			271	RC		inpatient			37.88	37.88																																																			
MESH SURGICAL PROLITE POLYPROPYLENE STANDARD L4 IN X W1 IN INGUINAL HERNIA SHEET NONABSORBABLE REPAIR STERILE	SUP-1000104-00	CDM			270	RC		outpatient			37.86	37.86	10.26				percent of total billed charges		37.86				other	OPPS APC	28.02				percent of total billed charges		37.86				other	OPPS APC	37.86				other	OPPS APC	10.26				percent of total billed charges		10.46				percent of total billed charges		37.86				other	OPPS APC	10.26	37.86	
MESH SURGICAL PROLITE POLYPROPYLENE STANDARD L4 IN X W1 IN INGUINAL HERNIA SHEET NONABSORBABLE REPAIR STERILE	SUP-1000104-00	CDM			270	RC		inpatient			37.86	37.86																																																			
COLLAR CERVICAL ASPEN FLEXTABS VELCRO POLYETHYLENE FOAM COTTON 3-6 YR REGULAR L37-48 IN CHIN DOT TRACHEOSTOMY OPEN ADJUSTABLE STRAP CONTACT CLOSURE LATEX FREE	SUP-983104	CDM			270	RC		outpatient			37.84	37.84	10.25				percent of total billed charges		37.84				other	OPPS APC	28				percent of total billed charges		37.84				other	OPPS APC	37.84				other	OPPS APC	10.25				percent of total billed charges		10.46				percent of total billed charges		37.84				other	OPPS APC	10.25	37.84	
COLLAR CERVICAL ASPEN FLEXTABS VELCRO POLYETHYLENE FOAM COTTON 3-6 YR REGULAR L37-48 IN CHIN DOT TRACHEOSTOMY OPEN ADJUSTABLE STRAP CONTACT CLOSURE LATEX FREE	SUP-983104	CDM			270	RC		inpatient			37.84	37.84																																																			
BUPIVACAINE HCL 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	70069-753-25	NDC	J0665	HCPCS		inpatient			37.8	37.8																																																			
BUPIVACAINE HCL 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	70069-753-25	NDC	J0665	HCPCS		outpatient			37.8	0.16																																											0.16				other	OPPS APC	0.16	0.16	
BUPIVACAINE HCL 0.5 % (5 MG/ML) SOLUTION 50 ML VIAL	636000000	CDM	70069-753-25	NDC	J0665	HCPCS		inpatient			37.8	37.8																																																			
BUPIVACAINE HCL 0.5 % (5 MG/ML) SOLUTION 50 ML VIAL	636000000	CDM	70069-753-25	NDC	J0665	HCPCS		outpatient			37.8	0.16																																											0.16				other	OPPS APC	0.16	0.16	
GUIDEWIRE - 3MM J EXCHANGE	SUP-99-00201	CDM			272	RC		outpatient			37.72	37.72	10.22				percent of total billed charges		37.72				other	OPPS APC	27.91				percent of total billed charges		37.72				other	OPPS APC	37.72				other	OPPS APC	10.22				percent of total billed charges		10.42				percent of total billed charges		37.72				other	OPPS APC	10.22	37.72	
GUIDEWIRE - 3MM J EXCHANGE	SUP-99-00201	CDM			272	RC		inpatient			37.72	37.72																																																			
CATHETER ANGIOGRAPHIC SOFT-VU OMNI FLUSH 0 CURVE L90 CM OD4 FR VISCERAL SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT ACCEPTS .035 IN GUIDEWIRE	SUP-H787107323025	CDM			270	RC		outpatient			37.7	37.73	10.21				percent of total billed charges		37.7				other	OPPS APC	27.9				percent of total billed charges		37.7				other	OPPS APC	37.7				other	OPPS APC	10.21				percent of total billed charges		10.42				percent of total billed charges		37.73				other	OPPS APC	10.21	37.73	
CATHETER ANGIOGRAPHIC SOFT-VU OMNI FLUSH 0 CURVE L90 CM OD4 FR VISCERAL SOFT RADIOPAQUE TIP HIGH TORQUE SHAFT ACCEPTS .035 IN GUIDEWIRE	SUP-H787107323025	CDM			270	RC		inpatient			37.7	37.7																																																			
ROFLUMILAST 500 MCG TABLET	637000000	CDM	59651-275-30	NDC	A9270	HCPCS		inpatient			37.66	37.66																																																			
ROFLUMILAST 500 MCG TABLET	637000000	CDM	59651-275-30	NDC	A9270	HCPCS		outpatient			37.66	37.66																																															other	OPPS APC			
IOBAN 23 X 33	SUP-24-00020	CDM			272	RC		outpatient			37.62	37.62	10.19				percent of total billed charges		37.62				other	OPPS APC	27.84				percent of total billed charges		37.62				other	OPPS APC	37.62				other	OPPS APC	10.19				percent of total billed charges		10.39				percent of total billed charges		37.62				other	OPPS APC	10.19	37.62	
IOBAN 23 X 33	SUP-24-00020	CDM			272	RC		inpatient			37.62	37.62																																																			
HC Coccidiodes	PX-302866351	CDM	86635	CPT	302	RC		outpatient			37.6	37.61	15.34				fee schedule		37.6				fee schedule		28.37				fee schedule		37.6				fee schedule		37.6				fee schedule		11.47				fee schedule		11.47				fee schedule		37.61				fee schedule		11.47	37.61	
HC Coccidiodes	PX-302866351	CDM	86635	CPT	302	RC		inpatient			37.6	37.6																																																			
CATHETER FOLEY 2WAY COUDE 18FR 30CC	SUP-02-00128	CDM			272	RC		outpatient			37.54	37.54	10.17				percent of total billed charges		37.54				other	OPPS APC	27.78				percent of total billed charges		37.54				other	OPPS APC	37.54				other	OPPS APC	10.17				percent of total billed charges		10.37				percent of total billed charges		37.54				other	OPPS APC	10.17	37.54	
CATHETER FOLEY 2WAY COUDE 18FR 30CC	SUP-02-00128	CDM			272	RC		inpatient			37.54	37.54																																																			
ADHESIVE SKIN CLOSURE DERMABOND ADVANCED .7ML 2 OCTYL CYANOACRYLATE MICROBIAL BARRIER APPLICATOR FLEXIBLE LIQUID	SUP-DNX12	CDM			270	RC		outpatient			37.54	37.54	10.17				percent of total billed charges		37.54				other	OPPS APC	27.78				percent of total billed charges		37.54				other	OPPS APC	37.54				other	OPPS APC	10.17				percent of total billed charges		10.37				percent of total billed charges		37.54				other	OPPS APC	10.17	37.54	
ADHESIVE SKIN CLOSURE DERMABOND ADVANCED .7ML 2 OCTYL CYANOACRYLATE MICROBIAL BARRIER APPLICATOR FLEXIBLE LIQUID	SUP-DNX12	CDM			270	RC		inpatient			37.54	37.54																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM L15 MM OD2.5 MM TROCAR THREAD NONSTERILE	SUP-292.75	CDM	270010022	LOCAL	270	RC		outpatient			37.51	37.6	10.16				percent of total billed charges		37.51				other	OPPS APC	27.76				percent of total billed charges		37.51				other	OPPS APC	37.51				other	OPPS APC	10.16				percent of total billed charges		10.36				percent of total billed charges		37.6				other	OPPS APC	10.16	37.6	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM L15 MM OD2.5 MM TROCAR THREAD NONSTERILE	SUP-292.75	CDM	270010022	LOCAL	270	RC		inpatient			37.51	37.51																																																			
NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL	250000000	CDM	55150-123-15	NDC				inpatient			37.5	37.5																																																			
NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL	250000000	CDM	55150-123-15	NDC				outpatient			37.5	37.5																																															other	OPPS APC			
CEFAZOLIN PER 500 MG	636000000	CDM	0781-3451-70	NDC	J0690	HCPCS		inpatient			37.5	37.5																																																			
CEFAZOLIN PER 500 MG	636000000	CDM	0781-3451-70	NDC	J0690	HCPCS		outpatient			37.5	37.5																																															other	OPPS APC			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	70121-1719-1	NDC	J3475	HCPCS		inpatient			37.5	37.5																																																			
MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) PIGGYBACK	636000000	CDM	70121-1719-1	NDC	J3475	HCPCS		outpatient			37.5	37.5																																															other	OPPS APC			
TIMOLOL 0.25 % DROPS 5 ML DROP BTL	637000000	CDM	61314-226-05	NDC	A9270	HCPCS		inpatient			37.5	37.5																																																			
TIMOLOL 0.25 % DROPS 5 ML DROP BTL	637000000	CDM	61314-226-05	NDC	A9270	HCPCS		outpatient			37.5	37.5																																															other	OPPS APC			
BURR ORTHOPEDIC CARBIDE ROUND MEDIUM 5MM	SUP-00509123000	CDM			270	RC		outpatient			37.5	37.5	10.16				percent of total billed charges		37.5				other	OPPS APC	27.75				percent of total billed charges		37.5				other	OPPS APC	37.5				other	OPPS APC	10.16				percent of total billed charges		10.36				percent of total billed charges		37.5				other	OPPS APC	10.16	37.5	
BURR ORTHOPEDIC CARBIDE ROUND MEDIUM 5MM	SUP-00509123000	CDM			270	RC		inpatient			37.5	37.5																																																			
INTRODUCER SHEATH PINNACLE R/O II L6 CM L2.5 CM ID4 FR DILATOR RADIOPAQUE MARKER	SUP-RSB401	CDM			270	RC		outpatient			37.5	37.5	10.16				percent of total billed charges		37.5				other	OPPS APC	27.75				percent of total billed charges		37.5				other	OPPS APC	37.5				other	OPPS APC	10.16				percent of total billed charges		10.36				percent of total billed charges		37.5				other	OPPS APC	10.16	37.5	
INTRODUCER SHEATH PINNACLE R/O II L6 CM L2.5 CM ID4 FR DILATOR RADIOPAQUE MARKER	SUP-RSB401	CDM			270	RC		inpatient			37.5	37.5																																																			
INTRODUCER SHEATH PINNACLE R/O II L6 CM L2.5 CM ID5 FR DILATOR RADIOPAQUE MARKER	SUP-RSB501	CDM			270	RC		outpatient			37.5	37.5	10.16				percent of total billed charges		37.5				other	OPPS APC	27.75				percent of total billed charges		37.5				other	OPPS APC	37.5				other	OPPS APC	10.16				percent of total billed charges		10.36				percent of total billed charges		37.5				other	OPPS APC	10.16	37.5	
INTRODUCER SHEATH PINNACLE R/O II L6 CM L2.5 CM ID5 FR DILATOR RADIOPAQUE MARKER	SUP-RSB501	CDM			270	RC		inpatient			37.5	37.5																																																			
TRAY LUMBAR PUNCTURE PED.	SUP-12-00030	CDM			272	RC		outpatient			37.44	37.44	10.14				percent of total billed charges		37.44				other	OPPS APC	27.71				percent of total billed charges		37.44				other	OPPS APC	37.44				other	OPPS APC	10.14				percent of total billed charges		10.34				percent of total billed charges		37.44				other	OPPS APC	10.14	37.44	
TRAY LUMBAR PUNCTURE PED.	SUP-12-00030	CDM			272	RC		inpatient			37.44	37.44																																																			
SCREW BONE CANCELLOUS FULLY THREADED HEX HEAD STAINLESS STEEL 4.0 X 38MM	SUP-206.038	CDM	270010022	LOCAL	270	RC		outpatient			37.4	37.4	10.13				percent of total billed charges		37.4				other	OPPS APC	27.68				percent of total billed charges		37.4				other	OPPS APC	37.4				other	OPPS APC	10.13				percent of total billed charges		10.33				percent of total billed charges		37.4				other	OPPS APC	10.13	37.4	
SCREW BONE CANCELLOUS FULLY THREADED HEX HEAD STAINLESS STEEL 4.0 X 38MM	SUP-206.038	CDM	270010022	LOCAL	270	RC		inpatient			37.4	37.4																																																			
DRAPE BILATERAL EXTREMITY	SUP-23-00027	CDM			272	RC		outpatient			37.38	37.38	10.13				percent of total billed charges		37.38				other	OPPS APC	27.66				percent of total billed charges		37.38				other	OPPS APC	37.38				other	OPPS APC	10.13				percent of total billed charges		10.33				percent of total billed charges		37.38				other	OPPS APC	10.13	37.38	
DRAPE BILATERAL EXTREMITY	SUP-23-00027	CDM			272	RC		inpatient			37.38	37.38																																																			
FORCEPS   BIOPSY DISPOSABLE	SUP-95-00813	CDM			272	RC		outpatient			37.25	37.25	10.09				percent of total billed charges		37.25				other	OPPS APC	27.57				percent of total billed charges		37.25				other	OPPS APC	37.25				other	OPPS APC	10.09				percent of total billed charges		10.29				percent of total billed charges		37.25				other	OPPS APC	10.09	37.25	
FORCEPS   BIOPSY DISPOSABLE	SUP-95-00813	CDM			272	RC		inpatient			37.25	37.25																																																			
CATHETER FOLEY 2WAY COUDE 20FR 5CC	SUP-02-00130	CDM			272	RC		outpatient			37.21	37.21	10.08				percent of total billed charges		37.21				other	OPPS APC	27.54				percent of total billed charges		37.21				other	OPPS APC	37.21				other	OPPS APC	10.08				percent of total billed charges		10.28				percent of total billed charges		37.21				other	OPPS APC	10.08	37.21	
CATHETER FOLEY 2WAY COUDE 20FR 5CC	SUP-02-00130	CDM			272	RC		inpatient			37.21	37.21																																																			
SILVER SULFADIAZINE 1 % CREAM 50 G TUBE	637000000	CDM	43598-210-50	NDC	A9270	HCPCS		inpatient			37.2	37.2																																																			
SILVER SULFADIAZINE 1 % CREAM 50 G TUBE	637000000	CDM	43598-210-50	NDC	A9270	HCPCS		outpatient			37.2	37.2																																															other	OPPS APC			
GUIDEWIRE -BENTSTON 150CM STRAIGHT CTSUP	SUP-99-00885	CDM			272	RC		outpatient			37.12	37.12	10.06				percent of total billed charges		37.12				other	OPPS APC	27.47				percent of total billed charges		37.12				other	OPPS APC	37.12				other	OPPS APC	10.06				percent of total billed charges		10.26				percent of total billed charges		37.12				other	OPPS APC	10.06	37.12	
GUIDEWIRE -BENTSTON 150CM STRAIGHT CTSUP	SUP-99-00885	CDM			272	RC		inpatient			37.12	37.12																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0781-3289-91	NDC	J0736	HCPCS		inpatient			37.1	37.1																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0781-3289-91	NDC	J0736	HCPCS		outpatient			37.1	2.41																																											2.41				other	OPPS APC	2.41	2.41	
SNARE SURGICAL ROUND OD20 MM COLD	SUP-M00561102	CDM			270	RC		outpatient			37.1	37.11	10.05				percent of total billed charges		37.1				other	OPPS APC	27.45				percent of total billed charges		37.1				other	OPPS APC	37.1				other	OPPS APC	10.05				percent of total billed charges		10.25				percent of total billed charges		37.11				other	OPPS APC	10.05	37.11	
SNARE SURGICAL ROUND OD20 MM COLD	SUP-M00561102	CDM			270	RC		inpatient			37.1	37.1																																																			
HC Urine W/Microscopic (Uwm)	PX-300810010	CDM	81001	CPT	307	RC		outpatient			37	3.17	4.22				fee schedule		3.17				fee schedule		8.42				fee schedule		3.17				fee schedule		3.17				fee schedule		3.17				fee schedule		3.17				fee schedule		3.17				fee schedule		3.17	8.42	
HC Urine W/Microscopic (Uwm)	PX-300810010	CDM	81001	CPT	307	RC		inpatient			37	37																																																			
HC Blood  Occult  Qual  Feces  Single Specimen	PX-300822720	CDM	82272	CPT	301	RC		outpatient			37	4.23	4.35				fee schedule		4.23				fee schedule		8.76				fee schedule		4.23				fee schedule		4.23				fee schedule		4.23				fee schedule		4.23				fee schedule		4.23				fee schedule		4.23	8.76	
HC Blood  Occult  Qual  Feces  Single Specimen	PX-300822720	CDM	82272	CPT	301	RC		inpatient			37	37																																																			
HC Rt Venous Bg-Analysis-Only (Abga)	PX-300828000	CDM	82800	CPT	300	RC		outpatient			37	11	11.31				fee schedule		11				fee schedule		22.48				fee schedule		11				fee schedule		11				fee schedule		11				fee schedule		11				fee schedule		11				fee schedule		11	22.48	
HC Rt Venous Bg-Analysis-Only (Abga)	PX-300828000	CDM	82800	CPT	300	RC		inpatient			37	37																																																			
HC Post Glucose Test	PX-300829505	CDM	82952	CPT	301	RC		outpatient			37	3.92	3.85				fee schedule		3.92				fee schedule		7.64				fee schedule		3.92				fee schedule		3.92				fee schedule		3.92				fee schedule		3.92				fee schedule		3.92				fee schedule		3.85	7.64	
HC Post Glucose Test	PX-300829505	CDM	82952	CPT	301	RC		inpatient			37	37																																																			
HC Pbp2a Test	PX-300871472	CDM	87147	CPT	306	RC		outpatient			37	5.18	6.92				fee schedule		5.18				fee schedule		13.74				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18	13.74	
HC Pbp2a Test	PX-300871472	CDM	87147	CPT	306	RC		inpatient			37	37																																																			
HC Koh Prep	PX-300872200	CDM	87220	CPT	300	RC		outpatient			37	37	4.62				fee schedule		37				fee schedule		9.18				fee schedule		37				fee schedule		37				fee schedule		4.27				fee schedule		4.27				fee schedule		37				fee schedule		4.27	37	
HC Koh Prep	PX-300872200	CDM	87220	CPT	300	RC		inpatient			37	37																																																			
HC Gastric Occult Blood	PX-301822711	CDM	82271	CPT	301	RC		outpatient			37	37	4.35				fee schedule		37				fee schedule		8.76				fee schedule		37				fee schedule		37				fee schedule		5.32				fee schedule		5.32				fee schedule		37				fee schedule		4.35	37	
HC Gastric Occult Blood	PX-301822711	CDM	82271	CPT	301	RC		inpatient			37	37																																																			
HC Sed Rate Erythrocyte  Automated	PX-305856521	CDM	85652	CPT	305	RC		outpatient			37	2.72	3.62				fee schedule		2.7				fee schedule		7.16				fee schedule		2.7				fee schedule		2.7				fee schedule		2.7				fee schedule		2.7				fee schedule		2.72				fee schedule		2.7	7.16	
HC Sed Rate Erythrocyte  Automated	PX-305856521	CDM	85652	CPT	305	RC		inpatient			37	37																																																			
HC Range of Motion Measurement Exc Hand	PX-420958511	CDM	95851	CPT	420	RC		outpatient			37	37	37				percent of total billed charges		37				other	OPPS APC	20.06				fee schedule		37				fee schedule		37				fee schedule		38.72				percent of total billed charges		37				percent of total billed charges		37				fee schedule		20.06	38.72	
HC Range of Motion Measurement Exc Hand	PX-420958511	CDM	95851	CPT	420	RC		inpatient			37	37																																																			
PACK SINUS KENNEDY	SUP-20210C	CDM			270	RC		outpatient			37	37	10.02				percent of total billed charges		37				other	OPPS APC	27.38				percent of total billed charges		37				other	OPPS APC	37				other	OPPS APC	10.02				percent of total billed charges		10.22				percent of total billed charges		37				other	OPPS APC	10.02	37	
PACK SINUS KENNEDY	SUP-20210C	CDM			270	RC		inpatient			37	37																																																			
0.032 X 260 GUIDEWIRE GUIDERIGHT J 260 CM	SUP-404878	CDM			270	RC		outpatient			37	37	10.02				percent of total billed charges		37				other	OPPS APC	27.38				percent of total billed charges		37				other	OPPS APC	37				other	OPPS APC	10.02				percent of total billed charges		10.22				percent of total billed charges		37				other	OPPS APC	10.02	37	
0.032 X 260 GUIDEWIRE GUIDERIGHT J 260 CM	SUP-404878	CDM			270	RC		inpatient			37	37																																																			
PACK SINUS KENNEDY	SUP-RH-7532-10	CDM			270	RC		outpatient			37	37	10.02				percent of total billed charges		37				other	OPPS APC	27.38				percent of total billed charges		37				other	OPPS APC	37				other	OPPS APC	10.02				percent of total billed charges		10.22				percent of total billed charges		37				other	OPPS APC	10.02	37	
PACK SINUS KENNEDY	SUP-RH-7532-10	CDM			270	RC		inpatient			37	37																																																			
EPHEDRINE 50 MG/ML SOLUTION	250000000	CDM	0781-3269-95	NDC				inpatient			36.95	36.95																																																			
EPHEDRINE 50 MG/ML SOLUTION	250000000	CDM	0781-3269-95	NDC				outpatient			36.95	36.95																																															other	OPPS APC			
DRESSING MEPILEX AG 4X4 (SILVER)	SUP-10-00113	CDM			272	RC		outpatient			36.87	36.87	9.99				percent of total billed charges		36.87				other	OPPS APC	27.28				percent of total billed charges		36.87				other	OPPS APC	36.87				other	OPPS APC	9.99				percent of total billed charges		10.19				percent of total billed charges		36.87				other	OPPS APC	9.99	36.87	
DRESSING MEPILEX AG 4X4 (SILVER)	SUP-10-00113	CDM			272	RC		inpatient			36.87	36.87																																																			
DRAPE SURGICAL SMS L124 IN X W90 IN OD2.5 IN KNEE CIRCULAR FENESTRATION FLUID COLLECTION POUCH SUCTION PORT TUBE HOLDER STERILE ARTHROSCOPY	SUP-KM89265	CDM						inpatient			36.85	36.85																																																			
DRAPE SURGICAL SMS L124 IN X W90 IN OD2.5 IN KNEE CIRCULAR FENESTRATION FLUID COLLECTION POUCH SUCTION PORT TUBE HOLDER STERILE ARTHROSCOPY	SUP-KM89265	CDM						outpatient			36.85	36.85	36.85				percent of total billed charges		36.85				other	OPPS APC	36.85				fee schedule		36.85				other	OPPS APC	36.85				other	OPPS APC	36.85				case rate		36.85				case rate		36.85				other	OPPS APC	36.85	36.85	
TRAY SPINAL ADULT L 3.5IN OD 20GA NEEDLE SYRINGE LIDOCAINE ABSORBANT TOWEL LATEX FREE LUMBAR PUNCTURE	SUP-DYNJTS4301	CDM	270009046	LOCAL	270	RC		outpatient			36.82	36.82	9.97				percent of total billed charges		36.82				other	OPPS APC	27.25				percent of total billed charges		36.82				other	OPPS APC	36.82				other	OPPS APC	9.97				percent of total billed charges		10.17				percent of total billed charges		36.82				other	OPPS APC	9.97	36.82	
TRAY SPINAL ADULT L 3.5IN OD 20GA NEEDLE SYRINGE LIDOCAINE ABSORBANT TOWEL LATEX FREE LUMBAR PUNCTURE	SUP-DYNJTS4301	CDM	270009046	LOCAL	270	RC		inpatient			36.82	36.82																																																			
FORCEPS SURGICAL GERALD STAINLESS STEEL STRAIGHT L7 IN SERRATED TIP DELICATE STERILE	SUP-285120	CDM			270	RC		outpatient			36.74	36.74	9.95				percent of total billed charges		36.74				other	OPPS APC	27.19				percent of total billed charges		36.74				other	OPPS APC	36.74				other	OPPS APC	9.95				percent of total billed charges		10.15				percent of total billed charges		36.74				other	OPPS APC	9.95	36.74	
FORCEPS SURGICAL GERALD STAINLESS STEEL STRAIGHT L7 IN SERRATED TIP DELICATE STERILE	SUP-285120	CDM			270	RC		inpatient			36.74	36.74																																																			
SUTURE ABSORBABLE ULTIMA CHROMIC 7-0 CS175-8 L18 IN 2 ARM MONOFILAMENT BROWN	SUP-1745G	CDM			270	RC		outpatient			36.67	36.67	9.93				percent of total billed charges		36.67				other	OPPS APC	27.14				percent of total billed charges		36.67				other	OPPS APC	36.67				other	OPPS APC	9.93				percent of total billed charges		10.13				percent of total billed charges		36.67				other	OPPS APC	9.93	36.67	
SUTURE ABSORBABLE ULTIMA CHROMIC 7-0 CS175-8 L18 IN 2 ARM MONOFILAMENT BROWN	SUP-1745G	CDM			270	RC		inpatient			36.67	36.67																																																			
SNARE ENDOSCOPIC JUMBO LARGE OVAL MEDIUM STIFF DISPOSABLE OLYMPUS	SUP-M00561311	CDM			270	RC		outpatient			36.67	36.67	9.93				percent of total billed charges		36.67				other	OPPS APC	27.14				percent of total billed charges		36.67				other	OPPS APC	36.67				other	OPPS APC	9.93				percent of total billed charges		10.13				percent of total billed charges		36.67				other	OPPS APC	9.93	36.67	
SNARE ENDOSCOPIC JUMBO LARGE OVAL MEDIUM STIFF DISPOSABLE OLYMPUS	SUP-M00561311	CDM			270	RC		inpatient			36.67	36.67																																																			
CEPHALEXIN 500 MG CAPSULE 1 EACH BLIST PACK	637000000	CDM	50268-152-11	NDC	A9270	HCPCS		inpatient			36.66	36.66																																																			
CEPHALEXIN 500 MG CAPSULE 1 EACH BLIST PACK	637000000	CDM	50268-152-11	NDC	A9270	HCPCS		outpatient			36.66	36.66																																															other	OPPS APC			
TUBE TRACHEOSTOMY BLUE LINE STANDARD REGULAR OD11.0 MM ID8.0 MM CUFFED STERILE LATEX FREE DISPOSABLE	SUP-100/782/080	CDM	270009133	LOCAL	270	RC		outpatient			36.61	36.7	9.92				percent of total billed charges		36.61				other	OPPS APC	27.09				percent of total billed charges		36.61				other	OPPS APC	36.61				other	OPPS APC	9.92				percent of total billed charges		10.12				percent of total billed charges		36.7				other	OPPS APC	9.92	36.7	
TUBE TRACHEOSTOMY BLUE LINE STANDARD REGULAR OD11.0 MM ID8.0 MM CUFFED STERILE LATEX FREE DISPOSABLE	SUP-100/782/080	CDM	270009133	LOCAL	270	RC		inpatient			36.61	36.61																																																			
TUBE TRACHEOSTOMY PORTEX BLUE LINE L87 MM OD12.4 MM ID9.0 MM CUFF SOFT FLANGE STERILE LATEX FREE DISPOSABLE	SUP-530090	CDM	270009133	LOCAL	270	RC		outpatient			36.61	36.7	9.92				percent of total billed charges		36.61				other	OPPS APC	27.09				percent of total billed charges		36.61				other	OPPS APC	36.61				other	OPPS APC	9.92				percent of total billed charges		10.12				percent of total billed charges		36.7				other	OPPS APC	9.92	36.7	
TUBE TRACHEOSTOMY PORTEX BLUE LINE L87 MM OD12.4 MM ID9.0 MM CUFF SOFT FLANGE STERILE LATEX FREE DISPOSABLE	SUP-530090	CDM	270009133	LOCAL	270	RC		inpatient			36.61	36.61																																																			
TUBE 6.4MM CUFF LP CANN SHILEY	SUP-6DCT	CDM	270009133	LOCAL	270	RC		outpatient			36.61	36.7	9.92				percent of total billed charges		36.61				other	OPPS APC	27.09				percent of total billed charges		36.61				other	OPPS APC	36.61				other	OPPS APC	9.92				percent of total billed charges		10.12				percent of total billed charges		36.7				other	OPPS APC	9.92	36.7	
TUBE 6.4MM CUFF LP CANN SHILEY	SUP-6DCT	CDM	270009133	LOCAL	270	RC		inpatient			36.61	36.61																																																			
TUBE 7.6MM CUFF LP CANN SHILEY	SUP-8DCT	CDM	270009133	LOCAL	270	RC		outpatient			36.61	36.7	9.92				percent of total billed charges		36.61				other	OPPS APC	27.09				percent of total billed charges		36.61				other	OPPS APC	36.61				other	OPPS APC	9.92				percent of total billed charges		10.12				percent of total billed charges		36.7				other	OPPS APC	9.92	36.7	
TUBE 7.6MM CUFF LP CANN SHILEY	SUP-8DCT	CDM	270009133	LOCAL	270	RC		inpatient			36.61	36.61																																																			
DRESSING KIT CENTRAL LINE WITH BIOPATCH AND SORBAVIEW DRESSING - CUSTOM KIT	SUP-DT17925	CDM			270	RC		outpatient			36.61	36.7	9.92				percent of total billed charges		36.61				other	OPPS APC	27.09				percent of total billed charges		36.61				other	OPPS APC	36.61				other	OPPS APC	9.92				percent of total billed charges		10.12				percent of total billed charges		36.7				other	OPPS APC	9.92	36.7	
DRESSING KIT CENTRAL LINE WITH BIOPATCH AND SORBAVIEW DRESSING - CUSTOM KIT	SUP-DT17925	CDM			270	RC		inpatient			36.61	36.61																																																			
AMPICILLIN-SULBACTAM PER 1.5 G	636000000	CDM	55150-117-20	NDC	J0295	HCPCS		inpatient			36.5	36.5																																																			
AMPICILLIN-SULBACTAM PER 1.5 G	636000000	CDM	55150-117-20	NDC	J0295	HCPCS		outpatient			36.5	36.5																																															other	OPPS APC			
BALANCED SALT SOLUTION SOLUTION 15 ML BOTTLE	637000000	CDM	0065-0795-15	NDC	A9270	HCPCS		inpatient			36.48	36.48																																																			
BALANCED SALT SOLUTION SOLUTION 15 ML BOTTLE	637000000	CDM	0065-0795-15	NDC	A9270	HCPCS		outpatient			36.48	36.48																																															other	OPPS APC			
"MESALAMINE 250 MG CAPSULE, EXTENDED RELEASE"	637000000	CDM	54092-189-81	NDC	A9270	HCPCS		inpatient			36.44	36.44																																																			
"MESALAMINE 250 MG CAPSULE, EXTENDED RELEASE"	637000000	CDM	54092-189-81	NDC	A9270	HCPCS		outpatient			36.44	36.44																																															other	OPPS APC			
BOOT CAST SLIMLINE MED	SUP-35-00044	CDM			271	RC		outpatient			36.42	36.42	9.87				percent of total billed charges		36.42				other	OPPS APC	26.95				percent of total billed charges		36.42				other	OPPS APC	36.42				other	OPPS APC	9.87				percent of total billed charges		10.06				percent of total billed charges		36.42				other	OPPS APC	9.87	36.42	
BOOT CAST SLIMLINE MED	SUP-35-00044	CDM			271	RC		inpatient			36.42	36.42																																																			
PIN SKULL MAYFIELD PLASTIC ADULT CRANIUM WING GROOVE STERILE DISPOSABLE	SUP-A1072	CDM			270	RC		outpatient			36.33	36.33	9.84				percent of total billed charges		36.33				other	OPPS APC	26.88				percent of total billed charges		36.33				other	OPPS APC	36.33				other	OPPS APC	9.84				percent of total billed charges		10.04				percent of total billed charges		36.33				other	OPPS APC	9.84	36.33	
PIN SKULL MAYFIELD PLASTIC ADULT CRANIUM WING GROOVE STERILE DISPOSABLE	SUP-A1072	CDM			270	RC		inpatient			36.33	36.33																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	55150-119-30	NDC	J2543	HCPCS		inpatient			36.25	36.25																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	55150-119-30	NDC	J2543	HCPCS		outpatient			36.25	36.25																																															other	OPPS APC			
TUBING INSUFFLATION L10 FT 40 L LUER LOCK HIGH FLOW HEATED PATIENT KIT STERILE DISPOSABLE	SUP-7205861	CDM			270	RC		outpatient			36.23	36.23	9.81				percent of total billed charges		36.23				other	OPPS APC	26.81				percent of total billed charges		36.23				other	OPPS APC	36.23				other	OPPS APC	9.81				percent of total billed charges		10.01				percent of total billed charges		36.23				other	OPPS APC	9.81	36.23	
TUBING INSUFFLATION L10 FT 40 L LUER LOCK HIGH FLOW HEATED PATIENT KIT STERILE DISPOSABLE	SUP-7205861	CDM			270	RC		inpatient			36.23	36.23																																																			
CATHETER - JR 5.0 6F	SUP-99-00188	CDM			272	RC		outpatient			36.2	36.23	9.81				percent of total billed charges		36.2				other	OPPS APC	26.79				percent of total billed charges		36.2				other	OPPS APC	36.2				other	OPPS APC	9.81				percent of total billed charges		10				percent of total billed charges		36.23				other	OPPS APC	9.81	36.23	
CATHETER - JR 5.0 6F	SUP-99-00188	CDM			272	RC		inpatient			36.2	36.2																																																			
CATHETER- 5F MOD AR1 100CM	SUP-99-04781	CDM			272	RC		outpatient			36.2	36.23	9.81				percent of total billed charges		36.2				other	OPPS APC	26.79				percent of total billed charges		36.2				other	OPPS APC	36.2				other	OPPS APC	9.81				percent of total billed charges		10				percent of total billed charges		36.23				other	OPPS APC	9.81	36.23	
CATHETER- 5F MOD AR1 100CM	SUP-99-04781	CDM			272	RC		inpatient			36.2	36.2																																																			
HC Lead	PX-300836550	CDM	83655	CPT	301	RC		outpatient			36.19	12.2	16.19				fee schedule		12.11				fee schedule		32.13				fee schedule		12.11				fee schedule		12.11				fee schedule		12.11				fee schedule		12.11				fee schedule		12.2				fee schedule		12.11	32.13	
HC Lead	PX-300836550	CDM	83655	CPT	301	RC		inpatient			36.19	36.19																																																			
SODIUM CHLORIDE 0.9 % SOLUTION	250000000	CDM	0338-0048-04	NDC				inpatient			36.16	36.16																																																			
SODIUM CHLORIDE 0.9 % SOLUTION	250000000	CDM	0338-0048-04	NDC				outpatient			36.16	36.16																																															other	OPPS APC			
SODIUM PHOSPHATE 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	63323-881-01	NDC				inpatient			36.15	36.15																																																			
SODIUM PHOSPHATE 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	63323-881-01	NDC				outpatient			36.15	36.15																																															other	OPPS APC			
SET RADIAL ARTERY CATHETER	SUP-12-00027	CDM			272	RC		outpatient			36.08	36.8	9.77				percent of total billed charges		36.08				other	OPPS APC	26.7				percent of total billed charges		36.08				other	OPPS APC	36.08				other	OPPS APC	9.77				percent of total billed charges		9.97				percent of total billed charges		36.8				other	OPPS APC	9.77	36.8	
SET RADIAL ARTERY CATHETER	SUP-12-00027	CDM			272	RC		inpatient			36.08	36.08																																																			
RECY 12' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00220	CDM			272	RC		outpatient			36.08	36.8	9.77				percent of total billed charges		36.08				other	OPPS APC	26.7				percent of total billed charges		36.08				other	OPPS APC	36.08				other	OPPS APC	9.77				percent of total billed charges		9.97				percent of total billed charges		36.8				other	OPPS APC	9.77	36.8	
RECY 12' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00220	CDM			272	RC		inpatient			36.08	36.08																																																			
TOURNIQUET 18' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00221	CDM			272	RC		outpatient			36.08	36.8	9.77				percent of total billed charges		36.08				other	OPPS APC	26.7				percent of total billed charges		36.08				other	OPPS APC	36.08				other	OPPS APC	9.77				percent of total billed charges		9.97				percent of total billed charges		36.8				other	OPPS APC	9.77	36.8	
TOURNIQUET 18' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00221	CDM			272	RC		inpatient			36.08	36.08																																																			
34' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00222	CDM			272	RC		outpatient			36.08	36.8	9.77				percent of total billed charges		36.08				other	OPPS APC	26.7				percent of total billed charges		36.08				other	OPPS APC	36.08				other	OPPS APC	9.77				percent of total billed charges		9.97				percent of total billed charges		36.8				other	OPPS APC	9.77	36.8	
34' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00222	CDM			272	RC		inpatient			36.08	36.08																																																			
RECY 24' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00370	CDM			272	RC		outpatient			36.08	36.8	9.77				percent of total billed charges		36.08				other	OPPS APC	26.7				percent of total billed charges		36.08				other	OPPS APC	36.08				other	OPPS APC	9.77				percent of total billed charges		9.97				percent of total billed charges		36.8				other	OPPS APC	9.77	36.8	
RECY 24' A.T.S DISP CUFF W/O SLEEVE	SUP-74-00370	CDM			272	RC		inpatient			36.08	36.08																																																			
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION"	636000000	CDM	63323-434-00	NDC	J0134	HCPCS		inpatient			36	36																																																			
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION"	636000000	CDM	63323-434-41	NDC	J0134	HCPCS		inpatient			36	36																																																			
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION"	636000000	CDM	63323-434-00	NDC	J0134	HCPCS		outpatient			36	0.54																																											0.54				other	OPPS APC	0.54	0.54	
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION"	636000000	CDM	63323-434-41	NDC	J0134	HCPCS		outpatient			36	0.54																																											0.54				other	OPPS APC	0.54	0.54	
ENOXAPARIN PER 10 MG	636000000	CDM	25021-411-70	NDC	J1650	HCPCS		inpatient			36	36																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	25021-411-70	NDC	J1650	HCPCS		outpatient			36	36																																															other	OPPS APC			
MIDAZOLAM PER 1 MG	636000000	CDM	70860-601-42	NDC	J2250	HCPCS		inpatient			36	36																																																			
MIDAZOLAM PER 1 MG	636000000	CDM	70860-601-42	NDC	J2250	HCPCS		outpatient			36	36																																															other	OPPS APC			
HC Allergen Specific Ige;Quant or Semiquant  Recombinant or Purifed Component  Each	PX-300860080	CDM	86008	CPT	300	RC		outpatient			36	17.93	17.64				percent of total billed charges		17.93				fee schedule		26.64				percent of total billed charges		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.93				fee schedule		17.64	26.64	
HC Allergen Specific Ige;Quant or Semiquant  Recombinant or Purifed Component  Each	PX-300860080	CDM	86008	CPT	300	RC		inpatient			36	36																																																			
HC Antibody Ehrlichia	PX-300866660	CDM	86666	CPT	302	RC		outpatient			36	1.18	13.61				fee schedule		10.18				fee schedule		27.02				fee schedule		10.18				fee schedule		10.18				fee schedule		10.18				fee schedule		10.18				fee schedule		1.18				fee schedule		1.18	27.02	
HC Antibody Ehrlichia	PX-300866660	CDM	86666	CPT	302	RC		inpatient			36	36																																																			
HC Antibody Hiv 2	PX-302867021	CDM	86702	CPT	302	RC		outpatient			36	13.52	14.13				fee schedule		13.52				fee schedule		28.04				fee schedule		13.52				fee schedule		13.52				fee schedule		13.52				fee schedule		13.52				fee schedule		13.52				fee schedule		13.52	28.04	
HC Antibody Hiv 2	PX-302867021	CDM	86702	CPT	302	RC		inpatient			36	36																																																			
HC Fna  Ea Addl Immediate Interp Same Site	PX-310881770	CDM	88177	CPT	310	RC		outpatient			36	36	27.77				fee schedule		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	17.64				percent of total billed charges		18.36				percent of total billed charges		36				other	OPPS APC	17.64	36	
HC Fna  Ea Addl Immediate Interp Same Site	PX-310881770	CDM	88177	CPT	310	RC		inpatient			36	36																																																			
BLADE OSCILLATOR	SUP-00502316000	CDM			270	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
BLADE OSCILLATOR	SUP-00502316000	CDM			270	RC		inpatient			36	36																																																			
SET POWERLOC 20 X 1 W/O Y-SITE	SUP-12-00096	CDM			272	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
SET POWERLOC 20 X 1 W/O Y-SITE	SUP-12-00096	CDM			272	RC		inpatient			36	36																																																			
SET POWERLOC 20 X .75 W/O Y-SITE	SUP-12-00097	CDM			272	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
SET POWERLOC 20 X .75 W/O Y-SITE	SUP-12-00097	CDM			272	RC		inpatient			36	36																																																			
SEAL 5-8MM UNIVERSAL	SUP-470361	CDM			270	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
SEAL 5-8MM UNIVERSAL	SUP-470361	CDM			270	RC		inpatient			36	36																																																			
K WIRE 1.6 X 150MM	SUP-97-03194	CDM			272	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
K WIRE 1.6 X 150MM	SUP-97-03194	CDM			272	RC		inpatient			36	36																																																			
K WIRE 1.25 X 150MM	SUP-97-03195	CDM			278	RC		outpatient			36	36	36				fee schedule		36				other	OPPS APC	20.52				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	17.64				percent of total billed charges		18.36				percent of total billed charges		36				other	OPPS APC	17.64	36	
K WIRE 1.25 X 150MM	SUP-97-03195	CDM			278	RC		inpatient			36	36																																																			
CATHETER - WILLIAMS RIGHT 5F	SUP-99-01571	CDM			272	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
CATHETER - WILLIAMS RIGHT 5F	SUP-99-01571	CDM			272	RC		inpatient			36	36																																																			
CATHETER - JR4.0 5F (MEDTRONIC)	SUP-99-04720	CDM			272	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
CATHETER - JR4.0 5F (MEDTRONIC)	SUP-99-04720	CDM			272	RC		inpatient			36	36																																																			
TIP SPRAY APPLICATOR MAGELLAN	SUP-ASM700	CDM			270	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
TIP SPRAY APPLICATOR MAGELLAN	SUP-ASM700	CDM			270	RC		inpatient			36	36																																																			
TRAY BIOPSY JAMSHIDI ILLINOIS STANDARD 4IN 11GA 15GA DISPOSABLE STERILE NEEDLE	SUP-BAK4511	CDM	270009052	LOCAL	270	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
TRAY BIOPSY JAMSHIDI ILLINOIS STANDARD 4IN 11GA 15GA DISPOSABLE STERILE NEEDLE	SUP-BAK4511	CDM	270009052	LOCAL	270	RC		inpatient			36	36																																																			
STAPLER INTERNAL ENDOPATH CURVE CIRCLE H5.5 MM L28 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25	CDM	270009090	LOCAL	270	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
STAPLER INTERNAL ENDOPATH CURVE CIRCLE H5.5 MM L28 CM X H1-2.5 MM OD25 MM INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE 16.4 MM LUMEN ENDOSCOPIC	SUP-ECS25	CDM	270009090	LOCAL	270	RC		inpatient			36	36																																																			
GUIDEWIRE VASCULAR 1.5MM ROSEN CURVE J 260CM .035IN SS HEPARIN PTFE HEAVY DUTY MANDRIL FIX CORE EXCHANGE FLEXIBLE TIP	SUP-G01253	CDM			270	RC		outpatient			36	36	9.75				percent of total billed charges		36				other	OPPS APC	26.64				percent of total billed charges		36				other	OPPS APC	36				other	OPPS APC	9.75				percent of total billed charges		9.95				percent of total billed charges		36				other	OPPS APC	9.75	36	
GUIDEWIRE VASCULAR 1.5MM ROSEN CURVE J 260CM .035IN SS HEPARIN PTFE HEAVY DUTY MANDRIL FIX CORE EXCHANGE FLEXIBLE TIP	SUP-G01253	CDM			270	RC		inpatient			36	36																																																			
DRESSING GAUZE QUIKCLOT KAOLIN L4 IN X W4 IN 6 PLY NONWOVEN FLEXIBLE XRAY LATEX FREE	SUP-459	CDM			270	RC		outpatient			35.98	35.98	9.75				percent of total billed charges		35.98				other	OPPS APC	26.63				percent of total billed charges		35.98				other	OPPS APC	35.98				other	OPPS APC	9.75				percent of total billed charges		9.94				percent of total billed charges		35.98				other	OPPS APC	9.75	35.98	
DRESSING GAUZE QUIKCLOT KAOLIN L4 IN X W4 IN 6 PLY NONWOVEN FLEXIBLE XRAY LATEX FREE	SUP-459	CDM			270	RC		inpatient			35.98	35.98																																																			
CANISTER WOUND DRAIN INFOVAC C500 ML GEL TUBE CLAMP CONNECTOR CHARCOAL FILTER STERILE DISPOSABLE	SUP-M8275063/10	CDM	270009209	LOCAL	270	RC		outpatient			35.92	35.92	9.73				percent of total billed charges		35.92				other	OPPS APC	26.58				percent of total billed charges		35.92				other	OPPS APC	35.92				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.92				other	OPPS APC	9.73	35.92	
CANISTER WOUND DRAIN INFOVAC C500 ML GEL TUBE CLAMP CONNECTOR CHARCOAL FILTER STERILE DISPOSABLE	SUP-M8275063/10	CDM	270009209	LOCAL	270	RC		inpatient			35.92	35.92																																																			
BOOT CAST SLIMLINE XSM	SUP-35-00042	CDM			271	RC		outpatient			35.91	36	9.73				percent of total billed charges		35.91				other	OPPS APC	26.57				percent of total billed charges		35.91				other	OPPS APC	35.91				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		36				other	OPPS APC	9.73	36	
BOOT CAST SLIMLINE XSM	SUP-35-00042	CDM			271	RC		inpatient			35.91	35.91																																																			
SCREW BONE FULL THREAD 10MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.010	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 10MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.010	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L12 MM OD4 MM CANCELLOUS FULLY THREADED SMALL FRAGMENT	SUP-206.012	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L12 MM OD4 MM CANCELLOUS FULLY THREADED SMALL FRAGMENT	SUP-206.012	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 14MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.014	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 14MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.014	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 16MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.016	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 16MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.016	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 18MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.018	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 18MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.018	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L20 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.020	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE STAINLESS STEEL FULL THREAD L20 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.020	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 22MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.022	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 22MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.022	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 24MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.024	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 24MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.024	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 26MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.026	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 26MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.026	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 28MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.028	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 28MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.028	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L30 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.030	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE STAINLESS STEEL FULL THREAD L30 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.030	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 32MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.032	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 32MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.032	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE LCP STAINLESS STEEL 2.5 MM FULL THREAD L35 MM OD4 MM CANCELLOUS SELF TAP HEXAGONAL SHAFT YELLOW SMALL FRAGMENT SET	SUP-206.035	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE LCP STAINLESS STEEL 2.5 MM FULL THREAD L35 MM OD4 MM CANCELLOUS SELF TAP HEXAGONAL SHAFT YELLOW SMALL FRAGMENT SET	SUP-206.035	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 40MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.040	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 40MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.040	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 45MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.045	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 45MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.045	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE LCP STAINLESS STEEL FULL THREAD L50 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.050	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE LCP STAINLESS STEEL FULL THREAD L50 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.050	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE FULL THREAD 55MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.055	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE FULL THREAD 55MM 4MM SS NS CANCELLOUS SM FRAGMENT SET	SUP-206.055	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE STAINLESS STEEL FULL THREAD L60 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.060	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE STAINLESS STEEL FULL THREAD L60 MM OD4 MM CANCELLOUS SMALL FRAGMENT SET	SUP-206.060	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE PARTIAL THREAD 14MM 5MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.014	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE PARTIAL THREAD 14MM 5MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.014	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE PARTIAL THREAD 16MM 6MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.016	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE PARTIAL THREAD 16MM 6MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.016	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE PARTIAL THREAD 35MM 14MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.035	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE PARTIAL THREAD 35MM 14MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.035	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE PARTIAL THREAD 40MM 14MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.040	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE PARTIAL THREAD 40MM 14MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.040	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE LC-DCP STAINLESS STEEL PARTIAL THREAD L45 MM OD4 MM CANCELLOUS SELF TAP HEXAGONAL SHAFT SMALL FRAGMENT SET	SUP-207.045	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE LC-DCP STAINLESS STEEL PARTIAL THREAD L45 MM OD4 MM CANCELLOUS SELF TAP HEXAGONAL SHAFT SMALL FRAGMENT SET	SUP-207.045	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE PARTIAL THREAD 50MM 15MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.050	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE PARTIAL THREAD 50MM 15MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.050	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE LCP STAINLESS STEEL SMALL HEXAGON L55 MM L15 MM OD4 MM ODSEC6 MM SMALL BONE CANCELLOUS SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.055	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE LCP STAINLESS STEEL SMALL HEXAGON L55 MM L15 MM OD4 MM ODSEC6 MM SMALL BONE CANCELLOUS SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.055	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
SCREW BONE LCP STAINLESS STEEL SMALL HEXAGON L60 MM L15 MM OD4 MM ODSEC6 MM SMALL BONE CANCELLOUS SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.060	CDM	270010022	LOCAL	270	RC		outpatient			35.9	35.9	9.73				percent of total billed charges		35.9				other	OPPS APC	26.57				percent of total billed charges		35.9				other	OPPS APC	35.9				other	OPPS APC	9.73				percent of total billed charges		9.92				percent of total billed charges		35.9				other	OPPS APC	9.73	35.9	
SCREW BONE LCP STAINLESS STEEL SMALL HEXAGON L60 MM L15 MM OD4 MM ODSEC6 MM SMALL BONE CANCELLOUS SOCKET NONSTERILE SMALL FRAGMENT SET	SUP-207.060	CDM	270010022	LOCAL	270	RC		inpatient			35.9	35.9																																																			
HOOD SURGEON T4 DISPOSABLE STERILE LF	SUP-0400800000	CDM			270	RC		outpatient			35.83	35.83	9.71				percent of total billed charges		35.83				other	OPPS APC	26.51				percent of total billed charges		35.83				other	OPPS APC	35.83				other	OPPS APC	9.71				percent of total billed charges		9.9				percent of total billed charges		35.83				other	OPPS APC	9.71	35.83	
HOOD SURGEON T4 DISPOSABLE STERILE LF	SUP-0400800000	CDM			270	RC		inpatient			35.83	35.83																																																			
SUPERMAT ORTHO	SUP-95-03151	CDM			271	RC		outpatient			35.83	35.83	9.71				percent of total billed charges		35.83				other	OPPS APC	26.51				percent of total billed charges		35.83				other	OPPS APC	35.83				other	OPPS APC	9.71				percent of total billed charges		9.9				percent of total billed charges		35.83				other	OPPS APC	9.71	35.83	
SUPERMAT ORTHO	SUP-95-03151	CDM			271	RC		inpatient			35.83	35.83																																																			
TIRE RETINAL 2.5MM GROOVE CONCAVE 7MM SILICONE STERILE ASYMMETRICAL STYLE 276	SUP-5442	CDM			270	RC		outpatient			35.82	35.82	9.7				percent of total billed charges		35.82				other	OPPS APC	26.51				percent of total billed charges		35.82				other	OPPS APC	35.82				other	OPPS APC	9.7				percent of total billed charges		9.9				percent of total billed charges		35.82				other	OPPS APC	9.7	35.82	
TIRE RETINAL 2.5MM GROOVE CONCAVE 7MM SILICONE STERILE ASYMMETRICAL STYLE 276	SUP-5442	CDM			270	RC		inpatient			35.82	35.82																																																			
SUTURE CHROMIC 0 47T	SUP-95-04469	CDM			272	RC		outpatient			35.8	35.8	9.7				percent of total billed charges		35.8				other	OPPS APC	26.49				percent of total billed charges		35.8				other	OPPS APC	35.8				other	OPPS APC	9.7				percent of total billed charges		9.89				percent of total billed charges		35.8				other	OPPS APC	9.7	35.8	
SUTURE CHROMIC 0 47T	SUP-95-04469	CDM			272	RC		inpatient			35.8	35.8																																																			
PACK SURGICAL HYSTEROSCOPY D C	SUP-DYNJ59273	CDM			270	RC		outpatient			35.73	35.73	9.68				percent of total billed charges		35.73				other	OPPS APC	26.44				percent of total billed charges		35.73				other	OPPS APC	35.73				other	OPPS APC	9.68				percent of total billed charges		9.87				percent of total billed charges		35.73				other	OPPS APC	9.68	35.73	
PACK SURGICAL HYSTEROSCOPY D C	SUP-DYNJ59273	CDM			270	RC		inpatient			35.73	35.73																																																			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	60687-256-11	NDC	A9270	HCPCS		inpatient			35.72	35.72																																																			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	60687-256-11	NDC	A9270	HCPCS		outpatient			35.72	35.72																																															other	OPPS APC			
INSERT CLAMP EVERCLIP FOGARTY HYDRAGRIP L61 MM ATRAUMATIC OCCLUSION SOFT COMPLIANT TRACTION GENTLE SURROUND VESSEL RUBBER PYRAMID SET STERILE LATEX FREE DISPOSABLE	SUP-EVERGRIP61	CDM			270	RC		outpatient			35.68	35.68	9.67				percent of total billed charges		35.68				other	OPPS APC	26.4				percent of total billed charges		35.68				other	OPPS APC	35.68				other	OPPS APC	9.67				percent of total billed charges		9.86				percent of total billed charges		35.68				other	OPPS APC	9.67	35.68	
INSERT CLAMP EVERCLIP FOGARTY HYDRAGRIP L61 MM ATRAUMATIC OCCLUSION SOFT COMPLIANT TRACTION GENTLE SURROUND VESSEL RUBBER PYRAMID SET STERILE LATEX FREE DISPOSABLE	SUP-EVERGRIP61	CDM			270	RC		inpatient			35.68	35.68																																																			
CATHETER 6FR OPEN ENDED	SUP-70-00188	CDM			272	RC		outpatient			35.67	35.67	9.66				percent of total billed charges		35.67				other	OPPS APC	26.4				percent of total billed charges		35.67				other	OPPS APC	35.67				other	OPPS APC	9.66				percent of total billed charges		9.86				percent of total billed charges		35.67				other	OPPS APC	9.66	35.67	
CATHETER 6FR OPEN ENDED	SUP-70-00188	CDM			272	RC		inpatient			35.67	35.67																																																			
CATHETER FOLEY LATEX 22FR 3WAY 30CC	SUP-02-00031	CDM			272	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
CATHETER FOLEY LATEX 22FR 3WAY 30CC	SUP-02-00031	CDM			272	RC		inpatient			35.64	35.64																																																			
CATHETER FOLEY LATEX 20FR 3WAY 30CC	SUP-02-00134	CDM			278	RC		outpatient			35.64	35.64	35.64				fee schedule		35.64				other	OPPS APC	20.31				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	17.46				percent of total billed charges		18.18				percent of total billed charges		35.64				other	OPPS APC	17.46	35.64	
CATHETER FOLEY LATEX 20FR 3WAY 30CC	SUP-02-00134	CDM			278	RC		inpatient			35.64	35.64																																																			
SCREW BONE PARTIAL THREAD 10MM 5MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.01	CDM	270010022	LOCAL	270	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
SCREW BONE PARTIAL THREAD 10MM 5MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.01	CDM	270010022	LOCAL	270	RC		inpatient			35.64	35.64																																																			
SCREW BONE 4MM 2.5MM 10MM 7MM LCP SS PARTIAL THREAD PELVIS RADIUS ULNA CANCELLOUS SM	SUP-207.010	CDM	270010022	LOCAL	270	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
SCREW BONE 4MM 2.5MM 10MM 7MM LCP SS PARTIAL THREAD PELVIS RADIUS ULNA CANCELLOUS SM	SUP-207.010	CDM	270010022	LOCAL	270	RC		inpatient			35.64	35.64																																																			
SCREW BONE PARTIAL THREAD 20MM 8MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.02	CDM	270010022	LOCAL	270	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
SCREW BONE PARTIAL THREAD 20MM 8MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.02	CDM	270010022	LOCAL	270	RC		inpatient			35.64	35.64																																																			
SCREW BONE 4MM 20MM LCP SS PARTIAL THREAD CANCELLOUS SM FRAGMENT SET	SUP-207.020	CDM	270010022	LOCAL	270	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
SCREW BONE 4MM 20MM LCP SS PARTIAL THREAD CANCELLOUS SM FRAGMENT SET	SUP-207.020	CDM	270010022	LOCAL	270	RC		inpatient			35.64	35.64																																																			
SCREW BONE PARTIAL THREAD 30MM 14MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.03	CDM	270010022	LOCAL	270	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
SCREW BONE PARTIAL THREAD 30MM 14MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.03	CDM	270010022	LOCAL	270	RC		inpatient			35.64	35.64																																																			
SCREW BONE 4MM 30MM LCP SS PARTIAL THREAD CANCELLOUS SM FRAGMENT SET	SUP-207.030	CDM	270010022	LOCAL	270	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
SCREW BONE 4MM 30MM LCP SS PARTIAL THREAD CANCELLOUS SM FRAGMENT SET	SUP-207.030	CDM	270010022	LOCAL	270	RC		inpatient			35.64	35.64																																																			
BINDER ABDOMINAL12'   62'-74'	SUP-95-05280	CDM			272	RC		outpatient			35.64	35.64	9.65				percent of total billed charges		35.64				other	OPPS APC	26.37				percent of total billed charges		35.64				other	OPPS APC	35.64				other	OPPS APC	9.65				percent of total billed charges		9.85				percent of total billed charges		35.64				other	OPPS APC	9.65	35.64	
BINDER ABDOMINAL12'   62'-74'	SUP-95-05280	CDM			272	RC		inpatient			35.64	35.64																																																			
PENICILLIN G POTASSIUM PER 600000 UNITS	636000000	CDM	0338-1025-41	NDC	J2540	HCPCS		inpatient			35.63	35.63																																																			
PENICILLIN G POTASSIUM PER 600000 UNITS	636000000	CDM	0338-1025-41	NDC	J2540	HCPCS		outpatient			35.63	35.63																																															other	OPPS APC			
AIRWAY I-GEL SIZE 5	SUP-30-00128	CDM			272	RC		outpatient			35.6	35.61	9.64				percent of total billed charges		35.6				other	OPPS APC	26.34				percent of total billed charges		35.6				other	OPPS APC	35.6				other	OPPS APC	9.64				percent of total billed charges		9.84				percent of total billed charges		35.61				other	OPPS APC	9.64	35.61	
AIRWAY I-GEL SIZE 5	SUP-30-00128	CDM			272	RC		inpatient			35.6	35.6																																																			
TUBE GASTROSTOMY KANGAROO 16FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-8884720163	CDM			270	RC		outpatient			35.6	35.61	9.64				percent of total billed charges		35.6				other	OPPS APC	26.34				percent of total billed charges		35.6				other	OPPS APC	35.6				other	OPPS APC	9.64				percent of total billed charges		9.84				percent of total billed charges		35.61				other	OPPS APC	9.64	35.61	
TUBE GASTROSTOMY KANGAROO 16FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-8884720163	CDM			270	RC		inpatient			35.6	35.6																																																			
SHEATH ARTHROSCOPIC DART STRAIGHT MENISCUS CANNULA STERILE DISPOSABLE	SUP-AR-3007	CDM			270	RC		outpatient			35.6	35.61	9.64				percent of total billed charges		35.6				other	OPPS APC	26.34				percent of total billed charges		35.6				other	OPPS APC	35.6				other	OPPS APC	9.64				percent of total billed charges		9.84				percent of total billed charges		35.61				other	OPPS APC	9.64	35.61	
SHEATH ARTHROSCOPIC DART STRAIGHT MENISCUS CANNULA STERILE DISPOSABLE	SUP-AR-3007	CDM			270	RC		inpatient			35.6	35.6																																																			
CATHETER SUCTION IN-LINE 14FR	SUP-30-00088	CDM			272	RC		outpatient			35.59	35.59	9.64				percent of total billed charges		35.59				other	OPPS APC	26.34				percent of total billed charges		35.59				other	OPPS APC	35.59				other	OPPS APC	9.64				percent of total billed charges		9.83				percent of total billed charges		35.59				other	OPPS APC	9.64	35.59	
CATHETER SUCTION IN-LINE 14FR	SUP-30-00088	CDM			272	RC		inpatient			35.59	35.59																																																			
HC PHARMACY/DRUGS	250000000	CDM						inpatient			35.58	35.58																																																			
HC PHARMACY/DRUGS	250000000	CDM						outpatient			35.58	35.58																																															other	OPPS APC			
AIRWAY I-GEL SIZE 4	SUP-30-00127	CDM			272	RC		outpatient			35.47	35.47	9.61				percent of total billed charges		35.47				other	OPPS APC	26.25				percent of total billed charges		35.47				other	OPPS APC	35.47				other	OPPS APC	9.61				percent of total billed charges		9.8				percent of total billed charges		35.47				other	OPPS APC	9.61	35.47	
AIRWAY I-GEL SIZE 4	SUP-30-00127	CDM			272	RC		inpatient			35.47	35.47																																																			
TRACH CARE ELBOW	SUP-31-00051	CDM			272	RC		outpatient			35.47	35.47	9.61				percent of total billed charges		35.47				other	OPPS APC	26.25				percent of total billed charges		35.47				other	OPPS APC	35.47				other	OPPS APC	9.61				percent of total billed charges		9.8				percent of total billed charges		35.47				other	OPPS APC	9.61	35.47	
TRACH CARE ELBOW	SUP-31-00051	CDM			272	RC		inpatient			35.47	35.47																																																			
CATHETER MALECOT 28 FR	SUP-02-00051	CDM			272	RC		outpatient			35.37	35.37	9.58				percent of total billed charges		35.37				other	OPPS APC	26.17				percent of total billed charges		35.37				other	OPPS APC	35.37				other	OPPS APC	9.58				percent of total billed charges		9.77				percent of total billed charges		35.37				other	OPPS APC	9.58	35.37	
CATHETER MALECOT 28 FR	SUP-02-00051	CDM			272	RC		inpatient			35.37	35.37																																																			
STAPLER SKIN PROXIMATE RH STAINLESS STEEL 360 D WIDE RECTANGULAR L3.9 MM X W6.9 MM OD.58 MM 35 COUNT ROTATE HEAD ERGONOMIC PISTOL GRIP HANDLE RATCHET MECHANISM STERILE LATEX FREE DISPOSABLE	SUP-PRW35	CDM			270	RC		outpatient			35.35	35.35	9.58				percent of total billed charges		35.35				other	OPPS APC	26.16				percent of total billed charges		35.35				other	OPPS APC	35.35				other	OPPS APC	9.58				percent of total billed charges		9.77				percent of total billed charges		35.35				other	OPPS APC	9.58	35.35	
STAPLER SKIN PROXIMATE RH STAINLESS STEEL 360 D WIDE RECTANGULAR L3.9 MM X W6.9 MM OD.58 MM 35 COUNT ROTATE HEAD ERGONOMIC PISTOL GRIP HANDLE RATCHET MECHANISM STERILE LATEX FREE DISPOSABLE	SUP-PRW35	CDM			270	RC		inpatient			35.35	35.35																																																			
SLIT KNIFE SINGLE BEVEL 2.4	SUP-97-00860	CDM			272	RC		outpatient			35.33	35.33	9.57				percent of total billed charges		35.33				other	OPPS APC	26.14				percent of total billed charges		35.33				other	OPPS APC	35.33				other	OPPS APC	9.57				percent of total billed charges		9.76				percent of total billed charges		35.33				other	OPPS APC	9.57	35.33	
SLIT KNIFE SINGLE BEVEL 2.4	SUP-97-00860	CDM			272	RC		inpatient			35.33	35.33																																																			
STOCKING THIGH-HI MEDIUM/SHORT	SUP-01-00056	CDM			271	RC		outpatient			35.3	35.3	9.56				percent of total billed charges		35.3				other	OPPS APC	26.12				percent of total billed charges		35.3				other	OPPS APC	35.3				other	OPPS APC	9.56				percent of total billed charges		9.75				percent of total billed charges		35.3				other	OPPS APC	9.56	35.3	
STOCKING THIGH-HI MEDIUM/SHORT	SUP-01-00056	CDM			271	RC		inpatient			35.3	35.3																																																			
TUBE SUCTION FRAZIER STAINLESS STEEL ANGLE L7 IN L4.25 IN OD10 FR NONSTERILE	SUP-285454	CDM						inpatient			35.3	35.3																																																			
TUBE SUCTION FRAZIER STAINLESS STEEL ANGLE L7 IN L4.25 IN OD10 FR NONSTERILE	SUP-285454	CDM						outpatient			35.3	35.3	35.3				percent of total billed charges		35.3				other	OPPS APC	35.3				fee schedule		35.3				other	OPPS APC	35.3				other	OPPS APC	35.3				case rate		35.3				case rate		35.3				other	OPPS APC	35.3	35.3	
AIRWAY I-GEL SIZE 3	SUP-30-00126	CDM			272	RC		outpatient			35.22	35.22	9.54				percent of total billed charges		35.22				other	OPPS APC	26.06				percent of total billed charges		35.22				other	OPPS APC	35.22				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.22				other	OPPS APC	9.54	35.22	
AIRWAY I-GEL SIZE 3	SUP-30-00126	CDM			272	RC		inpatient			35.22	35.22																																																			
SCREW BONE STANDARD 30MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.23	CDM	270010022	LOCAL	270	RC		outpatient			35.2	35.23	9.54				percent of total billed charges		35.2				other	OPPS APC	26.05				percent of total billed charges		35.2				other	OPPS APC	35.2				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.23				other	OPPS APC	9.54	35.23	
SCREW BONE STANDARD 30MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.23	CDM	270010022	LOCAL	270	RC		inpatient			35.2	35.2																																																			
SCREW BONE 4.5MM 8MM 30MM 12MM DCP LC-DCP SS LG HEXAGON PERIARTICULAR CONDYLE	SUP-214.230	CDM						inpatient			35.2	35.2																																																			
SCREW BONE 4.5MM 8MM 30MM 12MM DCP LC-DCP SS LG HEXAGON PERIARTICULAR CONDYLE	SUP-214.230	CDM						outpatient			35.2	35.23	35.2				percent of total billed charges		35.2				other	OPPS APC	35.2				fee schedule		35.2				other	OPPS APC	35.2				other	OPPS APC	35.2				case rate		35.2				case rate		35.23				other	OPPS APC	35.2	35.23	
SCREW BONE STANDARD 32MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.232	CDM	270010022	LOCAL	270	RC		outpatient			35.2	35.23	9.54				percent of total billed charges		35.2				other	OPPS APC	26.05				percent of total billed charges		35.2				other	OPPS APC	35.2				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.23				other	OPPS APC	9.54	35.23	
SCREW BONE STANDARD 32MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.232	CDM	270010022	LOCAL	270	RC		inpatient			35.2	35.2																																																			
SCREW BONE STANDARD 34MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.234	CDM	270010022	LOCAL	270	RC		outpatient			35.2	35.23	9.54				percent of total billed charges		35.2				other	OPPS APC	26.05				percent of total billed charges		35.2				other	OPPS APC	35.2				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.23				other	OPPS APC	9.54	35.23	
SCREW BONE STANDARD 34MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.234	CDM	270010022	LOCAL	270	RC		inpatient			35.2	35.2																																																			
SCREW BONE STANDARD 36MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.236	CDM	270010022	LOCAL	270	RC		outpatient			35.2	35.23	9.54				percent of total billed charges		35.2				other	OPPS APC	26.05				percent of total billed charges		35.2				other	OPPS APC	35.2				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.23				other	OPPS APC	9.54	35.23	
SCREW BONE STANDARD 36MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.236	CDM	270010022	LOCAL	270	RC		inpatient			35.2	35.2																																																			
SCREW BONE STANDARD 40MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.24	CDM	270010022	LOCAL	270	RC		outpatient			35.2	35.23	9.54				percent of total billed charges		35.2				other	OPPS APC	26.05				percent of total billed charges		35.2				other	OPPS APC	35.2				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.23				other	OPPS APC	9.54	35.23	
SCREW BONE STANDARD 40MM 12MM 4.5MM 8MM SS NS SHAFT LG HEXAGONAL SOCKET LG FRAGMENT SET	SUP-214.24	CDM	270010022	LOCAL	270	RC		inpatient			35.2	35.2																																																			
SCREW BONE 4.5MM 8MM 40MM 12MM DCP LC-DCP SS LG HEXAGON PERIARTICULAR CONDYLE	SUP-214.240	CDM						inpatient			35.2	35.2																																																			
SCREW BONE 4.5MM 8MM 40MM 12MM DCP LC-DCP SS LG HEXAGON PERIARTICULAR CONDYLE	SUP-214.240	CDM						outpatient			35.2	35.23	35.2				percent of total billed charges		35.2				other	OPPS APC	35.2				fee schedule		35.2				other	OPPS APC	35.2				other	OPPS APC	35.2				case rate		35.2				case rate		35.23				other	OPPS APC	35.2	35.23	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM L15 MM OD2 MM THREAD TROCAR POINT NONSTERILE	SUP-292.79	CDM	270010022	LOCAL	270	RC		outpatient			35.2	35.23	9.54				percent of total billed charges		35.2				other	OPPS APC	26.05				percent of total billed charges		35.2				other	OPPS APC	35.2				other	OPPS APC	9.54				percent of total billed charges		9.73				percent of total billed charges		35.23				other	OPPS APC	9.54	35.23	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM L15 MM OD2 MM THREAD TROCAR POINT NONSTERILE	SUP-292.79	CDM	270010022	LOCAL	270	RC		inpatient			35.2	35.2																																																			
MANIFOLD 4 PORT	SUP-0702020000	CDM			270	RC		outpatient			35.1	35.11	9.51				percent of total billed charges		35.1				other	OPPS APC	25.97				percent of total billed charges		35.1				other	OPPS APC	35.1				other	OPPS APC	9.51				percent of total billed charges		9.7				percent of total billed charges		35.11				other	OPPS APC	9.51	35.11	
MANIFOLD 4 PORT	SUP-0702020000	CDM			270	RC		inpatient			35.1	35.1																																																			
SET CADD EPIDURAL TUBING	SUP-20-00081	CDM			272	RC		outpatient			35.1	35.11	9.51				percent of total billed charges		35.1				other	OPPS APC	25.97				percent of total billed charges		35.1				other	OPPS APC	35.1				other	OPPS APC	9.51				percent of total billed charges		9.7				percent of total billed charges		35.11				other	OPPS APC	9.51	35.11	
SET CADD EPIDURAL TUBING	SUP-20-00081	CDM			272	RC		inpatient			35.1	35.1																																																			
SET STANDARD FLOW RANGER	SUP-40-00018	CDM			272	RC		outpatient			35.09	35.93	9.51				percent of total billed charges		35.09				other	OPPS APC	25.97				percent of total billed charges		35.09				other	OPPS APC	35.09				other	OPPS APC	9.51				percent of total billed charges		9.7				percent of total billed charges		35.93				other	OPPS APC	9.51	35.93	
SET STANDARD FLOW RANGER	SUP-40-00018	CDM			272	RC		inpatient			35.09	35.09																																																			
CATHETER - 4F JL3.5 INFINITI	SUP-99-04820	CDM			272	RC		outpatient			35.08	35.8	9.5				percent of total billed charges		35.08				other	OPPS APC	25.96				percent of total billed charges		35.08				other	OPPS APC	35.08				other	OPPS APC	9.5				percent of total billed charges		9.69				percent of total billed charges		35.8				other	OPPS APC	9.5	35.8	
CATHETER - 4F JL3.5 INFINITI	SUP-99-04820	CDM			272	RC		inpatient			35.08	35.08																																																			
CATHETER - 4F JR4 INFINITI	SUP-99-04821	CDM			272	RC		outpatient			35.08	35.8	9.5				percent of total billed charges		35.08				other	OPPS APC	25.96				percent of total billed charges		35.08				other	OPPS APC	35.08				other	OPPS APC	9.5				percent of total billed charges		9.69				percent of total billed charges		35.8				other	OPPS APC	9.5	35.8	
CATHETER - 4F JR4 INFINITI	SUP-99-04821	CDM			272	RC		inpatient			35.08	35.08																																																			
CATHETER - 3DRC 4F	SUP-99-04823	CDM			272	RC		outpatient			35.08	35.8	9.5				percent of total billed charges		35.08				other	OPPS APC	25.96				percent of total billed charges		35.08				other	OPPS APC	35.08				other	OPPS APC	9.5				percent of total billed charges		9.69				percent of total billed charges		35.8				other	OPPS APC	9.5	35.8	
CATHETER - 3DRC 4F	SUP-99-04823	CDM			272	RC		inpatient			35.08	35.08																																																			
CATHETER - 5F AR1 MOD (CORDIS)	SUP-99-04899	CDM			272	RC		outpatient			35.08	35.8	9.5				percent of total billed charges		35.08				other	OPPS APC	25.96				percent of total billed charges		35.08				other	OPPS APC	35.08				other	OPPS APC	9.5				percent of total billed charges		9.69				percent of total billed charges		35.8				other	OPPS APC	9.5	35.8	
CATHETER - 5F AR1 MOD (CORDIS)	SUP-99-04899	CDM			272	RC		inpatient			35.08	35.08																																																			
Snellen Screen	PX-510991731	CDM	99173	CPT	510	RC		outpatient			35	35	2.86				fee schedule		35				other	OPPS APC	7.01				fee schedule		35				other	OPPS APC	35				fee schedule		2.99				fee schedule		35				fee schedule		35				other	OPPS APC	2.86	35	
Snellen Screen	PX-510991731	CDM	99173	CPT	510	RC		inpatient			35	35																																																			
KIT FLUID TRANSFER SPIKE L48 IN 60 ML 2 CHECK VALVE LUER CONNECTOR SYRINGE ASEPTIC STERILE DISPOSABLE TISSUE EXPANDER	SUP-3508400	CDM			270	RC		outpatient			35	35	9.48				percent of total billed charges		35				other	OPPS APC	25.9				percent of total billed charges		35				other	OPPS APC	35				other	OPPS APC	9.48				percent of total billed charges		9.67				percent of total billed charges		35				other	OPPS APC	9.48	35	
KIT FLUID TRANSFER SPIKE L48 IN 60 ML 2 CHECK VALVE LUER CONNECTOR SYRINGE ASEPTIC STERILE DISPOSABLE TISSUE EXPANDER	SUP-3508400	CDM			270	RC		inpatient			35	35																																																			
CATHETER - WILLIAMS 4 6F	SUP-99-00126	CDM			272	RC		outpatient			35	35	9.48				percent of total billed charges		35				other	OPPS APC	25.9				percent of total billed charges		35				other	OPPS APC	35				other	OPPS APC	9.48				percent of total billed charges		9.67				percent of total billed charges		35				other	OPPS APC	9.48	35	
CATHETER - WILLIAMS 4 6F	SUP-99-00126	CDM			272	RC		inpatient			35	35																																																			
SHEATH- 8F X 10CM  ( TERUMO)	SUP-99-04849	CDM			272	RC		outpatient			35	35	9.48				percent of total billed charges		35				other	OPPS APC	25.9				percent of total billed charges		35				other	OPPS APC	35				other	OPPS APC	9.48				percent of total billed charges		9.67				percent of total billed charges		35				other	OPPS APC	9.48	35	
SHEATH- 8F X 10CM  ( TERUMO)	SUP-99-04849	CDM			272	RC		inpatient			35	35																																																			
CATHETER FOLEY LATEX 24FR 3WAY 30CC	SUP-02-00034	CDM			272	RC		outpatient			34.99	34.99	9.48				percent of total billed charges		34.99				other	OPPS APC	25.89				percent of total billed charges		34.99				other	OPPS APC	34.99				other	OPPS APC	9.48				percent of total billed charges		9.67				percent of total billed charges		34.99				other	OPPS APC	9.48	34.99	
CATHETER FOLEY LATEX 24FR 3WAY 30CC	SUP-02-00034	CDM			272	RC		inpatient			34.99	34.99																																																			
SUTURE NONABSORBABLE PERMA-HAND 4-0 144IN BLACK SILK BRAID REEL	SUP-LA53G	CDM			270	RC		outpatient			34.98	34.98	9.48				percent of total billed charges		34.98				other	OPPS APC	25.89				percent of total billed charges		34.98				other	OPPS APC	34.98				other	OPPS APC	9.48				percent of total billed charges		9.66				percent of total billed charges		34.98				other	OPPS APC	9.48	34.98	
SUTURE NONABSORBABLE PERMA-HAND 4-0 144IN BLACK SILK BRAID REEL	SUP-LA53G	CDM			270	RC		inpatient			34.98	34.98																																																			
SUTURE ABSORBABLE VICRYL PLUS 3-0 X-1 L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL VIOLET	SUP-VCP790D	CDM			270	RC		outpatient			34.91	35	9.46				percent of total billed charges		34.91				other	OPPS APC	25.83				percent of total billed charges		34.91				other	OPPS APC	34.91				other	OPPS APC	9.46				percent of total billed charges		9.65				percent of total billed charges		35				other	OPPS APC	9.46	35	
SUTURE ABSORBABLE VICRYL PLUS 3-0 X-1 L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL VIOLET	SUP-VCP790D	CDM			270	RC		inpatient			34.91	34.91																																																			
SODIUM HYPOCHLORITE 0.25 % SOLUTION 473 ML BOTTLE	637000000	CDM	39328-063-25	NDC	A9270	HCPCS		inpatient			34.88	34.88																																																			
SODIUM HYPOCHLORITE 0.25 % SOLUTION 473 ML BOTTLE	637000000	CDM	39328-063-25	NDC	A9270	HCPCS		outpatient			34.88	34.88																																															other	OPPS APC			
SCREW BONE LCP STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD4 MM CANCELLOUS SELF TAP HEXAGONAL SHAFT YELLOW SMALL FRAGMENT SET	SUP-206.036	CDM	270010022	LOCAL	270	RC		outpatient			34.88	34.88	9.45				percent of total billed charges		34.88				other	OPPS APC	25.81				percent of total billed charges		34.88				other	OPPS APC	34.88				other	OPPS APC	9.45				percent of total billed charges		9.64				percent of total billed charges		34.88				other	OPPS APC	9.45	34.88	
SCREW BONE LCP STAINLESS STEEL 2.5 MM FULL THREAD L36 MM OD4 MM CANCELLOUS SELF TAP HEXAGONAL SHAFT YELLOW SMALL FRAGMENT SET	SUP-206.036	CDM	270010022	LOCAL	270	RC		inpatient			34.88	34.88																																																			
SET DRAINAGE PLEURX PERITONEUM LINE LOCKABLE STERILE LATEX FREE DISPOSABLE CATHETER SYSTEM	SUP-50-7245	CDM			270	RC		outpatient			34.88	34.88	9.45				percent of total billed charges		34.88				other	OPPS APC	25.81				percent of total billed charges		34.88				other	OPPS APC	34.88				other	OPPS APC	9.45				percent of total billed charges		9.64				percent of total billed charges		34.88				other	OPPS APC	9.45	34.88	
SET DRAINAGE PLEURX PERITONEUM LINE LOCKABLE STERILE LATEX FREE DISPOSABLE CATHETER SYSTEM	SUP-50-7245	CDM			270	RC		inpatient			34.88	34.88																																																			
PROTECTOR HOOD	SUP-69392	CDM			270	RC		outpatient			34.85	34.85	9.44				percent of total billed charges		34.85				other	OPPS APC	25.79				percent of total billed charges		34.85				other	OPPS APC	34.85				other	OPPS APC	9.44				percent of total billed charges		9.63				percent of total billed charges		34.85				other	OPPS APC	9.44	34.85	
PROTECTOR HOOD	SUP-69392	CDM			270	RC		inpatient			34.85	34.85																																																			
FLUCONAZOLE 150 MG TABLET	637000000	CDM	57237-005-11	NDC	A9270	HCPCS		inpatient			34.84	34.84																																																			
FLUCONAZOLE 150 MG TABLET	637000000	CDM	57237-005-11	NDC	A9270	HCPCS		outpatient			34.84	34.84																																															other	OPPS APC			
K WIRE 1.6	SUP-97-02001	CDM			278	RC		outpatient			34.84	34.84	34.84				fee schedule		34.84				other	OPPS APC	19.86				percent of total billed charges		34.84				other	OPPS APC	34.84				other	OPPS APC	17.07				percent of total billed charges		17.77				percent of total billed charges		34.84				other	OPPS APC	17.07	34.84	
K WIRE 1.6	SUP-97-02001	CDM			278	RC		inpatient			34.84	34.84																																																			
CATHETER FOLEY LATEX 18FR 3WAY 30CC	SUP-02-00133	CDM			272	RC		outpatient			34.83	34.83	9.44				percent of total billed charges		34.83				other	OPPS APC	25.77				percent of total billed charges		34.83				other	OPPS APC	34.83				other	OPPS APC	9.44				percent of total billed charges		9.62				percent of total billed charges		34.83				other	OPPS APC	9.44	34.83	
CATHETER FOLEY LATEX 18FR 3WAY 30CC	SUP-02-00133	CDM			272	RC		inpatient			34.83	34.83																																																			
STRIP SCLERAL SILICONE L125 MM X W3.5 MM X H.75 MM STYLE 41	SUP-9209	CDM			270	RC		outpatient			34.8	34.8	9.43				percent of total billed charges		34.8				other	OPPS APC	25.75				percent of total billed charges		34.8				other	OPPS APC	34.8				other	OPPS APC	9.43				percent of total billed charges		9.62				percent of total billed charges		34.8				other	OPPS APC	9.43	34.8	
STRIP SCLERAL SILICONE L125 MM X W3.5 MM X H.75 MM STYLE 41	SUP-9209	CDM			270	RC		inpatient			34.8	34.8																																																			
KIT DRESSING GRANUFOAM SENSATRAC VAC POLYURETHANE FOAM THK3.3 CM MEDIUM STANDARD L18 CM X W12.5 CM 2 ADHESIVE DRAPE PAD HARD TO REACH FLEXIBLE HYDROPHOBIC	SUP-M8275052/10	CDM	270009207	LOCAL	270	RC		outpatient			34.72	34.72	9.41				percent of total billed charges		34.72				other	OPPS APC	25.69				percent of total billed charges		34.72				other	OPPS APC	34.72				other	OPPS APC	9.41				percent of total billed charges		9.59				percent of total billed charges		34.72				other	OPPS APC	9.41	34.72	
KIT DRESSING GRANUFOAM SENSATRAC VAC POLYURETHANE FOAM THK3.3 CM MEDIUM STANDARD L18 CM X W12.5 CM 2 ADHESIVE DRAPE PAD HARD TO REACH FLEXIBLE HYDROPHOBIC	SUP-M8275052/10	CDM	270009207	LOCAL	270	RC		inpatient			34.72	34.72																																																			
DILATOR VASCULAR MAC-LOC COONS ULTRATHANE HYDROPHILIC TAPER L20CM OD 16FR PERCUTANEOUS LOCK LOOP STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE CECOSTOMY	SUP-G03947	CDM			270	RC		outpatient			34.64	34.64	9.38				percent of total billed charges		34.64				other	OPPS APC	25.63				percent of total billed charges		34.64				other	OPPS APC	34.64				other	OPPS APC	9.38				percent of total billed charges		9.57				percent of total billed charges		34.64				other	OPPS APC	9.38	34.64	
DILATOR VASCULAR MAC-LOC COONS ULTRATHANE HYDROPHILIC TAPER L20CM OD 16FR PERCUTANEOUS LOCK LOOP STERILE DISPOSABLE ACCEPTS .038IN GUIDEWIRE CECOSTOMY	SUP-G03947	CDM			270	RC		inpatient			34.64	34.64																																																			
COONS DILATOR 18 FR	SUP-G04051	CDM			270	RC		outpatient			34.64	34.64	9.38				percent of total billed charges		34.64				other	OPPS APC	25.63				percent of total billed charges		34.64				other	OPPS APC	34.64				other	OPPS APC	9.38				percent of total billed charges		9.57				percent of total billed charges		34.64				other	OPPS APC	9.38	34.64	
COONS DILATOR 18 FR	SUP-G04051	CDM			270	RC		inpatient			34.64	34.64																																																			
OXYCODONE 5 MG/5 ML SOLUTION	637000000	CDM	0904-6828-05	NDC	A9270	HCPCS		inpatient			34.61	34.61																																																			
OXYCODONE 5 MG/5 ML SOLUTION	637000000	CDM	0904-6828-05	NDC	A9270	HCPCS		outpatient			34.61	34.61																																															other	OPPS APC			
FILTRESSE 7/8 TUBING	SUP-95-03149	CDM			272	RC		outpatient			34.56	34.56	9.36				percent of total billed charges		34.56				other	OPPS APC	25.57				percent of total billed charges		34.56				other	OPPS APC	34.56				other	OPPS APC	9.36				percent of total billed charges		9.55				percent of total billed charges		34.56				other	OPPS APC	9.36	34.56	
FILTRESSE 7/8 TUBING	SUP-95-03149	CDM			272	RC		inpatient			34.56	34.56																																																			
NORMAL SALINE PREFILLED SYR 10ML POSI FL	SUP-21-00071	CDM			272	RC		outpatient			34.54	34.54	9.36				percent of total billed charges		34.54				other	OPPS APC	25.56				percent of total billed charges		34.54				other	OPPS APC	34.54				other	OPPS APC	9.36				percent of total billed charges		9.54				percent of total billed charges		34.54				other	OPPS APC	9.36	34.54	
NORMAL SALINE PREFILLED SYR 10ML POSI FL	SUP-21-00071	CDM			272	RC		inpatient			34.54	34.54																																																			
CATHETER FOLEY LATEX 26FR 3-WAY 30CC	SUP-02-00100	CDM			272	RC		outpatient			34.53	34.53	9.35				percent of total billed charges		34.53				other	OPPS APC	25.55				percent of total billed charges		34.53				other	OPPS APC	34.53				other	OPPS APC	9.35				percent of total billed charges		9.54				percent of total billed charges		34.53				other	OPPS APC	9.35	34.53	
CATHETER FOLEY LATEX 26FR 3-WAY 30CC	SUP-02-00100	CDM			272	RC		inpatient			34.53	34.53																																																			
STEINMAN PIN PLAIN 4.0 5/32	SUP-78-00397	CDM			278	RC		outpatient			34.53	34.53	34.53				fee schedule		34.53				other	OPPS APC	19.68				percent of total billed charges		34.53				other	OPPS APC	34.53				other	OPPS APC	16.92				percent of total billed charges		17.61				percent of total billed charges		34.53				other	OPPS APC	16.92	34.53	
STEINMAN PIN PLAIN 4.0 5/32	SUP-78-00397	CDM			278	RC		inpatient			34.53	34.53																																																			
DOUBLE DRILL GUIDE 2.5MM (COMPR/NUETR)	SUP-97-03225	CDM			272	RC		outpatient			34.52	34.52	9.35				percent of total billed charges		34.52				other	OPPS APC	25.54				percent of total billed charges		34.52				other	OPPS APC	34.52				other	OPPS APC	9.35				percent of total billed charges		9.54				percent of total billed charges		34.52				other	OPPS APC	9.35	34.52	
DOUBLE DRILL GUIDE 2.5MM (COMPR/NUETR)	SUP-97-03225	CDM			272	RC		inpatient			34.52	34.52																																																			
CATHETER DRAINAGE ONE-STEP TEFLON L10 CM OD5 FR PERCUTANEOUS 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT CENTESIS	SUP-OSC-5F-10	CDM			270	RC		outpatient			34.52	34.52	9.35				percent of total billed charges		34.52				other	OPPS APC	25.54				percent of total billed charges		34.52				other	OPPS APC	34.52				other	OPPS APC	9.35				percent of total billed charges		9.54				percent of total billed charges		34.52				other	OPPS APC	9.35	34.52	
CATHETER DRAINAGE ONE-STEP TEFLON L10 CM OD5 FR PERCUTANEOUS 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT CENTESIS	SUP-OSC-5F-10	CDM			270	RC		inpatient			34.52	34.52																																																			
CATHETER DRAINAGE ONE-STEP TEFLON L10 CM OD5 FR PERCUTANEOUS 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT CENTESIS	SUP-OSC-5F-10L	CDM			270	RC		outpatient			34.52	34.52	9.35				percent of total billed charges		34.52				other	OPPS APC	25.54				percent of total billed charges		34.52				other	OPPS APC	34.52				other	OPPS APC	9.35				percent of total billed charges		9.54				percent of total billed charges		34.52				other	OPPS APC	9.35	34.52	
CATHETER DRAINAGE ONE-STEP TEFLON L10 CM OD5 FR PERCUTANEOUS 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT CENTESIS	SUP-OSC-5F-10L	CDM			270	RC		inpatient			34.52	34.52																																																			
CATHETER DRAINAGE 5FR 7CM ONE STEP 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT	SUP-OSC-5F-7	CDM			270	RC		outpatient			34.52	34.52	9.35				percent of total billed charges		34.52				other	OPPS APC	25.54				percent of total billed charges		34.52				other	OPPS APC	34.52				other	OPPS APC	9.35				percent of total billed charges		9.54				percent of total billed charges		34.52				other	OPPS APC	9.35	34.52	
CATHETER DRAINAGE 5FR 7CM ONE STEP 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT	SUP-OSC-5F-7	CDM			270	RC		inpatient			34.52	34.52																																																			
CATHETER DRAINAGE 5FR 7CM ONE STEP 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT	SUP-OSC-5F-7L	CDM			270	RC		outpatient			34.52	34.52	9.35				percent of total billed charges		34.52				other	OPPS APC	25.54				percent of total billed charges		34.52				other	OPPS APC	34.52				other	OPPS APC	9.35				percent of total billed charges		9.54				percent of total billed charges		34.52				other	OPPS APC	9.35	34.52	
CATHETER DRAINAGE 5FR 7CM ONE STEP 4 SIDEHOLE LUER LOCK INTRODUCER NEEDLE SWIVEL NUT	SUP-OSC-5F-7L	CDM			270	RC		inpatient			34.52	34.52																																																			
PACK  LAPAROTOMY	SUP-23-00150	CDM			272	RC		outpatient			34.43	34.43	9.33				percent of total billed charges		34.43				other	OPPS APC	25.48				percent of total billed charges		34.43				other	OPPS APC	34.43				other	OPPS APC	9.33				percent of total billed charges		9.51				percent of total billed charges		34.43				other	OPPS APC	9.33	34.43	
PACK  LAPAROTOMY	SUP-23-00150	CDM			272	RC		inpatient			34.43	34.43																																																			
SACUBITRIL-VALSARTAN 24-26 MG TABLET	637000000	CDM	0078-0659-20	NDC	A9270	HCPCS		inpatient			34.41	34.41																																																			
SACUBITRIL-VALSARTAN 24-26 MG TABLET	637000000	CDM	0078-0659-20	NDC	A9270	HCPCS		outpatient			34.41	34.41																																															other	OPPS APC			
SACUBITRIL-VALSARTAN 49-51 MG TABLET	637000000	CDM	0078-0777-20	NDC	A9270	HCPCS		inpatient			34.41	34.41																																																			
SACUBITRIL-VALSARTAN 49-51 MG TABLET	637000000	CDM	0078-0777-20	NDC	A9270	HCPCS		outpatient			34.41	34.41																																															other	OPPS APC			
SACUBITRIL-VALSARTAN 97-103 MG TABLET	637000000	CDM	0078-0696-20	NDC	A9270	HCPCS		inpatient			34.41	34.41																																																			
SACUBITRIL-VALSARTAN 97-103 MG TABLET	637000000	CDM	0078-0696-20	NDC	A9270	HCPCS		outpatient			34.41	34.41																																															other	OPPS APC			
BOOT CAST SLIMLINE LG	SUP-35-00045	CDM			271	RC		outpatient			34.4	34.4	9.32				percent of total billed charges		34.4				other	OPPS APC	25.46				percent of total billed charges		34.4				other	OPPS APC	34.4				other	OPPS APC	9.32				percent of total billed charges		9.5				percent of total billed charges		34.4				other	OPPS APC	9.32	34.4	
BOOT CAST SLIMLINE LG	SUP-35-00045	CDM			271	RC		inpatient			34.4	34.4																																																			
SCROTAL SUPPORT LARGE	SUP-01-00043	CDM			271	RC		outpatient			34.36	34.36	9.31				percent of total billed charges		34.36				other	OPPS APC	25.43				percent of total billed charges		34.36				other	OPPS APC	34.36				other	OPPS APC	9.31				percent of total billed charges		9.49				percent of total billed charges		34.36				other	OPPS APC	9.31	34.36	
SCROTAL SUPPORT LARGE	SUP-01-00043	CDM			271	RC		inpatient			34.36	34.36																																																			
SUTURE NONABSORBABLE TICRON 2-0 CV-305 L36 IN 2 ARM BRAIDED COATED BLUE	SUP-3256-51	CDM			270	RC		outpatient			34.34	34.34	9.3				percent of total billed charges		34.34				other	OPPS APC	25.41				percent of total billed charges		34.34				other	OPPS APC	34.34				other	OPPS APC	9.3				percent of total billed charges		9.49				percent of total billed charges		34.34				other	OPPS APC	9.3	34.34	
SUTURE NONABSORBABLE TICRON 2-0 CV-305 L36 IN 2 ARM BRAIDED COATED BLUE	SUP-3256-51	CDM			270	RC		inpatient			34.34	34.34																																																			
BOOT CAST SLIMLINE SM	SUP-35-00043	CDM			271	RC		outpatient			34.34	34.34	9.3				percent of total billed charges		34.34				other	OPPS APC	25.41				percent of total billed charges		34.34				other	OPPS APC	34.34				other	OPPS APC	9.3				percent of total billed charges		9.49				percent of total billed charges		34.34				other	OPPS APC	9.3	34.34	
BOOT CAST SLIMLINE SM	SUP-35-00043	CDM			271	RC		inpatient			34.34	34.34																																																			
PASSER SUTURE GABBAY-FRATER GUIDE ORGANIZER STERILE LATEX FREE VALVE IMPLANTATION	SUP-GFS-10A	CDM			270	RC		outpatient			34.33	34.33	9.3				percent of total billed charges		34.33				other	OPPS APC	25.4				percent of total billed charges		34.33				other	OPPS APC	34.33				other	OPPS APC	9.3				percent of total billed charges		9.49				percent of total billed charges		34.33				other	OPPS APC	9.3	34.33	
PASSER SUTURE GABBAY-FRATER GUIDE ORGANIZER STERILE LATEX FREE VALVE IMPLANTATION	SUP-GFS-10A	CDM			270	RC		inpatient			34.33	34.33																																																			
DILTIAZEM 100 MG RECON SOLN	250000000	CDM	0409-4350-13	NDC				inpatient			34.24	34.24																																																			
DILTIAZEM 100 MG RECON SOLN	250000000	CDM	0409-4350-13	NDC				outpatient			34.24	34.24																																															other	OPPS APC			
DILTIAZEM 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0409-4350-03	NDC				inpatient			34.24	34.24																																																			
DILTIAZEM 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0409-4350-13	NDC				inpatient			34.24	34.24																																																			
DILTIAZEM 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0409-4350-03	NDC				outpatient			34.24	34.24																																															other	OPPS APC			
DILTIAZEM 100 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0409-4350-13	NDC				outpatient			34.24	34.24																																															other	OPPS APC			
SCROTAL SUPPORT MEDIUM	SUP-01-00044	CDM			271	RC		outpatient			34.16	34.16	9.25				percent of total billed charges		34.16				other	OPPS APC	25.28				percent of total billed charges		34.16				other	OPPS APC	34.16				other	OPPS APC	9.25				percent of total billed charges		9.44				percent of total billed charges		34.16				other	OPPS APC	9.25	34.16	
SCROTAL SUPPORT MEDIUM	SUP-01-00044	CDM			271	RC		inpatient			34.16	34.16																																																			
MISOPROSTOL 200 MCG TABLET	637000000	CDM	60687-746-01	NDC	A9270	HCPCS		inpatient			34.08	34.08																																																			
MISOPROSTOL 200 MCG TABLET	637000000	CDM	60687-746-01	NDC	A9270	HCPCS		outpatient			34.08	34.08																																															other	OPPS APC			
NEEDLE HYPODERMIC BD ECLIPSE THIN WALL 1.5IN 25GA ORANGE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB	SUP-305767	CDM						inpatient			34.04	34.04																																																			
NEEDLE HYPODERMIC BD ECLIPSE THIN WALL 1.5IN 25GA ORANGE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB	SUP-305767	CDM						outpatient			34.04	34.4	34.04				percent of total billed charges		34.04				other	OPPS APC	34.04				fee schedule		34.04				other	OPPS APC	34.04				other	OPPS APC	34.04				case rate		34.04				case rate		34.4				other	OPPS APC	34.04	34.4	
SCREW BONE SCHANZ STAINLESS STEEL LARGE L200 MM OD5 MM HIP CONDYLE BLUNT TROCAR POINT NONSTERILE	SUP-294.56	CDM	270009127	LOCAL	270	RC		outpatient			34.01	35	9.21				percent of total billed charges		34.01				other	OPPS APC	25.17				percent of total billed charges		34.01				other	OPPS APC	34.01				other	OPPS APC	9.21				percent of total billed charges		9.4				percent of total billed charges		35				other	OPPS APC	9.21	35	
SCREW BONE SCHANZ STAINLESS STEEL LARGE L200 MM OD5 MM HIP CONDYLE BLUNT TROCAR POINT NONSTERILE	SUP-294.56	CDM	270009127	LOCAL	270	RC		inpatient			34.01	34.01																																																			
BIT DRILL LCP L300 MM OD3.2 MM PERCUTANEOUS QUICK COUPLING CALIBRATED NONSTERILE	SUP-324.212	CDM	270009127	LOCAL	270	RC		outpatient			34.01	35	9.21				percent of total billed charges		34.01				other	OPPS APC	25.17				percent of total billed charges		34.01				other	OPPS APC	34.01				other	OPPS APC	9.21				percent of total billed charges		9.4				percent of total billed charges		35				other	OPPS APC	9.21	35	
BIT DRILL LCP L300 MM OD3.2 MM PERCUTANEOUS QUICK COUPLING CALIBRATED NONSTERILE	SUP-324.212	CDM	270009127	LOCAL	270	RC		inpatient			34.01	34.01																																																			
HC Brucella Agglutination	PX-300866220	CDM	86622	CPT	300	RC		outpatient			34	34	10.94				fee schedule		34				fee schedule		21.72				fee schedule		34				fee schedule		34				fee schedule		8.93				fee schedule		8.93				fee schedule		34				fee schedule		8.93	34	
HC Brucella Agglutination	PX-300866220	CDM	86622	CPT	300	RC		inpatient			34	34																																																			
HC Aortic Angiography	PX-481935671	CDM	93567	CPT	481	RC		outpatient			34	34	143.33				fee schedule		34				other	OPPS APC	34.65				fee schedule		34				other	OPPS APC	34				other	OPPS APC	36.73				fee schedule		17.34				percent of total billed charges		34				other	OPPS APC	17.34	143.33	
HC Aortic Angiography	PX-481935671	CDM	93567	CPT	481	RC		inpatient			34	34																																																			
SHEET NECK AND THYROID	SUP-23-00057	CDM			272	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
SHEET NECK AND THYROID	SUP-23-00057	CDM			272	RC		inpatient			34	34																																																			
NEPTUNE FLUID TRAP	SUP-69532	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
NEPTUNE FLUID TRAP	SUP-69532	CDM			270	RC		inpatient			34	34																																																			
CATHETER - JR 6.0 6F	SUP-99-00189	CDM			272	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
CATHETER - JR 6.0 6F	SUP-99-00189	CDM			272	RC		inpatient			34	34																																																			
CATHETER - AL2 5F	SUP-99-01568	CDM			272	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
CATHETER - AL2 5F	SUP-99-01568	CDM			272	RC		inpatient			34	34																																																			
SHEATH - PINNACLE 9 F	SUP-99-03185	CDM			272	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
SHEATH - PINNACLE 9 F	SUP-99-03185	CDM			272	RC		inpatient			34	34																																																			
CATHETER - MPB2 5F	SUP-99-03269	CDM			272	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
CATHETER - MPB2 5F	SUP-99-03269	CDM			272	RC		inpatient			34	34																																																			
STOPCOCK ANGIOGRAPHY MARQUIS POLYCARBONATE DELRIN 1050 PSI 3 WAY FIXED MALE LUER DARK BLUE	SUP-H3FLC	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
STOPCOCK ANGIOGRAPHY MARQUIS POLYCARBONATE DELRIN 1050 PSI 3 WAY FIXED MALE LUER DARK BLUE	SUP-H3FLC	CDM			270	RC		inpatient			34	34																																																			
SHEATH INTRODUCER PINNACLE HYDROPHILIC PTFE .038 IN L25 CM L2.5 CM OD5 FR GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS505	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
SHEATH INTRODUCER PINNACLE HYDROPHILIC PTFE .038 IN L25 CM L2.5 CM OD5 FR GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS505	CDM			270	RC		inpatient			34	34																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .035 IN L25 CM L2.5 CM OD6 FR PERIPHERAL GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS605	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .035 IN L25 CM L2.5 CM OD6 FR PERIPHERAL GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS605	CDM			270	RC		inpatient			34	34																																																			
SHEATH INTRODUCER PINNACLE DESTINATION PTFE HYDROPHILIC L25 CM L2.5 CM OD7 FR PERIPHERAL KINK RESISTANT DESIGN CROSS CUT VALVE SMOOTH TRANSITION DILATOR	SUP-RSS705	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
SHEATH INTRODUCER PINNACLE DESTINATION PTFE HYDROPHILIC L25 CM L2.5 CM OD7 FR PERIPHERAL KINK RESISTANT DESIGN CROSS CUT VALVE SMOOTH TRANSITION DILATOR	SUP-RSS705	CDM			270	RC		inpatient			34	34																																																			
GUIDEWIRE .045 X 6IN STRAIGHT	SUP-WS-0906ST	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
GUIDEWIRE .045 X 6IN STRAIGHT	SUP-WS-0906ST	CDM			270	RC		inpatient			34	34																																																			
GUIDEWIRE .045 X 6IN STRAIGHT	SUP-WS-1106ST	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
GUIDEWIRE .045 X 6IN STRAIGHT	SUP-WS-1106ST	CDM			270	RC		inpatient			34	34																																																			
GUIDEWIRE ORTHOPEDIC STAINLESS STEEL L6 IN OD.054 IN TROCAR	SUP-WS-1406ST	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
GUIDEWIRE ORTHOPEDIC STAINLESS STEEL L6 IN OD.054 IN TROCAR	SUP-WS-1406ST	CDM			270	RC		inpatient			34	34																																																			
GUIDEWIRE .054 X 7IN STRAIGHT	SUP-WS-1407ST	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
GUIDEWIRE .054 X 7IN STRAIGHT	SUP-WS-1407ST	CDM			270	RC		inpatient			34	34																																																			
GUIDEWIRE ORTHOPEDIC ACUTRAK 2 STAINLESS STEEL L5 IN OD.059 IN 1 TROCAR NONSTERILE	SUP-WS-1505ST	CDM			270	RC		outpatient			34	34	9.21				percent of total billed charges		34				other	OPPS APC	25.16				percent of total billed charges		34				other	OPPS APC	34				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		34				other	OPPS APC	9.21	34	
GUIDEWIRE ORTHOPEDIC ACUTRAK 2 STAINLESS STEEL L5 IN OD.059 IN 1 TROCAR NONSTERILE	SUP-WS-1505ST	CDM			270	RC		inpatient			34	34																																																			
FLUCONAZOLE 150 MG TABLET	637000000	CDM	16714-692-10	NDC	A9270	HCPCS		inpatient			33.99	33.99																																																			
FLUCONAZOLE 150 MG TABLET	637000000	CDM	16714-692-10	NDC	A9270	HCPCS		outpatient			33.99	33.99																																															other	OPPS APC			
WIRE FIXATION KIRSCHNER 150MM 5MM 1.6MM SS NS TROCAR POINT THREAD	SUP-292.71	CDM	270010022	LOCAL	270	RC		outpatient			33.99	33.99	9.21				percent of total billed charges		33.99				other	OPPS APC	25.15				percent of total billed charges		33.99				other	OPPS APC	33.99				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		33.99				other	OPPS APC	9.21	33.99	
WIRE FIXATION KIRSCHNER 150MM 5MM 1.6MM SS NS TROCAR POINT THREAD	SUP-292.71	CDM	270010022	LOCAL	270	RC		inpatient			33.99	33.99																																																			
KIT ADMISSION PEDIATRIC	SUP-12-00002	CDM			271	RC		outpatient			33.98	33.98	9.21				percent of total billed charges		33.98				other	OPPS APC	25.15				percent of total billed charges		33.98				other	OPPS APC	33.98				other	OPPS APC	9.21				percent of total billed charges		9.39				percent of total billed charges		33.98				other	OPPS APC	9.21	33.98	
KIT ADMISSION PEDIATRIC	SUP-12-00002	CDM			271	RC		inpatient			33.98	33.98																																																			
K-WIRE 0.6 X 70MM TROCAR PT	SUP-97-05569	CDM			278	RC		outpatient			33.98	33.98	33.98				fee schedule		33.98				other	OPPS APC	19.37				percent of total billed charges		33.98				other	OPPS APC	33.98				other	OPPS APC	16.65				percent of total billed charges		17.33				percent of total billed charges		33.98				other	OPPS APC	16.65	33.98	
K-WIRE 0.6 X 70MM TROCAR PT	SUP-97-05569	CDM			278	RC		inpatient			33.98	33.98																																																			
DEVICE LOCKING AUTOCAP RX GUIDEWIRES 0.025 IN AND 0.035 IN OLYMPUS COMPAT FOR ERCP STERILE	SUP-M00545101	CDM			270	RC		outpatient			33.9	33.9	9.18				percent of total billed charges		33.9				other	OPPS APC	25.09				percent of total billed charges		33.9				other	OPPS APC	33.9				other	OPPS APC	9.18				percent of total billed charges		9.37				percent of total billed charges		33.9				other	OPPS APC	9.18	33.9	
DEVICE LOCKING AUTOCAP RX GUIDEWIRES 0.025 IN AND 0.035 IN OLYMPUS COMPAT FOR ERCP STERILE	SUP-M00545101	CDM			270	RC		inpatient			33.9	33.9																																																			
PAD WOUND DRAIN SENSATRAC VAC TUBE CLAMP CONNECTOR STERILE DISPOSABLE	SUP-M8275057/10	CDM						inpatient			33.88	33.88																																																			
PAD WOUND DRAIN SENSATRAC VAC TUBE CLAMP CONNECTOR STERILE DISPOSABLE	SUP-M8275057/10	CDM						outpatient			33.88	33.88	33.88				percent of total billed charges		33.88				other	OPPS APC	33.88				fee schedule		33.88				other	OPPS APC	33.88				other	OPPS APC	33.88				case rate		33.88				case rate		33.88				other	OPPS APC	33.88	33.88	
BLADE OPHTHALMIC ASB HOCKEY STICK SHARP ALL AROUND	SUP-8065005701	CDM			270	RC		outpatient			33.86	33.86	9.17				percent of total billed charges		33.86				other	OPPS APC	25.06				percent of total billed charges		33.86				other	OPPS APC	33.86				other	OPPS APC	9.17				percent of total billed charges		9.36				percent of total billed charges		33.86				other	OPPS APC	9.17	33.86	
BLADE OPHTHALMIC ASB HOCKEY STICK SHARP ALL AROUND	SUP-8065005701	CDM			270	RC		inpatient			33.86	33.86																																																			
SLEEVE COMPRESSION MED KNEE LENGTH KENDALL SCD EXPRESS ADJUSTABLE CIRCUMFERENTIAL	SUP-9529	CDM			270	RC		outpatient			33.86	33.86	9.17				percent of total billed charges		33.86				other	OPPS APC	25.06				percent of total billed charges		33.86				other	OPPS APC	33.86				other	OPPS APC	9.17				percent of total billed charges		9.36				percent of total billed charges		33.86				other	OPPS APC	9.17	33.86	
SLEEVE COMPRESSION MED KNEE LENGTH KENDALL SCD EXPRESS ADJUSTABLE CIRCUMFERENTIAL	SUP-9529	CDM			270	RC		inpatient			33.86	33.86																																																			
SLEEVE COMPRESSION KENDALL SCD EXPRESS MEDIUM KNEE LENGTH OD21- IN ADJUSTABLE CIRCUMFERENTIAL BLADDER STREAMLINE CONNECTOR NONSTERILE LATEX FREE DISPOSABLE	SUP-9529B	CDM			270	RC		outpatient			33.86	33.86	9.17				percent of total billed charges		33.86				other	OPPS APC	25.06				percent of total billed charges		33.86				other	OPPS APC	33.86				other	OPPS APC	9.17				percent of total billed charges		9.36				percent of total billed charges		33.86				other	OPPS APC	9.17	33.86	
SLEEVE COMPRESSION KENDALL SCD EXPRESS MEDIUM KNEE LENGTH OD21- IN ADJUSTABLE CIRCUMFERENTIAL BLADDER STREAMLINE CONNECTOR NONSTERILE LATEX FREE DISPOSABLE	SUP-9529B	CDM			270	RC		inpatient			33.86	33.86																																																			
SLEEVE COMPRESSION KENDALL SCD EXPRESS LG KNEE LENGTH NYLON DISPOSABLE NS LF ADJUSTABLE CIRCUMFERENTIAL BLADDER	SUP-9789B	CDM			270	RC		outpatient			33.86	33.86	9.17				percent of total billed charges		33.86				other	OPPS APC	25.06				percent of total billed charges		33.86				other	OPPS APC	33.86				other	OPPS APC	9.17				percent of total billed charges		9.36				percent of total billed charges		33.86				other	OPPS APC	9.17	33.86	
SLEEVE COMPRESSION KENDALL SCD EXPRESS LG KNEE LENGTH NYLON DISPOSABLE NS LF ADJUSTABLE CIRCUMFERENTIAL BLADDER	SUP-9789B	CDM			270	RC		inpatient			33.86	33.86																																																			
CATHETER FOLEY 2WAY COUDE 24FR 5CC	SUP-02-00132	CDM			272	RC		outpatient			33.77	33.77	9.15				percent of total billed charges		33.77				other	OPPS APC	24.99				percent of total billed charges		33.77				other	OPPS APC	33.77				other	OPPS APC	9.15				percent of total billed charges		9.33				percent of total billed charges		33.77				other	OPPS APC	9.15	33.77	
CATHETER FOLEY 2WAY COUDE 24FR 5CC	SUP-02-00132	CDM			272	RC		inpatient			33.77	33.77																																																			
SCREW BONE PERI-LOC L 30 MM OD 4.5MM CORTEX SELF TAP LOW PROFILE NONSTERILE LATEX FREE DISPOSABLE	SUP-71826030	CDM			270	RC		outpatient			33.76	33.76	9.15				percent of total billed charges		33.76				other	OPPS APC	24.98				percent of total billed charges		33.76				other	OPPS APC	33.76				other	OPPS APC	9.15				percent of total billed charges		9.33				percent of total billed charges		33.76				other	OPPS APC	9.15	33.76	
SCREW BONE PERI-LOC L 30 MM OD 4.5MM CORTEX SELF TAP LOW PROFILE NONSTERILE LATEX FREE DISPOSABLE	SUP-71826030	CDM			270	RC		inpatient			33.76	33.76																																																			
SCREW BONE PERI-LOC STAINLESS STEEL L 42 MM OD 4.5 MM CORTEX SELF TAP LOW PROFILE	SUP-71826042	CDM			270	RC		outpatient			33.76	33.76	9.15				percent of total billed charges		33.76				other	OPPS APC	24.98				percent of total billed charges		33.76				other	OPPS APC	33.76				other	OPPS APC	9.15				percent of total billed charges		9.33				percent of total billed charges		33.76				other	OPPS APC	9.15	33.76	
SCREW BONE PERI-LOC STAINLESS STEEL L 42 MM OD 4.5 MM CORTEX SELF TAP LOW PROFILE	SUP-71826042	CDM			270	RC		inpatient			33.76	33.76																																																			
DEXTROSE 5% LACTATED RINGER'S WITH KCL 20 MEQ/L 20 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0811-04	NDC				inpatient			33.68	33.68																																																			
DEXTROSE 5% LACTATED RINGER'S WITH KCL 20 MEQ/L 20 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0811-04	NDC				outpatient			33.68	33.68																																															other	OPPS APC			
BLADE SAG SAW MICROAIRE	SUP-1200-005	CDM						inpatient			33.6	33.6																																																			
BLADE SAG SAW MICROAIRE	SUP-1200-005	CDM						outpatient			33.6	33.61	33.6				percent of total billed charges		33.6				other	OPPS APC	33.6				fee schedule		33.6				other	OPPS APC	33.6				other	OPPS APC	33.6				case rate		33.6				case rate		33.61				other	OPPS APC	33.6	33.61	
BLADE SAW THK.3 MM SMALL L10.2 MM X W18 MM SAGITTAL STERILE	SUP-1200-018	CDM			270	RC		outpatient			33.6	33.61	9.1				percent of total billed charges		33.6				other	OPPS APC	24.86				percent of total billed charges		33.6				other	OPPS APC	33.6				other	OPPS APC	9.1				percent of total billed charges		9.28				percent of total billed charges		33.61				other	OPPS APC	9.1	33.61	
BLADE SAW THK.3 MM SMALL L10.2 MM X W18 MM SAGITTAL STERILE	SUP-1200-018	CDM			270	RC		inpatient			33.6	33.6																																																			
TACROLIMUS PER 1 MG	636000000	CDM	51079-818-01	NDC	J7507	HCPCS		inpatient			33.45	33.45																																																			
TACROLIMUS PER 1 MG	636000000	CDM	51079-818-01	NDC	J7507	HCPCS		outpatient			33.45	33.45																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE SABRELOC 10-0 STC-6 8IN BLUE 2 ARM MONOFILAMENT	SUP-1713G	CDM			270	RC		outpatient			33.43	33.43	9.06				percent of total billed charges		33.43				other	OPPS APC	24.74				percent of total billed charges		33.43				other	OPPS APC	33.43				other	OPPS APC	9.06				percent of total billed charges		9.24				percent of total billed charges		33.43				other	OPPS APC	9.06	33.43	
SUTURE NONABSORBABLE PROLENE SABRELOC 10-0 STC-6 8IN BLUE 2 ARM MONOFILAMENT	SUP-1713G	CDM			270	RC		inpatient			33.43	33.43																																																			
WIRE FIXATION KIRSCHNER L9 IN OD.028 IN 2 BAYONET POINT	SUP-160137000	CDM			270	RC		outpatient			33.33	33.33	9.03				percent of total billed charges		33.33				other	OPPS APC	24.66				percent of total billed charges		33.33				other	OPPS APC	33.33				other	OPPS APC	9.03				percent of total billed charges		9.21				percent of total billed charges		33.33				other	OPPS APC	9.03	33.33	
WIRE FIXATION KIRSCHNER L9 IN OD.028 IN 2 BAYONET POINT	SUP-160137000	CDM			270	RC		inpatient			33.33	33.33																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L9 IN OD.054 IN BAYONET POINT BOTH END	SUP-160140000	CDM			270	RC		outpatient			33.33	33.33	9.03				percent of total billed charges		33.33				other	OPPS APC	24.66				percent of total billed charges		33.33				other	OPPS APC	33.33				other	OPPS APC	9.03				percent of total billed charges		9.21				percent of total billed charges		33.33				other	OPPS APC	9.03	33.33	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L9 IN OD.054 IN BAYONET POINT BOTH END	SUP-160140000	CDM			270	RC		inpatient			33.33	33.33																																																			
PUNCH AORTIC TELEFLEX STANDARD LENGTH L7 3/4 IN OD4 MM VASCULAR 2 CUT ACTION DIAMOND EDGE STERILE LATEX FREE DISPOSABLE	SUP-DP-40K	CDM						inpatient			33.33	33.33																																																			
PUNCH AORTIC TELEFLEX STANDARD LENGTH L7 3/4 IN OD4 MM VASCULAR 2 CUT ACTION DIAMOND EDGE STERILE LATEX FREE DISPOSABLE	SUP-DP-40K	CDM						outpatient			33.33	33.33	33.33				percent of total billed charges		33.33				other	OPPS APC	33.33				fee schedule		33.33				other	OPPS APC	33.33				other	OPPS APC	33.33				case rate		33.33				case rate		33.33				other	OPPS APC	33.33	33.33	
SHEATH - 12F	SUP-95-05050	CDM			272	RC		outpatient			33.32	33.32	9.03				percent of total billed charges		33.32				other	OPPS APC	24.66				percent of total billed charges		33.32				other	OPPS APC	33.32				other	OPPS APC	9.03				percent of total billed charges		9.21				percent of total billed charges		33.32				other	OPPS APC	9.03	33.32	
SHEATH - 12F	SUP-95-05050	CDM			272	RC		inpatient			33.32	33.32																																																			
DRAPE SLUSH 44' X 66' W/DISC	SUP-40-SD220	CDM			270	RC		outpatient			33.3	33.3	9.02				percent of total billed charges		33.3				other	OPPS APC	24.64				percent of total billed charges		33.3				other	OPPS APC	33.3				other	OPPS APC	9.02				percent of total billed charges		9.2				percent of total billed charges		33.3				other	OPPS APC	9.02	33.3	
DRAPE SLUSH 44' X 66' W/DISC	SUP-40-SD220	CDM			270	RC		inpatient			33.3	33.3																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	63323-655-21	NDC	J1650	HCPCS		inpatient			33.27	33.27																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	63323-655-21	NDC	J1650	HCPCS		outpatient			33.27	33.27																																															other	OPPS APC			
COLLAR STIFF NECK TALL	SUP-37-00013	CDM			271	RC		outpatient			33.17	33.17	8.99				percent of total billed charges		33.17				other	OPPS APC	24.55				percent of total billed charges		33.17				other	OPPS APC	33.17				other	OPPS APC	8.99				percent of total billed charges		9.16				percent of total billed charges		33.17				other	OPPS APC	8.99	33.17	
COLLAR STIFF NECK TALL	SUP-37-00013	CDM			271	RC		inpatient			33.17	33.17																																																			
"ADULT MULTIVITAMIN 3,300 UNIT- 150 MCG/10 ML SOLUTION 10 ML VIAL"	250000000	CDM	54643-5649-1	NDC				inpatient			33.08	33.08																																																			
"ADULT MULTIVITAMIN 3,300 UNIT- 150 MCG/10 ML SOLUTION 10 ML VIAL"	250000000	CDM	54643-5649-1	NDC				outpatient			33.08	33.08																																															other	OPPS APC			
PLAIN STEINMAN PIN 7/64	SUP-95-03381	CDM			278	RC		outpatient			33.04	33.4	33.04				fee schedule		33.04				other	OPPS APC	18.83				percent of total billed charges		33.04				other	OPPS APC	33.04				other	OPPS APC	16.19				percent of total billed charges		16.85				percent of total billed charges		33.4				other	OPPS APC	16.19	33.4	
PLAIN STEINMAN PIN 7/64	SUP-95-03381	CDM			278	RC		inpatient			33.04	33.04																																																			
SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SOLUTION	250000000	CDM	55150-173-01	NDC				inpatient			33	33																																																			
SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SOLUTION	250000000	CDM	55150-173-01	NDC				outpatient			33	33																																															other	OPPS APC			
METHYLPREDNISOLONE PER 125 MG	636000000	CDM	43598-128-11	NDC	J2919	HCPCS		inpatient			33	33																																																			
METHYLPREDNISOLONE PER 125 MG	636000000	CDM	43598-128-11	NDC	J2919	HCPCS		outpatient			33	33																																															other	OPPS APC			
HC Refractometer Specific Gravity	PX-300810020	CDM	81002	CPT	300	RC		outpatient			33	33	3.42				fee schedule		33				fee schedule		6.78				fee schedule		33				fee schedule		33				fee schedule		3.48				fee schedule		3.48				fee schedule		33				fee schedule		3.42	33	
HC Refractometer Specific Gravity	PX-300810020	CDM	81002	CPT	300	RC		inpatient			33	33																																																			
BURR CARBIDE CUTTER	SUP-251E-11-040	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
BURR CARBIDE CUTTER	SUP-251E-11-040	CDM			270	RC		inpatient			33	33																																																			
CUFF TOURNIQUET ATS 3000 CYLINDER L12 IN X W3.5 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE BLACK	SUP-60707010200	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
CUFF TOURNIQUET ATS 3000 CYLINDER L12 IN X W3.5 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE BLACK	SUP-60707010200	CDM			270	RC		inpatient			33	33																																																			
CUFF TOURNIQUET ATS 3000 CYLINDER L18 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE RED	SUP-60707010300	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
CUFF TOURNIQUET ATS 3000 CYLINDER L18 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE RED	SUP-60707010300	CDM			270	RC		inpatient			33	33																																																			
CUFF TOURNIQUET ATS 3000 CYLINDER L24 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE GREEN	SUP-60707010400	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
CUFF TOURNIQUET ATS 3000 CYLINDER L24 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE GREEN	SUP-60707010400	CDM			270	RC		inpatient			33	33																																																			
CUFF TOURNIQUET ATS 3000 CYLINDER L30 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-60707010500	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
CUFF TOURNIQUET ATS 3000 CYLINDER L30 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-60707010500	CDM			270	RC		inpatient			33	33																																																			
CUFF TOURNIQUET ATS 3000 CYLINDER L34 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE BROWN	SUP-60707010600	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
CUFF TOURNIQUET ATS 3000 CYLINDER L34 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE BROWN	SUP-60707010600	CDM			270	RC		inpatient			33	33																																																			
CUFF TOURNIQUET ATS 3000 CYLINDER L42 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE RUBY	SUP-60707010700	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
CUFF TOURNIQUET ATS 3000 CYLINDER L42 IN X W4 IN 2 PORT 1 BLADDER POSITIVE LOCK CONNECTOR CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE RUBY	SUP-60707010700	CDM			270	RC		inpatient			33	33																																																			
BURR CUTTER .	SUP-H251E.11.040	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
BURR CUTTER .	SUP-H251E.11.040	CDM			270	RC		inpatient			33	33																																																			
BURR CUTTER .	SUP-H71E104050	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
BURR CUTTER .	SUP-H71E104050	CDM			270	RC		inpatient			33	33																																																			
BURR CUTTER	SUP-H73E.11.040E	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
BURR CUTTER	SUP-H73E.11.040E	CDM			270	RC		inpatient			33	33																																																			
BURR  CARBIDE CUTTER	SUP-H73E.11.060	CDM			270	RC		outpatient			33	33	8.94				percent of total billed charges		33				other	OPPS APC	24.42				percent of total billed charges		33				other	OPPS APC	33				other	OPPS APC	8.94				percent of total billed charges		9.12				percent of total billed charges		33				other	OPPS APC	8.94	33	
BURR  CARBIDE CUTTER	SUP-H73E.11.060	CDM			270	RC		inpatient			33	33																																																			
GUIDEWIRE VASCULAR BENTSON STANDARD 145CM 6CM .035IN SS PTFE DISPOSABLE STERILE FIX CORE ATRAUMATIC TIP EXTRA FLOPPY	SUP-G00691	CDM			270	RC		outpatient			32.98	32.98	8.93				percent of total billed charges		32.98				other	OPPS APC	24.41				percent of total billed charges		32.98				other	OPPS APC	32.98				other	OPPS APC	8.93				percent of total billed charges		9.11				percent of total billed charges		32.98				other	OPPS APC	8.93	32.98	
GUIDEWIRE VASCULAR BENTSON STANDARD 145CM 6CM .035IN SS PTFE DISPOSABLE STERILE FIX CORE ATRAUMATIC TIP EXTRA FLOPPY	SUP-G00691	CDM			270	RC		inpatient			32.98	32.98																																																			
SHOE DARCO POST OP MAN LG	SUP-95-00190	CDM			271	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
SHOE DARCO POST OP MAN LG	SUP-95-00190	CDM			271	RC		inpatient			32.8	32.8																																																			
SHOE DARCO POST OP MAN MED	SUP-95-00191	CDM			271	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
SHOE DARCO POST OP MAN MED	SUP-95-00191	CDM			271	RC		inpatient			32.8	32.8																																																			
SHOE DARCO POST OP WMS MED	SUP-95-00192	CDM			271	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
SHOE DARCO POST OP WMS MED	SUP-95-00192	CDM			271	RC		inpatient			32.8	32.8																																																			
SHOE DARCO POST OP WMS LG	SUP-95-00193	CDM			271	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
SHOE DARCO POST OP WMS LG	SUP-95-00193	CDM			271	RC		inpatient			32.8	32.8																																																			
NEEDLE BREAST LOCALIZATION	SUP-BNL2007	CDM			270	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
NEEDLE BREAST LOCALIZATION	SUP-BNL2007	CDM			270	RC		inpatient			32.8	32.8																																																			
NEEDLE BREAST LOCALIZATION WIRE 20 X 10 CM	SUP-BNL2010	CDM			270	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
NEEDLE BREAST LOCALIZATION WIRE 20 X 10 CM	SUP-BNL2010	CDM			270	RC		inpatient			32.8	32.8																																																			
SLEEVE LAPAROSCOPIC ENDOPATH XCEL UNIVERSAL 100MM 12MM DISPOSABLE STERILE STABILITY BLADELESS OBTURATOR OPTIONAL PISTOL	SUP-CB12LT	CDM			270	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
SLEEVE LAPAROSCOPIC ENDOPATH XCEL UNIVERSAL 100MM 12MM DISPOSABLE STERILE STABILITY BLADELESS OBTURATOR OPTIONAL PISTOL	SUP-CB12LT	CDM			270	RC		inpatient			32.8	32.8																																																			
SLEEVE LAPAROSCOPIC ENDOPATH XCEL UNIVERSAL 100MM 5MM DISPOSABLE STERILE STABILITY BLADELESS OBTURATOR OPTIONAL PISTOL	SUP-CB5LT	CDM			270	RC		outpatient			32.8	32.8	8.89				percent of total billed charges		32.8				other	OPPS APC	24.27				percent of total billed charges		32.8				other	OPPS APC	32.8				other	OPPS APC	8.89				percent of total billed charges		9.06				percent of total billed charges		32.8				other	OPPS APC	8.89	32.8	
SLEEVE LAPAROSCOPIC ENDOPATH XCEL UNIVERSAL 100MM 5MM DISPOSABLE STERILE STABILITY BLADELESS OBTURATOR OPTIONAL PISTOL	SUP-CB5LT	CDM			270	RC		inpatient			32.8	32.8																																																			
GUIDEWIRE VASCULAR MICROPUNCTURE NITINOL ANGLE L60 CM OD.018 IN	SUP-G55560	CDM			270	RC		outpatient			32.74	32.74	8.87				percent of total billed charges		32.74				other	OPPS APC	24.23				percent of total billed charges		32.74				other	OPPS APC	32.74				other	OPPS APC	8.87				percent of total billed charges		9.05				percent of total billed charges		32.74				other	OPPS APC	8.87	32.74	
GUIDEWIRE VASCULAR MICROPUNCTURE NITINOL ANGLE L60 CM OD.018 IN	SUP-G55560	CDM			270	RC		inpatient			32.74	32.74																																																			
SUTURE ABSORBABLE VICRYL PLUS 4-0 TF L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL VIOLET	SUP-VCP743D	CDM			270	RC		outpatient			32.62	32.62	8.84				percent of total billed charges		32.62				other	OPPS APC	24.14				percent of total billed charges		32.62				other	OPPS APC	32.62				other	OPPS APC	8.84				percent of total billed charges		9.01				percent of total billed charges		32.62				other	OPPS APC	8.84	32.62	
SUTURE ABSORBABLE VICRYL PLUS 4-0 TF L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL VIOLET	SUP-VCP743D	CDM			270	RC		inpatient			32.62	32.62																																																			
STOCKING THIGH-HI LARGE/SHORT	SUP-01-00053	CDM			271	RC		outpatient			32.6	32.61	8.83				percent of total billed charges		32.6				other	OPPS APC	24.12				percent of total billed charges		32.6				other	OPPS APC	32.6				other	OPPS APC	8.83				percent of total billed charges		9.01				percent of total billed charges		32.61				other	OPPS APC	8.83	32.61	
STOCKING THIGH-HI LARGE/SHORT	SUP-01-00053	CDM			271	RC		inpatient			32.6	32.6																																																			
TERBINAFINE 250 MG TABLET	637000000	CDM	69097-859-02	NDC	A9270	HCPCS		inpatient			32.56	32.56																																																			
TERBINAFINE 250 MG TABLET	637000000	CDM	69097-859-02	NDC	A9270	HCPCS		outpatient			32.56	32.56																																															other	OPPS APC			
SCREW BONE PARTIAL THREAD 12MM 5MM 4MM SS NS CANCELLOUS HEXAGONAL	SUP-207.012	CDM	270010022	LOCAL	270	RC		outpatient			32.56	32.56	8.82				percent of total billed charges		32.56				other	OPPS APC	24.09				percent of total billed charges		32.56				other	OPPS APC	32.56				other	OPPS APC	8.82				percent of total billed charges		9				percent of total billed charges		32.56				other	OPPS APC	8.82	32.56	
SCREW BONE PARTIAL THREAD 12MM 5MM 4MM SS NS CANCELLOUS HEXAGONAL	SUP-207.012	CDM	270010022	LOCAL	270	RC		inpatient			32.56	32.56																																																			
SCREW BONE PARTIAL THREAD 18MM 7MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.018	CDM	270010022	LOCAL	270	RC		outpatient			32.56	32.56	8.82				percent of total billed charges		32.56				other	OPPS APC	24.09				percent of total billed charges		32.56				other	OPPS APC	32.56				other	OPPS APC	8.82				percent of total billed charges		9				percent of total billed charges		32.56				other	OPPS APC	8.82	32.56	
SCREW BONE PARTIAL THREAD 18MM 7MM 4MM SS NS CANCELLOUS HEXAGONAL SM FRAGMENT SET	SUP-207.018	CDM	270010022	LOCAL	270	RC		inpatient			32.56	32.56																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L22 MM L9 MM OD4 MM CANCELLOUS RADIUS ULNA PELVIS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET	SUP-207.022	CDM	270010022	LOCAL	270	RC		outpatient			32.56	32.56	8.82				percent of total billed charges		32.56				other	OPPS APC	24.09				percent of total billed charges		32.56				other	OPPS APC	32.56				other	OPPS APC	8.82				percent of total billed charges		9				percent of total billed charges		32.56				other	OPPS APC	8.82	32.56	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L22 MM L9 MM OD4 MM CANCELLOUS RADIUS ULNA PELVIS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET	SUP-207.022	CDM	270010022	LOCAL	270	RC		inpatient			32.56	32.56																																																			
SCREW BONE PARTIAL THREAD 24MM 7MM 4MM SS NS CANCELLOUS SM HEXAGONAL SOCKET	SUP-207.024	CDM	270010022	LOCAL	270	RC		outpatient			32.56	32.56	8.82				percent of total billed charges		32.56				other	OPPS APC	24.09				percent of total billed charges		32.56				other	OPPS APC	32.56				other	OPPS APC	8.82				percent of total billed charges		9				percent of total billed charges		32.56				other	OPPS APC	8.82	32.56	
SCREW BONE PARTIAL THREAD 24MM 7MM 4MM SS NS CANCELLOUS SM HEXAGONAL SOCKET	SUP-207.024	CDM	270010022	LOCAL	270	RC		inpatient			32.56	32.56																																																			
SCREW BONE 4MM 26MM LCP SS PARTIAL THREAD CANCELLOUS SM FRAGMENT SET	SUP-207.026	CDM	270010022	LOCAL	270	RC		outpatient			32.56	32.56	8.82				percent of total billed charges		32.56				other	OPPS APC	24.09				percent of total billed charges		32.56				other	OPPS APC	32.56				other	OPPS APC	8.82				percent of total billed charges		9				percent of total billed charges		32.56				other	OPPS APC	8.82	32.56	
SCREW BONE 4MM 26MM LCP SS PARTIAL THREAD CANCELLOUS SM FRAGMENT SET	SUP-207.026	CDM	270010022	LOCAL	270	RC		inpatient			32.56	32.56																																																			
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L28 MM L14 MM OD4 MM CANCELLOUS RADIUS ULNA PELVIS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET	SUP-207.028	CDM	270010022	LOCAL	270	RC		outpatient			32.56	32.56	8.82				percent of total billed charges		32.56				other	OPPS APC	24.09				percent of total billed charges		32.56				other	OPPS APC	32.56				other	OPPS APC	8.82				percent of total billed charges		9				percent of total billed charges		32.56				other	OPPS APC	8.82	32.56	
SCREW BONE LCP STAINLESS STEEL PARTIAL THREAD L28 MM L14 MM OD4 MM CANCELLOUS RADIUS ULNA PELVIS SMALL HEXAGONAL SOCKET SMALL FRAGMENT SET	SUP-207.028	CDM	270010022	LOCAL	270	RC		inpatient			32.56	32.56																																																			
SET Y TYPE DLB. COMPONENT	SUP-20-00036	CDM			272	RC		outpatient			32.54	32.54	8.82				percent of total billed charges		32.54				other	OPPS APC	24.08				percent of total billed charges		32.54				other	OPPS APC	32.54				other	OPPS APC	8.82				percent of total billed charges		8.99				percent of total billed charges		32.54				other	OPPS APC	8.82	32.54	
SET Y TYPE DLB. COMPONENT	SUP-20-00036	CDM			272	RC		inpatient			32.54	32.54																																																			
KNIFE OPHTHALMIC CLEARCUT ANGLE FULL W1 MM 2 BEVEL SIDEPORT SATIN FINISH STERILE LATEX DISPOSABLE FLUORESCENT PINK	SUP-8065921540	CDM			270	RC		outpatient			32.52	32.52	8.81				percent of total billed charges		32.52				other	OPPS APC	24.06				percent of total billed charges		32.52				other	OPPS APC	32.52				other	OPPS APC	8.81				percent of total billed charges		8.99				percent of total billed charges		32.52				other	OPPS APC	8.81	32.52	
KNIFE OPHTHALMIC CLEARCUT ANGLE FULL W1 MM 2 BEVEL SIDEPORT SATIN FINISH STERILE LATEX DISPOSABLE FLUORESCENT PINK	SUP-8065921540	CDM			270	RC		inpatient			32.52	32.52																																																			
ELECTRODE DEFIBRILLATOR MEDITRACE CADENCE SILVER CHLORIDE ADULT OVAL L6.25IN X W4.5IN MULTIFUNCTION ADHESIVE RADIOTRANSPARENT CONNECTOR LATEX FREE ZOLL 8900-2100-01/8900-4005	SUP-22770R	CDM			270	RC		outpatient			32.48	32.48	8.8				percent of total billed charges		32.48				other	OPPS APC	24.04				percent of total billed charges		32.48				other	OPPS APC	32.48				other	OPPS APC	8.8				percent of total billed charges		8.97				percent of total billed charges		32.48				other	OPPS APC	8.8	32.48	
ELECTRODE DEFIBRILLATOR MEDITRACE CADENCE SILVER CHLORIDE ADULT OVAL L6.25IN X W4.5IN MULTIFUNCTION ADHESIVE RADIOTRANSPARENT CONNECTOR LATEX FREE ZOLL 8900-2100-01/8900-4005	SUP-22770R	CDM			270	RC		inpatient			32.48	32.48																																																			
STOCKING THIGH-HI LARGE/REGULA	SUP-01-00052	CDM			271	RC		outpatient			32.45	32.45	8.79				percent of total billed charges		32.45				other	OPPS APC	24.01				percent of total billed charges		32.45				other	OPPS APC	32.45				other	OPPS APC	8.79				percent of total billed charges		8.97				percent of total billed charges		32.45				other	OPPS APC	8.79	32.45	
STOCKING THIGH-HI LARGE/REGULA	SUP-01-00052	CDM			271	RC		inpatient			32.45	32.45																																																			
RADIAL COOK BENTSON GUIDEWIRE 180CM	SUP-G01290	CDM			481	RC		outpatient			32.42	32.42	15.89				percent of total billed charges		32.42				other	OPPS APC	23.99				percent of total billed charges		32.42				other	OPPS APC	32.42				other	OPPS APC	15.89				percent of total billed charges		16.53				percent of total billed charges		32.42				other	OPPS APC	15.89	32.42	
RADIAL COOK BENTSON GUIDEWIRE 180CM	SUP-G01290	CDM			481	RC		inpatient			32.42	32.42																																																			
BALLOON INFLATOR	SUP-95-00802	CDM			272	RC		outpatient			32.4	32.4	8.78				percent of total billed charges		32.4				other	OPPS APC	23.98				percent of total billed charges		32.4				other	OPPS APC	32.4				other	OPPS APC	8.78				percent of total billed charges		8.95				percent of total billed charges		32.4				other	OPPS APC	8.78	32.4	
BALLOON INFLATOR	SUP-95-00802	CDM			272	RC		inpatient			32.4	32.4																																																			
CATHETER URETERAL FLEXI-TIP STANDARD L70 CM OD5 FR OPEN END LATEX FREE ACCEPTS .038 IN GUIDEWIRE RETROGRADE PYELOGRAM	SUP-G14521	CDM			270	RC		outpatient			32.37	32.37	8.77				percent of total billed charges		32.37				other	OPPS APC	23.95				percent of total billed charges		32.37				other	OPPS APC	32.37				other	OPPS APC	8.77				percent of total billed charges		8.94				percent of total billed charges		32.37				other	OPPS APC	8.77	32.37	
CATHETER URETERAL FLEXI-TIP STANDARD L70 CM OD5 FR OPEN END LATEX FREE ACCEPTS .038 IN GUIDEWIRE RETROGRADE PYELOGRAM	SUP-G14521	CDM			270	RC		inpatient			32.37	32.37																																																			
STOCKING THIGH-HI LARGE/LONG	SUP-01-00051	CDM			271	RC		outpatient			32.32	32.32	8.76				percent of total billed charges		32.32				other	OPPS APC	23.92				percent of total billed charges		32.32				other	OPPS APC	32.32				other	OPPS APC	8.76				percent of total billed charges		8.93				percent of total billed charges		32.32				other	OPPS APC	8.76	32.32	
STOCKING THIGH-HI LARGE/LONG	SUP-01-00051	CDM			271	RC		inpatient			32.32	32.32																																																			
CATHETER - PIGTAIL 5F	SUP-99-00743	CDM			272	RC		outpatient			32.28	32.28	8.74				percent of total billed charges		32.28				other	OPPS APC	23.89				percent of total billed charges		32.28				other	OPPS APC	32.28				other	OPPS APC	8.74				percent of total billed charges		8.92				percent of total billed charges		32.28				other	OPPS APC	8.74	32.28	
CATHETER - PIGTAIL 5F	SUP-99-00743	CDM			272	RC		inpatient			32.28	32.28																																																			
CATHETER - JL 3.5 5F	SUP-99-01560	CDM			272	RC		outpatient			32.28	32.28	8.74				percent of total billed charges		32.28				other	OPPS APC	23.89				percent of total billed charges		32.28				other	OPPS APC	32.28				other	OPPS APC	8.74				percent of total billed charges		8.92				percent of total billed charges		32.28				other	OPPS APC	8.74	32.28	
CATHETER - JL 3.5 5F	SUP-99-01560	CDM			272	RC		inpatient			32.28	32.28																																																			
CATHETER - JL 4.0 5F	SUP-99-01561	CDM			272	RC		outpatient			32.28	32.28	8.74				percent of total billed charges		32.28				other	OPPS APC	23.89				percent of total billed charges		32.28				other	OPPS APC	32.28				other	OPPS APC	8.74				percent of total billed charges		8.92				percent of total billed charges		32.28				other	OPPS APC	8.74	32.28	
CATHETER - JL 4.0 5F	SUP-99-01561	CDM			272	RC		inpatient			32.28	32.28																																																			
CATHETER - 6F JL 4.5 100CM	SUP-99-04339	CDM			272	RC		outpatient			32.28	32.28	8.74				percent of total billed charges		32.28				other	OPPS APC	23.89				percent of total billed charges		32.28				other	OPPS APC	32.28				other	OPPS APC	8.74				percent of total billed charges		8.92				percent of total billed charges		32.28				other	OPPS APC	8.74	32.28	
CATHETER - 6F JL 4.5 100CM	SUP-99-04339	CDM			272	RC		inpatient			32.28	32.28																																																			
SHEATH - 8FX11CM	SUP-99-00228	CDM			272	RC		outpatient			32.24	32.24	8.73				percent of total billed charges		32.24				other	OPPS APC	23.86				percent of total billed charges		32.24				other	OPPS APC	32.24				other	OPPS APC	8.73				percent of total billed charges		8.91				percent of total billed charges		32.24				other	OPPS APC	8.73	32.24	
SHEATH - 8FX11CM	SUP-99-00228	CDM			272	RC		inpatient			32.24	32.24																																																			
FILTER INSUFFLATION HYDROPHOBIC BULB RECTUM HIGHLY VISIBLE LATEX FREE DISPOSABLE FLEX SIGMOIDOSCOPE	SUP-30210	CDM						inpatient			32.22	32.22																																																			
FILTER INSUFFLATION HYDROPHOBIC BULB RECTUM HIGHLY VISIBLE LATEX FREE DISPOSABLE FLEX SIGMOIDOSCOPE	SUP-30210	CDM						outpatient			32.22	32.22	32.22				percent of total billed charges		32.22				other	OPPS APC	32.22				fee schedule		32.22				other	OPPS APC	32.22				other	OPPS APC	32.22				case rate		32.22				case rate		32.22				other	OPPS APC	32.22	32.22	
SUTURE NONABSORBABLE ETHILON MICROPOINT 9-0 TG160-6 L12 IN 2 ARM MONOFILAMENT BLACK	SUP-7760G	CDM			270	RC		outpatient			32.21	32.21	8.73				percent of total billed charges		32.21				other	OPPS APC	23.84				percent of total billed charges		32.21				other	OPPS APC	32.21				other	OPPS APC	8.73				percent of total billed charges		8.9				percent of total billed charges		32.21				other	OPPS APC	8.73	32.21	
SUTURE NONABSORBABLE ETHILON MICROPOINT 9-0 TG160-6 L12 IN 2 ARM MONOFILAMENT BLACK	SUP-7760G	CDM			270	RC		inpatient			32.21	32.21																																																			
ELECTRODE ELECTROSURGICAL UTAHBALL STAINLESS STEEL BALL L11 CM OD5 MM ODSEC3/32 IN Y SHAFT STERILE DISPOSABLE RED LEEP	SUP-DBL-511	CDM			270	RC		outpatient			32.2	32.23	8.72				percent of total billed charges		32.2				other	OPPS APC	23.83				percent of total billed charges		32.2				other	OPPS APC	32.2				other	OPPS APC	8.72				percent of total billed charges		8.9				percent of total billed charges		32.23				other	OPPS APC	8.72	32.23	
ELECTRODE ELECTROSURGICAL UTAHBALL STAINLESS STEEL BALL L11 CM OD5 MM ODSEC3/32 IN Y SHAFT STERILE DISPOSABLE RED LEEP	SUP-DBL-511	CDM			270	RC		inpatient			32.2	32.2																																																			
SUTURE NONABSORBABLE PROLENE 7-0 BV-1 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-8703H	CDM			270	RC		outpatient			32.13	32.13	8.7				percent of total billed charges		32.13				other	OPPS APC	23.78				percent of total billed charges		32.13				other	OPPS APC	32.13				other	OPPS APC	8.7				percent of total billed charges		8.88				percent of total billed charges		32.13				other	OPPS APC	8.7	32.13	
SUTURE NONABSORBABLE PROLENE 7-0 BV-1 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-8703H	CDM			270	RC		inpatient			32.13	32.13																																																			
REPLACEMENT VACUUM CANISTER 800CC	SUP-95-02755	CDM			272	RC		outpatient			32.12	32.12	8.7				percent of total billed charges		32.12				other	OPPS APC	23.77				percent of total billed charges		32.12				other	OPPS APC	32.12				other	OPPS APC	8.7				percent of total billed charges		8.87				percent of total billed charges		32.12				other	OPPS APC	8.7	32.12	
REPLACEMENT VACUUM CANISTER 800CC	SUP-95-02755	CDM			272	RC		inpatient			32.12	32.12																																																			
GUIDEWIRE VASCULAR BENTSON STANDARD 145CM 6CM .035IN SS HEPARIN PTFE DISPOSABLE STERILE FIX CORE ATRAUMATIC TIP EXTRA	SUP-G00692	CDM			270	RC		outpatient			32.1	32.11	8.7				percent of total billed charges		32.1				other	OPPS APC	23.75				percent of total billed charges		32.1				other	OPPS APC	32.1				other	OPPS APC	8.7				percent of total billed charges		8.87				percent of total billed charges		32.11				other	OPPS APC	8.7	32.11	
GUIDEWIRE VASCULAR BENTSON STANDARD 145CM 6CM .035IN SS HEPARIN PTFE DISPOSABLE STERILE FIX CORE ATRAUMATIC TIP EXTRA	SUP-G00692	CDM			270	RC		inpatient			32.1	32.1																																																			
RAY PORTS MUSCLE BX CLAMPS 12M	SUP-83-00005	CDM			272	RC		outpatient			32.07	32.7	8.69				percent of total billed charges		32.07				other	OPPS APC	23.73				percent of total billed charges		32.07				other	OPPS APC	32.07				other	OPPS APC	8.69				percent of total billed charges		8.86				percent of total billed charges		32.7				other	OPPS APC	8.69	32.7	
RAY PORTS MUSCLE BX CLAMPS 12M	SUP-83-00005	CDM			272	RC		inpatient			32.07	32.07																																																			
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM 26 IN OD 20.5 IN ODSEC 22 IN L KNEE 3 PANEL LOOP LOCK CLOSURE POSTERIOR STAY ADJUSTABLE LATEX FREE	SUP-ORT2411022	CDM	270009016	LOCAL	270	RC		outpatient			32.05	32.5	8.68				percent of total billed charges		32.05				other	OPPS APC	23.72				percent of total billed charges		32.05				other	OPPS APC	32.05				other	OPPS APC	8.68				percent of total billed charges		8.86				percent of total billed charges		32.5				other	OPPS APC	8.68	32.5	
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM 26 IN OD 20.5 IN ODSEC 22 IN L KNEE 3 PANEL LOOP LOCK CLOSURE POSTERIOR STAY ADJUSTABLE LATEX FREE	SUP-ORT2411022	CDM	270009016	LOCAL	270	RC		inpatient			32.05	32.05																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0338-3612-50	NDC	J0736	HCPCS		inpatient			32.04	32.04																																																			
CLINDAMYCIN PER 300 MG	636000000	CDM	0338-3612-50	NDC	J0736	HCPCS		outpatient			32.04	2.41																																											2.41				other	OPPS APC	2.41	2.41	
DRAPE SURGICAL XL L159 IN X W80 IN OD5 1/2 IN POUCH 2 FLUID CONTROL HDA REINFORCEMENT 2 SIDE PANEL FEMORAL ANGIOGRAPHY	SUP-DYNJP4119HDA	CDM			270	RC		outpatient			32.04	32.4	8.68				percent of total billed charges		32.04				other	OPPS APC	23.71				percent of total billed charges		32.04				other	OPPS APC	32.04				other	OPPS APC	8.68				percent of total billed charges		8.85				percent of total billed charges		32.4				other	OPPS APC	8.68	32.4	
DRAPE SURGICAL XL L159 IN X W80 IN OD5 1/2 IN POUCH 2 FLUID CONTROL HDA REINFORCEMENT 2 SIDE PANEL FEMORAL ANGIOGRAPHY	SUP-DYNJP4119HDA	CDM			270	RC		inpatient			32.04	32.04																																																			
HC Smoking Cessation-Intermediate	PX-942994060	CDM	99406	CPT	942	RC		outpatient			32	31.26	32				fee schedule		31.26				other	OPPS APC	23.68				percent of total billed charges		31.26				other	OPPS APC	31.26				other	OPPS APC	11.66				fee schedule		16.32				percent of total billed charges		31.26				other	OPPS APC	11.66	32	
HC Smoking Cessation-Intermediate	PX-942994060	CDM	99406	CPT	942	RC		inpatient			32	32																																																			
BLADE SAGITTAL STRAIGHT 5.5 X 18 X 0.6MM	SUP-00502323500	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
BLADE SAGITTAL STRAIGHT 5.5 X 18 X 0.6MM	SUP-00502323500	CDM			270	RC		inpatient			32	32																																																			
MICROAIRE SAG SAW BLADE	SUP-1200-006	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
MICROAIRE SAG SAW BLADE	SUP-1200-006	CDM			270	RC		inpatient			32	32																																																			
SORBITOL 3% IRR  3000ML	SUP-21-00044	CDM			272	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
SORBITOL 3% IRR  3000ML	SUP-21-00044	CDM			272	RC		inpatient			32	32																																																			
BLADE SAW BONE SAGITTAL COARSE MICRO STERILE 5.5 X 25.5 X 0.4MM	SUP-5023-232	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
BLADE SAW BONE SAGITTAL COARSE MICRO STERILE 5.5 X 25.5 X 0.4MM	SUP-5023-232	CDM			270	RC		inpatient			32	32																																																			
BLADE SAW SAGITTAL MICRO FINE FLAT STAINLESS STEEL 9.5 X 25.5 X 0.4MM	SUP-5023-238	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
BLADE SAW SAGITTAL MICRO FINE FLAT STAINLESS STEEL 9.5 X 25.5 X 0.4MM	SUP-5023-238	CDM			270	RC		inpatient			32	32																																																			
BLADE MICRO	SUP-5023-262	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
BLADE MICRO	SUP-5023-262	CDM			270	RC		inpatient			32	32																																																			
BLADE MICRO	SUP-5023-263	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
BLADE MICRO	SUP-5023-263	CDM			270	RC		inpatient			32	32																																																			
INTRODUCER ADELANTE SIGMA PLUS 8F	SUP-ASGP08010	CDM			481	RC		outpatient			32	32	15.68				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	15.68				percent of total billed charges		16.32				percent of total billed charges		32				other	OPPS APC	15.68	32	
INTRODUCER ADELANTE SIGMA PLUS 8F	SUP-ASGP08010	CDM			481	RC		inpatient			32	32																																																			
PIN GUIDE 1.6MM TORNIER	SUP-ZPCP16	CDM			270	RC		outpatient			32	32	8.67				percent of total billed charges		32				other	OPPS APC	23.68				percent of total billed charges		32				other	OPPS APC	32				other	OPPS APC	8.67				percent of total billed charges		8.84				percent of total billed charges		32				other	OPPS APC	8.67	32	
PIN GUIDE 1.6MM TORNIER	SUP-ZPCP16	CDM			270	RC		inpatient			32	32																																																			
SENSOR ADULT SPO2	SUP-30-00104	CDM			272	RC		outpatient			31.92	31.92	8.65				percent of total billed charges		31.92				other	OPPS APC	23.62				percent of total billed charges		31.92				other	OPPS APC	31.92				other	OPPS APC	8.65				percent of total billed charges		8.82				percent of total billed charges		31.92				other	OPPS APC	8.65	31.92	
SENSOR ADULT SPO2	SUP-30-00104	CDM			272	RC		inpatient			31.92	31.92																																																			
ALLEVYN WOUND CARE	SUP-97-00401	CDM			272	RC		outpatient			31.92	31.92	8.65				percent of total billed charges		31.92				other	OPPS APC	23.62				percent of total billed charges		31.92				other	OPPS APC	31.92				other	OPPS APC	8.65				percent of total billed charges		8.82				percent of total billed charges		31.92				other	OPPS APC	8.65	31.92	
ALLEVYN WOUND CARE	SUP-97-00401	CDM			272	RC		inpatient			31.92	31.92																																																			
CATHETER KIT PUREWICK LATEX FREE	SUP-03-00038	CDM			272	RC		outpatient			31.91	31.91	8.64				percent of total billed charges		31.91				other	OPPS APC	23.61				percent of total billed charges		31.91				other	OPPS APC	31.91				other	OPPS APC	8.64				percent of total billed charges		8.82				percent of total billed charges		31.91				other	OPPS APC	8.64	31.91	
CATHETER KIT PUREWICK LATEX FREE	SUP-03-00038	CDM			272	RC		inpatient			31.91	31.91																																																			
DICLOFENAC EPOLAMINE 1.3 % PATCH 12 HOUR	637000000	CDM	82347-0405-4	NDC	A9270	HCPCS		inpatient			31.89	31.89																																																			
DICLOFENAC EPOLAMINE 1.3 % PATCH 12 HOUR	637000000	CDM	82347-0405-4	NDC	A9270	HCPCS		outpatient			31.89	31.89																																															other	OPPS APC			
LAMP SCOPE HALOGEN 6V REPLACEMENT BOX OF 6 SIGMOIDOSCOPE ANOSCOPE LIGHT HANDLE VAGINAL SPECULA ILLUMINATOR	SUP-07800-U6	CDM						inpatient			31.83	31.83																																																			
LAMP SCOPE HALOGEN 6V REPLACEMENT BOX OF 6 SIGMOIDOSCOPE ANOSCOPE LIGHT HANDLE VAGINAL SPECULA ILLUMINATOR	SUP-07800-U6	CDM						outpatient			31.83	31.83	31.83				percent of total billed charges		31.83				other	OPPS APC	31.83				fee schedule		31.83				other	OPPS APC	31.83				other	OPPS APC	31.83				case rate		31.83				case rate		31.83				other	OPPS APC	31.83	31.83	
TAPE  KETORALAC	SUP-97-01192	CDM			271	RC		outpatient			31.8	31.81	8.61				percent of total billed charges		31.8				other	OPPS APC	23.53				percent of total billed charges		31.8				other	OPPS APC	31.8				other	OPPS APC	8.61				percent of total billed charges		8.79				percent of total billed charges		31.81				other	OPPS APC	8.61	31.81	
TAPE  KETORALAC	SUP-97-01192	CDM			271	RC		inpatient			31.8	31.8																																																			
SUTURE NONABSORBABLE ETHILON MICROPOINT 10-0 TG160-6 6IN BLACK 2 ARM MONOFILAMENT	SUP-7757G	CDM			270	RC		outpatient			31.77	31.77	8.61				percent of total billed charges		31.77				other	OPPS APC	23.51				percent of total billed charges		31.77				other	OPPS APC	31.77				other	OPPS APC	8.61				percent of total billed charges		8.78				percent of total billed charges		31.77				other	OPPS APC	8.61	31.77	
SUTURE NONABSORBABLE ETHILON MICROPOINT 10-0 TG160-6 6IN BLACK 2 ARM MONOFILAMENT	SUP-7757G	CDM			270	RC		inpatient			31.77	31.77																																																			
WRAP COBAN 1X5	SUP-95-01726	CDM			272	RC		outpatient			31.72	31.72	8.59				percent of total billed charges		31.72				other	OPPS APC	23.47				percent of total billed charges		31.72				other	OPPS APC	31.72				other	OPPS APC	8.59				percent of total billed charges		8.76				percent of total billed charges		31.72				other	OPPS APC	8.59	31.72	
WRAP COBAN 1X5	SUP-95-01726	CDM			272	RC		inpatient			31.72	31.72																																																			
KIRSHNER WIRE .045	SUP-95-02822	CDM			278	RC		outpatient			31.64	31.64	31.64				fee schedule		31.64				other	OPPS APC	18.03				percent of total billed charges		31.64				other	OPPS APC	31.64				other	OPPS APC	15.5				percent of total billed charges		16.14				percent of total billed charges		31.64				other	OPPS APC	15.5	31.64	
KIRSHNER WIRE .045	SUP-95-02822	CDM			278	RC		inpatient			31.64	31.64																																																			
CATHETER - INTERNAL MAMMARY 6F	SUP-99-00181	CDM			272	RC		outpatient			31.64	31.64	8.57				percent of total billed charges		31.64				other	OPPS APC	23.41				percent of total billed charges		31.64				other	OPPS APC	31.64				other	OPPS APC	8.57				percent of total billed charges		8.74				percent of total billed charges		31.64				other	OPPS APC	8.57	31.64	
CATHETER - INTERNAL MAMMARY 6F	SUP-99-00181	CDM			272	RC		inpatient			31.64	31.64																																																			
CATHETER - JL 6.0 6F	SUP-99-00185	CDM			272	RC		outpatient			31.64	31.64	8.57				percent of total billed charges		31.64				other	OPPS APC	23.41				percent of total billed charges		31.64				other	OPPS APC	31.64				other	OPPS APC	8.57				percent of total billed charges		8.74				percent of total billed charges		31.64				other	OPPS APC	8.57	31.64	
CATHETER - JL 6.0 6F	SUP-99-00185	CDM			272	RC		inpatient			31.64	31.64																																																			
CATHETER - JR 5.0 5F	SUP-99-01565	CDM			272	RC		outpatient			31.64	31.64	8.57				percent of total billed charges		31.64				other	OPPS APC	23.41				percent of total billed charges		31.64				other	OPPS APC	31.64				other	OPPS APC	8.57				percent of total billed charges		8.74				percent of total billed charges		31.64				other	OPPS APC	8.57	31.64	
CATHETER - JR 5.0 5F	SUP-99-01565	CDM			272	RC		inpatient			31.64	31.64																																																			
CATHETER - MPA2 5F	SUP-99-01570	CDM			272	RC		outpatient			31.64	31.64	8.57				percent of total billed charges		31.64				other	OPPS APC	23.41				percent of total billed charges		31.64				other	OPPS APC	31.64				other	OPPS APC	8.57				percent of total billed charges		8.74				percent of total billed charges		31.64				other	OPPS APC	8.57	31.64	
CATHETER - MPA2 5F	SUP-99-01570	CDM			272	RC		inpatient			31.64	31.64																																																			
BINDER ABDOMINAL COMFORT LARGE L46-62 IN X W12 IN 4 ELASTIC PANEL CONTACT CLOSURE LATEX	SUP-1398200	CDM	270009158	LOCAL	270	RC		outpatient			31.56	31.56	8.55				percent of total billed charges		31.56				other	OPPS APC	23.35				percent of total billed charges		31.56				other	OPPS APC	31.56				other	OPPS APC	8.55				percent of total billed charges		8.72				percent of total billed charges		31.56				other	OPPS APC	8.55	31.56	
BINDER ABDOMINAL COMFORT LARGE L46-62 IN X W12 IN 4 ELASTIC PANEL CONTACT CLOSURE LATEX	SUP-1398200	CDM	270009158	LOCAL	270	RC		inpatient			31.56	31.56																																																			
BINDER ABDOMINAL 12 UNIV 45'- 62'	SUP-39-00004	CDM			271	RC		outpatient			31.52	31.52	8.54				percent of total billed charges		31.52				other	OPPS APC	23.32				percent of total billed charges		31.52				other	OPPS APC	31.52				other	OPPS APC	8.54				percent of total billed charges		8.71				percent of total billed charges		31.52				other	OPPS APC	8.54	31.52	
BINDER ABDOMINAL 12 UNIV 45'- 62'	SUP-39-00004	CDM			271	RC		inpatient			31.52	31.52																																																			
"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLUTION"	250000000	CDM	63323-462-01	NDC				inpatient			31.47	31.47																																																			
"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLUTION"	250000000	CDM	63323-462-01	NDC				outpatient			31.47	31.47																																															other	OPPS APC			
TUBING - DRAINAGE DEPOT	SUP-95-01487	CDM			272	RC		outpatient			31.44	31.44	8.52				percent of total billed charges		31.44				other	OPPS APC	23.27				percent of total billed charges		31.44				other	OPPS APC	31.44				other	OPPS APC	8.52				percent of total billed charges		8.69				percent of total billed charges		31.44				other	OPPS APC	8.52	31.44	
TUBING - DRAINAGE DEPOT	SUP-95-01487	CDM			272	RC		inpatient			31.44	31.44																																																			
KIT INTRODUCER ARROW-FLEX .035IN 10CM 6.35CM 8.5FR 18GA POLYURETHANE LF PERCUTANEOUS	SUP-AK-09803-CDC	CDM	270009145	LOCAL	270	RC		outpatient			31.44	31.44	8.52				percent of total billed charges		31.44				other	OPPS APC	23.27				percent of total billed charges		31.44				other	OPPS APC	31.44				other	OPPS APC	8.52				percent of total billed charges		8.69				percent of total billed charges		31.44				other	OPPS APC	8.52	31.44	
KIT INTRODUCER ARROW-FLEX .035IN 10CM 6.35CM 8.5FR 18GA POLYURETHANE LF PERCUTANEOUS	SUP-AK-09803-CDC	CDM	270009145	LOCAL	270	RC		inpatient			31.44	31.44																																																			
GLYCINE IRR 1.5% 3000ML 2B7317	SUP-21-00025	CDM			272	RC		outpatient			31.39	31.39	8.5				percent of total billed charges		31.39				other	OPPS APC	23.23				percent of total billed charges		31.39				other	OPPS APC	31.39				other	OPPS APC	8.5				percent of total billed charges		8.67				percent of total billed charges		31.39				other	OPPS APC	8.5	31.39	
GLYCINE IRR 1.5% 3000ML 2B7317	SUP-21-00025	CDM			272	RC		inpatient			31.39	31.39																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	0409-3385-11	NDC	J2543	HCPCS		inpatient			31.37	31.37																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	0409-3385-11	NDC	J2543	HCPCS		outpatient			31.37	31.37																																															other	OPPS APC			
FORCEP ARTERY ROCHESTER OCHSNER 1 X 2 TEETH STRAIGHT 8.0IN	SUP-SU2804	CDM						inpatient			31.32	31.32																																																			
FORCEP ARTERY ROCHESTER OCHSNER 1 X 2 TEETH STRAIGHT 8.0IN	SUP-SU2804	CDM						outpatient			31.32	31.32	31.32				percent of total billed charges		31.32				other	OPPS APC	31.32				fee schedule		31.32				other	OPPS APC	31.32				other	OPPS APC	31.32				case rate		31.32				case rate		31.32				other	OPPS APC	31.32	31.32	
METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON SOLN	636000000	CDM	0009-0047-25	NDC	J2919	HCPCS		inpatient			31.26	31.26																																																			
METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON SOLN	636000000	CDM	0009-0047-25	NDC	J2919	HCPCS		outpatient			31.26	31.26																																															other	OPPS APC			
VERAPAMIL 2.5 MG/ML SOLUTION	250000000	CDM	70069-271-01	NDC				inpatient			31.25	31.25																																																			
VERAPAMIL 2.5 MG/ML SOLUTION	250000000	CDM	70069-271-25	NDC				inpatient			31.25	31.25																																																			
VERAPAMIL 2.5 MG/ML SOLUTION	250000000	CDM	70069-271-01	NDC				outpatient			31.25	31.25																																															other	OPPS APC			
VERAPAMIL 2.5 MG/ML SOLUTION	250000000	CDM	70069-271-25	NDC				outpatient			31.25	31.25																																															other	OPPS APC			
BRIMONIDINE 0.2 % DROPS 5 ML DROP BTL	637000000	CDM	70069-231-01	NDC	A9270	HCPCS		inpatient			31.25	31.25																																																			
BRIMONIDINE 0.2 % DROPS 5 ML DROP BTL	637000000	CDM	70069-231-01	NDC	A9270	HCPCS		outpatient			31.25	31.25																																															other	OPPS APC			
CHLORPROMAZINE PER 25 MG	637000000	CDM	0904-7130-61	NDC	A9270	HCPCS		inpatient			31.25	31.25																																																			
CHLORPROMAZINE PER 25 MG	637000000	CDM	0904-7130-61	NDC	A9270	HCPCS		outpatient			31.25	31.25																																															other	OPPS APC			
ELECTRODE DEFIBRILLATOR MEDI-TRACE CADENCE ADULT MULTIFUNCTION RADIOLUCENT MEDTRONIC PAD	SUP-22550R	CDM			270	RC		outpatient			31.22	31.22	8.46				percent of total billed charges		31.22				other	OPPS APC	23.1				percent of total billed charges		31.22				other	OPPS APC	31.22				other	OPPS APC	8.46				percent of total billed charges		8.63				percent of total billed charges		31.22				other	OPPS APC	8.46	31.22	
ELECTRODE DEFIBRILLATOR MEDI-TRACE CADENCE ADULT MULTIFUNCTION RADIOLUCENT MEDTRONIC PAD	SUP-22550R	CDM			270	RC		inpatient			31.22	31.22																																																			
KIT ADMISSION	SUP-12-00001	CDM			271	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
KIT ADMISSION	SUP-12-00001	CDM			271	RC		inpatient			31.2	31.2																																																			
HEMOSTAT ABSORBABLED-STAT TOPICAL DRY STERILE LATEX FREE DISPOSABLE	SUP-3001	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
HEMOSTAT ABSORBABLED-STAT TOPICAL DRY STERILE LATEX FREE DISPOSABLE	SUP-3001	CDM			270	RC		inpatient			31.2	31.2																																																			
BANDAGE HEMOSTATIC INTERVENTIONAL QUICKCLOT	SUP-3101	CDM			481	RC		outpatient			31.2	31.2	15.29				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	15.29				percent of total billed charges		15.91				percent of total billed charges		31.2				other	OPPS APC	15.29	31.2	
BANDAGE HEMOSTATIC INTERVENTIONAL QUICKCLOT	SUP-3101	CDM			481	RC		inpatient			31.2	31.2																																																			
BANDAGE HEMOSTATIC THROMBIX SILVER LF TOPICAL PATCH	SUP-3101	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
BANDAGE HEMOSTATIC THROMBIX SILVER LF TOPICAL PATCH	SUP-3101	CDM			270	RC		inpatient			31.2	31.2																																																			
WARMING GOWN XL BAIR HUGGAR FLEX	SUP-81203	CDM						inpatient			31.2	31.2																																																			
WARMING GOWN XL BAIR HUGGAR FLEX	SUP-81203	CDM						outpatient			31.2	31.2	31.2				percent of total billed charges		31.2				other	OPPS APC	31.2				fee schedule		31.2				other	OPPS APC	31.2				other	OPPS APC	31.2				case rate		31.2				case rate		31.2				other	OPPS APC	31.2	31.2	
ELECTRODE ELECTROSURGICAL UTAHBALL L11 CM OD3 MM BALL SHAFT DISPOSABLE BLACK	SUP-DBL-311	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
ELECTRODE ELECTROSURGICAL UTAHBALL L11 CM OD3 MM BALL SHAFT DISPOSABLE BLACK	SUP-DBL-311	CDM			270	RC		inpatient			31.2	31.2																																																			
ELECTRODE ELECTROSURGICAL UTAHLOOP SAFE-T-GAUGE LETZ TUNGSTEN L15 MM X W20 MM L11 CM OD3/32 IN WIRE ROUND LOOP Y SHAFT DISPOSABLE BLUE	SUP-DLP-L11	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
ELECTRODE ELECTROSURGICAL UTAHLOOP SAFE-T-GAUGE LETZ TUNGSTEN L15 MM X W20 MM L11 CM OD3/32 IN WIRE ROUND LOOP Y SHAFT DISPOSABLE BLUE	SUP-DLP-L11	CDM			270	RC		inpatient			31.2	31.2																																																			
ELECTRODE ELECTROSURGICAL LETZ UTAHLOOP SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN ROUND LOOP L12 MM X W15 MM L11 CM OD3/32 IN Y SHAFT WIRE DISPOSABLE GREEN	SUP-DLP-M11	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
ELECTRODE ELECTROSURGICAL LETZ UTAHLOOP SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN ROUND LOOP L12 MM X W15 MM L11 CM OD3/32 IN Y SHAFT WIRE DISPOSABLE GREEN	SUP-DLP-M11	CDM			270	RC		inpatient			31.2	31.2																																																			
ELECTRODE ELECTROSURGICAL LETZ UTAHLOOP SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN ROUND LOOP L10 MM X W10 MM L11 CM OD3/32 IN Y SHAFT WIRE DISPOSABLE YELLOW	SUP-DLP-S11	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
ELECTRODE ELECTROSURGICAL LETZ UTAHLOOP SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN ROUND LOOP L10 MM X W10 MM L11 CM OD3/32 IN Y SHAFT WIRE DISPOSABLE YELLOW	SUP-DLP-S11	CDM			270	RC		inpatient			31.2	31.2																																																			
ELECTRODE ELECTROSURGICAL UTAHLOOP LETZ SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN PLASTIC ROUND LOOP L12 MM X W20 MM L11 CM OD3/32 IN SHAFT WIRE STERILE DISPOSABLE WHITE	SUP-DLP-W11	CDM			270	RC		outpatient			31.2	31.2	8.45				percent of total billed charges		31.2				other	OPPS APC	23.09				percent of total billed charges		31.2				other	OPPS APC	31.2				other	OPPS APC	8.45				percent of total billed charges		8.62				percent of total billed charges		31.2				other	OPPS APC	8.45	31.2	
ELECTRODE ELECTROSURGICAL UTAHLOOP LETZ SAFE-T-GAUGE STAINLESS STEEL TUNGSTEN PLASTIC ROUND LOOP L12 MM X W20 MM L11 CM OD3/32 IN SHAFT WIRE STERILE DISPOSABLE WHITE	SUP-DLP-W11	CDM			270	RC		inpatient			31.2	31.2																																																			
CATHETER FOLEY 2WAY COUDE 22FR 5CC	SUP-02-00131	CDM			272	RC		outpatient			31.16	31.16	8.44				percent of total billed charges		31.16				other	OPPS APC	23.06				percent of total billed charges		31.16				other	OPPS APC	31.16				other	OPPS APC	8.44				percent of total billed charges		8.61				percent of total billed charges		31.16				other	OPPS APC	8.44	31.16	
CATHETER FOLEY 2WAY COUDE 22FR 5CC	SUP-02-00131	CDM			272	RC		inpatient			31.16	31.16																																																			
CATHETER DRAINAGE ONE STEP L7 CM OD5 FR PERCUTANEOUS 4 HOLE SELF CLOSING INTRODUCER NEEDLE VALVED TAPERED TIP FIXED LUER	SUP-OSC-5F-7LT	CDM			270	RC		outpatient			31.1	31.11	8.42				percent of total billed charges		31.1				other	OPPS APC	23.01				percent of total billed charges		31.1				other	OPPS APC	31.1				other	OPPS APC	8.42				percent of total billed charges		8.59				percent of total billed charges		31.11				other	OPPS APC	8.42	31.11	
CATHETER DRAINAGE ONE STEP L7 CM OD5 FR PERCUTANEOUS 4 HOLE SELF CLOSING INTRODUCER NEEDLE VALVED TAPERED TIP FIXED LUER	SUP-OSC-5F-7LT	CDM			270	RC		inpatient			31.1	31.1																																																			
LONE STAR RETRACTOR STAY 12MM BLUNT	SUP-70-00244	CDM			272	RC		outpatient			31.08	31.8	8.42				percent of total billed charges		31.08				other	OPPS APC	23				percent of total billed charges		31.08				other	OPPS APC	31.08				other	OPPS APC	8.42				percent of total billed charges		8.59				percent of total billed charges		31.8				other	OPPS APC	8.42	31.8	
LONE STAR RETRACTOR STAY 12MM BLUNT	SUP-70-00244	CDM			272	RC		inpatient			31.08	31.08																																																			
DRESSING WOUND RESTORE TRIACT SILVER L8 IN X W6 IN CONTACT LAYER NONADHESIVE NONOCCULSIVE	SUP-509342	CDM			270	RC		outpatient			31.07	31.7	8.42				percent of total billed charges		31.07				other	OPPS APC	22.99				percent of total billed charges		31.07				other	OPPS APC	31.07				other	OPPS APC	8.42				percent of total billed charges		8.58				percent of total billed charges		31.7				other	OPPS APC	8.42	31.7	
DRESSING WOUND RESTORE TRIACT SILVER L8 IN X W6 IN CONTACT LAYER NONADHESIVE NONOCCULSIVE	SUP-509342	CDM			270	RC		inpatient			31.07	31.07																																																			
PEDINOL PHENOL EZ SWAB PK/30 SWABS	SUP-95-05599	CDM			272	RC		outpatient			31.06	31.6	8.41				percent of total billed charges		31.06				other	OPPS APC	22.98				percent of total billed charges		31.06				other	OPPS APC	31.06				other	OPPS APC	8.41				percent of total billed charges		8.58				percent of total billed charges		31.6				other	OPPS APC	8.41	31.6	
PEDINOL PHENOL EZ SWAB PK/30 SWABS	SUP-95-05599	CDM			272	RC		inpatient			31.06	31.06																																																			
SUTURE NONABSORBABLE PROLENE 6-0 BV-1 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-8709H	CDM			270	RC		outpatient			31.05	31.51	8.41				percent of total billed charges		31.05				other	OPPS APC	22.98				percent of total billed charges		31.05				other	OPPS APC	31.05				other	OPPS APC	8.41				percent of total billed charges		8.58				percent of total billed charges		31.51				other	OPPS APC	8.41	31.51	
SUTURE NONABSORBABLE PROLENE 6-0 BV-1 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-8709H	CDM			270	RC		inpatient			31.05	31.05																																																			
SUTURE NONABSORBABLE PROLENE 6-0 BV-1 L24 IN 2 ARM MONOFILAMENT BLUE	SUP-8805H	CDM			270	RC		outpatient			31.05	31.51	8.41				percent of total billed charges		31.05				other	OPPS APC	22.98				percent of total billed charges		31.05				other	OPPS APC	31.05				other	OPPS APC	8.41				percent of total billed charges		8.58				percent of total billed charges		31.51				other	OPPS APC	8.41	31.51	
SUTURE NONABSORBABLE PROLENE 6-0 BV-1 L24 IN 2 ARM MONOFILAMENT BLUE	SUP-8805H	CDM			270	RC		inpatient			31.05	31.05																																																			
TUBE GASTROSTOMY KANGAROO 18FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-8884720189	CDM			270	RC		outpatient			31.05	31.51	8.41				percent of total billed charges		31.05				other	OPPS APC	22.98				percent of total billed charges		31.05				other	OPPS APC	31.05				other	OPPS APC	8.41				percent of total billed charges		8.58				percent of total billed charges		31.51				other	OPPS APC	8.41	31.51	
TUBE GASTROSTOMY KANGAROO 18FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-8884720189	CDM			270	RC		inpatient			31.05	31.05																																																			
ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINTMENT 1 G TUBE	637000000	CDM	24208-910-19	NDC	A9270	HCPCS		inpatient			31.04	31.04																																																			
ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINTMENT 1 G TUBE	637000000	CDM	24208-910-19	NDC	A9270	HCPCS		outpatient			31.04	31.04																																															other	OPPS APC			
HC Fluorescent Noninfectious Agent Antibody;Titer Ea	PX-300862560	CDM	86256	CPT	302	RC		outpatient			31	12.51	11.69				fee schedule		12.05				fee schedule		23.22				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		11.69	23.22	
HC Fluorescent Noninfectious Agent Antibody;Titer Ea	PX-300862560	CDM	86256	CPT	302	RC		inpatient			31	31																																																			
Immun Admin W/ Counseling	PX-510904601	CDM	90460	CPT	510	RC		outpatient			31	22.26	31				fee schedule		22.26				fee schedule		22.94				percent of total billed charges		22.26				fee schedule		22.26				fee schedule		22.36				fee schedule		31				fee schedule		22.26				fee schedule		22.26	31	
Immun Admin W/ Counseling	PX-510904601	CDM	90460	CPT	510	RC		inpatient			31	31																																																			
FLEX TUBING 1/4 TUBING	SUP-97-02674	CDM			271	RC		outpatient			31	31	8.4				percent of total billed charges		31				other	OPPS APC	22.94				percent of total billed charges		31				other	OPPS APC	31				other	OPPS APC	8.4				percent of total billed charges		8.57				percent of total billed charges		31				other	OPPS APC	8.4	31	
FLEX TUBING 1/4 TUBING	SUP-97-02674	CDM			271	RC		inpatient			31	31																																																			
SUTURE NONABSORBABLE FIBERWIRE 2 T-5 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLUE	SUP-AR-7200	CDM			270	RC		outpatient			31	31	8.4				percent of total billed charges		31				other	OPPS APC	22.94				percent of total billed charges		31				other	OPPS APC	31				other	OPPS APC	8.4				percent of total billed charges		8.57				percent of total billed charges		31				other	OPPS APC	8.4	31	
SUTURE NONABSORBABLE FIBERWIRE 2 T-5 L38 IN BRAID TIES MULTISTRAND LOWER KNOT PROFILE BLUE	SUP-AR-7200	CDM			270	RC		inpatient			31	31																																																			
LACTATED RINGER'S	636000000	CDM	0338-0117-04	NDC	J7120	HCPCS		inpatient			30.95	30.95																																																			
LACTATED RINGER'S	636000000	CDM	0338-0117-04	NDC	J7120	HCPCS		outpatient			30.95	30.95																																															other	OPPS APC			
TRAY EDLICH TUBE 34FR	SUP-74-00387	CDM			272	RC		outpatient			30.92	3.92	8.38				percent of total billed charges		30.92				other	OPPS APC	22.88				percent of total billed charges		30.92				other	OPPS APC	30.92				other	OPPS APC	8.38				percent of total billed charges		8.54				percent of total billed charges		3.92				other	OPPS APC	3.92	30.92	
TRAY EDLICH TUBE 34FR	SUP-74-00387	CDM			272	RC		inpatient			30.92	30.92																																																			
STOCKING THIGH-HI MEDIUM/REGUL	SUP-01-00055	CDM			271	RC		outpatient			30.9	3.9	8.37				percent of total billed charges		30.9				other	OPPS APC	22.87				percent of total billed charges		30.9				other	OPPS APC	30.9				other	OPPS APC	8.37				percent of total billed charges		8.54				percent of total billed charges		3.9				other	OPPS APC	3.9	30.9	
STOCKING THIGH-HI MEDIUM/REGUL	SUP-01-00055	CDM			271	RC		inpatient			30.9	30.9																																																			
NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL	250000000	CDM	72485-406-01	NDC				inpatient			30.85	30.85																																																			
NAFCILLIN 2 GRAM RECON SOLN 1 EACH VIAL	250000000	CDM	72485-406-01	NDC				outpatient			30.85	30.85																																															other	OPPS APC			
POTASSIUM PHOSPHATES 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	0409-7295-11	NDC				inpatient			30.77	30.77																																																			
POTASSIUM PHOSPHATES 3 MMOL/ML SOLUTION 15 ML VIAL	250000000	CDM	0409-7295-11	NDC				outpatient			30.77	30.77																																															other	OPPS APC			
STOCKING THIGH-HI MEDIUM/LONG	SUP-01-00054	CDM			271	RC		outpatient			30.73	3.73	8.32				percent of total billed charges		30.73				other	OPPS APC	22.74				percent of total billed charges		30.73				other	OPPS APC	30.73				other	OPPS APC	8.32				percent of total billed charges		8.49				percent of total billed charges		3.73				other	OPPS APC	3.73	30.73	
STOCKING THIGH-HI MEDIUM/LONG	SUP-01-00054	CDM			271	RC		inpatient			30.73	30.73																																																			
SUTURE NONABSORBABLE PROLENE 6-0 BV-1 L24 IN 2 ARM MONOFILAMENT BLUE	SUP-8305H	CDM			270	RC		outpatient			30.71	3.71	8.32				percent of total billed charges		30.71				other	OPPS APC	22.73				percent of total billed charges		30.71				other	OPPS APC	30.71				other	OPPS APC	8.32				percent of total billed charges		8.49				percent of total billed charges		3.71				other	OPPS APC	3.71	30.71	
SUTURE NONABSORBABLE PROLENE 6-0 BV-1 L24 IN 2 ARM MONOFILAMENT BLUE	SUP-8305H	CDM			270	RC		inpatient			30.71	30.71																																																			
CATHETER - JL 4.0 6F	SUP-99-00182	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JL 4.0 6F	SUP-99-00182	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - JR 3.5 6F	SUP-99-00186	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JR 3.5 6F	SUP-99-00186	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - JR 4.0 6F	SUP-99-00187	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JR 4.0 6F	SUP-99-00187	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - LCB 6F	SUP-99-00190	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - LCB 6F	SUP-99-00190	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - PIGTAIL 6F	SUP-99-00193	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - PIGTAIL 6F	SUP-99-00193	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - PIGTAIL ANGLED 5F	SUP-99-00744	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - PIGTAIL ANGLED 5F	SUP-99-00744	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - JR 3.5 5F	SUP-99-01563	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JR 3.5 5F	SUP-99-01563	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - IMA 5F	SUP-99-01566	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - IMA 5F	SUP-99-01566	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - AR1 5F	SUP-99-01569	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - AR1 5F	SUP-99-01569	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - JL 5.0 5F	SUP-99-02261	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JL 5.0 5F	SUP-99-02261	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - PIGTAIL ANGLED 6F	SUP-99-03294	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - PIGTAIL ANGLED 6F	SUP-99-03294	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - JL 3.5 6F 125CM	SUP-99-03460	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JL 3.5 6F 125CM	SUP-99-03460	CDM			272	RC		inpatient			30.68	30.68																																																			
CATHETER - JR 4.0 6F 125CM	SUP-99-03461	CDM			272	RC		outpatient			30.68	3.68	8.31				percent of total billed charges		30.68				other	OPPS APC	22.7				percent of total billed charges		30.68				other	OPPS APC	30.68				other	OPPS APC	8.31				percent of total billed charges		8.48				percent of total billed charges		3.68				other	OPPS APC	3.68	30.68	
CATHETER - JR 4.0 6F 125CM	SUP-99-03461	CDM			272	RC		inpatient			30.68	30.68																																																			
SIDE PORT KNIFE  1.0MM	SUP-97-00859	CDM			272	RC		outpatient			30.67	3.67	8.31				percent of total billed charges		30.67				other	OPPS APC	22.7				percent of total billed charges		30.67				other	OPPS APC	30.67				other	OPPS APC	8.31				percent of total billed charges		8.47				percent of total billed charges		3.67				other	OPPS APC	3.67	30.67	
SIDE PORT KNIFE  1.0MM	SUP-97-00859	CDM			272	RC		inpatient			30.67	30.67																																																			
"AMPHETAMINE-DEXTROAMPHETAMINE XR 10 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	64850-511-01	NDC	A9270	HCPCS		inpatient			30.66	30.66																																																			
"AMPHETAMINE-DEXTROAMPHETAMINE XR 10 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	64850-511-01	NDC	A9270	HCPCS		outpatient			30.66	30.66																																															other	OPPS APC			
COVER PROBE SITE-RITE L48 IN PREGEL LATEX FREE	SUP-9001C0197	CDM			270	RC		outpatient			30.62	3.62	8.29				percent of total billed charges		30.62				other	OPPS APC	22.66				percent of total billed charges		30.62				other	OPPS APC	30.62				other	OPPS APC	8.29				percent of total billed charges		8.46				percent of total billed charges		3.62				other	OPPS APC	3.62	30.62	
COVER PROBE SITE-RITE L48 IN PREGEL LATEX FREE	SUP-9001C0197	CDM			270	RC		inpatient			30.62	30.62																																																			
"OXYCODONE ER 20 MG TABLET,ORAL ONLY,EXT.REL.12 HR"	637000000	CDM	59011-420-20	NDC	A9270	HCPCS		inpatient			30.6	30.6																																																			
"OXYCODONE ER 20 MG TABLET,ORAL ONLY,EXT.REL.12 HR"	637000000	CDM	59011-420-20	NDC	A9270	HCPCS		outpatient			30.6	30.6																																															other	OPPS APC			
DELUXE SHOULDER IMMOB UNIV	SUP-95-01731	CDM			272	RC		outpatient			30.6	3.61	8.29				percent of total billed charges		30.6				other	OPPS APC	22.64				percent of total billed charges		30.6				other	OPPS APC	30.6				other	OPPS APC	8.29				percent of total billed charges		8.45				percent of total billed charges		3.61				other	OPPS APC	3.61	30.6	
DELUXE SHOULDER IMMOB UNIV	SUP-95-01731	CDM			272	RC		inpatient			30.6	30.6																																																			
SYRINGE TUBERCULIN BD BD PRECISIONGLIDE REGULAR BEVEL REGULAR WALL L1/2 IN OD27 GA 1 ML DETACHABLE NEEDLE SLIP TIP HUB STERILE LATEX FREE DISPOSABLE GRAY	SUP-309623	CDM						inpatient			30.58	30.58																																																			
SYRINGE TUBERCULIN BD BD PRECISIONGLIDE REGULAR BEVEL REGULAR WALL L1/2 IN OD27 GA 1 ML DETACHABLE NEEDLE SLIP TIP HUB STERILE LATEX FREE DISPOSABLE GRAY	SUP-309623	CDM						outpatient			30.58	3.58	30.58				percent of total billed charges		30.58				other	OPPS APC	30.58				fee schedule		30.58				other	OPPS APC	30.58				other	OPPS APC	30.58				case rate		30.58				case rate		3.58				other	OPPS APC	3.58	30.58	
CANE ALUMINUM ROUND HANDLE	SUP-38-00004	CDM			271	RC		outpatient			30.56	3.56	8.28				percent of total billed charges		30.56				other	OPPS APC	22.61				percent of total billed charges		30.56				other	OPPS APC	30.56				other	OPPS APC	8.28				percent of total billed charges		8.44				percent of total billed charges		3.56				other	OPPS APC	3.56	30.56	
CANE ALUMINUM ROUND HANDLE	SUP-38-00004	CDM			271	RC		inpatient			30.56	30.56																																																			
BAIR HUGGER /  LOWER BODY BLANKET	SUP-97-01754	CDM			271	RC		outpatient			30.55	3.55	8.28				percent of total billed charges		30.55				other	OPPS APC	22.61				percent of total billed charges		30.55				other	OPPS APC	30.55				other	OPPS APC	8.28				percent of total billed charges		8.44				percent of total billed charges		3.55				other	OPPS APC	3.55	30.55	
BAIR HUGGER /  LOWER BODY BLANKET	SUP-97-01754	CDM			271	RC		inpatient			30.55	30.55																																																			
CONTAINER SHARPS SHARPSAFETY LARGE VOLUME 18 GL ADJUSTABLE SLIDE HINGE LID SEAL GASKET NESTABLE CARRY HANDLE RED	SUP-8991	CDM						inpatient			30.44	30.44																																																			
CONTAINER SHARPS SHARPSAFETY LARGE VOLUME 18 GL ADJUSTABLE SLIDE HINGE LID SEAL GASKET NESTABLE CARRY HANDLE RED	SUP-8991	CDM						outpatient			30.44	3.44	30.44				percent of total billed charges		30.44				other	OPPS APC	30.44				fee schedule		30.44				other	OPPS APC	30.44				other	OPPS APC	30.44				case rate		30.44				case rate		3.44				other	OPPS APC	3.44	30.44	
SUTURE NONABSORBABLE ETHILON ULTIMA NYLON 66 8-0 CS175-8 L12 IN 2 ARM MONOFILAMENT BLACK	SUP-9038G	CDM			270	RC		outpatient			30.41	3.41	8.24				percent of total billed charges		30.41				other	OPPS APC	22.5				percent of total billed charges		30.41				other	OPPS APC	30.41				other	OPPS APC	8.24				percent of total billed charges		8.4				percent of total billed charges		3.41				other	OPPS APC	3.41	30.41	
SUTURE NONABSORBABLE ETHILON ULTIMA NYLON 66 8-0 CS175-8 L12 IN 2 ARM MONOFILAMENT BLACK	SUP-9038G	CDM			270	RC		inpatient			30.41	30.41																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC L15 3/4 IN OD20 FR THORACIC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST TUBE THORACOSTOMY	SUP-8888561043	CDM			270	RC		outpatient			30.37	3.37	8.23				percent of total billed charges		30.37				other	OPPS APC	22.47				percent of total billed charges		30.37				other	OPPS APC	30.37				other	OPPS APC	8.23				percent of total billed charges		8.39				percent of total billed charges		3.37				other	OPPS APC	3.37	30.37	
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE ALUMINUM PVC L15 3/4 IN OD20 FR THORACIC SHARP TROCAR TIP INTEGRAL FUNNEL END THERMOSENSITIVE DEPTH MARK STERILE LATEX FREE DISPOSABLE CLEAR CLOSED CHEST TUBE THORACOSTOMY	SUP-8888561043	CDM			270	RC		inpatient			30.37	30.37																																																			
SUTURE SILK 3-0 C013D	SUP-74-00164	CDM			272	RC		outpatient			30.32	3.32	8.21				percent of total billed charges		30.32				other	OPPS APC	22.44				percent of total billed charges		30.32				other	OPPS APC	30.32				other	OPPS APC	8.21				percent of total billed charges		8.38				percent of total billed charges		3.32				other	OPPS APC	3.32	30.32	
SUTURE SILK 3-0 C013D	SUP-74-00164	CDM			272	RC		inpatient			30.32	30.32																																																			
CATHETER ANGIOGRAPHIC POLYETHYLENE NEWTON 4 CURVE L100 CM OD5 FR CEREBRAL ACCEPTS .035 IN GUIDEWIRE	SUP-P5.0-35-100-P-NS-HN4	CDM			270	RC		outpatient			30.31	3.4	8.21				percent of total billed charges		30.31				other	OPPS APC	22.43				percent of total billed charges		30.31				other	OPPS APC	30.31				other	OPPS APC	8.21				percent of total billed charges		8.37				percent of total billed charges		3.4				other	OPPS APC	3.4	30.31	
CATHETER ANGIOGRAPHIC POLYETHYLENE NEWTON 4 CURVE L100 CM OD5 FR CEREBRAL ACCEPTS .035 IN GUIDEWIRE	SUP-P5.0-35-100-P-NS-HN4	CDM			270	RC		inpatient			30.31	30.31																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP STAINLESS STEEL NYLON C1 CURVE ANGLE L65 CM OD5 FR MULTIPURPOSE ACCEPTS .035 IN GUIDEWIRE	SUP-G08441	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP STAINLESS STEEL NYLON C1 CURVE ANGLE L65 CM OD5 FR MULTIPURPOSE ACCEPTS .035 IN GUIDEWIRE	SUP-G08441	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP NYLON STAINLESS STEEL .035 IN C1 CURVE L100 CM OD5 FR CEREBRAL ANGLED MULTIPURPOSE	SUP-G08623	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP NYLON STAINLESS STEEL .035 IN C1 CURVE L100 CM OD5 FR CEREBRAL ANGLED MULTIPURPOSE	SUP-G08623	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON NYLON C2 CURVE LOW PROFILE TAPER L65 CM OD4 FR HUB TO TIP OPTIMAL STEERABILITY ACCEPTS .035 IN GUIDEWIRE	SUP-G51313	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON NYLON C2 CURVE LOW PROFILE TAPER L65 CM OD4 FR HUB TO TIP OPTIMAL STEERABILITY ACCEPTS .035 IN GUIDEWIRE	SUP-G51313	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP NYLON .035 IN RIM CURVE L65 CM OD4 FR LOW PROFILE HUB TO TIP TAPERED TIP OPTIMAL STEERABILITY	SUP-G51315	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP NYLON .035 IN RIM CURVE L65 CM OD4 FR LOW PROFILE HUB TO TIP TAPERED TIP OPTIMAL STEERABILITY	SUP-G51315	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP NYLON SIM1 CURVE L65 CM OD4 FR LOW PROFILE OPTIMAL STEERABILITY RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE	SUP-G53763	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP NYLON SIM1 CURVE L65 CM OD4 FR LOW PROFILE OPTIMAL STEERABILITY RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE	SUP-G53763	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC BEACON TORCON NB ADVANTAGE MULTIPURPOSE A CURVE L125 CM OD4 FR LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-G56360	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC BEACON TORCON NB ADVANTAGE MULTIPURPOSE A CURVE L125 CM OD4 FR LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-G56360	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP ANGLE SIMMONS 2 CURVE 100CM 5FR SS NYLON CEREBRAL MULTIPURPOSE	SUP-HNBR5.035100PNSSIM2	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP ANGLE SIMMONS 2 CURVE 100CM 5FR SS NYLON CEREBRAL MULTIPURPOSE	SUP-HNBR5.035100PNSSIM2	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP ANGLE ROSCH INFERIOR MESENTRIC CURVE 65CM 5FR SS NYLON VISCERAL	SUP-HNBR5.03565PNSRIM	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP ANGLE ROSCH INFERIOR MESENTRIC CURVE 65CM 5FR SS NYLON VISCERAL	SUP-HNBR5.03565PNSRIM	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP STAINLESS STEEL NYLON ANGLE KMP CURVE TAPER L65 CM OD5 FR LOW PROFILE OPTIMAL STEERABILITY ACCEPTS .035 IN GUIDEWIRE	SUP-HNBR5.03865PNSKMP	CDM			270	RC		outpatient			30.28	3.28	8.2				percent of total billed charges		30.28				other	OPPS APC	22.41				percent of total billed charges		30.28				other	OPPS APC	30.28				other	OPPS APC	8.2				percent of total billed charges		8.37				percent of total billed charges		3.28				other	OPPS APC	3.28	30.28	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE BEACON TIP STAINLESS STEEL NYLON ANGLE KMP CURVE TAPER L65 CM OD5 FR LOW PROFILE OPTIMAL STEERABILITY ACCEPTS .035 IN GUIDEWIRE	SUP-HNBR5.03865PNSKMP	CDM			270	RC		inpatient			30.28	30.28																																																			
CATHETER ANGIOGRAPHIC ROYAL FLUSH PLUS NYLON .035 IN STANDARD PIGTAIL CURVE L90 CM OD5 FR 10 SIDEPORT HIGH FLOW ACCEPTS .035	SUP-G04721	CDM			270	RC		outpatient			30.27	3.27	8.2				percent of total billed charges		30.27				other	OPPS APC	22.4				percent of total billed charges		30.27				other	OPPS APC	30.27				other	OPPS APC	8.2				percent of total billed charges		8.36				percent of total billed charges		3.27				other	OPPS APC	3.27	30.27	
CATHETER ANGIOGRAPHIC ROYAL FLUSH PLUS NYLON .035 IN STANDARD PIGTAIL CURVE L90 CM OD5 FR 10 SIDEPORT HIGH FLOW ACCEPTS .035	SUP-G04721	CDM			270	RC		inpatient			30.27	30.27																																																			
COOK 6F FA DIAGNOSTIC CATHETER	SUP-G05988	CDM			481	RC		outpatient			30.26	3.26	14.83				percent of total billed charges		30.26				other	OPPS APC	22.39				percent of total billed charges		30.26				other	OPPS APC	30.26				other	OPPS APC	14.83				percent of total billed charges		15.43				percent of total billed charges		3.26				other	OPPS APC	3.26	30.26	
COOK 6F FA DIAGNOSTIC CATHETER	SUP-G05988	CDM			481	RC		inpatient			30.26	30.26																																																			
COOK 6F FA1 DIAGNOSTIC CATHETER	SUP-G05989	CDM			481	RC		outpatient			30.26	3.26	14.83				percent of total billed charges		30.26				other	OPPS APC	22.39				percent of total billed charges		30.26				other	OPPS APC	30.26				other	OPPS APC	14.83				percent of total billed charges		15.43				percent of total billed charges		3.26				other	OPPS APC	3.26	30.26	
COOK 6F FA1 DIAGNOSTIC CATHETER	SUP-G05989	CDM			481	RC		inpatient			30.26	30.26																																																			
HC Endomysial Fluorescent Ab  Screen Ea (Ema)	PX-302862310	CDM	86231	CPT	302	RC		outpatient			30.23	12.9	7.55				fee schedule		12.09				fee schedule		28.17				fee schedule		12.09				fee schedule		12.09				fee schedule		12.09				fee schedule		12.09				fee schedule		12.9				fee schedule		7.55	28.17	
HC Endomysial Fluorescent Ab  Screen Ea (Ema)	PX-302862310	CDM	86231	CPT	302	RC		inpatient			30.23	30.23																																																			
PROPRANOLOL PER 1 MG	636000000	CDM	63323-604-01	NDC	J1800	HCPCS		inpatient			30.21	30.21																																																			
PROPRANOLOL PER 1 MG	636000000	CDM	63323-604-01	NDC	J1800	HCPCS		outpatient			30.21	30.21																																															other	OPPS APC			
SYSTEM WOUND IRRIGATION IRRIMAX 0.9% SODIUM CHLORIDE 450ML SPLASH GUARD NONSTERILE	SUP-IRCMAX101	CDM			270	RC		outpatient			30.2	3.2	8.18				percent of total billed charges		30.2				other	OPPS APC	22.35				percent of total billed charges		30.2				other	OPPS APC	30.2				other	OPPS APC	8.18				percent of total billed charges		8.34				percent of total billed charges		3.2				other	OPPS APC	3.2	30.2	
SYSTEM WOUND IRRIGATION IRRIMAX 0.9% SODIUM CHLORIDE 450ML SPLASH GUARD NONSTERILE	SUP-IRCMAX101	CDM			270	RC		inpatient			30.2	30.2																																																			
SHIELD SPLASH SPRAY TIP	SUP-74-00107	CDM			272	RC		outpatient			30.19	3.19	8.18				percent of total billed charges		30.19				other	OPPS APC	22.34				percent of total billed charges		30.19				other	OPPS APC	30.19				other	OPPS APC	8.18				percent of total billed charges		8.34				percent of total billed charges		3.19				other	OPPS APC	3.19	30.19	
SHIELD SPLASH SPRAY TIP	SUP-74-00107	CDM			272	RC		inpatient			30.19	30.19																																																			
PASSER SURGICAL STRAIGHTSHOT ACCORD OD8.5 MM ACL CALIBRATED TUBE TAPE ACL GRAFT LIGAMENT	SUP-232205	CDM			270	RC		outpatient			30.16	3.16	8.17				percent of total billed charges		30.16				other	OPPS APC	22.32				percent of total billed charges		30.16				other	OPPS APC	30.16				other	OPPS APC	8.17				percent of total billed charges		8.33				percent of total billed charges		3.16				other	OPPS APC	3.16	30.16	
PASSER SURGICAL STRAIGHTSHOT ACCORD OD8.5 MM ACL CALIBRATED TUBE TAPE ACL GRAFT LIGAMENT	SUP-232205	CDM			270	RC		inpatient			30.16	30.16																																																			
CEFEPIME PER 500 MG	636000000	CDM	0409-9735-01	NDC	J0692	HCPCS		inpatient			30.15	30.15																																																			
CEFEPIME PER 500 MG	636000000	CDM	0409-9735-10	NDC	J0692	HCPCS		inpatient			30.15	30.15																																																			
CEFEPIME PER 500 MG	636000000	CDM	0409-9735-01	NDC	J0692	HCPCS		outpatient			30.15	30.15																																															other	OPPS APC			
CEFEPIME PER 500 MG	636000000	CDM	0409-9735-10	NDC	J0692	HCPCS		outpatient			30.15	30.15																																															other	OPPS APC			
HC Inflammatory Bowel Disease Panel Fluorescent Ab  Screen Ea (Ibdpt)	PX-302860361	CDM	86036	CPT	302	RC		outpatient			30.13	12.51	7.53				fee schedule		12.05				fee schedule		28.08				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		7.53	28.08	
HC Inflammatory Bowel Disease Panel Fluorescent Ab  Screen Ea (Ibdpt)	PX-302860361	CDM	86036	CPT	302	RC		inpatient			30.13	30.13																																																			
HC Nmo/Aqp4 Facs Fluorescent Noninfectious Ab  Screen Ea (Nmofs/Nmofc)	PX-302860530	CDM	86053	CPT	302	RC		outpatient			30.13	37.73	14.76				percent of total billed charges		37.73				fee schedule		28.08				fee schedule		37.73				fee schedule		37.73				fee schedule		37.73				fee schedule		37.73				fee schedule		37.73				fee schedule		14.76	37.73	
HC Nmo/Aqp4 Facs Fluorescent Noninfectious Ab  Screen Ea (Nmofs/Nmofc)	PX-302860530	CDM	86053	CPT	302	RC		inpatient			30.13	30.13																																																			
HC Fluorescent Noninfectious Agent Ab  Screen Ea (Facs)	PX-302863630	CDM	86363	CPT	302	RC		outpatient			30.13	37.73	14.76				percent of total billed charges		37.73				fee schedule		28.08				fee schedule		37.73				fee schedule		37.73				fee schedule		37.73				fee schedule		37.73				fee schedule		37.73				fee schedule		14.76	37.73	
HC Fluorescent Noninfectious Agent Ab  Screen Ea (Facs)	PX-302863630	CDM	86363	CPT	302	RC		inpatient			30.13	30.13																																																			
HC Anticytoplasmic Neut Fluorescent Ab  Screen Ea (Anca)	PX-302860360	CDM	86036	CPT	302	RC		outpatient			30.12	12.51	7.53				fee schedule		12.05				fee schedule		28.08				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		7.53	28.08	
HC Anticytoplasmic Neut Fluorescent Ab  Screen Ea (Anca)	PX-302860360	CDM	86036	CPT	302	RC		inpatient			30.12	30.12																																																			
HC P/Q Type Calcium Channel Ab Quant by Radioimmunoassay	PX-302865960	CDM	86596	CPT	302	RC		outpatient			30.12	12.51	14.76				percent of total billed charges		12.05				fee schedule		42.87				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		12.05	42.87	
HC P/Q Type Calcium Channel Ab Quant by Radioimmunoassay	PX-302865960	CDM	86596	CPT	302	RC		inpatient			30.12	30.12																																																			
SHEATH - 6F	SUP-99-00224	CDM			272	RC		outpatient			30.12	3.12	8.16				percent of total billed charges		30.12				other	OPPS APC	22.29				percent of total billed charges		30.12				other	OPPS APC	30.12				other	OPPS APC	8.16				percent of total billed charges		8.32				percent of total billed charges		3.12				other	OPPS APC	3.12	30.12	
SHEATH - 6F	SUP-99-00224	CDM			272	RC		inpatient			30.12	30.12																																																			
CALCIUM GLUCONATE PER 10 MG	250000000	CDM	0143-9180-01	NDC				inpatient			30.06	30.06																																																			
CALCIUM GLUCONATE PER 10 MG	250000000	CDM	0143-9180-01	NDC				outpatient			30.06	30.06																																															other	OPPS APC			
CALCIUM GLUCONATE PER 10 MG	250000000	CDM	75834-171-01	NDC	J0612	HCPCS		inpatient			30.05	30.05																																																			
CALCIUM GLUCONATE PER 10 MG	250000000	CDM	75834-171-01	NDC	J0612	HCPCS		outpatient			30.05	0.52																																											0.52				other	OPPS APC	0.52	0.52	
NEEDLE BIOPSY JAMSHIDI 4IN 11GA DISPOSABLE STERILE LF BONE MARROW TAPER DISTAL ADAPTER SHARP BEVEL TIP	SUP-DJ4011X	CDM			270	RC		outpatient			30.02	3.2	8.13				percent of total billed charges		30.02				other	OPPS APC	22.21				percent of total billed charges		30.02				other	OPPS APC	30.02				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3.2				other	OPPS APC	3.2	30.02	
NEEDLE BIOPSY JAMSHIDI 4IN 11GA DISPOSABLE STERILE LF BONE MARROW TAPER DISTAL ADAPTER SHARP BEVEL TIP	SUP-DJ4011X	CDM			270	RC		inpatient			30.02	30.02																																																			
IOHEXOL 240 MG IODINE/ML SOLUTION	636000000	CDM	0407-1412-33	NDC	Q9966	HCPCS		inpatient			30	30																																																			
IOHEXOL 240 MG IODINE/ML SOLUTION	636000000	CDM	0407-1412-33	NDC	Q9966	HCPCS		outpatient			30	30																																															other	OPPS APC			
METHOCARBAMOL 100 MG/ML SOLUTION	636000000	CDM	55150-223-10	NDC	J2800	HCPCS		inpatient			30	30																																																			
METHOCARBAMOL 100 MG/ML SOLUTION	636000000	CDM	55150-223-10	NDC	J2800	HCPCS		outpatient			30	30																																															other	OPPS APC			
HC Tissue Grinding	PX-300871760	CDM	87176	CPT	300	RC		outpatient			30	5.88	7.87				fee schedule		5.88				fee schedule		15.62				fee schedule		5.88				fee schedule		5.88				fee schedule		5.88				fee schedule		5.88				fee schedule		5.88				fee schedule		5.88	15.62	
HC Tissue Grinding	PX-300871760	CDM	87176	CPT	300	RC		inpatient			30	30																																																			
HC Gases Blood O2 Sat Only	PX-301828102	CDM	82810	CPT	301	RC		outpatient			30	9.77	11.67				fee schedule		9.77				fee schedule		23.18				fee schedule		9.77				fee schedule		9.77				fee schedule		9.77				fee schedule		9.77				fee schedule		9.77				fee schedule		9.77	23.18	
HC Gases Blood O2 Sat Only	PX-301828102	CDM	82810	CPT	301	RC		inpatient			30	30																																																			
HC Development of Cognitive Skills	PX-441G05151	CDM			441	RC		outpatient			30	3	30				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				fee schedule		30				fee schedule		31.39				percent of total billed charges		30				percent of total billed charges		3				fee schedule		3	31.39	
HC Development of Cognitive Skills	PX-441G05151	CDM			441	RC		inpatient			30	30																																																			
SEAL CANNULA DA VINCI ENDOWRIST OD8 MM DISPOSABLE	SUP-400077	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
SEAL CANNULA DA VINCI ENDOWRIST OD8 MM DISPOSABLE	SUP-400077	CDM			270	RC		inpatient			30	30																																																			
VALVE BYPASS TOOL	SUP-410192	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
VALVE BYPASS TOOL	SUP-410192	CDM			270	RC		inpatient			30	30																																																			
NEEDLE EPIDURAL TUOHY CURVE 6IN 17GA PLASTIC DISPOSABLE STERILE LF BLUNT TIP LUER LOCK FIRM CANNULA BUFF HEEL	SUP-6-2150-17	CDM						inpatient			30	30																																																			
NEEDLE EPIDURAL TUOHY CURVE 6IN 17GA PLASTIC DISPOSABLE STERILE LF BLUNT TIP LUER LOCK FIRM CANNULA BUFF HEEL	SUP-6-2150-17	CDM						outpatient			30	3	30				percent of total billed charges		30				other	OPPS APC	30				fee schedule		30				other	OPPS APC	30				other	OPPS APC	30				case rate		30				case rate		3				other	OPPS APC	3	30	
17G X 7 TOUHY WHITE NEEDLE	SUP-7-21501-7	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
17G X 7 TOUHY WHITE NEEDLE	SUP-7-21501-7	CDM			270	RC		inpatient			30	30																																																			
SOLUTION IV IRRIGATION SODIUM CHLORIDE 0.9% PLASTIC BAG 1000ML	SUP-797205	CDM	270009181	LOCAL	270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
SOLUTION IV IRRIGATION SODIUM CHLORIDE 0.9% PLASTIC BAG 1000ML	SUP-797205	CDM	270009181	LOCAL	270	RC		inpatient			30	30																																																			
COVER OR TABLE COMFORT 4 W20-24 IN X H25-38 IN RADIOLUCENT EXTENSION SAVE SPACE RAIL FRAME LATEX FREE DISPOSABLE SPINE SYSTEM	SUP-A-70260	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
COVER OR TABLE COMFORT 4 W20-24 IN X H25-38 IN RADIOLUCENT EXTENSION SAVE SPACE RAIL FRAME LATEX FREE DISPOSABLE SPINE SYSTEM	SUP-A-70260	CDM			270	RC		inpatient			30	30																																																			
GUIDEWIRE ORTHOPEDIC OD.034 IN TROCAR DISPOSABLE	SUP-AR-13240K	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
GUIDEWIRE ORTHOPEDIC OD.034 IN TROCAR DISPOSABLE	SUP-AR-13240K	CDM			270	RC		inpatient			30	30																																																			
GUIDEWIRE ORTHOPEDIC QUICKFIX OD1.35 MM CANNULATED TROCAR TIP	SUP-AR-8737-01	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
GUIDEWIRE ORTHOPEDIC QUICKFIX OD1.35 MM CANNULATED TROCAR TIP	SUP-AR-8737-01	CDM			270	RC		inpatient			30	30																																																			
GUIDEWIRE ORTHOPEDIC QUICKFIX OD.045 IN CANNULATED LASER LINE TROCAR	SUP-AR-8737-04	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
GUIDEWIRE ORTHOPEDIC QUICKFIX OD.045 IN CANNULATED LASER LINE TROCAR	SUP-AR-8737-04	CDM			270	RC		inpatient			30	30																																																			
GUIDEWIRE ORTHOPEDIC ARTHREX OD.094 IN TROCAR TIP DISPOSABLE 7 MM SCREW	SUP-AR-8770K	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
GUIDEWIRE ORTHOPEDIC ARTHREX OD.094 IN TROCAR TIP DISPOSABLE 7 MM SCREW	SUP-AR-8770K	CDM			270	RC		inpatient			30	30																																																			
GUIDEWIRE ORTHOPEDIC OD.062 IN TROCAR TIP DISPOSABLE	SUP-AR-8941K	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
GUIDEWIRE ORTHOPEDIC OD.062 IN TROCAR TIP DISPOSABLE	SUP-AR-8941K	CDM			270	RC		inpatient			30	30																																																			
GUIDEWIRE ARTHROSCOPIC L8 IN OD.092 IN TROCAR DISPOSABLE	SUP-AR-8967K	CDM			270	RC		outpatient			30	3	8.13				percent of total billed charges		30				other	OPPS APC	22.2				percent of total billed charges		30				other	OPPS APC	30				other	OPPS APC	8.13				percent of total billed charges		8.29				percent of total billed charges		3				other	OPPS APC	3	30	
GUIDEWIRE ARTHROSCOPIC L8 IN OD.092 IN TROCAR DISPOSABLE	SUP-AR-8967K	CDM			270	RC		inpatient			30	30																																																			
DEAVER T-TUBE 14 FR	SUP-11-00004	CDM			272	RC		outpatient			29.98	29.98	8.12				percent of total billed charges		29.98				other	OPPS APC	22.19				percent of total billed charges		29.98				other	OPPS APC	29.98				other	OPPS APC	8.12				percent of total billed charges		8.28				percent of total billed charges		29.98				other	OPPS APC	8.12	29.98	
DEAVER T-TUBE 14 FR	SUP-11-00004	CDM			272	RC		inpatient			29.98	29.98																																																			
NEEDLE SPINAL 20GA X 6	SUP-06-00039	CDM			272	RC		outpatient			29.97	29.97	8.12				percent of total billed charges		29.97				other	OPPS APC	22.18				percent of total billed charges		29.97				other	OPPS APC	29.97				other	OPPS APC	8.12				percent of total billed charges		8.28				percent of total billed charges		29.97				other	OPPS APC	8.12	29.97	
NEEDLE SPINAL 20GA X 6	SUP-06-00039	CDM			272	RC		inpatient			29.97	29.97																																																			
KIT ARTERIAL PTFE .028 IN 40 CM MINI L6 IN L2.25 IN OD18 GA ODSEC19 GA RADIOPAQUE FEMALE LUER HUB GUIDEWIRE NEEDLE	SUP-498105	CDM	270009171	LOCAL	270	RC		outpatient			29.86	29.86	8.09				percent of total billed charges		29.86				other	OPPS APC	22.1				percent of total billed charges		29.86				other	OPPS APC	29.86				other	OPPS APC	8.09				percent of total billed charges		8.25				percent of total billed charges		29.86				other	OPPS APC	8.09	29.86	
KIT ARTERIAL PTFE .028 IN 40 CM MINI L6 IN L2.25 IN OD18 GA ODSEC19 GA RADIOPAQUE FEMALE LUER HUB GUIDEWIRE NEEDLE	SUP-498105	CDM	270009171	LOCAL	270	RC		inpatient			29.86	29.86																																																			
THIAMINE PER 100 MG	636000000	CDM	70748-347-01	NDC	J3411	HCPCS		inpatient			29.85	29.85																																																			
THIAMINE PER 100 MG	636000000	CDM	70748-347-01	NDC	J3411	HCPCS		outpatient			29.85	29.85																																															other	OPPS APC			
BUDESONIDE-FORMOTEROL 80-4.5 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	0186-0372-28	NDC	A9270	HCPCS		inpatient			29.76	29.76																																																			
BUDESONIDE-FORMOTEROL 80-4.5 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	0186-0372-28	NDC	A9270	HCPCS		outpatient			29.76	29.76																																															other	OPPS APC			
CLIP SURGICAL DLP L3 MM CORONARY ARTERY RETRACTION	SUP-16130	CDM			270	RC		outpatient			29.76	29.76	8.06				percent of total billed charges		29.76				other	OPPS APC	22.02				percent of total billed charges		29.76				other	OPPS APC	29.76				other	OPPS APC	8.06				percent of total billed charges		8.22				percent of total billed charges		29.76				other	OPPS APC	8.06	29.76	
CLIP SURGICAL DLP L3 MM CORONARY ARTERY RETRACTION	SUP-16130	CDM			270	RC		inpatient			29.76	29.76																																																			
SUTURE NONABSORBABLE PROLENE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8720ZH	CDM			270	RC		outpatient			29.74	29.74	8.06				percent of total billed charges		29.74				other	OPPS APC	22.01				percent of total billed charges		29.74				other	OPPS APC	29.74				other	OPPS APC	8.06				percent of total billed charges		8.22				percent of total billed charges		29.74				other	OPPS APC	8.06	29.74	
SUTURE NONABSORBABLE PROLENE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8720ZH	CDM			270	RC		inpatient			29.74	29.74																																																			
APIXABAN 2.5 MG TABLET	637000000	CDM	0003-0893-31	NDC	A9270	HCPCS		inpatient			29.73	29.73																																																			
APIXABAN 2.5 MG TABLET	637000000	CDM	0003-0893-31	NDC	A9270	HCPCS		outpatient			29.73	29.73																																															other	OPPS APC			
APIXABAN 5 MG TABLET	637000000	CDM	0003-0894-31	NDC	A9270	HCPCS		inpatient			29.73	29.73																																																			
APIXABAN 5 MG TABLET	637000000	CDM	0003-0894-31	NDC	A9270	HCPCS		outpatient			29.73	29.73																																															other	OPPS APC			
DRESSING TEGADERM HYDROCOLLOID 4X4	SUP-95-04349	CDM			272	RC		outpatient			29.72	29.72	8.05				percent of total billed charges		29.72				other	OPPS APC	21.99				percent of total billed charges		29.72				other	OPPS APC	29.72				other	OPPS APC	8.05				percent of total billed charges		8.21				percent of total billed charges		29.72				other	OPPS APC	8.05	29.72	
DRESSING TEGADERM HYDROCOLLOID 4X4	SUP-95-04349	CDM			272	RC		inpatient			29.72	29.72																																																			
ROYAL FLUSH HIGH FLOW CATHETER 6F	SUP-HN6.038110P105PIG	CDM			270	RC		outpatient			29.72	29.72	8.05				percent of total billed charges		29.72				other	OPPS APC	21.99				percent of total billed charges		29.72				other	OPPS APC	29.72				other	OPPS APC	8.05				percent of total billed charges		8.21				percent of total billed charges		29.72				other	OPPS APC	8.05	29.72	
ROYAL FLUSH HIGH FLOW CATHETER 6F	SUP-HN6.038110P105PIG	CDM			270	RC		inpatient			29.72	29.72																																																			
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE STAINLESS STEEL NYLON GPC CURVE L100 CM OD7 FR PULMONARY 4 SIDEPORT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-HNB7.038100P4SGPC	CDM			270	RC		outpatient			29.72	29.72	8.05				percent of total billed charges		29.72				other	OPPS APC	21.99				percent of total billed charges		29.72				other	OPPS APC	29.72				other	OPPS APC	8.05				percent of total billed charges		8.21				percent of total billed charges		29.72				other	OPPS APC	8.05	29.72	
CATHETER ANGIOGRAPHIC TORCON NB ADVANTAGE STAINLESS STEEL NYLON GPC CURVE L100 CM OD7 FR PULMONARY 4 SIDEPORT STERILE DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-HNB7.038100P4SGPC	CDM			270	RC		inpatient			29.72	29.72																																																			
CATHETER URETERAL ROYAL FLUSH PLUS NYLON BEACON TIP VCF CURVE SPIRAL L65 CM OD4 FR 8 SIDEPORT HIGH FLOW RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE	SUP-HNR4.03565P8SVCF	CDM			270	RC		outpatient			29.72	29.72	8.05				percent of total billed charges		29.72				other	OPPS APC	21.99				percent of total billed charges		29.72				other	OPPS APC	29.72				other	OPPS APC	8.05				percent of total billed charges		8.21				percent of total billed charges		29.72				other	OPPS APC	8.05	29.72	
CATHETER URETERAL ROYAL FLUSH PLUS NYLON BEACON TIP VCF CURVE SPIRAL L65 CM OD4 FR 8 SIDEPORT HIGH FLOW RADIOPAQUE ACCEPTS .035 IN GUIDEWIRE	SUP-HNR4.03565P8SVCF	CDM			270	RC		inpatient			29.72	29.72																																																			
CATHETER ANGIOGRAPHIC ROYAL FLUSH PLUS BEACON TIP PIGTAIL CURVE L70 CM OD5 FR AORTIC 10 SIDEPORT HIGH FLOW ACCEPTS .035 IN GUIDEWIRE VENTRICULOGRAPHY	SUP-HNR5.03570P10SPIG	CDM			270	RC		outpatient			29.72	29.72	8.05				percent of total billed charges		29.72				other	OPPS APC	21.99				percent of total billed charges		29.72				other	OPPS APC	29.72				other	OPPS APC	8.05				percent of total billed charges		8.21				percent of total billed charges		29.72				other	OPPS APC	8.05	29.72	
CATHETER ANGIOGRAPHIC ROYAL FLUSH PLUS BEACON TIP PIGTAIL CURVE L70 CM OD5 FR AORTIC 10 SIDEPORT HIGH FLOW ACCEPTS .035 IN GUIDEWIRE VENTRICULOGRAPHY	SUP-HNR5.03570P10SPIG	CDM			270	RC		inpatient			29.72	29.72																																																			
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPRAY,SUSPENSION 9.9 ML AER W/ADAP"	637000000	CDM	0536-1183-99	NDC	A9270	HCPCS		inpatient			29.7	29.7																																																			
"FLUTICASONE PROPIONATE 50 MCG/ACTUATION SPRAY,SUSPENSION 9.9 ML AER W/ADAP"	637000000	CDM	0536-1183-99	NDC	A9270	HCPCS		outpatient			29.7	29.7																																															other	OPPS APC			
TUBING SUCTION L6 FT OD1/2 IN UTERINE SWIVEL HANDLE STERILE LATEX DISPOSABLE AMUVAC	SUP-40788-010	CDM						inpatient			29.69	29.69																																																			
TUBING SUCTION L6 FT OD1/2 IN UTERINE SWIVEL HANDLE STERILE LATEX DISPOSABLE AMUVAC	SUP-40788-010	CDM						outpatient			29.69	29.69	29.69				percent of total billed charges		29.69				other	OPPS APC	29.69				fee schedule		29.69				other	OPPS APC	29.69				other	OPPS APC	29.69				case rate		29.69				case rate		29.69				other	OPPS APC	29.69	29.69	
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-4699-33	NDC	J2704	HCPCS		inpatient			29.64	29.64																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-4699-33	NDC	J2704	HCPCS		outpatient			29.64	29.64																																															other	OPPS APC			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION	250000000	CDM	0409-6625-22	NDC				inpatient			29.51	29.51																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION	250000000	CDM	0409-6625-22	NDC				outpatient			29.51	29.51																																															other	OPPS APC			
DRAPE SURGICAL CONVERTORS 122X106X77IN TIBURON VELCRO FOAM STERILE LF CESAREAN BIRTH 360D FLUID CONTROL POUCH ARMBOARD	SUP-29449	CDM						inpatient			29.51	29.51																																																			
DRAPE SURGICAL CONVERTORS 122X106X77IN TIBURON VELCRO FOAM STERILE LF CESAREAN BIRTH 360D FLUID CONTROL POUCH ARMBOARD	SUP-29449	CDM						outpatient			29.51	29.51	29.51				percent of total billed charges		29.51				other	OPPS APC	29.51				fee schedule		29.51				other	OPPS APC	29.51				other	OPPS APC	29.51				case rate		29.51				case rate		29.51				other	OPPS APC	29.51	29.51	
CEFEPIME PER 500 MG	636000000	CDM	44567-241-10	NDC	J0692	HCPCS		inpatient			29.4	29.4																																																			
CEFEPIME PER 500 MG	636000000	CDM	44567-241-10	NDC	J0692	HCPCS		outpatient			29.4	29.4																																															other	OPPS APC			
BRIEFS ADULT LG	SUP-04-00011	CDM			271	RC		outpatient			29.31	29.4	7.94				percent of total billed charges		29.31				other	OPPS APC	21.69				percent of total billed charges		29.31				other	OPPS APC	29.31				other	OPPS APC	7.94				percent of total billed charges		8.1				percent of total billed charges		29.4				other	OPPS APC	7.94	29.4	
BRIEFS ADULT LG	SUP-04-00011	CDM			271	RC		inpatient			29.31	29.31																																																			
BRIEFS ADULT MED	SUP-04-00013	CDM			271	RC		outpatient			29.31	29.4	7.94				percent of total billed charges		29.31				other	OPPS APC	21.69				percent of total billed charges		29.31				other	OPPS APC	29.31				other	OPPS APC	7.94				percent of total billed charges		8.1				percent of total billed charges		29.4				other	OPPS APC	7.94	29.4	
BRIEFS ADULT MED	SUP-04-00013	CDM			271	RC		inpatient			29.31	29.31																																																			
POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0803-04	NDC				inpatient			29.27	29.27																																																			
POTASSIUM CHLORIDE-D5-0.9%NACL 20 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0803-04	NDC				outpatient			29.27	29.27																																															other	OPPS APC			
SODIUM CHLORIDE 0.9 % WITH KCL 20 MEQ/L INFUSION 20 MEQ/L PARENTERAL SOLUTION	636000000	CDM	0338-0691-04	NDC	J3480	HCPCS		inpatient			29.27	29.27																																																			
SODIUM CHLORIDE 0.9 % WITH KCL 20 MEQ/L INFUSION 20 MEQ/L PARENTERAL SOLUTION	636000000	CDM	0338-0691-04	NDC	J3480	HCPCS		outpatient			29.27	29.27																																															other	OPPS APC			
SUTURE ABSORBABLE SABRELOC 5-0 S-14 18IN BROWN CHROMIC 2 ARM MONOFILAMENT	SUP-1792G	CDM			270	RC		outpatient			29.26	29.26	7.93				percent of total billed charges		29.26				other	OPPS APC	21.65				percent of total billed charges		29.26				other	OPPS APC	29.26				other	OPPS APC	7.93				percent of total billed charges		8.08				percent of total billed charges		29.26				other	OPPS APC	7.93	29.26	
SUTURE ABSORBABLE SABRELOC 5-0 S-14 18IN BROWN CHROMIC 2 ARM MONOFILAMENT	SUP-1792G	CDM			270	RC		inpatient			29.26	29.26																																																			
"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 SOLUTION"	250000000	CDM	63323-468-37	NDC				inpatient			29.22	29.22																																																			
"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 SOLUTION"	250000000	CDM	63323-468-37	NDC				outpatient			29.22	29.22																																															other	OPPS APC			
CATHETER FOLEY LF 22FR 2WAY 30CC	SUP-02-00120	CDM			272	RC		outpatient			29.22	29.22	7.92				percent of total billed charges		29.22				other	OPPS APC	21.62				percent of total billed charges		29.22				other	OPPS APC	29.22				other	OPPS APC	7.92				percent of total billed charges		8.07				percent of total billed charges		29.22				other	OPPS APC	7.92	29.22	
CATHETER FOLEY LF 22FR 2WAY 30CC	SUP-02-00120	CDM			272	RC		inpatient			29.22	29.22																																																			
STRIP RETINAL SILICONE FLAT L125 MM X W4 MM X H1.25 MM SLEEVE SPONGE STERILE	SUP-42	CDM			270	RC		outpatient			29.2	29.2	7.91				percent of total billed charges		29.2				other	OPPS APC	21.61				percent of total billed charges		29.2				other	OPPS APC	29.2				other	OPPS APC	7.91				percent of total billed charges		8.07				percent of total billed charges		29.2				other	OPPS APC	7.91	29.2	
STRIP RETINAL SILICONE FLAT L125 MM X W4 MM X H1.25 MM SLEEVE SPONGE STERILE	SUP-42	CDM			270	RC		inpatient			29.2	29.2																																																			
CATHETER FOLEY LF 24FR 2WAY 30CC	SUP-02-00121	CDM			272	RC		outpatient			29.15	29.15	7.9				percent of total billed charges		29.15				other	OPPS APC	21.57				percent of total billed charges		29.15				other	OPPS APC	29.15				other	OPPS APC	7.9				percent of total billed charges		8.05				percent of total billed charges		29.15				other	OPPS APC	7.9	29.15	
CATHETER FOLEY LF 24FR 2WAY 30CC	SUP-02-00121	CDM			272	RC		inpatient			29.15	29.15																																																			
NEEDLE STIMUPLEX 22G X 2	SUP-97-00295	CDM			272	RC		outpatient			29.14	29.14	7.89				percent of total billed charges		29.14				other	OPPS APC	21.56				percent of total billed charges		29.14				other	OPPS APC	29.14				other	OPPS APC	7.89				percent of total billed charges		8.05				percent of total billed charges		29.14				other	OPPS APC	7.89	29.14	
NEEDLE STIMUPLEX 22G X 2	SUP-97-00295	CDM			272	RC		inpatient			29.14	29.14																																																			
POTASSIUM CHLORID-D5-0.45%NACL 10 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0669-04	NDC				inpatient			29.12	29.12																																																			
POTASSIUM CHLORID-D5-0.45%NACL 10 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0669-04	NDC				outpatient			29.12	29.12																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL PLUS 2-0 CP-2 L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL UNDYED	SUP-VCP762D	CDM			270	RC		outpatient			29.12	29.12	7.89				percent of total billed charges		29.12				other	OPPS APC	21.55				percent of total billed charges		29.12				other	OPPS APC	29.12				other	OPPS APC	7.89				percent of total billed charges		8.05				percent of total billed charges		29.12				other	OPPS APC	7.89	29.12	
SUTURE ABSORBABLE VICRYL PLUS 2-0 CP-2 L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL UNDYED	SUP-VCP762D	CDM			270	RC		inpatient			29.12	29.12																																																			
CONNECTOR DRAINAGE BLAKE 3:1 3/8.5MMX3/16IN WHITE SILICONE DISPOSABLE STERILE LF CARDIAC 4 CHANNEL RADIOPAQUE SOLID CORE	SUP-BCC3	CDM						inpatient			29.09	29.09																																																			
CONNECTOR DRAINAGE BLAKE 3:1 3/8.5MMX3/16IN WHITE SILICONE DISPOSABLE STERILE LF CARDIAC 4 CHANNEL RADIOPAQUE SOLID CORE	SUP-BCC3	CDM						outpatient			29.09	29.9	29.09				percent of total billed charges		29.09				other	OPPS APC	29.09				fee schedule		29.09				other	OPPS APC	29.09				other	OPPS APC	29.09				case rate		29.09				case rate		29.9				other	OPPS APC	29.09	29.9	
TIP SUCTION REGULAR L32 CM OD5 MM IRRIGATION DISPOSABLE	SUP-0250070505	CDM			270	RC		outpatient			29.07	29.7	7.88				percent of total billed charges		29.07				other	OPPS APC	21.51				percent of total billed charges		29.07				other	OPPS APC	29.07				other	OPPS APC	7.88				percent of total billed charges		8.03				percent of total billed charges		29.7				other	OPPS APC	7.88	29.7	
TIP SUCTION REGULAR L32 CM OD5 MM IRRIGATION DISPOSABLE	SUP-0250070505	CDM			270	RC		inpatient			29.07	29.07																																																			
THREADED STEINMAN PIN 1/8	SUP-78-00136	CDM			278	RC		outpatient			29.01	29.12	29.01				fee schedule		29.01				other	OPPS APC	16.54				percent of total billed charges		29.01				other	OPPS APC	29.01				other	OPPS APC	14.21				percent of total billed charges		14.8				percent of total billed charges		29.12				other	OPPS APC	14.21	29.12	
THREADED STEINMAN PIN 1/8	SUP-78-00136	CDM			278	RC		inpatient			29.01	29.01																																																			
THREADED STEINMAN PIN 3/16	SUP-78-00137	CDM			278	RC		outpatient			29.01	29.12	29.01				fee schedule		29.01				other	OPPS APC	16.54				percent of total billed charges		29.01				other	OPPS APC	29.01				other	OPPS APC	14.21				percent of total billed charges		14.8				percent of total billed charges		29.12				other	OPPS APC	14.21	29.12	
THREADED STEINMAN PIN 3/16	SUP-78-00137	CDM			278	RC		inpatient			29.01	29.01																																																			
THREADED STEINMAN PIN 3/32	SUP-78-00138	CDM			278	RC		outpatient			29.01	29.12	29.01				fee schedule		29.01				other	OPPS APC	16.54				percent of total billed charges		29.01				other	OPPS APC	29.01				other	OPPS APC	14.21				percent of total billed charges		14.8				percent of total billed charges		29.12				other	OPPS APC	14.21	29.12	
THREADED STEINMAN PIN 3/32	SUP-78-00138	CDM			278	RC		inpatient			29.01	29.01																																																			
THREADED STEINMAN PIN 7/64	SUP-78-00140	CDM			278	RC		outpatient			29.01	29.12	29.01				fee schedule		29.01				other	OPPS APC	16.54				percent of total billed charges		29.01				other	OPPS APC	29.01				other	OPPS APC	14.21				percent of total billed charges		14.8				percent of total billed charges		29.12				other	OPPS APC	14.21	29.12	
THREADED STEINMAN PIN 7/64	SUP-78-00140	CDM			278	RC		inpatient			29.01	29.01																																																			
HC Beta Hydroxybutyrate (Bhob)	PX-300820100	CDM	82010	CPT	301	RC		outpatient			29	8.17	10.93				fee schedule		8.17				fee schedule		21.7				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17				fee schedule		8.17	21.7	
HC Beta Hydroxybutyrate (Bhob)	PX-300820100	CDM	82010	CPT	301	RC		inpatient			29	29																																																			
HC Range of Motion Measurements  Hand	PX-430958521	CDM	95852	CPT	430	RC		outpatient			29	5.3	29				percent of total billed charges		5.3				fee schedule		14.63				fee schedule		5.3				fee schedule		5.3				fee schedule		30.35				percent of total billed charges		29				percent of total billed charges		5.3				fee schedule		5.3	30.35	
HC Range of Motion Measurements  Hand	PX-430958521	CDM	95852	CPT	430	RC		inpatient			29	29																																																			
Multi Allergy Injection	PX-510951171	CDM	95117	CPT	510	RC		inpatient			29	29																																																			
Multi Allergy Injection	PX-510951171	CDM	95117	CPT	510	RC		outpatient			29	29	169.66				case rate		29				other	OPPS APC	101				case rate		29				other	OPPS APC	29				fee schedule		169.66				case rate		173.05				case rate		29				other	OPPS APC	29	173.05	
MICRO SAG BLADE FINE 5EA	SUP-84-00038	CDM			272	RC		outpatient			28.96	28.96	7.85				percent of total billed charges		28.96				other	OPPS APC	21.43				percent of total billed charges		28.96				other	OPPS APC	28.96				other	OPPS APC	7.85				percent of total billed charges		8				percent of total billed charges		28.96				other	OPPS APC	7.85	28.96	
MICRO SAG BLADE FINE 5EA	SUP-84-00038	CDM			272	RC		inpatient			28.96	28.96																																																			
SUTURE VICRYL 3-0 VIOLET J104T	SUP-95-04477	CDM			272	RC		outpatient			28.88	28.88	7.82				percent of total billed charges		28.88				other	OPPS APC	21.37				percent of total billed charges		28.88				other	OPPS APC	28.88				other	OPPS APC	7.82				percent of total billed charges		7.98				percent of total billed charges		28.88				other	OPPS APC	7.82	28.88	
SUTURE VICRYL 3-0 VIOLET J104T	SUP-95-04477	CDM			272	RC		inpatient			28.88	28.88																																																			
HC Smooth Muscle Fluorescent Ab  Screen Ea (Sma)	PX-302860150	CDM	86015	LOCAL	302	RC		outpatient			28.83	28.83	7.2				fee schedule		28.83				fee schedule		26.86				fee schedule		28.83				fee schedule		28.83				fee schedule		12.05				fee schedule		12.05				fee schedule		28.83				fee schedule		7.2	28.83	
HC Smooth Muscle Fluorescent Ab  Screen Ea (Sma)	PX-302860150	CDM	86015	LOCAL	302	RC		inpatient			28.83	28.83																																																			
HC Gliadin (Deaminated) Antibody	PX-302862580	CDM	86258	CPT	302	RC		outpatient			28.83	12.51	14.13				percent of total billed charges		12.05				fee schedule		26.86				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.05				fee schedule		12.51				fee schedule		12.05	26.86	
HC Gliadin (Deaminated) Antibody	PX-302862580	CDM	86258	CPT	302	RC		inpatient			28.83	28.83																																																			
HC Tissue Transglutaminase (Ttg) Ab	PX-302863640	CDM	86364	CPT	302	RC		outpatient			28.83	11.53	7.2				fee schedule		11.53				fee schedule		26.86				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		11.53				fee schedule		7.2	26.86	
HC Tissue Transglutaminase (Ttg) Ab	PX-302863640	CDM	86364	CPT	302	RC		inpatient			28.83	28.83																																																			
BURR CUTTER .	SUP-H251E104.040	CDM			270	RC		outpatient			28.82	28.82	7.81				percent of total billed charges		28.82				other	OPPS APC	21.33				percent of total billed charges		28.82				other	OPPS APC	28.82				other	OPPS APC	7.81				percent of total billed charges		7.96				percent of total billed charges		28.82				other	OPPS APC	7.81	28.82	
BURR CUTTER .	SUP-H251E104.040	CDM			270	RC		inpatient			28.82	28.82																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	66794-228-02	NDC				inpatient			28.8	28.8																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	66794-228-02	NDC				outpatient			28.8	28.8																																															other	OPPS APC			
LEUCOVORIN CALCIUM PER 50 MG	636000000	CDM	71288-161-20	NDC	J0640	HCPCS		inpatient			28.8	28.8																																																			
LEUCOVORIN CALCIUM PER 50 MG	636000000	CDM	71288-161-20	NDC	J0640	HCPCS		outpatient			28.8	28.8																																															other	OPPS APC			
TIP RADIAL SPRAY IM HI-CAP	SUP-74-00453	CDM			272	RC		outpatient			28.8	28.81	7.8				percent of total billed charges		28.8				other	OPPS APC	21.31				percent of total billed charges		28.8				other	OPPS APC	28.8				other	OPPS APC	7.8				percent of total billed charges		7.96				percent of total billed charges		28.81				other	OPPS APC	7.8	28.81	
TIP RADIAL SPRAY IM HI-CAP	SUP-74-00453	CDM			272	RC		inpatient			28.8	28.8																																																			
SUTURE ABSORBABLE VICRYL 3-0 X-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J790D	CDM			270	RC		outpatient			28.75	28.75	7.79				percent of total billed charges		28.75				other	OPPS APC	21.28				percent of total billed charges		28.75				other	OPPS APC	28.75				other	OPPS APC	7.79				percent of total billed charges		7.94				percent of total billed charges		28.75				other	OPPS APC	7.79	28.75	
SUTURE ABSORBABLE VICRYL 3-0 X-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J790D	CDM			270	RC		inpatient			28.75	28.75																																																			
PYRIDOXINE PER 100 MG	636000000	CDM	63323-180-00	NDC	J3415	HCPCS		inpatient			28.59	28.59																																																			
PYRIDOXINE PER 100 MG	636000000	CDM	63323-180-00	NDC	J3415	HCPCS		outpatient			28.59	28.59																																															other	OPPS APC			
CROWN FORM STRIP-OFF 231 TRANSPARENT	SUP-1000488	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 231 TRANSPARENT	SUP-1000488	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 122 TRANSPARENT	SUP-1000638	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 122 TRANSPARENT	SUP-1000638	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 223 TRANSPARENT	SUP-1000658	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 223 TRANSPARENT	SUP-1000658	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 114 TRANSPARENT	SUP-1000668	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 114 TRANSPARENT	SUP-1000668	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 121 TRANSPARENT	SUP-1001047	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 121 TRANSPARENT	SUP-1001047	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 212 TRANSPARENT	SUP-1001735	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 212 TRANSPARENT	SUP-1001735	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 222 TRANSPARENT	SUP-1002033	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 222 TRANSPARENT	SUP-1002033	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 214 TRANSPARENT	SUP-1002129	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 214 TRANSPARENT	SUP-1002129	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 131 TRANSPARENT	SUP-1003290	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 131 TRANSPARENT	SUP-1003290	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 221 TRANSPARENT	SUP-1003337	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 221 TRANSPARENT	SUP-1003337	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 112 TRANSPARENT	SUP-1003681	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 112 TRANSPARENT	SUP-1003681	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 213 TRANSPARENT	SUP-1003775	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 213 TRANSPARENT	SUP-1003775	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 113 TRANSPARENT	SUP-1004321	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 113 TRANSPARENT	SUP-1004321	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 233 TRANSPARENT	SUP-1005252	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 233 TRANSPARENT	SUP-1005252	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 132 TRANSPARENT	SUP-1005799	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 132 TRANSPARENT	SUP-1005799	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 123 TRANSPARENT	SUP-1006480	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 123 TRANSPARENT	SUP-1006480	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 133 TRANSPARENT	SUP-1007921	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 133 TRANSPARENT	SUP-1007921	CDM			270	RC		inpatient			28.48	28.48																																																			
CROWN FORM STRIP-OFF 232 TRANSPARENT	SUP-1008486	CDM			270	RC		outpatient			28.48	28.48	7.72				percent of total billed charges		28.48				other	OPPS APC	21.08				percent of total billed charges		28.48				other	OPPS APC	28.48				other	OPPS APC	7.72				percent of total billed charges		7.87				percent of total billed charges		28.48				other	OPPS APC	7.72	28.48	
CROWN FORM STRIP-OFF 232 TRANSPARENT	SUP-1008486	CDM			270	RC		inpatient			28.48	28.48																																																			
CELECOXIB 400 MG CAPSULE	637000000	CDM	65862-910-60	NDC	A9270	HCPCS		inpatient			28.44	28.44																																																			
CELECOXIB 400 MG CAPSULE	637000000	CDM	72241-025-03	NDC	A9270	HCPCS		inpatient			28.44	28.44																																																			
CELECOXIB 400 MG CAPSULE	637000000	CDM	65862-910-60	NDC	A9270	HCPCS		outpatient			28.44	28.44																																															other	OPPS APC			
CELECOXIB 400 MG CAPSULE	637000000	CDM	72241-025-03	NDC	A9270	HCPCS		outpatient			28.44	28.44																																															other	OPPS APC			
Influenza > 3 Years	PX-636906581	CDM	90658	CPT	636	RC		outpatient			28.42	28.42	12.38				fee schedule		28.42				other	OPPS APC	21.03				percent of total billed charges		28.42				other	OPPS APC	28.42				other	OPPS APC	28.42				fee schedule		28.42				fee schedule		28.42				other	OPPS APC	12.38	28.42	
Influenza > 3 Years	PX-636906581	CDM	90658	CPT	636	RC		inpatient			28.42	28.42																																																			
EZETIMIBE 10 MG TABLET	637000000	CDM	68462-226-90	NDC	A9270	HCPCS		inpatient			28.22	28.22																																																			
EZETIMIBE 10 MG TABLET	637000000	CDM	68462-226-90	NDC	A9270	HCPCS		outpatient			28.22	28.22																																															other	OPPS APC			
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM 24 IN OD 17.5 IN OD SEC 16 IN KNEE 3 PANEL LOOP LOCK CLOSURE POSTERIOR STAY ADJUSTABLE LATEX FREE	SUP-ORT2411016_57632	CDM	270009016	LOCAL	270	RC		outpatient			28.16	28.16	7.63				percent of total billed charges		28.16				other	OPPS APC	20.84				percent of total billed charges		28.16				other	OPPS APC	28.16				other	OPPS APC	7.63				percent of total billed charges		7.78				percent of total billed charges		28.16				other	OPPS APC	7.63	28.16	
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM 24 IN OD 17.5 IN OD SEC 16 IN KNEE 3 PANEL LOOP LOCK CLOSURE POSTERIOR STAY ADJUSTABLE LATEX FREE	SUP-ORT2411016_57632	CDM	270009016	LOCAL	270	RC		inpatient			28.16	28.16																																																			
STEINMAN PIN 1/8 PLAIN 3.2MM	SUP-95-05487	CDM			278	RC		outpatient			28.1	28.11	28.1				fee schedule		28.1				other	OPPS APC	16.02				percent of total billed charges		28.1				other	OPPS APC	28.1				other	OPPS APC	13.77				percent of total billed charges		14.33				percent of total billed charges		28.11				other	OPPS APC	13.77	28.11	
STEINMAN PIN 1/8 PLAIN 3.2MM	SUP-95-05487	CDM			278	RC		inpatient			28.1	28.1																																																			
STERIS PAPER ROLL	SUP-97-01844	CDM			271	RC		outpatient			28.08	28.8	7.61				percent of total billed charges		28.08				other	OPPS APC	20.78				percent of total billed charges		28.08				other	OPPS APC	28.08				other	OPPS APC	7.61				percent of total billed charges		7.76				percent of total billed charges		28.8				other	OPPS APC	7.61	28.8	
STERIS PAPER ROLL	SUP-97-01844	CDM			271	RC		inpatient			28.08	28.08																																																			
RETAINER DRESSING SURGITUBE 2P TUBULAR 7/8IN WHITE COTTON LF LG FINGER TOE ELASTIC NET	SUP-GL242	CDM						inpatient			28.02	28.02																																																			
RETAINER DRESSING SURGITUBE 2P TUBULAR 7/8IN WHITE COTTON LF LG FINGER TOE ELASTIC NET	SUP-GL242	CDM						outpatient			28.02	28.2	28.02				percent of total billed charges		28.02				other	OPPS APC	28.02				fee schedule		28.02				other	OPPS APC	28.02				other	OPPS APC	28.02				case rate		28.02				case rate		28.2				other	OPPS APC	28.02	28.2	
SNARE ENDOSCOPIC CAPTIFLEX XS OVAL L240 CM W11 MM OD2.4 MM LOOP FLEXIBLE BRAID WIRE HOT COLD INDICATION STERILE DISPOSABLE POLYPECTOMY	SUP-M00562471	CDM			270	RC		outpatient			28.01	28.12	7.59				percent of total billed charges		28.01				other	OPPS APC	20.73				percent of total billed charges		28.01				other	OPPS APC	28.01				other	OPPS APC	7.59				percent of total billed charges		7.74				percent of total billed charges		28.12				other	OPPS APC	7.59	28.12	
SNARE ENDOSCOPIC CAPTIFLEX XS OVAL L240 CM W11 MM OD2.4 MM LOOP FLEXIBLE BRAID WIRE HOT COLD INDICATION STERILE DISPOSABLE POLYPECTOMY	SUP-M00562471	CDM			270	RC		inpatient			28.01	28.01																																																			
CEFAZOLIN PER 500 MG	636000000	CDM	0338-3503-41	NDC	J0689	HCPCS		inpatient			28	28																																																			
CEFAZOLIN PER 500 MG	636000000	CDM	0338-3503-41	NDC	J0689	HCPCS		outpatient			28	1.32																																											1.32				other	OPPS APC	1.32	1.32	
HC Igg Subglass (Iggs)	PX-300827870	CDM	82787	CPT	301	RC		outpatient			28	8.2	10.72				fee schedule		8.02				fee schedule		21.28				fee schedule		8.02				fee schedule		8.02				fee schedule		8.02				fee schedule		8.02				fee schedule		8.2				fee schedule		8.02	21.28	
HC Igg Subglass (Iggs)	PX-300827870	CDM	82787	CPT	301	RC		inpatient			28	28																																																			
HC Flow Cytometry Each Add'l Marker	PX-300881850	CDM	88185	CPT	300	RC		outpatient			28	28	24.22				fee schedule		28				other	OPPS APC	35.84				fee schedule		28				other	OPPS APC	28				other	OPPS APC	13.72				percent of total billed charges		14.28				percent of total billed charges		28				other	OPPS APC	13.72	35.84	
HC Flow Cytometry Each Add'l Marker	PX-300881850	CDM	88185	CPT	300	RC		inpatient			28	28																																																			
HC Flow Cytometry Each Add'l Marker	PX-300881855	CDM	88185	CPT	300	RC		outpatient			28	28	24.22				fee schedule		28				other	OPPS APC	35.84				fee schedule		28				other	OPPS APC	28				other	OPPS APC	13.72				percent of total billed charges		14.28				percent of total billed charges		28				other	OPPS APC	13.72	35.84	
HC Flow Cytometry Each Add'l Marker	PX-300881855	CDM	88185	CPT	300	RC		inpatient			28	28																																																			
IMMOBILIZER ORTHOPEDIC CONTOUR 22IN 29IN KNEE ELASTIC PATELLA STRAP PERFORATE	SUP-00188550022	CDM			481	RC		outpatient			28	28	13.72				percent of total billed charges		28				other	OPPS APC	20.72				percent of total billed charges		28				other	OPPS APC	28				other	OPPS APC	13.72				percent of total billed charges		14.28				percent of total billed charges		28				other	OPPS APC	13.72	28	
IMMOBILIZER ORTHOPEDIC CONTOUR 22IN 29IN KNEE ELASTIC PATELLA STRAP PERFORATE	SUP-00188550022	CDM			481	RC		inpatient			28	28																																																			
IMMOBILIZER ORTHOPEDIC FOAM L12 IN W 3 IN OD 29 IN KNEE ELASTIC STRAP PERFORATED	SUP-00188850012	CDM	270009016	LOCAL	270	RC		outpatient			28	28	7.59				percent of total billed charges		28				other	OPPS APC	20.72				percent of total billed charges		28				other	OPPS APC	28				other	OPPS APC	7.59				percent of total billed charges		7.74				percent of total billed charges		28				other	OPPS APC	7.59	28	
IMMOBILIZER ORTHOPEDIC FOAM L12 IN W 3 IN OD 29 IN KNEE ELASTIC STRAP PERFORATED	SUP-00188850012	CDM	270009016	LOCAL	270	RC		inpatient			28	28																																																			
IMMBOLIZER ORTHOPEDIC FOAM L16 IN W 3 IN OD 29 IN KNEE ELASTIC STRAP PERFORATED	SUP-00188850016	CDM	270009016	LOCAL	270	RC		outpatient			28	28	7.59				percent of total billed charges		28				other	OPPS APC	20.72				percent of total billed charges		28				other	OPPS APC	28				other	OPPS APC	7.59				percent of total billed charges		7.74				percent of total billed charges		28				other	OPPS APC	7.59	28	
IMMBOLIZER ORTHOPEDIC FOAM L16 IN W 3 IN OD 29 IN KNEE ELASTIC STRAP PERFORATED	SUP-00188850016	CDM	270009016	LOCAL	270	RC		inpatient			28	28																																																			
SCREW BONE UNIVERSAL NEURO 2 4MM 1.7MM NS SELF TAP CROSS PIN EMERGENCY	SUP-50-17304	CDM			270	RC		outpatient			28	28	7.59				percent of total billed charges		28				other	OPPS APC	20.72				percent of total billed charges		28				other	OPPS APC	28				other	OPPS APC	7.59				percent of total billed charges		7.74				percent of total billed charges		28				other	OPPS APC	7.59	28	
SCREW BONE UNIVERSAL NEURO 2 4MM 1.7MM NS SELF TAP CROSS PIN EMERGENCY	SUP-50-17304	CDM			270	RC		inpatient			28	28																																																			
BAND CIRC STYLE 240 2.5 MM	SUP-92-02	CDM			270	RC		outpatient			28	28	7.59				percent of total billed charges		28				other	OPPS APC	20.72				percent of total billed charges		28				other	OPPS APC	28				other	OPPS APC	7.59				percent of total billed charges		7.74				percent of total billed charges		28				other	OPPS APC	7.59	28	
BAND CIRC STYLE 240 2.5 MM	SUP-92-02	CDM			270	RC		inpatient			28	28																																																			
TRAY MINI INST	SUP-96-1300A	CDM						inpatient			28	28																																																			
TRAY MINI INST	SUP-96-1300A	CDM						outpatient			28	28	28				percent of total billed charges		28				other	OPPS APC	28				fee schedule		28				other	OPPS APC	28				other	OPPS APC	28				case rate		28				case rate		28				other	OPPS APC	28	28	
GUIDE WIRE .045 X 5.91	SUP-97-02370	CDM			278	RC		outpatient			28	28	28				fee schedule		28				other	OPPS APC	15.96				percent of total billed charges		28				other	OPPS APC	28				other	OPPS APC	13.72				percent of total billed charges		14.28				percent of total billed charges		28				other	OPPS APC	13.72	28	
GUIDE WIRE .045 X 5.91	SUP-97-02370	CDM			278	RC		inpatient			28	28																																																			
BLADE LARYNGOSCOPE MCGRATH MACINTOSH POLYMER 3 SLIM FOG FREE STERILE DISPOSABLE	SUP-350005000_68713	CDM			270	RC		outpatient			27.94	27.94	7.57				percent of total billed charges		27.94				other	OPPS APC	20.68				percent of total billed charges		27.94				other	OPPS APC	27.94				other	OPPS APC	7.57				percent of total billed charges		7.72				percent of total billed charges		27.94				other	OPPS APC	7.57	27.94	
BLADE LARYNGOSCOPE MCGRATH MACINTOSH POLYMER 3 SLIM FOG FREE STERILE DISPOSABLE	SUP-350005000_68713	CDM			270	RC		inpatient			27.94	27.94																																																			
DROPERIDOL PER 5 MG	636000000	CDM	0517-9702-01	NDC	J1790	HCPCS		inpatient			27.93	27.93																																																			
DROPERIDOL PER 5 MG	636000000	CDM	0517-9702-01	NDC	J1790	HCPCS		outpatient			27.93	27.93																																															other	OPPS APC			
SET Y-TYPE TUR	SUP-03-00013	CDM			272	RC		outpatient			27.92	27.92	7.56				percent of total billed charges		27.92				other	OPPS APC	20.66				percent of total billed charges		27.92				other	OPPS APC	27.92				other	OPPS APC	7.56				percent of total billed charges		7.71				percent of total billed charges		27.92				other	OPPS APC	7.56	27.92	
SET Y-TYPE TUR	SUP-03-00013	CDM			272	RC		inpatient			27.92	27.92																																																			
SUTURE ABSORBABLE VICRYL MULTIPASS 8-0 BV130-5 5IN VIOLET BRAID COATED	SUP-J401G	CDM			270	RC		outpatient			27.92	27.92	7.56				percent of total billed charges		27.92				other	OPPS APC	20.66				percent of total billed charges		27.92				other	OPPS APC	27.92				other	OPPS APC	7.56				percent of total billed charges		7.71				percent of total billed charges		27.92				other	OPPS APC	7.56	27.92	
SUTURE ABSORBABLE VICRYL MULTIPASS 8-0 BV130-5 5IN VIOLET BRAID COATED	SUP-J401G	CDM			270	RC		inpatient			27.92	27.92																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	71839-110-10	NDC	J1650	HCPCS		inpatient			27.91	27.91																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	71839-110-10	NDC	J1650	HCPCS		outpatient			27.91	27.91																																															other	OPPS APC			
CATHETER ANGIOGRAPHIC .035IN SNB CURVE 4FR .040IN 65CM NONBRAIDED 6 SIDEPORT IMPRESS	SUP-465356SHP-NB	CDM			270	RC		outpatient			27.9	27.9	7.56				percent of total billed charges		27.9				other	OPPS APC	20.65				percent of total billed charges		27.9				other	OPPS APC	27.9				other	OPPS APC	7.56				percent of total billed charges		7.71				percent of total billed charges		27.9				other	OPPS APC	7.56	27.9	
CATHETER ANGIOGRAPHIC .035IN SNB CURVE 4FR .040IN 65CM NONBRAIDED 6 SIDEPORT IMPRESS	SUP-465356SHP-NB	CDM			270	RC		inpatient			27.9	27.9																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL OD1.6 MM NONSTERILE	SUP-KW062SS	CDM			270	RC		outpatient			27.9	27.9	7.56				percent of total billed charges		27.9				other	OPPS APC	20.65				percent of total billed charges		27.9				other	OPPS APC	27.9				other	OPPS APC	7.56				percent of total billed charges		7.71				percent of total billed charges		27.9				other	OPPS APC	7.56	27.9	
WIRE FIXATION KIRSCHNER STAINLESS STEEL OD1.6 MM NONSTERILE	SUP-KW062SS	CDM			270	RC		inpatient			27.9	27.9																																																			
SUTURE NONABSORBABLE PROLENE POLYPROPYLENE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8321H	CDM			270	RC		outpatient			27.89	27.89	7.56				percent of total billed charges		27.89				other	OPPS APC	20.64				percent of total billed charges		27.89				other	OPPS APC	27.89				other	OPPS APC	7.56				percent of total billed charges		7.71				percent of total billed charges		27.89				other	OPPS APC	7.56	27.89	
SUTURE NONABSORBABLE PROLENE POLYPROPYLENE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8321H	CDM			270	RC		inpatient			27.89	27.89																																																			
COLCHICINE 0.6 MG TABLET	637000000	CDM	42292-054-01	NDC	A9270	HCPCS		inpatient			27.88	27.88																																																			
COLCHICINE 0.6 MG TABLET	637000000	CDM	42292-054-01	NDC	A9270	HCPCS		outpatient			27.88	27.88																																															other	OPPS APC			
BOUGIE ENDO TUBE STERILE 15FR 70CM	SUP-95-00954	CDM			272	RC		outpatient			27.88	27.88	7.55				percent of total billed charges		27.88				other	OPPS APC	20.63				percent of total billed charges		27.88				other	OPPS APC	27.88				other	OPPS APC	7.55				percent of total billed charges		7.7				percent of total billed charges		27.88				other	OPPS APC	7.55	27.88	
BOUGIE ENDO TUBE STERILE 15FR 70CM	SUP-95-00954	CDM			272	RC		inpatient			27.88	27.88																																																			
MANIFOLD SUCTION NEPTUNE 2 STANDARD 1 PORT WASTE MANAGEMENT SYSTEM	SUP-0702025000	CDM			270	RC		outpatient			27.8	27.81	7.53				percent of total billed charges		27.8				other	OPPS APC	20.57				percent of total billed charges		27.8				other	OPPS APC	27.8				other	OPPS APC	7.53				percent of total billed charges		7.68				percent of total billed charges		27.81				other	OPPS APC	7.53	27.81	
MANIFOLD SUCTION NEPTUNE 2 STANDARD 1 PORT WASTE MANAGEMENT SYSTEM	SUP-0702025000	CDM			270	RC		inpatient			27.8	27.8																																																			
GUIDEWIRE - .035X50CM	SUP-99-00198	CDM			272	RC		outpatient			27.8	27.81	7.53				percent of total billed charges		27.8				other	OPPS APC	20.57				percent of total billed charges		27.8				other	OPPS APC	27.8				other	OPPS APC	7.53				percent of total billed charges		7.68				percent of total billed charges		27.81				other	OPPS APC	7.53	27.81	
GUIDEWIRE - .035X50CM	SUP-99-00198	CDM			272	RC		inpatient			27.8	27.8																																																			
OSTOMY MEDICAL ADHESIVE	SUP-95-02702	CDM			271	RC		outpatient			27.76	27.76	7.52				percent of total billed charges		27.76				other	OPPS APC	20.54				percent of total billed charges		27.76				other	OPPS APC	27.76				other	OPPS APC	7.52				percent of total billed charges		7.67				percent of total billed charges		27.76				other	OPPS APC	7.52	27.76	
OSTOMY MEDICAL ADHESIVE	SUP-95-02702	CDM			271	RC		inpatient			27.76	27.76																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	55150-222-20	NDC				inpatient			27.75	27.75																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	55150-222-20	NDC				outpatient			27.75	27.75																																															other	OPPS APC			
LIDOCAINE 2 % JELLY IN APPLICATOR	637000000	CDM	76329-3015-5	NDC	A9270	HCPCS		inpatient			27.75	27.75																																																			
LIDOCAINE 2 % JELLY IN APPLICATOR	637000000	CDM	76329-3015-5	NDC	A9270	HCPCS		outpatient			27.75	27.75																																															other	OPPS APC			
CAP DRAINAGE PLEURX THORACIC VALVE CAP KIT LATEX FREE DISPOSABLE PLEURAL EFFUSION	SUP-50-7235	CDM			270	RC		outpatient			27.7	27.7	7.5				percent of total billed charges		27.7				other	OPPS APC	20.5				percent of total billed charges		27.7				other	OPPS APC	27.7				other	OPPS APC	7.5				percent of total billed charges		7.65				percent of total billed charges		27.7				other	OPPS APC	7.5	27.7	
CAP DRAINAGE PLEURX THORACIC VALVE CAP KIT LATEX FREE DISPOSABLE PLEURAL EFFUSION	SUP-50-7235	CDM			270	RC		inpatient			27.7	27.7																																																			
BERKELEY SAFETOUCH COLLECT BTL LG	SUP-97-02511	CDM			271	RC		outpatient			27.6	27.61	7.48				percent of total billed charges		27.6				other	OPPS APC	20.42				percent of total billed charges		27.6				other	OPPS APC	27.6				other	OPPS APC	7.48				percent of total billed charges		7.63				percent of total billed charges		27.61				other	OPPS APC	7.48	27.61	
BERKELEY SAFETOUCH COLLECT BTL LG	SUP-97-02511	CDM			271	RC		inpatient			27.6	27.6																																																			
STRIP RETINAL SILICONE 4 MM STYLE 42 STERILE	SUP-DORC 92-10	CDM			270	RC		outpatient			27.6	27.61	7.48				percent of total billed charges		27.6				other	OPPS APC	20.42				percent of total billed charges		27.6				other	OPPS APC	27.6				other	OPPS APC	7.48				percent of total billed charges		7.63				percent of total billed charges		27.61				other	OPPS APC	7.48	27.61	
STRIP RETINAL SILICONE 4 MM STYLE 42 STERILE	SUP-DORC 92-10	CDM			270	RC		inpatient			27.6	27.6																																																			
DIAPER ADULT 2XL	SUP-04-00010	CDM			271	RC		outpatient			27.56	27.56	7.47				percent of total billed charges		27.56				other	OPPS APC	20.39				percent of total billed charges		27.56				other	OPPS APC	27.56				other	OPPS APC	7.47				percent of total billed charges		7.61				percent of total billed charges		27.56				other	OPPS APC	7.47	27.56	
DIAPER ADULT 2XL	SUP-04-00010	CDM			271	RC		inpatient			27.56	27.56																																																			
PLAIN STEINMAN PIN 3/32	SUP-95-02815	CDM			278	RC		outpatient			27.53	27.53	27.53				fee schedule		27.53				other	OPPS APC	15.69				percent of total billed charges		27.53				other	OPPS APC	27.53				other	OPPS APC	13.49				percent of total billed charges		14.04				percent of total billed charges		27.53				other	OPPS APC	13.49	27.53	
PLAIN STEINMAN PIN 3/32	SUP-95-02815	CDM			278	RC		inpatient			27.53	27.53																																																			
KIT DRESSING GRANUFOAM SENSAT.R.A.C. V.A.C. POLYURETHANE FOAM THK3.3 CM SMALL STANDARD L10 CM X W7.5 CM 1 ADHESIVE DRAPE PAD HYDROPHOBIC FLEXIBLE DISPOSABLE	SUP-M8275051/10	CDM	270009205	LOCAL	270	RC		outpatient			27.53	27.53	7.46				percent of total billed charges		27.53				other	OPPS APC	20.37				percent of total billed charges		27.53				other	OPPS APC	27.53				other	OPPS APC	7.46				percent of total billed charges		7.61				percent of total billed charges		27.53				other	OPPS APC	7.46	27.53	
KIT DRESSING GRANUFOAM SENSAT.R.A.C. V.A.C. POLYURETHANE FOAM THK3.3 CM SMALL STANDARD L10 CM X W7.5 CM 1 ADHESIVE DRAPE PAD HYDROPHOBIC FLEXIBLE DISPOSABLE	SUP-M8275051/10	CDM	270009205	LOCAL	270	RC		inpatient			27.53	27.53																																																			
HC 12x16 Cath Kit Lg Bore Multilumen (Sub)	PX-278C17515	CDM			278	RC		outpatient			27.5	27.5	27.5				fee schedule		27.5				other	OPPS APC	15.68				percent of total billed charges		27.5				other	OPPS APC	27.5				other	OPPS APC	13.48				percent of total billed charges		14.03				percent of total billed charges		27.5				other	OPPS APC	13.48	27.5	
HC 12x16 Cath Kit Lg Bore Multilumen (Sub)	PX-278C17515	CDM			278	RC		inpatient			27.5	27.5																																																			
Catheter Filiform 3fr	PX-278C17582	CDM			278	RC		outpatient			27.5	27.5	27.5				fee schedule		27.5				other	OPPS APC	15.68				percent of total billed charges		27.5				other	OPPS APC	27.5				other	OPPS APC	13.48				percent of total billed charges		14.03				percent of total billed charges		27.5				other	OPPS APC	13.48	27.5	
Catheter Filiform 3fr	PX-278C17582	CDM			278	RC		inpatient			27.5	27.5																																																			
Catheter Filiform 4fr	PX-278C17583	CDM			278	RC		outpatient			27.5	27.5	27.5				fee schedule		27.5				other	OPPS APC	15.68				percent of total billed charges		27.5				other	OPPS APC	27.5				other	OPPS APC	13.48				percent of total billed charges		14.03				percent of total billed charges		27.5				other	OPPS APC	13.48	27.5	
Catheter Filiform 4fr	PX-278C17583	CDM			278	RC		inpatient			27.5	27.5																																																			
HC MC Med Nut Ther  Group Re	PX-510978049	CDM	97804	CPT	510	RC		inpatient			27.5	27.5																																																			
HC MC Med Nut Ther  Group Re	PX-510978049	CDM	97804	CPT	510	RC		outpatient			27.5	27.5	169.66				case rate						other	OPPS APC	101				case rate						other	OPPS APC					fee schedule		169.66				case rate		173.05				case rate						other	OPPS APC	173.05	173.05	
HC Mnt Group per 30 Minutes	PX-942978041	CDM	97804	CPT	942	RC		inpatient			27.5	27.5																																																			
HC Mnt Group per 30 Minutes	PX-942978041	CDM	97804	CPT	942	RC		outpatient			27.5	15.29					fee schedule		15.29				fee schedule		20.35				percent of total billed charges		15.29				fee schedule		15.29				fee schedule		13.48				percent of total billed charges		14.03				percent of total billed charges		15.29				fee schedule		20.35	20.35	
HC Mnt Group 30 Min  2nd Ref  Same Year	PX-942G02711	CDM			942	RC		outpatient			27.5	27.5	27.5				fee schedule		27.5				other	OPPS APC	20.35				percent of total billed charges		27.5				other	OPPS APC	27.5				fee schedule		13.48				percent of total billed charges		14.03				percent of total billed charges		27.5				other	OPPS APC	13.48	27.5	
HC Mnt Group 30 Min  2nd Ref  Same Year	PX-942G02711	CDM			942	RC		inpatient			27.5	27.5																																																			
DEAVER T-TUBE 12 FR	SUP-11-00003	CDM			272	RC		outpatient			27.45	27.45	7.44				percent of total billed charges		27.45				other	OPPS APC	20.31				percent of total billed charges		27.45				other	OPPS APC	27.45				other	OPPS APC	7.44				percent of total billed charges		7.58				percent of total billed charges		27.45				other	OPPS APC	7.44	27.45	
DEAVER T-TUBE 12 FR	SUP-11-00003	CDM			272	RC		inpatient			27.45	27.45																																																			
PAD PROTECTION T7 COMFORT	SUP-0416-210-000	CDM			270	RC		outpatient			27.43	27.43	7.43				percent of total billed charges		27.43				other	OPPS APC	20.3				percent of total billed charges		27.43				other	OPPS APC	27.43				other	OPPS APC	7.43				percent of total billed charges		7.58				percent of total billed charges		27.43				other	OPPS APC	7.43	27.43	
PAD PROTECTION T7 COMFORT	SUP-0416-210-000	CDM			270	RC		inpatient			27.43	27.43																																																			
SUTURE NONABSORBABLE PROLENE 6-0 C-1 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-8706H	CDM			270	RC		outpatient			27.42	27.42	7.43				percent of total billed charges		27.42				other	OPPS APC	20.29				percent of total billed charges		27.42				other	OPPS APC	27.42				other	OPPS APC	7.43				percent of total billed charges		7.58				percent of total billed charges		27.42				other	OPPS APC	7.43	27.42	
SUTURE NONABSORBABLE PROLENE 6-0 C-1 L30 IN 2 ARM MONOFILAMENT BLUE	SUP-8706H	CDM			270	RC		inpatient			27.42	27.42																																																			
DEAVER T-TUBE 10 FR	SUP-11-00002	CDM			272	RC		outpatient			27.37	27.37	7.41				percent of total billed charges		27.37				other	OPPS APC	20.25				percent of total billed charges		27.37				other	OPPS APC	27.37				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.37				other	OPPS APC	7.41	27.37	
DEAVER T-TUBE 10 FR	SUP-11-00002	CDM			272	RC		inpatient			27.37	27.37																																																			
DEAVER T-TUBE 18 FR	SUP-11-00006	CDM			272	RC		outpatient			27.37	27.37	7.41				percent of total billed charges		27.37				other	OPPS APC	20.25				percent of total billed charges		27.37				other	OPPS APC	27.37				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.37				other	OPPS APC	7.41	27.37	
DEAVER T-TUBE 18 FR	SUP-11-00006	CDM			272	RC		inpatient			27.37	27.37																																																			
DEAVER T-TUBE 22FR	SUP-11-00009	CDM			272	RC		outpatient			27.37	27.37	7.41				percent of total billed charges		27.37				other	OPPS APC	20.25				percent of total billed charges		27.37				other	OPPS APC	27.37				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.37				other	OPPS APC	7.41	27.37	
DEAVER T-TUBE 22FR	SUP-11-00009	CDM			272	RC		inpatient			27.37	27.37																																																			
SPLINT WRIST & FOREARM LEFT	SUP-36-00028	CDM			271	RC		outpatient			27.36	27.36	7.41				percent of total billed charges		27.36				other	OPPS APC	20.25				percent of total billed charges		27.36				other	OPPS APC	27.36				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.36				other	OPPS APC	7.41	27.36	
SPLINT WRIST & FOREARM LEFT	SUP-36-00028	CDM			271	RC		inpatient			27.36	27.36																																																			
SPLINT WRIST & FOREARM RIGHT	SUP-36-00029	CDM			271	RC		outpatient			27.36	27.36	7.41				percent of total billed charges		27.36				other	OPPS APC	20.25				percent of total billed charges		27.36				other	OPPS APC	27.36				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.36				other	OPPS APC	7.41	27.36	
SPLINT WRIST & FOREARM RIGHT	SUP-36-00029	CDM			271	RC		inpatient			27.36	27.36																																																			
FILTER DISPOSABLE	SUP-81-00012	CDM			271	RC		outpatient			27.36	27.36	7.41				percent of total billed charges		27.36				other	OPPS APC	20.25				percent of total billed charges		27.36				other	OPPS APC	27.36				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.36				other	OPPS APC	7.41	27.36	
FILTER DISPOSABLE	SUP-81-00012	CDM			271	RC		inpatient			27.36	27.36																																																			
SUPER SHOE II MENS SM	SUP-95-01407	CDM			271	RC		outpatient			27.36	27.36	7.41				percent of total billed charges		27.36				other	OPPS APC	20.25				percent of total billed charges		27.36				other	OPPS APC	27.36				other	OPPS APC	7.41				percent of total billed charges		7.56				percent of total billed charges		27.36				other	OPPS APC	7.41	27.36	
SUPER SHOE II MENS SM	SUP-95-01407	CDM			271	RC		inpatient			27.36	27.36																																																			
CATHETER URETHRAL LUBRICATH NATURAL RUBBER NYLON OD22 FR 30 CC 3 WAY FOLEY 2 OPPOSING DRAINAGE EYE LONG ROUND TIP STERILE LATEX DISPOSABLE AMBER HEMATURIA	SUP-2551H22	CDM	270009000	LOCAL	270	RC		outpatient			27.32	27.32	7.4				percent of total billed charges		27.32				other	OPPS APC	20.22				percent of total billed charges		27.32				other	OPPS APC	27.32				other	OPPS APC	7.4				percent of total billed charges		7.55				percent of total billed charges		27.32				other	OPPS APC	7.4	27.32	
CATHETER URETHRAL LUBRICATH NATURAL RUBBER NYLON OD22 FR 30 CC 3 WAY FOLEY 2 OPPOSING DRAINAGE EYE LONG ROUND TIP STERILE LATEX DISPOSABLE AMBER HEMATURIA	SUP-2551H22	CDM	270009000	LOCAL	270	RC		inpatient			27.32	27.32																																																			
CATHETER URETHRAL LUBRICATH NATURAL RUBBER NYLON OD24 FR 30 CC 3 WAY FOLEY 2 OPPOSING DRAINAGE EYE LONG ROUND TIP STERILE LATEX DISPOSABLE AMBER HEMATURIA	SUP-2551H24	CDM	270009000	LOCAL	270	RC		outpatient			27.32	27.32	7.4				percent of total billed charges		27.32				other	OPPS APC	20.22				percent of total billed charges		27.32				other	OPPS APC	27.32				other	OPPS APC	7.4				percent of total billed charges		7.55				percent of total billed charges		27.32				other	OPPS APC	7.4	27.32	
CATHETER URETHRAL LUBRICATH NATURAL RUBBER NYLON OD24 FR 30 CC 3 WAY FOLEY 2 OPPOSING DRAINAGE EYE LONG ROUND TIP STERILE LATEX DISPOSABLE AMBER HEMATURIA	SUP-2551H24	CDM	270009000	LOCAL	270	RC		inpatient			27.32	27.32																																																			
IMMOBILE SHOULDER X-LARGE	SUP-36-00007	CDM			271	RC		outpatient			27.32	27.32	7.4				percent of total billed charges		27.32				other	OPPS APC	20.22				percent of total billed charges		27.32				other	OPPS APC	27.32				other	OPPS APC	7.4				percent of total billed charges		7.55				percent of total billed charges		27.32				other	OPPS APC	7.4	27.32	
IMMOBILE SHOULDER X-LARGE	SUP-36-00007	CDM			271	RC		inpatient			27.32	27.32																																																			
LABETALOL 20 MG/4 ML (5 MG/ML) SYRINGE	250000000	CDM	0409-2339-24	NDC				inpatient			27.25	27.25																																																			
LABETALOL 20 MG/4 ML (5 MG/ML) SYRINGE	250000000	CDM	0409-2339-24	NDC				outpatient			27.25	27.25																																															other	OPPS APC			
STRIP RETINAL SILICONE 2.5 MM GROOVE L100 MM X W6 MM X H1.5 MM STERILE	SUP-220	CDM			270	RC		outpatient			27.2	27.2	7.37				percent of total billed charges		27.2				other	OPPS APC	20.13				percent of total billed charges		27.2				other	OPPS APC	27.2				other	OPPS APC	7.37				percent of total billed charges		7.52				percent of total billed charges		27.2				other	OPPS APC	7.37	27.2	
STRIP RETINAL SILICONE 2.5 MM GROOVE L100 MM X W6 MM X H1.5 MM STERILE	SUP-220	CDM			270	RC		inpatient			27.2	27.2																																																			
WIRE SUTURE STAINLESS STEEL L60.96 CM OD.97 MM BEAD END	SUP-00119103800	CDM			270	RC		outpatient			27.19	27.19	7.37				percent of total billed charges		27.19				other	OPPS APC	20.12				percent of total billed charges		27.19				other	OPPS APC	27.19				other	OPPS APC	7.37				percent of total billed charges		7.51				percent of total billed charges		27.19				other	OPPS APC	7.37	27.19	
WIRE SUTURE STAINLESS STEEL L60.96 CM OD.97 MM BEAD END	SUP-00119103800	CDM			270	RC		inpatient			27.19	27.19																																																			
WIRE SUTURE STAINLESS STEEL L24 IN OD16 GA ODSEC1.2 MM BEAD END LATEX FREE	SUP-00119104800	CDM			270	RC		outpatient			27.19	27.19	7.37				percent of total billed charges		27.19				other	OPPS APC	20.12				percent of total billed charges		27.19				other	OPPS APC	27.19				other	OPPS APC	7.37				percent of total billed charges		7.51				percent of total billed charges		27.19				other	OPPS APC	7.37	27.19	
WIRE SUTURE STAINLESS STEEL L24 IN OD16 GA ODSEC1.2 MM BEAD END LATEX FREE	SUP-00119104800	CDM			270	RC		inpatient			27.19	27.19																																																			
IMMOBILIZER ORTHOPEDIC ALUMINUM TRICOT UNIVERSAL L12 IN KNEE POSTERIOR STAY HOOK LOOP CLOSURE 3 PANEL LATEX FREE	SUP-ORT2411012	CDM	270009016	LOCAL	270	RC		outpatient			27.14	27.14	7.35				percent of total billed charges		27.14				other	OPPS APC	20.08				percent of total billed charges		27.14				other	OPPS APC	27.14				other	OPPS APC	7.35				percent of total billed charges		7.5				percent of total billed charges		27.14				other	OPPS APC	7.35	27.14	
IMMOBILIZER ORTHOPEDIC ALUMINUM TRICOT UNIVERSAL L12 IN KNEE POSTERIOR STAY HOOK LOOP CLOSURE 3 PANEL LATEX FREE	SUP-ORT2411012	CDM	270009016	LOCAL	270	RC		inpatient			27.14	27.14																																																			
CATHETER KIT PUREWICK	SUP-03-00037	CDM			272	RC		outpatient			27.07	27.7	7.33				percent of total billed charges		27.07				other	OPPS APC	20.03				percent of total billed charges		27.07				other	OPPS APC	27.07				other	OPPS APC	7.33				percent of total billed charges		7.48				percent of total billed charges		27.7				other	OPPS APC	7.33	27.7	
CATHETER KIT PUREWICK	SUP-03-00037	CDM			272	RC		inpatient			27.07	27.07																																																			
MASK OXYGEN POM ELITE MSA ADULT HIGH CONCENTRATION CO2 MONITOR LATEX FREE MICROSTREAM	SUP-B180163	CDM			270	RC		outpatient			27.07	27.7	7.33				percent of total billed charges		27.07				other	OPPS APC	20.03				percent of total billed charges		27.07				other	OPPS APC	27.07				other	OPPS APC	7.33				percent of total billed charges		7.48				percent of total billed charges		27.7				other	OPPS APC	7.33	27.7	
MASK OXYGEN POM ELITE MSA ADULT HIGH CONCENTRATION CO2 MONITOR LATEX FREE MICROSTREAM	SUP-B180163	CDM			270	RC		inpatient			27.07	27.07																																																			
SUTURE NONABSORBABLE ETHIBOND 5 V-37 L30 IN BRAID 4 STRAND GREEN	SUP-MB66G	CDM			270	RC		outpatient			27.07	27.7	7.33				percent of total billed charges		27.07				other	OPPS APC	20.03				percent of total billed charges		27.07				other	OPPS APC	27.07				other	OPPS APC	7.33				percent of total billed charges		7.48				percent of total billed charges		27.7				other	OPPS APC	7.33	27.7	
SUTURE NONABSORBABLE ETHIBOND 5 V-37 L30 IN BRAID 4 STRAND GREEN	SUP-MB66G	CDM			270	RC		inpatient			27.07	27.07																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	0143-9335-01	NDC	J0665	HCPCS		inpatient			27	27																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	0143-9335-01	NDC	J0665	HCPCS		outpatient			27	0.16																																											0.16				other	OPPS APC	0.16	0.16	
FLUCONAZOLE PER 200 MG	636000000	CDM	25021-184-82	NDC	J1450	HCPCS		inpatient			27	27																																																			
FLUCONAZOLE PER 200 MG	636000000	CDM	25021-184-82	NDC	J1450	HCPCS		outpatient			27	27																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	71288-024-20	NDC	J3370	HCPCS		inpatient			27	27																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	71288-024-20	NDC	J3370	HCPCS		outpatient			27	27																																															other	OPPS APC			
HC Contrast Baths 15 Mins	PX-420970341	CDM	420970341	LOCAL	420	RC		outpatient			27	27	27				percent of total billed charges		27				other	OPPS APC	19.98				percent of total billed charges		27				fee schedule		27				fee schedule		28.25				percent of total billed charges		27				percent of total billed charges		27				fee schedule		19.98	28.25	
HC Contrast Baths 15 Mins	PX-420970341	CDM	420970341	LOCAL	420	RC		inpatient			27	27																																																			
SUCRALFATE 100 MG/ML SUSPENSION	637000000	CDM	0121-0974-10	NDC	A9270	HCPCS		inpatient			26.99	26.99																																																			
SUCRALFATE 100 MG/ML SUSPENSION	637000000	CDM	0121-0974-10	NDC	A9270	HCPCS		outpatient			26.99	26.99																																															other	OPPS APC			
IOBAN 23 X 23	SUP-24-00014	CDM			272	RC		outpatient			26.99	26.99	7.31				percent of total billed charges		26.99				other	OPPS APC	19.97				percent of total billed charges		26.99				other	OPPS APC	26.99				other	OPPS APC	7.31				percent of total billed charges		7.46				percent of total billed charges		26.99				other	OPPS APC	7.31	26.99	
IOBAN 23 X 23	SUP-24-00014	CDM			272	RC		inpatient			26.99	26.99																																																			
SUTURE 6.0 PLAIN	SUP-770G	CDM			270	RC		outpatient			26.99	26.99	7.31				percent of total billed charges		26.99				other	OPPS APC	19.97				percent of total billed charges		26.99				other	OPPS APC	26.99				other	OPPS APC	7.31				percent of total billed charges		7.46				percent of total billed charges		26.99				other	OPPS APC	7.31	26.99	
SUTURE 6.0 PLAIN	SUP-770G	CDM			270	RC		inpatient			26.99	26.99																																																			
SUTURE ABSORBABLE MICROPOINT CHROMIC 6-0 G-1 L18 IN 2 ARM MONOFILAMENT BROWN	SUP-790G	CDM			270	RC		outpatient			26.99	26.99	7.31				percent of total billed charges		26.99				other	OPPS APC	19.97				percent of total billed charges		26.99				other	OPPS APC	26.99				other	OPPS APC	7.31				percent of total billed charges		7.46				percent of total billed charges		26.99				other	OPPS APC	7.31	26.99	
SUTURE ABSORBABLE MICROPOINT CHROMIC 6-0 G-1 L18 IN 2 ARM MONOFILAMENT BROWN	SUP-790G	CDM			270	RC		inpatient			26.99	26.99																																																			
STER. WATER IRR. BAG 3000ML 2B7117	SUP-21-00048	CDM			272	RC		outpatient			26.96	26.96	7.3				percent of total billed charges		26.96				other	OPPS APC	19.95				percent of total billed charges		26.96				other	OPPS APC	26.96				other	OPPS APC	7.3				percent of total billed charges		7.45				percent of total billed charges		26.96				other	OPPS APC	7.3	26.96	
STER. WATER IRR. BAG 3000ML 2B7117	SUP-21-00048	CDM			272	RC		inpatient			26.96	26.96																																																			
CATHETER THORACIC 16FR W/4 EYES	SUP-02-00078	CDM			272	RC		outpatient			26.94	26.94	7.3				percent of total billed charges		26.94				other	OPPS APC	19.94				percent of total billed charges		26.94				other	OPPS APC	26.94				other	OPPS APC	7.3				percent of total billed charges		7.44				percent of total billed charges		26.94				other	OPPS APC	7.3	26.94	
CATHETER THORACIC 16FR W/4 EYES	SUP-02-00078	CDM			272	RC		inpatient			26.94	26.94																																																			
CATHETER THORACIC 10FR W/2 EYES	SUP-11-00007	CDM			272	RC		outpatient			26.94	26.94	7.3				percent of total billed charges		26.94				other	OPPS APC	19.94				percent of total billed charges		26.94				other	OPPS APC	26.94				other	OPPS APC	7.3				percent of total billed charges		7.44				percent of total billed charges		26.94				other	OPPS APC	7.3	26.94	
CATHETER THORACIC 10FR W/2 EYES	SUP-11-00007	CDM			272	RC		inpatient			26.94	26.94																																																			
CATHETER THORACIC 8FR W/2 EYES	SUP-11-00008	CDM			272	RC		outpatient			26.94	26.94	7.3				percent of total billed charges		26.94				other	OPPS APC	19.94				percent of total billed charges		26.94				other	OPPS APC	26.94				other	OPPS APC	7.3				percent of total billed charges		7.44				percent of total billed charges		26.94				other	OPPS APC	7.3	26.94	
CATHETER THORACIC 8FR W/2 EYES	SUP-11-00008	CDM			272	RC		inpatient			26.94	26.94																																																			
SET ADMINISTRATION MULTI-AD PVC L41 IN 10 ML INTRAVENOUS 2 CHECK VALVE LUER LOCK SYRINGE UNIVERSAL SPIKE DEHP FREE STERILE LATEX FREE	SUP-513506	CDM			270	RC		outpatient			26.93	26.93	7.3				percent of total billed charges		26.93				other	OPPS APC	19.93				percent of total billed charges		26.93				other	OPPS APC	26.93				other	OPPS APC	7.3				percent of total billed charges		7.44				percent of total billed charges		26.93				other	OPPS APC	7.3	26.93	
SET ADMINISTRATION MULTI-AD PVC L41 IN 10 ML INTRAVENOUS 2 CHECK VALVE LUER LOCK SYRINGE UNIVERSAL SPIKE DEHP FREE STERILE LATEX FREE	SUP-513506	CDM			270	RC		inpatient			26.93	26.93																																																			
ACTIVA BASE/LINER	SUP-3840157	CDM	27000000	LOCAL	270	RC		outpatient			26.9	26.9	7.29				percent of total billed charges		26.9				other	OPPS APC	19.91				percent of total billed charges		26.9				other	OPPS APC	26.9				other	OPPS APC	7.29				percent of total billed charges		7.43				percent of total billed charges		26.9				other	OPPS APC	7.29	26.9	
ACTIVA BASE/LINER	SUP-3840157	CDM	27000000	LOCAL	270	RC		inpatient			26.9	26.9																																																			
CROWN FORM STRIP-OFF 211 TRANSPARENT	SUP-1002082	CDM			270	RC		outpatient			26.86	26.86	7.28				percent of total billed charges		26.86				other	OPPS APC	19.88				percent of total billed charges		26.86				other	OPPS APC	26.86				other	OPPS APC	7.28				percent of total billed charges		7.42				percent of total billed charges		26.86				other	OPPS APC	7.28	26.86	
CROWN FORM STRIP-OFF 211 TRANSPARENT	SUP-1002082	CDM			270	RC		inpatient			26.86	26.86																																																			
CROWN FORM STRIP-OFF 111 TRANSPARENT	SUP-1003790	CDM			270	RC		outpatient			26.86	26.86	7.28				percent of total billed charges		26.86				other	OPPS APC	19.88				percent of total billed charges		26.86				other	OPPS APC	26.86				other	OPPS APC	7.28				percent of total billed charges		7.42				percent of total billed charges		26.86				other	OPPS APC	7.28	26.86	
CROWN FORM STRIP-OFF 111 TRANSPARENT	SUP-1003790	CDM			270	RC		inpatient			26.86	26.86																																																			
SUTURE ABSORBABLE VICRYL 4-0 TF L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J743D	CDM			270	RC		outpatient			26.86	26.86	7.28				percent of total billed charges		26.86				other	OPPS APC	19.88				percent of total billed charges		26.86				other	OPPS APC	26.86				other	OPPS APC	7.28				percent of total billed charges		7.42				percent of total billed charges		26.86				other	OPPS APC	7.28	26.86	
SUTURE ABSORBABLE VICRYL 4-0 TF L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J743D	CDM			270	RC		inpatient			26.86	26.86																																																			
SODIUM CHLORIDE 4 MEQ/ML SOLUTION 30 ML VIAL	250000000	CDM	63323-093-01	NDC				inpatient			26.84	26.84																																																			
SODIUM CHLORIDE 4 MEQ/ML SOLUTION 30 ML VIAL	250000000	CDM	63323-093-01	NDC				outpatient			26.84	26.84																																															other	OPPS APC			
BAG BILE	SUP-03-00002	CDM			272	RC		outpatient			26.84	26.84	7.27				percent of total billed charges		26.84				other	OPPS APC	19.86				percent of total billed charges		26.84				other	OPPS APC	26.84				other	OPPS APC	7.27				percent of total billed charges		7.42				percent of total billed charges		26.84				other	OPPS APC	7.27	26.84	
BAG BILE	SUP-03-00002	CDM			272	RC		inpatient			26.84	26.84																																																			
BOOT TRACTION FOAM UNIVERSAL BUCKS LINER	SUP-27101	CDM						inpatient			26.84	26.84																																																			
BOOT TRACTION FOAM UNIVERSAL BUCKS LINER	SUP-27101	CDM						outpatient			26.84	26.84	26.84				percent of total billed charges		26.84				other	OPPS APC	26.84				fee schedule		26.84				other	OPPS APC	26.84				other	OPPS APC	26.84				case rate		26.84				case rate		26.84				other	OPPS APC	26.84	26.84	
SUTURE NONABSORBABLE ETHIBOND 2 V-37 L30 IN BRAID 4 STRAND GREEN	SUP-MX69G	CDM			270	RC		outpatient			26.82	26.82	7.27				percent of total billed charges		26.82				other	OPPS APC	19.85				percent of total billed charges		26.82				other	OPPS APC	26.82				other	OPPS APC	7.27				percent of total billed charges		7.41				percent of total billed charges		26.82				other	OPPS APC	7.27	26.82	
SUTURE NONABSORBABLE ETHIBOND 2 V-37 L30 IN BRAID 4 STRAND GREEN	SUP-MX69G	CDM			270	RC		inpatient			26.82	26.82																																																			
WRAP THERAPEUTIC FOAM L25.5 IN X W14 IN KNEE 4 COLD PACK ADJUSTABLE PAD	SUP-9383-10	CDM	270009123	LOCAL	270	RC		outpatient			26.81	26.9	7.26				percent of total billed charges		26.81				other	OPPS APC	19.84				percent of total billed charges		26.81				other	OPPS APC	26.81				other	OPPS APC	7.26				percent of total billed charges		7.41				percent of total billed charges		26.9				other	OPPS APC	7.26	26.9	
WRAP THERAPEUTIC FOAM L25.5 IN X W14 IN KNEE 4 COLD PACK ADJUSTABLE PAD	SUP-9383-10	CDM	270009123	LOCAL	270	RC		inpatient			26.81	26.81																																																			
PIOGLITAZONE 30 MG TABLET	637000000	CDM	65862-513-30	NDC	A9270	HCPCS		inpatient			26.78	26.78																																																			
PIOGLITAZONE 30 MG TABLET	637000000	CDM	65862-513-30	NDC	A9270	HCPCS		outpatient			26.78	26.78																																															other	OPPS APC			
NEEDLE HYPODERMIC 30G X 1/2	SUP-95-01674	CDM			272	RC		outpatient			26.76	26.76	7.25				percent of total billed charges		26.76				other	OPPS APC	19.8				percent of total billed charges		26.76				other	OPPS APC	26.76				other	OPPS APC	7.25				percent of total billed charges		7.39				percent of total billed charges		26.76				other	OPPS APC	7.25	26.76	
NEEDLE HYPODERMIC 30G X 1/2	SUP-95-01674	CDM			272	RC		inpatient			26.76	26.76																																																			
SHIELD EYE SURGICAL DISPOSABLE Z KIT	SUP-23-500	CDM						inpatient			26.74	26.74																																																			
SHIELD EYE SURGICAL DISPOSABLE Z KIT	SUP-23-500	CDM						outpatient			26.74	26.74	26.74				percent of total billed charges		26.74				other	OPPS APC	26.74				fee schedule		26.74				other	OPPS APC	26.74				other	OPPS APC	26.74				case rate		26.74				case rate		26.74				other	OPPS APC	26.74	26.74	
LMA 1.5	SUP-95-03270	CDM			272	RC		outpatient			26.72	26.72	7.24				percent of total billed charges		26.72				other	OPPS APC	19.77				percent of total billed charges		26.72				other	OPPS APC	26.72				other	OPPS APC	7.24				percent of total billed charges		7.38				percent of total billed charges		26.72				other	OPPS APC	7.24	26.72	
LMA 1.5	SUP-95-03270	CDM			272	RC		inpatient			26.72	26.72																																																			
RIGHT ANGLED CHEST TUBES SZ 36	SUP-83-00009	CDM			272	RC		outpatient			26.71	26.71	7.24				percent of total billed charges		26.71				other	OPPS APC	19.77				percent of total billed charges		26.71				other	OPPS APC	26.71				other	OPPS APC	7.24				percent of total billed charges		7.38				percent of total billed charges		26.71				other	OPPS APC	7.24	26.71	
RIGHT ANGLED CHEST TUBES SZ 36	SUP-83-00009	CDM			272	RC		inpatient			26.71	26.71																																																			
DRAPE OPTHALMIC	SUP-8065102320	CDM						inpatient			26.7	26.7																																																			
DRAPE OPTHALMIC	SUP-8065102320	CDM						outpatient			26.7	26.7	26.7				percent of total billed charges		26.7				other	OPPS APC	26.7				fee schedule		26.7				other	OPPS APC	26.7				other	OPPS APC	26.7				case rate		26.7				case rate		26.7				other	OPPS APC	26.7	26.7	
SUTURE NONABSORBABLE ETHILON MULTIPASS 8-0 BV130-5 L5 IN MONOFILAMENT BLACK	SUP-2808G	CDM			270	RC		outpatient			26.67	26.67	7.22				percent of total billed charges		26.67				other	OPPS APC	19.74				percent of total billed charges		26.67				other	OPPS APC	26.67				other	OPPS APC	7.22				percent of total billed charges		7.37				percent of total billed charges		26.67				other	OPPS APC	7.22	26.67	
SUTURE NONABSORBABLE ETHILON MULTIPASS 8-0 BV130-5 L5 IN MONOFILAMENT BLACK	SUP-2808G	CDM			270	RC		inpatient			26.67	26.67																																																			
BLADE SAW MICRO 100 MICROPOWER L25.5 MM X W9.5 MM X H.4 MM SAGITTAL FINE TOOTH STERILE	SUP-00502318300	CDM			270	RC		outpatient			26.64	26.64	7.22				percent of total billed charges		26.64				other	OPPS APC	19.71				percent of total billed charges		26.64				other	OPPS APC	26.64				other	OPPS APC	7.22				percent of total billed charges		7.36				percent of total billed charges		26.64				other	OPPS APC	7.22	26.64	
BLADE SAW MICRO 100 MICROPOWER L25.5 MM X W9.5 MM X H.4 MM SAGITTAL FINE TOOTH STERILE	SUP-00502318300	CDM			270	RC		inpatient			26.64	26.64																																																			
BLADE SAW 41X14X.4MM MICRO SS COARSE STERILE	SUP-5023-233	CDM			270	RC		outpatient			26.64	26.64	7.22				percent of total billed charges		26.64				other	OPPS APC	19.71				percent of total billed charges		26.64				other	OPPS APC	26.64				other	OPPS APC	7.22				percent of total billed charges		7.36				percent of total billed charges		26.64				other	OPPS APC	7.22	26.64	
BLADE SAW 41X14X.4MM MICRO SS COARSE STERILE	SUP-5023-233	CDM			270	RC		inpatient			26.64	26.64																																																			
SUTURE ABSORBABLE MICROPOINT 5-0 G-3 18IN BROWN CHROMIC 2 ARM MONOFILAMENT	SUP-792G	CDM			270	RC		outpatient			26.57	26.57	7.2				percent of total billed charges		26.57				other	OPPS APC	19.66				percent of total billed charges		26.57				other	OPPS APC	26.57				other	OPPS APC	7.2				percent of total billed charges		7.34				percent of total billed charges		26.57				other	OPPS APC	7.2	26.57	
SUTURE ABSORBABLE MICROPOINT 5-0 G-3 18IN BROWN CHROMIC 2 ARM MONOFILAMENT	SUP-792G	CDM			270	RC		inpatient			26.57	26.57																																																			
CATH PED 10FR FOLEY 3CC 2WAY	SUP-97-00348	CDM			272	RC		outpatient			26.56	26.56	7.2				percent of total billed charges		26.56				other	OPPS APC	19.65				percent of total billed charges		26.56				other	OPPS APC	26.56				other	OPPS APC	7.2				percent of total billed charges		7.34				percent of total billed charges		26.56				other	OPPS APC	7.2	26.56	
CATH PED 10FR FOLEY 3CC 2WAY	SUP-97-00348	CDM			272	RC		inpatient			26.56	26.56																																																			
DEAVER T-TUBE 16 FR	SUP-11-00005	CDM			272	RC		outpatient			26.55	26.55	7.19				percent of total billed charges		26.55				other	OPPS APC	19.65				percent of total billed charges		26.55				other	OPPS APC	26.55				other	OPPS APC	7.19				percent of total billed charges		7.34				percent of total billed charges		26.55				other	OPPS APC	7.19	26.55	
DEAVER T-TUBE 16 FR	SUP-11-00005	CDM			272	RC		inpatient			26.55	26.55																																																			
BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	0186-0370-28	NDC	A9270	HCPCS		inpatient			26.54	26.54																																																			
BUDESONIDE-FORMOTEROL 160-4.5 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	0186-0370-28	NDC	A9270	HCPCS		outpatient			26.54	26.54																																															other	OPPS APC			
MANIFOLD EXTENSION SET	SUP-20-00024	CDM			272	RC		outpatient			26.5	26.5	7.18				percent of total billed charges		26.5				other	OPPS APC	19.61				percent of total billed charges		26.5				other	OPPS APC	26.5				other	OPPS APC	7.18				percent of total billed charges		7.32				percent of total billed charges		26.5				other	OPPS APC	7.18	26.5	
MANIFOLD EXTENSION SET	SUP-20-00024	CDM			272	RC		inpatient			26.5	26.5																																																			
STOCKINETTE  STERILE 4	SUP-10-00057	CDM			272	RC		outpatient			26.49	26.49	7.18				percent of total billed charges		26.49				other	OPPS APC	19.6				percent of total billed charges		26.49				other	OPPS APC	26.49				other	OPPS APC	7.18				percent of total billed charges		7.32				percent of total billed charges		26.49				other	OPPS APC	7.18	26.49	
STOCKINETTE  STERILE 4	SUP-10-00057	CDM			272	RC		inpatient			26.49	26.49																																																			
Fix This	SUP-H7878105352601	CDM			481	RC		outpatient			26.46	26.46	12.97				percent of total billed charges		26.46				other	OPPS APC	19.58				percent of total billed charges		26.46				other	OPPS APC	26.46				other	OPPS APC	12.97				percent of total billed charges		13.49				percent of total billed charges		26.46				other	OPPS APC	12.97	26.46	
Fix This	SUP-H7878105352601	CDM			481	RC		inpatient			26.46	26.46																																																			
NAVILYST .035 J-TIP GUIDEWIRE 260CM	SUP-H965970004051	CDM			481	RC		outpatient			26.46	26.46	12.97				percent of total billed charges		26.46				other	OPPS APC	19.58				percent of total billed charges		26.46				other	OPPS APC	26.46				other	OPPS APC	12.97				percent of total billed charges		13.49				percent of total billed charges		26.46				other	OPPS APC	12.97	26.46	
NAVILYST .035 J-TIP GUIDEWIRE 260CM	SUP-H965970004051	CDM			481	RC		inpatient			26.46	26.46																																																			
OSHNERS SMALL	SUP-105200	CDM						inpatient			26.4	26.4																																																			
OSHNERS SMALL	SUP-105200	CDM						outpatient			26.4	26.4	26.4				percent of total billed charges		26.4				other	OPPS APC	26.4				fee schedule		26.4				other	OPPS APC	26.4				other	OPPS APC	26.4				case rate		26.4				case rate		26.4				other	OPPS APC	26.4	26.4	
CEFAZOLIN 3 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9140-01	NDC	J0690	HCPCS		inpatient			26.33	26.33																																																			
CEFAZOLIN 3 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9140-25	NDC	J0690	HCPCS		inpatient			26.33	26.33																																																			
CEFAZOLIN 3 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9140-01	NDC	J0690	HCPCS		outpatient			26.33	26.33																																															other	OPPS APC			
CEFAZOLIN 3 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9140-25	NDC	J0690	HCPCS		outpatient			26.33	26.33																																															other	OPPS APC			
BINDER ABDOMINAL 9	SUP-39-00005	CDM			271	RC		outpatient			26.32	26.32	7.13				percent of total billed charges		26.32				other	OPPS APC	19.48				percent of total billed charges		26.32				other	OPPS APC	26.32				other	OPPS APC	7.13				percent of total billed charges		7.27				percent of total billed charges		26.32				other	OPPS APC	7.13	26.32	
BINDER ABDOMINAL 9	SUP-39-00005	CDM			271	RC		inpatient			26.32	26.32																																																			
KNIFE OPHTHALMIC A-OK 30 D W1.85 MM FULL HANDLE ANGLE BLADE STERILE DISPOSABLE	SUP-8065923001	CDM			270	RC		outpatient			26.3	26.31	7.12				percent of total billed charges		26.3				other	OPPS APC	19.46				percent of total billed charges		26.3				other	OPPS APC	26.3				other	OPPS APC	7.12				percent of total billed charges		7.27				percent of total billed charges		26.31				other	OPPS APC	7.12	26.31	
KNIFE OPHTHALMIC A-OK 30 D W1.85 MM FULL HANDLE ANGLE BLADE STERILE DISPOSABLE	SUP-8065923001	CDM			270	RC		inpatient			26.3	26.3																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL	250000000	CDM	51754-5001-1	NDC				inpatient			26.25	26.25																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL	250000000	CDM	51754-5001-4	NDC				inpatient			26.25	26.25																																																			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL	250000000	CDM	51754-5001-1	NDC				outpatient			26.25	26.25																																															other	OPPS APC			
SODIUM BICARBONATE 1 MEQ/ML (8.4 %) SOLUTION 50 ML VIAL	250000000	CDM	51754-5001-4	NDC				outpatient			26.25	26.25																																															other	OPPS APC			
DR LEMON'S K WIRES .045	SUP-84-00007	CDM			278	RC		outpatient			26.25	26.25	26.25				fee schedule		26.25				other	OPPS APC	14.96				percent of total billed charges		26.25				other	OPPS APC	26.25				other	OPPS APC	12.86				percent of total billed charges		13.39				percent of total billed charges		26.25				other	OPPS APC	12.86	26.25	
DR LEMON'S K WIRES .045	SUP-84-00007	CDM			278	RC		inpatient			26.25	26.25																																																			
DR LEMON'S K WIRES .062	SUP-84-00008	CDM			278	RC		outpatient			26.25	26.25	26.25				fee schedule		26.25				other	OPPS APC	14.96				percent of total billed charges		26.25				other	OPPS APC	26.25				other	OPPS APC	12.86				percent of total billed charges		13.39				percent of total billed charges		26.25				other	OPPS APC	12.86	26.25	
DR LEMON'S K WIRES .062	SUP-84-00008	CDM			278	RC		inpatient			26.25	26.25																																																			
SUTURE NONABSORBABLE NUROLON 4-0 TF 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C584D	CDM			270	RC		outpatient			26.24	26.24	7.11				percent of total billed charges		26.24				other	OPPS APC	19.42				percent of total billed charges		26.24				other	OPPS APC	26.24				other	OPPS APC	7.11				percent of total billed charges		7.25				percent of total billed charges		26.24				other	OPPS APC	7.11	26.24	
SUTURE NONABSORBABLE NUROLON 4-0 TF 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C584D	CDM			270	RC		inpatient			26.24	26.24																																																			
SHOE POSTOPERATIVE DARCO ORTHOWEDGE 15 D 8 1/2-10 10 1/2-13 MEDIUM CONTACT CLOSURE DORSIFLEXION REMOVABLE INSOLE SQUARE TOE NONSTERILE LATEX FREE	SUP-HS1005-12	CDM			270	RC		outpatient			26.22	26.22	7.1				percent of total billed charges		26.22				other	OPPS APC	19.4				percent of total billed charges		26.22				other	OPPS APC	26.22				other	OPPS APC	7.1				percent of total billed charges		7.24				percent of total billed charges		26.22				other	OPPS APC	7.1	26.22	
SHOE POSTOPERATIVE DARCO ORTHOWEDGE 15 D 8 1/2-10 10 1/2-13 MEDIUM CONTACT CLOSURE DORSIFLEXION REMOVABLE INSOLE SQUARE TOE NONSTERILE LATEX FREE	SUP-HS1005-12	CDM			270	RC		inpatient			26.22	26.22																																																			
SHOE POSTOPERATIVE DARCO ORTHOWEDGE 15 D 10 1/2-12 13 1/2+ LARGE CONTACT CLOSURE DORSIFLEXION REMOVABLE INSOLE SQUARE TOE NONSTERILE LATEX FREE	SUP-HS1005-14	CDM			270	RC		outpatient			26.22	26.22	7.1				percent of total billed charges		26.22				other	OPPS APC	19.4				percent of total billed charges		26.22				other	OPPS APC	26.22				other	OPPS APC	7.1				percent of total billed charges		7.24				percent of total billed charges		26.22				other	OPPS APC	7.1	26.22	
SHOE POSTOPERATIVE DARCO ORTHOWEDGE 15 D 10 1/2-12 13 1/2+ LARGE CONTACT CLOSURE DORSIFLEXION REMOVABLE INSOLE SQUARE TOE NONSTERILE LATEX FREE	SUP-HS1005-14	CDM			270	RC		inpatient			26.22	26.22																																																			
TRAY SPINAL STANDARD 3.5IN 20GA CLEAR STERILE LF ADULT SPINAL NEEDLE LUMBAR PUNCTURE	SUP-4301C	CDM	270009046	LOCAL	270	RC		outpatient			26.2	26.2	7.1				percent of total billed charges		26.2				other	OPPS APC	19.39				percent of total billed charges		26.2				other	OPPS APC	26.2				other	OPPS APC	7.1				percent of total billed charges		7.24				percent of total billed charges		26.2				other	OPPS APC	7.1	26.2	
TRAY SPINAL STANDARD 3.5IN 20GA CLEAR STERILE LF ADULT SPINAL NEEDLE LUMBAR PUNCTURE	SUP-4301C	CDM	270009046	LOCAL	270	RC		inpatient			26.2	26.2																																																			
TRAY SPINAL 350 MM STANDARD L2 1/2 IN OD21 GA 5 ML NEEDLE MANOMETER SYRINGE 3 WAY STOPCOCK STERILE LATEX FREE LUMBAR PUNCTURE	SUP-4304C	CDM	270009046	LOCAL	270	RC		outpatient			26.2	26.2	7.1				percent of total billed charges		26.2				other	OPPS APC	19.39				percent of total billed charges		26.2				other	OPPS APC	26.2				other	OPPS APC	7.1				percent of total billed charges		7.24				percent of total billed charges		26.2				other	OPPS APC	7.1	26.2	
TRAY SPINAL 350 MM STANDARD L2 1/2 IN OD21 GA 5 ML NEEDLE MANOMETER SYRINGE 3 WAY STOPCOCK STERILE LATEX FREE LUMBAR PUNCTURE	SUP-4304C	CDM	270009046	LOCAL	270	RC		inpatient			26.2	26.2																																																			
SUTURE SILK 3-0 M3T	SUP-74-00297	CDM			272	RC		outpatient			26.2	26.2	7.1				percent of total billed charges		26.2				other	OPPS APC	19.39				percent of total billed charges		26.2				other	OPPS APC	26.2				other	OPPS APC	7.1				percent of total billed charges		7.24				percent of total billed charges		26.2				other	OPPS APC	7.1	26.2	
SUTURE SILK 3-0 M3T	SUP-74-00297	CDM			272	RC		inpatient			26.2	26.2																																																			
BAG DRAIN METER URINE 350CC	SUP-03-00022	CDM			272	RC		outpatient			26.16	26.16	7.09				percent of total billed charges		26.16				other	OPPS APC	19.36				percent of total billed charges		26.16				other	OPPS APC	26.16				other	OPPS APC	7.09				percent of total billed charges		7.23				percent of total billed charges		26.16				other	OPPS APC	7.09	26.16	
BAG DRAIN METER URINE 350CC	SUP-03-00022	CDM			272	RC		inpatient			26.16	26.16																																																			
SUTURE NONABSORBABLE NUROLON 4-0 RB-1 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C554D	CDM			270	RC		outpatient			26.13	26.13	7.08				percent of total billed charges		26.13				other	OPPS APC	19.34				percent of total billed charges		26.13				other	OPPS APC	26.13				other	OPPS APC	7.08				percent of total billed charges		7.22				percent of total billed charges		26.13				other	OPPS APC	7.08	26.13	
SUTURE NONABSORBABLE NUROLON 4-0 RB-1 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C554D	CDM			270	RC		inpatient			26.13	26.13																																																			
ETOPOSIDE 20 MG/ML SOLUTION 5 ML VIAL	636000000	CDM	63323-104-01	NDC	J9181	HCPCS		inpatient			26.12	26.12																																																			
ETOPOSIDE 20 MG/ML SOLUTION 5 ML VIAL	636000000	CDM	63323-104-01	NDC	J9181	HCPCS		outpatient			26.12	26.12																																															other	OPPS APC			
DEVICE SUCTION DLP .25IN SLIP CONNECTOR 6.5IN 6FR STERILE CARDIAC TUBE	SUP-10050	CDM			270	RC		outpatient			26.12	26.12	7.08				percent of total billed charges		26.12				other	OPPS APC	19.33				percent of total billed charges		26.12				other	OPPS APC	26.12				other	OPPS APC	7.08				percent of total billed charges		7.22				percent of total billed charges		26.12				other	OPPS APC	7.08	26.12	
DEVICE SUCTION DLP .25IN SLIP CONNECTOR 6.5IN 6FR STERILE CARDIAC TUBE	SUP-10050	CDM			270	RC		inpatient			26.12	26.12																																																			
SUTURE NONABSORBABLE PROLENE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8720H	CDM			270	RC		outpatient			26.12	26.12	7.08				percent of total billed charges		26.12				other	OPPS APC	19.33				percent of total billed charges		26.12				other	OPPS APC	26.12				other	OPPS APC	7.08				percent of total billed charges		7.22				percent of total billed charges		26.12				other	OPPS APC	7.08	26.12	
SUTURE NONABSORBABLE PROLENE 5-0 C-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8720H	CDM			270	RC		inpatient			26.12	26.12																																																			
CHEST DRAIN ACCESSORY STANDARD ADULT CONNECTOR	SUP-95-06020	CDM			272	RC		outpatient			26.1	26.11	7.07				percent of total billed charges		26.1				other	OPPS APC	19.31				percent of total billed charges		26.1				other	OPPS APC	26.1				other	OPPS APC	7.07				percent of total billed charges		7.21				percent of total billed charges		26.11				other	OPPS APC	7.07	26.11	
CHEST DRAIN ACCESSORY STANDARD ADULT CONNECTOR	SUP-95-06020	CDM			272	RC		inpatient			26.1	26.1																																																			
MICROSAGITTAL BLADE	SUP-00502313500	CDM			270	RC		outpatient			26.08	26.8	7.07				percent of total billed charges		26.08				other	OPPS APC	19.3				percent of total billed charges		26.08				other	OPPS APC	26.08				other	OPPS APC	7.07				percent of total billed charges		7.21				percent of total billed charges		26.8				other	OPPS APC	7.07	26.8	
MICROSAGITTAL BLADE	SUP-00502313500	CDM			270	RC		inpatient			26.08	26.08																																																			
MICROSAGITTAL BLADE	SUP-5023-235	CDM			270	RC		outpatient			26.08	26.8	7.07				percent of total billed charges		26.08				other	OPPS APC	19.3				percent of total billed charges		26.08				other	OPPS APC	26.08				other	OPPS APC	7.07				percent of total billed charges		7.21				percent of total billed charges		26.8				other	OPPS APC	7.07	26.8	
MICROSAGITTAL BLADE	SUP-5023-235	CDM			270	RC		inpatient			26.08	26.08																																																			
SUPER SHOE II WOMENS MED	SUP-95-01405	CDM			271	RC		outpatient			26.08	26.8	7.07				percent of total billed charges		26.08				other	OPPS APC	19.3				percent of total billed charges		26.08				other	OPPS APC	26.08				other	OPPS APC	7.07				percent of total billed charges		7.21				percent of total billed charges		26.8				other	OPPS APC	7.07	26.8	
SUPER SHOE II WOMENS MED	SUP-95-01405	CDM			271	RC		inpatient			26.08	26.08																																																			
HC Occult Bld Feces (Ocb)	PX-300822700	CDM	82270	CPT	301	RC		outpatient			26	4.38	4.35				fee schedule		4.38				fee schedule		8.63				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.35	8.63	
HC Occult Bld Feces (Ocb)	PX-300822700	CDM	82270	CPT	301	RC		inpatient			26	26																																																			
HC Occult Blood X2	PX-300822702	CDM	82270	CPT	300	RC		outpatient			26	4.38	4.35				fee schedule		4.38				fee schedule		8.63				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.35	8.63	
HC Occult Blood X2	PX-300822702	CDM	82270	CPT	300	RC		inpatient			26	26																																																			
HC Occult Blood X3	PX-300822703	CDM	82270	CPT	300	RC		outpatient			26	4.38	4.35				fee schedule		4.38				fee schedule		8.63				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.38				fee schedule		4.35	8.63	
HC Occult Blood X3	PX-300822703	CDM	82270	CPT	300	RC		inpatient			26	26																																																			
DIAPX	SUP-1070512	CDM	27000000	LOCAL	270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
DIAPX	SUP-1070512	CDM	27000000	LOCAL	270	RC		inpatient			26	26																																																			
CATHETER ANGIOGRAPHIC IMAGER II MEDI-GLIDE TUNGSTEN BERENSTEIN CURVE L100 CM OD5 FR CEREBRAL BRAID TORQUE SELECTIVE RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-31-405	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
CATHETER ANGIOGRAPHIC IMAGER II MEDI-GLIDE TUNGSTEN BERENSTEIN CURVE L100 CM OD5 FR CEREBRAL BRAID TORQUE SELECTIVE RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-31-405	CDM			270	RC		inpatient			26	26																																																			
CATHETER ANGIOGRAPHIC IMAGER II MEDI-GLIDE TUNGSTEN BERENSTEIN CURVE L65 CM OD5 FR CEREBRAL BRAID TORQUE SELECTIVE RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-31-410	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
CATHETER ANGIOGRAPHIC IMAGER II MEDI-GLIDE TUNGSTEN BERENSTEIN CURVE L65 CM OD5 FR CEREBRAL BRAID TORQUE SELECTIVE RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-31-410	CDM			270	RC		inpatient			26	26																																																			
GUIDEWIRE VASCULAR ROSEN J CURVE 180CM 1.5MM .035IN SS  PTFE DISPOSABLE STERILE FIX CORE HEAVY DUTY EXCHANGE	SUP-G01264	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
GUIDEWIRE VASCULAR ROSEN J CURVE 180CM 1.5MM .035IN SS  PTFE DISPOSABLE STERILE FIX CORE HEAVY DUTY EXCHANGE	SUP-G01264	CDM			270	RC		inpatient			26	26																																																			
CANNULA RADIOFREQUENCY SILICONE CURVE L100 MM L10 MM OD18 GA ACTIVE TIP PREMIUM NEEDLE ERGONOMIC HUB STEERABLE SHAFT	SUP-SL-C1010-18	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
CANNULA RADIOFREQUENCY SILICONE CURVE L100 MM L10 MM OD18 GA ACTIVE TIP PREMIUM NEEDLE ERGONOMIC HUB STEERABLE SHAFT	SUP-SL-C1010-18	CDM			270	RC		inpatient			26	26																																																			
NEEDLE RF 20GA X 10	SUP-SL-C1010-20	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
NEEDLE RF 20GA X 10	SUP-SL-C1010-20	CDM			270	RC		inpatient			26	26																																																			
CANNULA RADIOFREQUENCY SILICONE CURVE L15 CM L10 MM OD18 GA ACTIVE TIP PREMIUM NEEDLE ERGONOMIC HUB STEERABLE SHAFT	SUP-SL-C1510-18	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
CANNULA RADIOFREQUENCY SILICONE CURVE L15 CM L10 MM OD18 GA ACTIVE TIP PREMIUM NEEDLE ERGONOMIC HUB STEERABLE SHAFT	SUP-SL-C1510-18	CDM			270	RC		inpatient			26	26																																																			
CANNULA RADIOFREQUENCY SILICONE CURVE L15 CM L10 MM OD20 GA ACTIVE TIP PREMIUM NEEDLE ERGONOMIC HUB STEERABLE SHAFT	SUP-SL-C1510-20	CDM			270	RC		outpatient			26	26	7.04				percent of total billed charges		26				other	OPPS APC	19.24				percent of total billed charges		26				other	OPPS APC	26				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		26				other	OPPS APC	7.04	26	
CANNULA RADIOFREQUENCY SILICONE CURVE L15 CM L10 MM OD20 GA ACTIVE TIP PREMIUM NEEDLE ERGONOMIC HUB STEERABLE SHAFT	SUP-SL-C1510-20	CDM			270	RC		inpatient			26	26																																																			
GUIDEWIRE VASCULAR SAFE-T-J STANDARD CURVE TAPER 145CM 1.5CM .035IN SS PTFE DISPOSABLE STERILE FIX CORE FLEXIBLE TIP	SUP-G00511	CDM			270	RC		outpatient			25.98	25.98	7.04				percent of total billed charges		25.98				other	OPPS APC	19.23				percent of total billed charges		25.98				other	OPPS APC	25.98				other	OPPS APC	7.04				percent of total billed charges		7.18				percent of total billed charges		25.98				other	OPPS APC	7.04	25.98	
GUIDEWIRE VASCULAR SAFE-T-J STANDARD CURVE TAPER 145CM 1.5CM .035IN SS PTFE DISPOSABLE STERILE FIX CORE FLEXIBLE TIP	SUP-G00511	CDM			270	RC		inpatient			25.98	25.98																																																			
VALVE HEMOSTASIS DOUBLEPLAY POLYCARBONATE SILICONE ID9 FR 2 LARGE BORE	SUP-MAP220	CDM			270	RC		outpatient			25.96	25.96	7.03				percent of total billed charges		25.96				other	OPPS APC	19.21				percent of total billed charges		25.96				other	OPPS APC	25.96				other	OPPS APC	7.03				percent of total billed charges		7.17				percent of total billed charges		25.96				other	OPPS APC	7.03	25.96	
VALVE HEMOSTASIS DOUBLEPLAY POLYCARBONATE SILICONE ID9 FR 2 LARGE BORE	SUP-MAP220	CDM			270	RC		inpatient			25.96	25.96																																																			
DRAPE SURGICAL CONVERTORS TIBURON VELCRO L110 IN X W109 IN X H100 IN L18 IN X W16 IN FLUID CONTROL POUCH FENESTRATION ABSORBENT IMPERVIOUS REINFORCEMENT ARMBOARD COVER STERILE DISPOSABLE LAVH	SUP-29474	CDM			270	RC		outpatient			25.9	25.9	7.02				percent of total billed charges		25.9				other	OPPS APC	19.17				percent of total billed charges		25.9				other	OPPS APC	25.9				other	OPPS APC	7.02				percent of total billed charges		7.16				percent of total billed charges		25.9				other	OPPS APC	7.02	25.9	
DRAPE SURGICAL CONVERTORS TIBURON VELCRO L110 IN X W109 IN X H100 IN L18 IN X W16 IN FLUID CONTROL POUCH FENESTRATION ABSORBENT IMPERVIOUS REINFORCEMENT ARMBOARD COVER STERILE DISPOSABLE LAVH	SUP-29474	CDM			270	RC		inpatient			25.9	25.9																																																			
SUTURE ABSORBABLE SUTUPAK CHROMIC 2-0 L18 IN MONOFILAMENT 12 STRAND PRECUT	SUP-SG13T	CDM			270	RC		outpatient			25.83	25.83	7				percent of total billed charges		25.83				other	OPPS APC	19.11				percent of total billed charges		25.83				other	OPPS APC	25.83				other	OPPS APC	7				percent of total billed charges		7.14				percent of total billed charges		25.83				other	OPPS APC	7	25.83	
SUTURE ABSORBABLE SUTUPAK CHROMIC 2-0 L18 IN MONOFILAMENT 12 STRAND PRECUT	SUP-SG13T	CDM			270	RC		inpatient			25.83	25.83																																																			
SUCTION CAUTERIZER-ENT	SUP-72-00018	CDM			272	RC		outpatient			25.76	25.76	6.98				percent of total billed charges		25.76				other	OPPS APC	19.06				percent of total billed charges		25.76				other	OPPS APC	25.76				other	OPPS APC	6.98				percent of total billed charges		7.12				percent of total billed charges		25.76				other	OPPS APC	6.98	25.76	
SUCTION CAUTERIZER-ENT	SUP-72-00018	CDM			272	RC		inpatient			25.76	25.76																																																			
ADHESIVE SKIN CLOSURE OCTYL DOME .8 ML STERILE TINT	SUP-CHLOT01-08	CDM			270	RC		outpatient			25.76	25.76	6.98				percent of total billed charges		25.76				other	OPPS APC	19.06				percent of total billed charges		25.76				other	OPPS APC	25.76				other	OPPS APC	6.98				percent of total billed charges		7.12				percent of total billed charges		25.76				other	OPPS APC	6.98	25.76	
ADHESIVE SKIN CLOSURE OCTYL DOME .8 ML STERILE TINT	SUP-CHLOT01-08	CDM			270	RC		inpatient			25.76	25.76																																																			
ADHESIVE SKIN CLOSURE LIQUIBAND BUTYL .5 ML TOPICAL FLOW CONTROL MICROBIAL BARRIER PROTECTION UNIQUE WING APPLICATOR STERILE CLEAR	SUP-LFC004T	CDM			270	RC		outpatient			25.76	25.76	6.98				percent of total billed charges		25.76				other	OPPS APC	19.06				percent of total billed charges		25.76				other	OPPS APC	25.76				other	OPPS APC	6.98				percent of total billed charges		7.12				percent of total billed charges		25.76				other	OPPS APC	6.98	25.76	
ADHESIVE SKIN CLOSURE LIQUIBAND BUTYL .5 ML TOPICAL FLOW CONTROL MICROBIAL BARRIER PROTECTION UNIQUE WING APPLICATOR STERILE CLEAR	SUP-LFC004T	CDM			270	RC		inpatient			25.76	25.76																																																			
EZETIMIBE 10 MG TABLET	637000000	CDM	51660-200-90	NDC	A9270	HCPCS		inpatient			25.71	25.71																																																			
EZETIMIBE 10 MG TABLET	637000000	CDM	51660-200-90	NDC	A9270	HCPCS		outpatient			25.71	25.71																																															other	OPPS APC			
PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLUTION 1 ML AMPUL	636000000	CDM	43598-405-11	NDC	J3430	HCPCS		inpatient			25.66	25.66																																																			
PHYTONADIONE (VITAMIN K1) 10 MG/ML SOLUTION 1 ML AMPUL	636000000	CDM	43598-405-11	NDC	J3430	HCPCS		outpatient			25.66	25.66																																															other	OPPS APC			
AZITHROMYCIN 200 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	70710-1460-2	NDC	A9270	HCPCS		inpatient			25.64	25.64																																																			
AZITHROMYCIN 200 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	70710-1460-2	NDC	A9270	HCPCS		outpatient			25.64	25.64																																															other	OPPS APC			
CATHETER THORACIC 36FR	SUP-02-00075	CDM			272	RC		outpatient			25.64	25.64	6.95				percent of total billed charges		25.64				other	OPPS APC	18.97				percent of total billed charges		25.64				other	OPPS APC	25.64				other	OPPS APC	6.95				percent of total billed charges		7.08				percent of total billed charges		25.64				other	OPPS APC	6.95	25.64	
CATHETER THORACIC 36FR	SUP-02-00075	CDM			272	RC		inpatient			25.64	25.64																																																			
WIRE FIXATION KIRSCHNER HOFFMANN II MICRO L150 MM OD1.4 MM	SUP-390162	CDM			270	RC		outpatient			25.6	25.61	6.94				percent of total billed charges		25.6				other	OPPS APC	18.94				percent of total billed charges		25.6				other	OPPS APC	25.6				other	OPPS APC	6.94				percent of total billed charges		7.07				percent of total billed charges		25.61				other	OPPS APC	6.94	25.61	
WIRE FIXATION KIRSCHNER HOFFMANN II MICRO L150 MM OD1.4 MM	SUP-390162	CDM			270	RC		inpatient			25.6	25.6																																																			
SUPER SHOE II WOMENS LG	SUP-95-01406	CDM			271	RC		outpatient			25.56	25.56	6.92				percent of total billed charges		25.56				other	OPPS APC	18.91				percent of total billed charges		25.56				other	OPPS APC	25.56				other	OPPS APC	6.92				percent of total billed charges		7.06				percent of total billed charges		25.56				other	OPPS APC	6.92	25.56	
SUPER SHOE II WOMENS LG	SUP-95-01406	CDM			271	RC		inpatient			25.56	25.56																																																			
SUPER SHOE II MENS MED	SUP-95-01408	CDM			271	RC		outpatient			25.56	25.56	6.92				percent of total billed charges		25.56				other	OPPS APC	18.91				percent of total billed charges		25.56				other	OPPS APC	25.56				other	OPPS APC	6.92				percent of total billed charges		7.06				percent of total billed charges		25.56				other	OPPS APC	6.92	25.56	
SUPER SHOE II MENS MED	SUP-95-01408	CDM			271	RC		inpatient			25.56	25.56																																																			
LURASIDONE 20 MG TABLET	637000000	CDM	60687-747-11	NDC	A9270	HCPCS		inpatient			25.55	25.55																																																			
LURASIDONE 20 MG TABLET	637000000	CDM	60687-747-21	NDC	A9270	HCPCS		inpatient			25.55	25.55																																																			
LURASIDONE 20 MG TABLET	637000000	CDM	60687-747-11	NDC	A9270	HCPCS		outpatient			25.55	25.55																																															other	OPPS APC			
LURASIDONE 20 MG TABLET	637000000	CDM	60687-747-21	NDC	A9270	HCPCS		outpatient			25.55	25.55																																															other	OPPS APC			
BAIR HUGGER / UPPER BODY	SUP-97-02219	CDM			271	RC		outpatient			25.52	25.52	6.91				percent of total billed charges		25.52				other	OPPS APC	18.88				percent of total billed charges		25.52				other	OPPS APC	25.52				other	OPPS APC	6.91				percent of total billed charges		7.05				percent of total billed charges		25.52				other	OPPS APC	6.91	25.52	
BAIR HUGGER / UPPER BODY	SUP-97-02219	CDM			271	RC		inpatient			25.52	25.52																																																			
VECURONIUM 10 MG RECON SOLN	250000000	CDM	47335-931-40	NDC				inpatient			25.5	25.5																																																			
VECURONIUM 10 MG RECON SOLN	250000000	CDM	47335-931-40	NDC				outpatient			25.5	25.5																																															other	OPPS APC			
TRIAMCINOLONE PER 10 MG	636000000	CDM	70121-1049-1	NDC	J3301	HCPCS		inpatient			25.5	25.5																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	70121-1049-1	NDC	J3301	HCPCS		outpatient			25.5	25.5																																															other	OPPS APC			
SLING ORTHOPEDIC COTTON SMALL L12.5 IN ARM SHOULDER ABDUCTION SNAP ON STRAP LENGTH ADJUST BREATHABLE	SUP-204053	CDM	270009116	LOCAL	270	RC		outpatient			25.46	25.46	6.9				percent of total billed charges		25.46				other	OPPS APC	18.84				percent of total billed charges		25.46				other	OPPS APC	25.46				other	OPPS APC	6.9				percent of total billed charges		7.03				percent of total billed charges		25.46				other	OPPS APC	6.9	25.46	
SLING ORTHOPEDIC COTTON SMALL L12.5 IN ARM SHOULDER ABDUCTION SNAP ON STRAP LENGTH ADJUST BREATHABLE	SUP-204053	CDM	270009116	LOCAL	270	RC		inpatient			25.46	25.46																																																			
TRAP POSITIONING DIGIT TRAP SMALL FINGER ATRAUMATIC HOOK GRASP STERILE DISPOSABLE TRACTION TOWER	SUP-9906	CDM			270	RC		outpatient			25.46	25.46	6.9				percent of total billed charges		25.46				other	OPPS APC	18.84				percent of total billed charges		25.46				other	OPPS APC	25.46				other	OPPS APC	6.9				percent of total billed charges		7.03				percent of total billed charges		25.46				other	OPPS APC	6.9	25.46	
TRAP POSITIONING DIGIT TRAP SMALL FINGER ATRAUMATIC HOOK GRASP STERILE DISPOSABLE TRACTION TOWER	SUP-9906	CDM			270	RC		inpatient			25.46	25.46																																																			
SPLINT FINGER STACK SZ 1	SUP-95-00577	CDM			271	RC		outpatient			25.44	25.44	6.89				percent of total billed charges		25.44				other	OPPS APC	18.83				percent of total billed charges		25.44				other	OPPS APC	25.44				other	OPPS APC	6.89				percent of total billed charges		7.03				percent of total billed charges		25.44				other	OPPS APC	6.89	25.44	
SPLINT FINGER STACK SZ 1	SUP-95-00577	CDM			271	RC		inpatient			25.44	25.44																																																			
SPLINT FINGER STACK SZ 2	SUP-95-00578	CDM			271	RC		outpatient			25.44	25.44	6.89				percent of total billed charges		25.44				other	OPPS APC	18.83				percent of total billed charges		25.44				other	OPPS APC	25.44				other	OPPS APC	6.89				percent of total billed charges		7.03				percent of total billed charges		25.44				other	OPPS APC	6.89	25.44	
SPLINT FINGER STACK SZ 2	SUP-95-00578	CDM			271	RC		inpatient			25.44	25.44																																																			
SPLINT FINGER STACK SZ 3	SUP-95-00579	CDM			271	RC		outpatient			25.44	25.44	6.89				percent of total billed charges		25.44				other	OPPS APC	18.83				percent of total billed charges		25.44				other	OPPS APC	25.44				other	OPPS APC	6.89				percent of total billed charges		7.03				percent of total billed charges		25.44				other	OPPS APC	6.89	25.44	
SPLINT FINGER STACK SZ 3	SUP-95-00579	CDM			271	RC		inpatient			25.44	25.44																																																			
SPLINT FINGER STACK SZ 4	SUP-95-00580	CDM			271	RC		outpatient			25.44	25.44	6.89				percent of total billed charges		25.44				other	OPPS APC	18.83				percent of total billed charges		25.44				other	OPPS APC	25.44				other	OPPS APC	6.89				percent of total billed charges		7.03				percent of total billed charges		25.44				other	OPPS APC	6.89	25.44	
SPLINT FINGER STACK SZ 4	SUP-95-00580	CDM			271	RC		inpatient			25.44	25.44																																																			
COLOSTOMY ONE PIECE CUT TO FIT	SUP-95-02701	CDM			271	RC		outpatient			25.44	25.44	6.89				percent of total billed charges		25.44				other	OPPS APC	18.83				percent of total billed charges		25.44				other	OPPS APC	25.44				other	OPPS APC	6.89				percent of total billed charges		7.03				percent of total billed charges		25.44				other	OPPS APC	6.89	25.44	
COLOSTOMY ONE PIECE CUT TO FIT	SUP-95-02701	CDM			271	RC		inpatient			25.44	25.44																																																			
PACK BIOPSY BASIN CUSTOM	SUP-DYNJ59264A	CDM			270	RC		outpatient			25.44	25.44	6.89				percent of total billed charges		25.44				other	OPPS APC	18.83				percent of total billed charges		25.44				other	OPPS APC	25.44				other	OPPS APC	6.89				percent of total billed charges		7.03				percent of total billed charges		25.44				other	OPPS APC	6.89	25.44	
PACK BIOPSY BASIN CUSTOM	SUP-DYNJ59264A	CDM			270	RC		inpatient			25.44	25.44																																																			
SHUNT CAROTID BARD JAVID TAPER L27.5 CM OD10-17 FR TYPE 1852 KINK RESISTANT POLISH TIP BYPASS	SUP-007714	CDM			270	RC		outpatient			25.4	25.4	6.88				percent of total billed charges		25.4				other	OPPS APC	18.8				percent of total billed charges		25.4				other	OPPS APC	25.4				other	OPPS APC	6.88				percent of total billed charges		7.02				percent of total billed charges		25.4				other	OPPS APC	6.88	25.4	
SHUNT CAROTID BARD JAVID TAPER L27.5 CM OD10-17 FR TYPE 1852 KINK RESISTANT POLISH TIP BYPASS	SUP-007714	CDM			270	RC		inpatient			25.4	25.4																																																			
LIDOCAINE PER 10 MG	636000000	CDM	0264-9594-10	NDC	J2001	HCPCS		inpatient			25.35	25.35																																																			
LIDOCAINE PER 10 MG	636000000	CDM	0264-9594-10	NDC	J2001	HCPCS		outpatient			25.35	25.35																																															other	OPPS APC			
FLUTICASONE PROPION-SALMETEROL 230-21 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	66993-088-96	NDC	A9270	HCPCS		inpatient			25.35	25.35																																																			
FLUTICASONE PROPION-SALMETEROL 230-21 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	66993-088-96	NDC	A9270	HCPCS		outpatient			25.35	25.35																																															other	OPPS APC			
1.5X6MM LP CROSS-PIN SELF TAPPING SCRE	SUP-5015006	CDM			270	RC		outpatient			25.32	25.32	6.86				percent of total billed charges		25.32				other	OPPS APC	18.74				percent of total billed charges		25.32				other	OPPS APC	25.32				other	OPPS APC	6.86				percent of total billed charges		7				percent of total billed charges		25.32				other	OPPS APC	6.86	25.32	
1.5X6MM LP CROSS-PIN SELF TAPPING SCRE	SUP-5015006	CDM			270	RC		inpatient			25.32	25.32																																																			
EPINEPHRINE 0.1 MG/ML SYRINGE	636000000	CDM	0409-4933-11	NDC	J0171	HCPCS		inpatient			25.31	25.31																																																			
EPINEPHRINE 0.1 MG/ML SYRINGE	636000000	CDM	0409-4933-11	NDC	J0171	HCPCS		outpatient			25.31	25.31																																															other	OPPS APC			
BLADE SAW GIGLI STAINLESS STEEL L510 MM STERILE LATEX FREE	SUP-2808-02	CDM						inpatient			25.27	25.27																																																			
BLADE SAW GIGLI STAINLESS STEEL L510 MM STERILE LATEX FREE	SUP-2808-02	CDM						outpatient			25.27	25.27	25.27				percent of total billed charges		25.27				other	OPPS APC	25.27				fee schedule		25.27				other	OPPS APC	25.27				other	OPPS APC	25.27				case rate		25.27				case rate		25.27				other	OPPS APC	25.27	25.27	
STOCKING THIGH-HI SMALL/REGULA	SUP-01-00058	CDM			271	RC		outpatient			25.26	25.26	6.84				percent of total billed charges		25.26				other	OPPS APC	18.69				percent of total billed charges		25.26				other	OPPS APC	25.26				other	OPPS APC	6.84				percent of total billed charges		6.98				percent of total billed charges		25.26				other	OPPS APC	6.84	25.26	
STOCKING THIGH-HI SMALL/REGULA	SUP-01-00058	CDM			271	RC		inpatient			25.26	25.26																																																			
NEEDLE INSUFFLATION 150MM 14GA ENDOPATH SPRING LOAD BLUNT HANDLE STOPCOCK STERILE	SUP-PN150	CDM			270	RC		outpatient			25.14	25.14	6.81				percent of total billed charges		25.14				other	OPPS APC	18.6				percent of total billed charges		25.14				other	OPPS APC	25.14				other	OPPS APC	6.81				percent of total billed charges		6.95				percent of total billed charges		25.14				other	OPPS APC	6.81	25.14	
NEEDLE INSUFFLATION 150MM 14GA ENDOPATH SPRING LOAD BLUNT HANDLE STOPCOCK STERILE	SUP-PN150	CDM			270	RC		inpatient			25.14	25.14																																																			
CATHETER THORACIC W/EYE 28 FR	SUP-02-00080	CDM			272	RC		outpatient			25.12	25.12	6.81				percent of total billed charges		25.12				other	OPPS APC	18.59				percent of total billed charges		25.12				other	OPPS APC	25.12				other	OPPS APC	6.81				percent of total billed charges		6.94				percent of total billed charges		25.12				other	OPPS APC	6.81	25.12	
CATHETER THORACIC W/EYE 28 FR	SUP-02-00080	CDM			272	RC		inpatient			25.12	25.12																																																			
HC 12x16 Cath Kit Lg Bore Multilumen Nu0123	PX-278C17514	CDM			278	RC		outpatient			25	25	25				fee schedule		25				other	OPPS APC	14.25				percent of total billed charges		25				other	OPPS APC	25				other	OPPS APC	12.25				percent of total billed charges		12.75				percent of total billed charges		25				other	OPPS APC	12.25	25	
HC 12x16 Cath Kit Lg Bore Multilumen Nu0123	PX-278C17514	CDM			278	RC		inpatient			25	25																																																			
HC Natera Draw Charge	PX-300364153	CDM	36415	CPT	300	RC		outpatient			25	8.57	2.94				fee schedule		8.57				fee schedule		5.7				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		2.94	8.57	
HC Natera Draw Charge	PX-300364153	CDM	36415	CPT	300	RC		inpatient			25	25																																																			
HC Urinalysis Routine	PX-300810030	CDM	81003	CPT	307	RC		outpatient			25	2.25	3				fee schedule		2.25				fee schedule		5.97				fee schedule		2.25				fee schedule		2.25				fee schedule		2.25				fee schedule		2.25				fee schedule		2.25				fee schedule		2.25	5.97	
HC Urinalysis Routine	PX-300810030	CDM	81003	CPT	307	RC		inpatient			25	25																																																			
HC Spectophototometry  Analyte	PX-300843110	CDM	84311	CPT	300	RC		outpatient			25	9	9.35				fee schedule		8.1				fee schedule		18.56				fee schedule		8.1				fee schedule		8.1				fee schedule		8.1				fee schedule		8.1				fee schedule		9				fee schedule		8.1	18.56	
HC Spectophototometry  Analyte	PX-300843110	CDM	84311	CPT	300	RC		inpatient			25	25																																																			
HC Hematocrit (Hct)	PX-300850140	CDM	85014	CPT	305	RC		outpatient			25	2.37	3.17				fee schedule		2.37				fee schedule		6.29				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37	6.29	
HC Hematocrit (Hct)	PX-300850140	CDM	85014	CPT	305	RC		inpatient			25	25																																																			
HC Hemoglobin (Hgb)	PX-300850180	CDM	85018	CPT	305	RC		outpatient			25	2.37	3.17				fee schedule		2.37				fee schedule		6.29				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37				fee schedule		2.37	6.29	
HC Hemoglobin (Hgb)	PX-300850180	CDM	85018	CPT	305	RC		inpatient			25	25																																																			
HC Infec Agent Detection Amplified Probe	PX-300876352	CDM			300	RC		inpatient			25	25																																																			
HC Infec Agent Detection Amplified Probe	PX-300876352	CDM			300	RC		outpatient			25	25	25				percent of total billed charges		25				fee schedule		58.25				fee schedule		25				fee schedule		25				fee schedule		25				fee schedule		25				fee schedule		25				fee schedule		25	58.25	
HC Infectious Agent Immunoassay Not Specified	PX-300878990	CDM	87899	CPT	300	RC		outpatient			25	25	14.72				fee schedule		25				fee schedule		29.24				fee schedule		25				fee schedule		25				fee schedule		16.07				fee schedule		16.07				fee schedule		25				fee schedule		14.72	29.24	
HC Infectious Agent Immunoassay Not Specified	PX-300878990	CDM	87899	CPT	300	RC		inpatient			25	25																																																			
HC 30 Min. Group	PX-510994111	CDM	99411	CPT	510	RC		inpatient			25	25																																																			
HC 30 Min. Group	PX-510994111	CDM	99411	CPT	510	RC		outpatient			25	25	169.66				case rate		25				other	OPPS APC	101				case rate		25				other	OPPS APC	25				fee schedule		169.66				case rate		173.05				case rate		25				other	OPPS APC	25	173.05	
CATHETER THORACIC 32 FR	SUP-02-00074	CDM			272	RC		outpatient			25	25	6.77				percent of total billed charges		25				other	OPPS APC	18.5				percent of total billed charges		25				other	OPPS APC	25				other	OPPS APC	6.77				percent of total billed charges		6.91				percent of total billed charges		25				other	OPPS APC	6.77	25	
CATHETER THORACIC 32 FR	SUP-02-00074	CDM			272	RC		inpatient			25	25																																																			
THORACIC CATHETER 24FR PVC	SUP-95-23744	CDM			278	RC		outpatient			24.95	24.95	24.95				fee schedule		24.95				other	OPPS APC	14.22				percent of total billed charges		24.95				other	OPPS APC	24.95				other	OPPS APC	12.23				percent of total billed charges		12.72				percent of total billed charges		24.95				other	OPPS APC	12.23	24.95	
THORACIC CATHETER 24FR PVC	SUP-95-23744	CDM			278	RC		inpatient			24.95	24.95																																																			
DRESSING MEPILEX FOAM SACRUM	SUP-15-00037	CDM			272	RC		outpatient			24.93	24.93	6.75				percent of total billed charges		24.93				other	OPPS APC	18.45				percent of total billed charges		24.93				other	OPPS APC	24.93				other	OPPS APC	6.75				percent of total billed charges		6.89				percent of total billed charges		24.93				other	OPPS APC	6.75	24.93	
DRESSING MEPILEX FOAM SACRUM	SUP-15-00037	CDM			272	RC		inpatient			24.93	24.93																																																			
LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE	250000000	CDM	0409-1323-15	NDC				inpatient			24.91	24.91																																																			
LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE	250000000	CDM	0409-1323-15	NDC				outpatient			24.91	24.91																																															other	OPPS APC			
CATHETER URETERAL HEYMAN POLYURETHANE L70 CM OD4 FR SPIRAL TIP 2 SIDE EYE STYLET KINK RESISTANCE STERILE LATEX FREE DISPOSABLE	SUP-137904	CDM			270	RC		outpatient			24.89	24.89	6.74				percent of total billed charges		24.89				other	OPPS APC	18.42				percent of total billed charges		24.89				other	OPPS APC	24.89				other	OPPS APC	6.74				percent of total billed charges		6.88				percent of total billed charges		24.89				other	OPPS APC	6.74	24.89	
CATHETER URETERAL HEYMAN POLYURETHANE L70 CM OD4 FR SPIRAL TIP 2 SIDE EYE STYLET KINK RESISTANCE STERILE LATEX FREE DISPOSABLE	SUP-137904	CDM			270	RC		inpatient			24.89	24.89																																																			
CAPSAICIN 0.025 % CREAM 60 G TUBE	637000000	CDM	0536-2525-25	NDC	A9270	HCPCS		inpatient			24.88	24.88																																																			
CAPSAICIN 0.025 % CREAM 60 G TUBE	637000000	CDM	0536-2525-25	NDC	A9270	HCPCS		outpatient			24.88	24.88																																															other	OPPS APC			
SOD CHL IRR. 0.9% 3000ML 2B7127	SUP-21-00041	CDM			272	RC		outpatient			24.87	24.87	6.74				percent of total billed charges		24.87				other	OPPS APC	18.4				percent of total billed charges		24.87				other	OPPS APC	24.87				other	OPPS APC	6.74				percent of total billed charges		6.87				percent of total billed charges		24.87				other	OPPS APC	6.74	24.87	
SOD CHL IRR. 0.9% 3000ML 2B7127	SUP-21-00041	CDM			272	RC		inpatient			24.87	24.87																																																			
LMA SIZE 1.5	SUP-95-02348	CDM			272	RC		outpatient			24.8	24.81	6.72				percent of total billed charges		24.8				other	OPPS APC	18.35				percent of total billed charges		24.8				other	OPPS APC	24.8				other	OPPS APC	6.72				percent of total billed charges		6.85				percent of total billed charges		24.81				other	OPPS APC	6.72	24.81	
LMA SIZE 1.5	SUP-95-02348	CDM			272	RC		inpatient			24.8	24.8																																																			
SET ANGIOGRAPHY STANDARD BORE L135 IN MALE LUER LOCK FILTER MICRO DRIP CHAMBER STERILE LATEX FREE DISPOSABLE CLEAR	SUP-99000069	CDM			270	RC		outpatient			24.8	24.81	6.72				percent of total billed charges		24.8				other	OPPS APC	18.35				percent of total billed charges		24.8				other	OPPS APC	24.8				other	OPPS APC	6.72				percent of total billed charges		6.85				percent of total billed charges		24.81				other	OPPS APC	6.72	24.81	
SET ANGIOGRAPHY STANDARD BORE L135 IN MALE LUER LOCK FILTER MICRO DRIP CHAMBER STERILE LATEX FREE DISPOSABLE CLEAR	SUP-99000069	CDM			270	RC		inpatient			24.8	24.8																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	63323-523-01	NDC	J1644	HCPCS		inpatient			24.72	24.72																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	63323-523-01	NDC	J1644	HCPCS		outpatient			24.72	24.72																																															other	OPPS APC			
"PANCRELIPASE (LIP-PROT-AMYL) 24,000-76,000 -120,000 UNIT CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	0032-1224-01	NDC	A9270	HCPCS		inpatient			24.7	24.7																																																			
"PANCRELIPASE (LIP-PROT-AMYL) 24,000-76,000 -120,000 UNIT CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	0032-1224-01	NDC	A9270	HCPCS		outpatient			24.7	24.7																																															other	OPPS APC			
DIFFUSER MAESTRO CORE	SUP-5400006000	CDM			270	RC		outpatient			24.7	24.7	6.69				percent of total billed charges		24.7				other	OPPS APC	18.28				percent of total billed charges		24.7				other	OPPS APC	24.7				other	OPPS APC	6.69				percent of total billed charges		6.82				percent of total billed charges		24.7				other	OPPS APC	6.69	24.7	
DIFFUSER MAESTRO CORE	SUP-5400006000	CDM			270	RC		inpatient			24.7	24.7																																																			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	0409-6727-11	NDC	J3475	HCPCS		inpatient			24.67	24.67																																																			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	0409-6727-11	NDC	J3475	HCPCS		outpatient			24.67	24.67																																															other	OPPS APC			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	0338-9636-01	NDC	J2543	HCPCS		inpatient			24.63	24.63																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	0338-9636-24	NDC	J2543	HCPCS		inpatient			24.63	24.63																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	0338-9636-01	NDC	J2543	HCPCS		outpatient			24.63	24.63																																															other	OPPS APC			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	0338-9636-24	NDC	J2543	HCPCS		outpatient			24.63	24.63																																															other	OPPS APC			
EXCHANGER TRACH TUBE 4.8	SUP-95-01743	CDM			272	RC		outpatient			24.62	24.62	6.67				percent of total billed charges		24.62				other	OPPS APC	18.22				percent of total billed charges		24.62				other	OPPS APC	24.62				other	OPPS APC	6.67				percent of total billed charges		6.8				percent of total billed charges		24.62				other	OPPS APC	6.67	24.62	
EXCHANGER TRACH TUBE 4.8	SUP-95-01743	CDM			272	RC		inpatient			24.62	24.62																																																			
KNIFE OPHTHALMIC ALCON A-OK 15 D STANDARD W1.52 MM BLADE FULL HANDLE DISPOSABLE	SUP-8065921501	CDM			270	RC		outpatient			24.58	24.58	6.66				percent of total billed charges		24.58				other	OPPS APC	18.19				percent of total billed charges		24.58				other	OPPS APC	24.58				other	OPPS APC	6.66				percent of total billed charges		6.79				percent of total billed charges		24.58				other	OPPS APC	6.66	24.58	
KNIFE OPHTHALMIC ALCON A-OK 15 D STANDARD W1.52 MM BLADE FULL HANDLE DISPOSABLE	SUP-8065921501	CDM			270	RC		inpatient			24.58	24.58																																																			
CLOPIDOGREL 300 MG TABLET	637000000	CDM	0904-6467-10	NDC	A9270	HCPCS		inpatient			24.55	24.55																																																			
CLOPIDOGREL 300 MG TABLET	637000000	CDM	0904-6467-10	NDC	A9270	HCPCS		outpatient			24.55	24.55																																															other	OPPS APC			
AMOXICILLIN 1 (ONE) 100 ML BOTTLE 100 ML BOTTLE	637000000	CDM	0781-6157-46	NDC	A9270	HCPCS		inpatient			24.53	24.53																																																			
AMOXICILLIN 1 (ONE) 100 ML BOTTLE 100 ML BOTTLE	637000000	CDM	0781-6157-46	NDC	A9270	HCPCS		outpatient			24.53	24.53																																															other	OPPS APC			
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION 100 ML BOTTLE	637000000	CDM	0143-9887-01	NDC	A9270	HCPCS		inpatient			24.53	24.53																																																			
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION 100 ML BOTTLE	637000000	CDM	0143-9887-01	NDC	A9270	HCPCS		outpatient			24.53	24.53																																															other	OPPS APC			
PUMP BLOOD SET	SUP-20-00026	CDM			272	RC		outpatient			24.53	24.53	6.65				percent of total billed charges		24.53				other	OPPS APC	18.15				percent of total billed charges		24.53				other	OPPS APC	24.53				other	OPPS APC	6.65				percent of total billed charges		6.78				percent of total billed charges		24.53				other	OPPS APC	6.65	24.53	
PUMP BLOOD SET	SUP-20-00026	CDM			272	RC		inpatient			24.53	24.53																																																			
LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE	250000000	CDM	76329-3390-1	NDC				inpatient			24.45	24.45																																																			
LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE	250000000	CDM	76329-3390-1	NDC				outpatient			24.45	24.45																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL SABRELOC 6-0 S-14 18IN UNDYED 2 ARM BRAID COATED	SUP-J670G	CDM			270	RC		outpatient			24.43	24.43	6.62				percent of total billed charges		24.43				other	OPPS APC	18.08				percent of total billed charges		24.43				other	OPPS APC	24.43				other	OPPS APC	6.62				percent of total billed charges		6.75				percent of total billed charges		24.43				other	OPPS APC	6.62	24.43	
SUTURE ABSORBABLE VICRYL SABRELOC 6-0 S-14 18IN UNDYED 2 ARM BRAID COATED	SUP-J670G	CDM			270	RC		inpatient			24.43	24.43																																																			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	63323-108-01	NDC	J3475	HCPCS		inpatient			24.42	24.42																																																			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	63323-108-01	NDC	J3475	HCPCS		outpatient			24.42	24.42																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL MICROPOINT 6-0 S-14 12IN VIOLET 2 ARM BRAID COATED	SUP-J552G	CDM			270	RC		outpatient			24.39	24.39	6.61				percent of total billed charges		24.39				other	OPPS APC	18.05				percent of total billed charges		24.39				other	OPPS APC	24.39				other	OPPS APC	6.61				percent of total billed charges		6.74				percent of total billed charges		24.39				other	OPPS APC	6.61	24.39	
SUTURE ABSORBABLE VICRYL MICROPOINT 6-0 S-14 12IN VIOLET 2 ARM BRAID COATED	SUP-J552G	CDM			270	RC		inpatient			24.39	24.39																																																			
OCCLUDER VASCULAR VESSEL-CLUDE MEDIUM L4 IN RADIOPAQUE STERILE LATEX DISPOSABLE	SUP-046-1-120A	CDM			270	RC		outpatient			24.38	24.38	6.6				percent of total billed charges		24.38				other	OPPS APC	18.04				percent of total billed charges		24.38				other	OPPS APC	24.38				other	OPPS APC	6.6				percent of total billed charges		6.74				percent of total billed charges		24.38				other	OPPS APC	6.6	24.38	
OCCLUDER VASCULAR VESSEL-CLUDE MEDIUM L4 IN RADIOPAQUE STERILE LATEX DISPOSABLE	SUP-046-1-120A	CDM			270	RC		inpatient			24.38	24.38																																																			
CATHETER THORACIC ANGLED 28FR	SUP-95-03653	CDM			272	RC		outpatient			24.32	24.32	6.59				percent of total billed charges		24.32				other	OPPS APC	18				percent of total billed charges		24.32				other	OPPS APC	24.32				other	OPPS APC	6.59				percent of total billed charges		6.72				percent of total billed charges		24.32				other	OPPS APC	6.59	24.32	
CATHETER THORACIC ANGLED 28FR	SUP-95-03653	CDM			272	RC		inpatient			24.32	24.32																																																			
SHOE POSTOPERATIVE DARCO ORTHOWEDGE 15 D 6-8 7 1/2-10 SMALL CONTACT CLOSURE DORSIFLEXION REMOVABLE INSOLE SQUARE TOE NONSTERILE LATEX FREE	SUP-HS1005-10	CDM			270	RC		outpatient			24.32	24.32	6.59				percent of total billed charges		24.32				other	OPPS APC	18				percent of total billed charges		24.32				other	OPPS APC	24.32				other	OPPS APC	6.59				percent of total billed charges		6.72				percent of total billed charges		24.32				other	OPPS APC	6.59	24.32	
SHOE POSTOPERATIVE DARCO ORTHOWEDGE 15 D 6-8 7 1/2-10 SMALL CONTACT CLOSURE DORSIFLEXION REMOVABLE INSOLE SQUARE TOE NONSTERILE LATEX FREE	SUP-HS1005-10	CDM			270	RC		inpatient			24.32	24.32																																																			
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION"	636000000	CDM	0264-4100-90	NDC	J0136	HCPCS		inpatient			24.3	24.3																																																			
"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLUTION"	636000000	CDM	0264-4100-90	NDC	J0136	HCPCS		outpatient			24.3	0.55																																											0.55				other	OPPS APC	0.55	0.55	
NEEDLE INSUFFLATION 120MM 14GA ENDOPATH ULTRA VERESS STOPCOCK LUER LOCK BLUNT STYLET	SUP-PN120	CDM			270	RC		outpatient			24.28	24.28	6.58				percent of total billed charges		24.28				other	OPPS APC	17.97				percent of total billed charges		24.28				other	OPPS APC	24.28				other	OPPS APC	6.58				percent of total billed charges		6.71				percent of total billed charges		24.28				other	OPPS APC	6.58	24.28	
NEEDLE INSUFFLATION 120MM 14GA ENDOPATH ULTRA VERESS STOPCOCK LUER LOCK BLUNT STYLET	SUP-PN120	CDM			270	RC		inpatient			24.28	24.28																																																			
DIAPER ADULT LG	SUP-04-00005	CDM			271	RC		outpatient			24.27	24.27	6.57				percent of total billed charges		24.27				other	OPPS APC	17.96				percent of total billed charges		24.27				other	OPPS APC	24.27				other	OPPS APC	6.57				percent of total billed charges		6.71				percent of total billed charges		24.27				other	OPPS APC	6.57	24.27	
DIAPER ADULT LG	SUP-04-00005	CDM			271	RC		inpatient			24.27	24.27																																																			
SUTURE NONABSORBABLE MERSILENE SABRELOC 4-0 S-2 18IN WHITE 2 ARM BRAID	SUP-1779G	CDM			270	RC		outpatient			24.24	24.24	6.57				percent of total billed charges		24.24				other	OPPS APC	17.94				percent of total billed charges		24.24				other	OPPS APC	24.24				other	OPPS APC	6.57				percent of total billed charges		6.7				percent of total billed charges		24.24				other	OPPS APC	6.57	24.24	
SUTURE NONABSORBABLE MERSILENE SABRELOC 4-0 S-2 18IN WHITE 2 ARM BRAID	SUP-1779G	CDM			270	RC		inpatient			24.24	24.24																																																			
TUBING INSUFFLATION DYOPNEUMATIC .1UM 10FT STERILE LF ABDOMINAL BACTERIAL VIRAL FILTER 1 LUER LOCK CPC CONNECTOR	SUP-DYNJ06933	CDM			270	RC		outpatient			24.24	24.24	6.57				percent of total billed charges		24.24				other	OPPS APC	17.94				percent of total billed charges		24.24				other	OPPS APC	24.24				other	OPPS APC	6.57				percent of total billed charges		6.7				percent of total billed charges		24.24				other	OPPS APC	6.57	24.24	
TUBING INSUFFLATION DYOPNEUMATIC .1UM 10FT STERILE LF ABDOMINAL BACTERIAL VIRAL FILTER 1 LUER LOCK CPC CONNECTOR	SUP-DYNJ06933	CDM			270	RC		inpatient			24.24	24.24																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	0409-1559-10	NDC	J0665	HCPCS		inpatient			24.19	24.19																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	0409-1559-10	NDC	J0665	HCPCS		outpatient			24.19	0.16																																											0.16				other	OPPS APC	0.16	0.16	
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0409-1559-10	NDC	J0665	HCPCS		inpatient			24.19	24.19																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0409-1559-10	NDC	J0665	HCPCS		outpatient			24.19	0.16																																											0.16				other	OPPS APC	0.16	0.16	
CATHETER URETHRAL BARDEX LUBRICATH 18FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 2 OPPOSING	SUP-0196L18	CDM						inpatient			24.08	24.08																																																			
CATHETER URETHRAL BARDEX LUBRICATH 18FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 2 OPPOSING	SUP-0196L18	CDM						outpatient			24.08	24.8	24.08				percent of total billed charges		24.08				other	OPPS APC	24.08				fee schedule		24.08				other	OPPS APC	24.08				other	OPPS APC	24.08				case rate		24.08				case rate		24.8				other	OPPS APC	24.08	24.8	
DOXORUBICIN 10 MG/5 ML SOLUTION	636000000	CDM	45963-733-55	NDC	J9000	HCPCS		inpatient			24	24																																																			
DOXORUBICIN 10 MG/5 ML SOLUTION	636000000	CDM	45963-733-55	NDC	J9000	HCPCS		outpatient			24	24																																															other	OPPS APC			
HC Ph  Body Fluid  Except Blood	PX-300839860	CDM	83986	CPT	301	RC		outpatient			24	3.58	3.14				fee schedule		3.58				fee schedule		7.89				fee schedule		3.58				fee schedule		3.58				fee schedule		3.58				fee schedule		3.58				fee schedule		3.58				fee schedule		3.14	7.89	
HC Ph  Body Fluid  Except Blood	PX-300839860	CDM	83986	CPT	301	RC		inpatient			24	24																																																			
Ea Addt'l Vaccine W/ Counseling	PX-510904611	CDM	90461	CPT	510	RC		inpatient			24	24																																																			
Ea Addt'l Vaccine W/ Counseling	PX-510904611	CDM	90461	CPT	510	RC		outpatient			24	9.97					fee schedule		9.96				fee schedule		17.76				percent of total billed charges		9.96				fee schedule		9.96				fee schedule		10.01				fee schedule								9.97				fee schedule		17.76	17.76	
One Allergy Injection	PX-510951151	CDM	95115	CPT	510	RC		inpatient			24	24																																																			
One Allergy Injection	PX-510951151	CDM	95115	CPT	510	RC		outpatient			24	24	169.66				case rate		24				other	OPPS APC	101				case rate		24				other	OPPS APC	24				fee schedule		169.66				case rate		173.05				case rate		24				other	OPPS APC	24	173.05	
STOPCOCK INTRAVENOUS ULTRA 4 WAY MALE LUER LOCK STERILE LATEX FREE DISPOSABLE	SUP-041210002A	CDM						inpatient			24	24																																																			
STOPCOCK INTRAVENOUS ULTRA 4 WAY MALE LUER LOCK STERILE LATEX FREE DISPOSABLE	SUP-041210002A	CDM						outpatient			24	24	24				percent of total billed charges		24				other	OPPS APC	24				fee schedule		24				other	OPPS APC	24				other	OPPS APC	24				case rate		24				case rate		24				other	OPPS APC	24	24	
CK TEV-S-G	SUP-100008	CDM			270	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
CK TEV-S-G	SUP-100008	CDM			270	RC		inpatient			24	24																																																			
CK TEV-S-W	SUP-100009	CDM			270	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
CK TEV-S-W	SUP-100009	CDM			270	RC		inpatient			24	24																																																			
PLAIN STEINMAN PIN 5/64	SUP-95-02958	CDM			278	RC		outpatient			24	24	24				fee schedule		24				other	OPPS APC	13.68				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	11.76				percent of total billed charges		12.24				percent of total billed charges		24				other	OPPS APC	11.76	24	
PLAIN STEINMAN PIN 5/64	SUP-95-02958	CDM			278	RC		inpatient			24	24																																																			
SHOCKWAVE IVL CABLE SLEEVES	SUP-99-04819	CDM			272	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
SHOCKWAVE IVL CABLE SLEEVES	SUP-99-04819	CDM			272	RC		inpatient			24	24																																																			
TIP APPLICATOR LIQUIBAND ADHESIVE TISSUE DOME STERILE	SUP-LQB003T	CDM			270	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
TIP APPLICATOR LIQUIBAND ADHESIVE TISSUE DOME STERILE	SUP-LQB003T	CDM			270	RC		inpatient			24	24																																																			
PAD ELECTROSURGICAL GROUNDING PODIATHERM GENERATOR PAIN MANAGEMENT CABLE DISPOSABLE	SUP-RF-DGP-S	CDM			270	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
PAD ELECTROSURGICAL GROUNDING PODIATHERM GENERATOR PAIN MANAGEMENT CABLE DISPOSABLE	SUP-RF-DGP-S	CDM			270	RC		inpatient			24	24																																																			
VALVE ENDOSCOPIC WITH ADAPTER	SUP-SEAL005	CDM			270	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
VALVE ENDOSCOPIC WITH ADAPTER	SUP-SEAL005	CDM			270	RC		inpatient			24	24																																																			
SUTURE ABSORBABLE VICRYL PLUS 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL UNDYED	SUP-VCP840D	CDM			270	RC		outpatient			24	24	6.5				percent of total billed charges		24				other	OPPS APC	17.76				percent of total billed charges		24				other	OPPS APC	24				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		24				other	OPPS APC	6.5	24	
SUTURE ABSORBABLE VICRYL PLUS 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND ANTIBACTERIAL UNDYED	SUP-VCP840D	CDM			270	RC		inpatient			24	24																																																			
SUTURE ABSORBABLE VICRYL 2-0 CP-2 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED UNDYED	SUP-J762D	CDM	270010020	LOCAL	270	RC		outpatient			23.98	23.98	6.5				percent of total billed charges		23.98				other	OPPS APC	17.75				percent of total billed charges		23.98				other	OPPS APC	23.98				other	OPPS APC	6.5				percent of total billed charges		6.63				percent of total billed charges		23.98				other	OPPS APC	6.5	23.98	
SUTURE ABSORBABLE VICRYL 2-0 CP-2 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED UNDYED	SUP-J762D	CDM	270010020	LOCAL	270	RC		inpatient			23.98	23.98																																																			
TRANSDUCER HOLDER	SUP-01-00212	CDM			272	RC		outpatient			23.94	23.94	6.49				percent of total billed charges		23.94				other	OPPS APC	17.72				percent of total billed charges		23.94				other	OPPS APC	23.94				other	OPPS APC	6.49				percent of total billed charges		6.61				percent of total billed charges		23.94				other	OPPS APC	6.49	23.94	
TRANSDUCER HOLDER	SUP-01-00212	CDM			272	RC		inpatient			23.94	23.94																																																			
SUTURE NONABSORBABLE MERSILENE SABRELOC 5-0 S-14 18IN WHITE 2 ARM BRAID	SUP-1760G	CDM			270	RC		outpatient			23.94	23.94	6.49				percent of total billed charges		23.94				other	OPPS APC	17.72				percent of total billed charges		23.94				other	OPPS APC	23.94				other	OPPS APC	6.49				percent of total billed charges		6.61				percent of total billed charges		23.94				other	OPPS APC	6.49	23.94	
SUTURE NONABSORBABLE MERSILENE SABRELOC 5-0 S-14 18IN WHITE 2 ARM BRAID	SUP-1760G	CDM			270	RC		inpatient			23.94	23.94																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 2 CONTOUR PRIMARY ANTERIOR UPPER RIGHT CENTRAL STRIP AUTOMATIC PREFABRICATE TRANSPARENT	SUP-777-3039	CDM			270	RC		outpatient			23.92	23.92	6.48				percent of total billed charges		23.92				other	OPPS APC	17.7				percent of total billed charges		23.92				other	OPPS APC	23.92				other	OPPS APC	6.48				percent of total billed charges		6.61				percent of total billed charges		23.92				other	OPPS APC	6.48	23.92	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 2 CONTOUR PRIMARY ANTERIOR UPPER RIGHT CENTRAL STRIP AUTOMATIC PREFABRICATE TRANSPARENT	SUP-777-3039	CDM			270	RC		inpatient			23.92	23.92																																																			
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD10 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021110	CDM			270	RC		outpatient			23.89	23.89	6.47				percent of total billed charges		23.89				other	OPPS APC	17.68				percent of total billed charges		23.89				other	OPPS APC	23.89				other	OPPS APC	6.47				percent of total billed charges		6.6				percent of total billed charges		23.89				other	OPPS APC	6.47	23.89	
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD10 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021110	CDM			270	RC		inpatient			23.89	23.89																																																			
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD16 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021116	CDM			270	RC		outpatient			23.89	23.89	6.47				percent of total billed charges		23.89				other	OPPS APC	17.68				percent of total billed charges		23.89				other	OPPS APC	23.89				other	OPPS APC	6.47				percent of total billed charges		6.6				percent of total billed charges		23.89				other	OPPS APC	6.47	23.89	
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD16 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021116	CDM			270	RC		inpatient			23.89	23.89																																																			
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD20 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021120	CDM			270	RC		outpatient			23.89	23.89	6.47				percent of total billed charges		23.89				other	OPPS APC	17.68				percent of total billed charges		23.89				other	OPPS APC	23.89				other	OPPS APC	6.47				percent of total billed charges		6.6				percent of total billed charges		23.89				other	OPPS APC	6.47	23.89	
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD20 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021120	CDM			270	RC		inpatient			23.89	23.89																																																			
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD24 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021124	CDM			270	RC		outpatient			23.89	23.89	6.47				percent of total billed charges		23.89				other	OPPS APC	17.68				percent of total billed charges		23.89				other	OPPS APC	23.89				other	OPPS APC	6.47				percent of total billed charges		6.6				percent of total billed charges		23.89				other	OPPS APC	6.47	23.89	
FOLLOWER URETHRAL HEYMAN PLASTIC L13.35 IN OD24 FR DILATION CATHETER STRAIGHT TIP STERILE LATEX FREE DISPOSABLE	SUP-021124	CDM			270	RC		inpatient			23.89	23.89																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	72485-505-01	NDC	J2371	HCPCS		inpatient			23.88	23.88																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	72485-505-01	NDC	J2371	HCPCS		outpatient			23.88	23.88																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	17271-701-06	NDC	J7050	HCPCS		inpatient			23.88	23.88																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	17271-701-06	NDC	J7050	HCPCS		outpatient			23.88	23.88																																															other	OPPS APC			
SUTURE NONABSORBABLE TAPERCUT STAINLESS STEEL 6 V-40 L18 IN MONOFILAMENT 4 STRAND	SUP-M649G	CDM			270	RC		outpatient			23.85	23.85	6.46				percent of total billed charges		23.85				other	OPPS APC	17.65				percent of total billed charges		23.85				other	OPPS APC	23.85				other	OPPS APC	6.46				percent of total billed charges		6.59				percent of total billed charges		23.85				other	OPPS APC	6.46	23.85	
SUTURE NONABSORBABLE TAPERCUT STAINLESS STEEL 6 V-40 L18 IN MONOFILAMENT 4 STRAND	SUP-M649G	CDM			270	RC		inpatient			23.85	23.85																																																			
CATHETER URETHRAL BARDEX LUBRICATH 22FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 2 OPPOSING	SUP-0196L22	CDM						inpatient			23.84	23.84																																																			
CATHETER URETHRAL BARDEX LUBRICATH 22FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 2 OPPOSING	SUP-0196L22	CDM						outpatient			23.84	23.84	23.84				percent of total billed charges		23.84				other	OPPS APC	23.84				fee schedule		23.84				other	OPPS APC	23.84				other	OPPS APC	23.84				case rate		23.84				case rate		23.84				other	OPPS APC	23.84	23.84	
GUIDEWIRE - 3MM J 150CM	SUP-99-00199	CDM			272	RC		outpatient			23.84	23.84	6.46				percent of total billed charges		23.84				other	OPPS APC	17.64				percent of total billed charges		23.84				other	OPPS APC	23.84				other	OPPS APC	6.46				percent of total billed charges		6.59				percent of total billed charges		23.84				other	OPPS APC	6.46	23.84	
GUIDEWIRE - 3MM J 150CM	SUP-99-00199	CDM			272	RC		inpatient			23.84	23.84																																																			
GUIDEWIRE - STRAIGHT	SUP-99-00210	CDM			272	RC		outpatient			23.84	23.84	6.46				percent of total billed charges		23.84				other	OPPS APC	17.64				percent of total billed charges		23.84				other	OPPS APC	23.84				other	OPPS APC	6.46				percent of total billed charges		6.59				percent of total billed charges		23.84				other	OPPS APC	6.46	23.84	
GUIDEWIRE - STRAIGHT	SUP-99-00210	CDM			272	RC		inpatient			23.84	23.84																																																			
FLUCONAZOLE 100 MG TABLET	637000000	CDM	50268-337-11	NDC	A9270	HCPCS		inpatient			23.83	23.83																																																			
FLUCONAZOLE 100 MG TABLET	637000000	CDM	50268-337-11	NDC	A9270	HCPCS		outpatient			23.83	23.83																																															other	OPPS APC			
NEEDLE MAYO 1/2 CIRCLE #5	SUP-74-00247	CDM			272	RC		outpatient			23.82	23.82	6.45				percent of total billed charges		23.82				other	OPPS APC	17.63				percent of total billed charges		23.82				other	OPPS APC	23.82				other	OPPS APC	6.45				percent of total billed charges		6.58				percent of total billed charges		23.82				other	OPPS APC	6.45	23.82	
NEEDLE MAYO 1/2 CIRCLE #5	SUP-74-00247	CDM			272	RC		inpatient			23.82	23.82																																																			
GUIDEWIRE- TORQUE DEVICE .014-.038	SUP-99-04547	CDM			272	RC		outpatient			23.76	23.76	6.44				percent of total billed charges		23.76				other	OPPS APC	17.58				percent of total billed charges		23.76				other	OPPS APC	23.76				other	OPPS APC	6.44				percent of total billed charges		6.56				percent of total billed charges		23.76				other	OPPS APC	6.44	23.76	
GUIDEWIRE- TORQUE DEVICE .014-.038	SUP-99-04547	CDM			272	RC		inpatient			23.76	23.76																																																			
NO-STING SPRAY 3M	SUP-15-00011	CDM			271	RC		outpatient			23.75	23.75	6.43				percent of total billed charges		23.75				other	OPPS APC	17.58				percent of total billed charges		23.75				other	OPPS APC	23.75				other	OPPS APC	6.43				percent of total billed charges		6.56				percent of total billed charges		23.75				other	OPPS APC	6.43	23.75	
NO-STING SPRAY 3M	SUP-15-00011	CDM			271	RC		inpatient			23.75	23.75																																																			
BAG DRAINAGE UROLOGY SEIMENS NONSTERILE W/ REDUCER	SUP-CMS-955V-8	CDM						inpatient			23.74	23.74																																																			
BAG DRAINAGE UROLOGY SEIMENS NONSTERILE W/ REDUCER	SUP-CMS-955V-8	CDM						outpatient			23.74	23.74	23.74				percent of total billed charges		23.74				other	OPPS APC	23.74				fee schedule		23.74				other	OPPS APC	23.74				other	OPPS APC	23.74				case rate		23.74				case rate		23.74				other	OPPS APC	23.74	23.74	
IMMOBILE SHOULDER WOMAN/MED	SUP-36-00005	CDM			271	RC		outpatient			23.72	23.72	6.43				percent of total billed charges		23.72				other	OPPS APC	17.55				percent of total billed charges		23.72				other	OPPS APC	23.72				other	OPPS APC	6.43				percent of total billed charges		6.55				percent of total billed charges		23.72				other	OPPS APC	6.43	23.72	
IMMOBILE SHOULDER WOMAN/MED	SUP-36-00005	CDM			271	RC		inpatient			23.72	23.72																																																			
ADAPTER Y-PORT PEG 20FR	SUP-95-05256	CDM			271	RC		outpatient			23.72	23.72	6.43				percent of total billed charges		23.72				other	OPPS APC	17.55				percent of total billed charges		23.72				other	OPPS APC	23.72				other	OPPS APC	6.43				percent of total billed charges		6.55				percent of total billed charges		23.72				other	OPPS APC	6.43	23.72	
ADAPTER Y-PORT PEG 20FR	SUP-95-05256	CDM			271	RC		inpatient			23.72	23.72																																																			
WIRE FIXATION KIRSCHNER L6 IN OD.28 IN 2 TROCAR POINT	SUP-164206028	CDM			270	RC		outpatient			23.67	23.67	6.41				percent of total billed charges		23.67				other	OPPS APC	17.52				percent of total billed charges		23.67				other	OPPS APC	23.67				other	OPPS APC	6.41				percent of total billed charges		6.54				percent of total billed charges		23.67				other	OPPS APC	6.41	23.67	
WIRE FIXATION KIRSCHNER L6 IN OD.28 IN 2 TROCAR POINT	SUP-164206028	CDM			270	RC		inpatient			23.67	23.67																																																			
WIRE FIXATION KIRSCHNER L6 IN OD.035 IN HAND TROCAR POINT ALPS	SUP-164206035	CDM			270	RC		outpatient			23.67	23.67	6.41				percent of total billed charges		23.67				other	OPPS APC	17.52				percent of total billed charges		23.67				other	OPPS APC	23.67				other	OPPS APC	6.41				percent of total billed charges		6.54				percent of total billed charges		23.67				other	OPPS APC	6.41	23.67	
WIRE FIXATION KIRSCHNER L6 IN OD.035 IN HAND TROCAR POINT ALPS	SUP-164206035	CDM			270	RC		inpatient			23.67	23.67																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L6 MM OD.054 IN 2 END TROCAR POINT	SUP-164206054	CDM			270	RC		outpatient			23.67	23.67	6.41				percent of total billed charges		23.67				other	OPPS APC	17.52				percent of total billed charges		23.67				other	OPPS APC	23.67				other	OPPS APC	6.41				percent of total billed charges		6.54				percent of total billed charges		23.67				other	OPPS APC	6.41	23.67	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L6 MM OD.054 IN 2 END TROCAR POINT	SUP-164206054	CDM			270	RC		inpatient			23.67	23.67																																																			
RIGHT ANGLED CHEST TUBES SZ 32	SUP-83-00008	CDM			272	RC		outpatient			23.64	23.64	6.4				percent of total billed charges		23.64				other	OPPS APC	17.49				percent of total billed charges		23.64				other	OPPS APC	23.64				other	OPPS APC	6.4				percent of total billed charges		6.53				percent of total billed charges		23.64				other	OPPS APC	6.4	23.64	
RIGHT ANGLED CHEST TUBES SZ 32	SUP-83-00008	CDM			272	RC		inpatient			23.64	23.64																																																			
VALVE SUCTION VISERA FLEXIBLE ATTACHMENT STERILE DISPOSABLE BRONCHOSCOPE	SUP-MAJ-209	CDM			270	RC		outpatient			23.64	23.64	6.4				percent of total billed charges		23.64				other	OPPS APC	17.49				percent of total billed charges		23.64				other	OPPS APC	23.64				other	OPPS APC	6.4				percent of total billed charges		6.53				percent of total billed charges		23.64				other	OPPS APC	6.4	23.64	
VALVE SUCTION VISERA FLEXIBLE ATTACHMENT STERILE DISPOSABLE BRONCHOSCOPE	SUP-MAJ-209	CDM			270	RC		inpatient			23.64	23.64																																																			
DRESSING MEPILEX POST OP 4X12	SUP-10-00146	CDM			272	RC		outpatient			23.63	23.63	6.4				percent of total billed charges		23.63				other	OPPS APC	17.49				percent of total billed charges		23.63				other	OPPS APC	23.63				other	OPPS APC	6.4				percent of total billed charges		6.53				percent of total billed charges		23.63				other	OPPS APC	6.4	23.63	
DRESSING MEPILEX POST OP 4X12	SUP-10-00146	CDM			272	RC		inpatient			23.63	23.63																																																			
MANIFOLD IV Q2 MULTIPORT L10IN 6 PORT CHECK VALVE LUER LATEX FREE	SUP-9520	CDM						inpatient			23.6	23.6																																																			
MANIFOLD IV Q2 MULTIPORT L10IN 6 PORT CHECK VALVE LUER LATEX FREE	SUP-9520	CDM						outpatient			23.6	23.61	23.6				percent of total billed charges		23.6				other	OPPS APC	23.6				fee schedule		23.6				other	OPPS APC	23.6				other	OPPS APC	23.6				case rate		23.6				case rate		23.61				other	OPPS APC	23.6	23.61	
LAMP OTOSCOPE DIGITAL MACROVIEW 3.5V HALOGEN BULB REPLACEMENT	SUP-06500-U6	CDM						inpatient			23.59	23.59																																																			
LAMP OTOSCOPE DIGITAL MACROVIEW 3.5V HALOGEN BULB REPLACEMENT	SUP-06500-U6	CDM						outpatient			23.59	23.59	23.59				percent of total billed charges		23.59				other	OPPS APC	23.59				fee schedule		23.59				other	OPPS APC	23.59				other	OPPS APC	23.59				case rate		23.59				case rate		23.59				other	OPPS APC	23.59	23.59	
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-09	NDC	J2001	HCPCS		inpatient			23.58	23.58																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-09	NDC	J2001	HCPCS		outpatient			23.58	23.58																																															other	OPPS APC			
NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % DROPS 15 ML DROP BTL	637000000	CDM	0065-0085-15	NDC	A9270	HCPCS		inpatient			23.53	23.53																																																			
NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % DROPS 15 ML DROP BTL	637000000	CDM	0065-0085-15	NDC	A9270	HCPCS		outpatient			23.53	23.53																																															other	OPPS APC			
PACK REVEAL LINQ	SUP-DYNDA2379	CDM			481	RC		outpatient			23.53	23.53	11.53				percent of total billed charges		23.53				other	OPPS APC	17.41				percent of total billed charges		23.53				other	OPPS APC	23.53				other	OPPS APC	11.53				percent of total billed charges		12				percent of total billed charges		23.53				other	OPPS APC	11.53	23.53	
PACK REVEAL LINQ	SUP-DYNDA2379	CDM			481	RC		inpatient			23.53	23.53																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-016-01	NDC	J1650	HCPCS		inpatient			23.5	23.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-016-10	NDC	J1650	HCPCS		inpatient			23.5	23.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-175-01	NDC	J1650	HCPCS		inpatient			23.5	23.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-175-10	NDC	J1650	HCPCS		inpatient			23.5	23.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-016-01	NDC	J1650	HCPCS		outpatient			23.5	23.5																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-016-10	NDC	J1650	HCPCS		outpatient			23.5	23.5																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-175-01	NDC	J1650	HCPCS		outpatient			23.5	23.5																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-175-10	NDC	J1650	HCPCS		outpatient			23.5	23.5																																															other	OPPS APC			
SUTURE PLAIN GUT 2-0 XLH 27' 53T	SUP-95-05281	CDM			272	RC		outpatient			23.49	23.49	6.36				percent of total billed charges		23.49				other	OPPS APC	17.38				percent of total billed charges		23.49				other	OPPS APC	23.49				other	OPPS APC	6.36				percent of total billed charges		6.49				percent of total billed charges		23.49				other	OPPS APC	6.36	23.49	
SUTURE PLAIN GUT 2-0 XLH 27' 53T	SUP-95-05281	CDM			272	RC		inpatient			23.49	23.49																																																			
TRAP SPECIMEN INLINE LATEX FREE	SUP-0700-050-000	CDM			270	RC		outpatient			23.4	23.4	6.34				percent of total billed charges		23.4				other	OPPS APC	17.32				percent of total billed charges		23.4				other	OPPS APC	23.4				other	OPPS APC	6.34				percent of total billed charges		6.47				percent of total billed charges		23.4				other	OPPS APC	6.34	23.4	
TRAP SPECIMEN INLINE LATEX FREE	SUP-0700-050-000	CDM			270	RC		inpatient			23.4	23.4																																																			
SUTURE ABSORBABLE VICRYL MICROPOINT 7-0 TG140-8 18IN VIOLET 2 ARM BRAID COATED	SUP-J546G	CDM			270	RC		outpatient			23.4	23.4	6.34				percent of total billed charges		23.4				other	OPPS APC	17.32				percent of total billed charges		23.4				other	OPPS APC	23.4				other	OPPS APC	6.34				percent of total billed charges		6.47				percent of total billed charges		23.4				other	OPPS APC	6.34	23.4	
SUTURE ABSORBABLE VICRYL MICROPOINT 7-0 TG140-8 18IN VIOLET 2 ARM BRAID COATED	SUP-J546G	CDM			270	RC		inpatient			23.4	23.4																																																			
IMMOBILE SHOULDER WOMAN/LG	SUP-36-00004	CDM			271	RC		outpatient			23.38	23.38	6.33				percent of total billed charges		23.38				other	OPPS APC	17.3				percent of total billed charges		23.38				other	OPPS APC	23.38				other	OPPS APC	6.33				percent of total billed charges		6.46				percent of total billed charges		23.38				other	OPPS APC	6.33	23.38	
IMMOBILE SHOULDER WOMAN/LG	SUP-36-00004	CDM			271	RC		inpatient			23.38	23.38																																																			
STOCKINETTE IMPERVIOUS SMALL	SUP-10-00056	CDM			271	RC		outpatient			23.37	23.37	6.33				percent of total billed charges		23.37				other	OPPS APC	17.29				percent of total billed charges		23.37				other	OPPS APC	23.37				other	OPPS APC	6.33				percent of total billed charges		6.46				percent of total billed charges		23.37				other	OPPS APC	6.33	23.37	
STOCKINETTE IMPERVIOUS SMALL	SUP-10-00056	CDM			271	RC		inpatient			23.37	23.37																																																			
VALVE HEMOSTASIS ACCESS PLUS VALUELINK LARGE BORE	SUP-MAP150	CDM			270	RC		outpatient			23.36	23.36	6.33				percent of total billed charges		23.36				other	OPPS APC	17.29				percent of total billed charges		23.36				other	OPPS APC	23.36				other	OPPS APC	6.33				percent of total billed charges		6.45				percent of total billed charges		23.36				other	OPPS APC	6.33	23.36	
VALVE HEMOSTASIS ACCESS PLUS VALUELINK LARGE BORE	SUP-MAP150	CDM			270	RC		inpatient			23.36	23.36																																																			
PROBE TEMPERATURE STAINLESS STEEL SMALL DIAMETER L18 MM OD21 GA MYOCARDIAL LATEX SAFE TINY NEEDLE HUB PYROGEN FREE STERILE LATEX FREE DISPOSABLE YSI 400	SUP-81-030418	CDM						inpatient			23.35	23.35																																																			
PROBE TEMPERATURE STAINLESS STEEL SMALL DIAMETER L18 MM OD21 GA MYOCARDIAL LATEX SAFE TINY NEEDLE HUB PYROGEN FREE STERILE LATEX FREE DISPOSABLE YSI 400	SUP-81-030418	CDM						outpatient			23.35	23.35	23.35				percent of total billed charges		23.35				other	OPPS APC	23.35				fee schedule		23.35				other	OPPS APC	23.35				other	OPPS APC	23.35				case rate		23.35				case rate		23.35				other	OPPS APC	23.35	23.35	
TUBE CONNECTING DRAINAGE BAG	SUP-M001229101	CDM			270	RC		outpatient			23.35	23.35	6.33				percent of total billed charges		23.35				other	OPPS APC	17.28				percent of total billed charges		23.35				other	OPPS APC	23.35				other	OPPS APC	6.33				percent of total billed charges		6.45				percent of total billed charges		23.35				other	OPPS APC	6.33	23.35	
TUBE CONNECTING DRAINAGE BAG	SUP-M001229101	CDM			270	RC		inpatient			23.35	23.35																																																			
HYDROGEL SILVASORB .25OZ	SUP-15-00020	CDM			272	RC		outpatient			23.33	23.33	6.32				percent of total billed charges		23.33				other	OPPS APC	17.26				percent of total billed charges		23.33				other	OPPS APC	23.33				other	OPPS APC	6.32				percent of total billed charges		6.45				percent of total billed charges		23.33				other	OPPS APC	6.32	23.33	
HYDROGEL SILVASORB .25OZ	SUP-15-00020	CDM			272	RC		inpatient			23.33	23.33																																																			
DILATOR LACRIMAL POLYPROPYLENE STAINLESS STEEL PUNCTUM PLUG INSERTER STERILE DISPOSABLE	SUP-S1.3090U	CDM			270	RC		outpatient			23.33	23.33	6.32				percent of total billed charges		23.33				other	OPPS APC	17.26				percent of total billed charges		23.33				other	OPPS APC	23.33				other	OPPS APC	6.32				percent of total billed charges		6.45				percent of total billed charges		23.33				other	OPPS APC	6.32	23.33	
DILATOR LACRIMAL POLYPROPYLENE STAINLESS STEEL PUNCTUM PLUG INSERTER STERILE DISPOSABLE	SUP-S1.3090U	CDM			270	RC		inpatient			23.33	23.33																																																			
DRESSING MEPILEX POST OP 4X10	SUP-10-00145	CDM			272	RC		outpatient			23.32	23.32	6.32				percent of total billed charges		23.32				other	OPPS APC	17.26				percent of total billed charges		23.32				other	OPPS APC	23.32				other	OPPS APC	6.32				percent of total billed charges		6.44				percent of total billed charges		23.32				other	OPPS APC	6.32	23.32	
DRESSING MEPILEX POST OP 4X10	SUP-10-00145	CDM			272	RC		inpatient			23.32	23.32																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-16	NDC	J3010	HCPCS		inpatient			23.28	23.28																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-16	NDC	J3010	HCPCS		outpatient			23.28	23.28																																															other	OPPS APC			
AEROCHAMBER Z-STAT PLUS	SUP-30-00103	CDM			272	RC		outpatient			23.24	23.24	6.3				percent of total billed charges		23.24				other	OPPS APC	17.2				percent of total billed charges		23.24				other	OPPS APC	23.24				other	OPPS APC	6.3				percent of total billed charges		6.42				percent of total billed charges		23.24				other	OPPS APC	6.3	23.24	
AEROCHAMBER Z-STAT PLUS	SUP-30-00103	CDM			272	RC		inpatient			23.24	23.24																																																			
SOLUTION IV INJECTION 0.9% NACL 6% HETASTARCH 500ML	SUP-724803	CDM			270	RC		outpatient			23.21	23.21	6.29				percent of total billed charges		23.21				other	OPPS APC	17.18				percent of total billed charges		23.21				other	OPPS APC	23.21				other	OPPS APC	6.29				percent of total billed charges		6.41				percent of total billed charges		23.21				other	OPPS APC	6.29	23.21	
SOLUTION IV INJECTION 0.9% NACL 6% HETASTARCH 500ML	SUP-724803	CDM			270	RC		inpatient			23.21	23.21																																																			
MAXIMA DIAMOND BUR FRICTION GRIP	SUP-9007227	CDM			270	RC		outpatient			23.2	23.2	6.28				percent of total billed charges		23.2				other	OPPS APC	17.17				percent of total billed charges		23.2				other	OPPS APC	23.2				other	OPPS APC	6.28				percent of total billed charges		6.41				percent of total billed charges		23.2				other	OPPS APC	6.28	23.2	
MAXIMA DIAMOND BUR FRICTION GRIP	SUP-9007227	CDM			270	RC		inpatient			23.2	23.2																																																			
DRESSING OPTIFOAM AG SILVER 4X4 NONADH	SUP-95-02215	CDM			272	RC		outpatient			23.18	23.18	6.28				percent of total billed charges		23.18				other	OPPS APC	17.15				percent of total billed charges		23.18				other	OPPS APC	23.18				other	OPPS APC	6.28				percent of total billed charges		6.4				percent of total billed charges		23.18				other	OPPS APC	6.28	23.18	
DRESSING OPTIFOAM AG SILVER 4X4 NONADH	SUP-95-02215	CDM			272	RC		inpatient			23.18	23.18																																																			
GUIDEWIRE  PTFE 035 X 260CM FC ST	SUP-H7878101352601	CDM			481	RC		outpatient			23.16	23.16	11.35				percent of total billed charges		23.16				other	OPPS APC	17.14				percent of total billed charges		23.16				other	OPPS APC	23.16				other	OPPS APC	11.35				percent of total billed charges		11.81				percent of total billed charges		23.16				other	OPPS APC	11.35	23.16	
GUIDEWIRE  PTFE 035 X 260CM FC ST	SUP-H7878101352601	CDM			481	RC		inpatient			23.16	23.16																																																			
NAVILYST .035 STRAIGHT TIP GUIDEWIRE 260CM	SUP-H965970004011	CDM			481	RC		outpatient			23.16	23.16	11.35				percent of total billed charges		23.16				other	OPPS APC	17.14				percent of total billed charges		23.16				other	OPPS APC	23.16				other	OPPS APC	11.35				percent of total billed charges		11.81				percent of total billed charges		23.16				other	OPPS APC	11.35	23.16	
NAVILYST .035 STRAIGHT TIP GUIDEWIRE 260CM	SUP-H965970004011	CDM			481	RC		inpatient			23.16	23.16																																																			
INSTRA-MAG DISP BLANKET	SUP-72-00010	CDM			272	RC		outpatient			23.06	23.6	6.25				percent of total billed charges		23.06				other	OPPS APC	17.06				percent of total billed charges		23.06				other	OPPS APC	23.06				other	OPPS APC	6.25				percent of total billed charges		6.37				percent of total billed charges		23.6				other	OPPS APC	6.25	23.6	
INSTRA-MAG DISP BLANKET	SUP-72-00010	CDM			272	RC		inpatient			23.06	23.06																																																			
METHYL SALICYLATE-MENTHOL 29-7.6 % OINTMENT 99.2 G JAR	637000000	CDM	4116700879	NDC	A9270	HCPCS		inpatient			23.05	23.05																																																			
METHYL SALICYLATE-MENTHOL 29-7.6 % OINTMENT 99.2 G JAR	637000000	CDM	4116700879	NDC	A9270	HCPCS		outpatient			23.05	23.05																																															other	OPPS APC			
HC Glucose Quantitative Blood	PX-300829470	CDM	82947	CPT	301	RC		outpatient			23	3.93	5.25				fee schedule		3.93				fee schedule		10.41				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93	10.41	
HC Glucose Quantitative Blood	PX-300829470	CDM	82947	CPT	301	RC		inpatient			23	23																																																			
HC Flow Cyto Interp 2 to 8 Markers	PX-300881870	CDM	88187	CPT	300	RC		outpatient			23	34.53	63.03				fee schedule		34.53				fee schedule		21.25				fee schedule		34.53				fee schedule		34.53				fee schedule		11.27				percent of total billed charges		11.73				percent of total billed charges		34.53				fee schedule		11.27	63.03	
HC Flow Cyto Interp 2 to 8 Markers	PX-300881870	CDM	88187	CPT	300	RC		inpatient			23	23																																																			
HC Glucose Blood  Glucose Montior Dev	PX-301829471	CDM	82947	CPT	301	RC		outpatient			23	3.93	5.25				fee schedule		3.93				fee schedule		10.41				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93				fee schedule		3.93	10.41	
HC Glucose Blood  Glucose Montior Dev	PX-301829471	CDM	82947	CPT	301	RC		inpatient			23	23																																																			
Admin Health Risk Assessment	PX-510961601	CDM	96160	CPT	510	RC		outpatient			23	31.26	23				percent of total billed charges		31.26				other	OPPS APC	17.02				percent of total billed charges		31.26				other	OPPS APC	31.26				other	OPPS APC	2.68				fee schedule		23				fee schedule		31.26				other	OPPS APC	2.68	31.26	
Admin Health Risk Assessment	PX-510961601	CDM	96160	CPT	510	RC		inpatient			23	23																																																			
BANDAGE 6 FLEXMASTER	SUP-78-00355	CDM			272	RC		outpatient			23	23	6.23				percent of total billed charges		23				other	OPPS APC	17.02				percent of total billed charges		23				other	OPPS APC	23				other	OPPS APC	6.23				percent of total billed charges		6.35				percent of total billed charges		23				other	OPPS APC	6.23	23	
BANDAGE 6 FLEXMASTER	SUP-78-00355	CDM			272	RC		inpatient			23	23																																																			
LINERS FOR MOUTH GAG - ADULT	SUP-97-01882	CDM			271	RC		outpatient			23	23	6.23				percent of total billed charges		23				other	OPPS APC	17.02				percent of total billed charges		23				other	OPPS APC	23				other	OPPS APC	6.23				percent of total billed charges		6.35				percent of total billed charges		23				other	OPPS APC	6.23	23	
LINERS FOR MOUTH GAG - ADULT	SUP-97-01882	CDM			271	RC		inpatient			23	23																																																			
COLLAR STIFF NECK PEDIATRIC	SUP-37-00010	CDM			271	RC		outpatient			22.98	22.98	6.23				percent of total billed charges		22.98				other	OPPS APC	17.01				percent of total billed charges		22.98				other	OPPS APC	22.98				other	OPPS APC	6.23				percent of total billed charges		6.35				percent of total billed charges		22.98				other	OPPS APC	6.23	22.98	
COLLAR STIFF NECK PEDIATRIC	SUP-37-00010	CDM			271	RC		inpatient			22.98	22.98																																																			
NEEDLE BIOPSY CHIBA L 15CM OD 22GA ASPIRATION STERILE DISPOSABLE	SUP-G00012	CDM			270	RC		outpatient			22.98	22.98	6.23				percent of total billed charges		22.98				other	OPPS APC	17.01				percent of total billed charges		22.98				other	OPPS APC	22.98				other	OPPS APC	6.23				percent of total billed charges		6.35				percent of total billed charges		22.98				other	OPPS APC	6.23	22.98	
NEEDLE BIOPSY CHIBA L 15CM OD 22GA ASPIRATION STERILE DISPOSABLE	SUP-G00012	CDM			270	RC		inpatient			22.98	22.98																																																			
NEEDLE BIOPSY CHIBA L15 CM OD 18GA ASPIRATION STERILE DISPOSABLE	SUP-G00850	CDM			270	RC		outpatient			22.98	22.98	6.23				percent of total billed charges		22.98				other	OPPS APC	17.01				percent of total billed charges		22.98				other	OPPS APC	22.98				other	OPPS APC	6.23				percent of total billed charges		6.35				percent of total billed charges		22.98				other	OPPS APC	6.23	22.98	
NEEDLE BIOPSY CHIBA L15 CM OD 18GA ASPIRATION STERILE DISPOSABLE	SUP-G00850	CDM			270	RC		inpatient			22.98	22.98																																																			
NEEDLE BIOPSY CHIBA L 20CM OD 18GA ASPIRATION STERILE DISPOSABLE	SUP-G01047	CDM						inpatient			22.98	22.98																																																			
NEEDLE BIOPSY CHIBA L 20CM OD 18GA ASPIRATION STERILE DISPOSABLE	SUP-G01047	CDM						outpatient			22.98	22.98	22.98				percent of total billed charges		22.98				other	OPPS APC	22.98				fee schedule		22.98				other	OPPS APC	22.98				other	OPPS APC	22.98				case rate		22.98				case rate		22.98				other	OPPS APC	22.98	22.98	
NEEDLE BIOPSY CHIBA L10 CM OD 18GA ASPIRATION STERILE DISPSABLE	SUP-G01559	CDM						inpatient			22.98	22.98																																																			
NEEDLE BIOPSY CHIBA L10 CM OD 18GA ASPIRATION STERILE DISPSABLE	SUP-G01559	CDM						outpatient			22.98	22.98	22.98				percent of total billed charges		22.98				other	OPPS APC	22.98				fee schedule		22.98				other	OPPS APC	22.98				other	OPPS APC	22.98				case rate		22.98				case rate		22.98				other	OPPS APC	22.98	22.98	
BLANKET WARMING 3M BAIR HUGGER 36X33IN 24X24IN LF PEDIATRIC 3OZ UNDERBODY FULL ACCESS FLUID OUTLET 2 DRAPE	SUP-55501	CDM						inpatient			22.92	22.92																																																			
BLANKET WARMING 3M BAIR HUGGER 36X33IN 24X24IN LF PEDIATRIC 3OZ UNDERBODY FULL ACCESS FLUID OUTLET 2 DRAPE	SUP-55501	CDM						outpatient			22.92	22.92	22.92				percent of total billed charges		22.92				other	OPPS APC	22.92				fee schedule		22.92				other	OPPS APC	22.92				other	OPPS APC	22.92				case rate		22.92				case rate		22.92				other	OPPS APC	22.92	22.92	
SET PCA	SUP-20-00032	CDM			272	RC		outpatient			22.88	22.88	6.2				percent of total billed charges		22.88				other	OPPS APC	16.93				percent of total billed charges		22.88				other	OPPS APC	22.88				other	OPPS APC	6.2				percent of total billed charges		6.32				percent of total billed charges		22.88				other	OPPS APC	6.2	22.88	
SET PCA	SUP-20-00032	CDM			272	RC		inpatient			22.88	22.88																																																			
CATHETER ANGIOGRAPHIC IMPRESS FLUSH 4FR 65CM PIGTAIL TAPERED 10SP PERIPHERAL NON-BRAIDED WINGED HUB STAINLESS STEEL POLYURETHANE 0.035IN GW RADIOPAQUE	SUP-4653510PIGNB	CDM			270	RC		outpatient			22.88	22.88	6.2				percent of total billed charges		22.88				other	OPPS APC	16.93				percent of total billed charges		22.88				other	OPPS APC	22.88				other	OPPS APC	6.2				percent of total billed charges		6.32				percent of total billed charges		22.88				other	OPPS APC	6.2	22.88	
CATHETER ANGIOGRAPHIC IMPRESS FLUSH 4FR 65CM PIGTAIL TAPERED 10SP PERIPHERAL NON-BRAIDED WINGED HUB STAINLESS STEEL POLYURETHANE 0.035IN GW RADIOPAQUE	SUP-4653510PIGNB	CDM			270	RC		inpatient			22.88	22.88																																																			
CATHETER ANGIOGRAPHIC IMPRESS STAINLESS STEEL POLYURETHANE RIM CURVE L65 CM OD4 FR PERIPHERAL RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-46535RIM	CDM			270	RC		outpatient			22.88	22.88	6.2				percent of total billed charges		22.88				other	OPPS APC	16.93				percent of total billed charges		22.88				other	OPPS APC	22.88				other	OPPS APC	6.2				percent of total billed charges		6.32				percent of total billed charges		22.88				other	OPPS APC	6.2	22.88	
CATHETER ANGIOGRAPHIC IMPRESS STAINLESS STEEL POLYURETHANE RIM CURVE L65 CM OD4 FR PERIPHERAL RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-46535RIM	CDM			270	RC		inpatient			22.88	22.88																																																			
CATHETER IMPRESS KA 2 40CM .038	SUP-54038KA2	CDM						inpatient			22.88	22.88																																																			
CATHETER IMPRESS KA 2 40CM .038	SUP-54038KA2	CDM						outpatient			22.88	22.88	22.88				percent of total billed charges		22.88				other	OPPS APC	22.88				fee schedule		22.88				other	OPPS APC	22.88				other	OPPS APC	22.88				case rate		22.88				case rate		22.88				other	OPPS APC	22.88	22.88	
CATHETER ANGIOGRAPHIC IMPRESS STAINLESS STEEL POLYURETHANE RIM CURVE L65 CM OD5 FR PERIPHERAL RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-56535RIM	CDM			270	RC		outpatient			22.88	22.88	6.2				percent of total billed charges		22.88				other	OPPS APC	16.93				percent of total billed charges		22.88				other	OPPS APC	22.88				other	OPPS APC	6.2				percent of total billed charges		6.32				percent of total billed charges		22.88				other	OPPS APC	6.2	22.88	
CATHETER ANGIOGRAPHIC IMPRESS STAINLESS STEEL POLYURETHANE RIM CURVE L65 CM OD5 FR PERIPHERAL RADIOPAQUE BRAID TAPER TIP STERILE LATEX FREE ACCEPTS .035 IN GUIDEWIRE	SUP-56535RIM	CDM			270	RC		inpatient			22.88	22.88																																																			
AMPICILLIN-SULBACTAM PER 1.5 G	636000000	CDM	0641-6117-01	NDC	J0295	HCPCS		inpatient			22.86	22.86																																																			
AMPICILLIN-SULBACTAM PER 1.5 G	636000000	CDM	0641-6117-10	NDC	J0295	HCPCS		inpatient			22.86	22.86																																																			
AMPICILLIN-SULBACTAM PER 1.5 G	636000000	CDM	0641-6117-01	NDC	J0295	HCPCS		outpatient			22.86	22.86																																															other	OPPS APC			
AMPICILLIN-SULBACTAM PER 1.5 G	636000000	CDM	0641-6117-10	NDC	J0295	HCPCS		outpatient			22.86	22.86																																															other	OPPS APC			
"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE (DR/EC)"	636000000	CDM	16729-189-29	NDC	J7518	HCPCS		inpatient			22.85	22.85																																																			
"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE (DR/EC)"	636000000	CDM	16729-189-29	NDC	J7518	HCPCS		outpatient			22.85	22.85																																															other	OPPS APC			
COLLAR CERVICAL ASPEN POLYETHYLENE PEDIATRIC SHORT CHIN REST TRACHEOSTOMY OPENING ADJUSTABLE STRAP CONTACT CLOSURE LATEX FREE	SUP-983190	CDM	270009188	LOCAL	270	RC		outpatient			22.8	22.81	6.18				percent of total billed charges		22.8				other	OPPS APC	16.87				percent of total billed charges		22.8				other	OPPS APC	22.8				other	OPPS APC	6.18				percent of total billed charges		6.3				percent of total billed charges		22.81				other	OPPS APC	6.18	22.81	
COLLAR CERVICAL ASPEN POLYETHYLENE PEDIATRIC SHORT CHIN REST TRACHEOSTOMY OPENING ADJUSTABLE STRAP CONTACT CLOSURE LATEX FREE	SUP-983190	CDM	270009188	LOCAL	270	RC		inpatient			22.8	22.8																																																			
COLLAR CERVICAL ASPEN FLEX TABS PD2 9-24MO FOAM COTTON INFANT CHIN DOT HOOK LOOP STRAP	SUP-983195	CDM	270009188	LOCAL	270	RC		outpatient			22.8	22.81	6.18				percent of total billed charges		22.8				other	OPPS APC	16.87				percent of total billed charges		22.8				other	OPPS APC	22.8				other	OPPS APC	6.18				percent of total billed charges		6.3				percent of total billed charges		22.81				other	OPPS APC	6.18	22.81	
COLLAR CERVICAL ASPEN FLEX TABS PD2 9-24MO FOAM COTTON INFANT CHIN DOT HOOK LOOP STRAP	SUP-983195	CDM	270009188	LOCAL	270	RC		inpatient			22.8	22.8																																																			
DEVICE IRRIGATION MIO OVERSIZE L86 CM X W76 CM L28 CM X W25 CM ORGANIZER MEDICAL STERILE	SUP-BX00711750	CDM			270	RC		outpatient			22.8	22.81	6.18				percent of total billed charges		22.8				other	OPPS APC	16.87				percent of total billed charges		22.8				other	OPPS APC	22.8				other	OPPS APC	6.18				percent of total billed charges		6.3				percent of total billed charges		22.81				other	OPPS APC	6.18	22.81	
DEVICE IRRIGATION MIO OVERSIZE L86 CM X W76 CM L28 CM X W25 CM ORGANIZER MEDICAL STERILE	SUP-BX00711750	CDM			270	RC		inpatient			22.8	22.8																																																			
PAIN CUSTOM PACK	SUP-PAIN1158B	CDM			270	RC		outpatient			22.78	22.78	6.17				percent of total billed charges		22.78				other	OPPS APC	16.86				percent of total billed charges		22.78				other	OPPS APC	22.78				other	OPPS APC	6.17				percent of total billed charges		6.29				percent of total billed charges		22.78				other	OPPS APC	6.17	22.78	
PAIN CUSTOM PACK	SUP-PAIN1158B	CDM			270	RC		inpatient			22.78	22.78																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L285 MM OD2.5 MM TROCAR POINT	SUP-292.26	CDM	270010022	LOCAL	270	RC		outpatient			22.77	22.77	6.17				percent of total billed charges		22.77				other	OPPS APC	16.85				percent of total billed charges		22.77				other	OPPS APC	22.77				other	OPPS APC	6.17				percent of total billed charges		6.29				percent of total billed charges		22.77				other	OPPS APC	6.17	22.77	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L285 MM OD2.5 MM TROCAR POINT	SUP-292.26	CDM	270010022	LOCAL	270	RC		inpatient			22.77	22.77																																																			
BANDAIDS PATCH 1.5	SUP-10-00067	CDM			272	RC		outpatient			22.74	22.74	6.16				percent of total billed charges		22.74				other	OPPS APC	16.83				percent of total billed charges		22.74				other	OPPS APC	22.74				other	OPPS APC	6.16				percent of total billed charges		6.28				percent of total billed charges		22.74				other	OPPS APC	6.16	22.74	
BANDAIDS PATCH 1.5	SUP-10-00067	CDM			272	RC		inpatient			22.74	22.74																																																			
LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL	637000000	CDM	70069-421-03	NDC	A9270	HCPCS		inpatient			22.72	22.72																																																			
LATANOPROST 0.005 % DROPS 2.5 ML DROP BTL	637000000	CDM	70069-421-03	NDC	A9270	HCPCS		outpatient			22.72	22.72																																															other	OPPS APC			
CATHETER URETHRAL LUBRICATH 16FR 5CC RED RUBBER DISPOSABLE STERILE LATEX FOLEY COUDE TIP TEMPERATURE SENSE EXTENSION	SUP-117416	CDM			270	RC		outpatient			22.7	22.7	6.15				percent of total billed charges		22.7				other	OPPS APC	16.8				percent of total billed charges		22.7				other	OPPS APC	22.7				other	OPPS APC	6.15				percent of total billed charges		6.27				percent of total billed charges		22.7				other	OPPS APC	6.15	22.7	
CATHETER URETHRAL LUBRICATH 16FR 5CC RED RUBBER DISPOSABLE STERILE LATEX FOLEY COUDE TIP TEMPERATURE SENSE EXTENSION	SUP-117416	CDM			270	RC		inpatient			22.7	22.7																																																			
DEXTROSE 10 % PARENTERAL SOLUTION	250000000	CDM	0338-0023-04	NDC				inpatient			22.66	22.66																																																			
DEXTROSE 10 % PARENTERAL SOLUTION	250000000	CDM	0338-0023-04	NDC				outpatient			22.66	22.66																																															other	OPPS APC			
"DEXTROSE 10 % PARENTERAL SOLUTION 1,000 ML BAG"	250000000	CDM	0338-0023-04	NDC				inpatient			22.66	22.66																																																			
"DEXTROSE 10 % PARENTERAL SOLUTION 1,000 ML BAG"	250000000	CDM	0338-0023-04	NDC				outpatient			22.66	22.66																																															other	OPPS APC			
GUIDE WIRE VASCULAR 1.5MM J TIP .035IN DIA 145CM LONG FIXED CORE	SUP-G00507	CDM			270	RC		outpatient			22.66	22.66	6.14				percent of total billed charges		22.66				other	OPPS APC	16.77				percent of total billed charges		22.66				other	OPPS APC	22.66				other	OPPS APC	6.14				percent of total billed charges		6.26				percent of total billed charges		22.66				other	OPPS APC	6.14	22.66	
GUIDE WIRE VASCULAR 1.5MM J TIP .035IN DIA 145CM LONG FIXED CORE	SUP-G00507	CDM			270	RC		inpatient			22.66	22.66																																																			
BLADE MICRO RECIP 220	SUP-78-00174	CDM			272	RC		outpatient			22.58	22.58	6.12				percent of total billed charges		22.58				other	OPPS APC	16.71				percent of total billed charges		22.58				other	OPPS APC	22.58				other	OPPS APC	6.12				percent of total billed charges		6.24				percent of total billed charges		22.58				other	OPPS APC	6.12	22.58	
BLADE MICRO RECIP 220	SUP-78-00174	CDM			272	RC		inpatient			22.58	22.58																																																			
DRESSING MELGISORB ALGINATE 4X4	SUP-95-01963	CDM			272	RC		outpatient			22.57	22.57	6.11				percent of total billed charges		22.57				other	OPPS APC	16.7				percent of total billed charges		22.57				other	OPPS APC	22.57				other	OPPS APC	6.11				percent of total billed charges		6.24				percent of total billed charges		22.57				other	OPPS APC	6.11	22.57	
DRESSING MELGISORB ALGINATE 4X4	SUP-95-01963	CDM			272	RC		inpatient			22.57	22.57																																																			
TICAGRELOR 90 MG TABLET	250000000	CDM	0186-0777-39	NDC				inpatient			22.56	22.56																																																			
TICAGRELOR 90 MG TABLET	250000000	CDM	0186-0777-39	NDC				outpatient			22.56	22.56																																															other	OPPS APC			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	63323-464-02	NDC	J0665	HCPCS		inpatient			22.56	22.56																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	63323-464-37	NDC	J0665	HCPCS		inpatient			22.56	22.56																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	63323-464-02	NDC	J0665	HCPCS		outpatient			22.56	0.16																																											0.16				other	OPPS APC	0.16	0.16	
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	63323-464-37	NDC	J0665	HCPCS		outpatient			22.56	0.16																																											0.16				other	OPPS APC	0.16	0.16	
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 16GA LAVENDER POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-305198	CDM			270	RC		outpatient			22.56	22.56	6.11				percent of total billed charges		22.56				other	OPPS APC	16.69				percent of total billed charges		22.56				other	OPPS APC	22.56				other	OPPS APC	6.11				percent of total billed charges		6.23				percent of total billed charges		22.56				other	OPPS APC	6.11	22.56	
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 16GA LAVENDER POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-305198	CDM			270	RC		inpatient			22.56	22.56																																																			
DISPOSABLE SUCTION NEEDLE 20GA	SUP-72-00064	CDM			272	RC		outpatient			22.56	22.56	6.11				percent of total billed charges		22.56				other	OPPS APC	16.69				percent of total billed charges		22.56				other	OPPS APC	22.56				other	OPPS APC	6.11				percent of total billed charges		6.23				percent of total billed charges		22.56				other	OPPS APC	6.11	22.56	
DISPOSABLE SUCTION NEEDLE 20GA	SUP-72-00064	CDM			272	RC		inpatient			22.56	22.56																																																			
EPHEDRINE 50 MG/ML SOLUTION	250000000	CDM	0641-6238-01	NDC				inpatient			22.51	22.51																																																			
EPHEDRINE 50 MG/ML SOLUTION	250000000	CDM	0641-6238-01	NDC				outpatient			22.51	22.51																																															other	OPPS APC			
TIMOLOL MALEATE (PF) 0.5 % DROPPERETTE	637000000	CDM	72485-602-05	NDC	A9270	HCPCS		inpatient			22.51	22.51																																																			
TIMOLOL MALEATE (PF) 0.5 % DROPPERETTE	637000000	CDM	72485-602-05	NDC	A9270	HCPCS		outpatient			22.51	22.51																																															other	OPPS APC			
HYDRALAZINE PER 20 MG	636000000	CDM	0641-6231-01	NDC	J0360	HCPCS		inpatient			22.5	22.5																																																			
HYDRALAZINE PER 20 MG	636000000	CDM	0641-6231-25	NDC	J0360	HCPCS		inpatient			22.5	22.5																																																			
HYDRALAZINE PER 20 MG	636000000	CDM	0641-6231-01	NDC	J0360	HCPCS		outpatient			22.5	22.5																																															other	OPPS APC			
HYDRALAZINE PER 20 MG	636000000	CDM	0641-6231-25	NDC	J0360	HCPCS		outpatient			22.5	22.5																																															other	OPPS APC			
VICRYL PLUS COATED SIZE 0 VIOLET CONTROL RELEASE 8PK	SUP-VCP727D	CDM			270	RC		outpatient			22.42	22.42	6.07				percent of total billed charges		22.42				other	OPPS APC	16.59				percent of total billed charges		22.42				other	OPPS APC	22.42				other	OPPS APC	6.07				percent of total billed charges		6.19				percent of total billed charges		22.42				other	OPPS APC	6.07	22.42	
VICRYL PLUS COATED SIZE 0 VIOLET CONTROL RELEASE 8PK	SUP-VCP727D	CDM			270	RC		inpatient			22.42	22.42																																																			
FLUCONAZOLE PER 200 MG	636000000	CDM	0409-4688-22	NDC	J1450	HCPCS		inpatient			22.39	22.39																																																			
FLUCONAZOLE PER 200 MG	636000000	CDM	0409-4688-22	NDC	J1450	HCPCS		outpatient			22.39	22.39																																															other	OPPS APC			
ROSUVASTATIN 5 MG TABLET	637000000	CDM	65862-293-90	NDC	A9270	HCPCS		inpatient			22.37	22.37																																																			
ROSUVASTATIN 5 MG TABLET	637000000	CDM	65862-293-90	NDC	A9270	HCPCS		outpatient			22.37	22.37																																															other	OPPS APC			
CEFTRIAXONE PER 250 MG	636000000	CDM	0781-3210-46	NDC	J0696	HCPCS		inpatient			22.3	22.3																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0781-3210-46	NDC	J0696	HCPCS		outpatient			22.3	22.3																																															other	OPPS APC			
FLUMAZENIL 0.1 MG/ML SOLUTION	250000000	CDM	63323-424-05	NDC				inpatient			22.26	22.26																																																			
FLUMAZENIL 0.1 MG/ML SOLUTION	250000000	CDM	63323-424-05	NDC				outpatient			22.26	22.26																																															other	OPPS APC			
PIN FIXATION STEINMANN STAINLESS STEEL L229 MM OD3.6 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700569	CDM			270	RC		outpatient			22.25	22.25	6.03				percent of total billed charges		22.25				other	OPPS APC	16.47				percent of total billed charges		22.25				other	OPPS APC	22.25				other	OPPS APC	6.03				percent of total billed charges		6.15				percent of total billed charges		22.25				other	OPPS APC	6.03	22.25	
PIN FIXATION STEINMANN STAINLESS STEEL L229 MM OD3.6 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700569	CDM			270	RC		inpatient			22.25	22.25																																																			
BANDAGE 4 FLEXMASTER	SUP-78-00356	CDM			272	RC		outpatient			22.18	22.18	6.01				percent of total billed charges		22.18				other	OPPS APC	16.41				percent of total billed charges		22.18				other	OPPS APC	22.18				other	OPPS APC	6.01				percent of total billed charges		6.13				percent of total billed charges		22.18				other	OPPS APC	6.01	22.18	
BANDAGE 4 FLEXMASTER	SUP-78-00356	CDM			272	RC		inpatient			22.18	22.18																																																			
MAGNESIUM SULFATE 40 MG/ML (NEO/PED) 40 MG/ML SYRINGE	250000000	CDM	63323-106-02	NDC				inpatient			22.14	22.14																																																			
MAGNESIUM SULFATE 40 MG/ML (NEO/PED) 40 MG/ML SYRINGE	250000000	CDM	63323-106-02	NDC				outpatient			22.14	22.14																																															other	OPPS APC			
CATHETER ANGIOGRAPHIC PERFORMA PEBAX POLYCARBONATE NYLON BERN1 CURVE L65 CM OD5 FR PERIPHERAL RADIOPAQUE BRAID STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-5592-23	CDM			270	RC		outpatient			22.12	22.12	5.99				percent of total billed charges		22.12				other	OPPS APC	16.37				percent of total billed charges		22.12				other	OPPS APC	22.12				other	OPPS APC	5.99				percent of total billed charges		6.11				percent of total billed charges		22.12				other	OPPS APC	5.99	22.12	
CATHETER ANGIOGRAPHIC PERFORMA PEBAX POLYCARBONATE NYLON BERN1 CURVE L65 CM OD5 FR PERIPHERAL RADIOPAQUE BRAID STERILE LATEX FREE ACCEPTS .038 IN GUIDEWIRE	SUP-5592-23	CDM			270	RC		inpatient			22.12	22.12																																																			
CATH PED 8FR FOLEY 3CC 2WAY	SUP-97-00347	CDM			272	RC		outpatient			22.12	22.12	5.99				percent of total billed charges		22.12				other	OPPS APC	16.37				percent of total billed charges		22.12				other	OPPS APC	22.12				other	OPPS APC	5.99				percent of total billed charges		6.11				percent of total billed charges		22.12				other	OPPS APC	5.99	22.12	
CATH PED 8FR FOLEY 3CC 2WAY	SUP-97-00347	CDM			272	RC		inpatient			22.12	22.12																																																			
LIDOCAINE 20 MG/ML (2 %) SOLUTION	250000000	CDM	0143-9575-01	NDC				inpatient			22.08	22.08																																																			
LIDOCAINE 20 MG/ML (2 %) SOLUTION	250000000	CDM	0143-9575-01	NDC				outpatient			22.08	22.08																																															other	OPPS APC			
COLLAR BABY NO NECK	SUP-37-00002	CDM			271	RC		outpatient			22.08	22.8	5.98				percent of total billed charges		22.08				other	OPPS APC	16.34				percent of total billed charges		22.08				other	OPPS APC	22.08				other	OPPS APC	5.98				percent of total billed charges		6.1				percent of total billed charges		22.8				other	OPPS APC	5.98	22.8	
COLLAR BABY NO NECK	SUP-37-00002	CDM			271	RC		inpatient			22.08	22.08																																																			
COLLAR STIFF NECK SHORT	SUP-37-00012	CDM			271	RC		outpatient			22.08	22.8	5.98				percent of total billed charges		22.08				other	OPPS APC	16.34				percent of total billed charges		22.08				other	OPPS APC	22.08				other	OPPS APC	5.98				percent of total billed charges		6.1				percent of total billed charges		22.8				other	OPPS APC	5.98	22.8	
COLLAR STIFF NECK SHORT	SUP-37-00012	CDM			271	RC		inpatient			22.08	22.08																																																			
SUTURE PROLENE 3-0 8842H	SUP-95-04201	CDM			272	RC		outpatient			22.08	22.8	5.98				percent of total billed charges		22.08				other	OPPS APC	16.34				percent of total billed charges		22.08				other	OPPS APC	22.08				other	OPPS APC	5.98				percent of total billed charges		6.1				percent of total billed charges		22.8				other	OPPS APC	5.98	22.8	
SUTURE PROLENE 3-0 8842H	SUP-95-04201	CDM			272	RC		inpatient			22.08	22.08																																																			
ESMOLOL 100 MG/10 ML (10 MG/ML) SOLUTION	636000000	CDM	55150-194-10	NDC	J1805	HCPCS		inpatient			22	22																																																			
ESMOLOL 100 MG/10 ML (10 MG/ML) SOLUTION	636000000	CDM	55150-194-10	NDC	J1805	HCPCS		outpatient			22	0.24																																											0.24				other	OPPS APC	0.24	0.24	
HC Creatinine Other Source	PX-300825700	CDM	82570	CPT	301	RC		outpatient			22	5.18	6.92				fee schedule		5.18				fee schedule		13.74				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18				fee schedule		5.18	13.74	
HC Creatinine Other Source	PX-300825700	CDM	82570	CPT	301	RC		inpatient			22	22																																																			
Allergan Spec Igg Quant  Each X8	PX-300860010	CDM	86001	CPT	302	RC		outpatient			22	7.82	6.98				fee schedule		7.82				fee schedule		13.87				fee schedule		7.82				fee schedule		7.82				fee schedule		7.82				fee schedule		7.82				fee schedule		7.82				fee schedule		6.98	13.87	
Allergan Spec Igg Quant  Each X8	PX-300860010	CDM	86001	CPT	302	RC		inpatient			22	22																																																			
ADAPTER CARTRIDE THREAD	SUP-110030166	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
ADAPTER CARTRIDE THREAD	SUP-110030166	CDM			270	RC		inpatient			22	22																																																			
CATHETER DRAINAGE SILICONE STRAIGHT L20 IN OD20 FR THORACIC 5 EYELET KINK RESISTANT RADIOPAQUE STRIPE TAPERED TIP STERILE LATEX FREE DISPOSABLE CLEAR	SUP-14020	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
CATHETER DRAINAGE SILICONE STRAIGHT L20 IN OD20 FR THORACIC 5 EYELET KINK RESISTANT RADIOPAQUE STRIPE TAPERED TIP STERILE LATEX FREE DISPOSABLE CLEAR	SUP-14020	CDM			270	RC		inpatient			22	22																																																			
SHEATH INTRODUCER BRITE TIP L11 CM OD6 FR CANNULA INTERVENTIONAL LATEX FREE GREEN ACCEPTS .035 IN GUIDEWIRE	SUP-401-611M	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
SHEATH INTRODUCER BRITE TIP L11 CM OD6 FR CANNULA INTERVENTIONAL LATEX FREE GREEN ACCEPTS .035 IN GUIDEWIRE	SUP-401-611M	CDM			270	RC		inpatient			22	22																																																			
CATHETER ANGIOGRAPHIC IMPRESS .038 IN MPA1 CURVE L125 CM OD4 FR ID.04 IN PERIPHERAL MULTIPURPOSE RADIOLOGY	SUP-412538MPA1	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
CATHETER ANGIOGRAPHIC IMPRESS .038 IN MPA1 CURVE L125 CM OD4 FR ID.04 IN PERIPHERAL MULTIPURPOSE RADIOLOGY	SUP-412538MPA1	CDM			270	RC		inpatient			22	22																																																			
CATHETER FLUSH PIGTAIL NO BRAIDED 4F .04X65CM	SUP-4653510PIG-NB	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
CATHETER FLUSH PIGTAIL NO BRAIDED 4F .04X65CM	SUP-4653510PIG-NB	CDM			270	RC		inpatient			22	22																																																			
CATHETER ANGIOGRAPHIC IMPRESS .035 IN SNB CURVE L65 CM OD4 FR ID.040 IN NONBRAIDED 6 SIDEPORT	SUP-46536SHP-NB	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
CATHETER ANGIOGRAPHIC IMPRESS .035 IN SNB CURVE L65 CM OD4 FR ID.040 IN NONBRAIDED 6 SIDEPORT	SUP-46536SHP-NB	CDM			270	RC		inpatient			22	22																																																			
CATHETER IMPRESS PIGTAIN FLUSH 5FR 90CM .035 10 SIDE PORTS NON-BRAIDED	SUP-5903510PIG-NB	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
CATHETER IMPRESS PIGTAIN FLUSH 5FR 90CM .035 10 SIDE PORTS NON-BRAIDED	SUP-5903510PIG-NB	CDM			270	RC		inpatient			22	22																																																			
TRAP SPECIMEN COLLECTION SUCTION PLASTIC 4 CHAMBER	SUP-710202	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
TRAP SPECIMEN COLLECTION SUCTION PLASTIC 4 CHAMBER	SUP-710202	CDM			270	RC		inpatient			22	22																																																			
KNIFE CRESCENT	SUP-74-1010	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
KNIFE CRESCENT	SUP-74-1010	CDM			270	RC		inpatient			22	22																																																			
SLEEVE SCLERAL SILICONE ROUND STYLE 72 BUCKLING	SUP-92-30	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
SLEEVE SCLERAL SILICONE ROUND STYLE 72 BUCKLING	SUP-92-30	CDM			270	RC		inpatient			22	22																																																			
STYLETS ABBOTT/ST JUDE CRM _34810_	SUP-ALL PN#	CDM			270	RC		outpatient			22	22	5.96				percent of total billed charges		22				other	OPPS APC	16.28				percent of total billed charges		22				other	OPPS APC	22				other	OPPS APC	5.96				percent of total billed charges		6.08				percent of total billed charges		22				other	OPPS APC	5.96	22	
STYLETS ABBOTT/ST JUDE CRM _34810_	SUP-ALL PN#	CDM			270	RC		inpatient			22	22																																																			
TUBE VENTILATION GOODE SILICONE T FLANGE GROMMET L12 MM OD9.5 MM ID1.14 MM EAR SOFT	SUP-1016010	CDM			270	RC		outpatient			21.92	21.92	5.94				percent of total billed charges		21.92				other	OPPS APC	16.22				percent of total billed charges		21.92				other	OPPS APC	21.92				other	OPPS APC	5.94				percent of total billed charges		6.06				percent of total billed charges		21.92				other	OPPS APC	5.94	21.92	
TUBE VENTILATION GOODE SILICONE T FLANGE GROMMET L12 MM OD9.5 MM ID1.14 MM EAR SOFT	SUP-1016010	CDM			270	RC		inpatient			21.92	21.92																																																			
ESMOLOL 100 MG/10 ML (10 MG/ML) SOLUTION	636000000	CDM	67457-182-10	NDC	J1805	HCPCS		inpatient			21.88	21.88																																																			
ESMOLOL 100 MG/10 ML (10 MG/ML) SOLUTION	636000000	CDM	67457-182-10	NDC	J1805	HCPCS		outpatient			21.88	0.24																																											0.24				other	OPPS APC	0.24	0.24	
CLAMP SURGICAL SCANLAN VASCU-STATT BULLDOG PLASTIC 45 D MIDI ATRAUMATIC JAW RADIOPAQUE LIGHTWEIGHT COLOR CODED STERILE DISPOSABLE	SUP-1001-501	CDM						inpatient			21.88	21.88																																																			
CLAMP SURGICAL SCANLAN VASCU-STATT BULLDOG PLASTIC 45 D MIDI ATRAUMATIC JAW RADIOPAQUE LIGHTWEIGHT COLOR CODED STERILE DISPOSABLE	SUP-1001-501	CDM						outpatient			21.88	21.88	21.88				percent of total billed charges		21.88				other	OPPS APC	21.88				fee schedule		21.88				other	OPPS APC	21.88				other	OPPS APC	21.88				case rate		21.88				case rate		21.88				other	OPPS APC	21.88	21.88	
CELECOXIB 100 MG CAPSULE	637000000	CDM	0904-6502-61	NDC	A9270	HCPCS		inpatient			21.84	21.84																																																			
CELECOXIB 100 MG CAPSULE	637000000	CDM	0904-6502-61	NDC	A9270	HCPCS		outpatient			21.84	21.84																																															other	OPPS APC			
CELECOXIB 100 MG CAPSULE	637000000	CDM	50268-168-11	NDC	A9270	HCPCS		inpatient			21.83	21.83																																																			
CELECOXIB 100 MG CAPSULE	637000000	CDM	50268-168-11	NDC	A9270	HCPCS		outpatient			21.83	21.83																																															other	OPPS APC			
HOLDER DRESSING FULLER SHIELD VELCRO OD24-48 IN PERINEAL TAILORED FIT LIGHTWEIGHT FRONT OPEN	SUP-14-7012-1	CDM			270	RC		outpatient			21.83	21.83	5.91				percent of total billed charges		21.83				other	OPPS APC	16.15				percent of total billed charges		21.83				other	OPPS APC	21.83				other	OPPS APC	5.91				percent of total billed charges		6.03				percent of total billed charges		21.83				other	OPPS APC	5.91	21.83	
HOLDER DRESSING FULLER SHIELD VELCRO OD24-48 IN PERINEAL TAILORED FIT LIGHTWEIGHT FRONT OPEN	SUP-14-7012-1	CDM			270	RC		inpatient			21.83	21.83																																																			
ELETROSURG PENCIL FOR FOOT SWITCH	SUP-74-00194	CDM			272	RC		outpatient			21.8	21.81	5.91				percent of total billed charges		21.8				other	OPPS APC	16.13				percent of total billed charges		21.8				other	OPPS APC	21.8				other	OPPS APC	5.91				percent of total billed charges		6.02				percent of total billed charges		21.81				other	OPPS APC	5.91	21.81	
ELETROSURG PENCIL FOR FOOT SWITCH	SUP-74-00194	CDM			272	RC		inpatient			21.8	21.8																																																			
ADAPTER DRAINAGE OD20-40 FR TUBING MULTIPURPOSE	SUP-G05302	CDM			270	RC		outpatient			21.8	21.81	5.91				percent of total billed charges		21.8				other	OPPS APC	16.13				percent of total billed charges		21.8				other	OPPS APC	21.8				other	OPPS APC	5.91				percent of total billed charges		6.02				percent of total billed charges		21.81				other	OPPS APC	5.91	21.81	
ADAPTER DRAINAGE OD20-40 FR TUBING MULTIPURPOSE	SUP-G05302	CDM			270	RC		inpatient			21.8	21.8																																																			
ADHESIVE SKIN CLOSURE DERMABOND MINI .36 ML  2-OCTYL CYANOACRYLATE HIGH VISCOSITY LIQUID APPLICATOR MICROBIAL BARRIER STERILE	SUP-ETHDHVM12	CDM			270	RC		outpatient			21.77	21.77	5.9				percent of total billed charges		21.77				other	OPPS APC	16.11				percent of total billed charges		21.77				other	OPPS APC	21.77				other	OPPS APC	5.9				percent of total billed charges		6.02				percent of total billed charges		21.77				other	OPPS APC	5.9	21.77	
ADHESIVE SKIN CLOSURE DERMABOND MINI .36 ML  2-OCTYL CYANOACRYLATE HIGH VISCOSITY LIQUID APPLICATOR MICROBIAL BARRIER STERILE	SUP-ETHDHVM12	CDM			270	RC		inpatient			21.77	21.77																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	63323-466-01	NDC	J0665	HCPCS		inpatient			21.75	21.75																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	63323-466-37	NDC	J0665	HCPCS		inpatient			21.75	21.75																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	63323-466-01	NDC	J0665	HCPCS		outpatient			21.75	0.16																																											0.16				other	OPPS APC	0.16	0.16	
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	63323-466-37	NDC	J0665	HCPCS		outpatient			21.75	0.16																																											0.16				other	OPPS APC	0.16	0.16	
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	63323-466-37	NDC	J0665	HCPCS		inpatient			21.75	21.75																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	63323-466-37	NDC	J0665	HCPCS		outpatient			21.75	0.16																																											0.16				other	OPPS APC	0.16	0.16	
WIPE CHLORHEXIDINE 2% (3PK)	SUP-18-00014	CDM			272	RC		outpatient			21.75	21.75	5.89				percent of total billed charges		21.75				other	OPPS APC	16.1				percent of total billed charges		21.75				other	OPPS APC	21.75				other	OPPS APC	5.89				percent of total billed charges		6.01				percent of total billed charges		21.75				other	OPPS APC	5.89	21.75	
WIPE CHLORHEXIDINE 2% (3PK)	SUP-18-00014	CDM			272	RC		inpatient			21.75	21.75																																																			
ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINTMENT	637000000	CDM	0574-4024-11	NDC	A9270	HCPCS		inpatient			21.74	21.74																																																			
ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINTMENT	637000000	CDM	0574-4024-11	NDC	A9270	HCPCS		outpatient			21.74	21.74																																															other	OPPS APC			
VALVE ANTI-REFLUX	SUP-01-00197	CDM			272	RC		outpatient			21.73	21.73	5.89				percent of total billed charges		21.73				other	OPPS APC	16.08				percent of total billed charges		21.73				other	OPPS APC	21.73				other	OPPS APC	5.89				percent of total billed charges		6				percent of total billed charges		21.73				other	OPPS APC	5.89	21.73	
VALVE ANTI-REFLUX	SUP-01-00197	CDM			272	RC		inpatient			21.73	21.73																																																			
SMARTCAP AQUASHIELD	SUP-100145	CDM						inpatient			21.7	21.7																																																			
SMARTCAP AQUASHIELD	SUP-100145	CDM						outpatient			21.7	21.7	21.7				percent of total billed charges		21.7				other	OPPS APC	21.7				fee schedule		21.7				other	OPPS APC	21.7				other	OPPS APC	21.7				case rate		21.7				case rate		21.7				other	OPPS APC	21.7	21.7	
NEEDLE EPIDURAL TUOHY PLASTIC CURVE L7 IN OD20 GA BLUNT TIP LUER LOCK FIRM CANNULA BUFF HEEL STERILE LATEX FREE DISPOSABLE	SUP-7-2150-20	CDM			270	RC		outpatient			21.7	21.7	5.88				percent of total billed charges		21.7				other	OPPS APC	16.06				percent of total billed charges		21.7				other	OPPS APC	21.7				other	OPPS APC	5.88				percent of total billed charges		6				percent of total billed charges		21.7				other	OPPS APC	5.88	21.7	
NEEDLE EPIDURAL TUOHY PLASTIC CURVE L7 IN OD20 GA BLUNT TIP LUER LOCK FIRM CANNULA BUFF HEEL STERILE LATEX FREE DISPOSABLE	SUP-7-2150-20	CDM			270	RC		inpatient			21.7	21.7																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	81284-212-00	NDC	J2371	HCPCS		inpatient			21.6	21.6																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	81284-212-00	NDC	J2371	HCPCS		outpatient			21.6	21.6																																															other	OPPS APC			
DRAIN JP 15FR ROUND WITH END PERFORATION	SUP-74-00457	CDM			272	RC		outpatient			21.56	21.56	5.84				percent of total billed charges		21.56				other	OPPS APC	15.95				percent of total billed charges		21.56				other	OPPS APC	21.56				other	OPPS APC	5.84				percent of total billed charges		5.96				percent of total billed charges		21.56				other	OPPS APC	5.84	21.56	
DRAIN JP 15FR ROUND WITH END PERFORATION	SUP-74-00457	CDM			272	RC		inpatient			21.56	21.56																																																			
HYDRALAZINE PER 20 MG	636000000	CDM	63323-614-01	NDC	J0360	HCPCS		inpatient			21.48	21.48																																																			
HYDRALAZINE PER 20 MG	636000000	CDM	63323-614-01	NDC	J0360	HCPCS		outpatient			21.48	21.48																																															other	OPPS APC			
SHIELD CONTAMINATION TWISTLOCK CATH-GARD L80 CM PERCUTANEOUS ADAPTER BLUE 7 FR CATHETER	SUP-ST-09870	CDM			270	RC		outpatient			21.43	21.43	5.81				percent of total billed charges		21.43				other	OPPS APC	15.86				percent of total billed charges		21.43				other	OPPS APC	21.43				other	OPPS APC	5.81				percent of total billed charges		5.92				percent of total billed charges		21.43				other	OPPS APC	5.81	21.43	
SHIELD CONTAMINATION TWISTLOCK CATH-GARD L80 CM PERCUTANEOUS ADAPTER BLUE 7 FR CATHETER	SUP-ST-09870	CDM			270	RC		inpatient			21.43	21.43																																																			
BRUSH  PEG	SUP-95-00791	CDM			272	RC		outpatient			21.4	21.4	5.8				percent of total billed charges		21.4				other	OPPS APC	15.84				percent of total billed charges		21.4				other	OPPS APC	21.4				other	OPPS APC	5.8				percent of total billed charges		5.91				percent of total billed charges		21.4				other	OPPS APC	5.8	21.4	
BRUSH  PEG	SUP-95-00791	CDM			272	RC		inpatient			21.4	21.4																																																			
CATHETER ANGIOGRAPHIC SOFT-VU OMNI FLUSH 0 CURVE L90 CM OD5 FR HIGH TORQUE SHAFT SOFT RADIOPAQUE TIP ACCEPTS .035 IN GUIDEWIRE	SUP-H787107322025	CDM			270	RC		outpatient			21.4	21.4	5.8				percent of total billed charges		21.4				other	OPPS APC	15.84				percent of total billed charges		21.4				other	OPPS APC	21.4				other	OPPS APC	5.8				percent of total billed charges		5.91				percent of total billed charges		21.4				other	OPPS APC	5.8	21.4	
CATHETER ANGIOGRAPHIC SOFT-VU OMNI FLUSH 0 CURVE L90 CM OD5 FR HIGH TORQUE SHAFT SOFT RADIOPAQUE TIP ACCEPTS .035 IN GUIDEWIRE	SUP-H787107322025	CDM			270	RC		inpatient			21.4	21.4																																																			
MASK CAP CO2 ADULT CAPNOXYGEN	SUP-40-00070	CDM			272	RC		outpatient			21.39	21.39	5.79				percent of total billed charges		21.39				other	OPPS APC	15.83				percent of total billed charges		21.39				other	OPPS APC	21.39				other	OPPS APC	5.79				percent of total billed charges		5.91				percent of total billed charges		21.39				other	OPPS APC	5.79	21.39	
MASK CAP CO2 ADULT CAPNOXYGEN	SUP-40-00070	CDM			272	RC		inpatient			21.39	21.39																																																			
SUTURE MONOCRYL 3-0 Y936H	SUP-95-04044	CDM			272	RC		outpatient			21.34	21.34	5.78				percent of total billed charges		21.34				other	OPPS APC	15.79				percent of total billed charges		21.34				other	OPPS APC	21.34				other	OPPS APC	5.78				percent of total billed charges		5.9				percent of total billed charges		21.34				other	OPPS APC	5.78	21.34	
SUTURE MONOCRYL 3-0 Y936H	SUP-95-04044	CDM			272	RC		inpatient			21.34	21.34																																																			
GUIDEWIRE VASCULAR HIWIRE PTFE STAINLESS STEEL STRAIGHT TAPER L145 CM L10 CM OD.035 IN NEWTON LT ATRAUMATIC FLEXIBLE TIP FIXED CORE	SUP-G00701	CDM			270	RC		outpatient			21.34	21.34	5.78				percent of total billed charges		21.34				other	OPPS APC	15.79				percent of total billed charges		21.34				other	OPPS APC	21.34				other	OPPS APC	5.78				percent of total billed charges		5.9				percent of total billed charges		21.34				other	OPPS APC	5.78	21.34	
GUIDEWIRE VASCULAR HIWIRE PTFE STAINLESS STEEL STRAIGHT TAPER L145 CM L10 CM OD.035 IN NEWTON LT ATRAUMATIC FLEXIBLE TIP FIXED CORE	SUP-G00701	CDM			270	RC		inpatient			21.34	21.34																																																			
AMPICILLIN PER 500 MG	636000000	CDM	72485-422-10	NDC	J0290	HCPCS		inpatient			21.33	21.33																																																			
AMPICILLIN PER 500 MG	636000000	CDM	72485-422-10	NDC	J0290	HCPCS		outpatient			21.33	21.33																																															other	OPPS APC			
AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	0143-9981-01	NDC	A9270	HCPCS		inpatient			21.28	21.28																																																			
AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	0143-9981-01	NDC	A9270	HCPCS		outpatient			21.28	21.28																																															other	OPPS APC			
DRAPE EQUIPMENT L78 IN X W54 IN C ARM ELASTIC OPEN FLUOROSCAN	SUP-8888M	CDM			270	RC		outpatient			21.27	21.27	5.76				percent of total billed charges		21.27				other	OPPS APC	15.74				percent of total billed charges		21.27				other	OPPS APC	21.27				other	OPPS APC	5.76				percent of total billed charges		5.88				percent of total billed charges		21.27				other	OPPS APC	5.76	21.27	
DRAPE EQUIPMENT L78 IN X W54 IN C ARM ELASTIC OPEN FLUOROSCAN	SUP-8888M	CDM			270	RC		inpatient			21.27	21.27																																																			
FLUCONAZOLE PER 200 MG	636000000	CDM	0409-4688-12	NDC	J1450	HCPCS		inpatient			21.26	21.26																																																			
FLUCONAZOLE PER 200 MG	636000000	CDM	0409-4688-16	NDC	J1450	HCPCS		inpatient			21.26	21.26																																																			
FLUCONAZOLE PER 200 MG	636000000	CDM	0409-4688-12	NDC	J1450	HCPCS		outpatient			21.26	21.26																																															other	OPPS APC			
FLUCONAZOLE PER 200 MG	636000000	CDM	0409-4688-16	NDC	J1450	HCPCS		outpatient			21.26	21.26																																															other	OPPS APC			
RETAINER DRESSING SPANDAGE FABRIC ADULT 7 AVERAGE L25 YD CRANIUM EAR FACE HEAD NECK ELASTIC CUT TO FIT NET PRECISE STRETCH LATEX FREE	SUP-S07	CDM						inpatient			21.26	21.26																																																			
RETAINER DRESSING SPANDAGE FABRIC ADULT 7 AVERAGE L25 YD CRANIUM EAR FACE HEAD NECK ELASTIC CUT TO FIT NET PRECISE STRETCH LATEX FREE	SUP-S07	CDM						outpatient			21.26	21.26	21.26				percent of total billed charges		21.26				other	OPPS APC	21.26				fee schedule		21.26				other	OPPS APC	21.26				other	OPPS APC	21.26				case rate		21.26				case rate		21.26				other	OPPS APC	21.26	21.26	
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	55150-202-00	NDC				inpatient			21.25	21.25																																																			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	55150-202-10	NDC				inpatient			21.25	21.25																																																			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	55150-202-00	NDC				outpatient			21.25	21.25																																															other	OPPS APC			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	55150-202-10	NDC				outpatient			21.25	21.25																																															other	OPPS APC			
BURETROL SOLUTION SET	SUP-20-00015	CDM			272	RC		outpatient			21.22	21.22	5.75				percent of total billed charges		21.22				other	OPPS APC	15.7				percent of total billed charges		21.22				other	OPPS APC	21.22				other	OPPS APC	5.75				percent of total billed charges		5.86				percent of total billed charges		21.22				other	OPPS APC	5.75	21.22	
BURETROL SOLUTION SET	SUP-20-00015	CDM			272	RC		inpatient			21.22	21.22																																																			
SUTURE NONABSORBABLE NUROLON 0 CT-2 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C527D	CDM			270	RC		outpatient			21.21	21.21	5.75				percent of total billed charges		21.21				other	OPPS APC	15.7				percent of total billed charges		21.21				other	OPPS APC	21.21				other	OPPS APC	5.75				percent of total billed charges		5.86				percent of total billed charges		21.21				other	OPPS APC	5.75	21.21	
SUTURE NONABSORBABLE NUROLON 0 CT-2 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C527D	CDM			270	RC		inpatient			21.21	21.21																																																			
SLEEVE SCLERAL SILICONE OD1.65 MM ID.76 MM BUCKLING COMPONENT STERILE	SUP-270	CDM			270	RC		outpatient			21.2	21.2	5.74				percent of total billed charges		21.2				other	OPPS APC	15.69				percent of total billed charges		21.2				other	OPPS APC	21.2				other	OPPS APC	5.74				percent of total billed charges		5.86				percent of total billed charges		21.2				other	OPPS APC	5.74	21.2	
SLEEVE SCLERAL SILICONE OD1.65 MM ID.76 MM BUCKLING COMPONENT STERILE	SUP-270	CDM			270	RC		inpatient			21.2	21.2																																																			
CATHETER ANGIOGRAPHIC PERFORMA .035 IN VERT CURVE L100 CM OD5 FR ID.046 IN	SUP-5583-A3	CDM			270	RC		outpatient			21.2	21.2	5.74				percent of total billed charges		21.2				other	OPPS APC	15.69				percent of total billed charges		21.2				other	OPPS APC	21.2				other	OPPS APC	5.74				percent of total billed charges		5.86				percent of total billed charges		21.2				other	OPPS APC	5.74	21.2	
CATHETER ANGIOGRAPHIC PERFORMA .035 IN VERT CURVE L100 CM OD5 FR ID.046 IN	SUP-5583-A3	CDM			270	RC		inpatient			21.2	21.2																																																			
NIACIN 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	59651-018-90	NDC	A9270	HCPCS		inpatient			21.19	21.19																																																			
NIACIN 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	59651-018-90	NDC	A9270	HCPCS		outpatient			21.19	21.19																																															other	OPPS APC			
IMMOBILE SHOULDER MAN/MEDIUM	SUP-36-00002	CDM			271	RC		outpatient			21.16	21.16	5.73				percent of total billed charges		21.16				other	OPPS APC	15.66				percent of total billed charges		21.16				other	OPPS APC	21.16				other	OPPS APC	5.73				percent of total billed charges		5.85				percent of total billed charges		21.16				other	OPPS APC	5.73	21.16	
IMMOBILE SHOULDER MAN/MEDIUM	SUP-36-00002	CDM			271	RC		inpatient			21.16	21.16																																																			
DRAPE OPHTHALMIC INCISE FLUID POUCH ROUND PLASTIC 40 X 48IN	SUP-8065104020	CDM						inpatient			21.16	21.16																																																			
DRAPE OPHTHALMIC INCISE FLUID POUCH ROUND PLASTIC 40 X 48IN	SUP-8065104020	CDM						outpatient			21.16	21.16	21.16				percent of total billed charges		21.16				other	OPPS APC	21.16				fee schedule		21.16				other	OPPS APC	21.16				other	OPPS APC	21.16				case rate		21.16				case rate		21.16				other	OPPS APC	21.16	21.16	
"BUPRENORPHINE-NALOXONE 8-2 MG TABLET, SUBLINGUAL"	637000000	CDM	50268-145-11	NDC	A9270	HCPCS		inpatient			21.14	21.14																																																			
"BUPRENORPHINE-NALOXONE 8-2 MG TABLET, SUBLINGUAL"	637000000	CDM	50268-145-11	NDC	A9270	HCPCS		outpatient			21.14	21.14																																															other	OPPS APC			
STOCKING KNEE-HI MEDIUM/REGULA	SUP-01-00049	CDM			271	RC		outpatient			21.13	21.13	5.72				percent of total billed charges		21.13				other	OPPS APC	15.64				percent of total billed charges		21.13				other	OPPS APC	21.13				other	OPPS APC	5.72				percent of total billed charges		5.84				percent of total billed charges		21.13				other	OPPS APC	5.72	21.13	
STOCKING KNEE-HI MEDIUM/REGULA	SUP-01-00049	CDM			271	RC		inpatient			21.13	21.13																																																			
INTRODUCER SHEATH AVANTI L5.5 CM OD6 FR ENDOVASCULAR ATRAUMATIC INSERTION KINK RESISTANT CANNULA SMOOTH TRANSITION NO GUIDEWIRE GREEN ACCEPTS .035 IN GUIDEWIRE	SUP-402606R	CDM			270	RC		outpatient			21.08	21.8	5.71				percent of total billed charges		21.08				other	OPPS APC	15.6				percent of total billed charges		21.08				other	OPPS APC	21.08				other	OPPS APC	5.71				percent of total billed charges		5.82				percent of total billed charges		21.8				other	OPPS APC	5.71	21.8	
INTRODUCER SHEATH AVANTI L5.5 CM OD6 FR ENDOVASCULAR ATRAUMATIC INSERTION KINK RESISTANT CANNULA SMOOTH TRANSITION NO GUIDEWIRE GREEN ACCEPTS .035 IN GUIDEWIRE	SUP-402606R	CDM			270	RC		inpatient			21.08	21.08																																																			
ADAPTER BRONCHOSCOPE PNEUPAC OD15 MM 2 AXIS SWIVEL FIBER OPTIC O2 STERILE LATEX FREE DISPOSABLE BLUE	SUP-625191	CDM			270	RC		outpatient			21.06	21.6	5.71				percent of total billed charges		21.06				other	OPPS APC	15.58				percent of total billed charges		21.06				other	OPPS APC	21.06				other	OPPS APC	5.71				percent of total billed charges		5.82				percent of total billed charges		21.6				other	OPPS APC	5.71	21.6	
ADAPTER BRONCHOSCOPE PNEUPAC OD15 MM 2 AXIS SWIVEL FIBER OPTIC O2 STERILE LATEX FREE DISPOSABLE BLUE	SUP-625191	CDM			270	RC		inpatient			21.06	21.06																																																			
LIDOCAINE 2 % JELLY	637000000	CDM	17478-711-10	NDC	A9270	HCPCS		inpatient			21	21																																																			
LIDOCAINE 2 % JELLY	637000000	CDM	17478-711-10	NDC	A9270	HCPCS		outpatient			21	21																																															other	OPPS APC			
POTASSIUM CHLORIDE 20 MEQ/15 ML LIQUID	637000000	CDM	81033-220-15	NDC	A9270	HCPCS		inpatient			21	21																																																			
POTASSIUM CHLORIDE 20 MEQ/15 ML LIQUID	637000000	CDM	81033-220-15	NDC	A9270	HCPCS		outpatient			21	21																																															other	OPPS APC			
HC Nh Venipuncture	PX-300364155	CDM	36415	CPT	300	RC		outpatient			21	8.57	2.94				fee schedule		8.57				fee schedule		5.7				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		2.94	8.57	
HC Nh Venipuncture	PX-300364155	CDM	36415	CPT	300	RC		inpatient			21	21																																																			
HC Triglycerides	PX-300844780	CDM	84478	CPT	301	RC		outpatient			21	5.74	7.68				fee schedule		5.74				fee schedule		15.28				fee schedule		5.74				fee schedule		5.74				fee schedule		5.74				fee schedule		5.74				fee schedule		5.74				fee schedule		5.74	15.28	
HC Triglycerides	PX-300844780	CDM	84478	CPT	301	RC		inpatient			21	21																																																			
Bh Counseling  per 15 Mins	PX-510H00041	CDM			510	RC		inpatient			21	21																																																			
Bh Counseling  per 15 Mins	PX-510H00041	CDM			510	RC		outpatient			21	21					fee schedule						other	OPPS APC	15.54				percent of total billed charges						other	OPPS APC					fee schedule						case rate												other	OPPS APC	15.54	15.54	
Crisis Intervention Srvc  per 15 Mins	PX-510H20111	CDM			510	RC		inpatient			21	21																																																			
Crisis Intervention Srvc  per 15 Mins	PX-510H20111	CDM			510	RC		outpatient			21	21					fee schedule						other	OPPS APC	15.54				percent of total billed charges						other	OPPS APC					fee schedule						case rate												other	OPPS APC	15.54	15.54	
HEMOSTAT ABSORBABLE L14 IN X W2 IN	SUP-1951	CDM	270009023	LOCAL	270	RC		outpatient			21	21	5.69				percent of total billed charges		21				other	OPPS APC	15.54				percent of total billed charges		21				other	OPPS APC	21				other	OPPS APC	5.69				percent of total billed charges		5.8				percent of total billed charges		21				other	OPPS APC	5.69	21	
HEMOSTAT ABSORBABLE L14 IN X W2 IN	SUP-1951	CDM	270009023	LOCAL	270	RC		inpatient			21	21																																																			
HEMOSTAT ABSORBABLE SURGICEL L8 IN X W4 IN SHEER WEAVE STERILE DISPOSABLE	SUP-1952	CDM	270009023	LOCAL	270	RC		outpatient			21	21	5.69				percent of total billed charges		21				other	OPPS APC	15.54				percent of total billed charges		21				other	OPPS APC	21				other	OPPS APC	5.69				percent of total billed charges		5.8				percent of total billed charges		21				other	OPPS APC	5.69	21	
HEMOSTAT ABSORBABLE SURGICEL L8 IN X W4 IN SHEER WEAVE STERILE DISPOSABLE	SUP-1952	CDM	270009023	LOCAL	270	RC		inpatient			21	21																																																			
HEMOSTAT ABSORBABLE SURGICEL 3X2IN STERILE FLEXIBLE	SUP-1953	CDM	270009023	LOCAL	270	RC		outpatient			21	21	5.69				percent of total billed charges		21				other	OPPS APC	15.54				percent of total billed charges		21				other	OPPS APC	21				other	OPPS APC	5.69				percent of total billed charges		5.8				percent of total billed charges		21				other	OPPS APC	5.69	21	
HEMOSTAT ABSORBABLE SURGICEL 3X2IN STERILE FLEXIBLE	SUP-1953	CDM	270009023	LOCAL	270	RC		inpatient			21	21																																																			
TUBE NASOGASTRIC CORFLO-CONTROLLER ADULT L43 IN OD8 FR 3 GM STYLET PILL BOLUS FEED GREEN	SUP-20-2438	CDM	270009048	LOCAL	270	RC		outpatient			21	21	5.69				percent of total billed charges		21				other	OPPS APC	15.54				percent of total billed charges		21				other	OPPS APC	21				other	OPPS APC	5.69				percent of total billed charges		5.8				percent of total billed charges		21				other	OPPS APC	5.69	21	
TUBE NASOGASTRIC CORFLO-CONTROLLER ADULT L43 IN OD8 FR 3 GM STYLET PILL BOLUS FEED GREEN	SUP-20-2438	CDM	270009048	LOCAL	270	RC		inpatient			21	21																																																			
TUBE NASOGASTRIC KANGAROO 43IN 10FR PURPLE POLYURETHANE 5GM Y PORT WEIGHT TIP STYLET	SUP-8884721088	CDM	270009048	LOCAL	270	RC		outpatient			21	21	5.69				percent of total billed charges		21				other	OPPS APC	15.54				percent of total billed charges		21				other	OPPS APC	21				other	OPPS APC	5.69				percent of total billed charges		5.8				percent of total billed charges		21				other	OPPS APC	5.69	21	
TUBE NASOGASTRIC KANGAROO 43IN 10FR PURPLE POLYURETHANE 5GM Y PORT WEIGHT TIP STYLET	SUP-8884721088	CDM	270009048	LOCAL	270	RC		inpatient			21	21																																																			
KNIFE OPHTHALMIC A-OK 30 D W1.85 MM FULL HANDLE STERILE DISPOSABLE	SUP-923001	CDM			270	RC		outpatient			21	21	5.69				percent of total billed charges		21				other	OPPS APC	15.54				percent of total billed charges		21				other	OPPS APC	21				other	OPPS APC	5.69				percent of total billed charges		5.8				percent of total billed charges		21				other	OPPS APC	5.69	21	
KNIFE OPHTHALMIC A-OK 30 D W1.85 MM FULL HANDLE STERILE DISPOSABLE	SUP-923001	CDM			270	RC		inpatient			21	21																																																			
RETAINER DRESSING SPANDAGE FABRIC ADULT 8 LARGE TUBULAR L25 YD EAR FACE LEG NECK ELASTIC CUT TO FIT NET PRECISE LATEX FREE	SUP-S08	CDM						inpatient			20.95	20.95																																																			
RETAINER DRESSING SPANDAGE FABRIC ADULT 8 LARGE TUBULAR L25 YD EAR FACE LEG NECK ELASTIC CUT TO FIT NET PRECISE LATEX FREE	SUP-S08	CDM						outpatient			20.95	2.95	20.95				percent of total billed charges		20.95				other	OPPS APC	20.95				fee schedule		20.95				other	OPPS APC	20.95				other	OPPS APC	20.95				case rate		20.95				case rate		2.95				other	OPPS APC	2.95	20.95	
ACETAZOLAMIDE 250 MG TABLET	637000000	CDM	50268-054-11	NDC	A9270	HCPCS		inpatient			20.94	20.94																																																			
ACETAZOLAMIDE 250 MG TABLET	637000000	CDM	50268-054-11	NDC	A9270	HCPCS		outpatient			20.94	20.94																																															other	OPPS APC			
HOOK RETRACTION LONE STAR STAINLESS STEEL 5 MM SHARP ELASTIC STAY STERILE LATEX FREE DISPOSABLE INDIVIDUALLY WRAPPED	SUP-3311-1G	CDM			270	RC		outpatient			20.93	2.93	5.67				percent of total billed charges		20.93				other	OPPS APC	15.49				percent of total billed charges		20.93				other	OPPS APC	20.93				other	OPPS APC	5.67				percent of total billed charges		5.78				percent of total billed charges		2.93				other	OPPS APC	2.93	20.93	
HOOK RETRACTION LONE STAR STAINLESS STEEL 5 MM SHARP ELASTIC STAY STERILE LATEX FREE DISPOSABLE INDIVIDUALLY WRAPPED	SUP-3311-1G	CDM			270	RC		inpatient			20.93	20.93																																																			
HOOK RETRACTION 5 MM BLUNT ELASTIC STAY DISPOSABLE	SUP-3316-1G	CDM			270	RC		outpatient			20.93	2.93	5.67				percent of total billed charges		20.93				other	OPPS APC	15.49				percent of total billed charges		20.93				other	OPPS APC	20.93				other	OPPS APC	5.67				percent of total billed charges		5.78				percent of total billed charges		2.93				other	OPPS APC	2.93	20.93	
HOOK RETRACTION 5 MM BLUNT ELASTIC STAY DISPOSABLE	SUP-3316-1G	CDM			270	RC		inpatient			20.93	20.93																																																			
HOOK RETRACTION LONE STAR 12 MM BLUNT ELASTIC STAY STERILE LATEX FREE DISPOSABLE	SUP-3350-1G	CDM			270	RC		outpatient			20.93	2.93	5.67				percent of total billed charges		20.93				other	OPPS APC	15.49				percent of total billed charges		20.93				other	OPPS APC	20.93				other	OPPS APC	5.67				percent of total billed charges		5.78				percent of total billed charges		2.93				other	OPPS APC	2.93	20.93	
HOOK RETRACTION LONE STAR 12 MM BLUNT ELASTIC STAY STERILE LATEX FREE DISPOSABLE	SUP-3350-1G	CDM			270	RC		inpatient			20.93	20.93																																																			
STRAP STIRRUP DISPOSABLE 19 X 3.5' SLIP RING	SUP-95-05335	CDM			272	RC		outpatient			20.93	2.93	5.67				percent of total billed charges		20.93				other	OPPS APC	15.49				percent of total billed charges		20.93				other	OPPS APC	20.93				other	OPPS APC	5.67				percent of total billed charges		5.78				percent of total billed charges		2.93				other	OPPS APC	2.93	20.93	
STRAP STIRRUP DISPOSABLE 19 X 3.5' SLIP RING	SUP-95-05335	CDM			272	RC		inpatient			20.93	20.93																																																			
"ASPIRIN-DIPYRIDAMOLE 25-200 MG CAPSULE, ER MULTIPHASE 12 HR"	637000000	CDM	68462-405-60	NDC	A9270	HCPCS		inpatient			20.89	20.89																																																			
"ASPIRIN-DIPYRIDAMOLE 25-200 MG CAPSULE, ER MULTIPHASE 12 HR"	637000000	CDM	68462-405-60	NDC	A9270	HCPCS		outpatient			20.89	20.89																																															other	OPPS APC			
COLLAR ADULT NO NECK	SUP-37-00001	CDM			271	RC		outpatient			20.84	2.84	5.65				percent of total billed charges		20.84				other	OPPS APC	15.42				percent of total billed charges		20.84				other	OPPS APC	20.84				other	OPPS APC	5.65				percent of total billed charges		5.76				percent of total billed charges		2.84				other	OPPS APC	2.84	20.84	
COLLAR ADULT NO NECK	SUP-37-00001	CDM			271	RC		inpatient			20.84	20.84																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD1.2 MM PREDRILL	SUP-390152	CDM	270010022	LOCAL	270	RC		outpatient			20.8	2.81	5.63				percent of total billed charges		20.8				other	OPPS APC	15.39				percent of total billed charges		20.8				other	OPPS APC	20.8				other	OPPS APC	5.63				percent of total billed charges		5.75				percent of total billed charges		2.81				other	OPPS APC	2.81	20.8	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD1.2 MM PREDRILL	SUP-390152	CDM	270010022	LOCAL	270	RC		inpatient			20.8	20.8																																																			
FORCEPS SURGICAL ROCHESTER-PEAN STAINLESS STEEL CURVE L6.25 IN CURVED SATIN FINISH NONSTERILE	SUP-106-171	CDM						inpatient			20.76	20.76																																																			
FORCEPS SURGICAL ROCHESTER-PEAN STAINLESS STEEL CURVE L6.25 IN CURVED SATIN FINISH NONSTERILE	SUP-106-171	CDM						outpatient			20.76	2.76	20.76				percent of total billed charges		20.76				other	OPPS APC	20.76				fee schedule		20.76				other	OPPS APC	20.76				other	OPPS APC	20.76				case rate		20.76				case rate		2.76				other	OPPS APC	2.76	20.76	
NEEDLE BIOPSY CHIBA 15CM 22GA DISPOSABLE STERILE SOFT TISSUE ASPIRATION	SUP-G00012	CDM			270	RC		outpatient			20.76	2.76	5.62				percent of total billed charges		20.76				other	OPPS APC	15.36				percent of total billed charges		20.76				other	OPPS APC	20.76				other	OPPS APC	5.62				percent of total billed charges		5.74				percent of total billed charges		2.76				other	OPPS APC	2.76	20.76	
NEEDLE BIOPSY CHIBA 15CM 22GA DISPOSABLE STERILE SOFT TISSUE ASPIRATION	SUP-G00012	CDM			270	RC		inpatient			20.76	20.76																																																			
VANCOMYCIN 25 MG/ML SYRINGE	637000000	CDM	0409-6510-01	NDC	A9270	HCPCS		inpatient			20.75	20.75																																																			
VANCOMYCIN 25 MG/ML SYRINGE	637000000	CDM	0409-6510-01	NDC	A9270	HCPCS		outpatient			20.75	20.75																																															other	OPPS APC			
CYANOCOBALAMIN PER 1000 MCG	636000000	CDM	63323-044-01	NDC	J3420	HCPCS		inpatient			20.73	20.73																																																			
CYANOCOBALAMIN PER 1000 MCG	636000000	CDM	63323-044-01	NDC	J3420	HCPCS		outpatient			20.73	20.73																																															other	OPPS APC			
METOLAZONE 2.5 MG TABLET	637000000	CDM	72888-052-01	NDC	A9270	HCPCS		inpatient			20.73	20.73																																																			
METOLAZONE 2.5 MG TABLET	637000000	CDM	72888-052-01	NDC	A9270	HCPCS		outpatient			20.73	20.73																																															other	OPPS APC			
ESTROGENS CONJUGATED PER 5 MG	637000000	CDM	0046-1102-81	NDC	A9270	HCPCS		inpatient			20.72	20.72																																																			
ESTROGENS CONJUGATED PER 5 MG	637000000	CDM	0046-1102-81	NDC	A9270	HCPCS		outpatient			20.72	20.72																																															other	OPPS APC			
STYLETS ALL	SUP-34749	CDM			275	RC		outpatient			20.66	2.66	10.12				percent of total billed charges		20.66				other	OPPS APC	11.78				percent of total billed charges		20.66				other	OPPS APC	20.66				other	OPPS APC	10.12				percent of total billed charges		10.54				percent of total billed charges		2.66				other	OPPS APC	2.66	20.66	
STYLETS ALL	SUP-34749	CDM			275	RC		inpatient			20.66	20.66																																																			
SPLINT WRIST/FOREARM UNIVERSAL	SUP-36-00032	CDM			271	RC		outpatient			20.64	2.64	5.59				percent of total billed charges		20.64				other	OPPS APC	15.27				percent of total billed charges		20.64				other	OPPS APC	20.64				other	OPPS APC	5.59				percent of total billed charges		5.7				percent of total billed charges		2.64				other	OPPS APC	2.64	20.64	
SPLINT WRIST/FOREARM UNIVERSAL	SUP-36-00032	CDM			271	RC		inpatient			20.64	20.64																																																			
STOCKING KNEE-HI LARGE/REGULAR	SUP-01-00047	CDM			271	RC		outpatient			20.62	2.62	5.59				percent of total billed charges		20.62				other	OPPS APC	15.26				percent of total billed charges		20.62				other	OPPS APC	20.62				other	OPPS APC	5.59				percent of total billed charges		5.7				percent of total billed charges		2.62				other	OPPS APC	2.62	20.62	
STOCKING KNEE-HI LARGE/REGULAR	SUP-01-00047	CDM			271	RC		inpatient			20.62	20.62																																																			
CATHETER URETHRAL BARDEX LUBRICATH 16FR 5CC RED RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 1 DRAINAGE EYE MED	SUP-0102L16	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CATHETER URETHRAL BARDEX LUBRICATH 16FR 5CC RED RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 1 DRAINAGE EYE MED	SUP-0102L16	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-1992	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-1992	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-2221	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-2221	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-7776009	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-7776009	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL3	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL3	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL4	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL4	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR4	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR4	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR5	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR5	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC E-LL-3 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-PDRP-ELL3	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC E-LL-3 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-PDRP-ELL3	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR3	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR3	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR4	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR4	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL4	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL4	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUR3	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUR3	CDM			270	RC		inpatient			20.6	20.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC E-UR-4 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-PDRP-EUR4	CDM			270	RC		outpatient			20.6	2.61	5.58				percent of total billed charges		20.6				other	OPPS APC	15.24				percent of total billed charges		20.6				other	OPPS APC	20.6				other	OPPS APC	5.58				percent of total billed charges		5.69				percent of total billed charges		2.61				other	OPPS APC	2.61	20.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC E-UR-4 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-PDRP-EUR4	CDM			270	RC		inpatient			20.6	20.6																																																			
PLAIN STEINMAN PIN 5/32	SUP-95-05122	CDM			278	RC		outpatient			20.52	2.52	20.52				fee schedule		20.52				other	OPPS APC	11.7				percent of total billed charges		20.52				other	OPPS APC	20.52				other	OPPS APC	10.05				percent of total billed charges		10.47				percent of total billed charges		2.52				other	OPPS APC	2.52	20.52	
PLAIN STEINMAN PIN 5/32	SUP-95-05122	CDM			278	RC		inpatient			20.52	20.52																																																			
Fix This	SUP-ORT2410020	CDM	270009016	LOCAL	270	RC		outpatient			20.52	2.52	5.56				percent of total billed charges		20.52				other	OPPS APC	15.18				percent of total billed charges		20.52				other	OPPS APC	20.52				other	OPPS APC	5.56				percent of total billed charges		5.67				percent of total billed charges		2.52				other	OPPS APC	2.52	20.52	
Fix This	SUP-ORT2410020	CDM	270009016	LOCAL	270	RC		inpatient			20.52	20.52																																																			
KIT CENTRAL LINE DRESSING 2	SUP-81430	CDM	270009216	LOCAL	270	RC		outpatient			20.5	2.5	5.55				percent of total billed charges		20.5				other	OPPS APC	15.17				percent of total billed charges		20.5				other	OPPS APC	20.5				other	OPPS APC	5.55				percent of total billed charges		5.66				percent of total billed charges		2.5				other	OPPS APC	2.5	20.5	
KIT CENTRAL LINE DRESSING 2	SUP-81430	CDM	270009216	LOCAL	270	RC		inpatient			20.5	20.5																																																			
BLADE  MINI #6900	SUP-73-00003	CDM			272	RC		outpatient			20.48	2.48	5.55				percent of total billed charges		20.48				other	OPPS APC	15.16				percent of total billed charges		20.48				other	OPPS APC	20.48				other	OPPS APC	5.55				percent of total billed charges		5.66				percent of total billed charges		2.48				other	OPPS APC	2.48	20.48	
BLADE  MINI #6900	SUP-73-00003	CDM			272	RC		inpatient			20.48	20.48																																																			
MISOPROSTOL 200 MCG TABLET	637000000	CDM	60687-746-11	NDC	A9270	HCPCS		inpatient			20.45	20.45																																																			
MISOPROSTOL 200 MCG TABLET	637000000	CDM	60687-746-11	NDC	A9270	HCPCS		outpatient			20.45	20.45																																															other	OPPS APC			
CATHETER URETHRAL BARDEX LUBRICATH 14FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 1 DRAINAGE	SUP-0102L14	CDM			270	RC		outpatient			20.4	2.4	5.53				percent of total billed charges		20.4				other	OPPS APC	15.1				percent of total billed charges		20.4				other	OPPS APC	20.4				other	OPPS APC	5.53				percent of total billed charges		5.64				percent of total billed charges		2.4				other	OPPS APC	2.4	20.4	
CATHETER URETHRAL BARDEX LUBRICATH 14FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 1 DRAINAGE	SUP-0102L14	CDM			270	RC		inpatient			20.4	20.4																																																			
CATHETER URETHRAL BARDEX LUBRICATH 18FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 1 DRAINAGE	SUP-0102L18	CDM			270	RC		outpatient			20.4	2.4	5.53				percent of total billed charges		20.4				other	OPPS APC	15.1				percent of total billed charges		20.4				other	OPPS APC	20.4				other	OPPS APC	5.53				percent of total billed charges		5.64				percent of total billed charges		2.4				other	OPPS APC	2.4	20.4	
CATHETER URETHRAL BARDEX LUBRICATH 18FR 5CC RED NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY 1 DRAINAGE	SUP-0102L18	CDM			270	RC		inpatient			20.4	20.4																																																			
SET VENTILATOR HUMIDIFIER LATEX FREE MONSOON III STERILE WATER	SUP-ACU-7718-PK5	CDM			270	RC		outpatient			20.4	2.4	5.53				percent of total billed charges		20.4				other	OPPS APC	15.1				percent of total billed charges		20.4				other	OPPS APC	20.4				other	OPPS APC	5.53				percent of total billed charges		5.64				percent of total billed charges		2.4				other	OPPS APC	2.4	20.4	
SET VENTILATOR HUMIDIFIER LATEX FREE MONSOON III STERILE WATER	SUP-ACU-7718-PK5	CDM			270	RC		inpatient			20.4	20.4																																																			
RADIAL .035 INQWIRE J-TIP WIRE 210CM	SUP-IQ35F210J3	CDM			481	RC		outpatient			20.4	2.4	10				percent of total billed charges		20.4				other	OPPS APC	15.1				percent of total billed charges		20.4				other	OPPS APC	20.4				other	OPPS APC	10				percent of total billed charges		10.4				percent of total billed charges		2.4				other	OPPS APC	2.4	20.4	
RADIAL .035 INQWIRE J-TIP WIRE 210CM	SUP-IQ35F210J3	CDM			481	RC		inpatient			20.4	20.4																																																			
STOCKING KNEE-HI SMALL/REGULAR	SUP-01-00050	CDM			271	RC		outpatient			20.34	2.34	5.51				percent of total billed charges		20.34				other	OPPS APC	15.05				percent of total billed charges		20.34				other	OPPS APC	20.34				other	OPPS APC	5.51				percent of total billed charges		5.62				percent of total billed charges		2.34				other	OPPS APC	2.34	20.34	
STOCKING KNEE-HI SMALL/REGULAR	SUP-01-00050	CDM			271	RC		inpatient			20.34	20.34																																																			
FLUMAZENIL 0.1 MG/ML SOLUTION	250000000	CDM	0143-9784-01	NDC				inpatient			20.32	20.32																																																			
FLUMAZENIL 0.1 MG/ML SOLUTION	250000000	CDM	0143-9784-01	NDC				outpatient			20.32	20.32																																															other	OPPS APC			
BAIR HUGGER BLANKETS FULL BODY	SUP-01-00008	CDM			271	RC		outpatient			20.2	2.2	5.47				percent of total billed charges		20.2				other	OPPS APC	14.95				percent of total billed charges		20.2				other	OPPS APC	20.2				other	OPPS APC	5.47				percent of total billed charges		5.58				percent of total billed charges		2.2				other	OPPS APC	2.2	20.2	
BAIR HUGGER BLANKETS FULL BODY	SUP-01-00008	CDM			271	RC		inpatient			20.2	20.2																																																			
TRACH DISPOSABLE INNER CANNULA 4	SUP-31-00059	CDM			272	RC		outpatient			20.2	2.2	5.47				percent of total billed charges		20.2				other	OPPS APC	14.95				percent of total billed charges		20.2				other	OPPS APC	20.2				other	OPPS APC	5.47				percent of total billed charges		5.58				percent of total billed charges		2.2				other	OPPS APC	2.2	20.2	
TRACH DISPOSABLE INNER CANNULA 4	SUP-31-00059	CDM			272	RC		inpatient			20.2	20.2																																																			
CURETTE 10MM CURVED CANNULA	SUP-81-00006	CDM			272	RC		outpatient			20.2	2.2	5.47				percent of total billed charges		20.2				other	OPPS APC	14.95				percent of total billed charges		20.2				other	OPPS APC	20.2				other	OPPS APC	5.47				percent of total billed charges		5.58				percent of total billed charges		2.2				other	OPPS APC	2.2	20.2	
CURETTE 10MM CURVED CANNULA	SUP-81-00006	CDM			272	RC		inpatient			20.2	20.2																																																			
SNARE ENDOSCOPIC CAPTIFLEX MICRO OVAL L240 CM OD2.4 MM ODSEC13 MM FLEXIBLE STERILE DISPOSABLE POLYPECTOMY	SUP-M00562422	CDM			270	RC		outpatient			20.19	2.19	5.47				percent of total billed charges		20.19				other	OPPS APC	14.94				percent of total billed charges		20.19				other	OPPS APC	20.19				other	OPPS APC	5.47				percent of total billed charges		5.58				percent of total billed charges		2.19				other	OPPS APC	2.19	20.19	
SNARE ENDOSCOPIC CAPTIFLEX MICRO OVAL L240 CM OD2.4 MM ODSEC13 MM FLEXIBLE STERILE DISPOSABLE POLYPECTOMY	SUP-M00562422	CDM			270	RC		inpatient			20.19	20.19																																																			
CANNULA PERFUSION VENOUS IRRIGATION BEVELED TIP	SUP-VIC	CDM						inpatient			20.18	20.18																																																			
CANNULA PERFUSION VENOUS IRRIGATION BEVELED TIP	SUP-VIC	CDM						outpatient			20.18	2.18	20.18				percent of total billed charges		20.18				other	OPPS APC	20.18				fee schedule		20.18				other	OPPS APC	20.18				other	OPPS APC	20.18				case rate		20.18				case rate		2.18				other	OPPS APC	2.18	20.18	
METHOTREXATE SODIUM PER 5 MG	636000000	CDM	0143-9519-10	NDC	J9250	HCPCS		inpatient			20.16	20.16																																																			
METHOTREXATE SODIUM PER 5 MG	636000000	CDM	0143-9519-10	NDC	J9250	HCPCS		outpatient			20.16	20.16																																															other	OPPS APC			
SUTURE PROLENE 2-0 8523H	SUP-95-03962	CDM			272	RC		outpatient			20.16	2.16	5.46				percent of total billed charges		20.16				other	OPPS APC	14.92				percent of total billed charges		20.16				other	OPPS APC	20.16				other	OPPS APC	5.46				percent of total billed charges		5.57				percent of total billed charges		2.16				other	OPPS APC	2.16	20.16	
SUTURE PROLENE 2-0 8523H	SUP-95-03962	CDM			272	RC		inpatient			20.16	20.16																																																			
GLIMEPIRIDE 1 MG TABLET	637000000	CDM	50268-358-11	NDC	A9270	HCPCS		inpatient			20.14	20.14																																																			
GLIMEPIRIDE 1 MG TABLET	637000000	CDM	50268-358-11	NDC	A9270	HCPCS		outpatient			20.14	20.14																																															other	OPPS APC			
BLADE SAW MICRO 100 MICROPOWER 90 D L15.5 MM X W14 MM SAGITTAL COARSE TOOTH ANGLED	SUP-5023-136	CDM			270	RC		outpatient			20.14	2.14	5.46				percent of total billed charges		20.14				other	OPPS APC	14.9				percent of total billed charges		20.14				other	OPPS APC	20.14				other	OPPS APC	5.46				percent of total billed charges		5.56				percent of total billed charges		2.14				other	OPPS APC	2.14	20.14	
BLADE SAW MICRO 100 MICROPOWER 90 D L15.5 MM X W14 MM SAGITTAL COARSE TOOTH ANGLED	SUP-5023-136	CDM			270	RC		inpatient			20.14	20.14																																																			
FEEDING SET  BAG 1000 FLUSH	SUP-12-00056	CDM			272	RC		outpatient			20.07	2.7	5.44				percent of total billed charges		20.07				other	OPPS APC	14.85				percent of total billed charges		20.07				other	OPPS APC	20.07				other	OPPS APC	5.44				percent of total billed charges		5.55				percent of total billed charges		2.7				other	OPPS APC	2.7	20.07	
FEEDING SET  BAG 1000 FLUSH	SUP-12-00056	CDM			272	RC		inpatient			20.07	20.07																																																			
SET IRRIGATION DEHP C100 ML STANDARD Y 2 BRANCH L100 IN ID.28 IN UROLOGICAL CONNECTOR 2 NONVENT PIERCING PIN 3 PINCH CLAMP STERILE LATEX FREE ARTHROSCOPY	SUP-0659901	CDM						inpatient			20.06	20.06																																																			
SET IRRIGATION DEHP C100 ML STANDARD Y 2 BRANCH L100 IN ID.28 IN UROLOGICAL CONNECTOR 2 NONVENT PIERCING PIN 3 PINCH CLAMP STERILE LATEX FREE ARTHROSCOPY	SUP-0659901	CDM						outpatient			20.06	2.6	20.06				percent of total billed charges		20.06				other	OPPS APC	20.06				fee schedule		20.06				other	OPPS APC	20.06				other	OPPS APC	20.06				case rate		20.06				case rate		2.6				other	OPPS APC	2.6	20.06	
ITRACONAZOLE 100 MG CAPSULE	637000000	CDM	60687-299-95	NDC	A9270	HCPCS		inpatient			20	20																																																			
ITRACONAZOLE 100 MG CAPSULE	637000000	CDM	60687-299-95	NDC	A9270	HCPCS		outpatient			20	20																																															other	OPPS APC			
Pulse Ox Probe Wrap	PX-270000041	CDM			270	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	20				fee schedule		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
Pulse Ox Probe Wrap	PX-270000041	CDM			270	RC		inpatient			20	20																																																			
HC MC Sensor Pulse Oximeter Finger Disposable Adult 18in	PX-270800051	CDM			270	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
HC MC Sensor Pulse Oximeter Finger Disposable Adult 18in	PX-270800051	CDM			270	RC		inpatient			20	20																																																			
Audiometry	PX-510925511	CDM	92551	CPT	510	RC		inpatient			20	20																																																			
Audiometry	PX-510925511	CDM	92551	CPT	510	RC		outpatient			20	2	169.66				case rate		20				other	OPPS APC	101				case rate		20				other	OPPS APC	20				fee schedule		169.66				case rate		173.05				case rate		2				other	OPPS APC	2	173.05	
PAD DUO THERM 22 X 16	SUP-01-00004	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
PAD DUO THERM 22 X 16	SUP-01-00004	CDM			272	RC		inpatient			20	20																																																			
FECAL COLLECTOR STANDARD	SUP-01-00024	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
FECAL COLLECTOR STANDARD	SUP-01-00024	CDM			271	RC		inpatient			20	20																																																			
STOCKING KNEE-HI LARGE/LONG	SUP-01-00046	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
STOCKING KNEE-HI LARGE/LONG	SUP-01-00046	CDM			271	RC		inpatient			20	20																																																			
STOCKING THIGH-HI SMALL/SHORT	SUP-01-00059	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
STOCKING THIGH-HI SMALL/SHORT	SUP-01-00059	CDM			271	RC		inpatient			20	20																																																			
THERMOMETER ORAL DIGITAL	SUP-01-00064	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
THERMOMETER ORAL DIGITAL	SUP-01-00064	CDM			271	RC		inpatient			20	20																																																			
BLADE TONGUE JUNIOR	SUP-01-00114	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
BLADE TONGUE JUNIOR	SUP-01-00114	CDM			271	RC		inpatient			20	20																																																			
CATHETER FOLEY 6FR 1/5 BAG	SUP-02-00037	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CATHETER FOLEY 6FR 1/5 BAG	SUP-02-00037	CDM			272	RC		inpatient			20	20																																																			
CATHETER FOLEY LF 20FR 2WAY 5CC	SUP-02-00115	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CATHETER FOLEY LF 20FR 2WAY 5CC	SUP-02-00115	CDM			272	RC		inpatient			20	20																																																			
SHARPS 3GAL NEEDLE & SYRINGE DISPOSAL	SUP-07-00021	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHARPS 3GAL NEEDLE & SYRINGE DISPOSAL	SUP-07-00021	CDM			272	RC		inpatient			20	20																																																			
DISPENSER MICRO TWIN TOILET	SUP-100-0020	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
DISPENSER MICRO TWIN TOILET	SUP-100-0020	CDM			272	RC		inpatient			20	20																																																			
DISPENSER COMBO C-FOLD/MULTI	SUP-100-0021	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
DISPENSER COMBO C-FOLD/MULTI	SUP-100-0021	CDM			272	RC		inpatient			20	20																																																			
PAD ABDOMINAL 5X9 STERILE	SUP-10-00107	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
PAD ABDOMINAL 5X9 STERILE	SUP-10-00107	CDM			272	RC		inpatient			20	20																																																			
DRESSING MEPILEX BORDER FLEX 6X6	SUP-10-00114	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
DRESSING MEPILEX BORDER FLEX 6X6	SUP-10-00114	CDM			272	RC		inpatient			20	20																																																			
MEDIPORE ROLLS	SUP-10-00137	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
MEDIPORE ROLLS	SUP-10-00137	CDM			272	RC		inpatient			20	20																																																			
FEEDING SET 1000ML NEW CAP	SUP-12-00083	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
FEEDING SET 1000ML NEW CAP	SUP-12-00083	CDM			272	RC		inpatient			20	20																																																			
FLEXI-SEAL BAGS	SUP-13-00009	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
FLEXI-SEAL BAGS	SUP-13-00009	CDM			272	RC		inpatient			20	20																																																			
SOD CHL IRR 0.9% 2000ML	SUP-21-00078	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SOD CHL IRR 0.9% 2000ML	SUP-21-00078	CDM			272	RC		inpatient			20	20																																																			
TRACH DISPOSABLE INNER CANNULA 10	SUP-31-00011	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
TRACH DISPOSABLE INNER CANNULA 10	SUP-31-00011	CDM			272	RC		inpatient			20	20																																																			
SHOE CAST LARGE	SUP-35-00013	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE CAST LARGE	SUP-35-00013	CDM			271	RC		inpatient			20	20																																																			
SHOE CAST MEDIUM	SUP-35-00014	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE CAST MEDIUM	SUP-35-00014	CDM			271	RC		inpatient			20	20																																																			
SHOE POST OP VELCRO MAN/LRG	SUP-35-00024	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE POST OP VELCRO MAN/LRG	SUP-35-00024	CDM			271	RC		inpatient			20	20																																																			
SHOE POST OP VELCRO MAN/MED	SUP-35-00025	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE POST OP VELCRO MAN/MED	SUP-35-00025	CDM			271	RC		inpatient			20	20																																																			
SHOE POST OP VELCRO WOMAN/LRG	SUP-35-00026	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE POST OP VELCRO WOMAN/LRG	SUP-35-00026	CDM			271	RC		inpatient			20	20																																																			
SHOE POST OP VELCRO WOMAN/MED	SUP-35-00027	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE POST OP VELCRO WOMAN/MED	SUP-35-00027	CDM			271	RC		inpatient			20	20																																																			
SHOE POST OP VELCRO WOMAN/SM	SUP-35-00028	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE POST OP VELCRO WOMAN/SM	SUP-35-00028	CDM			271	RC		inpatient			20	20																																																			
IMMOBILE SHOULDER MAN/LARGE	SUP-36-00001	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
IMMOBILE SHOULDER MAN/LARGE	SUP-36-00001	CDM			271	RC		inpatient			20	20																																																			
IMMOBILE SHOULDER WOMAN/SM	SUP-36-00006	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
IMMOBILE SHOULDER WOMAN/SM	SUP-36-00006	CDM			271	RC		inpatient			20	20																																																			
STRAP CLAVICLE LARGE	SUP-36-00033	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
STRAP CLAVICLE LARGE	SUP-36-00033	CDM			271	RC		inpatient			20	20																																																			
STRAP CLAVICLE SMALL	SUP-36-00034	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
STRAP CLAVICLE SMALL	SUP-36-00034	CDM			271	RC		inpatient			20	20																																																			
STRAP CLAVICLE MEDIUM	SUP-36-00036	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
STRAP CLAVICLE MEDIUM	SUP-36-00036	CDM			271	RC		inpatient			20	20																																																			
CANE ALUMINUM OFFSET HANDLE	SUP-38-00003	CDM			271	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CANE ALUMINUM OFFSET HANDLE	SUP-38-00003	CDM			271	RC		inpatient			20	20																																																			
ANESTHESIA CIR PEDIATRIC VITAL	SUP-40-00002	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
ANESTHESIA CIR PEDIATRIC VITAL	SUP-40-00002	CDM			272	RC		inpatient			20	20																																																			
THERMOMETER SHEATH/ DISP PROBE	SUP-40-00012	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
THERMOMETER SHEATH/ DISP PROBE	SUP-40-00012	CDM			272	RC		inpatient			20	20																																																			
THERM SHEATH/DISP PROBE 18FR	SUP-40-00069	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
THERM SHEATH/DISP PROBE 18FR	SUP-40-00069	CDM			272	RC		inpatient			20	20																																																			
BONE WAX   W31G	SUP-71-00132	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
BONE WAX   W31G	SUP-71-00132	CDM			272	RC		inpatient			20	20																																																			
BLADE  MICRO #7515	SUP-73-00001	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
BLADE  MICRO #7515	SUP-73-00001	CDM			272	RC		inpatient			20	20																																																			
CHANG FLAT TIP ANGLED 90 27G	SUP-73-00049	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CHANG FLAT TIP ANGLED 90 27G	SUP-73-00049	CDM			272	RC		inpatient			20	20																																																			
FLUFFS SURGICAL	SUP-74-00031	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
FLUFFS SURGICAL	SUP-74-00031	CDM			272	RC		inpatient			20	20																																																			
ESMARK 4	SUP-74-00082	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
ESMARK 4	SUP-74-00082	CDM			272	RC		inpatient			20	20																																																			
ESMARK 6	SUP-74-00083	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
ESMARK 6	SUP-74-00083	CDM			272	RC		inpatient			20	20																																																			
CAUTERY TIP 0014	SUP-74-00398	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CAUTERY TIP 0014	SUP-74-00398	CDM			272	RC		inpatient			20	20																																																			
KIRSHNER WIRE .045	SUP-78-00104	CDM			278	RC		outpatient			20	2	20				fee schedule		20				other	OPPS APC	11.4				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	9.8				percent of total billed charges		10.2				percent of total billed charges		2				other	OPPS APC	2	20	
KIRSHNER WIRE .045	SUP-78-00104	CDM			278	RC		inpatient			20	20																																																			
MAKO SILICONE RETRACTOR CORD	SUP-78-00407	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
MAKO SILICONE RETRACTOR CORD	SUP-78-00407	CDM			272	RC		inpatient			20	20																																																			
RECY TOMCAT 5.5MM	SUP-79-00060	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
RECY TOMCAT 5.5MM	SUP-79-00060	CDM			272	RC		inpatient			20	20																																																			
CURETTE 12MM CURVED CANNULA	SUP-81-00005	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CURETTE 12MM CURVED CANNULA	SUP-81-00005	CDM			272	RC		inpatient			20	20																																																			
KIT CARDIAC CATH	SUP-85-00010	CDM						inpatient			20	20																																																			
KIT CARDIAC CATH	SUP-85-00010	CDM						outpatient			20	2	20				percent of total billed charges		20				other	OPPS APC	20				fee schedule		20				other	OPPS APC	20				other	OPPS APC	20				case rate		20				case rate		2				other	OPPS APC	2	20	
SUPPORT WRIST RIGHT SMALL	SUP-95-00602	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST RIGHT SMALL	SUP-95-00602	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST RIGHT MED	SUP-95-00603	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST RIGHT MED	SUP-95-00603	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST RIGHT LARGE	SUP-95-00604	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST RIGHT LARGE	SUP-95-00604	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST RIGHT XL	SUP-95-00605	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST RIGHT XL	SUP-95-00605	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST LEFT XS	SUP-95-00606	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST LEFT XS	SUP-95-00606	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST LEFT SMALL	SUP-95-00607	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST LEFT SMALL	SUP-95-00607	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST LEFT MED	SUP-95-00608	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST LEFT MED	SUP-95-00608	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST LEFT LARGE	SUP-95-00609	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST LEFT LARGE	SUP-95-00609	CDM			272	RC		inpatient			20	20																																																			
SUPPORT WRIST LEFT XL	SUP-95-00610	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SUPPORT WRIST LEFT XL	SUP-95-00610	CDM			272	RC		inpatient			20	20																																																			
SPLINT COLLES RIGHT SMALL	SUP-95-00616	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SPLINT COLLES RIGHT SMALL	SUP-95-00616	CDM			272	RC		inpatient			20	20																																																			
SPLINT COLLES ALUM/FOAM LFT LARGE	SUP-95-00622	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SPLINT COLLES ALUM/FOAM LFT LARGE	SUP-95-00622	CDM			272	RC		inpatient			20	20																																																			
SPLINT COLLES ALUM/FOAM RT LARGE	SUP-95-00625	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SPLINT COLLES ALUM/FOAM RT LARGE	SUP-95-00625	CDM			272	RC		inpatient			20	20																																																			
IRRIGATION VALVE BIOSHIELD	SUP-95-00795	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
IRRIGATION VALVE BIOSHIELD	SUP-95-00795	CDM			272	RC		inpatient			20	20																																																			
TUBING  A-LINE PRESSURE	SUP-95-00800	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
TUBING  A-LINE PRESSURE	SUP-95-00800	CDM			272	RC		inpatient			20	20																																																			
COVER EYE GUARD DISPOSABLE	SUP-95-02636	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
COVER EYE GUARD DISPOSABLE	SUP-95-02636	CDM			272	RC		inpatient			20	20																																																			
BANDAGE 6 FLEXMASTER	SUP-95-02818	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
BANDAGE 6 FLEXMASTER	SUP-95-02818	CDM			272	RC		inpatient			20	20																																																			
KIRSHNER WIRE .035	SUP-95-03201	CDM			278	RC		outpatient			20	2	20				fee schedule		20				other	OPPS APC	11.4				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	9.8				percent of total billed charges		10.2				percent of total billed charges		2				other	OPPS APC	2	20	
KIRSHNER WIRE .035	SUP-95-03201	CDM			278	RC		inpatient			20	20																																																			
SHOE POST OP MENS XLG	SUP-95-03324	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SHOE POST OP MENS XLG	SUP-95-03324	CDM			272	RC		inpatient			20	20																																																			
CURETTE 8MM CURVED CANNULA	SUP-95-04091	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CURETTE 8MM CURVED CANNULA	SUP-95-04091	CDM			272	RC		inpatient			20	20																																																			
CLIP WECK HEMOLOK LG	SUP-95-04929	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CLIP WECK HEMOLOK LG	SUP-95-04929	CDM			272	RC		inpatient			20	20																																																			
IOBAN 23 X 17	SUP-95-04991	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
IOBAN 23 X 17	SUP-95-04991	CDM			272	RC		inpatient			20	20																																																			
SYRINGE TIP CAPS	SUP-97-00197	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
SYRINGE TIP CAPS	SUP-97-00197	CDM			272	RC		inpatient			20	20																																																			
AIRWAY NASOPHARYNGEAL 34FR 8.5MM	SUP-97-00349	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
AIRWAY NASOPHARYNGEAL 34FR 8.5MM	SUP-97-00349	CDM			272	RC		inpatient			20	20																																																			
ENERGEL WOUND HYDROGEL	SUP-97-05884	CDM			272	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
ENERGEL WOUND HYDROGEL	SUP-97-05884	CDM			272	RC		inpatient			20	20																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL5	CDM			270	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL5	CDM			270	RC		inpatient			20	20																																																			
CONS STELKAST /GENERAL FEMORLAL TRAY	SUP-SC3899	CDM	270010000	LOCAL	270	RC		outpatient			20	2	5.42				percent of total billed charges		20				other	OPPS APC	14.8				percent of total billed charges		20				other	OPPS APC	20				other	OPPS APC	5.42				percent of total billed charges		5.53				percent of total billed charges		2				other	OPPS APC	2	20	
CONS STELKAST /GENERAL FEMORLAL TRAY	SUP-SC3899	CDM	270010000	LOCAL	270	RC		inpatient			20	20																																																			
CATHETER ANGIOGRAPHIC IMAGER II MEDI-GLIDE TUNGSTEN COBRA 2 CURVE L65 CM OD5 FR VISCERAL BRAID TORQUE SELECTIVE RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-31-466	CDM			270	RC		outpatient			19.96	19.96	5.41				percent of total billed charges		19.96				other	OPPS APC	14.77				percent of total billed charges		19.96				other	OPPS APC	19.96				other	OPPS APC	5.41				percent of total billed charges		5.51				percent of total billed charges		19.96				other	OPPS APC	5.41	19.96	
CATHETER ANGIOGRAPHIC IMAGER II MEDI-GLIDE TUNGSTEN COBRA 2 CURVE L65 CM OD5 FR VISCERAL BRAID TORQUE SELECTIVE RADIOPAQUE ACCEPTS .038 IN GUIDEWIRE	SUP-31-466	CDM			270	RC		inpatient			19.96	19.96																																																			
CATHETER ANGIOGRAPHIC IMAGER II PIGTAIL CURVE L65 CM OD4 FR BRAID TORQUE SELECTIVE RADIOPAQUE SOFT ACCEPTS .035 IN GUIDEWIRE	SUP-31-509	CDM			270	RC		outpatient			19.96	19.96	5.41				percent of total billed charges		19.96				other	OPPS APC	14.77				percent of total billed charges		19.96				other	OPPS APC	19.96				other	OPPS APC	5.41				percent of total billed charges		5.51				percent of total billed charges		19.96				other	OPPS APC	5.41	19.96	
CATHETER ANGIOGRAPHIC IMAGER II PIGTAIL CURVE L65 CM OD4 FR BRAID TORQUE SELECTIVE RADIOPAQUE SOFT ACCEPTS .035 IN GUIDEWIRE	SUP-31-509	CDM			270	RC		inpatient			19.96	19.96																																																			
CATHETER ANGIOGRAPHIC BERENSTEIN CURVE 5FR 100CM CEREBRAL BRAID TORQUE SELECTIVE	SUP-M001314051	CDM			270	RC		outpatient			19.96	19.96	5.41				percent of total billed charges		19.96				other	OPPS APC	14.77				percent of total billed charges		19.96				other	OPPS APC	19.96				other	OPPS APC	5.41				percent of total billed charges		5.51				percent of total billed charges		19.96				other	OPPS APC	5.41	19.96	
CATHETER ANGIOGRAPHIC BERENSTEIN CURVE 5FR 100CM CEREBRAL BRAID TORQUE SELECTIVE	SUP-M001314051	CDM			270	RC		inpatient			19.96	19.96																																																			
CATHETER ANGIOGRAPHIC PIGTAIL CURVE 4FR 65CM BRAID TORQUE SELECTIVE RADIOPAQUE SOFT	SUP-M001315091	CDM			270	RC		outpatient			19.96	19.96	5.41				percent of total billed charges		19.96				other	OPPS APC	14.77				percent of total billed charges		19.96				other	OPPS APC	19.96				other	OPPS APC	5.41				percent of total billed charges		5.51				percent of total billed charges		19.96				other	OPPS APC	5.41	19.96	
CATHETER ANGIOGRAPHIC PIGTAIL CURVE 4FR 65CM BRAID TORQUE SELECTIVE RADIOPAQUE SOFT	SUP-M001315091	CDM			270	RC		inpatient			19.96	19.96																																																			
CATHETER ANGIOGRAPHIC CONTRALATERAL CURVE 4FR 65CM BRAID TORQUE SELECTIVE RADIOPAQUE	SUP-M001315251	CDM			270	RC		outpatient			19.96	19.96	5.41				percent of total billed charges		19.96				other	OPPS APC	14.77				percent of total billed charges		19.96				other	OPPS APC	19.96				other	OPPS APC	5.41				percent of total billed charges		5.51				percent of total billed charges		19.96				other	OPPS APC	5.41	19.96	
CATHETER ANGIOGRAPHIC CONTRALATERAL CURVE 4FR 65CM BRAID TORQUE SELECTIVE RADIOPAQUE	SUP-M001315251	CDM			270	RC		inpatient			19.96	19.96																																																			
6F FR5 DIAGNOSTIC CATHETER 100CM	SUP-H74908641031	CDM			481	RC		outpatient			19.9	19.9	9.75				percent of total billed charges		19.9				other	OPPS APC	14.73				percent of total billed charges		19.9				other	OPPS APC	19.9				other	OPPS APC	9.75				percent of total billed charges		10.15				percent of total billed charges		19.9				other	OPPS APC	9.75	19.9	
6F FR5 DIAGNOSTIC CATHETER 100CM	SUP-H74908641031	CDM			481	RC		inpatient			19.9	19.9																																																			
SUTURE ABSORBABLE PDS II 2-0 SH L27 IN MONOFILAMENT VIOLET	SUP-Z317H	CDM			270	RC		outpatient			19.86	19.86	5.38				percent of total billed charges		19.86				other	OPPS APC	14.7				percent of total billed charges		19.86				other	OPPS APC	19.86				other	OPPS APC	5.38				percent of total billed charges		5.49				percent of total billed charges		19.86				other	OPPS APC	5.38	19.86	
SUTURE ABSORBABLE PDS II 2-0 SH L27 IN MONOFILAMENT VIOLET	SUP-Z317H	CDM			270	RC		inpatient			19.86	19.86																																																			
MYCOPHENOLATE MOFETIL PER 250 MG	636000000	CDM	51079-721-01	NDC	J7517	HCPCS		inpatient			19.82	19.82																																																			
MYCOPHENOLATE MOFETIL PER 250 MG	636000000	CDM	51079-721-01	NDC	J7517	HCPCS		outpatient			19.82	19.82																																															other	OPPS APC			
NEEDLE SPINAL BD QUINCKE POLYPROPYLENE NEONATE SHORT LENGTH REGULAR WALL L2 IN OD25 GA QUINCKE TIP STERILE LATEX FREE DISPOSABLE BLUE	SUP-405078	CDM			270	RC		outpatient			19.78	19.78	5.36				percent of total billed charges		19.78				other	OPPS APC	14.64				percent of total billed charges		19.78				other	OPPS APC	19.78				other	OPPS APC	5.36				percent of total billed charges		5.47				percent of total billed charges		19.78				other	OPPS APC	5.36	19.78	
NEEDLE SPINAL BD QUINCKE POLYPROPYLENE NEONATE SHORT LENGTH REGULAR WALL L2 IN OD25 GA QUINCKE TIP STERILE LATEX FREE DISPOSABLE BLUE	SUP-405078	CDM			270	RC		inpatient			19.78	19.78																																																			
SUTURE ABSORBABLE VICRYL 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED UNDYED	SUP-J840D	CDM			270	RC		outpatient			19.76	19.76	5.35				percent of total billed charges		19.76				other	OPPS APC	14.62				percent of total billed charges		19.76				other	OPPS APC	19.76				other	OPPS APC	5.35				percent of total billed charges		5.46				percent of total billed charges		19.76				other	OPPS APC	5.35	19.76	
SUTURE ABSORBABLE VICRYL 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED UNDYED	SUP-J840D	CDM			270	RC		inpatient			19.76	19.76																																																			
SUTURE NONABSORBABLE ETHIBOND 0 CT-1 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX21D	CDM			270	RC		outpatient			19.75	19.75	5.35				percent of total billed charges		19.75				other	OPPS APC	14.62				percent of total billed charges		19.75				other	OPPS APC	19.75				other	OPPS APC	5.35				percent of total billed charges		5.46				percent of total billed charges		19.75				other	OPPS APC	5.35	19.75	
SUTURE NONABSORBABLE ETHIBOND 0 CT-1 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX21D	CDM			270	RC		inpatient			19.75	19.75																																																			
SUTURE ABSORBABLE VICRYL 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J740D	CDM			270	RC		outpatient			19.72	19.72	5.34				percent of total billed charges		19.72				other	OPPS APC	14.59				percent of total billed charges		19.72				other	OPPS APC	19.72				other	OPPS APC	5.34				percent of total billed charges		5.45				percent of total billed charges		19.72				other	OPPS APC	5.34	19.72	
SUTURE ABSORBABLE VICRYL 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J740D	CDM			270	RC		inpatient			19.72	19.72																																																			
ETOPOSIDE 20 MG/ML SOLUTION 5 ML VIAL	636000000	CDM	0143-9510-01	NDC	J9181	HCPCS		inpatient			19.67	19.67																																																			
ETOPOSIDE 20 MG/ML SOLUTION 5 ML VIAL	636000000	CDM	0143-9510-01	NDC	J9181	HCPCS		outpatient			19.67	19.67																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 2-0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J739D	CDM			270	RC		outpatient			19.65	19.65	5.32				percent of total billed charges		19.65				other	OPPS APC	14.54				percent of total billed charges		19.65				other	OPPS APC	19.65				other	OPPS APC	5.32				percent of total billed charges		5.43				percent of total billed charges		19.65				other	OPPS APC	5.32	19.65	
SUTURE ABSORBABLE VICRYL 2-0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J739D	CDM			270	RC		inpatient			19.65	19.65																																																			
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	57237-018-90	NDC	A9270	HCPCS		inpatient			19.63	19.63																																																			
"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	57237-018-90	NDC	A9270	HCPCS		outpatient			19.63	19.63																																															other	OPPS APC			
"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	68180-296-09	NDC	A9270	HCPCS		inpatient			19.63	19.63																																																			
"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	68180-296-09	NDC	A9270	HCPCS		outpatient			19.63	19.63																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 3-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND COATED UNDYED	SUP-J864D	CDM			270	RC		outpatient			19.61	19.7	5.31				percent of total billed charges		19.61				other	OPPS APC	14.51				percent of total billed charges		19.61				other	OPPS APC	19.61				other	OPPS APC	5.31				percent of total billed charges		5.42				percent of total billed charges		19.7				other	OPPS APC	5.31	19.7	
SUTURE ABSORBABLE VICRYL 3-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND COATED UNDYED	SUP-J864D	CDM			270	RC		inpatient			19.61	19.61																																																			
SLEEVE RETINAL SILICONE ROUND L30 MM OD2.1 MM ODSEC1 MM BAND SECURE	SUP-9213	CDM			270	RC		outpatient			19.6	19.61	5.31				percent of total billed charges		19.6				other	OPPS APC	14.5				percent of total billed charges		19.6				other	OPPS APC	19.6				other	OPPS APC	5.31				percent of total billed charges		5.42				percent of total billed charges		19.61				other	OPPS APC	5.31	19.61	
SLEEVE RETINAL SILICONE ROUND L30 MM OD2.1 MM ODSEC1 MM BAND SECURE	SUP-9213	CDM			270	RC		inpatient			19.6	19.6																																																			
COVER PROBE CIV-FLEX L58 IN X W5.5 IN EXTENDED LENGTH STERILE LATEX FREE	SUP-610-575	CDM			481	RC		outpatient			19.55	19.55	9.58				percent of total billed charges		19.55				other	OPPS APC	14.47				percent of total billed charges		19.55				other	OPPS APC	19.55				other	OPPS APC	9.58				percent of total billed charges		9.97				percent of total billed charges		19.55				other	OPPS APC	9.58	19.55	
COVER PROBE CIV-FLEX L58 IN X W5.5 IN EXTENDED LENGTH STERILE LATEX FREE	SUP-610-575	CDM			481	RC		inpatient			19.55	19.55																																																			
KNIFE OPHTHALMIC KERATOME ANGLED FULL HANDLE SHARPOINT BEVELED UP 3MM	SUP-72-2961	CDM			270	RC		outpatient			19.55	19.55	5.3				percent of total billed charges		19.55				other	OPPS APC	14.47				percent of total billed charges		19.55				other	OPPS APC	19.55				other	OPPS APC	5.3				percent of total billed charges		5.4				percent of total billed charges		19.55				other	OPPS APC	5.3	19.55	
KNIFE OPHTHALMIC KERATOME ANGLED FULL HANDLE SHARPOINT BEVELED UP 3MM	SUP-72-2961	CDM			270	RC		inpatient			19.55	19.55																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 SH L30 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C018D	CDM			270	RC		outpatient			19.51	19.51	5.29				percent of total billed charges		19.51				other	OPPS APC	14.44				percent of total billed charges		19.51				other	OPPS APC	19.51				other	OPPS APC	5.29				percent of total billed charges		5.39				percent of total billed charges		19.51				other	OPPS APC	5.29	19.51	
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 SH L30 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C018D	CDM			270	RC		inpatient			19.51	19.51																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	63323-201-02	NDC				inpatient			19.5	19.5																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	63323-201-02	NDC				outpatient			19.5	19.5																																															other	OPPS APC			
MAGNESIUM SULFATE PER 500 MG MAGNESIUM	636000000	CDM	47335-992-02	NDC	J3475	HCPCS		inpatient			19.5	19.5																																																			
MAGNESIUM SULFATE PER 500 MG MAGNESIUM	636000000	CDM	47335-992-02	NDC	J3475	HCPCS		outpatient			19.5	19.5																																															other	OPPS APC			
DRAIN INCISION JACKSON-PRATT SILICONE ROUND OD19 FR ROUND HUBLESS CHANNEL STERILE LATEX FREE DISPOSABLE	SUP-JP-2230	CDM			270	RC		outpatient			19.48	19.48	5.28				percent of total billed charges		19.48				other	OPPS APC	14.42				percent of total billed charges		19.48				other	OPPS APC	19.48				other	OPPS APC	5.28				percent of total billed charges		5.38				percent of total billed charges		19.48				other	OPPS APC	5.28	19.48	
DRAIN INCISION JACKSON-PRATT SILICONE ROUND OD19 FR ROUND HUBLESS CHANNEL STERILE LATEX FREE DISPOSABLE	SUP-JP-2230	CDM			270	RC		inpatient			19.48	19.48																																																			
STIRRUP ORTHOPEDIC AIRFORM GRAY WHITE ADULT ANKLE INFLATABLE AIR BLADDER FLEX EDGE ADJUST HEEL STRAP	SUP-80250	CDM						inpatient			19.46	19.46																																																			
STIRRUP ORTHOPEDIC AIRFORM GRAY WHITE ADULT ANKLE INFLATABLE AIR BLADDER FLEX EDGE ADJUST HEEL STRAP	SUP-80250	CDM						outpatient			19.46	19.46	19.46				percent of total billed charges		19.46				other	OPPS APC	19.46				fee schedule		19.46				other	OPPS APC	19.46				other	OPPS APC	19.46				case rate		19.46				case rate		19.46				other	OPPS APC	19.46	19.46	
SUTURE NONABSORBABLE ETHIBOND 0 CT-2 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX27D	CDM			270	RC		outpatient			19.46	19.46	5.27				percent of total billed charges		19.46				other	OPPS APC	14.4				percent of total billed charges		19.46				other	OPPS APC	19.46				other	OPPS APC	5.27				percent of total billed charges		5.38				percent of total billed charges		19.46				other	OPPS APC	5.27	19.46	
SUTURE NONABSORBABLE ETHIBOND 0 CT-2 18IN GREEN POLYESTER CONTROL RELEASE BRAID 8 STRAND	SUP-CX27D	CDM			270	RC		inpatient			19.46	19.46																																																			
METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN	636000000	CDM	0009-0039-28	NDC	J2919	HCPCS		inpatient			19.41	19.41																																																			
METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN	636000000	CDM	0009-0039-30	NDC	J2919	HCPCS		inpatient			19.41	19.41																																																			
METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN	636000000	CDM	0009-0039-28	NDC	J2919	HCPCS		outpatient			19.41	19.41																																															other	OPPS APC			
METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN	636000000	CDM	0009-0039-30	NDC	J2919	HCPCS		outpatient			19.41	19.41																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 3-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J774D	CDM			270	RC		outpatient			19.38	19.38	5.25				percent of total billed charges		19.38				other	OPPS APC	14.34				percent of total billed charges		19.38				other	OPPS APC	19.38				other	OPPS APC	5.25				percent of total billed charges		5.35				percent of total billed charges		19.38				other	OPPS APC	5.25	19.38	
SUTURE ABSORBABLE VICRYL 3-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND COATED VIOLET	SUP-J774D	CDM			270	RC		inpatient			19.38	19.38																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-977-20	NDC	J2704	HCPCS		inpatient			19.32	19.32																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-977-20	NDC	J2704	HCPCS		outpatient			19.32	19.32																																															other	OPPS APC			
FORCEP GRASPING BACKHAUS TOWEL PIERCING RATCHET HANDLE NON STERILE 3.5IN	SUP-BF431R	CDM						inpatient			19.3	19.3																																																			
FORCEP GRASPING BACKHAUS TOWEL PIERCING RATCHET HANDLE NON STERILE 3.5IN	SUP-BF431R	CDM						outpatient			19.3	19.31	19.3				percent of total billed charges		19.3				other	OPPS APC	19.3				fee schedule		19.3				other	OPPS APC	19.3				other	OPPS APC	19.3				case rate		19.3				case rate		19.31				other	OPPS APC	19.3	19.31	
FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	66993-087-96	NDC	A9270	HCPCS		inpatient			19.28	19.28																																																			
FLUTICASONE PROPION-SALMETEROL 115-21 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	66993-087-96	NDC	A9270	HCPCS		outpatient			19.28	19.28																																															other	OPPS APC			
BLADE SAW HALL L44.6 MM X W40 MM X H.4 MM STERNOTOMY REPEAT STERILE	SUP-00505927800	CDM			270	RC		outpatient			19.26	19.26	5.22				percent of total billed charges		19.26				other	OPPS APC	14.25				percent of total billed charges		19.26				other	OPPS APC	19.26				other	OPPS APC	5.22				percent of total billed charges		5.32				percent of total billed charges		19.26				other	OPPS APC	5.22	19.26	
BLADE SAW HALL L44.6 MM X W40 MM X H.4 MM STERNOTOMY REPEAT STERILE	SUP-00505927800	CDM			270	RC		inpatient			19.26	19.26																																																			
CATHETER ANGIOGRAPHIC IMAGER II CONTRALATERAL CURVE L65 CM OD4 FR BRAID TORQUE SELECTIVE RADIOPAQUE SOFT ACCEPTS .035 IN GUIDEWIRE	SUP-31-525	CDM			270	RC		outpatient			19.2	19.2	5.2				percent of total billed charges		19.2				other	OPPS APC	14.21				percent of total billed charges		19.2				other	OPPS APC	19.2				other	OPPS APC	5.2				percent of total billed charges		5.3				percent of total billed charges		19.2				other	OPPS APC	5.2	19.2	
CATHETER ANGIOGRAPHIC IMAGER II CONTRALATERAL CURVE L65 CM OD4 FR BRAID TORQUE SELECTIVE RADIOPAQUE SOFT ACCEPTS .035 IN GUIDEWIRE	SUP-31-525	CDM			270	RC		inpatient			19.2	19.2																																																			
SLEEVE SCLERAL SILICONE ROUND STYLE 72 BUCKLING	SUP-DORC 92-30	CDM			270	RC		outpatient			19.2	19.2	5.2				percent of total billed charges		19.2				other	OPPS APC	14.21				percent of total billed charges		19.2				other	OPPS APC	19.2				other	OPPS APC	5.2				percent of total billed charges		5.3				percent of total billed charges		19.2				other	OPPS APC	5.2	19.2	
SLEEVE SCLERAL SILICONE ROUND STYLE 72 BUCKLING	SUP-DORC 92-30	CDM			270	RC		inpatient			19.2	19.2																																																			
INTRODUCER SHEATH PRELUDE .038 IN L11 CM L50 CM OD8 FR GUIDEWIRE KINK RESISTANT FLEXIBLE RADIOPAQUE LATEX FREE BLUE	SUP-PSI-8F-11-038	CDM			270	RC		outpatient			19.16	19.16	5.19				percent of total billed charges		19.16				other	OPPS APC	14.18				percent of total billed charges		19.16				other	OPPS APC	19.16				other	OPPS APC	5.19				percent of total billed charges		5.29				percent of total billed charges		19.16				other	OPPS APC	5.19	19.16	
INTRODUCER SHEATH PRELUDE .038 IN L11 CM L50 CM OD8 FR GUIDEWIRE KINK RESISTANT FLEXIBLE RADIOPAQUE LATEX FREE BLUE	SUP-PSI-8F-11-038	CDM			270	RC		inpatient			19.16	19.16																																																			
URSODIOL 300 MG CAPSULE	637000000	CDM	50268-797-11	NDC	A9270	HCPCS		inpatient			19.11	19.11																																																			
URSODIOL 300 MG CAPSULE	637000000	CDM	60687-100-11	NDC	A9270	HCPCS		inpatient			19.11	19.11																																																			
URSODIOL 300 MG CAPSULE	637000000	CDM	50268-797-11	NDC	A9270	HCPCS		outpatient			19.11	19.11																																															other	OPPS APC			
URSODIOL 300 MG CAPSULE	637000000	CDM	60687-100-11	NDC	A9270	HCPCS		outpatient			19.11	19.11																																															other	OPPS APC			
GRAFT SIZER  5MM 24MM	SUP-3200201	CDM			270	RC		outpatient			19.07	19.7	5.17				percent of total billed charges		19.07				other	OPPS APC	14.11				percent of total billed charges		19.07				other	OPPS APC	19.07				other	OPPS APC	5.17				percent of total billed charges		5.27				percent of total billed charges		19.7				other	OPPS APC	5.17	19.7	
GRAFT SIZER  5MM 24MM	SUP-3200201	CDM			270	RC		inpatient			19.07	19.07																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	65219-447-20	NDC				inpatient			19.05	19.05																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	65219-447-20	NDC				outpatient			19.05	19.05																																															other	OPPS APC			
SODIUM CHLORIDE 3% 3 % PARENTERAL SOLUTION	250000000	CDM	0338-0054-03	NDC				inpatient			19.05	19.05																																																			
SODIUM CHLORIDE 3% 3 % PARENTERAL SOLUTION	250000000	CDM	0338-0054-03	NDC				outpatient			19.05	19.05																																															other	OPPS APC			
WIRE FIXATION KIRSCHNER 150MM 1.6MM SS NS 2 END TROCAR POINT	SUP-292.56	CDM	270010022	LOCAL	270	RC		outpatient			19.01	19.12	5.15				percent of total billed charges		19.01				other	OPPS APC	14.07				percent of total billed charges		19.01				other	OPPS APC	19.01				other	OPPS APC	5.15				percent of total billed charges		5.25				percent of total billed charges		19.12				other	OPPS APC	5.15	19.12	
WIRE FIXATION KIRSCHNER 150MM 1.6MM SS NS 2 END TROCAR POINT	SUP-292.56	CDM	270010022	LOCAL	270	RC		inpatient			19.01	19.01																																																			
METHADONE 10 MG/5 ML SOLUTION	637000000	CDM	0054-3556-63	NDC	A9270	HCPCS		inpatient			19	19																																																			
METHADONE 10 MG/5 ML SOLUTION	637000000	CDM	0054-3556-63	NDC	A9270	HCPCS		outpatient			19	19																																															other	OPPS APC			
HC Ketone Bodies Serum  Qualitative	PX-300820090	CDM	82009	CPT	301	RC		outpatient			19	19	6.04				fee schedule		19				fee schedule		7.71				fee schedule		19				fee schedule		19				fee schedule		4.52				fee schedule		4.52				fee schedule		19				fee schedule		4.52	19	
HC Ketone Bodies Serum  Qualitative	PX-300820090	CDM	82009	CPT	301	RC		inpatient			19	19																																																			
SLEEVE COMPRESSION KENDALL SCD EXPRESS XL KNEE LENGTH DISPOSABLE	SUP-9790B	CDM			270	RC		outpatient			19	19	5.15				percent of total billed charges		19				other	OPPS APC	14.06				percent of total billed charges		19				other	OPPS APC	19				other	OPPS APC	5.15				percent of total billed charges		5.25				percent of total billed charges		19				other	OPPS APC	5.15	19	
SLEEVE COMPRESSION KENDALL SCD EXPRESS XL KNEE LENGTH DISPOSABLE	SUP-9790B	CDM			270	RC		inpatient			19	19																																																			
KIT CATH LAB ELECTROPHYSIOLOGY RS PENINSULA REGIONAL	SUP-H749601604241	CDM			481	RC		outpatient			19	19	9.31				percent of total billed charges		19				other	OPPS APC	14.06				percent of total billed charges		19				other	OPPS APC	19				other	OPPS APC	9.31				percent of total billed charges		9.69				percent of total billed charges		19				other	OPPS APC	9.31	19	
KIT CATH LAB ELECTROPHYSIOLOGY RS PENINSULA REGIONAL	SUP-H749601604241	CDM			481	RC		inpatient			19	19																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL4	CDM			270	RC		outpatient			19	19	5.15				percent of total billed charges		19				other	OPPS APC	14.06				percent of total billed charges		19				other	OPPS APC	19				other	OPPS APC	5.15				percent of total billed charges		5.25				percent of total billed charges		19				other	OPPS APC	5.15	19	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL4	CDM			270	RC		inpatient			19	19																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL5	CDM			270	RC		outpatient			19	19	5.15				percent of total billed charges		19				other	OPPS APC	14.06				percent of total billed charges		19				other	OPPS APC	19				other	OPPS APC	5.15				percent of total billed charges		5.25				percent of total billed charges		19				other	OPPS APC	5.15	19	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL5	CDM			270	RC		inpatient			19	19																																																			
BUTTON SUCTION BRONCHOSCOPE	SUP-SB-602	CDM			270	RC		outpatient			19	19	5.15				percent of total billed charges		19				other	OPPS APC	14.06				percent of total billed charges		19				other	OPPS APC	19				other	OPPS APC	5.15				percent of total billed charges		5.25				percent of total billed charges		19				other	OPPS APC	5.15	19	
BUTTON SUCTION BRONCHOSCOPE	SUP-SB-602	CDM			270	RC		inpatient			19	19																																																			
PACK BIOPSY BASIN CUSTOM	SUP-DYNJ59264	CDM			270	RC		outpatient			18.98	18.98	5.14				percent of total billed charges		18.98				other	OPPS APC	14.05				percent of total billed charges		18.98				other	OPPS APC	18.98				other	OPPS APC	5.14				percent of total billed charges		5.24				percent of total billed charges		18.98				other	OPPS APC	5.14	18.98	
PACK BIOPSY BASIN CUSTOM	SUP-DYNJ59264	CDM			270	RC		inpatient			18.98	18.98																																																			
"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLUTION"	250000000	CDM	63323-462-17	NDC				inpatient			18.96	18.96																																																			
"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLUTION"	250000000	CDM	63323-462-17	NDC				outpatient			18.96	18.96																																															other	OPPS APC			
BETADINE 5% STERILE OPTHALMIC PREP SOLUTION	SUP-0065041130	CDM			270	RC		outpatient			18.96	18.96	5.14				percent of total billed charges		18.96				other	OPPS APC	14.03				percent of total billed charges		18.96				other	OPPS APC	18.96				other	OPPS APC	5.14				percent of total billed charges		5.24				percent of total billed charges		18.96				other	OPPS APC	5.14	18.96	
BETADINE 5% STERILE OPTHALMIC PREP SOLUTION	SUP-0065041130	CDM			270	RC		inpatient			18.96	18.96																																																			
RAMIPRIL 5 MG CAPSULE	637000000	CDM	68382-146-01	NDC	A9270	HCPCS		inpatient			18.95	18.95																																																			
RAMIPRIL 5 MG CAPSULE	637000000	CDM	68382-146-01	NDC	A9270	HCPCS		outpatient			18.95	18.95																																															other	OPPS APC			
DRESSING WOUND WHITEFOAM VAC POLYVINYL ALCOHOL THK1 CM SMALL L10 CM X W7.5 CM HIGHER TENSILE STRENGTH INCREASE DENSITY DISPOSABLE WHITE	SUP-M6275033/10	CDM			270	RC		outpatient			18.88	18.88	5.11				percent of total billed charges		18.88				other	OPPS APC	13.97				percent of total billed charges		18.88				other	OPPS APC	18.88				other	OPPS APC	5.11				percent of total billed charges		5.22				percent of total billed charges		18.88				other	OPPS APC	5.11	18.88	
DRESSING WOUND WHITEFOAM VAC POLYVINYL ALCOHOL THK1 CM SMALL L10 CM X W7.5 CM HIGHER TENSILE STRENGTH INCREASE DENSITY DISPOSABLE WHITE	SUP-M6275033/10	CDM			270	RC		inpatient			18.88	18.88																																																			
KIT DRAINAGE PVC ROUND L12 IN OD3/32 IN 400 CC 3 SPRING EVACUATOR TROCAR Y CONNECTOR TUBE HOLE PATTERN STERILE LATEX FREE DISPOSABLE	SUP-0043600	CDM	270009033	LOCAL	270	RC		outpatient			18.83	18.83	5.1				percent of total billed charges		18.83				other	OPPS APC	13.93				percent of total billed charges		18.83				other	OPPS APC	18.83				other	OPPS APC	5.1				percent of total billed charges		5.2				percent of total billed charges		18.83				other	OPPS APC	5.1	18.83	
KIT DRAINAGE PVC ROUND L12 IN OD3/32 IN 400 CC 3 SPRING EVACUATOR TROCAR Y CONNECTOR TUBE HOLE PATTERN STERILE LATEX FREE DISPOSABLE	SUP-0043600	CDM	270009033	LOCAL	270	RC		inpatient			18.83	18.83																																																			
KIT DRAINAGE PVC ROUND L12 IN OD1/4 IN 400 ML 3 SPRING EVACUATOR TROCAR Y CONNECTOR TUBE HOLE PATTERN STERILE LATEX FREE DISPOSABLE	SUP-0043620	CDM	270009033	LOCAL	270	RC		outpatient			18.83	18.83	5.1				percent of total billed charges		18.83				other	OPPS APC	13.93				percent of total billed charges		18.83				other	OPPS APC	18.83				other	OPPS APC	5.1				percent of total billed charges		5.2				percent of total billed charges		18.83				other	OPPS APC	5.1	18.83	
KIT DRAINAGE PVC ROUND L12 IN OD1/4 IN 400 ML 3 SPRING EVACUATOR TROCAR Y CONNECTOR TUBE HOLE PATTERN STERILE LATEX FREE DISPOSABLE	SUP-0043620	CDM	270009033	LOCAL	270	RC		inpatient			18.83	18.83																																																			
KIT DRAINAGE JACKSON-PRATT PVC 1/8 IN ROUND OD10 FR 400 ML 3 SPRING RESERVOIR TROCAR Y CONNECTOR STERILE LATEX FREE DISPOSABLE	SUP-SU130-402D	CDM	270009033	LOCAL	270	RC		outpatient			18.83	18.83	5.1				percent of total billed charges		18.83				other	OPPS APC	13.93				percent of total billed charges		18.83				other	OPPS APC	18.83				other	OPPS APC	5.1				percent of total billed charges		5.2				percent of total billed charges		18.83				other	OPPS APC	5.1	18.83	
KIT DRAINAGE JACKSON-PRATT PVC 1/8 IN ROUND OD10 FR 400 ML 3 SPRING RESERVOIR TROCAR Y CONNECTOR STERILE LATEX FREE DISPOSABLE	SUP-SU130-402D	CDM	270009033	LOCAL	270	RC		inpatient			18.83	18.83																																																			
DRAPE TRANSPARENT 3M IOBAN 2 POLYETHYLENE XL L33 IN X W23 IN 2 ANTIMICROBIAL INCISE FILM IMPREGNATE	SUP-6651EZ	CDM						inpatient			18.81	18.81																																																			
DRAPE TRANSPARENT 3M IOBAN 2 POLYETHYLENE XL L33 IN X W23 IN 2 ANTIMICROBIAL INCISE FILM IMPREGNATE	SUP-6651EZ	CDM						outpatient			18.81	18.9	18.81				percent of total billed charges		18.81				other	OPPS APC	18.81				fee schedule		18.81				other	OPPS APC	18.81				other	OPPS APC	18.81				case rate		18.81				case rate		18.9				other	OPPS APC	18.81	18.9	
BAG DRAINAGE FLO-CHECK L6 FT IMPRINT SCREEN MESH NONSTERILE LATEX FREE DISPOSABLE UROLOGY	SUP-CMS-950P	CDM						inpatient			18.8	18.8																																																			
BAG DRAINAGE FLO-CHECK L6 FT IMPRINT SCREEN MESH NONSTERILE LATEX FREE DISPOSABLE UROLOGY	SUP-CMS-950P	CDM						outpatient			18.8	18.81	18.8				percent of total billed charges		18.8				other	OPPS APC	18.8				fee schedule		18.8				other	OPPS APC	18.8				other	OPPS APC	18.8				case rate		18.8				case rate		18.81				other	OPPS APC	18.8	18.81	
DEXTROSE 5 % PIGGYBACK	636000000	CDM	0338-9147-30	NDC	J7060	HCPCS		inpatient			18.79	18.79																																																			
DEXTROSE 5 % PIGGYBACK	636000000	CDM	0338-9147-30	NDC	J7060	HCPCS		outpatient			18.79	18.79																																															other	OPPS APC			
DEXTROSE 5 % PIGGYBACK 100 ML BAG	636000000	CDM	0338-9147-30	NDC	J7060	HCPCS		inpatient			18.79	18.79																																																			
DEXTROSE 5 % PIGGYBACK 100 ML BAG	636000000	CDM	0338-9147-30	NDC	J7060	HCPCS		outpatient			18.79	18.79																																															other	OPPS APC			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-9159-30	NDC	J7050	HCPCS		inpatient			18.79	18.79																																																			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-9159-30	NDC	J7050	HCPCS		outpatient			18.79	18.79																																															other	OPPS APC			
SEAL ENDOSCOPIC INSTRUMENT SILICONE LARGE OD6-12 FR NONSTERILE DISPOSABLE BLUE CYSTOSCOPE	SUP-CS-B612	CDM						inpatient			18.77	18.77																																																			
SEAL ENDOSCOPIC INSTRUMENT SILICONE LARGE OD6-12 FR NONSTERILE DISPOSABLE BLUE CYSTOSCOPE	SUP-CS-B612	CDM						outpatient			18.77	18.77	18.77				percent of total billed charges		18.77				other	OPPS APC	18.77				fee schedule		18.77				other	OPPS APC	18.77				other	OPPS APC	18.77				case rate		18.77				case rate		18.77				other	OPPS APC	18.77	18.77	
ADENOSINE PER 6 MG	636000000	CDM	67457-855-00	NDC	J0153	HCPCS		inpatient			18.75	18.75																																																			
ADENOSINE PER 6 MG	636000000	CDM	67457-855-00	NDC	J0153	HCPCS		outpatient			18.75	18.75																																															other	OPPS APC			
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) PARENTERAL SOLUTION	636000000	CDM	0409-2050-01	NDC	J3475	HCPCS		inpatient			18.75	18.75																																																			
MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) PARENTERAL SOLUTION	636000000	CDM	0409-2050-01	NDC	J3475	HCPCS		outpatient			18.75	18.75																																															other	OPPS APC			
MASK OXYGEN CURAPLEX ADULT 10-15 LPM 86-97% O2 ETCO2 MALE TO MALE HIGH CONCENTRATION RESERVOIR BAG	SUP-301-PRO2LT	CDM			270	RC		outpatient			18.75	18.75	5.08				percent of total billed charges		18.75				other	OPPS APC	13.88				percent of total billed charges		18.75				other	OPPS APC	18.75				other	OPPS APC	5.08				percent of total billed charges		5.18				percent of total billed charges		18.75				other	OPPS APC	5.08	18.75	
MASK OXYGEN CURAPLEX ADULT 10-15 LPM 86-97% O2 ETCO2 MALE TO MALE HIGH CONCENTRATION RESERVOIR BAG	SUP-301-PRO2LT	CDM			270	RC		inpatient			18.75	18.75																																																			
LEVOFLOXACIN PER 250 MG	636000000	CDM	0143-9720-01	NDC	J1956	HCPCS		inpatient			18.72	18.72																																																			
LEVOFLOXACIN PER 250 MG	636000000	CDM	0143-9720-24	NDC	J1956	HCPCS		inpatient			18.72	18.72																																																			
LEVOFLOXACIN PER 250 MG	636000000	CDM	0143-9720-01	NDC	J1956	HCPCS		outpatient			18.72	18.72																																															other	OPPS APC			
LEVOFLOXACIN PER 250 MG	636000000	CDM	0143-9720-24	NDC	J1956	HCPCS		outpatient			18.72	18.72																																															other	OPPS APC			
DEXTROSE 5%-0.2 % SOD CHLORIDE PARENTERAL SOLUTION	250000000	CDM	0338-0077-04	NDC				inpatient			18.64	18.64																																																			
DEXTROSE 5%-0.2 % SOD CHLORIDE PARENTERAL SOLUTION	250000000	CDM	0338-0077-04	NDC				outpatient			18.64	18.64																																															other	OPPS APC			
OXYTOCIN IN 0.9 NACL 30 UNIT/500 ML SOLUTION	636000000	CDM	90000-003-25	NDC	J2590	HCPCS		inpatient			18.63	18.63																																																			
OXYTOCIN IN 0.9 NACL 30 UNIT/500 ML SOLUTION	636000000	CDM	90000-003-25	NDC	J2590	HCPCS		outpatient			18.63	18.63																																															other	OPPS APC			
WIRE FIXATION KIRSCHNER TITANIUM L70 MM OD0.8 MM ORTHOPEDIC TROCAR POINT NONSTERILE	SUP-492.08	CDM	270010022	LOCAL	270	RC		outpatient			18.62	18.62	5.04				percent of total billed charges		18.62				other	OPPS APC	13.78				percent of total billed charges		18.62				other	OPPS APC	18.62				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.62				other	OPPS APC	5.04	18.62	
WIRE FIXATION KIRSCHNER TITANIUM L70 MM OD0.8 MM ORTHOPEDIC TROCAR POINT NONSTERILE	SUP-492.08	CDM	270010022	LOCAL	270	RC		inpatient			18.62	18.62																																																			
WIRE FIXATION KIRSCHNER TITANIUM TROCAR L150 MM OD1 MM NONSTERILE	SUP-492.10	CDM	270010022	LOCAL	270	RC		outpatient			18.62	18.62	5.04				percent of total billed charges		18.62				other	OPPS APC	13.78				percent of total billed charges		18.62				other	OPPS APC	18.62				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.62				other	OPPS APC	5.04	18.62	
WIRE FIXATION KIRSCHNER TITANIUM TROCAR L150 MM OD1 MM NONSTERILE	SUP-492.10	CDM	270010022	LOCAL	270	RC		inpatient			18.62	18.62																																																			
WIRE FIXATION KIRSCHNER TITANIUM L150 MM OD1.25 MM RADIUS DISTAL TROCAR NONSTERILE MINI FRAGMENT SET	SUP-492.12	CDM	270010022	LOCAL	270	RC		outpatient			18.62	18.62	5.04				percent of total billed charges		18.62				other	OPPS APC	13.78				percent of total billed charges		18.62				other	OPPS APC	18.62				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.62				other	OPPS APC	5.04	18.62	
WIRE FIXATION KIRSCHNER TITANIUM L150 MM OD1.25 MM RADIUS DISTAL TROCAR NONSTERILE MINI FRAGMENT SET	SUP-492.12	CDM	270010022	LOCAL	270	RC		inpatient			18.62	18.62																																																			
WIRE FIXATION KIRSCHNER TITANIUM L150 MM OD1.6 MM RADIUS DISTAL TROCAR NONSTERILE MINI FRAGMENT SET	SUP-492.16	CDM	270010022	LOCAL	270	RC		outpatient			18.62	18.62	5.04				percent of total billed charges		18.62				other	OPPS APC	13.78				percent of total billed charges		18.62				other	OPPS APC	18.62				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.62				other	OPPS APC	5.04	18.62	
WIRE FIXATION KIRSCHNER TITANIUM L150 MM OD1.6 MM RADIUS DISTAL TROCAR NONSTERILE MINI FRAGMENT SET	SUP-492.16	CDM	270010022	LOCAL	270	RC		inpatient			18.62	18.62																																																			
WIRE FIXATION KIRSCHNER 150MM 2MM TITANIUM TROCAR POINT	SUP-492.20	CDM	270010022	LOCAL	270	RC		outpatient			18.62	18.62	5.04				percent of total billed charges		18.62				other	OPPS APC	13.78				percent of total billed charges		18.62				other	OPPS APC	18.62				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.62				other	OPPS APC	5.04	18.62	
WIRE FIXATION KIRSCHNER 150MM 2MM TITANIUM TROCAR POINT	SUP-492.20	CDM	270010022	LOCAL	270	RC		inpatient			18.62	18.62																																																			
GUIDEWIRE  PTFE 035 X 180CM FC 3MM J	SUP-H7878105351801	CDM			481	RC		outpatient			18.6	18.61	9.11				percent of total billed charges		18.6				other	OPPS APC	13.76				percent of total billed charges		18.6				other	OPPS APC	18.6				other	OPPS APC	9.11				percent of total billed charges		9.49				percent of total billed charges		18.61				other	OPPS APC	9.11	18.61	
GUIDEWIRE  PTFE 035 X 180CM FC 3MM J	SUP-H7878105351801	CDM			481	RC		inpatient			18.6	18.6																																																			
.035 NAVILYST GUIDEWIRE 175J	SUP-H965970002101	CDM			481	RC		outpatient			18.6	18.61	9.11				percent of total billed charges		18.6				other	OPPS APC	13.76				percent of total billed charges		18.6				other	OPPS APC	18.6				other	OPPS APC	9.11				percent of total billed charges		9.49				percent of total billed charges		18.61				other	OPPS APC	9.11	18.61	
.035 NAVILYST GUIDEWIRE 175J	SUP-H965970002101	CDM			481	RC		inpatient			18.6	18.6																																																			
OXYCODONE 5 MG/5 ML SOLUTION	637000000	CDM	0121-4827-05	NDC	A9270	HCPCS		inpatient			18.59	18.59																																																			
OXYCODONE 5 MG/5 ML SOLUTION	637000000	CDM	0121-4827-05	NDC	A9270	HCPCS		outpatient			18.59	18.59																																															other	OPPS APC			
BINDER ABDOMINAL 30-45X12IN 4 ELASTIC PANEL COMFORT CONTACT CLOSURE MED	SUP-00058404100	CDM	270009158	LOCAL	270	RC		outpatient			18.59	18.59	5.04				percent of total billed charges		18.59				other	OPPS APC	13.76				percent of total billed charges		18.59				other	OPPS APC	18.59				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.59				other	OPPS APC	5.04	18.59	
BINDER ABDOMINAL 30-45X12IN 4 ELASTIC PANEL COMFORT CONTACT CLOSURE MED	SUP-00058404100	CDM	270009158	LOCAL	270	RC		inpatient			18.59	18.59																																																			
BINDER ABDOMINAL 46-62X12IN 4 ELASTIC PANEL CONTACT CLOSURE COMFORT LG LATEX	SUP-00058404200	CDM	270009158	LOCAL	270	RC		outpatient			18.59	18.59	5.04				percent of total billed charges		18.59				other	OPPS APC	13.76				percent of total billed charges		18.59				other	OPPS APC	18.59				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.59				other	OPPS APC	5.04	18.59	
BINDER ABDOMINAL 46-62X12IN 4 ELASTIC PANEL CONTACT CLOSURE COMFORT LG LATEX	SUP-00058404200	CDM	270009158	LOCAL	270	RC		inpatient			18.59	18.59																																																			
BINDER ABDOMINAL MEDIUM L30-45 IN X W12 IN 4 ELASTIC PANEL COMFORT CONTACT CLOSURE	SUP-584-041	CDM	270009158	LOCAL	270	RC		outpatient			18.59	18.59	5.04				percent of total billed charges		18.59				other	OPPS APC	13.76				percent of total billed charges		18.59				other	OPPS APC	18.59				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.59				other	OPPS APC	5.04	18.59	
BINDER ABDOMINAL MEDIUM L30-45 IN X W12 IN 4 ELASTIC PANEL COMFORT CONTACT CLOSURE	SUP-584-041	CDM	270009158	LOCAL	270	RC		inpatient			18.59	18.59																																																			
BINDER ABDOMINAL COMFORT LARGE L46-62 IN X W12 IN 4 ELASTIC PANEL CONTACT CLOSURE LATEX	SUP-584-042	CDM	270009158	LOCAL	270	RC		outpatient			18.59	18.59	5.04				percent of total billed charges		18.59				other	OPPS APC	13.76				percent of total billed charges		18.59				other	OPPS APC	18.59				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.59				other	OPPS APC	5.04	18.59	
BINDER ABDOMINAL COMFORT LARGE L46-62 IN X W12 IN 4 ELASTIC PANEL CONTACT CLOSURE LATEX	SUP-584-042	CDM	270009158	LOCAL	270	RC		inpatient			18.59	18.59																																																			
BINDER ABDOMINAL PROCARE XL 12IN 62-74IN FLANNEL COTTON 4 PANEL ELASTIC CONTACT CLOSURE	SUP-79-89220	CDM	270009158	LOCAL	270	RC		outpatient			18.59	18.59	5.04				percent of total billed charges		18.59				other	OPPS APC	13.76				percent of total billed charges		18.59				other	OPPS APC	18.59				other	OPPS APC	5.04				percent of total billed charges		5.14				percent of total billed charges		18.59				other	OPPS APC	5.04	18.59	
BINDER ABDOMINAL PROCARE XL 12IN 62-74IN FLANNEL COTTON 4 PANEL ELASTIC CONTACT CLOSURE	SUP-79-89220	CDM	270009158	LOCAL	270	RC		inpatient			18.59	18.59																																																			
AMIODARONE 100 MG TABLET	637000000	CDM	0245-0144-89	NDC	A9270	HCPCS		inpatient			18.58	18.58																																																			
AMIODARONE 100 MG TABLET	637000000	CDM	0245-0144-89	NDC	A9270	HCPCS		outpatient			18.58	18.58																																															other	OPPS APC			
NEEDLE BIOPSY TRU-CUT THIN WALL 6IN 20MM 14GA STEEL DISPOSABLE KIDNEY LIVER SPECIMEN NOTCH REMOVABLE STYLET DEPTH MARK	SUP-2N2704X	CDM	270009055	LOCAL	270	RC		outpatient			18.56	18.56	5.03				percent of total billed charges		18.56				other	OPPS APC	13.73				percent of total billed charges		18.56				other	OPPS APC	18.56				other	OPPS APC	5.03				percent of total billed charges		5.13				percent of total billed charges		18.56				other	OPPS APC	5.03	18.56	
NEEDLE BIOPSY TRU-CUT THIN WALL 6IN 20MM 14GA STEEL DISPOSABLE KIDNEY LIVER SPECIMEN NOTCH REMOVABLE STYLET DEPTH MARK	SUP-2N2704X	CDM	270009055	LOCAL	270	RC		inpatient			18.56	18.56																																																			
NEEDLE BIOPSY JAMSHIDI MENGHINI L100 MM OD15 GA SOFT TISSUE HOSPITAL WRAP TOWEL FENESTRATED DRAPE SYRINGE SCALPEL BLADE STERILE LATEX DISPOSABLE	SUP-SN1015X	CDM	270009055	LOCAL	270	RC		outpatient			18.56	18.56	5.03				percent of total billed charges		18.56				other	OPPS APC	13.73				percent of total billed charges		18.56				other	OPPS APC	18.56				other	OPPS APC	5.03				percent of total billed charges		5.13				percent of total billed charges		18.56				other	OPPS APC	5.03	18.56	
NEEDLE BIOPSY JAMSHIDI MENGHINI L100 MM OD15 GA SOFT TISSUE HOSPITAL WRAP TOWEL FENESTRATED DRAPE SYRINGE SCALPEL BLADE STERILE LATEX DISPOSABLE	SUP-SN1015X	CDM	270009055	LOCAL	270	RC		inpatient			18.56	18.56																																																			
ENALAPRIL 5 MG TABLET	637000000	CDM	43547-546-10	NDC	A9270	HCPCS		inpatient			18.52	18.52																																																			
ENALAPRIL 5 MG TABLET	637000000	CDM	43547-546-10	NDC	A9270	HCPCS		outpatient			18.52	18.52																																															other	OPPS APC			
MIDAZOLAM 10 MG/5 ML (2 MG/ML) SYRUP	637000000	CDM	60687-576-40	NDC	A9270	HCPCS		inpatient			18.5	18.5																																																			
MIDAZOLAM 10 MG/5 ML (2 MG/ML) SYRUP	637000000	CDM	60687-576-40	NDC	A9270	HCPCS		outpatient			18.5	18.5																																															other	OPPS APC			
HANDLE ENDOSCOPIC GUIDEWIRE TORQUE VISE STEERABLE	SUP-M0067301301	CDM			270	RC		outpatient			18.45	18.45	5				percent of total billed charges		18.45				other	OPPS APC	13.65				percent of total billed charges		18.45				other	OPPS APC	18.45				other	OPPS APC	5				percent of total billed charges		5.1				percent of total billed charges		18.45				other	OPPS APC	5	18.45	
HANDLE ENDOSCOPIC GUIDEWIRE TORQUE VISE STEERABLE	SUP-M0067301301	CDM			270	RC		inpatient			18.45	18.45																																																			
BISOPROLOL-HYDROCHLOROTHIAZIDE 2.5-6.25 MG TABLET	637000000	CDM	68462-878-30	NDC	A9270	HCPCS		inpatient			18.43	18.43																																																			
BISOPROLOL-HYDROCHLOROTHIAZIDE 2.5-6.25 MG TABLET	637000000	CDM	68462-878-30	NDC	A9270	HCPCS		outpatient			18.43	18.43																																															other	OPPS APC			
BISOPROLOL-HYDROCHLOROTHIAZIDE 5-6.25 MG TABLET	637000000	CDM	42799-921-30	NDC	A9270	HCPCS		inpatient			18.43	18.43																																																			
BISOPROLOL-HYDROCHLOROTHIAZIDE 5-6.25 MG TABLET	637000000	CDM	42799-921-30	NDC	A9270	HCPCS		outpatient			18.43	18.43																																															other	OPPS APC			
PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % OINTMENT 28 G TUBE	637000000	CDM	0573-2871-93	NDC	A9270	HCPCS		inpatient			18.4	18.4																																																			
PHENYLEPH-MIN OIL-PETROLATUM 0.25-14-74.9 % OINTMENT 28 G TUBE	637000000	CDM	0573-2871-93	NDC	A9270	HCPCS		outpatient			18.4	18.4																																															other	OPPS APC			
SYRINGE MEDRAD MARK 7 ARTERION DISPOSABLE	SUP-ART700SYR	CDM			270	RC		outpatient			18.38	18.38	4.98				percent of total billed charges		18.38				other	OPPS APC	13.6				percent of total billed charges		18.38				other	OPPS APC	18.38				other	OPPS APC	4.98				percent of total billed charges		5.08				percent of total billed charges		18.38				other	OPPS APC	4.98	18.38	
SYRINGE MEDRAD MARK 7 ARTERION DISPOSABLE	SUP-ART700SYR	CDM			270	RC		inpatient			18.38	18.38																																																			
LEVOFLOXACIN PER 250 MG	636000000	CDM	0143-9721-01	NDC	J1956	HCPCS		inpatient			18.36	18.36																																																			
LEVOFLOXACIN PER 250 MG	636000000	CDM	0143-9721-01	NDC	J1956	HCPCS		outpatient			18.36	18.36																																															other	OPPS APC			
PIN FIXATION STEINMANN STAINLESS STEEL L22.9 MM OD2.8 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700369	CDM			270	RC		outpatient			18.29	18.29	4.95				percent of total billed charges		18.29				other	OPPS APC	13.53				percent of total billed charges		18.29				other	OPPS APC	18.29				other	OPPS APC	4.95				percent of total billed charges		5.05				percent of total billed charges		18.29				other	OPPS APC	4.95	18.29	
PIN FIXATION STEINMANN STAINLESS STEEL L22.9 MM OD2.8 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700369	CDM			270	RC		inpatient			18.29	18.29																																																			
CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	60505-6231-5	NDC	J0690	HCPCS		inpatient			18.28	18.28																																																			
CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	60505-6231-5	NDC	J0690	HCPCS		outpatient			18.28	18.28																																															other	OPPS APC			
CEFEPIME PER 500 MG	636000000	CDM	0409-9566-01	NDC	J0692	HCPCS		inpatient			18.27	18.27																																																			
CEFEPIME PER 500 MG	636000000	CDM	0409-9566-10	NDC	J0692	HCPCS		inpatient			18.27	18.27																																																			
CEFEPIME PER 500 MG	636000000	CDM	0409-9566-01	NDC	J0692	HCPCS		outpatient			18.27	18.27																																															other	OPPS APC			
CEFEPIME PER 500 MG	636000000	CDM	0409-9566-10	NDC	J0692	HCPCS		outpatient			18.27	18.27																																															other	OPPS APC			
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM NYLON CONTOUR L22 IN OD29 IN KNEE ELASTIC PATELLA STRAP PERFORATE BREATHABLE	SUP-00188850022	CDM	270009016	LOCAL	270	RC		outpatient			18.25	18.25	4.94				percent of total billed charges		18.25				other	OPPS APC	13.51				percent of total billed charges		18.25				other	OPPS APC	18.25				other	OPPS APC	4.94				percent of total billed charges		5.04				percent of total billed charges		18.25				other	OPPS APC	4.94	18.25	
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM NYLON CONTOUR L22 IN OD29 IN KNEE ELASTIC PATELLA STRAP PERFORATE BREATHABLE	SUP-00188850022	CDM	270009016	LOCAL	270	RC		inpatient			18.25	18.25																																																			
SUTURE NONABSORBABLE NUROLON 2-0 SH 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C512D	CDM			270	RC		outpatient			18.25	18.25	4.94				percent of total billed charges		18.25				other	OPPS APC	13.51				percent of total billed charges		18.25				other	OPPS APC	18.25				other	OPPS APC	4.94				percent of total billed charges		5.04				percent of total billed charges		18.25				other	OPPS APC	4.94	18.25	
SUTURE NONABSORBABLE NUROLON 2-0 SH 18IN BLACK NYLON 6 6 CONTROL RELEASE BRAID 8 STRAND	SUP-C512D	CDM			270	RC		inpatient			18.25	18.25																																																			
ERYTHROMYCIN 1 (ONE) 1 G TUBE 1 G TUBE	637000000	CDM	90000-002-51	NDC	A9270	HCPCS		inpatient			18.13	18.13																																																			
ERYTHROMYCIN 1 (ONE) 1 G TUBE 1 G TUBE	637000000	CDM	90000-002-51	NDC	A9270	HCPCS		outpatient			18.13	18.13																																															other	OPPS APC			
BUMETANIDE PER 0.5 MG	636000000	CDM	0641-6008-01	NDC	J1939	HCPCS		inpatient			18.12	18.12																																																			
BUMETANIDE PER 0.5 MG	636000000	CDM	0641-6008-01	NDC	J1939	HCPCS		outpatient			18.12	18.12																																															other	OPPS APC			
MEPERIDINE (PF) 25 MG/ML SYRINGE	636000000	CDM	0409-1176-03	NDC	J2175	HCPCS		inpatient			18.12	18.12																																																			
MEPERIDINE (PF) 25 MG/ML SYRINGE	636000000	CDM	0409-1176-03	NDC	J2175	HCPCS		outpatient			18.12	18.12																																															other	OPPS APC			
CATHETER ANGIOGRAPHIC PERFORMA PEBAX POLYCARBONATE NYLON STRAIGHT PIGTAIL CURVE L110 CM OD6 FR CARDIAC 5 SIDEHOLE RADIOPAQUE BRAID STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-7509-11	CDM			481	RC		outpatient			18.1	18.11	8.87				percent of total billed charges		18.1				other	OPPS APC	13.39				percent of total billed charges		18.1				other	OPPS APC	18.1				other	OPPS APC	8.87				percent of total billed charges		9.23				percent of total billed charges		18.11				other	OPPS APC	8.87	18.11	
CATHETER ANGIOGRAPHIC PERFORMA PEBAX POLYCARBONATE NYLON STRAIGHT PIGTAIL CURVE L110 CM OD6 FR CARDIAC 5 SIDEHOLE RADIOPAQUE BRAID STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-7509-11	CDM			481	RC		inpatient			18.1	18.1																																																			
HC PHARMACY/DRUGS 636	636000000	CDM			J7120	HCPCS		inpatient			18.06	18.06																																																			
HC PHARMACY/DRUGS 636	636000000	CDM			J7120	HCPCS		outpatient			18.06	18.06																																															other	OPPS APC			
VALACYCLOVIR 500 MG TABLET	637000000	CDM	51079-093-01	NDC	A9270	HCPCS		inpatient			18.06	18.06																																																			
VALACYCLOVIR 500 MG TABLET	637000000	CDM	51079-093-01	NDC	A9270	HCPCS		outpatient			18.06	18.06																																															other	OPPS APC			
GABAPENTIN 300 MG/6 ML (6 ML) SOLUTION	637000000	CDM	42192-608-40	NDC	A9270	HCPCS		inpatient			18.03	18.03																																																			
GABAPENTIN 300 MG/6 ML (6 ML) SOLUTION	637000000	CDM	42192-608-40	NDC	A9270	HCPCS		outpatient			18.03	18.03																																															other	OPPS APC			
VALVE SUCTION ORCA STERILE DISPOSABLE OLYMPUS	SUP-SUV-617-50	CDM			270	RC		outpatient			18.02	18.2	4.88				percent of total billed charges		18.02				other	OPPS APC	13.33				percent of total billed charges		18.02				other	OPPS APC	18.02				other	OPPS APC	4.88				percent of total billed charges		4.98				percent of total billed charges		18.2				other	OPPS APC	4.88	18.2	
VALVE SUCTION ORCA STERILE DISPOSABLE OLYMPUS	SUP-SUV-617-50	CDM			270	RC		inpatient			18.02	18.02																																																			
ADENOSINE PER 6 MG	636000000	CDM	25021-318-02	NDC	J0153	HCPCS		inpatient			18	18																																																			
ADENOSINE PER 6 MG	636000000	CDM	25021-318-02	NDC	J0153	HCPCS		outpatient			18	18																																															other	OPPS APC			
AZITHROMYCIN PER 500 MG	636000000	CDM	70095-025-01	NDC	J0456	HCPCS		inpatient			18	18																																																			
AZITHROMYCIN PER 500 MG	636000000	CDM	70095-025-02	NDC	J0456	HCPCS		inpatient			18	18																																																			
AZITHROMYCIN PER 500 MG	636000000	CDM	70095-025-01	NDC	J0456	HCPCS		outpatient			18	18																																															other	OPPS APC			
AZITHROMYCIN PER 500 MG	636000000	CDM	70095-025-02	NDC	J0456	HCPCS		outpatient			18	18																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	25021-410-77	NDC	J1650	HCPCS		inpatient			18	18																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	71288-433-82	NDC	J1650	HCPCS		inpatient			18	18																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	25021-410-77	NDC	J1650	HCPCS		outpatient			18	18																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	71288-433-82	NDC	J1650	HCPCS		outpatient			18	18																																															other	OPPS APC			
NALOXONE PER 1 MG	636000000	CDM	0641-6132-01	NDC	J2310	HCPCS		inpatient			18	18																																																			
NALOXONE PER 1 MG	636000000	CDM	0641-6132-01	NDC	J2310	HCPCS		outpatient			18	18																																															other	OPPS APC			
PALONOSETRON PER 25 MCG	636000000	CDM	36000-326-01	NDC	J2469	HCPCS		inpatient			18	18																																																			
PALONOSETRON PER 25 MCG	636000000	CDM	36000-326-02	NDC	J2469	HCPCS		inpatient			18	18																																																			
PALONOSETRON PER 25 MCG	636000000	CDM	36000-326-01	NDC	J2469	HCPCS		outpatient			18	18																																															other	OPPS APC			
PALONOSETRON PER 25 MCG	636000000	CDM	36000-326-02	NDC	J2469	HCPCS		outpatient			18	18																																															other	OPPS APC			
HC Stool for Polys (Stsm)	PX-300890550	CDM	89055	CPT	300	RC		outpatient			18	4.27	5.7				fee schedule		4.27				fee schedule		11.32				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27				fee schedule		4.27	11.32	
HC Stool for Polys (Stsm)	PX-300890550	CDM	89055	CPT	300	RC		inpatient			18	18																																																			
HC Fat Feces;Qual	PX-301827051	CDM	82705	CPT	301	RC		outpatient			18	6	6.8				fee schedule		5.1				fee schedule		13.51				fee schedule		5.1				fee schedule		5.1				fee schedule		5.1				fee schedule		5.1				fee schedule		6				fee schedule		5.1	13.51	
HC Fat Feces;Qual	PX-301827051	CDM	82705	CPT	301	RC		inpatient			18	18																																																			
HC Bilicheck Transcutaneous - Each Time	PX-301887201	CDM	88720	CPT	301	RC		outpatient			18	18	6.7				fee schedule		18				fee schedule		13.34				fee schedule		18				fee schedule		18				fee schedule		5.02				fee schedule		5.02				fee schedule		18				fee schedule		5.02	18	
HC Bilicheck Transcutaneous - Each Time	PX-301887201	CDM	88720	CPT	301	RC		inpatient			18	18																																																			
BRUSH CYTOLOGY L115 CM OD3 MM ODSEC1.7 MM STERILE LATEX FREE DISPOSABLE BRONCHOSCOPE	SUP-000107	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
BRUSH CYTOLOGY L115 CM OD3 MM ODSEC1.7 MM STERILE LATEX FREE DISPOSABLE BRONCHOSCOPE	SUP-000107	CDM			270	RC		inpatient			18	18																																																			
BRUSH CYTOLOGY CONMED L230 CM OD3 MM ODSEC2.1 MM GASTROINTESTINE SHEATH BRISTLE POSITIVE STOP THUMB RING STERILE LATEX FREE DISPOSABLE COLONOSCOPE	SUP-000110	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
BRUSH CYTOLOGY CONMED L230 CM OD3 MM ODSEC2.1 MM GASTROINTESTINE SHEATH BRISTLE POSITIVE STOP THUMB RING STERILE LATEX FREE DISPOSABLE COLONOSCOPE	SUP-000110	CDM			270	RC		inpatient			18	18																																																			
TUBING PRESSURE MONITOR POLYETHYLENE L48 IN MALE TO FEMALE CONNECTOR LUER LOCK TRANSDUCER LINE FIX STERILE DISPOSABLE	SUP-040104001A	CDM						inpatient			18	18																																																			
TUBING PRESSURE MONITOR POLYETHYLENE L48 IN MALE TO FEMALE CONNECTOR LUER LOCK TRANSDUCER LINE FIX STERILE DISPOSABLE	SUP-040104001A	CDM						outpatient			18	18	18				percent of total billed charges		18				other	OPPS APC	18				fee schedule		18				other	OPPS APC	18				other	OPPS APC	18				case rate		18				case rate		18				other	OPPS APC	18	18	
GUIDEWIRE VASCULAR CORDIS EMERALD 3MM RADIUS J 260CM 7CM .025IN HEPARIN PTFE DISPOSABLE STERILE LF PERCUTANEOUS FLEXIBLE	SUP-502452	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
GUIDEWIRE VASCULAR CORDIS EMERALD 3MM RADIUS J 260CM 7CM .025IN HEPARIN PTFE DISPOSABLE STERILE LF PERCUTANEOUS FLEXIBLE	SUP-502452	CDM			481	RC		inpatient			18	18																																																			
GUIDEWIRE VASCULAR CORDIS EMERALD 3MM RADIUS J 150CM 7CM .025IN HEPARIN PTFE DISPOSABLE STERILE LF PERCUTANEOUS FLEXIBLE	SUP-502524	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
GUIDEWIRE VASCULAR CORDIS EMERALD 3MM RADIUS J 150CM 7CM .025IN HEPARIN PTFE DISPOSABLE STERILE LF PERCUTANEOUS FLEXIBLE	SUP-502524	CDM			481	RC		inpatient			18	18																																																			
INTRODUCER SHEATH AVANTI+ STAINLESS STEEL .038 IN STANDARD HEXACUSPID L11 CM OD8 FR HEXCUSPID VALVE KINK RESISTANT CANNULA MINI GUIDEWIRE NO OBTURATOR DISPOSABLE BLUE	SUP-504608X	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
INTRODUCER SHEATH AVANTI+ STAINLESS STEEL .038 IN STANDARD HEXACUSPID L11 CM OD8 FR HEXCUSPID VALVE KINK RESISTANT CANNULA MINI GUIDEWIRE NO OBTURATOR DISPOSABLE BLUE	SUP-504608X	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-0793	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-0793	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-1948	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-1948	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-2527	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-2527	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC D-UR-2 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-777-5159	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC D-UR-2 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-777-5159	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-5371	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-5371	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL 5 CUSPID LOWER LEFT FIRST PERMANENT MOLAR PREFABRICATE PRETRIM CRIMP BELL	SUP-777-7122	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL 5 CUSPID LOWER LEFT FIRST PERMANENT MOLAR PREFABRICATE PRETRIM CRIMP BELL	SUP-777-7122	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-7892	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-7892	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-8601	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-8601	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 7 FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRETRIM CRIMP	SUP-777-8622	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 7 FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRETRIM CRIMP	SUP-777-8622	CDM			270	RC		inpatient			18	18																																																			
5F DXTERITY JL 3.5 DIAGNOSTIC CATHETER	SUP-DXT5JL35_70553	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
5F DXTERITY JL 3.5 DIAGNOSTIC CATHETER	SUP-DXT5JL35_70553	CDM			481	RC		inpatient			18	18																																																			
5F DXTERITY JL 4.0 DIAGNOSTIC CATHETER	SUP-DXT5JL40_70557	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
5F DXTERITY JL 4.0 DIAGNOSTIC CATHETER	SUP-DXT5JL40_70557	CDM			481	RC		inpatient			18	18																																																			
5F DXTERITY JL 4.5 DIAGNOSTIC CATHETER	SUP-DXT5JL45_70554	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
5F DXTERITY JL 4.5 DIAGNOSTIC CATHETER	SUP-DXT5JL45_70554	CDM			481	RC		inpatient			18	18																																																			
5F DXTERITY JL 5.0 DIAGNOSTIC CATHETER	SUP-DXT5JL50_70555	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
5F DXTERITY JL 5.0 DIAGNOSTIC CATHETER	SUP-DXT5JL50_70555	CDM			481	RC		inpatient			18	18																																																			
5F DXTERITY JR 4.0 DIAGNOSTIC CATHETER	SUP-DXT5JR40_70558	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
5F DXTERITY JR 4.0 DIAGNOSTIC CATHETER	SUP-DXT5JR40_70558	CDM			481	RC		inpatient			18	18																																																			
5F DXTERITY PIG STR DIAGNOSTIC CATHETER	SUP-DXT5PIGSTA_70556	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
5F DXTERITY PIG STR DIAGNOSTIC CATHETER	SUP-DXT5PIGSTA_70556	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY 3DRC DIAGNOSTIC CATHETER	SUP-DXT63DRC_70269	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY 3DRC DIAGNOSTIC CATHETER	SUP-DXT63DRC_70269	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY AL 2.0 DIAGNOSTIC CATHETER	SUP-DXT6AL20_70271	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY AL 2.0 DIAGNOSTIC CATHETER	SUP-DXT6AL20_70271	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE AMPLATZ LEFT 3 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6AL30_70272	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE AMPLATZ LEFT 3 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6AL30_70272	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY AR MOD DIAGNOSTIC CATHETER	SUP-DXT6ARM_70273	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY AR MOD DIAGNOSTIC CATHETER	SUP-DXT6ARM_70273	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY IMA DIAGNOSTIC CATHETER	SUP-DXT6IMA_70274	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY IMA DIAGNOSTIC CATHETER	SUP-DXT6IMA_70274	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY JL 3.5 DIAGNOSTIC CATHETER	SUP-DXT6JL35_70275	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY JL 3.5 DIAGNOSTIC CATHETER	SUP-DXT6JL35_70275	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY JL 4.0 DIAGNOSTIC CATHETER	SUP-DXT6JL40_70276	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY JL 4.0 DIAGNOSTIC CATHETER	SUP-DXT6JL40_70276	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS LEFT 4 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JL40X_70443	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS LEFT 4 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JL40X_70443	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY JL 4.5 DIAGNOSTIC CATHETER	SUP-DXT6JL45_70277	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY JL 4.5 DIAGNOSTIC CATHETER	SUP-DXT6JL45_70277	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS LEFT 5 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JL50_70278	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS LEFT 5 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JL50_70278	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS LEFT 5 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JL50X_70444	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS LEFT 5 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JL50X_70444	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY JL 6.0 DIAGNOSTIC CATHETER	SUP-DXT6JL60_70279	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY JL 6.0 DIAGNOSTIC CATHETER	SUP-DXT6JL60_70279	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY JR 3.5 DIAGNOSTIC CATHETER	SUP-DXT6JR35	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY JR 3.5 DIAGNOSTIC CATHETER	SUP-DXT6JR35	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY JR 4.0 DIAGNOSTIC CATHETER	SUP-DXT6JR40_70281	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY JR 4.0 DIAGNOSTIC CATHETER	SUP-DXT6JR40_70281	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 4 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR40X_70445	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 4 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR40X_70445	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 5 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR50_70282	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 5 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR50_70282	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 5 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR50X_70446	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 5 CURVE L125CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR50X_70446	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 6 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR60_70283	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE JUDKINS RIGHT 6 CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6JR60_70283	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE LEFT CORONARY BYPASS CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6LCB_70284	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE LEFT CORONARY BYPASS CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6LCB_70284	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE A CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPA_70285	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE A CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPA_70285	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE A CURVE L110CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPAA_70447	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE A CURVE L110CM OD 6FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPAA_70447	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE A CURVE L100 CM OD6 FR ID.056 IN LARGE LUMEN 2 SIDEHOLE RADIOPAQUE 2 BRAID WIRE STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPASH_70559	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE A CURVE L100 CM OD6 FR ID.056 IN LARGE LUMEN 2 SIDEHOLE RADIOPAQUE 2 BRAID WIRE STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPASH_70559	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE B CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPB_70286	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE MULTIPURPOSE B CURVE L100 CM OD 6 FR ID .056 IN LARGE LUMEN RADIOPAQUE 2 BRAID WIRE COLOR CODED HUB STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6MPB_70286	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY 145 PIGTAIL DIAGNOSTIC CATHETER	SUP-DXT6PIG45A_70287	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY 145 PIGTAIL DIAGNOSTIC CATHETER	SUP-DXT6PIG45A_70287	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY PIG STR DIAGNOSTIC CATHETER	SUP-DXT6PIGSTA_70288	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY PIG STR DIAGNOSTIC CATHETER	SUP-DXT6PIGSTA_70288	CDM			481	RC		inpatient			18	18																																																			
CATHETER DIAGNOSTIC DXTERITY INSLIDE PIGTAIL STRAIGHT CURVE L125 CM OD 6 FR ID .056 IN LARGE LUMEN 6 SIDEHOLE RADIOPAQUE 2 BRAID WIRE STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6PIGSTX_70289	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
CATHETER DIAGNOSTIC DXTERITY INSLIDE PIGTAIL STRAIGHT CURVE L125 CM OD 6 FR ID .056 IN LARGE LUMEN 6 SIDEHOLE RADIOPAQUE 2 BRAID WIRE STERILE ACCEPTS .038 IN GUIDEWIRE	SUP-DXT6PIGSTX_70289	CDM			481	RC		inpatient			18	18																																																			
6F DXTERITY RCB DIAGNOSTIC CATHETER	SUP-DXT6RCB_70290	CDM			481	RC		outpatient			18	18	8.82				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	8.82				percent of total billed charges		9.18				percent of total billed charges		18				other	OPPS APC	8.82	18	
6F DXTERITY RCB DIAGNOSTIC CATHETER	SUP-DXT6RCB_70290	CDM			481	RC		inpatient			18	18																																																			
DEVICE TORQUE OLCOTT HYDROPHILIC .014-.045 IN 1 HAND GUIDEWIRE STERILE DISPOSABLE	SUP-G13811	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
DEVICE TORQUE OLCOTT HYDROPHILIC .014-.045 IN 1 HAND GUIDEWIRE STERILE DISPOSABLE	SUP-G13811	CDM			270	RC		inpatient			18	18																																																			
SYRINGE MEDICAL 0.25 CC HIGH RESOLUTION	SUP-K01-07892	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
SYRINGE MEDICAL 0.25 CC HIGH RESOLUTION	SUP-K01-07892	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL6	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL6	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR4	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 4 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR4	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR5	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR5	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL6	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL6	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR6	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR6	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR7	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR7	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC E-LL-4 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-PDRP-ELL4	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC E-LL-4 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP REPLACEMENT	SUP-PDRP-ELL4	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR5	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR5	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR6	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELR6	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL2	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL2	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL3	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL3	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL5	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL5	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUR5	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUR5	CDM			270	RC		inpatient			18	18																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUR6	CDM			270	RC		outpatient			18	18	4.88				percent of total billed charges		18				other	OPPS APC	13.32				percent of total billed charges		18				other	OPPS APC	18				other	OPPS APC	4.88				percent of total billed charges		4.97				percent of total billed charges		18				other	OPPS APC	4.88	18	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUR6	CDM			270	RC		inpatient			18	18																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 6FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00937	CDM			270	RC		outpatient			17.98	17.98	4.87				percent of total billed charges		17.98				other	OPPS APC	13.31				percent of total billed charges		17.98				other	OPPS APC	17.98				other	OPPS APC	4.87				percent of total billed charges		4.97				percent of total billed charges		17.98				other	OPPS APC	4.87	17.98	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 6FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00937	CDM			270	RC		inpatient			17.98	17.98																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 5FR DISPOSABLE STERILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE	SUP-G00972	CDM			270	RC		outpatient			17.98	17.98	4.87				percent of total billed charges		17.98				other	OPPS APC	13.31				percent of total billed charges		17.98				other	OPPS APC	17.98				other	OPPS APC	4.87				percent of total billed charges		4.97				percent of total billed charges		17.98				other	OPPS APC	4.87	17.98	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 5FR DISPOSABLE STERILE RADIOPAQUE ACCEPTS .035IN GUIDEWIRE	SUP-G00972	CDM			270	RC		inpatient			17.98	17.98																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 15.5CM 8FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00980	CDM			270	RC		outpatient			17.98	17.98	4.87				percent of total billed charges		17.98				other	OPPS APC	13.31				percent of total billed charges		17.98				other	OPPS APC	17.98				other	OPPS APC	4.87				percent of total billed charges		4.97				percent of total billed charges		17.98				other	OPPS APC	4.87	17.98	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 15.5CM 8FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00980	CDM			270	RC		inpatient			17.98	17.98																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 9FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00992	CDM			270	RC		outpatient			17.98	17.98	4.87				percent of total billed charges		17.98				other	OPPS APC	13.31				percent of total billed charges		17.98				other	OPPS APC	17.98				other	OPPS APC	4.87				percent of total billed charges		4.97				percent of total billed charges		17.98				other	OPPS APC	4.87	17.98	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 9FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00992	CDM			270	RC		inpatient			17.98	17.98																																																			
MAGNESIUM SULFATE PER 500 MG OF MAGNESIUM	636000000	CDM	63323-064-01	NDC	J3475	HCPCS		inpatient			17.91	17.91																																																			
MAGNESIUM SULFATE PER 500 MG OF MAGNESIUM	636000000	CDM	63323-064-01	NDC	J3475	HCPCS		outpatient			17.91	17.91																																															other	OPPS APC			
DRAPE SURGICAL CONVERTORS TIBURON L40 IN X W4 IN HIP REINFORCE EMERALD ADHESIVE STRIP SPLIT SHEET STERILE LATEX FREE DISPOSABLE	SUP-59438	CDM			270	RC		outpatient			17.91	17.91	4.85				percent of total billed charges		17.91				other	OPPS APC	13.25				percent of total billed charges		17.91				other	OPPS APC	17.91				other	OPPS APC	4.85				percent of total billed charges		4.95				percent of total billed charges		17.91				other	OPPS APC	4.85	17.91	
DRAPE SURGICAL CONVERTORS TIBURON L40 IN X W4 IN HIP REINFORCE EMERALD ADHESIVE STRIP SPLIT SHEET STERILE LATEX FREE DISPOSABLE	SUP-59438	CDM			270	RC		inpatient			17.91	17.91																																																			
SHEATH INTRODUCER PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM OD11 FR PERIPHERAL GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS103	CDM			270	RC		outpatient			17.8	17.81	4.82				percent of total billed charges		17.8				other	OPPS APC	13.17				percent of total billed charges		17.8				other	OPPS APC	17.8				other	OPPS APC	4.82				percent of total billed charges		4.92				percent of total billed charges		17.81				other	OPPS APC	4.82	17.81	
SHEATH INTRODUCER PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM OD11 FR PERIPHERAL GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS103	CDM			270	RC		inpatient			17.8	17.8																																																			
CAUTERY BATTERY DIAGNOSTICK L2 IN OPHTHALMIC PENCIL CORDLESS HIGH TEMPERATURE LOOP STERILE LATEX FREE DISPOSABLE	SUP-AA05	CDM			270	RC		outpatient			17.78	17.78	4.82				percent of total billed charges		17.78				other	OPPS APC	13.16				percent of total billed charges		17.78				other	OPPS APC	17.78				other	OPPS APC	4.82				percent of total billed charges		4.91				percent of total billed charges		17.78				other	OPPS APC	4.82	17.78	
CAUTERY BATTERY DIAGNOSTICK L2 IN OPHTHALMIC PENCIL CORDLESS HIGH TEMPERATURE LOOP STERILE LATEX FREE DISPOSABLE	SUP-AA05	CDM			270	RC		inpatient			17.78	17.78																																																			
METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN 1 EACH VIAL	636000000	CDM	0009-0039-30	NDC	J2919	HCPCS		inpatient			17.76	17.76																																																			
METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON SOLN 1 EACH VIAL	636000000	CDM	0009-0039-30	NDC	J2919	HCPCS		outpatient			17.76	17.76																																															other	OPPS APC			
POTASSIUM CHLORID-D5-0.45%NACL 20 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0671-04	NDC				inpatient			17.72	17.72																																																			
POTASSIUM CHLORID-D5-0.45%NACL 20 MEQ/L PARENTERAL SOLUTION	250000000	CDM	0338-0671-04	NDC				outpatient			17.72	17.72																																															other	OPPS APC			
SCISSORS SURGICAL IRIS L4.5 IN STRAIGHT MATTE	SUP-359100	CDM						inpatient			17.72	17.72																																																			
SCISSORS SURGICAL IRIS L4.5 IN STRAIGHT MATTE	SUP-359100	CDM						outpatient			17.72	17.72	17.72				percent of total billed charges		17.72				other	OPPS APC	17.72				fee schedule		17.72				other	OPPS APC	17.72				other	OPPS APC	17.72				case rate		17.72				case rate		17.72				other	OPPS APC	17.72	17.72	
DRESSING HYDROCOLLOID RESTORE L8 IN X W6 IN TRIACT TECHNOLOGY CONTACT LAYER FLEXIBLE HIGHLY CONFORMABLE NONADHERENT STERILE	SUP-506489	CDM			270	RC		outpatient			17.63	17.63	4.78				percent of total billed charges		17.63				other	OPPS APC	13.05				percent of total billed charges		17.63				other	OPPS APC	17.63				other	OPPS APC	4.78				percent of total billed charges		4.87				percent of total billed charges		17.63				other	OPPS APC	4.78	17.63	
DRESSING HYDROCOLLOID RESTORE L8 IN X W6 IN TRIACT TECHNOLOGY CONTACT LAYER FLEXIBLE HIGHLY CONFORMABLE NONADHERENT STERILE	SUP-506489	CDM			270	RC		inpatient			17.63	17.63																																																			
FILTERLINE CAPNOGRAPHY SAMPLING	SUP-010-700U	CDM			270	RC		outpatient			17.6	17.61	4.77				percent of total billed charges		17.6				other	OPPS APC	13.02				percent of total billed charges		17.6				other	OPPS APC	17.6				other	OPPS APC	4.77				percent of total billed charges		4.86				percent of total billed charges		17.61				other	OPPS APC	4.77	17.61	
FILTERLINE CAPNOGRAPHY SAMPLING	SUP-010-700U	CDM			270	RC		inpatient			17.6	17.6																																																			
ACETIC ACID 5 % LIQUID	250000000	CDM	5155200556	NDC				inpatient			17.55	17.55																																																			
ACETIC ACID 5 % LIQUID	250000000	CDM	5155200556	NDC				outpatient			17.55	17.55																																															other	OPPS APC			
CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9139-01	NDC	J0688	HCPCS		inpatient			17.55	17.55																																																			
CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	0143-9139-01	NDC	J0688	HCPCS		outpatient			17.55	17.55																																															other	OPPS APC			
CEFUROXIME PER 750 MG	636000000	CDM	0143-9977-22	NDC	J0697	HCPCS		inpatient			17.54	17.54																																																			
CEFUROXIME PER 750 MG	636000000	CDM	0143-9977-22	NDC	J0697	HCPCS		outpatient			17.54	17.54																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-006-01	NDC	J1650	HCPCS		inpatient			17.5	17.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-165-01	NDC	J1650	HCPCS		inpatient			17.5	17.5																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	16714-006-01	NDC	J1650	HCPCS		outpatient			17.5	17.5																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	72603-165-01	NDC	J1650	HCPCS		outpatient			17.5	17.5																																															other	OPPS APC			
6F AR MOD DIAGNOSTIC CATHETER 100CM	SUP-534641T	CDM			481	RC		outpatient			17.5	17.5	8.58				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	8.58				percent of total billed charges		8.93				percent of total billed charges		17.5				other	OPPS APC	8.58	17.5	
6F AR MOD DIAGNOSTIC CATHETER 100CM	SUP-534641T	CDM			481	RC		inpatient			17.5	17.5																																																			
CATHETER ANGIOGRAPHIC INFINITI VESTAN PIGTAIL CURVE STRAIGHT L110 CM OD6 FR VENTRICULAR 6 SIDEHOLE ACCEPTS .038 IN GUIDEWIRE	SUP-534650S	CDM						inpatient			17.5	17.5																																																			
CATHETER ANGIOGRAPHIC INFINITI VESTAN PIGTAIL CURVE STRAIGHT L110 CM OD6 FR VENTRICULAR 6 SIDEHOLE ACCEPTS .038 IN GUIDEWIRE	SUP-534650S	CDM						outpatient			17.5	17.5	17.5				percent of total billed charges		17.5				other	OPPS APC	17.5				fee schedule		17.5				other	OPPS APC	17.5				other	OPPS APC	17.5				case rate		17.5				case rate		17.5				other	OPPS APC	17.5	17.5	
DEVICE SECUREMENT STAYFIX SMALL OD5-14 FR DRAIN CATHETER FASTENER FIXATION STERILE LATEX FREE PERCUTANEOUS CATHETER	SUP-680ME	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
DEVICE SECUREMENT STAYFIX SMALL OD5-14 FR DRAIN CATHETER FASTENER FIXATION STERILE LATEX FREE PERCUTANEOUS CATHETER	SUP-680ME	CDM			270	RC		inpatient			17.5	17.5																																																			
DEVICE DRAINAGE STAYFIX OD12-22 FR FIXATION FASTEN SHOWERCAP PERCUTANEOUS CATHETER	SUP-685ME	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
DEVICE DRAINAGE STAYFIX OD12-22 FR FIXATION FASTEN SHOWERCAP PERCUTANEOUS CATHETER	SUP-685ME	CDM			270	RC		inpatient			17.5	17.5																																																			
SHEATH INTRODUCER PINNACLE STAINLESS STEEL .035IN L10 CM L2.5 CM ID11 FR PERIPHERAL SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE	SUP-RSS101	CDM			272	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
SHEATH INTRODUCER PINNACLE STAINLESS STEEL .035IN L10 CM L2.5 CM ID11 FR PERIPHERAL SNAP ON DILATOR LOCK KINK RESISTANT SMOOTH TRANSITION SPRING COIL GUIDEWIRE	SUP-RSS101	CDM			272	RC		inpatient			17.5	17.5																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC L10 CM L2.5 CM OD4 FR PERIPHERAL KINK RESISTANT DESIGN CROSS CUT VALVE SMOOTH TRANSITION DILATOR	SUP-RSS403	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
INTRODUCER SHEATH PINNACLE HYDROPHILIC L10 CM L2.5 CM OD4 FR PERIPHERAL KINK RESISTANT DESIGN CROSS CUT VALVE SMOOTH TRANSITION DILATOR	SUP-RSS403	CDM			270	RC		inpatient			17.5	17.5																																																			
SHEATH INTRODUCER PINNACLE .038IN 10CM 2.5CM 5FR HYDROPHILIC PTFE KINK RESISTANT DILATOR GUIDEWIRE	SUP-RSS503	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
SHEATH INTRODUCER PINNACLE .038IN 10CM 2.5CM 5FR HYDROPHILIC PTFE KINK RESISTANT DILATOR GUIDEWIRE	SUP-RSS503	CDM			270	RC		inpatient			17.5	17.5																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .035 IN L10 CM L2.5 CM OD6 FR MINI GUIDEWIRE DILATOR	SUP-RSS603	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .035 IN L10 CM L2.5 CM OD6 FR MINI GUIDEWIRE DILATOR	SUP-RSS603	CDM			270	RC		inpatient			17.5	17.5																																																			
SHEATH INTRODUCER PINNACLE DESTINATION PTFE HYDROPHILIC L10 CM L2.5 CM OD7 FR PERIPHERAL KINK RESISTANT DESIGN CROSS CUT VALVE SMOOTH TRANSITION DILATOR	SUP-RSS703	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
SHEATH INTRODUCER PINNACLE DESTINATION PTFE HYDROPHILIC L10 CM L2.5 CM OD7 FR PERIPHERAL KINK RESISTANT DESIGN CROSS CUT VALVE SMOOTH TRANSITION DILATOR	SUP-RSS703	CDM			270	RC		inpatient			17.5	17.5																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .035 IN L10 CM L2.5 CM ID8 FR PERIPHERAL DILATOR KINK RESISTANT	SUP-RSS803	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .035 IN L10 CM L2.5 CM ID8 FR PERIPHERAL DILATOR KINK RESISTANT	SUP-RSS803	CDM			270	RC		inpatient			17.5	17.5																																																			
SHEATH INTRODUCER PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM OD9 FR GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS903	CDM			270	RC		outpatient			17.5	17.5	4.74				percent of total billed charges		17.5				other	OPPS APC	12.95				percent of total billed charges		17.5				other	OPPS APC	17.5				other	OPPS APC	4.74				percent of total billed charges		4.84				percent of total billed charges		17.5				other	OPPS APC	4.74	17.5	
SHEATH INTRODUCER PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM OD9 FR GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS903	CDM			270	RC		inpatient			17.5	17.5																																																			
BURR SURGICAL CARBIDE MEDIUM MICRO L19 MM OD2 MM TAPERED 6 FLUTED STERILE	SUP-00509121400	CDM			270	RC		outpatient			17.46	17.46	4.73				percent of total billed charges		17.46				other	OPPS APC	12.92				percent of total billed charges		17.46				other	OPPS APC	17.46				other	OPPS APC	4.73				percent of total billed charges		4.82				percent of total billed charges		17.46				other	OPPS APC	4.73	17.46	
BURR SURGICAL CARBIDE MEDIUM MICRO L19 MM OD2 MM TAPERED 6 FLUTED STERILE	SUP-00509121400	CDM			270	RC		inpatient			17.46	17.46																																																			
CATHETER URETERAL PLASTIC WHISTLE L65 CM OD4 FR 2 STAGGER EYE LUER FIT ADAPTER COLOR CODED XRAY OPAQUE STERILE LATEX FREE DISPOSABLE	SUP-331104	CDM			270	RC		outpatient			17.42	17.42	4.72				percent of total billed charges		17.42				other	OPPS APC	12.89				percent of total billed charges		17.42				other	OPPS APC	17.42				other	OPPS APC	4.72				percent of total billed charges		4.81				percent of total billed charges		17.42				other	OPPS APC	4.72	17.42	
CATHETER URETERAL PLASTIC WHISTLE L65 CM OD4 FR 2 STAGGER EYE LUER FIT ADAPTER COLOR CODED XRAY OPAQUE STERILE LATEX FREE DISPOSABLE	SUP-331104	CDM			270	RC		inpatient			17.42	17.42																																																			
DEVICE ENDOSCOPIC PLUNGE BOB POLY OD10 MM PORT CLEANER Q TIP ABSORBENT OBTURATOR	SUP-SC-01	CDM			270	RC		outpatient			17.41	17.41	4.72				percent of total billed charges		17.41				other	OPPS APC	12.88				percent of total billed charges		17.41				other	OPPS APC	17.41				other	OPPS APC	4.72				percent of total billed charges		4.81				percent of total billed charges		17.41				other	OPPS APC	4.72	17.41	
DEVICE ENDOSCOPIC PLUNGE BOB POLY OD10 MM PORT CLEANER Q TIP ABSORBENT OBTURATOR	SUP-SC-01	CDM			270	RC		inpatient			17.41	17.41																																																			
DEXTROSE 5 % PIGGYBACK 100 ML BAG	636000000	CDM	0338-0551-18	NDC	J7060	HCPCS		inpatient			17.39	17.39																																																			
DEXTROSE 5 % PIGGYBACK 100 ML BAG	636000000	CDM	0338-0551-18	NDC	J7060	HCPCS		outpatient			17.39	17.39																																															other	OPPS APC			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-0553-18	NDC	J7050	HCPCS		inpatient			17.39	17.39																																																			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-0553-18	NDC	J7050	HCPCS		outpatient			17.39	17.39																																															other	OPPS APC			
INTRODUCER SHEATH AVANTI+ .038IN 11CM 17CM 6FR GREEN FEP SILICONE DISPOSABLE MINI GUIDEWIRE ROTATE SUTURE COLLAR KINK	SUP-504-606X	CDM	270009027	LOCAL	270	RC		outpatient			17.28	17.28	4.68				percent of total billed charges		17.28				other	OPPS APC	12.79				percent of total billed charges		17.28				other	OPPS APC	17.28				other	OPPS APC	4.68				percent of total billed charges		4.77				percent of total billed charges		17.28				other	OPPS APC	4.68	17.28	
INTRODUCER SHEATH AVANTI+ .038IN 11CM 17CM 6FR GREEN FEP SILICONE DISPOSABLE MINI GUIDEWIRE ROTATE SUTURE COLLAR KINK	SUP-504-606X	CDM	270009027	LOCAL	270	RC		inpatient			17.28	17.28																																																			
INTRODUCER SUPRAPUBIC SUPRAFOLEY PLASTIC OD16 FR SHARP TIP BEVELLED TROCAR STERILE LATEX FREE DISPOSABLE	SUP-AC851	CDM	270009027	LOCAL	270	RC		outpatient			17.28	17.28	4.68				percent of total billed charges		17.28				other	OPPS APC	12.79				percent of total billed charges		17.28				other	OPPS APC	17.28				other	OPPS APC	4.68				percent of total billed charges		4.77				percent of total billed charges		17.28				other	OPPS APC	4.68	17.28	
INTRODUCER SUPRAPUBIC SUPRAFOLEY PLASTIC OD16 FR SHARP TIP BEVELLED TROCAR STERILE LATEX FREE DISPOSABLE	SUP-AC851	CDM	270009027	LOCAL	270	RC		inpatient			17.28	17.28																																																			
CATHETER RENAL TORCON STAINLESS STEEL COBRA CURVE L65 CM OD6 FR INNER BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-G14408	CDM	270009106	LOCAL	270	RC		outpatient			17.27	17.27	4.68				percent of total billed charges		17.27				other	OPPS APC	12.78				percent of total billed charges		17.27				other	OPPS APC	17.27				other	OPPS APC	4.68				percent of total billed charges		4.77				percent of total billed charges		17.27				other	OPPS APC	4.68	17.27	
CATHETER RENAL TORCON STAINLESS STEEL COBRA CURVE L65 CM OD6 FR INNER BRAID ACCEPTS .038 IN GUIDEWIRE	SUP-G14408	CDM	270009106	LOCAL	270	RC		inpatient			17.27	17.27																																																			
SODIUM CHLORIDE 0.45% 0.45 % PARENTERAL SOLUTION	250000000	CDM	0338-0043-04	NDC				inpatient			17.23	17.23																																																			
SODIUM CHLORIDE 0.45% 0.45 % PARENTERAL SOLUTION	250000000	CDM	0338-0043-04	NDC				outpatient			17.23	17.23																																															other	OPPS APC			
TRAY TRACHEOSTOMY CARE ARGYLE HYDROGEN PEROXIDE SALINE COMPACT DESIGN KIT GLOVE LATEX FREE	SUP-47802	CDM	270009135	LOCAL	270	RC		outpatient			17.16	17.16	4.65				percent of total billed charges		17.16				other	OPPS APC	12.7				percent of total billed charges		17.16				other	OPPS APC	17.16				other	OPPS APC	4.65				percent of total billed charges		4.74				percent of total billed charges		17.16				other	OPPS APC	4.65	17.16	
TRAY TRACHEOSTOMY CARE ARGYLE HYDROGEN PEROXIDE SALINE COMPACT DESIGN KIT GLOVE LATEX FREE	SUP-47802	CDM	270009135	LOCAL	270	RC		inpatient			17.16	17.16																																																			
CATHETER 28 TROCAR	SUP-522228	CDM	270009135	LOCAL	270	RC		outpatient			17.16	17.16	4.65				percent of total billed charges		17.16				other	OPPS APC	12.7				percent of total billed charges		17.16				other	OPPS APC	17.16				other	OPPS APC	4.65				percent of total billed charges		4.74				percent of total billed charges		17.16				other	OPPS APC	4.65	17.16	
CATHETER 28 TROCAR	SUP-522228	CDM	270009135	LOCAL	270	RC		inpatient			17.16	17.16																																																			
CEFEPIME PER 500 MG	636000000	CDM	44567-240-10	NDC	J0692	HCPCS		inpatient			17.1	17.1																																																			
CEFEPIME PER 500 MG	636000000	CDM	44567-240-10	NDC	J0692	HCPCS		outpatient			17.1	17.1																																															other	OPPS APC			
BRAIN LAB SPHERES   41773B	SUP-41773B	CDM			270	RC		outpatient			17.07	17.7	4.62				percent of total billed charges		17.07				other	OPPS APC	12.63				percent of total billed charges		17.07				other	OPPS APC	17.07				other	OPPS APC	4.62				percent of total billed charges		4.72				percent of total billed charges		17.7				other	OPPS APC	4.62	17.7	
BRAIN LAB SPHERES   41773B	SUP-41773B	CDM			270	RC		inpatient			17.07	17.07																																																			
HC Eosinophil Smear (Eosm)	PX-300891900	CDM	89190	CPT	300	RC		outpatient			17	5.79	6.35				fee schedule		5.79				fee schedule		12.62				fee schedule		5.79				fee schedule		5.79				fee schedule		5.79				fee schedule		5.79				fee schedule		5.79				fee schedule		5.79	12.62	
HC Eosinophil Smear (Eosm)	PX-300891900	CDM	89190	CPT	300	RC		inpatient			17	17																																																			
HC OP Recovery Ea 15 Min Aft Init 30min	PX-710000004	CDM	710000004	LOCAL	710	RC		outpatient			17	17	15.45				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	15.45				percent of total billed charges		15.76				percent of total billed charges		17				other	OPPS APC	12.58	17	
HC OP Recovery Ea 15 Min Aft Init 30min	PX-710000004	CDM	710000004	LOCAL	710	RC		inpatient			17	17																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN JR6 CURVE L100 CM OD5 FR POSTSTENOTIC	SUP-534525T	CDM			481	RC		outpatient			17	17	8.33				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	8.33				percent of total billed charges		8.67				percent of total billed charges		17				other	OPPS APC	8.33	17	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN JR6 CURVE L100 CM OD5 FR POSTSTENOTIC	SUP-534525T	CDM			481	RC		inpatient			17	17																																																			
5F AL3 DIAGNOSTIC CATHETER	SUP-534-547T	CDM			481	RC		outpatient			17	17	8.33				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	8.33				percent of total billed charges		8.67				percent of total billed charges		17				other	OPPS APC	8.33	17	
5F AL3 DIAGNOSTIC CATHETER	SUP-534-547T	CDM			481	RC		inpatient			17	17																																																			
6F AL3 DIAGNOSTIC CATHETER 100CM	SUP-534647T	CDM			481	RC		outpatient			17	17	8.33				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	8.33				percent of total billed charges		8.67				percent of total billed charges		17				other	OPPS APC	8.33	17	
6F AL3 DIAGNOSTIC CATHETER 100CM	SUP-534647T	CDM			481	RC		inpatient			17	17																																																			
6F RCB	SUP-534670T	CDM			481	RC		outpatient			17	17	8.33				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	8.33				percent of total billed charges		8.67				percent of total billed charges		17				other	OPPS APC	8.33	17	
6F RCB	SUP-534670T	CDM			481	RC		inpatient			17	17																																																			
NEPTUNE FLUID TRAP	SUP-703040001	CDM			270	RC		outpatient			17	17	4.61				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	4.61				percent of total billed charges		4.7				percent of total billed charges		17				other	OPPS APC	4.61	17	
NEPTUNE FLUID TRAP	SUP-703040001	CDM			270	RC		inpatient			17	17																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID6 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS602	CDM	270009215	LOCAL	270	RC		outpatient			17	17	4.61				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	4.61				percent of total billed charges		4.7				percent of total billed charges		17				other	OPPS APC	4.61	17	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID6 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS602	CDM	270009215	LOCAL	270	RC		inpatient			17	17																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID7 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS702	CDM			481	RC		outpatient			17	17	8.33				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	8.33				percent of total billed charges		8.67				percent of total billed charges		17				other	OPPS APC	8.33	17	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID7 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS702	CDM			481	RC		inpatient			17	17																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID8 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS802	CDM	270009215	LOCAL	270	RC		outpatient			17	17	4.61				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	4.61				percent of total billed charges		4.7				percent of total billed charges		17				other	OPPS APC	4.61	17	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID8 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS802	CDM	270009215	LOCAL	270	RC		inpatient			17	17																																																			
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID9 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS902	CDM			481	RC		outpatient			17	17	8.33				percent of total billed charges		17				other	OPPS APC	12.58				percent of total billed charges		17				other	OPPS APC	17				other	OPPS APC	8.33				percent of total billed charges		8.67				percent of total billed charges		17				other	OPPS APC	8.33	17	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID9 FR CORONARY GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS902	CDM			481	RC		inpatient			17	17																																																			
CATHETER URETHRAL BARD NATURAL RUBBER HYDROGEL SILICONE ELASTOMER STANDARD OD20 FR 30 CC 3 WAY 2 STAGGER DRAINAGE EYE FOLEY MEDIUM ROUND TIP STERILE LATEX DISPOSABLE	SUP-0167L20	CDM						inpatient			16.97	16.97																																																			
CATHETER URETHRAL BARD NATURAL RUBBER HYDROGEL SILICONE ELASTOMER STANDARD OD20 FR 30 CC 3 WAY 2 STAGGER DRAINAGE EYE FOLEY MEDIUM ROUND TIP STERILE LATEX DISPOSABLE	SUP-0167L20	CDM						outpatient			16.97	16.97	16.97				percent of total billed charges		16.97				other	OPPS APC	16.97				fee schedule		16.97				other	OPPS APC	16.97				other	OPPS APC	16.97				case rate		16.97				case rate		16.97				other	OPPS APC	16.97	16.97	
SENSOR PULSE OXIMETRY DISPOSABLE PEDIATRIC ADHESIVE STRAP 18IN CABLE F/OXISENSOR II	SUP-MAXP	CDM			270	RC		outpatient			16.97	16.97	4.6				percent of total billed charges		16.97				other	OPPS APC	12.56				percent of total billed charges		16.97				other	OPPS APC	16.97				other	OPPS APC	4.6				percent of total billed charges		4.69				percent of total billed charges		16.97				other	OPPS APC	4.6	16.97	
SENSOR PULSE OXIMETRY DISPOSABLE PEDIATRIC ADHESIVE STRAP 18IN CABLE F/OXISENSOR II	SUP-MAXP	CDM			270	RC		inpatient			16.97	16.97																																																			
GLYCOPYRROLATE 0.2 MG/ML SOLUTION	636000000	CDM	70069-012-25	NDC	J1596	HCPCS		inpatient			16.88	16.88																																																			
GLYCOPYRROLATE 0.2 MG/ML SOLUTION	636000000	CDM	70069-012-25	NDC	J1596	HCPCS		outpatient			16.88	16.88																																															other	OPPS APC			
WEDGE POSITIONING DEVON FOAM L17 IN X W7.5 IN X H7.5 IN OR TABLE LATEX FREE	SUP-NON081244	CDM						inpatient			16.86	16.86																																																			
WEDGE POSITIONING DEVON FOAM L17 IN X W7.5 IN X H7.5 IN OR TABLE LATEX FREE	SUP-NON081244	CDM						outpatient			16.86	16.86	16.86				percent of total billed charges		16.86				other	OPPS APC	16.86				fee schedule		16.86				other	OPPS APC	16.86				other	OPPS APC	16.86				case rate		16.86				case rate		16.86				other	OPPS APC	16.86	16.86	
"GELATIN SPONGE,ABSORB-PORCINE 12-7 MM SPONGE"	250000000	CDM	6371301972	NDC				inpatient			16.85	16.85																																																			
"GELATIN SPONGE,ABSORB-PORCINE 12-7 MM SPONGE"	250000000	CDM	6371301972	NDC				outpatient			16.85	16.85																																															other	OPPS APC			
SUTURE NONABSORBABLE STAINLESS STEEL 4-0 V-26 TS L14 IN 2 ARM MONOFILAMENT 2 STRAND BUTTON	SUP-540G	CDM			270	RC		outpatient			16.85	16.85	4.56				percent of total billed charges		16.85				other	OPPS APC	12.47				percent of total billed charges		16.85				other	OPPS APC	16.85				other	OPPS APC	4.56				percent of total billed charges		4.66				percent of total billed charges		16.85				other	OPPS APC	4.56	16.85	
SUTURE NONABSORBABLE STAINLESS STEEL 4-0 V-26 TS L14 IN 2 ARM MONOFILAMENT 2 STRAND BUTTON	SUP-540G	CDM			270	RC		inpatient			16.85	16.85																																																			
COLCHICINE 0.6 MG TABLET	637000000	CDM	43598-372-30	NDC	A9270	HCPCS		inpatient			16.84	16.84																																																			
COLCHICINE 0.6 MG TABLET	637000000	CDM	43598-372-30	NDC	A9270	HCPCS		outpatient			16.84	16.84																																															other	OPPS APC			
FORCEPS SURGICAL CRILE JARIT STAINLESS STEEL STRAIGHT L5.5 IN STRAIGHT SATIN NONSTERILE	SUP-106120	CDM						inpatient			16.84	16.84																																																			
FORCEPS SURGICAL CRILE JARIT STAINLESS STEEL STRAIGHT L5.5 IN STRAIGHT SATIN NONSTERILE	SUP-106120	CDM						outpatient			16.84	16.84	16.84				percent of total billed charges		16.84				other	OPPS APC	16.84				fee schedule		16.84				other	OPPS APC	16.84				other	OPPS APC	16.84				case rate		16.84				case rate		16.84				other	OPPS APC	16.84	16.84	
LIDOCAINE 2 % SOLUTION	637000000	CDM	0121-4950-15	NDC	A9270	HCPCS		inpatient			16.82	16.82																																																			
LIDOCAINE 2 % SOLUTION	637000000	CDM	0121-4950-15	NDC	A9270	HCPCS		outpatient			16.82	16.82																																															other	OPPS APC			
TUBE FEEDING NEOCONNECT ENFIT POLYURETHANE L60 CM OD 5 FR ENTERAL RADIOPAQUE BOTTOMLESS HUB CLOSURE PLUG WAVE PATTERN DEHP FREE PURPLE	SUP-PFTM5.0P-NC	CDM			270	RC		outpatient			16.81	16.9	4.55				percent of total billed charges		16.81				other	OPPS APC	12.44				percent of total billed charges		16.81				other	OPPS APC	16.81				other	OPPS APC	4.55				percent of total billed charges		4.64				percent of total billed charges		16.9				other	OPPS APC	4.55	16.9	
TUBE FEEDING NEOCONNECT ENFIT POLYURETHANE L60 CM OD 5 FR ENTERAL RADIOPAQUE BOTTOMLESS HUB CLOSURE PLUG WAVE PATTERN DEHP FREE PURPLE	SUP-PFTM5.0P-NC	CDM			270	RC		inpatient			16.81	16.81																																																			
TUBE NASOGASTRIC TUM-E-VAC ADULT L48 IN OD32 FR 1 LUMEN RADIOPAQUE NONSTERILE LATEX FREE DISPOSABLE	SUP-2132	CDM			270	RC		outpatient			16.71	16.71	4.53				percent of total billed charges		16.71				other	OPPS APC	12.37				percent of total billed charges		16.71				other	OPPS APC	16.71				other	OPPS APC	4.53				percent of total billed charges		4.62				percent of total billed charges		16.71				other	OPPS APC	4.53	16.71	
TUBE NASOGASTRIC TUM-E-VAC ADULT L48 IN OD32 FR 1 LUMEN RADIOPAQUE NONSTERILE LATEX FREE DISPOSABLE	SUP-2132	CDM			270	RC		inpatient			16.71	16.71																																																			
5F JL4 DIAGNOSTIC CATHETER	SUP-534520T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
5F JL4 DIAGNOSTIC CATHETER	SUP-534520T	CDM			481	RC		inpatient			16.7	16.7																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN AMPLATZ RIGHT 1 MODIFIED CURVE 100CM 5FR .067IN .047IN VESTAN RADIOPAQUE THIN	SUP-534541T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN AMPLATZ RIGHT 1 MODIFIED CURVE 100CM 5FR .067IN .047IN VESTAN RADIOPAQUE THIN	SUP-534541T	CDM			481	RC		inpatient			16.7	16.7																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN AMPLATZ RIGHT 2 MODIFIED CURVE 100CM 5FR .047IN VESTAN RADIOPAQUE THIN WALL	SUP-534543T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN AMPLATZ RIGHT 2 MODIFIED CURVE 100CM 5FR .047IN VESTAN RADIOPAQUE THIN WALL	SUP-534543T	CDM			481	RC		inpatient			16.7	16.7																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN STANDARD AMPLATZ LEFT 1 CURVE 100CM 5FR VESTAN BRAID ATRAUMATIC SELECTIVE	SUP-534-545T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN STANDARD AMPLATZ LEFT 1 CURVE 100CM 5FR VESTAN BRAID ATRAUMATIC SELECTIVE	SUP-534-545T	CDM			481	RC		inpatient			16.7	16.7																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN AMPLATZ LEFT 2 CURVE L100 CM OD5 FR ID.048 IN IDSEC.047 IN SELECTIVE RADIOPAQUE THIN WALL DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-534-546T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN AMPLATZ LEFT 2 CURVE L100 CM OD5 FR ID.048 IN IDSEC.047 IN SELECTIVE RADIOPAQUE THIN WALL DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-534-546T	CDM			481	RC		inpatient			16.7	16.7																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN INTERNAL MAMMARY CURVE 100CM 5FR VESTAN RADIOPAQUE THIN WALL TORQUE CONTROL LG	SUP-534560T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN INTERNAL MAMMARY CURVE 100CM 5FR VESTAN RADIOPAQUE THIN WALL TORQUE CONTROL LG	SUP-534560T	CDM			481	RC		inpatient			16.7	16.7																																																			
6F MPA2 DIAGNOSTIC CATHETER 100CM	SUP-534642T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
6F MPA2 DIAGNOSTIC CATHETER 100CM	SUP-534642T	CDM			481	RC		inpatient			16.7	16.7																																																			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN STAINLESS STEEL AMPLATZ RIGHT 2 MODIFY CURVE L100 CM OD6 FR ODSEC.079 IN ID.057 IN 3 STAGE BRAID RADIOPAQUE SOFT DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-534643T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN STAINLESS STEEL AMPLATZ RIGHT 2 MODIFY CURVE L100 CM OD6 FR ODSEC.079 IN ID.057 IN 3 STAGE BRAID RADIOPAQUE SOFT DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-534643T	CDM			481	RC		inpatient			16.7	16.7																																																			
6F AL2 DIAGNOSTIC CATHETER 100CM	SUP-534646T	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
6F AL2 DIAGNOSTIC CATHETER 100CM	SUP-534646T	CDM			481	RC		inpatient			16.7	16.7																																																			
4F JR4 CORDIS DIAGNOSTIC CATHETER	SUP-538421	CDM			481	RC		outpatient			16.7	16.7	8.18				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	8.18				percent of total billed charges		8.52				percent of total billed charges		16.7				other	OPPS APC	8.18	16.7	
4F JR4 CORDIS DIAGNOSTIC CATHETER	SUP-538421	CDM			481	RC		inpatient			16.7	16.7																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C014D	CDM			270	RC		outpatient			16.7	16.7	4.52				percent of total billed charges		16.7				other	OPPS APC	12.36				percent of total billed charges		16.7				other	OPPS APC	16.7				other	OPPS APC	4.52				percent of total billed charges		4.61				percent of total billed charges		16.7				other	OPPS APC	4.52	16.7	
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C014D	CDM			270	RC		inpatient			16.7	16.7																																																			
LOOP VESSEL RETRACT-O-TAPE STAINLESS STEEL SILICONE MAXI ROUND L12 IN OD18 GA VASCULAR AIR CUSHION CURVE BLUNT TIP THIN WALL NEEDLE LATEX FREE WHITE	SUP-1041	CDM						inpatient			16.66	16.66																																																			
LOOP VESSEL RETRACT-O-TAPE STAINLESS STEEL SILICONE MAXI ROUND L12 IN OD18 GA VASCULAR AIR CUSHION CURVE BLUNT TIP THIN WALL NEEDLE LATEX FREE WHITE	SUP-1041	CDM						outpatient			16.66	16.66	16.66				percent of total billed charges		16.66				other	OPPS APC	16.66				fee schedule		16.66				other	OPPS APC	16.66				other	OPPS APC	16.66				case rate		16.66				case rate		16.66				other	OPPS APC	16.66	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 7FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00973	CDM			270	RC		outpatient			16.66	16.66	4.51				percent of total billed charges		16.66				other	OPPS APC	12.33				percent of total billed charges		16.66				other	OPPS APC	16.66				other	OPPS APC	4.51				percent of total billed charges		4.6				percent of total billed charges		16.66				other	OPPS APC	4.51	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 7FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00973	CDM			270	RC		inpatient			16.66	16.66																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 10FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00993	CDM			270	RC		outpatient			16.66	16.66	4.51				percent of total billed charges		16.66				other	OPPS APC	12.33				percent of total billed charges		16.66				other	OPPS APC	16.66				other	OPPS APC	4.51				percent of total billed charges		4.6				percent of total billed charges		16.66				other	OPPS APC	4.51	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 10FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00993	CDM			270	RC		inpatient			16.66	16.66																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 11FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00994	CDM			270	RC		outpatient			16.66	16.66	4.51				percent of total billed charges		16.66				other	OPPS APC	12.33				percent of total billed charges		16.66				other	OPPS APC	16.66				other	OPPS APC	4.51				percent of total billed charges		4.6				percent of total billed charges		16.66				other	OPPS APC	4.51	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 11FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00994	CDM			270	RC		inpatient			16.66	16.66																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 12FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00995	CDM			270	RC		outpatient			16.66	16.66	4.51				percent of total billed charges		16.66				other	OPPS APC	12.33				percent of total billed charges		16.66				other	OPPS APC	16.66				other	OPPS APC	4.51				percent of total billed charges		4.6				percent of total billed charges		16.66				other	OPPS APC	4.51	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 12FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00995	CDM			270	RC		inpatient			16.66	16.66																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 14FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00996	CDM			270	RC		outpatient			16.66	16.66	4.51				percent of total billed charges		16.66				other	OPPS APC	12.33				percent of total billed charges		16.66				other	OPPS APC	16.66				other	OPPS APC	4.51				percent of total billed charges		4.6				percent of total billed charges		16.66				other	OPPS APC	4.51	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 14FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G00996	CDM			270	RC		inpatient			16.66	16.66																																																			
DILATOR VASCULAR STANDARD JCD CURVE 20CM 16FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G01212	CDM			270	RC		outpatient			16.66	16.66	4.51				percent of total billed charges		16.66				other	OPPS APC	12.33				percent of total billed charges		16.66				other	OPPS APC	16.66				other	OPPS APC	4.51				percent of total billed charges		4.6				percent of total billed charges		16.66				other	OPPS APC	4.51	16.66	
DILATOR VASCULAR STANDARD JCD CURVE 20CM 16FR DISPOSABLE STERILE VESSEL RADIOPAQUE ACCEPTS .038IN GUIDEWIRE	SUP-G01212	CDM			270	RC		inpatient			16.66	16.66																																																			
DEXTROSE 10 % IV BOLUS	250000000	CDM	0338-0023-02	NDC				inpatient			16.56	16.56																																																			
DEXTROSE 10 % IV BOLUS	250000000	CDM	0338-0023-02	NDC				outpatient			16.56	16.56																																															other	OPPS APC			
DEXTROSE 10 % PARENTERAL SOLUTION	250000000	CDM	0338-0023-02	NDC				inpatient			16.56	16.56																																																			
DEXTROSE 10 % PARENTERAL SOLUTION	250000000	CDM	0338-0023-02	NDC				outpatient			16.56	16.56																																															other	OPPS APC			
DEXTROSE 10 % PARENTERAL SOLUTION 250 ML BAG	250000000	CDM	0338-0023-02	NDC				inpatient			16.56	16.56																																																			
DEXTROSE 10 % PARENTERAL SOLUTION 250 ML BAG	250000000	CDM	0338-0023-02	NDC				outpatient			16.56	16.56																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 1 BP L27 IN MONOFILAMENT BROWN	SUP-48G	CDM			270	RC		outpatient			16.56	16.56	4.49				percent of total billed charges		16.56				other	OPPS APC	12.25				percent of total billed charges		16.56				other	OPPS APC	16.56				other	OPPS APC	4.49				percent of total billed charges		4.58				percent of total billed charges		16.56				other	OPPS APC	4.49	16.56	
SUTURE ABSORBABLE CHROMIC 1 BP L27 IN MONOFILAMENT BROWN	SUP-48G	CDM			270	RC		inpatient			16.56	16.56																																																			
CROWN 4 THIN CONTOUR PRIMARY ANTERIOR UPPER LEFT LATERAL PLASTIC 3M ESPE STRIP FORM	SUP-914024	CDM			270	RC		outpatient			16.53	16.53	4.48				percent of total billed charges		16.53				other	OPPS APC	12.23				percent of total billed charges		16.53				other	OPPS APC	16.53				other	OPPS APC	4.48				percent of total billed charges		4.57				percent of total billed charges		16.53				other	OPPS APC	4.48	16.53	
CROWN 4 THIN CONTOUR PRIMARY ANTERIOR UPPER LEFT LATERAL PLASTIC 3M ESPE STRIP FORM	SUP-914024	CDM			270	RC		inpatient			16.53	16.53																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	65219-445-10	NDC				inpatient			16.5	16.5																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	65219-445-10	NDC				outpatient			16.5	16.5																																															other	OPPS APC			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION"	250000000	CDM	81284-611-00	NDC				inpatient			16.5	16.5																																																			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION"	250000000	CDM	81284-611-10	NDC				inpatient			16.5	16.5																																																			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION"	250000000	CDM	81284-611-00	NDC				outpatient			16.5	16.5																																															other	OPPS APC			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION"	250000000	CDM	81284-611-10	NDC				outpatient			16.5	16.5																																															other	OPPS APC			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION 10 ML VIAL"	250000000	CDM	81284-611-00	NDC				inpatient			16.5	16.5																																																			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION 10 ML VIAL"	250000000	CDM	81284-611-10	NDC				inpatient			16.5	16.5																																																			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION 10 ML VIAL"	250000000	CDM	81284-611-00	NDC				outpatient			16.5	16.5																																															other	OPPS APC			
"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLUTION 10 ML VIAL"	250000000	CDM	81284-611-10	NDC				outpatient			16.5	16.5																																															other	OPPS APC			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	55150-120-30	NDC	J2543	HCPCS		inpatient			16.5	16.5																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	55150-120-30	NDC	J2543	HCPCS		outpatient			16.5	16.5																																															other	OPPS APC			
POTTS NEEDLE	SUP-MPCN1802	CDM			481	RC		outpatient			16.5	16.5	8.09				percent of total billed charges		16.5				other	OPPS APC	12.21				percent of total billed charges		16.5				other	OPPS APC	16.5				other	OPPS APC	8.09				percent of total billed charges		8.42				percent of total billed charges		16.5				other	OPPS APC	8.09	16.5	
POTTS NEEDLE	SUP-MPCN1802	CDM			481	RC		inpatient			16.5	16.5																																																			
DEXTROSE 5% IN LACTATED RINGERS PER 1000 ML	636000000	CDM	0338-0125-04	NDC	J7121	HCPCS		inpatient			16.4	16.4																																																			
DEXTROSE 5% IN LACTATED RINGERS PER 1000 ML	636000000	CDM	0338-0125-04	NDC	J7121	HCPCS		outpatient			16.4	16.4																																															other	OPPS APC			
BURR DENTAL CARBIDE 703 TAPER FLAT CROSS CUT L65 MM L4.8 MM OD2.1 MM ODSEC1.6 MM HANDPIECE SHANK	SUP-9993605	CDM			270	RC		outpatient			16.4	16.4	4.44				percent of total billed charges		16.4				other	OPPS APC	12.14				percent of total billed charges		16.4				other	OPPS APC	16.4				other	OPPS APC	4.44				percent of total billed charges		4.53				percent of total billed charges		16.4				other	OPPS APC	4.44	16.4	
BURR DENTAL CARBIDE 703 TAPER FLAT CROSS CUT L65 MM L4.8 MM OD2.1 MM ODSEC1.6 MM HANDPIECE SHANK	SUP-9993605	CDM			270	RC		inpatient			16.4	16.4																																																			
BURR DENTAL CARBIDE 703 TAPER FLAT CROSS CUT L44.5 MM L4.8 MM OD2.1 MM ODSEC1.6 MM HANDPIECE SHANK	SUP-9997496	CDM			270	RC		outpatient			16.4	16.4	4.44				percent of total billed charges		16.4				other	OPPS APC	12.14				percent of total billed charges		16.4				other	OPPS APC	16.4				other	OPPS APC	4.44				percent of total billed charges		4.53				percent of total billed charges		16.4				other	OPPS APC	4.44	16.4	
BURR DENTAL CARBIDE 703 TAPER FLAT CROSS CUT L44.5 MM L4.8 MM OD2.1 MM ODSEC1.6 MM HANDPIECE SHANK	SUP-9997496	CDM			270	RC		inpatient			16.4	16.4																																																			
SLEEVE SCLERAL SILICONE L30 MM OD1.65 MM ID.76 MM ROUND STERILE	SUP-S3019	CDM			270	RC		outpatient			16.4	16.4	4.44				percent of total billed charges		16.4				other	OPPS APC	12.14				percent of total billed charges		16.4				other	OPPS APC	16.4				other	OPPS APC	4.44				percent of total billed charges		4.53				percent of total billed charges		16.4				other	OPPS APC	4.44	16.4	
SLEEVE SCLERAL SILICONE L30 MM OD1.65 MM ID.76 MM ROUND STERILE	SUP-S3019	CDM			270	RC		inpatient			16.4	16.4																																																			
LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE	250000000	CDM	0409-1323-05	NDC				inpatient			16.39	16.39																																																			
LIDOCAINE (CARDIAC) 100 MG/5 ML (2 %) SYRINGE	250000000	CDM	0409-1323-05	NDC				outpatient			16.39	16.39																																															other	OPPS APC			
.035 X 145 15MM J WIRE	SUP-H965970002171	CDM			481	RC		outpatient			16.39	16.39	8.03				percent of total billed charges		16.39				other	OPPS APC	12.13				percent of total billed charges		16.39				other	OPPS APC	16.39				other	OPPS APC	8.03				percent of total billed charges		8.36				percent of total billed charges		16.39				other	OPPS APC	8.03	16.39	
.035 X 145 15MM J WIRE	SUP-H965970002171	CDM			481	RC		inpatient			16.39	16.39																																																			
DRESSING GERMICIDAL BIOPATCH DISC 1IN 4MM WHITE CHG STERILE LF PERCUTANEOUS ANTIMICROBIAL ADHERENT CENTER HOLE SLIT	SUP-4150	CDM			481	RC		outpatient			16.38	16.38	8.03				percent of total billed charges		16.38				other	OPPS APC	12.12				percent of total billed charges		16.38				other	OPPS APC	16.38				other	OPPS APC	8.03				percent of total billed charges		8.35				percent of total billed charges		16.38				other	OPPS APC	8.03	16.38	
DRESSING GERMICIDAL BIOPATCH DISC 1IN 4MM WHITE CHG STERILE LF PERCUTANEOUS ANTIMICROBIAL ADHERENT CENTER HOLE SLIT	SUP-4150	CDM			481	RC		inpatient			16.38	16.38																																																			
CATHETER URETHRAL BARDEX LUBRICATH NATURAL RUBBER HYDROGEL STANDARD L 40 CM OD20 FR5 CC FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP STERILE LATEX DISPOSABLE CARSON MODEL	SUP-0168L20	CDM			270	RC		outpatient			16.34	16.34	4.43				percent of total billed charges		16.34				other	OPPS APC	12.09				percent of total billed charges		16.34				other	OPPS APC	16.34				other	OPPS APC	4.43				percent of total billed charges		4.51				percent of total billed charges		16.34				other	OPPS APC	4.43	16.34	
CATHETER URETHRAL BARDEX LUBRICATH NATURAL RUBBER HYDROGEL STANDARD L 40 CM OD20 FR5 CC FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP STERILE LATEX DISPOSABLE CARSON MODEL	SUP-0168L20	CDM			270	RC		inpatient			16.34	16.34																																																			
MASK OXYGEN POM ADULT MALE TO MALE MEDIUM CONCENTRATION CO2 MONITOR NONSTERILE LATEX FREE DISPOSABLE	SUP-1003-MM	CDM			270	RC		outpatient			16.33	16.33	4.42				percent of total billed charges		16.33				other	OPPS APC	12.08				percent of total billed charges		16.33				other	OPPS APC	16.33				other	OPPS APC	4.42				percent of total billed charges		4.51				percent of total billed charges		16.33				other	OPPS APC	4.42	16.33	
MASK OXYGEN POM ADULT MALE TO MALE MEDIUM CONCENTRATION CO2 MONITOR NONSTERILE LATEX FREE DISPOSABLE	SUP-1003-MM	CDM			270	RC		inpatient			16.33	16.33																																																			
CEFUROXIME PER 750 MG	636000000	CDM	25021-119-20	NDC	J0697	HCPCS		inpatient			16.28	16.28																																																			
CEFUROXIME PER 750 MG	636000000	CDM	25021-119-20	NDC	J0697	HCPCS		outpatient			16.28	16.28																																															other	OPPS APC			
SHOE POSTOPERATIVE SUEDE MALE XL RUBBER BOTTOM WOOD SOLE LACE UP CLOSURE OPEN TOE CLOSED HEEL	SUP-2006-05	CDM						inpatient			16.26	16.26																																																			
SHOE POSTOPERATIVE SUEDE MALE XL RUBBER BOTTOM WOOD SOLE LACE UP CLOSURE OPEN TOE CLOSED HEEL	SUP-2006-05	CDM						outpatient			16.26	16.26	16.26				percent of total billed charges		16.26				other	OPPS APC	16.26				fee schedule		16.26				other	OPPS APC	16.26				other	OPPS APC	16.26				case rate		16.26				case rate		16.26				other	OPPS APC	16.26	16.26	
CROWN 6 CUSPID SECOND PRIMARY MOLAR UPPER LEFT SS 3M ESPE PREFABRICATE PRETRIM BELL	SUP-PDRP-EUL6	CDM			270	RC		outpatient			16.26	16.26	4.4				percent of total billed charges		16.26				other	OPPS APC	12.03				percent of total billed charges		16.26				other	OPPS APC	16.26				other	OPPS APC	4.4				percent of total billed charges		4.49				percent of total billed charges		16.26				other	OPPS APC	4.4	16.26	
CROWN 6 CUSPID SECOND PRIMARY MOLAR UPPER LEFT SS 3M ESPE PREFABRICATE PRETRIM BELL	SUP-PDRP-EUL6	CDM			270	RC		inpatient			16.26	16.26																																																			
PACK SURGICAL PICC LINE PENINSULA REGIONAL MEDICAL CENTER	SUP-532767-001	CDM	270009026	LOCAL	270	RC		outpatient			16.25	16.25	4.4				percent of total billed charges		16.25				other	OPPS APC	12.03				percent of total billed charges		16.25				other	OPPS APC	16.25				other	OPPS APC	4.4				percent of total billed charges		4.49				percent of total billed charges		16.25				other	OPPS APC	4.4	16.25	
PACK SURGICAL PICC LINE PENINSULA REGIONAL MEDICAL CENTER	SUP-532767-001	CDM	270009026	LOCAL	270	RC		inpatient			16.25	16.25																																																			
WATER SOL F/INHALATION 2000ML BAG	SUP-2D0737	CDM			270	RC		outpatient			16.22	16.22	4.39				percent of total billed charges		16.22				other	OPPS APC	12				percent of total billed charges		16.22				other	OPPS APC	16.22				other	OPPS APC	4.39				percent of total billed charges		4.48				percent of total billed charges		16.22				other	OPPS APC	4.39	16.22	
WATER SOL F/INHALATION 2000ML BAG	SUP-2D0737	CDM			270	RC		inpatient			16.22	16.22																																																			
D5 %-0.45 % SODIUM CHLORIDE PARENTERAL SOLUTION	250000000	CDM	0338-0085-04	NDC				inpatient			16.21	16.21																																																			
D5 %-0.45 % SODIUM CHLORIDE PARENTERAL SOLUTION	250000000	CDM	0338-0085-04	NDC				outpatient			16.21	16.21																																															other	OPPS APC			
POTASSIUM ACETATE 2 MEQ/ML SOLUTION 20 ML VIAL	250000000	CDM	51754-2001-4	NDC				inpatient			16.2	16.2																																																			
POTASSIUM ACETATE 2 MEQ/ML SOLUTION 20 ML VIAL	250000000	CDM	51754-2001-4	NDC				outpatient			16.2	16.2																																															other	OPPS APC			
HYDRALAZINE PER 20 MG	636000000	CDM	55150-400-01	NDC	J0360	HCPCS		inpatient			16.2	16.2																																																			
HYDRALAZINE PER 20 MG	636000000	CDM	55150-400-01	NDC	J0360	HCPCS		outpatient			16.2	16.2																																															other	OPPS APC			
TAVR COOK 10F DILATOR 20CM	SUP-JCD10.0-38-20	CDM			270	RC		outpatient			16.18	16.18	4.38				percent of total billed charges		16.18				other	OPPS APC	11.97				percent of total billed charges		16.18				other	OPPS APC	16.18				other	OPPS APC	4.38				percent of total billed charges		4.47				percent of total billed charges		16.18				other	OPPS APC	4.38	16.18	
TAVR COOK 10F DILATOR 20CM	SUP-JCD10.0-38-20	CDM			270	RC		inpatient			16.18	16.18																																																			
TAVR COOK 12F DILATOR 20CM	SUP-JCD12.0-38-20	CDM			270	RC		outpatient			16.18	16.18	4.38				percent of total billed charges		16.18				other	OPPS APC	11.97				percent of total billed charges		16.18				other	OPPS APC	16.18				other	OPPS APC	4.38				percent of total billed charges		4.47				percent of total billed charges		16.18				other	OPPS APC	4.38	16.18	
TAVR COOK 12F DILATOR 20CM	SUP-JCD12.0-38-20	CDM			270	RC		inpatient			16.18	16.18																																																			
TAVR COOK 14F DILATOR 20CM	SUP-JCD14.0-38-20	CDM			270	RC		outpatient			16.18	16.18	4.38				percent of total billed charges		16.18				other	OPPS APC	11.97				percent of total billed charges		16.18				other	OPPS APC	16.18				other	OPPS APC	4.38				percent of total billed charges		4.47				percent of total billed charges		16.18				other	OPPS APC	4.38	16.18	
TAVR COOK 14F DILATOR 20CM	SUP-JCD14.0-38-20	CDM			270	RC		inpatient			16.18	16.18																																																			
TAVR COOK 16F DILATOR 20CM	SUP-JCD16.0-38-20	CDM			270	RC		outpatient			16.18	16.18	4.38				percent of total billed charges		16.18				other	OPPS APC	11.97				percent of total billed charges		16.18				other	OPPS APC	16.18				other	OPPS APC	4.38				percent of total billed charges		4.47				percent of total billed charges		16.18				other	OPPS APC	4.38	16.18	
TAVR COOK 16F DILATOR 20CM	SUP-JCD16.0-38-20	CDM			270	RC		inpatient			16.18	16.18																																																			
COOK 8F DILATOR 20CM	SUP-JCD8.0-38-20	CDM			270	RC		outpatient			16.18	16.18	4.38				percent of total billed charges		16.18				other	OPPS APC	11.97				percent of total billed charges		16.18				other	OPPS APC	16.18				other	OPPS APC	4.38				percent of total billed charges		4.47				percent of total billed charges		16.18				other	OPPS APC	4.38	16.18	
COOK 8F DILATOR 20CM	SUP-JCD8.0-38-20	CDM			270	RC		inpatient			16.18	16.18																																																			
QUETIAPINE 100 MG TABLET	637000000	CDM	50268-632-11	NDC	A9270	HCPCS		inpatient			16.15	16.15																																																			
QUETIAPINE 100 MG TABLET	637000000	CDM	50268-632-11	NDC	A9270	HCPCS		outpatient			16.15	16.15																																															other	OPPS APC			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY CUSPID UPPER PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907043	CDM			270	RC		outpatient			16.15	16.15	4.38				percent of total billed charges		16.15				other	OPPS APC	11.95				percent of total billed charges		16.15				other	OPPS APC	16.15				other	OPPS APC	4.38				percent of total billed charges		4.46				percent of total billed charges		16.15				other	OPPS APC	4.38	16.15	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY CUSPID UPPER PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907043	CDM			270	RC		inpatient			16.15	16.15																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD1.25 MM TROCAR POINT NONSTERILE	SUP-292.12	CDM	270010022	LOCAL	270	RC		outpatient			16.1	16.11	4.36				percent of total billed charges		16.1				other	OPPS APC	11.91				percent of total billed charges		16.1				other	OPPS APC	16.1				other	OPPS APC	4.36				percent of total billed charges		4.45				percent of total billed charges		16.11				other	OPPS APC	4.36	16.11	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD1.25 MM TROCAR POINT NONSTERILE	SUP-292.12	CDM	270010022	LOCAL	270	RC		inpatient			16.1	16.1																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD1.6 MM TROCAR POINT NONSTERILE	SUP-292.16	CDM	270010022	LOCAL	270	RC		outpatient			16.1	16.11	4.36				percent of total billed charges		16.1				other	OPPS APC	11.91				percent of total billed charges		16.1				other	OPPS APC	16.1				other	OPPS APC	4.36				percent of total billed charges		4.45				percent of total billed charges		16.11				other	OPPS APC	4.36	16.11	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L150 MM OD1.6 MM TROCAR POINT NONSTERILE	SUP-292.16	CDM	270010022	LOCAL	270	RC		inpatient			16.1	16.1																																																			
WIRE FIXATION KIRSCHNER 150MM 2MM SS NS TROCAR POINT	SUP-292.20	CDM	270010022	LOCAL	270	RC		outpatient			16.1	16.11	4.36				percent of total billed charges		16.1				other	OPPS APC	11.91				percent of total billed charges		16.1				other	OPPS APC	16.1				other	OPPS APC	4.36				percent of total billed charges		4.45				percent of total billed charges		16.11				other	OPPS APC	4.36	16.11	
WIRE FIXATION KIRSCHNER 150MM 2MM SS NS TROCAR POINT	SUP-292.20	CDM	270010022	LOCAL	270	RC		inpatient			16.1	16.1																																																			
WIRE FIXATION KIRSCHNER 150MM 3MM SS NS TROCAR POINT	SUP-292.30	CDM	270010022	LOCAL	270	RC		outpatient			16.1	16.11	4.36				percent of total billed charges		16.1				other	OPPS APC	11.91				percent of total billed charges		16.1				other	OPPS APC	16.1				other	OPPS APC	4.36				percent of total billed charges		4.45				percent of total billed charges		16.11				other	OPPS APC	4.36	16.11	
WIRE FIXATION KIRSCHNER 150MM 3MM SS NS TROCAR POINT	SUP-292.30	CDM	270010022	LOCAL	270	RC		inpatient			16.1	16.1																																																			
VANCOMYCIN 10 GRAM RECON SOLN	636000000	CDM	70436-023-82	NDC	J3370	HCPCS		inpatient			16.05	16.05																																																			
VANCOMYCIN 10 GRAM RECON SOLN	636000000	CDM	70436-023-82	NDC	J3370	HCPCS		outpatient			16.05	16.05																																															other	OPPS APC			
KIT ULTRASOUND SHEATHES3D CONTOUR CURVE L48 IN X W6 IN PROBE COVER GEL 2 ELASTIC STERILE LATEX FREE	SUP-5-IH486 KIT	CDM			270	RC		outpatient			16.02	16.2	4.34				percent of total billed charges		16.02				other	OPPS APC	11.85				percent of total billed charges		16.02				other	OPPS APC	16.02				other	OPPS APC	4.34				percent of total billed charges		4.43				percent of total billed charges		16.2				other	OPPS APC	4.34	16.2	
KIT ULTRASOUND SHEATHES3D CONTOUR CURVE L48 IN X W6 IN PROBE COVER GEL 2 ELASTIC STERILE LATEX FREE	SUP-5-IH486 KIT	CDM			270	RC		inpatient			16.02	16.02																																																			
HC Newborn Screen One(Nbscr1)	PX-300844370	CDM	84437	CPT	300	RC		outpatient			16	6.47	8.65				fee schedule		6.47				fee schedule		17.18				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47				fee schedule		6.47	17.18	
HC Newborn Screen One(Nbscr1)	PX-300844370	CDM	84437	CPT	300	RC		inpatient			16	16																																																			
PICK SURGICAL MICRO L32 MM OD23 GA ASPIRATION	SUP-3229	CDM			270	RC		outpatient			16	16	4.33				percent of total billed charges		16				other	OPPS APC	11.84				percent of total billed charges		16				other	OPPS APC	16				other	OPPS APC	4.33				percent of total billed charges		4.42				percent of total billed charges		16				other	OPPS APC	4.33	16	
PICK SURGICAL MICRO L32 MM OD23 GA ASPIRATION	SUP-3229	CDM			270	RC		inpatient			16	16																																																			
10F SHORT SHEATH	SUP-504610X	CDM			481	RC		outpatient			16	16	7.84				percent of total billed charges		16				other	OPPS APC	11.84				percent of total billed charges		16				other	OPPS APC	16				other	OPPS APC	7.84				percent of total billed charges		8.16				percent of total billed charges		16				other	OPPS APC	7.84	16	
10F SHORT SHEATH	SUP-504610X	CDM			481	RC		inpatient			16	16																																																			
ACUSON ACUNAV ULTRASOUND CATHETER CONNECTOR COVER	SUP-612-113	CDM			270	RC		outpatient			16	16	4.33				percent of total billed charges		16				other	OPPS APC	11.84				percent of total billed charges		16				other	OPPS APC	16				other	OPPS APC	4.33				percent of total billed charges		4.42				percent of total billed charges		16				other	OPPS APC	4.33	16	
ACUSON ACUNAV ULTRASOUND CATHETER CONNECTOR COVER	SUP-612-113	CDM			270	RC		inpatient			16	16																																																			
CANNULA SUBRETINAL	SUP-7725	CDM			270	RC		outpatient			16	16	4.33				percent of total billed charges		16				other	OPPS APC	11.84				percent of total billed charges		16				other	OPPS APC	16				other	OPPS APC	4.33				percent of total billed charges		4.42				percent of total billed charges		16				other	OPPS APC	4.33	16	
CANNULA SUBRETINAL	SUP-7725	CDM			270	RC		inpatient			16	16																																																			
WIRE FIXATION KIRSCHNER L5.91 IN OD.045 IN 2 TROCAR TIP	SUP-AR-8933KD	CDM			270	RC		outpatient			16	16	4.33				percent of total billed charges		16				other	OPPS APC	11.84				percent of total billed charges		16				other	OPPS APC	16				other	OPPS APC	4.33				percent of total billed charges		4.42				percent of total billed charges		16				other	OPPS APC	4.33	16	
WIRE FIXATION KIRSCHNER L5.91 IN OD.045 IN 2 TROCAR TIP	SUP-AR-8933KD	CDM			270	RC		inpatient			16	16																																																			
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM 24 IN OD 17.5 IN OD SEC 16 IN KNEE 3 PANEL LOOP LOCK CLOSURE POSTERIOR STAY ADJUSTABLE LATEX FREE	SUP-ORT2410016_57632	CDM	270009016	LOCAL	270	RC		outpatient			16	16	4.33				percent of total billed charges		16				other	OPPS APC	11.84				percent of total billed charges		16				other	OPPS APC	16				other	OPPS APC	4.33				percent of total billed charges		4.42				percent of total billed charges		16				other	OPPS APC	4.33	16	
IMMOBILIZER ORTHOPEDIC ALUMINUM FOAM 24 IN OD 17.5 IN OD SEC 16 IN KNEE 3 PANEL LOOP LOCK CLOSURE POSTERIOR STAY ADJUSTABLE LATEX FREE	SUP-ORT2410016_57632	CDM	270009016	LOCAL	270	RC		inpatient			16	16																																																			
BLADE SURGICAL CLIPPER DISPOSABLE NS LF SPECIALTY SURGICAL COARSE HAIR	SUP-4412A	CDM						inpatient			15.96	15.96																																																			
BLADE SURGICAL CLIPPER DISPOSABLE NS LF SPECIALTY SURGICAL COARSE HAIR	SUP-4412A	CDM						outpatient			15.96	15.96	15.96				percent of total billed charges		15.96				other	OPPS APC	15.96				fee schedule		15.96				other	OPPS APC	15.96				other	OPPS APC	15.96				case rate		15.96				case rate		15.96				other	OPPS APC	15.96	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY CENTRAL INCISOR UPPER LEFT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907001	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY CENTRAL INCISOR UPPER LEFT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907001	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907003	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907003	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY CENTRAL INCISOR UPPER LEFT PREFABRICATE PRETRIM THICK OCCLUSAL PARALLEL WALL	SUP-907004	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY CENTRAL INCISOR UPPER LEFT PREFABRICATE PRETRIM THICK OCCLUSAL PARALLEL WALL	SUP-907004	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907005	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907005	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY CENTRAL INCISOR UPPER LEFT PREFABRICATE PRETRIM THICK OCCLUSAL PARALLEL WALL	SUP-907006	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY CENTRAL INCISOR UPPER LEFT PREFABRICATE PRETRIM THICK OCCLUSAL PARALLEL WALL	SUP-907006	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907011	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907011	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY CENTRAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907012	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY CENTRAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907012	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR UPPER RIGHT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907013	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR UPPER RIGHT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907013	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907014	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY ANTERIOR UPPER LEFT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907014	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PRIMARY ANTERIOR UPPER RIGHT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907015	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PRIMARY ANTERIOR UPPER RIGHT CENTRAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907015	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY CENTRAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907016	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY CENTRAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907016	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY ANTERIOR UPPER LEFT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907021	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY ANTERIOR UPPER LEFT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907021	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 UPPER LEFT LATERAL PRIMARY ANTERIOR PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907023	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 UPPER LEFT LATERAL PRIMARY ANTERIOR PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907023	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY ANTERIOR UPPER LEFT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907024	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY ANTERIOR UPPER LEFT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907024	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN ANTERIOR LATERALS	SUP-907026	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN ANTERIOR LATERALS	SUP-907026	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907032	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907032	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR UPPER RIGHT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907033	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR UPPER RIGHT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907033	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907034	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907034	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907035	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907035	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907036	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY LATERAL INCISOR UPPER RIGHT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907036	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PARALLEL WALL CUSPID PRIMARY ANTERIOR PREFABRICATE PRETRIM	SUP-907041	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PARALLEL WALL CUSPID PRIMARY ANTERIOR PREFABRICATE PRETRIM	SUP-907041	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PARALLEL WALL CUSPID PRIMARY ANTERIOR PREFABRICATE PRETRIM	SUP-907045	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 PARALLEL WALL CUSPID PRIMARY ANTERIOR PREFABRICATE PRETRIM	SUP-907045	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 BICUSPID PRIMARY ANTERIOR PREFABRICATE PRETRIM	SUP-907046	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 BICUSPID PRIMARY ANTERIOR PREFABRICATE PRETRIM	SUP-907046	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PARALLEL WALL PRIMARY CUSPID LOWER PREFABRICATE PRETRIM	SUP-907051	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PARALLEL WALL PRIMARY CUSPID LOWER PREFABRICATE PRETRIM	SUP-907051	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY ANTERIOR LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907052	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY ANTERIOR LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907052	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907053	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 3 PRIMARY ANTERIOR LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907053	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 CONTOUR LOWER CUSPID PRIMARY ANTERIOR PARALLEL WALL PRETRIM THICK OCCLUSAL SURFACE SHALLOW ANATOMY	SUP-907054	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 CONTOUR LOWER CUSPID PRIMARY ANTERIOR PARALLEL WALL PRETRIM THICK OCCLUSAL SURFACE SHALLOW ANATOMY	SUP-907054	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 ANTERIOR PRIMARY LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907055	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 ANTERIOR PRIMARY LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907055	CDM			270	RC		inpatient			15.96	15.96																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY ANTERIOR LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907056	CDM			270	RC		outpatient			15.96	15.96	4.32				percent of total billed charges		15.96				other	OPPS APC	11.81				percent of total billed charges		15.96				other	OPPS APC	15.96				other	OPPS APC	4.32				percent of total billed charges		4.41				percent of total billed charges		15.96				other	OPPS APC	4.32	15.96	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 PRIMARY ANTERIOR LOWER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907056	CDM			270	RC		inpatient			15.96	15.96																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON AMPLATZ LEFT 2 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H74908641981	CDM						inpatient			15.96	15.96																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON AMPLATZ LEFT 2 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H74908641981	CDM						outpatient			15.96	15.96	15.96				percent of total billed charges		15.96				other	OPPS APC	15.96				fee schedule		15.96				other	OPPS APC	15.96				other	OPPS APC	15.96				case rate		15.96				case rate		15.96				other	OPPS APC	15.96	15.96	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID10 FR PERIPHERAL GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS002	CDM			481	RC		outpatient			15.9	15.9	7.79				percent of total billed charges		15.9				other	OPPS APC	11.77				percent of total billed charges		15.9				other	OPPS APC	15.9				other	OPPS APC	7.79				percent of total billed charges		8.11				percent of total billed charges		15.9				other	OPPS APC	7.79	15.9	
INTRODUCER SHEATH PINNACLE HYDROPHILIC PTFE .038 IN L10 CM L2.5 CM ID10 FR PERIPHERAL GUIDEWIRE DILATOR KINK RESISTANT	SUP-RSS002	CDM			481	RC		inpatient			15.9	15.9																																																			
INTRODUCER SHEATH PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L10 CM L2.5 CM ID5 FR CORONARY DILATOR KINK RESISTANT SMOOTH TRANSITION SNAP ON ACCEPTS .038 IN GUIDEWIRE	SUP-RSS502	CDM			481	RC		outpatient			15.9	15.9	7.79				percent of total billed charges		15.9				other	OPPS APC	11.77				percent of total billed charges		15.9				other	OPPS APC	15.9				other	OPPS APC	7.79				percent of total billed charges		8.11				percent of total billed charges		15.9				other	OPPS APC	7.79	15.9	
INTRODUCER SHEATH PINNACLE STAINLESS STEEL HYDROPHILIC PTFE L10 CM L2.5 CM ID5 FR CORONARY DILATOR KINK RESISTANT SMOOTH TRANSITION SNAP ON ACCEPTS .038 IN GUIDEWIRE	SUP-RSS502	CDM			481	RC		inpatient			15.9	15.9																																																			
WIRE FIXATION KIRSCHNER 70MM .8MM SS NS TROCAR POINT	SUP-292.08	CDM	270010022	LOCAL	270	RC		outpatient			15.84	15.84	4.29				percent of total billed charges		15.84				other	OPPS APC	11.72				percent of total billed charges		15.84				other	OPPS APC	15.84				other	OPPS APC	4.29				percent of total billed charges		4.38				percent of total billed charges		15.84				other	OPPS APC	4.29	15.84	
WIRE FIXATION KIRSCHNER 70MM .8MM SS NS TROCAR POINT	SUP-292.08	CDM	270010022	LOCAL	270	RC		inpatient			15.84	15.84																																																			
CROWN FORM 3M ESPE PLASTIC 42 CONTOUR PRIMARY ANTERIOR UPPER LEFT LATERAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL	SUP-777-7815	CDM			270	RC		outpatient			15.84	15.84	4.29				percent of total billed charges		15.84				other	OPPS APC	11.72				percent of total billed charges		15.84				other	OPPS APC	15.84				other	OPPS APC	4.29				percent of total billed charges		4.38				percent of total billed charges		15.84				other	OPPS APC	4.29	15.84	
CROWN FORM 3M ESPE PLASTIC 42 CONTOUR PRIMARY ANTERIOR UPPER LEFT LATERAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL	SUP-777-7815	CDM			270	RC		inpatient			15.84	15.84																																																			
COMPOSITE DENTAL TPH SPECTRA COMPULES .25 GM LOW VISCOSITY STAIN RESISTANCE REFILL RESTORATIVE A2	SUP-642221	CDM						inpatient			15.8	15.8																																																			
COMPOSITE DENTAL TPH SPECTRA COMPULES .25 GM LOW VISCOSITY STAIN RESISTANCE REFILL RESTORATIVE A2	SUP-642221	CDM						outpatient			15.8	15.81	15.8				percent of total billed charges		15.8				other	OPPS APC	15.8				fee schedule		15.8				other	OPPS APC	15.8				other	OPPS APC	15.8				case rate		15.8				case rate		15.81				other	OPPS APC	15.8	15.81	
SET EXTENSION MIC-KEY SECUR-LOK 12IN NS LF CONTINUOUS FEED LOW PROFILE DEHP FREE GASTROSTOMY JEJUNAL TRANSGASTRIC	SUP-0121-12	CDM			270	RC		outpatient			15.76	15.76	4.27				percent of total billed charges		15.76				other	OPPS APC	11.66				percent of total billed charges		15.76				other	OPPS APC	15.76				other	OPPS APC	4.27				percent of total billed charges		4.35				percent of total billed charges		15.76				other	OPPS APC	4.27	15.76	
SET EXTENSION MIC-KEY SECUR-LOK 12IN NS LF CONTINUOUS FEED LOW PROFILE DEHP FREE GASTROSTOMY JEJUNAL TRANSGASTRIC	SUP-0121-12	CDM			270	RC		inpatient			15.76	15.76																																																			
SPONGE RAY-COT RAYON 1/2INX 6 IN	SUP-61-02	CDM						inpatient			15.7	15.7																																																			
SPONGE RAY-COT RAYON 1/2INX 6 IN	SUP-61-02	CDM						outpatient			15.7	15.7	15.7				percent of total billed charges		15.7				other	OPPS APC	15.7				fee schedule		15.7				other	OPPS APC	15.7				other	OPPS APC	15.7				case rate		15.7				case rate		15.7				other	OPPS APC	15.7	15.7	
SET TOURNIQUET VASCULAR 6' TUBE QUICK TIE CAP W/TUBEX2 WIRE SNAREX1 BRONZE TOURNIKWIK MERCURY FREE	SUP-79010	CDM	270010028	LOCAL	270	RC		outpatient			15.66	15.66	4.24				percent of total billed charges		15.66				other	OPPS APC	11.59				percent of total billed charges		15.66				other	OPPS APC	15.66				other	OPPS APC	4.24				percent of total billed charges		4.33				percent of total billed charges		15.66				other	OPPS APC	4.24	15.66	
SET TOURNIQUET VASCULAR 6' TUBE QUICK TIE CAP W/TUBEX2 WIRE SNAREX1 BRONZE TOURNIKWIK MERCURY FREE	SUP-79010	CDM	270010028	LOCAL	270	RC		inpatient			15.66	15.66																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C021D	CDM			270	RC		outpatient			15.66	15.66	4.24				percent of total billed charges		15.66				other	OPPS APC	11.59				percent of total billed charges		15.66				other	OPPS APC	15.66				other	OPPS APC	4.24				percent of total billed charges		4.33				percent of total billed charges		15.66				other	OPPS APC	4.24	15.66	
SUTURE NONABSORBABLE PERMA-HAND SILK 0 CT-1 L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C021D	CDM			270	RC		inpatient			15.66	15.66																																																			
CATHETER EXTERNAL FEMALE PUREWICK	SUP-PWF030F	CDM						inpatient			15.66	15.66																																																			
CATHETER EXTERNAL FEMALE PUREWICK	SUP-PWF030F	CDM						outpatient			15.66	15.66	15.66				percent of total billed charges		15.66				other	OPPS APC	15.66				fee schedule		15.66				other	OPPS APC	15.66				other	OPPS APC	15.66				case rate		15.66				case rate		15.66				other	OPPS APC	15.66	15.66	
SHOE POSTOPERATIVE SUEDE RUBBER WOOD MALE 11 1/2-13 XL HOOK LOOP CLOSURE OPEN TOE LATEX FREE	SUP-2007-05	CDM			270	RC		outpatient			15.62	15.62	4.23				percent of total billed charges		15.62				other	OPPS APC	11.56				percent of total billed charges		15.62				other	OPPS APC	15.62				other	OPPS APC	4.23				percent of total billed charges		4.32				percent of total billed charges		15.62				other	OPPS APC	4.23	15.62	
SHOE POSTOPERATIVE SUEDE RUBBER WOOD MALE 11 1/2-13 XL HOOK LOOP CLOSURE OPEN TOE LATEX FREE	SUP-2007-05	CDM			270	RC		inpatient			15.62	15.62																																																			
SWAB PREP PHENOL .175 - .2ML 30 AMPULE SNAP IT OPEN APPLICATOR LATEX FREE	SUP-00884-6297-30	CDM			270	RC		outpatient			15.53	15.53	4.21				percent of total billed charges		15.53				other	OPPS APC	11.49				percent of total billed charges		15.53				other	OPPS APC	15.53				other	OPPS APC	4.21				percent of total billed charges		4.29				percent of total billed charges		15.53				other	OPPS APC	4.21	15.53	
SWAB PREP PHENOL .175 - .2ML 30 AMPULE SNAP IT OPEN APPLICATOR LATEX FREE	SUP-00884-6297-30	CDM			270	RC		inpatient			15.53	15.53																																																			
TOPIRAMATE 100 MG TABLET	637000000	CDM	68084-344-11	NDC	A9270	HCPCS		inpatient			15.5	15.5																																																			
TOPIRAMATE 100 MG TABLET	637000000	CDM	68084-344-11	NDC	A9270	HCPCS		outpatient			15.5	15.5																																															other	OPPS APC			
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN JUDKINS RIGHT CORONARY 5 CURVE L100 CM OD5 FR ID.047 IN SELECTIVE RADIOPAQUE DILATE TORQUE CONTROL DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-534-523T	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
CATHETER ANGIOGRAPHIC INFINITI THRULUMEN VESTAN JUDKINS RIGHT CORONARY 5 CURVE L100 CM OD5 FR ID.047 IN SELECTIVE RADIOPAQUE DILATE TORQUE CONTROL DISPOSABLE ACCEPTS .038 IN GUIDEWIRE	SUP-534-523T	CDM			481	RC		inpatient			15.5	15.5																																																			
4F JL3.5 CORDIS DIAGNOSTIC CATHETER	SUP-538418	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
4F JL3.5 CORDIS DIAGNOSTIC CATHETER	SUP-538418	CDM			481	RC		inpatient			15.5	15.5																																																			
4F AR2 CORDIS DIAGNOSTIC CATHETER	SUP-538443	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
4F AR2 CORDIS DIAGNOSTIC CATHETER	SUP-538443	CDM			481	RC		inpatient			15.5	15.5																																																			
4F AL1 CORDIS DIAGNOSTIC CATHETER	SUP-538445	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
4F AL1 CORDIS DIAGNOSTIC CATHETER	SUP-538445	CDM			481	RC		inpatient			15.5	15.5																																																			
4F AL2 CORDIS DIAGNOSTIC CATHETER	SUP-538446	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
4F AL2 CORDIS DIAGNOSTIC CATHETER	SUP-538446	CDM			481	RC		inpatient			15.5	15.5																																																			
4F AL3 CORDIS DIAGNOSTIC CATHETER	SUP-538447	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
4F AL3 CORDIS DIAGNOSTIC CATHETER	SUP-538447	CDM			481	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 32 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-157	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 32 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-157	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 34 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-165	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 34 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-165	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 35 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-169	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 35 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-169	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 24 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-233	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 24 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-233	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 25 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-235	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 25 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-235	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 25 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-236	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 25 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-236	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 26 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-237	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 26 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-237	CDM			270	RC		inpatient			15.5	15.5																																																			
BAND MOLAR STAINLESS STEEL 31 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-253	CDM			270	RC		outpatient			15.5	15.5	4.2				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	4.2				percent of total billed charges		4.28				percent of total billed charges		15.5				other	OPPS APC	4.2	15.5	
BAND MOLAR STAINLESS STEEL 31 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-253	CDM			270	RC		inpatient			15.5	15.5																																																			
5F FL3.5 DIAGNOSTIC CATHETER	SUP-H7490852621	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
5F FL3.5 DIAGNOSTIC CATHETER	SUP-H7490852621	CDM			481	RC		inpatient			15.5	15.5																																																			
6F FR3.5 DIAGNOSTIC CATHETER 100CM	SUP-H74908641012	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
6F FR3.5 DIAGNOSTIC CATHETER 100CM	SUP-H74908641012	CDM			481	RC		inpatient			15.5	15.5																																																			
6F IM DIAGNOSTIC CATHETER 100CM	SUP-H749086412012	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
6F IM DIAGNOSTIC CATHETER 100CM	SUP-H749086412012	CDM			481	RC		inpatient			15.5	15.5																																																			
6F FL6 DIAGNOSTIC CATHETER 100CM	SUP-H74908641252	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
6F FL6 DIAGNOSTIC CATHETER 100CM	SUP-H74908641252	CDM			481	RC		inpatient			15.5	15.5																																																			
6F AL1 DIAGNOSTIC CATHETER 100CM	SUP-H7490864196	CDM			481	RC		outpatient			15.5	15.5	7.6				percent of total billed charges		15.5				other	OPPS APC	11.47				percent of total billed charges		15.5				other	OPPS APC	15.5				other	OPPS APC	7.6				percent of total billed charges		7.91				percent of total billed charges		15.5				other	OPPS APC	7.6	15.5	
6F AL1 DIAGNOSTIC CATHETER 100CM	SUP-H7490864196	CDM			481	RC		inpatient			15.5	15.5																																																			
LACTATED RINGERS PER 1000 ML	636000000	CDM	0338-0117-04	NDC	J7120	HCPCS		inpatient			15.48	15.48																																																			
LACTATED RINGERS PER 1000 ML	636000000	CDM	0338-0117-04	NDC	J7120	HCPCS		outpatient			15.48	15.48																																															other	OPPS APC			
KIT CATH LAB ELECTROPHYSIOLOGY RS PENINSULA REGIONAL	SUP-60160424	CDM			481	RC		outpatient			15.47	15.47	7.58				percent of total billed charges		15.47				other	OPPS APC	11.45				percent of total billed charges		15.47				other	OPPS APC	15.47				other	OPPS APC	7.58				percent of total billed charges		7.89				percent of total billed charges		15.47				other	OPPS APC	7.58	15.47	
KIT CATH LAB ELECTROPHYSIOLOGY RS PENINSULA REGIONAL	SUP-60160424	CDM			481	RC		inpatient			15.47	15.47																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	44567-802-10	NDC	J2543	HCPCS		inpatient			15.42	15.42																																																			
PIPERACILLIN SOD-TAZOBACTAM PER 1 G	636000000	CDM	44567-802-10	NDC	J2543	HCPCS		outpatient			15.42	15.42																																															other	OPPS APC			
D5 % AND 0.9 % SODIUM CHLORIDE PARENTERAL SOLUTION	636000000	CDM	0338-0089-04	NDC	J7042	HCPCS		inpatient			15.41	15.41																																																			
D5 % AND 0.9 % SODIUM CHLORIDE PARENTERAL SOLUTION	636000000	CDM	0338-0089-04	NDC	J7042	HCPCS		outpatient			15.41	15.41																																															other	OPPS APC			
CAP PROTECTIVE NONSTERILE 8 MM CARBON FIBER ROD	SUP-395.781	CDM	270010022	LOCAL	270	RC		outpatient			15.4	15.4	4.17				percent of total billed charges		15.4				other	OPPS APC	11.4				percent of total billed charges		15.4				other	OPPS APC	15.4				other	OPPS APC	4.17				percent of total billed charges		4.26				percent of total billed charges		15.4				other	OPPS APC	4.17	15.4	
CAP PROTECTIVE NONSTERILE 8 MM CARBON FIBER ROD	SUP-395.781	CDM	270010022	LOCAL	270	RC		inpatient			15.4	15.4																																																			
POM With Microstream Philips	SUP-B180159	CDM			270	RC		outpatient			15.4	15.4	4.17				percent of total billed charges		15.4				other	OPPS APC	11.4				percent of total billed charges		15.4				other	OPPS APC	15.4				other	OPPS APC	4.17				percent of total billed charges		4.26				percent of total billed charges		15.4				other	OPPS APC	4.17	15.4	
POM With Microstream Philips	SUP-B180159	CDM			270	RC		inpatient			15.4	15.4																																																			
PAPER RECORDING I PLY RECORD PRINTER	SUP-P129359008	CDM						inpatient			15.4	15.4																																																			
PAPER RECORDING I PLY RECORD PRINTER	SUP-P129359008	CDM						outpatient			15.4	15.4	15.4				percent of total billed charges		15.4				other	OPPS APC	15.4				fee schedule		15.4				other	OPPS APC	15.4				other	OPPS APC	15.4				case rate		15.4				case rate		15.4				other	OPPS APC	15.4	15.4	
"NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM OINTMENT 28 G TUBE"	637000000	CDM	45802-143-03	NDC	A9270	HCPCS		inpatient			15.38	15.38																																																			
"NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5MG-400 UNIT- 5,000 UNIT/GRAM OINTMENT 28 G TUBE"	637000000	CDM	45802-143-03	NDC	A9270	HCPCS		outpatient			15.38	15.38																																															other	OPPS APC			
9F SHORT SHEATH	SUP-504609A	CDM			481	RC		outpatient			15.34	15.34	7.52				percent of total billed charges		15.34				other	OPPS APC	11.35				percent of total billed charges		15.34				other	OPPS APC	15.34				other	OPPS APC	7.52				percent of total billed charges		7.82				percent of total billed charges		15.34				other	OPPS APC	7.52	15.34	
9F SHORT SHEATH	SUP-504609A	CDM			481	RC		inpatient			15.34	15.34																																																			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0781-3232-94	NDC				inpatient			15.32	15.32																																																			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0781-3232-94	NDC				outpatient			15.32	15.32																																															other	OPPS APC			
HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML RECON SOLN	636000000	CDM	0009-0011-03	NDC	J1720	HCPCS		inpatient			15.3	15.3																																																			
HYDROCORTISONE SOD SUCC (PF) 100 MG/2 ML RECON SOLN	636000000	CDM	0009-0011-03	NDC	J1720	HCPCS		outpatient			15.3	15.3																																															other	OPPS APC			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0008-0923-51	NDC				inpatient			15.23	15.23																																																			
PANTOPRAZOLE 40 MG RECON SOLN 1 EACH VIAL	250000000	CDM	0008-0923-51	NDC				outpatient			15.23	15.23																																															other	OPPS APC			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-04	NDC	J7070	HCPCS		inpatient			15.23	15.23																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-04	NDC	J7070	HCPCS		outpatient			15.23	15.23																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0990-7983-61	NDC	J7050	HCPCS		inpatient			15.23	15.23																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0990-7983-61	NDC	J7050	HCPCS		outpatient			15.23	15.23																																															other	OPPS APC			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 4 THIN CONTOUR PRIMARY ANTERIOR UPPER RIGHT CENTRAL STRIP FORM AUTOMATIC INTERPROXIMAL WALL PREFABRICATE TRANSPARENT	SUP-777-3944	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 4 THIN CONTOUR PRIMARY ANTERIOR UPPER RIGHT CENTRAL STRIP FORM AUTOMATIC INTERPROXIMAL WALL PREFABRICATE TRANSPARENT	SUP-777-3944	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 2 CONTOUR PRIMARY ANTERIOR UPPER LEFT CENTRAL STRIP THIN INTERPROXIMAL WALL PREFABRICATE TRANSPARENT PEDODONTIC	SUP-777-6339	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 2 CONTOUR PRIMARY ANTERIOR UPPER LEFT CENTRAL STRIP THIN INTERPROXIMAL WALL PREFABRICATE TRANSPARENT PEDODONTIC	SUP-777-6339	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN DENTAL 3M ESPE PLASTIC 1 CONTOUR PRIMARY ANTERIOR UPPER LEFT LATERAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL	SUP-777-7656	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC 1 CONTOUR PRIMARY ANTERIOR UPPER LEFT LATERAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL	SUP-777-7656	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN DENTAL 3M ESPE PLASTIC 1 CONTOUR PRIMARY ANTERIOR UPPER RIGHT LATERAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL CLEAR PEDODONTIC	SUP-777-8296	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC 1 CONTOUR PRIMARY ANTERIOR UPPER RIGHT LATERAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL CLEAR PEDODONTIC	SUP-777-8296	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 2 THIN CONTOUR PRIMARY ANTERIOR UPPER RIGHT LATERAL STRIP FORM AUTOMATIC INTERPROXIMAL WALL PREFABRICATE TRANSPARENT	SUP-777-8520	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 2 THIN CONTOUR PRIMARY ANTERIOR UPPER RIGHT LATERAL STRIP FORM AUTOMATIC INTERPROXIMAL WALL PREFABRICATE TRANSPARENT	SUP-777-8520	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN FORM 3M ESPE PLASTIC 3 CONTOUR PRIMARY ANTERIOR UPPER RIGHT CENTRAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL	SUP-914013	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN FORM 3M ESPE PLASTIC 3 CONTOUR PRIMARY ANTERIOR UPPER RIGHT CENTRAL TRANSPARENT STRIP PREFABRICATE THIN INTERPROXIMAL WALL	SUP-914013	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 3 PRIMARY ANTERIOR UPPER LEFT LATERAL STRIP FORM AUTOMATIC CONTOUR THIN INTERPROXIMAL WALL TRANSPARENT	SUP-914023	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 3 PRIMARY ANTERIOR UPPER LEFT LATERAL STRIP FORM AUTOMATIC CONTOUR THIN INTERPROXIMAL WALL TRANSPARENT	SUP-914023	CDM			270	RC		inpatient			15.2	15.2																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 3 PRIMARY ANTERIOR UPPER RIGHT LATERAL STRIP AUTOMATIC RESTORATIVE THIN INTERPROXIMAL WALL TRANSPARENT	SUP-914033	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 3 PRIMARY ANTERIOR UPPER RIGHT LATERAL STRIP AUTOMATIC RESTORATIVE THIN INTERPROXIMAL WALL TRANSPARENT	SUP-914033	CDM			270	RC		inpatient			15.2	15.2																																																			
CAPE EXAM C-FLEX HEAD CE MARKED CLEAN CAPE PROTECT FROM FLUIDS AND OTHER CONTAMINANTS DURING SURGERY DISPOSABLE	SUP-A-70702	CDM			270	RC		outpatient			15.2	15.2	4.12				percent of total billed charges		15.2				other	OPPS APC	11.25				percent of total billed charges		15.2				other	OPPS APC	15.2				other	OPPS APC	4.12				percent of total billed charges		4.2				percent of total billed charges		15.2				other	OPPS APC	4.12	15.2	
CAPE EXAM C-FLEX HEAD CE MARKED CLEAN CAPE PROTECT FROM FLUIDS AND OTHER CONTAMINANTS DURING SURGERY DISPOSABLE	SUP-A-70702	CDM			270	RC		inpatient			15.2	15.2																																																			
SUTURE PLAIN ON KEITH NEEDLE	SUP-SG-6042	CDM						inpatient			15.2	15.2																																																			
SUTURE PLAIN ON KEITH NEEDLE	SUP-SG-6042	CDM						outpatient			15.2	15.2	15.2				percent of total billed charges		15.2				other	OPPS APC	15.2				fee schedule		15.2				other	OPPS APC	15.2				other	OPPS APC	15.2				case rate		15.2				case rate		15.2				other	OPPS APC	15.2	15.2	
POTASSIUM CHLORIDE PER 2 MEQ OF POTASSIUM	636000000	CDM	0409-6653-18	NDC	J3480	HCPCS		inpatient			15.17	15.17																																																			
POTASSIUM CHLORIDE PER 2 MEQ OF POTASSIUM	636000000	CDM	0409-6653-18	NDC	J3480	HCPCS		outpatient			15.17	15.17																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND SILK 3-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C013D	CDM			270	RC		outpatient			15.16	15.16	4.11				percent of total billed charges		15.16				other	OPPS APC	11.22				percent of total billed charges		15.16				other	OPPS APC	15.16				other	OPPS APC	4.11				percent of total billed charges		4.19				percent of total billed charges		15.16				other	OPPS APC	4.11	15.16	
SUTURE NONABSORBABLE PERMA-HAND SILK 3-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C013D	CDM			270	RC		inpatient			15.16	15.16																																																			
MITTEN RESTRAINT COTTON UNIVERSAL WRIST 2 PAD CONTACT CLOSURE INSPECTION FLAP HANDCONTROL NONSTERILE LATEX FREE	SUP-M2042	CDM	270009157	LOCAL	270	RC		outpatient			15.15	15.15	4.1				percent of total billed charges		15.15				other	OPPS APC	11.21				percent of total billed charges		15.15				other	OPPS APC	15.15				other	OPPS APC	4.1				percent of total billed charges		4.19				percent of total billed charges		15.15				other	OPPS APC	4.1	15.15	
MITTEN RESTRAINT COTTON UNIVERSAL WRIST 2 PAD CONTACT CLOSURE INSPECTION FLAP HANDCONTROL NONSTERILE LATEX FREE	SUP-M2042	CDM	270009157	LOCAL	270	RC		inpatient			15.15	15.15																																																			
"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 SOLUTION"	250000000	CDM	0409-3183-01	NDC				inpatient			15.14	15.14																																																			
"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 SOLUTION"	250000000	CDM	0409-3183-01	NDC				outpatient			15.14	15.14																																															other	OPPS APC			
VANCOMYCIN PER 500 MG	636000000	CDM	16714-247-01	NDC	J3370	HCPCS		inpatient			15.14	15.14																																																			
VANCOMYCIN PER 500 MG	636000000	CDM	16714-247-01	NDC	J3370	HCPCS		outpatient			15.14	15.14																																															other	OPPS APC			
DIVALPROEX 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7182-45	NDC	A9270	HCPCS		inpatient			15.13	15.13																																																			
DIVALPROEX 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7182-45	NDC	A9270	HCPCS		outpatient			15.13	15.13																																															other	OPPS APC			
DUTASTERIDE 0.5 MG CAPSULE	637000000	CDM	42806-549-09	NDC	A9270	HCPCS		inpatient			15.13	15.13																																																			
DUTASTERIDE 0.5 MG CAPSULE	637000000	CDM	42806-549-09	NDC	A9270	HCPCS		outpatient			15.13	15.13																																															other	OPPS APC			
BAND MOLAR STAINLESS STEEL 31.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-255	CDM			270	RC		outpatient			15.1	15.1	4.09				percent of total billed charges		15.1				other	OPPS APC	11.17				percent of total billed charges		15.1				other	OPPS APC	15.1				other	OPPS APC	4.09				percent of total billed charges		4.17				percent of total billed charges		15.1				other	OPPS APC	4.09	15.1	
BAND MOLAR STAINLESS STEEL 31.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-255	CDM			270	RC		inpatient			15.1	15.1																																																			
BAND MOLAR STAINLESS STEEL 33 1/2 MANDIBLE CHAIRSIDE SPACE MAINTAINER ATTACH TUBE BLACK	SUP-8385-263	CDM			270	RC		outpatient			15.1	15.1	4.09				percent of total billed charges		15.1				other	OPPS APC	11.17				percent of total billed charges		15.1				other	OPPS APC	15.1				other	OPPS APC	4.09				percent of total billed charges		4.17				percent of total billed charges		15.1				other	OPPS APC	4.09	15.1	
BAND MOLAR STAINLESS STEEL 33 1/2 MANDIBLE CHAIRSIDE SPACE MAINTAINER ATTACH TUBE BLACK	SUP-8385-263	CDM			270	RC		inpatient			15.1	15.1																																																			
BAND MOLAR STAINLESS STEEL 34 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-265	CDM			270	RC		outpatient			15.1	15.1	4.09				percent of total billed charges		15.1				other	OPPS APC	11.17				percent of total billed charges		15.1				other	OPPS APC	15.1				other	OPPS APC	4.09				percent of total billed charges		4.17				percent of total billed charges		15.1				other	OPPS APC	4.09	15.1	
BAND MOLAR STAINLESS STEEL 34 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-265	CDM			270	RC		inpatient			15.1	15.1																																																			
BAND MOLAR STAINLESS STEEL 35 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-269	CDM			270	RC		outpatient			15.1	15.1	4.09				percent of total billed charges		15.1				other	OPPS APC	11.17				percent of total billed charges		15.1				other	OPPS APC	15.1				other	OPPS APC	4.09				percent of total billed charges		4.17				percent of total billed charges		15.1				other	OPPS APC	4.09	15.1	
BAND MOLAR STAINLESS STEEL 35 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-269	CDM			270	RC		inpatient			15.1	15.1																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 2-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C012D	CDM			270	RC		outpatient			15.1	15.1	4.09				percent of total billed charges		15.1				other	OPPS APC	11.17				percent of total billed charges		15.1				other	OPPS APC	15.1				other	OPPS APC	4.09				percent of total billed charges		4.17				percent of total billed charges		15.1				other	OPPS APC	4.09	15.1	
SUTURE NONABSORBABLE PERMA-HAND SILK 2-0 SH L18 IN CONTROL RELEASE BRAID 8 STRAND BLACK	SUP-C012D	CDM			270	RC		inpatient			15.1	15.1																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	63739-920-11	NDC	J1644	HCPCS		inpatient			15.06	15.06																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	63739-920-11	NDC	J1644	HCPCS		outpatient			15.06	15.06																																															other	OPPS APC			
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH FEMORAL RIGHT 3.5 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-08641-01	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH FEMORAL RIGHT 3.5 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-08641-01	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 5 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-08641-03	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 5 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-08641-03	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON INTERNAL MAMMARY CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-08641-201	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON INTERNAL MAMMARY CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-08641-201	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL LEFT 6 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-08641-25	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL LEFT 6 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-08641-25	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON AMPLATZ LEFT 1 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-0864196	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON AMPLATZ LEFT 1 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-0864196	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 3.5 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP VASCULAR ACCESS	SUP-H74908526012	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 3.5 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP VASCULAR ACCESS	SUP-H74908526012	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 4 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP VASCULAR ACCESS	SUP-H74908526022	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 4 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP VASCULAR ACCESS	SUP-H74908526022	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 3.5 CURVE 100CM 5FR .045IN TRILON VENTRICLE ROBUST SHAFT FULL LENGTH WIRE BRAID	SUP-H7490852621	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 3.5 CURVE 100CM 5FR .045IN TRILON VENTRICLE ROBUST SHAFT FULL LENGTH WIRE BRAID	SUP-H7490852621	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 4 CURVE OD5 FR	SUP-H74908526222	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 4 CURVE OD5 FR	SUP-H74908526222	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH FEMORAL LEFT 4.5 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT WIRE BRAID	SUP-H74908526232	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH FEMORAL LEFT 4.5 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT WIRE BRAID	SUP-H74908526232	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL LEFT 5 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP VASCULAR ACCESS	SUP-H74908526242	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL LEFT 5 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP VASCULAR ACCESS	SUP-H74908526242	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON PIGTAIL CURVE FULL LENGTH L110 CM OD5 FR ID.041 IN VENTRICLE WIRE BRAIDING	SUP-H74908526402	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON PIGTAIL CURVE FULL LENGTH L110 CM OD5 FR ID.041 IN VENTRICLE WIRE BRAIDING	SUP-H74908526402	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH AMPLATZ LEFT 2 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT WIRE BRAID	SUP-H74908526981	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH AMPLATZ LEFT 2 CURVE L100 CM OD5 FR ID.045 IN ROBUST SHAFT WIRE BRAID	SUP-H74908526981	CDM			481	RC		inpatient			15.05	15.05																																																			
6F FR4 DIAGNOSTIC CATHETER 100CM	SUP-H74908641022	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
6F FR4 DIAGNOSTIC CATHETER 100CM	SUP-H74908641022	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 6 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H74908641041	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 6 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H74908641041	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH MUTLIPURPOSE A 1 CURVE L100 CM OD6 FR ID.052 IN ROBUST SHAFT WIRE BRAID	SUP-H749086411172	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH MUTLIPURPOSE A 1 CURVE L100 CM OD6 FR ID.052 IN ROBUST SHAFT WIRE BRAID	SUP-H749086411172	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON MUTLIPURPOSE A 2 CURVE L100 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SIDEHOLE VASCULAR ACCESS	SUP-H749086411211	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON MUTLIPURPOSE A 2 CURVE L100 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SIDEHOLE VASCULAR ACCESS	SUP-H749086411211	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON MULTIPURPOSE A 2 CURVE L125 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP SIDEHOLE	SUP-H749086411222	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON MULTIPURPOSE A 2 CURVE L125 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP SIDEHOLE	SUP-H749086411222	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON MULTIPURPOSE B 2 CURVE L100 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP SIDEHOLE	SUP-H749086411461	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON MULTIPURPOSE B 2 CURVE L100 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP SIDEHOLE	SUP-H749086411461	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON RIGHT CORONARY BYPASS CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H749086411901	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON RIGHT CORONARY BYPASS CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H749086411901	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO LEFT CORONARY BYPASS CURVE OD6 FR	SUP-H74908641195	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO LEFT CORONARY BYPASS CURVE OD6 FR	SUP-H74908641195	CDM			481	RC		inpatient			15.05	15.05																																																			
6F FL3.5 DIAGNOSTIC CATHETER 100CM	SUP-H74908641212	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
6F FL3.5 DIAGNOSTIC CATHETER 100CM	SUP-H74908641212	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON PIGTAIL CURVE L125 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SOFT TIP	SUP-H749086412152	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON PIGTAIL CURVE L125 CM OD6 FR ID.052 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SOFT TIP	SUP-H749086412152	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL LEFT 4 CURVE L125 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-H749086412202	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL LEFT 4 CURVE L125 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-H749086412202	CDM			481	RC		inpatient			15.05	15.05																																																			
6F FL4 DIAGNOSTIC CATHETER 100CM	SUP-H74908641222	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
6F FL4 DIAGNOSTIC CATHETER 100CM	SUP-H74908641222	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 4 CURVE L125 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-H749086412252	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FEMORAL RIGHT 4 CURVE L125 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID SUPER SOFT TIP	SUP-H749086412252	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC FR5 CURVE 6FR .056IN 125CM EXPO	SUP-H749086412302	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC FR5 CURVE 6FR .056IN 125CM EXPO	SUP-H749086412302	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 4.5 CURVE OD6 FR	SUP-H74908641232	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 4.5 CURVE OD6 FR	SUP-H74908641232	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH FEMORAL LEFT 5 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-H749086412352	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH FEMORAL LEFT 5 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-H749086412352	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 5 CURVE OD6 FR	SUP-H74908641242	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO FEMORAL LEFT 5 CURVE OD6 FR	SUP-H74908641242	CDM			481	RC		inpatient			15.05	15.05																																																			
6F PIGTAIL CATHETER 110CM	SUP-H74908641402	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
6F PIGTAIL CATHETER 110CM	SUP-H74908641402	CDM			481	RC		inpatient			15.05	15.05																																																			
6F 145 PIGTAIL CATHETER 110CM	SUP-H74908641412	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
6F 145 PIGTAIL CATHETER 110CM	SUP-H74908641412	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO WILLIAMS RIGHT CURVE 100CM 6FR .056IN	SUP-H74908641502	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO WILLIAMS RIGHT CURVE 100CM 6FR .056IN	SUP-H74908641502	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH AMPLATZ RIGHT MODIFIED CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-H74908641892	CDM			481	RC		outpatient			15.05	15.51	7.37				percent of total billed charges		15.05				other	OPPS APC	11.14				percent of total billed charges		15.05				other	OPPS APC	15.05				other	OPPS APC	7.37				percent of total billed charges		7.68				percent of total billed charges		15.51				other	OPPS APC	7.37	15.51	
CATHETER ANGIOGRAPHIC EXPO TRILON FULL LENGTH AMPLATZ RIGHT MODIFIED CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT WIRE BRAID	SUP-H74908641892	CDM			481	RC		inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON AMPLATZ LEFT 2 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H74908641982	CDM						inpatient			15.05	15.05																																																			
CATHETER ANGIOGRAPHIC EXPO TRILON AMPLATZ LEFT 2 CURVE L100 CM OD6 FR ID.056 IN ROBUST SHAFT FULL LENGTH WIRE BRAID VASCULAR ACCESS	SUP-H74908641982	CDM						outpatient			15.05	15.51	15.05				percent of total billed charges		15.05				other	OPPS APC	15.05				fee schedule		15.05				other	OPPS APC	15.05				other	OPPS APC	15.05				case rate		15.05				case rate		15.51				other	OPPS APC	15.05	15.51	
SUTURE NONABSORBABLE SUTUPAK 0 18IN SILVER SS MONOFILAMENT TIES 17 STRAND PRECUT	SUP-SS26G	CDM			270	RC		outpatient			15.04	15.4	4.07				percent of total billed charges		15.04				other	OPPS APC	11.13				percent of total billed charges		15.04				other	OPPS APC	15.04				other	OPPS APC	4.07				percent of total billed charges		4.16				percent of total billed charges		15.4				other	OPPS APC	4.07	15.4	
SUTURE NONABSORBABLE SUTUPAK 0 18IN SILVER SS MONOFILAMENT TIES 17 STRAND PRECUT	SUP-SS26G	CDM			270	RC		inpatient			15.04	15.04																																																			
SUTURE NONABSORBABLE SUTUPAK 2-0 18IN SILVER SS MONOFILAMENT TIES 17 STRAND PRECUT	SUP-SS28G	CDM			270	RC		outpatient			15.04	15.4	4.07				percent of total billed charges		15.04				other	OPPS APC	11.13				percent of total billed charges		15.04				other	OPPS APC	15.04				other	OPPS APC	4.07				percent of total billed charges		4.16				percent of total billed charges		15.4				other	OPPS APC	4.07	15.4	
SUTURE NONABSORBABLE SUTUPAK 2-0 18IN SILVER SS MONOFILAMENT TIES 17 STRAND PRECUT	SUP-SS28G	CDM			270	RC		inpatient			15.04	15.04																																																			
POTASSIUM CHLORIDE PER 2 MEQ	636000000	CDM	0990-7075-26	NDC	J3480	HCPCS		inpatient			15.03	15.03																																																			
POTASSIUM CHLORIDE PER 2 MEQ	636000000	CDM	0990-7075-26	NDC	J3480	HCPCS		outpatient			15.03	15.03																																															other	OPPS APC			
EPHEDRINE 50 MG/ML SOLUTION	250000000	CDM	70756-611-82	NDC				inpatient			15.01	15.01																																																			
EPHEDRINE 50 MG/ML SOLUTION	250000000	CDM	70756-611-82	NDC				outpatient			15.01	15.01																																															other	OPPS APC			
ATROPINE PER 0.01 MG	636000000	CDM	64253-400-91	NDC	J0461	HCPCS		inpatient			15	15																																																			
ATROPINE PER 0.01 MG	636000000	CDM	64253-400-91	NDC	J0461	HCPCS		outpatient			15	15																																															other	OPPS APC			
NALOXONE PER 1 MG	636000000	CDM	36000-308-10	NDC	J2310	HCPCS		inpatient			15	15																																																			
NALOXONE PER 1 MG	636000000	CDM	36000-308-10	NDC	J2310	HCPCS		outpatient			15	15																																															other	OPPS APC			
HC Protein (Tp)	PX-300841551	CDM	84155	CPT	301	RC		outpatient			15	3.67	4.48				fee schedule		3.67				fee schedule		9.73				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67				fee schedule		3.67	9.73	
HC Protein (Tp)	PX-300841551	CDM	84155	CPT	301	RC		inpatient			15	15																																																			
Speciment Handling	PX-510990001	CDM	99000	CPT	510	RC		inpatient			15	15																																																			
Speciment Handling	PX-510990001	CDM	99000	CPT	510	RC		outpatient			15	15					fee schedule						other	OPPS APC	11.1				percent of total billed charges						other	OPPS APC					fee schedule						case rate												other	OPPS APC	11.1	11.1	
WIRE FIXATION KIRSCHNER L6 IN OD.045 IN HAND TROCAR POINT ALPS	SUP-164206045	CDM			270	RC		outpatient			14.92	14.92	4.04				percent of total billed charges		14.92				other	OPPS APC	11.04				percent of total billed charges		14.92				other	OPPS APC	14.92				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.92				other	OPPS APC	4.04	14.92	
WIRE FIXATION KIRSCHNER L6 IN OD.045 IN HAND TROCAR POINT ALPS	SUP-164206045	CDM			270	RC		inpatient			14.92	14.92																																																			
WIRE FIXATION KIRSCHNER L6 IN OD.062 IN TROCAR POINT	SUP-164206062	CDM			270	RC		outpatient			14.92	14.92	4.04				percent of total billed charges		14.92				other	OPPS APC	11.04				percent of total billed charges		14.92				other	OPPS APC	14.92				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.92				other	OPPS APC	4.04	14.92	
WIRE FIXATION KIRSCHNER L6 IN OD.062 IN TROCAR POINT	SUP-164206062	CDM			270	RC		inpatient			14.92	14.92																																																			
BAND MOLAR STAINLESS STEEL 33 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-161	CDM			270	RC		outpatient			14.9	14.9	4.04				percent of total billed charges		14.9				other	OPPS APC	11.03				percent of total billed charges		14.9				other	OPPS APC	14.9				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.9				other	OPPS APC	4.04	14.9	
BAND MOLAR STAINLESS STEEL 33 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-161	CDM			270	RC		inpatient			14.9	14.9																																																			
BAND MOLAR STAINLESS STEEL 34.5 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-167	CDM			270	RC		outpatient			14.9	14.9	4.04				percent of total billed charges		14.9				other	OPPS APC	11.03				percent of total billed charges		14.9				other	OPPS APC	14.9				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.9				other	OPPS APC	4.04	14.9	
BAND MOLAR STAINLESS STEEL 34.5 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-167	CDM			270	RC		inpatient			14.9	14.9																																																			
BAND MOLAR STAINLESS STEEL 32 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-257	CDM			270	RC		outpatient			14.9	14.9	4.04				percent of total billed charges		14.9				other	OPPS APC	11.03				percent of total billed charges		14.9				other	OPPS APC	14.9				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.9				other	OPPS APC	4.04	14.9	
BAND MOLAR STAINLESS STEEL 32 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-257	CDM			270	RC		inpatient			14.9	14.9																																																			
BAND MOLAR STAINLESS STEEL 32 1/2 LOWER MAXILLARY SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-259	CDM			270	RC		outpatient			14.9	14.9	4.04				percent of total billed charges		14.9				other	OPPS APC	11.03				percent of total billed charges		14.9				other	OPPS APC	14.9				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.9				other	OPPS APC	4.04	14.9	
BAND MOLAR STAINLESS STEEL 32 1/2 LOWER MAXILLARY SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-259	CDM			270	RC		inpatient			14.9	14.9																																																			
BAND MOLAR STAINLESS STEEL 34.5 LOWER MANDIBULAR SPACE MAINTAINER ATTACHED TUBE WIDE WIRE STRONG SEAMLESS	SUP-8385-267	CDM			270	RC		outpatient			14.9	14.9	4.04				percent of total billed charges		14.9				other	OPPS APC	11.03				percent of total billed charges		14.9				other	OPPS APC	14.9				other	OPPS APC	4.04				percent of total billed charges		4.12				percent of total billed charges		14.9				other	OPPS APC	4.04	14.9	
BAND MOLAR STAINLESS STEEL 34.5 LOWER MANDIBULAR SPACE MAINTAINER ATTACHED TUBE WIDE WIRE STRONG SEAMLESS	SUP-8385-267	CDM			270	RC		inpatient			14.9	14.9																																																			
SUTURE ABSORBABLE PLAIN 3-0 CT-1 L18 IN MONOFILAMENT 3 STRAND	SUP-5503T	CDM			270	RC		outpatient			14.83	14.83	4.02				percent of total billed charges		14.83				other	OPPS APC	10.97				percent of total billed charges		14.83				other	OPPS APC	14.83				other	OPPS APC	4.02				percent of total billed charges		4.1				percent of total billed charges		14.83				other	OPPS APC	4.02	14.83	
SUTURE ABSORBABLE PLAIN 3-0 CT-1 L18 IN MONOFILAMENT 3 STRAND	SUP-5503T	CDM			270	RC		inpatient			14.83	14.83																																																			
AZITHROMYCIN 250 MG TABLET	637000000	CDM	50268-074-11	NDC	A9270	HCPCS		inpatient			14.82	14.82																																																			
AZITHROMYCIN 250 MG TABLET	637000000	CDM	50268-074-11	NDC	A9270	HCPCS		outpatient			14.82	14.82																																															other	OPPS APC			
MASK LASER	SUP-15525	CDM						inpatient			14.81	14.81																																																			
MASK LASER	SUP-15525	CDM						outpatient			14.81	14.81	14.81				percent of total billed charges		14.81				other	OPPS APC	14.81				fee schedule		14.81				other	OPPS APC	14.81				other	OPPS APC	14.81				case rate		14.81				case rate		14.81				other	OPPS APC	14.81	14.81	
TERBUTALINE PER 1 MG	636000000	CDM	63323-665-00	NDC	J3105	HCPCS		inpatient			14.78	14.78																																																			
TERBUTALINE PER 1 MG	636000000	CDM	63323-665-00	NDC	J3105	HCPCS		outpatient			14.78	14.78																																															other	OPPS APC			
DIAZEPAM 5 MG/ML SYRINGE	636000000	CDM	0641-6244-01	NDC	J3360	HCPCS		inpatient			14.77	14.77																																																			
DIAZEPAM 5 MG/ML SYRINGE	636000000	CDM	0641-6244-01	NDC	J3360	HCPCS		outpatient			14.77	14.77																																															other	OPPS APC			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-04	NDC	J7030	HCPCS		inpatient			14.77	14.77																																																			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-04	NDC	J7030	HCPCS		outpatient			14.77	14.77																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-04	NDC	J7030	HCPCS		inpatient			14.77	14.77																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-04	NDC	J7030	HCPCS		outpatient			14.77	14.77																																															other	OPPS APC			
"CARBAMAZEPINE 200 MG CAPSULE, ER MULTIPHASE 12 HR"	637000000	CDM	66993-408-32	NDC	A9270	HCPCS		inpatient			14.74	14.74																																																			
"CARBAMAZEPINE 200 MG CAPSULE, ER MULTIPHASE 12 HR"	637000000	CDM	66993-408-32	NDC	A9270	HCPCS		outpatient			14.74	14.74																																															other	OPPS APC			
LIDOCAINE 2 % SOLUTION	637000000	CDM	62135-712-42	NDC	A9270	HCPCS		inpatient			14.7	14.7																																																			
LIDOCAINE 2 % SOLUTION	637000000	CDM	62135-712-42	NDC	A9270	HCPCS		outpatient			14.7	14.7																																															other	OPPS APC			
BAND MOLAR STAINLESS STEEL 36 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-173	CDM			270	RC		outpatient			14.7	14.7	3.98				percent of total billed charges		14.7				other	OPPS APC	10.88				percent of total billed charges		14.7				other	OPPS APC	14.7				other	OPPS APC	3.98				percent of total billed charges		4.06				percent of total billed charges		14.7				other	OPPS APC	3.98	14.7	
BAND MOLAR STAINLESS STEEL 36 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-173	CDM			270	RC		inpatient			14.7	14.7																																																			
PAROXETINE 20 MG TABLET	637000000	CDM	0904-5677-61	NDC	A9270	HCPCS		inpatient			14.69	14.69																																																			
PAROXETINE 20 MG TABLET	637000000	CDM	0904-5677-61	NDC	A9270	HCPCS		outpatient			14.69	14.69																																															other	OPPS APC			
MASK OXYGEN POM ELITE PVC ADULT L10 FT OD5.8 IN ID3.5 IN HIGH CONCENTRATION CO2 MONITOR MALE TO MALE MALE SAMPLE LINE LATEX FREE	SUP-B180160	CDM			270	RC		outpatient			14.67	14.67	3.97				percent of total billed charges		14.67				other	OPPS APC	10.86				percent of total billed charges		14.67				other	OPPS APC	14.67				other	OPPS APC	3.97				percent of total billed charges		4.05				percent of total billed charges		14.67				other	OPPS APC	3.97	14.67	
MASK OXYGEN POM ELITE PVC ADULT L10 FT OD5.8 IN ID3.5 IN HIGH CONCENTRATION CO2 MONITOR MALE TO MALE MALE SAMPLE LINE LATEX FREE	SUP-B180160	CDM			270	RC		inpatient			14.67	14.67																																																			
CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	44567-840-01	NDC	J0690	HCPCS		inpatient			14.64	14.64																																																			
CEFAZOLIN 2 GRAM RECON SOLN 1 EACH VIAL	636000000	CDM	44567-840-01	NDC	J0690	HCPCS		outpatient			14.64	14.64																																															other	OPPS APC			
BOWL GUIDEWIRE 5 TAB BASIN RING GRASPABLE STERILE LATEX	SUP-DYNJGUIDEB2	CDM			481	RC		outpatient			14.64	14.64	7.17				percent of total billed charges		14.64				other	OPPS APC	10.83				percent of total billed charges		14.64				other	OPPS APC	14.64				other	OPPS APC	7.17				percent of total billed charges		7.47				percent of total billed charges		14.64				other	OPPS APC	7.17	14.64	
BOWL GUIDEWIRE 5 TAB BASIN RING GRASPABLE STERILE LATEX	SUP-DYNJGUIDEB2	CDM			481	RC		inpatient			14.64	14.64																																																			
CLIP INTEGRA LOCKING	SUP-185100	CDM			270	RC		outpatient			14.56	14.56	3.94				percent of total billed charges		14.56				other	OPPS APC	10.77				percent of total billed charges		14.56				other	OPPS APC	14.56				other	OPPS APC	3.94				percent of total billed charges		4.02				percent of total billed charges		14.56				other	OPPS APC	3.94	14.56	
CLIP INTEGRA LOCKING	SUP-185100	CDM			270	RC		inpatient			14.56	14.56																																																			
ATTACHMENT SMOKE EVACUATOR ACCUVAC FLEXIBLE CAUTERY HANDSWITCH STERILE DISPOSABLE TRIVERSE DEVICE STANDARD VALLEYLAB SEA3710 RAPIDVAC	SUP-E3590	CDM						inpatient			14.52	14.52																																																			
ATTACHMENT SMOKE EVACUATOR ACCUVAC FLEXIBLE CAUTERY HANDSWITCH STERILE DISPOSABLE TRIVERSE DEVICE STANDARD VALLEYLAB SEA3710 RAPIDVAC	SUP-E3590	CDM						outpatient			14.52	14.52	14.52				percent of total billed charges		14.52				other	OPPS APC	14.52				fee schedule		14.52				other	OPPS APC	14.52				other	OPPS APC	14.52				case rate		14.52				case rate		14.52				other	OPPS APC	14.52	14.52	
6F FL5 DIAGNOSTIC CATHETER 100CM	SUP-08641-24	CDM			481	RC		outpatient			14.5	14.5	7.11				percent of total billed charges		14.5				other	OPPS APC	10.73				percent of total billed charges		14.5				other	OPPS APC	14.5				other	OPPS APC	7.11				percent of total billed charges		7.4				percent of total billed charges		14.5				other	OPPS APC	7.11	14.5	
6F FL5 DIAGNOSTIC CATHETER 100CM	SUP-08641-24	CDM			481	RC		inpatient			14.5	14.5																																																			
GUIDEWIRE VASCULAR CENTURION DISPOSABLE STERILE LF	SUP-GW3245I	CDM			270	RC		outpatient			14.5	14.5	3.93				percent of total billed charges		14.5				other	OPPS APC	10.73				percent of total billed charges		14.5				other	OPPS APC	14.5				other	OPPS APC	3.93				percent of total billed charges		4.01				percent of total billed charges		14.5				other	OPPS APC	3.93	14.5	
GUIDEWIRE VASCULAR CENTURION DISPOSABLE STERILE LF	SUP-GW3245I	CDM			270	RC		inpatient			14.5	14.5																																																			
PACK SURGICAL ECLIPSE T L76 IN X W44 IN L23 IN X W16 IN CYSTOSCOPY VI DRAPE ABSORBENT REINFORCEMENT MESH SCREEN STERILE LATEX FREE	SUP-DYNJP5050	CDM	270009170	LOCAL	270	RC		outpatient			14.49	14.49	3.93				percent of total billed charges		14.49				other	OPPS APC	10.72				percent of total billed charges		14.49				other	OPPS APC	14.49				other	OPPS APC	3.93				percent of total billed charges		4				percent of total billed charges		14.49				other	OPPS APC	3.93	14.49	
PACK SURGICAL ECLIPSE T L76 IN X W44 IN L23 IN X W16 IN CYSTOSCOPY VI DRAPE ABSORBENT REINFORCEMENT MESH SCREEN STERILE LATEX FREE	SUP-DYNJP5050	CDM	270009170	LOCAL	270	RC		inpatient			14.49	14.49																																																			
PACK SURGICAL BREAST BIOPSY	SUP-DYNDA2378A	CDM			270	RC		outpatient			14.48	14.48	3.92				percent of total billed charges		14.48				other	OPPS APC	10.72				percent of total billed charges		14.48				other	OPPS APC	14.48				other	OPPS APC	3.92				percent of total billed charges		4				percent of total billed charges		14.48				other	OPPS APC	3.92	14.48	
PACK SURGICAL BREAST BIOPSY	SUP-DYNDA2378A	CDM			270	RC		inpatient			14.48	14.48																																																			
TUBE GASTROSTOMY KANGAROO 16FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-DYND70316	CDM			270	RC		outpatient			14.42	14.42	3.91				percent of total billed charges		14.42				other	OPPS APC	10.67				percent of total billed charges		14.42				other	OPPS APC	14.42				other	OPPS APC	3.91				percent of total billed charges		3.98				percent of total billed charges		14.42				other	OPPS APC	3.91	14.42	
TUBE GASTROSTOMY KANGAROO 16FR 20ML SILICONE Y PORT GRADUATE SHAFT ROUND TIP OPEN DISTAL END	SUP-DYND70316	CDM			270	RC		inpatient			14.42	14.42																																																			
TIP PULSED LAVAGE L22.86 CM OD.89 CM FEMUR RADIAL SPRAY HIGH CAPACITY STERILE INTRAMEDULLARY NAIL PULSAVAC PLUS PULSAVAC PLUS AC	SUP-00-5150-182-00	CDM			270	RC		outpatient			14.4	14.4	3.9				percent of total billed charges		14.4				other	OPPS APC	10.66				percent of total billed charges		14.4				other	OPPS APC	14.4				other	OPPS APC	3.9				percent of total billed charges		3.98				percent of total billed charges		14.4				other	OPPS APC	3.9	14.4	
TIP PULSED LAVAGE L22.86 CM OD.89 CM FEMUR RADIAL SPRAY HIGH CAPACITY STERILE INTRAMEDULLARY NAIL PULSAVAC PLUS PULSAVAC PLUS AC	SUP-00-5150-182-00	CDM			270	RC		inpatient			14.4	14.4																																																			
BURR	SUP-112-5129	CDM	27000000	LOCAL	270	RC		outpatient			14.4	14.4	3.9				percent of total billed charges		14.4				other	OPPS APC	10.66				percent of total billed charges		14.4				other	OPPS APC	14.4				other	OPPS APC	3.9				percent of total billed charges		3.98				percent of total billed charges		14.4				other	OPPS APC	3.9	14.4	
BURR	SUP-112-5129	CDM	27000000	LOCAL	270	RC		inpatient			14.4	14.4																																																			
CATHETER URETERAL BARD 70CM 5FR POLYURETHANE DISPOSABLE STERILE LF CONE TIP ADAPTER KINK RESISTANT GRADUATE	SUP-138008	CDM	270009007	LOCAL	270	RC		outpatient			14.4	14.4	3.9				percent of total billed charges		14.4				other	OPPS APC	10.66				percent of total billed charges		14.4				other	OPPS APC	14.4				other	OPPS APC	3.9				percent of total billed charges		3.98				percent of total billed charges		14.4				other	OPPS APC	3.9	14.4	
CATHETER URETERAL BARD 70CM 5FR POLYURETHANE DISPOSABLE STERILE LF CONE TIP ADAPTER KINK RESISTANT GRADUATE	SUP-138008	CDM	270009007	LOCAL	270	RC		inpatient			14.4	14.4																																																			
POLISHER LENS TERRY SQUEEGEE SILICONE OD27 GA CAPSULE TIP STERILE DISPOSABLE	SUP-8065428220	CDM			270	RC		outpatient			14.4	14.4	3.9				percent of total billed charges		14.4				other	OPPS APC	10.66				percent of total billed charges		14.4				other	OPPS APC	14.4				other	OPPS APC	3.9				percent of total billed charges		3.98				percent of total billed charges		14.4				other	OPPS APC	3.9	14.4	
POLISHER LENS TERRY SQUEEGEE SILICONE OD27 GA CAPSULE TIP STERILE DISPOSABLE	SUP-8065428220	CDM			270	RC		inpatient			14.4	14.4																																																			
BAND MOLAR STAINLESS STEEL 37 1/2 MANDIBLE CHAIRSIDE SPACE MAINTAINER ATTACH TUBE BLACK	SUP-8385-279	CDM			270	RC		outpatient			14.4	14.4	3.9				percent of total billed charges		14.4				other	OPPS APC	10.66				percent of total billed charges		14.4				other	OPPS APC	14.4				other	OPPS APC	3.9				percent of total billed charges		3.98				percent of total billed charges		14.4				other	OPPS APC	3.9	14.4	
BAND MOLAR STAINLESS STEEL 37 1/2 MANDIBLE CHAIRSIDE SPACE MAINTAINER ATTACH TUBE BLACK	SUP-8385-279	CDM			270	RC		inpatient			14.4	14.4																																																			
METER URINE BARD EZ-LOK 350 ML 2500 ML INFECTION CONTROL SAMPLE PORT DRAINAGE BAG STERILE LATEX FREE DISPOSABLE	SUP-153214A	CDM	270009006	LOCAL	270	RC		outpatient			14.38	14.38	3.9				percent of total billed charges		14.38				other	OPPS APC	10.64				percent of total billed charges		14.38				other	OPPS APC	14.38				other	OPPS APC	3.9				percent of total billed charges		3.97				percent of total billed charges		14.38				other	OPPS APC	3.9	14.38	
METER URINE BARD EZ-LOK 350 ML 2500 ML INFECTION CONTROL SAMPLE PORT DRAINAGE BAG STERILE LATEX FREE DISPOSABLE	SUP-153214A	CDM	270009006	LOCAL	270	RC		inpatient			14.38	14.38																																																			
CATHETER DRAINAGE PVC STRAIGHT L22 IN OD20 FR THORACIC 4 EYELET RADIOPAQUE TAPER CONNECTOR TIP STERILE LATEX FREE	SUP-8020	CDM			270	RC		outpatient			14.38	14.38	3.9				percent of total billed charges		14.38				other	OPPS APC	10.64				percent of total billed charges		14.38				other	OPPS APC	14.38				other	OPPS APC	3.9				percent of total billed charges		3.97				percent of total billed charges		14.38				other	OPPS APC	3.9	14.38	
CATHETER DRAINAGE PVC STRAIGHT L22 IN OD20 FR THORACIC 4 EYELET RADIOPAQUE TAPER CONNECTOR TIP STERILE LATEX FREE	SUP-8020	CDM			270	RC		inpatient			14.38	14.38																																																			
DRAIN INCISION AXIOM SILICONE OD9 MM MEDIASTINAL EYE ON TOP NONSTERILE	SUP-111099	CDM	270009144	LOCAL	270	RC		outpatient			14.3	14.31	3.87				percent of total billed charges		14.3				other	OPPS APC	10.58				percent of total billed charges		14.3				other	OPPS APC	14.3				other	OPPS APC	3.87				percent of total billed charges		3.95				percent of total billed charges		14.31				other	OPPS APC	3.87	14.31	
DRAIN INCISION AXIOM SILICONE OD9 MM MEDIASTINAL EYE ON TOP NONSTERILE	SUP-111099	CDM	270009144	LOCAL	270	RC		inpatient			14.3	14.3																																																			
SET ADMINISTRATION INFUSOMAT 15GTT/ML L122IN 22ML SPACE PUMP FREE FLOW PROTECTION CLAMP SPIN LOCK CONNECTOR UNIVERSAL SPIKE LATEX FREE	SUP-362035	CDM			270	RC		outpatient			14.28	14.28	3.87				percent of total billed charges		14.28				other	OPPS APC	10.57				percent of total billed charges		14.28				other	OPPS APC	14.28				other	OPPS APC	3.87				percent of total billed charges		3.95				percent of total billed charges		14.28				other	OPPS APC	3.87	14.28	
SET ADMINISTRATION INFUSOMAT 15GTT/ML L122IN 22ML SPACE PUMP FREE FLOW PROTECTION CLAMP SPIN LOCK CONNECTOR UNIVERSAL SPIKE LATEX FREE	SUP-362035	CDM			270	RC		inpatient			14.28	14.28																																																			
TRAY GASTRIC LAVAGE MONOJECT ARGYLE EDLICH PVC LARGE L36 IN OD34 FR 140 CC 4 EYE CLOSED END GRADUATED SYRINGE TRANSPARENT STERILE LATEX FREE	SUP-8888750018	CDM			270	RC		outpatient			14.22	14.22	3.85				percent of total billed charges		14.22				other	OPPS APC	10.52				percent of total billed charges		14.22				other	OPPS APC	14.22				other	OPPS APC	3.85				percent of total billed charges		3.93				percent of total billed charges		14.22				other	OPPS APC	3.85	14.22	
TRAY GASTRIC LAVAGE MONOJECT ARGYLE EDLICH PVC LARGE L36 IN OD34 FR 140 CC 4 EYE CLOSED END GRADUATED SYRINGE TRANSPARENT STERILE LATEX FREE	SUP-8888750018	CDM			270	RC		inpatient			14.22	14.22																																																			
AMINOPHYLLINE PER 250 MG	636000000	CDM	0409-5921-16	NDC	J0280	HCPCS		inpatient			14.17	14.17																																																			
AMINOPHYLLINE PER 250 MG	636000000	CDM	0409-5921-16	NDC	J0280	HCPCS		outpatient			14.17	14.17																																															other	OPPS APC			
SODIUM CHLORIDE 0.45% 0.45 % PARENTERAL SOLUTION	250000000	CDM	0338-0043-03	NDC				inpatient			14.14	14.14																																																			
SODIUM CHLORIDE 0.45% 0.45 % PARENTERAL SOLUTION	250000000	CDM	0338-0043-03	NDC				outpatient			14.14	14.14																																															other	OPPS APC			
SODIUM CHLORIDE 0.45% 0.45 % PARENTERAL SOLUTION 500 ML BAG	250000000	CDM	0338-0043-03	NDC				inpatient			14.14	14.14																																																			
SODIUM CHLORIDE 0.45% 0.45 % PARENTERAL SOLUTION 500 ML BAG	250000000	CDM	0338-0043-03	NDC				outpatient			14.14	14.14																																															other	OPPS APC			
KIT MAINTENANCE VERIFYNOW 13 CLEAN DEVICE 1 REPLACEMENT FAN FILTER PREVENTIVE	SUP-85062	CDM			270	RC		outpatient			14.07	14.7	3.81				percent of total billed charges		14.07				other	OPPS APC	10.41				percent of total billed charges		14.07				other	OPPS APC	14.07				other	OPPS APC	3.81				percent of total billed charges		3.89				percent of total billed charges		14.7				other	OPPS APC	3.81	14.7	
KIT MAINTENANCE VERIFYNOW 13 CLEAN DEVICE 1 REPLACEMENT FAN FILTER PREVENTIVE	SUP-85062	CDM			270	RC		inpatient			14.07	14.07																																																			
GUIDEWIRE ORTHOPEDIC L5.91 IN OD.045 IN TROCAR TIP	SUP-AR-8933K	CDM			270	RC		outpatient			14	14	3.79				percent of total billed charges		14				other	OPPS APC	10.36				percent of total billed charges		14				other	OPPS APC	14				other	OPPS APC	3.79				percent of total billed charges		3.87				percent of total billed charges		14				other	OPPS APC	3.79	14	
GUIDEWIRE ORTHOPEDIC L5.91 IN OD.045 IN TROCAR TIP	SUP-AR-8933K	CDM			270	RC		inpatient			14	14																																																			
HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML SOLUTION	637000000	CDM	0121-2316-15	NDC	A9270	HCPCS		inpatient			13.98	13.98																																																			
HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15 ML SOLUTION	637000000	CDM	0121-2316-15	NDC	A9270	HCPCS		outpatient			13.98	13.98																																															other	OPPS APC			
DROPERIDOL PER 5 MG	636000000	CDM	0517-9702-25	NDC	J1790	HCPCS		inpatient			13.97	13.97																																																			
DROPERIDOL PER 5 MG	636000000	CDM	0517-9702-25	NDC	J1790	HCPCS		outpatient			13.97	13.97																																															other	OPPS APC			
CIRCUIT ANESTHESIA ADULT	SUP-C45101722D-NL	CDM						inpatient			13.93	13.93																																																			
CIRCUIT ANESTHESIA ADULT	SUP-C45101722D-NL	CDM						outpatient			13.93	13.93	13.93				percent of total billed charges		13.93				other	OPPS APC	13.93				fee schedule		13.93				other	OPPS APC	13.93				other	OPPS APC	13.93				case rate		13.93				case rate		13.93				other	OPPS APC	13.93	13.93	
BURR DENTAL CARBIDE 12 12 BLADE FRICTION GRIP TRIMMING FINISHING 7613	SUP-9004370	CDM			270	RC		outpatient			13.92	13.92	3.77				percent of total billed charges		13.92				other	OPPS APC	10.3				percent of total billed charges		13.92				other	OPPS APC	13.92				other	OPPS APC	3.77				percent of total billed charges		3.85				percent of total billed charges		13.92				other	OPPS APC	3.77	13.92	
BURR DENTAL CARBIDE 12 12 BLADE FRICTION GRIP TRIMMING FINISHING 7613	SUP-9004370	CDM			270	RC		inpatient			13.92	13.92																																																			
BAND MOLAR STAINLESS STEEL 23 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS ATTACH TUBE MALLEABLE	SUP-8385-131	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 23 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS ATTACH TUBE MALLEABLE	SUP-8385-131	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 23.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-132	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 23.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-132	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 24 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS ATTACH TUBE MALLEABLE	SUP-8385-133	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 24 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS ATTACH TUBE MALLEABLE	SUP-8385-133	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 24.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-134	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 24.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-134	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 25 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-135	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 25 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-135	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 25.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-136	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 25.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-136	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 26 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-137	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 26 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-137	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 26.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-138	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 26.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-138	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 27 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-139	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 27 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-139	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 27 1/2 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-140	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 27 1/2 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-140	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 28 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-141	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 28 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-141	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 28 1/2 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-143	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 28 1/2 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-143	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 29 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-145	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 29 UPPER MAXILLA SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-145	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 29 1/2 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-147	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 29 1/2 MAXILLARY UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-147	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 30 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-149	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 30 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-149	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 30 1/2 UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-151	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 30 1/2 UPPER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-151	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 31 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-153	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 31 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-153	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 31.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-155	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 31.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-155	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 32 1/2 UPPER MAXILLARY SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-159	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 32 1/2 UPPER MAXILLARY SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-159	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 35 1/2 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-171	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 35 1/2 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-171	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 36 1/2 MAXILLARY CHAIRSIDE SPACE MAINTAINER ATTACH TUBE RED	SUP-8385-175	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 36 1/2 MAXILLARY CHAIRSIDE SPACE MAINTAINER ATTACH TUBE RED	SUP-8385-175	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 37 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-177	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 37 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-177	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 37 1/2 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-179	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 37 1/2 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-179	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 38 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE SEAMLESS	SUP-8385-181	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 38 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE SEAMLESS	SUP-8385-181	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR 38 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE	SUP-8385-183	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR 38 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE	SUP-8385-183	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 39 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-185	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 39 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-185	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 39.5 MAXILLARY ORTHODONTIC SPACE MAINTAINER ATTACHED TUBE	SUP-8385-187	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 39.5 MAXILLARY ORTHODONTIC SPACE MAINTAINER ATTACHED TUBE	SUP-8385-187	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 40 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-189	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 40 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-189	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 40.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-191	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 40.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-191	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 41 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-193	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 41 UPPER MAXILLARY SPACE MAINTAINER CHAIRSIDE ATTACH TUBE RED	SUP-8385-193	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 41.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-195	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 41.5 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-195	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 42 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-197	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 42 UPPER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-197	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 23 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACH TUBE	SUP-8385-231	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 23 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACH TUBE	SUP-8385-231	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 23 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-232	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 23 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-232	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 24.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-234	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 24.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-234	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 26 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-238	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 26 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-238	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 27 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-239	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 27 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACHED TUBE	SUP-8385-239	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 27 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-240	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 27 1/2 MAXILLARY LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-240	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 28 LOWER MANDIBULAR SPACE MAINTAINER ATTACHED TUBE WIDE WIRE STRONG SEAMLESS	SUP-8385-241	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 28 LOWER MANDIBULAR SPACE MAINTAINER ATTACHED TUBE WIDE WIRE STRONG SEAMLESS	SUP-8385-241	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 28 1/2 LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-243	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 28 1/2 LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-243	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 29 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACH TUBE	SUP-8385-245	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 29 LOWER MANDIBLE SPACE MAINTAINER CHAIRSIDE SEAMLESS MALLEABLE ATTACH TUBE	SUP-8385-245	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 29 1/2 LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-247	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 29 1/2 LOWER SPACE MAINTAINER SEAMLESS MALLEABLE	SUP-8385-247	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 30 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-249	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 30 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-249	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 30 1/2 LOWER MAXILLARY SPACE MAINTAINER	SUP-8385-251	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 30 1/2 LOWER MAXILLARY SPACE MAINTAINER	SUP-8385-251	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 33 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-261	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 33 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-261	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 35.5 LOWER MANDIBULAR SPACE MAINTAINER ATTACHED TUBE WIDE WIRE STRONG SEAMLESS	SUP-8385-271	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 35.5 LOWER MANDIBULAR SPACE MAINTAINER ATTACHED TUBE WIDE WIRE STRONG SEAMLESS	SUP-8385-271	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 36 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-273	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 36 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-273	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 36 1/2 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-275	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 36 1/2 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-275	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 38 1/2 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-283	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 38 1/2 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-283	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 39 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-285	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 39 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-285	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 39 1/2 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-287	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 39 1/2 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-287	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 40 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-289	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 40 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-289	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 40.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-291	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 40.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-291	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 41 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-293	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 41 LOWER MANDIBULAR SPACE MAINTAINER CHAIRSIDE ATTACH TUBE BLACK	SUP-8385-293	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 41.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-295	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 41.5 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-295	CDM			270	RC		inpatient			13.9	13.9																																																			
BAND MOLAR STAINLESS STEEL 42 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-297	CDM			270	RC		outpatient			13.9	13.9	3.77				percent of total billed charges		13.9				other	OPPS APC	10.29				percent of total billed charges		13.9				other	OPPS APC	13.9				other	OPPS APC	3.77				percent of total billed charges		3.84				percent of total billed charges		13.9				other	OPPS APC	3.77	13.9	
BAND MOLAR STAINLESS STEEL 42 LOWER MAXILLARY SPACE MAINTAINER STRONG SEAMLESS MALLEABLE	SUP-8385-297	CDM			270	RC		inpatient			13.9	13.9																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	0409-1162-01	NDC	J0665	HCPCS		inpatient			13.86	13.86																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	0409-1162-01	NDC	J0665	HCPCS		outpatient			13.86	0.16																																											0.16				other	OPPS APC	0.16	0.16	
SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML SOLUTION	637000000	CDM	121119030	NDC	A9270	HCPCS		inpatient			13.85	13.85																																																			
SODIUM CITRATE-CITRIC ACID 500-334 MG/5 ML SOLUTION	637000000	CDM	121119030	NDC	A9270	HCPCS		outpatient			13.85	13.85																																															other	OPPS APC			
LACTATED RINGERS PER 1000 ML	636000000	CDM	0338-0117-03	NDC	J7120	HCPCS		inpatient			13.84	13.84																																																			
LACTATED RINGERS PER 1000 ML	636000000	CDM	0338-0117-03	NDC	J7120	HCPCS		outpatient			13.84	13.84																																															other	OPPS APC			
CIRCUIT BREATHING PEDIATRIC L90 IN 1 L 2 LIMB EXPAND TUBE GAS SAMPLE PORT FLEXIBLE LIGHTWEIGHT LATEX FREE TRANSPARENT	SUP-DYNJAP9810_160766	CDM						inpatient			13.75	13.75																																																			
CIRCUIT BREATHING PEDIATRIC L90 IN 1 L 2 LIMB EXPAND TUBE GAS SAMPLE PORT FLEXIBLE LIGHTWEIGHT LATEX FREE TRANSPARENT	SUP-DYNJAP9810_160766	CDM						outpatient			13.75	13.75	13.75				percent of total billed charges		13.75				other	OPPS APC	13.75				fee schedule		13.75				other	OPPS APC	13.75				other	OPPS APC	13.75				case rate		13.75				case rate		13.75				other	OPPS APC	13.75	13.75	
GOWN SURGICAL PREVENTION PLUS 4XL AAMI LEVEL 4 IMPERVIOUS HOOK LOOP CLOSURE BREATHABLE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2309P	CDM						inpatient			13.69	13.69																																																			
GOWN SURGICAL PREVENTION PLUS 4XL AAMI LEVEL 4 IMPERVIOUS HOOK LOOP CLOSURE BREATHABLE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2309P	CDM						outpatient			13.69	13.69	13.69				percent of total billed charges		13.69				other	OPPS APC	13.69				fee schedule		13.69				other	OPPS APC	13.69				other	OPPS APC	13.69				case rate		13.69				case rate		13.69				other	OPPS APC	13.69	13.69	
GOWN SURGICAL ORBIS 4XL LEVEL 3 FULL REINFORCE SET IN SLEEVE STERILE LATEX FREE BLUE	SUP-DYNJP2369P	CDM			270	RC		outpatient			13.69	13.69	3.71				percent of total billed charges		13.69				other	OPPS APC	10.13				percent of total billed charges		13.69				other	OPPS APC	13.69				other	OPPS APC	3.71				percent of total billed charges		3.78				percent of total billed charges		13.69				other	OPPS APC	3.71	13.69	
GOWN SURGICAL ORBIS 4XL LEVEL 3 FULL REINFORCE SET IN SLEEVE STERILE LATEX FREE BLUE	SUP-DYNJP2369P	CDM			270	RC		inpatient			13.69	13.69																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL7	CDM			270	RC		outpatient			13.6	13.6	3.68				percent of total billed charges		13.6				other	OPPS APC	10.06				percent of total billed charges		13.6				other	OPPS APC	13.6				other	OPPS APC	3.68				percent of total billed charges		3.76				percent of total billed charges		13.6				other	OPPS APC	3.68	13.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLL7	CDM			270	RC		inpatient			13.6	13.6																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	67457-622-05	NDC	J3301	HCPCS		inpatient			13.54	13.54																																																			
TRIAMCINOLONE PER 10 MG	636000000	CDM	67457-622-05	NDC	J3301	HCPCS		outpatient			13.54	13.54																																															other	OPPS APC			
CATHETER URETHRAL BARD 8FR 3CC SILICONE DISPOSABLE STERILE LF 2 WAY FOLEY BALLOON UNCOAT	SUP-165808	CDM	270009029	LOCAL	270	RC		outpatient			13.54	13.54	3.67				percent of total billed charges		13.54				other	OPPS APC	10.02				percent of total billed charges		13.54				other	OPPS APC	13.54				other	OPPS APC	3.67				percent of total billed charges		3.74				percent of total billed charges		13.54				other	OPPS APC	3.67	13.54	
CATHETER URETHRAL BARD 8FR 3CC SILICONE DISPOSABLE STERILE LF 2 WAY FOLEY BALLOON UNCOAT	SUP-165808	CDM	270009029	LOCAL	270	RC		inpatient			13.54	13.54																																																			
PHENAZOPYRIDINE 100 MG TABLET	637000000	CDM	65162-681-10	NDC	A9270	HCPCS		inpatient			13.5	13.5																																																			
PHENAZOPYRIDINE 100 MG TABLET	637000000	CDM	65162-681-10	NDC	A9270	HCPCS		outpatient			13.5	13.5																																															other	OPPS APC			
STOPCOCK INTRAVENOUS PLASTIC ID .95IN PERIPHERAL 2 FEMALE TO MALE LUER LOCK 1 WAY LOW PRESSURE ROTATE ADAPTER STERILE DISPOSABLE	SUP-G00164	CDM			270	RC		outpatient			13.5	13.5	3.66				percent of total billed charges		13.5				other	OPPS APC	9.99				percent of total billed charges		13.5				other	OPPS APC	13.5				other	OPPS APC	3.66				percent of total billed charges		3.73				percent of total billed charges		13.5				other	OPPS APC	3.66	13.5	
STOPCOCK INTRAVENOUS PLASTIC ID .95IN PERIPHERAL 2 FEMALE TO MALE LUER LOCK 1 WAY LOW PRESSURE ROTATE ADAPTER STERILE DISPOSABLE	SUP-G00164	CDM			270	RC		inpatient			13.5	13.5																																																			
KIT PRESSURE MONITOR TRUWAVE L60 IN L12 IN 3 WAY STOPCOCK TRANSDUCER FLUSH DEVICE MACRODRIP TUBE STERILE DISPOSABLE MODEL PX600F	SUP-PX272	CDM	270009140	LOCAL	270	RC		outpatient			13.5	13.5	3.66				percent of total billed charges		13.5				other	OPPS APC	9.99				percent of total billed charges		13.5				other	OPPS APC	13.5				other	OPPS APC	3.66				percent of total billed charges		3.73				percent of total billed charges		13.5				other	OPPS APC	3.66	13.5	
KIT PRESSURE MONITOR TRUWAVE L60 IN L12 IN 3 WAY STOPCOCK TRANSDUCER FLUSH DEVICE MACRODRIP TUBE STERILE DISPOSABLE MODEL PX600F	SUP-PX272	CDM	270009140	LOCAL	270	RC		inpatient			13.5	13.5																																																			
BUMETANIDE 1 MG TABLET	637000000	CDM	69238-1490-1	NDC	A9270	HCPCS		inpatient			13.49	13.49																																																			
BUMETANIDE 1 MG TABLET	637000000	CDM	69238-1490-1	NDC	A9270	HCPCS		outpatient			13.49	13.49																																															other	OPPS APC			
EPINEPHRINE PER 0.1 MG	636000000	CDM	42023-159-25	NDC	J0171	HCPCS		inpatient			13.47	13.47																																																			
EPINEPHRINE PER 0.1 MG	636000000	CDM	42023-159-25	NDC	J0171	HCPCS		outpatient			13.47	13.47																																															other	OPPS APC			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY ANTERIOR UPPER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907044	CDM			270	RC		outpatient			13.44	13.44	3.64				percent of total billed charges		13.44				other	OPPS APC	9.95				percent of total billed charges		13.44				other	OPPS APC	13.44				other	OPPS APC	3.64				percent of total billed charges		3.71				percent of total billed charges		13.44				other	OPPS APC	3.64	13.44	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 4 PRIMARY ANTERIOR UPPER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907044	CDM			270	RC		inpatient			13.44	13.44																																																			
"DIVALPROEX SPRINKLE 125 MG CAPSULE, DELAYED REL SPRINKLE"	637000000	CDM	0904-6615-61	NDC	A9270	HCPCS		inpatient			13.39	13.39																																																			
"DIVALPROEX SPRINKLE 125 MG CAPSULE, DELAYED REL SPRINKLE"	637000000	CDM	0904-6615-61	NDC	A9270	HCPCS		outpatient			13.39	13.39																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND SILK 0 SH L30 IN BRAID 4 STRAND BLACK	SUP-M834G	CDM			270	RC		outpatient			13.37	13.37	3.62				percent of total billed charges		13.37				other	OPPS APC	9.89				percent of total billed charges		13.37				other	OPPS APC	13.37				other	OPPS APC	3.62				percent of total billed charges		3.69				percent of total billed charges		13.37				other	OPPS APC	3.62	13.37	
SUTURE NONABSORBABLE PERMA-HAND SILK 0 SH L30 IN BRAID 4 STRAND BLACK	SUP-M834G	CDM			270	RC		inpatient			13.37	13.37																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELL5	CDM			270	RC		outpatient			13.36	13.36	3.62				percent of total billed charges		13.36				other	OPPS APC	9.89				percent of total billed charges		13.36				other	OPPS APC	13.36				other	OPPS APC	3.62				percent of total billed charges		3.69				percent of total billed charges		13.36				other	OPPS APC	3.62	13.36	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELL5	CDM			270	RC		inpatient			13.36	13.36																																																			
FLUOXETINE 20 MG CAPSULE	637000000	CDM	50111-648-01	NDC	A9270	HCPCS		inpatient			13.35	13.35																																																			
FLUOXETINE 20 MG CAPSULE	637000000	CDM	50111-648-01	NDC	A9270	HCPCS		outpatient			13.35	13.35																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHI-PACK STAINLESS STEEL 4 L18 IN MONOFILAMENT 12 STRAND PRECUT TIES NONSTERILE SILVER	SUP-DS22	CDM			270	RC		outpatient			13.34	13.34	3.61				percent of total billed charges		13.34				other	OPPS APC	9.87				percent of total billed charges		13.34				other	OPPS APC	13.34				other	OPPS APC	3.61				percent of total billed charges		3.69				percent of total billed charges		13.34				other	OPPS APC	3.61	13.34	
SUTURE NONABSORBABLE ETHI-PACK STAINLESS STEEL 4 L18 IN MONOFILAMENT 12 STRAND PRECUT TIES NONSTERILE SILVER	SUP-DS22	CDM			270	RC		inpatient			13.34	13.34																																																			
SUTURE ABSORBABLE PDS PLUS MULTIPASS 5-0 P-3 18IN UNDYED MONOFILAMENT	SUP-PDP493G	CDM			270	RC		outpatient			13.33	13.33	3.61				percent of total billed charges		13.33				other	OPPS APC	9.86				percent of total billed charges		13.33				other	OPPS APC	13.33				other	OPPS APC	3.61				percent of total billed charges		3.68				percent of total billed charges		13.33				other	OPPS APC	3.61	13.33	
SUTURE ABSORBABLE PDS PLUS MULTIPASS 5-0 P-3 18IN UNDYED MONOFILAMENT	SUP-PDP493G	CDM			270	RC		inpatient			13.33	13.33																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	72266-146-10	NDC				inpatient			13.32	13.32																																																			
ETOMIDATE 2 MG/ML SOLUTION	250000000	CDM	72266-146-10	NDC				outpatient			13.32	13.32																																															other	OPPS APC			
SET CATHETERIZATION .025 IN L4 1/4 IN OD18 GA ODSEC20 GA ARTERIAL RADIOPAQUE SPRING GUIDEWIRE INTRODUCER NEEDLE WING CLIP SUTURE LATEX FREE	SUP-FA-04018	CDM	270009180	LOCAL	270	RC		outpatient			13.32	13.32	3.61				percent of total billed charges		13.32				other	OPPS APC	9.86				percent of total billed charges		13.32				other	OPPS APC	13.32				other	OPPS APC	3.61				percent of total billed charges		3.68				percent of total billed charges		13.32				other	OPPS APC	3.61	13.32	
SET CATHETERIZATION .025 IN L4 1/4 IN OD18 GA ODSEC20 GA ARTERIAL RADIOPAQUE SPRING GUIDEWIRE INTRODUCER NEEDLE WING CLIP SUTURE LATEX FREE	SUP-FA-04018	CDM	270009180	LOCAL	270	RC		inpatient			13.32	13.32																																																			
SET CATHETERIZATION POLYURETHANE .018 IN L10.8 CM L13.3 CM OD20 GA ODSEC22 GA ARTERY RADIOPAQUE GUIDEWIRE INTRODUCER NEEDLE WING CLIP LATEX FREE	SUP-FA-04020	CDM	270009180	LOCAL	270	RC		outpatient			13.32	13.32	3.61				percent of total billed charges		13.32				other	OPPS APC	9.86				percent of total billed charges		13.32				other	OPPS APC	13.32				other	OPPS APC	3.61				percent of total billed charges		3.68				percent of total billed charges		13.32				other	OPPS APC	3.61	13.32	
SET CATHETERIZATION POLYURETHANE .018 IN L10.8 CM L13.3 CM OD20 GA ODSEC22 GA ARTERY RADIOPAQUE GUIDEWIRE INTRODUCER NEEDLE WING CLIP LATEX FREE	SUP-FA-04020	CDM	270009180	LOCAL	270	RC		inpatient			13.32	13.32																																																			
SUTURE PROLENE BLUE DOUBLE ARMED MONOFILAMENT NEEDLE:V-5 SIZE:4-0 LENGTH:36IN	SUP-8935H	CDM			270	RC		outpatient			13.28	13.28	3.6				percent of total billed charges		13.28				other	OPPS APC	9.83				percent of total billed charges		13.28				other	OPPS APC	13.28				other	OPPS APC	3.6				percent of total billed charges		3.67				percent of total billed charges		13.28				other	OPPS APC	3.6	13.28	
SUTURE PROLENE BLUE DOUBLE ARMED MONOFILAMENT NEEDLE:V-5 SIZE:4-0 LENGTH:36IN	SUP-8935H	CDM			270	RC		inpatient			13.28	13.28																																																			
DRONABINOL PER 2.5 MG	637000000	CDM	60687-375-11	NDC	A9270	HCPCS		inpatient			13.26	13.26																																																			
DRONABINOL PER 2.5 MG	637000000	CDM	60687-375-11	NDC	A9270	HCPCS		outpatient			13.26	13.26																																															other	OPPS APC			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	63323-495-09	NDC				inpatient			13.19	13.19																																																			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	63323-495-09	NDC				outpatient			13.19	13.19																																															other	OPPS APC			
"WATER FOR INJECTION, STERILE SOLUTION 10 ML VIAL"	636000000	CDM	63323-185-07	NDC	A4216	HCPCS		inpatient			13.17	13.17																																																			
"WATER FOR INJECTION, STERILE SOLUTION 10 ML VIAL"	636000000	CDM	63323-185-07	NDC	A4216	HCPCS		outpatient			13.17	13.17																																															other	OPPS APC			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRETRIM CRIMP	SUP-777-5315	CDM			270	RC		outpatient			13.12	13.12	3.55				percent of total billed charges		13.12				other	OPPS APC	9.71				percent of total billed charges		13.12				other	OPPS APC	13.12				other	OPPS APC	3.55				percent of total billed charges		3.63				percent of total billed charges		13.12				other	OPPS APC	3.55	13.12	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRETRIM CRIMP	SUP-777-5315	CDM			270	RC		inpatient			13.12	13.12																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-E-UR-7	CDM			270	RC		outpatient			13.12	13.12	3.55				percent of total billed charges		13.12				other	OPPS APC	9.71				percent of total billed charges		13.12				other	OPPS APC	13.12				other	OPPS APC	3.55				percent of total billed charges		3.63				percent of total billed charges		13.12				other	OPPS APC	3.55	13.12	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-E-UR-7	CDM			270	RC		inpatient			13.12	13.12																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR6	CDM			270	RC		outpatient			13.12	13.12	3.55				percent of total billed charges		13.12				other	OPPS APC	9.71				percent of total billed charges		13.12				other	OPPS APC	13.12				other	OPPS APC	3.55				percent of total billed charges		3.63				percent of total billed charges		13.12				other	OPPS APC	3.55	13.12	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR6	CDM			270	RC		inpatient			13.12	13.12																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR7	CDM			270	RC		outpatient			13.12	13.12	3.55				percent of total billed charges		13.12				other	OPPS APC	9.71				percent of total billed charges		13.12				other	OPPS APC	13.12				other	OPPS APC	3.55				percent of total billed charges		3.63				percent of total billed charges		13.12				other	OPPS APC	3.55	13.12	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DLR7	CDM			270	RC		inpatient			13.12	13.12																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL7	CDM			270	RC		outpatient			13.12	13.12	3.55				percent of total billed charges		13.12				other	OPPS APC	9.71				percent of total billed charges		13.12				other	OPPS APC	13.12				other	OPPS APC	3.55				percent of total billed charges		3.63				percent of total billed charges		13.12				other	OPPS APC	3.55	13.12	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUL7	CDM			270	RC		inpatient			13.12	13.12																																																			
"LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLUTION"	250000000	CDM	63323-483-27	NDC				inpatient			13.11	13.11																																																			
"LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLUTION"	250000000	CDM	63323-483-27	NDC				outpatient			13.11	13.11																																															other	OPPS APC			
PENICILLIN G POTASSIUM PER 600000 UNITS	636000000	CDM	44567-311-10	NDC	J2540	HCPCS		inpatient			13.08	13.08																																																			
PENICILLIN G POTASSIUM PER 600000 UNITS	636000000	CDM	44567-311-10	NDC	J2540	HCPCS		outpatient			13.08	13.08																																															other	OPPS APC			
CANNULA OPHTHALMIC ANGLED L4 MM OD27 GA ANTERIOR CHAMBER IRRIGATION STERILE DISPOSABLE	SUP-8065420120	CDM						inpatient			13.06	13.06																																																			
CANNULA OPHTHALMIC ANGLED L4 MM OD27 GA ANTERIOR CHAMBER IRRIGATION STERILE DISPOSABLE	SUP-8065420120	CDM						outpatient			13.06	13.6	13.06				percent of total billed charges		13.06				other	OPPS APC	13.06				fee schedule		13.06				other	OPPS APC	13.06				other	OPPS APC	13.06				case rate		13.06				case rate		13.6				other	OPPS APC	13.06	13.6	
FLUTICASONE HFA 110 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	66993-079-96	NDC	A9270	HCPCS		inpatient			13.01	13.01																																																			
FLUTICASONE HFA 110 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	66993-079-96	NDC	A9270	HCPCS		outpatient			13.01	13.01																																															other	OPPS APC			
HC Venipuncture	PX-300364150	CDM	36415	CPT	300	RC		outpatient			13	8.57	2.94				fee schedule		8.57				fee schedule		5.7				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		2.94	8.57	
HC Venipuncture	PX-300364150	CDM	36415	CPT	300	RC		inpatient			13	13																																																			
Venipuncture-Venous	PX-300364151	CDM	36415	CPT	300	RC		outpatient			13	8.57	2.94				fee schedule		8.57				fee schedule		5.7				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		2.94	8.57	
Venipuncture-Venous	PX-300364151	CDM	36415	CPT	300	RC		inpatient			13	13																																																			
HC Venipuncture	PX-300364152	CDM	36415	CPT	300	RC		outpatient			13	8.57	2.94				fee schedule		8.57				fee schedule		5.7				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		8.57				fee schedule		2.94	8.57	
HC Venipuncture	PX-300364152	CDM	36415	CPT	300	RC		inpatient			13	13																																																			
HC Red Blood Cell Automated	PX-305850411	CDM	85041	CPT	305	RC		outpatient			13	3.2	3.85				fee schedule		3.02				fee schedule		7.64				fee schedule		3.02				fee schedule		3.02				fee schedule		3.02				fee schedule		3.02				fee schedule		3.2				fee schedule		3.02	7.64	
HC Red Blood Cell Automated	PX-305850411	CDM	85041	CPT	305	RC		inpatient			13	13																																																			
HC Hot/Cold Pack	PX-420970101	CDM	97010	CPT	420	RC		outpatient			13	13	13				percent of total billed charges		13				other	OPPS APC	9.62				percent of total billed charges		13				fee schedule		13				fee schedule		13.6				percent of total billed charges		13				percent of total billed charges		13				fee schedule		9.62	13.6	
HC Hot/Cold Pack	PX-420970101	CDM	97010	CPT	420	RC		inpatient			13	13																																																			
HC Hot/Cold Packs	PX-430970101	CDM	97010	CPT	430	RC		outpatient			13	13	13				percent of total billed charges		13				other	OPPS APC	9.62				percent of total billed charges		13				fee schedule		13				fee schedule		13.6				percent of total billed charges		13				percent of total billed charges		13				fee schedule		9.62	13.6	
HC Hot/Cold Packs	PX-430970101	CDM	97010	CPT	430	RC		inpatient			13	13																																																			
.025 X 150 EMERALD ST	SUP-502549	CDM			481	RC		outpatient			13	13	6.37				percent of total billed charges		13				other	OPPS APC	9.62				percent of total billed charges		13				other	OPPS APC	13				other	OPPS APC	6.37				percent of total billed charges		6.63				percent of total billed charges		13				other	OPPS APC	6.37	13	
.025 X 150 EMERALD ST	SUP-502549	CDM			481	RC		inpatient			13	13																																																			
.035 X 175 3MM EMERALD	SUP-502585	CDM			481	RC		outpatient			13	13	6.37				percent of total billed charges		13				other	OPPS APC	9.62				percent of total billed charges		13				other	OPPS APC	13				other	OPPS APC	6.37				percent of total billed charges		6.63				percent of total billed charges		13				other	OPPS APC	6.37	13	
.035 X 175 3MM EMERALD	SUP-502585	CDM			481	RC		inpatient			13	13																																																			
DILATOR VASCULAR L17.8 CM OD4 FR VESSEL ACCEPTS .035 IN GUIDEWIRE	SUP-504-404X	CDM			270	RC		outpatient			13	13	3.52				percent of total billed charges		13				other	OPPS APC	9.62				percent of total billed charges		13				other	OPPS APC	13				other	OPPS APC	3.52				percent of total billed charges		3.59				percent of total billed charges		13				other	OPPS APC	3.52	13	
DILATOR VASCULAR L17.8 CM OD4 FR VESSEL ACCEPTS .035 IN GUIDEWIRE	SUP-504-404X	CDM			270	RC		inpatient			13	13																																																			
SET IRRIGATION L77 IN ID.241 IN BLADDER GRAVITY FLOW LARGE BORE NONVENT PIERCING PIN SIGHT CHAMBER STERILE LATEX FREE CYSTOSCOPY	SUP-654401	CDM						inpatient			12.97	12.97																																																			
SET IRRIGATION L77 IN ID.241 IN BLADDER GRAVITY FLOW LARGE BORE NONVENT PIERCING PIN SIGHT CHAMBER STERILE LATEX FREE CYSTOSCOPY	SUP-654401	CDM						outpatient			12.97	12.97	12.97				percent of total billed charges		12.97				other	OPPS APC	12.97				fee schedule		12.97				other	OPPS APC	12.97				other	OPPS APC	12.97				case rate		12.97				case rate		12.97				other	OPPS APC	12.97	12.97	
HYDROMORPHONE (PF) 1 MG/ML SOLUTION 1 ML VIAL	636000000	CDM	63323-852-25	NDC	J1170	HCPCS		inpatient			12.96	12.96																																																			
HYDROMORPHONE (PF) 1 MG/ML SOLUTION 1 ML VIAL	636000000	CDM	63323-852-25	NDC	J1170	HCPCS		outpatient			12.96	12.96																																															other	OPPS APC			
"LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLUTION"	250000000	CDM	63323-482-03	NDC				inpatient			12.93	12.93																																																			
"LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLUTION"	250000000	CDM	63323-482-27	NDC				inpatient			12.93	12.93																																																			
"LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLUTION"	250000000	CDM	63323-482-03	NDC				outpatient			12.93	12.93																																															other	OPPS APC			
"LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLUTION"	250000000	CDM	63323-482-27	NDC				outpatient			12.93	12.93																																															other	OPPS APC			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY LATERAL INCISOR UPPER LEFT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907022	CDM			270	RC		outpatient			12.92	12.92	3.5				percent of total billed charges		12.92				other	OPPS APC	9.56				percent of total billed charges		12.92				other	OPPS APC	12.92				other	OPPS APC	3.5				percent of total billed charges		3.57				percent of total billed charges		12.92				other	OPPS APC	3.5	12.92	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY LATERAL INCISOR UPPER LEFT PREFABRICATED PRETRIMMED THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907022	CDM			270	RC		inpatient			12.92	12.92																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY ANTERIOR UPPER RIGHT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907031	CDM			270	RC		outpatient			12.92	12.92	3.5				percent of total billed charges		12.92				other	OPPS APC	9.56				percent of total billed charges		12.92				other	OPPS APC	12.92				other	OPPS APC	3.5				percent of total billed charges		3.57				percent of total billed charges		12.92				other	OPPS APC	3.5	12.92	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 1 PRIMARY ANTERIOR UPPER RIGHT LATERAL PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907031	CDM			270	RC		inpatient			12.92	12.92																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY ANTERIOR UPPER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907042	CDM			270	RC		outpatient			12.92	12.92	3.5				percent of total billed charges		12.92				other	OPPS APC	9.56				percent of total billed charges		12.92				other	OPPS APC	12.92				other	OPPS APC	3.5				percent of total billed charges		3.57				percent of total billed charges		12.92				other	OPPS APC	3.5	12.92	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 2 PRIMARY ANTERIOR UPPER CUSPID PREFABRICATE PRETRIM THICK OCCLUSAL SURFACE PARALLEL WALL	SUP-907042	CDM			270	RC		inpatient			12.92	12.92																																																			
STOCKINETTE ORTHOPEDIC COTTON L54 IN X W16 IN IMPERVIOUS STERILE LATEX FREE	SUP-9978-16	CDM						inpatient			12.88	12.88																																																			
STOCKINETTE ORTHOPEDIC COTTON L54 IN X W16 IN IMPERVIOUS STERILE LATEX FREE	SUP-9978-16	CDM						outpatient			12.88	12.88	12.88				percent of total billed charges		12.88				other	OPPS APC	12.88				fee schedule		12.88				other	OPPS APC	12.88				other	OPPS APC	12.88				case rate		12.88				case rate		12.88				other	OPPS APC	12.88	12.88	
CEFDINIR 300 MG CAPSULE	637000000	CDM	68180-711-60	NDC	A9270	HCPCS		inpatient			12.79	12.79																																																			
CEFDINIR 300 MG CAPSULE	637000000	CDM	68180-711-60	NDC	A9270	HCPCS		outpatient			12.79	12.79																																															other	OPPS APC			
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 26 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-260815	CDM			270	RC		outpatient			12.77	12.77	3.46				percent of total billed charges		12.77				other	OPPS APC	9.45				percent of total billed charges		12.77				other	OPPS APC	12.77				other	OPPS APC	3.46				percent of total billed charges		3.53				percent of total billed charges		12.77				other	OPPS APC	3.46	12.77	
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 26 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-260815	CDM			270	RC		inpatient			12.77	12.77																																																			
SUTURE ABSORBABLE PDS PLUS 6-0 P-1 L18 IN MONOFILAMENT ANTIBACTERIAL UNDYED	SUP-PDP489G	CDM			270	RC		outpatient			12.72	12.72	3.45				percent of total billed charges		12.72				other	OPPS APC	9.41				percent of total billed charges		12.72				other	OPPS APC	12.72				other	OPPS APC	3.45				percent of total billed charges		3.51				percent of total billed charges		12.72				other	OPPS APC	3.45	12.72	
SUTURE ABSORBABLE PDS PLUS 6-0 P-1 L18 IN MONOFILAMENT ANTIBACTERIAL UNDYED	SUP-PDP489G	CDM			270	RC		inpatient			12.72	12.72																																																			
WIRE FIXATION KIRSCHNER STAINLESS STEEL L9 IN OD.045 IN 2 BAYONET POINT SMOOTH	SUP-160139000	CDM			270	RC		outpatient			12.71	12.71	3.44				percent of total billed charges		12.71				other	OPPS APC	9.41				percent of total billed charges		12.71				other	OPPS APC	12.71				other	OPPS APC	3.44				percent of total billed charges		3.51				percent of total billed charges		12.71				other	OPPS APC	3.44	12.71	
WIRE FIXATION KIRSCHNER STAINLESS STEEL L9 IN OD.045 IN 2 BAYONET POINT SMOOTH	SUP-160139000	CDM			270	RC		inpatient			12.71	12.71																																																			
SUTURE NONABSORBABLE 2 18IN SILVER SS NS MONOFILAMENT TIE 12 STRAND	SUP-DS24	CDM			270	RC		outpatient			12.7	12.7	3.44				percent of total billed charges		12.7				other	OPPS APC	9.4				percent of total billed charges		12.7				other	OPPS APC	12.7				other	OPPS APC	3.44				percent of total billed charges		3.51				percent of total billed charges		12.7				other	OPPS APC	3.44	12.7	
SUTURE NONABSORBABLE 2 18IN SILVER SS NS MONOFILAMENT TIE 12 STRAND	SUP-DS24	CDM			270	RC		inpatient			12.7	12.7																																																			
LABETALOL 20 MG/4 ML (5 MG/ML) SYRINGE	250000000	CDM	36000-320-01	NDC				inpatient			12.66	12.66																																																			
LABETALOL 20 MG/4 ML (5 MG/ML) SYRINGE	250000000	CDM	36000-320-01	NDC				outpatient			12.66	12.66																																															other	OPPS APC			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-03	NDC	J7040	HCPCS		inpatient			12.66	12.66																																																			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-03	NDC	J7040	HCPCS		outpatient			12.66	12.66																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-03	NDC	J7040	HCPCS		inpatient			12.66	12.66																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-03	NDC	J7040	HCPCS		outpatient			12.66	12.66																																															other	OPPS APC			
AMOXICILLIN-POT CLAVULANATE 875-125 MG TABLET	637000000	CDM	0781-1852-20	NDC	A9270	HCPCS		inpatient			12.63	12.63																																																			
AMOXICILLIN-POT CLAVULANATE 875-125 MG TABLET	637000000	CDM	0781-1852-20	NDC	A9270	HCPCS		outpatient			12.63	12.63																																															other	OPPS APC			
OXYTOCIN PER 10 UNITS	636000000	CDM	42023-116-02	NDC	J2590	HCPCS		inpatient			12.6	12.6																																																			
OXYTOCIN PER 10 UNITS	636000000	CDM	42023-116-02	NDC	J2590	HCPCS		outpatient			12.6	12.6																																															other	OPPS APC			
CROWN 3M UL-1	SUP-777-0661	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN 3M UL-1	SUP-777-0661	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-1176	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-1176	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL 7 CONTOUR CUSPID UPPER RIGHT FIRST PERMANENT MOLAR PRETRIM BELL CRIMP	SUP-777-1220	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL 7 CONTOUR CUSPID UPPER RIGHT FIRST PERMANENT MOLAR PRETRIM BELL CRIMP	SUP-777-1220	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-1685	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-1685	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-2134	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-2134	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-2398	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-2398	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL 7 CUSPID CONTOUR FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM	SUP-777-2522	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL 7 CUSPID CONTOUR FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM	SUP-777-2522	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL 6 CUSPID LOWER LEFT FIRST PERMANENT MOLAR PREFABRICATE PRETRIM CRIMP BELL	SUP-777-2705	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL 6 CUSPID LOWER LEFT FIRST PERMANENT MOLAR PREFABRICATE PRETRIM CRIMP BELL	SUP-777-2705	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN 3M UR-1	SUP-777-2720	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN 3M UR-1	SUP-777-2720	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-3748	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-3748	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-3889	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-3889	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-3928	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 6 FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-3928	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-4369	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 5 FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-4369	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-5628	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-5628	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-6209	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M UNITEK STAINLESS STEEL PEDIATRIC 5 FIRST PERMANENT MOLAR UPPER RIGHT PREFABRICATE PRETRIM CRIMP	SUP-777-6209	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-6802	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR LOWER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-6802	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-6943	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-6943	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 4 CONTOUR PRIMARY ANTERIOR UPPER LEFT CENTRAL STRIP AUTOMATIC PREFABRICATE TRANSPARENT	SUP-777-7523	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 4 CONTOUR PRIMARY ANTERIOR UPPER LEFT CENTRAL STRIP AUTOMATIC PREFABRICATE TRANSPARENT	SUP-777-7523	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL 6 FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-7644	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL 6 FIRST PERMANENT MOLAR LOWER RIGHT PREFABRICATE PRETRIM CRIMP BELL	SUP-777-7644	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL ESPE STAINLESS STEEL PEDIATRIC 4 FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATED PRETRIMMED CRIMPED	SUP-777-7941	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL ESPE STAINLESS STEEL PEDIATRIC 4 FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATED PRETRIMMED CRIMPED	SUP-777-7941	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-8039	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 2 CUSPID FIRST PERMANENT MOLAR UPPER LEFT PREFABRICATE PRECRIMP PRETRIM DUPLICATE ANATOMY	SUP-777-8039	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN 3M UR-4	SUP-777-8797	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN 3M UR-4	SUP-777-8797	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-9526	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR LOWER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-777-9526	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL 6 CONTOUR CUSPID UPPER RIGHT FIRST PERMANENT MOLAR PRETRIM BELL CRIMP	SUP-777-9793	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL 6 CONTOUR CUSPID UPPER RIGHT FIRST PERMANENT MOLAR PRETRIM BELL CRIMP	SUP-777-9793	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 3 CONTOUR PRIMARY ANTERIOR UPPER LEFT CENTRAL STRIP AUTOMATIC PREFABRICATE TRANSPARENT	SUP-914003	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE PLASTIC PEDIATRIC 3 CONTOUR PRIMARY ANTERIOR UPPER LEFT CENTRAL STRIP AUTOMATIC PREFABRICATE TRANSPARENT	SUP-914003	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR3	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 3 CUSPID FIRST PRIMARY MOLAR UPPER RIGHT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-DUR3	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELL6	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 6 CUSPID SECOND PRIMARY MOLAR LOWER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-ELL6	CDM			270	RC		inpatient			12.6	12.6																																																			
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL7	CDM			270	RC		outpatient			12.6	12.6	3.41				percent of total billed charges		12.6				other	OPPS APC	9.32				percent of total billed charges		12.6				other	OPPS APC	12.6				other	OPPS APC	3.41				percent of total billed charges		3.48				percent of total billed charges		12.6				other	OPPS APC	3.41	12.6	
CROWN DENTAL 3M ESPE STAINLESS STEEL PEDIATRIC 7 CUSPID SECOND PRIMARY MOLAR UPPER LEFT PREFABRICATE PRETRIM BELL CRIMP	SUP-PDRP-EUL7	CDM			270	RC		inpatient			12.6	12.6																																																			
METER URINE BARD EZ-LOK 350 ML 2500 ML INFECTION CONTROL SAMPLE PORT DRAINAGE BAG STERILE LATEX FREE DISPOSABLE	SUP-153214	CDM	270009006	LOCAL	270	RC		outpatient			12.49	12.49	3.38				percent of total billed charges		12.49				other	OPPS APC	9.24				percent of total billed charges		12.49				other	OPPS APC	12.49				other	OPPS APC	3.38				percent of total billed charges		3.45				percent of total billed charges		12.49				other	OPPS APC	3.38	12.49	
METER URINE BARD EZ-LOK 350 ML 2500 ML INFECTION CONTROL SAMPLE PORT DRAINAGE BAG STERILE LATEX FREE DISPOSABLE	SUP-153214	CDM	270009006	LOCAL	270	RC		inpatient			12.49	12.49																																																			
TRAY CATHETERIZATION BARDEX STATLOCK 16FR BACTI-GUARD HYDROGEL NATURAL RUBBER DISPOSABLE STERILE LATEX FOLEY URINE METER	SUP-303316A	CDM	270009006	LOCAL	270	RC		outpatient			12.49	12.49	3.38				percent of total billed charges		12.49				other	OPPS APC	9.24				percent of total billed charges		12.49				other	OPPS APC	12.49				other	OPPS APC	3.38				percent of total billed charges		3.45				percent of total billed charges		12.49				other	OPPS APC	3.38	12.49	
TRAY CATHETERIZATION BARDEX STATLOCK 16FR BACTI-GUARD HYDROGEL NATURAL RUBBER DISPOSABLE STERILE LATEX FOLEY URINE METER	SUP-303316A	CDM	270009006	LOCAL	270	RC		inpatient			12.49	12.49																																																			
TRAY CATHETERIZATION BARDEX COMPLETE CARE OD16 FR FOLEY URINE METER ADVANCE STERILE 400	SUP-319416A	CDM	270009006	LOCAL	270	RC		outpatient			12.49	12.49	3.38				percent of total billed charges		12.49				other	OPPS APC	9.24				percent of total billed charges		12.49				other	OPPS APC	12.49				other	OPPS APC	3.38				percent of total billed charges		3.45				percent of total billed charges		12.49				other	OPPS APC	3.38	12.49	
TRAY CATHETERIZATION BARDEX COMPLETE CARE OD16 FR FOLEY URINE METER ADVANCE STERILE 400	SUP-319416A	CDM	270009006	LOCAL	270	RC		inpatient			12.49	12.49																																																			
TRAY CATHETERIZATION BARDEX 18FR 350ML SILVER HYDROGEL LATEX FOLEY URINE METER	SUP-903018	CDM	270009006	LOCAL	270	RC		outpatient			12.49	12.49	3.38				percent of total billed charges		12.49				other	OPPS APC	9.24				percent of total billed charges		12.49				other	OPPS APC	12.49				other	OPPS APC	3.38				percent of total billed charges		3.45				percent of total billed charges		12.49				other	OPPS APC	3.38	12.49	
TRAY CATHETERIZATION BARDEX 18FR 350ML SILVER HYDROGEL LATEX FOLEY URINE METER	SUP-903018	CDM	270009006	LOCAL	270	RC		inpatient			12.49	12.49																																																			
LIGATOR ENDOSCOPIC ENDOLOOP 12 18IN VIOLET PDS II LF MONOFILAMENT TIE LOOP SUTURE	SUP-ESEZ10G	CDM	270009006	LOCAL	270	RC		outpatient			12.49	12.49	3.38				percent of total billed charges		12.49				other	OPPS APC	9.24				percent of total billed charges		12.49				other	OPPS APC	12.49				other	OPPS APC	3.38				percent of total billed charges		3.45				percent of total billed charges		12.49				other	OPPS APC	3.38	12.49	
LIGATOR ENDOSCOPIC ENDOLOOP 12 18IN VIOLET PDS II LF MONOFILAMENT TIE LOOP SUTURE	SUP-ESEZ10G	CDM	270009006	LOCAL	270	RC		inpatient			12.49	12.49																																																			
BLADE SAW THK.64 MM D33 MM THIN W9.4 MM STERNUM STERILE	SUP-KM-32	CDM			270	RC		outpatient			12.48	12.48	3.38				percent of total billed charges		12.48				other	OPPS APC	9.24				percent of total billed charges		12.48				other	OPPS APC	12.48				other	OPPS APC	3.38				percent of total billed charges		3.45				percent of total billed charges		12.48				other	OPPS APC	3.38	12.48	
BLADE SAW THK.64 MM D33 MM THIN W9.4 MM STERNUM STERILE	SUP-KM-32	CDM			270	RC		inpatient			12.48	12.48																																																			
HYDROMORPHONE (PF) 0.5 MG/0.5 ML SYRINGE	636000000	CDM	76045-009-96	NDC	J1170	HCPCS		inpatient			12.45	12.45																																																			
HYDROMORPHONE (PF) 0.5 MG/0.5 ML SYRINGE	636000000	CDM	76045-009-96	NDC	J1170	HCPCS		outpatient			12.45	12.45																																															other	OPPS APC			
HYDROMORPHONE 0.5 MG/0.5 ML SYRINGE 0.5 ML SYRINGE	636000000	CDM	76045-009-06	NDC	J1170	HCPCS		inpatient			12.45	12.45																																																			
HYDROMORPHONE 0.5 MG/0.5 ML SYRINGE 0.5 ML SYRINGE	636000000	CDM	76045-009-06	NDC	J1170	HCPCS		outpatient			12.45	12.45																																															other	OPPS APC			
HYDROMORPHONE PER 4 MG	636000000	CDM	76045-009-01	NDC	J1170	HCPCS		inpatient			12.45	12.45																																																			
HYDROMORPHONE PER 4 MG	636000000	CDM	76045-009-01	NDC	J1170	HCPCS		outpatient			12.45	12.45																																															other	OPPS APC			
CAP PROTECTIVE NONSTERILE YELLOW 4 MM FIXATION PIN	SUP-394.991	CDM	270010022	LOCAL	270	RC		outpatient			12.43	12.43	3.37				percent of total billed charges		12.43				other	OPPS APC	9.2				percent of total billed charges		12.43				other	OPPS APC	12.43				other	OPPS APC	3.37				percent of total billed charges		3.43				percent of total billed charges		12.43				other	OPPS APC	3.37	12.43	
CAP PROTECTIVE NONSTERILE YELLOW 4 MM FIXATION PIN	SUP-394.991	CDM	270010022	LOCAL	270	RC		inpatient			12.43	12.43																																																			
DIVALPROEX 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7182-61	NDC	A9270	HCPCS		inpatient			12.36	12.36																																																			
DIVALPROEX 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7182-61	NDC	A9270	HCPCS		outpatient			12.36	12.36																																															other	OPPS APC			
.035 180CM INQWIRE WIRE J TIP	SUP-IQ35F180J3F	CDM			481	RC		outpatient			12.36	12.36	6.06				percent of total billed charges		12.36				other	OPPS APC	9.15				percent of total billed charges		12.36				other	OPPS APC	12.36				other	OPPS APC	6.06				percent of total billed charges		6.3				percent of total billed charges		12.36				other	OPPS APC	6.06	12.36	
.035 180CM INQWIRE WIRE J TIP	SUP-IQ35F180J3F	CDM			481	RC		inpatient			12.36	12.36																																																			
STAPLER SKIN PROXIMATE PX STAINLESS STEEL WIDE RECTANGULAR L3.9 MM X W6.9 MM OD.58 MM 35 COUNT MULTIDIRECTIONAL RELEASE FIX HEAD ERGONOMIC PISTOL GRIP HANDLE STERILE LATEX FREE DISPOSABLE	SUP-PXW35	CDM			270	RC		outpatient			12.32	12.32	3.34				percent of total billed charges		12.32				other	OPPS APC	9.12				percent of total billed charges		12.32				other	OPPS APC	12.32				other	OPPS APC	3.34				percent of total billed charges		3.4				percent of total billed charges		12.32				other	OPPS APC	3.34	12.32	
STAPLER SKIN PROXIMATE PX STAINLESS STEEL WIDE RECTANGULAR L3.9 MM X W6.9 MM OD.58 MM 35 COUNT MULTIDIRECTIONAL RELEASE FIX HEAD ERGONOMIC PISTOL GRIP HANDLE STERILE LATEX FREE DISPOSABLE	SUP-PXW35	CDM			270	RC		inpatient			12.32	12.32																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-03	NDC	J7060	HCPCS		inpatient			12.31	12.31																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-03	NDC	J7060	HCPCS		outpatient			12.31	12.31																																															other	OPPS APC			
MEPITEL 2 X 3	SUP-290-510	CDM			270	RC		outpatient			12.26	12.26	3.32				percent of total billed charges		12.26				other	OPPS APC	9.07				percent of total billed charges		12.26				other	OPPS APC	12.26				other	OPPS APC	3.32				percent of total billed charges		3.39				percent of total billed charges		12.26				other	OPPS APC	3.32	12.26	
MEPITEL 2 X 3	SUP-290-510	CDM			270	RC		inpatient			12.26	12.26																																																			
SUTURE ABSORBABLE MONOCRYL 3-0 RB-1 L27 IN MONOFILAMENT UNDYED	SUP-Y215H	CDM			270	RC		outpatient			12.26	12.26	3.32				percent of total billed charges		12.26				other	OPPS APC	9.07				percent of total billed charges		12.26				other	OPPS APC	12.26				other	OPPS APC	3.32				percent of total billed charges		3.39				percent of total billed charges		12.26				other	OPPS APC	3.32	12.26	
SUTURE ABSORBABLE MONOCRYL 3-0 RB-1 L27 IN MONOFILAMENT UNDYED	SUP-Y215H	CDM			270	RC		inpatient			12.26	12.26																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63739-170-24	NDC	J2001	HCPCS		inpatient			12.25	12.25																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63739-170-24	NDC	J2001	HCPCS		outpatient			12.25	12.25																																															other	OPPS APC			
POTASSIUM CHLORIDE PER 2 MEQ	636000000	CDM	0338-0705-48	NDC	J3480	HCPCS		inpatient			12.25	12.25																																																			
POTASSIUM CHLORIDE PER 2 MEQ	636000000	CDM	0338-0705-48	NDC	J3480	HCPCS		outpatient			12.25	12.25																																															other	OPPS APC			
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 26 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-930815	CDM			270	RC		outpatient			12.22	12.22	3.31				percent of total billed charges		12.22				other	OPPS APC	9.04				percent of total billed charges		12.22				other	OPPS APC	12.22				other	OPPS APC	3.31				percent of total billed charges		3.38				percent of total billed charges		12.22				other	OPPS APC	3.31	12.22	
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 26 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-930815	CDM			270	RC		inpatient			12.22	12.22																																																			
GENTAMICIN PER 80 MG	636000000	CDM	63323-010-02	NDC	J1580	HCPCS		inpatient			12.21	12.21																																																			
GENTAMICIN PER 80 MG	636000000	CDM	63323-010-02	NDC	J1580	HCPCS		outpatient			12.21	12.21																																															other	OPPS APC			
ETHAMBUTOL 400 MG TABLET	637000000	CDM	68084-280-11	NDC	A9270	HCPCS		inpatient			12.19	12.19																																																			
ETHAMBUTOL 400 MG TABLET	637000000	CDM	68084-280-11	NDC	A9270	HCPCS		outpatient			12.19	12.19																																															other	OPPS APC			
PREFILTER SMOKE EVACUATOR OPTIMUMM OD1 1/3 IN	SUP-E3630	CDM			270	RC		outpatient			12.18	12.18	3.3				percent of total billed charges		12.18				other	OPPS APC	9.01				percent of total billed charges		12.18				other	OPPS APC	12.18				other	OPPS APC	3.3				percent of total billed charges		3.37				percent of total billed charges		12.18				other	OPPS APC	3.3	12.18	
PREFILTER SMOKE EVACUATOR OPTIMUMM OD1 1/3 IN	SUP-E3630	CDM			270	RC		inpatient			12.18	12.18																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	0409-1159-19	NDC	J0665	HCPCS		inpatient			12.16	12.16																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	0409-1159-19	NDC	J0665	HCPCS		outpatient			12.16	0.16																																											0.16				other	OPPS APC	0.16	0.16	
METOCLOPRAMIDE 5 MG/5 ML SOLUTION	637000000	CDM	0121-1576-10	NDC	A9270	HCPCS		inpatient			12.16	12.16																																																			
METOCLOPRAMIDE 5 MG/5 ML SOLUTION	637000000	CDM	0121-1576-10	NDC	A9270	HCPCS		outpatient			12.16	12.16																																															other	OPPS APC			
SOLUTION IRRIGATION BSS GLUCOSE SODIUM BICARBONATE GLUTATHIONE 500 ML INTRAOCULAR GLASS BOTTLE STERILE	SUP-0065079550	CDM			270	RC		outpatient			12.16	12.16	3.29				percent of total billed charges		12.16				other	OPPS APC	9				percent of total billed charges		12.16				other	OPPS APC	12.16				other	OPPS APC	3.29				percent of total billed charges		3.36				percent of total billed charges		12.16				other	OPPS APC	3.29	12.16	
SOLUTION IRRIGATION BSS GLUCOSE SODIUM BICARBONATE GLUTATHIONE 500 ML INTRAOCULAR GLASS BOTTLE STERILE	SUP-0065079550	CDM			270	RC		inpatient			12.16	12.16																																																			
ONDANSETRON PER 1 MG	636000000	CDM	63323-374-20	NDC	J2405	HCPCS		inpatient			12.15	12.15																																																			
ONDANSETRON PER 1 MG	636000000	CDM	63323-374-20	NDC	J2405	HCPCS		outpatient			12.15	12.15																																															other	OPPS APC			
TRAY SURGICAL 54X54IN STERILE LF 2 BASIN GRADUATED	SUP-DYNJ06600	CDM						inpatient			12.12	12.12																																																			
TRAY SURGICAL 54X54IN STERILE LF 2 BASIN GRADUATED	SUP-DYNJ06600	CDM						outpatient			12.12	12.12	12.12				percent of total billed charges		12.12				other	OPPS APC	12.12				fee schedule		12.12				other	OPPS APC	12.12				other	OPPS APC	12.12				case rate		12.12				case rate		12.12				other	OPPS APC	12.12	12.12	
SUTURE 4-0 CHROMIC	SUP-744G	CDM			270	RC		outpatient			12.09	12.9	3.28				percent of total billed charges		12.09				other	OPPS APC	8.95				percent of total billed charges		12.09				other	OPPS APC	12.09				other	OPPS APC	3.28				percent of total billed charges		3.34				percent of total billed charges		12.9				other	OPPS APC	3.28	12.9	
SUTURE 4-0 CHROMIC	SUP-744G	CDM			270	RC		inpatient			12.09	12.09																																																			
CIRCUIT BREATHING AIRLIFE UNIVERSAL 72IN 96IN DISPOSABLE LF SMOOTH BORE TUBE RESPIRATORY FILTER	SUP-003770	CDM						inpatient			12.08	12.08																																																			
CIRCUIT BREATHING AIRLIFE UNIVERSAL 72IN 96IN DISPOSABLE LF SMOOTH BORE TUBE RESPIRATORY FILTER	SUP-003770	CDM						outpatient			12.08	12.8	12.08				percent of total billed charges		12.08				other	OPPS APC	12.08				fee schedule		12.08				other	OPPS APC	12.08				other	OPPS APC	12.08				case rate		12.08				case rate		12.8				other	OPPS APC	12.08	12.8	
"SODIUM CHLORIDE 0.9 % SOLUTION 1,000 ML BOTTLE"	250000000	CDM	0338-0048-04	NDC				inpatient			12.06	12.06																																																			
"SODIUM CHLORIDE 0.9 % SOLUTION 1,000 ML BOTTLE"	250000000	CDM	0338-0048-04	NDC				outpatient			12.06	12.06																																															other	OPPS APC			
ZINC OXIDE-COD LIVER OIL 40 % PASTE 113 G TUBE	637000000	CDM	743000071	NDC	A9270	HCPCS		inpatient			12.06	12.06																																																			
ZINC OXIDE-COD LIVER OIL 40 % PASTE 113 G TUBE	637000000	CDM	743000071	NDC	A9270	HCPCS		outpatient			12.06	12.06																																															other	OPPS APC			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION	636000000	CDM	0409-1165-19	NDC	J0665	HCPCS		inpatient			12.05	12.05																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION	636000000	CDM	0409-1165-19	NDC	J0665	HCPCS		outpatient			12.05	0.16																																											0.16				other	OPPS APC	0.16	0.16	
"PROPRANOLOL LA 80 MG CAPSULE,EXTENDED RELEASE 24 HR"	637000000	CDM	0527-4117-37	NDC	A9270	HCPCS		inpatient			12.05	12.05																																																			
"PROPRANOLOL LA 80 MG CAPSULE,EXTENDED RELEASE 24 HR"	637000000	CDM	0527-4117-37	NDC	A9270	HCPCS		outpatient			12.05	12.05																																															other	OPPS APC			
HC Urine Dipstick Test(Urdip)	PX-300810000	CDM	81000	CPT	300	RC		outpatient			12	4.2	4.22				fee schedule		4.02				fee schedule		8.42				fee schedule		4.02				fee schedule		4.02				fee schedule		4.02				fee schedule		4.02				fee schedule		4.2				fee schedule		4.02	8.42	
HC Urine Dipstick Test(Urdip)	PX-300810000	CDM	81000	CPT	300	RC		inpatient			12	12																																																			
HC Manual Differential	PX-300850070	CDM	85007	CPT	305	RC		outpatient			12	3.8	4.6				fee schedule		3.8				fee schedule		9.14				fee schedule		3.8				fee schedule		3.8				fee schedule		3.8				fee schedule		3.8				fee schedule		3.8				fee schedule		3.8	9.14	
HC Manual Differential	PX-300850070	CDM	85007	CPT	305	RC		inpatient			12	12																																																			
MEDTRONIC .035 STRAIGHT TIP GUIDEWIRE 175CM	SUP-008629	CDM			481	RC		outpatient			12	12	5.88				percent of total billed charges		12				other	OPPS APC	8.88				percent of total billed charges		12				other	OPPS APC	12				other	OPPS APC	5.88				percent of total billed charges		6.12				percent of total billed charges		12				other	OPPS APC	5.88	12	
MEDTRONIC .035 STRAIGHT TIP GUIDEWIRE 175CM	SUP-008629	CDM			481	RC		inpatient			12	12																																																			
BLANKET WARMING 3M BAIR HUGGER 84X36IN 24IN LF PEDIATRIC FULL BODY AIR FORCE INTEGRATE TUCK FLAP FOOT DRAPE	SUP-40068	CDM			270	RC		outpatient			12	12	3.25				percent of total billed charges		12				other	OPPS APC	8.88				percent of total billed charges		12				other	OPPS APC	12				other	OPPS APC	3.25				percent of total billed charges		3.32				percent of total billed charges		12				other	OPPS APC	3.25	12	
BLANKET WARMING 3M BAIR HUGGER 84X36IN 24IN LF PEDIATRIC FULL BODY AIR FORCE INTEGRATE TUCK FLAP FOOT DRAPE	SUP-40068	CDM			270	RC		inpatient			12	12																																																			
BAG EXTERNAL DRAINAGE HERMETIC PLUS 700 ML CSF REPLACEMENT STERILE LATEX FREE DISPOSABLE	SUP-NL8508305N	CDM	270009182	LOCAL	270	RC		outpatient			12	12	3.25				percent of total billed charges		12				other	OPPS APC	8.88				percent of total billed charges		12				other	OPPS APC	12				other	OPPS APC	3.25				percent of total billed charges		3.32				percent of total billed charges		12				other	OPPS APC	3.25	12	
BAG EXTERNAL DRAINAGE HERMETIC PLUS 700 ML CSF REPLACEMENT STERILE LATEX FREE DISPOSABLE	SUP-NL8508305N	CDM	270009182	LOCAL	270	RC		inpatient			12	12																																																			
NEEDLE EPIDURAL PERIFIX TUOHY BISPHENOL A L3 1/2 IN OD18 GA WING HUB PVC FREE DEHP FREE LATEX FREE CLEAR	SUP-332166	CDM			270	RC		outpatient			11.99	11.99	3.25				percent of total billed charges		11.99				other	OPPS APC	8.87				percent of total billed charges		11.99				other	OPPS APC	11.99				other	OPPS APC	3.25				percent of total billed charges		3.31				percent of total billed charges		11.99				other	OPPS APC	3.25	11.99	
NEEDLE EPIDURAL PERIFIX TUOHY BISPHENOL A L3 1/2 IN OD18 GA WING HUB PVC FREE DEHP FREE LATEX FREE CLEAR	SUP-332166	CDM			270	RC		inpatient			11.99	11.99																																																			
NEEDLE EPIDURAL PERIFIX TUOHY BISPHENOL A L3 1/2 IN OD20 GA WING HUB PVC FREE DEHP FREE LATEX FREE CLEAR	SUP-332168	CDM			270	RC		outpatient			11.99	11.99	3.25				percent of total billed charges		11.99				other	OPPS APC	8.87				percent of total billed charges		11.99				other	OPPS APC	11.99				other	OPPS APC	3.25				percent of total billed charges		3.31				percent of total billed charges		11.99				other	OPPS APC	3.25	11.99	
NEEDLE EPIDURAL PERIFIX TUOHY BISPHENOL A L3 1/2 IN OD20 GA WING HUB PVC FREE DEHP FREE LATEX FREE CLEAR	SUP-332168	CDM			270	RC		inpatient			11.99	11.99																																																			
DEXTROSE 5 % PIGGYBACK 100 ML BAG	636000000	CDM	0409-7100-69	NDC	J7060	HCPCS		inpatient			11.98	11.98																																																			
DEXTROSE 5 % PIGGYBACK 100 ML BAG	636000000	CDM	0409-7100-69	NDC	J7060	HCPCS		outpatient			11.98	11.98																																															other	OPPS APC			
"LIDOCAINE-MENTHOL 4-1 % ADHESIVE PATCH,MEDICATED"	637000000	CDM	10882-528-30	NDC	A9270	HCPCS		inpatient			11.97	11.97																																																			
"LIDOCAINE-MENTHOL 4-1 % ADHESIVE PATCH,MEDICATED"	637000000	CDM	10882-528-30	NDC	A9270	HCPCS		outpatient			11.97	11.97																																															other	OPPS APC			
RESUSCITATOR MANUAL SPUR II SEBS ADULT 5 L40 IN OD30 MM MEDIUM MASK O2 RESERVOIR BAG VALVE LATEX FREE DISPOSABLE	SUP-520211000	CDM			270	RC		outpatient			11.96	11.96	3.24				percent of total billed charges		11.96				other	OPPS APC	8.85				percent of total billed charges		11.96				other	OPPS APC	11.96				other	OPPS APC	3.24				percent of total billed charges		3.3				percent of total billed charges		11.96				other	OPPS APC	3.24	11.96	
RESUSCITATOR MANUAL SPUR II SEBS ADULT 5 L40 IN OD30 MM MEDIUM MASK O2 RESERVOIR BAG VALVE LATEX FREE DISPOSABLE	SUP-520211000	CDM			270	RC		inpatient			11.96	11.96																																																			
SUTURE NONABSORBABLE ETHIBOND 1 XLH L30 IN 2 ARM BRAID GREEN	SUP-X190G	CDM			270	RC		outpatient			11.94	11.94	3.23				percent of total billed charges		11.94				other	OPPS APC	8.84				percent of total billed charges		11.94				other	OPPS APC	11.94				other	OPPS APC	3.23				percent of total billed charges		3.3				percent of total billed charges		11.94				other	OPPS APC	3.23	11.94	
SUTURE NONABSORBABLE ETHIBOND 1 XLH L30 IN 2 ARM BRAID GREEN	SUP-X190G	CDM			270	RC		inpatient			11.94	11.94																																																			
NEEDLE SUTURE 6 REGULAR .5 CIRCLE REVERSE CUTTING SURGEONS STERILE DISPOSABLE	SUP-209106	CDM						inpatient			11.91	11.91																																																			
NEEDLE SUTURE 6 REGULAR .5 CIRCLE REVERSE CUTTING SURGEONS STERILE DISPOSABLE	SUP-209106	CDM						outpatient			11.91	11.91	11.91				percent of total billed charges		11.91				other	OPPS APC	11.91				fee schedule		11.91				other	OPPS APC	11.91				other	OPPS APC	11.91				case rate		11.91				case rate		11.91				other	OPPS APC	11.91	11.91	
NEEDLE SUTURE RICHARD-ALLAN 3 1/2 CIRCLE L1.654 IN OD.043 IN FISTULA HEAVY REVERSE CUT STERILE LATEX FREE DISPOSABLE	SUP-212804	CDM						inpatient			11.91	11.91																																																			
NEEDLE SUTURE RICHARD-ALLAN 3 1/2 CIRCLE L1.654 IN OD.043 IN FISTULA HEAVY REVERSE CUT STERILE LATEX FREE DISPOSABLE	SUP-212804	CDM						outpatient			11.91	11.91	11.91				percent of total billed charges		11.91				other	OPPS APC	11.91				fee schedule		11.91				other	OPPS APC	11.91				other	OPPS APC	11.91				case rate		11.91				case rate		11.91				other	OPPS APC	11.91	11.91	
NEEDLE SUTURE RICHARD-ALLAN STAINLESS STEEL 3 1/2 CIRCLE REGULAR L.984 IN OD.024 IN INTESTINAL TAPER POINT FREE EYE STERILE LATEX FREE TISSUE CLOSURE	SUP-212903	CDM			270	RC		outpatient			11.91	11.91	3.23				percent of total billed charges		11.91				other	OPPS APC	8.81				percent of total billed charges		11.91				other	OPPS APC	11.91				other	OPPS APC	3.23				percent of total billed charges		3.29				percent of total billed charges		11.91				other	OPPS APC	3.23	11.91	
NEEDLE SUTURE RICHARD-ALLAN STAINLESS STEEL 3 1/2 CIRCLE REGULAR L.984 IN OD.024 IN INTESTINAL TAPER POINT FREE EYE STERILE LATEX FREE TISSUE CLOSURE	SUP-212903	CDM			270	RC		inpatient			11.91	11.91																																																			
NEEDLE SUTURE RICHARD-ALLAN KEITH SURGEONS REGULAR 2.457IN .034IN SS DISPOSABLE STERILE LF ABDOMINAL STRAIGHT CUT POINT	SUP-213406	CDM			270	RC		outpatient			11.91	11.91	3.23				percent of total billed charges		11.91				other	OPPS APC	8.81				percent of total billed charges		11.91				other	OPPS APC	11.91				other	OPPS APC	3.23				percent of total billed charges		3.29				percent of total billed charges		11.91				other	OPPS APC	3.23	11.91	
NEEDLE SUTURE RICHARD-ALLAN KEITH SURGEONS REGULAR 2.457IN .034IN SS DISPOSABLE STERILE LF ABDOMINAL STRAIGHT CUT POINT	SUP-213406	CDM			270	RC		inpatient			11.91	11.91																																																			
NEEDLE SUTURE MAYO CATGUT 3 1/2 CIRCLE TAPER STERILE DISPOSABLE	SUP-222203	CDM			270	RC		outpatient			11.91	11.91	3.23				percent of total billed charges		11.91				other	OPPS APC	8.81				percent of total billed charges		11.91				other	OPPS APC	11.91				other	OPPS APC	3.23				percent of total billed charges		3.29				percent of total billed charges		11.91				other	OPPS APC	3.23	11.91	
NEEDLE SUTURE MAYO CATGUT 3 1/2 CIRCLE TAPER STERILE DISPOSABLE	SUP-222203	CDM			270	RC		inpatient			11.91	11.91																																																			
NEEDLE SUTURE RICHARD-ALLAN MAYO STAINLESS STEEL CATGUT 5 1/2 CIRCLE REGULAR TAPER L1.26 IN OD.043 IN TEMPER STRENGTH DEPENDABLE LIGHT STERILE LATEX FREE DISPOSABLE TISSUE CLOSURE	SUP-222204	CDM			270	RC		outpatient			11.91	11.91	3.23				percent of total billed charges		11.91				other	OPPS APC	8.81				percent of total billed charges		11.91				other	OPPS APC	11.91				other	OPPS APC	3.23				percent of total billed charges		3.29				percent of total billed charges		11.91				other	OPPS APC	3.23	11.91	
NEEDLE SUTURE RICHARD-ALLAN MAYO STAINLESS STEEL CATGUT 5 1/2 CIRCLE REGULAR TAPER L1.26 IN OD.043 IN TEMPER STRENGTH DEPENDABLE LIGHT STERILE LATEX FREE DISPOSABLE TISSUE CLOSURE	SUP-222204	CDM			270	RC		inpatient			11.91	11.91																																																			
DEVICE TORQUE GLIDECATH .010-.038 IN GUIDEWIRE	SUP-TD01	CDM						inpatient			11.88	11.88																																																			
DEVICE TORQUE GLIDECATH .010-.038 IN GUIDEWIRE	SUP-TD01	CDM						outpatient			11.88	11.88	11.88				percent of total billed charges		11.88				other	OPPS APC	11.88				fee schedule		11.88				other	OPPS APC	11.88				other	OPPS APC	11.88				case rate		11.88				case rate		11.88				other	OPPS APC	11.88	11.88	
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-02	NDC	J7060	HCPCS		inpatient			11.86	11.86																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-02	NDC	J7060	HCPCS		outpatient			11.86	11.86																																															other	OPPS APC			
POTASSIUM CHLORIDE 10 MEQ/100 ML PIGGYBACK	636000000	CDM	0338-0709-48	NDC	J3480	HCPCS		inpatient			11.84	11.84																																																			
POTASSIUM CHLORIDE 10 MEQ/100 ML PIGGYBACK	636000000	CDM	0338-0709-48	NDC	J3480	HCPCS		outpatient			11.84	11.84																																															other	OPPS APC			
POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML PIGGYBACK	636000000	CDM	0338-0709-48	NDC	J3480	HCPCS		inpatient			11.84	11.84																																																			
POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML PIGGYBACK	636000000	CDM	0338-0709-48	NDC	J3480	HCPCS		outpatient			11.84	11.84																																															other	OPPS APC			
FLUOROURACIL PER 500 MG	636000000	CDM	63323-117-00	NDC	J9190	HCPCS		inpatient			11.8	11.8																																																			
FLUOROURACIL PER 500 MG	636000000	CDM	63323-117-00	NDC	J9190	HCPCS		outpatient			11.8	11.8																																															other	OPPS APC			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-02	NDC	J7050	HCPCS		inpatient			11.8	11.8																																																			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-02	NDC	J7050	HCPCS		outpatient			11.8	11.8																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-02	NDC	J7050	HCPCS		inpatient			11.8	11.8																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-02	NDC	J7050	HCPCS		outpatient			11.8	11.8																																															other	OPPS APC			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-07	NDC	J2001	HCPCS		inpatient			11.79	11.79																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-07	NDC	J2001	HCPCS		outpatient			11.79	11.79																																															other	OPPS APC			
TRAY SKIN SCRUB VINYL WET SMALL WING SPONGE STICK COTTON TIP APPLICATOR LATEX FREE	SUP-DYND70668	CDM	270009183	LOCAL	270	RC		outpatient			11.78	11.78	3.19				percent of total billed charges		11.78				other	OPPS APC	8.72				percent of total billed charges		11.78				other	OPPS APC	11.78				other	OPPS APC	3.19				percent of total billed charges		3.25				percent of total billed charges		11.78				other	OPPS APC	3.19	11.78	
TRAY SKIN SCRUB VINYL WET SMALL WING SPONGE STICK COTTON TIP APPLICATOR LATEX FREE	SUP-DYND70668	CDM	270009183	LOCAL	270	RC		inpatient			11.78	11.78																																																			
ACYCLOVIR 200 MG/5 ML SUSPENSION	637000000	CDM	31722-681-47	NDC	A9270	HCPCS		inpatient			11.77	11.77																																																			
ACYCLOVIR 200 MG/5 ML SUSPENSION	637000000	CDM	31722-681-47	NDC	A9270	HCPCS		outpatient			11.77	11.77																																															other	OPPS APC			
CAP PROTECTIVE NONSTERILE 2.5 MM KIRSCHNER WIRE	SUP-392.24	CDM	270010022	LOCAL	270	RC		outpatient			11.77	11.77	3.19				percent of total billed charges		11.77				other	OPPS APC	8.71				percent of total billed charges		11.77				other	OPPS APC	11.77				other	OPPS APC	3.19				percent of total billed charges		3.25				percent of total billed charges		11.77				other	OPPS APC	3.19	11.77	
CAP PROTECTIVE NONSTERILE 2.5 MM KIRSCHNER WIRE	SUP-392.24	CDM	270010022	LOCAL	270	RC		inpatient			11.77	11.77																																																			
BENZOCAINE-MENTHOL 20-0.5 % AEROSOL 78 G CANISTER	637000000	CDM	16864-680-01	NDC	A9270	HCPCS		inpatient			11.75	11.75																																																			
BENZOCAINE-MENTHOL 20-0.5 % AEROSOL 78 G CANISTER	637000000	CDM	16864-680-01	NDC	A9270	HCPCS		outpatient			11.75	11.75																																															other	OPPS APC			
CAP PROTECTIVE 6MM FIXATION PIN NS GREEN	SUP-394.994	CDM	270010022	LOCAL	270	RC		outpatient			11.75	11.75	3.18				percent of total billed charges		11.75				other	OPPS APC	8.7				percent of total billed charges		11.75				other	OPPS APC	11.75				other	OPPS APC	3.18				percent of total billed charges		3.25				percent of total billed charges		11.75				other	OPPS APC	3.18	11.75	
CAP PROTECTIVE 6MM FIXATION PIN NS GREEN	SUP-394.994	CDM	270010022	LOCAL	270	RC		inpatient			11.75	11.75																																																			
LEVETRIRACETAM PER 10 MG	636000000	CDM	0409-1886-22	NDC	J1953	HCPCS		inpatient			11.67	11.67																																																			
LEVETRIRACETAM PER 10 MG	636000000	CDM	0409-1886-22	NDC	J1953	HCPCS		outpatient			11.67	11.67																																															other	OPPS APC			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-528-01	NDC	J2704	HCPCS		inpatient			11.67	11.67																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	16714-528-01	NDC	J2704	HCPCS		outpatient			11.67	11.67																																															other	OPPS APC			
DRESSING GEL SILVASORB .25 OZ	SUP-MSC93025EP_17380	CDM						inpatient			11.67	11.67																																																			
DRESSING GEL SILVASORB .25 OZ	SUP-MSC93025EP_17380	CDM						outpatient			11.67	11.67	11.67				percent of total billed charges		11.67				other	OPPS APC	11.67				fee schedule		11.67				other	OPPS APC	11.67				other	OPPS APC	11.67				case rate		11.67				case rate		11.67				other	OPPS APC	11.67	11.67	
DRAPE SURGICAL SMS L128 IN X W121 IN X H90 IN EXTREMITY ABSORBENT REINFORCE CIRCULAR FENESTRATE ARMBOARD COVER HOOK LOOP LINE HOLDER STERILE LATEX FREE DISPOSABLE	SUP-DYNJP8003	CDM						inpatient			11.6	11.6																																																			
DRAPE SURGICAL SMS L128 IN X W121 IN X H90 IN EXTREMITY ABSORBENT REINFORCE CIRCULAR FENESTRATE ARMBOARD COVER HOOK LOOP LINE HOLDER STERILE LATEX FREE DISPOSABLE	SUP-DYNJP8003	CDM						outpatient			11.6	11.6	11.6				percent of total billed charges		11.6				other	OPPS APC	11.6				fee schedule		11.6				other	OPPS APC	11.6				other	OPPS APC	11.6				case rate		11.6				case rate		11.6				other	OPPS APC	11.6	11.6	
SUTURE ABSORBABLE PDS II MULTIPASS 4-0 PS-2 L18 IN MONOFILAMENT VIOLET	SUP-Z513G	CDM			270	RC		outpatient			11.6	11.6	3.14				percent of total billed charges		11.6				other	OPPS APC	8.58				percent of total billed charges		11.6				other	OPPS APC	11.6				other	OPPS APC	3.14				percent of total billed charges		3.21				percent of total billed charges		11.6				other	OPPS APC	3.14	11.6	
SUTURE ABSORBABLE PDS II MULTIPASS 4-0 PS-2 L18 IN MONOFILAMENT VIOLET	SUP-Z513G	CDM			270	RC		inpatient			11.6	11.6																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	66794-228-41	NDC				inpatient			11.52	11.52																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	66794-228-41	NDC				outpatient			11.52	11.52																																															other	OPPS APC			
ESCITALOPRAM 20 MG TABLET	637000000	CDM	0904-6427-61	NDC	A9270	HCPCS		inpatient			11.43	11.43																																																			
ESCITALOPRAM 20 MG TABLET	637000000	CDM	0904-6427-61	NDC	A9270	HCPCS		outpatient			11.43	11.43																																															other	OPPS APC			
RISPERIDONE 1 MG TABLET	637000000	CDM	0904-6359-61	NDC	A9270	HCPCS		inpatient			11.41	11.41																																																			
RISPERIDONE 1 MG TABLET	637000000	CDM	0904-6359-61	NDC	A9270	HCPCS		outpatient			11.41	11.41																																															other	OPPS APC			
VALLEYLAB GROUNDING PAD UNIPOLAR-GREY	SUP-E7506	CDM			275	RC		outpatient			11.41	11.41	5.59				percent of total billed charges		11.41				other	OPPS APC	6.5				percent of total billed charges		11.41				other	OPPS APC	11.41				other	OPPS APC	5.59				percent of total billed charges		5.82				percent of total billed charges		11.41				other	OPPS APC	5.59	11.41	
VALLEYLAB GROUNDING PAD UNIPOLAR-GREY	SUP-E7506	CDM			275	RC		inpatient			11.41	11.41																																																			
STOPCOCK INTRAVENOUS PLASTIC ID .07IN PERIPHERAL 1 WAY FEMALE TO MALE LUER LOCK STERILE DISPOSABLE	SUP-G00213	CDM			270	RC		outpatient			11.4	11.4	3.09				percent of total billed charges		11.4				other	OPPS APC	8.44				percent of total billed charges		11.4				other	OPPS APC	11.4				other	OPPS APC	3.09				percent of total billed charges		3.15				percent of total billed charges		11.4				other	OPPS APC	3.09	11.4	
STOPCOCK INTRAVENOUS PLASTIC ID .07IN PERIPHERAL 1 WAY FEMALE TO MALE LUER LOCK STERILE DISPOSABLE	SUP-G00213	CDM			270	RC		inpatient			11.4	11.4																																																			
WHITE PETROLATUM 41 % OINTMENT 396 G JAR	637000000	CDM	7214003147	NDC	A9270	HCPCS		inpatient			11.39	11.39																																																			
WHITE PETROLATUM 41 % OINTMENT 396 G JAR	637000000	CDM	7214003147	NDC	A9270	HCPCS		outpatient			11.39	11.39																																															other	OPPS APC			
CATHETER URETHRAL BARDEX LUBRICATH STANDARD 20FR 5CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 3 WAY FOLEY 2	SUP-0119L20	CDM	270009008	LOCAL	270	RC		outpatient			11.33	11.33	3.07				percent of total billed charges		11.33				other	OPPS APC	8.38				percent of total billed charges		11.33				other	OPPS APC	11.33				other	OPPS APC	3.07				percent of total billed charges		3.13				percent of total billed charges		11.33				other	OPPS APC	3.07	11.33	
CATHETER URETHRAL BARDEX LUBRICATH STANDARD 20FR 5CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 3 WAY FOLEY 2	SUP-0119L20	CDM	270009008	LOCAL	270	RC		inpatient			11.33	11.33																																																			
CATHETER URETHRAL BARDEX LUBRICATH STANDARD 16FR 30CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 3 WAY FOLEY 2	SUP-0167L16	CDM	270009008	LOCAL	270	RC		outpatient			11.33	11.33	3.07				percent of total billed charges		11.33				other	OPPS APC	8.38				percent of total billed charges		11.33				other	OPPS APC	11.33				other	OPPS APC	3.07				percent of total billed charges		3.13				percent of total billed charges		11.33				other	OPPS APC	3.07	11.33	
CATHETER URETHRAL BARDEX LUBRICATH STANDARD 16FR 30CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 3 WAY FOLEY 2	SUP-0167L16	CDM	270009008	LOCAL	270	RC		inpatient			11.33	11.33																																																			
CATHETER NEPHROSTOMY MALECOT NATURAL RUBBER OD20 FR 4 WING DRAIN STERILE LATEX DISPOSABLE	SUP-086020	CDM	270009008	LOCAL	270	RC		outpatient			11.33	11.33	3.07				percent of total billed charges		11.33				other	OPPS APC	8.38				percent of total billed charges		11.33				other	OPPS APC	11.33				other	OPPS APC	3.07				percent of total billed charges		3.13				percent of total billed charges		11.33				other	OPPS APC	3.07	11.33	
CATHETER NEPHROSTOMY MALECOT NATURAL RUBBER OD20 FR 4 WING DRAIN STERILE LATEX DISPOSABLE	SUP-086020	CDM	270009008	LOCAL	270	RC		inpatient			11.33	11.33																																																			
DRAIN MALECOT 4-WING  22FR LATEX	SUP-086022	CDM	270009008	LOCAL	270	RC		outpatient			11.33	11.33	3.07				percent of total billed charges		11.33				other	OPPS APC	8.38				percent of total billed charges		11.33				other	OPPS APC	11.33				other	OPPS APC	3.07				percent of total billed charges		3.13				percent of total billed charges		11.33				other	OPPS APC	3.07	11.33	
DRAIN MALECOT 4-WING  22FR LATEX	SUP-086022	CDM	270009008	LOCAL	270	RC		inpatient			11.33	11.33																																																			
DIPHENHYDRAMINE PER 50 MG	637000000	CDM	0121-0978-10	NDC	A9270	HCPCS		inpatient			11.28	11.28																																																			
DIPHENHYDRAMINE PER 50 MG	637000000	CDM	0121-0978-10	NDC	A9270	HCPCS		outpatient			11.28	11.28																																															other	OPPS APC			
DRAPE SURGICAL CONVERTORS TIBURON L55.5 IN X W28 IN OD8 IN HIP FENESTRATED ARMBOARD COVER TUBE HOLDER ABSORBENT IMPERVIOUS REINFORCEMENT PAD STERILE LATEX FREE DISPOSABLE	SUP-129430A	CDM			270	RC		outpatient			11.26	11.26	3.05				percent of total billed charges		11.26				other	OPPS APC	8.33				percent of total billed charges		11.26				other	OPPS APC	11.26				other	OPPS APC	3.05				percent of total billed charges		3.11				percent of total billed charges		11.26				other	OPPS APC	3.05	11.26	
DRAPE SURGICAL CONVERTORS TIBURON L55.5 IN X W28 IN OD8 IN HIP FENESTRATED ARMBOARD COVER TUBE HOLDER ABSORBENT IMPERVIOUS REINFORCEMENT PAD STERILE LATEX FREE DISPOSABLE	SUP-129430A	CDM			270	RC		inpatient			11.26	11.26																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	63323-161-00	NDC	J1885	HCPCS		inpatient			11.25	11.25																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	63323-161-00	NDC	J1885	HCPCS		outpatient			11.25	11.25																																															other	OPPS APC			
"PHENOL 1.4 % AEROSOL,SPRAY 177 ML BOTTLE"	637000000	CDM	7811201103	NDC	A9270	HCPCS		inpatient			11.25	11.25																																																			
"PHENOL 1.4 % AEROSOL,SPRAY 177 ML BOTTLE"	637000000	CDM	7811201103	NDC	A9270	HCPCS		outpatient			11.25	11.25																																															other	OPPS APC			
BLADE LARYNGOSCOPE GREENLINE STAINLESS STEEL ADULT 4 L205 MM MILLER FIBER OPTIC COMPATIBLE SYSTEM HANDLE STERILE LATEX FREE DISPOSABLE	SUP-301-B3140EA	CDM			270	RC		outpatient			11.24	11.24	3.04				percent of total billed charges		11.24				other	OPPS APC	8.32				percent of total billed charges		11.24				other	OPPS APC	11.24				other	OPPS APC	3.04				percent of total billed charges		3.11				percent of total billed charges		11.24				other	OPPS APC	3.04	11.24	
BLADE LARYNGOSCOPE GREENLINE STAINLESS STEEL ADULT 4 L205 MM MILLER FIBER OPTIC COMPATIBLE SYSTEM HANDLE STERILE LATEX FREE DISPOSABLE	SUP-301-B3140EA	CDM			270	RC		inpatient			11.24	11.24																																																			
PIN FIXATION STEINMANN STAINLESS STEEL L22.9 MM OD2 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700169	CDM			270	RC		outpatient			11.23	11.23	3.04				percent of total billed charges		11.23				other	OPPS APC	8.31				percent of total billed charges		11.23				other	OPPS APC	11.23				other	OPPS APC	3.04				percent of total billed charges		3.1				percent of total billed charges		11.23				other	OPPS APC	3.04	11.23	
PIN FIXATION STEINMANN STAINLESS STEEL L22.9 MM OD2 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700169	CDM			270	RC		inpatient			11.23	11.23																																																			
DEXTROSE 10 % AND 0.2 % NACL PARENTERAL SOLUTION	250000000	CDM	0264-7623-20	NDC				inpatient			11.22	11.22																																																			
DEXTROSE 10 % AND 0.2 % NACL PARENTERAL SOLUTION	250000000	CDM	0264-7623-20	NDC				outpatient			11.22	11.22																																															other	OPPS APC			
SUTURE ABSORBABLE PDS II MULTIPASS 6-0 PC-1 L18 IN MONOFILAMENT UNDYED	SUP-Z833G	CDM			270	RC		outpatient			11.15	11.15	3.02				percent of total billed charges		11.15				other	OPPS APC	8.25				percent of total billed charges		11.15				other	OPPS APC	11.15				other	OPPS APC	3.02				percent of total billed charges		3.08				percent of total billed charges		11.15				other	OPPS APC	3.02	11.15	
SUTURE ABSORBABLE PDS II MULTIPASS 6-0 PC-1 L18 IN MONOFILAMENT UNDYED	SUP-Z833G	CDM			270	RC		inpatient			11.15	11.15																																																			
BURR DENTAL CARBIDE 6 LATCH SHANK ROUND	SUP-389106	CDM						inpatient			11.1	11.1																																																			
BURR DENTAL CARBIDE 6 LATCH SHANK ROUND	SUP-389106	CDM						outpatient			11.1	11.1	11.1				percent of total billed charges		11.1				other	OPPS APC	11.1				fee schedule		11.1				other	OPPS APC	11.1				other	OPPS APC	11.1				case rate		11.1				case rate		11.1				other	OPPS APC	11.1	11.1	
FILTER MILLEX-GS MIXED CELLULOSE ESTER .22 UM H26 MM OD33 MM 100 ML FEMALE LUER LOCK MALE LUER SLIP STERILE BLUE	SUP-SLGSM33SS	CDM						inpatient			11.08	11.08																																																			
FILTER MILLEX-GS MIXED CELLULOSE ESTER .22 UM H26 MM OD33 MM 100 ML FEMALE LUER LOCK MALE LUER SLIP STERILE BLUE	SUP-SLGSM33SS	CDM						outpatient			11.08	11.8	11.08				percent of total billed charges		11.08				other	OPPS APC	11.08				fee schedule		11.08				other	OPPS APC	11.08				other	OPPS APC	11.08				case rate		11.08				case rate		11.8				other	OPPS APC	11.08	11.8	
TRAY SKIN SCRUB 4OZ CHG VINYL COTTON STERILE LF WET	SUP-DYND70663	CDM						inpatient			11.07	11.07																																																			
TRAY SKIN SCRUB 4OZ CHG VINYL COTTON STERILE LF WET	SUP-DYND70663	CDM						outpatient			11.07	11.7	11.07				percent of total billed charges		11.07				other	OPPS APC	11.07				fee schedule		11.07				other	OPPS APC	11.07				other	OPPS APC	11.07				case rate		11.07				case rate		11.7				other	OPPS APC	11.07	11.7	
ENOXAPARIN PER 10 MG	636000000	CDM	25021-410-76	NDC	J1650	HCPCS		inpatient			11.04	11.04																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	63323-564-21	NDC	J1650	HCPCS		inpatient			11.04	11.04																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	25021-410-76	NDC	J1650	HCPCS		outpatient			11.04	11.04																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	63323-564-21	NDC	J1650	HCPCS		outpatient			11.04	11.04																																															other	OPPS APC			
INTRODUCER GUIDEWIRE L7 CM OD18 GA TAPERED LUER HUB WINGED BASE PLATE	SUP-BGWI1802	CDM			270	RC		outpatient			11.04	11.4	2.99				percent of total billed charges		11.04				other	OPPS APC	8.17				percent of total billed charges		11.04				other	OPPS APC	11.04				other	OPPS APC	2.99				percent of total billed charges		3.05				percent of total billed charges		11.4				other	OPPS APC	2.99	11.4	
INTRODUCER GUIDEWIRE L7 CM OD18 GA TAPERED LUER HUB WINGED BASE PLATE	SUP-BGWI1802	CDM			270	RC		inpatient			11.04	11.04																																																			
CAP PROTECTIVE NONSTERILE BLUE 5 MM FIXATION PIN	SUP-394.993	CDM	270010022	LOCAL	270	RC		outpatient			11.02	11.2	2.99				percent of total billed charges		11.02				other	OPPS APC	8.15				percent of total billed charges		11.02				other	OPPS APC	11.02				other	OPPS APC	2.99				percent of total billed charges		3.04				percent of total billed charges		11.2				other	OPPS APC	2.99	11.2	
CAP PROTECTIVE NONSTERILE BLUE 5 MM FIXATION PIN	SUP-394.993	CDM	270010022	LOCAL	270	RC		inpatient			11.02	11.02																																																			
GuideRight wire  0.032 180cm	SUP-404569	CDM			270	RC		outpatient			11	11	2.98				percent of total billed charges		11				other	OPPS APC	8.14				percent of total billed charges		11				other	OPPS APC	11				other	OPPS APC	2.98				percent of total billed charges		3.04				percent of total billed charges		11				other	OPPS APC	2.98	11	
GuideRight wire  0.032 180cm	SUP-404569	CDM			270	RC		inpatient			11	11																																																			
WARMER SCOPE	SUP-JNM-200016	CDM			270	RC		outpatient			11	11	2.98				percent of total billed charges		11				other	OPPS APC	8.14				percent of total billed charges		11				other	OPPS APC	11				other	OPPS APC	2.98				percent of total billed charges		3.04				percent of total billed charges		11				other	OPPS APC	2.98	11	
WARMER SCOPE	SUP-JNM-200016	CDM			270	RC		inpatient			11	11																																																			
ESCITALOPRAM 10 MG TABLET	637000000	CDM	0904-6426-61	NDC	A9270	HCPCS		inpatient			10.96	10.96																																																			
ESCITALOPRAM 10 MG TABLET	637000000	CDM	0904-6426-61	NDC	A9270	HCPCS		outpatient			10.96	10.96																																															other	OPPS APC			
NEEDLE HYPODERMIC BD PRECISIONGLIDE THIN WALL 1.5IN 19GA BROWN DISPOSABLE STERILE LF SHORT BEVEL	SUP-305189	CDM						inpatient			10.94	10.94																																																			
NEEDLE HYPODERMIC BD PRECISIONGLIDE THIN WALL 1.5IN 19GA BROWN DISPOSABLE STERILE LF SHORT BEVEL	SUP-305189	CDM						outpatient			10.94	1.94	10.94				percent of total billed charges		10.94				other	OPPS APC	10.94				fee schedule		10.94				other	OPPS APC	10.94				other	OPPS APC	10.94				case rate		10.94				case rate		1.94				other	OPPS APC	1.94	10.94	
SUTURE ABSORBABLE VICRYL 4-0 FS-2 L27 IN BRAID COATED UNDYED	SUP-J422H	CDM			270	RC		outpatient			10.93	1.93	2.96				percent of total billed charges		10.93				other	OPPS APC	8.09				percent of total billed charges		10.93				other	OPPS APC	10.93				other	OPPS APC	2.96				percent of total billed charges		3.02				percent of total billed charges		1.93				other	OPPS APC	1.93	10.93	
SUTURE ABSORBABLE VICRYL 4-0 FS-2 L27 IN BRAID COATED UNDYED	SUP-J422H	CDM			270	RC		inpatient			10.93	10.93																																																			
METHOTREXATE SODIUM PER 5 MG	636000000	CDM	61703-350-37	NDC	J9250	HCPCS		inpatient			10.91	10.91																																																			
METHOTREXATE SODIUM PER 5 MG	636000000	CDM	61703-350-37	NDC	J9250	HCPCS		outpatient			10.91	10.91																																															other	OPPS APC			
CLOPIDOGREL 75 MG TABLET	637000000	CDM	0904-6294-61	NDC	A9270	HCPCS		inpatient			10.91	10.91																																																			
CLOPIDOGREL 75 MG TABLET	637000000	CDM	0904-6294-61	NDC	A9270	HCPCS		outpatient			10.91	10.91																																															other	OPPS APC			
BLADE LARYNGOSCOPE MILLER STAINLESS STEEL 1 FIBEROPTIC ENGLISH PROFILE STERILE LATEX FREE DISPOSABLE ISO 7376 HANDLE	SUP-301-B3110EA	CDM						inpatient			10.88	10.88																																																			
BLADE LARYNGOSCOPE MILLER STAINLESS STEEL 1 FIBEROPTIC ENGLISH PROFILE STERILE LATEX FREE DISPOSABLE ISO 7376 HANDLE	SUP-301-B3110EA	CDM						outpatient			10.88	1.88	10.88				percent of total billed charges		10.88				other	OPPS APC	10.88				fee schedule		10.88				other	OPPS APC	10.88				other	OPPS APC	10.88				case rate		10.88				case rate		1.88				other	OPPS APC	1.88	10.88	
MANIFOLD RIGHT	SUP-H965700383011	CDM			481	RC		outpatient			10.86	1.86	5.32				percent of total billed charges		10.86				other	OPPS APC	8.04				percent of total billed charges		10.86				other	OPPS APC	10.86				other	OPPS APC	5.32				percent of total billed charges		5.54				percent of total billed charges		1.86				other	OPPS APC	1.86	10.86	
MANIFOLD RIGHT	SUP-H965700383011	CDM			481	RC		inpatient			10.86	10.86																																																			
EPLERENONE 25 MG TABLET	637000000	CDM	42291-454-90	NDC	A9270	HCPCS		inpatient			10.85	10.85																																																			
EPLERENONE 25 MG TABLET	637000000	CDM	42291-454-90	NDC	A9270	HCPCS		outpatient			10.85	10.85																																															other	OPPS APC			
OXYTOCIN PER 10 UNITS	636000000	CDM	42023-116-25	NDC	J2590	HCPCS		inpatient			10.8	10.8																																																			
OXYTOCIN PER 10 UNITS	636000000	CDM	42023-116-25	NDC	J2590	HCPCS		outpatient			10.8	10.8																																															other	OPPS APC			
SENSOR PULSE OXIMETER FINGER DISPOSABLE ADULT 18IN	SUP-MAXA	CDM	270009154	LOCAL	270	RC		outpatient			10.8	1.81	2.93				percent of total billed charges		10.8				other	OPPS APC	7.99				percent of total billed charges		10.8				other	OPPS APC	10.8				other	OPPS APC	2.93				percent of total billed charges		2.98				percent of total billed charges		1.81				other	OPPS APC	1.81	10.8	
SENSOR PULSE OXIMETER FINGER DISPOSABLE ADULT 18IN	SUP-MAXA	CDM	270009154	LOCAL	270	RC		inpatient			10.8	10.8																																																			
SUTURE ABSORBABLE MONOCRYL MULTIPASS 6-0 P-3 L18 IN MONOFILAMENT UNDYED	SUP-Y492G	CDM			270	RC		outpatient			10.8	1.81	2.93				percent of total billed charges		10.8				other	OPPS APC	7.99				percent of total billed charges		10.8				other	OPPS APC	10.8				other	OPPS APC	2.93				percent of total billed charges		2.98				percent of total billed charges		1.81				other	OPPS APC	1.81	10.8	
SUTURE ABSORBABLE MONOCRYL MULTIPASS 6-0 P-3 L18 IN MONOFILAMENT UNDYED	SUP-Y492G	CDM			270	RC		inpatient			10.8	10.8																																																			
SUTURE PROLENE 7-0 P-1 18IN MONOFILAMENT BLUE NONABSORBABLE	SUP-8696G	CDM			270	RC		outpatient			10.78	1.78	2.92				percent of total billed charges		10.78				other	OPPS APC	7.98				percent of total billed charges		10.78				other	OPPS APC	10.78				other	OPPS APC	2.92				percent of total billed charges		2.98				percent of total billed charges		1.78				other	OPPS APC	1.78	10.78	
SUTURE PROLENE 7-0 P-1 18IN MONOFILAMENT BLUE NONABSORBABLE	SUP-8696G	CDM			270	RC		inpatient			10.78	10.78																																																			
PACK SURGICAL ECLIPSE LITHOTOMY IV GYN T SHEET NO GOWN STERILE LATEX FREE	SUP-DYNJP9010S	CDM	270009174	LOCAL	270	RC		outpatient			10.78	1.78	2.92				percent of total billed charges		10.78				other	OPPS APC	7.98				percent of total billed charges		10.78				other	OPPS APC	10.78				other	OPPS APC	2.92				percent of total billed charges		2.98				percent of total billed charges		1.78				other	OPPS APC	1.78	10.78	
PACK SURGICAL ECLIPSE LITHOTOMY IV GYN T SHEET NO GOWN STERILE LATEX FREE	SUP-DYNJP9010S	CDM	270009174	LOCAL	270	RC		inpatient			10.78	10.78																																																			
PACK SURGICAL ECLIPSE LITHOTOMY IV GYN T SHEET NO GOWN STERILE LATEX FREE	SUP-DYNJP9030	CDM	270009174	LOCAL	270	RC		outpatient			10.78	1.78	2.92				percent of total billed charges		10.78				other	OPPS APC	7.98				percent of total billed charges		10.78				other	OPPS APC	10.78				other	OPPS APC	2.92				percent of total billed charges		2.98				percent of total billed charges		1.78				other	OPPS APC	1.78	10.78	
PACK SURGICAL ECLIPSE LITHOTOMY IV GYN T SHEET NO GOWN STERILE LATEX FREE	SUP-DYNJP9030	CDM	270009174	LOCAL	270	RC		inpatient			10.78	10.78																																																			
PACK SURGICAL ECLIPSE LITHOTOMY IV GYN T SHEET NO GOWN STERILE LATEX FREE	SUP-DYNJP9030A	CDM	270009174	LOCAL	270	RC		outpatient			10.78	1.78	2.92				percent of total billed charges		10.78				other	OPPS APC	7.98				percent of total billed charges		10.78				other	OPPS APC	10.78				other	OPPS APC	2.92				percent of total billed charges		2.98				percent of total billed charges		1.78				other	OPPS APC	1.78	10.78	
PACK SURGICAL ECLIPSE LITHOTOMY IV GYN T SHEET NO GOWN STERILE LATEX FREE	SUP-DYNJP9030A	CDM	270009174	LOCAL	270	RC		inpatient			10.78	10.78																																																			
LORAZEPAM 2 MG/ML SYRINGE	636000000	CDM	0409-1985-03	NDC	J2060	HCPCS		inpatient			10.77	10.77																																																			
LORAZEPAM 2 MG/ML SYRINGE	636000000	CDM	0409-1985-03	NDC	J2060	HCPCS		outpatient			10.77	10.77																																															other	OPPS APC			
LORAZEPAM 2 MG/ML SYRINGE 1 ML CARTRIDGE	636000000	CDM	0409-1985-03	NDC	J2060	HCPCS		inpatient			10.77	10.77																																																			
LORAZEPAM 2 MG/ML SYRINGE 1 ML CARTRIDGE	636000000	CDM	0409-1985-03	NDC	J2060	HCPCS		outpatient			10.77	10.77																																															other	OPPS APC			
SUTURE CHR GUT 6-0 PS-3 18 INCH	SUP-1635G	CDM			270	RC		outpatient			10.77	1.77	2.92				percent of total billed charges		10.77				other	OPPS APC	7.97				percent of total billed charges		10.77				other	OPPS APC	10.77				other	OPPS APC	2.92				percent of total billed charges		2.98				percent of total billed charges		1.77				other	OPPS APC	1.77	10.77	
SUTURE CHR GUT 6-0 PS-3 18 INCH	SUP-1635G	CDM			270	RC		inpatient			10.77	10.77																																																			
APPLICATOR MEDICATED 8IN PVP IODINE STERILE LF SWABSTICK PRESATURATE	SUP-DYND70288S	CDM			270	RC		outpatient			10.76	1.76	2.91				percent of total billed charges		10.76				other	OPPS APC	7.96				percent of total billed charges		10.76				other	OPPS APC	10.76				other	OPPS APC	2.91				percent of total billed charges		2.97				percent of total billed charges		1.76				other	OPPS APC	1.76	10.76	
APPLICATOR MEDICATED 8IN PVP IODINE STERILE LF SWABSTICK PRESATURATE	SUP-DYND70288S	CDM			270	RC		inpatient			10.76	10.76																																																			
PRAVASTATIN 40 MG TABLET	637000000	CDM	0904-5893-61	NDC	A9270	HCPCS		inpatient			10.74	10.74																																																			
PRAVASTATIN 40 MG TABLET	637000000	CDM	0904-5893-61	NDC	A9270	HCPCS		outpatient			10.74	10.74																																															other	OPPS APC			
NITROFURANTOIN 100 MG CAPSULE	637000000	CDM	50268-625-11	NDC	A9270	HCPCS		inpatient			10.72	10.72																																																			
NITROFURANTOIN 100 MG CAPSULE	637000000	CDM	50268-625-11	NDC	A9270	HCPCS		outpatient			10.72	10.72																																															other	OPPS APC			
ONDANSETRON PER 8 MG	637000000	CDM	50268-647-11	NDC	A9270	HCPCS		inpatient			10.72	10.72																																																			
ONDANSETRON PER 8 MG	637000000	CDM	50268-647-11	NDC	A9270	HCPCS		outpatient			10.72	10.72																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE MULTIPASS 6-0 P-3 18IN BLUE MONOFILAMENT	SUP-8695G	CDM			270	RC		outpatient			10.7	1.7	2.9				percent of total billed charges		10.7				other	OPPS APC	7.92				percent of total billed charges		10.7				other	OPPS APC	10.7				other	OPPS APC	2.9				percent of total billed charges		2.96				percent of total billed charges		1.7				other	OPPS APC	1.7	10.7	
SUTURE NONABSORBABLE PROLENE MULTIPASS 6-0 P-3 18IN BLUE MONOFILAMENT	SUP-8695G	CDM			270	RC		inpatient			10.7	10.7																																																			
DRAIN INCISION JACKSON-PRATT SILICONE ROUND L1/4 IN OD19 FR END PERFORATE WITHOUT TROCAR RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-SU130-1325	CDM			270	RC		outpatient			10.7	1.7	2.9				percent of total billed charges		10.7				other	OPPS APC	7.92				percent of total billed charges		10.7				other	OPPS APC	10.7				other	OPPS APC	2.9				percent of total billed charges		2.96				percent of total billed charges		1.7				other	OPPS APC	1.7	10.7	
DRAIN INCISION JACKSON-PRATT SILICONE ROUND L1/4 IN OD19 FR END PERFORATE WITHOUT TROCAR RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-SU130-1325	CDM			270	RC		inpatient			10.7	10.7																																																			
SUTURE ABSORBABLE MONOCRYL MULTIPASS 5-0 P-3 L18 IN MONOFILAMENT VIOLET	SUP-Y463G	CDM			270	RC		outpatient			10.66	1.66	2.89				percent of total billed charges		10.66				other	OPPS APC	7.89				percent of total billed charges		10.66				other	OPPS APC	10.66				other	OPPS APC	2.89				percent of total billed charges		2.95				percent of total billed charges		1.66				other	OPPS APC	1.66	10.66	
SUTURE ABSORBABLE MONOCRYL MULTIPASS 5-0 P-3 L18 IN MONOFILAMENT VIOLET	SUP-Y463G	CDM			270	RC		inpatient			10.66	10.66																																																			
SUTURE NONABSORBABLE PROLENE 6-0 P-1 L18 IN MONOFILAMENT BLUE	SUP-8697G	CDM			270	RC		outpatient			10.63	1.63	2.88				percent of total billed charges		10.63				other	OPPS APC	7.87				percent of total billed charges		10.63				other	OPPS APC	10.63				other	OPPS APC	2.88				percent of total billed charges		2.94				percent of total billed charges		1.63				other	OPPS APC	1.63	10.63	
SUTURE NONABSORBABLE PROLENE 6-0 P-1 L18 IN MONOFILAMENT BLUE	SUP-8697G	CDM			270	RC		inpatient			10.63	10.63																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	23155-473-32	NDC	J1940	HCPCS		inpatient			10.59	10.59																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	23155-473-32	NDC	J1940	HCPCS		outpatient			10.59	10.59																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 4-0 BB L24 IN 2 ARM MONOFILAMENT BLUE	SUP-8861H	CDM			270	RC		outpatient			10.59	1.59	2.87				percent of total billed charges		10.59				other	OPPS APC	7.84				percent of total billed charges		10.59				other	OPPS APC	10.59				other	OPPS APC	2.87				percent of total billed charges		2.93				percent of total billed charges		1.59				other	OPPS APC	1.59	10.59	
SUTURE NONABSORBABLE PROLENE 4-0 BB L24 IN 2 ARM MONOFILAMENT BLUE	SUP-8861H	CDM			270	RC		inpatient			10.59	10.59																																																			
SOTALOL 80 MG TABLET	637000000	CDM	76385-125-01	NDC	A9270	HCPCS		inpatient			10.57	10.57																																																			
SOTALOL 80 MG TABLET	637000000	CDM	76385-125-01	NDC	A9270	HCPCS		outpatient			10.57	10.57																																															other	OPPS APC			
SUTURE ABSORBABLE MULTIPASS CHROMIC 5-0 P-3 L18 IN MONOFILAMENT BROWN	SUP-687G	CDM			270	RC		outpatient			10.55	1.55	2.86				percent of total billed charges		10.55				other	OPPS APC	7.81				percent of total billed charges		10.55				other	OPPS APC	10.55				other	OPPS APC	2.86				percent of total billed charges		2.91				percent of total billed charges		1.55				other	OPPS APC	1.55	10.55	
SUTURE ABSORBABLE MULTIPASS CHROMIC 5-0 P-3 L18 IN MONOFILAMENT BROWN	SUP-687G	CDM			270	RC		inpatient			10.55	10.55																																																			
ATOMOXETINE 25 MG CAPSULE	637000000	CDM	50268-057-11	NDC	A9270	HCPCS		inpatient			10.54	10.54																																																			
ATOMOXETINE 25 MG CAPSULE	637000000	CDM	50268-057-11	NDC	A9270	HCPCS		outpatient			10.54	10.54																																															other	OPPS APC			
AZITHROMYCIN 250 MG TABLET	637000000	CDM	60687-742-11	NDC	A9270	HCPCS		inpatient			10.54	10.54																																																			
AZITHROMYCIN 250 MG TABLET	637000000	CDM	60687-742-11	NDC	A9270	HCPCS		outpatient			10.54	10.54																																															other	OPPS APC			
TAMSULOSIN 0.4 MG CAPSULE	637000000	CDM	68084-299-11	NDC	A9270	HCPCS		inpatient			10.54	10.54																																																			
TAMSULOSIN 0.4 MG CAPSULE	637000000	CDM	68084-299-11	NDC	A9270	HCPCS		outpatient			10.54	10.54																																															other	OPPS APC			
DISSECTOR ENDOSCOPIC ENDOPATH BLUNT 5MM DISPOSABLE STERILE	SUP-BTD05	CDM	270009084	LOCAL	270	RC		outpatient			10.54	1.54	2.86				percent of total billed charges		10.54				other	OPPS APC	7.8				percent of total billed charges		10.54				other	OPPS APC	10.54				other	OPPS APC	2.86				percent of total billed charges		2.91				percent of total billed charges		1.54				other	OPPS APC	1.54	10.54	
DISSECTOR ENDOSCOPIC ENDOPATH BLUNT 5MM DISPOSABLE STERILE	SUP-BTD05	CDM	270009084	LOCAL	270	RC		inpatient			10.54	10.54																																																			
TISSUE FACIAL PAPER STANDARD L7 IN X W5.7 IN 2 PLY RECYCLED LATEX FREE	SUP-NON243275	CDM	270009084	LOCAL	270	RC		outpatient			10.54	1.54	2.86				percent of total billed charges		10.54				other	OPPS APC	7.8				percent of total billed charges		10.54				other	OPPS APC	10.54				other	OPPS APC	2.86				percent of total billed charges		2.91				percent of total billed charges		1.54				other	OPPS APC	1.54	10.54	
TISSUE FACIAL PAPER STANDARD L7 IN X W5.7 IN 2 PLY RECYCLED LATEX FREE	SUP-NON243275	CDM	270009084	LOCAL	270	RC		inpatient			10.54	10.54																																																			
CARVEDILOL 12.5 MG TABLET	637000000	CDM	0904-6302-61	NDC	A9270	HCPCS		inpatient			10.51	10.51																																																			
CARVEDILOL 12.5 MG TABLET	637000000	CDM	0904-6302-61	NDC	A9270	HCPCS		outpatient			10.51	10.51																																															other	OPPS APC			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	43066-007-10	NDC				inpatient			10.5	10.5																																																			
ROCURONIUM 10 MG/ML SOLUTION	250000000	CDM	43066-007-10	NDC				outpatient			10.5	10.5																																															other	OPPS APC			
"BUPRENORPHINE 8 MG TABLET, SUBLINGUAL"	637000000	CDM	60687-492-11	NDC	A9270	HCPCS		inpatient			10.5	10.5																																																			
"BUPRENORPHINE 8 MG TABLET, SUBLINGUAL"	637000000	CDM	60687-492-11	NDC	A9270	HCPCS		outpatient			10.5	10.5																																															other	OPPS APC			
GALANTAMINE 4 MG TABLET	637000000	CDM	68084-729-11	NDC	A9270	HCPCS		inpatient			10.5	10.5																																																			
GALANTAMINE 4 MG TABLET	637000000	CDM	68084-729-11	NDC	A9270	HCPCS		outpatient			10.5	10.5																																															other	OPPS APC			
LIDOCAINE 4 % CREAM 5 G TUBE	637000000	CDM	24357-701-05	NDC	A9270	HCPCS		inpatient			10.5	10.5																																																			
LIDOCAINE 4 % CREAM 5 G TUBE	637000000	CDM	24357-701-05	NDC	A9270	HCPCS		outpatient			10.5	10.5																																															other	OPPS APC			
TOPIRAMATE PER 25 MG	637000000	CDM	68084-342-11	NDC	A9270	HCPCS		inpatient			10.5	10.5																																																			
TOPIRAMATE PER 25 MG	637000000	CDM	68084-342-11	NDC	A9270	HCPCS		outpatient			10.5	10.5																																															other	OPPS APC			
"OXYMETAZOLINE 0.05 % SPRAY,NON-AEROSOL 30 ML SQUEEZ BTL"	637000000	CDM	1093941433	NDC	A9270	HCPCS		inpatient			10.48	10.48																																																			
"OXYMETAZOLINE 0.05 % SPRAY,NON-AEROSOL 30 ML SQUEEZ BTL"	637000000	CDM	1093941433	NDC	A9270	HCPCS		outpatient			10.48	10.48																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 2-0 MH L48 IN 2 ARM MONOFILAMENT BLUE	SUP-8853H	CDM			270	RC		outpatient			10.45	1.45	2.83				percent of total billed charges		10.45				other	OPPS APC	7.73				percent of total billed charges		10.45				other	OPPS APC	10.45				other	OPPS APC	2.83				percent of total billed charges		2.89				percent of total billed charges		1.45				other	OPPS APC	1.45	10.45	
SUTURE NONABSORBABLE PROLENE 2-0 MH L48 IN 2 ARM MONOFILAMENT BLUE	SUP-8853H	CDM			270	RC		inpatient			10.45	10.45																																																			
CATHETER URETHRAL DOVER BESPAK SILICONE NONPOROUS OD10 FR 3 ML 2 WAY FOLEY REINFORCE TIP LATEX FREE	SUP-8887603101	CDM						inpatient			10.45	10.45																																																			
CATHETER URETHRAL DOVER BESPAK SILICONE NONPOROUS OD10 FR 3 ML 2 WAY FOLEY REINFORCE TIP LATEX FREE	SUP-8887603101	CDM						outpatient			10.45	1.45	10.45				percent of total billed charges		10.45				other	OPPS APC	10.45				fee schedule		10.45				other	OPPS APC	10.45				other	OPPS APC	10.45				case rate		10.45				case rate		1.45				other	OPPS APC	1.45	10.45	
DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	68180-657-01	NDC	A9270	HCPCS		inpatient			10.44	10.44																																																			
DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	68180-657-01	NDC	A9270	HCPCS		outpatient			10.44	10.44																																															other	OPPS APC			
LIDOCAINE-EPI-TETRACAINE 4-0.18-0.5 % SOLUTION	637000000	CDM	51552-1345-1	NDC	A9270	HCPCS		inpatient			10.4	10.4																																																			
LIDOCAINE-EPI-TETRACAINE 4-0.18-0.5 % SOLUTION	637000000	CDM	51552-1345-1	NDC	A9270	HCPCS		outpatient			10.4	10.4																																															other	OPPS APC			
"OLANZAPINE ZYDIS 5 MG TABLET,DISINTEGRATING"	637000000	CDM	55111-262-79	NDC	A9270	HCPCS		inpatient			10.38	10.38																																																			
"OLANZAPINE ZYDIS 5 MG TABLET,DISINTEGRATING"	637000000	CDM	55111-262-79	NDC	A9270	HCPCS		outpatient			10.38	10.38																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 4-0 SH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8521H	CDM			270	RC		outpatient			10.36	1.36	2.81				percent of total billed charges		10.36				other	OPPS APC	7.67				percent of total billed charges		10.36				other	OPPS APC	10.36				other	OPPS APC	2.81				percent of total billed charges		2.86				percent of total billed charges		1.36				other	OPPS APC	1.36	10.36	
SUTURE NONABSORBABLE PROLENE 4-0 SH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8521H	CDM			270	RC		inpatient			10.36	10.36																																																			
WIPE CLEANING SUPER SANI-CLOTH (FOR DAVINCI ONLY)	SUP-Q86984A	CDM						inpatient			10.36	10.36																																																			
WIPE CLEANING SUPER SANI-CLOTH (FOR DAVINCI ONLY)	SUP-Q86984A	CDM						outpatient			10.36	1.36	10.36				percent of total billed charges		10.36				other	OPPS APC	10.36				fee schedule		10.36				other	OPPS APC	10.36				other	OPPS APC	10.36				case rate		10.36				case rate		1.36				other	OPPS APC	1.36	10.36	
OXYTOCIN PER 10 UNITS	636000000	CDM	63323-012-03	NDC	J2590	HCPCS		inpatient			10.35	10.35																																																			
OXYTOCIN PER 10 UNITS	636000000	CDM	63323-012-11	NDC	J2590	HCPCS		inpatient			10.35	10.35																																																			
OXYTOCIN PER 10 UNITS	636000000	CDM	63323-012-03	NDC	J2590	HCPCS		outpatient			10.35	10.35																																															other	OPPS APC			
OXYTOCIN PER 10 UNITS	636000000	CDM	63323-012-11	NDC	J2590	HCPCS		outpatient			10.35	10.35																																															other	OPPS APC			
SUTURE ABSORBABLE MULTIPASS 5-0 PS-4 18IN YELLOWISH TAN PLAIN MONOFILAMENT	SUP-1632G	CDM			270	RC		outpatient			10.34	1.34	2.8				percent of total billed charges		10.34				other	OPPS APC	7.65				percent of total billed charges		10.34				other	OPPS APC	10.34				other	OPPS APC	2.8				percent of total billed charges		2.86				percent of total billed charges		1.34				other	OPPS APC	1.34	10.34	
SUTURE ABSORBABLE MULTIPASS 5-0 PS-4 18IN YELLOWISH TAN PLAIN MONOFILAMENT	SUP-1632G	CDM			270	RC		inpatient			10.34	10.34																																																			
CIPROFLOXACIN PER 200 MG	636000000	CDM	0409-3300-01	NDC	J0744	HCPCS		inpatient			10.33	10.33																																																			
CIPROFLOXACIN PER 200 MG	636000000	CDM	0409-3300-24	NDC	J0744	HCPCS		inpatient			10.33	10.33																																																			
CIPROFLOXACIN PER 200 MG	636000000	CDM	0409-3300-01	NDC	J0744	HCPCS		outpatient			10.33	10.33																																															other	OPPS APC			
CIPROFLOXACIN PER 200 MG	636000000	CDM	0409-3300-24	NDC	J0744	HCPCS		outpatient			10.33	10.33																																															other	OPPS APC			
CYLINDER MEDICAL GAS 200 51IN 9IN NITROGEN HIGH PRESSURE	SUP-NI NF200	CDM			270	RC		outpatient			10.3	1.31	2.79				percent of total billed charges		10.3				other	OPPS APC	7.62				percent of total billed charges		10.3				other	OPPS APC	10.3				other	OPPS APC	2.79				percent of total billed charges		2.85				percent of total billed charges		1.31				other	OPPS APC	1.31	10.3	
CYLINDER MEDICAL GAS 200 51IN 9IN NITROGEN HIGH PRESSURE	SUP-NI NF200	CDM			270	RC		inpatient			10.3	10.3																																																			
SYRINGE ANGIOGRAPHY MEDRAD FASTURN 150ML DISPOSABLE STERILE LF FILL TUBE MARK V PROVIS	SUP-150-FT-Q	CDM			270	RC		outpatient			10.28	1.28	2.78				percent of total billed charges		10.28				other	OPPS APC	7.61				percent of total billed charges		10.28				other	OPPS APC	10.28				other	OPPS APC	2.78				percent of total billed charges		2.84				percent of total billed charges		1.28				other	OPPS APC	1.28	10.28	
SYRINGE ANGIOGRAPHY MEDRAD FASTURN 150ML DISPOSABLE STERILE LF FILL TUBE MARK V PROVIS	SUP-150-FT-Q	CDM			270	RC		inpatient			10.28	10.28																																																			
GOWN SURGICAL SMARTGOWN 2XL XLONG LEVEL 4 RAGLAN SLEEVE BREATHABLE STERILE LATEX FREE DISPOSABLE	SUP-39079	CDM			270	RC		outpatient			10.27	1.27	2.78				percent of total billed charges		10.27				other	OPPS APC	7.6				percent of total billed charges		10.27				other	OPPS APC	10.27				other	OPPS APC	2.78				percent of total billed charges		2.84				percent of total billed charges		1.27				other	OPPS APC	1.27	10.27	
GOWN SURGICAL SMARTGOWN 2XL XLONG LEVEL 4 RAGLAN SLEEVE BREATHABLE STERILE LATEX FREE DISPOSABLE	SUP-39079	CDM			270	RC		inpatient			10.27	10.27																																																			
SUTURE NONABSORBABLE PROLENE 4-0 RB-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8557H	CDM			270	RC		outpatient			10.27	1.27	2.78				percent of total billed charges		10.27				other	OPPS APC	7.6				percent of total billed charges		10.27				other	OPPS APC	10.27				other	OPPS APC	2.78				percent of total billed charges		2.84				percent of total billed charges		1.27				other	OPPS APC	1.27	10.27	
SUTURE NONABSORBABLE PROLENE 4-0 RB-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8557H	CDM			270	RC		inpatient			10.27	10.27																																																			
DILTIAZEM 5 MG/ML SOLUTION	250000000	CDM	0641-6013-01	NDC				inpatient			10.26	10.26																																																			
DILTIAZEM 5 MG/ML SOLUTION	250000000	CDM	0641-6013-10	NDC				inpatient			10.26	10.26																																																			
DILTIAZEM 5 MG/ML SOLUTION	250000000	CDM	0641-6013-01	NDC				outpatient			10.26	10.26																																															other	OPPS APC			
DILTIAZEM 5 MG/ML SOLUTION	250000000	CDM	0641-6013-10	NDC				outpatient			10.26	10.26																																															other	OPPS APC			
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 18GA PINK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305196	CDM						inpatient			10.26	10.26																																																			
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 18GA PINK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305196	CDM						outpatient			10.26	1.26	10.26				percent of total billed charges		10.26				other	OPPS APC	10.26				fee schedule		10.26				other	OPPS APC	10.26				other	OPPS APC	10.26				case rate		10.26				case rate		1.26				other	OPPS APC	1.26	10.26	
SUTURE NONABSORBABLE PROLENE 3-0 RB-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8558H	CDM			270	RC		outpatient			10.26	1.26	2.78				percent of total billed charges		10.26				other	OPPS APC	7.59				percent of total billed charges		10.26				other	OPPS APC	10.26				other	OPPS APC	2.78				percent of total billed charges		2.83				percent of total billed charges		1.26				other	OPPS APC	1.26	10.26	
SUTURE NONABSORBABLE PROLENE 3-0 RB-1 L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8558H	CDM			270	RC		inpatient			10.26	10.26																																																			
ELECTRODE PATIENT RETURN VALLEYLAB 9FT PVC DISPOSABLE NS LF ADULT CORD NONIRRITATE NONSENSITIZE ADHESIVE STRIP RECQM	SUP-E7507	CDM						inpatient			10.26	10.26																																																			
ELECTRODE PATIENT RETURN VALLEYLAB 9FT PVC DISPOSABLE NS LF ADULT CORD NONIRRITATE NONSENSITIZE ADHESIVE STRIP RECQM	SUP-E7507	CDM						outpatient			10.26	1.26	10.26				percent of total billed charges		10.26				other	OPPS APC	10.26				fee schedule		10.26				other	OPPS APC	10.26				other	OPPS APC	10.26				case rate		10.26				case rate		1.26				other	OPPS APC	1.26	10.26	
ONDANSETRON PER 8 MG	637000000	CDM	60687-252-40	NDC	A9270	HCPCS		inpatient			10.25	10.25																																																			
ONDANSETRON PER 8 MG	637000000	CDM	60687-252-40	NDC	A9270	HCPCS		outpatient			10.25	10.25																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 3-0 SH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8522H	CDM			270	RC		outpatient			10.25	1.25	2.78				percent of total billed charges		10.25				other	OPPS APC	7.59				percent of total billed charges		10.25				other	OPPS APC	10.25				other	OPPS APC	2.78				percent of total billed charges		2.83				percent of total billed charges		1.25				other	OPPS APC	1.25	10.25	
SUTURE NONABSORBABLE PROLENE 3-0 SH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8522H	CDM			270	RC		inpatient			10.25	10.25																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0264-7510-20	NDC	J7060	HCPCS		inpatient			10.23	10.23																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0264-7510-20	NDC	J7060	HCPCS		outpatient			10.23	10.23																																															other	OPPS APC			
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6474-61	NDC	A9270	HCPCS		inpatient			10.22	10.22																																																			
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6474-61	NDC	A9270	HCPCS		outpatient			10.22	10.22																																															other	OPPS APC			
BLADE LARYNGOSCOPE GREENLINE STAINLESS STEEL ADULT 3 L195 MM MILLER FIBER OPTIC COMPATIBLE HANDLE STERILE LATEX FREE DISPOSABLE	SUP-301-B3130EA	CDM			270	RC		outpatient			10.21	1.21	2.77				percent of total billed charges		10.21				other	OPPS APC	7.56				percent of total billed charges		10.21				other	OPPS APC	10.21				other	OPPS APC	2.77				percent of total billed charges		2.82				percent of total billed charges		1.21				other	OPPS APC	1.21	10.21	
BLADE LARYNGOSCOPE GREENLINE STAINLESS STEEL ADULT 3 L195 MM MILLER FIBER OPTIC COMPATIBLE HANDLE STERILE LATEX FREE DISPOSABLE	SUP-301-B3130EA	CDM			270	RC		inpatient			10.21	10.21																																																			
SUTURE ABSORBABLE VICRYL 5-0 P-2 L18 IN BRAID COATED UNDYED	SUP-J503G	CDM			270	RC		outpatient			10.18	1.18	2.76				percent of total billed charges		10.18				other	OPPS APC	7.53				percent of total billed charges		10.18				other	OPPS APC	10.18				other	OPPS APC	2.76				percent of total billed charges		2.81				percent of total billed charges		1.18				other	OPPS APC	1.18	10.18	
SUTURE ABSORBABLE VICRYL 5-0 P-2 L18 IN BRAID COATED UNDYED	SUP-J503G	CDM			270	RC		inpatient			10.18	10.18																																																			
SUTURE ABSORBABLE PDS II MULTIPASS 5-0 P-3 L18 IN MONOFILAMENT UNDYED	SUP-Z493G	CDM			270	RC		outpatient			10.18	1.18	2.76				percent of total billed charges		10.18				other	OPPS APC	7.53				percent of total billed charges		10.18				other	OPPS APC	10.18				other	OPPS APC	2.76				percent of total billed charges		2.81				percent of total billed charges		1.18				other	OPPS APC	1.18	10.18	
SUTURE ABSORBABLE PDS II MULTIPASS 5-0 P-3 L18 IN MONOFILAMENT UNDYED	SUP-Z493G	CDM			270	RC		inpatient			10.18	10.18																																																			
DRAPE EQUIPMENT UNIVERSAL L96 IN X W7 IN VIDEO CAMERA TELESCOPIC FOLDED CUFF ADHESIVE CLOSURE STRIP NONSTERILE DISPOSABLE	SUP-29-29049	CDM			270	RC		outpatient			10.16	1.16	2.75				percent of total billed charges		10.16				other	OPPS APC	7.52				percent of total billed charges		10.16				other	OPPS APC	10.16				other	OPPS APC	2.75				percent of total billed charges		2.81				percent of total billed charges		1.16				other	OPPS APC	1.16	10.16	
DRAPE EQUIPMENT UNIVERSAL L96 IN X W7 IN VIDEO CAMERA TELESCOPIC FOLDED CUFF ADHESIVE CLOSURE STRIP NONSTERILE DISPOSABLE	SUP-29-29049	CDM			270	RC		inpatient			10.16	10.16																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-474-01	NDC	J1940	HCPCS		inpatient			10.12	10.12																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-474-01	NDC	J1940	HCPCS		outpatient			10.12	10.12																																															other	OPPS APC			
SUTURE ABSORBABLE MONOCRYL MULTIPASS 4-0 PS-2 L27 IN MONOFILAMENT UNDYED	SUP-Y426H	CDM			270	RC		outpatient			10.11	1.2	2.74				percent of total billed charges		10.11				other	OPPS APC	7.48				percent of total billed charges		10.11				other	OPPS APC	10.11				other	OPPS APC	2.74				percent of total billed charges		2.79				percent of total billed charges		1.2				other	OPPS APC	1.2	10.11	
SUTURE ABSORBABLE MONOCRYL MULTIPASS 4-0 PS-2 L27 IN MONOFILAMENT UNDYED	SUP-Y426H	CDM			270	RC		inpatient			10.11	10.11																																																			
FLECAINIDE 50 MG TABLET	637000000	CDM	0054-0010-20	NDC	A9270	HCPCS		inpatient			10.1	10.1																																																			
FLECAINIDE 50 MG TABLET	637000000	CDM	0054-0010-20	NDC	A9270	HCPCS		outpatient			10.1	10.1																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 4-0 P-2 L18 IN BRAID COATED UNDYED	SUP-J504G	CDM			270	RC		outpatient			10.1	1.1	2.74				percent of total billed charges		10.1				other	OPPS APC	7.47				percent of total billed charges		10.1				other	OPPS APC	10.1				other	OPPS APC	2.74				percent of total billed charges		2.79				percent of total billed charges		1.1				other	OPPS APC	1.1	10.1	
SUTURE ABSORBABLE VICRYL 4-0 P-2 L18 IN BRAID COATED UNDYED	SUP-J504G	CDM			270	RC		inpatient			10.1	10.1																																																			
TAPE LABELING TIME 3 IN L2160 IN X W.5 IN ROLL ADHESIVE CORE RED	SUP-T-1260-5	CDM						inpatient			10.1	10.1																																																			
TAPE LABELING TIME 3 IN L2160 IN X W.5 IN ROLL ADHESIVE CORE RED	SUP-T-1260-5	CDM						outpatient			10.1	1.1	10.1				percent of total billed charges		10.1				other	OPPS APC	10.1				fee schedule		10.1				other	OPPS APC	10.1				other	OPPS APC	10.1				case rate		10.1				case rate		1.1				other	OPPS APC	1.1	10.1	
BUSPIRONE 10 MG TABLET	637000000	CDM	51079-986-01	NDC	A9270	HCPCS		inpatient			10.09	10.09																																																			
BUSPIRONE 10 MG TABLET	637000000	CDM	51079-986-01	NDC	A9270	HCPCS		outpatient			10.09	10.09																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 2-0 SH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8523H	CDM			270	RC		outpatient			10.08	1.8	2.73				percent of total billed charges		10.08				other	OPPS APC	7.46				percent of total billed charges		10.08				other	OPPS APC	10.08				other	OPPS APC	2.73				percent of total billed charges		2.79				percent of total billed charges		1.8				other	OPPS APC	1.8	10.08	
SUTURE NONABSORBABLE PROLENE 2-0 SH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8523H	CDM			270	RC		inpatient			10.08	10.08																																																			
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	50268-639-11	NDC	A9270	HCPCS		inpatient			10.07	10.07																																																			
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	50268-639-15	NDC	A9270	HCPCS		inpatient			10.07	10.07																																																			
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	50268-639-11	NDC	A9270	HCPCS		outpatient			10.07	10.07																																															other	OPPS APC			
"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	50268-639-15	NDC	A9270	HCPCS		outpatient			10.07	10.07																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 3-0 MH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8842H	CDM			270	RC		outpatient			10.03	1.3	2.72				percent of total billed charges		10.03				other	OPPS APC	7.42				percent of total billed charges		10.03				other	OPPS APC	10.03				other	OPPS APC	2.72				percent of total billed charges		2.77				percent of total billed charges		1.3				other	OPPS APC	1.3	10.03	
SUTURE NONABSORBABLE PROLENE 3-0 MH L36 IN 2 ARM MONOFILAMENT BLUE	SUP-8842H	CDM			270	RC		inpatient			10.03	10.03																																																			
IOPAMIDOL 300 MG IODINE /ML (61 %) SOLUTION	636000000	CDM	0270-1315-30	NDC	Q9967	HCPCS		inpatient			10	10																																																			
IOPAMIDOL 300 MG IODINE /ML (61 %) SOLUTION	636000000	CDM	0270-1315-30	NDC	Q9967	HCPCS		outpatient			10	10																																															other	OPPS APC			
IOTHALAMATE MEGLUMINE 60 % SOLUTION	636000000	CDM	0019-0953-05	NDC	Q9961	HCPCS		inpatient			10	10																																																			
IOTHALAMATE MEGLUMINE 60 % SOLUTION	636000000	CDM	0019-0953-05	NDC	Q9961	HCPCS		outpatient			10	10																																															other	OPPS APC			
NEEDLE GASTRIC BAND LAP-BAND 89MM 20GA SS PLASTIC DISPOSABLE STERILE ACCESS PORT NONCORE DEFLECT TIP HUB	SUP-B-20301-10	CDM			270	RC		outpatient			10	1	2.71				percent of total billed charges		10				other	OPPS APC	7.4				percent of total billed charges		10				other	OPPS APC	10				other	OPPS APC	2.71				percent of total billed charges		2.76				percent of total billed charges		1				other	OPPS APC	1	10	
NEEDLE GASTRIC BAND LAP-BAND 89MM 20GA SS PLASTIC DISPOSABLE STERILE ACCESS PORT NONCORE DEFLECT TIP HUB	SUP-B-20301-10	CDM			270	RC		inpatient			10	10																																																			
SUTURE ABSORBABLE MONOCRYL PLUS MULTIPASS 3-0 PS-2 27IN UNDYED MONOFILAMENT	SUP-Y427H	CDM			270	RC		outpatient			10	1	2.71				percent of total billed charges		10				other	OPPS APC	7.4				percent of total billed charges		10				other	OPPS APC	10				other	OPPS APC	2.71				percent of total billed charges		2.76				percent of total billed charges		1				other	OPPS APC	1	10	
SUTURE ABSORBABLE MONOCRYL PLUS MULTIPASS 3-0 PS-2 27IN UNDYED MONOFILAMENT	SUP-Y427H	CDM			270	RC		inpatient			10	10																																																			
CAP CONVERTER ENDOSCOPIC ONE SEAL 5 TO 12MM	SUP-1SEAL	CDM			270	RC		outpatient			9.98	9.98	2.7				percent of total billed charges		9.98				other	OPPS APC	7.39				percent of total billed charges		9.98				other	OPPS APC	9.98				other	OPPS APC	2.7				percent of total billed charges		2.76				percent of total billed charges		9.98				other	OPPS APC	2.7	9.98	
CAP CONVERTER ENDOSCOPIC ONE SEAL 5 TO 12MM	SUP-1SEAL	CDM			270	RC		inpatient			9.98	9.98																																																			
CRUTCH WALKING ALUMINUM C300 LB ADULT L62-70 IN AXILLARY STYLE PUSH BUTTON	SUP-CA901AD	CDM	270009111	LOCAL	270	RC		outpatient			9.98	9.98	2.7				percent of total billed charges		9.98				other	OPPS APC	7.39				percent of total billed charges		9.98				other	OPPS APC	9.98				other	OPPS APC	2.7				percent of total billed charges		2.76				percent of total billed charges		9.98				other	OPPS APC	2.7	9.98	
CRUTCH WALKING ALUMINUM C300 LB ADULT L62-70 IN AXILLARY STYLE PUSH BUTTON	SUP-CA901AD	CDM	270009111	LOCAL	270	RC		inpatient			9.98	9.98																																																			
"STERILE WATER PARENTERAL SOLUTION 1,000 ML BAG"	636000000	CDM	0338-0013-04	NDC	A4217	HCPCS		inpatient			9.96	9.96																																																			
"STERILE WATER PARENTERAL SOLUTION 1,000 ML BAG"	636000000	CDM	0338-0013-04	NDC	A4217	HCPCS		outpatient			9.96	9.96																																															other	OPPS APC			
SUTURE ABSORBABLE PDS II 0 TP-1 L60 IN MONOFILAMENT LOOP VIOLET	SUP-Z991G	CDM			270	RC		outpatient			9.96	9.97	2.7				percent of total billed charges		9.96				other	OPPS APC	7.37				percent of total billed charges		9.96				other	OPPS APC	9.96				other	OPPS APC	2.7				percent of total billed charges		2.75				percent of total billed charges		9.97				other	OPPS APC	2.7	9.97	
SUTURE ABSORBABLE PDS II 0 TP-1 L60 IN MONOFILAMENT LOOP VIOLET	SUP-Z991G	CDM			270	RC		inpatient			9.96	9.96																																																			
STOCKINETTE ORTHOPEDIC COTTON WAX STANDARD L48 IN X W6 IN 2 PLY EXTENSIVE LINE PULL TAB STERILE LATEX FREE OFF WHITE	SUP-9606-48	CDM						inpatient			9.94	9.94																																																			
STOCKINETTE ORTHOPEDIC COTTON WAX STANDARD L48 IN X W6 IN 2 PLY EXTENSIVE LINE PULL TAB STERILE LATEX FREE OFF WHITE	SUP-9606-48	CDM						outpatient			9.94	9.94	9.94				percent of total billed charges		9.94				other	OPPS APC	9.94				fee schedule		9.94				other	OPPS APC	9.94				other	OPPS APC	9.94				case rate		9.94				case rate		9.94				other	OPPS APC	9.94	9.94	
DABIGATRAN ETEXILATE 150 MG CAPSULE	637000000	CDM	0597-0360-82	NDC	A9270	HCPCS		inpatient			9.92	9.92																																																			
DABIGATRAN ETEXILATE 150 MG CAPSULE	637000000	CDM	0597-0360-82	NDC	A9270	HCPCS		outpatient			9.92	9.92																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE MULTIPASS 4-0 P-3 18IN BLUE MONOFILAMENT	SUP-8699G	CDM			270	RC		outpatient			9.92	9.92	2.69				percent of total billed charges		9.92				other	OPPS APC	7.34				percent of total billed charges		9.92				other	OPPS APC	9.92				other	OPPS APC	2.69				percent of total billed charges		2.74				percent of total billed charges		9.92				other	OPPS APC	2.69	9.92	
SUTURE NONABSORBABLE PROLENE MULTIPASS 4-0 P-3 18IN BLUE MONOFILAMENT	SUP-8699G	CDM			270	RC		inpatient			9.92	9.92																																																			
GOWN SURGICAL ORBIS 2XL L 56.5 IN AAMI LEVEL 4 HOOK LOOP CLOSURE LOW LINT STERILE LATEX FREE DARK BLUE	SUP-DYNJP2373P_440916	CDM			270	RC		outpatient			9.92	9.92	2.69				percent of total billed charges		9.92				other	OPPS APC	7.34				percent of total billed charges		9.92				other	OPPS APC	9.92				other	OPPS APC	2.69				percent of total billed charges		2.74				percent of total billed charges		9.92				other	OPPS APC	2.69	9.92	
GOWN SURGICAL ORBIS 2XL L 56.5 IN AAMI LEVEL 4 HOOK LOOP CLOSURE LOW LINT STERILE LATEX FREE DARK BLUE	SUP-DYNJP2373P_440916	CDM			270	RC		inpatient			9.92	9.92																																																			
MYCOPHENOLATE MOFETIL PER 250 MG	636000000	CDM	51079-721-20	NDC	J7517	HCPCS		inpatient			9.91	9.91																																																			
MYCOPHENOLATE MOFETIL PER 250 MG	636000000	CDM	51079-721-20	NDC	J7517	HCPCS		outpatient			9.91	9.91																																															other	OPPS APC			
DRAIN INCISION CATTELL 11IN 12IN 10FR NATURAL RUBBER DISPOSABLE STERILE LATEX T TUBE	SUP-0100150	CDM	270009031	LOCAL	270	RC		outpatient			9.91	9.91	2.68				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	2.68				percent of total billed charges		2.74				percent of total billed charges		9.91				other	OPPS APC	2.68	9.91	
DRAIN INCISION CATTELL 11IN 12IN 10FR NATURAL RUBBER DISPOSABLE STERILE LATEX T TUBE	SUP-0100150	CDM	270009031	LOCAL	270	RC		inpatient			9.91	9.91																																																			
URINE METER BARD 8FR KIT	SUP-1531	CDM	270009031	LOCAL	270	RC		outpatient			9.91	9.91	2.68				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	2.68				percent of total billed charges		2.74				percent of total billed charges		9.91				other	OPPS APC	2.68	9.91	
URINE METER BARD 8FR KIT	SUP-1531	CDM	270009031	LOCAL	270	RC		inpatient			9.91	9.91																																																			
DRAIN WOUND JACKSON-PRATT SILICONE 3/4 FLUTE OD10 FR ODSEC19 FR ROUND HUBLESS CHANNEL TROCAR	SUP-JP-2226	CDM	270009031	LOCAL	270	RC		outpatient			9.91	9.91	2.68				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	2.68				percent of total billed charges		2.74				percent of total billed charges		9.91				other	OPPS APC	2.68	9.91	
DRAIN WOUND JACKSON-PRATT SILICONE 3/4 FLUTE OD10 FR ODSEC19 FR ROUND HUBLESS CHANNEL TROCAR	SUP-JP-2226	CDM	270009031	LOCAL	270	RC		inpatient			9.91	9.91																																																			
DRAIN INCISION JACKSON-PRATT SILICONE OD15 FR ROUND HUBLESS CHANNEL STERILE LATEX FREE DISPOSABLE WHITE	SUP-JP-2228	CDM	270009031	LOCAL	270	RC		outpatient			9.91	9.91	2.68				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	2.68				percent of total billed charges		2.74				percent of total billed charges		9.91				other	OPPS APC	2.68	9.91	
DRAIN INCISION JACKSON-PRATT SILICONE OD15 FR ROUND HUBLESS CHANNEL STERILE LATEX FREE DISPOSABLE WHITE	SUP-JP-2228	CDM	270009031	LOCAL	270	RC		inpatient			9.91	9.91																																																			
DRAIN WOUND JACKSON-PRATT SILICONE FLAT L20 CM X W7 MM FULL PERFORATION WITHOUT TROCAR	SUP-SU130-1310	CDM	270009031	LOCAL	270	RC		outpatient			9.91	9.91	2.68				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	2.68				percent of total billed charges		2.74				percent of total billed charges		9.91				other	OPPS APC	2.68	9.91	
DRAIN WOUND JACKSON-PRATT SILICONE FLAT L20 CM X W7 MM FULL PERFORATION WITHOUT TROCAR	SUP-SU130-1310	CDM	270009031	LOCAL	270	RC		inpatient			9.91	9.91																																																			
DRAIN INCISION JACKSON-PRATT ROUND 10FR SILICONE DISPOSABLE STERILE LF PERFORATE END WITHOUT TROCAR RADIOPAQUE RESERVOIR	SUP-SU130-1321	CDM	270009031	LOCAL	270	RC		outpatient			9.91	9.91	2.68				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	2.68				percent of total billed charges		2.74				percent of total billed charges		9.91				other	OPPS APC	2.68	9.91	
DRAIN INCISION JACKSON-PRATT ROUND 10FR SILICONE DISPOSABLE STERILE LF PERFORATE END WITHOUT TROCAR RADIOPAQUE RESERVOIR	SUP-SU130-1321	CDM	270009031	LOCAL	270	RC		inpatient			9.91	9.91																																																			
DRAIN INCISION JACKSON-PRATT SILICONE ROUND L3/16 IN OD15 FR END PERFORATE WITHOUT TROCAR RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-SU130-1323	CDM			481	RC		outpatient			9.91	9.91	4.86				percent of total billed charges		9.91				other	OPPS APC	7.33				percent of total billed charges		9.91				other	OPPS APC	9.91				other	OPPS APC	4.86				percent of total billed charges		5.05				percent of total billed charges		9.91				other	OPPS APC	4.86	9.91	
DRAIN INCISION JACKSON-PRATT SILICONE ROUND L3/16 IN OD15 FR END PERFORATE WITHOUT TROCAR RADIOPAQUE STERILE LATEX FREE DISPOSABLE	SUP-SU130-1323	CDM			481	RC		inpatient			9.91	9.91																																																			
DEXTROSE 15G ORAL 40 % GEL	637000000	CDM	574006915	NDC	A9270	HCPCS		inpatient			9.88	9.88																																																			
DEXTROSE 15G ORAL 40 % GEL	637000000	CDM	574006915	NDC	A9270	HCPCS		outpatient			9.88	9.88																																															other	OPPS APC			
RISPERIDONE 0.5 MG TABLET	637000000	CDM	0904-6358-61	NDC	A9270	HCPCS		inpatient			9.83	9.83																																																			
RISPERIDONE 0.5 MG TABLET	637000000	CDM	0904-6358-61	NDC	A9270	HCPCS		outpatient			9.83	9.83																																															other	OPPS APC			
SUTURE ABSORBABLE MONOCRYL MULTIPASS 4-0 PS-2 L18 IN MONOFILAMENT UNDYED	SUP-MCP496G	CDM			270	RC		outpatient			9.83	9.83	2.66				percent of total billed charges		9.83				other	OPPS APC	7.27				percent of total billed charges		9.83				other	OPPS APC	9.83				other	OPPS APC	2.66				percent of total billed charges		2.72				percent of total billed charges		9.83				other	OPPS APC	2.66	9.83	
SUTURE ABSORBABLE MONOCRYL MULTIPASS 4-0 PS-2 L18 IN MONOFILAMENT UNDYED	SUP-MCP496G	CDM			270	RC		inpatient			9.83	9.83																																																			
SUTURE ABSORBABLE PDS II 0 CTX L60 IN MONOFILAMENT LOOP VIOLET	SUP-Z990G	CDM			270	RC		outpatient			9.82	9.82	2.66				percent of total billed charges		9.82				other	OPPS APC	7.27				percent of total billed charges		9.82				other	OPPS APC	9.82				other	OPPS APC	2.66				percent of total billed charges		2.71				percent of total billed charges		9.82				other	OPPS APC	2.66	9.82	
SUTURE ABSORBABLE PDS II 0 CTX L60 IN MONOFILAMENT LOOP VIOLET	SUP-Z990G	CDM			270	RC		inpatient			9.82	9.82																																																			
"PHENYLEPHRINE 0.5 % SPRAY,NON-AEROSOL 15 ML SQUEEZ BTL"	250000000	CDM	0225-0805-47	NDC				inpatient			9.8	9.8																																																			
"PHENYLEPHRINE 0.5 % SPRAY,NON-AEROSOL 15 ML SQUEEZ BTL"	250000000	CDM	0225-0805-47	NDC				outpatient			9.8	9.8																																															other	OPPS APC			
DRAPE SURGICAL PROXIMA SMS L80 IN X W75 IN PERIGROIN PACK BILATERAL SPLIT STERILE LATEX FREE DISPOSABLE	SUP-DYNJP4007	CDM			270	RC		outpatient			9.78	9.78	2.65				percent of total billed charges		9.78				other	OPPS APC	7.24				percent of total billed charges		9.78				other	OPPS APC	9.78				other	OPPS APC	2.65				percent of total billed charges		2.7				percent of total billed charges		9.78				other	OPPS APC	2.65	9.78	
DRAPE SURGICAL PROXIMA SMS L80 IN X W75 IN PERIGROIN PACK BILATERAL SPLIT STERILE LATEX FREE DISPOSABLE	SUP-DYNJP4007	CDM			270	RC		inpatient			9.78	9.78																																																			
BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG TABLET	637000000	CDM	60687-672-11	NDC	A9270	HCPCS		inpatient			9.76	9.76																																																			
BUTALBITAL-ACETAMINOPHEN-CAFF 50-325-40 MG TABLET	637000000	CDM	60687-672-11	NDC	A9270	HCPCS		outpatient			9.76	9.76																																															other	OPPS APC			
DILTIAZEM 5 MG/ML SOLUTION	250000000	CDM	70860-301-41	NDC				inpatient			9.75	9.75																																																			
DILTIAZEM 5 MG/ML SOLUTION	250000000	CDM	70860-301-41	NDC				outpatient			9.75	9.75																																															other	OPPS APC			
DRAPE SURGICAL SMS T L121 IN X W102 IN X H78 IN L12 IN X W4 IN FENESTRATE ABSORBENT REINFORCE ARMBOARD COVER INSTRUMENT PAD STERILE LATEX FREE DISPOSABLE LAPAROTOMY T DRAPELAPAROTOMY T DRAPE	SUP-DYNJP3003	CDM						inpatient			9.75	9.75																																																			
DRAPE SURGICAL SMS T L121 IN X W102 IN X H78 IN L12 IN X W4 IN FENESTRATE ABSORBENT REINFORCE ARMBOARD COVER INSTRUMENT PAD STERILE LATEX FREE DISPOSABLE LAPAROTOMY T DRAPELAPAROTOMY T DRAPE	SUP-DYNJP3003	CDM						outpatient			9.75	9.75	9.75				percent of total billed charges		9.75				other	OPPS APC	9.75				fee schedule		9.75				other	OPPS APC	9.75				other	OPPS APC	9.75				case rate		9.75				case rate		9.75				other	OPPS APC	9.75	9.75	
SUTURE NONABSORBABLE PROLENE MULTIPASS 4-0 PS-2 18IN BLUE MONOFILAMENT	SUP-8682G	CDM			270	RC		outpatient			9.74	9.74	2.64				percent of total billed charges		9.74				other	OPPS APC	7.21				percent of total billed charges		9.74				other	OPPS APC	9.74				other	OPPS APC	2.64				percent of total billed charges		2.69				percent of total billed charges		9.74				other	OPPS APC	2.64	9.74	
SUTURE NONABSORBABLE PROLENE MULTIPASS 4-0 PS-2 18IN BLUE MONOFILAMENT	SUP-8682G	CDM			270	RC		inpatient			9.74	9.74																																																			
CUSTOM GI KIT	SUP-CEK-746-20	CDM						inpatient			9.73	9.73																																																			
CUSTOM GI KIT	SUP-CEK-746-20	CDM						outpatient			9.73	9.73	9.73				percent of total billed charges		9.73				other	OPPS APC	9.73				fee schedule		9.73				other	OPPS APC	9.73				other	OPPS APC	9.73				case rate		9.73				case rate		9.73				other	OPPS APC	9.73	9.73	
DRAPE SURGICAL PROXIMA SMS L14 IN W4 IN CONTOUR L121 IN X W102 IN X H78 IN L29 IN X W29 IN FENESTRATE ABSORBENT REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE TRANSVERSE LAPAROTOMY	SUP-DYNJP3005	CDM						inpatient			9.73	9.73																																																			
DRAPE SURGICAL PROXIMA SMS L14 IN W4 IN CONTOUR L121 IN X W102 IN X H78 IN L29 IN X W29 IN FENESTRATE ABSORBENT REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE TRANSVERSE LAPAROTOMY	SUP-DYNJP3005	CDM						outpatient			9.73	9.73	9.73				percent of total billed charges		9.73				other	OPPS APC	9.73				fee schedule		9.73				other	OPPS APC	9.73				other	OPPS APC	9.73				case rate		9.73				case rate		9.73				other	OPPS APC	9.73	9.73	
HYDROMORPHONE (PF) 1 MG/ML SOLUTION	636000000	CDM	63323-852-03	NDC	J1170	HCPCS		inpatient			9.72	9.72																																																			
HYDROMORPHONE (PF) 1 MG/ML SOLUTION	636000000	CDM	63323-852-03	NDC	J1170	HCPCS		outpatient			9.72	9.72																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE MULTIPASS 3-0 PS-1 L18 IN MONOFILAMENT BLUE	SUP-8663G	CDM			270	RC		outpatient			9.67	9.67	2.62				percent of total billed charges		9.67				other	OPPS APC	7.16				percent of total billed charges		9.67				other	OPPS APC	9.67				other	OPPS APC	2.62				percent of total billed charges		2.67				percent of total billed charges		9.67				other	OPPS APC	2.62	9.67	
SUTURE NONABSORBABLE PROLENE MULTIPASS 3-0 PS-1 L18 IN MONOFILAMENT BLUE	SUP-8663G	CDM			270	RC		inpatient			9.67	9.67																																																			
DRESSING WOUND MEPILEX BORDER POST OP 4 X 12IN	SUP-496605	CDM						inpatient			9.64	9.64																																																			
DRESSING WOUND MEPILEX BORDER POST OP 4 X 12IN	SUP-496605	CDM						outpatient			9.64	9.65	9.64				percent of total billed charges		9.64				other	OPPS APC	9.64				fee schedule		9.64				other	OPPS APC	9.64				other	OPPS APC	9.64				case rate		9.64				case rate		9.65				other	OPPS APC	9.64	9.65	
SUTURE NONABSORBABLE PROLENE MULTIPASS 3-0 PS-2 18IN BLUE MONOFILAMENT	SUP-8687H	CDM			270	RC		outpatient			9.64	9.65	2.61				percent of total billed charges		9.64				other	OPPS APC	7.13				percent of total billed charges		9.64				other	OPPS APC	9.64				other	OPPS APC	2.61				percent of total billed charges		2.66				percent of total billed charges		9.65				other	OPPS APC	2.61	9.65	
SUTURE NONABSORBABLE PROLENE MULTIPASS 3-0 PS-2 18IN BLUE MONOFILAMENT	SUP-8687H	CDM			270	RC		inpatient			9.64	9.64																																																			
D5 % AND 0.9 % SODIUM CHLORIDE PARENTERAL SOLUTION	636000000	CDM	0264-7610-10	NDC	J7042	HCPCS		inpatient			9.6	9.6																																																			
D5 % AND 0.9 % SODIUM CHLORIDE PARENTERAL SOLUTION	636000000	CDM	0264-7610-10	NDC	J7042	HCPCS		outpatient			9.6	9.6																																															other	OPPS APC			
THIAMINE PER 100 MG	636000000	CDM	43598-050-11	NDC	J3411	HCPCS		inpatient			9.6	9.6																																																			
THIAMINE PER 100 MG	636000000	CDM	43598-050-11	NDC	J3411	HCPCS		outpatient			9.6	9.6																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL PLUS 5-0 P-2 L18 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP503G	CDM			270	RC		outpatient			9.58	9.58	2.6				percent of total billed charges		9.58				other	OPPS APC	7.09				percent of total billed charges		9.58				other	OPPS APC	9.58				other	OPPS APC	2.6				percent of total billed charges		2.65				percent of total billed charges		9.58				other	OPPS APC	2.6	9.58	
SUTURE ABSORBABLE VICRYL PLUS 5-0 P-2 L18 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP503G	CDM			270	RC		inpatient			9.58	9.58																																																			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	70860-778-41	NDC	J0780	HCPCS		inpatient			9.53	9.53																																																			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	70860-778-41	NDC	J0780	HCPCS		outpatient			9.53	9.53																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 6-0 PS-6 18IN UNDYED BRAID COATED	SUP-J510G	CDM			270	RC		outpatient			9.52	9.52	2.58				percent of total billed charges		9.52				other	OPPS APC	7.04				percent of total billed charges		9.52				other	OPPS APC	9.52				other	OPPS APC	2.58				percent of total billed charges		2.63				percent of total billed charges		9.52				other	OPPS APC	2.58	9.52	
SUTURE ABSORBABLE VICRYL 6-0 PS-6 18IN UNDYED BRAID COATED	SUP-J510G	CDM			270	RC		inpatient			9.52	9.52																																																			
SPECULUM VAGINAL PREMIERPRO PLASTIC MEDIUM 1 HAND ADJUSTABLE WIDE CONTOUR HANDLE LIGHT HEAVY DUTY NONSTERILE LATEX FREE DISPOSABLE GREEN	SUP-5314	CDM						inpatient			9.51	9.51																																																			
SPECULUM VAGINAL PREMIERPRO PLASTIC MEDIUM 1 HAND ADJUSTABLE WIDE CONTOUR HANDLE LIGHT HEAVY DUTY NONSTERILE LATEX FREE DISPOSABLE GREEN	SUP-5314	CDM						outpatient			9.51	9.6	9.51				percent of total billed charges		9.51				other	OPPS APC	9.51				fee schedule		9.51				other	OPPS APC	9.51				other	OPPS APC	9.51				case rate		9.51				case rate		9.6				other	OPPS APC	9.51	9.6	
SPECULUM VAGINAL ER-SPEC OFFICE SPEC MEDIUM LED LIGHT BATTERY LOCK HINGE NONSTERILE LATEX FREE DISPOSABLE CLEAR	SUP-C020110-1	CDM						inpatient			9.51	9.51																																																			
SPECULUM VAGINAL ER-SPEC OFFICE SPEC MEDIUM LED LIGHT BATTERY LOCK HINGE NONSTERILE LATEX FREE DISPOSABLE CLEAR	SUP-C020110-1	CDM						outpatient			9.51	9.6	9.51				percent of total billed charges		9.51				other	OPPS APC	9.51				fee schedule		9.51				other	OPPS APC	9.51				other	OPPS APC	9.51				case rate		9.51				case rate		9.6				other	OPPS APC	9.51	9.6	
PACKING WOUND GAUZE L72 IN X W2 IN VAGINAL 4 PLY RADIOPAQUE STERILE DISPOSABLE	SUP-1-272	CDM						inpatient			9.48	9.48																																																			
PACKING WOUND GAUZE L72 IN X W2 IN VAGINAL 4 PLY RADIOPAQUE STERILE DISPOSABLE	SUP-1-272	CDM						outpatient			9.48	9.48	9.48				percent of total billed charges		9.48				other	OPPS APC	9.48				fee schedule		9.48				other	OPPS APC	9.48				other	OPPS APC	9.48				case rate		9.48				case rate		9.48				other	OPPS APC	9.48	9.48	
SUTURE ABSORBABLE PDS II MULTIPASS 4-0 P-3 L18 IN MONOFILAMENT UNDYED	SUP-Z494G	CDM			270	RC		outpatient			9.48	9.48	2.57				percent of total billed charges		9.48				other	OPPS APC	7.02				percent of total billed charges		9.48				other	OPPS APC	9.48				other	OPPS APC	2.57				percent of total billed charges		2.62				percent of total billed charges		9.48				other	OPPS APC	2.57	9.48	
SUTURE ABSORBABLE PDS II MULTIPASS 4-0 P-3 L18 IN MONOFILAMENT UNDYED	SUP-Z494G	CDM			270	RC		inpatient			9.48	9.48																																																			
AMOXICILLIN-POT CLAVULANATE 500-125 MG TABLET	637000000	CDM	65862-502-20	NDC	A9270	HCPCS		inpatient			9.47	9.47																																																			
AMOXICILLIN-POT CLAVULANATE 500-125 MG TABLET	637000000	CDM	65862-502-20	NDC	A9270	HCPCS		outpatient			9.47	9.47																																															other	OPPS APC			
QUETIAPINE 25 MG TABLET	637000000	CDM	60687-327-11	NDC	A9270	HCPCS		inpatient			9.45	9.45																																																			
QUETIAPINE 25 MG TABLET	637000000	CDM	60687-327-11	NDC	A9270	HCPCS		outpatient			9.45	9.45																																															other	OPPS APC			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	44567-410-24	NDC	J3475	HCPCS		inpatient			9.42	9.42																																																			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	44567-410-24	NDC	J3475	HCPCS		outpatient			9.42	9.42																																															other	OPPS APC			
ONDANSETRON PER 1 MG	636000000	CDM	0641-6079-01	NDC	J2405	HCPCS		inpatient			9.42	9.42																																																			
ONDANSETRON PER 1 MG	636000000	CDM	0641-6079-01	NDC	J2405	HCPCS		outpatient			9.42	9.42																																															other	OPPS APC			
IBUPROFEN 100 MG/5 ML SUSPENSION	637000000	CDM	0121-0918-05	NDC	A9270	HCPCS		inpatient			9.4	9.4																																																			
IBUPROFEN 100 MG/5 ML SUSPENSION	637000000	CDM	0121-0918-05	NDC	A9270	HCPCS		outpatient			9.4	9.4																																															other	OPPS APC			
ANESTHESIA SET SMART SITE 2 CHECKVALVES 4 NEEDLE-FREE VALVES 3 PORT MANIFOLD VENTED/NONVENTED	SUP-42504E	CDM			270	RC		outpatient			9.38	9.39	2.54				percent of total billed charges		9.38				other	OPPS APC	6.94				percent of total billed charges		9.38				other	OPPS APC	9.38				other	OPPS APC	2.54				percent of total billed charges		2.59				percent of total billed charges		9.39				other	OPPS APC	2.54	9.39	
ANESTHESIA SET SMART SITE 2 CHECKVALVES 4 NEEDLE-FREE VALVES 3 PORT MANIFOLD VENTED/NONVENTED	SUP-42504E	CDM			270	RC		inpatient			9.38	9.38																																																			
DRAPE TRANSPARENT 3M IOBAN 2 23X17IN FABRIC STERILE INCISE ANTIMICROBIAL	SUP-6650EZ	CDM			270	RC		outpatient			9.38	9.39	2.54				percent of total billed charges		9.38				other	OPPS APC	6.94				percent of total billed charges		9.38				other	OPPS APC	9.38				other	OPPS APC	2.54				percent of total billed charges		2.59				percent of total billed charges		9.39				other	OPPS APC	2.54	9.39	
DRAPE TRANSPARENT 3M IOBAN 2 23X17IN FABRIC STERILE INCISE ANTIMICROBIAL	SUP-6650EZ	CDM			270	RC		inpatient			9.38	9.38																																																			
"VENLAFAXINE XR 37.5 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	68084-698-11	NDC	A9270	HCPCS		inpatient			9.36	9.36																																																			
"VENLAFAXINE XR 37.5 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	68084-698-11	NDC	A9270	HCPCS		outpatient			9.36	9.36																																															other	OPPS APC			
PLEDGET CARDIOVASCULAR TEFLON THK1/16 IN LARGE L3/8 IN X W3/16 IN SOFT SUTURE STERILE LATEX FREE	SUP-L-705	CDM			270	RC		outpatient			9.35	9.35	2.53				percent of total billed charges		9.35				other	OPPS APC	6.92				percent of total billed charges		9.35				other	OPPS APC	9.35				other	OPPS APC	2.53				percent of total billed charges		2.58				percent of total billed charges		9.35				other	OPPS APC	2.53	9.35	
PLEDGET CARDIOVASCULAR TEFLON THK1/16 IN LARGE L3/8 IN X W3/16 IN SOFT SUTURE STERILE LATEX FREE	SUP-L-705	CDM			270	RC		inpatient			9.35	9.35																																																			
FENOFIBRATE 145 MG TABLET	637000000	CDM	0904-7161-61	NDC	A9270	HCPCS		inpatient			9.33	9.33																																																			
FENOFIBRATE 145 MG TABLET	637000000	CDM	0904-7161-61	NDC	A9270	HCPCS		outpatient			9.33	9.33																																															other	OPPS APC			
SUCRALFATE 100 MG/ML SUSPENSION	637000000	CDM	50268-745-11	NDC	A9270	HCPCS		inpatient			9.31	9.31																																																			
SUCRALFATE 100 MG/ML SUSPENSION	637000000	CDM	50268-745-11	NDC	A9270	HCPCS		outpatient			9.31	9.31																																															other	OPPS APC			
THIAMINE PER 100 MG	636000000	CDM	72485-507-01	NDC	J3411	HCPCS		inpatient			9.3	9.3																																																			
THIAMINE PER 100 MG	636000000	CDM	72485-507-01	NDC	J3411	HCPCS		outpatient			9.3	9.3																																															other	OPPS APC			
QUETIAPINE 25 MG TABLET	637000000	CDM	50268-630-11	NDC	A9270	HCPCS		inpatient			9.29	9.29																																																			
QUETIAPINE 25 MG TABLET	637000000	CDM	50268-630-11	NDC	A9270	HCPCS		outpatient			9.29	9.29																																															other	OPPS APC			
SOLUTION IRRIGATION UROMATIC 2000ML WATER STERILE LF PLASTIC CONTAINER	SUP-2B7116	CDM	270009079	LOCAL	270	RC		outpatient			9.28	9.28	2.51				percent of total billed charges		9.28				other	OPPS APC	6.87				percent of total billed charges		9.28				other	OPPS APC	9.28				other	OPPS APC	2.51				percent of total billed charges		2.56				percent of total billed charges		9.28				other	OPPS APC	2.51	9.28	
SOLUTION IRRIGATION UROMATIC 2000ML WATER STERILE LF PLASTIC CONTAINER	SUP-2B7116	CDM	270009079	LOCAL	270	RC		inpatient			9.28	9.28																																																			
CABLE SILVERGLIDE BIPOLAR	SUP-6702-000-000	CDM			270	RC		outpatient			9.23	9.23	2.5				percent of total billed charges		9.23				other	OPPS APC	6.83				percent of total billed charges		9.23				other	OPPS APC	9.23				other	OPPS APC	2.5				percent of total billed charges		2.55				percent of total billed charges		9.23				other	OPPS APC	2.5	9.23	
CABLE SILVERGLIDE BIPOLAR	SUP-6702-000-000	CDM			270	RC		inpatient			9.23	9.23																																																			
SUTURE ABSORBABLE VICRYL PLUS MULTIPASS 3-0 PS-1 L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP936H	CDM			270	RC		outpatient			9.22	9.23	2.5				percent of total billed charges		9.22				other	OPPS APC	6.82				percent of total billed charges		9.22				other	OPPS APC	9.22				other	OPPS APC	2.5				percent of total billed charges		2.55				percent of total billed charges		9.23				other	OPPS APC	2.5	9.23	
SUTURE ABSORBABLE VICRYL PLUS MULTIPASS 3-0 PS-1 L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP936H	CDM			270	RC		inpatient			9.22	9.22																																																			
NEEDLE ASPEN BX/72	SUP-212902	CDM			270	RC		outpatient			9.18	9.18	2.49				percent of total billed charges		9.18				other	OPPS APC	6.79				percent of total billed charges		9.18				other	OPPS APC	9.18				other	OPPS APC	2.49				percent of total billed charges		2.54				percent of total billed charges		9.18				other	OPPS APC	2.49	9.18	
NEEDLE ASPEN BX/72	SUP-212902	CDM			270	RC		inpatient			9.18	9.18																																																			
TOWEL WIPER REINFORCED DISPOSABLE 9.1X16.8	SUP-34790	CDM			270	RC		outpatient			9.17	9.17	2.48				percent of total billed charges		9.17				other	OPPS APC	6.79				percent of total billed charges		9.17				other	OPPS APC	9.17				other	OPPS APC	2.48				percent of total billed charges		2.53				percent of total billed charges		9.17				other	OPPS APC	2.48	9.17	
TOWEL WIPER REINFORCED DISPOSABLE 9.1X16.8	SUP-34790	CDM			270	RC		inpatient			9.17	9.17																																																			
REPAGLINIDE 1 MG TABLET	637000000	CDM	65862-671-01	NDC	A9270	HCPCS		inpatient			9.15	9.15																																																			
REPAGLINIDE 1 MG TABLET	637000000	CDM	65862-671-01	NDC	A9270	HCPCS		outpatient			9.15	9.15																																															other	OPPS APC			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	71288-403-02	NDC	J1644	HCPCS		inpatient			9.12	9.12																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	71288-403-02	NDC	J1644	HCPCS		outpatient			9.12	9.12																																															other	OPPS APC			
MAT OPERATING ROOM SURGISAFE L40 IN X W28 IN HIGH ABSORBENT FLUID BARRIER BACKING NONSTERILE LATEX FREE GREEN	SUP-83030	CDM						inpatient			9.08	9.08																																																			
MAT OPERATING ROOM SURGISAFE L40 IN X W28 IN HIGH ABSORBENT FLUID BARRIER BACKING NONSTERILE LATEX FREE GREEN	SUP-83030	CDM						outpatient			9.08	9.81	9.08				percent of total billed charges		9.08				other	OPPS APC	9.08				fee schedule		9.08				other	OPPS APC	9.08				other	OPPS APC	9.08				case rate		9.08				case rate		9.81				other	OPPS APC	9.08	9.81	
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	0264-4400-54	NDC	J3475	HCPCS		inpatient			9.06	9.06																																																			
MAGNESIUM SULFATE 1 GRAM/100 ML PIGGYBACK	636000000	CDM	0264-4400-54	NDC	J3475	HCPCS		outpatient			9.06	9.06																																															other	OPPS APC			
ZINC OXIDE 20 % OINTMENT 60 G TUBE	637000000	CDM	0536-1316-25	NDC	A9270	HCPCS		inpatient			9.03	9.03																																																			
ZINC OXIDE 20 % OINTMENT 60 G TUBE	637000000	CDM	0536-1316-25	NDC	A9270	HCPCS		outpatient			9.03	9.03																																															other	OPPS APC			
BUMETANIDE PER 0.5 MG	636000000	CDM	72205-102-01	NDC	J1939	HCPCS		inpatient			9	9																																																			
BUMETANIDE PER 0.5 MG	636000000	CDM	72205-102-01	NDC	J1939	HCPCS		outpatient			9	9																																															other	OPPS APC			
FUROSEMIDE PER 20 MG	636000000	CDM	71288-203-02	NDC	J1940	HCPCS		inpatient			9	9																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	71288-203-02	NDC	J1940	HCPCS		outpatient			9	9																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL PLUS MULTIPASS 2-0 PS-2 L27 IN BRAID COATED UNDYED	SUP-VCP428H	CDM			270	RC		outpatient			8.97	8.98	2.43				percent of total billed charges		8.97				other	OPPS APC	6.64				percent of total billed charges		8.97				other	OPPS APC	8.97				other	OPPS APC	2.43				percent of total billed charges		2.48				percent of total billed charges		8.98				other	OPPS APC	2.43	8.98	
SUTURE ABSORBABLE VICRYL PLUS MULTIPASS 2-0 PS-2 L27 IN BRAID COATED UNDYED	SUP-VCP428H	CDM			270	RC		inpatient			8.97	8.97																																																			
WIRE STERNAL SINGLE	SUP-040-417	CDM			270	RC		outpatient			8.96	8.97	2.43				percent of total billed charges		8.96				other	OPPS APC	6.63				percent of total billed charges		8.96				other	OPPS APC	8.96				other	OPPS APC	2.43				percent of total billed charges		2.48				percent of total billed charges		8.97				other	OPPS APC	2.43	8.97	
WIRE STERNAL SINGLE	SUP-040-417	CDM			270	RC		inpatient			8.96	8.96																																																			
DRESSING FOAM MEPILEX BORDER POLYURETHANE L10 IN X W4 IN SELF ADHERENT SHOWER PROOF BREATHABLE STERILE ASSORTED	SUP-496455	CDM						inpatient			8.95	8.95																																																			
DRESSING FOAM MEPILEX BORDER POLYURETHANE L10 IN X W4 IN SELF ADHERENT SHOWER PROOF BREATHABLE STERILE ASSORTED	SUP-496455	CDM						outpatient			8.95	8.95	8.95				percent of total billed charges		8.95				other	OPPS APC	8.95				fee schedule		8.95				other	OPPS APC	8.95				other	OPPS APC	8.95				case rate		8.95				case rate		8.95				other	OPPS APC	8.95	8.95	
PAD  UNIPOLAR ELECTROSURGICAL GROUNDING 15 IN LARGE NONSPLIT PRECORD PLATE PLUG CMAC	SUP-9135-LP	CDM			275	RC		outpatient			8.95	8.95	4.39				percent of total billed charges		8.95				other	OPPS APC	5.1				percent of total billed charges		8.95				other	OPPS APC	8.95				other	OPPS APC	4.39				percent of total billed charges		4.56				percent of total billed charges		8.95				other	OPPS APC	4.39	8.95	
PAD  UNIPOLAR ELECTROSURGICAL GROUNDING 15 IN LARGE NONSPLIT PRECORD PLATE PLUG CMAC	SUP-9135-LP	CDM			275	RC		inpatient			8.95	8.95																																																			
NEEDLE SUTURE FERGUSON RICHARD-ALLAN STAINLESS STEEL 1/2 CIRCLE L2.323 IN OD.05 IN REGULAR FREE EYE TAPER POINT STERILE LATEX FREE	SUP-209506	CDM			270	RC		outpatient			8.89	8.9	2.41				percent of total billed charges		8.89				other	OPPS APC	6.58				percent of total billed charges		8.89				other	OPPS APC	8.89				other	OPPS APC	2.41				percent of total billed charges		2.46				percent of total billed charges		8.9				other	OPPS APC	2.41	8.9	
NEEDLE SUTURE FERGUSON RICHARD-ALLAN STAINLESS STEEL 1/2 CIRCLE L2.323 IN OD.05 IN REGULAR FREE EYE TAPER POINT STERILE LATEX FREE	SUP-209506	CDM			270	RC		inpatient			8.89	8.89																																																			
NEEDLE SUTURE RICHARD-ALLAN KELLY STAINLESS STEEL 1/2 CIRCLE L1.53 IN OD.037 IN INTESTINAL TAPER POINT FREE EYE STERILE LATEX FREE	SUP-214001	CDM			270	RC		outpatient			8.89	8.9	2.41				percent of total billed charges		8.89				other	OPPS APC	6.58				percent of total billed charges		8.89				other	OPPS APC	8.89				other	OPPS APC	2.41				percent of total billed charges		2.46				percent of total billed charges		8.9				other	OPPS APC	2.41	8.9	
NEEDLE SUTURE RICHARD-ALLAN KELLY STAINLESS STEEL 1/2 CIRCLE L1.53 IN OD.037 IN INTESTINAL TAPER POINT FREE EYE STERILE LATEX FREE	SUP-214001	CDM			270	RC		inpatient			8.89	8.89																																																			
NEEDLE ASPEN BX/72	SUP-222205	CDM			270	RC		outpatient			8.89	8.9	2.41				percent of total billed charges		8.89				other	OPPS APC	6.58				percent of total billed charges		8.89				other	OPPS APC	8.89				other	OPPS APC	2.41				percent of total billed charges		2.46				percent of total billed charges		8.9				other	OPPS APC	2.41	8.9	
NEEDLE ASPEN BX/72	SUP-222205	CDM			270	RC		inpatient			8.89	8.89																																																			
ANESTHESIA TUBING	SUP-42401E-07	CDM			270	RC		outpatient			8.87	8.87	2.4				percent of total billed charges		8.87				other	OPPS APC	6.56				percent of total billed charges		8.87				other	OPPS APC	8.87				other	OPPS APC	2.4				percent of total billed charges		2.45				percent of total billed charges		8.87				other	OPPS APC	2.4	8.87	
ANESTHESIA TUBING	SUP-42401E-07	CDM			270	RC		inpatient			8.87	8.87																																																			
ROPIVACAINE PER 1 MG	636000000	CDM	70069-064-01	NDC	J2795	HCPCS		inpatient			8.86	8.86																																																			
ROPIVACAINE PER 1 MG	636000000	CDM	70069-064-01	NDC	J2795	HCPCS		outpatient			8.86	8.86																																															other	OPPS APC			
BLANKET WARMING 3M BAIR HUGGER 60X36IN WHITE POLYMER DISPOSABLE STERILE LF ADULT 4OZ LOWER BODY AIR SYSTEM LIGHTWEIGHT	SUP-42568	CDM						inpatient			8.85	8.85																																																			
BLANKET WARMING 3M BAIR HUGGER 60X36IN WHITE POLYMER DISPOSABLE STERILE LF ADULT 4OZ LOWER BODY AIR SYSTEM LIGHTWEIGHT	SUP-42568	CDM						outpatient			8.85	8.85	8.85				percent of total billed charges		8.85				other	OPPS APC	8.85				fee schedule		8.85				other	OPPS APC	8.85				other	OPPS APC	8.85				case rate		8.85				case rate		8.85				other	OPPS APC	8.85	8.85	
PROTECTOR ENDO TUBE ADULT WITH TRIPLE RING FITS TUBE SIZES  6.5-9.5 MM	SUP-ETPSR300A50	CDM						inpatient			8.85	8.85																																																			
PROTECTOR ENDO TUBE ADULT WITH TRIPLE RING FITS TUBE SIZES  6.5-9.5 MM	SUP-ETPSR300A50	CDM						outpatient			8.85	8.85	8.85				percent of total billed charges		8.85				other	OPPS APC	8.85				fee schedule		8.85				other	OPPS APC	8.85				other	OPPS APC	8.85				case rate		8.85				case rate		8.85				other	OPPS APC	8.85	8.85	
SPLINT ORTHOPEDIC UNIVERSAL 11IN BLUE CANVAS TRICOT FOAM LF FOREARM WRIST 2 PANEL MALLEABLE PALMAR DORSAL STAY LOOP LOCK	SUP-1000285	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC UNIVERSAL 11IN BLUE CANVAS TRICOT FOAM LF FOREARM WRIST 2 PANEL MALLEABLE PALMAR DORSAL STAY LOOP LOCK	SUP-1000285	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
DRAPE EQUIPMENT POLYURETHANE L44 IN X W44 IN SLUSH MACHINE WITHOUT DISC FLUID WARMER	SUP-40-SD300	CDM			270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
DRAPE EQUIPMENT POLYURETHANE L44 IN X W44 IN SLUSH MACHINE WITHOUT DISC FLUID WARMER	SUP-40-SD300	CDM			270	RC		inpatient			8.82	8.82																																																			
SPLINT ORTHOPEDIC FOAM SMALL L8 IN RIGHT WRIST LOW PROFILE PALMAR STAY D-RING CLOSURE NONSTERILE BLACK	SUP-5073-02	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC FOAM SMALL L8 IN RIGHT WRIST LOW PROFILE PALMAR STAY D-RING CLOSURE NONSTERILE BLACK	SUP-5073-02	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
SPLINT ORTHOPEDIC FOAM MEDIUM L8 IN RIGHT WRIST LATEX SAFE LOW PROFILE LIGHTWEIGHT DESIGN MALLEABLE PALMAR STAY D-RING CLOSURE NONSTERILE LATEX FREE BLACK	SUP-5073-03	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC FOAM MEDIUM L8 IN RIGHT WRIST LATEX SAFE LOW PROFILE LIGHTWEIGHT DESIGN MALLEABLE PALMAR STAY D-RING CLOSURE NONSTERILE LATEX FREE BLACK	SUP-5073-03	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
SPLINT ORTHOPEDIC FOAM LARGE L8 IN RIGHT WRIST LOW PROFILE PALMAR STAY D-RING CLOSURE NONSTERILE LATEX FREE BLACK	SUP-5073-04	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC FOAM LARGE L8 IN RIGHT WRIST LOW PROFILE PALMAR STAY D-RING CLOSURE NONSTERILE LATEX FREE BLACK	SUP-5073-04	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
SPLINT ORTHOPEDIC SM 8IN BLACK FOAM NS LF LEFT WRIST LATEX SAFE LOW PROFILE	SUP-5073-07	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC SM 8IN BLACK FOAM NS LF LEFT WRIST LATEX SAFE LOW PROFILE	SUP-5073-07	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
SPLINT ORTHOPEDIC MED 8IN BLACK FOAM NS LF LEFT WRIST LATEX SAFE LOW PROFILE	SUP-5073-08	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC MED 8IN BLACK FOAM NS LF LEFT WRIST LATEX SAFE LOW PROFILE	SUP-5073-08	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
SPLINT ORTHOPEDIC FOAM LARGE L8 IN LEFT WRIST LOW PROFILE PALMAR STAY D-RING CLOSURE BLACK	SUP-5073-09	CDM	270009117	LOCAL	270	RC		outpatient			8.82	8.82	2.39				percent of total billed charges		8.82				other	OPPS APC	6.53				percent of total billed charges		8.82				other	OPPS APC	8.82				other	OPPS APC	2.39				percent of total billed charges		2.44				percent of total billed charges		8.82				other	OPPS APC	2.39	8.82	
SPLINT ORTHOPEDIC FOAM LARGE L8 IN LEFT WRIST LOW PROFILE PALMAR STAY D-RING CLOSURE BLACK	SUP-5073-09	CDM	270009117	LOCAL	270	RC		inpatient			8.82	8.82																																																			
BLADE LARYNGOSCOPE GREENLINE STAINLESS STEEL ADULT 4 LARGE L155 MM MACINTOSH FIBER OPTIC HANDLE STERILE LATEX FREE DISPOSABLE	SUP-301-B3040EA	CDM			270	RC		outpatient			8.8	8.87	2.38				percent of total billed charges		8.8				other	OPPS APC	6.51				percent of total billed charges		8.8				other	OPPS APC	8.8				other	OPPS APC	2.38				percent of total billed charges		2.43				percent of total billed charges		8.87				other	OPPS APC	2.38	8.87	
BLADE LARYNGOSCOPE GREENLINE STAINLESS STEEL ADULT 4 LARGE L155 MM MACINTOSH FIBER OPTIC HANDLE STERILE LATEX FREE DISPOSABLE	SUP-301-B3040EA	CDM			270	RC		inpatient			8.8	8.8																																																			
MASK O2/CO2 CAPNOMASK ADULT TRANSPARENT GAS SAMPLING LINE DEHP PVC FREE LATEX FREE	SUP-B180155	CDM			270	RC		outpatient			8.8	8.87	2.38				percent of total billed charges		8.8				other	OPPS APC	6.51				percent of total billed charges		8.8				other	OPPS APC	8.8				other	OPPS APC	2.38				percent of total billed charges		2.43				percent of total billed charges		8.87				other	OPPS APC	2.38	8.87	
MASK O2/CO2 CAPNOMASK ADULT TRANSPARENT GAS SAMPLING LINE DEHP PVC FREE LATEX FREE	SUP-B180155	CDM			270	RC		inpatient			8.8	8.8																																																			
ADULT CAPNOXYGEN CO2 MONITORING FACE MASK  CO2-01	SUP-C02-01	CDM			270	RC		outpatient			8.8	8.87	2.38				percent of total billed charges		8.8				other	OPPS APC	6.51				percent of total billed charges		8.8				other	OPPS APC	8.8				other	OPPS APC	2.38				percent of total billed charges		2.43				percent of total billed charges		8.87				other	OPPS APC	2.38	8.87	
ADULT CAPNOXYGEN CO2 MONITORING FACE MASK  CO2-01	SUP-C02-01	CDM			270	RC		inpatient			8.8	8.8																																																			
INSTRUMENT ENDOSCOPIC SIGMOID 30CM 6FT 18FR DISPOSABLE STERILE PREATTACH TUBE ON OFF CONTROL SIGMOIDOSCOPY COLONOSCOPY	SUP-0033050	CDM						inpatient			8.78	8.78																																																			
INSTRUMENT ENDOSCOPIC SIGMOID 30CM 6FT 18FR DISPOSABLE STERILE PREATTACH TUBE ON OFF CONTROL SIGMOIDOSCOPY COLONOSCOPY	SUP-0033050	CDM						outpatient			8.78	8.78	8.78				percent of total billed charges		8.78				other	OPPS APC	8.78				fee schedule		8.78				other	OPPS APC	8.78				other	OPPS APC	8.78				case rate		8.78				case rate		8.78				other	OPPS APC	8.78	8.78	
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	50268-269-11	NDC	A9270	HCPCS		inpatient			8.74	8.74																																																			
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	50268-269-11	NDC	A9270	HCPCS		outpatient			8.74	8.74																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 6-0 P-1 L18 IN MONOFILAMENT UNDYED	SUP-689G	CDM			270	RC		outpatient			8.74	8.74	2.37				percent of total billed charges		8.74				other	OPPS APC	6.47				percent of total billed charges		8.74				other	OPPS APC	8.74				other	OPPS APC	2.37				percent of total billed charges		2.41				percent of total billed charges		8.74				other	OPPS APC	2.37	8.74	
SUTURE NONABSORBABLE ETHILON 6-0 P-1 L18 IN MONOFILAMENT UNDYED	SUP-689G	CDM			270	RC		inpatient			8.74	8.74																																																			
SUTURE ABSORBABLE VICRYL 6-0 P-1 L18 IN BRAID COATED UNDYED	SUP-J489G	CDM			270	RC		outpatient			8.74	8.74	2.37				percent of total billed charges		8.74				other	OPPS APC	6.47				percent of total billed charges		8.74				other	OPPS APC	8.74				other	OPPS APC	2.37				percent of total billed charges		2.41				percent of total billed charges		8.74				other	OPPS APC	2.37	8.74	
SUTURE ABSORBABLE VICRYL 6-0 P-1 L18 IN BRAID COATED UNDYED	SUP-J489G	CDM			270	RC		inpatient			8.74	8.74																																																			
SUTURE ABSORBABLE PDS II 1 TP-1 L96 IN MONOFILAMENT LOOP VIOLET	SUP-Z880G	CDM			270	RC		outpatient			8.74	8.74	2.37				percent of total billed charges		8.74				other	OPPS APC	6.47				percent of total billed charges		8.74				other	OPPS APC	8.74				other	OPPS APC	2.37				percent of total billed charges		2.41				percent of total billed charges		8.74				other	OPPS APC	2.37	8.74	
SUTURE ABSORBABLE PDS II 1 TP-1 L96 IN MONOFILAMENT LOOP VIOLET	SUP-Z880G	CDM			270	RC		inpatient			8.74	8.74																																																			
FLUCONAZOLE 200 MG TABLET	637000000	CDM	0904-6501-06	NDC	A9270	HCPCS		inpatient			8.72	8.72																																																			
FLUCONAZOLE 200 MG TABLET	637000000	CDM	0904-6501-06	NDC	A9270	HCPCS		outpatient			8.72	8.72																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL MULTIPASS 4-0 PS-1 27IN UNDYED BRAID COATED	SUP-J935H	CDM			270	RC		outpatient			8.71	8.72	2.36				percent of total billed charges		8.71				other	OPPS APC	6.45				percent of total billed charges		8.71				other	OPPS APC	8.71				other	OPPS APC	2.36				percent of total billed charges		2.41				percent of total billed charges		8.72				other	OPPS APC	2.36	8.72	
SUTURE ABSORBABLE VICRYL MULTIPASS 4-0 PS-1 27IN UNDYED BRAID COATED	SUP-J935H	CDM			270	RC		inpatient			8.71	8.71																																																			
BACITRACIN 500 UNIT/GRAM OINTMENT 28.4 G TUBE	637000000	CDM	0713-0280-31	NDC	A9270	HCPCS		inpatient			8.68	8.68																																																			
BACITRACIN 500 UNIT/GRAM OINTMENT 28.4 G TUBE	637000000	CDM	0713-0280-31	NDC	A9270	HCPCS		outpatient			8.68	8.68																																															other	OPPS APC			
TUBE FEEDING NEOCONNECT ENFIT PVC L40CM OD 5 FR ENTERAL RADIOPAQUE BOTTOMLESS HUB CLOSURE PLUG WAVE PATTERN DEHP FREE PURPLE	SUP-PFTS5.0V-NC	CDM			270	RC		outpatient			8.63	8.64	2.34				percent of total billed charges		8.63				other	OPPS APC	6.39				percent of total billed charges		8.63				other	OPPS APC	8.63				other	OPPS APC	2.34				percent of total billed charges		2.38				percent of total billed charges		8.64				other	OPPS APC	2.34	8.64	
TUBE FEEDING NEOCONNECT ENFIT PVC L40CM OD 5 FR ENTERAL RADIOPAQUE BOTTOMLESS HUB CLOSURE PLUG WAVE PATTERN DEHP FREE PURPLE	SUP-PFTS5.0V-NC	CDM			270	RC		inpatient			8.63	8.63																																																			
22G X 6 QUINKE SPINAL NEEDLE	SUP-18397	CDM			270	RC		outpatient			8.62	8.62	2.34				percent of total billed charges		8.62				other	OPPS APC	6.38				percent of total billed charges		8.62				other	OPPS APC	8.62				other	OPPS APC	2.34				percent of total billed charges		2.38				percent of total billed charges		8.62				other	OPPS APC	2.34	8.62	
22G X 6 QUINKE SPINAL NEEDLE	SUP-18397	CDM			270	RC		inpatient			8.62	8.62																																																			
NEEDLE ASPEN BX/72	SUP-209109	CDM			270	RC		outpatient			8.61	8.7	2.33				percent of total billed charges		8.61				other	OPPS APC	6.37				percent of total billed charges		8.61				other	OPPS APC	8.61				other	OPPS APC	2.33				percent of total billed charges		2.38				percent of total billed charges		8.7				other	OPPS APC	2.33	8.7	
NEEDLE ASPEN BX/72	SUP-209109	CDM			270	RC		inpatient			8.61	8.61																																																			
SUTURE NONABSORBABLE PROLENE MULTIPASS 5-0 P-3 18IN BLUE MONOFILAMENT	SUP-8698G	CDM			270	RC		outpatient			8.6	8.6	2.33				percent of total billed charges		8.6				other	OPPS APC	6.36				percent of total billed charges		8.6				other	OPPS APC	8.6				other	OPPS APC	2.33				percent of total billed charges		2.38				percent of total billed charges		8.6				other	OPPS APC	2.33	8.6	
SUTURE NONABSORBABLE PROLENE MULTIPASS 5-0 P-3 18IN BLUE MONOFILAMENT	SUP-8698G	CDM			270	RC		inpatient			8.6	8.6																																																			
DEVICE FLOW CONTROL FLOSWITCH 1050 PSI 1 WAY HIGH PRESSURE	SUP-44-200	CDM			270	RC		outpatient			8.59	8.59	2.33				percent of total billed charges		8.59				other	OPPS APC	6.36				percent of total billed charges		8.59				other	OPPS APC	8.59				other	OPPS APC	2.33				percent of total billed charges		2.37				percent of total billed charges		8.59				other	OPPS APC	2.33	8.59	
DEVICE FLOW CONTROL FLOSWITCH 1050 PSI 1 WAY HIGH PRESSURE	SUP-44-200	CDM			270	RC		inpatient			8.59	8.59																																																			
DEVICE FLOW CONTROL 1050 PSI 1 WAY HIGH PRESSURE FLOSWITCH	SUP-M001442001	CDM			270	RC		outpatient			8.59	8.59	2.33				percent of total billed charges		8.59				other	OPPS APC	6.36				percent of total billed charges		8.59				other	OPPS APC	8.59				other	OPPS APC	2.33				percent of total billed charges		2.37				percent of total billed charges		8.59				other	OPPS APC	2.33	8.59	
DEVICE FLOW CONTROL 1050 PSI 1 WAY HIGH PRESSURE FLOSWITCH	SUP-M001442001	CDM			270	RC		inpatient			8.59	8.59																																																			
SUTURE ABSORBABLE VICRYL 4-0 PC-1 18IN UNDYED BRAID COATED	SUP-J835G	CDM			270	RC		outpatient			8.56	8.57	2.32				percent of total billed charges		8.56				other	OPPS APC	6.33				percent of total billed charges		8.56				other	OPPS APC	8.56				other	OPPS APC	2.32				percent of total billed charges		2.37				percent of total billed charges		8.57				other	OPPS APC	2.32	8.57	
SUTURE ABSORBABLE VICRYL 4-0 PC-1 18IN UNDYED BRAID COATED	SUP-J835G	CDM			270	RC		inpatient			8.56	8.56																																																			
SMARTCAP AQUASHIELD	SUP-00711540	CDM						inpatient			8.54	8.54																																																			
SMARTCAP AQUASHIELD	SUP-00711540	CDM						outpatient			8.54	8.54	8.54				percent of total billed charges		8.54				other	OPPS APC	8.54				fee schedule		8.54				other	OPPS APC	8.54				other	OPPS APC	8.54				case rate		8.54				case rate		8.54				other	OPPS APC	8.54	8.54	
TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK BARD 60IN 16FR 5ML BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE	SUP-300316A	CDM	270009004	LOCAL	270	RC		outpatient			8.5	8.5	2.3				percent of total billed charges		8.5				other	OPPS APC	6.29				percent of total billed charges		8.5				other	OPPS APC	8.5				other	OPPS APC	2.3				percent of total billed charges		2.35				percent of total billed charges		8.5				other	OPPS APC	2.3	8.5	
TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK BARD 60IN 16FR 5ML BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE	SUP-300316A	CDM	270009004	LOCAL	270	RC		inpatient			8.5	8.5																																																			
TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK BARD BACTI-GUARD NATURAL RUBBER HYDROGEL L60 IN OD18 FR 5 ML ADVANCE FOLEY ANTIREFLUX CHAMBER DRAINAGE BAG STERILE LATEX DISPOSABLE	SUP-300318A	CDM	270009004	LOCAL	270	RC		outpatient			8.5	8.5	2.3				percent of total billed charges		8.5				other	OPPS APC	6.29				percent of total billed charges		8.5				other	OPPS APC	8.5				other	OPPS APC	2.3				percent of total billed charges		2.35				percent of total billed charges		8.5				other	OPPS APC	2.3	8.5	
TRAY CATHETERIZATION COMPLETE CARE BARDEX IC STATLOCK BARD BACTI-GUARD NATURAL RUBBER HYDROGEL L60 IN OD18 FR 5 ML ADVANCE FOLEY ANTIREFLUX CHAMBER DRAINAGE BAG STERILE LATEX DISPOSABLE	SUP-300318A	CDM	270009004	LOCAL	270	RC		inpatient			8.5	8.5																																																			
NEOMYCIN 500 MG TABLET	637000000	CDM	39822-0310-5	NDC	A9270	HCPCS		inpatient			8.49	8.49																																																			
NEOMYCIN 500 MG TABLET	637000000	CDM	39822-0310-5	NDC	A9270	HCPCS		outpatient			8.49	8.49																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL PLUS MULTIPASS 4-0 PS-2 L27 IN BRAID ANTIBACTERIAL COATED UNIDIRECTIONAL UNDYED	SUP-VCP426H	CDM			270	RC		outpatient			8.47	8.48	2.29				percent of total billed charges		8.47				other	OPPS APC	6.27				percent of total billed charges		8.47				other	OPPS APC	8.47				other	OPPS APC	2.29				percent of total billed charges		2.34				percent of total billed charges		8.48				other	OPPS APC	2.29	8.48	
SUTURE ABSORBABLE VICRYL PLUS MULTIPASS 4-0 PS-2 L27 IN BRAID ANTIBACTERIAL COATED UNIDIRECTIONAL UNDYED	SUP-VCP426H	CDM			270	RC		inpatient			8.47	8.47																																																			
"PHENOL 1.4 % AEROSOL,SPRAY 177 ML BOTTLE"	637000000	CDM	0536-1228-58	NDC	A9270	HCPCS		inpatient			8.45	8.45																																																			
"PHENOL 1.4 % AEROSOL,SPRAY 177 ML BOTTLE"	637000000	CDM	0536-1228-58	NDC	A9270	HCPCS		outpatient			8.45	8.45																																															other	OPPS APC			
BAND MOLAR STAINLESS STEEL PEDIATRIC 31 LOWER FLEXIBLE	SUP-160-262	CDM			270	RC		outpatient			8.4	8.44	2.28				percent of total billed charges		8.4				other	OPPS APC	6.22				percent of total billed charges		8.4				other	OPPS APC	8.4				other	OPPS APC	2.28				percent of total billed charges		2.32				percent of total billed charges		8.44				other	OPPS APC	2.28	8.44	
BAND MOLAR STAINLESS STEEL PEDIATRIC 31 LOWER FLEXIBLE	SUP-160-262	CDM			270	RC		inpatient			8.4	8.4																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 LOWER FLEXIBLE	SUP-160-270	CDM			270	RC		outpatient			8.4	8.44	2.28				percent of total billed charges		8.4				other	OPPS APC	6.22				percent of total billed charges		8.4				other	OPPS APC	8.4				other	OPPS APC	2.28				percent of total billed charges		2.32				percent of total billed charges		8.44				other	OPPS APC	2.28	8.44	
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 LOWER FLEXIBLE	SUP-160-270	CDM			270	RC		inpatient			8.4	8.4																																																			
DRAPE SURGICAL PROXIMA SMS L5 IN W5 IN L121 IN X W78 IN L28 IN X W20 IN THYROID DIAMOND FENESTRATE ABSORBENT REINFORCE ADHESIVE CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE	SUP-DYNJP7002	CDM						inpatient			8.39	8.39																																																			
DRAPE SURGICAL PROXIMA SMS L5 IN W5 IN L121 IN X W78 IN L28 IN X W20 IN THYROID DIAMOND FENESTRATE ABSORBENT REINFORCE ADHESIVE CONTACT CLOSURE STERILE LATEX FREE DISPOSABLE	SUP-DYNJP7002	CDM						outpatient			8.39	8.4	8.39				percent of total billed charges		8.39				other	OPPS APC	8.39				fee schedule		8.39				other	OPPS APC	8.39				other	OPPS APC	8.39				case rate		8.39				case rate		8.4				other	OPPS APC	8.39	8.4	
CHOLESTYRAMINE 4 GRAM POWDER IN PACKET	637000000	CDM	42806-266-98	NDC	A9270	HCPCS		inpatient			8.38	8.38																																																			
CHOLESTYRAMINE 4 GRAM POWDER IN PACKET	637000000	CDM	42806-266-98	NDC	A9270	HCPCS		outpatient			8.38	8.38																																															other	OPPS APC			
RESERVOIR DRAINAGE JACKSON-PRATT BULB 100CC SILICONE DISPOSABLE STERILE LF	SUP-SU130-1305	CDM			481	RC		outpatient			8.35	8.35	4.09				percent of total billed charges		8.35				other	OPPS APC	6.18				percent of total billed charges		8.35				other	OPPS APC	8.35				other	OPPS APC	4.09				percent of total billed charges		4.26				percent of total billed charges		8.35				other	OPPS APC	4.09	8.35	
RESERVOIR DRAINAGE JACKSON-PRATT BULB 100CC SILICONE DISPOSABLE STERILE LF	SUP-SU130-1305	CDM			481	RC		inpatient			8.35	8.35																																																			
HYDROXYCHLOROQUINE 200 MG TABLET	637000000	CDM	0904-7046-61	NDC	A9270	HCPCS		inpatient			8.34	8.34																																																			
HYDROXYCHLOROQUINE 200 MG TABLET	637000000	CDM	0904-7046-61	NDC	A9270	HCPCS		outpatient			8.34	8.34																																															other	OPPS APC			
SUTURE NEEDLE SURGEONS 16 REGULAR L1.22 IN OD.034 IN 1/2 CIRCLE REVERSE CUTTING STERILE DISPOSABLE	SUP-209116	CDM			270	RC		outpatient			8.33	8.33	2.26				percent of total billed charges		8.33				other	OPPS APC	6.16				percent of total billed charges		8.33				other	OPPS APC	8.33				other	OPPS APC	2.26				percent of total billed charges		2.3				percent of total billed charges		8.33				other	OPPS APC	2.26	8.33	
SUTURE NEEDLE SURGEONS 16 REGULAR L1.22 IN OD.034 IN 1/2 CIRCLE REVERSE CUTTING STERILE DISPOSABLE	SUP-209116	CDM			270	RC		inpatient			8.33	8.33																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	63323-559-21	NDC	J1650	HCPCS		inpatient			8.31	8.31																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	71288-432-80	NDC	J1650	HCPCS		inpatient			8.31	8.31																																																			
ENOXAPARIN PER 10 MG	636000000	CDM	63323-559-21	NDC	J1650	HCPCS		outpatient			8.31	8.31																																															other	OPPS APC			
ENOXAPARIN PER 10 MG	636000000	CDM	71288-432-80	NDC	J1650	HCPCS		outpatient			8.31	8.31																																															other	OPPS APC			
LINE MONITOR SALTERSTAT L13 FT ETCO2 SAMPLE REFLECTIVE CONNECTOR FILTER CAPNOGRAPHY ORANGE SERIES	SUP-4MSF8-13-25	CDM			270	RC		outpatient			8.29	8.29	2.25				percent of total billed charges		8.29				other	OPPS APC	6.13				percent of total billed charges		8.29				other	OPPS APC	8.29				other	OPPS APC	2.25				percent of total billed charges		2.29				percent of total billed charges		8.29				other	OPPS APC	2.25	8.29	
LINE MONITOR SALTERSTAT L13 FT ETCO2 SAMPLE REFLECTIVE CONNECTOR FILTER CAPNOGRAPHY ORANGE SERIES	SUP-4MSF8-13-25	CDM			270	RC		inpatient			8.29	8.29																																																			
TOLTERODINE 1 MG TABLET	637000000	CDM	31722-805-60	NDC	A9270	HCPCS		inpatient			8.28	8.28																																																			
TOLTERODINE 1 MG TABLET	637000000	CDM	31722-805-60	NDC	A9270	HCPCS		outpatient			8.28	8.28																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL MULTIPASS 5-0 P-3 18IN UNDYED BRAID COATED	SUP-J493G	CDM			270	RC		outpatient			8.27	8.27	2.24				percent of total billed charges		8.27				other	OPPS APC	6.12				percent of total billed charges		8.27				other	OPPS APC	8.27				other	OPPS APC	2.24				percent of total billed charges		2.29				percent of total billed charges		8.27				other	OPPS APC	2.24	8.27	
SUTURE ABSORBABLE VICRYL MULTIPASS 5-0 P-3 18IN UNDYED BRAID COATED	SUP-J493G	CDM			270	RC		inpatient			8.27	8.27																																																			
SUTURE ABSORBABLE VICRYL 5-0 PC-12 18IN UNDYED CONTROL RELEASE BRAID 8 STRAND COATED	SUP-J813G	CDM			270	RC		outpatient			8.26	8.26	2.24				percent of total billed charges		8.26				other	OPPS APC	6.11				percent of total billed charges		8.26				other	OPPS APC	8.26				other	OPPS APC	2.24				percent of total billed charges		2.28				percent of total billed charges		8.26				other	OPPS APC	2.24	8.26	
SUTURE ABSORBABLE VICRYL 5-0 PC-12 18IN UNDYED CONTROL RELEASE BRAID 8 STRAND COATED	SUP-J813G	CDM			270	RC		inpatient			8.26	8.26																																																			
TUBE NASOGASTRIC KANGAROO SENTINEL LINE SENTINEL EYE 20IN 5FR PURPLE POLYURETHANE SAFE ENTERAL CONNECTION RADIOPAQUE	SUP-461412	CDM			270	RC		outpatient			8.22	8.23	2.23				percent of total billed charges		8.22				other	OPPS APC	6.08				percent of total billed charges		8.22				other	OPPS APC	8.22				other	OPPS APC	2.23				percent of total billed charges		2.27				percent of total billed charges		8.23				other	OPPS APC	2.23	8.23	
TUBE NASOGASTRIC KANGAROO SENTINEL LINE SENTINEL EYE 20IN 5FR PURPLE POLYURETHANE SAFE ENTERAL CONNECTION RADIOPAQUE	SUP-461412	CDM			270	RC		inpatient			8.22	8.22																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-133-01	NDC	J1940	HCPCS		inpatient			8.2	8.2																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-133-25	NDC	J1940	HCPCS		inpatient			8.2	8.2																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-133-01	NDC	J1940	HCPCS		outpatient			8.2	8.2																																															other	OPPS APC			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-133-25	NDC	J1940	HCPCS		outpatient			8.2	8.2																																															other	OPPS APC			
CYANOCOBALAMIN PER 1000 MCG	636000000	CDM	25021-502-01	NDC	J3420	HCPCS		inpatient			8.19	8.19																																																			
CYANOCOBALAMIN PER 1000 MCG	636000000	CDM	25021-502-01	NDC	J3420	HCPCS		outpatient			8.19	8.19																																															other	OPPS APC			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-41	NDC	J7060	HCPCS		inpatient			8.18	8.18																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-41	NDC	J7060	HCPCS		outpatient			8.18	8.18																																															other	OPPS APC			
"GLYCERIN-WITCH HAZEL 12.5-50 % PADS, MEDICATED 40 EACH BOX"	637000000	CDM	50289-3250-1	NDC	A9270	HCPCS		inpatient			8.18	8.18																																																			
"GLYCERIN-WITCH HAZEL 12.5-50 % PADS, MEDICATED 40 EACH BOX"	637000000	CDM	50289-3250-1	NDC	A9270	HCPCS		outpatient			8.18	8.18																																															other	OPPS APC			
PAD ELECTROSURGICAL GROUNDING NESSY ADULT L168 CM L10 FT CABLE MONITORING SPLIT DISPOSABLE	SUP-20193-074	CDM			270	RC		outpatient			8.14	8.15	2.21				percent of total billed charges		8.14				other	OPPS APC	6.02				percent of total billed charges		8.14				other	OPPS APC	8.14				other	OPPS APC	2.21				percent of total billed charges		2.25				percent of total billed charges		8.15				other	OPPS APC	2.21	8.15	
PAD ELECTROSURGICAL GROUNDING NESSY ADULT L168 CM L10 FT CABLE MONITORING SPLIT DISPOSABLE	SUP-20193-074	CDM			270	RC		inpatient			8.14	8.14																																																			
ZINC OXIDE-COD LIVER OIL 40 % PASTE 57 G TUBE	637000000	CDM	7430000070	NDC	A9270	HCPCS		inpatient			8.11	8.11																																																			
ZINC OXIDE-COD LIVER OIL 40 % PASTE 57 G TUBE	637000000	CDM	7430000070	NDC	A9270	HCPCS		outpatient			8.11	8.11																																															other	OPPS APC			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	55150-251-10	NDC				inpatient			8.1	8.1																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	55150-251-10	NDC				outpatient			8.1	8.1																																															other	OPPS APC			
LIDOCAINE 10 MG/ML (1 %) SOLUTION 10 ML VIAL	250000000	CDM	55150-251-10	NDC				inpatient			8.1	8.1																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION 10 ML VIAL	250000000	CDM	55150-251-10	NDC				outpatient			8.1	8.1																																															other	OPPS APC			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-251-01	NDC	J1940	HCPCS		inpatient			8.08	8.08																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	72603-251-01	NDC	J1940	HCPCS		outpatient			8.08	8.08																																															other	OPPS APC			
OXYTOCIN PER 10 UNITS	636000000	CDM	63323-012-06	NDC	J2590	HCPCS		inpatient			8.08	8.08																																																			
OXYTOCIN PER 10 UNITS	636000000	CDM	63323-012-06	NDC	J2590	HCPCS		outpatient			8.08	8.08																																															other	OPPS APC			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	47335-993-01	NDC	J1836	HCPCS		inpatient			8.06	8.06																																																			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	47335-993-01	NDC	J1836	HCPCS		outpatient			8.06	0.27																																											0.27				other	OPPS APC	0.27	0.27	
PROCHLORPERAZINE MALEATE PER 5 MG	637000000	CDM	50268-684-11	NDC	A9270	HCPCS		inpatient			8.06	8.06																																																			
PROCHLORPERAZINE MALEATE PER 5 MG	637000000	CDM	50268-684-11	NDC	A9270	HCPCS		outpatient			8.06	8.06																																															other	OPPS APC			
NEEDLE EPIDURAL TUOHY METAL PLASTIC BEVEL L3.5 IN OD18 GA STYLET REMOVABLE WING SLIDE DEPTH INDICATOR STERILE LATEX FREE DISPOSABLE PINK	SUP-183A07	CDM			270	RC		outpatient			8.04	8.4	2.18				percent of total billed charges		8.04				other	OPPS APC	5.95				percent of total billed charges		8.04				other	OPPS APC	8.04				other	OPPS APC	2.18				percent of total billed charges		2.22				percent of total billed charges		8.4				other	OPPS APC	2.18	8.4	
NEEDLE EPIDURAL TUOHY METAL PLASTIC BEVEL L3.5 IN OD18 GA STYLET REMOVABLE WING SLIDE DEPTH INDICATOR STERILE LATEX FREE DISPOSABLE PINK	SUP-183A07	CDM			270	RC		inpatient			8.04	8.04																																																			
NEEDLE TUOHY 20GA. X 3.5	SUP-183A12	CDM						inpatient			8.04	8.04																																																			
NEEDLE TUOHY 20GA. X 3.5	SUP-183A12	CDM						outpatient			8.04	8.4	8.04				percent of total billed charges		8.04				other	OPPS APC	8.04				fee schedule		8.04				other	OPPS APC	8.04				other	OPPS APC	8.04				case rate		8.04				case rate		8.4				other	OPPS APC	8.04	8.4	
TERAZOSIN 5 MG CAPSULE	637000000	CDM	50268-766-11	NDC	A9270	HCPCS		inpatient			8.03	8.03																																																			
TERAZOSIN 5 MG CAPSULE	637000000	CDM	50268-766-11	NDC	A9270	HCPCS		outpatient			8.03	8.03																																															other	OPPS APC			
STOPCOCK ANGIOGRAPHY 1050 PSI 3 WAY ROTATE ADAPTER RIGHT PORT	SUP-70055009	CDM			270	RC		outpatient			8.01	9	2.17				percent of total billed charges		8.01				other	OPPS APC	5.93				percent of total billed charges		8.01				other	OPPS APC	8.01				other	OPPS APC	2.17				percent of total billed charges		2.21				percent of total billed charges		9				other	OPPS APC	2.17	9	
STOPCOCK ANGIOGRAPHY 1050 PSI 3 WAY ROTATE ADAPTER RIGHT PORT	SUP-70055009	CDM			270	RC		inpatient			8.01	8.01																																																			
GOWN SURGICAL SIRUS SMS POLYETHYLENE 2XL L49 IN AAMI LEVEL 4 IMPERVIOUS SLEEVE REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2209S	CDM						inpatient			8.01	8.01																																																			
GOWN SURGICAL SIRUS SMS POLYETHYLENE 2XL L49 IN AAMI LEVEL 4 IMPERVIOUS SLEEVE REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2209S	CDM						outpatient			8.01	9	8.01				percent of total billed charges		8.01				other	OPPS APC	8.01				fee schedule		8.01				other	OPPS APC	8.01				other	OPPS APC	8.01				case rate		8.01				case rate		9				other	OPPS APC	8.01	9	
BLEACH CLOROX 96OZ	SUP-4458410	CDM						inpatient			7.98	7.98																																																			
BLEACH CLOROX 96OZ	SUP-4458410	CDM						outpatient			7.98	7.98	7.98				percent of total billed charges		7.98				other	OPPS APC	7.98				fee schedule		7.98				other	OPPS APC	7.98				other	OPPS APC	7.98				case rate		7.98				case rate		7.98				other	OPPS APC	7.98	7.98	
CONTAINER SHARPS GATORGUARD PLASTIC 3 GL COUNTER BALANCED DOOR TRANSLUCENT RED	SUP-31314886	CDM						inpatient			7.97	7.97																																																			
CONTAINER SHARPS GATORGUARD PLASTIC 3 GL COUNTER BALANCED DOOR TRANSLUCENT RED	SUP-31314886	CDM						outpatient			7.97	7.97	7.97				percent of total billed charges		7.97				other	OPPS APC	7.97				fee schedule		7.97				other	OPPS APC	7.97				other	OPPS APC	7.97				case rate		7.97				case rate		7.97				other	OPPS APC	7.97	7.97	
DRAPE SURGICAL OCCULAR OCLUDER ADHESIVE STERILE	SUP-5971	CDM						inpatient			7.97	7.97																																																			
DRAPE SURGICAL OCCULAR OCLUDER ADHESIVE STERILE	SUP-5971	CDM						outpatient			7.97	7.97	7.97				percent of total billed charges		7.97				other	OPPS APC	7.97				fee schedule		7.97				other	OPPS APC	7.97				other	OPPS APC	7.97				case rate		7.97				case rate		7.97				other	OPPS APC	7.97	7.97	
NALBUPHINE PER 10 MG	636000000	CDM	0409-1467-61	NDC	J2300	HCPCS		inpatient			7.95	7.95																																																			
NALBUPHINE PER 10 MG	636000000	CDM	0409-1467-61	NDC	J2300	HCPCS		outpatient			7.95	7.95																																															other	OPPS APC			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	25021-790-02	NDC	J0780	HCPCS		inpatient			7.95	7.95																																																			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	43066-090-25	NDC	J0780	HCPCS		inpatient			7.95	7.95																																																			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	25021-790-02	NDC	J0780	HCPCS		outpatient			7.95	7.95																																															other	OPPS APC			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	43066-090-25	NDC	J0780	HCPCS		outpatient			7.95	7.95																																															other	OPPS APC			
KIT EYE MEROCEL WIPE EYE DRAIN CORNEAL LIGHT SHIELD STERILE	SUP-223622	CDM			270	RC		outpatient			7.92	7.92	2.15				percent of total billed charges		7.92				other	OPPS APC	5.86				percent of total billed charges		7.92				other	OPPS APC	7.92				other	OPPS APC	2.15				percent of total billed charges		2.19				percent of total billed charges		7.92				other	OPPS APC	2.15	7.92	
KIT EYE MEROCEL WIPE EYE DRAIN CORNEAL LIGHT SHIELD STERILE	SUP-223622	CDM			270	RC		inpatient			7.92	7.92																																																			
SUTURE ABSORBABLE VICRYL MULTIPASS 5-0 PS-3 L18 IN BRAID COATED UNDYED	SUP-J500G	CDM			270	RC		outpatient			7.88	7.88	2.13				percent of total billed charges		7.88				other	OPPS APC	5.83				percent of total billed charges		7.88				other	OPPS APC	7.88				other	OPPS APC	2.13				percent of total billed charges		2.18				percent of total billed charges		7.88				other	OPPS APC	2.13	7.88	
SUTURE ABSORBABLE VICRYL MULTIPASS 5-0 PS-3 L18 IN BRAID COATED UNDYED	SUP-J500G	CDM			270	RC		inpatient			7.88	7.88																																																			
SUTURE NONABSORBABLE ETHILON 7-0 P-1 L18 IN MONOFILAMENT BLACK	SUP-1696G	CDM			270	RC		outpatient			7.87	7.87	2.13				percent of total billed charges		7.87				other	OPPS APC	5.82				percent of total billed charges		7.87				other	OPPS APC	7.87				other	OPPS APC	2.13				percent of total billed charges		2.17				percent of total billed charges		7.87				other	OPPS APC	2.13	7.87	
SUTURE NONABSORBABLE ETHILON 7-0 P-1 L18 IN MONOFILAMENT BLACK	SUP-1696G	CDM			270	RC		inpatient			7.87	7.87																																																			
FINASTERIDE 5 MG TABLET	637000000	CDM	50268-314-11	NDC	A9270	HCPCS		inpatient			7.82	7.82																																																			
FINASTERIDE 5 MG TABLET	637000000	CDM	50268-314-15	NDC	A9270	HCPCS		inpatient			7.82	7.82																																																			
FINASTERIDE 5 MG TABLET	637000000	CDM	50268-314-11	NDC	A9270	HCPCS		outpatient			7.82	7.82																																															other	OPPS APC			
FINASTERIDE 5 MG TABLET	637000000	CDM	50268-314-15	NDC	A9270	HCPCS		outpatient			7.82	7.82																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHIBOND EXCEL MULTIPASS 4-0 PS-2 18IN WHITE BRAID	SUP-X692G	CDM			270	RC		outpatient			7.8	7.8	2.11				percent of total billed charges		7.8				other	OPPS APC	5.77				percent of total billed charges		7.8				other	OPPS APC	7.8				other	OPPS APC	2.11				percent of total billed charges		2.16				percent of total billed charges		7.8				other	OPPS APC	2.11	7.8	
SUTURE NONABSORBABLE ETHIBOND EXCEL MULTIPASS 4-0 PS-2 18IN WHITE BRAID	SUP-X692G	CDM			270	RC		inpatient			7.8	7.8																																																			
LABEL ANESTHESIA 1 IN CORE L500 IN X W1/2 IN HEPARIN UNITS/ML DATE TIME INT BLACK WHITE	SUP-SA-320	CDM			270	RC		outpatient			7.78	7.78	2.11				percent of total billed charges		7.78				other	OPPS APC	5.76				percent of total billed charges		7.78				other	OPPS APC	7.78				other	OPPS APC	2.11				percent of total billed charges		2.15				percent of total billed charges		7.78				other	OPPS APC	2.11	7.78	
LABEL ANESTHESIA 1 IN CORE L500 IN X W1/2 IN HEPARIN UNITS/ML DATE TIME INT BLACK WHITE	SUP-SA-320	CDM			270	RC		inpatient			7.78	7.78																																																			
MELOXICAM 7.5 MG TABLET	637000000	CDM	50268-525-11	NDC	A9270	HCPCS		inpatient			7.75	7.75																																																			
MELOXICAM 7.5 MG TABLET	637000000	CDM	50268-525-11	NDC	A9270	HCPCS		outpatient			7.75	7.75																																															other	OPPS APC			
INSULIN GLARGINE PER 5 UNITS	637000000	CDM	0088-2220-33	NDC	A9270	HCPCS		inpatient			7.72	7.72																																																			
INSULIN GLARGINE PER 5 UNITS	637000000	CDM	0088-2220-33	NDC	A9270	HCPCS		outpatient			7.72	7.72																																															other	OPPS APC			
VALVE FEEDING TUBE SALEM SUMP PVC ANTIREFLUX STERILE LATEX FREE	SUP-8888266197	CDM						inpatient			7.72	7.72																																																			
VALVE FEEDING TUBE SALEM SUMP PVC ANTIREFLUX STERILE LATEX FREE	SUP-8888266197	CDM						outpatient			7.72	7.72	7.72				percent of total billed charges		7.72				other	OPPS APC	7.72				fee schedule		7.72				other	OPPS APC	7.72				other	OPPS APC	7.72				case rate		7.72				case rate		7.72				other	OPPS APC	7.72	7.72	
SUTURE NONABSORBABLE MERSILENE MULTIPASS 4-0 P-3 L18 IN BRAID WHITE	SUP-R691G	CDM			270	RC		outpatient			7.71	7.71	2.09				percent of total billed charges		7.71				other	OPPS APC	5.71				percent of total billed charges		7.71				other	OPPS APC	7.71				other	OPPS APC	2.09				percent of total billed charges		2.13				percent of total billed charges		7.71				other	OPPS APC	2.09	7.71	
SUTURE NONABSORBABLE MERSILENE MULTIPASS 4-0 P-3 L18 IN BRAID WHITE	SUP-R691G	CDM			270	RC		inpatient			7.71	7.71																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 1/2 LOWER	SUP-160-275	CDM			270	RC		outpatient			7.7	7.72	2.09				percent of total billed charges		7.7				other	OPPS APC	5.7				percent of total billed charges		7.7				other	OPPS APC	7.7				other	OPPS APC	2.09				percent of total billed charges		2.13				percent of total billed charges		7.72				other	OPPS APC	2.09	7.72	
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 1/2 LOWER	SUP-160-275	CDM			270	RC		inpatient			7.7	7.7																																																			
PROBE SURGICAL STAINLESS STEEL L6 IN EYE END NONSTERILE	SUP-180203	CDM						inpatient			7.7	7.7																																																			
PROBE SURGICAL STAINLESS STEEL L6 IN EYE END NONSTERILE	SUP-180203	CDM						outpatient			7.7	7.72	7.7				percent of total billed charges		7.7				other	OPPS APC	7.7				fee schedule		7.7				other	OPPS APC	7.7				other	OPPS APC	7.7				case rate		7.7				case rate		7.72				other	OPPS APC	7.7	7.72	
SUTURE ABSORBABLE PDS II 4-0 FS-2 L27 IN MONOFILAMENT UNDYED	SUP-Z422H	CDM			270	RC		outpatient			7.68	7.68	2.08				percent of total billed charges		7.68				other	OPPS APC	5.68				percent of total billed charges		7.68				other	OPPS APC	7.68				other	OPPS APC	2.08				percent of total billed charges		2.12				percent of total billed charges		7.68				other	OPPS APC	2.08	7.68	
SUTURE ABSORBABLE PDS II 4-0 FS-2 L27 IN MONOFILAMENT UNDYED	SUP-Z422H	CDM			270	RC		inpatient			7.68	7.68																																																			
CEFDINIR 250 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	68180-723-04	NDC	A9270	HCPCS		inpatient			7.67	7.67																																																			
CEFDINIR 250 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	68180-723-04	NDC	A9270	HCPCS		outpatient			7.67	7.67																																															other	OPPS APC			
MORPHINE PER 10 MG	636000000	CDM	0641-6127-25	NDC	J2270	HCPCS		inpatient			7.65	7.65																																																			
MORPHINE PER 10 MG	636000000	CDM	0641-6127-25	NDC	J2270	HCPCS		outpatient			7.65	7.65																																															other	OPPS APC			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	0409-4276-17	NDC				inpatient			7.64	7.64																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	0409-4276-17	NDC				outpatient			7.64	7.64																																															other	OPPS APC			
VITAMIN A & D WITH LANOLIN OINTMENT 56 G TUBE	637000000	CDM	71399-0122-2	NDC	A9270	HCPCS		inpatient			7.63	7.63																																																			
VITAMIN A & D WITH LANOLIN OINTMENT 56 G TUBE	637000000	CDM	71399-0122-2	NDC	A9270	HCPCS		outpatient			7.63	7.63																																															other	OPPS APC			
GRAFT SIZER LARGE 24-38	SUP-M002363200211	CDM			270	RC		outpatient			7.63	7.63	2.07				percent of total billed charges		7.63				other	OPPS APC	5.65				percent of total billed charges		7.63				other	OPPS APC	7.63				other	OPPS APC	2.07				percent of total billed charges		2.11				percent of total billed charges		7.63				other	OPPS APC	2.07	7.63	
GRAFT SIZER LARGE 24-38	SUP-M002363200211	CDM			270	RC		inpatient			7.63	7.63																																																			
SUTURE ABSORBABLE VICRYL MULTIPASS 4-0 P-3 18IN UNDYED BRAID COATED	SUP-VCP494G	CDM			270	RC		outpatient			7.63	7.63	2.07				percent of total billed charges		7.63				other	OPPS APC	5.65				percent of total billed charges		7.63				other	OPPS APC	7.63				other	OPPS APC	2.07				percent of total billed charges		2.11				percent of total billed charges		7.63				other	OPPS APC	2.07	7.63	
SUTURE ABSORBABLE VICRYL MULTIPASS 4-0 P-3 18IN UNDYED BRAID COATED	SUP-VCP494G	CDM			270	RC		inpatient			7.63	7.63																																																			
STOCKING COMPRESSION SMALL THIGH LENGTH ANTIEMBOLISM	SUP-611	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION SMALL THIGH LENGTH ANTIEMBOLISM	SUP-611	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP SM LONG THIGH HIGH NATURAL NYLON LF ANTIEMBOLISM	SUP-612	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP SM LONG THIGH HIGH NATURAL NYLON LF ANTIEMBOLISM	SUP-612	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP THIGH LENGTH MEDIUM SHORT	SUP-620	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP THIGH LENGTH MEDIUM SHORT	SUP-620	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP NYLON MEDIUM REGULAR THIGH HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-621	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP NYLON MEDIUM REGULAR THIGH HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-621	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP NYLON MEDIUM LONG THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-622	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP NYLON MEDIUM LONG THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-622	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP NYLON LARGE SHORT THIGH HIGH LATEX FREE NATURAL	SUP-630	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP NYLON LARGE SHORT THIGH HIGH LATEX FREE NATURAL	SUP-630	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP NYLON LARGE REGULAR THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-631	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP NYLON LARGE REGULAR THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-631	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP NYLON LARGE LONG THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-632	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP NYLON LARGE LONG THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-632	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
STOCKING COMPRESSION CAP NYLON XL LONG THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-642	CDM	270009042	LOCAL	270	RC		outpatient			7.62	7.62	2.06				percent of total billed charges		7.62				other	OPPS APC	5.64				percent of total billed charges		7.62				other	OPPS APC	7.62				other	OPPS APC	2.06				percent of total billed charges		2.11				percent of total billed charges		7.62				other	OPPS APC	2.06	7.62	
STOCKING COMPRESSION CAP NYLON XL LONG THIGH HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-642	CDM	270009042	LOCAL	270	RC		inpatient			7.62	7.62																																																			
SUTURE ABSORBABLE VICRYL MULTIPASS 3-0 PS-1 27IN UNDYED BRAID COATED	SUP-J936H	CDM			270	RC		outpatient			7.6	7.6	2.06				percent of total billed charges		7.6				other	OPPS APC	5.62				percent of total billed charges		7.6				other	OPPS APC	7.6				other	OPPS APC	2.06				percent of total billed charges		2.1				percent of total billed charges		7.6				other	OPPS APC	2.06	7.6	
SUTURE ABSORBABLE VICRYL MULTIPASS 3-0 PS-1 27IN UNDYED BRAID COATED	SUP-J936H	CDM			270	RC		inpatient			7.6	7.6																																																			
HYDROMORPHONE 2 MG/ML SYRINGE	636000000	CDM	0409-1312-30	NDC	J1170	HCPCS		inpatient			7.58	7.58																																																			
HYDROMORPHONE 2 MG/ML SYRINGE	636000000	CDM	0409-1312-30	NDC	J1170	HCPCS		outpatient			7.58	7.58																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 5-0 P-1 L18 IN BRAID COATED UNDYED	SUP-J490G	CDM			270	RC		outpatient			7.58	7.58	2.05				percent of total billed charges		7.58				other	OPPS APC	5.61				percent of total billed charges		7.58				other	OPPS APC	7.58				other	OPPS APC	2.05				percent of total billed charges		2.09				percent of total billed charges		7.58				other	OPPS APC	2.05	7.58	
SUTURE ABSORBABLE VICRYL 5-0 P-1 L18 IN BRAID COATED UNDYED	SUP-J490G	CDM			270	RC		inpatient			7.58	7.58																																																			
STOCKINETTE ORTHOPEDIC CONVERTORS POLYESTER XL L48 IN X W12 IN IMPERVIOUS DRAPE STERILE LATEX FREE DISPOSABLE	SUP-1587	CDM						inpatient			7.57	7.57																																																			
STOCKINETTE ORTHOPEDIC CONVERTORS POLYESTER XL L48 IN X W12 IN IMPERVIOUS DRAPE STERILE LATEX FREE DISPOSABLE	SUP-1587	CDM						outpatient			7.57	7.57	7.57				percent of total billed charges		7.57				other	OPPS APC	7.57				fee schedule		7.57				other	OPPS APC	7.57				other	OPPS APC	7.57				case rate		7.57				case rate		7.57				other	OPPS APC	7.57	7.57	
TIP PULSED LAVAGE L12.7 CM MULTIORIFICE FAN SPRAY SPLASH SHIELD HIGH CAPACITY STERILE INTRAMEDULLARY NAIL	SUP-00515017500	CDM			270	RC		outpatient			7.56	7.56	2.05				percent of total billed charges		7.56				other	OPPS APC	5.59				percent of total billed charges		7.56				other	OPPS APC	7.56				other	OPPS APC	2.05				percent of total billed charges		2.09				percent of total billed charges		7.56				other	OPPS APC	2.05	7.56	
TIP PULSED LAVAGE L12.7 CM MULTIORIFICE FAN SPRAY SPLASH SHIELD HIGH CAPACITY STERILE INTRAMEDULLARY NAIL	SUP-00515017500	CDM			270	RC		inpatient			7.56	7.56																																																			
DEVICE SECUREMENT STATLOCK PICC PLUS FOAM ADULT CRESCENT STABILIZATION ANCHOR PAD FIX POST GULL WING STERILE LATEX FREE DISPOSABLE	SUP-VPPDFP	CDM						inpatient			7.56	7.56																																																			
DEVICE SECUREMENT STATLOCK PICC PLUS FOAM ADULT CRESCENT STABILIZATION ANCHOR PAD FIX POST GULL WING STERILE LATEX FREE DISPOSABLE	SUP-VPPDFP	CDM						outpatient			7.56	7.56	7.56				percent of total billed charges		7.56				other	OPPS APC	7.56				fee schedule		7.56				other	OPPS APC	7.56				other	OPPS APC	7.56				case rate		7.56				case rate		7.56				other	OPPS APC	7.56	7.56	
AMPICILLIN PER 500 MG	636000000	CDM	0781-3402-78	NDC	J0290	HCPCS		inpatient			7.54	7.54																																																			
AMPICILLIN PER 500 MG	636000000	CDM	0781-3402-78	NDC	J0290	HCPCS		outpatient			7.54	7.54																																															other	OPPS APC			
HEPARIN (PROCINE) PER 1000 UNITS	636000000	CDM	63739-920-11	NDC	J1644	HCPCS		inpatient			7.53	7.53																																																			
HEPARIN (PROCINE) PER 1000 UNITS	636000000	CDM	63739-920-11	NDC	J1644	HCPCS		outpatient			7.53	7.53																																															other	OPPS APC			
DICYCLOMINE 10 MG/5 ML SOLUTION	637000000	CDM	70954-261-10	NDC	A9270	HCPCS		inpatient			7.52	7.52																																																			
DICYCLOMINE 10 MG/5 ML SOLUTION	637000000	CDM	70954-261-10	NDC	A9270	HCPCS		outpatient			7.52	7.52																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PC-1 18IN BLACK MONOFILAMENT	SUP-1854G	CDM			270	RC		outpatient			7.52	7.52	2.04				percent of total billed charges		7.52				other	OPPS APC	5.56				percent of total billed charges		7.52				other	OPPS APC	7.52				other	OPPS APC	2.04				percent of total billed charges		2.08				percent of total billed charges		7.52				other	OPPS APC	2.04	7.52	
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PC-1 18IN BLACK MONOFILAMENT	SUP-1854G	CDM			270	RC		inpatient			7.52	7.52																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PC-1 L18 IN MONOFILAMENT PLIABILIZE BLACK	SUP-1954G	CDM			270	RC		outpatient			7.52	7.52	2.04				percent of total billed charges		7.52				other	OPPS APC	5.56				percent of total billed charges		7.52				other	OPPS APC	7.52				other	OPPS APC	2.04				percent of total billed charges		2.08				percent of total billed charges		7.52				other	OPPS APC	2.04	7.52	
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PC-1 L18 IN MONOFILAMENT PLIABILIZE BLACK	SUP-1954G	CDM			270	RC		inpatient			7.52	7.52																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PC-1 L18 IN MONOFILAMENT PLIABILIZE BLACK	SUP-ETH1854G	CDM			270	RC		outpatient			7.52	7.52	2.04				percent of total billed charges		7.52				other	OPPS APC	5.56				percent of total billed charges		7.52				other	OPPS APC	7.52				other	OPPS APC	2.04				percent of total billed charges		2.08				percent of total billed charges		7.52				other	OPPS APC	2.04	7.52	
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PC-1 L18 IN MONOFILAMENT PLIABILIZE BLACK	SUP-ETH1854G	CDM			270	RC		inpatient			7.52	7.52																																																			
ATROPINE PER 0.01 MG	636000000	CDM	64253-400-30	NDC	J0461	HCPCS		inpatient			7.5	7.5																																																			
ATROPINE PER 0.01 MG	636000000	CDM	64253-400-30	NDC	J0461	HCPCS		outpatient			7.5	7.5																																															other	OPPS APC			
"HEPARIN, PORCINE (PF) 10 UNIT/ML SYRINGE 5 ML SYRINGE"	636000000	CDM	6425322235	NDC	J1642	HCPCS		inpatient			7.5	7.5																																																			
"HEPARIN, PORCINE (PF) 10 UNIT/ML SYRINGE 5 ML SYRINGE"	636000000	CDM	6425322235	NDC	J1642	HCPCS		outpatient			7.5	7.5																																															other	OPPS APC			
BUMETANIDE 1 MG TABLET	637000000	CDM	50268-131-11	NDC	A9270	HCPCS		inpatient			7.5	7.5																																																			
BUMETANIDE 1 MG TABLET	637000000	CDM	50268-131-11	NDC	A9270	HCPCS		outpatient			7.5	7.5																																															other	OPPS APC			
BAND MOLAR STAINLESS STEEL PEDIATRIC 23 UPPER FLEXIBLE	SUP-160-146	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 23 UPPER FLEXIBLE	SUP-160-146	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 24 UPPER FLEXIBLE	SUP-160-148	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 24 UPPER FLEXIBLE	SUP-160-148	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 25 1/2 UPPER FLEXIBLE	SUP-160-151	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 25 1/2 UPPER FLEXIBLE	SUP-160-151	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 UPPER	SUP-160-152	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 UPPER	SUP-160-152	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 1/2 UPPER FLEXIBLE	SUP-160-153	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 1/2 UPPER FLEXIBLE	SUP-160-153	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 UPPER	SUP-160-154	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 UPPER	SUP-160-154	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 1/2 UPPER FLEXIBLE	SUP-160-155	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 1/2 UPPER FLEXIBLE	SUP-160-155	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 28 UPPER	SUP-160-156	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 28 UPPER	SUP-160-156	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 UPPER	SUP-160-158	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 UPPER	SUP-160-158	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 1/2 UPPER	SUP-160-159	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 1/2 UPPER	SUP-160-159	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 UPPER	SUP-160-160	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 UPPER	SUP-160-160	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 1/2 UPPER	SUP-160-161	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 1/2 UPPER	SUP-160-161	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 31 1/2 UPPER FLEXIBLE	SUP-160-163	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 31 1/2 UPPER FLEXIBLE	SUP-160-163	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 1/2 UPPER FLEXIBLE	SUP-160-167	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 1/2 UPPER FLEXIBLE	SUP-160-167	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 UPPER FLEXIBLE	SUP-160-168	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 UPPER FLEXIBLE	SUP-160-168	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 1/2 UPPER	SUP-160-169	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 1/2 UPPER	SUP-160-169	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 UPPER	SUP-160-180	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 UPPER	SUP-160-180	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 1/2 UPPER	SUP-160-181	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 1/2 UPPER	SUP-160-181	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 UPPER	SUP-160-182	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 UPPER	SUP-160-182	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 1/2 UPPER	SUP-160-183	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 1/2 UPPER	SUP-160-183	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 42 UPPER	SUP-160-184	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 42 UPPER	SUP-160-184	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 23 LOWER FLEXIBLE	SUP-160-246	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 23 LOWER FLEXIBLE	SUP-160-246	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 23 1/2 LOWER FLEXIBLE	SUP-160-247	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 23 1/2 LOWER FLEXIBLE	SUP-160-247	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 24 LOWER FLEXIBLE	SUP-160-248	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 24 LOWER FLEXIBLE	SUP-160-248	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND INDIVIDUAL MOLAR LOWAR SIZE 24 1/2	SUP-160-249	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND INDIVIDUAL MOLAR LOWAR SIZE 24 1/2	SUP-160-249	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 25 LOWER	SUP-160-250	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 25 LOWER	SUP-160-250	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 25 1/2 LOWER FLEXIBLE	SUP-160-251	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 25 1/2 LOWER FLEXIBLE	SUP-160-251	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 LOWER	SUP-160-252	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 LOWER	SUP-160-252	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 1/2 LOWER FLEXIBLE	SUP-160-253	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 26 1/2 LOWER FLEXIBLE	SUP-160-253	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 LOWER	SUP-160-254	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 LOWER	SUP-160-254	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 1/2 LOWER FLEXIBLE	SUP-160-255	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 27 1/2 LOWER FLEXIBLE	SUP-160-255	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 28 LOWER	SUP-160-256	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 28 LOWER	SUP-160-256	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 28 1/2 LOWER	SUP-160-257	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 28 1/2 LOWER	SUP-160-257	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 LOWER	SUP-160-258	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 LOWER	SUP-160-258	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 1/2 LOWER	SUP-160-259	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 29 1/2 LOWER	SUP-160-259	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 LOWER FLEXIBLE	SUP-160-260	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 LOWER FLEXIBLE	SUP-160-260	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 1/2 LOWER FLEXIBLE	SUP-160-261	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 30 1/2 LOWER FLEXIBLE	SUP-160-261	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 31 1/2 LOWER FLEXIBLE	SUP-160-263	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 31 1/2 LOWER FLEXIBLE	SUP-160-263	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 LOWER FLEXIBLE	SUP-160-264	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 LOWER FLEXIBLE	SUP-160-264	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 1/2 LOWER	SUP-160-265	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 1/2 LOWER	SUP-160-265	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 LOWER	SUP-160-280	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 LOWER	SUP-160-280	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 1/2 LOWER	SUP-160-281	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 40 1/2 LOWER	SUP-160-281	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 LOWER	SUP-160-282	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 LOWER	SUP-160-282	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 1/2 LOWER	SUP-160-283	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 41 1/2 LOWER	SUP-160-283	CDM			270	RC		inpatient			7.5	7.5																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 42 LOWER	SUP-160-284	CDM			270	RC		outpatient			7.5	7.5	2.03				percent of total billed charges		7.5				other	OPPS APC	5.55				percent of total billed charges		7.5				other	OPPS APC	7.5				other	OPPS APC	2.03				percent of total billed charges		2.07				percent of total billed charges		7.5				other	OPPS APC	2.03	7.5	
BAND MOLAR STAINLESS STEEL PEDIATRIC 42 LOWER	SUP-160-284	CDM			270	RC		inpatient			7.5	7.5																																																			
VALPROIC ACID 250 MG/5 ML (5 ML) SOLUTION	637000000	CDM	0121-4675-05	NDC	A9270	HCPCS		inpatient			7.49	7.49																																																			
VALPROIC ACID 250 MG/5 ML (5 ML) SOLUTION	637000000	CDM	0121-4675-05	NDC	A9270	HCPCS		outpatient			7.49	7.49																																															other	OPPS APC			
SUTURE ETHILON MONOFILAMENT BLACK NEEDLE:PS-1 SIZE:3-0 LENGTH:18IN	SUP-1663G	CDM			270	RC		outpatient			7.47	7.47	2.02				percent of total billed charges		7.47				other	OPPS APC	5.53				percent of total billed charges		7.47				other	OPPS APC	7.47				other	OPPS APC	2.02				percent of total billed charges		2.06				percent of total billed charges		7.47				other	OPPS APC	2.02	7.47	
SUTURE ETHILON MONOFILAMENT BLACK NEEDLE:PS-1 SIZE:3-0 LENGTH:18IN	SUP-1663G	CDM			270	RC		inpatient			7.47	7.47																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 3-0 PS-1 18IN BLACK MONOFILAMENT	SUP-1663H	CDM			270	RC		outpatient			7.47	7.47	2.02				percent of total billed charges		7.47				other	OPPS APC	5.53				percent of total billed charges		7.47				other	OPPS APC	7.47				other	OPPS APC	2.02				percent of total billed charges		2.06				percent of total billed charges		7.47				other	OPPS APC	2.02	7.47	
SUTURE NONABSORBABLE ETHILON MULTIPASS 3-0 PS-1 18IN BLACK MONOFILAMENT	SUP-1663H	CDM			270	RC		inpatient			7.47	7.47																																																			
PACK SURGICAL L108 IN X W77 IN L90 IN X W56 IN 2 SHEET 1 PILLOW CASE BURN CARE DRAPE STERILE	SUP-3185	CDM	270009036	LOCAL	270	RC		outpatient			7.44	7.44	2.02				percent of total billed charges		7.44				other	OPPS APC	5.51				percent of total billed charges		7.44				other	OPPS APC	7.44				other	OPPS APC	2.02				percent of total billed charges		2.06				percent of total billed charges		7.44				other	OPPS APC	2.02	7.44	
PACK SURGICAL L108 IN X W77 IN L90 IN X W56 IN 2 SHEET 1 PILLOW CASE BURN CARE DRAPE STERILE	SUP-3185	CDM	270009036	LOCAL	270	RC		inpatient			7.44	7.44																																																			
BUMETANIDE PER 0.5 MG	636000000	CDM	68462-470-40	NDC	J1939	HCPCS		inpatient			7.41	7.41																																																			
BUMETANIDE PER 0.5 MG	636000000	CDM	68462-470-40	NDC	J1939	HCPCS		outpatient			7.41	7.41																																															other	OPPS APC			
AZITHROMYCIN 250 MG TABLET	637000000	CDM	0904-7350-06	NDC	A9270	HCPCS		inpatient			7.41	7.41																																																			
AZITHROMYCIN 250 MG TABLET	637000000	CDM	0904-7350-06	NDC	A9270	HCPCS		outpatient			7.41	7.41																																															other	OPPS APC			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	0904-6780-61	NDC	A9270	HCPCS		inpatient			7.41	7.41																																																			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	0904-6780-61	NDC	A9270	HCPCS		outpatient			7.41	7.41																																															other	OPPS APC			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	50268-710-15	NDC	A9270	HCPCS		inpatient			7.4	7.4																																																			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	50268-710-15	NDC	A9270	HCPCS		outpatient			7.4	7.4																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 2-0 UR-5 L27 IN MONOFILAMENT BROWN	SUP-U245H	CDM			270	RC		outpatient			7.4	7.44	2				percent of total billed charges		7.4				other	OPPS APC	5.48				percent of total billed charges		7.4				other	OPPS APC	7.4				other	OPPS APC	2				percent of total billed charges		2.04				percent of total billed charges		7.44				other	OPPS APC	2	7.44	
SUTURE ABSORBABLE CHROMIC 2-0 UR-5 L27 IN MONOFILAMENT BROWN	SUP-U245H	CDM			270	RC		inpatient			7.4	7.4																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	73293-0001-1	NDC	J2001	HCPCS		inpatient			7.38	7.38																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	73293-0001-1	NDC	J2001	HCPCS		outpatient			7.38	7.38																																															other	OPPS APC			
SOLUTION PREP 3M DURAPREP 26ML 74% ISOPROPYL ALCOHOL 0.7% IODINE POVACRYLEX STERILE SKIN COATED SELF CONTAIN APPLICATOR	SUP-8630	CDM			270	RC		outpatient			7.38	7.38	2				percent of total billed charges		7.38				other	OPPS APC	5.46				percent of total billed charges		7.38				other	OPPS APC	7.38				other	OPPS APC	2				percent of total billed charges		2.04				percent of total billed charges		7.38				other	OPPS APC	2	7.38	
SOLUTION PREP 3M DURAPREP 26ML 74% ISOPROPYL ALCOHOL 0.7% IODINE POVACRYLEX STERILE SKIN COATED SELF CONTAIN APPLICATOR	SUP-8630	CDM			270	RC		inpatient			7.38	7.38																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION	636000000	CDM	0409-1165-01	NDC	J0665	HCPCS		inpatient			7.37	7.37																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION	636000000	CDM	0409-1165-01	NDC	J0665	HCPCS		outpatient			7.37	0.16																																											0.16				other	OPPS APC	0.16	0.16	
VITAMIN A & D WITH LANOLIN OINTMENT 42.5 G TUBE	637000000	CDM	65197-400-10	NDC	A9270	HCPCS		inpatient			7.33	7.33																																																			
VITAMIN A & D WITH LANOLIN OINTMENT 42.5 G TUBE	637000000	CDM	65197-400-10	NDC	A9270	HCPCS		outpatient			7.33	7.33																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 3-0 PSLX L30 IN MONOFILAMENT BLACK	SUP-1683H	CDM			270	RC		outpatient			7.32	7.32	1.98				percent of total billed charges		7.32				other	OPPS APC	5.42				percent of total billed charges		7.32				other	OPPS APC	7.32				other	OPPS APC	1.98				percent of total billed charges		2.02				percent of total billed charges		7.32				other	OPPS APC	1.98	7.32	
SUTURE NONABSORBABLE ETHILON 3-0 PSLX L30 IN MONOFILAMENT BLACK	SUP-1683H	CDM			270	RC		inpatient			7.32	7.32																																																			
NEEDLE PORT DELTEC HUBER GRIPPER PLUS 90 D L.75 IN OD20 GA PLASTICIZE TUBE COLOR CODED REMOVABLE SLIT SPLIT SEPTUM STERILE LATEX FREE DISPOSABLE	SUP-21-2767-24	CDM			270	RC		outpatient			7.31	7.4	1.98				percent of total billed charges		7.31				other	OPPS APC	5.41				percent of total billed charges		7.31				other	OPPS APC	7.31				other	OPPS APC	1.98				percent of total billed charges		2.02				percent of total billed charges		7.4				other	OPPS APC	1.98	7.4	
NEEDLE PORT DELTEC HUBER GRIPPER PLUS 90 D L.75 IN OD20 GA PLASTICIZE TUBE COLOR CODED REMOVABLE SLIT SPLIT SEPTUM STERILE LATEX FREE DISPOSABLE	SUP-21-2767-24	CDM			270	RC		inpatient			7.31	7.31																																																			
NEEDLE PORT GRIPPER PLUS DELTEC HUBER L.75 IN OD22 GA Y SITE PLASTICIZE TUBE COLOR CODED REMOVABLE SLIT STERILE LATEX FREE DISPOSABLE	SUP-21-2861-24	CDM						inpatient			7.31	7.31																																																			
NEEDLE PORT GRIPPER PLUS DELTEC HUBER L.75 IN OD22 GA Y SITE PLASTICIZE TUBE COLOR CODED REMOVABLE SLIT STERILE LATEX FREE DISPOSABLE	SUP-21-2861-24	CDM						outpatient			7.31	7.4	7.31				percent of total billed charges		7.31				other	OPPS APC	7.31				fee schedule		7.31				other	OPPS APC	7.31				other	OPPS APC	7.31				case rate		7.31				case rate		7.4				other	OPPS APC	7.31	7.4	
SOLUTION BSS 15ML	SUP-0065079515	CDM						inpatient			7.3	7.3																																																			
SOLUTION BSS 15ML	SUP-0065079515	CDM						outpatient			7.3	7.3	7.3				percent of total billed charges		7.3				other	OPPS APC	7.3				fee schedule		7.3				other	OPPS APC	7.3				other	OPPS APC	7.3				case rate		7.3				case rate		7.3				other	OPPS APC	7.3	7.3	
SUTURE NONABSORBABLE ETHILON MULTIPASS 6-0 P-1 18IN BLACK MONOFILAMENT PLIABILIZE	SUP-697G	CDM			270	RC		outpatient			7.29	7.29	1.97				percent of total billed charges		7.29				other	OPPS APC	5.39				percent of total billed charges		7.29				other	OPPS APC	7.29				other	OPPS APC	1.97				percent of total billed charges		2.01				percent of total billed charges		7.29				other	OPPS APC	1.97	7.29	
SUTURE NONABSORBABLE ETHILON MULTIPASS 6-0 P-1 18IN BLACK MONOFILAMENT PLIABILIZE	SUP-697G	CDM			270	RC		inpatient			7.29	7.29																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-18	NDC	J7050	HCPCS		inpatient			7.26	7.26																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-18	NDC	J7050	HCPCS		outpatient			7.26	7.26																																															other	OPPS APC			
PRAVASTATIN 10 MG TABLET	637000000	CDM	0904-5891-61	NDC	A9270	HCPCS		inpatient			7.24	7.24																																																			
PRAVASTATIN 10 MG TABLET	637000000	CDM	0904-5891-61	NDC	A9270	HCPCS		outpatient			7.24	7.24																																															other	OPPS APC			
VALSARTAN 160 MG TABLET	637000000	CDM	60687-634-11	NDC	A9270	HCPCS		inpatient			7.24	7.24																																																			
VALSARTAN 160 MG TABLET	637000000	CDM	60687-634-11	NDC	A9270	HCPCS		outpatient			7.24	7.24																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 4-0 PS-2 L18 IN BLACK	SUP-1667ZH	CDM			270	RC		outpatient			7.23	7.23	1.96				percent of total billed charges		7.23				other	OPPS APC	5.35				percent of total billed charges		7.23				other	OPPS APC	7.23				other	OPPS APC	1.96				percent of total billed charges		2				percent of total billed charges		7.23				other	OPPS APC	1.96	7.23	
SUTURE NONABSORBABLE ETHILON 4-0 PS-2 L18 IN BLACK	SUP-1667ZH	CDM			270	RC		inpatient			7.23	7.23																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 P-3 L18 IN MONOFILAMENT BLACK	SUP-699G	CDM			270	RC		outpatient			7.2	7.22	1.95				percent of total billed charges		7.2				other	OPPS APC	5.33				percent of total billed charges		7.2				other	OPPS APC	7.2				other	OPPS APC	1.95				percent of total billed charges		1.99				percent of total billed charges		7.22				other	OPPS APC	1.95	7.22	
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 P-3 L18 IN MONOFILAMENT BLACK	SUP-699G	CDM			270	RC		inpatient			7.2	7.2																																																			
CETIRIZINE 5 MG/5 ML SOLUTION	637000000	CDM	68094-004-59	NDC	A9270	HCPCS		inpatient			7.18	7.18																																																			
CETIRIZINE 5 MG/5 ML SOLUTION	637000000	CDM	68094-004-59	NDC	A9270	HCPCS		outpatient			7.18	7.18																																															other	OPPS APC			
BAG FECAL FLEXI-SEAL 16/45 MM COLLECTION LATEX FREE FECAL MANAGEMENT SYSTEM	SUP-411102	CDM	270009015	LOCAL	270	RC		outpatient			7.18	7.18	1.95				percent of total billed charges		7.18				other	OPPS APC	5.31				percent of total billed charges		7.18				other	OPPS APC	7.18				other	OPPS APC	1.95				percent of total billed charges		1.98				percent of total billed charges		7.18				other	OPPS APC	1.95	7.18	
BAG FECAL FLEXI-SEAL 16/45 MM COLLECTION LATEX FREE FECAL MANAGEMENT SYSTEM	SUP-411102	CDM	270009015	LOCAL	270	RC		inpatient			7.18	7.18																																																			
COLLECTOR SPECIMEN VACUTAINER BD BBL ANAEROBIC SWAB NEEDLE SYRINGE STERILE LATEX FREE	SUP-236500	CDM			270	RC		outpatient			7.16	7.16	1.94				percent of total billed charges		7.16				other	OPPS APC	5.3				percent of total billed charges		7.16				other	OPPS APC	7.16				other	OPPS APC	1.94				percent of total billed charges		1.98				percent of total billed charges		7.16				other	OPPS APC	1.94	7.16	
COLLECTOR SPECIMEN VACUTAINER BD BBL ANAEROBIC SWAB NEEDLE SYRINGE STERILE LATEX FREE	SUP-236500	CDM			270	RC		inpatient			7.16	7.16																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	16729-500-30	NDC	J1940	HCPCS		inpatient			7.15	7.15																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	16729-500-30	NDC	J1940	HCPCS		outpatient			7.15	7.15																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHIBOND EXCEL 4-0 RB-1 L36 IN 2 ARM BRAID GREEN	SUP-X557H	CDM			270	RC		outpatient			7.12	7.12	1.93				percent of total billed charges		7.12				other	OPPS APC	5.27				percent of total billed charges		7.12				other	OPPS APC	7.12				other	OPPS APC	1.93				percent of total billed charges		1.97				percent of total billed charges		7.12				other	OPPS APC	1.93	7.12	
SUTURE NONABSORBABLE ETHIBOND EXCEL 4-0 RB-1 L36 IN 2 ARM BRAID GREEN	SUP-X557H	CDM			270	RC		inpatient			7.12	7.12																																																			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-48	NDC	J7050	HCPCS		inpatient			7.09	7.09																																																			
SODIUM CHLORIDE 0.9 %	636000000	CDM	0338-0049-48	NDC	J7050	HCPCS		outpatient			7.09	7.09																																															other	OPPS APC			
JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET	637000000	CDM	5978166679	NDC	A9270	HCPCS		inpatient			7.09	7.09																																																			
JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET	637000000	CDM	5978166685	NDC	A9270	HCPCS		inpatient			7.09	7.09																																																			
JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET	637000000	CDM	5978166693	NDC	A9270	HCPCS		inpatient			7.09	7.09																																																			
JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET	637000000	CDM	5978166679	NDC	A9270	HCPCS		outpatient			7.09	7.09																																															other	OPPS APC			
JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET	637000000	CDM	5978166685	NDC	A9270	HCPCS		outpatient			7.09	7.09																																															other	OPPS APC			
JUVEN ORANGE 7-7-1.5 GRAM POWDER IN PACKET	637000000	CDM	5978166693	NDC	A9270	HCPCS		outpatient			7.09	7.09																																															other	OPPS APC			
CATHETER URETHRAL DOVER SILICONE NONPOROUS L16 IN OD16 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605163	CDM			270	RC		outpatient			7.09	7.9	1.92				percent of total billed charges		7.09				other	OPPS APC	5.25				percent of total billed charges		7.09				other	OPPS APC	7.09				other	OPPS APC	1.92				percent of total billed charges		1.96				percent of total billed charges		7.9				other	OPPS APC	1.92	7.9	
CATHETER URETHRAL DOVER SILICONE NONPOROUS L16 IN OD16 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605163	CDM			270	RC		inpatient			7.09	7.09																																																			
SUTURE NONABSORBABLE ETHIBOND 2-0 SH L36 IN 2 ARM BRAID GREEN	SUP-X523H	CDM			270	RC		outpatient			7.08	7.81	1.92				percent of total billed charges		7.08				other	OPPS APC	5.24				percent of total billed charges		7.08				other	OPPS APC	7.08				other	OPPS APC	1.92				percent of total billed charges		1.96				percent of total billed charges		7.81				other	OPPS APC	1.92	7.81	
SUTURE NONABSORBABLE ETHIBOND 2-0 SH L36 IN 2 ARM BRAID GREEN	SUP-X523H	CDM			270	RC		inpatient			7.08	7.08																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-38	NDC	J7060	HCPCS		inpatient			7.07	7.07																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-38	NDC	J7060	HCPCS		outpatient			7.07	7.07																																															other	OPPS APC			
HOLDER CATHETER HOLD-N-PLACE ADULT UNIVERSAL W2 IN OD20- IN LEG FOLEY ELASTICITY LATEX FREE REUSABLE	SUP-316	CDM						inpatient			7.07	7.07																																																			
HOLDER CATHETER HOLD-N-PLACE ADULT UNIVERSAL W2 IN OD20- IN LEG FOLEY ELASTICITY LATEX FREE REUSABLE	SUP-316	CDM						outpatient			7.07	7.73	7.07				percent of total billed charges		7.07				other	OPPS APC	7.07				fee schedule		7.07				other	OPPS APC	7.07				other	OPPS APC	7.07				case rate		7.07				case rate		7.73				other	OPPS APC	7.07	7.73	
NEOSTIGMINE PER 0.5 MG	636000000	CDM	70069-806-10	NDC	J2710	HCPCS		inpatient			7.04	7.04																																																			
NEOSTIGMINE PER 0.5 MG	636000000	CDM	70069-806-10	NDC	J2710	HCPCS		outpatient			7.04	7.04																																															other	OPPS APC			
LIDOCAINE 20 MG/ML (2 %) SOLUTION	250000000	CDM	0409-4277-16	NDC				inpatient			7.02	7.02																																																			
LIDOCAINE 20 MG/ML (2 %) SOLUTION	250000000	CDM	0409-4277-16	NDC				outpatient			7.02	7.02																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-41	NDC	J7050	HCPCS		inpatient			7.02	7.02																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-41	NDC	J7050	HCPCS		outpatient			7.02	7.02																																															other	OPPS APC			
SUTURE ABSORBABLE POLYSORB 2-0 V-20 L30 IN BRAID COATED VIOLET	SUP-GL-123	CDM			270	RC		outpatient			7.02	7.2	1.9				percent of total billed charges		7.02				other	OPPS APC	5.19				percent of total billed charges		7.02				other	OPPS APC	7.02				other	OPPS APC	1.9				percent of total billed charges		1.94				percent of total billed charges		7.2				other	OPPS APC	1.9	7.2	
SUTURE ABSORBABLE POLYSORB 2-0 V-20 L30 IN BRAID COATED VIOLET	SUP-GL-123	CDM			270	RC		inpatient			7.02	7.02																																																			
SOLUTION IV IRRIGATION GLYCINE 1.5% UROMATIC PLASTIC BAG 3000ML	SUP-2B7317	CDM	270009078	LOCAL	270	RC		outpatient			7.01	8	1.9				percent of total billed charges		7.01				other	OPPS APC	5.19				percent of total billed charges		7.01				other	OPPS APC	7.01				other	OPPS APC	1.9				percent of total billed charges		1.94				percent of total billed charges		8				other	OPPS APC	1.9	8	
SOLUTION IV IRRIGATION GLYCINE 1.5% UROMATIC PLASTIC BAG 3000ML	SUP-2B7317	CDM	270009078	LOCAL	270	RC		inpatient			7.01	7.01																																																			
SUTURE 5-0 MERSELINE	SUP-R690G	CDM			270	RC		outpatient			7.01	8	1.9				percent of total billed charges		7.01				other	OPPS APC	5.19				percent of total billed charges		7.01				other	OPPS APC	7.01				other	OPPS APC	1.9				percent of total billed charges		1.94				percent of total billed charges		8				other	OPPS APC	1.9	8	
SUTURE 5-0 MERSELINE	SUP-R690G	CDM			270	RC		inpatient			7.01	7.01																																																			
CONTROL CHEMISTRY ACCU-CHEK INFORM II 2 LEVEL	SUP-05213509001	CDM						inpatient			7	7																																																			
CONTROL CHEMISTRY ACCU-CHEK INFORM II 2 LEVEL	SUP-05213509001	CDM						outpatient			7	7	7				percent of total billed charges		7				other	OPPS APC	7				fee schedule		7				other	OPPS APC	7				other	OPPS APC	7				case rate		7				case rate		7				other	OPPS APC	7	7	
TUBING ARTHROSCOPY FOR PUMP	SUP-350-202-000	CDM			270	RC		outpatient			7	7	1.9				percent of total billed charges		7				other	OPPS APC	5.18				percent of total billed charges		7				other	OPPS APC	7				other	OPPS APC	1.9				percent of total billed charges		1.93				percent of total billed charges		7				other	OPPS APC	1.9	7	
TUBING ARTHROSCOPY FOR PUMP	SUP-350-202-000	CDM			270	RC		inpatient			7	7																																																			
CONNECTOR PREVENA VAC	SUP-PRE9090	CDM			270	RC		outpatient			7	7	1.9				percent of total billed charges		7				other	OPPS APC	5.18				percent of total billed charges		7				other	OPPS APC	7				other	OPPS APC	1.9				percent of total billed charges		1.93				percent of total billed charges		7				other	OPPS APC	1.9	7	
CONNECTOR PREVENA VAC	SUP-PRE9090	CDM			270	RC		inpatient			7	7																																																			
SUTURE ABSORBABLE LIGAPAK 2-0 54IN YELLOWISH TAN PLAIN MONOFILAMENT REEL	SUP-L103G	CDM			270	RC		outpatient			6.98	6.98	1.89				percent of total billed charges		6.98				other	OPPS APC	5.17				percent of total billed charges		6.98				other	OPPS APC	6.98				other	OPPS APC	1.89				percent of total billed charges		1.93				percent of total billed charges		6.98				other	OPPS APC	1.89	6.98	
SUTURE ABSORBABLE LIGAPAK 2-0 54IN YELLOWISH TAN PLAIN MONOFILAMENT REEL	SUP-L103G	CDM			270	RC		inpatient			6.98	6.98																																																			
SUTURE ABSORBABLE VICRYL MULTIPASS 4-0 PS-2 27IN UNDYED BRAID COATED	SUP-J426H	CDM			270	RC		outpatient			6.97	6.97	1.89				percent of total billed charges		6.97				other	OPPS APC	5.16				percent of total billed charges		6.97				other	OPPS APC	6.97				other	OPPS APC	1.89				percent of total billed charges		1.93				percent of total billed charges		6.97				other	OPPS APC	1.89	6.97	
SUTURE ABSORBABLE VICRYL MULTIPASS 4-0 PS-2 27IN UNDYED BRAID COATED	SUP-J426H	CDM			270	RC		inpatient			6.97	6.97																																																			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	0713-0351-02	NDC	J0780	HCPCS		inpatient			6.94	6.94																																																			
PROCHLORPERAZINE EDISYLATE PER 10 MG	636000000	CDM	0713-0351-02	NDC	J0780	HCPCS		outpatient			6.94	6.94																																															other	OPPS APC			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0409-1162-01	NDC	J0665	HCPCS		inpatient			6.93	6.93																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0409-1162-01	NDC	J0665	HCPCS		outpatient			6.93	0.16																																											0.16				other	OPPS APC	0.16	0.16	
NITROFURANTOIN 100 MG CAPSULE	637000000	CDM	0904-7137-61	NDC	A9270	HCPCS		inpatient			6.93	6.93																																																			
NITROFURANTOIN 100 MG CAPSULE	637000000	CDM	0904-7137-61	NDC	A9270	HCPCS		outpatient			6.93	6.93																																															other	OPPS APC			
REINFORCEMENT STAPLE LINE PERI-STRIPS DRY VERITAS 6 FIRING 3 GEL TUBE STERILE LATEX FREE DISPOSABLE EZ 45	SUP-PSD4506EV	CDM			270	RC		outpatient			6.93	6.93	1.88				percent of total billed charges		6.93				other	OPPS APC	5.13				percent of total billed charges		6.93				other	OPPS APC	6.93				other	OPPS APC	1.88				percent of total billed charges		1.91				percent of total billed charges		6.93				other	OPPS APC	1.88	6.93	
REINFORCEMENT STAPLE LINE PERI-STRIPS DRY VERITAS 6 FIRING 3 GEL TUBE STERILE LATEX FREE DISPOSABLE EZ 45	SUP-PSD4506EV	CDM			270	RC		inpatient			6.93	6.93																																																			
PACK CHOLANGIOGRAM	SUP-SANHDCAPNA	CDM			270	RC		outpatient			6.93	6.93	1.88				percent of total billed charges		6.93				other	OPPS APC	5.13				percent of total billed charges		6.93				other	OPPS APC	6.93				other	OPPS APC	1.88				percent of total billed charges		1.91				percent of total billed charges		6.93				other	OPPS APC	1.88	6.93	
PACK CHOLANGIOGRAM	SUP-SANHDCAPNA	CDM			270	RC		inpatient			6.93	6.93																																																			
LACTATED RINGER'S	636000000	CDM	0338-0117-03	NDC	J7120	HCPCS		inpatient			6.92	6.92																																																			
LACTATED RINGER'S	636000000	CDM	0338-0117-03	NDC	J7120	HCPCS		outpatient			6.92	6.92																																															other	OPPS APC			
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML SYRUP	637000000	CDM	0121-1276-10	NDC	A9270	HCPCS		inpatient			6.92	6.92																																																			
DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML SYRUP	637000000	CDM	0121-1276-10	NDC	A9270	HCPCS		outpatient			6.92	6.92																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON MULTIPASS 5-0 PS-4 18IN BLACK MONOFILAMENT	SUP-1661G	CDM			270	RC		outpatient			6.92	6.92	1.87				percent of total billed charges		6.92				other	OPPS APC	5.12				percent of total billed charges		6.92				other	OPPS APC	6.92				other	OPPS APC	1.87				percent of total billed charges		1.91				percent of total billed charges		6.92				other	OPPS APC	1.87	6.92	
SUTURE NONABSORBABLE ETHILON MULTIPASS 5-0 PS-4 18IN BLACK MONOFILAMENT	SUP-1661G	CDM			270	RC		inpatient			6.92	6.92																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 5-0 PS-2 18IN BLACK MONOFILAMENT	SUP-1666H	CDM			270	RC		outpatient			6.92	6.92	1.87				percent of total billed charges		6.92				other	OPPS APC	5.12				percent of total billed charges		6.92				other	OPPS APC	6.92				other	OPPS APC	1.87				percent of total billed charges		1.91				percent of total billed charges		6.92				other	OPPS APC	1.87	6.92	
SUTURE NONABSORBABLE ETHILON MULTIPASS 5-0 PS-2 18IN BLACK MONOFILAMENT	SUP-1666H	CDM			270	RC		inpatient			6.92	6.92																																																			
SUTURE ABSORBABLE VICRYL MULTIPASS 5-0 PS-4 18IN UNDYED BRAID COATED	SUP-J506G	CDM			270	RC		outpatient			6.92	6.92	1.87				percent of total billed charges		6.92				other	OPPS APC	5.12				percent of total billed charges		6.92				other	OPPS APC	6.92				other	OPPS APC	1.87				percent of total billed charges		1.91				percent of total billed charges		6.92				other	OPPS APC	1.87	6.92	
SUTURE ABSORBABLE VICRYL MULTIPASS 5-0 PS-4 18IN UNDYED BRAID COATED	SUP-J506G	CDM			270	RC		inpatient			6.92	6.92																																																			
BANDAGE COMPRESSION ESMARK L4 YD X W6 IN STERILE LATEX FREE BLUE	SUP-820-3612	CDM						inpatient			6.9	6.9																																																			
BANDAGE COMPRESSION ESMARK L4 YD X W6 IN STERILE LATEX FREE BLUE	SUP-820-3612	CDM						outpatient			6.9	6.94	6.9				percent of total billed charges		6.9				other	OPPS APC	6.9				fee schedule		6.9				other	OPPS APC	6.9				other	OPPS APC	6.9				case rate		6.9				case rate		6.94				other	OPPS APC	6.9	6.94	
SUTURE NONABSORBABLE PERMA-HAND MULTIPASS 6-0 P-3 18IN BLACK SILK BRAID	SUP-1639G	CDM			270	RC		outpatient			6.89	6.89	1.87				percent of total billed charges		6.89				other	OPPS APC	5.1				percent of total billed charges		6.89				other	OPPS APC	6.89				other	OPPS APC	1.87				percent of total billed charges		1.9				percent of total billed charges		6.89				other	OPPS APC	1.87	6.89	
SUTURE NONABSORBABLE PERMA-HAND MULTIPASS 6-0 P-3 18IN BLACK SILK BRAID	SUP-1639G	CDM			270	RC		inpatient			6.89	6.89																																																			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	0338-1055-48	NDC	J1836	HCPCS		inpatient			6.88	6.88																																																			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	0338-1055-48	NDC	J1836	HCPCS		outpatient			6.88	0.27																																											0.27				other	OPPS APC	0.27	0.27	
OXYBUTYNIN XL 5 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	0904-6570-61	NDC	A9270	HCPCS		inpatient			6.87	6.87																																																			
OXYBUTYNIN XL 5 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	0904-6570-61	NDC	A9270	HCPCS		outpatient			6.87	6.87																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 2 TP-1 L60 IN MONOFILAMENT BLACK	SUP-825G	CDM			270	RC		outpatient			6.87	6.87	1.86				percent of total billed charges		6.87				other	OPPS APC	5.08				percent of total billed charges		6.87				other	OPPS APC	6.87				other	OPPS APC	1.86				percent of total billed charges		1.9				percent of total billed charges		6.87				other	OPPS APC	1.86	6.87	
SUTURE NONABSORBABLE ETHILON 2 TP-1 L60 IN MONOFILAMENT BLACK	SUP-825G	CDM			270	RC		inpatient			6.87	6.87																																																			
ROLL COTTON LG 8.5X1FT STERILE LF 1LB HIGH ABSORBENT	SUP-NON6028	CDM						inpatient			6.87	6.87																																																			
ROLL COTTON LG 8.5X1FT STERILE LF 1LB HIGH ABSORBENT	SUP-NON6028	CDM						outpatient			6.87	6.87	6.87				percent of total billed charges		6.87				other	OPPS APC	6.87				fee schedule		6.87				other	OPPS APC	6.87				other	OPPS APC	6.87				case rate		6.87				case rate		6.87				other	OPPS APC	6.87	6.87	
SUTURE ABSORBABLE PDS II 3-0 FS-2 L27 IN MONOFILAMENT UNDYED	SUP-Z423H	CDM			270	RC		outpatient			6.87	6.87	1.86				percent of total billed charges		6.87				other	OPPS APC	5.08				percent of total billed charges		6.87				other	OPPS APC	6.87				other	OPPS APC	1.86				percent of total billed charges		1.9				percent of total billed charges		6.87				other	OPPS APC	1.86	6.87	
SUTURE ABSORBABLE PDS II 3-0 FS-2 L27 IN MONOFILAMENT UNDYED	SUP-Z423H	CDM			270	RC		inpatient			6.87	6.87																																																			
VITAMIN A & D WITH LANOLIN OINTMENT 113 G TUBE	637000000	CDM	71399-0122-4	NDC	A9270	HCPCS		inpatient			6.86	6.86																																																			
VITAMIN A & D WITH LANOLIN OINTMENT 113 G TUBE	637000000	CDM	71399-0122-4	NDC	A9270	HCPCS		outpatient			6.86	6.86																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PS-2 18IN UNDYED MONOFILAMENT	SUP-1611G	CDM			270	RC		outpatient			6.85	6.85	1.86				percent of total billed charges		6.85				other	OPPS APC	5.07				percent of total billed charges		6.85				other	OPPS APC	6.85				other	OPPS APC	1.86				percent of total billed charges		1.89				percent of total billed charges		6.85				other	OPPS APC	1.86	6.85	
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PS-2 18IN UNDYED MONOFILAMENT	SUP-1611G	CDM			270	RC		inpatient			6.85	6.85																																																			
SUTURE NONABSORBABLE ETHILON 4-0 PS-2 L18 IN BLACK	SUP-1667H	CDM			270	RC		outpatient			6.85	6.85	1.86				percent of total billed charges		6.85				other	OPPS APC	5.07				percent of total billed charges		6.85				other	OPPS APC	6.85				other	OPPS APC	1.86				percent of total billed charges		1.89				percent of total billed charges		6.85				other	OPPS APC	1.86	6.85	
SUTURE NONABSORBABLE ETHILON 4-0 PS-2 L18 IN BLACK	SUP-1667H	CDM			270	RC		inpatient			6.85	6.85																																																			
CLIP INTERNAL WECK HEMOCLIP SM CHEVRON HEART TAN TITANIUM DISPOSABLE STERILE LF LIGATE TRIANGULATE CROSS SECTION WIRE	SUP-523835	CDM			270	RC		outpatient			6.83	6.83	1.85				percent of total billed charges		6.83				other	OPPS APC	5.05				percent of total billed charges		6.83				other	OPPS APC	6.83				other	OPPS APC	1.85				percent of total billed charges		1.89				percent of total billed charges		6.83				other	OPPS APC	1.85	6.83	
CLIP INTERNAL WECK HEMOCLIP SM CHEVRON HEART TAN TITANIUM DISPOSABLE STERILE LF LIGATE TRIANGULATE CROSS SECTION WIRE	SUP-523835	CDM			270	RC		inpatient			6.83	6.83																																																			
NEEDLE HYPODERMIC BD REGULAR WALL 5/8IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-BF305122	CDM						inpatient			6.83	6.83																																																			
NEEDLE HYPODERMIC BD REGULAR WALL 5/8IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-BF305122	CDM						outpatient			6.83	6.83	6.83				percent of total billed charges		6.83				other	OPPS APC	6.83				fee schedule		6.83				other	OPPS APC	6.83				other	OPPS APC	6.83				case rate		6.83				case rate		6.83				other	OPPS APC	6.83	6.83	
SUTURE NONABSORBABLE ETHIBOND EXCEL 4-0 SH L36 IN 2 ARM BRAID GREEN	SUP-X521H	CDM			270	RC		outpatient			6.82	6.82	1.85				percent of total billed charges		6.82				other	OPPS APC	5.05				percent of total billed charges		6.82				other	OPPS APC	6.82				other	OPPS APC	1.85				percent of total billed charges		1.88				percent of total billed charges		6.82				other	OPPS APC	1.85	6.82	
SUTURE NONABSORBABLE ETHIBOND EXCEL 4-0 SH L36 IN 2 ARM BRAID GREEN	SUP-X521H	CDM			270	RC		inpatient			6.82	6.82																																																			
ROPINIROLE 1 MG TABLET	637000000	CDM	50268-743-11	NDC	A9270	HCPCS		inpatient			6.8	6.8																																																			
ROPINIROLE 1 MG TABLET	637000000	CDM	50268-743-11	NDC	A9270	HCPCS		outpatient			6.8	6.8																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL MULTIPASS 3-0 PS-2 18IN UNDYED BRAID COATED	SUP-J497G	CDM			270	RC		outpatient			6.8	6.8	1.84				percent of total billed charges		6.8				other	OPPS APC	5.03				percent of total billed charges		6.8				other	OPPS APC	6.8				other	OPPS APC	1.84				percent of total billed charges		1.88				percent of total billed charges		6.8				other	OPPS APC	1.84	6.8	
SUTURE ABSORBABLE VICRYL MULTIPASS 3-0 PS-2 18IN UNDYED BRAID COATED	SUP-J497G	CDM			270	RC		inpatient			6.8	6.8																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PS-4 18IN BLACK MONOFILAMENT	SUP-1662G	CDM			270	RC		outpatient			6.78	6.78	1.84				percent of total billed charges		6.78				other	OPPS APC	5.02				percent of total billed charges		6.78				other	OPPS APC	6.78				other	OPPS APC	1.84				percent of total billed charges		1.87				percent of total billed charges		6.78				other	OPPS APC	1.84	6.78	
SUTURE NONABSORBABLE ETHILON MULTIPASS 4-0 PS-4 18IN BLACK MONOFILAMENT	SUP-1662G	CDM			270	RC		inpatient			6.78	6.78																																																			
GOWN SURGICAL SIRUS SMS POLYETHYLENE XL XLONG L56 IN AAMI LEVEL 4 IMPERVIOUS REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2228S	CDM						inpatient			6.78	6.78																																																			
GOWN SURGICAL SIRUS SMS POLYETHYLENE XL XLONG L56 IN AAMI LEVEL 4 IMPERVIOUS REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2228S	CDM						outpatient			6.78	6.78	6.78				percent of total billed charges		6.78				other	OPPS APC	6.78				fee schedule		6.78				other	OPPS APC	6.78				other	OPPS APC	6.78				case rate		6.78				case rate		6.78				other	OPPS APC	6.78	6.78	
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 UPPER FLEXIBLE	SUP-160-164	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 UPPER FLEXIBLE	SUP-160-164	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 1/2 UPPER FLEXIBLE	SUP-160-165	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 32 1/2 UPPER FLEXIBLE	SUP-160-165	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 UPPER FLEXIBLE	SUP-160-166	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 UPPER FLEXIBLE	SUP-160-166	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 UPPER	SUP-160-170	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 UPPER	SUP-160-170	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 1/2 UPPER	SUP-160-171	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 1/2 UPPER	SUP-160-171	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 36 NARROW UPPER MAXILLARY GENERAL PURPOSE STRONG FULLY PROPORTIONED	SUP-160-172	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 36 NARROW UPPER MAXILLARY GENERAL PURPOSE STRONG FULLY PROPORTIONED	SUP-160-172	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 36 1/2 UPPER	SUP-160-173	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 36 1/2 UPPER	SUP-160-173	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 UPPER	SUP-160-174	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 UPPER	SUP-160-174	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 1/2 UPPER	SUP-160-175	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 1/2 UPPER	SUP-160-175	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 UPPER	SUP-160-176	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 UPPER	SUP-160-176	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 1/2 UPPER FLEXIBLE	SUP-160-177	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 1/2 UPPER FLEXIBLE	SUP-160-177	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 UPPER	SUP-160-178	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 UPPER	SUP-160-178	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 1/2 UPPER	SUP-160-179	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 1/2 UPPER	SUP-160-179	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 LOWER FLEXIBLE	SUP-160-266	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 LOWER FLEXIBLE	SUP-160-266	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 1/2 LOWER	SUP-160-267	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 33 1/2 LOWER	SUP-160-267	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 LOWER FLEXIBLE	SUP-160-268	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 LOWER FLEXIBLE	SUP-160-268	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 1/2 LOWER FLEXIBLE	SUP-160-269	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 34 1/2 LOWER FLEXIBLE	SUP-160-269	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 1/2 LOWER	SUP-160-271	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 35 1/2 LOWER	SUP-160-271	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 36 1/2 LOWER	SUP-160-273	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 36 1/2 LOWER	SUP-160-273	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 NARROW LOWER MAXILLARY GENERAL PURPOSE STRONG FULLY PROPORTIONED	SUP-160-274	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 37 NARROW LOWER MAXILLARY GENERAL PURPOSE STRONG FULLY PROPORTIONED	SUP-160-274	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 LOWER FLEXIBLE	SUP-160-276	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 LOWER FLEXIBLE	SUP-160-276	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 1/2 LOWER FLEXIBLE	SUP-160-277	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 38 1/2 LOWER FLEXIBLE	SUP-160-277	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 LOWER	SUP-160-278	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 LOWER	SUP-160-278	CDM			270	RC		inpatient			6.76	6.76																																																			
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 1/2 LOWER	SUP-160-279	CDM			270	RC		outpatient			6.76	6.76	1.83				percent of total billed charges		6.76				other	OPPS APC	5				percent of total billed charges		6.76				other	OPPS APC	6.76				other	OPPS APC	1.83				percent of total billed charges		1.87				percent of total billed charges		6.76				other	OPPS APC	1.83	6.76	
BAND MOLAR STAINLESS STEEL PEDIATRIC 39 1/2 LOWER	SUP-160-279	CDM			270	RC		inpatient			6.76	6.76																																																			
EPINEPHRINE 1 MG/ML SOLUTION 30 ML VIAL	636000000	CDM	76329-9060-0	NDC	J0171	HCPCS		inpatient			6.75	6.75																																																			
EPINEPHRINE 1 MG/ML SOLUTION 30 ML VIAL	636000000	CDM	76329-9060-0	NDC	J0171	HCPCS		outpatient			6.75	6.75																																															other	OPPS APC			
CITALOPRAM 20 MG TABLET	637000000	CDM	0904-6085-61	NDC	A9270	HCPCS		inpatient			6.74	6.74																																																			
CITALOPRAM 20 MG TABLET	637000000	CDM	0904-6085-61	NDC	A9270	HCPCS		outpatient			6.74	6.74																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND MULTIPASS SILK 3-0 PS-1 L18 IN BRAID BLACK	SUP-1684G	CDM			270	RC		outpatient			6.74	6.74	1.83				percent of total billed charges		6.74				other	OPPS APC	4.99				percent of total billed charges		6.74				other	OPPS APC	6.74				other	OPPS APC	1.83				percent of total billed charges		1.86				percent of total billed charges		6.74				other	OPPS APC	1.83	6.74	
SUTURE NONABSORBABLE PERMA-HAND MULTIPASS SILK 3-0 PS-1 L18 IN BRAID BLACK	SUP-1684G	CDM			270	RC		inpatient			6.74	6.74																																																			
"OXYMETAZOLINE 0.05 % SPRAY,NON-AEROSOL 30 ML SQUEEZ BTL"	637000000	CDM	0904-6761-30	NDC	A9270	HCPCS		inpatient			6.73	6.73																																																			
"OXYMETAZOLINE 0.05 % SPRAY,NON-AEROSOL 30 ML SQUEEZ BTL"	637000000	CDM	0904-6761-30	NDC	A9270	HCPCS		outpatient			6.73	6.73																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-10	NDC	J7050	HCPCS		inpatient			6.72	6.72																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-10	NDC	J7050	HCPCS		outpatient			6.72	6.72																																															other	OPPS APC			
SET ADMINISTRATION CLEARLINK CONTINU-FLO 10 GTT L105 IN INTRAVENOUS PRIMARY INFUSION MALE LUER LOCK ADAPTER 3 LUER ACTIVATED VALVE RETRACTABLE COLLAR STERILE LATEX FREE	SUP-2C8541	CDM						inpatient			6.71	6.71																																																			
SET ADMINISTRATION CLEARLINK CONTINU-FLO 10 GTT L105 IN INTRAVENOUS PRIMARY INFUSION MALE LUER LOCK ADAPTER 3 LUER ACTIVATED VALVE RETRACTABLE COLLAR STERILE LATEX FREE	SUP-2C8541	CDM						outpatient			6.71	6.71	6.71				percent of total billed charges		6.71				other	OPPS APC	6.71				fee schedule		6.71				other	OPPS APC	6.71				other	OPPS APC	6.71				case rate		6.71				case rate		6.71				other	OPPS APC	6.71	6.71	
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 10.5 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-930715	CDM	270009040	LOCAL	270	RC		outpatient			6.71	6.71	1.82				percent of total billed charges		6.71				other	OPPS APC	4.97				percent of total billed charges		6.71				other	OPPS APC	6.71				other	OPPS APC	1.82				percent of total billed charges		1.85				percent of total billed charges		6.71				other	OPPS APC	1.82	6.71	
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 10.5 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-930715	CDM	270009040	LOCAL	270	RC		inpatient			6.71	6.71																																																			
SUTURE ABSORBABLE LIGAPAK 3-0 54IN BROWN CHROMIC MONOFILAMENT REEL	SUP-L112G	CDM			270	RC		outpatient			6.71	6.71	1.82				percent of total billed charges		6.71				other	OPPS APC	4.97				percent of total billed charges		6.71				other	OPPS APC	6.71				other	OPPS APC	1.82				percent of total billed charges		1.85				percent of total billed charges		6.71				other	OPPS APC	1.82	6.71	
SUTURE ABSORBABLE LIGAPAK 3-0 54IN BROWN CHROMIC MONOFILAMENT REEL	SUP-L112G	CDM			270	RC		inpatient			6.71	6.71																																																			
"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-228-11	NDC	A9270	HCPCS		inpatient			6.7	6.7																																																			
"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-228-11	NDC	A9270	HCPCS		outpatient			6.7	6.7																																															other	OPPS APC			
DEXTROSE 5% PER 500 ML	636000000	CDM	0990-7923-13	NDC	J7060	HCPCS		inpatient			6.69	6.69																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0990-7923-13	NDC	J7060	HCPCS		outpatient			6.69	6.69																																															other	OPPS APC			
MORPHINE PER 10 MG	636000000	CDM	0641-6020-01	NDC	J2274	HCPCS		inpatient			6.69	6.69																																																			
MORPHINE PER 10 MG	636000000	CDM	0641-6020-01	NDC	J2274	HCPCS		outpatient			6.69	6.69																																															other	OPPS APC			
BURR DENTAL MIDWEST CARBIDE ROUND L1.4 MM OD1.4 MM LATCH	SUP-389105	CDM						inpatient			6.66	6.66																																																			
BURR DENTAL MIDWEST CARBIDE ROUND L1.4 MM OD1.4 MM LATCH	SUP-389105	CDM						outpatient			6.66	6.66	6.66				percent of total billed charges		6.66				other	OPPS APC	6.66				fee schedule		6.66				other	OPPS APC	6.66				other	OPPS APC	6.66				case rate		6.66				case rate		6.66				other	OPPS APC	6.66	6.66	
SUTURE NONABSORBABLE PROLENE 1 XLH 60IN BLUE MONOFILAMENT	SUP-8845G	CDM			270	RC		outpatient			6.63	6.63	1.8				percent of total billed charges		6.63				other	OPPS APC	4.91				percent of total billed charges		6.63				other	OPPS APC	6.63				other	OPPS APC	1.8				percent of total billed charges		1.83				percent of total billed charges		6.63				other	OPPS APC	1.8	6.63	
SUTURE NONABSORBABLE PROLENE 1 XLH 60IN BLUE MONOFILAMENT	SUP-8845G	CDM			270	RC		inpatient			6.63	6.63																																																			
DRAPE SURGICAL SMS L44.5 IN X W40 IN L32 IN X W29 IN UNDER BUTTOCK POUCH BACK STERILE LATEX FREE	SUP-DYNJP6006	CDM			270	RC		outpatient			6.61	6.61	1.79				percent of total billed charges		6.61				other	OPPS APC	4.89				percent of total billed charges		6.61				other	OPPS APC	6.61				other	OPPS APC	1.79				percent of total billed charges		1.83				percent of total billed charges		6.61				other	OPPS APC	1.79	6.61	
DRAPE SURGICAL SMS L44.5 IN X W40 IN L32 IN X W29 IN UNDER BUTTOCK POUCH BACK STERILE LATEX FREE	SUP-DYNJP6006	CDM			270	RC		inpatient			6.61	6.61																																																			
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML LIQUID	637000000	CDM	904727741	NDC	A9270	HCPCS		inpatient			6.54	6.54																																																			
FERROUS SULFATE 300 MG (60 MG IRON)/5 ML LIQUID	637000000	CDM	904727741	NDC	A9270	HCPCS		outpatient			6.54	6.54																																															other	OPPS APC			
GOWN SURGICAL SIRUS SMS POLYETHYLENE XL L47 IN AAMI LEVEL 4 IMPERVIOUS SLEEVE REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2208S	CDM						inpatient			6.53	6.53																																																			
GOWN SURGICAL SIRUS SMS POLYETHYLENE XL L47 IN AAMI LEVEL 4 IMPERVIOUS SLEEVE REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2208S	CDM						outpatient			6.53	6.53	6.53				percent of total billed charges		6.53				other	OPPS APC	6.53				fee schedule		6.53				other	OPPS APC	6.53				other	OPPS APC	6.53				case rate		6.53				case rate		6.53				other	OPPS APC	6.53	6.53	
LABEL MEDICAL 2 TIP SKIN UTILITY MARKER BLANK STOP SLEEVE GOLD STANDARD STERILE	SUP-LBLBLANKGSM	CDM						inpatient			6.52	6.52																																																			
LABEL MEDICAL 2 TIP SKIN UTILITY MARKER BLANK STOP SLEEVE GOLD STANDARD STERILE	SUP-LBLBLANKGSM	CDM						outpatient			6.52	6.52	6.52				percent of total billed charges		6.52				other	OPPS APC	6.52				fee schedule		6.52				other	OPPS APC	6.52				other	OPPS APC	6.52				case rate		6.52				case rate		6.52				other	OPPS APC	6.52	6.52	
SUTURE ABSORBABLE CHROMIC 0 UR-5 L27 IN MONOFILAMENT BROWN	SUP-U246H	CDM			270	RC		outpatient			6.51	6.6	1.76				percent of total billed charges		6.51				other	OPPS APC	4.82				percent of total billed charges		6.51				other	OPPS APC	6.51				other	OPPS APC	1.76				percent of total billed charges		1.8				percent of total billed charges		6.6				other	OPPS APC	1.76	6.6	
SUTURE ABSORBABLE CHROMIC 0 UR-5 L27 IN MONOFILAMENT BROWN	SUP-U246H	CDM			270	RC		inpatient			6.51	6.51																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-6010-02	NDC	J2704	HCPCS		inpatient			6.49	6.49																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-6010-25	NDC	J2704	HCPCS		inpatient			6.49	6.49																																																			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-6010-02	NDC	J2704	HCPCS		outpatient			6.49	6.49																																															other	OPPS APC			
PROPOFOL 10 MG/ML EMULSION	636000000	CDM	0409-6010-25	NDC	J2704	HCPCS		outpatient			6.49	6.49																																															other	OPPS APC			
BUMETANIDE 1 MG TABLET	637000000	CDM	60687-384-11	NDC	A9270	HCPCS		inpatient			6.49	6.49																																																			
BUMETANIDE 1 MG TABLET	637000000	CDM	60687-384-11	NDC	A9270	HCPCS		outpatient			6.49	6.49																																															other	OPPS APC			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	63323-495-07	NDC	J2001	HCPCS		inpatient			6.47	6.47																																																			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	63323-495-07	NDC	J2001	HCPCS		outpatient			6.47	6.47																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 2 LR L30 IN 2 ARM MONOFILAMENT BLACK	SUP-490T	CDM			270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
SUTURE NONABSORBABLE ETHILON 2 LR L30 IN 2 ARM MONOFILAMENT BLACK	SUP-490T	CDM			270	RC		inpatient			6.47	6.47																																																			
CATHETER URETHRAL DOVER SILICONE NONPOROUS L16 IN OD18 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605189	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER URETHRAL DOVER SILICONE NONPOROUS L16 IN OD18 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605189	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
CATHETER URETHRAL DOVER SILICONE L16 IN OD20 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605205	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER URETHRAL DOVER SILICONE L16 IN OD20 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605205	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE PVC STRAIGHT L20 IN OD20 FR THORACIC SMOOTH SIDE EYE RADIOPAQUE OPEN DISTAL TIP BEVEL CONNECTOR END STERILE LATEX FREE DISPOSABLE CLEAR	SUP-8888570523	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE PVC STRAIGHT L20 IN OD20 FR THORACIC SMOOTH SIDE EYE RADIOPAQUE OPEN DISTAL TIP BEVEL CONNECTOR END STERILE LATEX FREE DISPOSABLE CLEAR	SUP-8888570523	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
CATHETER DRAINAGE ARGYLE STRAIGHT 20IN 24FR CLEAR PVC DISPOSABLE STERILE THORACIC SMOOTH SIDE EYE RADIOPAQUE OPEN DISTAL	SUP-8888570531	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER DRAINAGE ARGYLE STRAIGHT 20IN 24FR CLEAR PVC DISPOSABLE STERILE THORACIC SMOOTH SIDE EYE RADIOPAQUE OPEN DISTAL	SUP-8888570531	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE STRAIGHT 20IN 28FR CLEAR PVC DISPOSABLE STERILE LF THORACIC SMOOTH	SUP-8888570549	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE STRAIGHT 20IN 28FR CLEAR PVC DISPOSABLE STERILE LF THORACIC SMOOTH	SUP-8888570549	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE STRAIGHT 20IN 32FR CLEAR PVC DISPOSABLE STERILE LF THORACIC SMOOTH	SUP-8888570556	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE STRAIGHT 20IN 32FR CLEAR PVC DISPOSABLE STERILE LF THORACIC SMOOTH	SUP-8888570556	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE PVC STRAIGHT L20 IN OD36 FR THORACIC 6 SIDE EYE BEVEL CONNECTOR END DEPTH MARK RADIOPAQUE STERILE LATEX FREE DISPOSABLE CLEAR	SUP-8888570564	CDM	270009136	LOCAL	270	RC		outpatient			6.47	6.47	1.75				percent of total billed charges		6.47				other	OPPS APC	4.79				percent of total billed charges		6.47				other	OPPS APC	6.47				other	OPPS APC	1.75				percent of total billed charges		1.79				percent of total billed charges		6.47				other	OPPS APC	1.75	6.47	
CATHETER DRAINAGE ARGYLE SENTINEL LINE SENTINEL EYE PVC STRAIGHT L20 IN OD36 FR THORACIC 6 SIDE EYE BEVEL CONNECTOR END DEPTH MARK RADIOPAQUE STERILE LATEX FREE DISPOSABLE CLEAR	SUP-8888570564	CDM	270009136	LOCAL	270	RC		inpatient			6.47	6.47																																																			
COVER TABLE SMS STANDARD L90 IN X W60 IN REINFORCE HEAVY DUTY STERILE LATEX FREE DISPOSABLE	SUP-DYNJP2314	CDM						inpatient			6.47	6.47																																																			
COVER TABLE SMS STANDARD L90 IN X W60 IN REINFORCE HEAVY DUTY STERILE LATEX FREE DISPOSABLE	SUP-DYNJP2314	CDM						outpatient			6.47	6.47	6.47				percent of total billed charges		6.47				other	OPPS APC	6.47				fee schedule		6.47				other	OPPS APC	6.47				other	OPPS APC	6.47				case rate		6.47				case rate		6.47				other	OPPS APC	6.47	6.47	
NIFEDIPINE 10 MG CAPSULE	637000000	CDM	0904-7229-61	NDC	A9270	HCPCS		inpatient			6.46	6.46																																																			
NIFEDIPINE 10 MG CAPSULE	637000000	CDM	0904-7229-61	NDC	A9270	HCPCS		outpatient			6.46	6.46																																															other	OPPS APC			
SOLUTION IRRIGATION UROMATIC 1000ML WATER STERILE LF PLASTIC CONTAINER	SUP-2B7114X	CDM						inpatient			6.44	6.44																																																			
SOLUTION IRRIGATION UROMATIC 1000ML WATER STERILE LF PLASTIC CONTAINER	SUP-2B7114X	CDM						outpatient			6.44	6.44	6.44				percent of total billed charges		6.44				other	OPPS APC	6.44				fee schedule		6.44				other	OPPS APC	6.44				other	OPPS APC	6.44				case rate		6.44				case rate		6.44				other	OPPS APC	6.44	6.44	
SUTURE NONABSORBABLE ETHILON MULTIPASS 6-0 P-3 18IN BLACK MONOFILAMENT	SUP-1698G	CDM			270	RC		outpatient			6.43	6.43	1.74				percent of total billed charges		6.43				other	OPPS APC	4.76				percent of total billed charges		6.43				other	OPPS APC	6.43				other	OPPS APC	1.74				percent of total billed charges		1.78				percent of total billed charges		6.43				other	OPPS APC	1.74	6.43	
SUTURE NONABSORBABLE ETHILON MULTIPASS 6-0 P-3 18IN BLACK MONOFILAMENT	SUP-1698G	CDM			270	RC		inpatient			6.43	6.43																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS 5-0 P-3 18IN BLACK MONOFILAMENT	SUP-698G	CDM			270	RC		outpatient			6.43	6.43	1.74				percent of total billed charges		6.43				other	OPPS APC	4.76				percent of total billed charges		6.43				other	OPPS APC	6.43				other	OPPS APC	1.74				percent of total billed charges		1.78				percent of total billed charges		6.43				other	OPPS APC	1.74	6.43	
SUTURE NONABSORBABLE ETHILON MULTIPASS 5-0 P-3 18IN BLACK MONOFILAMENT	SUP-698G	CDM			270	RC		inpatient			6.43	6.43																																																			
QUICK STAT FS GEL	SUP-1076407	CDM			270	RC		outpatient			6.4	6.44	1.73				percent of total billed charges		6.4				other	OPPS APC	4.74				percent of total billed charges		6.4				other	OPPS APC	6.4				other	OPPS APC	1.73				percent of total billed charges		1.77				percent of total billed charges		6.44				other	OPPS APC	1.73	6.44	
QUICK STAT FS GEL	SUP-1076407	CDM			270	RC		inpatient			6.4	6.4																																																			
BURR DENTAL MIDWEST CARBIDE LONG TAPER L4.9 MM OD.9 MM FRICTION GRIP ROUND END	SUP-389242	CDM						inpatient			6.4	6.4																																																			
BURR DENTAL MIDWEST CARBIDE LONG TAPER L4.9 MM OD.9 MM FRICTION GRIP ROUND END	SUP-389242	CDM						outpatient			6.4	6.44	6.4				percent of total billed charges		6.4				other	OPPS APC	6.4				fee schedule		6.4				other	OPPS APC	6.4				other	OPPS APC	6.4				case rate		6.4				case rate		6.44				other	OPPS APC	6.4	6.44	
APPLICATOR MEDICATED 8IN PVP IODINE STERILE LF SWABSTICK PRESATURATE	SUP-DYND70288	CDM						inpatient			6.4	6.4																																																			
APPLICATOR MEDICATED 8IN PVP IODINE STERILE LF SWABSTICK PRESATURATE	SUP-DYND70288	CDM						outpatient			6.4	6.44	6.4				percent of total billed charges		6.4				other	OPPS APC	6.4				fee schedule		6.4				other	OPPS APC	6.4				other	OPPS APC	6.4				case rate		6.4				case rate		6.44				other	OPPS APC	6.4	6.44	
MIDWEST CARBIDE BURR	SUP-FG1170L	CDM						inpatient			6.4	6.4																																																			
MIDWEST CARBIDE BURR	SUP-FG1170L	CDM						outpatient			6.4	6.44	6.4				percent of total billed charges		6.4				other	OPPS APC	6.4				fee schedule		6.4				other	OPPS APC	6.4				other	OPPS APC	6.4				case rate		6.4				case rate		6.44				other	OPPS APC	6.4	6.44	
MORPHINE 2 MG/ML SYRINGE	636000000	CDM	0409-1890-03	NDC	J2270	HCPCS		inpatient			6.39	6.39																																																			
MORPHINE 2 MG/ML SYRINGE	636000000	CDM	0409-1890-03	NDC	J2270	HCPCS		outpatient			6.39	6.39																																															other	OPPS APC			
KIT DRESSING CHANGE	SUP-81429	CDM	270009216	LOCAL	270	RC		outpatient			6.35	6.35	1.72				percent of total billed charges		6.35				other	OPPS APC	4.7				percent of total billed charges		6.35				other	OPPS APC	6.35				other	OPPS APC	1.72				percent of total billed charges		1.75				percent of total billed charges		6.35				other	OPPS APC	1.72	6.35	
KIT DRESSING CHANGE	SUP-81429	CDM	270009216	LOCAL	270	RC		inpatient			6.35	6.35																																																			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	0409-0152-01	NDC	J1836	HCPCS		inpatient			6.34	6.34																																																			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	0409-0152-24	NDC	J1836	HCPCS		inpatient			6.34	6.34																																																			
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	0409-0152-01	NDC	J1836	HCPCS		outpatient			6.34	0.27																																											0.27				other	OPPS APC	0.27	0.27	
METRONIDAZOLE 500 MG/100 ML PIGGYBACK	636000000	CDM	0409-0152-24	NDC	J1836	HCPCS		outpatient			6.34	0.27																																											0.27				other	OPPS APC	0.27	0.27	
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	0409-1162-18	NDC	J0665	HCPCS		inpatient			6.3	6.3																																																			
BUPIVACAINE PF 0.5 % (5 MG/ML) SOLUTION	636000000	CDM	0409-1162-18	NDC	J0665	HCPCS		outpatient			6.3	0.16																																											0.16				other	OPPS APC	0.16	0.16	
TAPE SURGICAL 3M MICROFOAM 5.5YDX3IN WHITE FOAM LF HYPOALLERGENIC WATER RESISTANT MULTIDIRECTIONAL STRETCH ELASTIC	SUP-1528-3	CDM						inpatient			6.29	6.29																																																			
TAPE SURGICAL 3M MICROFOAM 5.5YDX3IN WHITE FOAM LF HYPOALLERGENIC WATER RESISTANT MULTIDIRECTIONAL STRETCH ELASTIC	SUP-1528-3	CDM						outpatient			6.29	6.29	6.29				percent of total billed charges		6.29				other	OPPS APC	6.29				fee schedule		6.29				other	OPPS APC	6.29				other	OPPS APC	6.29				case rate		6.29				case rate		6.29				other	OPPS APC	6.29	6.29	
DEXAMETHASONE PER 0.25 MG	636000000	CDM	0904-7266-61	NDC	J8540	HCPCS		inpatient			6.27	6.27																																																			
DEXAMETHASONE PER 0.25 MG	636000000	CDM	0904-7266-61	NDC	J8540	HCPCS		outpatient			6.27	6.27																																															other	OPPS APC			
CAP PROTECTIVE NONSTERILE 11 MM CARBON FIBER ROD	SUP-394.97	CDM	270010022	LOCAL	270	RC		outpatient			6.27	6.27	1.7				percent of total billed charges		6.27				other	OPPS APC	4.64				percent of total billed charges		6.27				other	OPPS APC	6.27				other	OPPS APC	1.7				percent of total billed charges		1.73				percent of total billed charges		6.27				other	OPPS APC	1.7	6.27	
CAP PROTECTIVE NONSTERILE 11 MM CARBON FIBER ROD	SUP-394.97	CDM	270010022	LOCAL	270	RC		inpatient			6.27	6.27																																																			
MEDROXYPROGESTERONE 2.5 MG TABLET	637000000	CDM	0555-0872-02	NDC	A9270	HCPCS		inpatient			6.26	6.26																																																			
MEDROXYPROGESTERONE 2.5 MG TABLET	637000000	CDM	0555-0872-02	NDC	A9270	HCPCS		outpatient			6.26	6.26																																															other	OPPS APC			
PRAVASTATIN 20 MG TABLET	637000000	CDM	0904-5892-61	NDC	A9270	HCPCS		inpatient			6.24	6.24																																																			
PRAVASTATIN 20 MG TABLET	637000000	CDM	0904-5892-61	NDC	A9270	HCPCS		outpatient			6.24	6.24																																															other	OPPS APC			
FLUOXETINE 20 MG CAPSULE	637000000	CDM	0904-5785-61	NDC	A9270	HCPCS		inpatient			6.21	6.21																																																			
FLUOXETINE 20 MG CAPSULE	637000000	CDM	0904-5785-61	NDC	A9270	HCPCS		outpatient			6.21	6.21																																															other	OPPS APC			
SLEEVE COMPRESSION KENDALL SCD EXPRESS LG KNEE LENGTH NYLON DISPOSABLE NS LF ADJUSTABLE CIRCUMFERENTIAL BLADDER	SUP-9789	CDM			270	RC		outpatient			6.18	6.18	1.67				percent of total billed charges		6.18				other	OPPS APC	4.57				percent of total billed charges		6.18				other	OPPS APC	6.18				other	OPPS APC	1.67				percent of total billed charges		1.71				percent of total billed charges		6.18				other	OPPS APC	1.67	6.18	
SLEEVE COMPRESSION KENDALL SCD EXPRESS LG KNEE LENGTH NYLON DISPOSABLE NS LF ADJUSTABLE CIRCUMFERENTIAL BLADDER	SUP-9789	CDM			270	RC		inpatient			6.18	6.18																																																			
LACOSAMIDE 100 MG TABLET	637000000	CDM	0904-7245-68	NDC	A9270	HCPCS		inpatient			6.16	6.16																																																			
LACOSAMIDE 100 MG TABLET	637000000	CDM	0904-7245-68	NDC	A9270	HCPCS		outpatient			6.16	6.16																																															other	OPPS APC			
MASK POSITIONING T-MAX GEL FACE	SUP-7210556	CDM			270	RC		outpatient			6.16	6.16	1.67				percent of total billed charges		6.16				other	OPPS APC	4.56				percent of total billed charges		6.16				other	OPPS APC	6.16				other	OPPS APC	1.67				percent of total billed charges		1.7				percent of total billed charges		6.16				other	OPPS APC	1.67	6.16	
MASK POSITIONING T-MAX GEL FACE	SUP-7210556	CDM			270	RC		inpatient			6.16	6.16																																																			
MASK POSITIONING T-MAX GEL FACE	SUP-7210559	CDM			270	RC		outpatient			6.16	6.16	1.67				percent of total billed charges		6.16				other	OPPS APC	4.56				percent of total billed charges		6.16				other	OPPS APC	6.16				other	OPPS APC	1.67				percent of total billed charges		1.7				percent of total billed charges		6.16				other	OPPS APC	1.67	6.16	
MASK POSITIONING T-MAX GEL FACE	SUP-7210559	CDM			270	RC		inpatient			6.16	6.16																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63739-170-13	NDC	J2001	HCPCS		inpatient			6.13	6.13																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63739-170-13	NDC	J2001	HCPCS		outpatient			6.13	6.13																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 4-0 SH L27 IN MONOFILAMENT BROWN	SUP-G121H	CDM			270	RC		outpatient			6.13	6.13	1.66				percent of total billed charges		6.13				other	OPPS APC	4.54				percent of total billed charges		6.13				other	OPPS APC	6.13				other	OPPS APC	1.66				percent of total billed charges		1.69				percent of total billed charges		6.13				other	OPPS APC	1.66	6.13	
SUTURE ABSORBABLE CHROMIC 4-0 SH L27 IN MONOFILAMENT BROWN	SUP-G121H	CDM			270	RC		inpatient			6.13	6.13																																																			
MORPHINE PER 10 MG	636000000	CDM	0641-6127-01	NDC	J2270	HCPCS		inpatient			6.12	6.12																																																			
MORPHINE PER 10 MG	636000000	CDM	0641-6127-01	NDC	J2270	HCPCS		outpatient			6.12	6.12																																															other	OPPS APC			
ACETAMINOPHEN 650 MG/20.3 ML SOLUTION	637000000	CDM	0121-1971-21	NDC	A9270	HCPCS		inpatient			6.11	6.11																																																			
ACETAMINOPHEN 650 MG/20.3 ML SOLUTION	637000000	CDM	0121-1971-21	NDC	A9270	HCPCS		outpatient			6.11	6.11																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND MULTIPASS 4-0 PS-2 18IN BLACK SILK BRAID	SUP-1677G	CDM			270	RC		outpatient			6.1	7	1.65				percent of total billed charges		6.1				other	OPPS APC	4.51				percent of total billed charges		6.1				other	OPPS APC	6.1				other	OPPS APC	1.65				percent of total billed charges		1.69				percent of total billed charges		7				other	OPPS APC	1.65	7	
SUTURE NONABSORBABLE PERMA-HAND MULTIPASS 4-0 PS-2 18IN BLACK SILK BRAID	SUP-1677G	CDM			270	RC		inpatient			6.1	6.1																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	0409-1159-19	NDC	J0665	HCPCS		inpatient			6.09	6.09																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	0409-1159-19	NDC	J0665	HCPCS		outpatient			6.09	0.16																																											0.16				other	OPPS APC	0.16	0.16	
SUTURE ABSORBABLE 0 MH 27IN CHROMIC MONOFILAMENT	SUP-G128H	CDM			270	RC		outpatient			6.09	6.9	1.65				percent of total billed charges		6.09				other	OPPS APC	4.51				percent of total billed charges		6.09				other	OPPS APC	6.09				other	OPPS APC	1.65				percent of total billed charges		1.68				percent of total billed charges		6.9				other	OPPS APC	1.65	6.9	
SUTURE ABSORBABLE 0 MH 27IN CHROMIC MONOFILAMENT	SUP-G128H	CDM			270	RC		inpatient			6.09	6.09																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	0409-2723-30	NDC	J1644	HCPCS		inpatient			6.06	6.06																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	0409-2723-30	NDC	J1644	HCPCS		outpatient			6.06	6.06																																															other	OPPS APC			
FLUOXETINE 10 MG CAPSULE	637000000	CDM	0904-5784-61	NDC	A9270	HCPCS		inpatient			6.05	6.05																																																			
FLUOXETINE 10 MG CAPSULE	637000000	CDM	0904-5784-61	NDC	A9270	HCPCS		outpatient			6.05	6.05																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 0 FSLX L30 IN MONOFILAMENT BLUE	SUP-8690H	CDM			270	RC		outpatient			6.05	6.5	1.64				percent of total billed charges		6.05				other	OPPS APC	4.48				percent of total billed charges		6.05				other	OPPS APC	6.05				other	OPPS APC	1.64				percent of total billed charges		1.67				percent of total billed charges		6.5				other	OPPS APC	1.64	6.5	
SUTURE NONABSORBABLE PROLENE 0 FSLX L30 IN MONOFILAMENT BLUE	SUP-8690H	CDM			270	RC		inpatient			6.05	6.05																																																			
CRADLE POSITIONING FOAM L24IN X W5 IN XH3 IN ARM CONVOLUTE LATEX FREE LAMINECTOMY	SUP-NON081344	CDM						inpatient			6.05	6.05																																																			
CRADLE POSITIONING FOAM L24IN X W5 IN XH3 IN ARM CONVOLUTE LATEX FREE LAMINECTOMY	SUP-NON081344	CDM						outpatient			6.05	6.5	6.05				percent of total billed charges		6.05				other	OPPS APC	6.05				fee schedule		6.05				other	OPPS APC	6.05				other	OPPS APC	6.05				case rate		6.05				case rate		6.5				other	OPPS APC	6.05	6.5	
FENTANYL PER 0.1 MG	636000000	CDM	63323-806-12	NDC	J3010	HCPCS		inpatient			6.03	6.03																																																			
FENTANYL PER 0.1 MG	636000000	CDM	63323-806-12	NDC	J3010	HCPCS		outpatient			6.03	6.03																																															other	OPPS APC			
LANOLIN 100 % CREAM 7 G TUBE	637000000	CDM	4467710202	NDC	A9270	HCPCS		inpatient			6	6																																																			
LANOLIN 100 % CREAM 7 G TUBE	637000000	CDM	4467710202	NDC	A9270	HCPCS		outpatient			6	6																																															other	OPPS APC			
Visual Function Screening	PX-510991721	CDM	99172	CPT	510	RC		inpatient			6	6																																																			
Visual Function Screening	PX-510991721	CDM	99172	CPT	510	RC		outpatient			6	6	169.66				case rate		6				other	OPPS APC	101				case rate		6				other	OPPS APC	6				fee schedule		169.66				case rate		173.05				case rate		6				other	OPPS APC	6	173.05	
GOWN SURGICAL SIRUS SMS POLYETHYLENE LARGE L43 IN AAMI LEVEL 4 IMPERVIOUS SLEEVE REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2207S	CDM			270	RC		outpatient			5.97	5.97	1.62				percent of total billed charges		5.97				other	OPPS APC	4.42				percent of total billed charges		5.97				other	OPPS APC	5.97				other	OPPS APC	1.62				percent of total billed charges		1.65				percent of total billed charges		5.97				other	OPPS APC	1.62	5.97	
GOWN SURGICAL SIRUS SMS POLYETHYLENE LARGE L43 IN AAMI LEVEL 4 IMPERVIOUS SLEEVE REINFORCE HOOK LOOP CLOSURE STERILE LATEX FREE DISPOSABLE BLUE	SUP-DYNJP2207S	CDM			270	RC		inpatient			5.97	5.97																																																			
TUBE RECTAL PLASTIC L20 IN OD24 FR FLEXIBLE CONNECTOR LUBRICANT NONSTERILE LATEX FREE DISPOSABLE	SUP-0006510	CDM	270009047	LOCAL	270	RC		outpatient			5.96	5.96	1.61				percent of total billed charges		5.96				other	OPPS APC	4.41				percent of total billed charges		5.96				other	OPPS APC	5.96				other	OPPS APC	1.61				percent of total billed charges		1.65				percent of total billed charges		5.96				other	OPPS APC	1.61	5.96	
TUBE RECTAL PLASTIC L20 IN OD24 FR FLEXIBLE CONNECTOR LUBRICANT NONSTERILE LATEX FREE DISPOSABLE	SUP-0006510	CDM	270009047	LOCAL	270	RC		inpatient			5.96	5.96																																																			
NEEDLE SPINAL BD QUINCKE REGULAR WALL 3.5IN 20GA YELLOW POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-405182	CDM						inpatient			5.96	5.96																																																			
NEEDLE SPINAL BD QUINCKE REGULAR WALL 3.5IN 20GA YELLOW POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-405182	CDM						outpatient			5.96	5.96	5.96				percent of total billed charges		5.96				other	OPPS APC	5.96				fee schedule		5.96				other	OPPS APC	5.96				other	OPPS APC	5.96				case rate		5.96				case rate		5.96				other	OPPS APC	5.96	5.96	
BLADE SURGICAL CLIPPER SENSICLIP NARROW W25 MM X H.23 MM 3 EASY TO CHANGE TAPER HEAD LATEX FREE DISPOSABLE PINK	SUP-4403A	CDM						inpatient			5.96	5.96																																																			
BLADE SURGICAL CLIPPER SENSICLIP NARROW W25 MM X H.23 MM 3 EASY TO CHANGE TAPER HEAD LATEX FREE DISPOSABLE PINK	SUP-4403A	CDM						outpatient			5.96	5.96	5.96				percent of total billed charges		5.96				other	OPPS APC	5.96				fee schedule		5.96				other	OPPS APC	5.96				other	OPPS APC	5.96				case rate		5.96				case rate		5.96				other	OPPS APC	5.96	5.96	
SPECULUM VAGINAL ER-SPEC OFFICE SPEC MEDIUM LED LIGHT BATTERY LOCK HINGE NONSTERILE LATEX FREE DISPOSABLE CLEAR	SUP-C020110-1	CDM			270	RC		outpatient			5.96	5.96	1.61				percent of total billed charges		5.96				other	OPPS APC	4.41				percent of total billed charges		5.96				other	OPPS APC	5.96				other	OPPS APC	1.61				percent of total billed charges		1.65				percent of total billed charges		5.96				other	OPPS APC	1.61	5.96	
SPECULUM VAGINAL ER-SPEC OFFICE SPEC MEDIUM LED LIGHT BATTERY LOCK HINGE NONSTERILE LATEX FREE DISPOSABLE CLEAR	SUP-C020110-1	CDM			270	RC		inpatient			5.96	5.96																																																			
SUTURE ABSORBABLE MONOCRYL 3-0 KS L27 IN MONOFILAMENT UNDYED	SUP-Y523H	CDM			270	RC		outpatient			5.95	5.95	1.61				percent of total billed charges		5.95				other	OPPS APC	4.4				percent of total billed charges		5.95				other	OPPS APC	5.95				other	OPPS APC	1.61				percent of total billed charges		1.64				percent of total billed charges		5.95				other	OPPS APC	1.61	5.95	
SUTURE ABSORBABLE MONOCRYL 3-0 KS L27 IN MONOFILAMENT UNDYED	SUP-Y523H	CDM			270	RC		inpatient			5.95	5.95																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0409-1159-18	NDC	J0665	HCPCS		inpatient			5.94	5.94																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION 10 ML VIAL	636000000	CDM	0409-1159-18	NDC	J0665	HCPCS		outpatient			5.94	0.16																																											0.16				other	OPPS APC	0.16	0.16	
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	71288-402-10	NDC	J1644	HCPCS		inpatient			5.94	5.94																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	71288-402-10	NDC	J1644	HCPCS		outpatient			5.94	5.94																																															other	OPPS APC			
HEPARIN (PROCINE) PER 1000 UNITS	636000000	CDM	71288-402-10	NDC	J1644	HCPCS		inpatient			5.94	5.94																																																			
HEPARIN (PROCINE) PER 1000 UNITS	636000000	CDM	71288-402-10	NDC	J1644	HCPCS		outpatient			5.94	5.94																																															other	OPPS APC			
PILLOW PATIENT L 27 IN X W21 IN 18 OZ REUSABLE BLUE	SUP-51108-101/24	CDM						inpatient			5.93	5.93																																																			
PILLOW PATIENT L 27 IN X W21 IN 18 OZ REUSABLE BLUE	SUP-51108-101/24	CDM						outpatient			5.93	5.93	5.93				percent of total billed charges		5.93				other	OPPS APC	5.93				fee schedule		5.93				other	OPPS APC	5.93				other	OPPS APC	5.93				case rate		5.93				case rate		5.93				other	OPPS APC	5.93	5.93	
STOCKINETTE ORTHOPEDIC CONVERTORS POLYESTER LARGE L48 IN X W9 IN IMPERVIOUS BARRIER DRAPE WOVEN STERILE LATEX FREE	SUP-1586	CDM						inpatient			5.92	5.92																																																			
STOCKINETTE ORTHOPEDIC CONVERTORS POLYESTER LARGE L48 IN X W9 IN IMPERVIOUS BARRIER DRAPE WOVEN STERILE LATEX FREE	SUP-1586	CDM						outpatient			5.92	5.92	5.92				percent of total billed charges		5.92				other	OPPS APC	5.92				fee schedule		5.92				other	OPPS APC	5.92				other	OPPS APC	5.92				case rate		5.92				case rate		5.92				other	OPPS APC	5.92	5.92	
TUBING HIGH PRESS 10 M/F ROT CLR	SUP-DYNJTBGHP10R	CDM						inpatient			5.92	5.92																																																			
TUBING HIGH PRESS 10 M/F ROT CLR	SUP-DYNJTBGHP10R	CDM						outpatient			5.92	5.92	5.92				percent of total billed charges		5.92				other	OPPS APC	5.92				fee schedule		5.92				other	OPPS APC	5.92				other	OPPS APC	5.92				case rate		5.92				case rate		5.92				other	OPPS APC	5.92	5.92	
SUTURE 30 INCHES  BLACK 3-0  COVIDIEN SOFSILK	SUP-GS-832	CDM			270	RC		outpatient			5.88	5.88	1.59				percent of total billed charges		5.88				other	OPPS APC	4.35				percent of total billed charges		5.88				other	OPPS APC	5.88				other	OPPS APC	1.59				percent of total billed charges		1.62				percent of total billed charges		5.88				other	OPPS APC	1.59	5.88	
SUTURE 30 INCHES  BLACK 3-0  COVIDIEN SOFSILK	SUP-GS-832	CDM			270	RC		inpatient			5.88	5.88																																																			
MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION	637000000	CDM	0121-0431-30	NDC	A9270	HCPCS		inpatient			5.86	5.86																																																			
MAGNESIUM HYDROXIDE 400 MG/5 ML SUSPENSION	637000000	CDM	0121-0431-30	NDC	A9270	HCPCS		outpatient			5.86	5.86																																															other	OPPS APC			
MORPHINE 4 MG/ML SOLUTION	636000000	CDM	0409-1891-03	NDC	J2270	HCPCS		inpatient			5.84	5.84																																																			
MORPHINE 4 MG/ML SOLUTION	636000000	CDM	0409-1891-03	NDC	J2270	HCPCS		outpatient			5.84	5.84																																															other	OPPS APC			
MORPHINE 4 MG/ML SYRINGE	636000000	CDM	0409-1891-03	NDC	J2270	HCPCS		inpatient			5.84	5.84																																																			
MORPHINE 4 MG/ML SYRINGE	636000000	CDM	0409-1891-03	NDC	J2270	HCPCS		outpatient			5.84	5.84																																															other	OPPS APC			
SHOE POSTOPERATIVE CANVAS RUBBER MALE 6-8 SMALL BOTTOM RIGID SOLE HOOK LOOP CLOSURE OPEN TOE NONSTERILE LATEX FREE BEIGE	SUP-2041-01	CDM	270009115	LOCAL	270	RC		outpatient			5.83	5.83	1.58				percent of total billed charges		5.83				other	OPPS APC	4.31				percent of total billed charges		5.83				other	OPPS APC	5.83				other	OPPS APC	1.58				percent of total billed charges		1.61				percent of total billed charges		5.83				other	OPPS APC	1.58	5.83	
SHOE POSTOPERATIVE CANVAS RUBBER MALE 6-8 SMALL BOTTOM RIGID SOLE HOOK LOOP CLOSURE OPEN TOE NONSTERILE LATEX FREE BEIGE	SUP-2041-01	CDM	270009115	LOCAL	270	RC		inpatient			5.83	5.83																																																			
SHOE POSTOPERATIVE CANVAS RUBBER FEMALE 4-6 SMALL UNIVERSAL FOOT BILATERAL RIGID SOLE HOOK LOOP CLOSURE CLOSED HEEL NONSTERILE LATEX FREE BEIGE	SUP-2041-07	CDM	270009115	LOCAL	270	RC		outpatient			5.83	5.83	1.58				percent of total billed charges		5.83				other	OPPS APC	4.31				percent of total billed charges		5.83				other	OPPS APC	5.83				other	OPPS APC	1.58				percent of total billed charges		1.61				percent of total billed charges		5.83				other	OPPS APC	1.58	5.83	
SHOE POSTOPERATIVE CANVAS RUBBER FEMALE 4-6 SMALL UNIVERSAL FOOT BILATERAL RIGID SOLE HOOK LOOP CLOSURE CLOSED HEEL NONSTERILE LATEX FREE BEIGE	SUP-2041-07	CDM	270009115	LOCAL	270	RC		inpatient			5.83	5.83																																																			
SHOE POSTOPERATIVE AEGIS 8.5-10 MED RUBBER NS LF MALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-02	CDM	270009115	LOCAL	270	RC		outpatient			5.83	5.83	1.58				percent of total billed charges		5.83				other	OPPS APC	4.31				percent of total billed charges		5.83				other	OPPS APC	5.83				other	OPPS APC	1.58				percent of total billed charges		1.61				percent of total billed charges		5.83				other	OPPS APC	1.58	5.83	
SHOE POSTOPERATIVE AEGIS 8.5-10 MED RUBBER NS LF MALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-02	CDM	270009115	LOCAL	270	RC		inpatient			5.83	5.83																																																			
SHOE POSTOPERATIVE AEGIS 10.5-12 LG RUBBER NS LF MALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-03	CDM	270009115	LOCAL	270	RC		outpatient			5.83	5.83	1.58				percent of total billed charges		5.83				other	OPPS APC	4.31				percent of total billed charges		5.83				other	OPPS APC	5.83				other	OPPS APC	1.58				percent of total billed charges		1.61				percent of total billed charges		5.83				other	OPPS APC	1.58	5.83	
SHOE POSTOPERATIVE AEGIS 10.5-12 LG RUBBER NS LF MALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-03	CDM	270009115	LOCAL	270	RC		inpatient			5.83	5.83																																																			
SHOE POSTOPERATIVE AEGIS 6.5-8 MED RUBBER NS LF FEMALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-08	CDM	270009115	LOCAL	270	RC		outpatient			5.83	5.83	1.58				percent of total billed charges		5.83				other	OPPS APC	4.31				percent of total billed charges		5.83				other	OPPS APC	5.83				other	OPPS APC	1.58				percent of total billed charges		1.61				percent of total billed charges		5.83				other	OPPS APC	1.58	5.83	
SHOE POSTOPERATIVE AEGIS 6.5-8 MED RUBBER NS LF FEMALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-08	CDM	270009115	LOCAL	270	RC		inpatient			5.83	5.83																																																			
SHOE POSTOPERATIVE AEGIS 8.5-10 LG RUBBER NS LF FEMALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-09	CDM	270009115	LOCAL	270	RC		outpatient			5.83	5.83	1.58				percent of total billed charges		5.83				other	OPPS APC	4.31				percent of total billed charges		5.83				other	OPPS APC	5.83				other	OPPS APC	1.58				percent of total billed charges		1.61				percent of total billed charges		5.83				other	OPPS APC	1.58	5.83	
SHOE POSTOPERATIVE AEGIS 8.5-10 LG RUBBER NS LF FEMALE FOOT BILATERAL SEMIRIGID SOLE LOOP LOCK CLOSURE REINFORCED PAD	SUP-2044-09	CDM	270009115	LOCAL	270	RC		inpatient			5.83	5.83																																																			
TRAY SKIN PREP PVP-1 SCRUB CARE	SUP-4468	CDM	270009183	LOCAL	270	RC		outpatient			5.76	5.76	1.56				percent of total billed charges		5.76				other	OPPS APC	4.26				percent of total billed charges		5.76				other	OPPS APC	5.76				other	OPPS APC	1.56				percent of total billed charges		1.59				percent of total billed charges		5.76				other	OPPS APC	1.56	5.76	
TRAY SKIN PREP PVP-1 SCRUB CARE	SUP-4468	CDM	270009183	LOCAL	270	RC		inpatient			5.76	5.76																																																			
SUTURE ABSORBABLE VICRYL RAPIDE 4-0 RB-1 L27 IN BRAID COATED UNDYED	SUP-VR214	CDM			270	RC		outpatient			5.76	5.76	1.56				percent of total billed charges		5.76				other	OPPS APC	4.26				percent of total billed charges		5.76				other	OPPS APC	5.76				other	OPPS APC	1.56				percent of total billed charges		1.59				percent of total billed charges		5.76				other	OPPS APC	1.56	5.76	
SUTURE ABSORBABLE VICRYL RAPIDE 4-0 RB-1 L27 IN BRAID COATED UNDYED	SUP-VR214	CDM			270	RC		inpatient			5.76	5.76																																																			
STONE DENTAL DURA-WHITE ALUMINUM OXIDE CN1 FRICTION GRIP MICROGRAIN GRIT VIBRATION FREE PERFORMANCE	SUP-0241	CDM						inpatient			5.75	5.75																																																			
STONE DENTAL DURA-WHITE ALUMINUM OXIDE CN1 FRICTION GRIP MICROGRAIN GRIT VIBRATION FREE PERFORMANCE	SUP-0241	CDM						outpatient			5.75	5.75	5.75				percent of total billed charges		5.75				other	OPPS APC	5.75				fee schedule		5.75				other	OPPS APC	5.75				other	OPPS APC	5.75				case rate		5.75				case rate		5.75				other	OPPS APC	5.75	5.75	
CHLORTHALIDONE 25 MG TABLET	637000000	CDM	50268-167-11	NDC	A9270	HCPCS		inpatient			5.74	5.74																																																			
CHLORTHALIDONE 25 MG TABLET	637000000	CDM	50268-167-11	NDC	A9270	HCPCS		outpatient			5.74	5.74																																															other	OPPS APC			
DIAZEPAM PER 5 MG	636000000	CDM	0409-3213-11	NDC	J3360	HCPCS		inpatient			5.73	5.73																																																			
DIAZEPAM PER 5 MG	636000000	CDM	0409-3213-11	NDC	J3360	HCPCS		outpatient			5.73	5.73																																															other	OPPS APC			
NICOTINE 14 MG/24 HR PATCH 24 HOUR	637000000	CDM	60505-708-90	NDC	A9270	HCPCS		inpatient			5.72	5.72																																																			
NICOTINE 14 MG/24 HR PATCH 24 HOUR	637000000	CDM	60505-708-90	NDC	A9270	HCPCS		outpatient			5.72	5.72																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 1 CT L36 IN MONOFILAMENT	SUP-915H	CDM			270	RC		outpatient			5.71	5.71	1.55				percent of total billed charges		5.71				other	OPPS APC	4.23				percent of total billed charges		5.71				other	OPPS APC	5.71				other	OPPS APC	1.55				percent of total billed charges		1.58				percent of total billed charges		5.71				other	OPPS APC	1.55	5.71	
SUTURE ABSORBABLE CHROMIC 1 CT L36 IN MONOFILAMENT	SUP-915H	CDM			270	RC		inpatient			5.71	5.71																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	71288-403-01	NDC	J1644	HCPCS		inpatient			5.7	5.7																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	71288-403-01	NDC	J1644	HCPCS		outpatient			5.7	5.7																																															other	OPPS APC			
SEVELAMER 800 MG TABLET	637000000	CDM	68094-034-59	NDC	A9270	HCPCS		inpatient			5.7	5.7																																																			
SEVELAMER 800 MG TABLET	637000000	CDM	68094-034-64	NDC	A9270	HCPCS		inpatient			5.7	5.7																																																			
SEVELAMER 800 MG TABLET	637000000	CDM	68094-034-59	NDC	A9270	HCPCS		outpatient			5.7	5.7																																															other	OPPS APC			
SEVELAMER 800 MG TABLET	637000000	CDM	68094-034-64	NDC	A9270	HCPCS		outpatient			5.7	5.7																																															other	OPPS APC			
BAG 24' DOME LARGE	SUP-DB-0024	CDM			270	RC		outpatient			5.7	5.72	1.54				percent of total billed charges		5.7				other	OPPS APC	4.22				percent of total billed charges		5.7				other	OPPS APC	5.7				other	OPPS APC	1.54				percent of total billed charges		1.57				percent of total billed charges		5.72				other	OPPS APC	1.54	5.72	
BAG 24' DOME LARGE	SUP-DB-0024	CDM			270	RC		inpatient			5.7	5.7																																																			
CANNULA INNER SHILEY PVC 4 OD15 MM SNAP LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE 4DCT 4DFEN	SUP-4DIC	CDM						inpatient			5.69	5.69																																																			
CANNULA INNER SHILEY PVC 4 OD15 MM SNAP LOCK CONNECTOR STERILE LATEX FREE DISPOSABLE 4DCT 4DFEN	SUP-4DIC	CDM						outpatient			5.69	5.69	5.69				percent of total billed charges		5.69				other	OPPS APC	5.69				fee schedule		5.69				other	OPPS APC	5.69				other	OPPS APC	5.69				case rate		5.69				case rate		5.69				other	OPPS APC	5.69	5.69	
CANNULA INNER SHILEY 6 15MM PVC DISPOSABLE STERILE LF SNAP LOCK CONNECTOR TRACHEOSTOMY TUBE	SUP-6DIC	CDM						inpatient			5.69	5.69																																																			
CANNULA INNER SHILEY 6 15MM PVC DISPOSABLE STERILE LF SNAP LOCK CONNECTOR TRACHEOSTOMY TUBE	SUP-6DIC	CDM						outpatient			5.69	5.69	5.69				percent of total billed charges		5.69				other	OPPS APC	5.69				fee schedule		5.69				other	OPPS APC	5.69				other	OPPS APC	5.69				case rate		5.69				case rate		5.69				other	OPPS APC	5.69	5.69	
DRAPE SURGICAL 3M STERI-DRAPE 51X47IN CLEAR POLYETHYLENE DISPOSABLE STERILE LF ADHESIVE U DRAPE	SUP-1015	CDM						inpatient			5.68	5.68																																																			
DRAPE SURGICAL 3M STERI-DRAPE 51X47IN CLEAR POLYETHYLENE DISPOSABLE STERILE LF ADHESIVE U DRAPE	SUP-1015	CDM						outpatient			5.68	5.68	5.68				percent of total billed charges		5.68				other	OPPS APC	5.68				fee schedule		5.68				other	OPPS APC	5.68				other	OPPS APC	5.68				case rate		5.68				case rate		5.68				other	OPPS APC	5.68	5.68	
ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML SUSPENSION	637000000	CDM	63739-159-77	NDC	A9270	HCPCS		inpatient			5.67	5.67																																																			
ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML SUSPENSION	637000000	CDM	63739-159-77	NDC	A9270	HCPCS		outpatient			5.67	5.67																																															other	OPPS APC			
"NYSTATIN 100,000 UNIT/ML SUSPENSION"	637000000	CDM	0121-0868-05	NDC	A9270	HCPCS		inpatient			5.67	5.67																																																			
"NYSTATIN 100,000 UNIT/ML SUSPENSION"	637000000	CDM	0121-0868-05	NDC	A9270	HCPCS		outpatient			5.67	5.67																																															other	OPPS APC			
AMLODIPINE 10 MG TABLET	637000000	CDM	0904-6371-61	NDC	A9270	HCPCS		inpatient			5.64	5.64																																																			
AMLODIPINE 10 MG TABLET	637000000	CDM	0904-6371-61	NDC	A9270	HCPCS		outpatient			5.64	5.64																																															other	OPPS APC			
BISOPROLOL 10 MG TABLET	637000000	CDM	70954-456-20	NDC	A9270	HCPCS		inpatient			5.64	5.64																																																			
BISOPROLOL 10 MG TABLET	637000000	CDM	70954-456-20	NDC	A9270	HCPCS		outpatient			5.64	5.64																																															other	OPPS APC			
BISOPROLOL 5 MG TABLET	637000000	CDM	52817-270-10	NDC	A9270	HCPCS		inpatient			5.64	5.64																																																			
BISOPROLOL 5 MG TABLET	637000000	CDM	70954-455-20	NDC	A9270	HCPCS		inpatient			5.64	5.64																																																			
BISOPROLOL 5 MG TABLET	637000000	CDM	52817-270-10	NDC	A9270	HCPCS		outpatient			5.64	5.64																																															other	OPPS APC			
BISOPROLOL 5 MG TABLET	637000000	CDM	70954-455-20	NDC	A9270	HCPCS		outpatient			5.64	5.64																																															other	OPPS APC			
NIFEDIPINE XL 60 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	50268-598-11	NDC	A9270	HCPCS		inpatient			5.64	5.64																																																			
NIFEDIPINE XL 60 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	50268-598-11	NDC	A9270	HCPCS		outpatient			5.64	5.64																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 3-0 KS L30 IN MONOFILAMENT BLUE	SUP-8622H	CDM			270	RC		outpatient			5.64	5.64	1.53				percent of total billed charges		5.64				other	OPPS APC	4.17				percent of total billed charges		5.64				other	OPPS APC	5.64				other	OPPS APC	1.53				percent of total billed charges		1.56				percent of total billed charges		5.64				other	OPPS APC	1.53	5.64	
SUTURE NONABSORBABLE PROLENE 3-0 KS L30 IN MONOFILAMENT BLUE	SUP-8622H	CDM			270	RC		inpatient			5.64	5.64																																																			
IMMOBILIZER ORTHOPEDIC MUSLIN MEDIUM UNIVERSAL L16 1/2 IN X W8 IN SHOULDER WAIST STRAP ADJUSTABLE BUCKLE CLOSURE CLOSED POUCH THUMB LOOP NONSTERILE LATEX FREE	SUP-9003-03	CDM	270009112	LOCAL	270	RC		outpatient			5.63	5.63	1.53				percent of total billed charges		5.63				other	OPPS APC	4.17				percent of total billed charges		5.63				other	OPPS APC	5.63				other	OPPS APC	1.53				percent of total billed charges		1.56				percent of total billed charges		5.63				other	OPPS APC	1.53	5.63	
IMMOBILIZER ORTHOPEDIC MUSLIN MEDIUM UNIVERSAL L16 1/2 IN X W8 IN SHOULDER WAIST STRAP ADJUSTABLE BUCKLE CLOSURE CLOSED POUCH THUMB LOOP NONSTERILE LATEX FREE	SUP-9003-03	CDM	270009112	LOCAL	270	RC		inpatient			5.63	5.63																																																			
IMMOBILIZER ORTHOPEDIC MUSLIN LARGE UNIVERSAL L19 1/2 IN X W9 IN SHOULDER WAIST STRAP ADJUSTABLE BUCKLE CLOSURE CLOSED POUCH THUMB LOOP NONSTERILE LATEX FREE	SUP-9003-04	CDM	270009112	LOCAL	270	RC		outpatient			5.63	5.63	1.53				percent of total billed charges		5.63				other	OPPS APC	4.17				percent of total billed charges		5.63				other	OPPS APC	5.63				other	OPPS APC	1.53				percent of total billed charges		1.56				percent of total billed charges		5.63				other	OPPS APC	1.53	5.63	
IMMOBILIZER ORTHOPEDIC MUSLIN LARGE UNIVERSAL L19 1/2 IN X W9 IN SHOULDER WAIST STRAP ADJUSTABLE BUCKLE CLOSURE CLOSED POUCH THUMB LOOP NONSTERILE LATEX FREE	SUP-9003-04	CDM	270009112	LOCAL	270	RC		inpatient			5.63	5.63																																																			
IBUPROFEN 100 MG/5 ML SUSPENSION	637000000	CDM	45802-952-43	NDC	A9270	HCPCS		inpatient			5.6	5.6																																																			
IBUPROFEN 100 MG/5 ML SUSPENSION	637000000	CDM	45802-952-43	NDC	A9270	HCPCS		outpatient			5.6	5.6																																															other	OPPS APC			
BOOT CAST VINYL SMALL L8.75 IN X W4.5 IN HEEL ROCKER BOTTOM CLOSED OPEN TOE HOOK LOOP CLOSURE	SUP-2027-02	CDM	270009113	LOCAL	270	RC		outpatient			5.6	5.6	1.52				percent of total billed charges		5.6				other	OPPS APC	4.14				percent of total billed charges		5.6				other	OPPS APC	5.6				other	OPPS APC	1.52				percent of total billed charges		1.55				percent of total billed charges		5.6				other	OPPS APC	1.52	5.6	
BOOT CAST VINYL SMALL L8.75 IN X W4.5 IN HEEL ROCKER BOTTOM CLOSED OPEN TOE HOOK LOOP CLOSURE	SUP-2027-02	CDM	270009113	LOCAL	270	RC		inpatient			5.6	5.6																																																			
BOOT CAST VINYL MEDIUM L10 IN X W4.75 IN UPPER ROCKER SOLE CLOSED HEEL OPEN TOE HOOK LOOP CLOSURE	SUP-2027-03	CDM	270009113	LOCAL	270	RC		outpatient			5.6	5.6	1.52				percent of total billed charges		5.6				other	OPPS APC	4.14				percent of total billed charges		5.6				other	OPPS APC	5.6				other	OPPS APC	1.52				percent of total billed charges		1.55				percent of total billed charges		5.6				other	OPPS APC	1.52	5.6	
BOOT CAST VINYL MEDIUM L10 IN X W4.75 IN UPPER ROCKER SOLE CLOSED HEEL OPEN TOE HOOK LOOP CLOSURE	SUP-2027-03	CDM	270009113	LOCAL	270	RC		inpatient			5.6	5.6																																																			
BOOT CAST VINYL LARGE L11.5 IN X W5.25 IN UPPER ROCKER SOLE CLOSED HEEL OPEN TOE HOOK LOOP CLOSURE	SUP-2027-04	CDM	270009113	LOCAL	270	RC		outpatient			5.6	5.6	1.52				percent of total billed charges		5.6				other	OPPS APC	4.14				percent of total billed charges		5.6				other	OPPS APC	5.6				other	OPPS APC	1.52				percent of total billed charges		1.55				percent of total billed charges		5.6				other	OPPS APC	1.52	5.6	
BOOT CAST VINYL LARGE L11.5 IN X W5.25 IN UPPER ROCKER SOLE CLOSED HEEL OPEN TOE HOOK LOOP CLOSURE	SUP-2027-04	CDM	270009113	LOCAL	270	RC		inpatient			5.6	5.6																																																			
SUTURE ABSORBABLE CHROMIC 4-0 FS-2 L27 IN MONOFILAMENT BROWN	SUP-635H	CDM			270	RC		outpatient			5.59	5.59	1.51				percent of total billed charges		5.59				other	OPPS APC	4.14				percent of total billed charges		5.59				other	OPPS APC	5.59				other	OPPS APC	1.51				percent of total billed charges		1.54				percent of total billed charges		5.59				other	OPPS APC	1.51	5.59	
SUTURE ABSORBABLE CHROMIC 4-0 FS-2 L27 IN MONOFILAMENT BROWN	SUP-635H	CDM			270	RC		inpatient			5.59	5.59																																																			
SUTURE NONABSORBABLE PROLENE 3-0 FS-1 L18 IN MONOFILAMENT BLUE	SUP-8684G	CDM			270	RC		outpatient			5.59	5.59	1.51				percent of total billed charges		5.59				other	OPPS APC	4.14				percent of total billed charges		5.59				other	OPPS APC	5.59				other	OPPS APC	1.51				percent of total billed charges		1.54				percent of total billed charges		5.59				other	OPPS APC	1.51	5.59	
SUTURE NONABSORBABLE PROLENE 3-0 FS-1 L18 IN MONOFILAMENT BLUE	SUP-8684G	CDM			270	RC		inpatient			5.59	5.59																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	0409-2720-01	NDC	J1644	HCPCS		inpatient			5.57	5.57																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	0409-2720-01	NDC	J1644	HCPCS		outpatient			5.57	5.57																																															other	OPPS APC			
"HEPARIN, PORCINE (PF) 100 UNIT/ML SYRINGE"	636000000	CDM	6425333335	NDC	J1642	HCPCS		inpatient			5.57	5.57																																																			
"HEPARIN, PORCINE (PF) 100 UNIT/ML SYRINGE"	636000000	CDM	6425333335	NDC	J1642	HCPCS		outpatient			5.57	5.57																																															other	OPPS APC			
PROTAMINE SULFATE PER 10 MG	636000000	CDM	63323-229-30	NDC	J2720	HCPCS		inpatient			5.57	5.57																																																			
PROTAMINE SULFATE PER 10 MG	636000000	CDM	63323-229-30	NDC	J2720	HCPCS		outpatient			5.57	5.57																																															other	OPPS APC			
BUPROPION XL 150 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7084-61	NDC	A9270	HCPCS		inpatient			5.57	5.57																																																			
BUPROPION XL 150 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7084-61	NDC	A9270	HCPCS		outpatient			5.57	5.57																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 3-0 CT-1 L36 IN MONOFILAMENT BROWN	SUP-922H	CDM			270	RC		outpatient			5.57	5.57	1.51				percent of total billed charges		5.57				other	OPPS APC	4.12				percent of total billed charges		5.57				other	OPPS APC	5.57				other	OPPS APC	1.51				percent of total billed charges		1.54				percent of total billed charges		5.57				other	OPPS APC	1.51	5.57	
SUTURE ABSORBABLE CHROMIC 3-0 CT-1 L36 IN MONOFILAMENT BROWN	SUP-922H	CDM			270	RC		inpatient			5.57	5.57																																																			
SOLUTION IV IRRIGATION SODIUM CHLORIDE 0.9% 3000ML	SUP-2B7127	CDM	270009079	LOCAL	270	RC		outpatient			5.56	5.56	1.51				percent of total billed charges		5.56				other	OPPS APC	4.11				percent of total billed charges		5.56				other	OPPS APC	5.56				other	OPPS APC	1.51				percent of total billed charges		1.54				percent of total billed charges		5.56				other	OPPS APC	1.51	5.56	
SOLUTION IV IRRIGATION SODIUM CHLORIDE 0.9% 3000ML	SUP-2B7127	CDM	270009079	LOCAL	270	RC		inpatient			5.56	5.56																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-25	NDC	J3010	HCPCS		inpatient			5.55	5.55																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-25	NDC	J3010	HCPCS		outpatient			5.55	5.55																																															other	OPPS APC			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	0409-1159-10	NDC	J0665	HCPCS		inpatient			5.53	5.53																																																			
BUPIVACAINE 0.25 % (2.5 MG/ML) SOLUTION	636000000	CDM	0409-1159-10	NDC	J0665	HCPCS		outpatient			5.53	0.16																																											0.16				other	OPPS APC	0.16	0.16	
NEEDLE SPINAL BD QUINCKE REGULAR WALL 3.5IN 22GA BLACK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-405181	CDM						inpatient			5.53	5.53																																																			
NEEDLE SPINAL BD QUINCKE REGULAR WALL 3.5IN 22GA BLACK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-405181	CDM						outpatient			5.53	5.53	5.53				percent of total billed charges		5.53				other	OPPS APC	5.53				fee schedule		5.53				other	OPPS APC	5.53				other	OPPS APC	5.53				case rate		5.53				case rate		5.53				other	OPPS APC	5.53	5.53	
CAP PROTECTIVE HEAD STERILE YELLOW .028 IN PIN	SUP-1601-028	CDM			270	RC		outpatient			5.52	5.52	1.5				percent of total billed charges		5.52				other	OPPS APC	4.08				percent of total billed charges		5.52				other	OPPS APC	5.52				other	OPPS APC	1.5				percent of total billed charges		1.53				percent of total billed charges		5.52				other	OPPS APC	1.5	5.52	
CAP PROTECTIVE HEAD STERILE YELLOW .028 IN PIN	SUP-1601-028	CDM			270	RC		inpatient			5.52	5.52																																																			
CAP PROTECTIVE .035 IN OD.9 MM PIN STERILE BLUE	SUP-1601-035	CDM			270	RC		outpatient			5.52	5.52	1.5				percent of total billed charges		5.52				other	OPPS APC	4.08				percent of total billed charges		5.52				other	OPPS APC	5.52				other	OPPS APC	1.5				percent of total billed charges		1.53				percent of total billed charges		5.52				other	OPPS APC	1.5	5.52	
CAP PROTECTIVE .035 IN OD.9 MM PIN STERILE BLUE	SUP-1601-035	CDM			270	RC		inpatient			5.52	5.52																																																			
CAP PROTECTIVE L1.1 MM OD.045 IN ORTHOPEDIC HEAD STERILE WHITE .045 IN PIN	SUP-1601-045	CDM			270	RC		outpatient			5.52	5.52	1.5				percent of total billed charges		5.52				other	OPPS APC	4.08				percent of total billed charges		5.52				other	OPPS APC	5.52				other	OPPS APC	1.5				percent of total billed charges		1.53				percent of total billed charges		5.52				other	OPPS APC	1.5	5.52	
CAP PROTECTIVE L1.1 MM OD.045 IN ORTHOPEDIC HEAD STERILE WHITE .045 IN PIN	SUP-1601-045	CDM			270	RC		inpatient			5.52	5.52																																																			
PIN FIXATION L.42 IN OD.062 IN PROTECTOR GREEN YELLOW	SUP-1601-062	CDM			270	RC		outpatient			5.52	5.52	1.5				percent of total billed charges		5.52				other	OPPS APC	4.08				percent of total billed charges		5.52				other	OPPS APC	5.52				other	OPPS APC	1.5				percent of total billed charges		1.53				percent of total billed charges		5.52				other	OPPS APC	1.5	5.52	
PIN FIXATION L.42 IN OD.062 IN PROTECTOR GREEN YELLOW	SUP-1601-062	CDM			270	RC		inpatient			5.52	5.52																																																			
SWITCH FLOW HIGH PRESSURE	SUP-U1SHC	CDM			270	RC		outpatient			5.52	5.52	1.5				percent of total billed charges		5.52				other	OPPS APC	4.08				percent of total billed charges		5.52				other	OPPS APC	5.52				other	OPPS APC	1.5				percent of total billed charges		1.53				percent of total billed charges		5.52				other	OPPS APC	1.5	5.52	
SWITCH FLOW HIGH PRESSURE	SUP-U1SHC	CDM			270	RC		inpatient			5.52	5.52																																																			
SUTURE ABSORBABLE VICRYL RAPIDE 3-0 SH L27 IN BRAID COATED UNDYED	SUP-VR416	CDM			270	RC		outpatient			5.5	5.5	1.49				percent of total billed charges		5.5				other	OPPS APC	4.07				percent of total billed charges		5.5				other	OPPS APC	5.5				other	OPPS APC	1.49				percent of total billed charges		1.52				percent of total billed charges		5.5				other	OPPS APC	1.49	5.5	
SUTURE ABSORBABLE VICRYL RAPIDE 3-0 SH L27 IN BRAID COATED UNDYED	SUP-VR416	CDM			270	RC		inpatient			5.5	5.5																																																			
VENLAFAXINE 75 MG TABLET	637000000	CDM	68084-856-11	NDC	A9270	HCPCS		inpatient			5.47	5.47																																																			
VENLAFAXINE 75 MG TABLET	637000000	CDM	68084-856-11	NDC	A9270	HCPCS		outpatient			5.47	5.47																																															other	OPPS APC			
SUTURE ABSORBABLE PDS PLUS 2-0 CT L 27 IN ANTIBACTERIAL VIOLET	SUP-PPP333H	CDM			270	RC		outpatient			5.47	5.47	1.48				percent of total billed charges		5.47				other	OPPS APC	4.05				percent of total billed charges		5.47				other	OPPS APC	5.47				other	OPPS APC	1.48				percent of total billed charges		1.51				percent of total billed charges		5.47				other	OPPS APC	1.48	5.47	
SUTURE ABSORBABLE PDS PLUS 2-0 CT L 27 IN ANTIBACTERIAL VIOLET	SUP-PPP333H	CDM			270	RC		inpatient			5.47	5.47																																																			
NEEDLE SPINAL BD QUINCKE REGULAR WALL 3.5IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-405180	CDM						inpatient			5.45	5.45																																																			
NEEDLE SPINAL BD QUINCKE REGULAR WALL 3.5IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP	SUP-405180	CDM						outpatient			5.45	5.45	5.45				percent of total billed charges		5.45				other	OPPS APC	5.45				fee schedule		5.45				other	OPPS APC	5.45				other	OPPS APC	5.45				case rate		5.45				case rate		5.45				other	OPPS APC	5.45	5.45	
LABETALOL 100 MG TABLET	637000000	CDM	60687-439-11	NDC	A9270	HCPCS		inpatient			5.44	5.44																																																			
LABETALOL 100 MG TABLET	637000000	CDM	60687-439-11	NDC	A9270	HCPCS		outpatient			5.44	5.44																																															other	OPPS APC			
VIAL SPECIMEN 10ML 1 HAND HINGE CAP STERILE	SUP-PAINVIAL1	CDM						inpatient			5.44	5.44																																																			
VIAL SPECIMEN 10ML 1 HAND HINGE CAP STERILE	SUP-PAINVIAL1	CDM						outpatient			5.44	5.44	5.44				percent of total billed charges		5.44				other	OPPS APC	5.44				fee schedule		5.44				other	OPPS APC	5.44				other	OPPS APC	5.44				case rate		5.44				case rate		5.44				other	OPPS APC	5.44	5.44	
SUTURE ABSORBABLE CHROMIC 4-0 RB-1 L27 IN MONOFILAMENT BROWN	SUP-U203H	CDM			270	RC		outpatient			5.44	5.44	1.47				percent of total billed charges		5.44				other	OPPS APC	4.03				percent of total billed charges		5.44				other	OPPS APC	5.44				other	OPPS APC	1.47				percent of total billed charges		1.5				percent of total billed charges		5.44				other	OPPS APC	1.47	5.44	
SUTURE ABSORBABLE CHROMIC 4-0 RB-1 L27 IN MONOFILAMENT BROWN	SUP-U203H	CDM			270	RC		inpatient			5.44	5.44																																																			
SOLUTION PREP 10% PVP IODINE 3/4 OZ POUCH PACKET CONTAINER STERILE LATEX FREE	SUP-DYNDA2232A	CDM			270	RC		outpatient			5.43	5.43	1.47				percent of total billed charges		5.43				other	OPPS APC	4.02				percent of total billed charges		5.43				other	OPPS APC	5.43				other	OPPS APC	1.47				percent of total billed charges		1.5				percent of total billed charges		5.43				other	OPPS APC	1.47	5.43	
SOLUTION PREP 10% PVP IODINE 3/4 OZ POUCH PACKET CONTAINER STERILE LATEX FREE	SUP-DYNDA2232A	CDM			270	RC		inpatient			5.43	5.43																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	62332-599-01	NDC	J1885	HCPCS		inpatient			5.4	5.4																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	62332-599-01	NDC	J1885	HCPCS		outpatient			5.4	5.4																																															other	OPPS APC			
ONDANSETRON PER 1 MG	636000000	CDM	36000-012-25	NDC	J2405	HCPCS		inpatient			5.4	5.4																																																			
ONDANSETRON PER 1 MG	636000000	CDM	36000-012-25	NDC	J2405	HCPCS		outpatient			5.4	5.4																																															other	OPPS APC			
KETOROLAC 10 MG TABLET	637000000	CDM	69452-275-20	NDC	A9270	HCPCS		inpatient			5.4	5.4																																																			
KETOROLAC 10 MG TABLET	637000000	CDM	69452-275-20	NDC	A9270	HCPCS		outpatient			5.4	5.4																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 1 CT-1 L27 IN MONOFILAMENT	SUP-813H	CDM			270	RC		outpatient			5.39	5.39	1.46				percent of total billed charges		5.39				other	OPPS APC	3.99				percent of total billed charges		5.39				other	OPPS APC	5.39				other	OPPS APC	1.46				percent of total billed charges		1.49				percent of total billed charges		5.39				other	OPPS APC	1.46	5.39	
SUTURE ABSORBABLE CHROMIC 1 CT-1 L27 IN MONOFILAMENT	SUP-813H	CDM			270	RC		inpatient			5.39	5.39																																																			
BUTTON SUTURE POLYPROPYLENE OD14 MM TENDOR REPAIR	SUP-520G	CDM			270	RC		outpatient			5.38	5.38	1.46				percent of total billed charges		5.38				other	OPPS APC	3.98				percent of total billed charges		5.38				other	OPPS APC	5.38				other	OPPS APC	1.46				percent of total billed charges		1.49				percent of total billed charges		5.38				other	OPPS APC	1.46	5.38	
BUTTON SUTURE POLYPROPYLENE OD14 MM TENDOR REPAIR	SUP-520G	CDM			270	RC		inpatient			5.38	5.38																																																			
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0832-7123-89	NDC	A9270	HCPCS		inpatient			5.37	5.37																																																			
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0832-7123-89	NDC	A9270	HCPCS		outpatient			5.37	5.37																																															other	OPPS APC			
NICOTINE 7 MG/24 HR PATCH 24 HOUR	637000000	CDM	43598-446-71	NDC	A9270	HCPCS		inpatient			5.36	5.36																																																			
NICOTINE 7 MG/24 HR PATCH 24 HOUR	637000000	CDM	43598-446-71	NDC	A9270	HCPCS		outpatient			5.36	5.36																																															other	OPPS APC			
CYANOCOBALAMIN PER 1000 MCG	636000000	CDM	71288-303-01	NDC	J3420	HCPCS		inpatient			5.34	5.34																																																			
CYANOCOBALAMIN PER 1000 MCG	636000000	CDM	71288-303-01	NDC	J3420	HCPCS		outpatient			5.34	5.34																																															other	OPPS APC			
CIRCUIT BREATHING AIRLIFE ADULT L72 IN 2 FLEXIBLE CORRUGATE TUBE Y PORT PLUG INSPIRATORY ELBOW CONNECTOR LATEX MR850 MR700 MR600 SERIES HEATER	SUP-0Y1778	CDM						inpatient			5.34	5.34																																																			
CIRCUIT BREATHING AIRLIFE ADULT L72 IN 2 FLEXIBLE CORRUGATE TUBE Y PORT PLUG INSPIRATORY ELBOW CONNECTOR LATEX MR850 MR700 MR600 SERIES HEATER	SUP-0Y1778	CDM						outpatient			5.34	5.34	5.34				percent of total billed charges		5.34				other	OPPS APC	5.34				fee schedule		5.34				other	OPPS APC	5.34				other	OPPS APC	5.34				case rate		5.34				case rate		5.34				other	OPPS APC	5.34	5.34	
BOTTLE MEDICINE PLASTIC TALL 1 L GRADUATE PITCHER STERILE LATEX FREE	SUP-31-026	CDM						inpatient			5.34	5.34																																																			
BOTTLE MEDICINE PLASTIC TALL 1 L GRADUATE PITCHER STERILE LATEX FREE	SUP-31-026	CDM						outpatient			5.34	5.34	5.34				percent of total billed charges		5.34				other	OPPS APC	5.34				fee schedule		5.34				other	OPPS APC	5.34				other	OPPS APC	5.34				case rate		5.34				case rate		5.34				other	OPPS APC	5.34	5.34	
SUTURE ABSORBABLE CHROMIC 1 CT-2 L27 IN MONOFILAMENT	SUP-885H	CDM			270	RC		outpatient			5.34	5.34	1.45				percent of total billed charges		5.34				other	OPPS APC	3.95				percent of total billed charges		5.34				other	OPPS APC	5.34				other	OPPS APC	1.45				percent of total billed charges		1.48				percent of total billed charges		5.34				other	OPPS APC	1.45	5.34	
SUTURE ABSORBABLE CHROMIC 1 CT-2 L27 IN MONOFILAMENT	SUP-885H	CDM			270	RC		inpatient			5.34	5.34																																																			
SUTURE ABSORBABLE PLAIN 3-0 FS-2 L27 IN MONOFILAMENT YELLOWISH TAN	SUP-H822H	CDM			270	RC		outpatient			5.33	5.33	1.44				percent of total billed charges		5.33				other	OPPS APC	3.94				percent of total billed charges		5.33				other	OPPS APC	5.33				other	OPPS APC	1.44				percent of total billed charges		1.47				percent of total billed charges		5.33				other	OPPS APC	1.44	5.33	
SUTURE ABSORBABLE PLAIN 3-0 FS-2 L27 IN MONOFILAMENT YELLOWISH TAN	SUP-H822H	CDM			270	RC		inpatient			5.33	5.33																																																			
DIPHENHYDRAMINE PER 50 MG	636000000	CDM	0641-0376-25	NDC	J1200	HCPCS		inpatient			5.28	5.28																																																			
DIPHENHYDRAMINE PER 50 MG	636000000	CDM	0641-0376-25	NDC	J1200	HCPCS		outpatient			5.28	5.28																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 4-0 J-1 L18 IN MONOFILAMENT	SUP-724G	CDM			270	RC		outpatient			5.28	5.28	1.43				percent of total billed charges		5.28				other	OPPS APC	3.91				percent of total billed charges		5.28				other	OPPS APC	5.28				other	OPPS APC	1.43				percent of total billed charges		1.46				percent of total billed charges		5.28				other	OPPS APC	1.43	5.28	
SUTURE ABSORBABLE CHROMIC 4-0 J-1 L18 IN MONOFILAMENT	SUP-724G	CDM			270	RC		inpatient			5.28	5.28																																																			
CARVEDILOL 25 MG TABLET	637000000	CDM	0904-6303-61	NDC	A9270	HCPCS		inpatient			5.26	5.26																																																			
CARVEDILOL 25 MG TABLET	637000000	CDM	0904-6303-61	NDC	A9270	HCPCS		outpatient			5.26	5.26																																															other	OPPS APC			
CARVEDILOL 3.125 MG TABLET	637000000	CDM	0904-6300-61	NDC	A9270	HCPCS		inpatient			5.26	5.26																																																			
CARVEDILOL 3.125 MG TABLET	637000000	CDM	0904-6300-61	NDC	A9270	HCPCS		outpatient			5.26	5.26																																															other	OPPS APC			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	0338-0072-25	NDC	J1885	HCPCS		inpatient			5.25	5.25																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-118-01	NDC	J1885	HCPCS		inpatient			5.25	5.25																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-118-25	NDC	J1885	HCPCS		inpatient			5.25	5.25																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	0338-0072-25	NDC	J1885	HCPCS		outpatient			5.25	5.25																																															other	OPPS APC			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-118-01	NDC	J1885	HCPCS		outpatient			5.25	5.25																																															other	OPPS APC			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-118-25	NDC	J1885	HCPCS		outpatient			5.25	5.25																																															other	OPPS APC			
CATHETER INTRAVENOUS CATHLON TEFLON L2 IN OD14 GA NONRADIOPAQUE STERILE LATEX FREE ORANGE	SUP-449811	CDM						inpatient			5.25	5.25																																																			
CATHETER INTRAVENOUS CATHLON TEFLON L2 IN OD14 GA NONRADIOPAQUE STERILE LATEX FREE ORANGE	SUP-449811	CDM						outpatient			5.25	5.25	5.25				percent of total billed charges		5.25				other	OPPS APC	5.25				fee schedule		5.25				other	OPPS APC	5.25				other	OPPS APC	5.25				case rate		5.25				case rate		5.25				other	OPPS APC	5.25	5.25	
STOCKING COMPRESSION 3XL LONG KNEE LENGTH	SUP-562	CDM						inpatient			5.25	5.25																																																			
STOCKING COMPRESSION 3XL LONG KNEE LENGTH	SUP-562	CDM						outpatient			5.25	5.25	5.25				percent of total billed charges		5.25				other	OPPS APC	5.25				fee schedule		5.25				other	OPPS APC	5.25				other	OPPS APC	5.25				case rate		5.25				case rate		5.25				other	OPPS APC	5.25	5.25	
SUTURE #2 CHROMIC	SUP-S116H	CDM			270	RC		outpatient			5.25	5.25	1.42				percent of total billed charges		5.25				other	OPPS APC	3.89				percent of total billed charges		5.25				other	OPPS APC	5.25				other	OPPS APC	1.42				percent of total billed charges		1.45				percent of total billed charges		5.25				other	OPPS APC	1.42	5.25	
SUTURE #2 CHROMIC	SUP-S116H	CDM			270	RC		inpatient			5.25	5.25																																																			
MINERAL OIL ENEMA	637000000	CDM	132030140	NDC	A9270	HCPCS		inpatient			5.21	5.21																																																			
MINERAL OIL ENEMA	637000000	CDM	132030140	NDC	A9270	HCPCS		outpatient			5.21	5.21																																															other	OPPS APC			
MIDODRINE 5 MG TABLET	637000000	CDM	0904-6818-61	NDC	A9270	HCPCS		inpatient			5.2	5.2																																																			
MIDODRINE 5 MG TABLET	637000000	CDM	0904-6818-61	NDC	A9270	HCPCS		outpatient			5.2	5.2																																															other	OPPS APC			
"OLANZAPINE ZYDIS 5 MG TABLET,DISINTEGRATING"	637000000	CDM	55111-262-81	NDC	A9270	HCPCS		inpatient			5.19	5.19																																																			
"OLANZAPINE ZYDIS 5 MG TABLET,DISINTEGRATING"	637000000	CDM	55111-262-81	NDC	A9270	HCPCS		outpatient			5.19	5.19																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 0 CT-1 L27 IN MONOFILAMENT BROWN	SUP-812H	CDM			270	RC		outpatient			5.19	5.19	1.41				percent of total billed charges		5.19				other	OPPS APC	3.84				percent of total billed charges		5.19				other	OPPS APC	5.19				other	OPPS APC	1.41				percent of total billed charges		1.43				percent of total billed charges		5.19				other	OPPS APC	1.41	5.19	
SUTURE ABSORBABLE CHROMIC 0 CT-1 L27 IN MONOFILAMENT BROWN	SUP-812H	CDM			270	RC		inpatient			5.19	5.19																																																			
SUTURE ABSORBABLE PLAIN 0 CT-1 L27 IN MONOFILAMENT	SUP-844H	CDM			270	RC		outpatient			5.19	5.19	1.41				percent of total billed charges		5.19				other	OPPS APC	3.84				percent of total billed charges		5.19				other	OPPS APC	5.19				other	OPPS APC	1.41				percent of total billed charges		1.43				percent of total billed charges		5.19				other	OPPS APC	1.41	5.19	
SUTURE ABSORBABLE PLAIN 0 CT-1 L27 IN MONOFILAMENT	SUP-844H	CDM			270	RC		inpatient			5.19	5.19																																																			
SUTURE ABSORBABLE 0 CT-2 27IN BROWN CHROMIC MONOFILAMENT	SUP-884H	CDM			270	RC		outpatient			5.19	5.19	1.41				percent of total billed charges		5.19				other	OPPS APC	3.84				percent of total billed charges		5.19				other	OPPS APC	5.19				other	OPPS APC	1.41				percent of total billed charges		1.43				percent of total billed charges		5.19				other	OPPS APC	1.41	5.19	
SUTURE ABSORBABLE 0 CT-2 27IN BROWN CHROMIC MONOFILAMENT	SUP-884H	CDM			270	RC		inpatient			5.19	5.19																																																			
SUTURE ABSORBABLE CHROMIC 3-0 SH L27 IN MONOFILAMENT BROWN	SUP-G122H	CDM			270	RC		outpatient			5.19	5.19	1.41				percent of total billed charges		5.19				other	OPPS APC	3.84				percent of total billed charges		5.19				other	OPPS APC	5.19				other	OPPS APC	1.41				percent of total billed charges		1.43				percent of total billed charges		5.19				other	OPPS APC	1.41	5.19	
SUTURE ABSORBABLE CHROMIC 3-0 SH L27 IN MONOFILAMENT BROWN	SUP-G122H	CDM			270	RC		inpatient			5.19	5.19																																																			
ANASTROZOLE 1 MG TABLET	637000000	CDM	60687-112-11	NDC	A9270	HCPCS		inpatient			5.18	5.18																																																			
ANASTROZOLE 1 MG TABLET	637000000	CDM	60687-112-11	NDC	A9270	HCPCS		outpatient			5.18	5.18																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND 3-0 30IN BLACK SILK BRAID TIE 12 STRAND PRECUT	SUP-A304H	CDM			270	RC		outpatient			5.16	5.16	1.4				percent of total billed charges		5.16				other	OPPS APC	3.82				percent of total billed charges		5.16				other	OPPS APC	5.16				other	OPPS APC	1.4				percent of total billed charges		1.43				percent of total billed charges		5.16				other	OPPS APC	1.4	5.16	
SUTURE NONABSORBABLE PERMA-HAND 3-0 30IN BLACK SILK BRAID TIE 12 STRAND PRECUT	SUP-A304H	CDM			270	RC		inpatient			5.16	5.16																																																			
LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE	637000000	CDM	4910040007	NDC	A9270	HCPCS		inpatient			5.15	5.15																																																			
LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE	637000000	CDM	4910040007	NDC	A9270	HCPCS		outpatient			5.15	5.15																																															other	OPPS APC			
VITAMIN A & D WITH LANOLIN OINTMENT 42.5 G TUBE	637000000	CDM	4110081163	NDC	A9270	HCPCS		inpatient			5.15	5.15																																																			
VITAMIN A & D WITH LANOLIN OINTMENT 42.5 G TUBE	637000000	CDM	4110081163	NDC	A9270	HCPCS		outpatient			5.15	5.15																																															other	OPPS APC			
BAG DRAINAGE URINARY LATEX FREE 2000CC	SUP-154002	CDM	270009001	LOCAL	270	RC		outpatient			5.15	5.15	1.4				percent of total billed charges		5.15				other	OPPS APC	3.81				percent of total billed charges		5.15				other	OPPS APC	5.15				other	OPPS APC	1.4				percent of total billed charges		1.42				percent of total billed charges		5.15				other	OPPS APC	1.4	5.15	
BAG DRAINAGE URINARY LATEX FREE 2000CC	SUP-154002	CDM	270009001	LOCAL	270	RC		inpatient			5.15	5.15																																																			
MORPHINE 50 MG/ML SOLUTION	636000000	CDM	0409-1896-20	NDC	J2270	HCPCS		inpatient			5.14	5.14																																																			
MORPHINE 50 MG/ML SOLUTION	636000000	CDM	0409-1896-20	NDC	J2270	HCPCS		outpatient			5.14	5.14																																															other	OPPS APC			
CATHETER INTRAVENOUS CATHLON JELCO FEP POLYMER L1.25 IN OD20 GA PERIPHERAL NONRADIOPAQUE STRAIGHT METAL HUB SUTURE RING TAPERED TIP SELF VENTING FLASH PLUG STERILE LATEX FREE DISPOSABLE CLEAR	SUP-442611	CDM						inpatient			5.14	5.14																																																			
CATHETER INTRAVENOUS CATHLON JELCO FEP POLYMER L1.25 IN OD20 GA PERIPHERAL NONRADIOPAQUE STRAIGHT METAL HUB SUTURE RING TAPERED TIP SELF VENTING FLASH PLUG STERILE LATEX FREE DISPOSABLE CLEAR	SUP-442611	CDM						outpatient			5.14	5.14	5.14				percent of total billed charges		5.14				other	OPPS APC	5.14				fee schedule		5.14				other	OPPS APC	5.14				other	OPPS APC	5.14				case rate		5.14				case rate		5.14				other	OPPS APC	5.14	5.14	
BAG DRAINAGE ROUND TEARDROP 2000ML DISPOSABLE STERILE LF ANTIREFLUX CHAMBER OUTLET TUBE	SUP-154002	CDM	270009001	LOCAL	270	RC		outpatient			5.11	5.11	1.38				percent of total billed charges		5.11				other	OPPS APC	3.78				percent of total billed charges		5.11				other	OPPS APC	5.11				other	OPPS APC	1.38				percent of total billed charges		1.41				percent of total billed charges		5.11				other	OPPS APC	1.38	5.11	
BAG DRAINAGE ROUND TEARDROP 2000ML DISPOSABLE STERILE LF ANTIREFLUX CHAMBER OUTLET TUBE	SUP-154002	CDM	270009001	LOCAL	270	RC		inpatient			5.11	5.11																																																			
PACK TEST 3M COMPLY BLACK DARK BROWN YELLOW DISPOSABLE LF BOWIE DICK PLUS EARLY WARNING SHEET STEAM STERILIZER	SUP-00135LF	CDM						inpatient			5.1	5.1																																																			
PACK TEST 3M COMPLY BLACK DARK BROWN YELLOW DISPOSABLE LF BOWIE DICK PLUS EARLY WARNING SHEET STEAM STERILIZER	SUP-00135LF	CDM						outpatient			5.1	6	5.1				percent of total billed charges		5.1				other	OPPS APC	5.1				fee schedule		5.1				other	OPPS APC	5.1				other	OPPS APC	5.1				case rate		5.1				case rate		6				other	OPPS APC	5.1	6	
NEEDLE IV CATHETER SHIELDED STRAIGHT 20 GAUGE ANGIOCATH AUTOGUARD	SUP-381702	CDM			481	RC		outpatient			5.1	6	2.5				percent of total billed charges		5.1				other	OPPS APC	3.77				percent of total billed charges		5.1				other	OPPS APC	5.1				other	OPPS APC	2.5				percent of total billed charges		2.6				percent of total billed charges		6				other	OPPS APC	2.5	6	
NEEDLE IV CATHETER SHIELDED STRAIGHT 20 GAUGE ANGIOCATH AUTOGUARD	SUP-381702	CDM			481	RC		inpatient			5.1	5.1																																																			
TRAY CATHETERIZATION VINYL RUBBER OD15 FR PRECONNECT URETHRAL STERILE LATEX RED	SUP-DYND10407	CDM	270009005	LOCAL	270	RC		outpatient			5.1	6	1.38				percent of total billed charges		5.1				other	OPPS APC	3.77				percent of total billed charges		5.1				other	OPPS APC	5.1				other	OPPS APC	1.38				percent of total billed charges		1.41				percent of total billed charges		6				other	OPPS APC	1.38	6	
TRAY CATHETERIZATION VINYL RUBBER OD15 FR PRECONNECT URETHRAL STERILE LATEX RED	SUP-DYND10407	CDM	270009005	LOCAL	270	RC		inpatient			5.1	5.1																																																			
SUTURE ABSORBABLE PDS II 1 CTX L36 IN MONOFILAMENT VIOLET	SUP-Z371T	CDM			270	RC		outpatient			5.08	5.81	1.38				percent of total billed charges		5.08				other	OPPS APC	3.76				percent of total billed charges		5.08				other	OPPS APC	5.08				other	OPPS APC	1.38				percent of total billed charges		1.4				percent of total billed charges		5.81				other	OPPS APC	1.38	5.81	
SUTURE ABSORBABLE PDS II 1 CTX L36 IN MONOFILAMENT VIOLET	SUP-Z371T	CDM			270	RC		inpatient			5.08	5.08																																																			
ISOSORBIDE MONONITRATE 60 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6450-61	NDC	A9270	HCPCS		inpatient			5.07	5.07																																																			
ISOSORBIDE MONONITRATE 60 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6450-61	NDC	A9270	HCPCS		outpatient			5.07	5.07																																															other	OPPS APC			
SOLUTION IV IRRIGATION WATER STERILE 3000ML	SUP-2B7117	CDM	270009077	LOCAL	270	RC		outpatient			5.06	5.6	1.37				percent of total billed charges		5.06				other	OPPS APC	3.74				percent of total billed charges		5.06				other	OPPS APC	5.06				other	OPPS APC	1.37				percent of total billed charges		1.4				percent of total billed charges		5.6				other	OPPS APC	1.37	5.6	
SOLUTION IV IRRIGATION WATER STERILE 3000ML	SUP-2B7117	CDM	270009077	LOCAL	270	RC		inpatient			5.06	5.06																																																			
SUTURE ABSORBABLE CHROMIC 2-0 SH L27 IN MONOFILAMENT BROWN	SUP-G123H	CDM			270	RC		outpatient			5.06	5.6	1.37				percent of total billed charges		5.06				other	OPPS APC	3.74				percent of total billed charges		5.06				other	OPPS APC	5.06				other	OPPS APC	1.37				percent of total billed charges		1.4				percent of total billed charges		5.6				other	OPPS APC	1.37	5.6	
SUTURE ABSORBABLE CHROMIC 2-0 SH L27 IN MONOFILAMENT BROWN	SUP-G123H	CDM			270	RC		inpatient			5.06	5.06																																																			
BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) SOLUTION	250000000	CDM	0409-1761-18	NDC	J0665	HCPCS		inpatient			5.05	5.05																																																			
BUPIVACAINE-DEXTROSE-WATER(PF) 0.75 % (7.5 MG/ML) SOLUTION	250000000	CDM	0409-1761-18	NDC	J0665	HCPCS		outpatient			5.05	0.16																																											0.16				other	OPPS APC	0.16	0.16	
PREGABALIN 100 MG CAPSULE	637000000	CDM	0904-7001-61	NDC	A9270	HCPCS		inpatient			5.05	5.05																																																			
PREGABALIN 100 MG CAPSULE	637000000	CDM	0904-7001-61	NDC	A9270	HCPCS		outpatient			5.05	5.05																																															other	OPPS APC			
NIFEDIPINE XL 60 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	0904-7081-06	NDC	A9270	HCPCS		inpatient			5.04	5.04																																																			
NIFEDIPINE XL 60 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	0904-7081-06	NDC	A9270	HCPCS		outpatient			5.04	5.04																																															other	OPPS APC			
SUTURE ABSORBABLE CHROMIC 2-0 CT-1 L27 IN MONOFILAMENT BROWN	SUP-811H	CDM			270	RC		outpatient			5.04	5.4	1.37				percent of total billed charges		5.04				other	OPPS APC	3.73				percent of total billed charges		5.04				other	OPPS APC	5.04				other	OPPS APC	1.37				percent of total billed charges		1.39				percent of total billed charges		5.4				other	OPPS APC	1.37	5.4	
SUTURE ABSORBABLE CHROMIC 2-0 CT-1 L27 IN MONOFILAMENT BROWN	SUP-811H	CDM			270	RC		inpatient			5.04	5.04																																																			
SUTURE ABSORBABLE MONOCRYL 2-0 UR-6 27IN VIOLET MONOFILAMENT	SUP-Y605H	CDM			270	RC		outpatient			5.03	5.32	1.36				percent of total billed charges		5.03				other	OPPS APC	3.72				percent of total billed charges		5.03				other	OPPS APC	5.03				other	OPPS APC	1.36				percent of total billed charges		1.39				percent of total billed charges		5.32				other	OPPS APC	1.36	5.32	
SUTURE ABSORBABLE MONOCRYL 2-0 UR-6 27IN VIOLET MONOFILAMENT	SUP-Y605H	CDM			270	RC		inpatient			5.03	5.03																																																			
PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML) SYRINGE	636000000	CDM	69374-957-10	NDC	J2371	HCPCS		inpatient			5	5																																																			
PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML) SYRINGE	636000000	CDM	69374-957-10	NDC	J2371	HCPCS		outpatient			5	5																																															other	OPPS APC			
VALSARTAN 40 MG TABLET	637000000	CDM	60687-612-11	NDC	A9270	HCPCS		inpatient			5	5																																																			
VALSARTAN 40 MG TABLET	637000000	CDM	60687-612-11	NDC	A9270	HCPCS		outpatient			5	5																																															other	OPPS APC			
Brief Emotional/Behavioral Assessment	PX-510961271	CDM	96127	CPT	510	RC		inpatient			5	5																																																			
Brief Emotional/Behavioral Assessment	PX-510961271	CDM	96127	CPT	510	RC		outpatient			5	35.77							35.77				other	OPPS APC	3.7				percent of total billed charges		35.77				other	OPPS APC	35.77				other	OPPS APC	4.66				fee schedule								35.77				other	OPPS APC	35.77	35.77	
WHISPER WIRE 190CM STRAIGHT	SUP-1005357H	CDM			481	RC		outpatient			5	5	2.45				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	2.45				percent of total billed charges		2.55				percent of total billed charges		5				other	OPPS APC	2.45	5	
WHISPER WIRE 190CM STRAIGHT	SUP-1005357H	CDM			481	RC		inpatient			5	5																																																			
PACKING WOUND CURITY COTTON L15 FT X W1/2 IN STRIP PLAIN LATEX FREE DISPOSABLE	SUP-7632	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY COTTON L15 FT X W1/2 IN STRIP PLAIN LATEX FREE DISPOSABLE	SUP-7632	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
PACKING WOUND CURITY COTTON GAUZE L5 YD X W1 IN STRIP SELVAGE EDGE PLAIN MESH STERILE LATEX FREE DISPOSABLE	SUP-7633	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY COTTON GAUZE L5 YD X W1 IN STRIP SELVAGE EDGE PLAIN MESH STERILE LATEX FREE DISPOSABLE	SUP-7633	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
PACKING WOUND CURITY COTTON GAUZE L5 YD X W2 IN STRIP SELVAGE EDGE PLAIN MESH STERILE LATEX FREE DISPOSABLE	SUP-7634	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY COTTON GAUZE L5 YD X W2 IN STRIP SELVAGE EDGE PLAIN MESH STERILE LATEX FREE DISPOSABLE	SUP-7634	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
PACKING WOUND CURITY IODOFORM COTTON GAUZE L5 YD X W1/4 IN STRIP STERILE LATEX FREE DISPOSABLE	SUP-7831	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY IODOFORM COTTON GAUZE L5 YD X W1/4 IN STRIP STERILE LATEX FREE DISPOSABLE	SUP-7831	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
PACKING WOUND CURITY IODOFORM COTTON MESH GAUZE L5 YD X W1/2 IN STRIP	SUP-7832	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY IODOFORM COTTON MESH GAUZE L5 YD X W1/2 IN STRIP	SUP-7832	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
PACKING WOUND CURITY IODOFORM COTTON GAUZE L5 YD X W1 IN STRIP MESH STERILE LATEX FREE DISPOSABLE	SUP-7833	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY IODOFORM COTTON GAUZE L5 YD X W1 IN STRIP MESH STERILE LATEX FREE DISPOSABLE	SUP-7833	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
PACKING WOUND CURITY IODOFORM COTTON GAUZE L5 YD X W2 IN STRIP FINE MESH	SUP-7834	CDM	270009022	LOCAL	270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
PACKING WOUND CURITY IODOFORM COTTON GAUZE L5 YD X W2 IN STRIP FINE MESH	SUP-7834	CDM	270009022	LOCAL	270	RC		inpatient			5	5																																																			
CLAMP CORD DOUBLE-GRIP PLASTIC DISPOSABLE STERILE LF NEONATE UMBILICAL HINGE GUARD SERRATE JAW	SUP-9423	CDM			270	RC		outpatient			5	5	1.35				percent of total billed charges		5				other	OPPS APC	3.7				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		5				other	OPPS APC	1.35	5	
CLAMP CORD DOUBLE-GRIP PLASTIC DISPOSABLE STERILE LF NEONATE UMBILICAL HINGE GUARD SERRATE JAW	SUP-9423	CDM			270	RC		inpatient			5	5																																																			
BANDAGE COMPRESSION SOFT WRAP COTTON POLYESTER L5 YD X W3 IN ELASTIC KNITTED BREATHABLE CLIP STERILE LATEX FREE BEIGE	SUP-DYNJ05126	CDM						inpatient			4.99	4.99																																																			
BANDAGE COMPRESSION SOFT WRAP COTTON POLYESTER L5 YD X W3 IN ELASTIC KNITTED BREATHABLE CLIP STERILE LATEX FREE BEIGE	SUP-DYNJ05126	CDM						outpatient			4.99	4.99	4.99				percent of total billed charges		4.99				other	OPPS APC	4.99				fee schedule		4.99				other	OPPS APC	4.99				other	OPPS APC	4.99				case rate		4.99				case rate		4.99				other	OPPS APC	4.99	4.99	
SUPPORT SCROTAL BAUER & BLACK SECUREFIT COTTON ADULT SMALL WIDE L18 IN X W11.3 IN X H8.9 IN OD26-32 IN ELASTIC WAISTBAND SOFT KNIT NONSTERILE LATEX REUSABLE WHITE A3	SUP-202460	CDM	270009039	LOCAL	270	RC		outpatient			4.98	4.98	1.35				percent of total billed charges		4.98				other	OPPS APC	3.69				percent of total billed charges		4.98				other	OPPS APC	4.98				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		4.98				other	OPPS APC	1.35	4.98	
SUPPORT SCROTAL BAUER & BLACK SECUREFIT COTTON ADULT SMALL WIDE L18 IN X W11.3 IN X H8.9 IN OD26-32 IN ELASTIC WAISTBAND SOFT KNIT NONSTERILE LATEX REUSABLE WHITE A3	SUP-202460	CDM	270009039	LOCAL	270	RC		inpatient			4.98	4.98																																																			
SUPPORT ATHLETIC ADULT MALE MEDIUM L3 IN X W2.5 IN OD33-38 IN ELASTIC WAISTBAND KNIT POUCH TUBULAR LEG STRAP	SUP-202549	CDM	270009039	LOCAL	270	RC		outpatient			4.98	4.98	1.35				percent of total billed charges		4.98				other	OPPS APC	3.69				percent of total billed charges		4.98				other	OPPS APC	4.98				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		4.98				other	OPPS APC	1.35	4.98	
SUPPORT ATHLETIC ADULT MALE MEDIUM L3 IN X W2.5 IN OD33-38 IN ELASTIC WAISTBAND KNIT POUCH TUBULAR LEG STRAP	SUP-202549	CDM	270009039	LOCAL	270	RC		inpatient			4.98	4.98																																																			
SUPPORTER ATHLETIC BAUER & BLACK LG 39-44IN 3IN LATEX ADULT ELASTIC WAISTBAND	SUP-202636	CDM	270009039	LOCAL	270	RC		outpatient			4.98	4.98	1.35				percent of total billed charges		4.98				other	OPPS APC	3.69				percent of total billed charges		4.98				other	OPPS APC	4.98				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		4.98				other	OPPS APC	1.35	4.98	
SUPPORTER ATHLETIC BAUER & BLACK LG 39-44IN 3IN LATEX ADULT ELASTIC WAISTBAND	SUP-202636	CDM	270009039	LOCAL	270	RC		inpatient			4.98	4.98																																																			
SUTURE ABSORBABLE CHROMIC 3-0 FS-2 L27 IN MONOFILAMENT BROWN	SUP-636H	CDM			270	RC		outpatient			4.98	4.98	1.35				percent of total billed charges		4.98				other	OPPS APC	3.69				percent of total billed charges		4.98				other	OPPS APC	4.98				other	OPPS APC	1.35				percent of total billed charges		1.38				percent of total billed charges		4.98				other	OPPS APC	1.35	4.98	
SUTURE ABSORBABLE CHROMIC 3-0 FS-2 L27 IN MONOFILAMENT BROWN	SUP-636H	CDM			270	RC		inpatient			4.98	4.98																																																			
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L3 YD X W3 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7363	CDM	270009228	LOCAL	270	RC		outpatient			4.97	4.97	1.35				percent of total billed charges		4.97				other	OPPS APC	3.68				percent of total billed charges		4.97				other	OPPS APC	4.97				other	OPPS APC	1.35				percent of total billed charges		1.37				percent of total billed charges		4.97				other	OPPS APC	1.35	4.97	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L3 YD X W3 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7363	CDM	270009228	LOCAL	270	RC		inpatient			4.97	4.97																																																			
SUTURE MONOCRYL 1 CT-1 36IN MONOFILAMENT UNDYED ABSORBABLE	SUP-Y947H	CDM			270	RC		outpatient			4.97	4.97	1.35				percent of total billed charges		4.97				other	OPPS APC	3.68				percent of total billed charges		4.97				other	OPPS APC	4.97				other	OPPS APC	1.35				percent of total billed charges		1.37				percent of total billed charges		4.97				other	OPPS APC	1.35	4.97	
SUTURE MONOCRYL 1 CT-1 36IN MONOFILAMENT UNDYED ABSORBABLE	SUP-Y947H	CDM			270	RC		inpatient			4.97	4.97																																																			
BURR DENTAL CARBIDE 330 FRICTION GRIP	SUP-206100254400	CDM						inpatient			4.96	4.96																																																			
BURR DENTAL CARBIDE 330 FRICTION GRIP	SUP-206100254400	CDM						outpatient			4.96	4.96	4.96				percent of total billed charges		4.96				other	OPPS APC	4.96				fee schedule		4.96				other	OPPS APC	4.96				other	OPPS APC	4.96				case rate		4.96				case rate		4.96				other	OPPS APC	4.96	4.96	
DRAPE TRANSPARENT 3M STERI-DRAPE POLYETHYLENE LARGE L23 IN X W17 IN INCISE ADHESIVE FLEXIBLE FILM STERILE LATEX FREE DISPOSABLE CLEAR	SUP-1050	CDM						inpatient			4.95	4.95																																																			
DRAPE TRANSPARENT 3M STERI-DRAPE POLYETHYLENE LARGE L23 IN X W17 IN INCISE ADHESIVE FLEXIBLE FILM STERILE LATEX FREE DISPOSABLE CLEAR	SUP-1050	CDM						outpatient			4.95	4.95	4.95				percent of total billed charges		4.95				other	OPPS APC	4.95				fee schedule		4.95				other	OPPS APC	4.95				other	OPPS APC	4.95				case rate		4.95				case rate		4.95				other	OPPS APC	4.95	4.95	
CONTAINER IV INTRAVIA 1000ML PVC STERILE LF EMPTY EVACUATE NONPYROGENIC PORT	SUP-2B8014	CDM						inpatient			4.95	4.95																																																			
CONTAINER IV INTRAVIA 1000ML PVC STERILE LF EMPTY EVACUATE NONPYROGENIC PORT	SUP-2B8014	CDM						outpatient			4.95	4.95	4.95				percent of total billed charges		4.95				other	OPPS APC	4.95				fee schedule		4.95				other	OPPS APC	4.95				other	OPPS APC	4.95				case rate		4.95				case rate		4.95				other	OPPS APC	4.95	4.95	
DRESSING WOUND MEPILEX BORDER FLEX 4 X 4 IN	SUP-595300	CDM						inpatient			4.95	4.95																																																			
DRESSING WOUND MEPILEX BORDER FLEX 4 X 4 IN	SUP-595300	CDM						outpatient			4.95	4.95	4.95				percent of total billed charges		4.95				other	OPPS APC	4.95				fee schedule		4.95				other	OPPS APC	4.95				other	OPPS APC	4.95				case rate		4.95				case rate		4.95				other	OPPS APC	4.95	4.95	
SUTURE NONABSORBABLE PROLENE ETHIGUARD 0 CTX-B L30 IN MONOFILAMENT BLUE	SUP-ETPB31H	CDM			270	RC		outpatient			4.95	4.95	1.34				percent of total billed charges		4.95				other	OPPS APC	3.66				percent of total billed charges		4.95				other	OPPS APC	4.95				other	OPPS APC	1.34				percent of total billed charges		1.37				percent of total billed charges		4.95				other	OPPS APC	1.34	4.95	
SUTURE NONABSORBABLE PROLENE ETHIGUARD 0 CTX-B L30 IN MONOFILAMENT BLUE	SUP-ETPB31H	CDM			270	RC		inpatient			4.95	4.95																																																			
PAPER RECORDING .25 IN L100 FT X W50 MM EKG THERMAL 1 CHANNEL GRAY GRID 78560A M1722A/B M1723A/B DEFIBRILLATOR	SUP-989803101501	CDM						inpatient			4.94	4.94																																																			
PAPER RECORDING .25 IN L100 FT X W50 MM EKG THERMAL 1 CHANNEL GRAY GRID 78560A M1722A/B M1723A/B DEFIBRILLATOR	SUP-989803101501	CDM						outpatient			4.94	4.94	4.94				percent of total billed charges		4.94				other	OPPS APC	4.94				fee schedule		4.94				other	OPPS APC	4.94				other	OPPS APC	4.94				case rate		4.94				case rate		4.94				other	OPPS APC	4.94	4.94	
"CARBAMAZEPINE 300 MG CAPSULE, ER MULTIPHASE 12 HR"	637000000	CDM	66993-409-32	NDC	A9270	HCPCS		inpatient			4.92	4.92																																																			
"CARBAMAZEPINE 300 MG CAPSULE, ER MULTIPHASE 12 HR"	637000000	CDM	66993-409-32	NDC	A9270	HCPCS		outpatient			4.92	4.92																																															other	OPPS APC			
CATHETER URETHRAL BARDEX LUBRICATH 26FR 5CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165L26	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX LUBRICATH 26FR 5CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165L26	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX LUBRICATH 28FR 5CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165L28	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX LUBRICATH 28FR 5CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165L28	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX LUBRICATH 10FR 3CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165PL10	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX LUBRICATH 10FR 3CC NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165PL10	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 12FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI12	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 12FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI12	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 14FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI14	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 14FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI14	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 16FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI16	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 16FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI16	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC BACTI-GUARD NATURAL RUBBER HYDROGEL OD18 FR 5 CC 2 WAY FOLEY BALLOON ATRAUMATIC INSERTION STERILE LATEX DISPOSABLE	SUP-0165SI18	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC BACTI-GUARD NATURAL RUBBER HYDROGEL OD18 FR 5 CC 2 WAY FOLEY BALLOON ATRAUMATIC INSERTION STERILE LATEX DISPOSABLE	SUP-0165SI18	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 20FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI20	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 20FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI20	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 22FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI22	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 22FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI22	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 24FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI24	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 24FR 5CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0165SI24	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 16FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI16	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 16FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI16	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 18FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI18	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 18FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI18	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 20FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI20	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 20FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI20	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 22FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI22	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 22FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI22	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 24FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI24	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 24FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI24	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 26FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI26	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 26FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI26	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC BACTI-GUARD NATURAL RUBBER HYDROGEL OD28 FR 30 CC 2 WAY FOLEY BALLOON ATRAUMATIC INSERTION STERILE LATEX DISPOSABLE	SUP-0166SI28	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC BACTI-GUARD NATURAL RUBBER HYDROGEL OD28 FR 30 CC 2 WAY FOLEY BALLOON ATRAUMATIC INSERTION STERILE LATEX DISPOSABLE	SUP-0166SI28	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL BARDEX IC 30FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI30	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL BARDEX IC 30FR 30CC BACTI-GUARD NATURAL RUBBER HYDROGEL DISPOSABLE STERILE LATEX 2 WAY FOLEY BALLOON	SUP-0166SI30	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
TRAP POLYP SPECIMEN QUICK CATCH IN LINE SUCTION H332	SUP-710201	CDM			270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
TRAP POLYP SPECIMEN QUICK CATCH IN LINE SUCTION H332	SUP-710201	CDM			270	RC		inpatient			4.9	4.9																																																			
CATHETER URETHRAL DOVER SILICONE L16 IN OD14 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605148	CDM	270009003	LOCAL	270	RC		outpatient			4.9	4.94	1.33				percent of total billed charges		4.9				other	OPPS APC	3.63				percent of total billed charges		4.9				other	OPPS APC	4.9				other	OPPS APC	1.33				percent of total billed charges		1.35				percent of total billed charges		4.94				other	OPPS APC	1.33	4.94	
CATHETER URETHRAL DOVER SILICONE L16 IN OD14 FR 5 CC 2 WAY FOLEY COLOR CODED INFLATION VALVE REINFORCE TIP LATEX FREE	SUP-8887605148	CDM	270009003	LOCAL	270	RC		inpatient			4.9	4.9																																																			
CARVEDILOL 6.25 MG TABLET	637000000	CDM	68084-854-11	NDC	A9270	HCPCS		inpatient			4.88	4.88																																																			
CARVEDILOL 6.25 MG TABLET	637000000	CDM	68084-854-11	NDC	A9270	HCPCS		outpatient			4.88	4.88																																															other	OPPS APC			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.15% KCL DEXTROSE 5% 0.9% 20MEQ 1000ML	SUP-2B2434X	CDM						inpatient			4.88	4.88																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.15% KCL DEXTROSE 5% 0.9% 20MEQ 1000ML	SUP-2B2434X	CDM						outpatient			4.88	4.88	4.88				percent of total billed charges		4.88				other	OPPS APC	4.88				fee schedule		4.88				other	OPPS APC	4.88				other	OPPS APC	4.88				case rate		4.88				case rate		4.88				other	OPPS APC	4.88	4.88	
SIGMOIDOSCOPE RIGID KLEENSPEC HALOGEN 35V L25 CM OD19 MM HIGHLY VISIBLE GRADUATION EXAM OBTURATOR ILLUMINATION SYSTEM DISPOSABLE	SUP-53130	CDM						inpatient			4.88	4.88																																																			
SIGMOIDOSCOPE RIGID KLEENSPEC HALOGEN 35V L25 CM OD19 MM HIGHLY VISIBLE GRADUATION EXAM OBTURATOR ILLUMINATION SYSTEM DISPOSABLE	SUP-53130	CDM						outpatient			4.88	4.88	4.88				percent of total billed charges		4.88				other	OPPS APC	4.88				fee schedule		4.88				other	OPPS APC	4.88				other	OPPS APC	4.88				case rate		4.88				case rate		4.88				other	OPPS APC	4.88	4.88	
BANDAGE ELASTIC ESMARK STERILE 4X12 LF	SUP-DYNJ05917	CDM						inpatient			4.87	4.87																																																			
BANDAGE ELASTIC ESMARK STERILE 4X12 LF	SUP-DYNJ05917	CDM						outpatient			4.87	4.87	4.87				percent of total billed charges		4.87				other	OPPS APC	4.87				fee schedule		4.87				other	OPPS APC	4.87				other	OPPS APC	4.87				case rate		4.87				case rate		4.87				other	OPPS APC	4.87	4.87	
SUTURE VICRYL 2-0	SUP-VCP443H	CDM			270	RC		outpatient			4.86	4.86	1.32				percent of total billed charges		4.86				other	OPPS APC	3.6				percent of total billed charges		4.86				other	OPPS APC	4.86				other	OPPS APC	1.32				percent of total billed charges		1.34				percent of total billed charges		4.86				other	OPPS APC	1.32	4.86	
SUTURE VICRYL 2-0	SUP-VCP443H	CDM			270	RC		inpatient			4.86	4.86																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-9543-02	NDC	J7050	HCPCS		inpatient			4.84	4.84																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-9543-02	NDC	J7050	HCPCS		outpatient			4.84	4.84																																															other	OPPS APC			
"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-195-11	NDC	A9270	HCPCS		inpatient			4.84	4.84																																																			
"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-195-11	NDC	A9270	HCPCS		outpatient			4.84	4.84																																															other	OPPS APC			
GUAIFENESIN 100 MG/5 ML LIQUID	637000000	CDM	0121-1488-10	NDC	A9270	HCPCS		inpatient			4.82	4.82																																																			
GUAIFENESIN 100 MG/5 ML LIQUID	637000000	CDM	0121-1488-10	NDC	A9270	HCPCS		outpatient			4.82	4.82																																															other	OPPS APC			
NICOTINE 21 MG/24 HR PATCH 24 HOUR	637000000	CDM	43598-448-71	NDC	A9270	HCPCS		inpatient			4.81	4.81																																																			
NICOTINE 21 MG/24 HR PATCH 24 HOUR	637000000	CDM	43598-448-71	NDC	A9270	HCPCS		outpatient			4.81	4.81																																															other	OPPS APC			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-9543-02	NDC	J7050	HCPCS		inpatient			4.8	4.8																																																			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-9543-02	NDC	J7050	HCPCS		outpatient			4.8	4.8																																															other	OPPS APC			
"ERGOCALCIFEROL 1,250 MCG (50,000 UNIT) CAPSULE"	637000000	CDM	50268-297-11	NDC	A9270	HCPCS		inpatient			4.8	4.8																																																			
"ERGOCALCIFEROL 1,250 MCG (50,000 UNIT) CAPSULE"	637000000	CDM	50268-297-11	NDC	A9270	HCPCS		outpatient			4.8	4.8																																															other	OPPS APC			
VALPROATE 250 MG/5 ML SOLUTION	637000000	CDM	0121-0675-85	NDC	A9270	HCPCS		inpatient			4.79	4.79																																																			
VALPROATE 250 MG/5 ML SOLUTION	637000000	CDM	0121-0675-85	NDC	A9270	HCPCS		outpatient			4.79	4.79																																															other	OPPS APC			
FENTANYL PER 0.1 MG	636000000	CDM	0641-6027-01	NDC	J3010	HCPCS		inpatient			4.78	4.78																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0641-6027-01	NDC	J3010	HCPCS		outpatient			4.78	4.78																																															other	OPPS APC			
FENOFIBRATE 48 MG TABLET	637000000	CDM	51079-599-01	NDC	A9270	HCPCS		inpatient			4.78	4.78																																																			
FENOFIBRATE 48 MG TABLET	637000000	CDM	60687-618-11	NDC	A9270	HCPCS		inpatient			4.78	4.78																																																			
FENOFIBRATE 48 MG TABLET	637000000	CDM	51079-599-01	NDC	A9270	HCPCS		outpatient			4.78	4.78																																															other	OPPS APC			
FENOFIBRATE 48 MG TABLET	637000000	CDM	60687-618-11	NDC	A9270	HCPCS		outpatient			4.78	4.78																																															other	OPPS APC			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-9543-04	NDC	J7040	HCPCS		inpatient			4.77	4.77																																																			
SODIUM CHLORIDE PER 250ML	636000000	CDM	0338-9543-04	NDC	J7040	HCPCS		outpatient			4.77	4.77																																															other	OPPS APC			
MEMANTINE 5 MG TABLET	637000000	CDM	0904-6505-61	NDC	A9270	HCPCS		inpatient			4.77	4.77																																																			
MEMANTINE 5 MG TABLET	637000000	CDM	0904-6505-61	NDC	A9270	HCPCS		outpatient			4.77	4.77																																															other	OPPS APC			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	0409-4276-01	NDC				inpatient			4.76	4.76																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	0409-4276-16	NDC				inpatient			4.76	4.76																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	0409-4276-01	NDC				outpatient			4.76	4.76																																															other	OPPS APC			
LIDOCAINE 10 MG/ML (1 %) SOLUTION	250000000	CDM	0409-4276-16	NDC				outpatient			4.76	4.76																																															other	OPPS APC			
LIDOCAINE 10 MG/ML (1 %) SOLUTION 20 ML VIAL	250000000	CDM	0409-4276-01	NDC				inpatient			4.76	4.76																																																			
LIDOCAINE 10 MG/ML (1 %) SOLUTION 20 ML VIAL	250000000	CDM	0409-4276-01	NDC				outpatient			4.76	4.76																																															other	OPPS APC			
GABAPENTIN 250 MG/5 ML SOLUTION	637000000	CDM	65162-698-90	NDC	A9270	HCPCS		inpatient			4.73	4.73																																																			
GABAPENTIN 250 MG/5 ML SOLUTION	637000000	CDM	65162-698-90	NDC	A9270	HCPCS		outpatient			4.73	4.73																																															other	OPPS APC			
TUBING ANGIOGRAPHY PVC 900 PSI L48 IN OD.158 IN ID.071 IN RIGID CONTRAST INJECTION FIXED MALE CONNECTOR CLEAR	SUP-HP9481E	CDM			270	RC		outpatient			4.72	4.72	1.28				percent of total billed charges		4.72				other	OPPS APC	3.49				percent of total billed charges		4.72				other	OPPS APC	4.72				other	OPPS APC	1.28				percent of total billed charges		1.3				percent of total billed charges		4.72				other	OPPS APC	1.28	4.72	
TUBING ANGIOGRAPHY PVC 900 PSI L48 IN OD.158 IN ID.071 IN RIGID CONTRAST INJECTION FIXED MALE CONNECTOR CLEAR	SUP-HP9481E	CDM			270	RC		inpatient			4.72	4.72																																																			
DRAPE SURGICAL CONVERTORS TIBURON NEONATE L4 IN W3 IN L60 IN X W44 IN L19 IN X W18 1/2 IN REINFORCE FENESTRATE ABSORBENT ADHESIVE STRIP STERILE LATEX FREE DISPOSABLE	SUP-29494	CDM			270	RC		outpatient			4.7	4.72	1.27				percent of total billed charges		4.7				other	OPPS APC	3.48				percent of total billed charges		4.7				other	OPPS APC	4.7				other	OPPS APC	1.27				percent of total billed charges		1.3				percent of total billed charges		4.72				other	OPPS APC	1.27	4.72	
DRAPE SURGICAL CONVERTORS TIBURON NEONATE L4 IN W3 IN L60 IN X W44 IN L19 IN X W18 1/2 IN REINFORCE FENESTRATE ABSORBENT ADHESIVE STRIP STERILE LATEX FREE DISPOSABLE	SUP-29494	CDM			270	RC		inpatient			4.7	4.7																																																			
TAPE CASTING 3M SCOTCHCAST PLUS 4YDX3IN WHITE FIBERGLASS FABRIC POLYURETHANE RESIN LF STRETCH WATER ACTIVATE	SUP-82003	CDM						inpatient			4.69	4.69																																																			
TAPE CASTING 3M SCOTCHCAST PLUS 4YDX3IN WHITE FIBERGLASS FABRIC POLYURETHANE RESIN LF STRETCH WATER ACTIVATE	SUP-82003	CDM						outpatient			4.69	4.69	4.69				percent of total billed charges		4.69				other	OPPS APC	4.69				fee schedule		4.69				other	OPPS APC	4.69				other	OPPS APC	4.69				case rate		4.69				case rate		4.69				other	OPPS APC	4.69	4.69	
SUTURE NONABSORBABLE PROLENE 2-0 FS L18 IN MONOFILAMENT BLUE	SUP-8685H	CDM			270	RC		outpatient			4.69	4.69	1.27				percent of total billed charges		4.69				other	OPPS APC	3.47				percent of total billed charges		4.69				other	OPPS APC	4.69				other	OPPS APC	1.27				percent of total billed charges		1.3				percent of total billed charges		4.69				other	OPPS APC	1.27	4.69	
SUTURE NONABSORBABLE PROLENE 2-0 FS L18 IN MONOFILAMENT BLUE	SUP-8685H	CDM			270	RC		inpatient			4.69	4.69																																																			
MORPHINE 15 MG TABLET EXTENDED RELEASE	637000000	CDM	0406-8315-23	NDC	A9270	HCPCS		inpatient			4.68	4.68																																																			
MORPHINE 15 MG TABLET EXTENDED RELEASE	637000000	CDM	0406-8315-23	NDC	A9270	HCPCS		outpatient			4.68	4.68																																															other	OPPS APC			
DRESSING WOUND HYDROFIBER AQUACEL WITH IONIC SILVER 4.0 X 4.0IN	SUP-177902	CDM	270009019	LOCAL	270	RC		outpatient			4.68	4.68	1.27				percent of total billed charges		4.68				other	OPPS APC	3.46				percent of total billed charges		4.68				other	OPPS APC	4.68				other	OPPS APC	1.27				percent of total billed charges		1.29				percent of total billed charges		4.68				other	OPPS APC	1.27	4.68	
DRESSING WOUND HYDROFIBER AQUACEL WITH IONIC SILVER 4.0 X 4.0IN	SUP-177902	CDM	270009019	LOCAL	270	RC		inpatient			4.68	4.68																																																			
DRESSING HYDROCOLLOID DUODERM XTHIN SQUARE L4 IN X W4 IN VAPOR PERMEABLE FILM FLEXIBLE MOISTURE RESISTANT TRANSLUCENT BACK STERILE LATEX FREE BEIGE	SUP-187955	CDM	270009019	LOCAL	270	RC		outpatient			4.68	4.68	1.27				percent of total billed charges		4.68				other	OPPS APC	3.46				percent of total billed charges		4.68				other	OPPS APC	4.68				other	OPPS APC	1.27				percent of total billed charges		1.29				percent of total billed charges		4.68				other	OPPS APC	1.27	4.68	
DRESSING HYDROCOLLOID DUODERM XTHIN SQUARE L4 IN X W4 IN VAPOR PERMEABLE FILM FLEXIBLE MOISTURE RESISTANT TRANSLUCENT BACK STERILE LATEX FREE BEIGE	SUP-187955	CDM	270009019	LOCAL	270	RC		inpatient			4.68	4.68																																																			
POWDER OSTOMY KARAYA 2.5 OZ PUFF BOTTLE SKIN BARRIER STICKY GEL	SUP-7905	CDM						inpatient			4.68	4.68																																																			
POWDER OSTOMY KARAYA 2.5 OZ PUFF BOTTLE SKIN BARRIER STICKY GEL	SUP-7905	CDM						outpatient			4.68	4.68	4.68				percent of total billed charges		4.68				other	OPPS APC	4.68				fee schedule		4.68				other	OPPS APC	4.68				other	OPPS APC	4.68				case rate		4.68				case rate		4.68				other	OPPS APC	4.68	4.68	
SET ADMINISTRATION L48 IN FLUID NONVENTED SPIKE PINCH CLAMP LARGE BORE TUBING	SUP-FAS5248	CDM			270	RC		outpatient			4.68	4.68	1.27				percent of total billed charges		4.68				other	OPPS APC	3.46				percent of total billed charges		4.68				other	OPPS APC	4.68				other	OPPS APC	1.27				percent of total billed charges		1.29				percent of total billed charges		4.68				other	OPPS APC	1.27	4.68	
SET ADMINISTRATION L48 IN FLUID NONVENTED SPIKE PINCH CLAMP LARGE BORE TUBING	SUP-FAS5248	CDM			270	RC		inpatient			4.68	4.68																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	68462-755-01	NDC	J1885	HCPCS		inpatient			4.63	4.63																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	68462-755-25	NDC	J1885	HCPCS		inpatient			4.63	4.63																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	68462-755-01	NDC	J1885	HCPCS		outpatient			4.63	4.63																																															other	OPPS APC			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	68462-755-25	NDC	J1885	HCPCS		outpatient			4.63	4.63																																															other	OPPS APC			
CANNULA INNER SHILEY 8 79MM 7.6MM PVC DISPOSABLE STERILE LF SNAP LOCK CONNECTOR LOW PRESSURE	SUP-8DIC	CDM	270009134	LOCAL	270	RC		outpatient			4.63	4.63	1.25				percent of total billed charges		4.63				other	OPPS APC	3.43				percent of total billed charges		4.63				other	OPPS APC	4.63				other	OPPS APC	1.25				percent of total billed charges		1.28				percent of total billed charges		4.63				other	OPPS APC	1.25	4.63	
CANNULA INNER SHILEY 8 79MM 7.6MM PVC DISPOSABLE STERILE LF SNAP LOCK CONNECTOR LOW PRESSURE	SUP-8DIC	CDM	270009134	LOCAL	270	RC		inpatient			4.63	4.63																																																			
MORPHINE 15 MG TABLET EXTENDED RELEASE	637000000	CDM	68084-157-11	NDC	A9270	HCPCS		inpatient			4.61	4.61																																																			
MORPHINE 15 MG TABLET EXTENDED RELEASE	637000000	CDM	68084-157-11	NDC	A9270	HCPCS		outpatient			4.61	4.61																																															other	OPPS APC			
ELECTRODE ELECTROSURGICAL SUREFIT L10 FT 2 DISPERSIVE ADHESIVE BORDER PULL TAB CABLE NONSTERILE DISPOSABLE	SUP-410-2000	CDM			270	RC		outpatient			4.57	4.57	1.24				percent of total billed charges		4.57				other	OPPS APC	3.38				percent of total billed charges		4.57				other	OPPS APC	4.57				other	OPPS APC	1.24				percent of total billed charges		1.26				percent of total billed charges		4.57				other	OPPS APC	1.24	4.57	
ELECTRODE ELECTROSURGICAL SUREFIT L10 FT 2 DISPERSIVE ADHESIVE BORDER PULL TAB CABLE NONSTERILE DISPOSABLE	SUP-410-2000	CDM			270	RC		inpatient			4.57	4.57																																																			
SUTURE ABSORBABLE PDS II 3-0 SH L27 IN MONOFILAMENT VIOLET	SUP-Z316H	CDM			270	RC		outpatient			4.57	4.57	1.24				percent of total billed charges		4.57				other	OPPS APC	3.38				percent of total billed charges		4.57				other	OPPS APC	4.57				other	OPPS APC	1.24				percent of total billed charges		1.26				percent of total billed charges		4.57				other	OPPS APC	1.24	4.57	
SUTURE ABSORBABLE PDS II 3-0 SH L27 IN MONOFILAMENT VIOLET	SUP-Z316H	CDM			270	RC		inpatient			4.57	4.57																																																			
PHENOBARBITAL 32.4 MG TABLET	637000000	CDM	0904-6575-61	NDC	A9270	HCPCS		inpatient			4.55	4.55																																																			
PHENOBARBITAL 32.4 MG TABLET	637000000	CDM	0904-6575-61	NDC	A9270	HCPCS		outpatient			4.55	4.55																																															other	OPPS APC			
LACTULOSE 20 GRAM/30 ML SOLUTION	637000000	CDM	0121-1154-30	NDC	A9270	HCPCS		inpatient			4.54	4.54																																																			
LACTULOSE 20 GRAM/30 ML SOLUTION	637000000	CDM	0121-1154-30	NDC	A9270	HCPCS		outpatient			4.54	4.54																																															other	OPPS APC			
MASK OXYGEN CAPNOVUE STANDARD CO2 O2 TRUMPET FEMALE LUER CONNECTOR CAPNOGRAPHY	SUP-4737-7-0-50	CDM			270	RC		outpatient			4.51	4.6	1.22				percent of total billed charges		4.51				other	OPPS APC	3.34				percent of total billed charges		4.51				other	OPPS APC	4.51				other	OPPS APC	1.22				percent of total billed charges		1.25				percent of total billed charges		4.6				other	OPPS APC	1.22	4.6	
MASK OXYGEN CAPNOVUE STANDARD CO2 O2 TRUMPET FEMALE LUER CONNECTOR CAPNOGRAPHY	SUP-4737-7-0-50	CDM			270	RC		inpatient			4.51	4.51																																																			
NALOXONE PER 1 MG	636000000	CDM	0641-6132-25	NDC	J2310	HCPCS		inpatient			4.5	4.5																																																			
NALOXONE PER 1 MG	636000000	CDM	0641-6132-25	NDC	J2310	HCPCS		outpatient			4.5	4.5																																															other	OPPS APC			
SUCCINYLCHOLINE PER 20 MG	636000000	CDM	71288-719-10	NDC	J0330	HCPCS		inpatient			4.5	4.5																																																			
SUCCINYLCHOLINE PER 20 MG	636000000	CDM	71288-719-10	NDC	J0330	HCPCS		outpatient			4.5	4.5																																															other	OPPS APC			
MIDODRINE 5 MG TABLET	637000000	CDM	60687-398-01	NDC	A9270	HCPCS		inpatient			4.5	4.5																																																			
MIDODRINE 5 MG TABLET	637000000	CDM	60687-398-01	NDC	A9270	HCPCS		outpatient			4.5	4.5																																															other	OPPS APC			
SUTURE ABSORBABLE PDS II 1 CT-1 L27 IN MONOFILAMENT VIOLET	SUP-Z341H	CDM			270	RC		outpatient			4.5	4.5	1.22				percent of total billed charges		4.5				other	OPPS APC	3.33				percent of total billed charges		4.5				other	OPPS APC	4.5				other	OPPS APC	1.22				percent of total billed charges		1.24				percent of total billed charges		4.5				other	OPPS APC	1.22	4.5	
SUTURE ABSORBABLE PDS II 1 CT-1 L27 IN MONOFILAMENT VIOLET	SUP-Z341H	CDM			270	RC		inpatient			4.5	4.5																																																			
SUTURE ABSORBABLE MONOCRYL PLUS 3-0 SH L27 IN MONOFILAMENT ANTIBACTERIAL	SUP-MCP316H	CDM			270	RC		outpatient			4.46	4.46	1.21				percent of total billed charges		4.46				other	OPPS APC	3.3				percent of total billed charges		4.46				other	OPPS APC	4.46				other	OPPS APC	1.21				percent of total billed charges		1.23				percent of total billed charges		4.46				other	OPPS APC	1.21	4.46	
SUTURE ABSORBABLE MONOCRYL PLUS 3-0 SH L27 IN MONOFILAMENT ANTIBACTERIAL	SUP-MCP316H	CDM			270	RC		inpatient			4.46	4.46																																																			
SUTURE ABSORBABLE VICRYL PLUS LIGAPAK 3-0 L54 IN BRAID REEL ANTIBACTERIAL COATED VIOLET	SUP-VCP205G	CDM			270	RC		outpatient			4.46	4.46	1.21				percent of total billed charges		4.46				other	OPPS APC	3.3				percent of total billed charges		4.46				other	OPPS APC	4.46				other	OPPS APC	1.21				percent of total billed charges		1.23				percent of total billed charges		4.46				other	OPPS APC	1.21	4.46	
SUTURE ABSORBABLE VICRYL PLUS LIGAPAK 3-0 L54 IN BRAID REEL ANTIBACTERIAL COATED VIOLET	SUP-VCP205G	CDM			270	RC		inpatient			4.46	4.46																																																			
STRAINER SPECIMEN DOVER 2 OZ CALCULI MOISTURE RESISTANT PLASTISOL LINER SEQUENTIAL PACK STERILE LATEX FREE	SUP-2110SA	CDM						inpatient			4.45	4.45																																																			
STRAINER SPECIMEN DOVER 2 OZ CALCULI MOISTURE RESISTANT PLASTISOL LINER SEQUENTIAL PACK STERILE LATEX FREE	SUP-2110SA	CDM						outpatient			4.45	4.45	4.45				percent of total billed charges		4.45				other	OPPS APC	4.45				fee schedule		4.45				other	OPPS APC	4.45				other	OPPS APC	4.45				case rate		4.45				case rate		4.45				other	OPPS APC	4.45	4.45	
SUTURE NONABSORBABLE PROLENE 2-0 CT-1 L30 IN MONOFILAMENT BLUE	SUP-8423H	CDM			270	RC		outpatient			4.44	4.44	1.2				percent of total billed charges		4.44				other	OPPS APC	3.29				percent of total billed charges		4.44				other	OPPS APC	4.44				other	OPPS APC	1.2				percent of total billed charges		1.23				percent of total billed charges		4.44				other	OPPS APC	1.2	4.44	
SUTURE NONABSORBABLE PROLENE 2-0 CT-1 L30 IN MONOFILAMENT BLUE	SUP-8423H	CDM			270	RC		inpatient			4.44	4.44																																																			
SUTURE ABSORBABLE MONOCRYL 0 UR-5 L27 IN MONOFILAMENT VIOLET	SUP-Y378H	CDM			270	RC		outpatient			4.44	4.44	1.2				percent of total billed charges		4.44				other	OPPS APC	3.29				percent of total billed charges		4.44				other	OPPS APC	4.44				other	OPPS APC	1.2				percent of total billed charges		1.23				percent of total billed charges		4.44				other	OPPS APC	1.2	4.44	
SUTURE ABSORBABLE MONOCRYL 0 UR-5 L27 IN MONOFILAMENT VIOLET	SUP-Y378H	CDM			270	RC		inpatient			4.44	4.44																																																			
CALCITRIOL 0.25 MCG CAPSULE	637000000	CDM	60687-345-11	NDC	A9270	HCPCS		inpatient			4.43	4.43																																																			
CALCITRIOL 0.25 MCG CAPSULE	637000000	CDM	60687-345-11	NDC	A9270	HCPCS		outpatient			4.43	4.43																																															other	OPPS APC			
MAGNESIUM CITRATE SOLUTION	637000000	CDM	70677-1111-1	NDC	A9270	HCPCS		inpatient			4.43	4.43																																																			
MAGNESIUM CITRATE SOLUTION	637000000	CDM	70677-1111-1	NDC	A9270	HCPCS		outpatient			4.43	4.43																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL PLUS 4-0 FS-2 L27 IN BRAID COATED ANTIBACTERIAL	SUP-VCP422H	CDM			270	RC		outpatient			4.43	4.43	1.2				percent of total billed charges		4.43				other	OPPS APC	3.28				percent of total billed charges		4.43				other	OPPS APC	4.43				other	OPPS APC	1.2				percent of total billed charges		1.22				percent of total billed charges		4.43				other	OPPS APC	1.2	4.43	
SUTURE ABSORBABLE VICRYL PLUS 4-0 FS-2 L27 IN BRAID COATED ANTIBACTERIAL	SUP-VCP422H	CDM			270	RC		inpatient			4.43	4.43																																																			
TUBING PRESSURE MONITOR TRUWAVE L12 IN MALE TO FEMALE CONNECTOR TRANSDUCER DISPOSABLE	SUP-50P112	CDM						inpatient			4.42	4.42																																																			
TUBING PRESSURE MONITOR TRUWAVE L12 IN MALE TO FEMALE CONNECTOR TRANSDUCER DISPOSABLE	SUP-50P112	CDM						outpatient			4.42	4.42	4.42				percent of total billed charges		4.42				other	OPPS APC	4.42				fee schedule		4.42				other	OPPS APC	4.42				other	OPPS APC	4.42				case rate		4.42				case rate		4.42				other	OPPS APC	4.42	4.42	
TIZANIDINE 4 MG TABLET	637000000	CDM	0904-6418-61	NDC	A9270	HCPCS		inpatient			4.41	4.41																																																			
TIZANIDINE 4 MG TABLET	637000000	CDM	0904-6418-61	NDC	A9270	HCPCS		outpatient			4.41	4.41																																															other	OPPS APC			
SUTURE ABSORBABLE PDS II 0 CT-1 L27 IN MONOFILAMENT VIOLET	SUP-Z340H	CDM			270	RC		outpatient			4.41	4.41	1.19				percent of total billed charges		4.41				other	OPPS APC	3.26				percent of total billed charges		4.41				other	OPPS APC	4.41				other	OPPS APC	1.19				percent of total billed charges		1.22				percent of total billed charges		4.41				other	OPPS APC	1.19	4.41	
SUTURE ABSORBABLE PDS II 0 CT-1 L27 IN MONOFILAMENT VIOLET	SUP-Z340H	CDM			270	RC		inpatient			4.41	4.41																																																			
SUTURE NONABSORBABLE PROLENE POLYPROPYLENE 0 CT L30 IN MONOFILAMENT BLUE	SUP-8434H	CDM			270	RC		outpatient			4.4	4.44	1.19				percent of total billed charges		4.4				other	OPPS APC	3.26				percent of total billed charges		4.4				other	OPPS APC	4.4				other	OPPS APC	1.19				percent of total billed charges		1.22				percent of total billed charges		4.44				other	OPPS APC	1.19	4.44	
SUTURE NONABSORBABLE PROLENE POLYPROPYLENE 0 CT L30 IN MONOFILAMENT BLUE	SUP-8434H	CDM			270	RC		inpatient			4.4	4.4																																																			
SUTURE ABSORBABLE PDS II 4-0 RB-1 L 27IN MONOFILAMENT VIOLET	SUP-Z304H	CDM			270	RC		outpatient			4.4	4.44	1.19				percent of total billed charges		4.4				other	OPPS APC	3.26				percent of total billed charges		4.4				other	OPPS APC	4.4				other	OPPS APC	1.19				percent of total billed charges		1.22				percent of total billed charges		4.44				other	OPPS APC	1.19	4.44	
SUTURE ABSORBABLE PDS II 4-0 RB-1 L 27IN MONOFILAMENT VIOLET	SUP-Z304H	CDM			270	RC		inpatient			4.4	4.4																																																			
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	0904-7043-04	NDC	A9270	HCPCS		inpatient			4.37	4.37																																																			
"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE(DR/EC)"	637000000	CDM	0904-7043-04	NDC	A9270	HCPCS		outpatient			4.37	4.37																																															other	OPPS APC			
SUTURE ABSORBABLE MONOCRYL 1 CT-1 L36 IN MONOFILAMENT VIOLET	SUP-Y347H	CDM			270	RC		outpatient			4.37	4.37	1.18				percent of total billed charges		4.37				other	OPPS APC	3.23				percent of total billed charges		4.37				other	OPPS APC	4.37				other	OPPS APC	1.18				percent of total billed charges		1.21				percent of total billed charges		4.37				other	OPPS APC	1.18	4.37	
SUTURE ABSORBABLE MONOCRYL 1 CT-1 L36 IN MONOFILAMENT VIOLET	SUP-Y347H	CDM			270	RC		inpatient			4.37	4.37																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-6145-01	NDC	J1100	HCPCS		inpatient			4.36	4.36																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-6145-01	NDC	J1100	HCPCS		outpatient			4.36	4.36																																															other	OPPS APC			
AMLODIPINE 5 MG TABLET	637000000	CDM	0378-5209-77	NDC	A9270	HCPCS		inpatient			4.33	4.33																																																			
AMLODIPINE 5 MG TABLET	637000000	CDM	0378-5209-77	NDC	A9270	HCPCS		outpatient			4.33	4.33																																															other	OPPS APC			
STOCKING COMPRESSION CAP NYLON SMALL REGULAR KNEE HIGH ANTIEMBOLISM INSPECTION TOE LATEX FREE NATURAL	SUP-511	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON SMALL REGULAR KNEE HIGH ANTIEMBOLISM INSPECTION TOE LATEX FREE NATURAL	SUP-511	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON SMALL LONG KNEE HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-512	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON SMALL LONG KNEE HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-512	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON MEDIUM REGULAR KNEE HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-521	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON MEDIUM REGULAR KNEE HIGH COOL LIGHTWEIGHT DURABLE FLOATING DESIGN LATEX FREE NATURAL	SUP-521	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON MEDIUM LONG KNEE HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-522	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON MEDIUM LONG KNEE HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-522	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON LARGE REGULAR KNEE HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-531	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON LARGE REGULAR KNEE HIGH ANTIEMBOLISM LATEX FREE NATURAL	SUP-531	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON LARGE LONG KNEE HIGH L18-20 IN OD14-17 IN ODSEC9-10 IN LATEX FREE WHITE	SUP-532	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON LARGE LONG KNEE HIGH L18-20 IN OD14-17 IN ODSEC9-10 IN LATEX FREE WHITE	SUP-532	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON 19 MMHG REGULAR XL KNEE LENGTH OD18-21 IN ODSEC11-12 IN COOL LIGHTWEIGHT INSPECTION TOE FLOAT DESIGN LATEX FREE GREEN	SUP-541	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON 19 MMHG REGULAR XL KNEE LENGTH OD18-21 IN ODSEC11-12 IN COOL LIGHTWEIGHT INSPECTION TOE FLOAT DESIGN LATEX FREE GREEN	SUP-541	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
STOCKING COMPRESSION CAP NYLON XL LONG KNEE HIGH LATEX FREE NATURAL	SUP-542	CDM	270009044	LOCAL	270	RC		outpatient			4.32	4.32	1.17				percent of total billed charges		4.32				other	OPPS APC	3.2				percent of total billed charges		4.32				other	OPPS APC	4.32				other	OPPS APC	1.17				percent of total billed charges		1.19				percent of total billed charges		4.32				other	OPPS APC	1.17	4.32	
STOCKING COMPRESSION CAP NYLON XL LONG KNEE HIGH LATEX FREE NATURAL	SUP-542	CDM	270009044	LOCAL	270	RC		inpatient			4.32	4.32																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-0367-21	NDC	J1100	HCPCS		inpatient			4.29	4.29																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-0367-25	NDC	J1100	HCPCS		inpatient			4.29	4.29																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-0367-21	NDC	J1100	HCPCS		outpatient			4.29	4.29																																															other	OPPS APC			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-0367-25	NDC	J1100	HCPCS		outpatient			4.29	4.29																																															other	OPPS APC			
SPONGE EYE SURGICAL SPEAR STERILE CELLULOSE	SUP-40410	CDM						inpatient			4.28	4.28																																																			
SPONGE EYE SURGICAL SPEAR STERILE CELLULOSE	SUP-40410	CDM						outpatient			4.28	4.28	4.28				percent of total billed charges		4.28				other	OPPS APC	4.28				fee schedule		4.28				other	OPPS APC	4.28				other	OPPS APC	4.28				case rate		4.28				case rate		4.28				other	OPPS APC	4.28	4.28	
PENICILLIN V POTASSIUM 250 MG TABLET	637000000	CDM	0143-9837-01	NDC	A9270	HCPCS		inpatient			4.25	4.25																																																			
PENICILLIN V POTASSIUM 250 MG TABLET	637000000	CDM	0143-9837-01	NDC	A9270	HCPCS		outpatient			4.25	4.25																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND 2-0 30IN BLACK SILK BRAID TIE 12 STRAND PRECUT	SUP-A305H	CDM			270	RC		outpatient			4.25	4.25	1.15				percent of total billed charges		4.25				other	OPPS APC	3.15				percent of total billed charges		4.25				other	OPPS APC	4.25				other	OPPS APC	1.15				percent of total billed charges		1.17				percent of total billed charges		4.25				other	OPPS APC	1.15	4.25	
SUTURE NONABSORBABLE PERMA-HAND 2-0 30IN BLACK SILK BRAID TIE 12 STRAND PRECUT	SUP-A305H	CDM			270	RC		inpatient			4.25	4.25																																																			
MINOXIDIL 2.5 MG TABLET	637000000	CDM	68084-204-11	NDC	A9270	HCPCS		inpatient			4.24	4.24																																																			
MINOXIDIL 2.5 MG TABLET	637000000	CDM	68084-204-11	NDC	A9270	HCPCS		outpatient			4.24	4.24																																															other	OPPS APC			
BANDAGE COMPRESSION SOFT-WRAP 5YDX6IN BEIGE POLYESTER COTTON STERILE LF ELASTIC CLIP CLOSURE STRETCH BREATHABLE	SUP-23700-66LF	CDM						inpatient			4.24	4.24																																																			
BANDAGE COMPRESSION SOFT-WRAP 5YDX6IN BEIGE POLYESTER COTTON STERILE LF ELASTIC CLIP CLOSURE STRETCH BREATHABLE	SUP-23700-66LF	CDM						outpatient			4.24	4.24	4.24				percent of total billed charges		4.24				other	OPPS APC	4.24				fee schedule		4.24				other	OPPS APC	4.24				other	OPPS APC	4.24				case rate		4.24				case rate		4.24				other	OPPS APC	4.24	4.24	
AZATHIOPRINE PER 50 MG	636000000	CDM	68084-229-11	NDC	J7500	HCPCS		inpatient			4.23	4.23																																																			
AZATHIOPRINE PER 50 MG	636000000	CDM	68084-229-11	NDC	J7500	HCPCS		outpatient			4.23	4.23																																															other	OPPS APC			
CARVEDILOL 3.125 MG TABLET	637000000	CDM	72888-034-01	NDC	A9270	HCPCS		inpatient			4.23	4.23																																																			
CARVEDILOL 3.125 MG TABLET	637000000	CDM	72888-034-01	NDC	A9270	HCPCS		outpatient			4.23	4.23																																															other	OPPS APC			
DIGOXIN 125 MCG (0.125 MG) TABLET	637000000	CDM	0904-5921-61	NDC	A9270	HCPCS		inpatient			4.22	4.22																																																			
DIGOXIN 125 MCG (0.125 MG) TABLET	637000000	CDM	0904-5921-61	NDC	A9270	HCPCS		outpatient			4.22	4.22																																															other	OPPS APC			
SPIKE ANGIOGRAPHY L6.5 IN 3 WAY STOPCOCK MANAGEMENT	SUP-K08-00417B	CDM			270	RC		outpatient			4.22	4.22	1.14				percent of total billed charges		4.22				other	OPPS APC	3.12				percent of total billed charges		4.22				other	OPPS APC	4.22				other	OPPS APC	1.14				percent of total billed charges		1.17				percent of total billed charges		4.22				other	OPPS APC	1.14	4.22	
SPIKE ANGIOGRAPHY L6.5 IN 3 WAY STOPCOCK MANAGEMENT	SUP-K08-00417B	CDM			270	RC		inpatient			4.22	4.22																																																			
AMANTADINE 100 MG CAPSULE	637000000	CDM	0904-7042-06	NDC	A9270	HCPCS		inpatient			4.21	4.21																																																			
AMANTADINE 100 MG CAPSULE	637000000	CDM	0904-7042-06	NDC	A9270	HCPCS		outpatient			4.21	4.21																																															other	OPPS APC			
DRAPE SURGICAL SMS L44.5 IN X W40 IN L32 IN X W29 IN UNDER BUTTOCK POUCH BACK STERILE LATEX FREE	SUP-DYNJP6004	CDM			270	RC		outpatient			4.21	4.21	1.14				percent of total billed charges		4.21				other	OPPS APC	3.12				percent of total billed charges		4.21				other	OPPS APC	4.21				other	OPPS APC	1.14				percent of total billed charges		1.16				percent of total billed charges		4.21				other	OPPS APC	1.14	4.21	
DRAPE SURGICAL SMS L44.5 IN X W40 IN L32 IN X W29 IN UNDER BUTTOCK POUCH BACK STERILE LATEX FREE	SUP-DYNJP6004	CDM			270	RC		inpatient			4.21	4.21																																																			
SUTURE ABSORBABLE VICRYL 0 STANDARD SHORT L18 IN BRAID TIES 3 STRAND COATED VIOLET	SUP-J636H	CDM			270	RC		outpatient			4.21	4.21	1.14				percent of total billed charges		4.21				other	OPPS APC	3.12				percent of total billed charges		4.21				other	OPPS APC	4.21				other	OPPS APC	1.14				percent of total billed charges		1.16				percent of total billed charges		4.21				other	OPPS APC	1.14	4.21	
SUTURE ABSORBABLE VICRYL 0 STANDARD SHORT L18 IN BRAID TIES 3 STRAND COATED VIOLET	SUP-J636H	CDM			270	RC		inpatient			4.21	4.21																																																			
RANOLAZINE 500 MG TABLET EXTENDED RELEASE 12 HR	637000000	CDM	60687-549-11	NDC	A9270	HCPCS		inpatient			4.2	4.2																																																			
RANOLAZINE 500 MG TABLET EXTENDED RELEASE 12 HR	637000000	CDM	60687-549-11	NDC	A9270	HCPCS		outpatient			4.2	4.2																																															other	OPPS APC			
LACTULOSE 20 GRAM/30 ML SOLUTION	637000000	CDM	66689-038-01	NDC	A9270	HCPCS		inpatient			4.19	4.19																																																			
LACTULOSE 20 GRAM/30 ML SOLUTION	637000000	CDM	66689-038-01	NDC	A9270	HCPCS		outpatient			4.19	4.19																																															other	OPPS APC			
METOPROLOL SUCCINATE XL 100 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-542-11	NDC	A9270	HCPCS		inpatient			4.19	4.19																																																			
METOPROLOL SUCCINATE XL 100 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-542-11	NDC	A9270	HCPCS		outpatient			4.19	4.19																																															other	OPPS APC			
PHENYTOIN PER 50 MG	636000000	CDM	0641-0493-21	NDC	J1165	HCPCS		inpatient			4.17	4.17																																																			
PHENYTOIN PER 50 MG	636000000	CDM	0641-0493-21	NDC	J1165	HCPCS		outpatient			4.17	4.17																																															other	OPPS APC			
LURASIDONE 20 MG TABLET	637000000	CDM	0904-7355-04	NDC	A9270	HCPCS		inpatient			4.17	4.17																																																			
LURASIDONE 20 MG TABLET	637000000	CDM	0904-7355-04	NDC	A9270	HCPCS		outpatient			4.17	4.17																																															other	OPPS APC			
STRAP CATHETER VELCRO FOAM UNIVERSAL L22 IN X W2 IN ELASTIC SKIN IRRITATE TAPE HOOK LOOP FASTENER SOFT NONSTERILE LATEX FREE	SUP-M1133	CDM			270	RC		outpatient			4.17	4.17	1.13				percent of total billed charges		4.17				other	OPPS APC	3.09				percent of total billed charges		4.17				other	OPPS APC	4.17				other	OPPS APC	1.13				percent of total billed charges		1.15				percent of total billed charges		4.17				other	OPPS APC	1.13	4.17	
STRAP CATHETER VELCRO FOAM UNIVERSAL L22 IN X W2 IN ELASTIC SKIN IRRITATE TAPE HOOK LOOP FASTENER SOFT NONSTERILE LATEX FREE	SUP-M1133	CDM			270	RC		inpatient			4.17	4.17																																																			
BUPROPION SR 100 MG TABLET SUSTAINED-RELEASE 12 HR	637000000	CDM	68084-697-11	NDC	A9270	HCPCS		inpatient			4.16	4.16																																																			
BUPROPION SR 100 MG TABLET SUSTAINED-RELEASE 12 HR	637000000	CDM	68084-697-11	NDC	A9270	HCPCS		outpatient			4.16	4.16																																															other	OPPS APC			
SOLUTION INJECTION VIAFLEX 1L 20 MEQ POTASSIUM CHLORIDE 5% DEXTROSE 0.45% SODIUM CHLORIDE LF	SUP-790209	CDM						inpatient			4.16	4.16																																																			
SOLUTION INJECTION VIAFLEX 1L 20 MEQ POTASSIUM CHLORIDE 5% DEXTROSE 0.45% SODIUM CHLORIDE LF	SUP-790209	CDM						outpatient			4.16	4.16	4.16				percent of total billed charges		4.16				other	OPPS APC	4.16				fee schedule		4.16				other	OPPS APC	4.16				other	OPPS APC	4.16				case rate		4.16				case rate		4.16				other	OPPS APC	4.16	4.16	
ISOSORBIDE MONONITRATE 30 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6449-61	NDC	A9270	HCPCS		inpatient			4.15	4.15																																																			
ISOSORBIDE MONONITRATE 30 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6449-61	NDC	A9270	HCPCS		outpatient			4.15	4.15																																															other	OPPS APC			
SUTURE NONABSORBABLE PROLENE 1 CTX L30 IN MONOFILAMENT BLUE	SUP-8455H	CDM			270	RC		outpatient			4.15	4.15	1.12				percent of total billed charges		4.15				other	OPPS APC	3.07				percent of total billed charges		4.15				other	OPPS APC	4.15				other	OPPS APC	1.12				percent of total billed charges		1.15				percent of total billed charges		4.15				other	OPPS APC	1.12	4.15	
SUTURE NONABSORBABLE PROLENE 1 CTX L30 IN MONOFILAMENT BLUE	SUP-8455H	CDM			270	RC		inpatient			4.15	4.15																																																			
SUTURE NONABSORBABLE ETHIBOND 2-0 L18 IN BRAID TIES 12 STRAND GREEN	SUP-X185H	CDM			270	RC		outpatient			4.15	4.15	1.12				percent of total billed charges		4.15				other	OPPS APC	3.07				percent of total billed charges		4.15				other	OPPS APC	4.15				other	OPPS APC	1.12				percent of total billed charges		1.15				percent of total billed charges		4.15				other	OPPS APC	1.12	4.15	
SUTURE NONABSORBABLE ETHIBOND 2-0 L18 IN BRAID TIES 12 STRAND GREEN	SUP-X185H	CDM			270	RC		inpatient			4.15	4.15																																																			
DRESSING TRANSPARENT 3M TEGADERM 8X6IN STERILE LF FRAME STYLE ADHESIVE HYPOALLERGENIC WATERPROOF	SUP-1628	CDM	270009020	LOCAL	270	RC		outpatient			4.14	4.14	1.12				percent of total billed charges		4.14				other	OPPS APC	3.06				percent of total billed charges		4.14				other	OPPS APC	4.14				other	OPPS APC	1.12				percent of total billed charges		1.14				percent of total billed charges		4.14				other	OPPS APC	1.12	4.14	
DRESSING TRANSPARENT 3M TEGADERM 8X6IN STERILE LF FRAME STYLE ADHESIVE HYPOALLERGENIC WATERPROOF	SUP-1628	CDM	270009020	LOCAL	270	RC		inpatient			4.14	4.14																																																			
JELLY LUBRICANT E-Z 2 OZ WATER SOLUBLE FLIP TOP TUBE GREASELESS STERILE LATEX FREE	SUP-MDS032285	CDM						inpatient			4.14	4.14																																																			
JELLY LUBRICANT E-Z 2 OZ WATER SOLUBLE FLIP TOP TUBE GREASELESS STERILE LATEX FREE	SUP-MDS032285	CDM						outpatient			4.14	4.14	4.14				percent of total billed charges		4.14				other	OPPS APC	4.14				fee schedule		4.14				other	OPPS APC	4.14				other	OPPS APC	4.14				case rate		4.14				case rate		4.14				other	OPPS APC	4.14	4.14	
DIGOXIN 250 MCG/ML (0.25 MG/ML) SOLUTION	636000000	CDM	0641-1410-31	NDC	J1160	HCPCS		inpatient			4.13	4.13																																																			
DIGOXIN 250 MCG/ML (0.25 MG/ML) SOLUTION	636000000	CDM	0641-1410-31	NDC	J1160	HCPCS		outpatient			4.13	4.13																																															other	OPPS APC			
AMLODIPINE 5 MG TABLET	637000000	CDM	0904-6370-61	NDC	A9270	HCPCS		inpatient			4.11	4.11																																																			
AMLODIPINE 5 MG TABLET	637000000	CDM	0904-6370-61	NDC	A9270	HCPCS		outpatient			4.11	4.11																																															other	OPPS APC			
GEL ULTRASOUND AQUASONIC 100 .25 L PH 6.5-6.95 TRANSMISSION AQUEOUS DISPENSER CLEAR BLUE SLIGHT	SUP-01-08	CDM						inpatient			4.11	4.11																																																			
GEL ULTRASOUND AQUASONIC 100 .25 L PH 6.5-6.95 TRANSMISSION AQUEOUS DISPENSER CLEAR BLUE SLIGHT	SUP-01-08	CDM						outpatient			4.11	4.11	4.11				percent of total billed charges		4.11				other	OPPS APC	4.11				fee schedule		4.11				other	OPPS APC	4.11				other	OPPS APC	4.11				case rate		4.11				case rate		4.11				other	OPPS APC	4.11	4.11	
SUTURE ABSORBABLE MONOCRYL 2-0 CT-1 L36 IN MONOFILAMENT UNDYED	SUP-Y945H	CDM			270	RC		outpatient			4.11	4.11	1.11				percent of total billed charges		4.11				other	OPPS APC	3.04				percent of total billed charges		4.11				other	OPPS APC	4.11				other	OPPS APC	1.11				percent of total billed charges		1.14				percent of total billed charges		4.11				other	OPPS APC	1.11	4.11	
SUTURE ABSORBABLE MONOCRYL 2-0 CT-1 L36 IN MONOFILAMENT UNDYED	SUP-Y945H	CDM			270	RC		inpatient			4.11	4.11																																																			
VALACYCLOVIR 500 MG TABLET	637000000	CDM	63739-077-10	NDC	A9270	HCPCS		inpatient			4.09	4.09																																																			
VALACYCLOVIR 500 MG TABLET	637000000	CDM	63739-077-10	NDC	A9270	HCPCS		outpatient			4.09	4.09																																															other	OPPS APC			
COLLAR CERVICAL VELCRO COTTON FOAM XL SERPENTINE L25.5 IN X H4.5 IN SOFT DENSITY BREATHABLE STOCKINETTE COVER CLOSURE NONSTERILE LATEX FREE	SUP-1018-05	CDM	270009109	LOCAL	270	RC		outpatient			4.09	4.9	1.11				percent of total billed charges		4.09				other	OPPS APC	3.03				percent of total billed charges		4.09				other	OPPS APC	4.09				other	OPPS APC	1.11				percent of total billed charges		1.13				percent of total billed charges		4.9				other	OPPS APC	1.11	4.9	
COLLAR CERVICAL VELCRO COTTON FOAM XL SERPENTINE L25.5 IN X H4.5 IN SOFT DENSITY BREATHABLE STOCKINETTE COVER CLOSURE NONSTERILE LATEX FREE	SUP-1018-05	CDM	270009109	LOCAL	270	RC		inpatient			4.09	4.09																																																			
COLLAR CERVICAL VELCRO FOAM SMALL LOW CONTOUR L13-15 IN X H3 IN FIRM DENSITY STOCKINETTE COVER CLOSURE	SUP-20202	CDM	270009109	LOCAL	270	RC		outpatient			4.09	4.9	1.11				percent of total billed charges		4.09				other	OPPS APC	3.03				percent of total billed charges		4.09				other	OPPS APC	4.09				other	OPPS APC	1.11				percent of total billed charges		1.13				percent of total billed charges		4.9				other	OPPS APC	1.11	4.9	
COLLAR CERVICAL VELCRO FOAM SMALL LOW CONTOUR L13-15 IN X H3 IN FIRM DENSITY STOCKINETTE COVER CLOSURE	SUP-20202	CDM	270009109	LOCAL	270	RC		inpatient			4.09	4.09																																																			
COLLAR CERVICAL MED LOW CONTOUR 17.5INX3IN FOAM VELCRO FIRM DENSITY STOCKINETTE COVER	SUP-20203	CDM	270009109	LOCAL	270	RC		outpatient			4.09	4.9	1.11				percent of total billed charges		4.09				other	OPPS APC	3.03				percent of total billed charges		4.09				other	OPPS APC	4.09				other	OPPS APC	1.11				percent of total billed charges		1.13				percent of total billed charges		4.9				other	OPPS APC	1.11	4.9	
COLLAR CERVICAL MED LOW CONTOUR 17.5INX3IN FOAM VELCRO FIRM DENSITY STOCKINETTE COVER	SUP-20203	CDM	270009109	LOCAL	270	RC		inpatient			4.09	4.09																																																			
COLLAR CERVICAL LG 18.5INX3IN FOAM VELCRO FIRM DENSITY STOCKINETTE COVER	SUP-20204	CDM	270009109	LOCAL	270	RC		outpatient			4.09	4.9	1.11				percent of total billed charges		4.09				other	OPPS APC	3.03				percent of total billed charges		4.09				other	OPPS APC	4.09				other	OPPS APC	1.11				percent of total billed charges		1.13				percent of total billed charges		4.9				other	OPPS APC	1.11	4.9	
COLLAR CERVICAL LG 18.5INX3IN FOAM VELCRO FIRM DENSITY STOCKINETTE COVER	SUP-20204	CDM	270009109	LOCAL	270	RC		inpatient			4.09	4.09																																																			
SUTURE ABSORBABLE MONOCRYL 3-0 RB-1 L27 IN MONOFILAMENT VIOLET	SUP-Y305H	CDM			270	RC		outpatient			4.09	4.9	1.11				percent of total billed charges		4.09				other	OPPS APC	3.03				percent of total billed charges		4.09				other	OPPS APC	4.09				other	OPPS APC	1.11				percent of total billed charges		1.13				percent of total billed charges		4.9				other	OPPS APC	1.11	4.9	
SUTURE ABSORBABLE MONOCRYL 3-0 RB-1 L27 IN MONOFILAMENT VIOLET	SUP-Y305H	CDM			270	RC		inpatient			4.09	4.09																																																			
MAGNESIUM SULFATE PER 500 MG OF MAGNESIUM	636000000	CDM	63323-642-01	NDC	J3475	HCPCS		inpatient			4.08	4.08																																																			
MAGNESIUM SULFATE PER 500 MG OF MAGNESIUM	636000000	CDM	63323-642-01	NDC	J3475	HCPCS		outpatient			4.08	4.08																																															other	OPPS APC			
SUTURE ABSORBABLE MONOCRYL 3-0 CT-1 L36 IN MONOFILAMENT UNDYED	SUP-Y944H	CDM			270	RC		outpatient			4.07	4.73	1.1				percent of total billed charges		4.07				other	OPPS APC	3.01				percent of total billed charges		4.07				other	OPPS APC	4.07				other	OPPS APC	1.1				percent of total billed charges		1.12				percent of total billed charges		4.73				other	OPPS APC	1.1	4.73	
SUTURE ABSORBABLE MONOCRYL 3-0 CT-1 L36 IN MONOFILAMENT UNDYED	SUP-Y944H	CDM			270	RC		inpatient			4.07	4.07																																																			
AMINO ACIDS-PROTEIN HYDROLYSATE (PRO-STAT) 15 GRAMS PROTEIN AND 100 CALORIES/30ML 15 GRAM- 100 KCAL/30 ML LIQUID IN PACKET	637000000	CDM	2697441017	NDC	A9270	HCPCS		inpatient			4.05	4.05																																																			
AMINO ACIDS-PROTEIN HYDROLYSATE (PRO-STAT) 15 GRAMS PROTEIN AND 100 CALORIES/30ML 15 GRAM- 100 KCAL/30 ML LIQUID IN PACKET	637000000	CDM	2697441017	NDC	A9270	HCPCS		outpatient			4.05	4.05																																															other	OPPS APC			
PRAZOSIN 1 MG CAPSULE	637000000	CDM	0904-7020-61	NDC	A9270	HCPCS		inpatient			4.05	4.05																																																			
PRAZOSIN 1 MG CAPSULE	637000000	CDM	0904-7020-61	NDC	A9270	HCPCS		outpatient			4.05	4.05																																															other	OPPS APC			
PREGABALIN 50 MG CAPSULE	637000000	CDM	60687-484-01	NDC	A9270	HCPCS		inpatient			4.05	4.05																																																			
PREGABALIN 50 MG CAPSULE	637000000	CDM	60687-484-01	NDC	A9270	HCPCS		outpatient			4.05	4.05																																															other	OPPS APC			
PREGABALIN 75 MG CAPSULE	637000000	CDM	60687-495-11	NDC	A9270	HCPCS		inpatient			4.05	4.05																																																			
PREGABALIN 75 MG CAPSULE	637000000	CDM	60687-495-11	NDC	A9270	HCPCS		outpatient			4.05	4.05																																															other	OPPS APC			
PYRIDOSTIGMINE 60 MG TABLET	637000000	CDM	0904-6622-61	NDC	A9270	HCPCS		inpatient			4.04	4.04																																																			
PYRIDOSTIGMINE 60 MG TABLET	637000000	CDM	0904-6622-61	NDC	A9270	HCPCS		outpatient			4.04	4.04																																															other	OPPS APC			
SUTURE ABSORBABLE MONOCRYL 0 CT-1 L36 IN MONOFILAMENT UNDYED	SUP-Y946H	CDM			270	RC		outpatient			4.03	4.32	1.09				percent of total billed charges		4.03				other	OPPS APC	2.98				percent of total billed charges		4.03				other	OPPS APC	4.03				other	OPPS APC	1.09				percent of total billed charges		1.11				percent of total billed charges		4.32				other	OPPS APC	1.09	4.32	
SUTURE ABSORBABLE MONOCRYL 0 CT-1 L36 IN MONOFILAMENT UNDYED	SUP-Y946H	CDM			270	RC		inpatient			4.03	4.03																																																			
LABETALOL 100 MG TABLET	637000000	CDM	0904-7109-61	NDC	A9270	HCPCS		inpatient			4.02	4.02																																																			
LABETALOL 100 MG TABLET	637000000	CDM	0904-7109-61	NDC	A9270	HCPCS		outpatient			4.02	4.02																																															other	OPPS APC			
FLUDROCORTISONE 0.1 MG TABLET	637000000	CDM	50268-330-11	NDC	A9270	HCPCS		inpatient			4	4																																																			
FLUDROCORTISONE 0.1 MG TABLET	637000000	CDM	50268-330-11	NDC	A9270	HCPCS		outpatient			4	4																																															other	OPPS APC			
DRAINS THORACIC 36 FR	SUP-74-00029	CDM			272	RC		outpatient			4	4	1.08				percent of total billed charges		4				other	OPPS APC	2.96				percent of total billed charges		4				other	OPPS APC	4				other	OPPS APC	1.08				percent of total billed charges		1.11				percent of total billed charges		4				other	OPPS APC	1.08	4	
DRAINS THORACIC 36 FR	SUP-74-00029	CDM			272	RC		inpatient			4	4																																																			
MASK ANESTHESIA PEDIATRIC 2 TRADITIONAL	SUP-AMINF2CH	CDM						inpatient			4	4																																																			
MASK ANESTHESIA PEDIATRIC 2 TRADITIONAL	SUP-AMINF2CH	CDM						outpatient			4	4	4				percent of total billed charges		4				other	OPPS APC	4				fee schedule		4				other	OPPS APC	4				other	OPPS APC	4				case rate		4				case rate		4				other	OPPS APC	4	4	
STOPCOCK ANGIOGRAPHY NAMIC 1050 PSI 3 WAY ROTATE ADAPTER RIGHT PORT	SUP-H965700550091	CDM			270	RC		outpatient			4	4	1.08				percent of total billed charges		4				other	OPPS APC	2.96				percent of total billed charges		4				other	OPPS APC	4				other	OPPS APC	1.08				percent of total billed charges		1.11				percent of total billed charges		4				other	OPPS APC	1.08	4	
STOPCOCK ANGIOGRAPHY NAMIC 1050 PSI 3 WAY ROTATE ADAPTER RIGHT PORT	SUP-H965700550091	CDM			270	RC		inpatient			4	4																																																			
STOCKING THIGH-HI SMALL/LONG	SUP-01-00057	CDM			271	RC		outpatient			3.99	3.99	1.08				percent of total billed charges		3.99				other	OPPS APC	2.95				percent of total billed charges		3.99				other	OPPS APC	3.99				other	OPPS APC	1.08				percent of total billed charges		1.1				percent of total billed charges		3.99				other	OPPS APC	1.08	3.99	
STOCKING THIGH-HI SMALL/LONG	SUP-01-00057	CDM			271	RC		inpatient			3.99	3.99																																																			
OR STERILE TOWELS 4/PK	SUP-704-B	CDM			270	RC		outpatient			3.99	3.99	1.08				percent of total billed charges		3.99				other	OPPS APC	2.95				percent of total billed charges		3.99				other	OPPS APC	3.99				other	OPPS APC	1.08				percent of total billed charges		1.1				percent of total billed charges		3.99				other	OPPS APC	1.08	3.99	
OR STERILE TOWELS 4/PK	SUP-704-B	CDM			270	RC		inpatient			3.99	3.99																																																			
BUPROPION XL 150 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7084-04	NDC	A9270	HCPCS		inpatient			3.96	3.96																																																			
BUPROPION XL 150 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-7084-04	NDC	A9270	HCPCS		outpatient			3.96	3.96																																															other	OPPS APC			
CUFF BLOOD PRESSURE CRITIKON SOFT-CUF ADULT L23-33 CM 1 TUBE BAYONET CONNECTOR ROUND CORNER REPOSABLE LATEX FREE NAVY WHITE	SUP-2363	CDM			270	RC		outpatient			3.96	3.96	1.07				percent of total billed charges		3.96				other	OPPS APC	2.93				percent of total billed charges		3.96				other	OPPS APC	3.96				other	OPPS APC	1.07				percent of total billed charges		1.09				percent of total billed charges		3.96				other	OPPS APC	1.07	3.96	
CUFF BLOOD PRESSURE CRITIKON SOFT-CUF ADULT L23-33 CM 1 TUBE BAYONET CONNECTOR ROUND CORNER REPOSABLE LATEX FREE NAVY WHITE	SUP-2363	CDM			270	RC		inpatient			3.96	3.96																																																			
SUTURE ABSORBABLE COATED VICRYL PLUS 0 UR-5 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP376H	CDM			270	RC		outpatient			3.96	3.96	1.07				percent of total billed charges		3.96				other	OPPS APC	2.93				percent of total billed charges		3.96				other	OPPS APC	3.96				other	OPPS APC	1.07				percent of total billed charges		1.09				percent of total billed charges		3.96				other	OPPS APC	1.07	3.96	
SUTURE ABSORBABLE COATED VICRYL PLUS 0 UR-5 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP376H	CDM			270	RC		inpatient			3.96	3.96																																																			
BAG 4L URINE CONTIN IRRIG DRAINAGE	SUP-03-00024	CDM			272	RC		outpatient			3.95	3.95	1.07				percent of total billed charges		3.95				other	OPPS APC	2.92				percent of total billed charges		3.95				other	OPPS APC	3.95				other	OPPS APC	1.07				percent of total billed charges		1.09				percent of total billed charges		3.95				other	OPPS APC	1.07	3.95	
BAG 4L URINE CONTIN IRRIG DRAINAGE	SUP-03-00024	CDM			272	RC		inpatient			3.95	3.95																																																			
BUMETANIDE PER 0.5 MG	636000000	CDM	0641-6007-01	NDC	J1939	HCPCS		inpatient			3.94	3.94																																																			
BUMETANIDE PER 0.5 MG	636000000	CDM	0641-6007-01	NDC	J1939	HCPCS		outpatient			3.94	3.94																																															other	OPPS APC			
BLADE SURGICAL CLIPPER WIDE W37.2 MM H.23 MM GENERAL PURPOSE EXIST HANDLE DROP IN CHARGE NONSTERILE LATEX FREE DISPOSABLE	SUP-4406	CDM						inpatient			3.94	3.94																																																			
BLADE SURGICAL CLIPPER WIDE W37.2 MM H.23 MM GENERAL PURPOSE EXIST HANDLE DROP IN CHARGE NONSTERILE LATEX FREE DISPOSABLE	SUP-4406	CDM						outpatient			3.94	3.94	3.94				percent of total billed charges		3.94				other	OPPS APC	3.94				fee schedule		3.94				other	OPPS APC	3.94				other	OPPS APC	3.94				case rate		3.94				case rate		3.94				other	OPPS APC	3.94	3.94	
SUTURE ABSORBABLE VICRYL PLUS 2-0 UR-6 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP602H	CDM			270	RC		outpatient			3.94	3.94	1.07				percent of total billed charges		3.94				other	OPPS APC	2.92				percent of total billed charges		3.94				other	OPPS APC	3.94				other	OPPS APC	1.07				percent of total billed charges		1.09				percent of total billed charges		3.94				other	OPPS APC	1.07	3.94	
SUTURE ABSORBABLE VICRYL PLUS 2-0 UR-6 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP602H	CDM			270	RC		inpatient			3.94	3.94																																																			
METHADONE 10 MG TABLET	637000000	CDM	0406-5771-23	NDC	A9270	HCPCS		inpatient			3.93	3.93																																																			
METHADONE 10 MG TABLET	637000000	CDM	0406-5771-23	NDC	A9270	HCPCS		outpatient			3.93	3.93																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL PLUS 5-0 RB-1 L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP213H	CDM			270	RC		outpatient			3.93	3.93	1.06				percent of total billed charges		3.93				other	OPPS APC	2.91				percent of total billed charges		3.93				other	OPPS APC	3.93				other	OPPS APC	1.06				percent of total billed charges		1.09				percent of total billed charges		3.93				other	OPPS APC	1.06	3.93	
SUTURE ABSORBABLE VICRYL PLUS 5-0 RB-1 L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP213H	CDM			270	RC		inpatient			3.93	3.93																																																			
DILTIAZEM 60 MG TABLET	637000000	CDM	50228-482-01	NDC	A9270	HCPCS		inpatient			3.92	3.92																																																			
DILTIAZEM 60 MG TABLET	637000000	CDM	50228-482-01	NDC	A9270	HCPCS		outpatient			3.92	3.92																																															other	OPPS APC			
TRACH DISPOSABLE INNER CANNULA 8	SUP-31-00010	CDM			272	RC		outpatient			3.91	3.91	1.06				percent of total billed charges		3.91				other	OPPS APC	2.89				percent of total billed charges		3.91				other	OPPS APC	3.91				other	OPPS APC	1.06				percent of total billed charges		1.08				percent of total billed charges		3.91				other	OPPS APC	1.06	3.91	
TRACH DISPOSABLE INNER CANNULA 8	SUP-31-00010	CDM			272	RC		inpatient			3.91	3.91																																																			
METOPROLOL 5 MG/5 ML SOLUTION	250000000	CDM	36000-033-10	NDC				inpatient			3.9	3.9																																																			
METOPROLOL 5 MG/5 ML SOLUTION	250000000	CDM	36000-033-10	NDC				outpatient			3.9	3.9																																															other	OPPS APC			
LORAZEPAM PER 2 MG	636000000	CDM	0641-6044-01	NDC	J2060	HCPCS		inpatient			3.89	3.89																																																			
LORAZEPAM PER 2 MG	636000000	CDM	0641-6044-25	NDC	J2060	HCPCS		inpatient			3.89	3.89																																																			
LORAZEPAM PER 2 MG	636000000	CDM	0641-6044-01	NDC	J2060	HCPCS		outpatient			3.89	3.89																																															other	OPPS APC			
LORAZEPAM PER 2 MG	636000000	CDM	0641-6044-25	NDC	J2060	HCPCS		outpatient			3.89	3.89																																															other	OPPS APC			
PILLOW ABDUCTION FOAM MEDIUM L17 IN X W6.5 IN SHOULDER PADDED SLING SHOULDER WAIST STRAP PILLOW ABDUCTION DEVICE NONSTERILE LATEX FREE DISPOSABLE	SUP-11640006	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
PILLOW ABDUCTION FOAM MEDIUM L17 IN X W6.5 IN SHOULDER PADDED SLING SHOULDER WAIST STRAP PILLOW ABDUCTION DEVICE NONSTERILE LATEX FREE DISPOSABLE	SUP-11640006	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
PILLOW ABDUCTION FOAM LARGE SHOULDER ENVELOPE SLING THUMB LOOP PAD D RING CLOSURE NONSTERILE LATEX FREE	SUP-11640007	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
PILLOW ABDUCTION FOAM LARGE SHOULDER ENVELOPE SLING THUMB LOOP PAD D RING CLOSURE NONSTERILE LATEX FREE	SUP-11640007	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
DEVICE POSITIONING CANVAS FOAM XL L20.5 IN X W7.5 IN SHOULDER PILLOW ABDUCTION	SUP-11640008	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
DEVICE POSITIONING CANVAS FOAM XL L20.5 IN X W7.5 IN SHOULDER PILLOW ABDUCTION	SUP-11640008	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
FREDS	SUP-76-00014	CDM			272	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
FREDS	SUP-76-00014	CDM			272	RC		inpatient			3.89	3.89																																																			
IMMOBILIZER ORTHOPEDIC TIETEX FOAM MEDIUM UNIVERSAL L16 1/2 IN X W8 IN SHOULDER ADJUSTABLE STRAP O RING HOOK LOOP CLOSURE NONSTERILE LATEX FREE	SUP-TX9023-02	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
IMMOBILIZER ORTHOPEDIC TIETEX FOAM MEDIUM UNIVERSAL L16 1/2 IN X W8 IN SHOULDER ADJUSTABLE STRAP O RING HOOK LOOP CLOSURE NONSTERILE LATEX FREE	SUP-TX9023-02	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
IMMOBILIZER ORTHOPEDIC TIETEX FOAM LARGE UNIVERSAL L19 1/2 IN X W9 IN SHOULDER ADJUSTABLE STRAP O RING HOOK LOOP CLOSURE NONSTERILE LATEX FREE	SUP-TX9023-03	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
IMMOBILIZER ORTHOPEDIC TIETEX FOAM LARGE UNIVERSAL L19 1/2 IN X W9 IN SHOULDER ADJUSTABLE STRAP O RING HOOK LOOP CLOSURE NONSTERILE LATEX FREE	SUP-TX9023-03	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
SLING ORTHOPEDIC TIETEX MEDIUM ARM ENVELOPE SHOULDER STRAP SLIDE BUCKLE	SUP-TX9901-03	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
SLING ORTHOPEDIC TIETEX MEDIUM ARM ENVELOPE SHOULDER STRAP SLIDE BUCKLE	SUP-TX9901-03	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
SLING ORTHOPEDIC TIETEX LARGE ARM ENVELOPE SHOULDER STRAP SLIDE BUCKLE	SUP-TX9901-04	CDM	270009116	LOCAL	270	RC		outpatient			3.89	3.89	1.05				percent of total billed charges		3.89				other	OPPS APC	2.88				percent of total billed charges		3.89				other	OPPS APC	3.89				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.89				other	OPPS APC	1.05	3.89	
SLING ORTHOPEDIC TIETEX LARGE ARM ENVELOPE SHOULDER STRAP SLIDE BUCKLE	SUP-TX9901-04	CDM	270009116	LOCAL	270	RC		inpatient			3.89	3.89																																																			
DIVALPROEX 250 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6363-61	NDC	A9270	HCPCS		inpatient			3.88	3.88																																																			
DIVALPROEX 250 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6363-61	NDC	A9270	HCPCS		outpatient			3.88	3.88																																															other	OPPS APC			
DONEPEZIL 5 MG TABLET	637000000	CDM	60687-292-11	NDC	A9270	HCPCS		inpatient			3.88	3.88																																																			
DONEPEZIL 5 MG TABLET	637000000	CDM	60687-292-11	NDC	A9270	HCPCS		outpatient			3.88	3.88																																															other	OPPS APC			
CATHETER FOLEY LATEX 26FR 2WAY 30CC	SUP-02-00143	CDM			272	RC		outpatient			3.88	3.88	1.05				percent of total billed charges		3.88				other	OPPS APC	2.87				percent of total billed charges		3.88				other	OPPS APC	3.88				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.88				other	OPPS APC	1.05	3.88	
CATHETER FOLEY LATEX 26FR 2WAY 30CC	SUP-02-00143	CDM			272	RC		inpatient			3.88	3.88																																																			
NEEDLE HUBER 19G 3/4	SUP-06-00060	CDM			272	RC		outpatient			3.88	3.88	1.05				percent of total billed charges		3.88				other	OPPS APC	2.87				percent of total billed charges		3.88				other	OPPS APC	3.88				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.88				other	OPPS APC	1.05	3.88	
NEEDLE HUBER 19G 3/4	SUP-06-00060	CDM			272	RC		inpatient			3.88	3.88																																																			
SLING ARM INFANT	SUP-36-00009	CDM			271	RC		outpatient			3.88	3.88	1.05				percent of total billed charges		3.88				other	OPPS APC	2.87				percent of total billed charges		3.88				other	OPPS APC	3.88				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.88				other	OPPS APC	1.05	3.88	
SLING ARM INFANT	SUP-36-00009	CDM			271	RC		inpatient			3.88	3.88																																																			
SUTURE   **USE 95-04482**	SUP-74-00385	CDM			272	RC		outpatient			3.88	3.88	1.05				percent of total billed charges		3.88				other	OPPS APC	2.87				percent of total billed charges		3.88				other	OPPS APC	3.88				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.88				other	OPPS APC	1.05	3.88	
SUTURE   **USE 95-04482**	SUP-74-00385	CDM			272	RC		inpatient			3.88	3.88																																																			
TAPE CASTING 3M SCOTCHCAST PLUS FIBERGLASS FABRIC POLYURETHANE RESIN POROUS L4 YD X W2 IN LIGHTWEIGHT STRONG STRETCH WATER ACTIVATE LATEX FREE WHITE	SUP-82002	CDM						inpatient			3.88	3.88																																																			
TAPE CASTING 3M SCOTCHCAST PLUS FIBERGLASS FABRIC POLYURETHANE RESIN POROUS L4 YD X W2 IN LIGHTWEIGHT STRONG STRETCH WATER ACTIVATE LATEX FREE WHITE	SUP-82002	CDM						outpatient			3.88	3.88	3.88				percent of total billed charges		3.88				other	OPPS APC	3.88				fee schedule		3.88				other	OPPS APC	3.88				other	OPPS APC	3.88				case rate		3.88				case rate		3.88				other	OPPS APC	3.88	3.88	
POST OP SHOE MALE SM	SUP-95-03321	CDM			272	RC		outpatient			3.88	3.88	1.05				percent of total billed charges		3.88				other	OPPS APC	2.87				percent of total billed charges		3.88				other	OPPS APC	3.88				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.88				other	OPPS APC	1.05	3.88	
POST OP SHOE MALE SM	SUP-95-03321	CDM			272	RC		inpatient			3.88	3.88																																																			
SUTURE ABSORBABLE VICRYL PLUS 0 UR-6 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP603H	CDM			270	RC		outpatient			3.88	3.88	1.05				percent of total billed charges		3.88				other	OPPS APC	2.87				percent of total billed charges		3.88				other	OPPS APC	3.88				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.88				other	OPPS APC	1.05	3.88	
SUTURE ABSORBABLE VICRYL PLUS 0 UR-6 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP603H	CDM			270	RC		inpatient			3.88	3.88																																																			
POLYETHYLENE GLYCOL 17 GRAM POWDER IN PACKET	637000000	CDM	0904-6931-81	NDC	A9270	HCPCS		inpatient			3.87	3.87																																																			
POLYETHYLENE GLYCOL 17 GRAM POWDER IN PACKET	637000000	CDM	0904-6931-81	NDC	A9270	HCPCS		outpatient			3.87	3.87																																															other	OPPS APC			
CATHETER FOLEY LATEX 24FR 2WAY 30CC	SUP-02-00127	CDM			272	RC		outpatient			3.86	3.86	1.05				percent of total billed charges		3.86				other	OPPS APC	2.86				percent of total billed charges		3.86				other	OPPS APC	3.86				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.86				other	OPPS APC	1.05	3.86	
CATHETER FOLEY LATEX 24FR 2WAY 30CC	SUP-02-00127	CDM			272	RC		inpatient			3.86	3.86																																																			
MOUTHCARE SWABS 20/PK	SUP-12-00022	CDM			272	RC		outpatient			3.86	3.86	1.05				percent of total billed charges		3.86				other	OPPS APC	2.86				percent of total billed charges		3.86				other	OPPS APC	3.86				other	OPPS APC	1.05				percent of total billed charges		1.07				percent of total billed charges		3.86				other	OPPS APC	1.05	3.86	
MOUTHCARE SWABS 20/PK	SUP-12-00022	CDM			272	RC		inpatient			3.86	3.86																																																			
BANDAGE ADHESIVE COVERLET 3X2IN FABRIC STERILE LF PATCH XL WOUND PAD ABSORBENT ELASTIC	SUP-00340000	CDM	270009017	LOCAL	270	RC		outpatient			3.84	3.84	1.04				percent of total billed charges		3.84				other	OPPS APC	2.84				percent of total billed charges		3.84				other	OPPS APC	3.84				other	OPPS APC	1.04				percent of total billed charges		1.06				percent of total billed charges		3.84				other	OPPS APC	1.04	3.84	
BANDAGE ADHESIVE COVERLET 3X2IN FABRIC STERILE LF PATCH XL WOUND PAD ABSORBENT ELASTIC	SUP-00340000	CDM	270009017	LOCAL	270	RC		inpatient			3.84	3.84																																																			
TRACH DISPOSABLE INNER CANNULA 6	SUP-31-00009	CDM			272	RC		outpatient			3.84	3.84	1.04				percent of total billed charges		3.84				other	OPPS APC	2.84				percent of total billed charges		3.84				other	OPPS APC	3.84				other	OPPS APC	1.04				percent of total billed charges		1.06				percent of total billed charges		3.84				other	OPPS APC	1.04	3.84	
TRACH DISPOSABLE INNER CANNULA 6	SUP-31-00009	CDM			272	RC		inpatient			3.84	3.84																																																			
BEDPAN PATIENT PLASTIC CONTOUR CONVENTIONAL DUSTY ROSE	SUP-H131-10	CDM						inpatient			3.84	3.84																																																			
BEDPAN PATIENT PLASTIC CONTOUR CONVENTIONAL DUSTY ROSE	SUP-H131-10	CDM						outpatient			3.84	3.84	3.84				percent of total billed charges		3.84				other	OPPS APC	3.84				fee schedule		3.84				other	OPPS APC	3.84				other	OPPS APC	3.84				case rate		3.84				case rate		3.84				other	OPPS APC	3.84	3.84	
ACYCLOVIR 200 MG CAPSULE	637000000	CDM	0904-5789-61	NDC	A9270	HCPCS		inpatient			3.83	3.83																																																			
ACYCLOVIR 200 MG CAPSULE	637000000	CDM	0904-5789-61	NDC	A9270	HCPCS		outpatient			3.83	3.83																																															other	OPPS APC			
SPLINT FINGER VELCRO LARGE	SUP-36-00025	CDM			271	RC		outpatient			3.83	3.83	1.04				percent of total billed charges		3.83				other	OPPS APC	2.83				percent of total billed charges		3.83				other	OPPS APC	3.83				other	OPPS APC	1.04				percent of total billed charges		1.06				percent of total billed charges		3.83				other	OPPS APC	1.04	3.83	
SPLINT FINGER VELCRO LARGE	SUP-36-00025	CDM			271	RC		inpatient			3.83	3.83																																																			
CATHETER THORACIC 32FR	SUP-83-00044	CDM			272	RC		outpatient			3.83	3.83	1.04				percent of total billed charges		3.83				other	OPPS APC	2.83				percent of total billed charges		3.83				other	OPPS APC	3.83				other	OPPS APC	1.04				percent of total billed charges		1.06				percent of total billed charges		3.83				other	OPPS APC	1.04	3.83	
CATHETER THORACIC 32FR	SUP-83-00044	CDM			272	RC		inpatient			3.83	3.83																																																			
SCRUB SURGICAL CLOTH CHG L10.5 IN X W9 IN RINSE FREE NONSTERILE LATEX FREE FRAGRANCE FREE	SUP-MSC096CHG	CDM						inpatient			3.83	3.83																																																			
SCRUB SURGICAL CLOTH CHG L10.5 IN X W9 IN RINSE FREE NONSTERILE LATEX FREE FRAGRANCE FREE	SUP-MSC096CHG	CDM						outpatient			3.83	3.83	3.83				percent of total billed charges		3.83				other	OPPS APC	3.83				fee schedule		3.83				other	OPPS APC	3.83				other	OPPS APC	3.83				case rate		3.83				case rate		3.83				other	OPPS APC	3.83	3.83	
CATHETER FOLEY LATEX 22FR 2WAY 30CC	SUP-02-00126	CDM			272	RC		outpatient			3.81	3.81	1.03				percent of total billed charges		3.81				other	OPPS APC	2.82				percent of total billed charges		3.81				other	OPPS APC	3.81				other	OPPS APC	1.03				percent of total billed charges		1.05				percent of total billed charges		3.81				other	OPPS APC	1.03	3.81	
CATHETER FOLEY LATEX 22FR 2WAY 30CC	SUP-02-00126	CDM			272	RC		inpatient			3.81	3.81																																																			
SKIN STAPLER  PRECISE SZ 5	SUP-21-00050	CDM			272	RC		outpatient			3.81	3.81	1.03				percent of total billed charges		3.81				other	OPPS APC	2.82				percent of total billed charges		3.81				other	OPPS APC	3.81				other	OPPS APC	1.03				percent of total billed charges		1.05				percent of total billed charges		3.81				other	OPPS APC	1.03	3.81	
SKIN STAPLER  PRECISE SZ 5	SUP-21-00050	CDM			272	RC		inpatient			3.81	3.81																																																			
SUTURE NONABSORBABLE ETHILON 2 LR 20IN BLACK MONOFILAMENT	SUP-460T	CDM			270	RC		outpatient			3.78	3.78	1.02				percent of total billed charges		3.78				other	OPPS APC	2.8				percent of total billed charges		3.78				other	OPPS APC	3.78				other	OPPS APC	1.02				percent of total billed charges		1.04				percent of total billed charges		3.78				other	OPPS APC	1.02	3.78	
SUTURE NONABSORBABLE ETHILON 2 LR 20IN BLACK MONOFILAMENT	SUP-460T	CDM			270	RC		inpatient			3.78	3.78																																																			
BANDAIDS COVERLET/FINGERTIP	SUP-10-00066	CDM			272	RC		outpatient			3.77	3.77	1.02				percent of total billed charges		3.77				other	OPPS APC	2.79				percent of total billed charges		3.77				other	OPPS APC	3.77				other	OPPS APC	1.02				percent of total billed charges		1.04				percent of total billed charges		3.77				other	OPPS APC	1.02	3.77	
BANDAIDS COVERLET/FINGERTIP	SUP-10-00066	CDM			272	RC		inpatient			3.77	3.77																																																			
MASK RESUSCITATOR	SUP-23-00023	CDM			272	RC		outpatient			3.77	3.77	1.02				percent of total billed charges		3.77				other	OPPS APC	2.79				percent of total billed charges		3.77				other	OPPS APC	3.77				other	OPPS APC	1.02				percent of total billed charges		1.04				percent of total billed charges		3.77				other	OPPS APC	1.02	3.77	
MASK RESUSCITATOR	SUP-23-00023	CDM			272	RC		inpatient			3.77	3.77																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	0338-0069-10	NDC	J1885	HCPCS		inpatient			3.76	3.76																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	0338-0069-10	NDC	J1885	HCPCS		outpatient			3.76	3.76																																															other	OPPS APC			
SHOE CAST SMALL	SUP-35-00016	CDM			271	RC		outpatient			3.76	3.76	1.02				percent of total billed charges		3.76				other	OPPS APC	2.78				percent of total billed charges		3.76				other	OPPS APC	3.76				other	OPPS APC	1.02				percent of total billed charges		1.04				percent of total billed charges		3.76				other	OPPS APC	1.02	3.76	
SHOE CAST SMALL	SUP-35-00016	CDM			271	RC		inpatient			3.76	3.76																																																			
SPLINT FINGER VELCRO MEDIUM	SUP-36-00026	CDM			271	RC		outpatient			3.76	3.76	1.02				percent of total billed charges		3.76				other	OPPS APC	2.78				percent of total billed charges		3.76				other	OPPS APC	3.76				other	OPPS APC	1.02				percent of total billed charges		1.04				percent of total billed charges		3.76				other	OPPS APC	1.02	3.76	
SPLINT FINGER VELCRO MEDIUM	SUP-36-00026	CDM			271	RC		inpatient			3.76	3.76																																																			
NEEDLE RETRACTING PERIPHERAL IV CATHETER INSYTE AUTOGUARD BC 20 GAUGE 1 IN BUTTON	SUP-382533	CDM			481	RC		outpatient			3.76	3.76	1.84				percent of total billed charges		3.76				other	OPPS APC	2.78				percent of total billed charges		3.76				other	OPPS APC	3.76				other	OPPS APC	1.84				percent of total billed charges		1.92				percent of total billed charges		3.76				other	OPPS APC	1.84	3.76	
NEEDLE RETRACTING PERIPHERAL IV CATHETER INSYTE AUTOGUARD BC 20 GAUGE 1 IN BUTTON	SUP-382533	CDM			481	RC		inpatient			3.76	3.76																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0143-9858-01	NDC	J0696	HCPCS		inpatient			3.75	3.75																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0143-9858-01	NDC	J0696	HCPCS		outpatient			3.75	3.75																																															other	OPPS APC			
DOPAMINE PER 40 MG	636000000	CDM	0409-7810-22	NDC	J1265	HCPCS		inpatient			3.75	3.75																																																			
DOPAMINE PER 40 MG	636000000	CDM	0409-7810-22	NDC	J1265	HCPCS		outpatient			3.75	3.75																																															other	OPPS APC			
MORPHINE 4 MG/ML SOLUTION	636000000	CDM	0641-6125-25	NDC	J2270	HCPCS		inpatient			3.75	3.75																																																			
MORPHINE 4 MG/ML SOLUTION	636000000	CDM	0641-6125-25	NDC	J2270	HCPCS		outpatient			3.75	3.75																																															other	OPPS APC			
AMINO ACIDS-PROTEIN HYDROLYSATE (PRO-STAT) 15 GRAMS PROTEIN AND 100 CALORIES/30ML 15 GRAM- 100 KCAL/30 ML LIQUID IN PACKET	637000000	CDM	2697441042	NDC	A9270	HCPCS		inpatient			3.75	3.75																																																			
AMINO ACIDS-PROTEIN HYDROLYSATE (PRO-STAT) 15 GRAMS PROTEIN AND 100 CALORIES/30ML 15 GRAM- 100 KCAL/30 ML LIQUID IN PACKET	637000000	CDM	2697441042	NDC	A9270	HCPCS		outpatient			3.75	3.75																																															other	OPPS APC			
PENTOXIFYLLINE 400 MG TABLET EXTENDED RELEASE	637000000	CDM	0904-5448-61	NDC	A9270	HCPCS		inpatient			3.75	3.75																																																			
PENTOXIFYLLINE 400 MG TABLET EXTENDED RELEASE	637000000	CDM	0904-5448-61	NDC	A9270	HCPCS		outpatient			3.75	3.75																																															other	OPPS APC			
SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML ENEMA	637000000	CDM	132020220	NDC	A9270	HCPCS		inpatient			3.75	3.75																																																			
SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML ENEMA	637000000	CDM	132020220	NDC	A9270	HCPCS		outpatient			3.75	3.75																																															other	OPPS APC			
METOCLOPRAMIDE PER 10 MG	636000000	CDM	0409-3414-01	NDC	J2765	HCPCS		inpatient			3.73	3.73																																																			
METOCLOPRAMIDE PER 10 MG	636000000	CDM	0409-3414-01	NDC	J2765	HCPCS		outpatient			3.73	3.73																																															other	OPPS APC			
DOXAZOSIN 8 MG TABLET	637000000	CDM	68382-786-01	NDC	A9270	HCPCS		inpatient			3.72	3.72																																																			
DOXAZOSIN 8 MG TABLET	637000000	CDM	68382-786-01	NDC	A9270	HCPCS		outpatient			3.72	3.72																																															other	OPPS APC			
METOPROLOL 5 MG/5 ML SOLUTION	250000000	CDM	0409-1778-15	NDC				inpatient			3.71	3.71																																																			
METOPROLOL 5 MG/5 ML SOLUTION	250000000	CDM	0409-1778-15	NDC				outpatient			3.71	3.71																																															other	OPPS APC			
PIN FIXATION STEINMANN STAINLESS STEEL L229 MM OD4 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700669	CDM			270	RC		outpatient			3.71	3.71	1.01				percent of total billed charges		3.71				other	OPPS APC	2.75				percent of total billed charges		3.71				other	OPPS APC	3.71				other	OPPS APC	1.01				percent of total billed charges		1.03				percent of total billed charges		3.71				other	OPPS APC	1.01	3.71	
PIN FIXATION STEINMANN STAINLESS STEEL L229 MM OD4 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700669	CDM			270	RC		inpatient			3.71	3.71																																																			
ADAPTER BETA-CAP ARGYLE	SUP-95-05282	CDM			272	RC		outpatient			3.71	3.71	1.01				percent of total billed charges		3.71				other	OPPS APC	2.75				percent of total billed charges		3.71				other	OPPS APC	3.71				other	OPPS APC	1.01				percent of total billed charges		1.03				percent of total billed charges		3.71				other	OPPS APC	1.01	3.71	
ADAPTER BETA-CAP ARGYLE	SUP-95-05282	CDM			272	RC		inpatient			3.71	3.71																																																			
SUTURE ABSORBABLE VICRYL LIGAPAK 2-0 L54 IN BRAID REEL COATED VIOLET	SUP-J206G	CDM			270	RC		outpatient			3.71	3.71	1.01				percent of total billed charges		3.71				other	OPPS APC	2.75				percent of total billed charges		3.71				other	OPPS APC	3.71				other	OPPS APC	1.01				percent of total billed charges		1.03				percent of total billed charges		3.71				other	OPPS APC	1.01	3.71	
SUTURE ABSORBABLE VICRYL LIGAPAK 2-0 L54 IN BRAID REEL COATED VIOLET	SUP-J206G	CDM			270	RC		inpatient			3.71	3.71																																																			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	50268-710-11	NDC	A9270	HCPCS		inpatient			3.7	3.7																																																			
ROSUVASTATIN 20 MG TABLET	637000000	CDM	50268-710-11	NDC	A9270	HCPCS		outpatient			3.7	3.7																																															other	OPPS APC			
SUTURE SILK 2-0 BLK BR BB 30IN	SUP-K883H	CDM			270	RC		outpatient			3.7	3.72	1				percent of total billed charges		3.7				other	OPPS APC	2.74				percent of total billed charges		3.7				other	OPPS APC	3.7				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.72				other	OPPS APC	1	3.72	
SUTURE SILK 2-0 BLK BR BB 30IN	SUP-K883H	CDM			270	RC		inpatient			3.7	3.7																																																			
TAPE UMBILICAL 36X1/8IN COTTON STERILE LF TIE WOVEN NONABSORBABLE MULTIPACK	SUP-U12T	CDM			270	RC		outpatient			3.7	3.72	1				percent of total billed charges		3.7				other	OPPS APC	2.74				percent of total billed charges		3.7				other	OPPS APC	3.7				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.72				other	OPPS APC	1	3.72	
TAPE UMBILICAL 36X1/8IN COTTON STERILE LF TIE WOVEN NONABSORBABLE MULTIPACK	SUP-U12T	CDM			270	RC		inpatient			3.7	3.7																																																			
BAG EQUIPMENT MICROSHIELD L40 IN X W20 IN OD40 IN CIRCULAR SEWN ELASTIC BAND STERILE LATEX FREE DISPOSABLE	SUP-60040S	CDM			270	RC		outpatient			3.69	3.69	1				percent of total billed charges		3.69				other	OPPS APC	2.73				percent of total billed charges		3.69				other	OPPS APC	3.69				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.69				other	OPPS APC	1	3.69	
BAG EQUIPMENT MICROSHIELD L40 IN X W20 IN OD40 IN CIRCULAR SEWN ELASTIC BAND STERILE LATEX FREE DISPOSABLE	SUP-60040S	CDM			270	RC		inpatient			3.69	3.69																																																			
NASAL DRESSING HOLDER	SUP-74-00224	CDM			272	RC		outpatient			3.69	3.69	1				percent of total billed charges		3.69				other	OPPS APC	2.73				percent of total billed charges		3.69				other	OPPS APC	3.69				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.69				other	OPPS APC	1	3.69	
NASAL DRESSING HOLDER	SUP-74-00224	CDM			272	RC		inpatient			3.69	3.69																																																			
TEMAZEPAM 15 MG CAPSULE	637000000	CDM	0228-2076-10	NDC	A9270	HCPCS		inpatient			3.68	3.68																																																			
TEMAZEPAM 15 MG CAPSULE	637000000	CDM	0228-2076-10	NDC	A9270	HCPCS		outpatient			3.68	3.68																																															other	OPPS APC			
CATHETER FOLEY PED LF 8FR 2WAY 3CC	SUP-02-00038	CDM			272	RC		outpatient			3.68	3.68	1				percent of total billed charges		3.68				other	OPPS APC	2.72				percent of total billed charges		3.68				other	OPPS APC	3.68				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.68				other	OPPS APC	1	3.68	
CATHETER FOLEY PED LF 8FR 2WAY 3CC	SUP-02-00038	CDM			272	RC		inpatient			3.68	3.68																																																			
IODOFORM STRIP PACKING 1/4	SUP-10-00102	CDM			272	RC		outpatient			3.68	3.68	1				percent of total billed charges		3.68				other	OPPS APC	2.72				percent of total billed charges		3.68				other	OPPS APC	3.68				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.68				other	OPPS APC	1	3.68	
IODOFORM STRIP PACKING 1/4	SUP-10-00102	CDM			272	RC		inpatient			3.68	3.68																																																			
SUTURE ABSORBABLE VICRYL PLUS 3-0 SH-1 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP311H	CDM			270	RC		outpatient			3.68	3.68	1				percent of total billed charges		3.68				other	OPPS APC	2.72				percent of total billed charges		3.68				other	OPPS APC	3.68				other	OPPS APC	1				percent of total billed charges		1.02				percent of total billed charges		3.68				other	OPPS APC	1	3.68	
SUTURE ABSORBABLE VICRYL PLUS 3-0 SH-1 L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP311H	CDM			270	RC		inpatient			3.68	3.68																																																			
CATHETER FOLEY LATE 24FR 2WAY 5CC	SUP-02-00124	CDM			272	RC		outpatient			3.67	3.67	0.99				percent of total billed charges		3.67				other	OPPS APC	2.72				percent of total billed charges		3.67				other	OPPS APC	3.67				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.67				other	OPPS APC	0.99	3.67	
CATHETER FOLEY LATE 24FR 2WAY 5CC	SUP-02-00124	CDM			272	RC		inpatient			3.67	3.67																																																			
KIT CLEAN CATCH AMM570	SUP-12-00089	CDM			272	RC		outpatient			3.67	3.67	0.99				percent of total billed charges		3.67				other	OPPS APC	2.72				percent of total billed charges		3.67				other	OPPS APC	3.67				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.67				other	OPPS APC	0.99	3.67	
KIT CLEAN CATCH AMM570	SUP-12-00089	CDM			272	RC		inpatient			3.67	3.67																																																			
BETA CAP ADAPTER	SUP-95-05271	CDM			272	RC		outpatient			3.67	3.67	0.99				percent of total billed charges		3.67				other	OPPS APC	2.72				percent of total billed charges		3.67				other	OPPS APC	3.67				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.67				other	OPPS APC	0.99	3.67	
BETA CAP ADAPTER	SUP-95-05271	CDM			272	RC		inpatient			3.67	3.67																																																			
SUTURE ABSORBABLE VICRYL LIGAPAK 3-0 L54 IN BRAID REEL COATED VIOLET	SUP-J205G	CDM			270	RC		outpatient			3.67	3.67	0.99				percent of total billed charges		3.67				other	OPPS APC	2.72				percent of total billed charges		3.67				other	OPPS APC	3.67				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.67				other	OPPS APC	0.99	3.67	
SUTURE ABSORBABLE VICRYL LIGAPAK 3-0 L54 IN BRAID REEL COATED VIOLET	SUP-J205G	CDM			270	RC		inpatient			3.67	3.67																																																			
CLINDAMYCIN 150 MG CAPSULE	637000000	CDM	0904-5959-61	NDC	A9270	HCPCS		inpatient			3.66	3.66																																																			
CLINDAMYCIN 150 MG CAPSULE	637000000	CDM	0904-5959-61	NDC	A9270	HCPCS		outpatient			3.66	3.66																																															other	OPPS APC			
ISOSORBIDE DINITRATE 10 MG TABLET	637000000	CDM	0904-6619-61	NDC	A9270	HCPCS		inpatient			3.66	3.66																																																			
ISOSORBIDE DINITRATE 10 MG TABLET	637000000	CDM	0904-6619-61	NDC	A9270	HCPCS		outpatient			3.66	3.66																																															other	OPPS APC			
NEEDLE HUBER 22G 3/4	SUP-06-00058	CDM			272	RC		outpatient			3.65	3.65	0.99				percent of total billed charges		3.65				other	OPPS APC	2.7				percent of total billed charges		3.65				other	OPPS APC	3.65				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.65				other	OPPS APC	0.99	3.65	
NEEDLE HUBER 22G 3/4	SUP-06-00058	CDM			272	RC		inpatient			3.65	3.65																																																			
NEEDLE HUBER 20G X 1	SUP-06-00064	CDM			272	RC		outpatient			3.65	3.65	0.99				percent of total billed charges		3.65				other	OPPS APC	2.7				percent of total billed charges		3.65				other	OPPS APC	3.65				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.65				other	OPPS APC	0.99	3.65	
NEEDLE HUBER 20G X 1	SUP-06-00064	CDM			272	RC		inpatient			3.65	3.65																																																			
NEEDLE HUBER 20G X 3/4	SUP-06-00066	CDM			272	RC		outpatient			3.65	3.65	0.99				percent of total billed charges		3.65				other	OPPS APC	2.7				percent of total billed charges		3.65				other	OPPS APC	3.65				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.65				other	OPPS APC	0.99	3.65	
NEEDLE HUBER 20G X 3/4	SUP-06-00066	CDM			272	RC		inpatient			3.65	3.65																																																			
KIT LACERATION	SUP-12-00062	CDM			272	RC		outpatient			3.64	3.64	0.99				percent of total billed charges		3.64				other	OPPS APC	2.69				percent of total billed charges		3.64				other	OPPS APC	3.64				other	OPPS APC	0.99				percent of total billed charges		1.01				percent of total billed charges		3.64				other	OPPS APC	0.99	3.64	
KIT LACERATION	SUP-12-00062	CDM			272	RC		inpatient			3.64	3.64																																																			
CATHETER FOLEY LF 14FR 2WAY 5CC	SUP-02-00114	CDM			272	RC		outpatient			3.63	3.63	0.98				percent of total billed charges		3.63				other	OPPS APC	2.69				percent of total billed charges		3.63				other	OPPS APC	3.63				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.63				other	OPPS APC	0.98	3.63	
CATHETER FOLEY LF 14FR 2WAY 5CC	SUP-02-00114	CDM			272	RC		inpatient			3.63	3.63																																																			
CATHETER FOLEY LF 22FR 2WAY 5CC	SUP-02-00116	CDM			272	RC		outpatient			3.63	3.63	0.98				percent of total billed charges		3.63				other	OPPS APC	2.69				percent of total billed charges		3.63				other	OPPS APC	3.63				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.63				other	OPPS APC	0.98	3.63	
CATHETER FOLEY LF 22FR 2WAY 5CC	SUP-02-00116	CDM			272	RC		inpatient			3.63	3.63																																																			
NEEDLE HUBER 22G 1.25	SUP-06-00059	CDM			272	RC		outpatient			3.63	3.63	0.98				percent of total billed charges		3.63				other	OPPS APC	2.69				percent of total billed charges		3.63				other	OPPS APC	3.63				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.63				other	OPPS APC	0.98	3.63	
NEEDLE HUBER 22G 1.25	SUP-06-00059	CDM			272	RC		inpatient			3.63	3.63																																																			
DRESSING WOUND MEPILEX BORDER FLEX  3 IN X 3 IN	SUP-595200	CDM						inpatient			3.63	3.63																																																			
DRESSING WOUND MEPILEX BORDER FLEX  3 IN X 3 IN	SUP-595200	CDM						outpatient			3.63	3.63	3.63				percent of total billed charges		3.63				other	OPPS APC	3.63				fee schedule		3.63				other	OPPS APC	3.63				other	OPPS APC	3.63				case rate		3.63				case rate		3.63				other	OPPS APC	3.63	3.63	
CATHETER FOLEY LATEX 28FR 2WAY 30CC	SUP-02-00139	CDM			272	RC		outpatient			3.62	3.62	0.98				percent of total billed charges		3.62				other	OPPS APC	2.68				percent of total billed charges		3.62				other	OPPS APC	3.62				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.62				other	OPPS APC	0.98	3.62	
CATHETER FOLEY LATEX 28FR 2WAY 30CC	SUP-02-00139	CDM			272	RC		inpatient			3.62	3.62																																																			
CATHETER FOLEY LATEX 12FR 2WAY 5CC	SUP-02-00142	CDM			272	RC		outpatient			3.62	3.62	0.98				percent of total billed charges		3.62				other	OPPS APC	2.68				percent of total billed charges		3.62				other	OPPS APC	3.62				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.62				other	OPPS APC	0.98	3.62	
CATHETER FOLEY LATEX 12FR 2WAY 5CC	SUP-02-00142	CDM			272	RC		inpatient			3.62	3.62																																																			
NEEDLE HUBER 19G 1.25	SUP-06-00061	CDM			272	RC		outpatient			3.62	3.62	0.98				percent of total billed charges		3.62				other	OPPS APC	2.68				percent of total billed charges		3.62				other	OPPS APC	3.62				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.62				other	OPPS APC	0.98	3.62	
NEEDLE HUBER 19G 1.25	SUP-06-00061	CDM			272	RC		inpatient			3.62	3.62																																																			
TUBE RECTAL PLASTIC L20 IN OD24 FR FLEXIBLE CONNECTOR LUBRICANT NONSTERILE LATEX FREE DISPOSABLE	SUP-155731	CDM	270009047	LOCAL	270	RC		outpatient			3.62	3.62	0.98				percent of total billed charges		3.62				other	OPPS APC	2.68				percent of total billed charges		3.62				other	OPPS APC	3.62				other	OPPS APC	0.98				percent of total billed charges		1				percent of total billed charges		3.62				other	OPPS APC	0.98	3.62	
TUBE RECTAL PLASTIC L20 IN OD24 FR FLEXIBLE CONNECTOR LUBRICANT NONSTERILE LATEX FREE DISPOSABLE	SUP-155731	CDM	270009047	LOCAL	270	RC		inpatient			3.62	3.62																																																			
KIT OSTOMY NEW IMAGE 3.5- IN L12 IN OD4 IN 2 PIECE DRAINABLE LOCK N ROLL CLOSURE FLOAT FLANGE FLEXWEAR SKIN BARRIER STERILE DISPOSABLE YELLOW	SUP-19056	CDM						inpatient			3.62	3.62																																																			
KIT OSTOMY NEW IMAGE 3.5- IN L12 IN OD4 IN 2 PIECE DRAINABLE LOCK N ROLL CLOSURE FLOAT FLANGE FLEXWEAR SKIN BARRIER STERILE DISPOSABLE YELLOW	SUP-19056	CDM						outpatient			3.62	3.62	3.62				percent of total billed charges		3.62				other	OPPS APC	3.62				fee schedule		3.62				other	OPPS APC	3.62				other	OPPS APC	3.62				case rate		3.62				case rate		3.62				other	OPPS APC	3.62	3.62	
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	55150-165-05	NDC				inpatient			3.6	3.6																																																			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION	250000000	CDM	55150-165-05	NDC				outpatient			3.6	3.6																																															other	OPPS APC			
HALOPERIDOL LACTATE PER 5 MG	636000000	CDM	67457-426-00	NDC	J1630	HCPCS		inpatient			3.6	3.6																																																			
HALOPERIDOL LACTATE PER 5 MG	636000000	CDM	67457-426-00	NDC	J1630	HCPCS		outpatient			3.6	3.6																																															other	OPPS APC			
DOXAZOSIN 2 MG TABLET	637000000	CDM	0904-5523-61	NDC	A9270	HCPCS		inpatient			3.6	3.6																																																			
DOXAZOSIN 2 MG TABLET	637000000	CDM	0904-5523-61	NDC	A9270	HCPCS		outpatient			3.6	3.6																																															other	OPPS APC			
GLIPIZIDE 5 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	68084-111-11	NDC	A9270	HCPCS		inpatient			3.6	3.6																																																			
GLIPIZIDE 5 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	68084-111-11	NDC	A9270	HCPCS		outpatient			3.6	3.6																																															other	OPPS APC			
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L5 YD X W6 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7368	CDM			270	RC		outpatient			3.6	3.61	0.98				percent of total billed charges		3.6				other	OPPS APC	2.66				percent of total billed charges		3.6				other	OPPS APC	3.6				other	OPPS APC	0.98				percent of total billed charges		0.99				percent of total billed charges		3.61				other	OPPS APC	0.98	3.61	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L5 YD X W6 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7368	CDM			270	RC		inpatient			3.6	3.6																																																			
SUTURE NONABSORBABLE PERMA-HAND 4-0 18IN BLACK SILK BRAID TIES 12 STRAND PRECUT	SUP-A183H	CDM			270	RC		outpatient			3.6	3.61	0.98				percent of total billed charges		3.6				other	OPPS APC	2.66				percent of total billed charges		3.6				other	OPPS APC	3.6				other	OPPS APC	0.98				percent of total billed charges		0.99				percent of total billed charges		3.61				other	OPPS APC	0.98	3.61	
SUTURE NONABSORBABLE PERMA-HAND 4-0 18IN BLACK SILK BRAID TIES 12 STRAND PRECUT	SUP-A183H	CDM			270	RC		inpatient			3.6	3.6																																																			
SOLUTION IRRIGATION SODIUM CHLORIDE 0.9% POUR BOTTLE 1000ML	SUP-2F7124	CDM						inpatient			3.59	3.59																																																			
SOLUTION IRRIGATION SODIUM CHLORIDE 0.9% POUR BOTTLE 1000ML	SUP-2F7124	CDM						outpatient			3.59	3.59	3.59				percent of total billed charges		3.59				other	OPPS APC	3.59				fee schedule		3.59				other	OPPS APC	3.59				other	OPPS APC	3.59				case rate		3.59				case rate		3.59				other	OPPS APC	3.59	3.59	
CATHETER FOLEY ALL SILICONE 22	SUP-70-00131	CDM			272	RC		outpatient			3.59	3.59	0.97				percent of total billed charges		3.59				other	OPPS APC	2.66				percent of total billed charges		3.59				other	OPPS APC	3.59				other	OPPS APC	0.97				percent of total billed charges		0.99				percent of total billed charges		3.59				other	OPPS APC	0.97	3.59	
CATHETER FOLEY ALL SILICONE 22	SUP-70-00131	CDM			272	RC		inpatient			3.59	3.59																																																			
HYDRODISSECTOR-FLATTENED ANGLED 8 X 25	SUP-73-00047	CDM			272	RC		outpatient			3.59	3.59	0.97				percent of total billed charges		3.59				other	OPPS APC	2.66				percent of total billed charges		3.59				other	OPPS APC	3.59				other	OPPS APC	0.97				percent of total billed charges		0.99				percent of total billed charges		3.59				other	OPPS APC	0.97	3.59	
HYDRODISSECTOR-FLATTENED ANGLED 8 X 25	SUP-73-00047	CDM			272	RC		inpatient			3.59	3.59																																																			
SET ADMINISTRATION 10 GTT L101IN 10ML INTRAVENOUS PRIMARY INFUSION LUER LOCK ADAPTER LATEX FREE FLO GARD 6201	SUP-1C8109	CDM			270	RC		outpatient			3.58	3.58	0.97				percent of total billed charges		3.58				other	OPPS APC	2.65				percent of total billed charges		3.58				other	OPPS APC	3.58				other	OPPS APC	0.97				percent of total billed charges		0.99				percent of total billed charges		3.58				other	OPPS APC	0.97	3.58	
SET ADMINISTRATION 10 GTT L101IN 10ML INTRAVENOUS PRIMARY INFUSION LUER LOCK ADAPTER LATEX FREE FLO GARD 6201	SUP-1C8109	CDM			270	RC		inpatient			3.58	3.58																																																			
SLING ORTHOPEDIC TIETEX SMALL ARM ENVELOPE SHOULDER STRAP SLIDE BUCKLE	SUP-TX9901-02	CDM	270009116	LOCAL	270	RC		outpatient			3.58	3.58	0.97				percent of total billed charges		3.58				other	OPPS APC	2.65				percent of total billed charges		3.58				other	OPPS APC	3.58				other	OPPS APC	0.97				percent of total billed charges		0.99				percent of total billed charges		3.58				other	OPPS APC	0.97	3.58	
SLING ORTHOPEDIC TIETEX SMALL ARM ENVELOPE SHOULDER STRAP SLIDE BUCKLE	SUP-TX9901-02	CDM	270009116	LOCAL	270	RC		inpatient			3.58	3.58																																																			
HYDROMORPHONE 2 MG TABLET	637000000	CDM	60687-579-11	NDC	A9270	HCPCS		inpatient			3.57	3.57																																																			
HYDROMORPHONE 2 MG TABLET	637000000	CDM	60687-579-11	NDC	A9270	HCPCS		outpatient			3.57	3.57																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 3-0 FSLX L30 IN MONOFILAMENT BLACK	SUP-1673BH	CDM			270	RC		outpatient			3.56	3.56	0.96				percent of total billed charges		3.56				other	OPPS APC	2.63				percent of total billed charges		3.56				other	OPPS APC	3.56				other	OPPS APC	0.96				percent of total billed charges		0.98				percent of total billed charges		3.56				other	OPPS APC	0.96	3.56	
SUTURE NONABSORBABLE ETHILON 3-0 FSLX L30 IN MONOFILAMENT BLACK	SUP-1673BH	CDM			270	RC		inpatient			3.56	3.56																																																			
SUTURE NONABSORBABLE ETHILON 3-0 KS L30 IN MONOFILAMENT BLACK	SUP-627H	CDM			270	RC		outpatient			3.56	3.56	0.96				percent of total billed charges		3.56				other	OPPS APC	2.63				percent of total billed charges		3.56				other	OPPS APC	3.56				other	OPPS APC	0.96				percent of total billed charges		0.98				percent of total billed charges		3.56				other	OPPS APC	0.96	3.56	
SUTURE NONABSORBABLE ETHILON 3-0 KS L30 IN MONOFILAMENT BLACK	SUP-627H	CDM			270	RC		inpatient			3.56	3.56																																																			
BANDAGE ADHESIVE L5 YD X W4 IN SELF ADHERENT NONSTERILE LATEX FREE	SUP-CAH45LF	CDM			270	RC		outpatient			3.56	3.56	0.96				percent of total billed charges		3.56				other	OPPS APC	2.63				percent of total billed charges		3.56				other	OPPS APC	3.56				other	OPPS APC	0.96				percent of total billed charges		0.98				percent of total billed charges		3.56				other	OPPS APC	0.96	3.56	
BANDAGE ADHESIVE L5 YD X W4 IN SELF ADHERENT NONSTERILE LATEX FREE	SUP-CAH45LF	CDM			270	RC		inpatient			3.56	3.56																																																			
LARGE COLOSTOMY FLANGE	SUP-95-00762	CDM						inpatient			3.55	3.55																																																			
LARGE COLOSTOMY FLANGE	SUP-95-00762	CDM						outpatient			3.55	3.55	3.55				percent of total billed charges		3.55				other	OPPS APC	3.55				fee schedule		3.55				other	OPPS APC	3.55				other	OPPS APC	3.55				case rate		3.55				case rate		3.55				other	OPPS APC	3.55	3.55	
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-04	NDC	J2001	HCPCS		inpatient			3.54	3.54																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-04	NDC	J2001	HCPCS		outpatient			3.54	3.54																																															other	OPPS APC			
BAYLIS GROUNDING PAD 10' CABLE  ADULT	SUP-400-2100	CDM			270	RC		outpatient			3.54	3.54	0.96				percent of total billed charges		3.54				other	OPPS APC	2.62				percent of total billed charges		3.54				other	OPPS APC	3.54				other	OPPS APC	0.96				percent of total billed charges		0.98				percent of total billed charges		3.54				other	OPPS APC	0.96	3.54	
BAYLIS GROUNDING PAD 10' CABLE  ADULT	SUP-400-2100	CDM			270	RC		inpatient			3.54	3.54																																																			
SUTURE NONABSORBABLE ETHIBOND 3-0 SH L30 IN BRAID GREEN	SUP-X832H	CDM			270	RC		outpatient			3.54	3.54	0.96				percent of total billed charges		3.54				other	OPPS APC	2.62				percent of total billed charges		3.54				other	OPPS APC	3.54				other	OPPS APC	0.96				percent of total billed charges		0.98				percent of total billed charges		3.54				other	OPPS APC	0.96	3.54	
SUTURE NONABSORBABLE ETHIBOND 3-0 SH L30 IN BRAID GREEN	SUP-X832H	CDM			270	RC		inpatient			3.54	3.54																																																			
ADHESIVE LIQUID MASTISOL STYRAX GUM MASTIC ALCOHOL METHYL SALICYLATE 2/3 ML SKIN VIAL AMPULE PREP STERILE LATEX FREE NONHAZARDOUS	SUP-0523-48	CDM						inpatient			3.53	3.53																																																			
ADHESIVE LIQUID MASTISOL STYRAX GUM MASTIC ALCOHOL METHYL SALICYLATE 2/3 ML SKIN VIAL AMPULE PREP STERILE LATEX FREE NONHAZARDOUS	SUP-0523-48	CDM						outpatient			3.53	3.53	3.53				percent of total billed charges		3.53				other	OPPS APC	3.53				fee schedule		3.53				other	OPPS APC	3.53				other	OPPS APC	3.53				case rate		3.53				case rate		3.53				other	OPPS APC	3.53	3.53	
SOLUTION IV INJECTION LACTATED RINGER 1000ML	SUP-2B2324X	CDM						inpatient			3.53	3.53																																																			
SOLUTION IV INJECTION LACTATED RINGER 1000ML	SUP-2B2324X	CDM						outpatient			3.53	3.53	3.53				percent of total billed charges		3.53				other	OPPS APC	3.53				fee schedule		3.53				other	OPPS APC	3.53				other	OPPS APC	3.53				case rate		3.53				case rate		3.53				other	OPPS APC	3.53	3.53	
SUTURE ABSORBABLE VICRYL PLUS 4-0 SH L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP315H	CDM			270	RC		outpatient			3.53	3.53	0.96				percent of total billed charges		3.53				other	OPPS APC	2.61				percent of total billed charges		3.53				other	OPPS APC	3.53				other	OPPS APC	0.96				percent of total billed charges		0.98				percent of total billed charges		3.53				other	OPPS APC	0.96	3.53	
SUTURE ABSORBABLE VICRYL PLUS 4-0 SH L27 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP315H	CDM			270	RC		inpatient			3.53	3.53																																																			
DIPHENHYDRAMINE PER 50 MG	636000000	CDM	0641-0376-21	NDC	J1200	HCPCS		inpatient			3.52	3.52																																																			
DIPHENHYDRAMINE PER 50 MG	636000000	CDM	0641-0376-21	NDC	J1200	HCPCS		outpatient			3.52	3.52																																															other	OPPS APC			
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L5 YD X W5 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7369	CDM			270	RC		outpatient			3.52	3.52	0.95				percent of total billed charges		3.52				other	OPPS APC	2.6				percent of total billed charges		3.52				other	OPPS APC	3.52				other	OPPS APC	0.95				percent of total billed charges		0.97				percent of total billed charges		3.52				other	OPPS APC	0.95	3.52	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L5 YD X W5 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7369	CDM			270	RC		inpatient			3.52	3.52																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	67457-422-00	NDC	J1100	HCPCS		inpatient			3.51	3.51																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	67457-422-00	NDC	J1100	HCPCS		outpatient			3.51	3.51																																															other	OPPS APC			
FECAL COLLECTOR MEDIUM	SUP-01-00023	CDM			271	RC		outpatient			3.51	3.6	0.95				percent of total billed charges		3.51				other	OPPS APC	2.6				percent of total billed charges		3.51				other	OPPS APC	3.51				other	OPPS APC	0.95				percent of total billed charges		0.97				percent of total billed charges		3.6				other	OPPS APC	0.95	3.6	
FECAL COLLECTOR MEDIUM	SUP-01-00023	CDM			271	RC		inpatient			3.51	3.51																																																			
BANDAGE COMPRESSION SOFT-WRAP 5YDX4IN BEIGE POLYESTER COTTON STERILE LF ELASTIC CLIP CLOSURE STRETCH BREATHABLE	SUP-DYNJ05131	CDM						inpatient			3.51	3.51																																																			
BANDAGE COMPRESSION SOFT-WRAP 5YDX4IN BEIGE POLYESTER COTTON STERILE LF ELASTIC CLIP CLOSURE STRETCH BREATHABLE	SUP-DYNJ05131	CDM						outpatient			3.51	3.6	3.51				percent of total billed charges		3.51				other	OPPS APC	3.51				fee schedule		3.51				other	OPPS APC	3.51				other	OPPS APC	3.51				case rate		3.51				case rate		3.6				other	OPPS APC	3.51	3.6	
ACETAMINOPHEN 160 MG/5 ML SUSPENSION	637000000	CDM	0121-1781-05	NDC	A9270	HCPCS		inpatient			3.48	3.48																																																			
ACETAMINOPHEN 160 MG/5 ML SUSPENSION	637000000	CDM	0121-1781-05	NDC	A9270	HCPCS		outpatient			3.48	3.48																																															other	OPPS APC			
DIGOXIN 125 MCG (0.125 MG) TABLET	637000000	CDM	60687-540-11	NDC	A9270	HCPCS		inpatient			3.48	3.48																																																			
DIGOXIN 125 MCG (0.125 MG) TABLET	637000000	CDM	60687-540-11	NDC	A9270	HCPCS		outpatient			3.48	3.48																																															other	OPPS APC			
SUTURE NONABSORBABLE ETHILON 2-0 FSLX L30 IN MONOFILAMENT BLACK	SUP-1674BH	CDM			270	RC		outpatient			3.48	3.48	0.94				percent of total billed charges		3.48				other	OPPS APC	2.58				percent of total billed charges		3.48				other	OPPS APC	3.48				other	OPPS APC	0.94				percent of total billed charges		0.96				percent of total billed charges		3.48				other	OPPS APC	0.94	3.48	
SUTURE NONABSORBABLE ETHILON 2-0 FSLX L30 IN MONOFILAMENT BLACK	SUP-1674BH	CDM			270	RC		inpatient			3.48	3.48																																																			
SUTURE NONABSORBABLE ETHILON 2-0 FSLX L30 IN MONOFILAMENT BLACK	SUP-1674H	CDM			270	RC		outpatient			3.48	3.48	0.94				percent of total billed charges		3.48				other	OPPS APC	2.58				percent of total billed charges		3.48				other	OPPS APC	3.48				other	OPPS APC	0.94				percent of total billed charges		0.96				percent of total billed charges		3.48				other	OPPS APC	0.94	3.48	
SUTURE NONABSORBABLE ETHILON 2-0 FSLX L30 IN MONOFILAMENT BLACK	SUP-1674H	CDM			270	RC		inpatient			3.48	3.48																																																			
VALVE FEEDING TUBE LOPEZ VALVE UNIVERSAL DISPOSABLE NS LF ENTERAL 4 WAY 2 LUER LOCK MEDICATION PORT ROTATE	SUP-M9000	CDM						inpatient			3.47	3.47																																																			
VALVE FEEDING TUBE LOPEZ VALVE UNIVERSAL DISPOSABLE NS LF ENTERAL 4 WAY 2 LUER LOCK MEDICATION PORT ROTATE	SUP-M9000	CDM						outpatient			3.47	3.47	3.47				percent of total billed charges		3.47				other	OPPS APC	3.47				fee schedule		3.47				other	OPPS APC	3.47				other	OPPS APC	3.47				case rate		3.47				case rate		3.47				other	OPPS APC	3.47	3.47	
SOLUTION IRRIGATION 1000ML WATER STERILE LF PLASTIC POUR BOTTLE	SUP-2F7114	CDM						inpatient			3.46	3.46																																																			
SOLUTION IRRIGATION 1000ML WATER STERILE LF PLASTIC POUR BOTTLE	SUP-2F7114	CDM						outpatient			3.46	3.46	3.46				percent of total billed charges		3.46				other	OPPS APC	3.46				fee schedule		3.46				other	OPPS APC	3.46				other	OPPS APC	3.46				case rate		3.46				case rate		3.46				other	OPPS APC	3.46	3.46	
POTASSIUM CHLORIDE PER 2 MEQ OF POTASSIUM	636000000	CDM	63323-965-02	NDC	J3480	HCPCS		inpatient			3.45	3.45																																																			
POTASSIUM CHLORIDE PER 2 MEQ OF POTASSIUM	636000000	CDM	63323-965-02	NDC	J3480	HCPCS		outpatient			3.45	3.45																																															other	OPPS APC			
GABAPENTIN 300 MG CAPSULE	637000000	CDM	60687-591-11	NDC	A9270	HCPCS		inpatient			3.45	3.45																																																			
GABAPENTIN 300 MG CAPSULE	637000000	CDM	60687-591-11	NDC	A9270	HCPCS		outpatient			3.45	3.45																																															other	OPPS APC			
NITROGLYCERIN 2 % OINTMENT	637000000	CDM	0281-0326-08	NDC	A9270	HCPCS		inpatient			3.45	3.45																																																			
NITROGLYCERIN 2 % OINTMENT	637000000	CDM	0281-0326-08	NDC	A9270	HCPCS		outpatient			3.45	3.45																																															other	OPPS APC			
DRESSING MEPILEX LITE 4X4	SUP-15-00028	CDM			272	RC		outpatient			3.45	3.45	0.93				percent of total billed charges		3.45				other	OPPS APC	2.55				percent of total billed charges		3.45				other	OPPS APC	3.45				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.45				other	OPPS APC	0.93	3.45	
DRESSING MEPILEX LITE 4X4	SUP-15-00028	CDM			272	RC		inpatient			3.45	3.45																																																			
LEVOTHYROXINE 75 MCG TABLET	637000000	CDM	0904-6951-61	NDC	A9270	HCPCS		inpatient			3.44	3.44																																																			
LEVOTHYROXINE 75 MCG TABLET	637000000	CDM	0904-6951-61	NDC	A9270	HCPCS		outpatient			3.44	3.44																																															other	OPPS APC			
ROSUVASTATIN 10 MG TABLET	637000000	CDM	50268-709-11	NDC	A9270	HCPCS		inpatient			3.44	3.44																																																			
ROSUVASTATIN 10 MG TABLET	637000000	CDM	50268-709-11	NDC	A9270	HCPCS		outpatient			3.44	3.44																																															other	OPPS APC			
SOLUTION IRRIGATION SODIUM CHLORIDE 0.9% POUR BOTTLE 500ML	SUP-2F7123	CDM			270	RC		outpatient			3.44	3.44	0.93				percent of total billed charges		3.44				other	OPPS APC	2.55				percent of total billed charges		3.44				other	OPPS APC	3.44				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.44				other	OPPS APC	0.93	3.44	
SOLUTION IRRIGATION SODIUM CHLORIDE 0.9% POUR BOTTLE 500ML	SUP-2F7123	CDM			270	RC		inpatient			3.44	3.44																																																			
COLLAR CERVICAL LARGE	SUP-37-00005	CDM			271	RC		outpatient			3.44	3.44	0.93				percent of total billed charges		3.44				other	OPPS APC	2.55				percent of total billed charges		3.44				other	OPPS APC	3.44				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.44				other	OPPS APC	0.93	3.44	
COLLAR CERVICAL LARGE	SUP-37-00005	CDM			271	RC		inpatient			3.44	3.44																																																			
ADAPTER SMOKE EVACUATOR OPTIMUMM OD1 1/3-3/8 IN PREFILTER NONSTERILE DISPOSABLE	SUP-E3660	CDM			270	RC		outpatient			3.44	3.44	0.93				percent of total billed charges		3.44				other	OPPS APC	2.55				percent of total billed charges		3.44				other	OPPS APC	3.44				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.44				other	OPPS APC	0.93	3.44	
ADAPTER SMOKE EVACUATOR OPTIMUMM OD1 1/3-3/8 IN PREFILTER NONSTERILE DISPOSABLE	SUP-E3660	CDM			270	RC		inpatient			3.44	3.44																																																			
OXYCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0406-0512-23	NDC	A9270	HCPCS		inpatient			3.43	3.43																																																			
OXYCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0406-0512-23	NDC	A9270	HCPCS		outpatient			3.43	3.43																																															other	OPPS APC			
IODOFORM STRIP PACKING 2	SUP-10-00103	CDM			272	RC		outpatient			3.43	3.43	0.93				percent of total billed charges		3.43				other	OPPS APC	2.54				percent of total billed charges		3.43				other	OPPS APC	3.43				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.43				other	OPPS APC	0.93	3.43	
IODOFORM STRIP PACKING 2	SUP-10-00103	CDM			272	RC		inpatient			3.43	3.43																																																			
DRESSING TRANSPARENT 3M TEGADERM 12X8IN POLYURETHANE STERILE LF FRAME STYLE ADHESIVE HYPOALLERGENIC WATERPROOF	SUP-1629	CDM			270	RC		outpatient			3.43	3.43	0.93				percent of total billed charges		3.43				other	OPPS APC	2.54				percent of total billed charges		3.43				other	OPPS APC	3.43				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.43				other	OPPS APC	0.93	3.43	
DRESSING TRANSPARENT 3M TEGADERM 12X8IN POLYURETHANE STERILE LF FRAME STYLE ADHESIVE HYPOALLERGENIC WATERPROOF	SUP-1629	CDM			270	RC		inpatient			3.43	3.43																																																			
SOLUTION IV INJECTION DEXTROSE 5% 0.45% 1000ML	SUP-2B1074X	CDM						inpatient			3.43	3.43																																																			
SOLUTION IV INJECTION DEXTROSE 5% 0.45% 1000ML	SUP-2B1074X	CDM						outpatient			3.43	3.43	3.43				percent of total billed charges		3.43				other	OPPS APC	3.43				fee schedule		3.43				other	OPPS APC	3.43				other	OPPS APC	3.43				case rate		3.43				case rate		3.43				other	OPPS APC	3.43	3.43	
SUTURE ABSORBABLE VICRYL 3-0 KS L27 IN BRAID COATED UNDYED	SUP-J663H	CDM			270	RC		outpatient			3.43	3.43	0.93				percent of total billed charges		3.43				other	OPPS APC	2.54				percent of total billed charges		3.43				other	OPPS APC	3.43				other	OPPS APC	0.93				percent of total billed charges		0.95				percent of total billed charges		3.43				other	OPPS APC	0.93	3.43	
SUTURE ABSORBABLE VICRYL 3-0 KS L27 IN BRAID COATED UNDYED	SUP-J663H	CDM			270	RC		inpatient			3.43	3.43																																																			
DOCUSATE 50 MG/5 ML LIQUID	637000000	CDM	0904-7279-66	NDC	A9270	HCPCS		inpatient			3.42	3.42																																																			
DOCUSATE 50 MG/5 ML LIQUID	637000000	CDM	0904-7279-66	NDC	A9270	HCPCS		outpatient			3.42	3.42																																															other	OPPS APC			
APPLICATOR PREP CHLORAPREP FREPP ENTURIA 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 1.5 ML 1 STEP AMPULE DRIP RESISTANT STERILE LATEX FREE DISPOSABLE	SUP-260299	CDM	270009040	LOCAL	270	RC		outpatient			3.42	3.42	0.93				percent of total billed charges		3.42				other	OPPS APC	2.53				percent of total billed charges		3.42				other	OPPS APC	3.42				other	OPPS APC	0.93				percent of total billed charges		0.94				percent of total billed charges		3.42				other	OPPS APC	0.93	3.42	
APPLICATOR PREP CHLORAPREP FREPP ENTURIA 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 1.5 ML 1 STEP AMPULE DRIP RESISTANT STERILE LATEX FREE DISPOSABLE	SUP-260299	CDM	270009040	LOCAL	270	RC		inpatient			3.42	3.42																																																			
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 10.5 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-260715	CDM	270009040	LOCAL	270	RC		outpatient			3.42	3.42	0.93				percent of total billed charges		3.42				other	OPPS APC	2.53				percent of total billed charges		3.42				other	OPPS APC	3.42				other	OPPS APC	0.93				percent of total billed charges		0.94				percent of total billed charges		3.42				other	OPPS APC	0.93	3.42	
APPLICATOR PREP CHLORAPREP HI-LITE ORANGE 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 10.5 ML ANTIMICROBIAL 1 STEP DEHP FREE STERILE LATEX FREE DISPOSABLE	SUP-260715	CDM	270009040	LOCAL	270	RC		inpatient			3.42	3.42																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.45%	SUP-2B1314X	CDM						inpatient			3.42	3.42																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.45%	SUP-2B1314X	CDM						outpatient			3.42	3.42	3.42				percent of total billed charges		3.42				other	OPPS APC	3.42				fee schedule		3.42				other	OPPS APC	3.42				other	OPPS APC	3.42				case rate		3.42				case rate		3.42				other	OPPS APC	3.42	3.42	
COLLAR CERVICAL UNIVERSAL	SUP-37-00006	CDM			271	RC		outpatient			3.42	3.42	0.93				percent of total billed charges		3.42				other	OPPS APC	2.53				percent of total billed charges		3.42				other	OPPS APC	3.42				other	OPPS APC	0.93				percent of total billed charges		0.94				percent of total billed charges		3.42				other	OPPS APC	0.93	3.42	
COLLAR CERVICAL UNIVERSAL	SUP-37-00006	CDM			271	RC		inpatient			3.42	3.42																																																			
PATCH DURAL DUREPAIR BOVINE COLLAGEN MATRIX L5 IN X W4 IN CRANIAL RESORBABLE STERILE DURAPLASTY	SUP-62110	CDM			270	RC		outpatient			3.42	3.42	0.93				percent of total billed charges		3.42				other	OPPS APC	2.53				percent of total billed charges		3.42				other	OPPS APC	3.42				other	OPPS APC	0.93				percent of total billed charges		0.94				percent of total billed charges		3.42				other	OPPS APC	0.93	3.42	
PATCH DURAL DUREPAIR BOVINE COLLAGEN MATRIX L5 IN X W4 IN CRANIAL RESORBABLE STERILE DURAPLASTY	SUP-62110	CDM			270	RC		inpatient			3.42	3.42																																																			
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L3 YD X W3 IN FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7373	CDM	270009040	LOCAL	270	RC		outpatient			3.42	3.42	0.93				percent of total billed charges		3.42				other	OPPS APC	2.53				percent of total billed charges		3.42				other	OPPS APC	3.42				other	OPPS APC	0.93				percent of total billed charges		0.94				percent of total billed charges		3.42				other	OPPS APC	0.93	3.42	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L3 YD X W3 IN FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7373	CDM	270009040	LOCAL	270	RC		inpatient			3.42	3.42																																																			
HOLDER LIMB QUICK RELEASE 60 INCH STRAP	SUP-M2028	CDM	270009040	LOCAL	270	RC		outpatient			3.42	3.42	0.93				percent of total billed charges		3.42				other	OPPS APC	2.53				percent of total billed charges		3.42				other	OPPS APC	3.42				other	OPPS APC	0.93				percent of total billed charges		0.94				percent of total billed charges		3.42				other	OPPS APC	0.93	3.42	
HOLDER LIMB QUICK RELEASE 60 INCH STRAP	SUP-M2028	CDM	270009040	LOCAL	270	RC		inpatient			3.42	3.42																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-05	NDC	J2250	HCPCS		inpatient			3.41	3.41																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-05	NDC	J2250	HCPCS		outpatient			3.41	3.41																																															other	OPPS APC			
SOLUTION IRRIGATION 500ML WATER STERILE LF PLASTIC POUR BOTTLE	SUP-2F7113	CDM						inpatient			3.41	3.41																																																			
SOLUTION IRRIGATION 500ML WATER STERILE LF PLASTIC POUR BOTTLE	SUP-2F7113	CDM						outpatient			3.41	3.41	3.41				percent of total billed charges		3.41				other	OPPS APC	3.41				fee schedule		3.41				other	OPPS APC	3.41				other	OPPS APC	3.41				case rate		3.41				case rate		3.41				other	OPPS APC	3.41	3.41	
PAPER RECORDING MEDI-TRACE L97 FT X W1.97 IN 1 CHANNEL EKG THERMAL CHART PHILIPS 40477A	SUP-7G30725389	CDM						inpatient			3.41	3.41																																																			
PAPER RECORDING MEDI-TRACE L97 FT X W1.97 IN 1 CHANNEL EKG THERMAL CHART PHILIPS 40477A	SUP-7G30725389	CDM						outpatient			3.41	3.41	3.41				percent of total billed charges		3.41				other	OPPS APC	3.41				fee schedule		3.41				other	OPPS APC	3.41				other	OPPS APC	3.41				case rate		3.41				case rate		3.41				other	OPPS APC	3.41	3.41	
ALCOHOL 70% ISOPROPYL  16OZ	SUP-MDS098003Z	CDM			270	RC		outpatient			3.41	3.41	0.92				percent of total billed charges		3.41				other	OPPS APC	2.52				percent of total billed charges		3.41				other	OPPS APC	3.41				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.41				other	OPPS APC	0.92	3.41	
ALCOHOL 70% ISOPROPYL  16OZ	SUP-MDS098003Z	CDM			270	RC		inpatient			3.41	3.41																																																			
SOLUTION ANTISEPTIC 70% ISOPROPYL ALCOHOL 16 OZ BOTTLE LATEX FREE	SUP-MDS098003Z	CDM			270	RC		outpatient			3.41	3.41	0.92				percent of total billed charges		3.41				other	OPPS APC	2.52				percent of total billed charges		3.41				other	OPPS APC	3.41				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.41				other	OPPS APC	0.92	3.41	
SOLUTION ANTISEPTIC 70% ISOPROPYL ALCOHOL 16 OZ BOTTLE LATEX FREE	SUP-MDS098003Z	CDM			270	RC		inpatient			3.41	3.41																																																			
SUTURE ABSORBABLE VICRYL PLUS 2-0 CP-1 L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP266H	CDM			270	RC		outpatient			3.41	3.41	0.92				percent of total billed charges		3.41				other	OPPS APC	2.52				percent of total billed charges		3.41				other	OPPS APC	3.41				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.41				other	OPPS APC	0.92	3.41	
SUTURE ABSORBABLE VICRYL PLUS 2-0 CP-1 L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP266H	CDM			270	RC		inpatient			3.41	3.41																																																			
"POTASSIUM CHLORIDE 20 MEQ TABLET,ER PARTICLES/CRYSTALS"	637000000	CDM	0245-5319-89	NDC	A9270	HCPCS		inpatient			3.4	3.4																																																			
"POTASSIUM CHLORIDE 20 MEQ TABLET,ER PARTICLES/CRYSTALS"	637000000	CDM	0245-5319-89	NDC	A9270	HCPCS		outpatient			3.4	3.4																																															other	OPPS APC			
BANDAGE SELF ADHESIVE 4IN X 5YD LATEX FREE STERILE	SUP-CAH45LFS	CDM	270009185	LOCAL	270	RC		outpatient			3.4	3.4	0.92				percent of total billed charges		3.4				other	OPPS APC	2.52				percent of total billed charges		3.4				other	OPPS APC	3.4				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.4				other	OPPS APC	0.92	3.4	
BANDAGE SELF ADHESIVE 4IN X 5YD LATEX FREE STERILE	SUP-CAH45LFS	CDM	270009185	LOCAL	270	RC		inpatient			3.4	3.4																																																			
BANDAGE SELF ADHESIVE 6IN X 5YD LATEX FREE STERILE	SUP-CAH65LFS	CDM	270009185	LOCAL	270	RC		outpatient			3.4	3.4	0.92				percent of total billed charges		3.4				other	OPPS APC	2.52				percent of total billed charges		3.4				other	OPPS APC	3.4				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.4				other	OPPS APC	0.92	3.4	
BANDAGE SELF ADHESIVE 6IN X 5YD LATEX FREE STERILE	SUP-CAH65LFS	CDM	270009185	LOCAL	270	RC		inpatient			3.4	3.4																																																			
BANDAGE COMPRESSION L5 YD X W3 IN LIGHTWEIGHT SELF ADHERENT BREATHABLE NONSTERILE LATEX FREE	SUP-CBN1003	CDM	270009185	LOCAL	270	RC		outpatient			3.4	3.4	0.92				percent of total billed charges		3.4				other	OPPS APC	2.52				percent of total billed charges		3.4				other	OPPS APC	3.4				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.4				other	OPPS APC	0.92	3.4	
BANDAGE COMPRESSION L5 YD X W3 IN LIGHTWEIGHT SELF ADHERENT BREATHABLE NONSTERILE LATEX FREE	SUP-CBN1003	CDM	270009185	LOCAL	270	RC		inpatient			3.4	3.4																																																			
SYRINGE ANGIOGRAPHY MEDALLION 1 ML CLEAR POLYCARBONATE BARREL FIXED MALE LUER PLUNGER YELLOW	SUP-MSS011-Y	CDM			270	RC		outpatient			3.4	3.4	0.92				percent of total billed charges		3.4				other	OPPS APC	2.52				percent of total billed charges		3.4				other	OPPS APC	3.4				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.4				other	OPPS APC	0.92	3.4	
SYRINGE ANGIOGRAPHY MEDALLION 1 ML CLEAR POLYCARBONATE BARREL FIXED MALE LUER PLUNGER YELLOW	SUP-MSS011-Y	CDM			270	RC		inpatient			3.4	3.4																																																			
SOLUTION IV INJECTION DEXTROSE 5% LACTATED RINGER 1000ML	SUP-2B2074X	CDM						inpatient			3.39	3.39																																																			
SOLUTION IV INJECTION DEXTROSE 5% LACTATED RINGER 1000ML	SUP-2B2074X	CDM						outpatient			3.39	3.39	3.39				percent of total billed charges		3.39				other	OPPS APC	3.39				fee schedule		3.39				other	OPPS APC	3.39				other	OPPS APC	3.39				case rate		3.39				case rate		3.39				other	OPPS APC	3.39	3.39	
CONNECTOR WOUND DRAIN TRAC Y DRESSING SYSTEM STERILE LATEX FREE	SUP-M6275066/10	CDM						inpatient			3.39	3.39																																																			
CONNECTOR WOUND DRAIN TRAC Y DRESSING SYSTEM STERILE LATEX FREE	SUP-M6275066/10	CDM						outpatient			3.39	3.39	3.39				percent of total billed charges		3.39				other	OPPS APC	3.39				fee schedule		3.39				other	OPPS APC	3.39				other	OPPS APC	3.39				case rate		3.39				case rate		3.39				other	OPPS APC	3.39	3.39	
SUTURE ABSORBABLE VICRYL PLUS 3-0 CT L36 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP956H	CDM			270	RC		outpatient			3.39	3.39	0.92				percent of total billed charges		3.39				other	OPPS APC	2.51				percent of total billed charges		3.39				other	OPPS APC	3.39				other	OPPS APC	0.92				percent of total billed charges		0.94				percent of total billed charges		3.39				other	OPPS APC	0.92	3.39	
SUTURE ABSORBABLE VICRYL PLUS 3-0 CT L36 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP956H	CDM			270	RC		inpatient			3.39	3.39																																																			
CEPHALEXIN 500 MG CAPSULE	637000000	CDM	60687-163-11	NDC	A9270	HCPCS		inpatient			3.38	3.38																																																			
CEPHALEXIN 500 MG CAPSULE	637000000	CDM	60687-163-11	NDC	A9270	HCPCS		outpatient			3.38	3.38																																															other	OPPS APC			
SOLUTION IV INJECTION 5% DEXTROSE 0.9% SODIUM CHLORIDE INJECTION USP 1000ML	SUP-2B1064X	CDM						inpatient			3.38	3.38																																																			
SOLUTION IV INJECTION 5% DEXTROSE 0.9% SODIUM CHLORIDE INJECTION USP 1000ML	SUP-2B1064X	CDM						outpatient			3.38	3.38	3.38				percent of total billed charges		3.38				other	OPPS APC	3.38				fee schedule		3.38				other	OPPS APC	3.38				other	OPPS APC	3.38				case rate		3.38				case rate		3.38				other	OPPS APC	3.38	3.38	
SUTURE ABSORBABLE VICRYL PLUS 2-0 CT L36 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP357H	CDM			270	RC		outpatient			3.38	3.38	0.92				percent of total billed charges		3.38				other	OPPS APC	2.5				percent of total billed charges		3.38				other	OPPS APC	3.38				other	OPPS APC	0.92				percent of total billed charges		0.93				percent of total billed charges		3.38				other	OPPS APC	0.92	3.38	
SUTURE ABSORBABLE VICRYL PLUS 2-0 CT L36 IN BRAID ANTIBACTERIAL COATED VIOLET	SUP-VCP357H	CDM			270	RC		inpatient			3.38	3.38																																																			
SUTURE NONABSORBABLE ETHILON 2-0 FS L18 IN MONOFILAMENT BLACK	SUP-664H	CDM			270	RC		outpatient			3.37	3.37	0.91				percent of total billed charges		3.37				other	OPPS APC	2.49				percent of total billed charges		3.37				other	OPPS APC	3.37				other	OPPS APC	0.91				percent of total billed charges		0.93				percent of total billed charges		3.37				other	OPPS APC	0.91	3.37	
SUTURE NONABSORBABLE ETHILON 2-0 FS L18 IN MONOFILAMENT BLACK	SUP-664H	CDM			270	RC		inpatient			3.37	3.37																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72611-722-01	NDC	J1885	HCPCS		inpatient			3.36	3.36																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72611-722-01	NDC	J1885	HCPCS		outpatient			3.36	3.36																																															other	OPPS APC			
CATHETER FOLEY LATEX 18FR 2WAY 5CC	SUP-02-00106	CDM			272	RC		outpatient			3.35	3.35	0.91				percent of total billed charges		3.35				other	OPPS APC	2.48				percent of total billed charges		3.35				other	OPPS APC	3.35				other	OPPS APC	0.91				percent of total billed charges		0.93				percent of total billed charges		3.35				other	OPPS APC	0.91	3.35	
CATHETER FOLEY LATEX 18FR 2WAY 5CC	SUP-02-00106	CDM			272	RC		inpatient			3.35	3.35																																																			
BAG DRAINAGE ROUND TEARDROP 2000ML DISPOSABLE STERILE LF ANTIREFLUX CHAMBER MICROBICIDAL OUTLET TUBE	SUP-154004	CDM	270009001	LOCAL	270	RC		outpatient			3.34	3.34	0.9				percent of total billed charges		3.34				other	OPPS APC	2.47				percent of total billed charges		3.34				other	OPPS APC	3.34				other	OPPS APC	0.9				percent of total billed charges		0.92				percent of total billed charges		3.34				other	OPPS APC	0.9	3.34	
BAG DRAINAGE ROUND TEARDROP 2000ML DISPOSABLE STERILE LF ANTIREFLUX CHAMBER MICROBICIDAL OUTLET TUBE	SUP-154004	CDM	270009001	LOCAL	270	RC		inpatient			3.34	3.34																																																			
BAG DRAINAGE URINARY LATEX FREE 2000CC	SUP-154102	CDM	270009001	LOCAL	270	RC		outpatient			3.34	3.34	0.9				percent of total billed charges		3.34				other	OPPS APC	2.47				percent of total billed charges		3.34				other	OPPS APC	3.34				other	OPPS APC	0.9				percent of total billed charges		0.92				percent of total billed charges		3.34				other	OPPS APC	0.9	3.34	
BAG DRAINAGE URINARY LATEX FREE 2000CC	SUP-154102	CDM	270009001	LOCAL	270	RC		inpatient			3.34	3.34																																																			
SYRINGE MEDICAL PERIFIX BISPHENOL A PLASTIC 8 ML LOSS OF RESISTANCE LUER LOCK DEHP FREE PVC FREE LATEX FREE	SUP-332152	CDM			270	RC		outpatient			3.34	3.34	0.9				percent of total billed charges		3.34				other	OPPS APC	2.47				percent of total billed charges		3.34				other	OPPS APC	3.34				other	OPPS APC	0.9				percent of total billed charges		0.92				percent of total billed charges		3.34				other	OPPS APC	0.9	3.34	
SYRINGE MEDICAL PERIFIX BISPHENOL A PLASTIC 8 ML LOSS OF RESISTANCE LUER LOCK DEHP FREE PVC FREE LATEX FREE	SUP-332152	CDM			270	RC		inpatient			3.34	3.34																																																			
BAG DRAINAGE MED 600ML STERILE LF LEG TWIST VALVE STRAP	SUP-DYND12574_701450	CDM	270009001	LOCAL	270	RC		outpatient			3.34	3.34	0.9				percent of total billed charges		3.34				other	OPPS APC	2.47				percent of total billed charges		3.34				other	OPPS APC	3.34				other	OPPS APC	0.9				percent of total billed charges		0.92				percent of total billed charges		3.34				other	OPPS APC	0.9	3.34	
BAG DRAINAGE MED 600ML STERILE LF LEG TWIST VALVE STRAP	SUP-DYND12574_701450	CDM	270009001	LOCAL	270	RC		inpatient			3.34	3.34																																																			
TEFLON CAUTERY TIP (12/BX)	SUP-72-00019	CDM			272	RC		outpatient			3.33	3.33	0.9				percent of total billed charges		3.33				other	OPPS APC	2.46				percent of total billed charges		3.33				other	OPPS APC	3.33				other	OPPS APC	0.9				percent of total billed charges		0.92				percent of total billed charges		3.33				other	OPPS APC	0.9	3.33	
TEFLON CAUTERY TIP (12/BX)	SUP-72-00019	CDM			272	RC		inpatient			3.33	3.33																																																			
SUTURE ETHILON MONO 3-0BLK	SUP-669H	CDM			270	RC		outpatient			3.32	3.32	0.9				percent of total billed charges		3.32				other	OPPS APC	2.46				percent of total billed charges		3.32				other	OPPS APC	3.32				other	OPPS APC	0.9				percent of total billed charges		0.92				percent of total billed charges		3.32				other	OPPS APC	0.9	3.32	
SUTURE ETHILON MONO 3-0BLK	SUP-669H	CDM			270	RC		inpatient			3.32	3.32																																																			
SCALPEL SURGICAL BARD-PARKER STAINLESS STEEL 10 1 HAND ACTIVATION LOCK RETRACTABLE SHIELD BLADE STERILE LATEX FREE	SUP-372610	CDM						inpatient			3.31	3.31																																																			
SCALPEL SURGICAL BARD-PARKER STAINLESS STEEL 10 1 HAND ACTIVATION LOCK RETRACTABLE SHIELD BLADE STERILE LATEX FREE	SUP-372610	CDM						outpatient			3.31	3.31	3.31				percent of total billed charges		3.31				other	OPPS APC	3.31				fee schedule		3.31				other	OPPS APC	3.31				other	OPPS APC	3.31				case rate		3.31				case rate		3.31				other	OPPS APC	3.31	3.31	
SOLUTION SCRUB SURGICAL HAND 2% CHG 4ML LIQUID POUR BOTTLE ANTIMICROBIAL W/EMOLLIENT FLORAL SCRUB-STAT	SUP-603-0604	CDM			270	RC		outpatient			3.31	3.31	0.9				percent of total billed charges		3.31				other	OPPS APC	2.45				percent of total billed charges		3.31				other	OPPS APC	3.31				other	OPPS APC	0.9				percent of total billed charges		0.91				percent of total billed charges		3.31				other	OPPS APC	0.9	3.31	
SOLUTION SCRUB SURGICAL HAND 2% CHG 4ML LIQUID POUR BOTTLE ANTIMICROBIAL W/EMOLLIENT FLORAL SCRUB-STAT	SUP-603-0604	CDM			270	RC		inpatient			3.31	3.31																																																			
SUTURE PROLENE 2-0 8833H	SUP-74-00178	CDM			272	RC		outpatient			3.31	3.31	0.9				percent of total billed charges		3.31				other	OPPS APC	2.45				percent of total billed charges		3.31				other	OPPS APC	3.31				other	OPPS APC	0.9				percent of total billed charges		0.91				percent of total billed charges		3.31				other	OPPS APC	0.9	3.31	
SUTURE PROLENE 2-0 8833H	SUP-74-00178	CDM			272	RC		inpatient			3.31	3.31																																																			
CHLORHEXIDINE 0.12 % MOUTHWASH	637000000	CDM	81033-512-15	NDC	A9270	HCPCS		inpatient			3.3	3.3																																																			
CHLORHEXIDINE 0.12 % MOUTHWASH	637000000	CDM	81033-512-50	NDC	A9270	HCPCS		inpatient			3.3	3.3																																																			
CHLORHEXIDINE 0.12 % MOUTHWASH	637000000	CDM	81033-512-15	NDC	A9270	HCPCS		outpatient			3.3	3.3																																															other	OPPS APC			
CHLORHEXIDINE 0.12 % MOUTHWASH	637000000	CDM	81033-512-50	NDC	A9270	HCPCS		outpatient			3.3	3.3																																															other	OPPS APC			
DICYCLOMINE 10 MG CAPSULE	637000000	CDM	60687-369-01	NDC	A9270	HCPCS		inpatient			3.3	3.3																																																			
DICYCLOMINE 10 MG CAPSULE	637000000	CDM	60687-369-11	NDC	A9270	HCPCS		inpatient			3.3	3.3																																																			
DICYCLOMINE 10 MG CAPSULE	637000000	CDM	60687-369-01	NDC	A9270	HCPCS		outpatient			3.3	3.3																																															other	OPPS APC			
DICYCLOMINE 10 MG CAPSULE	637000000	CDM	60687-369-11	NDC	A9270	HCPCS		outpatient			3.3	3.3																																															other	OPPS APC			
BANDAGE ELASTIC SOFTWRAP STERILE 2X5YD	SUP-DYNJ05125	CDM						inpatient			3.3	3.3																																																			
BANDAGE ELASTIC SOFTWRAP STERILE 2X5YD	SUP-DYNJ05125	CDM						outpatient			3.3	3.3	3.3				percent of total billed charges		3.3				other	OPPS APC	3.3				fee schedule		3.3				other	OPPS APC	3.3				other	OPPS APC	3.3				case rate		3.3				case rate		3.3				other	OPPS APC	3.3	3.3	
SUTURE ABSORBABLE VICRYL 1 CP-1 L27 IN BRAIDED COATED VIOLET	SUP-J468H	CDM			270	RC		outpatient			3.3	3.3	0.89				percent of total billed charges		3.3				other	OPPS APC	2.44				percent of total billed charges		3.3				other	OPPS APC	3.3				other	OPPS APC	0.89				percent of total billed charges		0.91				percent of total billed charges		3.3				other	OPPS APC	0.89	3.3	
SUTURE ABSORBABLE VICRYL 1 CP-1 L27 IN BRAIDED COATED VIOLET	SUP-J468H	CDM			270	RC		inpatient			3.3	3.3																																																			
"LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLUTION"	250000000	CDM	63323-483-03	NDC				inpatient			3.28	3.28																																																			
"LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLUTION"	250000000	CDM	63323-483-03	NDC				outpatient			3.28	3.28																																															other	OPPS APC			
NIFEDIPINE XL 30 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	50268-597-11	NDC	A9270	HCPCS		inpatient			3.28	3.28																																																			
NIFEDIPINE XL 30 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	50268-597-11	NDC	A9270	HCPCS		outpatient			3.28	3.28																																															other	OPPS APC			
COVER TRANSDUCER NEOGUARD	SUP-70-00143	CDM			272	RC		outpatient			3.28	3.28	0.89				percent of total billed charges		3.28				other	OPPS APC	2.43				percent of total billed charges		3.28				other	OPPS APC	3.28				other	OPPS APC	0.89				percent of total billed charges		0.91				percent of total billed charges		3.28				other	OPPS APC	0.89	3.28	
COVER TRANSDUCER NEOGUARD	SUP-70-00143	CDM			272	RC		inpatient			3.28	3.28																																																			
TUBE NASOGASTRIC ARGYLE SALEM SUMP SENTINEL LINE SENTINEL EYE PVC L48 IN OD14 FR 2 LUMEN DEHP FREE REMOVABLE ADAPTER RADIOPAQUE STERILE	SUP-8888264945	CDM						inpatient			3.28	3.28																																																			
TUBE NASOGASTRIC ARGYLE SALEM SUMP SENTINEL LINE SENTINEL EYE PVC L48 IN OD14 FR 2 LUMEN DEHP FREE REMOVABLE ADAPTER RADIOPAQUE STERILE	SUP-8888264945	CDM						outpatient			3.28	3.28	3.28				percent of total billed charges		3.28				other	OPPS APC	3.28				fee schedule		3.28				other	OPPS APC	3.28				other	OPPS APC	3.28				case rate		3.28				case rate		3.28				other	OPPS APC	3.28	3.28	
SUTURE NONABSORBABLE ETHIBOND 2-0 CT-1 L30 IN BRAID GREEN	SUP-X423H	CDM			270	RC		outpatient			3.28	3.28	0.89				percent of total billed charges		3.28				other	OPPS APC	2.43				percent of total billed charges		3.28				other	OPPS APC	3.28				other	OPPS APC	0.89				percent of total billed charges		0.91				percent of total billed charges		3.28				other	OPPS APC	0.89	3.28	
SUTURE NONABSORBABLE ETHIBOND 2-0 CT-1 L30 IN BRAID GREEN	SUP-X423H	CDM			270	RC		inpatient			3.28	3.28																																																			
SUTURE NONABSORBABLE ETHIBOND 1 CT-1 L30 IN BRAID GREEN	SUP-X425H	CDM			270	RC		outpatient			3.28	3.28	0.89				percent of total billed charges		3.28				other	OPPS APC	2.43				percent of total billed charges		3.28				other	OPPS APC	3.28				other	OPPS APC	0.89				percent of total billed charges		0.91				percent of total billed charges		3.28				other	OPPS APC	0.89	3.28	
SUTURE NONABSORBABLE ETHIBOND 1 CT-1 L30 IN BRAID GREEN	SUP-X425H	CDM			270	RC		inpatient			3.28	3.28																																																			
CATHETER FOLEY LATEX 16FR 2WAY 5CC	SUP-02-00105	CDM			272	RC		outpatient			3.27	3.27	0.89				percent of total billed charges		3.27				other	OPPS APC	2.42				percent of total billed charges		3.27				other	OPPS APC	3.27				other	OPPS APC	0.89				percent of total billed charges		0.9				percent of total billed charges		3.27				other	OPPS APC	0.89	3.27	
CATHETER FOLEY LATEX 16FR 2WAY 5CC	SUP-02-00105	CDM			272	RC		inpatient			3.27	3.27																																																			
CATHETER FOLEY LATEX 20FR 2WAY 5CC	SUP-02-00122	CDM			272	RC		outpatient			3.27	3.27	0.89				percent of total billed charges		3.27				other	OPPS APC	2.42				percent of total billed charges		3.27				other	OPPS APC	3.27				other	OPPS APC	0.89				percent of total billed charges		0.9				percent of total billed charges		3.27				other	OPPS APC	0.89	3.27	
CATHETER FOLEY LATEX 20FR 2WAY 5CC	SUP-02-00122	CDM			272	RC		inpatient			3.27	3.27																																																			
CATHETER FOLEY LATEX 22FR 2WAY 5CC	SUP-02-00123	CDM			272	RC		outpatient			3.27	3.27	0.89				percent of total billed charges		3.27				other	OPPS APC	2.42				percent of total billed charges		3.27				other	OPPS APC	3.27				other	OPPS APC	0.89				percent of total billed charges		0.9				percent of total billed charges		3.27				other	OPPS APC	0.89	3.27	
CATHETER FOLEY LATEX 22FR 2WAY 5CC	SUP-02-00123	CDM			272	RC		inpatient			3.27	3.27																																																			
CATHETER FOLEY ALL SILICONE 24	SUP-70-00132	CDM			272	RC		outpatient			3.27	3.27	0.89				percent of total billed charges		3.27				other	OPPS APC	2.42				percent of total billed charges		3.27				other	OPPS APC	3.27				other	OPPS APC	0.89				percent of total billed charges		0.9				percent of total billed charges		3.27				other	OPPS APC	0.89	3.27	
CATHETER FOLEY ALL SILICONE 24	SUP-70-00132	CDM			272	RC		inpatient			3.27	3.27																																																			
SUTURE ABSORBABLE VICRYL 0 UR-5 L27 IN BRAID COATED VIOLET	SUP-J376H	CDM			270	RC		outpatient			3.26	3.26	0.88				percent of total billed charges		3.26				other	OPPS APC	2.41				percent of total billed charges		3.26				other	OPPS APC	3.26				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.26				other	OPPS APC	0.88	3.26	
SUTURE ABSORBABLE VICRYL 0 UR-5 L27 IN BRAID COATED VIOLET	SUP-J376H	CDM			270	RC		inpatient			3.26	3.26																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 5-0 RB-1 L30 IN BRAID BLACK	SUP-K870H	CDM			270	RC		outpatient			3.26	3.26	0.88				percent of total billed charges		3.26				other	OPPS APC	2.41				percent of total billed charges		3.26				other	OPPS APC	3.26				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.26				other	OPPS APC	0.88	3.26	
SUTURE NONABSORBABLE PERMA-HAND SILK 5-0 RB-1 L30 IN BRAID BLACK	SUP-K870H	CDM			270	RC		inpatient			3.26	3.26																																																			
GLYCOPYRROLATE 1 MG TABLET	637000000	CDM	0904-6709-61	NDC	A9270	HCPCS		inpatient			3.25	3.25																																																			
GLYCOPYRROLATE 1 MG TABLET	637000000	CDM	0904-6709-61	NDC	A9270	HCPCS		outpatient			3.25	3.25																																															other	OPPS APC			
CLEANSER  WOUND 80Z	SUP-15-00025	CDM			272	RC		outpatient			3.25	3.25	0.88				percent of total billed charges		3.25				other	OPPS APC	2.41				percent of total billed charges		3.25				other	OPPS APC	3.25				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.25				other	OPPS APC	0.88	3.25	
CLEANSER  WOUND 80Z	SUP-15-00025	CDM			272	RC		inpatient			3.25	3.25																																																			
ARMBOARD PLASTIC ADULT SUPPORT	SUP-20-00003	CDM			272	RC		outpatient			3.25	3.25	0.88				percent of total billed charges		3.25				other	OPPS APC	2.41				percent of total billed charges		3.25				other	OPPS APC	3.25				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.25				other	OPPS APC	0.88	3.25	
ARMBOARD PLASTIC ADULT SUPPORT	SUP-20-00003	CDM			272	RC		inpatient			3.25	3.25																																																			
SUTURE NONABSORBABLE ETHILON MULTIPASS NYLON 4-0 PS-2 L18 IN MONOFILAMENT BLACK	SUP-662H	CDM			270	RC		outpatient			3.25	3.25	0.88				percent of total billed charges		3.25				other	OPPS APC	2.41				percent of total billed charges		3.25				other	OPPS APC	3.25				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.25				other	OPPS APC	0.88	3.25	
SUTURE NONABSORBABLE ETHILON MULTIPASS NYLON 4-0 PS-2 L18 IN MONOFILAMENT BLACK	SUP-662H	CDM			270	RC		inpatient			3.25	3.25																																																			
SUTURE ABSORBABLE VICRYL 2-0 CP-1 L27 IN BRAID COATED VIOLET	SUP-J466H	CDM			270	RC		outpatient			3.25	3.25	0.88				percent of total billed charges		3.25				other	OPPS APC	2.41				percent of total billed charges		3.25				other	OPPS APC	3.25				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.25				other	OPPS APC	0.88	3.25	
SUTURE ABSORBABLE VICRYL 2-0 CP-1 L27 IN BRAID COATED VIOLET	SUP-J466H	CDM			270	RC		inpatient			3.25	3.25																																																			
SUTURE ABSORBABLE VICRYL 2-0 UR-6 L27 IN BRAID COATED VIOLET	SUP-J602H	CDM			270	RC		outpatient			3.24	3.24	0.88				percent of total billed charges		3.24				other	OPPS APC	2.4				percent of total billed charges		3.24				other	OPPS APC	3.24				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.24				other	OPPS APC	0.88	3.24	
SUTURE ABSORBABLE VICRYL 2-0 UR-6 L27 IN BRAID COATED VIOLET	SUP-J602H	CDM			270	RC		inpatient			3.24	3.24																																																			
CONNECTOR IRRIGATION HYDRA METAL 1 WAY VALVE WATER JET DISPOSABLE OLYMPUS	SUP-SIT-361-100	CDM			270	RC		outpatient			3.24	3.24	0.88				percent of total billed charges		3.24				other	OPPS APC	2.4				percent of total billed charges		3.24				other	OPPS APC	3.24				other	OPPS APC	0.88				percent of total billed charges		0.9				percent of total billed charges		3.24				other	OPPS APC	0.88	3.24	
CONNECTOR IRRIGATION HYDRA METAL 1 WAY VALVE WATER JET DISPOSABLE OLYMPUS	SUP-SIT-361-100	CDM			270	RC		inpatient			3.24	3.24																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-17	NDC	J2250	HCPCS		inpatient			3.22	3.22																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-17	NDC	J2250	HCPCS		outpatient			3.22	3.22																																															other	OPPS APC			
CATHETER FOLEY LF 12FR 2WAY 5CC	SUP-02-00019	CDM			272	RC		outpatient			3.21	3.21	0.87				percent of total billed charges		3.21				other	OPPS APC	2.38				percent of total billed charges		3.21				other	OPPS APC	3.21				other	OPPS APC	0.87				percent of total billed charges		0.89				percent of total billed charges		3.21				other	OPPS APC	0.87	3.21	
CATHETER FOLEY LF 12FR 2WAY 5CC	SUP-02-00019	CDM			272	RC		inpatient			3.21	3.21																																																			
CATHETER FOLEY LF 16 FR 2WAY 5CC	SUP-02-00021	CDM			272	RC		outpatient			3.21	3.21	0.87				percent of total billed charges		3.21				other	OPPS APC	2.38				percent of total billed charges		3.21				other	OPPS APC	3.21				other	OPPS APC	0.87				percent of total billed charges		0.89				percent of total billed charges		3.21				other	OPPS APC	0.87	3.21	
CATHETER FOLEY LF 16 FR 2WAY 5CC	SUP-02-00021	CDM			272	RC		inpatient			3.21	3.21																																																			
CATHETER FOLEY LF 18 FR 2WAY 5CC	SUP-02-00022	CDM			272	RC		outpatient			3.21	3.21	0.87				percent of total billed charges		3.21				other	OPPS APC	2.38				percent of total billed charges		3.21				other	OPPS APC	3.21				other	OPPS APC	0.87				percent of total billed charges		0.89				percent of total billed charges		3.21				other	OPPS APC	0.87	3.21	
CATHETER FOLEY LF 18 FR 2WAY 5CC	SUP-02-00022	CDM			272	RC		inpatient			3.21	3.21																																																			
DOXYCYCLINE 100 MG CAPSULE	637000000	CDM	60687-716-11	NDC	A9270	HCPCS		inpatient			3.2	3.2																																																			
DOXYCYCLINE 100 MG CAPSULE	637000000	CDM	60687-716-11	NDC	A9270	HCPCS		outpatient			3.2	3.2																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 0 CP-1 L27 IN BRAID COATED VIOLET	SUP-J467H	CDM			270	RC		outpatient			3.2	3.22	0.87				percent of total billed charges		3.2				other	OPPS APC	2.37				percent of total billed charges		3.2				other	OPPS APC	3.2				other	OPPS APC	0.87				percent of total billed charges		0.88				percent of total billed charges		3.22				other	OPPS APC	0.87	3.22	
SUTURE ABSORBABLE VICRYL 0 CP-1 L27 IN BRAID COATED VIOLET	SUP-J467H	CDM			270	RC		inpatient			3.2	3.2																																																			
SUTURE ABSORBABLE VICRYL 0 UR-6 L27 IN BRAID COATED VIOLET	SUP-J603H	CDM			270	RC		outpatient			3.2	3.22	0.87				percent of total billed charges		3.2				other	OPPS APC	2.37				percent of total billed charges		3.2				other	OPPS APC	3.2				other	OPPS APC	0.87				percent of total billed charges		0.88				percent of total billed charges		3.22				other	OPPS APC	0.87	3.22	
SUTURE ABSORBABLE VICRYL 0 UR-6 L27 IN BRAID COATED VIOLET	SUP-J603H	CDM			270	RC		inpatient			3.2	3.2																																																			
SUTURE 2-0 27IN VICRYL	SUP-VCP269H	CDM			270	RC		outpatient			3.18	3.18	0.86				percent of total billed charges		3.18				other	OPPS APC	2.35				percent of total billed charges		3.18				other	OPPS APC	3.18				other	OPPS APC	0.86				percent of total billed charges		0.88				percent of total billed charges		3.18				other	OPPS APC	0.86	3.18	
SUTURE 2-0 27IN VICRYL	SUP-VCP269H	CDM			270	RC		inpatient			3.18	3.18																																																			
ADAPTER SMOKE EVACUATOR GOLDVAC DISPOSABLE STRYKER NEPTUNE 2 FILTER	SUP-60-7509-001	CDM						inpatient			3.17	3.17																																																			
ADAPTER SMOKE EVACUATOR GOLDVAC DISPOSABLE STRYKER NEPTUNE 2 FILTER	SUP-60-7509-001	CDM						outpatient			3.17	3.17	3.17				percent of total billed charges		3.17				other	OPPS APC	3.17				fee schedule		3.17				other	OPPS APC	3.17				other	OPPS APC	3.17				case rate		3.17				case rate		3.17				other	OPPS APC	3.17	3.17	
SUTURE ABSORBABLE VICRYL 2-0 CT L36 IN BRAID COATED VIOLET	SUP-J357H	CDM			270	RC		outpatient			3.17	3.17	0.86				percent of total billed charges		3.17				other	OPPS APC	2.35				percent of total billed charges		3.17				other	OPPS APC	3.17				other	OPPS APC	0.86				percent of total billed charges		0.88				percent of total billed charges		3.17				other	OPPS APC	0.86	3.17	
SUTURE ABSORBABLE VICRYL 2-0 CT L36 IN BRAID COATED VIOLET	SUP-J357H	CDM			270	RC		inpatient			3.17	3.17																																																			
SOLUTION IV INJECTION DEXTROSE 5% SODIUM CHLORIDE 0.9% 500ML	SUP-2B1063Q	CDM						inpatient			3.16	3.16																																																			
SOLUTION IV INJECTION DEXTROSE 5% SODIUM CHLORIDE 0.9% 500ML	SUP-2B1063Q	CDM						outpatient			3.16	3.16	3.16				percent of total billed charges		3.16				other	OPPS APC	3.16				fee schedule		3.16				other	OPPS APC	3.16				other	OPPS APC	3.16				case rate		3.16				case rate		3.16				other	OPPS APC	3.16	3.16	
STOCKINETTE IMPERVIOUS  10 IN.	SUP-74-00434	CDM			272	RC		outpatient			3.16	3.16	0.86				percent of total billed charges		3.16				other	OPPS APC	2.34				percent of total billed charges		3.16				other	OPPS APC	3.16				other	OPPS APC	0.86				percent of total billed charges		0.87				percent of total billed charges		3.16				other	OPPS APC	0.86	3.16	
STOCKINETTE IMPERVIOUS  10 IN.	SUP-74-00434	CDM			272	RC		inpatient			3.16	3.16																																																			
SUTURE ABSORBABLE VICRYL 2 CP L27 IN BRAID COATED UNDYED	SUP-J195H	CDM			270	RC		outpatient			3.16	3.16	0.86				percent of total billed charges		3.16				other	OPPS APC	2.34				percent of total billed charges		3.16				other	OPPS APC	3.16				other	OPPS APC	0.86				percent of total billed charges		0.87				percent of total billed charges		3.16				other	OPPS APC	0.86	3.16	
SUTURE ABSORBABLE VICRYL 2 CP L27 IN BRAID COATED UNDYED	SUP-J195H	CDM			270	RC		inpatient			3.16	3.16																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72611-719-01	NDC	J1885	HCPCS		inpatient			3.15	3.15																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72611-719-01	NDC	J1885	HCPCS		outpatient			3.15	3.15																																															other	OPPS APC			
TACROLIMUS PER 1 MG	636000000	CDM	0904-6623-61	NDC	J7507	HCPCS		inpatient			3.15	3.15																																																			
TACROLIMUS PER 1 MG	636000000	CDM	0904-6623-61	NDC	J7507	HCPCS		outpatient			3.15	3.15																																															other	OPPS APC			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.9% 1000ML	SUP-2B1324X	CDM			270	RC		outpatient			3.15	3.15	0.85				percent of total billed charges		3.15				other	OPPS APC	2.33				percent of total billed charges		3.15				other	OPPS APC	3.15				other	OPPS APC	0.85				percent of total billed charges		0.87				percent of total billed charges		3.15				other	OPPS APC	0.85	3.15	
SOLUTION IV INJECTION SODIUM CHLORIDE 0.9% 1000ML	SUP-2B1324X	CDM			270	RC		inpatient			3.15	3.15																																																			
PROBE NASOPHARYNGEAL 9FR	SUP-81-025409	CDM						inpatient			3.15	3.15																																																			
PROBE NASOPHARYNGEAL 9FR	SUP-81-025409	CDM						outpatient			3.15	3.15	3.15				percent of total billed charges		3.15				other	OPPS APC	3.15				fee schedule		3.15				other	OPPS APC	3.15				other	OPPS APC	3.15				case rate		3.15				case rate		3.15				other	OPPS APC	3.15	3.15	
NEEDLE PRECISION GLIDE 23G X 1	SUP-95-00819	CDM			272	RC		outpatient			3.15	3.15	0.85				percent of total billed charges		3.15				other	OPPS APC	2.33				percent of total billed charges		3.15				other	OPPS APC	3.15				other	OPPS APC	0.85				percent of total billed charges		0.87				percent of total billed charges		3.15				other	OPPS APC	0.85	3.15	
NEEDLE PRECISION GLIDE 23G X 1	SUP-95-00819	CDM			272	RC		inpatient			3.15	3.15																																																			
SUTURE ABSORBABLE VICRYL PLUS 3-0 SH L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP416H	CDM			270	RC		outpatient			3.15	3.15	0.85				percent of total billed charges		3.15				other	OPPS APC	2.33				percent of total billed charges		3.15				other	OPPS APC	3.15				other	OPPS APC	0.85				percent of total billed charges		0.87				percent of total billed charges		3.15				other	OPPS APC	0.85	3.15	
SUTURE ABSORBABLE VICRYL PLUS 3-0 SH L27 IN BRAID ANTIBACTERIAL COATED UNDYED	SUP-VCP416H	CDM			270	RC		inpatient			3.15	3.15																																																			
SUTURE-AID BOOTIES	SUP-24-00023	CDM			272	RC		outpatient			3.14	3.14	0.85				percent of total billed charges		3.14				other	OPPS APC	2.32				percent of total billed charges		3.14				other	OPPS APC	3.14				other	OPPS APC	0.85				percent of total billed charges		0.87				percent of total billed charges		3.14				other	OPPS APC	0.85	3.14	
SUTURE-AID BOOTIES	SUP-24-00023	CDM			272	RC		inpatient			3.14	3.14																																																			
SUTURE ABSORBABLE VICRYL 2-0 CT-2 L27 IN BRAID COATED UNDYED	SUP-J269H	CDM			270	RC		outpatient			3.14	3.14	0.85				percent of total billed charges		3.14				other	OPPS APC	2.32				percent of total billed charges		3.14				other	OPPS APC	3.14				other	OPPS APC	0.85				percent of total billed charges		0.87				percent of total billed charges		3.14				other	OPPS APC	0.85	3.14	
SUTURE ABSORBABLE VICRYL 2-0 CT-2 L27 IN BRAID COATED UNDYED	SUP-J269H	CDM			270	RC		inpatient			3.14	3.14																																																			
SOLUTION IV DEXTROSE/WATER 5% 1000ML	SUP-2B0064X	CDM						inpatient			3.13	3.13																																																			
SOLUTION IV DEXTROSE/WATER 5% 1000ML	SUP-2B0064X	CDM						outpatient			3.13	3.13	3.13				percent of total billed charges		3.13				other	OPPS APC	3.13				fee schedule		3.13				other	OPPS APC	3.13				other	OPPS APC	3.13				case rate		3.13				case rate		3.13				other	OPPS APC	3.13	3.13	
CATHETER FOLEY LATEX 26FR 2 WAY 5CC	SUP-02-00138	CDM			272	RC		outpatient			3.12	3.12	0.85				percent of total billed charges		3.12				other	OPPS APC	2.31				percent of total billed charges		3.12				other	OPPS APC	3.12				other	OPPS APC	0.85				percent of total billed charges		0.86				percent of total billed charges		3.12				other	OPPS APC	0.85	3.12	
CATHETER FOLEY LATEX 26FR 2 WAY 5CC	SUP-02-00138	CDM			272	RC		inpatient			3.12	3.12																																																			
REMOVER ADHESIVE DETACHOL 2/3 ML DISPENSER CAP LATEX FREE	SUP-0496-0513-48	CDM						inpatient			3.12	3.12																																																			
REMOVER ADHESIVE DETACHOL 2/3 ML DISPENSER CAP LATEX FREE	SUP-0496-0513-48	CDM						outpatient			3.12	3.12	3.12				percent of total billed charges		3.12				other	OPPS APC	3.12				fee schedule		3.12				other	OPPS APC	3.12				other	OPPS APC	3.12				case rate		3.12				case rate		3.12				other	OPPS APC	3.12	3.12	
COBAN 6 X 5YD STERILE	SUP-10-00135	CDM			272	RC		outpatient			3.12	3.12	0.85				percent of total billed charges		3.12				other	OPPS APC	2.31				percent of total billed charges		3.12				other	OPPS APC	3.12				other	OPPS APC	0.85				percent of total billed charges		0.86				percent of total billed charges		3.12				other	OPPS APC	0.85	3.12	
COBAN 6 X 5YD STERILE	SUP-10-00135	CDM			272	RC		inpatient			3.12	3.12																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 1 MH L30 IN BRAID BLACK	SUP-K845H	CDM			270	RC		outpatient			3.12	3.12	0.85				percent of total billed charges		3.12				other	OPPS APC	2.31				percent of total billed charges		3.12				other	OPPS APC	3.12				other	OPPS APC	0.85				percent of total billed charges		0.86				percent of total billed charges		3.12				other	OPPS APC	0.85	3.12	
SUTURE NONABSORBABLE PERMA-HAND SILK 1 MH L30 IN BRAID BLACK	SUP-K845H	CDM			270	RC		inpatient			3.12	3.12																																																			
DOXYCYCLINE 100 MG CAPSULE	637000000	CDM	50268-281-11	NDC	A9270	HCPCS		inpatient			3.11	3.11																																																			
DOXYCYCLINE 100 MG CAPSULE	637000000	CDM	50268-281-15	NDC	A9270	HCPCS		inpatient			3.11	3.11																																																			
DOXYCYCLINE 100 MG CAPSULE	637000000	CDM	50268-281-11	NDC	A9270	HCPCS		outpatient			3.11	3.11																																															other	OPPS APC			
DOXYCYCLINE 100 MG CAPSULE	637000000	CDM	50268-281-15	NDC	A9270	HCPCS		outpatient			3.11	3.11																																															other	OPPS APC			
METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6322-61	NDC	A9270	HCPCS		inpatient			3.1	3.1																																																			
METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6322-61	NDC	A9270	HCPCS		outpatient			3.1	3.1																																															other	OPPS APC			
BANDAGE 6 STERILE ACE	SUP-10-00097	CDM			272	RC		outpatient			3.09	3.9	0.84				percent of total billed charges		3.09				other	OPPS APC	2.29				percent of total billed charges		3.09				other	OPPS APC	3.09				other	OPPS APC	0.84				percent of total billed charges		0.85				percent of total billed charges		3.9				other	OPPS APC	0.84	3.9	
BANDAGE 6 STERILE ACE	SUP-10-00097	CDM			272	RC		inpatient			3.09	3.09																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 5% DEXTROSE 0.45% 500ML	SUP-2B1073Q	CDM						inpatient			3.08	3.08																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 5% DEXTROSE 0.45% 500ML	SUP-2B1073Q	CDM						outpatient			3.08	3.81	3.08				percent of total billed charges		3.08				other	OPPS APC	3.08				fee schedule		3.08				other	OPPS APC	3.08				other	OPPS APC	3.08				case rate		3.08				case rate		3.81				other	OPPS APC	3.08	3.81	
COLLAR CERVICAL CHILD	SUP-37-00003	CDM			271	RC		outpatient			3.08	3.81	0.83				percent of total billed charges		3.08				other	OPPS APC	2.28				percent of total billed charges		3.08				other	OPPS APC	3.08				other	OPPS APC	0.83				percent of total billed charges		0.85				percent of total billed charges		3.81				other	OPPS APC	0.83	3.81	
COLLAR CERVICAL CHILD	SUP-37-00003	CDM			271	RC		inpatient			3.08	3.08																																																			
SUTURE NONABSORBABLE PERMA-HAND 3-0 18IN BLACK SILK BRAID TIES 12 STRAND PRECUT	SUP-A184H	CDM			270	RC		outpatient			3.07	3.7	0.83				percent of total billed charges		3.07				other	OPPS APC	2.27				percent of total billed charges		3.07				other	OPPS APC	3.07				other	OPPS APC	0.83				percent of total billed charges		0.85				percent of total billed charges		3.7				other	OPPS APC	0.83	3.7	
SUTURE NONABSORBABLE PERMA-HAND 3-0 18IN BLACK SILK BRAID TIES 12 STRAND PRECUT	SUP-A184H	CDM			270	RC		inpatient			3.07	3.07																																																			
SUTURE ABSORBABLE VICRYL 1 CT-2 L27 IN BRAID COATED VIOLET	SUP-J335H	CDM			270	RC		outpatient			3.07	3.7	0.83				percent of total billed charges		3.07				other	OPPS APC	2.27				percent of total billed charges		3.07				other	OPPS APC	3.07				other	OPPS APC	0.83				percent of total billed charges		0.85				percent of total billed charges		3.7				other	OPPS APC	0.83	3.7	
SUTURE ABSORBABLE VICRYL 1 CT-2 L27 IN BRAID COATED VIOLET	SUP-J335H	CDM			270	RC		inpatient			3.07	3.07																																																			
NORMAL SALINE 0.9% SOLUTION 10 ML VIAL	250000000	CDM	63323-186-01	NDC				inpatient			3.06	3.06																																																			
NORMAL SALINE 0.9% SOLUTION 10 ML VIAL	250000000	CDM	63323-186-10	NDC				inpatient			3.06	3.06																																																			
NORMAL SALINE 0.9% SOLUTION 10 ML VIAL	250000000	CDM	63323-186-01	NDC				outpatient			3.06	3.06																																															other	OPPS APC			
NORMAL SALINE 0.9% SOLUTION 10 ML VIAL	250000000	CDM	63323-186-10	NDC				outpatient			3.06	3.06																																															other	OPPS APC			
CEPHALEXIN 500 MG CAPSULE	637000000	CDM	50268-152-11	NDC	A9270	HCPCS		inpatient			3.06	3.06																																																			
CEPHALEXIN 500 MG CAPSULE	637000000	CDM	50268-152-11	NDC	A9270	HCPCS		outpatient			3.06	3.06																																															other	OPPS APC			
ALCOHOL 70% ISOPROPYL  16OZ	SUP-VJO098003	CDM			270	RC		outpatient			3.06	3.61	0.83				percent of total billed charges		3.06				other	OPPS APC	2.26				percent of total billed charges		3.06				other	OPPS APC	3.06				other	OPPS APC	0.83				percent of total billed charges		0.85				percent of total billed charges		3.61				other	OPPS APC	0.83	3.61	
ALCOHOL 70% ISOPROPYL  16OZ	SUP-VJO098003	CDM			270	RC		inpatient			3.06	3.06																																																			
CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAPSULE	637000000	CDM	0904-7119-06	NDC	A9270	HCPCS		inpatient			3.04	3.04																																																			
CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAPSULE	637000000	CDM	0904-7119-06	NDC	A9270	HCPCS		outpatient			3.04	3.04																																															other	OPPS APC			
SYRINGE HIGH PRESSURE POLYCARBONATE 10ML WHITE	SUP-DYNJSYRPC10W	CDM			481	RC		outpatient			3.04	3.4	1.49				percent of total billed charges		3.04				other	OPPS APC	2.25				percent of total billed charges		3.04				other	OPPS APC	3.04				other	OPPS APC	1.49				percent of total billed charges		1.55				percent of total billed charges		3.4				other	OPPS APC	1.49	3.4	
SYRINGE HIGH PRESSURE POLYCARBONATE 10ML WHITE	SUP-DYNJSYRPC10W	CDM			481	RC		inpatient			3.04	3.04																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-234-01	NDC	J1885	HCPCS		inpatient			3.03	3.03																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-234-25	NDC	J1885	HCPCS		inpatient			3.03	3.03																																																			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-234-01	NDC	J1885	HCPCS		outpatient			3.03	3.03																																															other	OPPS APC			
KETOROLAC TROMETHAMINE PER 15 MG	636000000	CDM	72266-234-25	NDC	J1885	HCPCS		outpatient			3.03	3.03																																															other	OPPS APC			
HYDROCODONE-ACETAMINOPHEN 10-325 MG TABLET	637000000	CDM	0406-0125-62	NDC	A9270	HCPCS		inpatient			3.03	3.03																																																			
HYDROCODONE-ACETAMINOPHEN 10-325 MG TABLET	637000000	CDM	0406-0125-62	NDC	A9270	HCPCS		outpatient			3.03	3.03																																															other	OPPS APC			
DIAPER ADULT MED	SUP-04-00012	CDM			271	RC		outpatient			3.03	3.3	0.82				percent of total billed charges		3.03				other	OPPS APC	2.24				percent of total billed charges		3.03				other	OPPS APC	3.03				other	OPPS APC	0.82				percent of total billed charges		0.84				percent of total billed charges		3.3				other	OPPS APC	0.82	3.3	
DIAPER ADULT MED	SUP-04-00012	CDM			271	RC		inpatient			3.03	3.03																																																			
TAPE SURGICAL 3M DURAPORE 10YDX3IN WHITE CLOTH LF HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR	SUP-1538-3	CDM						inpatient			3.03	3.03																																																			
TAPE SURGICAL 3M DURAPORE 10YDX3IN WHITE CLOTH LF HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR	SUP-1538-3	CDM						outpatient			3.03	3.3	3.03				percent of total billed charges		3.03				other	OPPS APC	3.03				fee schedule		3.03				other	OPPS APC	3.03				other	OPPS APC	3.03				case rate		3.03				case rate		3.3				other	OPPS APC	3.03	3.3	
IV PRIMARY SET 2 VALVE UNVENT	SUP-20-00066	CDM			272	RC		outpatient			3.03	3.3	0.82				percent of total billed charges		3.03				other	OPPS APC	2.24				percent of total billed charges		3.03				other	OPPS APC	3.03				other	OPPS APC	0.82				percent of total billed charges		0.84				percent of total billed charges		3.3				other	OPPS APC	0.82	3.3	
IV PRIMARY SET 2 VALVE UNVENT	SUP-20-00066	CDM			272	RC		inpatient			3.03	3.03																																																			
SUTURE ABSORBABLE VICRYL 3-0 SH-1 L27 IN BRAID COATED VIOLET	SUP-J311H	CDM			270	RC		outpatient			3.03	3.3	0.82				percent of total billed charges		3.03				other	OPPS APC	2.24				percent of total billed charges		3.03				other	OPPS APC	3.03				other	OPPS APC	0.82				percent of total billed charges		0.84				percent of total billed charges		3.3				other	OPPS APC	0.82	3.3	
SUTURE ABSORBABLE VICRYL 3-0 SH-1 L27 IN BRAID COATED VIOLET	SUP-J311H	CDM			270	RC		inpatient			3.03	3.03																																																			
ROPINIROLE 1 MG TABLET	637000000	CDM	10135-675-01	NDC	A9270	HCPCS		inpatient			3.02	3.02																																																			
ROPINIROLE 1 MG TABLET	637000000	CDM	10135-675-01	NDC	A9270	HCPCS		outpatient			3.02	3.02																																															other	OPPS APC			
STATLOCK STABILIZATION DEVICE LEG STRAP	SUP-03-00030	CDM			272	RC		outpatient			3.02	3.2	0.82				percent of total billed charges		3.02				other	OPPS APC	2.23				percent of total billed charges		3.02				other	OPPS APC	3.02				other	OPPS APC	0.82				percent of total billed charges		0.83				percent of total billed charges		3.2				other	OPPS APC	0.82	3.2	
STATLOCK STABILIZATION DEVICE LEG STRAP	SUP-03-00030	CDM			272	RC		inpatient			3.02	3.02																																																			
WIPES FLUSHABLE	SUP-MSC263810	CDM			270	RC		outpatient			3.02	3.2	0.82				percent of total billed charges		3.02				other	OPPS APC	2.23				percent of total billed charges		3.02				other	OPPS APC	3.02				other	OPPS APC	0.82				percent of total billed charges		0.83				percent of total billed charges		3.2				other	OPPS APC	0.82	3.2	
WIPES FLUSHABLE	SUP-MSC263810	CDM			270	RC		inpatient			3.02	3.02																																																			
SOLUTION ANTIFOG DEVON DEFOGGER FOG-OUT ISOPROPANOL FOAM PAD NONTOXIC NONFLAMMABLE STERILE DISPOSABLE	SUP-31142527	CDM						inpatient			3.01	3.01																																																			
SOLUTION ANTIFOG DEVON DEFOGGER FOG-OUT ISOPROPANOL FOAM PAD NONTOXIC NONFLAMMABLE STERILE DISPOSABLE	SUP-31142527	CDM						outpatient			3.01	4	3.01				percent of total billed charges		3.01				other	OPPS APC	3.01				fee schedule		3.01				other	OPPS APC	3.01				other	OPPS APC	3.01				case rate		3.01				case rate		4				other	OPPS APC	3.01	4	
DECANTER FLUID L9 IN BAG LATEX	SUP-9001	CDM						inpatient			3.01	3.01																																																			
DECANTER FLUID L9 IN BAG LATEX	SUP-9001	CDM						outpatient			3.01	4	3.01				percent of total billed charges		3.01				other	OPPS APC	3.01				fee schedule		3.01				other	OPPS APC	3.01				other	OPPS APC	3.01				case rate		3.01				case rate		4				other	OPPS APC	3.01	4	
CEFTRIAXONE PER 250 MG	636000000	CDM	0143-9857-01	NDC	J0696	HCPCS		inpatient			3	3																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0143-9857-01	NDC	J0696	HCPCS		outpatient			3	3																																															other	OPPS APC			
CATHETER IV PROTECTIV PLUS STRAIGHT 1IN 22GA BLUE POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-3060	CDM						inpatient			3	3																																																			
CATHETER IV PROTECTIV PLUS STRAIGHT 1IN 22GA BLUE POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-3060	CDM						outpatient			3	3	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	3	3	
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 16GA GRAY POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE	SUP-306201	CDM						inpatient			3	3																																																			
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 16GA GRAY POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE	SUP-306201	CDM						outpatient			3	3	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	3	3	
CATHETER IV PROTECTIV PLUS STRAIGHT .75IN 24GA YELLOW POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-306301	CDM						inpatient			3	3																																																			
CATHETER IV PROTECTIV PLUS STRAIGHT .75IN 24GA YELLOW POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-306301	CDM						outpatient			3	3	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	3	3	
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 18GA GREEN POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-306501	CDM						inpatient			3	3																																																			
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 18GA GREEN POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-306501	CDM						outpatient			3	3	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	3	3	
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 20GA PINK POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-3066	CDM						inpatient			3	3																																																			
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 20GA PINK POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-3066	CDM						outpatient			3	3	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	3	3	
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 14GA ORANGE POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-306801	CDM						inpatient			3	3																																																			
CATHETER IV PROTECTIV PLUS STRAIGHT 1.25IN 14GA ORANGE POLYURETHANE DISPOSABLE STERILE LF PERIPHERAL RADIOPAQUE SAFETY	SUP-306801	CDM						outpatient			3	3	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	3	3	
CANISTER SUCTION MEDI-VAC GUARDIAN 90 D 2000 ML LOCK LID OVERFLOW SHUTOFF VALVE POUR SPOUT FILTER LATEX FREE DISPOSABLE	SUP-65651-220	CDM	270009176	LOCAL	270	RC		outpatient			3	3	0.81				percent of total billed charges		3				other	OPPS APC	2.22				percent of total billed charges		3				other	OPPS APC	3				other	OPPS APC	0.81				percent of total billed charges		0.83				percent of total billed charges		3				other	OPPS APC	0.81	3	
CANISTER SUCTION MEDI-VAC GUARDIAN 90 D 2000 ML LOCK LID OVERFLOW SHUTOFF VALVE POUR SPOUT FILTER LATEX FREE DISPOSABLE	SUP-65651-220	CDM	270009176	LOCAL	270	RC		inpatient			3	3																																																			
CANISTER SUCTION MEDI-VAC GUARDIAN 90D 3000ML DISPOSABLE LF SHUT OFF VALVE POUR SPOUT	SUP-65651-230	CDM	270009176	LOCAL	270	RC		outpatient			3	3	0.81				percent of total billed charges		3				other	OPPS APC	2.22				percent of total billed charges		3				other	OPPS APC	3				other	OPPS APC	0.81				percent of total billed charges		0.83				percent of total billed charges		3				other	OPPS APC	0.81	3	
CANISTER SUCTION MEDI-VAC GUARDIAN 90D 3000ML DISPOSABLE LF SHUT OFF VALVE POUR SPOUT	SUP-65651-230	CDM	270009176	LOCAL	270	RC		inpatient			3	3																																																			
SOAP LIQUID PALMOLIVE 3 OZ- 72 PER CASE	SUP-201417	CDM			270	RC		outpatient			2.98	2.98	0.81				percent of total billed charges		2.98				other	OPPS APC	2.21				percent of total billed charges		2.98				other	OPPS APC	2.98				other	OPPS APC	0.81				percent of total billed charges		0.82				percent of total billed charges		2.98				other	OPPS APC	0.81	2.98	
SOAP LIQUID PALMOLIVE 3 OZ- 72 PER CASE	SUP-201417	CDM			270	RC		inpatient			2.98	2.98																																																			
GLOVER SURGICAL DERMA PRENE ULTRA NEOPRENE POLYURETHANE 8 L11.6 IN CHEMOTHERAPY POWDER FREE SMOOTH BEAD CUFF STERILE LATEX FREE DARK GREEN	SUP-8516	CDM			270	RC		outpatient			2.98	2.98	0.81				percent of total billed charges		2.98				other	OPPS APC	2.21				percent of total billed charges		2.98				other	OPPS APC	2.98				other	OPPS APC	0.81				percent of total billed charges		0.82				percent of total billed charges		2.98				other	OPPS APC	0.81	2.98	
GLOVER SURGICAL DERMA PRENE ULTRA NEOPRENE POLYURETHANE 8 L11.6 IN CHEMOTHERAPY POWDER FREE SMOOTH BEAD CUFF STERILE LATEX FREE DARK GREEN	SUP-8516	CDM			270	RC		inpatient			2.98	2.98																																																			
"WATER FOR INJECTION, STERILE SOLUTION 10 ML VIAL"	636000000	CDM	0409-4887-17	NDC	A4216	HCPCS		inpatient			2.97	2.97																																																			
"WATER FOR INJECTION, STERILE SOLUTION 10 ML VIAL"	636000000	CDM	0409-4887-17	NDC	A4216	HCPCS		outpatient			2.97	2.97																																															other	OPPS APC			
PROCHLORPERAZINE MALEATE PER 5 MG	637000000	CDM	59746-113-06	NDC	A9270	HCPCS		inpatient			2.97	2.97																																																			
PROCHLORPERAZINE MALEATE PER 5 MG	637000000	CDM	59746-113-06	NDC	A9270	HCPCS		outpatient			2.97	2.97																																															other	OPPS APC			
VALVE LOPEZ ADULT NASOGASTRIC	SUP-01-00198	CDM			272	RC		outpatient			2.97	2.97	0.8				percent of total billed charges		2.97				other	OPPS APC	2.2				percent of total billed charges		2.97				other	OPPS APC	2.97				other	OPPS APC	0.8				percent of total billed charges		0.82				percent of total billed charges		2.97				other	OPPS APC	0.8	2.97	
VALVE LOPEZ ADULT NASOGASTRIC	SUP-01-00198	CDM			272	RC		inpatient			2.97	2.97																																																			
SUTURE MONOCRYL 3-0 KS Y523H	SUP-95-05259	CDM			272	RC		outpatient			2.97	2.97	0.8				percent of total billed charges		2.97				other	OPPS APC	2.2				percent of total billed charges		2.97				other	OPPS APC	2.97				other	OPPS APC	0.8				percent of total billed charges		0.82				percent of total billed charges		2.97				other	OPPS APC	0.8	2.97	
SUTURE MONOCRYL 3-0 KS Y523H	SUP-95-05259	CDM			272	RC		inpatient			2.97	2.97																																																			
FOLIC ACID 5 MG/ML SOLUTION 10 ML VIAL	250000000	CDM	63323-184-10	NDC				inpatient			2.96	2.96																																																			
FOLIC ACID 5 MG/ML SOLUTION 10 ML VIAL	250000000	CDM	63323-184-10	NDC				outpatient			2.96	2.96																																															other	OPPS APC			
SOLUTION IV VIAFLEX 500ML LACTATED RINGERS LF PLASTIC CONTAINER	SUP-2B2323Q	CDM						inpatient			2.96	2.96																																																			
SOLUTION IV VIAFLEX 500ML LACTATED RINGERS LF PLASTIC CONTAINER	SUP-2B2323Q	CDM						outpatient			2.96	2.96	2.96				percent of total billed charges		2.96				other	OPPS APC	2.96				fee schedule		2.96				other	OPPS APC	2.96				other	OPPS APC	2.96				case rate		2.96				case rate		2.96				other	OPPS APC	2.96	2.96	
SOLUTION PREP 3M DURAPREP 74% ISOPROPYL ALCOHOL 0.7% IODINE POVACRYLEX 6 ML SKIN 1 COAT SELF CONTAIN APPLICATOR STERILE PREOPERATIVE	SUP-8635	CDM	270009184	LOCAL	270	RC		outpatient			2.96	2.96	0.8				percent of total billed charges		2.96				other	OPPS APC	2.19				percent of total billed charges		2.96				other	OPPS APC	2.96				other	OPPS APC	0.8				percent of total billed charges		0.82				percent of total billed charges		2.96				other	OPPS APC	0.8	2.96	
SOLUTION PREP 3M DURAPREP 74% ISOPROPYL ALCOHOL 0.7% IODINE POVACRYLEX 6 ML SKIN 1 COAT SELF CONTAIN APPLICATOR STERILE PREOPERATIVE	SUP-8635	CDM	270009184	LOCAL	270	RC		inpatient			2.96	2.96																																																			
ROPINIROLE 0.25 MG TABLET	637000000	CDM	0904-6373-61	NDC	A9270	HCPCS		inpatient			2.95	2.95																																																			
ROPINIROLE 0.25 MG TABLET	637000000	CDM	0904-6373-61	NDC	A9270	HCPCS		outpatient			2.95	2.95																																															other	OPPS APC			
TRAY CATHETERIZATION BARD NATURAL RUBBER OD15 FR 1000 ML 2 LEVEL INTERMITTENT PREATTACH COLLECTION BAG DRAPE STERILE LATEX DISPOSABLE RED	SUP-772414	CDM	270009005	LOCAL	270	RC		outpatient			2.95	2.95	0.8				percent of total billed charges		2.95				other	OPPS APC	2.18				percent of total billed charges		2.95				other	OPPS APC	2.95				other	OPPS APC	0.8				percent of total billed charges		0.82				percent of total billed charges		2.95				other	OPPS APC	0.8	2.95	
TRAY CATHETERIZATION BARD NATURAL RUBBER OD15 FR 1000 ML 2 LEVEL INTERMITTENT PREATTACH COLLECTION BAG DRAPE STERILE LATEX DISPOSABLE RED	SUP-772414	CDM	270009005	LOCAL	270	RC		inpatient			2.95	2.95																																																			
FUROSEMIDE 40 MG TABLET	637000000	CDM	0054-8299-25	NDC	A9270	HCPCS		inpatient			2.94	2.94																																																			
FUROSEMIDE 40 MG TABLET	637000000	CDM	0054-8299-25	NDC	A9270	HCPCS		outpatient			2.94	2.94																																															other	OPPS APC			
PRAMIPEXOLE 1 MG TABLET	637000000	CDM	60687-592-11	NDC	A9270	HCPCS		inpatient			2.94	2.94																																																			
PRAMIPEXOLE 1 MG TABLET	637000000	CDM	60687-592-11	NDC	A9270	HCPCS		outpatient			2.94	2.94																																															other	OPPS APC			
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L5 YD X W4 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7367	CDM			270	RC		outpatient			2.93	2.93	0.79				percent of total billed charges		2.93				other	OPPS APC	2.17				percent of total billed charges		2.93				other	OPPS APC	2.93				other	OPPS APC	0.79				percent of total billed charges		0.81				percent of total billed charges		2.93				other	OPPS APC	0.79	2.93	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L5 YD X W4 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7367	CDM			270	RC		inpatient			2.93	2.93																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-6145-25	NDC	J1100	HCPCS		inpatient			2.91	2.91																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-6145-25	NDC	J1100	HCPCS		outpatient			2.91	2.91																																															other	OPPS APC			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	52817-332-10	NDC	A9270	HCPCS		inpatient			2.9	2.9																																																			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	52817-332-10	NDC	A9270	HCPCS		outpatient			2.9	2.9																																															other	OPPS APC			
HYDROXYUREA 500 MG CAPSULE	637000000	CDM	0904-6939-61	NDC	A9270	HCPCS		inpatient			2.9	2.9																																																			
HYDROXYUREA 500 MG CAPSULE	637000000	CDM	0904-6939-61	NDC	A9270	HCPCS		outpatient			2.9	2.9																																															other	OPPS APC			
SCALPEL DISP SZ 20 SAFETY	SUP-01-00039	CDM			272	RC		outpatient			2.9	2.9	0.79				percent of total billed charges		2.9				other	OPPS APC	2.15				percent of total billed charges		2.9				other	OPPS APC	2.9				other	OPPS APC	0.79				percent of total billed charges		0.8				percent of total billed charges		2.9				other	OPPS APC	0.79	2.9	
SCALPEL DISP SZ 20 SAFETY	SUP-01-00039	CDM			272	RC		inpatient			2.9	2.9																																																			
ALPRAZOLAM 1 MG TABLET	637000000	CDM	0781-1079-01	NDC	A9270	HCPCS		inpatient			2.89	2.89																																																			
ALPRAZOLAM 1 MG TABLET	637000000	CDM	0781-1079-01	NDC	A9270	HCPCS		outpatient			2.89	2.89																																															other	OPPS APC			
NIFEDIPINE XL 30 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	0904-7208-06	NDC	A9270	HCPCS		inpatient			2.89	2.89																																																			
NIFEDIPINE XL 30 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	0904-7208-06	NDC	A9270	HCPCS		outpatient			2.89	2.89																																															other	OPPS APC			
GLIDE LENS THK6 MIL L30 MM X W5 MM L10 MM X W2.6 MM OD2.5 MM OPHTHALMIC PHACO STERILE LATEX FREE	SUP-581049	CDM						inpatient			2.89	2.89																																																			
GLIDE LENS THK6 MIL L30 MM X W5 MM L10 MM X W2.6 MM OD2.5 MM OPHTHALMIC PHACO STERILE LATEX FREE	SUP-581049	CDM						outpatient			2.89	2.89	2.89				percent of total billed charges		2.89				other	OPPS APC	2.89				fee schedule		2.89				other	OPPS APC	2.89				other	OPPS APC	2.89				case rate		2.89				case rate		2.89				other	OPPS APC	2.89	2.89	
SUTURE CHROMIC 1 CTX 36IN 905H	SUP-95-05481	CDM			272	RC		outpatient			2.89	2.89	0.78				percent of total billed charges		2.89				other	OPPS APC	2.14				percent of total billed charges		2.89				other	OPPS APC	2.89				other	OPPS APC	0.78				percent of total billed charges		0.8				percent of total billed charges		2.89				other	OPPS APC	0.78	2.89	
SUTURE CHROMIC 1 CTX 36IN 905H	SUP-95-05481	CDM			272	RC		inpatient			2.89	2.89																																																			
TAPE LABEL FENTANYL	SUP-97-00653	CDM			271	RC		outpatient			2.89	2.89	0.78				percent of total billed charges		2.89				other	OPPS APC	2.14				percent of total billed charges		2.89				other	OPPS APC	2.89				other	OPPS APC	0.78				percent of total billed charges		0.8				percent of total billed charges		2.89				other	OPPS APC	0.78	2.89	
TAPE LABEL FENTANYL	SUP-97-00653	CDM			271	RC		inpatient			2.89	2.89																																																			
TUBING SUCTION POOLE GENTLE SUMP STERILE LATEX FREE DISPOSABLE	SUP-0035040	CDM						inpatient			2.88	2.88																																																			
TUBING SUCTION POOLE GENTLE SUMP STERILE LATEX FREE DISPOSABLE	SUP-0035040	CDM						outpatient			2.88	2.88	2.88				percent of total billed charges		2.88				other	OPPS APC	2.88				fee schedule		2.88				other	OPPS APC	2.88				other	OPPS APC	2.88				case rate		2.88				case rate		2.88				other	OPPS APC	2.88	2.88	
NEEDLE SPINAL 22X1 1/2	SUP-06-00037	CDM			272	RC		outpatient			2.88	2.88	0.78				percent of total billed charges		2.88				other	OPPS APC	2.13				percent of total billed charges		2.88				other	OPPS APC	2.88				other	OPPS APC	0.78				percent of total billed charges		0.8				percent of total billed charges		2.88				other	OPPS APC	0.78	2.88	
NEEDLE SPINAL 22X1 1/2	SUP-06-00037	CDM			272	RC		inpatient			2.88	2.88																																																			
CYSTOTOME FORMED PEARCE 25G	SUP-73-00048	CDM			272	RC		outpatient			2.88	2.88	0.78				percent of total billed charges		2.88				other	OPPS APC	2.13				percent of total billed charges		2.88				other	OPPS APC	2.88				other	OPPS APC	0.78				percent of total billed charges		0.8				percent of total billed charges		2.88				other	OPPS APC	0.78	2.88	
CYSTOTOME FORMED PEARCE 25G	SUP-73-00048	CDM			272	RC		inpatient			2.88	2.88																																																			
TUBE ENDOTRACHEAL MALLINCKRODT LO-PRO 7.5MM WHITE PVC DISPOSABLE STERILE NASAL ORAL CUFF TRANSLUCENT MURPHY EYE	SUP-86052	CDM						inpatient			2.88	2.88																																																			
TUBE ENDOTRACHEAL MALLINCKRODT LO-PRO 7.5MM WHITE PVC DISPOSABLE STERILE NASAL ORAL CUFF TRANSLUCENT MURPHY EYE	SUP-86052	CDM						outpatient			2.88	2.88	2.88				percent of total billed charges		2.88				other	OPPS APC	2.88				fee schedule		2.88				other	OPPS APC	2.88				other	OPPS APC	2.88				case rate		2.88				case rate		2.88				other	OPPS APC	2.88	2.88	
TUBE ENDOTRACHEAL MALLINCKRODT LO-PRO PVC ID8.0 MM NASAL ORAL CUFF TRANSLUCENT MURPHY EYE STERILE LATEX FREE DISPOSABLE WHITE	SUP-86053	CDM						inpatient			2.88	2.88																																																			
TUBE ENDOTRACHEAL MALLINCKRODT LO-PRO PVC ID8.0 MM NASAL ORAL CUFF TRANSLUCENT MURPHY EYE STERILE LATEX FREE DISPOSABLE WHITE	SUP-86053	CDM						outpatient			2.88	2.88	2.88				percent of total billed charges		2.88				other	OPPS APC	2.88				fee schedule		2.88				other	OPPS APC	2.88				other	OPPS APC	2.88				case rate		2.88				case rate		2.88				other	OPPS APC	2.88	2.88	
SUTURE  ETHIBOND-EXCEL  GREEN  0  30'  CT-2	SUP-X412H	CDM			270	RC		outpatient			2.88	2.88	0.78				percent of total billed charges		2.88				other	OPPS APC	2.13				percent of total billed charges		2.88				other	OPPS APC	2.88				other	OPPS APC	0.78				percent of total billed charges		0.8				percent of total billed charges		2.88				other	OPPS APC	0.78	2.88	
SUTURE  ETHIBOND-EXCEL  GREEN  0  30'  CT-2	SUP-X412H	CDM			270	RC		inpatient			2.88	2.88																																																			
SUTURE NONABSORBABLE ETHIBOND 0 CT-1 L30 IN BRAID GREEN	SUP-X424H	CDM			270	RC		outpatient			2.88	2.88	0.78				percent of total billed charges		2.88				other	OPPS APC	2.13				percent of total billed charges		2.88				other	OPPS APC	2.88				other	OPPS APC	0.78				percent of total billed charges		0.8				percent of total billed charges		2.88				other	OPPS APC	0.78	2.88	
SUTURE NONABSORBABLE ETHIBOND 0 CT-1 L30 IN BRAID GREEN	SUP-X424H	CDM			270	RC		inpatient			2.88	2.88																																																			
SOLUTION IV INJECTION DEXTROSE 5% IN PLASTIC BAG 500ML	SUP-2B0063Q	CDM						inpatient			2.87	2.87																																																			
SOLUTION IV INJECTION DEXTROSE 5% IN PLASTIC BAG 500ML	SUP-2B0063Q	CDM						outpatient			2.87	2.87	2.87				percent of total billed charges		2.87				other	OPPS APC	2.87				fee schedule		2.87				other	OPPS APC	2.87				other	OPPS APC	2.87				case rate		2.87				case rate		2.87				other	OPPS APC	2.87	2.87	
FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL	636000000	CDM	0641-6022-01	NDC	J3490	HCPCS		inpatient			2.86	2.86																																																			
FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL	636000000	CDM	0641-6022-01	NDC	J3490	HCPCS		outpatient			2.86	2.86																																															other	OPPS APC			
NICOTINE 21 MG/24 HR PATCH 24 HOUR	637000000	CDM	4898500153	NDC	A9270	HCPCS		inpatient			2.86	2.86																																																			
NICOTINE 21 MG/24 HR PATCH 24 HOUR	637000000	CDM	4898500153	NDC	A9270	HCPCS		outpatient			2.86	2.86																																															other	OPPS APC			
PENTOXIFYLLINE 400 MG TABLET EXTENDED RELEASE	637000000	CDM	60505-0033-6	NDC	A9270	HCPCS		inpatient			2.86	2.86																																																			
PENTOXIFYLLINE 400 MG TABLET EXTENDED RELEASE	637000000	CDM	60505-0033-6	NDC	A9270	HCPCS		outpatient			2.86	2.86																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 1 CT L36 IN BRAID COATED VIOLET	SUP-J359H	CDM			270	RC		outpatient			2.86	2.86	0.77				percent of total billed charges		2.86				other	OPPS APC	2.12				percent of total billed charges		2.86				other	OPPS APC	2.86				other	OPPS APC	0.77				percent of total billed charges		0.79				percent of total billed charges		2.86				other	OPPS APC	0.77	2.86	
SUTURE ABSORBABLE VICRYL 1 CT L36 IN BRAID COATED VIOLET	SUP-J359H	CDM			270	RC		inpatient			2.86	2.86																																																			
SUTURE ABSORBABLE VICRYL 0 CTX L36 IN BRAID COATED VIOLET	SUP-J370H	CDM			270	RC		outpatient			2.86	2.86	0.77				percent of total billed charges		2.86				other	OPPS APC	2.12				percent of total billed charges		2.86				other	OPPS APC	2.86				other	OPPS APC	0.77				percent of total billed charges		0.79				percent of total billed charges		2.86				other	OPPS APC	0.77	2.86	
SUTURE ABSORBABLE VICRYL 0 CTX L36 IN BRAID COATED VIOLET	SUP-J370H	CDM			270	RC		inpatient			2.86	2.86																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 FS-2 L18 IN BRAID BLACK	SUP-683G	CDM			270	RC		outpatient			2.85	2.85	0.77				percent of total billed charges		2.85				other	OPPS APC	2.11				percent of total billed charges		2.85				other	OPPS APC	2.85				other	OPPS APC	0.77				percent of total billed charges		0.79				percent of total billed charges		2.85				other	OPPS APC	0.77	2.85	
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 FS-2 L18 IN BRAID BLACK	SUP-683G	CDM			270	RC		inpatient			2.85	2.85																																																			
SUTURE NONABSORBABLE ETHIBOND EXCEL 2-0 CT-2 L30 IN BRAID GREEN	SUP-ETHX411H	CDM			270	RC		outpatient			2.85	2.85	0.77				percent of total billed charges		2.85				other	OPPS APC	2.11				percent of total billed charges		2.85				other	OPPS APC	2.85				other	OPPS APC	0.77				percent of total billed charges		0.79				percent of total billed charges		2.85				other	OPPS APC	0.77	2.85	
SUTURE NONABSORBABLE ETHIBOND EXCEL 2-0 CT-2 L30 IN BRAID GREEN	SUP-ETHX411H	CDM			270	RC		inpatient			2.85	2.85																																																			
SPONGE SURGICAL UNIQCOT RAYON L1/2 IN X W1/2 IN RADIOPAQUE PATTY STERILE	SUP-67-06	CDM						inpatient			2.84	2.84																																																			
SPONGE SURGICAL UNIQCOT RAYON L1/2 IN X W1/2 IN RADIOPAQUE PATTY STERILE	SUP-67-06	CDM						outpatient			2.84	2.84	2.84				percent of total billed charges		2.84				other	OPPS APC	2.84				fee schedule		2.84				other	OPPS APC	2.84				other	OPPS APC	2.84				case rate		2.84				case rate		2.84				other	OPPS APC	2.84	2.84	
SUTURE ABSORBABLE VICRYL 1 CP L27 IN BRAID COATED UNDYED	SUP-J196H	CDM			270	RC		outpatient			2.84	2.84	0.77				percent of total billed charges		2.84				other	OPPS APC	2.1				percent of total billed charges		2.84				other	OPPS APC	2.84				other	OPPS APC	0.77				percent of total billed charges		0.78				percent of total billed charges		2.84				other	OPPS APC	0.77	2.84	
SUTURE ABSORBABLE VICRYL 1 CP L27 IN BRAID COATED UNDYED	SUP-J196H	CDM			270	RC		inpatient			2.84	2.84																																																			
"SODIUM CHLORIDE 0.65 % AEROSOL,SPRAY 44 ML SQUEEZ BTL"	250000000	CDM	0904-3865-75	NDC				inpatient			2.83	2.83																																																			
"SODIUM CHLORIDE 0.65 % AEROSOL,SPRAY 44 ML SQUEEZ BTL"	250000000	CDM	0904-3865-75	NDC				outpatient			2.83	2.83																																															other	OPPS APC			
PREDNISOLONE PER 5 MG	636000000	CDM	0121-0759-08	NDC	J7510	HCPCS		inpatient			2.82	2.82																																																			
PREDNISOLONE PER 5 MG	636000000	CDM	0121-0759-08	NDC	J7510	HCPCS		outpatient			2.82	2.82																																															other	OPPS APC			
RED MAXI LOOPS	SUP-24-00022	CDM			272	RC		outpatient			2.82	2.82	0.76				percent of total billed charges		2.82				other	OPPS APC	2.09				percent of total billed charges		2.82				other	OPPS APC	2.82				other	OPPS APC	0.76				percent of total billed charges		0.78				percent of total billed charges		2.82				other	OPPS APC	0.76	2.82	
RED MAXI LOOPS	SUP-24-00022	CDM			272	RC		inpatient			2.82	2.82																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 RB-1 L30 IN BRAID BLACK	SUP-K871H	CDM			270	RC		outpatient			2.82	2.82	0.76				percent of total billed charges		2.82				other	OPPS APC	2.09				percent of total billed charges		2.82				other	OPPS APC	2.82				other	OPPS APC	0.76				percent of total billed charges		0.78				percent of total billed charges		2.82				other	OPPS APC	0.76	2.82	
SUTURE NONABSORBABLE PERMA-HAND SILK 4-0 RB-1 L30 IN BRAID BLACK	SUP-K871H	CDM			270	RC		inpatient			2.82	2.82																																																			
PAD ABDOMINAL L30 IN X W10 IN ABSORBENT NONWOVEN STERILE LATEX FREE	SUP-NON21459	CDM						inpatient			2.82	2.82																																																			
PAD ABDOMINAL L30 IN X W10 IN ABSORBENT NONWOVEN STERILE LATEX FREE	SUP-NON21459	CDM						outpatient			2.82	2.82	2.82				percent of total billed charges		2.82				other	OPPS APC	2.82				fee schedule		2.82				other	OPPS APC	2.82				other	OPPS APC	2.82				case rate		2.82				case rate		2.82				other	OPPS APC	2.82	2.82	
DRESSING FIXATION 6 X 8.5 IN MEPORE	SUP-273000	CDM						inpatient			2.8	2.8																																																			
DRESSING FIXATION 6 X 8.5 IN MEPORE	SUP-273000	CDM						outpatient			2.8	2.8	2.8				percent of total billed charges		2.8				other	OPPS APC	2.8				fee schedule		2.8				other	OPPS APC	2.8				other	OPPS APC	2.8				case rate		2.8				case rate		2.8				other	OPPS APC	2.8	2.8	
NEEDLE KEITH STRAIGHT TRIPOINT SZ3	SUP-95-04805	CDM			272	RC		outpatient			2.8	2.8	0.76				percent of total billed charges		2.8				other	OPPS APC	2.07				percent of total billed charges		2.8				other	OPPS APC	2.8				other	OPPS APC	0.76				percent of total billed charges		0.77				percent of total billed charges		2.8				other	OPPS APC	0.76	2.8	
NEEDLE KEITH STRAIGHT TRIPOINT SZ3	SUP-95-04805	CDM			272	RC		inpatient			2.8	2.8																																																			
SUTURE ABSORBABLE VICRYL 2-0 CP-1 L27 IN BRAID COATED UNDYED	SUP-J266H	CDM			270	RC		outpatient			2.8	2.8	0.76				percent of total billed charges		2.8				other	OPPS APC	2.07				percent of total billed charges		2.8				other	OPPS APC	2.8				other	OPPS APC	0.76				percent of total billed charges		0.77				percent of total billed charges		2.8				other	OPPS APC	0.76	2.8	
SUTURE ABSORBABLE VICRYL 2-0 CP-1 L27 IN BRAID COATED UNDYED	SUP-J266H	CDM			270	RC		inpatient			2.8	2.8																																																			
METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	60687-402-11	NDC	A9270	HCPCS		inpatient			2.79	2.79																																																			
METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	60687-402-11	NDC	A9270	HCPCS		outpatient			2.79	2.79																																															other	OPPS APC			
SUTURE NONABSORBABLE PERMA-HAND SILK 0 KS L30 IN BRAID BLACK	SUP-624H	CDM			270	RC		outpatient			2.79	2.79	0.76				percent of total billed charges		2.79				other	OPPS APC	2.06				percent of total billed charges		2.79				other	OPPS APC	2.79				other	OPPS APC	0.76				percent of total billed charges		0.77				percent of total billed charges		2.79				other	OPPS APC	0.76	2.79	
SUTURE NONABSORBABLE PERMA-HAND SILK 0 KS L30 IN BRAID BLACK	SUP-624H	CDM			270	RC		inpatient			2.79	2.79																																																			
ISOLATION BAGS (3M) 10/EA	SUP-74-00032	CDM			272	RC		outpatient			2.79	2.79	0.76				percent of total billed charges		2.79				other	OPPS APC	2.06				percent of total billed charges		2.79				other	OPPS APC	2.79				other	OPPS APC	0.76				percent of total billed charges		0.77				percent of total billed charges		2.79				other	OPPS APC	0.76	2.79	
ISOLATION BAGS (3M) 10/EA	SUP-74-00032	CDM			272	RC		inpatient			2.79	2.79																																																			
SUTURE ABSORBABLE VICRYL 3-0 CT L36 IN BRAID COATED UNDYED	SUP-J956H	CDM			270	RC		outpatient			2.79	2.79	0.76				percent of total billed charges		2.79				other	OPPS APC	2.06				percent of total billed charges		2.79				other	OPPS APC	2.79				other	OPPS APC	0.76				percent of total billed charges		0.77				percent of total billed charges		2.79				other	OPPS APC	0.76	2.79	
SUTURE ABSORBABLE VICRYL 3-0 CT L36 IN BRAID COATED UNDYED	SUP-J956H	CDM			270	RC		inpatient			2.79	2.79																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 3-0 RB-1 L30 IN BRAID BLACK	SUP-K872H	CDM			270	RC		outpatient			2.79	2.79	0.76				percent of total billed charges		2.79				other	OPPS APC	2.06				percent of total billed charges		2.79				other	OPPS APC	2.79				other	OPPS APC	0.76				percent of total billed charges		0.77				percent of total billed charges		2.79				other	OPPS APC	0.76	2.79	
SUTURE NONABSORBABLE PERMA-HAND SILK 3-0 RB-1 L30 IN BRAID BLACK	SUP-K872H	CDM			270	RC		inpatient			2.79	2.79																																																			
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	0143-9887-01	NDC	A9270	HCPCS		inpatient			2.78	2.78																																																			
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	0143-9887-01	NDC	A9270	HCPCS		outpatient			2.78	2.78																																															other	OPPS APC			
BARRIER SKIN OSTOMY NEW IMAGE FLEXTEND EXTENDED WEAR 4 IN FLANGE OD3 1/2 IN STOMA CUT TO FIT YELLOW COLLAR	SUP-14606	CDM						inpatient			2.78	2.78																																																			
BARRIER SKIN OSTOMY NEW IMAGE FLEXTEND EXTENDED WEAR 4 IN FLANGE OD3 1/2 IN STOMA CUT TO FIT YELLOW COLLAR	SUP-14606	CDM						outpatient			2.78	2.78	2.78				percent of total billed charges		2.78				other	OPPS APC	2.78				fee schedule		2.78				other	OPPS APC	2.78				other	OPPS APC	2.78				case rate		2.78				case rate		2.78				other	OPPS APC	2.78	2.78	
PACK ICE SMALL RECTANGLE L 12IN X W 5 IN 3 LAYER BAG TIE CLOSURE LATEX FREE DISPOSABLE	SUP-11400-100	CDM	270009107	LOCAL	270	RC		outpatient			2.77	2.77	0.75				percent of total billed charges		2.77				other	OPPS APC	2.05				percent of total billed charges		2.77				other	OPPS APC	2.77				other	OPPS APC	0.75				percent of total billed charges		0.77				percent of total billed charges		2.77				other	OPPS APC	0.75	2.77	
PACK ICE SMALL RECTANGLE L 12IN X W 5 IN 3 LAYER BAG TIE CLOSURE LATEX FREE DISPOSABLE	SUP-11400-100	CDM	270009107	LOCAL	270	RC		inpatient			2.77	2.77																																																			
PACK ICE 12X5IN DISPOSABLE NS LF FACE BILATERAL SOFT OUTER COVER HOOK LOOP CLOSURE	SUP-33101	CDM	270009107	LOCAL	270	RC		outpatient			2.77	2.77	0.75				percent of total billed charges		2.77				other	OPPS APC	2.05				percent of total billed charges		2.77				other	OPPS APC	2.77				other	OPPS APC	0.75				percent of total billed charges		0.77				percent of total billed charges		2.77				other	OPPS APC	0.75	2.77	
PACK ICE 12X5IN DISPOSABLE NS LF FACE BILATERAL SOFT OUTER COVER HOOK LOOP CLOSURE	SUP-33101	CDM	270009107	LOCAL	270	RC		inpatient			2.77	2.77																																																			
METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-540-11	NDC	A9270	HCPCS		inpatient			2.76	2.76																																																			
METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-540-11	NDC	A9270	HCPCS		outpatient			2.76	2.76																																															other	OPPS APC			
METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-541-11	NDC	A9270	HCPCS		inpatient			2.76	2.76																																																			
METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-541-15	NDC	A9270	HCPCS		inpatient			2.76	2.76																																																			
METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-541-11	NDC	A9270	HCPCS		outpatient			2.76	2.76																																															other	OPPS APC			
METOPROLOL SUCCINATE XL 50 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-541-15	NDC	A9270	HCPCS		outpatient			2.76	2.76																																															other	OPPS APC			
DRESSING MEPILEX BORDER FLEX 4X4	SUP-95-01532	CDM			272	RC		outpatient			2.76	2.76	0.75				percent of total billed charges		2.76				other	OPPS APC	2.04				percent of total billed charges		2.76				other	OPPS APC	2.76				other	OPPS APC	0.75				percent of total billed charges		0.76				percent of total billed charges		2.76				other	OPPS APC	0.75	2.76	
DRESSING MEPILEX BORDER FLEX 4X4	SUP-95-01532	CDM			272	RC		inpatient			2.76	2.76																																																			
SUTURE ABSORBABLE VICRYL 0 CT-1 L36 IN BRAID COATED VIOLET	SUP-J346H	CDM			270	RC		outpatient			2.76	2.76	0.75				percent of total billed charges		2.76				other	OPPS APC	2.04				percent of total billed charges		2.76				other	OPPS APC	2.76				other	OPPS APC	0.75				percent of total billed charges		0.76				percent of total billed charges		2.76				other	OPPS APC	0.75	2.76	
SUTURE ABSORBABLE VICRYL 0 CT-1 L36 IN BRAID COATED VIOLET	SUP-J346H	CDM			270	RC		inpatient			2.76	2.76																																																			
STETHOSCOPE DISPOSABLE	SUP-01-00150	CDM			271	RC		outpatient			2.75	2.75	0.74				percent of total billed charges		2.75				other	OPPS APC	2.04				percent of total billed charges		2.75				other	OPPS APC	2.75				other	OPPS APC	0.74				percent of total billed charges		0.76				percent of total billed charges		2.75				other	OPPS APC	0.74	2.75	
STETHOSCOPE DISPOSABLE	SUP-01-00150	CDM			271	RC		inpatient			2.75	2.75																																																			
ZONISAMIDE 50 MG CAPSULE	637000000	CDM	62756-259-02	NDC	A9270	HCPCS		inpatient			2.74	2.74																																																			
ZONISAMIDE 50 MG CAPSULE	637000000	CDM	62756-259-02	NDC	A9270	HCPCS		outpatient			2.74	2.74																																															other	OPPS APC			
WIPE SURGICAL INSTRUMENT VISIWIPE L2 7/8 IN X W2 7/8 IN CLEAN	SUP-581047	CDM			270	RC		outpatient			2.73	2.73	0.74				percent of total billed charges		2.73				other	OPPS APC	2.02				percent of total billed charges		2.73				other	OPPS APC	2.73				other	OPPS APC	0.74				percent of total billed charges		0.75				percent of total billed charges		2.73				other	OPPS APC	0.74	2.73	
WIPE SURGICAL INSTRUMENT VISIWIPE L2 7/8 IN X W2 7/8 IN CLEAN	SUP-581047	CDM			270	RC		inpatient			2.73	2.73																																																			
SOLUTION IV INJECTION DEXTROSE 5% IN WATER QUAD PACK MINI BAG 50ML	SUP-2B0081	CDM						inpatient			2.72	2.72																																																			
SOLUTION IV INJECTION DEXTROSE 5% IN WATER QUAD PACK MINI BAG 50ML	SUP-2B0081	CDM						outpatient			2.72	2.72	2.72				percent of total billed charges		2.72				other	OPPS APC	2.72				fee schedule		2.72				other	OPPS APC	2.72				other	OPPS APC	2.72				case rate		2.72				case rate		2.72				other	OPPS APC	2.72	2.72	
SOLUTION IV INJECTION DEXTROSE 5% IN WATER QUAD PACK MINI BAG 100ML	SUP-2B0082	CDM						inpatient			2.72	2.72																																																			
SOLUTION IV INJECTION DEXTROSE 5% IN WATER QUAD PACK MINI BAG 100ML	SUP-2B0082	CDM						outpatient			2.72	2.72	2.72				percent of total billed charges		2.72				other	OPPS APC	2.72				fee schedule		2.72				other	OPPS APC	2.72				other	OPPS APC	2.72				case rate		2.72				case rate		2.72				other	OPPS APC	2.72	2.72	
SOLUTION IV VIAFLEX 500ML 0.9% SODIUM CHLORIDE LF PLASTIC CONTAINER	SUP-2B1323Q	CDM						inpatient			2.72	2.72																																																			
SOLUTION IV VIAFLEX 500ML 0.9% SODIUM CHLORIDE LF PLASTIC CONTAINER	SUP-2B1323Q	CDM						outpatient			2.72	2.72	2.72				percent of total billed charges		2.72				other	OPPS APC	2.72				fee schedule		2.72				other	OPPS APC	2.72				other	OPPS APC	2.72				case rate		2.72				case rate		2.72				other	OPPS APC	2.72	2.72	
GLOVE SURGICAL BIOGEL ULTRATOUCH 7.5 298X96MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41175	CDM						inpatient			2.72	2.72																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 7.5 298X96MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41175	CDM						outpatient			2.72	2.72	2.72				percent of total billed charges		2.72				other	OPPS APC	2.72				fee schedule		2.72				other	OPPS APC	2.72				other	OPPS APC	2.72				case rate		2.72				case rate		2.72				other	OPPS APC	2.72	2.72	
ROPIVACAINE PER 1 MG	636000000	CDM	70069-062-01	NDC	J2795	HCPCS		inpatient			2.71	2.71																																																			
ROPIVACAINE PER 1 MG	636000000	CDM	70069-062-01	NDC	J2795	HCPCS		outpatient			2.71	2.71																																															other	OPPS APC			
GEL ULTRASOUND AQUASONIC 100 STERILE LF 20GM COMPLETE AQUEOUS TRANSMISSION FOIL POUCH	SUP-01-01	CDM						inpatient			2.71	2.71																																																			
GEL ULTRASOUND AQUASONIC 100 STERILE LF 20GM COMPLETE AQUEOUS TRANSMISSION FOIL POUCH	SUP-01-01	CDM						outpatient			2.71	2.71	2.71				percent of total billed charges		2.71				other	OPPS APC	2.71				fee schedule		2.71				other	OPPS APC	2.71				other	OPPS APC	2.71				case rate		2.71				case rate		2.71				other	OPPS APC	2.71	2.71	
SOLUTION IV INJECTION SODIUM CHLORIDE 0.9% QUAD PACK VISIV 50ML	SUP-2B1301	CDM						inpatient			2.71	2.71																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.9% QUAD PACK VISIV 50ML	SUP-2B1301	CDM						outpatient			2.71	2.71	2.71				percent of total billed charges		2.71				other	OPPS APC	2.71				fee schedule		2.71				other	OPPS APC	2.71				other	OPPS APC	2.71				case rate		2.71				case rate		2.71				other	OPPS APC	2.71	2.71	
SOLUTION IV INJECTION SODIUM CHLORIDE 0.9% 100ML	SUP-2B1302	CDM						inpatient			2.71	2.71																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE 0.9% 100ML	SUP-2B1302	CDM						outpatient			2.71	2.71	2.71				percent of total billed charges		2.71				other	OPPS APC	2.71				fee schedule		2.71				other	OPPS APC	2.71				other	OPPS APC	2.71				case rate		2.71				case rate		2.71				other	OPPS APC	2.71	2.71	
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION 5 ML VIAL	250000000	CDM	55150-165-05	NDC				inpatient			2.7	2.7																																																			
LIDOCAINE PF 20 MG/ML (2 %) SOLUTION 5 ML VIAL	250000000	CDM	55150-165-05	NDC				outpatient			2.7	2.7																																															other	OPPS APC			
ACETAMINOPHEN 160 MG/5 ML SUSPENSION	637000000	CDM	68094-231-59	NDC	A9270	HCPCS		inpatient			2.7	2.7																																																			
ACETAMINOPHEN 160 MG/5 ML SUSPENSION	637000000	CDM	68094-231-59	NDC	A9270	HCPCS		outpatient			2.7	2.7																																															other	OPPS APC			
NEEDLE SPINAL 20X3	SUP-06-00034	CDM			272	RC		outpatient			2.7	2.72	0.73				percent of total billed charges		2.7				other	OPPS APC	2				percent of total billed charges		2.7				other	OPPS APC	2.7				other	OPPS APC	0.73				percent of total billed charges		0.75				percent of total billed charges		2.72				other	OPPS APC	0.73	2.72	
NEEDLE SPINAL 20X3	SUP-06-00034	CDM			272	RC		inpatient			2.7	2.7																																																			
VERAPAMIL SR 120 MG TABLET EXTENDED RELEASE	637000000	CDM	75834-320-01	NDC	A9270	HCPCS		inpatient			2.69	2.69																																																			
VERAPAMIL SR 120 MG TABLET EXTENDED RELEASE	637000000	CDM	75834-320-01	NDC	A9270	HCPCS		outpatient			2.69	2.69																																															other	OPPS APC			
BAG SPECIMEN POLYETHYLENE L14 IN X W8 IN TRANSPORT STERILE	SUP-31-218	CDM			270	RC		outpatient			2.69	2.69	0.73				percent of total billed charges		2.69				other	OPPS APC	1.99				percent of total billed charges		2.69				other	OPPS APC	2.69				other	OPPS APC	0.73				percent of total billed charges		0.74				percent of total billed charges		2.69				other	OPPS APC	0.73	2.69	
BAG SPECIMEN POLYETHYLENE L14 IN X W8 IN TRANSPORT STERILE	SUP-31-218	CDM			270	RC		inpatient			2.69	2.69																																																			
SUTURE ABSORBABLE VICRYL 4-0 SH-1 L27 IN BRAID COATED VIOLET	SUP-J310H	CDM			270	RC		outpatient			2.69	2.69	0.73				percent of total billed charges		2.69				other	OPPS APC	1.99				percent of total billed charges		2.69				other	OPPS APC	2.69				other	OPPS APC	0.73				percent of total billed charges		0.74				percent of total billed charges		2.69				other	OPPS APC	0.73	2.69	
SUTURE ABSORBABLE VICRYL 4-0 SH-1 L27 IN BRAID COATED VIOLET	SUP-J310H	CDM			270	RC		inpatient			2.69	2.69																																																			
FAMOTIDINE 20 MG/2 ML SOLUTION	636000000	CDM	67457-433-22	NDC	S0028	HCPCS		inpatient			2.67	2.67																																																			
FAMOTIDINE 20 MG/2 ML SOLUTION	636000000	CDM	67457-433-22	NDC	S0028	HCPCS		outpatient			2.67	2.67																																															other	OPPS APC			
FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL	636000000	CDM	67457-433-00	NDC	J3490	HCPCS		inpatient			2.67	2.67																																																			
FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL	636000000	CDM	67457-433-22	NDC	J3490	HCPCS		inpatient			2.67	2.67																																																			
FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL	636000000	CDM	67457-433-00	NDC	J3490	HCPCS		outpatient			2.67	2.67																																															other	OPPS APC			
FAMOTIDINE 20 MG/2 ML SOLUTION 2 ML VIAL	636000000	CDM	67457-433-22	NDC	J3490	HCPCS		outpatient			2.67	2.67																																															other	OPPS APC			
CYPROHEPTADINE 4 MG TABLET	637000000	CDM	50742-190-01	NDC	A9270	HCPCS		inpatient			2.67	2.67																																																			
CYPROHEPTADINE 4 MG TABLET	637000000	CDM	50742-190-01	NDC	A9270	HCPCS		outpatient			2.67	2.67																																															other	OPPS APC			
DISPOSABLE FOOT CAUTERY	SUP-24-00001	CDM			272	RC		outpatient			2.67	2.67	0.72				percent of total billed charges		2.67				other	OPPS APC	1.98				percent of total billed charges		2.67				other	OPPS APC	2.67				other	OPPS APC	0.72				percent of total billed charges		0.74				percent of total billed charges		2.67				other	OPPS APC	0.72	2.67	
DISPOSABLE FOOT CAUTERY	SUP-24-00001	CDM			272	RC		inpatient			2.67	2.67																																																			
EPIDURAL IV SET	SUP-20-00058	CDM			272	RC		outpatient			2.66	2.66	0.72				percent of total billed charges		2.66				other	OPPS APC	1.97				percent of total billed charges		2.66				other	OPPS APC	2.66				other	OPPS APC	0.72				percent of total billed charges		0.73				percent of total billed charges		2.66				other	OPPS APC	0.72	2.66	
EPIDURAL IV SET	SUP-20-00058	CDM			272	RC		inpatient			2.66	2.66																																																			
PAD DEFIBRILLATOR 3M 4.5X4.5IN BRIGHT ORANGE FABRIC POROUS DISPOSABLE NS LF ELECTRO CONDUCTIVE GEL SELF CONTAIN WOVEN	SUP-2345N	CDM			270	RC		outpatient			2.66	2.66	0.72				percent of total billed charges		2.66				other	OPPS APC	1.97				percent of total billed charges		2.66				other	OPPS APC	2.66				other	OPPS APC	0.72				percent of total billed charges		0.73				percent of total billed charges		2.66				other	OPPS APC	0.72	2.66	
PAD DEFIBRILLATOR 3M 4.5X4.5IN BRIGHT ORANGE FABRIC POROUS DISPOSABLE NS LF ELECTRO CONDUCTIVE GEL SELF CONTAIN WOVEN	SUP-2345N	CDM			270	RC		inpatient			2.66	2.66																																																			
DRESSING PETROLATUM VASELINE GAUZE L72 IN X W1/2 IN NONADHERENT FINE MESH NONTOXIC NONIRRITATE STERILE WHITE	SUP-8884421600	CDM						inpatient			2.65	2.65																																																			
DRESSING PETROLATUM VASELINE GAUZE L72 IN X W1/2 IN NONADHERENT FINE MESH NONTOXIC NONIRRITATE STERILE WHITE	SUP-8884421600	CDM						outpatient			2.65	2.65	2.65				percent of total billed charges		2.65				other	OPPS APC	2.65				fee schedule		2.65				other	OPPS APC	2.65				other	OPPS APC	2.65				case rate		2.65				case rate		2.65				other	OPPS APC	2.65	2.65	
SUTURE ABSORBABLE VICRYL 5-0 RB-1 L27 IN BRAID COATED VIOLET	SUP-J303H	CDM			270	RC		outpatient			2.65	2.65	0.72				percent of total billed charges		2.65				other	OPPS APC	1.96				percent of total billed charges		2.65				other	OPPS APC	2.65				other	OPPS APC	0.72				percent of total billed charges		0.73				percent of total billed charges		2.65				other	OPPS APC	0.72	2.65	
SUTURE ABSORBABLE VICRYL 5-0 RB-1 L27 IN BRAID COATED VIOLET	SUP-J303H	CDM			270	RC		inpatient			2.65	2.65																																																			
MECLIZINE 12.5 MG TABLET	637000000	CDM	0904-7375-61	NDC	A9270	HCPCS		inpatient			2.63	2.63																																																			
MECLIZINE 12.5 MG TABLET	637000000	CDM	0904-7375-61	NDC	A9270	HCPCS		outpatient			2.63	2.63																																															other	OPPS APC			
PRIMIDONE 250 MG TABLET	637000000	CDM	68084-203-11	NDC	A9270	HCPCS		inpatient			2.63	2.63																																																			
PRIMIDONE 250 MG TABLET	637000000	CDM	68084-203-11	NDC	A9270	HCPCS		outpatient			2.63	2.63																																															other	OPPS APC			
STOCKING COMPRESSION CAP 2XL REGULAR KNEE LENGTH	SUP-551	CDM						inpatient			2.63	2.63																																																			
STOCKING COMPRESSION CAP 2XL REGULAR KNEE LENGTH	SUP-551	CDM						outpatient			2.63	2.63	2.63				percent of total billed charges		2.63				other	OPPS APC	2.63				fee schedule		2.63				other	OPPS APC	2.63				other	OPPS APC	2.63				case rate		2.63				case rate		2.63				other	OPPS APC	2.63	2.63	
STOCKING COMPRESSION CAP 2XL LONG KNEE HIGH ANTIEMBOLISM KNEE LENGTH	SUP-552	CDM						inpatient			2.63	2.63																																																			
STOCKING COMPRESSION CAP 2XL LONG KNEE HIGH ANTIEMBOLISM KNEE LENGTH	SUP-552	CDM						outpatient			2.63	2.63	2.63				percent of total billed charges		2.63				other	OPPS APC	2.63				fee schedule		2.63				other	OPPS APC	2.63				other	OPPS APC	2.63				case rate		2.63				case rate		2.63				other	OPPS APC	2.63	2.63	
SYRINGE BULB DOVER 60 CC PROTECTOR CAP STERILE	SUP-67000	CDM						inpatient			2.63	2.63																																																			
SYRINGE BULB DOVER 60 CC PROTECTOR CAP STERILE	SUP-67000	CDM						outpatient			2.63	2.63	2.63				percent of total billed charges		2.63				other	OPPS APC	2.63				fee schedule		2.63				other	OPPS APC	2.63				other	OPPS APC	2.63				case rate		2.63				case rate		2.63				other	OPPS APC	2.63	2.63	
STOPCOCK ANGIOGRAPHY NAMIC 200 PSI 3 WAY ROTATE MALE COLLAR PORT PROTECTOR NONDEHP LATEX FREE	SUP-70015002	CDM						inpatient			2.63	2.63																																																			
STOPCOCK ANGIOGRAPHY NAMIC 200 PSI 3 WAY ROTATE MALE COLLAR PORT PROTECTOR NONDEHP LATEX FREE	SUP-70015002	CDM						outpatient			2.63	2.63	2.63				percent of total billed charges		2.63				other	OPPS APC	2.63				fee schedule		2.63				other	OPPS APC	2.63				other	OPPS APC	2.63				case rate		2.63				case rate		2.63				other	OPPS APC	2.63	2.63	
SUTURE NONABSORBABLE PERMA-HAND 2-0 18IN BLACK SILK BRAID TIES 12 STRAND PRECUT	SUP-A185H	CDM			270	RC		outpatient			2.62	2.62	0.71				percent of total billed charges		2.62				other	OPPS APC	1.94				percent of total billed charges		2.62				other	OPPS APC	2.62				other	OPPS APC	0.71				percent of total billed charges		0.72				percent of total billed charges		2.62				other	OPPS APC	0.71	2.62	
SUTURE NONABSORBABLE PERMA-HAND 2-0 18IN BLACK SILK BRAID TIES 12 STRAND PRECUT	SUP-A185H	CDM			270	RC		inpatient			2.62	2.62																																																			
SUTURE ABSORBABLE VICRYL 0 CT-1 L27 IN BRAID COATED VIOLET	SUP-J340H	CDM			270	RC		outpatient			2.62	2.62	0.71				percent of total billed charges		2.62				other	OPPS APC	1.94				percent of total billed charges		2.62				other	OPPS APC	2.62				other	OPPS APC	0.71				percent of total billed charges		0.72				percent of total billed charges		2.62				other	OPPS APC	0.71	2.62	
SUTURE ABSORBABLE VICRYL 0 CT-1 L27 IN BRAID COATED VIOLET	SUP-J340H	CDM			270	RC		inpatient			2.62	2.62																																																			
BIOGEL PI INDICATOR SYNTHETIC UNDERGLOVE SIZE 7 BOX	SUP-41670	CDM						inpatient			2.61	2.61																																																			
BIOGEL PI INDICATOR SYNTHETIC UNDERGLOVE SIZE 7 BOX	SUP-41670	CDM						outpatient			2.61	2.7	2.61				percent of total billed charges		2.61				other	OPPS APC	2.61				fee schedule		2.61				other	OPPS APC	2.61				other	OPPS APC	2.61				case rate		2.61				case rate		2.7				other	OPPS APC	2.61	2.7	
SUTURE ABSORBABLE VICRYL 3-0 CT-1 L27 IN BRAID COATED VIOLET	SUP-J338H	CDM			270	RC		outpatient			2.61	2.7	0.71				percent of total billed charges		2.61				other	OPPS APC	1.93				percent of total billed charges		2.61				other	OPPS APC	2.61				other	OPPS APC	0.71				percent of total billed charges		0.72				percent of total billed charges		2.7				other	OPPS APC	0.71	2.7	
SUTURE ABSORBABLE VICRYL 3-0 CT-1 L27 IN BRAID COATED VIOLET	SUP-J338H	CDM			270	RC		inpatient			2.61	2.61																																																			
PROPRANOLOL 20 MG TABLET	637000000	CDM	0904-6705-06	NDC	A9270	HCPCS		inpatient			2.6	2.6																																																			
PROPRANOLOL 20 MG TABLET	637000000	CDM	0904-6705-06	NDC	A9270	HCPCS		outpatient			2.6	2.6																																															other	OPPS APC			
SUTURE ABSORBABLE VICRYL 0 CT-1 L27 IN BRAID COATED UNDYED	SUP-J260H	CDM			270	RC		outpatient			2.6	2.61	0.7				percent of total billed charges		2.6				other	OPPS APC	1.92				percent of total billed charges		2.6				other	OPPS APC	2.6				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.61				other	OPPS APC	0.7	2.61	
SUTURE ABSORBABLE VICRYL 0 CT-1 L27 IN BRAID COATED UNDYED	SUP-J260H	CDM			270	RC		inpatient			2.6	2.6																																																			
SUTURE ABSORBABLE VICRYL 3-0 SH L27 IN BRAID COATED UNDYED	SUP-J416H	CDM			270	RC		outpatient			2.6	2.61	0.7				percent of total billed charges		2.6				other	OPPS APC	1.92				percent of total billed charges		2.6				other	OPPS APC	2.6				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.61				other	OPPS APC	0.7	2.61	
SUTURE ABSORBABLE VICRYL 3-0 SH L27 IN BRAID COATED UNDYED	SUP-J416H	CDM			270	RC		inpatient			2.6	2.6																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE  0.9% 250ML	SUP-2B1322Q	CDM						inpatient			2.59	2.59																																																			
SOLUTION IV INJECTION SODIUM CHLORIDE  0.9% 250ML	SUP-2B1322Q	CDM						outpatient			2.59	2.59	2.59				percent of total billed charges		2.59				other	OPPS APC	2.59				fee schedule		2.59				other	OPPS APC	2.59				other	OPPS APC	2.59				case rate		2.59				case rate		2.59				other	OPPS APC	2.59	2.59	
BULB ONLY FOR HEMAVAC'S	SUP-74-00051	CDM			272	RC		outpatient			2.59	2.59	0.7				percent of total billed charges		2.59				other	OPPS APC	1.92				percent of total billed charges		2.59				other	OPPS APC	2.59				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.59				other	OPPS APC	0.7	2.59	
BULB ONLY FOR HEMAVAC'S	SUP-74-00051	CDM			272	RC		inpatient			2.59	2.59																																																			
SUTURE ABSORBABLE VICRYL 2-0 CT-1 L27 IN BRAID COATED UNDYED	SUP-ETHJ259H	CDM			270	RC		outpatient			2.59	2.59	0.7				percent of total billed charges		2.59				other	OPPS APC	1.92				percent of total billed charges		2.59				other	OPPS APC	2.59				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.59				other	OPPS APC	0.7	2.59	
SUTURE ABSORBABLE VICRYL 2-0 CT-1 L27 IN BRAID COATED UNDYED	SUP-ETHJ259H	CDM			270	RC		inpatient			2.59	2.59																																																			
SUTURE ABSORBABLE VICRYL 3-0 SH L27 IN BRAID COATED VIOLET	SUP-J316H	CDM			270	RC		outpatient			2.59	2.59	0.7				percent of total billed charges		2.59				other	OPPS APC	1.92				percent of total billed charges		2.59				other	OPPS APC	2.59				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.59				other	OPPS APC	0.7	2.59	
SUTURE ABSORBABLE VICRYL 3-0 SH L27 IN BRAID COATED VIOLET	SUP-J316H	CDM			270	RC		inpatient			2.59	2.59																																																			
SUTURE ABSORBABLE VICRYL 2-0 SH L27 IN BRAID COATED VIOLET	SUP-J317H	CDM			270	RC		outpatient			2.59	2.59	0.7				percent of total billed charges		2.59				other	OPPS APC	1.92				percent of total billed charges		2.59				other	OPPS APC	2.59				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.59				other	OPPS APC	0.7	2.59	
SUTURE ABSORBABLE VICRYL 2-0 SH L27 IN BRAID COATED VIOLET	SUP-J317H	CDM			270	RC		inpatient			2.59	2.59																																																			
SUTURE ABSORBABLE VICRYL 2-0 CT-1 L27 IN BRAID COATED VIOLET	SUP-J339H	CDM			270	RC		outpatient			2.59	2.59	0.7				percent of total billed charges		2.59				other	OPPS APC	1.92				percent of total billed charges		2.59				other	OPPS APC	2.59				other	OPPS APC	0.7				percent of total billed charges		0.72				percent of total billed charges		2.59				other	OPPS APC	0.7	2.59	
SUTURE ABSORBABLE VICRYL 2-0 CT-1 L27 IN BRAID COATED VIOLET	SUP-J339H	CDM			270	RC		inpatient			2.59	2.59																																																			
MIDODRINE 2.5 MG TABLET	637000000	CDM	0904-6817-61	NDC	A9270	HCPCS		inpatient			2.58	2.58																																																			
MIDODRINE 2.5 MG TABLET	637000000	CDM	0904-6817-61	NDC	A9270	HCPCS		outpatient			2.58	2.58																																															other	OPPS APC			
SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEMA	637000000	CDM	0536-7415-51	NDC	A9270	HCPCS		inpatient			2.58	2.58																																																			
SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEMA	637000000	CDM	0536-7415-51	NDC	A9270	HCPCS		outpatient			2.58	2.58																																															other	OPPS APC			
BAG DRAIN 2L W/ANTIREFLUX CHAMBER	SUP-03-00025	CDM			272	RC		outpatient			2.58	2.58	0.7				percent of total billed charges		2.58				other	OPPS APC	1.91				percent of total billed charges		2.58				other	OPPS APC	2.58				other	OPPS APC	0.7				percent of total billed charges		0.71				percent of total billed charges		2.58				other	OPPS APC	0.7	2.58	
BAG DRAIN 2L W/ANTIREFLUX CHAMBER	SUP-03-00025	CDM			272	RC		inpatient			2.58	2.58																																																			
DISH PETRI STERILE SIZE M 3.5'	SUP-31-019	CDM			270	RC		outpatient			2.58	2.58	0.7				percent of total billed charges		2.58				other	OPPS APC	1.91				percent of total billed charges		2.58				other	OPPS APC	2.58				other	OPPS APC	0.7				percent of total billed charges		0.71				percent of total billed charges		2.58				other	OPPS APC	0.7	2.58	
DISH PETRI STERILE SIZE M 3.5'	SUP-31-019	CDM			270	RC		inpatient			2.58	2.58																																																			
GOLDLINE FOOT CONTROL PENCIL	SUP-95-05390	CDM			272	RC		outpatient			2.58	2.58	0.7				percent of total billed charges		2.58				other	OPPS APC	1.91				percent of total billed charges		2.58				other	OPPS APC	2.58				other	OPPS APC	0.7				percent of total billed charges		0.71				percent of total billed charges		2.58				other	OPPS APC	0.7	2.58	
GOLDLINE FOOT CONTROL PENCIL	SUP-95-05390	CDM			272	RC		inpatient			2.58	2.58																																																			
DISH PETRI STERILE	SUP-DYND04138H	CDM			270	RC		outpatient			2.58	2.58	0.7				percent of total billed charges		2.58				other	OPPS APC	1.91				percent of total billed charges		2.58				other	OPPS APC	2.58				other	OPPS APC	0.7				percent of total billed charges		0.71				percent of total billed charges		2.58				other	OPPS APC	0.7	2.58	
DISH PETRI STERILE	SUP-DYND04138H	CDM			270	RC		inpatient			2.58	2.58																																																			
PROTECTOR EXTREMITY KODEL UNIVERSAL HEEL ELBOW DELUXE FULL FOOT DESIGN VENTILATION HOLE STRAP HOOK LOOP CLOSURE NONSTERILE LATEX FREE	SUP-M3014D-6	CDM			270	RC		outpatient			2.58	2.58	0.7				percent of total billed charges		2.58				other	OPPS APC	1.91				percent of total billed charges		2.58				other	OPPS APC	2.58				other	OPPS APC	0.7				percent of total billed charges		0.71				percent of total billed charges		2.58				other	OPPS APC	0.7	2.58	
PROTECTOR EXTREMITY KODEL UNIVERSAL HEEL ELBOW DELUXE FULL FOOT DESIGN VENTILATION HOLE STRAP HOOK LOOP CLOSURE NONSTERILE LATEX FREE	SUP-M3014D-6	CDM			270	RC		inpatient			2.58	2.58																																																			
"NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL"	637000000	CDM	59762-3304-3	NDC	A9270	HCPCS		inpatient			2.57	2.57																																																			
"NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL"	637000000	CDM	59762-3304-3	NDC	A9270	HCPCS		outpatient			2.57	2.57																																															other	OPPS APC			
LOPERAMIDE 2 MG CAPSULE	637000000	CDM	60687-229-11	NDC	A9270	HCPCS		inpatient			2.55	2.55																																																			
LOPERAMIDE 2 MG CAPSULE	637000000	CDM	60687-229-11	NDC	A9270	HCPCS		outpatient			2.55	2.55																																															other	OPPS APC			
WECK-CEL STICKS	SUP-73-00018	CDM			272	RC		outpatient			2.55	2.55	0.69				percent of total billed charges		2.55				other	OPPS APC	1.89				percent of total billed charges		2.55				other	OPPS APC	2.55				other	OPPS APC	0.69				percent of total billed charges		0.7				percent of total billed charges		2.55				other	OPPS APC	0.69	2.55	
WECK-CEL STICKS	SUP-73-00018	CDM			272	RC		inpatient			2.55	2.55																																																			
MIDODRINE 5 MG TABLET	637000000	CDM	63739-145-10	NDC	A9270	HCPCS		inpatient			2.54	2.54																																																			
MIDODRINE 5 MG TABLET	637000000	CDM	63739-145-10	NDC	A9270	HCPCS		outpatient			2.54	2.54																																															other	OPPS APC			
"NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL"	637000000	CDM	43598-436-11	NDC	A9270	HCPCS		inpatient			2.54	2.54																																																			
"NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL"	637000000	CDM	43598-436-35	NDC	A9270	HCPCS		inpatient			2.54	2.54																																																			
"NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL"	637000000	CDM	43598-436-11	NDC	A9270	HCPCS		outpatient			2.54	2.54																																															other	OPPS APC			
"NITROGLYCERIN 0.4 MG TABLET, SUBLINGUAL"	637000000	CDM	43598-436-35	NDC	A9270	HCPCS		outpatient			2.54	2.54																																															other	OPPS APC			
"NYSTATIN 100,000 UNIT/ML SUSPENSION"	637000000	CDM	0904-7276-41	NDC	A9270	HCPCS		inpatient			2.54	2.54																																																			
"NYSTATIN 100,000 UNIT/ML SUSPENSION"	637000000	CDM	0904-7276-41	NDC	A9270	HCPCS		outpatient			2.54	2.54																																															other	OPPS APC			
TAPE LABEL ROBINUL	SUP-97-00654	CDM			271	RC		outpatient			2.54	2.54	0.69				percent of total billed charges		2.54				other	OPPS APC	1.88				percent of total billed charges		2.54				other	OPPS APC	2.54				other	OPPS APC	0.69				percent of total billed charges		0.7				percent of total billed charges		2.54				other	OPPS APC	0.69	2.54	
TAPE LABEL ROBINUL	SUP-97-00654	CDM			271	RC		inpatient			2.54	2.54																																																			
OXCARBAZEPINE 300 MG TABLET	637000000	CDM	50268-680-11	NDC	A9270	HCPCS		inpatient			2.53	2.53																																																			
OXCARBAZEPINE 300 MG TABLET	637000000	CDM	50268-680-11	NDC	A9270	HCPCS		outpatient			2.53	2.53																																															other	OPPS APC			
POSITIONER OR FOAM H2 IN OD9 IN ID4 IN HEAD HIGH RESILIENT RING CUSHION LATEX FREE RASPBERRY	SUP-NON081141	CDM						inpatient			2.53	2.53																																																			
POSITIONER OR FOAM H2 IN OD9 IN ID4 IN HEAD HIGH RESILIENT RING CUSHION LATEX FREE RASPBERRY	SUP-NON081141	CDM						outpatient			2.53	2.53	2.53				percent of total billed charges		2.53				other	OPPS APC	2.53				fee schedule		2.53				other	OPPS APC	2.53				other	OPPS APC	2.53				case rate		2.53				case rate		2.53				other	OPPS APC	2.53	2.53	
BALL COTTON 6 MM XRAY DETECTABLE MARKER STRUNG PREMIUM HIGHLY ABSORBENT	SUP-30-00	CDM						inpatient			2.52	2.52																																																			
BALL COTTON 6 MM XRAY DETECTABLE MARKER STRUNG PREMIUM HIGHLY ABSORBENT	SUP-30-00	CDM						outpatient			2.52	2.52	2.52				percent of total billed charges		2.52				other	OPPS APC	2.52				fee schedule		2.52				other	OPPS APC	2.52				other	OPPS APC	2.52				case rate		2.52				case rate		2.52				other	OPPS APC	2.52	2.52	
GUAIFENESIN 600 MG TABLET EXTENDED RELEASE 12HR	637000000	CDM	68084-572-01	NDC	A9270	HCPCS		inpatient			2.51	2.51																																																			
GUAIFENESIN 600 MG TABLET EXTENDED RELEASE 12HR	637000000	CDM	68084-572-11	NDC	A9270	HCPCS		inpatient			2.51	2.51																																																			
GUAIFENESIN 600 MG TABLET EXTENDED RELEASE 12HR	637000000	CDM	68084-572-01	NDC	A9270	HCPCS		outpatient			2.51	2.51																																															other	OPPS APC			
GUAIFENESIN 600 MG TABLET EXTENDED RELEASE 12HR	637000000	CDM	68084-572-11	NDC	A9270	HCPCS		outpatient			2.51	2.51																																															other	OPPS APC			
ADAPTER ANGIOGRAPHY NAMIC OPTION 125 200 PSI 3/8 IN 24 THREAD ID .125 IN ID SEC .1 IN 3 STERILE	SUP-91400035	CDM			270	RC		outpatient			2.51	2.6	0.68				percent of total billed charges		2.51				other	OPPS APC	1.86				percent of total billed charges		2.51				other	OPPS APC	2.51				other	OPPS APC	0.68				percent of total billed charges		0.69				percent of total billed charges		2.6				other	OPPS APC	0.68	2.6	
ADAPTER ANGIOGRAPHY NAMIC OPTION 125 200 PSI 3/8 IN 24 THREAD ID .125 IN ID SEC .1 IN 3 STERILE	SUP-91400035	CDM			270	RC		inpatient			2.51	2.51																																																			
KETAMINE 100 MG/ML SOLUTION	250000000	CDM	0409-2051-05	NDC				inpatient			2.5	2.5																																																			
KETAMINE 100 MG/ML SOLUTION	250000000	CDM	0409-2051-05	NDC				outpatient			2.5	2.5																																															other	OPPS APC			
ATORVASTATIN 10 MG TABLET	637000000	CDM	0904-6290-61	NDC	A9270	HCPCS		inpatient			2.5	2.5																																																			
ATORVASTATIN 10 MG TABLET	637000000	CDM	0904-6290-61	NDC	A9270	HCPCS		outpatient			2.5	2.5																																															other	OPPS APC			
FOOTWEAR PATIENT PEDIATRIC TERRY IN YELLOW	SUP-68125-YEL	CDM	270009080	LOCAL	270	RC		outpatient			2.5	2.5	0.68				percent of total billed charges		2.5				other	OPPS APC	1.85				percent of total billed charges		2.5				other	OPPS APC	2.5				other	OPPS APC	0.68				percent of total billed charges		0.69				percent of total billed charges		2.5				other	OPPS APC	0.68	2.5	
FOOTWEAR PATIENT PEDIATRIC TERRY IN YELLOW	SUP-68125-YEL	CDM	270009080	LOCAL	270	RC		inpatient			2.5	2.5																																																			
BURR ROUND	SUP-H1.023SHP11	CDM			270	RC		outpatient			2.5	2.5	0.68				percent of total billed charges		2.5				other	OPPS APC	1.85				percent of total billed charges		2.5				other	OPPS APC	2.5				other	OPPS APC	0.68				percent of total billed charges		0.69				percent of total billed charges		2.5				other	OPPS APC	0.68	2.5	
BURR ROUND	SUP-H1.023SHP11	CDM			270	RC		inpatient			2.5	2.5																																																			
SOAP LIQUID PALMOLIVE 3 OZ- 72 PER CASE	SUP-LGSCPC01417	CDM						inpatient			2.5	2.5																																																			
SOAP LIQUID PALMOLIVE 3 OZ- 72 PER CASE	SUP-LGSCPC01417	CDM						outpatient			2.5	2.5	2.5				percent of total billed charges		2.5				other	OPPS APC	2.5				fee schedule		2.5				other	OPPS APC	2.5				other	OPPS APC	2.5				case rate		2.5				case rate		2.5				other	OPPS APC	2.5	2.5	
LISINOPRIL 10 MG TABLET	637000000	CDM	0143-1267-01	NDC	A9270	HCPCS		inpatient			2.49	2.49																																																			
LISINOPRIL 10 MG TABLET	637000000	CDM	0143-1267-01	NDC	A9270	HCPCS		outpatient			2.49	2.49																																															other	OPPS APC			
SHARPS 2GAL NEEDLE & SYRINGE DISPOSAL	SUP-07-00024	CDM			272	RC		outpatient			2.49	2.49	0.67				percent of total billed charges		2.49				other	OPPS APC	1.84				percent of total billed charges		2.49				other	OPPS APC	2.49				other	OPPS APC	0.67				percent of total billed charges		0.69				percent of total billed charges		2.49				other	OPPS APC	0.67	2.49	
SHARPS 2GAL NEEDLE & SYRINGE DISPOSAL	SUP-07-00024	CDM			272	RC		inpatient			2.49	2.49																																																			
LOPERAMIDE 2 MG CAPSULE	637000000	CDM	50268-482-11	NDC	A9270	HCPCS		inpatient			2.48	2.48																																																			
LOPERAMIDE 2 MG CAPSULE	637000000	CDM	50268-482-11	NDC	A9270	HCPCS		outpatient			2.48	2.48																																															other	OPPS APC			
TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG TABLET	637000000	CDM	68084-750-95	NDC	A9270	HCPCS		inpatient			2.47	2.47																																																			
TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG TABLET	637000000	CDM	68084-750-95	NDC	A9270	HCPCS		outpatient			2.47	2.47																																															other	OPPS APC			
SOLUTION ANTISEPTIC 70% ISOPROPYL ALCOHOL 4 OZ BOTTLE LATEX FREE	SUP-MDS098011	CDM			270	RC		outpatient			2.47	2.47	0.67				percent of total billed charges		2.47				other	OPPS APC	1.83				percent of total billed charges		2.47				other	OPPS APC	2.47				other	OPPS APC	0.67				percent of total billed charges		0.68				percent of total billed charges		2.47				other	OPPS APC	0.67	2.47	
SOLUTION ANTISEPTIC 70% ISOPROPYL ALCOHOL 4 OZ BOTTLE LATEX FREE	SUP-MDS098011	CDM			270	RC		inpatient			2.47	2.47																																																			
DIPHENHYDRAMINE PER 50 MG	636000000	CDM	63323-664-16	NDC	J1200	HCPCS		inpatient			2.46	2.46																																																			
DIPHENHYDRAMINE PER 50 MG	636000000	CDM	63323-664-16	NDC	J1200	HCPCS		outpatient			2.46	2.46																																															other	OPPS APC			
"POTASSIUM CHLORIDE 20 MEQ TABLET,ER PARTICLES/CRYSTALS"	637000000	CDM	0904-7293-61	NDC	A9270	HCPCS		inpatient			2.46	2.46																																																			
"POTASSIUM CHLORIDE 20 MEQ TABLET,ER PARTICLES/CRYSTALS"	637000000	CDM	0904-7293-61	NDC	A9270	HCPCS		outpatient			2.46	2.46																																															other	OPPS APC			
SCALPEL DISP SZ 15 SAFETY	SUP-01-00038	CDM			272	RC		outpatient			2.46	2.46	0.67				percent of total billed charges		2.46				other	OPPS APC	1.82				percent of total billed charges		2.46				other	OPPS APC	2.46				other	OPPS APC	0.67				percent of total billed charges		0.68				percent of total billed charges		2.46				other	OPPS APC	0.67	2.46	
SCALPEL DISP SZ 15 SAFETY	SUP-01-00038	CDM			272	RC		inpatient			2.46	2.46																																																			
SUTURE ABSORBABLE VICRYL 4-0 SH L27 IN BRAID COATED UNDYED	SUP-J415H	CDM			270	RC		outpatient			2.46	2.46	0.67				percent of total billed charges		2.46				other	OPPS APC	1.82				percent of total billed charges		2.46				other	OPPS APC	2.46				other	OPPS APC	0.67				percent of total billed charges		0.68				percent of total billed charges		2.46				other	OPPS APC	0.67	2.46	
SUTURE ABSORBABLE VICRYL 4-0 SH L27 IN BRAID COATED UNDYED	SUP-J415H	CDM			270	RC		inpatient			2.46	2.46																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 2-0 MH L30 IN BRAID BLACK	SUP-K843H	CDM			270	RC		outpatient			2.46	2.46	0.67				percent of total billed charges		2.46				other	OPPS APC	1.82				percent of total billed charges		2.46				other	OPPS APC	2.46				other	OPPS APC	0.67				percent of total billed charges		0.68				percent of total billed charges		2.46				other	OPPS APC	0.67	2.46	
SUTURE NONABSORBABLE PERMA-HAND SILK 2-0 MH L30 IN BRAID BLACK	SUP-K843H	CDM			270	RC		inpatient			2.46	2.46																																																			
SUTURE NONABSORBABLE PERMA-HAND 0 30IN BLACK SILK BRAID TIE 6 STRAND PRECUT	SUP-A306H	CDM			270	RC		outpatient			2.45	2.45	0.66				percent of total billed charges		2.45				other	OPPS APC	1.81				percent of total billed charges		2.45				other	OPPS APC	2.45				other	OPPS APC	0.66				percent of total billed charges		0.68				percent of total billed charges		2.45				other	OPPS APC	0.66	2.45	
SUTURE NONABSORBABLE PERMA-HAND 0 30IN BLACK SILK BRAID TIE 6 STRAND PRECUT	SUP-A306H	CDM			270	RC		inpatient			2.45	2.45																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION	636000000	CDM	0409-1165-18	NDC	J0665	HCPCS		inpatient			2.44	2.44																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION	636000000	CDM	0409-1165-18	NDC	J0665	HCPCS		outpatient			2.44	0.16																																											0.16				other	OPPS APC	0.16	0.16	
PRIMIDONE 50 MG TABLET	637000000	CDM	68084-202-11	NDC	A9270	HCPCS		inpatient			2.44	2.44																																																			
PRIMIDONE 50 MG TABLET	637000000	CDM	68084-202-11	NDC	A9270	HCPCS		outpatient			2.44	2.44																																															other	OPPS APC			
SOAP CASTILE TOWELETTE	SUP-01-00147	CDM			272	RC		outpatient			2.44	2.44	0.66				percent of total billed charges		2.44				other	OPPS APC	1.81				percent of total billed charges		2.44				other	OPPS APC	2.44				other	OPPS APC	0.66				percent of total billed charges		0.67				percent of total billed charges		2.44				other	OPPS APC	0.66	2.44	
SOAP CASTILE TOWELETTE	SUP-01-00147	CDM			272	RC		inpatient			2.44	2.44																																																			
DRESSING WOUND TELFA MYLAR L7 IN X W6 IN ABSORBENT ADHESIVE STRIP BACK SHEET FILM NONWOVEN STERILE LATEX FREE DISPOSABLE	SUP-2563	CDM						inpatient			2.44	2.44																																																			
DRESSING WOUND TELFA MYLAR L7 IN X W6 IN ABSORBENT ADHESIVE STRIP BACK SHEET FILM NONWOVEN STERILE LATEX FREE DISPOSABLE	SUP-2563	CDM						outpatient			2.44	2.44	2.44				percent of total billed charges		2.44				other	OPPS APC	2.44				fee schedule		2.44				other	OPPS APC	2.44				other	OPPS APC	2.44				case rate		2.44				case rate		2.44				other	OPPS APC	2.44	2.44	
SUTURE NONABSORBABLE PERMA-HAND 1 30IN BLACK SILK BRAID TIE 6 STRAND PRECUT	SUP-A307H	CDM			270	RC		outpatient			2.43	2.43	0.66				percent of total billed charges		2.43				other	OPPS APC	1.8				percent of total billed charges		2.43				other	OPPS APC	2.43				other	OPPS APC	0.66				percent of total billed charges		0.67				percent of total billed charges		2.43				other	OPPS APC	0.66	2.43	
SUTURE NONABSORBABLE PERMA-HAND 1 30IN BLACK SILK BRAID TIE 6 STRAND PRECUT	SUP-A307H	CDM			270	RC		inpatient			2.43	2.43																																																			
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-206-01	NDC	A9270	HCPCS		inpatient			2.42	2.42																																																			
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-206-11	NDC	A9270	HCPCS		inpatient			2.42	2.42																																																			
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-206-01	NDC	A9270	HCPCS		outpatient			2.42	2.42																																															other	OPPS APC			
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	60687-206-11	NDC	A9270	HCPCS		outpatient			2.42	2.42																																															other	OPPS APC			
SLING ARM DELUXE XLG	SUP-97-00274	CDM			271	RC		outpatient			2.42	2.42	0.66				percent of total billed charges		2.42				other	OPPS APC	1.79				percent of total billed charges		2.42				other	OPPS APC	2.42				other	OPPS APC	0.66				percent of total billed charges		0.67				percent of total billed charges		2.42				other	OPPS APC	0.66	2.42	
SLING ARM DELUXE XLG	SUP-97-00274	CDM			271	RC		inpatient			2.42	2.42																																																			
HC PHARMACY/DRUGS SELF ADMIN	637000000	CDM			A9270	HCPCS		inpatient			2.41	2.41																																																			
HC PHARMACY/DRUGS SELF ADMIN	637000000	CDM			A9270	HCPCS		outpatient			2.41	2.41																																															other	OPPS APC			
LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE	637000000	CDM	04910-0381-64	NDC	A9270	HCPCS		inpatient			2.41	2.41																																																			
LACTOBACILLUS RHAMNOSUS GG 10 BILLION CELL CAPSULE	637000000	CDM	04910-0381-64	NDC	A9270	HCPCS		outpatient			2.41	2.41																																															other	OPPS APC			
TUBE ENDO TRACH 9.0 CUFFED	SUP-31-00033	CDM			272	RC		outpatient			2.41	2.41	0.65				percent of total billed charges		2.41				other	OPPS APC	1.78				percent of total billed charges		2.41				other	OPPS APC	2.41				other	OPPS APC	0.65				percent of total billed charges		0.67				percent of total billed charges		2.41				other	OPPS APC	0.65	2.41	
TUBE ENDO TRACH 9.0 CUFFED	SUP-31-00033	CDM			272	RC		inpatient			2.41	2.41																																																			
SLING DELUXE ARM LARGE	SUP-36-00040	CDM			271	RC		outpatient			2.41	2.41	0.65				percent of total billed charges		2.41				other	OPPS APC	1.78				percent of total billed charges		2.41				other	OPPS APC	2.41				other	OPPS APC	0.65				percent of total billed charges		0.67				percent of total billed charges		2.41				other	OPPS APC	0.65	2.41	
SLING DELUXE ARM LARGE	SUP-36-00040	CDM			271	RC		inpatient			2.41	2.41																																																			
SLING DELUXE ARM MEDIUM	SUP-36-00041	CDM			271	RC		outpatient			2.41	2.41	0.65				percent of total billed charges		2.41				other	OPPS APC	1.78				percent of total billed charges		2.41				other	OPPS APC	2.41				other	OPPS APC	0.65				percent of total billed charges		0.67				percent of total billed charges		2.41				other	OPPS APC	0.65	2.41	
SLING DELUXE ARM MEDIUM	SUP-36-00041	CDM			271	RC		inpatient			2.41	2.41																																																			
SLING DELUXE ARM SMALL	SUP-36-00042	CDM			271	RC		outpatient			2.41	2.41	0.65				percent of total billed charges		2.41				other	OPPS APC	1.78				percent of total billed charges		2.41				other	OPPS APC	2.41				other	OPPS APC	0.65				percent of total billed charges		0.67				percent of total billed charges		2.41				other	OPPS APC	0.65	2.41	
SLING DELUXE ARM SMALL	SUP-36-00042	CDM			271	RC		inpatient			2.41	2.41																																																			
SLING ARM DELUXE XLG	SUP-36-00049	CDM			271	RC		outpatient			2.41	2.41	0.65				percent of total billed charges		2.41				other	OPPS APC	1.78				percent of total billed charges		2.41				other	OPPS APC	2.41				other	OPPS APC	0.65				percent of total billed charges		0.67				percent of total billed charges		2.41				other	OPPS APC	0.65	2.41	
SLING ARM DELUXE XLG	SUP-36-00049	CDM			271	RC		inpatient			2.41	2.41																																																			
PUNCH BIOPSY TRU-PUNCH STAINLESS STEEL PLASTIC STRAIGHT OD4 MM DERMAL RAZOR TIP RIBBED HOLLOW HANDLE STERILE LATEX FREE DISPOSABLE	SUP-96-1115	CDM						inpatient			2.41	2.41																																																			
PUNCH BIOPSY TRU-PUNCH STAINLESS STEEL PLASTIC STRAIGHT OD4 MM DERMAL RAZOR TIP RIBBED HOLLOW HANDLE STERILE LATEX FREE DISPOSABLE	SUP-96-1115	CDM						outpatient			2.41	2.41	2.41				percent of total billed charges		2.41				other	OPPS APC	2.41				fee schedule		2.41				other	OPPS APC	2.41				other	OPPS APC	2.41				case rate		2.41				case rate		2.41				other	OPPS APC	2.41	2.41	
FUROSEMIDE PER 20 MG	636000000	CDM	23155-473-33	NDC	J1940	HCPCS		inpatient			2.4	2.4																																																			
FUROSEMIDE PER 20 MG	636000000	CDM	23155-473-33	NDC	J1940	HCPCS		outpatient			2.4	2.4																																															other	OPPS APC			
DRESSING SORBAVIEW ULTIMATE	SUP-10-00138	CDM			272	RC		outpatient			2.4	2.4	0.65				percent of total billed charges		2.4				other	OPPS APC	1.78				percent of total billed charges		2.4				other	OPPS APC	2.4				other	OPPS APC	0.65				percent of total billed charges		0.66				percent of total billed charges		2.4				other	OPPS APC	0.65	2.4	
DRESSING SORBAVIEW ULTIMATE	SUP-10-00138	CDM			272	RC		inpatient			2.4	2.4																																																			
BACTOSHIELD 4% 4OZ	SUP-95-01202	CDM			272	RC		outpatient			2.37	2.37	0.64				percent of total billed charges		2.37				other	OPPS APC	1.75				percent of total billed charges		2.37				other	OPPS APC	2.37				other	OPPS APC	0.64				percent of total billed charges		0.65				percent of total billed charges		2.37				other	OPPS APC	0.64	2.37	
BACTOSHIELD 4% 4OZ	SUP-95-01202	CDM			272	RC		inpatient			2.37	2.37																																																			
SOLIDIFIER FLUID LIQUI-LOC HOT DOG LATEX FREE RED SOLIDIFIES UPTO 1500 ML	SUP-DYNDS1500HP	CDM			270	RC		outpatient			2.37	2.37	0.64				percent of total billed charges		2.37				other	OPPS APC	1.75				percent of total billed charges		2.37				other	OPPS APC	2.37				other	OPPS APC	0.64				percent of total billed charges		0.65				percent of total billed charges		2.37				other	OPPS APC	0.64	2.37	
SOLIDIFIER FLUID LIQUI-LOC HOT DOG LATEX FREE RED SOLIDIFIES UPTO 1500 ML	SUP-DYNDS1500HP	CDM			270	RC		inpatient			2.37	2.37																																																			
WICK SURGICAL BD VISIDRAIN L5 7/8 IN X W5/32 IN EYE FLUID COLLECTION BAG ADHESIVE BACK STERILE LATEX FREE	SUP-581048	CDM			270	RC		outpatient			2.36	2.36	0.64				percent of total billed charges		2.36				other	OPPS APC	1.75				percent of total billed charges		2.36				other	OPPS APC	2.36				other	OPPS APC	0.64				percent of total billed charges		0.65				percent of total billed charges		2.36				other	OPPS APC	0.64	2.36	
WICK SURGICAL BD VISIDRAIN L5 7/8 IN X W5/32 IN EYE FLUID COLLECTION BAG ADHESIVE BACK STERILE LATEX FREE	SUP-581048	CDM			270	RC		inpatient			2.36	2.36																																																			
CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET	637000000	CDM	4843310901	NDC	A9270	HCPCS		inpatient			2.35	2.35																																																			
CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET	637000000	CDM	4843310901	NDC	A9270	HCPCS		outpatient			2.35	2.35																																															other	OPPS APC			
INTUBATING STYLET 6 FR	SUP-01-00030	CDM			272	RC		outpatient			2.35	2.35	0.64				percent of total billed charges		2.35				other	OPPS APC	1.74				percent of total billed charges		2.35				other	OPPS APC	2.35				other	OPPS APC	0.64				percent of total billed charges		0.65				percent of total billed charges		2.35				other	OPPS APC	0.64	2.35	
INTUBATING STYLET 6 FR	SUP-01-00030	CDM			272	RC		inpatient			2.35	2.35																																																			
CURETTE VACUUM CURVE 12MM CLEAR PLASTIC DISPOSABLE STERILE UTERINE OPEN TIP MOLD MARK FROST SOUND LINE	SUP-284	CDM						inpatient			2.35	2.35																																																			
CURETTE VACUUM CURVE 12MM CLEAR PLASTIC DISPOSABLE STERILE UTERINE OPEN TIP MOLD MARK FROST SOUND LINE	SUP-284	CDM						outpatient			2.35	2.35	2.35				percent of total billed charges		2.35				other	OPPS APC	2.35				fee schedule		2.35				other	OPPS APC	2.35				other	OPPS APC	2.35				case rate		2.35				case rate		2.35				other	OPPS APC	2.35	2.35	
METFORMIN XR 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-550-11	NDC	A9270	HCPCS		inpatient			2.34	2.34																																																			
METFORMIN XR 500 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	50268-550-11	NDC	A9270	HCPCS		outpatient			2.34	2.34																																															other	OPPS APC			
PREGABALIN 25 MG CAPSULE	637000000	CDM	0904-6991-61	NDC	A9270	HCPCS		inpatient			2.33	2.33																																																			
PREGABALIN 25 MG CAPSULE	637000000	CDM	0904-6991-61	NDC	A9270	HCPCS		outpatient			2.33	2.33																																															other	OPPS APC			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-12	NDC	J3010	HCPCS		inpatient			2.31	2.31																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-22	NDC	J3010	HCPCS		inpatient			2.31	2.31																																																			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-12	NDC	J3010	HCPCS		outpatient			2.31	2.31																																															other	OPPS APC			
FENTANYL PER 0.1 MG	636000000	CDM	0409-9094-22	NDC	J3010	HCPCS		outpatient			2.31	2.31																																															other	OPPS APC			
WARFARIN 7.5 MG TABLET	637000000	CDM	0832-1218-89	NDC	A9270	HCPCS		inpatient			2.31	2.31																																																			
WARFARIN 7.5 MG TABLET	637000000	CDM	0832-1218-89	NDC	A9270	HCPCS		outpatient			2.31	2.31																																															other	OPPS APC			
METRONIDAZOLE 500 MG TABLET	637000000	CDM	60687-550-01	NDC	A9270	HCPCS		inpatient			2.3	2.3																																																			
METRONIDAZOLE 500 MG TABLET	637000000	CDM	60687-550-11	NDC	A9270	HCPCS		inpatient			2.3	2.3																																																			
METRONIDAZOLE 500 MG TABLET	637000000	CDM	60687-550-01	NDC	A9270	HCPCS		outpatient			2.3	2.3																																															other	OPPS APC			
METRONIDAZOLE 500 MG TABLET	637000000	CDM	60687-550-11	NDC	A9270	HCPCS		outpatient			2.3	2.3																																															other	OPPS APC			
HOLLISTER PREMIUM PASTE	SUP-13-00007	CDM			271	RC		outpatient			2.3	2.3	0.62				percent of total billed charges		2.3				other	OPPS APC	1.7				percent of total billed charges		2.3				other	OPPS APC	2.3				other	OPPS APC	0.62				percent of total billed charges		0.64				percent of total billed charges		2.3				other	OPPS APC	0.62	2.3	
HOLLISTER PREMIUM PASTE	SUP-13-00007	CDM			271	RC		inpatient			2.3	2.3																																																			
DRESSING HYDROCOLLOID DUODERM XTHIN SQUARE L4 IN X W4 IN VAPOR PERMEABLE FILM FLEXIBLE MOISTURE RESISTANT TRANSLUCENT BACK STERILE LATEX FREE BEIGE ULCER	SUP-187955	CDM						inpatient			2.3	2.3																																																			
DRESSING HYDROCOLLOID DUODERM XTHIN SQUARE L4 IN X W4 IN VAPOR PERMEABLE FILM FLEXIBLE MOISTURE RESISTANT TRANSLUCENT BACK STERILE LATEX FREE BEIGE ULCER	SUP-187955	CDM						outpatient			2.3	2.3	2.3				percent of total billed charges		2.3				other	OPPS APC	2.3				fee schedule		2.3				other	OPPS APC	2.3				other	OPPS APC	2.3				case rate		2.3				case rate		2.3				other	OPPS APC	2.3	2.3	
TAPE LABEL DIPRIVAN	SUP-97-00658	CDM			271	RC		outpatient			2.3	2.3	0.62				percent of total billed charges		2.3				other	OPPS APC	1.7				percent of total billed charges		2.3				other	OPPS APC	2.3				other	OPPS APC	0.62				percent of total billed charges		0.64				percent of total billed charges		2.3				other	OPPS APC	0.62	2.3	
TAPE LABEL DIPRIVAN	SUP-97-00658	CDM			271	RC		inpatient			2.3	2.3																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0409-7337-01	NDC	J0696	HCPCS		inpatient			2.29	2.29																																																			
CEFTRIAXONE PER 250 MG	636000000	CDM	0409-7337-01	NDC	J0696	HCPCS		outpatient			2.29	2.29																																															other	OPPS APC			
AMOXICILLIN 875 MG TABLET	637000000	CDM	57237-029-20	NDC	A9270	HCPCS		inpatient			2.29	2.29																																																			
AMOXICILLIN 875 MG TABLET	637000000	CDM	57237-029-20	NDC	A9270	HCPCS		outpatient			2.29	2.29																																															other	OPPS APC			
PIN FIXATION STEINMANN STAINLESS STEEL L22.9 MM OD4.8 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700769	CDM			270	RC		outpatient			2.29	2.29	0.62				percent of total billed charges		2.29				other	OPPS APC	1.69				percent of total billed charges		2.29				other	OPPS APC	2.29				other	OPPS APC	0.62				percent of total billed charges		0.63				percent of total billed charges		2.29				other	OPPS APC	0.62	2.29	
PIN FIXATION STEINMANN STAINLESS STEEL L22.9 MM OD4.8 MM 1 END DIAMOND POINT STYLE 6 NONSTERILE	SUP-00018700769	CDM			270	RC		inpatient			2.29	2.29																																																			
CANISTER SUCTION MEDI-VAC PLASTIC STANDARD L9 IN ID3/8- IN SPECIMEN CONVERTER SOCK HARDWARE MALE PORT RETAINER NONSTERILE LATEX FREE DISPOSABLE	SUP-65652-122	CDM			270	RC		outpatient			2.29	2.29	0.62				percent of total billed charges		2.29				other	OPPS APC	1.69				percent of total billed charges		2.29				other	OPPS APC	2.29				other	OPPS APC	0.62				percent of total billed charges		0.63				percent of total billed charges		2.29				other	OPPS APC	0.62	2.29	
CANISTER SUCTION MEDI-VAC PLASTIC STANDARD L9 IN ID3/8- IN SPECIMEN CONVERTER SOCK HARDWARE MALE PORT RETAINER NONSTERILE LATEX FREE DISPOSABLE	SUP-65652-122	CDM			270	RC		inpatient			2.29	2.29																																																			
TUBE ENDO TRACH 4.5 CUFFED	SUP-97-00687	CDM			272	RC		outpatient			2.29	2.29	0.62				percent of total billed charges		2.29				other	OPPS APC	1.69				percent of total billed charges		2.29				other	OPPS APC	2.29				other	OPPS APC	0.62				percent of total billed charges		0.63				percent of total billed charges		2.29				other	OPPS APC	0.62	2.29	
TUBE ENDO TRACH 4.5 CUFFED	SUP-97-00687	CDM			272	RC		inpatient			2.29	2.29																																																			
ALBUTEROL HFA 90 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	0173-0682-24	NDC	A9270	HCPCS		inpatient			2.28	2.28																																																			
ALBUTEROL HFA 90 MCG/ACTUATION HFA AEROSOL INHALER	637000000	CDM	0173-0682-24	NDC	A9270	HCPCS		outpatient			2.28	2.28																																															other	OPPS APC			
DUAL FOIL UNIVERSAL GROUNDING	SUP-24-00007	CDM			272	RC		outpatient			2.28	2.28	0.62				percent of total billed charges		2.28				other	OPPS APC	1.69				percent of total billed charges		2.28				other	OPPS APC	2.28				other	OPPS APC	0.62				percent of total billed charges		0.63				percent of total billed charges		2.28				other	OPPS APC	0.62	2.28	
DUAL FOIL UNIVERSAL GROUNDING	SUP-24-00007	CDM			272	RC		inpatient			2.28	2.28																																																			
MASK TODDLER SZ-3 ANESTHESIA/P	SUP-40-00011	CDM			272	RC		outpatient			2.28	2.28	0.62				percent of total billed charges		2.28				other	OPPS APC	1.69				percent of total billed charges		2.28				other	OPPS APC	2.28				other	OPPS APC	0.62				percent of total billed charges		0.63				percent of total billed charges		2.28				other	OPPS APC	0.62	2.28	
MASK TODDLER SZ-3 ANESTHESIA/P	SUP-40-00011	CDM			272	RC		inpatient			2.28	2.28																																																			
KIT IV CHLORAPREP TEGADERM L2 IN X W2 IN .67 ML IV START STERILE LATEX FREE	SUP-DYND74268	CDM			270	RC		outpatient			2.28	2.28	0.62				percent of total billed charges		2.28				other	OPPS APC	1.69				percent of total billed charges		2.28				other	OPPS APC	2.28				other	OPPS APC	0.62				percent of total billed charges		0.63				percent of total billed charges		2.28				other	OPPS APC	0.62	2.28	
KIT IV CHLORAPREP TEGADERM L2 IN X W2 IN .67 ML IV START STERILE LATEX FREE	SUP-DYND74268	CDM			270	RC		inpatient			2.28	2.28																																																			
PREGABALIN 50 MG CAPSULE	637000000	CDM	0904-6992-61	NDC	A9270	HCPCS		inpatient			2.27	2.27																																																			
PREGABALIN 50 MG CAPSULE	637000000	CDM	0904-6992-61	NDC	A9270	HCPCS		outpatient			2.27	2.27																																															other	OPPS APC			
CONTAINER HISTOLOGY SP 10% NEUTRAL BUFFER FORMALIN POLYPROPYLENE C180 ML WIDE MOUTH 90 ML AUTOCLAVABLE CRACK RESISTANT FLEXIBLE INNER SEAL PREFILL	SUP-C4320-90B	CDM						inpatient			2.27	2.27																																																			
CONTAINER HISTOLOGY SP 10% NEUTRAL BUFFER FORMALIN POLYPROPYLENE C180 ML WIDE MOUTH 90 ML AUTOCLAVABLE CRACK RESISTANT FLEXIBLE INNER SEAL PREFILL	SUP-C4320-90B	CDM						outpatient			2.27	2.27	2.27				percent of total billed charges		2.27				other	OPPS APC	2.27				fee schedule		2.27				other	OPPS APC	2.27				other	OPPS APC	2.27				case rate		2.27				case rate		2.27				other	OPPS APC	2.27	2.27	
MIDODRINE 5 MG TABLET	637000000	CDM	60687-398-11	NDC	A9270	HCPCS		inpatient			2.25	2.25																																																			
MIDODRINE 5 MG TABLET	637000000	CDM	60687-398-11	NDC	A9270	HCPCS		outpatient			2.25	2.25																																															other	OPPS APC			
RULER SURGICAL PLASTIC PAPER L6 IN FLEXIBLE FIBER FREE STERILE LATEX FREE	SUP-32-345	CDM						inpatient			2.25	2.25																																																			
RULER SURGICAL PLASTIC PAPER L6 IN FLEXIBLE FIBER FREE STERILE LATEX FREE	SUP-32-345	CDM						outpatient			2.25	2.25	2.25				percent of total billed charges		2.25				other	OPPS APC	2.25				fee schedule		2.25				other	OPPS APC	2.25				other	OPPS APC	2.25				case rate		2.25				case rate		2.25				other	OPPS APC	2.25	2.25	
INSTRUMENT WIPES	SUP-74-00137	CDM			272	RC		outpatient			2.25	2.25	0.61				percent of total billed charges		2.25				other	OPPS APC	1.67				percent of total billed charges		2.25				other	OPPS APC	2.25				other	OPPS APC	0.61				percent of total billed charges		0.62				percent of total billed charges		2.25				other	OPPS APC	0.61	2.25	
INSTRUMENT WIPES	SUP-74-00137	CDM			272	RC		inpatient			2.25	2.25																																																			
ATENOLOL 50 MG TABLET	637000000	CDM	51079-684-01	NDC	A9270	HCPCS		inpatient			2.23	2.23																																																			
ATENOLOL 50 MG TABLET	637000000	CDM	51079-684-01	NDC	A9270	HCPCS		outpatient			2.23	2.23																																															other	OPPS APC			
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	60687-211-11	NDC	A9270	HCPCS		inpatient			2.23	2.23																																																			
"DIVALPROEX 125 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	60687-211-11	NDC	A9270	HCPCS		outpatient			2.23	2.23																																															other	OPPS APC			
SUTURE PROLENE 2-0 8423H	SUP-95-03931	CDM			272	RC		outpatient			2.22	2.22	0.6				percent of total billed charges		2.22				other	OPPS APC	1.64				percent of total billed charges		2.22				other	OPPS APC	2.22				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
SUTURE PROLENE 2-0 8423H	SUP-95-03931	CDM			272	RC		inpatient			2.22	2.22																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 0 MH L30 IN BRAID BLACK	SUP-K844H	CDM			270	RC		outpatient			2.22	2.22	0.6				percent of total billed charges		2.22				other	OPPS APC	1.64				percent of total billed charges		2.22				other	OPPS APC	2.22				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
SUTURE NONABSORBABLE PERMA-HAND SILK 0 MH L30 IN BRAID BLACK	SUP-K844H	CDM			270	RC		inpatient			2.22	2.22																																																			
LEVOTHYROXINE 175 MCG TABLET	637000000	CDM	42292-040-01	NDC	A9270	HCPCS		inpatient			2.2	2.2																																																			
LEVOTHYROXINE 175 MCG TABLET	637000000	CDM	42292-040-01	NDC	A9270	HCPCS		outpatient			2.2	2.2																																															other	OPPS APC			
TAPE SURGICAL 3M TRANSPORE 10YDX2IN CLEAR PLASTIC DISPOSABLE LF HYPOALLERGENIC WATER RESISTANT BIDIRECTION TEAR	SUP-1527-2	CDM						inpatient			2.2	2.2																																																			
TAPE SURGICAL 3M TRANSPORE 10YDX2IN CLEAR PLASTIC DISPOSABLE LF HYPOALLERGENIC WATER RESISTANT BIDIRECTION TEAR	SUP-1527-2	CDM						outpatient			2.2	2.22	2.2				percent of total billed charges		2.2				other	OPPS APC	2.2				fee schedule		2.2				other	OPPS APC	2.2				other	OPPS APC	2.2				case rate		2.2				case rate		2.22				other	OPPS APC	2.2	2.22	
POUCH DRAINAGE PREMIER FLEXTEND LOCK N ROLL COMFORTWEAR POROUS FLAT L12 IN OD2 1/2 IN 1 PIECE CUT TO FIT TAPE LATEX FREE ULTRA CLEAR	SUP-8531	CDM	270009218	LOCAL	270	RC		outpatient			2.2	2.22	0.6				percent of total billed charges		2.2				other	OPPS APC	1.63				percent of total billed charges		2.2				other	OPPS APC	2.2				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
POUCH DRAINAGE PREMIER FLEXTEND LOCK N ROLL COMFORTWEAR POROUS FLAT L12 IN OD2 1/2 IN 1 PIECE CUT TO FIT TAPE LATEX FREE ULTRA CLEAR	SUP-8531	CDM	270009218	LOCAL	270	RC		inpatient			2.2	2.2																																																			
TAPE LABEL INAPSINE	SUP-97-00656	CDM			271	RC		outpatient			2.2	2.22	0.6				percent of total billed charges		2.2				other	OPPS APC	1.63				percent of total billed charges		2.2				other	OPPS APC	2.2				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
TAPE LABEL INAPSINE	SUP-97-00656	CDM			271	RC		inpatient			2.2	2.2																																																			
TAPE LABEL WHITE 1 CORE 1/2X500	SUP-97-00660	CDM			271	RC		outpatient			2.2	2.22	0.6				percent of total billed charges		2.2				other	OPPS APC	1.63				percent of total billed charges		2.2				other	OPPS APC	2.2				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
TAPE LABEL WHITE 1 CORE 1/2X500	SUP-97-00660	CDM			271	RC		inpatient			2.2	2.2																																																			
TAPE LABEL ONDANSETRON	SUP-97-00661	CDM			271	RC		outpatient			2.2	2.22	0.6				percent of total billed charges		2.2				other	OPPS APC	1.63				percent of total billed charges		2.2				other	OPPS APC	2.2				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
TAPE LABEL ONDANSETRON	SUP-97-00661	CDM			271	RC		inpatient			2.2	2.2																																																			
TAPE LABEL MORPHINE	SUP-97-01179	CDM			271	RC		outpatient			2.2	2.22	0.6				percent of total billed charges		2.2				other	OPPS APC	1.63				percent of total billed charges		2.2				other	OPPS APC	2.2				other	OPPS APC	0.6				percent of total billed charges		0.61				percent of total billed charges		2.22				other	OPPS APC	0.6	2.22	
TAPE LABEL MORPHINE	SUP-97-01179	CDM			271	RC		inpatient			2.2	2.2																																																			
FOLIC ACID 5 MG/ML SOLUTION 10 ML VIAL	250000000	CDM	39822-1100-1	NDC				inpatient			2.19	2.19																																																			
FOLIC ACID 5 MG/ML SOLUTION 10 ML VIAL	250000000	CDM	39822-1100-1	NDC				outpatient			2.19	2.19																																															other	OPPS APC			
CLIP WECK HORIZON SM/WIDE	SUP-95-04930	CDM			272	RC		outpatient			2.19	2.19	0.59				percent of total billed charges		2.19				other	OPPS APC	1.62				percent of total billed charges		2.19				other	OPPS APC	2.19				other	OPPS APC	0.59				percent of total billed charges		0.61				percent of total billed charges		2.19				other	OPPS APC	0.59	2.19	
CLIP WECK HORIZON SM/WIDE	SUP-95-04930	CDM			272	RC		inpatient			2.19	2.19																																																			
SUTURE MONOCRYL 1 CTX Y399H	SUP-95-05260	CDM			272	RC		outpatient			2.19	2.19	0.59				percent of total billed charges		2.19				other	OPPS APC	1.62				percent of total billed charges		2.19				other	OPPS APC	2.19				other	OPPS APC	0.59				percent of total billed charges		0.61				percent of total billed charges		2.19				other	OPPS APC	0.59	2.19	
SUTURE MONOCRYL 1 CTX Y399H	SUP-95-05260	CDM			272	RC		inpatient			2.19	2.19																																																			
SUTURE PROLENE 0 CT-1 30IN 8424H	SUP-95-05389	CDM			272	RC		outpatient			2.19	2.19	0.59				percent of total billed charges		2.19				other	OPPS APC	1.62				percent of total billed charges		2.19				other	OPPS APC	2.19				other	OPPS APC	0.59				percent of total billed charges		0.61				percent of total billed charges		2.19				other	OPPS APC	0.59	2.19	
SUTURE PROLENE 0 CT-1 30IN 8424H	SUP-95-05389	CDM			272	RC		inpatient			2.19	2.19																																																			
SUTURE NONABSORBABLE PERMA-HAND SILK 2-0 SH L30 IN BRAID BLACK	SUP-K833H	CDM			270	RC		outpatient			2.19	2.19	0.59				percent of total billed charges		2.19				other	OPPS APC	1.62				percent of total billed charges		2.19				other	OPPS APC	2.19				other	OPPS APC	0.59				percent of total billed charges		0.61				percent of total billed charges		2.19				other	OPPS APC	0.59	2.19	
SUTURE NONABSORBABLE PERMA-HAND SILK 2-0 SH L30 IN BRAID BLACK	SUP-K833H	CDM			270	RC		inpatient			2.19	2.19																																																			
IBUPROFEN 100 MG/5 ML SUSPENSION	637000000	CDM	68094-494-59	NDC	A9270	HCPCS		inpatient			2.18	2.18																																																			
IBUPROFEN 100 MG/5 ML SUSPENSION	637000000	CDM	68094-494-59	NDC	A9270	HCPCS		outpatient			2.18	2.18																																															other	OPPS APC			
PASTE OSTOMY ADAPT ALCOHOL 2.1 OZ SQUEEZE TUBE CAP SKIN BARRIER LATEX FREE RED	SUP-79300	CDM						inpatient			2.18	2.18																																																			
PASTE OSTOMY ADAPT ALCOHOL 2.1 OZ SQUEEZE TUBE CAP SKIN BARRIER LATEX FREE RED	SUP-79300	CDM						outpatient			2.18	2.18	2.18				percent of total billed charges		2.18				other	OPPS APC	2.18				fee schedule		2.18				other	OPPS APC	2.18				other	OPPS APC	2.18				case rate		2.18				case rate		2.18				other	OPPS APC	2.18	2.18	
ALPRAZOLAM 0.5 MG TABLET	637000000	CDM	0781-1077-01	NDC	A9270	HCPCS		inpatient			2.17	2.17																																																			
ALPRAZOLAM 0.5 MG TABLET	637000000	CDM	0781-1077-01	NDC	A9270	HCPCS		outpatient			2.17	2.17																																															other	OPPS APC			
SET MINIDRIP ADMIN	SUP-20-00031	CDM			272	RC		outpatient			2.17	2.17	0.59				percent of total billed charges		2.17				other	OPPS APC	1.61				percent of total billed charges		2.17				other	OPPS APC	2.17				other	OPPS APC	0.59				percent of total billed charges		0.6				percent of total billed charges		2.17				other	OPPS APC	0.59	2.17	
SET MINIDRIP ADMIN	SUP-20-00031	CDM			272	RC		inpatient			2.17	2.17																																																			
PADDING CAST KENDALL WEBRIL 4YDX6IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-3489	CDM						inpatient			2.17	2.17																																																			
PADDING CAST KENDALL WEBRIL 4YDX6IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-3489	CDM						outpatient			2.17	2.17	2.17				percent of total billed charges		2.17				other	OPPS APC	2.17				fee schedule		2.17				other	OPPS APC	2.17				other	OPPS APC	2.17				case rate		2.17				case rate		2.17				other	OPPS APC	2.17	2.17	
SUTURE NONABSORBABLE PERMA-HAND SILK 3-0 SH L30 IN BRAID BLACK	SUP-K832H	CDM			270	RC		outpatient			2.17	2.17	0.59				percent of total billed charges		2.17				other	OPPS APC	1.61				percent of total billed charges		2.17				other	OPPS APC	2.17				other	OPPS APC	0.59				percent of total billed charges		0.6				percent of total billed charges		2.17				other	OPPS APC	0.59	2.17	
SUTURE NONABSORBABLE PERMA-HAND SILK 3-0 SH L30 IN BRAID BLACK	SUP-K832H	CDM			270	RC		inpatient			2.17	2.17																																																			
INTUBATING STYLET  14 FR	SUP-01-00029	CDM			272	RC		outpatient			2.16	2.16	0.59				percent of total billed charges		2.16				other	OPPS APC	1.6				percent of total billed charges		2.16				other	OPPS APC	2.16				other	OPPS APC	0.59				percent of total billed charges		0.6				percent of total billed charges		2.16				other	OPPS APC	0.59	2.16	
INTUBATING STYLET  14 FR	SUP-01-00029	CDM			272	RC		inpatient			2.16	2.16																																																			
SET ADMINISTRATION DUO-VENT CLEARLINK DEHP 10 GTT/ML L37 IN SECONDARY MEDICATION MALE LUER LOCK ADAPTER SPIKE STERILE LATEX FREE	SUP-2C7462	CDM						inpatient			2.16	2.16																																																			
SET ADMINISTRATION DUO-VENT CLEARLINK DEHP 10 GTT/ML L37 IN SECONDARY MEDICATION MALE LUER LOCK ADAPTER SPIKE STERILE LATEX FREE	SUP-2C7462	CDM						outpatient			2.16	2.16	2.16				percent of total billed charges		2.16				other	OPPS APC	2.16				fee schedule		2.16				other	OPPS APC	2.16				other	OPPS APC	2.16				case rate		2.16				case rate		2.16				other	OPPS APC	2.16	2.16	
MASK SM ADULT/CHILD SZ 4	SUP-40-00010	CDM			272	RC		outpatient			2.16	2.16	0.59				percent of total billed charges		2.16				other	OPPS APC	1.6				percent of total billed charges		2.16				other	OPPS APC	2.16				other	OPPS APC	0.59				percent of total billed charges		0.6				percent of total billed charges		2.16				other	OPPS APC	0.59	2.16	
MASK SM ADULT/CHILD SZ 4	SUP-40-00010	CDM			272	RC		inpatient			2.16	2.16																																																			
SCALPEL DISP SZ 11 SAFETY	SUP-01-00037	CDM			272	RC		outpatient			2.15	2.15	0.58				percent of total billed charges		2.15				other	OPPS APC	1.59				percent of total billed charges		2.15				other	OPPS APC	2.15				other	OPPS APC	0.58				percent of total billed charges		0.59				percent of total billed charges		2.15				other	OPPS APC	0.58	2.15	
SCALPEL DISP SZ 11 SAFETY	SUP-01-00037	CDM			272	RC		inpatient			2.15	2.15																																																			
ADAPTOR M/M WITH ROTATOR	SUP-DYNJADAPMM	CDM						inpatient			2.15	2.15																																																			
ADAPTOR M/M WITH ROTATOR	SUP-DYNJADAPMM	CDM						outpatient			2.15	2.15	2.15				percent of total billed charges		2.15				other	OPPS APC	2.15				fee schedule		2.15				other	OPPS APC	2.15				other	OPPS APC	2.15				case rate		2.15				case rate		2.15				other	OPPS APC	2.15	2.15	
KIT FATHERS XL	SUP-12-00080	CDM			272	RC		outpatient			2.14	2.14	0.58				percent of total billed charges		2.14				other	OPPS APC	1.58				percent of total billed charges		2.14				other	OPPS APC	2.14				other	OPPS APC	0.58				percent of total billed charges		0.59				percent of total billed charges		2.14				other	OPPS APC	0.58	2.14	
KIT FATHERS XL	SUP-12-00080	CDM			272	RC		inpatient			2.14	2.14																																																			
CONTAINER SPECIMEN POLYETHYLENE C64 OZ MULTIPURPOSE CAP SNAP ON LID NONSTERILE TRANSLUCENT	SUP-140460	CDM						inpatient			2.14	2.14																																																			
CONTAINER SPECIMEN POLYETHYLENE C64 OZ MULTIPURPOSE CAP SNAP ON LID NONSTERILE TRANSLUCENT	SUP-140460	CDM						outpatient			2.14	2.14	2.14				percent of total billed charges		2.14				other	OPPS APC	2.14				fee schedule		2.14				other	OPPS APC	2.14				other	OPPS APC	2.14				case rate		2.14				case rate		2.14				other	OPPS APC	2.14	2.14	
MASK PROCEDURE - EAR LOOP	SUP-23-00139	CDM			272	RC		outpatient			2.14	2.14	0.58				percent of total billed charges		2.14				other	OPPS APC	1.58				percent of total billed charges		2.14				other	OPPS APC	2.14				other	OPPS APC	0.58				percent of total billed charges		0.59				percent of total billed charges		2.14				other	OPPS APC	0.58	2.14	
MASK PROCEDURE - EAR LOOP	SUP-23-00139	CDM			272	RC		inpatient			2.14	2.14																																																			
SET BLOOD COLLECTION BD VACUTAINER BD SAFETY-LOK 12IN .75IN 21GA GREEN YELLOW DISPOSABLE STERILE LF INFUSION WITHOUT	SUP-367296	CDM						inpatient			2.14	2.14																																																			
SET BLOOD COLLECTION BD VACUTAINER BD SAFETY-LOK 12IN .75IN 21GA GREEN YELLOW DISPOSABLE STERILE LF INFUSION WITHOUT	SUP-367296	CDM						outpatient			2.14	2.14	2.14				percent of total billed charges		2.14				other	OPPS APC	2.14				fee schedule		2.14				other	OPPS APC	2.14				other	OPPS APC	2.14				case rate		2.14				case rate		2.14				other	OPPS APC	2.14	2.14	
"HYOSCYAMINE 0.125 MG TABLET, SUBLINGUAL"	637000000	CDM	42192-339-01	NDC	A9270	HCPCS		inpatient			2.13	2.13																																																			
"HYOSCYAMINE 0.125 MG TABLET, SUBLINGUAL"	637000000	CDM	42192-339-01	NDC	A9270	HCPCS		outpatient			2.13	2.13																																															other	OPPS APC			
DRESSING TRACH 4X4 STERILE	SUP-10-00091	CDM			272	RC		outpatient			2.13	2.13	0.58				percent of total billed charges		2.13				other	OPPS APC	1.58				percent of total billed charges		2.13				other	OPPS APC	2.13				other	OPPS APC	0.58				percent of total billed charges		0.59				percent of total billed charges		2.13				other	OPPS APC	0.58	2.13	
DRESSING TRACH 4X4 STERILE	SUP-10-00091	CDM			272	RC		inpatient			2.13	2.13																																																			
GLYCERIN SUPPOSITORY	250000000	CDM	58980-409-12	NDC				inpatient			2.11	2.11																																																			
GLYCERIN SUPPOSITORY	250000000	CDM	58980-409-12	NDC				outpatient			2.11	2.11																																															other	OPPS APC			
METRONIDAZOLE 500 MG TABLET	637000000	CDM	0904-7126-61	NDC	A9270	HCPCS		inpatient			2.11	2.11																																																			
METRONIDAZOLE 500 MG TABLET	637000000	CDM	0904-7126-61	NDC	A9270	HCPCS		outpatient			2.11	2.11																																															other	OPPS APC			
DEX 10% INJ 1000ML  2B0164X	SUP-21-00002	CDM			272	RC		outpatient			2.11	2.2	0.57				percent of total billed charges		2.11				other	OPPS APC	1.56				percent of total billed charges		2.11				other	OPPS APC	2.11				other	OPPS APC	0.57				percent of total billed charges		0.58				percent of total billed charges		2.2				other	OPPS APC	0.57	2.2	
DEX 10% INJ 1000ML  2B0164X	SUP-21-00002	CDM			272	RC		inpatient			2.11	2.11																																																			
SET BARD UNIVERSAL	SUP-20-00017	CDM			272	RC		outpatient			2.1	2.11	0.57				percent of total billed charges		2.1				other	OPPS APC	1.55				percent of total billed charges		2.1				other	OPPS APC	2.1				other	OPPS APC	0.57				percent of total billed charges		0.58				percent of total billed charges		2.11				other	OPPS APC	0.57	2.11	
SET BARD UNIVERSAL	SUP-20-00017	CDM			272	RC		inpatient			2.1	2.1																																																			
DIAMOND BURR	SUP-900-7278	CDM	27000000	LOCAL	270	RC		outpatient			2.1	2.11	0.57				percent of total billed charges		2.1				other	OPPS APC	1.55				percent of total billed charges		2.1				other	OPPS APC	2.1				other	OPPS APC	0.57				percent of total billed charges		0.58				percent of total billed charges		2.11				other	OPPS APC	0.57	2.11	
DIAMOND BURR	SUP-900-7278	CDM	27000000	LOCAL	270	RC		inpatient			2.1	2.1																																																			
SPIROMETER WITH VALVE	SUP-30-00023	CDM			272	RC		outpatient			2.09	2.9	0.57				percent of total billed charges		2.09				other	OPPS APC	1.55				percent of total billed charges		2.09				other	OPPS APC	2.09				other	OPPS APC	0.57				percent of total billed charges		0.58				percent of total billed charges		2.9				other	OPPS APC	0.57	2.9	
SPIROMETER WITH VALVE	SUP-30-00023	CDM			272	RC		inpatient			2.09	2.09																																																			
TEMP PROBE ESOPHAGEAL/RECTAL 9FR	SUP-11-00013	CDM			272	RC		outpatient			2.08	2.81	0.56				percent of total billed charges		2.08				other	OPPS APC	1.54				percent of total billed charges		2.08				other	OPPS APC	2.08				other	OPPS APC	0.56				percent of total billed charges		0.57				percent of total billed charges		2.81				other	OPPS APC	0.56	2.81	
TEMP PROBE ESOPHAGEAL/RECTAL 9FR	SUP-11-00013	CDM			272	RC		inpatient			2.08	2.08																																																			
MASK INFANT SZ 2	SUP-40-00007	CDM			272	RC		outpatient			2.08	2.81	0.56				percent of total billed charges		2.08				other	OPPS APC	1.54				percent of total billed charges		2.08				other	OPPS APC	2.08				other	OPPS APC	0.56				percent of total billed charges		0.57				percent of total billed charges		2.81				other	OPPS APC	0.56	2.81	
MASK INFANT SZ 2	SUP-40-00007	CDM			272	RC		inpatient			2.08	2.08																																																			
SOLUTION ANTISEPTIC 3% HYDROGEN PEROXIDE 8 OZ FIRST AID ORAL DEBRIDE AGENT LATEX FREE	SUP-MDS098015	CDM			270	RC		outpatient			2.08	2.81	0.56				percent of total billed charges		2.08				other	OPPS APC	1.54				percent of total billed charges		2.08				other	OPPS APC	2.08				other	OPPS APC	0.56				percent of total billed charges		0.57				percent of total billed charges		2.81				other	OPPS APC	0.56	2.81	
SOLUTION ANTISEPTIC 3% HYDROGEN PEROXIDE 8 OZ FIRST AID ORAL DEBRIDE AGENT LATEX FREE	SUP-MDS098015	CDM			270	RC		inpatient			2.08	2.08																																																			
LEVOTHYROXINE 125 MCG TABLET	637000000	CDM	0904-6955-61	NDC	A9270	HCPCS		inpatient			2.07	2.07																																																			
LEVOTHYROXINE 125 MCG TABLET	637000000	CDM	0904-6955-61	NDC	A9270	HCPCS		outpatient			2.07	2.07																																															other	OPPS APC			
TUBE NASOGASTRIC SALEM SUMP SENTINEL LINE SENTINEL EYE 48IN 18FR PVC STERILE STOMACH 2 LUMEN DEHP FREE 5IN 1 ADAPTER	SUP-8888264986	CDM						inpatient			2.07	2.07																																																			
TUBE NASOGASTRIC SALEM SUMP SENTINEL LINE SENTINEL EYE 48IN 18FR PVC STERILE STOMACH 2 LUMEN DEHP FREE 5IN 1 ADAPTER	SUP-8888264986	CDM						outpatient			2.07	2.7	2.07				percent of total billed charges		2.07				other	OPPS APC	2.07				fee schedule		2.07				other	OPPS APC	2.07				other	OPPS APC	2.07				case rate		2.07				case rate		2.7				other	OPPS APC	2.07	2.7	
WRAP COBAN  STERILE 4X5YD	SUP-10-00115	CDM			272	RC		outpatient			2.06	2.61	0.56				percent of total billed charges		2.06				other	OPPS APC	1.52				percent of total billed charges		2.06				other	OPPS APC	2.06				other	OPPS APC	0.56				percent of total billed charges		0.57				percent of total billed charges		2.61				other	OPPS APC	0.56	2.61	
WRAP COBAN  STERILE 4X5YD	SUP-10-00115	CDM			272	RC		inpatient			2.06	2.06																																																			
STERI DRPE X RAY 22 X 23 1/8	SUP-1009	CDM						inpatient			2.06	2.06																																																			
STERI DRPE X RAY 22 X 23 1/8	SUP-1009	CDM						outpatient			2.06	2.61	2.06				percent of total billed charges		2.06				other	OPPS APC	2.06				fee schedule		2.06				other	OPPS APC	2.06				other	OPPS APC	2.06				case rate		2.06				case rate		2.61				other	OPPS APC	2.06	2.61	
SUTURE MONOCRYL 2-0 36' SH UNDYED Y417H	SUP-95-05298	CDM			272	RC		outpatient			2.06	2.61	0.56				percent of total billed charges		2.06				other	OPPS APC	1.52				percent of total billed charges		2.06				other	OPPS APC	2.06				other	OPPS APC	0.56				percent of total billed charges		0.57				percent of total billed charges		2.61				other	OPPS APC	0.56	2.61	
SUTURE MONOCRYL 2-0 36' SH UNDYED Y417H	SUP-95-05298	CDM			272	RC		inpatient			2.06	2.06																																																			
TRAMADOL 50 MG TABLET	637000000	CDM	68084-808-11	NDC	A9270	HCPCS		inpatient			2.05	2.05																																																			
TRAMADOL 50 MG TABLET	637000000	CDM	68084-808-11	NDC	A9270	HCPCS		outpatient			2.05	2.05																																															other	OPPS APC			
SET BLOOD COLLECTION BD VACUTAINER BD SAFETY-LOK 12IN .75IN 25GA ROYAL BLUE DISPOSABLE STERILE LF INFUSION WITHOUT LUER	SUP-367298	CDM						inpatient			2.05	2.05																																																			
SET BLOOD COLLECTION BD VACUTAINER BD SAFETY-LOK 12IN .75IN 25GA ROYAL BLUE DISPOSABLE STERILE LF INFUSION WITHOUT LUER	SUP-367298	CDM						outpatient			2.05	2.5	2.05				percent of total billed charges		2.05				other	OPPS APC	2.05				fee schedule		2.05				other	OPPS APC	2.05				other	OPPS APC	2.05				case rate		2.05				case rate		2.5				other	OPPS APC	2.05	2.5	
ANTERIOR CHAMBER INJ CANN 27G ANG	SUP-97-00896	CDM			272	RC		outpatient			2.05	2.5	0.56				percent of total billed charges		2.05				other	OPPS APC	1.52				percent of total billed charges		2.05				other	OPPS APC	2.05				other	OPPS APC	0.56				percent of total billed charges		0.57				percent of total billed charges		2.5				other	OPPS APC	0.56	2.5	
ANTERIOR CHAMBER INJ CANN 27G ANG	SUP-97-00896	CDM			272	RC		inpatient			2.05	2.05																																																			
SYRINGE IRRIGATION TOOMEY CONTRO-PISTON TYVEK 70CC GRADUATE ELONGATE TIP EXTRA LONG ORIFICE LUER ADAPTER STERILE LATEX FREE DISPOSABLE	SUP-DYND20323	CDM						inpatient			2.05	2.05																																																			
SYRINGE IRRIGATION TOOMEY CONTRO-PISTON TYVEK 70CC GRADUATE ELONGATE TIP EXTRA LONG ORIFICE LUER ADAPTER STERILE LATEX FREE DISPOSABLE	SUP-DYND20323	CDM						outpatient			2.05	2.5	2.05				percent of total billed charges		2.05				other	OPPS APC	2.05				fee schedule		2.05				other	OPPS APC	2.05				other	OPPS APC	2.05				case rate		2.05				case rate		2.5				other	OPPS APC	2.05	2.5	
DRESSING WOUND TELFA MYLAR L6 IN X W4 IN ABSORBENT ADHESIVE STRIP BACK SHEET FILM NONWOVEN STERILE LATEX FREE DISPOSABLE	SUP-KC2562	CDM						inpatient			2.05	2.05																																																			
DRESSING WOUND TELFA MYLAR L6 IN X W4 IN ABSORBENT ADHESIVE STRIP BACK SHEET FILM NONWOVEN STERILE LATEX FREE DISPOSABLE	SUP-KC2562	CDM						outpatient			2.05	2.5	2.05				percent of total billed charges		2.05				other	OPPS APC	2.05				fee schedule		2.05				other	OPPS APC	2.05				other	OPPS APC	2.05				case rate		2.05				case rate		2.5				other	OPPS APC	2.05	2.5	
GLIPIZIDE 5 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	16714-895-01	NDC	A9270	HCPCS		inpatient			2.04	2.04																																																			
GLIPIZIDE 5 MG TABLET EXTENDED RELEASE 24HR	637000000	CDM	16714-895-01	NDC	A9270	HCPCS		outpatient			2.04	2.04																																															other	OPPS APC			
POLY ORTHO BUTTON	SUP-74-00228	CDM			272	RC		outpatient			2.04	2.4	0.55				percent of total billed charges		2.04				other	OPPS APC	1.51				percent of total billed charges		2.04				other	OPPS APC	2.04				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.4				other	OPPS APC	0.55	2.4	
POLY ORTHO BUTTON	SUP-74-00228	CDM			272	RC		inpatient			2.04	2.04																																																			
DIAMOND BURR	SUP-900-7231	CDM	27000000	LOCAL	270	RC		outpatient			2.04	2.4	0.55				percent of total billed charges		2.04				other	OPPS APC	1.51				percent of total billed charges		2.04				other	OPPS APC	2.04				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.4				other	OPPS APC	0.55	2.4	
DIAMOND BURR	SUP-900-7231	CDM	27000000	LOCAL	270	RC		inpatient			2.04	2.04																																																			
ALLOPURINOL 300 MG TABLET	637000000	CDM	0904-6572-61	NDC	A9270	HCPCS		inpatient			2.03	2.03																																																			
ALLOPURINOL 300 MG TABLET	637000000	CDM	0904-6572-61	NDC	A9270	HCPCS		outpatient			2.03	2.03																																															other	OPPS APC			
STOCKING KNEE-HI MEDIUM/LONG	SUP-01-00048	CDM			271	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
STOCKING KNEE-HI MEDIUM/LONG	SUP-01-00048	CDM			271	RC		inpatient			2.03	2.03																																																			
GAUZE PLAIN 1/2	SUP-10-00036	CDM			272	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
GAUZE PLAIN 1/2	SUP-10-00036	CDM			272	RC		inpatient			2.03	2.03																																																			
WASHCLOTH SHEILD DIMETHICONE 3 PACK	SUP-7503	CDM			270	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
WASHCLOTH SHEILD DIMETHICONE 3 PACK	SUP-7503	CDM			270	RC		inpatient			2.03	2.03																																																			
TAPE LABEL ATROPINE	SUP-97-00655	CDM			271	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
TAPE LABEL ATROPINE	SUP-97-00655	CDM			271	RC		inpatient			2.03	2.03																																																			
TAPE LABEL MIDAZOLAM	SUP-97-00657	CDM			271	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
TAPE LABEL MIDAZOLAM	SUP-97-00657	CDM			271	RC		inpatient			2.03	2.03																																																			
TAPE LABEL NEOSTIGMINE	SUP-97-00659	CDM			271	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
TAPE LABEL NEOSTIGMINE	SUP-97-00659	CDM			271	RC		inpatient			2.03	2.03																																																			
TAPE LABEL DECARON	SUP-97-00965	CDM			271	RC		outpatient			2.03	2.3	0.55				percent of total billed charges		2.03				other	OPPS APC	1.5				percent of total billed charges		2.03				other	OPPS APC	2.03				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.3				other	OPPS APC	0.55	2.3	
TAPE LABEL DECARON	SUP-97-00965	CDM			271	RC		inpatient			2.03	2.03																																																			
WASHCLOTH REMEDY PHYTOPLEX DIMETHICONE 3 PACK	SUP-MSC092503	CDM			270	RC		outpatient			2.02	2.2	0.55				percent of total billed charges		2.02				other	OPPS APC	1.49				percent of total billed charges		2.02				other	OPPS APC	2.02				other	OPPS APC	0.55				percent of total billed charges		0.56				percent of total billed charges		2.2				other	OPPS APC	0.55	2.2	
WASHCLOTH REMEDY PHYTOPLEX DIMETHICONE 3 PACK	SUP-MSC092503	CDM			270	RC		inpatient			2.02	2.02																																																			
ACETAMINOPHEN 325 MG SUPPOSITORY	637000000	CDM	51672-2116-0	NDC	A9270	HCPCS		inpatient			2.01	2.01																																																			
ACETAMINOPHEN 325 MG SUPPOSITORY	637000000	CDM	51672-2116-2	NDC	A9270	HCPCS		inpatient			2.01	2.01																																																			
ACETAMINOPHEN 325 MG SUPPOSITORY	637000000	CDM	51672-2116-0	NDC	A9270	HCPCS		outpatient			2.01	2.01																																															other	OPPS APC			
ACETAMINOPHEN 325 MG SUPPOSITORY	637000000	CDM	51672-2116-2	NDC	A9270	HCPCS		outpatient			2.01	2.01																																															other	OPPS APC			
INSULIN REGULAR HUMAN PER 5 UNITS	637000000	CDM	0002-8215-01	NDC	A9270	HCPCS		inpatient			2.01	2.01																																																			
INSULIN REGULAR HUMAN PER 5 UNITS	637000000	CDM	0002-8215-01	NDC	A9270	HCPCS		outpatient			2.01	2.01																																															other	OPPS APC			
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT THEON BOVINE PERICARDIAL COCR SILICONE RUBBER POLYESTER H14 MM OD21 MM ODSEC31 MM ID20 MM BIOPROSTHESIS SUPRA ANNULAR DESIGN HEMODYNAMIC STABILITY LONG TERM DURABILITY THERMAFIX PROC	SUP-2700TFX21MM	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
VALVE AORTIC CARPENTIER-EDWARDS PERIMOUNT THEON BOVINE PERICARDIAL COCR SILICONE RUBBER POLYESTER H14 MM OD21 MM ODSEC31 MM ID20 MM BIOPROSTHESIS SUPRA ANNULAR DESIGN HEMODYNAMIC STABILITY LONG TERM DURABILITY THERMAFIX PROC	SUP-2700TFX21MM	CDM			270	RC		inpatient			2	2																																																			
IMPLANT BREAST SALINE SMOOTH ROUND MODERATE PROFILE 200 PLUS 25CC	SUP-350-1625	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
IMPLANT BREAST SALINE SMOOTH ROUND MODERATE PROFILE 200 PLUS 25CC	SUP-350-1625	CDM			270	RC		inpatient			2	2																																																			
IMPLANT BREAST SALINE SMOOTH ROUND MODERATE PROFILE 475 TO 525CC	SUP-350-1680	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
IMPLANT BREAST SALINE SMOOTH ROUND MODERATE PROFILE 475 TO 525CC	SUP-350-1680	CDM			270	RC		inpatient			2	2																																																			
IMPLANT BREAST SALINE SMOOTH ROUND HIGH PROFILE 460CC	SUP-350-3460	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
IMPLANT BREAST SALINE SMOOTH ROUND HIGH PROFILE 460CC	SUP-350-3460	CDM			270	RC		inpatient			2	2																																																			
IMPLANT BREAST MEMORYGEL SILTEX SALINE P3.7 CM ROUND MODERATE PROFILE OD13.4 CM 350 ML TEXTURE STERILE	SUP-354-3507	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
IMPLANT BREAST MEMORYGEL SILTEX SALINE P3.7 CM ROUND MODERATE PROFILE OD13.4 CM 350 ML TEXTURE STERILE	SUP-354-3507	CDM			270	RC		inpatient			2	2																																																			
EXPANDER TISSUE CONTOUR PROFILE SILTEX CPX2 P6.6 CM MEDIUM W11.7 CM X H10 CM 350 ML BREAST STYLE 6200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-6212	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
EXPANDER TISSUE CONTOUR PROFILE SILTEX CPX2 P6.6 CM MEDIUM W11.7 CM X H10 CM 350 ML BREAST STYLE 6200 CENTERSCOPE INJECTION DOME SELF SEAL STERILE DISPOSABLE	SUP-354-6212	CDM			270	RC		inpatient			2	2																																																			
LEADWIRE EKG ENSITE L50 CM STACK SPLITTER BLACK	SUP-41-04319-005	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
LEADWIRE EKG ENSITE L50 CM STACK SPLITTER BLACK	SUP-41-04319-005	CDM			270	RC		inpatient			2	2																																																			
SYSTEM ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
SYSTEM ANNULOPLASTY EDWARDS MC3 TITANIUM SILICONE RUBBER POLYESTER TRICUSPID 1 SEAM 2 WRAP ANATOMIC STERILE	SUP-4900	CDM			270	RC		inpatient			2	2																																																			
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L90 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860190	CDM	270010020	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
PLATE BONE PREMIER TITANIUM LORDOTIC CURVATURE L90 MM SPINE CERVICAL ANTERIOR PRECOMPRESSION SLIDE WASHER STERILE	SUP-6860190	CDM	270010020	LOCAL	270	RC		inpatient			2	2																																																			
ELECTRODE STARBURST XLI ENHANCED WITH THERMOPADS 12CM	SUP-700-103027	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
ELECTRODE STARBURST XLI ENHANCED WITH THERMOPADS 12CM	SUP-700-103027	CDM			270	RC		inpatient			2	2																																																			
PLATE BONE ATLANTIS TITANIUM LOW PROFILE L42.5 MM SPINE CERVICAL ANTERIOR LOCK STERILE	SUP-876-142	CDM	270010020	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
PLATE BONE ATLANTIS TITANIUM LOW PROFILE L42.5 MM SPINE CERVICAL ANTERIOR LOCK STERILE	SUP-876-142	CDM	270010020	LOCAL	270	RC		inpatient			2	2																																																			
CAP SYRINGE COLEMAN LUER LOCK STERILE	SUP-COL-LLCAP	CDM						inpatient			2	2																																																			
CAP SYRINGE COLEMAN LUER LOCK STERILE	SUP-COL-LLCAP	CDM						outpatient			2	2	2				percent of total billed charges		2				other	OPPS APC	2				fee schedule		2				other	OPPS APC	2				other	OPPS APC	2				case rate		2				case rate		2				other	OPPS APC	2	2	
CATHETER CARDIAC CPS LOCATOR SMALL PERCUTANEOUS 3D STERILE	SUP-DS2C100	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
CATHETER CARDIAC CPS LOCATOR SMALL PERCUTANEOUS 3D STERILE	SUP-DS2C100	CDM			270	RC		inpatient			2	2																																																			
CATHETER CARDIAC CPS LOCATOR MEDIUM PERCUTANEOUS 3D STERILE	SUP-DS2C200-42	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
CATHETER CARDIAC CPS LOCATOR MEDIUM PERCUTANEOUS 3D STERILE	SUP-DS2C200-42	CDM			270	RC		inpatient			2	2																																																			
CATHETER CARDIAC CPS LOCATOR LARGE PERCUTANEOUS 3D STERILE	SUP-DS2C300-42	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
CATHETER CARDIAC CPS LOCATOR LARGE PERCUTANEOUS 3D STERILE	SUP-DS2C300-42	CDM			270	RC		inpatient			2	2																																																			
SCREW PERIPHERAL REVERSED 5.0MM X 26MM	SUP-DWJ334	CDM	270010030	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
SCREW PERIPHERAL REVERSED 5.0MM X 26MM	SUP-DWJ334	CDM	270010030	LOCAL	270	RC		inpatient			2	2																																																			
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD28 MM ODSEC7.7 MM ID20 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-28-39	CDM	270010015	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
GRAFT ENDOVASCULAR ZENITH FLEX H&L-B ONE-SHOT POLYESTER STAINLESS STEEL BIFURCATED L39 MM OD28 MM ODSEC7.7 MM ID20 FR ABDOMEN AORTA AORTOILIAC SELF EXPANDING ANCILLARY WOVEN LEG EXTENSION INTRODUCTION SYSTEM AAA	SUP-ESBE-28-39	CDM	270010015	LOCAL	270	RC		inpatient			2	2																																																			
GRAFT STENT ENDURANT II POLYESTER NITINOL L70 MM OD28 MM ODSEC18 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETTF2828C70E	CDM	270010015	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
GRAFT STENT ENDURANT II POLYESTER NITINOL L70 MM OD28 MM ODSEC18 FR ENDOVASCULAR AORTIC EXTENSION STERILE AAA	SUP-ETTF2828C70E	CDM	270010015	LOCAL	270	RC		inpatient			2	2																																																			
GRAFT ENDOVASCULAR EXTENDER SQUARE COUPLING ZENITH AAA MAIN BODY 32 X 103MM	SUP-G279481	CDM	270010015	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
GRAFT ENDOVASCULAR EXTENDER SQUARE COUPLING ZENITH AAA MAIN BODY 32 X 103MM	SUP-G279481	CDM	270010015	LOCAL	270	RC		inpatient			2	2																																																			
BURR ST. LONG	SUP-H33L.11.016	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
BURR ST. LONG	SUP-H33L.11.016	CDM			270	RC		inpatient			2	2																																																			
PLATE BONE HOCKEY STICK LEFT SMALL	SUP-LHS	CDM			270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
PLATE BONE HOCKEY STICK LEFT SMALL	SUP-LHS	CDM			270	RC		inpatient			2	2																																																			
IMPLANT PENILE SCROTAL INFLATABLE WITH INHIBIZONE TACTILE PUMP 700CX	SUP-LK10110	CDM	270010002	LOCAL	270	RC		outpatient			2	2	0.54				percent of total billed charges		2				other	OPPS APC	1.48				percent of total billed charges		2				other	OPPS APC	2				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		2				other	OPPS APC	0.54	2	
IMPLANT PENILE SCROTAL INFLATABLE WITH INHIBIZONE TACTILE PUMP 700CX	SUP-LK10110	CDM	270010002	LOCAL	270	RC		inpatient			2	2																																																			
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0406-0123-23	NDC	A9270	HCPCS		inpatient			1.99	1.99																																																			
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0406-0123-62	NDC	A9270	HCPCS		inpatient			1.99	1.99																																																			
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0406-0123-23	NDC	A9270	HCPCS		outpatient			1.99	1.99																																															other	OPPS APC			
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0406-0123-62	NDC	A9270	HCPCS		outpatient			1.99	1.99																																															other	OPPS APC			
SYRINGE IRRIGATION TYVEK 60 ML THUMB RING PISTON RIGID BASE ELONGATE TIP STERILE LATEX FREE DISPOSABLE	SUP-DYND20302	CDM			270	RC		outpatient			1.99	1.99	0.54				percent of total billed charges		1.99				other	OPPS APC	1.47				percent of total billed charges		1.99				other	OPPS APC	1.99				other	OPPS APC	0.54				percent of total billed charges		0.55				percent of total billed charges		1.99				other	OPPS APC	0.54	1.99	
SYRINGE IRRIGATION TYVEK 60 ML THUMB RING PISTON RIGID BASE ELONGATE TIP STERILE LATEX FREE DISPOSABLE	SUP-DYND20302	CDM			270	RC		inpatient			1.99	1.99																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-6146-01	NDC	J1100	HCPCS		inpatient			1.98	1.98																																																			
DEXAMETHASONE PER 1 MG	636000000	CDM	0641-6146-01	NDC	J1100	HCPCS		outpatient			1.98	1.98																																															other	OPPS APC			
HYDROXYZINE 25 MG TABLET	637000000	CDM	60687-675-11	NDC	A9270	HCPCS		inpatient			1.98	1.98																																																			
HYDROXYZINE 25 MG TABLET	637000000	CDM	60687-675-11	NDC	A9270	HCPCS		outpatient			1.98	1.98																																															other	OPPS APC			
SET EXTENSION L35 IN 3.9 ML INTRAVENOUS 3 WAY STOPCOCK MALE LUER LOCK CAP INJECTION SITE STANDARD BORE STERILE LATEX FREE DISPOSABLE WHITE	SUP-MX253L	CDM						inpatient			1.97	1.97																																																			
SET EXTENSION L35 IN 3.9 ML INTRAVENOUS 3 WAY STOPCOCK MALE LUER LOCK CAP INJECTION SITE STANDARD BORE STERILE LATEX FREE DISPOSABLE WHITE	SUP-MX253L	CDM						outpatient			1.97	1.97	1.97				percent of total billed charges		1.97				other	OPPS APC	1.97				fee schedule		1.97				other	OPPS APC	1.97				other	OPPS APC	1.97				case rate		1.97				case rate		1.97				other	OPPS APC	1.97	1.97	
TUBE SALEM SUMP W/S/L STRL 10FR	SUP-8888264911	CDM						inpatient			1.96	1.96																																																			
TUBE SALEM SUMP W/S/L STRL 10FR	SUP-8888264911	CDM						outpatient			1.96	1.96	1.96				percent of total billed charges		1.96				other	OPPS APC	1.96				fee schedule		1.96				other	OPPS APC	1.96				other	OPPS APC	1.96				case rate		1.96				case rate		1.96				other	OPPS APC	1.96	1.96	
DECANTER BAG 6 INCH VIAL	SUP-DYNJDEC06	CDM						inpatient			1.96	1.96																																																			
DECANTER BAG 6 INCH VIAL	SUP-DYNJDEC06	CDM						outpatient			1.96	1.96	1.96				percent of total billed charges		1.96				other	OPPS APC	1.96				fee schedule		1.96				other	OPPS APC	1.96				other	OPPS APC	1.96				case rate		1.96				case rate		1.96				other	OPPS APC	1.96	1.96	
DONEPEZIL 5 MG TABLET	637000000	CDM	60687-292-01	NDC	A9270	HCPCS		inpatient			1.95	1.95																																																			
DONEPEZIL 5 MG TABLET	637000000	CDM	60687-292-01	NDC	A9270	HCPCS		outpatient			1.95	1.95																																															other	OPPS APC			
WATER DISTILLED	SUP-21-00070	CDM			272	RC		outpatient			1.95	1.95	0.53				percent of total billed charges		1.95				other	OPPS APC	1.44				percent of total billed charges		1.95				other	OPPS APC	1.95				other	OPPS APC	0.53				percent of total billed charges		0.54				percent of total billed charges		1.95				other	OPPS APC	0.53	1.95	
WATER DISTILLED	SUP-21-00070	CDM			272	RC		inpatient			1.95	1.95																																																			
NASAL TRUMPET SZ-8  32FR	SUP-30-00003	CDM			272	RC		outpatient			1.95	1.95	0.53				percent of total billed charges		1.95				other	OPPS APC	1.44				percent of total billed charges		1.95				other	OPPS APC	1.95				other	OPPS APC	0.53				percent of total billed charges		0.54				percent of total billed charges		1.95				other	OPPS APC	0.53	1.95	
NASAL TRUMPET SZ-8  32FR	SUP-30-00003	CDM			272	RC		inpatient			1.95	1.95																																																			
SOLUTION PREP BETADINE 10% PVP IODINE 4 OZ FLIPTOP CAP	SUP-82-255	CDM						inpatient			1.95	1.95																																																			
SOLUTION PREP BETADINE 10% PVP IODINE 4 OZ FLIPTOP CAP	SUP-82-255	CDM						outpatient			1.95	1.95	1.95				percent of total billed charges		1.95				other	OPPS APC	1.95				fee schedule		1.95				other	OPPS APC	1.95				other	OPPS APC	1.95				case rate		1.95				case rate		1.95				other	OPPS APC	1.95	1.95	
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	0264-9587-20	NDC	J1644	HCPCS		inpatient			1.94	1.94																																																			
HEPARIN (PORCINE) PER 1000 UNITS	636000000	CDM	0264-9587-20	NDC	J1644	HCPCS		outpatient			1.94	1.94																																															other	OPPS APC			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	55150-161-02	NDC	J2001	HCPCS		inpatient			1.93	1.93																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	55150-161-02	NDC	J2001	HCPCS		outpatient			1.93	1.93																																															other	OPPS APC			
BUSPIRONE 5 MG TABLET	637000000	CDM	51079-985-01	NDC	A9270	HCPCS		inpatient			1.93	1.93																																																			
BUSPIRONE 5 MG TABLET	637000000	CDM	51079-985-20	NDC	A9270	HCPCS		inpatient			1.93	1.93																																																			
BUSPIRONE 5 MG TABLET	637000000	CDM	51079-985-01	NDC	A9270	HCPCS		outpatient			1.93	1.93																																															other	OPPS APC			
BUSPIRONE 5 MG TABLET	637000000	CDM	51079-985-20	NDC	A9270	HCPCS		outpatient			1.93	1.93																																															other	OPPS APC			
STERILE WATER IRR. 500ML	SUP-21-00046	CDM			272	RC		outpatient			1.93	1.93	0.52				percent of total billed charges		1.93				other	OPPS APC	1.43				percent of total billed charges		1.93				other	OPPS APC	1.93				other	OPPS APC	0.52				percent of total billed charges		0.53				percent of total billed charges		1.93				other	OPPS APC	0.52	1.93	
STERILE WATER IRR. 500ML	SUP-21-00046	CDM			272	RC		inpatient			1.93	1.93																																																			
SWEAT BANDS	SUP-KC-16750	CDM						inpatient			1.93	1.93																																																			
SWEAT BANDS	SUP-KC-16750	CDM						outpatient			1.93	1.93	1.93				percent of total billed charges		1.93				other	OPPS APC	1.93				fee schedule		1.93				other	OPPS APC	1.93				other	OPPS APC	1.93				case rate		1.93				case rate		1.93				other	OPPS APC	1.93	1.93	
SWEAT BANDS	SUP-SS-16750PK	CDM			270	RC		outpatient			1.93	1.93	0.52				percent of total billed charges		1.93				other	OPPS APC	1.43				percent of total billed charges		1.93				other	OPPS APC	1.93				other	OPPS APC	0.52				percent of total billed charges		0.53				percent of total billed charges		1.93				other	OPPS APC	0.52	1.93	
SWEAT BANDS	SUP-SS-16750PK	CDM			270	RC		inpatient			1.93	1.93																																																			
MIDAZOLAM PER 1 MG	636000000	CDM	0409-2308-21	NDC	J2250	HCPCS		inpatient			1.92	1.92																																																			
MIDAZOLAM PER 1 MG	636000000	CDM	0409-2308-21	NDC	J2250	HCPCS		outpatient			1.92	1.92																																															other	OPPS APC			
KIT FOLEY TRANSFER- AMM516	SUP-12-00088	CDM			272	RC		outpatient			1.92	1.92	0.52				percent of total billed charges		1.92				other	OPPS APC	1.42				percent of total billed charges		1.92				other	OPPS APC	1.92				other	OPPS APC	0.52				percent of total billed charges		0.53				percent of total billed charges		1.92				other	OPPS APC	0.52	1.92	
KIT FOLEY TRANSFER- AMM516	SUP-12-00088	CDM			272	RC		inpatient			1.92	1.92																																																			
SCRUB SURGICAL CLOTH CHG L10.5 IN X W9 IN RINSE FREE NONSTERILE LATEX FREE FRAGRANCE FREE	SUP-12536	CDM						inpatient			1.92	1.92																																																			
SCRUB SURGICAL CLOTH CHG L10.5 IN X W9 IN RINSE FREE NONSTERILE LATEX FREE FRAGRANCE FREE	SUP-12536	CDM						outpatient			1.92	1.92	1.92				percent of total billed charges		1.92				other	OPPS APC	1.92				fee schedule		1.92				other	OPPS APC	1.92				other	OPPS APC	1.92				case rate		1.92				case rate		1.92				other	OPPS APC	1.92	1.92	
DEX INJ 10% 500ML  2B0163Q	SUP-21-00018	CDM			272	RC		outpatient			1.92	1.92	0.52				percent of total billed charges		1.92				other	OPPS APC	1.42				percent of total billed charges		1.92				other	OPPS APC	1.92				other	OPPS APC	0.52				percent of total billed charges		0.53				percent of total billed charges		1.92				other	OPPS APC	0.52	1.92	
DEX INJ 10% 500ML  2B0163Q	SUP-21-00018	CDM			272	RC		inpatient			1.92	1.92																																																			
GLIPIZIDE 10 MG TABLET	637000000	CDM	50268-362-11	NDC	A9270	HCPCS		inpatient			1.9	1.9																																																			
GLIPIZIDE 10 MG TABLET	637000000	CDM	50268-362-11	NDC	A9270	HCPCS		outpatient			1.9	1.9																																															other	OPPS APC			
NASAL TRUMPET SZ-6 24FR	SUP-30-00001	CDM			272	RC		outpatient			1.89	1.89	0.51				percent of total billed charges		1.89				other	OPPS APC	1.4				percent of total billed charges		1.89				other	OPPS APC	1.89				other	OPPS APC	0.51				percent of total billed charges		0.52				percent of total billed charges		1.89				other	OPPS APC	0.51	1.89	
NASAL TRUMPET SZ-6 24FR	SUP-30-00001	CDM			272	RC		inpatient			1.89	1.89																																																			
NASAL TRUMPET SZ-7  28FR	SUP-30-00002	CDM			272	RC		outpatient			1.89	1.89	0.51				percent of total billed charges		1.89				other	OPPS APC	1.4				percent of total billed charges		1.89				other	OPPS APC	1.89				other	OPPS APC	0.51				percent of total billed charges		0.52				percent of total billed charges		1.89				other	OPPS APC	0.51	1.89	
NASAL TRUMPET SZ-7  28FR	SUP-30-00002	CDM			272	RC		inpatient			1.89	1.89																																																			
NEEDLE- 1'  21G	SUP-99-04782	CDM			272	RC		outpatient			1.89	1.89	0.51				percent of total billed charges		1.89				other	OPPS APC	1.4				percent of total billed charges		1.89				other	OPPS APC	1.89				other	OPPS APC	0.51				percent of total billed charges		0.52				percent of total billed charges		1.89				other	OPPS APC	0.51	1.89	
NEEDLE- 1'  21G	SUP-99-04782	CDM			272	RC		inpatient			1.89	1.89																																																			
CODEINE-GUAIFENESIN 10-100 MG/5 ML LIQUID	637000000	CDM	0121-1550-10	NDC	A9270	HCPCS		inpatient			1.88	1.88																																																			
CODEINE-GUAIFENESIN 10-100 MG/5 ML LIQUID	637000000	CDM	0121-1550-10	NDC	A9270	HCPCS		outpatient			1.88	1.88																																															other	OPPS APC			
PADDING CAST KENDALL WEBRIL 4YDX2IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-1418	CDM						inpatient			1.88	1.88																																																			
PADDING CAST KENDALL WEBRIL 4YDX2IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-1418	CDM						outpatient			1.88	1.88	1.88				percent of total billed charges		1.88				other	OPPS APC	1.88				fee schedule		1.88				other	OPPS APC	1.88				other	OPPS APC	1.88				case rate		1.88				case rate		1.88				other	OPPS APC	1.88	1.88	
DEX INJ 10% 250ML   2B0162Q	SUP-21-00017	CDM			272	RC		outpatient			1.88	1.88	0.51				percent of total billed charges		1.88				other	OPPS APC	1.39				percent of total billed charges		1.88				other	OPPS APC	1.88				other	OPPS APC	0.51				percent of total billed charges		0.52				percent of total billed charges		1.88				other	OPPS APC	0.51	1.88	
DEX INJ 10% 250ML   2B0162Q	SUP-21-00017	CDM			272	RC		inpatient			1.88	1.88																																																			
METOCLOPRAMIDE PER 10 MG	636000000	CDM	0409-3414-18	NDC	J2765	HCPCS		inpatient			1.87	1.87																																																			
METOCLOPRAMIDE PER 10 MG	636000000	CDM	0409-3414-18	NDC	J2765	HCPCS		outpatient			1.87	1.87																																															other	OPPS APC			
STYLET INTUBATING SZ 10	SUP-95-01826	CDM			272	RC		outpatient			1.87	1.87	0.51				percent of total billed charges		1.87				other	OPPS APC	1.38				percent of total billed charges		1.87				other	OPPS APC	1.87				other	OPPS APC	0.51				percent of total billed charges		0.52				percent of total billed charges		1.87				other	OPPS APC	0.51	1.87	
STYLET INTUBATING SZ 10	SUP-95-01826	CDM			272	RC		inpatient			1.87	1.87																																																			
DEXAMETHASONE 1 MG TABLET	637000000	CDM	0054-8174-25	NDC	A9270	HCPCS		inpatient			1.86	1.86																																																			
DEXAMETHASONE 1 MG TABLET	637000000	CDM	0054-8174-25	NDC	A9270	HCPCS		outpatient			1.86	1.86																																															other	OPPS APC			
DEXAMETHASONE 2 MG TABLET	637000000	CDM	0054-8176-25	NDC	A9270	HCPCS		inpatient			1.86	1.86																																																			
DEXAMETHASONE 2 MG TABLET	637000000	CDM	0054-8176-25	NDC	A9270	HCPCS		outpatient			1.86	1.86																																															other	OPPS APC			
POLY BUTTON WHITE 1/2	SUP-97-04830	CDM			278	RC		outpatient			1.86	1.86	1.86				fee schedule		1.86				other	OPPS APC	1.06				percent of total billed charges		1.86				other	OPPS APC	1.86				other	OPPS APC	0.91				percent of total billed charges		0.95				percent of total billed charges		1.86				other	OPPS APC	0.91	1.86	
POLY BUTTON WHITE 1/2	SUP-97-04830	CDM			278	RC		inpatient			1.86	1.86																																																			
IODOFORM STRIP PACKING 1/2	SUP-10-00101	CDM			272	RC		outpatient			1.85	1.85	0.5				percent of total billed charges		1.85				other	OPPS APC	1.37				percent of total billed charges		1.85				other	OPPS APC	1.85				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.85				other	OPPS APC	0.5	1.85	
IODOFORM STRIP PACKING 1/2	SUP-10-00101	CDM			272	RC		inpatient			1.85	1.85																																																			
OINTMENT  SECURA PROTECTIVE	SUP-15-00026	CDM			271	RC		outpatient			1.85	1.85	0.5				percent of total billed charges		1.85				other	OPPS APC	1.37				percent of total billed charges		1.85				other	OPPS APC	1.85				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.85				other	OPPS APC	0.5	1.85	
OINTMENT  SECURA PROTECTIVE	SUP-15-00026	CDM			271	RC		inpatient			1.85	1.85																																																			
SUTURE VICRYL 2-0 J443H	SUP-74-00319	CDM			272	RC		outpatient			1.85	1.85	0.5				percent of total billed charges		1.85				other	OPPS APC	1.37				percent of total billed charges		1.85				other	OPPS APC	1.85				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.85				other	OPPS APC	0.5	1.85	
SUTURE VICRYL 2-0 J443H	SUP-74-00319	CDM			272	RC		inpatient			1.85	1.85																																																			
PHENYTOIN 100 MG CAPSULE	637000000	CDM	0904-6187-61	NDC	A9270	HCPCS		inpatient			1.84	1.84																																																			
PHENYTOIN 100 MG CAPSULE	637000000	CDM	0904-6187-61	NDC	A9270	HCPCS		outpatient			1.84	1.84																																															other	OPPS APC			
SCALPEL DISP SZ 10 SAFETY	SUP-01-00036	CDM			272	RC		outpatient			1.84	1.84	0.5				percent of total billed charges		1.84				other	OPPS APC	1.36				percent of total billed charges		1.84				other	OPPS APC	1.84				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.84				other	OPPS APC	0.5	1.84	
SCALPEL DISP SZ 10 SAFETY	SUP-01-00036	CDM			272	RC		inpatient			1.84	1.84																																																			
TAPE LABEL ZEMURON	SUP-97-01180	CDM			271	RC		outpatient			1.84	1.84	0.5				percent of total billed charges		1.84				other	OPPS APC	1.36				percent of total billed charges		1.84				other	OPPS APC	1.84				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.84				other	OPPS APC	0.5	1.84	
TAPE LABEL ZEMURON	SUP-97-01180	CDM			271	RC		inpatient			1.84	1.84																																																			
BENZONATATE 100 MG CAPSULE	637000000	CDM	68084-214-11	NDC	A9270	HCPCS		inpatient			1.83	1.83																																																			
BENZONATATE 100 MG CAPSULE	637000000	CDM	68084-214-11	NDC	A9270	HCPCS		outpatient			1.83	1.83																																															other	OPPS APC			
TRAY TRACH CLEANING	SUP-12-00039	CDM			272	RC		outpatient			1.83	1.83	0.5				percent of total billed charges		1.83				other	OPPS APC	1.35				percent of total billed charges		1.83				other	OPPS APC	1.83				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.83				other	OPPS APC	0.5	1.83	
TRAY TRACH CLEANING	SUP-12-00039	CDM			272	RC		inpatient			1.83	1.83																																																			
GREEN PIN GUARDS	SUP-95-00009	CDM			272	RC		outpatient			1.83	1.83	0.5				percent of total billed charges		1.83				other	OPPS APC	1.35				percent of total billed charges		1.83				other	OPPS APC	1.83				other	OPPS APC	0.5				percent of total billed charges		0.51				percent of total billed charges		1.83				other	OPPS APC	0.5	1.83	
GREEN PIN GUARDS	SUP-95-00009	CDM			272	RC		inpatient			1.83	1.83																																																			
LEVOTHYROXINE 137 MCG TABLET	637000000	CDM	42292-041-01	NDC	A9270	HCPCS		inpatient			1.82	1.82																																																			
LEVOTHYROXINE 137 MCG TABLET	637000000	CDM	42292-041-01	NDC	A9270	HCPCS		outpatient			1.82	1.82																																															other	OPPS APC			
PAROXETINE 10 MG TABLET	637000000	CDM	63739-888-10	NDC	A9270	HCPCS		inpatient			1.82	1.82																																																			
PAROXETINE 10 MG TABLET	637000000	CDM	63739-888-10	NDC	A9270	HCPCS		outpatient			1.82	1.82																																															other	OPPS APC			
DRESSING MEPILEX BORDER FLEX 3X3	SUP-10-00131	CDM			272	RC		outpatient			1.82	1.82	0.49				percent of total billed charges		1.82				other	OPPS APC	1.35				percent of total billed charges		1.82				other	OPPS APC	1.82				other	OPPS APC	0.49				percent of total billed charges		0.5				percent of total billed charges		1.82				other	OPPS APC	0.49	1.82	
DRESSING MEPILEX BORDER FLEX 3X3	SUP-10-00131	CDM			272	RC		inpatient			1.82	1.82																																																			
GENTAMICIN PER 80 MG	636000000	CDM	0338-0511-41	NDC	J1580	HCPCS		inpatient			1.8	1.8																																																			
GENTAMICIN PER 80 MG	636000000	CDM	0338-0511-41	NDC	J1580	HCPCS		outpatient			1.8	1.8																																															other	OPPS APC			
ONDANSETRON PER 1 MG	636000000	CDM	60505-6130-0	NDC	J2405	HCPCS		inpatient			1.8	1.8																																																			
ONDANSETRON PER 1 MG	636000000	CDM	60505-6130-5	NDC	J2405	HCPCS		inpatient			1.8	1.8																																																			
ONDANSETRON PER 1 MG	636000000	CDM	60505-6130-0	NDC	J2405	HCPCS		outpatient			1.8	1.8																																															other	OPPS APC			
ONDANSETRON PER 1 MG	636000000	CDM	60505-6130-5	NDC	J2405	HCPCS		outpatient			1.8	1.8																																															other	OPPS APC			
METOCLOPRAMIDE 10 MG TABLET	637000000	CDM	60687-631-01	NDC	A9270	HCPCS		inpatient			1.8	1.8																																																			
METOCLOPRAMIDE 10 MG TABLET	637000000	CDM	60687-631-11	NDC	A9270	HCPCS		inpatient			1.8	1.8																																																			
METOCLOPRAMIDE 10 MG TABLET	637000000	CDM	60687-631-01	NDC	A9270	HCPCS		outpatient			1.8	1.8																																															other	OPPS APC			
METOCLOPRAMIDE 10 MG TABLET	637000000	CDM	60687-631-11	NDC	A9270	HCPCS		outpatient			1.8	1.8																																															other	OPPS APC			
SWABSTICK COMPOUND BENZION TINCTURE	SUP-APLS1106	CDM						inpatient			1.8	1.8																																																			
SWABSTICK COMPOUND BENZION TINCTURE	SUP-APLS1106	CDM						outpatient			1.8	1.8	1.8				percent of total billed charges		1.8				other	OPPS APC	1.8				fee schedule		1.8				other	OPPS APC	1.8				other	OPPS APC	1.8				case rate		1.8				case rate		1.8				other	OPPS APC	1.8	1.8	
TRAY SUTURE REMOVAL E KITS ADSON IRIS 3X3IN ALCOHOL GAUZE DISPOSABLE STERILE LF FORCEPS SCISSORS PREP PAD	SUP-DYNJ07254A	CDM	270009021	LOCAL	270	RC		outpatient			1.8	1.8	0.49				percent of total billed charges		1.8				other	OPPS APC	1.33				percent of total billed charges		1.8				other	OPPS APC	1.8				other	OPPS APC	0.49				percent of total billed charges		0.5				percent of total billed charges		1.8				other	OPPS APC	0.49	1.8	
TRAY SUTURE REMOVAL E KITS ADSON IRIS 3X3IN ALCOHOL GAUZE DISPOSABLE STERILE LF FORCEPS SCISSORS PREP PAD	SUP-DYNJ07254A	CDM	270009021	LOCAL	270	RC		inpatient			1.8	1.8																																																			
METHIMAZOLE 5 MG TABLET	637000000	CDM	60687-669-01	NDC	A9270	HCPCS		inpatient			1.79	1.79																																																			
METHIMAZOLE 5 MG TABLET	637000000	CDM	60687-669-11	NDC	A9270	HCPCS		inpatient			1.79	1.79																																																			
METHIMAZOLE 5 MG TABLET	637000000	CDM	60687-669-01	NDC	A9270	HCPCS		outpatient			1.79	1.79																																															other	OPPS APC			
METHIMAZOLE 5 MG TABLET	637000000	CDM	60687-669-11	NDC	A9270	HCPCS		outpatient			1.79	1.79																																															other	OPPS APC			
BURR ROUND	SUP-H1.018SHP11	CDM			270	RC		outpatient			1.78	1.78	0.48				percent of total billed charges		1.78				other	OPPS APC	1.32				percent of total billed charges		1.78				other	OPPS APC	1.78				other	OPPS APC	0.48				percent of total billed charges		0.49				percent of total billed charges		1.78				other	OPPS APC	0.48	1.78	
BURR ROUND	SUP-H1.018SHP11	CDM			270	RC		inpatient			1.78	1.78																																																			
CLONAZEPAM 1 MG TABLET	637000000	CDM	60687-555-01	NDC	A9270	HCPCS		inpatient			1.77	1.77																																																			
CLONAZEPAM 1 MG TABLET	637000000	CDM	60687-555-11	NDC	A9270	HCPCS		inpatient			1.77	1.77																																																			
CLONAZEPAM 1 MG TABLET	637000000	CDM	60687-555-01	NDC	A9270	HCPCS		outpatient			1.77	1.77																																															other	OPPS APC			
CLONAZEPAM 1 MG TABLET	637000000	CDM	60687-555-11	NDC	A9270	HCPCS		outpatient			1.77	1.77																																															other	OPPS APC			
LEVOTHYROXINE 112 MCG TABLET	637000000	CDM	42292-039-01	NDC	A9270	HCPCS		inpatient			1.77	1.77																																																			
LEVOTHYROXINE 112 MCG TABLET	637000000	CDM	42292-039-01	NDC	A9270	HCPCS		outpatient			1.77	1.77																																															other	OPPS APC			
Y CONNECTOR TRAC	SUP-15-00021	CDM			272	RC		outpatient			1.77	1.77	0.48				percent of total billed charges		1.77				other	OPPS APC	1.31				percent of total billed charges		1.77				other	OPPS APC	1.77				other	OPPS APC	0.48				percent of total billed charges		0.49				percent of total billed charges		1.77				other	OPPS APC	0.48	1.77	
Y CONNECTOR TRAC	SUP-15-00021	CDM			272	RC		inpatient			1.77	1.77																																																			
MASK ADULT MED SZ 5	SUP-40-00006	CDM			272	RC		outpatient			1.77	1.77	0.48				percent of total billed charges		1.77				other	OPPS APC	1.31				percent of total billed charges		1.77				other	OPPS APC	1.77				other	OPPS APC	0.48				percent of total billed charges		0.49				percent of total billed charges		1.77				other	OPPS APC	0.48	1.77	
MASK ADULT MED SZ 5	SUP-40-00006	CDM			272	RC		inpatient			1.77	1.77																																																			
LEVOTHYROXINE 100 MCG TABLET	637000000	CDM	0904-6953-61	NDC	A9270	HCPCS		inpatient			1.76	1.76																																																			
LEVOTHYROXINE 100 MCG TABLET	637000000	CDM	0904-6953-61	NDC	A9270	HCPCS		outpatient			1.76	1.76																																															other	OPPS APC			
PROPRANOLOL 10 MG TABLET	637000000	CDM	0904-6550-61	NDC	A9270	HCPCS		inpatient			1.76	1.76																																																			
PROPRANOLOL 10 MG TABLET	637000000	CDM	0904-6550-61	NDC	A9270	HCPCS		outpatient			1.76	1.76																																															other	OPPS APC			
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 6 1/2 L285 MM X W85 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31265	CDM						inpatient			1.76	1.76																																																			
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 6 1/2 L285 MM X W85 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31265	CDM						outpatient			1.76	1.76	1.76				percent of total billed charges		1.76				other	OPPS APC	1.76				fee schedule		1.76				other	OPPS APC	1.76				other	OPPS APC	1.76				case rate		1.76				case rate		1.76				other	OPPS APC	1.76	1.76	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 7 L288 MM X W91 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31270	CDM			270	RC		outpatient			1.76	1.76	0.48				percent of total billed charges		1.76				other	OPPS APC	1.3				percent of total billed charges		1.76				other	OPPS APC	1.76				other	OPPS APC	0.48				percent of total billed charges		0.49				percent of total billed charges		1.76				other	OPPS APC	0.48	1.76	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 7 L288 MM X W91 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31270	CDM			270	RC		inpatient			1.76	1.76																																																			
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABLET	637000000	CDM	0406-1236-01	NDC	A9270	HCPCS		inpatient			1.75	1.75																																																			
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABLET	637000000	CDM	62559-490-01	NDC	A9270	HCPCS		inpatient			1.75	1.75																																																			
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABLET	637000000	CDM	0406-1236-01	NDC	A9270	HCPCS		outpatient			1.75	1.75																																															other	OPPS APC			
DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABLET	637000000	CDM	62559-490-01	NDC	A9270	HCPCS		outpatient			1.75	1.75																																															other	OPPS APC			
MECLIZINE 12.5 MG TABLET	637000000	CDM	50268-522-11	NDC	A9270	HCPCS		inpatient			1.75	1.75																																																			
MECLIZINE 12.5 MG TABLET	637000000	CDM	50268-522-15	NDC	A9270	HCPCS		inpatient			1.75	1.75																																																			
MECLIZINE 12.5 MG TABLET	637000000	CDM	50268-522-11	NDC	A9270	HCPCS		outpatient			1.75	1.75																																															other	OPPS APC			
MECLIZINE 12.5 MG TABLET	637000000	CDM	50268-522-15	NDC	A9270	HCPCS		outpatient			1.75	1.75																																															other	OPPS APC			
ALPRAZOLAM 0.25 MG TABLET	637000000	CDM	0781-1061-01	NDC	A9270	HCPCS		inpatient			1.74	1.74																																																			
ALPRAZOLAM 0.25 MG TABLET	637000000	CDM	0781-1061-01	NDC	A9270	HCPCS		outpatient			1.74	1.74																																															other	OPPS APC			
DRAPE SURGICAL 3M STERI-DRAPE 23X17IN CLEAR POLYETHYLENE DISPOSABLE STERILE LF ADHESIVE STRIP LG TOWEL MATTE FINISH	SUP-1010	CDM						inpatient			1.74	1.74																																																			
DRAPE SURGICAL 3M STERI-DRAPE 23X17IN CLEAR POLYETHYLENE DISPOSABLE STERILE LF ADHESIVE STRIP LG TOWEL MATTE FINISH	SUP-1010	CDM						outpatient			1.74	1.74	1.74				percent of total billed charges		1.74				other	OPPS APC	1.74				fee schedule		1.74				other	OPPS APC	1.74				other	OPPS APC	1.74				case rate		1.74				case rate		1.74				other	OPPS APC	1.74	1.74	
HEPLOCK EXTENSION SET	SUP-20-00059	CDM			272	RC		outpatient			1.74	1.74	0.47				percent of total billed charges		1.74				other	OPPS APC	1.29				percent of total billed charges		1.74				other	OPPS APC	1.74				other	OPPS APC	0.47				percent of total billed charges		0.48				percent of total billed charges		1.74				other	OPPS APC	0.47	1.74	
HEPLOCK EXTENSION SET	SUP-20-00059	CDM			272	RC		inpatient			1.74	1.74																																																			
ATORVASTATIN 40 MG TABLET	637000000	CDM	0904-6292-61	NDC	A9270	HCPCS		inpatient			1.73	1.73																																																			
ATORVASTATIN 40 MG TABLET	637000000	CDM	0904-6292-61	NDC	A9270	HCPCS		outpatient			1.73	1.73																																															other	OPPS APC			
TAPE LABEL LIDOCAINE	SUP-97-00652	CDM			271	RC		outpatient			1.73	1.73	0.47				percent of total billed charges		1.73				other	OPPS APC	1.28				percent of total billed charges		1.73				other	OPPS APC	1.73				other	OPPS APC	0.47				percent of total billed charges		0.48				percent of total billed charges		1.73				other	OPPS APC	0.47	1.73	
TAPE LABEL LIDOCAINE	SUP-97-00652	CDM			271	RC		inpatient			1.73	1.73																																																			
LACT RINGER INJ 1000ML 2B2324X	SUP-21-00026	CDM			272	RC		outpatient			1.72	1.72	0.47				percent of total billed charges		1.72				other	OPPS APC	1.27				percent of total billed charges		1.72				other	OPPS APC	1.72				other	OPPS APC	0.47				percent of total billed charges		0.48				percent of total billed charges		1.72				other	OPPS APC	0.47	1.72	
LACT RINGER INJ 1000ML 2B2324X	SUP-21-00026	CDM			272	RC		inpatient			1.72	1.72																																																			
SOD CHL IRR 0.9% 500ML 2F7123	SUP-21-00043	CDM			272	RC		outpatient			1.72	1.72	0.47				percent of total billed charges		1.72				other	OPPS APC	1.27				percent of total billed charges		1.72				other	OPPS APC	1.72				other	OPPS APC	0.47				percent of total billed charges		0.48				percent of total billed charges		1.72				other	OPPS APC	0.47	1.72	
SOD CHL IRR 0.9% 500ML 2F7123	SUP-21-00043	CDM			272	RC		inpatient			1.72	1.72																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-04	NDC	J2250	HCPCS		inpatient			1.71	1.71																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-04	NDC	J2250	HCPCS		outpatient			1.71	1.71																																															other	OPPS APC			
LEVETIRACETAM 750 MG TABLET	637000000	CDM	0904-7125-61	NDC	A9270	HCPCS		inpatient			1.71	1.71																																																			
LEVETIRACETAM 750 MG TABLET	637000000	CDM	0904-7125-61	NDC	A9270	HCPCS		outpatient			1.71	1.71																																															other	OPPS APC			
LISINOPRIL 2.5 MG TABLET	637000000	CDM	60687-656-11	NDC	A9270	HCPCS		inpatient			1.71	1.71																																																			
LISINOPRIL 2.5 MG TABLET	637000000	CDM	60687-656-11	NDC	A9270	HCPCS		outpatient			1.71	1.71																																															other	OPPS APC			
OXCARBAZEPINE 150 MG TABLET	637000000	CDM	0904-7262-61	NDC	A9270	HCPCS		inpatient			1.71	1.71																																																			
OXCARBAZEPINE 150 MG TABLET	637000000	CDM	0904-7262-61	NDC	A9270	HCPCS		outpatient			1.71	1.71																																															other	OPPS APC			
SPLINT ORTHOPEDIC PLASTALUME PLASTIC FOAM CIRCLE L4.25 IN FINGER BASE PAD NONSTERILE LATEX FREE BLUE WHITE	SUP-9119-06	CDM						inpatient			1.71	1.71																																																			
SPLINT ORTHOPEDIC PLASTALUME PLASTIC FOAM CIRCLE L4.25 IN FINGER BASE PAD NONSTERILE LATEX FREE BLUE WHITE	SUP-9119-06	CDM						outpatient			1.71	1.71	1.71				percent of total billed charges		1.71				other	OPPS APC	1.71				fee schedule		1.71				other	OPPS APC	1.71				other	OPPS APC	1.71				case rate		1.71				case rate		1.71				other	OPPS APC	1.71	1.71	
CARBAMAZEPINE 200 MG TABLET	637000000	CDM	68084-444-11	NDC	A9270	HCPCS		inpatient			1.7	1.7																																																			
CARBAMAZEPINE 200 MG TABLET	637000000	CDM	68084-444-11	NDC	A9270	HCPCS		outpatient			1.7	1.7																																															other	OPPS APC			
ESTRADIOL 1 MG TABLET	637000000	CDM	42806-088-01	NDC	A9270	HCPCS		inpatient			1.7	1.7																																																			
ESTRADIOL 1 MG TABLET	637000000	CDM	42806-088-01	NDC	A9270	HCPCS		outpatient			1.7	1.7																																															other	OPPS APC			
DRESSING HEAVY PACK (D UNIT)	SUP-10-00019	CDM			272	RC		outpatient			1.7	1.7	0.46				percent of total billed charges		1.7				other	OPPS APC	1.26				percent of total billed charges		1.7				other	OPPS APC	1.7				other	OPPS APC	0.46				percent of total billed charges		0.47				percent of total billed charges		1.7				other	OPPS APC	0.46	1.7	
DRESSING HEAVY PACK (D UNIT)	SUP-10-00019	CDM			272	RC		inpatient			1.7	1.7																																																			
PLEDGET CARDIOVASCULAR BARD THK1.65MM RECTANGLE 3/16X3/8IN PTFE STERILE FELT	SUP-7963	CDM						inpatient			1.7	1.7																																																			
PLEDGET CARDIOVASCULAR BARD THK1.65MM RECTANGLE 3/16X3/8IN PTFE STERILE FELT	SUP-7963	CDM						outpatient			1.7	1.7	1.7				percent of total billed charges		1.7				other	OPPS APC	1.7				fee schedule		1.7				other	OPPS APC	1.7				other	OPPS APC	1.7				case rate		1.7				case rate		1.7				other	OPPS APC	1.7	1.7	
B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPSULE	637000000	CDM	6954326010	NDC	A9270	HCPCS		inpatient			1.69	1.69																																																			
B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPSULE	637000000	CDM	6954326010	NDC	A9270	HCPCS		outpatient			1.69	1.69																																															other	OPPS APC			
LACT RINGER W/5% DEX 1000ML 2B2074X	SUP-21-00028	CDM			272	RC		outpatient			1.69	1.69	0.46				percent of total billed charges		1.69				other	OPPS APC	1.25				percent of total billed charges		1.69				other	OPPS APC	1.69				other	OPPS APC	0.46				percent of total billed charges		0.47				percent of total billed charges		1.69				other	OPPS APC	0.46	1.69	
LACT RINGER W/5% DEX 1000ML 2B2074X	SUP-21-00028	CDM			272	RC		inpatient			1.69	1.69																																																			
CHLORDIAZEPOXIDE 25 MG CAPSULE	637000000	CDM	51079-141-01	NDC	A9270	HCPCS		inpatient			1.68	1.68																																																			
CHLORDIAZEPOXIDE 25 MG CAPSULE	637000000	CDM	51079-141-01	NDC	A9270	HCPCS		outpatient			1.68	1.68																																															other	OPPS APC			
GABAPENTIN 400 MG CAPSULE	637000000	CDM	63739-904-10	NDC	A9270	HCPCS		inpatient			1.68	1.68																																																			
GABAPENTIN 400 MG CAPSULE	637000000	CDM	63739-904-10	NDC	A9270	HCPCS		outpatient			1.68	1.68																																															other	OPPS APC			
DRESSING PETROLATUM VASELINE CISION 18X3IN WHITE GAUZE STERILE LF ABSORBENT NONADHERENT FINE MESH NONTOXIC	SUP-8884424600	CDM						inpatient			1.68	1.68																																																			
DRESSING PETROLATUM VASELINE CISION 18X3IN WHITE GAUZE STERILE LF ABSORBENT NONADHERENT FINE MESH NONTOXIC	SUP-8884424600	CDM						outpatient			1.68	1.68	1.68				percent of total billed charges		1.68				other	OPPS APC	1.68				fee schedule		1.68				other	OPPS APC	1.68				other	OPPS APC	1.68				case rate		1.68				case rate		1.68				other	OPPS APC	1.68	1.68	
ACETAMINOPHEN 650 MG SUPPOSITORY	637000000	CDM	45802-730-30	NDC	A9270	HCPCS		inpatient			1.67	1.67																																																			
ACETAMINOPHEN 650 MG SUPPOSITORY	637000000	CDM	45802-730-30	NDC	A9270	HCPCS		outpatient			1.67	1.67																																															other	OPPS APC			
DEX 5% & .45% SOD CHL 1000ML 2B1074X	SUP-21-00009	CDM			272	RC		outpatient			1.67	1.67	0.45				percent of total billed charges		1.67				other	OPPS APC	1.24				percent of total billed charges		1.67				other	OPPS APC	1.67				other	OPPS APC	0.45				percent of total billed charges		0.46				percent of total billed charges		1.67				other	OPPS APC	0.45	1.67	
DEX 5% & .45% SOD CHL 1000ML 2B1074X	SUP-21-00009	CDM			272	RC		inpatient			1.67	1.67																																																			
SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG TABLET	637000000	CDM	50268-728-11	NDC	A9270	HCPCS		inpatient			1.66	1.66																																																			
SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG TABLET	637000000	CDM	50268-728-11	NDC	A9270	HCPCS		outpatient			1.66	1.66																																															other	OPPS APC			
TAPE SURGICAL 3M MICROPORE 10YDX3IN WHITE PAPER DISPOSABLE LF HYPOALLERGENIC BREATHABLE	SUP-1530-3	CDM						inpatient			1.66	1.66																																																			
TAPE SURGICAL 3M MICROPORE 10YDX3IN WHITE PAPER DISPOSABLE LF HYPOALLERGENIC BREATHABLE	SUP-1530-3	CDM						outpatient			1.66	1.66	1.66				percent of total billed charges		1.66				other	OPPS APC	1.66				fee schedule		1.66				other	OPPS APC	1.66				other	OPPS APC	1.66				case rate		1.66				case rate		1.66				other	OPPS APC	1.66	1.66	
SOD CHL INJ .45% 1000ML 2B1314X	SUP-21-00032	CDM			272	RC		outpatient			1.66	1.66	0.45				percent of total billed charges		1.66				other	OPPS APC	1.23				percent of total billed charges		1.66				other	OPPS APC	1.66				other	OPPS APC	0.45				percent of total billed charges		0.46				percent of total billed charges		1.66				other	OPPS APC	0.45	1.66	
SOD CHL INJ .45% 1000ML 2B1314X	SUP-21-00032	CDM			272	RC		inpatient			1.66	1.66																																																			
PADDING CAST WEBRIL COTTON L4 YD X W3 IN UNDERCAST MILD STRETCH COHESIVE STERILE LATEX FREE	SUP-2394	CDM						inpatient			1.66	1.66																																																			
PADDING CAST WEBRIL COTTON L4 YD X W3 IN UNDERCAST MILD STRETCH COHESIVE STERILE LATEX FREE	SUP-2394	CDM						outpatient			1.66	1.66	1.66				percent of total billed charges		1.66				other	OPPS APC	1.66				fee schedule		1.66				other	OPPS APC	1.66				other	OPPS APC	1.66				case rate		1.66				case rate		1.66				other	OPPS APC	1.66	1.66	
DRAIN WOUND PENROSE 70 STANDARD L12 IN OD3/8 IN	SUP-30414-038	CDM			270	RC		outpatient			1.66	1.66	0.45				percent of total billed charges		1.66				other	OPPS APC	1.23				percent of total billed charges		1.66				other	OPPS APC	1.66				other	OPPS APC	0.45				percent of total billed charges		0.46				percent of total billed charges		1.66				other	OPPS APC	0.45	1.66	
DRAIN WOUND PENROSE 70 STANDARD L12 IN OD3/8 IN	SUP-30414-038	CDM			270	RC		inpatient			1.66	1.66																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO 6.5 295X85MM BROWN POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-47665	CDM						inpatient			1.66	1.66																																																			
GLOVE SURGICAL BIOGEL ORTHOPRO 6.5 295X85MM BROWN POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-47665	CDM						outpatient			1.66	1.66	1.66				percent of total billed charges		1.66				other	OPPS APC	1.66				fee schedule		1.66				other	OPPS APC	1.66				other	OPPS APC	1.66				case rate		1.66				case rate		1.66				other	OPPS APC	1.66	1.66	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L3 YD X W2 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7362	CDM			270	RC		outpatient			1.66	1.66	0.45				percent of total billed charges		1.66				other	OPPS APC	1.23				percent of total billed charges		1.66				other	OPPS APC	1.66				other	OPPS APC	0.45				percent of total billed charges		0.46				percent of total billed charges		1.66				other	OPPS APC	0.45	1.66	
BANDAGE PLASTER SPECIALIST PLASTER OF PARIS L3 YD X W2 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7362	CDM			270	RC		inpatient			1.66	1.66																																																			
TRI-POUR BEAKERS 1000ML	SUP-PB5935-1KO	CDM			270	RC		outpatient			1.66	1.66	0.45				percent of total billed charges		1.66				other	OPPS APC	1.23				percent of total billed charges		1.66				other	OPPS APC	1.66				other	OPPS APC	0.45				percent of total billed charges		0.46				percent of total billed charges		1.66				other	OPPS APC	0.45	1.66	
TRI-POUR BEAKERS 1000ML	SUP-PB5935-1KO	CDM			270	RC		inpatient			1.66	1.66																																																			
LIDOCAINE 2 % SOLUTION	637000000	CDM	72888-125-26	NDC	A9270	HCPCS		inpatient			1.65	1.65																																																			
LIDOCAINE 2 % SOLUTION	637000000	CDM	72888-125-26	NDC	A9270	HCPCS		outpatient			1.65	1.65																																															other	OPPS APC			
"POTASSIUM BICARB-CITRIC ACID 20 MEQ TABLET, EFFERVESCENT"	637000000	CDM	51801-012-30	NDC	A9270	HCPCS		inpatient			1.65	1.65																																																			
"POTASSIUM BICARB-CITRIC ACID 20 MEQ TABLET, EFFERVESCENT"	637000000	CDM	51801-012-30	NDC	A9270	HCPCS		outpatient			1.65	1.65																																															other	OPPS APC			
TOPIRAMATE PER 25 MG	637000000	CDM	0904-6928-61	NDC	A9270	HCPCS		inpatient			1.65	1.65																																																			
TOPIRAMATE PER 25 MG	637000000	CDM	0904-6928-61	NDC	A9270	HCPCS		outpatient			1.65	1.65																																															other	OPPS APC			
WARFARIN 3 MG TABLET	637000000	CDM	0832-1214-89	NDC	A9270	HCPCS		inpatient			1.65	1.65																																																			
WARFARIN 3 MG TABLET	637000000	CDM	0832-1214-89	NDC	A9270	HCPCS		outpatient			1.65	1.65																																															other	OPPS APC			
WARFARIN 4 MG TABLET	637000000	CDM	0832-1215-89	NDC	A9270	HCPCS		inpatient			1.65	1.65																																																			
WARFARIN 4 MG TABLET	637000000	CDM	0832-1215-89	NDC	A9270	HCPCS		outpatient			1.65	1.65																																															other	OPPS APC			
BAG ICE CLAMP CLOSE 4TIES WHITE 6.5X14	SUP-11400-300	CDM			270	RC		outpatient			1.65	1.65	0.45				percent of total billed charges		1.65				other	OPPS APC	1.22				percent of total billed charges		1.65				other	OPPS APC	1.65				other	OPPS APC	0.45				percent of total billed charges		0.46				percent of total billed charges		1.65				other	OPPS APC	0.45	1.65	
BAG ICE CLAMP CLOSE 4TIES WHITE 6.5X14	SUP-11400-300	CDM			270	RC		inpatient			1.65	1.65																																																			
METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6322-06	NDC	A9270	HCPCS		inpatient			1.64	1.64																																																			
METOPROLOL SUCCINATE XL 25 MG TABLET EXTENDED RELEASE 24 HR	637000000	CDM	0904-6322-06	NDC	A9270	HCPCS		outpatient			1.64	1.64																																															other	OPPS APC			
"POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG POWDER IN PACKET"	637000000	CDM	6025800601	NDC	A9270	HCPCS		inpatient			1.64	1.64																																																			
"POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG POWDER IN PACKET"	637000000	CDM	6025800601	NDC	A9270	HCPCS		outpatient			1.64	1.64																																															other	OPPS APC			
TUBE ENDO TRACH 5.0 CUFFED	SUP-31-00028	CDM			272	RC		outpatient			1.64	1.64	0.44				percent of total billed charges		1.64				other	OPPS APC	1.21				percent of total billed charges		1.64				other	OPPS APC	1.64				other	OPPS APC	0.44				percent of total billed charges		0.45				percent of total billed charges		1.64				other	OPPS APC	0.44	1.64	
TUBE ENDO TRACH 5.0 CUFFED	SUP-31-00028	CDM			272	RC		inpatient			1.64	1.64																																																			
HYDROXYZINE 25 MG TABLET	637000000	CDM	63739-486-10	NDC	A9270	HCPCS		inpatient			1.63	1.63																																																			
HYDROXYZINE 25 MG TABLET	637000000	CDM	63739-486-10	NDC	A9270	HCPCS		outpatient			1.63	1.63																																															other	OPPS APC			
DEX 5% & .2% SOD CHL 1000ML	SUP-21-00003	CDM			272	RC		outpatient			1.62	1.62	0.44				percent of total billed charges		1.62				other	OPPS APC	1.2				percent of total billed charges		1.62				other	OPPS APC	1.62				other	OPPS APC	0.44				percent of total billed charges		0.45				percent of total billed charges		1.62				other	OPPS APC	0.44	1.62	
DEX 5% & .2% SOD CHL 1000ML	SUP-21-00003	CDM			272	RC		inpatient			1.62	1.62																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-16	NDC	J2250	HCPCS		inpatient			1.61	1.61																																																			
MIDAZOLAM (PF) 1 MG/ML SOLUTION	636000000	CDM	0409-2305-16	NDC	J2250	HCPCS		outpatient			1.61	1.61																																															other	OPPS APC			
WARFARIN 5 MG TABLET	637000000	CDM	62584-994-11	NDC	A9270	HCPCS		inpatient			1.61	1.61																																																			
WARFARIN 5 MG TABLET	637000000	CDM	62584-994-11	NDC	A9270	HCPCS		outpatient			1.61	1.61																																															other	OPPS APC			
KIT INFANT CATH & GLOVE 5FR	SUP-03-00034	CDM			272	RC		outpatient			1.61	1.61	0.44				percent of total billed charges		1.61				other	OPPS APC	1.19				percent of total billed charges		1.61				other	OPPS APC	1.61				other	OPPS APC	0.44				percent of total billed charges		0.44				percent of total billed charges		1.61				other	OPPS APC	0.44	1.61	
KIT INFANT CATH & GLOVE 5FR	SUP-03-00034	CDM			272	RC		inpatient			1.61	1.61																																																			
CONNECTOR TUBING PLASTIC 5 IN 1 CLEAN LIGHTWEIGHT AUTOCLAVABLE NONSTERILE LATEX FREE	SUP-350A	CDM						inpatient			1.61	1.61																																																			
CONNECTOR TUBING PLASTIC 5 IN 1 CLEAN LIGHTWEIGHT AUTOCLAVABLE NONSTERILE LATEX FREE	SUP-350A	CDM						outpatient			1.61	1.61	1.61				percent of total billed charges		1.61				other	OPPS APC	1.61				fee schedule		1.61				other	OPPS APC	1.61				other	OPPS APC	1.61				case rate		1.61				case rate		1.61				other	OPPS APC	1.61	1.61	
"CARBAMAZEPINE 100 MG TABLET,CHEWABLE"	637000000	CDM	0904-3854-61	NDC	A9270	HCPCS		inpatient			1.6	1.6																																																			
"CARBAMAZEPINE 100 MG TABLET,CHEWABLE"	637000000	CDM	0904-3854-61	NDC	A9270	HCPCS		outpatient			1.6	1.6																																															other	OPPS APC			
DOXEPIN 10 MG CAPSULE	637000000	CDM	51079-436-01	NDC	A9270	HCPCS		inpatient			1.6	1.6																																																			
DOXEPIN 10 MG CAPSULE	637000000	CDM	51079-436-01	NDC	A9270	HCPCS		outpatient			1.6	1.6																																															other	OPPS APC			
BAG LEG LATEX STRAPS CAP 19 OZ	SUP-03-00023	CDM			272	RC		outpatient			1.6	1.61	0.43				percent of total billed charges		1.6				other	OPPS APC	1.18				percent of total billed charges		1.6				other	OPPS APC	1.6				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.61				other	OPPS APC	0.43	1.61	
BAG LEG LATEX STRAPS CAP 19 OZ	SUP-03-00023	CDM			272	RC		inpatient			1.6	1.6																																																			
DEX 5% & .9% SOD CHL 1000ML 2B1064X	SUP-21-00012	CDM			272	RC		outpatient			1.6	1.61	0.43				percent of total billed charges		1.6				other	OPPS APC	1.18				percent of total billed charges		1.6				other	OPPS APC	1.6				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.61				other	OPPS APC	0.43	1.61	
DEX 5% & .9% SOD CHL 1000ML 2B1064X	SUP-21-00012	CDM			272	RC		inpatient			1.6	1.6																																																			
TAPE UMBILICAL COTTON FLAT L30 IN X W1/8 IN STERILE LATEX FREE	SUP-31-251	CDM			270	RC		outpatient			1.59	1.59	0.43				percent of total billed charges		1.59				other	OPPS APC	1.18				percent of total billed charges		1.59				other	OPPS APC	1.59				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.59				other	OPPS APC	0.43	1.59	
TAPE UMBILICAL COTTON FLAT L30 IN X W1/8 IN STERILE LATEX FREE	SUP-31-251	CDM			270	RC		inpatient			1.59	1.59																																																			
NEEDLE COUNTER DOUBLE FOAM	SUP-74-00201	CDM			272	RC		outpatient			1.59	1.59	0.43				percent of total billed charges		1.59				other	OPPS APC	1.18				percent of total billed charges		1.59				other	OPPS APC	1.59				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.59				other	OPPS APC	0.43	1.59	
NEEDLE COUNTER DOUBLE FOAM	SUP-74-00201	CDM			272	RC		inpatient			1.59	1.59																																																			
TUBING ARTERIAL PRESSURE 24'	SUP-95-00279	CDM			272	RC		outpatient			1.59	1.59	0.43				percent of total billed charges		1.59				other	OPPS APC	1.18				percent of total billed charges		1.59				other	OPPS APC	1.59				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.59				other	OPPS APC	0.43	1.59	
TUBING ARTERIAL PRESSURE 24'	SUP-95-00279	CDM			272	RC		inpatient			1.59	1.59																																																			
LOSARTAN 50 MG TABLET	637000000	CDM	50268-505-11	NDC	A9270	HCPCS		inpatient			1.58	1.58																																																			
LOSARTAN 50 MG TABLET	637000000	CDM	50268-505-11	NDC	A9270	HCPCS		outpatient			1.58	1.58																																															other	OPPS APC			
DEX 5% & .45% SOD CHL 500ML	SUP-21-00011	CDM			272	RC		outpatient			1.58	1.58	0.43				percent of total billed charges		1.58				other	OPPS APC	1.17				percent of total billed charges		1.58				other	OPPS APC	1.58				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.58				other	OPPS APC	0.43	1.58	
DEX 5% & .45% SOD CHL 500ML	SUP-21-00011	CDM			272	RC		inpatient			1.58	1.58																																																			
POWDER OSTOMY ADAPT STOMAHESIVE 1 OZ PUFF BOTTLE ADHERENCE BARRIER  VIEW WINDOW NONSTERILE LATEX FREE	SUP-7906	CDM			270	RC		outpatient			1.58	1.58	0.43				percent of total billed charges		1.58				other	OPPS APC	1.17				percent of total billed charges		1.58				other	OPPS APC	1.58				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.58				other	OPPS APC	0.43	1.58	
POWDER OSTOMY ADAPT STOMAHESIVE 1 OZ PUFF BOTTLE ADHERENCE BARRIER  VIEW WINDOW NONSTERILE LATEX FREE	SUP-7906	CDM			270	RC		inpatient			1.58	1.58																																																			
TUBING SUCTION MEDI-VAC L12 FT ID1/4 IN NONCONDUCTIVE MALE TO MALE CONNECTOR STERILE LATEX FREE CLEAR	SUP-N612	CDM			270	RC		outpatient			1.58	1.58	0.43				percent of total billed charges		1.58				other	OPPS APC	1.17				percent of total billed charges		1.58				other	OPPS APC	1.58				other	OPPS APC	0.43				percent of total billed charges		0.44				percent of total billed charges		1.58				other	OPPS APC	0.43	1.58	
TUBING SUCTION MEDI-VAC L12 FT ID1/4 IN NONCONDUCTIVE MALE TO MALE CONNECTOR STERILE LATEX FREE CLEAR	SUP-N612	CDM			270	RC		inpatient			1.58	1.58																																																			
CLONAZEPAM 0.5 MG TABLET	637000000	CDM	0904-7227-61	NDC	A9270	HCPCS		inpatient			1.57	1.57																																																			
CLONAZEPAM 0.5 MG TABLET	637000000	CDM	0904-7227-61	NDC	A9270	HCPCS		outpatient			1.57	1.57																																															other	OPPS APC			
"VENLAFAXINE XR 75 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	0904-7077-61	NDC	A9270	HCPCS		inpatient			1.57	1.57																																																			
"VENLAFAXINE XR 75 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	0904-7077-61	NDC	A9270	HCPCS		outpatient			1.57	1.57																																															other	OPPS APC			
SOD CHL INJ 0.9% 1000ML 2B1324	SUP-21-00035	CDM			272	RC		outpatient			1.57	1.57	0.43				percent of total billed charges		1.57				other	OPPS APC	1.16				percent of total billed charges		1.57				other	OPPS APC	1.57				other	OPPS APC	0.43				percent of total billed charges		0.43				percent of total billed charges		1.57				other	OPPS APC	0.43	1.57	
SOD CHL INJ 0.9% 1000ML 2B1324	SUP-21-00035	CDM			272	RC		inpatient			1.57	1.57																																																			
GLOVE SURGICAL SENSICARE ISOLEX POLYISOPRENE PLOYMER 5.5 L 12 IN POWDER FREE SMOOTH TEXTURE BEAD CUFF STERILE LATEX FREE CREAM 9.1MIL THICKNESS	SUP-MSG9055	CDM			270	RC		outpatient			1.57	1.57	0.43				percent of total billed charges		1.57				other	OPPS APC	1.16				percent of total billed charges		1.57				other	OPPS APC	1.57				other	OPPS APC	0.43				percent of total billed charges		0.43				percent of total billed charges		1.57				other	OPPS APC	0.43	1.57	
GLOVE SURGICAL SENSICARE ISOLEX POLYISOPRENE PLOYMER 5.5 L 12 IN POWDER FREE SMOOTH TEXTURE BEAD CUFF STERILE LATEX FREE CREAM 9.1MIL THICKNESS	SUP-MSG9055	CDM			270	RC		inpatient			1.57	1.57																																																			
HYDROMORPHONE PER 4 MG	636000000	CDM	0409-1283-31	NDC	J1170	HCPCS		inpatient			1.56	1.56																																																			
HYDROMORPHONE PER 4 MG	636000000	CDM	0409-1283-31	NDC	J1170	HCPCS		outpatient			1.56	1.56																																															other	OPPS APC			
BACLOFEN 10 MG TABLET	637000000	CDM	50268-106-11	NDC	A9270	HCPCS		inpatient			1.56	1.56																																																			
BACLOFEN 10 MG TABLET	637000000	CDM	50268-106-11	NDC	A9270	HCPCS		outpatient			1.56	1.56																																															other	OPPS APC			
TUBING FRAZIER SUCTION 10 FR	SUP-11-00026	CDM			272	RC		outpatient			1.56	1.56	0.42				percent of total billed charges		1.56				other	OPPS APC	1.15				percent of total billed charges		1.56				other	OPPS APC	1.56				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.56				other	OPPS APC	0.42	1.56	
TUBING FRAZIER SUCTION 10 FR	SUP-11-00026	CDM			272	RC		inpatient			1.56	1.56																																																			
TUBE ENDO TRACH 6.0 CUFFED	SUP-31-00030	CDM			272	RC		outpatient			1.56	1.56	0.42				percent of total billed charges		1.56				other	OPPS APC	1.15				percent of total billed charges		1.56				other	OPPS APC	1.56				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.56				other	OPPS APC	0.42	1.56	
TUBE ENDO TRACH 6.0 CUFFED	SUP-31-00030	CDM			272	RC		inpatient			1.56	1.56																																																			
SHIELD OPHTHALMIC VISITEC POROUS OD8 MM CORNEAL ABSORBENT PAD EASY TO REMOVE LIGHT STERILE LATEX FREE	SUP-581062	CDM			270	RC		outpatient			1.56	1.56	0.42				percent of total billed charges		1.56				other	OPPS APC	1.15				percent of total billed charges		1.56				other	OPPS APC	1.56				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.56				other	OPPS APC	0.42	1.56	
SHIELD OPHTHALMIC VISITEC POROUS OD8 MM CORNEAL ABSORBENT PAD EASY TO REMOVE LIGHT STERILE LATEX FREE	SUP-581062	CDM			270	RC		inpatient			1.56	1.56																																																			
GLOVE SURGICAL BIOGEL ECLIPSE NATURAL RUBBER 8 L299 MM X W103 MM POWDER FREE MICRO ROUGHEN SURFACE BEAD CUFF NONPYROGENIC STERILE LATEX STRAW CURVE FINGER	SUP-75280	CDM						inpatient			1.56	1.56																																																			
GLOVE SURGICAL BIOGEL ECLIPSE NATURAL RUBBER 8 L299 MM X W103 MM POWDER FREE MICRO ROUGHEN SURFACE BEAD CUFF NONPYROGENIC STERILE LATEX STRAW CURVE FINGER	SUP-75280	CDM						outpatient			1.56	1.56	1.56				percent of total billed charges		1.56				other	OPPS APC	1.56				fee schedule		1.56				other	OPPS APC	1.56				other	OPPS APC	1.56				case rate		1.56				case rate		1.56				other	OPPS APC	1.56	1.56	
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	65862-071-01	NDC	A9270	HCPCS		inpatient			1.55	1.55																																																			
AMOXICILLIN 400 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	65862-071-01	NDC	A9270	HCPCS		outpatient			1.55	1.55																																															other	OPPS APC			
PRAMIPEXOLE 0.25 MG TABLET	637000000	CDM	0904-6704-61	NDC	A9270	HCPCS		inpatient			1.55	1.55																																																			
PRAMIPEXOLE 0.25 MG TABLET	637000000	CDM	0904-6704-61	NDC	A9270	HCPCS		outpatient			1.55	1.55																																															other	OPPS APC			
BLADE BEAVER 6700	SUP-73-00043	CDM			272	RC		outpatient			1.55	1.55	0.42				percent of total billed charges		1.55				other	OPPS APC	1.15				percent of total billed charges		1.55				other	OPPS APC	1.55				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.55				other	OPPS APC	0.42	1.55	
BLADE BEAVER 6700	SUP-73-00043	CDM			272	RC		inpatient			1.55	1.55																																																			
SUTURE PROLENE 6-0 8610H	SUP-74-00184	CDM			272	RC		outpatient			1.55	1.55	0.42				percent of total billed charges		1.55				other	OPPS APC	1.15				percent of total billed charges		1.55				other	OPPS APC	1.55				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.55				other	OPPS APC	0.42	1.55	
SUTURE PROLENE 6-0 8610H	SUP-74-00184	CDM			272	RC		inpatient			1.55	1.55																																																			
WARFARIN 1 MG TABLET	637000000	CDM	0832-1211-00	NDC	A9270	HCPCS		inpatient			1.54	1.54																																																			
WARFARIN 1 MG TABLET	637000000	CDM	0832-1211-00	NDC	A9270	HCPCS		outpatient			1.54	1.54																																															other	OPPS APC			
WARFARIN 2 MG TABLET	637000000	CDM	62584-984-11	NDC	A9270	HCPCS		inpatient			1.54	1.54																																																			
WARFARIN 2 MG TABLET	637000000	CDM	62584-984-11	NDC	A9270	HCPCS		outpatient			1.54	1.54																																															other	OPPS APC			
TUBE SALEM SUMP 12FR ANTI REFLUX	SUP-01-00193	CDM			272	RC		outpatient			1.54	1.54	0.42				percent of total billed charges		1.54				other	OPPS APC	1.14				percent of total billed charges		1.54				other	OPPS APC	1.54				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.54				other	OPPS APC	0.42	1.54	
TUBE SALEM SUMP 12FR ANTI REFLUX	SUP-01-00193	CDM			272	RC		inpatient			1.54	1.54																																																			
TUBE SALEM SUMP 14FR ANTI REFLUX	SUP-01-00194	CDM			272	RC		outpatient			1.54	1.54	0.42				percent of total billed charges		1.54				other	OPPS APC	1.14				percent of total billed charges		1.54				other	OPPS APC	1.54				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.54				other	OPPS APC	0.42	1.54	
TUBE SALEM SUMP 14FR ANTI REFLUX	SUP-01-00194	CDM			272	RC		inpatient			1.54	1.54																																																			
TUBE SALEM SUMP 16FR ANTI REFLUX	SUP-01-00195	CDM			272	RC		outpatient			1.54	1.54	0.42				percent of total billed charges		1.54				other	OPPS APC	1.14				percent of total billed charges		1.54				other	OPPS APC	1.54				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.54				other	OPPS APC	0.42	1.54	
TUBE SALEM SUMP 16FR ANTI REFLUX	SUP-01-00195	CDM			272	RC		inpatient			1.54	1.54																																																			
TUBE SALEM SUMP 18FR ANTI REFLUX	SUP-01-00196	CDM			272	RC		outpatient			1.54	1.54	0.42				percent of total billed charges		1.54				other	OPPS APC	1.14				percent of total billed charges		1.54				other	OPPS APC	1.54				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.54				other	OPPS APC	0.42	1.54	
TUBE SALEM SUMP 18FR ANTI REFLUX	SUP-01-00196	CDM			272	RC		inpatient			1.54	1.54																																																			
PROBE SKIN TEMPERATURE 400 SERIES	SUP-40-00075	CDM			272	RC		outpatient			1.54	1.54	0.42				percent of total billed charges		1.54				other	OPPS APC	1.14				percent of total billed charges		1.54				other	OPPS APC	1.54				other	OPPS APC	0.42				percent of total billed charges		0.43				percent of total billed charges		1.54				other	OPPS APC	0.42	1.54	
PROBE SKIN TEMPERATURE 400 SERIES	SUP-40-00075	CDM			272	RC		inpatient			1.54	1.54																																																			
DRAPE EQUIPMENT PROXIMA SMS L53 IN X W24 IN MAYOSTAND COVER STERILE LATEX FREE DISPOSABLE	SUP-DYNJP2500	CDM						inpatient			1.54	1.54																																																			
DRAPE EQUIPMENT PROXIMA SMS L53 IN X W24 IN MAYOSTAND COVER STERILE LATEX FREE DISPOSABLE	SUP-DYNJP2500	CDM						outpatient			1.54	1.54	1.54				percent of total billed charges		1.54				other	OPPS APC	1.54				fee schedule		1.54				other	OPPS APC	1.54				other	OPPS APC	1.54				case rate		1.54				case rate		1.54				other	OPPS APC	1.54	1.54	
DEX 5% INJ 1000ML   2B0064X	SUP-21-00016	CDM			272	RC		outpatient			1.53	1.53	0.41				percent of total billed charges		1.53				other	OPPS APC	1.13				percent of total billed charges		1.53				other	OPPS APC	1.53				other	OPPS APC	0.41				percent of total billed charges		0.42				percent of total billed charges		1.53				other	OPPS APC	0.41	1.53	
DEX 5% INJ 1000ML   2B0064X	SUP-21-00016	CDM			272	RC		inpatient			1.53	1.53																																																			
HYDROXYZINE 25 MG TABLET	637000000	CDM	0904-6617-61	NDC	A9270	HCPCS		inpatient			1.52	1.52																																																			
HYDROXYZINE 25 MG TABLET	637000000	CDM	0904-6617-61	NDC	A9270	HCPCS		outpatient			1.52	1.52																																															other	OPPS APC			
LEVOTHYROXINE 88 MCG TABLET	637000000	CDM	42292-038-01	NDC	A9270	HCPCS		inpatient			1.52	1.52																																																			
LEVOTHYROXINE 88 MCG TABLET	637000000	CDM	42292-038-20	NDC	A9270	HCPCS		inpatient			1.52	1.52																																																			
LEVOTHYROXINE 88 MCG TABLET	637000000	CDM	42292-038-01	NDC	A9270	HCPCS		outpatient			1.52	1.52																																															other	OPPS APC			
LEVOTHYROXINE 88 MCG TABLET	637000000	CDM	42292-038-20	NDC	A9270	HCPCS		outpatient			1.52	1.52																																															other	OPPS APC			
TUBE ENDO TRACH 4.0 CUFFED	SUP-31-00025	CDM			272	RC		outpatient			1.52	1.52	0.41				percent of total billed charges		1.52				other	OPPS APC	1.12				percent of total billed charges		1.52				other	OPPS APC	1.52				other	OPPS APC	0.41				percent of total billed charges		0.42				percent of total billed charges		1.52				other	OPPS APC	0.41	1.52	
TUBE ENDO TRACH 4.0 CUFFED	SUP-31-00025	CDM			272	RC		inpatient			1.52	1.52																																																			
GAS SAMPLING INTERFACE	SUP-40-00065	CDM			272	RC		outpatient			1.52	1.52	0.41				percent of total billed charges		1.52				other	OPPS APC	1.12				percent of total billed charges		1.52				other	OPPS APC	1.52				other	OPPS APC	0.41				percent of total billed charges		0.42				percent of total billed charges		1.52				other	OPPS APC	0.41	1.52	
GAS SAMPLING INTERFACE	SUP-40-00065	CDM			272	RC		inpatient			1.52	1.52																																																			
KELLY CURVED STERILE	SUP-01-00126	CDM			272	RC		outpatient			1.51	1.51	0.41				percent of total billed charges		1.51				other	OPPS APC	1.12				percent of total billed charges		1.51				other	OPPS APC	1.51				other	OPPS APC	0.41				percent of total billed charges		0.42				percent of total billed charges		1.51				other	OPPS APC	0.41	1.51	
KELLY CURVED STERILE	SUP-01-00126	CDM			272	RC		inpatient			1.51	1.51																																																			
TUBING SIGMOID 18 FR.	SUP-74-00441	CDM			272	RC		outpatient			1.51	1.51	0.41				percent of total billed charges		1.51				other	OPPS APC	1.12				percent of total billed charges		1.51				other	OPPS APC	1.51				other	OPPS APC	0.41				percent of total billed charges		0.42				percent of total billed charges		1.51				other	OPPS APC	0.41	1.51	
TUBING SIGMOID 18 FR.	SUP-74-00441	CDM			272	RC		inpatient			1.51	1.51																																																			
"HEPARIN, PORCINE (PF) 10 UNIT/ML SYRINGE"	636000000	CDM	6425322235	NDC	J1642	HCPCS		inpatient			1.5	1.5																																																			
"HEPARIN, PORCINE (PF) 10 UNIT/ML SYRINGE"	636000000	CDM	6425322235	NDC	J1642	HCPCS		outpatient			1.5	1.5																																															other	OPPS APC			
NALOXONE PER 1 MG	636000000	CDM	36000-308-01	NDC	J2310	HCPCS		inpatient			1.5	1.5																																																			
NALOXONE PER 1 MG	636000000	CDM	36000-308-01	NDC	J2310	HCPCS		outpatient			1.5	1.5																																															other	OPPS APC			
LOSARTAN 25 MG TABLET	637000000	CDM	50268-504-11	NDC	A9270	HCPCS		inpatient			1.5	1.5																																																			
LOSARTAN 25 MG TABLET	637000000	CDM	50268-504-11	NDC	A9270	HCPCS		outpatient			1.5	1.5																																															other	OPPS APC			
NICOTINE 2 MG GUM	637000000	CDM	0536-3029-34	NDC	A9270	HCPCS		inpatient			1.5	1.5																																																			
NICOTINE 2 MG GUM	637000000	CDM	0536-3029-34	NDC	A9270	HCPCS		outpatient			1.5	1.5																																															other	OPPS APC			
SEAL ENDOSCOPIC INSTRUMENT RUBBER	SUP-00131	CDM						inpatient			1.5	1.5																																																			
SEAL ENDOSCOPIC INSTRUMENT RUBBER	SUP-00131	CDM						outpatient			1.5	1.5	1.5				percent of total billed charges		1.5				other	OPPS APC	1.5				fee schedule		1.5				other	OPPS APC	1.5				other	OPPS APC	1.5				case rate		1.5				case rate		1.5				other	OPPS APC	1.5	1.5	
BARRIER OSTOMY NEW IMAGE CERAPLUS CERAMIDE 2-IN OPEN CONVEX OD 2 3/4 IN SOFT ADHESIVE TAPE BORDER INTEGRATE FLOAT FLANGE CUT TO FIT LATEX FREE BLUE	SUP-11704	CDM			270	RC		outpatient			1.5	1.5	0.41				percent of total billed charges		1.5				other	OPPS APC	1.11				percent of total billed charges		1.5				other	OPPS APC	1.5				other	OPPS APC	0.41				percent of total billed charges		0.41				percent of total billed charges		1.5				other	OPPS APC	0.41	1.5	
BARRIER OSTOMY NEW IMAGE CERAPLUS CERAMIDE 2-IN OPEN CONVEX OD 2 3/4 IN SOFT ADHESIVE TAPE BORDER INTEGRATE FLOAT FLANGE CUT TO FIT LATEX FREE BLUE	SUP-11704	CDM			270	RC		inpatient			1.5	1.5																																																			
BARRIER SKIN NEW IMAGE FLEXTEND CONVEX OD2 IN ODSEC2 3/4 IN 2 PIECE CUT TO FIT FLOAT FLANGE BLUE	SUP-14804	CDM						inpatient			1.5	1.5																																																			
BARRIER SKIN NEW IMAGE FLEXTEND CONVEX OD2 IN ODSEC2 3/4 IN 2 PIECE CUT TO FIT FLOAT FLANGE BLUE	SUP-14804	CDM						outpatient			1.5	1.5	1.5				percent of total billed charges		1.5				other	OPPS APC	1.5				fee schedule		1.5				other	OPPS APC	1.5				other	OPPS APC	1.5				case rate		1.5				case rate		1.5				other	OPPS APC	1.5	1.5	
MASK NEONATAL	SUP-40-00008	CDM			272	RC		outpatient			1.5	1.5	0.41				percent of total billed charges		1.5				other	OPPS APC	1.11				percent of total billed charges		1.5				other	OPPS APC	1.5				other	OPPS APC	0.41				percent of total billed charges		0.41				percent of total billed charges		1.5				other	OPPS APC	0.41	1.5	
MASK NEONATAL	SUP-40-00008	CDM			272	RC		inpatient			1.5	1.5																																																			
ACETAMINOPHEN 650 MG SUPPOSITORY	637000000	CDM	45802-730-32	NDC	A9270	HCPCS		inpatient			1.49	1.49																																																			
ACETAMINOPHEN 650 MG SUPPOSITORY	637000000	CDM	45802-730-32	NDC	A9270	HCPCS		outpatient			1.49	1.49																																															other	OPPS APC			
BENZONATATE 100 MG CAPSULE	637000000	CDM	0904-7153-61	NDC	A9270	HCPCS		inpatient			1.49	1.49																																																			
BENZONATATE 100 MG CAPSULE	637000000	CDM	0904-7153-61	NDC	A9270	HCPCS		outpatient			1.49	1.49																																															other	OPPS APC			
BARRIER SKIN NEW IMAGE FLEXTEND CONVEX OD1 1/2 IN ODSEC2 1/4 IN CUT TO FIT FLOAT FLANGE 2 PIECE RED	SUP-14803	CDM						inpatient			1.49	1.49																																																			
BARRIER SKIN NEW IMAGE FLEXTEND CONVEX OD1 1/2 IN ODSEC2 1/4 IN CUT TO FIT FLOAT FLANGE 2 PIECE RED	SUP-14803	CDM						outpatient			1.49	1.49	1.49				percent of total billed charges		1.49				other	OPPS APC	1.49				fee schedule		1.49				other	OPPS APC	1.49				other	OPPS APC	1.49				case rate		1.49				case rate		1.49				other	OPPS APC	1.49	1.49	
PADDING CAST KENDALL WEBRIL 4YDX4IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-3175	CDM						inpatient			1.49	1.49																																																			
PADDING CAST KENDALL WEBRIL 4YDX4IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-3175	CDM						outpatient			1.49	1.49	1.49				percent of total billed charges		1.49				other	OPPS APC	1.49				fee schedule		1.49				other	OPPS APC	1.49				other	OPPS APC	1.49				case rate		1.49				case rate		1.49				other	OPPS APC	1.49	1.49	
SUTURE NONABSORBABLE PERMA-HAND SUTUPAK SILK 1 L18 IN BRAID TIES 6 STRAND PRECUT BLACK	SUP-A187H	CDM			270	RC		outpatient			1.49	1.49	0.4				percent of total billed charges		1.49				other	OPPS APC	1.1				percent of total billed charges		1.49				other	OPPS APC	1.49				other	OPPS APC	0.4				percent of total billed charges		0.41				percent of total billed charges		1.49				other	OPPS APC	0.4	1.49	
SUTURE NONABSORBABLE PERMA-HAND SUTUPAK SILK 1 L18 IN BRAID TIES 6 STRAND PRECUT BLACK	SUP-A187H	CDM			270	RC		inpatient			1.49	1.49																																																			
FENTANYL 10 MCG/ML SOLUTION	250000000	CDM	90000-002-29	NDC				inpatient			1.48	1.48																																																			
FENTANYL 10 MCG/ML SOLUTION	250000000	CDM	90000-002-29	NDC				outpatient			1.48	1.48																																															other	OPPS APC			
TUBE ENDO TRACH 8.0 CUFFED	SUP-31-00032	CDM			272	RC		outpatient			1.48	1.48	0.4				percent of total billed charges		1.48				other	OPPS APC	1.1				percent of total billed charges		1.48				other	OPPS APC	1.48				other	OPPS APC	0.4				percent of total billed charges		0.41				percent of total billed charges		1.48				other	OPPS APC	0.4	1.48	
TUBE ENDO TRACH 8.0 CUFFED	SUP-31-00032	CDM			272	RC		inpatient			1.48	1.48																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 8.5 301X109MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41185	CDM						inpatient			1.48	1.48																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 8.5 301X109MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41185	CDM						outpatient			1.48	1.48	1.48				percent of total billed charges		1.48				other	OPPS APC	1.48				fee schedule		1.48				other	OPPS APC	1.48				other	OPPS APC	1.48				case rate		1.48				case rate		1.48				other	OPPS APC	1.48	1.48	
PUNCH BIOPSY 6MM DISPOSABLE	SUP-97-00373	CDM			272	RC		outpatient			1.48	1.48	0.4				percent of total billed charges		1.48				other	OPPS APC	1.1				percent of total billed charges		1.48				other	OPPS APC	1.48				other	OPPS APC	0.4				percent of total billed charges		0.41				percent of total billed charges		1.48				other	OPPS APC	0.4	1.48	
PUNCH BIOPSY 6MM DISPOSABLE	SUP-97-00373	CDM			272	RC		inpatient			1.48	1.48																																																			
BENZTROPINE 1 MG TABLET	637000000	CDM	68084-388-11	NDC	A9270	HCPCS		inpatient			1.47	1.47																																																			
BENZTROPINE 1 MG TABLET	637000000	CDM	68084-388-11	NDC	A9270	HCPCS		outpatient			1.47	1.47																																															other	OPPS APC			
TUBE ENDO TRACH 7.0 CUFFED	SUP-31-00031	CDM			272	RC		outpatient			1.47	1.47	0.4				percent of total billed charges		1.47				other	OPPS APC	1.09				percent of total billed charges		1.47				other	OPPS APC	1.47				other	OPPS APC	0.4				percent of total billed charges		0.41				percent of total billed charges		1.47				other	OPPS APC	0.4	1.47	
TUBE ENDO TRACH 7.0 CUFFED	SUP-31-00031	CDM			272	RC		inpatient			1.47	1.47																																																			
TUBE ENDO TRACH 7.5 CUFFED	SUP-31-00049	CDM			272	RC		outpatient			1.47	1.47	0.4				percent of total billed charges		1.47				other	OPPS APC	1.09				percent of total billed charges		1.47				other	OPPS APC	1.47				other	OPPS APC	0.4				percent of total billed charges		0.41				percent of total billed charges		1.47				other	OPPS APC	0.4	1.47	
TUBE ENDO TRACH 7.5 CUFFED	SUP-31-00049	CDM			272	RC		inpatient			1.47	1.47																																																			
TUBE ENDO TRACH 8.5 CUFFED	SUP-31-00050	CDM			272	RC		outpatient			1.47	1.47	0.4				percent of total billed charges		1.47				other	OPPS APC	1.09				percent of total billed charges		1.47				other	OPPS APC	1.47				other	OPPS APC	0.4				percent of total billed charges		0.41				percent of total billed charges		1.47				other	OPPS APC	0.4	1.47	
TUBE ENDO TRACH 8.5 CUFFED	SUP-31-00050	CDM			272	RC		inpatient			1.47	1.47																																																			
AMOXICILLIN 250 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	65862-707-01	NDC	A9270	HCPCS		inpatient			1.46	1.46																																																			
AMOXICILLIN 250 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	65862-707-01	NDC	A9270	HCPCS		outpatient			1.46	1.46																																															other	OPPS APC			
ATORVASTATIN 40 MG TABLET	637000000	CDM	0904-6292-06	NDC	A9270	HCPCS		inpatient			1.46	1.46																																																			
ATORVASTATIN 40 MG TABLET	637000000	CDM	0904-6292-06	NDC	A9270	HCPCS		outpatient			1.46	1.46																																															other	OPPS APC			
SET EXTENSION DEHP L30 IN 4 ML INTRAVENOUS MALE LUER LOCK ADAPTER STERILE LATEX FREE	SUP-2C5645	CDM						inpatient			1.46	1.46																																																			
SET EXTENSION DEHP L30 IN 4 ML INTRAVENOUS MALE LUER LOCK ADAPTER STERILE LATEX FREE	SUP-2C5645	CDM						outpatient			1.46	1.46	1.46				percent of total billed charges		1.46				other	OPPS APC	1.46				fee schedule		1.46				other	OPPS APC	1.46				other	OPPS APC	1.46				case rate		1.46				case rate		1.46				other	OPPS APC	1.46	1.46	
DRESSING ADHESIVE KENDALL TELFA 8X4IN POLYESTER COTTON STERILE LF ISLAND ABSORBENT NONADHERENT FILM NONWOVEN	SUP-7541	CDM						inpatient			1.46	1.46																																																			
DRESSING ADHESIVE KENDALL TELFA 8X4IN POLYESTER COTTON STERILE LF ISLAND ABSORBENT NONADHERENT FILM NONWOVEN	SUP-7541	CDM						outpatient			1.46	1.46	1.46				percent of total billed charges		1.46				other	OPPS APC	1.46				fee schedule		1.46				other	OPPS APC	1.46				other	OPPS APC	1.46				case rate		1.46				case rate		1.46				other	OPPS APC	1.46	1.46	
"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	0904-7219-61	NDC	A9270	HCPCS		inpatient			1.45	1.45																																																			
"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	0904-7219-61	NDC	A9270	HCPCS		outpatient			1.45	1.45																																															other	OPPS APC			
SYRINGE MEDICAL BD BD LUER-LOK 10ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE CONTROL NONPYROGENIC DEHP FREE	SUP-309695	CDM						inpatient			1.45	1.45																																																			
SYRINGE MEDICAL BD BD LUER-LOK 10ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE CONTROL NONPYROGENIC DEHP FREE	SUP-309695	CDM						outpatient			1.45	1.45	1.45				percent of total billed charges		1.45				other	OPPS APC	1.45				fee schedule		1.45				other	OPPS APC	1.45				other	OPPS APC	1.45				case rate		1.45				case rate		1.45				other	OPPS APC	1.45	1.45	
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	7733383525	NDC	A9270	HCPCS		inpatient			1.44	1.44																																																			
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	77333-844-25	NDC	A9270	HCPCS		inpatient			1.44	1.44																																																			
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	7733383525	NDC	A9270	HCPCS		outpatient			1.44	1.44																																															other	OPPS APC			
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	77333-844-25	NDC	A9270	HCPCS		outpatient			1.44	1.44																																															other	OPPS APC			
SUTURE VICRYL 4-0 J214H	SUP-95-03643	CDM			272	RC		outpatient			1.44	1.44	0.39				percent of total billed charges		1.44				other	OPPS APC	1.07				percent of total billed charges		1.44				other	OPPS APC	1.44				other	OPPS APC	0.39				percent of total billed charges		0.4				percent of total billed charges		1.44				other	OPPS APC	0.39	1.44	
SUTURE VICRYL 4-0 J214H	SUP-95-03643	CDM			272	RC		inpatient			1.44	1.44																																																			
METOPROLOL TARTRATE 50 MG TABLET	637000000	CDM	51079-801-01	NDC	A9270	HCPCS		inpatient			1.43	1.43																																																			
METOPROLOL TARTRATE 50 MG TABLET	637000000	CDM	51079-801-20	NDC	A9270	HCPCS		inpatient			1.43	1.43																																																			
METOPROLOL TARTRATE 50 MG TABLET	637000000	CDM	51079-801-01	NDC	A9270	HCPCS		outpatient			1.43	1.43																																															other	OPPS APC			
METOPROLOL TARTRATE 50 MG TABLET	637000000	CDM	51079-801-20	NDC	A9270	HCPCS		outpatient			1.43	1.43																																															other	OPPS APC			
DEX INJ 5%  100/150   2B0087	SUP-21-00019	CDM			272	RC		outpatient			1.43	1.43	0.39				percent of total billed charges		1.43				other	OPPS APC	1.06				percent of total billed charges		1.43				other	OPPS APC	1.43				other	OPPS APC	0.39				percent of total billed charges		0.4				percent of total billed charges		1.43				other	OPPS APC	0.39	1.43	
DEX INJ 5%  100/150   2B0087	SUP-21-00019	CDM			272	RC		inpatient			1.43	1.43																																																			
SOD CHL INJ .45% 500ML  2B1313	SUP-21-00033	CDM			272	RC		outpatient			1.43	1.43	0.39				percent of total billed charges		1.43				other	OPPS APC	1.06				percent of total billed charges		1.43				other	OPPS APC	1.43				other	OPPS APC	0.39				percent of total billed charges		0.4				percent of total billed charges		1.43				other	OPPS APC	0.39	1.43	
SOD CHL INJ .45% 500ML  2B1313	SUP-21-00033	CDM			272	RC		inpatient			1.43	1.43																																																			
BENZTROPINE 1 MG TABLET	637000000	CDM	0904-7289-61	NDC	A9270	HCPCS		inpatient			1.42	1.42																																																			
BENZTROPINE 1 MG TABLET	637000000	CDM	0904-7289-61	NDC	A9270	HCPCS		outpatient			1.42	1.42																																															other	OPPS APC			
METHOCARBAMOL 500 MG TABLET	637000000	CDM	63739-991-10	NDC	A9270	HCPCS		inpatient			1.42	1.42																																																			
METHOCARBAMOL 500 MG TABLET	637000000	CDM	63739-991-10	NDC	A9270	HCPCS		outpatient			1.42	1.42																																															other	OPPS APC			
NO-STING STICKS 3M	SUP-15-00012	CDM			271	RC		outpatient			1.42	1.42	0.38				percent of total billed charges		1.42				other	OPPS APC	1.05				percent of total billed charges		1.42				other	OPPS APC	1.42				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.42				other	OPPS APC	0.38	1.42	
NO-STING STICKS 3M	SUP-15-00012	CDM			271	RC		inpatient			1.42	1.42																																																			
DRESSING TRANSPARENT 3M TEGADERM OVAL 4.5X4IN POLYURETHANE STERILE LF ADHESIVE WATERPROOF	SUP-1630	CDM			270	RC		outpatient			1.42	1.42	0.38				percent of total billed charges		1.42				other	OPPS APC	1.05				percent of total billed charges		1.42				other	OPPS APC	1.42				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.42				other	OPPS APC	0.38	1.42	
DRESSING TRANSPARENT 3M TEGADERM OVAL 4.5X4IN POLYURETHANE STERILE LF ADHESIVE WATERPROOF	SUP-1630	CDM			270	RC		inpatient			1.42	1.42																																																			
DEX INJ 5% 250ML   2B0062Q	SUP-21-00020	CDM			272	RC		outpatient			1.42	1.42	0.38				percent of total billed charges		1.42				other	OPPS APC	1.05				percent of total billed charges		1.42				other	OPPS APC	1.42				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.42				other	OPPS APC	0.38	1.42	
DEX INJ 5% 250ML   2B0062Q	SUP-21-00020	CDM			272	RC		inpatient			1.42	1.42																																																			
STERI DRAPE STERI  BLU PUNCT 1092	SUP-23-00002	CDM			272	RC		outpatient			1.42	1.42	0.38				percent of total billed charges		1.42				other	OPPS APC	1.05				percent of total billed charges		1.42				other	OPPS APC	1.42				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.42				other	OPPS APC	0.38	1.42	
STERI DRAPE STERI  BLU PUNCT 1092	SUP-23-00002	CDM			272	RC		inpatient			1.42	1.42																																																			
HYDRALAZINE 50 MG TABLET	637000000	CDM	23155-834-01	NDC	A9270	HCPCS		inpatient			1.41	1.41																																																			
HYDRALAZINE 50 MG TABLET	637000000	CDM	23155-834-01	NDC	A9270	HCPCS		outpatient			1.41	1.41																																															other	OPPS APC			
LEVOTHYROXINE 50 MCG TABLET	637000000	CDM	0904-6950-61	NDC	A9270	HCPCS		inpatient			1.41	1.41																																																			
LEVOTHYROXINE 50 MCG TABLET	637000000	CDM	0904-6950-61	NDC	A9270	HCPCS		outpatient			1.41	1.41																																															other	OPPS APC			
LITHIUM CARBONATE 150 MG CAPSULE	637000000	CDM	0054-8526-25	NDC	A9270	HCPCS		inpatient			1.41	1.41																																																			
LITHIUM CARBONATE 150 MG CAPSULE	637000000	CDM	0054-8526-25	NDC	A9270	HCPCS		outpatient			1.41	1.41																																															other	OPPS APC			
QUETIAPINE 100 MG TABLET	637000000	CDM	0904-6640-61	NDC	A9270	HCPCS		inpatient			1.41	1.41																																																			
QUETIAPINE 100 MG TABLET	637000000	CDM	0904-6640-61	NDC	A9270	HCPCS		outpatient			1.41	1.41																																															other	OPPS APC			
DEX 5% INJ 500ML  2B0063Q	SUP-21-00015	CDM			272	RC		outpatient			1.41	1.5	0.38				percent of total billed charges		1.41				other	OPPS APC	1.04				percent of total billed charges		1.41				other	OPPS APC	1.41				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.5				other	OPPS APC	0.38	1.5	
DEX 5% INJ 500ML  2B0063Q	SUP-21-00015	CDM			272	RC		inpatient			1.41	1.41																																																			
LACT RINGER INJ 500ML  2B2323Q	SUP-21-00027	CDM			272	RC		outpatient			1.41	1.5	0.38				percent of total billed charges		1.41				other	OPPS APC	1.04				percent of total billed charges		1.41				other	OPPS APC	1.41				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.5				other	OPPS APC	0.38	1.5	
LACT RINGER INJ 500ML  2B2323Q	SUP-21-00027	CDM			272	RC		inpatient			1.41	1.41																																																			
SOD CHL INJ 0.9%  100/150 2B1307	SUP-21-00034	CDM			272	RC		outpatient			1.41	1.5	0.38				percent of total billed charges		1.41				other	OPPS APC	1.04				percent of total billed charges		1.41				other	OPPS APC	1.41				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.5				other	OPPS APC	0.38	1.5	
SOD CHL INJ 0.9%  100/150 2B1307	SUP-21-00034	CDM			272	RC		inpatient			1.41	1.41																																																			
MASK VENTURI	SUP-30-00068	CDM			272	RC		outpatient			1.41	1.5	0.38				percent of total billed charges		1.41				other	OPPS APC	1.04				percent of total billed charges		1.41				other	OPPS APC	1.41				other	OPPS APC	0.38				percent of total billed charges		0.39				percent of total billed charges		1.5				other	OPPS APC	0.38	1.5	
MASK VENTURI	SUP-30-00068	CDM			272	RC		inpatient			1.41	1.41																																																			
STRIP SKIN CLOSURE L4 IN X W.5 IN ADHERENT HYPOALLERGENIC POROUS REINFORCED FILAMENT STERILE LATEX FREE	SUP-1047	CDM			270	RC		outpatient			1.39	1.39	0.38				percent of total billed charges		1.39				other	OPPS APC	1.03				percent of total billed charges		1.39				other	OPPS APC	1.39				other	OPPS APC	0.38				percent of total billed charges		0.38				percent of total billed charges		1.39				other	OPPS APC	0.38	1.39	
STRIP SKIN CLOSURE L4 IN X W.5 IN ADHERENT HYPOALLERGENIC POROUS REINFORCED FILAMENT STERILE LATEX FREE	SUP-1047	CDM			270	RC		inpatient			1.39	1.39																																																			
DEX INJ 5%  50/150   2B0086	SUP-21-00021	CDM			272	RC		outpatient			1.39	1.39	0.38				percent of total billed charges		1.39				other	OPPS APC	1.03				percent of total billed charges		1.39				other	OPPS APC	1.39				other	OPPS APC	0.38				percent of total billed charges		0.38				percent of total billed charges		1.39				other	OPPS APC	0.38	1.39	
DEX INJ 5%  50/150   2B0086	SUP-21-00021	CDM			272	RC		inpatient			1.39	1.39																																																			
SOD CHL INJ 0.9%  50/150 2B1306	SUP-21-00038	CDM			272	RC		outpatient			1.39	1.39	0.38				percent of total billed charges		1.39				other	OPPS APC	1.03				percent of total billed charges		1.39				other	OPPS APC	1.39				other	OPPS APC	0.38				percent of total billed charges		0.38				percent of total billed charges		1.39				other	OPPS APC	0.38	1.39	
SOD CHL INJ 0.9%  50/150 2B1306	SUP-21-00038	CDM			272	RC		inpatient			1.39	1.39																																																			
SPIRONOLACTONE 50 MG TABLET	637000000	CDM	60687-476-11	NDC	A9270	HCPCS		inpatient			1.38	1.38																																																			
SPIRONOLACTONE 50 MG TABLET	637000000	CDM	60687-476-11	NDC	A9270	HCPCS		outpatient			1.38	1.38																																															other	OPPS APC			
TUBE ENDO TRACH 3.0 CUFFED	SUP-31-00022	CDM			272	RC		outpatient			1.38	1.38	0.37				percent of total billed charges		1.38				other	OPPS APC	1.02				percent of total billed charges		1.38				other	OPPS APC	1.38				other	OPPS APC	0.37				percent of total billed charges		0.38				percent of total billed charges		1.38				other	OPPS APC	0.37	1.38	
TUBE ENDO TRACH 3.0 CUFFED	SUP-31-00022	CDM			272	RC		inpatient			1.38	1.38																																																			
DICYCLOMINE PER 20 MG	637000000	CDM	60687-380-11	NDC	A9270	HCPCS		inpatient			1.37	1.37																																																			
DICYCLOMINE PER 20 MG	637000000	CDM	60687-380-11	NDC	A9270	HCPCS		outpatient			1.37	1.37																																															other	OPPS APC			
LEVOTHYROXINE 25 MCG TABLET	637000000	CDM	0904-6949-61	NDC	A9270	HCPCS		inpatient			1.37	1.37																																																			
LEVOTHYROXINE 25 MCG TABLET	637000000	CDM	0904-6949-61	NDC	A9270	HCPCS		outpatient			1.37	1.37																																															other	OPPS APC			
LOPERAMIDE 1 MG/7.5 ML LIQUID	637000000	CDM	0904-6836-20	NDC	A9270	HCPCS		inpatient			1.37	1.37																																																			
LOPERAMIDE 1 MG/7.5 ML LIQUID	637000000	CDM	0904-6836-20	NDC	A9270	HCPCS		outpatient			1.37	1.37																																															other	OPPS APC			
SERTRALINE 100 MG TABLET	637000000	CDM	0904-6926-61	NDC	A9270	HCPCS		inpatient			1.37	1.37																																																			
SERTRALINE 100 MG TABLET	637000000	CDM	0904-6926-61	NDC	A9270	HCPCS		outpatient			1.37	1.37																																															other	OPPS APC			
DEX 5% & .2% SOD CHL 250ML	SUP-21-00004	CDM			272	RC		outpatient			1.37	1.37	0.37				percent of total billed charges		1.37				other	OPPS APC	1.01				percent of total billed charges		1.37				other	OPPS APC	1.37				other	OPPS APC	0.37				percent of total billed charges		0.38				percent of total billed charges		1.37				other	OPPS APC	0.37	1.37	
DEX 5% & .2% SOD CHL 250ML	SUP-21-00004	CDM			272	RC		inpatient			1.37	1.37																																																			
OXYCODONE 5 MG TABLET	637000000	CDM	0406-0552-23	NDC	A9270	HCPCS		inpatient			1.36	1.36																																																			
OXYCODONE 5 MG TABLET	637000000	CDM	0406-0552-23	NDC	A9270	HCPCS		outpatient			1.36	1.36																																															other	OPPS APC			
POUCH OSTOMY NEW IMAGE COMFORTWEAR L 12 IN OD 2 3/4 IN 2 PIECE DRAINABLE HIGH OUTPUT ODOR BARRIER FILM BLUE ULTRACLEAR	SUP-18014	CDM			270	RC		outpatient			1.36	1.36	0.37				percent of total billed charges		1.36				other	OPPS APC	1.01				percent of total billed charges		1.36				other	OPPS APC	1.36				other	OPPS APC	0.37				percent of total billed charges		0.38				percent of total billed charges		1.36				other	OPPS APC	0.37	1.36	
POUCH OSTOMY NEW IMAGE COMFORTWEAR L 12 IN OD 2 3/4 IN 2 PIECE DRAINABLE HIGH OUTPUT ODOR BARRIER FILM BLUE ULTRACLEAR	SUP-18014	CDM			270	RC		inpatient			1.36	1.36																																																			
SPIKE TRANSOFIX TRANSFER VENTED DOUBLE	SUP-95-03863	CDM			272	RC		outpatient			1.36	1.36	0.37				percent of total billed charges		1.36				other	OPPS APC	1.01				percent of total billed charges		1.36				other	OPPS APC	1.36				other	OPPS APC	0.37				percent of total billed charges		0.38				percent of total billed charges		1.36				other	OPPS APC	0.37	1.36	
SPIKE TRANSOFIX TRANSFER VENTED DOUBLE	SUP-95-03863	CDM			272	RC		inpatient			1.36	1.36																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION 30 ML VIAL	636000000	CDM	63323-492-26	NDC	J2001	HCPCS		inpatient			1.35	1.35																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION 30 ML VIAL	636000000	CDM	63323-492-26	NDC	J2001	HCPCS		outpatient			1.35	1.35																																															other	OPPS APC			
BANDAIDS SPOT	SUP-10-00068	CDM			272	RC		outpatient			1.35	1.35	0.37				percent of total billed charges		1.35				other	OPPS APC	1				percent of total billed charges		1.35				other	OPPS APC	1.35				other	OPPS APC	0.37				percent of total billed charges		0.37				percent of total billed charges		1.35				other	OPPS APC	0.37	1.35	
BANDAIDS SPOT	SUP-10-00068	CDM			272	RC		inpatient			1.35	1.35																																																			
DRESSING  PETROLATUM 3 X 9 LF	SUP-10-00106	CDM			272	RC		outpatient			1.35	1.35	0.37				percent of total billed charges		1.35				other	OPPS APC	1				percent of total billed charges		1.35				other	OPPS APC	1.35				other	OPPS APC	0.37				percent of total billed charges		0.37				percent of total billed charges		1.35				other	OPPS APC	0.37	1.35	
DRESSING  PETROLATUM 3 X 9 LF	SUP-10-00106	CDM			272	RC		inpatient			1.35	1.35																																																			
BANDAGE GAUZE KERLIX LG 4 1/8YDX4.5IN COTTON STERILE LF 6 PLY ABSORBENT SOFT POUCH LINT FREE	SUP-6715	CDM						inpatient			1.35	1.35																																																			
BANDAGE GAUZE KERLIX LG 4 1/8YDX4.5IN COTTON STERILE LF 6 PLY ABSORBENT SOFT POUCH LINT FREE	SUP-6715	CDM						outpatient			1.35	1.35	1.35				percent of total billed charges		1.35				other	OPPS APC	1.35				fee schedule		1.35				other	OPPS APC	1.35				other	OPPS APC	1.35				case rate		1.35				case rate		1.35				other	OPPS APC	1.35	1.35	
HYDRALAZINE 10 MG TABLET	637000000	CDM	68084-447-11	NDC	A9270	HCPCS		inpatient			1.34	1.34																																																			
HYDRALAZINE 10 MG TABLET	637000000	CDM	68084-447-11	NDC	A9270	HCPCS		outpatient			1.34	1.34																																															other	OPPS APC			
GLOVE SURGICAL BIOGEL ULTRATOUCH 6 285X77MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41160	CDM						inpatient			1.34	1.34																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 6 285X77MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41160	CDM						outpatient			1.34	1.34	1.34				percent of total billed charges		1.34				other	OPPS APC	1.34				fee schedule		1.34				other	OPPS APC	1.34				other	OPPS APC	1.34				case rate		1.34				case rate		1.34				other	OPPS APC	1.34	1.34	
GLOVE SURGICAL BIOGEL ULTRATOUCH 6.5 285X85MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41165	CDM						inpatient			1.34	1.34																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 6.5 285X85MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41165	CDM						outpatient			1.34	1.34	1.34				percent of total billed charges		1.34				other	OPPS APC	1.34				fee schedule		1.34				other	OPPS APC	1.34				other	OPPS APC	1.34				case rate		1.34				case rate		1.34				other	OPPS APC	1.34	1.34	
GLOVE SURGICAL BIOGEL ULTRATOUCH 7 288X91MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41170	CDM						inpatient			1.34	1.34																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 7 288X91MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41170	CDM						outpatient			1.34	1.34	1.34				percent of total billed charges		1.34				other	OPPS APC	1.34				fee schedule		1.34				other	OPPS APC	1.34				other	OPPS APC	1.34				case rate		1.34				case rate		1.34				other	OPPS APC	1.34	1.34	
GLOVE SURGICAL BIOGEL ULTRATOUCH 8 299X103MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41180	CDM						inpatient			1.34	1.34																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 8 299X103MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41180	CDM						outpatient			1.34	1.34	1.34				percent of total billed charges		1.34				other	OPPS APC	1.34				fee schedule		1.34				other	OPPS APC	1.34				other	OPPS APC	1.34				case rate		1.34				case rate		1.34				other	OPPS APC	1.34	1.34	
GLOVE SURGICAL BIOGEL ULTRATOUCH 9 301X115MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41190	CDM						inpatient			1.34	1.34																																																			
GLOVE SURGICAL BIOGEL ULTRATOUCH 9 301X115MM STRAW POLYISOPRENE STERILE LF POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-41190	CDM						outpatient			1.34	1.34	1.34				percent of total billed charges		1.34				other	OPPS APC	1.34				fee schedule		1.34				other	OPPS APC	1.34				other	OPPS APC	1.34				case rate		1.34				case rate		1.34				other	OPPS APC	1.34	1.34	
SERTRALINE 100 MG TABLET	637000000	CDM	60687-253-11	NDC	A9270	HCPCS		inpatient			1.33	1.33																																																			
SERTRALINE 100 MG TABLET	637000000	CDM	60687-253-11	NDC	A9270	HCPCS		outpatient			1.33	1.33																																															other	OPPS APC			
GEL AQUASONIC	SUP-01-00006	CDM			272	RC		outpatient			1.33	1.33	0.36				percent of total billed charges		1.33				other	OPPS APC	0.98				percent of total billed charges		1.33				other	OPPS APC	1.33				other	OPPS APC	0.36				percent of total billed charges		0.37				percent of total billed charges		1.33				other	OPPS APC	0.36	1.33	
GEL AQUASONIC	SUP-01-00006	CDM			272	RC		inpatient			1.33	1.33																																																			
MASK ADULT LRG 6	SUP-40-00074	CDM			272	RC		outpatient			1.33	1.33	0.36				percent of total billed charges		1.33				other	OPPS APC	0.98				percent of total billed charges		1.33				other	OPPS APC	1.33				other	OPPS APC	0.36				percent of total billed charges		0.37				percent of total billed charges		1.33				other	OPPS APC	0.36	1.33	
MASK ADULT LRG 6	SUP-40-00074	CDM			272	RC		inpatient			1.33	1.33																																																			
ATORVASTATIN 20 MG TABLET	637000000	CDM	0904-6291-61	NDC	A9270	HCPCS		inpatient			1.32	1.32																																																			
ATORVASTATIN 20 MG TABLET	637000000	CDM	0904-6291-61	NDC	A9270	HCPCS		outpatient			1.32	1.32																																															other	OPPS APC			
ATORVASTATIN 40 MG TABLET	637000000	CDM	50268-095-15	NDC	A9270	HCPCS		inpatient			1.32	1.32																																																			
ATORVASTATIN 40 MG TABLET	637000000	CDM	50268-095-15	NDC	A9270	HCPCS		outpatient			1.32	1.32																																															other	OPPS APC			
DILTIAZEM 30 MG TABLET	637000000	CDM	60687-717-11	NDC	A9270	HCPCS		inpatient			1.32	1.32																																																			
DILTIAZEM 30 MG TABLET	637000000	CDM	60687-717-11	NDC	A9270	HCPCS		outpatient			1.32	1.32																																															other	OPPS APC			
CANNULA ADULT DIVIDED W/7'  02 LINE	SUP-40-00071	CDM			272	RC		outpatient			1.32	1.32	0.36				percent of total billed charges		1.32				other	OPPS APC	0.98				percent of total billed charges		1.32				other	OPPS APC	1.32				other	OPPS APC	0.36				percent of total billed charges		0.36				percent of total billed charges		1.32				other	OPPS APC	0.36	1.32	
CANNULA ADULT DIVIDED W/7'  02 LINE	SUP-40-00071	CDM			272	RC		inpatient			1.32	1.32																																																			
GLOVE SURGICAL PI INDICATOR 8 299X103MM BLUE BIOGEL POLYISOPRENE STERILE LF POWDER FREE SMOOTH BEAD CUFF UNDERGLOVE	SUP-41680	CDM						inpatient			1.32	1.32																																																			
GLOVE SURGICAL PI INDICATOR 8 299X103MM BLUE BIOGEL POLYISOPRENE STERILE LF POWDER FREE SMOOTH BEAD CUFF UNDERGLOVE	SUP-41680	CDM						outpatient			1.32	1.32	1.32				percent of total billed charges		1.32				other	OPPS APC	1.32				fee schedule		1.32				other	OPPS APC	1.32				other	OPPS APC	1.32				case rate		1.32				case rate		1.32				other	OPPS APC	1.32	1.32	
ATORVASTATIN 20 MG TABLET	637000000	CDM	50268-094-11	NDC	A9270	HCPCS		inpatient			1.31	1.31																																																			
ATORVASTATIN 20 MG TABLET	637000000	CDM	50268-094-15	NDC	A9270	HCPCS		inpatient			1.31	1.31																																																			
ATORVASTATIN 20 MG TABLET	637000000	CDM	50268-094-11	NDC	A9270	HCPCS		outpatient			1.31	1.31																																															other	OPPS APC			
ATORVASTATIN 20 MG TABLET	637000000	CDM	50268-094-15	NDC	A9270	HCPCS		outpatient			1.31	1.31																																															other	OPPS APC			
ATORVASTATIN 40 MG TABLET	637000000	CDM	50268-095-11	NDC	A9270	HCPCS		inpatient			1.31	1.31																																																			
ATORVASTATIN 40 MG TABLET	637000000	CDM	50268-095-11	NDC	A9270	HCPCS		outpatient			1.31	1.31																																															other	OPPS APC			
SYRINGE EAR-ULCER	SUP-11-00014	CDM			272	RC		outpatient			1.31	1.31	0.35				percent of total billed charges		1.31				other	OPPS APC	0.97				percent of total billed charges		1.31				other	OPPS APC	1.31				other	OPPS APC	0.35				percent of total billed charges		0.36				percent of total billed charges		1.31				other	OPPS APC	0.35	1.31	
SYRINGE EAR-ULCER	SUP-11-00014	CDM			272	RC		inpatient			1.31	1.31																																																			
DRESSING PETROLATUM VASELINE CISION 8X1IN WHITE GAUZE STERILE LF NONADHERENT FINE MESH NONTOXIC ABSORBENT	SUP-8884427601	CDM						inpatient			1.31	1.31																																																			
DRESSING PETROLATUM VASELINE CISION 8X1IN WHITE GAUZE STERILE LF NONADHERENT FINE MESH NONTOXIC ABSORBENT	SUP-8884427601	CDM						outpatient			1.31	1.31	1.31				percent of total billed charges		1.31				other	OPPS APC	1.31				fee schedule		1.31				other	OPPS APC	1.31				other	OPPS APC	1.31				case rate		1.31				case rate		1.31				other	OPPS APC	1.31	1.31	
AMITRIPTYLINE 25 MG TABLET	637000000	CDM	0904-7184-61	NDC	A9270	HCPCS		inpatient			1.3	1.3																																																			
AMITRIPTYLINE 25 MG TABLET	637000000	CDM	0904-7184-61	NDC	A9270	HCPCS		outpatient			1.3	1.3																																															other	OPPS APC			
AMITRIPTYLINE 25 MG TABLET	637000000	CDM	60687-433-11	NDC	A9270	HCPCS		inpatient			1.29	1.29																																																			
AMITRIPTYLINE 25 MG TABLET	637000000	CDM	60687-433-11	NDC	A9270	HCPCS		outpatient			1.29	1.29																																															other	OPPS APC			
FUROSEMIDE 20 MG TABLET	637000000	CDM	0054-8297-25	NDC	A9270	HCPCS		inpatient			1.29	1.29																																																			
FUROSEMIDE 20 MG TABLET	637000000	CDM	0054-8297-25	NDC	A9270	HCPCS		outpatient			1.29	1.29																																															other	OPPS APC			
LENS PROTECTIVE SPEYES EYE SHIELDZ ULTRACLEAR CLIP ON OFF SEAL MOUNT TOP STRIP WRAPAROUND NONSTERILE LATEX FREE DISPOSABLE	SUP-23-501	CDM						inpatient			1.29	1.29																																																			
LENS PROTECTIVE SPEYES EYE SHIELDZ ULTRACLEAR CLIP ON OFF SEAL MOUNT TOP STRIP WRAPAROUND NONSTERILE LATEX FREE DISPOSABLE	SUP-23-501	CDM						outpatient			1.29	1.29	1.29				percent of total billed charges		1.29				other	OPPS APC	1.29				fee schedule		1.29				other	OPPS APC	1.29				other	OPPS APC	1.29				case rate		1.29				case rate		1.29				other	OPPS APC	1.29	1.29	
PREDNISONE PER 5 MG	636000000	CDM	64380-782-06	NDC	J7512	HCPCS		inpatient			1.27	1.27																																																			
PREDNISONE PER 5 MG	636000000	CDM	64380-782-06	NDC	J7512	HCPCS		outpatient			1.27	1.27																																															other	OPPS APC			
ISONIAZID 300 MG TABLET	637000000	CDM	0555-0071-01	NDC	A9270	HCPCS		inpatient			1.27	1.27																																																			
ISONIAZID 300 MG TABLET	637000000	CDM	0555-0071-01	NDC	A9270	HCPCS		outpatient			1.27	1.27																																															other	OPPS APC			
SCISSORS S&B STERILE	SUP-01-00041	CDM			272	RC		outpatient			1.27	1.27	0.34				percent of total billed charges		1.27				other	OPPS APC	0.94				percent of total billed charges		1.27				other	OPPS APC	1.27				other	OPPS APC	0.34				percent of total billed charges		0.35				percent of total billed charges		1.27				other	OPPS APC	0.34	1.27	
SCISSORS S&B STERILE	SUP-01-00041	CDM			272	RC		inpatient			1.27	1.27																																																			
BACLOFEN 10 MG TABLET	637000000	CDM	0904-6475-61	NDC	A9270	HCPCS		inpatient			1.26	1.26																																																			
BACLOFEN 10 MG TABLET	637000000	CDM	0904-6475-61	NDC	A9270	HCPCS		outpatient			1.26	1.26																																															other	OPPS APC			
OXYBUTYNIN 5 MG TABLET	637000000	CDM	60687-670-11	NDC	A9270	HCPCS		inpatient			1.26	1.26																																																			
OXYBUTYNIN 5 MG TABLET	637000000	CDM	60687-670-11	NDC	A9270	HCPCS		outpatient			1.26	1.26																																															other	OPPS APC			
SOD CHL INJ 0.9% 250ML  2B1322	SUP-21-00036	CDM			272	RC		outpatient			1.26	1.26	0.34				percent of total billed charges		1.26				other	OPPS APC	0.93				percent of total billed charges		1.26				other	OPPS APC	1.26				other	OPPS APC	0.34				percent of total billed charges		0.35				percent of total billed charges		1.26				other	OPPS APC	0.34	1.26	
SOD CHL INJ 0.9% 250ML  2B1322	SUP-21-00036	CDM			272	RC		inpatient			1.26	1.26																																																			
DEODORANT OSTOMY M9 2 OZ PUMP SPRAY BOTTLE ROOM NEUTRALIZE NONSTERILE LATEX FREE UNSCENTED	SUP-7732	CDM						inpatient			1.26	1.26																																																			
DEODORANT OSTOMY M9 2 OZ PUMP SPRAY BOTTLE ROOM NEUTRALIZE NONSTERILE LATEX FREE UNSCENTED	SUP-7732	CDM						outpatient			1.26	1.26	1.26				percent of total billed charges		1.26				other	OPPS APC	1.26				fee schedule		1.26				other	OPPS APC	1.26				other	OPPS APC	1.26				case rate		1.26				case rate		1.26				other	OPPS APC	1.26	1.26	
AMOXICILLIN 250 MG CAPSULE	637000000	CDM	65862-016-01	NDC	A9270	HCPCS		inpatient			1.25	1.25																																																			
AMOXICILLIN 250 MG CAPSULE	637000000	CDM	65862-016-01	NDC	A9270	HCPCS		outpatient			1.25	1.25																																															other	OPPS APC			
GABAPENTIN 400 MG CAPSULE	637000000	CDM	0904-6667-61	NDC	A9270	HCPCS		inpatient			1.24	1.24																																																			
GABAPENTIN 400 MG CAPSULE	637000000	CDM	0904-6667-61	NDC	A9270	HCPCS		outpatient			1.24	1.24																																															other	OPPS APC			
SELF-CATH	SUP-212	CDM			270	RC		outpatient			1.24	1.24	0.34				percent of total billed charges		1.24				other	OPPS APC	0.92				percent of total billed charges		1.24				other	OPPS APC	1.24				other	OPPS APC	0.34				percent of total billed charges		0.34				percent of total billed charges		1.24				other	OPPS APC	0.34	1.24	
SELF-CATH	SUP-212	CDM			270	RC		inpatient			1.24	1.24																																																			
RECY 42' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00427	CDM			272	RC		outpatient			1.24	1.24	0.34				percent of total billed charges		1.24				other	OPPS APC	0.92				percent of total billed charges		1.24				other	OPPS APC	1.24				other	OPPS APC	0.34				percent of total billed charges		0.34				percent of total billed charges		1.24				other	OPPS APC	0.34	1.24	
RECY 42' A.T.S DISP CUFF W/ SLEEVE	SUP-74-00427	CDM			272	RC		inpatient			1.24	1.24																																																			
MEMANTINE 5 MG TABLET	637000000	CDM	0904-6505-06	NDC	A9270	HCPCS		inpatient			1.23	1.23																																																			
MEMANTINE 5 MG TABLET	637000000	CDM	0904-6505-06	NDC	A9270	HCPCS		outpatient			1.23	1.23																																															other	OPPS APC			
SLEEVE SURGICAL ECLIPSE L23 IN CSR WRAP GOWN STERILE LATEX FREE BLUE	SUP-DYNJP2000	CDM						inpatient			1.23	1.23																																																			
SLEEVE SURGICAL ECLIPSE L23 IN CSR WRAP GOWN STERILE LATEX FREE BLUE	SUP-DYNJP2000	CDM						outpatient			1.23	1.23	1.23				percent of total billed charges		1.23				other	OPPS APC	1.23				fee schedule		1.23				other	OPPS APC	1.23				other	OPPS APC	1.23				case rate		1.23				case rate		1.23				other	OPPS APC	1.23	1.23	
KIT ENEMA	SUP-12-00011	CDM			271	RC		outpatient			1.22	1.22	0.33				percent of total billed charges		1.22				other	OPPS APC	0.9				percent of total billed charges		1.22				other	OPPS APC	1.22				other	OPPS APC	0.33				percent of total billed charges		0.34				percent of total billed charges		1.22				other	OPPS APC	0.33	1.22	
KIT ENEMA	SUP-12-00011	CDM			271	RC		inpatient			1.22	1.22																																																			
ALLOPURINOL 100 MG TABLET	637000000	CDM	16714-576-02	NDC	A9270	HCPCS		inpatient			1.21	1.21																																																			
ALLOPURINOL 100 MG TABLET	637000000	CDM	16714-576-02	NDC	A9270	HCPCS		outpatient			1.21	1.21																																															other	OPPS APC			
APPLICATOR PREP CHLORAPREP FREPP ENTURIA 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 1.5 ML 1 STEP AMPULE DRIP RESISTANT STERILE LATEX FREE DISPOSABLE	SUP-930299	CDM	270009040	LOCAL	270	RC		outpatient			1.21	1.21	0.33				percent of total billed charges		1.21				other	OPPS APC	0.9				percent of total billed charges		1.21				other	OPPS APC	1.21				other	OPPS APC	0.33				percent of total billed charges		0.33				percent of total billed charges		1.21				other	OPPS APC	0.33	1.21	
APPLICATOR PREP CHLORAPREP FREPP ENTURIA 70% ISOPROPYL ALCOHOL 2% CHLORHEXIDINE GLUCONATE 1.5 ML 1 STEP AMPULE DRIP RESISTANT STERILE LATEX FREE DISPOSABLE	SUP-930299	CDM	270009040	LOCAL	270	RC		inpatient			1.21	1.21																																																			
LINER BIOHAZARD RED 37X50 3.0 MIL	SUP-G5000XR	CDM						inpatient			1.21	1.21																																																			
LINER BIOHAZARD RED 37X50 3.0 MIL	SUP-G5000XR	CDM						outpatient			1.21	1.21	1.21				percent of total billed charges		1.21				other	OPPS APC	1.21				fee schedule		1.21				other	OPPS APC	1.21				other	OPPS APC	1.21				case rate		1.21				case rate		1.21				other	OPPS APC	1.21	1.21	
PREDNISONE PER 5 MG	636000000	CDM	60687-145-11	NDC	J7512	HCPCS		inpatient			1.19	1.19																																																			
PREDNISONE PER 5 MG	636000000	CDM	60687-145-11	NDC	J7512	HCPCS		outpatient			1.19	1.19																																															other	OPPS APC			
TAMSULOSIN 0.4 MG CAPSULE	637000000	CDM	50268-740-11	NDC	A9270	HCPCS		inpatient			1.19	1.19																																																			
TAMSULOSIN 0.4 MG CAPSULE	637000000	CDM	50268-740-11	NDC	A9270	HCPCS		outpatient			1.19	1.19																																															other	OPPS APC			
TUBE SUCTION ARGYLE YANKAUER VINYL L25 CM OD22 FR SET LARGE TIP NO VACUUM CONTROL INNER LUMEN LATEX FREE DISPOSABLE	SUP-8888502005	CDM						inpatient			1.19	1.19																																																			
TUBE SUCTION ARGYLE YANKAUER VINYL L25 CM OD22 FR SET LARGE TIP NO VACUUM CONTROL INNER LUMEN LATEX FREE DISPOSABLE	SUP-8888502005	CDM						outpatient			1.19	1.19	1.19				percent of total billed charges		1.19				other	OPPS APC	1.19				fee schedule		1.19				other	OPPS APC	1.19				other	OPPS APC	1.19				case rate		1.19				case rate		1.19				other	OPPS APC	1.19	1.19	
EYESHIELD SAFEVIEW GLASSES	SUP-97-00296	CDM			271	RC		outpatient			1.19	1.19	0.32				percent of total billed charges		1.19				other	OPPS APC	0.88				percent of total billed charges		1.19				other	OPPS APC	1.19				other	OPPS APC	0.32				percent of total billed charges		0.33				percent of total billed charges		1.19				other	OPPS APC	0.32	1.19	
EYESHIELD SAFEVIEW GLASSES	SUP-97-00296	CDM			271	RC		inpatient			1.19	1.19																																																			
WASHCLOTH CLEANSING ALOETOUCH 8X8IN 3.2% DIMETHICONE DISPOSABLE LF NONANTIBACTERIAL NEEDLE PUNCH MED WEIGHT ALCOHOL FREE	SUP-MSC095223	CDM			270	RC		outpatient			1.19	1.19	0.32				percent of total billed charges		1.19				other	OPPS APC	0.88				percent of total billed charges		1.19				other	OPPS APC	1.19				other	OPPS APC	0.32				percent of total billed charges		0.33				percent of total billed charges		1.19				other	OPPS APC	0.32	1.19	
WASHCLOTH CLEANSING ALOETOUCH 8X8IN 3.2% DIMETHICONE DISPOSABLE LF NONANTIBACTERIAL NEEDLE PUNCH MED WEIGHT ALCOHOL FREE	SUP-MSC095223	CDM			270	RC		inpatient			1.19	1.19																																																			
"ARTICAINE-EPINEPHRINE 4 %- 1:200,000 CARTRIDGE"	250000000	CDM	0362-9048-02	NDC				inpatient			1.18	1.18																																																			
"ARTICAINE-EPINEPHRINE 4 %- 1:200,000 CARTRIDGE"	250000000	CDM	0362-9048-02	NDC				outpatient			1.18	1.18																																															other	OPPS APC			
SPONGE SUPER FLUFF	SUP-14-00023	CDM			272	RC		outpatient			1.18	1.18	0.32				percent of total billed charges		1.18				other	OPPS APC	0.87				percent of total billed charges		1.18				other	OPPS APC	1.18				other	OPPS APC	0.32				percent of total billed charges		0.33				percent of total billed charges		1.18				other	OPPS APC	0.32	1.18	
SPONGE SUPER FLUFF	SUP-14-00023	CDM			272	RC		inpatient			1.18	1.18																																																			
HYDROGEN PEROXIDE 4OZ	SUP-MDS098014	CDM						inpatient			1.18	1.18																																																			
HYDROGEN PEROXIDE 4OZ	SUP-MDS098014	CDM						outpatient			1.18	1.18	1.18				percent of total billed charges		1.18				other	OPPS APC	1.18				fee schedule		1.18				other	OPPS APC	1.18				other	OPPS APC	1.18				case rate		1.18				case rate		1.18				other	OPPS APC	1.18	1.18	
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	0904-7218-61	NDC	A9270	HCPCS		inpatient			1.17	1.17																																																			
"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24HR"	637000000	CDM	0904-7218-61	NDC	A9270	HCPCS		outpatient			1.17	1.17																																															other	OPPS APC			
TAPE SURGICAL 3M MICROPORE 10YDX2IN WHITE PAPER DISPOSABLE LF HYPOALLERGENIC BREATHABLE	SUP-1530-2	CDM						inpatient			1.17	1.17																																																			
TAPE SURGICAL 3M MICROPORE 10YDX2IN WHITE PAPER DISPOSABLE LF HYPOALLERGENIC BREATHABLE	SUP-1530-2	CDM						outpatient			1.17	1.17	1.17				percent of total billed charges		1.17				other	OPPS APC	1.17				fee schedule		1.17				other	OPPS APC	1.17				other	OPPS APC	1.17				case rate		1.17				case rate		1.17				other	OPPS APC	1.17	1.17	
TUBE FEEDING KANGAROO PVC L16 IN OD 5 FR ENTERAL CONNECT RADIOPAQUE DEHP FREE TRANSPARENT STERILE LATEX FREE PURPLE	SUP-460802	CDM			270	RC		outpatient			1.17	1.17	0.32				percent of total billed charges		1.17				other	OPPS APC	0.87				percent of total billed charges		1.17				other	OPPS APC	1.17				other	OPPS APC	0.32				percent of total billed charges		0.32				percent of total billed charges		1.17				other	OPPS APC	0.32	1.17	
TUBE FEEDING KANGAROO PVC L16 IN OD 5 FR ENTERAL CONNECT RADIOPAQUE DEHP FREE TRANSPARENT STERILE LATEX FREE PURPLE	SUP-460802	CDM			270	RC		inpatient			1.17	1.17																																																			
SUCRALFATE 1 GRAM TABLET	637000000	CDM	60687-695-11	NDC	A9270	HCPCS		inpatient			1.15	1.15																																																			
SUCRALFATE 1 GRAM TABLET	637000000	CDM	60687-695-11	NDC	A9270	HCPCS		outpatient			1.15	1.15																																															other	OPPS APC			
MORPHINE IMMEDIATE RELEASE 15 MG TABLET	637000000	CDM	0054-0235-24	NDC	A9270	HCPCS		inpatient			1.14	1.14																																																			
MORPHINE IMMEDIATE RELEASE 15 MG TABLET	637000000	CDM	0054-0235-24	NDC	A9270	HCPCS		outpatient			1.14	1.14																																															other	OPPS APC			
PADDING CAST KENDALL WEBRIL 4YDX3IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-2059-	CDM						inpatient			1.14	1.14																																																			
PADDING CAST KENDALL WEBRIL 4YDX3IN COTTON NS LF UNDERCAST MILD STRETCH COHESIVE REGULAR FINISH	SUP-2059-	CDM						outpatient			1.14	1.14	1.14				percent of total billed charges		1.14				other	OPPS APC	1.14				fee schedule		1.14				other	OPPS APC	1.14				other	OPPS APC	1.14				case rate		1.14				case rate		1.14				other	OPPS APC	1.14	1.14	
RING OSTOMY BAG ADAPT FLEXTEND M FLAT BENT W4.5 MM OD2 IN STING FREE STRETCH MOLD SKIN BARRIER LATEX FREE	SUP-7805	CDM						inpatient			1.14	1.14																																																			
RING OSTOMY BAG ADAPT FLEXTEND M FLAT BENT W4.5 MM OD2 IN STING FREE STRETCH MOLD SKIN BARRIER LATEX FREE	SUP-7805	CDM						outpatient			1.14	1.14	1.14				percent of total billed charges		1.14				other	OPPS APC	1.14				fee schedule		1.14				other	OPPS APC	1.14				other	OPPS APC	1.14				case rate		1.14				case rate		1.14				other	OPPS APC	1.14	1.14	
RING OSTOMY BAG ADAPT CERARING CERAMIDE 2 IN W 4.5 MM FLEXTEND M LATEX FREE DISPOSABLE	SUP-8805	CDM			270	RC		outpatient			1.14	1.14	0.31				percent of total billed charges		1.14				other	OPPS APC	0.84				percent of total billed charges		1.14				other	OPPS APC	1.14				other	OPPS APC	0.31				percent of total billed charges		0.31				percent of total billed charges		1.14				other	OPPS APC	0.31	1.14	
RING OSTOMY BAG ADAPT CERARING CERAMIDE 2 IN W 4.5 MM FLEXTEND M LATEX FREE DISPOSABLE	SUP-8805	CDM			270	RC		inpatient			1.14	1.14																																																			
NASAL TUBE FASTENER W/SKIN PREP	SUP-01-00199	CDM			272	RC		outpatient			1.13	1.13	0.31				percent of total billed charges		1.13				other	OPPS APC	0.84				percent of total billed charges		1.13				other	OPPS APC	1.13				other	OPPS APC	0.31				percent of total billed charges		0.31				percent of total billed charges		1.13				other	OPPS APC	0.31	1.13	
NASAL TUBE FASTENER W/SKIN PREP	SUP-01-00199	CDM			272	RC		inpatient			1.13	1.13																																																			
METHIMAZOLE 5 MG TABLET	637000000	CDM	23155-070-01	NDC	A9270	HCPCS		inpatient			1.12	1.12																																																			
METHIMAZOLE 5 MG TABLET	637000000	CDM	23155-070-01	NDC	A9270	HCPCS		outpatient			1.12	1.12																																															other	OPPS APC			
ALPRAZOLAM 0.5 MG TABLET	637000000	CDM	60687-388-01	NDC	A9270	HCPCS		inpatient			1.11	1.11																																																			
ALPRAZOLAM 0.5 MG TABLET	637000000	CDM	60687-388-01	NDC	A9270	HCPCS		outpatient			1.11	1.11																																															other	OPPS APC			
GLIPIZIDE 5 MG TABLET	637000000	CDM	50268-361-11	NDC	A9270	HCPCS		inpatient			1.11	1.11																																																			
GLIPIZIDE 5 MG TABLET	637000000	CDM	50268-361-11	NDC	A9270	HCPCS		outpatient			1.11	1.11																																															other	OPPS APC			
"POTASSIUM CHLORIDE 10 MEQ TABLET,ER PARTICLES/CRYSTALS"	637000000	CDM	0904-7292-61	NDC	A9270	HCPCS		inpatient			1.11	1.11																																																			
"POTASSIUM CHLORIDE 10 MEQ TABLET,ER PARTICLES/CRYSTALS"	637000000	CDM	0904-7292-61	NDC	A9270	HCPCS		outpatient			1.11	1.11																																															other	OPPS APC			
DISPOSABLE LEG PLATE W/PAD	SUP-01-00020	CDM			271	RC		outpatient			1.11	1.11	0.3				percent of total billed charges		1.11				other	OPPS APC	0.82				percent of total billed charges		1.11				other	OPPS APC	1.11				other	OPPS APC	0.3				percent of total billed charges		0.31				percent of total billed charges		1.11				other	OPPS APC	0.3	1.11	
DISPOSABLE LEG PLATE W/PAD	SUP-01-00020	CDM			271	RC		inpatient			1.11	1.11																																																			
TISSUE TOILET MEGA PLY EMBOSSED WHITE	SUP-18280/01	CDM						inpatient			1.11	1.11																																																			
TISSUE TOILET MEGA PLY EMBOSSED WHITE	SUP-18280/01	CDM						outpatient			1.11	1.11	1.11				percent of total billed charges		1.11				other	OPPS APC	1.11				fee schedule		1.11				other	OPPS APC	1.11				other	OPPS APC	1.11				case rate		1.11				case rate		1.11				other	OPPS APC	1.11	1.11	
TUBE ENDO TRACH 5.0 UNCUFFED	SUP-31-00029	CDM			272	RC		outpatient			1.11	1.11	0.3				percent of total billed charges		1.11				other	OPPS APC	0.82				percent of total billed charges		1.11				other	OPPS APC	1.11				other	OPPS APC	0.3				percent of total billed charges		0.31				percent of total billed charges		1.11				other	OPPS APC	0.3	1.11	
TUBE ENDO TRACH 5.0 UNCUFFED	SUP-31-00029	CDM			272	RC		inpatient			1.11	1.11																																																			
HYDRALAZINE 50 MG TABLET	637000000	CDM	62584-734-11	NDC	A9270	HCPCS		inpatient			1.1	1.1																																																			
HYDRALAZINE 50 MG TABLET	637000000	CDM	62584-734-11	NDC	A9270	HCPCS		outpatient			1.1	1.1																																															other	OPPS APC			
DRESSING DUODERM 4 X 4	SUP-10-00136	CDM			272	RC		outpatient			1.1	1.11	0.3				percent of total billed charges		1.1				other	OPPS APC	0.81				percent of total billed charges		1.1				other	OPPS APC	1.1				other	OPPS APC	0.3				percent of total billed charges		0.3				percent of total billed charges		1.11				other	OPPS APC	0.3	1.11	
DRESSING DUODERM 4 X 4	SUP-10-00136	CDM			272	RC		inpatient			1.1	1.1																																																			
CLEARLINK VALVE	SUP-20-00067	CDM			272	RC		outpatient			1.1	1.11	0.3				percent of total billed charges		1.1				other	OPPS APC	0.81				percent of total billed charges		1.1				other	OPPS APC	1.1				other	OPPS APC	0.3				percent of total billed charges		0.3				percent of total billed charges		1.11				other	OPPS APC	0.3	1.11	
CLEARLINK VALVE	SUP-20-00067	CDM			272	RC		inpatient			1.1	1.1																																																			
TIP SUCTION YANKAUER PLASTIC STANDARD TUBE RIGID TRANSPARENT SLIP RESISTANT HANDLE STERILE LATEX FREE CLEAR	SUP-DYND50130	CDM			270	RC		outpatient			1.1	1.11	0.3				percent of total billed charges		1.1				other	OPPS APC	0.81				percent of total billed charges		1.1				other	OPPS APC	1.1				other	OPPS APC	0.3				percent of total billed charges		0.3				percent of total billed charges		1.11				other	OPPS APC	0.3	1.11	
TIP SUCTION YANKAUER PLASTIC STANDARD TUBE RIGID TRANSPARENT SLIP RESISTANT HANDLE STERILE LATEX FREE CLEAR	SUP-DYND50130	CDM			270	RC		inpatient			1.1	1.1																																																			
SPIRONOLACTONE 50 MG TABLET	637000000	CDM	63739-545-10	NDC	A9270	HCPCS		inpatient			1.09	1.09																																																			
SPIRONOLACTONE 50 MG TABLET	637000000	CDM	63739-545-10	NDC	A9270	HCPCS		outpatient			1.09	1.09																																															other	OPPS APC			
SUTURE SILK 3-0 SH K832H	SUP-95-05278	CDM			272	RC		outpatient			1.09	1.91	0.3				percent of total billed charges		1.09				other	OPPS APC	0.81				percent of total billed charges		1.09				other	OPPS APC	1.09				other	OPPS APC	0.3				percent of total billed charges		0.3				percent of total billed charges		1.91				other	OPPS APC	0.3	1.91	
SUTURE SILK 3-0 SH K832H	SUP-95-05278	CDM			272	RC		inpatient			1.09	1.09																																																			
HYDROMORPHONE (PF) 100 MCG/0.3 ML SOLUTION	636000000	CDM	63323-852-25	NDC	J1170	HCPCS		inpatient			1.08	1.08																																																			
HYDROMORPHONE (PF) 100 MCG/0.3 ML SOLUTION	636000000	CDM	63323-852-25	NDC	J1170	HCPCS		outpatient			1.08	1.08																																															other	OPPS APC			
IMIPRAMINE 10 MG TABLET	637000000	CDM	69584-425-10	NDC	A9270	HCPCS		inpatient			1.08	1.08																																																			
IMIPRAMINE 10 MG TABLET	637000000	CDM	69584-425-10	NDC	A9270	HCPCS		outpatient			1.08	1.08																																															other	OPPS APC			
BISACODYL 10 MG SUPPOSITORY	637000000	CDM	0574-7050-12	NDC	A9270	HCPCS		inpatient			1.07	1.07																																																			
BISACODYL 10 MG SUPPOSITORY	637000000	CDM	0574-7050-12	NDC	A9270	HCPCS		outpatient			1.07	1.07																																															other	OPPS APC			
HYDROCHLOROTHIAZIDE 12.5 MG TABLET	637000000	CDM	16729-182-01	NDC	A9270	HCPCS		inpatient			1.07	1.07																																																			
HYDROCHLOROTHIAZIDE 12.5 MG TABLET	637000000	CDM	16729-182-01	NDC	A9270	HCPCS		outpatient			1.07	1.07																																															other	OPPS APC			
RISPERIDONE 1 MG TABLET	637000000	CDM	0904-7362-61	NDC	A9270	HCPCS		inpatient			1.07	1.07																																																			
RISPERIDONE 1 MG TABLET	637000000	CDM	0904-7362-61	NDC	A9270	HCPCS		outpatient			1.07	1.07																																															other	OPPS APC			
ARMBOARD IV (PADDED)	SUP-20-00041	CDM			272	RC		outpatient			1.07	1.71	0.29				percent of total billed charges		1.07				other	OPPS APC	0.79				percent of total billed charges		1.07				other	OPPS APC	1.07				other	OPPS APC	0.29				percent of total billed charges		0.3				percent of total billed charges		1.71				other	OPPS APC	0.29	1.71	
ARMBOARD IV (PADDED)	SUP-20-00041	CDM			272	RC		inpatient			1.07	1.07																																																			
TOWEL SURGICAL ALLEGIANCE COTTON L24 IN X W17 IN HIGH ABSORBENT WOVEN DELINT PREWASH STERILE LATEX FREE DISPOSABLE GREEN	SUP-28200-004	CDM						inpatient			1.07	1.07																																																			
TOWEL SURGICAL ALLEGIANCE COTTON L24 IN X W17 IN HIGH ABSORBENT WOVEN DELINT PREWASH STERILE LATEX FREE DISPOSABLE GREEN	SUP-28200-004	CDM						outpatient			1.07	1.71	1.07				percent of total billed charges		1.07				other	OPPS APC	1.07				fee schedule		1.07				other	OPPS APC	1.07				other	OPPS APC	1.07				case rate		1.07				case rate		1.71				other	OPPS APC	1.07	1.71	
DRESSING PETROLATUM XEROFORM 3% BISMUTH TRIBROMOPHENATE GAUZE L8 IN X W1 IN NONADHERENT OCCLUSIVE BACTERIOSTATIC LOW PROFILE STERILE LATEX FREE	SUP-8884433301	CDM						inpatient			1.07	1.07																																																			
DRESSING PETROLATUM XEROFORM 3% BISMUTH TRIBROMOPHENATE GAUZE L8 IN X W1 IN NONADHERENT OCCLUSIVE BACTERIOSTATIC LOW PROFILE STERILE LATEX FREE	SUP-8884433301	CDM						outpatient			1.07	1.71	1.07				percent of total billed charges		1.07				other	OPPS APC	1.07				fee schedule		1.07				other	OPPS APC	1.07				other	OPPS APC	1.07				case rate		1.07				case rate		1.71				other	OPPS APC	1.07	1.71	
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	48433-128-01	NDC	A9270	HCPCS		inpatient			1.06	1.06																																																			
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	48433-128-01	NDC	A9270	HCPCS		outpatient			1.06	1.06																																															other	OPPS APC			
SERTRALINE 25 MG TABLET	637000000	CDM	0904-6924-61	NDC	A9270	HCPCS		inpatient			1.05	1.05																																																			
SERTRALINE 25 MG TABLET	637000000	CDM	0904-6924-61	NDC	A9270	HCPCS		outpatient			1.05	1.05																																															other	OPPS APC			
DRESSING TEGADERM 3 1/2 X 6	SUP-15-00014	CDM			272	RC		outpatient			1.05	1.5	0.28				percent of total billed charges		1.05				other	OPPS APC	0.78				percent of total billed charges		1.05				other	OPPS APC	1.05				other	OPPS APC	0.28				percent of total billed charges		0.29				percent of total billed charges		1.5				other	OPPS APC	0.28	1.5	
DRESSING TEGADERM 3 1/2 X 6	SUP-15-00014	CDM			272	RC		inpatient			1.05	1.05																																																			
SET  SECONDARY VENTED	SUP-20-00064	CDM			272	RC		outpatient			1.05	1.5	0.28				percent of total billed charges		1.05				other	OPPS APC	0.78				percent of total billed charges		1.05				other	OPPS APC	1.05				other	OPPS APC	0.28				percent of total billed charges		0.29				percent of total billed charges		1.5				other	OPPS APC	0.28	1.5	
SET  SECONDARY VENTED	SUP-20-00064	CDM			272	RC		inpatient			1.05	1.05																																																			
HYDRALAZINE 10 MG TABLET	637000000	CDM	51079-074-01	NDC	A9270	HCPCS		inpatient			1.04	1.04																																																			
HYDRALAZINE 10 MG TABLET	637000000	CDM	51079-074-01	NDC	A9270	HCPCS		outpatient			1.04	1.04																																															other	OPPS APC			
TAPE SURGICAL 3M TRANSPORE 10YDX1IN CLEAR PLASTIC DISPOSABLE LF HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR	SUP-1527-1	CDM						inpatient			1.04	1.04																																																			
TAPE SURGICAL 3M TRANSPORE 10YDX1IN CLEAR PLASTIC DISPOSABLE LF HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR	SUP-1527-1	CDM						outpatient			1.04	1.4	1.04				percent of total billed charges		1.04				other	OPPS APC	1.04				fee schedule		1.04				other	OPPS APC	1.04				other	OPPS APC	1.04				case rate		1.04				case rate		1.4				other	OPPS APC	1.04	1.4	
TUBE FEEDING 8FR X 16'	SUP-01-00214	CDM			272	RC		outpatient			1.03	1.3	0.28				percent of total billed charges		1.03				other	OPPS APC	0.76				percent of total billed charges		1.03				other	OPPS APC	1.03				other	OPPS APC	0.28				percent of total billed charges		0.28				percent of total billed charges		1.3				other	OPPS APC	0.28	1.3	
TUBE FEEDING 8FR X 16'	SUP-01-00214	CDM			272	RC		inpatient			1.03	1.03																																																			
PREDNISONE PER 5 MG	636000000	CDM	0904-7127-61	NDC	J7512	HCPCS		inpatient			1.02	1.02																																																			
PREDNISONE PER 5 MG	636000000	CDM	0904-7127-61	NDC	J7512	HCPCS		outpatient			1.02	1.02																																															other	OPPS APC			
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0904-6824-61	NDC	A9270	HCPCS		inpatient			1.02	1.02																																																			
HYDROCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0904-6824-61	NDC	A9270	HCPCS		outpatient			1.02	1.02																																															other	OPPS APC			
LAMOTRIGINE 25 MG TABLET	637000000	CDM	0904-7007-61	NDC	A9270	HCPCS		inpatient			1.02	1.02																																																			
LAMOTRIGINE 25 MG TABLET	637000000	CDM	0904-7007-61	NDC	A9270	HCPCS		outpatient			1.02	1.02																																															other	OPPS APC			
SYRINGE EAR PVC 2 OZ SOFT PLIABLE IRRIGATION SUCTION STERILE LATEX FREE DISPOSABLE	SUP-4172	CDM						inpatient			1.02	1.02																																																			
SYRINGE EAR PVC 2 OZ SOFT PLIABLE IRRIGATION SUCTION STERILE LATEX FREE DISPOSABLE	SUP-4172	CDM						outpatient			1.02	1.2	1.02				percent of total billed charges		1.02				other	OPPS APC	1.02				fee schedule		1.02				other	OPPS APC	1.02				other	OPPS APC	1.02				case rate		1.02				case rate		1.2				other	OPPS APC	1.02	1.2	
GLIPIZIDE 5 MG TABLET	637000000	CDM	0904-6637-61	NDC	A9270	HCPCS		inpatient			1.01	1.01																																																			
GLIPIZIDE 5 MG TABLET	637000000	CDM	0904-6637-61	NDC	A9270	HCPCS		outpatient			1.01	1.01																																															other	OPPS APC			
SERTRALINE 25 MG TABLET	637000000	CDM	60687-231-11	NDC	A9270	HCPCS		inpatient			1.01	1.01																																																			
SERTRALINE 25 MG TABLET	637000000	CDM	60687-231-11	NDC	A9270	HCPCS		outpatient			1.01	1.01																																															other	OPPS APC			
SERTRALINE 50 MG TABLET	637000000	CDM	60687-242-11	NDC	A9270	HCPCS		inpatient			1.01	1.01																																																			
SERTRALINE 50 MG TABLET	637000000	CDM	60687-242-11	NDC	A9270	HCPCS		outpatient			1.01	1.01																																															other	OPPS APC			
KIT SUTURE REMOVAL	SUP-12-00020	CDM			272	RC		outpatient			1.01	1.1	0.27				percent of total billed charges		1.01				other	OPPS APC	0.75				percent of total billed charges		1.01				other	OPPS APC	1.01				other	OPPS APC	0.27				percent of total billed charges		0.28				percent of total billed charges		1.1				other	OPPS APC	0.27	1.1	
KIT SUTURE REMOVAL	SUP-12-00020	CDM			272	RC		inpatient			1.01	1.01																																																			
NORMAL SALINE 0.9% SOLUTION 10 ML SYRINGE	250000000	CDM	6380710001	NDC				inpatient			1	1																																																			
NORMAL SALINE 0.9% SOLUTION 10 ML SYRINGE	250000000	CDM	6380710001	NDC				outpatient			1	1																																															other	OPPS APC			
ALLOPURINOL 100 MG TABLET	637000000	CDM	0904-7041-61	NDC	A9270	HCPCS		inpatient			1	1																																																			
ALLOPURINOL 100 MG TABLET	637000000	CDM	0904-7041-61	NDC	A9270	HCPCS		outpatient			1	1																																															other	OPPS APC			
IBUPROFEN 800 MG TABLET	637000000	CDM	0904-5855-61	NDC	A9270	HCPCS		inpatient			1	1																																																			
IBUPROFEN 800 MG TABLET	637000000	CDM	0904-5855-61	NDC	A9270	HCPCS		outpatient			1	1																																															other	OPPS APC			
MONTELUKAST 10 MG TABLET	637000000	CDM	0904-6808-61	NDC	A9270	HCPCS		inpatient			1	1																																																			
MONTELUKAST 10 MG TABLET	637000000	CDM	0904-6808-61	NDC	A9270	HCPCS		outpatient			1	1																																															other	OPPS APC			
TUBE ENDO TRACH 3.0 UNCUFFED	SUP-31-00023	CDM			272	RC		outpatient			1	1	0.27				percent of total billed charges		1				other	OPPS APC	0.74				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.27				percent of total billed charges		0.28				percent of total billed charges		1				other	OPPS APC	0.27	1	
TUBE ENDO TRACH 3.0 UNCUFFED	SUP-31-00023	CDM			272	RC		inpatient			1	1																																																			
ADAPTER URETHRAL CATHETER	SUP-74-00431	CDM			272	RC		outpatient			1	1	0.27				percent of total billed charges		1				other	OPPS APC	0.74				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.27				percent of total billed charges		0.28				percent of total billed charges		1				other	OPPS APC	0.27	1	
ADAPTER URETHRAL CATHETER	SUP-74-00431	CDM			272	RC		inpatient			1	1																																																			
BIT DRILL 2.8 X 200MM	SUP-95-04635	CDM			272	RC		outpatient			1	1	0.27				percent of total billed charges		1				other	OPPS APC	0.74				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.27				percent of total billed charges		0.28				percent of total billed charges		1				other	OPPS APC	0.27	1	
BIT DRILL 2.8 X 200MM	SUP-95-04635	CDM			272	RC		inpatient			1	1																																																			
SCREW LOCKING 5.0 X 100MM	SUP-95-04636	CDM			278	RC		outpatient			1	1	1				fee schedule		1				other	OPPS APC	0.57				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.49				percent of total billed charges		0.51				percent of total billed charges		1				other	OPPS APC	0.49	1	
SCREW LOCKING 5.0 X 100MM	SUP-95-04636	CDM			278	RC		inpatient			1	1																																																			
SCREW LOCKING 4.0 X 34MM	SUP-95-04637	CDM			278	RC		outpatient			1	1	1				fee schedule		1				other	OPPS APC	0.57				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.49				percent of total billed charges		0.51				percent of total billed charges		1				other	OPPS APC	0.49	1	
SCREW LOCKING 4.0 X 34MM	SUP-95-04637	CDM			278	RC		inpatient			1	1																																																			
SCREW LOCKING 4.0 X 42MM	SUP-95-04638	CDM			278	RC		outpatient			1	1	1				fee schedule		1				other	OPPS APC	0.57				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.49				percent of total billed charges		0.51				percent of total billed charges		1				other	OPPS APC	0.49	1	
SCREW LOCKING 4.0 X 42MM	SUP-95-04638	CDM			278	RC		inpatient			1	1																																																			
8FR CLEAN CATH	SUP-97-00386	CDM			272	RC		outpatient			1	1	0.27				percent of total billed charges		1				other	OPPS APC	0.74				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.27				percent of total billed charges		0.28				percent of total billed charges		1				other	OPPS APC	0.27	1	
8FR CLEAN CATH	SUP-97-00386	CDM			272	RC		inpatient			1	1																																																			
SWAB CULTURE BD CULTURESWAB LIQUID STUART MED STERILE	SUP-C8552-11S	CDM			270	RC		outpatient			1	1	0.27				percent of total billed charges		1				other	OPPS APC	0.74				percent of total billed charges		1				other	OPPS APC	1				other	OPPS APC	0.27				percent of total billed charges		0.28				percent of total billed charges		1				other	OPPS APC	0.27	1	
SWAB CULTURE BD CULTURESWAB LIQUID STUART MED STERILE	SUP-C8552-11S	CDM			270	RC		inpatient			1	1																																																			
OXYCODONE 5 MG TABLET	637000000	CDM	0904-6966-61	NDC	A9270	HCPCS		inpatient			0.99	0.99																																																			
OXYCODONE 5 MG TABLET	637000000	CDM	0904-6966-61	NDC	A9270	HCPCS		outpatient			0.99	0.99																																															other	OPPS APC			
TUBE FEEDING 5FR X 16'	SUP-01-00072	CDM			272	RC		outpatient			0.99	0.99	0.27				percent of total billed charges		0.99				other	OPPS APC	0.73				percent of total billed charges		0.99				other	OPPS APC	0.99				other	OPPS APC	0.27				percent of total billed charges		0.27				percent of total billed charges		0.99				other	OPPS APC	0.27	0.99	
TUBE FEEDING 5FR X 16'	SUP-01-00072	CDM			272	RC		inpatient			0.99	0.99																																																			
SUCTION YANKAUER W/TUBING K83A	SUP-11-00029	CDM			272	RC		outpatient			0.99	0.99	0.27				percent of total billed charges		0.99				other	OPPS APC	0.73				percent of total billed charges		0.99				other	OPPS APC	0.99				other	OPPS APC	0.27				percent of total billed charges		0.27				percent of total billed charges		0.99				other	OPPS APC	0.27	0.99	
SUCTION YANKAUER W/TUBING K83A	SUP-11-00029	CDM			272	RC		inpatient			0.99	0.99																																																			
STOPCOCK 4 WAY	SUP-20-00073	CDM			272	RC		outpatient			0.99	0.99	0.27				percent of total billed charges		0.99				other	OPPS APC	0.73				percent of total billed charges		0.99				other	OPPS APC	0.99				other	OPPS APC	0.27				percent of total billed charges		0.27				percent of total billed charges		0.99				other	OPPS APC	0.27	0.99	
STOPCOCK 4 WAY	SUP-20-00073	CDM			272	RC		inpatient			0.99	0.99																																																			
TUBE ENDO TRACH 2.5 UNCUFFED	SUP-31-00021	CDM			272	RC		outpatient			0.99	0.99	0.27				percent of total billed charges		0.99				other	OPPS APC	0.73				percent of total billed charges		0.99				other	OPPS APC	0.99				other	OPPS APC	0.27				percent of total billed charges		0.27				percent of total billed charges		0.99				other	OPPS APC	0.27	0.99	
TUBE ENDO TRACH 2.5 UNCUFFED	SUP-31-00021	CDM			272	RC		inpatient			0.99	0.99																																																			
TUBE ENDO TRACH 3.5 UNCUFFED	SUP-31-00024	CDM			272	RC		outpatient			0.99	0.99	0.27				percent of total billed charges		0.99				other	OPPS APC	0.73				percent of total billed charges		0.99				other	OPPS APC	0.99				other	OPPS APC	0.27				percent of total billed charges		0.27				percent of total billed charges		0.99				other	OPPS APC	0.27	0.99	
TUBE ENDO TRACH 3.5 UNCUFFED	SUP-31-00024	CDM			272	RC		inpatient			0.99	0.99																																																			
TUBE ENDO TRACH 4.0 UNCUFFED	SUP-31-00026	CDM			272	RC		outpatient			0.99	0.99	0.27				percent of total billed charges		0.99				other	OPPS APC	0.73				percent of total billed charges		0.99				other	OPPS APC	0.99				other	OPPS APC	0.27				percent of total billed charges		0.27				percent of total billed charges		0.99				other	OPPS APC	0.27	0.99	
TUBE ENDO TRACH 4.0 UNCUFFED	SUP-31-00026	CDM			272	RC		inpatient			0.99	0.99																																																			
STRIP SKIN CLOSURE 3M STERI-STRIP POLYESTER POROUS L3 IN X W1/4 IN REINFORCE HYPOALLERGENIC NONINVASIVE BREATHABLE STERILE LATEX FREE WHITE	SUP-R1541	CDM						inpatient			0.99	0.99																																																			
STRIP SKIN CLOSURE 3M STERI-STRIP POLYESTER POROUS L3 IN X W1/4 IN REINFORCE HYPOALLERGENIC NONINVASIVE BREATHABLE STERILE LATEX FREE WHITE	SUP-R1541	CDM						outpatient			0.99	0.99	0.99				percent of total billed charges		0.99				other	OPPS APC	0.99				fee schedule		0.99				other	OPPS APC	0.99				other	OPPS APC	0.99				case rate		0.99				case rate		0.99				other	OPPS APC	0.99	0.99	
ONDANSETRON 4 (FOUR) 4 MG TABLETS	637000000	CDM	65862-390-10	NDC	A9270	HCPCS		inpatient			0.98	0.98																																																			
ONDANSETRON 4 (FOUR) 4 MG TABLETS	637000000	CDM	65862-390-10	NDC	A9270	HCPCS		outpatient			0.98	0.98																																															other	OPPS APC			
METHADONE 5 MG TABLET	637000000	CDM	0054-0709-20	NDC	A9270	HCPCS		inpatient			0.97	0.97																																																			
METHADONE 5 MG TABLET	637000000	CDM	0054-0709-20	NDC	A9270	HCPCS		outpatient			0.97	0.97																																															other	OPPS APC			
TUBE ENDO TRACH 4.5 UNCUFFED	SUP-31-00027	CDM			272	RC		outpatient			0.97	0.97	0.26				percent of total billed charges		0.97				other	OPPS APC	0.72				percent of total billed charges		0.97				other	OPPS APC	0.97				other	OPPS APC	0.26				percent of total billed charges		0.27				percent of total billed charges		0.97				other	OPPS APC	0.26	0.97	
TUBE ENDO TRACH 4.5 UNCUFFED	SUP-31-00027	CDM			272	RC		inpatient			0.97	0.97																																																			
POUCH OSTOMY PREMIER LOCK N ROLL CERAPLUS CERAMIDE PLASTIC FLAT L 12 IN OD 2 IN OD 2.5 IN 1 PIECE CUT TO FIT TAPE BORDER LATEX FREE ULTRA CLEAR	SUP-8931	CDM	270009218	LOCAL	270	RC		outpatient			0.97	0.97	0.26				percent of total billed charges		0.97				other	OPPS APC	0.72				percent of total billed charges		0.97				other	OPPS APC	0.97				other	OPPS APC	0.26				percent of total billed charges		0.27				percent of total billed charges		0.97				other	OPPS APC	0.26	0.97	
POUCH OSTOMY PREMIER LOCK N ROLL CERAPLUS CERAMIDE PLASTIC FLAT L 12 IN OD 2 IN OD 2.5 IN 1 PIECE CUT TO FIT TAPE BORDER LATEX FREE ULTRA CLEAR	SUP-8931	CDM	270009218	LOCAL	270	RC		inpatient			0.97	0.97																																																			
PACK THERAPEUTIC MEDIUM L6.5 IN X W6 IN INSTANT HOT CONTROL RELEASE LATEX FREE DISPOSABLE	SUP-11450-040B	CDM			270	RC		outpatient			0.96	0.96	0.26				percent of total billed charges		0.96				other	OPPS APC	0.71				percent of total billed charges		0.96				other	OPPS APC	0.96				other	OPPS APC	0.26				percent of total billed charges		0.27				percent of total billed charges		0.96				other	OPPS APC	0.26	0.96	
PACK THERAPEUTIC MEDIUM L6.5 IN X W6 IN INSTANT HOT CONTROL RELEASE LATEX FREE DISPOSABLE	SUP-11450-040B	CDM			270	RC		inpatient			0.96	0.96																																																			
TAPE SURGICAL 3M DURAPORE 10YDX1IN WHITE CLOTH LF HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR	SUP-1538-1	CDM						inpatient			0.96	0.96																																																			
TAPE SURGICAL 3M DURAPORE 10YDX1IN WHITE CLOTH LF HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR	SUP-1538-1	CDM						outpatient			0.96	0.96	0.96				percent of total billed charges		0.96				other	OPPS APC	0.96				fee schedule		0.96				other	OPPS APC	0.96				other	OPPS APC	0.96				case rate		0.96				case rate		0.96				other	OPPS APC	0.96	0.96	
TUBING SUCTION MEDI-VAC MAXI-GRIP L6 FT ID1/4 IN NONCONDUCTIVE MALE TO MALE STERILE CLEAR	SUP-N66A	CDM			270	RC		outpatient			0.96	0.96	0.26				percent of total billed charges		0.96				other	OPPS APC	0.71				percent of total billed charges		0.96				other	OPPS APC	0.96				other	OPPS APC	0.26				percent of total billed charges		0.27				percent of total billed charges		0.96				other	OPPS APC	0.26	0.96	
TUBING SUCTION MEDI-VAC MAXI-GRIP L6 FT ID1/4 IN NONCONDUCTIVE MALE TO MALE STERILE CLEAR	SUP-N66A	CDM			270	RC		inpatient			0.96	0.96																																																			
SUCRALFATE 1 GRAM TABLET	637000000	CDM	51079-753-01	NDC	A9270	HCPCS		inpatient			0.95	0.95																																																			
SUCRALFATE 1 GRAM TABLET	637000000	CDM	51079-753-20	NDC	A9270	HCPCS		inpatient			0.95	0.95																																																			
SUCRALFATE 1 GRAM TABLET	637000000	CDM	51079-753-01	NDC	A9270	HCPCS		outpatient			0.95	0.95																																															other	OPPS APC			
SUCRALFATE 1 GRAM TABLET	637000000	CDM	51079-753-20	NDC	A9270	HCPCS		outpatient			0.95	0.95																																															other	OPPS APC			
SLIPPERS PATIENT BARIATRIC 2 TREAD GRAY	SUP-MDTDBLTRXXXL	CDM	270009080	LOCAL	270	RC		outpatient			0.95	0.95	0.26				percent of total billed charges		0.95				other	OPPS APC	0.7				percent of total billed charges		0.95				other	OPPS APC	0.95				other	OPPS APC	0.26				percent of total billed charges		0.26				percent of total billed charges		0.95				other	OPPS APC	0.26	0.95	
SLIPPERS PATIENT BARIATRIC 2 TREAD GRAY	SUP-MDTDBLTRXXXL	CDM	270009080	LOCAL	270	RC		inpatient			0.95	0.95																																																			
PREDNISONE PER 5 MG	636000000	CDM	0054-8724-25	NDC	J7512	HCPCS		inpatient			0.94	0.94																																																			
PREDNISONE PER 5 MG	636000000	CDM	0054-8724-25	NDC	J7512	HCPCS		outpatient			0.94	0.94																																															other	OPPS APC			
SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABLET	637000000	CDM	0904-2725-61	NDC	A9270	HCPCS		inpatient			0.94	0.94																																																			
SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABLET	637000000	CDM	0904-2725-61	NDC	A9270	HCPCS		outpatient			0.94	0.94																																															other	OPPS APC			
PVI SCRUB 4 OZ	SUP-01-00145	CDM			272	RC		outpatient			0.94	0.94	0.25				percent of total billed charges		0.94				other	OPPS APC	0.7				percent of total billed charges		0.94				other	OPPS APC	0.94				other	OPPS APC	0.25				percent of total billed charges		0.26				percent of total billed charges		0.94				other	OPPS APC	0.25	0.94	
PVI SCRUB 4 OZ	SUP-01-00145	CDM			272	RC		inpatient			0.94	0.94																																																			
CIPROFLOXACIN 500 MG TABLET	637000000	CDM	0904-7243-61	NDC	A9270	HCPCS		inpatient			0.93	0.93																																																			
CIPROFLOXACIN 500 MG TABLET	637000000	CDM	0904-7243-61	NDC	A9270	HCPCS		outpatient			0.93	0.93																																															other	OPPS APC			
METOLAZONE 2.5 MG TABLET	637000000	CDM	81005-124-01	NDC	A9270	HCPCS		inpatient			0.93	0.93																																																			
METOLAZONE 2.5 MG TABLET	637000000	CDM	81005-124-01	NDC	A9270	HCPCS		outpatient			0.93	0.93																																															other	OPPS APC			
PLUG CATHETER CURITY CAP STERILE	SUP-1600	CDM						inpatient			0.93	0.93																																																			
PLUG CATHETER CURITY CAP STERILE	SUP-1600	CDM						outpatient			0.93	0.94	0.93				percent of total billed charges		0.93				other	OPPS APC	0.93				fee schedule		0.93				other	OPPS APC	0.93				other	OPPS APC	0.93				case rate		0.93				case rate		0.94				other	OPPS APC	0.93	0.94	
SLIPPERS FALL PREVENTION BARIATRIC DOUBLE TREAD  RED	SUP-MDTPS4B07FPR	CDM	270009080	LOCAL	270	RC		outpatient			0.93	0.94	0.25				percent of total billed charges		0.93				other	OPPS APC	0.69				percent of total billed charges		0.93				other	OPPS APC	0.93				other	OPPS APC	0.25				percent of total billed charges		0.26				percent of total billed charges		0.94				other	OPPS APC	0.25	0.94	
SLIPPERS FALL PREVENTION BARIATRIC DOUBLE TREAD  RED	SUP-MDTPS4B07FPR	CDM	270009080	LOCAL	270	RC		inpatient			0.93	0.93																																																			
CLONIDINE 0.1 MG TABLET	637000000	CDM	60687-113-01	NDC	A9270	HCPCS		inpatient			0.92	0.92																																																			
CLONIDINE 0.1 MG TABLET	637000000	CDM	60687-113-11	NDC	A9270	HCPCS		inpatient			0.92	0.92																																																			
CLONIDINE 0.1 MG TABLET	637000000	CDM	60687-113-01	NDC	A9270	HCPCS		outpatient			0.92	0.92																																															other	OPPS APC			
CLONIDINE 0.1 MG TABLET	637000000	CDM	60687-113-11	NDC	A9270	HCPCS		outpatient			0.92	0.92																																															other	OPPS APC			
CLONIDINE 0.2 MG TABLET	637000000	CDM	60687-124-11	NDC	A9270	HCPCS		inpatient			0.92	0.92																																																			
CLONIDINE 0.2 MG TABLET	637000000	CDM	60687-124-11	NDC	A9270	HCPCS		outpatient			0.92	0.92																																															other	OPPS APC			
GLOVE SURGICAL BIOGEL ECLIPSE NATURAL RUBBER 8.5 ROUGH SURFACE BEAD CUFF STERILE LATEX STRAW CURVE FINGER MICRO	SUP-75285	CDM						inpatient			0.92	0.92																																																			
GLOVE SURGICAL BIOGEL ECLIPSE NATURAL RUBBER 8.5 ROUGH SURFACE BEAD CUFF STERILE LATEX STRAW CURVE FINGER MICRO	SUP-75285	CDM						outpatient			0.92	0.92	0.92				percent of total billed charges		0.92				other	OPPS APC	0.92				fee schedule		0.92				other	OPPS APC	0.92				other	OPPS APC	0.92				case rate		0.92				case rate		0.92				other	OPPS APC	0.92	0.92	
TOWEL SURGICAL ALLEGIANCE COTTON WOVEN L24 IN X W17 IN HIGH ABSORBENT DELINT PREWASH STERILE LATEX FREE DISPOSABLE BLUE	SUP-28700-004	CDM						inpatient			0.91	0.91																																																			
TOWEL SURGICAL ALLEGIANCE COTTON WOVEN L24 IN X W17 IN HIGH ABSORBENT DELINT PREWASH STERILE LATEX FREE DISPOSABLE BLUE	SUP-28700-004	CDM						outpatient			0.91	0.91	0.91				percent of total billed charges		0.91				other	OPPS APC	0.91				fee schedule		0.91				other	OPPS APC	0.91				other	OPPS APC	0.91				case rate		0.91				case rate		0.91				other	OPPS APC	0.91	0.91	
NEBULIZER HAND-HELD	SUP-30-00069	CDM			272	RC		outpatient			0.91	0.91	0.25				percent of total billed charges		0.91				other	OPPS APC	0.67				percent of total billed charges		0.91				other	OPPS APC	0.91				other	OPPS APC	0.25				percent of total billed charges		0.25				percent of total billed charges		0.91				other	OPPS APC	0.25	0.91	
NEBULIZER HAND-HELD	SUP-30-00069	CDM			272	RC		inpatient			0.91	0.91																																																			
BARRIER SKIN NEW IMAGE CERAPLUS CERAMIDE FLAT OD 2 3/4 IN ODSEC 2 1/4 IN 2 PIECE CUT TO FIT INTEGRADE FLOAT FLANGE TAPE BORDER LATEX FREE BLUE	SUP-11204	CDM			270	RC		outpatient			0.9	0.92	0.24				percent of total billed charges		0.9				other	OPPS APC	0.67				percent of total billed charges		0.9				other	OPPS APC	0.9				other	OPPS APC	0.24				percent of total billed charges		0.25				percent of total billed charges		0.92				other	OPPS APC	0.24	0.92	
BARRIER SKIN NEW IMAGE CERAPLUS CERAMIDE FLAT OD 2 3/4 IN ODSEC 2 1/4 IN 2 PIECE CUT TO FIT INTEGRADE FLOAT FLANGE TAPE BORDER LATEX FREE BLUE	SUP-11204	CDM			270	RC		inpatient			0.9	0.9																																																			
BARRIER SKIN NEW IMAGE FLEXTEND OD1 3/4- IN ODSEC2 1/4 IN 2 PIECE CUT TO FIT TAPE BORDER INTEGRATE FLOAT FLANGE LATEX FREE RED	SUP-14603	CDM						inpatient			0.9	0.9																																																			
BARRIER SKIN NEW IMAGE FLEXTEND OD1 3/4- IN ODSEC2 1/4 IN 2 PIECE CUT TO FIT TAPE BORDER INTEGRATE FLOAT FLANGE LATEX FREE RED	SUP-14603	CDM						outpatient			0.9	0.92	0.9				percent of total billed charges		0.9				other	OPPS APC	0.9				fee schedule		0.9				other	OPPS APC	0.9				other	OPPS APC	0.9				case rate		0.9				case rate		0.92				other	OPPS APC	0.9	0.92	
SET EXTENSION 60 MICRO VOLUME	SUP-20-00062	CDM			272	RC		outpatient			0.9	0.92	0.24				percent of total billed charges		0.9				other	OPPS APC	0.67				percent of total billed charges		0.9				other	OPPS APC	0.9				other	OPPS APC	0.24				percent of total billed charges		0.25				percent of total billed charges		0.92				other	OPPS APC	0.24	0.92	
SET EXTENSION 60 MICRO VOLUME	SUP-20-00062	CDM			272	RC		inpatient			0.9	0.9																																																			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	5026885511	NDC	A9270	HCPCS		inpatient			0.89	0.89																																																			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	5026885511	NDC	A9270	HCPCS		outpatient			0.89	0.89																																															other	OPPS APC			
GLOVE SURGICAL 7.5 285X96MM STRAW BIOGEL M NATURAL RUBBER STERILE LATEX POWDER FREE TEXTURE BEAD CUFF NONPYROGENIC	SUP-30575	CDM						inpatient			0.89	0.89																																																			
GLOVE SURGICAL 7.5 285X96MM STRAW BIOGEL M NATURAL RUBBER STERILE LATEX POWDER FREE TEXTURE BEAD CUFF NONPYROGENIC	SUP-30575	CDM						outpatient			0.89	0.89	0.89				percent of total billed charges		0.89				other	OPPS APC	0.89				fee schedule		0.89				other	OPPS APC	0.89				other	OPPS APC	0.89				case rate		0.89				case rate		0.89				other	OPPS APC	0.89	0.89	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 7 1/2 L298 MM X W96 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31275	CDM			270	RC		outpatient			0.89	0.89	0.24				percent of total billed charges		0.89				other	OPPS APC	0.66				percent of total billed charges		0.89				other	OPPS APC	0.89				other	OPPS APC	0.24				percent of total billed charges		0.25				percent of total billed charges		0.89				other	OPPS APC	0.24	0.89	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 7 1/2 L298 MM X W96 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31275	CDM			270	RC		inpatient			0.89	0.89																																																			
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 8 1/2 L301 MM X W109 MM POWDER FREE SMOOTH BEAD CUFF NONPYROGENIC STERILE LATEX DISPOSABLE GREEN CURVE	SUP-31285	CDM			270	RC		outpatient			0.89	0.89	0.24				percent of total billed charges		0.89				other	OPPS APC	0.66				percent of total billed charges		0.89				other	OPPS APC	0.89				other	OPPS APC	0.24				percent of total billed charges		0.25				percent of total billed charges		0.89				other	OPPS APC	0.24	0.89	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 8 1/2 L301 MM X W109 MM POWDER FREE SMOOTH BEAD CUFF NONPYROGENIC STERILE LATEX DISPOSABLE GREEN CURVE	SUP-31285	CDM			270	RC		inpatient			0.89	0.89																																																			
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 9 L301 MM X W115 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31290	CDM			270	RC		outpatient			0.89	0.89	0.24				percent of total billed charges		0.89				other	OPPS APC	0.66				percent of total billed charges		0.89				other	OPPS APC	0.89				other	OPPS APC	0.24				percent of total billed charges		0.25				percent of total billed charges		0.89				other	OPPS APC	0.24	0.89	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 9 L301 MM X W115 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31290	CDM			270	RC		inpatient			0.89	0.89																																																			
BRUSH SURGICAL SCRUB BD E-Z SCRUB BROWN PVP IODINE POLYETHYLENE DISPOSABLE NS LF IMPREGNATE SOFT BRISTLE SPONGE	SUP-372053	CDM						inpatient			0.89	0.89																																																			
BRUSH SURGICAL SCRUB BD E-Z SCRUB BROWN PVP IODINE POLYETHYLENE DISPOSABLE NS LF IMPREGNATE SOFT BRISTLE SPONGE	SUP-372053	CDM						outpatient			0.89	0.89	0.89				percent of total billed charges		0.89				other	OPPS APC	0.89				fee schedule		0.89				other	OPPS APC	0.89				other	OPPS APC	0.89				case rate		0.89				case rate		0.89				other	OPPS APC	0.89	0.89	
SYRINGE MEDICAL BD 50ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE SLIP TIP NONPYROGENIC DEHP FREE	SUP-309654	CDM						inpatient			0.88	0.88																																																			
SYRINGE MEDICAL BD 50ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE SLIP TIP NONPYROGENIC DEHP FREE	SUP-309654	CDM						outpatient			0.88	0.88	0.88				percent of total billed charges		0.88				other	OPPS APC	0.88				fee schedule		0.88				other	OPPS APC	0.88				other	OPPS APC	0.88				case rate		0.88				case rate		0.88				other	OPPS APC	0.88	0.88	
QUETIAPINE 25 MG TABLET	637000000	CDM	0904-6638-61	NDC	A9270	HCPCS		inpatient			0.87	0.87																																																			
QUETIAPINE 25 MG TABLET	637000000	CDM	0904-6638-61	NDC	A9270	HCPCS		outpatient			0.87	0.87																																															other	OPPS APC			
SLIPPERS FALL PREVENTION  DOUBLE TREAD RED XL	SUP-MDTPS4B05FPR	CDM	270009080	LOCAL	270	RC		outpatient			0.87	0.87	0.24				percent of total billed charges		0.87				other	OPPS APC	0.64				percent of total billed charges		0.87				other	OPPS APC	0.87				other	OPPS APC	0.24				percent of total billed charges		0.24				percent of total billed charges		0.87				other	OPPS APC	0.24	0.87	
SLIPPERS FALL PREVENTION  DOUBLE TREAD RED XL	SUP-MDTPS4B05FPR	CDM	270009080	LOCAL	270	RC		inpatient			0.87	0.87																																																			
DRESSING PETROLATUM XEROFORM 3% BISMUTH TRIBROMOPHENATE GAUZE L9 IN X W5 IN NONADHERENT BACTERIOSTATIC STRIP LOW PROFILE STERILE	SUP-8884433605	CDM						inpatient			0.86	0.86																																																			
DRESSING PETROLATUM XEROFORM 3% BISMUTH TRIBROMOPHENATE GAUZE L9 IN X W5 IN NONADHERENT BACTERIOSTATIC STRIP LOW PROFILE STERILE	SUP-8884433605	CDM						outpatient			0.86	0.86	0.86				percent of total billed charges		0.86				other	OPPS APC	0.86				fee schedule		0.86				other	OPPS APC	0.86				other	OPPS APC	0.86				case rate		0.86				case rate		0.86				other	OPPS APC	0.86	0.86	
HYDROCORTISONE 5 MG TABLET	637000000	CDM	59651-413-50	NDC	A9270	HCPCS		inpatient			0.85	0.85																																																			
HYDROCORTISONE 5 MG TABLET	637000000	CDM	59651-413-50	NDC	A9270	HCPCS		outpatient			0.85	0.85																																															other	OPPS APC			
APPLICATOR FIBER TIPPED SCOPETTES JR RAYON POLYSTYRENE REGULAR L8 IN OD5/32 IN 11 LB HANDLE EXTRA ABSORBENT STERILE LATEX FREE OB/GYN	SUP-25-808 2PR	CDM						inpatient			0.85	0.85																																																			
APPLICATOR FIBER TIPPED SCOPETTES JR RAYON POLYSTYRENE REGULAR L8 IN OD5/32 IN 11 LB HANDLE EXTRA ABSORBENT STERILE LATEX FREE OB/GYN	SUP-25-808 2PR	CDM						outpatient			0.85	0.85	0.85				percent of total billed charges		0.85				other	OPPS APC	0.85				fee schedule		0.85				other	OPPS APC	0.85				other	OPPS APC	0.85				case rate		0.85				case rate		0.85				other	OPPS APC	0.85	0.85	
SLIPPERS FALL PREVENTION DOUBLE TREAD RED XXL	SUP-MDTPS4B06FPR	CDM	270009080	LOCAL	270	RC		outpatient			0.85	0.85	0.23				percent of total billed charges		0.85				other	OPPS APC	0.63				percent of total billed charges		0.85				other	OPPS APC	0.85				other	OPPS APC	0.23				percent of total billed charges		0.23				percent of total billed charges		0.85				other	OPPS APC	0.23	0.85	
SLIPPERS FALL PREVENTION DOUBLE TREAD RED XXL	SUP-MDTPS4B06FPR	CDM	270009080	LOCAL	270	RC		inpatient			0.85	0.85																																																			
OXYCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0904-7093-61	NDC	A9270	HCPCS		inpatient			0.84	0.84																																																			
OXYCODONE-ACETAMINOPHEN 5-325 MG TABLET	637000000	CDM	0904-7093-61	NDC	A9270	HCPCS		outpatient			0.84	0.84																																															other	OPPS APC			
SOLUTION PREP POVIDONE IODINE .75 OZ LIQUID POUCH NONSTERILE LATEX FREE	SUP-L-3011-5S	CDM			270	RC		outpatient			0.84	0.84	0.23				percent of total billed charges		0.84				other	OPPS APC	0.62				percent of total billed charges		0.84				other	OPPS APC	0.84				other	OPPS APC	0.23				percent of total billed charges		0.23				percent of total billed charges		0.84				other	OPPS APC	0.23	0.84	
SOLUTION PREP POVIDONE IODINE .75 OZ LIQUID POUCH NONSTERILE LATEX FREE	SUP-L-3011-5S	CDM			270	RC		inpatient			0.84	0.84																																																			
PROPRANOLOL 20 MG/5 ML (4 MG/ML) SOLUTION	637000000	CDM	0054-3727-63	NDC	A9270	HCPCS		inpatient			0.83	0.83																																																			
PROPRANOLOL 20 MG/5 ML (4 MG/ML) SOLUTION	637000000	CDM	0054-3727-63	NDC	A9270	HCPCS		outpatient			0.83	0.83																																															other	OPPS APC			
HYDRALAZINE 50 MG TABLET	637000000	CDM	0904-6442-61	NDC	A9270	HCPCS		inpatient			0.82	0.82																																																			
HYDRALAZINE 50 MG TABLET	637000000	CDM	63739-328-10	NDC	A9270	HCPCS		inpatient			0.82	0.82																																																			
HYDRALAZINE 50 MG TABLET	637000000	CDM	0904-6442-61	NDC	A9270	HCPCS		outpatient			0.82	0.82																																															other	OPPS APC			
HYDRALAZINE 50 MG TABLET	637000000	CDM	63739-328-10	NDC	A9270	HCPCS		outpatient			0.82	0.82																																															other	OPPS APC			
TIP SUCTION MEDI-VAC YANKAUER BULBOUS WITHOUT CONTROL VENT HANDLE STERILE LATEX FREE CLEAR	SUP-K86	CDM			270	RC		outpatient			0.82	0.82	0.22				percent of total billed charges		0.82				other	OPPS APC	0.61				percent of total billed charges		0.82				other	OPPS APC	0.82				other	OPPS APC	0.22				percent of total billed charges		0.23				percent of total billed charges		0.82				other	OPPS APC	0.22	0.82	
TIP SUCTION MEDI-VAC YANKAUER BULBOUS WITHOUT CONTROL VENT HANDLE STERILE LATEX FREE CLEAR	SUP-K86	CDM			270	RC		inpatient			0.82	0.82																																																			
DIAZEPAM 5 MG TABLET	637000000	CDM	51079-285-01	NDC	A9270	HCPCS		inpatient			0.81	0.81																																																			
DIAZEPAM 5 MG TABLET	637000000	CDM	51079-285-01	NDC	A9270	HCPCS		outpatient			0.81	0.81																																															other	OPPS APC			
PHENAZOPYRIDINE 100 MG TABLET	637000000	CDM	75826-114-10	NDC	A9270	HCPCS		inpatient			0.81	0.81																																																			
PHENAZOPYRIDINE 100 MG TABLET	637000000	CDM	75826-114-10	NDC	A9270	HCPCS		outpatient			0.81	0.81																																															other	OPPS APC			
ACTASEPT LATEX FREE IV START	SUP-20-00075	CDM			272	RC		outpatient			0.81	0.82	0.22				percent of total billed charges		0.81				other	OPPS APC	0.6				percent of total billed charges		0.81				other	OPPS APC	0.81				other	OPPS APC	0.22				percent of total billed charges		0.22				percent of total billed charges		0.82				other	OPPS APC	0.22	0.82	
ACTASEPT LATEX FREE IV START	SUP-20-00075	CDM			272	RC		inpatient			0.81	0.81																																																			
SLIPPERS PATIENT TERRYCLOTH ADULT 2XL 2 TREAD SLIP ON OFF LATEX FREE GRAY	SUP-MDTDBLTREDXXL	CDM	270009080	LOCAL	270	RC		outpatient			0.81	0.82	0.22				percent of total billed charges		0.81				other	OPPS APC	0.6				percent of total billed charges		0.81				other	OPPS APC	0.81				other	OPPS APC	0.22				percent of total billed charges		0.22				percent of total billed charges		0.82				other	OPPS APC	0.22	0.82	
SLIPPERS PATIENT TERRYCLOTH ADULT 2XL 2 TREAD SLIP ON OFF LATEX FREE GRAY	SUP-MDTDBLTREDXXL	CDM	270009080	LOCAL	270	RC		inpatient			0.81	0.81																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-10	NDC	J7060	HCPCS		inpatient			0.8	0.8																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-10	NDC	J7060	HCPCS		outpatient			0.8	0.8																																															other	OPPS APC			
AMITRIPTYLINE 10 MG TABLET	637000000	CDM	70756-201-11	NDC	A9270	HCPCS		inpatient			0.8	0.8																																																			
AMITRIPTYLINE 10 MG TABLET	637000000	CDM	70756-201-11	NDC	A9270	HCPCS		outpatient			0.8	0.8																																															other	OPPS APC			
"ASPIRIN 81 MG TABLET,CHEWABLE"	637000000	CDM	63739-434-02	NDC	A9270	HCPCS		inpatient			0.8	0.8																																																			
"ASPIRIN 81 MG TABLET,CHEWABLE"	637000000	CDM	63739-434-02	NDC	A9270	HCPCS		outpatient			0.8	0.8																																															other	OPPS APC			
BARRIER SKIN NEW IMAGE FLEXWEAR OD1 3/4 IN ODSEC2 1/4 IN CUT TO FIT TAPE BORDER FLOAT FLANGE 2 PIECE RED	SUP-14203	CDM						inpatient			0.8	0.8																																																			
BARRIER SKIN NEW IMAGE FLEXWEAR OD1 3/4 IN ODSEC2 1/4 IN CUT TO FIT TAPE BORDER FLOAT FLANGE 2 PIECE RED	SUP-14203	CDM						outpatient			0.8	0.84	0.8				percent of total billed charges		0.8				other	OPPS APC	0.8				fee schedule		0.8				other	OPPS APC	0.8				other	OPPS APC	0.8				case rate		0.8				case rate		0.84				other	OPPS APC	0.8	0.84	
BARRIER SKIN NEW IMAGE FLEXWEAR FLAT 2.25- IN 2.75IN BLUE LF 2 PIECE CUT TO FIT TAPE BORDER INTEGRATE FLOAT FLANGE	SUP-14204	CDM						inpatient			0.8	0.8																																																			
BARRIER SKIN NEW IMAGE FLEXWEAR FLAT 2.25- IN 2.75IN BLUE LF 2 PIECE CUT TO FIT TAPE BORDER INTEGRATE FLOAT FLANGE	SUP-14204	CDM						outpatient			0.8	0.84	0.8				percent of total billed charges		0.8				other	OPPS APC	0.8				fee schedule		0.8				other	OPPS APC	0.8				other	OPPS APC	0.8				case rate		0.8				case rate		0.84				other	OPPS APC	0.8	0.84	
PEN SURGICAL MARKING MINI XL PREP RESISTANT INK FINE TIP NONSTERILE LATEX FREE	SUP-1450XL-200	CDM						inpatient			0.8	0.8																																																			
PEN SURGICAL MARKING MINI XL PREP RESISTANT INK FINE TIP NONSTERILE LATEX FREE	SUP-1450XL-200	CDM						outpatient			0.8	0.84	0.8				percent of total billed charges		0.8				other	OPPS APC	0.8				fee schedule		0.8				other	OPPS APC	0.8				other	OPPS APC	0.8				case rate		0.8				case rate		0.84				other	OPPS APC	0.8	0.84	
BRUSH SURGICAL SCRUB BD E-Z SCRUB BLUE 3% CHLOROXYLENOL POLYETHYLENE DISPOSABLE STERILE LF IMPREGNATE SOFT BRISTLE	SUP-371163	CDM						inpatient			0.8	0.8																																																			
BRUSH SURGICAL SCRUB BD E-Z SCRUB BLUE 3% CHLOROXYLENOL POLYETHYLENE DISPOSABLE STERILE LF IMPREGNATE SOFT BRISTLE	SUP-371163	CDM						outpatient			0.8	0.84	0.8				percent of total billed charges		0.8				other	OPPS APC	0.8				fee schedule		0.8				other	OPPS APC	0.8				other	OPPS APC	0.8				case rate		0.8				case rate		0.84				other	OPPS APC	0.8	0.84	
BAG TRASH LINEAR LOW DENSITY 1.50 MIL CLEAR 55 GA 36X58 100 PER CASE	SUP-LBR3658X3C	CDM						inpatient			0.8	0.8																																																			
BAG TRASH LINEAR LOW DENSITY 1.50 MIL CLEAR 55 GA 36X58 100 PER CASE	SUP-LBR3658X3C	CDM						outpatient			0.8	0.84	0.8				percent of total billed charges		0.8				other	OPPS APC	0.8				fee schedule		0.8				other	OPPS APC	0.8				other	OPPS APC	0.8				case rate		0.8				case rate		0.84				other	OPPS APC	0.8	0.84	
THIAMINE MONONITRATE (VIT B1) 100 MG TABLET	637000000	CDM	5026885111	NDC	A9270	HCPCS		inpatient			0.79	0.79																																																			
THIAMINE MONONITRATE (VIT B1) 100 MG TABLET	637000000	CDM	5026885115	NDC	A9270	HCPCS		inpatient			0.79	0.79																																																			
THIAMINE MONONITRATE (VIT B1) 100 MG TABLET	637000000	CDM	5026885111	NDC	A9270	HCPCS		outpatient			0.79	0.79																																															other	OPPS APC			
THIAMINE MONONITRATE (VIT B1) 100 MG TABLET	637000000	CDM	5026885115	NDC	A9270	HCPCS		outpatient			0.79	0.79																																															other	OPPS APC			
GLOVE SURGICAL BIOGEL 6 285X77MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON PYROGENIC	SUP-30460	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 6 285X77MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON PYROGENIC	SUP-30460	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
GLOVE SURGICAL BIOGEL 6.5 285X85MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-30465	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 6.5 285X85MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-30465	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
GLOVE SURGICAL BIOGEL 7 STRAW NATURAL RUBBER STERILE LATEX POWDER FREE MICRO ROUGHENED BEAD CUFF NONPYROGENIC CURVE	SUP-30470	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 7 STRAW NATURAL RUBBER STERILE LATEX POWDER FREE MICRO ROUGHENED BEAD CUFF NONPYROGENIC CURVE	SUP-30470	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
GLOVE SURGICAL BIOGEL 7.5 298X96MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-30475	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 7.5 298X96MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-30475	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
GLOVE SURGICAL BIOGEL 8 299X103MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON PYROGENIC	SUP-30480	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 8 299X103MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON PYROGENIC	SUP-30480	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
GLOVE SURGICAL BIOGEL 8.5 301X109MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-30485	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 8.5 301X109MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON	SUP-30485	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
GLOVE SURGICAL BIOGEL 9 301X115MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON PYROGENIC	SUP-30490	CDM						inpatient			0.79	0.79																																																			
GLOVE SURGICAL BIOGEL 9 301X115MM STRAW NATURAL RUBBER STERILE LATEX POWDER FREE BEAD CUFF MICRO ROUGHENED NON PYROGENIC	SUP-30490	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 8 L299 MM X W103 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31280	CDM			270	RC		outpatient			0.79	0.79	0.21				percent of total billed charges		0.79				other	OPPS APC	0.58				percent of total billed charges		0.79				other	OPPS APC	0.79				other	OPPS APC	0.21				percent of total billed charges		0.22				percent of total billed charges		0.79				other	OPPS APC	0.21	0.79	
LINER GLOVE BIOGEL INDICATOR NATURAL RUBBER 8 L299 MM X W103 MM POWDER FREE BEAD CUFF SMOOTH SURFACE NONPYROGENIC STERILE LATEX GREEN CURVE FINGER	SUP-31280	CDM			270	RC		inpatient			0.79	0.79																																																			
BRIDGE LOOP OSTOMY STERILE	SUP-7767	CDM						inpatient			0.79	0.79																																																			
BRIDGE LOOP OSTOMY STERILE	SUP-7767	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
FILTER RESPIRAGARD II	SUP-97-00122	CDM			272	RC		outpatient			0.79	0.79	0.21				percent of total billed charges		0.79				other	OPPS APC	0.58				percent of total billed charges		0.79				other	OPPS APC	0.79				other	OPPS APC	0.21				percent of total billed charges		0.22				percent of total billed charges		0.79				other	OPPS APC	0.21	0.79	
FILTER RESPIRAGARD II	SUP-97-00122	CDM			272	RC		inpatient			0.79	0.79																																																			
SLIPPERS PATIENT TERRYCLOTH PEDIATRIC TODDLER 2 TREAD SLIP ON OFF LATEX FREE TEAL	SUP-MDTDBLTREADT	CDM	270009080	LOCAL	270	RC		outpatient			0.79	0.79	0.21				percent of total billed charges		0.79				other	OPPS APC	0.58				percent of total billed charges		0.79				other	OPPS APC	0.79				other	OPPS APC	0.21				percent of total billed charges		0.22				percent of total billed charges		0.79				other	OPPS APC	0.21	0.79	
SLIPPERS PATIENT TERRYCLOTH PEDIATRIC TODDLER 2 TREAD SLIP ON OFF LATEX FREE TEAL	SUP-MDTDBLTREADT	CDM	270009080	LOCAL	270	RC		inpatient			0.79	0.79																																																			
SLIPPERS FALL PREVENTION DOUBLE TREAD RED L	SUP-MDTPS4B04FPR	CDM	270009080	LOCAL	270	RC		outpatient			0.79	0.79	0.21				percent of total billed charges		0.79				other	OPPS APC	0.58				percent of total billed charges		0.79				other	OPPS APC	0.79				other	OPPS APC	0.21				percent of total billed charges		0.22				percent of total billed charges		0.79				other	OPPS APC	0.21	0.79	
SLIPPERS FALL PREVENTION DOUBLE TREAD RED L	SUP-MDTPS4B04FPR	CDM	270009080	LOCAL	270	RC		inpatient			0.79	0.79																																																			
CATHETER SUCTION PVC PEDIATRIC STRAIGHT CONTROL VENT DELEE TIP GRADUATED STERILE LATEX FREE	SUP-RSC08D	CDM						inpatient			0.79	0.79																																																			
CATHETER SUCTION PVC PEDIATRIC STRAIGHT CONTROL VENT DELEE TIP GRADUATED STERILE LATEX FREE	SUP-RSC08D	CDM						outpatient			0.79	0.79	0.79				percent of total billed charges		0.79				other	OPPS APC	0.79				fee schedule		0.79				other	OPPS APC	0.79				other	OPPS APC	0.79				case rate		0.79				case rate		0.79				other	OPPS APC	0.79	0.79	
ICE PACK	SUP-01-00028	CDM			271	RC		outpatient			0.78	0.78	0.21				percent of total billed charges		0.78				other	OPPS APC	0.58				percent of total billed charges		0.78				other	OPPS APC	0.78				other	OPPS APC	0.21				percent of total billed charges		0.22				percent of total billed charges		0.78				other	OPPS APC	0.21	0.78	
ICE PACK	SUP-01-00028	CDM			271	RC		inpatient			0.78	0.78																																																			
WRAP COBAN 2X5	SUP-95-01727	CDM			272	RC		outpatient			0.78	0.78	0.21				percent of total billed charges		0.78				other	OPPS APC	0.58				percent of total billed charges		0.78				other	OPPS APC	0.78				other	OPPS APC	0.21				percent of total billed charges		0.22				percent of total billed charges		0.78				other	OPPS APC	0.21	0.78	
WRAP COBAN 2X5	SUP-95-01727	CDM			272	RC		inpatient			0.78	0.78																																																			
PANTS INCONTINENCE PROTECTION PLUS MESH 2XL OD38-58 IN LATEX FREE DISPOSABLE MATERNITY	SUP-MBP3704	CDM						inpatient			0.78	0.78																																																			
PANTS INCONTINENCE PROTECTION PLUS MESH 2XL OD38-58 IN LATEX FREE DISPOSABLE MATERNITY	SUP-MBP3704	CDM						outpatient			0.78	0.78	0.78				percent of total billed charges		0.78				other	OPPS APC	0.78				fee schedule		0.78				other	OPPS APC	0.78				other	OPPS APC	0.78				case rate		0.78				case rate		0.78				other	OPPS APC	0.78	0.78	
BENZOCAINE-MENTHOL 15-2.6 MG LOZENGE	637000000	CDM	63824-732-16	NDC	A9270	HCPCS		inpatient			0.77	0.77																																																			
BENZOCAINE-MENTHOL 15-2.6 MG LOZENGE	637000000	CDM	63824-732-16	NDC	A9270	HCPCS		outpatient			0.77	0.77																																															other	OPPS APC			
CYANOCOBALAMIN 100 MCG TABLET	637000000	CDM	5026885211	NDC	A9270	HCPCS		inpatient			0.77	0.77																																																			
CYANOCOBALAMIN 100 MCG TABLET	637000000	CDM	5026885211	NDC	A9270	HCPCS		outpatient			0.77	0.77																																															other	OPPS APC			
IBUPROFEN 600 MG TABLET	637000000	CDM	0904-5854-61	NDC	A9270	HCPCS		inpatient			0.77	0.77																																																			
IBUPROFEN 600 MG TABLET	637000000	CDM	0904-5854-61	NDC	A9270	HCPCS		outpatient			0.77	0.77																																															other	OPPS APC			
METHADONE 10 MG TABLET	637000000	CDM	0904-6530-61	NDC	A9270	HCPCS		inpatient			0.77	0.77																																																			
METHADONE 10 MG TABLET	637000000	CDM	0904-6530-61	NDC	A9270	HCPCS		outpatient			0.77	0.77																																															other	OPPS APC			
CATHETER LATEX 8FR ALL PURPOSE	SUP-02-00107	CDM			272	RC		outpatient			0.77	0.77	0.21				percent of total billed charges		0.77				other	OPPS APC	0.57				percent of total billed charges		0.77				other	OPPS APC	0.77				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.77				other	OPPS APC	0.21	0.77	
CATHETER LATEX 8FR ALL PURPOSE	SUP-02-00107	CDM			272	RC		inpatient			0.77	0.77																																																			
CATHETER LATEX 12FR ALL PURPOSE	SUP-02-00109	CDM			272	RC		outpatient			0.77	0.77	0.21				percent of total billed charges		0.77				other	OPPS APC	0.57				percent of total billed charges		0.77				other	OPPS APC	0.77				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.77				other	OPPS APC	0.21	0.77	
CATHETER LATEX 12FR ALL PURPOSE	SUP-02-00109	CDM			272	RC		inpatient			0.77	0.77																																																			
CATHETER LATEX 14FR ALL PURPOSE	SUP-02-00110	CDM			272	RC		outpatient			0.77	0.77	0.21				percent of total billed charges		0.77				other	OPPS APC	0.57				percent of total billed charges		0.77				other	OPPS APC	0.77				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.77				other	OPPS APC	0.21	0.77	
CATHETER LATEX 14FR ALL PURPOSE	SUP-02-00110	CDM			272	RC		inpatient			0.77	0.77																																																			
CATHETER LATEX 16FR ALL PURPOSE	SUP-02-00111	CDM			272	RC		outpatient			0.77	0.77	0.21				percent of total billed charges		0.77				other	OPPS APC	0.57				percent of total billed charges		0.77				other	OPPS APC	0.77				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.77				other	OPPS APC	0.21	0.77	
CATHETER LATEX 16FR ALL PURPOSE	SUP-02-00111	CDM			272	RC		inpatient			0.77	0.77																																																			
CATHETER LATEX 18FR ALL PURPOSE	SUP-02-00112	CDM			272	RC		outpatient			0.77	0.77	0.21				percent of total billed charges		0.77				other	OPPS APC	0.57				percent of total billed charges		0.77				other	OPPS APC	0.77				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.77				other	OPPS APC	0.21	0.77	
CATHETER LATEX 18FR ALL PURPOSE	SUP-02-00112	CDM			272	RC		inpatient			0.77	0.77																																																			
FRAME EYE SHIELD SPEYES EYE SHIELDZ BLACK NS LF CLIP ON OFF SEAL MOUNT TOP STRIP WRAPAROUND	SUP-23-502	CDM						inpatient			0.77	0.77																																																			
FRAME EYE SHIELD SPEYES EYE SHIELDZ BLACK NS LF CLIP ON OFF SEAL MOUNT TOP STRIP WRAPAROUND	SUP-23-502	CDM						outpatient			0.77	0.77	0.77				percent of total billed charges		0.77				other	OPPS APC	0.77				fee schedule		0.77				other	OPPS APC	0.77				other	OPPS APC	0.77				case rate		0.77				case rate		0.77				other	OPPS APC	0.77	0.77	
SPLINT ALUMAFOAM FINGER 1	SUP-36-00018	CDM			271	RC		outpatient			0.77	0.77	0.21				percent of total billed charges		0.77				other	OPPS APC	0.57				percent of total billed charges		0.77				other	OPPS APC	0.77				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.77				other	OPPS APC	0.21	0.77	
SPLINT ALUMAFOAM FINGER 1	SUP-36-00018	CDM			271	RC		inpatient			0.77	0.77																																																			
POUCH STERILIZATION STERIKING TYVEK L13 IN X W7.5 IN GAS SELF SEAL HIGH RESISTANT LATEX	SUP-LTSS5A	CDM						inpatient			0.77	0.77																																																			
POUCH STERILIZATION STERIKING TYVEK L13 IN X W7.5 IN GAS SELF SEAL HIGH RESISTANT LATEX	SUP-LTSS5A	CDM						outpatient			0.77	0.77	0.77				percent of total billed charges		0.77				other	OPPS APC	0.77				fee schedule		0.77				other	OPPS APC	0.77				other	OPPS APC	0.77				case rate		0.77				case rate		0.77				other	OPPS APC	0.77	0.77	
BENZOCAINE-MENTHOL 15-2.6 MG LOZENGE	637000000	CDM	6382473016	NDC	A9270	HCPCS		inpatient			0.76	0.76																																																			
BENZOCAINE-MENTHOL 15-2.6 MG LOZENGE	637000000	CDM	6382473016	NDC	A9270	HCPCS		outpatient			0.76	0.76																																															other	OPPS APC			
SPLINT ALUMAFOAM FINGER 3/4	SUP-36-00020	CDM			271	RC		outpatient			0.76	0.76	0.21				percent of total billed charges		0.76				other	OPPS APC	0.56				percent of total billed charges		0.76				other	OPPS APC	0.76				other	OPPS APC	0.21				percent of total billed charges		0.21				percent of total billed charges		0.76				other	OPPS APC	0.21	0.76	
SPLINT ALUMAFOAM FINGER 3/4	SUP-36-00020	CDM			271	RC		inpatient			0.76	0.76																																																			
REAGENT CHEMISTRY 10% NEUTRAL BUFFERED FORMALIN 60 ML HAZARDOUS	SUP-C4320-30H	CDM						inpatient			0.76	0.76																																																			
REAGENT CHEMISTRY 10% NEUTRAL BUFFERED FORMALIN 60 ML HAZARDOUS	SUP-C4320-30H	CDM						outpatient			0.76	0.76	0.76				percent of total billed charges		0.76				other	OPPS APC	0.76				fee schedule		0.76				other	OPPS APC	0.76				other	OPPS APC	0.76				case rate		0.76				case rate		0.76				other	OPPS APC	0.76	0.76	
TRAZODONE 50 MG TABLET	637000000	CDM	0904-6868-61	NDC	A9270	HCPCS		inpatient			0.75	0.75																																																			
TRAZODONE 50 MG TABLET	637000000	CDM	0904-6868-61	NDC	A9270	HCPCS		outpatient			0.75	0.75																																															other	OPPS APC			
PACK COLD INSTANT 6 X 9	SUP-11440-900	CDM			270	RC		outpatient			0.75	0.75	0.2				percent of total billed charges		0.75				other	OPPS APC	0.56				percent of total billed charges		0.75				other	OPPS APC	0.75				other	OPPS APC	0.2				percent of total billed charges		0.21				percent of total billed charges		0.75				other	OPPS APC	0.2	0.75	
PACK COLD INSTANT 6 X 9	SUP-11440-900	CDM			270	RC		inpatient			0.75	0.75																																																			
POUCH UROSTOMY W/WAFER	SUP-13-00004	CDM			272	RC		outpatient			0.75	0.75	0.2				percent of total billed charges		0.75				other	OPPS APC	0.56				percent of total billed charges		0.75				other	OPPS APC	0.75				other	OPPS APC	0.2				percent of total billed charges		0.21				percent of total billed charges		0.75				other	OPPS APC	0.2	0.75	
POUCH UROSTOMY W/WAFER	SUP-13-00004	CDM			272	RC		inpatient			0.75	0.75																																																			
CATHETER URETHRAL DOVER ROB-NEL DEHP PVC L16 IN OD10 FR 2 STAGGER EYE SMOOTH ROUND TIP TAPER FUNNEL END RADIOPAQUE STERILE LATEX FREE	SUP-8888492025	CDM						inpatient			0.75	0.75																																																			
CATHETER URETHRAL DOVER ROB-NEL DEHP PVC L16 IN OD10 FR 2 STAGGER EYE SMOOTH ROUND TIP TAPER FUNNEL END RADIOPAQUE STERILE LATEX FREE	SUP-8888492025	CDM						outpatient			0.75	0.75	0.75				percent of total billed charges		0.75				other	OPPS APC	0.75				fee schedule		0.75				other	OPPS APC	0.75				other	OPPS APC	0.75				case rate		0.75				case rate		0.75				other	OPPS APC	0.75	0.75	
ACETAMINOPHEN 120 MG SUPPOSITORY	637000000	CDM	45802-732-00	NDC	A9270	HCPCS		inpatient			0.73	0.73																																																			
ACETAMINOPHEN 120 MG SUPPOSITORY	637000000	CDM	45802-732-00	NDC	A9270	HCPCS		outpatient			0.73	0.73																																															other	OPPS APC			
MISOPROSTOL 25 MCG	637000000	CDM	43386-160-12	NDC	A9270	HCPCS		inpatient			0.73	0.73																																																			
MISOPROSTOL 25 MCG	637000000	CDM	43386-160-12	NDC	A9270	HCPCS		outpatient			0.73	0.73																																															other	OPPS APC			
CATHETER MALE EXTERNAL MEDIUM	SUP-02-00042	CDM			272	RC		outpatient			0.73	0.73	0.2				percent of total billed charges		0.73				other	OPPS APC	0.54				percent of total billed charges		0.73				other	OPPS APC	0.73				other	OPPS APC	0.2				percent of total billed charges		0.2				percent of total billed charges		0.73				other	OPPS APC	0.2	0.73	
CATHETER MALE EXTERNAL MEDIUM	SUP-02-00042	CDM			272	RC		inpatient			0.73	0.73																																																			
CATHETER MALE EXTERNAL SMALL	SUP-02-00101	CDM			272	RC		outpatient			0.73	0.73	0.2				percent of total billed charges		0.73				other	OPPS APC	0.54				percent of total billed charges		0.73				other	OPPS APC	0.73				other	OPPS APC	0.2				percent of total billed charges		0.2				percent of total billed charges		0.73				other	OPPS APC	0.2	0.73	
CATHETER MALE EXTERNAL SMALL	SUP-02-00101	CDM			272	RC		inpatient			0.73	0.73																																																			
CATHETER LATEX 20FR  ALL PURPOSE	SUP-02-00113	CDM			272	RC		outpatient			0.73	0.73	0.2				percent of total billed charges		0.73				other	OPPS APC	0.54				percent of total billed charges		0.73				other	OPPS APC	0.73				other	OPPS APC	0.2				percent of total billed charges		0.2				percent of total billed charges		0.73				other	OPPS APC	0.2	0.73	
CATHETER LATEX 20FR  ALL PURPOSE	SUP-02-00113	CDM			272	RC		inpatient			0.73	0.73																																																			
TUBING SUCTION ARGYLE PVC L1 1/2 FT OD3/16 IN FEMALE MALE MOLD CONNECTOR MINIMAL COIL MEMORY STERILE LATEX FREE CLEAR	SUP-8888301507	CDM						inpatient			0.73	0.73																																																			
TUBING SUCTION ARGYLE PVC L1 1/2 FT OD3/16 IN FEMALE MALE MOLD CONNECTOR MINIMAL COIL MEMORY STERILE LATEX FREE CLEAR	SUP-8888301507	CDM						outpatient			0.73	0.73	0.73				percent of total billed charges		0.73				other	OPPS APC	0.73				fee schedule		0.73				other	OPPS APC	0.73				other	OPPS APC	0.73				case rate		0.73				case rate		0.73				other	OPPS APC	0.73	0.73	
HYDROXYZINE 10 MG TABLET	637000000	CDM	63739-483-10	NDC	A9270	HCPCS		inpatient			0.72	0.72																																																			
HYDROXYZINE 10 MG TABLET	637000000	CDM	63739-483-10	NDC	A9270	HCPCS		outpatient			0.72	0.72																																															other	OPPS APC			
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	77333-844-10	NDC	A9270	HCPCS		inpatient			0.72	0.72																																																			
"SODIUM CHLORIDE 1,000 MG TABLET,SOLUBLE"	637000000	CDM	77333-844-10	NDC	A9270	HCPCS		outpatient			0.72	0.72																																															other	OPPS APC			
CATHETER MALE EXTERNAL LARGE	SUP-02-00041	CDM			272	RC		outpatient			0.72	0.72	0.2				percent of total billed charges		0.72				other	OPPS APC	0.53				percent of total billed charges		0.72				other	OPPS APC	0.72				other	OPPS APC	0.2				percent of total billed charges		0.2				percent of total billed charges		0.72				other	OPPS APC	0.2	0.72	
CATHETER MALE EXTERNAL LARGE	SUP-02-00041	CDM			272	RC		inpatient			0.72	0.72																																																			
O RING LIGATOR MCGIVNEY HEMORROID BAND	SUP-28-155	CDM			270	RC		outpatient			0.71	0.8	0.19				percent of total billed charges		0.71				other	OPPS APC	0.53				percent of total billed charges		0.71				other	OPPS APC	0.71				other	OPPS APC	0.19				percent of total billed charges		0.2				percent of total billed charges		0.8				other	OPPS APC	0.19	0.8	
O RING LIGATOR MCGIVNEY HEMORROID BAND	SUP-28-155	CDM			270	RC		inpatient			0.71	0.71																																																			
SYRINGE MEDICAL BD LUER-LOK BD ECLIPSE L1/2 IN OD30 GA 1 ML 1 HAND ACTIVATION DETACHABLE NEEDLE HYPODERMIC PIVOT SHIELD MECHANISM STERILE LATEX FREE	SUP-305778	CDM						inpatient			0.71	0.71																																																			
SYRINGE MEDICAL BD LUER-LOK BD ECLIPSE L1/2 IN OD30 GA 1 ML 1 HAND ACTIVATION DETACHABLE NEEDLE HYPODERMIC PIVOT SHIELD MECHANISM STERILE LATEX FREE	SUP-305778	CDM						outpatient			0.71	0.8	0.71				percent of total billed charges		0.71				other	OPPS APC	0.71				fee schedule		0.71				other	OPPS APC	0.71				other	OPPS APC	0.71				case rate		0.71				case rate		0.8				other	OPPS APC	0.71	0.8	
SYRINGE MEDICAL BD LUER-LOK BD ECLIPSE THIN WALL 5/8IN .5IN 25GA 30GA 1ML ORANGE POLYPROPYLENE DISPOSABLE STERILE LF	SUP-305780	CDM						inpatient			0.71	0.71																																																			
SYRINGE MEDICAL BD LUER-LOK BD ECLIPSE THIN WALL 5/8IN .5IN 25GA 30GA 1ML ORANGE POLYPROPYLENE DISPOSABLE STERILE LF	SUP-305780	CDM						outpatient			0.71	0.8	0.71				percent of total billed charges		0.71				other	OPPS APC	0.71				fee schedule		0.71				other	OPPS APC	0.71				other	OPPS APC	0.71				case rate		0.71				case rate		0.8				other	OPPS APC	0.71	0.8	
MORPHINE PER 10 MG	636000000	CDM	0409-3814-11	NDC	J2274	HCPCS		inpatient			0.7	0.7																																																			
MORPHINE PER 10 MG	636000000	CDM	0409-3814-11	NDC	J2274	HCPCS		outpatient			0.7	0.7																																															other	OPPS APC			
BANDAGE COMPRESSION CURITY CONFORM 75X4IN POLYESTER COTTON STERILE LF 1 PLY HIGH ABSORBENT LOW LINT SOFT POUCH	SUP-2236	CDM						inpatient			0.7	0.7																																																			
BANDAGE COMPRESSION CURITY CONFORM 75X4IN POLYESTER COTTON STERILE LF 1 PLY HIGH ABSORBENT LOW LINT SOFT POUCH	SUP-2236	CDM						outpatient			0.7	0.7	0.7				percent of total billed charges		0.7				other	OPPS APC	0.7				fee schedule		0.7				other	OPPS APC	0.7				other	OPPS APC	0.7				case rate		0.7				case rate		0.7				other	OPPS APC	0.7	0.7	
TOWEL DISP STERILE CLOTH 1/PK	SUP-23-00069	CDM			272	RC		outpatient			0.7	0.7	0.19				percent of total billed charges		0.7				other	OPPS APC	0.52				percent of total billed charges		0.7				other	OPPS APC	0.7				other	OPPS APC	0.19				percent of total billed charges		0.19				percent of total billed charges		0.7				other	OPPS APC	0.19	0.7	
TOWEL DISP STERILE CLOTH 1/PK	SUP-23-00069	CDM			272	RC		inpatient			0.7	0.7																																																			
SLIPPERS PATIENT TERRYCLOTH ADULT LARGE 2 TREAD SLIP ON OFF LATEX FREE BLUE	SUP-MDTDBLTREADL	CDM	270009080	LOCAL	270	RC		outpatient			0.7	0.7	0.19				percent of total billed charges		0.7				other	OPPS APC	0.52				percent of total billed charges		0.7				other	OPPS APC	0.7				other	OPPS APC	0.19				percent of total billed charges		0.19				percent of total billed charges		0.7				other	OPPS APC	0.19	0.7	
SLIPPERS PATIENT TERRYCLOTH ADULT LARGE 2 TREAD SLIP ON OFF LATEX FREE BLUE	SUP-MDTDBLTREADL	CDM	270009080	LOCAL	270	RC		inpatient			0.7	0.7																																																			
FOLIC ACID 400 MCG TABLET	637000000	CDM	5026834611	NDC	A9270	HCPCS		inpatient			0.69	0.69																																																			
FOLIC ACID 400 MCG TABLET	637000000	CDM	5026834611	NDC	A9270	HCPCS		outpatient			0.69	0.69																																															other	OPPS APC			
DRAIN PENROSE 12	SUP-11-00010	CDM			272	RC		outpatient			0.69	0.69	0.19				percent of total billed charges		0.69				other	OPPS APC	0.51				percent of total billed charges		0.69				other	OPPS APC	0.69				other	OPPS APC	0.19				percent of total billed charges		0.19				percent of total billed charges		0.69				other	OPPS APC	0.19	0.69	
DRAIN PENROSE 12	SUP-11-00010	CDM			272	RC		inpatient			0.69	0.69																																																			
SKIN STAPLE REMOVER	SUP-12-00041	CDM			272	RC		outpatient			0.69	0.69	0.19				percent of total billed charges		0.69				other	OPPS APC	0.51				percent of total billed charges		0.69				other	OPPS APC	0.69				other	OPPS APC	0.19				percent of total billed charges		0.19				percent of total billed charges		0.69				other	OPPS APC	0.19	0.69	
SKIN STAPLE REMOVER	SUP-12-00041	CDM			272	RC		inpatient			0.69	0.69																																																			
SYRINGE MEDICAL 60 ML LUER LOCK STERILE LATEX FREE	SUP-SYR160010Z	CDM						inpatient			0.69	0.69																																																			
SYRINGE MEDICAL 60 ML LUER LOCK STERILE LATEX FREE	SUP-SYR160010Z	CDM						outpatient			0.69	0.69	0.69				percent of total billed charges		0.69				other	OPPS APC	0.69				fee schedule		0.69				other	OPPS APC	0.69				other	OPPS APC	0.69				case rate		0.69				case rate		0.69				other	OPPS APC	0.69	0.69	
TUBE FEEDING ADULT/PED 8FR X 42'	SUP-01-00073	CDM			272	RC		outpatient			0.68	0.69	0.18				percent of total billed charges		0.68				other	OPPS APC	0.5				percent of total billed charges		0.68				other	OPPS APC	0.68				other	OPPS APC	0.18				percent of total billed charges		0.19				percent of total billed charges		0.69				other	OPPS APC	0.18	0.69	
TUBE FEEDING ADULT/PED 8FR X 42'	SUP-01-00073	CDM			272	RC		inpatient			0.68	0.68																																																			
POUCH UROSTOMY NEW IMAGE COMFORTWEAR 9IN 2.25IN RED 2 PIECE TRANSPARENT ODOR BARRIER BELT TAB	SUP-18403	CDM						inpatient			0.68	0.68																																																			
POUCH UROSTOMY NEW IMAGE COMFORTWEAR 9IN 2.25IN RED 2 PIECE TRANSPARENT ODOR BARRIER BELT TAB	SUP-18403	CDM						outpatient			0.68	0.69	0.68				percent of total billed charges		0.68				other	OPPS APC	0.68				fee schedule		0.68				other	OPPS APC	0.68				other	OPPS APC	0.68				case rate		0.68				case rate		0.69				other	OPPS APC	0.68	0.69	
BAG TRASH LINEAR LOW DENSITY 1.50 MIL CLEAR 55 GA 36X58 100 PER CASE	SUP-RXS9926XC	CDM						inpatient			0.68	0.68																																																			
BAG TRASH LINEAR LOW DENSITY 1.50 MIL CLEAR 55 GA 36X58 100 PER CASE	SUP-RXS9926XC	CDM						outpatient			0.68	0.69	0.68				percent of total billed charges		0.68				other	OPPS APC	0.68				fee schedule		0.68				other	OPPS APC	0.68				other	OPPS APC	0.68				case rate		0.68				case rate		0.69				other	OPPS APC	0.68	0.69	
PAROXETINE 20 MG TABLET	637000000	CDM	63739-963-10	NDC	A9270	HCPCS		inpatient			0.67	0.67																																																			
PAROXETINE 20 MG TABLET	637000000	CDM	63739-963-10	NDC	A9270	HCPCS		outpatient			0.67	0.67																																															other	OPPS APC			
DRESSING IV TEGADERM 1 1/2 X 1 3/4	SUP-10-00139	CDM			272	RC		outpatient			0.67	0.67	0.18				percent of total billed charges		0.67				other	OPPS APC	0.5				percent of total billed charges		0.67				other	OPPS APC	0.67				other	OPPS APC	0.18				percent of total billed charges		0.19				percent of total billed charges		0.67				other	OPPS APC	0.18	0.67	
DRESSING IV TEGADERM 1 1/2 X 1 3/4	SUP-10-00139	CDM			272	RC		inpatient			0.67	0.67																																																			
DRESSING IV TEGADERM 2 X 2 1/4	SUP-10-00140	CDM			272	RC		outpatient			0.67	0.67	0.18				percent of total billed charges		0.67				other	OPPS APC	0.5				percent of total billed charges		0.67				other	OPPS APC	0.67				other	OPPS APC	0.18				percent of total billed charges		0.19				percent of total billed charges		0.67				other	OPPS APC	0.18	0.67	
DRESSING IV TEGADERM 2 X 2 1/4	SUP-10-00140	CDM			272	RC		inpatient			0.67	0.67																																																			
FLUORESCEIN 1 MG STRIP	637000000	CDM	17238-900-11	NDC	A9270	HCPCS		inpatient			0.66	0.66																																																			
FLUORESCEIN 1 MG STRIP	637000000	CDM	17238-900-99	NDC	A9270	HCPCS		inpatient			0.66	0.66																																																			
FLUORESCEIN 1 MG STRIP	637000000	CDM	17238-900-11	NDC	A9270	HCPCS		outpatient			0.66	0.66																																															other	OPPS APC			
FLUORESCEIN 1 MG STRIP	637000000	CDM	17238-900-99	NDC	A9270	HCPCS		outpatient			0.66	0.66																																															other	OPPS APC			
HYDROMORPHONE 4 MG TABLET	637000000	CDM	42858-302-25	NDC	A9270	HCPCS		inpatient			0.66	0.66																																																			
HYDROMORPHONE 4 MG TABLET	637000000	CDM	42858-302-25	NDC	A9270	HCPCS		outpatient			0.66	0.66																																															other	OPPS APC			
BLADE SURGICAL BARD-PARKER RIB-BACK CARBON STEEL 10 TISSUE SHARPNESS STERILE LATEX FREE	SUP-371110	CDM						inpatient			0.66	0.66																																																			
BLADE SURGICAL BARD-PARKER RIB-BACK CARBON STEEL 10 TISSUE SHARPNESS STERILE LATEX FREE	SUP-371110	CDM						outpatient			0.66	0.66	0.66				percent of total billed charges		0.66				other	OPPS APC	0.66				fee schedule		0.66				other	OPPS APC	0.66				other	OPPS APC	0.66				case rate		0.66				case rate		0.66				other	OPPS APC	0.66	0.66	
BLADE SURGICAL BARD-PARKER RIB-BACK CARBON STEEL 11 SHARPNESS STERILE LATEX FREE	SUP-371111	CDM						inpatient			0.65	0.65																																																			
BLADE SURGICAL BARD-PARKER RIB-BACK CARBON STEEL 11 SHARPNESS STERILE LATEX FREE	SUP-371111	CDM						outpatient			0.65	0.65	0.65				percent of total billed charges		0.65				other	OPPS APC	0.65				fee schedule		0.65				other	OPPS APC	0.65				other	OPPS APC	0.65				case rate		0.65				case rate		0.65				other	OPPS APC	0.65	0.65	
BLADE SURGICAL BARD-PARKER RIB-BACK CARBON STEEL 15 SHARPNESS STERILE LATEX FREE	SUP-371115	CDM						inpatient			0.65	0.65																																																			
BLADE SURGICAL BARD-PARKER RIB-BACK CARBON STEEL 15 SHARPNESS STERILE LATEX FREE	SUP-371115	CDM						outpatient			0.65	0.65	0.65				percent of total billed charges		0.65				other	OPPS APC	0.65				fee schedule		0.65				other	OPPS APC	0.65				other	OPPS APC	0.65				case rate		0.65				case rate		0.65				other	OPPS APC	0.65	0.65	
AMIODARONE 200 MG TABLET	637000000	CDM	63739-051-10	NDC	A9270	HCPCS		inpatient			0.64	0.64																																																			
AMIODARONE 200 MG TABLET	637000000	CDM	63739-051-10	NDC	A9270	HCPCS		outpatient			0.64	0.64																																															other	OPPS APC			
NAPROXEN 500 MG TABLET	637000000	CDM	63739-403-10	NDC	A9270	HCPCS		inpatient			0.64	0.64																																																			
NAPROXEN 500 MG TABLET	637000000	CDM	63739-403-10	NDC	A9270	HCPCS		outpatient			0.64	0.64																																															other	OPPS APC			
SYRINGE INSULIN BD SAFETYGLIDE U-100 .5IN 29GA 1ML DISPOSABLE STERILE LF PERMANENT ATTACH NEEDLE VISIBLE LOCK	SUP-305930	CDM						inpatient			0.64	0.64																																																			
SYRINGE INSULIN BD SAFETYGLIDE U-100 .5IN 29GA 1ML DISPOSABLE STERILE LF PERMANENT ATTACH NEEDLE VISIBLE LOCK	SUP-305930	CDM						outpatient			0.64	0.64	0.64				percent of total billed charges		0.64				other	OPPS APC	0.64				fee schedule		0.64				other	OPPS APC	0.64				other	OPPS APC	0.64				case rate		0.64				case rate		0.64				other	OPPS APC	0.64	0.64	
HYDROCHLOROTHIAZIDE 25 MG TABLET	637000000	CDM	60687-593-01	NDC	A9270	HCPCS		inpatient			0.63	0.63																																																			
HYDROCHLOROTHIAZIDE 25 MG TABLET	637000000	CDM	60687-593-11	NDC	A9270	HCPCS		inpatient			0.63	0.63																																																			
HYDROCHLOROTHIAZIDE 25 MG TABLET	637000000	CDM	60687-593-01	NDC	A9270	HCPCS		outpatient			0.63	0.63																																															other	OPPS APC			
HYDROCHLOROTHIAZIDE 25 MG TABLET	637000000	CDM	60687-593-11	NDC	A9270	HCPCS		outpatient			0.63	0.63																																															other	OPPS APC			
LEVETIRACETAM 500 MG TABLET	637000000	CDM	0904-7124-61	NDC	A9270	HCPCS		inpatient			0.63	0.63																																																			
LEVETIRACETAM 500 MG TABLET	637000000	CDM	0904-7124-61	NDC	A9270	HCPCS		outpatient			0.63	0.63																																															other	OPPS APC			
PEN SURGICAL MARKING MINI XL FINE PREP RESISTANT INK NONSTERILE	SUP-1450XL-1000	CDM						inpatient			0.63	0.63																																																			
PEN SURGICAL MARKING MINI XL FINE PREP RESISTANT INK NONSTERILE	SUP-1450XL-1000	CDM						outpatient			0.63	0.63	0.63				percent of total billed charges		0.63				other	OPPS APC	0.63				fee schedule		0.63				other	OPPS APC	0.63				other	OPPS APC	0.63				case rate		0.63				case rate		0.63				other	OPPS APC	0.63	0.63	
POUCH UROSTOMY NEW IMAGE COMFORTWEAR L 9 IN OD 2 3/4 IN 2 PIECE TAP TEARDROP INDICATOR ANTIREFLUX LATEX FREE BLUE ULTRACLEAR	SUP-18924	CDM			270	RC		outpatient			0.63	0.63	0.17				percent of total billed charges		0.63				other	OPPS APC	0.47				percent of total billed charges		0.63				other	OPPS APC	0.63				other	OPPS APC	0.17				percent of total billed charges		0.17				percent of total billed charges		0.63				other	OPPS APC	0.17	0.63	
POUCH UROSTOMY NEW IMAGE COMFORTWEAR L 9 IN OD 2 3/4 IN 2 PIECE TAP TEARDROP INDICATOR ANTIREFLUX LATEX FREE BLUE ULTRACLEAR	SUP-18924	CDM			270	RC		inpatient			0.63	0.63																																																			
BRUSH SURGICAL SCRUB BD E-Z SCRUB POLYETHYLENE DRY SOFT SPONGE ANTIMICROBIAL STERILE LATEX FREE DISPOSABLE GREEN	SUP-371603	CDM						inpatient			0.63	0.63																																																			
BRUSH SURGICAL SCRUB BD E-Z SCRUB POLYETHYLENE DRY SOFT SPONGE ANTIMICROBIAL STERILE LATEX FREE DISPOSABLE GREEN	SUP-371603	CDM						outpatient			0.63	0.63	0.63				percent of total billed charges		0.63				other	OPPS APC	0.63				fee schedule		0.63				other	OPPS APC	0.63				other	OPPS APC	0.63				case rate		0.63				case rate		0.63				other	OPPS APC	0.63	0.63	
CATHETER URETHRAL DOVER ROB-NEL PVC L14 IN OD8 FR ROUND TIP 2 STAGGER EYE INTEGRAL TAPER FUNNEL END STERILE LATEX FREE	SUP-8888492017	CDM						inpatient			0.62	0.62																																																			
CATHETER URETHRAL DOVER ROB-NEL PVC L14 IN OD8 FR ROUND TIP 2 STAGGER EYE INTEGRAL TAPER FUNNEL END STERILE LATEX FREE	SUP-8888492017	CDM						outpatient			0.62	0.62	0.62				percent of total billed charges		0.62				other	OPPS APC	0.62				fee schedule		0.62				other	OPPS APC	0.62				other	OPPS APC	0.62				case rate		0.62				case rate		0.62				other	OPPS APC	0.62	0.62	
CATHETER URETHRAL DOVER ROB-NEL DEHP PVC L14 IN OD14 FR 2 STAGGER EYE SMOOTH ROUND TIP TAPER FUNNEL END RADIOPAQUE STERILE LATEX FREE	SUP-8888492041	CDM						inpatient			0.62	0.62																																																			
CATHETER URETHRAL DOVER ROB-NEL DEHP PVC L14 IN OD14 FR 2 STAGGER EYE SMOOTH ROUND TIP TAPER FUNNEL END RADIOPAQUE STERILE LATEX FREE	SUP-8888492041	CDM						outpatient			0.62	0.62	0.62				percent of total billed charges		0.62				other	OPPS APC	0.62				fee schedule		0.62				other	OPPS APC	0.62				other	OPPS APC	0.62				case rate		0.62				case rate		0.62				other	OPPS APC	0.62	0.62	
CATHETER URETHRAL DOVER ROB-NEL 16IN 16FR PVC DISPOSABLE STERILE LF 2 STAGGER EYE SMOOTH ROUND TIP TAPER FUNNEL END	SUP-8888492058	CDM						inpatient			0.62	0.62																																																			
CATHETER URETHRAL DOVER ROB-NEL 16IN 16FR PVC DISPOSABLE STERILE LF 2 STAGGER EYE SMOOTH ROUND TIP TAPER FUNNEL END	SUP-8888492058	CDM						outpatient			0.62	0.62	0.62				percent of total billed charges		0.62				other	OPPS APC	0.62				fee schedule		0.62				other	OPPS APC	0.62				other	OPPS APC	0.62				case rate		0.62				case rate		0.62				other	OPPS APC	0.62	0.62	
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	0409-1165-19	NDC	J0665	HCPCS		inpatient			0.61	0.61																																																			
BUPIVACAINE PF 0.75 % (7.5 MG/ML) SOLUTION 30 ML VIAL	636000000	CDM	0409-1165-19	NDC	J0665	HCPCS		outpatient			0.61	0.16																																											0.16				other	OPPS APC	0.16	0.16	
DIAZEPAM 2 MG TABLET	637000000	CDM	51079-284-01	NDC	A9270	HCPCS		inpatient			0.61	0.61																																																			
DIAZEPAM 2 MG TABLET	637000000	CDM	51079-284-01	NDC	A9270	HCPCS		outpatient			0.61	0.61																																															other	OPPS APC			
METOPROLOL TARTRATE 25 MG TABLET	637000000	CDM	51079-255-01	NDC	A9270	HCPCS		inpatient			0.61	0.61																																																			
METOPROLOL TARTRATE 25 MG TABLET	637000000	CDM	51079-255-20	NDC	A9270	HCPCS		inpatient			0.61	0.61																																																			
METOPROLOL TARTRATE 25 MG TABLET	637000000	CDM	51079-255-01	NDC	A9270	HCPCS		outpatient			0.61	0.61																																															other	OPPS APC			
METOPROLOL TARTRATE 25 MG TABLET	637000000	CDM	51079-255-20	NDC	A9270	HCPCS		outpatient			0.61	0.61																																															other	OPPS APC			
"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG (120 MG-180 MG) CAPSULE"	637000000	CDM	7733330825	NDC	A9270	HCPCS		inpatient			0.61	0.61																																																			
"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG (120 MG-180 MG) CAPSULE"	637000000	CDM	7733330825	NDC	A9270	HCPCS		outpatient			0.61	0.61																																															other	OPPS APC			
GAUZE VASELINE 3 X 18	SUP-10-00039	CDM			272	RC		outpatient			0.61	0.7	0.17				percent of total billed charges		0.61				other	OPPS APC	0.45				percent of total billed charges		0.61				other	OPPS APC	0.61				other	OPPS APC	0.17				percent of total billed charges		0.17				percent of total billed charges		0.7				other	OPPS APC	0.17	0.7	
GAUZE VASELINE 3 X 18	SUP-10-00039	CDM			272	RC		inpatient			0.61	0.61																																																			
SET EXT T CONNECTOR #6	SUP-20-00021	CDM			272	RC		outpatient			0.61	0.7	0.17				percent of total billed charges		0.61				other	OPPS APC	0.45				percent of total billed charges		0.61				other	OPPS APC	0.61				other	OPPS APC	0.17				percent of total billed charges		0.17				percent of total billed charges		0.7				other	OPPS APC	0.17	0.7	
SET EXT T CONNECTOR #6	SUP-20-00021	CDM			272	RC		inpatient			0.61	0.61																																																			
BANDAGE COMPRESSION CURITY CONFORM POLYESTER COTTON L75 IN X W3 IN MODERATE STRETCH LOW PROFILE LOW LINT HIGH ABSORBENCY STERILE LATEX FREE	SUP-2232	CDM						inpatient			0.61	0.61																																																			
BANDAGE COMPRESSION CURITY CONFORM POLYESTER COTTON L75 IN X W3 IN MODERATE STRETCH LOW PROFILE LOW LINT HIGH ABSORBENCY STERILE LATEX FREE	SUP-2232	CDM						outpatient			0.61	0.7	0.61				percent of total billed charges		0.61				other	OPPS APC	0.61				fee schedule		0.61				other	OPPS APC	0.61				other	OPPS APC	0.61				case rate		0.61				case rate		0.7				other	OPPS APC	0.61	0.7	
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6860-61	NDC	A9270	HCPCS		inpatient			0.6	0.6																																																			
"DIVALPROEX 250 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6860-61	NDC	A9270	HCPCS		outpatient			0.6	0.6																																															other	OPPS APC			
FOOTWEAR PATIENT PEDIATRIC TERRY IN YELLOW	SUP-MDTPS4B01FPY	CDM	270009080	LOCAL	270	RC		outpatient			0.6	0.6	0.16				percent of total billed charges		0.6				other	OPPS APC	0.44				percent of total billed charges		0.6				other	OPPS APC	0.6				other	OPPS APC	0.16				percent of total billed charges		0.17				percent of total billed charges		0.6				other	OPPS APC	0.16	0.6	
FOOTWEAR PATIENT PEDIATRIC TERRY IN YELLOW	SUP-MDTPS4B01FPY	CDM	270009080	LOCAL	270	RC		inpatient			0.6	0.6																																																			
ATENOLOL 25 MG TABLET	637000000	CDM	0904-7187-61	NDC	A9270	HCPCS		inpatient			0.59	0.59																																																			
ATENOLOL 25 MG TABLET	637000000	CDM	0904-7187-61	NDC	A9270	HCPCS		outpatient			0.59	0.59																																															other	OPPS APC			
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6861-61	NDC	A9270	HCPCS		inpatient			0.59	0.59																																																			
"DIVALPROEX 500 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6861-61	NDC	A9270	HCPCS		outpatient			0.59	0.59																																															other	OPPS APC			
"SIMETHICONE 80 MG TABLET,CHEWABLE"	637000000	CDM	77333-812-25	NDC	A9270	HCPCS		inpatient			0.59	0.59																																																			
"SIMETHICONE 80 MG TABLET,CHEWABLE"	637000000	CDM	77333-812-25	NDC	A9270	HCPCS		outpatient			0.59	0.59																																															other	OPPS APC			
BACITRACIN 500 UNIT/GRAM PACKET	637000000	CDM	45802-060-00	NDC	A9270	HCPCS		inpatient			0.58	0.58																																																			
BACITRACIN 500 UNIT/GRAM PACKET	637000000	CDM	45802-060-70	NDC	A9270	HCPCS		inpatient			0.58	0.58																																																			
BACITRACIN 500 UNIT/GRAM PACKET	637000000	CDM	45802-060-00	NDC	A9270	HCPCS		outpatient			0.58	0.58																																															other	OPPS APC			
BACITRACIN 500 UNIT/GRAM PACKET	637000000	CDM	45802-060-70	NDC	A9270	HCPCS		outpatient			0.58	0.58																																															other	OPPS APC			
TUBING OXYGEN AIRLIFE VINYL ADULT L7 FT TIP CRUSH RESISTANT LUMEN U CONNECT IT CONNECTOR LATEX FREE DISPOSABLE	SUP-001350	CDM			270	RC		outpatient			0.58	0.58	0.16				percent of total billed charges		0.58				other	OPPS APC	0.43				percent of total billed charges		0.58				other	OPPS APC	0.58				other	OPPS APC	0.16				percent of total billed charges		0.16				percent of total billed charges		0.58				other	OPPS APC	0.16	0.58	
TUBING OXYGEN AIRLIFE VINYL ADULT L7 FT TIP CRUSH RESISTANT LUMEN U CONNECT IT CONNECTOR LATEX FREE DISPOSABLE	SUP-001350	CDM			270	RC		inpatient			0.58	0.58																																																			
TAPE SURGICAL 3M MICROPORE 10YDX1IN WHITE PAPER DISPOSABLE LF HYPOALLERGENIC BREATHABLE	SUP-1530-1	CDM						inpatient			0.58	0.58																																																			
TAPE SURGICAL 3M MICROPORE 10YDX1IN WHITE PAPER DISPOSABLE LF HYPOALLERGENIC BREATHABLE	SUP-1530-1	CDM						outpatient			0.58	0.58	0.58				percent of total billed charges		0.58				other	OPPS APC	0.58				fee schedule		0.58				other	OPPS APC	0.58				other	OPPS APC	0.58				case rate		0.58				case rate		0.58				other	OPPS APC	0.58	0.58	
POUCH OSTOMY NEW IMAGE LOCK N ROLL COMFORTWEAR L12 IN OD4 IN 2 PIECE DRAINABLE TRANSPARENT BELT TAB LATEX ULTRA CLEAR	SUP-18006	CDM			270	RC		outpatient			0.58	0.58	0.16				percent of total billed charges		0.58				other	OPPS APC	0.43				percent of total billed charges		0.58				other	OPPS APC	0.58				other	OPPS APC	0.16				percent of total billed charges		0.16				percent of total billed charges		0.58				other	OPPS APC	0.16	0.58	
POUCH OSTOMY NEW IMAGE LOCK N ROLL COMFORTWEAR L12 IN OD4 IN 2 PIECE DRAINABLE TRANSPARENT BELT TAB LATEX ULTRA CLEAR	SUP-18006	CDM			270	RC		inpatient			0.58	0.58																																																			
BANDAGE COMPRESSION CURITY CONFORM 75X2IN POLYESTER COTTON STERILE LF 1 PLY HIGH ABSORBENT LOW LINT SOFT POUCH	SUP-2231	CDM						inpatient			0.58	0.58																																																			
BANDAGE COMPRESSION CURITY CONFORM 75X2IN POLYESTER COTTON STERILE LF 1 PLY HIGH ABSORBENT LOW LINT SOFT POUCH	SUP-2231	CDM						outpatient			0.58	0.58	0.58				percent of total billed charges		0.58				other	OPPS APC	0.58				fee schedule		0.58				other	OPPS APC	0.58				other	OPPS APC	0.58				case rate		0.58				case rate		0.58				other	OPPS APC	0.58	0.58	
AIRWAY GUEDEL #8	SUP-31-00038	CDM			272	RC		outpatient			0.58	0.58	0.16				percent of total billed charges		0.58				other	OPPS APC	0.43				percent of total billed charges		0.58				other	OPPS APC	0.58				other	OPPS APC	0.16				percent of total billed charges		0.16				percent of total billed charges		0.58				other	OPPS APC	0.16	0.58	
AIRWAY GUEDEL #8	SUP-31-00038	CDM			272	RC		inpatient			0.58	0.58																																																			
URINAL PATIENT MEDICHOICE POLYPROPYLENE MALE 1 OZ HANG LID TRANSLUCENT GRADUATED NOTCH HANDLE DISPOSABLE	SUP-H140-01	CDM						inpatient			0.58	0.58																																																			
URINAL PATIENT MEDICHOICE POLYPROPYLENE MALE 1 OZ HANG LID TRANSLUCENT GRADUATED NOTCH HANDLE DISPOSABLE	SUP-H140-01	CDM						outpatient			0.58	0.58	0.58				percent of total billed charges		0.58				other	OPPS APC	0.58				fee schedule		0.58				other	OPPS APC	0.58				other	OPPS APC	0.58				case rate		0.58				case rate		0.58				other	OPPS APC	0.58	0.58	
ADAPTER PHLEBOTOMY VENOJECT II MULTISAMPLE EVACUATE MALE LUER	SUP-MN2000T	CDM						inpatient			0.58	0.58																																																			
ADAPTER PHLEBOTOMY VENOJECT II MULTISAMPLE EVACUATE MALE LUER	SUP-MN2000T	CDM						outpatient			0.58	0.58	0.58				percent of total billed charges		0.58				other	OPPS APC	0.58				fee schedule		0.58				other	OPPS APC	0.58				other	OPPS APC	0.58				case rate		0.58				case rate		0.58				other	OPPS APC	0.58	0.58	
CARBIDOPA-LEVODOPA 25-100 MG TABLET	637000000	CDM	0904-7257-61	NDC	A9270	HCPCS		inpatient			0.57	0.57																																																			
CARBIDOPA-LEVODOPA 25-100 MG TABLET	637000000	CDM	0904-7257-61	NDC	A9270	HCPCS		outpatient			0.57	0.57																																															other	OPPS APC			
CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET	637000000	CDM	7733394810	NDC	A9270	HCPCS		inpatient			0.57	0.57																																																			
CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET	637000000	CDM	7733394825	NDC	A9270	HCPCS		inpatient			0.57	0.57																																																			
CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET	637000000	CDM	7733394810	NDC	A9270	HCPCS		outpatient			0.57	0.57																																															other	OPPS APC			
CHOLECALCIFEROL 10 MCG (400 UNIT) TABLET	637000000	CDM	7733394825	NDC	A9270	HCPCS		outpatient			0.57	0.57																																															other	OPPS APC			
HALOPERIDOL 2 MG/ML CONCENTRATE	637000000	CDM	0121-0581-04	NDC	A9270	HCPCS		inpatient			0.57	0.57																																																			
HALOPERIDOL 2 MG/ML CONCENTRATE	637000000	CDM	0121-0581-04	NDC	A9270	HCPCS		outpatient			0.57	0.57																																															other	OPPS APC			
SYRINGE INTRAVENOUS BD POSIFLUSH NORMAL SALINE 5 ML PRESERVATIVE FREE FILL STERILE LATEX FREE	SUP-306545	CDM						inpatient			0.57	0.57																																																			
SYRINGE INTRAVENOUS BD POSIFLUSH NORMAL SALINE 5 ML PRESERVATIVE FREE FILL STERILE LATEX FREE	SUP-306545	CDM						outpatient			0.57	0.57	0.57				percent of total billed charges		0.57				other	OPPS APC	0.57				fee schedule		0.57				other	OPPS APC	0.57				other	OPPS APC	0.57				case rate		0.57				case rate		0.57				other	OPPS APC	0.57	0.57	
SPLINT CAST SPECIALIST PLASTER OF PARIS L30 IN X W5 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7392	CDM						inpatient			0.57	0.57																																																			
SPLINT CAST SPECIALIST PLASTER OF PARIS L30 IN X W5 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7392	CDM						outpatient			0.57	0.57	0.57				percent of total billed charges		0.57				other	OPPS APC	0.57				fee schedule		0.57				other	OPPS APC	0.57				other	OPPS APC	0.57				case rate		0.57				case rate		0.57				other	OPPS APC	0.57	0.57	
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	904740361	NDC	A9270	HCPCS		inpatient			0.56	0.56																																																			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	904740361	NDC	A9270	HCPCS		outpatient			0.56	0.56																																															other	OPPS APC			
LEVETIRACETAM 250 MG TABLET	637000000	CDM	0904-7123-61	NDC	A9270	HCPCS		inpatient			0.56	0.56																																																			
LEVETIRACETAM 250 MG TABLET	637000000	CDM	0904-7123-61	NDC	A9270	HCPCS		outpatient			0.56	0.56																																															other	OPPS APC			
LORAZEPAM 1 MG TABLET	637000000	CDM	0904-6008-61	NDC	A9270	HCPCS		inpatient			0.56	0.56																																																			
LORAZEPAM 1 MG TABLET	637000000	CDM	0904-6008-61	NDC	A9270	HCPCS		outpatient			0.56	0.56																																															other	OPPS APC			
SYRINGE MEDICAL BD LUER-LOK 30ML 1ML DISPOSABLE STERILE LF CONCENTRIC TIP 1ML GRADUATION NONPYROGENIC DEHP FREE	SUP-302832	CDM						inpatient			0.56	0.56																																																			
SYRINGE MEDICAL BD LUER-LOK 30ML 1ML DISPOSABLE STERILE LF CONCENTRIC TIP 1ML GRADUATION NONPYROGENIC DEHP FREE	SUP-302832	CDM						outpatient			0.56	0.57	0.56				percent of total billed charges		0.56				other	OPPS APC	0.56				fee schedule		0.56				other	OPPS APC	0.56				other	OPPS APC	0.56				case rate		0.56				case rate		0.57				other	OPPS APC	0.56	0.57	
SYRINGE TUBERCULIN BD SAFETYGLIDE .5IN 27GA 1ML STERILE LF REGULAR BEVEL PERMANENT ATTACH NEEDLE SHIELD	SUP-305945	CDM			270	RC		outpatient			0.56	0.57	0.15				percent of total billed charges		0.56				other	OPPS APC	0.41				percent of total billed charges		0.56				other	OPPS APC	0.56				other	OPPS APC	0.15				percent of total billed charges		0.15				percent of total billed charges		0.57				other	OPPS APC	0.15	0.57	
SYRINGE TUBERCULIN BD SAFETYGLIDE .5IN 27GA 1ML STERILE LF REGULAR BEVEL PERMANENT ATTACH NEEDLE SHIELD	SUP-305945	CDM			270	RC		inpatient			0.56	0.56																																																			
CONTAINER PATHOLOGY 16OZ POLYPROPYLENE NS LF LEAK RESISTANT LID FREEZABLE	SUP-DYND34260_701263	CDM						inpatient			0.56	0.56																																																			
CONTAINER PATHOLOGY 16OZ POLYPROPYLENE NS LF LEAK RESISTANT LID FREEZABLE	SUP-DYND34260_701263	CDM						outpatient			0.56	0.57	0.56				percent of total billed charges		0.56				other	OPPS APC	0.56				fee schedule		0.56				other	OPPS APC	0.56				other	OPPS APC	0.56				case rate		0.56				case rate		0.57				other	OPPS APC	0.56	0.57	
ABSORBENT DENTAL NEODRYS SMALL SALIVA REFLECTIVE SUPER CORE SOFT EDGE YELLOW	SUP-1731798	CDM						inpatient			0.55	0.55																																																			
ABSORBENT DENTAL NEODRYS SMALL SALIVA REFLECTIVE SUPER CORE SOFT EDGE YELLOW	SUP-1731798	CDM						outpatient			0.55	0.55	0.55				percent of total billed charges		0.55				other	OPPS APC	0.55				fee schedule		0.55				other	OPPS APC	0.55				other	OPPS APC	0.55				case rate		0.55				case rate		0.55				other	OPPS APC	0.55	0.55	
SEAL OSTOMY EAKIN COHESIVE HYDROCOLLOID PECTIN SMALL DONUT OD 2 IN ABSORBENT ADHESIVE SLIN BARRIER RING LATEX FREE	SUP-79402	CDM			270	RC		outpatient			0.55	0.55	0.15				percent of total billed charges		0.55				other	OPPS APC	0.41				percent of total billed charges		0.55				other	OPPS APC	0.55				other	OPPS APC	0.15				percent of total billed charges		0.15				percent of total billed charges		0.55				other	OPPS APC	0.15	0.55	
SEAL OSTOMY EAKIN COHESIVE HYDROCOLLOID PECTIN SMALL DONUT OD 2 IN ABSORBENT ADHESIVE SLIN BARRIER RING LATEX FREE	SUP-79402	CDM			270	RC		inpatient			0.55	0.55																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-26	NDC	J2001	HCPCS		inpatient			0.54	0.54																																																			
LIDOCAINE PF 10 MG/ML (1 %) SOLUTION	636000000	CDM	63323-492-26	NDC	J2001	HCPCS		outpatient			0.54	0.54																																															other	OPPS APC			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	2055500600	NDC	A9270	HCPCS		inpatient			0.54	0.54																																																			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	2055500600	NDC	A9270	HCPCS		outpatient			0.54	0.54																																															other	OPPS APC			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	50268-191-11	NDC	A9270	HCPCS		inpatient			0.54	0.54																																																			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	60687-558-01	NDC	A9270	HCPCS		inpatient			0.54	0.54																																																			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	60687-558-11	NDC	A9270	HCPCS		inpatient			0.54	0.54																																																			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	50268-191-11	NDC	A9270	HCPCS		outpatient			0.54	0.54																																															other	OPPS APC			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	60687-558-01	NDC	A9270	HCPCS		outpatient			0.54	0.54																																															other	OPPS APC			
CYCLOBENZAPRINE 10 MG TABLET	637000000	CDM	60687-558-11	NDC	A9270	HCPCS		outpatient			0.54	0.54																																															other	OPPS APC			
NEEDLE FILTER BD 5UM REGULAR WALL 1.5IN 18GA PURPLE POLYCARBONATE DISPOSABLE STERILE LF BLUNT BEVEL LUER HUB DEHP FREE	SUP-305211	CDM						inpatient			0.54	0.54																																																			
NEEDLE FILTER BD 5UM REGULAR WALL 1.5IN 18GA PURPLE POLYCARBONATE DISPOSABLE STERILE LF BLUNT BEVEL LUER HUB DEHP FREE	SUP-305211	CDM						outpatient			0.54	0.54	0.54				percent of total billed charges		0.54				other	OPPS APC	0.54				fee schedule		0.54				other	OPPS APC	0.54				other	OPPS APC	0.54				case rate		0.54				case rate		0.54				other	OPPS APC	0.54	0.54	
PREDNISONE PER 5 MG	636000000	CDM	60687-134-11	NDC	J7512	HCPCS		inpatient			0.53	0.53																																																			
PREDNISONE PER 5 MG	636000000	CDM	60687-134-11	NDC	J7512	HCPCS		outpatient			0.53	0.53																																															other	OPPS APC			
"CHOLECALCIFEROL 25 MCG (1,000 UNIT) TABLET"	637000000	CDM	4843310401	NDC	A9270	HCPCS		inpatient			0.53	0.53																																																			
"CHOLECALCIFEROL 25 MCG (1,000 UNIT) TABLET"	637000000	CDM	4843310401	NDC	A9270	HCPCS		outpatient			0.53	0.53																																															other	OPPS APC			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	7733393825	NDC	A9270	HCPCS		inpatient			0.53	0.53																																																			
"CYANOCOBALAMIN 1,000 MCG TABLET"	637000000	CDM	7733393825	NDC	A9270	HCPCS		outpatient			0.53	0.53																																															other	OPPS APC			
MORPHINE 20 MG/ML SYRINGE	637000000	CDM	27808-082-01	NDC	A9270	HCPCS		inpatient			0.53	0.53																																																			
MORPHINE 20 MG/ML SYRINGE	637000000	CDM	27808-082-01	NDC	A9270	HCPCS		outpatient			0.53	0.53																																															other	OPPS APC			
PRENATAL VITAMIN WITH IRON AND FOLIC ACID 27 MG IRON- 800 MCG TABLET	637000000	CDM	7733371525	NDC	A9270	HCPCS		inpatient			0.52	0.52																																																			
PRENATAL VITAMIN WITH IRON AND FOLIC ACID 27 MG IRON- 800 MCG TABLET	637000000	CDM	7733371525	NDC	A9270	HCPCS		outpatient			0.52	0.52																																															other	OPPS APC			
DRESSING MEPILEX POST OP 4X8	SUP-10-00144	CDM			272	RC		outpatient			0.52	0.52	0.14				percent of total billed charges		0.52				other	OPPS APC	0.38				percent of total billed charges		0.52				other	OPPS APC	0.52				other	OPPS APC	0.14				percent of total billed charges		0.14				percent of total billed charges		0.52				other	OPPS APC	0.14	0.52	
DRESSING MEPILEX POST OP 4X8	SUP-10-00144	CDM			272	RC		inpatient			0.52	0.52																																																			
BANDAGE COMPRESSION CURITY 75X1IN POLYESTER COTTON STRETCH LOW LINT HIGH ABSORBENCY	SUP-2230	CDM						inpatient			0.52	0.52																																																			
BANDAGE COMPRESSION CURITY 75X1IN POLYESTER COTTON STRETCH LOW LINT HIGH ABSORBENCY	SUP-2230	CDM						outpatient			0.52	0.52	0.52				percent of total billed charges		0.52				other	OPPS APC	0.52				fee schedule		0.52				other	OPPS APC	0.52				other	OPPS APC	0.52				case rate		0.52				case rate		0.52				other	OPPS APC	0.52	0.52	
FOLIC ACID 1 MG TABLET	637000000	CDM	0904-7224-61	NDC	A9270	HCPCS		inpatient			0.51	0.51																																																			
FOLIC ACID 1 MG TABLET	637000000	CDM	0904-7224-61	NDC	A9270	HCPCS		outpatient			0.51	0.51																																															other	OPPS APC			
HYDROMORPHONE 2 MG TABLET	637000000	CDM	42858-301-25	NDC	A9270	HCPCS		inpatient			0.51	0.51																																																			
HYDROMORPHONE 2 MG TABLET	637000000	CDM	42858-301-25	NDC	A9270	HCPCS		outpatient			0.51	0.51																																															other	OPPS APC			
DRESSING WOUND CURITY 3X3IN OIL EMULSION FABRIC STERILE LF NONADHERENT KNIT IMPREGNATE OPEN MESH	SUP-6112	CDM						inpatient			0.5	0.5																																																			
DRESSING WOUND CURITY 3X3IN OIL EMULSION FABRIC STERILE LF NONADHERENT KNIT IMPREGNATE OPEN MESH	SUP-6112	CDM						outpatient			0.5	0.5	0.5				percent of total billed charges		0.5				other	OPPS APC	0.5				fee schedule		0.5				other	OPPS APC	0.5				other	OPPS APC	0.5				case rate		0.5				case rate		0.5				other	OPPS APC	0.5	0.5	
GABAPENTIN 300 MG CAPSULE	637000000	CDM	0904-6666-61	NDC	A9270	HCPCS		inpatient			0.49	0.49																																																			
GABAPENTIN 300 MG CAPSULE	637000000	CDM	63739-903-10	NDC	A9270	HCPCS		inpatient			0.49	0.49																																																			
GABAPENTIN 300 MG CAPSULE	637000000	CDM	0904-6666-61	NDC	A9270	HCPCS		outpatient			0.49	0.49																																															other	OPPS APC			
GABAPENTIN 300 MG CAPSULE	637000000	CDM	63739-903-10	NDC	A9270	HCPCS		outpatient			0.49	0.49																																															other	OPPS APC			
AIRWAY GUEDEL #10	SUP-31-00054	CDM			272	RC		outpatient			0.49	0.49	0.13				percent of total billed charges		0.49				other	OPPS APC	0.36				percent of total billed charges		0.49				other	OPPS APC	0.49				other	OPPS APC	0.13				percent of total billed charges		0.14				percent of total billed charges		0.49				other	OPPS APC	0.13	0.49	
AIRWAY GUEDEL #10	SUP-31-00054	CDM			272	RC		inpatient			0.49	0.49																																																			
SPONGE LAPAROTOMY TYVEK L12 IN X W12 IN PUNCTURE RESISTANT STERILE	SUP-AL1212	CDM						inpatient			0.49	0.49																																																			
SPONGE LAPAROTOMY TYVEK L12 IN X W12 IN PUNCTURE RESISTANT STERILE	SUP-AL1212	CDM						outpatient			0.49	0.49	0.49				percent of total billed charges		0.49				other	OPPS APC	0.49				fee schedule		0.49				other	OPPS APC	0.49				other	OPPS APC	0.49				case rate		0.49				case rate		0.49				other	OPPS APC	0.49	0.49	
PILLOWCASE TISSUE POLY 21X30 WHITE	SUP-NON24345	CDM						inpatient			0.49	0.49																																																			
PILLOWCASE TISSUE POLY 21X30 WHITE	SUP-NON24345	CDM						outpatient			0.49	0.49	0.49				percent of total billed charges		0.49				other	OPPS APC	0.49				fee schedule		0.49				other	OPPS APC	0.49				other	OPPS APC	0.49				case rate		0.49				case rate		0.49				other	OPPS APC	0.49	0.49	
CATHETER SUCTION ARGYLE SAFE-T-VAC ADULT ANGLE L21 IN OD10 FR GRADUATE STRAIGHT PACK CHIMNEY STYLE VALVE WHISTLE TIP STERILE LATEX FREE	SUP-31000	CDM						inpatient			0.48	0.48																																																			
CATHETER SUCTION ARGYLE SAFE-T-VAC ADULT ANGLE L21 IN OD10 FR GRADUATE STRAIGHT PACK CHIMNEY STYLE VALVE WHISTLE TIP STERILE LATEX FREE	SUP-31000	CDM						outpatient			0.48	0.48	0.48				percent of total billed charges		0.48				other	OPPS APC	0.48				fee schedule		0.48				other	OPPS APC	0.48				other	OPPS APC	0.48				case rate		0.48				case rate		0.48				other	OPPS APC	0.48	0.48	
CONNECTOR TUBING STRAIGHT STERILE LF 5IN 1 MALE END LIGHTWEIGHT	SUP-DYND50510	CDM						inpatient			0.48	0.48																																																			
CONNECTOR TUBING STRAIGHT STERILE LF 5IN 1 MALE END LIGHTWEIGHT	SUP-DYND50510	CDM						outpatient			0.48	0.48	0.48				percent of total billed charges		0.48				other	OPPS APC	0.48				fee schedule		0.48				other	OPPS APC	0.48				other	OPPS APC	0.48				case rate		0.48				case rate		0.48				other	OPPS APC	0.48	0.48	
DRAPE SURGICAL SMS L26 IN X W15 IN UTILITY TAPE STERILE LATEX FREE DISPOSABLE	SUP-DYNJP2405	CDM						inpatient			0.48	0.48																																																			
DRAPE SURGICAL SMS L26 IN X W15 IN UTILITY TAPE STERILE LATEX FREE DISPOSABLE	SUP-DYNJP2405	CDM						outpatient			0.48	0.48	0.48				percent of total billed charges		0.48				other	OPPS APC	0.48				fee schedule		0.48				other	OPPS APC	0.48				other	OPPS APC	0.48				case rate		0.48				case rate		0.48				other	OPPS APC	0.48	0.48	
PREDNISONE PER 5 MG	636000000	CDM	0904-6923-61	NDC	J7512	HCPCS		inpatient			0.47	0.47																																																			
PREDNISONE PER 5 MG	636000000	CDM	0904-6923-61	NDC	J7512	HCPCS		outpatient			0.47	0.47																																															other	OPPS APC			
PROMETHAZINE PER 25 MG	637000000	CDM	0904-7304-61	NDC	A9270	HCPCS		inpatient			0.47	0.47																																																			
PROMETHAZINE PER 25 MG	637000000	CDM	0904-7304-61	NDC	A9270	HCPCS		outpatient			0.47	0.47																																															other	OPPS APC			
SPIRONOLACTONE 25 MG TABLET	637000000	CDM	0904-6927-61	NDC	A9270	HCPCS		inpatient			0.47	0.47																																																			
SPIRONOLACTONE 25 MG TABLET	637000000	CDM	0904-6927-61	NDC	A9270	HCPCS		outpatient			0.47	0.47																																															other	OPPS APC			
SET EXTENSION 20	SUP-20-00022	CDM			272	RC		outpatient			0.47	0.47	0.13				percent of total billed charges		0.47				other	OPPS APC	0.35				percent of total billed charges		0.47				other	OPPS APC	0.47				other	OPPS APC	0.13				percent of total billed charges		0.13				percent of total billed charges		0.47				other	OPPS APC	0.13	0.47	
SET EXTENSION 20	SUP-20-00022	CDM			272	RC		inpatient			0.47	0.47																																																			
PLUG CATHETER PROTECTOR CAP DRAIN TUBE COVER SET STERILE LATEX FREE	SUP-DYND12200	CDM			270	RC		outpatient			0.47	0.47	0.13				percent of total billed charges		0.47				other	OPPS APC	0.35				percent of total billed charges		0.47				other	OPPS APC	0.47				other	OPPS APC	0.13				percent of total billed charges		0.13				percent of total billed charges		0.47				other	OPPS APC	0.13	0.47	
PLUG CATHETER PROTECTOR CAP DRAIN TUBE COVER SET STERILE LATEX FREE	SUP-DYND12200	CDM			270	RC		inpatient			0.47	0.47																																																			
CATHETER SUCTION 14 FR	SUP-02-00069	CDM			272	RC		outpatient			0.46	0.46	0.12				percent of total billed charges		0.46				other	OPPS APC	0.34				percent of total billed charges		0.46				other	OPPS APC	0.46				other	OPPS APC	0.12				percent of total billed charges		0.13				percent of total billed charges		0.46				other	OPPS APC	0.12	0.46	
CATHETER SUCTION 14 FR	SUP-02-00069	CDM			272	RC		inpatient			0.46	0.46																																																			
NEEDLE BLUNT BD BD LUER-LOK 1.5IN 18GA 10ML RED POLYPROPYLENE DISPOSABLE STERILE LF BLUNT FILL NEEDLE CONCENTRIC TIP	SUP-305064	CDM						inpatient			0.46	0.46																																																			
NEEDLE BLUNT BD BD LUER-LOK 1.5IN 18GA 10ML RED POLYPROPYLENE DISPOSABLE STERILE LF BLUNT FILL NEEDLE CONCENTRIC TIP	SUP-305064	CDM						outpatient			0.46	0.46	0.46				percent of total billed charges		0.46				other	OPPS APC	0.46				fee schedule		0.46				other	OPPS APC	0.46				other	OPPS APC	0.46				case rate		0.46				case rate		0.46				other	OPPS APC	0.46	0.46	
WIPE PREP NO-STING SKIN-PREP 1ML FRAGRANCE FREE STERILE LATEX ALCOHOL FREE WATERPROOF LIQUID FILM PROTECTIVE DRESSING	SUP-59420600	CDM						inpatient			0.46	0.46																																																			
WIPE PREP NO-STING SKIN-PREP 1ML FRAGRANCE FREE STERILE LATEX ALCOHOL FREE WATERPROOF LIQUID FILM PROTECTIVE DRESSING	SUP-59420600	CDM						outpatient			0.46	0.46	0.46				percent of total billed charges		0.46				other	OPPS APC	0.46				fee schedule		0.46				other	OPPS APC	0.46				other	OPPS APC	0.46				case rate		0.46				case rate		0.46				other	OPPS APC	0.46	0.46	
POUCH STERILIZATION STERIKING TYVEK POLYPROPYLENE L270 MM X W130 MM SELF SEAL ADHESIVE COATED TAPE	SUP-LTSS4NI	CDM						inpatient			0.46	0.46																																																			
POUCH STERILIZATION STERIKING TYVEK POLYPROPYLENE L270 MM X W130 MM SELF SEAL ADHESIVE COATED TAPE	SUP-LTSS4NI	CDM						outpatient			0.46	0.46	0.46				percent of total billed charges		0.46				other	OPPS APC	0.46				fee schedule		0.46				other	OPPS APC	0.46				other	OPPS APC	0.46				case rate		0.46				case rate		0.46				other	OPPS APC	0.46	0.46	
CATHETER SUCTION 18 FR	SUP-02-00070	CDM			272	RC		outpatient			0.45	0.45	0.12				percent of total billed charges		0.45				other	OPPS APC	0.33				percent of total billed charges		0.45				other	OPPS APC	0.45				other	OPPS APC	0.12				percent of total billed charges		0.12				percent of total billed charges		0.45				other	OPPS APC	0.12	0.45	
CATHETER SUCTION 18 FR	SUP-02-00070	CDM			272	RC		inpatient			0.45	0.45																																																			
BARRIER SKIN NEW IMAGE CERAPLUS CERAMIDE FLAT OD 2 3./4 IN ODSEC  2 1/4 IN 2 PIECE CUT TO FIT INTEGRATE FLOAT FLANGE TAPE BORDER LATEX FREE BLUE	SUP-13-00008	CDM			272	RC		outpatient			0.45	0.45	0.12				percent of total billed charges		0.45				other	OPPS APC	0.33				percent of total billed charges		0.45				other	OPPS APC	0.45				other	OPPS APC	0.12				percent of total billed charges		0.12				percent of total billed charges		0.45				other	OPPS APC	0.12	0.45	
BARRIER SKIN NEW IMAGE CERAPLUS CERAMIDE FLAT OD 2 3./4 IN ODSEC  2 1/4 IN 2 PIECE CUT TO FIT INTEGRATE FLOAT FLANGE TAPE BORDER LATEX FREE BLUE	SUP-13-00008	CDM			272	RC		inpatient			0.45	0.45																																																			
SYRINGE MEDICAL BD LUER-LOK 20ML DISPOSABLE	SUP-303310	CDM						inpatient			0.45	0.45																																																			
SYRINGE MEDICAL BD LUER-LOK 20ML DISPOSABLE	SUP-303310	CDM						outpatient			0.45	0.45	0.45				percent of total billed charges		0.45				other	OPPS APC	0.45				fee schedule		0.45				other	OPPS APC	0.45				other	OPPS APC	0.45				case rate		0.45				case rate		0.45				other	OPPS APC	0.45	0.45	
THIAMINE MONONITRATE (VIT B1) 100 MG TABLET	637000000	CDM	4843310801	NDC	A9270	HCPCS		inpatient			0.44	0.44																																																			
THIAMINE MONONITRATE (VIT B1) 100 MG TABLET	637000000	CDM	4843310801	NDC	A9270	HCPCS		outpatient			0.44	0.44																																															other	OPPS APC			
TRAMADOL 50 MG TABLET	637000000	CDM	0904-7179-61	NDC	A9270	HCPCS		inpatient			0.44	0.44																																																			
TRAMADOL 50 MG TABLET	637000000	CDM	0904-7179-61	NDC	A9270	HCPCS		outpatient			0.44	0.44																																															other	OPPS APC			
KIT MOUTHCARE FLAVORED	SUP-12-00046	CDM			272	RC		outpatient			0.44	0.44	0.12				percent of total billed charges		0.44				other	OPPS APC	0.33				percent of total billed charges		0.44				other	OPPS APC	0.44				other	OPPS APC	0.12				percent of total billed charges		0.12				percent of total billed charges		0.44				other	OPPS APC	0.12	0.44	
KIT MOUTHCARE FLAVORED	SUP-12-00046	CDM			272	RC		inpatient			0.44	0.44																																																			
AIRWAY GUEDEL #9	SUP-31-00034	CDM			272	RC		outpatient			0.44	0.44	0.12				percent of total billed charges		0.44				other	OPPS APC	0.33				percent of total billed charges		0.44				other	OPPS APC	0.44				other	OPPS APC	0.12				percent of total billed charges		0.12				percent of total billed charges		0.44				other	OPPS APC	0.12	0.44	
AIRWAY GUEDEL #9	SUP-31-00034	CDM			272	RC		inpatient			0.44	0.44																																																			
PYRIDOXINE 50 MG TABLET	637000000	CDM	7733394025	NDC	A9270	HCPCS		inpatient			0.43	0.43																																																			
PYRIDOXINE 50 MG TABLET	637000000	CDM	7733394025	NDC	A9270	HCPCS		outpatient			0.43	0.43																																															other	OPPS APC			
AIRWAY GUEDEL #7	SUP-31-00036	CDM			272	RC		outpatient			0.43	0.43	0.12				percent of total billed charges		0.43				other	OPPS APC	0.32				percent of total billed charges		0.43				other	OPPS APC	0.43				other	OPPS APC	0.12				percent of total billed charges		0.12				percent of total billed charges		0.43				other	OPPS APC	0.12	0.43	
AIRWAY GUEDEL #7	SUP-31-00036	CDM			272	RC		inpatient			0.43	0.43																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	0641-6142-25	NDC	J2371	HCPCS		inpatient			0.42	0.42																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	0641-6142-25	NDC	J2371	HCPCS		outpatient			0.42	0.42																																															other	OPPS APC			
LAMOTRIGINE 100 MG TABLET	637000000	CDM	0904-7008-61	NDC	A9270	HCPCS		inpatient			0.42	0.42																																																			
LAMOTRIGINE 100 MG TABLET	637000000	CDM	0904-7008-61	NDC	A9270	HCPCS		outpatient			0.42	0.42																																															other	OPPS APC			
LISINOPRIL 40 MG TABLET	637000000	CDM	0904-7200-61	NDC	A9270	HCPCS		inpatient			0.42	0.42																																																			
LISINOPRIL 40 MG TABLET	637000000	CDM	0904-7200-61	NDC	A9270	HCPCS		outpatient			0.42	0.42																																															other	OPPS APC			
LORAZEPAM 0.5 MG TABLET	637000000	CDM	60687-627-11	NDC	A9270	HCPCS		inpatient			0.42	0.42																																																			
LORAZEPAM 0.5 MG TABLET	637000000	CDM	60687-627-11	NDC	A9270	HCPCS		outpatient			0.42	0.42																																															other	OPPS APC			
SYRINGE MEDICAL BD 30 ML GRADUATED SLIP TIP STERILE LATEX FREE DISPOSABLE	SUP-302833	CDM						inpatient			0.42	0.42																																																			
SYRINGE MEDICAL BD 30 ML GRADUATED SLIP TIP STERILE LATEX FREE DISPOSABLE	SUP-302833	CDM						outpatient			0.42	0.42	0.42				percent of total billed charges		0.42				other	OPPS APC	0.42				fee schedule		0.42				other	OPPS APC	0.42				other	OPPS APC	0.42				case rate		0.42				case rate		0.42				other	OPPS APC	0.42	0.42	
AIRWAY GUEDEL #5	SUP-31-00042	CDM			272	RC		outpatient			0.42	0.42	0.11				percent of total billed charges		0.42				other	OPPS APC	0.31				percent of total billed charges		0.42				other	OPPS APC	0.42				other	OPPS APC	0.11				percent of total billed charges		0.12				percent of total billed charges		0.42				other	OPPS APC	0.11	0.42	
AIRWAY GUEDEL #5	SUP-31-00042	CDM			272	RC		inpatient			0.42	0.42																																																			
SPLINT ALUMAFOAM FINGER 1/2	SUP-36-00019	CDM			271	RC		outpatient			0.42	0.42	0.11				percent of total billed charges		0.42				other	OPPS APC	0.31				percent of total billed charges		0.42				other	OPPS APC	0.42				other	OPPS APC	0.11				percent of total billed charges		0.12				percent of total billed charges		0.42				other	OPPS APC	0.11	0.42	
SPLINT ALUMAFOAM FINGER 1/2	SUP-36-00019	CDM			271	RC		inpatient			0.42	0.42																																																			
TOWEL SURGICAL 26X18IN WHITE POLY TISSUE STERILE LF DRAPE	SUP-NON21001	CDM						inpatient			0.42	0.42																																																			
TOWEL SURGICAL 26X18IN WHITE POLY TISSUE STERILE LF DRAPE	SUP-NON21001	CDM						outpatient			0.42	0.42	0.42				percent of total billed charges		0.42				other	OPPS APC	0.42				fee schedule		0.42				other	OPPS APC	0.42				other	OPPS APC	0.42				case rate		0.42				case rate		0.42				other	OPPS APC	0.42	0.42	
DRAPE SURGICAL TISSUE POLY PAPER L18 IN X W26 IN ABSORBENT REPELLENT INNER LAYER IMPERVIOUS FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-NON21003	CDM			270	RC		outpatient			0.42	0.42	0.11				percent of total billed charges		0.42				other	OPPS APC	0.31				percent of total billed charges		0.42				other	OPPS APC	0.42				other	OPPS APC	0.11				percent of total billed charges		0.12				percent of total billed charges		0.42				other	OPPS APC	0.11	0.42	
DRAPE SURGICAL TISSUE POLY PAPER L18 IN X W26 IN ABSORBENT REPELLENT INNER LAYER IMPERVIOUS FENESTRATE STERILE LATEX FREE DISPOSABLE	SUP-NON21003	CDM			270	RC		inpatient			0.42	0.42																																																			
MORPHINE PER 10 MG	636000000	CDM	0409-3815-12	NDC	J2274	HCPCS		inpatient			0.41	0.41																																																			
MORPHINE PER 10 MG	636000000	CDM	0409-3815-12	NDC	J2274	HCPCS		outpatient			0.41	0.41																																															other	OPPS APC			
NEEDLE HYPODERMIC BD SAFETYGLIDE REGULAR WALL 5/8IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB	SUP-305901	CDM						inpatient			0.41	0.41																																																			
NEEDLE HYPODERMIC BD SAFETYGLIDE REGULAR WALL 5/8IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB	SUP-305901	CDM						outpatient			0.41	0.5	0.41				percent of total billed charges		0.41				other	OPPS APC	0.41				fee schedule		0.41				other	OPPS APC	0.41				other	OPPS APC	0.41				case rate		0.41				case rate		0.5				other	OPPS APC	0.41	0.5	
GLOVE  EXAM  EUDERMIC MP HIGH-RISK POWDER-FREE LATEX  SIZE M 12 INCH CUFF LENGTH	SUP-485602	CDM						inpatient			0.41	0.41																																																			
GLOVE  EXAM  EUDERMIC MP HIGH-RISK POWDER-FREE LATEX  SIZE M 12 INCH CUFF LENGTH	SUP-485602	CDM						outpatient			0.41	0.5	0.41				percent of total billed charges		0.41				other	OPPS APC	0.41				fee schedule		0.41				other	OPPS APC	0.41				other	OPPS APC	0.41				case rate		0.41				case rate		0.5				other	OPPS APC	0.41	0.5	
ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML SUSPENSION	637000000	CDM	57896-629-12	NDC	A9270	HCPCS		inpatient			0.4	0.4																																																			
ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML SUSPENSION	637000000	CDM	57896-629-12	NDC	A9270	HCPCS		outpatient			0.4	0.4																																															other	OPPS APC			
BISACODYL 10 MG SUPPOSITORY	637000000	CDM	0536-1355-01	NDC	A9270	HCPCS		inpatient			0.4	0.4																																																			
BISACODYL 10 MG SUPPOSITORY	637000000	CDM	0536-1355-01	NDC	A9270	HCPCS		outpatient			0.4	0.4																																															other	OPPS APC			
IBUPROFEN 200 MG TABLET	637000000	CDM	0904-7914-61	NDC	A9270	HCPCS		inpatient			0.4	0.4																																																			
IBUPROFEN 200 MG TABLET	637000000	CDM	0904-7914-61	NDC	A9270	HCPCS		outpatient			0.4	0.4																																															other	OPPS APC			
MIRTAZAPINE 15 MG TABLET	637000000	CDM	63739-098-10	NDC	A9270	HCPCS		inpatient			0.4	0.4																																																			
MIRTAZAPINE 15 MG TABLET	637000000	CDM	63739-098-10	NDC	A9270	HCPCS		outpatient			0.4	0.4																																															other	OPPS APC			
"NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT OINTMENT IN PACKET"	637000000	CDM	0904-8805-67	NDC	A9270	HCPCS		inpatient			0.4	0.4																																																			
"NEOMYCIN-BACITRACNZN-POLYMYXNB 3.5-400-5,000 MG-UNIT-UNIT OINTMENT IN PACKET"	637000000	CDM	0904-8805-67	NDC	A9270	HCPCS		outpatient			0.4	0.4																																															other	OPPS APC			
SYRINGE MEDICAL BD BD LUER-LOK REGULAR WALL 1.5IN 18GA 5ML RED POLYPROPYLENE DISPOSABLE STERILE LF BLUNT FILL NEEDLE	SUP-305062	CDM						inpatient			0.4	0.4																																																			
SYRINGE MEDICAL BD BD LUER-LOK REGULAR WALL 1.5IN 18GA 5ML RED POLYPROPYLENE DISPOSABLE STERILE LF BLUNT FILL NEEDLE	SUP-305062	CDM						outpatient			0.4	0.42	0.4				percent of total billed charges		0.4				other	OPPS APC	0.4				fee schedule		0.4				other	OPPS APC	0.4				other	OPPS APC	0.4				case rate		0.4				case rate		0.42				other	OPPS APC	0.4	0.42	
CETIRIZINE 10 MG TABLET	637000000	CDM	0904-6717-61	NDC	A9270	HCPCS		inpatient			0.39	0.39																																																			
CETIRIZINE 10 MG TABLET	637000000	CDM	0904-6717-61	NDC	A9270	HCPCS		outpatient			0.39	0.39																																															other	OPPS APC			
TRAZODONE 50 MG TABLET	637000000	CDM	60687-443-01	NDC	A9270	HCPCS		inpatient			0.39	0.39																																																			
TRAZODONE 50 MG TABLET	637000000	CDM	60687-443-11	NDC	A9270	HCPCS		inpatient			0.39	0.39																																																			
TRAZODONE 50 MG TABLET	637000000	CDM	60687-443-01	NDC	A9270	HCPCS		outpatient			0.39	0.39																																															other	OPPS APC			
TRAZODONE 50 MG TABLET	637000000	CDM	60687-443-11	NDC	A9270	HCPCS		outpatient			0.39	0.39																																															other	OPPS APC			
AIRWAY GUEDEL #6	SUP-31-00040	CDM			272	RC		outpatient			0.39	0.39	0.11				percent of total billed charges		0.39				other	OPPS APC	0.29				percent of total billed charges		0.39				other	OPPS APC	0.39				other	OPPS APC	0.11				percent of total billed charges		0.11				percent of total billed charges		0.39				other	OPPS APC	0.11	0.39	
AIRWAY GUEDEL #6	SUP-31-00040	CDM			272	RC		inpatient			0.39	0.39																																																			
COUNTER SPONGE BAG LATEX FREE BLUE IV POLE	SUP-DYNJE1001	CDM						inpatient			0.39	0.39																																																			
COUNTER SPONGE BAG LATEX FREE BLUE IV POLE	SUP-DYNJE1001	CDM						outpatient			0.39	0.39	0.39				percent of total billed charges		0.39				other	OPPS APC	0.39				fee schedule		0.39				other	OPPS APC	0.39				other	OPPS APC	0.39				case rate		0.39				case rate		0.39				other	OPPS APC	0.39	0.39	
DEXTROSE 70% 70 % PARENTERAL SOLUTION	250000000	CDM	0338-0719-06	NDC				inpatient			0.38	0.38																																																			
DEXTROSE 70% 70 % PARENTERAL SOLUTION	250000000	CDM	0338-0719-06	NDC				outpatient			0.38	0.38																																															other	OPPS APC			
STERILE WATER PARENTERAL SOLUTION	636000000	CDM	0338-0013-04	NDC	A4217	HCPCS		inpatient			0.38	0.38																																																			
STERILE WATER PARENTERAL SOLUTION	636000000	CDM	0338-0013-04	NDC	A4217	HCPCS		outpatient			0.38	0.38																																															other	OPPS APC			
ACETAMINOPHEN 325 MG TABLET	637000000	CDM	0363-0104-12	NDC	A9270	HCPCS		inpatient			0.38	0.38																																																			
ACETAMINOPHEN 325 MG TABLET	637000000	CDM	0363-0104-12	NDC	A9270	HCPCS		outpatient			0.38	0.38																																															other	OPPS APC			
HYDRALAZINE 25 MG TABLET	637000000	CDM	0904-6441-61	NDC	A9270	HCPCS		inpatient			0.38	0.38																																																			
HYDRALAZINE 25 MG TABLET	637000000	CDM	0904-6441-61	NDC	A9270	HCPCS		outpatient			0.38	0.38																																															other	OPPS APC			
SPONGE LAPAROTOMY L18 IN X W4 IN STERILE	SUP-AL0418	CDM						inpatient			0.38	0.38																																																			
SPONGE LAPAROTOMY L18 IN X W4 IN STERILE	SUP-AL0418	CDM						outpatient			0.38	0.38	0.38				percent of total billed charges		0.38				other	OPPS APC	0.38				fee schedule		0.38				other	OPPS APC	0.38				other	OPPS APC	0.38				case rate		0.38				case rate		0.38				other	OPPS APC	0.38	0.38	
SPONGE LAPAROTOMY L18 IN X W18 IN STERILE	SUP-AL1818	CDM						inpatient			0.38	0.38																																																			
SPONGE LAPAROTOMY L18 IN X W18 IN STERILE	SUP-AL1818	CDM						outpatient			0.38	0.38	0.38				percent of total billed charges		0.38				other	OPPS APC	0.38				fee schedule		0.38				other	OPPS APC	0.38				other	OPPS APC	0.38				case rate		0.38				case rate		0.38				other	OPPS APC	0.38	0.38	
"BISACODYL 5 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6407-61	NDC	A9270	HCPCS		inpatient			0.37	0.37																																																			
"BISACODYL 5 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	0904-6407-61	NDC	A9270	HCPCS		outpatient			0.37	0.37																																															other	OPPS APC			
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET	637000000	CDM	64980-339-02	NDC	A9270	HCPCS		inpatient			0.37	0.37																																																			
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET	637000000	CDM	64980-339-02	NDC	A9270	HCPCS		outpatient			0.37	0.37																																															other	OPPS APC			
CATHETER SUCTION 10 FR	SUP-02-00068	CDM			272	RC		outpatient			0.37	0.37	0.1				percent of total billed charges		0.37				other	OPPS APC	0.27				percent of total billed charges		0.37				other	OPPS APC	0.37				other	OPPS APC	0.1				percent of total billed charges		0.1				percent of total billed charges		0.37				other	OPPS APC	0.1	0.37	
CATHETER SUCTION 10 FR	SUP-02-00068	CDM			272	RC		inpatient			0.37	0.37																																																			
GABAPENTIN 100 MG CAPSULE	637000000	CDM	0904-6665-61	NDC	A9270	HCPCS		inpatient			0.36	0.36																																																			
GABAPENTIN 100 MG CAPSULE	637000000	CDM	0904-6665-61	NDC	A9270	HCPCS		outpatient			0.36	0.36																																															other	OPPS APC			
HYDRALAZINE 25 MG TABLET	637000000	CDM	63739-327-10	NDC	A9270	HCPCS		inpatient			0.36	0.36																																																			
HYDRALAZINE 25 MG TABLET	637000000	CDM	63739-327-10	NDC	A9270	HCPCS		outpatient			0.36	0.36																																															other	OPPS APC			
COUNTER SPONGE DEVON BAG-IT OPAQUE BACK TRANSPARENT FRONT BAG	SUP-31144127	CDM						inpatient			0.36	0.36																																																			
COUNTER SPONGE DEVON BAG-IT OPAQUE BACK TRANSPARENT FRONT BAG	SUP-31144127	CDM						outpatient			0.36	0.36	0.36				percent of total billed charges		0.36				other	OPPS APC	0.36				fee schedule		0.36				other	OPPS APC	0.36				other	OPPS APC	0.36				case rate		0.36				case rate		0.36				other	OPPS APC	0.36	0.36	
B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPSULE	637000000	CDM	6304462201	NDC	A9270	HCPCS		inpatient			0.35	0.35																																																			
B COMPLEX-VITAMIN C-FOLIC ACID 1 MG CAPSULE	637000000	CDM	6304462201	NDC	A9270	HCPCS		outpatient			0.35	0.35																																															other	OPPS APC			
SODIUM BICARBONATE 650 MG TABLET	637000000	CDM	66553-008-01	NDC	A9270	HCPCS		inpatient			0.35	0.35																																																			
SODIUM BICARBONATE 650 MG TABLET	637000000	CDM	66553-008-01	NDC	A9270	HCPCS		outpatient			0.35	0.35																																															other	OPPS APC			
DRESSING PRN ACCESS GUARD	SUP-10-00027	CDM			272	RC		outpatient			0.35	0.35	9				percent of total billed charges		0.35				other	OPPS APC	0.26				percent of total billed charges		0.35				other	OPPS APC	0.35				other	OPPS APC	9				percent of total billed charges		0.1				percent of total billed charges		0.35				other	OPPS APC	0.09	0.35	
DRESSING PRN ACCESS GUARD	SUP-10-00027	CDM			272	RC		inpatient			0.35	0.35																																																			
TUBE BLOOD COLLECTION BD VACUTAINER PLUS CLOT ACTIVATOR PLASTIC L100 MM OD16 MM 8.5 ML CONVENTIONAL CLOSURE PAPER LABEL STERILE LATEX FREE GRAY RED	SUP-367988	CDM						inpatient			0.35	0.35																																																			
TUBE BLOOD COLLECTION BD VACUTAINER PLUS CLOT ACTIVATOR PLASTIC L100 MM OD16 MM 8.5 ML CONVENTIONAL CLOSURE PAPER LABEL STERILE LATEX FREE GRAY RED	SUP-367988	CDM						outpatient			0.35	0.35	0.35				percent of total billed charges		0.35				other	OPPS APC	0.35				fee schedule		0.35				other	OPPS APC	0.35				other	OPPS APC	0.35				case rate		0.35				case rate		0.35				other	OPPS APC	0.35	0.35	
OINTMENT SKIN 10% PVP IODINE STERILE 1GM	SUP-L-2001	CDM						inpatient			0.35	0.35																																																			
OINTMENT SKIN 10% PVP IODINE STERILE 1GM	SUP-L-2001	CDM						outpatient			0.35	0.35	0.35				percent of total billed charges		0.35				other	OPPS APC	0.35				fee schedule		0.35				other	OPPS APC	0.35				other	OPPS APC	0.35				case rate		0.35				case rate		0.35				other	OPPS APC	0.35	0.35	
ASCORBIC ACID (VITAMIN C) 500 MG TABLET	637000000	CDM	904052361	NDC	A9270	HCPCS		inpatient			0.34	0.34																																																			
ASCORBIC ACID (VITAMIN C) 500 MG TABLET	637000000	CDM	904052361	NDC	A9270	HCPCS		outpatient			0.34	0.34																																															other	OPPS APC			
MASK SURGICAL COMFORT-CONE POLY ELASTIC HEADBAND TIE BLUE	SUP-NON27381	CDM						inpatient			0.34	0.34																																																			
MASK SURGICAL COMFORT-CONE POLY ELASTIC HEADBAND TIE BLUE	SUP-NON27381	CDM						outpatient			0.34	0.34	0.34				percent of total billed charges		0.34				other	OPPS APC	0.34				fee schedule		0.34				other	OPPS APC	0.34				other	OPPS APC	0.34				case rate		0.34				case rate		0.34				other	OPPS APC	0.34	0.34	
ACETAMINOPHEN 325 MG TABLET	637000000	CDM	0904-6773-61	NDC	A9270	HCPCS		inpatient			0.33	0.33																																																			
ACETAMINOPHEN 325 MG TABLET	637000000	CDM	0904-6773-61	NDC	A9270	HCPCS		outpatient			0.33	0.33																																															other	OPPS APC			
BALL COTTON STERILE	SUP-30-030	CDM						inpatient			0.33	0.33																																																			
BALL COTTON STERILE	SUP-30-030	CDM						outpatient			0.33	0.33	0.33				percent of total billed charges		0.33				other	OPPS APC	0.33				fee schedule		0.33				other	OPPS APC	0.33				other	OPPS APC	0.33				case rate		0.33				case rate		0.33				other	OPPS APC	0.33	0.33	
COLOSTOMY/ILEOSTOMY CUT TO FIT	SUP-13-00006	CDM			272	RC		outpatient			0.32	0.32	9				percent of total billed charges		0.32				other	OPPS APC	0.24				percent of total billed charges		0.32				other	OPPS APC	0.32				other	OPPS APC	9				percent of total billed charges		9				percent of total billed charges		0.32				other	OPPS APC	0.09	0.32	
COLOSTOMY/ILEOSTOMY CUT TO FIT	SUP-13-00006	CDM			272	RC		inpatient			0.32	0.32																																																			
TUBE BLOOD COLLECTION BD VACUTAINER BD HEMOGARD 4ML GREEN SODIUM HEPARIN PLASTIC	SUP-367871	CDM						inpatient			0.32	0.32																																																			
TUBE BLOOD COLLECTION BD VACUTAINER BD HEMOGARD 4ML GREEN SODIUM HEPARIN PLASTIC	SUP-367871	CDM						outpatient			0.32	0.32	0.32				percent of total billed charges		0.32				other	OPPS APC	0.32				fee schedule		0.32				other	OPPS APC	0.32				other	OPPS APC	0.32				case rate		0.32				case rate		0.32				other	OPPS APC	0.32	0.32	
SYRINGE MEDICAL BD BD LUER-LOK REGULAR WALL 1.5IN 18GA 3ML RED POLYPROPYLENE DISPOSABLE STERILE LF BLUNT FILL NEEDLE	SUP-305060	CDM			270	RC		outpatient			0.3	0.3	8				percent of total billed charges		0.3				other	OPPS APC	0.22				percent of total billed charges		0.3				other	OPPS APC	0.3				other	OPPS APC	8				percent of total billed charges		8				percent of total billed charges		0.3				other	OPPS APC	0.08	0.3	
SYRINGE MEDICAL BD BD LUER-LOK REGULAR WALL 1.5IN 18GA 3ML RED POLYPROPYLENE DISPOSABLE STERILE LF BLUNT FILL NEEDLE	SUP-305060	CDM			270	RC		inpatient			0.3	0.3																																																			
NEEDLE HYPODERMIC BD ECLIPSE BD PRECISIONGLIDE 1IN 25GA STERILE LF BEVEL 1 HAND	SUP-305761	CDM						inpatient			0.3	0.3																																																			
NEEDLE HYPODERMIC BD ECLIPSE BD PRECISIONGLIDE 1IN 25GA STERILE LF BEVEL 1 HAND	SUP-305761	CDM						outpatient			0.3	0.3	0.3				percent of total billed charges		0.3				other	OPPS APC	0.3				fee schedule		0.3				other	OPPS APC	0.3				other	OPPS APC	0.3				case rate		0.3				case rate		0.3				other	OPPS APC	0.3	0.3	
NEEDLE HYPODERMIC BD ECLIPSE THIN WALL 1.5IN 22GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB PIVOT	SUP-305763	CDM						inpatient			0.3	0.3																																																			
NEEDLE HYPODERMIC BD ECLIPSE THIN WALL 1.5IN 22GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB PIVOT	SUP-305763	CDM						outpatient			0.3	0.3	0.3				percent of total billed charges		0.3				other	OPPS APC	0.3				fee schedule		0.3				other	OPPS APC	0.3				other	OPPS APC	0.3				case rate		0.3				case rate		0.3				other	OPPS APC	0.3	0.3	
AIRWAY DISPOSABLE 60MM	SUP-31-00037	CDM			272	RC		outpatient			0.3	0.3	8				percent of total billed charges		0.3				other	OPPS APC	0.22				percent of total billed charges		0.3				other	OPPS APC	0.3				other	OPPS APC	8				percent of total billed charges		8				percent of total billed charges		0.3				other	OPPS APC	0.08	0.3	
AIRWAY DISPOSABLE 60MM	SUP-31-00037	CDM			272	RC		inpatient			0.3	0.3																																																			
DRESSING WOUND TELFA AMD PHMB L4 IN X W3 IN NONADHERENT ANTIMICROBIAL STRIP STERILE LATEX FREE	SUP-7662	CDM						inpatient			0.3	0.3																																																			
DRESSING WOUND TELFA AMD PHMB L4 IN X W3 IN NONADHERENT ANTIMICROBIAL STRIP STERILE LATEX FREE	SUP-7662	CDM						outpatient			0.3	0.3	0.3				percent of total billed charges		0.3				other	OPPS APC	0.3				fee schedule		0.3				other	OPPS APC	0.3				other	OPPS APC	0.3				case rate		0.3				case rate		0.3				other	OPPS APC	0.3	0.3	
CAP INTRAVENOUS MEDEX 2 FUNCTION LUER LOCK NONDEHP NONPVC STERILE LATEX FREE DISPOSABLE WHITE MALE FEMALE PORT	SUP-MX491	CDM						inpatient			0.3	0.3																																																			
CAP INTRAVENOUS MEDEX 2 FUNCTION LUER LOCK NONDEHP NONPVC STERILE LATEX FREE DISPOSABLE WHITE MALE FEMALE PORT	SUP-MX491	CDM						outpatient			0.3	0.3	0.3				percent of total billed charges		0.3				other	OPPS APC	0.3				fee schedule		0.3				other	OPPS APC	0.3				other	OPPS APC	0.3				case rate		0.3				case rate		0.3				other	OPPS APC	0.3	0.3	
CARVEDILOL 6.25 MG TABLET	637000000	CDM	0904-6301-61	NDC	A9270	HCPCS		inpatient			0.29	0.29																																																			
CARVEDILOL 6.25 MG TABLET	637000000	CDM	0904-6301-61	NDC	A9270	HCPCS		outpatient			0.29	0.29																																															other	OPPS APC			
"CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) TABLET"	637000000	CDM	904188361	NDC	A9270	HCPCS		inpatient			0.28	0.28																																																			
"CALCIUM CARBONATE 500 MG CALCIUM (1,250 MG) TABLET"	637000000	CDM	904188361	NDC	A9270	HCPCS		outpatient			0.28	0.28																																															other	OPPS APC			
SPLINT CAST SPECIALIST PLASTER OF PARIS L15 IN X W4 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7391	CDM						inpatient			0.28	0.28																																																			
SPLINT CAST SPECIALIST PLASTER OF PARIS L15 IN X W4 IN EXTRA FAST SET SMOOTH FINISH MOISTURE RESISTANT LOW EXOTHERM LATEX FREE	SUP-7391	CDM						outpatient			0.28	0.28	0.28				percent of total billed charges		0.28				other	OPPS APC	0.28				fee schedule		0.28				other	OPPS APC	0.28				other	OPPS APC	0.28				case rate		0.28				case rate		0.28				other	OPPS APC	0.28	0.28	
GABAPENTIN 100 MG CAPSULE	637000000	CDM	63739-902-10	NDC	A9270	HCPCS		inpatient			0.27	0.27																																																			
GABAPENTIN 100 MG CAPSULE	637000000	CDM	63739-902-10	NDC	A9270	HCPCS		outpatient			0.27	0.27																																															other	OPPS APC			
ZOLPIDEM 5 MG TABLET	637000000	CDM	0904-6082-61	NDC	A9270	HCPCS		inpatient			0.27	0.27																																																			
ZOLPIDEM 5 MG TABLET	637000000	CDM	0904-6082-61	NDC	A9270	HCPCS		outpatient			0.27	0.27																																															other	OPPS APC			
FAMOTIDINE 20 MG TABLET	637000000	CDM	63739-645-10	NDC	A9270	HCPCS		inpatient			0.26	0.26																																																			
FAMOTIDINE 20 MG TABLET	637000000	CDM	63739-645-10	NDC	A9270	HCPCS		outpatient			0.26	0.26																																															other	OPPS APC			
UNDERPAD FLUFF STD 23X24	SUP-MSC281241LB	CDM						inpatient			0.26	0.26																																																			
UNDERPAD FLUFF STD 23X24	SUP-MSC281241LB	CDM						outpatient			0.26	0.26	0.26				percent of total billed charges		0.26				other	OPPS APC	0.26				fee schedule		0.26				other	OPPS APC	0.26				other	OPPS APC	0.26				case rate		0.26				case rate		0.26				other	OPPS APC	0.26	0.26	
DIPHENHYDRAMINE PER 50 MG	637000000	CDM	0904-7237-61	NDC	A9270	HCPCS		inpatient			0.25	0.25																																																			
DIPHENHYDRAMINE PER 50 MG	637000000	CDM	0904-7237-61	NDC	A9270	HCPCS		outpatient			0.25	0.25																																															other	OPPS APC			
SENNA 8.6 MG TABLET	637000000	CDM	0904-7252-61	NDC	A9270	HCPCS		inpatient			0.25	0.25																																																			
SENNA 8.6 MG TABLET	637000000	CDM	0904-7252-61	NDC	A9270	HCPCS		outpatient			0.25	0.25																																															other	OPPS APC			
AIRWAY DISPOSABLE 80MM	SUP-31-00039	CDM			272	RC		outpatient			0.25	0.25	7				percent of total billed charges		0.25				other	OPPS APC	0.19				percent of total billed charges		0.25				other	OPPS APC	0.25				other	OPPS APC	7				percent of total billed charges		7				percent of total billed charges		0.25				other	OPPS APC	0.07	0.25	
AIRWAY DISPOSABLE 80MM	SUP-31-00039	CDM			272	RC		inpatient			0.25	0.25																																																			
GROUNDING PAD (LEEP)	SUP-74-00149	CDM			272	RC		outpatient			0.25	0.25	7				percent of total billed charges		0.25				other	OPPS APC	0.19				percent of total billed charges		0.25				other	OPPS APC	0.25				other	OPPS APC	7				percent of total billed charges		7				percent of total billed charges		0.25				other	OPPS APC	0.07	0.25	
GROUNDING PAD (LEEP)	SUP-74-00149	CDM			272	RC		inpatient			0.25	0.25																																																			
BATTERY ALKALINE PREMIERPRO PLASTIC 1.5V AA MERCURY FREE CADMIUM FREE 4 SHRINK WRAP PERFORATE CLEAR GREEN LR6	SUP-9102	CDM						inpatient			0.25	0.25																																																			
BATTERY ALKALINE PREMIERPRO PLASTIC 1.5V AA MERCURY FREE CADMIUM FREE 4 SHRINK WRAP PERFORATE CLEAR GREEN LR6	SUP-9102	CDM						outpatient			0.25	0.25	0.25				percent of total billed charges		0.25				other	OPPS APC	0.25				fee schedule		0.25				other	OPPS APC	0.25				other	OPPS APC	0.25				case rate		0.25				case rate		0.25				other	OPPS APC	0.25	0.25	
FUROSEMIDE 40 MG TABLET	637000000	CDM	0904-7178-61	NDC	A9270	HCPCS		inpatient			0.24	0.24																																																			
FUROSEMIDE 40 MG TABLET	637000000	CDM	0904-7178-61	NDC	A9270	HCPCS		outpatient			0.24	0.24																																															other	OPPS APC			
LORAZEPAM 0.5 MG TABLET	637000000	CDM	0904-6007-61	NDC	A9270	HCPCS		inpatient			0.24	0.24																																																			
LORAZEPAM 0.5 MG TABLET	637000000	CDM	0904-6007-61	NDC	A9270	HCPCS		outpatient			0.24	0.24																																															other	OPPS APC			
AIRWAY DISPOSABLE  100MM	SUP-31-00035	CDM			272	RC		outpatient			0.24	0.24	7				percent of total billed charges		0.24				other	OPPS APC	0.18				percent of total billed charges		0.24				other	OPPS APC	0.24				other	OPPS APC	7				percent of total billed charges		7				percent of total billed charges		0.24				other	OPPS APC	0.07	0.24	
AIRWAY DISPOSABLE  100MM	SUP-31-00035	CDM			272	RC		inpatient			0.24	0.24																																																			
AIRWAY DISPOSABLE 90MM	SUP-31-00041	CDM			272	RC		outpatient			0.24	0.24	7				percent of total billed charges		0.24				other	OPPS APC	0.18				percent of total billed charges		0.24				other	OPPS APC	0.24				other	OPPS APC	7				percent of total billed charges		7				percent of total billed charges		0.24				other	OPPS APC	0.07	0.24	
AIRWAY DISPOSABLE 90MM	SUP-31-00041	CDM			272	RC		inpatient			0.24	0.24																																																			
FAMOTIDINE 20 MG TABLET	637000000	CDM	0904-7193-61	NDC	A9270	HCPCS		inpatient			0.23	0.23																																																			
FAMOTIDINE 20 MG TABLET	637000000	CDM	0904-7193-61	NDC	A9270	HCPCS		outpatient			0.23	0.23																																															other	OPPS APC			
FUROSEMIDE 20 MG TABLET	637000000	CDM	0904-7177-61	NDC	A9270	HCPCS		inpatient			0.23	0.23																																																			
FUROSEMIDE 20 MG TABLET	637000000	CDM	0904-7177-61	NDC	A9270	HCPCS		outpatient			0.23	0.23																																															other	OPPS APC			
SIMPLE SYRUP SYRUP	637000000	CDM	395266116	NDC	A9270	HCPCS		inpatient			0.23	0.23																																																			
SIMPLE SYRUP SYRUP	637000000	CDM	395266116	NDC	A9270	HCPCS		outpatient			0.23	0.23																																															other	OPPS APC			
CATHETER PLUG PROTECTOR	SUP-02-00103	CDM			272	RC		outpatient			0.23	0.23	6				percent of total billed charges		0.23				other	OPPS APC	0.17				percent of total billed charges		0.23				other	OPPS APC	0.23				other	OPPS APC	6				percent of total billed charges		6				percent of total billed charges		0.23				other	OPPS APC	0.06	0.23	
CATHETER PLUG PROTECTOR	SUP-02-00103	CDM			272	RC		inpatient			0.23	0.23																																																			
APPLICATOR DENTAL MICRO FINE YELLOW	SUP-1126875	CDM			270	RC		outpatient			0.23	0.23	6				percent of total billed charges		0.23				other	OPPS APC	0.17				percent of total billed charges		0.23				other	OPPS APC	0.23				other	OPPS APC	6				percent of total billed charges		6				percent of total billed charges		0.23				other	OPPS APC	0.06	0.23	
APPLICATOR DENTAL MICRO FINE YELLOW	SUP-1126875	CDM			270	RC		inpatient			0.23	0.23																																																			
SYRINGE MEDICAL BD BD LUER-LOK 5ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE NONPYROGENIC DEHP FREE PVC FREE	SUP-309646	CDM						inpatient			0.23	0.23																																																			
SYRINGE MEDICAL BD BD LUER-LOK 5ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE NONPYROGENIC DEHP FREE PVC FREE	SUP-309646	CDM						outpatient			0.23	0.23	0.23				percent of total billed charges		0.23				other	OPPS APC	0.23				fee schedule		0.23				other	OPPS APC	0.23				other	OPPS APC	0.23				case rate		0.23				case rate		0.23				other	OPPS APC	0.23	0.23	
FILTER STERILIZATION CONTAINER STAINLESS STEEL L7.5 IN PAPER NONSTERILE DISPOSABLE	SUP-775200	CDM						inpatient			0.23	0.23																																																			
FILTER STERILIZATION CONTAINER STAINLESS STEEL L7.5 IN PAPER NONSTERILE DISPOSABLE	SUP-775200	CDM						outpatient			0.23	0.23	0.23				percent of total billed charges		0.23				other	OPPS APC	0.23				fee schedule		0.23				other	OPPS APC	0.23				other	OPPS APC	0.23				case rate		0.23				case rate		0.23				other	OPPS APC	0.23	0.23	
CARD INDICATOR STERILCONTAINER STERILE STEAM ETO STERILIZATION AESCULAP GENERATION 3 CONTAINER	SUP-MD347	CDM						inpatient			0.23	0.23																																																			
CARD INDICATOR STERILCONTAINER STERILE STEAM ETO STERILIZATION AESCULAP GENERATION 3 CONTAINER	SUP-MD347	CDM						outpatient			0.23	0.23	0.23				percent of total billed charges		0.23				other	OPPS APC	0.23				fee schedule		0.23				other	OPPS APC	0.23				other	OPPS APC	0.23				case rate		0.23				case rate		0.23				other	OPPS APC	0.23	0.23	
BALANCED SALT SOLUTION SOLUTION	637000000	CDM	0065-1795-04	NDC	A9270	HCPCS		inpatient			0.22	0.22																																																			
BALANCED SALT SOLUTION SOLUTION	637000000	CDM	0065-1795-04	NDC	A9270	HCPCS		outpatient			0.22	0.22																																															other	OPPS APC			
AIRWAY INFANT 40MM	SUP-31-00043	CDM			272	RC		outpatient			0.22	0.22	6				percent of total billed charges		0.22				other	OPPS APC	0.16				percent of total billed charges		0.22				other	OPPS APC	0.22				other	OPPS APC	6				percent of total billed charges		6				percent of total billed charges		0.22				other	OPPS APC	0.06	0.22	
AIRWAY INFANT 40MM	SUP-31-00043	CDM			272	RC		inpatient			0.22	0.22																																																			
APPLICATOR DENTAL MICRO FINE YELLOW	SUP-5702053	CDM			270	RC		outpatient			0.22	0.22	6				percent of total billed charges		0.22				other	OPPS APC	0.16				percent of total billed charges		0.22				other	OPPS APC	0.22				other	OPPS APC	6				percent of total billed charges		6				percent of total billed charges		0.22				other	OPPS APC	0.06	0.22	
APPLICATOR DENTAL MICRO FINE YELLOW	SUP-5702053	CDM			270	RC		inpatient			0.22	0.22																																																			
APPLICATOR FIBER TIPPED SOLON CARE 8IN RAYON DISPOSABLE NS LF MOUTH THROAT	SUP-57600	CDM						inpatient			0.22	0.22																																																			
APPLICATOR FIBER TIPPED SOLON CARE 8IN RAYON DISPOSABLE NS LF MOUTH THROAT	SUP-57600	CDM						outpatient			0.22	0.22	0.22				percent of total billed charges		0.22				other	OPPS APC	0.22				fee schedule		0.22				other	OPPS APC	0.22				other	OPPS APC	0.22				case rate		0.22				case rate		0.22				other	OPPS APC	0.22	0.22	
LISINOPRIL 20 MG TABLET	637000000	CDM	0904-6799-61	NDC	A9270	HCPCS		inpatient			0.21	0.21																																																			
LISINOPRIL 20 MG TABLET	637000000	CDM	0904-6799-61	NDC	A9270	HCPCS		outpatient			0.21	0.21																																															other	OPPS APC			
SPONGE GAUZE KERLIX WOVEN COTTON MEDIUM L6 3/4 IN X W6 IN LINT FREE SUPER ABSORBENT STERILE LATEX FREE	SUP-7310	CDM						inpatient			0.21	0.21																																																			
SPONGE GAUZE KERLIX WOVEN COTTON MEDIUM L6 3/4 IN X W6 IN LINT FREE SUPER ABSORBENT STERILE LATEX FREE	SUP-7310	CDM						outpatient			0.21	0.3	0.21				percent of total billed charges		0.21				other	OPPS APC	0.21				fee schedule		0.21				other	OPPS APC	0.21				other	OPPS APC	0.21				case rate		0.21				case rate		0.3				other	OPPS APC	0.21	0.3	
ASPIRIN 325 MG TABLET	637000000	CDM	0113-0416-78	NDC	A9270	HCPCS		inpatient			0.2	0.2																																																			
ASPIRIN 325 MG TABLET	637000000	CDM	0113-0416-78	NDC	A9270	HCPCS		outpatient			0.2	0.2																																															other	OPPS APC			
LISINOPRIL 5 MG TABLET	637000000	CDM	0904-6797-61	NDC	A9270	HCPCS		inpatient			0.2	0.2																																																			
LISINOPRIL 5 MG TABLET	637000000	CDM	0904-6797-61	NDC	A9270	HCPCS		outpatient			0.2	0.2																																															other	OPPS APC			
METFORMIN 500 MG TABLET	637000000	CDM	0904-7162-61	NDC	A9270	HCPCS		inpatient			0.2	0.2																																																			
METFORMIN 500 MG TABLET	637000000	CDM	0904-7162-61	NDC	A9270	HCPCS		outpatient			0.2	0.2																																															other	OPPS APC			
DRESSING TEGADERM 2 1/4 X 2 3/4	SUP-10-00020	CDM			272	RC		outpatient			0.2	0.21	5				percent of total billed charges		0.2				other	OPPS APC	0.15				percent of total billed charges		0.2				other	OPPS APC	0.2				other	OPPS APC	5				percent of total billed charges		6				percent of total billed charges		0.21				other	OPPS APC	0.05	0.21	
DRESSING TEGADERM 2 1/4 X 2 3/4	SUP-10-00020	CDM			272	RC		inpatient			0.2	0.2																																																			
MASK SURGICAL DEXTER ANTIFOG TIE LATEX FREE GREEN	SUP-15211	CDM						inpatient			0.2	0.2																																																			
MASK SURGICAL DEXTER ANTIFOG TIE LATEX FREE GREEN	SUP-15211	CDM						outpatient			0.2	0.21	0.2				percent of total billed charges		0.2				other	OPPS APC	0.2				fee schedule		0.2				other	OPPS APC	0.2				other	OPPS APC	0.2				case rate		0.2				case rate		0.21				other	OPPS APC	0.2	0.21	
"VIT A,C AND E-LUTEIN-MINERALS 300 MCG-200 MG-27 MG-2 MG TABLET"	637000000	CDM	536509008	NDC	A9270	HCPCS		inpatient			0.19	0.19																																																			
"VIT A,C AND E-LUTEIN-MINERALS 300 MCG-200 MG-27 MG-2 MG TABLET"	637000000	CDM	536509008	NDC	A9270	HCPCS		outpatient			0.19	0.19																																															other	OPPS APC			
MASK SURGICAL STANDARD CLASSIC LATEX FREE BLUE	SUP-15201	CDM						inpatient			0.19	0.19																																																			
MASK SURGICAL STANDARD CLASSIC LATEX FREE BLUE	SUP-15201	CDM						outpatient			0.19	0.19	0.19				percent of total billed charges		0.19				other	OPPS APC	0.19				fee schedule		0.19				other	OPPS APC	0.19				other	OPPS APC	0.19				case rate		0.19				case rate		0.19				other	OPPS APC	0.19	0.19	
JELLY PETROLEUM VASELINE CURAD LF 5GM OINTMENT MOISTURIZER FOIL PACK	SUP-CUR005345	CDM						inpatient			0.19	0.19																																																			
JELLY PETROLEUM VASELINE CURAD LF 5GM OINTMENT MOISTURIZER FOIL PACK	SUP-CUR005345	CDM						outpatient			0.19	0.19	0.19				percent of total billed charges		0.19				other	OPPS APC	0.19				fee schedule		0.19				other	OPPS APC	0.19				other	OPPS APC	0.19				case rate		0.19				case rate		0.19				other	OPPS APC	0.19	0.19	
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-48	NDC	J7060	HCPCS		inpatient			0.18	0.18																																																			
DEXTROSE 5% PER 500 ML	636000000	CDM	0338-0017-48	NDC	J7060	HCPCS		outpatient			0.18	0.18																																															other	OPPS APC			
SYRINGE MEDICAL BD 5ML POLYPROPYLENE DISPOSABLE STERILE LF SLIP TIP GRADUATED	SUP-309647	CDM						inpatient			0.18	0.18																																																			
SYRINGE MEDICAL BD 5ML POLYPROPYLENE DISPOSABLE STERILE LF SLIP TIP GRADUATED	SUP-309647	CDM						outpatient			0.18	0.18	0.18				percent of total billed charges		0.18				other	OPPS APC	0.18				fee schedule		0.18				other	OPPS APC	0.18				other	OPPS APC	0.18				case rate		0.18				case rate		0.18				other	OPPS APC	0.18	0.18	
REMOVER ADHESIVE UNI-SOLVE ALOE WIPE	SUP-402300	CDM						inpatient			0.18	0.18																																																			
REMOVER ADHESIVE UNI-SOLVE ALOE WIPE	SUP-402300	CDM						outpatient			0.18	0.18	0.18				percent of total billed charges		0.18				other	OPPS APC	0.18				fee schedule		0.18				other	OPPS APC	0.18				other	OPPS APC	0.18				case rate		0.18				case rate		0.18				other	OPPS APC	0.18	0.18	
SUTURE MONOCRYL 3/0 27' Y416H	SUP-74-00373	CDM			272	RC		outpatient			0.18	0.18	5				percent of total billed charges		0.18				other	OPPS APC	0.13				percent of total billed charges		0.18				other	OPPS APC	0.18				other	OPPS APC	5				percent of total billed charges		5				percent of total billed charges		0.18				other	OPPS APC	0.05	0.18	
SUTURE MONOCRYL 3/0 27' Y416H	SUP-74-00373	CDM			272	RC		inpatient			0.18	0.18																																																			
AMOXICILLIN 125 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	0143-9888-01	NDC	A9270	HCPCS		inpatient			0.17	0.17																																																			
AMOXICILLIN 125 MG/5 ML SUSPENSION FOR RECONSTITUTION	637000000	CDM	0143-9888-01	NDC	A9270	HCPCS		outpatient			0.17	0.17																																															other	OPPS APC			
"CALCIUM CARBONATE 200 MG CALCIUM (500 MG) TABLET,CHEWABLE"	637000000	CDM	66553-004-01	NDC	A9270	HCPCS		inpatient			0.17	0.17																																																			
"CALCIUM CARBONATE 200 MG CALCIUM (500 MG) TABLET,CHEWABLE"	637000000	CDM	66553-004-01	NDC	A9270	HCPCS		outpatient			0.17	0.17																																															other	OPPS APC			
SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG TABLET	637000000	CDM	63739-432-02	NDC	A9270	HCPCS		inpatient			0.17	0.17																																																			
SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG TABLET	637000000	CDM	63739-432-02	NDC	A9270	HCPCS		outpatient			0.17	0.17																																															other	OPPS APC			
CONTROL STERILIZATION 3M COMPLY STERIGAGE 17.8X1.8CM PAPER CLASS 5 STEAM CHEMICAL	SUP-1243E	CDM			270	RC		outpatient			0.17	0.17	5				percent of total billed charges		0.17				other	OPPS APC	0.13				percent of total billed charges		0.17				other	OPPS APC	0.17				other	OPPS APC	5				percent of total billed charges		5				percent of total billed charges		0.17				other	OPPS APC	0.05	0.17	
CONTROL STERILIZATION 3M COMPLY STERIGAGE 17.8X1.8CM PAPER CLASS 5 STEAM CHEMICAL	SUP-1243E	CDM			270	RC		inpatient			0.17	0.17																																																			
ELECTRODE PED ECL 135 MEDI-TRC MINI FOAM	SUP-31439766	CDM						inpatient			0.17	0.17																																																			
ELECTRODE PED ECL 135 MEDI-TRC MINI FOAM	SUP-31439766	CDM						outpatient			0.17	0.17	0.17				percent of total billed charges		0.17				other	OPPS APC	0.17				fee schedule		0.17				other	OPPS APC	0.17				other	OPPS APC	0.17				case rate		0.17				case rate		0.17				other	OPPS APC	0.17	0.17	
LISINOPRIL 10 MG TABLET	637000000	CDM	0904-6798-61	NDC	A9270	HCPCS		inpatient			0.16	0.16																																																			
LISINOPRIL 10 MG TABLET	637000000	CDM	0904-6798-61	NDC	A9270	HCPCS		outpatient			0.16	0.16																																															other	OPPS APC			
MICROBRUSH PLUS REFILL FINE YELLOW	SUP-1077764	CDM			270	RC		outpatient			0.16	0.16	4				percent of total billed charges		0.16				other	OPPS APC	0.12				percent of total billed charges		0.16				other	OPPS APC	0.16				other	OPPS APC	4				percent of total billed charges		4				percent of total billed charges		0.16				other	OPPS APC	0.04	0.16	
MICROBRUSH PLUS REFILL FINE YELLOW	SUP-1077764	CDM			270	RC		inpatient			0.16	0.16																																																			
INDICATOR STERILIZATION 3M COMPLY STERIGAGE PAPER 250-275 F L9 IN X W3/4 IN STEAM CHEMICAL INTEGRATOR EXTENDER MOVE FRONT INK	SUP-1243RE	CDM			270	RC		outpatient			0.16	0.16	4				percent of total billed charges		0.16				other	OPPS APC	0.12				percent of total billed charges		0.16				other	OPPS APC	0.16				other	OPPS APC	4				percent of total billed charges		4				percent of total billed charges		0.16				other	OPPS APC	0.04	0.16	
INDICATOR STERILIZATION 3M COMPLY STERIGAGE PAPER 250-275 F L9 IN X W3/4 IN STEAM CHEMICAL INTEGRATOR EXTENDER MOVE FRONT INK	SUP-1243RE	CDM			270	RC		inpatient			0.16	0.16																																																			
ASPIRIN 325 MG TABLET	637000000	CDM	66553-001-01	NDC	A9270	HCPCS		inpatient			0.15	0.15																																																			
ASPIRIN 325 MG TABLET	637000000	CDM	66553-001-01	NDC	A9270	HCPCS		outpatient			0.15	0.15																																															other	OPPS APC			
"ASPIRIN 81 MG TABLET,CHEWABLE"	637000000	CDM	66553-002-01	NDC	A9270	HCPCS		inpatient			0.15	0.15																																																			
"ASPIRIN 81 MG TABLET,CHEWABLE"	637000000	CDM	66553-002-01	NDC	A9270	HCPCS		outpatient			0.15	0.15																																															other	OPPS APC			
CALCIUM CARBONATE-VITAMIN D3 500 MG-5 MCG (200 UNIT) TABLET	637000000	CDM	1000670038	NDC	A9270	HCPCS		inpatient			0.15	0.15																																																			
CALCIUM CARBONATE-VITAMIN D3 500 MG-5 MCG (200 UNIT) TABLET	637000000	CDM	1000670038	NDC	A9270	HCPCS		outpatient			0.15	0.15																																															other	OPPS APC			
DOCUSATE SODIUM 100 MG CAPSULE	637000000	CDM	0904-7183-61	NDC	A9270	HCPCS		inpatient			0.15	0.15																																																			
DOCUSATE SODIUM 100 MG CAPSULE	637000000	CDM	0904-7183-61	NDC	A9270	HCPCS		outpatient			0.15	0.15																																															other	OPPS APC			
MASK SURGICAL DEXTER POLY EXTRA SOFT TIE COOL BREATHABLE PLEAT LATEX FREE WHITE SENSITIVE SKIN	SUP-15215	CDM						inpatient			0.15	0.15																																																			
MASK SURGICAL DEXTER POLY EXTRA SOFT TIE COOL BREATHABLE PLEAT LATEX FREE WHITE SENSITIVE SKIN	SUP-15215	CDM						outpatient			0.15	0.15	0.15				percent of total billed charges		0.15				other	OPPS APC	0.15				fee schedule		0.15				other	OPPS APC	0.15				other	OPPS APC	0.15				case rate		0.15				case rate		0.15				other	OPPS APC	0.15	0.15	
ELECTRODE EKG 3M RED DOT FOAM ADULT L1.36 IN X W1.6 IN MONITOR FLUID RESISTANT STICKY GEL RADIOLUCENT	SUP-2570-5	CDM			481	RC		outpatient			0.15	0.15	7				percent of total billed charges		0.15				other	OPPS APC	0.11				percent of total billed charges		0.15				other	OPPS APC	0.15				other	OPPS APC	7				percent of total billed charges		8				percent of total billed charges		0.15				other	OPPS APC	0.07	0.15	
ELECTRODE EKG 3M RED DOT FOAM ADULT L1.36 IN X W1.6 IN MONITOR FLUID RESISTANT STICKY GEL RADIOLUCENT	SUP-2570-5	CDM			481	RC		inpatient			0.15	0.15																																																			
SYRINGE MEDICAL BD 10ML DISPOSABLE STERILE SLIP TIP	SUP-303134	CDM						inpatient			0.15	0.15																																																			
SYRINGE MEDICAL BD 10ML DISPOSABLE STERILE SLIP TIP	SUP-303134	CDM						outpatient			0.15	0.15	0.15				percent of total billed charges		0.15				other	OPPS APC	0.15				fee schedule		0.15				other	OPPS APC	0.15				other	OPPS APC	0.15				case rate		0.15				case rate		0.15				other	OPPS APC	0.15	0.15	
SYRINGE MEDICAL BD BD LUER-LOK 3ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE NONPYROGENIC DEHP FREE PVC FREE	SUP-309657	CDM						inpatient			0.15	0.15																																																			
SYRINGE MEDICAL BD BD LUER-LOK 3ML CLEAR POLYPROPYLENE DISPOSABLE STERILE LF GRADUATE NONPYROGENIC DEHP FREE PVC FREE	SUP-309657	CDM						outpatient			0.15	0.15	0.15				percent of total billed charges		0.15				other	OPPS APC	0.15				fee schedule		0.15				other	OPPS APC	0.15				other	OPPS APC	0.15				case rate		0.15				case rate		0.15				other	OPPS APC	0.15	0.15	
"ASPIRIN 81 MG TABLET,CHEWABLE"	637000000	CDM	48433-129-01	NDC	A9270	HCPCS		inpatient			0.14	0.14																																																			
"ASPIRIN 81 MG TABLET,CHEWABLE"	637000000	CDM	48433-129-01	NDC	A9270	HCPCS		outpatient			0.14	0.14																																															other	OPPS APC			
"ASPIRIN 81 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	63739-212-02	NDC	A9270	HCPCS		inpatient			0.14	0.14																																																			
"ASPIRIN 81 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	63739-212-02	NDC	A9270	HCPCS		outpatient			0.14	0.14																																															other	OPPS APC			
CALCIUM CITRATE-VITAMIN D3 200 MG-6.25 MCG (250 UNIT) TABLET	637000000	CDM	536322301	NDC	A9270	HCPCS		inpatient			0.14	0.14																																																			
CALCIUM CITRATE-VITAMIN D3 200 MG-6.25 MCG (250 UNIT) TABLET	637000000	CDM	536322301	NDC	A9270	HCPCS		outpatient			0.14	0.14																																															other	OPPS APC			
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305127	CDM			270	RC		outpatient			0.14	0.14	4				percent of total billed charges		0.14				other	OPPS APC	0.1				percent of total billed charges		0.14				other	OPPS APC	0.14				other	OPPS APC	4				percent of total billed charges		4				percent of total billed charges		0.14				other	OPPS APC	0.04	0.14	
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 25GA BLUE POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305127	CDM			270	RC		inpatient			0.14	0.14																																																			
NEEDLE BLUNT BD REGULAR WALL 1.5IN 18GA RED POLYPROPYLENE DISPOSABLE STERILE LF FILL LUER HUB DEHP FREE	SUP-305180	CDM			270	RC		outpatient			0.14	0.14	4				percent of total billed charges		0.14				other	OPPS APC	0.1				percent of total billed charges		0.14				other	OPPS APC	0.14				other	OPPS APC	4				percent of total billed charges		4				percent of total billed charges		0.14				other	OPPS APC	0.04	0.14	
NEEDLE BLUNT BD REGULAR WALL 1.5IN 18GA RED POLYPROPYLENE DISPOSABLE STERILE LF FILL LUER HUB DEHP FREE	SUP-305180	CDM			270	RC		inpatient			0.14	0.14																																																			
"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE"	637000000	CDM	904208560	NDC	A9270	HCPCS		inpatient			0.13	0.13																																																			
"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE"	637000000	CDM	904208560	NDC	A9270	HCPCS		outpatient			0.13	0.13																																															other	OPPS APC			
PAD SANITARY CURITY 12.25INX4 3/10IN PVC NS MOISTURE BARRIER SOFTNESS LIGHT POSTPARTUM CARE FLUID DISPERSEMENT SYSTEM	SUP-2022A	CDM						inpatient			0.13	0.13																																																			
PAD SANITARY CURITY 12.25INX4 3/10IN PVC NS MOISTURE BARRIER SOFTNESS LIGHT POSTPARTUM CARE FLUID DISPERSEMENT SYSTEM	SUP-2022A	CDM						outpatient			0.13	0.13	0.13				percent of total billed charges		0.13				other	OPPS APC	0.13				fee schedule		0.13				other	OPPS APC	0.13				other	OPPS APC	0.13				case rate		0.13				case rate		0.13				other	OPPS APC	0.13	0.13	
SYRINGE MEDICAL BD 3 ML GRADUATE NONPYROGENIC DEHP FREE PVC FREE STERILE LATEX FREE DISPOSABLE	SUP-309656	CDM						inpatient			0.13	0.13																																																			
SYRINGE MEDICAL BD 3 ML GRADUATE NONPYROGENIC DEHP FREE PVC FREE STERILE LATEX FREE DISPOSABLE	SUP-309656	CDM						outpatient			0.13	0.13	0.13				percent of total billed charges		0.13				other	OPPS APC	0.13				fee schedule		0.13				other	OPPS APC	0.13				other	OPPS APC	0.13				case rate		0.13				case rate		0.13				other	OPPS APC	0.13	0.13	
CAP BOUFFANT MEDWEIGHT SPUNBOND BLUE 24	SUP-CRI1202	CDM						inpatient			0.13	0.13																																																			
CAP BOUFFANT MEDWEIGHT SPUNBOND BLUE 24	SUP-CRI1202	CDM						outpatient			0.13	0.13	0.13				percent of total billed charges		0.13				other	OPPS APC	0.13				fee schedule		0.13				other	OPPS APC	0.13				other	OPPS APC	0.13				case rate		0.13				case rate		0.13				other	OPPS APC	0.13	0.13	
PHENYLEPHRINE PER 1 ML	636000000	CDM	72485-504-01	NDC	J2371	HCPCS		inpatient			0.12	0.12																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	72485-504-25	NDC	J2371	HCPCS		inpatient			0.12	0.12																																																			
PHENYLEPHRINE PER 1 ML	636000000	CDM	72485-504-01	NDC	J2371	HCPCS		outpatient			0.12	0.12																																															other	OPPS APC			
PHENYLEPHRINE PER 1 ML	636000000	CDM	72485-504-25	NDC	J2371	HCPCS		outpatient			0.12	0.12																																															other	OPPS APC			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-48	NDC	J7050	HCPCS		inpatient			0.12	0.12																																																			
SODIUM CHLORIDE PER 250 ML	636000000	CDM	0338-0049-48	NDC	J7050	HCPCS		outpatient			0.12	0.12																																															other	OPPS APC			
"CHOLECALCIFEROL 25 MCG (1,000 UNIT) TABLET"	637000000	CDM	2055503300	NDC	A9270	HCPCS		inpatient			0.12	0.12																																																			
"CHOLECALCIFEROL 25 MCG (1,000 UNIT) TABLET"	637000000	CDM	2055503300	NDC	A9270	HCPCS		outpatient			0.12	0.12																																															other	OPPS APC			
MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET	637000000	CDM	904053961	NDC	A9270	HCPCS		inpatient			0.12	0.12																																																			
MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET	637000000	CDM	904053961	NDC	A9270	HCPCS		outpatient			0.12	0.12																																															other	OPPS APC			
NEEDLE HYPODERMIC SHORT BEVEL STERILE DISPOSABLE 20GA X 1.5IN	SUP-305179	CDM						inpatient			0.12	0.12																																																			
NEEDLE HYPODERMIC SHORT BEVEL STERILE DISPOSABLE 20GA X 1.5IN	SUP-305179	CDM						outpatient			0.12	0.12	0.12				percent of total billed charges		0.12				other	OPPS APC	0.12				fee schedule		0.12				other	OPPS APC	0.12				other	OPPS APC	0.12				case rate		0.12				case rate		0.12				other	OPPS APC	0.12	0.12	
NEEDLE HYPODERMIC SHORT BEVEL STERILE DISPOSABLE 21GA X 1.5IN	SUP-309577	CDM						inpatient			0.12	0.12																																																			
NEEDLE HYPODERMIC SHORT BEVEL STERILE DISPOSABLE 21GA X 1.5IN	SUP-309577	CDM						outpatient			0.12	0.12	0.12				percent of total billed charges		0.12				other	OPPS APC	0.12				fee schedule		0.12				other	OPPS APC	0.12				other	OPPS APC	0.12				case rate		0.12				case rate		0.12				other	OPPS APC	0.12	0.12	
PVI SWAB	SUP-01-00146	CDM			272	RC		outpatient			0.11	0.11	3				percent of total billed charges		0.11				other	OPPS APC	8				percent of total billed charges		0.11				other	OPPS APC	0.11				other	OPPS APC	3				percent of total billed charges		3				percent of total billed charges		0.11				other	OPPS APC	0.03	0.11	
PVI SWAB	SUP-01-00146	CDM			272	RC		inpatient			0.11	0.11																																																			
SWAB ORAL TOOTHETTE GLYCERIN FOAM STICK RIDGE LEMON	SUP-1216	CDM						inpatient			0.11	0.11																																																			
SWAB ORAL TOOTHETTE GLYCERIN FOAM STICK RIDGE LEMON	SUP-1216	CDM						outpatient			0.11	0.11	0.11				percent of total billed charges		0.11				other	OPPS APC	0.11				fee schedule		0.11				other	OPPS APC	0.11				other	OPPS APC	0.11				case rate		0.11				case rate		0.11				other	OPPS APC	0.11	0.11	
JELLY LUBRICANT SURGILUBE CLEAR STERILE LF 5GM WATER SOLUBLE PACKET	SUP-209	CDM						inpatient			0.11	0.11																																																			
JELLY LUBRICANT SURGILUBE CLEAR STERILE LF 5GM WATER SOLUBLE PACKET	SUP-209	CDM						outpatient			0.11	0.11	0.11				percent of total billed charges		0.11				other	OPPS APC	0.11				fee schedule		0.11				other	OPPS APC	0.11				other	OPPS APC	0.11				case rate		0.11				case rate		0.11				other	OPPS APC	0.11	0.11	
LINER CAN 24 INCH LOW DENSITY 0.7 MIL STAR BOTTOM	SUP-P3320ZC	CDM						inpatient			0.11	0.11																																																			
LINER CAN 24 INCH LOW DENSITY 0.7 MIL STAR BOTTOM	SUP-P3320ZC	CDM						outpatient			0.11	0.11	0.11				percent of total billed charges		0.11				other	OPPS APC	0.11				fee schedule		0.11				other	OPPS APC	0.11				other	OPPS APC	0.11				case rate		0.11				case rate		0.11				other	OPPS APC	0.11	0.11	
CEFTAZIDIME PER 500 MG	636000000	CDM	0409-5082-11	NDC	J0713	HCPCS		inpatient			0.1	0.1																																																			
CEFTAZIDIME PER 500 MG	636000000	CDM	0409-5082-11	NDC	J0713	HCPCS		outpatient			0.1	0.1																																															other	OPPS APC			
FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET	637000000	CDM	2055501900	NDC	A9270	HCPCS		inpatient			0.1	0.1																																																			
FERROUS GLUCONATE 324 MG (37.5 MG IRON) TABLET	637000000	CDM	2055501900	NDC	A9270	HCPCS		outpatient			0.1	0.1																																															other	OPPS APC			
CUP DRINKING STYROFOAM 10 OZ HOT COLD INSULATED DISPOSABLE WHITE	SUP-10C8W	CDM			270	RC		outpatient			0.1	0.11	3				percent of total billed charges		0.1				other	OPPS APC	7				percent of total billed charges		0.1				other	OPPS APC	0.1				other	OPPS APC	3				percent of total billed charges		3				percent of total billed charges		0.11				other	OPPS APC	0.03	0.11	
CUP DRINKING STYROFOAM 10 OZ HOT COLD INSULATED DISPOSABLE WHITE	SUP-10C8W	CDM			270	RC		inpatient			0.1	0.1																																																			
NEEDLE HYPODERMIC BD PRECISIONGLIDE THIN WALL 1.5IN 18GA BROWN DISPOSABLE STERILE LF SHORT BEVEL	SUP-305196	CDM						inpatient			0.1	0.1																																																			
NEEDLE HYPODERMIC BD PRECISIONGLIDE THIN WALL 1.5IN 18GA BROWN DISPOSABLE STERILE LF SHORT BEVEL	SUP-305196	CDM						outpatient			0.1	0.11	0.1				percent of total billed charges		0.1				other	OPPS APC	0.1				fee schedule		0.1				other	OPPS APC	0.1				other	OPPS APC	0.1				case rate		0.1				case rate		0.11				other	OPPS APC	0.1	0.11	
SPONGE SURGICAL VISTEC 4X4IN BLUE WHITE GAUZE STERILE LF 16 PLY RADIOPAQUE LOW LINT BAND	SUP-7317	CDM						inpatient			0.1	0.1																																																			
SPONGE SURGICAL VISTEC 4X4IN BLUE WHITE GAUZE STERILE LF 16 PLY RADIOPAQUE LOW LINT BAND	SUP-7317	CDM						outpatient			0.1	0.11	0.1				percent of total billed charges		0.1				other	OPPS APC	0.1				fee schedule		0.1				other	OPPS APC	0.1				other	OPPS APC	0.1				case rate		0.1				case rate		0.11				other	OPPS APC	0.1	0.11	
COVER SHOE 3-LAYER NONSKID BLUE XLG	SUP-NON28859	CDM						inpatient			0.1	0.1																																																			
COVER SHOE 3-LAYER NONSKID BLUE XLG	SUP-NON28859	CDM						outpatient			0.1	0.11	0.1				percent of total billed charges		0.1				other	OPPS APC	0.1				fee schedule		0.1				other	OPPS APC	0.1				other	OPPS APC	0.1				case rate		0.1				case rate		0.11				other	OPPS APC	0.1	0.11	
FERROUS SULFATE 325 MG (65 MG IRON) TABLET	637000000	CDM	904759161	NDC	A9270	HCPCS		inpatient			0.09	0.09																																																			
FERROUS SULFATE 325 MG (65 MG IRON) TABLET	637000000	CDM	904759161	NDC	A9270	HCPCS		outpatient			0.09	0.09																																															other	OPPS APC			
MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG TABLET	637000000	CDM	904264172	NDC	A9270	HCPCS		inpatient			0.09	0.09																																																			
MULTIVITAMIN-IRON-FOLIC ACID 18-400 MG-MCG TABLET	637000000	CDM	904264172	NDC	A9270	HCPCS		outpatient			0.09	0.09																																															other	OPPS APC			
MULTIVIT-IRON-FA-CALCIUM-MINS 9 MG IRON-400 MCG TABLET	637000000	CDM	904549280	NDC	A9270	HCPCS		inpatient			0.09	0.09																																																			
MULTIVIT-IRON-FA-CALCIUM-MINS 9 MG IRON-400 MCG TABLET	637000000	CDM	904549280	NDC	A9270	HCPCS		outpatient			0.09	0.09																																															other	OPPS APC			
BANDAGE ADHESIVE COVERLET 3.75 X 2IN FABRIC STERILE LF PATCH XL WOUND PAD ABSORBENT ELASTIC	SUP-44102-	CDM	270009017	LOCAL	270	RC		outpatient			9	0.09	0.02				percent of total billed charges		9				other	OPPS APC	7				percent of total billed charges		9				other	OPPS APC	9				other	OPPS APC	0.02				percent of total billed charges		0.02				percent of total billed charges		9				other	OPPS APC	0.02	0.09	
BANDAGE ADHESIVE COVERLET 3.75 X 2IN FABRIC STERILE LF PATCH XL WOUND PAD ABSORBENT ELASTIC	SUP-44102-	CDM	270009017	LOCAL	270	RC		inpatient			9	9																																																			
PSEUDOEPHEDRINE 30 MG TABLET	637000000	CDM	0904-5053-59	NDC	A9270	HCPCS		inpatient			0.08	0.08																																																			
PSEUDOEPHEDRINE 30 MG TABLET	637000000	CDM	0904-5053-59	NDC	A9270	HCPCS		outpatient			0.08	0.08																																															other	OPPS APC			
CUP DRINKING STYROFOAM 10 OZ HOT COLD INSULATED DISPOSABLE WHITE	SUP-DCC 10J10	CDM			270	RC		outpatient			8	0.08	0.02				percent of total billed charges		8				other	OPPS APC	6				percent of total billed charges		8				other	OPPS APC	8				other	OPPS APC	0.02				percent of total billed charges		0.02				percent of total billed charges		8.2				other	OPPS APC	0.02	0.08	
CUP DRINKING STYROFOAM 10 OZ HOT COLD INSULATED DISPOSABLE WHITE	SUP-DCC 10J10	CDM			270	RC		inpatient			8	8																																																			
"CALCIUM CARBONATE 600 MG CALCIUM (1,500 MG) TABLET"	637000000	CDM	2055500500	NDC	A9270	HCPCS		inpatient			0.07	0.07																																																			
"CALCIUM CARBONATE 600 MG CALCIUM (1,500 MG) TABLET"	637000000	CDM	2055500500	NDC	A9270	HCPCS		outpatient			0.07	0.07																																															other	OPPS APC			
SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG TABLET	637000000	CDM	0536-1248-01	NDC	A9270	HCPCS		inpatient			0.07	0.07																																																			
SENNOSIDES-DOCUSATE SODIUM 8.6-50 MG TABLET	637000000	CDM	0536-1248-01	NDC	A9270	HCPCS		outpatient			0.07	0.07																																															other	OPPS APC			
CUP DRINKING 10OZ STYROFOAM HOT COLD INSULATED WHITE DISPOSABLE	SUP-DCC10J10	CDM			270	RC		outpatient			7	0.08	0.02				percent of total billed charges		7				other	OPPS APC	5				percent of total billed charges		7				other	OPPS APC	7				other	OPPS APC	0.02				percent of total billed charges		0.02				percent of total billed charges		7.7				other	OPPS APC	0.02	0.08	
CUP DRINKING 10OZ STYROFOAM HOT COLD INSULATED WHITE DISPOSABLE	SUP-DCC10J10	CDM			270	RC		inpatient			7	7																																																			
BAG SPECIMEN LAB GUARD POLYETHYLENE THK1.75 MIL L9 IN X W6 IN 4 WALL ZIPLOCK BIOHAZARD LOGO	SUP-SBL2R69B	CDM						inpatient			7	7																																																			
BAG SPECIMEN LAB GUARD POLYETHYLENE THK1.75 MIL L9 IN X W6 IN 4 WALL ZIPLOCK BIOHAZARD LOGO	SUP-SBL2R69B	CDM						outpatient			7	0.08	7				percent of total billed charges		7				other	OPPS APC	7				fee schedule		7				other	OPPS APC	7				other	OPPS APC	7				case rate		7				case rate		7.7				other	OPPS APC	0.07	0.08	
"ASPIRIN 325 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	57896-921-01	NDC	A9270	HCPCS		inpatient			0.06	0.06																																																			
"ASPIRIN 325 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	57896-921-01	NDC	A9270	HCPCS		outpatient			0.06	0.06																																															other	OPPS APC			
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 22GA BLACK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305156	CDM			270	RC		outpatient			6	0.06	0.02				percent of total billed charges		6				other	OPPS APC	4				percent of total billed charges		6				other	OPPS APC	6				other	OPPS APC	0.02				percent of total billed charges		0.02				percent of total billed charges		6				other	OPPS APC	0.02	0.06	
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 22GA BLACK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305156	CDM			270	RC		inpatient			6	6																																																			
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 23GA BLACK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305194	CDM						inpatient			6	6																																																			
NEEDLE HYPODERMIC BD REGULAR WALL 1.5IN 23GA BLACK POLYPROPYLENE DISPOSABLE STERILE LF REGULAR BEVEL LUER HUB DEHP FREE	SUP-305194	CDM						outpatient			6	0.06	6				percent of total billed charges		6				other	OPPS APC	6				fee schedule		6				other	OPPS APC	6				other	OPPS APC	6				case rate		6				case rate		6				other	OPPS APC	0.06	0.06	
SWAB ORAL TOOTHETTE GLYCERIN FOAM STICK RIDGE LEMON	SUP-702485	CDM						inpatient			6	6																																																			
SWAB ORAL TOOTHETTE GLYCERIN FOAM STICK RIDGE LEMON	SUP-702485	CDM						outpatient			6	0.06	6				percent of total billed charges		6				other	OPPS APC	6				fee schedule		6				other	OPPS APC	6				other	OPPS APC	6				case rate		6				case rate		6				other	OPPS APC	0.06	0.06	
POUCH STERILIZATION DUALPEEL PAPER L9 IN X W3.5 IN 2 INDICATOR SELF SEAL CENTRAL SUPPLY BLUE	SUP-92309	CDM	270010030	LOCAL	270	RC		outpatient			6	0.06	0.02				percent of total billed charges		6				other	OPPS APC	4				percent of total billed charges		6				other	OPPS APC	6				other	OPPS APC	0.02				percent of total billed charges		0.02				percent of total billed charges		6				other	OPPS APC	0.02	0.06	
POUCH STERILIZATION DUALPEEL PAPER L9 IN X W3.5 IN 2 INDICATOR SELF SEAL CENTRAL SUPPLY BLUE	SUP-92309	CDM	270010030	LOCAL	270	RC		inpatient			6	6																																																			
GLOVE EXAM NITRL PF TXT FNGR S	SUP-FG2501	CDM						inpatient			6	6																																																			
GLOVE EXAM NITRL PF TXT FNGR S	SUP-FG2501	CDM						outpatient			6	0.06	6				percent of total billed charges		6				other	OPPS APC	6				fee schedule		6				other	OPPS APC	6				other	OPPS APC	6				case rate		6				case rate		6				other	OPPS APC	0.06	0.06	
GLOVE EXAM NITRILE PF TXT FNGR XL	SUP-FG2504	CDM						inpatient			6	6																																																			
GLOVE EXAM NITRILE PF TXT FNGR XL	SUP-FG2504	CDM						outpatient			6	0.06	6				percent of total billed charges		6				other	OPPS APC	6				fee schedule		6				other	OPPS APC	6				other	OPPS APC	6				case rate		6				case rate		6				other	OPPS APC	0.06	0.06	
NITROGLYCERIN 50 MG/10 ML (5 MG/ML) SOLUTION	250000000	CDM	0517-4810-25	NDC				inpatient			0.05	0.05																																																			
NITROGLYCERIN 50 MG/10 ML (5 MG/ML) SOLUTION	250000000	CDM	0517-4810-25	NDC				outpatient			0.05	0.05																																															other	OPPS APC			
"ASPIRIN 325 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	69618-015-01	NDC	A9270	HCPCS		inpatient			0.05	0.05																																																			
"ASPIRIN 325 MG TABLET,DELAYED RELEASE (DR/EC)"	637000000	CDM	69618-015-01	NDC	A9270	HCPCS		outpatient			0.05	0.05																																															other	OPPS APC			
EJECTOR SALIVA OPAQUE WHITE	SUP-1005205	CDM			270	RC		outpatient			5	0.05	0.01				percent of total billed charges		5				other	OPPS APC	4				percent of total billed charges		5				other	OPPS APC	5				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		5.3				other	OPPS APC	0.01	0.05	
EJECTOR SALIVA OPAQUE WHITE	SUP-1005205	CDM			270	RC		inpatient			5	5																																																			
BAG PLASTIC THK2 MIL L10 IN X W8 IN ZIPLOCK CLEAR	SUP-RDPA29	CDM						inpatient			5	5																																																			
BAG PLASTIC THK2 MIL L10 IN X W8 IN ZIPLOCK CLEAR	SUP-RDPA29	CDM						outpatient			5	0.05	5				percent of total billed charges		5				other	OPPS APC	5				fee schedule		5				other	OPPS APC	5				other	OPPS APC	5				case rate		5				case rate		5.3				other	OPPS APC	0.05	0.05	
SPONGE GAUZE CURITY COTTON L4 IN X W4 IN 8 PLY USP TYPE VII NONSTERILE LATEX FREE DISPOSABLE	SUP-2556	CDM						inpatient			3	3																																																			
SPONGE GAUZE CURITY COTTON L4 IN X W4 IN 8 PLY USP TYPE VII NONSTERILE LATEX FREE DISPOSABLE	SUP-2556	CDM						outpatient			3	0.03	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	0.03	0.03	
BANDAGE ADHESIVE BIOCLONE ANTI C L3 IN X W1 IN L1 IN X W7/8 IN 5 ML SHEER STERILE LATEX FREE	SUP-44119	CDM						inpatient			3	3																																																			
BANDAGE ADHESIVE BIOCLONE ANTI C L3 IN X W1 IN L1 IN X W7/8 IN 5 ML SHEER STERILE LATEX FREE	SUP-44119	CDM						outpatient			3	0.03	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	0.03	0.03	
APPLICATOR COTTON TIP WOOD 6 STERILE	SUP-MDS202000	CDM						inpatient			3	3																																																			
APPLICATOR COTTON TIP WOOD 6 STERILE	SUP-MDS202000	CDM						outpatient			3	0.03	3				percent of total billed charges		3				other	OPPS APC	3				fee schedule		3				other	OPPS APC	3				other	OPPS APC	3				case rate		3				case rate		3				other	OPPS APC	0.03	0.03	
CATHETER THROMBECTOMY FLOWTRIEVER L 115 CM  OD 10 MM STERILE LATEX FREE	SUP-10-101	CDM			270	RC		outpatient			0.02	0.2	0.01				percent of total billed charges		0.02				other	OPPS APC	0.01				percent of total billed charges		0.02				other	OPPS APC	0.02				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.2				other	OPPS APC	0.01	0.2	
CATHETER THROMBECTOMY FLOWTRIEVER L 115 CM  OD 10 MM STERILE LATEX FREE	SUP-10-101	CDM			270	RC		inpatient			0.02	0.02																																																			
CATHETER THOMBECTOMY FLOWTRIEVER L 115 CM OD 14 MM STERILE LATEX FREE	SUP-10-102	CDM			270	RC		outpatient			0.02	0.2	0.01				percent of total billed charges		0.02				other	OPPS APC	0.01				percent of total billed charges		0.02				other	OPPS APC	0.02				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.2				other	OPPS APC	0.01	0.2	
CATHETER THOMBECTOMY FLOWTRIEVER L 115 CM OD 14 MM STERILE LATEX FREE	SUP-10-102	CDM			270	RC		inpatient			0.02	0.02																																																			
CATHETER THROMBECTOMY FLOWTRIEVER L 115 CM OD 18 MM STERILE LATEX FREE	SUP-10-103	CDM			270	RC		outpatient			0.02	0.2	0.01				percent of total billed charges		0.02				other	OPPS APC	0.01				percent of total billed charges		0.02				other	OPPS APC	0.02				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.2				other	OPPS APC	0.01	0.2	
CATHETER THROMBECTOMY FLOWTRIEVER L 115 CM OD 18 MM STERILE LATEX FREE	SUP-10-103	CDM			270	RC		inpatient			0.02	0.02																																																			
CATHETER THROMBECTOMY FLOWTRIEVER L 115 CM OD 25 MM STERILE LATEX FREE	SUP-10-104	CDM			270	RC		outpatient			0.02	0.2	0.01				percent of total billed charges		0.02				other	OPPS APC	0.01				percent of total billed charges		0.02				other	OPPS APC	0.02				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.2				other	OPPS APC	0.01	0.2	
CATHETER THROMBECTOMY FLOWTRIEVER L 115 CM OD 25 MM STERILE LATEX FREE	SUP-10-104	CDM			270	RC		inpatient			0.02	0.02																																																			
CATHETER THROMBECTOMY FLOWTRIEVER 2 MEDIUM L 120 CM OD 12 FR STERILE LATEX FREE	SUP-11-102	CDM			270	RC		outpatient			0.02	0.2	0.01				percent of total billed charges		0.02				other	OPPS APC	0.01				percent of total billed charges		0.02				other	OPPS APC	0.02				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.2				other	OPPS APC	0.01	0.2	
CATHETER THROMBECTOMY FLOWTRIEVER 2 MEDIUM L 120 CM OD 12 FR STERILE LATEX FREE	SUP-11-102	CDM			270	RC		inpatient			0.02	0.02																																																			
BANDAGE ADHESIVE CURITY 3/8X3/8IN 7/8IN PLASTIC STERILE LF SHEER SPOT PAD	SUP-44120	CDM						inpatient			0.02	0.02																																																			
BANDAGE ADHESIVE CURITY 3/8X3/8IN 7/8IN PLASTIC STERILE LF SHEER SPOT PAD	SUP-44120	CDM						outpatient			0.02	0.2	0.02				percent of total billed charges		0.02				other	OPPS APC	0.02				fee schedule		0.02				other	OPPS APC	0.02				other	OPPS APC	0.02				case rate		0.02				case rate		0.2				other	OPPS APC	0.02	0.2	
SPONGE GAUZE DERMACEA L2 IN X W2 IN 8 PLY USP TYPE VII STERILE LATEX FREE DISPOSABLE	SUP-441204	CDM						inpatient			0.02	0.02																																																			
SPONGE GAUZE DERMACEA L2 IN X W2 IN 8 PLY USP TYPE VII STERILE LATEX FREE DISPOSABLE	SUP-441204	CDM						outpatient			0.02	0.2	0.02				percent of total billed charges		0.02				other	OPPS APC	0.02				fee schedule		0.02				other	OPPS APC	0.02				other	OPPS APC	0.02				case rate		0.02				case rate		0.2				other	OPPS APC	0.02	0.2	
PAD PREP WEBCOL 70% ISOPROPYL ALCOHOL LARGE L3.25 IN X W1.75 IN 2 PLY NONWOVEN PREMIUM SATURATE STERILE LATEX FREE	SUP-5110	CDM						inpatient			0.02	0.02																																																			
PAD PREP WEBCOL 70% ISOPROPYL ALCOHOL LARGE L3.25 IN X W1.75 IN 2 PLY NONWOVEN PREMIUM SATURATE STERILE LATEX FREE	SUP-5110	CDM						outpatient			0.02	0.2	0.02				percent of total billed charges		0.02				other	OPPS APC	0.02				fee schedule		0.02				other	OPPS APC	0.02				other	OPPS APC	0.02				case rate		0.02				case rate		0.2				other	OPPS APC	0.02	0.2	
SUTURE ABSORBABLE VICRYL LIGAPAK 4-0 L54 IN BRAID REEL COATED VIOLET	SUP-J204G	CDM			270	RC		outpatient			0.02	0.2	0.01				percent of total billed charges		0.02				other	OPPS APC	0.01				percent of total billed charges		0.02				other	OPPS APC	0.02				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.2				other	OPPS APC	0.01	0.2	
SUTURE ABSORBABLE VICRYL LIGAPAK 4-0 L54 IN BRAID REEL COATED VIOLET	SUP-J204G	CDM			270	RC		inpatient			0.02	0.02																																																			
APPLICATOR FIBER TIPPED PREMIERPRO 6IN COTTON DISPOSABLE NS LF SOFT ABSORBENT STURDY	SUP-MDS202055ZZ	CDM						inpatient			0.02	0.02																																																			
APPLICATOR FIBER TIPPED PREMIERPRO 6IN COTTON DISPOSABLE NS LF SOFT ABSORBENT STURDY	SUP-MDS202055ZZ	CDM						outpatient			0.02	0.2	0.02				percent of total billed charges		0.02				other	OPPS APC	0.02				fee schedule		0.02				other	OPPS APC	0.02				other	OPPS APC	0.02				case rate		0.02				case rate		0.2				other	OPPS APC	0.02	0.2	
"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) SOLUTION 20 ML VIAL"	636000000	CDM	50242-917-01	NDC	J9022	HCPCS		inpatient			0.01	0.01																																																			
"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) SOLUTION 20 ML VIAL"	636000000	CDM	50242-917-01	NDC	J9022	HCPCS		outpatient			0.01	89.42																																											89.42				other	OPPS APC	89.42	89.42	
ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) SOLUTION 14 ML VIAL	636000000	CDM	50242-918-01	NDC	J9022	HCPCS		inpatient			0.01	0.01																																																			
ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) SOLUTION 14 ML VIAL	636000000	CDM	50242-918-01	NDC	J9022	HCPCS		outpatient			0.01	89.42																																											89.42				other	OPPS APC	89.42	89.42	
BELIMUMAB 400 MG RECON SOLN 1 EACH VIAL	636000000	CDM	49401-102-01	NDC	J0490	HCPCS		inpatient			0.01	0.01																																																			
BELIMUMAB 400 MG RECON SOLN 1 EACH VIAL	636000000	CDM	49401-102-01	NDC	J0490	HCPCS		outpatient			0.01	57.63																																											57.63				other	OPPS APC	57.63	57.63	
INFLIXIMAB PER 10 MG	636000000	CDM	57894-030-01	NDC	J1745	HCPCS		inpatient			0.01	0.01																																																			
INFLIXIMAB PER 10 MG	636000000	CDM	57894-030-01	NDC	J1745	HCPCS		outpatient			0.01	33.74																																											33.74				other	OPPS APC	33.74	33.74	
INFLIXIMAB-ABDA PER 10 MG	636000000	CDM	78206-162-01	NDC	Q5104	HCPCS		inpatient			0.01	0.01																																																			
INFLIXIMAB-ABDA PER 10 MG	636000000	CDM	78206-162-01	NDC	Q5104	HCPCS		outpatient			0.01	32.58																																											32.58				other	OPPS APC	32.58	32.58	
INFLIXIMAB-DYYB 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0809-01	NDC	Q5103	HCPCS		inpatient			0.01	0.01																																																			
INFLIXIMAB-DYYB 100 MG RECON SOLN 1 EACH VIAL	636000000	CDM	0069-0809-01	NDC	Q5103	HCPCS		outpatient			0.01	11.82																																											11.82				other	OPPS APC	11.82	11.82	
PEMBROLIZUMAB 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	0006-3026-02	NDC	J9271	HCPCS		inpatient			0.01	0.01																																																			
PEMBROLIZUMAB 25 MG/ML SOLUTION 4 ML VIAL	636000000	CDM	0006-3026-02	NDC	J9271	HCPCS		outpatient			0.01	61.49																																											61.49				other	OPPS APC	61.49	61.49	
RITUXIMAB PER 100 MG	636000000	CDM	50242-051-21	NDC	J9312	HCPCS		inpatient			0.01	0.01																																																			
RITUXIMAB PER 100 MG	636000000	CDM	50242-051-21	NDC	J9312	HCPCS		outpatient			0.01	84.22																																											84.22				other	OPPS APC	84.22	84.22	
STERILE WATER SOLUTION	636000000	CDM	0338-0004-04	NDC	A4217	HCPCS		inpatient			0.01	0.01																																																			
STERILE WATER SOLUTION	636000000	CDM	0338-0004-04	NDC	A4217	HCPCS		outpatient			0.01	0.01																																															other	OPPS APC			
HC Influenza Admin	PX-250771000	CDM			771	RC		inpatient			0.01	0.01																																																			
HC Influenza Admin	PX-250771000	CDM			771	RC		outpatient			0.01	44.62	0.01				fee schedule		44.62				other	OPPS APC	0.01				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		44.62				other	OPPS APC	0.01	44.62	
HC Pneumococcal Admin	PX-250771001	CDM			771	RC		inpatient			0.01	0.01																																																			
HC Pneumococcal Admin	PX-250771001	CDM			771	RC		outpatient			0.01	44.62					fee schedule		44.62				other	OPPS APC	0.01				percent of total billed charges		44.62				other	OPPS APC	44.62				other	OPPS APC					percent of total billed charges		0.01				percent of total billed charges		44.62				other	OPPS APC	44.62	44.62	
SPONGE GAUZE VERSALON POLYESTER RAYON L2 IN X W2 IN 4 PLY ABSORBENT NONWOVEN LINT FREE NONSTERILE LATEX FREE DISPOSABLE	SUP-9022	CDM			270	RC		inpatient			0.01	0.01																																																			
SPONGE GAUZE VERSALON POLYESTER RAYON L2 IN X W2 IN 4 PLY ABSORBENT NONWOVEN LINT FREE NONSTERILE LATEX FREE DISPOSABLE	SUP-9022	CDM			270	RC		outpatient			0.01	0.1	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
CANCELELLOUS BONE SCREW	SUP-97-00693	CDM			278	RC		inpatient			0.01	0.01																																																			
CANCELELLOUS BONE SCREW	SUP-97-00693	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
CANCELELLOUS BONE SCREW	SUP-97-02074	CDM			278	RC		inpatient			0.01	0.01																																																			
CANCELELLOUS BONE SCREW	SUP-97-02074	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
CANCELELLOUS BONE SCREW	SUP-97-02075	CDM			278	RC		inpatient			0.01	0.01																																																			
CANCELELLOUS BONE SCREW	SUP-97-02075	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
6.5MM LOW PROFILE HEX SCREW 25MM	SUP-97-04356	CDM			278	RC		inpatient			0.01	0.01																																																			
6.5MM LOW PROFILE HEX SCREW 25MM	SUP-97-04356	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
6.5MM LOW PROFILE HEX SCREW 20MM	SUP-97-04578	CDM			278	RC		inpatient			0.01	0.01																																																			
6.5MM LOW PROFILE HEX SCREW 20MM	SUP-97-04578	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
SCREW LOW PROFILE HEX 6.5 X 40MM	SUP-97-05054	CDM			278	RC		inpatient			0.01	0.01																																																			
SCREW LOW PROFILE HEX 6.5 X 40MM	SUP-97-05054	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1	
ACCOLADE DISTAL SPACER	SUP-97-06369	CDM			278	RC		inpatient			0.01	0.01																																																			
ACCOLADE DISTAL SPACER	SUP-97-06369	CDM			278	RC		outpatient			0.01	0.1	0.01				fee schedule		0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				other	OPPS APC	0.01				other	OPPS APC	0.01				percent of total billed charges		0.01				percent of total billed charges		0.1				other	OPPS APC	0.01	0.1